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BCOM2024-0017 Energy DocumentsOUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 1 of 4 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name:Enforcement Agency: Address: Permit Number: City, Zip: Permit Application Date: Building: Floor:Room: Control/tag: Intent: Verify measured outside airflow sensor reading is within 10% of the total required outside airflow. Required for all newly installed HVAC units or additions and alterations to existing HVAC systems including ducts. Reference NRCC-MCH-E for nonresidential (including nonresidential spaces in high-rise multifamily) building permits or LMCC-MCH-E for nonresidential spaces in low-rise multifamily building permits. Submit one Certificate of Acceptance for each system that must demonstrate compliance. NRCA-MCH-02-A can be performed in conjunction with NRCA-MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. Reference §120.1(e), §120.1(d)2, §120.5(a)1, §160.2(c)6, §160.2(c)5B, and §160.3(d)1A. Table A: Construction Inspection for Air Volume Systems Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.0 Pass Fail Access to required document NRCC-MCH-E as approved by the authority having jurisdiction or LMCC-MCH-E registered by a CEC approved data registry. §10-103(a)2A 2.0 No Entry For VAV systems, complete ALL of 2, 3, and 4 and respond N/A for ALL of 5, 6, and 7. For CAV systems, respond N/A for ALL of 2, 3, and 4, and complete ALL of 5, 6, and 7. N/A 2.1 or P, F, N/A VAV Only: Outside airflow is factory calibrated; attach factory calibration spec-sheet. (Pass, Fail, N/A-if CAV) NA7.5.1.1.1(a) NA7.5.1.1.1(b) 2.2 P, F, N/A VAV Only: Outside airflow is field calibrated, attach calibration results report. (Pass, Fail, N/A-if CAV) NA7.5.1.1.1(a) NA7.5.1.1.1(b) 3.0 P, F, N/A VAV Only: Dynamic damper control is being used to control outside air. (Pass, Fail, N/A-if CAV) NA7.5.1.1.1(c) 4.0 No Entry VAV Only: Identify the dynamic control being utilized to control outside air. (Description or N/A) NA7.5.1.1.1(d) 4.1 Response: Describe Control or N/A NA7.5.1.1.1(d) Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: PGA Superstore 79-110 California 111 La Quinta, 92253 n/a n/a Clubs, Practice Bay RTU 1 12/11/24 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 2 of 4 January 1, 2023 Step Entry Item Code Reference 5.0 P, F, N/A CAV Only: System is designed to provide a fixed minimum outside air when the unit is on. (Pass, Fail, N/A-if VAV) NA7.5.1.2.1(a) 6.0 P, F, N/A CAV Only: Minimum position is marked on the outside air damper. (Pass, Fail, N/A-if VAV) NA7.5.1.2.1(d) 7.0 P, F, N/A CAV Only: The system has means of maintaining the minimum outdoor air damper position. (Pass, Fail, N/A-if VAV) NA7.5.1.2.1(e) 8.0 No Entry Method of delivering outside air to the heating or cooling unit. Either 8.1 or 8.2 must pass. N/A 8.1 or P, F, N/A Return Plenum Ducted. If outside air is ducted at or to the return plenum, confirm that the ducted is within 5ft of the heating or cooling unit, or 15 ft. with direction and velocity requirement as specified by NRCC-MCH-E or LMCC- MCH-E. (Pass, Fail, N/A) NA7.5.1.1.1(e) NA7.5.1.2.1(b) §120.1(e) §160.2(c)6 8.2 P, F, N/A Direct Unit Ducted. If the outside air is ducted directly to the unit, verify that return air plenum is NOT used to distribute outside air to the heating or cooling unit. (i.e. outside air is ducted directly to the unit, outside air is provided independent of the unit, or economizer). (Pass, Fail, N/A) NA7.5.1.1.1(e) NA7.5.1.2.1(b) §120.1(e) §160.2(c)6 9.0 Pass Fail Pre-occupancy Purge: Verify that the pre- occupancy purge has been programmed for the 1- hour period immediately before the building is normally occupied to provide ventilation as indicated on NRCC-MCH-E or LMCC-MCH-E. NA7.5.1.1.1(f) NA7.5.1.2.1(c) §120.1(d)2 §160.2(c)5B 10.0 Pass Fail Check “Pass” if construction inspection complies with all requirements. Check “Fail” if construction inspection does not comply with all requirements. N/A Table B-1: Functional Testing for Constant Air Ventilation (CAV) System This table is to be completed for CAV systems only, skip this table testing a VAV system. Step Entry Functional Test Code Reference 1.0 P, F, N/A Disable demand control ventilation. (if applicable) (Pass, Fail, N/A) N/A 2.0 P, F, N/A Verify unit is not in economizer mode during test. (economizer disabled) (Pass, Fail, N/A) NA7.5.1.2.2 Step 1 3.0 Testing at full supply airflow, measured outdoor airflow reading. (CFM) NA7.5.1.2.2 Step 1a 1229 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 3 of 4 January 1, 2023 Step Entry Functional Test Code Reference 4.0 Record required outdoor airflow from NRCC-MCH-E or LMCC-MCH-E. (CFM) NA7.5.1.2.2 Step 1a 5.0 Pass Fail Return to initial conditions. N/A 6.0 Calculate 100 x (Step3/Step4) (Percent) NA7.5.1.2.2 Step 1a 7.0 Pass Fail Check pass if value in Step 6 ≥ 90% and ≤ 110%. NA7.5.1.2.2 Step 1a Table B-2: Functional Testing for Variable Air Ventilation (VAV) System This table is to be completed for VAV systems only, skip this table testing a CAV system. Step Entry Functional Test Code Reference 1.0 P, F, N/A Disable demand control ventilation. (if applicable) (Pass, Fail, N/A) N/A 2.0 P, F, N/A Verify unit is not in economizer mode during test. (economizer disabled) (Pass, Fail, N/A) NA7.5.1.1.2 Step 1 3.0 Pass Fail Testing at full supply airflow, adjust supply air to achieve design airflow or maximum airflow at full cooling. NA7.5.1.1.2 Step 2 4.0 Testing at full supply airflow, measured outdoor airflow reading. (CFM) NA7.5.1.1.2 Step 2a 5.0 Record required outdoor airflow from NRCC-MCH-E. (CFM) NA7.5.1.1.2 Step 2a 6.0 Time for outside air damper to stabilize after full supply airflow is achieved. (Minutes) NA7.5.1.1.2 Step 2b 7.0 Pass Fail Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the total design airflow. NA7.5.1.1.2 Step 3 8.0 Measured outdoor airflow reading. (CFM) NA7.5.1.1.2 Step 3a 9.0 Time for outside air damper to stabilize after reduced supply airflow is achieved. (Minutes) NA7.5.1.1.2 Step 3b 10.0 Pass Fail Return to initial conditions. NA7.5.1.1.2 Step 4 11.0 Calculate 100 x (Step4/Step5) (Percent) NA7.5.1.2.2 Step 1a 12.0 Calculate 100 x (Step8/Step5) (Percent) NA7.5.1.1.2 Step 3a 13.0 Pass Fail Check pass if both Steps 6 and 9 are both 5 minutes or less AND if both Steps 11 and 12 are ≥ 90% and ≤ 110%. N/A 1250 98.32 1229 1250 3 1229 3 98 98 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 4 of 4 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Field Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David FolgerBradley Mechanical12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 1 of 4 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name:Enforcement Agency: Address: Permit Number: City, Zip: Permit Application Date: Building: Floor:Room: Control/tag: Intent: Verify measured outside airflow sensor reading is within 10% of the total required outside airflow. Required for all newly installed HVAC units or additions and alterations to existing HVAC systems including ducts. Reference NRCC-MCH-E for nonresidential (including nonresidential spaces in high-rise multifamily) building permits or LMCC-MCH-E for nonresidential spaces in low-rise multifamily building permits. Submit one Certificate of Acceptance for each system that must demonstrate compliance. NRCA-MCH-02-A can be performed in conjunction with NRCA-MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. Reference §120.1(e), §120.1(d)2, §120.5(a)1, §160.2(c)6, §160.2(c)5B, and §160.3(d)1A. Table A: Construction Inspection for Air Volume Systems Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.0 Pass Fail Access to required document NRCC-MCH-E as approved by the authority having jurisdiction or LMCC-MCH-E registered by a CEC approved data registry. §10-103(a)2A 2.0 No Entry For VAV systems, complete ALL of 2, 3, and 4 and respond N/A for ALL of 5, 6, and 7. For CAV systems, respond N/A for ALL of 2, 3, and 4, and complete ALL of 5, 6, and 7. N/A 2.1 or P, F, N/A VAV Only: Outside airflow is factory calibrated; attach factory calibration spec-sheet. (Pass, Fail, N/A-if CAV) NA7.5.1.1.1(a) NA7.5.1.1.1(b) 2.2 P, F, N/A VAV Only: Outside airflow is field calibrated, attach calibration results report. (Pass, Fail, N/A-if CAV) NA7.5.1.1.1(a) NA7.5.1.1.1(b) 3.0 P, F, N/A VAV Only: Dynamic damper control is being used to control outside air. (Pass, Fail, N/A-if CAV) NA7.5.1.1.1(c) 4.0 No Entry VAV Only: Identify the dynamic control being utilized to control outside air. (Description or N/A) NA7.5.1.1.1(d) 4.1 Response: Describe Control or N/A NA7.5.1.1.1(d) Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: PGA Superstore 79-110 California 111 La Quinta, 92253 n/a n/a Green, Mens RTU 2 12/11/24 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 2 of 4 January 1, 2023 Step Entry Item Code Reference 5.0 P, F, N/A CAV Only: System is designed to provide a fixed minimum outside air when the unit is on. (Pass, Fail, N/A-if VAV) NA7.5.1.2.1(a) 6.0 P, F, N/A CAV Only: Minimum position is marked on the outside air damper. (Pass, Fail, N/A-if VAV) NA7.5.1.2.1(d) 7.0 P, F, N/A CAV Only: The system has means of maintaining the minimum outdoor air damper position. (Pass, Fail, N/A-if VAV) NA7.5.1.2.1(e) 8.0 No Entry Method of delivering outside air to the heating or cooling unit. Either 8.1 or 8.2 must pass. N/A 8.1 or P, F, N/A Return Plenum Ducted. If outside air is ducted at or to the return plenum, confirm that the ducted is within 5ft of the heating or cooling unit, or 15 ft. with direction and velocity requirement as specified by NRCC-MCH-E or LMCC- MCH-E. (Pass, Fail, N/A) NA7.5.1.1.1(e) NA7.5.1.2.1(b) §120.1(e) §160.2(c)6 8.2 P, F, N/A Direct Unit Ducted. If the outside air is ducted directly to the unit, verify that return air plenum is NOT used to distribute outside air to the heating or cooling unit. (i.e. outside air is ducted directly to the unit, outside air is provided independent of the unit, or economizer). (Pass, Fail, N/A) NA7.5.1.1.1(e) NA7.5.1.2.1(b) §120.1(e) §160.2(c)6 9.0 Pass Fail Pre-occupancy Purge: Verify that the pre- occupancy purge has been programmed for the 1- hour period immediately before the building is normally occupied to provide ventilation as indicated on NRCC-MCH-E or LMCC-MCH-E. NA7.5.1.1.1(f) NA7.5.1.2.1(c) §120.1(d)2 §160.2(c)5B 10.0 Pass Fail Check “Pass” if construction inspection complies with all requirements. Check “Fail” if construction inspection does not comply with all requirements. N/A Table B-1: Functional Testing for Constant Air Ventilation (CAV) System This table is to be completed for CAV systems only, skip this table testing a VAV system. Step Entry Functional Test Code Reference 1.0 P, F, N/A Disable demand control ventilation. (if applicable) (Pass, Fail, N/A) N/A 2.0 P, F, N/A Verify unit is not in economizer mode during test. (economizer disabled) (Pass, Fail, N/A) NA7.5.1.2.2 Step 1 3.0 Testing at full supply airflow, measured outdoor airflow reading. (CFM) NA7.5.1.2.2 Step 1a 1260 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 3 of 4 January 1, 2023 Step Entry Functional Test Code Reference 4.0 Record required outdoor airflow from NRCC-MCH-E or LMCC-MCH-E. (CFM) NA7.5.1.2.2 Step 1a 5.0 Pass Fail Return to initial conditions. N/A 6.0 Calculate 100 x (Step3/Step4) (Percent) NA7.5.1.2.2 Step 1a 7.0 Pass Fail Check pass if value in Step 6 ≥ 90% and ≤ 110%. NA7.5.1.2.2 Step 1a Table B-2: Functional Testing for Variable Air Ventilation (VAV) System This table is to be completed for VAV systems only, skip this table testing a CAV system. Step Entry Functional Test Code Reference 1.0 P, F, N/A Disable demand control ventilation. (if applicable) (Pass, Fail, N/A) N/A 2.0 P, F, N/A Verify unit is not in economizer mode during test. (economizer disabled) (Pass, Fail, N/A) NA7.5.1.1.2 Step 1 3.0 Pass Fail Testing at full supply airflow, adjust supply air to achieve design airflow or maximum airflow at full cooling. NA7.5.1.1.2 Step 2 4.0 Testing at full supply airflow, measured outdoor airflow reading. (CFM) NA7.5.1.1.2 Step 2a 5.0 Record required outdoor airflow from NRCC-MCH-E. (CFM) NA7.5.1.1.2 Step 2a 6.0 Time for outside air damper to stabilize after full supply airflow is achieved. (Minutes) NA7.5.1.1.2 Step 2b 7.0 Pass Fail Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the total design airflow. NA7.5.1.1.2 Step 3 8.0 Measured outdoor airflow reading. (CFM) NA7.5.1.1.2 Step 3a 9.0 Time for outside air damper to stabilize after reduced supply airflow is achieved. (Minutes) NA7.5.1.1.2 Step 3b 10.0 Pass Fail Return to initial conditions. NA7.5.1.1.2 Step 4 11.0 Calculate 100 x (Step4/Step5) (Percent) NA7.5.1.2.2 Step 1a 12.0 Calculate 100 x (Step8/Step5) (Percent) NA7.5.1.1.2 Step 3a 13.0 Pass Fail Check pass if both Steps 6 and 9 are both 5 minutes or less AND if both Steps 11 and 12 are ≥ 90% and ≤ 110%. N/A 1250 100 1260 1250 3 1260 3 100 100 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 4 of 4 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Field Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David FolgerBradley Mechanical12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 1 of 4 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name:Enforcement Agency: Address: Permit Number: City, Zip: Permit Application Date: Building: Floor:Room: Control/tag: Intent: Verify measured outside airflow sensor reading is within 10% of the total required outside airflow. Required for all newly installed HVAC units or additions and alterations to existing HVAC systems including ducts. Reference NRCC-MCH-E for nonresidential (including nonresidential spaces in high-rise multifamily) building permits or LMCC-MCH-E for nonresidential spaces in low-rise multifamily building permits. Submit one Certificate of Acceptance for each system that must demonstrate compliance. NRCA-MCH-02-A can be performed in conjunction with NRCA-MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. Reference §120.1(e), §120.1(d)2, §120.5(a)1, §160.2(c)6, §160.2(c)5B, and §160.3(d)1A. Table A: Construction Inspection for Air Volume Systems Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.0 Pass Fail Access to required document NRCC-MCH-E as approved by the authority having jurisdiction or LMCC-MCH-E registered by a CEC approved data registry. §10-103(a)2A 2.0 No Entry For VAV systems, complete ALL of 2, 3, and 4 and respond N/A for ALL of 5, 6, and 7. For CAV systems, respond N/A for ALL of 2, 3, and 4, and complete ALL of 5, 6, and 7. N/A 2.1 or P, F, N/A VAV Only: Outside airflow is factory calibrated; attach factory calibration spec-sheet. (Pass, Fail, N/A-if CAV) NA7.5.1.1.1(a) NA7.5.1.1.1(b) 2.2 P, F, N/A VAV Only: Outside airflow is field calibrated, attach calibration results report. (Pass, Fail, N/A-if CAV) NA7.5.1.1.1(a) NA7.5.1.1.1(b) 3.0 P, F, N/A VAV Only: Dynamic damper control is being used to control outside air. (Pass, Fail, N/A-if CAV) NA7.5.1.1.1(c) 4.0 No Entry VAV Only: Identify the dynamic control being utilized to control outside air. (Description or N/A) NA7.5.1.1.1(d) 4.1 Response: Describe Control or N/A NA7.5.1.1.1(d) Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: PGA Superstore 79-110 California 111 La Quinta, 92253 n/a n/a Accessories RTU 3 12/11/24 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 2 of 4 January 1, 2023 Step Entry Item Code Reference 5.0 P, F, N/A CAV Only: System is designed to provide a fixed minimum outside air when the unit is on. (Pass, Fail, N/A-if VAV) NA7.5.1.2.1(a) 6.0 P, F, N/A CAV Only: Minimum position is marked on the outside air damper. (Pass, Fail, N/A-if VAV) NA7.5.1.2.1(d) 7.0 P, F, N/A CAV Only: The system has means of maintaining the minimum outdoor air damper position. (Pass, Fail, N/A-if VAV) NA7.5.1.2.1(e) 8.0 No Entry Method of delivering outside air to the heating or cooling unit. Either 8.1 or 8.2 must pass. N/A 8.1 or P, F, N/A Return Plenum Ducted. If outside air is ducted at or to the return plenum, confirm that the ducted is within 5ft of the heating or cooling unit, or 15 ft. with direction and velocity requirement as specified by NRCC-MCH-E or LMCC- MCH-E. (Pass, Fail, N/A) NA7.5.1.1.1(e) NA7.5.1.2.1(b) §120.1(e) §160.2(c)6 8.2 P, F, N/A Direct Unit Ducted. If the outside air is ducted directly to the unit, verify that return air plenum is NOT used to distribute outside air to the heating or cooling unit. (i.e. outside air is ducted directly to the unit, outside air is provided independent of the unit, or economizer). (Pass, Fail, N/A) NA7.5.1.1.1(e) NA7.5.1.2.1(b) §120.1(e) §160.2(c)6 9.0 Pass Fail Pre-occupancy Purge: Verify that the pre- occupancy purge has been programmed for the 1- hour period immediately before the building is normally occupied to provide ventilation as indicated on NRCC-MCH-E or LMCC-MCH-E. NA7.5.1.1.1(f) NA7.5.1.2.1(c) §120.1(d)2 §160.2(c)5B 10.0 Pass Fail Check “Pass” if construction inspection complies with all requirements. Check “Fail” if construction inspection does not comply with all requirements. N/A Table B-1: Functional Testing for Constant Air Ventilation (CAV) System This table is to be completed for CAV systems only, skip this table testing a VAV system. Step Entry Functional Test Code Reference 1.0 P, F, N/A Disable demand control ventilation. (if applicable) (Pass, Fail, N/A) N/A 2.0 P, F, N/A Verify unit is not in economizer mode during test. (economizer disabled) (Pass, Fail, N/A) NA7.5.1.2.2 Step 1 3.0 Testing at full supply airflow, measured outdoor airflow reading. (CFM) NA7.5.1.2.2 Step 1a 1200 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 3 of 4 January 1, 2023 Step Entry Functional Test Code Reference 4.0 Record required outdoor airflow from NRCC-MCH-E or LMCC-MCH-E. (CFM) NA7.5.1.2.2 Step 1a 5.0 Pass Fail Return to initial conditions. N/A 6.0 Calculate 100 x (Step3/Step4) (Percent) NA7.5.1.2.2 Step 1a 7.0 Pass Fail Check pass if value in Step 6 ≥ 90% and ≤ 110%. NA7.5.1.2.2 Step 1a Table B-2: Functional Testing for Variable Air Ventilation (VAV) System This table is to be completed for VAV systems only, skip this table testing a CAV system. Step Entry Functional Test Code Reference 1.0 P, F, N/A Disable demand control ventilation. (if applicable) (Pass, Fail, N/A) N/A 2.0 P, F, N/A Verify unit is not in economizer mode during test. (economizer disabled) (Pass, Fail, N/A) NA7.5.1.1.2 Step 1 3.0 Pass Fail Testing at full supply airflow, adjust supply air to achieve design airflow or maximum airflow at full cooling. NA7.5.1.1.2 Step 2 4.0 Testing at full supply airflow, measured outdoor airflow reading. (CFM) NA7.5.1.1.2 Step 2a 5.0 Record required outdoor airflow from NRCC-MCH-E. (CFM) NA7.5.1.1.2 Step 2a 6.0 Time for outside air damper to stabilize after full supply airflow is achieved. (Minutes) NA7.5.1.1.2 Step 2b 7.0 Pass Fail Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the total design airflow. NA7.5.1.1.2 Step 3 8.0 Measured outdoor airflow reading. (CFM) NA7.5.1.1.2 Step 3a 9.0 Time for outside air damper to stabilize after reduced supply airflow is achieved. (Minutes) NA7.5.1.1.2 Step 3b 10.0 Pass Fail Return to initial conditions. NA7.5.1.1.2 Step 4 11.0 Calculate 100 x (Step4/Step5) (Percent) NA7.5.1.2.2 Step 1a 12.0 Calculate 100 x (Step8/Step5) (Percent) NA7.5.1.1.2 Step 3a 13.0 Pass Fail Check pass if both Steps 6 and 9 are both 5 minutes or less AND if both Steps 11 and 12 are ≥ 90% and ≤ 110%. N/A 1250 96 1200 1250 3 1200 3 96 96 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 4 of 4 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Field Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David FolgerBradley Mechanical12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 1 of 4 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name:Enforcement Agency: Address: Permit Number: City, Zip: Permit Application Date: Building: Floor:Room: Control/tag: Intent: Verify measured outside airflow sensor reading is within 10% of the total required outside airflow. Required for all newly installed HVAC units or additions and alterations to existing HVAC systems including ducts. Reference NRCC-MCH-E for nonresidential (including nonresidential spaces in high-rise multifamily) building permits or LMCC-MCH-E for nonresidential spaces in low-rise multifamily building permits. Submit one Certificate of Acceptance for each system that must demonstrate compliance. NRCA-MCH-02-A can be performed in conjunction with NRCA-MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. Reference §120.1(e), §120.1(d)2, §120.5(a)1, §160.2(c)6, §160.2(c)5B, and §160.3(d)1A. Table A: Construction Inspection for Air Volume Systems Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.0 Pass Fail Access to required document NRCC-MCH-E as approved by the authority having jurisdiction or LMCC-MCH-E registered by a CEC approved data registry. §10-103(a)2A 2.0 No Entry For VAV systems, complete ALL of 2, 3, and 4 and respond N/A for ALL of 5, 6, and 7. For CAV systems, respond N/A for ALL of 2, 3, and 4, and complete ALL of 5, 6, and 7. N/A 2.1 or P, F, N/A VAV Only: Outside airflow is factory calibrated; attach factory calibration spec-sheet. (Pass, Fail, N/A-if CAV) NA7.5.1.1.1(a) NA7.5.1.1.1(b) 2.2 P, F, N/A VAV Only: Outside airflow is field calibrated, attach calibration results report. (Pass, Fail, N/A-if CAV) NA7.5.1.1.1(a) NA7.5.1.1.1(b) 3.0 P, F, N/A VAV Only: Dynamic damper control is being used to control outside air. (Pass, Fail, N/A-if CAV) NA7.5.1.1.1(c) 4.0 No Entry VAV Only: Identify the dynamic control being utilized to control outside air. (Description or N/A) NA7.5.1.1.1(d) 4.1 Response: Describe Control or N/A NA7.5.1.1.1(d) Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: PGA Superstore 79-110 California 111 La Quinta, 92253 n/a n/a Receiving RTU 7 12/11/24 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 2 of 4 January 1, 2023 Step Entry Item Code Reference 5.0 P, F, N/A CAV Only: System is designed to provide a fixed minimum outside air when the unit is on. (Pass, Fail, N/A-if VAV) NA7.5.1.2.1(a) 6.0 P, F, N/A CAV Only: Minimum position is marked on the outside air damper. (Pass, Fail, N/A-if VAV) NA7.5.1.2.1(d) 7.0 P, F, N/A CAV Only: The system has means of maintaining the minimum outdoor air damper position. (Pass, Fail, N/A-if VAV) NA7.5.1.2.1(e) 8.0 No Entry Method of delivering outside air to the heating or cooling unit. Either 8.1 or 8.2 must pass. N/A 8.1 or P, F, N/A Return Plenum Ducted. If outside air is ducted at or to the return plenum, confirm that the ducted is within 5ft of the heating or cooling unit, or 15 ft. with direction and velocity requirement as specified by NRCC-MCH-E or LMCC- MCH-E. (Pass, Fail, N/A) NA7.5.1.1.1(e) NA7.5.1.2.1(b) §120.1(e) §160.2(c)6 8.2 P, F, N/A Direct Unit Ducted. If the outside air is ducted directly to the unit, verify that return air plenum is NOT used to distribute outside air to the heating or cooling unit. (i.e. outside air is ducted directly to the unit, outside air is provided independent of the unit, or economizer). (Pass, Fail, N/A) NA7.5.1.1.1(e) NA7.5.1.2.1(b) §120.1(e) §160.2(c)6 9.0 Pass Fail Pre-occupancy Purge: Verify that the pre- occupancy purge has been programmed for the 1- hour period immediately before the building is normally occupied to provide ventilation as indicated on NRCC-MCH-E or LMCC-MCH-E. NA7.5.1.1.1(f) NA7.5.1.2.1(c) §120.1(d)2 §160.2(c)5B 10.0 Pass Fail Check “Pass” if construction inspection complies with all requirements. Check “Fail” if construction inspection does not comply with all requirements. N/A Table B-1: Functional Testing for Constant Air Ventilation (CAV) System This table is to be completed for CAV systems only, skip this table testing a VAV system. Step Entry Functional Test Code Reference 1.0 P, F, N/A Disable demand control ventilation. (if applicable) (Pass, Fail, N/A) N/A 2.0 P, F, N/A Verify unit is not in economizer mode during test. (economizer disabled) (Pass, Fail, N/A) NA7.5.1.2.2 Step 1 3.0 Testing at full supply airflow, measured outdoor airflow reading. (CFM) NA7.5.1.2.2 Step 1a 198 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 3 of 4 January 1, 2023 Step Entry Functional Test Code Reference 4.0 Record required outdoor airflow from NRCC-MCH-E or LMCC-MCH-E. (CFM) NA7.5.1.2.2 Step 1a 5.0 Pass Fail Return to initial conditions. N/A 6.0 Calculate 100 x (Step3/Step4) (Percent) NA7.5.1.2.2 Step 1a 7.0 Pass Fail Check pass if value in Step 6 ≥ 90% and ≤ 110%. NA7.5.1.2.2 Step 1a Table B-2: Functional Testing for Variable Air Ventilation (VAV) System This table is to be completed for VAV systems only, skip this table testing a CAV system. Step Entry Functional Test Code Reference 1.0 P, F, N/A Disable demand control ventilation. (if applicable) (Pass, Fail, N/A) N/A 2.0 P, F, N/A Verify unit is not in economizer mode during test. (economizer disabled) (Pass, Fail, N/A) NA7.5.1.1.2 Step 1 3.0 Pass Fail Testing at full supply airflow, adjust supply air to achieve design airflow or maximum airflow at full cooling. NA7.5.1.1.2 Step 2 4.0 Testing at full supply airflow, measured outdoor airflow reading. (CFM) NA7.5.1.1.2 Step 2a 5.0 Record required outdoor airflow from NRCC-MCH-E. (CFM) NA7.5.1.1.2 Step 2a 6.0 Time for outside air damper to stabilize after full supply airflow is achieved. (Minutes) NA7.5.1.1.2 Step 2b 7.0 Pass Fail Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the total design airflow. NA7.5.1.1.2 Step 3 8.0 Measured outdoor airflow reading. (CFM) NA7.5.1.1.2 Step 3a 9.0 Time for outside air damper to stabilize after reduced supply airflow is achieved. (Minutes) NA7.5.1.1.2 Step 3b 10.0 Pass Fail Return to initial conditions. NA7.5.1.1.2 Step 4 11.0 Calculate 100 x (Step4/Step5) (Percent) NA7.5.1.2.2 Step 1a 12.0 Calculate 100 x (Step8/Step5) (Percent) NA7.5.1.1.2 Step 3a 13.0 Pass Fail Check pass if both Steps 6 and 9 are both 5 minutes or less AND if both Steps 11 and 12 are ≥ 90% and ≤ 110%. N/A 200 99 198 200 3 1255 3 99 99 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 4 of 4 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Field Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David FolgerBradley Mechanical12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 1 of 4 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name:Enforcement Agency: Address: Permit Number: City, Zip: Permit Application Date: Building: Floor:Room: Control/tag: Intent: Verify measured outside airflow sensor reading is within 10% of the total required outside airflow. Required for all newly installed HVAC units or additions and alterations to existing HVAC systems including ducts. Reference NRCC-MCH-E for nonresidential (including nonresidential spaces in high-rise multifamily) building permits or LMCC-MCH-E for nonresidential spaces in low-rise multifamily building permits. Submit one Certificate of Acceptance for each system that must demonstrate compliance. NRCA-MCH-02-A can be performed in conjunction with NRCA-MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. Reference §120.1(e), §120.1(d)2, §120.5(a)1, §160.2(c)6, §160.2(c)5B, and §160.3(d)1A. Table A: Construction Inspection for Air Volume Systems Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.0 Pass Fail Access to required document NRCC-MCH-E as approved by the authority having jurisdiction or LMCC-MCH-E registered by a CEC approved data registry. §10-103(a)2A 2.0 No Entry For VAV systems, complete ALL of 2, 3, and 4 and respond N/A for ALL of 5, 6, and 7. For CAV systems, respond N/A for ALL of 2, 3, and 4, and complete ALL of 5, 6, and 7. N/A 2.1 or P, F, N/A VAV Only: Outside airflow is factory calibrated; attach factory calibration spec-sheet. (Pass, Fail, N/A-if CAV) NA7.5.1.1.1(a) NA7.5.1.1.1(b) 2.2 P, F, N/A VAV Only: Outside airflow is field calibrated, attach calibration results report. (Pass, Fail, N/A-if CAV) NA7.5.1.1.1(a) NA7.5.1.1.1(b) 3.0 P, F, N/A VAV Only: Dynamic damper control is being used to control outside air. (Pass, Fail, N/A-if CAV) NA7.5.1.1.1(c) 4.0 No Entry VAV Only: Identify the dynamic control being utilized to control outside air. (Description or N/A) NA7.5.1.1.1(d) 4.1 Response: Describe Control or N/A NA7.5.1.1.1(d) Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: PGA Superstore 79-110 California 111 La Quinta, 92253 n/a n/a Shoes, Juniors RTU 4 12/11/24 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 2 of 4 January 1, 2023 Step Entry Item Code Reference 5.0 P, F, N/A CAV Only: System is designed to provide a fixed minimum outside air when the unit is on. (Pass, Fail, N/A-if VAV) NA7.5.1.2.1(a) 6.0 P, F, N/A CAV Only: Minimum position is marked on the outside air damper. (Pass, Fail, N/A-if VAV) NA7.5.1.2.1(d) 7.0 P, F, N/A CAV Only: The system has means of maintaining the minimum outdoor air damper position. (Pass, Fail, N/A-if VAV) NA7.5.1.2.1(e) 8.0 No Entry Method of delivering outside air to the heating or cooling unit. Either 8.1 or 8.2 must pass. N/A 8.1 or P, F, N/A Return Plenum Ducted. If outside air is ducted at or to the return plenum, confirm that the ducted is within 5ft of the heating or cooling unit, or 15 ft. with direction and velocity requirement as specified by NRCC-MCH-E or LMCC- MCH-E. (Pass, Fail, N/A) NA7.5.1.1.1(e) NA7.5.1.2.1(b) §120.1(e) §160.2(c)6 8.2 P, F, N/A Direct Unit Ducted. If the outside air is ducted directly to the unit, verify that return air plenum is NOT used to distribute outside air to the heating or cooling unit. (i.e. outside air is ducted directly to the unit, outside air is provided independent of the unit, or economizer). (Pass, Fail, N/A) NA7.5.1.1.1(e) NA7.5.1.2.1(b) §120.1(e) §160.2(c)6 9.0 Pass Fail Pre-occupancy Purge: Verify that the pre- occupancy purge has been programmed for the 1- hour period immediately before the building is normally occupied to provide ventilation as indicated on NRCC-MCH-E or LMCC-MCH-E. NA7.5.1.1.1(f) NA7.5.1.2.1(c) §120.1(d)2 §160.2(c)5B 10.0 Pass Fail Check “Pass” if construction inspection complies with all requirements. Check “Fail” if construction inspection does not comply with all requirements. N/A Table B-1: Functional Testing for Constant Air Ventilation (CAV) System This table is to be completed for CAV systems only, skip this table testing a VAV system. Step Entry Functional Test Code Reference 1.0 P, F, N/A Disable demand control ventilation. (if applicable) (Pass, Fail, N/A) N/A 2.0 P, F, N/A Verify unit is not in economizer mode during test. (economizer disabled) (Pass, Fail, N/A) NA7.5.1.2.2 Step 1 3.0 Testing at full supply airflow, measured outdoor airflow reading. (CFM) NA7.5.1.2.2 Step 1a 1243 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 3 of 4 January 1, 2023 Step Entry Functional Test Code Reference 4.0 Record required outdoor airflow from NRCC-MCH-E or LMCC-MCH-E. (CFM) NA7.5.1.2.2 Step 1a 5.0 Pass Fail Return to initial conditions. N/A 6.0 Calculate 100 x (Step3/Step4) (Percent) NA7.5.1.2.2 Step 1a 7.0 Pass Fail Check pass if value in Step 6 ≥ 90% and ≤ 110%. NA7.5.1.2.2 Step 1a Table B-2: Functional Testing for Variable Air Ventilation (VAV) System This table is to be completed for VAV systems only, skip this table testing a CAV system. Step Entry Functional Test Code Reference 1.0 P, F, N/A Disable demand control ventilation. (if applicable) (Pass, Fail, N/A) N/A 2.0 P, F, N/A Verify unit is not in economizer mode during test. (economizer disabled) (Pass, Fail, N/A) NA7.5.1.1.2 Step 1 3.0 Pass Fail Testing at full supply airflow, adjust supply air to achieve design airflow or maximum airflow at full cooling. NA7.5.1.1.2 Step 2 4.0 Testing at full supply airflow, measured outdoor airflow reading. (CFM) NA7.5.1.1.2 Step 2a 5.0 Record required outdoor airflow from NRCC-MCH-E. (CFM) NA7.5.1.1.2 Step 2a 6.0 Time for outside air damper to stabilize after full supply airflow is achieved. (Minutes) NA7.5.1.1.2 Step 2b 7.0 Pass Fail Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the total design airflow. NA7.5.1.1.2 Step 3 8.0 Measured outdoor airflow reading. (CFM) NA7.5.1.1.2 Step 3a 9.0 Time for outside air damper to stabilize after reduced supply airflow is achieved. (Minutes) NA7.5.1.1.2 Step 3b 10.0 Pass Fail Return to initial conditions. NA7.5.1.1.2 Step 4 11.0 Calculate 100 x (Step4/Step5) (Percent) NA7.5.1.2.2 Step 1a 12.0 Calculate 100 x (Step8/Step5) (Percent) NA7.5.1.1.2 Step 3a 13.0 Pass Fail Check pass if both Steps 6 and 9 are both 5 minutes or less AND if both Steps 11 and 12 are ≥ 90% and ≤ 110%. N/A 1250 100 1243 1250 3 1243 3 100 100 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 4 of 4 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Field Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David FolgerBradley Mechanical12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 1 of 4 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name:Enforcement Agency: Address: Permit Number: City, Zip: Permit Application Date: Building: Floor:Room: Control/tag: Intent: Verify measured outside airflow sensor reading is within 10% of the total required outside airflow. Required for all newly installed HVAC units or additions and alterations to existing HVAC systems including ducts. Reference NRCC-MCH-E for nonresidential (including nonresidential spaces in high-rise multifamily) building permits or LMCC-MCH-E for nonresidential spaces in low-rise multifamily building permits. Submit one Certificate of Acceptance for each system that must demonstrate compliance. NRCA-MCH-02-A can be performed in conjunction with NRCA-MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. Reference §120.1(e), §120.1(d)2, §120.5(a)1, §160.2(c)6, §160.2(c)5B, and §160.3(d)1A. Table A: Construction Inspection for Air Volume Systems Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.0 Pass Fail Access to required document NRCC-MCH-E as approved by the authority having jurisdiction or LMCC-MCH-E registered by a CEC approved data registry. §10-103(a)2A 2.0 No Entry For VAV systems, complete ALL of 2, 3, and 4 and respond N/A for ALL of 5, 6, and 7. For CAV systems, respond N/A for ALL of 2, 3, and 4, and complete ALL of 5, 6, and 7. N/A 2.1 or P, F, N/A VAV Only: Outside airflow is factory calibrated; attach factory calibration spec-sheet. (Pass, Fail, N/A-if CAV) NA7.5.1.1.1(a) NA7.5.1.1.1(b) 2.2 P, F, N/A VAV Only: Outside airflow is field calibrated, attach calibration results report. (Pass, Fail, N/A-if CAV) NA7.5.1.1.1(a) NA7.5.1.1.1(b) 3.0 P, F, N/A VAV Only: Dynamic damper control is being used to control outside air. (Pass, Fail, N/A-if CAV) NA7.5.1.1.1(c) 4.0 No Entry VAV Only: Identify the dynamic control being utilized to control outside air. (Description or N/A) NA7.5.1.1.1(d) 4.1 Response: Describe Control or N/A NA7.5.1.1.1(d) Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: PGA Superstore 79-110 California 111 La Quinta, 92253 n/a n/a Bags, Studios RTU 5 12/11/24 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 2 of 4 January 1, 2023 Step Entry Item Code Reference 5.0 P, F, N/A CAV Only: System is designed to provide a fixed minimum outside air when the unit is on. (Pass, Fail, N/A-if VAV) NA7.5.1.2.1(a) 6.0 P, F, N/A CAV Only: Minimum position is marked on the outside air damper. (Pass, Fail, N/A-if VAV) NA7.5.1.2.1(d) 7.0 P, F, N/A CAV Only: The system has means of maintaining the minimum outdoor air damper position. (Pass, Fail, N/A-if VAV) NA7.5.1.2.1(e) 8.0 No Entry Method of delivering outside air to the heating or cooling unit. Either 8.1 or 8.2 must pass. N/A 8.1 or P, F, N/A Return Plenum Ducted. If outside air is ducted at or to the return plenum, confirm that the ducted is within 5ft of the heating or cooling unit, or 15 ft. with direction and velocity requirement as specified by NRCC-MCH-E or LMCC- MCH-E. (Pass, Fail, N/A) NA7.5.1.1.1(e) NA7.5.1.2.1(b) §120.1(e) §160.2(c)6 8.2 P, F, N/A Direct Unit Ducted. If the outside air is ducted directly to the unit, verify that return air plenum is NOT used to distribute outside air to the heating or cooling unit. (i.e. outside air is ducted directly to the unit, outside air is provided independent of the unit, or economizer). (Pass, Fail, N/A) NA7.5.1.1.1(e) NA7.5.1.2.1(b) §120.1(e) §160.2(c)6 9.0 Pass Fail Pre-occupancy Purge: Verify that the pre- occupancy purge has been programmed for the 1- hour period immediately before the building is normally occupied to provide ventilation as indicated on NRCC-MCH-E or LMCC-MCH-E. NA7.5.1.1.1(f) NA7.5.1.2.1(c) §120.1(d)2 §160.2(c)5B 10.0 Pass Fail Check “Pass” if construction inspection complies with all requirements. Check “Fail” if construction inspection does not comply with all requirements. N/A Table B-1: Functional Testing for Constant Air Ventilation (CAV) System This table is to be completed for CAV systems only, skip this table testing a VAV system. Step Entry Functional Test Code Reference 1.0 P, F, N/A Disable demand control ventilation. (if applicable) (Pass, Fail, N/A) N/A 2.0 P, F, N/A Verify unit is not in economizer mode during test. (economizer disabled) (Pass, Fail, N/A) NA7.5.1.2.2 Step 1 3.0 Testing at full supply airflow, measured outdoor airflow reading. (CFM) NA7.5.1.2.2 Step 1a 1180 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 3 of 4 January 1, 2023 Step Entry Functional Test Code Reference 4.0 Record required outdoor airflow from NRCC-MCH-E or LMCC-MCH-E. (CFM) NA7.5.1.2.2 Step 1a 5.0 Pass Fail Return to initial conditions. N/A 6.0 Calculate 100 x (Step3/Step4) (Percent) NA7.5.1.2.2 Step 1a 7.0 Pass Fail Check pass if value in Step 6 ≥ 90% and ≤ 110%. NA7.5.1.2.2 Step 1a Table B-2: Functional Testing for Variable Air Ventilation (VAV) System This table is to be completed for VAV systems only, skip this table testing a CAV system. Step Entry Functional Test Code Reference 1.0 P, F, N/A Disable demand control ventilation. (if applicable) (Pass, Fail, N/A) N/A 2.0 P, F, N/A Verify unit is not in economizer mode during test. (economizer disabled) (Pass, Fail, N/A) NA7.5.1.1.2 Step 1 3.0 Pass Fail Testing at full supply airflow, adjust supply air to achieve design airflow or maximum airflow at full cooling. NA7.5.1.1.2 Step 2 4.0 Testing at full supply airflow, measured outdoor airflow reading. (CFM) NA7.5.1.1.2 Step 2a 5.0 Record required outdoor airflow from NRCC-MCH-E. (CFM) NA7.5.1.1.2 Step 2a 6.0 Time for outside air damper to stabilize after full supply airflow is achieved. (Minutes) NA7.5.1.1.2 Step 2b 7.0 Pass Fail Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the total design airflow. NA7.5.1.1.2 Step 3 8.0 Measured outdoor airflow reading. (CFM) NA7.5.1.1.2 Step 3a 9.0 Time for outside air damper to stabilize after reduced supply airflow is achieved. (Minutes) NA7.5.1.1.2 Step 3b 10.0 Pass Fail Return to initial conditions. NA7.5.1.1.2 Step 4 11.0 Calculate 100 x (Step4/Step5) (Percent) NA7.5.1.2.2 Step 1a 12.0 Calculate 100 x (Step8/Step5) (Percent) NA7.5.1.1.2 Step 3a 13.0 Pass Fail Check pass if both Steps 6 and 9 are both 5 minutes or less AND if both Steps 11 and 12 are ≥ 90% and ≤ 110%. N/A 1250 94 1180 1250 3 1180 3 94 94 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 4 of 4 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Field Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David FolgerBradley Mechanical12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 1 of 4 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name:Enforcement Agency: Address: Permit Number: City, Zip: Permit Application Date: Building: Floor:Room: Control/tag: Intent: Verify measured outside airflow sensor reading is within 10% of the total required outside airflow. Required for all newly installed HVAC units or additions and alterations to existing HVAC systems including ducts. Reference NRCC-MCH-E for nonresidential (including nonresidential spaces in high-rise multifamily) building permits or LMCC-MCH-E for nonresidential spaces in low-rise multifamily building permits. Submit one Certificate of Acceptance for each system that must demonstrate compliance. NRCA-MCH-02-A can be performed in conjunction with NRCA-MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. Reference §120.1(e), §120.1(d)2, §120.5(a)1, §160.2(c)6, §160.2(c)5B, and §160.3(d)1A. Table A: Construction Inspection for Air Volume Systems Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.0 Pass Fail Access to required document NRCC-MCH-E as approved by the authority having jurisdiction or LMCC-MCH-E registered by a CEC approved data registry. §10-103(a)2A 2.0 No Entry For VAV systems, complete ALL of 2, 3, and 4 and respond N/A for ALL of 5, 6, and 7. For CAV systems, respond N/A for ALL of 2, 3, and 4, and complete ALL of 5, 6, and 7. N/A 2.1 or P, F, N/A VAV Only: Outside airflow is factory calibrated; attach factory calibration spec-sheet. (Pass, Fail, N/A-if CAV) NA7.5.1.1.1(a) NA7.5.1.1.1(b) 2.2 P, F, N/A VAV Only: Outside airflow is field calibrated, attach calibration results report. (Pass, Fail, N/A-if CAV) NA7.5.1.1.1(a) NA7.5.1.1.1(b) 3.0 P, F, N/A VAV Only: Dynamic damper control is being used to control outside air. (Pass, Fail, N/A-if CAV) NA7.5.1.1.1(c) 4.0 No Entry VAV Only: Identify the dynamic control being utilized to control outside air. (Description or N/A) NA7.5.1.1.1(d) 4.1 Response: Describe Control or N/A NA7.5.1.1.1(d) Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: PGA Superstore 79-110 California 111 La Quinta, 92253 n/a n/a Tennis, Womens RTU 6 12/11/24 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 2 of 4 January 1, 2023 Step Entry Item Code Reference 5.0 P, F, N/A CAV Only: System is designed to provide a fixed minimum outside air when the unit is on. (Pass, Fail, N/A-if VAV) NA7.5.1.2.1(a) 6.0 P, F, N/A CAV Only: Minimum position is marked on the outside air damper. (Pass, Fail, N/A-if VAV) NA7.5.1.2.1(d) 7.0 P, F, N/A CAV Only: The system has means of maintaining the minimum outdoor air damper position. (Pass, Fail, N/A-if VAV) NA7.5.1.2.1(e) 8.0 No Entry Method of delivering outside air to the heating or cooling unit. Either 8.1 or 8.2 must pass. N/A 8.1 or P, F, N/A Return Plenum Ducted. If outside air is ducted at or to the return plenum, confirm that the ducted is within 5ft of the heating or cooling unit, or 15 ft. with direction and velocity requirement as specified by NRCC-MCH-E or LMCC- MCH-E. (Pass, Fail, N/A) NA7.5.1.1.1(e) NA7.5.1.2.1(b) §120.1(e) §160.2(c)6 8.2 P, F, N/A Direct Unit Ducted. If the outside air is ducted directly to the unit, verify that return air plenum is NOT used to distribute outside air to the heating or cooling unit. (i.e. outside air is ducted directly to the unit, outside air is provided independent of the unit, or economizer). (Pass, Fail, N/A) NA7.5.1.1.1(e) NA7.5.1.2.1(b) §120.1(e) §160.2(c)6 9.0 Pass Fail Pre-occupancy Purge: Verify that the pre- occupancy purge has been programmed for the 1- hour period immediately before the building is normally occupied to provide ventilation as indicated on NRCC-MCH-E or LMCC-MCH-E. NA7.5.1.1.1(f) NA7.5.1.2.1(c) §120.1(d)2 §160.2(c)5B 10.0 Pass Fail Check “Pass” if construction inspection complies with all requirements. Check “Fail” if construction inspection does not comply with all requirements. N/A Table B-1: Functional Testing for Constant Air Ventilation (CAV) System This table is to be completed for CAV systems only, skip this table testing a VAV system. Step Entry Functional Test Code Reference 1.0 P, F, N/A Disable demand control ventilation. (if applicable) (Pass, Fail, N/A) N/A 2.0 P, F, N/A Verify unit is not in economizer mode during test. (economizer disabled) (Pass, Fail, N/A) NA7.5.1.2.2 Step 1 3.0 Testing at full supply airflow, measured outdoor airflow reading. (CFM) NA7.5.1.2.2 Step 1a 1255 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 3 of 4 January 1, 2023 Step Entry Functional Test Code Reference 4.0 Record required outdoor airflow from NRCC-MCH-E or LMCC-MCH-E. (CFM) NA7.5.1.2.2 Step 1a 5.0 Pass Fail Return to initial conditions. N/A 6.0 Calculate 100 x (Step3/Step4) (Percent) NA7.5.1.2.2 Step 1a 7.0 Pass Fail Check pass if value in Step 6 ≥ 90% and ≤ 110%. NA7.5.1.2.2 Step 1a Table B-2: Functional Testing for Variable Air Ventilation (VAV) System This table is to be completed for VAV systems only, skip this table testing a CAV system. Step Entry Functional Test Code Reference 1.0 P, F, N/A Disable demand control ventilation. (if applicable) (Pass, Fail, N/A) N/A 2.0 P, F, N/A Verify unit is not in economizer mode during test. (economizer disabled) (Pass, Fail, N/A) NA7.5.1.1.2 Step 1 3.0 Pass Fail Testing at full supply airflow, adjust supply air to achieve design airflow or maximum airflow at full cooling. NA7.5.1.1.2 Step 2 4.0 Testing at full supply airflow, measured outdoor airflow reading. (CFM) NA7.5.1.1.2 Step 2a 5.0 Record required outdoor airflow from NRCC-MCH-E. (CFM) NA7.5.1.1.2 Step 2a 6.0 Time for outside air damper to stabilize after full supply airflow is achieved. (Minutes) NA7.5.1.1.2 Step 2b 7.0 Pass Fail Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the total design airflow. NA7.5.1.1.2 Step 3 8.0 Measured outdoor airflow reading. (CFM) NA7.5.1.1.2 Step 3a 9.0 Time for outside air damper to stabilize after reduced supply airflow is achieved. (Minutes) NA7.5.1.1.2 Step 3b 10.0 Pass Fail Return to initial conditions. NA7.5.1.1.2 Step 4 11.0 Calculate 100 x (Step4/Step5) (Percent) NA7.5.1.2.2 Step 1a 12.0 Calculate 100 x (Step8/Step5) (Percent) NA7.5.1.1.2 Step 3a 13.0 Pass Fail Check pass if both Steps 6 and 9 are both 5 minutes or less AND if both Steps 11 and 12 are ≥ 90% and ≤ 110%. N/A 1250 100 1255 1250 3 1255 3 100 100 OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A California Energy Commission Page 4 of 4 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Field Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David FolgerBradley Mechanical12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 1 of 6 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name: Enforcement Agency: Address:Permit Number: City, Zip:Permit Application Date: Building: Floor: Room: Control/tag: Intent: This Certificate of Acceptance is intended to verify Energy Code compliance for nonresidential and hotel/motel (see NRCA-MCH-23-A for multi-family) buildings with newly installed economizers, dedicated outdoor air system (DOAS), Heat Recovery Ventilation (HRV) systems, and energy recovery ventilation (ERV) system. Economizers must be certified to the California Energy Commission in compliance with JA6.3. Submit one Certificate of Acceptance for each economizer, DOAS, HRV, or ERV system that must demonstrate compliance with the Energy Code. For direct Energy Code reference see JA6.3, NA7.5.4, §140.4(e), §120.5(a)4, §160.3(d)1D, and §170.2(c)4C. Reference Table R-1 (Table 140.4-G) Climate Zones Fixed Dry Bulb Differential Dry Bulb Fixed Enthalpy with Fixed Dry bulb 1, 3, 5, 11-16 TOA > 75 oF TOA > TRA oF N/A 2, 4, and 10 TOA > 73 oF TOA > TRA – 2 oF N/A 6, 8, 9 TOA > 71 oF TOA > TRA – 4 oF N/A 7 TOA > 69 oF TOA > TRA – 6 oF N/A All Climate Zones N/A N/A HOA > 28 Btu/LBS. or TOA > 75 oF Where: TOA = Outside Air Temperature TRA = Return Air Temperature HOA = Outdoor Air Enthalpy Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.1 Pass Fail All documentation shipped with the economizer, DOAS, HRV, or ERV system including manuals and sensor performance curves are available for review. NA7.5.4.1(d) 1.2 Pass Fail Verify that the sensor output value measured during sensor calibration is plotted on the performance curve. NA7.5.4.1(e) Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: N/a first RTU 1Clubs, Practice Bay PGA Super store 79-110 California 111 La Quinta, 92253 12/11/24 ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 2 of 6 January 1, 2023 Step Entry Item Code Reference 2.1 and P, F, or N/A Verify that the bypass high limit shutoff control for the economizer, DOAS, HRV, or ERV system complies with Reference Table R-1 (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 2.2 P, F, or N/A Verify that at altitudes substantially different than sea level, the Fixed Enthalpy limit value is set to the enthalpy value at 75°F and 50% relative humidity. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 3 P, F, or N/A Alternative to Step 2 If using Dew Point, Fixed Enthalpy, Electronic Enthalpy, or Differential Enthalpy Controls Energy Commission Executive Director approval for use in California must be attached. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 4 P, F, or N/A Verify that devices with selectable (rather than adjustable) setpoints are capable of being set to within 2°F and 2 Btu/LBS of the setpoint listed. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 5 P, F, or N/A Verify that if the high-limit control is fixed dry-bulb or fixed enthalpy with fixed dry-bulb, it has an adjustable setpoint. (Pass, Fail, or N/A) NA7.5.4.1(b) 6 Pass Fail Verify that the economizer, DOAS, HRV, or ERV system bypass lockout control sensor is located to prevent false readings. NA7.5.4.1(c) 7.1, or P, F, or N/A Verify if using damper for bypass control that the economizer, DOAS, HRV, or ERV system bypass damper moves freely without binding. (Pass, Fail, or N/A) NA7.5.4.1(f) 7.2 P, F, or N/A Indicate if bypass control is achieved through heat/energy recovery wheel rotation speed modulation as means other than air dampers. (Pass, Fail, or N/A) NA7.5.4.1(f)1 8 Pass Fail Verify that the economizer, DOAS, HRV, or ERV system bypass has control systems, including two- stage or electronic thermostats, that cycle compressors off when the bypass can provide partial cooling. NA7.5.4.1(g) 9.0 P, F, or N/A For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Using the documentation provided in Step 1.1, verify that the air economizer and all air dampers have ALL of the following features (9.1-9.8). (Pass, Fail, or N/A-for non-economizers) NA7.5.4.1(h) §140.4(e)2D §170.2(c)4Ciii ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 3 of 6 January 1, 2023 Step Entry Item Code Reference 9.1 Pass Fail Warranty. 5-year Manufacturer warranty of economizer assembly. NA7.5.4.1(h) §140.4(e)2Di §170.2(c)4Ciiia 9.2 Pass Fail Damper reliability testing. Certification from suppliers of economizers that the economizer assembly, including but not limited to outdoor air damper, return air damper, drive linkage, and actuator, have been tested and are able to open and close against the rated airflow and pressure of the system for 60,000 damper opening and closing cycles. NA7.5.4.1(h) §140.4(e)2Dii §170.2(c)4Ciiib 9.3 Pass Fail Damper leakage. Economizer outdoor air and return air dampers have a maximum leakage rate of 10 cfm/sf at 250 Pascals (1.0 in. of water) when tested in accordance with AMCA Standard 500-D. NA7.5.4.1(h) §140.4(e)2Diii §170.2(c)4Ciiic 9.4 P, F, or N/A Adjustable setpoint. If the high-limit control is fixed dry-bulb or fixed enthalpy with fixed dry-bulb then verify that the control has an adjustable setpoint. (Pass, Fail, or N/A) NA7.5.4.1(h) §140.4(e)2Div §170.2(c)4Ciiid 9.5 Pass Fail Sensor accuracy. Outdoor air, return air, mixed air, and supply air sensors are calibrated within the following accuracies. 1. Dry bulb and wet bulb temperatures accurate to ±2°F over the range of 40°F to 80°F. 2. Enthalpy accurate to ±3 Btu/LBS. over the range of 20 Btu/LBS. to 36 Btu/LBS. 3. Relative humidity (RH) accurate to ±5 percent over the range of 20 percent to 80 percent RH. NA7.5.4.1(h) §140.4(e)2Dv §170.2(c)4Ciiie 9.6 Pass Fail Sensor calibration data. Data used for control of the economizer is plotted on a sensor performance curve. NA7.5.4.1(h) §140.4(e)2Dvi §170.2(c)4Ciiif 9.7 Pass Fail Sensor high limit control. Sensors used for the high limit control are located to prevent false readings, including but not limited to being properly shielded from direct sunlight. NA7.5.4.1(h) §140.4(e)2Dvii §170.2(c)4Ciiig 9.8 Pass Fail Relief air system. Relief air systems is capable of providing 100 percent outside air without over- pressurizing the building. NA7.5.4.1(h) §140.4(e)2Dviii §170.2(c)4Ciiih 10 P, F, or N/A For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Verify that the economizer inlet damper is designed to modulate up to 100 percent open, and return air damper to 100 percent closed, without over-pressurizing the building. (Pass, Fail, or N/A) NA7.5.4.1(i) ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 4 of 6 January 1, 2023 Step Entry Item Code Reference 11.1, or P, F, or N/A For systems with DDC controls verify that lockout sensor(s) are either factory calibrated or field calibrated. (Pass, Fail, or N/A) NA7.5.4.1(j) 11.2 P, F, or N/A For systems with non-DDC controls, verify that manufacturer’s startup and testing procedures have been applied. (Pass, Fail, or N/A) NA7.5.4.1(k) 12 P, F, or N/A For economizers only - DOAS, HRV, or ERV systems enter N/A. Verify that the economizer has been certified to the Energy Commission by consulting the CEC Air Economizer Certified List (https://www.energy.ca.gov/media/3259). (Pass, Fail, or N/A) §140.4(e)2Diii §170.2(c)4Ciiic 13 Pass Fail Check “Pass” if construction inspection complies with all requirements. Check “Fail” if construction inspection does not comply with all requirements. NA Table B: Functional Testing for Air Economizer Controls Step Entry Functional Test Code Reference 0 Exception N/A For economizers only - DOAS, HRV, or ERV enter N/A. If the economizer is installed by the HVAC system manufacturer technician (not the economizer technician), then the economizer is excepted from this functional test (NA7.5.4.2). Enter Step 0 as “Exception, by-pass all functional testing and mark Step 7 as passing; otherwise enter Step 0 as N/A. §120.5(a)4 Exception §160.3(d)1D Exception 1 P, F, or N/A Disable demand control ventilation systems (if applicable). (Pass, Fail, or N/A) NA7.5.4.2 Step 1 2.0 Pass Fail Enable the economizer, DOAS, HRV, or ERV system and simulate a cooling demand large enough to drive the bypass to fully open position. Maintain this status for all of Step 2. NA7.5.4.2 Step 2 2.1 Pass Fail Verify either of the following: 1. Using dampers – bypass is 100 percent open, and return is 100 percent closed; or 2. Using HRV/ERV wheel – wheel is fully stopped. NA7.5.4.2 Step 2(a) Step 2(a)1 2.2 Pass Fail Verify that all applicable fans and dampers/wheels operate as intended to maintain building pressure. NA7.5.4.2 Step 2(b) 2.3 P, F, or N/A Verify that the economizer heating is disabled (if applicable). (Pass, Fail, or N/A) NA7.5.4.2 Step 2(c) ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 5 of 6 January 1, 2023 Step Entry Functional Test Code Reference 3.0 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter as N/A and proceed to Step 4. Disable the economizer and simulate a cooling demand. Maintain this status for all of Step 3. (Pass, Fail, or N/A) NA7.5.4.2 Step 3 Step 3(g) 3.1 Pass Fail Verify that the economizer damper closes to its minimum position. NA7.5.4.2 Step 3(d) 3.2 Pass Fail Verify that all applicable fans and dampers operate as intended to maintain building pressure. NA7.5.4.2 Step 3(e) 3.3 P, F, or N/A Verify that the unit heating is disabled (if unit has heating capability). (Pass, Fail, or N/A) NA7.5.4.2 Step 3(f) 4.0 Pass Fail If unit has heating capability, simulate a heating demand and set economizer, DOAS, HRV, or ERV systems so that it is capable of operating (i.e., actual outdoor air conditions are below lockout setpoint). Maintain this status for all of Step 4. NA7.5.4.2 Step 4 4.1 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and proceed to Step 4.3. Verify that the economizer damper is at minimum position. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(h) 4.2 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and proceed to Step 4.3. Verify that the return air damper opens. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(i) 4.3 P, F, or N/A For DOAS, HRV, or ERV systems only - economizers enter as N/A and proceed to Step 5. Verify that the DOAS, HRV, or ERV systems bypass control modulates bypass damper/wheel speed to control temperature setpoint. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(j) 5 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter as N/A and proceed to Step 6. Turn off the unit and verify that the economizer damper closes completely. (Pass, Fail, or N/A) NA7.5.4.2 Step 5 Step 5(k) 6 Pass Fail Restore demand control ventilation systems (if applicable) and remove all system overrides initiated. NA7.5.4.2 Step 6 7 Pass Fail Check “Pass” if functional test complies with all requirements. Check “Fail” if functional test does not comply with all requirements. N/A ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 6 of 6 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 1 of 6 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name: Enforcement Agency: Address:Permit Number: City, Zip:Permit Application Date: Building: Floor: Room: Control/tag: Intent: This Certificate of Acceptance is intended to verify Energy Code compliance for nonresidential and hotel/motel (see NRCA-MCH-23-A for multi-family) buildings with newly installed economizers, dedicated outdoor air system (DOAS), Heat Recovery Ventilation (HRV) systems, and energy recovery ventilation (ERV) system. Economizers must be certified to the California Energy Commission in compliance with JA6.3. Submit one Certificate of Acceptance for each economizer, DOAS, HRV, or ERV system that must demonstrate compliance with the Energy Code. For direct Energy Code reference see JA6.3, NA7.5.4, §140.4(e), §120.5(a)4, §160.3(d)1D, and §170.2(c)4C. Reference Table R-1 (Table 140.4-G) Climate Zones Fixed Dry Bulb Differential Dry Bulb Fixed Enthalpy with Fixed Dry bulb 1, 3, 5, 11-16 TOA > 75 oF TOA > TRA oF N/A 2, 4, and 10 TOA > 73 oF TOA > TRA – 2 oF N/A 6, 8, 9 TOA > 71 oF TOA > TRA – 4 oF N/A 7 TOA > 69 oF TOA > TRA – 6 oF N/A All Climate Zones N/A N/A HOA > 28 Btu/LBS. or TOA > 75 oF Where: TOA = Outside Air Temperature TRA = Return Air Temperature HOA = Outdoor Air Enthalpy Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.1 Pass Fail All documentation shipped with the economizer, DOAS, HRV, or ERV system including manuals and sensor performance curves are available for review. NA7.5.4.1(d) 1.2 Pass Fail Verify that the sensor output value measured during sensor calibration is plotted on the performance curve. NA7.5.4.1(e) Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: N/a first RTU 4Shoes, Juniors PGA Super store 79-110 California 111 La Quinta, 92253 12/11/24 ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 2 of 6 January 1, 2023 Step Entry Item Code Reference 2.1 and P, F, or N/A Verify that the bypass high limit shutoff control for the economizer, DOAS, HRV, or ERV system complies with Reference Table R-1 (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 2.2 P, F, or N/A Verify that at altitudes substantially different than sea level, the Fixed Enthalpy limit value is set to the enthalpy value at 75°F and 50% relative humidity. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 3 P, F, or N/A Alternative to Step 2 If using Dew Point, Fixed Enthalpy, Electronic Enthalpy, or Differential Enthalpy Controls Energy Commission Executive Director approval for use in California must be attached. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 4 P, F, or N/A Verify that devices with selectable (rather than adjustable) setpoints are capable of being set to within 2°F and 2 Btu/LBS of the setpoint listed. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 5 P, F, or N/A Verify that if the high-limit control is fixed dry-bulb or fixed enthalpy with fixed dry-bulb, it has an adjustable setpoint. (Pass, Fail, or N/A) NA7.5.4.1(b) 6 Pass Fail Verify that the economizer, DOAS, HRV, or ERV system bypass lockout control sensor is located to prevent false readings. NA7.5.4.1(c) 7.1, or P, F, or N/A Verify if using damper for bypass control that the economizer, DOAS, HRV, or ERV system bypass damper moves freely without binding. (Pass, Fail, or N/A) NA7.5.4.1(f) 7.2 P, F, or N/A Indicate if bypass control is achieved through heat/energy recovery wheel rotation speed modulation as means other than air dampers. (Pass, Fail, or N/A) NA7.5.4.1(f)1 8 Pass Fail Verify that the economizer, DOAS, HRV, or ERV system bypass has control systems, including two- stage or electronic thermostats, that cycle compressors off when the bypass can provide partial cooling. NA7.5.4.1(g) 9.0 P, F, or N/A For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Using the documentation provided in Step 1.1, verify that the air economizer and all air dampers have ALL of the following features (9.1-9.8). (Pass, Fail, or N/A-for non-economizers) NA7.5.4.1(h) §140.4(e)2D §170.2(c)4Ciii ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 3 of 6 January 1, 2023 Step Entry Item Code Reference 9.1 Pass Fail Warranty. 5-year Manufacturer warranty of economizer assembly. NA7.5.4.1(h) §140.4(e)2Di §170.2(c)4Ciiia 9.2 Pass Fail Damper reliability testing. Certification from suppliers of economizers that the economizer assembly, including but not limited to outdoor air damper, return air damper, drive linkage, and actuator, have been tested and are able to open and close against the rated airflow and pressure of the system for 60,000 damper opening and closing cycles. NA7.5.4.1(h) §140.4(e)2Dii §170.2(c)4Ciiib 9.3 Pass Fail Damper leakage. Economizer outdoor air and return air dampers have a maximum leakage rate of 10 cfm/sf at 250 Pascals (1.0 in. of water) when tested in accordance with AMCA Standard 500-D. NA7.5.4.1(h) §140.4(e)2Diii §170.2(c)4Ciiic 9.4 P, F, or N/A Adjustable setpoint. If the high-limit control is fixed dry-bulb or fixed enthalpy with fixed dry-bulb then verify that the control has an adjustable setpoint. (Pass, Fail, or N/A) NA7.5.4.1(h) §140.4(e)2Div §170.2(c)4Ciiid 9.5 Pass Fail Sensor accuracy. Outdoor air, return air, mixed air, and supply air sensors are calibrated within the following accuracies. 1. Dry bulb and wet bulb temperatures accurate to ±2°F over the range of 40°F to 80°F. 2. Enthalpy accurate to ±3 Btu/LBS. over the range of 20 Btu/LBS. to 36 Btu/LBS. 3. Relative humidity (RH) accurate to ±5 percent over the range of 20 percent to 80 percent RH. NA7.5.4.1(h) §140.4(e)2Dv §170.2(c)4Ciiie 9.6 Pass Fail Sensor calibration data. Data used for control of the economizer is plotted on a sensor performance curve. NA7.5.4.1(h) §140.4(e)2Dvi §170.2(c)4Ciiif 9.7 Pass Fail Sensor high limit control. Sensors used for the high limit control are located to prevent false readings, including but not limited to being properly shielded from direct sunlight. NA7.5.4.1(h) §140.4(e)2Dvii §170.2(c)4Ciiig 9.8 Pass Fail Relief air system. Relief air systems is capable of providing 100 percent outside air without over- pressurizing the building. NA7.5.4.1(h) §140.4(e)2Dviii §170.2(c)4Ciiih 10 P, F, or N/A For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Verify that the economizer inlet damper is designed to modulate up to 100 percent open, and return air damper to 100 percent closed, without over-pressurizing the building. (Pass, Fail, or N/A) NA7.5.4.1(i) ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 4 of 6 January 1, 2023 Step Entry Item Code Reference 11.1, or P, F, or N/A For systems with DDC controls verify that lockout sensor(s) are either factory calibrated or field calibrated. (Pass, Fail, or N/A) NA7.5.4.1(j) 11.2 P, F, or N/A For systems with non-DDC controls, verify that manufacturer’s startup and testing procedures have been applied. (Pass, Fail, or N/A) NA7.5.4.1(k) 12 P, F, or N/A For economizers only - DOAS, HRV, or ERV systems enter N/A. Verify that the economizer has been certified to the Energy Commission by consulting the CEC Air Economizer Certified List (https://www.energy.ca.gov/media/3259). (Pass, Fail, or N/A) §140.4(e)2Diii §170.2(c)4Ciiic 13 Pass Fail Check “Pass” if construction inspection complies with all requirements. Check “Fail” if construction inspection does not comply with all requirements. NA Table B: Functional Testing for Air Economizer Controls Step Entry Functional Test Code Reference 0 Exception N/A For economizers only - DOAS, HRV, or ERV enter N/A. If the economizer is installed by the HVAC system manufacturer technician (not the economizer technician), then the economizer is excepted from this functional test (NA7.5.4.2). Enter Step 0 as “Exception, by-pass all functional testing and mark Step 7 as passing; otherwise enter Step 0 as N/A. §120.5(a)4 Exception §160.3(d)1D Exception 1 P, F, or N/A Disable demand control ventilation systems (if applicable). (Pass, Fail, or N/A) NA7.5.4.2 Step 1 2.0 Pass Fail Enable the economizer, DOAS, HRV, or ERV system and simulate a cooling demand large enough to drive the bypass to fully open position. Maintain this status for all of Step 2. NA7.5.4.2 Step 2 2.1 Pass Fail Verify either of the following: 1. Using dampers – bypass is 100 percent open, and return is 100 percent closed; or 2. Using HRV/ERV wheel – wheel is fully stopped. NA7.5.4.2 Step 2(a) Step 2(a)1 2.2 Pass Fail Verify that all applicable fans and dampers/wheels operate as intended to maintain building pressure. NA7.5.4.2 Step 2(b) 2.3 P, F, or N/A Verify that the economizer heating is disabled (if applicable). (Pass, Fail, or N/A) NA7.5.4.2 Step 2(c) ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 5 of 6 January 1, 2023 Step Entry Functional Test Code Reference 3.0 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter as N/A and proceed to Step 4. Disable the economizer and simulate a cooling demand. Maintain this status for all of Step 3. (Pass, Fail, or N/A) NA7.5.4.2 Step 3 Step 3(g) 3.1 Pass Fail Verify that the economizer damper closes to its minimum position. NA7.5.4.2 Step 3(d) 3.2 Pass Fail Verify that all applicable fans and dampers operate as intended to maintain building pressure. NA7.5.4.2 Step 3(e) 3.3 P, F, or N/A Verify that the unit heating is disabled (if unit has heating capability). (Pass, Fail, or N/A) NA7.5.4.2 Step 3(f) 4.0 Pass Fail If unit has heating capability, simulate a heating demand and set economizer, DOAS, HRV, or ERV systems so that it is capable of operating (i.e., actual outdoor air conditions are below lockout setpoint). Maintain this status for all of Step 4. NA7.5.4.2 Step 4 4.1 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and proceed to Step 4.3. Verify that the economizer damper is at minimum position. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(h) 4.2 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and proceed to Step 4.3. Verify that the return air damper opens. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(i) 4.3 P, F, or N/A For DOAS, HRV, or ERV systems only - economizers enter as N/A and proceed to Step 5. Verify that the DOAS, HRV, or ERV systems bypass control modulates bypass damper/wheel speed to control temperature setpoint. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(j) 5 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter as N/A and proceed to Step 6. Turn off the unit and verify that the economizer damper closes completely. (Pass, Fail, or N/A) NA7.5.4.2 Step 5 Step 5(k) 6 Pass Fail Restore demand control ventilation systems (if applicable) and remove all system overrides initiated. NA7.5.4.2 Step 6 7 Pass Fail Check “Pass” if functional test complies with all requirements. Check “Fail” if functional test does not comply with all requirements. N/A ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 6 of 6 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 1 of 6 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name: Enforcement Agency: Address:Permit Number: City, Zip:Permit Application Date: Building: Floor: Room: Control/tag: Intent: This Certificate of Acceptance is intended to verify Energy Code compliance for nonresidential and hotel/motel (see NRCA-MCH-23-A for multi-family) buildings with newly installed economizers, dedicated outdoor air system (DOAS), Heat Recovery Ventilation (HRV) systems, and energy recovery ventilation (ERV) system. Economizers must be certified to the California Energy Commission in compliance with JA6.3. Submit one Certificate of Acceptance for each economizer, DOAS, HRV, or ERV system that must demonstrate compliance with the Energy Code. For direct Energy Code reference see JA6.3, NA7.5.4, §140.4(e), §120.5(a)4, §160.3(d)1D, and §170.2(c)4C. Reference Table R-1 (Table 140.4-G) Climate Zones Fixed Dry Bulb Differential Dry Bulb Fixed Enthalpy with Fixed Dry bulb 1, 3, 5, 11-16 TOA > 75 oF TOA > TRA oF N/A 2, 4, and 10 TOA > 73 oF TOA > TRA – 2 oF N/A 6, 8, 9 TOA > 71 oF TOA > TRA – 4 oF N/A 7 TOA > 69 oF TOA > TRA – 6 oF N/A All Climate Zones N/A N/A HOA > 28 Btu/LBS. or TOA > 75 oF Where: TOA = Outside Air Temperature TRA = Return Air Temperature HOA = Outdoor Air Enthalpy Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.1 Pass Fail All documentation shipped with the economizer, DOAS, HRV, or ERV system including manuals and sensor performance curves are available for review. NA7.5.4.1(d) 1.2 Pass Fail Verify that the sensor output value measured during sensor calibration is plotted on the performance curve. NA7.5.4.1(e) Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: N/a first RTU 2Green, Mens PGA Super store 79-110 California 111 La Quinta, 92253 12/11/24 ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 2 of 6 January 1, 2023 Step Entry Item Code Reference 2.1 and P, F, or N/A Verify that the bypass high limit shutoff control for the economizer, DOAS, HRV, or ERV system complies with Reference Table R-1 (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 2.2 P, F, or N/A Verify that at altitudes substantially different than sea level, the Fixed Enthalpy limit value is set to the enthalpy value at 75°F and 50% relative humidity. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 3 P, F, or N/A Alternative to Step 2 If using Dew Point, Fixed Enthalpy, Electronic Enthalpy, or Differential Enthalpy Controls Energy Commission Executive Director approval for use in California must be attached. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 4 P, F, or N/A Verify that devices with selectable (rather than adjustable) setpoints are capable of being set to within 2°F and 2 Btu/LBS of the setpoint listed. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 5 P, F, or N/A Verify that if the high-limit control is fixed dry-bulb or fixed enthalpy with fixed dry-bulb, it has an adjustable setpoint. (Pass, Fail, or N/A) NA7.5.4.1(b) 6 Pass Fail Verify that the economizer, DOAS, HRV, or ERV system bypass lockout control sensor is located to prevent false readings. NA7.5.4.1(c) 7.1, or P, F, or N/A Verify if using damper for bypass control that the economizer, DOAS, HRV, or ERV system bypass damper moves freely without binding. (Pass, Fail, or N/A) NA7.5.4.1(f) 7.2 P, F, or N/A Indicate if bypass control is achieved through heat/energy recovery wheel rotation speed modulation as means other than air dampers. (Pass, Fail, or N/A) NA7.5.4.1(f)1 8 Pass Fail Verify that the economizer, DOAS, HRV, or ERV system bypass has control systems, including two- stage or electronic thermostats, that cycle compressors off when the bypass can provide partial cooling. NA7.5.4.1(g) 9.0 P, F, or N/A For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Using the documentation provided in Step 1.1, verify that the air economizer and all air dampers have ALL of the following features (9.1-9.8). (Pass, Fail, or N/A-for non-economizers) NA7.5.4.1(h) §140.4(e)2D §170.2(c)4Ciii ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 3 of 6 January 1, 2023 Step Entry Item Code Reference 9.1 Pass Fail Warranty. 5-year Manufacturer warranty of economizer assembly. NA7.5.4.1(h) §140.4(e)2Di §170.2(c)4Ciiia 9.2 Pass Fail Damper reliability testing. Certification from suppliers of economizers that the economizer assembly, including but not limited to outdoor air damper, return air damper, drive linkage, and actuator, have been tested and are able to open and close against the rated airflow and pressure of the system for 60,000 damper opening and closing cycles. NA7.5.4.1(h) §140.4(e)2Dii §170.2(c)4Ciiib 9.3 Pass Fail Damper leakage. Economizer outdoor air and return air dampers have a maximum leakage rate of 10 cfm/sf at 250 Pascals (1.0 in. of water) when tested in accordance with AMCA Standard 500-D. NA7.5.4.1(h) §140.4(e)2Diii §170.2(c)4Ciiic 9.4 P, F, or N/A Adjustable setpoint. If the high-limit control is fixed dry-bulb or fixed enthalpy with fixed dry-bulb then verify that the control has an adjustable setpoint. (Pass, Fail, or N/A) NA7.5.4.1(h) §140.4(e)2Div §170.2(c)4Ciiid 9.5 Pass Fail Sensor accuracy. Outdoor air, return air, mixed air, and supply air sensors are calibrated within the following accuracies. 1. Dry bulb and wet bulb temperatures accurate to ±2°F over the range of 40°F to 80°F. 2. Enthalpy accurate to ±3 Btu/LBS. over the range of 20 Btu/LBS. to 36 Btu/LBS. 3. Relative humidity (RH) accurate to ±5 percent over the range of 20 percent to 80 percent RH. NA7.5.4.1(h) §140.4(e)2Dv §170.2(c)4Ciiie 9.6 Pass Fail Sensor calibration data. Data used for control of the economizer is plotted on a sensor performance curve. NA7.5.4.1(h) §140.4(e)2Dvi §170.2(c)4Ciiif 9.7 Pass Fail Sensor high limit control. Sensors used for the high limit control are located to prevent false readings, including but not limited to being properly shielded from direct sunlight. NA7.5.4.1(h) §140.4(e)2Dvii §170.2(c)4Ciiig 9.8 Pass Fail Relief air system. Relief air systems is capable of providing 100 percent outside air without over- pressurizing the building. NA7.5.4.1(h) §140.4(e)2Dviii §170.2(c)4Ciiih 10 P, F, or N/A For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Verify that the economizer inlet damper is designed to modulate up to 100 percent open, and return air damper to 100 percent closed, without over-pressurizing the building. (Pass, Fail, or N/A) NA7.5.4.1(i) ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 4 of 6 January 1, 2023 Step Entry Item Code Reference 11.1, or P, F, or N/A For systems with DDC controls verify that lockout sensor(s) are either factory calibrated or field calibrated. (Pass, Fail, or N/A) NA7.5.4.1(j) 11.2 P, F, or N/A For systems with non-DDC controls, verify that manufacturer’s startup and testing procedures have been applied. (Pass, Fail, or N/A) NA7.5.4.1(k) 12 P, F, or N/A For economizers only - DOAS, HRV, or ERV systems enter N/A. Verify that the economizer has been certified to the Energy Commission by consulting the CEC Air Economizer Certified List (https://www.energy.ca.gov/media/3259). (Pass, Fail, or N/A) §140.4(e)2Diii §170.2(c)4Ciiic 13 Pass Fail Check “Pass” if construction inspection complies with all requirements. Check “Fail” if construction inspection does not comply with all requirements. NA Table B: Functional Testing for Air Economizer Controls Step Entry Functional Test Code Reference 0 Exception N/A For economizers only - DOAS, HRV, or ERV enter N/A. If the economizer is installed by the HVAC system manufacturer technician (not the economizer technician), then the economizer is excepted from this functional test (NA7.5.4.2). Enter Step 0 as “Exception, by-pass all functional testing and mark Step 7 as passing; otherwise enter Step 0 as N/A. §120.5(a)4 Exception §160.3(d)1D Exception 1 P, F, or N/A Disable demand control ventilation systems (if applicable). (Pass, Fail, or N/A) NA7.5.4.2 Step 1 2.0 Pass Fail Enable the economizer, DOAS, HRV, or ERV system and simulate a cooling demand large enough to drive the bypass to fully open position. Maintain this status for all of Step 2. NA7.5.4.2 Step 2 2.1 Pass Fail Verify either of the following: 1. Using dampers – bypass is 100 percent open, and return is 100 percent closed; or 2. Using HRV/ERV wheel – wheel is fully stopped. NA7.5.4.2 Step 2(a) Step 2(a)1 2.2 Pass Fail Verify that all applicable fans and dampers/wheels operate as intended to maintain building pressure. NA7.5.4.2 Step 2(b) 2.3 P, F, or N/A Verify that the economizer heating is disabled (if applicable). (Pass, Fail, or N/A) NA7.5.4.2 Step 2(c) ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 5 of 6 January 1, 2023 Step Entry Functional Test Code Reference 3.0 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter as N/A and proceed to Step 4. Disable the economizer and simulate a cooling demand. Maintain this status for all of Step 3. (Pass, Fail, or N/A) NA7.5.4.2 Step 3 Step 3(g) 3.1 Pass Fail Verify that the economizer damper closes to its minimum position. NA7.5.4.2 Step 3(d) 3.2 Pass Fail Verify that all applicable fans and dampers operate as intended to maintain building pressure. NA7.5.4.2 Step 3(e) 3.3 P, F, or N/A Verify that the unit heating is disabled (if unit has heating capability). (Pass, Fail, or N/A) NA7.5.4.2 Step 3(f) 4.0 Pass Fail If unit has heating capability, simulate a heating demand and set economizer, DOAS, HRV, or ERV systems so that it is capable of operating (i.e., actual outdoor air conditions are below lockout setpoint). Maintain this status for all of Step 4. NA7.5.4.2 Step 4 4.1 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and proceed to Step 4.3. Verify that the economizer damper is at minimum position. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(h) 4.2 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and proceed to Step 4.3. Verify that the return air damper opens. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(i) 4.3 P, F, or N/A For DOAS, HRV, or ERV systems only - economizers enter as N/A and proceed to Step 5. Verify that the DOAS, HRV, or ERV systems bypass control modulates bypass damper/wheel speed to control temperature setpoint. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(j) 5 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter as N/A and proceed to Step 6. Turn off the unit and verify that the economizer damper closes completely. (Pass, Fail, or N/A) NA7.5.4.2 Step 5 Step 5(k) 6 Pass Fail Restore demand control ventilation systems (if applicable) and remove all system overrides initiated. NA7.5.4.2 Step 6 7 Pass Fail Check “Pass” if functional test complies with all requirements. Check “Fail” if functional test does not comply with all requirements. N/A ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 6 of 6 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 1 of 6 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name: Enforcement Agency: Address:Permit Number: City, Zip:Permit Application Date: Building: Floor: Room: Control/tag: Intent: This Certificate of Acceptance is intended to verify Energy Code compliance for nonresidential and hotel/motel (see NRCA-MCH-23-A for multi-family) buildings with newly installed economizers, dedicated outdoor air system (DOAS), Heat Recovery Ventilation (HRV) systems, and energy recovery ventilation (ERV) system. Economizers must be certified to the California Energy Commission in compliance with JA6.3. Submit one Certificate of Acceptance for each economizer, DOAS, HRV, or ERV system that must demonstrate compliance with the Energy Code. For direct Energy Code reference see JA6.3, NA7.5.4, §140.4(e), §120.5(a)4, §160.3(d)1D, and §170.2(c)4C. Reference Table R-1 (Table 140.4-G) Climate Zones Fixed Dry Bulb Differential Dry Bulb Fixed Enthalpy with Fixed Dry bulb 1, 3, 5, 11-16 TOA > 75 oF TOA > TRA oF N/A 2, 4, and 10 TOA > 73 oF TOA > TRA – 2 oF N/A 6, 8, 9 TOA > 71 oF TOA > TRA – 4 oF N/A 7 TOA > 69 oF TOA > TRA – 6 oF N/A All Climate Zones N/A N/A HOA > 28 Btu/LBS. or TOA > 75 oF Where: TOA = Outside Air Temperature TRA = Return Air Temperature HOA = Outdoor Air Enthalpy Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.1 Pass Fail All documentation shipped with the economizer, DOAS, HRV, or ERV system including manuals and sensor performance curves are available for review. NA7.5.4.1(d) 1.2 Pass Fail Verify that the sensor output value measured during sensor calibration is plotted on the performance curve. NA7.5.4.1(e) Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: N/a first RTU 5Bags, Studios PGA Super store 79-110 California 111 La Quinta, 92253 12/11/24 ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 2 of 6 January 1, 2023 Step Entry Item Code Reference 2.1 and P, F, or N/A Verify that the bypass high limit shutoff control for the economizer, DOAS, HRV, or ERV system complies with Reference Table R-1 (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 2.2 P, F, or N/A Verify that at altitudes substantially different than sea level, the Fixed Enthalpy limit value is set to the enthalpy value at 75°F and 50% relative humidity. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 3 P, F, or N/A Alternative to Step 2 If using Dew Point, Fixed Enthalpy, Electronic Enthalpy, or Differential Enthalpy Controls Energy Commission Executive Director approval for use in California must be attached. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 4 P, F, or N/A Verify that devices with selectable (rather than adjustable) setpoints are capable of being set to within 2°F and 2 Btu/LBS of the setpoint listed. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 5 P, F, or N/A Verify that if the high-limit control is fixed dry-bulb or fixed enthalpy with fixed dry-bulb, it has an adjustable setpoint. (Pass, Fail, or N/A) NA7.5.4.1(b) 6 Pass Fail Verify that the economizer, DOAS, HRV, or ERV system bypass lockout control sensor is located to prevent false readings. NA7.5.4.1(c) 7.1, or P, F, or N/A Verify if using damper for bypass control that the economizer, DOAS, HRV, or ERV system bypass damper moves freely without binding. (Pass, Fail, or N/A) NA7.5.4.1(f) 7.2 P, F, or N/A Indicate if bypass control is achieved through heat/energy recovery wheel rotation speed modulation as means other than air dampers. (Pass, Fail, or N/A) NA7.5.4.1(f)1 8 Pass Fail Verify that the economizer, DOAS, HRV, or ERV system bypass has control systems, including two- stage or electronic thermostats, that cycle compressors off when the bypass can provide partial cooling. NA7.5.4.1(g) 9.0 P, F, or N/A For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Using the documentation provided in Step 1.1, verify that the air economizer and all air dampers have ALL of the following features (9.1-9.8). (Pass, Fail, or N/A-for non-economizers) NA7.5.4.1(h) §140.4(e)2D §170.2(c)4Ciii ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 3 of 6 January 1, 2023 Step Entry Item Code Reference 9.1 Pass Fail Warranty. 5-year Manufacturer warranty of economizer assembly. NA7.5.4.1(h) §140.4(e)2Di §170.2(c)4Ciiia 9.2 Pass Fail Damper reliability testing. Certification from suppliers of economizers that the economizer assembly, including but not limited to outdoor air damper, return air damper, drive linkage, and actuator, have been tested and are able to open and close against the rated airflow and pressure of the system for 60,000 damper opening and closing cycles. NA7.5.4.1(h) §140.4(e)2Dii §170.2(c)4Ciiib 9.3 Pass Fail Damper leakage. Economizer outdoor air and return air dampers have a maximum leakage rate of 10 cfm/sf at 250 Pascals (1.0 in. of water) when tested in accordance with AMCA Standard 500-D. NA7.5.4.1(h) §140.4(e)2Diii §170.2(c)4Ciiic 9.4 P, F, or N/A Adjustable setpoint. If the high-limit control is fixed dry-bulb or fixed enthalpy with fixed dry-bulb then verify that the control has an adjustable setpoint. (Pass, Fail, or N/A) NA7.5.4.1(h) §140.4(e)2Div §170.2(c)4Ciiid 9.5 Pass Fail Sensor accuracy. Outdoor air, return air, mixed air, and supply air sensors are calibrated within the following accuracies. 1. Dry bulb and wet bulb temperatures accurate to ±2°F over the range of 40°F to 80°F. 2. Enthalpy accurate to ±3 Btu/LBS. over the range of 20 Btu/LBS. to 36 Btu/LBS. 3. Relative humidity (RH) accurate to ±5 percent over the range of 20 percent to 80 percent RH. NA7.5.4.1(h) §140.4(e)2Dv §170.2(c)4Ciiie 9.6 Pass Fail Sensor calibration data. Data used for control of the economizer is plotted on a sensor performance curve. NA7.5.4.1(h) §140.4(e)2Dvi §170.2(c)4Ciiif 9.7 Pass Fail Sensor high limit control. Sensors used for the high limit control are located to prevent false readings, including but not limited to being properly shielded from direct sunlight. NA7.5.4.1(h) §140.4(e)2Dvii §170.2(c)4Ciiig 9.8 Pass Fail Relief air system. Relief air systems is capable of providing 100 percent outside air without over- pressurizing the building. NA7.5.4.1(h) §140.4(e)2Dviii §170.2(c)4Ciiih 10 P, F, or N/A For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Verify that the economizer inlet damper is designed to modulate up to 100 percent open, and return air damper to 100 percent closed, without over-pressurizing the building. (Pass, Fail, or N/A) NA7.5.4.1(i) ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 4 of 6 January 1, 2023 Step Entry Item Code Reference 11.1, or P, F, or N/A For systems with DDC controls verify that lockout sensor(s) are either factory calibrated or field calibrated. (Pass, Fail, or N/A) NA7.5.4.1(j) 11.2 P, F, or N/A For systems with non-DDC controls, verify that manufacturer’s startup and testing procedures have been applied. (Pass, Fail, or N/A) NA7.5.4.1(k) 12 P, F, or N/A For economizers only - DOAS, HRV, or ERV systems enter N/A. Verify that the economizer has been certified to the Energy Commission by consulting the CEC Air Economizer Certified List (https://www.energy.ca.gov/media/3259). (Pass, Fail, or N/A) §140.4(e)2Diii §170.2(c)4Ciiic 13 Pass Fail Check “Pass” if construction inspection complies with all requirements. Check “Fail” if construction inspection does not comply with all requirements. NA Table B: Functional Testing for Air Economizer Controls Step Entry Functional Test Code Reference 0 Exception N/A For economizers only - DOAS, HRV, or ERV enter N/A. If the economizer is installed by the HVAC system manufacturer technician (not the economizer technician), then the economizer is excepted from this functional test (NA7.5.4.2). Enter Step 0 as “Exception, by-pass all functional testing and mark Step 7 as passing; otherwise enter Step 0 as N/A. §120.5(a)4 Exception §160.3(d)1D Exception 1 P, F, or N/A Disable demand control ventilation systems (if applicable). (Pass, Fail, or N/A) NA7.5.4.2 Step 1 2.0 Pass Fail Enable the economizer, DOAS, HRV, or ERV system and simulate a cooling demand large enough to drive the bypass to fully open position. Maintain this status for all of Step 2. NA7.5.4.2 Step 2 2.1 Pass Fail Verify either of the following: 1. Using dampers – bypass is 100 percent open, and return is 100 percent closed; or 2. Using HRV/ERV wheel – wheel is fully stopped. NA7.5.4.2 Step 2(a) Step 2(a)1 2.2 Pass Fail Verify that all applicable fans and dampers/wheels operate as intended to maintain building pressure. NA7.5.4.2 Step 2(b) 2.3 P, F, or N/A Verify that the economizer heating is disabled (if applicable). (Pass, Fail, or N/A) NA7.5.4.2 Step 2(c) ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 5 of 6 January 1, 2023 Step Entry Functional Test Code Reference 3.0 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter as N/A and proceed to Step 4. Disable the economizer and simulate a cooling demand. Maintain this status for all of Step 3. (Pass, Fail, or N/A) NA7.5.4.2 Step 3 Step 3(g) 3.1 Pass Fail Verify that the economizer damper closes to its minimum position. NA7.5.4.2 Step 3(d) 3.2 Pass Fail Verify that all applicable fans and dampers operate as intended to maintain building pressure. NA7.5.4.2 Step 3(e) 3.3 P, F, or N/A Verify that the unit heating is disabled (if unit has heating capability). (Pass, Fail, or N/A) NA7.5.4.2 Step 3(f) 4.0 Pass Fail If unit has heating capability, simulate a heating demand and set economizer, DOAS, HRV, or ERV systems so that it is capable of operating (i.e., actual outdoor air conditions are below lockout setpoint). Maintain this status for all of Step 4. NA7.5.4.2 Step 4 4.1 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and proceed to Step 4.3. Verify that the economizer damper is at minimum position. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(h) 4.2 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and proceed to Step 4.3. Verify that the return air damper opens. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(i) 4.3 P, F, or N/A For DOAS, HRV, or ERV systems only - economizers enter as N/A and proceed to Step 5. Verify that the DOAS, HRV, or ERV systems bypass control modulates bypass damper/wheel speed to control temperature setpoint. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(j) 5 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter as N/A and proceed to Step 6. Turn off the unit and verify that the economizer damper closes completely. (Pass, Fail, or N/A) NA7.5.4.2 Step 5 Step 5(k) 6 Pass Fail Restore demand control ventilation systems (if applicable) and remove all system overrides initiated. NA7.5.4.2 Step 6 7 Pass Fail Check “Pass” if functional test complies with all requirements. Check “Fail” if functional test does not comply with all requirements. N/A ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 6 of 6 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 1 of 6 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name: Enforcement Agency: Address:Permit Number: City, Zip:Permit Application Date: Building: Floor: Room: Control/tag: Intent: This Certificate of Acceptance is intended to verify Energy Code compliance for nonresidential and hotel/motel (see NRCA-MCH-23-A for multi-family) buildings with newly installed economizers, dedicated outdoor air system (DOAS), Heat Recovery Ventilation (HRV) systems, and energy recovery ventilation (ERV) system. Economizers must be certified to the California Energy Commission in compliance with JA6.3. Submit one Certificate of Acceptance for each economizer, DOAS, HRV, or ERV system that must demonstrate compliance with the Energy Code. For direct Energy Code reference see JA6.3, NA7.5.4, §140.4(e), §120.5(a)4, §160.3(d)1D, and §170.2(c)4C. Reference Table R-1 (Table 140.4-G) Climate Zones Fixed Dry Bulb Differential Dry Bulb Fixed Enthalpy with Fixed Dry bulb 1, 3, 5, 11-16 TOA > 75 oF TOA > TRA oF N/A 2, 4, and 10 TOA > 73 oF TOA > TRA – 2 oF N/A 6, 8, 9 TOA > 71 oF TOA > TRA – 4 oF N/A 7 TOA > 69 oF TOA > TRA – 6 oF N/A All Climate Zones N/A N/A HOA > 28 Btu/LBS. or TOA > 75 oF Where: TOA = Outside Air Temperature TRA = Return Air Temperature HOA = Outdoor Air Enthalpy Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.1 Pass Fail All documentation shipped with the economizer, DOAS, HRV, or ERV system including manuals and sensor performance curves are available for review. NA7.5.4.1(d) 1.2 Pass Fail Verify that the sensor output value measured during sensor calibration is plotted on the performance curve. NA7.5.4.1(e) Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: N/a first RTU 3Accessories PGA Super store 79-110 California 111 La Quinta, 92253 12/11/24 ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 2 of 6 January 1, 2023 Step Entry Item Code Reference 2.1 and P, F, or N/A Verify that the bypass high limit shutoff control for the economizer, DOAS, HRV, or ERV system complies with Reference Table R-1 (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 2.2 P, F, or N/A Verify that at altitudes substantially different than sea level, the Fixed Enthalpy limit value is set to the enthalpy value at 75°F and 50% relative humidity. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 3 P, F, or N/A Alternative to Step 2 If using Dew Point, Fixed Enthalpy, Electronic Enthalpy, or Differential Enthalpy Controls Energy Commission Executive Director approval for use in California must be attached. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 4 P, F, or N/A Verify that devices with selectable (rather than adjustable) setpoints are capable of being set to within 2°F and 2 Btu/LBS of the setpoint listed. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 5 P, F, or N/A Verify that if the high-limit control is fixed dry-bulb or fixed enthalpy with fixed dry-bulb, it has an adjustable setpoint. (Pass, Fail, or N/A) NA7.5.4.1(b) 6 Pass Fail Verify that the economizer, DOAS, HRV, or ERV system bypass lockout control sensor is located to prevent false readings. NA7.5.4.1(c) 7.1, or P, F, or N/A Verify if using damper for bypass control that the economizer, DOAS, HRV, or ERV system bypass damper moves freely without binding. (Pass, Fail, or N/A) NA7.5.4.1(f) 7.2 P, F, or N/A Indicate if bypass control is achieved through heat/energy recovery wheel rotation speed modulation as means other than air dampers. (Pass, Fail, or N/A) NA7.5.4.1(f)1 8 Pass Fail Verify that the economizer, DOAS, HRV, or ERV system bypass has control systems, including two- stage or electronic thermostats, that cycle compressors off when the bypass can provide partial cooling. NA7.5.4.1(g) 9.0 P, F, or N/A For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Using the documentation provided in Step 1.1, verify that the air economizer and all air dampers have ALL of the following features (9.1-9.8). (Pass, Fail, or N/A-for non-economizers) NA7.5.4.1(h) §140.4(e)2D §170.2(c)4Ciii ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 3 of 6 January 1, 2023 Step Entry Item Code Reference 9.1 Pass Fail Warranty. 5-year Manufacturer warranty of economizer assembly. NA7.5.4.1(h) §140.4(e)2Di §170.2(c)4Ciiia 9.2 Pass Fail Damper reliability testing. Certification from suppliers of economizers that the economizer assembly, including but not limited to outdoor air damper, return air damper, drive linkage, and actuator, have been tested and are able to open and close against the rated airflow and pressure of the system for 60,000 damper opening and closing cycles. NA7.5.4.1(h) §140.4(e)2Dii §170.2(c)4Ciiib 9.3 Pass Fail Damper leakage. Economizer outdoor air and return air dampers have a maximum leakage rate of 10 cfm/sf at 250 Pascals (1.0 in. of water) when tested in accordance with AMCA Standard 500-D. NA7.5.4.1(h) §140.4(e)2Diii §170.2(c)4Ciiic 9.4 P, F, or N/A Adjustable setpoint. If the high-limit control is fixed dry-bulb or fixed enthalpy with fixed dry-bulb then verify that the control has an adjustable setpoint. (Pass, Fail, or N/A) NA7.5.4.1(h) §140.4(e)2Div §170.2(c)4Ciiid 9.5 Pass Fail Sensor accuracy. Outdoor air, return air, mixed air, and supply air sensors are calibrated within the following accuracies. 1. Dry bulb and wet bulb temperatures accurate to ±2°F over the range of 40°F to 80°F. 2. Enthalpy accurate to ±3 Btu/LBS. over the range of 20 Btu/LBS. to 36 Btu/LBS. 3. Relative humidity (RH) accurate to ±5 percent over the range of 20 percent to 80 percent RH. NA7.5.4.1(h) §140.4(e)2Dv §170.2(c)4Ciiie 9.6 Pass Fail Sensor calibration data. Data used for control of the economizer is plotted on a sensor performance curve. NA7.5.4.1(h) §140.4(e)2Dvi §170.2(c)4Ciiif 9.7 Pass Fail Sensor high limit control. Sensors used for the high limit control are located to prevent false readings, including but not limited to being properly shielded from direct sunlight. NA7.5.4.1(h) §140.4(e)2Dvii §170.2(c)4Ciiig 9.8 Pass Fail Relief air system. Relief air systems is capable of providing 100 percent outside air without over- pressurizing the building. NA7.5.4.1(h) §140.4(e)2Dviii §170.2(c)4Ciiih 10 P, F, or N/A For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Verify that the economizer inlet damper is designed to modulate up to 100 percent open, and return air damper to 100 percent closed, without over-pressurizing the building. (Pass, Fail, or N/A) NA7.5.4.1(i) ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 4 of 6 January 1, 2023 Step Entry Item Code Reference 11.1, or P, F, or N/A For systems with DDC controls verify that lockout sensor(s) are either factory calibrated or field calibrated. (Pass, Fail, or N/A) NA7.5.4.1(j) 11.2 P, F, or N/A For systems with non-DDC controls, verify that manufacturer’s startup and testing procedures have been applied. (Pass, Fail, or N/A) NA7.5.4.1(k) 12 P, F, or N/A For economizers only - DOAS, HRV, or ERV systems enter N/A. Verify that the economizer has been certified to the Energy Commission by consulting the CEC Air Economizer Certified List (https://www.energy.ca.gov/media/3259). (Pass, Fail, or N/A) §140.4(e)2Diii §170.2(c)4Ciiic 13 Pass Fail Check “Pass” if construction inspection complies with all requirements. Check “Fail” if construction inspection does not comply with all requirements. NA Table B: Functional Testing for Air Economizer Controls Step Entry Functional Test Code Reference 0 Exception N/A For economizers only - DOAS, HRV, or ERV enter N/A. If the economizer is installed by the HVAC system manufacturer technician (not the economizer technician), then the economizer is excepted from this functional test (NA7.5.4.2). Enter Step 0 as “Exception, by-pass all functional testing and mark Step 7 as passing; otherwise enter Step 0 as N/A. §120.5(a)4 Exception §160.3(d)1D Exception 1 P, F, or N/A Disable demand control ventilation systems (if applicable). (Pass, Fail, or N/A) NA7.5.4.2 Step 1 2.0 Pass Fail Enable the economizer, DOAS, HRV, or ERV system and simulate a cooling demand large enough to drive the bypass to fully open position. Maintain this status for all of Step 2. NA7.5.4.2 Step 2 2.1 Pass Fail Verify either of the following: 1. Using dampers – bypass is 100 percent open, and return is 100 percent closed; or 2. Using HRV/ERV wheel – wheel is fully stopped. NA7.5.4.2 Step 2(a) Step 2(a)1 2.2 Pass Fail Verify that all applicable fans and dampers/wheels operate as intended to maintain building pressure. NA7.5.4.2 Step 2(b) 2.3 P, F, or N/A Verify that the economizer heating is disabled (if applicable). (Pass, Fail, or N/A) NA7.5.4.2 Step 2(c) ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 5 of 6 January 1, 2023 Step Entry Functional Test Code Reference 3.0 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter as N/A and proceed to Step 4. Disable the economizer and simulate a cooling demand. Maintain this status for all of Step 3. (Pass, Fail, or N/A) NA7.5.4.2 Step 3 Step 3(g) 3.1 Pass Fail Verify that the economizer damper closes to its minimum position. NA7.5.4.2 Step 3(d) 3.2 Pass Fail Verify that all applicable fans and dampers operate as intended to maintain building pressure. NA7.5.4.2 Step 3(e) 3.3 P, F, or N/A Verify that the unit heating is disabled (if unit has heating capability). (Pass, Fail, or N/A) NA7.5.4.2 Step 3(f) 4.0 Pass Fail If unit has heating capability, simulate a heating demand and set economizer, DOAS, HRV, or ERV systems so that it is capable of operating (i.e., actual outdoor air conditions are below lockout setpoint). Maintain this status for all of Step 4. NA7.5.4.2 Step 4 4.1 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and proceed to Step 4.3. Verify that the economizer damper is at minimum position. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(h) 4.2 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and proceed to Step 4.3. Verify that the return air damper opens. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(i) 4.3 P, F, or N/A For DOAS, HRV, or ERV systems only - economizers enter as N/A and proceed to Step 5. Verify that the DOAS, HRV, or ERV systems bypass control modulates bypass damper/wheel speed to control temperature setpoint. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(j) 5 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter as N/A and proceed to Step 6. Turn off the unit and verify that the economizer damper closes completely. (Pass, Fail, or N/A) NA7.5.4.2 Step 5 Step 5(k) 6 Pass Fail Restore demand control ventilation systems (if applicable) and remove all system overrides initiated. NA7.5.4.2 Step 6 7 Pass Fail Check “Pass” if functional test complies with all requirements. Check “Fail” if functional test does not comply with all requirements. N/A ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 6 of 6 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 1 of 6 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name: Enforcement Agency: Address:Permit Number: City, Zip:Permit Application Date: Building: Floor: Room: Control/tag: Intent: This Certificate of Acceptance is intended to verify Energy Code compliance for nonresidential and hotel/motel (see NRCA-MCH-23-A for multi-family) buildings with newly installed economizers, dedicated outdoor air system (DOAS), Heat Recovery Ventilation (HRV) systems, and energy recovery ventilation (ERV) system. Economizers must be certified to the California Energy Commission in compliance with JA6.3. Submit one Certificate of Acceptance for each economizer, DOAS, HRV, or ERV system that must demonstrate compliance with the Energy Code. For direct Energy Code reference see JA6.3, NA7.5.4, §140.4(e), §120.5(a)4, §160.3(d)1D, and §170.2(c)4C. Reference Table R-1 (Table 140.4-G) Climate Zones Fixed Dry Bulb Differential Dry Bulb Fixed Enthalpy with Fixed Dry bulb 1, 3, 5, 11-16 TOA > 75 oF TOA > TRA oF N/A 2, 4, and 10 TOA > 73 oF TOA > TRA – 2 oF N/A 6, 8, 9 TOA > 71 oF TOA > TRA – 4 oF N/A 7 TOA > 69 oF TOA > TRA – 6 oF N/A All Climate Zones N/A N/A HOA > 28 Btu/LBS. or TOA > 75 oF Where: TOA = Outside Air Temperature TRA = Return Air Temperature HOA = Outdoor Air Enthalpy Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.1 Pass Fail All documentation shipped with the economizer, DOAS, HRV, or ERV system including manuals and sensor performance curves are available for review. NA7.5.4.1(d) 1.2 Pass Fail Verify that the sensor output value measured during sensor calibration is plotted on the performance curve. NA7.5.4.1(e) Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: N/a first RTU 6Tennis, womens PGA Super store 79-110 California 111 La Quinta, 92253 12/11/24 ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 2 of 6 January 1, 2023 Step Entry Item Code Reference 2.1 and P, F, or N/A Verify that the bypass high limit shutoff control for the economizer, DOAS, HRV, or ERV system complies with Reference Table R-1 (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 2.2 P, F, or N/A Verify that at altitudes substantially different than sea level, the Fixed Enthalpy limit value is set to the enthalpy value at 75°F and 50% relative humidity. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 3 P, F, or N/A Alternative to Step 2 If using Dew Point, Fixed Enthalpy, Electronic Enthalpy, or Differential Enthalpy Controls Energy Commission Executive Director approval for use in California must be attached. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 4 P, F, or N/A Verify that devices with selectable (rather than adjustable) setpoints are capable of being set to within 2°F and 2 Btu/LBS of the setpoint listed. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 5 P, F, or N/A Verify that if the high-limit control is fixed dry-bulb or fixed enthalpy with fixed dry-bulb, it has an adjustable setpoint. (Pass, Fail, or N/A) NA7.5.4.1(b) 6 Pass Fail Verify that the economizer, DOAS, HRV, or ERV system bypass lockout control sensor is located to prevent false readings. NA7.5.4.1(c) 7.1, or P, F, or N/A Verify if using damper for bypass control that the economizer, DOAS, HRV, or ERV system bypass damper moves freely without binding. (Pass, Fail, or N/A) NA7.5.4.1(f) 7.2 P, F, or N/A Indicate if bypass control is achieved through heat/energy recovery wheel rotation speed modulation as means other than air dampers. (Pass, Fail, or N/A) NA7.5.4.1(f)1 8 Pass Fail Verify that the economizer, DOAS, HRV, or ERV system bypass has control systems, including two- stage or electronic thermostats, that cycle compressors off when the bypass can provide partial cooling. NA7.5.4.1(g) 9.0 P, F, or N/A For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Using the documentation provided in Step 1.1, verify that the air economizer and all air dampers have ALL of the following features (9.1-9.8). (Pass, Fail, or N/A-for non-economizers) NA7.5.4.1(h) §140.4(e)2D §170.2(c)4Ciii ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 3 of 6 January 1, 2023 Step Entry Item Code Reference 9.1 Pass Fail Warranty. 5-year Manufacturer warranty of economizer assembly. NA7.5.4.1(h) §140.4(e)2Di §170.2(c)4Ciiia 9.2 Pass Fail Damper reliability testing. Certification from suppliers of economizers that the economizer assembly, including but not limited to outdoor air damper, return air damper, drive linkage, and actuator, have been tested and are able to open and close against the rated airflow and pressure of the system for 60,000 damper opening and closing cycles. NA7.5.4.1(h) §140.4(e)2Dii §170.2(c)4Ciiib 9.3 Pass Fail Damper leakage. Economizer outdoor air and return air dampers have a maximum leakage rate of 10 cfm/sf at 250 Pascals (1.0 in. of water) when tested in accordance with AMCA Standard 500-D. NA7.5.4.1(h) §140.4(e)2Diii §170.2(c)4Ciiic 9.4 P, F, or N/A Adjustable setpoint. If the high-limit control is fixed dry-bulb or fixed enthalpy with fixed dry-bulb then verify that the control has an adjustable setpoint. (Pass, Fail, or N/A) NA7.5.4.1(h) §140.4(e)2Div §170.2(c)4Ciiid 9.5 Pass Fail Sensor accuracy. Outdoor air, return air, mixed air, and supply air sensors are calibrated within the following accuracies. 1. Dry bulb and wet bulb temperatures accurate to ±2°F over the range of 40°F to 80°F. 2. Enthalpy accurate to ±3 Btu/LBS. over the range of 20 Btu/LBS. to 36 Btu/LBS. 3. Relative humidity (RH) accurate to ±5 percent over the range of 20 percent to 80 percent RH. NA7.5.4.1(h) §140.4(e)2Dv §170.2(c)4Ciiie 9.6 Pass Fail Sensor calibration data. Data used for control of the economizer is plotted on a sensor performance curve. NA7.5.4.1(h) §140.4(e)2Dvi §170.2(c)4Ciiif 9.7 Pass Fail Sensor high limit control. Sensors used for the high limit control are located to prevent false readings, including but not limited to being properly shielded from direct sunlight. NA7.5.4.1(h) §140.4(e)2Dvii §170.2(c)4Ciiig 9.8 Pass Fail Relief air system. Relief air systems is capable of providing 100 percent outside air without over- pressurizing the building. NA7.5.4.1(h) §140.4(e)2Dviii §170.2(c)4Ciiih 10 P, F, or N/A For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Verify that the economizer inlet damper is designed to modulate up to 100 percent open, and return air damper to 100 percent closed, without over-pressurizing the building. (Pass, Fail, or N/A) NA7.5.4.1(i) ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 4 of 6 January 1, 2023 Step Entry Item Code Reference 11.1, or P, F, or N/A For systems with DDC controls verify that lockout sensor(s) are either factory calibrated or field calibrated. (Pass, Fail, or N/A) NA7.5.4.1(j) 11.2 P, F, or N/A For systems with non-DDC controls, verify that manufacturer’s startup and testing procedures have been applied. (Pass, Fail, or N/A) NA7.5.4.1(k) 12 P, F, or N/A For economizers only - DOAS, HRV, or ERV systems enter N/A. Verify that the economizer has been certified to the Energy Commission by consulting the CEC Air Economizer Certified List (https://www.energy.ca.gov/media/3259). (Pass, Fail, or N/A) §140.4(e)2Diii §170.2(c)4Ciiic 13 Pass Fail Check “Pass” if construction inspection complies with all requirements. Check “Fail” if construction inspection does not comply with all requirements. NA Table B: Functional Testing for Air Economizer Controls Step Entry Functional Test Code Reference 0 Exception N/A For economizers only - DOAS, HRV, or ERV enter N/A. If the economizer is installed by the HVAC system manufacturer technician (not the economizer technician), then the economizer is excepted from this functional test (NA7.5.4.2). Enter Step 0 as “Exception, by-pass all functional testing and mark Step 7 as passing; otherwise enter Step 0 as N/A. §120.5(a)4 Exception §160.3(d)1D Exception 1 P, F, or N/A Disable demand control ventilation systems (if applicable). (Pass, Fail, or N/A) NA7.5.4.2 Step 1 2.0 Pass Fail Enable the economizer, DOAS, HRV, or ERV system and simulate a cooling demand large enough to drive the bypass to fully open position. Maintain this status for all of Step 2. NA7.5.4.2 Step 2 2.1 Pass Fail Verify either of the following: 1. Using dampers – bypass is 100 percent open, and return is 100 percent closed; or 2. Using HRV/ERV wheel – wheel is fully stopped. NA7.5.4.2 Step 2(a) Step 2(a)1 2.2 Pass Fail Verify that all applicable fans and dampers/wheels operate as intended to maintain building pressure. NA7.5.4.2 Step 2(b) 2.3 P, F, or N/A Verify that the economizer heating is disabled (if applicable). (Pass, Fail, or N/A) NA7.5.4.2 Step 2(c) ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 5 of 6 January 1, 2023 Step Entry Functional Test Code Reference 3.0 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter as N/A and proceed to Step 4. Disable the economizer and simulate a cooling demand. Maintain this status for all of Step 3. (Pass, Fail, or N/A) NA7.5.4.2 Step 3 Step 3(g) 3.1 Pass Fail Verify that the economizer damper closes to its minimum position. NA7.5.4.2 Step 3(d) 3.2 Pass Fail Verify that all applicable fans and dampers operate as intended to maintain building pressure. NA7.5.4.2 Step 3(e) 3.3 P, F, or N/A Verify that the unit heating is disabled (if unit has heating capability). (Pass, Fail, or N/A) NA7.5.4.2 Step 3(f) 4.0 Pass Fail If unit has heating capability, simulate a heating demand and set economizer, DOAS, HRV, or ERV systems so that it is capable of operating (i.e., actual outdoor air conditions are below lockout setpoint). Maintain this status for all of Step 4. NA7.5.4.2 Step 4 4.1 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and proceed to Step 4.3. Verify that the economizer damper is at minimum position. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(h) 4.2 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and proceed to Step 4.3. Verify that the return air damper opens. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(i) 4.3 P, F, or N/A For DOAS, HRV, or ERV systems only - economizers enter as N/A and proceed to Step 5. Verify that the DOAS, HRV, or ERV systems bypass control modulates bypass damper/wheel speed to control temperature setpoint. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(j) 5 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter as N/A and proceed to Step 6. Turn off the unit and verify that the economizer damper closes completely. (Pass, Fail, or N/A) NA7.5.4.2 Step 5 Step 5(k) 6 Pass Fail Restore demand control ventilation systems (if applicable) and remove all system overrides initiated. NA7.5.4.2 Step 6 7 Pass Fail Check “Pass” if functional test complies with all requirements. Check “Fail” if functional test does not comply with all requirements. N/A ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 6 of 6 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 FDD – PACKAGED UNITS 2022-CEC-NRCA-MCH-12-A California Energy Commission Page 1 of 3 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name: Enforcement Agency: Address: Permit Number: City, Zip: Permit Application Date: Building: Floor: Room: Control/tag: Intent: Submit one Certificate of Acceptance for each Fault Detection and Diagnostics (FDD) system that must demonstrate compliance. Reference NRCC-MCH-E for nonresidential (including nonresidential spaces in high-rise multifamily) building permits or LMCC-MCH-E for nonresidential spaces in low-rise multifamily building permits. This acceptance test is recommended to be performed in conjunction with NRCA-MCH-02-A (Outside Air) and NRCA-MCH-05-A (Air Economizer Controls). References: §120.2(i), §120.5(a)11, §160.3(a)2H, §160.3(d)1K, and NA7.5.11. Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.0 Pass Fail Verify access to the following documents: NRCC-MCH- E or LMCC-MCH-E, designs, specification sheets, and schedules as approved by the authority having jurisdiction. §10-103(a)2A 1.1 Pass Fail Verify access to the following documents: NRCA-MCH- 02-A (Outside Air) and NRCA-MCH-05-A (Air Economizer Controls); recommended to be completed simultaneously. N/A 2 Pass Fail Verify that the FDD hardware is installed on the unit. NA7.5.11.1(a) 3 Pass Fail Verify the FDD system matches the make and model reported on the design drawings. NA7.5.11.1(b) 4 Pass Fail Verify the following air temperature sensors are permanently installed: Outside air, Supply air, and Return air. NA7.5.11.1(c) 5 Pass Fail Verify the controller has the capability of displaying the value of the following parameters: Air temperatures for outside air, supply air, and return air. NA7.5.11.1(d) 6 Pass Fail Verify the controller provides system status by indicating the following conditions: Free cooling available, Economizer enabled, Compressor enabled, Heating enabled, and Mixed air low limit cycle active. NA7.5.11.1(e) 7 Pass Fail Indicate that the Construction Inspection complies with ALL requirements. N/A Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: N/A First PGA Superstore 79-110 California 111 La Quinta, 92253 RTU 1Clubs, Practice bay 12/11/24 FDD – PACKAGED UNITS 2022-CEC-NRCA-MCH-12-A California Energy Commission Page 2 of 3 January 1, 2023 Table B: Functional Testing Step Entry Functional Test Code Reference 1.0 Pass Fail Air Temperature Sensor failure/fault. Verify the FDD system indicates normal operation. NA7.5.11.2.1 Step 1 1.1 Pass Fail Disconnect outside air temperature sensor from unit controller and verify that the FDD system reports a fault. NA7.5.11.2.1 Step 2 1.2 Pass Fail Connect outside air temperature sensor to unit controller and verify that the FDD system indicates normal operation. NA7.5.11.2.1 Step 3 2 Pass Fail Excess Outside Air Sensor failure/fault. Coordinate this test with NRCA-MCH-02-A (Outdoor Air) and verify that the FDD system indicates normal operation. NA7.5.11.2.2 3.0 Pass Fail Economizer Operation. Interfere with normal unit operation so NA7.5.4 “Air Economizer Controls” test fails by immobilizing the outdoor air economizer damper according to manufacturer’s instructions and verify FDD system reports a fault. NA7.5.11.2.3 Step 1 3.1 Pass Fail Successfully complete and pass NA7.5.4 Air Economizer Controls and verify that the FDD system reports normal operation. NA7.5.11.2.3 Step 2 4 Pass Fail Indicate that the Functional Test complies with ALL requirements. N/A FDD – PACKAGED UNITS 2022-CEC-NRCA-MCH-12-A California Energy Commission Page 3 of 3 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 FDD – PACKAGED UNITS 2022-CEC-NRCA-MCH-12-A California Energy Commission Page 1 of 3 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name: Enforcement Agency: Address: Permit Number: City, Zip: Permit Application Date: Building: Floor: Room: Control/tag: Intent: Submit one Certificate of Acceptance for each Fault Detection and Diagnostics (FDD) system that must demonstrate compliance. Reference NRCC-MCH-E for nonresidential (including nonresidential spaces in high-rise multifamily) building permits or LMCC-MCH-E for nonresidential spaces in low-rise multifamily building permits. This acceptance test is recommended to be performed in conjunction with NRCA-MCH-02-A (Outside Air) and NRCA-MCH-05-A (Air Economizer Controls). References: §120.2(i), §120.5(a)11, §160.3(a)2H, §160.3(d)1K, and NA7.5.11. Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.0 Pass Fail Verify access to the following documents: NRCC-MCH- E or LMCC-MCH-E, designs, specification sheets, and schedules as approved by the authority having jurisdiction. §10-103(a)2A 1.1 Pass Fail Verify access to the following documents: NRCA-MCH- 02-A (Outside Air) and NRCA-MCH-05-A (Air Economizer Controls); recommended to be completed simultaneously. N/A 2 Pass Fail Verify that the FDD hardware is installed on the unit. NA7.5.11.1(a) 3 Pass Fail Verify the FDD system matches the make and model reported on the design drawings. NA7.5.11.1(b) 4 Pass Fail Verify the following air temperature sensors are permanently installed: Outside air, Supply air, and Return air. NA7.5.11.1(c) 5 Pass Fail Verify the controller has the capability of displaying the value of the following parameters: Air temperatures for outside air, supply air, and return air. NA7.5.11.1(d) 6 Pass Fail Verify the controller provides system status by indicating the following conditions: Free cooling available, Economizer enabled, Compressor enabled, Heating enabled, and Mixed air low limit cycle active. NA7.5.11.1(e) 7 Pass Fail Indicate that the Construction Inspection complies with ALL requirements. N/A Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: N/A First PGA Superstore 79-110 California 111 La Quinta, 92253 RTU 2Green, Mens 12/11/24 FDD – PACKAGED UNITS 2022-CEC-NRCA-MCH-12-A California Energy Commission Page 2 of 3 January 1, 2023 Table B: Functional Testing Step Entry Functional Test Code Reference 1.0 Pass Fail Air Temperature Sensor failure/fault. Verify the FDD system indicates normal operation. NA7.5.11.2.1 Step 1 1.1 Pass Fail Disconnect outside air temperature sensor from unit controller and verify that the FDD system reports a fault. NA7.5.11.2.1 Step 2 1.2 Pass Fail Connect outside air temperature sensor to unit controller and verify that the FDD system indicates normal operation. NA7.5.11.2.1 Step 3 2 Pass Fail Excess Outside Air Sensor failure/fault. Coordinate this test with NRCA-MCH-02-A (Outdoor Air) and verify that the FDD system indicates normal operation. NA7.5.11.2.2 3.0 Pass Fail Economizer Operation. Interfere with normal unit operation so NA7.5.4 “Air Economizer Controls” test fails by immobilizing the outdoor air economizer damper according to manufacturer’s instructions and verify FDD system reports a fault. NA7.5.11.2.3 Step 1 3.1 Pass Fail Successfully complete and pass NA7.5.4 Air Economizer Controls and verify that the FDD system reports normal operation. NA7.5.11.2.3 Step 2 4 Pass Fail Indicate that the Functional Test complies with ALL requirements. N/A FDD – PACKAGED UNITS 2022-CEC-NRCA-MCH-12-A California Energy Commission Page 3 of 3 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 FDD – PACKAGED UNITS 2022-CEC-NRCA-MCH-12-A California Energy Commission Page 1 of 3 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name: Enforcement Agency: Address: Permit Number: City, Zip: Permit Application Date: Building: Floor: Room: Control/tag: Intent: Submit one Certificate of Acceptance for each Fault Detection and Diagnostics (FDD) system that must demonstrate compliance. Reference NRCC-MCH-E for nonresidential (including nonresidential spaces in high-rise multifamily) building permits or LMCC-MCH-E for nonresidential spaces in low-rise multifamily building permits. This acceptance test is recommended to be performed in conjunction with NRCA-MCH-02-A (Outside Air) and NRCA-MCH-05-A (Air Economizer Controls). References: §120.2(i), §120.5(a)11, §160.3(a)2H, §160.3(d)1K, and NA7.5.11. Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.0 Pass Fail Verify access to the following documents: NRCC-MCH- E or LMCC-MCH-E, designs, specification sheets, and schedules as approved by the authority having jurisdiction. §10-103(a)2A 1.1 Pass Fail Verify access to the following documents: NRCA-MCH- 02-A (Outside Air) and NRCA-MCH-05-A (Air Economizer Controls); recommended to be completed simultaneously. N/A 2 Pass Fail Verify that the FDD hardware is installed on the unit. NA7.5.11.1(a) 3 Pass Fail Verify the FDD system matches the make and model reported on the design drawings. NA7.5.11.1(b) 4 Pass Fail Verify the following air temperature sensors are permanently installed: Outside air, Supply air, and Return air. NA7.5.11.1(c) 5 Pass Fail Verify the controller has the capability of displaying the value of the following parameters: Air temperatures for outside air, supply air, and return air. NA7.5.11.1(d) 6 Pass Fail Verify the controller provides system status by indicating the following conditions: Free cooling available, Economizer enabled, Compressor enabled, Heating enabled, and Mixed air low limit cycle active. NA7.5.11.1(e) 7 Pass Fail Indicate that the Construction Inspection complies with ALL requirements. N/A Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: N/A First PGA Superstore 79-110 California 111 La Quinta, 92253 RTU 6Tennis, Womens 12/11/24 FDD – PACKAGED UNITS 2022-CEC-NRCA-MCH-12-A California Energy Commission Page 2 of 3 January 1, 2023 Table B: Functional Testing Step Entry Functional Test Code Reference 1.0 Pass Fail Air Temperature Sensor failure/fault. Verify the FDD system indicates normal operation. NA7.5.11.2.1 Step 1 1.1 Pass Fail Disconnect outside air temperature sensor from unit controller and verify that the FDD system reports a fault. NA7.5.11.2.1 Step 2 1.2 Pass Fail Connect outside air temperature sensor to unit controller and verify that the FDD system indicates normal operation. NA7.5.11.2.1 Step 3 2 Pass Fail Excess Outside Air Sensor failure/fault. Coordinate this test with NRCA-MCH-02-A (Outdoor Air) and verify that the FDD system indicates normal operation. NA7.5.11.2.2 3.0 Pass Fail Economizer Operation. Interfere with normal unit operation so NA7.5.4 “Air Economizer Controls” test fails by immobilizing the outdoor air economizer damper according to manufacturer’s instructions and verify FDD system reports a fault. NA7.5.11.2.3 Step 1 3.1 Pass Fail Successfully complete and pass NA7.5.4 Air Economizer Controls and verify that the FDD system reports normal operation. NA7.5.11.2.3 Step 2 4 Pass Fail Indicate that the Functional Test complies with ALL requirements. N/A FDD – PACKAGED UNITS 2022-CEC-NRCA-MCH-12-A California Energy Commission Page 3 of 3 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 FDD – PACKAGED UNITS 2022-CEC-NRCA-MCH-12-A California Energy Commission Page 1 of 3 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name: Enforcement Agency: Address: Permit Number: City, Zip: Permit Application Date: Building: Floor: Room: Control/tag: Intent: Submit one Certificate of Acceptance for each Fault Detection and Diagnostics (FDD) system that must demonstrate compliance. Reference NRCC-MCH-E for nonresidential (including nonresidential spaces in high-rise multifamily) building permits or LMCC-MCH-E for nonresidential spaces in low-rise multifamily building permits. This acceptance test is recommended to be performed in conjunction with NRCA-MCH-02-A (Outside Air) and NRCA-MCH-05-A (Air Economizer Controls). References: §120.2(i), §120.5(a)11, §160.3(a)2H, §160.3(d)1K, and NA7.5.11. Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.0 Pass Fail Verify access to the following documents: NRCC-MCH- E or LMCC-MCH-E, designs, specification sheets, and schedules as approved by the authority having jurisdiction. §10-103(a)2A 1.1 Pass Fail Verify access to the following documents: NRCA-MCH- 02-A (Outside Air) and NRCA-MCH-05-A (Air Economizer Controls); recommended to be completed simultaneously. N/A 2 Pass Fail Verify that the FDD hardware is installed on the unit. NA7.5.11.1(a) 3 Pass Fail Verify the FDD system matches the make and model reported on the design drawings. NA7.5.11.1(b) 4 Pass Fail Verify the following air temperature sensors are permanently installed: Outside air, Supply air, and Return air. NA7.5.11.1(c) 5 Pass Fail Verify the controller has the capability of displaying the value of the following parameters: Air temperatures for outside air, supply air, and return air. NA7.5.11.1(d) 6 Pass Fail Verify the controller provides system status by indicating the following conditions: Free cooling available, Economizer enabled, Compressor enabled, Heating enabled, and Mixed air low limit cycle active. NA7.5.11.1(e) 7 Pass Fail Indicate that the Construction Inspection complies with ALL requirements. N/A Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: N/A First PGA Superstore 79-110 California 111 La Quinta, 92253 RTU 7Receiving 12/11/24 FDD – PACKAGED UNITS 2022-CEC-NRCA-MCH-12-A California Energy Commission Page 2 of 3 January 1, 2023 Table B: Functional Testing Step Entry Functional Test Code Reference 1.0 Pass Fail Air Temperature Sensor failure/fault. Verify the FDD system indicates normal operation. NA7.5.11.2.1 Step 1 1.1 Pass Fail Disconnect outside air temperature sensor from unit controller and verify that the FDD system reports a fault. NA7.5.11.2.1 Step 2 1.2 Pass Fail Connect outside air temperature sensor to unit controller and verify that the FDD system indicates normal operation. NA7.5.11.2.1 Step 3 2 Pass Fail Excess Outside Air Sensor failure/fault. Coordinate this test with NRCA-MCH-02-A (Outdoor Air) and verify that the FDD system indicates normal operation. NA7.5.11.2.2 3.0 Pass Fail Economizer Operation. Interfere with normal unit operation so NA7.5.4 “Air Economizer Controls” test fails by immobilizing the outdoor air economizer damper according to manufacturer’s instructions and verify FDD system reports a fault. NA7.5.11.2.3 Step 1 3.1 Pass Fail Successfully complete and pass NA7.5.4 Air Economizer Controls and verify that the FDD system reports normal operation. NA7.5.11.2.3 Step 2 4 Pass Fail Indicate that the Functional Test complies with ALL requirements. N/A FDD – PACKAGED UNITS 2022-CEC-NRCA-MCH-12-A California Energy Commission Page 3 of 3 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 FDD – PACKAGED UNITS 2022-CEC-NRCA-MCH-12-A California Energy Commission Page 1 of 3 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name: Enforcement Agency: Address: Permit Number: City, Zip: Permit Application Date: Building: Floor: Room: Control/tag: Intent: Submit one Certificate of Acceptance for each Fault Detection and Diagnostics (FDD) system that must demonstrate compliance. Reference NRCC-MCH-E for nonresidential (including nonresidential spaces in high-rise multifamily) building permits or LMCC-MCH-E for nonresidential spaces in low-rise multifamily building permits. This acceptance test is recommended to be performed in conjunction with NRCA-MCH-02-A (Outside Air) and NRCA-MCH-05-A (Air Economizer Controls). References: §120.2(i), §120.5(a)11, §160.3(a)2H, §160.3(d)1K, and NA7.5.11. Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.0 Pass Fail Verify access to the following documents: NRCC-MCH- E or LMCC-MCH-E, designs, specification sheets, and schedules as approved by the authority having jurisdiction. §10-103(a)2A 1.1 Pass Fail Verify access to the following documents: NRCA-MCH- 02-A (Outside Air) and NRCA-MCH-05-A (Air Economizer Controls); recommended to be completed simultaneously. N/A 2 Pass Fail Verify that the FDD hardware is installed on the unit. NA7.5.11.1(a) 3 Pass Fail Verify the FDD system matches the make and model reported on the design drawings. NA7.5.11.1(b) 4 Pass Fail Verify the following air temperature sensors are permanently installed: Outside air, Supply air, and Return air. NA7.5.11.1(c) 5 Pass Fail Verify the controller has the capability of displaying the value of the following parameters: Air temperatures for outside air, supply air, and return air. NA7.5.11.1(d) 6 Pass Fail Verify the controller provides system status by indicating the following conditions: Free cooling available, Economizer enabled, Compressor enabled, Heating enabled, and Mixed air low limit cycle active. NA7.5.11.1(e) 7 Pass Fail Indicate that the Construction Inspection complies with ALL requirements. N/A Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: N/A First PGA Superstore 79-110 California 111 La Quinta, 92253 RTU 4Shoes, Juniors 12/11/24 FDD – PACKAGED UNITS 2022-CEC-NRCA-MCH-12-A California Energy Commission Page 2 of 3 January 1, 2023 Table B: Functional Testing Step Entry Functional Test Code Reference 1.0 Pass Fail Air Temperature Sensor failure/fault. Verify the FDD system indicates normal operation. NA7.5.11.2.1 Step 1 1.1 Pass Fail Disconnect outside air temperature sensor from unit controller and verify that the FDD system reports a fault. NA7.5.11.2.1 Step 2 1.2 Pass Fail Connect outside air temperature sensor to unit controller and verify that the FDD system indicates normal operation. NA7.5.11.2.1 Step 3 2 Pass Fail Excess Outside Air Sensor failure/fault. Coordinate this test with NRCA-MCH-02-A (Outdoor Air) and verify that the FDD system indicates normal operation. NA7.5.11.2.2 3.0 Pass Fail Economizer Operation. Interfere with normal unit operation so NA7.5.4 “Air Economizer Controls” test fails by immobilizing the outdoor air economizer damper according to manufacturer’s instructions and verify FDD system reports a fault. NA7.5.11.2.3 Step 1 3.1 Pass Fail Successfully complete and pass NA7.5.4 Air Economizer Controls and verify that the FDD system reports normal operation. NA7.5.11.2.3 Step 2 4 Pass Fail Indicate that the Functional Test complies with ALL requirements. N/A FDD – PACKAGED UNITS 2022-CEC-NRCA-MCH-12-A California Energy Commission Page 3 of 3 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 FDD – PACKAGED UNITS 2022-CEC-NRCA-MCH-12-A California Energy Commission Page 1 of 3 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name: Enforcement Agency: Address: Permit Number: City, Zip: Permit Application Date: Building: Floor: Room: Control/tag: Intent: Submit one Certificate of Acceptance for each Fault Detection and Diagnostics (FDD) system that must demonstrate compliance. Reference NRCC-MCH-E for nonresidential (including nonresidential spaces in high-rise multifamily) building permits or LMCC-MCH-E for nonresidential spaces in low-rise multifamily building permits. This acceptance test is recommended to be performed in conjunction with NRCA-MCH-02-A (Outside Air) and NRCA-MCH-05-A (Air Economizer Controls). References: §120.2(i), §120.5(a)11, §160.3(a)2H, §160.3(d)1K, and NA7.5.11. Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.0 Pass Fail Verify access to the following documents: NRCC-MCH- E or LMCC-MCH-E, designs, specification sheets, and schedules as approved by the authority having jurisdiction. §10-103(a)2A 1.1 Pass Fail Verify access to the following documents: NRCA-MCH- 02-A (Outside Air) and NRCA-MCH-05-A (Air Economizer Controls); recommended to be completed simultaneously. N/A 2 Pass Fail Verify that the FDD hardware is installed on the unit. NA7.5.11.1(a) 3 Pass Fail Verify the FDD system matches the make and model reported on the design drawings. NA7.5.11.1(b) 4 Pass Fail Verify the following air temperature sensors are permanently installed: Outside air, Supply air, and Return air. NA7.5.11.1(c) 5 Pass Fail Verify the controller has the capability of displaying the value of the following parameters: Air temperatures for outside air, supply air, and return air. NA7.5.11.1(d) 6 Pass Fail Verify the controller provides system status by indicating the following conditions: Free cooling available, Economizer enabled, Compressor enabled, Heating enabled, and Mixed air low limit cycle active. NA7.5.11.1(e) 7 Pass Fail Indicate that the Construction Inspection complies with ALL requirements. N/A Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: N/A First PGA Superstore 79-110 California 111 La Quinta, 92253 RTU 5Bags, Studios 12/11/24 FDD – PACKAGED UNITS 2022-CEC-NRCA-MCH-12-A California Energy Commission Page 2 of 3 January 1, 2023 Table B: Functional Testing Step Entry Functional Test Code Reference 1.0 Pass Fail Air Temperature Sensor failure/fault. Verify the FDD system indicates normal operation. NA7.5.11.2.1 Step 1 1.1 Pass Fail Disconnect outside air temperature sensor from unit controller and verify that the FDD system reports a fault. NA7.5.11.2.1 Step 2 1.2 Pass Fail Connect outside air temperature sensor to unit controller and verify that the FDD system indicates normal operation. NA7.5.11.2.1 Step 3 2 Pass Fail Excess Outside Air Sensor failure/fault. Coordinate this test with NRCA-MCH-02-A (Outdoor Air) and verify that the FDD system indicates normal operation. NA7.5.11.2.2 3.0 Pass Fail Economizer Operation. Interfere with normal unit operation so NA7.5.4 “Air Economizer Controls” test fails by immobilizing the outdoor air economizer damper according to manufacturer’s instructions and verify FDD system reports a fault. NA7.5.11.2.3 Step 1 3.1 Pass Fail Successfully complete and pass NA7.5.4 Air Economizer Controls and verify that the FDD system reports normal operation. NA7.5.11.2.3 Step 2 4 Pass Fail Indicate that the Functional Test complies with ALL requirements. N/A FDD – PACKAGED UNITS 2022-CEC-NRCA-MCH-12-A California Energy Commission Page 3 of 3 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 FDD – PACKAGED UNITS 2022-CEC-NRCA-MCH-12-A California Energy Commission Page 1 of 3 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name: Enforcement Agency: Address: Permit Number: City, Zip: Permit Application Date: Building: Floor: Room: Control/tag: Intent: Submit one Certificate of Acceptance for each Fault Detection and Diagnostics (FDD) system that must demonstrate compliance. Reference NRCC-MCH-E for nonresidential (including nonresidential spaces in high-rise multifamily) building permits or LMCC-MCH-E for nonresidential spaces in low-rise multifamily building permits. This acceptance test is recommended to be performed in conjunction with NRCA-MCH-02-A (Outside Air) and NRCA-MCH-05-A (Air Economizer Controls). References: §120.2(i), §120.5(a)11, §160.3(a)2H, §160.3(d)1K, and NA7.5.11. Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.0 Pass Fail Verify access to the following documents: NRCC-MCH- E or LMCC-MCH-E, designs, specification sheets, and schedules as approved by the authority having jurisdiction. §10-103(a)2A 1.1 Pass Fail Verify access to the following documents: NRCA-MCH- 02-A (Outside Air) and NRCA-MCH-05-A (Air Economizer Controls); recommended to be completed simultaneously. N/A 2 Pass Fail Verify that the FDD hardware is installed on the unit. NA7.5.11.1(a) 3 Pass Fail Verify the FDD system matches the make and model reported on the design drawings. NA7.5.11.1(b) 4 Pass Fail Verify the following air temperature sensors are permanently installed: Outside air, Supply air, and Return air. NA7.5.11.1(c) 5 Pass Fail Verify the controller has the capability of displaying the value of the following parameters: Air temperatures for outside air, supply air, and return air. NA7.5.11.1(d) 6 Pass Fail Verify the controller provides system status by indicating the following conditions: Free cooling available, Economizer enabled, Compressor enabled, Heating enabled, and Mixed air low limit cycle active. NA7.5.11.1(e) 7 Pass Fail Indicate that the Construction Inspection complies with ALL requirements. N/A Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: N/A First PGA Superstore 79-110 California 111 La Quinta, 92253 RTU 3Accessories 12/11/24 FDD – PACKAGED UNITS 2022-CEC-NRCA-MCH-12-A California Energy Commission Page 2 of 3 January 1, 2023 Table B: Functional Testing Step Entry Functional Test Code Reference 1.0 Pass Fail Air Temperature Sensor failure/fault. Verify the FDD system indicates normal operation. NA7.5.11.2.1 Step 1 1.1 Pass Fail Disconnect outside air temperature sensor from unit controller and verify that the FDD system reports a fault. NA7.5.11.2.1 Step 2 1.2 Pass Fail Connect outside air temperature sensor to unit controller and verify that the FDD system indicates normal operation. NA7.5.11.2.1 Step 3 2 Pass Fail Excess Outside Air Sensor failure/fault. Coordinate this test with NRCA-MCH-02-A (Outdoor Air) and verify that the FDD system indicates normal operation. NA7.5.11.2.2 3.0 Pass Fail Economizer Operation. Interfere with normal unit operation so NA7.5.4 “Air Economizer Controls” test fails by immobilizing the outdoor air economizer damper according to manufacturer’s instructions and verify FDD system reports a fault. NA7.5.11.2.3 Step 1 3.1 Pass Fail Successfully complete and pass NA7.5.4 Air Economizer Controls and verify that the FDD system reports normal operation. NA7.5.11.2.3 Step 2 4 Pass Fail Indicate that the Functional Test complies with ALL requirements. N/A FDD – PACKAGED UNITS 2022-CEC-NRCA-MCH-12-A California Energy Commission Page 3 of 3 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 S/A TEMP RESET CONTROLS 2022-CEC-NRCA-MCH-16-A California Energy Commission Page 1 of 4 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name:Enforcement Agency: Address:Permit Number: City, Zip:Permit Acceptance Date: Building:Floor: Room:Control/tag: Intent: Verify that the supply air temperature modulates to meet system temperature setpoint(s). Reference NRCC-MCH-E for nonresidential (including nonresidential spaces in high-rise multifamily) building permits or LMCC-MCH-E for nonresidential spaces in low-rise multifamily building permits. Submit one Certificate of Acceptance for each system that must demonstrate compliance. References: §120.5(a)15, §140.4(f), §160.3(d)1O, §170.2(c)4D, and NA7.5.15. Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1 No Entry Check the following Required Documentation: N/A 1.1 Pass Fail Designs, plans, schematics, and schedules as approved by the authority having jurisdiction N/A 1.2 Pass Fail NRCC-MCH-E or LMCC-MCH-E as approved by the authority having jurisdiction §10-103(a)2A 1.3 Pass Fail Manufacturer specifications, calibration certificates, or tear sheets for the installed system as available N/A 2 No Entry Prior to functional testing, verify and document the following: NA7.5.15.1 2.1 Pass Fail Supply air temperature reset controls are installed as specified by the requirements NA7.5.15.1(a) §140.4(f) §170.2(c)4D 2.2 Pass Fail All system air temperature sensors are factory or field calibrated within 2% of a calibrated reference temperature sensor NA7.5.15.1(b) 2.3 Document current supply air temperature (°F) NA7.5.15.1(c) 3 Pass Fail Verify that the Construction Inspection complies with ALL requirements. N/A Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: PGA Superstore 79-110 California 111 La Quinta, 92253 N/a First Clubs, Practice bay RTU 1 55 S/A TEMP RESET CONTROLS 2022-CEC-NRCA-MCH-16-A California Energy Commission Page 2 of 4 January 1, 2023 Table B: Functional Testing Procedure — Pressurized Duct Leakage Test Step Entry Functional Test Code Reference 0 Pass Fail N/A Check to make sure that chilled/hot water coils, if used, are not already fully open and calling for maximum cooling/heating. If so, reverse steps 2 and 3 and/or change the set point range as necessary to conduct this test (Pass, Fail, N/A) NA7.5.15.2(a) 1 No Entry Identify the control parameter NA7.5.15.2(b) 1.1, or Check or NA Outside air temperature N/A 1.2, or Check or NA Zone or return air temperature N/A 1.3, or Check or NA Zone calling for heating or cooling N/A 1.4 Check or NA Other N/A 2 No Entry During occupied mode, adjust the reset control parameter to decrease the supply air temperature (to the lower supply temperature limit). Verify and document the following: NA7.5.15.2 Step 1 2.1 Pass Fail Supply air temperature controls modulate as intended NA7.5.14.2 Step 1(a) 2.2 Pass Fail Actual supply air decreases to meet the new setpoint within ±2°F NA7.5.15.2 Step 1(b) 2.2.1 Supply air temperature set point N/A 2.2.2 Actual Supply air temperature N/A 2.3 Supply air temperature stabilizes within 15 minutes NA7.5.15.2 Step 1(c) 3 No Entry During occupied mode, adjust the reset control parameter to increase the supply of air temperature (to the upper supply temperature limit). Verify the following: NA7.5.15.2 Step 2 3.1 Pass Fail Supply air temperature controls modulate as intended NA7.5.15.2 Step 2(a) 3.2 Pass Fail Actual supply air temperature changes to meet the new setpoint within ±2°F NA7.5.15.2 Step 2(b) 57 59 Pass Fail S/A TEMP RESET CONTROLS 2022-CEC-NRCA-MCH-16-A California Energy Commission Page 3 of 4 January 1, 2023 Step Entry Functional Test Code Reference 3.2.1 Supply air temperature set point N/A 3.2.2 Actual Supply air temperature N/A 3.3 Pass Fail Supply air temperature stabilizes within 15 minutes NA7.5.15.2 Step 2(c) 4 No Entry Restore reset control parameter to automatic control. Verify and document the following: NA7.5.15.2 Step 3 4.1 Pass Fail Supply air temperature controls modulate as intended NA7.5.15.2 Step 3(a) 4.2 Pass Fail Actual supply air temperature changes to meet the new setpoint within ±2°F NA7.5.15.2 Step 3(b) 4.2.1 Supply air temperature set point N/A 4.2.2 Actual supply air temperature N/A 4.3 Pass Fail Supply air temperature stabilizes within 15 minutes NA7.5.15.2 Step 3(c) 5 Pass Fail Verify that the Functional Test complies with ALL requirements. N/A 65 67 55 57 S/A TEMP RESET CONTROLS California Energy Commission Page 4 of 4 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 S/A TEMP RESET CONTROLS 2022-CEC-NRCA-MCH-16-A California Energy Commission Page 1 of 4 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name:Enforcement Agency: Address:Permit Number: City, Zip:Permit Acceptance Date: Building:Floor: Room:Control/tag: Intent: Verify that the supply air temperature modulates to meet system temperature setpoint(s). Reference NRCC-MCH-E for nonresidential (including nonresidential spaces in high-rise multifamily) building permits or LMCC-MCH-E for nonresidential spaces in low-rise multifamily building permits. Submit one Certificate of Acceptance for each system that must demonstrate compliance. References: §120.5(a)15, §140.4(f), §160.3(d)1O, §170.2(c)4D, and NA7.5.15. Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1 No Entry Check the following Required Documentation: N/A 1.1 Pass Fail Designs, plans, schematics, and schedules as approved by the authority having jurisdiction N/A 1.2 Pass Fail NRCC-MCH-E or LMCC-MCH-E as approved by the authority having jurisdiction §10-103(a)2A 1.3 Pass Fail Manufacturer specifications, calibration certificates, or tear sheets for the installed system as available N/A 2 No Entry Prior to functional testing, verify and document the following: NA7.5.15.1 2.1 Pass Fail Supply air temperature reset controls are installed as specified by the requirements NA7.5.15.1(a) §140.4(f) §170.2(c)4D 2.2 Pass Fail All system air temperature sensors are factory or field calibrated within 2% of a calibrated reference temperature sensor NA7.5.15.1(b) 2.3 Document current supply air temperature (°F) NA7.5.15.1(c) 3 Pass Fail Verify that the Construction Inspection complies with ALL requirements. N/A Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: PGA Superstore 79-110 California 111 La Quinta, 92253 N/a First Shoes, Juniors RTU 4 55 12/11/24 S/A TEMP RESET CONTROLS 2022-CEC-NRCA-MCH-16-A California Energy Commission Page 2 of 4 January 1, 2023 Table B: Functional Testing Procedure — Pressurized Duct Leakage Test Step Entry Functional Test Code Reference 0 Pass Fail N/A Check to make sure that chilled/hot water coils, if used, are not already fully open and calling for maximum cooling/heating. If so, reverse steps 2 and 3 and/or change the set point range as necessary to conduct this test (Pass, Fail, N/A) NA7.5.15.2(a) 1 No Entry Identify the control parameter NA7.5.15.2(b) 1.1, or Check or NA Outside air temperature N/A 1.2, or Check or NA Zone or return air temperature N/A 1.3, or Check or NA Zone calling for heating or cooling N/A 1.4 Check or NA Other N/A 2 No Entry During occupied mode, adjust the reset control parameter to decrease the supply air temperature (to the lower supply temperature limit). Verify and document the following: NA7.5.15.2 Step 1 2.1 Pass Fail Supply air temperature controls modulate as intended NA7.5.14.2 Step 1(a) 2.2 Pass Fail Actual supply air decreases to meet the new setpoint within ±2°F NA7.5.15.2 Step 1(b) 2.2.1 Supply air temperature set point N/A 2.2.2 Actual Supply air temperature N/A 2.3 Supply air temperature stabilizes within 15 minutes NA7.5.15.2 Step 1(c) 3 No Entry During occupied mode, adjust the reset control parameter to increase the supply of air temperature (to the upper supply temperature limit). Verify the following: NA7.5.15.2 Step 2 3.1 Pass Fail Supply air temperature controls modulate as intended NA7.5.15.2 Step 2(a) 3.2 Pass Fail Actual supply air temperature changes to meet the new setpoint within ±2°F NA7.5.15.2 Step 2(b) 57 59 Pass Fail S/A TEMP RESET CONTROLS 2022-CEC-NRCA-MCH-16-A California Energy Commission Page 3 of 4 January 1, 2023 Step Entry Functional Test Code Reference 3.2.1 Supply air temperature set point N/A 3.2.2 Actual Supply air temperature N/A 3.3 Pass Fail Supply air temperature stabilizes within 15 minutes NA7.5.15.2 Step 2(c) 4 No Entry Restore reset control parameter to automatic control. Verify and document the following: NA7.5.15.2 Step 3 4.1 Pass Fail Supply air temperature controls modulate as intended NA7.5.15.2 Step 3(a) 4.2 Pass Fail Actual supply air temperature changes to meet the new setpoint within ±2°F NA7.5.15.2 Step 3(b) 4.2.1 Supply air temperature set point N/A 4.2.2 Actual supply air temperature N/A 4.3 Pass Fail Supply air temperature stabilizes within 15 minutes NA7.5.15.2 Step 3(c) 5 Pass Fail Verify that the Functional Test complies with ALL requirements. N/A 65 67 55 57 S/A TEMP RESET CONTROLS California Energy Commission Page 4 of 4 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 S/A TEMP RESET CONTROLS 2022-CEC-NRCA-MCH-16-A California Energy Commission Page 1 of 4 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name:Enforcement Agency: Address:Permit Number: City, Zip:Permit Acceptance Date: Building:Floor: Room:Control/tag: Intent: Verify that the supply air temperature modulates to meet system temperature setpoint(s). Reference NRCC-MCH-E for nonresidential (including nonresidential spaces in high-rise multifamily) building permits or LMCC-MCH-E for nonresidential spaces in low-rise multifamily building permits. Submit one Certificate of Acceptance for each system that must demonstrate compliance. References: §120.5(a)15, §140.4(f), §160.3(d)1O, §170.2(c)4D, and NA7.5.15. Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1 No Entry Check the following Required Documentation: N/A 1.1 Pass Fail Designs, plans, schematics, and schedules as approved by the authority having jurisdiction N/A 1.2 Pass Fail NRCC-MCH-E or LMCC-MCH-E as approved by the authority having jurisdiction §10-103(a)2A 1.3 Pass Fail Manufacturer specifications, calibration certificates, or tear sheets for the installed system as available N/A 2 No Entry Prior to functional testing, verify and document the following: NA7.5.15.1 2.1 Pass Fail Supply air temperature reset controls are installed as specified by the requirements NA7.5.15.1(a) §140.4(f) §170.2(c)4D 2.2 Pass Fail All system air temperature sensors are factory or field calibrated within 2% of a calibrated reference temperature sensor NA7.5.15.1(b) 2.3 Document current supply air temperature (°F) NA7.5.15.1(c) 3 Pass Fail Verify that the Construction Inspection complies with ALL requirements. N/A Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: PGA Superstore 79-110 California 111 La Quinta, 92253 N/a First Green, Mens RTU 2 55 12/11/24 S/A TEMP RESET CONTROLS 2022-CEC-NRCA-MCH-16-A California Energy Commission Page 2 of 4 January 1, 2023 Table B: Functional Testing Procedure — Pressurized Duct Leakage Test Step Entry Functional Test Code Reference 0 Pass Fail N/A Check to make sure that chilled/hot water coils, if used, are not already fully open and calling for maximum cooling/heating. If so, reverse steps 2 and 3 and/or change the set point range as necessary to conduct this test (Pass, Fail, N/A) NA7.5.15.2(a) 1 No Entry Identify the control parameter NA7.5.15.2(b) 1.1, or Check or NA Outside air temperature N/A 1.2, or Check or NA Zone or return air temperature N/A 1.3, or Check or NA Zone calling for heating or cooling N/A 1.4 Check or NA Other N/A 2 No Entry During occupied mode, adjust the reset control parameter to decrease the supply air temperature (to the lower supply temperature limit). Verify and document the following: NA7.5.15.2 Step 1 2.1 Pass Fail Supply air temperature controls modulate as intended NA7.5.14.2 Step 1(a) 2.2 Pass Fail Actual supply air decreases to meet the new setpoint within ±2°F NA7.5.15.2 Step 1(b) 2.2.1 Supply air temperature set point N/A 2.2.2 Actual Supply air temperature N/A 2.3 Supply air temperature stabilizes within 15 minutes NA7.5.15.2 Step 1(c) 3 No Entry During occupied mode, adjust the reset control parameter to increase the supply of air temperature (to the upper supply temperature limit). Verify the following: NA7.5.15.2 Step 2 3.1 Pass Fail Supply air temperature controls modulate as intended NA7.5.15.2 Step 2(a) 3.2 Pass Fail Actual supply air temperature changes to meet the new setpoint within ±2°F NA7.5.15.2 Step 2(b) 57 59 Pass Fail S/A TEMP RESET CONTROLS 2022-CEC-NRCA-MCH-16-A California Energy Commission Page 3 of 4 January 1, 2023 Step Entry Functional Test Code Reference 3.2.1 Supply air temperature set point N/A 3.2.2 Actual Supply air temperature N/A 3.3 Pass Fail Supply air temperature stabilizes within 15 minutes NA7.5.15.2 Step 2(c) 4 No Entry Restore reset control parameter to automatic control. Verify and document the following: NA7.5.15.2 Step 3 4.1 Pass Fail Supply air temperature controls modulate as intended NA7.5.15.2 Step 3(a) 4.2 Pass Fail Actual supply air temperature changes to meet the new setpoint within ±2°F NA7.5.15.2 Step 3(b) 4.2.1 Supply air temperature set point N/A 4.2.2 Actual supply air temperature N/A 4.3 Pass Fail Supply air temperature stabilizes within 15 minutes NA7.5.15.2 Step 3(c) 5 Pass Fail Verify that the Functional Test complies with ALL requirements. N/A 65 67 55 57 S/A TEMP RESET CONTROLS California Energy Commission Page 4 of 4 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 S/A TEMP RESET CONTROLS 2022-CEC-NRCA-MCH-16-A California Energy Commission Page 1 of 4 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name:Enforcement Agency: Address:Permit Number: City, Zip:Permit Acceptance Date: Building:Floor: Room:Control/tag: Intent: Verify that the supply air temperature modulates to meet system temperature setpoint(s). Reference NRCC-MCH-E for nonresidential (including nonresidential spaces in high-rise multifamily) building permits or LMCC-MCH-E for nonresidential spaces in low-rise multifamily building permits. Submit one Certificate of Acceptance for each system that must demonstrate compliance. References: §120.5(a)15, §140.4(f), §160.3(d)1O, §170.2(c)4D, and NA7.5.15. Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1 No Entry Check the following Required Documentation: N/A 1.1 Pass Fail Designs, plans, schematics, and schedules as approved by the authority having jurisdiction N/A 1.2 Pass Fail NRCC-MCH-E or LMCC-MCH-E as approved by the authority having jurisdiction §10-103(a)2A 1.3 Pass Fail Manufacturer specifications, calibration certificates, or tear sheets for the installed system as available N/A 2 No Entry Prior to functional testing, verify and document the following: NA7.5.15.1 2.1 Pass Fail Supply air temperature reset controls are installed as specified by the requirements NA7.5.15.1(a) §140.4(f) §170.2(c)4D 2.2 Pass Fail All system air temperature sensors are factory or field calibrated within 2% of a calibrated reference temperature sensor NA7.5.15.1(b) 2.3 Document current supply air temperature (°F) NA7.5.15.1(c) 3 Pass Fail Verify that the Construction Inspection complies with ALL requirements. N/A Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: PGA Superstore 79-110 California 111 La Quinta, 92253 N/a First Tennis, Womens RTU 6 55 12/11/24 S/A TEMP RESET CONTROLS 2022-CEC-NRCA-MCH-16-A California Energy Commission Page 2 of 4 January 1, 2023 Table B: Functional Testing Procedure — Pressurized Duct Leakage Test Step Entry Functional Test Code Reference 0 Pass Fail N/A Check to make sure that chilled/hot water coils, if used, are not already fully open and calling for maximum cooling/heating. If so, reverse steps 2 and 3 and/or change the set point range as necessary to conduct this test (Pass, Fail, N/A) NA7.5.15.2(a) 1 No Entry Identify the control parameter NA7.5.15.2(b) 1.1, or Check or NA Outside air temperature N/A 1.2, or Check or NA Zone or return air temperature N/A 1.3, or Check or NA Zone calling for heating or cooling N/A 1.4 Check or NA Other N/A 2 No Entry During occupied mode, adjust the reset control parameter to decrease the supply air temperature (to the lower supply temperature limit). Verify and document the following: NA7.5.15.2 Step 1 2.1 Pass Fail Supply air temperature controls modulate as intended NA7.5.14.2 Step 1(a) 2.2 Pass Fail Actual supply air decreases to meet the new setpoint within ±2°F NA7.5.15.2 Step 1(b) 2.2.1 Supply air temperature set point N/A 2.2.2 Actual Supply air temperature N/A 2.3 Supply air temperature stabilizes within 15 minutes NA7.5.15.2 Step 1(c) 3 No Entry During occupied mode, adjust the reset control parameter to increase the supply of air temperature (to the upper supply temperature limit). Verify the following: NA7.5.15.2 Step 2 3.1 Pass Fail Supply air temperature controls modulate as intended NA7.5.15.2 Step 2(a) 3.2 Pass Fail Actual supply air temperature changes to meet the new setpoint within ±2°F NA7.5.15.2 Step 2(b) 57 59 Pass Fail S/A TEMP RESET CONTROLS 2022-CEC-NRCA-MCH-16-A California Energy Commission Page 3 of 4 January 1, 2023 Step Entry Functional Test Code Reference 3.2.1 Supply air temperature set point N/A 3.2.2 Actual Supply air temperature N/A 3.3 Pass Fail Supply air temperature stabilizes within 15 minutes NA7.5.15.2 Step 2(c) 4 No Entry Restore reset control parameter to automatic control. Verify and document the following: NA7.5.15.2 Step 3 4.1 Pass Fail Supply air temperature controls modulate as intended NA7.5.15.2 Step 3(a) 4.2 Pass Fail Actual supply air temperature changes to meet the new setpoint within ±2°F NA7.5.15.2 Step 3(b) 4.2.1 Supply air temperature set point N/A 4.2.2 Actual supply air temperature N/A 4.3 Pass Fail Supply air temperature stabilizes within 15 minutes NA7.5.15.2 Step 3(c) 5 Pass Fail Verify that the Functional Test complies with ALL requirements. N/A 65 67 55 57 S/A TEMP RESET CONTROLS California Energy Commission Page 4 of 4 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 S/A TEMP RESET CONTROLS 2022-CEC-NRCA-MCH-16-A California Energy Commission Page 1 of 4 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name:Enforcement Agency: Address:Permit Number: City, Zip:Permit Acceptance Date: Building:Floor: Room:Control/tag: Intent: Verify that the supply air temperature modulates to meet system temperature setpoint(s). Reference NRCC-MCH-E for nonresidential (including nonresidential spaces in high-rise multifamily) building permits or LMCC-MCH-E for nonresidential spaces in low-rise multifamily building permits. Submit one Certificate of Acceptance for each system that must demonstrate compliance. References: §120.5(a)15, §140.4(f), §160.3(d)1O, §170.2(c)4D, and NA7.5.15. Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1 No Entry Check the following Required Documentation: N/A 1.1 Pass Fail Designs, plans, schematics, and schedules as approved by the authority having jurisdiction N/A 1.2 Pass Fail NRCC-MCH-E or LMCC-MCH-E as approved by the authority having jurisdiction §10-103(a)2A 1.3 Pass Fail Manufacturer specifications, calibration certificates, or tear sheets for the installed system as available N/A 2 No Entry Prior to functional testing, verify and document the following: NA7.5.15.1 2.1 Pass Fail Supply air temperature reset controls are installed as specified by the requirements NA7.5.15.1(a) §140.4(f) §170.2(c)4D 2.2 Pass Fail All system air temperature sensors are factory or field calibrated within 2% of a calibrated reference temperature sensor NA7.5.15.1(b) 2.3 Document current supply air temperature (°F) NA7.5.15.1(c) 3 Pass Fail Verify that the Construction Inspection complies with ALL requirements. N/A Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: PGA Superstore 79-110 California 111 La Quinta, 92253 N/a First Receiving RTU 7 55 12/11/24 S/A TEMP RESET CONTROLS 2022-CEC-NRCA-MCH-16-A California Energy Commission Page 2 of 4 January 1, 2023 Table B: Functional Testing Procedure — Pressurized Duct Leakage Test Step Entry Functional Test Code Reference 0 Pass Fail N/A Check to make sure that chilled/hot water coils, if used, are not already fully open and calling for maximum cooling/heating. If so, reverse steps 2 and 3 and/or change the set point range as necessary to conduct this test (Pass, Fail, N/A) NA7.5.15.2(a) 1 No Entry Identify the control parameter NA7.5.15.2(b) 1.1, or Check or NA Outside air temperature N/A 1.2, or Check or NA Zone or return air temperature N/A 1.3, or Check or NA Zone calling for heating or cooling N/A 1.4 Check or NA Other N/A 2 No Entry During occupied mode, adjust the reset control parameter to decrease the supply air temperature (to the lower supply temperature limit). Verify and document the following: NA7.5.15.2 Step 1 2.1 Pass Fail Supply air temperature controls modulate as intended NA7.5.14.2 Step 1(a) 2.2 Pass Fail Actual supply air decreases to meet the new setpoint within ±2°F NA7.5.15.2 Step 1(b) 2.2.1 Supply air temperature set point N/A 2.2.2 Actual Supply air temperature N/A 2.3 Supply air temperature stabilizes within 15 minutes NA7.5.15.2 Step 1(c) 3 No Entry During occupied mode, adjust the reset control parameter to increase the supply of air temperature (to the upper supply temperature limit). Verify the following: NA7.5.15.2 Step 2 3.1 Pass Fail Supply air temperature controls modulate as intended NA7.5.15.2 Step 2(a) 3.2 Pass Fail Actual supply air temperature changes to meet the new setpoint within ±2°F NA7.5.15.2 Step 2(b) 57 59 Pass Fail S/A TEMP RESET CONTROLS 2022-CEC-NRCA-MCH-16-A California Energy Commission Page 3 of 4 January 1, 2023 Step Entry Functional Test Code Reference 3.2.1 Supply air temperature set point N/A 3.2.2 Actual Supply air temperature N/A 3.3 Pass Fail Supply air temperature stabilizes within 15 minutes NA7.5.15.2 Step 2(c) 4 No Entry Restore reset control parameter to automatic control. Verify and document the following: NA7.5.15.2 Step 3 4.1 Pass Fail Supply air temperature controls modulate as intended NA7.5.15.2 Step 3(a) 4.2 Pass Fail Actual supply air temperature changes to meet the new setpoint within ±2°F NA7.5.15.2 Step 3(b) 4.2.1 Supply air temperature set point N/A 4.2.2 Actual supply air temperature N/A 4.3 Pass Fail Supply air temperature stabilizes within 15 minutes NA7.5.15.2 Step 3(c) 5 Pass Fail Verify that the Functional Test complies with ALL requirements. N/A 65 67 55 57 S/A TEMP RESET CONTROLS California Energy Commission Page 4 of 4 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 S/A TEMP RESET CONTROLS 2022-CEC-NRCA-MCH-16-A California Energy Commission Page 1 of 4 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name:Enforcement Agency: Address:Permit Number: City, Zip:Permit Acceptance Date: Building:Floor: Room:Control/tag: Intent: Verify that the supply air temperature modulates to meet system temperature setpoint(s). Reference NRCC-MCH-E for nonresidential (including nonresidential spaces in high-rise multifamily) building permits or LMCC-MCH-E for nonresidential spaces in low-rise multifamily building permits. Submit one Certificate of Acceptance for each system that must demonstrate compliance. References: §120.5(a)15, §140.4(f), §160.3(d)1O, §170.2(c)4D, and NA7.5.15. Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1 No Entry Check the following Required Documentation: N/A 1.1 Pass Fail Designs, plans, schematics, and schedules as approved by the authority having jurisdiction N/A 1.2 Pass Fail NRCC-MCH-E or LMCC-MCH-E as approved by the authority having jurisdiction §10-103(a)2A 1.3 Pass Fail Manufacturer specifications, calibration certificates, or tear sheets for the installed system as available N/A 2 No Entry Prior to functional testing, verify and document the following: NA7.5.15.1 2.1 Pass Fail Supply air temperature reset controls are installed as specified by the requirements NA7.5.15.1(a) §140.4(f) §170.2(c)4D 2.2 Pass Fail All system air temperature sensors are factory or field calibrated within 2% of a calibrated reference temperature sensor NA7.5.15.1(b) 2.3 Document current supply air temperature (°F) NA7.5.15.1(c) 3 Pass Fail Verify that the Construction Inspection complies with ALL requirements. N/A Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: PGA Superstore 79-110 California 111 La Quinta, 92253 N/a First Accessories RTU 3 55 12/11/24 S/A TEMP RESET CONTROLS 2022-CEC-NRCA-MCH-16-A California Energy Commission Page 2 of 4 January 1, 2023 Table B: Functional Testing Procedure — Pressurized Duct Leakage Test Step Entry Functional Test Code Reference 0 Pass Fail N/A Check to make sure that chilled/hot water coils, if used, are not already fully open and calling for maximum cooling/heating. If so, reverse steps 2 and 3 and/or change the set point range as necessary to conduct this test (Pass, Fail, N/A) NA7.5.15.2(a) 1 No Entry Identify the control parameter NA7.5.15.2(b) 1.1, or Check or NA Outside air temperature N/A 1.2, or Check or NA Zone or return air temperature N/A 1.3, or Check or NA Zone calling for heating or cooling N/A 1.4 Check or NA Other N/A 2 No Entry During occupied mode, adjust the reset control parameter to decrease the supply air temperature (to the lower supply temperature limit). Verify and document the following: NA7.5.15.2 Step 1 2.1 Pass Fail Supply air temperature controls modulate as intended NA7.5.14.2 Step 1(a) 2.2 Pass Fail Actual supply air decreases to meet the new setpoint within ±2°F NA7.5.15.2 Step 1(b) 2.2.1 Supply air temperature set point N/A 2.2.2 Actual Supply air temperature N/A 2.3 Supply air temperature stabilizes within 15 minutes NA7.5.15.2 Step 1(c) 3 No Entry During occupied mode, adjust the reset control parameter to increase the supply of air temperature (to the upper supply temperature limit). Verify the following: NA7.5.15.2 Step 2 3.1 Pass Fail Supply air temperature controls modulate as intended NA7.5.15.2 Step 2(a) 3.2 Pass Fail Actual supply air temperature changes to meet the new setpoint within ±2°F NA7.5.15.2 Step 2(b) 57 59 Pass Fail S/A TEMP RESET CONTROLS 2022-CEC-NRCA-MCH-16-A California Energy Commission Page 3 of 4 January 1, 2023 Step Entry Functional Test Code Reference 3.2.1 Supply air temperature set point N/A 3.2.2 Actual Supply air temperature N/A 3.3 Pass Fail Supply air temperature stabilizes within 15 minutes NA7.5.15.2 Step 2(c) 4 No Entry Restore reset control parameter to automatic control. Verify and document the following: NA7.5.15.2 Step 3 4.1 Pass Fail Supply air temperature controls modulate as intended NA7.5.15.2 Step 3(a) 4.2 Pass Fail Actual supply air temperature changes to meet the new setpoint within ±2°F NA7.5.15.2 Step 3(b) 4.2.1 Supply air temperature set point N/A 4.2.2 Actual supply air temperature N/A 4.3 Pass Fail Supply air temperature stabilizes within 15 minutes NA7.5.15.2 Step 3(c) 5 Pass Fail Verify that the Functional Test complies with ALL requirements. N/A 65 67 55 57 S/A TEMP RESET CONTROLS California Energy Commission Page 4 of 4 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 S/A TEMP RESET CONTROLS 2022-CEC-NRCA-MCH-16-A California Energy Commission Page 1 of 4 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name:Enforcement Agency: Address:Permit Number: City, Zip:Permit Acceptance Date: Building:Floor: Room:Control/tag: Intent: Verify that the supply air temperature modulates to meet system temperature setpoint(s). Reference NRCC-MCH-E for nonresidential (including nonresidential spaces in high-rise multifamily) building permits or LMCC-MCH-E for nonresidential spaces in low-rise multifamily building permits. Submit one Certificate of Acceptance for each system that must demonstrate compliance. References: §120.5(a)15, §140.4(f), §160.3(d)1O, §170.2(c)4D, and NA7.5.15. Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1 No Entry Check the following Required Documentation: N/A 1.1 Pass Fail Designs, plans, schematics, and schedules as approved by the authority having jurisdiction N/A 1.2 Pass Fail NRCC-MCH-E or LMCC-MCH-E as approved by the authority having jurisdiction §10-103(a)2A 1.3 Pass Fail Manufacturer specifications, calibration certificates, or tear sheets for the installed system as available N/A 2 No Entry Prior to functional testing, verify and document the following: NA7.5.15.1 2.1 Pass Fail Supply air temperature reset controls are installed as specified by the requirements NA7.5.15.1(a) §140.4(f) §170.2(c)4D 2.2 Pass Fail All system air temperature sensors are factory or field calibrated within 2% of a calibrated reference temperature sensor NA7.5.15.1(b) 2.3 Document current supply air temperature (°F) NA7.5.15.1(c) 3 Pass Fail Verify that the Construction Inspection complies with ALL requirements. N/A Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: PGA Superstore 79-110 California 111 La Quinta, 92253 N/a First Bags, Studios RTU 5 55 12/11/24 S/A TEMP RESET CONTROLS 2022-CEC-NRCA-MCH-16-A California Energy Commission Page 2 of 4 January 1, 2023 Table B: Functional Testing Procedure — Pressurized Duct Leakage Test Step Entry Functional Test Code Reference 0 Pass Fail N/A Check to make sure that chilled/hot water coils, if used, are not already fully open and calling for maximum cooling/heating. If so, reverse steps 2 and 3 and/or change the set point range as necessary to conduct this test (Pass, Fail, N/A) NA7.5.15.2(a) 1 No Entry Identify the control parameter NA7.5.15.2(b) 1.1, or Check or NA Outside air temperature N/A 1.2, or Check or NA Zone or return air temperature N/A 1.3, or Check or NA Zone calling for heating or cooling N/A 1.4 Check or NA Other N/A 2 No Entry During occupied mode, adjust the reset control parameter to decrease the supply air temperature (to the lower supply temperature limit). Verify and document the following: NA7.5.15.2 Step 1 2.1 Pass Fail Supply air temperature controls modulate as intended NA7.5.14.2 Step 1(a) 2.2 Pass Fail Actual supply air decreases to meet the new setpoint within ±2°F NA7.5.15.2 Step 1(b) 2.2.1 Supply air temperature set point N/A 2.2.2 Actual Supply air temperature N/A 2.3 Supply air temperature stabilizes within 15 minutes NA7.5.15.2 Step 1(c) 3 No Entry During occupied mode, adjust the reset control parameter to increase the supply of air temperature (to the upper supply temperature limit). Verify the following: NA7.5.15.2 Step 2 3.1 Pass Fail Supply air temperature controls modulate as intended NA7.5.15.2 Step 2(a) 3.2 Pass Fail Actual supply air temperature changes to meet the new setpoint within ±2°F NA7.5.15.2 Step 2(b) 57 59 Pass Fail S/A TEMP RESET CONTROLS 2022-CEC-NRCA-MCH-16-A California Energy Commission Page 3 of 4 January 1, 2023 Step Entry Functional Test Code Reference 3.2.1 Supply air temperature set point N/A 3.2.2 Actual Supply air temperature N/A 3.3 Pass Fail Supply air temperature stabilizes within 15 minutes NA7.5.15.2 Step 2(c) 4 No Entry Restore reset control parameter to automatic control. Verify and document the following: NA7.5.15.2 Step 3 4.1 Pass Fail Supply air temperature controls modulate as intended NA7.5.15.2 Step 3(a) 4.2 Pass Fail Actual supply air temperature changes to meet the new setpoint within ±2°F NA7.5.15.2 Step 3(b) 4.2.1 Supply air temperature set point N/A 4.2.2 Actual supply air temperature N/A 4.3 Pass Fail Supply air temperature stabilizes within 15 minutes NA7.5.15.2 Step 3(c) 5 Pass Fail Verify that the Functional Test complies with ALL requirements. N/A 65 67 55 57 S/A TEMP RESET CONTROLS California Energy Commission Page 4 of 4 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 1 of 6 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name: Enforcement Agency: Address:Permit Number: City, Zip:Permit Application Date: Building: Floor: Room: Control/tag: Intent: This Certificate of Acceptance is intended to verify Energy Code compliance for nonresidential and hotel/motel (see NRCA-MCH-23-A for multi-family) buildings with newly installed economizers, dedicated outdoor air system (DOAS), Heat Recovery Ventilation (HRV) systems, and energy recovery ventilation (ERV) system. Economizers must be certified to the California Energy Commission in compliance with JA6.3. Submit one Certificate of Acceptance for each economizer, DOAS, HRV, or ERV system that must demonstrate compliance with the Energy Code. For direct Energy Code reference see JA6.3, NA7.5.4, §140.4(e), §120.5(a)4, §160.3(d)1D, and §170.2(c)4C. Reference Table R-1 (Table 140.4-G) Climate Zones Fixed Dry Bulb Differential Dry Bulb Fixed Enthalpy with Fixed Dry bulb 1, 3, 5, 11-16 TOA > 75 oF TOA > TRA oF N/A 2, 4, and 10 TOA > 73 oF TOA > TRA – 2 oF N/A 6, 8, 9 TOA > 71 oF TOA > TRA – 4 oF N/A 7 TOA > 69 oF TOA > TRA – 6 oF N/A All Climate Zones N/A N/A HOA > 28 Btu/LBS. or TOA > 75 oF Where: TOA = Outside Air Temperature TRA = Return Air Temperature HOA = Outdoor Air Enthalpy Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.1 Pass Fail All documentation shipped with the economizer, DOAS, HRV, or ERV system including manuals and sensor performance curves are available for review. NA7.5.4.1(d) 1.2 Pass Fail Verify that the sensor output value measured during sensor calibration is plotted on the performance curve. NA7.5.4.1(e) Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: N/a first RTU 1Clubs, Practice Bay PGA Super store 79-110 California 111 La Quinta, 92253 12/11/24 ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 2 of 6 January 1, 2023 Step Entry Item Code Reference 2.1 and P, F, or N/A Verify that the bypass high limit shutoff control for the economizer, DOAS, HRV, or ERV system complies with Reference Table R-1 (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 2.2 P, F, or N/A Verify that at altitudes substantially different than sea level, the Fixed Enthalpy limit value is set to the enthalpy value at 75°F and 50% relative humidity. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 3 P, F, or N/A Alternative to Step 2 If using Dew Point, Fixed Enthalpy, Electronic Enthalpy, or Differential Enthalpy Controls Energy Commission Executive Director approval for use in California must be attached. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 4 P, F, or N/A Verify that devices with selectable (rather than adjustable) setpoints are capable of being set to within 2°F and 2 Btu/LBS of the setpoint listed. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 5 P, F, or N/A Verify that if the high-limit control is fixed dry-bulb or fixed enthalpy with fixed dry-bulb, it has an adjustable setpoint. (Pass, Fail, or N/A) NA7.5.4.1(b) 6 Pass Fail Verify that the economizer, DOAS, HRV, or ERV system bypass lockout control sensor is located to prevent false readings. NA7.5.4.1(c) 7.1, or P, F, or N/A Verify if using damper for bypass control that the economizer, DOAS, HRV, or ERV system bypass damper moves freely without binding. (Pass, Fail, or N/A) NA7.5.4.1(f) 7.2 P, F, or N/A Indicate if bypass control is achieved through heat/energy recovery wheel rotation speed modulation as means other than air dampers. (Pass, Fail, or N/A) NA7.5.4.1(f)1 8 Pass Fail Verify that the economizer, DOAS, HRV, or ERV system bypass has control systems, including two- stage or electronic thermostats, that cycle compressors off when the bypass can provide partial cooling. NA7.5.4.1(g) 9.0 P, F, or N/A For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Using the documentation provided in Step 1.1, verify that the air economizer and all air dampers have ALL of the following features (9.1-9.8). (Pass, Fail, or N/A-for non-economizers) NA7.5.4.1(h) §140.4(e)2D §170.2(c)4Ciii ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 3 of 6 January 1, 2023 Step Entry Item Code Reference 9.1 Pass Fail Warranty. 5-year Manufacturer warranty of economizer assembly. NA7.5.4.1(h) §140.4(e)2Di §170.2(c)4Ciiia 9.2 Pass Fail Damper reliability testing. Certification from suppliers of economizers that the economizer assembly, including but not limited to outdoor air damper, return air damper, drive linkage, and actuator, have been tested and are able to open and close against the rated airflow and pressure of the system for 60,000 damper opening and closing cycles. NA7.5.4.1(h) §140.4(e)2Dii §170.2(c)4Ciiib 9.3 Pass Fail Damper leakage. Economizer outdoor air and return air dampers have a maximum leakage rate of 10 cfm/sf at 250 Pascals (1.0 in. of water) when tested in accordance with AMCA Standard 500-D. NA7.5.4.1(h) §140.4(e)2Diii §170.2(c)4Ciiic 9.4 P, F, or N/A Adjustable setpoint. If the high-limit control is fixed dry-bulb or fixed enthalpy with fixed dry-bulb then verify that the control has an adjustable setpoint. (Pass, Fail, or N/A) NA7.5.4.1(h) §140.4(e)2Div §170.2(c)4Ciiid 9.5 Pass Fail Sensor accuracy. Outdoor air, return air, mixed air, and supply air sensors are calibrated within the following accuracies. 1. Dry bulb and wet bulb temperatures accurate to ±2°F over the range of 40°F to 80°F. 2. Enthalpy accurate to ±3 Btu/LBS. over the range of 20 Btu/LBS. to 36 Btu/LBS. 3. Relative humidity (RH) accurate to ±5 percent over the range of 20 percent to 80 percent RH. NA7.5.4.1(h) §140.4(e)2Dv §170.2(c)4Ciiie 9.6 Pass Fail Sensor calibration data. Data used for control of the economizer is plotted on a sensor performance curve. NA7.5.4.1(h) §140.4(e)2Dvi §170.2(c)4Ciiif 9.7 Pass Fail Sensor high limit control. Sensors used for the high limit control are located to prevent false readings, including but not limited to being properly shielded from direct sunlight. NA7.5.4.1(h) §140.4(e)2Dvii §170.2(c)4Ciiig 9.8 Pass Fail Relief air system. Relief air systems is capable of providing 100 percent outside air without over- pressurizing the building. NA7.5.4.1(h) §140.4(e)2Dviii §170.2(c)4Ciiih 10 P, F, or N/A For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Verify that the economizer inlet damper is designed to modulate up to 100 percent open, and return air damper to 100 percent closed, without over-pressurizing the building. (Pass, Fail, or N/A) NA7.5.4.1(i) ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 4 of 6 January 1, 2023 Step Entry Item Code Reference 11.1, or P, F, or N/A For systems with DDC controls verify that lockout sensor(s) are either factory calibrated or field calibrated. (Pass, Fail, or N/A) NA7.5.4.1(j) 11.2 P, F, or N/A For systems with non-DDC controls, verify that manufacturer’s startup and testing procedures have been applied. (Pass, Fail, or N/A) NA7.5.4.1(k) 12 P, F, or N/A For economizers only - DOAS, HRV, or ERV systems enter N/A. Verify that the economizer has been certified to the Energy Commission by consulting the CEC Air Economizer Certified List (https://www.energy.ca.gov/media/3259). (Pass, Fail, or N/A) §140.4(e)2Diii §170.2(c)4Ciiic 13 Pass Fail Check “Pass” if construction inspection complies with all requirements. Check “Fail” if construction inspection does not comply with all requirements. NA Table B: Functional Testing for Air Economizer Controls Step Entry Functional Test Code Reference 0 Exception N/A For economizers only - DOAS, HRV, or ERV enter N/A. If the economizer is installed by the HVAC system manufacturer technician (not the economizer technician), then the economizer is excepted from this functional test (NA7.5.4.2). Enter Step 0 as “Exception, by-pass all functional testing and mark Step 7 as passing; otherwise enter Step 0 as N/A. §120.5(a)4 Exception §160.3(d)1D Exception 1 P, F, or N/A Disable demand control ventilation systems (if applicable). (Pass, Fail, or N/A) NA7.5.4.2 Step 1 2.0 Pass Fail Enable the economizer, DOAS, HRV, or ERV system and simulate a cooling demand large enough to drive the bypass to fully open position. Maintain this status for all of Step 2. NA7.5.4.2 Step 2 2.1 Pass Fail Verify either of the following: 1. Using dampers – bypass is 100 percent open, and return is 100 percent closed; or 2. Using HRV/ERV wheel – wheel is fully stopped. NA7.5.4.2 Step 2(a) Step 2(a)1 2.2 Pass Fail Verify that all applicable fans and dampers/wheels operate as intended to maintain building pressure. NA7.5.4.2 Step 2(b) 2.3 P, F, or N/A Verify that the economizer heating is disabled (if applicable). (Pass, Fail, or N/A) NA7.5.4.2 Step 2(c) ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 5 of 6 January 1, 2023 Step Entry Functional Test Code Reference 3.0 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter as N/A and proceed to Step 4. Disable the economizer and simulate a cooling demand. Maintain this status for all of Step 3. (Pass, Fail, or N/A) NA7.5.4.2 Step 3 Step 3(g) 3.1 Pass Fail Verify that the economizer damper closes to its minimum position. NA7.5.4.2 Step 3(d) 3.2 Pass Fail Verify that all applicable fans and dampers operate as intended to maintain building pressure. NA7.5.4.2 Step 3(e) 3.3 P, F, or N/A Verify that the unit heating is disabled (if unit has heating capability). (Pass, Fail, or N/A) NA7.5.4.2 Step 3(f) 4.0 Pass Fail If unit has heating capability, simulate a heating demand and set economizer, DOAS, HRV, or ERV systems so that it is capable of operating (i.e., actual outdoor air conditions are below lockout setpoint). Maintain this status for all of Step 4. NA7.5.4.2 Step 4 4.1 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and proceed to Step 4.3. Verify that the economizer damper is at minimum position. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(h) 4.2 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and proceed to Step 4.3. Verify that the return air damper opens. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(i) 4.3 P, F, or N/A For DOAS, HRV, or ERV systems only - economizers enter as N/A and proceed to Step 5. Verify that the DOAS, HRV, or ERV systems bypass control modulates bypass damper/wheel speed to control temperature setpoint. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(j) 5 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter as N/A and proceed to Step 6. Turn off the unit and verify that the economizer damper closes completely. (Pass, Fail, or N/A) NA7.5.4.2 Step 5 Step 5(k) 6 Pass Fail Restore demand control ventilation systems (if applicable) and remove all system overrides initiated. NA7.5.4.2 Step 6 7 Pass Fail Check “Pass” if functional test complies with all requirements. Check “Fail” if functional test does not comply with all requirements. N/A ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 6 of 6 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 1 of 6 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name: Enforcement Agency: Address:Permit Number: City, Zip:Permit Application Date: Building: Floor: Room: Control/tag: Intent: This Certificate of Acceptance is intended to verify Energy Code compliance for nonresidential and hotel/motel (see NRCA-MCH-23-A for multi-family) buildings with newly installed economizers, dedicated outdoor air system (DOAS), Heat Recovery Ventilation (HRV) systems, and energy recovery ventilation (ERV) system. Economizers must be certified to the California Energy Commission in compliance with JA6.3. Submit one Certificate of Acceptance for each economizer, DOAS, HRV, or ERV system that must demonstrate compliance with the Energy Code. For direct Energy Code reference see JA6.3, NA7.5.4, §140.4(e), §120.5(a)4, §160.3(d)1D, and §170.2(c)4C. Reference Table R-1 (Table 140.4-G) Climate Zones Fixed Dry Bulb Differential Dry Bulb Fixed Enthalpy with Fixed Dry bulb 1, 3, 5, 11-16 TOA > 75 oF TOA > TRA oF N/A 2, 4, and 10 TOA > 73 oF TOA > TRA – 2 oF N/A 6, 8, 9 TOA > 71 oF TOA > TRA – 4 oF N/A 7 TOA > 69 oF TOA > TRA – 6 oF N/A All Climate Zones N/A N/A HOA > 28 Btu/LBS. or TOA > 75 oF Where: TOA = Outside Air Temperature TRA = Return Air Temperature HOA = Outdoor Air Enthalpy Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.1 Pass Fail All documentation shipped with the economizer, DOAS, HRV, or ERV system including manuals and sensor performance curves are available for review. NA7.5.4.1(d) 1.2 Pass Fail Verify that the sensor output value measured during sensor calibration is plotted on the performance curve. NA7.5.4.1(e) Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: N/a first RTU 4Shoes, Juniors PGA Super store 79-110 California 111 La Quinta, 92253 12/11/24 ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 2 of 6 January 1, 2023 Step Entry Item Code Reference 2.1 and P, F, or N/A Verify that the bypass high limit shutoff control for the economizer, DOAS, HRV, or ERV system complies with Reference Table R-1 (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 2.2 P, F, or N/A Verify that at altitudes substantially different than sea level, the Fixed Enthalpy limit value is set to the enthalpy value at 75°F and 50% relative humidity. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 3 P, F, or N/A Alternative to Step 2 If using Dew Point, Fixed Enthalpy, Electronic Enthalpy, or Differential Enthalpy Controls Energy Commission Executive Director approval for use in California must be attached. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 4 P, F, or N/A Verify that devices with selectable (rather than adjustable) setpoints are capable of being set to within 2°F and 2 Btu/LBS of the setpoint listed. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 5 P, F, or N/A Verify that if the high-limit control is fixed dry-bulb or fixed enthalpy with fixed dry-bulb, it has an adjustable setpoint. (Pass, Fail, or N/A) NA7.5.4.1(b) 6 Pass Fail Verify that the economizer, DOAS, HRV, or ERV system bypass lockout control sensor is located to prevent false readings. NA7.5.4.1(c) 7.1, or P, F, or N/A Verify if using damper for bypass control that the economizer, DOAS, HRV, or ERV system bypass damper moves freely without binding. (Pass, Fail, or N/A) NA7.5.4.1(f) 7.2 P, F, or N/A Indicate if bypass control is achieved through heat/energy recovery wheel rotation speed modulation as means other than air dampers. (Pass, Fail, or N/A) NA7.5.4.1(f)1 8 Pass Fail Verify that the economizer, DOAS, HRV, or ERV system bypass has control systems, including two- stage or electronic thermostats, that cycle compressors off when the bypass can provide partial cooling. NA7.5.4.1(g) 9.0 P, F, or N/A For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Using the documentation provided in Step 1.1, verify that the air economizer and all air dampers have ALL of the following features (9.1-9.8). (Pass, Fail, or N/A-for non-economizers) NA7.5.4.1(h) §140.4(e)2D §170.2(c)4Ciii ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 3 of 6 January 1, 2023 Step Entry Item Code Reference 9.1 Pass Fail Warranty. 5-year Manufacturer warranty of economizer assembly. NA7.5.4.1(h) §140.4(e)2Di §170.2(c)4Ciiia 9.2 Pass Fail Damper reliability testing. Certification from suppliers of economizers that the economizer assembly, including but not limited to outdoor air damper, return air damper, drive linkage, and actuator, have been tested and are able to open and close against the rated airflow and pressure of the system for 60,000 damper opening and closing cycles. NA7.5.4.1(h) §140.4(e)2Dii §170.2(c)4Ciiib 9.3 Pass Fail Damper leakage. Economizer outdoor air and return air dampers have a maximum leakage rate of 10 cfm/sf at 250 Pascals (1.0 in. of water) when tested in accordance with AMCA Standard 500-D. NA7.5.4.1(h) §140.4(e)2Diii §170.2(c)4Ciiic 9.4 P, F, or N/A Adjustable setpoint. If the high-limit control is fixed dry-bulb or fixed enthalpy with fixed dry-bulb then verify that the control has an adjustable setpoint. (Pass, Fail, or N/A) NA7.5.4.1(h) §140.4(e)2Div §170.2(c)4Ciiid 9.5 Pass Fail Sensor accuracy. Outdoor air, return air, mixed air, and supply air sensors are calibrated within the following accuracies. 1. Dry bulb and wet bulb temperatures accurate to ±2°F over the range of 40°F to 80°F. 2. Enthalpy accurate to ±3 Btu/LBS. over the range of 20 Btu/LBS. to 36 Btu/LBS. 3. Relative humidity (RH) accurate to ±5 percent over the range of 20 percent to 80 percent RH. NA7.5.4.1(h) §140.4(e)2Dv §170.2(c)4Ciiie 9.6 Pass Fail Sensor calibration data. Data used for control of the economizer is plotted on a sensor performance curve. NA7.5.4.1(h) §140.4(e)2Dvi §170.2(c)4Ciiif 9.7 Pass Fail Sensor high limit control. Sensors used for the high limit control are located to prevent false readings, including but not limited to being properly shielded from direct sunlight. NA7.5.4.1(h) §140.4(e)2Dvii §170.2(c)4Ciiig 9.8 Pass Fail Relief air system. Relief air systems is capable of providing 100 percent outside air without over- pressurizing the building. NA7.5.4.1(h) §140.4(e)2Dviii §170.2(c)4Ciiih 10 P, F, or N/A For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Verify that the economizer inlet damper is designed to modulate up to 100 percent open, and return air damper to 100 percent closed, without over-pressurizing the building. (Pass, Fail, or N/A) NA7.5.4.1(i) ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 4 of 6 January 1, 2023 Step Entry Item Code Reference 11.1, or P, F, or N/A For systems with DDC controls verify that lockout sensor(s) are either factory calibrated or field calibrated. (Pass, Fail, or N/A) NA7.5.4.1(j) 11.2 P, F, or N/A For systems with non-DDC controls, verify that manufacturer’s startup and testing procedures have been applied. (Pass, Fail, or N/A) NA7.5.4.1(k) 12 P, F, or N/A For economizers only - DOAS, HRV, or ERV systems enter N/A. Verify that the economizer has been certified to the Energy Commission by consulting the CEC Air Economizer Certified List (https://www.energy.ca.gov/media/3259). (Pass, Fail, or N/A) §140.4(e)2Diii §170.2(c)4Ciiic 13 Pass Fail Check “Pass” if construction inspection complies with all requirements. Check “Fail” if construction inspection does not comply with all requirements. NA Table B: Functional Testing for Air Economizer Controls Step Entry Functional Test Code Reference 0 Exception N/A For economizers only - DOAS, HRV, or ERV enter N/A. If the economizer is installed by the HVAC system manufacturer technician (not the economizer technician), then the economizer is excepted from this functional test (NA7.5.4.2). Enter Step 0 as “Exception, by-pass all functional testing and mark Step 7 as passing; otherwise enter Step 0 as N/A. §120.5(a)4 Exception §160.3(d)1D Exception 1 P, F, or N/A Disable demand control ventilation systems (if applicable). (Pass, Fail, or N/A) NA7.5.4.2 Step 1 2.0 Pass Fail Enable the economizer, DOAS, HRV, or ERV system and simulate a cooling demand large enough to drive the bypass to fully open position. Maintain this status for all of Step 2. NA7.5.4.2 Step 2 2.1 Pass Fail Verify either of the following: 1. Using dampers – bypass is 100 percent open, and return is 100 percent closed; or 2. Using HRV/ERV wheel – wheel is fully stopped. NA7.5.4.2 Step 2(a) Step 2(a)1 2.2 Pass Fail Verify that all applicable fans and dampers/wheels operate as intended to maintain building pressure. NA7.5.4.2 Step 2(b) 2.3 P, F, or N/A Verify that the economizer heating is disabled (if applicable). (Pass, Fail, or N/A) NA7.5.4.2 Step 2(c) ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 5 of 6 January 1, 2023 Step Entry Functional Test Code Reference 3.0 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter as N/A and proceed to Step 4. Disable the economizer and simulate a cooling demand. Maintain this status for all of Step 3. (Pass, Fail, or N/A) NA7.5.4.2 Step 3 Step 3(g) 3.1 Pass Fail Verify that the economizer damper closes to its minimum position. NA7.5.4.2 Step 3(d) 3.2 Pass Fail Verify that all applicable fans and dampers operate as intended to maintain building pressure. NA7.5.4.2 Step 3(e) 3.3 P, F, or N/A Verify that the unit heating is disabled (if unit has heating capability). (Pass, Fail, or N/A) NA7.5.4.2 Step 3(f) 4.0 Pass Fail If unit has heating capability, simulate a heating demand and set economizer, DOAS, HRV, or ERV systems so that it is capable of operating (i.e., actual outdoor air conditions are below lockout setpoint). Maintain this status for all of Step 4. NA7.5.4.2 Step 4 4.1 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and proceed to Step 4.3. Verify that the economizer damper is at minimum position. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(h) 4.2 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and proceed to Step 4.3. Verify that the return air damper opens. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(i) 4.3 P, F, or N/A For DOAS, HRV, or ERV systems only - economizers enter as N/A and proceed to Step 5. Verify that the DOAS, HRV, or ERV systems bypass control modulates bypass damper/wheel speed to control temperature setpoint. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(j) 5 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter as N/A and proceed to Step 6. Turn off the unit and verify that the economizer damper closes completely. (Pass, Fail, or N/A) NA7.5.4.2 Step 5 Step 5(k) 6 Pass Fail Restore demand control ventilation systems (if applicable) and remove all system overrides initiated. NA7.5.4.2 Step 6 7 Pass Fail Check “Pass” if functional test complies with all requirements. Check “Fail” if functional test does not comply with all requirements. N/A ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 6 of 6 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 1 of 6 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name: Enforcement Agency: Address:Permit Number: City, Zip:Permit Application Date: Building: Floor: Room: Control/tag: Intent: This Certificate of Acceptance is intended to verify Energy Code compliance for nonresidential and hotel/motel (see NRCA-MCH-23-A for multi-family) buildings with newly installed economizers, dedicated outdoor air system (DOAS), Heat Recovery Ventilation (HRV) systems, and energy recovery ventilation (ERV) system. Economizers must be certified to the California Energy Commission in compliance with JA6.3. Submit one Certificate of Acceptance for each economizer, DOAS, HRV, or ERV system that must demonstrate compliance with the Energy Code. For direct Energy Code reference see JA6.3, NA7.5.4, §140.4(e), §120.5(a)4, §160.3(d)1D, and §170.2(c)4C. Reference Table R-1 (Table 140.4-G) Climate Zones Fixed Dry Bulb Differential Dry Bulb Fixed Enthalpy with Fixed Dry bulb 1, 3, 5, 11-16 TOA > 75 oF TOA > TRA oF N/A 2, 4, and 10 TOA > 73 oF TOA > TRA – 2 oF N/A 6, 8, 9 TOA > 71 oF TOA > TRA – 4 oF N/A 7 TOA > 69 oF TOA > TRA – 6 oF N/A All Climate Zones N/A N/A HOA > 28 Btu/LBS. or TOA > 75 oF Where: TOA = Outside Air Temperature TRA = Return Air Temperature HOA = Outdoor Air Enthalpy Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.1 Pass Fail All documentation shipped with the economizer, DOAS, HRV, or ERV system including manuals and sensor performance curves are available for review. NA7.5.4.1(d) 1.2 Pass Fail Verify that the sensor output value measured during sensor calibration is plotted on the performance curve. NA7.5.4.1(e) Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: N/a first RTU 2Green, Mens PGA Super store 79-110 California 111 La Quinta, 92253 12/11/24 ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 2 of 6 January 1, 2023 Step Entry Item Code Reference 2.1 and P, F, or N/A Verify that the bypass high limit shutoff control for the economizer, DOAS, HRV, or ERV system complies with Reference Table R-1 (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 2.2 P, F, or N/A Verify that at altitudes substantially different than sea level, the Fixed Enthalpy limit value is set to the enthalpy value at 75°F and 50% relative humidity. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 3 P, F, or N/A Alternative to Step 2 If using Dew Point, Fixed Enthalpy, Electronic Enthalpy, or Differential Enthalpy Controls Energy Commission Executive Director approval for use in California must be attached. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 4 P, F, or N/A Verify that devices with selectable (rather than adjustable) setpoints are capable of being set to within 2°F and 2 Btu/LBS of the setpoint listed. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 5 P, F, or N/A Verify that if the high-limit control is fixed dry-bulb or fixed enthalpy with fixed dry-bulb, it has an adjustable setpoint. (Pass, Fail, or N/A) NA7.5.4.1(b) 6 Pass Fail Verify that the economizer, DOAS, HRV, or ERV system bypass lockout control sensor is located to prevent false readings. NA7.5.4.1(c) 7.1, or P, F, or N/A Verify if using damper for bypass control that the economizer, DOAS, HRV, or ERV system bypass damper moves freely without binding. (Pass, Fail, or N/A) NA7.5.4.1(f) 7.2 P, F, or N/A Indicate if bypass control is achieved through heat/energy recovery wheel rotation speed modulation as means other than air dampers. (Pass, Fail, or N/A) NA7.5.4.1(f)1 8 Pass Fail Verify that the economizer, DOAS, HRV, or ERV system bypass has control systems, including two- stage or electronic thermostats, that cycle compressors off when the bypass can provide partial cooling. NA7.5.4.1(g) 9.0 P, F, or N/A For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Using the documentation provided in Step 1.1, verify that the air economizer and all air dampers have ALL of the following features (9.1-9.8). (Pass, Fail, or N/A-for non-economizers) NA7.5.4.1(h) §140.4(e)2D §170.2(c)4Ciii ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 3 of 6 January 1, 2023 Step Entry Item Code Reference 9.1 Pass Fail Warranty. 5-year Manufacturer warranty of economizer assembly. NA7.5.4.1(h) §140.4(e)2Di §170.2(c)4Ciiia 9.2 Pass Fail Damper reliability testing. Certification from suppliers of economizers that the economizer assembly, including but not limited to outdoor air damper, return air damper, drive linkage, and actuator, have been tested and are able to open and close against the rated airflow and pressure of the system for 60,000 damper opening and closing cycles. NA7.5.4.1(h) §140.4(e)2Dii §170.2(c)4Ciiib 9.3 Pass Fail Damper leakage. Economizer outdoor air and return air dampers have a maximum leakage rate of 10 cfm/sf at 250 Pascals (1.0 in. of water) when tested in accordance with AMCA Standard 500-D. NA7.5.4.1(h) §140.4(e)2Diii §170.2(c)4Ciiic 9.4 P, F, or N/A Adjustable setpoint. If the high-limit control is fixed dry-bulb or fixed enthalpy with fixed dry-bulb then verify that the control has an adjustable setpoint. (Pass, Fail, or N/A) NA7.5.4.1(h) §140.4(e)2Div §170.2(c)4Ciiid 9.5 Pass Fail Sensor accuracy. Outdoor air, return air, mixed air, and supply air sensors are calibrated within the following accuracies. 1. Dry bulb and wet bulb temperatures accurate to ±2°F over the range of 40°F to 80°F. 2. Enthalpy accurate to ±3 Btu/LBS. over the range of 20 Btu/LBS. to 36 Btu/LBS. 3. Relative humidity (RH) accurate to ±5 percent over the range of 20 percent to 80 percent RH. NA7.5.4.1(h) §140.4(e)2Dv §170.2(c)4Ciiie 9.6 Pass Fail Sensor calibration data. Data used for control of the economizer is plotted on a sensor performance curve. NA7.5.4.1(h) §140.4(e)2Dvi §170.2(c)4Ciiif 9.7 Pass Fail Sensor high limit control. Sensors used for the high limit control are located to prevent false readings, including but not limited to being properly shielded from direct sunlight. NA7.5.4.1(h) §140.4(e)2Dvii §170.2(c)4Ciiig 9.8 Pass Fail Relief air system. Relief air systems is capable of providing 100 percent outside air without over- pressurizing the building. NA7.5.4.1(h) §140.4(e)2Dviii §170.2(c)4Ciiih 10 P, F, or N/A For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Verify that the economizer inlet damper is designed to modulate up to 100 percent open, and return air damper to 100 percent closed, without over-pressurizing the building. (Pass, Fail, or N/A) NA7.5.4.1(i) ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 4 of 6 January 1, 2023 Step Entry Item Code Reference 11.1, or P, F, or N/A For systems with DDC controls verify that lockout sensor(s) are either factory calibrated or field calibrated. (Pass, Fail, or N/A) NA7.5.4.1(j) 11.2 P, F, or N/A For systems with non-DDC controls, verify that manufacturer’s startup and testing procedures have been applied. (Pass, Fail, or N/A) NA7.5.4.1(k) 12 P, F, or N/A For economizers only - DOAS, HRV, or ERV systems enter N/A. Verify that the economizer has been certified to the Energy Commission by consulting the CEC Air Economizer Certified List (https://www.energy.ca.gov/media/3259). (Pass, Fail, or N/A) §140.4(e)2Diii §170.2(c)4Ciiic 13 Pass Fail Check “Pass” if construction inspection complies with all requirements. Check “Fail” if construction inspection does not comply with all requirements. NA Table B: Functional Testing for Air Economizer Controls Step Entry Functional Test Code Reference 0 Exception N/A For economizers only - DOAS, HRV, or ERV enter N/A. If the economizer is installed by the HVAC system manufacturer technician (not the economizer technician), then the economizer is excepted from this functional test (NA7.5.4.2). Enter Step 0 as “Exception, by-pass all functional testing and mark Step 7 as passing; otherwise enter Step 0 as N/A. §120.5(a)4 Exception §160.3(d)1D Exception 1 P, F, or N/A Disable demand control ventilation systems (if applicable). (Pass, Fail, or N/A) NA7.5.4.2 Step 1 2.0 Pass Fail Enable the economizer, DOAS, HRV, or ERV system and simulate a cooling demand large enough to drive the bypass to fully open position. Maintain this status for all of Step 2. NA7.5.4.2 Step 2 2.1 Pass Fail Verify either of the following: 1. Using dampers – bypass is 100 percent open, and return is 100 percent closed; or 2. Using HRV/ERV wheel – wheel is fully stopped. NA7.5.4.2 Step 2(a) Step 2(a)1 2.2 Pass Fail Verify that all applicable fans and dampers/wheels operate as intended to maintain building pressure. NA7.5.4.2 Step 2(b) 2.3 P, F, or N/A Verify that the economizer heating is disabled (if applicable). (Pass, Fail, or N/A) NA7.5.4.2 Step 2(c) ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 5 of 6 January 1, 2023 Step Entry Functional Test Code Reference 3.0 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter as N/A and proceed to Step 4. Disable the economizer and simulate a cooling demand. Maintain this status for all of Step 3. (Pass, Fail, or N/A) NA7.5.4.2 Step 3 Step 3(g) 3.1 Pass Fail Verify that the economizer damper closes to its minimum position. NA7.5.4.2 Step 3(d) 3.2 Pass Fail Verify that all applicable fans and dampers operate as intended to maintain building pressure. NA7.5.4.2 Step 3(e) 3.3 P, F, or N/A Verify that the unit heating is disabled (if unit has heating capability). (Pass, Fail, or N/A) NA7.5.4.2 Step 3(f) 4.0 Pass Fail If unit has heating capability, simulate a heating demand and set economizer, DOAS, HRV, or ERV systems so that it is capable of operating (i.e., actual outdoor air conditions are below lockout setpoint). Maintain this status for all of Step 4. NA7.5.4.2 Step 4 4.1 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and proceed to Step 4.3. Verify that the economizer damper is at minimum position. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(h) 4.2 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and proceed to Step 4.3. Verify that the return air damper opens. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(i) 4.3 P, F, or N/A For DOAS, HRV, or ERV systems only - economizers enter as N/A and proceed to Step 5. Verify that the DOAS, HRV, or ERV systems bypass control modulates bypass damper/wheel speed to control temperature setpoint. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(j) 5 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter as N/A and proceed to Step 6. Turn off the unit and verify that the economizer damper closes completely. (Pass, Fail, or N/A) NA7.5.4.2 Step 5 Step 5(k) 6 Pass Fail Restore demand control ventilation systems (if applicable) and remove all system overrides initiated. NA7.5.4.2 Step 6 7 Pass Fail Check “Pass” if functional test complies with all requirements. Check “Fail” if functional test does not comply with all requirements. N/A ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 6 of 6 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 1 of 6 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name: Enforcement Agency: Address:Permit Number: City, Zip:Permit Application Date: Building: Floor: Room: Control/tag: Intent: This Certificate of Acceptance is intended to verify Energy Code compliance for nonresidential and hotel/motel (see NRCA-MCH-23-A for multi-family) buildings with newly installed economizers, dedicated outdoor air system (DOAS), Heat Recovery Ventilation (HRV) systems, and energy recovery ventilation (ERV) system. Economizers must be certified to the California Energy Commission in compliance with JA6.3. Submit one Certificate of Acceptance for each economizer, DOAS, HRV, or ERV system that must demonstrate compliance with the Energy Code. For direct Energy Code reference see JA6.3, NA7.5.4, §140.4(e), §120.5(a)4, §160.3(d)1D, and §170.2(c)4C. Reference Table R-1 (Table 140.4-G) Climate Zones Fixed Dry Bulb Differential Dry Bulb Fixed Enthalpy with Fixed Dry bulb 1, 3, 5, 11-16 TOA > 75 oF TOA > TRA oF N/A 2, 4, and 10 TOA > 73 oF TOA > TRA – 2 oF N/A 6, 8, 9 TOA > 71 oF TOA > TRA – 4 oF N/A 7 TOA > 69 oF TOA > TRA – 6 oF N/A All Climate Zones N/A N/A HOA > 28 Btu/LBS. or TOA > 75 oF Where: TOA = Outside Air Temperature TRA = Return Air Temperature HOA = Outdoor Air Enthalpy Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.1 Pass Fail All documentation shipped with the economizer, DOAS, HRV, or ERV system including manuals and sensor performance curves are available for review. NA7.5.4.1(d) 1.2 Pass Fail Verify that the sensor output value measured during sensor calibration is plotted on the performance curve. NA7.5.4.1(e) Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: N/a first RTU 5Bags, Studios PGA Super store 79-110 California 111 La Quinta, 92253 12/11/24 ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 2 of 6 January 1, 2023 Step Entry Item Code Reference 2.1 and P, F, or N/A Verify that the bypass high limit shutoff control for the economizer, DOAS, HRV, or ERV system complies with Reference Table R-1 (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 2.2 P, F, or N/A Verify that at altitudes substantially different than sea level, the Fixed Enthalpy limit value is set to the enthalpy value at 75°F and 50% relative humidity. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 3 P, F, or N/A Alternative to Step 2 If using Dew Point, Fixed Enthalpy, Electronic Enthalpy, or Differential Enthalpy Controls Energy Commission Executive Director approval for use in California must be attached. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 4 P, F, or N/A Verify that devices with selectable (rather than adjustable) setpoints are capable of being set to within 2°F and 2 Btu/LBS of the setpoint listed. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 5 P, F, or N/A Verify that if the high-limit control is fixed dry-bulb or fixed enthalpy with fixed dry-bulb, it has an adjustable setpoint. (Pass, Fail, or N/A) NA7.5.4.1(b) 6 Pass Fail Verify that the economizer, DOAS, HRV, or ERV system bypass lockout control sensor is located to prevent false readings. NA7.5.4.1(c) 7.1, or P, F, or N/A Verify if using damper for bypass control that the economizer, DOAS, HRV, or ERV system bypass damper moves freely without binding. (Pass, Fail, or N/A) NA7.5.4.1(f) 7.2 P, F, or N/A Indicate if bypass control is achieved through heat/energy recovery wheel rotation speed modulation as means other than air dampers. (Pass, Fail, or N/A) NA7.5.4.1(f)1 8 Pass Fail Verify that the economizer, DOAS, HRV, or ERV system bypass has control systems, including two- stage or electronic thermostats, that cycle compressors off when the bypass can provide partial cooling. NA7.5.4.1(g) 9.0 P, F, or N/A For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Using the documentation provided in Step 1.1, verify that the air economizer and all air dampers have ALL of the following features (9.1-9.8). (Pass, Fail, or N/A-for non-economizers) NA7.5.4.1(h) §140.4(e)2D §170.2(c)4Ciii ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 3 of 6 January 1, 2023 Step Entry Item Code Reference 9.1 Pass Fail Warranty. 5-year Manufacturer warranty of economizer assembly. NA7.5.4.1(h) §140.4(e)2Di §170.2(c)4Ciiia 9.2 Pass Fail Damper reliability testing. Certification from suppliers of economizers that the economizer assembly, including but not limited to outdoor air damper, return air damper, drive linkage, and actuator, have been tested and are able to open and close against the rated airflow and pressure of the system for 60,000 damper opening and closing cycles. NA7.5.4.1(h) §140.4(e)2Dii §170.2(c)4Ciiib 9.3 Pass Fail Damper leakage. Economizer outdoor air and return air dampers have a maximum leakage rate of 10 cfm/sf at 250 Pascals (1.0 in. of water) when tested in accordance with AMCA Standard 500-D. NA7.5.4.1(h) §140.4(e)2Diii §170.2(c)4Ciiic 9.4 P, F, or N/A Adjustable setpoint. If the high-limit control is fixed dry-bulb or fixed enthalpy with fixed dry-bulb then verify that the control has an adjustable setpoint. (Pass, Fail, or N/A) NA7.5.4.1(h) §140.4(e)2Div §170.2(c)4Ciiid 9.5 Pass Fail Sensor accuracy. Outdoor air, return air, mixed air, and supply air sensors are calibrated within the following accuracies. 1. Dry bulb and wet bulb temperatures accurate to ±2°F over the range of 40°F to 80°F. 2. Enthalpy accurate to ±3 Btu/LBS. over the range of 20 Btu/LBS. to 36 Btu/LBS. 3. Relative humidity (RH) accurate to ±5 percent over the range of 20 percent to 80 percent RH. NA7.5.4.1(h) §140.4(e)2Dv §170.2(c)4Ciiie 9.6 Pass Fail Sensor calibration data. Data used for control of the economizer is plotted on a sensor performance curve. NA7.5.4.1(h) §140.4(e)2Dvi §170.2(c)4Ciiif 9.7 Pass Fail Sensor high limit control. Sensors used for the high limit control are located to prevent false readings, including but not limited to being properly shielded from direct sunlight. NA7.5.4.1(h) §140.4(e)2Dvii §170.2(c)4Ciiig 9.8 Pass Fail Relief air system. Relief air systems is capable of providing 100 percent outside air without over- pressurizing the building. NA7.5.4.1(h) §140.4(e)2Dviii §170.2(c)4Ciiih 10 P, F, or N/A For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Verify that the economizer inlet damper is designed to modulate up to 100 percent open, and return air damper to 100 percent closed, without over-pressurizing the building. (Pass, Fail, or N/A) NA7.5.4.1(i) ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 4 of 6 January 1, 2023 Step Entry Item Code Reference 11.1, or P, F, or N/A For systems with DDC controls verify that lockout sensor(s) are either factory calibrated or field calibrated. (Pass, Fail, or N/A) NA7.5.4.1(j) 11.2 P, F, or N/A For systems with non-DDC controls, verify that manufacturer’s startup and testing procedures have been applied. (Pass, Fail, or N/A) NA7.5.4.1(k) 12 P, F, or N/A For economizers only - DOAS, HRV, or ERV systems enter N/A. Verify that the economizer has been certified to the Energy Commission by consulting the CEC Air Economizer Certified List (https://www.energy.ca.gov/media/3259). (Pass, Fail, or N/A) §140.4(e)2Diii §170.2(c)4Ciiic 13 Pass Fail Check “Pass” if construction inspection complies with all requirements. Check “Fail” if construction inspection does not comply with all requirements. NA Table B: Functional Testing for Air Economizer Controls Step Entry Functional Test Code Reference 0 Exception N/A For economizers only - DOAS, HRV, or ERV enter N/A. If the economizer is installed by the HVAC system manufacturer technician (not the economizer technician), then the economizer is excepted from this functional test (NA7.5.4.2). Enter Step 0 as “Exception, by-pass all functional testing and mark Step 7 as passing; otherwise enter Step 0 as N/A. §120.5(a)4 Exception §160.3(d)1D Exception 1 P, F, or N/A Disable demand control ventilation systems (if applicable). (Pass, Fail, or N/A) NA7.5.4.2 Step 1 2.0 Pass Fail Enable the economizer, DOAS, HRV, or ERV system and simulate a cooling demand large enough to drive the bypass to fully open position. Maintain this status for all of Step 2. NA7.5.4.2 Step 2 2.1 Pass Fail Verify either of the following: 1. Using dampers – bypass is 100 percent open, and return is 100 percent closed; or 2. Using HRV/ERV wheel – wheel is fully stopped. NA7.5.4.2 Step 2(a) Step 2(a)1 2.2 Pass Fail Verify that all applicable fans and dampers/wheels operate as intended to maintain building pressure. NA7.5.4.2 Step 2(b) 2.3 P, F, or N/A Verify that the economizer heating is disabled (if applicable). (Pass, Fail, or N/A) NA7.5.4.2 Step 2(c) ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 5 of 6 January 1, 2023 Step Entry Functional Test Code Reference 3.0 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter as N/A and proceed to Step 4. Disable the economizer and simulate a cooling demand. Maintain this status for all of Step 3. (Pass, Fail, or N/A) NA7.5.4.2 Step 3 Step 3(g) 3.1 Pass Fail Verify that the economizer damper closes to its minimum position. NA7.5.4.2 Step 3(d) 3.2 Pass Fail Verify that all applicable fans and dampers operate as intended to maintain building pressure. NA7.5.4.2 Step 3(e) 3.3 P, F, or N/A Verify that the unit heating is disabled (if unit has heating capability). (Pass, Fail, or N/A) NA7.5.4.2 Step 3(f) 4.0 Pass Fail If unit has heating capability, simulate a heating demand and set economizer, DOAS, HRV, or ERV systems so that it is capable of operating (i.e., actual outdoor air conditions are below lockout setpoint). Maintain this status for all of Step 4. NA7.5.4.2 Step 4 4.1 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and proceed to Step 4.3. Verify that the economizer damper is at minimum position. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(h) 4.2 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and proceed to Step 4.3. Verify that the return air damper opens. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(i) 4.3 P, F, or N/A For DOAS, HRV, or ERV systems only - economizers enter as N/A and proceed to Step 5. Verify that the DOAS, HRV, or ERV systems bypass control modulates bypass damper/wheel speed to control temperature setpoint. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(j) 5 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter as N/A and proceed to Step 6. Turn off the unit and verify that the economizer damper closes completely. (Pass, Fail, or N/A) NA7.5.4.2 Step 5 Step 5(k) 6 Pass Fail Restore demand control ventilation systems (if applicable) and remove all system overrides initiated. NA7.5.4.2 Step 6 7 Pass Fail Check “Pass” if functional test complies with all requirements. Check “Fail” if functional test does not comply with all requirements. N/A ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 6 of 6 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 1 of 6 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name: Enforcement Agency: Address:Permit Number: City, Zip:Permit Application Date: Building: Floor: Room: Control/tag: Intent: This Certificate of Acceptance is intended to verify Energy Code compliance for nonresidential and hotel/motel (see NRCA-MCH-23-A for multi-family) buildings with newly installed economizers, dedicated outdoor air system (DOAS), Heat Recovery Ventilation (HRV) systems, and energy recovery ventilation (ERV) system. Economizers must be certified to the California Energy Commission in compliance with JA6.3. Submit one Certificate of Acceptance for each economizer, DOAS, HRV, or ERV system that must demonstrate compliance with the Energy Code. For direct Energy Code reference see JA6.3, NA7.5.4, §140.4(e), §120.5(a)4, §160.3(d)1D, and §170.2(c)4C. Reference Table R-1 (Table 140.4-G) Climate Zones Fixed Dry Bulb Differential Dry Bulb Fixed Enthalpy with Fixed Dry bulb 1, 3, 5, 11-16 TOA > 75 oF TOA > TRA oF N/A 2, 4, and 10 TOA > 73 oF TOA > TRA – 2 oF N/A 6, 8, 9 TOA > 71 oF TOA > TRA – 4 oF N/A 7 TOA > 69 oF TOA > TRA – 6 oF N/A All Climate Zones N/A N/A HOA > 28 Btu/LBS. or TOA > 75 oF Where: TOA = Outside Air Temperature TRA = Return Air Temperature HOA = Outdoor Air Enthalpy Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.1 Pass Fail All documentation shipped with the economizer, DOAS, HRV, or ERV system including manuals and sensor performance curves are available for review. NA7.5.4.1(d) 1.2 Pass Fail Verify that the sensor output value measured during sensor calibration is plotted on the performance curve. NA7.5.4.1(e) Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: N/a first RTU 3Accessories PGA Super store 79-110 California 111 La Quinta, 92253 12/11/24 ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 2 of 6 January 1, 2023 Step Entry Item Code Reference 2.1 and P, F, or N/A Verify that the bypass high limit shutoff control for the economizer, DOAS, HRV, or ERV system complies with Reference Table R-1 (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 2.2 P, F, or N/A Verify that at altitudes substantially different than sea level, the Fixed Enthalpy limit value is set to the enthalpy value at 75°F and 50% relative humidity. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 3 P, F, or N/A Alternative to Step 2 If using Dew Point, Fixed Enthalpy, Electronic Enthalpy, or Differential Enthalpy Controls Energy Commission Executive Director approval for use in California must be attached. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 4 P, F, or N/A Verify that devices with selectable (rather than adjustable) setpoints are capable of being set to within 2°F and 2 Btu/LBS of the setpoint listed. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 5 P, F, or N/A Verify that if the high-limit control is fixed dry-bulb or fixed enthalpy with fixed dry-bulb, it has an adjustable setpoint. (Pass, Fail, or N/A) NA7.5.4.1(b) 6 Pass Fail Verify that the economizer, DOAS, HRV, or ERV system bypass lockout control sensor is located to prevent false readings. NA7.5.4.1(c) 7.1, or P, F, or N/A Verify if using damper for bypass control that the economizer, DOAS, HRV, or ERV system bypass damper moves freely without binding. (Pass, Fail, or N/A) NA7.5.4.1(f) 7.2 P, F, or N/A Indicate if bypass control is achieved through heat/energy recovery wheel rotation speed modulation as means other than air dampers. (Pass, Fail, or N/A) NA7.5.4.1(f)1 8 Pass Fail Verify that the economizer, DOAS, HRV, or ERV system bypass has control systems, including two- stage or electronic thermostats, that cycle compressors off when the bypass can provide partial cooling. NA7.5.4.1(g) 9.0 P, F, or N/A For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Using the documentation provided in Step 1.1, verify that the air economizer and all air dampers have ALL of the following features (9.1-9.8). (Pass, Fail, or N/A-for non-economizers) NA7.5.4.1(h) §140.4(e)2D §170.2(c)4Ciii ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 3 of 6 January 1, 2023 Step Entry Item Code Reference 9.1 Pass Fail Warranty. 5-year Manufacturer warranty of economizer assembly. NA7.5.4.1(h) §140.4(e)2Di §170.2(c)4Ciiia 9.2 Pass Fail Damper reliability testing. Certification from suppliers of economizers that the economizer assembly, including but not limited to outdoor air damper, return air damper, drive linkage, and actuator, have been tested and are able to open and close against the rated airflow and pressure of the system for 60,000 damper opening and closing cycles. NA7.5.4.1(h) §140.4(e)2Dii §170.2(c)4Ciiib 9.3 Pass Fail Damper leakage. Economizer outdoor air and return air dampers have a maximum leakage rate of 10 cfm/sf at 250 Pascals (1.0 in. of water) when tested in accordance with AMCA Standard 500-D. NA7.5.4.1(h) §140.4(e)2Diii §170.2(c)4Ciiic 9.4 P, F, or N/A Adjustable setpoint. If the high-limit control is fixed dry-bulb or fixed enthalpy with fixed dry-bulb then verify that the control has an adjustable setpoint. (Pass, Fail, or N/A) NA7.5.4.1(h) §140.4(e)2Div §170.2(c)4Ciiid 9.5 Pass Fail Sensor accuracy. Outdoor air, return air, mixed air, and supply air sensors are calibrated within the following accuracies. 1. Dry bulb and wet bulb temperatures accurate to ±2°F over the range of 40°F to 80°F. 2. Enthalpy accurate to ±3 Btu/LBS. over the range of 20 Btu/LBS. to 36 Btu/LBS. 3. Relative humidity (RH) accurate to ±5 percent over the range of 20 percent to 80 percent RH. NA7.5.4.1(h) §140.4(e)2Dv §170.2(c)4Ciiie 9.6 Pass Fail Sensor calibration data. Data used for control of the economizer is plotted on a sensor performance curve. NA7.5.4.1(h) §140.4(e)2Dvi §170.2(c)4Ciiif 9.7 Pass Fail Sensor high limit control. Sensors used for the high limit control are located to prevent false readings, including but not limited to being properly shielded from direct sunlight. NA7.5.4.1(h) §140.4(e)2Dvii §170.2(c)4Ciiig 9.8 Pass Fail Relief air system. Relief air systems is capable of providing 100 percent outside air without over- pressurizing the building. NA7.5.4.1(h) §140.4(e)2Dviii §170.2(c)4Ciiih 10 P, F, or N/A For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Verify that the economizer inlet damper is designed to modulate up to 100 percent open, and return air damper to 100 percent closed, without over-pressurizing the building. (Pass, Fail, or N/A) NA7.5.4.1(i) ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 4 of 6 January 1, 2023 Step Entry Item Code Reference 11.1, or P, F, or N/A For systems with DDC controls verify that lockout sensor(s) are either factory calibrated or field calibrated. (Pass, Fail, or N/A) NA7.5.4.1(j) 11.2 P, F, or N/A For systems with non-DDC controls, verify that manufacturer’s startup and testing procedures have been applied. (Pass, Fail, or N/A) NA7.5.4.1(k) 12 P, F, or N/A For economizers only - DOAS, HRV, or ERV systems enter N/A. Verify that the economizer has been certified to the Energy Commission by consulting the CEC Air Economizer Certified List (https://www.energy.ca.gov/media/3259). (Pass, Fail, or N/A) §140.4(e)2Diii §170.2(c)4Ciiic 13 Pass Fail Check “Pass” if construction inspection complies with all requirements. Check “Fail” if construction inspection does not comply with all requirements. NA Table B: Functional Testing for Air Economizer Controls Step Entry Functional Test Code Reference 0 Exception N/A For economizers only - DOAS, HRV, or ERV enter N/A. If the economizer is installed by the HVAC system manufacturer technician (not the economizer technician), then the economizer is excepted from this functional test (NA7.5.4.2). Enter Step 0 as “Exception, by-pass all functional testing and mark Step 7 as passing; otherwise enter Step 0 as N/A. §120.5(a)4 Exception §160.3(d)1D Exception 1 P, F, or N/A Disable demand control ventilation systems (if applicable). (Pass, Fail, or N/A) NA7.5.4.2 Step 1 2.0 Pass Fail Enable the economizer, DOAS, HRV, or ERV system and simulate a cooling demand large enough to drive the bypass to fully open position. Maintain this status for all of Step 2. NA7.5.4.2 Step 2 2.1 Pass Fail Verify either of the following: 1. Using dampers – bypass is 100 percent open, and return is 100 percent closed; or 2. Using HRV/ERV wheel – wheel is fully stopped. NA7.5.4.2 Step 2(a) Step 2(a)1 2.2 Pass Fail Verify that all applicable fans and dampers/wheels operate as intended to maintain building pressure. NA7.5.4.2 Step 2(b) 2.3 P, F, or N/A Verify that the economizer heating is disabled (if applicable). (Pass, Fail, or N/A) NA7.5.4.2 Step 2(c) ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 5 of 6 January 1, 2023 Step Entry Functional Test Code Reference 3.0 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter as N/A and proceed to Step 4. Disable the economizer and simulate a cooling demand. Maintain this status for all of Step 3. (Pass, Fail, or N/A) NA7.5.4.2 Step 3 Step 3(g) 3.1 Pass Fail Verify that the economizer damper closes to its minimum position. NA7.5.4.2 Step 3(d) 3.2 Pass Fail Verify that all applicable fans and dampers operate as intended to maintain building pressure. NA7.5.4.2 Step 3(e) 3.3 P, F, or N/A Verify that the unit heating is disabled (if unit has heating capability). (Pass, Fail, or N/A) NA7.5.4.2 Step 3(f) 4.0 Pass Fail If unit has heating capability, simulate a heating demand and set economizer, DOAS, HRV, or ERV systems so that it is capable of operating (i.e., actual outdoor air conditions are below lockout setpoint). Maintain this status for all of Step 4. NA7.5.4.2 Step 4 4.1 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and proceed to Step 4.3. Verify that the economizer damper is at minimum position. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(h) 4.2 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and proceed to Step 4.3. Verify that the return air damper opens. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(i) 4.3 P, F, or N/A For DOAS, HRV, or ERV systems only - economizers enter as N/A and proceed to Step 5. Verify that the DOAS, HRV, or ERV systems bypass control modulates bypass damper/wheel speed to control temperature setpoint. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(j) 5 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter as N/A and proceed to Step 6. Turn off the unit and verify that the economizer damper closes completely. (Pass, Fail, or N/A) NA7.5.4.2 Step 5 Step 5(k) 6 Pass Fail Restore demand control ventilation systems (if applicable) and remove all system overrides initiated. NA7.5.4.2 Step 6 7 Pass Fail Check “Pass” if functional test complies with all requirements. Check “Fail” if functional test does not comply with all requirements. N/A ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 6 of 6 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024 ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 1 of 6 January 1, 2023 Project Name and Address Authority Having Jurisdiction Name: Enforcement Agency: Address:Permit Number: City, Zip:Permit Application Date: Building: Floor: Room: Control/tag: Intent: This Certificate of Acceptance is intended to verify Energy Code compliance for nonresidential and hotel/motel (see NRCA-MCH-23-A for multi-family) buildings with newly installed economizers, dedicated outdoor air system (DOAS), Heat Recovery Ventilation (HRV) systems, and energy recovery ventilation (ERV) system. Economizers must be certified to the California Energy Commission in compliance with JA6.3. Submit one Certificate of Acceptance for each economizer, DOAS, HRV, or ERV system that must demonstrate compliance with the Energy Code. For direct Energy Code reference see JA6.3, NA7.5.4, §140.4(e), §120.5(a)4, §160.3(d)1D, and §170.2(c)4C. Reference Table R-1 (Table 140.4-G) Climate Zones Fixed Dry Bulb Differential Dry Bulb Fixed Enthalpy with Fixed Dry bulb 1, 3, 5, 11-16 TOA > 75 oF TOA > TRA oF N/A 2, 4, and 10 TOA > 73 oF TOA > TRA – 2 oF N/A 6, 8, 9 TOA > 71 oF TOA > TRA – 4 oF N/A 7 TOA > 69 oF TOA > TRA – 6 oF N/A All Climate Zones N/A N/A HOA > 28 Btu/LBS. or TOA > 75 oF Where: TOA = Outside Air Temperature TRA = Return Air Temperature HOA = Outdoor Air Enthalpy Table A: Construction Inspection Prior to functional testing, verify and document all of the following Step Entry Item Code Reference 1.1 Pass Fail All documentation shipped with the economizer, DOAS, HRV, or ERV system including manuals and sensor performance curves are available for review. NA7.5.4.1(d) 1.2 Pass Fail Verify that the sensor output value measured during sensor calibration is plotted on the performance curve. NA7.5.4.1(e) Construction inspection and functional testing comply Does not comply Date Submitted to AHJ: N/a first RTU 6Tennis, womens PGA Super store 79-110 California 111 La Quinta, 92253 12/11/24 ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 2 of 6 January 1, 2023 Step Entry Item Code Reference 2.1 and P, F, or N/A Verify that the bypass high limit shutoff control for the economizer, DOAS, HRV, or ERV system complies with Reference Table R-1 (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 2.2 P, F, or N/A Verify that at altitudes substantially different than sea level, the Fixed Enthalpy limit value is set to the enthalpy value at 75°F and 50% relative humidity. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 3 P, F, or N/A Alternative to Step 2 If using Dew Point, Fixed Enthalpy, Electronic Enthalpy, or Differential Enthalpy Controls Energy Commission Executive Director approval for use in California must be attached. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 4 P, F, or N/A Verify that devices with selectable (rather than adjustable) setpoints are capable of being set to within 2°F and 2 Btu/LBS of the setpoint listed. (Pass, Fail, or N/A) NA7.5.4.1(a) §140.4(e)2 Table 140.4-G §170.2(c)4Cii Table 170.2-G 5 P, F, or N/A Verify that if the high-limit control is fixed dry-bulb or fixed enthalpy with fixed dry-bulb, it has an adjustable setpoint. (Pass, Fail, or N/A) NA7.5.4.1(b) 6 Pass Fail Verify that the economizer, DOAS, HRV, or ERV system bypass lockout control sensor is located to prevent false readings. NA7.5.4.1(c) 7.1, or P, F, or N/A Verify if using damper for bypass control that the economizer, DOAS, HRV, or ERV system bypass damper moves freely without binding. (Pass, Fail, or N/A) NA7.5.4.1(f) 7.2 P, F, or N/A Indicate if bypass control is achieved through heat/energy recovery wheel rotation speed modulation as means other than air dampers. (Pass, Fail, or N/A) NA7.5.4.1(f)1 8 Pass Fail Verify that the economizer, DOAS, HRV, or ERV system bypass has control systems, including two- stage or electronic thermostats, that cycle compressors off when the bypass can provide partial cooling. NA7.5.4.1(g) 9.0 P, F, or N/A For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Using the documentation provided in Step 1.1, verify that the air economizer and all air dampers have ALL of the following features (9.1-9.8). (Pass, Fail, or N/A-for non-economizers) NA7.5.4.1(h) §140.4(e)2D §170.2(c)4Ciii ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 3 of 6 January 1, 2023 Step Entry Item Code Reference 9.1 Pass Fail Warranty. 5-year Manufacturer warranty of economizer assembly. NA7.5.4.1(h) §140.4(e)2Di §170.2(c)4Ciiia 9.2 Pass Fail Damper reliability testing. Certification from suppliers of economizers that the economizer assembly, including but not limited to outdoor air damper, return air damper, drive linkage, and actuator, have been tested and are able to open and close against the rated airflow and pressure of the system for 60,000 damper opening and closing cycles. NA7.5.4.1(h) §140.4(e)2Dii §170.2(c)4Ciiib 9.3 Pass Fail Damper leakage. Economizer outdoor air and return air dampers have a maximum leakage rate of 10 cfm/sf at 250 Pascals (1.0 in. of water) when tested in accordance with AMCA Standard 500-D. NA7.5.4.1(h) §140.4(e)2Diii §170.2(c)4Ciiic 9.4 P, F, or N/A Adjustable setpoint. If the high-limit control is fixed dry-bulb or fixed enthalpy with fixed dry-bulb then verify that the control has an adjustable setpoint. (Pass, Fail, or N/A) NA7.5.4.1(h) §140.4(e)2Div §170.2(c)4Ciiid 9.5 Pass Fail Sensor accuracy. Outdoor air, return air, mixed air, and supply air sensors are calibrated within the following accuracies. 1. Dry bulb and wet bulb temperatures accurate to ±2°F over the range of 40°F to 80°F. 2. Enthalpy accurate to ±3 Btu/LBS. over the range of 20 Btu/LBS. to 36 Btu/LBS. 3. Relative humidity (RH) accurate to ±5 percent over the range of 20 percent to 80 percent RH. NA7.5.4.1(h) §140.4(e)2Dv §170.2(c)4Ciiie 9.6 Pass Fail Sensor calibration data. Data used for control of the economizer is plotted on a sensor performance curve. NA7.5.4.1(h) §140.4(e)2Dvi §170.2(c)4Ciiif 9.7 Pass Fail Sensor high limit control. Sensors used for the high limit control are located to prevent false readings, including but not limited to being properly shielded from direct sunlight. NA7.5.4.1(h) §140.4(e)2Dvii §170.2(c)4Ciiig 9.8 Pass Fail Relief air system. Relief air systems is capable of providing 100 percent outside air without over- pressurizing the building. NA7.5.4.1(h) §140.4(e)2Dviii §170.2(c)4Ciiih 10 P, F, or N/A For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Verify that the economizer inlet damper is designed to modulate up to 100 percent open, and return air damper to 100 percent closed, without over-pressurizing the building. (Pass, Fail, or N/A) NA7.5.4.1(i) ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 4 of 6 January 1, 2023 Step Entry Item Code Reference 11.1, or P, F, or N/A For systems with DDC controls verify that lockout sensor(s) are either factory calibrated or field calibrated. (Pass, Fail, or N/A) NA7.5.4.1(j) 11.2 P, F, or N/A For systems with non-DDC controls, verify that manufacturer’s startup and testing procedures have been applied. (Pass, Fail, or N/A) NA7.5.4.1(k) 12 P, F, or N/A For economizers only - DOAS, HRV, or ERV systems enter N/A. Verify that the economizer has been certified to the Energy Commission by consulting the CEC Air Economizer Certified List (https://www.energy.ca.gov/media/3259). (Pass, Fail, or N/A) §140.4(e)2Diii §170.2(c)4Ciiic 13 Pass Fail Check “Pass” if construction inspection complies with all requirements. Check “Fail” if construction inspection does not comply with all requirements. NA Table B: Functional Testing for Air Economizer Controls Step Entry Functional Test Code Reference 0 Exception N/A For economizers only - DOAS, HRV, or ERV enter N/A. If the economizer is installed by the HVAC system manufacturer technician (not the economizer technician), then the economizer is excepted from this functional test (NA7.5.4.2). Enter Step 0 as “Exception, by-pass all functional testing and mark Step 7 as passing; otherwise enter Step 0 as N/A. §120.5(a)4 Exception §160.3(d)1D Exception 1 P, F, or N/A Disable demand control ventilation systems (if applicable). (Pass, Fail, or N/A) NA7.5.4.2 Step 1 2.0 Pass Fail Enable the economizer, DOAS, HRV, or ERV system and simulate a cooling demand large enough to drive the bypass to fully open position. Maintain this status for all of Step 2. NA7.5.4.2 Step 2 2.1 Pass Fail Verify either of the following: 1. Using dampers – bypass is 100 percent open, and return is 100 percent closed; or 2. Using HRV/ERV wheel – wheel is fully stopped. NA7.5.4.2 Step 2(a) Step 2(a)1 2.2 Pass Fail Verify that all applicable fans and dampers/wheels operate as intended to maintain building pressure. NA7.5.4.2 Step 2(b) 2.3 P, F, or N/A Verify that the economizer heating is disabled (if applicable). (Pass, Fail, or N/A) NA7.5.4.2 Step 2(c) ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 5 of 6 January 1, 2023 Step Entry Functional Test Code Reference 3.0 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter as N/A and proceed to Step 4. Disable the economizer and simulate a cooling demand. Maintain this status for all of Step 3. (Pass, Fail, or N/A) NA7.5.4.2 Step 3 Step 3(g) 3.1 Pass Fail Verify that the economizer damper closes to its minimum position. NA7.5.4.2 Step 3(d) 3.2 Pass Fail Verify that all applicable fans and dampers operate as intended to maintain building pressure. NA7.5.4.2 Step 3(e) 3.3 P, F, or N/A Verify that the unit heating is disabled (if unit has heating capability). (Pass, Fail, or N/A) NA7.5.4.2 Step 3(f) 4.0 Pass Fail If unit has heating capability, simulate a heating demand and set economizer, DOAS, HRV, or ERV systems so that it is capable of operating (i.e., actual outdoor air conditions are below lockout setpoint). Maintain this status for all of Step 4. NA7.5.4.2 Step 4 4.1 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and proceed to Step 4.3. Verify that the economizer damper is at minimum position. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(h) 4.2 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and proceed to Step 4.3. Verify that the return air damper opens. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(i) 4.3 P, F, or N/A For DOAS, HRV, or ERV systems only - economizers enter as N/A and proceed to Step 5. Verify that the DOAS, HRV, or ERV systems bypass control modulates bypass damper/wheel speed to control temperature setpoint. (Pass, Fail, or N/A) NA7.5.4.2 Step 4(j) 5 P, F, or N/A For economizers only – DOAS, HRV, or ERV systems enter as N/A and proceed to Step 6. Turn off the unit and verify that the economizer damper closes completely. (Pass, Fail, or N/A) NA7.5.4.2 Step 5 Step 5(k) 6 Pass Fail Restore demand control ventilation systems (if applicable) and remove all system overrides initiated. NA7.5.4.2 Step 6 7 Pass Fail Check “Pass” if functional test complies with all requirements. Check “Fail” if functional test does not comply with all requirements. N/A ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A California Energy Commission Page 6 of 6 January 1, 2023 Declaration Statement Signatory Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Acceptance Test Technician I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Responsible Person I assert the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. I understand that a completed, signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. I understand that a signed copy of this Certificate of Acceptance 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 ensure this requirement is accomplished. David Folger Bradley Mechanical 748290 Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical Project Manager (714)964-4600 12/11/2024 David Folger Bradley Mechanical 12/11/2024