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<br /> STATE OF CALIFORNIA STATF OF CALIFORNIA STATE OF CALIFORNIA
<br /> Mechanical Systems Mechanical Systems Mechanical Systems r_
<br /> NRCC-MCH-E(Created 01/241 CALIFORNIA ENERGY COMMISSION NRCC-MCH-E(Created 01120; CALIFORNIA ENERGY COMMISSION NRCC-MCH-E(Created 011201 CALIFORNIA ENERGY COMMISSION Urd
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<br /> CERTIFICATE OF COMPLIANCE NRCC-MCH-E CERTIFICATE OF COMPLIANCE NRCC-MCH-E CERTIFICATE OF COMPLIANCE NRCC-MCH-E
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<br /> This document is used to demonstrate comp lance or mechanical systems that are within ta scope of the permit application and are demonstrating compliance using the Project Name: Family Dollar-Deal#790056 Report Page: Page 2 of 9 Project Name: Family Dollar-Deal#790056Report Page: Page 3 of 9 K4 co
<br /> prescriptive path outlined in ]40.4.or§I4T.O(b12 for alterations. Project Address: 3233 W. Hammer Lane,Stockton,CA 95209 Date Prepared: 202 0-01-1 Project Address: 3233 W.Hammer Lane,Stockton,CA 95209 Date Prepared: 2020-01-1 r a co 0
<br /> Project Name: Family Dollar-Deal#790055 lReport Page: Page 1 of 9 w •Q7
<br /> D. EXCEPTIONAL CONDITIONS Table Continued o � Its
<br /> Protect Address: 3233 W. Hammer Lane,Stockton,CA 95209 Date Prepared: 2020-01-14 In _ :� 2
<br /> This table is auto filled with uneditable comments because of selections made or data entered in rabies throughout the form. Nonresidential and Hotel/Motel Ventilation Systems :� o 0
<br /> A.GENERAL INFORMATION 04 05 06 07 0 - � ti w
<br /> 01 Project Location(city) Stockton 04 Total Conditioned Floor Area 10,671 2 m
<br /> Selections made in Table O have been changed by the permit applicant.See Table E.Additional Remarks for permit applicant's explanation. Air Filtration per 120.1 c and§141.0fb12' w x Lo E +
<br /> 02 Climate Zone 12 05 Tata!Unconditioned Floor Area System Design DA System Design - _e 00
<br /> System Name: RTU-1,2,3,4 CFM Air Flaw': 2'53' Transfer Air CFM: 0 Provided per 31Z0.1(c}(NR&Hotel/ 1~
<br /> 03 Occupancy Types Within Project: 06 #of Stories(Habitable Above Grade) 1 E.ADDITIONAL REMARKS Motel) 0 IV
<br /> M CL C
<br /> ❑ Office(B) 0 Retail(M) ❑ Non-refrigerated Warehouse(5) This table includes remarks made by the permit-applicant to the Authority Having Jurisdiction. 48 09 10 11 12 13 14 15 16 _ °
<br /> ❑ Hotel/Motel Guest Rooms(R-1) ❑ School(F) ❑ Healthcare Facility(H) O u�i 2 a 3 E
<br /> Mechanical Ventilation Required per§120.11c13' Exh.Vent-per§120.lf64
<br /> ❑ High-Rise Residential(R-2/14-3) ❑ Relocatable Class slag(E) El Other(Write in): Space Name or CondItioned #of Required Required DCV or Occupant Sensor Controls per
<br /> 'FOOTNOTES:Climate zone can be determined on the California Energy Commission's website at hap. www.enerenv.co.aoylmayslrenewablelbuilding cbmare rones.html Item Tag Occupancy Type' Floor hvwerfieads #of Min OA Minimum Provided per Design §12Q.11d13.§120.1{d15&§120.2iei3s
<br /> F.HVAC SYSTEM SUMMARY(DRY&WET SYSTEMS) z peoples CFM
<br /> B. PROJECT SCOPE This Section Does Not Apply Area(ft ) toilets CFM CFM
<br /> 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 DCV NA: Not required per
<br /> 140.4 or§141.0(6]2 far alterations. G.PUMPS §120.1(dy3
<br /> My project consists of(check all that apply) This Section Does Not Apply Sales Floor Retail sales 9,298 2,324.5
<br /> 01 02 03 Occ Sensor NA: Not required space type
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<br /> Air System(s) Wet System Components Dry System Components H. FAN SYSTEMS&AIR ECONOMIZERS CL
<br /> [] Heating Air System ❑ Water Economizer ❑ Air Economizer IThis Section Does NorApply NA: Not required per u
<br /> [] Cooling Air System [] Pumps [] Electric Resistance Heat _ DCV §124.1(d)3
<br /> Mechanical Controls � Hydrvnic System Piping � Fan Systems
<br /> I.SYSTEM CONTROLS Stockroom Warehouse 1,373 205.55
<br /> ❑ Mechanical Controls ❑ Coaling Towers Q Ductwork This Section Does Not Apply Occ Sensor NA: Not required space type
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<br /> ❑ Chillers 0 Ventilation
<br /> ❑ Boilers ❑Zonal Systems/Terminal Boxes J.VENTILATION AND INDOOR AIR QUALITY
<br /> Table Instructions:Complete the following Table to demonstrate compliance with mandatory ventilation requirements in 4120.1 and§120-21e)38for all nonresidential, high-rise 17 Total System Required Min OA CFM 2,530.45 18 Ventilation for this System Complies? Yes i
<br /> residential and hotellmotel occupancies. For alterations only ventilations stems being altered within the scope o the permit application need to be documented in this table. °J
<br /> C-COMPLIANCE RESULTS p Y y g p f pm
<br /> In lieu of this table, the required outdoor ventilation rates and airflows may be shown on the plans or the calculations con be presented in a spreadsheet. 'FOOTNOTES:System CFM should include both mechanical and naturof ventilation for the zone/system,
<br /> Table Instructions:if any cell on this table says "DOES NOT COMPLY"or"COMPLi,ES with Exceptional Conditions"refer to Table 0.for guidance. � a
<br /> 131 Q2 D3 fJ4 05 Ofi 07 0$ 09 ❑ p j 6 p g completing 'Air filtration requirements apply to the following three system types per§120.1(c)IA space conditioning systems utilizing ducts to supply air to occupiable space;supply-only
<br /> d1 Check the box if the ro ect is showin ventilation calculations on the plans,or attaching the calculations instead of corn letin this table, Y
<br /> ventilation systems providing outside air to occupiable space,supply side of balanced ventilation systems including heat recovery and energy recovery ventilation systems > cn
<br /> System Fans/ System 02 ❑ Check this box if the project includes new or altered high-rise residential dwelling units. E
<br /> providing outside air to occupiable space.
<br /> Summary Controls Terminal Box Distribution Cooling 03 Check the box if the project is using natural ventilation In an spaces to meet re uired ventilation rates per§120.1 c 2, a
<br /> Pumps Economizers Ventilation ❑ p J g Y P q p i--j Uniform Mechanical Cade may have more stringent ventilation requirements;the most stringent code requirement rakes precedence.
<br /> §110.1• AND AND AND 1§ 10.2. AND AND Controls AND 1§ 20.3. AND Towers Table Continued 45ee Standards tables 1?d.1-A and 120..1-$
<br /> ]40.4 k 14 .4 i§ 7D.1 Compliance Results
<br /> 1§ 10.2. 120.2. 140.4 d 140.4 1 §110.2(e12
<br /> §240,4(e) s For lecture halls with fixed seating, the expected number of occupants shall be determined in accordance with the California Building Code.
<br /> 1§ 40.4lAQ.4
<br /> 11 4120.2(e)3 requires systems serving rooms that are required by 130.1 to have lighting occupancy sensing controls to also have occupancy sensing zone controls for
<br /> (See Table F) (See Table G) (See Table Hl (See Table 1) (See Table 1) (See Table K) {see Table L) (See Table My ventilation. Examples of spaces which require lighting occupancy sensors include offices 250ft2 or smaller,multipurpose rooms less than 1,OOOft2,classrooms,conference
<br /> ANa AND AND AND Yes AND AND Yes AND COMPLIES roams,restroams,aisles and open areas in warehouses,library book stack aisles,enrridors,stairwells,parking garages, and loading and unloading zones, Unless excepted by
<br /> Mandatory Measures Compliance(See Table Q for Details) COMPLIES
<br /> CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:httpWwww.enema.ca.gov/titie24/2019standardsl January 2020 CA Building Energy Efficiency standards-2019 Nonresidential Compliance:http:/1www energy.ca-aav/iitle24(2419standard5 January 2020 CA Building Energy Efficiency standards-2019 Nonresfdentlai Compliance:http„j/www energy.ca.eovltitle24I2019standards lanuary 2020 0
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<br /> Mechanical Systems Mechanical Systems Mechanical Systems
<br /> NRCC-MCH-E(Created 01120) CALIFORNIA ENERGY COMMISSION NRCC-MCH-E{Created 011201 CALIFORNIA ENERGY COMMISSION NRCC-MCH-E(Created 01124) CALIFORNIA ENERGY COMMISSION [t3
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<br /> CERTIFICATE OF COMPLIANCE NRCC-MCH-E CERTIFICATE OF COMPLIANCE NRCC-MCH-E CERTIFICATE OF COMPLIANCE NRCC-MCH-E
<br /> Project Name: Family Dollar-Deal#790056 Report Page: Page 4 of 9 Project Name: Family Dollar-Deal#790056 Report Page: Page 5 of 9 Project Name: Family Dollar-Deal#790056 Report Page: Page 6 of 9
<br /> Project Address: 3233 W.Hammer Lane,Stockton,CA 95209 loate Prepared: 2020-01-14 Project Address: 3233 W.Hammer Lane,Stockton,CA 95209 jDate Prepared: 2102"1-14 Project Address: 3233 W.Hammer Lane,Stockton,CA 95209 Date Prepared: 202"1-14 N �
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<br /> 130.1 c . Table Continued NRCA-MCH-02-A Outdoor Air must be submitted for all newly installed HVAC units.
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<br /> ❑ In other unconditioned spaces C (' Note:MCH02-A can be performed in conjunction with MCH-07-A Supply Fan VFD Acceptance(if applicable)since testing ❑ ❑
<br /> 15 No The scope of the project includes extending an existing duct system,which is constructed,insulated or sealed with asbestos. activities overlap.
<br /> K.TERMINAL BOX CONTROLS NRCA-MCH-03-A Constant Volume Single Zone HVAC
<br /> This Section Goes Not Apply 16 Na The scope of the protect includes an existing duct system that is documented to have been previously sealed as confirmed through field verification and �. � NOTE:This farm does not automatically move to"Yes". 1f Constant Volume Single Zone HVAC Systems are included in the
<br /> diagnostic testing in aceardance with procedures in the Reft}rflnce Nnnr:�5iderltial Appendix NAZ, L1 scope, permit applicant should move this farlrl to"Yes"- ❑
<br /> DISTRIBUTION(DUCTWORIC AND PIPING} 17 Duct system shall be sealed in accordance with the California Mechanical Cede. (' (i NRCA-MCH-04-A Air Distribution Duct Leakage El ElCD
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<br /> Table Instructions:Complete the fallowing tables to show compliance with mandatory pipe insulation requirements found in 1§ 20.3 and prescriptive requirements found in � (' NRCA-MCH-45-A Air Economizer Controls ❑ ❑ � o � (D
<br /> 140.,4 I for duct leakage testing- NRCA-MCH-06-A Demand Control Ventilation Systems Acceptance must be submitted:for all systems required to employ z3
<br /> Duct Leakage Sealing M.COOLING TOWERS F (0- demand controlled ventilation(refer to§120.1(c)3)can vary outside ventilation flaw rates based on maintaining interior ❑ ❑
<br /> The answers to the questions below Sales Floor No Duct leakage testing triggered for This Section hoes Not Apply carbon dioxide(CO2)concentration setpoints.
<br /> apply to the following duct system's): I these systems? C` ( NRCA-MCH-07-A Supply Fan Variable Flow Controls ❑ ❑
<br /> 11 No The scope of the project includes on ducts stems se healthcare facilites. N.DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION
<br /> p P J Y Y g (-' (0- NRCA-MCH-08-A Valve Leakage Test ❑ ❑
<br /> 12 Yes Duct system provides conditioned air to an occu fables ace for a constant volume,single zone,space-conditioning system. Table Instructions:Selections have been made based an information provided in previous tables of this document-if any selection needs to be changed,please explain why in
<br /> P P R g p g Y (" re NRCA-MCH-09-A Supply Water Temperature Reset Controls ❑ ❑ I�
<br /> Table E.Additional Remarks. These documents must be provided to the building inspector during construction and con be found online athttpswwv_.ene{yyr7,g�Yj
<br /> 13 No The space conditioning system serves less than 5,❑00 ft=of canditivned floor area. f' (01 NRCA-MCH-10-A Hydrnnic System Varial7le Flaw Contrpls ❑ ❑
<br /> t'l ,24 1 rn r 2O n tial Doc_gM ntslN_i
<br /> 14 Yes The combined surface area of the ducts in the following locations is mare than 25%of the total surface area of the entire duct system: Field]n$p ector ( 4 NRCA-MCH-11-A Automatic Demand Shed Controls L] ❑ pttt IA►
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<br /> ❑ Outdoors YES NO Form/T-itle f` ro NRCA•MCH-12-A FDD for Packaged Direct Expansion Units ❑ ❑
<br /> In a space directly under a roof that has a U-factor greater than the U-Factor of the ceiling,or if the roof does not meetthe Pass Fail r (5 NRCA-MCH-13-A Automatic FDD for Air Handling Units and Zone Terminal Units Acceptance El 1:1ARCHITECTS, INC.
<br /> requirements of§140.3{a1IB or if the roof has fixed vents or openings to the outside/unconditioned spaces NRCI-MCH-01-E-Must be submitted for all buildings. ❑ ❑ NRCA-MCH-14-A Distributed Energy Storage DX AC Systems Acceptance
<br /> ❑
<br /> In an unconditioned crawlspace r r NOTE:This form does not automatically move to "Yes", if Distributed Energy Storage DX AC Systems are included in the scope, El a Detroit Avenue
<br /> 0 In other unconditioned spaces O. DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE permit applicant should move this form to"Yes". Lakewood,e Ghia 44157
<br /> NRC -MCH-IS-A Thermal Ener Stara Y v P Phone (216) 521-5134
<br /> 15 No The scope of the project Includes extending an existing duct system,which is constructed,insulated or sealed with asbestos. Energy Storage(TES System Acceptance Table Instructions: Selections have been made based an information provided in previous tables of this document, 1 f any selection needs to be charged,please explain why in Fax 215 521-4824
<br /> The scope of the project includes an existing duct system that is documented to have been previously sealed as confirmed through field verification and Table E.Additional Remarks. These documents must be provided to the building inspector during construction and can be found online at httns:l/wLvw-ener .ca. ovI 4 NOTE:This farm does not automatically move to "Yes". If Chilled Water Storage, ice-Orr-Coil Internal Melt, Ire-on-Coil External
<br /> 16 Na p � � � f 4Y � ❑ CJ Www.adaarchjteCts.cc
<br /> diagnostic testing in accordance with procedures in the Reference Nonresidential Appendix NA2. titie24 2019standards 2029 compliance documents Nonresidential Documents NRCA Melt, Ice harvester, Brine, ice-Slurry,Eutectic Salt,- Clathrate Hydrate Slurry(CHS), Cryogenic orEncapulated(Ice Ball)Systems
<br /> 17 Duct system shall be sealed in accordance with the California Mechanlcal Code. are included in the scope,permit applicant should move this form to "Yes".
<br /> YE5 NO Form/Title Field Inspector { 101NRCA-MCH-16-A Supply Air Temperature Reset Controls ❑ []
<br /> The answers to the questions below Stockroom Duct leakage testing triggered far No Hass Fail
<br /> apply to the following duct system(s): these systems? �" +[`/ NRCA-MCH-17-A Condenser Water Temperature Reset Controls ❑ ❑
<br /> 11 No The scope of the project includes only duct systems serving healthcare facilites. C (a NRCA-MCH-18 Energy Management Control Systems ❑ []
<br /> (' (i NRCA-MCH-19 Occupancy Sensor Controls �p1~�Sj
<br /> 12 Yes Duct system provides conditioned air to an occupiable space For a constant volume,single zone,space-conditioning system. p Y ❑ ❑ e.t M• 5�''9{
<br /> 13 Yes The space conditioning system serves less than 5,000 ft'of conditioned floor area, f! �' NRCA-MCH-20 Multi-Famlly Ventilation ❑ ❑
<br /> 14 No The combined surface area of the ducts in the following locations is more than 25%of the total surface area of the entire duct system: �' (0 NRCA-MCH-21 Multi-Family Envelope Leakage ❑ M334451
<br /> ❑ Outdoors ) 1 ~
<br /> In a space directly under a roof that has a LI-factor greater than the U-Factor of the ceiling,or if the roof does not meet the
<br /> ❑ requirements of J14Q.3La]1B or if the roof has fixed vents or openings to the outside/unconditioned spaces � t '`
<br /> MaACEI
<br /> In an unconditioned crawls ace o.o.e.2aa. 5CES
<br /> p 00001880,0 - res[ACES
<br /> Table Continued [ate'2 33.06'00
<br /> CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:httoWwww.energy.ca.gov/title2412019standards January 2620 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:httD-Www w.energy.ca.govltitie2412019Sig ndard5 January 2020 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http:l/www.energysa.govltltle24J2019standards January 202€} 11161202
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<br /> Mechanical Systems Mechanical Systems Mechanical Systems Q
<br /> NRCC-MCH-E(Created 01120( CALIFORNIA ENERGY COMMISSION NRCC-MCH-E{Created 011201 CALIFORNIA ENERGY COMMISSION NRCC-MCN-E(Created 01120) CALIFORNIA ENERGY COMMISSION Od
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<br /> CERTIFICATE OF COMPLIANCE NRCC-MCH-E CERTIFICATE OF COMPLIANCE NRCC-MCH-E CERTIFICATE OF COMPLIANCE NRCC-MCH-E 00
<br /> Project Name: Family Dollar-Deal#790056 Re ort Page: Page 7 of 9 Project Name: Family Dollar-Deal#790056 Re ort Page: Page 8 of 9 Project Name: Family Dollar-Deal#790056 lReport Page: Page 9 of 9 �
<br /> Project Address: 3233 W.Hammer Lane,Stockton,CA 95209 t)ate Prepared: 2020-01-1 Project Address: 3233 W. Hammer Lane,Stockton,CA 95209 JDate Prepared: 2020-01-14 Project Address: 3233 W. Hammer Lane,Stockton,CA 95209 113ate Prepared: 2020-D1-1
<br /> P_ DECLARATION OF REQUIRED CERTIFICATES OF VERIFICATION Q. MANDATORY MEASURES DOCUMENTATION LOCATION DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
<br /> 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 Table instructions:Indicate where mandatory measures are documented in the pion set or construction documentation. For any mandatory measures that do not apply, mark 1. 1 certify that this Certificate of Compliance documentation is accurate and complete- _J LL
<br /> 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 the plan sheet or construction document location cos "N/A ,any active cells that are left blank will result in non-comphonce in Table C.
<br /> Documentation Author Name: Sean Moyer Documentatioln Author Si nature: Q
<br /> reated by a HERS Providers registry, but drafts can be found online at 11tt s: www.ener .ca- ov title24 2O19stondards 2019 cvm Ironic documents 02 g L1J M (N
<br /> Nonresidential Documents 1VRCV Ol _V L
<br /> Plan sheet or construction document location Company: Dunham Associates of Minnesota Signature Date: 111612020 -] 0 Q Ll_1
<br /> Field Inspector J �'
<br /> YES NO Form/Title Compliance with Mandatory Measures documented through No Address: 50 South Sixth St,Suite 1100 CEA/HERS Certification Identification(if applicable Ii J C¢]
<br /> Pass Fail MCH Mandatory Measures Note Block: LLJ
<br /> City/State/Zip: Minneapolis,MN 55442 Phone: 612-465-7550 = <
<br /> NRCV MCH 04 H Duct Leakage Test 03 04 O Z
<br /> 1' ❑ ❑ RESPONSIBLE PERSONS DECLARATION STATEMENT I--
<br /> NOTE:Must be completed by a HERS Rater
<br /> Mandatory Measure Plan sheet or construction document.location I certify the following under penalty of perjury,under the laws of the State of California: J V C]
<br /> NRCV-MCH-24 Enclosure Air Leakage Worksheet Heating,Equipment Efficiency per 310.1 MP2 J CD
<br /> (` ❑ ❑ 1. The information provided on this Certificate of Compliance is true and Carrott. � J
<br /> !NOTE:Must be completed by a HERS Rater CoolingEquipment Efficiency per 110.1 MP2 [r)
<br /> 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility far the building design or system design identified on th Is Certificate of nj - <
<br /> NRCV-MCH-27 High-rise Residential ❑ ❑ Furnace Standby Loss Control per110.2 d N/A Compliance(responsible designer) ❑ Q z
<br /> NOTE:Must be completed by a HERS RaterJ d LY
<br /> Duet insulation per 124.4 MP3 3.The energy features and performance specifications,materials,Components,and manufactured devices for the building design or system design identified on this J <
<br /> r, NRCV-MCH-32 Local Mechanical Exhaust ❑ ❑ }seating Hot Water Equipment Efficiency per 110.1 1V/A Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations. � J w �
<br /> NOTE:Must be completed by a HERS Rater Cooling Chilled and Condenser Water Equipment Efficiency per JLLO.1 N/A 4.The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable < : 0
<br /> compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. �'� Q C)Open and Closed Circuit Coaling Towers conductivity of flow based controls per 110.2 e 1 N/A 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 (::) = )-
<br /> Open and Closed Circuit Cooling Towers Flow Meter with aria log output per§1ID.2 e3 N/A 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 �] ,_,I
<br /> Open and Closed Circuit Cooling Towers Overflow Alarm per 110.2 e4 N/A documentation the builder provides to the building owner at occupancy. 1 0
<br /> ripen and Closed Circuit Cooling Towers Efficient Drift Eliminators per§110.2(e)5 N/A Responsible Designer Name: Greg Steinmetz Responsible Designer Signature: o. ,o ,d
<br /> It Pipe Insulation per 120.3 b N/A Company: Dunham Associates of Minnesota Date Signed: 11161202 � a.o,;e
<br /> Combustion air shutoff,combustion air fan controls and stack design and controls for N/A
<br /> boilers per120.9 Address: 50 South Sixth St,Suite 1100 License: M33481
<br /> Heat Pump with Supplementary Electric Resistance Heater Controls per JILQ.2tb MP3 City/State/Zip: (Minneapolis,MN 55442 Phone: 512-465-7550
<br /> The air duct and plenum system is designed per§12Q.4taldf] MPI& MP3
<br /> Kitchien range Floods shall be rated for sound in accordance with Section 7.2 of ASHRAE a
<br /> 62.2 NIA
<br /> sheet
<br /> CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:htta1(www.energy.ca.govltitlg2412019standards January 2020 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:htto://www,energy.ca.gov/tit€e2412019standards January 2020 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:hlftp.ilwww.energy.ca.gov/titte24/20IL9standard!i January2020
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