HomeMy WebLinkAboutX2021-3161 - MiscY2,p29-31Le9
52o N&D
Control Air
Conditioning
Corporation
5200 E La Palma Avenue, Anaheim, CA 92807
Phone (714) 777-8600 Fax (714) 777-3293
License Number 369439: C-20, C-36, C-38
Test and Balance Report
CACC Job #:
102-21-0460
Project Name:
Aaron McKown
Address:
520 Newport Center
Suite/Floor:
470
City:
Newport Beach
Date:
1-19-22
Technician:
Brad Pettit
Control Air
Conditioning
Corporation AIR BALANCE REPORT
C
5200 E La Palma Avenue, Anaheim, CA 92807
Phone (714) 777-8600 Fax (714) 777-3293
JOB NAME: Aaron McKown DATE: 1-19-22
ADDRESS: 520 Newport Center JOB #: 102-21-0460
STE/FLOOR: 470 TECHNICIAN: Brad Pettit
CITY: Newport Beach
SYSTEM
TYPE/
ROOM#
SYSTEM#/
GRILL#
VAV/
GRILL
SIZE
CFM DESIGN
CFM CORRECTED
DESIGN
MAX
HOT
CORRECT
MAX
HOT
REMARKS
MAX
COLD
MIN
COLD
MAX
COLD
MIN
COLD
RHVAV
4-01
401
1
10
360
365
401
2
10
360
355
(720)
(720)
(290)
(290)
Cf .70
RHVAV
4-02
402
1
10
335
320
402
2
10
335
350
403
3
12
400
400
(1070)
(1070)
(430)
(430)
Cf .74
RHVAV
4-03
404
1
12
520
500
404
2
12
520
540
(1040)
(1040)
(420)
(420)
Cf.72
RHVAV
4-04
405
1
12
465
460
406
2
12
560
550
407
3
12
465
480
(1490)
(1490)
Cf .76
SYSTEM
TYPE/
ROOM#
SYSTEM#/
GRILL#
VAV/
GRILL
SIZE
CFM DESIGN
CFM CORRECTED
DESIGN
MAX
HOT
CORRECT
MAX
HOT
REMARKS
MAX
COLD
MIN
COLD
MAX
COLD
MIN
COLD
COVAV
4-05
400
1
8
110
100
400
2
8
110
110
409
3
8
200
210
408
4
8
200
200
408
5
8
200
210
(820)
(200)
(820)
(200)
Cf .65
SYSTEM VAV/ CFM DESIGN CFM CORRECTED DESIGN CORRECT
TYPE/ SYSTEM#/ GRILL MAX MIN MAX MIN MAX MAX
ROOM# GRILL# SIZE COLD COLD COLD COLD HOT HOT REMARKS
SYSTEM SYSTEM#/ VAV/ CFM DESIGN CFM CORRECTED DESIGN CORRECT
TYPE/ GRILL# GRILL MAX MIN MAX MIN MAX MAX
ROOM# SIZE COLD COLD COLD COLD HOT HOT REMARKS
SYSTEM SYSTEM#/ VAV/ CFM DESIGN CFM CORRECTED DESIGN CORRECT
TYRE/ GRILL# GRILL MAX MIN MAX MIN MAX MAX
ROOM# SIZE COLD COLD COLD COLD HOT HOT REMARKS
SYSTEM SYSTEM#/ VAV l CFM DESIGN CFM CORRECTED DESIGN CORRECT
TYPE/ GRILL# GRILL MAX MIN MAX MIN MAX MAX
ROOM# SIZE COLD COLD COLD COLD HOT HOT REMARKS
SYSTEM VAV/ CFM DESIGN CFM CORRECTED DESIGN CORRECT
TYPE/ SYSTEM#/ GRILL MAX MIN MAX MIN MAX MAX
ROOM# GRILL# SIZE COLD COLD COLD COLD HOT HOT REMARKS
STATE OF CALIFORNIA
MECHANICAL
CEC-NRCI-MCH-01-E (Revised 01/16)
Aft
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF INSTALLATION NRCI-MCH-01-E
Mechanical (Page 1 of 2)
Project Name:
Aaron M<Kown #470 @ 520 NCD
Enforcement Agency:
Permit Number:
Address:
520 Newport Center Drive 470
City
Newport Beach
Zip Code:
92660
A. GENERAL INFORMATION
DATE OF BUILDING PERMIT
BUILDING TYPE
PHASE OF 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 responsibilityfor construction shall prepare and sign the Installation Certificate documents) for the entire construction.
B. SCOPE OF RESPONSIBILITY
Date of approval by the enforcement agency of the Certificate of Compliance that provides the 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
M0.01
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance June January 2016
STATE OF CALIFORNIA
MECHANICAL
CALIFORNIA ENERGY COMMISSION is
CERTIFICATE OF INSTALLATION NRCI-MCH-01-E
Mechanical (Page 2 of 2)
Project Name:
Aaron McKown #470 @ 520 NCD
Enforcement Agency:
Permit Number:
Address:
520 Newport Center Drive 470
City
Newport Beach
Zip Code:
92660
Document Title or Description
Applicable Sheets or Pages, Tables, Schedules, etc.
Date Approved By
the Enforcement
Agency
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Dan Raccuglia
Documentation Author Company Name:
Date Signed:
Control Air Enterprises LLC
1/19/22
Address:
CEA/ HERS Certification Identification (If applicable):
5290 E. La Palma Avenue
Not Applicable
City/State/Zip:
Phone:
Anaheim, CA 92807
(714)777-8600
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify that this Certificate of Installation documentation is accurate and complete.
1. The information provided on this Certificate of Installation is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the
system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement (responsible builder/installer),
otherwise I am an authorized representative of the responsible builder/installer.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this
Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements
given on the plans and specifications approved by the enforcement agency.
4. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements
for the scope of construction or installation identified on this Certificate of Installation, and I have ensured that the requirements
that apply to the construction or installation have been met.
S. 1 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 at occupancy.
Responsible Builder/Installer Name:
Responsible Builder/Installer Signature:
Company Name: (installing Subcontractor or General Contractor or
Position With Company (Title):
Builder/Owner) Control Air Enterprises LLC
Foreman
Address:
CSLB License:
5200 E. La Palma Avenue
1053402
City/State/Zip:
Phone:
Date Signed:
Anaheim, CA 92807
(714)777-8600
1/19/22
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance June January2C16
- STATE OF CALIFORNIA
MECHANICAL
CEC-NRCI-MCH-01-E (Reyised 01116)
X2�2� 3kIs@
CALIFORNIAOD AgaL
GY COMMISSION
CERTIFICATE OF INSTALLATION NRCI-MCH-01-E
Mechanical (Page 1 of 2)
Project Name:
Aaron McKown N470 @ 520 NCD
Enforcement Agency:
Permit Number:
Address:
520 Newport Center Drive 470
City
Newport Beach
Zip Code:
92660
A. GENERAL INFORMATION
DATE OF BUILDING PERMIT
BUILDING TYPE
PHASE OF CONSTRUCTION
If more than one person has responsibilityfor 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 far 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 specifications for this Installation
Certificate.
In the table below identify all applicable construction documents that specify the features, materials, components,
manufactured devices, orsystem 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
M0.01
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance June January 2016
STATE OF CALIFORNIA
MECHANICAL
CEC-NRCI-MCH-01-E (Revised 01116)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF INSTALLATION NRCI-MCH-01-E
Mechanical (Page 2 of 2)
Project Name:
Aaron McKown #470 @ 520 NCD
Enforcement Agency:
Permit Number:
Address:
520 Newport Center Drive 470
City
Newport Beach
Zip Code:
92660
Document Title or Description
Applicable Sheets or Pages, Tables, Schedules, etc.
Date Approved By
the Enforcement
Agency
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Dan Raccugliaa
gNe.
Documentation Author Company Name:
Date Signed:
Control Air Enterprises LLC
1/19/22
Address:
CEA/ HERS Certification Identification (If applicable):
5200 E. La Palma Avenue
Not Applicable
City/State/Zip:
Phone:
Anaheim, CA 92807
(714)777-8600
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify that this Certificate of Installation documentation is accurate and complete.
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 installationidentified on this Certificate of Installation, and I have ensured that the requirements
that apply to the construction or installation have been met.
5. 1 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 at occupancy.
Responsible Builder/Installer Name:
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Position With Company (Title);
Builder/Owner) Control Air Enterprises LLC
Foreman
Address:
CSLB License:
5200 E. La Palma Avenue
1053402
City/State/Zip:
Phone:
Date Signed:
Anaheim,CA 92807
(714)777-8600
1/19/22
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance June January 2016
General Information
Building Type:
r Nonresidential r High -Rise Res (Common Area)
r Hotel/Motel (Common Area)
Phase of Construction:
r. New Construction r Addition W Alteration
r Unconditioned
Scope of Responsibility
Enter the date of approval by enforcement agency of the Certificate of Compliance that provides the specifications for the energy
efficiency measures for the scope of responsibility for this Installation Certificate.
Date: 11/12/2021 12:00:00 AM
Document Title or Description Applicable Sheets or Pages, Tables, Schedules, etc. Date Approved By the Enforcement Agency
T24 COMPLIANCE E-2 11/13/2021 12:00:00 AM
POWER PLAN E-4 11/13/2021 12:00:00 AM
LIGHTING PLAN E-3 11/13/2021 12:00:00 AM
This is page 1 of 2
IutN"I'liI1I:E1HAWIG2IN V,
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
I certify that this Certificate of Acceptance document is accurate and complete.
Documentation Author Company Name
Name lames Manning SASCO
Address 2750 MOORE AVE City FULLERTON
Zip Code 92833 Phone (714)461-1570
CEA/ATT Certification Author Signature
Identific an (if TC-A813576
applicab e
Date of Signature: 02/11/2022
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. I am the Field Technician, or the Field Technician is acting on my behalf as my employee p1 my agent and I have reviewed the information provided on this
Certificate of Acceptance.
2. I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction
or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the
declarations in this statement (responsible acceptance person).
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. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and
Is posted or made available with the building permit(s) issued for the building.
5. I will ensure that a completed, signed copy of this Certificate of Acceptance shall be pasted, or made available with the building permits) 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 Company Name
Person Name Donald King SASCO
Address: City
2750 Moore Avenue Fullerton
Zip Code 92833 Phone (714)870-0217
CSLB License Position with Company
125897 (Title) Project Manager
Responsible Acceptance P son Signature
L01
Data of Slgnatu : 02/11/2022
This is page 2 of 2