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STATE OF CALIFORNIA STATE OF CALIFORNIA WATER HEATING SYSTEM GENERAL INFORMATION WATER HEATING SYSTEM GENERAL INFORMATION GEC-NRCC-PLIB-01-E(Revised 41!16) CALIFORNIA ENERGYCDMMISSION CEC-NRCGPLS-01-E(ReAsed 01116) CALIFORNIA ENERGY COMMISSION iw CERTIFICATE OF COMPLIANCE N RCC-PLB-01-E CERTIFICATE 4F COMPLIANCE NRCC-PLB-01-E TARGET® Water Heating system General Information (Page 1 of 2) Water Heating System General Information (Page 2 of 2) Prn,ece Name:Target#0738 Tracy,CA-Remodel `'..T"Pr"Ph`ea:1'1612019 Pmieee Name:Target#0738 Tracy,CA-Remodel ❑AtePYePRred:1 f16/2019 1000 NICOLLET MALL A.GENERAL INFORMATION/SYSTEMINFORMATION DOCUMENTATION ALITHCIR'SDECLARATION STATEMENT MINNEAPOLIS, MN 55403 01 Water Heater System Name: WH-3 1. 1 certifythat this Certificate of Compliance documentation is accurate and complete. DocumentatianAutharName:Ryan Gramm Documentation AuthorSignature: i 02 Water Heater System Configuration: Central System - — - - company: ilgnature Date: 03 Water Heater System Type: Domestic Hot water DC Engineering,Inc- 1/16/2019 04 Building Type: Nonresideritial address,123 W.Spruce 5t. CEAf HERS Certification Identification(Ifapplicable): 05 Total Number of Water Heaters in Systems: 1 city"Statelzip.Missoula,MT,59801 Phone:406-218-21.90 06 Central DHW Distribution Type: Other RESPONSIBLE PERSON'S DECLARATION STATEMENT 07 Dwelling Unit DHW Distributl on Type: I certify the following under penalty of perjury,under the laws of the State of California- 1. The information provided on this Certificate of Compliance is true and correct. =if MW B.WATER HEATER INFORMATION 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design Each water heater type requires a se arate cam liance document. identified on this Certificate of Compliance(res ponsiale designer). DC ENGINEERING 3, The energy features and performance specifications,materials,components,and manufactured devices for the building design or 01 Water Heater Type: Instantaneous Small-Electric system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the Careful listening. Dynamic solutions. 02 Fuel Type: Electricity California Code of Regulations. 03 Manufacture Name: EEmax 4. The building design features or system des!go features identified on this Certificate cf Compliance are consistent with the www.d(engineerii7g.net information provided on other applicable compliance documerrts,worksheets,calculations,plans and specifications submitted to Phone-.208.288.2181 Project:1 8TAR1 7 04 Model Number: SPEX60T the enforcement agency for approval with this building permit application. 05 Number of Identical Water Heaters: 1 S, 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) 06 Instal led Water Heater System Efficiency: 4.99 issued for the building,and made available to the enforcement agency for all applicable inspections.I understand that a completed signed copy of this Certificate of Compliance is required to be included with the dacurnentation the builder provides to the building 07 Required Minimurrl EfficienCy: 0-99 owner atoccupancy- 08 ccu anc - 08 Stand b Loss Percent ar Standb Loss Tota d: N A Responsible Designer Name: Responsible Designer Signature= Y y / Jared H.Miller 09 Rated Input: 5kW Company:Dr-Engineering, Inc. oatesigned:l/16/2019 10 Pilot Energy: N/A Addme s: tJcense= 440 E.Corporate Dr. 31885 11 Water Heater Tank Storage Volume: N/A City/state/zip;Meridian, ID,83642 Phone:208-288-2181 ext. 117 12 Exterior Insulation on Water Heater: N/A 13 Volume of Supplemental Storage: N/A 14 Internal Insulation on Supplemental Storage: N/A 15 Exterior Insulation on Supplemental Storage: N/A C. PLUMBING COMPLIANCE FORMS& WORKSHEETS Check box if worksheet is included. For detailed instructions on the use of this and all Energy Standards compliance documents,refer to the 2016 Nonresidential Monuo� Note:The Enforcement Agency may require all compliance documents to be incorporated onto the building playas. YES NO Onc/Worksheet# Title C G NRCC-PLB-01-E Certificate of Compliance, Declaration. Required on plans for all submittals. ( O NRCI-PLB-01-E Certificate of Installation. Required on plansfor all subrnittaIs. Date No. Description C7 [* NRCI-PLB-02-E Certificate of Installation, required an central systems in high-rise residential, 01/17/19 ISSUED FOR PERMIT hotel/motel application. NRC!-PLB-03-E Certificate of Installation, required on single dwelling unit systems in high-rise residential hotel/motel application. r.: NRCI-PLB-21-H Certificate of Installation, required on HERS verified central systems in high-rise residential, hotel/motel application. NRCI-PLB-22-H Certificate of Installation, required on HERS verified single dwelling unit systems in high- rise residential, hotel/motel application. NRCI-s-rH-01-E lCerbficate of installation re uired en any solar water heating CA Building Energy Efficiency Standards- 2016 Nonresidential Compliance January 2016 CA Building Energy Efficiency Standards-2016 Nonresidential Compliance January 2016 QPOFESS/ON H. M14 31885 a P: 12/31/19 Op"Tq F�OF CA GF��\P DATE: 01/17/2019 EXP: 12/31/2019 UJco Ln Q a: U U Q U °C Q OC � Lu LU _J PEI CD Q z 0 0 00 N Project Number T-0738 Config: LL Drawn By B. SMEAD Checked By J. HAM M TITLE 24 CODE COMPLIANCE PC01 1/17/2019 1 :23:03 PM