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3 STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> Envelope Component Approach Envelope Component Approach � Envelope Component Approach Envelope Component Approach
<br /> C NRCC-ENV-E(Created 11/19) CALIFORNIA ENERGY COMMISSION
<br /> NRCC-ENV-E(Created 11/19) CALIFORNIA ENERGY COMMISSION NRCC-ENV-E(Created 11/19) CALIFORNIA ENERGY COMMISSION 16 NRCC-ENV-E(Created 11/19) CALIFORNIA ENERGY COMMISSION
<br /> CERTIFICATE OF COMPLIANCE NRCC-ENV-E CERTIFICATE OF COMPLIANCE NRCC-ENV-E ICERTIFICATE OF COMPLIANCE NRCC-ENV-El CERTIFICATE OF COMPLIANCE NRCC-ENV-E
<br /> This document is used to demonstrate compliance with mandatory requirements in 110.8 and 4120.7(b)for newly constructed buildings,and 141.0 b 1 for alterations, Project Name: Dutch Bros.Coffee-CA-0804 IReport Page: Page 2 of 1C Project Name: Dutch Bros.Coffee-CA-0804 Report Page: Page 3 of 1C Project Name: Dutch Bros.Coffee-CA-0804 Report Page: Page 4 of 1
<br /> to 0 related to roof,wall and floor assemblies. It is also used to demonstrate compliance with prescriptive requirements in 140.3 for newly constructed buildings,and 141.0 for lProject Address: 1105 W.Yosemite Avenue-Manteca,CA 95337 IDate Prepared: 02/14/2020 Project Address: 1105 W.Yosemite Avenue-Manteca,CA 95337 IDate Prepared: 02/14/2020 Project Address: 1105 W.Yosemite Avenue-Manteca,CA 95337 Date Prepared: 02J14I?=
<br /> additions and alterations,related to roof,wall,floor,door,fenestration and doylighting requirements.
<br /> +' a Project Name: Dutch Bros.Coffee-CA-0804 Report Page: Page 1 of 1C C.COMPLIANCE RESULTS 07 08 09 10 11 12 13 14 15 16 H.WALL ASSEMBLY SCHEDULE
<br /> 0 0
<br /> Table instructions: Complete this table to demonstrate compliance with prescriptive wall assembly requirements in§140.3(o)2 and 140.3 a 3 or new construction or additions
<br /> Project Address: 1105 W.Yosemite Avenue-Manteca,CA 95337 Date Prepared: 02/14/2020 Table Instructions:If any cellon this table says"DOES NOT COMPLY"or"COMPLIES with Exceptional Conditions"refer to Table D.for guidance. p P P P Y q § U f
<br /> Cavity Continuous Thermal Required s
<br /> 0) m P P Y g g Opaque Envelope Components Da li htin Tag/Plan Detail How Design U-factor Roof Type& Frame Spacing&Depth Insulation Insulation Performance Thermal U-factor per Design Net Area or mandatory wall assembly requirements in§141.0(b)IB for alterations.
<br /> Z
<br /> F Fenestration Z Compliance Results ID was determined Frame Material (ft)
<br /> C O .GENERAL INFORMATION 0 Roof Assembly Roofing Materials Walls Floors Doors Spaces>5,000 ft per Design per Design Unit Performance' 01 Indicate wall types ❑✓ Framed ❑Mass(new only) F]Concrete Sandwich Panel(new only) ❑SIPS ❑ICF(new only)
<br /> U) 01 Project Location(city} MANTECA OS #of Stories(Habitable Above Grade) 1 01 02 03 04 05 06 07 included in the project:' E]Metal Panel ❑Metal Building E]Spandrel/Curtain Wall E]Straw Bale E]Log Home(new only)
<br /> 08 Rafter-Wood 0 0 A perJA4
<br /> a 02 Zipcode 95337 06 Total Conditioned Floor Area[ft') 746 (See Table F) (See Table G) (See Table H) {See Table I) (See Table J) {See Table K) (See Table L) A4.0 U-factor 0.034 per Software/ FOOTNOTE:Wall types indicated above as"(new only)"do not have Title 24,Part 6 requirements for alterations. New construction and additions do have requirements and n n n G
<br /> i N No No No Yes Yes Yes DOES NOT COMPLY ROOF TRUSSES 24"O.C.;26"TO 30" R- R- 30 should be clicked above and compliance demonstrated within this table.
<br /> O 03 Climate Zone 12 0 07 Total Unconditioned Floor Area{ft') 116 Other L�� LJJJ LLLJJJ
<br /> C: Occupancy Types Within Project(select all that apply): FOOTNOTE. If any individual assembly is non-compliant;assemblies may show compliance using an area-weighted calculation. Metal building roofs may not be combined Framed Walls
<br /> O � D.EXCEPTIONAL CONDITIONS
<br /> U If one occupancy constitutes>_80%of the conditioned floor area,the entire 08 Project includes unconditioned enclosed space(s)>5,000fe under a roof with with other roof types. The area-weighted compliance option is not available for alterations demonstrating compliance with R-values in Table 141.0-C. 01 ❑ Calculate Area-Weighted Average U-factor for Metal Framed Walls'
<br /> N 04 building envelope may be designed to comply with the provisions of that ❑a ceiling height of at least 15ft.' This table is auto filled with uneditable comments because of selections made or data entered in tables throughout the form. 'If"R-value"is shown in cell 13 as the Thermal Performance Unit,the R-value shown here is for continuous insulation per Table 141.0-C 02 Include Wood Framed Walls in Area-Weighted Average U-factor Calculation'
<br /> occupancy per 100.0 . 'Roof area minus any fenestration/skylight area.
<br /> +� 03 04 05 06 07 08 09 10 11 12 13
<br /> iT All Nonresidential,including Relocatable Public School Building Relocatable Public School Building for Table H indicates an area-weighted average is being used for one or more wall assemblies to demonstrate compliance. Area-weighted average tables are included at the
<br /> 0 L High-Rise Residential Hotel/Motel Guest Rooms bottom of Table H.
<br /> F � ❑� certified for use in one climate zone El use in all climate zones ❑ ❑ G.RATED ROOFING MATERIAL{COOL ROOF) � How Design Cavity Continuous Thermal Required ,
<br /> Occupancy:R-2/R-3 Occupancy:R-1 Tag/Plan Occupancy& Frame Material, Net Area
<br /> _ Occupancy:A/B J E/F/H/M/S/U Occupancy:E Table Instructions: Complete this table to demonstrate compliance with prescriptive roof material requirements in§140.3(al1A for new construction or additions,or§141.0I612B U-factor was Location Insulation Insulation Performance Thermal U-factor per Design Z
<br /> z E.ADDITIONAL REMARKS Detail ID Status Spacing&Depth ' (ft)
<br /> � FOOTNOTE:Enclosed spaces>5,000 ft directly under roof with ceiling height>15ft in climate zones 2 through 15 are required to meet the minimum daylight(ng requirements � oralterations. determined per Design per Design Unit Performance
<br /> X defined in 140.3 c. Compliance with 140.3 c is documented in Table L. This is the only prescriptive requirement which applies to unconditioned spaces. This table includes remarks made by the permit applicant to theAuthority Having Jurisdiction.
<br /> Tn 01 02 03 04 05 06 07
<br /> 3 NonresidentialR-21 None perJA4 0.178
<br /> 0 Tag/Plan Detail Metal 16"OC&
<br /> B.PROJECT SCOPE ID Name/Description/Location Status Occupancy Type Roof Slope Roof Material Compliance Method A Relocatable EI JA4Tables Exterior 0 2x6 0 U-factor 0.062 per Software/
<br /> 0 c Table Instructions:Include any building envelopes that are within the scope of the permit application and are demonstrating compliance using the prescriptive paths outlined in 1 CZ:New R- R-
<br /> O F.ROOF ASSEMBLY SCHEDULE Nonresidential/ Solar Reflectance Other
<br /> 140.3 and 141.0 a 1 and§141.001 and 2 foradditions and alterations. @ A4.0 ROOF PLAN New 5 2:12(Low) Single-Ply
<br /> to +� Relocatable 1 CZ® ® (Initial)/Emittance ® Reset Add Row Remove Last
<br /> - M project consists of check all that a Com onent T es Table Instructions: Complete this table to demonstrate compliance with prescriptive roof assembly requirements in§140.3(a)1B fornew construction or additions,or
<br /> U +' y p 1 apply) p yp 'FOOTNOTE:if any individual assembly is non-compliant,assemblies may show compliance using an area-weighted calculation. Metal framed walls may not be combined with
<br /> 0 N Ol 02 §141.0(b)2Biiiforalterations. 08 09 10
<br /> -0 Ol Indicate roof es included in the ro'ect: other wall types. Wood framed walls are combined with SiPs,spandrel&curtain,metal panel and straw bale wall types.The area-weighted compliance option is not available
<br /> O FO ❑✓ New Construction or Newly Conditioned Space ❑✓ Roof ❑✓ Walls ❑✓ Exterior Doors tyP P J ❑/ Framed ❑SIPs ❑Span Deck&Concrete ❑Metal Panels ❑Metal Building Required Minimum Designed Material or alterations demonstrating compliance with R-values in Table 141.0-G
<br /> Material Performance Performance U-factor of Assembly f 9 p
<br /> a U
<br /> E] One or more enclosed spaces>5,000 ft'directly under roof with ceiling height>15ft Floors ❑✓ Fenestration/Glazed Door' If"R-value"is shown in ce1110 as the Thermal Performance Unit,the R-valueshown here is for covity insulation per§141.OU2B.
<br /> Framed Roof Assemblies Reflectance 0.63 Reflectance' 3 Wall area minus any fenestration area.
<br /> -O .� ❑Addition ofconditioned space ❑Walls ❑Exterior Doors 01 ❑ Include Framed Roof Assemblies in Area-Weighted Average U-factor Calculation' Emittance 0.75 Emittance
<br /> 0 ❑ One or more enclosed spaces>5,000 ft'directly under roof with ceiling height>15ft ❑Roof ❑Floors ❑Fenestration/Glazed Door' 02 03 04 05 06 SRI SRIArea-Weighted Average U-factor Compliance Calculation for Wood Framed/Sips/Spandrel/Curtain/Metal Panel/Straw Bale Wall Types
<br /> 0 01 02 03 04 05
<br /> to 7
<br /> Tag/Plan Detail ID Name/Description Status Exception to Roof Insulation Requirements in 6141.0(�2Biii(Alts.Only) Occupancy Type Reset d Row Remove Last
<br /> + ❑Alteration of conditioned space ❑Roof Assembly ❑Walls Exterior Doors NA for Alts.
<br /> a 'FOOTNOTE:If Solar Reflectance(initial)is indicated in column 07,enter the initial Reflectance here and the form will convert it to a"Calculated Aged Solar Reflectance"when Total Area of Wall Type Area-weighted U-factor for Wall Type Compliance Results Using Area-
<br /> E]
<br /> rea-
<br /> One or more enclosed spaces 5,000 ft'directly under roof with ceiling height>15ft Wall Type
<br /> ❑ ❑Roofing Material E] Floors E]Fenestration ❑ Nonresidential/ ❑ determining compliance. (fe) Required Designed Weighted Calculation Option
<br /> F 0 and lighting system installed for the first time A4.0 ROOF PLAN New Relocatable 1 CZ Framed(wood) 0
<br /> 'FOOTNOTE:Doors that are more than one-half glass in area are considered Glazed Doors and should be documented on Table K with fenestration.
<br /> Total For All Wall Types: DOES NOT COMPLY
<br /> Reset Remove Last
<br /> O
<br /> .L Table Continued
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<br /> ARCHITECTURE
<br /> +� d CA
<br /> L Building Energy Efficiency Standards-2019 Nonresidential Compliance:httP//www.energY.ca. ov/title24/2019standards November 2019 CA BuildingEnergy Efficiency Standards-2019 Nonresidential Compliance:httP//www.ener Y.ca. ov itle24/2019standards November 2019 CA BuildingEnergy Efficiency Standards-2019 Nonresidential Compliance:httP//www.energY.ca. ov itle24/2019standards November 2019 CA BuildingEnergy Efficient Standards-2019 Nonresidential Compliance:httP//www.energY.ca.ovltitle2412019standards November 2019
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<br /> STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> Envelope Component Approach Envelope Component ApproachEnvelope Component Approach Envelope Component Approach
<br /> U NRCC-ENV-E(Created 11/19) CALIFORNIA ENERGY COMMISSION NRCC-ENV-E(Created 11/19) CALIFORNIA ENERGY COMMISSION '` NRCC-ENV-E(Created 11/19) CALIFORNIA ENERGY COMMISSION 4W NRCC-ENV-E(Creawdl 11/19) CALIFORNIA ENERGY COMMISSION
<br /> -0 CERTIFICATE OF COMPLIANCE NRCC-ENV-E ICERTIFICATE OF COMPLIANCE NRCC-ENV-E ICERTIFICATE OF COMPLIANCE NROC-ENV-E1 ICERTIFICATE OF COMPLIANCE NRCC-ENV-E
<br /> C Project Name: Dutch Bros.Coffee-CA-0804 Report Page: Page 5 of 1 Project Name: Dutch Bros.Coffee-CA-0804 Report Page: Page 6 of 1 Project Name: Dutch Bros.Coffee-CA-0804 Report Page: Page 7 of 1 Project Name: Dutch Bros.Coffee-CA-0804 Report Page: Page 8 of 1
<br /> 0 ,0 Project Address: 1105 W.Yosemite Avenue-Manteca,CA 95337 IDate Prepared: 02/14/20201 Project Address: 1105 W.Yosemite Avenue-Manteca,CA 95337 Date Prepared: 02/14/2020 Project Address: 1105 W.Yosemite Avenue-Manteca,CA 95337 IDate Prepared: 02/14/2020 lProject Address: 1105 W.Yosemite Avenue-Manteca,CA 95337 Date Prepared: 02/14/2020
<br /> 0 N I.FLOOR ASSEMBLY SCHEDULE K.FENESTRATION AND GLAZED DOOR SCHEDULE Table ContinuedArea-Weighted Average U-factor,SHGC,Vr Compliance Calculation for Vertical Fenestration and Glazed Doors
<br /> + Table Instructions: Complete this table to demonstrate compliance with prescriptive floor assembly requirements in§140.3(al4 for new construction or additions,or mandatory Table Instructions: Complete this table to demonstrate compliance with prescriptive fenestration requirements in 140.3 a 5 for new construction or additions,or§141.0(612A Nonresidential) NFRC Certified U-factor(max) 0.41 0.4 01 02 03 04 OS
<br /> 1001 SE SANDY BLVD, SUITE 100
<br /> 0 Table 140.3-
<br /> 0 floor assembly requirements in 4141.0(J1Cfor alterations. oralterations. Exterior doors that are more than one-half glass in area are considered Glazed Doors and should be documented on this table with fenestration. A Storefront �Relocatable 1 CZ:0 Table 140.3-B/C/D � � Overhang used for (R)SHGC(max) 0.26 0.25 24 Total Area of Fenestration Area-weighted Calculation for Fenestration Compliance Results using Area- PORTLAND, OR 97214
<br /> B/C/D Product Performance Unit
<br /> +� 0 01 Indicate floor types included in the project:' ❑Framed ❑SIPs(new only) ❑Raised Mass ❑✓ Heated Slab-on-grade(new only) 01 Indicate fenestration types included in the project:' ❑Vertical(alteration) ❑✓ Vertical(new) ❑Skylights ❑Glazed Doors(new only) New RSHGC VT(min) 0.46 0.47 (ft') Required Designed Weighted Calculation Option V. 503.552.9079
<br /> 11-1 'FOOTNOTE:Floor types indicated above as"(new only)"do not have Title 24,Part 6 requirements for alterations. New construction and additions do have requirements and FOOTNOTE.,Fenestration types indicated above as"(new only)"do not have Title 24,Part 6 requirements for alterations. New construction and additions do have requirements Nonresidential/ NFRC Certified 0 U-factor(max) 0.41 0.4 U-Factor 221 0.41 0.4 COMPLIES
<br /> 0 -0Table 140.3- F. 503.241.7055
<br /> 0 should be clicked above and compliance demonstrated within this table. and should be clicked above and compliance demonstrated within this table. B Storefront 0 Relocatable 1 CZ:0 Table 140.3-B/C/D 0 0 Overhang used for (R)SHGC(max) 0.26 0.25 60 (R)SHGC DOES NOT COMPLY
<br /> 0 B/C/D ❑� WWW.GNICHARCH.COM
<br /> 0 Heated Slab-on-Grade Grade Floors(now floors only) New RSHGC VT(min) 0.46 0.47 VT DOES NOT COMPLY
<br /> Vertical Fenestration and Glazed Doors-Total Building&West Facing Area(New Construction&Additions Only)
<br /> +U + 01 02 03 04 05 06 07 08Nonresidential/ NFRC Certified 0U-factor(max) 0.41 0.4
<br /> c 01 02 03 04 OS Table 140.3-
<br /> E N z z C Storefront 0 Relocatable 1 CZ:0 Table 140.3-B/C/D 0 0 Overhang used for (R)SHGC(max) 0.26 0.25 83 L.DAYLIGHT IN LARGE ENCLOSED SPACES � 02.1 4.2020
<br /> Location in t Gross Exterior Wall Area Display Perimeter Length Vertical Fenestration Area B/C/D ❑✓
<br /> 0 Tag/Plan Name/ Insulation Min.R-value R-value per Elevation Item Tag/Description Orientation(Azimuth) s New RSHGC VT(min) 0.46 0.47 This Section Does NotA I
<br /> a Insulation Location Insulation Materials&Install Construction (ft') (ft) per Design (ft') Apply
<br /> +' Detail ID Description Orientation required Design J NFRC Certified �U-factor(max) 0.41 0.4
<br /> O Documents A West 108 20 24 Nonresidential
<br /> 0 0 Table 140.3-
<br /> vi D Storefront 0 Relocatable 1 CZ:0 Table 140.3-B/C/D 0 0 Overhang used for (R)SHGC(max) 0.26 0.25 54 M.DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION � pROFES
<br /> U) B South 0 294 32 60 B/C/D ❑✓
<br /> i N Vertical 5 R- 5 Materials&install requirements New RSHGC VT(min) 0.46 0.47 Table Instructions:Selections have been made based on information provided in previous tables of this document. If any selection needs to be changed,form user must provide (, V
<br /> 7 L C East Q 480 39.6667 83 V� ��L.L RO
<br /> a A2.0 A2.0 Outside edge meeting 110.8(g have been included A7.0 West 372 30 54 an explanation to be added to Table D Exceptional Conditions. These documents must be provided to the building inspector during construction and can be found online at
<br /> 0) D
<br /> Q O Horizontal R- in the construction documents. Overhang Details for RSHGC per§140.3 htt : www.ener .ca. ov 2015 ublications CEC-400-2015-033 a endices orms NRq C
<br /> Reset Remove Last YES NO Form/Title 9
<br /> Reset Add Elevati.;," Remove Last 26 27 28 29 30 31 32 Field Inspector
<br /> 0
<br /> 10 L Maximum Allowed Vertical Total Vertical Fenestration(ft')
<br /> 0 06 Fenestration(ft')-All Orientations per Design-730.0002 07 n-All Orientations 221 SHGC of Depth Height from Bottom Left Extent a Right Extents Pass Fall p
<br /> of Sill to Overhang Orientation RSHGC
<br /> 0 i J.EXTERIOR DOOR SCHEDULE 08 Maximum Allowed Vertical 300 09 Total Vertical Fenestration(ft') 78 Window (ft) (ft) (ft) (ft) (� (` NRCI-ENV-01-E-Must be submitted for all buildings. Li Ll
<br /> p Table Instructions: Complete this table to demonstrate compliance with prescriptive exterior door requirements in§140.3(a)7for new construction or additions.Doors which are Fenestration(ft')-West Facing per Design-West Facing A 0.25 4 7.667 1 1 East/West-facing 0.22148983
<br /> Uj F being replaced(alterations)do not need to be documented in this table because there are no Title 24,Part 6 requirements that apply.Exterior doors separate conditioned space 'FOOTNOTE:Orientation between 226 deg and 315 deg are considered"West Facing". A diagram has been provided in the Nonresidential Compliance Manuafor visual B 0.25 2.5 7.667 1 1 South-facing 0.21302606 (� ANIG
<br /> 0 N from unconditioned space orfrom ambient air.Doors that are more than one-hail glass in area are considered Glazed Doors and should be documented on Table Kwith reference. 0
<br /> a f C 0.25 12 7.667 2 10 East/West-facing 0.19595672 FCAL_
<br /> M 0 fenestration per Table B. 'Do not include demising walls per§140.305.
<br /> L 3 D 0.25 4 7.667 2 12.5 East/West-facing 0.19595672
<br /> + 01 02 03 04 05 06 07 Includes glazed door fenestration area.
<br /> U Reset Add Row Remove Last
<br /> Maximum Vertical Fenestration-U-factor,Solar Heat Gain Coefficient(RSHGC/SHGC),Visible Transmittance(VT) 'FOOTNOTE:If any individual fenestration product is non-compliant;products may show compliance using an area-weighted calculation. Chromogenic glo=ing is not included in
<br /> p Tag/Plan Detail ID Name/Description Occupancy Type Door Type Door Insulation Allowed U-factor per DesignOl Calculate Area-Weighted Average U-factor for Vertical Fenestration' area-weighted calculations.Area-weighted calculations shown in separate area-weighted table below.
<br /> L U-factor 'The NA6 Default Calculation can only be used for buildings with less than 200 ft'of site built glazing.If the project has greater than 200ft,the only options for determining
<br /> >, >, 02 ❑ Calculate Area-Weighted Average SHGC for Vertical Fenestration
<br /> Q_ fenestration values are NFRC Certification or the Default Tables in 110.6.
<br /> 0 01 3"-6"X7'-0" Nonresidential/ 0 Swinging Uninsulated double-layer metal 0.7 perJA4 0.7 03 ❑ Calculate Area-Weighted Average VT for Vertical Fenestration' 'Overhangs must extend past the left and right window the some distance as the depth of the overhang or greater to show an affect on the RSHGC If on overhang does not
<br /> N Relocatable 1 CZ 04 05 06 07 08 09 10 11 12 13 meet this requirement;the affect of the overhang will be ignored.
<br /> T Nonresidential/ 'Projecting includes casement and windows.
<br /> 0 -0 02 3'-0"X7'-Q" Swinging Uninsulated double-layer metal 0.7 perJA4 0.7 J g g
<br /> - Relocatable 1 CZ � 0 0 Calculation Method for Product Required Product
<br /> Tag/Plan Fenestration (R)SHGCCompliance VT Compliance Area
<br /> •O Occupancy&Status Performance Values per Performance Product Performance Table Continued
<br /> > a Reset Remove Last Detail ID Type Method Method (ft') I
<br /> Design' Unit Performance per Design O
<br /> U
<br /> O N Table Continued
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<br /> STATE OF CALIFORNIA STATE OF CALIFORNIA v
<br /> o Envelope Component Approach Envelope Component Approach ',tj �\
<br /> 0 NRCC-ENV-E(Created 11/19) CALIFORNIA ENERGY COMMISSION ®' NRCC-ENV-E(Created 11/19) CALIFORNIA ENERGY COMMISSION ` v/
<br /> U CERTIFICATE OF COMPLIANCE NRCC-ENV-E ICERTIFICATE OF COMPLIANCE NRCC-ENV-E
<br /> t J lProject Name: Dutch Bros.Coffee-CA-0804 IReport Page: Page 9 of 10 lProject Name: Dutch Bros.Coffee-CA-0804 IReport Page: Page 10 of 1 7-
<br /> -0 Project Address: 1105 W.Yosemite Avenue-Manteca,CA 95337 IDate Prepared: 02/14/20201 lProject Address: 1105 W.Yosemite Avenue-Manteca,CA 95337 IDate Prepared: 02/14/2020 v
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<br /> 0 N.DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
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<br /> c Table Instructions:Selections have been made based on information provided in previous tables o this document. I an selection needs to be changed,form user must provide 1.I certify that this Certificate of Compliance documentation is accurate and complete.
<br /> O � f P P f f Y 9 f P PROFESS/QQ��,,� m �
<br /> U C on explanation to be added to Table D Exceptional Conditions. These documents must be provided to the building inspector during construction and can be found online at Documentation Author Name: Darrell Case Documentation Author Signature: b��? RELL Rphc� W (nn`
<br /> �n http://www.energy.co.qovl2Ol5publicationsICEC-400-2015-0331appendiceslformsINRCA.individuals who perform thefteld testing and verification work,and provide the Company: Case Engineering,Inc. Signature Date: 02/14/2020
<br /> -p information required for completion of the fenestration Certificate c f Acceptance documentation are not required to be licensed professionals.However,the person who signs the 'Q4 X8031 m O J
<br /> O U Certificate of Acceptance document to certify compliance with the acceptance requirements shall be licensed as specified in Standards Section 10-103(a)4 and NA7.3.1. Address: 796 Merus Court CEA/HERS Certification Identification(if applicable): ,t 7 A
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<br /> dOL Field Inspector City/State/Zip: Fenton,MO 63026 Phone: 636-349-1600 9�CxrAHIC �P H
<br /> U) LL_ YES NO Form/Title Pass Fail RESPONSIBLE PERSON'S DECLARATION STATEMENT OFCALIF Q
<br /> 0 m I certify the following under penalty of perjury,under the laws of the State of California: O
<br /> (� ( NRCA-ENV-02-F-Must be submitted for all new,added or altered fenestration. ❑ ❑ 1.The information provided on this Certificate of Compliance is 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 identified on this Certificate of VJ
<br /> NRCA-ENV-03-F-Daylighting design indoor lighting power adjustment factors(PAF). Compliance(responsible designer) U Z
<br /> Note:The requirementfor this NRCA is indicated on the NRCC-LTI(prescriptive)or NRCC-PRF(performance)because it is only 3.The energy features and performance specifications,materials,components,and manufactured devices forthe building design or system design identified on this
<br /> 0 N relevant if a PAF is used for clerestories,daylight redirection devices or horizontal slats.
<br /> N Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations. • •
<br /> N 4.The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable 0 /I1 \
<br /> U compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. (V�J�
<br /> 0 S.I will ensure that a completed signed co of this Certificate of Compliance shall be made available with the building permit(s)Issued for the building,and made available V./ < (� N r-
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<br /> 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 7 O n 1 (O n` O
<br /> O 0 documentation the builder provides to the building owner at occupancy. L (1) L0 lV
<br /> F Responsible Designer Name: Darrell Case Responsible Designer Signature: �4ROFESS7 _ (�
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<br /> U Company: Case Engineering,Inc. Date Signed: 02/14/2020 ot{y� 4- Q
<br /> Address: 796 Merus Court License: M28031 ��3f m 7 O N U 00 Q
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<br /> M4 . 1
<br /> 796 Merus Court T 636.349.1600
<br /> _U
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