HomeMy WebLinkAboutX2022-0386 - MiscSTATE OF CALIFORNIA
MECHANICAL
CEC-NRCI-MCH-01-E (Revised 01/20)
Wiz- m
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF INSTALLATION
NRCI-MCH-01-E
Mechanical
(Page 1 of 2)
Pmj-RName: Blrtcher Development
Enforcement Agenry:
Permit Number:
PmleciAaarc„` 450 Newport Center Drive
Car' Newport Beach
zip Cede: 92660
A. GENERAL INFORMATION
DATE OF BUILDING PERMIT:
Applicable Sheets or Pages, Tables, Schedules, etc.
BUILDING TYPE
❑ Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel
PHASE OF
❑New Construction 13 Addition ®Alteration
CONSTRUCTION
If more than one person has responsibility for building construction, each person shall prepare and sign an Installation
Certificate document applicable to the portion of construction for which they are responsible; alternatively, the person
with chief responsibility for construction shall prepare and sign the Installation Certificate document(s) for the entire
construction.
B. SCOPE OF RESPONSIBILITY
Date of approval by the enforcement agency of the Certificate of Compliance that provides the Date:
specifications for this Installation Certificate.
In the table below identify all applicable construction documents that specify the features, materials, components,
manufactured devices, or system performance diagnostic results required for the scope of responsibility for this Installation
Certificate.
Document Title or Description
Applicable Sheets or Pages, Tables, Schedules, etc.
Date Approved By
the Enforcement
Agency
HVAC PLAN
450NCD.0200.M1 - 450NCD.0200.M3
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020
STATE OF CALIFORNIA
MECHANICAL
CEC-NRCI-MCH-01-E (Revised 01/201
CERTIFICATE OF INSTALLATION
NRCI-MCH-01-E
Mechanical
(Page 2 of 2)
Proled Name: Birtcher Development
Enforcement Agency:
Permit Number.
Prolec,Addms: 450 Newport Center Drive
car Newport Beach
zrocde: 92660
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name: Dennie Brisco
Documentation Author Signature: Dennis Brisco
Documentation Author Company Name: HVAC Mechanical
Date Signed: 5/13/22
Address: 446 W. Crowther Ave.
CEA/ HERS Certification Identification (if applicable): n/a
City/State/Zip: Placentia Ca 92870
Phone: 714-937-5305
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the
system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement (responsible builder/installer),
otherwise I am an authorized representative of the responsible builder/installer.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this
Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements
given on the plans and specifications approved by the enforcement agency.
4. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements
for the scope of construction or installation identified on this Certificate of Installation, and 1 have ensured that the requirements
that apply to the construction or installation have been met.
S. I will ensure that a completed signed copy of this Certificate of Installation shall be posted, or made available with the building
permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a
completed signed copy of this Certificate of Installation is required to be included with the documentation the builder provides to
the building owner atoccupancy.
Responsible Builder/installer Name: Dennis Bris cs
Responsible Builder/installer Signature: Dennie Brisco
Company Name:Lq?$ccCrtactor or General Contractor or Builder/Owner)
.(1llsta
Position With Company (Title): Project Manager
440 W. Crowther Ave
Csw License: 682002
city/state/zip: Placentia Ca. 92870
Phone: 714-937-5305
Date signed: 5/13/22
CA Building Energy Efficiency Standards- 2019 Nonresidential Compliance January 2020
CERTIFICATE OF INSTALLATION—USER INSTRUCTIONS NRCI-MCH-01-E
Mechanical (Page 1 of 1)
NRCI-MCH-01 User Instructions
Section A. General Information
01. Enter the date on the building permit.
02. Indicate the appropriate building type.
03. Indicate the appropriate phase of construction.
Section B. Scope of Responsibility
O3. Enter the date the enforcement agency approved the Certificate of Compliance (NRCC-MCH-XX) that is used as
the basis of the specifications used to demonstrate compliance.
02. Enter the construction document that specifies the installed feature, material, component, manufactured device
or system performance diagnostic results required for compliance as specified on the certificate of compliance.
03. As needed, this row shall be filled according to the instructions for row B.02
04. As needed, this row shall be filled according to the instructions for row B.02
05. As needed, this row shall be filled according to the instructions for row 8.02
CA Building Energy Efficiency Standards- 2019 Nonresidential Compliance January 2020
440 W. Crowther Ave.
Placentia, CA 92870
Ph:(714) 937-5305
TEST AND BALANCE ANALYSIS REPORT
Bircher Development
450 Newport Center Drive, Suite 450
Newport Beach, CA
G- John Anderson, President
HVAC Mechanical
Air Balance Report meets TABB and NEBB Standards
Contractor:
H.v.A.C. Mechanical, Inc.
JOB# 9699
COMPLETION DATE:
May 19th 2022
Tech: DJ Carlton
* UNLESS OTHERWISE NOTED, INDICATED CFM IS AT STANDARD CONDITIONS.
" FLOW HOOD USED ON ALL CEILING SUPPLY AND RETURN TERMINAL UNITS, AND SIDEWALL REGISTERS AND GRILLES
WHERE APPLICABLE.
Page 1
MASTER CODE SHEET
CSD
= CEILING SUPPLY DIFFUSER
CEG
= CEILING EXHAUST GRILLE
CER
= CEILING EXHAUST REGISTER
CRG
= CEILING RETURN GRILLE
CSR
= CEILING SUPPLY REGISTER
CRR
= CEILING RETURN REGISTER
EDO
= EXHAUST DUCT OPENING
EAR
= EXHAUST AIR REGISTER
FEG
= FLOOR EXHAUST GRILLE
FER
= FLOOR RETURN REGISTER
FRG
= FLOOR RETURN REGISTER
FSR
= FLOOR SUPPLY REGISTER
RAB
= RETURN AIR BAR
RAG
= RETURN AIR GRILLE
RDO
= RETURN DUCT OPENING
RLD
= RETURN LINEAR DIFFUSER
SAB
= SUPPLY AIR BAR
SDO
= SUPPLY DUCT OPENING
SLD
= SUPPLY LINEAR DIFFUSER
WE
= WALL EXHAUST GRILLE
WE
= WALL EXHAUST REGISTER
WR
= WALL RETURN GRILLE
WR
= WALL RETURN REGISTER
WS
= WALL SUPPLY GRILLE
WS
= WALL SUPPLY REGISTER
GENERAL REPORTING CODES
DNA
= DATE NOT AVAILABLE
DNL
= DATA NOT LICENSED
NA
= NOT ACCESIBLE
NI
= NOT INSTALLED
NS
= NOT SPECIFIED
NT
= NOT TESTED DUE TO ABNORMAL CONDITIONS
NVL
= NO VALID LOCATION FOR ACCURATE TESTING
= MEASURED WITH FLOW HOOD
Page 2
kum "owo
440 W. Crowther Ave.
Placentia, CA 92870
Ph:(714) 937-5305
FLOW HOOD
HOOD: A COLLECTOR TYPE WHICH READS IN CFM
440 W. Crowther Ave.
Placentia, CA 92870
Ph:(714) 937-5305
METER: ALONOR VELOMETER WITH EIGHT RANGE SELECTIONS, THREE EACH FOR SUPPLY AND
RETURN. ONE POSITION SELECTOR IS ADJUSTABLE TO CORRECT FOR ALTITUDE
AND TEMPERATURE. THE OTHER TWO CALIBRATED AND SEALED TO READOUT
DIRECTLY IN CUBIC FEET PER MINUTE AT CONSTANT VOLUME STANDARD
CONDITIONS.
RANGE: 30-500, 100-1000, 200-2000
0-500, 200-1000, 500-2000
FLOW SENSOR: DUAL %" DIA. PIEZOMETER GRID SUSPENDED AT RADIUS OF AVERAGE VELOCITY.
Page 3
CERTIFICATE OF CALIBRATION
440 W. Crowther Ave.
Placentia, CA 92870
Ph:(714) 937-5305
ORIVIA R,
WAC MECHANICAL: PLACENTIA, CA
CALIBRATION CATS
03/162022
Pe, NUMBER,
N/A
CRLIBRAnox DDE:
03/152023
IxST. MANUFACTURER:
TSI IALNOR
PlaccouRa:
NAVAIR I7 -2011G02
IxFT. DESCRIPnox,
BALOMETER
CAUSHATIGNFWID,
AIR Q I4.T PSI MT
MODELNUMBEh
EST -731
RECEIVEDCONDITIONF:
WITHIN MFG. SPECS
SaU NUMBER,
EB1731510004
La"COMDIT1ONSt
WITHIN MFG. SPECS
RATED ACCURACY,
SEE NOTES-
"MIRITCONDITIONSt
763mmHGA45%RH69'F
UNCERTAIRTYGIVEN:
10.796%RD K=2
CERTRIMInin e'.
486770.2022
NOTES: VEL't 3%RD-t7"MIN — PROS :±.2%RD; ±oV H2O—VOL ±3%♦±7 FTIMIN—TEMP :±0.5'F— RH% t±3%RD.
O:MAMUAL IM 2.0 REV 2020.2 DATED 747.2020 •a•a DECISION RULE : NO PFA%
STANDARDS USED•
CALIBRATED WITH DMC ACCESORIES
--I
AIRFOIL
OM STD
GRID
DM STD.
EBT 731
1STD.
INDICATED
ACTUAL
INDICATED
ACTUAL
INDICATED
ACTUAL
Fr/MIN
FT/MIN
FT/MIN
FT/MIN
I "N20
-H20
114
116
52
53
0.00
0.000
53B
543
129
130
1.02
1.020
1062
1071
506
510
5.15
5.152
1541
1554
04"1057
10.18
10.159
2485
2506
1571
1524
12.24
12.253 j
4986
�j
5042
2497
2520
14.95
14.978
UUT iMD.
DMSTO.
UUT
DM STD
UUT
DMSTD
!- PITOT
ACTUAL
IND.
ACTUAL
IND.
ACTUAL
FT/MIN
FY/MIN
'F
'F
RH%
RH%
2566
2583
ms
66.1
32.7
33.1
6438
6494
70.4
70.3
76.3 1
77.3
STANDARDS USED•
--I
A220: 12'WIND TUNNELO-8000 FPM I CMC±0.203% RD I TRACE# 13294076_28_
DUEJ04101/2M
102023
A24: HART SCIENTIFIC TEMP. STANDARD I±0.024 F TRACE#t6t7259390
DUEL321:
CEC PRESSURE STD. O-600 PSI I to.011% RD I TR2022IA382
HUMIDITY CHAMBER STANDARD I±9.18%RH% I TRACE#1520423238 1446135470
DUE102023
I
All instnnnents used in the performance of the shown calibration have traceability to the National Institute of Standards and Technology (NIST). The
uncertainty ratio between the calibration standards (DM.STD.) and the Unit Under Test (UUT) is a minimum of4:1, unless otherwise noted. Calibration
.has been perforrned according to the shown procedure. The use of1AS/ILAC logo indicates calibrations are in accordance to ISO/IEC 17025:2017.
Dick Monne Company • 11133 Winners Circle, Los Alamitos, CA 90720
Phone: 714827-1215 • w .dickmmnns.com
TMs Caabmtlaa Ceetl@otv Mv0l nat he reproduced.=,% I. fulk without approval by 1H kMunro Cumpvny. The dam,hvuv appaea ovly Iv the Inshument being Faahrated and under tlm
M.I.d mvdltlon, of nObrallov.
Issuing Date: Approved By: Cal. Technician: Calibrated at: /Lab
_ On -Site (Customer's)
2,7—, (��e�,Ql�r/ rt%t is Page of�
Page 4
DIFFUSER & GRILLE TEST SHEET
440 W. Crowther Ave.
Placentia, CA 92870
Ph:(714) 937-5305
--- - ---SYSTEM-
SYSTEM: VAV 1
REQUIRED
ACTUAL REQUIRED ACTUAL
ROOM
NO. CODE SIZE(")
EFF. AREA FPM CFM
FPM CFM MINIMUM MINIMUM
206
1 CSD 12
550
545
206
2 CSD 12
550
545
TOTAL
12
1100
1090 330 330
--- - ---SYSTEM-
SYSTEM: VAV 4
REQUIRED ACTUAL
REQUIRED ACTUAL
ROOM
NO. CODE
SIZE (")
EFF. AREA FPM CFM FPM
CFM MINIMUM - MINIMUM
204
1 CSD
12
600
590
203
2 CSD
12
600
600
TOTAL
1200
1190 360 360
--- - ---SYSTEM-
VAV5 REQUIRED
ACTUAL REQUIRED ACTUAL
ROOM NO.
CODE SIZE (") I EFF. AREA I FPM I
CFM
FPM CFM MINIMUM MINIMUM
204 1
CSD 10
400
405
203 2
CSD 10
400
405
TOTAL
800
810 240 240
Page 5
��
ka -®?�
440 W. Crowther Ave.
Placentia, CA 92870
Ph:(714) 937-5305
Page 6
SYSTEM:
VAV 6
REQUIRED
REQUIRED
ACTUAL REQUIRED ACTUAL
ROOM
NO.
CODE
SIZE (") EFF. AREA FPM
CFM
FPM CFM MINIMUM MINIMUM
201
1
CSD
8
150
150
200
2
CSD
10
250
255
212
3
CSD
10
350
350
TOTAL
4
CSD
8
750
755 230 230
Page 6
SYSTEM:
VAV 7
REQUIRED
ACTUAL REQUIRED ACTUAL
ROOM
NO.
CODE
SIZE(")
EFF. AREA FPM CFM
FPM CFM MINIMUM MINIMUM
Hallway
1
CSD
10
400
400
211
2
CSD
8
200
205
210
3
CSD
8
200
205
209
4
CSD
8
200
205
TOTAL
1000
1015 300 300
Page 6
Compliance Results:
COMPLIES
Enforcement Agency Use: Checked by/Date
SHUT-OFF LIGHTING CONTROL ACCEPTANCE DOCUMENT
Intent: This document is used to demonstrate compliance with acceptance requirements in §130.4(a)4 and Reference Nonresidential
Appendix NA7.6.2 for shut-off lighting controls. Attach additional sets of pages 1 through 2, as required, for all controls that must be
tested.
Indicate all types of shut-off controls tested for this project:
r Automatic time switch lighting controls (Sections A-1 and B-1 of this document should be
completed)
F Occupant sensing lighting controls (including occupant sensors, partial -ON occupant sensors, partial -OFF occupant
sensors, and/or vacancy sensors) (Sections A-2 and B-2 of this document should be completed)
A-1. Automatic Time Switch Lighting Control Construction Inspection (NA7.6.2.4)
I- a. Automatic time switch controls are programmed with acceptable weekday, weekend, and holiday (if applicable)
schedules. (NA7.6,2.4(a), §110.9(b)lAii, §130.1(c)IA, §130.1(c)4)
F b. Document for the owner weekday, weekend, and holidays schedules, as well as all set-up and preference program
settings. (NA7.6.2.4(b))
E- c. The correct time and date are properly set in the time switch. (NA7.6.2.4(c))
E` d. The battery backup (if applicable) is installed and energized. (NA7.6,2.4(d), §110.9(b)1)
E` e. Override time limit is no more than 2 hours. (NA7.6.2.4(e), §110.9(b)lAi, §130.1(c)3B) OR The automatic time switch
control's override time is exempt from the 2 -hour limit. (EXCEPTION to §130.1(c)3B)
F f. Override switches remote from area with controlled luminaires have annunciator lights. (NA7.6.2.4(f), §130.1(c)3A,
§130.1(x)) OR The manual override switch is exempt from being in the same enclosed area with the lighting it controls.
(EXCEPTION 1 to §1.30A (a)2)
Construction Inspection Compliance: (: Complies E Does Not Comply NA
cAp1 (/\� California Advanced Lighting
LVTI Controls Training Program
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance 'Phis is page I of 5
OFACCEPTANCE
B -l. Automatic Time Switch Lighting Control Functional Testing (NA7.6.2.5)
Confirm compliance (Y - yes / N - no) for the control being tested. NA
California Advanced Lighting
cALGTP Controls Training Program
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance This is page 2 of 5
A-2. Occupant Sensing Lighting Control Construction Inspection (NA7.6.2.2))
r a. Occupant sensors have been located to minimize false signals, (NA7.6.2.2(a))
7 6. Occupant sensors are located no closer than four (4) feet from any HVAC diffuser, (NA7.6.2.2(b))
17 c. Passive infrared sensor pattern does not enter into adjacent zones. (NA7,6,2.2(c))
r d. Occupant sensors do riot encounter any obstructions that could adversely affect desired performance. (NA7.6.2.2(d))
W e. Ultrasonic occupant sensors do not emit audible sound. (NA7.6.2.2(e), §110.9(b)6Bii)
Construction Inspection Compliance: <• Complies r 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.
Building: 450 Newport Center Di Floor: 2 Ste 220 Room: Office Control: Occupancy
WV
Control is representative of sample. (NA7.6.2.3) If sampling method is used, attach a page listing untested controls in sample.
Step 1: Simulate an unoccupied condition. (NA7.6.2.3(a))
r
a.
Lights controlled by occupant sensing control turn off or partially off, if applicable, within a maximum of 20 minutes from start of
an 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)6A-C,
§130.1.(c)7A), OR:
• For metal halide or high pressure sodium lighting in warehouses, automatically reduce lighting power by at least 400/0
(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).
r
b.
The occupant sensing control does not trigger a false "on" from movement in an area adjacent to the controlled space or from
FIVAC operation. (NA7,6.2.3(a)2)
r
c.
Signal sensitivity is adequate to achieve desired control. (NA7.6.2.3(a)3) For library book stacks or warehouse aisles, activity
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. y. (NA7.6.2.3(b)1, §1109(b)4C)
WV
b.
Immetliately upon an occupied condition (NA7.6.2.3(b)2):
• 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) SA) OR:
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:
C i L �p California Advanced Lighting
Controls Training Program
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance This is page 3 of 5
TE OF ACCEPTANCE
[NYrtYNiY01:15/tA]:YY
(- Complies f Does Not Comply
CAY (/��� j'j� California AiNanced Llghting
LGT Controls Training Program.
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance This is page 4 of 5
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
f certify that this CeI tifiraCe of Acceptance door ire oration is accurate and complete,
Documentation Author Company Name
Name Idatthew Kirchwehm
Address City/State/Zip
45225 Tioga St
Phone CEA/A'rT Certification
(058)568-6793 Identification (if
applicable)
Author Signature
Date of Signature:
05/14/2022
1st Advanced Energy Consultants
Temecula, CA 92592
TC -A813924
FIELD TECHNICIAN'S DECLARATION STATEMENT
I certify the fallowing under penalty of perjury, under the laws of the State of California:
1. The information at on this Cert ifi<ate of Acceptance is true and carrect.
2. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician).
3. The construction or in stallatlon 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 specifir-d in Reference
Nonresidential Appendix NA].
4. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and
signed by the responsible builder/Installer and ha!: been posted or made avallable with the building paranoia) issued for the building.
Field Technician Name Company Name
Matthew Kirchwehm 15[ Advanced Energy Consultants
Address: 45225 Tioga St CiLy/Sta Le/Zip Temecula, CA 92592
Phone ALL Certification
(8.58)568-6793 Identification TC -A813924
Position with Company Field Technician Signature
(Tide) Owner
Data of Signature��Frt 05/14/2022
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
I. I am the Field Technician, or the Field Technician is acting on my behalf as my employee- or my agent and I have reviewed the information provided on this
Con Lfi ca to 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 infoi matlon 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 approver) by the enforcement agency, and conforms to the applicable acceptance
requirements and procedures specified in Reference Nonresidential Appendix NA],
4. I have confirmed that the Certhicate(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. I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permits) Issued for the
building, and made available to the enforcen'ient agency for all applicable Inspections. f understand that a signed copy of this Certificate of Acceptance is
required to be included with the docwnentation the builder provides to the building owner at occupancy.
Acceptance Company Name
Responsible Matthew Kirchwehm list Advanced Energy Con school s
Person
Responsible
9Y
Address: 45225 1 tape St City/ State/Zip Temecula, CA 92592
Phone CSLB License
(856)568-6793 TC -A813924
Position with Company Responsible Acceptance Person Signatorc
(Title) ^Owner `
Date of Signature: 05/14/2022
CAY�'/�\`r�rC, California Advanced Lighting
IN I I— Controls Training Program
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance This is page 5 0( 5