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<br /> STATE OF CAI IFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> Domestic Water Heating System Domestic Water Heating System Domestic Water Heating System
<br /> NRCC-PLB-E(Created 11/19) CALIFORNIA ENERGY COMMISSION NRCC-PLB-E(Created 11/19) CALIFORNIA ENERGY COMMISSION NRCC-PLB-E 1Created 11/191 CALIFORNIA ENERGY COMMISSION }C n
<br /> CERTIFICATE OF COMPLIANCE NRCC-PLB-E CERTIFICATE OF COMPLIANCE NRCC-PLB-E CERTIFICATE OF COMPLIANCE NRCC-PLB-E 1D
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<br /> This document is used to demonstrate compliance for nonresidential occupancies with requirements in§1X0.1§IID�3 §320,3,land 40.5 and with requirements in 241.0 for Project Name: Family Dollar-Deal#790056 Report Page: Page 2 of 5 Project Name: Family Dollar-Deal#790056 Report Page; Page 3 of 5 K4o � Ci
<br /> additions and alterations,for domestic water heating scopes using the prescriptive path. For high-rise residential and hotel/motel occupancies,compliance is demonstrated with Project Address: 3233 W. Hammer Lane,Stockton,CA 95209 Date Prepared: 2020-01-14 Project Address: 3233 W.Hammer Lane,Stockton,CA 95209 Date Prepared: 2020-01-14 � r a ° c
<br /> requirements in�I20. LO
<br /> 2, §I2-¢.3a�20�3§ISD�Q and§IO,I[r�8, and with requirements in§150.2 for additions and alterations. o .� LL c°l
<br /> Project Name: Family Dollar-Deal#790055 lReport Page: Page 1 of 5 1 D.EXCEPTIONAL CONDITIONS � w N u'
<br /> TABLE 120.3-A PIPE INSULATION THICKNESS m ° E
<br /> Project Address: 3233 W. Hammer Lane,Stockton,CA 95209 Date Prepared: 2020-01-141 This table is auto filled with unedltable comments because of selections made ordato entered in tables throughout the form. Q MLO
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<br /> A.GENERAL INFORMATION No exceptional conditions apply to this project. Nominal Pipe Diameter(in) = H Si I Lo E
<br /> 07 Project Location(city) Stockton 102 1climate Zone ]2 Conductivity Range Insulation Mean Rating ZQ iii .o N C U
<br /> 03 Occupancy Types Within Project(select all that apply): Fluid Temperature Range('r) p z c1 1 to t 1.5 1.5 tot 4 E 3 C
<br /> E.ADDITIONAL REMARKS (13W-in per hour per ft per"F Temp("f) D t o Cd
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<br /> Q Nonresidential EJ High Rise Residential Ej Hotel/Motel This table includes remarks made 6 the ermita licant to the Authority Having Jurisdiction. a 0 � 0 m a
<br /> Y p pP Y 9 Minimum Insulation Required o � � a � E
<br /> E:] State Building [] Healthcare Facility (] Other(Write In):
<br /> B.PROJECT SCOPE 105-140 0,22-0.28 100 lA in or R-7.7 T
<br /> 1.5 in or R-12.5 1.5 in or R-11
<br /> Table instructions:Include any domestic water heating systems that are within the scope of the permit application and are demonstrating compliance using the prescriptive F.DOMESTIC HOT WATER EQUIPMENT
<br /> paths outlined in ]§ 40.5 §I50.1tc18 and 14I,0 o ar§141.01b1ZN for additions or alterations. Solar water heating systems should be documented on the NRCC-SRAH. DOMESTIC HOT WATER SYSTEM CONTROLS
<br /> compliance document. Combined hydronic water heating systems should be documented on the NRCC-MCN compliance document. This 5ectiara Does Not Apply
<br /> This Section Does Not Apply
<br /> 01 02 03
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<br /> My project consists of(check all that apply): System Type.'
<br /> Equipment Schedule:Indivldua!Systems System Components I. DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION
<br /> New System(DHW system being installed for the first DI d2 03 Q4 05 D5
<br /> (] � Equipment []Distribution � Controls Minimum Table instructions:Selections hove been made based on information provided in previous rabies of this document.if any selection needs to be changed please explain why in �
<br /> time in newly constructed building) Max GPM/First Rated Uniform Table E.Additional Remarks. These documents must be provided to the building inspector during construction and can be found online at https.y/www.energy.ca, ov
<br /> Name or Required L
<br /> Equipment Type Volume(gal) Hour Rating Energy Factor titie2412019stondard 2019 compliance documentslNor�residenriol DocumentsANRCII
<br /> Item Tag (FHR) (UEF) Uniform Energy
<br /> Q System Alteration(equipment,distribution or controls) Individual System(serving nonresidential spaces)' 0 Equipment Q Distribution [] Controls Factor(UEF)' YES NO Form/Title Field Inspector _0
<br /> WH-1 Electric Storage 30-39 IS!;FHR t 51 0.92 0-92 mass Fail
<br /> � NRCI•PLB-Ol-E-Must be submitted for all buildings L1 0
<br /> 'FOOTNOTE:Paint of use water heaters,or other non-central systems used to serve nonresidential spaces,are considered individual systems. NRCI-PLB-02•E •Must be submitted for high-rise residentlai and hotel/motel central hot water distribution systems to be >
<br /> Dwelling units refers to hatelf motel guest rooms and units in a high-rise residential occupancy. ,
<br /> FOOTNOTE.-Compliant equipment may be found in the Modernized Appliance Efficiency Database System tMAED85j an the Energy Commission website:haps:/1 r � recognized for compliance.
<br /> C. COMPLIANCE RESULTS catertoppliantes.energy.ta.gav/Pages/Scorch/Advortted5eclrrh.ospx NRCI-PLB-03-E-Must be submitted for high-rise residential and hotel/motel single dwelling unit hot ulster distribution ❑ ❑
<br /> Table instructions:Table C will indicate if the project data input into the compliance document is compliant with water heating requirements. This table is not editable by the
<br /> isystems to be recognized for compliance. <L>
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<br /> user. if this table says'"DOES NOT CUMALY"or"COMPLiES with Exceptional Conditions"refer to Table D-,or the table indicated as not compliant for guidance. G.DOMESTIC HOT WATER DISTRIBUTION SYSTEM N a
<br /> Table instructions:Complete the folio wong table to demonstrate compliance for nonresidential occupancies with distribution requirements in 5120.3 and§140.5. for high-rise J. DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE g
<br /> al 02 03 04 residential and hotellmatel Occupancies,compliance is demonstrated with requirements in c 17 . 34 5110 §�2�- �' co
<br /> p 1? Q �� There are no Certificates of Arceptonce applicable to servile wafer heating requirements. '� n3
<br /> Domestic Hot Water Equipment Distribution Systems Controls Compliance Results Mandatory Pipe Insulation All Occupancies 2 E
<br /> (See Table F) (See Table G) t5ee Table H) For systems serving nonresidential spaces,pipe insulation for the following applications is specified to comply with Table 120.3-A(see below)per§124.3:
<br /> Yes Yes COMPLIES 12 -Recirculating system piping,including supply and return piping of the water heater
<br /> The first 8 ft of hot and cold outlet piping for a nonrecirculating storage system
<br /> Pipes that are externally heated
<br /> 13 ZInsulation shall be protected from damage,including that due to sunlight,moisture,equipment maintenance,and wind. Insulation exposed to weather
<br /> shall be installed with a cover suitable for outdoor service per J120.3Lb.and 115g.OW 3
<br /> Table Continued
<br /> CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http Jlwww.enema.ca.goyltit€e24/2019s;andards November 2019 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http:/Ywww energy.ca-aoy/iitle24/Z419standard5 November 2019 CA 9uilding Energy Efficiency Standards-2019 Nonresidential Compliance:h"p j/www energy.ca.eovltitle24I2019standards November 20!9 p
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<br /> STATE OF CALIFORNIA STATE OF CALIFORNIA N
<br /> Domestic Water Heating System Domestic Water Heating SystemLnL
<br /> NRCC-PID-L;Created 11/19 •CALIFORNIA ENERGY COMMISSION NRCC-PLB-E(Created 11/19) CALIFORNIA ENERGY COMMISSION �
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<br /> CERTIFICATE OF COMPLIANCE NRCC-PLB-E CERTIFICATE OF COMPLIANCE NRCC-PLB-E
<br /> Project Name: Family Dollar-Deal#790056 lReport Page: Page 4 of 5 Project Name: Family Dollar-Deal#1790056 lReport Page: Page 5 of 5
<br /> Project Address: 3233 W.Hammer Lane,Stockton,CA 95209 fate Prepared: 2020-01.1.4 Project Address: 3233 W. Hammer Lane,Stockton,CA 95209 Date Prepared; 2020-01-14 CDCD CD X04
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<br /> K. DECLARATION OF REQUIRED CERTIFICATES OF VERIFICATION DOCUMENTATION AUTHOR'S DECLARATION STATEMENT o 0
<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 ill I certify that this Certificate of Compliance documentation is accurate and Complete CD
<br /> Table E.Additional Remarks. These documents must be completed by a HERS Hater and provided to the building inspector during construction. The final documents must be
<br /> created by a HERS Providers registry,but drafts can be found online at httns:l/www.energy+.�o�ay�lrt1 24�0 ,Eitandardsl2g19 ormng i ace documents/ Documentation Author Name: Sean Mayer Documentation Author Signature:
<br /> Nonresidential D m ,1 s NRCV1 Company: Dunham Associates of Minnesota, Inc. Signature trate: 1116/2020
<br /> Field Inspector _C3
<br /> YES NO Farm/Title Address: 50 South Sixth Street CEA/HERS Certification Identification(if applicable);
<br /> Pass Fall o� U
<br /> (' (01 NRCV PLB 21 H High-rise Residential Central Hot Water Distribution HERS Verification City/State/Zip: Minneapolis,MN 55402 Phone: 61.2465-7550 CDU
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<br /> +•` 4 NRCV-PLB-22-H High-rise Residential Individual(]welling Unit Hat Water Distribution HERS Verifications � � RESPONSIBLE PERSON'S DECLARATION STATEMENT
<br /> I certify the following under penalty of perjury,under the laws of the State of California:
<br /> 1. The information provided on this Certificate of Compliance is true and correct,
<br /> 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
<br /> Compliance(responsible designer) III •mill III
<br /> 3. The energy features and performance specifications,materials,Components,and manufactured devices for the bmIldiIng design or system design identified on this
<br /> Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations.
<br /> ,I 111111 II 111111
<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
<br /> compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application.
<br /> 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 ARCHITECTS, INC.
<br /> to the enforcement agency for ail applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the
<br /> documentation the builder provides to the building owner at occupancy. 17710 Detroit Avenue
<br /> Responsible Designer flame. Greg Steinmetz Responsible Designer Signature: p .7g�g42 aooylDo.,,.Ao,osso oo,4ss Lakewood, Ohio 44107
<br /> Company: Dunham Associates of Minnesota, 11)c. Date Signed: 111612020 Onlcen1 Al ESI'nafwiaed ndhdu al.0 U5 Phone (216) 521-5134
<br /> Date:2020.01.1608-4724-6 00 Fax (215)521-4824
<br /> Address: 50 South Sixth Street License: M33.481 www.adaarchitects.cc
<br /> City/StateJZip: Minneapolis,MN 55402 Phone: 612-465-7550
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<br /> CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:htto:/Iwww.energy.ca.gov/title2412019standards November 2019 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:htt�:/iwww.energy.ca.gov/titte24/2019standards November 2019
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