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BCOM2023-0039 Title 24Reviewed for Code Compliance ANALYSIS REPORT PROJECT: LUNA GRILL PANERA BUILDING 79124 HIGHWAY 111 LA QU I NTA, CA 92253 Project Designer: jag architecture 15 HUBBLE, STE. 200 IRVINE„ CA 92618 (949) 752-9333 Report Prepared by: Ray Parsi Pro Engineering 2712 Loker Ave, West, #1063 Carslbad, CA 92010 Job Number: 23-331 Date: 7/10/2023 BCOM2023-0039 LUNA GRILL / 2,533SF RESTAURANT TENANT IMPROVEMENT [VB/A-2 OCC/59-OL/SPRINKLED]. THIS PERMIT DOES NOT INCLUDE BUILDING SIGNAGE. NO PATH OF TRAVEL IMPROVEMENTS REQUIRED PER ARCHITECT. TUMF ASSESSMENT NOT TRIGGERED PER 2023 HANDBOOK. 2022 CALIFORNI BUILDING CODES. CITY OF LA QUINTA BUILDING DIVISION REVIEWED FOR CODE COMPLIANCE 7Art 11/08/2023 ev The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2022 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC—www.energysoft.com. Reviewed for Code Compliance NTS Cover Page 1 Table of Contents 2 Form NRCC-ENV-E Envelope Component Approach 3 Form NRCC-MCH-E Mechanical Systems 10 Form NRCC-PLB-E Domestic Water Heating System 21 Form NRCC-PRC-E Process Compliance 27 STATE OFC"IR iewed for Code Compliance Envelope Componenletptoalf2, 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF L NRCC-ENV-E This docum en is use o emons ra e comp iance wi Fir man ry requireme s in 110.8(g) and 120.7(b)/160.1 for newly constructed nonresidential, hotel/motel, multifamily and mixed -use buildings, and 141.0(b)1/180.2 for alterations, related to roof, wall and floor assemblies. It is also used to demonstrate compliance with prescriptive requirements in 140.31 170.2 for newly constructed buildings, and 141.0/ 180.1/ 180.2 for additions and alterations, related to roof, wall, floor, door, fenestration and daylighting requirements. Project Name: LUNA GRILL Report Page: (Page 1 of 7) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 A. GENERAL INFORMATION 01 Project Location (city) LA QUINTA 05 # of Stories (Habitable Above Grade) 1 02 Zipcode 92253 06 Total Conditioned Floor Area (ft2) 2412 03 Climate Zone 15 07 Total Unconditioned Floor Area (ft2) 0 Occupancy Types Within Project: (select all that apply): If one occupancy constitutes >= 80% of the conditioned floor area, the entire building ❑ Project includes unconditioned enclosed space(s) > 5,000 ft2 under a roof with a ceiling 04 envelope may be designed to comply with the provisions of that occupancy 08 height of at least 15 ft.' per 100.0(f). • Restaurant 9 All Other Occupancies ' FOOTNOTE: Enclosed spaces > 5,000 ft2 directly under roof with ceiling height > 15ft in climate zones 2 through 15 are required to meet the minimum daylighting requirements defined in 140.3(c)/170.2(b). Compliance with 140.3(c)/170.2(b) is documented in Table L. This is the only prescriptive requirement which applies to unconditioned spaces. B. PROJECT SCOPE This table specifies project envelope components within the permit application demonstrating compliance using the prescriptive paths outlined in 140.31170.2 and 141.0(a)1/ 180.1 and 141.0(b)1 and 2/180.2 for additions and alterations. My project consists of (check all that apply) Component Types 01 02 ❑ New Construction or Newly Conditioned Space El Roof ElWalls ElExterior Opaque Doors ❑ I One or more enclosed spaces > 5,000 ft2 directly under roof with ceiling height > 15ft ❑ Floors ❑ Fenestration/ Glazed Doors' ❑ Addition of conditioned space El Roof ❑ Walls ❑ Exterior Opaque Doors ❑ One or more enclosed spaces > 5,000 ft2 directly under roof with ceiling height > 15ft El Addition is <=700 ft2 ❑ Floors ❑ Fenestration/ Glazed Doors' ❑ Addition is >700 ftz ® Alteration of conditioned space ❑ Roof Assembly ® Walls Exterior Opaque Doors NA. for Alts. ❑ One or more enclosed spaces > 5,000 ft2 directly under roof with ceiling height > 15ft and lighting system installed for the first time ElMateria12 Roofing ❑ Floors ® Fenestration Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3777 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:06 STATE OFcviewed for Code Compliance Envelope Componenletpt2alf2. 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF NRCC ENV-E L N E Consulfonci Project Name: Rbom 'ftvLUNA GRILL Report Page: (Page 2 of 7) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 B. PROJECT SCOPE 'FOOTNOTE: Doors that are more than 25% glass in area are considered Glazed Doors and should be documented on table K with fenestration. 2Roof recovers and replacements must also check "Roof Assembly" box and document compliance with insulation requirements in Table F. Roof recoats may document compliance with roof material only in Table G. C. COMPLIANCE RESULTS Results in this table are automatically calculated from data input and calculations in Tables F through L. Note: If any cell on this table says "COMPLIES with Exceptional Conditions" refer to Table D. Exceptional Conditions for guidance or see the applicable table referenced below. Opaque Envelope Components Fenestration Daylighting Spaces > 5,000ft z Compliance Results Roof Assembly Roofing Materials Walls Floors Doors 01 02 03 04 05 06 07 08 (See Table F) (See Table G) (See Table H) (See Table 1) (See Table J) (See Table K) (See Table L) COMPLIES Yes Yes Yes Yes Yes D. EXCEPTIONAL CONDITIONS This table is auto filled with uneditable comments because of selections made or data entered in tables throughout the form. E. ADDITIONAL REMARKS This table includes remarks made by the permit applicant to the Authority Having Jurisdiction. F. ROOF ASSEMBLY SCHEDULE This section does not apply to this project. G. RATED ROOFING MATERIAL (COOL ROOF) This section does not apply to this project. Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3777 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:06 STATE OFC"IR iewed for Code Compliance Envelope Componenletpt2alf2, 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF L NRCC-ENV-E Project Name: vw%Rbom 'ftvLUNA GRILL Report Page: (Page 3 of 7) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 H. WALL ASSEMBLY SCHEDULE This table demonstrates compliance with prescriptive wall assembly requirements in 140.3(ay 170.2(a) for new constructions, 141.0(a)/ 180.1 for additions and 141.0(b)18/ 180.2 for alterations. ® Framed ❑ Mass (new only) ❑ Concrete Sandwich Panel (new only) ElSIPS ❑ ICF (new only) 01 Indicate wall types included in the project:' ❑ Metal Panels ❑ Metal Building ❑ Spandrel/ Curtain Wall ❑ Straw Bale ❑ Log Home (new only) 1 FOOTNOTES: Wall types indicated above as "(new only)" do not have Title 24, Part 6 requirements for alterations. New construction and additions do have requirements and should be clicked above and compliance demonstrated within this table. Framed Walls 01 ❑ Calculate Area -Weighted Average U-factor for Metal Framed Walls' 02 M Include Wood Framed Walls in Area -Weighted Average U-factor Calculation' 03 04 05 06 07 08 09 10 11 12 13 Tag/Plan Detail Occupancy & How Design Location/ Fire Frame Material, Cavity Continuous Thermal Required Net ID Status U-factor was Rating Spacing &Depth Insulation per Insulation per Performance Thermal U-factor per Design Area3 determined Design Design Unit Performance ftz Nonresidential/ perJA4 per Exterior Wall-N Relocatable 1 JA4 Tables Exterior wall Wood 1/2" gyp 16" 19 0 U-factor 0.11 428 CZ: New O2x6 Software/ 0.074 Other 'FOOTNOTES: If any individual assembly is non -compliant, assemblies may show compliance using an area -weighted calculation. Metal framed walls may not be combined with other wall types. Wood framed walls are combined with SIPS, spandrel & curtain, metal panel and straw bale wall types. The area -weighted compliance option is not available for alterations demonstrating compliance with R-values in Table 141.0-C. 21f "R-value" is shown in cell 10 as the Thermal Performance Unit the R-value shown here is for cavity insulation per 141.0(b)18. s Wall area minus any fenestration area Area -Weighted Average U-factor Compliance Calculation for Wood Framed/ SIPs/ Spandrel/ Curtain/ Metal Panel/ Straw Bale Wall Types 01 02 03 04 05 Wall Type Total Area of Wall Type (ftZ) Area -weighted U-factor for Wall Type Compliance Results Using Area -Weighted Calculation O Option p Required Designed Framed 428 0.11 0.074 Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3777 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:06 STATE OFC"IR iewed for Code Compliance Envelope Componenletpt2alf2, 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF L NRCC-ENV-E Project Name: vw%Rbom 'ftvLUNA GRILL Report Page: (Page 4 of 7) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 H. WALL ASSEMBLY SCHEDULE 01 02 03 04 05 Wall Type Total Area of Wall Type (ftZ) Area -weighted U-factor for Wall Type Compliance Results Using Area -Weighted Calculation O Option p Required Designed Total for all Wall Types: 428 0.11 0.074 COMPLIES I. FLOOR ASSEMBLY SCHEDULE This section does not apply to this project. J. EXTERIOR DOOR SCHEDULE This section does not apply to this project. K. FENESTRATION AND GLAZED DOOR SCHEDULE This table demonstrates compliance with prescriptive fenestration requirements in 140.3(a)5/ 170.2(a)3 for new constructions, 141.0(a)/ 180.1 for additions, or 141.0(b)2A/ 180.2 for alterations. Exterior doors that are more than 25% glass in area are considered Glazed Doors and should be documented on this table with fenestration. 01 Indicate fenestration types included in the project:' ® Vertical (alterations) ❑ Vertical (new) I ❑ Skylights ❑ Glazed Doors (new only) 1 FOOTNOTES: Fenestration types indicated above as "(new only)" do not have Title 24, Part 6 requirements for alterations. New construction and additions do have requirements and should be clicked above and compliance demonstrated within this table. Vertical Fenestration And Glazed Doors- U-factor, Solar Heat Gain Coefficient (RSHGC/ SHGC), Visible Transmittance (VT) 01 ® Calculate Area -Weighted Average U-factor for Vertical Fenestration and Glazed Doors' 02 ® Calculate Area -Weighted Average (R)SHGC for Vertical Fenestration and Glazed Doors' 03 ® Calculate Area -Weighted Average VT for Vertical Fenestration and Glazed Doors' Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3777 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:06 STATE OFC"IR iewed for Code Compliance Envelope Componenletpt2alf2, 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF L NRCC-ENV-E Project Name: vw%Rbom 'ftvLUNA GRILL Report Page: (Page 5 of 7) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 K. FENESTRATION AND GLAZED DOOR SCHEDULE Vertical Fenestration And Glazed Doors- U-factor, Solar Heat Gain Coefficient (RSHGC/ SHGC), Visible Transmittance (VT) 04 05 06 07 08 09 10 11 12 13 Tag/Plan Fenestration U-factor/ (R)SHGC VT Compliance Calculation Method for Product Required Product Detail ID Type Occupancy & Status Compliance Method Method Performance Values per Design' Performance Product Performance Area ft2 Unit Performance per Design STORE NFRC Certified U-factor (max) 0.34 0.3 FRONT-2 Fixed window Nonresidential/ Relocatable 1 CZ:: New Table 140.3-B/C/D Table 140.3-B/C/D 200 Overhang/ Slats used for (R)SHGC (max) 0.22 0.22 (NEW) � RSHGC VT (min) 0.42 0.5 STORE NFRC Certified U-factor (max) 0.34 0.3 FRONT-1 Fixed window Nonresidential/ Relocatable 1 CZ:: New Table 140.3-B/C/D Table 140.3-B/C/D 42 Overhang/ Slats used for (R)SHGC (max) 0.22 0.22 (NEW) ❑ RSHGC VT (min) 0.42 0.5 STORE NFRC Certified U-factor (max) 0.3 0.3 FRONT-1 Fixed window Nonresidential/ Relocatable 1 CZ:: New Table 140.3-B/C/D Table 140.3-B/C/D 135 Overhang/ Slats used for (R)SHGC (max) 0.22 0.22 (EXI) � RSHGC VT (min) 0.5 0.5 NFRC Certified U-factor (max) 0.3 0.3 STOREFRONT (EXI) Fixed window Nonresidential/ Relocatable 1 CZ:: New Table 140.3-B/C/D Table 140.3-B/C/D 89 Overhang/ Slats used for (R)SHGC (max) 0.22 0.22 ❑ VT (min) 0.5 0.5 RSHGC 'FOOTNOTES: If any individual fenestration product is non -compliant, products may show compliance using an area -weighted calculation. Chromogenic glazing is not included in area -weighted calculations. Area -weighted calculation shown in separate area -weighted table below. 'The NA6 Default Calculation can only be used for alterations or dwelling units in buildings with <= 3 habitable stories. Alterations are limited to 200ft2 of site built glazing and dwelling units are limited to 250ft' or 5% of conditioned floor area. If the fenestration does not meet these conditions, the only options for determining fenestration values are NFRC Certification or the Default Tables in 110.6. 3 Overhangs must extend past the left and right window the same distance as the depth of the overhang or greater to show an affect on the RSHGC. If an overhang does not meet this requirement, the affect of the overhang will be ignored. 4Projecting includes casement and awning windows. Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3777 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:06 STATE OFC"IR iewed for Code Compliance Envelope Componenletpt2alf2, 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF L NRCC-ENV-E Project Name: ww%Rbom 'ftvLUNA GRILL Report Page: (Page 6 of 7) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 K. FENESTRATION AND GLAZED DOOR SCHEDULE Area -Weighted Average U-factor, SHGC, VT Compliance Calculation for Vertical Fenestration And Glazed Doors 01 02 03 04 05 Product Performance Unit z Total Area of Fenestration (ft) Area -weighted Calculation for Fenestration Compliance Results Using Area -Weighted Calculation O Option p Required Designed U-Factor 466 0.34 0.3 COMPLIES (R)SHGC 466 0.22 0.22 COMPLIES VT 466 0.42 0.5 COMPLIES L. DAYLIGHT IN LARGE ENCLOSED SPACES This section does not apply to this project. M. DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION Form/Title NRCI-ENV-01-E - Must be submitted for all buildings N. DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE Form/Title Systems/Spaces To Be Field Verified NRCA-ENV-02-F must be submitted for all new, added or altered fenestration. O. DECLARATION OF REQUIRED CERTIFICATES OF VERIFICATION There are no forms required for this project. Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3777 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:06 STATE OFCPRITORNviewed for Code Compliance Envelope Componenletptoalf2. 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF NRCC ENV-E L N EAIE,l Consullfonci Project Name: Rbom 'ftvLUNA GRILL Report Page: (Page 7 of 7) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Ray Parsir]I Company: Signature Date: Pro Engineering 7/10/2023 Address: CEA/ HERS Certification Identification (if applicable): 2712 Loker Ave, West, #1063 City/State/Zip: Phone: Carslbad CA 92010 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer) 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: H. CYRUS JALLALI 6 Company: Date Signed: jag architecture 2023-07-10 Address: License: 15 HUBBLE, STE. 200 C22382 City/State/Zip: Phone: �(949) IRVINE, CA 92618 752-9333 Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3777 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:06 STATEOFCPRI'OFRVyiewed for Code Compliance Mechanical Systems Oct. 12. 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF L N E NRCC-MCH-E This documen is use o emons ra a comp iance or mec an' 1 s'y"?Terr;wstratWre within the scope of the permit application and are demonstrating compliance using the prescriptive path outlined in 140.4, or 141.0(b)2 for alterations. Project Name: LUNA GRILL Report Page: (Page 1 of 11) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 A. GENERAL INFORMATION 01 Project Location (city) LA QUINTA 04 Total Conditioned Floor Area 2412 02 Climate Zone 15 05 Total Unconditioned Floor Area 0 03 Occupancy Types Within Project: 06 # of Stories (Habitable Above Grade) 1 • Restaurant . All Other Occupancies B. PROJECT SCOPE This table Includes mechanical systems or components that are within the scope of the permit application and are demonstrating compliance using the prescriptive path outlined in 140.4, 170.2(b) or 141.0(b)2 and 180.2(b)2 for alterations. 01 02 03 Air System(s) Wet System Components Dry System Components ® Heating Air System ❑ Water Economizer ® Air Economizer ® Cooling Air System ❑ Pumps ❑ Electric Resistance Heat Mechanical Controls ❑ System Piping ® Fan Systems Mechanical Controls (existing to remain, altered ® or new) ❑ Cooling Towers ® Ductwork (existing to remain, altered or new) ❑ Chillers ® Ventilation ❑ Boilers ❑ Zonal Systems/Terminal Boxes Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3776 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:05 STATE OFCPRRoORfVIR iewed for Code Compliance Mechanical Systems Oct. 12. 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF NRCC-MCH-E L N E Consulfonci Project Name: qb%%'ftvm1woLUNA GRILL Report Page: (Page 2 of 11) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 C. COMPLIANCE RESULTS Table C will indicate if the project data input into the compliance document is compliant with mechanical requirements. This table is not editable by the user. If this table says "DOES NOT COMPLY" or "COMPLIES with Exceptional Conditions" refer to Table D., or the table indicated as not compliant for guidance. 01 02 03 04 05 06 07 08 09 System Fans/ System Summary Pumps Economizers Controls Terminal Box Distribution 110.1, AND AND AND AND Ventilation AND Controls AND 120.3, AND Cooling Towers 110.2, 1 140.4(c), 11140 120.1, 160.2 140.4(d), 140.4(I), 110.2(e)2 Compliance Results 140.4, 0.2(c)), 170.2(c)41 140.4(e), 140.4(f), (f), 170.2(c)4B 160.2, 160.3 170.2(c) 170.2(c) 170.2(c) (See Table F) (See Table G) (See Table H) (See Table 1) (See Table J) (See Table K) (See Table L) (See Table M) Yes AND AND Yes AND Yes AND Yes AND AND Yes AND COMPLIES Mandatory Measures Compliance (See Table Qfor Details) COMPLIES D. EXCEPTIONAL CONDITIONS This table is auto filled with uneditable comments because of selections made or data entered in tables throughout the form. E. ADDITIONAL REMARKS This table includes remarks made by the permit applicant to the Authority Having Jurisdiction. F. HVAC SYSTEM SUMMARY (DRY & WET SYSTEMS) Space Conditioning System Information 01 02 03 04 05 06 System Name Quantity System Serving System Status Space Type Utilizing Recovered Heat RTU-3 1 Single zone New/ Addition ❑ Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3776 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:05 STATE OFcj?# RfVIR iewed for Code Compliance Mechanical Systems Oct. 12. 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF L NRCC-MCH-E Project Name: vw%"ftNo Rbom 'ftvmLUNA GRILL Report Page: (Page 3 of 11) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 F. HVAC SYSTEM SUMMARY (DRY & WET SYSTEMS) Dry System Equipment Sizing (includes air conditioners, condensers, heat pumps, VRF, furnaces and unit heaters and DOAS systems) 01 02 03 04 05 06 1 07 08 09 10 11 Equipment Sizing per Mechanical Schedule (kBtu/h) 140.4(a&b), 170.2(c)1 & 170.2(c)2 Smallest Size Heating Output2,3 Cooling Output2.3 Load Calculations3,4 Name or Item Equipment Category per Equipment Type per Tables 110.2 and Available1 Total Tag Tables 110.2, 140.4(a)2 and 170.2(c)3aii Title 20 140.4(a) and Supn Sensible Total Sensible 170.2 c 1 () Per Design Rated Heating Per Design Rated Heating Cooling (kBtu/h) (kBtu/h) Output (kBtu/h) (kBtu/h) Load Load (kBtu/h) (kBtu/h) (kBtu/h) RTU-3 Unitary Heat Pumps Air-cooled, pkg (3 phase) NA: Load 34.35 55 0 50.4 46.8 11.88 52.71 Controls 'FOOTNOTES: Equipment shall be the smallest size, within the available options of the desired equipment line, necessary to meet the design heating and cooling loads of the building per 140.4(a) and 170.2(c)1. Healthcare facilities are excepted. 21t is common practice to show rated output capacity on the equipment schedule. Sensible cooling output comes from specification sheet tables. 31f equipment is heating only, leave cooling output and load blank. If equipment is cooling only, leave heating output and load blank. 4 Authority Having Jurisdiction may ask for load calculations used for compliance per 140.4(b) and 170.2(c). Dry System Equipment Efficiency (other than Package Terminal Air Conditioners (PTAC) and Package Terminal Heat Pumps (PTHP), DX-DOAS and Dual Fuel Heat Pumps) 01 02 03 04 05 06 07 08 09 Heating Mode Cooling Mode Minimum Minimum Name or Item Size Category Rating Efficiency Efficiency Tag (Btu/h) Condition Efficiency Unit Required per Design Efficiency Efficiency Unit Required per Design Efficiency ( °F) Tables 110.2 / Tables 110.2 / Title 20 20 RTU-3 <65,000 HSPF 8 __jTitle 8.2 SEER 14.0 15 G. PUMPS This section does not apply to this project. Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3776 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:05 STATEOFCPRI'OFRVyiewed for Code Compliance Mechanical Systems OCt. 12. 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF L N E NRCC MCH-E Project Name:000"ww%Pqb LUNA GRILL Report Page: (Page 4 of 11) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 H. FAN SYSTEMS & AIR ECONOMIZERS This table is used to demonstrate compliance with prescriptive requirements found in 140.4(c), 140.4(e), 140.4(m), 170.2(c)3, and 170.2(c)4A for fan systems. Fan systems serving only process loads are exempt from these requirements and do not need to be included in Table H. all Serving Fixed System RTU-3 Quantit 1 Fan System New System other Dwelling Not Serving Fan System 2,000 Site 400 Economizer Temperatu Name y Status Zoning system Dwelling Units Airflow (cfm) Elevation Units re s 01 02 03 04 05 06 07 08 09 10 11 Allowance Design Fan Airflow Design Design Name Fan T Type Qt y Component p through Water Gauge Compone Fan Allowance Electrical Motor Electrical or Item Component w. ( g) nt Input Nameplate Input Tag N Allowance (watt/cfm ) Power Horsepower Power 3 Method (kW) Base Allowance for system serving spaces <=6 floors away 2,000 464 Manufactu MERV 13-16 Filter upstream of thermal conditioning 2,000 278 SF Supply 1 equipment rer 1.08 provided Hydronic/DX cooling coil or heat pump coil 2,000 278 Economizer Return Damper 2,000 92 Fan System Allowance (kW)3 1.11 Fan System Electrical 1.08 Output (kW) 1 FOOTNOTES: Fans serving spaces with design background noise goals below NC35 z Low -turndown single -zone VAV fan system must be capable of and configured to reduce airflow to 50 percent of design airflow and use no more than 30 percent of the design wattage at that airflow. No more than 10 percent of the design load served by the equipment shall have fixed loads. H. EXHAUST AIR HEAT RECOVERY 140.4(q), 170.2(c)40 01 02 03 04 05 06 07 08 09 10 11 Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3776 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:05 STATE OFcj?# RfVIR iewed for Code Compliance Mechanical Systems Oct. 12. 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF L NRCC-MCH-E Project Name: vw%"ftNo Rbom 'ftvmLUNA GRILL Report Page: (Page 5 of 11) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 H. EXHAUST AIR HEAT RECOVERY 140.4(q), 170.2(c)40 Exemptions to Hours of %Outdoor Air Exhaust Air Exhaust Air Energy Fan System Qty Operation per Design Supply Outdoor at Full Design Heat Recovery Heat Recovery Type Of Heat Required Recovery Name Year Airflow Rate Airflow Airflow Requirement 140.4(q) & Recovery Rating Recovery Ratio Bypass per 140.4(q) & 170.2(c)40 170.2(c)40 Fan Energy Index (FEI) 01 02 03 Name or Item Tag FEI Exception FEI I. SYSTEM CONTROLS This table is used to demonstrate compliance with mandatory controls in 110.2 and 120.2 and prescriptive controls in 140.4(f) and (n), 170.2(c)4D 170.2(c)4L or requirements in 141.0(b)2E 180.2(b)2 for altered space conditioning systems. 01 02 03 04 05 06 07 08 09 Conditioned Thermostats Shut -Off Isolation Supply Air System Floor Area 110.2(b) & (c)1, 120.2(a) Controls Zone Demand Response Temp. Reset Window Interlocks per System Name Zoning Being Served 160.3(a)2A or 141.0(b)2E & 120.2(e) & Controls 110.12 120.2(b) & 140.4(f) & 140.4(n) & 170.2(c)4D (ftz) 180.2(b)2 160.3(a)2D 120.2(g) & 160.3(a)2B 170.2(c)4D 160.3(a)2F NA: Would RTU-3 Single zone <= 25,000 ft2 Setback Auto Timer 4 Hour Timer EMCS increase Provided Switch energy use 'FOOTNOTES: Gravity gas wall heaters, gravity floor heaters, gravity room heaters, non -central electric heaters, fireplaces or decorative gas appliances, wood stoves are not required to have setback thermostats. Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3776 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:05 STATE OFCPRRoORfVIR iewed for Code Compliance Mechanical Systems Oct. 12. 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF L NRCC-MCH-E Project Name: ww%No Rbom 'ftvmLUNA GRILL Report Page: (Page 6 of 11) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 J. VENTILATION AND INDOOR AIR QUALITY This table is used to demonstrate compliance with mandatory ventilation requirements in 120.1 120.2(e)38140.4(p) and 140.4(q) for all nonresidential and hotel/motel and d:t24refno1ink/]160.2, 160.3(a)3D, 170.2(a)4N, 170.2(a)40 for high-rise residential occupancies. For alterations, only ventilation systems being altered within the scope of the permit application need to be documented in this table. In lieu of this table, the required outdoor ventilation rates and airflows may be shown on the plans or the calculations can be presented in a spreadsheet. 01 ❑ Check the box if the project is showing ventilation calculations on the plans, or attaching the calculations instead of completing this table. 02 ® Check this box if the project included Nonresidential, Hotel/Motel Spaces or Multifamily Common Use Spaces ❑ 03 ❑ Check the box if the project is using natural ventilation in any nonresidential or hotel/motel spaces to meet required ventilation rates per 120.1(c)2. Nonresidential and Hotel/ Motel Multifamily Common Use Ventilation Systems 04 05 06 07 Air Filtration per 120.1(c)141.0(b)2 and System Name RTU-1 & 2(EXI) System Design CA CFM 816 System Design 0 160.2(c)212 Airflow' Transfer Air CFM Provided 08 09 10 11 12 13 14 15 16 Mechanical Ventilation Required per 120.1(c)33 & 160.2(c)3 Exh. Vent per 120.1(c)4 &c 160.2 4 () DCV or Sensor Controls per 120.1(d)3, Space Name 120.1(d)5, and 120.1(e)36 160.2(c)5D Conditioned # of Shower Required or Item Tag a Occupancy Type Floor Area heads/ # of Min CA Required Provided per Design 160.2(c)5E 160.2(c)5D (ft2) toilets people s CFM Min CFM CFM Provided per DCV §120.1(d)4 DINING Restaurant Dining Rooms 1632 816 0 0 NA: Not required Occ Sensor spacetype 17 Total System Required Min OA CFM 816 18 Ventilation for this System Complies? Yes 04 05 06 07 Air Filtration per 120.1(c)141.0(b)2 and System Name RTU-3 System Design CIA CFM 117 System Design 0 160.2(c)212 Airflow1 Transfer Air CFM Provided 08 09 10 11 12 13 14 15 16 Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3776 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:05 STATE OFCPRRoORfVIR iewed for Code Compliance Mechanical Systems Oct. 12. 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF L NRCC-MCH-E Project Name: vw%"ftNo Rbom 'ftvmLUNA GRILL Report Page: (Page 7 of 11) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 J. VENTILATION AND INDOOR AIR QUALITY Mechanical Ventilation Required per 120.1(c)33 & 160.2(c)3 Exh. Vent per 120.1(c)4 & 160.2(c)4 DCV or Sensor Controls per 120.1(d)3, Space Name 120.1(d)5, and 120.1(e)36 160.2(c)5D Conditioned # of Shower Required or Item Tag Occupancy Type4 Floor Area heads/ # of Min OA Required Provided per Design 160.2(c)5E 160.2(c)5D (ft2) toilets people s CFM Min CFM CFM DCV NA: Not required per §120.1(d)3 KITCHEN Kitchen (cooking) 780 117 546 0 NA: Not required Occ Sensor space type 17 Total System Required Min OA CFM 117 18 Ventilation for this System Complies? Yes 1 FOOTNOTES: System CFM should include both mechanical and natural ventilation for the zone/system 2 Air filtration requirements apply to the following three system types per 120.1(c)1A: space conditioning systems utilizing ducts to supply air to occupiable space; supply -only ventilation systems providing outside air to occupiable space, supply side of balanced ventilation systems including heat recovery and energy recovery ventilation systems providing outside air to occupiable space. 3 Uniform Mechanical Code may have more stringent ventilation requirements; the most stringent code requirement takes precedence. 'See Standards Tables 120.1-A and 120.1-B. 5 For lecture halls with fixed seating, the expected number of occupants shall be determined in accordance with the California Building Code. 6120.2(e)3 requires systems serving rooms that are required by 130.1(c) to have lighting occupancy sensing controls to also have occupancy sensing zone controls for ventilation. Examples of spaces which require lighting occupancy sensors include offices 250ft2 or smaller, multipurpose rooms less than 1,000 ft2, classrooms, conference rooms, restrooms, aisles and open areas in warehouses, library book stack aisles, corridors, stairwells, parking garages, and loading and unloading zones, unless excepted by 130.1(c). Multifamily Dwelling Unit Ventilation Systems ❑ Check the box if the system is using continuous ventilation to meet the ventilation requirements per 160.2(b)2Aivb2 19 20 21 22 23 24 1 25 26 27 Mechanical Ventilation Required per 120.1(b) & 160.2(b)2 Ventilation per Design Space Name Local Exhaust Air Filtration per 120.1(c) & 160.2(b)1 Conditioned Required or Item Tag g Floor Area # of Bedrooms # of Dwelling Min CA Supply Air Exhaust (ft2) Units CFM1 CFM CFM 28 Is this a balanced system4 29 Meeting Outside Air Requirements? 1 FOOTNOTES: Uniform Mechanical Code may have more stringent ventilation requirements; the most stringent code requirement takes precedence. Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3776 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:05 STATEOFCPRI'OFRVyiewed for Code Compliance Mechanical Systems Oct. 12. 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF L N E NRCC MCH-E Project Name:000"ww%Pqb LUNA GRILL Report Page: (Page 8 of 11) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 J. VENTILATION AND INDOOR AIR QUALITY z Kitchen range hood will be verified per NA7.18.1 to confirm model is rated by HVI or AHAM. 3 Air filtration requirements apply to the following three system types per 120.1(c)1A: space conditioning systems utilizing ducts to supply air to occupiable space; supply -only ventilation systems providing outside air to occupiable space, supply side of balanced ventilation systems including heat recovery and energy recovery ventilation systems providing outside air to occupiable space. 'A balanced ventilation system provides ventilation airflow to each dwelling -unit at a rate equal to or greater than the required minimum rate, but not more than twenty percent. K. TERMINAL BOX CONTROLS This section does not apply to this project. L. DISTRIBUTION (DUCTWORK and PIPING) This table is used to show compliance with mandatory pipe insulation requirements found in 120.3 and mandatory requirements found in 120.4(g) for duct sealing. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Insulation exposed to 01 ❑ weather shall be installed with a cover suitable for outdoor service. Insulation covering chilled water piping and refrigerant suction piping located outside the conditioned space shall have a Class I or Class II vapor retarder. All penetrations and joints of which shall be sealed. Duct Leakage Testing NR/ Common Use: Duct leakage testing shall not exceed 6% per The answers to the questions below apply to the following duct systems: RTU 3 NA7.5.3 required for these systems? No Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3776 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:05 STATEOFCPRI'OFRVyiewed for Code Compliance Mechanical Systems Oct. 12. 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF L N E NRCC MCH-E Project Name:000"ww%Pqb LUNA GRILL Report Page: (Page 9 of 11) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 L. DISTRIBUTION (DUCTWORK and PIPING) Dwelling Units: Total duct leakage of duct system shall not exceed 12% or duct system to outside shall not exceed 6% per RA3.1.4 required for systems? No Duct leakage testing per CIVIC Section 603.10.1 required for these systems? Yes 11 No The scope of the project includes only duct systems serving healthcare facilities 12 Yes Duct system provides conditioned air to an occupiable space for a constant volume, single zone, space -conditioning system. 13 Yes The space conditioning system serves less than 5,000 ft' of conditioned floor area. 14 No The combined surface area of the ducts is more than 25% of the total surface area of the entire duct system: 15 The scope of the project includes extending an existing duct system, which is constructed, insulated or sealed with asbestos. 16 No The scope of the project includes an existing duct system that is documented to have been previously sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Reference Nonresidential Appendix NA2. 17 All Ductwork and plenums with pressure class ratings shall be constructed to Seal Class A 18 All ductwork is an extension of an existing duct system 19 Ductwork serving individual dwelling unit 20 < 25 ft of new or replacement space conditioning ducts installed 21 R-8 Dust Insulation R-value M. COOLING TOWERS This section does not apply to this project. N. DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION Form/Title NRCI-MCH-01-E - Must be submitted for all buildings Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3776 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:05 STATEOFCPRI'OFRVyiewed for Code Compliance Mechanical Systems Oct. 12. 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF L N E NRCC MCH-E Project Name:000"ww%Pqb LUNA GRILL Report Page: (Page 10 of 11) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 O. DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE Form/Title Systems/Spaces To Be Field Verified NRCA-MCH-02-A - Outdoor Air must be submitted for all newly installed HVAC units. Note: MCH-02-A can be performed in conjunction with MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. YORK XYE06; NRCA-MCH-03-A - Constant Volume Single Zone HVAC NOTE: This form does not automatically move to "Yes'. If Constant Volume Single Zone HVAC Systems are included in the scope, permit applicant should move this form to "Yes". YORK XYE06; NRCA-MCH-05-A - Air Economizer Controls YORK XYE06; NRCA-MCH-11-A Automatic Demand Shed Controls YORK XYE06; NRCA-MCH-12-A FDD for Packaged Direct Expansion Units YORK XYE06; NRCA-MCH-16-A Supply Air Temperature Reset Controls YORK XYE06; NRCA-MCH-18-A Energy Management Control Systems YORK XYE06; P. DECLARATION OF REQUIRED CERTIFICATES OF VERIFICATION There are no NRCV forms required for this project. Q. MANDATORY MEASURES DOCUMENTATION LOCATION This table is used to indicate where mandatory measures are documented in the plan set or construction documentation. 01 02 Compliance with Mandatory Measures documented through MCH Mandatory Measures Note Block Yes Plan sheet or construction document location M-Sheets Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3776 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:05 STATEOFCPRI'OFRVyiewed for Code Compliance Mechanical Systems Oct. 12. 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF L N EAIE,l NRCC MCH-E Project Name:000"ww%Pqb LUNA GRILL Report Page: (Page 11 of 11) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Ray Parsi /�• ��� Company: Signature Date: Pro Engineering 2023-07-10 Address: CEA/ HERS Certification Identification (if applicable): 2712 Loker Ave, West, #1063 City/State/Zip: Phone: Carslbad CA 92010 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer) 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: ^ ./an Ray Parsi 8 Company: Date Signed: Pro Engineering Consulting Inc. 2023-07-10 Address: License: 2712 Loker Avenue West #1063 26481 City/State/Zip: Phone: Carlsbad CA 92010 1(949)-842-2199 Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3776 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:05 STATE OFC"IR iewed for Code Compliance Domestic Water Hea M2, 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF L NRCC-PLB-E This docum en is use o emons ra e comp iance or NMI ?elsimcR tia occupanc s with requirements in 110.1, 110.3, 120.3, and 140.5, and with requirements in 141.0 for additions and alterations, for domestic water heating scopes using the prescriptive path. For high-rise residential and hotel/motel occupancies compliance is demonstrated with requirements in 110.1, 110.3, 160.4 and 170.2(d), and with requirements 180.1 for additions and 180.2 for alterations. Project Name: LUNA GRILL Report Page: (Page 1 of 6) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 A. GENERAL INFORMATION 01 Project Location (city) LA QUINTA 02 Climate Zone 15 03 Occupancy Types Within Project (select all that apply): • Restaurant • All Other Occupancies B. PROJECT SCOPE This table includes domestic water heating systems that are within the scope of the permit application and are demonstrating compliance using the prescriptive paths outlined in 140.1 170.2(d) and 141.0(a)/ 180.1, or 141.0(b)2N / 180.2 for additions or alterations. Solar water heating systems are documented on the NRCC-SAB compliance document. Combined hydronic water heating systems are documented on the NRCC-MCH compliance document. 01 02 03 My project consists of (check all that apply): System Type1-z System Components ® New system (DHW system being installed for the first time in newly Individual System (serving nonresidential spaces) ® Equipment ® Distribution ® Controls constructed building) ❑ System Alteration (equipment, distribution or controls) ❑ Equipment ❑ Distribution ❑ Controls 'FOOTNOTES: Point of use water heaters, or other non -central systems used to serve nonresidential spaces, are considered individual systems. z Dwelling units refers to hotel/motel guest rooms and units in a multifamily residential occupancy. 3 DHW systems serving 2 or more dwelling units are considered "Central Systems" for multifamily occupancies C. COMPLIANCE RESULTS Table C will indicate if the project data input into the compliance document is compliant with water heating requirements. If this table says "DOES NOT COMPLY" or "COMPLIES with Exceptional Conditions" refer to Table D. or the table indicated as not compliant for guidance. 01 02 03 04 Domestic Hot Water Equipment Distribution Systems Controls Compliance Results Table F Table G Table H Yes Yes Yes COMPLIES D. EXCEPTIONAL CONDITIONS This table is auto filled with uneditable comments because of selections made or data entered in tables throughout the form. Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3774 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:04 STATE OFcPftIR iewed for Code Compliance Domestic water HeatMM2, 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF NRCC-PLB-E L N E Consulfonci Project Name: %'ftvLUNA GRILL Report Page: (Page 2 of 6) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 E. ADDITIONAL REMARKS This table includes remarks made by the permit applicant to the Authority Having Jurisdiction. F. DOMESTIC HOT WATER EQUIPMENT This table is used to demonstrate compliance with mandatory equipment requirements in 110.1 and 110.3. Compliance with prescriptive requirements in 140.5(c) / 170.2(d) must also be demonstrated and with 141.0 / 180.11180.2 for addition and alteration scopes. Equipment Schedule: Water Heating Efficiency and Standby Loss 03 04 05 06 Gas Service System RINNAI. MODEL Exception to 140.5(c)/ ❑ Water Heating Capacity -weighted Name RSC199e 170.2(d)3 System >= Average Efficiency % 1MMBtu/hl 07 08 09 10 11 12 13 14 15 Name or Volume Rated Input Max GPM/ First Rated Minimum Maximum Standby Item Tag Equipment Type (gal) Capacity Hour Rating Efficiency Efficiency Efficiency Unit Designed Standby Loss Loss (Btu/h) (FHR) Required RINNAI. Commercial Gas MODEL Instantaneous Water 1 200,000 FHR >=75 0.93 0.81 UEF RSC199e Heater 'FOOTNOTE: In systems >= 1MMBtu/h with multiple units, gas water heaters with input capacity > 100,000 Btu/h may meet 90% Et requirements via an input capacity -weighted average. Water Heating Equipment All Occupancies Yes No Not Applicable Requirement 18 ❑ ❑ ® Unfired storage tank insulation shall have Internal + External >=R-16 OR External >=R-3.5. Label required per 110.3(c)3 19 ❑ ❑ ® New state buildings 60% of energy for service water heating from site solar energy or recovered energy per 110.3(c)5 20 ❑ ❑ ® Isolation valves for instantaneous water heater with input rating >6.8 kBTUH or 2 kW has been specified per 110.3(c)6 21 ❑ ❑ ® School buildings < 25,000 ft2 and < 4 stories must install a heat pump water heating system per 140.5(a)1. Water heating systems serving an individual bathroom space may be an instantaneous electric water heater. Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3774 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:04 STATE OFC"IR iewed for Code Compliance Domestic Water Hea M2, 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF L NRCC-PLB-E Project Name: ww%No Rbom 'ftvmLUNA GRILL Report Page: (Page 3 of 6) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 G. DOMESTIC HOT WATER DISTRIBUTION SYSTEM This table is used to demonstrate compliance for nonresidential occupancies with distribution requirements in 120.3 and 140.5. For multifamily and hotel/motel occupancies, compliance is demonstrated with requirements 110.3(c), 160.4, 170.2(d). Mandatory Pipe Insulation All Occupancies For systems serving dwelling units, pipe insulation must meet the minimum insulation requirements in Table 160.4-A (see blow) except: • Piping that penetrates framing members shall not be required to have pipe insulation for the distance of the framing penetration. Piping that penetrates metal framing shall use grommets, plugs, wrapping or other insulating material to assure that no contact is made with the metal framing. 13 ❑ Insulation shall abut securely against all framing members • Piping installed in interior or exterior walls shall not be required to have pipe insulation if all of the requirements are met for compliance with Quality Insulation Installation (QII) as specified in the Reference Residential Appendix RA3.5. • Piping surrounded with a minimum of 1 inch of wall insulation, 2 inches of crawlspace insulation, or 4 inches of attic insulation, shall not be required to have pipe insulation. For systems serving nonresidential spaces, pipe insulation for the following applications is specified to comply with Table 120.3-A (see below) per 120.3: 14 ® Recirculating system piping, including supply and return piping of the water heater • The first 8 ft of hot and cold outlet piping, including between storage tank and heat trap, for a nonrecirculating storage system • Pipes that are externally heated Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Insulation exposed to weather shall 15 ❑ be installed with a cover suitable for outdoor service per 120.3(b) / 160.4(f). Pipe insulation buried below grade must be installed in a water proof and Pon -crushable casing or sleeve. TABLE 120.3-A / 160.4-A PIPE INSULATION THICKNESS Conductivity Nominal Pipe Diameter (in) < 1 1 to < 1.5 1.5 to < 4 1.5 to < 4 Multifamily & Fluid Temperature Range (°F) Range (Btu -in Insulation Mean Rating Temp ( per hour per ftz °F) Hotel/Motel per °F) Minimum Insulation Required 105-140 0.22 - 0.28 100 1.0 in or R-7.7 1.5 in or R-12.5 1.5 in or R-11 2.0 in or R-16 Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3774 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:04 STATE OFC"IR iewed for Code Compliance Domestic Water Hea M2, 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF L NRCC-PLB-E Project Name: ww%No Rbom 'ftvmLUNA GRILL Report Page: (Page 4 of 6) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 H. DOMESTIC HOT WATER CONTROLS This table is used to demonstrate compliance with control requirements in 110.3 for all occupancies. For multifamily residential and hotel/motel occupancies, compliance is also demonstrated with requirements in 160.4(e)/170.2(d). Yes No Ap Not Requirement 01 ® ❑ ❑ Construction documents require manufacturer certification that service water -heating systems are equipped with automatic temperature controls capable of adjusting temperature settings per 110.3(a). 02 ® ❑ ❑ Systems with capacity > 167,000 BTUH equipped with outlet temperature controls per 110.3(c)1 unless covered by California Plumbing Code 613.0. 03 ❑ ❑ ® Controls for circulating pumps or electrical heat trace systems are capable of automatically turning off the system per 110.3 c 2 unless systems serves healthcare facility. 04 ❑ ❑ ® For recirculation systems serving multiple dwelling units, design includes automatic pump controls per 170.2(d) or 180.1(b)3 for additions. 05 ❑ ❑ ® For recirculation systems serving individual dwelling units, design includes manual on/off controls as specified in Reference Appendix RA4.4.9 per 170.2(d). Combustion air positive shut-off shall be provided per 160.4(3).on all newly installed commercial boilers as follows: 06 ❑ ❑ ® 0Boilers with input capacity >= 2.5 MMBtu/h, in which the boiler is designed to operate with a nonpositive vent static pressure • Boilers where one stack serves two or more boilers with a total combined input capacity per stack of 2.5 MMBtu/h. Boiler combustion air fans with motor >= 10 hp shall meet one of the following 07 ❑ ❑ ® The fan motor shall be driven by a variable speed drive OR • The fan motor shall include controls that limit the fan motor demand to <=30% of the total design wattage at 50% of the design air volume. Newly installed boilers with an input capacity (d:gte/] 5MMBtu/h and a steady state full -load combustion efficiency < 90% shall 08 ❑ ❑ ® maintain excess (stack -gas) oxygen concentrations <= 5% by volume on a dry basis over firing rates of 20-100%. Combustion air volume shall be controlled with respect to firing rate or flue gas oxygen concentration. Use of a common gas and combustion air control linkage or jack shaft is prohibited. I. DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION Form/Title NRCI-PLB-E - Must be submitted for all buildings Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3774 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:04 STATE OFCPRRbRIVyiewed for Code Compliance Domestic water HeatMM2, 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF NRCC PLB-E L N E Consulfonci Project Name: ftpRbom 'ftvmLUNA GRILL Report Page: (Page 5 of 6) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 J. DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE There are no forms required for this project. K. DECLARATION OF REQUIRED CERTIFICATES OF VERIFICATION There are no forms required for this project. Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3774 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:04 STATE OFCPRRbRIVyiewed for Code Compliance Domestic water HeatMM2, 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF NRCC PLB-E L N E Consulfonci Project Name: ftpRbom 'ftvmLUNA GRILL Report Page: (Page 6 of 6) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Ray Parsi Company: Signature Date: Pro Engineering 2023-07-10 Address: CEA/ HERS Certification Identification (if applicable): 2712 Loker Ave, West, #1063 City/State/Zip: Phone: Carslbad CA 92010 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer) 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Ray Parsi a y Company: Date Signed: Pro Engineering Consulting Inc. 2023-07-10 Address: License: 2712 Loker Avenue West #1063 26481 City/State/Zip: Phone: Carlsbad CA 92010 1(949)-842-2199 Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3774 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:04 STATE OFC"IR iewed for Code Compliance Process Systems Oct. 12. 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF L NRCC-PRC-E This form is use o ocument any process sys ems MT are wi n Me Tsc'offpewojMe permit application and are demonstrating compliance with mandatory requirements in 120.61160.7 or prescriptive requirements in 140.9. This compliance document is used for newly constructed, addition and alteration projects. Project Name: LUNA GRILL Report Page: (Page 1 of 6) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 A. GENERAL INFORMATION 01 Project Location (city) LA QUINTA 04 Total Conditioned Floor Area 2412 02 Climate Zone 15 05 Total Unconditioned Floor Area 0 03 Occupancy Types Within Project: 06 # of Stories (Habitable Above Grade) 1 • Restaurant e All Other Occupancies B. PROJECT SCOPE This table includes process systems that are within the scope of the permit application and are demonstrating compliance with mandatory requirements in 120.6 / 160.7 or prescriptive requirements in 140.9. My project consists of: (check all that apply): 01 02 ❑ Refrigerated Spaces <3,000 ftz Total (no Title 24, Pt6 requirements) ❑ Escalator & Moving Walkway Speed Controls (mandatory 120.6(g)) ❑ Refrigerated Spaces >=3,000 ftz Total (mandatory 120.6(a)) ❑ Computer Rooms (mandatory 120.6(j) and prescriptive 140.9(a))1 ❑ Food /Beverage Stores >8,000 ftz cfa (mandatory 120.6(b)) ® Commercial Kitchen Ventilation/Exhaust (prescriptive 140.9(b))1 ❑ Enclosed Parking Garage Exhaust >=10,000 cfm (mandatory 120.6(c)) ❑ Laboratory Exhaust/Factory Exhaust & Fume Hood (prescriptive 140.9(c))1 ❑ Newly Installed Process Boilers (mandatory 120.6(d)) ❑ Pool/Spa (mandatory 110..4 / 160.7) ❑ Compressed Air Systems Combined HP >= 25 (mandatory 120.6(e)) ❑ Controlled Environment Horticulture (mandatory 120.6(h)) ❑ Elevator Lighting & Ventilation Controls (mandatory 120.6(f) / 160.7) ❑ New Steam Traps (mandatory 120.6(i)) 1 FOOTNOTES: These building features can comply using the performance method. If using the performance method for these features, compliance should be demonstrated on the NRCC-PRF-E. Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3775 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:04 STATE OFC"IR iewed for Code Compliance Process Systems Oct. 12. 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF L NRCC-PRC-E Project Name: vw%"ftRbom 'ftvLUNA GRILL Report Page: (Page 2 of 6) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 C. COMPLIANCE RESULTS Results in this table are automatically calculated from data input and calculations in Tables F through R. Note: If any cell on this table says "COMPLIES with Exceptional Conditions" refer to Table D. Exceptional Conditions for guidance or see applicable Table referenced below. 01 02 03 04 05 06 07 08 09 10 11 12 13 14 Refrigerate Parking Escalators & Laboratory/ d Commercial Garage Process Compressed Elevators Moving Computer Commercial Factory Controlled Steam Multifamily Warehouse Refrigeratio Exhaust Boilers Air Systems 120.6(f) / Walkways Rooms Kitchens Exhaust Environment Traps Pool/Spa Compliance / Space n 120.6(b) 120Tabl 120.6(d) 1e 160.7 120Tabl 140.9(a) 140.9(b) 140Tabl Horticulture 120.6(i) 160.7 Results 120.6(a) (See Table (See Table (See Table (See Table J) (See Table (See Table (See Table (See Table (See0)) Table 120.6(h) (See (See Table (See Table G) Table 1) K) M) N) (See Table P) Table Q) R) F) Yes COMPLIES D. EXCEPTIONAL CONDITIONS This table is auto filled with uneditable comments because of selections made or data entered in tables throughout the form. E. ADDITIONAL REMARKS This table includes remarks made by the permit applicant to the Authority Having Jurisdiction. F. REFRIGERATED WAREHOUSES/SPACES This section does not apply to this project. G. COMMERCIAL REFRIGERATION This section does not apply to this project. H. ENCLOSED PARKING GARAGE EXHAUST This section does not apply to this project. Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3775 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:04 STATE OFCPftyiewed for Code Compliance Process Systems Oct. 12. 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF onsuNRCC-PRC-E Project Name: 'ftvLUNA GRILL Report Page: (Page 3 of 6) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 I. PROCESS BOILER This section does not apply to this project. J. COMPRESSED AIR SYSTEMS This section does not apply to this project. K. ELEVATOR LIGHTING AND VENTILATION This section does not apply to this project. L. ESCALATORS AND MOVING WALKWAYS SPEED CONTROLS This section does not apply to this project. M. COMPUTER ROOM SYSTEM SUMMARY This section does not apply to this project. N. COMMERCIAL KITCHEN EXHAUST AND VENTILATION This table contains all new and replacement hoods being installed within the scope of the permit application. Table N is used to demonstrate compliance with prescriptive requirements found in 140.9(b). Kitchen Ventilation 140.9(b)2 01 ❑ Existing kitchen hoods not being replaced as part of an addition or alteration (do not need to meet requirements) Requirements 02 Replacement Air to Hood Compliance Method 140.9(b)1A Not providing replacement air directly to the hood(s) 03 Mechanically cooled or heated makeup air delivered to any space with a kitchen hood is designed per 140.9(b)2A to not exceed the greater of: The hood exhaust flow minus the available transfer air from adjacent spaces 04 Location that is supplying transfer air: Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3775 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:04 STATE OFC"IR iewed for Code Compliance Process Systems Oct. 12. 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF L NRCC-PRC-E Project Name: vw%"ftRbom 'ftvLUNA GRILL Report Page: (Page 4 of 6) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 N. COMMERCIAL KITCHEN EXHAUST AND VENTILATION 05 The kitchen/ dining facility has a total Type I and Type II kitchen hood exhaust airflow > 5000 cfm and is designed to have one of the following per 140.9(b)2B: Demand ventilation system(s) on at least 75% of the exhaust air per 140.9(b)2Bii Kitchen Exhaust: Airflow Rate 140.9(b)1B 01 Kitchen Name or Item Tag Kitchen Compliance Method per 140.9(b)1B Type1 hood design exhaust rates do not exceed the maximum allowed per §140.9(b)1 as documented below 02 03 04 05 06 07 08 Name or Item Tag 1 Hood Type Hood Style Hood Length (ft) Equipment Duty Design Hood Exhaust Rate CFM Max Hood Exhaust Rate Allowed CFM HOOD-1 Type I Wall mounted Canopy 12 Heavy Duty 3300 3360 -2 TypeI Wall -mounted Canopy 8.9 Heavy Duty 2100 2498 TES: Type II hoods do not have a max hood exhaust air rate per 140.9(b)lB F O. LABORATORY AND FACTORY EXHAUST AND FUME HOODS This section does not apply to this project. P. CONTROLLED ENVIRONMENT HORTICULTURE This section does not apply to this project. Q. STEAM TRAPS IN INDUSTRIAL FACILITIES This section does not apply to this project. R. Pool & SPAs This section does not apply to this project. Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3775 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:04 STATE OFCPftIriewed for Code Compliance Process Systems Oct. 12. 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF L N E C NRCC-PRC-E onsulfonci Project Name: mmm"ww%'qw0 WON 'ftvLUNA GRILL Report Page: (Page 5 of 6) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 S. DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION Form/Title NRCI-PRC-01-E - Covered Process T. DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE Form/Title Systems/Spaces To Be Field Verified NRCA-PRC-02-F Kitchen Exhaust HOOD-1; HOOD-2; Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3775 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:04 STATE OFCPftIriewed for Code Compliance Process Systems Oct. 12. 20203 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF L N E C NRCC-PRC-E onsulifonci Project Name: mmm"ww%'Qw0 WON 'ftvLUNA GRILL Report Page: (Page 6 of 6) Project Address: PANERA BUILDING 79124 HIGHWAY 111 Date Prepared: 7/10/2023 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Ray Parsi Company: Signature Date: Pro Engineering 2023-07-10 Address: CEA/ HERS Certification Identification (if applicable): 2712 Loker Ave, West, #1063 City/State/Zip: Phone: Carslbad CA 92010 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer) 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: j� Ray Parsi /5a IM3; Company: Date Signed: Pro Engineering Consulting Inc. 2023-07-10 Address: License: 2712 Loker Avenue West #1063 26481 City/State/Zip: Phone: Carlsbad CA 92010 1(949)-842-2199 Registration Number: Generated Date/Time: Documentation Software: EnergyPro CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: EnergyPro-6073-0723-3775 Schema Version: rev 20220101 Report Generated: 2023-07-10 10:41:04 4z CALIFORNIA ENERGY COMMI5510N OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A Project Name and Address Authority Having Jurisdiction Name Luna Grill - Pavilion at La Quinta Enforcement Agency: Unknown Address: 79124 Highway 111 Permit Number: # City, Zip: La Quinta 92253 Permit Application Date: Building: 1 1 Floor: Room: Kitchen Control/tag: OoL. System Name/ID: RTU-3 System Location: Construction inspection and functional testing comply Date Submitted to AHJ: 6/617,q Does not comply 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)l, §160.2(c)6, §160.2(c)5B, and §160.3(d)lA. Table A. Construction Inspection Prior to functional testing, verifv and document all of the followina Code Step Entry Item Reference Access to required document NRCC-MCH-E as 1.0 Pass approved by the authority having jurisdiction or ❑ Fail LMCC-MCH-E registered by a CEC approved data registry. For VAV systems, complete ALL of 2, 3, and 4 2.0 No Entry and respond N/A for ALL of 5, 6, and 7. N/A For CAV systems, respond N/A for ALL of 2, 3, and 4 and complete ALL of 5,6, and 7. 2.1 VAV Only: Outside airflow is factory calibrated; factory NA7.5.1.1.1(a) or 1`jlN attach calibration spec -sheet. NA7.5.1.1.1(b) (Pass, Fail, N/A -if CAV) VAV Only: Outside airflow is field calibrated, NA7.5.1.1.1(a) 2.2 'rJ attach calibration results report. NA7.5.1.1.1(b) (Pass, Fail, N/A -if CAV) _ VAV Only: Dynamic damper control is being used 3.0 to control outside air. NA7.5.1.1.1(c) (Pass, Fail, N/A -if CAV) i 4.0 No Entry VAV Only: Identify the dynamic control being NA7.5.1,1.1(d) utilized to control outside air. (Description or_N_/A 4.1 N Describe Control or N/A NA7.5.1.1.1(d) California Energy Commission 2b76c8ea-7342-4942-1337-08dc83d 1 df2c Page 1 of 4 N �� ��� January 1, 2023 CALIFORNIA ENERGY COMMISSION OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A Code Step Entry Item Reference CAV Only: System is designed to provide a fixed 5.0 minimum outside air when the unit is on. NA7.S.i.2.1(a' (Pass, Fail, N/A -if VAV) CAV Only: Minimum position is marked on the NA7.5.1.2.I(d) 6.0 UagS outside air damper. (Pass, Fail, N/A -if VAV) CAV Only: The system has means of maintaining 7.0 Puyy the minimum outdoor air damper position. NA7.5.1.2.1(e) (Pass, Fail, N/A -if VAV) Method of delivering outside air to the heating or N/A / 8.0 No Entry cooling unit. Either 8.1 or 8.2 must pass. Return Plenum Ducted. _ If outside air is ducted at or to the return plenum, NA7.5.1.1.1(e) confirm that the ducted is within 5ft of the NA7.5.1.2.1(b) 8.1 or 0;+h heating or cooling unit, or 15 ft. with direction §120.1(e) and velocity requirement as specified by NRCC- §160.2(c)6 MCH-E or LMCC-MCH-E. Pass, Fail N/A Direct Unit Ducted. If the outside air is ducted directly to the unit, NA7.5.1.1..1(e) verify that return air plenum is NOT used to NA7.5.1.2.1(b) 8.2 Q4ss distribute outside air to the heating or cooling §120.1(e) unit. (i.e. outside air is ducted directly to the unit, §160.2(c)6 outside air is provided independent of the unit, or economizer). (Pass, Fail, N/A) Pre -occupancy Purge: Verify that the pre- NA7.5.1.1.1(f) El Pass occupancy purge has been programmed for the 1- NA7.5.1.2.1(c) 9.0 ❑ Fail hour period immediately before the building is 120.1 d 2 normally occupied to provide ventilation as §160.2(c)5B indicated on NRCC-MCH-E or LMCC-MCH-E. Check "Pass" if construction inspection complies 10.0 Pass with all requirements. N/A ❑ Fail Check "Fail" if construction inspection does not comply with all requirements._ Table B-1: Functional Testing for Constant Air Ventilation (CAV) System This table is to be com leted for CAV systems only,skip this table testis a VAV ,y"'en" f Code Step Entry Functional Test Reference 1.0 Disable demand control ventilation. N/A (if applicableL(Pass,_Fail, N/A) 2.0 � Verfy unit is not in economizer mode during test. NA7.5.1.2.2 (economizer disabled) (Pass, Fail, N/A) Step 1 3.0 CFM Testing at full supply airflow, measured outdoor NA7.5.1.2.2 airflow reading. (CFM) Step la 4.0 3j1) CFM Record required outdoor airflow from NRCC-MCH- NA7.5.1.2.2 E or LMCC-MCH-E. CFM Step la California Energy Commission 2b76c8ea-7342-4942-1337-08dc83d1df2c Page 2 of 4 N "1C January 1, 2023 ZCAUFORNIA ENERGY COMMISSION OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A Code Step Entry Functional Test Return to initial conditions. Reference N/A 5 0 Pass Fail ❑ 6.0 t O k % Calculate 100 x (Step3/Step4) (Percent) NA7.5.1.2.2 Step la 7 0Pass ❑ Fail Check pass if value in Step 6 ? 90% and 5 110%. NAep l2.2 Step la Table B-2: Functional Testing for Variable Air Ventilation (VAV) System This table is to be completed for VAV systems oniv. skin this table testinn a CAV svctPm Code Step Entry Functional Test Reference 1.0 Disable demand control ventilation. if applicable) (Pass, Fail N/A Verify unit is not in economizer mode during test. N/A NA7.5.1.1.2 2.0 El Pass (economizer disabled) (Pass, Fail, N/A) Step 1 Testing at full supply airflow, adjust supply air to NA7.5.1 3.0 ❑ Fail achieve design airflow or maximum airflow at full coolin . Testing at full supply airflow, measured outdoor 2 Step 2 4.0 NA7.5.1.1.2 CFM airflow reading. (CFM) Step 2a Record required outdoor airflow from NRCC-MCH- 5.0 CFM NA7.5.1.1.2 E. (CFM) Step 2a 6.0 Min. Time for outside air damper to stabilize after full NA7.5.1.1.2 supply airflow is achieved. Minutes Step 2b ❑Pass Adjust supply airflow to either the sum of the NA7.5.1 7.0 Fail ❑ minimum zone airflows, full heating, or 30% of Step 3 3 the total design airflow. 8.0 CFM Measured outdoor airflow reading. (CFM) NA7.5.1.1.2Step 3a 9.0 Min. Time for outside air damper to stabilize after NA7.5.1.1.2 reduced supply airflow is achieved. Minutes Step 3b 10.0 ❑ Pass Return to initial conditions. NA7.5.1.1.2 Ej Fail Calculate 100 x (Step4/Step5) (Percent) `Calculate 100 x (Step8/Steps) (Percent) Step 4 11.0 % NA7.5.1.2.2 Step la 12.0 % _ NA7.5.1.1.2 Step 3a ❑ Pass Check pass if both Steps 6 and 9 are both 5 i 13.0 ❑ Fail minutes or less AND if both Steps 11 and 12 are >_ N/A 90% and < 110%. _ California Energy Commission Page 3 of 4 N MIC January 1, 2023 2b76c8ea-7342-4942-1337-08=83d 1 df2c 49, CALIFORNIA ENERGY COMMISSIOY OUTDOOR AIR ACCEPTANCE 2022-CEC-NRCA-MCH-02-A Declaration Statement 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 NAT 1 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. California Energy Commission 2b76c8ea-7342-4942-1337-08dc83d 1 df2c Signatory 6r4ndon, Berry ATT No.: MAT11076960T Lic. No.: 583562 Page 4 of 4 N MIG January 1, 2023 CALIFORNIA ENERGY COMMISSION EC(]NnM><ZER DnAS HRV ERV 7f1??-CFGNRC'A-MCH-(l5-A Project Name and Address Authority Having Jurisdiction Name: Luna Grill - Pavilion at La Quinta Enforcement Agency: Unknown Address: 79124 Highway 111 Permit Number: # City, Zip: La Quinta 92253 Permit Application Date: Building: I I Floor: f;t.-A Room: Kitchen Control/tag: hoc. System Name/ID: RTU-3 System Location: 0 Construction inspection and functional testing comply Date Submitted to AHJ: 6/bi-L4 I —I Does not comply 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 2, 4, and 10 ToA > 75 OF TOA > TR, OF TOA > TP.a — 2 OF TOA > TPA — 4 OF N/A N/A N/A TOA > 73 OF 6, 8, 9 TOA > 71 °F 7 ToA > 69 OF TOA > T" — 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 vrlor to tunctlonal testing, verity and document all of the tollowl Step Entry Item All documentation shipped with the economizer, Code Reference 1.1 Pass DOHS, HRV, or ERV system including manuals NA7.5.4.1(d) ❑ Fail and sensor performance curves are available for review. 0 Pass Verify that the sensor output value measured 1.2 ❑ Fail during sensor calibration is plotted on the NA7.5.4.1(e) performance curve. California Energy Commission Page 1 of 6 N MIC` January 1, 2023 20c9ad35-dqa-4317-133M8dc83d 1 df2c "' CALIFORNIA ENERGY COMMISSION ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A I" 2.1 and 2.2 3 0 E 0 7.1, or 7.2 .o Code Entry Item Reference Verify that the bypass high limit shutoff control NA7.5.4.1(a) §140.4(e)2 Q`�S5 for the economizer, DOAS, HRV, or ERV system Table 140.4-G complies with Reference Table R-1 §170.2(c)4CiiTable (Pass, Fail, or N/A) 170.2-G Verify that at altitudes substantially different than NA7.5.4.1(a) §140.4(e)2 0/01 sea level the Fixed Enthalpy limit value is set to Table 140.4-G the enthalpy value at 75°F and 50% relative §170.2(c)4Cii humidity. (Pass, Fail, or N/A) Alternative to Step 2 Table 170.2-G NA7.5.4.1(a) If using Dew Point, Fixed Enthalpy, Electronic §140.4(e)2 f Enthalpy, or Differential Enthalpy Controls Table 140.4-G Energy Commission Executive Director i approval for use in California must be Table 170.2-G able 170.2- attached. (Pass, Fail, or N/A) Verify that devices with selectable (rather than NA7.5.4.1(a) §140.4(e)2 e)2 s� adjustable) setpoints are capable of being set to able 40.4- Table 14 within 2°F and 2 Btu/LBS of the setpoint listed. i (Pass, Fail, or N/A) Table 170,2-G Verify that if the high -limit control is fixed dry- P055 bulb or fixed enthalpy with fixed dry-bulb, it has NA7.5.4.1(b) an adjustable setpoint. (Pass, Fail, or N/A) Verify that the economizer, DOAS, HRV, or ERV U Pass ❑ Fail system bypass lockout control sensor is located NA7.5.4.1(c) to prevent false readings. Verify if using damper for bypass control that the economizer, DOAS, HRV, or ERV system bypass NA7.5.4.1(f) damper moves freely without binding. (Pass, Fail, or N/A) Indicate if bypass control is achieved through pis, heat/energy recovery wheel rotation speed NA7.5.4.1(f)1 modulation as means other than air dampers. (Pass, Fail, or N/A) Verify that the economizer, DOAS, HRV, or ERV [� Pass system bypass has control systems, including ❑ Fail two -stage or electronic thermostats, that cycle NA7.5.1.11g) compressors off when the bypass can provide partial cooling. For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. NA7.5.4.1(h) Pass Using the documentation provided in Step 1.1, §140.4(e)2D verify that the air economizer and all air dampers §170.2(c)4Ciii have ALL of the following features (9.1-9.8). Pass, Fail, or N/A -for non -economizers) - California Energy Commission Page 2 of 6 N W[C January 1, 2023 20c9ad 35-df7a-4317-1338-08dc83d 1 df2c CAUFORNIA ENERGY COMMISSION ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A Code Step Entry Item Warranty. 5-year Manufacturer warranty of Reference 9.1 [� Pass NA7.5.4.1(h) §140.4(e)2Di ❑ Fail economizer assembly. §170.2(c)4Ciiia Damper reliability testing. Certification from suppliers of economizers that the economizer assembly, including but not limited to outdoor air NA7.5.4.1(h) 9.2 (� Pass damper, return air damper, drive linkage, and §140.4(e)2Dii ❑ Fail actuator, have been tested and are able to open §170.2(c)4Ciiib and close against the rated airflow and pressure of the system for 60,000 damper opening and closing cycles. Damper leakage. Economizer outdoor air and El Pass return air dampers have a maximum leakage rate NA7.5.4.1(h) 9.3 ❑ Fail of 10 cfm/sf at 250 Pascals (1.0 in. of water) §140.4(e)2Diii when tested in accordance with AMCA Standard §170.2(c)4Ciiic 500-D. Adjustable setpoint. If the high -limit control is NA7.5.4.1(h) 9.4 e �a55 fixed dry-bulb or fixed enthalpy with fixed dry- §140.4(e) bulb then verify that the control has an iii d adjustable setpoint. (Pass, Fail, or N/A)§170.2(c)4Ciii Sensor accuracy. Outdoor air, return air, mixed air, and supply air sensors are calibrated within the following accuracies. Pass 1. Dry bulb and wet bulb temperatures accurate NA7.5.4.1(h) 9.5 ❑ Fail to t2°F over the range of 40OF to 80°F. §140.4(e)2Dv 2. Enthalpy accurate to t3 Btu/LBS. over the §170.2(c)4Ciiie range of 20 Btu/LBS. to 36 Btu/LBS. 3. Relative humidity (RH) accurate to f5 percent over the range of 20 percent to 80 percent RH. 7 Pass Sensor calibration data. Data used for control of NA7.5.4.1(h) 9.6 ❑ Fail the economizer is plotted on a sensor §140.4(e)2Dvi performance curve. §170.2(c)4Ciiif Sensor high limit control. Sensors used for the NA7.5.4.1(h) 9'7 © Pass high limit control are located to prevent false §140.(e) ❑ Fail readings, including but not limited to being iii §170.2(c)4Ciiig properly shielded from direct sunlight. [� Pass Relief air system. Relief air systems is capable of NA7.5.4.1(h) 9.8 ❑ Fail providing 100 percent outside air without over- §140.4(e)2Dviii pressurizing the building. §170.2(c)4Ciiih For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Verify that the economizer inlet damper is 10 designed to modulate up to 100 percent open, NA7.5.4.1(i) and return air damper to 100 percent closed, without over -pressurizing the building. (Pass, Fail, or N/A) California Energy Commission Page 3 of 6 N _ ,.'fiiC January 1, 2023 20c9ad35-df7a-4317-1338-08dc83d1df2c - -' CALIFORNIA ENERGY COMMISSION ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A -] -- Code Step Entry Item Reference For systems with DDC controls verify that lockout 11.1, or Quss sensor(s) are either factory calibrated or field NA7.5.4.1(j) calibrated. (Pass, Fail, or N/A) For systems with non-DDC controls, verify that 11.2 iJ/N manufacturer's startup and testing procedures NA7.5.4.1(k) have been applied. (Pass, Fail, or N/A) For economizers only - DOAS, HRV, or ERV systems enter N/A. Verify that the economizer has been certified to NA7.5.4.1(1) 12 Qggs the Energy Commission by consulting the CEC Air §140.4(e)2Diii Economizer Certified List §170.2(c)4Ciiic (https://www.energy.ca.gov/media/3259). (Pass, Fail, or N/A) Check "Pass" if construction inspection complies 13 [� Pass with all requirements. NA ❑ Fail Check "Fail" if construction inspection does not comply with all r uirements. Table B: Functional Testin for Air Economizer Controls Code Step Entry Functional Test Reference For economizers only - DOAS, HRV, or ERV enter N/A. If the economizer is installed by the HVAC §120.5(a)4 ❑ Exception system manufacturer technician (not the Exception 0 ❑ N/A economizer technician), then the economizer is §160.3(d)1D excepted from this functional test (NA7.5.4.2). "Exception, Exception Enter Step 0 as by-pass all functionalc� testing and mark Step 7 as passing; otherwise enter Step 0 as N/A. Disable demand control ventilation systems 1 ius5 NA7.5.4.2 (if applicable). (Pass, Fail, or N/A) Step 1 Enable the economizer, DOAS, HRV, or ERV 2.0 F� Pass system and simulate a cooling demand large NA7.5.4.2 ❑ Fail enough to drive the bypass to fully open Step 2 position. Maintain this status for all of Step 2. _ Verify either of the following: NA7.5.4.2 2.1 EJ Pass 1. Using dampers — bypass is 100 percent open, Step2 (a ) ❑ Fail and return is 100 percent closed; or Step 2(a)l 2. Using HRV/ERV wheel — wheel is fully stopped. NA7.5.4.2 E� Pass Verify that all applicable fans and 2.2 ❑ Fail dampers/wheels operate as intended to maintain Step 2(b) buildingpressure. 2.3sS Verify that the economizer heating is disabled NA7.5.4.2 (if applicable). (Pass, Fail, or N/A) Step 2(c) California Energy Commission Page 4 of 6 N MIC January 1, 2023 20c9ad 35-df7a-4317-1338-08dc83d 1 df2c CAUFORNIA ENERGY COMMISSION ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A Code Step Entry Functional Test Reference For economizers only — DOAS, HRV, or ERV systems enter as N/A and proceed to Step 4. NA7.5.4.2 3.0 �C�55 Disable the economizer and simulate a cooling Step 3 demand. Maintain this status for all of Step 3. Step 3(g) (Pass, Fail, or N/A) 3.1 Ful Pass Verify that the economizer damper closes to its NA7.5.4.2 ❑ Fail minimum position. Step 3(d) F� Pass Verify that all applicable fans and dampers NA7.5.4.2 3.2 ❑ Fail operate as intended to maintain building Step 3(e) pressure. 3.3 Verify that the unit heating is disabled (if unit has NA7.5.4.2 heating capability). (Pass, Fail, or N/A) Step 3(f) If unit has heating capability, simulate a heating Pass demand and set economizer, DOAS, HRV, or ERV NA7.5.4.2 4.0 ❑ Fail systems so that it is capable of operating (i.e., Step 4 actual outdoor air conditions are below lockout setpoint). Maintain this status for all of Step 4. For economizers only — DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and 4.2 4.1 QC55 proceed to Step 4.3. Step Step 4(h) Verify that the economizer damper is at minimum position. (Pass, Fail, or N/A) For economizers only — DOAS, HRV, or ERV 4.2 systems enter Steps 4.1 and 4.2 as N/A and Step 4.3. NA7.5.4.2 proceed to Step 4(i) Verify that the return air damper opens. (Pass, Fail, or N/A) For DOAS, HRV, or ERV systems only - economi7ers enter as N/A and proceed to Step 5. 4.3 IPA Verify that the DOAS, HRV, or ERV systems NA7.5.4.2 bypass control modulates bypass damper/wheel Step 40) speed to control temperature setpoint. (Pass, Fail, or N/A) For economizers only — DOAS, HRV, or ERV systems enter as N/A and proceed to Step 6. NA7.5.4.2 Turn off the unit and verify that the economizer Step 5 damper closes completely. Step 5(k) (Pass, Fail, or N/A) Pass Restore demand control ventilation systems (if NA7.5.4.2 6 ❑ Fail applicable) and remove all system overrides Step 6 initiated. Check "Pass" if functional test complies with all 7 0 Pass ❑ Fail requirements. Check "Fail" if functional test does not comply N/A with all requirements. California Energy Commission Page 5 of 6 Mid January 1, 2023 20c9ad35-dRa-4317-1338-08dc83d1df2c --- Az CALIFORNIA ENERGY COMMISSION ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A Dedaratiion Statement Document Author I assert that this Certificate of Acceptance documentation is accurate and complete. Field Technician 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 NAT 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. nsible 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 NAT 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. Signatory 8randm 8errc ATT No.: MAT I1076960T �e6 C'ea6e�y qa.. O O Lic. No.: 583562 California Energy Commission Page 6 of 6 20c9ad35-df7aA317-1338-08dc83d 1 di2c N rtlgC January 1, 2023 CALIFORNIA ENERGY COMMISSION w4w ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A Project Name and Address Authority Having Jurisdiction Name: Luna Grill - Pavilion at La Quinta Enforcement Agency: Unknown Address: 79124 Highway 111 Permit Number: # City, Zip: La Quinta 92253 Permit Application Date: Building: 1 Floor: ;�bk Room: Dining Room Control/tag: 00 System Name/ID: RTU-2 System Location: Construction inspection and functional testing comply _[Does not comply Intent: Date Submitted to AHJ: Ub/ZN 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 I Fixed Dry Bulb 1, 3, 5, 11-16 ToA > 75 OF Differential Dry Bulb Fixed Enthalpy with Fixed Dry bulb Tor, > TRA '-F N/A N/A 21 4, and 10 ToA > 73 OF ToA > TR6, — 2 OF 6, 8, 9 l 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 = Retum Air Temperature HOA = Outdoor Air Enthalpy Table A. Construction Inspection Prior to functional testing, verify and document all of the followin Code Step Entry Item All documentation shipped with the economizer, Reference 1.1 d Pass ❑ DOAS, HRV, or ERV system including manuals NA7.5.4.1(d) Fall and sensor performance curves are available for review. [� Pass Verify that the sensor output value measured 1.2 ❑ Fail during sensor calibration is plotted on the NA7.5.4.1(e) performance curve. California Energy Commission Page 1 of 6 rW"C January 1, 2023 c26do492-185c-4f63-1335-08dc83d 1 df2c —�- CALIFORNIA ENERGY COMMISSION ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A 2.1 and 2.2 KI Entry Code Item Reference Verify that the bypass high limit shutoff control NA7.5.4.1(a) §140.4(e)2 }2 �qSy for the economizer, DOAS, HRV, or ERV system Table 14 able complies with Reference Table R-1 §170.2(c)4Cii (Pass, Fail, or N/A) Table 170.2-G Verify that at altitudes substantially different than NA7.5.4.1(a) §140.4(e)2 NrIN sea level the Fixed Enthalpy limit value is set to Table 140.4-G the enthalpy value at 75°F and 50% relative §170.2(c)4Cii humidity. (Pass, Fail, or N/A) Table 170.2-G rJION 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 Verify that devices with selectable (rather than NA7.5.4.1(a) §140.4(e)2 4 Puss adjustable) setpoints are capable of being set to Table 140.4-G within 2 F and 2 Btu/LBS of the setpoint listed. §170.2(c)4Cii (Pass, Fail, or N/A) Table 170.2-G Verify that if the high -limit control is fixed dry- 5 QUss bulb or fixed enthalpy with fixed dry-bulb, it has NA7.5.4.1(b) [� Pass an adjustable setpoint. (Pass, Fail, or N/A Verify that the economizer, DOAS, HRV, or ERV 6 ❑ Fail system bypass lockout control sensor is located NA7.5.4.1(c) to prevent false readings. Verify if using damper for bypass control that the 7.1, or Vito 5 economizer, DOAS, HRV, or ERV system bypass NA7.5.4.1(f) damper moves freely without binding. _ (Pass, Fail,_ or N/A) Indicate if bypass control is achieved through 7.2 heat/energy recovery wheel rotation speed NA7.5.4.1(f)1 modulation as means other than air dampers. (Pass, Fail, or N/A) Verify that the economizer, DOAS, HRV, or ERV 0 Pass system bypass has control systems, including 8 ❑ Fail two -stage or electronic thermostats, that cycle NA7.5.4.1(g) compressors off when the bypass can provide partial cooling. 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 NA7.. 4. )2D Puts verify that the air economizer and all air dampers §1 0.2(c))2D have ALL of the following features (9.1-9.8). §170.2(c)4Ciii (Pass, Fail, or N/A -for non -economizers) California Energy Commission Page 2 of 6 N M11C January 1, 2023 c26d0492-185c-4f63-1335-08dc83d 1 df2c G. CALIFORNIA ENERGY COMMISSION ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A Code Step Entry Item Warranty. 5-year Manufacturer warranty of Reference 9.1 F� Pass NA7.5.4.1(h) §140.4(e)2Di ❑ Fail economizer assembly. §170.2(c)4Ciiia Damper reliability testing. Certification from suppliers of economizers that the economizer [� Pass assembly, including but not limited to outdoor air damper, damper, drive linkage, NA7.5.4.1(h) 9.2 ❑ Fail return air and have been §140.4(e)2Dii actuator, tested and are able to open §170.2(c)4Ciiib and close against the rated airflow and pressure of the system for 60,000 damper opening and closing cycles. Damper leakage. Economizer outdoor air and 0 Pass return air dampers have a maximum leakage rate NA7.5.4.1(h) 9.3 ❑ Fail of 10 cfm/sf at 250 Pascals (1.0 in. of water) §140.4(e)2Diii when tested in accordance with AMCA Standard §170.2(c)4Ciiic 500-D. Adjustable setpoint. If the high -limit control is NA7.5.4.1(h) 9.4 Qz�55 fixed dry-bulb or fixed enthalpy with fixed dry- §140.4(e)2Div bulb then verify that the control has an 170.2 c 4Ciiid § ( ) adjustable set' -point. (Pass, Fail, or N/A) _ Sensor accuracy. Outdoor air, return air, mixed air, and supply air sensors are calibrated within the following accuracies. Pass 1. Dry bulb and wet bulb temperatures accurate NA7.5.4.1(h) 9.5 ❑ Fail to i2°F over the range of 40OF to 80°F. §140.4(e)2Dv 2. Enthalpy accurate to t3 Btu/LBS. over the §1/0.2(c)4Ciiie range of 20 Btu/LBS. to 36 Btu/LBS. 3. Relative humidity (RH) accurate to f5 percent over the range of 20 percent to 80 percent RH. Pass Sensor calibration data. Data used for control of NA7.5.4.1(h) 9.6 ❑ Fail the economizer is plotted on a sensor §140.4(e)2Dvi performance curve. §170.2(c)4Ciiif [� Pass Sensor high limit control. Sensors used for the high limit located false NA7.5.4.1(h) 9.7 control are to prevent §140.4(e)2Dvii ❑ Fail readings, including but not limited to being §170.2(c)4Ciiig properly shielded from direct sunlight. � Pass Relief air system. Relief air systems is capable of NA7.5.4.1(h) 9.8 ❑ Fail providing 100 percent outside air without over- §140.4(e)2Dviii pressurizing the building. §170.2(c)4Ciiih For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. Pelag Verify that the economizer inlet damper is 10 designed to modulate up to 100 percent open, NA7.5.4.I(i) and return air damper to 100 percent closed, without over -pressurizing the building. (Pass, Fail, or N/A) California Energy Commission Page 3 of 6 N1%lW January 1, 2023 c26d0492-18 ic-4f63-1335-08dc83d1df2c -�'-'--- — P CALIFORNIA ENERGY COMMISSION ECONOMIZER WAS HRV ERV 2022-CEC-NRCA-MCH-05-A Code -Step Entry Item , Reference For systems with DDC controls verify that lockout 11.1, or SASS sensor(s) are either factory calibrated or field NA7.5.4.10) calibrated. (Pass, Fail, or N/A) For systems with non-DDC controls, verify that 11.2 N!A manufacturer's startup and testing procedures NA7.5.4.1(k) have been applied. Pass Fail or N/A) _ For economizers only - DOAS, HRV, or ERV systems enter N/A. Verify that the economizer has been certified to NA7.5.4.1(1) 12 1?616y the Energy Commission by consulting the CEC Air_ §140.4(e)2Diii Economizer Certified List §170.2(c)4Ciiic (https://www.energy.ca.gov/media/3259). ( Pass, Fail, or N/A) 13 El Pass with all requirements. ❑ Fail Check "Fail" if construction inspection does not comply with all requirements. Tahlo R- Fainrtinnal TP-ctina for Air Economizer Controls NA Code Step Entry Functional Test _Reference For economizers only - DOAS, HRV, or ERV enter N/A. If the economizer is installed by the HVAC §120.5(a)4 Exception system manufacturer technician (not the Exception 0 N/A economizer technician), then the economizer is §160.3(d)iD excepted from this functional test (NA7.5.4.2). "Exception, Exception Enter Step 0 as by-pass all functional testing and mark Step 7 as passing; otherwise enter Step 0 as N/A. 1 QpsS Disable demand control ventilation systems NA7.5.4.2 (if applicable). Pass Fail or N/A) Enable the economizer, DOAS, HRV, or ERV Step 1 2.0 [J Pass system and simulate a cooling demand large NA7.5.4.2 ❑ Fail enough to drive the bypass to fully open Step 2 position. Maintain this status for all of Step 2. Verify either of the following: NA7.5.4.2 21 F� Pass 1. Using dampers — bypass is 100 percent open, Step 2(a) ❑ Fail and return is 100 percent closed; or Step 2(a)1 2. Using HRV/ERV wheel — wheel is fully stopped. [� Pass Verify that all applicable fans and NA7.5.4.2 2.2 ❑ Fail dampers/wheels operate as intended to maintain Step 2(b) building pressure. 2.3 9qyg Verify that the economizer heating is disabled NA7.5.4.2 (if applicable). (Pass, Fail, or N/A) Step 2(c) California Energy Commission Page 4 of 6 N MI[C January 1, 2023 c26d0492-185c-4f63-1335-08dc83d 1 df2c iW CALIFORNIA ENERGY COMMISSION ECONOMIZER WAS HRV ERV 2022-CEC-NRCA-MCH-OS-A Code Step Entry Functional Test Reference For economizers only — DOAS, HRV, or ERV systems enter as N/A and proceed to Step 4. NA7.5.4.2 3.0 P455 Disable the economizer and simulate a cooling Step 3 demand. Maintain this status for all of Step 3. Step 3(g) (Pass, Fail, or N/A) 3.1 Pass Verify that the economizer damper closes to its NA7.5.4.2 ❑ Fail minimum position. Step 3(d) [� Pass NA7.5.4.2 Verify that all applicable fans and dampers 3.2 ❑ Fail operate as intended to maintain building Ste 3 e p pressure. NA7.5.4.2 3.3 Verify that the unit heating is disabled (if unit has heating capability). Pass, Fail, or N/A) Step 3(f) If unit has heating capability, simulate a heating ["J Pass demand and set economizer, DOAS, HRV, or ERV NA7.5.NA7.5.4.24 0 ❑ Fail systems so that it is capable of operating (i.e., Step 4 actual outdoor air conditions are below lockout setpoint). Maintain this status for all of Step 4. For economizers only — DOAS, HRV, or ERV systems enter Steps 4.1 and 4.2 as N/A and 4.2 4.1 V055 proceed to Step 4.3. Step S Step 4(h) Verify that the economizer damper is at minimum position. Pass, Fail, or N/A) For economizers only — DOAS, HRV, or ERV QAss systems enter Steps 4.1 and 4.2 as N/A and 4.2 proceed to Step 4.3. Step Stop 4((i)i) Verify that the return air damper opens. (Pass, Fail, or N/A) For DOAS, HRV, or ERV systems only - economizers enter as N/A and proceed to Step 5. 4.3 Verify that the DOAS, HRV, or ERV systems NA7.5.4.2 bypass control modulates bypass damper/wheel Step 40) speed to control temperature setpoint. (Pass, Fail, or N/A) For economizers only — DOAS, HRV, or ERV systems enter as N/A and proceed to Step 6. NA7.5.4.2 5 Qc-s Turn off the unit and verify that the economizer Step 5 damper closes completely. Step 5(k) (Pass, Fail, or N/A) Pass Restore demand control ventilation systems (if NA7.5.4.2 6 ❑ Fail applicable) and remove all system overrides Step 6 initiated. Pass Check "Pass" if functional test complies with all 7 ❑ Fail requirements. Check "Fail" if functional test does not comply N/ A with all requirements. California Energy Commission Page 5 of 6 N MK January 1, 2023 c26d0492-185c-4f63-1335-08dc83d 1 df2c - CALWORNIAENERGY COMMISSION ECONOMIZER WAS HRV ERV 2022-CEC-NRCA-MCH-05-A 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 Certificates) 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. 8rAndofv Berry ATT No.: MAT 11076960T Lic. No.: 583562 California Energy Commission Page 6 of 6 N "lC January 1, 2023 c26d0492-185c-4f63-1335-08dc83d 1 df2c CAUFORNIA ENERGY COMMI55;ON ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A Project Name and Address Authority Having Jurisdiction Name: Luna Grill - Pavilion at La Quinta Enforcement Agency: Unknown Address: 79124 Highway 111 Permit Number: 4 City, Zip: La Quinta 92253 Permit Application Date: Building: Floor: i^ c,• Room: Dining Room Control/tag: 0( System Name/ID: RTU-1 System Location: Construction inspection and functional testing comply Date Submitted to AHJ: 6/16129 ❑ Does not comply 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-G1 Climate Zones Fixed Dry Bulb Differential Dry Bulb Fixed Enthalpy with Fixed DEy bulb 1, 3, 5, 11-16 ToA > 75 °F 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 IF N/A 7 Ton > 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 HcA = Outdoor Air Enthalpy Table A. Construction Inspection Prior to functional testing, verify and document all of the fol Step I Entry Item Code Reference Fv1 Pass All documentation shipped with the economizer, DOAS, HRV, ERV including 1.1 or system manuals NA7.5.4.I(d) ❑ Fail and sensor performance curves are available for review. [J] Pass Verify that the sensor output value measured 1.2 ❑ Fail during sensor calibration is plotted on the NA7.5.4.1(e) performance curve. California Energy Commission Page 1 of 6 rjOMW January 1, 2023 d7897772-8989-4086-28e7-08dc83eo05d4 CAUFORNIA ENERGY COMMISSION Step Entry 2.1 and pa�� 2.2 0 A 3 Is 5 1- 7.1, or 7.2 �� 0 IA ECONOMIZER DOAS HRV ERV Item 2022-CEC-NRCA-MCH-05-A Code Reference Verify that the bypass high limit shutoff control NA7.5.4.1(a} for the economizer, DOAS, HRV, or ERV system §14 complies with Reference Table R-1 Tabllee 140.4.4-G (Pass, Fail, or N/A) §170.2(c)4Cii Table 170.2-G Verify that at altitudes substantially different than NA7.5.4.1(a) sea level, the Fixed Enthalpy limit value is set to §140.4(e)2 the enthalpy value at 75OF and 50% relative Table 140.4-G humidity. (Pass, Fail, or N/A) §170.2(c)4Cii Table 170.2-G 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 Verify that devices with selectable (rather than NA7.5.4.1(a) Qas adjustable) setpoints are capable of being set to §140.4(e)2 5 Table 1 within 2 F and 2 Btu/LBS of the setpoint listed. 40.4-G able ble§170(c)40i (Pass, Fail, or N/A) Table 170.2-G Verify that if the high -limit control is fixed dry- bulb or fixed enthalpy with fixed dry-bulb, it has NA7.5.4.1(b) an adjustable setpoint. Pass, Fail, or N/A) [� Pass Verify that the economizer, DOAS, HRV, or ERV El Fail system bypass lockout control sensor is located NA7.5.4.I(c) to prevent false readings. Verify if using damper for bypass control that the P*5 economizer, DOAS, HRV, or ERV system bypass NA7.5.4.1(f) damper moves freely without binding. (Pass, Fail, or N/A) Indicate if bypass control is achieved through tilA heat/energy recovery wheel rotation speed NA7.5.4.I(f)1 modulation as means other than air dampers. (Pass, Fail, or N/A) Verify that the economizer, DOAS, HRV, or ERV [� Pass system bypass has control systems, including ❑ Fail two -stage or electronic thermostats, that cycle NA7.5.4.1(g) compressors off when the bypass can provide partial cooling. For economizers only - DOAS, HRV, or ERV system indicate N/A and proceed to Step 11.1. NA7.5.4.1(h) Qas5 Using the documentation provided in Step 1.1, § 140.4(e)2D verify that the air economizer and all air dampers §170.2(c)4Ciii have ALL of the following features (9.1-9.8). (Pass, Fail, or N/A -for non -economizers) California Energy Commission Page 2 of 6 N MiC January 1, 2023 d7897772-8989-4086-28e7-08dc83e005d4 CAL!FORNIA ENERGY COMMISSION ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A _ Code Step Entry Item Reference 9.1 [� Pass Warranty. 5-year Manufacturer warranty y o NA7.5.4.1(h) §140.4(e)2Di ❑ Fail economizer assembly. §170.2(c)4Ciiia Damper reliability testing. Certification from suppliers of economizers that the economizer [� Pass assembly, including but not limited to outdoor air damper, damper, NA7.5.4.1(h) 9.2 ❑ Fail return air drive linkage, and §140.4(e)2Dii actuator, have been tested and are able to open §170.2(c)4Ciiib and close against the rated airflow and pressure of the system for 60,000 damper opening and closing cycles. Damper leakage:. Economizer outdoor air and [� Pass return air dampers have a maximum leakage rate NA7.5.4.1(h) 9.3 ❑ Fail of 10 cfm/sf at 250 Pascals (1.0 in. of water) §140.4(e)2Diii when tested in accordance with AMCA Standard §170.2(c)4Ciiic 500-D. Adjustable setpoint. If the high -limit control is NA7.5.4.1(h) 9.4 fixed dry-bulb or fixed enthalpy with fixed dry- §140.4(e)2Div bulb then verify that the control has an §170.2(c)4Ciiid adjustable setpoint. (Pass, Fail, or N/A) Sensor accuracy. Outdoor air, return air, mixed air, and supply air sensors are calibrated within the following accuracies. Pass 1. Dry bulb and wet bulb temperatures accurate NA7.5.4.1(h) 9.5 ❑ Fail to f2°F over the range of 40OF to 80°F. §140.4(e)2Dv 2. Enthalpy accurate to f3 Btu/LBS. over the §170.2(c)4Ciiie range of 2.0 Btu/LBS. to 36 Btu/LBS. 3. Relative humidity (RH) accurate to f5 percent over the range of 20 percent to 80 percent RH. Pass Sensor calibration data. Data used for control of NA7.5.4.1(h) 9.6 ❑ Fail the economizer is plotted on a sensor §140.4(e)2Dvi performance curve. §170.2(c)4Ciiif F' Pass Sensor high limit control. Sensors used for the high limit located false NA7.5.4.1(h) 9.7 control are to prevent §140.4(e)2Dvii ❑ Fail readings, including but not limited to being §170.2(c)4C1119 properly shielded from direct sunlight. Pass Relief air system. Relief air systems is capable of NA7.5.4.1(h) 9.8 ❑ Fail providing 100 percent outside air without over- §140.4(e)2Dviii pressurizing the building_ For economizers only - DOAS, HRV, or ERV §170.2(c)4Ciiih system indicate N/A and proceed to Step 11.1. Verify that the economizer inlet damper is 10 oSs designed to modulate up to 100 percent open, NA7.5.4.1(i) and return air damper to 100 percent closed, without over -pressurizing the building. (Pass, Fail, or N/A) California Energy Commission d7897772-8989-4086-28e 7-08dc83eOO5d4 Page 3of6 N n][C January 1, 2023 9 CAI.IiORNIA ENERGY COMMISSION ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A 13 Entry QaSy N JDt M Pass ❑ Fail Item For systems with DDC controls verify that lockout sensor(s) are either factory calibrated or field calibrated. (Pass, Fail, 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) 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) Check "Pass" if construction inspection complies with all requirements. Check "Fail" if construction inspection does not comply with all requirements. Table B: Functional Testing for Air Economizer Controls cocie Reference NA7.5.4.1(j) NA7.5.4.1(k) NA7.5.4.1(1) §140.4(e)2Diii §170.2(c)4Ciiic NA Code Step Entry Functional Test Reference For economizers only - DOAS, HRV, or ERV enter N/A. If the economizer is installed by the HVAC Exception system manufacturer technician (not the Exception Exception 0 N/A economizer technician), then the economizer is §160.3(d)1D excepted from this functional test (NA7.5.4.2). "Exception, Exception Enter Step 0 as by-pass all functional testing and mark Step 7 as passing; otherwise enter Step 0 as N/A. 1 Qas� Disable demand control ventilation systems NA7.5.4.2 (if applicable). (Pass, Fail, or N/A) Step 1 Enable the economizer, DOAS, HRV, or ERV 2.0 Pass system and simulate a cooling demand large NA7.5.4.2 ❑ Fail enough to drive the bypass to fully open Step 2 position. Maintain this status for all of Step 2. NA7.5.4.2 Verify either of the following: 2.1 0 Pass 1. Using dampers - bypass is 100 percent open, Step 2 (a ) ❑ Fail and return is 100 percent closed; or Step 2(a)1 [� Pass 2. Using HRV/ERV V/ERV wheel - wheel is fullystopped. Verify that all applicable fans and NA7.5.4.2 2.2 ❑ Fail dampers/wheels operate as intended to maintain Step 2(b) building pressure. Verify that the economizer heating is disabled 2.3 Pgys NA7.5.4.2 (if applicable). (Pass, Fail or N/A) Step 2(c) California Energy Commission Page 4 of 6 N rVglC January 1, 2023 d7897772-89894086-28e7-08dc83e005d4 CALIFORNIA ENERGY COMMISSION ECONOMIZER DOAS HRV ERV Entry I Functional Test 2022-CEC-NRCA-MCH-05-A Code Reference For economizers only — DOAS, HRV, or ERV systems enter as N/A and proceed to Step 4. 3.0 Pam Disable the economizer and simulate a cooling demand. Maintain this status for all of Step 3. (Pass, Fail, or N/A) 3.1 El Pass Verify that the economizer damper closes to its ❑ Fail minimum position. Verify that all applicable fans and dampers ''2 Fails operate as intended to maintain building 3.3 'Pus5 4.0 u Pass Fail 4.1 pRsS 4.2 1 P'"S* 4.3 1 ikJt h 5 'u7s 6 F� Pass ❑ Fail Verify that the unit heating is disabled (if unit has heating capability). (Pass, Fail, or N/A) 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. 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) 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) 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) 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) Restore demand control ventilation systems (if applicable) and remove all system overrides initiated. Check "Pass" if functional test complies with all 7 [� Pass requirements. ❑ Fail Check "Fail" if functional test does not comply with all requirements. NA7.5.4.2 Step 3 Step 3(g) NA7.5.4.2 Steo 3(d) NA7.5.4.2 Step 3(c) NA7.5.4.2 Step 3(f) NA7.5.4.2 Step 4 NA7.5.4.2- Step 4(h) NA7.5.4.2 Step 4(i) NA7.5.4.2 Step 40 ) NA7.5.4.2 Step 5 Step 5(k) NA7.5.4.2 Step 6 N/A California Energy Commission Page 5 of 6 N ,%viiiC January 1, 2023 d7897772-8989-4086-28e7-08dc83e005d4 "'' CALIFORNIA ENERGY COMMISSION ECONOMIZER DOAS HRV ERV 2022-CEC-NRCA-MCH-05-A ration Statement *cument Author assert that this Certificate of Acceptance documentation is accurate and Dmplete. 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 confirred 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. Signatory 8ran,da*v Berry ATT No.: MAT11076960T Lic. No.: 583562 California Energy Commission Page 6 of 6 d 7897772-8989-4086-28e 7-08dc83e005d4 N Ir1IC January 1, 2023 Wa IL CALIFORNIA ENERGY COMMISSION HVAC AND HEAT PUMPS 2022-CEC-NRCA-MCH-03- A Project Name and Address Authority Having 3urisdiction Name: Luna Grill - Pavilion at La Quinta Enforcement Agency: Unknown Address: 79124 Highway 111 Permit Number: # City, Zip: La Quinta 92253 Permit Application Date: r: Room: Kitchen I Control/tag: 1)c3L System Name/ID: RTU-3 I System Location: Construction inspection and functional testing comply Date Submitted to AHJ: Vb /7-H n Does not comply Intent: This acceptance test is meant for new installations of constant volume, single zone, unitary (packaged and split) air conditioner and heat pump systems in nonresidential or multifamily occupancies. Either an NRCC-MCH-E for nonresidential construction that is completed and approved by the authority having jurisdiction or an LMCC-MCH-E for multifamily construction that is registered with a CEC approved HERS data registry is required prior to beginning this acceptance test. Submit one Certificate of Acceptance for each room, area, or zone that is directly or indirectly served by a thermostatic controls system. References: §120.2(a), §120.2(b), §110.12(a), §160.3(a), §180.2(b) Table A. Construction Inspection Prior to functional testina, verify and document all of the followina Code Step Entry Item Reference Pass Verify that the NRCC-MCH-E as approved by the having LMCC-MCH-E 1.1 authority jurisdiction or as §10-103(a)2A ❑ Fail registered by a CEC approved HERS data registry is available for reference. Verify that the demand responsive controls are certified OpenADR 2.Oa or OpenADR 2.Ob Virtual End Node or a certificate from the manufacturer §120.2.1(b) §1 2(b)4 Pass stating that the demand response control system 0. §110.1a)2Bi 1.2 ❑ Fail is capable of responding to a demand response §160.3 iv signal from a certified OpenADR 2.Ob Virtual End §160.3(a)2G (a)2 Node by automatically implementing the control functions requested by the Virtual End Node for the equipment it controls. Thermostatic controls for each zone served by the 2.0 No Entry system — One of the following Steps must pass: NA7.5.2.1(a) 2.1, 2.2, or 2.3 Thermostat is located within the space- §120.2(a) 2.1 QiS5 conditioning zone that is served by the HVAC §160.3(a)2A system. (Pass, Fail, or N/A) An Energy Management Control system is §120.2(a) 2.2 '''�i installed to comply with the requirement of one or §160.3(a)2A more thermostatic controls. (Pass, Fail, or N/A) California Energy Commission Page 1 of 8 d13d82d2-ebe6-4903-1336-08dc83d1 df2c N yiiC January 1, 2023 -e CALIFORNIA ENERGY COMMISSION HVAC AND HEAT PUMPS 2022-CEC-NRCA-MCH-03-A Code Step Entry Item Reference An independent perimeter heating or cooling system that serves more than one zone without Exception to 2.3 Pr individual thermostatic controls is installed. §120.2(a) Mark as "pass" only if all of the following steps Exception to pass: 2.3.1, 2.3.2, 2.3.3, and 2.3.4. §160.3(a)2A (Pass, Fail, or N/A) All zones served by the perimeter system are also Exception to §120.2(a) 2.3.1 04 A served by an interior cooling system (Pass, Fail, or Exception to N/A); and The perimeter system is designed solely to offset §160.3(a)2A Exception to §120.2(a) 2.3.2 041)N envelope heat losses or gains (Pass, Fail, or N/A); Exception to and The perimeter system has at least one §160.3(a)2A Exception to §120.2(a) 2.3.3 NIA thermostatic control for each building orientation ption Exception o Exce.3(a)2 of 50 feet or more (Pass, Fail, or N/A); and The perimeter system is controlled by at least one §160 Exception to §120.2(a) 2.3.4 N/N thermostat located in one of the zones served by Exception to the system. (Pass, Fail, or N/A) §160.3(a)2A Criteria for Thermostatic zone controls. NA7.5.2.1(b) 3.0 No Entry Both steps 3.1 and 3.2 must pass. §120.2(b) Set Points and Dead -band. §120.2(b) 3.1 Quys One of the following steps must pass: §160.3(a)2B 3.1.1, 3.1.2, 3.1.3, or 3.1.4 The thermostatic control is used to control 3.1.1 NIA comfort heating only and is capable of being set, §120.2(b)1 locally or remotely, down to 55°F or lower. §160.3(a)2Bi (Pass, Fail, N/A) The thermostatic control is used to control 3 ] 2 tvION- comfort cooling only and is capable of being set, §120.2(b)2 locally or remotely, up to 85°F or higher. §160.3(a)2Bii (Pass, Fail, N/A) The thermostatic control is used to control both Exception to 3.1.3 NA comfort heating and comfort cooling and requires §120.2(b)3 manual changeover between heating and cooling Exception to modes. (Pass, Fail, N/A) §160.3(a)2Biii The thermostatic control is used to control both comfort heating and comfort cooling and does 3.1.4 Q(4" NOT require manual changeover between heating and cooling modes and is capable of all of the following (all of the following steps must pass): 3.1.4.1, 3.1.4.2, and 3.1.4.3 (Pass, Fail, N/A) §120.2(b)3 §160.3(a)2Biii California Energy Commission Page 2 of 8 N MiC January 1, 2023 d13d82d2-ebe6-4903-1336-08dc83d1df2c AoMtL CALIFORNiAENERGYCOMM:55:ON HVAC AND HEAT PUMPS 2022-CEC-NRCA-MCH-03-A Code Step Entry Item Reference 3.1.4.1 ?:455 A minimum heating setpoint of 55°F or lower §120.2(b)3 _(Pass, Fail, N/A); and §160.3(a)2Biii 3.1.4.2 Q�'S A maximum cooling setpoint of 85°F or higher §120.2(b)3 Pass Fail, N/A); and §160.3(a)2Biii A temperature range or dead band of at least 5°F 3.1.4.3 Pugs within which the supply of heating and cooling §120.2(b)3 energy to the zone is shut off or reduced to a §160.3(a)2Biii minimum. (Pass, Fail, N/A) Additional Thermostatic Setback Controls. § 120.2( 3.2 NiP� One of the following steps must pass: 3.2.1, §160.3(a)2B 3.2.2, 3.2.3, or 3.2.4 The heating or cooling systems is NOT a heat pump system and is NOT controlled by an Energy §110.2(c)l Management Control System, and has a clock §120.2(b)4 3.2.1 mechanism that allows the building occupant to §160.3(a)1 program the temperature setpoints for at least §160.3(a)2Biv four periods within 24 hours (a setback §180.2(b)2Aiv thermostat). (Pass, Fail, N/A) Thermostatic setback control is NOT required. The heating or cooling system is one of the Exception to 3.2.2!A following (One of the following steps must pass): §110.2(c) 3.2.2.1, 3.2.2.2, 3.2.2.3, or 3.2.2.4. (Pass, Fail, N/A) 3.2.2.1 MA Gravity gas wall heater (Pass, Fail, N/A) Exception to §110.2(c) 3.2.2.2 Nlk Gravity floor heater (Pass, Fail, N/A) Exception to§110.2(c) 3.2.2.3 Nln Gravity room heater (Pass, Fail, N/A) Exception to §110.2(c) Non -central electric heater, fireplace or decorative 3.2.2.4 M y gas appliance, wood stove, room air conditioner, Exception to or room air -conditioner heat pump. §110.2(c) (Pass, Fail, N/A) The heating or cooling system is a heat pump WITH supplementary electric resistance heaters 3.2.3 QC,;,s and has all of the following controls. All of the 110.2(c) following steps must pass: 110.2(b) 3.2.3.1, 3.2.3.2, and 3.2.3.3. (Pass, Fail, N/A) Has a clock mechanism that allows the building 3.2.3.1'As5 occupant to program the temperature setpoints 1.10.2(c)1 for at least four periods within 24 hours (a setback thermostat.). (Pass, Fail, N/A) California Energy Commission Page 3 of 8 d13d82d2-ebe6-4903-1336-08dc83d1 df2c N"C January 1, 2023 CALIFORNIA ENERGY COMMISSION Step Entry Item 3.2.3.2 3.2.3.3 Qu 5", 3.2.4 NIA 4.0 No Entry 4.1 15% 4.3 HVAC AND HEAT PUMPS 2022-CEC-NRCA-MCH-03-A The cut -on temperature for compression heating is higher than the cut -on temperature for supplementary heating, and the cut-off temperature for compression heating is higher than the cut-off temperature for supplementary heating. (Pass, Fail, N/A) Verify that supplementary heater operation is prevented when the heating load can be met by the heat pump alone, UNLESS the thermostatic controls provide preferential rate control, intelligent recovery, staging, ramping or another control mechanism designed to preclude the unnecessary operation of supplementary heating; supplementary heater operation is limited the following conditions: • Defrost Transient Periods (i.e., start-ups or following thermostat setpoint advance) ( Pass, Fail, N/A) The heating or cooling system is a heat pump WITHOUT supplementary electric resistance heaters and has a clock mechanism that allows the building occupant to program the temperature setpoints for at least four periods within 24 hours _(asetback thermostat). (Pass, Fail, N/A) Demand Response Controls & Demand Responsive Zonal HVAC Controls. All of the following steps must pass: 4.1, 4.2, 4.3, 4.4, and 4.5. Code Reference 110.2(b)2 §110.2(b)1 Exception to §110.2(b)1 110.2(c)1 110.2(b) NA7.5.2.1(b) §120.2(b) §160.3(a)2B 5110.12 0 Pass Verify that the demand responsive controls are the Virtual End capable of communicating with §110.12(a)2 ❑ Fail Node (VEN) using wired or wireless bi-directional communication pathway. Verify that when the demand responsive control F) Pass communications are disabled or unavailable, all §110.12(a)4 ❑ Fail demand responsive controls continue to perform all other control functions provided by the control. Verify that the demand response control system has been certified to the Energy Commission as meeting all of the requirements in Joint Appendix [�] Pass 5 (Occupant Controlled Smart Thermostat). §110.12(a)5 https://www.energy.ca.gov/rules-and- ❑ Fail regulations/building-energy- efficiency/manufacturer-certification-building- equipment-7 California Energy Commission Page 4 of 8 N MI[C January 1, 2023 d 13d82d2-ebe6-4903-1336-08dc83d1 df2c CALIFORNIA ENERGY COMMISSION HVAC AND HEAT PUMPS 2022-CEC-NRCA-MCH-03-A Code Step Entry Item Reference F� Pass Verify that the controls are programmed to 4.4 E] Fail provide an adjustable rate of change for the §110.12(b)4 temperature setup increase, decrease, and reset. Verify that the controls have the following A Pass features: 4.5 ❑ Fail §110.12(b)5 All of the following steps must pass: 4.5.1,4.5.2,and 4.5.3 4.5.1 ❑ Pass Disabled. Disabled by authorized facility §110.12(a)5A Fail operators; Manual control. Manual control by authorized 4.5.2 ❑ Pass facility operators to allow adjustment of heating §110.12(a)513 ❑ Fail and cooling set points globally from a single point in the EMCS. Automatic Demand Shed Control. Upon receipt of Pass a demand response signal, the space conditioning §110.12(b)1 4.5.3 ❑ Fail systems conduct a centralized demand shed for §110.12(b)2 non -critical zones during the demand response §110.12(a)5C period. Occupancy and Pre -Occupancy Programming. 5.0 No Entry Both of the following steps must pass: NA7.5.2.1(c) 5.1 and 5.2 d Pass Occupied, unoccupied, and holiday schedules 5.1 ❑ Fail have been programmed per the schedule NA7.5.2.1(c) provided. Pre -occupancy purge has been programmed for 0 Pass the 1-hour period immediately before the building NA7.5.2.1(d) 5.2 ❑ Fail is normally occupied to provide ventilation by one §120.1(d)2 of the following methods (One of the following §160.2(c)5B steps must pass): 5.2.1 or 5.2.2 The minimum CFM specified by design for the NRCC-MCH-E heating or cooling unit is supplied to all zones or LMCC-MCH- 5.2.1 served by the unit during the 1-hour period E, Table 1. immediately before the building is normally §120.1(d)2 occupied. (Pass, Fail, N/A) §160.2(c)5B Three complete air changes to the zone served by NRCC-MCH-E the heating or cooling unit is supplied to all zones or LMCC-MCH- 5.2.2 NSA served by the: unit during the 1-hour period E, Table J. immediately before the building is normally §120.2(d)2 occupied. (Pass, Fail, N/A) §160.2(c)56 Pass Check "Pass" if construction inspection complies with all requirements. 6.0 N A ❑ Fail Check "Fail" if construction inspection does not comply with all requirements. California Energy Commission Page 5 of 8 N _IUC January 1, 2023 d13d82d2-ebe6-4903-1336-08dc83d 1 df2c - CALIFORNIA ENERGY COMMISSION HVAC AND HEAT PUMPS 2022-CEC-NRCA-MCH-03-A Table B: Functional Testina Code Step Entry Functional Test Reference Disable economizer control and demand -controlled NA7.5.2.2 1.0 Q'uh,s ventilation (if applicable) to prevent unexpected Step 1 interactions. (Pass, Fail, N/A) Occupied Mode: Simulate a heating demand during the occupied NA7.5.2.2 2.0 No Entry condition. ALL of the following steps must pass: Step 2 2.1,2.2,2.6,and 2.4. 2.1 Pass Fail Pass Fail Pass Fail Supply fan operates continuously NA7.5.2.2 Step 2(a) 2.2 The unit provides heating _ No cooling is provided by the unit NA7.5.2.2 Step 2(b) NA7.5.2.2 Step 2(c) 2.3 2.4 Pass Fail Outside air damper is at minimum position NA7.5.2.2 Step 2(d) Occupied Mode: Simulate operation in the dead band during occupied NA7.5.2.2 3.0 No Entry condition. ALL of the following steps must pass: Step 3 3.11 3.2, 3.3, and 3.4. 3.1 � Pass Fail Supply fan operates continuously No heating is provided by the unit NA7.5.2.2 Step 3(e) Step NA7.5.. 2 2 3.2 Pass Fail Pass Fail No cooling is provided by the unit Outside air damper is at minimum position NA7.5.2.2 P O Ste 3 3.3 3.4 Pass ❑ Fail_ NA7.5.2.2 Step 3(g) Simulate cooling demand during occupied condition. 4.0 No Entry Lock out economizer (if applicable). ALL of the NA7.5.2.2 following steps must pass: Step 4 4.1, 4.2, 4.3, and 4.4. NA7.5.2.2 Step 4(h) 4.1 Pass Fail Supply fan operates continuously No heating is provided by the unit Cooling is provided by the unit Outside air damper is at minimum position _ Simulate operation in the dead band during 4.2 Pass Fail NA7.5.2.2 Step 40) 4.3 Pass Fail NA7.5.2.2 P ( Ste 4 i ) NA7.5.2.2 Step 4(k) 4.4 Pass ❑ Fail 5.0 No Entry unoccupied mode. All of the following steps must NA7.5.2.2 j Pass ass: 5.1, 5.2, 5.3, and 5.4. Step 5 NA7.5.2.2 5.1 `— Fail Supply fan turns off Step 5(I) Califomia Energy Commission Page 6 of 8 N rWjjgC January 1, 2023 d 13d82d2-ebe6-4903-1336-08dc83d 1 df2c CALIFORNIA FN FRGY COMMISSION HVAC AND HEAT PUMPS 2022-CEC-NRCA-MCH-03-A Code Step Entry Functional Test Reference 5.2 � Pass No heating is provided by the unit NA7.5.2.2 Fail Step 5(n) 5.3 Pass Fail No cooling is provided by the unit NA7.5.2.2 Step 5 (n ) Pass NA7.5.2.2 2 5.4 ❑Fail Outside air damper closes completely Step 5( Simulate heating demand during unoccupied Ntep 6.0 No Entry conditions. All of the following steps must pass: .2 Step tep6 6.1 © Pass Fail Supply fan cycles on and off NA7.5.2.2 Step 6(o) NA7.5.2.2 6.2 0 Pass The unit provides heating Fail No cooling is provided by the unit Step_6(_p) 6.3 © Pass NA7.5.2.2 Fail Outside air damper is either closed or at minimum Step 6(q) 6.4 Pass NA7.5.2.2 Fail position Simulate cooling demand during unoccupied Step 6(r) 7.0 No Entry condition. Lock out economizer (if applicable). All of NA7.5.2.2 the following steps must pass: Step 7 7.1,7.2,7.3,and 7.4. NA7.5.2.2 ❑ Pass 7.1 ❑ Fail Supply fan cycles on and off Step 7(s) Pass NA7.5.2.2 7.2 ❑ Fail Pass No heating is provided by the unit Step 7(u) NA7.5.2.2 7.3 Fail Cooling is provided by the unit Step 7(t) ® Pass Outside air damper is either closed or at minimum NA7.5.2.2 7.4 ❑ Fail position Step 7(v) Simulate manual override during unoccupied NA7.5.2.2 8.0 No Entry condition. Both of the following steps must pass: Step 8 8.1 and 8.2. © Pass "occupied" NA7.5.2.2 8.1 System operates in mode Lj Fail Step 8(w) 8.2 W Pass System reverts back to "unoccupied" mode when NA7.5.2.2 Fail manual override time period expires Step 8(x) System returned to initial operating conditions. 9'0 ❑l Pass Restore economizer and demand control ventilation NA7.5.2.2 ❑ Fail systems if applicable) and remove all system Ste 9 Y- (� PP - ) Y- P overrides initiated during the test. 10.0 Pass Check pass if Functional Test passes on Steps 1 N/A ❑ Fail through 9 California Energy Commission Page 7 of 8 tV NjW January 1, 2023 d13d82d2-ebe6-4903-1336-08dc83dldt2c CAUFORNIA ENERGY COMMISSION HVAC AND HEAT PUMPS 2022-CEC-NRCA-MCH-03-A Declaration Statement 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. 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. Signatory Sranl)aty ferry ATT No.: MAT11076960T Lic. No.: 583562 California Energy Commission Page 8 of 8 d 13d82d2-ebe6-4903-1336-08dc83d 1 df2c N Ir11 1C January 1, 2023 21" Century Electrics ph.760-809-8285 TO: County of La Quints FR: Paul Bussell RE: Title 24 Interior Lighting Acceptance Testing DA: May 28, 2024 A summary of the interior lighting installation and acceptance forms that are attached: INSTALLATION NRCI-LTI-01 E Page two, and, ACCEPTANCE N RCA-LTI-02A Page thirteen. Interior Luminaires Et Controls ), from ( Interior Automatic Shutoffs ), from Applicable code sections covering altered or new interior lighting include: 1. Local wall -mounted controls in each partitioned space(130.1a), 2. Multi -level or dimming controls for general lighting GT 0.5 watts per sq. foot (130.1b), 3. Automatic shutoffs ( 130.1 c ), 4. Daylight controls are excepted for this project due to overhang, (130.1 d), 5. Demand Response controls are excepted for this project (130.1e), and, regarding exterior certification, this Project is exempt under the fewer-than-20 luminaires exception. STATE OF CALIFORNIA Indoor Lighting CALIFORNIA ENERGY COMMISSION CERTIFICATEINSTALLATION NRCI-LTI-01-E This Certificate of Installation documents the installation of indoor lighting features, materials, components, and manufactured devices required to demonstrate compliance with Title 24, Part 6 per 10.103(a)3 for low-rise residential and low-rise mixed -use occupancies. Project Name: Luna Grill t.i. Report Page: (Page 1 of 10) Project Address: 79124 Highway 111, La Quinta,CA 92253 1 Date Prepared: 2024-05-28T23:17:22-04:00 A. GENERAL INFORMATION 01 Project Location (city) La Quinta 04 Authority Having Jurisdiction City of La Quinta 02 Zip Code 92253 05 Building Permit # BCOM-2023-0039 03 Date of Permit Set used for construction 2024-02-14 06 Date of As -built Set 2024-02-14 B. INSTALLER SCOPE This table indicates the construction systems and materials documented on this Certificate of Installation. 01 02 03 Luminaires Space Types Controls' ® General Lighting ® Conditioned ® Time -switch ® Occupant Sensors ® Dimmers ❑ Daylighting ❑ Interlocked Systems ❑ Shut-off ® Decorative/ Accent ❑ Unconditioned ® Area Controls ElDemand Response ❑ Video Conferencing Studio Controls ❑ Multi -Level ❑ Institutional Tuning 'FOOTNOTES: If an Energy Managment Control System (EMCS) or Lighting Contol System is installed to function as another type of lighting control, the type of lighting control for which it functions is indicated. Example: if the EMCS is acting as a time -switch control, "Time -switch" is checked here. C. COMPLIANCE RESULTS This table indicates whether the as -built conditions documented in this form are equal or better than what was documented on the permitted Certificate of Compliance. If the installation is not equal or better, Section 10-103(a)2B requires the Certificate of Compliance form to be revised accordingly to demonstrate compliance. 01 INSTALLED FEATURES EXACTLY MATCH DESIGN ON PERMITTED CERTIFICATE OF COMPLIANCE Documented as -built conditions should be verified by inspector from Authority Having Jurisdiction to comply. D. EXCEPTIONAL CONDITIONS This table is auto filled with uneditable comments because of field conditions noted by the installer that may impact requirements documented on the Certificate of Compliance. No exceptional condition notes for this Certificate of Installation Registration Number: Generated Date/Time: Documentation Software: Energy Code Ace CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: 202003-0524-0002 Schema Version: rev 20220901 Report Generated: 2024-05-28 20:17:25 STATE OF CALIFORNIA Indoor Lighting CALIFORNIA ENERGY COMMISSION CERTIFICATEINSTALLATION NRCI-LTI-01-E Project Name: Luna Grill t.i. Report Page: (Page 2 of 10) Date Prepared: 2024-05-28T23:17:22-04:00 E. INSTALLER NOTES This table includes remarks made by the installer to the Authority Having Jurisdiction. F. INSTALLATION DETAILS The following tables indicate performance requirements as documented on the permitted Certificate of Compliance for all systems and components included in Table B. Installer Scope. Also included are the as -built conditions documented by the installer/documentation author. Registration Number: Generated Date/Time: Documentation Software: Energy Code Ace CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: 202003-0524-0002 Schema Version: rev 20220901 Report Generated: 2024-05-28 20:17:25 STATE OF CALIFORNIA Indoor Lighting CALIFORNIA ENERGY COMMISSION CERTIFICATEINSTALLATION NRCI-LTI-01-E Project Name: Luna Grill t.i. Report Page: (Page 3 of 10) Date Prepared: 2024-05-28T23:17:22-04:00 Indoor Lighting Fixture Schedule for Spaces Other Than Dwelling Units/ Hotel Rooms/ Motel Rooms 01 02 04 05 06 07 08 09 10 11 12 13 Usedin FixtureConditione jDesn VA of Voltage of Sum of Maximum Rated Total Name or Item Tag Withind or Fixture Linear Ft of Current Branch Ampere Rated Input Wattage Number of Fixture Scope? Unconditio Type Track Limiter Circuit Rating' Wattage per Luminaires Compliance luminaire ned Per C of 4" INSTALLED 12 40 C Downlight FEATURES EXACTLY MATCH Conditione As -built F1 Yes d DESIGN ON Conditio 4 12 40 PERMITTED ns Downlight CERTIFICATE OF COMPLIANCE Per C of 2x4 LED INSTALLED 28 9 C TROFFER FEATURES EXACTLY MATCH Conditione As -built F12 Yes d DESIGN ON Conditio 2x4 LED 28 9 PERMITTED ns TROFFER CERTIFICATE OF COMPLIANCE Per C of 1X4 INSTALLED SURFACE 24 2 FEATURES C LED EXACTLY MATCH F13 Yes Conditione d DESIGN ON As -built 1X4 PERMITTED Conditio SURFACE 24 2 CERTIFICATE OF ns LED COMPLIANCE Registration Number: Generated Date/Time: Documentation Software: Energy Code Ace CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: 202003-0524-0002 Schema Version: rev 20220901 Report Generated: 2024-05-28 20:17:25 STATE OF CALIFORNIA Indoor Lighting CALIFORNIA ENERGY COMMISSION CERTIFICATEINSTALLATION NRCI-LTI-01-E Project Name: Luna Grill t.i. Report Page: (Page 4 of 10) Date Prepared: 2024-05-28T23:17:22-04:00 Indoor Lighting Fixture Schedule for Spaces Other Than Dwelling Units/ Hotel Rooms/ Motel Rooms Per C of INTERIOR INSTALLED 40 3 C PENDANT FEATURES EXACTLY MATCH Conditione As -built F2 Yes d DESIGN ON Conditio INTERIOR 40 3 PERMITTED ns PENDANT CERTIFICATE OF COMPLIANCE Per C of 9W INSTALLED 9 5 C PENDANT FEATURES EXACTLY MATCH Conditione As -built F3 Yes d DESIGN ON Conditio 9W 9 5 PERMITTED ns PENDANT CERTIFICATE OF COMPLIANCE Per C of 60W INSTALLED 60 3 C PENDANT FEATURES EXACTLY MATCH Conditione As -built F4 Yes d DESIGN ON Conditio 6 60 3 PERMITTED ns PENDDAA NT CERTIFICATE OF COMPLIANCE INTERIOR INSTALLED Per C of WALL 5 7 FEATURES C SCONCE EXACTLY MATCH F5 Yes Conditione DESIGN ON As -built INTERIOR d PERMITTED Conditio WALL 5 7 CERTIFICATE OF ns SCONCE COMPLIANCE Registration Number: Generated Date/Time: Documentation Software: Energy Code Ace CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: 202003-0524-0002 Schema Version: rev 20220901 Report Generated: 2024-05-28 20:17:25 STATE OF CALIFORNIA Indoor Lighting CALIFORNIA ENERGY COMMISSION CERTIFICATEINSTALLATION NRCI-LTI-01-E Project Name: Luna Grill t.i. Report Page: (Page 5 of 10) Date Prepared: 2024-05-28T23:17:22-04:00 Indoor Lighting Fixture Schedule for Spaces Other Than Dwelling Units/ Hotel Rooms/ Motel Rooms Per C of LED STRIP INSTALLED 60 3 C LIGHT FEATURES EXACTLY MATCH Conditione As -built F8 Yes d DESIGN ON Conditio LED STRIP 60 3 PERMITTED ns LIGHT CERTIFICATE OF COMPLIANCE INTERIOR INSTALLED Per C of WALL 30 5 FEATURES C WASH EXACTLY MATCH F9 Yes Conditione DESIGN ON As -built INTERIOR d PERMITTED Conditio WALL 30 5 CERTIFICATE OF ns WASH COMPLIANCE Residential Dwelling Unit or Hotel/Motel Room Luminaire Efficacy Requirements Residential dwelling unit and hotel/motel room lighting fixtures must be installed according to the following requirements. The following light sources are considered high efficacy light sources and are not required to comply with Title 24, Part 6 Joint Appendix 8 requirements: A. Pin -based linear fluorescent or compact fluorescent light sources using electronic ballasts B. Pulse -start metal halide light sources C. High pressure sodium light sources D. Have sunrise and sunset prediction accuracy within +/-15 minutes and timekeeping accuracy within 5 min per year (astronomical only) E. Luminaires with hardwired high frequency generator and induction lamp F. LED light sources installed outdoors G. Inseparable solid state LED (SSL) luminaires containing colored light sources that are installed to provide decorative lighting All other light sources shall be marked with "JA8-2019" or "JA8-2019-E" to qualify as high efficacy light sources. Light sources not marked "JA8-2019" or "JA8-2019-E" do not meet the efficacy requirements. Ceiling recessed downlight luminaires shall not have screw bases regardless of lamp type. Registration Number: Generated Date/Time: Documentation Software: Energy Code Ace CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: 202003-0524-0002 Schema Version: rev 20220901 Report Generated: 2024-05-28 20:17:25 STATE OF CALIFORNIA Indoor Lighting CALIFORNIA ENERGY COMMISSION CERTIFICATEINSTALLATION NRCI-LTI-01-E Project Name: Luna Grill t.i. Report Page: (Page 6 of 10) Date Prepared: 2024-05-28T23:17:22-04:00 Indoor Lighting Controls 01 02 03 04 05 06 07 08 09 10 Primary Demand Manual Area Multi -Level Shut -Off Primary/Skylit Secondary Interlocked Area Description Function Area Response Controls Controls Controls Daylighting Daylighting Systems Controls compliance Per C of C NA < 4,000W subject to ReadilySee Dimmer BuildingNA: Not da lit Y NA: Not da lit Y No INSTALLED FEATURES Back of House multilevel Accessible Level zone zone EXACTLY MATCH DESIGN ON PERMITTED CERTIFICATE OF As -built NA < 4,000W Readily See Building NA: Not daylit NA: Not daylit Conditions subject to Accessible Dimmer Level zone zone No COMPLIANCE multilevel Per C of C NA < 4,000W subject to Authorized Dimmer See Building NA: Overhang NA: Overhang No INSTALLED FEATURES Front of House multilevel Personnel Level EXACTLY MATCH DESIGN ON PERMITTED CERTIFICATE OF As -built NA < 4,000W Authorized See Building Conditions subject to Personnel Dimmer Level NA: Overhang NA: Overhang No COMPLIANCE multilevel Per C of C NA < 4,000W subject to ReadilyNA: Enclosed Occupancy p Y NA: Not da lit Y NA: Not da lit Y No INSTALLED FEATURES Office multilevel Accessible area <100SF Sensor zone zone EXACTLY MATCH DESIGN ON PERMITTED CERTIFICATE OF As -built NA < 4 OOOW Readily NA: Enclosed Occupancy NA: Not daylit NA: Not daylit Conditions subject to Accessible area <100SF Sensor zone zone No COMPLIANCE multilevel Per C of C NA < 4,000W subject to Readily NA: Restrooms Occupancy NA: Not daylit NA: Not daylit No INSTALLED FEATURES Restrooml multilevel Accessible Sensor zone zone EXACTLY MATCH DESIGN ON PERMITTED CERTIFICATE OF As -built NA < 4,000W Readily Occupancy NA: Not daylit NA: Not daylit Conditions subject to Accessible NA: Restrooms Sensor zone zone No COMPLIANCE multilevel Registration Number: Generated Date/Time: Documentation Software: Energy Code Ace CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: 202003-0524-0002 Schema Version: rev 20220901 Report Generated: 2024-05-28 20:17:25 STATE OF CALIFORNIA Indoor Lighting CALIFORNIA ENERGY COMMISSION CERTIFICATEINSTALLATION NRCI-LTI-01-E Project Name: Luna Grill t.i. Report Page: (Page 7 of 10) Date Prepared: 2024-05-28T23:17:22-04:00 Lighting Controls Functionality Functionality listed for all lighting control systems must be installed and programmed Time -switch Controls Installed controls that provide time -switch functionality, including automatic & astronomical controls: A. Have program backup capabilities to prevent the loss of schedule for at least 7 days & the date and time for at lest 72 hours if power is interrupted; B. Are capable of providing manual override to each connected load and of resuming normally scheduled operations within 2 hours after manual override is initiated (nonresidential buildings only); C. Provide automatic holiday shutoff that turns off all connected loads for at least 24 hours and then resumes normally scheduled operation (nonresidential buildings only); D. Have sunrise and sunset prediction accuracy within +/- 15 minutes and timekeeping accuracy withing 5 min per year (astronomical only); E. Are capable of displaying date, current time, sunrise time, and switching times for each step during programming and automatically adjusting for daylight savings time (astronomical only); F. Have ability to independently offset the on and off for each channel by at least 90 minutes before and after sunrise & sunset (astronomical only); G. Include at least 2 separately programmable steps per zone (multilevel only); H. Indicator lights integral to lighting controls shall consume no more than one watt of per indicator light. Dimmers Installed controls that provide dimmer functionality: A. Are capable of reducing lighting power consumption be a minimum of 65% when at its lowest setting; B. ; Provide reduced flicker operation, meaning that directly controlled light sources shall be provided electrical power such that the light output has an amplitude modulation of less than 30% for frequencies less than 200 Hz without causing premature lamp failure; C. Provide an off setting that produces a zero lumen output; D. For wall box dimmers and associated switches designed for use in three way circuit, be capable of turning lights off, and on to the level set by the dimmer if the lights are off; E. Indicator lights integral to lighting controls shall consume no more than one watt of per indicator light. Occupant Sensing Controls Registration Number: Generated Date/Time: Documentation Software: Energy Code Ace CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: 202003-0524-0002 Schema Version: rev 20220901 Report Generated: 2024-05-28 20:17:25 STATE OF CALIFORNIA Indoor Lighting CALIFORNIA ENERGY COMMISSION CERTIFICATEINSTALLATION NRCI-LTI-01-E Project Name: Luna Grill t.i. Report Page: (Page 8 of 10) Date Prepared: 2024-05-28T23:17:22-04:00 Lighting Controls Functionality Functionality listed for all lighting control systems must be installed and programmed Installed occupant sensing controls include occupant sensors, motion sensors, and vacancy sensors, including those with a Partial -ON or Partial -OFF function: A. Are capable of automatically turning the controlled lights in the area either off or down no more than 20 minutes after the area has been vacated; B. ; For manual -on controls, have a grace period of no less than 15 seconds and no more than 30 seconds to turn on lighting automatically after the sensor has timed out; C. Provide a visible status signal that indicates that the device is operating properly, or that it has failed or malfunctioned. The visible status may have an override that turns off the signal. D. Indicator lights integral to lighting controls shall consume no more than one watt of per indicator light. E. NOTE: Occupant Sensing Control systems may consist of a combination of single or multilevel Occupant, Motion, or Vacancy Sensor Controls, provided that components installed to comply with manual -on requirements shall not be capable of conversion by occupants from manual -on to automatic -on functionality. F. Sensors that are used by occupant sensing controls to detect occupants shall meet all of the following requirements: i. Shall not incorporate switches or mechanical devices that allow the sensor to be disabled without changing the settings of the control. ii. Sensors that utilize ultrasonic radiation for detection of occupants shall comply with 21 C.F.R. part 1002.12, not emit audible sound and not emit ultrasound in excess of the decibel levels shown in Table 110.9-A measured no more than five feet from the source, on axis. iii. Sensors that utilize microwave radiation for detection of occupants shall comply with 47 C.F.R. parts 2 and 15 and not emit radiation in excess of 1 milliwatt per square centimeter measured at no more than 5 centimeters from the emission surface of the device. TABLE 110.9-A - ULTRASOUND MAXIMUM DECIBEL VALUES Mid -frequency of Sound Pressure Third -Octave Band (in dB reference 20 Third -Octave Band (in kHz) micropascals) Less than 20 80 20 or more to less than 25 105 25 or more to less than 31.5 110 31.5 or more 31.5 or more Registration Number: Generated Date/Time: Documentation Software: Energy Code Ace CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: 202003-0524-0002 Schema Version: rev 20220901 Report Generated: 2024-05-28 20:17:25 C STATE OF CALIFORNIA Indoor Lighting CALIFORNIA ENERGY COMMISSION CERTIFICATEINSTALLATION NRCI-LTI-01-E Project Name: Luna Grill t.i. Report Page: (Page 9 of 10) Date Prepared: 2024-05-28T23:17:22-04:00 G. ACCEPTANCE TESTS & FIELD VERIFICATION The following Acceptance Tests related to the systems or materials documented on this NRCI have been indicated on the permitted Certificate of Compliance (NRCA as being required to comply with Title 24, Part 6. Form/Title Systems To Be Field Verified Certificates of Acceptance Lighting Acceptance Tests must be completed by a certified Acceptance Testing Technician and NRCA forms completed through an approved Acceptance Test Technician Certification Provider database. The Certificate of Acceptance (NRCA) forms indicated below will be required by the Authority Having Jurisdiction to demonstrate compliance. NRCA-LTI-02-A - Must submitted for all new, added or altered shut-off lighting controls Back of House; Front of House; Office; Restrooml copy o t is Certificate of Installation should be distributed to the certified Acceptance Test Technician(s) who will perform the acceptance test(s). Title 24, Part 6 Section 10-103(a)3F also requires this Certificate of Installation be posted or made available to the Authority Having Jurisdiction for all applicable inspections. Registration Number: Generated Date/Time: Documentation Software: Energy Code Ace CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: 202003-0524-0002 Schema Version: rev 20220901 Report Generated: 2024-05-28 20:17:25 STATE OF CALIFORNIA Indoor Lighting CALIFORNIA ENERGY COMMISSION CERTIFICATEINSTALLATION NRCI-LTI-01-E Project Name: Luna Grill t.i. Report Page: (Page 10 of 10) Project Address: 79124 Highway 111, La Quinta,CA 92253 Date Prepared: 2024-05-28T23:17:22-04:00 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: paul bussell Company: 21st Century Electrics Signature Date: 5/28/2024 Address: 270 N El Camino Real, F201 CEA/ HERS Certification Identification (if avpli—bl�): N/A City/State/Zip: Encinitas,CA 92024 Phone: 760-809-8285 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation and attest to the declarations in this statement (responsible builder/installar), otherwise I am an authorized representative of the responsible builder/installer. 3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements given on the plans and specifications approved by the enforcement agency. 4. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of constructions or installation identified on this Certificate of Installation, and I have ensured that the requirements that apply to the construction or installation have been met. S. I will ensure that a completed signed copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Installation is required to be included with the documentation the builder provides tothe building owner at occupancy. Responsible Builder/Installer Name: a ostin anda Responsible Builder/Installer Signature: AA Company Name: (Installing Subcontractor or General Contractor Builder/Owner) Kelter Electric Contracting Position With Company (Title): Owner Address: 2318 Elm Grove Street CSLB License: 749038 City/State/Zip: Phone: Date Signed: Los Angeles,CA 90031 310-345-8044 2024-05-28 Registration Number: Generated Date/Time: Documentation Software: Energy Code Ace CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Compliance ID: 202003-0524-0002 Schema Version: rev 20220901 Report Generated: 2024-05-28 20:17:25 STATE OF CALIFORNIA SHUT-OFF LIGHTING CONTROL 2022-CEC-NRCA-LTI-02-A Project Name and Address Authority Having Jurisdiction Luna Grill t.i. LAQ CITY OF LA QUINTA 79124 Highway 111 BCOM-2023-0039 La Quinta 92253 Permit Iss. Date: 2/14/2024 • onstruction inspection and functional testing comply Date Submitted 2/14/24 oes not comply �to AHJ: This document is used to demonstrate compliance with acceptance requirements in Intent: §130.4(a)4, §160.5(e)1D and Reference Nonresidential Appendix NA7.6.2 for shut-off lighting controls. Attach additional sets of pages 1 through 8, as required, for all controls that must be tested. Indicate all types of shut-off controls tested for this project ❑✓ Automatic time switch lighting controls (Tables A-1 and B-1 of this document should be completed) Occupant sensing lighting controls (including occupant sensors, partial -ON occupant ❑✓ sensors, partial -OFF occupant sensors, and/or vacancy sensors) (Tables A-2 and B-2 of this document should be completed) Multi -zone occupant sensing lighting controls in office spaces larger than 250 square feet Tables A-2 and B-3 of this document should be com leted Automatic Time Switch Lighting Controls Table A-1. Automatic Time Switch Lighting Controls Construction Inspection Code Step Entry Item Reference 1 ❑✓ The automatic time switch controls are shown on NA7.6.2.5(a) Ian documents and are installed. NA7.6.2.5(b) Automatic time switch controls are programmed §110.9(b)1Aii §130.1(c)1A 2 ❑✓ with acceptable weekday, weekend, and holiday §130.1(c)4 (if applicable) schedules. §160.5(b)4Cia 160.5 b 4Civ Document weekday, weekend, and holidays 3 ❑✓ schedules, as well as all set-up and preference NA7.6.2.5(c) program settings. 4 ❑✓ The correct time and date are properly set in the NA7.6.2.5(d) automatic time switch controls. 5 ❑✓ The battery backup (if applicable) is installed and NA7.6.2.5(e) energized. 110.9 b 1 Manual override time limit is set to no more than 2 NA7.6.2.5(f) 6 ❑✓ hours, OR §110.9(b)1Ai The automatic time switch control's manual §130.1(c)3B override time is exempt from the 2-hour limit. §160.5 b 4Ciiib CAL& I P 6niinmaROwnceOLlphnnp Page 1 of 9 January 1, 2023 I:nnvnls haimnq �-rpram Iffli qW STATE OF CALIFORNIA SHUT-OFF LIGHTING CONTROL 2022-CEC-NRCA-LTI-02-A Step Entry Item Code Reference Manual override switches located remotely from NA7.6.2.5(g) area with controlled luminaires allow the user to §130.1(c)3A 7 ❑✓ see the controlled luminaires or have a visual §130.1(a) signal or display showing the current state of the §160.5(b)4Ciiia controlled luminaires. 160.5 b 4A Ass F7aN/Ail Construction Inspection Compliance. N/A Table B-1: Automatic Time Switch Lighting Controls Functional Testing Buildinq: 79124 1 Floor: FIRST I Room: OFFICE I Control: WALLBOX Code Step Entry Functional Test Reference 1 No Entry Occupied Test. Simulate occupied condition in NA7.6.2.6(a) the controlled space. 1.1 KN The automatic time switch control turns on the NA7.6.2.6(a)I controlled lighting. 2 No Entry Unoccupied Test. Simulate an unoccupied NA7.6.2.6(b) condition in the controlled space. • Yes The automatic time switch control turns off all NA7.6.2.6(b)1 2.1 No controlled lighting. §130.1(c)1A §160.5 b 4Cia For the area controlled by an automatic time 2.2 • Yes switch control with a configured automatic holiday shut-off, the controlled lighting can be turned off NA7.6.2.6(b)2 §110.9(b)1Aii No automatically by the holiday shut-off, OR the §130.1(c)4 automatic time switch control is exempt from §160.5(b)4Civ incorporating an automatic holiday shut-off. For the area controlled by an automatic time switch control with a time override located in and NA7.6.2.6(b)3 • Yes for the area the lighting can be turned on §110.9(b) lAi 2.3 No manually by initiating the time override. The §130.1(c)3B lighting is configured to remain on for no more §160.5(b)4Ciiib than 2 hours OR the area is exempt from the 2- hour time override limit. N/A • Pass Fail Functional Testing Compliance. N/A CAL& I P 6niinmaldl,— Llphlmp Page 2 of 9 January 1, 2023 I:nnnnls Taimnq -rrpram STATE OF CALIFORNIA SHUT-OFF LIGHTING CONTROL 2022-CEC-NRCA-LTI-02-A Occupant Sensing Lighting Controls Table A-2: Occupant Sensing Lighting Control Construction Inspection Code Step Entry Item Reference 1 ✓❑ The occupant sensing lighting controls are shown NA7.6.2.1(a) on plan documents and are installed. Occupant sensing lighting control is installed per manufacturer's instructions to minimize false 2 ✓❑ triggering — such as to install an occupancy sensor NA7.6.2.1(c) away from HVAC diffusers to avoid probable false trigger n. N/A Pass Fail Construction Inspection Compliance. N/A Table B-2: Occupant Sensing Lighting Control Functional Testing Building: 79124 1 Floor:FIRST I Room: OFFICE I Control: WALLBOX Step Entry Functional Test Code Reference Control is representative of sample. If sampling N/A Nos method is used, attach a page listing untested NA7.6.2.2 controls in sample. 1 No Entry Unoccupied Test. Simulate an unoccupied condition in the controlled space. NA7.6.2.3(a) CALC� I 6niltpmmXdwmcdLlpnnnp Page 3 of 9 January 1, 2023 I:ananlo ha�mnp P,3V a. Iffli qW STATE OF CALIFORNIA SHUT-OFF LIGHTING CONTROL 2022-CEC-NRCA-LTI-02-A Code Step Entry Functional Test Reference The occupant sensing control turn the controlled lighting off or partially off, if applicable, in 20 minutes or less from start of an unoccupied condition. In addition: For partial -on occupant sensing controls, NA7.6.2.3(a)1 occupant sensing controls and vacancy sensing §110.9(b)4A controls, the controlled lighting is turned off in unoccupied condition. In the partial off state, partial OFF occupant sensing controls automatically reduce lighting power by at least 50 percent, OR: • For warehouses with metal halide or high pressure sodium lighting, automatically §130.1(c)6A-C reduce lighting power by at least 40 §130.1(c)7A percent. • For aisle ways and open areas in § 160.5(b)4Cvia warehouses in which the installed lighting • power is 80 percent or less of the value 1.1 Nos allowed under the Area Category Method, automatically reduce lighting power by at least 40 percent. • In corridors and stairwells that provide access to guestrooms in hotel/motels in which the installed lighting power is 80 percent or less of the value allowed under the Area Category Method, automatically reduce lighting power by at least 40 percent. For parking garages, parking areas, and loading and unloading areas, occupant sensing controls §130.1(c)7B have at least one control step between 20 to 50 §160.5(b)4Cviib percent of design lighting power, OR Occupant sensing controls for metal halide luminaires with a lamp plus ballast mean system efficacy of 75 lumens per watt, in parking garages, parking areas, and loading and unloading areas, have at least one control step between 20 to 60 percent of design lighting ower. 2 No Entry Occupied Test. Simulate an occupied condition in NA7.6.2.3(b) the controlled space. 2.1 • Yes No Status indicator or annunciator operates correctly. NA7.6.2.3(b)1 §110.9 b 4C CALF I "nnmr nRO mrnOLV11119 Page 4 of 9 January 1, 2023 fnn�nls haimnq -rr,Q-am Iffli qW STATE OF CALIFORNIA SHUT-OFF LIGHTING CONTROL 2022-CEC-NRCA-LTI-02-A Step Entry Functional Test Code Reference Immediately upon an occupied condition: NA7.6.2.3(b)2 • The occupant sensing control or partial off occupant sensing control turns on controlled lighting; OR • The vacancy sensing control indicate a 2.2 • Yes space is occupied and the controlled lighting can be turned on manually; OR No • The partial -on occupant sensing controls automatically turns on the controlled §130.1(c)5A lighting at between 50 to 70 percent of §160.5(b)4Cva controlled lighting power. After the partial - on stage, manual switches can be activated to turn on the controlled lighting at full controlled lighting ower. N/A • Pass Fail Functional Testing Compliance. N/A Table B-3: Multi -Zone Occupant Sensing Lighting Controls Functional Testing I'Buildina: 79124 1 Floor:FIRST Room: OFFICE I Control: WALLBOX Code Step Entry Functional Test Reference Control is representative of sample. If sampling N/A BN�omethod is used, attach a page listing untested NA7.6.2.2 controls in sample. ccupied Control Zone Test. Simulate an 1 No Entry oc ied condition in the control zone controlled NA7.6.2.4(a) b the ccu ant sensor. 1.1 KNo Immediat upon occupancy of the control zone, the occu ant nsors turn on controlled lighting.NA7.6.2.4(a)1 Enter the illumina a value in footcandles (fc) measured at a locatio in the control zone where the controlled lighting is full light output or designed light output if it ha een documented that dimming luminaires have b intentionally 1.2 tuned to less than full output and th design NA7.6.2.4(a)2 illuminance levels are provided. Informational note: Automatic daylighting cont s may need to be temporarily overridden to achieve full or designed light output for the test. 1.3 Yes Signal sensitivity is adequate to achieve desired NA7. .4(a)3 No control. 1.4 Yes Status indicator or annunciator operates properly. NA7.6.2.4 4 No 1 10.9b 4C v CALC� I P nhtnmoMoameOLightmg Page 5 of 9 January 1, 2023 I:nnanlo hvmnq irpram STATE OF CALIFORNIA SHUT-OFF LIGHTING CONTROL 2022-CEC-NRCA-LTI-02-A Code \S,tep Entry Functional Test Reference Unoccupied Control Zone Test. Simulate an unoccupied condition in the control zone 2 o Entry controlled by the occupant sensor. Confirm that at NA7.6.2.4(b) least one other control zone within the office space is occupied. The occupant sensor uniformly reduces light NA7.6.2.4(b)1 2.1 Yes output of the controlled lighting in 20 minutes or §130.1(c)6Dii No less from the start of the unoccupied condition in §160.5(b)4CvibII e control zone. luminance value during unoccupancy in En%Step 2.2 fos (fc) measured at the same location as NA7.6.2.4(b)2 in Calculate t ratio of the illuminance during 2.3 NaN unoccupancy to,,the illuminance at full or designed NA7.6.2.4(b)2 light out ut in %. Ste 2.2 / Step 1.2 x 100 Yes The ratio of illuminan from Step 2.3 is no more NA7.6.2.4(b)2 2.4 No 8160.5 than 20%. §130.1(c)6Dii b 4CvibII The occupant sensing contr does not trigger a ontrol false on from movement outsiXmayove'r zone or from HVAC operation. Informational note: The field ccupant 2.5 Nos sensors in the adjacent controce NA7.6.2.4(b)3 spaces larger than 250 squarever ,but the field of view should stm anadjacent enclosed space that ipf the office space, like conference rooms, and private offices. 2 6 _R�Yes Signal sensitivity is adequate to achieve desired NA7. 2.4(b)4 No control. Control Zone Size Test. Follow the procedures 3 No Entry described in either Method 1 (Steps 3.1 — 3.1.3) NA7.6.2.4( OR Method 2 (Steps 3.2 — 3.2.4 C,AL� I P "� �" yvamedL'pramc Page 6 of 9 January 1, 2023 STATE OF CALIFORNIA SHUT-OFF LIGHTING CONTROL 2022-CEC-NRCA-LTI-02-A \\5tep Code Entry Functional Test Reference Method 1: Simulate an unoccupied condition in the control zone controlled by the occupant sensor while standing in an adjacent control zone. the "edge" of the control zone controlled by the occupant sensor by moving toward the occupant sensor until the lights 3.1 \Determine Entcontrolled by the occupant sensor turn on to NA7.6.2.4(c) simulate an occupied condition for that control Method 1 zone. formational note: While moving toward the pant oc upant sensor, making additional movements, mote s, or sounds may be necessary to trigger the ant sensor. Enter the istance in feet (ft) measured from the 3.1.1 trol zone to the spot that is "edge" of t%co NA7.6.2.4(c) directly beloccupant sensor. This is the Method 1 radius of throl zone. 3.1.2 Calculate the area 'n ftz) of the control zone by NA7.6.2.4(c) using the formula: A a = 3.14*radius2. Method 1 3.1.3 Yes PNo The area of the control zo e (Step 3.1.2) is less NA7.6.2.4(c) Method 1 than or equal to 600 square eet. §130.1(c)6Di 160.5 b 4CvibI 3.2 No Entry Method 2: Simulate an unoccupd ' condition for NA7.6.2.4(c) the entire offices ace. Method 2 Walk through the space and count th%number of NA7.6.2.4(c) 3.2.1 zones of lighting that turn on automaEnterMethod 2 the number of zones that turn on aually. Enter the area of the office space (in ftz) fro construction plans or from other information NA7.6.2.4(c)2 3.2.2 source such as construction documents or Method 2 Nonresidential Certificates of Compliance N RCCs . Divide the area of the office by the number of N .6.2.4(c)3 3.2.3 NaN zones. Enter the value in square feet. This M hod 2 calculated value is the assessed control zone size. 3.2.4 Yes The area of the control zone is less than or equal NA7.6.2. (c)4 Method No to 600 square feet. §130.1(c)6D' 160.5 b 4Cvib CAL& I P 6niltnmmAdwmeOLighting Page 7 of 9 January 1, 2023 I:cAmAr. hvmnq r:0,A. Iffli NOW STATE OF CALIFORNIA SHUT-OFF LIGHTING CONTROL 2022-CEC-NRCA-LTI-02-A \\Step Entry Functional Test Code Reference Unoccupied Office Test. Simulate an unoccupied condition in all control zones NA7.6.2.4(d) Yes controlled by all occupant sensors in the office. §130.1(c)6Diii§1 4 No In 20 minutes or less from the start of the 60.5(b)4CvibIII unoccupied condition of the entire office, all controlled lighting in the office is turned off. N/A RFail Pa Functional Testing Compliance. N/A CAL TP °IlnmelO�unceOLlghlmq Page 8 of 9 January 1, 2023 Cnnahla haimnq rngnM im 460- STATE OF CALIFORNIA SHUT-OFF LIGHTING CONTROL 2022-CEC-NRCA-LTI-02-A Table B-2: Occupant Sensing Lighting Control Functional Testing Building: 79124 1 Floor:FIRST I Room: Restroom1 I Control: Wallbox Step Entry Functional Test Code Reference Control is representative of sample. If sampling N/A Nos method is used, attach a page listing untested NA7.6.2.2 controls in sample. 1 No Entry Unoccupied Test. Simulate an unoccupied condition in the controlled space. NA7.6.2.3(a) CAL& I P 6niipmaAdomeOLipnlmp Page 1 of 3 January 1, 2023 I:nnvnla hvmnp rrpram Iffli qW STATE OF CALIFORNIA SHUT-OFF LIGHTING CONTROL 2022-CEC-NRCA-LTI-02-A Code Step Entry Functional Test Reference The occupant sensing control turn the controlled lighting off or partially off, if applicable, in 20 minutes or less from start of an unoccupied condition. In addition: For partial -on occupant sensing controls, NA7.6.2.3(a)1 occupant sensing controls and vacancy sensing §110.9(b)4A controls, the controlled lighting is turned off in unoccupied condition. In the partial off state, partial OFF occupant sensing controls automatically reduce lighting power by at least 50 percent, OR: • For warehouses with metal halide or high pressure sodium lighting, automatically §130.1(c)6A-C reduce lighting power by at least 40 §130.1(c)7A percent. • For aisle ways and open areas in § 160.5(b)4Cvia warehouses in which the installed lighting • power is 80 percent or less of the value 1.1 Nos allowed under the Area Category Method, automatically reduce lighting power by at least 40 percent. • In corridors and stairwells that provide access to guestrooms in hotel/motels in which the installed lighting power is 80 percent or less of the value allowed under the Area Category Method, automatically reduce lighting power by at least 40 percent. For parking garages, parking areas, and loading and unloading areas, occupant sensing controls §130.1(c)7B have at least one control step between 20 to 50 §160.5(b)4Cviib percent of design lighting power, OR Occupant sensing controls for metal halide luminaires with a lamp plus ballast mean system efficacy of 75 lumens per watt, in parking garages, parking areas, and loading and unloading areas, have at least one control step between 20 to 60 percent of design lighting ower. 2 No Entry Occupied Test. Simulate an occupied condition in NA7.6.2.3(b) the controlled space. 2.1 • Yes No Status indicator or annunciator operates correctly. NA7.6.2.3(b)1 §110.9 b 4C CALF I "nnmr nJa mrn0Llpnlmq Page 2 of 3 January 1, 2023 fnn�nls haimnq -rr,Q-am Iffli qW STATE OF CALIFORNIA SHUT-OFF LIGHTING CONTROL 2022-CEC-NRCA-LTI-02-A Step Entry Functional Test Code Reference Immediately upon an occupied condition: NA7.6.2.3(b)2 • The occupant sensing control or partial off occupant sensing control turns on controlled lighting; OR • The vacancy sensing control indicate a 2.2 • Yes space is occupied and the controlled lighting can be turned on manually; OR No • The partial -on occupant sensing controls automatically turns on the controlled §130.1(c)5A lighting at between 50 to 70 percent of §160.5(b)4Cva controlled lighting power. After the partial - on stage, manual switches can be activated to turn on the controlled lighting at full controlled lighting ower. N/A • Pass Fail Functional Testing Compliance. N/A CAL& I P 6niinmaldl,— Llphlmp Page 3 of 3 January 1, 2023 I:nn�nls Taimnq -rrpram im 460- STATE OF CALIFORNIA SHUT-OFF LIGHTING CONTROL 2022-CEC-NRCA-LTI-02-A Table B-2: Occupant Sensing Lighting Control Functional Testing Building: 79124 1 Floor:FIRST I Room: Restroom2 I Control: Wallbox Step Entry Functional Test Code Reference Control is representative of sample. If sampling N/A Nos method is used, attach a page listing untested NA7.6.2.2 controls in sample. 1 No Entry Unoccupied Test. Simulate an unoccupied condition in the controlled space. NA7.6.2.3(a) CAL& I P 6niipmaAdomeOLipnlmp Page 1 of 3 January 1, 2023 I:nnvnla hvmnp rrpram Iffli qW STATE OF CALIFORNIA SHUT-OFF LIGHTING CONTROL 2022-CEC-NRCA-LTI-02-A Code Step Entry Functional Test Reference The occupant sensing control turn the controlled lighting off or partially off, if applicable, in 20 minutes or less from start of an unoccupied condition. In addition: For partial -on occupant sensing controls, NA7.6.2.3(a)1 occupant sensing controls and vacancy sensing §110.9(b)4A controls, the controlled lighting is turned off in unoccupied condition. In the partial off state, partial OFF occupant sensing controls automatically reduce lighting power by at least 50 percent, OR: • For warehouses with metal halide or high pressure sodium lighting, automatically §130.1(c)6A-C reduce lighting power by at least 40 §130.1(c)7A percent. • For aisle ways and open areas in § 160.5(b)4Cvia warehouses in which the installed lighting • power is 80 percent or less of the value 1.1 Nos allowed under the Area Category Method, automatically reduce lighting power by at least 40 percent. • In corridors and stairwells that provide access to guestrooms in hotel/motels in which the installed lighting power is 80 percent or less of the value allowed under the Area Category Method, automatically reduce lighting power by at least 40 percent. For parking garages, parking areas, and loading and unloading areas, occupant sensing controls §130.1(c)7B have at least one control step between 20 to 50 §160.5(b)4Cviib percent of design lighting power, OR Occupant sensing controls for metal halide luminaires with a lamp plus ballast mean system efficacy of 75 lumens per watt, in parking garages, parking areas, and loading and unloading areas, have at least one control step between 20 to 60 percent of design lighting ower. 2 No Entry Occupied Test. Simulate an occupied condition in NA7.6.2.3(b) the controlled space. 2.1 • Yes No Status indicator or annunciator operates correctly. NA7.6.2.3(b)1 §110.9 b 4C CALF I "nnmr nJa mrn0Llpnlmq Page 2 of 3 January 1, 2023 fnn�nls haimnq -rr,Q-am Iffli qW STATE OF CALIFORNIA SHUT-OFF LIGHTING CONTROL 2022-CEC-NRCA-LTI-02-A Step Entry Functional Test Code Reference Immediately upon an occupied condition: NA7.6.2.3(b)2 • The occupant sensing control or partial off occupant sensing control turns on controlled lighting; OR • The vacancy sensing control indicate a 2.2 • Yes space is occupied and the controlled lighting can be turned on manually; OR No • The partial -on occupant sensing controls automatically turns on the controlled §130.1(c)5A lighting at between 50 to 70 percent of §160.5(b)4Cva controlled lighting power. After the partial - on stage, manual switches can be activated to turn on the controlled lighting at full controlled lighting ower. N/A • Pass Fail Functional Testing Compliance. N/A CAL& I P 6niinmaldl,— Llphlmp Page 3 of 3 January 1, 2023 I:nn�nls Taimnq -rrpram WW STATE OF CALIFORNIA SHUT-OFF LIGHTING CONTROL 2022-CEC-NRCA-LTI-02-A Declaration Statement Signatory Document Author paul bussell,05/28/2024 I assert that this Certificate of Acceptance documentation is accurate and complete. Sign Here: Field Technician paul bussell, 21st Century Electrics, I certify the following under penalty of perjury, under the laws of the State of California: ATC 813002, 21st Century Electrics, 7608098285 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, Sign Below: 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 Select Date 05/28/2024 builder/installer and has been posted or made available with the building permit(s) issued for the building. Signed: Responsible Person Paul Bussell, 21st Century Electrics, I certify the following under penalty of perjury, under the laws of the State of California: TC-A813002, ATT_RP, 7608098285 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, Sign Below: 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 L�j 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 will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permit(s) issued for the Select Date building, and made available to the enforcement agency for all applicable inspections. I understand that a Signed: 05/28/2024 signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. ` cAL TP ►� Page 3 of 3 January 1, 2023 SDG �' ANEW Certified Employer This certificate is presented to: 21st Century Electrics For successfully completing the requirement to be a California Advanced Lighting Controls Training Program Acceptance Technician Certified Employer August 23, 2013 Trnininp Dkecgr L, Lmj EDISON a woo,* tMUMMU"a C I In PG&E Corporation Certified California Lighting Controls Acceptance Test Technician Valid: 07/01/2023 to 06/30/2024 PAUL BUSSELL Certification Number: TC-A813002 California Lighting Controls Acceptance Test Technician Information should be verified on www.calctp.org/acceptance-technicians.