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Project Name. Raising Canes Lodi NRCC-PRF-01-E Page 16 of 16 Project Name. Raising Canes Lodi NRCC-PRF-01-E Page 13 of 16 <br /> Project Address: Kettleman&L.Sacramento Lodi 95242 Ca -..Iation Date/Time: 10:14,Sun, Dec 20,2020 Project Address: Kettleman&L.Sacramento Lodi 95242 Calculation Date/Time: 10:14,Sun, Dec 20,2020 <br /> Input File Name: 20-1218 Mech Calcs.cibdl9x Input File Name: 20-1218 Mech Calcs.cibdl9x <br /> Phone. (206)364-3343 - MECHANICAL ENGINEER M-28172 P. DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE <br /> Table Instructions:Selections shall be mode by Documentation Author to indicate which Certificates of Acceptance must be submitted for the features to be recognized for <br /> compliance. These documents must be provided to the building inspector during construction and must be completed through on Acceptance Test Technician Certification <br /> Provider(ATTCP). For more information visit:https://www.energy.co.gov/title24/2019stondords/2019 compliance-documents/Nonres idential Documents/NBCA/ <br /> Field <br /> Building Component YES NO Form/Title Inspector <br /> Pass Fail <br /> NRCA-MCH-02-A Outdoor Air must be submitted for all newly installed HVAC units. Note:MCH02-A can be <br /> Z ❑ performed in conjunction with MCH-07-A Supply Fan VFD Acceptance(if applicable)since testing activities ❑ ❑ <br /> overlap <br /> Z ❑ NRCA-MCH-03-A Constant Volume Single Zone HVAC ❑ ❑ <br /> ❑ ® NRCA-MCH-04(a)-H Air Distribution Duct Leakage-HERS Verification required ❑ ❑ <br /> ❑ ❑ NRCA-MCH-04(b)-A Air Distribution Duct Leakage-ATT only ❑ ❑ <br /> ® ❑ NRCA-MCH-05-A Air Economizer Controls ❑ ❑ <br /> NRCA-MCH-06-A Demand Control Ventilation Systems Acceptance must be submitted for all systems required <br /> Z ❑ to employ demand controlled ventilation(refer to§120.1(c)3)can vary outside ventilation flow rates based on ❑ ❑ <br /> maintaining interior carbon dioxide(CO2)concentration setpoints <br /> ❑ ® NRCA-MCH-07-A Supply Fan Variable Flow Controls ❑ ❑ <br /> El NRCA-MCH-O8-A Valve Leakage Test El 1:1Meehan,cal <br /> ❑ Z NRCA-MCH-09-A Supply Water Temperature Reset Controls ❑ ❑ <br /> ❑ Z NRCA-MCH-10-A Hydronic System Variable Flow Controls ❑ ❑ <br /> ❑ Z NRCA-MCH-11-A Automatic Demand Shed Controls ❑ ❑ <br /> Z ❑ NRCA-MCH-12-A FDD for Packaged Direct Expansion Units ❑ ❑ <br /> ❑ Z NRCA-MCH-13-A Automatic FDD for Air Handling Units and Zone Terminal Units Acceptance ❑ ❑ <br /> ❑ Z NRCA-MCH-14-A Distributed Energy Storage DX AC Systems Acceptance ❑ ❑ <br /> ❑ Z NRCA-MCH-15-A Thermal Energy Storage(TES)System Acceptance ❑ ❑ <br /> ❑ Z NRCA-MCH-16-A Supply Air Temperature Reset Controls ❑ ❑ <br /> ❑ Z NRCA-MCH-17-A Condenser Water Temperature Reset Controls ❑ ❑ <br /> ❑ Z NRCA-MCH-18 Energy Management Control Systems ❑ ❑ <br /> ❑ Z NRCA-MCH-19 Occupancy Sensor Controls `J (- <br /> CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version: NRCC-PRF-01-E-04282020-6206 Report Generated at: 2020-12-20 10:14:49 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version: NRCC-PRF-01-E-04282020-6206 Report Generated at:2020-12-20 10:14:49 <br /> Project Name Raising Canes Lodi NRCC-PRF-01-E Page 15 of 16 Project Name Raising Canes Lodi NRCC-PRF-01-E Page 12 of 16 <br /> Project Address. Kettleman&L.Sacramento Loci 95242 Calculation Date/Time 10:14,Sun, Dec 20,2020 Project Address. Kettleman&L.Sacramento Loci 95242 Calculation Date/Time. 10:14,Sun, Dec 20, 2020 <br /> Input File Name: 20-1218 Mech Calcs.cibdl9x Input File Name: 20-1218 Mech Calcs.cibdl9x <br /> DOCUMENTATION AUTHOR'S DECLARATION STATEMENT P. DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE <br /> !certify that this Certificate of Compliance documentation is accurate and complete. <br /> Table Instructions:Selections shall be mode by Documentation Author to indicate which Certificates of Acceptance must be submitted for the features to be recognized for <br /> Documentation Author Name:Mark Manglicmot Signature. compliance. These documents must be provided to the building inspector during construction and must be completed through on Acceptance Test Technician Certification <br /> Company: Robison Engineering L�L� Provider(ATTCP). For more information visit:https://www.energy.ca.gov/title24/2019stondords/2019 compliance documents/Nonresidential Documents/NRCA/ <br /> Address: 19401 40th Ave W,Suite 302 Signature Date:2020-12-20 Field <br /> CEA/HERS Certification Identification(if applicable): Building Component YES NO Form/Title Inspector <br /> City/State/Zip: Lynnwood WA 98036 D57B-O1C6-CCC4-55OD-4093-92F0-D638-F2CA-B68F-A5B7-DE52-2987-1E53-5104-55FB-OEC1 Pass Fail <br /> Phone:206-364-3343 Z ❑ NRCA-ENV-02-F-NRFC label verification for fenestratio❑ ❑ ❑ <br /> Envelcp�. <br /> RESPONSIBLE PERSON'S DECLARATION STATEMENT ❑ ❑ NRCA-ENV-03-F-Daylighting Design PAFs ❑ ❑ <br /> 1 certify the following under penalty of perjury, under the lows of the State of California: E] Z NRCA-LTI-02-A-Occupancy Sensors and Automatic Time Switch Controls El 1:1 <br /> 1.The information provided on this Certificate of Compliance is true and correct. Indoor Lighting <br /> E] Z NRCA-LTI-03-A-Automatic Daylight Controls El 1:12.1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design ors�tem design identified on this Certificate of Compliance(responsible designer) <br /> ❑ Z NRCA-LTI-04-A-Demand Responsive Lighting Controls ❑ ❑ <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 requirement: <br /> of Title 24,Part 1 and Part 6 of the California Code of Regulations. ❑ Z NRCA-LTI-05-A-Institutional Tuning Power Adjustment Factor(PAF) ❑ ❑ <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. ❑ ® NRCA-PRC-02-F-Kitchen Exhaust ❑ ❑ <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 ❑ ® NRCA-PRC-03-F-Garage Exhaust ❑ [3 <br /> inspections.1 understand that a completed signed copy of this Certificate of Compliance is reauired to be included with the documentanon the b.:Ider provides to the building owrer at occupancy. <br /> s ❑ Z NRCA-PRC-12-F—Elevator Lighting and Ventilation Controls ❑ ❑ <br /> Responsible Envelope Designer Name:Mark Robison, Robison Engineering Inc. Covered Process <br /> Signature: �_fly ❑ Z NRCA-PRC-13-F—Escalator and Moving Walkways Speed Control E] 1:1Company: <br /> ❑ Z NRCA-PRC-14-F—Lab Exhaust Ventilation System ❑ ❑ <br /> Address: 19401 40th Ave W,Suite 302 Date SigreC 12-18-20 <br /> ❑ Z NRCA•PRC-15-F- Fume Hood Automatic Sash Closures System El 11City/State/Zip: Lynnwood WA 98036 <br /> Phone:(206)364-3343 Title: MECHANICAL ENGINEER cense M-28172 <br /> Responsible Lighting Designer Name:Mark Robison,Robison Engineering Inc. <br /> Signature:NOT IN SCOPE <br /> Company: <br /> Address: 19401 40th Ave W,Suite 302 Date Signed: <br /> City/State/Zip: Lynnwood WA 98036 <br /> Phone:(206)364-3343 Title: L <br /> Responsible Mechanical Designer Name: Mark Robison, Robison EngineencF In; /J f� <br /> Signature: <br /> Company: <br /> Address: 19401 40th Ave W,Suite 302 Date Signed: 12-18-20 <br /> City/State/Zip: Lynnwood WA 98036 <br /> CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version: NRCC-PRF-01-E-04282020-6206 Report Generated at:2020.12-20 10:14:49 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version: NRCC-PRF-01-E-04282020-6206 Report Generated at:2020-12-20 10:14:49 <br /> Project Name: Raising Canes Lodi NRCC-PRF-01-E Page 14 of 16 Project Name: Raising Canes Lodi NRCC-PRF-01-E Page 11 of 16 <br /> Project Address: Kettleman&L.Sacramento Lodi 95242 Calculation Date/Time. 10:14,Sun, Dec 20,2020 Project Address: Kettleman&L.Sacramento Lodi 95242 Calculation Date/Time: 10:14,Sun, Dec 20, 2020 <br /> Input File Name: 20-1218 Mech Calcs.cibd19x Input File Name: 20-1218 Mech Calcs.cibdl9x <br /> Q. DECLARATION OF REQUIRED CERTIFICATES OF VERIFICATION O. DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION <br /> Table instructions:Selections shall be made by Documentation Author to indicate which Certificates of Verification must be submitted for the features to be recognized for Table Instructions:Selections shall be made by Documentation Author to indicate which Certificates of Installation must be submitted for the features to be recognized for <br /> compliance. These documents bust be retained and provided to the building inspector during construction and con be found online at: compliance. These documents bust be retained and provided to the building inspector during construction and con be found online at: <br /> https://www.energy.ca.gov/title2412019stondardsl2Ol9_complionce_documents/Nonresidential Documents/NRCV/ https://www.energy.ca.gov/title24/2019standords/2019_compliance documents/Nonresidential Documents/NRCl/ <br /> Field Field <br /> Building Component YES NO Form/Title Inspector Building Component YES NO Form/Title Inspector <br /> Pass Fail Pass Fail <br /> ❑ Z NRCV-MCH-04-H Duct Leakage Test ❑ ❑ Envelope Z ❑ NRCI-ENV-01-E-Must be submitted for all buildings ❑ ❑ <br /> ❑ Z NRCV-MCH-24-H Enclosure Air Leakage ❑ ❑ Mechanical Z ❑ NRCI-MCH-01-E-Must be submitted for all buildings ❑ ❑ <br /> Mechanical <br /> ❑ Z NRCV-MCH-27 Indoor Air Quality&Mechanical Ventilation ❑ ❑ Z ❑ NRCI-PLB-01-E-Must be submitted for all buildings ❑ ❑ <br /> ❑ Z NRCV-MCH-32-H Local Mechanical Exhaust ❑ ❑ NRCI-PLB-02-E-Must be submitted for high-rise residential and hotel/motel central hot water distribution. <br /> F] Z NRCV-PLB-21-H- HERS verified central systems in high-rise residential, hotel/motel application 1—] 11 systems® systems to be recognized for compliance ❑ ❑ <br /> Plumbing NRCI-PLB-03-E-Must be submitted for high-rise residential and hotel/motel single dwelling unit hot water <br /> E] Z NRCV-PLB-22-H- HERS verified single dwelling unit systems in high-rise residential,hotel/motel application El El ElZ El El <br /> Iamb rg system distribution systems to be recognized for compliance <br /> R. UNMET LOAD HOURS ❑ Z NRCI-PLB-21-E-Must be HERS verified for central systems in high-rise residential hotel/motel application ❑ ❑ <br /> This Section Does Not Apply El ® NRCI-PLB-22-E-Must be HERS verified for single dwelling unit systems in high-rise residential,hotel/motel <br /> application El El <br /> ❑ Z NRCI-STH-01-E-Must be submitted for solar hot water heating systems ❑ ❑ <br /> ❑ Z NRCI-LTI-01-E-Must be submitted for all buildings ❑ ❑ <br /> ❑ ® NRCI-LTI-02-E-Must be submitted for a lighting control system,or for an Energy Management Control System ❑ ❑ <br /> (EMCS)to be recognized for compliance <br /> Indoor Lighting ❑ ® NRCI-LTI-04-E-Must be submitted for two interlocked systems serving an auditorium,a convention center,a ❑ ❑ <br /> conference room,a multipurpose room,or a theater to be recognized for compliance <br /> ❑ Z NRCI-LTI-05-E-Must be submitted for a Power Adjustment Factor(PAF)to be recognized for compliance ❑ 1- <br /> ❑ ® NRCI-LTI-06-E-Must be submitted for additional wattage installed in a video conferencing studio to be ❑ ❑ <br /> recognized for compliance <br /> 1 rr _•_ ❑ Z NRCI-PRC-01-E- Must be submitted for all Covered Processes ❑ ❑ <br /> CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version: NRCC-PRF-01-E-04282020-6206 Report Generated at: 2020-12-20 10:14:49 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version: NRCC-PRF-01-E-04282020-6206 Report Generated at:2020-12-20 10:14:49 <br /> Cn p _0 p Cf) Cb -i CSS C n x, W N 1 /\ <br /> fv O_ W CD 7J _L CD '..r' C/J <br /> M CD <br /> m O O O O <br /> Z ,--• �_ rn V I cQ E o m m CD <br /> `° 3:0 ^' Cn REGICD = S Z m <br /> ivo p o ay5 1-1 <br /> O = a'CD <br /> C7 ^ 70 M ,a z A 1Z7 C Z p <br /> r Fq <br /> M m m O �p �On m W Q C-51 l� <br /> C C o o� \moo=�' o __ I�`V,i CHIC]faErL FINGERS <br /> �N:. 0 � � N � <br /> _ 213 N���''� n Irn � Restaurant Support Office <br /> o °' D a M 6800 Bishop Road, Plano, TX 75024 <br /> r o o F o o Tele- 972-769-3100 Fax- 972-769-3101 <br /> SUBMITTALS <br />