BCOM2020-0009 Title 24STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 1 of 3)
Project Name:
Enforcement Agency:
EY iWb20_0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
Note: Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date
that must demonstrate compliance.
Verify measured outside airflow reading is within 10% of the total required outside airflow. Required for all newly installed HVAC
Intent: units. Reference MECH-3C (Column H or Column /) or Mechanical Equipment Schedules.
A. Construction Inspection
Note: MCH-02-A can be performed in conjunction with MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap.
Supporting documentation needed to perform test includes:
As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment
a. Start -Up Sheets or Balancing Reports).
b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems
At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance).
C. 2013 Building Energy Efficiency Standards.
Instrumentation needed to perform test includes:
a. Watch
b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.).
i. Method and equipment used: Alnor Matrix
ii. Equipment calibration date (must be within one year): 1/28/2021
System type (check either VAV or CAV): ❑ VAV ® CAV
a. Check if Variable Air Volume (VAV) and complete the following:
i. Outside airflow is either factory calibrated or field calibrated.
® Check if factory calibrated and attach calibration certification.
❑ Check if field calibrated and attach calibration results.
ii. Damper Control (must be checked):
❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position).
iii. One of the following dynamic controls is being utilized to control outside air (check method used)
❑ Outdoor Air CFM Compensation
❑ Energy Balance Method
® Demand Control Ventilation
❑ Return Fan Tracking
❑ Injection Fan Method
❑ Dedicated Minimum Ventilation Damper with Pressure Control
❑ Other Active Control, Describe:
b. Check if Constant Air Volume (CAV) and verify the following:
® System is designed to provide a fixed minimum OSA when the unit is on.
Method of delivering outside air to the unit (check one of the following):
® Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following):
® Within five ft. of the unit.
❑ Within 15 ft. of the unit, with the air directed substantially toward the unit.
❑ Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is
provided independent of the unit.
Pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one
of the following methods must be verified and checked):
❑X The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm
per person times the expected number of occupants, whichever is less.
❑ 3 complete air changes to the zone served by the air handler.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 2 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
La Quinta
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
B. NA7.5.1.1 Outdoor Air Acceptance Functional Testing
❑x CAV
❑ VAV
Step 1: Disable demand control ventilation (if applicable)
Step 2: Verify unit is not in economizer mode during test (economizer disabled).
®
❑
Note: Shaded boxes do not apply for CAV systems
Step 3: CAV and VAV testing at full supply airflow
Adjust supply air to achieve design airflow or maximum airflow at full
a' cooling. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
824 cfm
cfm
c Required outdoor airflow (cfm) (from MECH-3C, Column 1, or
Mechanical Equipment Schedules).
812
cfm
cfm
Time for outside air damper to stabilize after full supply airflow is achieved
d' (minutes):
min
Step 4: VAV testing at reduced supply airflow
CAV
VAV
a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the
total design airflow. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules).
cfm
d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes):
min
Step 5: Return to initial conditions (check)
®
❑
C. Testing Calculations & Results
Determine Percent Outside Air at full supply airflow (%OAFA) for Step 3
a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step3b/Step3c)
101 %
%
b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%)
Yes Q No Q
Yes Q No
C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes)
Yes Q No C)
Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 4 (VAV only)
a.
%OARA = Measured outdoor airflow reading /Required outdoor airflow reading (Step4b/Step4c)
%
b.
%OARA is within 10% of design Outside Air. (OARA <_ 110%)
Yes Q No
C.
Outside air damper position stabilizes within 5 minutes (Step 4d < 5 minutes)
Yes 0 No
Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic
controls to avoid over ventilation.
D. Evaluation
PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive
(Y - yes)
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 3 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Acceptance documentation is accurate and complete.
Documentation Author Name: Tom Bachus
Documentation Author Signature: Tommy R. Bachus
%GN% n �. T)CtC6
Documentation Author Company Name: MLC Testing Inc.
Date Signed: 04/16/2021
Address: 77825 Delaware Place
ATT Certification Identification (If applicable): CC202164
City/State/Zip: Palm Desert, Ca. 92211
Phone: 760-902-0989
FIELD TECHNICIAN'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 Acceptance is true and correct.
2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician).
3. 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.
4. 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.
Field Technician Name: Tom Bachus
Field Technician Signature: Tommy R. Bachus %6n// P. - C)006
Field Technician Company Name: MLC Testing Inc.
Position with Company (Title): LEAD TABB Supervisor
Address: 77825 Delaware Place
ATT Certification Identification (if applicable):
City/state/zip: Palm Desert, Ca. 92211
Phone: 760-902-0989
Date Signed: 4/16/2021
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. 1 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.
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 Acceptance and attest to the declarations in this statement (responsible acceptance person).
3. 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.
4. 1 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.
5. 1 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 building, and made available to the enforcement agency for all applicable inspections. 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.
Responsible Acceptance Person Name: Bruce Durkee
Responsible Acceptance Person Signature:
Responsible Acceptance Person Company Name: Shadow Rock Church
Position with Company (Title): Member
Address: 46760 Commerce Ct.
CSLB License: NA
city/state/zip: La Quinta, Ca. 92253
Phone: 760-396-6601
Date Signed: 4/20/2021
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 1 of 3)
Project Name:
Enforcement Agency:
EY iWb20_0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
Note: Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date
that must demonstrate compliance.
Verify measured outside airflow reading is within 10% of the total required outside airflow. Required for all newly installed HVAC
Intent: units. Reference MECH-3C (Column H or Column /) or Mechanical Equipment Schedules.
A. Construction Inspection
Note: MCH-02-A can be performed in conjunction with MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap.
Supporting documentation needed to perform test includes:
As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment
a. Start -Up Sheets or Balancing Reports).
b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems
At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance).
C. 2013 Building Energy Efficiency Standards.
Instrumentation needed to perform test includes:
a. Watch
b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.).
Method and equipment used:
ii. Equipment calibration date (must be within one year):
System type (check either VAV or CAV): ❑ VAV ❑ CAV
a. Check if Variable Air Volume (VAV) and complete the following:
i. Outside airflow is either factory calibrated or field calibrated.
❑ Check if factory calibrated and attach calibration certification.
❑ Check if field calibrated and attach calibration results.
ii. Damper Control (must be checked):
❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position).
iii. One of the following dynamic controls is being utilized to control outside air (check method used)
❑ Outdoor Air CFM Compensation
❑ Energy Balance Method
❑ Demand Control Ventilation
❑ Return Fan Tracking
❑ Injection Fan Method
❑ Dedicated Minimum Ventilation Damper with Pressure Control
❑ Other Active Control, Describe:
b. Check if Constant Air Volume (CAV) and verify the following:
❑ System is designed to provide a fixed minimum OSA when the unit is on.
Method of delivering outside air to the unit (check one of the following):
❑ Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following):
❑ Within five ft. of the unit.
❑ Within 15 ft. of the unit, with the air directed substantially toward the unit.
❑ Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is
provided independent of the unit.
Pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one
of the following methods must be verified and checked):
❑ The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm
per person times the expected number of occupants, whichever is less.
❑ 3 complete air changes to the zone served by the air handler.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 2 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
La Quinta
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
B. NA7.5.1.1 Outdoor Air Acceptance Functional Testing
❑ CAV
❑ VAV
Step 1: Disable demand control ventilation (if applicable)
Step 2: Verify unit is not in economizer mode during test (economizer disabled).
❑
❑
Note: Shaded boxes do not apply for CAV systems
Step 3: CAV and VAV testing at full supply airflow
Adjust supply air to achieve design airflow or maximum airflow at full
a' cooling. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
cfm
Required outdoor airflow (cfm) (from MECH-3C, Column 1, or
C. Mechanical Equipment Schedules).
cfm
cfm
Time for outside air damper to stabilize after full supply airflow is achieved
d' (minutes):
min
Step 4: VAV testing at reduced supply airflow
CAV
VAV
a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the
total design airflow. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules).
cfm
d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes):
min
Step 5: Return to initial conditions (check)
❑
❑
C. Testing Calculations & Results
Determine Percent Outside Air at full supply airflow (%OAFA) for Step 3
a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step3b/Step3c)
%
%
b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%)
Yes Q No Q
Yes Q No
C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes)
Yes Q No C)
Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 4 (VAV only)
a.
%OARA = Measured outdoor airflow reading /Required outdoor airflow reading (Step4b/Step4c)
%
b.
%OARA is within 10% of design Outside Air. (OARA <_ 110%)
Yes Q No
C.
Outside air damper position stabilizes within 5 minutes (Step 4d < 5 minutes)
Yes 0 No
Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic
controls to avoid over ventilation.
D. Evaluation
❑
PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive
(Y - yes)
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 3 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Acceptance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
%GN% n �. T)CtC6
Documentation Author Company Name:
Date Signed:
Address:
ATT Certification Identification (If applicable):
City/State/Zip:
Phone:
FIELD TECHNICIAN'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 Acceptance is true and correct.
2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician).
3. 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.
4. 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.
Field Technician Name:
Field Technician Signature:
7C3r % %Z. �cChu�
Field Technician Company Name:
Position with Company (Title):
Address:
ATT Certification Identification (if applicable):
City/State/Zip:
Phone:
Date Signed:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. 1 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.
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 Acceptance and attest to the declarations in this statement (responsible acceptance person).
3. 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.
4. 1 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.
5. 1 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 building, and made available to the enforcement agency for all applicable inspections. 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.
Responsible Acceptance Person Name:
Responsible Acceptance Person Signature:
Responsible Acceptance Person Company Name:
Position with Company (Title):
Address:
CSLB License:
City/State/Zip:
Phone:
Date Signed:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 1 of 3)
Project Name:
Enforcement Agency:
EY iWb20_0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
Note: Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date
that must demonstrate compliance.
Verify measured outside airflow reading is within 10% of the total required outside airflow. Required for all newly installed HVAC
Intent: units. Reference MECH-3C (Column H or Column /) or Mechanical Equipment Schedules.
A. Construction Inspection
Note: MCH-02-A can be performed in conjunction with MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap.
Supporting documentation needed to perform test includes:
As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment
a. Start -Up Sheets or Balancing Reports).
b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems
At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance).
C. 2013 Building Energy Efficiency Standards.
Instrumentation needed to perform test includes:
a. Watch
b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.).
Method and equipment used:
ii. Equipment calibration date (must be within one year):
System type (check either VAV or CAV): ❑ VAV ❑ CAV
a. Check if Variable Air Volume (VAV) and complete the following:
i. Outside airflow is either factory calibrated or field calibrated.
❑ Check if factory calibrated and attach calibration certification.
❑ Check if field calibrated and attach calibration results.
ii. Damper Control (must be checked):
❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position).
iii. One of the following dynamic controls is being utilized to control outside air (check method used)
❑ Outdoor Air CFM Compensation
❑ Energy Balance Method
❑ Demand Control Ventilation
❑ Return Fan Tracking
❑ Injection Fan Method
❑ Dedicated Minimum Ventilation Damper with Pressure Control
❑ Other Active Control, Describe:
b. Check if Constant Air Volume (CAV) and verify the following:
❑ System is designed to provide a fixed minimum OSA when the unit is on.
Method of delivering outside air to the unit (check one of the following):
❑ Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following):
❑ Within five ft. of the unit.
❑ Within 15 ft. of the unit, with the air directed substantially toward the unit.
❑ Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is
provided independent of the unit.
Pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one
of the following methods must be verified and checked):
❑ The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm
per person times the expected number of occupants, whichever is less.
❑ 3 complete air changes to the zone served by the air handler.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 2 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
La Quinta
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
B. NA7.5.1.1 Outdoor Air Acceptance Functional Testing
❑ CAV
❑ VAV
Step 1: Disable demand control ventilation (if applicable)
Step 2: Verify unit is not in economizer mode during test (economizer disabled).
❑
❑
Note: Shaded boxes do not apply for CAV systems
Step 3: CAV and VAV testing at full supply airflow
Adjust supply air to achieve design airflow or maximum airflow at full
a' cooling. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
cfm
Required outdoor airflow (cfm) (from MECH-3C, Column 1, or
C. Mechanical Equipment Schedules).
cfm
cfm
Time for outside air damper to stabilize after full supply airflow is achieved
d' (minutes):
min
Step 4: VAV testing at reduced supply airflow
CAV
VAV
a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the
total design airflow. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules).
cfm
d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes):
min
Step 5: Return to initial conditions (check)
❑
❑
C. Testing Calculations & Results
Determine Percent Outside Air at full supply airflow (%OAFA) for Step 3
a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step3b/Step3c)
%
%
b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%)
Yes Q No Q
Yes Q No
C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes)
Yes Q No C)
Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 4 (VAV only)
a.
%OARA = Measured outdoor airflow reading /Required outdoor airflow reading (Step4b/Step4c)
%
b.
%OARA is within 10% of design Outside Air. (OARA <_ 110%)
Yes Q No
C.
Outside air damper position stabilizes within 5 minutes (Step 4d < 5 minutes)
Yes 0 No
Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic
controls to avoid over ventilation.
D. Evaluation
❑
PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive
(Y - yes)
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 3 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Acceptance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
%GN% n �. T)CtC6
Documentation Author Company Name:
Date Signed:
Address:
ATT Certification Identification (If applicable):
City/State/Zip:
Phone:
FIELD TECHNICIAN'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 Acceptance is true and correct.
2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician).
3. 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.
4. 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.
Field Technician Name:
Field Technician Signature:
7C3r % %Z. �cChu�
Field Technician Company Name:
Position with Company (Title):
Address:
ATT Certification Identification (if applicable):
City/State/Zip:
Phone:
Date Signed:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. 1 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.
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 Acceptance and attest to the declarations in this statement (responsible acceptance person).
3. 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.
4. 1 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.
5. 1 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 building, and made available to the enforcement agency for all applicable inspections. 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.
Responsible Acceptance Person Name:
Responsible Acceptance Person Signature:
Responsible Acceptance Person Company Name:
Position with Company (Title):
Address:
CSLB License:
City/State/Zip:
Phone:
Date Signed:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 1 of 3)
Project Name:
Enforcement Agency:
EY iWb20_0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
Note: Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date
that must demonstrate compliance.
Verify measured outside airflow reading is within 10% of the total required outside airflow. Required for all newly installed HVAC
Intent: units. Reference MECH-3C (Column H or Column /) or Mechanical Equipment Schedules.
A. Construction Inspection
Note: MCH-02-A can be performed in conjunction with MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap.
Supporting documentation needed to perform test includes:
As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment
a. Start -Up Sheets or Balancing Reports).
b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems
At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance).
C. 2013 Building Energy Efficiency Standards.
Instrumentation needed to perform test includes:
a. Watch
b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.).
Method and equipment used:
ii. Equipment calibration date (must be within one year):
System type (check either VAV or CAV): ❑ VAV ❑ CAV
a. Check if Variable Air Volume (VAV) and complete the following:
i. Outside airflow is either factory calibrated or field calibrated.
❑ Check if factory calibrated and attach calibration certification.
❑ Check if field calibrated and attach calibration results.
ii. Damper Control (must be checked):
❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position).
iii. One of the following dynamic controls is being utilized to control outside air (check method used)
❑ Outdoor Air CFM Compensation
❑ Energy Balance Method
❑ Demand Control Ventilation
❑ Return Fan Tracking
❑ Injection Fan Method
❑ Dedicated Minimum Ventilation Damper with Pressure Control
❑ Other Active Control, Describe:
b. Check if Constant Air Volume (CAV) and verify the following:
❑ System is designed to provide a fixed minimum OSA when the unit is on.
Method of delivering outside air to the unit (check one of the following):
❑ Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following):
❑ Within five ft. of the unit.
❑ Within 15 ft. of the unit, with the air directed substantially toward the unit.
❑ Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is
provided independent of the unit.
Pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one
of the following methods must be verified and checked):
❑ The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm
per person times the expected number of occupants, whichever is less.
❑ 3 complete air changes to the zone served by the air handler.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 2 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
La Quinta
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
B. NA7.5.1.1 Outdoor Air Acceptance Functional Testing
❑ CAV
❑ VAV
Step 1: Disable demand control ventilation (if applicable)
Step 2: Verify unit is not in economizer mode during test (economizer disabled).
❑
❑
Note: Shaded boxes do not apply for CAV systems
Step 3: CAV and VAV testing at full supply airflow
Adjust supply air to achieve design airflow or maximum airflow at full
a' cooling. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
cfm
Required outdoor airflow (cfm) (from MECH-3C, Column 1, or
C. Mechanical Equipment Schedules).
cfm
cfm
Time for outside air damper to stabilize after full supply airflow is achieved
d' (minutes):
min
Step 4: VAV testing at reduced supply airflow
CAV
VAV
a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the
total design airflow. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules).
cfm
d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes):
min
Step 5: Return to initial conditions (check)
❑
❑
C. Testing Calculations & Results
Determine Percent Outside Air at full supply airflow (%OAFA) for Step 3
a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step3b/Step3c)
%
%
b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%)
Yes Q No Q
Yes Q No
C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes)
Yes Q No C)
Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 4 (VAV only)
a.
%OARA = Measured outdoor airflow reading /Required outdoor airflow reading (Step4b/Step4c)
%
b.
%OARA is within 10% of design Outside Air. (OARA <_ 110%)
Yes Q No
C.
Outside air damper position stabilizes within 5 minutes (Step 4d < 5 minutes)
Yes 0 No
Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic
controls to avoid over ventilation.
D. Evaluation
❑
PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive
(Y - yes)
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 3 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Acceptance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
%GN% n �. T)CtC6
Documentation Author Company Name:
Date Signed:
Address:
ATT Certification Identification (If applicable):
City/State/Zip:
Phone:
FIELD TECHNICIAN'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 Acceptance is true and correct.
2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician).
3. 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.
4. 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.
Field Technician Name:
Field Technician Signature:
7C3r % %Z. �cChu�
Field Technician Company Name:
Position with Company (Title):
Address:
ATT Certification Identification (if applicable):
City/State/Zip:
Phone:
Date Signed:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. 1 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.
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 Acceptance and attest to the declarations in this statement (responsible acceptance person).
3. 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.
4. 1 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.
5. 1 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 building, and made available to the enforcement agency for all applicable inspections. 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.
Responsible Acceptance Person Name:
Responsible Acceptance Person Signature:
Responsible Acceptance Person Company Name:
Position with Company (Title):
Address:
CSLB License:
City/State/Zip:
Phone:
Date Signed:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 1 of 3)
Project Name:
Enforcement Agency:
EY iWb20_0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
Note: Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date
that must demonstrate compliance.
Verify measured outside airflow reading is within 10% of the total required outside airflow. Required for all newly installed HVAC
Intent: units. Reference MECH-3C (Column H or Column /) or Mechanical Equipment Schedules.
A. Construction Inspection
Note: MCH-02-A can be performed in conjunction with MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap.
Supporting documentation needed to perform test includes:
As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment
a. Start -Up Sheets or Balancing Reports).
b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems
At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance).
C. 2013 Building Energy Efficiency Standards.
Instrumentation needed to perform test includes:
a. Watch
b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.).
Method and equipment used:
ii. Equipment calibration date (must be within one year):
System type (check either VAV or CAV): ❑ VAV ❑ CAV
a. Check if Variable Air Volume (VAV) and complete the following:
i. Outside airflow is either factory calibrated or field calibrated.
❑ Check if factory calibrated and attach calibration certification.
❑ Check if field calibrated and attach calibration results.
ii. Damper Control (must be checked):
❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position).
iii. One of the following dynamic controls is being utilized to control outside air (check method used)
❑ Outdoor Air CFM Compensation
❑ Energy Balance Method
❑ Demand Control Ventilation
❑ Return Fan Tracking
❑ Injection Fan Method
❑ Dedicated Minimum Ventilation Damper with Pressure Control
❑ Other Active Control, Describe:
b. Check if Constant Air Volume (CAV) and verify the following:
❑ System is designed to provide a fixed minimum OSA when the unit is on.
Method of delivering outside air to the unit (check one of the following):
❑ Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following):
❑ Within five ft. of the unit.
❑ Within 15 ft. of the unit, with the air directed substantially toward the unit.
❑ Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is
provided independent of the unit.
Pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one
of the following methods must be verified and checked):
❑ The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm
per person times the expected number of occupants, whichever is less.
❑ 3 complete air changes to the zone served by the air handler.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 2 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
La Quinta
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
B. NA7.5.1.1 Outdoor Air Acceptance Functional Testing
❑ CAV
❑ VAV
Step 1: Disable demand control ventilation (if applicable)
Step 2: Verify unit is not in economizer mode during test (economizer disabled).
❑
❑
Note: Shaded boxes do not apply for CAV systems
Step 3: CAV and VAV testing at full supply airflow
Adjust supply air to achieve design airflow or maximum airflow at full
a' cooling. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
cfm
Required outdoor airflow (cfm) (from MECH-3C, Column 1, or
C. Mechanical Equipment Schedules).
cfm
cfm
Time for outside air damper to stabilize after full supply airflow is achieved
d' (minutes):
min
Step 4: VAV testing at reduced supply airflow
CAV
VAV
a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the
total design airflow. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules).
cfm
d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes):
min
Step 5: Return to initial conditions (check)
❑
❑
C. Testing Calculations & Results
Determine Percent Outside Air at full supply airflow (%OAFA) for Step 3
a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step3b/Step3c)
%
%
b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%)
Yes Q No Q
Yes Q No
C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes)
Yes Q No C)
Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 4 (VAV only)
a.
%OARA = Measured outdoor airflow reading /Required outdoor airflow reading (Step4b/Step4c)
%
b.
%OARA is within 10% of design Outside Air. (OARA <_ 110%)
Yes Q No
C.
Outside air damper position stabilizes within 5 minutes (Step 4d < 5 minutes)
Yes 0 No
Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic
controls to avoid over ventilation.
D. Evaluation
❑
PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive
(Y - yes)
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 3 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Acceptance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
%GN% n �. T)CtC6
Documentation Author Company Name:
Date Signed:
Address:
ATT Certification Identification (If applicable):
City/State/Zip:
Phone:
FIELD TECHNICIAN'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 Acceptance is true and correct.
2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician).
3. 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.
4. 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.
Field Technician Name:
Field Technician Signature:
7C3r % %Z. �cChu�
Field Technician Company Name:
Position with Company (Title):
Address:
ATT Certification Identification (if applicable):
City/State/Zip:
Phone:
Date Signed:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. 1 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.
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 Acceptance and attest to the declarations in this statement (responsible acceptance person).
3. 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.
4. 1 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.
5. 1 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 building, and made available to the enforcement agency for all applicable inspections. 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.
Responsible Acceptance Person Name:
Responsible Acceptance Person Signature:
Responsible Acceptance Person Company Name:
Position with Company (Title):
Address:
CSLB License:
City/State/Zip:
Phone:
Date Signed:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 1 of 3)
Project Name:
Enforcement Agency:
EY iWb20_0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
Note: Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date
that must demonstrate compliance.
Verify measured outside airflow reading is within 10% of the total required outside airflow. Required for all newly installed HVAC
Intent: units. Reference MECH-3C (Column H or Column /) or Mechanical Equipment Schedules.
A. Construction Inspection
Note: MCH-02-A can be performed in conjunction with MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap.
Supporting documentation needed to perform test includes:
As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment
a. Start -Up Sheets or Balancing Reports).
b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems
At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance).
C. 2013 Building Energy Efficiency Standards.
Instrumentation needed to perform test includes:
a. Watch
b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.).
Method and equipment used:
ii. Equipment calibration date (must be within one year):
System type (check either VAV or CAV): ❑ VAV ❑ CAV
a. Check if Variable Air Volume (VAV) and complete the following:
i. Outside airflow is either factory calibrated or field calibrated.
❑ Check if factory calibrated and attach calibration certification.
❑ Check if field calibrated and attach calibration results.
ii. Damper Control (must be checked):
❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position).
iii. One of the following dynamic controls is being utilized to control outside air (check method used)
❑ Outdoor Air CFM Compensation
❑ Energy Balance Method
❑ Demand Control Ventilation
❑ Return Fan Tracking
❑ Injection Fan Method
❑ Dedicated Minimum Ventilation Damper with Pressure Control
❑ Other Active Control, Describe:
b. Check if Constant Air Volume (CAV) and verify the following:
❑ System is designed to provide a fixed minimum OSA when the unit is on.
Method of delivering outside air to the unit (check one of the following):
❑ Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following):
❑ Within five ft. of the unit.
❑ Within 15 ft. of the unit, with the air directed substantially toward the unit.
❑ Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is
provided independent of the unit.
Pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one
of the following methods must be verified and checked):
❑ The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm
per person times the expected number of occupants, whichever is less.
❑ 3 complete air changes to the zone served by the air handler.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 2 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
La Quinta
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
B. NA7.5.1.1 Outdoor Air Acceptance Functional Testing
❑ CAV
❑ VAV
Step 1: Disable demand control ventilation (if applicable)
Step 2: Verify unit is not in economizer mode during test (economizer disabled).
❑
❑
Note: Shaded boxes do not apply for CAV systems
Step 3: CAV and VAV testing at full supply airflow
Adjust supply air to achieve design airflow or maximum airflow at full
a' cooling. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
cfm
Required outdoor airflow (cfm) (from MECH-3C, Column 1, or
C. Mechanical Equipment Schedules).
cfm
cfm
Time for outside air damper to stabilize after full supply airflow is achieved
d' (minutes):
min
Step 4: VAV testing at reduced supply airflow
CAV
VAV
a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the
total design airflow. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules).
cfm
d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes):
min
Step 5: Return to initial conditions (check)
❑
❑
C. Testing Calculations & Results
Determine Percent Outside Air at full supply airflow (%OAFA) for Step 3
a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step3b/Step3c)
%
%
b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%)
Yes Q No Q
Yes Q No
C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes)
Yes Q No C)
Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 4 (VAV only)
a.
%OARA = Measured outdoor airflow reading /Required outdoor airflow reading (Step4b/Step4c)
%
b.
%OARA is within 10% of design Outside Air. (OARA <_ 110%)
Yes Q No
C.
Outside air damper position stabilizes within 5 minutes (Step 4d < 5 minutes)
Yes 0 No
Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic
controls to avoid over ventilation.
D. Evaluation
❑
PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive
(Y - yes)
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 3 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Acceptance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
%GN% n �. T)CtC6
Documentation Author Company Name:
Date Signed:
Address:
ATT Certification Identification (If applicable):
City/State/Zip:
Phone:
FIELD TECHNICIAN'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 Acceptance is true and correct.
2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician).
3. 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.
4. 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.
Field Technician Name:
Field Technician Signature:
7C3r % %Z. �cChu�
Field Technician Company Name:
Position with Company (Title):
Address:
ATT Certification Identification (if applicable):
City/State/Zip:
Phone:
Date Signed:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. 1 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.
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 Acceptance and attest to the declarations in this statement (responsible acceptance person).
3. 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.
4. 1 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.
5. 1 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 building, and made available to the enforcement agency for all applicable inspections. 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.
Responsible Acceptance Person Name:
Responsible Acceptance Person Signature:
Responsible Acceptance Person Company Name:
Position with Company (Title):
Address:
CSLB License:
City/State/Zip:
Phone:
Date Signed:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 1 of 3)
Project Name:
Enforcement Agency:
EY iWb20_0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
Note: Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date
that must demonstrate compliance.
Verify measured outside airflow reading is within 10% of the total required outside airflow. Required for all newly installed HVAC
Intent: units. Reference MECH-3C (Column H or Column /) or Mechanical Equipment Schedules.
A. Construction Inspection
Note: MCH-02-A can be performed in conjunction with MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap.
Supporting documentation needed to perform test includes:
As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment
a. Start -Up Sheets or Balancing Reports).
b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems
At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance).
C. 2013 Building Energy Efficiency Standards.
Instrumentation needed to perform test includes:
a. Watch
b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.).
Method and equipment used:
ii. Equipment calibration date (must be within one year):
System type (check either VAV or CAV): ❑ VAV ❑ CAV
a. Check if Variable Air Volume (VAV) and complete the following:
i. Outside airflow is either factory calibrated or field calibrated.
❑ Check if factory calibrated and attach calibration certification.
❑ Check if field calibrated and attach calibration results.
ii. Damper Control (must be checked):
❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position).
iii. One of the following dynamic controls is being utilized to control outside air (check method used)
❑ Outdoor Air CFM Compensation
❑ Energy Balance Method
❑ Demand Control Ventilation
❑ Return Fan Tracking
❑ Injection Fan Method
❑ Dedicated Minimum Ventilation Damper with Pressure Control
❑ Other Active Control, Describe:
b. Check if Constant Air Volume (CAV) and verify the following:
❑ System is designed to provide a fixed minimum OSA when the unit is on.
Method of delivering outside air to the unit (check one of the following):
❑ Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following):
❑ Within five ft. of the unit.
❑ Within 15 ft. of the unit, with the air directed substantially toward the unit.
❑ Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is
provided independent of the unit.
Pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one
of the following methods must be verified and checked):
❑ The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm
per person times the expected number of occupants, whichever is less.
❑ 3 complete air changes to the zone served by the air handler.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 2 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
La Quinta
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
B. NA7.5.1.1 Outdoor Air Acceptance Functional Testing
❑ CAV
❑ VAV
Step 1: Disable demand control ventilation (if applicable)
Step 2: Verify unit is not in economizer mode during test (economizer disabled).
❑
❑
Note: Shaded boxes do not apply for CAV systems
Step 3: CAV and VAV testing at full supply airflow
Adjust supply air to achieve design airflow or maximum airflow at full
a' cooling. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
cfm
Required outdoor airflow (cfm) (from MECH-3C, Column 1, or
C. Mechanical Equipment Schedules).
cfm
cfm
Time for outside air damper to stabilize after full supply airflow is achieved
d' (minutes):
min
Step 4: VAV testing at reduced supply airflow
CAV
VAV
a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the
total design airflow. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules).
cfm
d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes):
min
Step 5: Return to initial conditions (check)
❑
❑
C. Testing Calculations & Results
Determine Percent Outside Air at full supply airflow (%OAFA) for Step 3
a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step3b/Step3c)
%
%
b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%)
Yes Q No Q
Yes Q No
C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes)
Yes Q No C)
Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 4 (VAV only)
a.
%OARA = Measured outdoor airflow reading /Required outdoor airflow reading (Step4b/Step4c)
%
b.
%OARA is within 10% of design Outside Air. (OARA <_ 110%)
Yes Q No
C.
Outside air damper position stabilizes within 5 minutes (Step 4d < 5 minutes)
Yes 0 No
Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic
controls to avoid over ventilation.
D. Evaluation
❑
PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive
(Y - yes)
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 3 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Acceptance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
%GN% n �. T)CtC6
Documentation Author Company Name:
Date Signed:
Address:
ATT Certification Identification (If applicable):
City/State/Zip:
Phone:
FIELD TECHNICIAN'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 Acceptance is true and correct.
2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician).
3. 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.
4. 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.
Field Technician Name:
Field Technician Signature:
7C3r % %Z. �cChu�
Field Technician Company Name:
Position with Company (Title):
Address:
ATT Certification Identification (if applicable):
City/State/Zip:
Phone:
Date Signed:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. 1 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.
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 Acceptance and attest to the declarations in this statement (responsible acceptance person).
3. 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.
4. 1 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.
5. 1 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 building, and made available to the enforcement agency for all applicable inspections. 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.
Responsible Acceptance Person Name:
Responsible Acceptance Person Signature:
Responsible Acceptance Person Company Name:
Position with Company (Title):
Address:
CSLB License:
City/State/Zip:
Phone:
Date Signed:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 1 of 3)
Project Name:
Enforcement Agency:
EY iWb20_0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
Note: Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date
that must demonstrate compliance.
Verify measured outside airflow reading is within 10% of the total required outside airflow. Required for all newly installed HVAC
Intent: units. Reference MECH-3C (Column H or Column /) or Mechanical Equipment Schedules.
A. Construction Inspection
Note: MCH-02-A can be performed in conjunction with MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap.
Supporting documentation needed to perform test includes:
As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment
a. Start -Up Sheets or Balancing Reports).
b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems
At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance).
C. 2013 Building Energy Efficiency Standards.
Instrumentation needed to perform test includes:
a. Watch
b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.).
Method and equipment used:
ii. Equipment calibration date (must be within one year):
System type (check either VAV or CAV): ❑ VAV ❑ CAV
a. Check if Variable Air Volume (VAV) and complete the following:
i. Outside airflow is either factory calibrated or field calibrated.
❑ Check if factory calibrated and attach calibration certification.
❑ Check if field calibrated and attach calibration results.
ii. Damper Control (must be checked):
❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position).
iii. One of the following dynamic controls is being utilized to control outside air (check method used)
❑ Outdoor Air CFM Compensation
❑ Energy Balance Method
❑ Demand Control Ventilation
❑ Return Fan Tracking
❑ Injection Fan Method
❑ Dedicated Minimum Ventilation Damper with Pressure Control
❑ Other Active Control, Describe:
b. Check if Constant Air Volume (CAV) and verify the following:
❑ System is designed to provide a fixed minimum OSA when the unit is on.
Method of delivering outside air to the unit (check one of the following):
❑ Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following):
❑ Within five ft. of the unit.
❑ Within 15 ft. of the unit, with the air directed substantially toward the unit.
❑ Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is
provided independent of the unit.
Pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one
of the following methods must be verified and checked):
❑ The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm
per person times the expected number of occupants, whichever is less.
❑ 3 complete air changes to the zone served by the air handler.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 2 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
La Quinta
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
B. NA7.5.1.1 Outdoor Air Acceptance Functional Testing
❑ CAV
❑ VAV
Step 1: Disable demand control ventilation (if applicable)
Step 2: Verify unit is not in economizer mode during test (economizer disabled).
❑
❑
Note: Shaded boxes do not apply for CAV systems
Step 3: CAV and VAV testing at full supply airflow
Adjust supply air to achieve design airflow or maximum airflow at full
a' cooling. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
cfm
Required outdoor airflow (cfm) (from MECH-3C, Column 1, or
C. Mechanical Equipment Schedules).
cfm
cfm
Time for outside air damper to stabilize after full supply airflow is achieved
d' (minutes):
min
Step 4: VAV testing at reduced supply airflow
CAV
VAV
a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the
total design airflow. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules).
cfm
d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes):
min
Step 5: Return to initial conditions (check)
❑
❑
C. Testing Calculations & Results
Determine Percent Outside Air at full supply airflow (%OAFA) for Step 3
a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step3b/Step3c)
%
%
b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%)
Yes Q No Q
Yes Q No
C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes)
Yes Q No C)
Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 4 (VAV only)
a.
%OARA = Measured outdoor airflow reading /Required outdoor airflow reading (Step4b/Step4c)
%
b.
%OARA is within 10% of design Outside Air. (OARA <_ 110%)
Yes Q No
C.
Outside air damper position stabilizes within 5 minutes (Step 4d < 5 minutes)
Yes 0 No
Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic
controls to avoid over ventilation.
D. Evaluation
❑
PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive
(Y - yes)
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 3 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Acceptance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
%GN% n �. T)CtC6
Documentation Author Company Name:
Date Signed:
Address:
ATT Certification Identification (If applicable):
City/State/Zip:
Phone:
FIELD TECHNICIAN'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 Acceptance is true and correct.
2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician).
3. 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.
4. 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.
Field Technician Name:
Field Technician Signature:
7C3r % %Z. �cChu�
Field Technician Company Name:
Position with Company (Title):
Address:
ATT Certification Identification (if applicable):
City/State/Zip:
Phone:
Date Signed:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. 1 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.
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 Acceptance and attest to the declarations in this statement (responsible acceptance person).
3. 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.
4. 1 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.
5. 1 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 building, and made available to the enforcement agency for all applicable inspections. 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.
Responsible Acceptance Person Name:
Responsible Acceptance Person Signature:
Responsible Acceptance Person Company Name:
Position with Company (Title):
Address:
CSLB License:
City/State/Zip:
Phone:
Date Signed:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 1 of 3)
Project Name:
Enforcement Agency:
EY iWb20_0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
Note: Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date
that must demonstrate compliance.
Verify measured outside airflow reading is within 10% of the total required outside airflow. Required for all newly installed HVAC
Intent: units. Reference MECH-3C (Column H or Column /) or Mechanical Equipment Schedules.
A. Construction Inspection
Note: MCH-02-A can be performed in conjunction with MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap.
Supporting documentation needed to perform test includes:
As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment
a. Start -Up Sheets or Balancing Reports).
b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems
At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance).
C. 2013 Building Energy Efficiency Standards.
Instrumentation needed to perform test includes:
a. Watch
b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.).
Method and equipment used:
ii. Equipment calibration date (must be within one year):
System type (check either VAV or CAV): ❑ VAV ❑ CAV
a. Check if Variable Air Volume (VAV) and complete the following:
i. Outside airflow is either factory calibrated or field calibrated.
❑ Check if factory calibrated and attach calibration certification.
❑ Check if field calibrated and attach calibration results.
ii. Damper Control (must be checked):
❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position).
iii. One of the following dynamic controls is being utilized to control outside air (check method used)
❑ Outdoor Air CFM Compensation
❑ Energy Balance Method
❑ Demand Control Ventilation
❑ Return Fan Tracking
❑ Injection Fan Method
❑ Dedicated Minimum Ventilation Damper with Pressure Control
❑ Other Active Control, Describe:
b. Check if Constant Air Volume (CAV) and verify the following:
❑ System is designed to provide a fixed minimum OSA when the unit is on.
Method of delivering outside air to the unit (check one of the following):
❑ Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following):
❑ Within five ft. of the unit.
❑ Within 15 ft. of the unit, with the air directed substantially toward the unit.
❑ Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is
provided independent of the unit.
Pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one
of the following methods must be verified and checked):
❑ The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm
per person times the expected number of occupants, whichever is less.
❑ 3 complete air changes to the zone served by the air handler.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 2 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
La Quinta
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
B. NA7.5.1.1 Outdoor Air Acceptance Functional Testing
❑ CAV
❑ VAV
Step 1: Disable demand control ventilation (if applicable)
Step 2: Verify unit is not in economizer mode during test (economizer disabled).
❑
❑
Note: Shaded boxes do not apply for CAV systems
Step 3: CAV and VAV testing at full supply airflow
Adjust supply air to achieve design airflow or maximum airflow at full
a' cooling. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
cfm
Required outdoor airflow (cfm) (from MECH-3C, Column 1, or
C. Mechanical Equipment Schedules).
cfm
cfm
Time for outside air damper to stabilize after full supply airflow is achieved
d' (minutes):
min
Step 4: VAV testing at reduced supply airflow
CAV
VAV
a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the
total design airflow. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules).
cfm
d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes):
min
Step 5: Return to initial conditions (check)
❑
❑
C. Testing Calculations & Results
Determine Percent Outside Air at full supply airflow (%OAFA) for Step 3
a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step3b/Step3c)
%
%
b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%)
Yes Q No Q
Yes Q No
C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes)
Yes Q No C)
Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 4 (VAV only)
a.
%OARA = Measured outdoor airflow reading /Required outdoor airflow reading (Step4b/Step4c)
%
b.
%OARA is within 10% of design Outside Air. (OARA <_ 110%)
Yes Q No
C.
Outside air damper position stabilizes within 5 minutes (Step 4d < 5 minutes)
Yes 0 No
Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic
controls to avoid over ventilation.
D. Evaluation
❑
PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive
(Y - yes)
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 3 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Acceptance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
%GN% n �. T)CtC6
Documentation Author Company Name:
Date Signed:
Address:
ATT Certification Identification (If applicable):
City/State/Zip:
Phone:
FIELD TECHNICIAN'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 Acceptance is true and correct.
2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician).
3. 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.
4. 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.
Field Technician Name:
Field Technician Signature:
7C3r % %Z. �cChu�
Field Technician Company Name:
Position with Company (Title):
Address:
ATT Certification Identification (if applicable):
City/State/Zip:
Phone:
Date Signed:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. 1 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.
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 Acceptance and attest to the declarations in this statement (responsible acceptance person).
3. 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.
4. 1 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.
5. 1 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 building, and made available to the enforcement agency for all applicable inspections. 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.
Responsible Acceptance Person Name:
Responsible Acceptance Person Signature:
Responsible Acceptance Person Company Name:
Position with Company (Title):
Address:
CSLB License:
City/State/Zip:
Phone:
Date Signed:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 1 of 3)
Project Name:
Enforcement Agency:
EY iWb20_0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
Note: Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date
that must demonstrate compliance.
Verify measured outside airflow reading is within 10% of the total required outside airflow. Required for all newly installed HVAC
Intent: units. Reference MECH-3C (Column H or Column /) or Mechanical Equipment Schedules.
A. Construction Inspection
Note: MCH-02-A can be performed in conjunction with MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap.
Supporting documentation needed to perform test includes:
As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment
a. Start -Up Sheets or Balancing Reports).
b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems
At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance).
C. 2013 Building Energy Efficiency Standards.
Instrumentation needed to perform test includes:
a. Watch
b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.).
Method and equipment used:
ii. Equipment calibration date (must be within one year):
System type (check either VAV or CAV): ❑ VAV ❑ CAV
a. Check if Variable Air Volume (VAV) and complete the following:
i. Outside airflow is either factory calibrated or field calibrated.
❑ Check if factory calibrated and attach calibration certification.
❑ Check if field calibrated and attach calibration results.
ii. Damper Control (must be checked):
❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position).
iii. One of the following dynamic controls is being utilized to control outside air (check method used)
❑ Outdoor Air CFM Compensation
❑ Energy Balance Method
❑ Demand Control Ventilation
❑ Return Fan Tracking
❑ Injection Fan Method
❑ Dedicated Minimum Ventilation Damper with Pressure Control
❑ Other Active Control, Describe:
b. Check if Constant Air Volume (CAV) and verify the following:
❑ System is designed to provide a fixed minimum OSA when the unit is on.
Method of delivering outside air to the unit (check one of the following):
❑ Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following):
❑ Within five ft. of the unit.
❑ Within 15 ft. of the unit, with the air directed substantially toward the unit.
❑ Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is
provided independent of the unit.
Pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one
of the following methods must be verified and checked):
❑ The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm
per person times the expected number of occupants, whichever is less.
❑ 3 complete air changes to the zone served by the air handler.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 2 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
La Quinta
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
B. NA7.5.1.1 Outdoor Air Acceptance Functional Testing
❑ CAV
❑ VAV
Step 1: Disable demand control ventilation (if applicable)
Step 2: Verify unit is not in economizer mode during test (economizer disabled).
❑
❑
Note: Shaded boxes do not apply for CAV systems
Step 3: CAV and VAV testing at full supply airflow
Adjust supply air to achieve design airflow or maximum airflow at full
a' cooling. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
cfm
Required outdoor airflow (cfm) (from MECH-3C, Column 1, or
C. Mechanical Equipment Schedules).
cfm
cfm
Time for outside air damper to stabilize after full supply airflow is achieved
d' (minutes):
min
Step 4: VAV testing at reduced supply airflow
CAV
VAV
a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the
total design airflow. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules).
cfm
d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes):
min
Step 5: Return to initial conditions (check)
❑
❑
C. Testing Calculations & Results
Determine Percent Outside Air at full supply airflow (%OAFA) for Step 3
a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step3b/Step3c)
%
%
b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%)
Yes Q No Q
Yes Q No
C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes)
Yes Q No C)
Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 4 (VAV only)
a.
%OARA = Measured outdoor airflow reading /Required outdoor airflow reading (Step4b/Step4c)
%
b.
%OARA is within 10% of design Outside Air. (OARA <_ 110%)
Yes Q No
C.
Outside air damper position stabilizes within 5 minutes (Step 4d < 5 minutes)
Yes 0 No
Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic
controls to avoid over ventilation.
D. Evaluation
❑
PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive
(Y - yes)
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 3 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Acceptance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
%GN% n �. T)CtC6
Documentation Author Company Name:
Date Signed:
Address:
ATT Certification Identification (If applicable):
City/State/Zip:
Phone:
FIELD TECHNICIAN'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 Acceptance is true and correct.
2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician).
3. 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.
4. 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.
Field Technician Name:
Field Technician Signature:
7C3r % %Z. �cChu�
Field Technician Company Name:
Position with Company (Title):
Address:
ATT Certification Identification (if applicable):
City/State/Zip:
Phone:
Date Signed:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. 1 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.
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 Acceptance and attest to the declarations in this statement (responsible acceptance person).
3. 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.
4. 1 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.
5. 1 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 building, and made available to the enforcement agency for all applicable inspections. 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.
Responsible Acceptance Person Name:
Responsible Acceptance Person Signature:
Responsible Acceptance Person Company Name:
Position with Company (Title):
Address:
CSLB License:
City/State/Zip:
Phone:
Date Signed:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 1 of 3)
Project Name:
Enforcement Agency:
EY iWb20_0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
Note: Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date
that must demonstrate compliance.
Verify measured outside airflow reading is within 10% of the total required outside airflow. Required for all newly installed HVAC
Intent: units. Reference MECH-3C (Column H or Column /) or Mechanical Equipment Schedules.
A. Construction Inspection
Note: MCH-02-A can be performed in conjunction with MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap.
Supporting documentation needed to perform test includes:
As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment
a. Start -Up Sheets or Balancing Reports).
b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems
At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance).
C. 2013 Building Energy Efficiency Standards.
Instrumentation needed to perform test includes:
a. Watch
b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.).
Method and equipment used:
ii. Equipment calibration date (must be within one year):
System type (check either VAV or CAV): ❑ VAV ❑ CAV
a. Check if Variable Air Volume (VAV) and complete the following:
i. Outside airflow is either factory calibrated or field calibrated.
❑ Check if factory calibrated and attach calibration certification.
❑ Check if field calibrated and attach calibration results.
ii. Damper Control (must be checked):
❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position).
iii. One of the following dynamic controls is being utilized to control outside air (check method used)
❑ Outdoor Air CFM Compensation
❑ Energy Balance Method
❑ Demand Control Ventilation
❑ Return Fan Tracking
❑ Injection Fan Method
❑ Dedicated Minimum Ventilation Damper with Pressure Control
❑ Other Active Control, Describe:
b. Check if Constant Air Volume (CAV) and verify the following:
❑ System is designed to provide a fixed minimum OSA when the unit is on.
Method of delivering outside air to the unit (check one of the following):
❑ Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following):
❑ Within five ft. of the unit.
❑ Within 15 ft. of the unit, with the air directed substantially toward the unit.
❑ Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is
provided independent of the unit.
Pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one
of the following methods must be verified and checked):
❑ The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm
per person times the expected number of occupants, whichever is less.
❑ 3 complete air changes to the zone served by the air handler.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 2 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
La Quinta
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
B. NA7.5.1.1 Outdoor Air Acceptance Functional Testing
❑ CAV
❑ VAV
Step 1: Disable demand control ventilation (if applicable)
Step 2: Verify unit is not in economizer mode during test (economizer disabled).
❑
❑
Note: Shaded boxes do not apply for CAV systems
Step 3: CAV and VAV testing at full supply airflow
Adjust supply air to achieve design airflow or maximum airflow at full
a' cooling. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
cfm
Required outdoor airflow (cfm) (from MECH-3C, Column 1, or
C. Mechanical Equipment Schedules).
cfm
cfm
Time for outside air damper to stabilize after full supply airflow is achieved
d' (minutes):
min
Step 4: VAV testing at reduced supply airflow
CAV
VAV
a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the
total design airflow. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules).
cfm
d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes):
min
Step 5: Return to initial conditions (check)
❑
❑
C. Testing Calculations & Results
Determine Percent Outside Air at full supply airflow (%OAFA) for Step 3
a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step3b/Step3c)
%
%
b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%)
Yes Q No Q
Yes Q No
C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes)
Yes Q No C)
Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 4 (VAV only)
a.
%OARA = Measured outdoor airflow reading /Required outdoor airflow reading (Step4b/Step4c)
%
b.
%OARA is within 10% of design Outside Air. (OARA <_ 110%)
Yes Q No
C.
Outside air damper position stabilizes within 5 minutes (Step 4d < 5 minutes)
Yes 0 No
Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic
controls to avoid over ventilation.
D. Evaluation
❑
PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive
(Y - yes)
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 3 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Acceptance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
%GN% n �. T)CtC6
Documentation Author Company Name:
Date Signed:
Address:
ATT Certification Identification (If applicable):
City/State/Zip:
Phone:
FIELD TECHNICIAN'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 Acceptance is true and correct.
2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician).
3. 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.
4. 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.
Field Technician Name:
Field Technician Signature:
7C3r % %Z. �cChu�
Field Technician Company Name:
Position with Company (Title):
Address:
ATT Certification Identification (if applicable):
City/State/Zip:
Phone:
Date Signed:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. 1 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.
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 Acceptance and attest to the declarations in this statement (responsible acceptance person).
3. 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.
4. 1 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.
5. 1 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 building, and made available to the enforcement agency for all applicable inspections. 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.
Responsible Acceptance Person Name:
Responsible Acceptance Person Signature:
Responsible Acceptance Person Company Name:
Position with Company (Title):
Address:
CSLB License:
City/State/Zip:
Phone:
Date Signed:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 1 of 3)
Project Name:
Enforcement Agency:
EY iWb20_0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
Note: Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date
that must demonstrate compliance.
Verify measured outside airflow reading is within 10% of the total required outside airflow. Required for all newly installed HVAC
Intent: units. Reference MECH-3C (Column H or Column /) or Mechanical Equipment Schedules.
A. Construction Inspection
Note: MCH-02-A can be performed in conjunction with MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap.
Supporting documentation needed to perform test includes:
As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment
a. Start -Up Sheets or Balancing Reports).
b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems
At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance).
C. 2013 Building Energy Efficiency Standards.
Instrumentation needed to perform test includes:
a. Watch
b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.).
Method and equipment used:
ii. Equipment calibration date (must be within one year):
System type (check either VAV or CAV): ❑ VAV ❑ CAV
a. Check if Variable Air Volume (VAV) and complete the following:
i. Outside airflow is either factory calibrated or field calibrated.
❑ Check if factory calibrated and attach calibration certification.
❑ Check if field calibrated and attach calibration results.
ii. Damper Control (must be checked):
❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position).
iii. One of the following dynamic controls is being utilized to control outside air (check method used)
❑ Outdoor Air CFM Compensation
❑ Energy Balance Method
❑ Demand Control Ventilation
❑ Return Fan Tracking
❑ Injection Fan Method
❑ Dedicated Minimum Ventilation Damper with Pressure Control
❑ Other Active Control, Describe:
b. Check if Constant Air Volume (CAV) and verify the following:
❑ System is designed to provide a fixed minimum OSA when the unit is on.
Method of delivering outside air to the unit (check one of the following):
❑ Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following):
❑ Within five ft. of the unit.
❑ Within 15 ft. of the unit, with the air directed substantially toward the unit.
❑ Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is
provided independent of the unit.
Pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one
of the following methods must be verified and checked):
❑ The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm
per person times the expected number of occupants, whichever is less.
❑ 3 complete air changes to the zone served by the air handler.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 2 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
La Quinta
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
B. NA7.5.1.1 Outdoor Air Acceptance Functional Testing
❑ CAV
❑ VAV
Step 1: Disable demand control ventilation (if applicable)
Step 2: Verify unit is not in economizer mode during test (economizer disabled).
❑
❑
Note: Shaded boxes do not apply for CAV systems
Step 3: CAV and VAV testing at full supply airflow
Adjust supply air to achieve design airflow or maximum airflow at full
a' cooling. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
cfm
Required outdoor airflow (cfm) (from MECH-3C, Column 1, or
C. Mechanical Equipment Schedules).
cfm
cfm
Time for outside air damper to stabilize after full supply airflow is achieved
d' (minutes):
min
Step 4: VAV testing at reduced supply airflow
CAV
VAV
a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the
total design airflow. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules).
cfm
d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes):
min
Step 5: Return to initial conditions (check)
❑
❑
C. Testing Calculations & Results
Determine Percent Outside Air at full supply airflow (%OAFA) for Step 3
a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step3b/Step3c)
%
%
b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%)
Yes Q No Q
Yes Q No
C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes)
Yes Q No C)
Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 4 (VAV only)
a.
%OARA = Measured outdoor airflow reading /Required outdoor airflow reading (Step4b/Step4c)
%
b.
%OARA is within 10% of design Outside Air. (OARA <_ 110%)
Yes Q No
C.
Outside air damper position stabilizes within 5 minutes (Step 4d < 5 minutes)
Yes 0 No
Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic
controls to avoid over ventilation.
D. Evaluation
❑
PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive
(Y - yes)
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 3 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Acceptance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
%GN% n �. T)CtC6
Documentation Author Company Name:
Date Signed:
Address:
ATT Certification Identification (If applicable):
City/State/Zip:
Phone:
FIELD TECHNICIAN'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 Acceptance is true and correct.
2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician).
3. 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.
4. 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.
Field Technician Name:
Field Technician Signature:
7C3r % %Z. �cChu�
Field Technician Company Name:
Position with Company (Title):
Address:
ATT Certification Identification (if applicable):
City/State/Zip:
Phone:
Date Signed:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. 1 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.
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 Acceptance and attest to the declarations in this statement (responsible acceptance person).
3. 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.
4. 1 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.
5. 1 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 building, and made available to the enforcement agency for all applicable inspections. 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.
Responsible Acceptance Person Name:
Responsible Acceptance Person Signature:
Responsible Acceptance Person Company Name:
Position with Company (Title):
Address:
CSLB License:
City/State/Zip:
Phone:
Date Signed:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 1 of 3)
Project Name:
Enforcement Agency:
EY iWb20_0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
Note: Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date
that must demonstrate compliance.
Verify measured outside airflow reading is within 10% of the total required outside airflow. Required for all newly installed HVAC
Intent: units. Reference MECH-3C (Column H or Column /) or Mechanical Equipment Schedules.
A. Construction Inspection
Note: MCH-02-A can be performed in conjunction with MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap.
Supporting documentation needed to perform test includes:
As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment
a. Start -Up Sheets or Balancing Reports).
b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems
At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance).
C. 2013 Building Energy Efficiency Standards.
Instrumentation needed to perform test includes:
a. Watch
b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.).
Method and equipment used:
ii. Equipment calibration date (must be within one year):
System type (check either VAV or CAV): ❑ VAV ❑ CAV
a. Check if Variable Air Volume (VAV) and complete the following:
i. Outside airflow is either factory calibrated or field calibrated.
❑ Check if factory calibrated and attach calibration certification.
❑ Check if field calibrated and attach calibration results.
ii. Damper Control (must be checked):
❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position).
iii. One of the following dynamic controls is being utilized to control outside air (check method used)
❑ Outdoor Air CFM Compensation
❑ Energy Balance Method
❑ Demand Control Ventilation
❑ Return Fan Tracking
❑ Injection Fan Method
❑ Dedicated Minimum Ventilation Damper with Pressure Control
❑ Other Active Control, Describe:
b. Check if Constant Air Volume (CAV) and verify the following:
❑ System is designed to provide a fixed minimum OSA when the unit is on.
Method of delivering outside air to the unit (check one of the following):
❑ Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following):
❑ Within five ft. of the unit.
❑ Within 15 ft. of the unit, with the air directed substantially toward the unit.
❑ Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is
provided independent of the unit.
Pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one
of the following methods must be verified and checked):
❑ The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm
per person times the expected number of occupants, whichever is less.
❑ 3 complete air changes to the zone served by the air handler.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 2 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
La Quinta
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
B. NA7.5.1.1 Outdoor Air Acceptance Functional Testing
❑ CAV
❑ VAV
Step 1: Disable demand control ventilation (if applicable)
Step 2: Verify unit is not in economizer mode during test (economizer disabled).
❑
❑
Note: Shaded boxes do not apply for CAV systems
Step 3: CAV and VAV testing at full supply airflow
Adjust supply air to achieve design airflow or maximum airflow at full
a' cooling. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
cfm
Required outdoor airflow (cfm) (from MECH-3C, Column 1, or
C. Mechanical Equipment Schedules).
cfm
cfm
Time for outside air damper to stabilize after full supply airflow is achieved
d' (minutes):
min
Step 4: VAV testing at reduced supply airflow
CAV
VAV
a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the
total design airflow. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules).
cfm
d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes):
min
Step 5: Return to initial conditions (check)
❑
❑
C. Testing Calculations & Results
Determine Percent Outside Air at full supply airflow (%OAFA) for Step 3
a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step3b/Step3c)
%
%
b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%)
Yes Q No Q
Yes Q No
C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes)
Yes Q No C)
Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 4 (VAV only)
a.
%OARA = Measured outdoor airflow reading /Required outdoor airflow reading (Step4b/Step4c)
%
b.
%OARA is within 10% of design Outside Air. (OARA <_ 110%)
Yes Q No
C.
Outside air damper position stabilizes within 5 minutes (Step 4d < 5 minutes)
Yes 0 No
Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic
controls to avoid over ventilation.
D. Evaluation
❑
PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive
(Y - yes)
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 3 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Acceptance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
%GN% n �. T)CtC6
Documentation Author Company Name:
Date Signed:
Address:
ATT Certification Identification (If applicable):
City/State/Zip:
Phone:
FIELD TECHNICIAN'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 Acceptance is true and correct.
2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician).
3. 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.
4. 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.
Field Technician Name:
Field Technician Signature:
7C3r % %Z. �cChu�
Field Technician Company Name:
Position with Company (Title):
Address:
ATT Certification Identification (if applicable):
City/State/Zip:
Phone:
Date Signed:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. 1 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.
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 Acceptance and attest to the declarations in this statement (responsible acceptance person).
3. 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.
4. 1 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.
5. 1 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 building, and made available to the enforcement agency for all applicable inspections. 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.
Responsible Acceptance Person Name:
Responsible Acceptance Person Signature:
Responsible Acceptance Person Company Name:
Position with Company (Title):
Address:
CSLB License:
City/State/Zip:
Phone:
Date Signed:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 1 of 3)
Project Name:
Enforcement Agency:
EY iWb20_0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
Note: Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date
that must demonstrate compliance.
Verify measured outside airflow reading is within 10% of the total required outside airflow. Required for all newly installed HVAC
Intent: units. Reference MECH-3C (Column H or Column /) or Mechanical Equipment Schedules.
A. Construction Inspection
Note: MCH-02-A can be performed in conjunction with MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap.
Supporting documentation needed to perform test includes:
As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment
a. Start -Up Sheets or Balancing Reports).
b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems
At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance).
C. 2013 Building Energy Efficiency Standards.
Instrumentation needed to perform test includes:
a. Watch
b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.).
Method and equipment used:
ii. Equipment calibration date (must be within one year):
System type (check either VAV or CAV): ❑ VAV ❑ CAV
a. Check if Variable Air Volume (VAV) and complete the following:
i. Outside airflow is either factory calibrated or field calibrated.
❑ Check if factory calibrated and attach calibration certification.
❑ Check if field calibrated and attach calibration results.
ii. Damper Control (must be checked):
❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position).
iii. One of the following dynamic controls is being utilized to control outside air (check method used)
❑ Outdoor Air CFM Compensation
❑ Energy Balance Method
❑ Demand Control Ventilation
❑ Return Fan Tracking
❑ Injection Fan Method
❑ Dedicated Minimum Ventilation Damper with Pressure Control
❑ Other Active Control, Describe:
b. Check if Constant Air Volume (CAV) and verify the following:
❑ System is designed to provide a fixed minimum OSA when the unit is on.
Method of delivering outside air to the unit (check one of the following):
❑ Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following):
❑ Within five ft. of the unit.
❑ Within 15 ft. of the unit, with the air directed substantially toward the unit.
❑ Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is
provided independent of the unit.
Pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one
of the following methods must be verified and checked):
❑ The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm
per person times the expected number of occupants, whichever is less.
❑ 3 complete air changes to the zone served by the air handler.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 2 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
La Quinta
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
B. NA7.5.1.1 Outdoor Air Acceptance Functional Testing
❑ CAV
❑ VAV
Step 1: Disable demand control ventilation (if applicable)
Step 2: Verify unit is not in economizer mode during test (economizer disabled).
❑
❑
Note: Shaded boxes do not apply for CAV systems
Step 3: CAV and VAV testing at full supply airflow
Adjust supply air to achieve design airflow or maximum airflow at full
a' cooling. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
cfm
Required outdoor airflow (cfm) (from MECH-3C, Column 1, or
C. Mechanical Equipment Schedules).
cfm
cfm
Time for outside air damper to stabilize after full supply airflow is achieved
d' (minutes):
min
Step 4: VAV testing at reduced supply airflow
CAV
VAV
a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the
total design airflow. Record VFD speed (Hz).
Hz
b. Measured outdoor airflow reading (cfm)
cfm
C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules).
cfm
d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes):
min
Step 5: Return to initial conditions (check)
❑
❑
C. Testing Calculations & Results
Determine Percent Outside Air at full supply airflow (%OAFA) for Step 3
a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step3b/Step3c)
%
%
b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%)
Yes Q No Q
Yes Q No
C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes)
Yes Q No C)
Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 4 (VAV only)
a.
%OARA = Measured outdoor airflow reading /Required outdoor airflow reading (Step4b/Step4c)
%
b.
%OARA is within 10% of design Outside Air. (OARA <_ 110%)
Yes Q No
C.
Outside air damper position stabilizes within 5 minutes (Step 4d < 5 minutes)
Yes 0 No
Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic
controls to avoid over ventilation.
D. Evaluation
❑
PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive
(Y - yes)
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC-NRCA-MCH-02-A (Revised 12/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A
Outdoor Air Acceptance (Page 3 of 3)
Project Name:
Enforcement Agency:
Permit Number:
BCOM2020-0009
Project Address:
City:
Zip Code:
System Name or Identification/Tag:
System Location or Area Served:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Acceptance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
%GN% n �. T)CtC6
Documentation Author Company Name:
Date Signed:
Address:
ATT Certification Identification (If applicable):
City/State/Zip:
Phone:
FIELD TECHNICIAN'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 Acceptance is true and correct.
2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician).
3. 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.
4. 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.
Field Technician Name:
Field Technician Signature:
7C3r % %Z. �cChu�
Field Technician Company Name:
Position with Company (Title):
Address:
ATT Certification Identification (if applicable):
City/State/Zip:
Phone:
Date Signed:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. 1 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.
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 Acceptance and attest to the declarations in this statement (responsible acceptance person).
3. 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.
4. 1 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.
5. 1 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 building, and made available to the enforcement agency for all applicable inspections. 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.
Responsible Acceptance Person Name:
Responsible Acceptance Person Signature:
Responsible Acceptance Person Company Name:
Position with Company (Title):
Address:
CSLB License:
City/State/Zip:
Phone:
Date Signed:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
STATE OF CALIFORNIA
DEMAND RESPONSIVE LIGHTING CONTROL ACCEPTANCE DOCUMENT
CEC-NRCA-LTI-04-A (Revised 04/21)
California Energy Commission
AA
❑%
CERTIFICATE OF ACCEPTANCE NRCA-LTI-04-A
Demand Responsive Illuminance Measurement
Project Name: Shadow Rock Church
Enforcement Agency: City of La Quinta
Permit Number: BCOM2020-0009
Project Address: 46-760 Commerce Court
City: La Quinta
Zip Code: 92253
A. Construction Inspection (NA7.6.3.1)
I✓I
a.
The demand responsive control is capable of receiving a demand responsive signal directly or indirectly through another device. (NA7.6.3.1(a))
I✓I
b.
The demand responsive control is a certified OpenADR 2.Oa or OpenADR 2.Ob Virtual End Node (VEN), as specified under Clause 11, Conformance, in the applicable OpenADR 2.0 Specification.
(NA7.6.3.1(a), §110.12(a)1A)
OR
The demand responsive control is certified by the manufacturer to the Energy Commission as being capable of responding to a demand response signal from a certified OpenADR 2.Ob VEN by
automatically implementing the control functions requested by the VEN for the equipment it controls. (NA7.6.3.1(a), §110.12(a)1 B)
0
C.
The demand responsive control is capable of communicating using one or more of the following: Wi-Fi, ZigBee, BACnet, Ethernet, or hard -wiring. (NA7.6.3.1(a), §110.12(a)2)
0
d.
The demand responsive control continues to perform all other functions provided by the control when communications are disabled or unavailable. (NA7.6.3.1(a), §110.12(a)4)
O
e.
If the demand response signal is received from another device (such as an EMCS), that system must itself be capable of receiving a demand response signal from a utility meter or other external
source. (NA7.6.3.1(b))
Construction Inspection Compliance: ✓) Complies O Does Not Comply
Page 1 of 3
STATE OF CALIFORNIA
DEMAND RESPONSIVE LIGHTING CONTROL ACCEPTANCE DOCUMENT
CEC-NRCA-LTI-04-A (Revised 04/21)
California Energy Commission
AA
❑%
CERTIFICATE OF ACCEPTANCE NRCA-LTI-04-A
Demand Responsive Illuminance Measurement
Project Name: Shadow Rock Church
Enforcement Agency: City of La Quinta
Permit Number: BCOM2020-0009
Project Address: 46-760 Commerce Court
City: La Quinta
Zip Code: 92253
B-1. Functional Testing using Illuminance Measurement (NA7.6.3.2, Method 1)
Step 1: Select one location for illuminance measurement. The chosen location must not be in a skylit or primary sidelit area and the illuminance meter must not have a direct view of a window or skylight. If this is not
possible, perform the test at a time and location at which daylight illuminance provides less than half of the design illuminance. (NA7.6.3.2, Method 1(a))
a.
Enter the design illuminance value in footcandles (fc).
26 fc
26 fc
26 fc
26 fc
26 fc
26 fc
26 fc
Step 2: Full output test (NA7.6.3.2, Method 1(b))
b.
Using the manual switches/dimmers, set the lighting system to full output. The lighting in areas with photo controls or occupant/vacancy sensors may be at less than full output or may be off. (NA7.6.3.2, Method
1(b)1)
C.
Measure the illuminance at the selected location and enter the value
20 fc
20 fc
20 fc
20 fc
20 fc
20 fc
20 fc
in footcandles (fc). (NA7.6.3.2, Method 1(b)2)
d.
Simulate a demand response condition using the demand responsive control. (NA7.6.3.2, Method 1(b)3)
e.
Measure the illuminance at the selected location with the electric
13.9 fc
13.9 fc
13.9 fc
13.9 fc
13.9 fc
13.9 fc
13.9 fc
lighting system in the demand response condition and enter the value
in footcandles (fc). (NA7.6.3.2, Method 1(b)4)
f.
Calculate the percent reduction in illuminance from the full output
30.5 %
30.5 %
30.5 %
30.5 %
30.5 %
30.5 %
30.5 %
condition to the demand response condition and enter the value in %.
(Percent reduction = [(line c - line e) / line c] x 100%)
g.
Enter the area of the controlled space in square feet (ft).
3900 ft2
2000 ft2
500 ft2
1900 ft2
500 ft2
1400 ft2
1700 ft2
h.
Calculate the area -weighted average reduction in illuminance from the
30.5 %
full output condition to the demand response condition for the building
using the given formula and enter the value in %. (NA7.6.3.2, Method
1(b)5)
Area -weighted average reduction = ([ (f1 * g1) + (f2 * g2) + (f3 * g3) +
... ]/[g1 + g2 + g3 + ... ]) x 100%
i.
The area -weighted average reduction (line h) is at least 15%.
Yes
(NA7.6.3.2, Method 1(b)5, §110.12(c)) Enter yes (Y) or no (N).
j.
The combined electric light and daylight illuminance is not reduced to
Yes
Yes
Yes
Yes
Yes
Yes
Yes
less than 50% of the design illuminance in the tested space.
(NA7.6.3.2, Method 1(b)5) ([line e / line a] — 50%) Enter yes (Y) or no
(N).
Step 3: Minimum output test (NA7.6.3.2, Method 1(c))
k.
Using the manual switches/dimmers in each space, set the lighting system to minimum output (but not off). The lighting in areas with photo controls or occupant/vacancy sensors may be at more than minimum
output or may be off. (NA7.6.3.2, Method 1(c)1)
I.
Measure the illuminance at the selected location and enter the value
20 fc
20 fc
20 fc
20 fc
20 fc
20 fc
20 fc
in footcandles (fc). (NA7.6.3.2, Method 1(c)2)
M.
Simulate a demand response condition using the demand responsive control. (NA7.6.3.2, Method 1(c)3)
Page 2 of 3
STATE OF CALIFORNIA
DEMAND RESPONSIVE LIGHTING CONTROL ACCEPTANCE DOCUMENT
CEC-NRCA-LTI-04-A (Revised 04/21)
California Energy Commission
AA
❑%
n.
Measure the illuminance at the selected location with the electric
lighting system in the demand response condition and enter the value
in footcandles (fc). (NA7.6.3.2, Method 1(c)4)
13.9 fc
13.9 fc
13.9 fc
13.9 fc
13.9 fc
13.9 fc
13.9 fc
o.
The illuminance in the demand respond condition (line n) is not
Yes
Yes
Yes
Yes
Yes
Yes
Yes
reduced to below the lesser of: the illuminance in the minimum output
condition (line 1) or 50% of the design illuminance (line a). (NA7.6.3.2,
Method 1(c)5) Enter yes (Y) or no (N).
Exception: In daylit spaces, the illuminance in the demand response
condition (line n) may reduce below the illuminance in the minimum
output condition. However, the combined electric light and daylight
illuminance in the demand response condition must still be at least
50% of the design illuminance (line a). (NA7.6.3.2, Method 1(c)5
EXCEPTION)
Functional Testing Compliance: I✓I Complies LI Does Not Comply
Page 3 of 3
STATE OF CALIFORNIA
SHUT-OFF LIGHTING CONTROL ACCEPTANCE DOCUMENT
CEC-NRCA-LTI-02-A (Revised 04/21)
California Energy Commission
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Occupant Sensing Lighting Controls
Project Name: Shadow Rock Church
Enforcement Agency: City of La Quinta
Permit Number: BCOM2020-0009
Project Address: 46-760 Commerce Court
City: La Quinta
Zip Code: 92253
Building: Main Building
Floor: 2
Room: Storage #8
Occupant Sensing Lighting Controls
A-2. Occupant Sensing Lighting Control Construction Inspection (NA7.6.2.2)
17,
a.
Occupant sensors have been located to minimize false signals. (NA7.6.2.2(a))
I✓1
b.
Occupant sensors are located no closer than four (4) feet from any HVAC diffuser. (NA7.6.2.2(b))
I✓I
c.
Passive infrared sensor pattern does not enter into adjacent zones. (NA7.6.2.2(c))
O✓
d.
Occupant sensors do not encounter any obstructions that could adversely affect desired performance. (NA7.6.2.2(d))
e.
Ultrasonic occupant sensors do not emit audible sound. (NA7.6.2.2(e), §110.9(b)6Bii)
Construction Inspection Compliance: I_./I Complies [I Does Not Comply
B-2. Occupant Sensing Lighting Control Functional Testing (NA7.6.2.3)
Confirm compliance (Y - yes / N - no) for the control being tested.
Step 1: Simulate an unoccupied condition. (NA7.6.2.3(a))
a.
Lights controlled by occupant sensing control turn off or partially off, if applicable, within a maximum of 20 minutes from start of an
Yes
unoccupied condition. (NA7.6.2.3(a)1, §110.9(b)4A)
In the partial off state, partial -OFF occupant sensors automatically reduce lighting power by at least 50% (§130.1(c)6AC,
§130.1(c)7A), OR:
• For metal halide or high pressure sodium lighting in warehouses, automatically reduce lighting power by at least 40%
(EXCEPTION 2 to §130.1(c)6A).
• In aisle ways and open areas in warehouses in which the installed lighting power is 80% or less of the value allowed under
the Area Category Method, automatically reduce lighting power by at least 40% (EXCEPTION 1 to §130.1(c)6A).
• In corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category
Method, automatically reduce lighting power by at least 40% (EXCEPTION to §130.1(c)7A).
Occupant sensing controls in parking garages, parking areas, and loading and unloading areas have at least one control step
between 20 to 50% of design lighting power (§130.1(c)7B). 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% of design lighting power (EXCEPTION to §130.1(c)7B).
b.
The occupant sensing control does not trigger a false "on" from movement in an area adjacent to the controlled space or from
Yes
HVAC operation. (NA7.6.2.3(a)2)
C.
Signal sensitivity is adequate to achieve desired control. (NA7.6.2.3(a)3) For library book stacks or warehouse aisles, activity
Yes
beyond the stack or aisle shall not activate the lighting in the stack or aisle. (§130.1(c)6A, §130.1(c)6B)
Step 2: Simulate an occupied condition. (NA7.6.2.3(b))
a.
Status indicator or annunciator operates correctly. (NA7.6.2.3(b)1, §110.9(b)4C)
Yes
b.
Immediately upon an occupied condition (NA7.6.2.3(b)2):
Yes
• Lights controlled by an occupant sensor or a partial -OFF occupant sensor turn on; OR
• A vacancy sensor indicates a space is 'occupied" and lights may be turned on manually; OR
• The first stage of a partial -ON occupant sensor automatically activates between 50 to 70% of the lighting. (§130.1(c)5A)
After the first stage occurs for partial -ON occupant sensors, manual switches allow an occupant to activate the alternate set of
lights, activate 100% of the lighting power, and manually deactivate all of the lights.
Functional Testing Compliance: ❑ Complies O Does Not Comply
Page 1 of 14
STATE OF CALIFORNIA
SHUT-OFF LIGHTING CONTROL ACCEPTANCE DOCUMENT
CEC-NRCA-LTI-02-A (Revised 04/21)
California Energy Commission
AA %�
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Occupant Sensing Lighting Controls
Project Name: Shadow Rock Church
Enforcement Agency: City of La Quinta
Permit Number: BCOM2020-0009
Project Address: 46-760 Commerce Court
City: La Quinta
Zip Code: 92253
Building: Main Building
Floor: 2
Room: Storage #7
Occupant Sensing Lighting Controls
A-2. Occupant Sensing Lighting Control Construction Inspection (NA7.6.2.2)
17,
a.
Occupant sensors have been located to minimize false signals. (NA7.6.2.2(a))
I✓1
b.
Occupant sensors are located no closer than four (4) feet from any HVAC diffuser. (NA7.6.2.2(b))
I✓I
c.
Passive infrared sensor pattern does not enter into adjacent zones. (NA7.6.2.2(c))
O✓
d.
Occupant sensors do not encounter any obstructions that could adversely affect desired performance. (NA7.6.2.2(d))
e.
Ultrasonic occupant sensors do not emit audible sound. (NA7.6.2.2(e), §110.9(b)6Bii)
Construction Inspection Compliance: I_./I Complies [I Does Not Comply
B-2. Occupant Sensing Lighting Control Functional Testing (NA7.6.2.3)
Confirm compliance (Y - yes / N - no) for the control being tested.
Step 1: Simulate an unoccupied condition. (NA7.6.2.3(a))
a.
Lights controlled by occupant sensing control turn off or partially off, if applicable, within a maximum of 20 minutes from start of an
Yes
unoccupied condition. (NA7.6.2.3(a)1, §110.9(b)4A)
In the partial off state, partial -OFF occupant sensors automatically reduce lighting power by at least 50% (§130.1(c)6AC,
§130.1(c)7A), OR:
• For metal halide or high pressure sodium lighting in warehouses, automatically reduce lighting power by at least 40%
(EXCEPTION 2 to §130.1(c)6A).
• In aisle ways and open areas in warehouses in which the installed lighting power is 80% or less of the value allowed under
the Area Category Method, automatically reduce lighting power by at least 40% (EXCEPTION 1 to §130.1(c)6A).
• In corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category
Method, automatically reduce lighting power by at least 40% (EXCEPTION to §130.1(c)7A).
Occupant sensing controls in parking garages, parking areas, and loading and unloading areas have at least one control step
between 20 to 50% of design lighting power (§130.1(c)7B). 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% of design lighting power (EXCEPTION to §130.1(c)7B).
b.
The occupant sensing control does not trigger a false "on" from movement in an area adjacent to the controlled space or from
Yes
HVAC operation. (NA7.6.2.3(a)2)
C.
Signal sensitivity is adequate to achieve desired control. (NA7.6.2.3(a)3) For library book stacks or warehouse aisles, activity
Yes
beyond the stack or aisle shall not activate the lighting in the stack or aisle. (§130.1(c)6A, §130.1(c)6B)
Step 2: Simulate an occupied condition. (NA7.6.2.3(b))
a.
Status indicator or annunciator operates correctly. (NA7.6.2.3(b)1, §110.9(b)4C)
Yes
b.
Immediately upon an occupied condition (NA7.6.2.3(b)2):
Yes
• Lights controlled by an occupant sensor or a partial -OFF occupant sensor turn on; OR
• A vacancy sensor indicates a space is 'occupied" and lights may be turned on manually; OR
• The first stage of a partial -ON occupant sensor automatically activates between 50 to 70% of the lighting. (§130.1(c)5A)
After the first stage occurs for partial -ON occupant sensors, manual switches allow an occupant to activate the alternate set of
lights, activate 100% of the lighting power, and manually deactivate all of the lights.
Functional Testing Compliance: ❑ Complies O Does Not Comply
Page 2 of 14
STATE OF CALIFORNIA
SHUT-OFF LIGHTING CONTROL ACCEPTANCE DOCUMENT
CEC-NRCA-LTI-02-A (Revised 04/21)
California Energy Commission
AA �-
❑%
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Occupant Sensing Lighting Controls
Project Name: Shadow Rock Church
Enforcement Agency: City of La Quinta
Permit Number: BCOM2020-0009
Project Address: 46-760 Commerce Court
City: La Quinta
Zip Code: 92253
Building: Main Building
Floor: 2
Room: Storage #6
Occupant Sensing Lighting Controls
A-2. Occupant Sensing Lighting Control Construction Inspection (NA7.6.2.2)
17,
a.
Occupant sensors have been located to minimize false signals. (NA7.6.2.2(a))
I✓1
b.
Occupant sensors are located no closer than four (4) feet from any HVAC diffuser. (NA7.6.2.2(b))
I✓I
c.
Passive infrared sensor pattern does not enter into adjacent zones. (NA7.6.2.2(c))
O✓
d.
Occupant sensors do not encounter any obstructions that could adversely affect desired performance. (NA7.6.2.2(d))
e.
Ultrasonic occupant sensors do not emit audible sound. (NA7.6.2.2(e), §110.9(b)6Bii)
Construction Inspection Compliance: I_./I Complies [I Does Not Comply
B-2. Occupant Sensing Lighting Control Functional Testing (NA7.6.2.3)
Confirm compliance (Y - yes / N - no) for the control being tested.
Step 1: Simulate an unoccupied condition. (NA7.6.2.3(a))
a.
Lights controlled by occupant sensing control turn off or partially off, if applicable, within a maximum of 20 minutes from start of an
Yes
unoccupied condition. (NA7.6.2.3(a)1, §110.9(b)4A)
In the partial off state, partial -OFF occupant sensors automatically reduce lighting power by at least 50% (§130.1(c)6AC,
§130.1(c)7A), OR:
• For metal halide or high pressure sodium lighting in warehouses, automatically reduce lighting power by at least 40%
(EXCEPTION 2 to §130.1(c)6A).
• In aisle ways and open areas in warehouses in which the installed lighting power is 80% or less of the value allowed under
the Area Category Method, automatically reduce lighting power by at least 40% (EXCEPTION 1 to §130.1(c)6A).
• In corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category
Method, automatically reduce lighting power by at least 40% (EXCEPTION to §130.1(c)7A).
Occupant sensing controls in parking garages, parking areas, and loading and unloading areas have at least one control step
between 20 to 50% of design lighting power (§130.1(c)7B). 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% of design lighting power (EXCEPTION to §130.1(c)7B).
b.
The occupant sensing control does not trigger a false "on" from movement in an area adjacent to the controlled space or from
Yes
HVAC operation. (NA7.6.2.3(a)2)
C.
Signal sensitivity is adequate to achieve desired control. (NA7.6.2.3(a)3) For library book stacks or warehouse aisles, activity
Yes
beyond the stack or aisle shall not activate the lighting in the stack or aisle. (§130.1(c)6A, §130.1(c)6B)
Step 2: Simulate an occupied condition. (NA7.6.2.3(b))
a.
Status indicator or annunciator operates correctly. (NA7.6.2.3(b)1, §110.9(b)4C)
Yes
b.
Immediately upon an occupied condition (NA7.6.2.3(b)2):
Yes
• Lights controlled by an occupant sensor or a partial -OFF occupant sensor turn on; OR
• A vacancy sensor indicates a space is 'occupied" and lights may be turned on manually; OR
• The first stage of a partial -ON occupant sensor automatically activates between 50 to 70% of the lighting. (§130.1(c)5A)
After the first stage occurs for partial -ON occupant sensors, manual switches allow an occupant to activate the alternate set of
lights, activate 100% of the lighting power, and manually deactivate all of the lights.
Functional Testing Compliance: ❑ Complies O Does Not Comply
Page 3 of 14
STATE OF CALIFORNIA
SHUT-OFF LIGHTING CONTROL ACCEPTANCE DOCUMENT
CEC-NRCA-LTI-02-A (Revised 04/21)
California Energy Commission
AA T
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Occupant Sensing Lighting Controls
Project Name: Shadow Rock Church
Enforcement Agency: City of La Quinta
Permit Number: BCOM2020-0009
Project Address: 46-760 Commerce Court
City: La Quinta
Zip Code: 92253
Building: Main Building
Floor: 1
Room: Unisex Restroom
Occupant Sensing Lighting Controls
A-2. Occupant Sensing Lighting Control Construction Inspection (NA7.6.2.2)
17,
a.
Occupant sensors have been located to minimize false signals. (NA7.6.2.2(a))
I✓1
b.
Occupant sensors are located no closer than four (4) feet from any HVAC diffuser. (NA7.6.2.2(b))
I✓I
c.
Passive infrared sensor pattern does not enter into adjacent zones. (NA7.6.2.2(c))
O✓
d.
Occupant sensors do not encounter any obstructions that could adversely affect desired performance. (NA7.6.2.2(d))
e.
Ultrasonic occupant sensors do not emit audible sound. (NA7.6.2.2(e), §110.9(b)6Bii)
Construction Inspection Compliance: I_./I Complies [I Does Not Comply
B-2. Occupant Sensing Lighting Control Functional Testing (NA7.6.2.3)
Confirm compliance (Y - yes / N - no) for the control being tested.
Step 1: Simulate an unoccupied condition. (NA7.6.2.3(a))
a.
Lights controlled by occupant sensing control turn off or partially off, if applicable, within a maximum of 20 minutes from start of an
Yes
unoccupied condition. (NA7.6.2.3(a)1, §110.9(b)4A)
In the partial off state, partial -OFF occupant sensors automatically reduce lighting power by at least 50% (§130.1(c)6AC,
§130.1(c)7A), OR:
• For metal halide or high pressure sodium lighting in warehouses, automatically reduce lighting power by at least 40%
(EXCEPTION 2 to §130.1(c)6A).
• In aisle ways and open areas in warehouses in which the installed lighting power is 80% or less of the value allowed under
the Area Category Method, automatically reduce lighting power by at least 40% (EXCEPTION 1 to §130.1(c)6A).
• In corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category
Method, automatically reduce lighting power by at least 40% (EXCEPTION to §130.1(c)7A).
Occupant sensing controls in parking garages, parking areas, and loading and unloading areas have at least one control step
between 20 to 50% of design lighting power (§130.1(c)7B). 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% of design lighting power (EXCEPTION to §130.1(c)7B).
b.
The occupant sensing control does not trigger a false "on" from movement in an area adjacent to the controlled space or from
Yes
HVAC operation. (NA7.6.2.3(a)2)
C.
Signal sensitivity is adequate to achieve desired control. (NA7.6.2.3(a)3) For library book stacks or warehouse aisles, activity
Yes
beyond the stack or aisle shall not activate the lighting in the stack or aisle. (§130.1(c)6A, §130.1(c)6B)
Step 2: Simulate an occupied condition. (NA7.6.2.3(b))
a.
Status indicator or annunciator operates correctly. (NA7.6.2.3(b)1, §110.9(b)4C)
Yes
b.
Immediately upon an occupied condition (NA7.6.2.3(b)2):
Yes
• Lights controlled by an occupant sensor or a partial -OFF occupant sensor turn on; OR
• A vacancy sensor indicates a space is "occupied" and lights may be turned on manually; OR
• The first stage of a partial -ON occupant sensor automatically activates between 50 to 70% of the lighting. (§130.1(c)5A)
After the first stage occurs for partial -ON occupant sensors, manual switches allow an occupant to activate the alternate set of
lights, activate 100% of the lighting power, and manually deactivate all of the lights.
Functional Testing Compliance: ❑ Complies O Does Not Comply
Page 4 of 14
STATE OF CALIFORNIA
SHUT-OFF LIGHTING CONTROL ACCEPTANCE DOCUMENT
CEC-NRCA-LTI-02-A (Revised 04/21)
California Energy Commission
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Occupant Sensing Lighting Controls
Project Name: Shadow Rock Church
Enforcement Agency: City of La Quinta
Permit Number: BCOM2020-0009
Project Address: 46-760 Commerce Court
City: La Quinta
Zip Code: 92253
Building: Main Building
Floor: 1
Room: Storage 4
Occupant Sensing Lighting Controls
A-2. Occupant Sensing Lighting Control Construction Inspection (NA7.6.2.2)
17,
a.
Occupant sensors have been located to minimize false signals. (NA7.6.2.2(a))
I✓1
b.
Occupant sensors are located no closer than four (4) feet from any HVAC diffuser. (NA7.6.2.2(b))
I✓I
c.
Passive infrared sensor pattern does not enter into adjacent zones. (NA7.6.2.2(c))
O✓
d.
Occupant sensors do not encounter any obstructions that could adversely affect desired performance. (NA7.6.2.2(d))
e.
Ultrasonic occupant sensors do not emit audible sound. (NA7.6.2.2(e), §110.9(b)6Bii)
Construction Inspection Compliance: I_./I Complies [I Does Not Comply
B-2. Occupant Sensing Lighting Control Functional Testing (NA7.6.2.3)
Confirm compliance (Y - yes / N - no) for the control being tested.
Step 1: Simulate an unoccupied condition. (NA7.6.2.3(a))
a.
Lights controlled by occupant sensing control turn off or partially off, if applicable, within a maximum of 20 minutes from start of an
Yes
unoccupied condition. (NA7.6.2.3(a)1, §110.9(b)4A)
In the partial off state, partial -OFF occupant sensors automatically reduce lighting power by at least 50% (§130.1(c)6AC,
§130.1(c)7A), OR:
• For metal halide or high pressure sodium lighting in warehouses, automatically reduce lighting power by at least 40%
(EXCEPTION 2 to §130.1(c)6A).
• In aisle ways and open areas in warehouses in which the installed lighting power is 80% or less of the value allowed under
the Area Category Method, automatically reduce lighting power by at least 40% (EXCEPTION 1 to §130.1(c)6A).
• In corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category
Method, automatically reduce lighting power by at least 40% (EXCEPTION to §130.1(c)7A).
Occupant sensing controls in parking garages, parking areas, and loading and unloading areas have at least one control step
between 20 to 50% of design lighting power (§130.1(c)7B). 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% of design lighting power (EXCEPTION to §130.1(c)7B).
b.
The occupant sensing control does not trigger a false "on" from movement in an area adjacent to the controlled space or from
Yes
HVAC operation. (NA7.6.2.3(a)2)
C.
Signal sensitivity is adequate to achieve desired control. (NA7.6.2.3(a)3) For library book stacks or warehouse aisles, activity
Yes
beyond the stack or aisle shall not activate the lighting in the stack or aisle. (§130.1(c)6A, §130.1(c)6B)
Step 2: Simulate an occupied condition. (NA7.6.2.3(b))
a.
Status indicator or annunciator operates correctly. (NA7.6.2.3(b)1, §110.9(b)4C)
Yes
b.
Immediately upon an occupied condition (NA7.6.2.3(b)2):
Yes
• Lights controlled by an occupant sensor or a partial -OFF occupant sensor turn on; OR
• A vacancy sensor indicates a space is 'occupied" and lights may be turned on manually; OR
• The first stage of a partial -ON occupant sensor automatically activates between 50 to 70% of the lighting. (§130.1(c)5A)
After the first stage occurs for partial -ON occupant sensors, manual switches allow an occupant to activate the alternate set of
lights, activate 100% of the lighting power, and manually deactivate all of the lights.
Functional Testing Compliance: ❑ Complies O Does Not Comply
Page 5 of 14
STATE OF CALIFORNIA
SHUT-OFF LIGHTING CONTROL ACCEPTANCE DOCUMENT
CEC-NRCA-LTI-02-A (Revised 04/21)
California Energy Commission
AA T
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Occupant Sensing Lighting Controls
Project Name: Shadow Rock Church
Enforcement Agency: City of La Quinta
Permit Number: BCOM2020-0009
Project Address: 46-760 Commerce Court
City: La Quinta
Zip Code: 92253
Building: Main Building
Floor: 1
Room: Storage 5
Occupant Sensing Lighting Controls
A-2. Occupant Sensing Lighting Control Construction Inspection (NA7.6.2.2)
17,
a.
Occupant sensors have been located to minimize false signals. (NA7.6.2.2(a))
I✓1
b.
Occupant sensors are located no closer than four (4) feet from any HVAC diffuser. (NA7.6.2.2(b))
I✓I
c.
Passive infrared sensor pattern does not enter into adjacent zones. (NA7.6.2.2(c))
O✓
d.
Occupant sensors do not encounter any obstructions that could adversely affect desired performance. (NA7.6.2.2(d))
e.
Ultrasonic occupant sensors do not emit audible sound. (NA7.6.2.2(e), §110.9(b)6Bii)
Construction Inspection Compliance: I_./I Complies [I Does Not Comply
B-2. Occupant Sensing Lighting Control Functional Testing (NA7.6.2.3)
Confirm compliance (Y - yes / N - no) for the control being tested.
Step 1: Simulate an unoccupied condition. (NA7.6.2.3(a))
a.
Lights controlled by occupant sensing control turn off or partially off, if applicable, within a maximum of 20 minutes from start of an
Yes
unoccupied condition. (NA7.6.2.3(a)1, §110.9(b)4A)
In the partial off state, partial -OFF occupant sensors automatically reduce lighting power by at least 50% (§130.1(c)6AC,
§130.1(c)7A), OR:
• For metal halide or high pressure sodium lighting in warehouses, automatically reduce lighting power by at least 40%
(EXCEPTION 2 to §130.1(c)6A).
• In aisle ways and open areas in warehouses in which the installed lighting power is 80% or less of the value allowed under
the Area Category Method, automatically reduce lighting power by at least 40% (EXCEPTION 1 to §130.1(c)6A).
• In corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category
Method, automatically reduce lighting power by at least 40% (EXCEPTION to §130.1(c)7A).
Occupant sensing controls in parking garages, parking areas, and loading and unloading areas have at least one control step
between 20 to 50% of design lighting power (§130.1(c)7B). 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% of design lighting power (EXCEPTION to §130.1(c)7B).
b.
The occupant sensing control does not trigger a false "on" from movement in an area adjacent to the controlled space or from
Yes
HVAC operation. (NA7.6.2.3(a)2)
C.
Signal sensitivity is adequate to achieve desired control. (NA7.6.2.3(a)3) For library book stacks or warehouse aisles, activity
Yes
beyond the stack or aisle shall not activate the lighting in the stack or aisle. (§130.1(c)6A, §130.1(c)6B)
Step 2: Simulate an occupied condition. (NA7.6.2.3(b))
a.
Status indicator or annunciator operates correctly. (NA7.6.2.3(b)1, §110.9(b)4C)
Yes
b.
Immediately upon an occupied condition (NA7.6.2.3(b)2):
Yes
• Lights controlled by an occupant sensor or a partial -OFF occupant sensor turn on; OR
• A vacancy sensor indicates a space is "occupied" and lights may be turned on manually; OR
• The first stage of a partial -ON occupant sensor automatically activates between 50 to 70% of the lighting. (§130.1(c)5A)
After the first stage occurs for partial -ON occupant sensors, manual switches allow an occupant to activate the alternate set of
lights, activate 100% of the lighting power, and manually deactivate all of the lights.
Functional Testing Compliance: ❑ Complies O Does Not Comply
Page 6 of 14
STATE OF CALIFORNIA
SHUT-OFF LIGHTING CONTROL ACCEPTANCE DOCUMENT
CEC-NRCA-LTI-02-A (Revised 04/21)
California Energy Commission
AA T
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Occupant Sensing Lighting Controls
Project Name: Shadow Rock Church
Enforcement Agency: City of La Quinta
Permit Number: BCOM2020-0009
Project Address: 46-760 Commerce Court
City: La Quinta
Zip Code: 92253
Building: Main Building
Floor: 1
Room: Lounge
Occupant Sensing Lighting Controls
A-2. Occupant Sensing Lighting Control Construction Inspection (NA7.6.2.2)
17,
a.
Occupant sensors have been located to minimize false signals. (NA7.6.2.2(a))
I✓1
b.
Occupant sensors are located no closer than four (4) feet from any HVAC diffuser. (NA7.6.2.2(b))
I✓I
c.
Passive infrared sensor pattern does not enter into adjacent zones. (NA7.6.2.2(c))
O✓
d.
Occupant sensors do not encounter any obstructions that could adversely affect desired performance. (NA7.6.2.2(d))
e.
Ultrasonic occupant sensors do not emit audible sound. (NA7.6.2.2(e), §110.9(b)6Bii)
Construction Inspection Compliance: I_./I Complies [I Does Not Comply
B-2. Occupant Sensing Lighting Control Functional Testing (NA7.6.2.3)
Confirm compliance (Y - yes / N - no) for the control being tested.
Step 1: Simulate an unoccupied condition. (NA7.6.2.3(a))
a.
Lights controlled by occupant sensing control turn off or partially off, if applicable, within a maximum of 20 minutes from start of an
Yes
unoccupied condition. (NA7.6.2.3(a)1, §110.9(b)4A)
In the partial off state, partial -OFF occupant sensors automatically reduce lighting power by at least 50% (§130.1(c)6AC,
§130.1(c)7A), OR:
• For metal halide or high pressure sodium lighting in warehouses, automatically reduce lighting power by at least 40%
(EXCEPTION 2 to §130.1(c)6A).
• In aisle ways and open areas in warehouses in which the installed lighting power is 80% or less of the value allowed under
the Area Category Method, automatically reduce lighting power by at least 40% (EXCEPTION 1 to §130.1(c)6A).
• In corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category
Method, automatically reduce lighting power by at least 40% (EXCEPTION to §130.1(c)7A).
Occupant sensing controls in parking garages, parking areas, and loading and unloading areas have at least one control step
between 20 to 50% of design lighting power (§130.1(c)7B). 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% of design lighting power (EXCEPTION to §130.1(c)7B).
b.
The occupant sensing control does not trigger a false "on" from movement in an area adjacent to the controlled space or from
Yes
HVAC operation. (NA7.6.2.3(a)2)
C.
Signal sensitivity is adequate to achieve desired control. (NA7.6.2.3(a)3) For library book stacks or warehouse aisles, activity
Yes
beyond the stack or aisle shall not activate the lighting in the stack or aisle. (§130.1(c)6A, §130.1(c)6B)
Step 2: Simulate an occupied condition. (NA7.6.2.3(b))
a.
Status indicator or annunciator operates correctly. (NA7.6.2.3(b)1, §110.9(b)4C)
Yes
b.
Immediately upon an occupied condition (NA7.6.2.3(b)2):
Yes
• Lights controlled by an occupant sensor or a partial -OFF occupant sensor turn on; OR
• A vacancy sensor indicates a space is "occupied" and lights may be turned on manually; OR
• The first stage of a partial -ON occupant sensor automatically activates between 50 to 70% of the lighting. (§130.1(c)5A)
After the first stage occurs for partial -ON occupant sensors, manual switches allow an occupant to activate the alternate set of
lights, activate 100% of the lighting power, and manually deactivate all of the lights.
Functional Testing Compliance: ❑ Complies O Does Not Comply
Page 7 of 14
STATE OF CALIFORNIA
SHUT-OFF LIGHTING CONTROL ACCEPTANCE DOCUMENT
CEC-NRCA-LTI-02-A (Revised 04/21)
California Energy Commission
AA �-
❑%
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Occupant Sensing Lighting Controls
Project Name: Shadow Rock Church
Enforcement Agency: City of La Quinta
Permit Number: BCOM2020-0009
Project Address: 46-760 Commerce Court
City: La Quinta
Zip Code: 92253
Building: Main Building
Floor: 1
Room: Storage 3
Occupant Sensing Lighting Controls
A-2. Occupant Sensing Lighting Control Construction Inspection (NA7.6.2.2)
17,
a.
Occupant sensors have been located to minimize false signals. (NA7.6.2.2(a))
I✓1
b.
Occupant sensors are located no closer than four (4) feet from any HVAC diffuser. (NA7.6.2.2(b))
I✓I
c.
Passive infrared sensor pattern does not enter into adjacent zones. (NA7.6.2.2(c))
O✓
d.
Occupant sensors do not encounter any obstructions that could adversely affect desired performance. (NA7.6.2.2(d))
e.
Ultrasonic occupant sensors do not emit audible sound. (NA7.6.2.2(e), §110.9(b)6Bii)
Construction Inspection Compliance: I_./I Complies [I Does Not Comply
B-2. Occupant Sensing Lighting Control Functional Testing (NA7.6.2.3)
Confirm compliance (Y - yes / N - no) for the control being tested.
Step 1: Simulate an unoccupied condition. (NA7.6.2.3(a))
a.
Lights controlled by occupant sensing control turn off or partially off, if applicable, within a maximum of 20 minutes from start of an
Yes
unoccupied condition. (NA7.6.2.3(a)1, §110.9(b)4A)
In the partial off state, partial -OFF occupant sensors automatically reduce lighting power by at least 50% (§130.1(c)6AC,
§130.1(c)7A), OR:
• For metal halide or high pressure sodium lighting in warehouses, automatically reduce lighting power by at least 40%
(EXCEPTION 2 to §130.1(c)6A).
• In aisle ways and open areas in warehouses in which the installed lighting power is 80% or less of the value allowed under
the Area Category Method, automatically reduce lighting power by at least 40% (EXCEPTION 1 to §130.1(c)6A).
• In corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category
Method, automatically reduce lighting power by at least 40% (EXCEPTION to §130.1(c)7A).
Occupant sensing controls in parking garages, parking areas, and loading and unloading areas have at least one control step
between 20 to 50% of design lighting power (§130.1(c)7B). 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% of design lighting power (EXCEPTION to §130.1(c)7B).
b.
The occupant sensing control does not trigger a false "on" from movement in an area adjacent to the controlled space or from
Yes
HVAC operation. (NA7.6.2.3(a)2)
C.
Signal sensitivity is adequate to achieve desired control. (NA7.6.2.3(a)3) For library book stacks or warehouse aisles, activity
Yes
beyond the stack or aisle shall not activate the lighting in the stack or aisle. (§130.1(c)6A, §130.1(c)6B)
Step 2: Simulate an occupied condition. (NA7.6.2.3(b))
a.
Status indicator or annunciator operates correctly. (NA7.6.2.3(b)1, §110.9(b)4C)
Yes
b.
Immediately upon an occupied condition (NA7.6.2.3(b)2):
Yes
• Lights controlled by an occupant sensor or a partial -OFF occupant sensor turn on; OR
• A vacancy sensor indicates a space is 'occupied" and lights may be turned on manually; OR
• The first stage of a partial -ON occupant sensor automatically activates between 50 to 70% of the lighting. (§130.1(c)5A)
After the first stage occurs for partial -ON occupant sensors, manual switches allow an occupant to activate the alternate set of
lights, activate 100% of the lighting power, and manually deactivate all of the lights.
Functional Testing Compliance: ❑ Complies O Does Not Comply
Page 8 of 14
STATE OF CALIFORNIA
SHUT-OFF LIGHTING CONTROL ACCEPTANCE DOCUMENT
CEC-NRCA-LTI-02-A (Revised 04/21)
California Energy Commission
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Occupant Sensing Lighting Controls
Project Name: Shadow Rock Church
Enforcement Agency: City of La Quinta
Permit Number: BCOM2020-0009
Project Address: 46-760 Commerce Court
City: La Quinta
Zip Code: 92253
Building: Main Building
Floor: 1
Room: Janitor
Occupant Sensing Lighting Controls
A-2. Occupant Sensing Lighting Control Construction Inspection (NA7.6.2.2)
17,
a.
Occupant sensors have been located to minimize false signals. (NA7.6.2.2(a))
I✓1
b.
Occupant sensors are located no closer than four (4) feet from any HVAC diffuser. (NA7.6.2.2(b))
I✓I
c.
Passive infrared sensor pattern does not enter into adjacent zones. (NA7.6.2.2(c))
O✓
d.
Occupant sensors do not encounter any obstructions that could adversely affect desired performance. (NA7.6.2.2(d))
e.
Ultrasonic occupant sensors do not emit audible sound. (NA7.6.2.2(e), §110.9(b)6Bii)
Construction Inspection Compliance: I_./I Complies [I Does Not Comply
B-2. Occupant Sensing Lighting Control Functional Testing (NA7.6.2.3)
Confirm compliance (Y - yes / N - no) for the control being tested.
Step 1: Simulate an unoccupied condition. (NA7.6.2.3(a))
a.
Lights controlled by occupant sensing control turn off or partially off, if applicable, within a maximum of 20 minutes from start of an
Yes
unoccupied condition. (NA7.6.2.3(a)1, §110.9(b)4A)
In the partial off state, partial -OFF occupant sensors automatically reduce lighting power by at least 50% (§130.1(c)6AC,
§130.1(c)7A), OR:
• For metal halide or high pressure sodium lighting in warehouses, automatically reduce lighting power by at least 40%
(EXCEPTION 2 to §130.1(c)6A).
• In aisle ways and open areas in warehouses in which the installed lighting power is 80% or less of the value allowed under
the Area Category Method, automatically reduce lighting power by at least 40% (EXCEPTION 1 to §130.1(c)6A).
• In corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category
Method, automatically reduce lighting power by at least 40% (EXCEPTION to §130.1(c)7A).
Occupant sensing controls in parking garages, parking areas, and loading and unloading areas have at least one control step
between 20 to 50% of design lighting power (§130.1(c)7B). 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% of design lighting power (EXCEPTION to §130.1(c)7B).
b.
The occupant sensing control does not trigger a false "on" from movement in an area adjacent to the controlled space or from
Yes
HVAC operation. (NA7.6.2.3(a)2)
C.
Signal sensitivity is adequate to achieve desired control. (NA7.6.2.3(a)3) For library book stacks or warehouse aisles, activity
Yes
beyond the stack or aisle shall not activate the lighting in the stack or aisle. (§130.1(c)6A, §130.1(c)6B)
Step 2: Simulate an occupied condition. (NA7.6.2.3(b))
a.
Status indicator or annunciator operates correctly. (NA7.6.2.3(b)1, §110.9(b)4C)
Yes
b.
Immediately upon an occupied condition (NA7.6.2.3(b)2):
Yes
• Lights controlled by an occupant sensor or a partial -OFF occupant sensor turn on; OR
• A vacancy sensor indicates a space is 'occupied" and lights may be turned on manually; OR
• The first stage of a partial -ON occupant sensor automatically activates between 50 to 70% of the lighting. (§130.1(c)5A)
After the first stage occurs for partial -ON occupant sensors, manual switches allow an occupant to activate the alternate set of
lights, activate 100% of the lighting power, and manually deactivate all of the lights.
Functional Testing Compliance: ❑ Complies O Does Not Comply
Page 9 of 14
STATE OF CALIFORNIA
SHUT-OFF LIGHTING CONTROL ACCEPTANCE DOCUMENT
CEC-NRCA-LTI-02-A (Revised 04/21)
California Energy Commission
AA %�
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Occupant Sensing Lighting Controls
Project Name: Shadow Rock Church
Enforcement Agency: City of La Quinta
Permit Number: BCOM2020-0009
Project Address: 46-760 Commerce Court
City: La Quinta
Zip Code: 92253
Building: Main Building
Floor: 1
Room: Storage 2
Occupant Sensing Lighting Controls
A-2. Occupant Sensing Lighting Control Construction Inspection (NA7.6.2.2)
17,
a.
Occupant sensors have been located to minimize false signals. (NA7.6.2.2(a))
I✓1
b.
Occupant sensors are located no closer than four (4) feet from any HVAC diffuser. (NA7.6.2.2(b))
I✓I
c.
Passive infrared sensor pattern does not enter into adjacent zones. (NA7.6.2.2(c))
O✓
d.
Occupant sensors do not encounter any obstructions that could adversely affect desired performance. (NA7.6.2.2(d))
e.
Ultrasonic occupant sensors do not emit audible sound. (NA7.6.2.2(e), §110.9(b)6Bii)
Construction Inspection Compliance: I_./I Complies [I Does Not Comply
B-2. Occupant Sensing Lighting Control Functional Testing (NA7.6.2.3)
Confirm compliance (Y - yes / N - no) for the control being tested.
Step 1: Simulate an unoccupied condition. (NA7.6.2.3(a))
a.
Lights controlled by occupant sensing control turn off or partially off, if applicable, within a maximum of 20 minutes from start of an
Yes
unoccupied condition. (NA7.6.2.3(a)1, §110.9(b)4A)
In the partial off state, partial -OFF occupant sensors automatically reduce lighting power by at least 50% (§130.1(c)6AC,
§130.1(c)7A), OR:
• For metal halide or high pressure sodium lighting in warehouses, automatically reduce lighting power by at least 40%
(EXCEPTION 2 to §130.1(c)6A).
• In aisle ways and open areas in warehouses in which the installed lighting power is 80% or less of the value allowed under
the Area Category Method, automatically reduce lighting power by at least 40% (EXCEPTION 1 to §130.1(c)6A).
• In corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category
Method, automatically reduce lighting power by at least 40% (EXCEPTION to §130.1(c)7A).
Occupant sensing controls in parking garages, parking areas, and loading and unloading areas have at least one control step
between 20 to 50% of design lighting power (§130.1(c)7B). 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% of design lighting power (EXCEPTION to §130.1(c)7B).
b.
The occupant sensing control does not trigger a false "on" from movement in an area adjacent to the controlled space or from
Yes
HVAC operation. (NA7.6.2.3(a)2)
C.
Signal sensitivity is adequate to achieve desired control. (NA7.6.2.3(a)3) For library book stacks or warehouse aisles, activity
Yes
beyond the stack or aisle shall not activate the lighting in the stack or aisle. (§130.1(c)6A, §130.1(c)6B)
Step 2: Simulate an occupied condition. (NA7.6.2.3(b))
a.
Status indicator or annunciator operates correctly. (NA7.6.2.3(b)1, §110.9(b)4C)
Yes
b.
Immediately upon an occupied condition (NA7.6.2.3(b)2):
Yes
• Lights controlled by an occupant sensor or a partial -OFF occupant sensor turn on; OR
• A vacancy sensor indicates a space is 'occupied" and lights may be turned on manually; OR
• The first stage of a partial -ON occupant sensor automatically activates between 50 to 70% of the lighting. (§130.1(c)5A)
After the first stage occurs for partial -ON occupant sensors, manual switches allow an occupant to activate the alternate set of
lights, activate 100% of the lighting power, and manually deactivate all of the lights.
Functional Testing Compliance: ❑ Complies O Does Not Comply
Page 10 of 14
STATE OF CALIFORNIA
SHUT-OFF LIGHTING CONTROL ACCEPTANCE DOCUMENT
CEC-NRCA-LTI-02-A (Revised 04/21)
California Energy Commission
AA
S.
M
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Occupant Sensing Lighting Controls
Project Name: Shadow Rock Church
Enforcement Agency: City of La Quinta
Permit Number: BCOM2020-0009
Project Address: 46-760 Commerce Court
City: La Quinta
Zip Code: 92253
Building: Main Building
Floor: 1
Room: Storage 1
Occupant Sensing Lighting Controls
A-2. Occupant Sensing Lighting Control Construction Inspection (NA7.6.2.2)
17,
a.
Occupant sensors have been located to minimize false signals. (NA7.6.2.2(a))
I✓1
b.
Occupant sensors are located no closer than four (4) feet from any HVAC diffuser. (NA7.6.2.2(b))
I✓I
c.
Passive infrared sensor pattern does not enter into adjacent zones. (NA7.6.2.2(c))
O✓
d.
Occupant sensors do not encounter any obstructions that could adversely affect desired performance. (NA7.6.2.2(d))
e.
Ultrasonic occupant sensors do not emit audible sound. (NA7.6.2.2(e), §110.9(b)6Bii)
Construction Inspection Compliance: I_./I Complies [I Does Not Comply
B-2. Occupant Sensing Lighting Control Functional Testing (NA7.6.2.3)
Confirm compliance (Y - yes / N - no) for the control being tested.
Step 1: Simulate an unoccupied condition. (NA7.6.2.3(a))
a.
Lights controlled by occupant sensing control turn off or partially off, if applicable, within a maximum of 20 minutes from start of an
Yes
unoccupied condition. (NA7.6.2.3(a)1, §110.9(b)4A)
In the partial off state, partial -OFF occupant sensors automatically reduce lighting power by at least 50% (§130.1(c)6AC,
§130.1(c)7A), OR:
• For metal halide or high pressure sodium lighting in warehouses, automatically reduce lighting power by at least 40%
(EXCEPTION 2 to §130.1(c)6A).
• In aisle ways and open areas in warehouses in which the installed lighting power is 80% or less of the value allowed under
the Area Category Method, automatically reduce lighting power by at least 40% (EXCEPTION 1 to §130.1(c)6A).
• In corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category
Method, automatically reduce lighting power by at least 40% (EXCEPTION to §130.1(c)7A).
Occupant sensing controls in parking garages, parking areas, and loading and unloading areas have at least one control step
between 20 to 50% of design lighting power (§130.1(c)7B). 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% of design lighting power (EXCEPTION to §130.1(c)7B).
b.
The occupant sensing control does not trigger a false "on" from movement in an area adjacent to the controlled space or from
Yes
HVAC operation. (NA7.6.2.3(a)2)
C.
Signal sensitivity is adequate to achieve desired control. (NA7.6.2.3(a)3) For library book stacks or warehouse aisles, activity
Yes
beyond the stack or aisle shall not activate the lighting in the stack or aisle. (§130.1(c)6A, §130.1(c)6B)
Step 2: Simulate an occupied condition. (NA7.6.2.3(b))
a.
Status indicator or annunciator operates correctly. (NA7.6.2.3(b)1, §110.9(b)4C)
Yes
b.
Immediately upon an occupied condition (NA7.6.2.3(b)2):
Yes
• Lights controlled by an occupant sensor or a partial -OFF occupant sensor turn on; OR
• A vacancy sensor indicates a space is "occupied" and lights may be turned on manually; OR
• The first stage of a partial -ON occupant sensor automatically activates between 50 to 70% of the lighting. (§130.1(c)5A)
After the first stage occurs for partial -ON occupant sensors, manual switches allow an occupant to activate the alternate set of
lights, activate 100% of the lighting power, and manually deactivate all of the lights.
Functional Testing Compliance: ❑ Complies O Does Not Comply
Page 11 of 14
STATE OF CALIFORNIA
SHUT-OFF LIGHTING CONTROL ACCEPTANCE DOCUMENT
CEC-NRCA-LTI-02-A (Revised 04/21)
California Energy Commission
AA T
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Occupant Sensing Lighting Controls
Project Name: Shadow Rock Church
Enforcement Agency: City of La Quinta
Permit Number: BCOM2020-0009
Project Address: 46-760 Commerce Court
City: La Quinta
Zip Code: 92253
Building: Main Building
Floor: 1
Room: Women's Restroom
Occupant Sensing Lighting Controls
A-2. Occupant Sensing Lighting Control Construction Inspection (NA7.6.2.2)
17,
a.
Occupant sensors have been located to minimize false signals. (NA7.6.2.2(a))
I✓1
b.
Occupant sensors are located no closer than four (4) feet from any HVAC diffuser. (NA7.6.2.2(b))
I✓I
c.
Passive infrared sensor pattern does not enter into adjacent zones. (NA7.6.2.2(c))
O✓
d.
Occupant sensors do not encounter any obstructions that could adversely affect desired performance. (NA7.6.2.2(d))
e.
Ultrasonic occupant sensors do not emit audible sound. (NA7.6.2.2(e), §110.9(b)6Bii)
Construction Inspection Compliance: I_./I Complies [I Does Not Comply
B-2. Occupant Sensing Lighting Control Functional Testing (NA7.6.2.3)
Confirm compliance (Y - yes / N - no) for the control being tested.
Step 1: Simulate an unoccupied condition. (NA7.6.2.3(a))
a.
Lights controlled by occupant sensing control turn off or partially off, if applicable, within a maximum of 20 minutes from start of an
Yes
unoccupied condition. (NA7.6.2.3(a)1, §110.9(b)4A)
In the partial off state, partial -OFF occupant sensors automatically reduce lighting power by at least 50% (§130.1(c)6AC,
§130.1(c)7A), OR:
• For metal halide or high pressure sodium lighting in warehouses, automatically reduce lighting power by at least 40%
(EXCEPTION 2 to §130.1(c)6A).
• In aisle ways and open areas in warehouses in which the installed lighting power is 80% or less of the value allowed under
the Area Category Method, automatically reduce lighting power by at least 40% (EXCEPTION 1 to §130.1(c)6A).
• In corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category
Method, automatically reduce lighting power by at least 40% (EXCEPTION to §130.1(c)7A).
Occupant sensing controls in parking garages, parking areas, and loading and unloading areas have at least one control step
between 20 to 50% of design lighting power (§130.1(c)7B). 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% of design lighting power (EXCEPTION to §130.1(c)7B).
b.
The occupant sensing control does not trigger a false "on" from movement in an area adjacent to the controlled space or from
Yes
HVAC operation. (NA7.6.2.3(a)2)
C.
Signal sensitivity is adequate to achieve desired control. (NA7.6.2.3(a)3) For library book stacks or warehouse aisles, activity
Yes
beyond the stack or aisle shall not activate the lighting in the stack or aisle. (§130.1(c)6A, §130.1(c)6B)
Step 2: Simulate an occupied condition. (NA7.6.2.3(b))
a.
Status indicator or annunciator operates correctly. (NA7.6.2.3(b)1, §110.9(b)4C)
Yes
b.
Immediately upon an occupied condition (NA7.6.2.3(b)2):
Yes
• Lights controlled by an occupant sensor or a partial -OFF occupant sensor turn on; OR
• A vacancy sensor indicates a space is "occupied" and lights may be turned on manually; OR
• The first stage of a partial -ON occupant sensor automatically activates between 50 to 70% of the lighting. (§130.1(c)5A)
After the first stage occurs for partial -ON occupant sensors, manual switches allow an occupant to activate the alternate set of
lights, activate 100% of the lighting power, and manually deactivate all of the lights.
Functional Testing Compliance: ❑ Complies O Does Not Comply
Page 12 of 14
STATE OF CALIFORNIA
SHUT-OFF LIGHTING CONTROL ACCEPTANCE DOCUMENT
CEC-NRCA-LTI-02-A (Revised 04/21)
California Energy Commission
AA T
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Occupant Sensing Lighting Controls
Project Name: Shadow Rock Church
Enforcement Agency: City of La Quinta
Permit Number: BCOM2020-0009
Project Address: 46-760 Commerce Court
City: La Quinta
Zip Code: 92253
Building: Main Building
Floor: 1
Room: Men's Rest Room
Occupant Sensing Lighting Controls
A-2. Occupant Sensing Lighting Control Construction Inspection (NA7.6.2.2)
17,
a.
Occupant sensors have been located to minimize false signals. (NA7.6.2.2(a))
I✓1
b.
Occupant sensors are located no closer than four (4) feet from any HVAC diffuser. (NA7.6.2.2(b))
I✓I
c.
Passive infrared sensor pattern does not enter into adjacent zones. (NA7.6.2.2(c))
O✓
d.
Occupant sensors do not encounter any obstructions that could adversely affect desired performance. (NA7.6.2.2(d))
e.
Ultrasonic occupant sensors do not emit audible sound. (NA7.6.2.2(e), §110.9(b)6Bii)
Construction Inspection Compliance: I_./I Complies [I Does Not Comply
B-2. Occupant Sensing Lighting Control Functional Testing (NA7.6.2.3)
Confirm compliance (Y - yes / N - no) for the control being tested.
Step 1: Simulate an unoccupied condition. (NA7.6.2.3(a))
a.
Lights controlled by occupant sensing control turn off or partially off, if applicable, within a maximum of 20 minutes from start of an
Yes
unoccupied condition. (NA7.6.2.3(a)1, §110.9(b)4A)
In the partial off state, partial -OFF occupant sensors automatically reduce lighting power by at least 50% (§130.1(c)6AC,
§130.1(c)7A), OR:
• For metal halide or high pressure sodium lighting in warehouses, automatically reduce lighting power by at least 40%
(EXCEPTION 2 to §130.1(c)6A).
• In aisle ways and open areas in warehouses in which the installed lighting power is 80% or less of the value allowed under
the Area Category Method, automatically reduce lighting power by at least 40% (EXCEPTION 1 to §130.1(c)6A).
• In corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category
Method, automatically reduce lighting power by at least 40% (EXCEPTION to §130.1(c)7A).
Occupant sensing controls in parking garages, parking areas, and loading and unloading areas have at least one control step
between 20 to 50% of design lighting power (§130.1(c)7B). 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% of design lighting power (EXCEPTION to §130.1(c)7B).
b.
The occupant sensing control does not trigger a false "on" from movement in an area adjacent to the controlled space or from
Yes
HVAC operation. (NA7.6.2.3(a)2)
C.
Signal sensitivity is adequate to achieve desired control. (NA7.6.2.3(a)3) For library book stacks or warehouse aisles, activity
Yes
beyond the stack or aisle shall not activate the lighting in the stack or aisle. (§130.1(c)6A, §130.1(c)6B)
Step 2: Simulate an occupied condition. (NA7.6.2.3(b))
a.
Status indicator or annunciator operates correctly. (NA7.6.2.3(b)1, §110.9(b)4C)
Yes
b.
Immediately upon an occupied condition (NA7.6.2.3(b)2):
Yes
• Lights controlled by an occupant sensor or a partial -OFF occupant sensor turn on; OR
• A vacancy sensor indicates a space is "occupied" and lights may be turned on manually; OR
• The first stage of a partial -ON occupant sensor automatically activates between 50 to 70% of the lighting. (§130.1(c)5A)
After the first stage occurs for partial -ON occupant sensors, manual switches allow an occupant to activate the alternate set of
lights, activate 100% of the lighting power, and manually deactivate all of the lights.
Functional Testing Compliance: ❑ Complies O Does Not Comply
Page 13 of 14
STATE OF CALIFORNIA
SHUT-OFF LIGHTING CONTROL ACCEPTANCE DOCUMENT
CEC-NRCA-LTI-02-A (Revised 04/21)
California Energy Commission
AA
S.
M
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Shut -Off Lighting Control Acceptance Document
Project Name: Shadow Rock Church
Enforcement Agency: City of La Quinta
Permit Number: BCOM2020-0009
Project Address: 46-760 Commerce Court
City: La Quinta
Zip Code: 92253
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
I certify that this Certificate of Acceptance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
John Tkach
Documentation Author Company Name: ELP -
Date Signed: April 14, 2021
Electrical Lighting Professionals, LLC
Address: 2633 Brand Drive
CEA/ATT Certification Identification (If applicable):
City/State/Zip: Tustin, CA 92782
Phone: 1 (833) 357-1600
FIELD TECHNICIAN'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 Acceptance is true and correct.
2.1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician).
3.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.
4.1 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 t e building permit(s) issued for the
building.
Field Technician Name:
Field Technician Signature:
John Tkach
Field Technician Company Name:
Position with Company (Title):
ELP - Electrical Lighting Professionals, LLC
Acceptance Test Technician
Address: 2633 Brand Drive
ATT Certification Identification (if applicable): ATT-1703-00006
City/State/Zip: Tustin, CA, 92782
Phone: 1 (833) 357-1600
Date Signed: April 14, 2021
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1.1 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.
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 Acceptance and attest to the declarations in this statement (responsible acceptance person).
3.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.
4.1 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.
5.1 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 building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this
Certificate of Acceptance is required to be included with the documentation the build r provides to th ilding owner at occupancy.
Responsible Person Name::
Responsible Person Signature:
John Tkach
Responsible Person Company Name:: ELP -
Position with Company (Title):
Electrical Lighting Professionals, LLC
Acceptance Test Employer
Address: 2633 Brand Drive
CSLB License: 1023909
City/State/Zip: Tustin, CA, 92782
Phone: 1 (833) 357-1600
Date Signed: April 14, 2021
Page 14 of 14