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<br /> Mn NRCC-ENV-E 1C(eated 11119) CALIFORNIA ENERGY COMMISSION NRCGENV-E(created 11119) CALIFORNIA ENERGY COMMISSION NRCC-ENV-E{Created 11/191 CALIFORNIAENERGY COMMISSION NRCC-ENV-E(Created 11/191 CALIFORNIAENERGY COMM1551QN
<br /> 5 CERTIFICATE OF COMPLIANC€ NRCC-Ell CERTIFICATE OF COMPLIANCE NRCC-ENV-E ICERTINCATE OF COMPLIANCE NRCC-ENV-E ICERTIFICATE OF COMPLIANCE NRCC-ENV-E
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<br /> This document is used to demonstrate compliance with mandatory requirements in 5110.8ia and 12 .7 for newly constructed buildings,and 5 141_QfbJ1 for afterations, Project Name: Dutch Bros Coffee-CA-9807 Report Page: Page 2 of IC 113roject Name: Dutch Bros Coffee-CA-0807 lReport Page: Page 3 of IC 113roject Name: Dutch Bros Coffee-CA-0807 Report Page: Page 4 of 1
<br /> EL. gelated to roof,wall and finor assemblies. It is also used to demonstrate compliance with prescriptive requirements in 140.3 far newly constructed butidfngs,and§142.0 for Project Address: 1220 Colony Road,Ripon,CA 95366 10ate Prepared: 2021-01-11 JProject Address: 1220 Colony Road,Rlpcn,CA 95366 jDate Prepared: 2021-01-11 JProject Address: 1220 Colony Road,Ripon,CA 95366 Date Prepared: 2021-01-11
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<br /> p additions and alterations,related to roof,wall,Poor,door,fenestration and daylighting requirements.
<br /> Project Name: Dutch Bros Coffee-CA-0807 IRepert Page: Page 1 of IE C.COMPLIANCE RESULTS Table Continued 08 09 1D
<br /> Project Address: 1220 Colony Road,Ripon,CA 95366 Date Prepared: 2021-01-11 Table Instructions:if any cell on this table says"DOES NOTCOMPLY"or"COMPLfES with Exceptional Condltions"refer to Table D.for guldame. Required Minimum Designed Material
<br /> e
<br /> Opaque Envelo a Components 07 08 09 10 11 12 13 14 15 1.6 Material Performance Performance U-factor of Assembly
<br /> 0
<br /> p p Dayfighting
<br /> Fenestration Compliance Results
<br /> Roof Assembly Roofing Materials Walls Floors Doors Spaces>5,000 ft' p Reflectance 0.63 Reflectance' 0.69
<br /> ' .GENERAL INFORMATION � Cavity Continuous Thermal Required s
<br /> `p Tag/ Detail How Design U-fa d Roof Type& Net Area Emittance 0,75 Emittance 0.83
<br /> 0 01 Project Location{cltyl Ripon O5 N of Stories(Habitable Above Grade} 1 01 OZ 03 04 05 O6 07 Frame Spacing&Depth Insulation insulation Performance Thermal U-)attar per Design z
<br /> z See Table F See Table G See Table H See Table] See Table J See Table K See Table L OS ID was determined Frame Material per Design per Desi n Unit Performance' (ft] SRI SRI
<br /> M OZ 2ipcode 95366 06 Total Conditioned Floor Area(ft} 751 ( ] { ) { ] [ ] [ ] ( } [ ) g p g
<br /> -0 03 Climate Zone 12 07 Total Unconditioned Floor Area(ft') ill Yes Yes No Yes Yes Yes DOES NOT COMPLY per JA4
<br /> -o Other per p 'FOOTNOTE:if Solor Reflectance(Initial)is indicated in column 07,enter the Initial Reflectance here and the form will convert it to a"Calculated Aged Solar Refecrance"when
<br /> a) Occupancy Types Within Project{select all that apply): 1/A4.0 Ll-factor 0.034 per Software/ 751
<br /> c D.EXCEPTIONAL CONDITIONS JA4.1.2.1 Wood Trusses 24"o.c.,28"deep R- 0 R- 39 0.034 determining compliance.
<br /> If one occupancy constitutes?80%of the conditioned floor area,the entire Project includes unconditioned enclosed spaces)>5,00oft'under a roof with Other
<br /> o 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 thraughoutthe form-
<br /> as FOOTNOTE: If any individual assembly is non-compliant,assemblies may show compliance using an area-weighted calculation. Metal building roofs may not be combined
<br /> r`o occupancy per 1 W.0 f. I I with other roof types. The area-weighted compliance option is not available for alterations demonstrating compliance with R-values in Table 14L0-C H.WALL ASSEMBLY SCHEDULE
<br /> Table F indicates an area-weighted average is being used for one or more roof assemblies to demonstrate compliance. Area-weighted average tables are#ncluded at the bottom
<br /> All Nonresidential,including Relocatable Public School Building Relocatable Public School Building for if"R-value"is shown in cell 13 as the Thermal Performance Unit the A-value shown here is for continuous insulation per Table 141,0-
<br /> certified
<br /> Table instructions: Complete this table to demonstrate compliance with prescriptive wall assembly requirements in§140.3(a 2 and 140.3 o 3 for new construction or additions,
<br /> w High-Rise Residential Hotel/Motel Guest Rooms of Table F-
<br /> 0 0 certified for use in one climate zone ❑use in all climate zones IF] 1,,] 'Roof area minus any fpnestrotion/skylight area. or mandatary wall assembly requirements in§141.9101B for alterations.
<br /> Occupancy!A B E E H M 5 U Occu enc E Occupancy;R-2 J R3 Occupancy:R-1 able 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 /> ry l u l l J 1 z P y bottom vfTahle H.
<br /> m 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 daylighting requirements rea-Weighted Average U-factor Compliance Calculation for Framed/SiPsfSpan Deck&Concrete/Metal Panel Roofs OI Indicate wall types ❑J Framed ❑Mass(new only) Concrete Sandwich Panel I new only] ❑SIPS ❑ICP(new only)
<br /> defirred in 9140.3 c. Compliance with t140.3(c is documented in Table L Thisls the only prescriptive requirement which applies to unconditioned spaces. 01 02 03 04 US 1 included in the project' ❑Metal Panel ❑Metal Building ❑Spandrel/Curtain Wall ❑Straw Bale ❑Log Home(new only)
<br /> t E.ADDITIONAL REMARKS IWO 7007NOTE:Waft types indicated above as"(new only)"do not have Title 24,Part 6 requirements for alterations. New construction and additions do have requirements and GNICH
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<br /> Total Area of Roof Type Area-weighted U-factor for Roof Type Compliance Results Using Area- ARCHITECTURE
<br /> >, 8.PROJECT SCOPE This table includes remarks made by the permit applicant to the Authority Having Jurisdiction, Raaf Type 2 should be clicked above and compliance demonstrated within this table.
<br /> (ft) Required Designed Weighted Calculation Option
<br /> noble Instructions:Include any building envelopes that are within the scope of the permit application and are demonstrating compliance using the prescriptive paths outlined in Framed Walls
<br /> Framed Roof Assemblies 751 0.034 0.034 Ol Calculate Area-Weighted Average U-factor for Metal Framed Walls' T
<br /> 140.3 and 141.0 a 2 and§141.OIb11 and 2 for additions and alterations. Total For All Roof Types: 151 0.039 0,034 COMPLIES ❑ IS 1 U D I O
<br /> o My project consists of(check aW that apply) Component Types 02 / include Wood Framed Walls in Area-Weighted Average U-factvr Calculation' AN OREGON LIMITED LIABILITY COMPANY
<br /> F.ROOF ASSEMBLY SCHEDULE ❑
<br /> 01 OZ Table Instructions: Complete this table to demonstrate compliance with prescriptive roof assembly requirements in§140.3(a)1B for new construction or additions,or G.RATED ROOFING MATERIAL(COOL ROOF] to 03 04 05 06 07 08 09 10 11 12 13
<br /> 0 New Construction or Newly Conditioned Space 0 Roof ❑� Walls 0 Exterior Doors §141A(b)28iiifnraiterotions.
<br /> Table Instructions: Complete this table to demonstrate compliance with prescriptive roof material requirements in§240.31ai1A for new construction or additions,or§141.=)2B How Design Cavity Continuous Thermal Required
<br /> Q ❑ One or more enclosed spaces>5,000 ft'directly under roof with ceiling height>15ft 0 Floors 0 Fenestration/Glazed Door 01 Indicate roof types intiuded in the project: 0 Framed ❑SIPs �]Span Deck&Concrete [�McEal Panels Metal Building or alterations. Tag/Plan Occupancy& u_fattar was Location Frame Material, nsulation Insulation Performance Thermal U-factor per Design
<br /> Net Area
<br /> a Detail to Status Spacing&Depth : {ft]
<br /> c ❑Addition of conditioned space ❑Walls ❑Exterior Doors 01 02 03 04 05 06 07 determined per Design per Design Unit Performance
<br /> m El Roof
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<br /> E] One or more enclosed spaces�5,000 ftp directly ander roof with ceiling height>15ft F]Floors I❑ Framed Roaf Assemblies
<br /> Fenestration/Glazed Door' Tag/Plan Detail
<br /> 01 Q Include Framed Roof Assemblies in Area-Weighted Average U-factor Calculation' ID Name/Description/Location Status Occupancy Type Roaf Slo a Roof Material Compliance Method
<br /> P cY YP P P Nonresidential R-21 R-2c.i. perJA4 0,057
<br /> Wood 24" c&
<br /> eo 4
<br /> A29 Relocatable JA4Tables Exterior U-factor 0.059
<br /> Alteration of conditioned space Roof Assembly Walls Exterior Doors NA for Alts. 02 03 04 05 06 61
<br /> a' Nonresidential solarRefleciance 2x6-112"gYP Per Software/ 1001 SE SANDY BLVD, SUITE 100
<br /> o One or more enclosed spaces>5,000 ft2 directly under roof with ceiling height>15ft 11A4,D Roof Membrane New / <2,12(Law) Single-Ply 1 CZ:New R- R-
<br /> o Roofing Material Floors Fenestration Tag J Plan Detail ID Name/Description Status Exception to Roof Insulation Requirements in§141.Ofb]2EIM0(Alts.Only] Occupancy Type Relocatable 1 CZ (Aged)/Emittance Other PORTLAND, OR 9721 4
<br /> a and lighting system installed for the first time Table Continued
<br /> aS 'FOOTNOTE:Doors that are more than one-half gloss in area ane considered Glazed Doors and should be documented on Table K with fenestration. V. 503.552.9079
<br /> e 1/A4.0 Roof Plan New Nonresidential/
<br /> Relocatable 1 CZ F. 503.241.7055
<br /> Table continued WWW.GNICHARCH.COM
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<br /> •y CA Building Energy EfficiencyStandards-2019 Nonresidential Compliance:http://www,energy.ca.govltitle24/2019standards November 2019 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http:/]www.energy.ca.gav/title24J2019standards November 2619 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.energy.ca.gov/title24J2019standards November 2019 CA Building Energy Efficiency Standards-2019 Nonresidential Lomplianre:http://www.energy.ca.gov/tikle24J2019standards November 2019
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<br /> ty) NRCC-ENV-F IC-ted 11119) EALIFORNIA ENERGY Commi5,IDN 10 NACC•ENV (Created 11/191 CALIFORNIA ENERGYCOMM1551ON NRCGENV-E(Cres 11119) EALIFORMA ENERGY COMM15510N NRCC-ENV-E(Created 11/19) CALIFORNIA ENERGY(:GMM1551oN
<br /> o CLRTIFICATE OF COMPIJANCL NRCC-ENV-E C€RTIFICATE OF COMPLIANC€ NRCC-Ell CLRTIFICATE OF COMPLIANCE NRCC-ENV-E CERTIFICATE OF COMPLIANCE NRCGENV-E fy�'. RAY
<br /> Project Name: Dutch Bros Coffee-CA-0807 Report Page: Page 5 of 1 Project Name: Dutch Bros Coffee-CA-9807 Report Page: Page 6 of 1 Project Name: Dutch Bros Coffee-CA-0807 Report Page: Page 7 of 1 Project Name: Dutch Bros Coffee-CA-0807 Report Page: Page 8 of 1 sS'
<br /> rn Project Address: 1220 Colony Road,Ripon,CA 95366 Date Prepared: 2021-01-11 Project Address: 1220 Colony Road,Ripon,CA 95366 Date Prepared: 2021-M 11 Project Address on,1220 Colony Road,RipCA 95366 Date Prepared: 2021-01-11 Project Address 1220 Colony Road,Ripon,CA 95366 Date Prepared: 2021-01-11
<br /> Table Continued J.EXTERIOR DOOR SCHEDULE 19 Table Continued Table Continued �j� 22
<br /> Table Instructions: Complete this table to demonstrate compliance with prescriptive exterior door requirements in 140.3 a 7 for new construction or additions.floors which are 08 Maximum Allowed Verticai 117.6 09 Total Vertical Fenestration(ft') 57
<br /> C 0.26 12 7.333 2 10.1667 South-facing 0.18625177
<br /> O FppIndividual OTE:If any assemb y Is non-camp1iant assemblies May using an a eo eigh ed Vet frame ova is may not combined with Fenestration( a1-West Facing Per Design-
<br /> �AN►
<br /> West facing being replaced(alterotionsJ do not need to be documented in this tabic because there ore no Title 24,Part 6 requirements that apply.Extedordoors separate conditioned space
<br /> U ❑heroval!tYPes Wood from ed ova!!s are combined with$1P3 span drei&curtain,metal anel and straw bole wani types.The area-weighted cam iancc option is not available from unconditioned space orfram ambient air.Doors that are more than ane-half glass in area are considered Glazed Dears and should be documented on Table K with FOOTNOTE:Orientation between 226 deg and 3IS deg are considered"West Facing", A diagram has been provided in the Nonresidential Compliance Manual for visual FOOTNOTE:If any Individual fenestroNan product is non-compliant,products may show compliance using an area-weighred rolcuiatron. Chromagenrc glazing is oat inducted in
<br /> for alterations demonstrating compliance with R-values in Table 141.0-C. OF C
<br /> fenestration per Table A reference. area-weighted calculations.Area-weigh ted calculations shown in separate area-weighted table below, � �L
<br /> If"R-value"is shown in cel!10 as the Thermal Performance unit,the R-value shown here is for cavity insulation per§14LOfb128, Ol OZ 03 04 OS 06 07 'Aa not include demising wails per§I40.3(ai5, 'The NA6 Default Colculation can only be used for buildings with less than 200ft'of site built glazing.if the project has greater than 200ft',the only options for determining
<br /> E 'Wall area minus any fenestration area. 'includeslazed door enestration area.
<br /> g f fenestration values are NERC Certification or the Default Tables in 4110.6.
<br /> X Maximum '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 an overhang does not
<br /> °? Area-Weighted Average U-factor Compliance Calculation for Wood Framed/SIPs1 Spandrel/Curtain/Metal Panel/Straw Bale Wall Types Tag/Plan Detail I D Name/Description Occupancy Type Door Type Doar Insulation Allowed U-factor per Design Vertical Fenestration-U•factor,Solar Heat Gain Coefficient(RSHGC/SHGQ,Visible Transmittance i meet this requirement the affect of the overhang will be ignored.
<br /> 01 02 03 104 05 U-factor 01 I] Calculate Area-Weighted Average Li-factor for Vert[ca I Fenestratlon' 4 Projecting includes casement and owning windows.
<br /> Type Total Area of Wall Type Area-weighted U-factor far Wall Type Compliance Results Using Area- 02 I] Calculate Area-Weighted Average SHGC for Vertical Fenestration'
<br /> Wall T
<br /> Nonresidential) g p rea-Wei kited Average ll-factor,SHGC,VT Compliance Calculation for Vertical Fenestration and Glazed Doors
<br /> o yp (ft') Required Designed Weighted Calculation Option 01 T-6"x7'-0" Relocatable 1 CZ Swinging Uninsulated double-layer metal 0.7 perJA4 0.7 03 FV] Call culate Area-Weighted Average VT for Vertical Fenestration' g pl 02 03 04 OS
<br /> n Framed(wood) 0 Nonresidential) 04 05 D6 07 08 09 10 11 12 13
<br /> 02 3'0"xT 9" Swinging Uninsulated double-layer metal 0.7 perJA4 0.7 Total Area of Fenestration Area-weighted Calculation for Fenestration Cumpliance Results Using AFea-
<br /> Total For All Wall Types: DOES NOT COMPLY Relocatable 1 CZ Product Performance Unit z
<br /> Calculation Method for Product Required Product (ft) Required Designed Weighted Calculation Option
<br /> w Tag/Plan Fenestration (RJSHGCCvmpliance VT Compliance Area
<br /> Occupancy&Status Performance Values per Performance Product Performance i U-Fador 132 0.41 0.41 COMPLIES
<br /> c Detail ED Type Method Method z (ft)
<br /> I R ASSEMBLY SCHEDULE Q) .FL00 A55 SCI{ 1J � pesign Unit Performance per Design
<br /> RSHGC 132 0.26 0.26 COMPLIES
<br /> E Tabie instructions: Complete this table to demonstrate romplionce with prescriptive Poor assembly requirements in§240.31x14 for new construction or additions,or mandatory K.FENESTRATION AND GLAZED DOOR SCHEDULE O
<br /> ® Nonresidential/ NFRC Certified Il-factor imax) 0.41 0.41 VT 132 0.46 0.46 COMPLIES
<br /> floor assembly requirements in§241.0ibi1C far alterations. Table Instructions: Complete this table to demonstrate compliance with prescriptive fehestrotion requirements in§140,3!015 far new construction or additions,or§141.0(b)2A Table 140.3-
<br /> ° i or alterations. Extenordoors 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: Table 140.3-B/C/D BJCJD Overhang used fur IRI5HGC(max] 0.26 0.26 24 Q
<br /> h 01 indicate floor types included in the project: ❑Framed ❑Sips(new only) ❑Raised Mass ❑,/ Heated Slab-on-grade(new only] ❑� I
<br /> Q) 'FOOTNOTE:Fiaor types indicatedabove as"(new only)"do not have Title 24,Part 6 requirements far alterations. New construction and additions do have requirements and 01 indicate fenestration types included in the project;' Vertical alteration New RSHGC VT(min] 0.46 0.46 L DAYLIGHT IN LARGE ENCLOSED SPACES ® O
<br /> ❑ (alteration) Q Ver#icaE{new} ❑Skylights Glazed Doors(new only)
<br /> should be clicked above and compliance demonstrated within this table. I 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/ NFRCCertlfied U-factor(max) 0.41 0.41 Th is Section Does Not Apply Table 140.3- ^`
<br /> and should be clicked above and compiiance demonstrated within this table. HGC(max] 0.26 0.26 57 W
<br /> Heated Slab-on-Grade Floors(new floors only) B/CID ZNew RSHGC Vr(min) 0.46 0.46 M.DECLARATION OF RECIUIRED CERTIFICATES CIF INSTALLATION � L
<br /> D6 07
<br /> 01 oz 03 04 OS 08 - m
<br /> w Vertical Fenestration and Glazed Roars Total Building&West Facing Area{New Construction&Additions Only) NFRCCertlfied U-factor max 0.41 0.41 Table instructions:Selections have been made based on inform pro in reulous tables o this document. I an selection needs to be changed, arm user must rovide
<br /> NonresidenCial/ I 1 f P P f f Y 9 f P
<br /> 01 02 03 04 OS Table 140.3- on explanation to be added to Table D Fxce tions)Conditions. These documents must be provided to the building inspector construction and can be found online at
<br /> Location in C Storefront Relocatable 1 LZ: Table 140.3-BJC1D Overhang used for IRISF1Ggmax] 0.26 0.26 51 P P P 9 p 9
<br /> YTag/Pian Name) Insulation Location insulation MIn.R-value R-value per Insulation Materials&install Construction Gross Exterior Wall Areae Display Perimeter Length' Vertical Fenestration Area BJC/0 g
<br /> o Detail ID Description Orientation required Design Elevation Item Tag/Description Orientation(Azimuth)' s P Y a z New RSHGC VT(min] 0.46 0.46 htt : www.ener .co. ov 2015 ub)ications CFC-400-2015-033 a codices arms NRCI
<br /> o Documents (ft) fft) per Design (ff) Field Inspector
<br /> YES NO Form/Title
<br /> w A North 240 4 24 Overhang Details for RSHGC per§140.3 Pass Fail
<br /> Vertical 5 R- 10 Materials&Install requirements A South 48U 4 24 '-
<br /> $ ATO FLOOR SLAB Outside edge meeting§ 1i 840 have been included A7.0,A7.1&P 26 27 28 29 30 31 32 (� ( NRCI-ENV-01-E-Must be submitted for all buildings. ❑ ❑ O
<br /> B West 294 10 57 Height from Bottum
<br /> Horizontal R- in the construction documents. SHGC of Depth S Left Extent' Right Extent'
<br /> C South 480 9 50 Window (k} of Sill to Overhang (ft) (ft] Orientation RSHGC
<br /> E IN M
<br /> o : A 0.26 4 7.667 0.5 3.5 North-facing 0.25326928 �/�J
<br /> e Maximum Allowed Vertical Total Vertical Fenestration(ft) O V)
<br /> 06 597.6 W 155 g 0.26 4 7.333 1 1 Fast/West-facing O.ZZ907Z64 n`
<br /> Fenestration[ft']-All Orientations per Design-All Orientations g VJ
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<br /> Table Continued
<br /> rn Table Continued TaI /I�
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<br /> � CA Building Energy EfficiencyStandards 2019 Nonresidential Compliance:http:/1www.energy.ca.govJtl#Ie24J2019statsdards November 2014 CA Building Energy Efficiency Standards 2019 Nonresidential Compliance:http://www.energy.ca.g4DvJtitle24/2019standards November 2019 CA Building Energy Efficiency Standards 2019 Nonresidential Compliance:http://www.energy.ca.gov/title24J2019standards November 2019 CA Building Energy Efficiency Standards 2019 Nonresidential Compliance:http://www.energy.ca.gov/tiYle24J2019standards November 2019
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<br /> NRCGENV-E(Created 11119) CALIFORNIA ENERGY COMMISSION NACGENV-E(Created 11/191 CALIFORNIA ENERGY COMMISSION
<br /> CERTIFECATF OF COMPLIANCE NRCC-ENV-E CERTIFICATE OF COMPLIANCE NRCC-s NV-E ^,
<br /> Project Name: Dutch Bros Coffee-CA-0807Report Page: Page 9 of 110 113roject Name: Dutch Bros Coffee-CA-0807 Report Page: Page 10 of 1 O VJ
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<br /> Prosect Address: 1220 Colony Road,Ripon,CA 95366 Date Prepared: 2021-01-11 Prosect Address: 1220 Colony Road,Ripon,CA 95366 Oate Prepared: 2021-01-11 n, 14
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<br /> > o> N.DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE DOCUMENTATION AUTHORS DECLARATION STATEMENT
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<br /> 1.1 certify that this Certificate of Compliance documentation is accurate and complete. O 0 U
<br /> O Tobfe Mstructinns;Selections have been mode based lin information provided in previous tables of this dvrument. !f any selection needs to he changed,form user must provide
<br /> E on explanation to he added to Table 0 Exceptional Conditions. These documents must he provided to the building inspector during construction and can be found onilne at Documentation Author Name: Darrell Case Documentation Author Signature: pFE58iCL1. ( N O
<br /> m htt www.energy.co. av 20 5 abli ati ns CLC-4 - 0 5.03 a e dice arms NAC .Individuals who perform the field testing and verification work,and provide the ti�V Rar ,.Y �J t�
<br /> wCompany; Case Engineering,Inc. Signature Date: 01/13/7021 ' r +„ ' ` L0 S.-
<br /> a) information required for completion of the fenestration Certificate of Acceptonce documentation are not required to be licensed professionals.However,the person who signs the �e V C/) �. O
<br /> Certificate of Acceptance document to rertify compliance with the acceptance requirements shall be licensed as specified in Standards Section 10-1031a)4 and NA7.3.1. Address: 796 Merus Court CEA/HERS Certification identification(if applicable): w 22 ///���` O m (N
<br /> m Field Inspector City/State/Zip: Fenton,MO 63026 Phone: 636-349-1600 Oro I t ( ' 1 Q sU
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<br /> a YES NO FgrmJTitle �{J / 1
<br /> o c Pass Fail RESPONSIBLE PERSON'S DECLARATION STATEMENT
<br /> cc a) I certify the following under penalty of perjury,under the laws of the State of California: � OF U > )
<br /> 0 t f NRCA-ENV-02-F-Must be submitted far all new,added cr altered fenestration. ❑ ❑ 1.The Information provided on this Certificate of Compliance is true and correct. O U Q V)
<br /> a 2.1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified an this Certificate of 0
<br /> -ac NBCA-FNV-03-F-Daylighting design indoor lighting power adjustment factors(PAF], N L 0 0
<br /> TCompliance(responsible designer) Q L
<br /> m (n Note;The requirement for this NRCA is indicated on the NRCC-LTi(prescriptive)or NRCC-PRF(performance)because it is only ^ N 0 r- 'n
<br /> n 3 relevant if a PAF is used for clerestories,daylight redirection devices or horizontal slats, 3.The energy features and performance specifications,materials,components,and manufactured devices for the building design or system design identified on this I 1 Q 14- - `J
<br /> rn Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the California Cade of Regulations. 11....��
<br /> 0 4.The building design features or system design features identified on this Certificate of Compliance are consistent with the Information provided on other applicable
<br /> m '= compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application.
<br /> m
<br /> o S.I will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permits)issued for the building,and made available ISSUED FOR PERMIT:
<br /> ,a) 0 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 1 1
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<br /> documentation the builder provides to the building owner at occupancy. O I I .202 1
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<br /> Responsible Designer Name: Darrell Case Responsible Designer Signature:
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