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PR0547158
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Last modified
3/23/2022 11:00:16 AM
Creation date
10/12/2021 4:03:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
WORK PLANS
RECORD_ID
PR0547158
PE
1614
FACILITY_ID
FA0026757
FACILITY_NAME
CRUMBL COOKIE
STREET_NUMBER
864
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
864 W BENJAMIN HOLT DR
P_LOCATION
01
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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STATE OF CALIFORNIA STATE OF CALIFORNIA <br /> Electrical Power Distribution Electrical Power Distribution <br /> NRCC-ELC-E CALIFORNIA ENERGY COMMISSION NRCC-ELC-E CALIFORNIA ENERGY COMMISSION <br /> CERTIFICATE OF COMPLIANCE NRCC-ELC-E CERTIFICATE OF COMPLIANCE NRCC-ELC-E <br /> Project Name: Crumb)Cookies-Interior Tenant Improvement Report Page: (Page 5 of 5) This document is used to demonstrate compliance with mandatory requirements in 130.5 for electrical systems in newly constructed nonresidential,high-rise residential and <br /> Project Address: 864 W. Benjamin Holt Drive Date Prepared: 5/29/2021 hotel/motel occupancies.Additions and alterations to electrical service systems in these occupancies will also use this document to demonstrate compliance per§141.0(a) or <br /> §141.0(b)2P for alterations.. <br /> Project Name: Crumb)Cookies-Interior Tenant ImprovementReport Page: (Page 1 of 5) <br /> DOCUMENTATION AUTHOR'S DECLARATION STATEMENT _ Project Address: 864 W.Benjamin Holt Drive Date Prepared: 5/29/2021 <br /> 1 certify that this Certificate of Compliance documentation is accurate and complete. <br /> Documentation Author Name: Documentation Author Signature: A.GENERAL INFORMATION <br /> Theodore Brandvold 01 Project Location(city) Stockton 02 Occupancy Types Within Project: <br /> Company: Signature Date: <br /> Commercial Architecture,Inc. ElOffice ElRetail I El Warehouse ❑ Hotel/Motel I EJ School ❑ Support Areas <br /> Address: CEA/HERS Certification Identification(if applicable): ❑ Parking Garage ❑ High-Rise Residential ❑ Relocatable ❑ Healthcare Facilities ® Other(write in) See Table I <br /> 616 14th Street C-25449 <br /> City/State/Zip: Phone: B.PROJECT SCOPE <br /> Modesto CA 95350 209-571-8158 This table includes electrical systems that are within the scope of the permit application. <br /> RESPONSIBLE PERSON'S DECLARATION STATEMENT 01 02 03 04 05 <br /> 1 certify the following under penalty of perjury,under the laws of the State of California: <br /> 1. The information provided on this Certificate of Compliance is true and correct. System Subject to CA Elec Code <br /> P P Rating Utility Provided Metering System <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 Compliance(responsible designer) Electrical Service Designation/Description Scope of Workl (kVA) Exception to§130.5(a z Article 517 Exception to <br /> 3. The energy features and performance specifications,materials,components,and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements §130.S(a)and (b) <br /> of Title 24,Part 1 and Part 6 of the California Code of Regulations. New electrical service equipment and <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,worksheets,calculations, Panel B meter <br /> 120 El 1:1Ptans andspecifications submitted to the enforcement agency for approval with this building Permit application. <br /> 5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s)issued fort mg, made available to th ment agency for all applicable Where required,demand response controls must be specified which are capable of receiving and automatically <br /> inspections.I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentatithe builder provides to the building wner at upancy. responding to at least one standards based messaging protocol which enables demand response after receiving a demand <br /> Responsible Designer Name: Responsible Designer Signature: 06 Demand Response Controls response signal.Sections 120.2, 130.1 and 130.3 and compliance documents NRCC-MCH,NRCC-LTI and NRCC-LTS will <br /> Theodore Brandvold indicate when demand response controls are required. <br /> Company: Date Signed: 'FOOTNOTES:Adding only new feeders and branch circuits triggers Voltage Drop 130.5(c),no other requirements from 130.5 are required. <br /> Commercial Architecture,Inc. 2021-05-29 <br /> Applicable if the utility company is providing a metering system that indicates instantaneous kW demand and kWh for autility-defined period. <br /> Address: License: <br /> 616 14th Street C-25449 <br /> C.COMPLIANCE RESULTS <br /> City/State/Zip: Phone: <br /> Modesto CA 95354 209-571-8158 Results in this table are automatically calculated from data input and calculations in Tables F through I.Note:If any cell on this table says"COMPLIES with Exceptional Conditions"refer <br /> to Table D.Exceptional Conditions for guidance or see applicable Table referenced below. <br /> 01 02 03 04 05 <br /> Service Electrical AND Separation for AND Voltage Drop§130.5(c) AND Controlled Receptacles <br /> Metering§130.5(a) Monitoring§130.5(b) (See Table H) §130.5(d) <br /> (See Table F) (See Table G) (See Table 1) <br /> Yes AND Yes AND Yes AND Yes COMPLIES <br /> Registration Number: Registration Date/Time: Registration Provider:Energysoft Registration Number: Registration Date/Time: Registration Provider:Energysoft <br /> CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated:2021-05-29 13:04:21 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated:2021-05-29 13:04:21 <br /> Schema Version:rev 20190401 Schema Version:rev 20190401 <br /> STATE OF CALIFORNIA <br /> Electrical Power Distribution <br /> NRCC-ELC-E CALIFORNIA ENERGY COMMISSION <br /> CERTIFICATE OF COMPLIANCE NRCC-ELC-E <br /> Project Name: Crumbl Cookies-Interior Tenant Improvement Report Page: (Page 2 of 5) <br /> Project Address: 864 W. Benjamin Holt Drive Date Prepared: 5/29/2021 <br /> r <br /> D.EXCEPTIONAL CONDITIONS 1'1 <br /> This table is auto filled with uneditable comments because of selections made or data entered in tables throughout the form. <br /> E.ADDITIONAL REMARKS <br /> This table is includes remarks made by the permit applicant to the Authority Having Jurisdiction. M <br /> F.SERVICE ELECTRICAL METERING /{� <br /> This table includes new or replacement electrical service systems OR equipment to demonstrate compliance with§130.5(a) <br /> 01 02 03 04 05 D <br /> Required Metering Capabilities per Table 130.5-A Field Inspector r <br /> Electrical Service Rating Tracking kWh for Location of Requirements in <br /> Designation/Description kVA Instantaneous Historical Peak kWh per rate <br /> (kVA) <br /> Demand(kW) Demand(kW) user-defined period ma <br /> Construction Documents Pass Fail <br /> period <br /> Panel B 120 ❑ ® ® ❑ E-1.1 ❑ ❑ 0 <br /> 1'1 <br /> /w <br /> v <br /> In <br /> M <br /> Registration Number: Registration Date/Time: Registration Provider:Energysoft <br /> CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated:2021-05-29 13:04:21 <br /> Schema Version:rev 20190401 0 <br /> Z <br /> STATE OF CALIFORNIA <br /> Electrical Power Distribution <br /> NRCC-ELC-E CALIFORNIA ENERGY COMMISSION <br /> CERTIFICATE OF COMPLIANCE NRCC-ELC-E <br /> Project Name: Crumbl Cookies-Interior Tenant Improvementl Report Page: (Page 3 of 5) <br /> Project Address: 864 W. Benjamin Holt Drive Date Prepared: 5/29/2021 r <br /> T <br /> 1'1 <br /> G.SEPARATION OF ELECTRICAL CIRCUITS FOR ENERGY MONITORING <br /> This table includes entirely new or complete replacement electrical power distribution systems to demonstrate compliance with§130.5(b).Any load types that are not included in the N <br /> service do not need to be shown. <br /> 01 02 03 04 05 <br /> 1 Minimum Required Separation of Compliance Method 2 Location of Requirements in Construction Field Inspector <br /> Load Type per Table 130.5 B Load per Table 130.5-B Documents Pass Fail <br /> Panel B <br /> All plug loads in aggregate <br /> Plug Loads and appliances less than 25kVA Groups of plug loads exceeding Method 1 ❑ ❑ <br /> 25 kVA connected load in an area <br /> less than 5000 sf ma <br /> *NOTES:If"Other*"is selected under Compliance Method above,please indicate how compliance has been achieved in the space provided below. r <br /> 'FOOTNOTES:For each separate load type,up to 10%of the connected load may be of any type. <br /> 2 Method 1:Switchboards/motor control centers/panelboard loads disaggregated for each load type. <br /> Method 2:Switchboards/motor control centers/panelboard supply other distribution equipment with loads disaggregated for each load type. <br /> Method 3:Branch circuits serve load types individually and provisions for adding future branch circuit monitoring. <br /> Method 4:Complete metering system measures and reports loads by type. <br /> Fee Chapter 8 of the Nonresidential Compliance Manual for more detail on Compliance Methods. r] <br /> H.VOLTAGE DROP 1'1 <br /> This table includes entirely new or complete replacement electrical power distribution systems,or alterations that add,modify or replace both feeders and branch circuits to <br /> demonstrate compliance with§130.5(c).For alterations,only the altered circuits must demonstrate compliance per§141.0(b)2Piii <br /> 01 02 03 04 05 <br /> Electrical Service Combined Voltage Drop on Installed Feeder/Branch Location of Voltage Drop Sheet Number for Voltage Drop Field Inspector 0 <br /> Designation/Description Circuit Conductors Compliance Method Calculations) Calculations in ConstructionDocuments Pass Fail <br /> Voltage drop less than Permitted by CA Elec <br /> Panel B ® 5% ❑ Code(Exception to Contractor Responsible ❑ ❑ <br /> 130.5(c))* <br /> *NOTES:If"Permitted by CA Elec Code*"is selected under Compliance Method above,please indicate where the exception applies in the space provided below. In <br /> 'FOOTNOTES:Voltage drop calculations may be attached to the permit application outside the construction documents if allowed by the Authority Having Jurisdiction.Select"attached" <br /> if applicable.If calculations will be the responsibility of the installing contractor,select"Contractor Responsible". <br /> Registration Number: Registration Date/Time: Registration Provider:Energysoft <br /> CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated:2021-05-29 13:04:21 <br /> Schema Version: rev 20190401 <br /> FE-OF-C-L4FORNI <br /> Electrical Power Distribution <br /> NRCC-ELC-E CALIFORNIA ENERGY COMMISSION <br /> CERTIFICATE OF COMPLIANCE NRCC-ELC-E <br /> Project Name: Crumbl Cookies-Interior Tenant Improvement Report Page: (Page 4 of 5) <br /> Project Address: 864 W. Benjamin Holt Drivel Date Prepared: 5/29/2021 <br /> (.CIRCUIT CONTROLS FOR 120-VOLT RECEPTACLES AND CONTROLLED RECEPTACLES <br /> This table includes entirely new or complete replacement electrical power distribution systems to demonstrate compliance with§130.5(d).Both controlled and uncontrolled receptacles <br /> must be provided in office areas,lobbies,conference rooms,kitchen areas in office spaces,copy rooms and hotel/motel guest rooms. <br /> 01 02 03 04 05 06 <br /> Room name or Location/Type of Controlled Permanent Durable Location of Requirements in Field Inspector <br /> Description Receptacles Shut Off Controls Markin Will be Used Construction Documents <br /> P P g Pass Fail <br /> *NOTES:If"Other*"is selected under Shut-Off Controls above,please indicate how compliance has been achieved in the space provided below. <br /> J. DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION <br /> Selections have been made based on information provided in this document.If any selection have been changed by permit applicant,an explanation should be included in Table E. <br /> Additional Remarks. These documents must be provided to the building inspector during construction and can be found online at <br /> https://www.energy.ca.gov/title24/2019standards/2019_compliance documents/Nonresidential Documents/NRCl/ <br /> Yes No Form/Title Field Inspector <br /> Pass Fail <br /> • 0 NRCI-ELC-01-E-Must be submitted for all buildings ❑ ❑ <br /> K. DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE <br /> There are no Certificates of Acceptance applicable to electrical power distribution requirements. <br /> Registration Number: Registration Date/Time: Registration Provider:Energysoft <br /> CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated:2021-05-29 13:04:21 <br /> Schema Version: rev 20190401 <br /> ° � 11 � _ z n ay5 ,H` �� COMMERCIAL ARCHITECTURE INC . <br /> O D D �y 2N <br /> rA <br /> � M z X00 '0M O <br /> z tO wn 10 oo O w M ° THEODORE J . B RAN DVO LD , ARCHITECT �' <br /> M 1 W 2D ND rn DD j D N o N D < 70 n n o cn D <br /> M wz Or om �Jr, m� oOWnm `J° oO � � rn � 7� •� y oroCD z <br /> M rn0 zm 1' o z D 1 - rn a: z zy �' • m1 �° ��� 6 1 6 1 4TH STREET , MODESTO , CA 95354 <br /> D O <br /> Cn o o Ln o�ti�q a �y\ PH ( 209 ) 57 1 - B 1 5B FAX ( 209 ) 57 1 - B 1 60 <br /> l m � <br />
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