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STATE OF CALIFORNIA STATE OF CALIFORNIA Process Systems Process Systems NRCC-PRC-E CALIFORNIA ENERGY COMMISSION NRCC-PRC-E CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-PRC-E CERTIFICATE OF COMPLIANCE NRCC-PRC-E Project Name: Crumbl Cookies-Interior Tenant ImprovementReport Page: (Page 5 of 5) Project Name: Crumb]Cookies-Interior Tenant Improvement Report Page: (Page 1 of 5) Project Address: 864 W.Benjamin Holt Drive Date Prepared: 5/29/2021 Project Address: 864 W.Benjamin Holt Drive Date Prepared: 5/29/2021 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT A.GENERAL INFORMATION certify that this Certificate of Compliance documentation is accurate and complete. 01 Project Location(city) Stockton 04 Total Conditioned Floor Area 1240 Documentation Author Name: Documentation Author Signature: 02 Climate Zone 12 05 Total Unconditioned Floor Area 0 Theodore Brandvold 03 Occupancy Types Within Project: 06 #of Stories(Habitable Above Grade) 1 Company: Signature Date: ❑ Office ❑ Retail ❑ Non-refrigerated Warehouse Commercial Architecture,Inc. ❑ Hotel/Motel El School El Healthcare Facility Address: CEA/HERS Certification Identification(if applicable): 616 14th Street C-25449 ❑ High Rise Residential ElRelocatable Class Bldg ® Other(write in) City/State/Zip: Phone: Modesto CA 95350 209-571-8158 B.PROJECT SCOPE RESPONSIBLE PERSON'S DECLARATION STATEMENT This table includes process systems that are within the scope of the permit application and are demonstrating compliance with mandatory requirements in 120.6 or prescriptive I certify the following under penalty of perjury,under the laws of the State of California: requirements in 140.9. 1. The information provided on this Certificate of Compliance is true and correct. My project consists of:(check all that apply): 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) 01 02 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 of Title 24,Part 1 and Part 6 of the California Code of Regulations. ❑ Refrigerated Spaces<3,000 ft2 Total(no Title 24,Pt6 requirements) ❑ Elevator Lighting&Ventilation Controls(mandatory§120.6(f)) 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, plans and specifications submitted to the enforcement agency for approval with this building permit application. ❑ Refrigerated Spaces>=3,000 ft2 Total(mandatory J12Q.6 a ) ❑ Escalator&Moving Walkway Speed Controls(mandatory 120.6 ) 5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s)issued for th ui ding,a ade available to the nt agency for all applicable El Food Stores>8,000 ft2 cfa(mandatory 120.6 b ) El Computer Rooms>20 W/ft2 Power Density(prescriptive 140.9 a )1 inspections.I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentatio he builder provides to the buildingCn at oc ancy. Responsible Designer Name: Responsible Designer Signature: ❑ Enclosed Parking Garage Exhaust>=10,000 cfm(mandatory§120.6(c) ® Commercial Kitchen Ventilation/Exhaust(prescriptive140.9 b )1 Theodore Brandvold ❑ Newly Installed Process Boilers(mandatory§120.6(d)) ❑ Laboratory Exhaust/Factory Exhaust&Fume Hood(prescriptive J14Q.9icl)1 Company: Date Signed: ❑ Compressed Air Systems Combined HP>=25(mandatory120.6 e ) Commercial Architecture,Inc. 2021-05-29 Address: License: 'FOOTNOTES:These building features can comply using the performance method.If using the performance method for these features,compliance should be demonstrated on the 616 14th Street C-25449 NRCC-PRF-E. City/State/Zip: Phone: Modesto CA 95354 209-571-8158 Registration Number: Registration Date/Time: Registration Provider:Energysoft Registration Number: Registration Date/Time: Registration Provider:Energysoft 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 Schema Version:rev 20190401 Schema Version:rev 20190401 STATE OF CALIFORNIA Process Systems NRCC-PRC-E CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-PRC-E Project Name: Crumbl Cookies-Interior Tenant Improvement Report Page: (Page 2 of 5) Project Address: 864 W.Benjamin Holt Drive Date Prepared: 5/29/2021 C.COMPLIANCE RESULTS Results in this table are automatically calculated from data input and calculations in Tables F through 0.Note:If any cell on this table says"COMPLIES with Exceptional Conditions"refer to Table D.Exceptional Conditions for guidance or see applicable Table referenced below. 01 02 03 04 05 06 07 08 09 10 11 Refrigerated Parking Escalators& Commercial Process Compressed Computer Commercial Warehouse/ Garage Elevators Moving Laboratory/Factory Refrigeration Boilers Air Systems Rooms Kitchens Space 120.6 b §120.6(d) 120.6 e Exhaust §120.6(f) §140.9(a) 140.9 b Walkways Exhaust§140.9(c) Compliance Results MID §120.6(a) (See Table K) 120.6 (See Table O) (See Table F) (See Table G) (See Table H) (See Table I) (See Table J) (See Table L) (See Table M) (See Table N) T Yes COMPLIES 0 D.EXCEPTIONAL CONDITIONS ^ This table is auto filled with uneditable comments because of selections made or data entered in tables throughout the form. `TTJ 1'1 E.ADDITIONAL REMARKS '^ This table includes remarks made by the permit applicant to the Authority Having Jurisdiction. u, In F.REFRIGERATED WAREHOUSES/SPACES This section does not apply to this project. rn G.COMMERCIAL REFRIGERATION This section does not apply to this project. �f1 H.ENCLOSED PARKING GARAGE EXHAUST This section does not apply to this project. 1'1 I.PROCESS BOILER K This section does not apply to this project. rn J.COMPRESSED AIR SYSTEMS �JJ, This section does not apply to this project. 1 Registration Number: Registration Date/Time: Registration Provider:Energysoft CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated:2021-05-29 13:04:22 r Schema Version:rev 20190401 1"1 STATE OF CALIFORNIA Process Systems N NRCC-PRC-E CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-PRC-E �l Project Name: Crumb)Cookies-Interior Tenant Improvement Report Page: (Page 3 of 5) Project Address: 864 W.Benjamin Holt Drive Date Prepared: 5/29/2021 0 K. ELEVATOR LIGHTING AND VENTILATION This section does not apply to this project. L. ESCALATORS AND MOVING WALKWAYS SPEED CONTROLS Y This section does not apply to this project. r M.COMPUTER ROOM SYSTEM SUMMARY This section does not apply to this project. N.COMMERCIAL KITCHEN EXHAUST AND VENTILATION ^ This table contains all new and replacement hoods being installed within the scope of the permit application. Table N is used to demonstrate compliance with prescriptive requirements T found in 140.9b. 1'1 Kitchen Ventilation§140.91b12 01 ❑ Existing kitchen hoods not being replaced as part of an addition or alteration(do not need to meet requirements) Requirements 0 02 Replacement Air to Hood Compliance Method§140.9(b)1A T Providing replacement air directly to the hood(s)that does not exceed 10%of the hood(s)exhaust rate N 03 Mechanically cooled or heated makeup air delivered to any space with a kitchen hood is designed per 140.9(b)2A to not exceed the greater of: The supply flow required to meet the space heating and cooling load 04 Location that is supplying transfer air: Y, The kitchen/dining facility has a total Type I and Type II kitchen hood exhaust airflow>5000 cfm and is designed to have one of the following per 140.9(b)2B: Y, 05 NA:Not a kitchen/dining facility having a total Type I and Type II kitchen hood exhaust airflow rate>5,000 cfm Kitchen Exhaust:Airflow Rate J140.9(bl1B 'FOOTNOTES:Type II hoods do not have a max hood exhaust air rate per§140.9(b)18 O.LABORATORY AND FACTORY EXHAUST AND FUME HOODS This section does not apply to this project. Registration Number: Registration Date/Time: Registration Provider:Energysoft CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated:2021-05-29 13:04:22 Schema Version:rev 20190401 STATE OF CALIFORNIA Process Systems NRCC-PRC-E CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-PRC-E Project Name: Crumbl Cookies-Interior Tenant Improvement Report Page: (Page 4 of 5) Project Address: 864 W.Benjamin Holt Drive Date Prepared: 5/29/2021 P. DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION 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. Additional Remarks. These documents must be provided to the building inspector during construction and can be found online at https://www.energy.ca.gov/title24/2019standards/2019_compliance_documents/Nonresidential Documents/NRCl/ Yes No Form/Title Field Inspector Pass Fail • 0 NRCI-PRC-01-E-Covered Process ❑ ❑ Q.DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE 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. Additional Remarks. These documents must be provided to the building inspector during construction and must be completed through an Acceptance Test Technician Certification Provider(ATTCP).For more information visit:http://www.energy.ca.gov/title24/attcp/providers.html Yes No Form/Title Field Inspector Pass Fail 0 • NRCA-PRC-01-F Compressed Air Systems ❑ ❑ • C NRCA-PRC-02-F Kitchen Exhaust ❑ ❑ 0 • NRCA-PRC-03-F Garage Exhaust ❑ ❑ 0 • NRCA-PRC-04-F Refrigerated Warehouses-Evaporator Fan Motor Controls ❑ ❑ 0 • NRCA-PRC-05-F Refrigerated Warehouses-Evaporative Condenser Controls ❑ ❑ 0 • NRCA-PRC-06-F Refrigerated Warehouses-Air Cooled Condenser Controls ❑ ❑ O 1 • ❑ ❑ 0 • NRCA-PRC-07-F Refrigerated Warehouses-Variable Speed Compressor ❑ ❑ 0 • NRCA-PRC-08-F Refrigerated Warehouses-Electric Resistance Underslab Heating System ❑ ❑ 0 • NRCA-PRC-12-F Elevator Lighting&Ventilation Controls ❑ ❑ 0 • NRCA-PRC-13-F Escalators&Moving Walkways Speed Controls ❑ ❑ 0 • NRCA-PRC-14-F Lab Exhaust Ventilation Systems ❑ ❑ 0 • NRCA-PRC-15-F Fume Hood Automatic Sash Closure Systems ❑ ❑ Registration Number: Registration Date/Time: Registration Provider:Energysoft CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated:2021-05-29 13:04:22 Schema Version:rev 20190401 00 � 0) M D � � _ Z In yy5 ,H` �� COMMERCIAL ARCHITECTURE INC . 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