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STATE OF
<br />REQUIRED ACCEPTANCE TESTS
<br />4!`V IIA_C IOe..'va:l Mf10
<br />CALiFnaWIA EWER[1 r COMMISSION
<br />CERTIFICATE OF COMPLIANCE NRCC-MCH-04-E.
<br />Required Acceptance TestsPage 1 of 3
<br />oler[Namer Deli PrePar
<br />TAO. LA:ESTRELLA-MANTECA-C45T0 SHOPPING CENTER 10-8-19
<br />AFUE60
<br />A. MECHANICAL COMPLIANCE FORMS& WORKSHEETS
<br />les
<br />indGrateifwor heetGsiruluded'
<br />li
<br />For detailed dnsiructions on the use of this and all Energy Standards. compliance documents 'refer to the 2016 Nonresidential Manual
<br />Note: The: EnforcementAgencymay require all compliance documents to be incorporated: onto the building plans- The NRCC-MC14-04-E and A1RCC-MC14-05-E.are atimmot ve
<br />compliance documents to NRCC- MCN -01-Fr NRC -MCH -02-E and NRCC- CH-O3-:Efor projects using only single lonepackaged HVACsYstems::.
<br />YES
<br />NO
<br />Form Title
<br />G
<br />C
<br />Re I
<br />NRCC-MCH-04{ (1 of 2) 'Certificate of Compliance. Required on plans when used,
<br />120.1(b). 300/400
<br />300/400.
<br />NRCC-MCH-04{ (2 of 2) Mechanical- Acceptance Tests Required on pians. when used:
<br />C+
<br />- 120.1(c)5, 120.2(e)3' NA
<br />NRCC-MCH-05-E (1 of 2) HVAC Prescriptive Requirements. It is required on plans when used.
<br />(,C
<br />YES
<br />NRCC-MCH-05 E (2 of2-.) Mechanical SWH Euipm ntSumma Summary required for allsubmGttaIswit :service water heat'nBPo fsor spas, s. lt±Is
<br />required on plans where applicable.
<br />CA Building:. Energy Efficiency Standards- 2016: Nonresidential Compliance January 2016
<br />STATE OF CAUFORNIA
<br />REQUIREMENTS FOR PACKAGED SINGLE ZONE UNITS
<br />CEGNRCC•MCH-05-E Revised 01118CALIFORNtAENER COMMISSION.
<br />CERTIFICATE OF COMPLIANCE NRCC-MCH-05=E
<br />I ""' TAt1LAESfRELtA-MANITE..CA-COSTOSHOPINGCENTER I "'¢" A- 10-8-19 I
<br />Hwibmant Tadisi' I W I ACA. AC -2 I 1 .... "I
<br />Heating Equipment Efficiency°
<br />Cooling Equipment Efficieltc)°
<br />Thermostats'
<br />Furnace Standby Loss Control
<br />Low Leakage AHU
<br />Ventilation'
<br />Demand Control Ventifationa
<br />Occupant Sensor Ventilation Controls
<br />Shutoff. and Reset Controls
<br />Outdoor Air and Exhaust. Damper Control
<br />Automatic Demand Shed Controls
<br />Economizer FDD
<br />Duct insulation
<br />PRESCRIPTIVE MEASURES
<br />Equipment 1s sized in conformance with
<br />140.4 (a& b)
<br />Economizer
<br />Electric Resistan€e Heating ID
<br />11-. r.-..L-.n.,.C..nl.-w.--. T --I-11
<br />. 1161 or 110.2(a)
<br />AFUE80
<br />AFUE60
<br />110.1 or 1102(a) SEER 13
<br />SEER 13
<br />110.2(b), 1102(c) 7DAY
<br />7DAY'
<br />110.2(d) NA
<br />NA
<br />11D.2(f) NA
<br />NA
<br />120.1(b). 300/400
<br />300/400.
<br />1201(c)4 NA.
<br />NA S
<br />- 120.1(c)5, 120.2(e)3' NA
<br />NA
<br />12D.Z(e) YES
<br />YES
<br />120.2f) YES
<br />YES
<br />120.2(h). NA.
<br />NA
<br />120.2(1) YES
<br />.YES
<br />120.4 R43
<br />R4.3.
<br />city/st-W IP: Sacramento, CA
<br />pi�nK 916-359-1818
<br />140.4(a & b).
<br />140.4(e)
<br />140.4(g)
<br />FDO for
<br />iAf Ah%
<br />Energy
<br />Notes:
<br />1. Provide equipment tags (e.g. ACI orAC1 to 10)• Muhtpieeun/ts of the same make and model wfth thesame, application artd octessodes can be grouped together.
<br />2. Enterthe following Information osapprolarlate., Unit Manufacturer; Unit Madellyumber (Incisiallaccessoneq;Descriptionoftheunit(e.g.gas-pack orheatpump;ratedhopringcapacity
<br />(enter "NIA"ifnoheating), and, . rutedcoaltngcgponlyfenter"NiA"ffno: coding). For unit capacities include the units feg. katuh or tons).
<br />3. For each requirement, enter the minimum regpdrementfnamtheStandardIn. the left column funder'Samdard Requirement").In the right column (under'As5chedufed"):enter the valuefar
<br />the units as specified.
<br />4. Where there Is more than one requirement (egg. full and partfood efficiency) enter both with theapproprlate labels (e.g. COP and (EER).
<br />5. in the leftcolumn identffy the thermostatic rmqufrements from thestandard (e.g.. programmable setback thermostat or heatpump with electric hem),.. in the dghtcohumn fnddcatethe
<br />capabilities ofthethermostatas scheduled.
<br />6. if the unit has efamoce which Is rated at2 225,0072tah, of capacity, indicate the rated standby loss and Igtridon source (e.g. lfi*. if therets�nofuraacevr'theun7tLsraredfort225rtt00Htua
<br />indicate "NIA".
<br />7, in the left cofumn, enter both the required ventilation value from Table 120.1A andfar the number of occupants: times 15 cfm/persdxi_ in the right column enter the actual minfmu h
<br />ventilation as scheduled. ffthespace is naturofy ventilated enter"NIA" in the feftcolumn cad "the space is naturally vantilamill hrthertght column..
<br />"4. if the space is required to have either DCV or Occupant Sensor Ventilation Control mcIcute"required"M the left column(otherwise Indicate ."NIA"in the kfiicolumn).Ife(LhNP,OCYar'Occupaat
<br />Sensor Ventilation Cantrof is provided indicate ''provided" fn the right column (otherwise Indicate "NIA"in the right column)
<br />9. in the feft column indicate the required time controis from the standard. In the right column Identify the device that provides this functionalltyy(e.g. EMCSor programmable timeclack).
<br />I0. Fater NIA if there is no electric Beating. If the system has electric heating: Indicate which exception to 140.4(8) applies.
<br />Energy Efficiency Standards -
<br />STATE OF CALIFORNIA
<br />REQUIRED ACCEPTANCE TESTS
<br />Designer
<br />This w P larce document Is to be used by designer and attached tothePons. Listed below are alithe acceptance testsfor mechanical systems. The designer r is required d W
<br />check theapplicable boxes by all acceptance tests that apply and list all equipment that requiresen acceptance test. If all equipment of:a certain type requires a test, list the
<br />ui entdescri tion and the r _, - c .
<br />eq pm p e numbs of systems. The NA the Section m the Appendix of the Nonresidential Reference Appendices Manual that describes the
<br />test. Since this compliance document will be part of the plans;complet(dnof this section will allow the responsible patty to: budget for thescope ofwork appropriately.
<br />Enicrcement Agency:
<br />ms Acceptance. Syste .pts Before oecupancypermit(sgrantedfpranewlyconstructedbuildingorspace,aranewspace-conditioning systemserYingabuildingorspaceisoperatadfor
<br />normal use, all control devices serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance.
<br />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 />documentisnot considered a completed document and is not be accepted b. requiring testing,
<br />p to a p y the building department unless the boxes arechecked. The requ r g g,
<br />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 />checked -off forms are required for ALL new Installed and replaced p a ui equipment. In addition a Certificate of Acceptance compliance documents shall be submitted to the building
<br />q h'9 P P. _. P g
<br />department that certifiesplans, specifications; installation certificates, and operating and maintenance information meet the requirements of Section 10-103(b) and Title 24 Part 6:
<br />The building inspector must receive the properly filled out and signed compliance documents before the building can receive final occupancy,
<br />Test DescripPtion
<br />MCH -Q-A
<br />MCH -03-A
<br />MCH -04-A
<br />MCH -05-A
<br />MCH-06-A,-06-A,MCH-07-A
<br />agency for all applicable Inspections. I understand that a completed signed copy of this Certificate of Compliance is requi red to beincluded with the documentation the builder provides to the
<br />MCH -11-A
<br />MCH -127A
<br />MCH -14-A
<br />MCH -18-A
<br />°are Signed` 10-8.19
<br />Equipment
<br />urx„sn 37958
<br />city/st-W IP: Sacramento, CA
<br />pi�nK 916-359-1818
<br />Air
<br />Demand
<br />Automatic
<br />FDO for
<br />Distributed
<br />Energy
<br />Requiring Testing
<br />#of
<br />Outdoor
<br />Single Zone
<br />Distribution
<br />Economizer
<br />Control
<br />Supply fan
<br />Demand
<br />Packaged
<br />Energy
<br />Management
<br />Test Performed By:
<br />or Verification
<br />Units
<br />Air
<br />Unitary
<br />Ducts
<br />Controls
<br />Ventilation
<br />VAV
<br />Shed
<br />DX Units
<br />Storage DX
<br />Control
<br />(DCV)
<br />Control
<br />AC Systems
<br />System
<br />AC 1.
<br />1
<br />0.
<br />21
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<br />0
<br />❑
<br />0
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<br />1:1
<br />17
<br />1
<br />CONTRACTOR
<br />(E)AC-2'
<br />1
<br />i21
<br />13
<br />R71
<br />El
<br />13
<br />®
<br />❑
<br />®
<br />[I
<br />CONTRACTOR..
<br />EA Building. Energy Efficiency :Standards - 2016 Nonresidential Compliance January 2016
<br />REQUIREMENTS FOR PACKAGED SINGLE ZONE UNITS
<br />£EGNR2CG-MCH-a6•E(Rewced 01116) CALIFORNIAENEROYCOMMiSSION
<br />CERTIFICATE OF COMPLIANCE NRCC-MCH-05-E
<br />I m¢rr"'4 10,&i9
<br />DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
<br />L. Icar,a, this Certificate of Compliance documentation isoccurate and compiem
<br />Q0a`tahoo1""Naw' BERNAD'CHAN
<br />°0wa"`M�01Ate1pr're'" BERNARD CHAN
<br />cacany. SUN CONSTRUCTION AND ENGINEERING
<br />'01itrie0 10-8-19
<br />Address:
<br />2272 ATRISCO CIRCLE
<br />teA/.MUG @tdaCMlbnidL4leLCatlIXI laaPgloblei:
<br />'"'a'e"p; SACRAMENTO, CA
<br />Phony, 916-359-1818
<br />RESPONSIBLE PERSON'S :DECARATION:STATEMENT
<br />I certify the following: underpenalty of perium tinder the taws of the State of California:
<br />L The information provided on thiscertificateof compliance1s 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 idemfl ed. on thls Certlficate of Com pilance (responsible
<br />designer).
<br />3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identlfled. on this Cerdfic ate of Compliance
<br />conform to the requirements of Title 24, Parti and Part 6 of the California Code ofRegulations.
<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, calcdations, plans and specifications submitted to the enforcement agency for .approval with this building permit application.
<br />5. 1 will ensure that aacom I enforcement
<br />completed signed copy of this Certificate of Compliance shall be made the building permit(s) issued for the building, and made available to the en orcement
<br />agency for all applicable Inspections. I understand that a completed signed copy of this Certificate of Compliance is requi red to beincluded with the documentation the builder provides to the
<br />building owner at occupancy.
<br />aespsriameoesignerNamr. BERNARD CHAN.
<br />Responsibleaesiglersignawrr, BERNARD CHAN
<br />co'nP`n'' SUN CONSTRUCTION AND ENGINEERING
<br />°are Signed` 10-8.19
<br />Address' 2272 ATRISCO CIRCLE
<br />urx„sn 37958
<br />city/st-W IP: Sacramento, CA
<br />pi�nK 916-359-1818
<br />CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016
<br />OF CALIFORNIA
<br />TESTS:
<br />10-8-19
<br />CONSTRUCTION AND ENGINEERING
<br />ATRISCO CIRCLE
<br />NRCC-MCH-04-E
<br />Page 3 of 3
<br />1. The information provided on this Certificate of Compliance is true and correct.
<br />2. 1 am eligible under Division 3 of this Business and: Professions Code to accept. responsibility forthe building design or system design identified on this Certificate ;of Compliance (responsible
<br />designer).
<br />3. The energy features and performance specification, materials,components, and manufactured deVicesforthe building design or system design Identiffeddn this Certificate of Compliance
<br />conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations
<br />C The building design features or system design features identified on this Certificate of Compliance are: consistent withthe 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 permitls) issued for the building, and made available to theenforcement
<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 providesto the
<br />AND ENGINEERING
<br />STAMP
<br />REVISIONS
<br />DESCRIPTION I DATE
<br />Date Signed: October 9, 2019
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<br />DATE OCTOBER 8, 2019
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