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BCOM2024-0017 Title 24INDOOR LIGHTING CALIFORNIA ENERGY COMMISSION �D CERTIFICATE OF INSTALLATION CEC-NRCI-LTI-E This Certificate of Installation documents the installation of indoor lighting features, materials, components, and manufactured devices required to demonstrate compliance with Title 24, Part 6 per §10-103(a)3 for nonresidential, hotel/motel and high-rise residential occupancies. Project Name: PGA TOUR SUPERSTORE Enforcement Agency: CITY OF LA QUINTA Permit Numbe GO� �- Dwelling Address: 79110 HWY 111 City and Zip Code: LA QUINTA 92253 Permit Application Date: (0 %2 A. GENERAL INFORMATION 01 Project Location (city): LA QUINTA 05 Authority Having Jurisdiction: CITY OF LA QUINTA 02 Zip Code: 92253 06 Building Permit k; C—O P1 Z,49 Z _ I 03 Date of Permit Set used for r I I _ /, l _�—`—� 07 Date of As -built Set: �J l construction: ` [04 Name of Permit Set used for �8Na a of As -built Set: / `�— construction: ti( e_ 21 c.e/3.Q 144-,tAJUAq 57r CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 INDOOR LIGHTING CALIFORNIA ENERGY COMMISSION CEC-NRCI-L1 I-E B. INSTALLER SCOPE This table indicates construction systems and materials documented on this Certificate of Installation 01 02 03 Luminaires Space Types Controls' X7 I General Lighting I X-� I Conditioned Decorative/ Accent Unconditioned Timc Occupancy X^ switch X Sensors X Dimmers Interlocked X -' Daylighting X Systems X Shut-off Area Demand Controls Response ° Videoconferencing Studio Controls Institutional Multi -level Tuninit C. COMPLIANCE RESULTS This table indicates whether the as -built conditions documented in this form are equal or better than what was documented on the permitted Certificate of Compliance. If the installation is not equal or better, Section 10-103(o)2B requires the Certificate of Compliance to be revised accordingly to demonstrate compliance. INSTALLED FEATURES EXACTLY MATCH DESIGN ON PERMITTED CERTIFICATE OF COMPLIANCE Documented as -built conditions should be verified by inspector from Authority Having Jurisdiction to comply. The Certificate of Compliance should be revised to confirm as -built conditions comply and this Certificate of Installation updated accordingly. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 INDOOR LIGHTING CALIFORNIA ENERGY COMMISSION CEC-NRCI-LTI-E D. EXCEPTIONAL CONDITIONS This table is auto -filled with uneditable comments because of field conditions noted by the installer that may impact mechanical controls requirements documented on the Certificate of Compliance. E. INSTALLER NOTES This table includes remarks made by the installer to the Authority Having Jurisdiction. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 INDOOR LIGHTING CALIFORNIA ENERGY COMMISSION F. INSTALLATION DETAILS CEC-NRCI-LTI-E The following tables indicate performance requirements as documented on the permitted Certificate of Compliance for all systems and components included in Table B. Installer Scope. Also indicated are the os-built conditions documented by the installer/ documentation author_ Indoor Lighting Fixture Schedule for Spaces Other Than Dwelling Units/ Hotel Rooms/ Motel Rooms 01 02 03 0114 OS C16 07 OS 09 10 11 12 13 Fixtur Used in Total e VA of Voltag Maximum Rated Luminair Conditioned Fixtur Linear Sum of Number Fixture Withi Curren a of Rated Wattage Name or Item Tag a or e FT2 of Ampere of Complian n Descripti Uncond Type Track t Branch Rating Input perition Luminaire ce Scope Limiter Circuit Wattage Luminaire � on ed Space? s Per C of C N0 LED CONDITIONED L D 120127 16.3 NONE 22.6 1$ ' L' As -built Conditions CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 INDOOR LIGHTING CALIFORNIA ENERGY COMMISSION CEC-NRCI-LTI-E Residential Dwelling Unit or Hotel/ Motel Room Luminaire Efficacy Requirements Residential dwelling unit and hotellmotel room lighting fixtures must be installed according the the following requirements. The following light sources are considered high efficacy light sources and are not required to comply with Title 24, Part 6 Joint Appendix 8 requirements: A. Pin -based linear fluorescent or compact fluorescent light sources using electronic ballasts. B. Pulse -start metal halide light sources. C. High pressure sodium light sources. D. Have sunrise and sunset prediction accuracy within +/- 15 minutes and timekeeping accuracy within 5 min per year (astronomical only); E. Luminaires with hardwired high frequency generator and induction lamp. F. LED light sources installed outdoors. Inseparable solid state LED (SSL) luminaires containing colored light sources that are installed to provide decorative G. lighting. All other light sources shall be marked with "JA8-2019" or "JA8-2019-E" to qualify as high efficacy light sources. Light sources not marked with "JA8-2019" or "JA8-2019-E" do not meet the efficacy requirements. Ceiling recessed downlight luminaires shall not have screw bases regardless of lamp type. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 INDOOR LIGHTING CALIFORNIA ENERGY COMMISSION CFC-NRCI-I.TI-F Indoor Lighting Controls 01 02 03 04 0S 06 07 08 09 10 Area Primary Demand Manual Manual Multi- Shut Primary/Skylit Secondary Interlocked Description Function Response Level Off Daylighting Daylighting Systems Controls Compliance Area Controls Controls Controls Per C of C RETAIL YES YES YES YES NO NO JC, YES As -built Conditions Controls for Additional Wattage Credit (Power Adjustment Factor) Controls in spaces listed in this table were designed to allow additional wattage as part of the strategy to comply with the Energy Code. 01 02 03 04 1 05 06 Luminaires Controlled Area Description Control(s) for Wattage Luminaire Watts per Number of Lighting Credit Name or Controlled Luminaire luminaires Item Tag (Watts) Per C of C As -built Conditions 07 Controls for Credit Compliance CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 INDOOR LIGHTING CALIFORNIA ENERGY COMMISSION DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Installation documentation is accurate and complete. CEC-NRCI-LTI-E Documentation Author Name: THOMAS DAVID Documentation Author Signat t Documentation Author Company Name: APEC Date Signed:12/13/2024 Address: 24410 ROICK DR. CEA/HERS Certification Identification (If applicable): City/State/Zip:TEMECULA CA 92590 Phone:(951) 296 5835 RESPONSIBLE PERSON'S DECLARATION STATEMENT 2. 1 certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Installation is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation and attest to the declarations in this statement (responsible builder/installer), otherwise I am an authorized representative of the responsible builder/installer. 3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements given on the plans and Specifications approved by the enforcement agency. 4. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of Installation, and I have ensured that the requirements that apply to the construction or installation have been met. 5. 1 understand that a completed signed copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to accomplish this requirement. 6. 1 understand that a completed signed copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to accomplish this requirement. Responsible Builder/Installer Name: Respcnsible Builder/Installer Signajuae SUPERINTENDANT Position With Company (Title): Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) FULCRUM CONSTRUCTION SAME Address: CSt.B License: City/State/Zip- Phone: Date Signed: LOS ANGELLES NA 12/13/2024 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300 CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 CERTIFICATE OF INSTALLATION — USER INSTRUCTIONS NRCI-LTI-E Indoor Lighting (Page 1 of 3) A. General Information 1. Enter the City the project is located in. 2. Enter the zip code. 3. Enter the Date of Permit Set used for construction. 4. Enter the Name of Permit Set used for construction. 5. Enter the Authority Having Jurisdiction. 6. Enter the Building Permit #. 7. Enter the Date of As -Built Set. 8. Enter the Name of As -Built Set. B. Project Scope 1. Select applicable luminaires. 2. Select applicable space type. 3. Select applicable controls. C. Compliance Results 1. This table is automatically filled with uneditable comments based on data entered in Section F. D. Exceptional Conditions 1. This table is auto filled with uneditable comments because of selections made or data entered in tables throughout the form. E. Installer Notes 1. This table is automatically filled with uneditable comments by the installer. F. INSTALLATION DETAILS Indoor Lighting Fixture Schedule for Spaces Other Than Dwelling Units/ Hotel Rooms/ Motel Rooms 1. This field is filled out automatically. 2. Fixture Within Scope: Select from dropdown. 3. Enter luminaire description. 4. This field is filled out automatically. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 CERTIFICATE OF INSTALLATION — USER INSTRUCTIONS NRCI-LTI-E Indoor Lighting (Page 2 of 3) 5. Fixture type: Select from dropdown. 6. Enter linear FT2 of track. 7. Enter VA of current limiter. 8. Enter voltage of branch circuit. 9. Enter sum of Ampere rating. 10. Enter maximum rated input. 11. Enter rated wattage per luminaire. 12. Enter total number of luminaires. 13. This field is filled out automatically. Residential Dwelling Unit or Hotel/Motel Room Luminaire Efficacy Requirements 1. This table covers the dwelling unit efficacy requirements for multifamily & hotel/motel projects. Indoor Lighting Controls 1. This field is filled out automatically. 2. This field is filled out automatically. 3. Demand Response: Select from Dropdown. 4. Manual Area Controls: Select from Dropdown. 5. Multi Area Controls: Select from Dropdown. 6. Shut off Controls: Select from Dropdown. 7. Primary/skylit Daylighting: Select from Dropdown. 8. Secondary daylighting: Select from Dropdown. 9. Interlocked systems: Select from Dropdown. 10. This field is filled out automatically. Controls for Additional Wattage Credit 1. This field is filled out automatically. 2. This field is filled out automatically. 3. Luminaire Item or Item Tag: Select from Dropdown. 4. This field is filled out automatically. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 CERTIFICATE OF INSTALLATION — USER INSTRUCTIONS NRCI-LTI-E Indoor Lighting (Page 3 of 3) 5. Enter number of luminaires. 6. This field is filled out automatically. 7. This field is filled out automatically. Documentation Declaration Statements 1. The person who prepared the NRCI will sign and complete the fields for their name, company (if applicable), address, phone number, certification information (if applicable), date and signature. 2. The person who is assuming responsibility for the project being built to comply with Title 24, Part 6, will complete the fields for their name, company (if applicable), address, phone number, license number (if applicable), date and signature. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E CERTIFICATE OF INSTALLATION This Certificate of Installation documents the installation of mechanical features, materials, components, and manufactured devices required to demonstrate compliance with Title 24, Part 6 per §10-103(a)3 for nonresidential, hotel/motel and high-rise residential occupancies. Project Name: PGA super store Enforcement Agency: Dwelling Address: 79-110 California 111 Permit Number: n/a City and Zip Code: Permit Application Date: La Quint 92253 n/x A. GENERAL INFORMATION 01 Project Location (city): La qulnta 02 Zip Code: 92253 03 Date of Permit Set used for construction: 5/9/2024 04 Name of Permit Set used for construction: plan review p 05 Authority Having Jurisdiction: La Quinta 06 Building Permit #: n/a 07 Date of As -built Set: n/a 08 Name of As -built Set: n/a B. INSTALLER SCOPE This table indicates construction systems and materials documented on this Certificate of Installation 01 x ❑ Dry System (Airside) Equipment ❑ Ventilation ❑ System Controls x ❑ Ductwork ❑ Boiler ❑ Pumps ❑ Terminal Box Controls ❑ Piping ❑ Chiller ❑ Fans and Air Economizers ❑ Heat Rejection Equipment (cooling towers, condensers, waterside economizers) ❑ Electric Resistance Heating CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS IleCALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E C. COMPLIANCE RESULTS This table indicates whether the as -built conditions documented in this form are equal or better than what was documented on the permitted Certificate of Compliance. If the installation is not equal or better, Section 10-103(o)2B requires the Certificate of Compliance to be revised accordingly to demonstrate compliance. 1 1 INSTALLED FEATURES EXACTLY MATCH DESIGN ON PERMITTED CERTIFICATE OF COMPLIANCE Documented as -built conditions should be verified by inspector from Authority Having Jurisdiction to comply. The Certificate of Compliance should be revised to confirm as -built conditions comply and this Certificate of Installation updated accordingly. D. EXCEPTIONAL CONDITIONS This table is auto filled with uneditable comments because of field conditions noted by the installer that may impact requirements documented on the Certificate of Compliance. n/a E. INSTALLER NOTES This table includes remarks made by the installer to the Authority Having Jurisdiction. n/a F. INSTALLATION DETAILS The following tables indicate performance requirements as documented on the permitted Certificate of Compliance for all systems and components included in Table B. Installer Scope. Also indicated are the as -built conditions documented by the installer/ documentation author. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E Dry System Equipment Schedule 01 02 03 04 05 06 07 08 09 10 11 12 13 Heating Mode Cooling Mode Equip Rated Supplemental Rated Name or Item Model Equipment ment Tag # Type Output Heating Output Efficiency Efficiency Output Efficiency Efficiency Efficiency Efficiency Compli (kBtu/h) (kBtu/h) Unit (kBtu/h) Unit Unit ance 2' Per C of C 5, rn-013 gas 293 234 82 156.4 10.8 As -built Conditions Heat Pump Equipment Schedule 01 02 03 04 05 06 07 08 09 10 11 12 13 Heating Mode Cooling Mode Name or Item Model Size Size Equipment Tag # System Category Efficiency Efficiency System Category Efficiency Efficiency Efficiency Efficiency Compliance Category (Btu/h) Unit Category (Btu/h) Unit Unit Per CofC As -built Conditions DX DOAS Schedule 01 02 03 04 05 06 07 08 09 10 Name or Item Model # Equipment Type Energy Recovery Rating Efficiency Efficiency Efficiency Efficiency Equipment Tag Condition Unit Unit Compliance Per CofC ISMRE ISCOP As -built Conditions CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E Boiler Efficiency and Controls 01 02 03 04 05 06 07 08 09 10 Controls Tag/Plan Detail ID Model # Equipment Type Quantity Rated Input (Btu/h) Rated Efficiency Efficiency Unit Equipment Compliance Isolation Temperature Valve Reset PerCofC As -built Conditions Chiller Efficiency and Controls 01 02 03 04 05 06 07 08 09 10 11 12 Rated Rated Controls Tag/Plan Detail ID Model# Equipment Type Quantity Size Efficiency Efficiency Efficiency Efficiency Equipment Isolation (tons) #1 Unit #1 #2 Unit #2 Valve Temperature Reset Compliance Per CofC As -built Conditions Heat Rejection Equipment (Cooling Towers, Condensers, Waterside Economizers) Efficiency and Controls 01 02 03 04 05 06 07 08 09 10 11 12 Controls Tag/Plan Detail ID Model Equipment Quantity Rated Performance Equipment Fan Tower Fan Control in Economizer Condenser # Type Yp performance Unit Speed Flow Multiple Cell Water Compliance Control Control Turndown Equipment Temp. Reset Per CofC As -built Conditions CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E Electric Resistance Heating 01 02 03 04 05 Name or Tag ID Model # Equipment Description Output Capacity Equipment (kW) Compliance Per CofC As -built Conditions Pumps 01 02 03 04 05 06 07 08 09 Controls Name or Tag ID Type Quantity Horsepower BHP) Equipment Compliance Variable Flow Hydronic Heat VSD on Differential Controls Pump Isolation Pumps > 5HP Pressure Sensor Per CofC As -built Conditions Fans and Air Economizers 01 02 03 04 05 06 Fan Electrical Input Power Name or Tag ID Quantity Fan Function Economizer System Compliance Per CofC As -built Conditions CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E Dedicated Outdoor Air System (DOAS) 01 02 03 04 05 06 07 System Name Quantity Delivered Directly DOAS Fan Control Multi -Zone DOAS with Multifamily DOAS System Compliance To The Space Cooling Per CofC As -built Conditions H. Fan Energy Index (FEI) 01 02 03 04 Fan System Name or Item Tag Name or Item Tag FEI Exception FEI Per CofC As -built Conditions Exhaust Air Heat Recovery 01 02 03 04 05 06 07 Fan System Name y Required? q Type of Heat Recover Rating yp y g Required Installed EnergyRecover Bypass y yp System Compliance y p Recovery Ratio Recovery Ratio Per C of C NA As -built Conditions CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E Dwelling Unit Fan Efficacy & Energy/Heat Recovery 01 02 03 04 05 06 07 Fan System Name System Airflow Input Power Watts/CFM Energy/Heat Recovery Ventilation Sensible Recovery/Effectiveness System Compliance or Item Tag (cfm) (kW) Per CofC As -built Conditions System Controls 01 02 03 04 05 06 07 08 09 Shut -Off Isolation Zone Demand Supply Air Direct Digital Control System Name Thermostats Window Interlocks System Compliance Controls Controls Response Temp. Reset (DDC) Per CofC As -built Conditions Nonresidential, Hotel/Motel and Multifamily Common Use Ventilation Systems 01 02 03 04 System Name System Design CA CFM Airflow System Design Transfer Air CFM Air Filtration 05 06 07 08 09 Space Name Exhaust Ventilation Occupant Sensor Controls Demand Control Ventilation System Compliance Per CofC As -built Conditions CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E Multifamily Dwelling Unit Ventilation Systems 01 02 03 04 05 06 07 Outside Air Supply Air Exhaust Space Name Local Exhaust Air Filtration Space Compliance CFM CFM CFM Per CofC As -built Conditions Terminal Box Controls 01 02 03 04 05 06 07 08 09 Design Reheated, Recooled, Mixed Air Compliance Zone/System/VAV Box Name Item Zonal Control Zone/ Box/ System peak Primary Primary Air in Reheated Retooled 1st Stage Modulates 2nd Stage or Strategy Airflow Deadband Mixed Airflow Outside Air <95°F and Modulates from DB Compliance P Tag CFM Flow to Heating CFM CFM CFM Maintains DB Rate? Max Flow? Per CofC As -built Conditions CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS *, CALIFORNIA ENERGY COMMISSION CEC-NRCI-MCH-E 1I Ducts The following duct systems require duct leakage testing by a certified Mechanical Acceptance Test Technician or a HERS Rater. Learn more about the Acceptance Testing Program on the Energy Commission website here: https://www.energy.ca.gov/programs-and- topics/programs/acceptance-test-technician-certification-provider-program Learn more about the HERS Program on the Energy Commission website here: https://www.energy.ca.gov/programs-and-topics/programs/home- energy-rating-system-hers-program CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-NRCI-MCH-E Pipe Insulation Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Insulation exposed to weather shall be installed with a cover suitable for outdoor service. Insulation covering chilled water piping and refrigerant suction piping located outside the conditioned space shall have a Class I or Class II vapor retarder. All penetrations and joints of which shall be sealed. Insulation thickness (in) or R-value shall be per the following Title 24, Part 6 Table 120.3-A/ 160.3-D. Fluid Operating Temperature Range (,F) Insulation Conductivity Nominal Pipe Diameter (in inches) Conductivity (in Btu•in/h•ft2• •F) Mean Rating Temperature VF) < 1 1 to <1.S 1.S to < 4 4 to < 8 8 and larger Space heating and Service Water Heating Systems (Steam, Steam Condensate, Refrigerant, Space Heating, Service Hot Water) Minimum Pipe Insulation Required (Thickness in inches or R-value) Above 350 0.32-0.34 250 Inches 4.5 5.0 5.0 5.0 5.0 R-value R 37 R 41 R 37 R 27 R 23 251-350 0.29-0.32 2nn Inches 3.0 4.0 4.5 4.5 4.5 R-value R 24 R 34 R 35 R 26 R 22 201-250 0.27-0.30 150 Inches 2.5 2.5 2.5 3.0 3.0 R-value R 21 R 20 R 17.5 R 17 R 14.5 141-200 0.25-0.29 125 Inches 1.5 1.5 2.0 2.0 2.0 R-value R11.5 R11 R14 R11 R10 105-140 0.22-0.28 100 Inches 1.0 1.5 1.5 1.5 1.5 R-value R7.7 R12.5 1111 R9 R8 CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-NRCI-MCH-E Fluid operating Insulation Conductivity Nominal Pipe Diameter (in inches) Temperature Conductivity Mean Rating < 1 1 to <1.S 1.S to < 4 4 to < 8 8 and Range (°F) (in Btu-in/h•ft2- 'F) Temperature ('F) larger Space cooling systems (chilled water, refrigerant and brine) Minimum Pipe Insulation Required (Thickness in inches or R-value)' 40-60 0.21-0.27 75 Inches Nonres Res Nonres Res 1.0 1.0 1.0 0.5 0.75 0.5 0.75 R-value Nonres Res Nonres Res R 7 R o R 5 R3 R6 R3 RS Below 40 0.20-0.26 50 I r C h 1.0 1. 5 1.5 R-v-;l.ie R 8.5 R 1.4 R 12 R 10 y G. ACCEPTANCE TESTS & FIELD VERIFICATION The following Acceptance Tests and HERS Verifications related to the systems or materials documented on this Certificate of Installation have been indicated on the permitted Certificate of Compliance as being required to comply with Title 24, Part 6. Certificates of Acceptance Mechanical Acceptance Tests must be completed by a certified Acceptance Testing Technician and Certificate of Acceptance forms completed through an approved Acceptance Test Technician Certification Provider database. The Certificate of Acceptance forms indicated below will be required by the Authority Having Jurisdiction to demonstrate compliance. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E Form/Title Systems to be Field Verified NRCA-MCH-02-A Outdoor Air must be submitted for all newly installed HVAC units. Note: MCH-02-A can be performed in conjunction with MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. NRCA-MCH-03-A - Must be submitted for Constant Volume Single Zone HVAC. NRCA-MCH-04b-A - Must be submitted for Air Distribution Duct Leakage. NRCA-MCH-05-A - Must be submitted for Air Economizer Controls. NRCA-MCH-06-A - Must be submitted for Demand Control Ventilation. NRCA-MCH-07-A - Must be submitted for Supply Fan Variable Flow Controls. NRCA-MCH-08-A - Must be submitted for Valve Leakage Test. NRCA-MCH-09-A - Must be submitted for Supply Water Temperature Reset Controls. NRCA-MCH-10-A - Must be submitted for Hydronic System Variable Flow Controls. NRCA-MCH-11-A - Must be submitted for Automatic Demand Shed Controls. NRCA-MCH-12-A-FDD-F - Must be submitted for Packaged Direct Expansion Units. NRCA-MCH-13-A-FDD - Must be submitted for Air Handling Units and Zone Terminal Units. NRCA-MCH-14-A - Must be submitted for Distributed Energy Storage DX -AC Systems. NRCA-MCH-15-A - Must be submitted for Thermal Energy Storage. NRCA-MCH-16-A - Must be submitted for Supply Air Temperature Reset Controls. NRCA-MCH-17-A - Must be submitted for Condenser Water. NRCA-MCH-18-A - Must be submitted for Energy Management Control Systems. NRCA-MCH-19-A - Must be submitted for Occupancy Sensor Controls. NRCA-MCH-20-H - Must be submitted for Multifamily Ventilation. NRCA-MCH-21-H - Must be submitted for Multifamily Envelope. NRCA-MCH-22-A - Must be submitted for Multifamily Duct Leakage. NRCA-MCH-23-A - Must be submitted for Multifamily HRV/ERV Verification. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E i Certificates of Verification HERS verifications must be completed by a HERS Rater and NRCV forms completed through an approved HERS Provider database. The Certificate of Verification forms indicated below will be required by the Authority Having Jurisdiction to demonstrate compliance. NRCA-MCH-04a-H - Must be completed by installer and submitted for Air Distribution Duct Leakage. NRCV-MCH-04-H Duct Leakage Test NRCV-MCH-24 Enclosure Air Leakage Worksheet NRCV-MCH-27 High-rise Residential NRCV-MCH-32 Local Mechanical Exhaust There are no Acceptance Tests or HERS verifications indicated on the permitted Certificate of Compliance related to the systems or materials documented on this Certificate of Installation. A copy of this Certificate of Installation should be distributed to the certified Acceptance Test Technician(s) who will perform the acceptance test(s). Title 24, Part 6 Section 10-103(a)3F also requires this Certificate of Installation be posted or made available to the Authority Having Jurisdiction for all applicable inspections. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: David Folger Documentation Author Signature: Documentation Author Company Name: Bradley mechanical inc Date Signed: Address:10625 lawson river CEA/HERS Certification Identification (If applicable): City/State/Zip: Fountain Valley, Ca, 92708 Phone: 7149644600 RESPONSIBLE PERSON'S DECLARATION STATEMENT 2. 1 certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Installation is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation and attest to the declarations in this statement (responsible builder/installer), otherwise I am an authorized representative of the responsible builder/installer. 3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements given on the plans and specifications approved by the enforcement agency. 4. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of Installation, and I have ensured that the requirements that apply to the construction or installation have been met. 5. 1 understand that a completed signed copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to accomplish this requirement. 6. 1 understand that a completed signed copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to accomplish this requirement. Responsible Builder/Installer Name: Responsible Builder/Installer Signature: David Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Position With Company (Title): Bradley Mechanical inc project manager Address: CSLB License: 10625 lawson river 748290 City/State/Zip: Phone: Date Signed: fountain valley, ca, 92708 7149644600 12/11/2024 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300 CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 CERTIFICATE OF INSTALLATION — USER INSTRUCTIONS NRCI-MCH-E Mechanical Systems (Page 1 of 7) A. General Information 1. This field is filled out automatically. 2. Enter the zip code of the construction project. 3. Enter the Date of Permit Set used for construction. 4. Enter the Name of Permit Set used for construction. 5. Enter the Authority Having Jurisdiction. 6. Enter the Building Permit #. 7. Enter the Date of As -Built Set. 8. Enter the Name of As -Built Set. B. Project Scope 1. Select all applicable equipment, systems and materials documented. C. Compliance Results Results in this table are automatically calculated from data input and calculations in Tables F. D. Exceptional Conditions 1. This table is auto filled with uneditable comments because of selections made or data entered in tables throughout the form. E. Installer Notes 1. Enter any notes or comments for the AHJ. Dry System Equipment Schedule 1. This field is filled out automatically. 2. Enter the model # of the equipment being installed. 3. Select: True or False. 4. Enter the heating mode Rated Output of the equipment in kBtu/h. 5. Enter the Supplemental Heating Output of the equipment in kBtu/h. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 CERTIFICATE OF INSTALLATION — USER INSTRUCTIONS NRCI-MCH-E Mechanical Systems (Page 2 of 7) 6. Enter the efficiency of the equipment while in heating mode. 7. This field is filled out automatically. 8. Enter the cooling mode Rated Output of the equipment in kBtu/h. 9. Enter the efficiency of the equipment while in cooling mode. 10. This field is filled out automatically. 11. If a second efficiency is required, enter the efficiency of the equipment while in cooling mode. 12. This field is filled out automatically. 13. This field is calculated automatically. Heat Pump Equipment Schedule 1. This field is filled out automatically. 2. Enter the model # of the equipment being installed. 3. Select: True or False. 4. Select: True or False. 5. Enter the efficiency of the heat pump while in heating mode. 6. This field is filled out automatically. 7. Select: True or False. 8. Select: True or False. 9. Enter the efficiency of the heat pump while in cooling mode. 10. This field is filled out automatically. 11. If a second efficiency is required, enter the efficiency of the heat pump while in cooling mode. 12. This field is filled out automatically. 13. This field is calculated automatically. DX DOAS Schedule 1. This field is filled out automatically. 2. Enter the model # of the equipment being installed. 3. Select: True or False. 4. Select: True or False. 5. Select: True or False. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 CERTIFICATE OF INSTALLATION — USER INSTRUCTIONS NRCI-MCH-E Mechanical Systems (Page 3 of 7) 6. Enter the ISM RE efficiency of the DOAS equipment. 7. This field is static text showing the efficiency unit is ISMRE. 8. Enter the ISCOP efficiency of the DOAS equipment. 9. This field is static text showing the efficiency unit is ISCOP. 10. This field is calculated automatically. Boiler 1. This field is filled out automatically. 2. Enter the model # of the equipment being installed. 3. Select: True or False. 4. Enter the quantity of identical equipment being installed. 5. Enter the Rated Input of the boiler in Btu/h. 6. Enter the Rated Efficiency of the equipment. 7. This field is automatically filled out. 8. Isolation Valve: Select from Dropdown. 9. Temperature Reset Controls: Select from Dropdown. 10. This field is calculated automatically. Chiller 1. This field is filled out automatically. 2. Enter the model # of the equipment being installed. 3. Select: True or False. 4. Enter the quantity of identical equipment being installed. 5. Select: True or False. 6. Enter the efficiency while in cooling mode. 7. This field is filled out automatically. 8. If a second efficiency is required, enter the efficiency while in cooling mode. 9. This field is filled out automatically. 10. Isolation Valve: Select from Dropdown. 11. Temperature Reset Controls: Select from Dropdown. 12. This field is calculated automatically. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 CERTIFICATE OF INSTALLATION — USER INSTRUCTIONS NRCI-MCH-E Mechanical Systems (Page 4 of 7) Heat Rejection Equipment (Cooling Towers, Condensers, Waterside Economizers) Efficiency and Controls 1. This field is filled out automatically. 2. Enter the model # of the equipment being installed. 3. Select: True or False 4. Enter the quantity of identical equipment being installed. 5. Enter the Rated Performance of the equipment being installed. 6. This field is filled out automatically. 7. Fan Speed Control: Select from Dropdown. 8. Tower Flow Turndown: Select from Dropdown. 9. Fan Control in Multiple Cell Equipment: Select from Dropdown. 10. Economizer Control: Select from Dropdown. 11. Condenser Water Temperature Reset: Select from Dropdown. 12. This field is calculated automatically. Electric Resistance Heating 1. This field is filled out automatically. 2. Enter the model # of the equipment being installed. 3. This field is filled out automatically. 4. Enter the Output Capacity in kW. 5. This field is calculated automatically. Pumps 1. This field is filled out automatically. 2. This field is filled out automatically. 3. Enter the quantity of identical equipment being installed. 4. Enter the Horsepower of the pump. 5. Variable Flow Controls: Select from Dropdown. 6. Hydronic Heat Pump Isolation Control: Select from Dropdown. 7. Variable Speed Drive on pumps greater than 5 horsepower: Select from Dropdown. 8. Differential Pressure Sensor Control: Select from Dropdown. 9. This field is calculated automatically. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 CERTIFICATE OF INSTALLATION — USER INSTRUCTIONS NRCI-MCH-E Mechanical Systems (Page 5 of 7) Fans and Air Economizers 1. This field is filled out automatically. 2. Enter the quantity of identical equipment being installed. 3. Fan Function: Select from Dropdown. 4. Economizer: Select from Dropdown. 5. Enter the Electrical Input Power of the fan in Watts. 6. This field is calculated automatically. Dedicated Outdoor Air Systems (DOAS) 1. This field is filled out automatically. 2. Enter the quantity of identical equipment being installed. 3. Delivered Directly to the Space: Select from Dropdown. 4. Enter the fan system power in kilowatts. 5. Enter the fan system airflow in cubic feet per minute. 6. This field is calculated automatically. 7. This field is static text that says less than or equal to 3 speeds. 8. Multizone DOAS with cooling: Select from Dropdown. 9. Select: Yes or No. 10. Multifamily DOAS: Select from Dropdown. 11. This field is calculated automatically. System Controls 1. This field is filled out automatically. 2. Thermostat Controls: Select from Dropdown. 3. Shut-off Controls: Select from Dropdown. 4. Isolation Zone Controls: Select from Dropdown. 5. Demand Response Controls: Select from Dropdown. 6. Supply Air Temperature Reset Controls: Select from Dropdown. 7. Window Interlock Controls: Select from Dropdown. 8. Direct Digital Controls: Select from Dropdown. 9. This field is calculated automatically. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 CERTIFICATE OF INSTALLATION — USER INSTRUCTIONS NRCI-MCH-E Mechanical Systems (Page 6 of 7) Nonresidential, Hotel/Motel and Multifamily Common User Ventilation Systems 1. This field is filled out automatically. 2. Enter System Designed Outside Air Airflow in cubic feet per minute. 3. Enter System Designed Transfer Air Airflow in cubic feet per minute. 4. Air Filtration: Select from Dropdown. 5. This field is filled out automatically. 6. Enter Exhaust Ventilation for the space. 7. Occupant Sensor Controls: Select from Dropdown. 8. Demand Control Ventilation: Select from Dropdown. 9. This field is calculated automatically. Multifamily Dwelling Unit Ventilation Systems 1. This field is filled out automatically. 2. Enter System Designed Outside Air Airflow in cubic feet per minute. 3. Enter System Designed Supply Air Airflow in cubic feet per minute. 4. Enter Exhaust Air Airflow in cubic feet per minute. 5. Local Exhaust: Select from Dropdown. 6. Air Filtration: Select from Dropdown. 7. This field is calculated automatically. Terminal Box Controls 1. This field is filled out automatically. 2. Zonal Control Strategy: Select from Dropdown. 3. Enter the Peak Primary Airflow for the zone or system in cubic feet per minute. 4. Enter the Primary Air in Deadband Airflow for the zone or system in cubic feet per minute. 5. Enter the Reheated, Recooled or Mixed Airflow for the zone or system in cubic feet per minute. 6. Enter the Outside Air Airflow for the zone or system in cubic feet per minute. 7. Confirm the first stage modulates and maintains the drybulb rate. 8. Confirm the second stage modulates from drybulb flow to heating max flow. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 CERTIFICATE OF INSTALLATION — USER INSTRUCTIONS NRCI-MCH-E Mechanical Systems (Page 7 of 7) 9. This field is calculated automatically. Ducts 1. This field is filled out automatically. Pipe Insulation 1. This table includes required pipe insulation values from Part 6 and does not require user entry. G. Acceptance Tests and Field Verification 1. This field is filled out automatically. Documentation Declaration Statements 1. The person who prepared the NRCI will sign and complete the fields for their name, company (if applicable), address, phone number, certification information (if applicable), date and signature. 2. The person who is assuming responsibility for the project being built to comply with Title 24, Part 6, will complete the fields for their name, company (if applicable), address, phone number, license number (if applicable), date and signature. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E CERTIFICATE OF INSTALLATION This Certificate of Installation documents the installation of mechanical features, materials, components, and manufactured devices required to demonstrate compliance with Title 24, Part 6 per §10-103(a)3 for nonresidential, hotel/motel and high-rise residential occupancies. Project Name: PGA super store Enforcement Agency: Dwelling Address: 79-110 California 111 Permit Number: n/a City and Zip Code: Permit Application Date: La Quint 92253 n/x A. GENERAL INFORMATION 01 Project Location (city): La qulnta 02 Zip Code: 92253 03 Date of Permit Set used for construction: 5/9/2024 04 Name of Permit Set used for construction: plan review p 05 Authority Having Jurisdiction: La Quinta 06 Building Permit #: n/a 07 Date of As -built Set: n/a 08 Name of As -built Set: n/a B. INSTALLER SCOPE This table indicates construction systems and materials documented on this Certificate of Installation 01 x ❑ Dry System (Airside) Equipment ❑ Ventilation ❑ System Controls x ❑ Ductwork ❑ Boiler ❑ Pumps ❑ Terminal Box Controls ❑ Piping ❑ Chiller ❑ Fans and Air Economizers ❑ Heat Rejection Equipment (cooling towers, condensers, waterside economizers) ❑ Electric Resistance Heating CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS IleCALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E C. COMPLIANCE RESULTS This table indicates whether the as -built conditions documented in this form are equal or better than what was documented on the permitted Certificate of Compliance. If the installation is not equal or better, Section 10-103(o)2B requires the Certificate of Compliance to be revised accordingly to demonstrate compliance. 1 1 INSTALLED FEATURES EXACTLY MATCH DESIGN ON PERMITTED CERTIFICATE OF COMPLIANCE Documented as -built conditions should be verified by inspector from Authority Having Jurisdiction to comply. The Certificate of Compliance should be revised to confirm as -built conditions comply and this Certificate of Installation updated accordingly. D. EXCEPTIONAL CONDITIONS This table is auto filled with uneditable comments because of field conditions noted by the installer that may impact requirements documented on the Certificate of Compliance. n/a E. INSTALLER NOTES This table includes remarks made by the installer to the Authority Having Jurisdiction. n/a F. INSTALLATION DETAILS The following tables indicate performance requirements as documented on the permitted Certificate of Compliance for all systems and components included in Table B. Installer Scope. Also indicated are the as -built conditions documented by the installer/ documentation author. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E Dry System Equipment Schedule 01 02 03 04 05 06 07 08 09 10 11 12 13 Heating Mode Cooling Mode Equip Rated Supplemental Rated Name or Item Model Equipment ment Tag # Type Output Heating Output Efficiency Efficiency Output Efficiency Efficiency Efficiency Efficiency Compli (kBtu/h) (kBtu/h) Unit (kBtu/h) Unit Unit ance 2' Per C of C 5, rn-013 gas 293 234 82 156.4 10.8 As -built Conditions Heat Pump Equipment Schedule 01 02 03 04 05 06 07 08 09 10 11 12 13 Heating Mode Cooling Mode Name or Item Model Size Size Equipment Tag # System Category Efficiency Efficiency System Category Efficiency Efficiency Efficiency Efficiency Compliance Category (Btu/h) Unit Category (Btu/h) Unit Unit Per CofC As -built Conditions DX DOAS Schedule 01 02 03 04 05 06 07 08 09 10 Name or Item Model # Equipment Type Energy Recovery Rating Efficiency Efficiency Efficiency Efficiency Equipment Tag Condition Unit Unit Compliance Per CofC ISMRE ISCOP As -built Conditions CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E Boiler Efficiency and Controls 01 02 03 04 05 06 07 08 09 10 Controls Tag/Plan Detail ID Model # Equipment Type Quantity Rated Input (Btu/h) Rated Efficiency Efficiency Unit Equipment Compliance Isolation Temperature Valve Reset PerCofC As -built Conditions Chiller Efficiency and Controls 01 02 03 04 05 06 07 08 09 10 11 12 Rated Rated Controls Tag/Plan Detail ID Model# Equipment Type Quantity Size Efficiency Efficiency Efficiency Efficiency Equipment Isolation (tons) #1 Unit #1 #2 Unit #2 Valve Temperature Reset Compliance Per CofC As -built Conditions Heat Rejection Equipment (Cooling Towers, Condensers, Waterside Economizers) Efficiency and Controls 01 02 03 04 05 06 07 08 09 10 11 12 Controls Tag/Plan Detail ID Model Equipment Quantity Rated Performance Equipment Fan Tower Fan Control in Economizer Condenser # Type Yp performance Unit Speed Flow Multiple Cell Water Compliance Control Control Turndown Equipment Temp. Reset Per CofC As -built Conditions CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E Electric Resistance Heating 01 02 03 04 05 Name or Tag ID Model # Equipment Description Output Capacity Equipment (kW) Compliance Per CofC As -built Conditions Pumps 01 02 03 04 05 06 07 08 09 Controls Name or Tag ID Type Quantity Horsepower BHP) Equipment Compliance Variable Flow Hydronic Heat VSD on Differential Controls Pump Isolation Pumps > 5HP Pressure Sensor Per CofC As -built Conditions Fans and Air Economizers 01 02 03 04 05 06 Fan Electrical Input Power Name or Tag ID Quantity Fan Function Economizer System Compliance Per CofC As -built Conditions CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E Dedicated Outdoor Air System (DOAS) 01 02 03 04 05 06 07 System Name Quantity Delivered Directly DOAS Fan Control Multi -Zone DOAS with Multifamily DOAS System Compliance To The Space Cooling Per CofC As -built Conditions H. Fan Energy Index (FEI) 01 02 03 04 Fan System Name or Item Tag Name or Item Tag FEI Exception FEI Per CofC As -built Conditions Exhaust Air Heat Recovery 01 02 03 04 05 06 07 Fan System Name y Required? q Type of Heat Recover Rating yp y g Required Installed EnergyRecover Bypass y yp System Compliance y p Recovery Ratio Recovery Ratio Per C of C NA As -built Conditions CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E Dwelling Unit Fan Efficacy & Energy/Heat Recovery 01 02 03 04 05 06 07 Fan System Name System Airflow Input Power Watts/CFM Energy/Heat Recovery Ventilation Sensible Recovery/Effectiveness System Compliance or Item Tag (cfm) (kW) Per CofC As -built Conditions System Controls 01 02 03 04 05 06 07 08 09 Shut -Off Isolation Zone Demand Supply Air Direct Digital Control System Name Thermostats Window Interlocks System Compliance Controls Controls Response Temp. Reset (DDC) Per CofC As -built Conditions Nonresidential, Hotel/Motel and Multifamily Common Use Ventilation Systems 01 02 03 04 System Name System Design CA CFM Airflow System Design Transfer Air CFM Air Filtration 05 06 07 08 09 Space Name Exhaust Ventilation Occupant Sensor Controls Demand Control Ventilation System Compliance Per CofC As -built Conditions CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E Multifamily Dwelling Unit Ventilation Systems 01 02 03 04 05 06 07 Outside Air Supply Air Exhaust Space Name Local Exhaust Air Filtration Space Compliance CFM CFM CFM Per CofC As -built Conditions Terminal Box Controls 01 02 03 04 05 06 07 08 09 Design Reheated, Recooled, Mixed Air Compliance Zone/System/VAV Box Name Item Zonal Control Zone/ Box/ System peak Primary Primary Air in Reheated Retooled 1st Stage Modulates 2nd Stage or Strategy Airflow Deadband Mixed Airflow Outside Air <95°F and Modulates from DB Compliance P Tag CFM Flow to Heating CFM CFM CFM Maintains DB Rate? Max Flow? Per CofC As -built Conditions CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS *, CALIFORNIA ENERGY COMMISSION CEC-NRCI-MCH-E 1I Ducts The following duct systems require duct leakage testing by a certified Mechanical Acceptance Test Technician or a HERS Rater. Learn more about the Acceptance Testing Program on the Energy Commission website here: https://www.energy.ca.gov/programs-and- topics/programs/acceptance-test-technician-certification-provider-program Learn more about the HERS Program on the Energy Commission website here: https://www.energy.ca.gov/programs-and-topics/programs/home- energy-rating-system-hers-program CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-NRCI-MCH-E Pipe Insulation Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Insulation exposed to weather shall be installed with a cover suitable for outdoor service. Insulation covering chilled water piping and refrigerant suction piping located outside the conditioned space shall have a Class I or Class II vapor retarder. All penetrations and joints of which shall be sealed. Insulation thickness (in) or R-value shall be per the following Title 24, Part 6 Table 120.3-A/ 160.3-D. Fluid Operating Temperature Range (,F) Insulation Conductivity Nominal Pipe Diameter (in inches) Conductivity (in Btu•in/h•ft2• •F) Mean Rating Temperature VF) < 1 1 to <1.S 1.S to < 4 4 to < 8 8 and larger Space heating and Service Water Heating Systems (Steam, Steam Condensate, Refrigerant, Space Heating, Service Hot Water) Minimum Pipe Insulation Required (Thickness in inches or R-value) Above 350 0.32-0.34 250 Inches 4.5 5.0 5.0 5.0 5.0 R-value R 37 R 41 R 37 R 27 R 23 251-350 0.29-0.32 2nn Inches 3.0 4.0 4.5 4.5 4.5 R-value R 24 R 34 R 35 R 26 R 22 201-250 0.27-0.30 150 Inches 2.5 2.5 2.5 3.0 3.0 R-value R 21 R 20 R 17.5 R 17 R 14.5 141-200 0.25-0.29 125 Inches 1.5 1.5 2.0 2.0 2.0 R-value R11.5 R11 R14 R11 R10 105-140 0.22-0.28 100 Inches 1.0 1.5 1.5 1.5 1.5 R-value R7.7 R12.5 1111 R9 R8 CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-NRCI-MCH-E Fluid operating Insulation Conductivity Nominal Pipe Diameter (in inches) Temperature Conductivity Mean Rating < 1 1 to <1.S 1.S to < 4 4 to < 8 8 and Range (°F) (in Btu-in/h•ft2- 'F) Temperature ('F) larger Space cooling systems (chilled water, refrigerant and brine) Minimum Pipe Insulation Required (Thickness in inches or R-value)' 40-60 0.21-0.27 75 Inches Nonres Res Nonres Res 1.0 1.0 1.0 0.5 0.75 0.5 0.75 R-value Nonres Res Nonres Res R 7 R o R 5 R3 R6 R3 RS Below 40 0.20-0.26 50 I r C h 1.0 1. 5 1.5 R-v-;l.ie R 8.5 R 1.4 R 12 R 10 y G. ACCEPTANCE TESTS & FIELD VERIFICATION The following Acceptance Tests and HERS Verifications related to the systems or materials documented on this Certificate of Installation have been indicated on the permitted Certificate of Compliance as being required to comply with Title 24, Part 6. Certificates of Acceptance Mechanical Acceptance Tests must be completed by a certified Acceptance Testing Technician and Certificate of Acceptance forms completed through an approved Acceptance Test Technician Certification Provider database. The Certificate of Acceptance forms indicated below will be required by the Authority Having Jurisdiction to demonstrate compliance. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E Form/Title Systems to be Field Verified NRCA-MCH-02-A Outdoor Air must be submitted for all newly installed HVAC units. Note: MCH-02-A can be performed in conjunction with MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. NRCA-MCH-03-A - Must be submitted for Constant Volume Single Zone HVAC. NRCA-MCH-04b-A - Must be submitted for Air Distribution Duct Leakage. NRCA-MCH-05-A - Must be submitted for Air Economizer Controls. NRCA-MCH-06-A - Must be submitted for Demand Control Ventilation. NRCA-MCH-07-A - Must be submitted for Supply Fan Variable Flow Controls. NRCA-MCH-08-A - Must be submitted for Valve Leakage Test. NRCA-MCH-09-A - Must be submitted for Supply Water Temperature Reset Controls. NRCA-MCH-10-A - Must be submitted for Hydronic System Variable Flow Controls. NRCA-MCH-11-A - Must be submitted for Automatic Demand Shed Controls. NRCA-MCH-12-A-FDD-F - Must be submitted for Packaged Direct Expansion Units. NRCA-MCH-13-A-FDD - Must be submitted for Air Handling Units and Zone Terminal Units. NRCA-MCH-14-A - Must be submitted for Distributed Energy Storage DX -AC Systems. NRCA-MCH-15-A - Must be submitted for Thermal Energy Storage. NRCA-MCH-16-A - Must be submitted for Supply Air Temperature Reset Controls. NRCA-MCH-17-A - Must be submitted for Condenser Water. NRCA-MCH-18-A - Must be submitted for Energy Management Control Systems. NRCA-MCH-19-A - Must be submitted for Occupancy Sensor Controls. NRCA-MCH-20-H - Must be submitted for Multifamily Ventilation. NRCA-MCH-21-H - Must be submitted for Multifamily Envelope. NRCA-MCH-22-A - Must be submitted for Multifamily Duct Leakage. NRCA-MCH-23-A - Must be submitted for Multifamily HRV/ERV Verification. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E i Certificates of Verification HERS verifications must be completed by a HERS Rater and NRCV forms completed through an approved HERS Provider database. The Certificate of Verification forms indicated below will be required by the Authority Having Jurisdiction to demonstrate compliance. NRCA-MCH-04a-H - Must be completed by installer and submitted for Air Distribution Duct Leakage. NRCV-MCH-04-H Duct Leakage Test NRCV-MCH-24 Enclosure Air Leakage Worksheet NRCV-MCH-27 High-rise Residential NRCV-MCH-32 Local Mechanical Exhaust There are no Acceptance Tests or HERS verifications indicated on the permitted Certificate of Compliance related to the systems or materials documented on this Certificate of Installation. A copy of this Certificate of Installation should be distributed to the certified Acceptance Test Technician(s) who will perform the acceptance test(s). Title 24, Part 6 Section 10-103(a)3F also requires this Certificate of Installation be posted or made available to the Authority Having Jurisdiction for all applicable inspections. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: David Folger Documentation Author Signature: Documentation Author Company Name: Bradley mechanical inc Date Signed: Address:10625 lawson river CEA/HERS Certification Identification (If applicable): City/State/Zip: Fountain Valley, Ca, 92708 Phone: 7149644600 RESPONSIBLE PERSON'S DECLARATION STATEMENT 2. 1 certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Installation is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation and attest to the declarations in this statement (responsible builder/installer), otherwise I am an authorized representative of the responsible builder/installer. 3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements given on the plans and specifications approved by the enforcement agency. 4. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of Installation, and I have ensured that the requirements that apply to the construction or installation have been met. 5. 1 understand that a completed signed copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to accomplish this requirement. 6. 1 understand that a completed signed copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to accomplish this requirement. Responsible Builder/Installer Name: Responsible Builder/Installer Signature: David Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Position With Company (Title): Bradley Mechanical inc project manager Address: CSLB License: 10625 lawson river 748290 City/State/Zip: Phone: Date Signed: fountain valley, ca, 92708 7149644600 12/11/2024 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300 CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 CERTIFICATE OF INSTALLATION — USER INSTRUCTIONS NRCI-MCH-E Mechanical Systems (Page 1 of 7) A. General Information 1. This field is filled out automatically. 2. Enter the zip code of the construction project. 3. Enter the Date of Permit Set used for construction. 4. Enter the Name of Permit Set used for construction. 5. Enter the Authority Having Jurisdiction. 6. Enter the Building Permit #. 7. Enter the Date of As -Built Set. 8. Enter the Name of As -Built Set. B. Project Scope 1. Select all applicable equipment, systems and materials documented. C. Compliance Results Results in this table are automatically calculated from data input and calculations in Tables F. D. Exceptional Conditions 1. This table is auto filled with uneditable comments because of selections made or data entered in tables throughout the form. E. Installer Notes 1. Enter any notes or comments for the AHJ. Dry System Equipment Schedule 1. This field is filled out automatically. 2. Enter the model # of the equipment being installed. 3. Select: True or False. 4. Enter the heating mode Rated Output of the equipment in kBtu/h. 5. Enter the Supplemental Heating Output of the equipment in kBtu/h. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 CERTIFICATE OF INSTALLATION — USER INSTRUCTIONS NRCI-MCH-E Mechanical Systems (Page 2 of 7) 6. Enter the efficiency of the equipment while in heating mode. 7. This field is filled out automatically. 8. Enter the cooling mode Rated Output of the equipment in kBtu/h. 9. Enter the efficiency of the equipment while in cooling mode. 10. This field is filled out automatically. 11. If a second efficiency is required, enter the efficiency of the equipment while in cooling mode. 12. This field is filled out automatically. 13. This field is calculated automatically. Heat Pump Equipment Schedule 1. This field is filled out automatically. 2. Enter the model # of the equipment being installed. 3. Select: True or False. 4. Select: True or False. 5. Enter the efficiency of the heat pump while in heating mode. 6. This field is filled out automatically. 7. Select: True or False. 8. Select: True or False. 9. Enter the efficiency of the heat pump while in cooling mode. 10. This field is filled out automatically. 11. If a second efficiency is required, enter the efficiency of the heat pump while in cooling mode. 12. This field is filled out automatically. 13. This field is calculated automatically. DX DOAS Schedule 1. This field is filled out automatically. 2. Enter the model # of the equipment being installed. 3. Select: True or False. 4. Select: True or False. 5. Select: True or False. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 CERTIFICATE OF INSTALLATION — USER INSTRUCTIONS NRCI-MCH-E Mechanical Systems (Page 3 of 7) 6. Enter the ISM RE efficiency of the DOAS equipment. 7. This field is static text showing the efficiency unit is ISMRE. 8. Enter the ISCOP efficiency of the DOAS equipment. 9. This field is static text showing the efficiency unit is ISCOP. 10. This field is calculated automatically. Boiler 1. This field is filled out automatically. 2. Enter the model # of the equipment being installed. 3. Select: True or False. 4. Enter the quantity of identical equipment being installed. 5. Enter the Rated Input of the boiler in Btu/h. 6. Enter the Rated Efficiency of the equipment. 7. This field is automatically filled out. 8. Isolation Valve: Select from Dropdown. 9. Temperature Reset Controls: Select from Dropdown. 10. This field is calculated automatically. Chiller 1. This field is filled out automatically. 2. Enter the model # of the equipment being installed. 3. Select: True or False. 4. Enter the quantity of identical equipment being installed. 5. Select: True or False. 6. Enter the efficiency while in cooling mode. 7. This field is filled out automatically. 8. If a second efficiency is required, enter the efficiency while in cooling mode. 9. This field is filled out automatically. 10. Isolation Valve: Select from Dropdown. 11. Temperature Reset Controls: Select from Dropdown. 12. This field is calculated automatically. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 CERTIFICATE OF INSTALLATION — USER INSTRUCTIONS NRCI-MCH-E Mechanical Systems (Page 4 of 7) Heat Rejection Equipment (Cooling Towers, Condensers, Waterside Economizers) Efficiency and Controls 1. This field is filled out automatically. 2. Enter the model # of the equipment being installed. 3. Select: True or False 4. Enter the quantity of identical equipment being installed. 5. Enter the Rated Performance of the equipment being installed. 6. This field is filled out automatically. 7. Fan Speed Control: Select from Dropdown. 8. Tower Flow Turndown: Select from Dropdown. 9. Fan Control in Multiple Cell Equipment: Select from Dropdown. 10. Economizer Control: Select from Dropdown. 11. Condenser Water Temperature Reset: Select from Dropdown. 12. This field is calculated automatically. Electric Resistance Heating 1. This field is filled out automatically. 2. Enter the model # of the equipment being installed. 3. This field is filled out automatically. 4. Enter the Output Capacity in kW. 5. This field is calculated automatically. Pumps 1. This field is filled out automatically. 2. This field is filled out automatically. 3. Enter the quantity of identical equipment being installed. 4. Enter the Horsepower of the pump. 5. Variable Flow Controls: Select from Dropdown. 6. Hydronic Heat Pump Isolation Control: Select from Dropdown. 7. Variable Speed Drive on pumps greater than 5 horsepower: Select from Dropdown. 8. Differential Pressure Sensor Control: Select from Dropdown. 9. This field is calculated automatically. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 CERTIFICATE OF INSTALLATION — USER INSTRUCTIONS NRCI-MCH-E Mechanical Systems (Page 5 of 7) Fans and Air Economizers 1. This field is filled out automatically. 2. Enter the quantity of identical equipment being installed. 3. Fan Function: Select from Dropdown. 4. Economizer: Select from Dropdown. 5. Enter the Electrical Input Power of the fan in Watts. 6. This field is calculated automatically. Dedicated Outdoor Air Systems (DOAS) 1. This field is filled out automatically. 2. Enter the quantity of identical equipment being installed. 3. Delivered Directly to the Space: Select from Dropdown. 4. Enter the fan system power in kilowatts. 5. Enter the fan system airflow in cubic feet per minute. 6. This field is calculated automatically. 7. This field is static text that says less than or equal to 3 speeds. 8. Multizone DOAS with cooling: Select from Dropdown. 9. Select: Yes or No. 10. Multifamily DOAS: Select from Dropdown. 11. This field is calculated automatically. System Controls 1. This field is filled out automatically. 2. Thermostat Controls: Select from Dropdown. 3. Shut-off Controls: Select from Dropdown. 4. Isolation Zone Controls: Select from Dropdown. 5. Demand Response Controls: Select from Dropdown. 6. Supply Air Temperature Reset Controls: Select from Dropdown. 7. Window Interlock Controls: Select from Dropdown. 8. Direct Digital Controls: Select from Dropdown. 9. This field is calculated automatically. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 CERTIFICATE OF INSTALLATION — USER INSTRUCTIONS NRCI-MCH-E Mechanical Systems (Page 6 of 7) Nonresidential, Hotel/Motel and Multifamily Common User Ventilation Systems 1. This field is filled out automatically. 2. Enter System Designed Outside Air Airflow in cubic feet per minute. 3. Enter System Designed Transfer Air Airflow in cubic feet per minute. 4. Air Filtration: Select from Dropdown. 5. This field is filled out automatically. 6. Enter Exhaust Ventilation for the space. 7. Occupant Sensor Controls: Select from Dropdown. 8. Demand Control Ventilation: Select from Dropdown. 9. This field is calculated automatically. Multifamily Dwelling Unit Ventilation Systems 1. This field is filled out automatically. 2. Enter System Designed Outside Air Airflow in cubic feet per minute. 3. Enter System Designed Supply Air Airflow in cubic feet per minute. 4. Enter Exhaust Air Airflow in cubic feet per minute. 5. Local Exhaust: Select from Dropdown. 6. Air Filtration: Select from Dropdown. 7. This field is calculated automatically. Terminal Box Controls 1. This field is filled out automatically. 2. Zonal Control Strategy: Select from Dropdown. 3. Enter the Peak Primary Airflow for the zone or system in cubic feet per minute. 4. Enter the Primary Air in Deadband Airflow for the zone or system in cubic feet per minute. 5. Enter the Reheated, Recooled or Mixed Airflow for the zone or system in cubic feet per minute. 6. Enter the Outside Air Airflow for the zone or system in cubic feet per minute. 7. Confirm the first stage modulates and maintains the drybulb rate. 8. Confirm the second stage modulates from drybulb flow to heating max flow. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 CERTIFICATE OF INSTALLATION — USER INSTRUCTIONS NRCI-MCH-E Mechanical Systems (Page 7 of 7) 9. This field is calculated automatically. Ducts 1. This field is filled out automatically. Pipe Insulation 1. This table includes required pipe insulation values from Part 6 and does not require user entry. G. Acceptance Tests and Field Verification 1. This field is filled out automatically. Documentation Declaration Statements 1. The person who prepared the NRCI will sign and complete the fields for their name, company (if applicable), address, phone number, certification information (if applicable), date and signature. 2. The person who is assuming responsibility for the project being built to comply with Title 24, Part 6, will complete the fields for their name, company (if applicable), address, phone number, license number (if applicable), date and signature. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E CERTIFICATE OF INSTALLATION This Certificate of Installation documents the installation of mechanical features, materials, components, and manufactured devices required to demonstrate compliance with Title 24, Part 6 per §10-103(a)3 for nonresidential, hotel/motel and high-rise residential occupancies. Project Name: PGA super store Enforcement Agency: Dwelling Address: 79-110 California 111 Permit Number: n/a City and Zip Code: Permit Application Date: La Quint 92253 n/x A. GENERAL INFORMATION 01 Project Location (city): La qulnta 02 Zip Code: 92253 03 Date of Permit Set used for construction: 5/9/2024 04 Name of Permit Set used for construction: plan review p 05 Authority Having Jurisdiction: La Quinta 06 Building Permit #: n/a 07 Date of As -built Set: n/a 08 Name of As -built Set: n/a B. INSTALLER SCOPE This table indicates construction systems and materials documented on this Certificate of Installation 01 x ❑ Dry System (Airside) Equipment ❑ Ventilation ❑ System Controls x ❑ Ductwork ❑ Boiler ❑ Pumps ❑ Terminal Box Controls ❑ Piping ❑ Chiller ❑ Fans and Air Economizers ❑ Heat Rejection Equipment (cooling towers, condensers, waterside economizers) ❑ Electric Resistance Heating CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS IleCALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E C. COMPLIANCE RESULTS This table indicates whether the as -built conditions documented in this form are equal or better than what was documented on the permitted Certificate of Compliance. If the installation is not equal or better, Section 10-103(o)2B requires the Certificate of Compliance to be revised accordingly to demonstrate compliance. 1 1 INSTALLED FEATURES EXACTLY MATCH DESIGN ON PERMITTED CERTIFICATE OF COMPLIANCE Documented as -built conditions should be verified by inspector from Authority Having Jurisdiction to comply. The Certificate of Compliance should be revised to confirm as -built conditions comply and this Certificate of Installation updated accordingly. D. EXCEPTIONAL CONDITIONS This table is auto filled with uneditable comments because of field conditions noted by the installer that may impact requirements documented on the Certificate of Compliance. n/a E. INSTALLER NOTES This table includes remarks made by the installer to the Authority Having Jurisdiction. n/a F. INSTALLATION DETAILS The following tables indicate performance requirements as documented on the permitted Certificate of Compliance for all systems and components included in Table B. Installer Scope. Also indicated are the as -built conditions documented by the installer/ documentation author. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E Dry System Equipment Schedule 01 02 03 04 05 06 07 08 09 10 11 12 13 Heating Mode Cooling Mode Equip Rated Supplemental Rated Name or Item Model Equipment ment Tag # Type Output Heating Output Efficiency Efficiency Output Efficiency Efficiency Efficiency Efficiency Compli (kBtu/h) (kBtu/h) Unit (kBtu/h) Unit Unit ance 2' Per C of C 5, rn-013 gas 293 234 82 156.4 10.8 As -built Conditions Heat Pump Equipment Schedule 01 02 03 04 05 06 07 08 09 10 11 12 13 Heating Mode Cooling Mode Name or Item Model Size Size Equipment Tag # System Category Efficiency Efficiency System Category Efficiency Efficiency Efficiency Efficiency Compliance Category (Btu/h) Unit Category (Btu/h) Unit Unit Per CofC As -built Conditions DX DOAS Schedule 01 02 03 04 05 06 07 08 09 10 Name or Item Model # Equipment Type Energy Recovery Rating Efficiency Efficiency Efficiency Efficiency Equipment Tag Condition Unit Unit Compliance Per CofC ISMRE ISCOP As -built Conditions CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E Boiler Efficiency and Controls 01 02 03 04 05 06 07 08 09 10 Controls Tag/Plan Detail ID Model # Equipment Type Quantity Rated Input (Btu/h) Rated Efficiency Efficiency Unit Equipment Compliance Isolation Temperature Valve Reset PerCofC As -built Conditions Chiller Efficiency and Controls 01 02 03 04 05 06 07 08 09 10 11 12 Rated Rated Controls Tag/Plan Detail ID Model# Equipment Type Quantity Size Efficiency Efficiency Efficiency Efficiency Equipment Isolation (tons) #1 Unit #1 #2 Unit #2 Valve Temperature Reset Compliance Per CofC As -built Conditions Heat Rejection Equipment (Cooling Towers, Condensers, Waterside Economizers) Efficiency and Controls 01 02 03 04 05 06 07 08 09 10 11 12 Controls Tag/Plan Detail ID Model Equipment Quantity Rated Performance Equipment Fan Tower Fan Control in Economizer Condenser # Type Yp performance Unit Speed Flow Multiple Cell Water Compliance Control Control Turndown Equipment Temp. Reset Per CofC As -built Conditions CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E Electric Resistance Heating 01 02 03 04 05 Name or Tag ID Model # Equipment Description Output Capacity Equipment (kW) Compliance Per CofC As -built Conditions Pumps 01 02 03 04 05 06 07 08 09 Controls Name or Tag ID Type Quantity Horsepower BHP) Equipment Compliance Variable Flow Hydronic Heat VSD on Differential Controls Pump Isolation Pumps > 5HP Pressure Sensor Per CofC As -built Conditions Fans and Air Economizers 01 02 03 04 05 06 Fan Electrical Input Power Name or Tag ID Quantity Fan Function Economizer System Compliance Per CofC As -built Conditions CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E Dedicated Outdoor Air System (DOAS) 01 02 03 04 05 06 07 System Name Quantity Delivered Directly DOAS Fan Control Multi -Zone DOAS with Multifamily DOAS System Compliance To The Space Cooling Per CofC As -built Conditions H. Fan Energy Index (FEI) 01 02 03 04 Fan System Name or Item Tag Name or Item Tag FEI Exception FEI Per CofC As -built Conditions Exhaust Air Heat Recovery 01 02 03 04 05 06 07 Fan System Name y Required? q Type of Heat Recover Rating yp y g Required Installed EnergyRecover Bypass y yp System Compliance y p Recovery Ratio Recovery Ratio Per C of C NA As -built Conditions CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E Dwelling Unit Fan Efficacy & Energy/Heat Recovery 01 02 03 04 05 06 07 Fan System Name System Airflow Input Power Watts/CFM Energy/Heat Recovery Ventilation Sensible Recovery/Effectiveness System Compliance or Item Tag (cfm) (kW) Per CofC As -built Conditions System Controls 01 02 03 04 05 06 07 08 09 Shut -Off Isolation Zone Demand Supply Air Direct Digital Control System Name Thermostats Window Interlocks System Compliance Controls Controls Response Temp. Reset (DDC) Per CofC As -built Conditions Nonresidential, Hotel/Motel and Multifamily Common Use Ventilation Systems 01 02 03 04 System Name System Design CA CFM Airflow System Design Transfer Air CFM Air Filtration 05 06 07 08 09 Space Name Exhaust Ventilation Occupant Sensor Controls Demand Control Ventilation System Compliance Per CofC As -built Conditions CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E Multifamily Dwelling Unit Ventilation Systems 01 02 03 04 05 06 07 Outside Air Supply Air Exhaust Space Name Local Exhaust Air Filtration Space Compliance CFM CFM CFM Per CofC As -built Conditions Terminal Box Controls 01 02 03 04 05 06 07 08 09 Design Reheated, Recooled, Mixed Air Compliance Zone/System/VAV Box Name Item Zonal Control Zone/ Box/ System peak Primary Primary Air in Reheated Retooled 1st Stage Modulates 2nd Stage or Strategy Airflow Deadband Mixed Airflow Outside Air <95°F and Modulates from DB Compliance P Tag CFM Flow to Heating CFM CFM CFM Maintains DB Rate? Max Flow? Per CofC As -built Conditions CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS *, CALIFORNIA ENERGY COMMISSION CEC-NRCI-MCH-E 1I Ducts The following duct systems require duct leakage testing by a certified Mechanical Acceptance Test Technician or a HERS Rater. Learn more about the Acceptance Testing Program on the Energy Commission website here: https://www.energy.ca.gov/programs-and- topics/programs/acceptance-test-technician-certification-provider-program Learn more about the HERS Program on the Energy Commission website here: https://www.energy.ca.gov/programs-and-topics/programs/home- energy-rating-system-hers-program CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-NRCI-MCH-E Pipe Insulation Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Insulation exposed to weather shall be installed with a cover suitable for outdoor service. Insulation covering chilled water piping and refrigerant suction piping located outside the conditioned space shall have a Class I or Class II vapor retarder. All penetrations and joints of which shall be sealed. Insulation thickness (in) or R-value shall be per the following Title 24, Part 6 Table 120.3-A/ 160.3-D. Fluid Operating Temperature Range (,F) Insulation Conductivity Nominal Pipe Diameter (in inches) Conductivity (in Btu•in/h•ft2• •F) Mean Rating Temperature VF) < 1 1 to <1.S 1.S to < 4 4 to < 8 8 and larger Space heating and Service Water Heating Systems (Steam, Steam Condensate, Refrigerant, Space Heating, Service Hot Water) Minimum Pipe Insulation Required (Thickness in inches or R-value) Above 350 0.32-0.34 250 Inches 4.5 5.0 5.0 5.0 5.0 R-value R 37 R 41 R 37 R 27 R 23 251-350 0.29-0.32 2nn Inches 3.0 4.0 4.5 4.5 4.5 R-value R 24 R 34 R 35 R 26 R 22 201-250 0.27-0.30 150 Inches 2.5 2.5 2.5 3.0 3.0 R-value R 21 R 20 R 17.5 R 17 R 14.5 141-200 0.25-0.29 125 Inches 1.5 1.5 2.0 2.0 2.0 R-value R11.5 R11 R14 R11 R10 105-140 0.22-0.28 100 Inches 1.0 1.5 1.5 1.5 1.5 R-value R7.7 R12.5 1111 R9 R8 CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-NRCI-MCH-E Fluid operating Insulation Conductivity Nominal Pipe Diameter (in inches) Temperature Conductivity Mean Rating < 1 1 to <1.S 1.S to < 4 4 to < 8 8 and Range (°F) (in Btu-in/h•ft2- 'F) Temperature ('F) larger Space cooling systems (chilled water, refrigerant and brine) Minimum Pipe Insulation Required (Thickness in inches or R-value)' 40-60 0.21-0.27 75 Inches Nonres Res Nonres Res 1.0 1.0 1.0 0.5 0.75 0.5 0.75 R-value Nonres Res Nonres Res R 7 R o R 5 R3 R6 R3 RS Below 40 0.20-0.26 50 I r C h 1.0 1. 5 1.5 R-v-;l.ie R 8.5 R 1.4 R 12 R 10 y G. ACCEPTANCE TESTS & FIELD VERIFICATION The following Acceptance Tests and HERS Verifications related to the systems or materials documented on this Certificate of Installation have been indicated on the permitted Certificate of Compliance as being required to comply with Title 24, Part 6. Certificates of Acceptance Mechanical Acceptance Tests must be completed by a certified Acceptance Testing Technician and Certificate of Acceptance forms completed through an approved Acceptance Test Technician Certification Provider database. The Certificate of Acceptance forms indicated below will be required by the Authority Having Jurisdiction to demonstrate compliance. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E Form/Title Systems to be Field Verified NRCA-MCH-02-A Outdoor Air must be submitted for all newly installed HVAC units. Note: MCH-02-A can be performed in conjunction with MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. NRCA-MCH-03-A - Must be submitted for Constant Volume Single Zone HVAC. NRCA-MCH-04b-A - Must be submitted for Air Distribution Duct Leakage. NRCA-MCH-05-A - Must be submitted for Air Economizer Controls. NRCA-MCH-06-A - Must be submitted for Demand Control Ventilation. NRCA-MCH-07-A - Must be submitted for Supply Fan Variable Flow Controls. NRCA-MCH-08-A - Must be submitted for Valve Leakage Test. NRCA-MCH-09-A - Must be submitted for Supply Water Temperature Reset Controls. NRCA-MCH-10-A - Must be submitted for Hydronic System Variable Flow Controls. NRCA-MCH-11-A - Must be submitted for Automatic Demand Shed Controls. NRCA-MCH-12-A-FDD-F - Must be submitted for Packaged Direct Expansion Units. NRCA-MCH-13-A-FDD - Must be submitted for Air Handling Units and Zone Terminal Units. NRCA-MCH-14-A - Must be submitted for Distributed Energy Storage DX -AC Systems. NRCA-MCH-15-A - Must be submitted for Thermal Energy Storage. NRCA-MCH-16-A - Must be submitted for Supply Air Temperature Reset Controls. NRCA-MCH-17-A - Must be submitted for Condenser Water. NRCA-MCH-18-A - Must be submitted for Energy Management Control Systems. NRCA-MCH-19-A - Must be submitted for Occupancy Sensor Controls. NRCA-MCH-20-H - Must be submitted for Multifamily Ventilation. NRCA-MCH-21-H - Must be submitted for Multifamily Envelope. NRCA-MCH-22-A - Must be submitted for Multifamily Duct Leakage. NRCA-MCH-23-A - Must be submitted for Multifamily HRV/ERV Verification. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E i Certificates of Verification HERS verifications must be completed by a HERS Rater and NRCV forms completed through an approved HERS Provider database. The Certificate of Verification forms indicated below will be required by the Authority Having Jurisdiction to demonstrate compliance. NRCA-MCH-04a-H - Must be completed by installer and submitted for Air Distribution Duct Leakage. NRCV-MCH-04-H Duct Leakage Test NRCV-MCH-24 Enclosure Air Leakage Worksheet NRCV-MCH-27 High-rise Residential NRCV-MCH-32 Local Mechanical Exhaust There are no Acceptance Tests or HERS verifications indicated on the permitted Certificate of Compliance related to the systems or materials documented on this Certificate of Installation. A copy of this Certificate of Installation should be distributed to the certified Acceptance Test Technician(s) who will perform the acceptance test(s). Title 24, Part 6 Section 10-103(a)3F also requires this Certificate of Installation be posted or made available to the Authority Having Jurisdiction for all applicable inspections. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 MECHANICAL SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-N RCI-MCH-E DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: David Folger Documentation Author Signature: Documentation Author Company Name: Bradley mechanical inc Date Signed: Address:10625 lawson river CEA/HERS Certification Identification (If applicable): City/State/Zip: Fountain Valley, Ca, 92708 Phone: 7149644600 RESPONSIBLE PERSON'S DECLARATION STATEMENT 2. 1 certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Installation is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation and attest to the declarations in this statement (responsible builder/installer), otherwise I am an authorized representative of the responsible builder/installer. 3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements given on the plans and specifications approved by the enforcement agency. 4. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of Installation, and I have ensured that the requirements that apply to the construction or installation have been met. 5. 1 understand that a completed signed copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to accomplish this requirement. 6. 1 understand that a completed signed copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to accomplish this requirement. Responsible Builder/Installer Name: Responsible Builder/Installer Signature: David Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Position With Company (Title): Bradley Mechanical inc project manager Address: CSLB License: 10625 lawson river 748290 City/State/Zip: Phone: Date Signed: fountain valley, ca, 92708 7149644600 12/11/2024 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300 CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 CERTIFICATE OF INSTALLATION — USER INSTRUCTIONS NRCI-MCH-E Mechanical Systems (Page 1 of 7) A. General Information 1. This field is filled out automatically. 2. Enter the zip code of the construction project. 3. Enter the Date of Permit Set used for construction. 4. Enter the Name of Permit Set used for construction. 5. Enter the Authority Having Jurisdiction. 6. Enter the Building Permit #. 7. Enter the Date of As -Built Set. 8. Enter the Name of As -Built Set. B. Project Scope 1. Select all applicable equipment, systems and materials documented. C. Compliance Results Results in this table are automatically calculated from data input and calculations in Tables F. D. Exceptional Conditions 1. This table is auto filled with uneditable comments because of selections made or data entered in tables throughout the form. E. Installer Notes 1. Enter any notes or comments for the AHJ. Dry System Equipment Schedule 1. This field is filled out automatically. 2. Enter the model # of the equipment being installed. 3. Select: True or False. 4. Enter the heating mode Rated Output of the equipment in kBtu/h. 5. Enter the Supplemental Heating Output of the equipment in kBtu/h. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 CERTIFICATE OF INSTALLATION — USER INSTRUCTIONS NRCI-MCH-E Mechanical Systems (Page 2 of 7) 6. Enter the efficiency of the equipment while in heating mode. 7. This field is filled out automatically. 8. Enter the cooling mode Rated Output of the equipment in kBtu/h. 9. Enter the efficiency of the equipment while in cooling mode. 10. This field is filled out automatically. 11. If a second efficiency is required, enter the efficiency of the equipment while in cooling mode. 12. This field is filled out automatically. 13. This field is calculated automatically. Heat Pump Equipment Schedule 1. This field is filled out automatically. 2. Enter the model # of the equipment being installed. 3. Select: True or False. 4. Select: True or False. 5. Enter the efficiency of the heat pump while in heating mode. 6. This field is filled out automatically. 7. Select: True or False. 8. Select: True or False. 9. Enter the efficiency of the heat pump while in cooling mode. 10. This field is filled out automatically. 11. If a second efficiency is required, enter the efficiency of the heat pump while in cooling mode. 12. This field is filled out automatically. 13. This field is calculated automatically. DX DOAS Schedule 1. This field is filled out automatically. 2. Enter the model # of the equipment being installed. 3. Select: True or False. 4. Select: True or False. 5. Select: True or False. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 CERTIFICATE OF INSTALLATION — USER INSTRUCTIONS NRCI-MCH-E Mechanical Systems (Page 3 of 7) 6. Enter the ISM RE efficiency of the DOAS equipment. 7. This field is static text showing the efficiency unit is ISMRE. 8. Enter the ISCOP efficiency of the DOAS equipment. 9. This field is static text showing the efficiency unit is ISCOP. 10. This field is calculated automatically. Boiler 1. This field is filled out automatically. 2. Enter the model # of the equipment being installed. 3. Select: True or False. 4. Enter the quantity of identical equipment being installed. 5. Enter the Rated Input of the boiler in Btu/h. 6. Enter the Rated Efficiency of the equipment. 7. This field is automatically filled out. 8. Isolation Valve: Select from Dropdown. 9. Temperature Reset Controls: Select from Dropdown. 10. This field is calculated automatically. Chiller 1. This field is filled out automatically. 2. Enter the model # of the equipment being installed. 3. Select: True or False. 4. Enter the quantity of identical equipment being installed. 5. Select: True or False. 6. Enter the efficiency while in cooling mode. 7. This field is filled out automatically. 8. If a second efficiency is required, enter the efficiency while in cooling mode. 9. This field is filled out automatically. 10. Isolation Valve: Select from Dropdown. 11. Temperature Reset Controls: Select from Dropdown. 12. This field is calculated automatically. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 CERTIFICATE OF INSTALLATION — USER INSTRUCTIONS NRCI-MCH-E Mechanical Systems (Page 4 of 7) Heat Rejection Equipment (Cooling Towers, Condensers, Waterside Economizers) Efficiency and Controls 1. This field is filled out automatically. 2. Enter the model # of the equipment being installed. 3. Select: True or False 4. Enter the quantity of identical equipment being installed. 5. Enter the Rated Performance of the equipment being installed. 6. This field is filled out automatically. 7. Fan Speed Control: Select from Dropdown. 8. Tower Flow Turndown: Select from Dropdown. 9. Fan Control in Multiple Cell Equipment: Select from Dropdown. 10. Economizer Control: Select from Dropdown. 11. Condenser Water Temperature Reset: Select from Dropdown. 12. This field is calculated automatically. Electric Resistance Heating 1. This field is filled out automatically. 2. Enter the model # of the equipment being installed. 3. This field is filled out automatically. 4. Enter the Output Capacity in kW. 5. This field is calculated automatically. Pumps 1. This field is filled out automatically. 2. This field is filled out automatically. 3. Enter the quantity of identical equipment being installed. 4. Enter the Horsepower of the pump. 5. Variable Flow Controls: Select from Dropdown. 6. Hydronic Heat Pump Isolation Control: Select from Dropdown. 7. Variable Speed Drive on pumps greater than 5 horsepower: Select from Dropdown. 8. Differential Pressure Sensor Control: Select from Dropdown. 9. This field is calculated automatically. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 CERTIFICATE OF INSTALLATION — USER INSTRUCTIONS NRCI-MCH-E Mechanical Systems (Page 5 of 7) Fans and Air Economizers 1. This field is filled out automatically. 2. Enter the quantity of identical equipment being installed. 3. Fan Function: Select from Dropdown. 4. Economizer: Select from Dropdown. 5. Enter the Electrical Input Power of the fan in Watts. 6. This field is calculated automatically. Dedicated Outdoor Air Systems (DOAS) 1. This field is filled out automatically. 2. Enter the quantity of identical equipment being installed. 3. Delivered Directly to the Space: Select from Dropdown. 4. Enter the fan system power in kilowatts. 5. Enter the fan system airflow in cubic feet per minute. 6. This field is calculated automatically. 7. This field is static text that says less than or equal to 3 speeds. 8. Multizone DOAS with cooling: Select from Dropdown. 9. Select: Yes or No. 10. Multifamily DOAS: Select from Dropdown. 11. This field is calculated automatically. System Controls 1. This field is filled out automatically. 2. Thermostat Controls: Select from Dropdown. 3. Shut-off Controls: Select from Dropdown. 4. Isolation Zone Controls: Select from Dropdown. 5. Demand Response Controls: Select from Dropdown. 6. Supply Air Temperature Reset Controls: Select from Dropdown. 7. Window Interlock Controls: Select from Dropdown. 8. Direct Digital Controls: Select from Dropdown. 9. This field is calculated automatically. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 CERTIFICATE OF INSTALLATION — USER INSTRUCTIONS NRCI-MCH-E Mechanical Systems (Page 6 of 7) Nonresidential, Hotel/Motel and Multifamily Common User Ventilation Systems 1. This field is filled out automatically. 2. Enter System Designed Outside Air Airflow in cubic feet per minute. 3. Enter System Designed Transfer Air Airflow in cubic feet per minute. 4. Air Filtration: Select from Dropdown. 5. This field is filled out automatically. 6. Enter Exhaust Ventilation for the space. 7. Occupant Sensor Controls: Select from Dropdown. 8. Demand Control Ventilation: Select from Dropdown. 9. This field is calculated automatically. Multifamily Dwelling Unit Ventilation Systems 1. This field is filled out automatically. 2. Enter System Designed Outside Air Airflow in cubic feet per minute. 3. Enter System Designed Supply Air Airflow in cubic feet per minute. 4. Enter Exhaust Air Airflow in cubic feet per minute. 5. Local Exhaust: Select from Dropdown. 6. Air Filtration: Select from Dropdown. 7. This field is calculated automatically. Terminal Box Controls 1. This field is filled out automatically. 2. Zonal Control Strategy: Select from Dropdown. 3. Enter the Peak Primary Airflow for the zone or system in cubic feet per minute. 4. Enter the Primary Air in Deadband Airflow for the zone or system in cubic feet per minute. 5. Enter the Reheated, Recooled or Mixed Airflow for the zone or system in cubic feet per minute. 6. Enter the Outside Air Airflow for the zone or system in cubic feet per minute. 7. Confirm the first stage modulates and maintains the drybulb rate. 8. Confirm the second stage modulates from drybulb flow to heating max flow. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022 CERTIFICATE OF INSTALLATION — USER INSTRUCTIONS NRCI-MCH-E Mechanical Systems (Page 7 of 7) 9. This field is calculated automatically. Ducts 1. This field is filled out automatically. Pipe Insulation 1. This table includes required pipe insulation values from Part 6 and does not require user entry. G. Acceptance Tests and Field Verification 1. This field is filled out automatically. Documentation Declaration Statements 1. The person who prepared the NRCI will sign and complete the fields for their name, company (if applicable), address, phone number, certification information (if applicable), date and signature. 2. The person who is assuming responsibility for the project being built to comply with Title 24, Part 6, will complete the fields for their name, company (if applicable), address, phone number, license number (if applicable), date and signature. CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance January 2022