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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0162841
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Last modified
8/25/2020 5:32:21 PM
Creation date
8/25/2020 3:12:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
WORK PLANS
RECORD_ID
PR0162841
PE
1615
FACILITY_ID
FA0008109
FACILITY_NAME
WEST LANE CHEVRON
STREET_NUMBER
4747
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
10437010
CURRENT_STATUS
01
SITE_LOCATION
4747 WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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JCastaneda
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EHD - Public
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FRE0NS BY <br /> STATE OF CALIFORNIA STATE OF CALIFORNIA <br /> Domestic Water Heating System Domestic Water Heating System <br /> NRCC-PLB-E(Created 11/19) CALIFORNIA ENERGY COMMISSION NRCC-PLB-E(Created 11/19) CALIFORNIA ENERGY COMMISSION <br /> CERTIFICATE OF COMPLIANCE NRCC-PLB-E CERTIFICATE OF COMPLIANCE NRCC-PLB-E <br /> Project Name: WEST LN.CHEVRON lReport Page: Page 5 of 6 Project Name: WEST LN.CHEVRON Report Page: Page 6 of 6 <br /> 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 <br /> I. DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION DOCUMENTATION AUTHOR'S DECLARATION STATEMENT <br /> Table Instructions:Selections have been made based on information provided in previous tables of this document. If any selection needs to be changed,please explain why in I certify that this Certificate of Compliance documentation is accurate and complete ESS/ON <br /> Table E.Additional Remarks. These documents must be provided to the building inspector during construction and can be found online at https://www.energy.co.gov/ ALD e<0" <br /> Documentation Author Name: Gasil Aldepulla Documentation Author Signature: �� �� <br /> title24/2019standards/2019 compliance documents/Nonresidential Documents/NRCO <br /> G� c, <br /> Field Inspector Company: GEA Energy Consulting&Engineering Services Signature Date: 2020-03-05 c� �' M36488 v m <br /> YES NO Form/Title UJ M <br /> Pass Fail Address: 2249 Toscana Dr. CEA/HERS Certification Identification(if applicable): Exp.09/30/21 <br /> (� NRCI-PLB-01-E-Must be submitted for all buildings ❑ ❑ CL <br /> City/State/Zip: Pittsburg,CA 94565 Phone: 510-289-1228 <br /> NRCI-PLB-02-E-Must be submitted for high-rise residential and hotel/motel central hot water distribution systems to be Q <br /> (� ❑ ❑ RESPONSIBLE PERSON'S DECLARATION STATEMENT OF CAS <br /> recognized for compliance. <br /> NRCI-PLB-03-E-Must be submitted for high-rise residential and hotel/motel single dwelling unit hot water distribution I certify the following under penalty of perjury,under the laws of the State of California: <br /> El 1. The information provided on this Certificate of Compliance is true and correct. <br /> systems to be recognized for compliance. <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 <br /> J. DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE Compliance(responsible designer) o <br /> 3. The energy features and performance specifications,materials,components,and manufactured devices for the building design or system design identified on this g V <br /> There are no Certificates of Acceptance applicable to service water heating requirements. N Z ti <br /> Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations. oo <br /> � ) z <br /> 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicableo a J 3 <br /> K. DECLARATION OF REQUIRED CERTIFICATES OF VERIFICATION I compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. c <br /> Table Instructions:Selections have been made based on information provided in previous tables of this document. If any selection needs to be changed,please explain why in 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 Li <br /> Table E.Additional Remarks. These documents must be completed by a HERS Rater and provided to the building inspector during construction. The final documents must be 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 _ V <br /> created by a HERS Providers registry, but drafts can be found online at https://www.energy.co.gov/title2412019stondards/2019 compliance documents/ documentation the builder provides to the building owner at occupancy. k <br /> Nonresidential Documents/NRCV/ Responsible Designer Name: Gasil Aldepulla Responsible Designer Signature: W <br /> Field Inspector 4- ti <br /> YES NO Form/Title Pass Fail Company: GEA Energy Consulting& Engineering Services Date Signed: 2020-03-05 <br /> C (0- NRCV-PLB-21-H High-rise Residential Central Hot Water Distribution HERS Verification E] ❑ Address: 2249 Toscana Dr. License: M36488 3 <br /> C (0- NRCV-PLB-22-H High-rise Residential Individual Dwelling Unit Hot Water Distribution HERS Verification ❑ ❑ City/State/Zip: Pittsburg,CA 94565 Phone: 510-289-1228 <br /> z <br /> Q <br /> z <br /> z <br /> O <br /> U <br /> 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 1 1 <br /> LS J <br /> W <br /> Q <br /> z � <br /> m � <br /> c R/ <br /> O <br /> 0 <br /> N <br /> 1 <br /> z <br /> O <br /> R/ <br /> LUo > <br /> W <br /> Uw <br /> 17— <br /> z 0 U <br /> 00LLJ <br /> w 7 <br /> u <br /> X00 � U <br /> z Q �— 0 <br /> DATE <br /> 03/05/2020 <br /> SCALE <br /> A5 5HOWN <br /> DRAWN <br /> GEA <br /> JOB <br /> SHEET <br /> F) 0 * 4 <br />
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