PMT17-03220 City of Menifee Permit No.: PMT17-03220
29714 HAUN RD.
41ACCEL/� MENIFEE, CA 92586 Type: Commercial Mechanical
MENIFEE Date Issued: 0 9/1 312 0 1 7
PERMIT
Site Address: 29697 NEW HUB DR, MENIFEE, CA Parcel Number: 336-380-016
92586 Construction Cost: $9,000.00
Existing Use: Proposed Use:
Description of COMMERCIAL HVAC CHANGE OUT FOR TRIPLE STAR CONSTRUCTION, 14 SEER,60K BTU,5
Work: TON
Owner Contractor
BRACKIN ENTERPRISES RIZZO HEATING&AIR CONDITIONING
29697 NEW HUB DR 32823 TIZNOW
MENIFEE, CA 92586 MENIFEE,CA 92584
Applicant Phone: 9516720397
ROXANNE EASLEY License Number: 349958
RIZZO HEATING&AIR CONDITIONING
32823 TIZNOW
MENIFEE,CA 92584
Fee Description Qtv Amount(El
Forced-Air or Gravity-Type Furnace or Burner 1 149.00
Air Handling/Condensing Units Non-SFR 1 183.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Mechanical 1 16.60
$376.60
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a pemlit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bldg_Pennit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or Improves thereon,and who contracts for the projects
1 hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure underthe Contractor's State License Law for
Professions Code and nmy license is in full force and e t�^N,,„�� the following reason:
License Class G/N li s o. �j (_ `/'
r By my signature below I acknowledge that,except for my personal residence
Expires _Signature In which I must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure for workers 7044 of the Business and Professions Code,is available upon request when
compensation,Issued by the Director of Industrial Relations as provided for this application is submitted or at the following website:
by Section 3700 of the Labor Code,for the performance of work for which �y�yyv,leeinfo.ca.aov/calaw.html.
this permit is Issued.
Policy# Date
�J have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which 4 my signature below I certify to each of the following:I am the property
this permit is issued.My workers compensation Insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
number arg: t_� �f\,rs„ r rS application and the information I have provided is correct.I agree to comply
U (Tt/7/T��r COMP 1-If1'1 with ail applicable city and county ordinances and state laws relating to
Carrier (� building construction.I authorize representatives of this city or county to
Poliry✓�11 ` Ea ' rtr ab oval de tified Propertydr_inspectionpurp(This section need not to be completed is the permit is for one-hundred Date I I [3 11
dollars($300)or less p�e�s�
PROPERTY OWN ER OR AUTHORIZED AGENT / 1�
I certify that in the performance of the work for which this permit is issued, O � y ,
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS UCENSE# 0 V\`I y✓
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to erker,-so ensation provisions of Section 3700 of the Labor
Code, shall rthwith co
1 ith those visions. y1�'I Will the applicant or future building occupant handle hazardous material or a
p 13 ` PP g P
Applicant Dale mixture containing a hazardous material equal to or greater that the
amounts 5 eecified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 ❑Yes oZ
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District tS coon or See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguid Coast
li as
CONSTRUCTION LENDING AGENCY ❑Yes Oqo
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) ❑Yes 11�0
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractors License Law for the reasons)indicated below by the California Health&Safe Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 a ardous m are orting.
Business and Professions Code).Any city or county that requires a permit to D D o t�Xl I
construct,alter,improve,demolish or repair any structure,prior to its ate
issuance,also requires the applicant for the permit to file a signed statement PROPERTY OW OR AUTHORIZED A ENT
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP)
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with
an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than($500). managers who do the paint-disturbing work themselves or through their
❑1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided that the Improvements are not intended or offered for Certified Firm Name:
sale.if,however,the building or improvement is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or Improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because:
❑I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
dr
DATE: 1 1� 1 PERMIT/PLAN CHECK NUMBER
TYPE: KCOMMERCIAL O RESIDENTIAL C% MULTI-FAMILY C MOBILE HOME ')POOL/SPA 'O SIGN
SUBTYPE: O ADDITION 4LTERATION O DEMOLITION O ELECTRICAL MECHANICAL
NEW O PLUMBING C> RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK VW rr --^^ QT
PROJECTADDRESS 2—CA�196q �C�V V \ \ ZIP
ASSESSOR'S PARCEL NUMBER LOT TRACT
OWNER NAME 1.& lY
j� �-}�
ADDRESS 1"�j�1�� ` p— "" � "'
PHONE ( EMAIL
APPLICANT NAME
ADDRESS
PHONE � ' EMAIL n WlJ I I✓ff1�\\Inn:,^,
CONTRACTOR'S NAME \ OWNER BUILDER? ,0 YES NO
BUSINESS NAME /� n
ADDRESS CQfUZS/'� ^/V,�
PHONE J`W� ZV .� `�1 EMAIL
`� )
CONTRACTOR'S STATE LIC NUMBER �`�l`'� � Lj "'LICENSE CLASSIFICATION
VALUATION$ " I � O�`�' SQ.FT �j J 0 L SQ FTG�
APPLICANT'S SIGNATURE_ �`- DATE 1 h
SIAEF_USEONLY_
DEPARTMENT DISTRIBUTION ACCEPTED BY: /`�`(Jl
CITY OF N]Ef� BUSIN LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE1100
PERMIT FEE ut) I SMIP GREEN
L
CHECK FEE INVOICE TOTAL /� � (p0
BUILDER VERIFIED 0 YES O NO DRIVERS LICENSE# NOTARIZED LETTER ) YES Ci NO
STATE OF CALIFORNIA
CERTIFICATE OF COMPLIANCE, PRESCRIPTIVE HVAC ALTERATIONS j
CEC-MECH-IC-ALT-HVAC Revised 07110 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE MECH-IC-ALT-HVAC
Prescriptive HVAC Alterations Cit Gf Menifee (Page 1 of 3
Project Name: OI Ing a en y epi. Date:
mat � Gj n I
Project Address: Climate Zone: Enforcement Agency:
n scJ L{✓bpippgnolflari I lo At"
NOTE:This form may be used only for single zone const n t is form shall not be used for newly constructed
buildings,additions, or VA multi-zones stems.
Select one"Existing Building Project Type"and complete the corresponding steps fisted in the"Complete Steps"column
below. Note:After installation ofHVAC units and/or ducts, the Installation and the applicable Acceptance Forms are required to be
submitted or verification by the field inspector and a copy shall be made available to building owner.
E ' tin Buildin Project Type select one): Complete Steps:
New or Replacement HVAC trait 1, 4, 5 and 6(Ifcidteria is met), 7(When economizer is installed)
❑ New or Replacement ducts 1,4,5 and 6(If criteria is met)
❑ New Space Conditioning System(HYAC and ducts) 1,1,3,4,5 and 6(If criteria is met), 7(When economizer is installed), 8(DCV)
❑ Ste 1—Ducts and HVAC Equipment
Equipment Type,Efficiency Floor Area Distribution Type Duct Insulation Thermostat Configuration
and Capacity Served' and Location' R-Value° Type' (Central,Split,Package)
I`1 ooO
9�OrPlxa3�
1.Indicate Equipment Type;Air Handler,Condenser,Heat Pump,Evap.Cooling,Boiler,Electric Resistance,etc.&HVAC Capacity;or Ducts
(new or replaced).
2.If the Floor Area Served(per duct system)exceeds 5,000 square feet,skip Steps 5 and 6.
3.Indicate Type and Location(Ducts on roof,ducts in conditioned space,ducts in attic,etc.)
4.Newly installed or replaced duct insulation:R-8 in unconditioned space or in buried concrete slab;R-4.2 in indirectly conditioned space;and R-0
for conditioned space.
5.Existing non-setback thermostats shall be replaced with setback thermostats for all altered units,and all newly installed space conditioning.
systems requiring a thermostat shall beequipped with a setback thermostat. Setback thermostats shall meet the requirements of Section 112 c .
❑ Step 2—Mechanical Ventilation Calculations
Both options(Area and Occupancy Basis)shall be completed to determine the minimum mechanical ventilation rates and Column I must be the
eater of either Column E or H.
AREA BASIS OCCUPANCY BASIS
A B C D E F G H I
Zone/ Type of Use Condition CFM in Num of CFM Min Design Vent.CFM
System Area(ft') Per ft' CFM' People' per CFM' Larger of
C x D Person F x G E or H
15
15
15 :carpets.
,
AREA BASIS
1. Minimum ventilation rate(CFM/W)for the Type of Use in the Table below.
2. The conditioned floor area of the space multiplied by the applicable minimum ventilation rate from Table 4- olumn below.
For additional ventilation rates,see Table 4-3 and use the values listed in the Required Ventilation Column iidential
Compliance Manual. This provides dilution for the building-bome contaminants like off-gassing of paints
OCCUPANCY BASIS
2,For spaces with fixed seating such as a theater or auditorium,the expected number of occupants is the numbats.3.The expected number of occupants or people multiplied by 15 cfm per person.
T e of Use CFM er fP T e of Use er ft'Auto repair workshops 1.50 High-rise residential tion Rates b the CBC
Barber shops 0.40 Hotel guest rooms O ess than 500 ft' 30 cfin/guest room
Bars,cocktail lounges,and casinos 0.20 Hotel guest rooms(500 ft'or greater) 0.15
Beauty shops 0.40 Retail stores 0.20
Coin-operated dry cleaning 0.30 All Others 0.15
2008 Nonresidential Compliance Form July 2010
STATE OF CALIFORNIA
CERTIFICATE OF COMPLIANCE, PRESCRIPTIVE HVAC ALTERATIONS
CEC-MECH-IC-ALT-HVAC Revised 07I10 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE MECH-IC-ALT-HVAC
Prescriptive HVAC Alterations (Page 2 of 3
Project Name: Date:
Commercial dry cleaning 0.45
1.For additional ventilation rates,see Table 4-3 in the Nonresidential Compliance Manual
Installation Certificate requirement: The installing contractor shall complete and sign an Installation Certificate(MECH-INST)
to certify that the installed HVACfeatures, materials, components, or manufactured devices(the installation)conforms to all
applicable codes and regulations, and the installation is consistent with any requiredplans and specifications approved by the
enforcement agency
Certificate of Acceptance requirement:After completing the installation,all required acceptance testing shall be completed,
and all applicable Certificate ofAcceptance forms are required to be filled out completely,signed,and made available to the
enforcement agency atfnal inspection. Copies of the completed,signed Certificate ofAcceptance forms shall also be made
available to the building owner.
❑ Step 3-MECH-2A-Outdoor Air Acceptance—This test is required for newly installed or replacementHVAC Systems(HVAC
equipment and ducts)to verify minimum outside air is provided in accordance with Section 125 of the Energy Standards.
❑ Step 4—MECH-3A- Constant Volume,Single Zone Unitary A/C and HP Controls Acceptance—This test is required
for new or replaced constant volume,single-zone unitary air conditioners and heat pumps to verify controls function,including:thermostat
installation and programming,su l an,heating, cooling,and damper operation in accordance with Section 125 of the Energy Standards.
❑ Step 5—MEC114A-Air Distribution Systems Acceptance—This test is required when the new or altered system is a single
zone,constant volume system serving 5,000 ftt or less,and 25%or more of the duct surface area is located in the outdoors,unconditioned space,
or a ventilated attic in accordance with Section 125 of the Energy Standards.
❑ Step 6-MECH 4-HERS-Air Distribution System Leakage Diagnostic—This test is required to be completed by a HERS
Rater when the new or altered system meets the criteria in Step 5 to verify duct leakage in accordance with Section 125 of the Energy Standards.
The HERS Rater shall register the MECH-4-HERS Form with an approved HERS Provider.
❑ Step 7-MECH-5A-Economizer Testing Acceptance- This test is required for newly installed or replacement HVAC equipment
when an economizer is installed in accordance with Section 125 of the Energy Standards.
❑ Step 8-MECH-6A-Demand Control Ventilation Systems(DCV)Acceptance- This test is requiredfor newly installed
DCV systems or replacement of HVAC equipment with the fallowing characteristics to verify controls and sensors function in accordance with 125
of the Energy Standards. : A. They have an air economizer;and B. They serve a space with a design occupant density,or a maximum occupant
load factor,for egress purposes greater than or equal to 15 people per 1000.fta(40 square foot per person);and C. They are either.'
L Single zone systems with any controls;or
ii.Multiple zone system with Direct Digital Controls(DDC to the zone level.
Documentation Author's Declaration Statement
• I ccrtif that this Certificate of Compliance documentation is acc g.
Nianp� e;
/t'iir,6
Co pony: Dale:
ZzJ 444, ✓1 „
Address: If Applicable
v, / /,/� CEA#
t-� CEPE#
City/S to/Zip Phone:
l i:4 A4+--- C-4 g2 S
Principal Mechanical Designer's Declaration Statement
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the mechanical
design.
• This Certificate of Compliance identifies the mechanical features and performance specifications required for compliance with
Title 24,Parts 1 and 5 of the California Code of Regulations.
• The design features represented on this Certificate of Compliance are consistent with the information provided to document this
design on the other applicable compliance forms,worksheets,calculations,plans and specifications submitted to the
enforcement agency for approval with this building permit application.
2008 Nonresidential Compliance Form July 2010
STATE OF CALIFORNIA
CERTIFICATE OF COMPLIANCE, PRESCRIPTIVE HVAC ALTERATIONS
CEC-MECH-1 C-ALT-HVAC Revised 0710 CALIFORNIA ENERGY COMMISSION I
CERTIFICATE OF COMPLIANCE MECH-IC-ALT-HVAC
Prescriptive HVAC Alterations (Page 3 of 3)
Project Name: l Date:
Name:
Company N me: A a /_ r / Date:
aFN` G®rYl tWnj /,t �f
Address: - License#
City/State/ZL J J _ pGcr Phone: P2- oy,—I
2008 Nonresidential Compliance Form July 2010
STATE OF CALIFORNIA
ENVELOPE COMPONENT APPROACH
CEC-MECH-1C Revised 03/10 CALIFORNIA ENERGY COMMISSO
CERTIFICATE OF COMPLIANCE and
FIELD INSPECTION ENERGY CHECKLIST (Page 1 of 5) MECH-W
Project Name:e i J Da� It Climatrt 7r:
Project Address: 'v[ Conditioned Floor
/Ito-o Area: 1►
General Information
Building Type: 2`Nonresidential ❑High-Rise Residential ❑Hotel/Motel Guest Room
❑ Schools(Public School) ❑ Relocatable Public School Bldg. ❑ Conditioned Spaces ❑ Unconditioned Spaces
Phase of Construction: ❑ New Construction ❑ Addition B Alteration
Approach of Compliance: ❑ Component ❑ Unconditioned(file affidavit)
Front Orientation:N,E, S,W or in Degrees:
HVAC SYSTEM DETAILS FIELD INSPECTION ENERGY CHECKLIST
Meets Criteria or Requirements
Equipment Inspection Criteria Pass Fail-Describe Reason'
Item or System Tags ❑
(i.e.AC-1,RTU-I,HP-1) -
Equipment Type': '6C Aff ❑
No ofSystems ❑
Max Allowed Heating Capacity' IV 000 ❑
Minimum Heating Efficiency' ❑
Max Allowed Cooling Capacity' ❑
Cooling Efficiency' ❑
Duct Location/R-Value £Q ❑
When duct testing is required,submit
MECH-4A&MECH-4-HERS ❑
Economizer ❑
Thermostat l ❑
Fan Control ❑
FIELD INSPECTION ENERGY CHECKLIST
Equipment Inspection Criteria Pass Fail-Describe Reason'
Item or System Tags
(i.e.AC-1,RTU-1,HP-1) ❑ ❑
Equipment Type : ❑ ❑
No of Systems ❑ ❑
Max Allowed Heating Capacity' ❑ ❑
Minimum Heating Efficiency' ❑ ❑
Max Allowed Cooling Capacity' ❑ ❑
Cooling Efficiency' ❑ ❑
Duct Location/R-Value ❑ ❑
When duct testing is required,submit ❑ ❑
MECH-4A&MECH-4-HERS
Economizer ❑ ❑
Thermostat ❑ ❑
Fan Control ❑ ❑
1.If the Actual installed equipment performance efficiency and capacity is less than the Proposed(Prom the energy compliance submittal orfrom
the building plans)the responsible party shall resubmit energy compliance to include the new changes.
2.For additional detailed discrepancy use Page 2 of the Inspection Checklist Form. Compliance jails if a Fail box is checked.
3.Indicate Equipment Type:Gas(Pkg or,Split),VAV,HP(Pkg or split),Hydronic,PTAC,or other
2008 Nonresidential Compliance Forms March 2010
STATE OF CALIFORNIA
ENVELOPE COMPONENT APPROACH
CEC-MECH-1C Revised 03/10 CALIFORNIA ENERGY COMMISSIvn
Certificate of Compliance and
FIELD INSPECTION ENERGY CHECKLIST (Page 2 of 5 MECH-1C
Project Name: Date:
Discrepancies:
2008 Nonresidential Compliance Forms March 2010
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STATE OF CALIFORNIA
'ENVELOPE COMPONENT APPROACH io,
CEC-MECH-1C Revised 03/10 CALIFORNIA ENERGY COMMISSI—'
CERTIFICATE OF COMPLIANCE and
FIELD INSPECTION ENERGY CHECKLIST (Part 5 of 5) MECH-1 C
Project Names Date:
r 1b s7M-
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and complete.
01
Nanie: `Ia r n
Compan : Date:
/t7
Address: If Applicable
�G CEA#
CEPE#
city/state/zip L�l� GA 9l��S Phone: ' y 5t)
Principal Mechanical Designer's Declaration Statement (o
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the mechanical
design.
• This Certificate of Compliance identifies the mechanical features and performance specifications required for compliance with
Title 24,Parts 1 and 6 of the California Code of Regulations.
• The design features represented on this Certificate of Compliance are consistent with the information provided to document
this design on the other applicable compliance forms,worksheets,calculations,plans and specifications submitted to the
enforcement agency for approval with this building permit a
Name: tore:
Company Name: ate:
Address: License#
City/State/Zip Phone:
Mandatory Measures
Indicate location on building plans of Note Block for Mandatory Measures
MECHANICAL COMPLIANCE FORMS&WORKSHEETS check box if worksheet is included
For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, refer to the 2008 Nonresidential
Manual Note: The Enforcement Agency may require all forms to be incorporated onto the building plans,
MECH-1 C Certificate of Compliance.Required on plans for all submittals.
MECH-2C Mechanical Equipment Summary is required for all submittals.
0 MECH-3C Mechanical Ventilation and Reheat is required for all submittals with mechanical ventilation.
0 MECH4C Fan Power Consumption is required when for all prescriptive tive submittals.
2008 Nonresidential Compliance Forms March 2010
STATE OF CALIFORNIA `/
AIR, WATER SIDE SYSTEM, SERVICE HOT WATER 8, POOL REQUIREMENTS ,fir
CEC-MECH-2C(Revised 08109) CALIFORNIA ENERGY COMMISSION
AIR SYSTEM REQUIREMENTS (Part 1 of 3) MECH-2C
PROJECT NAME: DATE:
Indicate Air Systems Type(Central,Single Zone,Package, VA or etc...)
Item or System Tags.
(i.e.AC-1,RTU-1,HP-1)
No.of Systems
Indicate Page Reference on the Plans or Schedule list or list
information below
MANDATORY MEASURES T-24 Sections
Heating Equipment Efficiency 112(a) 7(0
Cooling Equipment Efficiency 112(a)
HVAC or Heat Pump Thermostats 112(b), 112(c) 1 1Cy�
Furnace Controls/Thermostat 112(c), 115(a) ) )
Natural Ventilation 121(b)
Mechanical Ventilation 121(b) lip
VAV Minimum Position Control 121(c) Nkt k
Demand Control Ventilation 121(c) u k
Time Control 122(e) Ar
Setback and Setup Control 122(e) A(
Outdoor Damper Control 122(f) AA&
Isolation Zones 122(g) Q ,
Pipe Insulation 123 W� r
1.t7�
Duct Insulation 124 r,11
PRESCRIPTIVE MEASURES
Calculated Design Heating Load 144(a&b)
Calculated Design Cooling Load 144(a&b)
Fan Control 144(c) IMt�
DP Sensor Location 144(c)
Supply Pressure Reset(DDC only) 144(c) (k
Simultaneous Heat/Cool 144(d)
Economizer 144(e) WA
Heat and Cool Air Supply Reset 144(f)
Electric Resistance Heating' 144(g)
Heat Rejection System §144(h)
Air Cooled Chiller Limitation §144(i)
Duct Leakage Sealing.If Yes,
I 'I_
MECH-4-A must be submitted 144(k) kb0,
1. Total installed capacity(MBtu/hr)of all electric heat on this project exclusive of electric auxiliary heat for heat pumps.If electric heat is used
ex lain which exception(s)to 144( apply,
2008 Nonresidential Compliance Forms August 2009
STATE OF CALIFORNIA
AIR,WATER SIDE SYSTEM,SERVICE HOT WATER&POOL REQUIREMENTS
CEC-MECH-2C(Revlan!08009) CALIFORNIA ENERGY COMMISSION
WATER SIDE SYSTEM REQUIREMENTS Part 2 of 3) MECH-2C
PROJECT NAME: DATE:
WATER'SIDE SYSTEMS.Chillers,Towers,Boilers,Hydronie Loops
Item or System Tags
(i.e.AC-1,RTU-I,HP-1,CT-1,etc...)' kA
No.of Systems
Indicate Page Re erenee on Plans or S eci ma"2
MANDATORY MEASURES T-24 Seetioru
Equipment Efficiency 112(a)
Pipe Insulation 123
PRESCRIPTIVE MEASURES
Cooling Tower Fan Controls 144(h)
Cooling Tower Flow Controls 144(h)
Variable Flow System Design 144(
Chiller and Boiler Isolation 144(')
CHW and HHW Reset Controls 144
WLHP Isolation Valves 144'
VSD on CHW,CW&WLHP Pumps>SHP 1440) 7r
DP Sensor Location 144
1.The Proposed equipment need to match the budding plans schedule or specificwimv.!fa requirement is nor applicable,put"NIA I.the mhtmn nest to applicable section.
2. For each chillee cooling lower,boiler,and hydrontc loop(or groups fsimilar epdpment)fill in the reference to sheet number and/or specification section and paragraph numberwhere the
required features are documented. !fa requirement is not applicable,put WIA"in the column next to applicable section.
2008 Nonresidential Compliance Forms March 2010
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