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E o N l j ca U)� C 00 C'3 � Q (D W N W CL c TZ� CU � � 0) 0 70 STATE OF CALIFORNIA v 0L (0(0 Ca STATE OF CALIFORNIA Z i` V U_ w CO ctt Indoor Lighting Mechanical Systems `z Lo Lu w �` NRCC-LTI-E(Created 01/20) CALIFORNIA ENERGY COMMISSION NRCC-MCH-E(Created 1/22) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCENRCC-LTI-E CERTIFICATE OF COMPLIANCE NRCC-MCH-E LO Project Name: T4 TEA Report Page: Page 7 of 7 This document is used to demonstrate comp iance for mechanical systems that are within the scope of the permit application and are demonstrating compliance using the 00 Project Address: 15346 S.HARLAN RD. JDate Prepared: 1/12/2022 prescriptive path outlined in 140.4 or§241.OU2 for alterations. T Project Name: T4 TEA lReport Page: Page 1 of 8 (O DOCUMENTATION AUTHOR'S DECLARATION STATEMENT Project Address. 15346 S.HARLAN RD. JDate Prepared: 1/12/2022 Q I certify that this Certificate of Compliance documentation is accurate and complete A.GENERAL INFORMATION (— Documentation Author Name: ANDY DANG Documentation Author Signature: CD Ol Project Location(city) LATHROP 04 Total Conditioned Floor Area 1,690 Company: AD ENGINEERING Signature Date: 1/12/2022 02 Climate Zone 12 05 Total Unconditioned Floor Area (N Address: 9587 DAPPLE GRAY PL CEA/HERS Certification Identification(if applicable): 03 Occupancy Types Within Project: 06 #of Stories(Habitable Above Grade) [] Office(B) n Retail(M) ❑ Non-refrigerated Warehouse(S) City/State/Zip: ELK GROVE,CA 9562416 Phone: (916)761-4858 E] Hotel/Motel Guest Rooms(R-1) School(F) Healthcare Facility(H) RESPONSIBLE PERSON'S DECLARATION STATEMENT ° 6 o °= a� ❑ High-Rise Residential(R-2/R-3) ❑ Relocatable Class Bldg(E) Other(Write In): RESTAURANT 9) ° ° O � �L C I certifythe following under penalty of perjury,under the laws of the State of California: 'FOOTNOTES:Climate zone can be determined on the California Ener Commission's website at http:/fwww.ener ca. ov/maps/renewable/buildin climate zones html v '— ° 9Y 9Y• 9 9 0 0 C: 3 a 1.The information provided on this Certificate of Compliance is true and correct. o E 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 B.PROJECT SCOPE 0— 0 _0_0 41 o Compliance(responsible designer) a _o _ 3.The energy features and performance specifications,materials,components,and manufactured devices for the buildingdesign or stem design identified on this Table Instructions:Include any mechanical systems that are within the scope of the permit application and are demonstrating compliance using the prescriptive path outlined in �'.0 .° 0_0 s �o g Y g 140.4 or 141.0 b 2 far alterations. -a G a a; °o a3 ° Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations. C a)-°._ o L v, ,, 0 4.The buildin desi n features ors My project consists of(check all that apply) 0 n C E: a C °1 0 C g g ystem design features identified on this Certificate of Compliance are consistent with the information provided on other applicable °- ° o=v v compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. 01 02 03 o 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 Air System(s) Wet System Components Dry System Components $ v in o v ° O 0- ° V J 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 Heating Air System Water Economizer Air Economizer — q) C-o L a Zr o _J documentation the builder provides to the building owner at occupancy. Cooling Air System Pumps ❑ Electric Resistance Heat (D ° °' U' o Z CD Responsible Designer Name: ANDY DANG Responsible Designer Signature: Mechanical Controls ❑ Hydronic System Piping ® Fan Systems ° a� o z a c °E•L Company: AD ENGINEERING Date Si ned: 1 12 2022 C) g / / Mechanical Controls Cooling Towers Ductwork �' 3 ° $ Address: 9587 DAPPLE GRAY PL License: C63640 Chillers o T� .— C C ° C w J Ventilation s `� ° ai� °' City/State/Zip: SACRAMENTO CA 95816 Phone: ° 0 U �< Q w Boilers Zonal Systems/Terminal Boxes ��t � �� Q � (916)761-4858 in m :E � u � W+� � a4 Q C.COMPLIANCE RESULTS I— m 3 o- ;_--r-'3 a o Q Table instructions:if any cell on this table says"DOES NOT COMPLY"or"COMPLIES with Exceptional Conditions"refer to Table D.for guidance. REVISIONS/DATE 01 02 03 04 05 06 07 08 09 System Fans) System Summary Pumps Economizers Ventilation Controls Terminal Box Distribution Cooling §110.1, AND AND AND §110.2, AND AND Controls AND §1203, AND Towers §1102, §1404(k) §140,4�c, 20.1 - 2 §1404(e) §-120.2,. §1� �40.4(d) §140.4j1j §_110.2.{e}_2 Compliance Results §140.4 §140.4(1`) (See Table F) (See Talle (See Table H) (See Table I) (See Table 1) (See Table K) (See Table L) (see Table M) ANDAND AND AND Yes AND AND AND COMPLIES Mandatory Measures Compliance(See Table Q for Details) COMPLIES CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:bitalLwww.energy.ca.gov/title24/2019standards L.ca.gov/title24/2019standards January 2020 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:httD:/lwww.energx.ca.govltitle24/2019standardsl January 2022 STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA Seal: Mechanical Systems Mechanical Systems Mechanical Systems CESS/ NRCC-MCH-E(Created 1/22) CALIFORNIA ENERGY COMMISSION NRCC-MCH-E(Created 1/22) CALIFORNIA ENERGY COMMISSION NRCC-MCH-E(Created 1/22) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-MCH-E CERTIFICATE OF COMPLIANCE NRCC-MCH-E CERTIFICATE OF COMPLIANCE NRCC-MCH-E Project Name: T4 TEAReport Page: Page 2 of 8 Project Name: T4 TEA Report Page: Page 3 of 8 Project Name: T4 TEA Report Page: Page 4 of 8 N0. 63640 Project Address: 15346 S.HARLAN RD. JDate Prepared: 1/12/2022 Project Address: 15346 S.HARLAN RD. JDate Prepared: 1/12/2022 Project Address: 15346 S.HARLAN RD. Date Prepared: 1/12/2022 * Exp. 09/30/2022 D. EXCEPTIONAL CONDITIONS 6Table Continued L.DISTRIBUTION (DUCTWORK AND PiPING) s� v \Q This table is auto filled with uneditable comments because of selections made or data entered in tables throughout the form. Nonresidential and Hotel/Motel Ventilation Systems This Section Does Not Apply 9 04 05 06 07 C The permit applicant has indicated on Table J that ventilation calculations have been attached or included elsewhere on the plans. Air Filtration per§1201(c)and§141,0(b)2zM.COOLING TOWERS Selections made in Table O have been changed by the permit applicant.See Table E.Additional Remarks for permit applicant's explanation. System Design OA System Design System Name: This Section Does Not Apply CFM Air Flow': Transfer Air CFM: E.ADDITIONAL REMARKS This table includes remarks made by the permit applicant to the Authority Having Jurisdiction. 08 09 10 11 12 1 13 14 15 16 N. DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION Mechanical Ventilation Required per§120.1_(c)3' Exh.Vent.per§4211.1icJ4 Table Instructions:Selections have been made based on information provided in previous tables of this document. If any selection needs to be changed,please explain why in Space Name or Conditioned #of Required Required DCV or Occupant Sensor Controls per Table E.Additional Remarks. These documents must be provided to the building inspector during construction and can be found online at haps://www.energy.ca.9ov/ Item Ta 4 #of Provided per Design 6 tit1e24 2019standards 2019 compliance documents Nonresidential Documents NRCd Tag Occupancy Floor howerheads s Min OA Minimum 120.](df3J§120_1�dJ5&§120.2(e)3 F.HVAC SYSTEM SUMMARY(DRY&WET SYSTEMS) Area W) toilets people CFM CFM CFM Field Inspector YES NO Form/Title Pass Fail This Section Does Not Apply (G. PUMPS DCV NRCI-MCH-01-E-Must be submitted for all buildings. This Section Does Not Apply Occ Sensor O.DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE ----- Table Instructions: Selections have been made based on information provided in previous tables of this document. If any selection needs to be changed,please explain why in Th FAN SYSTEMS&AIR ECONOMIZERS 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/ This Section Does Not Apply 17 Total System Required Min OA CFM 18 Ventilation for this System Complies? tit1e24 2019standards 2019 compliance documents Nonresidential Documents NR I.SYSTEM CONTROLS 'FOOTNOTES:System CFM should include both mechanical and natural ventilation for the zone/system. YES NO Form/Title Field Inspector This Section Does Not Apply ZAir itration requirements apply to thefollowing three system types per§120.1 c)1Aspace conditioning systems utilizing ducts to supply air to occupiable space;supply-only Pass Fail ventilation systems providing outside air to occupiable space;supply side of balanced ventilation systems including heat recovery and energy recovery ventilation systems �S? J.VENTILATION AND INDOOR AIR QUALITY providing outside air to occupiable space. 3 Uniform Mechanical Code may have more stringent ventilation requirements;the most stringent code requirement takes precedence. Table Instructions:Complete the following Table to demonstrate compliance with mandatory ventilation requirements in 120.1 and§120.&3B for all nonresidential,high-rise `See Standards Tables 120.1-A and 120.1-B residential and hotel/motel occupancies. For alterations,only ventilation systems being altered within the scope of the permit application need to be documented in this table. S For lecture halls with fixed seating,the expected number of occupants shall be determined in accordance with the California Building Code. In lieu of this table,the required outdoor ventilation rates and airflows may be shown on the plans or the calculations can be presented in a spreadsheet. B§220.20OI3 requires systems serving rooms that are required by 130.1 c to have lighting occupancy sensing controls to also have occupancy sensing zone controls for Ol Check the box if the project is showing ventilation calculations on the plans,or attaching the calculations instead of completing this table. ventilation. Examples of spaces which require lighting occupancy sensors include offices 250ft2 or smaller,multipurpose rooms less than 1,00012 classrooms,conference �O 02 ❑ Check this box if the project includes new or altered high-rise residential dwelling units. rooms,restrooms,aisles and open areas in warehouses,library book stack aisles,corridors,stairwells,parking garages,and loading and unloading zones,unless excepted by o� 03 ❑ Check the box if the project is using natural ventilation in any spaces to meet required ventilation rates per 120.1c 2. Table Continued K.TERMINAL BOX CONTROLS Q This Section Does Not Apply CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http:l/www.energy.ca.gov/title24/2019standards January 2022 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http;!/www.energy.ca.gov/title24/`2019standards January 2022 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http:Llwww.energy.ca.goy/title24/2019standards January 2022 Drawn By A. DANG Checked By Date 10-28-21 Scale Job Na. AS NOTED TITLEDU o LID o TIo 0 Drawing No. Of Sheets