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E o W r--� GCVO � >> C Z (17 Ln 8 C7 00 CD (� N (.) ( (O w 0 j mo�r-� 7o ° 0 � STATE OF CALIFORNIA STATE OF CALIFORNIA Domestic Water Heating System10 STATE Of CALIFORNIA CALIFORNIA ENERGY COMMISSION C Domestic Water Heating System W a Domestic Water Heating System CALIFORNIA ENERGY COMMISSION NRCC-PLB-E(Created 11/19) CALIFORNIA ENERGY COMMISSION NRCC-PLB-E(Created 11/19) NRCC-PLB-E (� W w NRCC-PLB-E CERTIFICATE OF COMPLIANCE NRCC-PLB-E CERTIFICATE OF COMPLIANCE OD NRCC-P a (Created 1 to CERTIFICATE OF COMPLIANCE Report Page: Page 5 of 5 � � Project Name: T4 TEA 100 Report Page: Page 3 of 5 Project Name: T4 TEA Report Page: Page 4 of 5 Project Name: T4 TEA Project Address: 15346 S.HARLAN RD. Date Prepared: 1/12/2022 Project Address: 15346 S. HARLAN RD. Date Prepared: 1/12/2022 Project Address: 15346 S.HARLAN RD. Date Prepared: 1/12/2022 W DOCUMENTATION AUTHOR'S DECLARATION STATEMENT (O Table Continued K. DECLARATION OF REQUIRED CERTIFICATES OF VERIFICATION ---- �� 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 I certify that this Certificate of Compliance documentation is accurate and complete Mandatory Pipe Insulation All Occupancies Table R-value Table E.Additional Remarks. These documents must be completed by a HERS Rater and provided to the building inspector during construction. The final documents must be T For systems serving dwelling units,pipe insulation for the following applications is specified to have a minimum wall thickness of 1 in or a minimum Documentation Author Name: ANDY DANG Documentation Author Signature: of 7.7 per§150.0(i)2A: created by a HERS Providers registry,but drafts can be found online at haps!/www enerav ca aov/title24/2019standards/2019 compliance documents/ p Nonresidential Documents NRCV Company: AD ENGINEERING Signature Date: 1/12/2022 -The first 5 ft of cold water pipes from storage tank Field Inspector -All hot water piping with nomial diameter of 3/4 in-1 in Form/Title Address: 9587 DAPPLE GRAY PL CEA/HERS Certification Identification(if applicable): 11 ✓� YES NO Pass Fail -All hot water piping with nomial diameter<3/4 in associated with DHW recirculation systems City/State/Zip: ELK GROVE,CA 95624 Phone: (916)761 4858 -Piping with nomial diameter<3/4 from heating source to storage tank or between tanks (" NRCV-PLB-21-H High-rise Residential Central Hot Water Distribution HERS Verification ❑ ❑ _ -Piping with nomial diameter<3/4 buried below grade RESPONSIBLE PERSON'S DECLARATION STATEMENT (' Ci NRCV-PLB-22-H High-rise Residential Individual Dwelling Unit Hot Water Distribution HERS Verification ❑ ❑ I certify the following under penalty of perjury,under the laws of the State of California: c °�,' e v 0 -All hot water pipes with nomial diameter<3/4 from heating source to kitchen fixtures maintenance and wind.Insulation exposed to weather 1.The information provided on this Certificate of Compliance is true and correct. 7 JZ-r- >' ` E Insulation shall be protected from damage,including that due to sunlight,moisture,equipmentv 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 °o °�� E � , 13 shall be installed with a cover suitable for outdoor service per 120.3 b and 150.0 ' 3 Compliance(responsible designer) v o CL— 3.The energy features and performance specifications,materials,components,and manufactured devices for the building design or system design identified on this V)0-0 • o� o�o H. DOMESTIC HOT WATER SYSTEM CONTROLS Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations. r= Q U�' .3 This Section Does Not Apply v v �, a N � 4.The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable C a,-v .2 n v, oacl=n o � v � compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. m v- Q v, .E I.DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION 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 a'�0—U�, L 0 o o aa) 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 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 a 0 o o Q a a Table E.Additional Remarks. These documents must be provided to the building inspector during construction and can be found online of https//www.eneray.ca.aov/ documentation the builder provides to the building owner at occupancy. N 0-0 L o °'0 0 J title24 2019standards 2019 compliance documents Nonresidential DocumentsINR n o o N >w o Responsible Designer Name: ANDY DANG Responsible Designer Signature: - '"�� ,+., � � � a�•v �,> v 0 C' Field Inspector w 0 o c v E-- Form/Tttle Company: AD ENGINEERING Date Signed: 1/12/2022 3— °� ° c 1'0 N YES NO r]!�E] Fail � $ N d v v Address: 9587 DAPPLE GRAY PL License. C63640 ° v �'� v w '� vm — v Q) v' (j NRCI-PLB-01-E-Must be submitted for all buildings ❑ v N 0 fn 0 �� O N w NRCI-PLB-02-E-Must be submitted for high-rise residential and hotel/motel central hot water distribution systems to be ❑ City/State/Zip: ELK GROVE,CA 95624 Phone: (916)761 4858 � o v, o a a� L a) 0.L -C p recognized for compliance. v a v - 0-0 Q NRCI-PLB-03-E-Must be submitted for high-rise residential and hotel/motel single dwelling unit hot water distribution 3 o' .3 n o Q Elr ti systems to be recognized for compliance. ❑ REVISIONS/DATE .DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE There are no Certificates of Acceptance applicable to service water heating requirements. 2 L� r -2019 Nonresidential Com fiance:http/Jwww energy ea pov/title24/2019standards November 2019 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http•//www energy ca gov/title24/2019standards November 2019 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http�/www.energy.ca.gov/title24/2019standards November 2019 CA Building Energy Efficiency Standards P Seal: ESS/pts ��Oy td41A1V�"�C N0. 63640 Exp. 09/30/2022 s�q cis �- c 0 � CO Q F L q r0Z vG r� Drawn By A. DAN Checked By Date 10-28-21 Scale Job Na. AS NOTED TITLEm u MEoU ID0L Drawing No. 72C4 of Sheets