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I I 1 STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA Electrical Power Distribution Electrical Power Distribution Electrical Power Distribution NRCC-ELC-E(Created 12/17) CALIFORNIA ENERGY COMMISSION NRCC-ELC-E(Created 12/17) CALIFORNIA ENERGY COMMISSION13 NRCC-ELC-E(Created 12117) CALIFORNIA ENERGY COMMISSION MMIW1NECERTIFICATE OF COMPLIANCE NRCC-ELC-E CERTIFICATE OF COMPLIANCE NRCC-ELC-E CERTIFICATE OF COMPLIANCE ENRCC-ELC-E Project Name: DUTCH BROS COFFEE Report Page: Page 2 of 4 Project Name: DUTCH BROS COFFEE Report Page: Page 3 of 4 Project Name: DUTCH BROS COFFEE IReport Page: Page 4 of 4 Project Address: 530 SOUTH CHEROKEE LANE Date Prepared: 2/18/2020 Project Address: 530 SOUTH CHEROKEE LANE Date Prepared: 2/18/2020 Project Address: 530 SOUTH CHEROKEE LANE JDate Prepared: 2/18/2020 D. EXCEPTIONAL CONDITIONS 'FOOTNOTES:Voltage drop calculations may be attached to the permit application outside the construction documents if allowed by the Authority Having Jurisdiction. Select DOCUMENTAiiON AUTHOR'S DECLARATION STATEMENT � 1465 North Van Ness Avenue This table is auto filled with uneditoble comments because of selections made or data entered in tables throughout the form. "attached"if applicable. if calculations will lie the responsibility of the installing contractor,select"Contractor Responsible". Documentation Author Name: MATT STEWART Documentation Author Signature: Fresno, California 93728 Table H indicates voltage drop calculations will be provided by the contractor. I.CIRCUITCONTRDLS FOR 120-VO LT RECEPTACLES AND CONTROLLED RECEPTACLES 10 Company: Harris Electric Signature Date: 02/18/2020 559-442-4642 v o i c e Table Instructions:Please complete this table for entirely new or complete replacement electrical power distribution systems to demonstrate compiiance with§130.5(d). Both Address: 4679 N EL CAPITAN AVENUE CEA/HERS Certification Identification(if applicable): TC-A814238 5 5 9.4 8 5.g o 81 f a x E.ADDITIONAL REMARKS controlled and uncontrolled receptacles must be provided in office areas,lobbies,conference rooms,kitchen areas in office spaces,copy rooms and hotel/motel guest roams. City/State/Zip: FRESNO/CA/93722 Phone: 559-271-0970 This table includes remarks made by the permit applicant to the Authority Having Jurisdiction. 01 02 03 04 05 06 RESPONSIBLE PERSON'S DECLARATION STATEMENT Permanent Location of Requirements Field Inspector I certify the following under penalty of perjury,under the laws of the State of California: Electrical Service Location/Type of Controlled Shut-Off Controls Durable in Construction 1.The information provided on this Certificate of Compliance is true and correct. Designation/Description Receptacles Marking Will Documents Pass Fail 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 F.SERVICE ELECTRICAL METERING be Used Compliance(responsible designer) This Section Does Not Apply Within 6ftof uncontrolled+Split-wird occupancy Sensor E1 1:1 1:13.The energy features and performance specifications,materials,components,and manufactured devices forthe building design or system design identified on this LLJJJJ Add Row Remove Last Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations. G.SEPARATION OF ELECTRICAL CIRCUITS FOR ENERGY MONITORING - 4.The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable This Section Does Not Apply if"Other*"is selected under Compliance Method above,please indicate how compliance has been achieved in the space provided below. compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. J. DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION 5. 1 wi11 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 H.VOLTAGE DROP Table Instructions:Selections have been made Lased on information provided in previous tables of this document.if any selection needs to be changed,please explain why in 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 Table instructions: Please complete this table for entirely new or complete replacement electrical power distribution systems,or alterations that add,modify or replace both Table E.Additional Remarks.These documents must be provided to the building inspector during construction and can be found online at http://Www.energy.co. documentation the builder provides to the building owner at occupancy. A r c h I t e c t goo/2Q15puhlicationsfCEC-0400-2015-033/appendices/forms/NRCI feeders and branch circuits to demonstrate compliance with §130.5(c). For alterations,only the altered circuits must demonstrate compliance per§141.0(b)2Piii. Responsible Designer Name: Tim Bremer Responsible Designer Signature: Field Inspector 01 02 03 04 05 YES NO Form/Title Pass Fail Sheet Number for Voltage Drop Company: HARRIS ELECTRIC INC Date Signed: 02/18/2020 Electrical Service Combined Voltage Drop on Installed Feeder/Branch Location of Voltage Drop Field Inspector Address: 4679 N EL CAPITAN AVENUE License: 505816/ATE-0132 Calculations in Construction 4 { NRCI-ELC-01-E-Must be submitted for all buildings. El ElDesignation/Description Circuit Conductors Compliance Method Calculations Documents Pass Fail CiState i Fresno,CA 93722 Phone: 559-271-0970 tY/ r�p= Permitted by CA Elec K. DECLARATION OF REQUIRED CERTLFICATES OF ACCEPTANCE OVoltage drop<5% ❑Code (Exception to Contractor Responsible ❑ ❑ There are no Certificates of Acceptance applicable to electrical power distribution requirements. §130.5(c))* Permitted by CA Elec PANEL 101 A [v Voltage drop<5% Code (Exception to In construction documents E3 ❑ ❑ §130.5(c))* Permitted by CA Elec PANEL 101 B [v]Voltage drop<5% ❑Code (Exception to In construction documents . E3 1-1 1-1§130.5(c))* *NOTES if"Permitted by CA Elec Code*"is selected under Compliance Method above,please indicate where the exception applies in the space provided below. CA Building Energy Efficiency Standards-2016 Nonresidential Compliance:http://www.energy.ca.gov/title24/2016standards December 2017 CA Building Energy Efficiency Standards-2016 Nonresidential Compliance:http://www.energy.ca.gov/title24/2016standards December 2017 CA Building Energy Efficiency Standards-2016 Nonresidential Compliance:http://www.energy.ca.gov/title24/2016standards December 2017 M J' O W � N OCYl L ro 4J -— s U r-I O O 4- p 4t V Lr) ( - O �' M Z) O Ln U) J O L lJ a-' m W U Lr) Iv Ol 4J r -M O lJ 0 0 Ln n ._ OE r6 " .- V m � � � O � C) H 0 MENNI Publishing Status 12-17-0. Design Developm't. 12-17-0. Site Plan Review 12-17-0. 12-17-0: Plan Check 06-13-1f FOR CITY USE ONLY ■ ■ MENEM HARRI C` Scale EIUC L C LJ 1/4„=1 L -F1,7 Project Manager TODD CLARK 60 LJ LIC. # 505816 Project Number RESIDENTIAL • COMMERCIAL • INDUSTRIAL 18-026_Lodi Sheet E6 OF