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0 <br /> DUNHAM Mi <br /> STATE OF CAL MgVA STA-F OF CALIFORNIA `T.=.-ri:= Dunham Associates of Minnesota, Inc. <br /> Mechanical Systems Domestic Water Heating SystemDomestic Water Heating System 50 South Sixth Street/Suite 1100 <br /> NRCC-MCH-E(Created 8120) CALIFORNIA ENERGY COMMISSION NRC:-PLB-E(Created I1/19) CALIFORNIA ENERGY COMMISSION JU NRC:-PLB-E(Created 11/191 CALIFORNIA ENERGY COMMISSION Minneapolis,Minnesota 55402-1540 <br /> CERTIFICATE OF COMPLIANCE NRCC-MCH-E CERTIFICATE OF COMPLIANCE NRCC-PLB-E CERTIFICATE OF COMPLIANCE NRCC-PLB-E <br /> Project Name: See's Candies Report Page: Page 10 of 10 This document is used to demonstrate compliance for nonresidential occupancies with requirements in _M-_1 ort Page: Page 2 of S PHONE 612.465.7550 FAx 612.465.7551 <br /> ,3 and 0_5,and with re uirements in 141,0for Pro1ect Name: Sees Candies <br /> WEB dunhameng.com <br /> Project Address- 2164 Daniels St-Manteca,CA 95337 JDate Prepared: 2020-08-03 additions and alterations,for domestic water heating scopes using the prescriptive path. For h gh-rise residential and hotel/motel occupancies,compliance is demonstrated with Project Address: 2164 Daniels St.Manteca,CA 95337 Date Prepared: 2020-08-03 <br /> requirements in§110.1§I10_3 110.3 150.0 and§150.1 c B,and with requirements in§1502 for additions and alterations. mechanical +electrical consulting engineering <br /> DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 6 Project Name: See's Candies IReport Page: Page 1 of S D.EXCEPTIONAL CONDITIONS <br /> PROJECT NO. 0421743-001 <br /> 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. lProject Address: 2164 Daniels St.Manteca,CA 95337 IDate Prepared: 2020-08-03 Thi;table is auto-filled with uneditable comments because of selections made or data entered in tables throughout the form. <br /> r <br /> Documentation Author Name: Dan Sjostrand Documentation Author Signature: S A.GENERAL INFORMATION Noexception al conditions app IV to this project. <br /> Company: Dunham Associates of Minnesota, Inc. Signature Date: 8/11/2020 01 Project Location(city) Manteca 02 Climate Zone 12 �01=E5S1� <br /> 0. Occupancy Types Within Project(select all that apply): Q nn s4 <br /> Address: 50 South Sixth Street,Suite 1100 CEA/HERS Certification Identification(if applicable): E.ADDITIONAL REMARKS M. C <br /> Q Nonresidential High-Rise Residential Hotel/Motel Dio�go <br /> Ihi;table includes remarks made by the permit applicant to the Authority Having Jurisdiction. M Steinmetz, <br /> City/State/Zip: Minneapolis, MN 55402 Phone: 612 465 7550 A01410000 7 356AA800001168,0=una <br /> State Building Healthcare Facility Other(Write In): OU= . 418.11 06:22:05-0500" <br /> RESPONSIBLE PERSON'S DECLARATION STATEMENT In W M33481 (n <br /> I certify the following under penalty of perjury,under the laws of the State of California: B.PROJECT SCOPE - V N [71 <br /> 1. The information provided on this Certificate of Compliance is true and correct. 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 SCS Zv <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 paths outlined in1§ 40.5.§150.1([)8,and 141.0 a or§141.0(b)2Nf s or additions or alterations, Solar water heating * v * <br /> ystems should be doculrtented on the NRCC-SRA Table instructions:Complete the following table Io demonstrate compliance with mandatory equipment requirements in 0.1 and§112]1.3. For high-rise residential and hotel/ S Q <br /> Compliance(responsible designer) conplionce document. Combined hydron(c water heating systems should be documented on the NRCC-MCH compliance document. T.9 CHAN <br /> 3. The energy features and performance specifications,materials,components,and manufactured devices for the building design or system design identified on this Ol 02 03 motel accupancies,compliance with prescriptive requirements in§150.11[18 must also be demonstrated and with§15Uforaddition and alteration scopes. SOF CA1 tPp4t <br /> Equipment Schedule:Individual Systems 8/11/2020 <br /> Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations. My project consists of(check all that apply): System Type!' iystem Components <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 01 02 03 04 OS 06 <br /> New System(DHW system being installed for the first 111111111 <br /> compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. ElEquipment E]Distribution Controls Minimum <br /> time in newly constructed building) Max GPM/First Rated Uniform <br /> 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 Norrie or Required <br /> 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 Item Ta Equipment Type Volume(gal) Hour Rating Energy Factor Uniform Ener <br /> g y pP P P g P q & (FHR) (U EF) gY <br /> documentation the builder provides to the building owner at occupancy. dint.11y si edb rn SU&etz Q System Alteration(equipment,distribution o,controls) Individual System(serving nonresidential spares)' FZ Equipment Q Distribution Q Controls Factor(UEF)' <br /> Responsible Designer Name: Gregory M.Steinmetz Responsible Designer Signature: ou=A0141 .0117275356AAB019 6W-Mt 116B, WH-1 Electric Storage 30-39 18 5 FHR<51 0.92 0.92 <br /> Company: Dunham Associates of Minnesota,Inc. Date Signed: 8/11/2020 Dale: 020.08.11 0s:22:25-05.00• 'FOOTNOTE:Point of use water heaters,or other non-central systems used to serve nonres ider tial spaces,are considered individual systems. <br /> Address: 50 South Sixth Street,Suite 1100 License: M33481 'Dvelling units refers to hotel/motel guest rooms and units in a high-rise residential occupancy. 'FOOTNOTE:Compliant equipment may be found in the Modernized Applionce Efficiency Database 5y5tem(MAED85)on the Energy Commisnon website:https:// La�� <br /> City/State/Zip: Minneapolis,MN 55402 Phone: 612-465-7550 C.COMPLIANCE RESULTS cacertapplionces.energy.ca.gav/Pages/5eorch1Advanced5eorch.aspx <br /> Tobe Instructions:Table C will indicote if the prolect do to input into the complionce document s compliant with water heating requirements. This table is not editoble by the Water Heating Equipment All Occupancies MBA Architects Inc. <br /> user. If this table says"DOES NOT COMPLY"or"COMPLIES with Exceptional Conditions"refer to Table D.,or the table indicated as not compfant for guidance. Not <br /> 01 02 03 D4 Yes No Applicable Requirement N5560 CTH ZM, SUITE 3 <br /> Domestic Hot Water Equipment Distribution Systems Controls L8 C ( (0- Unfired storage tank insulation shall have Internal+External>R-16 OR External> c R-12.Label required per 110 3 3 Onalaska, WI. 54650 <br /> Compliance Results L9 ce New state buildings 60%of energy for service water heating from site solar energy or recovered energy per§110.3([)5 <br /> (See Table F) (See Table G) (See Table H; 608-785-2760 CELL: 507-458-8034 <br /> Yes Yes Yes COMPLIES 20 C F (9- Isolation valves for instantaneous water heater with input rating>6.8 kl3TUH or 2 kW has beet specified per§110.3(06 E-mail: mbapm.tim®gmail.eom <br /> G.DOMESTIC HOT WATER DISTRIBUTION SYSTEM <br /> Table instructions:Complete the following table to demonstrate compliance for nonresidential occupancies with distribution requirements in§120 3 and 140.5. For high-rise <br /> resdentiol and hotel/motel occupancies,compliance is demonstrated with requirements in 110.3c 110. 1 0.0 1 0.1. <br /> Table Continued <br /> CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.energy.ca.gov/title24/2019standards August 2020 CA 3uilding Energy Efficiency Standards-2019 Nonres dentia)Compliance:http://www.energy.ca.gov/title24/2019standards November 2019 CA 3uilding Energy Efficiency Standards-2019 Nonres dential Compliance:http:/Jwww.energy-ca.gov/title24/2019standards November 2019 <br /> CLIENT'S SF-94 <br /> STORE NUMBER <br /> STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA <br /> Domestic Water Heating System Domestic Water Heating System Domestic Water Heating System <br /> NRC_-PLB-E(Created 11119} CALIFORNIA ENERGY COMMISSION NRCC-PLB-E(Created 11/19) CALIFORNIA ENERGY COMMISSION NRC_-PLB-E(Created 11/19) CALIFORNIA ENERGY COMMISSION <br /> CERTIFICATE OF COMPLIANCENRCC-PLS-E CERTIFICATE OF COMPLIANCE NRCC-PLB-E 'CERTIFICATE OF COMPLIANCE NRCC-PLB-E S E E' S CANDIES <br /> Project Name: See's Candies71Page 3 of S, Project Name: See's Candies Report Page: Page 4 of S Project Name: See's Candies Report Page: Page 5 of S <br /> Report Page: <br /> Project Address: 2164 Daniels St.Manteca,CA 95337 Date Prepared: 2020-08-031 Project Address: 2164 Daniels St.Manteca,CA 95337 Date Prepared: 2020 OS 03 Project Address: 2164 Daniels St.Manteca,CA 95337 Date Prepared: 2020-08-03 <br /> Table Continued I. DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION DOCUMENTATION AUTHOR'S DECLARATION STATEMENT <br /> Mandatory Pipe Insulation All Occupancies Table Instructions:Selections have been mode 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 <br /> For systems serving nonresidential spaces,pipe insulation for the following applications is specified to comply with Table 120.3-A(see below)per14 20.3: Table E-Additional Remarks.These documents must be provided to the building inspector during construction and can be found online at httos:/f www.eneray.co.gov l <br /> -Recirculating systempiping,including supply and return piping of the water heater i i 24 201 t ndards 101 compliance o um n s N nr std ntial Oocum n NRC( Documentation Author Name: Dan Sjostrand Documentation Author Signature: S <br /> 12 � g Y g PPY PP g <br /> The first 8 ft of hot and cold outlet piping for a nonrecirculating storage system Field Inspector Company: Dunham Associates of Minnesota, Inc. Signature Date, 8/11/2020 <br /> Pipes that are externally heated YES NO Form/Title <br /> Pass Fail Address: 50 South Sixth Street,Suite 1100 CEA/HERS Certification Identification(if applicable): <br /> Insulation shall be protected from damage,including that due to sunlight:moisture,equipment maintenance,and wind. Insulation exposed to weather M A N T E CA, CA 95336 <br /> 13 (9 NRCI-PLB-01-E-Must be submitted for all buildings 11 El be installed with a cover suitable for outdoor service per 12§ 0.31b1 and 150.0 3 City/State/Zip: Minneapolis, MN 55402 Phone: 612-465-7550 <br /> G <br /> NRCI-PLS-02-E-Must be submitted for high-rise residential and hotel/motel central hot water distribution systems to be <br /> f' ❑ ❑ RESPONSIBLE PERSON'S DECLARATION STATEMENT <br /> TABLE 120.3-A PIPE INSULATION THICKNESS recognized for compliance. <br /> I certify the following under penalty of perjury,.ender the laws of the State of California: <br /> (0- NRCI-PLB-03-E-Must be submitted for high-rise residential and hotel/motel single dwelling unit hot water distribution <br /> Nominal Pipe Diameter(in) systems to be recognized for compliance. ❑ 1:11. The information provided on this Certificate of Compliance is true and correct. oss <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 ofConductivity Range Insulation Mean Rating Compliance(responsible designer) <br /> Fluid Temperature Range(°F) <1 1 to< 1 S 1.5 to<4 .DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE al <br /> (Btu-in per hour per ft'per°F) Temp(°F) 3. The energy features and performance specifications,materials,components,and manufactured devices for the building design or system design identified on this <br /> There are no Certificates of Acceptance applicable to service water heating requirements. Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations. O <br /> Minimum Insulation Required D <br /> 4. "he building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicableIF=/-�-�\, <br /> K. DECLARATION OF REQUIRED CERTIFICATES OF VERIFICATION compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. IC <br /> 105.140 0.22.0.28 100 1.0 in or R-7.7 1.5 in or R-12.5 1.5 in or R-11 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 S. I will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permits)issued for the building,and made available <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 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 3423 S LA. CIENEGA BLVD. <br /> H.DOMESTIC HOT WATER SYSTEM CONTROLS 0 created by a HERS Providers registry,but drafts can be found online at httas//www.enerav.ca.aov/title2412019standards/2019 compliance documentsl documentation the builder provides to the building owner at occupancy. LOS ANGELES, CIA 90016 <br /> Nonresidential Documents NRCV eg reinmetz, <br /> Responsible Desi <br /> Table Instructions:Complete the following table to demonstrate compliance with controls req uvements in SI 0,3 for all occupancies. For high-rise residential and hotel/motel gner Name; Gregory M.Steinmetz Respcnsible Designer Signature: <br /> OU-AMnatlihale-U. <br /> 00017275a56AAB00 16B, PH: 310/287-4616 <br /> occupancies,compliance is demonstrated with requirements in§150.11[18. Field Inspector _ <br /> P P q YES NO Form/Title Pass Fail Company: Dunham Associates of Minnesota, Inc. Date Signed: 8/11/2020 Date:2020.08.11 06:22:16-05'00' FAX: 310/842-4436 <br /> Yes No Not Requirement Address: 50 South Sixth Street,Suite 1100 license: M3348: <br /> Applicable f r NRCV-PLB-21-H High-rise Residential Central Hot Water Distribution HERS Verification El E <br /> 01 Construction documents require manufacturer certification that service water-heating systems are equipped with automatic ( (0- NRCV-PLB-22-H High-rise Residential Individual Dwelling Unit Hot Water Distribution HERS Verification ❑ ❑ City/State/Zip: Minneapolis, MN 55402 Phone: 612-465-7550 SEE'S CONTACT <br /> temperature controls capable of adjusting temperature settings per§110.3(a) RICHARD ESCALANTE <br /> 02 ( Systems with capacity>167,000 BTUH equipped with outlet temperature controls per§110.31[)1 unless covered by California 310/ 287-4616 <br /> Plcmbing Code Section 613.0. <br /> 03 ( Controls for circulating pumps or electrical heat:race systems are capable of automatically turning off the system per§110.3([)2 <br /> unless system serves healthcare facility. Tint R. Benson <br /> 04 r For recirculation systems serving multiple dwelling units,design includes automatic pump controls per§150.1(c)8Bii,or 150.2 for ARCHITECT'S PROJECT MANAGER <br /> additions or alterations <br /> 608/ 785-2760 <br /> 05 C For recirculation systems serving individual dwelling units,design includes manual on/off controls as specified in Reference <br /> Appendix RA4.4. per§150.11[18. <br /> O <br /> 06 ( For replacement single heat pump water heaters serving individual dwelling units in climate zones 1-1S,design includes 'E V <br /> communication interface that meets demand responsive control requirements of§110. 2 O01 - <br /> CC E 4.3 -6 <br /> O L C C <br /> date 5 -0 c. 5 > comments <br /> CA 3uilding Energy Efficiency Standards-2019 Nonres dential Compliance:http://www.energy.ca.gov/title24/2019&tandards November 2019 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.energy.ca.gov/title24/2019standards November 2019 CA 3uilding Energy Efficiency Standards-2019 Nonres dential Compliance:http://www.erergy.ca.gov/title24/2019standards November 2019 AS <br /> 07/03/20 O <br /> BUILTPRELIM <br /> REVIEW 07/31/200 0 <br /> BID/ <br /> PERMIT 08/11/20 0 0 0 0 0 <br /> drawn by: checked by: <br /> DS GS <br /> THIS SHEET CONTAINS: <br /> CALIFORNIA <br /> PLUMBING <br /> TITLE 24 FORMS <br /> M3 <br /> ARCHITECT'S COMMISSION NUMBER <br /> 20 - 1010 . 005 <br />