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Project Name:Nonresidential Building NRCC-PRF-01-E Page 16 of 16 Project Address:610 West Kettleman Lane Lodi 95240 Calculation Date/Time:14:44, Wed, Feb 17, 2021 Input File Name:2020-121 Takeoff.cibd19x CA Building Energy Efficiency Standards- 2019 Nonresidential Compliance Report Version: NRCC-PRF-01-E-11022020-6384 Report Generated at: 2021-02-17 14:45:26 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Greg Davis Signature: Company: GDMD Engineering, Inc Address: 212 W PINE ST, STE 4 Signature Date: 2021-02-17 City/State/Zip: LODI CA 95240 CEA/ HERS Certification Identification (if applicable): M29759 Phone: 209 367 0899 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. I 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) 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. 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. 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 building, and made available 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 documentation the builder provides to the building owner at occupancy. Responsible Envelope Designer Name: ROD ALONZO Signature: Company: ARCHITECTURE PLUS INC Address: 4335-B NORTH STAR WAY Date Signed: City/State/Zip: MODESTO CA 95356 Phone: 209 577 4661 Title:License #: Responsible Lighting Designer Name: Signature: Company: Address:Date Signed: City/State/Zip: Phone:Title:License #: Responsible Mechanical Designer Name: GREG DAVIS Signature: Company: GDMD ENGINEERING, INC Address: 212 W PINE ST, STE 4 Date Signed: City/State/Zip: LODI CA 95240 Phone: 209 367 0899 Title:License #: M29759 NOT IN SCOPE - SEE ELECTRICAL DRAWINGS