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TM STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA SAFEWAY Process Systems Process Systems Process Systems NRCC-PRC-E(Created 11/19) CALIFORNIA ENERGY COMMISSION NRCC-PRC-E(Created 11/19) CALIFORNIA ENERGY COMMISSION NRCC-PRC-E(Created 11/19) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-PRC-E CERTIFICATE OF COMPLIANCE NRCC-PRC-E CERTIFICATE OF COMPLIANCE NRCC-PRC-E STAMP Table instructions:Include an process systems that are within the scope o the permit application and are demonstrating compliance with mandato requirements in 120.6 or Table Instructions:include any process systems that are within the scope of the permit application and are demonstrating compliance with mandatory requirements in 120.6 or y p y p f p pp g p mandatory q ,�� Table Instructions:include any process systems that are within the scope of the permit application and are demonstrating compliance with mandatory requirements in 120.6 or prescriptive requirements in 140.9. This compliance document is used for newly constructed, addition and alteration projects. prescriptive requirements in 140.9. This compliance document is used for newly constructed, addition and alteration projects. prescriptive requirements in 140.9. This compliance document is used for newly constructed, addition and alteration projects. Project Name: SAFEWAY#2600 Tracy CA Report Page: Page 1 of 5 Project Name: SAFEWAY#2600 Tracy CA Report Page. Page 2 of 5 Project Name: SAFEWAY#2600 Tracy CA Report Page: Page 3 of 5 Project Address: 1801 West 11th Street Date Prepared: 2021-06-301 Project Address: 1801 West 11th Street Date Prepared: 2021-06-301 Project Address: 1801 West 11th Street Date Prepared: 2021-06-30 A. GENERAL INFORMATION D. EXCEPTIONAL CONDITIONS Refrigerated Display Cases 01 Project Location (city) Tracy, CA 04 Total Conditioned Floor Area 65,715 This table is auto filled with uneditable comments because of selections made or data entered in tables throughout the form. 02 Climate Zone 1 0 05 Total Unconditioned Floor Area 49,198 No exceptional conditions apply to this project. 03 Occupancy Types Within Project: 06 #of Stories (Habitable Above Grade) 1 H. ENCLOSED PARKING GARAGE EXHAUST ❑ Office F7 Retail ❑ Non-refrigerated Warehouse This Section Does Not Apply ❑ Hotel/Motel �I, School F-] Healthcare Facility E. ADDITIONAL REMARKS ❑ High-Rise Residential ❑ Relocatable Class Bldg ❑ Other(Write In): This tableincludes remarks made by the permit applicant to the Authority Having Jurisdiction. I. PROCESS BOILER O C This Section Does Not Apply C O B. PROJECT SCOPE U Table Instructions:Include any process systems listed below within the scope of the permit application that are demonstrating compliance with mandatory requirements in J. COMPRESSED AIR SYSTEMSF. REFRIGERATED WAREHOUSE/SPACES Cfl J 120.6 or prescriptive requirements in 1140.9. This Section Does Not Apply M J My project consists of(check all that apply): This Section Does Not Apply M w 01 02 G. COMMERCIAL REFRIGERATION K. ELEVATOR LIGHTING AND VENTILATION 00 ❑ Refrigerated Spaces X3,000 ftz Total (no Title 24, Pt 6 requirements) ❑ Elevator Lighting&Ventilation Controls(mandatory120.6 f) This Section Does Not Apply N Table instructions:Complete the following commercial refrigeration equipment schedules to show compliance with mandatory requirements found in 120.6. Any refrigeration UJ ❑ Refrigerated 5paces?3,QQ0 ftz Total (mandatory 120.6 a ) ❑ Escalator & Moving Walkway Speed Controls(mandatory 120.6 ) equipment being reused is exempt from these requirements and does notneed to be documented. 0 Food Stores>8,000 ft2 cfa (mandatory 120.6 b ) ❑ Computer Rooms> 20W/ftz Power Density(prescriptive 140.9 a )' L. ESCALATORS AND MOVING WALKWAYS SPEED CONTROLS Q1 Indicate components of the refrigeration system included in the Condensers Compressors❑ Enclosed Parking Garage Exhaust? 10,000 cfm (mandatory 120.6 c ) ❑ Commercial Kitchen Ventilation/Exhaust (prescriptive 140.9 b ) project: ❑ ❑,/ p 0 Refrigerated Display Cases ❑ Heat Recovery This Section Does Not Apply z ❑ Newly Installed Process Boilers(mandatory 120.6 d ) ❑ Laboratory Exhaust/Factory Exhaust &Fume Hood (prescriptive 140.9 c )' ❑ Compressed Air Systems Combined HP> 25 (mandatory 120.6 e ) Compressors and Condensing Units Serving Refrigeration System M.COMPUTER ROOM SYSTEM SUMMARY M 'FOOTNOTES:These building features can comply using the performance method. If using the performance method for these features, compliance should be demonstrated onThis Section Does Not Apply Q1 0 All compressors being used for the refrigeration system are being reused. the NRCC-PRF-E compliance document. 02 03 04 U C. COMPLIANCE RESULTS Nameor Saturation suction temperature control (55T) Liquid 5ubcoolingCompliance Method N. COMMERCIAL KITCHEN EXHAUST AND VENTILATION Item Tag §120.6(b)2A §120.6(b)2B This Section Does Not Apply Table Instructions:if any cellon this table says "DOES NOT COMPLY"or "COMPLIES with Exceptional Conditions"refer to Table D.for guidance. 01 02 03 04 05 06 07 08 09 10 11 O. LABORATORY AND FACTORY EXHAUST AND FUME HOODS Refrigerated Parking Escalators & = This Section Does Not Apply Commercial Process Compressed Computer Commercial Laboratory Add Compressor Remove Last Warehouse/ Garage Elevators Moving Refrigeration Boilers Air Systems Rooms Kitchens Exhaust Refrigerated Display Cases Space §120.6(b) §120.6(d §120.6(e)Exhaust §120.6(f) 140.9 Walkways Compliance Results P. DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION 120.6 a 120 6 c 120.6 a 140.9 b 140.9 c Design includes lighting controls for refrigerated display cases including illuminated glass doors of walk-in coolers/freezers per §120.6(b)3. 01 Select method(s) being utilized below: 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 (See Table F) (See Table G) (See Table H) (See Table I) (See Table J) (See Table K) (See Table L) (See Table M) (See Table N) (See Table O) Table E.Additional Remarks. These documents must be provided to the building inspector during construction and can be found online at https.Z4w2.energy.ca.gov1 Yes COMPLIES 02 [ Timeclock:Turn off lighting power automatically during non-business hours title24 2019standards 2019 compliance documents Nonresidential Documents.NRCA . O 03 0 Motion Sensor: Reduce lighting power by at least 50%within 30 minutes after the nearby area is vacated Field Inspector O Table Continued YES NO Form/Title M Pass Fail UJ CA Building Energy Efficiency Standards-2019 Nonresidential Compliance: http://www.energy.ca.goy/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.goy/title24/2019standards November 2019 D U) STATE OF CALIFORNIA STATE OF CALIFORNIA W vJ Process Systems Process Systems z 0 NRCC-PRC-E(Created 11/19) CALIFORNIA ENERGY COMMISSION NRCC-PRC-E(Created 11/19) CALIFORNIA ENERGY COMMISSION Q CERTIFICATE OF COMPLIANCE NRCC-PRC-E CERTIFICATE OF COMPLIANCE NRCC-PRC-E w 2i M Table instructions:Include any process systems that are within the scope of the permit application and are demonstrating compliance with mandatory requirements in 120.6 or Table Instructions:Include any process systems that are within the scope of the permit application and are demonstrating compliance with mandatory requirements in 120.6 or ~ 00 prescriptive requirements in 140.9. This compliance document is used for newly constructed, addition and alteration projects. prescriptive requirements in 140.9. This compliance document is used for newly constructed, addition and alteration projects. V 0 Project Name: SAFEWAY#2600 Tracy CA Report Page: Page 4 of 5 Project Name: SAFEWAY#2600 Tracy CAReport Page: Page 5 of 5 z w Project Address: 1801 West 11th Street Date Prepared: 2021-06-301 Project Address: 1801 West 11th Street Date Prepared: 2021-06-30 = > w NRCI-PRC-01-E Covered Process > 0 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT U 00 00 Q. DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. 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 Documentation Author Name: Chris Goslin Documentation Author Signature: Table E.Additional Remarks. These documents must be provided to the building inspector during construction and can be found online at https.ffww2.energy.ca.gov� title24 2019standards2019 com liance documents Nonresidential Documents NR Company: CUSHING TERRELL Signature Date: 06/30/21 YES NO Form/Title Field Inspector Address: 800 W MAIN STREET CEA/HERS Certification Identification (if applicable): Pass Fail City/State/Zip: BOISE, ID 83702 Phone: 208.336.4900 C 4 NRCA-PRC-01-F Compressed Air Systems ❑ ❑ RESPONSIBLE PERSON'S DECLARATION STATEMENT L C '+! NRCA-PRC-02-F Kitchen Exhaust ❑ ❑ 1 certify the following under penalty of perjury, under the laws of the State of California: C NRCA-PRC-03-F Garage Exhaust ❑ ❑ 1. The information provided on this Certificate of Compliance is true and correct. L C `i NRCA-PRC-04-F Refrigerated Warehouses-Evaporator Fan Motor Controls ❑ ❑ 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) V C r6 NRCA-PRC-05-F Refrigerated Warehouses-Evaporative Condenser Controls ❑ ❑ 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this NRCA-PRC-06-Refrigerated Warehouses-Air Cooled Condenser Controls ❑ ❑ 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 stem design features identified on this Certificate of Compliance are consistent with the information provided on other applicable ISSUE&REVISIONS CT` '� NRCA-PRC-16-Refrigerated Warehouses-Adiabatic Condenser Controls ❑ ❑ g g Y g p � p PP � No. DATE: DESA C 4 NRCA-PRC-07 Refrigerated Warehouses-Variable Speed Compressor ❑ ❑ compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 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 C„` (4 NRCA-PRC-08-F Refrigerated Warehouses-Electric Resistance Underslab Heating System ❑ ❑ to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compli is 'red to be included with the C" 4 NRCA-PRC-12-F Elevator Lighting &Ventila.tion Controls ❑ ❑ documentation the builder provides to the building owner at occupancy. C` (4 NRCA-PRC-13-F Escalators & Moving Walkways Speed Controls ❑ ❑ Responsible Designer Name: MICHAEL AMESTOY Responsible Designer Signature: llq�lr fow� X /T 7� 4 NRCA-PRC-14-F Lab Exhaust Ventilation Systems ❑ ❑ Company : CUSHING TERRELL Date Signed: 06/30/21 C„` (4 NRCA-PRC-15-F Fume Hood Automatic Sash Closure Systems ❑ ❑ Address: 800 W MAIN STREET License: M32110 City/State/Zip: BOISE, ID 83702 Phone: 208.336.4900 IIIIIIIIIIIIIIIIIIIII.Add Responsible Person = CA Building Energy Efficiency Standards-2019 Nonresidential Compliance: http://www.eneray.ca.aov/title24/2019standards November 2019 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance: http://www.energy.ca.gov/title24/2019standards November 2019 W I..1� VJ Q W c � w U � U Q o Q V) � co � PROJECT NUMBER: SW 1 260OR DRAWN BY: TY CHECKED BY: CG BUILDING SIZE: 65,750 SF STORE NUMBER 2600 SHEET TITLE TITLE 24 SHEETS SHEET NO. TITLE 24 DOCUMENTS N.T.S. R902