CALIFORNIA ENERGY COMMISSION. (Page 1 of 3) 11/3/2014 NRCCͲMCHͲ03ͲE AC1 AC2 AC3 AC4 AC5. Reference to the Requirements in the Contract Documents

Transcription

1 A DESIGNPRIMAR COOLINGAIRFLOW () ZONE/SSTEM/ VAVBOXTAG CABuildingEnergyEfficiencyStandardsͲ03nresidentialCompliance TͲSections MANDATORMEASURES ReferencetotheRequirementsintheContractDocuments HeatingEquipmentEfficiency3 0.or0.(a) CoolingEquipmentEfficiency3 0.or0.(a) HVACorHeatPumpThermostats 0.(b),0.(c) FurnaceStandbyLossControl 0.(d) LowleakageAHUs 0.(f) Ventilation 0.(b) 5 DemandControlVentilation 0.(c) OccupantSensorVentilationControl 0.(c)5,0.(e)3 7 ShutoffandResetControls 0.(e) OutdoorAirandExhaustDamperControl 0.(f) IsolationZones 0.(g) AutomaticDemandShedControls 0.(h) EconomizerFDD 0.(i) DuctInsulation 0. PRESCRIPTIVEMEASURES Equipmentissizedinconformancewith 0.(a&b) /N /N /N 0.(a&b) SupplyFanPressureControl 0.(c) SimultaneousHeat/Cool8 0.(d) Economizer 0.(e) HeatandCoolAirSupplyReset 0.(f) 9 ElectricResistanceHeating 0.(g) 0 DuctLeakageSealingandTesting. 0.(l) tes:. Provideequipmenttags(e.g.AHUto0)andsystemdescription(e.g.SingleDuctVAVreheat)asappropriate.Multipleunits withcommonrequirementscanbegroupedtogether.. Providereferencestoplans(i.e.DrawingSheetNumbers)and/orspecifications(includingSectionname/numberandrelevant paragraphs)whereeachrequirementisspecified.enter"n/a"iftherequirementisnotapplicabletothissystem. 3. Thereferencedplansandspecificationsmustincludeallofthefollowinginformation:equipmenttag,equipmentnominal capacity,titleminimumefficiencyrequirements,andactualratedequipmentefficiencies.wheremultipleefficiency requirementsareapplicable(e.g.fullͳandpartͳload)includeall.whereappliancestandardsapply(0.),identifywhere equipmentisrequiredtobelistedpertitle00etseq.. IdentifywheretheventilationrequirementsaredocumentedforeachcentralHVACsystem.Includereferencestobothcentral unitschedulesandsequencesofoperation.ifoneormorespaceisnaturallyventilatedidentifywherethisisdocumentedinthe plansandspecifications.multiplezonecentralairsystemsmustalsoprovideamchͳ03ͳeform. 5. Ifoneormorespacehasdemandcontrolledventilationidentifywhereitisspecifiedincludingthesensorspecificationsandthe sequenceofoperation.. Ifoneormorespacehasoccupantsensorventilationcontrolidentifywhereitisspecifiedincludingthesensorspecificationsand thesequenceofoperation 7. IfthesystemisDDCidentifythesequencesforthesystemstart/stop,optimalstart,setback(ifrequired)andsetup(ifrequired). Forallsystemsidentifythespecificationforthethermostatsandtimeclocks(ifapplicable). 8. Identifywheretheheating,coolinganddeadbandairflowsarescheduledforthissystem.Includeareferencetothe specificationofthezonecontrols.provideamchͳ03ͳeform. 9. EnterN/Aifthereisnoelectricheating.Ifthesystemhaselectricheatingindicatewhichexceptionto0.(g)applies. 0. Ifductleakagesealingandtestingisrequired,aMCHͲ0ͲAformmustbesubmitted. June0 HP MXZ3B3ONA HP MXZ3B3ONA AC ork ZF090N0 Windows Windows Windows Windows Fenestration Area 3 S E E E Orientation N,S,W,E orroof #of Panes Max UͲFactor Overhang Min VT 9 Prepared: Label 0 CertificateofCompliance.Requiredonplansforallsubmittals. Usewhenminimumskylightrequirementsforlargeenclosedspacesarerequiredinclimatezonesthrough5.Optionalonplans. NRCCͲENVͲ0ͲE Altered Altered Altered Conditions Status NRCCͲENVͲ0ͲE June0 Comments NRCCͲENVͲ0ͲE (Page3 of) CABuildingEnergyEfficiencyStandardsͲ03nresidentialComplianceJune0 /3/0 FordetailedinstructionsontheuseofthisandallEnergyEfficiencyStandardscomplianceforms,pleaserefertothenresidentialComplianceManual. INSTRUCTIONSTOAPPLICANTENVELOPECOMPLIANCE&WORKSHEETS(checkboxifworksheetareincluded) Max (R)SHGC ENV-MM IndicatelocationonbuildingplansofMandatoryEnvelopeMeasuresteBlock: H.ENVELOPEMANDATORMEASURES 3 Tag/ID G.FENESTRATIONPROPOSEDAREASANDEFFICIENCIES Project: CERTIFICATEOFCOMPLIANCE EnvelopeComponentApproach CEC-NRCC-ENV-0-E (Revised 0/) ENVELOPE COMPONENT APPROACH /3/0 NRCCͲMCHͲ0ͲE (Page of3) P Q R S T Prepared: June0 /3/0 NRCCͲMCHͲ0ͲE (Page of3) FordetailedinstructionsontheuseofthisandallEnergyEfficiencyStandardscomplianceforms,refertothe03 nresidentialmanual te:theenforcementagencymayrequireallformstobeincorporatedontothebuildingplans. ES NO Form/Worksheet# Title NRCCͲMCHͲ0ͲE(Partof3) CertificateofCompliance,Declaration.Requiredonplansforall submittals. NRCCͲMCHͲ0ͲE(Partof3) CertificateofCompliance,RequiredAcceptanceTests(MCHͲ0AtoA).Requiredonplansforallsubmittals. NRCCͲMCHͲ0ͲE(Part3of3) CertificateofCompliance,RequiredAcceptanceTests(MCHͲAto8A).Requiredonplanswhereapplicable. NRCCͲMCHͲ0ͲE(Partof) MechanicalDryEquipmentSummaryisrequiredforallsubmittalswithCentralAirSystems.Itisoptionalonplans. NRCCͲMCHͲ0ͲE(Partof) MechanicalWetEquipmentSummaryisrequiredforallsubmittalswithchilledwater,hotwaterorcondenserwater systems.itisoptionalonplans. NRCCͲMCHͲ03ͲE MechanicalVentilationandReheatisrequiredforallsubmittalswithmultiplezoneheatingandcoolingsystems.Itis optionalonplans. MECHANICALCOMPLIANCEFORMS&WORKSHEETS(checkboxifworksheetisincluded) CERTIFICATEOFCOMPLIANCE MechanicalSystems Project: CEC-NRCC-MCH-0-E (Revised 0/) MECHANICAL SSTEMS, O MCHͲ0A Air Distribution Ducts MCHͲ03A SingleZone Unitary MCHͲ0A Outdoor Air Product AgedSolar Reflectance SRI (Optional) 7 Proposed Thermal Emittance MCHͲ0A Demand Control Ventilation (DCV) MCHͲ05A Economizer Controls Prepared: MCHͲ08A ValveLeakage Test CementͲBasedRoofCoating Other June0 NRCCͲENVͲ0ͲE (Page of) Comments MCHͲA Automatic DemandShed Control AirBarrier Assembly WholeBuilding AirLeakageTesting Comments 5 CABuildingEnergyEfficiencyStandardsͲ03nresidentialComplianceJune0 AirBarrier Material Tag/ID F.AirBarrier 3 NOTES:. ChecktheboxiftheagedSolarreflectancewasnotavailableintheCoolRoofRatingCouncil sratedproductdirectory,thenusetheequationinsection0.8(i)wheretheinitialreflectance valuefromthesamedirectoryandusetheequation(0.+b(ʌinitial 0.)toobtainacalculatedagedvalue.WhereʌistheInitialSolarReflectanceandBiseithersetto0.5forFieldͲApplied Coatingsoritissetto0.70forallotherroofingproductsotherthanFieldͲAppliedCoating.. CalculatetheSRIValuebyusingtheSRIͲWorksheetat(TBD)andentertheresultingvalueintheSRIColumnaboveandattachacopyfortheSRIͲWorksheetNRCCͲENVͲ03ͲEtothetothisform. AluminumͲPigmentedAsphaltRoofCoating HighͲriseresidentialbuildingsandHotelsandMotelswithlowͲslopedroofsinClimateZonesthrough8,andareexemptedfromagedSolar Reflectanceandemittancerequirements. HighͲriseresidentialbuildingsandHotelsandMotelswithsteepͲslopedroofsinClimateZonesandareexemptfromagedSolarReflectanceand emittancerequirements. TheroofareacoveredbybuildingintegratedphotovoltaicpanelsandbuildingintegratedsolarthermalpanelsareexemptfromagedSolarReflectance andemittancerequirements ToapplyLiquidFieldAppliedCoatings,thecoatingmustbeappliedacrosstheentireroofsurfaceandmeetthedrymilthicknessorcoveragerecommended bythecoatingsmanufacturerandmeetminimumperformancerequirementslistedin 0.8(i).Selecttheapplicablecoating: MCHͲ0A Hydronic System VariableFlow Control /3/0 MCHͲ09A SupplyWater Temp.Reset 9 0 MinimumRequired AgedSolar Thermal SRI Reflectance Emittance (optional) 8 MCHͲ07A SupplyFan VAV Anagedsolarreflectancelessthan0.3isallowedprovidedthemaximumroof/ceilingUͲfactorinTABLE0.3isnotexceeded CRRCProduct IDNumber RoofPitch MassRoof 5lbft orgreater 3 E.ROOFINGPRODUCTS(COOLROOF) 5 CABuildingEnergyEfficiencyStandardsͲ03nresidentialCompliance HP3 MXZ3BNA TestDescription Equipment #of RequiringTesting units orverification Project: Tag/ID Roof Assembly Wood Frame Material 3 Door Assembly MCHͲ0A Demand Control Ventilation (DCV) MCHͲ07A SupplyFan VAV Prepared: MCHͲ08A ValveLeakage Test June0 MCHͲA Automatic DemandShed Control /3/0 NRCCͲENVͲ0ͲE (Page of) MCHͲ0A Hydronic System VariableFlow Control MCHͲ09A SupplyWater Temp.Reset Wall.. 3 Mass Thickness (inches) Wood, -3/ in. Density 3) (lb/ft 5 FurringStrip Thickness (inches) Thickness (inches) 7 Exterior Insulation RͲvalue Continuous Insulation RͲvalue Interior Insulation RͲvalue D5.3.-D5 AppendixJA Reference Proposed Insulation UͲfactor 8 0 Proposed UͲFactor 8 35 Proposed UͲFactor 9 AppendixJA Reference Continuous Insulation RͲvalue.5.-A Cavity RͲvalue 7 5 Interioror Core Insulation RͲvalue 0..-A7 AppendixJA Reference RequiredUͲFactorfrom Tables,B,C,D " Concrete Wall " Concrete Wall Comments 0 Wood Door Comments 0 R-30 Roof Cathedral Comments RequiredUͲFactorfrom Tables,B,C,D 9 RequiredUͲFactorFrom Tables,B,C,D 0 CABuildingEnergyEfficiencyStandardsͲ03nresidentialComplianceJune0 Wall Tag/ID Mass 3 Frame Spacing 5 in. O.C. Frame Depth AssemblyMaterials D.ENVEL0PEDETAILS Mass Tag/ID C.ENVELOPEDETAILS nͳframed MCHͲ05A Economizer Controls ComplianceMethod: ComponentUnconditioned(file 000 W Briggsmore Ste I Affidavit) CACityandZipCode: 7 BuildingFrontOrientation(degorcardinal): 0 deg Modesto, ClimateZone: 8 PermittedScopeofWork ConstructionAdditionAlteration ConditionedFloor 9 Building(s) nresidentialhighͳriseresidentialhotel/motelguestroom 0,80 Area: Schools(PublicSchool)RelocatablePublicSchoolBldg.ConditionedSpacesUnconditionedSpaces SkylightAreaforLargeEnclosedSpace>5000ft (IfcheckedincludetheNRCCͲENVͲ0ͲEwithsubmittal) ProjectLocation: B.ENVELOPEDETAILS Framed 5 3 A.GENERALINFORMATION CERTIFICATEOFCOMPLIANCE EnvelopeComponentApproach CEC-NRCC-ENV-0-E (Revised 0/) ENVELOPE COMPONENT APPROACH MCHͲ0A Air Distribution Ducts 000 W Briggsmore Ste I Modesto Jeremiah Ellis DuctTesters, Inc 50 N. Wilma Ave Ripon, CA 953 The Principal Designer hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application. The proposed building has been designed to meet the energy efficiency requirements contained in sections,.0 through 8.0, and through 9.0 of Title, Part. Please check one: ENV. LTG. MECH. Indoor Fans Heat Rejection Pumps & Misc. Domestic Hot Water Lighting Receptacle Process Process Lighting TOTALS Building Orientation Number of Stories Number of Systems Number of Zones Front Elevation Left Elevation (N) Rear Elevation Right Elevation (S) AC AC5 AC HP HP HP3 tes:. See LTI-0 (items marked with asterisk, see LTI-0 by others) Climate Zone CA Climate Zone Documentation Author Principal Envelope Designer Principal Mechanical Designer Percent better than Standard 0. % (N) 0 deg 8 0 Orientation Prescriptive Lighting Power Density Zone Gen Office 8. See LTI-0 ( (E) (W) Roof AC Office <= 50 sqft AC AC3 Finance Office > 50 sqft Lobby Entry Lobby, Main Entry 0. % Gross Area Standard W/ RunCode: 0--03T:5:8 ZONE INFORMATION Occupancy Floor Area () Office > 50 sqft,0 EXCEPTIONAL CONDITIONS COMPLIANCE CHECKLIST 3. See LTI-03 (by others) RunCode: 0--03T:5:8 Cond. Floor Area 0,80 L Street Architects Limited L Street License # Modesto, CA 9535 Phone DeHart Plumbing, Heating & Air 3 Bitritto Way License # Modesto, CA 9535 Phone Lighting Compliance t In The Scope Of This Submittal License # INSTRUCTIONS TO APPLICANT COMPLIANCE & WORKSHEETS (check box if worksheets are included) Phone ENV-0 Certificate of Compliance. Required on plans. MCH-0 Certificate of Compliance. Required on plans. LTI-0 Certificate of Compliance. Required on plans. MCH-0 HVAC Air/Water Side Requirements. LTI-0 Lighting Controls Credit Worksheet. Mechanical Ventilation and Reheat. MCH-03 LTI-03 Indoor Lighting Power Allowance. Mechanical Equipment Details. MCH-08 RunCode: 0--03T:5:8 PERFORMANCE CERTIFICATE OF COMPLIANCE (Part of 3) ANNUAL TDV ENERG USE SUMMAR (kbtu/sqft-yr) Standard Proposed Compliance Design Design Margin Energy Component Space Heating Space Cooling Conditioned Floor Area Unconditioned Floor Area Conditioned Footprint Area Natural Gas Available On Site,0 77 Glazing Area 05 0,8 0,050 Proposed PERFORMANCE CERTIFICATE OF COMPLIANCE Inst. LPD,03 * *0.750,08 * ,95 * Convention//Meeting 53 *.00 Office <= 50 sqft 357 *.000 Convention//Meeting,3 * Office <= 50 sqft 98 *.000 Convention//Meeting 8 *.00 Warehouse Commercial, Industrial Storage 7 Server Electrical, Mechanical Room *0.700 Equipment 0 Electrical, Mechanical Room 05 *0.700 Break Room 9 Corridor/Restroom/Support 50 7 Convention//Meeting 30 * Convention//Meeting 89 * Convention//Meeting 5. See LTI-0 *.00 W/ (Part 3 of 3) Ctrl. Credits Page of 8 PERF-C /3/0 excluding process) 0.5 GENERAL INFORMATION BUILDING COMPLIES 0,80 0,59 7 es 3 5 Glazing Ratio.7 % % 8. % 9.7 % % % Prescriptive Values for Comparison only. See LTI-0 for allowed LPD. Remarks: Page 3 of 8 HP3 PERF-C /3/0 Allowed LPD Area Tailored 3 Proc. Loads Modesto, CA Project (Part of 3) SHEET TITLE- COMPLIANCE DOCUMENTS MCHͲ03A SingleZone Unitary ENERG FORMS MCHͲ0A Outdoor Air CABuildingEnergyEfficiencyStandardsͲ03nresidentialCompliance HP MXZ3B3ONA HP MXZ3B3ONA AC ork ZF090N0 AC AC5 ork ZF00N08 AC ork ZF08N0 AC AC3 ork ZF090N0 TestDescription Equipment #of RequiringTesting units orverification Designer: Thisformistobeusedbythedesignerandattachedtotheplans.ListedbelowarealltheacceptancetestsforHVACsystems.Thedesignerisrequiredtochecktheapplicableboxesforall acceptanceteststhatapplyandlistallequipmentthatrequiresanacceptancetest.allequipmentofthesametypethatrequiresatest,listtheequipmentdescriptionandthenumberofsystems. InstallingContractor: Thecontractorwhoinstalledtheequipmentisresponsibletoeitherconducttheacceptancetestthemselforhaveaqualifiedentityrunthetestforthem.Ifmorethapersonhas responsibilityfortheacceptancetesting,eachpersonshallsignandsubmitthecertificateofacceptanceapplicabletotheportionoftheconstructionorinstallationforwhichtheyareresponsible. EnforcementAgency: Plancheck TheNRCCͲMCHͲ0ͲEformisnotconsideredacompletedformandisnottobeacceptedbythebuildingdepartmentunlessthecorrectboxesarechecked. InspectorͲBeforeoccupancypermitisgrantedallnewlyinstalledprocesssystemsmustbetestedtoensureproperoperations. Project: CABuildingEnergyEfficiencyStandardsͲ03nresidentialCompliance 5 79,95 355,08,03 N M ellowshadedcellsrequireuserinput.remainingcellsareprotectedandautomatic B. Thelargestamountofprimaryairsuppliedbytheterminalunitwhenit'soperatinginthecoolingmode. C. Thesmallestamountofprimaryairsuppliedbytheterminalunitinthedeadbandmode. D. Thelargestamountofprimaryairsuppliedbytheterminalunitwhenit'soperatingintheheatingmode. E. AterminalunitcanbecontrolledwithDDCcontrols,ornonͲDDCcontrols.Eachcontrolcategoryhasdifferentreheatlimitationsincode. F. TransferAirmustbeprovidedwhereRequiredVentilationAirflow(ColumnM)isgreaterthantheDesignPrimaryDeadbandAirflow(ColumnC). H. MinimumventilationrateperSection 0..Table0.ͲA. J. Basedonnumberoffixedseatswhereapplicableorthegreateroftheexpectednumberofoccupantsand50%oftheCBCoccupantloadforegresspurposesforspaceswithoutfixedseating. M. RequiredVentilationAirflow(Req'dVentilationAirflow)isthelargeroftheventilationratescalculatedonanAREABASISorOCCUPANCBASIS(ColumnIorL) N. ThiscolumnidentifieswhetherornottheDesignPrimaryDeadbandAirflowcompliesornot.ItcomparesthevalueincolumnMtothevalueincolumnCandcolumnF. O. DesignPrimaryCoolingAirflow*forDDC,DesignPrimaryCoolingAirflow*0.30fornͲDDC.IftheDesignPrimaryCoolingAirflowislessthan300cfm,thenthisisnotapplicable. P. MaximumofColumnMandColumnO.IftheDesignPrimaryCoolingAirflowis300cfmorless,thenthisisnotapplicable. Q. ThiscolumnidentifieswhetherornottheDesignPrimaryReheatAirflowatthezonelevel,compliesornot.ItcomparesthevalueincolumnPtothevalueincolumnD. R. DesignPrimaryCoolingAirflow*forDDC.tapplicablefornͲDDCzonesorzoneswhereDesignPrimaryCoolingAirflowisis300cfmorless. S. MaximumofColumnMandColumnR.tapplicableiftheDesignPrimaryCoolingAirflowis300cfmorless. T. ThiscolumnidentifieswhetherornottheDesignPrimaryDeadbandAirflowatthezonelevel,compliesornot.ItcomparesthevalueincolumnStothevalueincolumnC. L MECHANICALHVACACCEPTANCEFORMS(checkboxforrequiredforms) CERTIFICATEOFCOMPLIANCE EnvelopeComponentApproach K PERFORMANCE CERTIFICATE OF COMPLIANCE 50 N Wilma Avenue Ripon, CA 953 (09) (09) June0 J Designer: Thisformistobeusedbythedesignerandattachedtotheplans.ListedbelowarealltheacceptancetestsforHVACsystems.Thedesignerisrequiredtochecktheapplicableboxesforall acceptanceteststhatapplyandlistallequipmentthatrequiresanacceptancetest.allequipmentofthesametypethatrequiresatest,listtheequipmentdescriptionandthenumberofsystems. InstallingContractor: Thecontractorwhoinstalledtheequipmentisresponsibletoeitherconducttheacceptancetestthemselforhaveaqualifiedentityrunthetestforthem.Ifmorethapersonhas responsibilityfortheacceptancetesting,eachpersonshallsignandsubmitthecertificateofacceptanceapplicabletotheportionoftheconstructionorinstallationforwhichtheyareresponsible. EnforcementAgency: Plancheck TheNRCCͲMCHͲ0ͲEformisnotconsideredacompletedformandisnottobeacceptedbythebuildingdepartmentunlessthecorrectboxesarechecked. InspectorͲBeforeoccupancypermitisgrantedallnewlyinstalledprocesssystemsmustbetestedtoensureproperoperations. CEC-NRCC-ENV-0-E (Revised 0/) Finance Lobby Entry Gen Office 8 I VAVDeadband PrimaryAir NRCCͲMCHͲ03ͲE (Page of) MECHANICALHVACACCEPTANCEFORMS(checkboxforrequiredforms) ENVELOPE COMPONENT APPROACH FordetailedinstructionsontheuseofthisandallEnergyEfficiencyStandardscomplianceforms,refertothe03 nresidentialmanual te:theenforcementagencymayrequireallformstobeincorporatedontothebuildingplans. ES NO Form/Worksheet# Title NRCCͲMCHͲ0ͲE(Partof3) CertificateofCompliance,Declaration.Requiredonplansforall submittals. NRCCͲMCHͲ0ͲE(Partof3) CertificateofCompliance,RequiredAcceptanceTests(MCHͲ0AtoA).Requiredonplansforallsubmittals. NRCCͲMCHͲ0ͲE(Part3of3) CertificateofCompliance,RequiredAcceptanceTests(MCHͲAto8A).Requiredonplanswhereapplicable. NRCCͲMCHͲ0ͲE(Partof) MechanicalDryEquipmentSummaryisrequiredforallsubmittalswithCentralAirSystems.Itisoptionalonplans. NRCCͲMCHͲ0ͲE(Partof) MechanicalWetEquipmentSummaryisrequiredforallsubmittalswithchilledwater,hotwaterorcondenserwater systems.itisoptionalonplans. NRCCͲMCHͲ03ͲE MechanicalVentilationandReheatisrequiredforallsubmittalswithmultiplezoneheatingandcoolingsystems.Itis optionalonplans. CABuildingEnergyEfficiencyStandardsͲ03nresidentialCompliance /3/0 Prepared: AC AC5 ork ZF00N08 AC AC3 ork ZF090N0 NRCCͲMCHͲ0ͲE (Page of3) CERTIFICATEOFCOMPLIANCE HVACDrySystemRequirements June0 AC ork ZF08N0 MCHͲ8A ECMS CEC-NRCC-MCH-0-E (Revised 0/) HP MCHͲ7A CondenserWater ResetControls HVAC SSTEM REQUIREMENTS HP MECHANICALCOMPLIANCEFORMS&WORKSHEETS(checkboxifworksheetisincluded) AC Prepared: CERTIFICATEOFCOMPLIANCE MechanicalSystems Project: /3/0 TͲSections MANDATORMEASURES ReferencetotheRequirementsintheContractDocuments HeatingEquipmentEfficiency3 0.or0.(a) CoolingEquipmentEfficiency3 0.or0.(a) HVACorHeatPumpThermostats 0.(b),0.(c) FurnaceStandbyLossControl 0.(d) LowleakageAHUs 0.(f) Ventilation 0.(b) 5 DemandControlVentilation 0.(c) OccupantSensorVentilationControl 0.(c)5,0.(e)3 ShutoffandResetControls7 0.(e) OutdoorAirandExhaustDamperControl 0.(f) IsolationZones 0.(g) AutomaticDemandShedControls 0.(h) EconomizerFDD 0.(i) DuctInsulation 0. PRESCRIPTIVEMEASURES Equipmentissizedinconformancewith 0.(a&b) /N /N /N 0.(a&b) SupplyFanPressureControl 0.(c) SimultaneousHeat/Cool8 0.(d) Economizer 0.(e) HeatandCoolAirSupplyReset 0.(f) ElectricResistanceHeating9 0.(g) 0 DuctLeakageSealingandTesting. 0.(l) tes:. Provideequipmenttags(e.g.AHUto0)andsystemdescription(e.g.SingleDuctVAVreheat)asappropriate.Multipleunits withcommonrequirementscanbegroupedtogether.. Providereferencestoplans(i.e.DrawingSheetNumbers)and/orspecifications(includingSectionname/numberandrelevant paragraphs)whereeachrequirementisspecified.enter"n/a"iftherequirementisnotapplicabletothissystem. 3. Thereferencedplansandspecificationsmustincludeallofthefollowinginformation:equipmenttag,equipmentnominal capacity,titleminimumefficiencyrequirements,andactualratedequipmentefficiencies.wheremultipleefficiency requirementsareapplicable(e.g.fullͳandpartͳload)includeall.whereappliancestandardsapply(0.),identifywhere equipmentisrequiredtobelistedpertitle00etseq.. IdentifywheretheventilationrequirementsaredocumentedforeachcentralHVACsystem.Includereferencestobothcentral unitschedulesandsequencesofoperation.ifoneormorespaceisnaturallyventilatedidentifywherethisisdocumentedinthe plansandspecifications.multiplezonecentralairsystemsmustalsoprovideamchͳ03ͳeform. 5. Ifoneormorespacehasdemandcontrolledventilationidentifywhereitisspecifiedincludingthesensorspecificationsandthe sequenceofoperation.. Ifoneormorespacehasoccupantsensorventilationcontrolidentifywhereitisspecifiedincludingthesensorspecificationsand thesequenceofoperation 7. IfthesystemisDDCidentifythesequencesforthesystemstart/stop,optimalstart,setback(ifrequired)andsetup(ifrequired). Forallsystemsidentifythespecificationforthethermostatsandtimeclocks(ifapplicable). 8. Identifywheretheheating,coolinganddeadbandairflowsarescheduledforthissystem.Includeareferencetothe specificationofthezonecontrols.provideamchͳ03ͳeform. 9. EnterN/Aifthereisnoelectricheating.Ifthesystemhaselectricheatingindicatewhichexceptionto0.(g)applies. 0. Ifductleakagesealingandtestingisrequired,aMCHͲ0ͲAformmustbesubmitted. MECHANICAL SSTEMS Prepared: CEC-NRCC-MCH-0-E (Revised 0/) MCHͲA SupplyAir TemperatureReset Controls NRCCͲMCHͲ0ͲE (Page of3) MCHͲ5A ThermalEnergy Storage(TES) Systems MCHͲA DistributedEnergy StorageDXAC Systems CERTIFICATEOFCOMPLIANCE HVACDrySystemRequirements MCHͲ3A AutomaticFault Detection& DiagnosticsforAir& Zone MCHͲA FaultDetection& DiagnosticsforDX Units CEC-NRCC-MCH-0-E (Revised 0/) June0 TestDescription Equipment #of RequiringTesting units orverification EquipmentTagsandSystemDescription Designer: Thisformistobeusedbythedesignerandattachedtotheplans.ListedbelowarealltheacceptancetestsforHVACsystems.Thedesignerisrequiredtochecktheapplicableboxesforall acceptanceteststhatapplyandlistallequipmentthatrequiresanacceptancetest.allequipmentofthesametypethatrequiresatest,listtheequipmentdescriptionandthenumberofsystems. InstallingContractor: Thecontractorwhoinstalledtheequipmentisresponsibletoeitherconducttheacceptancetestthemselforhaveaqualifiedentityrunthetestforthem.Ifmorethapersonhas responsibilityfortheacceptancetesting,eachpersonshallsignandsubmitthecertificateofacceptanceapplicabletotheportionoftheconstructionorinstallationforwhichtheyareresponsible. Thefollowingtestsrequirea EnforcementAgency: Plancheck TheNRCCͲMCHͲ0ͲEformisnotconsideredacompletedformandisnottobeacceptedbythebuildingdepartmentunlessthecorrectboxesarechecked. InspectorͲBeforeoccupancypermitisgrantedallnewlyinstalledprocesssystemsmustbetestedtoensureproperoperations MECHANICALHVACACCEPTANCEFORMS(checkboxforrequiredforms).5 8 H TͲSections MANDATORMEASURES ReferencetotheRequirementsintheContractDocuments HeatingEquipmentEfficiency3 0.or0.(a) CoolingEquipmentEfficiency3 0.or0.(a) HVACorHeatPumpThermostats 0.(b),0.(c) FurnaceStandbyLossControl 0.(d) LowleakageAHUs 0.(f) Ventilation 0.(b) 5 DemandControlVentilation 0.(c) OccupantSensorVentilationControl 0.(c)5,0.(e)3 ShutoffandResetControls7 0.(e) OutdoorAirandExhaustDamperControl 0.(f) IsolationZones 0.(g) AutomaticDemandShedControls 0.(h) EconomizerFDD 0.(i) DuctInsulation 0. PRESCRIPTIVEMEASURES Equipmentissizedinconformancewith 0.(a&b) /N /N /N 0.(a&b) SupplyFanPressureControl 0.(c) SimultaneousHeat/Cool8 0.(d) Economizer 0.(e) HeatandCoolAirSupplyReset 0.(f) ElectricResistanceHeating9 0.(g) DuctLeakageSealingandTesting.0 0.(l) tes:. Provideequipmenttags(e.g.AHUto0)andsystemdescription(e.g.SingleDuctVAVreheat)asappropriate.Multipleunits withcommonrequirementscanbegroupedtogether.. Providereferencestoplans(i.e.DrawingSheetNumbers)and/orspecifications(includingSectionname/numberandrelevant paragraphs)whereeachrequirementisspecified.enter"n/a"iftherequirementisnotapplicabletothissystem. 3. Thereferencedplansandspecificationsmustincludeallofthefollowinginformation:equipmenttag,equipmentnominal capacity,titleminimumefficiencyrequirements,andactualratedequipmentefficiencies.wheremultipleefficiency requirementsareapplicable(e.g.fullͳandpartͳload)includeall.whereappliancestandardsapply(0.),identifywhere equipmentisrequiredtobelistedpertitle00etseq.. IdentifywheretheventilationrequirementsaredocumentedforeachcentralHVACsystem.Includereferencestobothcentral unitschedulesandsequencesofoperation.ifoneormorespaceisnaturallyventilatedidentifywherethisisdocumentedinthe plansandspecifications.multiplezonecentralairsystemsmustalsoprovideamchͳ03ͳeform. 5. Ifoneormorespacehasdemandcontrolledventilationidentifywhereitisspecifiedincludingthesensorspecificationsandthe sequenceofoperation.. Ifoneormorespacehasoccupantsensorventilationcontrolidentifywhereitisspecifiedincludingthesensorspecificationsand thesequenceofoperation 7. IfthesystemisDDCidentifythesequencesforthesystemstart/stop,optimalstart,setback(ifrequired)andsetup(ifrequired). Forallsystemsidentifythespecificationforthethermostatsandtimeclocks(ifapplicable). 8. Identifywheretheheating,coolinganddeadbandairflowsarescheduledforthissystem.Includeareferencetothe specificationofthezonecontrols.provideamchͳ03ͳeform. 9. EnterN/Aifthereisnoelectricheating.Ifthesystemhaselectricheatingindicatewhichexceptionto0.(g)applies. 0. Ifductleakagesealingandtestingisrequired,aMCHͲ0ͲAformmustbesubmitted. 0.5 G VAVReheatedPrimaryAir /3/ HVAC SSTEM REQUIREMENTS AC AC5 /3/ CABuildingEnergyEfficiencyStandardsͲ03nresidentialCompliance AC AC3 Prepared: F Page 7 of 8 RETURN FAN T E MINIMUM Prepared: SEER /.5 EER 7.0 SEER / 9. EER 7.0 SEER / 9. EER. EER Status NRCCͲMCHͲ0ͲE (Page of3) CABuildingEnergyEfficiencyStandardsͲ03nresidentialCompliance CABuildingEnergyEfficiencyStandardsͲ03nresidentialCompliance AC Project: /3/0 CERTIFICATEOFCOMPLIANCE MechanicalSystems June0 S ellowshadedcellsrequireuserinput.remainingcellsareprotectedandautomatic B. Thelargestamountofprimaryairsuppliedbytheterminalunitwhenit'soperatinginthecoolingmode. C. Thesmallestamountofprimaryairsuppliedbytheterminalunitinthedeadbandmode. D. Thelargestamountofprimaryairsuppliedbytheterminalunitwhenit'soperatingintheheatingmode. E. AterminalunitcanbecontrolledwithDDCcontrols,ornonͲDDCcontrols.Eachcontrolcategoryhasdifferentreheatlimitationsincode. F. TransferAirmustbeprovidedwhereRequiredVentilationAirflow(ColumnM)isgreaterthantheDesignPrimaryDeadbandAirflow(ColumnC). H. MinimumventilationrateperSection 0..Table0.ͲA. J. Basedonnumberoffixedseatswhereapplicableorthegreateroftheexpectednumberofoccupantsand50%oftheCBCoccupantloadforegresspurposesforspaceswithoutfixedseating. M. RequiredVentilationAirflow(Req'dVentilationAirflow)isthelargeroftheventilationratescalculatedonanAREABASISorOCCUPANCBASIS(ColumnIorL) N. ThiscolumnidentifieswhetherornottheDesignPrimaryDeadbandAirflowcompliesornot.ItcomparesthevalueincolumnMtothevalueincolumnCandcolumnF. O. DesignPrimaryCoolingAirflow*forDDC,DesignPrimaryCoolingAirflow*0.30fornͲDDC.IftheDesignPrimaryCoolingAirflowislessthan300cfm,thenthisisnotapplicable. P. MaximumofColumnMandColumnO.IftheDesignPrimaryCoolingAirflowis300cfmorless,thenthisisnotapplicable. Q. ThiscolumnidentifieswhetherornottheDesignPrimaryReheatAirflowatthezonelevel,compliesornot.ItcomparesthevalueincolumnPtothevalueincolumnD. R. DesignPrimaryCoolingAirflow*forDDC.tapplicablefornͲDDCzonesorzoneswhereDesignPrimaryCoolingAirflowisis300cfmorless. S. MaximumofColumnMandColumnR.tapplicableiftheDesignPrimaryCoolingAirflowis300cfmorless. T. ThiscolumnidentifieswhetherornottheDesignPrimaryDeadbandAirflowatthezonelevel,compliesornot.ItcomparesthevalueincolumnStothevalueincolumnC. R EquipmentTagsandSystemDescription Prepared: NRCCͲMCHͲ0ͲE (Page of3) CEC-NRCC-MCH-0-E (Revised 0/) Break Room 9 7 Q Project: MECHANICAL SSTEMS Server Equipment 0 P D OCCUPANCBASIS ,000 98,000 3,000. EER 3.0 SEER / 0.8 EER EquipmentTagsandSystemDescription O C AREABASIS RunCode: 0--03T:5:8 Economizer Economizer Economizer,00 SUPPL FAN,000 8,00 8,00 90,700 59,800 90,700 Efficiency 3.0 SEER /.0 EER COOLING Project: N B 8.80 HSPF Status CERTIFICATEOFCOMPLIANCE HVACDrySystemRequirements 7.5 M A 8.80 HSPF Tank Ext. R-Value Pump Control Hot Water Piping Length (ft) Outside Buried Add ½ Insulation Output 50,800 In Plenum PUMPS Standby Loss or Pilot GPM Energy Factor or RE 8.80 HSPF.80 COP Economizer 5,000 3,000 3,000 0, COP 7.70 HSPF 0,000 00,000 Efficiency 7.70 HSPF Aux. kw Output 75,000 Vol. (Gals). CEC-NRCC-MCH-0-E (Revised 0/) L Rated Input HEATING Tons /3/0 HVAC SSTEM REQUIREMENTS Project: CABuildingEnergyEfficiencyStandardsͲ03nresidentialCompliance ellowshadedcellsrequireuserinput.remainingcellsareprotectedandautomatic B. Thelargestamountofprimaryairsuppliedbytheterminalunitwhenit'soperatinginthecoolingmode. C. Thesmallestamountofprimaryairsuppliedbytheterminalunitinthedeadbandmode. D. Thelargestamountofprimaryairsuppliedbytheterminalunitwhenit'soperatingintheheatingmode. E. AterminalunitcanbecontrolledwithDDCcontrols,ornonͲDDCcontrols.Eachcontrolcategoryhasdifferentreheatlimitationsincode. F. TransferAirmustbeprovidedwhereRequiredVentilationAirflow(ColumnM)isgreaterthantheDesignPrimaryDeadbandAirflow(ColumnC). H. MinimumventilationrateperSection 0..Table0.ͲA. J. Basedonnumberoffixedseatswhereapplicableorthegreateroftheexpectednumberofoccupantsand50%oftheCBCoccupantloadforegresspurposesforspaceswithoutfixedseating. M. RequiredVentilationAirflow(Req'dVentilationAirflow)isthelargeroftheventilationratescalculatedonanAREABASISorOCCUPANCBASIS(ColumnIorL) N. ThiscolumnidentifieswhetherornottheDesignPrimaryDeadbandAirflowcompliesornot.ItcomparesthevalueincolumnMtothevalueincolumnCandcolumnF. O. DesignPrimaryCoolingAirflow*forDDC,DesignPrimaryCoolingAirflow*0.30fornͲDDC.IftheDesignPrimaryCoolingAirflowislessthan300cfm,thenthisisnotapplicable. P. MaximumofColumnMandColumnO.IftheDesignPrimaryCoolingAirflowis300cfmorless,thenthisisnotapplicable. Q. ThiscolumnidentifieswhetherornottheDesignPrimaryReheatAirflowatthezonelevel,compliesornot.ItcomparesthevalueincolumnPtothevalueincolumnD. R. DesignPrimaryCoolingAirflow*forDDC.tapplicablefornͲDDCzonesorzoneswhereDesignPrimaryCoolingAirflowisis300cfmorless. S. MaximumofColumnMandColumnR.tapplicableiftheDesignPrimaryCoolingAirflowis300cfmorless. T. ThiscolumnidentifieswhetherornottheDesignPrimaryDeadbandAirflowatthezonelevel,compliesornot.ItcomparesthevalueincolumnStothevalueincolumnC. DESIGNPRIMAR HEATINGAIRFLOW () CNTRLTPEDDC (/N) MINPERAREA DESIGNPRIMAR DEADͲBAND AIRFLOW() MINBAREA,3 MINPERAREA NUM.OFPEOPLE DESIGNPRIMAR HEATINGAIRFLOW () MINBAREA PERPERSON ZONE/SSTEM/ VAVBOXTAG DESIGNPRIMAR COOLINGAIRFLOW () CONDIͲTIONED AREA (ft) NUM.OFPEOPLE DESIGNPRIMAR DEADͲBAND AIRFLOW() PERPERSON K MINBOCCUͲ PANT MINBOCCUͲ PANT J REQ'DVENT AIRFLOW (MAXOFIORL) () I COMͲPLIES H COMͲPLIES? REQ'DVENT AIRFLOW (MAXOFIORL) () MAXIMUMREHEAT (MAXOFM ORO) BASEDDESIGN PRIMARCOOLING AIR (50%DDC,30% NONͲDDC) () COMͲPLIES? G MAXIMUMREHEAT (MAXOFM ORO) BASEDDESIGN PRIMARCOOLING AIR (50%DDC,30% NONͲDDC) () (largerofmorr, N/AforNONͲ DDC) () AIR (0%DDC,N/A NONͲDDC) () COMͲPLIES 95 5 E CNTRLTPEDDC (/N) D MINIMUM (largerofmorr, N/AforNONͲ DDC) () AIR (0%DDC,N/A NONͲDDC) () F TRANSFER AIRFLOW () C OCCUPANCBASIS COMͲPLIES B AREABASIS ZONE/SSTEM/ VAVBOXTAG A DESIGNPRIMAR COOLINGAIRFLOW () T DESIGNPRIMAR DEADͲBAND AIRFLOW() S DESIGNPRIMAR HEATINGAIRFLOW () 95 5 R ACTUALDESIGNINFO(FROMEQUIPMENT SCHEDULES,ETC) CNTRLTPEDDC (/N) Q VAVDeadband PrimaryAir TRANSFER AIRFLOW () P VAVReheatedPrimaryAir Project: CERTIFICATEOFCOMPLIANCE MechanicalVentilation&Reheat CEC-NRCC-MCH-03-E (Revised 0/) CONDIͲTIONED AREA (ft) O ACTUALDESIGNINFO(FROMEQUIPMENT SCHEDULES,ETC) Fan MECHANICAL VENTILATION AND REHEAT HP3 MXZ3BNA HP MXZ3B3ONA AC ork ZF090N0 HP MXZ3B3ONA AC AC5 ork ZF00N08 AC AC3 ork ZF090N0 AC ork ZF08N0 MINPERAREA 89 5 N COMͲPLIES M Split DX Split DX Split DX MINBAREA L Hot Water Pump HP CENTRAL SSTEM FAN SUMMAR HP3 MXZ3BNA HP MXZ3B3ONA HP MXZ3B3ONA AC ork ZF090N0 AC AC5 ork ZF00N08 AC AC3 ork ZF090N0 AC ork ZF08N0 CENTRAL SSTEM RATINGS Control Distribution NUM.OFPEOPLE K VAVDeadband PrimaryAir /3/0 NRCCͲMCHͲ03ͲE (Page of) MULTI-FAMIL CENTRAL WATER HEATING DETAILS DHW / BOILER SUMMAR PERPERSON J Page 8 of 8 Outside Air Efficiency MINBOCCUͲ PANT I VAVReheatedPrimaryAir Prepared: Room REQ'DVENT AIRFLOW (MAXOFIORL) () H MINIMUM EXHAUST FAN Reheat Coil COMͲPLIES E OCCUPANCBASIS Project: CERTIFICATEOFCOMPLIANCE MechanicalVentilation&Reheat CEC-NRCC-MCH-03-E (Revised 0/) Min Ratio RunCode: 0--03T:5:8 Cooling Equipment COMͲPLIES? G F TRANSFER AIRFLOW () D AREABASIS /3/ Room Heating Fan MAXIMUMREHEAT (MAXOFM ORO) BASEDDESIGN PRIMARCOOLING AIR (50%DDC,30% NONͲDDC) () C Prepared: 8 93 MECHANICAL VENTILATION AND REHEAT 8 93 EXHAUST FAN VAV CHILLER AND TOWER SUMMAR (Part of ) NRCC-MCH-08-E (largerofmorr, N/AforNONͲ DDC) () AIR (0%DDC,N/A NONͲDDC) () B CONDIͲTIONED AREA (ft) ACTUALDESIGNINFO(FROMEQUIPMENT SCHEDULES,ETC) NRCCͲMCHͲ03ͲE (Page of) SSTEM /3/0 MECHANICAL EQUIPMENT DETAILS COMͲPLIES Project: CERTIFICATEOFCOMPLIANCE MechanicalVentilation&Reheat CEC-NRCC-MCH-03-E (Revised 0/) MECHANICAL VENTILATION AND REHEAT Test Restroom 8 Restroom 7 Room EXHAUST FAN EXHAUST FAN SUMMAR Zone ZONE SSTEM SUMMAR (Part of ) NRCC-MCH-08-E Fan Cycles ECM Motor MECHANICAL EQUIPMENT DETAILS PERF-C Addition Floor Area /3/0 GENERAL INFORMATION nresidential Building : High-Rise Residential Hotel/Motel Guest Room Relocatable - indicate specific climate zone all climates Alteration Phase of Construction: Construction Addition STATEMENT OF COMPLIANCE This certificate of compliance lists the building features and specifications needed to comply with Title, Parts and of the California Code of Regulations. This certificate applies only to a Building using the performance compliance approach. The documentation author hereby certifies that the documentation is accurate and complete. 0,80 /3/0 Phone I 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 am licensed in the State of California as a civil engineer, mechanical engineer, electrical engineer, or I am a licensed architect. I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code by section or to sign this document as the person responsible for its preparation; and that I am a licensed contractor performing this work. I 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 to Business and Professions Code Sections 5537, 5538 and Principal Lighting Designer Items above require special documentation The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the adequacy of the justifications, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. The HVAC System AC incorporates HERS verified Duct Leakage. Target leakage is calculated and documented on the MECH--A. The HVAC System AC AC3 incorporates HERS verified Duct Leakage. Target leakage is calculated and documented on the MECH--A. The HVAC System AC AC5 includes Demand Control Ventilation per Standards Section 0.. The HVAC System AC AC5 incorporates HERS verified Duct Leakage. Target leakage is calculated and documented on the MECH--A. The HVAC System AC includes Demand Control Ventilation per Standards Section 0.. The HVAC System AC incorporates HERS verified Duct Leakage. Target leakage is calculated and documented on the MECH--A. The HVAC System HP includes Demand Control Ventilation per Standards Section 0.. The HVAC System HP3 includes Demand Control Ventilation per Standards Section 0.. The HVAC System AC ork ZF08N0 includes an Economizer. This system has a cooling output < 5,000 Btuh. The exceptional features listed in this performance approach application have specifically been reviewed. Adequate written justification and documentation for their use have been provided by the applicant. Authorized or Stamp Page of 8 DATE CREATED 0/3/0 EN-

2 CENTER FOR HUMAN SERVICES 000 W. BRIGGSMORE, SUITE I MODESTO CA, 95350

3

4

5

6