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STATE OF CALIFORNIA <br /> Mechanical Systems <br /> NRCC-MCH-E CALIFORNIA ENERGY COMMISSION <br /> CERTIFICATE OF COMPLIANCE NRCC-MCH-E <br /> Project Name: Crumbl Cookies-Interior Tenant Improvement Report Page: (Page 9 of 9) <br /> Project Address: 864 W.Benjamin Holt Drive Date Prepared: 5/29/2021 <br /> DOCUMENTATION AUTHOR'S DECLARATION STATEMENT <br /> I certify that this Certificate of Compliance documentation is accurate and complete. <br /> Documentation Author Name: Documentation Author Signature: <br /> Theodore Brandvold <br /> Company: Signature Date: <br /> Commercial Architecture,Inc. <br /> Address: CEA/HERS Certification Identification(if applicable): <br /> 616 14th Street C-25449 <br /> City/State/Zip: Phone: <br /> Modesto CA 95350 209-571-8158 <br /> RESPONSIBLE PERSON'S DECLARATION STATEMENT <br /> I 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. <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) <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 <br /> of Title 24,Part 1 and Part 6 of the California Code of Regulations. <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, <br /> plans and specifications submitted to the enforcement agency for approval with this building permit application. <br /> 5. I will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s)issued for the buildi ma ilable to the enforce ncy for all applicable <br /> inspections.I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the buiter provides to the building owner a ccupanc. <br /> Responsible Designer Name: Responsible Designer Signature: <br /> Theodore Brandvold <br /> Company: Date Signed: <br /> Commercial Architecture,Inc. 2021-05-29 <br /> Address: License: <br /> 616 14th Street C-25449 <br /> City/State/Zip: Phone: <br /> Modesto CA 95354 209-571-8158 <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 13:04:22 <br /> Schema Version:rev 20190401 <br /> M <br /> n <br /> z <br /> D <br /> Z <br /> C] <br /> D <br /> r <br /> In <br /> In <br /> iiiiiiiiiii!M <br /> K <br /> In <br /> r <br /> m <br /> N <br /> C] <br /> 0 <br /> r <br /> D <br /> Z <br /> m <br /> D <br /> In <br /> O w OD — < <br /> � 0) 11 D � z � n yy� TH` ��� COMMERCIAL ARCHITECTURE INC . Cn <br /> 0r z -0 X00 m O „ p <br /> D cn n o O Omr vM m !� <br /> = 10 v� �o v)m �� LriT" z � 71, oo C � W N � ° THEODORE J . BRANDVOLD , ARCHITECT �' <br /> M 1W ID ND rn DD 1 � D � fn olv � D < M 3 n ao Ln D <br /> M w z O r o m O W C� rn o o rn 7� <br /> Cn 00 m Ivm m z ozWOp � � OzzO � m 7v •• DN) <br /> M z 1 0 � � o = z mzz CD • T m ��� 6 1 6 14 STREET , M O D E STO , CA 95354 <br /> M D — z rn <br /> D <br /> C 0 o o �� N o �ti�q a �y\ PH ( 209 ) 57 1 - B 1 58 FAX ( 209 ) 57 1 - B 1 60 <br /> M o <br />