District of Saanich
Inspection Services Department
HOUSE PERFORMANCE REPORT (AS-BUILT)
for Buildings Complying with the CNV Energy Efficiency Commitment
Instructions
1. To be completed by the Certified Energy Advisor (CEA) approved by Natural Resources Canada.
2. To be submitted at substantial completion, accompanied with supporting documentation.
PROJECT INFORMATION
Project Address:____________________________________ Building Permit #:__________________________
TARGET AT BUILDING PERMIT
Energy Guide (Points):
Airtightness Target (ACH @ 50 Pa):
Energy Guide P #:
ACHIEVED PERFORMANCE
Energy Guide (Points):
Airtightness Target (ACH @ 50 Pa):
Energy Guide N #:
( ) House Performance Report (At Building Permit) complete and accurate - sign below
Check one:
( ) Submitting revised deliverables - Complete Section A + B and sign below
SECTION A: BUILDING CHARACTERISTICS SUMMARY
Exterior Walls (Construction + Effective R-Value)
Roof / Attic (Construction + Effective R-Value)
Foundation/Below-Grade Walls (Construction + Effective R-Value)
Windows (Type + Overall u-Value)
Space Conditioning (System Type, Fuel Source, Performance Rating)
Ventilation (Design Basis according to Section 9.32)
Hot Water Heating (System Type, Fuel Source, performance rating)
Other Energy Impacting Features (design Basis)
SECTION B: ENERGY MODELLING SUMMARY
Reference Building
Proposed Building
HVAC (Energy Use + Fuel Source)
HVAC (Energy Use + Fuel Source)
Hot Water Heating (Energy Use + Fuel
Source)
Total (Energy Use in Megajoules)
Hot Water Heating (Energy Use + Fuel
Source)
Total (Energy Use in Megajoules)
The undersigned has produced and/or reviewed the EnerGuide Energy Efficiency Evaluation for the above-mentioned project, created based on the
project’s design as provided by the Designer of Record. The undersigned has verified that the project complies with the EnerGuide procedures and
evaluation process.
Signature:______________________________________
Name:_________________________________________(please print) Date Signed: _________________________
Phone #:_______________________________________E-Mail: _________________________________________
Company Name & Address:_______________________________________________________________________
G:\!Protect_Adm\Inspections\Inspection Documents_Master\2014 BC BUILDING CODE - ENERGY CODE\Saanich-9_36 House Performance
Report(As-built).docx