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BUILDING ENERGY ANALYSIS REPORT

PROJECT:

Project Designer:

Report Prepared by:

Job Number:

Date:

The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2016 Building Energy Efficiency Standards.

This program developed by EnergySoft Software – www.energysoft.com.

440 Yuba Dr. Suite CArchitectural Services

Sacramento, CA 95833(916) 555-5678

1234 Main St.Nonresidential Sample Building

Sacramento, CA 95800

1025 5th St. Suite AEnergySoft, LLCMartyn C. Dodd

Novato, CA 94945(415) 897-6400

M98000

10/25/2016

Job Number:

TABLE OF CONTENTS

Form SRA-02-E Minimum Solar Zone Area WorksheetForm ELC-01-E Electrical Power Distribution

Cover PageTable of ContentsForm PRF-01-E Certificate of ComplianceForm SRA-01-E Solar Ready Areas

Form PRC-03-E Commercial Kitchen Requirements

Form PRC-01-E Process Compliance Forms & WorkheetsForm PRC-02-E Garage Exhaust

Form PRC-04-E Computer Room RequirementsForm PRC-09-E Laboratory ExhaustForm PRC-11-E Process Boiler RequirementsForm PRC-12-E Elevator Lighting & VentilationForm PRC-13-E Escalators & Moving Walkways Speed Controls

2730

123

24

41

3639

4345474951

ID: M98000EnergyPro 7.1 by EnergySoft User Number: 0000

Project Name: Nonresidential Sample NRCC-PRF-01-E Page 1 of 21

Project Address: 1234 Main St. Sacramento 95800 Calculation Date/Time: 10:38, Tue, Oct 25, 2016

Compliance Scope: NewComplete Input File Name: NonRes Sample.cibd16x

CA Building Energy Efficiency Standards- 2016 Nonresidential Compliance Report Version: NRCC-PRF-01-E-09162016-4377 Report Generated at: 2016-10-25 10:39:36

A. PROJECT GENERAL INFORMATION

1. Project Location (city) Sacramento 8. Standards Version Compliance2016

2. CA Zip Code 95800 9. Compliance Software (version) EnergyPro 7.1

3. Climate Zone 12 10. Building Orientation (deg) (N) 0 deg

4. Total Conditioned Floor Area in Scope 4,480 ft2 11. Permitted Scope of Work NewComplete

5. Total Unconditioned Floor Area 800 ft2 12. Building Type(s) Nonresidential

6. Total # of Stories (Habitable Above Grade) 2 13 Gas Type NaturalGas

7. Total # of dwelling units 0

B. COMPLIANCE RESULTS FOR PERFORMANCE COMPONENTS (Annual TDV Energy Use, kBtu/ft 2-yr) § 140.1

BUILDING COMPLIES1. Energy Component 2. Standard Design (TDV) 3. Proposed Design (TDV) 4. Compliance Margin (TDV) 5. Percent Better than Standard

Space Heating 14.62 17.59 -2.97 -20.3%

Space Cooling 100.40 112.46 -12.06 -12.0%

Indoor Fans 45.40 43.59 1.81 4.0%

Heat Rejection -- -- -- --

Pumps & Misc. 1.50 -- 1.50 --

Domestic Hot Water 26.13 25.38 0.75 2.9%

Indoor Lighting 80.50 67.53 12.97 16.1%

COMPLIANCE TOTAL 268.55 266.55 2.00 0.7%

Receptacle 75.07 75.07 0.0 0.0%

Process 72.67 72.67 0.0 0.0%

Other Ltg -- -- -- --

TOTAL 416.29 414.29 2.0 0.5%





C. PRIORITY PLAN CHECK/ INSPECTION ITEMS (in order of highest to lowest TDV energy savings)

1st Indoor Lighting: Check lighting Compliance Margin By Energy Component (from Table B column 4)

Indoor LightingIndoor Fans

Pumps & Misc.Domestic Hot Water

Heat RejectionSpace HeatingSpace Cooling

Penalty Energy Credit

2nd Indoor Fans: Check envelope and mechanical

3rd Pumps & Misc.: Check mechanical

4th Domestic Hot Water: Check mechanical

5th Heat Rejection: Check envelope and mechanical

6th Space Heating: Check envelope and mechanical

7th Space Cooling: Check envelope and mechanical

D. EXCEPTIONAL CONDITIONS

The general lighting exceptional method is employed for one or more spaces. Verify that the lighting allowances match the lighting installed on the plans and serve the areas within each space asidentified in the compliance model.

The proposed building claims credit for non-mandatory lighting control credits via Power Adjustment Factors (PAFs) as outlined in Standards Table 140.6-A. Review NRCC-PRF-LTI DETAILS Table A toensure that credit is not claimed for mandatory controls.

This project includes Domestic Hot Water in the analysis. Please verify that Domestic Hot Water is included in the design for the permitted scope of work.

E. HERS VERIFICATION

This Section Does Not Apply

F. ADDITIONAL REMARKS

Standard Building (Compliance)





G. COMPLIANCE PATH & CERTIFICATE OF COMPLIANCE SUMMARY

Identify which building components use the performance or prescriptive path for compliance. “NA”= not in project

For components that utilize the performance path, indicate the sheet number that includes mandatory notes on plans.

Building Component Compliance Path Compliance Forms (required for submittal)Location of Mandatory Notes onPlans

Envelope

Performance NRCC-PRF-ENV-DETAILS (section of the NRCC-PRF-01-E)

Prescriptive NRCC-ENV-01 / 02 / 03 / 04 / 05 / 06-E

NA

Mechanical

Performance NRCC-PRF-MCH-DETAILS (section of the NRCC-PRF-01-E)

Prescriptive NRCC-MCH-01 / 02 / 03 / 04 / 05 / 06 / 07-E

NA

Domestic Hot Water

Performance NRCC-PRF-PLB-DETAILS (section of the NRCC-PRF-01-E)

Prescriptive NRCC-PLB-01-E

NA

Lighting (Indoor Conditioned)

Performance NRCC-PRF-LTI-DETAILS (section of the NRCC-PRF-01-E)

Prescriptive NRCC-LTI-01 / 02 / 03 / 04 / 05-E

NA

Covered Process:Commercial Kitchens

Performance S2 (section of the NRCC-PRF-01-E)

Prescriptive NRCC-PRC-01/ 03-E

NA

Covered Process:Computer Rooms



NA

Covered Process:Laboratory Exhaust



NA





G. COMPLIANCE PATH & CERTIFICATE OF COMPLIANCE SUMMARY

The following building components are only eligible for prescriptive compliance. Indicate which arerelevant to the project.

The following building components may have mandatory requirements per Part 6. Indicatewhich are relevant to the project.

Yes NA Prescriptive Requirement Compliance Forms Yes NA Mandatory Requirement Compliance Forms

Lighting (IndoorUnconditioned) §140.6

NRCC-LTI-01 / 02 / 03 / 04 / 05-E Commissioning: §120.8

Simple SystemsComplex Systems

NRCC-CXR-01 / 02 / 03 / 05-ENRCC-CXR-01 / 02 / 04 / 05-E

Lighting (Outdoor) §140.7 NRCC-LTO-01 / 02 / 03-E Electrical: §130.5 NRCC-ELC-01-E

Lighting (Sign) §140.8 NRCC-LTS-01-E Solar Ready: §110.10 NRCC-SRA-01 / 02-E

Solar Thermal WaterHeating: §140.5

NRCC-STH-01-E

Covered Process: §120.6Parking Garage

Commercial RefrigerationWarehouse Refrigeration

Compressed AirProcess Boilers

NRCC-PRC-01-ENRCC-PRC-02-ENRCC-PRC-05-ENRCC-PRC-06/07/08-ENRCC-PRC-10-ENRCC-PRC-11-E





H. CERTIFICATE OF INSTALLATION, CERTIFICATE OF ACCEPTANCE & CERTIFICATE OF VERIFICATION SUMMARY (NRCI/NRCA/NRCV) –Documentation Author to indicate which Certificates must be submitted for the features to be recognized for compliance(Retain copies and verify forms are completed and signed to post in field for Field Inspector to verify).See Tables G. and H. in MCH and LTI Details Sections for Acceptance Tests and forms by equipment.

Confirmed

Building Component Compliance Forms (required for submittal) Pass Fail

Envelope NRCI-ENV-01-E - For all buildings

NRCA-ENV-02-F- NFRC label verification for fenestration

Mechanical

NRCI-MCH-01-E - For all buildings with Mechanical Systems

NRCA-MCH-02-A- Outdoor Air

NRCA-MCH-03-A – Constant Volume Single Zone HVAC

NRCA-MCH-04-H- Air Distribution Duct Leakage

NRCA-MCH-05-A- Air Economizer Controls

NRCA-MCH-06-A- Demand Control Ventilation

NRCA-MCH-07-A – Supply Fan Variable Flow Controls

NRCA-MCH-08-A- Valve Leakage Test

NRCA-MCH-09-A – Supply Water Temp Reset Controls

NRCA-MCH-10-A- Hydronic System Variable Flow Controls

NRCA-MCH-11-A – Auto Demand Shed Controls

NRCA-MCH-12-A- Packaged Direct Expansion Units

NRCA-MCH-13-A- Air Handling Units and Zone Terminal Units

NRCA-MCH-14-A- Distributed Energy Storage

NRCA-MCH-15-A – Thermal Energy Storage

NRCA-MCH-16-A- Supply Air Temp Reset Controls

NRCA-MCH-17-A – Condensate Water Temp Reset Controls

NRCA-MCH-18-A- Energy Management Controls Systems

NRCV-MCH-04-H- Duct Leakage Test






Confirmed


Plumbing

NRCI-PLB-01-E - For all buildings with Plumbing Systems

NRCI-PLB-02-E - required on central systems in high‐rise residential, hotel/motel application.

NRCI-PLB-03-E - Single dwelling unit systems in high‐rise residential, hotel/motel application.

NRCI-PLB-21-E - HERS verified central systems in high‐rise residential, hotel/motel application.

NRCI-PLB-22-E - HERS verified single dwelling unit systems in high‐rise residential, hotel/motel application.

NRCV-PLB-21-H- HERS verified central systems in high‐rise residential, hotel/motel application.

NRCV-PLB-22-H - HERS verified single dwelling unit systems in high‐rise residential, hotel/motel application.

NRCI-STH-01-E - Any solar water heating

Indoor Lighting

NRCI-LTI-01-E - For all buildings

NRCI-LTI-02-E - Lighting control system, or for an Energy Management Control System (EMCS)

NRCI-LTI-03-E - Line-voltage track lighting integral current limiter, or for a supplementary overcurrent protection panel used toenergize only line-voltage track lighting

NRCI-LTI-04-E - Two interlocked systems serving an auditorium, a convention center, a conference room, or a theater

NRCI-LTI-05-E - Lighting Control Credit Power Adjustment Factor (PAF)

NRCI-LTI-06-E - Additional wattage installed in a video conferencing studio

NRCA-LTI-02-A - Occupancy sensors and automatic time switch controls.

NRCA-LTI-03-A - Automatic daylighting controls

NRCA-LTI-04-A - Demand responsive lighting controls

Outdoor Lighting

NRCI-LTO-01-E – Outdoor Lighting

NRCI-LTO-02-E- EMCS Lighting Control System

NRCA-LTO-02-A - Outdoor Lighting Control

Sign Lighting NRCI-LTS-01-E – Sign Lighting

Electrical NRCI-ELC-01-E - Electrical Power Distribution

Photovoltaic NRCI-SPV-01-E Photovoltaic Systems






Confirmed


Covered Process

NRCI-PRC-01-E Refrigerated Warehouse

NRCA-PRC-01-F- Compressed Air Systems

NRCA-PRC-02-F- Kitchen Exhaust

NRCA-PRC-03-F- Garage Exhaust

NRCA-PRC-04-F- Refrigerated Warehouse- Evaporator Fan Motor Controls

NRCA-PRC-05-F- Refrigerated Warehouse- Evaporative Condenser Controls

NRCA-PRC-06-F- Refrigerated Warehouse- Air Cooled Condenser Controls

NRCA-PRC-07F- Refrigerated Warehouse- Variable Speed Compressor

NRCA-PRC-08-F- Electrical Resistance Underslab Heating System

I. ENVELOPE GENERAL INFORMATION (See NRCC-PRF-ENV-DETAILS for more information)

1. Total Conditioned Floor Area 4,480 ft2 5. Number of Floors Above Grade 2 Confirmed

2. Total Unconditioned Floor Area 800 ft2 6. Number of Floors Below Grade 0

Pass

Fail

3. Addition Conditioned Floor Area 0 ft2

4. Addition Unconditioned Floor Area 0 ft2

7. Opaque Surfaces & Orientation 8. Total Gross Surface Area 9. Total Fenestration Area 10. Window to Wall Ratio

North Wall 800 ft2 320 ft2 40.0%

East Wall 1,040 ft2 320 ft2 30.8%

South Wall 2,000 ft2 260 ft2 13.0%

West Wall 720 ft2 0 ft2 00.0%

Total 4,560 ft2 900 ft2 19.7%

Roof 2,880 ft2 0 ft2 00.0%





J. FENESTRATION ASSEMBLY SUMMARY § 110.6 Confirmed

1. 2. 3. 4. 5. 6. 7. 8. 9. Pass

FailFenestration Assembly Name /Tag or I.D.

Fenestration Type Certification Method1 Assembly Method Area ft2OverallU-factor

OverallSHGC

OverallVT

Status2

Double Metal Tinted VerticalFenestration DefaultPerformance SiteBuilt 900 0.71 0.60 0.77 N1 Newly installed fenestration shall have a certified NFRC Label Certificate or use the CEC default tables found in Table 110.6-A and Table 110.6-B. Center of Glass (COG) values are for the glass-only, determined by the manufacturer, and are shown for easeof verification. Site-built fenestration values are calculated per Nonresidential Appendix NA6 and are used in the analysis.2 Status: N - New, A – Altered, E – Existing

Taking compliance credit for fenestration shading devices? (if "Yes", see NRCC-PRF-ENV-DETAILS for more information) No

K. OPAQUE SURFACE ASSEMBLY SUMMARY § 120.7/ § 140.3 Confirmed

1. 2. 3. 4. 5. 6. 7. 8. Pass

Fail

Surface Name Surface Type Area (ft2)FramingType

CavityR-Value

ContinuousR-Value

U-Factor / F-Factor/ C-Factor

Status1

R-13 Wall7 ExteriorWall 4560 Wood 13 NA U-Factor: 0.102 N

Slab On Grade13 UndergroundFloor 3680 NA 0 NA F-Factor: 0.730 N

R-13 Wall71 InteriorWall 200 Wood 13 NA U-Factor: 0.095 N

R-30 Roof Attic19 Roof 3680 Wood 30 NA U-Factor: 0.038 N

R-0 Floor No Crawlspace40 InteriorFloor 1280 NA 0 NA U-Factor: 0.183 N1 Status: N - New, A – Altered, E – Existing

L. ROOFING PRODUCT SUMMARY § 140.3 Confirmed

1. 2. 3. 4. 5. 6. 7. Pass

Fail

Product TypeProduct Density

(lb/ft2)Aged SolarReflectance

ThermalEmittance

SRICool RoofCredit

Roofing ProductDescription

R-30 Roof Attic19 4.65104 0.08 0.75 NA No NA





M. HVAC SYSTEM SUMMARY (see NRCC-PRF-MCH-DETAILS for more information) § 110.1 / § 110.2

Dry System Equipment 1 (Fan & Economizer info included below in Table N) Confirmed

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.

Pass

Fail

Equip Name Equip TypeSystem Type(Simple 3 orComplex 4)

QtyTotal Heating

Output(kBtu/h)

Supp HeatSource (Y/N)

Supp HeatOutput(kBtuh)

Total CoolingOutput(kBtu/h)

EfficiencyAcceptanceTesting

Required? (Y/N)5

Status6

Cooling Heating

Retail Mech.System

SZVAVAC(Packaged3Phase)

Complex 1 92 No 0 69 EER-12.0 AFUE-81.0 Yes N

Office MechSystem



RestaurantMech Sys.



Wet System Equipment 2 Pumps Confirmed

12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24.

Pass

Fail

Equip Name Equip Type Qty Vol (gal)Rated Capacity

(kBtu/h)Efficiency Standby Loss

TankExt. RValue

Qty GPM HPVSD(Y/N)

Status6

80 Gall2 Storage 1 80 80 Thrml. Eff.: 0.780 0.0100 NA NA NA NA No N1 Dry System Equipment includes furnaces, air handling units, heat pumps, etc.2 Wet System Equipment includes boilers, chillers, cooling towers, water heaters, etc.3 Simple Systems must complete NRCC-CXR-03-E commissioning design review form4 Complex Systems must complete NRCC-CXR-04-E commissioning design review form5 A summary of which acceptance tests are applicable is provided in NRCC-PRF-MCH-DETAILS6 Status: N - New, A – Altered, E – Existing

Discrepancy between modeled and designed equipment sizing? (if "Yes", see Table F. "Additional Remarks" for an explanation) No





N. ECONOMIZER & FAN SYSTEMS SUMMARY1 § 140.4 Confirmed

1. 2. 3. 4. 5.

Pass

Fail

Equip Name

OutsideAir

Supply Fan Return Fan

Economizer Type(if present)

CFM CFM HP BHPTSP(inchWC)

Control CFM HP BHPTSP(inchWC)

Control

Retail Mech.System

320 2400 1.200 1.200 1.90 VariableSpeedDrive NA NA NA NA NA DifferentialDryBulb

Office MechSystem


RestaurantMech Sys.


1 Mechanical ventilation calculations and exhaust fans are included in the NRCC-PRF-MCH-DETAILS section

O. EQUIPMENT CONTROLS § 120.2 Confirmed

1. 2. 3. Pass

Fail

Equip Name Equip Type Controls

Retail Mech. System SZVAVAC

1 Zones With CO2Sensor Vent. ControlDifferential Drybulb EconomizerNo Supply Air Temp. Control

No Optimum StartNo Evaporative Cooler

Office Mech System SZVAVAC

No DCV ControlsDifferential Drybulb EconomizerNo Supply Air Temp. Control


Restaurant Mech Sys. SZVAVAC

1 Zones With CO2Sensor Vent. ControlDifferential Drybulb EconomizerNo Supply Air Temp. Control


Plant - DHW1 - SHW Service Hot Water, Primary Only Fixed Temperature Control, No DDC





P. SYSTEM DISTRIBUTION SUMMARY § 120.4/ § 140.4(I)

Dry System Distribution Confirmed

1. 2. 3. 4. 5.

Pass

Fail

Equip Name Equip TypeDuct Leakage and SealingRequired per 140.4(l)

Duct Leakage will beverified per NA1 and

NA2

Ducts

Insulation R-Value Location

Retail Mech. System SZVAVAC No No 8 Conditioned

Office Mech System SZVAVAC No No 8 Conditioned

Restaurant Mech Sys. SZVAVAC No No 8 Conditioned

Does the Project Include Zonal Systems? (if "Yes", see NRCC-PRF-MCH-DETAILS for system information) No

Does the Project Include a Solar Hot Water System? (if "Yes", see NRCC-PRF-MCH-DETAILS for system information) No

Multifamily or Hotel/ Motel Occupancy? (if "Yes", see NRCC-PRF-MCH-DETAILS for DHW system information) No

Q. INDOOR CONDITIONED LIGHTING GENERAL INFO (see NRCC-PRF-LTI-DETAILS for more info)3 § 140.6

Confirmed

1. 2. 3. 4. 5. Pass

Fail

Occupancy Type 1 Conditioned Floor Area 2

(ft2)Installed Lighting Power

(Watts)Lighting Control Credits

(Watts)Additional (Custom) Allowance

Area Category Footnotes(Watts)

Tailored Method (Watts)

Retail Merchandise Sales,Wholesale Showroom

1,280 1,240 0 0 0

Office (Greater than 250square feet in floor area)

1,920 1,674 335 0 0

Dining Area 1,280 1,580 0 640 0

Building Totals: 4,480 4,494 335 640 01 See Table 140.6-C2 See NRCC-LTI-01-E for unconditioned spaces3Lighting information for existing spaces modeled is not included in the table





R. INDOOR CONDITIONED LIGHTING SCHEDULE (Adapted from NRCC-LTI-01-E)1 § 130.0

Luminaire Schedule (includes all permanent installed lighting inconditioned space, and portable lighting over 0.3 w/ft2 inoffices)

Installed Watts (Conditioned) Confirmed

Name or Item TagComplete Luminaire Description (i.e.,3-lamp fluorescent troffer, F32T8,one dimmable electronic ballast)

Watts per luminaire

HowWattage is DeterminedTotal NumberLuminaires

Installed Watts Pass FailCEC Defaultfrom NA8

According to§130.0(c)

F-1(2) 4 ft Fluorescent T8 Rapid Start

Elec62 Yes No 20 1,240

A-1(2) 4 ft Fluorescent T8 Rapid Start

Elec62 Yes No 27 1,674

L-1(2) 13w Compact Fluorescent Twin 2

Pin34 Yes No 20 680

F-2 45w per ft Track Light 45 Yes No 20 9001If lighting power densities were used in the compliance model Building Departments will need to check prescriptive forms for Luminaire Schedule details.

S1. COVERED PROCESS SUMMARY – ENCLOSED PARKING GARAGES § 140.9


S2. COVERED PROCESS SUMMARY – COMMERCIAL KITCHENS § 140.9


S3. COVERED PROCESS SUMMARY – COMPUTER ROOMS § 140.9


S4. COVERED PROCESS SUMMARY – LABORATORY EXHAUSTS § 140.9


T. UNMET LOAD HOURS






U. ENERGY USE SUMMARY

Energy ComponentStandard Design Site

(MWh)Proposed Design Site

(MWh)Margin(MWh)

Standard Design Site(MBtu)

Proposed Design Site(MBtu)

Margin(MBtu)

Space Heating 0.0 -- -- 40.4 47.3 -6.9

Space Cooling 11.6 11.7 -0.1 -- -- --

Indoor Fans 7.0 6.9 0.1 -- -- --

Heat Rejection -- -- -- -- -- --

Pumps & Misc. 0.4 -- -- -- -- --

Domestic Hot Water -- -- -- 81.7 79.3 2.4

Indoor Lighting 15.3 12.8 2.5 -- -- --

COMPLIANCE TOTAL 34.3 31.4 2.9 122.1 126.6 -4.5

Receptacle 13.7 13.7 0.0 -- -- --

Process 14.1 14.1 0.0 -- -- --

Other Ltg -- -- -- -- -- --

TOTAL 62.1 59.2 2.9 122.1 126.6 -4.5





DOCUMENTATION AUTHOR'S DECLARATION STATEMENT § 10-103

I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Martyn C. Dodd

Signature:Company: EnergySoft, LLC

Address: 1025 5th St. Suite A Signature Date:

City/State/Zip: Novato CA 94945 CEA Identification (If applicable):

Phone: (415) 897-6400

RESPONSIBLE PERSON'S DECLARATION STATEMENT

I certify the following under penalty of perjury, under the laws of the State of California:

1I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I amlicensed in the State of California as a civil engineer, mechanical engineer, electrical engineer, or I am a licensed architect.

2I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code by section 5537.2 or 6737.3 to sign this document as the person responsible for itspreparation; and that I am a licensed contractor performing this work.

3I affirm that I am eligible under Division 3 of the Business and Professions Code to sign this document because it pertains to a structure or type of work described as exempt pursuant toBusiness and Professions Code Sections 5537, 5538 and 6737.1.

Responsible Envelope Designer Name: Michael Gray

Signature:Company: Architectural Services

Address: 440 Yuba Dr. Suite C Date Signed:

City/State/Zip: Sacramento CA 95833 Declaration Statement Type:

Phone: (916) 555-5678 Title: License #: C12344 Responsible Lighting Designer Name: Alan Lux

Signature:Company: Luminaire Design

Address: 3030 Pine Date Signed:

City/State/Zip: Los Altos CA 92334 Declaration Statement Type:

Phone: (916) 555-4321 Title: License #: KS-3345 Responsible Mechanical Designer Name: Robert Harper, P.E

Signature:Company: Harper Associates

Address: 4519 E. Hwy 20 Date Signed:

City/State/Zip: Sacramento CA 98776 Declaration Statement Type:

Phone: (916) 555-9245 Title: License #: ML-2039





NRCC-PRF-ENV-DETAILS -SECTION START-

A. OPAQUE SURFACE ASSEMBLY DETAILS Confirmed

1. 2. 3. 4. Pass

Fail

Surface Name Surface Type Description of Assembly Layers Notes

R-13 Wall7 ExteriorWall

Stucco - 7/8 in.Vapor permeable felt - 1/8 in.

Wood framed wall, 16in. OC, 3.5in., R-13Gypsum Board - 1/2 in.

Slab On Grade13 UndergroundFloorSlab Type = UnheatedSlabOnGrade

Insulation Orientation = NoneInsulation R-Value = R0

R-13 Wall71 InteriorWall

Stucco - 7/8 in.Vapor permeable felt - 1/8 in.

Wood framed wall, 16in. OC, 3.5in., R-13Gypsum Board - 1/2 in.

R-30 Roof Attic19 Roof

Asphalt shingles - 1/4 in.Vapor permeable felt - 1/8 in.

Plywood - 1/2 in.Air - Cavity - Wall Roof Ceiling - 4 in. or moreWood framed roof, 24in. OC, 3.5in., R-30

Gypsum Board - 1/2 in.

R-0 Floor No Crawlspace40 InteriorFloorAir - Cavity - Wall Roof Ceiling - 4 in. or more

Plywood - 1/2 in.Carpet - 3/4 in.

B. OVERHANG DETAILS (Adapted from NRCC-ENV-02-E) Confirmed

1. 2. 3. 4.

Pass

Fail

Fenestration Tag/ID Fenestration OrientationOverhang Dimensions Side fin

Horizontal Projection Distance Above Window Vertical Projection

East Windows11 East 6.0 ft. 0.1 ft. Left: 0 ft., Right: 0 ft.

East Windows23 East 6.0 ft. 0.1 ft. Left: 0 ft., Right: 0 ft.

South Windows25 South 6.0 ft. 0.1 ft. Left: 0 ft., Right: 0 ft.

South Windows37 South 6.0 ft. 0.1 ft. Left: 0 ft., Right: 0 ft.





C. OPAQUE DOOR SUMMARY Confirmed

1. 2. 3. 4. 5. 6. 7.

Pass FailOpaque Door Assembly Name/ Tag or I.D.

Door Type Certification Method Operation AreaOverallU-factor Status1

Wood Door28 WoodGreaterThanOrEqualTo1.75inThickDoor DefaultPerformance Swinging 24 0.500 N

1 Status: N - New, A – Altered, E – Existing

NRCC-PRF-MCH-DETAILS -SECTION START-

A. MECHANICAL VENTILATION AND REHEAT (Adapted from 2013-NRCC-MCH-03-E) Confirmed

1. DESIGN AIR FLOWS 2. VENTILATION (§ 120.1)

Pass

FailCONDITIONEDZONE NAME

HEATIN

G/CO

OLIN

GSYSTEM

ID

DESIG

NPRIM

ARY

AIR

FLOW

(CFM)

DESIG

NPRIM

ARY

MINIM

UM

AIR

FLOW

(CFM)

MINIM

UM

PRIMARY

AIR

FLOW

FRACTIO

N

MAXIM

UM

HEATIN

GAIR

FLOW

(CFM)

MAXIM

UM

HEATIN

GAIR

FLOW

FRACTIO

N

DDCCO

NTRO

L(Y/N

)

VEN

TSYSTEM

ID

CONDITIO

NED

AREA

(ft2)

MIN.V

ENTPER

AREA

(CFM/ft2)

DESIG

NNUM.O

FPEO

PLE

MIN.V

ENTPER

PERSON

(CFM/person)

REQ'D

VEN

TAIR

FLOW

(CFM)

DESIG

NVEN

TAIR

FLOW

(CFM)

TRANSFER

AIRFLO

W(CFM

)

DCV

(Y/N)

Operable

Window

Interlock§

140.4(n)(Y/N)

1-Retail ZoneRetailMech.System

2,400 600 0.25 NA NA NRetailMech.System

1,280 NA 21 15.0 320 320 NA Y N

3-Office ZoneOfficeMechSystem

2,400 600 0.25 NA NA NOfficeMechSystem

1,920 NA 10 30.0 288 288 NA N N

4-Restaurant ZoneRestaurantMech Sys.

5,000 1,200 0.24 NA NA NRestaurantMech Sys.

1,280 NA 50 15.0 750 750 NA Y N

TOTAL 5,280 NA NA NA NA





B. ZONAL SYSTEM AND TERMINAL UNIT SUMMARY § 140.4

1. 2. 3. 4. 5. 6. 7. 8. Confirmed

System ID System Type Qty

Rated Capacity(kBtuh)

Economizer Zone Name

Airflow (cfm) Fan Pass

Fail

Heating Cooling Design Min.Min.Ratio

BHP CyclesECMMotor

1-Retail Zone-Trm VAVNoReheatBox 1 NA NA NA 1-Retail Zone 2400 600 0.25 NA NA

3-Office Zone-Trm VAVNoReheatBox 1 NA NA NA 3-Office Zone 2400 600 0.25 NA NA

4-RestaurantZone-Trm

VAVNoReheatBox 1 NA NA NA 4-Restaurant Zone 5000 1200 0.24 NA NA

C. EXHAUST FAN SUMMARY


D. DHW EQUIPMENT SUMMARY – (Adapted from NRCC-PLB-01) § 110.3 Confirmed

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

Pass

Fail

DHW NameHeaterElementType

Tank Type QtyTank Vol(gal)

Rated Input(kBtu/h)

Efficiency

TankInsulationR-value(Int/Ext)

Pilot Energy(Btu/h)

Standby LossHeat Pump

Type

TankLocation orAmbientCondition

80 Gall2 Gas Storage 1 80 80Thrml. Eff.:

0.780NA 0.01 NA NA

E. MULTI-FAMILY CENTRAL DHW SYSTEM DETAILS


F. SOLAR HOT WATER HEATING SUMMARY (Adapted from NRCC-STH-01)






G. MECHANICAL HVAC ACCEPTANCE TESTS & FORMS (Adapted from 2013-NRCC-MCH-01-E) § RA4

Declaration of Required Acceptance Certificates (NRCA) – Acceptance Certificates that may be submitted. (Retain copies and verify forms are completed and signed to post in field for FieldInspector to verify).

Test Description

MCH

-02A

MCH

-03A

MCH

-04A

MCH

-05A

MCH

-06A

MCH

-07A

MCH

-08A

MCH

-09A

MCH

-10A

MCH

-11A

MCH

-12A

MCH

-13A

MCH

-14A

MCH

-15A

MCH

-16A

MCH

-17A

MCH

-18A

Confirmed

EquipmentRequiringTesting orVerification

# ofunits

Outdoor

Air

SingleZone

Unitary

AirDist.D

ucts

Economizer

Controls

DCV

SupplyFan

VAV

Valveleakage

SupplyWater

Temp.

Reset

Hyd.Variable

FlowControl

Auto

Dem

andShed

Control

FDDfor

DXUnits

Auto

FDDfor

Air&

Zone

Dist.Energy

StorageDXAC

TESSystem

s

SupplyAirTem

p.Reset

CondenserWater

ResetControls

ECMS

Pass

Fail

Plant -DHW1 -SHW

1 -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --

Retail Mech.System

1 X X -- X X X -- -- -- -- X -- -- -- -- -- --

Office MechSystem

1 X X -- X -- X -- -- -- -- X -- -- -- -- -- --

RestaurantMech Sys.

1 X X -- X X X -- -- -- -- X -- -- -- -- -- --

H. EVAPORATIVE COOLER SUMMARY






NRCC-PRF-LTI-DETAILS -SECTION START-

A. INDOOR CONDITIONED LIGHTING CONTROL CREDITS (Adapted from NRCC-LTI-02-E) § 140.6

Lighting Control Credits Schedule (includes all lighting controls installed in conditioned space forcompliance credit per §140.6(a)2 and Table 140.6-A)

Control Credit Calculation

√ If AcceptanceTest Required

Confirmed

Location inBuilding

Occupancy Type (must meetrequirements of Table 140.6-A)

Type/Description of LightingControl (i.e., partial on occupancysensor, manual dimming, etc.)

# of UnitsWatts ofControlledLighting

PowerAdjustment

Factor

Control CreditWatts

Pass Fail

S-1-Retail ZoneRetail Merchandise Sales,Wholesale Showroom

- none specified - 1 0.00 0

S-3-Office ZoneOffice (Greater than 250 square

feet in floor area)OccupantSensingControls-

251to500SF1 0.20 335 X

S-4-RestaurantZone

Dining Area - none specified - 1 0.00 0

S-4-RestaurantZone

Dining Area - none specified - 1 0.00 0

B. INDOOR CONDITIONED LIGHTING MANDATORY LIGHTING CONTROLS (Adapted from NRCC-LTI-02-E) § 130.1

This Section Does Not Apply§130.1(a) = Manual area controls; §130.0(b) = Multi Level; §130.1(c) = Auto Shut-Off; §130.1(d) = Mandatory Daylight; §130.1(e) = Demand Responsive

C. TAILORED METHOD CONDITIONED LIGHTING POWER ALLOWANCE SUMMARY AND CHECKLIST (Adapted from NRCC-LTI-04-E) § 140.6

General lighting power (see Table D) 0

General lighting power from special function areas (see Table E) NA

Additional "use it or lose it" (See Table G) 0

Total watts 0

D. GENERAL LIGHTING POWER (Adapted from NRCC-LTI-04-E) § 140.6-D






E. GENERAL LIGHTING FROM SPECIAL FUNCTION AREAS (Adapted from NRCC-LTI-04-E) § 140.6(c) 3H

Room Number Primary Function AreaIlluminance Value

(LUX)Room Cavity Ratio

(Table G)Allowed LPD Floor Area (ft2) Allowed Watts

Confirmed

Pass Fail

NA NA NA NA NA NA NANote: Tailored Method for Special Function Areas is not currently implemented

F. ROOM CAVITY RATIO (Adapted from NRCC-LTI-04-E)

Rectangular Spaces

Room Number Task/Activity Description Room Length (ft) RoomWidth (ft) Room Cavity Height (ft) RCRConfirmed

Pass Fail

NA NA NA NA NA NA

Non-Rectangular Spaces

This Section Does Not ApplyNote: All applicable spaces are listed under the Non-Rectangular Spaces table

G. ADDITIONAL “USE IT OR LOSE IT” (Adapted from NRCC-LTI-04-E)

1. 2. 3. 4.

Allowed Watts

Confirmed

Wall DisplayCombined Floor Display and Task

LightingCombined Ornamental and Special

Effects LightingVery Valuable Merchandise

Pass

Fail

0 0 0 0 0

5. Wall Display


6. Floor Display and Task Lighting


7. Combined Ornamental and Special Effects Lighting






8. Very Valuable Merchandise


H. INDOOR & OUTDOOR LIGHTING ACCEPTANCE TESTS & FORMS (Adapted from NRCC-LTI-01-E and NRCC-LTO-01-E) § 130.4

Declaration of Required Acceptance Certificates (NRCA) –Acceptance Certificates that must be verified in the field. (Retain copies and verify forms are completed and signed to post in field forField Inspector to verify).

Test DescriptionIndoor Outdoor Confirmed

NRCA-LTI-02-A NRCA-LTI-03-A NRCA-LTI-04-A NRCA-LTO-02-A Pass

FailEquipment RequiringTesting or Verification

# of unitsOcc Sensors / Auto Time

SwitchAuto Daylight Demand Responsive Outdoor Controls

Occupant Sensors 0

Automatic Time Switch 1

Automatic Daylighting 12

Demand Responsive 0

Outdoor Controls 1

STATE OF CALIFORNIA

SOLAR READY AREAS CEC-NRCC-SRA-01-E (Revised 07/16) CALIFORNIA ENERGY COMMISSION

CERTIFICATE OF COMPLIANCE NRCC-SRA-01-E Solar Ready Areas (Page 1 of 3) Project Name: Date Prepared:

CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance July 2016

A. General Information

Project Address:

Building Type:

□ Hotel/Motel building with ten stories or fewer □ High-rise multi-family building with ten stories or fewer

□ Other nonresidential building with three stories or fewer Solar-ready requirements do not apply to hotel/motel buildings and high-rise multifamily building with more than ten stories or other nonresidential buildings with more than three stories.

Type of Construction: □ New Construction □ Addition that increases roof area by more than 2,000 ft2 Solar-ready requirements do not apply to alterations or additions that increase the roof area by 2,000 ft2 or less.

B. Solar-Ready (Choose Path 01, 02, 03, 04 or 05 E from below) □ 1 Allocated Solar Zone

NRCC-SRA-02-E Minimum Solar Zone Area Worksheet is required to be submitted

Minimum Solar Zone Area (ft2) This is quantity [G] from NRCC-SRA-02-E Minimum Solar Zone Area Worksheet

Proposed Solar Zone Area (ft2) This is quantity [S] from NRCC-SRA-02-E Minimum Solar Zone Area Worksheet

The construction documents will indicate a location for inverters and metering equipment and a pathway for routing of conduit from the solar zone to the point of interconnection with the electrical service. The construction documents will indicate a pathway for routing of plumbing from the solar zone to the water heating system.

A copy of the construction documents or a comparable document indicating information about the solar zone and interconnection pathways will be provided to the occupant.

If the designer certifies that all above requirements have been met and the Proposed Solar Zone Area meets or exceeds the Minimum Solar Zone Area, the building complies, otherwise it does not comply. □ does not comply □ complies

□ 2 Permanently Installed Solar Photovoltaic (PV) System

Total Roof Area (ft2)* [A]

Minimum Nameplate DC Power Rating (watts) [B] = A x 1 watt/ft2

* New construction: report total roof area; Additions: report newly added roof area

Will the proposed building have a permanently installed solar electric system that meets or exceeds the Minimum Nameplate DC Power Rating? If yes, a NRCI-SPV-01-E Certificate of Installation: Solar Photovoltaic System documenting the installed system must be submitted as a condition of final approval.

□ Yes □ No

Please check box to right if answered yes to all questions in this section. □ EXEMPT

□ 3 Permanently Installed Solar Water Heating System

Will the building have a permanently installed solar water heating system? If yes, a NRCI-STH-01-E Certificate of Installation: Solar Water Heating System documenting the installed system must be submitted as condition of final approval.

□ Yes □ No

Is the annual solar savings fraction equal to or greater than 0.2 in climate zones 1 through 9 or 0.35 in climate zones 10 through 16? □ Yes □ No

Annual Solar Savings Fraction How was Annual Solar Savings Fraction Calculated?


Nonresidential Sample Building 10/25/2016

1234 Main St.

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□ 4 Smart Thermostats and Alternative Efficiency Measure

Is the building a high-rise multifamily building with ten stories or fewer? □ Yes □ No

Will all thermostats in each dwelling unit comply with Reference Joint Appendix 5 (JA5) and will they be capable of receiving and responding to Demand Response Signals prior to granting of an occupancy permit by the enforcing agency?

□ Yes □ No

Will one of the following alternative efficiency measures be installed? • A dishwasher that meets or exceeds the ENERGY STAR Program requirements with either a refrigerator that meets or exceeds the

ENERGY STAR Program requirements or a whole house fan driven by an electronically commutated motor; or • A home automation system capable of, at a minimum, controlling the appliances and lighting of the dwelling and responding to

demand response signals; or • Alternative plumbing piping to permit the discharge from the clothes washer and all showers and bathtubs to be used for an

irrigation system in compliance with the California Plumbing Code and any applicable local ordinances; or • A rainwater catchment system designed to comply with the California Plumbing Code and any applicable local ordinances, and that

uses rainwater flowing from at least 65% of the available roof area.

□ Yes □ No


□ 5 Roof is Designed for Vehicle Traffic, Parking or for Heliport Will the roof be designed and approved to be used for vehicular traffic, parking or for a heliport. □ Yes □ No

Please provide building plan reference ______________________________________________.



STATE OF CALIFORNIA




DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature:

Company: Signature Date:

Address: CEA/ HERS Certification Identification (if applicable):

City/State/Zip: Phone:

RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design

identified on this Certificate of Compliance (responsible designer). 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system

design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.

4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.

5. I will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.

Responsible Designer Name: Responsible Designer Signature:

Company : Date Signed:

Address: License:



Martyn C. Dodd

EnergySoft, LLC

1025 5th St. Suite A

Novato, CA 94945 (415) 897-6400

10/25/2016

C12344

Michael Gray

Architectural Services

440 Yuba Dr. Suite C

Sacramento, CA 95833 (916) 555-5678

STATE OF CALIFORNIA

MINIMUM SOLAR ZONE AREA WORKSHEET CEC-NRCC-SRA-02-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION

CERTIFICATE OF COMPLIANCE NRCC-SRA-02-E Minimum Solar Zone Area Worksheet (Page 1 of 3) Project Name: Date Prepared:

CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016

Solar Zone Area (requirements in §110.10(b)1B) This worksheet applies to hotel/motel occupancies and high-rise multifamily buildings with ten stories or fewer, and all other nonresidential buildings with three stories or fewer that comply with the solar zone requirement through Compliance Path A: Allocated Solar Zone in the NRCC-SRA-01-E Certificate of Compliance Solar Ready Areas. The worksheet applies to all additions that increase the roof area by more than 2,000 ft2.

A. General Information Project Address:

Total Roof Area: □ Less than or equal to 10,000 ft2 □ Greater than 10,000 ft2

Phase of Construction: □ New Construction □ Addition that increases roof area by more than 2,000 ft2

Step 1: Determine Minimum Solar Zone Area Calculate the minimum solar zone area using one of the two options provided below. Use option 2 if your roofs and overhangs are shaded.

Method 1: Minimum Solar Zone Area Based on Total Roof Area (requirements in 110.10(b)1B)

New Construction: Total roof area (ft2) Additions: Total roof area added to building (ft2)

A

New Construction: Area of roof covered with skylights (ft2) Additions: Area of new roof area covered with skylights (ft2)

B

Minimum solar zone area C = 0.15 x (A – B) Note: For additions, if A ≤ 2,000 ft2 then addition does not need to comply with solar zone requirements

Method 2: Minimum Solar Zone Area Based on Potential Solar Zone (requirements in Exception 3 to 110.10(b)1B) The enforcement agency may require additional documentation that describes how the reduced solar zone area was determined.

Method/Tool(s) used to quantify annual solar access: (for example, “Software X”, “CAD Tool Y”

Area of low-sloped roof (ratio of rise to run of 2:12 or less) where the annual solar access is 70% or greater.* (ft2) D

Area of steep-sloped roof (ratio of rise to run is greater than 2:12) that is oriented between 110° and 270° and annual solar access is 70% or greater.* (ft2) E

Minimum solar zone area F = 0.5 x (D + E)

* For new construction consider total roof area; for additions consider newly added roof area

Minimum solar zone area (either C or F) (ft2) G


1234 Main St.✔ ✔

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0

552

STATE OF CALIFORNIA




Step 2: Allocated Solar Zone Subareas

Subarea ID Building

Plan Reference

Slope of Roof or

Overhang

If Steep Slope, roof

or overhang oriented between 110° and

270°

Subarea complies

with Part 9 of Title 24A

Plane containing the solar

zone is free of

obstructionsB

Subarea is located the appropriate

distance from

obstructionsC

Smallest dimension is greater

than 5 feet

Subarea meet

minimum area

requirementD

Subarea QualifiesE

Area (ft2)

H I J K L M N O P Q R □ Low

□ Steep

□ Yes □ No □ NA

□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Low □ Steep


□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Low □ Steep


□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Low □ Steep


□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Low □ Steep


□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Low □ Steep


□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Low □ Steep


□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Low □ Steep


□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Yes □ No

□ Yes □ No

Proposed Solar Zone Area (ft2) (sum of all qualifying subareas) [S] A. The solar zone shall comply with access, pathway, smoke ventilation, and spacing requirements as specified in Title 24, Part 9 or other Parts of Title 24 or

in any requirements adopted by a local jurisdiction. B. No obstructions, including but not limited to, vents, chimneys, architectural features, and roof mounted equipment, shall be located in the solar zone. C. Solar zone must be located no closer than twice the distance, measured in the horizontal plane, of the height difference between the highest point of the

obstruction and the horizontal projection of the nearest point of the solar zone, measured in the vertical plane. D. If building roof area ≤ 10,000 ft2 then minimum area is 80ft2. If building roof area >10,000 ft2 then minimum area is 160 ft2. E. Check “yes” if answers to questions in columns K through P are “yes”.

□ Building Complies with Minimum Solar Zone Area Requirement Check box if Proposed Solar Zone Area [S] is equal to or greater than the Min. Solar Zone Area [G]


R-South Sheet A3.1 250

R-East Sheet A3.1 175

R-West Sheet A3.1 175

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STATE OF CALIFORNIA






Address: CEA/HERS Certification Identification (if applicable):









Address: License:



Martyn C. Dodd

EnergySoft, LLC


Novato, CA 94945 (415) 897-6400

10/25/2016

Michael Gray

Architectural Services

440 Yuba Dr. Suite C C12344

Sacramento, CA 95833 (916) 555-5678

STATE OF CALIFORNIA

Electrical Power Distribution CEC-NRCC-ELC-01-E (Revised 01/16) CALIFORNIA ENERGY COMMISSION

CERTIFICATE OF COMPLIANCE NRCC-ELC-01-E Electrical Power Distribution (Page 1 of 6) Project Name: Date Prepared:

General Information Project Address: Climate Zone: Conditioned Floor Area:

Unconditioned Floor Area:

Building Type: Nonresidential High-Rise Residential Hotel/Motel Schools Relocatable Public Schools Phase of Construction: New Construction Addition Alteration

In the table below identify all applicable construction documents that specify the requirements for the scope of responsibility reported by this certificate. Use additional pages as needed to list all construction documents related to compliance of Section 130.5.

Document Number Document Title / Descriptions

(include description information for Table or Schedule if it contains compliance information)

Document Sheet # or Page #

Indicate which subsection of

Section 130.5 is related to the

document (e.g. 130.5(a) for

service electrical metering)

CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016

1234 Main St.


124,480

800✔

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Electrical Plans

Electrical Plans

Panel Schedule E-1

Panel Schedule E-2

E-2.1

E-2.2

130.5(a)

130.5(b)

STATE OF CALIFORNIA



Document Number Document Title / Descriptions

(include description information for Table or Schedule if it contains compliance information)

Document Sheet # or Page #

Applicable subsection of Section 130.5



STATE OF CALIFORNIA



A. Service Electrical Metering

Check one of the three boxes below if the electrical power distribution system is in compliance with Section 130.5(a). For newly installed electrical service in newly constructed buildings, Service Electrical Metering is required according to Section 130.5(a). Fill out

Column 1 thru 6 of table below. For new or replacement electrical service equipment in existing buildings, Service Electrical Metering is required according to Section 141.0(b)2Pi.

Fill out Column 1 thru 6 of table below. EXCEPTION to Electrical Service Metering: Service or feeder for which the utility company provides a metering system that indicates instantaneous

kW demand and kWh for a utility-defined period. Fill out Column 1, 2 and 6 of table below with the compliance information. Fill out a separate line for each electrical service that is connected to the building. If additional table space is needed for electrical service information,

submit additional page with the information.

Electrical Service Schedule Electrical Service Rating

Metering Capabilities (check all that are present)

Exception to 130.5(a)

Field Inspector

01 02 03 04 05 06 07 08

Electrical Service Designation/Location/Description kVA In

stan

tane

ous

(at t

he ti

me)

kW

Hist

oric

al p

eak

(kW

)

Trac

king

kW

h fo

r a u

ser-

defin

able

pe

riod

kWh

per r

ate

perio

d

Util

ity m

eter

ing

syst

em

Check that the metering complies


10/25/2016Nonresidential Sample Building

✔ ✔250Main Service ✔

STATE OF CALIFORNIA



B. Separation of Electrical Circuits for Electrical Energy Monitoring Check all boxes below if the electrical power distribution system is in compliance with Section 130.5(b). The electrical power distribution system meets the separation of electrical circuits for electrical energy monitoring requirement of Section

130.5(b). The electrical power distribution systems is designed so that measurement devices can monitor the electrical energy usage of load types according to TABLE 130.5-B.

Describe the electrical power distribution system installed and the compliance method chosen in meeting the requirement of Section 130.5(b). Use the space below to include the information. Examples of compliance methods are detailed in Nonresidential Compliance Manual Chapter 8.

Fill out Column 1 thru 3 with the compliance information.

General information Electrical Power Distribution System information and Method of

compliance Electrical Service

Rating Enforcement

Agency

01 02 03 04 Electrical Service

Designation/Location/Description

Describe the electrical power distribution system installed and the compliance method used.

kVA Check that the

system complies

Field Inspector Notes:


Panel A - Lighting Service only to Lighting Loads 50Panel B - Receptacle Service only to Receptacle Loads 75Panel C - Remainder Panel includes individual circuit monitoring 100


STATE OF CALIFORNIA



C. Voltage Drop

Check all boxes below if the electrical power distribution system is in compliance with Section 130.5(c). Enforcement Agency Check that the system

complies

The electrical power distribution system meets the voltage drop requirement of Section 130.5(c). The maximum combined voltage drop on feeder conductors and branch circuit conductors to the farthest connected load or outlet, do not exceed 5%.

Voltage drop calculation documents showing compliance to Section 130.5(c) are submitted as part of the compliance document submittal.

D. Circuit Controls for 120-Volt Receptacles and Controlled Receptacles

Check one or more boxes below for applicable requirements of Section 130.5(d) for the electrical power distribution system.

Field Inspector Cehck that the system

complies The control is capable of automatically shutting OFF the controlled receptacles when the space is typically

unoccupied, either at the receptacle or circuit level. For the automatic time switch control, it incorporates an override control that allows the controlled receptacle to remain ON for no more than 2 hours when an override is initiated and an automatic holiday “shut-OFF” feature that turns OFF all loads for at least 24 hours and then resumes the normally scheduled operation. Countdown timer switches are not be used to comply with the automatic time switch control requirements. The controls meet the requirement of Section 130.5(d)1.

There is at least one controlled receptacle within 6 ft from each uncontrolled receptacle. Where receptacles are installed in modular furniture in open office area, at least one controlled receptacle is installed at each workstation. The receptacles meet the requirement of Section 130.5(d)2.

There are installed split wired receptacles with at least one controlled and one uncontrolled receptacle. Where receptacles are installed in modular furniture in open office area, at least one controlled receptacle is installed at each workstation. The receptacles meet the requirement of Section 130.5(d)2.

Permanent and durable marking for controlled receptacles or circuits to differentiate them from uncontrolled receptacles or circuits is provided. The markings meet the requirement of Section 130.5(d)3.

For hotel and motel guest rooms, there are controlled receptacles for at least one-half of the 120-volt receptacles in each guest room. Electric circuits serving controlled receptacles in guestrooms are installed to have captive key controls, occupancy sensing controls, or automatic controls so the power is switched off no longer than 30 minutes after the guest room has been vacated. The receptacles meet the requirement of Section 130.5(d)4.

Receptacles that are only for the following purposes are excepted from Section 130.5(d): -Receptacles specifically for refrigerators and water dispensers in kitchen areas. -Receptacles located a minimum of six ft above the floor that are specifically for clocks. -Receptacles for network copiers, fax machines, A/V and data equipment other than personal computers in

copy rooms. -Receptacles on circuits rated more than 20 amperes. -Receptacles connected to an uninterruptible power supply (UPS) that are intended to be in continuous use, 24

hours per day/365 days per year, and are marked to differentiate them from other uncontrolled receptacles or circuits.



STATE OF CALIFORNIA



DOCUMENTATION AUTHOR’S DECLARATION STATEMENT 1. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature:


Address: CEA/ HERS Certification Identification (if applicable):


RESPONSIBLE PERSON'S DECLARATION STATEMENT

I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design







Address: License:



KS-3345


Martyn C. Dodd

EnergySoft, LLC


Novato, CA 94945

Alan Lux

Luminaire Design

3030 Pine

Los Altos, CA 92334 (916) 555-4321

(415) 897-6400

10/25/2016

STATE OF CALIFORNIA

PROCESS COMPLIANCE FORMS AND WORKSHEETS CEC-NRCC-PRC-01-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION

CERTIFICATE OF COMPLIANCE NRCC-PRC-01-E Process Compliance Forms & Checklists (Page 1 of 3) Project Name: Date Prepared:


A. PROCESS COMPLIANCE DOCUMENTS & WORKSHEETS Check box if worksheet is included. For detailed instructions on the use of this and all Energy Standards compliance documents, refer to the 2016 Nonresidential Manual. Note: The Enforcement Agency may require all forms to be incorporated onto the building plans.

YES NO Doc/Worksheet # Title PRC-01-E (1 of 2) Covered Process Certificate of Compliance. Required on plans for all submittals with covered processes. PRC-01-E (2 of 2) Certificate of Compliance, Required Acceptance Tests (PRC-02-A to PRC-08-A). Required on plans for all submittals. PRC-02-E Certificate of Compliance for Enclosed Parking Garage Exhaust Fans PRC-03-E Certificate of Compliance for Commercial Kitchens PRC-04-E Certificate of Compliance for Computer Rooms PRC-05-E Certificate of Compliance for Commercial Refrigeration PRC-06-E Certificate of Compliance for ALL Refrigerated Warehouses PRC-07-E Certificate of Compliance for Refrigerated Warehouse ≥ 3,000 ft2

PRC-08-E Certificate of Compliance for Refrigerated Warehouse Where Multiple Spaces that (i) comprise a total of 3,000ft2 or more; and (ii) are collectively served by the same refrigeration system compressor(s) and condenser(s) (central systems).

PRC-09-E Certificate of Compliance for Laboratory Exhaust PRC-10-E Certificate of Compliance for Compressed Air Systems PRC-11-E Certificate of Compliance for Process Boilers PRC-12-E Certificate of Compliance for Elevator Lighting and Ventilation Controls PRC-13-E Certificate of Compliance for Escalators and Moving Walkways Speed Controls


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STATE OF CALIFORNIA




B. PROCESS ACCEPTANCE DOCUMENTS Check box for required compliance documents. Designer: This compliance document is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for process systems. The designer is required to check the applicable boxes for all acceptance tests that apply and list all equipment that requires an acceptance test. If all equipment of the same type requires a test, list the equipment description and the number of systems. Installing Contractor: The contractor who installed the equipment is responsible to either conduct the acceptance test themselves or have a qualified entity run the test for them. If more than one person has responsibility for the acceptance testing, each person shall sign and submit the Certificate of Acceptance applicable to the portion of the construction or installation for which they are responsible. Enforcement Agency: Plancheck – The NRCC-PRC-01-E compliance document is not considered a completed document and is not to be accepted by the building department unless the correct boxes are checked. Inspector - Before occupancy permit is granted all newly installed process systems must be tested to ensure proper operations.

Test Description PRC-01-A PRC-02-A PRC-03-A PRC-04-A PRC-05-A PRC-06-A PRC-07-A PRC-08-A PRC-12-A PRC-13-A

Equipment Requiring Testing

or Verification # of

Units Compressed Air Systems

Garage Exhaust

Kitchen Exhaust

RHW Evap Fan Motor Controls

RHW Evap Condenser

Controls

RHW Air-Cooled

Condenser Controls

RHW Variable Speed

Compressors

RHW Elect. Underslab

Heating

Elevator Lighting and Ventilation

Controls

Escalators and Moving Walkways

Speed Controls


GEF-1 1

Hood 1 1

Hood 2 1

ELV-01 1

ESC-1 1

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STATE OF CALIFORNIA








RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible

designer). 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance

conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents,

worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. I will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement

agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.



Address: License:



Martyn C. Dodd

EnergySoft, LLC


Novato, CA 94945

Robert Harper, P.E

Harper Associates

4519 E. Hwy 20 ML-2039

Sacramento, CA 98776 (916) 555-9245

(415) 897-6400

10/25/2016

STATE OF CALIFORNIA

GARAGE EXHAUST CEC-NRCC-PRC-02-E (Revised 01/16) CALIFORNIA ENERGY COMMISSION

CERTIFICATE OF COMPLIANCE NRCC-PRC-02-E Garage Exhaust (Page 1 of 2) Project Name: Date Prepared:

DESIGN EXHAUST AIRFLOW (CFM)1: EXCEPTIONS2:

Equipment Tags and System Description3

MANDATORY MEASURES T-24 Sections Reference to the Requirements in the Contract Documents4

Exhaust Fan Control 120.6 (c)1 & 2

CO Sensor Location 120.6 (c)3

CO Sensor Setpoint 120.6 (c)4

Minimum Ventilation 120.6 (c)5

Garage Pressurization 120.6 (c)6

CO Sensor Requirements 120.6 (c)7

Ventilation System Acceptance Testing 120.6 (c)8

Notes: 1. Enter the airflow (cfm) of garage exhaust that is being installed under this project. 2. Detail any exceptions that apply to this project. Reference appropriate exception number from §120.6 where applicable. 3. Provide equipment tags (e.g. EF-1 & 2 for garage exhaust fans that are part of this project) 4. Provide references to plans (i.e. Drawing Sheet Numbers) and/or specifications (including Section name/number and relevant paragraphs) where each requirement is specified. Enter "N/A" if the requirement is not applicable to this system.


Sheet M-3.1


Sheet M-3.1Sheet M-3.1Sheet M-3.1Sheet M-3.1Sheet M-3.1Sheet M-3.1

11,000

GEF-1

STATE OF CALIFORNIA

GARAGE EXHAUST CEC-NRCC-PRC-02-E (Revised 01/16) CALIFORNIA ENERGY COMMISSION

CERTIFICATE OF COMPLIANCE NRCC-PRC-02-E Garage Exhaust (Page 2 of 2) Project Name: Date Prepared:












Address: License:



ML-2039


Martyn C. Dodd

EnergySoft, LLC


Novato, CA 94945

Robert Harper, P.E

Harper Associates

4519 E. Hwy 20

Sacramento, CA 98776 (916) 555-9245

(415) 897-6400

10/25/2016

STATE OF CALIFORNIA

COMMERCIAL KITCHEN REQUIREMENTS CEC-NRCC-PRC-03-E (Revised 01/16) CALIFORNIA ENERGY COMMISSION

CERTIFICATE OF COMPLIANCE NRCC-PRC-03-E Commercial Kitchen Requirements (Page 1 of 2) Project Name: Date Prepared:

KITCHEN ROOM NUMBER:

TOTAL INSTALLED TYPE I and II KITCHEN HOOD EXHAUST (CFM): TOTAL BYPASS HOOD MUA (CFM): TOTAL TRANSFER AIR AIRFLOW (CFM): TOTAL MECHANICALLY HEATED OR COOLED MAKE UP AIR (CFM): TOTAL AIR NEEDED FOR HEATING OR COOLING (CFM): TOTAL EXHAUST AIR WITH DEMAND VENTILATION SYSTEMS:

Equipment Tags and System Description

PRESCRIPTIVE MEASURES T-24 Sections Reference to the Requirements in the Contract Documents9

Bypass Hood Exhaust and MUA 140.9(b)1A

Type I/II Hood Exhaust 140.9(b)1B, Table 140.9-A

Mechanically Heated or Cooled Make Up Air

140.9(b)2Ai and ii

Replacement Air/Transfer Air Exhaust 140.9(b)2Bi

Demand Ventilation Systems 140.9(b)2Bii

Energy Recovery Systems 140.9(b)2Biii

Tempered/Non Mechanical Cooling Air Systems 140.9(b)2Biv


10/25/2016Nonresidential Sample Building

Kitchen

6,000

3,0000

000

Sheet K-4.1

Sheet K-4.1

Sheet K-4.1 Sheet K-4.1


Sheet K-4.1

Sheet K-4.1 Sheet K-4.1Sheet K-4.1 Sheet K-4.1

Sheet K-4.1


Hood 1 Hood 2

STATE OF CALIFORNIA

COMMERCIAL KITCHEN REQUIREMENTS CEC-NRCC-PRC-03-E (Revised 01/16) CALIFORNIA ENERGY COMMISSION

CERTIFICATE OF COMPLIANCE NRCC-PRC-03-E Commercial Kitchen Requirements (Page 2 of 2) Project Name: Date Prepared:












Address: License:




Martyn C. Dodd

EnergySoft, LLC


Novato, CA 94945

Robert Harper, P.E

Harper Associates

4519 E. Hwy 20 ML-2039

Sacramento, CA 98776 (916) 555-9245

(415) 897-6400

10/25/2016

STATE OF CALIFORNIA

COMPUTER ROOM REQUIREMENTS CEC-NRCC-PRC-04-E (Revised 01/16) CALIFORNIA ENERGY COMMISSION

CERTIFICATE OF COMPLIANCE NRCC-PRC-04-E Computer Room Requirements (Page 1 of 2) Project Name: Date Prepared:

TOTAL INSTALLED COOLING CAPACITY (TONS)1:



Economizers 140.9(a)1 Reheat 140.9(a)2

Humidification 140.9(a)3 Fan Power 140.9(a)4

Fan Control 140.9(a)5

Containment 140.9(a)6 Notes: 1. Enter the total installed cooling capacity for all computer rooms under this permit. 2. Provide equipment tags (e.g. CRAC-1 to 10, AHU 1 to 5 and CH 1 to 3) for all cooling systems that are covered by these requirements. Groups of equipment that are similar can be combined into one column. 3. Provide references to plans (i.e. Drawing Sheet Numbers) and/or specifications (including Section name/number and relevant paragraphs) where each requirement is specified. Enter "N/A" if the requirement is not applicable to this system. Explicitly list any exceptions used to avoid a requirement.



Sheet M-4.2Sheet M-4.2Sheet M-4.2Sheet M-4.2Sheet M-4.2Sheet M-4.2

15

CU-1

STATE OF CALIFORNIA

COMPUTER ROOM REQUIREMENTS CEC-NRCC-PRC-04-E (Revised 01/16) CALIFORNIA ENERGY COMMISSION

CERTIFICATE OF COMPLIANCE NRCC-PRC-04-E Computer Room Requirements (Page 2 of 2) Project Name: Date Prepared:












Address: License:




Martyn C. Dodd

EnergySoft, LLC


Novato, CA 94945 (415) 897-6400

10/25/2016

Robert Harper, P.E

Harper Associates

4519 E. Hwy 20 ML-2039

Sacramento, CA 98776 (916) 555-9245

STATE OF CALIFORNIA

LABORATORY EXHAUST CEC-NRCC-PRC-09-E (Revised 01/16) CALIFORNIA ENERGY COMMISSION

CERTIFICATE OF COMPLIANCE NRCC-PRC-09-E Laboratory Exhaust (Page 1 of 2) Project Name: Date Prepared:

System air flow as designed : _______________ ACH



Exhaust system with VAV hood 140.9(c)

Exhaust system without VAV hood – Exc. 1c 140.9(c) Exception 1

Exhaust system without VAV hood – Exc. 1c 140.9(c) Exception 2

Notes: 1. Enter the designed system air flow rate in Air Changes per Hour (ACH) for all Laboratory systems under this permit. 2. Provide equipment tags (e.g. EF-1 to x and AHU 1 to y) for all systems that are covered by these requirements. This includes systems that are VAV flow Hoods as well as system that are exempted as per sections 1 or 2 under section 140.9(c ). 3. Provide references to plans (i.e. Drawing Sheet Numbers) and/or specifications (including Section name/number and relevant paragraphs) where each requirement is specified. Enter "N/A" if the requirement is not applicable to this system. Explicitly list which exception is used (if used).



8

Sheet M-5.1

Sheet M-5.1

Sheet M-5.1

EF-3

STATE OF CALIFORNIA

LABORATORY EXHAUST CEC-NRCC-PRC-09-E (Revised 01/16) CALIFORNIA ENERGY COMMISSION

CERTIFICATE OF COMPLIANCE NRCC-PRC-09-E Laboratory Exhaust (Page 2 of 2) Project Name: Date Prepared:












Address: License:




Martyn C. Dodd

EnergySoft, LLC


Novato, CA 94945 (415) 897-6400

10/25/2016

Robert Harper, P.E

Harper Associates

4519 E. Hwy 20 ML-2039

Sacramento, CA 98776 (916) 555-9245

STATE OF CALIFORNIA

PROCESS BOILER REQUIREMENTS CEC-NRCC-PRC-11-E (Revised 01/16) CALIFORNIA ENERGY COMMISSION

CERTIFICATE OF COMPLIANCE NRCC-PRC-11-E Process Boiler Requirements (Page 1 of 2) Project Name: Date Prepared:

Equipment Tags and System Description

Boiler Input Capacity (MMBtu/h)1

MANDATORY MEASURES T-24 Sections Reference to the Requirements in the Contract Documents

Combustion Air Shutoff 120.6 (d)1A & B

Combustion Fan Speed Control 120.6 (d)2

Excess Oxygen 120.6 (d)3&4


Sheet M1.1


Sheet M1.1

Sheet M1.1

B-1

2.600

STATE OF CALIFORNIA

PROCESS BOILER REQUIREMENTS CEC-NRCC-PRC-11-E (Revised 01/16) CALIFORNIA ENERGY COMMISSION

CERTIFICATE OF COMPLIANCE NRCC-PRC-11-E Process Boiler Requirements (Page 2 of 2) Project Name: Date Prepared:












Address: License:




Martyn C. Dodd

EnergySoft, LLC


Novato, CA 94945 (415) 897-6400

10/25/2016

ML-2039

Robert Harper, P.E

Harper Associates

4519 E. Hwy 20

Sacramento, CA 98776 (916) 555-9245

STATE OF CALIFORNIA

ELEVATOR LIGHTING AND VENTILATION CONTROLS CEC-NRCC-PRC-12-E (Revised 01/16) CALIFORNIA ENERGY COMMISSION

CERTIFICATE OF COMPLIANCE NRCC-PRC-12-E Elevator Lighting and Ventilation Controls (Page 1 of 2) Project Name: Date Prepared:

A. General Information Phase of Construction: New Construction Addition Alteration

B. Mandatory Requirements

MANDATORY MEASURES T-24 Sections

Indicate page reference for information on the plans or specification, or list information below

Light Power Density for the luminaires inside the elevator cab shall be no greater than 0.6 watts per square foot. §120.6(f)1

Elevator cab ventilation fans for cabs without space conditioning shall not exceed 0.33 watts per CFM as measured at maximum speed. §120.6(f)2

Elevator equipped with automatic shutoff controls? §120.6(f)3 & 4 Yes / No



Sheet CV-0.1

Sheet CV-0.1

ELV-01

STATE OF CALIFORNIA

ELEVATOR LIGHTING AND VENTILATION CONTROLS CEC-NRCC-PRC-12-E (Revised 01/16) CALIFORNIA ENERGY COMMISSION

CERTIFICATE OF COMPLIANCE NRCC-PRC-12-E Elevator Lighting and Ventilation Controls (Page 2 of 2) Project Name: Date Prepared:












Address: License:




Martyn C. Dodd

EnergySoft, LLC


Novato, CA 94945 (415) 897-6400

10/25/2016

ML-2039

Robert Harper, P.E

Harper Associates

4519 E. Hwy 20

Sacramento, CA 98776 (916) 555-9245

STATE OF CALIFORNIA

ESCALATORS AND MOVING WALKWAYS SPEED CONTROLS CEC-NRCC-PRC-13-E (Revised 01/16) CALIFORNIA ENERGY COMMISSION

CERTIFICATE OF COMPLIANCE NRCC-PRC-13-E Escalators and Moving Walkways Speed Controls (Page 1 of 2) Project Name: Date Prepared:

A. General Information Phase of Construction: New Construction Addition Alteration

B. Mandatory Requirements

MANDATORY MEASURES T-24 Sections

Indicate page reference for information on the plans or specification, or list information below

Escalators/Moving Walkways have an automatic speed control and variable speed motor. §120.6(g)1

Escalators/Moving Walkways have sensors capable of detecting approaching passengers §120.6(g)1


Nonresidential Sample Building

Sheet FV-0.2

Sheet FV-0.2

10/25/2016

ESC-1

STATE OF CALIFORNIA

ESCALATORS AND MOVING WALKWAYS SPEED CONTROLS CEC-NRCC-PRC-13-E (Revised 01/16) CALIFORNIA ENERGY COMMISSION

CERTIFICATE OF COMPLIANCE NRCC-PRC-13-E Escalators and Moving Walkways Speed Controls (Page 2 of 2) Project Name: Date Prepared:












Address: License:




Martyn C. Dodd

EnergySoft, LLC


Novato, CA 94945 (415) 897-6400

10/25/2016

Robert Harper, P.E

Harper Associates

ML-2039

Sacramento, CA 98776 (916) 555-9245