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<br /> STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> Domestic Water Heating System Domestic Water Heating System Domestic Water Heating System
<br /> NRCC-PLB-E CALIFORNIA ENERGY COMMISSION NRCC-PLB-E CALIFORNIA ENERGY COMMISSION NRCC-PLB-E CALIFORNIA ENERGY COMMISSION
<br /> CERTIFICATE OF COMPLIANCE NRCC-PLB-E CERTIFICATE OF COMPLIANCE NRCC-PLB-E CERTIFICATE OF COMPLIANCE NRCC-PLB-E
<br /> This document is used to demonstrate compliance for nonresidential occupancies with requirements in 110.1 110.3 110.3 and 140.5 and with requirements in 141.0 for Project Name: Starbucks Eight Mile&HWY 99 Report Page: (Page 2 of 7) Project Name: Starbucks Eight Mile&HWY 99Report Page: (Page 3 of 7)
<br /> additions and alterations,for domestic water heating scopes using the prescriptive path.For high-rise residential and hotel/motel occupancies compliance is demonstrated with Project Address: 10880 99 Frontage Rd.Date Prepared: 2/15/2021 Project Address: 10880 99 Frontage Rd.Date Prepared: 2/15/2021
<br /> requirements in JIL0.1 110.3 110.3 150.0 and§15Q.1&8 and with requirements 150.1 for additions. ©2017 STARBUCKS COFFEE COMPANY
<br /> Project Name: Starbucks Eight Mile&HWY 99 Report Page: (page i of 7)
<br /> Project Address: 10880 99 Frontage Rd.Date Prepared: 2/15/2021 C.COMPLIANCE RESULTS F.DOMESTIC HOT WATER EQUIPMENT
<br /> Table C will indicate If the project data input Into the compliance document Is compliant with water heating requirements.if this table says"DOES NOT COMPLY"or"COMPLIES with This table Is used to demonstrate compliance with mandatory equipment requirements In§110.1 and§110.3.For high-rise residential and hotel/motel occupancies,compliance with STARBUCKS COFFEE
<br /> A.GENERAL INFORMATION Exceptional Conditions"refer to Table D.or the table indicated as not compliant for guidance. prescriptive requirements In§1so.lrca must also be demonstrated and with 6150.2 for addition and alteration scopes.
<br /> 01 Project Location(city) IMorada 1 02 IClimate Zone 112 01 02 03 04 Equipment Schedule:Individual Systems COMPANY
<br /> 03 10ccupancy Types Within Project(select all that apply): Domestic Hot Water Equipment Distribution Systems Controls 01 02 03 04 05 06
<br /> Compliance Results
<br /> ® Nonresidential ❑ High-Rise Residential ❑ Hotel/Motel Table F Table G Table H Max GPM/First Rated Uniform 2401 UTAH AVENUE SOUTH
<br /> Name or
<br /> ❑ State Building Healthcare Facility Other(Write In) Yes Yes Yes COMPLIES Item Tag
<br /> Equipment Type Volume(gal) Hour Rating Energy Factor Minimum Required Uniform Energy Factor(LIEF)' SEATTLE,WASHINGTON 98134
<br /> ❑ ❑
<br /> B.PROJECT SCOPE D.EXCEPTIONAL CONDITIONSBradford (FHR) (UEF)
<br /> (206)318-1575
<br /> White Gas-Fired Instantaneous(50,000-200,000
<br /> This table Is auto filled with uneditable comments because of selections made or data entered in tables throughout the form. <=2 GPM>=4.0 0.81 0.81 THESE D RAW I N G S AND SPECIFICATIONS ARE
<br /> This table includes domestic water heating systems that are within the scope of the permit application and are demonstrating compliance using the prescriptive paths outlined in 140.5 EF-607 BTUH)
<br /> 150.1 c 8 and§141.01a or§141.01b)2N for additions or alterations.Solar water heating systems are documented on the NRCC-SRA compliance document.Combined hydronic water 125E-3N I I I I ICONFIDENTIAL AND SHALL REMAIN THE SOLE
<br /> heating systems are documented on the NRCC-MCN compliance document E.ADDITIONAL REMARKS =FOOTNOTE:Compliant equipment may befound in the Modernized Appliance Efficiency Database System(MAEDBS)on the Energy Commission website: PROPERTY OF STARBUCKS CORPORATION,
<br /> 01 02 03 This table is Includes remarks made by the permit applicant to the Authority Having Jurisdiction. haps://cacertapplionces.energy.co.gov/Pages/Search/Advanced5earch.aspx
<br /> My project consists of(check all that apply): System Type',' System Components Water Heating Equipment All Occupancies WHICH IS THE OWNER OF THE COPYRIGHT IN
<br /> New system(DHW system being installed for the first time in newly Yes No Not Applicable Requirement THIS WORK. THEY SHALL NOT BE
<br /> ® constructed building) Individual System(serving nonresidential spaces) ® Equipment ® Distribution ® Controls IN WHOLE OR IN PART
<br /> Unfired storage tank insulation shall have Internal+External>=R-16 OR External>=R-12.Label required REPRODUCED ( ), SHARED
<br /> ❑ System Alteration(equipment,distribution or controls) ❑ Equipment ❑ Distribution ❑ controls 18 ® per§110.31c13 WITH THIRD PARTIES OR USED IN ANY MANNER
<br /> 'FOOTNOTES:Point of use water heaters,or other non-central systems used to serve nonresidential spaces,are considered individual systems. 19 ® New state buildings 60%of energy for service water heating from site solar energy or recovered energy ON OTHER PROJECTS OR EXTENSIONS TO THIS
<br /> z Dwelling units refers to hotel/motel guest rooms and units in a high-rise residential occupancy. per§11Q.1tda PROJECT WITH OUT THE PRIOR WRITTEN
<br /> 20 ❑ ❑ ® Isolation valves for instantaneous water heater with input rating<6.8 kBTUH or 2 kW has been specified CONSENT OF STARBUCKS CORPORATION.
<br /> per 1119.3c 6
<br /> THESE DRAWINGS AND SPECIFICATIONS ARE
<br /> INTENDED TO EXPRESS DESIGN INTENT FORA
<br /> PROTOTYPICAL STARBUCKS STORE(WHICH IS
<br /> SUBJECT TO CHANGE AT ANYTIME)AND DO
<br /> NOT REFLECT ACTUAL SITE CONDITIONS.
<br /> NEITHER PARTY SHALL HAVE ANY OBLIGATION
<br /> NOR LIABILITY TO THE OTHER(EXCEPT STATED
<br /> ABOVE) UNTIL A WRITTEN AGREEMENT IS
<br /> FULLY EXECUTED BY BOTH PARTIES.
<br /> Registration Number: Registration Date/Time: Registration Provider:Energysoft 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:2021-02-1511:15:17 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated:2021-02-1511:15:17 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated:2021-02-1511:15:17 ARCHITECT OF RECORD
<br /> Schema Version:rev 20190401 Schema Version:rev 20190401 Schema Version:rev 20190401 mcg architecture
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<br /> STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA y cc >
<br /> Domestic Water Heating System Domestic Water Heating System Domestic Water Heating System >-o
<br /> NRCC-PLB-E CALIFORNIA ENERGY COMMISSION NRCC-PLB-E CALIFORNIA ENERGY COMMISSION NRCC-PLB-E CALIFORNIA ENERGY COMMISSION ii U
<br /> CERTIFICATE OF COMPLIANCE NRCC-PLB-E CERTIFICATE OF COMPLIANCE NRCC-PLB-E CERTIFICATE OF COMPLIANCE NRCC-PLB-E c
<br /> co
<br /> Project Name: Starbucks Eight Mile&HWY 99 Report Page: (Page 4 of 7) Project Name: Starbucks Eight Mile&HWY 99 Report Page: (Page 5 of 71 Project Name: Starbucks Eight Mile&HWY 99Report Page: (Page 6 of 7)
<br /> Project Address: 10880 99 Frontage Rd.Date Prepared: 2/15/2021 Project Address: 10880 99 Frontage Rd.Date Prepared: 2/15/2021 Project Address: 10880 99 Frontage Rd.Date Prepared: 2/15/2021
<br /> 15635 Alton Parkway,Suite 100, Irvine,CA 92618
<br /> G.DOMESTIC HOT WATER DISTRIBUTION SYSTEM H.DOMESTIC HOT WATER CONTROLS J.DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE P: 949.553.1117 F:949.474.7056
<br /> This table Is used to demonstrate compliancefor nonresidential occupancies with distribution requirements in§120.3 and§140.5.For high-rise residential and hotel/motel occupancies, This table Is used to demonstrate compliance with control requirements in§110.3 for all occupancies.For high-rise residential and hotel/motel occupancies,compliance is also There are no Certificates of Acceptance applicable to service water heating requirements.
<br /> compliance is demonstrated with requirements§110.3(cl.§120.3.§150.0.§150.1 demonstrated with requirements In§150.1(cj8. PROFESSIONAL STAMP
<br /> Mandatory Pipe Insulation All Occupancies Not K.DECLARATION OF REQUIRED CERTIFICATES OF VERIFICATION 1? FESS/ON
<br /> Yes No Requirement q
<br /> For systems serving nonresidential spaces,pipe insulation for the following applications is specified to comply with Table 120.3-A(see below)per 120.3: Applicable 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. � ROY $L, /
<br /> 12 ® • Recirculating system piping,including supply and return piping of the water heater 01 ® ❑ ❑ Construction documents require manufacturer certification that service water-heating systems are equipped with automatic Additional Remarks.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 y� F2
<br /> • The first 8 ft of hot and cold outlet piping,including between storage tank and heat trap,for a nonrecirculating storage system temperature controls capable of adjusting temperature settings per§310.31x1. Providers registry,but drafts can be found online at https.11www.energy.ca.govltitte2412019standards/2019 compliance documents/Nonresidential Documents/NRG/ �C7� 9� C'
<br /> • Pipes that are externally heated 02 11 11 ® Systems with capacity>167,000 BTUH equipped with outlet temperature controls per it Yes No Form/Title1 unless covered by California Field Inspector - fn Z
<br /> 13 ® Insulation shall be protected from damage,including that due to sunlight,moisture,equipment maintenance,and wind.Insulation exposed to weather shall Plumbing Code 613.0. Pass Fail No M332
<br /> be installed with a cover suitable for outdoor service per§120.31[b) and 150.0'3 03 ® Controls for circulating pumps or electrical heat trace systems are capable of automatically turning off the system per O 0 NRCV-PLB-21-H High-rise Residential Central Hot Water Distribution HERS Verification ❑ ❑
<br /> TABLE 120.3-A PIPE INSULATION THICKNESS J11L.3 c 2 unless systems serves healthcare facility.
<br /> I� 0 NRCV-PLB-22-H High-rise Residential Individual Dwelling Unit Hot Water Distribution HERS Verification ❑ ❑
<br /> Nominal Pipe Diameter in For recirculation systems serving multiple dwelling units,design includes automatic pump controls per§150.1(c)8Bii.or 4150.2
<br /> Conductivity Range p ( ) 04 ❑ ❑ ® Q-
<br /> for additions or alterations. AN 1 CP� �
<br /> Fluid Temperature Range{"F) {Btu-in per hour Insulation Mean Rating Temp{"F) <1 Ito<1.5 1.5 to<4 q2 -
<br /> per ft2 per"F) Minimum Insulation Required 05 ❑ ❑ ® For recirculation systems Appendix RA4.42 O F CAL§1 0 1 c 8individual dwelling units,design includes manual on/off controls as specified in Reference F FOR
<br /> 105-140 0.22-0.28 100 1.0 in or R-7.7 1.5 in or R-12.5 1.5 in or R-11 06 For replacement single heat pump water heaters serving individual dwelling units in climate zone 1-15,design includes
<br /> ❑ ❑
<br /> communication interface that meets demand responsive control requirements of 11 .12 per§150.21b11Hiii. Date. 02/23/2021
<br /> I.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 /> haps://www.energy.ca.gov/title24/2019standards/2019 compliance documents/Nonresidential Documents/NRCl/
<br /> Yes No Form/Title Field Inspector
<br /> Pass Fail
<br /> Q NRCI-PLB-01-E-Must be submitted for all buildings ❑ ❑
<br /> NRCI-PLB-02-E-Must be submitted for high-rise residential and hotel/motel central hot water distribution systems to be ❑ ❑ ■
<br /> recognized for compliance. Q
<br /> NRCI-PLB-03-E-Must be submitted for high-rise residential and hotel/motel single dwelling unit hot water distribution systems to ❑ 0
<br /> be recognized for compliance.
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<br /> Registration Number: Registration Date/Time: Registration Provider:Energysoft Registration Number: Registration Date/Time: Registration Provider:Energysoft Registration Number: Registration Date/Time: Registration Provider:Energysoft IN
<br /> CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated:2021-02-1511:15:17 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated:2021-02-1511:15:17 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated:2021-02-1511:15:17 1 L•�
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<br /> STATE OF CALIFORNIA U)
<br /> Domestic Water Heating System LLI W U
<br /> NRCC-PLB-E CALIFORNIA ENERGY COMMISSION C Q U_
<br /> CERTIFICATE OF COMPLIANCE NRCC-PLB-E QZ Q 0 CD
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<br /> Project Name: Starbucks Eight Mile&HWY 99 Report Page: (Page 7 of 7) T Q
<br /> Project Address: 10880 99 Frontage Rd.Date Prepared: 2/15/2021 r, r V�
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<br /> DOCUMENTATION AUTHOR'S DECLARATION STATEMENT W 0 W W
<br /> I certify that this Certificate of Compliance documentation is accurate and complete. //J0/ 0/ CO
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<br /> Documentation Author Name: Documentation Author Signature:
<br /> /s?�"'� LL LL O L
<br /> Gregory R.Schnackel w
<br /> Company: Signature Date:
<br /> Schnackel Engineers,Inc. 2021-02-15
<br /> Address: CEA/HERS Certification Identification(if applicable): STORE #: 65246
<br /> 3035 South 72nd Street E-14631,M-33299
<br /> City/State/Zip: Phone: PROJECT#: 88584-001
<br /> Omaha Nebraska 68124 1(402)391-7680
<br /> RESPONSIBLE PERSON'S DECLARATION STATEMENT PROFILE TYPE: CORE
<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. ISSUE DATE:
<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 PROGRAM MANAGER:
<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, STORE DESIGNER: J. RAMOS
<br /> plans and specifications submitted to the enforcement agency for approval with this building permit application. L E E D�AP: NSA
<br /> S. 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
<br /> 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. CHECKED BY: G RS
<br /> Responsible Designer Name: Responsible Designer Signature:
<br /> Gregory Schnackel,P.E. Sof E SS 10*
<br /> Company: Date Signed: MCG PROJECT#: 20009
<br /> Schnackel Engineers,Inc. 2021-02-15 ��Q ��, MCG PROJ. MANAGER: C.LEE
<br /> Address: License: y
<br /> 3035 South 72nd Street M-33299 W N*A 33299 MCG PROJ. SPECIALIST: S. PARK
<br /> City/State/,rop: Phone:
<br /> Omaha Nebraska 68124 (402)391-7680
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<br /> Revision Schedule
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<br /> Rev Date By Description
<br /> Registration Number: Registration Date/Time: Registration Provider:Energysoft rl-- 1 1
<br /> CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated.2021-02-1511:15:17
<br /> Schema Version:rev 20190401
<br /> SHEET TITLE:
<br /> T24 ENERGY
<br /> CALCULATIONS
<br /> SCALE:AS SHOWN
<br /> Schnackel SHEET NUMBER:
<br /> engineers,
<br /> ttrt P-2000
<br /> BE JOBM 200472
<br />
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