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STATE OF CALIFORNIA STATE OF CALIFOR h iA STATE OF CALIFORNIA MECHANICAL SYSTEMS 4a MECHANICAL SYSTEMS 43MECHANICAL SYSTEMS it, GEG-NRCC-MCH-01-E Revised OV15CALIFORNIA ENERGY COMMISSION CEG-NRCC-MCH-01-E Revised 4111E CALIFORNIA ENERGY COMMISSION CEG-NRCC-MCH-p1-E Revised 0111E CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E Mechanical Systems Page of Mechanical Systems page of Mechanical Systems Page of TARGET) proieu Name: Target 90738 Tracy,CA-Remodel DatrPrrparcd: 1}16}2019 Prokv Name` Target#0738 Tracy,CA-Remodel Date,Pmparcd: 1}16}2019 ftoiett Name: Target 90738 Tracy,CA-Remodel DatrPmparcd: 1}16}2019 1000 NICOLLET MALL A.MECHANICAL COMPLIANCE DOCUMENTS&WORKSHEETS check box if worksheet is included C.MECHANICAL HVAC ACCEPTANCE FORMS(check box for required compliance documents) DOCUMENTATION AUTHOR'S DECLARATION STATEMENT MINNEAPOLIS, MN 55403 For derailed instructions 0n the use Of this and air Energy Efficiency Standards compliance forms, refer to the 2036 Nonresidential Marl Wal est Performed B 1- I certify that this Certificate of Compliance documentation is accurate and cornplete- �' Dptum ent,�i[ipn Author Name: ngr=u menrdtion AUEhor Signature= Note: The Enforcement Agency may require all forms to be incorporated onto the budding playas. Designer: Ryan Gramm — YES N0 Comp- Duc./Worksheet It Title This com liance document is to be used b the desi ner and attached to the fans.Listed below are all the acce tance tests for HVAC s stems.The desi ner is re uired to check the pi boxes Ccmpany: Signature Date: P Y g P P Y R q PP DC Engineering,Inc. 1/16/2019 0 N RCC-MCH-01-E (Park 1 of 3) Certificate of Compliance, Declaration. Required on plans for all submittals. tar all acceptance tests that apply and list all equipment that requires an acceptance test.All equipment of the same type that requires a test,list the equipment description and the number of tems Address= [Ear HERS[ertiflcatlon rdentiNcatlon(lfapplitahl2): [+] NRCC-MCH-01-E sys (Part 2 of 3) Certificate of Compliance, Required Acceptance Tests(MCH-02-A to 11-A). Required on plans far all submittals. 123 W.Spruce St. Installing Contractor: citylstate/zip: Phony. 0 + INRCC-MCH-01-E (Part 3 of 3) Certificate of Compliance, Required Acceptance Tests(MCH-12-A to 18-A). Required on plans where applicable. Missoula,MT,59802 4011-218-2190 The contractor who instalfiad the equipment is responsible to either conduct the acceptance test themselves or have a qualified entity run the test for them. If more than one person has responsibility 0 (F) N RCC-M C H-02-E (Part 1 of 2) Mechanical dry Equipment Summary Is required for all submittals with Cimntral Air Systems. It is optional on plans. for the acceptance testing,each person shall sign and submit the Certificate of Acceptance applicable to the portion of the construction or installation for which they are responsible- RESPONSIBLE PERSON'S DECLARATION STATEMENT Mechanical Wet Equipment Summary is required for all submittals with chilled water, hot water or condenser water Enforcement en certify g penalty perjury,under the laws of the State of California: Q NRCC-MCH-02-E (Part 2 of 2) Agency: I cerci the following under erlalt of systems. It is optional on plans. PIancheck-The NRCC-MCH-01-E compliance document is not considered a completed document and is not to be accepted by the building department unless the correct boxes are checked. 1. The information provided on this Certificate of Compliance is true and correct. Mechanical Ventilation and Reheat is required for all submittals with multiple zone heating and cool in s stems. It is Inspector-Before occupancy permit is granted all newly installed process systems must be tested to ensure proper operations. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility forthe building design or stem design identified on this Certificate of Compliance(responsib c �* NRCC-MCH-03-E G p R R-y- S� P P ty 8 8 y S P optional on plans. Test Description MCH-12-A MCH-13-A MCH-14-A MCH-15-A MCH-16-A MCH-17-A MCH-18-A designer). D C ENGINEERING 0 N RCC-MCH-07-E (Part 1 of 2) Power Consumption of Fans. Required on plans where applicable 3. The energy features and performance specifications,materials,components,and manufactured devices for the building design or system design identified on this Certificate of Compliance Automatic Fault conform to the requirements of Title 24, Part 1 and Part 5 of the California Code of Regulations. Careful listening Dynamic solutions. (* IN RCC-MCH-07-E (Part 2 of 2) Power Consumption of Fans, Declaration. Required on plans where applicable Fault Detection Detection & Distributed Thermal Energy Supply Air Condenser 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, 9 y Equipment Requiring Testing or & Diagnostics Diagnostics for Energy Storage Storage(TES) Temperature Water Reset worksheets.calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. www.d(engineering.net R. MECHANICAL HVAC ACCEPTANCE FORMS check box for re faired compliance documents Verification 4 of Units for Dy Units Air&Zone DX AC Systems Systems Reset Controls Controls ECM5 5. I will ensure that a completed signed copy of this Certificate of Compliance snail be made available with the building permit{s)issued for the building,and made available to the enforcement � q P � Phone-.208.288.2181 Project:l8TAR17 est Performed By- N/A ❑ ❑ ❑ ❑ ❑ ❑ ❑ agency for all applicable inspections.I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder prDvides to the building owner at occupancy- Designer: Add RowIRe 5# Reappnsibre Designer Name,Jared H.Miller Responsible Designer signature: This compliance document is to be used by the designer and attached to the plans.Listed below are all the acceptance tests for HVAC systems.The designer is required to check the applicable boxes far all acce Lance tests that apply and list all a ui ment that re uires an acce tante test.All a ui ment at the same Company Date signed: p pp y q p q p q p type that requires a test,list the equipment description and the number of Dc Engineering, Inc. 1/16/2019 systems. Add Installing Contractor: ress- ticense: 440 E.Corporate Dr. 32885 The contractor who installed the equipment is responsible to either conduct the acceptance test themselves or have a qualified entity run the test for them. If more than one person has responsibilityCltvistatefzlp:Meridian,ID,83642 Phone: 208-289-2181 ext. 117 for the acceptance testing,each person shall sign and submit the Certificate of Acceptance applicable to the portion of the construction or installation for which they are responsible. Enforcement Agency: Plancheck-The NRCC-MCH-01-E compliance document is not considered a completed document and is not to be accepted by the building department unless the correct boxes are checked. Test Description MCH-02-A MCH-03-A MCH-04-A MCH-05-A MCH-06-A MCH-07-A MCH-08-A MCH-09-A MCH-10-A MCH-11-A Demand Hydronic Air Controlled Supply System Automatic Equipment Requiring Testing or #of Single Zone Distribution Economizer Ventilation Supply Fan Valve Water Variable demand Verification Units outdoor Air Unitary Dum Controis I (DCV) VAV Leakage TP%t Temp. Reset Flow Control Ished Control N/A ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Add Raw CA Building Energy Efficiency Standards-2016 Nonresidential Compliance January 2016 CA Building Energy Efficiency Standards-2016 Nonresidential Compliance January 2016 CA Building Energy Efficiency Standards-2015 Nonresidential Compliance January 2016 Date No. Description 01/17/19 ISSUED FOR PERMIT QPOFESS/ON H. Er 31885 a P: 12/31/19 �Tq F�OF CAC ��\P DATE: 01/17/2019 EXP: 12/31/2019 UJco Ln Q a: U U Q U °C Q OC � LL, 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 MC01 1/17/2019 1 :22:49 PM