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<br /> STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> o MECHANICAL SYSTEMS MECHANICAL VENTILATION AND REHEAT STATE OF CALIFORNIA
<br /> V CEC-NRCC-MCH-01-E(Revised 01/16) CALIFORNIA ENERGY COMMISSION CEC-NRCC-MCH-03-E(Revised 05/16) CALIFORNIA ENERGY COMMISSION IM REQUIREMENTS FOR PACKAGED SINGLE ZONE UNITS
<br /> CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E CERTIFICATE OF COMPLIANCE NRCC-MCH-03-E CEC-NRCC-MCH-05-E(Revised 01/16) CALIFORNIA ENERGY COMMISSION
<br /> Mechanical Systems Page 1 of 3 Mechanical Ventilation&Reheat Page 1 of 2 CERTIFICATE OF COMPLIANCE NRCC-MCH-05-E
<br /> Project Name: DUTCH BROS.-STOCKTON,CA Date Prepared: 7/31/2018 Project Name: DUTCH BROS.-STOCKTON,CA Date Prepared: 7/31/2018 Requirements for Packaged Single-Zone Units (Page 1 of 2)
<br /> Project Name: Date Prepared:
<br /> A.Mechanical Ventilation and Reheat
<br /> A.MECHANICAL COMPLIANCE DOCUMENTS&WORKSHEETS(check box if worksheet is included)
<br /> In lieu of this compliance document,the required outdoor ventilation rates and airflows maybe shown on the plans or the calculations can be presented in a spreadsheet.Mechanical Ventilation and 1
<br /> For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms,refer to the 2016 Nonresidential Manual Reheat worksheet available on the Energy Commission's website at:http://www.energy.ca.gov/title24/2016standards/. Equipment Tag(s) RTU-1
<br /> Note:The EnforcementAgency may require all forms to be incorporated onto the building plans. MANDATORY MEASURES T-24 Sections Requirement As Schedule Requirement As Schedule Requirement As Schedulece
<br /> r Note:In all of the calculations that compare a supply quantity to the REQ'D V.A.quantity,the actual percentage of outdoor air in the supply is ignored.
<br /> Q. YES NO Comp.Doc./Worksheet# Title Heating Equipment Efficiency4 110.1 or 110.2(a) 80% 80%
<br /> Areas in buildings for which natural ventilation is used should be clearly designated.Specifications must require that building operating instructions include explanations of the natural ventilation
<br /> �} (� III I
<br /> NRCC-MCH-01-E(Part 1 of 3) Certificate of Compliance,Declaration.Required on plans for all submittals. system. Cooling Equipment Efficiency4 110.1 or 110.2(a) 11.2 12.8
<br /> NRCC-MCH-01-E(Part 2 of 3) Certificate of Compliance,Required Acceptance Tests(MCH-02-A to 11-A).Required on plans for all submittals. Thermostatss 110.2(b),110.2(c) PROGRAMABLE YES
<br /> ACTUAL DESIGN(FROM EQUIPMENT ROOM VAV REHEATED VAV DEADBAND
<br /> r Q Q NRCC-MCH-01-E(Part 3 of 3) Certificate of Compliance,Required Acceptance Tests(MCH-12-A to 18-A).Required on plans where applicable. SCHEDULES,ETC) AREA BASIS OCCUPANCY BASIS BASIS MINIMUM PRIMARY AIR CFM PRIMARY AIR CFM Furnace Standby Loss Control6 110.2(4) N/A N/A
<br /> a Q 6) NRCC-MCH-02-E(Part 1 of 2) Mechanical Dry Equipment Summary is required for all submittals with Central Air Systems.It is optional on plans. Low Leakage AHU 110.2(f) N/A N/A JASON D
<br /> O1 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21
<br /> t Mechanical Wet Equipment Summary is required for all submittals with chilled water,hot water or condenser water Ventilation' 120.1(b) 75 400
<br /> �• NRCC MCH 02-E(Part 2 of 2) s stems.It iso optional on tans. x F >
<br /> y p p Demand Control Ventilation$ 120.1(c)4 N/A N/A
<br /> C.7 0 U a w Z 8
<br /> Mechanical Ventilation and Reheat is required for all submittals with multiple zone heating and cooling systems. It is >- 3 } o 3 o w w Z d 2 o a
<br /> o (•} (} NRCC MCH 03-E q p g g Y > = 0 0 0 0 _ w Occupant Sensor Ventilation Control 120.1(c)5,120.2(e)3 N/A N/A
<br /> a a a a w a a a o a x z y
<br /> optional on plans. Z 25 a o W r o_ w U w a s w 3 w Shutoff and Reset Controls 120.2(e) N/A N/A
<br /> o cD a s a a z a z N a m o- o m Z z U J 0 Outdoor Air and Exhaust Damper Control 120.2 f x YES
<br /> CoO (.} NRCC-MCH-07-E(Part 1 of 2) Power Consumption of Fans. Required on plans where applicable F a o d o ,� a ,� > W o o > Z a t� z LL d U LL a
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<br /> Z Z� Z Z u Z z u 0' u - F w i m w o » r z p ()
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<br /> _ (� (.} NRCC-MCH-07-E(Part 2 of 2) Power Consumption of Fans,Declaration.Required on plans where applicable o o a z Z z z z z o " o 0 X a U Automatic Demand Shed Controls 120.2(h) N/A N/A
<br /> ° o o ° o 0 0 = ° z U z g a Economizer FDD 120.2(i) X YES
<br /> ° B.MECHANICAL HVAC ACCEPTANCE FORMS(check box for required compliance documents) N m a Duct Insulation 120.4 R-6 R-6
<br /> m Coffee Pre 1,550 1,550 1,550 No 575 0.15 87 5 15 75 0.15 75 PASS N/A N/A PRESCRIPTIVE MEASURES
<br /> E Test Performed By:
<br /> n Designer: Add Row Remove Last Equipment is sized in conformance with 140.4(a&b) x YES
<br /> 140.4(a&b)
<br /> c 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
<br /> for 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 Economizer 140.4(e) X YES 9 SE 3RD AVE, SUITE 110
<br /> 3 systems.
<br /> Electric Resistance Heating' 140.4(g) N/A N/A PORTLAND, OR 97214
<br /> v, Installing Contractor: Duct Leakage Sealing and Testing." 140.4(1) X YES V. 503.552.9079
<br /> N
<br /> L' 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 responsibility Notes:
<br /> a for the acceptance testing,each person shall sign and submit the Certificate ofAcceptance tante a licable to the portion of the construction or installation for which the are responsible. F. 503.241.7055
<br /> X p g. p g p pp p y1. Provide equipment tags(e.g.AC1 orAC1 to 10).Multiple units of the same make and model with the same application and accessories can be grouped together.
<br /> ° Enforcement Agency: 2. Enter the following information as appropriate:Unit Manufacturer;Unit Model Number(including all accessories);Description of the unit(e.g.gas-pack or heat pump;rated heating capacity W W W.G N I C HARC H.CO M
<br /> 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. enter"NIA"i no heating);and,rated cooling capacity enter"N A"i no cooling). For unit capacities include the units(e.g.kBtuh or tons).
<br /> Inspector-Before occupancy permit is granted all newly installed process systems must be tested to ensure proper operations. 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 O Q• Q
<br /> :5 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 the units as specified. / V
<br /> •3 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 /> Demand H dronics�
<br /> Y 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 .; Y tsy
<br /> ° Air Controlled Supply System Automatic •
<br /> capabilities of the thermostat as scheduled. +' #
<br /> a Equipment Re Requiring Testing or #of Single Zone Distribution Economizer Ventilation Supply Fan Valve Water Variable Demand r..' s, '+w�Roy ��"�r•
<br /> ° q g g g pp Y 6. If the unit has a furnace which is rated at k 225,000 Btuh 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 Btuh
<br /> E Verification Units Outdoor Air Unitary Ducts Controls (DCV) VAV Leakage Test Temp.Reset Flow Control Shed Control indicate"N/A".
<br /> RTU-1 1 D✓ D © D D D 0 7. In the left column,enter both the required ventilation value from Table 120.1A and for the number of occupants times 15 cfm/person. In the right column enter the actual minimum sLJA cwt
<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. a .ry
<br /> o Add Row Remove Last 8. 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 tr20
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<br /> o Sensor Ventilation Control is provided indicate"provided"in the right column(otherwise indicate"N/A"in the right column) i.a .. -'
<br /> a 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 timeclock). '
<br /> 10. Enter N/A if there is no electric heating. If the system has electric heating indicate which exception to 140.4(g)applies. ,
<br /> CA Building Ener Efficient Standards-2016 Nonresidential Compliance Januar 2016 11. 1 duct leakage sealing and testing is required,a MCH-04-A compliance document must be submitted.
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<br /> u STATE OF CALIFORNIA
<br /> MECHANICAL SYSTEMS STATE OF CALIFORNIA
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<br /> REQUIRED ACCEPTANCE TESTS glark
<br /> a CEC-NRCC-MCH-01-E Revised 01/16) CALIFORNIA ENERGY COMMISSION 10 CEC-NRCC-MCH-04-E(Revised 01/16) CALIFORNIA ENERGY COMMISSION
<br /> CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E CERTIFICATE OF COMPLIANCE NRCC-MCH-04-E
<br /> Mechanical Systems Page 2 of 3 Required Acceptance Tests Page 1 of 3
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<br /> Project Name: DUTCH BROS.-STOCKTON,CA Date Prepared: 7/31/2018 Project Name: Date Prepared:
<br /> a DUTCH BROS.-STOCKTON,CA 07/31/2018
<br /> C.MECHANICAL HVAC ACCEPTANCE FORMS(check box for required compliance documents) A. MECHANICAL COMPLIANCE FORMS&WORKSHEETS
<br /> o (indicate if worksheet is included)
<br /> Test Performed By: For detailed instructions on the use of this and all Energy Standards compliance documents,refer to the 2016 Nonresidential Manual
<br /> 0) Designer:
<br /> .L4 Note:The Enforcement Agency may require all compliance documents to be incorporated onto the building plans.The NRCC-MCH-04-E and NRCC-MCH-05-E are alternative
<br /> 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 compliance documents to NRCC MCH-01-E,NRCC MCH 02-E and NRCC MCH 03 E for projects using only single zone packaged HVAC systems.
<br /> for 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
<br /> systems. YES NO Form Title D
<br /> o Installing Contractor: 0 �} N RCC-M CH-04-E(1 of 2) Certificate of Compliance.Required on plans when used.
<br /> 2 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 responsibility
<br /> o 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. 0 N RCC-M CH-04-E(2 of 2) Mechanical Acceptance Tests.Required on plans when used.
<br /> Enforcement Agency: n NRCC-MCH-05-E(1 of 2) HVAC Prescriptive Requirements.It is required on plans when used.
<br /> ° 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. Mechanical SWH Equipment Summary is required for all submittals with service water heating,pools or spas.It is
<br /> Inspector-Before occupancy permit is granted all newly installed process systems must be tested to ensure proper operations. (� (� NRCC-MCH-05-E(2 of 2) required on plans where applicable.
<br /> Test Description MCH-12-A MCH-13-A MCH-14-A MCH-15-A MCH-16-A MCH-17-A MCH-18-A
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<br /> a` Automatic Fault
<br /> Z Fault Detection Detection& Distributed Thermal Energy Supply Air Condenser
<br /> Equipment Requiring Testing or &Diagnostics Diagnostics for Energy Storage Storage(TES) Temperature Water Reset
<br /> Verification #of Units for DX Units Air&Zone DX AC Systems Systems Reset Controls Controls ECMS
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<br /> F- CA Building Energy Efficiency Standards-2016 Nonresidential Compliance January 2016 r 1 I�
<br /> CA Building Energy Efficiency Standards-2016 Nonresidential Compliance January 2016 • • I J
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<br /> STATE OF CALIFORNIA STATE OF CALIFORNIA C O C,/)
<br /> MECHANICAL SYSTEMS REQUIRED ACCEPTANCE TESTS 0 - Q _
<br /> CEC-NRCC-MCH-01-E(Revised 01/16) CALIFORNIA ENERGY COMMISSION CEC-NRCC-MCH-04-E(Revised 01/16) CALIFORNIA ENERGY COMMISSION z O i Lo
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<br /> CERTIFICATE OF COMPLIANCE NRCC MCH-01-E CERTIFICATE OF COMPLIANCE NRCC MCH 04 E r 1 N
<br /> Mechanical Systems Page 3 of 3 Required Acceptance Tests Page 2 of 3 U 0) i O
<br /> Project Name: Date Prepared: Project Nae: Date Prepared: 4-
<br /> DUTCH BROS.-STOCKTON,CA 7/31/2018 DUTCH BROS.-STOCKTON,CA 07/31/2018r 1 O (/) /
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<br /> DOCUMENTATION AUTHOR'S DECLARATION STATEMENT Designer: n 1 i C)� v � O
<br /> 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. This compliance document is to be used by the designer and attached to the plans.Listed below are all the acceptance tests for mechanical systems.The designer is required to W = = I-
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<br /> Documentation Author Name: Documentation Author signature: check the applicable boxes by all acceptance tests that apply and list all equipment that requires an acceptance test.If all equipment of a certain type requires a test,list the • 0
<br /> DARRELL CASE O W
<br /> equipment description and the number of systems.The NA number designates the Section in the Appendix of the Nonresidential Reference Appendices Manual that describes the -Sz m
<br /> Company: Signature Date:AEDIFICA CASE test.Since this compliance document will be art of the lans,completion letion of this section will allow the res onsible art to bud et for the scope a of work appropriately.riatelY• 4- O-, U m
<br /> S.Address: Agency:796 MERUS COURT g y:CEA/HERS Certification Identification(if applicable): Enforcement A O O L O L
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<br /> Systems Acceptance.Before occupancy permit is granted for a newly constructed building or space,or a new space-conditioning system serving a building or space is operated for Q j 0 v
<br /> City/State/zip"ST.LOUIS,MO 63026 Phone'636-349-1600
<br /> normal use,all control devices serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance.
<br /> RESPONSIBLE PERSON'S DECLARATION STATEMENT
<br /> I certify the following under penalty of perjury,under the laws of the State of California: Systems Acceptance.Before occupancy permit is granted all newly installed HVAC equipment must be tested using the Acceptance Requirements.The NRCC-MCH-04-E compliance
<br /> 1. The information provided on this Certificate of Compliance is true and correct. document is not considered a completed document and is not to be accepted by the building department unless the correct boxes are checked.The equipment requiring testing, ISSUED FOR PERMIT.
<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 person performing the test(Example:HVAC installer,TAB contractor,controls contractor,PE in charge of project)and what Acceptance test must be conducted.The following
<br /> designer). checked-off forms are required for ALL newly installed and replaced equipment.In addition a Certificate of Acceptance compliance documents shall be submitted to the building 09. 1 2. 1 8
<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 department that certifies plans,specifications,installation certificates,and operating and maintenance information meet the requirements of Section 10-103(b)and Title 24 Part 6.
<br /> conform to the requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations. The building inspector must receive the properly filled out and signed compliance documents before the building can receive final occupancy.
<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. Test Description MCH-02-A MCH-03-A MCH-04-A MCH-05-A MCH-06-A MCH-07-A MCH-11-A MCH-12-A MCH-14-A MCH-18-A
<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 Demand Automatic Distributed Energy
<br /> 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 provides to the
<br /> building owner at occupancy. Equipment Air Control Demand FDD for Energy Management
<br /> Responsible Designer Name: Responsible Designer Signature: Requiring Testing #of Outdoor Single Zone Distribution Economizer Ventilation Supply Fan Shed Packaged Storage DX Control REV: DATE: DESCRIPTION:
<br /> DARRELL CASE ,�;r�-�°•: or Verification Units Air Unitary Ducts Controls (DCV) VAV Control DX Units AC Systems System Test Performed By:
<br /> Company: Date Signed: r
<br /> AEDIFICA CASE ENGINEERING RTU-1 1
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<br /> Address• License:
<br /> 796 MERUS COURT e
<br /> Add Row Remove Last
<br /> City/State/zip: Phone: q�}y
<br /> ST.LOUIS,MO 63026 636-349-1600 e:tr 9VI.V4�?�tii7 ' SHEET NAME:�
<br /> R CALIFORNIA TITLE 24
<br /> St.Louis-Montreal
<br /> CA Building Energy Efficiency Standards-2016 Nonresidential Compliance January 2016
<br /> ificad* lcase SHEET NUMBER:
<br /> e CA Building Energy Efficiency Standards-2016 Nonresidential Compliance January 2016 engineering
<br /> M4 . 0 796 Merus Court mechanical
<br /> St.Louis,MO 63026 electrical
<br /> k T 636.349.1600 plumbing
<br /> F 636.349.1730 fire protection
<br /> aedificacase.com structural
<br /> COPYRIGHT 2018
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