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STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> Mechanical Systems Mechanical Systems
<br /> NRCC-MCH-E CALIFORNIA ENERGY COMMISSION NRCC-MCH-E CALIFORNIA ENERGY COMMISSION
<br /> CERTIFICATE OF COMPLIANCE NRCC-MCH-E CERTIFICATE OF COMPLIANCE NRCC-MCH-E
<br /> Project Name: Crumbl Cookies-Interior Tenant Improvement Report Page: (Page 5 of 9) This document is used to demonstrate compliance for mechanical systems that are within the scope of the permit application and are demonstrating compliance using the prescriptive
<br /> Project Address: 864 W.Benjamin Holt Drive Date Prepared: 5/29/2021 path outlined in 140.4 or§141.0(b)2 for alterations.
<br /> Project Name: Crumb]Cookies-Interior Tenant Improvement Report Page: (Page 1 of 9)
<br /> I.SYSTEM CONTROLS Project Address: 864 W.Benjamin Holt Drive Date Prepared: 5/29/2021
<br /> 'FOOTNOTES:Gravity gas wall heaters,gravity floor heaters,gravity room heaters,non-central electric heaters,fireplaces or decorative gas appliances, wood stoves are not required to A.GENERAL INFORMATION
<br /> have setback thermostats. 01 Project Location(city) Stockton 04 Total Conditioned Floor Area 1240
<br /> *Notes:Controls with a*require a note in the space below explaining how compliance is achieved.EX:system 1:SA Temp Reset:Exempt because zones compliant with §140.4(d);
<br /> 02 Climate Zone 12 05 Total Unconditioned Floor Area 0
<br /> EXCEPTION 1 to§140.4(f)
<br /> 03 Occupancy Types Within Project: 06 #of Stories(Habitable Above Grade) 1
<br /> J.VENTILATION AND INDOOR AIR QUALITY ❑ Office(B) ❑ Retail(M) ❑ Non-refrigerated Warehouse(S)
<br /> This table is used to demonstrate compliance with mandatory ventilation requirements in1§ 20.1 and§120.2(e)3B for all nonresidential,high-rise residential and hotel/motel ❑ Hotel/Motel Guest Rooms(R-1) ❑ School(E) ❑ Healthcare Facility(1)
<br /> occupancies.For alterations,only ventioltion systems being altered within the scope of the permit application need to be documented in this table.In lieu of this table,the required ❑ High-Rise Residential(R-2/11-3) ❑ Relocatable Class Bldg(E) ® Other(write in) See Table 1
<br /> outdoor ventilation rates and airflows may be shown on the plans or the calculations can be presented in a spreadsheet.
<br /> 01 ❑ Check the box if the project is showing ventilation calculations on the plans,or attaching the calculations instead of completing this table. B.PROJECT SCOPE
<br /> ® Check this box if the project included Nonresidential or Hotel/Motel spaces This table Includes mechanical systems or components that are within the scope of the permit application and are demonstrating compliance using the prescriptive path outlined in
<br /> 02
<br /> ❑ Check this box if the project included new or altered high-rise residential dwelling units. 1§ 40.4"or 1141.0(bl2 for alterations.
<br /> 03 ❑ Check the box if the project is using natural ventilation in any nonresidential or hotel/motel spaces to meet required ventilation rates per120.1 c 2. 01 02 03
<br /> Nonresidential and Hotel/Motel Ventilation Systems Air System(s) Wet System Components Dry System Components
<br /> 04 05 06 07 0 Heating Air System ❑ Water Economizer 0 Air Economizer
<br /> Air Filtration per120.1 c and§141.0(b)2 2 ® Cooling Air System ❑ Pumps ❑ Electric Resistance Heat
<br /> System Design OA CFM System Design
<br /> System Name Zone 1 1 186 0 Provided per 1201 c (NR and Mechanical Controls El System Piping ® Fan Systems
<br /> Airflow Transfer Air CFM .
<br /> Hotel/Motel)) Mechanical Controls(existing to remain,altered
<br /> ® ❑ Cooling Towers ❑ Ductwork(existing to remain,altered or new)
<br /> 08 09 10 11 12 13 14 15 16 or new)
<br /> Mechanical Ventilation Required per§120.1(c)3 3 Exh.Vent per 4120.1(c)4 ❑ Chillers ® Ventilation
<br /> Space Name #of Conditioned #of Shower Required DCV or Sensor Controls per§120.1(d)3Required Provided per Design . El Boilers El Zonal Systems/Terminal Boxes
<br /> of item Tag Occupancy Type4 Floor Area heads/ s Min OA §120.1(d)5,and§120.1(e)3 6
<br /> (ft2) toilets people CFM Min CFM CFM
<br /> Crumbl DCV NA:Not required per
<br /> Cookies- Kitchen(cooking) 1240 186 868 201 §120.1(d)3
<br /> Zone 1 Occ Sensor NA:Not required
<br /> spacetype
<br /> 17 Total System Required Min OA CFM 186 18 Ventilation for this System Complies? Yes
<br /> 'FOOTNOTES:System CFM should include both mechanical and natural ventilation for the zone/system
<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 13:04:22 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated:2021-05-29 13:04:22
<br /> Schema Version:rev 20190401 Schema Version:rev 20190401
<br /> STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> Mechanical Systems Mechanical Systems
<br /> NRCC-MCH-E CALIFORNIA ENERGY COMMISSION NRCC-MCH-E CALIFORNIA ENERGY COMMISSION
<br /> CERTIFICATE OF COMPLIANCE NRCC-MCH-E CERTIFICATE OF COMPLIANCE NRCC-MCH-E
<br /> Project Name: Crumbl Cookies-Interior Tenant Improvement Report Page: (Page 6 of 9) Project Name: Crumbl Cookies-Interior Tenant Improvement Report Page: (Page 2 of 9)
<br /> Project Address: 864 W.Benjamin Holt Drive Date Prepared: 5/29/2021 Project Address: 864 W.Benjamin Holt Drive Date Prepared: 5/29/2021
<br /> J.VENTILATION AND INDOOR AIR QUALITY C.COMPLIANCE RESULTS
<br /> 2 Air filtration requirements apply to the following three system types per§120.1(c)1A:space conditioning systems utilizing ducts to supply air to occupiable space,supply-only Table C will indicate if the project data input into the compliance document is compliant with mechanical requirements. This table is not editable by the user.If this table says"DOES
<br /> ventilation systems providing outside air to occupiable space,supply side of balanced ventilation systems including heat recovery and energy recovery ventilation systems providing NOT COMPLY"or"COMPLIES with Exceptional Conditions"refer to Table D.,or the table indicated as not compliant for guidance.
<br /> outside air to occupiable space. 01 02 03 04 05 06 07 08 09
<br /> 3 Uniform Mechanical Code may have more stringent ventilation requirements;the most stringent code requirement takes precedence. System System
<br /> Fans/
<br /> 4 See Standards Tables 120.1-A and 120.1-B. Summary Controls Terminal Box Distribution
<br /> AND Pumps AND Economizers AND AND Ventilation AND AND AND Cooling Towers
<br /> S For lecture halls with fixed seating,the expected number o occupants shall be shall be determined in accordance with the California Buildin Code. 1�, 1�, Controls 120.3
<br /> f 9 p f p9 140.4 k 140.4 c, 1§ 20.1 §110.2(e)2 Compliance Results
<br /> §110.2, 1§ 20.2. 140.4 d 140.4 I
<br /> 6§120.2(e)3 requires systems serving rooms that are required by§130.1(c) to have lighting occupancy sensing controls to also have occupancy sensing zone controls for ventilation. 140.4 e
<br /> 140.4 140.4 f
<br /> Examples of spaces which require lighting occupancy sensors include offices 250ft2 or smaller,multipurpose rooms less than 1,000 ft2,classrooms,conference rooms,restrooms,aisles
<br /> and open areas in warehouses,library book stack aisles,corridors,stairwells,parking garages,and loading and unloading zones,unless excepted by§130.1(c). (See Table F) (See Table G) (See Table H) (See Table 1) (See Table 1) (See Table K) (See Table L) (See Table M) T
<br /> Yes AND AND Yes AND Yes AND Yes AND AND AND COMPLIES 1
<br /> K.TERMINAL BOX CONTROLS Mandatory Measures Compliance(See Table Q for Details) COMPLIES D
<br /> This section does not apply to this project.
<br /> D.EXCEPTIONAL CONDITIONS Z
<br /> L. DISTRIBUTION(DUCTWORK and PIPING) This table is auto filled with uneditable comments because of selections made or data entered in tables throughout the form.
<br /> This section does not apply to this project. rl
<br /> E.ADDITIONAL REMARKS
<br /> M.COOLING TOWERS This table includes remarks made by the permit applicant to the Authority Having Jurisdiction.
<br /> This section does not apply to this project. r
<br /> N.DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION YJ
<br /> 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 Table E Additional Remarks.
<br /> These documents must be provided to the building inspector during construction and can be found online at
<br /> https://www.energy.co.gov/title24/2019standards/2019_compliance_documents/Nonresidential Documents/NRCl/ rn
<br /> Yes No Form/Title Field Inspector u,
<br /> Pass Fail
<br /> • 0 NRCI-MCH-01-E-Must be submitted for all buildings ❑ ❑ 1"1
<br /> K
<br /> In
<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 13:04:22 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated:2021-05-29 13:04:22
<br /> Schema Version:rev 20190401 Schema Version:rev 20190401
<br /> r
<br /> STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> Mechanical Systems Mechanical Systems
<br /> NRCC-MCH-E CALIFORNIA ENERGY COMMISSION NRCC-MCH-E CALIFORNIA ENERGY COMMISSION
<br /> CERTIFICATE OF COMPLIANCE NRCC-MCH-E CERTIFICATE OF COMPLIANCE NRCC-MCH-E N
<br /> Project Name: Crumbl Cookies-Interior Tenant Improvement Report Page: (Page 7 of 9) Project Name: Crumb)Cookies-Interior Tenant Improvement Report Page: (Page 3 of 9)
<br /> Project Address: 864 W.Benjamin Holt Drive Date Prepared: 5/29/2021 Project Address: 864 W.Benjamin Holt Drive Date Prepared: 5/29/2021
<br /> O.DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE F.HVAC SYSTEM SUMMARY(DRY&WET SYSTEMS)
<br /> 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 Table E Additional Remarks. This table is used to demonstrate compliance for mechanical equipment with mandatory requirements found in 110.1 and 110.2 a and prescriptive requirements found in§140.4(a) O
<br /> These documents must be provided to the building inspector during construction and can be found online at 140.4 b and 1140.4k or 114LO b)2 for alterations.
<br /> https://www.energy.ca.gov/title24/2019standards/2019_compliance_documents/Nonresidential Documents/NRCA/ Dry System Equipment Sizing(includes air conditioners,condensers,heat pumps,VRF,furnaces and unit heaters)
<br /> Field Inspector 01 02 03 04 05 06 07 08 09 10 11 T
<br /> Yes No Form/Title u
<br /> • O NRCA-MCH-02-A-Outdoor Air must be submitted for all newly installed HVAC units.Note:MCH-02-A can be performed in Pass Fail Equipment Sizing per Mechanical Schedule(kBtu/h)
<br /> El El 140.4(a&b) r
<br /> conjunction with MCH-07-A Supply Fan VFD Acceptance(if applicable)since testing activities overlap. _
<br /> NRCA-MCH-03-A-Constant Volume Single Zone HVAC NOTE:This form does not automatically move to"Yes'.If Constant Volume Smallest Size Heating 0Utput2,3 Cooling Output2,3 Load Calculations 3,4Name or Item Equipment Cate or per Equipment T e er Tables 110.2&
<br /> • O Single Zone HVAC Systems are included in the scope,permit applicant should move this form to"Yes". ❑ ❑ g y p yp p Available' Total
<br /> g Y p pp Tag Tables 110.2 Title 20 Supp. Total
<br /> 140.4 a Sensible Sensible
<br /> Q • NRCA-MCH-04-A-Air Distribution Duct Leakage ❑ ❑ Per Design Rated Heating Rated Heating
<br /> Per Design Cooling
<br /> • 0 NRCA-MCH-05-A-Air Economizer Controls E] El (kBtu/h) (kBtu/h) Output(kBtu/h) (kBtu/h) (kBtu/h) Load(kBtu/h) Load
<br /> NRCA-MCH-06-A Demand Control Ventilation Systems must be submitted for all systems required to employ demand controlled I I (kBtu/h)
<br /> O • ventilation(refer to§120.1(c)3)can vary outside ventilation flow rates based on maintaining interior carbon dioxide(CO2) ❑ ❑ NA:Load T
<br /> concentration setpoints. Zone 1 Unitary AC/Condensers AC,air cooled pkg(3 phase) Controls 120 60 0 0 0.04 5.37 29.83 1•1
<br /> O • NRCA-MCH-07-A Supply Fan Variable Flow Controls ❑ ❑ 'FOOTNOTES:Equipment shall be the smallest size,within the available options of the desired equipment line,necessary to meet the design heating and cooling loads of the building per
<br /> O • NRCA-MCH-08-A Valve Leakage Test ❑ ❑ §140.4(a).Healthcare facilities are excepted.
<br /> O • NRCA-MCH-09-A Supply Water Temperature Reset Controls ❑ ❑ 21t is common practice to show rated output capacity on the equipment schedule.Sensible cooling output comes from specification sheet tables. O
<br /> O • NRCA-MCH-10-A Hydronic System Variable Flow Controls ❑ ❑ 3 If equipment is heating only,leave cooling output and load blank.If equipment is cooling only,leave heating output and load blank.
<br /> O • NRCA-MCH-11-A Automatic Demand Shed Controls ❑ ❑ 4 Authority Having Jurisdiction may ask for load calculations used for compliance per 1149ALb
<br /> O • NRCA-MCH-12-A FDD for Packaged Direct Expansion Units ❑ ❑ Dry System Equipment Efficiency(other than Package Terminal Air Conditioners(PTAC)and Package Terminal Heat Pumps(PTHP))
<br /> O • NRCA-MCH-13-A Automatic FDD for Air Handling Units and Zone Terminal Units Acceptance ❑ ❑ 01 02 03 04 05 06 07 08 09
<br /> O • NRCA-MCH-14-A Distributed Energy Storage DX AC Systems Acceptance NOTE:This form does not automatically move to"Yes".If ❑ ❑ Heating Mode Cooling Mode In
<br /> Distributed Energy System DX AC Systems are included in ten scope permit applicant should move this form to'Yes". Minimum Minimum
<br /> NRCA-MCH-15-A Thermal Energy Storage(TES)System Acceptance NOTE:This form does not automatically move to"Yes".If Name or Item Size Category Rating Efficiency Efficiency
<br /> O • Chilled water Storage,Ice-on-Coil Internal Melt,Ice-on-Coil External melt,Ice Harvester,Brine,Ice-Slurry,Eutecti Salt,Clathrate ❑ ❑ Tag (Btu/h) Condition Efficiency Unit Required per Design Efficiency Efficiency Unit Required per Design Efficiency
<br /> Hydrate Slurry(CHS),Cryogenic or Encapsulated(Ice Ball)Systems are included in the scope,permit applicant should move this (°F) Tables 110.2/ Tables 110.2/
<br /> form to'Yes"• I Title 20 Title 20
<br /> O • NRCA-MCH-16-A Supply Air Temperature Reset Controls ❑ ❑ Zone 1 <65,000 AFUE 0.80 0.79 SEER 13.0 14.2
<br /> O • NRCA-MCH-17-A Condenser Water Temperature Reset Controls ❑ ❑
<br /> O • NRCA-MCH-18-A Energy Management Control Systems ❑ ❑
<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 13:04:22 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated:2021-05-29 13:04:22
<br /> Schema Version:rev 20190401 Schema Version:rev 20190401
<br /> STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> Mechanical Systems Mechanical Systems
<br /> NRCC-MCH-E CALIFORNIA ENERGY COMMISSION NRCC-MCH-E CALIFORNIA ENERGY COMMISSION
<br /> CERTIFICATE OF COMPLIANCE NRCC-MCH-E CERTIFICATE OF COMPLIANCE NRCC-MCH-E
<br /> Project Name: Crumbl Cookies-Interior Tenant Improvement Report Page: (Page 8 of 9) Project Name: Crumbl Cookies-Interior Tenant Improvement Report Page: (Page 4 of 9)
<br /> Project Address: 864 W.Benjamin Holt Drive Date Prepared: 5/29/2021 Project Address: 864 W.Benjamin Holt Drive Date Prepared: 5/29/2021
<br /> O.DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE G.PUMPS
<br /> 0 • NRCA-MCH-19-A Occupancy Sensor Controls ❑ ❑ iThis section does not apply to this project.
<br /> Q • NRCA-MCH-20 Multi-Family Ventilation ❑ ❑
<br /> 0 • NRCA-MCH-21 Multi-Family Envelope Leakage ❑ ❑ H.FAN SYSTEMS&AIR ECONOMIZERS
<br /> This table is used to demonstrate compliance with prescriptive requirements found in§140.4(c) §140.4(e) and§140.4(m) for fan systems.Fan systems serving only process loads are
<br /> P. DECLARATION OF REQUIRED CERTIFICATES OF VERIFICATION exempt from these requirements and do not need to be included in Table H.
<br /> Selections have been made based on information provided in previous tables o this document.1 an selection needs to be changed, lease explain why in Table EAdditional Remarks. System t Economizer Designed per§140.4(el and
<br /> f p p f f y g p p y Zone 1 Economizer: NA:<=54 kBtu/h cooling System Fan Type: Constant Volume
<br /> These documents must be completed by a HERS Rater and provided to the building inspector during construction. The final documents must be created by a HERS Provider's registry,but Name: Controls: (m)
<br /> drafts can be found online at https://www.energy.ca.gov/title24/2019standards/2019_compliance_documents/Nonresidential Documents/NRCV/ 01 02 03 04 05 06 07 08
<br /> Yes No Form/Title
<br /> Field Inspector Fan Name or Maximum Design Supply Airflow Fan Power Pressure Drop Adjustment-Table 140.4-B Pass Fail Item Tag Fan Function Qty (CFM) HP Unit'
<br /> Design HP Device Design Airflow through
<br /> O • NRCV-MCH-04-H Duct Leakaage Test NOTE:Must be completed by a HERS Rater ❑ ❑ Device(CFM)
<br /> O • NRCV-MCH-24 Enclosure Air Leakaage Worksheet NOTE:Must be completed by a HERS Rater ❑ ❑ SF Supply 2 4000 BHP 0.52
<br /> O • NRCV-MCH-27 High-rise Resdential NOTE:Must be completed by a HERS Rater ❑ ❑ RF Return 2 0 BHP 0.52
<br /> • NRCV-MCH-32 Local Mechanical Exhaust NOTE:Must be completed by a HERS Rater ❑ ❑ Total System Design Maximum System Fan
<br /> Total System Design Supply Airflow(CFM): 4000 (B)HP: 2.08 Power(B)HP: 1.88
<br /> Q.MANDATORY MEASURES DOCUMENTATION LOCATION 'FOOTNOTES:Computer room economizers must meet requirements of 140.9 a and will be documented on the NRCC-PRC-E document.
<br /> This table is used to indicate where mandatory measures are documented in the plan set or construction documentation. 2 The unit used for HP must be consistent for all fans within a system.
<br /> 01 02
<br /> Compliance with Mandatory Measures documented through MCH Plan sheet or construction document location I.SYSTEM CONTROLS
<br /> Mandatory Measures Note Block Yes M-Sheets This table is used to demonstrate compliance with mandatory controls in 110.2 and 120.2 and prescriptive controls in 140.4 and(n)or requirements in§141.0(b)2E for altered
<br /> space conditioning systems.
<br /> 01 02 03 04 05 06 07 08 09
<br /> Conditioned Isolation
<br /> Thermostats Shut-Off Supply Air
<br /> System Name 110.2 b &(c)
<br /> System Floor Area 1, Controls Temp.Reset Zone Demand Response Window Interlocks per
<br /> Zoning Being Served §120.2(a)or §141.0(b)2E §120.2(e) Controls 110.12 and§120.2(b) §140.4(f) §140.4(n)
<br /> (ft ) 120.2
<br /> Zone 1 Single zone <=25,000ft2 Setback Auto Timer 4 Hour Timer EMCS Included Provided
<br /> Switch
<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 13:04:22 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated:2021-05-29 13:04:22
<br /> Schema Version:rev 20190401 Schema Version:rev 20190401
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