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STATE OF CALIFORNIA
<br />REQUIRED ACCEPTANCE TESTS'^ ,
<br />CEC-NRCC-MCH-04-E (Revised 01/16) CALIFORNIA ENERGY COMMISSION -'-w-
<br />CERTIFICATE OF COMPLIANCE NRCC-MCH-04-E
<br />Required Acceptance Tests Page 3 of 3
<br />Project Name: 85C Bakery Stockton -Tenant Improvement Cate Prepared: 09-20-2015
<br />DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
<br />1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
<br />Documentation Author NameJia Hui Pan
<br />Documentation Author Signature:
<br />Company:
<br />JHP Engineering and Design Services,. Inc.
<br />Signature. Date:
<br />09-20-2018
<br />Address,
<br />CEA/ HERS Certification Identification (if applicable):
<br />3119 Central Parkway
<br />P"°ne1 510-468-0613
<br />City/State/Zip:
<br />Dublin / CA / 94565
<br />Phone:
<br />510-465-0613
<br />RESPONSIBLE PERSON'S DECLARATION STATEMENT
<br />I certify the following under penalty of perjury, under the laws of the State of California:
<br />1. The information provided on this Certificate of Compliance is true and correct.
<br />2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible
<br />designer).
<br />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
<br />conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
<br />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,
<br />worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
<br />5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement
<br />agencyfor 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 provides to the
<br />building owner at occupancy.
<br />Responsible Designer Name,
<br />Responsible Designer Signature:
<br />Jia Hui Pan
<br />License: M35374
<br />Company
<br />JHP Engineering and Design Services, Inc.
<br />Date Signed:
<br />09-20-2015
<br />Address: 3119 Central Parkway
<br />License: M35374
<br />City/State/Zip:
<br />Dublin /CA/ 94565
<br />Phone:
<br />510-465-0613
<br />CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016
<br />STATE OF CALIFORNIA
<br />REQUIREMENTS FOR PACKAGED SINGLE ZONE UNITS ,>
<br />,FC-NRCC-MCH-05-E (Revised [71!16) CALIFORNIA ENERGY COMMISSION -fir
<br />CERTIFICATE OF COMPLIANCE NRCC-MCH-05-E
<br />Requirements for Packaged 5ingle-Zone Units (Page 1 of 2)
<br />Prol eit Name: 85C Bakery Stockton - Tenant Improvement Date Prepared: 09-20-2018
<br />Equipment Tag(s)' J; RTU -01 RTU -02
<br />MANDATORY MEASURES T-24 Sections Requirement As Schedule Requirement As Scheduled3 Requirement As Schedule
<br />Heating Equipment Efficiency 110.1 or 110.2(a) 0.81 0.81 0.81 0.81
<br />Cooling Equipment Efficiency¢ 110.1 or 110.2(a) 11 EER 11EER 11 EER 11 EER
<br />Thermostats$ 110.2(b), 110.2(c) REQUIRED SETBACK REQUIRED SETBACK
<br />Furnace Standby Loss Control 110.2(d) NOT REQUIRED N/A NOT REQUIRED N/A
<br />Low Leakage AHU 110.2(f) NOT REQUIRED N/A NOT REQUIRED N/A
<br />Ventilation? 120.1(b) 543.5 545 432.6 435
<br />Demand Control Ventilation$ 120.1(c)4 NOT REQUIRED N/A NOT REQUIRED N/A
<br />Occupant Sensor Ventilation Control$ 120.1(c)5, 120.2(e)3 NOT REQUIRED N/A NOT REQUIRED N/A
<br />Shutoff and Reset Controls' 120.2(e) REQUIRED SCHEDULED REQUIRED SCHEDULED
<br />Outdoor Air and Exhaust Damper Control 120.2(f) REQUIRED AUTO REQUIRED AUTO
<br />Automatic Demand Shed Controls 120.2(h) NOT REQUIRED N/A NOT REQUIRED N/A
<br />Economizer FDD 120.2(1) NOT REQUIRED N/A NOT REQUIRED N/A
<br />Duct Insulation 120.4 R-6 R-8 R 6 R-8
<br />PRESCRIPTIVE MEASURES
<br />Equipment is sized in conformance with 140.4(a & b) REQUIRED YES REQUIRED YES
<br />140.4(a&b)
<br />Economizer 140.4(e) NOT REQUIRED N/A NOT REQUIRED N/A
<br />Electric Resistance Heating10 140.4(8) N/A N/A N/A N/A
<br />Duct Leakage Sealing and Testing." 140.4(1) NOT REQUIRED N/A NOT REQUIRE❑ N/A
<br />Notes:
<br />1. i'rovide equipment tags (e.g. AC1 or AC1 to 10). Multiple units of the same make and model with the same application and accessories can be grouped together.
<br />2. Enter the following information as appropriate: Unit Manufacturer; Unit Model Number (including all accessories); Description of the unit (e.g. gas -pack or heatpump; rated heating capacity
<br />(enter "N/A" if no heating); and, rated cooling capacity (enter "N/A" if no cooling). For unit capacities include the units (e.g. kBtuh or tons).
<br />3. For each requirement, enter the minimum requirement from the Standard in the left column (under Standard Requirement"). in the right column (under "As Scheduled') enter the value for
<br />the units as specified.
<br />4. Where there is more than one requirement (e.g. full and part load efficiency) enter both with the appropriate labels (e.g. COP and iEER).
<br />5. in the left column identify the thermostatic requirements from the standard (e.g. programmable setback thermostat or heatpump with electric heat), . in the right column indicate the
<br />capabilities of the thermostat as scheduled.
<br />G. if the unit has a furnace which is rated at? 225,000 ittuh of capacity, indicate the rated standby loss and ignition source (e.g. iiD). if there Is no furnace or the unit is rated for :225,000 ittuh
<br />indicate "NIA".
<br />7. in the left column, enter both the required ventilation value from Table 120.1A and for the number of occupants times 15 cfrolperson. in the right column enter the actual minimum
<br />ventilation as scheduled. if the space is naturally ventilated enter "N/A" in the left column and "the space is naturally ventilated" in the right column.
<br />S. if the space is required to have either DCV or Occupant Sensor Ventilation Control indicate "required" in the left column (otherwise indicate "N/A" in the left column). if either DCV or Occupant
<br />Sensor Ventilation Control is provided indicate `provided" in the right column (otherwise indicate "N/A" in the right column)
<br />9. in the left column indicate the required time controls from the standard. in the right column identify the device that provides this functionality (e.g. EMCS or programmable timedock).
<br />10. Enter N/A if there is no electric heating. if the system has electric heating indicate which exception to 140.4(8) applies.
<br />11. if duct leakage sealing acrd testing is required, a MCH- 04-A compliance document utast be submitted.
<br />CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016
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<br />STATE OF CALIFORNIA
<br />REQUIREMENTS FOR PACKAGED SINGLE ZONE UNITS
<br />W
<br />'EC-NRCC-MCH-05-E (Revised 01116) CALIFORNIA ENERGY COMMISSION
<br />CERTIFICATE OF COMPLIANCE NRCC-MCH-05-E
<br />Requirements for Packaged 5ingle-Zone Units (Page 2 of 2)
<br />Pr°iefrName:85C BakeryStockton- Tenant Improvement Date Prepared: C9-20-2018
<br />DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
<br />1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
<br />Documentation Author Name: Jia Hui Pan
<br />Documentation Author Signature:
<br />company. JHP Engineering and Design Services, Inc.
<br />Signature Date: 09-20-2018
<br />Address: 3119 Central Parkway
<br />CEA/ -HERS Certificationldentification (if applicable):
<br />city/state/Zip: DUBLIN / CA / 94568
<br />P"°ne1 510-468-0613
<br />RESPONSIBLE PERSON'S DECLARATION STATEMENT
<br />I certify the following under penalty of'pe. rjury, under the. laws of the State of Cal ifnrnia:
<br />1. The information provided on this Certificate of Compliance is true and correct.
<br />2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance {responsible
<br />designer).
<br />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
<br />conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
<br />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,
<br />worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
<br />S. I will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement
<br />agency for all applicable inspections. I understand that a completedsigned copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the
<br />building owner at occupancy.
<br />Responsible Designer Name: Jia Hui Pan
<br />Responsible Designer Signature:
<br />Company: JHP Engineering and Design Services, Inc.
<br />Date Signed: 09-20-2018
<br />Address: 3119 Central Parkway
<br />License: M35374
<br />Cty/State/lip! DUBLIN / CA / 94568
<br />Phone: 510-468-0613
<br />CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance
<br />January 2016
<br />STATE OF CALIFORNIA
<br />WATER HEATING SYSTEM GENERAL INFORMATION
<br />CEC-NRCC-PLB-01-E (Revised 01116) CALIFORNIA ENERGY COMMISSION
<br />CERTIFICATE OF COMPLIANCE NRCC-PLB-01-E
<br />Water Heating System General Information (Page.1 of 2)
<br />Pr°'e`tNamff. 85.0 Bakery Stockton - Tenant Improvement Date Pre pared: 020-2018
<br />A. GENERAL
<br />INFORMATION/SYSTEM INFORMATION
<br />01
<br />Water Heater System Name:
<br />M-01
<br />02
<br />Water Heater System Configuration:
<br />Central System
<br />03
<br />Water Heater System Type:
<br />Domestic Hot Water
<br />04
<br />Building Type:
<br />Nonresidential
<br />05
<br />Total Number of Water Heaters in Systems:
<br />1
<br />06
<br />Central DHW Distribution Type:
<br />Demand Recirculation
<br />07
<br />Dwelling Unit DHW Distribution Type:
<br />Standard Distribution System (STD)
<br />B. WATER HEATER INFORMATION
<br />Each water heater type requires a separate compliance document.
<br />01
<br />Water Heater Type:
<br />Small Storage - Gas
<br />02
<br />Fuel Type:
<br />Gas
<br />03
<br />Manufacture Name:
<br />American Standard Commercial Ultra Low Nox
<br />04
<br />Model Number:
<br />ULN-80-125-AS
<br />05
<br />Number of Identical Water Heaters:
<br />1
<br />06
<br />Installed Water Heater System Efficiency:
<br />80%
<br />07
<br />Required Minimum Efficiency:
<br />80%
<br />08
<br />Standby Loss Percent or Standby Loss Total:
<br />0.2%
<br />09
<br />Rated Input:
<br />125,000 btu/h
<br />10
<br />Pilot Energy:
<br />Zero
<br />11
<br />Water Heater Tank Storage Volume:
<br />80 Gallon
<br />12
<br />Exterior Insulation on Water Heater:
<br />None. Factory internally insulated
<br />13
<br />Volume of Supplemental Storage:
<br />None
<br />14
<br />Internal Insulation on Supplemental Storage:
<br />None
<br />15
<br />Exterior Insulation on Supplemental Storage:
<br />None
<br />C. PLUMBING COMPLIANCE FORMS & WORKSHEETS
<br />Check box if worksheet is included.
<br />For detailed instructions on the use of this and all Energy Standards compliance documents, refer to the 2016 !Nonresidential Manual
<br />!Vote: The Enforcement Agency may require all compliance documents to be incorporated onto the building plans.
<br />YES
<br />NO
<br />Doc/Worksheet #
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<br />NRCC-PLB-01-E
<br />Certificate of Compliance, Declaration. Required on plans for all submittals.
<br />0
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<br />NRCI-PLB-01-E
<br />Certificate of Installation. Req uired on plans for all submittals.
<br />0
<br />CO)
<br />NRCI-PLB-02-E
<br />Certificate of Installation, required on central systems in high-rise residential,
<br />the enforcement agency for approval with this building permit application.
<br />5. 1 will ensure that a completed signed copyof this Certificate of Com liance shall be made available with the building permit(s)
<br />)
<br />issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed
<br />hotel/motel application.
<br />owner at occupancy.
<br />Responsible Designer Name: Jia Hui Pan
<br />NRCI-PLB-03-E
<br />Certificate of Installation, required on single dwelling unit systems in high-rise
<br />Datesigned: 09-20-2018
<br />Address: 3119 Central Parkway
<br />License: M35374
<br />residential, hotel/motel application.
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<br />NRCI-PLB-21-H
<br />Certificate of Installation, required on HERS verified central systems in high-rise
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<br />residential, hotel/motel application.
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<br />CO)
<br />NRCI-PLB-22-H
<br />Certificate of Installation, required on HERS verified single dwelling unit systems in high-
<br />V
<br />z
<br />rise residential, hoteVmote I application.
<br />0
<br />NRCI-STH-01-E
<br />lCertificate of Installation, required on any solar water heating
<br />CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance
<br />STATE OF CALIFORNIA
<br />WATER HEATING SYSTEM GENERAL INFORMATION
<br />CEC-NRCC-PLB-01-E (Revised 01116)
<br />January 2016
<br />CALIFORNIA ENERGY COMMISSION
<br />CERTIFICATE OF COMPLIANCE NRCC-PLB-01-E
<br />Water Heating System General Information (Page.2 of 2)
<br />Pr oj ect Name 85.0 Bakery Stockton - Tenant Improvement Date Prepared: 09-20-2018
<br />DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
<br />1. I certify that this Certificate of Compliance documentation is accurate and complete.
<br />DocumentationAuthor Name:Jla Hui Pan
<br />DocumentationAuthor S.ignat
<br />company: JHP Engineering and Design Services, Inc.
<br />signature Date:09-20-2018
<br />Address: 3119 Central Parkway
<br />CEA/ HERS Certification Identification (if applicable):
<br />City/State/Zip: Dublin / CA / 94568
<br />Phone: 510-468-0613
<br />RESPONSIBLE PERSON'S DECLARATION STATEMENT
<br />I certify the following under penalty of perjury, under the laws of the State of California:
<br />1. The information provided on this Certificate of Compliance is true and correct.
<br />2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system des'Ign
<br />identified on this Certificate of Compliance (responsible designer).
<br />3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or
<br />system design identified on this Certificate of Com pliance.conform to the. requirements of Title 24, Part 1 and Part 6 of the
<br />California Code of Regulations.
<br />4. The building design features or system design features identified on this Certificate of Compliance are consistentwith the
<br />information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to
<br />the enforcement agency for approval with this building permit application.
<br />5. 1 will ensure that a completed signed copyof this Certificate of Com liance shall be made available with the building permit(s)
<br />)
<br />issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed
<br />signed co of this Certificate of Com liance is require to be included with the.documentation the. builder provide to the buildin
<br />g copy p q p g
<br />owner at occupancy.
<br />Responsible Designer Name: Jia Hui Pan
<br />Responsible Designersignature;
<br />Company: JHP Engineering and Design Services, Inc.
<br />Datesigned: 09-20-2018
<br />Address: 3119 Central Parkway
<br />License: M35374
<br />City/State/Zip: Dublin / CA / 94568
<br />Phone: 510-468-0613
<br />CA Building Energy Efficiency Standards- 2016 Nonresidential Compliance
<br />January 2016
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<br />ADR:
<br />3119 Central Parkway,
<br />Dublin CA. 94568
<br />TEL:
<br />510-788-6029
<br />CEL:
<br />510-468-0613
<br />FAX:
<br />510-788-6039
<br />I Revisions I Date I
<br />PROGRESS REVIEW 10-01-2018
<br />PERMIT SET 10-29-2018
<br />Preliminary Set
<br />Design Review Set
<br />Plan Check Set X
<br />Plan Check Resubmit
<br />Construction Set
<br />1
<br />Scale: AS NOTED
<br />Drawn By: AL
<br />Approved By: JP
<br />Job: 18033
<br />Sheet:
<br />MECHANICAL
<br />PRESCRIPTIVE TITLE
<br />24 COMPLIANCE
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<br />Job: 18033
<br />Sheet:
<br />MECHANICAL
<br />PRESCRIPTIVE TITLE
<br />24 COMPLIANCE
<br />of: ME -0.6
<br />
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