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FRE0NS BY STATE OF CALIFORNIA STATE OF CALIFORNIA Domestic Water Heating System Domestic Water Heating System NRCC-PLB-E(Created 11/19) CALIFORNIA ENERGY COMMISSION NRCC-PLB-E(Created 11/19) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-PLB-E CERTIFICATE OF COMPLIANCE NRCC-PLB-E This document is used to demonstrate compliance for nonresidential occupancies with requirements in 110.1 110.3 120.3 and 140.5 and with requirements in 141.0 for Project Name: WEST LN.CHEVRON lReport Page: Page 2 of 6 additions and alterations,for domestic water heating scopes using the prescriptive path. For high-rise residential and hotel/motel occupancies,compliance is demonstrated with Project Address: 4747 WEST LN.,STOCKTON,CA 95210 Date Prepared: 2020-03-05 requirements in 110.1 110.3 120.3 150.0 and§150.108,and with requirements in 150.2 for additions and alterations. Project Name: WEST LN.CHEVRON IReport Page: Page 1 of 6 D. EXCEPTIONAL CONDITIONS Project Address: 4747 WEST LN.,STOCKTON,CA 95210 Date Prepared: 2020-03-05 This table is auto filled with uneditable comments because of selections made or data entered in tables throughout the form. �OFESS/ ON c�0 v,. AL q! A.GENERAL INFORMATION No exceptional conditions apply to this project. 01 Project Location(city) STOCKTONCO CD 02 Climate Zone 12 �J J M36488 ly m 03 loccupancy Types Within Project(select all that apply): E.ADDITIONAL REMARKS � Exp.09/30/21 ❑✓ Nonresidential High-Rise Residential Hotel/Motel This table includes remarks made by the permit applicant to the Authority Having Jurisdiction. State Building ❑ Healthcare Facility ❑ Other(Write In): F F CAS- B. PROJECT SCOPE Table Instructions:Include any domestic water heating systems that are within the scope of the permit application and are demonstrating compliance using the prescriptive F. DOMESTIC HOT WATER EQUIPMENT paths outlined in 140.5 §150.1(c)8,and 141.0 a or§141.0(b)2N for additions or alterations. Solar water heating systems should be documented on the NRCC-SRA Table Instructions:Complete the following table to demonstrate compliance with mandatory equipment requirements in 110.1 and 110.3. For high-rise residential and hotel/ compliance document. Combined hydronic water heating systems should be documented on the NRCC-MCH compliance document. o o 0 motel occupancies, compliance with prescriptive requirements in§150.1(c)8 must also be demonstrated and with 150.2 for addition and alteration scopes. W 0 01 02 03 Equipment Schedule: Individual Systems N L - Z ti My project consists of(check all that apply): System Type'-2 System Components 01 02 03 04 05 06oQ New System (DHW system being installed for the first -a IJ 3 ❑✓ time in newly constructed building) Central System(serving nonresidential spaces) ZEquipment z Distribution z Controls Minimum J Max GPM/First Rated Uniform Z Name or Required Z 0 New System (DHW system being installed for the first , Equipment Type Volume(gal) Hour Rating Energy Factor = 0 ❑✓ time in newly constructed building) Individual System(serving nonresidential spaces) ❑✓ Equipment ❑✓ Distribution ❑✓ Controls Item Tag (FHR) (UEF) Uniform Energy Factor(UEF)' m k J POU-1 Electric Instantaneous(<_12kW) <_2 0<_GPM<1.7 0.98 0.91 p, System Alteration (equipment,distribution or controls) Equipment Distribution Controls WZ � 'FOOTNOTE:Compliant equipment maybe found in the Modernized Appliance Efficiency Database System(MAEDBS)on the Energy Commission website:https:// W 3 'FOOTNOTE:Point of use water heaters,or other non-central systems used to serve nonresidential spaces,are considered individual systems. 3 cacertappliances.energy.ca.gov/Pages/Search/Ad vanced5earch.aspx �s 'Dwelling units refers to hotel/motel guest rooms and units in a high-rise residential occupancy. C. COMPLIANCE RESULTS Equipment Schedule:Central Systems Table Instructions:Table C will indicate if the project data input into the compliance document is compliant with water heating requirements. This table is not editable by the 07 08 09 10 11 12 13 14 15 user. If this table says"DOES NOT COMPLY"or"COMPLIES with Exceptional Conditions"refer to Table D.,or the table indicated as not compliant for guidance. Rated Input Minimum Name or Designed Maximum z Equipment Type Volume(gal) Capacity Rated Efficiency Efficiency Efficiency Unit , Q 01 02 03 04 Item Tag Standby Loss, Standby Loss < (Btu/h) Required Domestic Hot Water Equipment Distribution Systems Controls Compliance Results Z (See Table F) (See Table G) (See Table H) WH-1 Electric Storage Water Heater 50 34,121.42 0.98 0.8 0.8 0 Yes Yes Yes COMPLIES WH-2 Electric Storage Water Heater 20 13,648.568 0.98 1.6 1.6 Table Continued CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.energy.ca.gov/title24/2019standards November 2019 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.energy.ca.gov/title24/2019standards November 2019 W Q z � D_ STATE OF CALIFORNIA STATE OF CALIFORNIA CQ Domestic Water Heating System Domestic Water Heating System (f NRCC-PLB-E(Created 11/19) CALIFORNIA ENERGY COMMISSION NRCC-PLB-E(Created 11/19) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-PLB-E CERTIFICATE OF COMPLIANCE NRCC-PLB-E Project Name: WEST LN.CHEVRON lReport Page: Page 3 of 6 Project Name: WEST LN.CHEVRON Report Page: Page 4 of 6 Project Address: 4747 WEST LN.,STOCKTON,CA 95210 Date Prepared: 2020-03-05 Project Address: 4747 WEST LN.,STOCKTON,CA 95210 Date Prepared: 2020-03-05 O Table Continued TABLE 120.3-A PIPE INSULATION THICKNESS 'FOOTNOTE:For gas water heaters/boilers,standby loss is in BTUH. For electric storage water heaters,standby loss is in%/hr. Nominal Pipe Diameter(in) (� I Water Heating Equipment All Occupancies Fluid Temperature Range(°F) Conductivity Range Insulation Mean Rating <1 1 to< 1.5 1.5 to<4 Not (Btu-in per hour per ft'per°F) Temp(°F) Yes No Applicable Requirement Minimum Insulation Required 18 (' (9, Unfired storage tank insulation shall have Internal+External>_R-16 OR External>_R-12. Label required per§110.3(c)3 19 C (� (0- New state buildings 60%of energy for service water heating from site solar energy or recovered energy per§110.3(c)5 105-140 0.22-0.28 100 1.0 in or R-7.7 1.5 in or R-12.51.5 in or R-11 20 is 1 r I Ilsolation valves for instantaneous water heater with input rating>6.8 kBTUH or 2 kW has been specified per§110.3(ck6 G. DOMESTIC HOT WATER DISTRIBUTION SYSTEM H. DOMESTIC HOT WATER SYSTEM CONTROLS LJz Table Instructions:Complete the following table to demonstrate compliance for nonresidential occupancies with distribution requirements in 120.3 and 140.5. For high-rise Table Instructions:Complete the following table to demonstrate compliance with controls requirements in 110.3 for all occupancies. For high-rise residential and hotel/motel 01.residential and hotel/motel occupancies,compliance is demonstrated with requirements in 110.3 c 120.3 150.0 150 .. occupancies,compliance is demonstrated with requirements in§150.1(c)8 Recirculation Loops in Central Systems Serving Dwelling Units or Nonresidential Spaces Yes No Applicable Requirement Yes No Not RequirementConstruction documents require manufacturer certification that service water-heating systems are equipped with automatic Lu C� Applicable 01 A C (' LU O O temperature controls capable of adjusting temperature settings per 110.3 a O LL - 01 (' (' (0' Air release valve or vertical pump installation per§110.3(c)4A Systems with capacity>167,000 BTUH equipped with outlet temperature controls per§110.3(c)1 unless covered by California CV 02 C C i9- Check valve or similar located between recirculation pump and water heating equipment to prevent backflow per§110.3(046 02 Plumbing Code Section 613.0. w = U U 6� 03 ( (` (� Hose bibb installed between pump and equipment and isolation valve between hose bibb and equipment per§110.3(c)4C 03 Controls for circulating pumps or electrical heat trace systems are capable of automatically turning off the system per§110.3(c)2 z ( 1 Q 04 C C (0- Isolation valves on both sides of the pump per§110.3(c)4D unless system serves healthcare facility. Lu v W U 05 C C Cold water and recirculation loo piping shall not be connected to the hot water storage tank drain ort per§110.3 c 4E For recirculation systems serving multiple dwelling units,design includes automatic pump controls per§150.1(c)8Bii,or 150.2 for z � loop g g p p U 04 C C (0- > z � Z additions or alterations 06 (0- C ( Check valve installed on cold water supply between hot water system and next closest tee on cold water supply per§1193(c)4F z LU For recirculation systems serving individual dwelling units,design includes manual on/off controls as specified in Reference O = C) 07 ( (, For central systems serving multiple dwelling units,design includes two or more recirculation loops serving separate dwelling 05 ( Appendix RA 4.4.9 per§150.1(c)8. 0 L� � � � units per§150.1(08Bii unless building has<_8 dwelling units. �: O U For replacement single heat pump water heaters serving individual dwelling units in climate zones 1-15,design includes w Mandatory Pipe Insulation All Occupancies 06 (� ( (� z � O communication interface that meets demand responsive control requirements of§110.12(a)per§150.2(b)1Hiii. Q For systems serving nonresidential spaces, pipe insulation for the following applications is specified to comply with Table 120.3-A(see below) per 120.3: 12 ✓❑ Recirculating system piping, including supply and return piping of the water heater U ) The first 8 ft of hot and cold outlet piping for a nonrecirculating storage system W Pipes that are externally heated 13 Insulation shall be protected from damage,including that due to sunlight, moisture,equipment maintenance,and wind. Insulation exposed to weather shall be installed with a cover suitable for outdoor service per 120.3 b and150.0 ' 3 TABLE 120.3-A PIPE INSULATION THICKNESS Table Continued DATE CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.energy.ca.gov/title24/2019standards November 2019 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.energy.ca.gov/title24/2019standards November 2019 03/05/2020 SCALE A5 5HOWN DRAWN GEA JOB SHEET fDO •