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BCOM2014-1040 Certificate of ComplianceSTATE OF CALIFORNIA INDOOR LIGHTING CEC—NRCC—LTI—OI—E Revised 06/13) CALIFORNIA ENERGY COMMISSION CERTIFCAIEOFCCMPUANCE USERINSTRUCTIONS NRCC-LTI-01-EJ Indoor Lighting age 1o Project Name: JERSEY MIKE'S Date Prepared: 11-11-14 (mate one: 10 on LtloneFloorArea: 1401 Indoor Lighting Power for Conditioned Spaces In oor Lig ting Power for Unconditioned Spaces Unconditioned F oor rea: Installed Lighting NRCC LTI 01 E page 4 General n ormatlon Installed Lighting NRCC LTI 01 E page 4 Watts ul Ing ype: ❑ Schools ® NonresidentialHigh ❑ Relocatable Public Schools RiseResdentialp ❑ Conditioned Spaces ote to ❑ Uncalditionld Spaces Phased Construction: ❑ New Construction ❑ Additin ❑ Alteration MethodofCompliance: ❑ Complete Building ® AreaCategoly ❑ Tailored LIGHTINGCOMPLIANCDOCUM ENTS(sele t yes for eadi document irtduded) For detoileiinstu` nsontheuseothisonda EnergyEfficiencyStan ordionpliorre documentsrefertothe Nonlesident6Monuolpudishedbythe CaivniaEnergyComrrission. YES NO FORM TITLE X NRCC-LTI-01-E CertificateofCompliance All Pagesrequiredonplansforallsubmittals. X NRCC-LTI-02-E LightingControlsQrtificateofCompliancpndPAFCalculatmn. All Pagesrequiredonplansforallsubmittals. X NRCC-LTI-03-E Indoor Lighting PowerAllowance X NRCC-LTI-04-E Tailored Method Worksheets X NRCC-LTI-05-E Line Voltage Track Lighting Worksheets Summary of Allowed Lighting Power Con itione an Uncon itione space Lighting must not a combined or compliance Indoor Lighting Power for Conditioned Spaces In oor Lig ting Power for Unconditioned Spaces 1. Installed Lighting NRCC LTI 01 E page 4 alts Installed Lighting NRCC LTI 01 E page 4 Watts + 1530 + z PORTABLE ONLY FOR OFFICES NRCC LTI 01 E page 3 + 3 Minus Lighting Control Credits NRCC LTI 01 E page 2 Minus Lighting Control Credits NRCC LTI 01 E page 2 4 A juste Installed Lighting Power row 1 plus row 2 minus row 3 = 1530 Adjusted Installed Lighting Power row 1 minus row 3 _ — CA Building Energy Efficiency Standaids 2013 Nonresidential Compliance � 1 p� 1 V M CIIL TY OF LDING A QUINTA BUILDING DEPT. FOR CONRS®vED ON DATE % I7 BY ,20+ la4o June 2014 STATE OF CAUFORNIA INDOOR LIGHTING i Mi, EC—NRCC—LTI-01—E (Revised 06/13) CALIFORNIA ENERGY COMMISSION "ter CERTIFICATE OF COMPLIANCE USER INSTRUCTIONS NRCC LTI 01 E Indoor Lighting (Page 2 of 5) Project Name: JERSEY MIKE'S Date Prepared: 11-11-14 5. Complies ONLY if Installed Allowed Complies ONLY if Installed Allowed NO 6. Allowed Lighting Power Conditioned NRCC LTI 03 E, page 1 1 sa3�Unco, Allowed Lighting Power nditio ned NRCC LTI 03 Epage 1 NRCI LTI 01 E Must be subm itted for all bui (dings Declaration of Required Installation Certificates Declare by selecting yes for all Installation Certificates that will be submitted. (Retain copies and verify forms are completed and signed.) YES NO Form/Title x NRCI LTI 01 E Must be subm itted for all bui (dings Field Inspector x NRCI LTI 02 E Must be submitted for a lighting control system, or for an Energy Management Control System (EMCS), Field Inspector to be recognized for compliance. NRCI LTI 03 E Must be submitted for aline voltage track lighting integral current limiter, or for a supplementary Field Inspector X overcurrent protection panel used to energize only line voltage track lighting, to be recognized for compliance. x NRCI LTI 04 E Must be submitted for two interlocked systems serving an auditorium, a convention center, a Field Inspector conference room, a multipurpose room, ora theater to be recognized for compliance. x NRCI LTI 05 E Must be submitted for a Power Adjustment Factor (PAF) to be recognized for compliance. Field Inspector NRCI LTI 06 E Must be submitted for additional wattage installed in a video conferencing studio to be recognized for Field Inspector xI compliance. Declaration of Required Certificates of Acceptance Decla re by checking all of the Certificates of Acceptance that will be submitted. (Retain copies and verify forms are completed and signed.) YES NO Form/Title x NRCA LTI 02 E Must be submitted for occupancy sensors and automa tic time switch controls. Field Inspector NRCA LTI 03 E Must be submitted for automatic daylight controls. Field Inspector NRCA LTI 04 E Must be submitted for demand responsive lighting controls. Field Inspector CA Building Energy Efficiency Standards 2013 Nonresidential Compliance lune 2014 G STATE OF CALIFORNIA INDOOR LIGHTING ft CEC—NRCC—LTI-01—E (Revised 06/13) CALIFORNIA ENERGY COMMISSION CERTIFCATEOFCCMPLIANCE USERINSTRUMNS NRCC-LTI-01-E Indoor LightingPage 4 of 5 Project Name: JERSEY MIKE'S Date Prepared: 11-11-14 A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Space. Installed Lighting Power listed on this Lighting Schedule is only for: ® CONDITIOJEDSPACE . ❑ UNCCNDITIONEESPACE • •[#1►�UI�I�I;�[el:��l►[���:I��111�#1TIdl���]1►[,'1������li'>I�I�:ZH'L�la��l;l�f•'>I Luminai Installe-LI'Mts001 • r. • E I= Complete Luminaire Description (i.e, 3 lamp fluorescent troffer, F32T8,one, dimmable b. a n _Primary ,.. ., Function a KITCHEN/SERVICE AREA ®I44111 CA Building Energy Efficiency Standards 2013 Nonresidential Compliance s June 2014 STATE OF CALIFORNIA INDOOR LIGHTING CEC—NRCC—LTI-01—E Revised 06/13) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE - USER INSTRUCTIONS NRCC- LTI-OS-E Indoor Lighting (Page 5 of 5) Project Name: JERSEY MIKE'S Date Prepared: 11-11-14 DOCUMENTATION AUTHOR'S DECLARATI ON STATEMENT DocumentaounAuthorName: GARY WANG DocumentatmnAuthorSigmture: Company: GARY WANG & ASSOCIATES, INC. SigratureDate: 11-11-14 Address 1255 CORPORATE CENTER DR. PH 8 CEAIHERSCaUficaOmldentfiwtbn(ifappliatler' City/State/Zip: MONTEREY PARK, CA 91754 Phone: 626-288-6898 RESPONSIBLIPERSON'SDEQARATIOJ STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 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). 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this 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 system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 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 to the enforcement agency for all applicable inspections. I understand that a comple ted signed copy of this Certificate of Compliance is required to be i luded with the documentation the builder orovides to the building owner at occupancy. ResporsideDaignerNarm GARY WANG Responsible DesignerSigrature: Company. GARY WANG &. ASSOCIATES, INC. DateSigred 11-11-14 Address 1255 CORPORATE CENTER DR. PH 8 License: C-32569 City/State/Zip: MONTEREY PARK, CA 91754 Phone: 626-288-6898 CA Building Energy Efficiency Standards 2013 Nonresidential Compliance lune 2014 P STATE OF CALIFORNIA INDOOR LIGHT CEC-NRCC-LTI-01- CERTIFI CATE OF Indoor Lighting ProjeRNarre: - LIGHTING CONTROLS Controls JERSEY MI 11-11-14 The NRCC LTI 02 E shall be used to document all mandatory and Drescriotive liehtine controls that are aDDlicable to the nroiect. uISSION NRCC LTI 02 E (Page 1 of 51 I A. Mo ndotory Lighting Control Declaration StatemEnts Indicate if the measure applies: YES I NO ]Contro.Requiement lighting shall be controlled by self contained lighting control devices which are certified to the Energy Commission according to the Title 20 Appliance Efficiency Regulations in accordance with Section 110.9. X Lighting shall be controlled by a lighting control a system or energy management control system in accordance with §110.9. An Installation Certificate shall be submitted in accordance with Section 130.4(b), X I One or more Track Lighting Integral Current Limiters shall be installed which have been certified to the Energy Commission in accordance with 10.9 and An Installation Additionally, an Installation Certificate shall be submitted in accordance with Section 130.4(b). A Track Lighting Supplementary Overcurrent Protection Panel shall be installed in accordance with Section 110.9 and Section 130.3. Additionally, an Installation Certificate shall be installed in accordance with Section 130.4(b). X All lighting controls and equipment shall comply with the applicable requirements in §110.9 and shall be installed in accordance with the manufacturer's instructions in accordance with Section 130.1. X All luminaires shall be functionally controlled with manually switched ON and OFF lighting controls in accordance with Section 130.1(a). General lighting shall be separately controlled from all other lighting systems in an area. Floor and wall display, window display, case display, ornamental, X and special effects lighting shall each be separately control led on circuits that are 20 amps or less. When track lighting is used, general, display, ornamental and special effects lighting shall each be separately controlled; in accordance with Section 130.0(a)4. X The general lighting of any enclosed area 100 square feet or larger, with a connected lighting load that exceeds 0.5 watts per square foot shall meet the multi level lighting control requirements in accordance with Section 130.1(b). X All installed indoor lighting shall be equipped with controls that meet the applicable Shut OFF control requirements in Section 130.1(c). X Lighting in all Daylit Zones shall be controlled in accordance with the requirements in Section 130.1(d) and daylit zones are shown on the plans. Lighting power in buildings larger than 10,000 square feet shall be capable of being automatically reduced in response to a Demand Responsive Signal in accordance with Section 130.1(e). CA Building Energy Efficiency Standards 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING - LIGHTING CONTROLS CEC—NRCC—LTI-01—E (Revised 06/13) CALIFORNIA ENERGY COMMISSION - CERTIFICATE OF COMPLIANCE NRCC LTI 02 E Indoor Lighting Lighting Controls (Page 2 of 5) ProjmtNa. e: JERSEY MIKE'S DatePtepared: 11-11-14 A separate document must be filled out for Conditioned and Uncon iti oned Spaces. This page is use on y or the following: ® CONDITIONED SPACES ❑ UNCONDITIONED SPACES MANDATORY AND PRESCRIPTIVE INDOOR LIGHTING CONTROL SCHEDULE, PAF CALCULATION, an FIELD INSPECTION CHECKLIST • Lighting Control Schedule Before an occupancy permit is granted for a newly constructed building or area, or anew lighting system serving a building, area, or site is operated for PAF Credit Calculation 2 � 2 in Q- normal use, indoor lighting controls serving the building, area, or site shall be certified as meeting the Acceptance Requirements for Code Compliance in . w• Q O y accordance with Section 130.4.(a). The controls required to meet the Acceptance Requirements include automatic daylight controls, automati c shut OFF A B controls, and demand responsive controls. A separate document must be filled out for Conditioned and Uncon iti oned Spaces. This page is use on y or the following: ® CONDITIONED SPACES ❑ UNCONDITIONED SPACES MANDATORY AND PRESCRIPTIVE INDOOR LIGHTING CONTROL SCHEDULE, PAF CALCULATION, an FIELD INSPECTION CHECKLIST • Lighting Control Schedule Standards Complying With t (.gall that apply, or enter if Exempted) PAF Credit Calculation 2 � 2 in Q- T_ !D 5 o . w• Q O y " c r o A B C D E F G H I I J K L M N 0 Location in Building Type/ Description of Lighting Control (i.e.: occupancy sensor, automatic time switch, dimmer, automatic daylight, etc fJ of Units o = 0 0 0 a 0 b 0 v b 0 a KITCHEN TIME CLOCK FBI VON CA Building Energy Efficiency Standards 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING - LIGHTING CONTROLS - - TI - 01-F . CERTIFCATE OFCCMPUANCE NRCCLTI 02 E— Indoortighting li hth Consols Pa e3 2 ProjedName: JERSEY MIKE'S DatePretared 11-11-14 IF MULTIPE PAGES AFE USED,ENTER SUMTOTALOFALLPAGESHERE: 1. §1330.1b1= Manual area controls; §130.0(b) = Multi Level, • §130.1(c) =Auto Shut Off; §130.1(c) =Mandatory Daylight; §130.1(e) =Demand Responsive, §140.6(d) = Additional lighting controls installed to earn a PAF, • §140.6(d) = Prescriptive Secondary Sidelit Daylight Controls. 2. Check Table 140.6 Afar correct Factor. PAFs shall not be traded between conditioned and unconditioned spaces. As a condition to earn a PAF, an Installation Certificate is also required to be filled out, signed, and submitted. DocumentaAbnAuthorNarnE GARY WANG DocumentamnAuthorSigrature: Company: GARY WANG & ASSOCIATES, INC. Signature Date: 11-11-14 Address 1255 CORPORATE CENTER DR. PH 8 CEA/HERSCafificabonidentificatiolifapplicadek City/State/Zip: MONTEREY PARK, CA 91754 Phme' 626-288-6898 RESPONSIBLPERSON'S DULARATIOU STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 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). 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this 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 system design features identified on this Certifica to of Compliance are consistent with the information provided on other applicable 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 to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required toe included with the documentation the builder provides to the building owner at occupano!. t Responsible Designer Name: GARY WANG Responsible Designer Signature: Company GARY WANG & ASSOCIATES, INC. Date Signed: 11-11-14 Address: 1255 CORPORATE CENTER DR. PH 8 License: C-32569 city/State/Zip: MONTEREY PARK, CA 91754 Phone: 626-288-6898 CA Building Energy Efficiency Standards 2013 Nonresidential Compliance June 2014 D STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE CEC—NRCC—LTI-03—E Revised 06/13) CALIFORNIA ENERGY COMMISSION "Al -MM" CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E Certificate of Compliance Indoor Lighting Power Allowance (Page 1 of 4) Prolan Name: F C P'Y F' C Date Prepared: 11-11-14 LOWS) LIGHTINEPOWE OtoseMethod Aseparate pagemustbefilledutforCondtionecbrdUnconditionedpaces.Thispag?is onlyfor: In CONDITIONED spaces ❑ UNCONDITIONED spaces A. SUMMARY TOTALS OF LIGHTING POWER ALLOWANCES If using Complete Building Method for compliance, use only the total in column (a) as total allowed building watts. If using Area Category Method, Tailored Method, or a combination of Area Category and Tailored Method for compliance, use only the total in column (b) as the total allowed building watts a 1. Complete Building Method Allowed Watts. Documented in section B of NRCC-LTI-03-E below on this page) 2. Area Category Method Allowed Watts. Documented in section C 1 of NRCC-LTI-03-E below on this page) 1583 3. Tailored Method Allowed Watts. Documented in section AofNRCC LTI 04 E ,1 TOTAL ALLOWED BUILDING WATTS. Enter number into correct cell on NRCC-LTI-01, Page 2, Row 1. 1583 ❑ Check here if building contains both conditioned and unconditioned areas. B. COMPLETE BUILDING METHOD LIGHTING POWER ALLOWANCE A B C D TYPE OF BUILDING From §140.6 Table 140.6-B WATTS PER (1`1:4 X COMPLETE BLDG. AREA = ALLOWED WATTS TotalArea: Total Watts. Enter Total Watts into section A, row 1(Above on this page) ..%/yi',J 10, C-1 AREA CATEGORY METHOD TOTAL LIGHTING POWER ALLOWANCES (C-2 plus C-3) Watts Total from section C 2 Total from section C 3 CA Building Energy Efficiency Standards 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTI CERTIFICATE OF COMPLIANCE, NRCC LTI 03 E Certificate of Compliance Indoor Lighting Power Allowance (Page 2 of 41 I NoleaN—: JERSEY MIKE'S I Datevteparee: 11-11-14 I Total Watts. Enter Total Watts into section A, row 2 (Above on this page) •A separate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for: ® CONDITIONED spaces ❑ UNCONDITIONED spaces C- 2 AREA CATEGORY METHOD GENERAL LIGHTING POWER ALLOWANCE Do not include portable lighting for offices. Portable lighting for offices shall be documented only in section B of NRCC LTI 01 E. Separately list lighting for each primary function area as defined in § 100.1 of the Standards. A B X C = D AREA CATEGORY (From §140.6 Table 140.6-C) WATTS PER (ft4 AREA (ft4 ALLOWED WATTS Location in Building . Primary Function Area per Table 140.6 C DINING 1.1 448 493 FOOD PREP. 1.6 657 1051 RESTROOM 0.6 65 39 CA Building Energy Efficiency Standards 2013 Nonresidential Compliance I June 2014 t STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE CERTIFICATE OF COMPLIANCE NRCC- LTI- 03-E Certificate of Compliance Indoor lighting Power Allowance (Page 3 of 4) ProjeaName: JFRSFY F" DatePretered 11-11-14 TOTALS 1170 1583 Enter sum total'Area Category allowed watts into section C 1 of NRCC-LTI-03-E (this compliance form) WATTS A separate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for: CONDITIONED spaces UNCONDITIONED spaces C-2 AREA CATEGORY METHOD Additional lighting Wattage Allowance (from Table 140.6 C Footnotes) A B C ZD E F G Primary Function Sq Ft or linear R 1 Additional Watts Allowed Wattage Allowance B x C Description (s) and Quantity of Special luminaire Types in each Primary Function Area Total Design Watts 3 ALLOWED WATTS Smaller of D or F TOTALS Enter into TOTAL AREA CATEGORY METHOD ADDITIONAL ALLOWANCES Section C 1 CA Building Energy Efficiency Standards 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE�`M CEC—NRCC—LTI-03—E (Revised 06/13) CALIFORNIA ENERGY COMMISSION t CERTIFICATE OF COMPLIANCE, NRCC LTI 03 E Certificate of Compliance Indoor Lighting Power Allowance (Page 4 of 4) ProjectName: JERSEY MIKES DatePrepared: 11-11-14 1: Use linear feet only for additional allowance for white board or chalk board. All other additional Area Category allowances shall use watts per square foot. 2 . Additional watts are available only when allowed according to the footnotes on bottom of Table 146 C, which include: Specialized task work; Ornamental lighting; Precision commercial and industrial work; Per linear foot of white board or chalk board; Accent, display and feature lighting; and Videoconfere ncing Studio lighting.. 3. Luminaire classification and wattage shall be determined in accordance with 4130.0(c) of the Standards. DOCUMENTATION AUTHOR'S DECLARATI ON STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and romplp te- Documentation Author Name: GARY WANG DocumentationAuthor Signature: Company GARY.. WANG & ASSOCIATES, .INC. Signature Date: 1 1 — 1 1 — 1 4 Address: 1255 CORPORATE CENTER DR. PH 8 CEAMERSCertification Identifiication (if applicable): City/State/Zip: • MONTEREY PARK, CA 91754 Phone: 626-288-6898 RESPONSIBLPERSON'S DEQARATICN STATEMENT I certify the following under penalty ofperjury,under the laws of the Stateof California: 1. Tle lZrmationprovldedonthis CertificateofComplianceistrueandcorrect. 2. 1 am eligible under Division 3 of the Businessand ProfessionsCode to acceptresponsibilityforthe buildingdesign or system design identified on this Certificate of Compliance (responslbledesigner). 3. The energy features and pperformancespedfications,materials,componatts, and manufactureddevicesforthe buildingdesignorsystem design identified onthis Certificate of ComplianceconformtotherequirementsofTitle24,Part land Part 6ofthe CaliforniaCodeofRegulations 4. The building design featu resor system design features ide ritified on this Certificate of Compl iancea re consistEnt with the informationprovideclon other a pplicablecompliance documents,worksheets,calculations, plans and specifications submittedto the enforcementagency for approvaIwith this buildirg permit application. 5. 1 will ensure that a completed signed copy of this Certificate of Compliance shaII be made availablewith the buildingpermit(s)issued for the building and made availableto the enforcement agencyforall appllcableinspections.Iunderstand that acompleted signed copy ofthis CertificateofComplianceisreq uiredtob 'ncludedwith the documentationthe Responsible Designer Name: GARY WANG Responsible Designer Signature: Company: GARY WANG & ASSOCIATES, INC. Date Signed: 11-11-14 Address: 1255 CORPORATE CENTER DR. PH 8 cense: C-32569 City/State/Zip: MONTEREY PARK, CA 91754 Phone: 626-288-6898 CA Building Energy Efficiency Standards 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA LINE -VOLTAGE TRACK LIGHTING WORKSHEET CEC—NRCC—LTI-05—E (Revised 06/13) CERTIFICATE OFCCMPLIANCE Indoor Lighting line Voltage Track Lighting Workshee t Project Nam e: JERSEY MIKE'S CALIFORNIA ENERGY COMMISSION *1 Date Prepared: 11-11-14 NRCC- LTI-05-E (Pace 1 of 21 There are four different methods available for determining how many watts of line voltage track or line voltage busway has been installed. One or more methods may be used to determine how many watts of line voltage track or line voltage buswa y has been installed. Use this worksheet to separately calculate the input wattage for each system. Separately enter each row of this worksheet into the luminaire Schedule in section C of NRCC LTI 01 E Method 1 is the only option available for determining wattage for track or busway rated for more than 20 amperes METHOD 1 VOLT AMPERE (VA) RATING OF THE BRANCH CIRCUIT(S) A B BRANCH CIRCUIT NAME OR ID VOLT AMPERE (VA) RATI NG OF THE BRANCH CIRCUIT METHOD 2 USE THE HIGHER OF 45 WATTS PER LINEAR FOOT OF TRACK OR TOTAL RATED WATTAGE OF ALL LUMINAIRES A B C D E' F Track or Name # Linear Feet of Track (WOLF) B x C W TOTALRATEDWATTAGEOF ALL LUMINAIRES LARGER OF Dor E Largerof D or E E 45 12.5 200 240 240 45 12.5 45 12.5 METHOD 3 USE THE HIGHER OF: 12.5 WATTS / LINEAR FOOT OF TRACK OR VA RATING OF INTEGRAL CURRENT LIMITER Only integral current limiters which are certified to the Energy Commission shall be recognized by the Standards. This method shall not be recognized if an Installation Certificate is not submitted. A B C D E F Track or Name g Linear Feet of Track W LF B x C W VA Rating of Integral Current Limiter Largerof D or E E 16 12.5 200 240 240 12.5 12.5 METHOD 4 DEDICATED TRACK LIGHTING SUPPLIMEN TARY OVERCU RRENT PROTECTION PANEL This method shall not be recognized if an Installation Certificate is not submitted. This method shall be used only for line voltage track lighting, and shall not be recognized for any other lighting systems. If any other lighting systems or devices are installed the suvoLem entary overcurrent protection D8nel shall not be recognized for compliance with the Standards A B C D NAME OR ID Voltage of the Branch Circuit Sum of the Ampere Rating of all Wattage = Sum of the Ampere Rating s of all of the Devices Devices installed in the Panel Times The Branch Circuit Voltage B x C CA Building Energy Efficiency Standards 2013 Nonresidential Compliance June 2014 0 STATE OF CALIFORNIA LINE -VOLTAGE TRACK LIGHTING WORKSHEETS CEC—NRCC—LTI-05—E Revised 06/13) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC LTI 05 E Indoor Lighting Line Voltage Track Lighting Worksheet Paget oft Projec tName: JERSEY MIKE'S - Dale Prepared: 11-11-14 DOCUMENTATION AUTHOR'S DECLARATI ON STATEMENT 1. I certify that this Certificate of Compliance documentation is accurate and complete, Documentation Author Name: GARY WANG Documentation Author Signature: Company: GARY WANG & ASSOCIATES, INC. Signature Date: 1 1 — 1 1 —1 4 Address: 1255 CORPORATE CENTER DR. PH 8 CEA/HERSCertifiication Identification (if applicable): City/State/Zip: MONTEREY PARK, CA 91754 Phone: 626-288-6898 RESPONSIBLPERSON'SDEO.ARATIOV STATEMENT I certify thefolloving underpenalty of perjury, underthelawsofthe5tateofCalifornia: 1. The information provided on this Certificate of Compliance is true and correct. 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). 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this 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 system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheet s, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5• 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 to the enforcement agency for all applicable inspections. I understand thaa completed signed copy of this Certificate of Compliance is re uired to be included with the documentation the builder Provides to the uildi ng owner at occu anc . Responsible Designer Name: GARY WANG Responsible Designer Signature: Company: GARY WANG & ASSOCIATES, INC. Date Signed: 11-11-14 Address: 1255 CORPORATE CENTER DR. PH 8' License: C-32569 City/State/Zip: MONTEREY PARK, CA 91754 Phone: 626-288-6898 n CA Building Energy Efficiency standards 2013 Non residentialCompliance June 2014 PERFORMANCE CERTIFICATE OF COMPLIANCE (Part 1 of 3) PERFAC Project Name Date Jersey We's - La Quinta 11/15/2014 Project Address Climate Zone Total Cond. Floor Arej Addition Floor Area 79174 Highway 111 La Quinta CA Climate Zone 15 1,058 1,058 GENERAL INFORMATION Building Type: m Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room ❑ Relocatable - indicate ❑ specific climate zone ❑ all climates Phase of Construction: ❑ New Construction ❑ Addition m Alteration STATEMENT OF COMPLIANCE This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This certificate applies only to a Building using the performance compliance approach. The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author Name ArtAb/ay Signature l Company ACA Consulting Date 11/152014 Address 1645 Amberwood Drive #26 Phone 6262433211 City/State/Zip South Pasadena, CA 91030 The Principal Designer hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application. The proposed building has been designed to meet the energy efficiency requirements contained in sections 110.0, 116.0 through 118.0, and 140.0 through 149.0 of Title 24, Part 6. Please check one: ENV. LTG. MECH. I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to ❑ ❑ ❑ sign this document as the person responsible for its preparation; and that I am licensed in the State of California as a civil engineer, mechanical engineer, electrical engineer, or I am a licensed architect. I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code by section ❑ ❑ ❑ 5537.2 or 6737.3 to sign this document as the person responsible for its preparation; and that I am a licensed contractor performing this work. I affirm that I am eligible under Division 3 of the Business and Professions Code to sign this document ❑ ❑ ❑ because it pertains to a structure or type of work described as exempt pursuant to Business and Professions Code Sections 5537, 5538 and 6737.1. Principal Envelope Designer Name :::[Signature Company Envelope Compliance Not In The Scope Of This Document Date Address License # City/State/Zip Phone Principal Mechanical Designer O Name Gary Wang"fV11 &SF;F� ure Company Gary Wang &Associates, Inc. 8 N Date Address 1255 Corporate Center Drive, Ph S-( License # C �6 City/State/Zip Monterey park, CA 91754 Phone 6262886898 Principal Lighting Designer Name ATOAN Signature Company Lighting Compliance Not /n The Scop Is Submittal .WSWDate OD License # AddressIF, City/State/Zip Phone INSTRUCTIONS TO APPLICANT COMPLIANCE & WORKSHEETS (check box if worksheets are included) ❑ ENV -01 Certificate of Compliance. Required on plans. MCH -01 Certificate of Compliance. Required on plans. ❑ LTI-01 Certificate of Compliance. Required on plans. MCH -02 HVAC Air/Water Side Requirements. ❑ LTI-02 Lighting Controls Credit Worksheet. MCH -03 Mechanical Ventilation and Reheat. ❑ LTI-03 Indoor Lighting Power Allowance. Q MCH -08 Mechanical Equipment Details. EnergyPro 6.3 by EnergySoft User Number: 9621 RunCode: 2014-11-15T12:24:45 /D: Page 1 of 9 PERFORMANCE CERTIFICATE OF COMPLIANCE (Part 2 of 3) PERF -1C Project Name Date Jersey Mlke's - La Quinta 11111512014 ANNUAL TDV ENERGY USE SUMMARY (kBtu/sgft- r) Standard Proposed Compliance Energy Component Design Desinn Marvin Space Heating Space Cooling Indoor Fans Heat Rejection Pumps & Misc. Domestic Hot Water Lighting Receptacle Process Process Lighting TOTALS 0.27 0.29 -0.02 302.94 267.54 35.40 173.63 215.89 -42.26 0.00 0.00 0.00 0.00 0.00 0.00 86.39 69.27 17.12 145.88 145.88 0.00 113.20 113.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 822.32 812.08 10.24 Percent better than Standard GENERAL INFORMATION 1.2%1 ( 1.2 Heating Cooling Fans Heat Rej Pumps DHW Lighting Receptacle Process Process Ltg BUILDING COMPLIES Building Orientation (N) 0 deg Conditioned Floor Area 1,058 sqft. Number of Stories 1 Unconditioned Floor Area 0 sqft. Number of Systems 2 Conditioned Footprint Area 1,058 sqft. Number of Zones 3 Natural Gas Available On Site yes Front Elevation Left Elevation Rear Elevation Right Elevation Total Roof Orientatinn Grnsc Area (N) 190 (E) 0 (S) - 190 (w) 0 380 1,058 sqft. sqft. sqft. sqft. sqft. sqft. Gla7inn Area 126 0 0 0 126 0 sqft. sqft. sqft. sqft. sqft. sqft. Glazing Ratio 66.3 0.0% 0.0% 0.0% 33.2 0.0 Standard Pro osed Prescriptive Values for Prescriptive Lighting Power Density 1.302 W/sgft. 1.302 W/sgft. Comparison only. See LTI-01 for allowed LPD. Remarks: EnergyPro 6.3 by EnergySoft User Number: 9621 Run Code: 2014-11-15T12:24:45 /D: Page 2 of 9 PERFORMANCE CERTIFICATE OF COMPLIANCE (Part 3 of 3) PERF -1 C Project Name Jersey Mlke's - La Quinta Date 11111512014 ZONE INFORMATION System Name Zone Name Occupancy Type Floor Area s ft. Inst. LPD (W/sol Ctrl. Credits (W/S2 Allowed LPD Proc. Area Tailored Loads W/s 3 W/s 4 /s ExistAC-1 Dining Zone Dining 515 "1.100 Support Zone CorridoNRestroom/Support 58 '0.600 New AC -2 Food Prep Zone Kitchen, Food Preparation 485 "1.600 Notes: 1. See LTI-01 2. See LTI-02 3. See LTI-03 4. See LTI-04 items marked with asterisk, see LTI-01 by others) (by others Items above require special documentation EXCEPTIONAL CONDITIONS COMPLIANCE CHECKLIST The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to,be used with the performance approach. The local enforcement agency determines the adequacy of the justifications, and may reject a building or'design that otherwise complies based on the adequacy of the special justification and documentation submitted. The HVAC System Exist AC -1 includes Demand Control Ventilation per Standards Section 120.1. The exceptional features listed in this performance approach application have specifically been reviewed. Adequate written justification and documentation for their use have been provided by the applicant. Authorized Signature or Stamp EnergyPro 6.3 by EnergySoft User Number: 9621 Run Code: 2014-11-15T12:24:45 /D: Page 3 ED STATE OF CALIFORNIA MECHANICAL SYSTEMS CEC-NRCC-MCH-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E Mechanical Systems (Page 1 of 3) Project Name: Jersey Mike's - La Quinta Date Prepared: 11/15/2014 MECHANICAL COMPLIANCE FORMS & WORKSHEETS (check box if worksheet is included) For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, refer to the 2013 Nonresidential Manual Note: The Enforcement Agency may require all forms to be incorporated onto the building plans. YES NO Form/Worksheet # Title El ❑ NRCC-MCH-01-E (Part 1 of 3) Certificate of Compliance, Declaration. Required on plans for all submittals. ECJ ❑ NRCC-MCH-01-E (Part 2 of 3) Certificate of Compliance, Required Acceptance Tests (MCH -02A to 11A). Required on plans for all submittals. El ❑ NRCC-MCH-01-E (Part 3 of 3) Certificate of Compliance, Required Acceptance Tests (MCH -12A to 18A). Required on plans where applicable. El ❑ NRCC-MCH-02-E (Part 1 of 2) Mechanical Dry Equipment Summary is required for all submittals with Central Air Systems. It is optional on plans. 0 ❑ NRCC-MCH-02-E (Part 2 of 2) Mechanical Wet Equipment Summary is required for all submittals with chilled water, hot water or condenser water systems. It is optional on plans. El ❑ NRCC-MCH-03-E Mechanical Ventilation and Reheat is required for all submittals with multiple zone heating and cooling systems. It is optional on plans. MECHANICAL HVAC ACCEPTANCE FORMS (check box for required forms) Designer: This form is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for HVAC systems. The designer is required to check the applicable boxes for all acceptance tests that apply and list all equipment that requires an acceptance test. All equipment of the same type that requires a test list the equipment description and the number of systems. Installing Contractor: The contractor who installed the equipment is responsible to either conduct the acceptance test them self or have a qualified entity run the test for them. If more than one person has responsibility for the acceptance testing, each person shall sign and submit the Certificate of Acceptance applicable to the portion of the construction or installation for which they are responsible. Enforcement Agency: Plancheck — The NRCC-MCH-01-E form is not considered a completed form and is not to be accepted by the building department unless the correct boxes are checked. Inspector - Before occupancy permit is granted all newly installed process systems must be tested to ensure proper operations. Test Description MCH -02A MCH -03A MCH -04A MCH -05A MCH -06A MCH -07A MCH -08A MCH -09A MCH -10A MCH -11A Equipment # of Outdoor Single Zone Air Economizer Demand Supply Fan Valve Leakage Supply Water Hydronic Automatic Requiring Testing units Air Unitary Distribution Controls Control VAV Test Temp. Reset System Demand Shed or Verification Ducts Ventilation Variable Flow Control (DCV) Control Trane YHC037E 1 E1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA MECHANICAL SYSTEMS (� 's t CEC-NRCC-MCH-01-E (Revised 06114) CALIFORNIA ENERGY COMMISSIOt`' *A` CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E Mechanical Systems (Page 2 of 3) Project Name: Jersey Mike's - La Quinta oa`ePreparea: 11/15/2014 MECHANICAL HVAC ACCEPTANCE FORMS (check box for required forms) Designer: This form is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for HVAC systems. The designer is required to check the applicable boxes for all acceptance tests that apply and list all equipment that requires on acceptance test. All equipment of the same type that requires a test list the equipment description and the number of systems. Installing Contractor: The contractor who installed the equipment is responsible to either conduct the acceptance test them self or have a qualified entity run the test for them. If more than one person has responsibility for the acceptance testing, each person shall sign and submit the Certificate of Acceptance applicable to the portion of the construction or installation for which they are responsible. The following tests require a Enforcement Agency: Plancheck — The NRCC-MCH-01-E form is not considered a completed form and is not to be accepted by the building departament unless the correct boxes are checked. Inspector - Before occupancy permit is granted all newly installed process systems must be tested to ensure proper operations. Test Description MCH -12A MCH -13A MCH -14A MCH -15A MCH -16A MCH -17A MCH -18A Equipment q of Fault Detection & Automatic Fault Distributed Energy Thermal Energy Supply Air Condenser Water ECMS Requiring Testing units Diagnostics for DX Detection & Storage DX AC Storage (TES) Temperature Reset Reset Controls or Verification Units Diagnostics for Air & Systems Systems Controls Zone Trane YHC037E 1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA HVAC SYSTEM REQUIREMENTS M CEC-NRCC-MCH-02-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-MCH-02-E HVAC Dry System Requirements (Page 1 of 3) Project Name: Jersey Mlke's - La Quinta Date Prepare,: 11/15/2014 Equipment Tags and System Description' Exist AC -1 New AC -2 MANDATORY MEASURES Heating Equipment Efficiency3 Cooling Equipment Efficiency3 HVAC or Heat Pump Thermostats Furnace Standby Loss Control Low leakage AHUs Ventilation Demand Control Ventilations Occupant Sensor Ventilation Contro16 Shutoff and Reset Controls' Outdoor Air and Exhaust Damper Control Isolation Zones Automatic Demand Shed Controls Economizer FDD Duct Insulation PRESCRIPTIVE MEASURES T-24 Sections Reference to the Requirements in the Contract Documentsz 110.1 or 110.2(a) M -1.0/M -1.1/M-2, M -1.0/M -1.1/M-2( 110.1 or 110.2(a) M -1.0/M -1.1/M-21 M -1.0/M -1.1/M-2( 110.2(b), 110.2(c) M -1.0/M -1.1/M-21 M -1.0/M -1.1/M-2( 110.2(d) M -1.0/M -1.1/M-21 M -1.0/M -1.1/M-2( 110.2(f) M -1.0/M -1.1/M-21 M -1.0/M -1.1/M-2( 120.1(b) M -1.0/M -1.1/M-21 M -1.0/M -1.1/M-2( 120.1(c)4 M -1.0/M -1.1/M-21 M -1.0/M -1.1/M-2( 120.1(c)5, 120.2(e)3 M -1.0/M -1.1/M-21 M -1.0/M -1.1/M-2( 120.2(e) M -1.0/M -1.1/M-21 M -1.0/M -1.1/M-2( 120.2(f) M -1.0/M -1.1/M-21 M -1.0/M -1.1/M-2( 120.2(g) M -1.0/M -1.1/M-21 M -1.0/M -1.1/M-2( 120.2(h) M -1.0/M -1.1/M-21 M -1.0/M -1.1/M-2( 120.2(i) M -1.0/M -1.1/M-21 M -1.0/M -1.1/M-2( 120.4 M -1.0/M -1.1/M-2 M -1.0/M -1.1/M-2( Equipment is sized in conformance with 140.4(a & b) Y Y 140.4(a&b) Supply Fan Pressure Control 140.4(c) M -1.0/M -1.1/M-2( M -1.0/M -1.1/M -2C Simultaneous Heat/Cool" 140.4(d) M -1.0/M -1.1/M-2( M -1.0/M -1.1/M -2C Economizer 140.4(e) M -1.0/M -1.1/M-2( M -1.0/M -1.1/M -2C Heat and Cool Air Supply Reset 140.4(f) M -1.0/M -1.1/M-2( M -1.0/M -1.1/M -2C Electric Resistance Heating9 140.4(g) M -1.0/M -1.1/M-2( M -1.0/M -1.1/M -2C Duct Leakage Sealing and Testing.10 140.4(1) M -1.0/M -1.1/M-21 M -1.0/M -1.1/M -2C Notes: 1. Provide equipment tags (e.g. AHU 1 to 10) and system description (e.g. Single Duct VAV reheat) as appropriate. Multiple units with common requirements can be grouped together. 2. Provide references to plans (i.e. Drawing Sheet Numbers) and/or specifications (including Section name/number and relevant paragraphs) where each requirement is specified. Enter "N/A" if the requirement is not applicable to this system. 3. The referenced plans and specifications must include all of the following information: equipment tag, equipment nominal capacity, Title 24 minimum efficiency requirements, and actual rated equipment efficiencies. Where multiple efficiency requirements are applicable (e.g. full- and part -load) include all. Where appliance standards apply (110.1), identify where equipment is required to be listed per Title 201601 et seq. 4. Identify where the ventilation requirements are documented for each central HVAC system. Include references to both central unit schedules and sequences of operation. If one or more space is naturally ventilated identify where this is documented in the plans and specifications. Multiple zone central air systems must also provide a MCH -03-E form. 5. If one or more space has demand controlled ventilation identify where it is specified including the sensor specifications and the sequence of operation. 6. If one or more space has occupant sensor ventilation control identify where it is specified including the sensor specifications and the sequence of operation 7. If the system is DDC identify the sequences for the system start/stop, optimal start setback (if required) and setup (if required). For all systems identify the specification for the thermostats and time clocks (if applicable). 8. Identify where the heating, cooling and deadband airflows are scheduled for this system. Include a reference to the specification of the zone controls. Provide a MCH -03-E form. 9. Enter N/A if there is no electric heating. If the system has electric heating indicate which exception to 140.4(g) applies. 10. If duct leakage sealing and testing is required, a MCH -04-A form must be submitted. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA MECHANICAL VENTILATION AND REHEAT CERTIFICATE OF COMPLIANCE NRCC-MCH-03-E Mechanical Ventilation & Reheat (Page 1 of 2) Project Name: Jersey Mlke's - La Qulnta Date Prepared: 11/15/2014 ACTUAL DESIGN INFO (FROM EQUIPMENT VAV Reheated Primary Air VAV Deadband SCHEDULES, ETC) AREA BASIS OCCUPANCY BASIS MINIMUM CFM Primary Air CFM A B C D E F G H I 1 K L M N O P Q R S T < O < m p v O in Gl D o z o v, L'1 = v D LA =� Gl n z D "'r o z 3 Z 3 z n z C 3 r) 3 3 Z r 3 m D p z � Z D n y 3 3 X n O Z d D M O m\ O{ n I z v p 0 z < v n LZ1 z r v K \ n r N D x z 3 O m v v 3 Z n r p O v 3 n 2 t7 _D 0 3 C z (l Z p T fl v T O O O x y D 3 z T 3 < z 3 2 3 D 9 z T 3 z _ m 3 z D Z < v O 3 O z m O 3 O W O 3 O O a _ O O O n Z r Gl 3' D 3 O D D O v G D z D O z "'� y, p 2° D ti f1 _-- D O Z N K{ D D m Z C .... 2 G1 3 1 Dining 515 0.50 258 34.5 7.5 258 258 Y Suppo 58 0.15 9 0.6 15.0 9 9 Y Total 266 Food F 485 0.15 73 2.4 30.0 73 73 Y Total 73 Yellow shaded cells require user input. Remaining cells are protected and automatic B. The largest amount of primary air supplied by the terminal unit when it's operating in the cooling mode. C. The smallest amount of primary air supplied by the terminal unit in the deadband mode. D. The largest amount of primary air supplied by the terminal unit when it's operating in the heating mode. E. A terminal unit can be controlled with DDC controls, or non -DDC controls. Each control category has different reheat limitations in code. F. Transfer Air must be provided where Required Ventilation Airflow (Column M) is greater than the Design Primary Deadband Airflow (Column Q. H. Minimum ventilation rate per Section §120.1. Table 120.1-A. J. Based on number of fixed seats where applicable or the greater of the expected number of occupants and 50% of the CBC occupant load for egress purposes for spaces without fixed seating. M. Required Ventilation Airflow (Req'd Ventilation Airflow) is the larger of the ventilation rates calculated on an AREA BASIS or OCCUPANCY BASIS (Column I or L) N. This column identifies whether or not the Design Primary Deadband Airflow complies or not. It compares the value in column M to the value in column C and column F. 0. Design Primary Cooling Airflow * 0.50 for DDC, Design Primary Cooling Airflow * 0.30 for Non -DDC. If the Design Primary Cooling Airflow is less than 300 cfm, then this is not applicable. P. Maximum of Column M and Column 0. If the Design Primary Cooling Airflow is 300 cfm or less, then this is not applicable. Q. This column identifies whether or not the Design Primary Reheat Airflow at the zone level, complies or not. It compares the value in column P to the value in column D. R. Design Primary Cooling Airflow * 0.20 for DDC. Not applicable for Non -DDC zones or zones where Design Primary Cooling Airflow is is 300 cfm or less. S. Maximum of Column M and Column R. Not applicable if the Design Primary Cooling Airflow is 300 cfm or less. T. This column identifies whether or not the Design Primary Deadband Airflow at the zone level, complies or not. It compares the value in column S to the value in column C. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 MECHANICAL EQUIPMENT DETAILS Part 1 of 2 NRCC-MCH-08-E Project Name Jersey Mlke's - La Quinta Date 11/15/2014 CHILLER AND TOWER SUMMARY PUMPS Equipment Name Type Qty. Efficiency Tons Pump city. GPM BHP Control DHW / BOILER SUMMARY System Name Type Distribution city. Rated Input Vol. (Gals). Energy Factor Standby Loss Tank Ext. or RE or Pilot R -Value Status A O Smith B7XL"100 Large Storage Gas Standard 1 100,000 75 0.96 0.00% n/a New MULTI -FAMILY CENTRAL WATER HEATING DETAILS Hot Water Pump Hot Water Piping Length ft Control City. HP Type In Plenum Outside I Buried Add'/=" Insulation CENTRAL SYSTEM RATINGS HEATING COOLING System Name Type City. Out ut Aux. kW Efficiency Output Efficiency Status Carrier 48HCLA06A2A5 - JERSEY MIKES L Packaged DX 1 47,000 0.0 80% AFUE 53,880 15.2 SEER / 12.5 EER Existing Trane YHC037E3 -JERSEY MIKES LA QU Packaged DX 1 48,000 0.0 80% AFUE 34,460 17.5 SEER/ 13.0 EER New CENTRAL SYSTEM FAN SUMMARY SUPPLY FAN RETURN FAN System Name Fan Type Economizer Type CFM BHP CFM BHP Carrier 48HCLA06A2A5 - JERSEY MIKES LA QUINTA Constant Volume Diff. Enth (Integrated) 2,000 1.25 none Trane YHC037E3 - JERSEY MIKES LA QUINTA Constant Volume No Economizer 1,200 0.30 none EnergyPro 6.3 by EnergySoft User Number: 9621 RunCode: 2014-11-15712:24:45 ID: Page 8 of 9 STATE OF CALIFORNIA WATER HEATING SYSTEM GENERAL INFORMATION CALIFORNIA CERTIFICATE OF COMPLIANCE NRCC-PLB-01-E Water Heating System General Information (Page 1 of 2) Project Name: Jersey We's- La Quinta Date Prepared: 11/15/2014 A. GENERAL INFORMATION/SYSTEM INFORMATION 1. Water Heater System Name: A O Smith BTXL"100 2. Water Heater System Configuration: Non -Central 3. Water Heater System Type: Number of Identical Water Heaters: 4. Building Type: Efficiency: S. Total Number of Water Heaters in Systems: 1 6. Central DHW Distribution Type: n/a 7. Dwelling Unit DHW Distribution Type: Standard B. WATER HEATER INFORMATION Each water heater type requires a separate form. For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, refer to the 2013 Nonresidential Manual Note: The Enforcement Agency may require all forms to be incorporated onto the building plans. 1. Water Heater Type: Large Storage Gas 2. Fuel Type Gas Fired 3. Number of Identical Water Heaters: 1 4. Efficiency: 0.96 5. 1 Required Minimum Efficiency: 0.96 6. Standby loss percent or Standby loss total: 0.000 7. Rated Input 100,000 8. Pilot Energy: Certificate of Installation, required on HERS verified central systems in high-rise residential, hotel/motel application. 9. Water Heater Tank Storage Volume: 75 10. 1 Exterior Insulation On Water Heater: 0 11. Volume of Supplemental Storage: 12. Internal Insulation on Supplemental Storage: 13. Exterior Insulation on Supplemental Storage: PLUMBING COMPLIANCE FORMS & WORKSHEETS (check box if worksheet is included) For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, refer to the 2013 Nonresidential Manual Note: The Enforcement Agency may require all forms to be incorporated onto the building plans. YES NO Form/Worksheet # Title ® ❑ NRCC-PLB-01-E Certificate of Compliance, Declaration. Required on plans for all submittals. ❑ ❑ NRCI-PLB-01-E Certificate of Installation. Required on plans for all submittals. ❑ ❑ NRCI-PLB-02-E Certificate of Installation, required on central systems in high-rise residential, hotel/motel application. ❑ ❑ NRCI-PLB-03-E Certificate of Installation, required on single dwelling unit systems in high-rise residential, hotel/motel application. ❑ ❑ NRCI-PLB-21-H Certificate of Installation, required on HERS verified central systems in high-rise residential, hotel/motel application. ❑ ❑ NRCI-PLB-22-H Certificate of Installation, required on HERS verified single dwelling unit systems in high-rise residential, hotel/motel application. ❑ ❑ NRCI-STH-01-E Certificate of Installation, required on any solar water heating CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014