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1501005314 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19700 VALLCO PKWY CONTRACTOR- PERMIT NO: 15010053 f OWNER'S NAME: CUPERTINO PROPERTY DEVELOPMENT IE ISSUED: 10/30/2015 OWNER'S PHONE: 6193167906 g7• NE NO: O i ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCLAL SUITE 150 -THE KEBAB SHOP,COMM. T.I ON SHELL BLDG 2,003 SQFT License Class_ I�,_ Lic. # Contractor 41.1 oo iv r -e Date_ // - 2 +/ , t I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.. Sq. Ft Floor Area: Valuation: $200000 I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APN Number: 31620108.19700 Occupancy Type: APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating PERMIT EXPIRES IF WORK IS NOT STARTED to building construction, and hereby authorize representatives of this city to enter WITHIN 180 DAYS OF PERMIT ISSUANCE OR upon the above mentioned property for inspection purposes. (We) agree to save indemnify 180 DAYS FROM LASTCALLED INSP C ION. and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the y r l granting of this Additionally, the p Issued by: Date: �! permit. applicant understands and will comply . with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature -- -- Date /?-- 2- r RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: the following two reasons: I, as owner of the property, or my employees with wages as their sole compensation, ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the I hereby affirm under penalty of perjury one of the following three California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: I have and will maintain a Certificate of Consent to self -insure for Worker's Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 255 5, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this . Date: ,'`' Owner or authorized agent: 2 permit is issued. _ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, ARCHITECT'S DECLARATION costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 Ctd€�ERT1 ] ( (408) 777-3228- FAX (408) 777-3333 • building(ftupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION R1 ALTERATION / TI ❑ REVISION / DEFERRED U ORIGINAL PERMIT # PROJECT ADDRESS70-77 1 1 0 %4 J�� C APN # 0 o ,� rk,� ( AIJ/� OWNE AME.:.. PHONE? ?!f� '-d E-MAIL _✓.Y�/�' STREET ADDRESS �+ CITY ST TE, Z1.P - _ FAX CONTACT NAME pQ �f � dt ?'3a, r � ra+ i _ PHONE E-MAIL {D i i l� � - lc; r � e •� tr+ } �a Q jc.Q.�ce � 5�� A - t a"v� STREET ADDRESS 11t o SAA ,-.4 -A CITY, STATE, ZIP 5g, b, p CA karat FAX y� ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ARCHITECT ❑ ENGINEER ❑ DEVELOPER 1 TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE; ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME 6 ii§ :n i'c I^.<Va, e'f'c• E-MAIL i 11 11- 99 C' O. i;.r tN, }'t°i''1. 1�G j L.\D FAX STREET ADDRESS _ CITY, STAT/E, ZIP PHONEQ575 -p �� lit 4 �i°�'�i. ` 5k' DESCRIPTION OF WORK c, � X r- �. tav�I e n'i r s � ,� • 6 EXISTING USE PROPOSED USE CONSTR.TYPh #.STORIES USE TYPE OCC. SQ.FT. VALUATION ($) ri�� Q�Pp✓e'1- g 1 EXISTG AREA 0 o NEW FLOOR AREA DEMO AREA TOTAL NET AREA a o 0 z 7 Z a U o 7 ?k (3 �. Gob BATHROOM KITCHEN - REMODEL AREA REMODEL AREAL AREA PORCH AREA DECK AREA TOTAL DECKIPOAGE AREA DETACH ATTACH # DWELLING UNITS: IS A SECOND UNIT kRE D STORY ❑YESBEING ADDED? ION? ❑ NOPRE-APPLICATION ❑YES IF YES, PROVIDE COPY O BLDG AN ❑ YES RECEIVEDBSS` ALUATION: PLANNING APPL # ❑NO PLANNING APPROVAL LER HOME? ❑. NO �( By my signature below, I certify to each of the following: I am the property owner or authorized agent to&t on the perry owner's behalf. I have read this is I to comply with all applicable local application and the information I have provided is correct. I have read the Description of Work and verify it accurate. agree inspection ordinances and state laws relating to building c traction. I authorize representatives of Cupertino to enter the above -identified property for purposes. Date: Signature of Applicant/Agent: SUPPLEMENTAL INFORMATION REQUIRED -LAN CHECK ITE ROUTINGST IP New SFD or Multifamily dwellings: Apply for demolition permit forovE>zalrCoulvTEs - ' ❑ BUIL'DINGPLAN REVIEW _ existing building(s). Demolition permit is required prior to issuance of building rLANNINGPI.ANitEA'IEw permit for new building.-EXPRi$SS Commercial Bldgs: Provide a completed Hazardous Materials Disclosure sTANnARn ❑uBLIc waRx5 _ form if any Hazardous Materials are being used as part of this project. LAIRGi ❑ FIItEDEPT Copy of Planning Approval Letter or Meeting with Planning prior toIn r© [] SANITARYSEWERD19TRICT _ submittal of Building Permit application. LI # _ENVIRONMENTAL ALTA BldgApp_2 011. do c revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS:-498Wvallco pkwy S)° /SD DATE: 01/0812015 REVIEWED BY: Mendez APN: BP#- *VALUATION: 1$200,000 BP FEE ID 'PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: __7 PENTAMATION 1B TI PERMIT TYPE: WORK shop-. comm. t.i on shell bldq 2003 sq ft SCOPE �"b OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.L PC FEES PC FEE. ID BP FEES BP FEE ID B (Tenant Improvements) 11-B,II1-B,IV,V-B 2,003 $2,2477G IBTIPLNCK $1,890.86 IBTIINSP Permit Fee: $1,890.86 Suppl. Insp. Fee(Reg. OT O,Q hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? 0 Yes Q No $0.00 TOTALS: 2,003 $2,247.76 $1,890.86 Strong Motion Fee: IBSEISMICO MEml HOURLY 0 Yes: ' No I'LU]VIB, HOURLY .Yes i • Niz ELEC, HOURLY Yes E) No ---__ ____ __________ __ _ - MISC ITEMS . Pkill $2,247.76 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: (j) Reg. Q 0T:=firs E3 Lj PME Plan Check: $0.00 Permit Fee: NOTE: This estimate does not include fees flue to other Departments (Le. Planning, Public works, tare, sanitary Sewer vistrLu, achooi .,_ _r:_ _r : :7..ht., -d _ o nasi,, "" ocamiyta- r.'antact the DeDt for addn'l info. lJLSLYLIa, eLC. -I nese.='% are (lase" ori IIID pretirrarcur FEE ITEMS (Fee Resolution 11-053 Eff. 7'1113) cre vu>suo.v.c .................. FEE ..•» »• -- QTY/FEE ---__ ____ __________ __ _ - MISC ITEMS Plan Check Fee: $2,247.76 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: (j) Reg. Q 0T:=firs $0.00 PME Plan Check: $0.00 Permit Fee: $1,890.86 Suppl. Insp. Fee(Reg. OT O,Q hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? 0 Yes Q No $0.00 Advanced Planning Fee: $0.00 Select allon-Residential Building or Structure 0 Strong Motion Fee: IBSEISMICO $56.00 Select an Administrative Item Bldg Stds Commission .Fee: IBCBSC $8.00 SUBTOTALS: $4,202.62 $0.00 TOTAL FEE.. $4,202.62 Reviseu. v I/uu/LV I CITY OF CUPERTINO BUILDING PERMIT ' BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 15010053 19700 VALLCO PKWY (316 20 108) ALL FOOD SERVICE INSTALLATION 233 COMMERCIAL ST SAN JOSE, CA 95121 OWNER'S NAME: (CUPERTINO PROPERTY DEVELOPMENT I) DATE ISSUED: 10/30/2015 OWNER'S PHONE: 925-487-2284 PHONE NO: 408-316-8683 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class a Lic. #5928389 Contractor ALL FOOD SERVICE INSTALLATION Date 10/31/2016 —BLDG _ELECT _PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing _ MECH _ RESIDENTIAL = COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: SUITE 150-THE KEBAB SHOP COMM. T.I ON SHE LL BLDG I hereby affirm under penalty of perjury one of the following two declarations: 2,003 SQFT i. I have and will maintain a certificate of consent to self-insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the **REV #1 - CHANGE OF DUCT MATERIALS AND NEW ROOFTOP performance of the work for which this permit is issued. ODOR ABATEMENT SYSTEM. - ISSUED 6/14/201 z; I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Sq. Ft Floor Area: Valuatiop: $200000.00 APPLICANT CERTIFICATION certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances AP AF N Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 20108 representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. PERMIT EXPIRES IF WORK ISN T STARTED Additionally, the applicant understands and will comply with all non-point WITHIN 180 DAYS OF PERMIT ISSUANCE OR source regulations per the Cupertino Municipal. Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date/146 /2016 Issued by: ABBY AYENDE OWNER- T_m'DER DECLARATION Date: 10/30/2015 Ii I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS: following two reasons: i. I, as owner of the property or my employees with wages as their sole All roofs shall be inspected prior to any roofing material be' g installed. If a roof is compensation, will do the work, and the structure is not intended or offered for installed without first obtaining an inspection, I agree to rem inspection. ve all new materials for sale (See.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (See.7044, Business & Professions Code). Signature of Applicant: Date: 6/14/2016 I hereby affirm under penalty of perjury one of the following three declarations; 1.. I have and will maintain a Certificate of Consent to self-insure for Worker's ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this I have read the hazardous materials requirements unde Chapter 6.95 of the permit is issued. California Health & Safety Code, Sections 25505, 2553;, and 25534. I will 3. I certify that in the performance of the work for which this permit is issued, I maintain compliance with the Cupertino Municipal Code Safety 25532(a) should I store Chapter 9.12 and the r handle hazardous shall not employ any person in any manner so as to become subject to the material. dditionally,Ishould I use equipment or devices which emit hazardous Worker's Compensation laws of California. If, after making this certificate of air contaminants as defined by the Bay Area Air Quality Management District I exemption, I become subject to the Worker's Compensation provisions of the will maintain compliance with the Cupertino Municipal C ode, Chapter 9.12 and Labor Code, I must forthwith comply with such provisions or this permit shall the Health & Safety Code, Sections 25505, 25533, and 25534. be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION � I certify that I have read this application and state that the above information is Date: 6/14/2016 correct. I agree to comply with all city and county ordinances and state laws CONSTRI7CTIlN LENDING A I hereby affirm that there is a con" struction lending agency for the performance. relating to building construction, and hereby authorize representatives of this city of work's for which this permis issued (Sec. 3097, Civ .) to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal AR HIT T' D I RATION Code, Section 9.18. 1 understand my plans shall be used as public records. Signature Date 6/1412016 Licensed I CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION' 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 buildin cu ertino".o7 ❑ NEW CONSTRUCTION ❑ ADDITION ALTERATION / TI 5VREVISI0N / DEFERRED �L 13 r4 nRT(TTNTAT. P -P -P W 1 Sdi00 PROJECT ADDRESS I APN n j tLe CS frti 19 1 O)VNER NAME PHONEE-MAIL I �AM A1> -2 STREET ADDRESS �� // CITY, STATE, ZIP FAX 19 00 VA G xw C -N-O � / CONTACT NAME - P,HO.E-MAIL " E - Z57 X7-22 aL/ � � s� C _ GCAA C CITY„STATE, ZIP STREET .ADDRESSI Z TLG` /C T--; (' � FAX7 OR NER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTORAGENT ❑ ARCHITECT' ❑ ENGIN'EER ❑ ❑ D VELOPER TENANT 54"°s `116 CONTRACTOR NAME LICENTSENUMBER LICENSE TYPE BUS, LIC 9-9 CO1\ PANY NAME r t t Ik f U✓ d SLdv; CG .�4.+ii<n3 E-MAIL y FAX STREET ADDRESS CITY, STATE, ZIP PHONE ��.3\(- � ARCHITECT,ENGLNEER NAME I LICENSE NUNBER BUS. LIC - L COMPANY NAME E-MAIL FAX STREET ADDRESS/ / - CITY, STATE, ZIP PHONE DESCRIPTION OF wOrcIi r ® 6HP& l a1611 fqk G l 6:3' '°= y-° kms/- .• -- _ � _�� ; EXISTING USE PROPOSED USE CONSTR. TYPE ' STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXZSTG NEW FLOOR DEMO TOTAL - AREA. AREA AREA NET.AREA BATHROOM ------EN OTHER - REMODELAREA REIAODELAREA REMODELAREA L PORCH AREA DECK AREA TOTAL DECKPORCH.AREA GARAGE AREA: DETACH - _ — ❑ ATTACH DR%ELLi1I UNITS: 1S A SECOND UNIT ❑YES SECOND STORY ❑.YES BEING ADDED? []NO .ADDITION? r7NO PRE -APPLICATION []YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ 17FS RECEII°ED Bl TOTV: ALL ATION: ----- PLANNTN'G APDL r ❑ NO ' PLANNING APPROVAL LETTER EICHLER HOME? []NO By nay signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property oi>-,ner's behalf. I IaVe read this application and the information I have provided is orrect. I have read the Description ofWork- and verify it is accurate. I agree to comply with 11 applicable local ordinances and state laws relating to building c struction. I aa•es = oupertino to ethe. a o�e-I }� enffied_p peYry-for-ins ec-tion-purp purposes. Signature of Applicant/Agent: Date — � SUPPLEMENT'VL1ijT0R1\6ATION REQUIRED _' eE © x INIew SFD or N4ultifanailygs: Apply for demolition permit for — existing buildina(s). Demolition perrnit Is required -prior to Issuance of building O\ ER TFE COULTER A - ]iUILDIi Pi Al REi IEl§ perrnit for neiv building. E Ess ` PI�A� 1L\ �I � REi IEI �< Commercial Bldgs: Provide a completed Hazardous Materials Disclosure � sTA\D ARD � ❑ PI BLIQ� RILs form if any Hazardous Materials are being used as part of this project. ❑ � ' � �� X Copy ofPlanning Approval Letter or Meetlna with Planning prior to LARGE _ submittal of$uilding Permit application. sA�1T- ERDlsr4 x c,. flr RO\.4Er TALHE� LTH Bldo Opp_ 20.1 I. �oc revised 06121111 4�- STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE r.Fr-MFCN_9A rRwvi%M nRM91 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE MECH-2A NA7.5.1 Outdoor Air Acceptance (Page 1 of 3 Projectame/Addres : C� &}i VLO Gp System Name or Identificationlfag: ` 2 Systemcation or Area rved: roto Enforcement Agency: Permit Number: 11 Note: Submit one Certificate of Acceptance for each system that must demonstrate compliance. Enforcement Agency Use: Checked by/Date FIELD TECHNICIAN'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am the person who performed the acceptance requirements verification reported on this Certificate of Acceptance (Field Technician). • I certify that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAT I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. Com an Name: I 0 2Q, ill CP.I. Field Technician's Name: Field cian's Signature: Responsi P� Signature: Date Signed:Position q— I'll, I(.14 With Company (Title): RESPONSIBLE PERSON'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, that I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this form. • I am a licensed contractor, architect, or engineer, who is eligible under Division 3 of the Business and Professions Code, in the applicable classification, to take responsibility for the scope of work specified on this document and attest to the declarations in this statement (responsible person). • I certify that the information provided on this form substantiates that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. • I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: (100 Phone: Responsible Perso 's Name: 0' Responsi P� Signature: l tV%4 License: Date Signed: Position ith Company (Title): 011-1-53 ©1 1-1 L/ OVAIN - 2008 Nonresidential Acceptance Forms August 2009 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CFC-MECH-2A (Revised 08/091 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE MECH-2A NA7.5.1 Outdoor Air Acceptance (Page 2 of 3 Project Name/Address: System Name or Identificatiory Tag: System Location or Area Served: Intent: Verify measured outside airflow reading is within f 10% of the total required outside airflow value found in the Standards Mechanical Plan (MECH-3C, Column H or Column I), per NA7.5.1. Construction Inspection I Instrumentation to perform test includes, but not limited to: a. Watch b. Calibrated means to measure airflow 2 Check one of the following: Variable Air Volume (VAV) - Check as appropriate: a• Sensor used to control outdoor air flow must have calibration certificate or be field calibrated Calibration certificate (attach calibration certification) Field calibration (attach results) Constant Air Volume (CAV) - Check as appropriate: j System is designed to provide a fixed minimum OSA when the unit is on NA7.5.1.1 Outdoor Air Acceptance A. Functional Testing (Check appropriate column) CAV a. Verify unit is not in economizer mode during test - check appropriate column Step 1: CAV and VAV testing at full supply airflow a. Adjust supply to achieve design airflow b. Measured outdoor airflow reading (cfin) i c. Required outdoor airflow (cfin) (from MECH-3C, Column I) d. Time for outside air damper to stabilize after VAV boxes open (minutes) e. Return to initial conditions (check) Step 2: VAV testing at reduced supply airflow a. Adjust supply airflow to either the sum of the minimum zone airflows or 30% of the total design airflow b. Measured outdoor airflow reading (cfin) C. Required outdoor airflow (cfin) (from MECH-3C, Column 1) d. Time for outside air damper to stabilize after VAV boxes open and minimum air flow achieved minutes e. Return to initial conditions (check) B. Testing Calculations & Results CAV VAV Percent OSA at full supply airflow (%OAFA for Step 1) a. %OAFA = Measured outside air reading /Required outside air (Steplb/Steplc) CM % "0 b. 90%!S %OAFA <_ 110% R/ N Y N c. Outside air damper position stabilizes within 15 minutes (Step I d < 15 minutes) / N Y % N Percent OSA at reduced supply airflow (%OARA for Step 2) a. I %OARA = Measured outside air reading /Required outside air (Step2b/Step2c) % % b. 1900/.:5 %OARA <_ 110% Y / N 2008 Nonresidential Acceptance Forms August 2009 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-MECH-2A (Revised 08/09) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE MECH-2A NA7.5.1 Outdoor Air Acceptance (Page 3 of 3 Project Name/Address: System Name or Identification/Tag: System Location or Area Served: c. I Outside air damper position stabilizes within 15 minutes (Step 2d < 15 minutes) Note. Shaded boxes do not aanly for CAV systems C. I PASS/ FAIL Evaluation PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive (Y - yes) p FAIL: Any Construction Inspection responses are incomplete OR there is one or more negative (N - no) responses in Testing Calculations & Results section. Provide explanation below. Use and attach additional pages if necessary. 2008 Nonresidential Acceptance Forms August 2009 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY CEC-MECH-3A (Revised 08/09) AIR CONDITIONER AND HEAT PUMP SYSTEMS CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE MECH-3A NA7.5.2 Constant Volume Single Zone Unitary Air Conditioner and Heat Pump Systems (Page 4 of 4 Project Name/Address: System Name or Identification/Tag: System Location or Area Served: PASS / FAIL Evaluation (check one): zr I PASS: All Construction Inspection responses are complete and all applicable Testing Results responses are "Pass" (P) E] IFAIL: Any Construction Inspection responses are incomplete OR there is one or more "Fail" (F) responses in Testing Results section. Provide explanation below. Use and attach additional pages if necessary. 2008 Nonresidential Acceptance Forms August 2009 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY AIR CONDITIONER AND HEAT PUMP SYSTEMS ?� CEC-MECH-3A (Revised 08109) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE MECH-3A NA7.5.2 Constant Volume Single Zone Unitary Air Conditioner and Heat Pump Systems (Page 1 of 4 Project Name/Address: System Name or Identification/Tag: System Location or Area Served: Enforcement Agency: Permit Number: Note: Submit one Certificate of Acceptancefor each system that must demonstrate compliance. Enforcement Agency Use: Checked by/Date FIELD TECHNICIAN'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am the person who performed the acceptance requirements verification reported on this Certificate of Acceptance (Field Technician). • I certify that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. Company Name: Field Technician's Name: Field Technician's Signature: Responsible Person's Signature: Date Signed: Position With Company (Title): RESPONSIBLE PERSON'S DECLARATION STATEMENT • [ certify under penalty of perjury, under the laws of the State of California, that I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this form. • I am a licensed contractor, architect, or engineer, who is eligible under Division 3 of the Business and Professions Code, in the applicable classification, to take responsibility for the scope of work specified on this document and attest to the declarations in this statement (responsible person). • I certify that the information provided on this form substantiates that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAT • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. • 1 will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: Phone: Responsible Person's Name: Responsible Person's Signature: License: Date Signed: Position With Company (Title): 2008 Nonresidential Acceptance Forms August 2009 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-MECH-3A (Revised 08/09) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE MECH-3A NA7.5.2 Constant Volume Single Zone Unitary Air Conditioner and Heat Pump Systems (Page 4 of 4 Project Name/Address: System Name or Identification/Tag: 7System Location or Area Served: C. PASS / FAIL Evaluation (check one): PASS: All Construction Inspection responses are complete and all applicable Testing Results responses are "Pass" (P) ❑ FAIL: Any Construction Inspection responses are incomplete OR there is one or more "Fail" (F) responses in Testing Results section. Provide explanation below. Use and attach additional paizes if necessary. 2008 Nonresidential Acceptance Forms August 2009 STATE OF CALIFORNIA AIR DISTRIBUTION SYSTEMS ACCEPTANCE CEC-MECH-4A (Revised 06/12) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE MECH-4A Air Distribution Systems Acceptance Pae 1 of 4 Project Name/Address: System Name or IdentificatiorvTag: System Location or Area Served: Enforcement Agency: Permit Number: Note: Submit one Certificate of Acceptancefor each system that must demonstrate compliance. Enforcement Agency Use: Checked by/Date FIELD TECHNICIAN'S DECLARATION STATEMENT 1. 1 certify under penalty of perjury, under the laws of the State of California, the informatiorovided on this form is true and correct. 2. I am the person who performed the acceptance requirements verification reported this Certificate of Acceptance (Field Technician). 3. I certify that the construction/installation identified on this form complies ' the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to a applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. I have confirmed that the Installation Certificate(s) for the constru ' n/installation identified on this form has been completed and is posted or made available with the building permit(s) issued fo a building. Company Name: Field Technician's Name: Field Technician's Signature: Responsible Person's Signature: Date SignP& Position With Company (Title): RESPONSIBLE PERSON'S DECLARATION STATEMENT 5. 1 certify under penalty of perjury, and the laws of the State of California, that I am the Field Technician, or the Field Technician is acting on my behalf as my employ or my agent and I have reviewed the information provided on this form. 6. I am a licensed contractor, archier or engineer, who is eligible under Division 3 of the Business and Professions Code, in the applicable classification, to tak onsibility for the scope of work specified on this document and attest to the declarations in this statement (responsible pe n). 7. I certify that the informati provided on this form substantiates that the construction/installation identified on this form complies with the acceptance req . ments indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acce requirements and procedures specified in Reference Nonresidential Appendix NA7. 8. I have confirmed th the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made vailable with the building permit(s) issued for the building. 9. I will ensure a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permit(s) iss d for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed cop 3 ththis Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: Phone: Responsible Person's Name: Responsible Person's Signature: License: Date Signed: Position With Company (Title): 2008 Nonresidential Acceptance Forms June 2012 STATE OF CALIFORNIA AIR DISTRIBUTION SYSTEMS ACCEPTANCE CFC-MECH-4A (Revised 08/12) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE MECH-4A Air Distribution Systems Acceptance (Page 2 of 4 Project Name/Address: System Name or Identification/Tag: System Location or Area Served: Intent: New single zone supply ductwork must be less than 6% leakage rate per §144(k) or §149(b)Di, existing single zone ductwork must be less than 15% leakage or other compliance path per §149(b)Dii or §149(b)E. Construction Inspection 1 New Buildings — Test required if called out on the MECH-1-C Performance Run, or all checkboxes 1(a) through 1(c) are checked for Prescriptive Package. Existing Buildings — Test required if I (a) through I (d) are checked Ductwork conforms to the following (note if any of these are not checked, then this test is not required): 1 a) Connected to a constant volume, single zone air conditioners, heat pumps, or furnaces Ib) Serves less than 5000 square feet of floor area I c) Has more than 25% duct surface area located in one or more of the following spaces YEE11 Outdoors A space directly under a roof where the U -factor of the roof is greater than U -factor of the ceiling k - A space directly under a roof with fixed vents or openings to the outside or unconditioned spaces I - An unconditioned crawlspace - Other unconditioned spaces ❑ I d) A duct is extended or any of the following replaced: air handler, outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger. 2 Instrumentation to perform test includes: a. Duct Pressure Test 3 Material and Installation. Complying new duct systems shall have a checked box for all of the following categories a through f a. Choice of drawbands (check one of the following) ❑ Stainless steel worm -drive hose clamps ❑ UV -resistant nylon duct ties ❑ b. Flexible ducts are not constricted in any way ❑ c. Duct leakage tests performed before access to ductwork and connections are blocked d. Joints and seams are not sealed with cloth back rubber adhesive tape unless used in combination with ❑ Mastic and drawbands. Cloth backed tape may be used if tape has been approved by the CEC. ❑ e. Duct R -values are verified R-8 per 124(a) in non -conditioned spaces. ❑ f. Ductwork located outdoors has insulation that is protected from damage and suitable for outdoor service g. A sticker has been affixed to the exterior surface of the air handler access door Per NA 2.3.8.5 (example ❑ located in Chapter 10 of the Nonresidential Compliance Manual). 2008 Nonresidential Acceptance Forms June 2012 STATE OF CALIFORNIA AIR DISTRIBUTION SYSTEMS ACCEPTANCE CEC-MECH-4A (Revised 06/12) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE MECH-4A Air Distribution Systems Acceptance (Page 3 of 4 Project Name/Address: System Name or Identification/Tag: System Location or Area Served: Nominal Rated Fan Flow Calculations Enter Values 1 Determine Nominal Rated Fan Flow using one of the following two calculation methods: 4 a) Cooling system method: Nominal Cooling Capacity tons x 400 cfin/ton)= cfin T-0 Piss 0 I ai I b) Heating system method (for heating only units): Ou ut Capacity tuh x 21.7 cfin/kBtuh = cfin 2 Enter the rated fan flow value from calculations 1(a) or 1(b) (cfin) System for Duct System Alteration and/or Equipment Change -Out. Completely New or Replacement Duct System: 3 Duct Pressurization Test Results (CFM @ 25 Pa). Enter Tested Leakage Flow in CFM: 4 Pass if Leakage Percentage <6%: [ (Line # 3) / (Line # 2)] x 100% T-0 Piss 0 I ai I Pre-existing Duct System with Duct Alteration and/or HVAC Equipment Change -Out: 5 Enter Tested Leakage Flow in CFM: Pre -Test of Existing or Altered Duct System prior to Duct System Alteration and/or Equipment Change -Out. 6 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. Use one of the following three tests or verification standards for compliance: 7 Pass if Leakage Percentage <15% [ (Line # 6) / (bine # 2)] x 100% % ❑ Pass ❑ Fail Pass if Leakage Reduction is >60% and all Accessible Leaks are sealed as confirmed by 8 Visual Inspection and Verification*. % ❑ Pass ❑ Fail Leakage reduction = I 1 - (Line#6) Lin x 100% 9 Pass if all Accessible Leaks are sealed as confirmed by Visual Inspection and ❑Pass 13 Fail Verification* by HERS rater (sampling rate 100% by HERS rater) Pass if One of Lines # 7 through # 9 pass ❑ Pass ❑ Fail * Visual Inspection and Verification requirements 1.Visually inspect to verify that the following locations have been sealed: ❑ Connections to plenums and other connections to the forced air unit ❑ Refrigerant line and other penetrations into the forced air unit ❑ Air handler door panel (do not use permanent sealing material, metal tape is acceptable) ❑ Register boots sealed to surrounding material ❑ Connections between lengths of duct, as well as connections to takeoffs, wyes, tees, and splitter boxes. 2. Visually inspect to verify that portions of the duct system that are excessively damaged have been replaced. Ducts that are considered to be excessively damaged are: ❑ Flex ducts with the vapor barrier split or cracked with a total linear split or crack length greater than 12 inches ❑ Crushed ducts where cross-sectional area is reduced by 30 percent or more ❑ Metal ducts with rust or corrosion resulting in leaks greater than 2 inches in any dimension 2008 Nonresidential Acceptance Forms June 2012 STATE OF CALIFORNIA AIR DISTRIBUTION SYSTEMS ACCEPTANCE CEG-MECH-4A (RevisM 08/12) CALIFORNIA ENERGY COMMISSION 0 CERTIFICATE OF ACCEPTANCE MECH-4A Air Distribution Systems Acceptance (Page 4 of 4 Project Name/Address: System Name or Identification/Tag: System Location or Area Served: ❑ Ducts that have been subject to animal infestation resulting in leaks greater than 2 inches in any dimension 2008 Nonresidential Acceptance Forms June 2012 HEATING AIR CONDITIONING PO BOX 2031 BRENTWOOD, CA 94513 PH. (408)422-2021 FX. (866)849-1960 CSCL#811513 SUBJECT: SYSTEM:- 1 �. 2 Area Serviced No. Type Size Design Prelim % of Design Final Air % of Design Airflow Airflow Airflow C1°s 10" 3toD ', Lo C'bp �O1r+�C t/lS it 7 D C1 01 ' c -7S ICY -75 Cly 4 3� c7010 Li W/avi �% '�f 21-w e I ;ZC) o I o. 32d 32;1 b U [oil 22Q3?z 10" 13W ' 3W 31 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-MECH-2A (Revised 08/09) CALIFORNIA ENERGY COMMISSION 0 CERTIFICATE OF ACCEPTANCE MECH-2A NA7.5.1 Outdoor Air Acceptance (Page 1 of 3 Project N e/Address: &04�*two, System Naipe or Identification/Tag: System Location or Areja,Seerveed•- Enforcement Agency: Permit Number: Note: Submit one Certificate of Acceptance for each system that must demonstrate compliance. Enforcement Agency Use: Checked by/Date FIELD TECHNICIAN'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am the person who performed the acceptance requirements verification reported on this Certificate of Acceptance (Field Technician). • I certify that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. Compan Name: Phone: 140 t> -L ] �.1 1 Field Technician's Name: � Field T 'clan's Signature: License: Date Signed: Position With Company (Title): CSI - I " 1 LO —ret -L4 VI I cto1 RESPONSIBLE PERSON'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, that I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this form. • I am a licensed contractor, architect, or engineer, who is eligible under Division 3 of the Business and Professions Code, in the applicable classification, to take responsibility for the scope of work specified on this document and attest to the declarations in this statement (responsible person). • I certify that the information provided on this form substantiates that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. • I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Company Na r � Phone: 140 t> -L ] �.1 1 Responsible Pe� Name- Res ib a Person's Signature: License: Date Signed: q- I - t lP Position With Company (Title): 2008 Nonresidential Acceptance Forms August 2009 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-MECH-2A (Revised 08/09) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE MECH-2A NA7.5.1 Outdoor Air Acceptance Wage 2 of 3 Project Name/Address: System Name or Identification/Tag: System Location or Area Served: Intent: Verify measured outside airflow reading is within f 10% of the total required outside airflow value found in the Standards Mechanical Plan (MECH-3C, Column H or Column I), per NA7.5.1. Construction Inst)ection 1 Instrumentation to perform test includes, but not limited to: a. Watch b. Calibrated means to measure airflow 2 Check one of the following: ❑ Variable Air Volume (VAV) - Check as appropriate: a• Sensor used to control outdoor air flow must have calibration certificate or be field calibrated ❑ Calibration certificate (attach calibration certification) ❑ Field calibration (attach results) Constant Air Volume (CAV) - Check as appropriate: System is designed to provide a fixed minimum OSA when the unit is on NA7.5.1.1 Outdoor Air Acceptance A. Functional Testing (Check appropriate column) CAV a. Verify unit is not in economizer mode during test - check appropriate column Step 1: CAV and VAV testing at full supply airflow a. Adjust supply to achieve design airflow b. Measured outdoor airflow reading (cfm) t 7 c. Required outdoor airflow (cfin) (from MECH-3C, Column I) j 1 d. Time for outside air damper to stabilize after VAV boxes open (minutes) e. Return to initial conditions (check) Step 2: VAV testing at reduced supply airflow a. Adjust supply airflow to either the sum of the minimum zone airflows or 30% of the total design airflow b. Measured outdoor airflow reading (cfin) C. Required outdoor airflow (cfin) (from MECH-3C, Column I) d. Time for outside air damper to stabilize after VAV boxes open and minimum air flow achieved minutes e. Return to initial conditions (check) B. Testing Calculations & Results CAV V A V Percent OSA at full supply airflow (%OAFA for Step 1) a. %OAFA = Measured outside air reading /Required outside air (Steplb/Steplc) j pZ % % b. 901/0 < %OAFA 5110% / N Y / N C. Outside air damper position stabilizes within 15 minutes (Step 1 d < 15 minutes) / N Y / N Percent OSA at reduced supply airflow (%OARA for Step 2) a. %OARA = Measured outside air reading /Required outside air (Step2b/Step2c) % % b. 900/o:5 %OARA5110% Y / N 2008 Nonresidential Acceptance Forms August 2009 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-MECH-2A (Revised 08/09) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE MECH-2A NA7.5.1 Outdoor Air Acceptance (Page 3 of 3 Project Name/Address: System Name or Identification/Tag: System Location or Area Served: c. I Outside air damper position stabilizes within 15 minutes (Step 2d < 15 minutes) Y / N Note. Shaded boxes do not apply for CAV systems C. PASS /FAIL Evaluation (check one): PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive (Y - yes) E) FAIL: Any Construction Inspection responses are incomplete OR there is one or more negative (N - no) responses in Testing Calculations & Results section. Provide explanation below. Use and attach additional pages if necessary. 2008 Nonresidential Acceptance Forms August 2009 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY AIR CONDITIONER AND HEAT PUMP SYSTEMS r K CEC-MECH-3A (Revised 08/09) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE MECH-3A NA7.5.2 Constant Volume Single Zone Unitary Air Conditioner and Heat Pump Systems (Page 1 of 4 Project Name/Address: System Name or IdentificationtTag: System Location or Area Served: Enforcement Agency: Permit Number: Note: Submit one Certificate of Acceptancefor each system that must demonstrate compliance. Enforcement Agency Use: Checked by/Date FIELD TECHNICIAN'S DECLARATION STATEMENT • 1 certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am the person who performed the acceptance requirements verification reported on this Certificate of Acceptance (Field Technician). • I certify that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permits) issued for the building. Company Name: Field Technician's Name: Field Technician's Signature: Responsible Person's Signature: Date Signed: Position With Company (Title): RESPONSIBLE PERSON'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, that I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this form. • I am a licensed contractor, architect, or engineer, who is eligible under Division 3 of the Business and Professions Code, in the applicable classification, to take responsibility for the scope of work specified on this document and attest to the declarations in this statement (responsible person). • I certify that the information provided on this form substantiates that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. • I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: Phone: Responsible Person's Name: Responsible Person's Signature: License: Date Signed: Position With Company (Title): 2008 Nonresidential Acceptance Forms August 2009 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-MECH-3A (Revised 08/09) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE MECH-3A NA7.5.2 Constant Volume Single Zone Unitary Air Conditioner and Heat Pump Systems (Page 2 of 4 Project Name/Address: System Name or Identification/Tag: System Location or Area Served: Intent: I I Verify the individual components of a constant volume, single -zone, unitary air conditioner and heat pump system function correctly, I including: thermostat installation and programming, supply fan, heating, cooling, and damper operation per NA 7.5.2 Construction In 1. Instrumentation to perform test includes, but not limited to: a. None required 2. Installation thermostat is located within the space -conditioning zone that is served by the HVAC system. 3. Programming (check all of the following): r1'Thermostat meets the temperature adjustment and dead band requirements of 122(b) IGUccupied, unoccupied, and holiday schedules have been programmed per the facility's schedule. has been programmed to meet the requirements of Standards Section 121(c A. Functional Testing Requirements Operating Modes Cooling load during unoccupied condition Cooling load during occupied condition Manual override No-load during unoccupied condition Heating load during unoccupied condition No-load during occupied condition Heating load during occupied condition Step 1: Check and verify the following for each simulation mode required A B C D E F G a• Supply fan operates continuallyLR"4oT 01 Er b• Supply fan turns off C. Supply fan cycles on and off d. System reverts to "occupied" mode to satisfy any condition e. System turns off when manual override time period expires f Gas-fired furnace, heat pump, or electric heater stages on 9. Neither heating or cooling is provided by the unit h - No heating is provided by the unit El- i. No cooling is provided by the unit J Compressor stages on -[S k. Outside air damper is open to minimum position ] _E� I Outside air damper closes completely m• System returned to initial operating conditions after all tests have been completed: t1 N B. Testing Results A B C D E F G Indicate if Passed (P), Failed (F), or N/A (X), fill in appropriate letter e 2008 Nonresidential Acceptance Forms August 2009 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-MECH-3A (Revised 08/09) CALIFORNIA ENERGY COMMISSION 'ON4, / CERTIFICATE OF ACCEPTANCE MECH-3A NA7.5.2 Constant Volume Single Zone Unitary Air Conditioner and Heat Pump Systems (Page 3 of 4 Project Name/Address: System Name or Identification/Tag: System Location or Area Served: 2008 Nonresidential Acceptance Forms August 2009 STATE OF CALIFORNIA AIR DISTRIBUTION SYSTEMS ACCEPTANCE CFC-MECH-4A (Revised 06/12) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE MECH-4A Air Distribution Systems Acceptance (Page 1 of 4 Project Name/Address: System Name or Identification/Tag: System Location or Area Served: Enforcement Agency: Permit Number: Note: Submit one Certificate of Acceptancefor each system that must demonstrate compliance. Enforcement gency Use: Checked by/Date FIELD TECHNICIAN'S DECLARATION STATEMENT 1. I certify under penalty of perjury, under the laws of the State California, the information provided on this form is true and correct. 2. I am the person who performed the ac/AppeNA7. ire nts verification reported on this Certificate of Acceptance (Field Technician). 3. I certify that the construction/installaton this form complies with the acceptance requirements indicated in the plans and specifications approved by the enency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential7.4. I have confirmed that the Installation for the construction/installation identified on this form has been completed and is posted or made available with the bt(s) issued for the building. Company Name.. Field Technician's Name: Field Technician's Signature: Responsible Person's Signature: Date Signed: Position With Company (Title): RESPONSIBLE PE SON'S DECLARATION STATEMENT 5. I certify under alty of perjury, under the laws of the State of California, that I am the Field Technician, or the Field Technician is acting on my half as my employee or my agent and I have reviewed the information provided on this form. 6. I am a lice d contractor, architect, or engineer, who is eligible under Division 3 of the Business and Professions Code, in the applicable assification, to take responsibility for the scope of work specified on this document and attest to the declarations in this state ent (responsible person). 7. I certi that the information provided on this form substantiates that the construction/installation identified on this form complies with a acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the plicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 8. I ve confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and s posted or made available with the building permit(s) issued for the building. 9. I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: Phone: Responsible Person's Name: Responsible Person's Signature: License: Date Signed: Position With Company (Title): 2008 Nonresidential Acceptance Forms June 2012 STATE OF CALIFORNIA AIR DISTRIBUTION SYSTEMS ACCEPTANCE r.Fr._MFr.N-AA tRavigpd nR/171 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE MECH-4A Air Distribution Systems Acceptance (Page 2 of 4 Project Name/Address: System Name or Identification/Tag: System Location or Area Served: Intent: New single zone supply ductwork must be less than 6% leakage rate per §144(k) or §149(b)Di, existing single zone ductwork must be less than 15% leakage or other compliance path per §149(b)Dii or §149(b)E. Construction Inspection l New Buildings — Test required if called out on the MECH-1-C Performance Run, or all checkboxes 1(a) through 1(c) are checked for Prescriptive Package. Existing Buildings — Test required if 1(a) through I (d) are checked Dork conforms to the following (note if any of these are not checked, then this test is not required): 7 la) Connected to a constant volume, single zone air conditioners, heat pumps, or furnaces 1 b) Serves less than 5000 square feet of floor area ❑ lc) Has more than 25% duct surface area located in one or more of the following spaces - Outdoors - A space directly under a roof where the U -factor of the roof is greater than U -factor of the ceiling -A space directly under a roof with fixed vents or openings to the outside or unconditioned spaces - An unconditioned crawlspace - Other unconditioned spaces ❑ 1d) A duct is extended or any of the following replaced: air handler, outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger. 2 Instrumentation to perform test includes: a. Duct Pressure Test 3 Material and Installation. Complying new duct systems shall have a checked box for all of the following categories a through f. a. Choice of drawbands (check one of the following) ❑ Stainless steel worm -drive hose clamps ❑ UV -resistant nylon duct ties ❑ b. Flexible ducts are not constricted in any way ❑ c. Duct leakage tests performed before access to ductwork and connections are blocked d. Joints and seams are not sealed with cloth back rubber adhesive tape unless used in combination with ❑ Mastic and drawbands. Cloth backed tape may be used if tape has been approved by the CEC. ❑ e. Duct R -values are verified R-8 per 124(a) in non -conditioned spaces. ❑ f. Ductwork located outdoors has insulation that is protected from damage and suitable for outdoor service g. A sticker has been affixed to the exterior surface of the air handler access door Per NA 2.3.8.5 (example ❑ located in Chapter 10 of the Nonresidential Compliance Manual). 2008 Nonresidential Acceptance Forms June 2012 STATE OF CALIFORNIA AIR DISTRIBUTION SYSTEMS ACCEPTANCE CEC-MECH-4A (Revised 06/12) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE MECH-4A Air Distribution Systems Acceptance (Page 3 of 4 Project Name/Address: System Name or IdentificationfFag: System Location or Area Served: Nominal Rated Fan Flow Calculations Enter Values 1 Determine Nominal Rated Fan Flow using one of the following two calculation m ods• 4 a) Cooling system method: Nominal Cooling Capacity tons x 400 cfin/ton)= cfin b) Heating system method (for heating only units): Output Capacity tuh x 21.7 cfm/kBtuh = cfin % 2 Enter the rated fan flow value from calculations 1(a) or 1(b) (cfm) Completely New or Replacement Duct System: 3 Duct Pressurization Test Results (CFM @ 25 Pa). Xter Tested Leakage Flow in CFM: 4 Pass if Leakage Percentage <6%: f ( e # 3) / (Line # 2)] x 100% % 1 ❑ Pass ❑ Fail Pre-existing Duct System with Duct Alteon and/or HVAC Equipment Change -Out: 341 5 Enter Tested Leakage Flow in CFM: Test of Existing or Altered Duct System prior to ' Duct System Alteration and/or Eq ment Change -Out. 6 Enter Tested Leakage Flow inM: Final Test of New Duct System or Altered Duct System for Duct System Alte tion and/or Equipment Change -Out. Use one of the following thre tests or verification standards for compliance: 7 Pass if Leakage Perce ge <15% [ (Line # 6) / (Line # 2)] x 100% % ❑Pass ❑Fail Pass if Leakageuction is >60% and all Accessible Leaks are sealed as confirmed by 8 Visual Inspecti and Verification*. % ❑ Pass ❑ Fail Leakage red ion = I 1 - (Lineft) ine# x 100% 9 Pass if all ccessible Leaks are sealed as confirmed by Visual Inspection and ❑ Pass ❑ Fail Verifi on* by HERS rater (sampling rate 100% by HERS rater) rt— Pass if One of Lines # 7 through # 9 pass ❑ Pass ❑ Fail * Visual Inspection and Verification requirements LVisually inspect to verify that the following locations have been sealed: ❑ Connections to plenums and other connections to the forced air unit ❑ Refrigerant line and other penetrations into the forced air unit ❑ Air handler door panel (do not use permanent sealing material, metal tape is acceptable) ❑ Register boots sealed to surrounding material ❑ Connections between lengths of duct, as well as connections to takeoffs, wyes, tees, and splitter boxes. 2. Visually inspect to verify that portions of the duct system that are excessively damaged have been replaced. Ducts that are considered to be excessively damaged are: ❑ Flex ducts with the vapor barrier split or cracked with a total linear split or crack length greater than 12 inches ❑ Crushed ducts where cross-sectional area is reduced by 30 percent or more ❑ Metal ducts with rust or corrosion resulting in leaks greater than 2 inches in any dimension 2008 Nonresidential Acceptance Forms June 2012 STATE OF CALIFORNIA AIR DISTRIBUTION SYSTEMS ACCEPTANCE t CFC-MFCH-4A !Revised 06/121 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE MECH-4A Air Distribution Systems Acceptance (Page 4 of 4 Project Name/Address: FSystem Name or Identification/Tag: System Location or Area Served: Ducts that have been subject to animal infestation resulting in leaks greater than 2 inches in any dimension 2008 Nonresidential Acceptance Forms June 2012 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-01-E Revised 08115 CALIFORNIA ENERGY COMMISSION T CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 1 of 6) Project Name: THe Kebab Shop / 19800 Vallco Pkwy #500 Cupertino CA 95014 Date Prepared: 8/3/2016 A. General Information Climate Zone: 4 Conditioned Floor Area : 2,003 Unconditioned Floor Area : 0 Building Type: El Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel ❑ Schools ❑ Relocatable Public Schools b Conditioned Spaces ❑ Unconditioned Spaces Phase of Construction: ❑ New Construction ❑ Addition d Alteration Method of Compliance: ❑ Complete Building (3 Area Category ❑ Tailored Project Address: 19800 Vallco Pkwy #500 Cupertino CA 95014 S. Lighting Compliance Documents (select yes for each document included) For detailed instructions on the use of this and all Energy Efficiency Standards compliance documents, refer to the Nonresidential Manual published by the California Energy Commission. YES NO FORM TITLE ✓ NRCC-LTI-01-E Certificate of Compliance. All Pages required on plans for all submittals. ✓ NRCC-LTI-02-E Lighting Controls, Certificate of Compliance, and PAF Calculation. All Pages required on plans for all submittals. ✓ NRCC-LTI-03-E Indoor Lighting Power Allowance ✓ NRCC-LTI-04-E Tailored Method Worksheets ✓ NRCC-LTI-05-E Line Voltage Track Lighting Worksheets CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-01-E (Revised 08/15) CALIFORNIA ENERGY COMMISSION —44PFr CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 2 of 6) Project Name: THe Kebab Shop / 19800 Vallco Pkwy #500 Cupertino CA 95014 Date Prepared: 8/3/2016 C. Summary of Allowed Lighting Power Conditioned and Unconditioned space Lighting must not be combined for compliance Indoor Lighting Power for Conditioned Spaces Indoor Lighting Power for Unconditioned Spaces Form/Title Watts Watts ❑ Field Inspector Installed Lighting Installed Lighting NRCI-LTI-02-E - Must be submitted for a lighting control system, or for an Energy Management Control System (EMCS), ✓ 1• NRCC-LTI-01-E, page 4 + 1,259 NRCC-LTI-01-E, page 4 + 0 2 PORTABLE ONLY FOR OFFICES ❑Field Inspector NRCI-LTI-04-E - Must be submitted for two interlocked systems serving an auditorium, a convention center, a NRCC-LTI-01-E, page 3 + ✓ conference room, a multipurpose room, or a theater to be recognized for compliance. 3 Minus Lighting Control Credits ✓ NRCI-LTI-05-E - Must be submitted for a Power Adjustment Factor (PAF) to be recognized for compliance. Minus Lighting Control Credits NRCI-LTI-06-E - Must be submitted for additional wattage installed in a video conferencing studio to be recognized for NRCC-LTI-02-E, page 2 0 NRCC-LTI-02-E, page 2 ❑Field Inspector 0 4. Adjusted Installed Lighting Power = 1,259 Adjusted Installed Lighting Power - (row 1 plus row 2 minus row 3) (row 1 minus row 3) 0 5. Complies ONLY if Installed:5 Allowed Complies ONLY if Installed <— Allowed 6. Allowed Lighting Power Allowed Lighting Power Conditioned NRCC-LTI-03-E, page 1 2'485 Unconditioned NRCC-LTI-03-E, page 1 0 D. Declaration of Required Installation Certificates Declare by selecting yes for all Installation Certificates that will be submitted. (Retain copies and verify forms are completed and signed.) YES NO Form/Title ✓ NRCI-LTI-01-E - Must be submitted for all buildings ❑ Field Inspector NRCI-LTI-02-E - Must be submitted for a lighting control system, or for an Energy Management Control System (EMCS), ✓ to be recognized for compliance. ❑Field Inspector NRCI-LTI-03-E - Must be submitted for a line -voltage track lighting integral current limiter, or for a supplementary ✓ overcurrent protection panel used to energize only line -voltage track lighting, to be recognized for compliance. ❑Field Inspector NRCI-LTI-04-E - Must be submitted for two interlocked systems serving an auditorium, a convention center, a ✓ conference room, a multipurpose room, or a theater to be recognized for compliance. ❑Field Inspector ✓ NRCI-LTI-05-E - Must be submitted for a Power Adjustment Factor (PAF) to be recognized for compliance. ❑ Field Inspector NRCI-LTI-06-E - Must be submitted for additional wattage installed in a video conferencing studio to be recognized for compliance. ❑Field Inspector CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 ` STATE OF CALIFORNIA INDOOR LIGHTING :;EC-NRCG1-TI-01-E (Revised 08/15) CALIFORNIA ENERGY COMMISSION '"W CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 3 of 6) Project Name: THe Kebab Shop / 19800 Vallco Pkwy #500 Cupertino CA 95014 Date Prepared: 8/3/2016 E. Declaration of Required Certificates of Acceptance Declare by checking all of the Certificates of Acceptance that will be submitted. (Retain copies and verify forms are completed and signed.) YES NO Form/Title ✓ NRCA-LTI-02-A - Must be submitted for occupancy sensors and automatic time switch controls. ❑ Field Inspector ✓ NRCA-LTI-03-A - Must be submitted for automatic daylight controls. ❑ Field Inspector ✓ NRCA-LTI-04-A - Must be submitted for demand responsive lighting controls. ❑ Field Inspector A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces. Installed Lighting Power listed on this Lighting Schedule is only for: gJ CONDITIONED SPACE ❑ UNCONDITIONED SPACE F. Indoor Lighting Schedule and Field Inspection Energy Checklist ❑ The actual indoor lighting power listed on this page and on the next page includes all installed permanent and planned portable lighting systems. ❑ When Complete Building Method is used for compliance, list each different type of luminaire on separate lines. ❑ When Area Category Method or Tailored Method is used for compliance, list each different type of luminaire by each different function area on separate lines ❑ Also include track lighting in schedule, and submit the track lighting compliance form (NRCC-LTI-05-E) when line -voltage track lighting is installed. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 STATE OF CALIFORNIA INDOOR LIGHTING �f A (;EU-NRGC-LII-01-E (Revised 08/15) CALIFORNIA ENERGY COMMISSION -qWp� CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 4 of 6) Project Name: THe Kebab Shop/ 19800 Vallco Pkwy #500 Cupertino CA 95014 Date Prepared: $/3/2016 G. Installed Portable Luminaires in Offices — Exception to Section 14O.6(a) ❑ This section shall be filled out ONLY for portable luminaires in offices (As defined in §100.1). All other planned portable luminaires shall be documented on next page of this compliance form. ❑ This section is used to determine if greater than 0.3 watts of portable lighting is planned for any office ❑ Fill out a separate line for each different office. Small offices that are typical (having the same general and portable lighting) may be grouped together. This allowance shall not be traded between offices having different lighting systems. Office Portable Luminaire Schedule Office Installed Portable Luminaire Watts Per Square Foot Office Location Field Inspector 1 2 3 4 5 6 7 8 9 10 Installed If F 5 0.3, portable Watts enter v luminaire Q per zero; Identify Office area in c watts in v - square G05 x G07 which these portable Pass Fail Complete Luminaire Description Z J this office N _r_ foot if G06 > luminaires are installed (i.e., LED, under cabinet, furniture mounted Watts per (G02 x (G04 / 0.3, direct/indirect) Luminaire G03) GOS) (G06-0.3) ❑ ❑ ❑ ❑ Enter sum total of all pages into NRCC-LTI- Total installed portable luminaire watts that are greater than 0.3 watts per square foot per office: 01-E; Page 1 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 STATE OF CALIFORNIA INDOOR LIGHTING (;EU-NRCGLI1-01-E (Revised 08115) CALIFORNIA ENERGY COMMISSION 'w' CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 5 of 6) Project Name: THe Kebab Shop / 19800 Vallco Pkwy #500 Cupertino CA 95014 Date Prepared: 8/3/2016 A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces. Installed Lighting Power listed on this Lighting Schedule is only for: ❑ CONDITIONED SPACE ❑ UNCONDITIONED SPACE H. INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Luminaire Schedule Installed Watts Location Field Inspector A B C D E F G H How wattage was determined 0 v v `o c° Complete Luminaire Description n •F a o °�° 0 a`, Y Ln cSU _ d E (i.e, 3 lamp fluorescent troffer, N C ? v Z E O 0 0 .0 C 'E X ? rn Primary Function area in which aE, z—' F32T8, one dimmable electronic ballast) 3 u w a w, Z 3 = these luminaires are installed Pass Fail A F32t8 65.0 ❑ 7 455 Kitchen, Food Preparation ❑ ❑ B B -26W 26.0 ❑ A 2 52 Corridor/Restroom/Support ❑ ❑ B B -26W 26.0 ❑ 0 8 208 Kitchen, Food Preparation ❑ ❑ C C- 32W 32.0 ❑ Q 1 32 Corridor/Restroom/Support ❑ ❑ C C- 32W 32.0 ❑ A 16 512 Dining ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ INSTALLED WATTS PAGE TOTAL: 1,259 Enter sum total of all pages into NRCC-LTI-01-E; Page 2 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-01-E (Revised 08/15) CALIFORNIA ENERGY COMMISSION T CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 6 of 6) Project Name: THe Kebab Shop / 19800 Vallco Pkwy #500 Cupertino CA 95014 Date Prepared: 8/3/2016 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. / i Documentation Author Name: Documentation Author Signature: Igor Pichko Company: Signature Date: Energy Consult LLC 8/3/2016 Address: 411 N. Harbor Blvd. Ste. 205 CEA Certification Identification (if applicable): CEA #R13-14-10031 City/State/zip: San Pedro, CA 90731 Phone: (424)247-7658 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. 1 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. 1 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: a nee � caS � Responsible Designer Sign company: {� 0 �` \� G Date Signed: n v( / a.3 L V/ Address: �KOr `\ D J T License: sAr('q� City/State/Zip; ` \ Phone: i/O O 7�14 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 STATE OF CALIFORNIA INDOOR LIGHTING - LIGHTING CONTROLS CFC-NRCC-LTI-02-E (Revised 08115) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting - Lighting Controls (Page 1 of 3) ProjectName: THe Kebab Shop/ 19800 Vallco P" #500 Cupertino CA 95014 Date Prepared: 8/3/2016 The NRCC-LTI-02-E shall be used to document all mandatory and prescriptive lighting controls that are applicable to the project. A. Mandatory Lighting Control Declaration Statements (Indicate if the measure applies by checking yes or no below.) YES NO Control Requirements Lighting shall be controlled by self-contained lighting control devices which are certified to the Energy Commission according to the Title 20 Appliance ✓ Efficiency Regulations in accordance with Section 110.9. Lighting shall be controlled by a lighting control a system or energy management control system in accordance with §110.9. An Installation Certificate ✓ shall be submitted in accordance with Section 130.4(b). One or more Track Lighting Integral Current Limiters shall be installed which have been certified to the Energy Commission in accordance with §110.9 and ✓ §130.0. Additionally, an Installation Certificate shall be submitted in accordance with Section 130.4(b). A Track Lighting Supplementary Overcurrent Protection Panel shall be installed in accordance with Section 110.9 and Section 130.0. Additionally, an ✓ Installation Certificate shall be installed in accordance with Section 130.4(b). All lighting controls and equipment shall comply with the applicable requirements in §110.9 and shall be installed in accordance with the manufacturer's ✓ instructions in accordance with Section 130.1. ✓ All luminaires shall be functionally controlled with manually switched ON and OFF lighting controls in accordance with Section 130.1(a). General lighting shall be separately controlled from all other lighting systems in an area. Floor and wall display, window display, case display, ornamental, ✓ and special effects lighting shall each be separately controlled on circuits that are 20 amps or less. When track lighting is used, general, display, ornamental, and special effects lighting shall each be separately controlled; in accordance with Section 130.1(a)4. The general lighting of any enclosed area 100 square feet or larger, with a connected lighting load that exceeds 0.5 watts per square foot shall meet the multi-level lighting control requirements in accordance with Section 130.1(b). ✓ All installed indoor lighting shall be equipped with controls that meet the applicable Shut -OFF control requirements in Section 130.1(c). ✓ Lighting in all Daylit Zones shall be controlled in accordance with the requirements in Section 130.1(d) and daylit zones are shown on the plans. Lighting power in buildings larger than 10,000 square feet shall be capable of being automatically reduced in response to a Demand Responsive Signal in ✓ accordance with Section 130.1(e). Before an occupancy permit is granted for a newly constructed building or area, or a new lighting system serving a building, area, or site is operated for ✓ normal use, indoor lighting controls serving the building, area, or site shall be certified as meeting the Acceptance Requirements for Code Compliance in accordance with Section 130.4.(a). The controls required to meet the Acceptance Requirements include automatic daylight controls, automatic shut -OFF controls, and demand responsive controls. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 STATE OF CALIFORNIA INDOOR LIGHTING — LIGHTING CONTROLS M", UEC-NRCC-LTI-02-E (Revised 08/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting - Lighting Controls (Page 2 of 3) Project Name THe Kebab Shop / 19800 Vallco Pkwy #500 Cupertino CA 95014 °atePr'Pdfed' 8/3/2016 A separate document must be filled out for Conditioned and Unconditioned Spaces. This page is used only for the following: © CONDITIONED SPACES ❑ UNCONDITIONED SPACES B. Mandatory and Prescriptive Indoor Lighting Control Schedule, PAF Calculation, and Field Inspection Checklist PAF Credit Calculation t CD D _T N a Standards Complying With ' n C r 7 < ? o -L n ,^� n b M (DD rrDD N Lighting Control Schedule (✓ all that apply, or enter 'E' if Exempted) N CM a o T x Y = a ° a � o A B C D E F G H I I J K L M N 0 Type/ Description of Lighting Control (i.e.: occupancy sensor, # M 'F; `?; o, o, 'a' Location in Building automatic time switch, of o 0 0 0 0 P o N v dimmer, automatic daylight, Units N a) o cr N 3 Nin a a ,, a (A _ N etc... ) each enclosed space Manual on/off 4 X X ❑ ❑ kitchen Multi -Level Control 1 X X ❑ ❑ each enclosed space Automatic Shut -OFF 4 X X ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Control Credit PAGE TOTAL (Sum of Column M): 0 IF MULTIPLE PAGES ARE USED, ENTER SUM TOTAL OF Control Credit for all pages HERE (Sum of all Column M): 0 Enter Control Credit total into NRCC-LTI-01-E; Page 1. 1. §13011(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; §140.6(d) = Additional lighting controls installed to earn a PAF, §140.6(d) = Prescriptive Secondary Sidelit Daylight Controls. 2. Check Table 140.6-A for correct Factor. PAFs shall not be traded between conditioned and unconditioned spaces. As a condition to earn a PAF, an Installation Certificate is also required to be filled out signed, and submitted. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 STATE OF CALIFORNIA INDOOR LIGHTING — LIGHTING CONTROLS CEC-NRCC-LTI-02-E Revised 08115 CALIFORNIA ENERGY COMMISSION T CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting - Lighting Controls (Page 3 of 3) Project Name: THe Kebab Shop / 19800 Vallco Pkwy #500 Cupertino CA 95014 Date Prepared: 8/3/2016 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Igor Pichko Documentation Author Signature: / signature Date: Company: Energy Consult LLC 8/3/2016 Address` 411 N. Harbor Blvd. Ste. 205 CEA Certification Identification (if applicable): City/state/zip: San Pedro, CA 90731 Phone` (424) 247-7658 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. 1 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. S. 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:r9S e tieG� � Responsible Designer Signature: Company : (� y� \ r K C M► -j� � Date Signed: Address: e4 5—Q S -% — S � License: C? 91 City/State/Zip: � ` ` � � � Phone: CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE GEC-NRCC-LTI-03-E (Revised 08/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E Certificate of Compliance - Indoor Lighting Power Allowance (Page 1 of 4) Project Name. THe Kebab Shop / 19800 Vallco PkwY #500 Cupertino CA 95014 Date Prepared. 8/3/2016 A separate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for: 13 CONDITIONED spaces ❑ UNCONDITIONED spaces A. SUMMARY TOTALS OF LIGHTING POWER ALLOWANCES ❑ If using Complete Building Method for compliance, use only the total in column (a) as total allowed building watts. ❑ If using Area Category Method, Tailored Method, or a combination of Area Category and Tailored Method for compliance, use only the total in column (b) as the total allowed building watts 2 (a) (b) 1. Complete Building Method Allowed Watts. Documented in section B of NRCC-LTI-03-E (below on this page) 4 TYPE OF BUILDING (From §140.6 Table 140.6-B) 2. Area Category Method Allowed Watts. Documented in section C-1 of NRCC-LTI-03-E (below on this page) x 2,485 3. Tailored Method Allowed Watts. Documented in section A of NRCC-LTI-04-E 0 TOTAL ALLOWED BUILDING WATTS. Enter number into correct cell on NRCC-LTI-03, Page 2, Row 1 2,485 ❑ Check here if building contains both conditioned and unconditioned areas. B. COMPLETE BUILDING METHOD LIGHTING POWER ALLOWANCE 1 2 3 4 TYPE OF BUILDING (From §140.6 Table 140.6-B) WATTS PER (ft (ft) x COMPLETE BLDG. AREA ALLOWED WATTS Total Area: Total Watts. Enter Total Watts into section A, row 1 (Above on this page) C -1 AREA CATEGORY METHOD TOTAL LIGHTING POWER ALLOWANCES (D plus E) Watts Total from section C-2 2,485 Total from section C-3 0 Total Watts. Enter Total Watts into section A, row 2 (Above on this page) 2,485 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE CEC-NRCC-LTI-03-E (Rev sed 08/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E Certificate of Compliance - Indoor Lighting Power Allowance (Page 4 of 4) PfojPn Name 1 THe Kebab Shop / 19800 Vallco Pkwy #500 Cupertino CA 95014 °dSe Pfepa`ed' 8/3/2016 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Igor Pichko Company: Energy Consult LLC Signature Date: 8/3/2016 Address: 411 N. Harbor Blvd. Ste. 205 CEA Certification Identification (if applicable): C EA #R 13-14-10031 City/state/Zip: San Pedro, CA 90731 Phone. (424) 247-7658 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. 1 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. 1 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 o cupancy. Responsible Designer Name: Q �C(j, 1 Responsible Designer Signature: Company: r-�S-L` l�e �— \IG C\1 � ` j ( 16 / v Date Signed: 201 Address: Address: ` e4a — aS ` License: 2 / City/State/Zip: y3.7 Phone: �0? CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 Pollution Control Unit Specification Construction PCU Series shall be factory assembled pollution control unit capable of significantly reducing smoke, grease and odor from the exhaust air stream. Housing: The PCU housing is to be constructed of 430 SS of polish 2B or better. All metal in contact with the air -stream is to be constructed of 430 SS. 1500°F Ceramic based gasket must be in place for all internal seams exposed to airflow. High temperature weatherproofing gasket must be used on all exterior seams. Base: The base shall be constructed of galvanized steel for improved rigidity. Base shall be structurally reinforced to accommodate the filter assembly. Pre -Filter Section: The pre filter section shall include 2 inch deep steel washable permanent filters. Filter frames shall be constructed of steel. Disposable Grease Lock filters (optional) placed upstream of the permanent filters shall be provided for improved filtration and longevity of High Efficiency Filters. Filters shall be arranged in a v -bank configuration to increase filter area and reduce static pressure. All filters shall be removable without the use of tools through side access doors with lift and turn latches. Filters are to be cleanable with a water hose and soapy water. High Efficiency Filter Section: The phase two filters shall consist of 4 inch deep rigid cell extended surface filters. Filter cell sides shall be constructed of high strength, high impact polystyrene plastic for durability. Beverage board filter sides shall not be permitted. Filters shall be arranged in a v -bank configuration to increase filter area and reduce static pressure. All filters shall be removable without the use of tools through side access doors with lift and turn latches. Filters are to be rated MERV 15 minimum in accordance with ASHRAE standard 52.2 and have a minimum average arrestance of 98% in accordance with ASHRAE 52.1-1992. High Efficiency module must be installed downstream of pre -filter module. Odor Control Media Section (Optional): The unit shall be provided with a (50% potassium/permanganate 50% carbon blend) (100% permanganate) (100% carbon) (Caustic impregnated) media. The odor removal cartridges shall be encased in steel frames. The odor removal media shall be arranged in a v -bank configuration to increase filter area and reduce static pressure. All media shall be removable without the use of tools through side access doors with lift and turn latches. Odor control module must be installed downstream of High Efficiency module or HEPA module. Advanced Filter Monitoring System (Optional): The Advanced Filter Monitoring includes a module that provides the necessary precision pressure measurements for accurate monitoring of the complete system. Based on the measurements the AFM will initiate suitable actions via the electric control package in case of a fault. Direct access to the operating conditions are also provided through the use of a HMI (Human Machine Interface), which is conveniently located on the PCU. CORE Protection Fire System (Optional): The detection portion of the fire suppression system allows for automatic detection by means of an electric thermal detector located in the intake and outlet of the unit. If the Pollution Control Unit Firestat senses a temperature hotter than its internal setpoint, an electric signal is sent to the CORE Fire System Cabinet. An electric water solenoid is energized allowing the flow of water to the Pollution Control Unit mounted manifold. The CORE fire suppression system is a pre-engineered, pollution control unit fire system that utilizes a water spray system for fast flame knock -down and suppression. REVISION Certifications The PCU Series has been certified by ITS. This certification mark indicates that the product has been tested to and has met the minimum requirements of a widely recognized (consensus) U.S. and Canadian products safety standard, that the manufacturing site has been audited, and that the applicant has agreed to a program of periodic factory follow-up inspections to verify continued performance. CUPERTINO Building Department B COPY 32016 THIS PLAN SHALL REMAIN �� THE JOB AT ALL TIMES DURIN`OVIEWED FOR CODE COMPLIANCE CONSTRU G CTION Reviewed By: Models PCU are ETL Listed under file number 3130718COL-001 and comply with UL710, ULC -S647 and ULC -S646 Standards. CaptiveAire Systems, Inc. certifies that KB models shown herein are ETL Listed under file numbers 3158877SAT-001 and comply with UL762 Standards and CSA Std C22.2, No. 113 1 DIM "S' DIM 'G"—"- +— DIM "H" L� DIM '.A" --I— DIM "A" DIM „F" DIM "A" --I— DIM "A` DIM'C" .-- ,E m " 0DII'l. caDIM KDIAd "R" DIM 'R� DIM 'i" L CAMEN5ION5 ARE 1,1111411 AND CNEN IN INGNEs G US VL710 U5TED EOR GREASE DM7 INSTALLATION A EN USED N KITCHEN GREASE DUCT. UMT MUST BE INSTALLED DOWNSTREAM OF A LISTED HOOD ASSEMBLi 'FILTER T.1l1AlIRTY SHOWN IS PER MODULE. DFAIN SUPPUM R! EACH MODULE FOR WASHDCWN Typical Installation DIM "M" u~ —DIM "C' DIM "D"ADIM7 DIM "N" `l I] L DIM "E--— DIM Typical Installation of Air Pressure Switch Switches are preset from plant to 0.15" w.c. above the internal static pressure of the PCU with clean filters. The Air pressure switch is located in the downstream filter module. Route wiring from hood control panel to PCU using %" conduit through quick seal located near lower right area of filter module containing switch. Use existing conduit in module to route wires from exterior of module to switch. Install wiring according to label above switch. Be sure all conduit fittings are tight. Once filters become clogged, switch closes illuminating light in kitchen. User should then clean or replace filters as required. PRESSURE SWITCH WIRM POWER TO SM 3 P LTGMT Pressure Drop Curve PCU Size 1 Shown PCU 1 MODULE SP (CLEAN FILTERS) 1.6 _ -4-PRE-FILTER .. 1.4 --6- HIGH EFFICIENCY d -ir-ODOR CONTROL 3 1.2 Z tHEPA 1.0 CLASS 1 N fl-W-HEPA --*-PANEL N 0.8 W d v a~C r` 00.6 .4 N 0.2 0.0 0 250 500 750 1000 1250 1500 CFM ODOR CONTROL _ Centrifugal PCU Exhaust Fan Specification Model KB fan shall be a backward incline, roof mounted or indoor, belt drive, up -blast centrifugal exhaust ventilator. Steel centrifugal roof exhausters are engineered to discharge grease laden vapors, fumes and other contaminants. Construction Housing: The fan housing shall be constructed of stainless steel. The internal structural support and external mounting material shall be 14 GA G90 galvanized steel minimum. Base: The base shall be constructed of galvanized steel for improved rigidity. Bolt patterns shall be provided in the base to allow connection to a pollution control unit. Wheel: The fan wheel shall be centrifugal backward inclined and non -overloading. Wheels shall be balanced in two planes and done in accordance with AMCA standard 204-96, Balance Quality and Vibration Levels for Fans. The wheel blades shall be aerodynamically designed to minimize turbulence, increase efficiency and reduce noise. The wheel blades shall be welded to the wheel inlet cone. In the event that balancing weights are required they shall be riveted to the blades or wheel. The wheel inlet shall overlap the fan inlet for maximum performance and efficiency. The wheel shall be firmly attached to the motor shaft with two setscrews. Motor & Motor Compartment: Motors shall be heavy-duty ball bearing type, mounted on an adjustable base and furnished at the specified voltage, phase and enclosure. Motor mounting plate shall be constructed of heavy gauge steel and isolated from the fan structure with vibration isolators. The motor shall be Totally Enclosed and Fan Cooled and have high temp class F insulation. Motors shall be washdown duty. The motor compartment shall be of a two-piece construction quick release clips to provide quick and easy access to the motor compartment. Shaft & Bearings: Shafts shall be precision ground and polished. Heavy duty, pre -lubricated bearings shall be selected for a minimum (L50) life in excess of 200,000 hours of operation at maximum cataloged operating speed. They shall be designed for and individually tested specifically for use in air handling applications. Belts & Drives: Belts shall be oil and heat resistant, non -static type. Drives shall be cast type, precision machined and keyed and secured attached to the fan and motor shafts. Drives shall be sized for a minimum of 150% of the installed motor horsepower. Fan operating speed shall be factory set using adjustable pitch motor pulleys. Safety Disconnect Switch: A safety disconnect switch shall be standard on all units. Switches shall be installed in a NEMA3R enclosure and mounted to exterior of the fan for easy access. Certifications Captive -Aire Systems, Inc. certifies that KB models shown herein are ETL Listed under file numbers 3158877SAT-001 and comply with UL762 Standards and CSA Standard C22.2, No. 113. Typical Installation DILA 0 r 261�� •.» r ti ird_�inca: 9.w;��.a�a5l9i.71.3iF� AN W-AE.41NNNT�Y_W.1'Z'+tfi�l2�Hl s47�lfax�r_tl+grL114snr1rlH lr•:t,C;re�MEMALQ v"6,, AJiEZ f �n:W.IIrl!HSFIGfrf[f Ef31.7�a.YibLeY[C1�:1�H�!!!?aIIJHGl1lS:laTL1lT>�!ll1EUY.>3p.� �obTJllil�L3il51LL�2f1LE�►1�KS'IIIITflC{pP�'II9L'C1'�►Lll.1�EIwsH:�LL+r�HiC9 a�p�v�+i�?1isYYARfff•'t�:}arLl�_SH'1:fGEiG/':.«h-ll[1 stL1iE'L•�i[f�iFsh71[5p6fk�Fy�/11i��/Y-7CG•TL-I�F'S/ifhflmrt Fi6P[lEf�f[ZiSH+iiHYCiilit-7 MKWMi§Q7 rfE�' T® © r��nzn7o�c mvf6¢sea� 7 ' •1�c.�snE ara®L7 �iu3®�1m�i� r�f�exru••�arcmllL�•�aw��.e.axa-�nr��t�rs;� �v[uu•QK�Ee�csu�earua�n►u:cnata�r��>9ujarrr?+a�trce�r.rijavualez� A , 0111111510115 ARE N0041L .AND GIVEN 111 INCHIS. C. US UL710 LISTED FOR GREASE DUCT R45TALLATON V1HEN USED IN KrTGHEN GREASE DUCT. ?WT W15`r BE INSTALLED DOWNSIHEAM OF A USMD HOOD ASSEMBLY OPNtiRSLWPLED IN EACH SHOM 4f.1DULEM U�AHCOWRN Pressure Drop Curve Model KB10 Shown -DIM "B"+ swtrcH DIM 'M" DIM' "DIM ( 6111 "f" "AA" 'AA" f"" DIM "A" -�I DIM "AA" -�-I+— DIM "AA" +I+—DIM +I+—DIM —1 /Um 'K" - wJw � DIM BLOWER/ MOTOR �N�pp �FlI.tER L HQ+A Fx a 6TIp EKC4 HION .. F[a a�-FlL7ER DIM wCw a., css °D" r.•DOE '~ DUTLEr "R" j ..— 6" WNw,EM -- DIM "5" — DIM DIM "U" DIM DILA 0 r 261�� •.» r ti ird_�inca: 9.w;��.a�a5l9i.71.3iF� AN W-AE.41NNNT�Y_W.1'Z'+tfi�l2�Hl s47�lfax�r_tl+grL114snr1rlH lr•:t,C;re�MEMALQ v"6,, AJiEZ f �n:W.IIrl!HSFIGfrf[f Ef31.7�a.YibLeY[C1�:1�H�!!!?aIIJHGl1lS:laTL1lT>�!ll1EUY.>3p.� �obTJllil�L3il51LL�2f1LE�►1�KS'IIIITflC{pP�'II9L'C1'�►Lll.1�EIwsH:�LL+r�HiC9 a�p�v�+i�?1isYYARfff•'t�:}arLl�_SH'1:fGEiG/':.«h-ll[1 stL1iE'L•�i[f�iFsh71[5p6fk�Fy�/11i��/Y-7CG•TL-I�F'S/ifhflmrt Fi6P[lEf�f[ZiSH+iiHYCiilit-7 MKWMi§Q7 rfE�' T® © r��nzn7o�c mvf6¢sea� 7 ' •1�c.�snE ara®L7 �iu3®�1m�i� r�f�exru••�arcmllL�•�aw��.e.axa-�nr��t�rs;� �v[uu•QK�Ee�csu�earua�n►u:cnata�r��>9ujarrr?+a�trce�r.rijavualez� A , 0111111510115 ARE N0041L .AND GIVEN 111 INCHIS. C. US UL710 LISTED FOR GREASE DUCT R45TALLATON V1HEN USED IN KrTGHEN GREASE DUCT. ?WT W15`r BE INSTALLED DOWNSIHEAM OF A USMD HOOD ASSEMBLY OPNtiRSLWPLED IN EACH SHOM 4f.1DULEM U�AHCOWRN Pressure Drop Curve Model KB10 Shown f• RiST FIRE Rist Fire Protection PROTECTION To Whom It May Concern, (209)-665-7499 Office (909)-266-8033 Fax 17412 Murphy Pkwy. Lathrop CH, 95330 24 hour service Rist Fire Protection is a Kitchen Exhaust Hood Cleaning Company. We have reviewed the kitchen exhaust schematics for the proposed systems at the Kebab Shop, located at 19800 Vallco Parkway # 500 Cupertino, Ca. We see no difficulty cleaning these systems as proposed. More specifically, the vertical shaft is adequate, and requires no access panel at the 10' points. We utilize a device called a "spin -jet", which is lowered down into the shaft from above and cleans the entire shaft to bare metal, eliminating the need for additional vertical access. Our cleanings will be coordinated with the tenant so that there is no disturbance to the other tenants in the building. If you have any further questions, or concerns, please feel free to contact me at any time. Curt Rist Rist Fire Protection Y (925)339-6080 "� C, copy ON THIS PLAN SHALL REM DURING THE JOg AT ALL TIMES DU CONSTRUCTION REVISION #--- INEEMW (209)-665-7499 Rist Fire protection (909)-2668033 pace 12412 Murphy Pkwy. Lathrop CH, 95330 24 hour service The Kebab Shop 19800 Vallco Pkwy # 500 Cupertino, Ca 95014 This agreement made and entered into this 13th day of May 2016, by and between Rist Fire Protection hereafter referred to as Contractor, and The Kebab Shop hereafter referred to as Customer. That the Contractor agrees to provide all materials and labor necessary for the completion of: Clean Kitchen Exhaust System 1) Clean Fan(s) 2) Clean Duct(s) 3) Clean Hoods/Plenum 4) Provide documentation of above services upon completion. That the Customer hereby agrees: 1) To pay Contractor the sum of $725.00 per cleaning, upon completion of service. 2) That services shall be performed every 90 days. 3) Customer agrees to inspect Contractors work upon completion. 4) To notify Contractor of any defects within 48 hours of completion. This agreement shall be in effect for a period of three (3) years. It shall thereafter be automatically renewed for annual periods unless otherwise terminated by either party serving sixty (60) days written notice, Certified or Registered mail, to the other party prior to the date of renewal. The parties herein hereby agree to the terms and provisions of this agreement. Contractor Customer Pollution Control Unit Specification Construction PCU Series shall be factory assembled pollution control unit capable of significantly reducing smoke, grease and odor from the exhaust air stream. Housing: The PCU housing is to be constructed of 430 SS of polish 2B or better. All metal in contact with the air -stream is to be constructed of 430 SS. 1500°F Ceramic based gasket must be in place for all internal seams exposed to airflow. High temperature weatherproofing gasket must be used on all exterior seams. Base: The base shall be constructed of galvanized steel for improved rigidity. Base shall be structurally reinforced to accommodate the filter assembly. Pre -Filter Section: The pre filter section shall include 2 inch deep steel washable permanent filters. Filter frames shall be constructed of steel. Disposable Grease Lock filters (optional) placed upstream of the permanent filters shall be provided for improved filtration and longevity of High Efficiency Filters. Filters shall be arranged in a v -bank configuration to increase filter area and reduce static pressure. All filters shall be removable without the use of tools through side access doors with lift and turn latches. Filters are to be cleanable with a water hose and soapy water. High Efficiency Filter Section: The phase two filters shall consist of 4 inch deep rigid cell extended surface filters. Filter cell sides shall be constructed of high strength, high impact polystyrene plastic for durability. Beverage board filter sides shall not be permitted. Filters shall be arranged in a v -bank configuration to increase filter area and reduce static pressure. All filters shall be removable without the use of tools through side access doors with lift and turn latches. Filters are to be rated MERV 15 minimum in accordance with ASHRAE standard 52.2 and have a minimum average arrestance of 98% in accordance with ASHRAE 52.1-1992. High Efficiency module must be installed downstream of pre -filter module. Odor Control Media Section (Optional): The unit shall be provided with a (50% potassium/permanganate 50% carbon blend) (100% permanganate) (100% carbon) (Caustic impregnated) media. The odor removal cartridges shall be encased in steel frames. The odor removal media shall be arranged in a v -bank configuration to increase filter area and reduce static pressure. All media shall be removable without the use of tools through side access doors with lift and turn latches. Odor control module must be installed downstream of High Efficiency module or HEPA module. Advanced Filter Monitoring System (Optional): The Advanced Filter Monitoring includes a module that provides the necessary precision pressure measurements for accurate monitoring of the complete system. Based on the measurements the AFM will initiate suitable actions via the electric control package in case of a fault. Direct access to the operating conditions are also provided through the use of a HMI (Human Machine Interface), which is conveniently located on the PCU. CORE Protection Fire System (Optional): The detection portion of the fire suppression system allows for automatic detection by means of an electric thermal detector located in the intake and outlet of the unit. If the Pollution Control Unit Firestat senses a temperature hotter than its internal setpoint, an electric signal is sent to the CORE Fire System Cabinet. An electric water solenoid is energized allowing the flow of water to the Pollution Control Unit mounted manifold. The CORE fire suppression system is a pre-engineered, pollution control unit fire system that utilizes a water spray system for fast flame knock -down and suppression. Certifications The PCU Series has been certified by ITS. This certification mark indicates that the product has been tested to and has met the minimum requirements of a widely recognized (consensus) U.S. and Canadian products safety standard, that the manufacturing site has been audited, and that the applicant has agreed to a program of periodic factory follow-up inspections to verify continued performance. RE�jSION #-�-- . CUPERTINO i Building Deparbment t" JUN 0 3 2016 REVIEWED FOR CODE COMPLIANCE Reviewed By.- Pollution y: Models PCU are ETL Listed under file number 3130718COL-001 and comply with UL710, ULC -S647 and ULC -S646 Standards. CaptiveAire Systems, Inc. certifies that KB models shown herein are ETL Listed under file numbers 3158877SAT-001 and comply with UL762 Standards and CSA Std C22.2, No. 113 DIM 'G' —+ -�— DIM J" DIM DIM "K" DIM "B' DIM "H" '— DIM 'A" —I-- DIM ' ca`004mn n DIM "I" --I-- DIM "A' --I-- DIM "A' xex �nwe� aa-n1w I_ DIM "R" DIM '7" AL DIMENSIONS ARE 3,11114E NOMINAL AND 3,11114 1111111:5,Cl U5 '1L710 LISTED FOR GREASE DUCT INSTALLATION 'AN EN USED N KITCHEN GRED DUCT, UNIT MUST BE INSTALLED DOWN57RFAM OF A LISTED HOCA ASSEMBLY 'FILTER OO�UAAt4TITY 'SHOWN IS PER MODULE. DRAIN SUPOUED IN EACH MODULE FOR WASIADOWTI Typical Installation DIM 'M" DIM "L" "D"DIM "N" jDIM �L L DIM "E" _"MDIM'-S' .– DIM Typical Installation of Air Pressure Switch Switches are preset from plant to 0.15" w.c. above the internal static pressure of the PCU with clean filters. The Air pressure switch is located in the downstream filter module. Route wiring from hood control panel to PCU using %" conduit through quick seal located near lower right area of filter module containing switch. Use existing conduit in module to route wires from exterior of module to switch. Install wiring according to label above switch. Be sure all conduit fittings are tight. Once filters become clogged, switch closes illuminating light in kitchen. User should then clean or replace filters as required. PRCSSURE SWITCH WIRING POWER TO Pressure Drop Curve PCU Size 1 Shown PCU 1 MODULE SP (CLEAN FILTERS) ___._.._._.._................._...... _..__._._.___._�—_. 1.6 ___ �_ -#-PRE-FILTER 14 HIGH EFFICIENCY b 'S 12 --*-ODOR CONTROL -*--HEPA 1.0 --HEPA CLASS 1 PANEL ODOR CONTROL 0.8 W 0.6 U 0.4 H 0.2 0.0 0 250 500 750 1000 1250 1500 CFM Centrifugal PCU Exhaust Fan Specification Model KB fan shall be a backward incline, roof mounted or indoor, belt drive, up -blast centrifugal exhaust ventilator. Steel centrifugal roof exhausters are engineered to discharge grease laden vapors, fumes and other contaminants. Construction Housing: The fan housing shall be constructed of stainless steel. The internal structural support and external mounting material shall be 14 GA G90 galvanized steel minimum. Base: The base shall be constructed of galvanized steel for improved rigidity. Bolt patterns shall be provided in the base to allow connection to a pollution control unit. Wheel: The fan wheel shall be centrifugal backward inclined and non -overloading. Wheels shall be balanced in two planes and done in accordance with AMCA standard 204-96, Balance Quality and Vibration Levels for Fans. The wheel blades shall be aerodynamically designed to minimize turbulence, increase efficiency and reduce noise. The wheel blades shall be welded to the wheel inlet cone. In the event that balancing weights are required they shall be riveted to the blades or wheel. The wheel inlet shall overlap the fan inlet for maximum performance and efficiency. The wheel shall be firmly attached to the motor shaft with two setscrews. Motor & Motor Compartment: Motors shall be heavy-duty ball bearing type, mounted on an adjustable base and furnished at the specified voltage, phase and enclosure. Motor mounting plate shall be constructed of heavy gauge steel and isolated from the fan structure with vibration isolators. The motor shall be Totally Enclosed and Fan Cooled and have high temp class F insulation. Motors shall be washdown duty. The motor compartment shall be of a two-piece construction quick release clips to provide quick and easy access to the motor compartment. Shaft & Bearings: Shafts shall be precision ground and polished. Heavy duty, pre -lubricated bearings shall be selected for a minimum (1-50) life in excess of 200,000 hours of operation at maximum cataloged operating speed. They shall be designed for and individually tested specifically for use in air handling applications. Belts & Drives: Belts shall be oil and heat resistant, non -static type. Drives shall be cast type, precision machined and keyed and secured attached to the fan and motor shafts. Drives shall be sized for a minimum of 150% of the installed motor horsepower. Fan operating speed shall be factory set using adjustable pitch motor pulleys. Safety Disconnect Switch: A safety disconnect switch shall be standard on all units. Switches shall be installed in a NEMA3R enclosure and mounted to exterior of the fan for easy access. Certifications Captive -Aire Systems, Inc. certifies that KB models shown herein are ETL Listed under file numbers 3158877SAT-001 and comply with UL762 Standards and CSA Standard C22.2, No. 113. DIM _ "H' DIM Typical Installation SERVICE DISCONNECT LDI Swrrr`HDIM "F" _DIMS"M.. l+—DIM ".A"-"-I-«DIM "AA'+I+-DIM ".AH"-•-I-+-DIM "HA"+J—DIM "AA -+-I ,r wac DIM I J -L �-- ILI, �. outu_r DIM "�" — BLOWER/ eoMIMTO R acGs _ DIM "R' •un FILTER ~ � 6,, DIM "U" wax FILTER ENCY PRE -FILTER DIM D» YN124� © t DIM .N. acfsEr• 3lrrnn:l't,+L�.1zerRJ/•.kl3At•�iM31IDl1,SQ�T�I3IDTl1l��+gZGI �traia�:a�Py rite.�nx:i�ru�Lxtt,�K,anf��tl�iubarL.�� h7M5if•3�:4SI1�5`:S1C13G:X1:�Eaf13�'=9Zf11•�IiliF2-�fLl•fY�MZt[?[E�Q/L��:iii'tlY-]GG]L%1?3+S►tlF.f�IfE3AOf!?FSC►rl]IF�It•L13IfUiFk�U➢ DIM�'�'• --� nm -LDIAA cOffi33�-7 7i,i �� —• ALS. IIIMEN51O15 ARE NOMINAL .AND GIVEN IN INCHES. C.US LL71O LISTED FOR GREkSE DUCT INSTALLATION 1Y.,I USED N KrTGHEN GREASE DUCT, UNIT MUST BE NSTM.LED DOWNSTREAM OF A LISTED HOOD ASSEMBLY 'FILTER pU440 SHOWN IS PER MODU 0.SHOGWM DRAIN S&FLEfN EACH MODULE FOR Pressure Drop Curve Model KB10 Shown - t'r �eFYceV:A9f<fl9a41Rt� ��rl�u'T.I/2 YN124� © � ®f E�Oofi�iGiCit��ai� � L�9� a�0`*mw 1f iC�IIAG11]�/Yr7�X:GCII[11�31•LL7Gll�r acfsEr• 3lrrnn:l't,+L�.1zerRJ/•.kl3At•�iM31IDl1,SQ�T�I3IDTl1l��+gZGI �traia�:a�Py rite.�nx:i�ru�Lxtt,�K,anf��tl�iubarL.�� h7M5if•3�:4SI1�5`:S1C13G:X1:�Eaf13�'=9Zf11•�IiliF2-�fLl•fY�MZt[?[E�Q/L��:iii'tlY-]GG]L%1?3+S►tlF.f�IfE3AOf!?FSC►rl]IF�It•L13IfUiFk�U➢ ie�nalltvuint;��clr�s►ro�G2arsaEt�tcrnruiG�i�r� cOffi33�-7 7i,i �� ®�I�7�LL.E�9fi67�1G��tF � �E� 9Fi4@�7E�1[ •*�j1D��6�.'L®X,_�L'�l'e�i/ ' ]moi ALS. IIIMEN51O15 ARE NOMINAL .AND GIVEN IN INCHES. C.US LL71O LISTED FOR GREkSE DUCT INSTALLATION 1Y.,I USED N KrTGHEN GREASE DUCT, UNIT MUST BE NSTM.LED DOWNSTREAM OF A LISTED HOOD ASSEMBLY 'FILTER pU440 SHOWN IS PER MODU 0.SHOGWM DRAIN S&FLEfN EACH MODULE FOR Pressure Drop Curve Model KB10 Shown dr , • S RIST Rist Fire Protection To Whom It May Concern, (209)-665-7499 Office (909)-266-8033 Fax 17412 Murphy Pkwy. Lathrop CA, 95330 24 hour service Rist Fire Protection is a Kitchen Exhaust Hood Cleaning Company. We have reviewed the kitchen exhaust schematics for the proposed systems at the Kebab Shop, located at 19800 Vallco Parkway # 500 Cupertino, Ca. We see no difficulty cleaning these systems as proposed. More specifically, the vertical shaft is adequate, and requires no access panel at the 10` points. We utilize a device called a "spin -jet", which is lowered down into the shaft from above and cleans the entire shaft to bare metal, eliminating the need for additional vertical access. Our cleanings will be coordinated with the tenant so that there is no disturbance to the other tenants in the building. If you have any further questions, or concerns, please feel free to contact me at any time. Curt Rist Rist Fire Protection (925)339-6080 REVISJO Rist Fire protection(209)-665-7499 (909)-266-8033 raxce 17412 Murphy Pkwy. Lathrop CA, 95330 10 24 hour service The Kebab Shop 19800 Vallco Pkwy # 500 Cupertino, Ca 95014 This agreement made and entered into this 13th day of May 2016, by and between Rist Fire Protection hereafter referred to as Contractor, and The Kebab Shop hereafter referred to as Customer. That the Contractor agrees to provide all materials and labor necessary for the completion of: Clean Kitchen Exhaust System 1) Clean Fan(s) 2) Clean Duct(s) 3) Clean Hoods/Plenum 4) Provide documentation of above services upon completion. That the Customer hereby agrees: 1) To pay Contractor the sum of $725.00 per cleaning, upon completion of service. 2) That services shall be performed every 90 days. 3) Customer agrees to inspect Contractors work upon completion. 4) To notify Contractor of any defects within 48 hours of completion. This agreement shall be in effect for a period of three (3) years. It shall thereafter be automatically renewed for annual periods unless otherwise terminated by either party serving sixty (60) days written notice, Certified or Registered mail, to the other party prior to the date of renewal. The parties herein hereby agree to the terms and provisions of this agreement. Contractor Customer CLIPERTINQ STATEMENT OF SPECIAL. INSPECTIONS, 2013 CBC COMMUNITY DEVELOPMENT DEPAR T L t,a - BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUiLDiNG OFFICIAL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255, (408) 777-8228 - FAX (408) 777-3333 • z�ri' in {�oici�c� t no.org SI ADDRESS Iq 0 j 1iPN t✓ 1' i✓ f7 E''P# a? r,+�M ii `j Owner....... 1. F t....�it`..... �;? u.�':1°r{ t .*...i �.�.............. ' von actor Address.....ri.�3.......s��f�.4., •••.•' '' ....,....-............ Date:...... ?1..��...... �y V -N ILL /'Sdj.......Lic.# 5.... �+?.... t.i� ........ r Addrsss �-� � `� ... �r c � J.t'..`.. i'.i.,1.......� `?..:�.....,. �....?a.f ! ........... City'St.......5e r ..,..�rf' �..4..... Zip......4............ Phone....'& } GiiylSt,.;r,.t.f.�. 5 ...... Zi 4d l k � D•---. Zip..... Applicant.......? A r.��........ atz................ 1 ngineeriF�rchittic#..l�F=,' .f•k•-- Address.....1.T.5k0..... Signature ..................... ... _ ...............................ry- ��6 . ..:/.t.....`�..:............................. CitylSt........ f .w.. (ot4� Ifo .D%�t ZipPhoneb� r .. zi Phonegz-./,✓..... PROJECT DESCRIPTION; p This "STATEMENT OF SPECIAL INSPECTIONS" is submitted in fuifiiirnent of the requirements of CBC Sections 1704 and 1705. This form is structured after and used by permission from the Structural Encineer Association of Northern California's (SEAONC) mode statement of Special Inspections. Also, included with this form is the following: ❑ -LIST OF SPECIAL INSPECTION AGENCIES (page 2). A ist of testing agencies and other special inspectors that will be retained to conduct the tests and inspections €or this project ❑ -SCHEDULE OF SPECIAL INSPECTIOW (page 3 - 6). The Schedule of Special Inspections summarizes the Special Inspections and tests required. Special inspectors will refer in the approved plans and specifications for detailed special inspection requirements. Any additional tests and inspections required by the approved plans and specifications shall also be performed. Special Inspections and Testing will be performed in accordance with the approved plans and specifications, this statement and CBC Sections 1704, 1705, 1706, 1707, and 1708. Interim reports will be submitted to the Building Official and the Registered Design Professional in Responsible Charge in accordance with CBC Section 1704.1.2- A Final Report of Special Inspections documenting required Special Inspections, testing and correction of any discrepancies noted in the inspections shall be submitted prior to issuance of a Certificate of Use and Occupancy (Section 1704.1.2). The Final Report will document • Required special inspections. • Correction of discrepancies noted in inspections. The Owner recognizes his or her obligation to ensure that the construction complies with the approved permit documents and to implement this program of special inspections. In partial fulfillment of these obligations, the Owner will retain and directly pay for the Special inspections as required in CBC Section 1704.1. This plan has been developed with the understanding that the Huildirg Official will: • Review and approve the qualifications of the Special inspectors who will perform the inspections. • Monitor special inspection activities on the job site to assure that the Special Inspectors are qualified and are performing their duties as called for in this Statement of Special Inspection. • Review submitted inspection reports. • Perform inspections as required by the local building code f have read and aorae fn rmmnly with t€ a fens, -F.5 Prepared By: Project 0 Engineer 01' Architect ..Registered Design Professional in Chafe Signature ... ...... _....-.:........Lic.# Owner Name: 7k.#t,-LAutOwher's Allonza on Si nature A-— Ins Rection Agenciy ! Inspector Name: rr .................._ SI nature A2 •••.•' '' ....,....-............ Date:...... ?1..��...... �y V -N ILL /'Sdj.......Lic.# Building Official or desr _ - ........ ......................... Date: .)Z. D....� ).. - ee: Signature ..................... ... _ ............ Date: ...L.� ... .L. I Spe-altrspectionForm 2012.ryac reszset 097t6f1? LIST OF SPECIAL INSPECTION AGENCIES APPROVAL OF SPECIAL INSPECTORS: Each special inspection agency, testing facility, and special inspecklor stall be recognized by the Building Official prior to performing any duties. Special Inspection agency's listed on this form must be pre -approved and listed on Cupertino's approved Special Inspector's list. Special inspectors shall carry approved identification when performing the functions of a special inspector. Identification cards shall follow the criteria set by the Califomia Council of Testing and inspect on Agencies. No personnel changes shall be made without first obtaining the approval of the Building Official. Any unauthorized personnel changes may result in a "Stop Work Order" and possible permit revocation. To be pre- approved by the City of Cupertino, refer to the SPECIAL INSPECTION CRITERIA handout Please allow two weeks to complete the application process. 1 rte TonovAng are the testing and special inspection agencies that wtil be retained to conduct tests and..insPecton on this EXPERTISE -project: FIRM I INSPECTOR INFORMATION' 1. Special Inspection (except for Firm............ geotechnical) ................................ Addr....................................................................................... city__ ................ ity...................................................... ........... ...... .......... . ...._ .... State .................-.... Zi p...................... Telephone...... .... ........._.... Ftrrrr _... F. x .................... . ......... ...........----. Email.................,............ ........................... - Material Testing .............. ...................... ....... ........ .Addr..,, ....................... City__ rty.......................................................................................................... .............................................................. State ................. Telephone....... __............................. Firm._ ........... FGx........................ ......... Email ........................... . .............................. 3. Geotechnical Inspections ..... ........ ....Addy ................ ...... city ... ........ ................ . ............................. ................ _....................................... ................... State ...................... Zip ...................... Telephone...,., .... Firm. .... m ......... __................... r ax.................. Email..... Addr.......................... 4- Other: City......................................_.........._.._.................................._-.............State..................__zip Telephone... ... 0 ....... __ be pre -approved ..... __A....... I'ax...._...,.................................. Entail........,........._....... - .... _...... and listed on tie City of Cupertino's Approved *All agencies specified on this farm must Special Inspector's List. SEISMIC REQUIREMENTS (Section 1705.3.6) Description of seismic -force -resisting system and �designate systerrr" subject to s ial inspections as per Section 17115.3: iJ 0 t-& �Nf/5i ,E) 70 `71 ° rth'-m rz.S ih,'tvx 1T C>VC 1Xtri. INTO XfS1jtlG 971A14;(,P(/)0 The extent of the seismic -force -resisting system is defined in more detail in the construction documents. ..��.vRcwurrc>=mervrs Section1705.d.1 Description of main wind -force -resisting system and designated wind resisting components 1705.4.2: subject to special irtspeciions in accordance with Section The extent of the main wind -force -resisting system and wind resisting components is defined in more detail in the construction documents. SPecialtxrpecrzard'a` -20.12.dac revised 09106612 0 SCHEDULE OF`_z. 'PECIAL INSPECTION SITE APN B'# ADDRESS PROJECT DESCRIPTION: T Notation Used in Table: Column headers: C Indicates continuous inspection is requi ed. P Indicates periodic inspections are required. T 1e nolf"s and/or contract documents should clarify. Box entries: X Is placed in the appropriate column to denc-le either °C" continuous or, "P" periodic inspections. --- Denotes an activity that is either a one-time activity or one whose frequency is defined in some other manner. Additional detail regarding inspections and tests are provide) in the project specifications or notes on the drawings. _.._T___ REFERENCED -".T-_ VERIFICATION AND INSPECTION M—� C._ � „P i IBC REFERENCE~ ----- _ I _—iSTANDARD INSPECTION OF FABRICATORS 1. ❑ Inspect fabricator's fabrication and quality control ----- 17/34.3 procedures. INSPECT>Ch OF STEEL 1. Material verification of high-strength bolts, nuts and washa-s. i ❑ Identification marking to conform to ASTM stds AISC 360, specified in the approved construction documents __..X Section A3.3 and I j $ applicable ASTM M r material standards I ❑ Inspect fabricator's fabrication and quality control X i procedures. 1 --• � _ i 2. Inspection of high-strength bolting: ❑ Snug -tight joints. _ -- .-.. I ❑ Pretensioned and slip -critical joints using turn -oz -nut with matchmarking, twist -off bolt or direct tension --•• X ' AiSD 3G0 indicator methods of installation. j , Section M2.6 1704.3.3 , ❑ Pretensioned and slip -critical joints using turn -o` nut without matchmarking or calibrated wrench methods X -- i of installation. j 3. Material verification of structural steel and cold -formed "el deck. ❑ For structural steel, identification markings to confo „ . _ ' RISC 360, to AISC 360. _ - X Section M2.6 0 For other steel, identification markings to conform, to ? i , ASTM standards specified in the approved '- j X Applicable ASTM material standards construction documents. ❑ Manufacturer's certified test reports. r _--- ."irzecrcrin.+recrini:/•rzrm Cpl �-docr•eF•isrd 49.�fJ6'1:2 __........ -- . VERIFICATION AND INSPECTION C P REFERENCED ._..-i !BC STANDARD ^ 11REFERENCE 4. Material verification of weld filler materials: ❑ Identification marking to conform toAWS specifca*ion AISC 360;in the approved construction documents.° X Section A3-5 and -- j applicable AWS A5 -� documents -- j ❑ Manufacturer's certificate of compliance required. 5. Inspection of welding: - a. Structural steel and cold -formed steel deck: -- --- ❑ Complete and partial joint penetration groove welds. X _..___.._... __._.__._. ❑ Multipass fillet welds. X ! X - I ❑ Single -pass fillet welds > 5116" = X ❑ Plug and slot welds. i X --- X ❑ Single -pass fillet welds <= 5/16" -_- ❑ Floor and roof deck welds. --• X b. Reinforcing steel: ❑ ❑ Verification of weldability of reinforcing steel other han ....'_ _ ❑ ASTM A 706. X ❑ Reinforcing steel resisting flexural and axial forces io - I ❑ Application of joint details at each connection. 't d't d f r AWS D11 ( 1704.3.1 AWS D1.3 rn erme ra n specral momm ent tames, and C; aX _ AWS D1.4 ACl 318: boundary elements of special structural wails of Section 3.5.2 .Sl)eucrrevised 09x'06 12 concrete and shear reinforcement. ❑ Shear reinforcement. ! X - ❑ Other reinforcing steel. X 6. Inspection of steel frame joints details for compliance: ❑ Details such as bracing and stiffening. ❑ Member locations. -__ ._ X --- 1704.3.2 - I ❑ Application of joint details at each connection. -- i --- I X j ..____...._...t.__.._ __-----.____._. ----_.------- VERIFICATION AND INSPECTION C T-_ P REI=ERENCED ' IBC — -—___..........._...___ --l-t—, t•.._..._ STANDARD 1 REFERENCE I INSPECTION ... OF WELDING 1. ❑ Welded studs when used for structural diaphragm 1 X 2. ❑ Welding of cold -formed steel framing members. - X --- 1704.3 ! 3. ❑ Welding of stairs and railing systems. --- X .Sl)eucrrevised 09x'06 12 VERIFICATION AND INSPECTION C P REFERENCED iBC STANDARD REFERENCE INSPECTION O€= CONCRETE 1. 0 Inspection of reinforcing steel, including prestressing X ACI 318: 3.5, 7.1-7.7 1913.4 tendons and placement. . . . ........ 2. 0 Inspection of reinforcing steel welding in accordan.-le with Table 1704.3 Item 5b. i AWS D1.4 ACI 318: 3.5.2 3. 0 Inspection of bolts to be installed in concrete prior �c and during placement of concrete where allowable X ACI 318: 8.1.3, 1912.1 loads have been increased or where strength desigri 21.2.8 f_ j1911.5, is used. 4. 0 Inspection of anchors installed in hardened concrete. X ACI 318 1912.1 5, 0 Verifying use of required design mix. 1904.2.2,1913.2, X ACI 318: ASTM C 172 1913.3 6. Z At time fresh concrete is sampled to fabricate specimens for strength tests, perform slump and air content tests and determine the temperature of the X --- ASTM C 31 1913.10 concrete. X --- ACI 318: 5.6, 5,8 ACI 318: 5.9, 5,10 1913.6, 1913.7, 7. 0 Inspection of concrete and shotcrete placement for proper application techniques. 1913.8 8. 0 Inspection for maintenance of specified curing X ACI 318. 5.11-5.13 temperature and techniques. 1913,9 9. Inspection of prestressed concrete. 0 Application of prestressing forces. X ACI 318:18.2 0 Grouting of bonded prestressing tendons in the seismic force -resisting system. X ACI 318: 18.18.4 i 10. 0 Erection of precast concrete members. X ACI 318, Ch. 16 --- �1' 17-0 Verification of in-situ concrete strength, prior to stressing of tendons in posttensioned concrete and prior to removal of shores and forms from beams and X ACI 318: 6.2 --- structural slabs, i 12.0 Inspect formwork for shape, location, and dimensions of the concrete member being formed, X ACI 318: 6.6.1 --- 13. tZ Bolts Installed in Existing Masonry or Concrete 0 Direct tension testing of existing anchors. X Direct tension testing of new bolts,X Torque testing of new bolts.X See ICC ES Reports form special inspection requirements for 0 Prequalification test for bolts and other types of proprietary products anchors. X 14. X-0ther: _JT ---- --------_-zi�_2 ........... .. .. 1'Pecitilf,stx-'Ctiolli�'or,it-11912.doc revised W106112 doe wvbwd 09 06 1-1 REFERENCE FOR CRITERIA VERIFICATION AND INSPECTION C P'IBC �7MS 402/ACI T—M—S-402/ACI SECTION 530/ASCE 5 5301ASCE 6 INSPECTION OF LEVEL 1 MASONRY 1- 0 Compliance with required inspection provisions of the construction documents and the approved x --- Art. 1.5 submittals shall verified. .be 2- 0 Verification off,, and faAc, prior to construction x except where specifically exempted by this code. --- Art, IAB 3, 171 Verification of slump flow and VS) as delivered to x the site for self consolidating grout. --- Art. 1.5B.1,b,3 4, As masonry construction begins, the following shall be verified to ensure compliance: 0 Proportions of site -prepared mortar, --- x --- Art. 2.6A 0 Construction of mortar joints. . .......... --- x Art.3.3B 0 Location of reinforcement, connectors, x prestressing tendons, and anchorages, Art. 3.4, 3.6A 13 Prestressing technique. x Art. 3.613 iL 0 Grade and size of prestressing 'tendons and x anchorages. --- --- Art., 2A5, 2AH 5. During construction the inspection program shall verify: El Size and location of structural elements, x --- Art. 3,3F 0 Type, size, and location of anchors, including Sec, 1. 2.2(e), other details of anchorage of masonry to x --- 1,16.1 --- structural members, frames or other construction. 1; Specified size, grade, and type of reinforcement. anchor bolts, prestressing tendons and x --- Sec. 1,15 Art. 2.4, 3.4 anchorages. 0 Welding of reinforcing bars, x 0 Preparation, construction and protection of masonry during cold weather (temperature below x Sec, 2104.3, 40 degrees F) or hot weather (temperature above 2104.4 Art. 1.8C, 1,8D 90 degrees F). 0 Application and measurement of prestressing force. . . ......... . . x Ail, 3.68 6. Prior to grouting the following shall be verified to ensure compliance: 0 Grout space is clean. x --- Art. 3,2D 0 Placement of reinforcement and connectors and prestressing tendons and anchorages. --- x Sec. 1,3 Art, 3.4 n Proportions of site -prepared grout and prestressing grout for bonded tendons, x Art, 2,68 0 Construction of mortar joints. x Art. 3.36 7. Grout placement: M Grout placement shall be verified ensure compliance. x Art. 3.5 0 Observe grouting of prestressing bonded tendons, x --- Art 3.6C i doe wvbwd 09 06 1-1 ,WrialtispeclionFonn -7012. &�c revised 0.9,06 12 REFERENCE FOR CRITERIA VERIFICATION AND INSPECTION C P IBC TMS 402/ACI TMS 4021ACI SECTION 530/ASCE 5 5301ASCE 6 0 Preparation of any required grout specimens, Sec. ,8, mortar specimens, and/or prisms shall be x 210622, Art, 1,4 observed. 2105.3 INSPECTION OF LEVEL 2 MASONRY 1. 0 Compliance with required inspection provisions of the construction documents and the approved --- x Art. 1.5 submittals. 2. 0 Verification of f and f ",c prior to construction and for every 5,000 square feet during --- x Art, 1.48 construction. 3. 0 Verification of proportions of materials in premixed or preblended mortar and grout as x --- Art, 1,58 delivered to the site. 4. r-1 Verification of slump flow and VSl as delivered to x --- Art. 1,5B.I.b.3 the site for self consolidating grout. 5. The following shall be verified to ensure compliance: • Proportions of site-prepared mortar, grout, and --- x Art. 2,6A prestressing grout for bonded tendons. • Placement of masonry units and construction of --- x --- Art. 3.313 mortar joints, 0 Placement of reinforcement, connectors and x See. 1.15 Art. 3.4, 3,6A prestressing tendons and anchorages. • Grout space prior to grouting. x --- Art. 3.2D C3 Placement of grout. x --- Art- 3.5 0 Placement of prestressing grout. x --- Art. 3.6C 0 Size and location of structural elements, x --- --- Art. 3.3F 0 Type, size, and location of anchors, including other details of anchorage of masonry to x Sec.1.2,2(e) structural members, frames and other construction. 0 Specified size, grade, and type of reinforcement, anchor bolts, prestressing tendons and x Sec. 1,15 Art. 2.4, 3.4 anchorages. 0 Welding of reinforcing bars. x Sec. 2.1.9.7.2, 3.3.14 (b) 0 Preparation, construction, and protection of masonry during cold weather (temperature below x Sec- 2104.3, Art. 1.8C, 1.8D 40 degrees F) or hot weather (temperature above 2104.4 90 degrees F). 0 Application and measurement of prestressing x force, --- Art, 3,613 6, o Preparation of any required grout specimens, Sec. mortar specimens, and/or prisms shall be x --- 2105,2.2, --- Art. 1.4 observed. 2105,3 ,WrialtispeclionFonn -7012. &�c revised 0.9,06 12 VERIFICATION AND INSPECTION C I P REFERENCED C STANDARDREFERENCE INSPECTION OF WOOD 1, [1 Inspect prefabricated wood structural elements and assemblies in accordance with Section 1704,2, 1 1704.6 i Z 0 Inspect site built assemblies. --- --- [3 Inspect high -load diaphragms, P_H Verify grade and thickness of sheathing. E3Verify nominal size of framing members at adjoining panel edges. --- 1704.6.1 0 Verify nail or staple diameter and length, --- El Verify number of fastener lines, 0 Verify spacing between fasteners in each line and all edge margins. 4, 177 Metal -plate -connected wood trusses spanning 60 feet or greater: Verify temporary installation restraint/bracing and the permanent individual truss X --- 1704.6,2 member bracing are installed in accordance with the approved truss submittal package. REQUIRED VERIFICATION AND INSPECTION OF SOIL 1, 171 Verify materials below footings are adequate to achieve the desired bearing capacity. 2. 0 Verify excavations are extended to proper depth and X have reached proper material. 1 0 Perform classification and testing of compacted fill X materials. Table 1704,7 4, 0 Verify use of proper materials, densities and lift thicknesses during placement and compaction of X --- compacted fill. 5. 0 Prior to placement of compacted fill, observe subgrade and verify that site has been prepared properly,Iv I X REQUIRED VERIFICATION AND INSPECTION OF DEEP DRIVEN FOUNDATION ELEMENTS 1, 0 Verify element materials, sizes and lengths comply X with the requirements, 2. 0 Determine capacities of test elements and conduct X additional load tests, as required. .............. . ,3 0 Observe driving operations and maintain complete I X ..... .... .... --- and accurate records for each element. 4. 0 Verify locations of piles and their plumbness, confirm type and size of hammer, record number of blows per Table 1704,8 foot of penetration, determine required penetrations to X --- achieve design capacity, record tip and bull elevations and document any damage to foundation element. 5. 13 For steel elements, perform additional inspections in accordance with Section 1704,3. 6, 0 For concrete elements and concrete filled elements. perform additional inspections in accordance with --- --- Section 1704.4. 1 ';peczahi spectioi&onn ' �fl 12docrevised0.90612 VERIFICATION AND INSPECTION C P REFERENCED IBC STANDARD REFERENCE 7. 0 For specialty piles, perform additional inspections as determined by the registered design professional in --- Table 1704,8 responsible charge. II REQUIRED VERIFICATION AND INSPECTION OF CAST -IN-PLACE DEEP FOUNDATION ELEMENTS 1 0 Observe drilling operations and maintain complete and X accurate records for each element. 12. 0 Verify placement locations and piumbness, confirm element diameters, bell diameters (if applicable), lengths, embedment into bedrock (if applicable), and X --- --- Table 1704.9 adequate end -bearing strata capacity. Record concrete or grout volumes, . ... ..... ...... ................ . .............. 3, 0 For concrete elements, perform additional inspections in accordance with Section 1704.4. HELICAL PILE FOUNDATIONS 1. r-1 Record installation equipment used, pile dimensions, X --- 41 17o7o tip elevations, final depth, final installation torque. SPRAYED FIRE-RESISTANT MATERIALS Physical and visual tests 1. Condition of substrates. 13 Inspect surface for accordance with the approved fire - resistance design and the approved manufacturer's written instructions. 0 Verify minimum ambient temperature before and after X application. 0 Verify ventilation of area during and after application. X 2. 0 Measure average thickness per ASTM E605 and Section 1704.12.4. --- 1704,12.1 3, 0 Verify density of material for conformance with the approved fire-resistant design and ASTM E605, (Ref. Section 1704,12.5) 4. 0 Test cohesive/adhesive bond strength per Section 1704.12.6, --- 5. 0 Condition of finished application. MISCELLANEOUS 1. Mastic and Intumescent Fire -Resistant Coating. --- 1704,13 Z Exterior Insulation and Finish Systems (EIFS). Water - resistive barrier coating when installed over a sheathing --- 1704.14 substrate. 3, Special Cases 1704-15 4. Smoke Control System --- 1704,16 5. Seismic Resistance 0 Suspended ceiling systems and their anchorage. __1705.3 [4.3] 2012,k)c wvised 09 06 12 VERIFICATION AND INSPECTION C REFERENCED P IB STANDARD REFERENCE 6. Wind Resistance • Roof cladding and roof framing connections. • Wall connections to roof and floor diaphragms and framing. • Roof and floor diaphragm systems, including collectors, drag struts and boundary elements. • Vertical wind -force -resisting systems, including braced ... ......... . . .. frames, moment frames, and shear walls. . . . ....... • Wind -force -resisting system connections to the . . foundation. C] Fabrication and installation of systems or components required to meet the impact resistance requirements --- --- of Section 1609.1.2. SPECIAL INSPECTION FOR WIND REQUIREMENTS 1. Structural Wood 0 Inspect field gluing operations of elements of the main x wind -force -resisting system. --- 1706.2 0 Inspect nailing, bolting, anchoring, and other fastening of components within the main windforce-resisting x system, including wood shear walls, wood diaphragms, drag struts, braces and hold-downs. 2. Cold -Formed Steel Framing • Welding of elements of the main wind -force -resisting system, x • Inspection of screw attachments, bolting, anchoring, and other fastening of components within the main 1706.3 wind -force -resisting system including shear walls, x braces, diaphragms, collectors (drag struts) and hold- downs, 3. Wind -resisting components * Roof cladding, x 1706.4 * Wall cladding. _X SPECIAL INSPECTIONS FOR SEISMIC RESISTANCE 1. 0 Special inspection far welding in accordance with the x quality assurance plan requirements of RISC 341, 177 07,2 1 2. Structural Wood 0 Inspect field gluing operations of elements of the x seismic -force -resisting system. 0 Inspect nailing, bolting, anchoring, and other fastening of components within the seisrnic-force-resisting 1707,3 system, including wood shear walls, wood x diaphragms, drag struts, braces, shear panels and hold-downs. 3. Cold -Formed steel light -frame construction 0 Welding of elements of the seismic -force -resisting system. 1707.4 20124,,c revised 09'06'12 D Inspection of screw attachments, bolting, anchoring, and other fastening of components within the seismic- X force-resisting system including shear walls, braces, diaphragms, collectors (drag struts) and hold-downs. 4. Storage racks and access floors 11 Anchorage of storage racks 8 feet or greater in height and access floors. 1707.5 5. Architectural components 0 Inspect erection and fastening of exterior cladding weighing more than 5 psf and higher than 30 feet X above grade or walking surface. 0 Inspect erection and fastening of veneer weighing more than 5 psf.and higher than 30 feet above grade X or walking surface. 1707.6 • Inspect erection and fastening of all exterior non- bearing walls higher than 30 feet above grade or X walking surface, • Inspect erection and fastening of all interior non- bearing walls weighing more than 15 psf and higher X than 30 feet above grade or walking surface. S. Mechanical and Electrical Components 0 Inspect anchorage of electrical equipment for X emergency or stand-by power systems. 0 Inspect anchorage of non-emergency electrical X equipment, 0 Inspect installation of piping systems and associated mechanical units carrying flammable, combustible, or X 1701.7 highly toxic contents, 0 Inspect installation of HVAC ductwork that contains hazardous materials, X 0 Inspect installation of vibration isolation systems where required by Section 1707,7. X 7. 13 Verify that the equipment label and anchorage or mounting conforms to the certificate of compliance when mechanical and electrical equipment must be 1707.8 seismically qualified. 8. 0 Seismic isolation system: Inspection of isolation system per ASCE 7 — Section 17.2.4.8 - X 1707,9 9, 0 Obtain mill certificates for reinforcing steel, verify compliance with approved construction documents, --- _X 17082 and verify steel supplied corresponds to certificate. 10,0 Structural Steel: Invoke the GAP Quality Assurance requirements in AISC 341- --- 1708.3 11,0 Obtain certificate that equipment has been seismically qualified. 1708.4 12. 0 Obtain system tests as required by ASCE 7 Section 17.8, 1708,5 2012,kic n-vived 09'06,12 1100 HAZARDOUS HAZARDOUS MATERIALS CHECKLIST COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION `�A ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL ` ]V GUPERTINO , 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingacupertno.org PURPOSE To minimize possible delays that would result for the Fire Department plan review, please com following checklist to determine if an additional level of Hazardous Materials plan review will be required. MARK `YES' IF THE PROPOSED SCOPE OF WORK INCLUDE ANY OF THE FOLLOWING? PLEASE MARK YOUR ANSWER WITH AN `X' IN THE YES OR NO BOX ON THE SIDE BELOW. YES NO 1. Use, dispensing, mixing or storage of flammable or combustible liquids or gases, hazardous materials, etc. X 2. Battery back-up rooms or racks. 3. Propane tanks. 4. Gasoline stations with underground tanks. X 5. Installation or replacement above ground or underground storage of liquid petroleum products, liquefied petroleum gases, compressed natural gas, explosives or other regulated hazardous materials. X 6. Gas rooms for dentist, doctors or veterinarians. 7. Generators with back-up diesel or other fuels. 8. Large refrigeration systems. 9. Fuel cell systems. 10. Commercial pool systems. 11. Chemical Storage areas. x 12. Flammable liquid storage. �Y 13. Compressed Gases. ✓ 14. Dry cleaners. 15. Print Shops. + Y ®1.7 �C 16. Auto Repair and Auto Body Shops. 17. Research and Development. For any additional information regarding this checklist, please contact Hazardous Materials Specialist, Santa Clara County Fire Department, at (408) 378-4010. Hasbfat 2011.doc revised 0307'11 CUPERTINO CALGREEN NON -RE L CHECKLIST - MANDATORY ITEMS COMMUNITY DEVELOPMENT DEPARTMENT • IIN ISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFIC &V 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingC@cuPertino.org PURPOSE. 0®400 -1r< o� ` ,��? The non-residential provisions of the 2013 CalGreen Code outline planning, design and de..; pment methods that include environmentally responsible site selection, building design, building siting and development to protect, restore and enhance the environmental quality of the site and respect the integrity of adjacent properties; establishes the means of conserving water used indoors, outdoors and in wastewater conveyance; outlines means of achieving material conservation and resource efficiency; and outlines means of reducing the quantity of air contaminants. Project Name: T t -t b a 1, S 1, Project Address: t" t 0 'J 10k Project Description a 0& ,^ t.- t, 0, � I -,Dv 4 ,#A ! + Instructions: 1. The Owner or the Owner's agent shall employ a licensed professional experienced with the 2013 California Green Building Standards Codes to verify and assure that all required work described herein is properly planned and implemented in the project. 2. The licensed professional, in collaboration with the owner and the design professional shall initial Column 2 of this checklist, sign and date Section 1 - Design Verification at the end of this checklist and have the checklist printed on the approved plans for the project. 3. Prior to final inspection by the Building Department, the licensed professional shall complete Column 3 and sign and date Section 2 - Implementation Verification at the end of this checklist and submit the completed form to the Building Inspector. Column 2 Column 3 MANDATORY FEATURE OR MEASURE Project Verification Requirements General Requirements The project meets all the requirements of Divisions 5.101 through 5.508. I QX Planning and Design - Site Development 5.106.1 Storm water pollution prevention. For projects of one acre or less, develop a Storm Water Pollution Prevention Plan (SWPPP) that has been designed, specific to its site, conforming to the State Storm water NPDES Construction Permit or local ordinance, whichever is stricter, as is required for �X projects over one acre. The plan should cover prevention of soil loss by storm water run-off and/or wind erosion, of sedimentation and/or of dust/particulate matter air pollution. Page 1 of 9 CalGreen Non -Res Checklist. doc revised 01/23/14 5.106.4 Bicycle parking. Comply with Sections 5.106.4.1 and 5.106.4.2; or meet local ordinance, whichever is stricter. ❑X ❑ 5.106.4.1.1 Short -Term bicycle parking. If the qualified project is anticipated to generate visitor traffic, provide permanently anchored bicycle racks within 200 feet of the visitors' entrance, readily visible to passers-by, ❑X ❑ for 5 percent of visitor motorized vehicle parking spaces being added, with a minimum of one two -bike capacity rack. 5.106.4.1.2 Long -Term bicycle parking. For qualified buildings with over ❑ 10 tenant -occupants, provide secure bicycle parking for 5 percent of tenant vehicle parking spaces being added, with a minimum of one space. 5.106.5.2 Designated parking. Provide designated parking for any combination of low -emitting, fuel-efficient and carpool/van pool vehicles as ® ❑ shown in Table 5.106.5.2. 5.106.8 Light pollution reduction. Outdoor lighting systems shall be ❑ El and installed to comply with the following: 1. The minimum requirements in the California Energy Code for lighting zones 1 — 4 as defined in Chapter 10 ® ❑ of the California Administrative Code; and 2. Backlight, Uplight and Glare (BUG) ratings as defined in IES TM -15-11; and ❑ ❑ 3. Allowable BUG rating not exceeding those shown in Table 5.106.8, or Lai Comply with a local ordinance lawfully enacted pursuant to Section 101.7, whichever is more stringent. 5.106.10 Grading and paving. The site shall be planned and developed to keep surface water away from buildings. Construction plans shall indicate how ❑X ❑ site grading or a drainage system will manage all surface water flows. Division Performance Requirements 5.201.1 Scope. The California Energy Commission will continue to adopt ❑ ❑ building mandatory standards. Division Indoor Water Use 5.303.1 Meters. Separate meters shall be installed for the uses described in Sections 503.1 .1 and 503.1.2. 5.303.1.1 New building or additions in excess of 50,000 square feet. ® El submeters shall be installed as follows: 1. For each individual leased, rented or other tenant space within the ❑ ❑ building projected to consume more than 100 gal/day. 2. Where separate submeters are unfeasible, for water supplied to the following systems: a. Makeup water for cooling towers where flow through is greater than 500 gpm. X ❑ b. Makeup water for evaporative coolers greater than 6 gpm. c. Steam and hot-water boilers with energy input > 500,000 Btu/h. Page 2 of 9 CalGreen Non -Res Checklist doc revised 01123114 5.303.1.2 Excess consumption. A separate submeter shall be provided for any tenant within a new building or within an addition that is projected ❑ ❑ to consume > 1,000 gal/day. 5.303.2 Water reduction. Plumbing fixtures shall meet the maximum flow rate values shown in Table 5.303.2.3. X❑ ❑ Exception: Building that demonstrate 20 -percent overall water use reduction. 5.303.2.1 Areas of addition or alteration. For those occupancies within the authority of the California Building Standards Commission, as specified in Section 103, the provisions of Section 5.303.2 and Section 5.303.3 shall ❑X ❑ apply to new fixtures in additions or areas of alterations to the buildings. 5.303.4 Wastewater reduction. Each building shall reduce by 20 percent wastewater by one of the following methods: 1. The installation of water -conserving fixtures or ® ❑ 2. Utilizing non -potable water systems. ❑ ❑ 5.303.6 Standards for plumbing fixtures and fittings. Plumbing fixtures and fittings shall be installed in accordance with the California Plumbing Code ❑ ❑ (CPC), and shall meet the applicable standards referenced in CPC Table 1401.1 and CalGreen Chapter 6. Outdoor Water Use 5.304.1 Water budget. A water budget shall be developed for landscape ® ❑ irrigation use. 5.304.2 Outdoor potable water use. For new water service or for addition or alteration requiring upgraded water service for landscaped areas of at least ® ❑ 1,000 sq.ft. but not more than 5,000 sq.ft., separate submeters or metering devices shall be installed for outdoor potable water use. 5.304.3 Irrigation design. In new nonresidential construction or building addition or alteration with at least 1,000 but not more than 2,500 sq.ft. of cumulative landscaped area, install irrigation controllers and sensors which include the following ❑ criteria, and meet manufacturer's recommendations. 5.304.3.1 Irrigation controllers. Automatic irrigation system controllers installed at the time of final inspection shall comply with the following: 1. Controllers shall be weather- or soil moisture -based controllers that automatically adjust irrigation in response to changes in plants' needs as © ❑ weather conditions change. 2. Weather -based controllers without integral rain sensors or communication systems that account for local rainfall shall have a separate wired or wireless rain sensor which connects or communicates ❑ ❑ with the controller(s). Soil moisture -based controllers are not required to have rain sensor input. Weather Resistance and Moisture Management 5.407.1 Weather protection. Provide a weather -resistant exterior wall and foundation envelope as required by California Building Code Section 1403.2 ❑ ❑ and California Energy Code Section 150, manufacturer's installation instructions or local ordinance, whichever is more stringent.' Page 3 of 9 CalGreen ;Von -Res Checklist.doc revised 01123/14 5.407.2 Moisture control. Employ moisture control measures by the following methods; 5.407.2.1 Sprinklers. Prevent irrigation spray on structures. QX 5.407.2.2 Entries and openings. Design exterior entries and/or openings to prevent water intrusion into buildings. 5.407.2.2.1 Exterior door protection. Primary exterior entries shall be covered to prevent water intrusion by using nonabsorbent floor and wall finishes within at least 2 ft around and perpendicular to such openings plus at least one of the following: 1. An installed awning at least 4 ft in depth. 2. The door is protected by a roof overhang at least 4 ft in depth. 3. The door is recessed at least 4 ft. 4. Other methods which provide equivalent protection. 5.407.2.2.2 Flashing. Install flashings integrated with a drainage ❑ plane. Construction Waste Reduction, Disposal and Recycling 5.408.1 Construction waste management. Recycle and/or salvage for reuse a minimum of 50 percent of the nonhazardous construction and demolition waste in accordance with Section 5.408.1.1, 5.408.1.2, or 5.408.1.3; or meet a ❑X local construction and demolition waste management ordinance, whichever is more stringent. 5.408.1.1 Construction waste management plan. Submit plan per this section to enforcement authority. 5.408.1.2 Waste management company. Utilize a waste management company that can provide verifiable documentation that the percentage of construction and demolition waste material diverted from the landfill complies with CalGreen Section 5.408. 5.408.1.3 Waste stream reduction alternative. The combined weight of new construction disposal that does not exceed two pounds per square ❑ foot of building area may be deemed to meet the 50 percent minimum requirement as approved by the enforcing agency. 5.408.1.4 Documentation. Provide documentation of the waste ❑X management plan that meets the requirements listed in Section 5.408.1.1 through 5.408.1.3. 5.408.3 Excavated soil and land clearing debris. 100 percent of trees, stumps, rocks and associated vegetation and soils resulting primarily from land ❑X clearing shall be reused or recycled. Building Maintenance and Operation 5.410.1 Recycling by occupants. Provide readily accessible areas that serve the entire building and are identified for the depositing, storage and collection of nonhazardous materials for recycling. 5.410.2 Commissioning. For new buildings 10,000 square feet and over, building commissioning for all building systems covered by T24, Part 6, process systems and renewable energy systems shall be included in the design and construction processes of the building project. Commissioning requirements shall include items listed in Section 5.410.2. Page 4 of 9 CalGreen Non -Res Checklist. doc revised 01123/14 5.410.2.1 Owner's Project Requirements (OPR). Documented before the design phase of the project begins the OPR shall include items listed in ❑ ❑ Section 5.410.4. 5.410.2.2 Basis of Design (BOD). A written explanation of how the design of the building systems meets the OPR shall be completed at the design phase of the building project and updated periodically to cover the systems ❑X listed in Section 5.410.2.2. 5.410.2.3 Commissioning plan. A commissioning plan describing how the project will be commissioned shall be started during the design phase of the building project and shall include items listed in Section 5.410.2.3. 5.410.2.4 Functional performance testing. Functional performance testing shall demonstrate the correct installation and operation of each component, system and system -to -system interface in accordance with the ❑X ❑ approved plans and specifications. 5.410.2.5 Documentation and training. A Systems manual and systems operations training are required. ❑X 5.410.2.5.1 Systems manual. The systems manual shall be delivered to the building owner or representative and facilities operator and shall ❑X ❑ include the items listed in Section 5.410.2.5.1. 5.410.2.5.2 Systems operations training. The training of the appropriate maintenance staff for each equipment type and/or system ❑ ❑ shall include items listed in Section 5.410.2.5.2. 5.410.2.6 Commissioning report. A complete report of commissioning process activities undertaken through the design, construction and ❑X ❑ reporting recommendations for post -construction phases of the building project shall be completed and provided to the owner or representative. 5.410.4 Testing and adjusting. Testing and adjusting of systems shall be required for buildings less than 10,000 square feet or new systems to serve an addition or alteration subject to Section 303.1. 5.410.4.2 Systems. Develop a written plan of procedures for testing and adjusting systems. Systems to be included for testing and adjusting shall include, as applicable to the project, the systems listed in Section © ❑ 5.410.3.2. 5.410.4.3 Procedures. Perform testing and adjusting procedures in accordance with industry best practices and applicable national standards El on each system. 5.410.4.3.1 HVAC balancing. Before a new space -conditioning system serving a building or space is operated for normal use, the system should be balanced in accordance with the procedures defined by ❑X ❑ national standards listed in Section 5.410.3.3.1. 5.410.4.4 Reporting. After completion of testing, adjusting and balancing, provide a final report of testing signed by the individual responsible for performing these services. 5.410.4.5 Operation and maintenance manual. Provide the building owner with detailed operating and maintenance instructions and copies of ❑ guaranties/warranties for each system prior to final inspection. 5.410.4.5.1 Inspections and reports. Include a copy of all inspection ❑ verifications and reports required by the enforcing agency. Page 5 of 9 CalGreen ,Non -Res Checklist.doc revised 01123114 Fireplaceie 5.503.1 Install only a direct-vent sealed-combustion gas or sealed wood- Sections 5.504.4.1 through 5.504.4.4. burning fireplace or a sealed woodstove and refer to residential requirements ❑%� ❑ in the California Energy Code, Title 24, Part 6, Subchapter 7, Section 150. the project shall meet the requirements of the following standards. 5.503.1.1 Woodstoves. Woodstoves shall comply with US EPA Phase II 1. Adhesives, adhesive bonding primers, adhesive primers, sealants, emission limits. ❑ ❑ Pollutant Control 5.504.3 Covering of duct openings and protection of mechanical control or air quality management district rules where applicable or ❑ equipment during construction. At the time of rough installation or during SCAQMD Rule 1168 VOC limits, as shown in Tables 5.504.4.1 and storage on the construction site and until final startup of the heating and 5.504.4.2. cooling equipment, all duct and other related air distribution component X❑ ❑ openings shall be covered with tape, plastic, sheet metal or other methods caulking compounds (in units of product, less packaging, which do not acceptable to the enforcing agency to reduce the amount of dust or debris weigh more than one pound and do not consist of more than 16 fluid which may collect in the system. ounces) shall comply with statewide VOC standards and other ❑X 5.504.4 Finish material pollutant control. Finish materials shall comply with Sections 5.504.4.1 through 5.504.4.4. 5.504.4.1 Adhesives, sealants, caulks. Adhesives and sealants used on the project shall meet the requirements of the following standards. 1. Adhesives, adhesive bonding primers, adhesive primers, sealants, sealant primers and caulks shall comply with local or regional air pollution control or air quality management district rules where applicable or ❑ ❑ SCAQMD Rule 1168 VOC limits, as shown in Tables 5.504.4.1 and 5.504.4.2. 2. Aerosol adhesives and smaller unit sizes of adhesives and sealant or caulking compounds (in units of product, less packaging, which do not weigh more than one pound and do not consist of more than 16 fluid ounces) shall comply with statewide VOC standards and other ❑X ❑ requirements, including prohibitions on use of certain toxic compounds, of California Code of Regulations, Title 17, commencing with Section 94507. 5.504.4.3 Paints and coatings. Architectural paints and coatings shall comply with Table 5.504.4.3 unless more stringent local limits apply. ❑X ❑ 5.504.4.3.1 Aerosol paints and coatings. Aerosol paints and coatings shall meet the Product -Weighted MIR Limits for ROC in Section 94522(a)(3) and other requirements, including prohibitions on use of 13certain toxic compounds and ozone depleting substances (CCR, Title 17, Section 94520 et seq). 5.504.4.3.2 Verification. Verification of compliance with this section shall be provided at the request of the enforcing agency. X❑ ❑ 5.504.4.4 Carpet systems. All carpet installed in the building interior shall meet the testing and product requirements of at least one of the standards ❑ ❑ listed in Section 5.504.4.4, 5.504.4.4.1 Carpet cushion. All carpet cushion installed in the building interior shall meet the requirements of the Carpet and Rug Institute ❑ Green Label program. 5.504.4.4.2 Carpet adhesive. All carpet adhesive shall meet the requirements of Table 5.504.4.1. Q ❑ Page 6 of 9 CalGreen Non -Res Checklist doc revised 01123114 5.504.4.5 Composite wood products. Hardwood plywood, particleboard and medium density fiberboard composite wood products used on the interior or exterior of the building shall meet the requirements for ® ❑ formaldehyde as specified in Table 5.504.4.5. 5.504.4.5.3 Documentation. Verification of compliance with this section ❑ 13shall be provided as requested by the enforcing agency. Documentation shall include at least one of the following standards listed in Section 5.504.5.3. 5.504.4.6 Resilient flooring systems. For 80 percent of floor area receiving resilient flooring, installed resilient flooring shall meet at least one ❑ ❑ of the following standards listed in Section 5.504.4.6. 5.504.5.3 Filters. In mechanically ventilated buildings, provide regularly occupied areas of the building with air filtration media for outside and ® ❑ return air prior to occupancy that provides at least a MERV of 8. 5.504.7 Environmental tobacco smoke (ETS) control. Prohibit smoking within 25 feet of building entries, outdoor air intakes and operable windows where outdoor areas are provided for smoking and in buildings; or as enforced by ordinances, regulations or policies of any city, county, city and county, ❑ California Community College, campus of the California State University or campus of the University of California, whichever are more stringent. lndoorllAolsturre and Radon Control 5.505.1 Indoor moisture control. Buildings shall meet or exceed the provisions of California Building Code, CCR, Title 24, Part 2, Sections 1203 ® ❑ and Chapter 14.1. Air Quality and Exhaust 5.506.1 Outside air delivery. For mechanically or naturally ventilated spaces in buildings, meet the minimum requirements of Section 121 of the California Energy ❑ ❑ Code, CCR, Title 24, Part 6 and Chapter 4 of CCR, Title 8 or the applicable local code, whichever is more stringent.' 5.506.2 Carbon dioxide (CO2) monitoring. For buildings equipped with demand control ventilation, CO2 sensors and ventilation controls shall be specified and installed in accordance with the requirements of the latest edition of the California Energy Code, CCR, Title 24, Part 6, Section 121(c).' Environmental Comfort 5.507.4 Acoustical control. Employ building assemblies and components with STC values determined in accordance with ASTM E 90 and ASTM E 413. ® ❑ 5.507.4.1 Exterior noise transmission. Wall and floor -ceiling assemblies making up the building envelope shall have an STC of at least 50 and exterior windows shall have a minimum STC of 30 for any of the building ❑X ❑ locations listed in Items 1 through 3 in Section 5.507.5.1. 5.507.4.2 Interior sound. Wall and floor -ceiling assemblies separating tenant spaces and tenant spaces and public places shall have an STC of lall 11 at least 40. Page 7 of 9 CalGreen Non -Res Checklist doc revised 01/23/14 Outdoor Air Quality 5.508.1 Ozone depletion and greenhouse gas reductions. Installations of HVAC, refrigeration and fire suppression equipment shall comply with Sections 5.508.1.1 and 5.508.1.2. 5.508.1.1 Chlorofluorocarbons (CFCs). Install HVAC and refrigeration © ❑ equipment that does not contain CFCs. 5.508.1.2 Halons. Install fire suppression equipment that does not contain Halons. Q ❑ Page 8 of 9 CalGreen Non -Res Checklist. doc revised 01/23,14 CALGREEN SIGNATURE DECLARATIONS Project Name: MY X-tba� ��•.,A Project Address: kg700 Jo,(1p150 A 427��`�- Project Description: SECTION 1 — DESIGN VERIFICATION Complete all lines of Section 1 – "Design Verification" and submit the completed checklist (Columns 1 and 2) with the plans and building permit application to the Building Department. The owner and design professional responsible for compliance with CalGreen Standards have revised the plans and certify that the items checked above are hereby incorporated into the project plans and will be implemented into the project in accordance with the requirements set forth in the 2013 California Green Building Standards Code as adopted by the City of — 9A__�I'll IIS Owner's Signature nP ism Da" Owner's Name (Please Prini Demon Profe`ssional's Signature { .4 c( �y� Design Professional's Name Please Print) Date Date -- / t . ..I -- Signature of License Professional responsible for_CalGreen compliance Date CalGreen compliance (Please Print) Email Address for SECTION 2 — IMPLEMENTATION VERIFICATION Complete, sign and submit the competed checklist, including column 3, together with all original signatures on Section 2 to the Building Department prior to Building Department final inspection. I have inspected the work and have received sufficient documentation to verify and certify that the project identified above was constructed in accordance with this Green Building Checklist and in accordance with the requirements of the 2013 California Green Building Standards Code as adopted by the City of Cupertino. Signature of License Professional responsible for CalGreen compliance Date Name of License Professional responsible for CalGreen compliance (Please Print) Phone Email Address for License Professional responsible for CalGreen-compliance Page 9 of 9 CalGreen Non -Res Checklist. doc revised 01/23114 HAZARDOUS MATERIALS CHECKLIST COMMUNITY DEVELOPMENT DEPARTMENT •BUILDING DIVISION j ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL �� 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERT1tV® (408) 777-3228 • FAx (408) 777-3333 • buddingacupe tno.or �y PURPOSE To minimize possible delays that would result for the Fire Department plan review, please complete the following checklist to determine if an additional level of Hazardous Materials plan review will be required. MARK `YES' IF THE PROPOSED SCOPE OF WORK INCLUDE ANY OF THE FOLLOWING? PLEASE MARK YOUR ANSWER WITH AN `X' IN THE YES OR NO BOX ON THE SIDE YES NO BELOW. 1. Use, dispensing, mixing or storage of flammable or combusti liquids or gases, hazardous materials, etc. 2. Battery back-up rooms or racks. Y/PYA.N/ 3. Propane tanks. [3 4. Gasoline stations with underground tanks. CONSTRI U 5. Installation or replacement above ground or underground storage of liquid �11rLn products, liquefied petroleum gases, compressed natural gas, explosives or other regulated hazardous materials. 6. Gas rooms for dentist, doctors or veterinarians. 7. Generators with back-up diesel or other fuels. 8. Large refrigeration systems. E -C r% IiIl-. Ift 9. Fuel cell systems. 10. Commercial pool systems. 11. Chemical Storage areas. 12. Flammable liquid storage. 13. Compressed Gases. 14. Dry cleaners. 15. Print Shops. 16. Auto Repair and Auto Body Shops. 17. Research and Development. For any additional information regarding this checklist, please contact Hazardous Materials Specialist, Santa Clara County Fire Department, at (408) 378-4010. Hasl+iiu Z011.docrevised03.07/11 __,n ��, 1\Vr n� •VMV�V-r V�IYV11V4�V v V ewed�J The model ND -2 is an exhaust only canopy hood rated Twill types of cooking equipment. The hood shall have the size, shape and performance specified on drawings. Construction shall be type 430 stainless steel, with a #3 or #4 polish where exposed. The manufacturer. ETL and NSF shall determine the individual component construction. Construction shall be dependent on the structural application to minimize distortion and other defects. All seams, joints and penetrations of the hood enclosure to the lower outermost perimeter that directs and captures grease -laden vapor and exhaust gases shall have a liquid -tight continuous external weld in accordance with NFPA 96. The hood shall be wall type with a minimum of four connections for hanger rods. Connectors shall have 9/16" holes pre -punched in 1 T/z' x 1 T/2" angle iron at the factory to allow for hanger rod connection by others. The hood shall be furnished with U.L. classified filters, supplied in size and quantity as required by ventilator. The hood manufacturer shall supply complete computer generated submittal drawings including hood sections view(s) and hood plan view(s). These drawings must be available to the engineer, architect and owner for their use in construction, operation and maintenance. Exhaust duct collar to be 4" high with 1" flange. Duct sizes, CFM and static pressure requirements shall be as shown on drawings. Static pressure requirements shall be precise and accurate; air velocity and volume information shall be accurate within 1 -ft increments along the length of the ventilator. U.L. incandescent light fixtures and globes shall be installed and pre -wired to a junction box. The light fixtures shall be installed with a maximum of 4'0" spacing on center and allow up to a 100 watt standard light bulb. The hood shall have: • A double wall insulated front to eliminate condensation and increase rigidity. The insulation shall have a flexural modulus of 475 El, meet UL 181 requirements and be in accordance with NFPA 90A and 90B. • An integral front baffle to direct grease laden vapors toward the exhaust filter bank. • A built-in wiring chase provided for outlets and electrical controls on the hood face and shall not penetrate the capture area or require an external chase way. • Removable grease cup for easy cleaning. The hood shall be ETL Listed as "Exhaust Hood Without Exhaust Damper", NSF Listed nd built in accordance with NFPA 96. The hood shall be listed for 450°F cooking surfaces at 150 °F cooking surfaces at 200 CFM/ft, and 700°F cooking surfaces at 250 CFM/ft. The hood shall be ETL Listed as "Exhaust Hood Without Exhaust Damper". Optional Features • Utility Cabinet • ETL Listed Exhaust Fire Damper • End Panels • Enclosure Panels • Fully Integrated Self Cleaning Options 1NTERif C U S 1STE Suggested Specifications Integrated Suggested Specifications: Aerodynamic Grease Trough Fully welded grease sub -assembly and a deep grease trough allows for easy cleaning. Grease trough shall be integrated into the hood to ensure smooth effluent transition from appliance to filter. Clearance Reduction System Hood shall be provided with an integral front and rear clearance to combustibles reduction system. Insulated Hood Front Hood shall be fabricated with a double-wall, insulated front for increased rigidity and reduced condensation. Riser Hood shall accommodate up to a 16" riser. Filter Options The filters shall be constructed of stainless steel and shall be NSF and UL or ETL classified. Various types of filters are available based on cooking application. For lower grease applications, filters should extract up to 85% of grease particles over 8 microns. For heavy grease applications, filters should extract up to 90% of grease particles at 2 microns. Wiring Chase A built-in wiring chase shall be provided for optimal positioning of electrical controls and outlets on the front face of the hood without penetrating the capture area or requiring an external chase way. Exhaust Rates ETL Listed for 450°F, 600°F and 700°F cooking surfaces (File 3054804-001 without exhaust damper; File 3054804-002 with exhaust damper), NSF Listed and built in accordance with NFPA Standard 96. Optional Suggested Specifications: Compact Fluorescent Lights Fitted with UL Listed, pre -wired, incandescent light fixtures and tempered glass to hold up to a standard 100 -watt bulb. Factory pre -wired lighting shall be accessible from the bottom of the hood. Factory installed energy efficient fluorescent bulbs to illuminate cooking surface. CORE Protection Hood to ship with UL -300 integral plenum and duct fire system. Factory Installed Energy Management System Factory will install the energy management system (EMS) in the hood's integral end utility cabinet. Includes factory wiring of duct temperature sensor, and pre-set timers. EMS shall be capable of reducing exhaust and supply airflow quantities by 20% using variable frequency drives. Integral Automatic Self -Cleaning System Factory will install the self-cleaning system, which automatically washes down the exhaust plenum and up to 6 feet of grease duct upon fan deactivation. Cleaning cycle frequency and duration are fully adjustable. End Panels Factory supplied end panels will reduce dynamic effects from cross drafts and enhance the capture and containment of the hood. Exhaust CFM can be reduced by up to 30 percent of the normal exhaust rate. AC -PSP Factory will install the AC -PSP accessory which will delivers up to 80% make-up air while providing a termination point for AC air in a separate insulated plenum. Make-up air plenum shall be located closest to hood. Both the make-up air plenum and AC plenum shall contain two layers of perforated stainless steel diffuser plates to provide even air distribution. ND -2 Performance Values Max Cooking Surface Temp ('F) Minimum Exhaust CFM/Ft 450 (Ovens, Steamers, Kettles. Ranges. Griddles, and ISO Fryers 600 Gas Char -broilers. Electric Char -broilers, 200 and Woks 700 Mesquite Grills, Charcoal Char -broilers, 250 Wood BUrningAppiiances HANGING ANSL.E I' STANDDrr IT!S THE RESPONSIBILITY --- Or TH£ ARCHITECT/INNER TO ENI.URE THAT THE HAOD CLEARANCE M N LIMITED-COMBUSTIDLE AND C7kDUSTl9LE MATERIALS IS IN CDMPLIANCE 0H LDLAL CLTDE REQUIREMENTS Section View of Model ND -2 EXHAUST RISER 10DW VAPORPROOF ,NCANDf5CENi UGH= -TYPE BAFFLE -TYPE FILTE<\ RS GREASE OR" WITH REMOVABLE EWIPHENT BY OTHERS OPTIONAL Perforated Supply Plenum Specification The Perforated Supply Plenum (PSP) shall provide make-up air through perforated stainless steel panels. All seams shall be welded and have stainless steel on exposed surfaces. Unexposed surfaces shall be constructed of aluminized steel. Perforated diffuser plates shall be included in the design and to provide even air distribution and the plenum shall be insulated to prevent condensation (optional). Features and Benefits: • Provides up to 80% make-up air • Stainless steel construction to match the ventilation hood • Delivers make-up air where it is needed most while minimizing the amount of air that diffuses to space • Decreases HVAC load, thus lowering operating costs • Directs make-up air into the hood's capture area • Evenly distributes make-up air along the length of the hood • Low make-up air discharge velocities, typical velocity is 140 to 160 ft. / min. • Assists in exceptional capture and containment of cooking vapors • Easy installation FLANGE FOR HOOD ATTACHMENT Section View Drawing for 12" PSP OPTIONAL DAMPER: "GLUME ONLY OR IRE/VOLUME ASSEMPLY VOLUME ONLY DAMPER HEIGHT = 2,75" C3,5 OPEN STAINLESS STEEL PERFORATED PANEL OPTIONAL AC Perforated Supply Plenum Specification The AC Perforated Supply Plenum (ACPSP) shall provide make-up air through a dual stream perforated stainless steel plenum. All seams shall be welded and have stainless steel on exposed surfaces. Unexposed surfaces shall be constructed of aluminized steel. Perforated diffuser plates shall be included in the design and to provide even air distribution. The air-conditioned portion of the plenum shall be insulated to prevent condensation. The make-up air plenum shall be located nearest the hood and the air-conditioned plenum away from the hood. The make-up air stream and the air-conditioned stream shall not be permitted to mix until leaving the dual plenum. Features and Benefits • Provides up to 80% make-up air • Delivers AC where it is needed most • AC air does not interfere with hood's capture and containment • Convenient termination for AC ductwork in kitchen • Stainless steel construction to match the ventilation hood • Insulated to prevent condensation FLANGE FOR HOOD ATTACHMENT Section View Drawing for 22" ACPSP OPTIONAL DAMPER; VOLUME ONLY OR FIRE/VOLUME ASSEMBLY VOLUME ONLY DAMPER HEIGHT = 2.75° VOLUME ONLY DAMPERS ONL`r ON AC SIDE 12 IN. MUA PLENUM 6 IN, AC PLENUM 23.5% OPEN STAINLESS ti:TEEL PERFORATED PANEL OTHER MASTER -FIT® FEATURES FULLY AUTOMATIC CONTROL SYSTEM Commercial Gas Water Heaters ■ Manual -reset gas shut-off device prevents excessive water temperature ■ Adjustable thermostat with 120'F — 180°F range ■ Gas pressure regulator and pilot filter HANDHOLE CLEANOUT ■ Allows easy access to tank interior for cleaning PLUG KITS ■ Pipe nipples and caps included to plug unused water connections MASTER -FITC° OPTIONS: MANIFOLD KITS FOR MULTIPLE HEATER INSTALLATIONS U 2 -unit kit, Part Number 9003426205 J 3 -unit kit, Part Number 9003427205 J 4 -unit kit, Part Number 9003428205 OPTIONAL LEG KIT TO MEET NSF STANDARD 5 J For all BTR models, Part Number 9003425205 MECHANICAL VENTING KITS L) For BTR -120 through BTR -200, Part Number 9006015005 U For BTR -250 through BTR -400, Part Number 9006016005 J For installation of approved power venter to operate in conjunction with water heater thermostat :] Field wiring should conform to latest version of the National Electric Code ANSVNFPA No.70 J For more information, consult manual shipped with water heater or contact the A. O. Smith Technical Support Center att-800-527-1953 WATER CONNECTIONS TOP INLET AND OUTLET 1-112" on all models except BTR -251 and BTR -305, not equipped with top connections FRONT INLET AND OUTLET 2" on BTR -200, BTR -250, BTR -275 and BTR -400, 1-12" on all other models BACK INLET AND OUTLET 2" on BTR -198, BTR -200, BTR -250 BTR -275 and BTR -400, 1-12" on all other models Revised June 2013 Page 2 of c www.hotwater.com AOSCG10300 CAPACITY. INPUT AND OUTPUT Commercial Gas Water Heaters MODEL NUMBER BTU INPUT PER HOUR GALLONS OR LITRES TANK SIZE GPH OR LPH RECOVERY - GALLONS OR LITRES PER HOUR AT DEGREE RISE 40°F 100'F 140'F 22'C 56'C 78'C BTR -120 120,000 U.S. Gallons 71 GPH 291 116 83 Litres 26S LP -i 1102 439 314 BTR -154 154,000 U.S. Gallons 81 G'r'H 373 149 107 Litres 307 LP -4 1412 564 405 BTR -180 180,000 U.S. Gallons 81 GPH 434 175 124 Litres 307 LPH 1643 659 469 BTR -197 199,000 U S Gallons 100 <,PH 482 193 138 Litres 379 LP -4 1825 731 522 BTR -198 199,000 U.S Gallons 100 GPH 482 193 132 Litres 1 379 LP -1 IS25 731 500 BTR -199 794,000 L1.5, Gallons 81 GPH 482 193 132 Litres 307 1 LP'I 1825 731 500 BTR -200 (A) 199.000 US Gallons 100 GPH 482 193 132 Lnres 379 LPH 1825 731 500 BTR -250 {A) 250,000 U.S. Gallons 100 GPH 606 242 173 Litres 379 LPH 2294 1 918 655 BTR 251 fA) X51,000 U.S. Gallons 65 GPH (08 243 17 d Litres 246 LPH 1 -Il". 921 658 BTR -275 (A) 275,000 U.S. Gallons 100 GPH 667 267 190 Litres 379 LPH 2524 1009 721 BTR -305 (A) 305,000 U.S. Gallons 65 GPH 739 296 211 Litres 246 LPH 2799 1120 E 0 BTR -365 {A} 365,000 U.S. Gallons 85 GPH 885 354 253 Litres 322 LPH 3349 1340 957 BTR -400 (A) 390,000 U.S. Gallons 100 GPH 945 378 7U Lnres 379 LP -I 3576.8 1430.7 100 BTR -500 (A)" 500,000 U.S. Gallons 85 GPH 1212 485 346 Litres 322 LPH 4588 1835 311 Maximum gas supply pressure (natural and propane gas): 14w c. Minimum gas supply pressure, natural gas: 4.5" w.c. Minimum gas supply pressure, propane gas: 11w.c. Manifold pressure, natural gas: 3.5"w.c. Manifold pressure, propane gas: 10'"w.c. Electrical requirements: 120 VAC,.7Amp, Electrical requirements with Power Venter: 120 VAC,3.0 FLAAmps `induced draft design, Category I Venting ,_ _ INDUCED B TOP OUTI T' NPT RELIEF VALVE OUPLET NLE1 A 1 CLEARANCE G GAS CONNECTION MODEL BTR -120-390 IT.r "011'1 NPr REI�Ff 1 112" vouvEvNen +c 112" NPT —J — 1"CLEARANCE TOP OUTLET 1 112" NPT TOP VIEW FIGURE 5 TOP INLET 1 112" NPT MODEL BTR -500 Revised June 2013 Page, 3 of 4 www.hotwater.com AOSCG10300 C*S1ithm DIMENSIONS AND SHIPPING WEIGHTS Commercial Gas Water Heaters MODEL INCHES OR DIMENSIONS SHIPPING WEIGHT NUMBER CM A I B c D E f G H 1 J STANDARD A510 ETR -12U` nches 4-N4 5912 50718 19-11/16 1a 112_ 51-7i8 6 2? 3,4 400 Lbs -61)-3/4 CM 777 151 129 50 43 13 71 182 Ka rhes 73 4-il4 66.12 Si -7B 79 11/I6 19 1/2 6 27-3e4 470 Ed,. BTR -154 CM 185 11 169 147 5D 48 15 71 213K 'n!rvll 67-1;2 4-1/2 62 53-518 20-1,2 21 12 M62-5/8 6 27-3r'4 470 Lbs. BTR -180 CM 771 157 136 52 53 15 71 213K inches 75 4.112 70 61-518 20-112 21 112 6 27-314 603 LbsCM192 BTR. -197 12 178 957 52 53 1S 71 273K inches 75 4-V2 70 61-5%8 20-12 2', 112 6t-112 n 27-S/A 603 Lbs ETR, 798 CM 192 12 178 157 52 53 150 '5 71 273K BTR -199 Inches 67.12 4-112 62 53-5./8 20`112 21 112 r4 -5B 6 27-3/4 470 Lbs CM 171 12 157 136 52 13 139 15 71 213K 1n'.rt"` 7? 4-112 55 v6 55-7/8 19314 23 11; 56-38 6 30 1/4 630 Lbs_ I 72;',bs. BTR -200 (A} CI"A 183 12 165 142 50 58 143 15 77 286 Kq 329k: inr,hes 72 4-1r2 6S-1?8 55-7/8 19-314 23 112 56.3/8 8 30.174 630 Lbs- 725 Lbs, ETR -250 (A} CM 183 12 165 142 50 58 143 20 77 286 Kq 329 K BTR -251 (A) Inches 75 4-112 65-3/4 57-1/4 20 1'/A 1%2 58 314 8 27-3,r4 750 Lbs 862 Lbs. CM 191 1 12 167 145 51 fJ;A 149 20 71 341 Kq 391 K BTR -275 (A) Inches 72 4-V2 651/8 55-78 19-3;4 1 23 112 56-3/8 8 3 944 630 Lbs. 725 Lbs. 86 K 77-9 CM 183 12 16S 142 5'.i 58 143 20 7711761 11 Ko 'mhes ?5 4 112 C,, 04 57-1/4 20 NIA 112 5i/4 8 27-3!4 Lbs &i2 .M BTR305(A) CM 191 12 167 145 51 N/A 149 20 71 341Ko 391Kr tn:hes 79-112 4-1/2 70-1/4 62-12 22, 1,2 23 3/4 63 8 27-.314 725 Lbs 833 Lbs BTR -365 (A} CM 202 12 178 159 57 58 160 20 71 329K 3'9K [,)"Me,_. 75-1/2 4-12 67-12 56-1/4 26-3/4 23 3/4 59 8 30-1/4 760 Lbs, 874 Lbs. BTR -400(A) CM 192 12 171 148 68 58 150 20 77 345 K 3% K BTR -500 (A) "{hes 81-12 1 17-1/2 77-1/4 67-1/2 27-13/100 21 1 67-1/2 8 27-314 812 Lbs. 857 Lbs. CM 209 12 187 166 65 53 167 20 71 368 K 369K BTR -2s0 (A), BTR -251 (A), BTR -275 (A) models shipped with 8' to 6" vent reducer. Certified for both 6"or 8" vent. 'BTR -120 approved for 5' venting using field supplied 6" to 5" reducer. SUGGESTED SPECIFICATION (Natural or Propane) gas water heater(s) shall be A. O. Smith Master -Fits' model # -------------- or equal, with a storage capacity of __________ gallons, an input rating of ___________________ BTUs per hour, a recovery rating of_________ gallons per hour (gph) at 100*F rise and a maximum hydrostatic working pressure of 160 psi. Water heater(s) shall be protected against overheating caused by the buildup of scale, film and other sediment by a self-cleaning device, positioned inside the tank so that it directs the flow of inlet water to keep precipitated solids in suspension so that they are removed from the water heater on that or successive draws. Glasslined water heater(s) shall also be protected against electrolytic corrosion by multiple factory -installed anode rods. In addition, water heater(s) shall: 1) Be equipped with an integrated control system consisting of a 180'F adjustable thermostat with upper and lower sensing bulbs. 2) Be equipped with intermittent electronic ignition, a manual reset gas shutoff device, a gas pressure regulator, factory- installed, CSA Certified and ASME Rated T&P relief valve and 2-3/4" x 3-3/4" tank inspection port. 3) Be design -certified by UL (Underwriters Laboratories) to current edition of ANSI Z.21.10.3 - CSA 4.3 standards governing storage -type water heaters. 4) Meets the thermal efficiency and standby loss requirements of the U. S. Department of Energy and Current Edition of ASHRAE/IESNA 90.1. 5) Have a 3 -year limited warranty against corrosion as outlined in the written warranty. Revised June 2013 Page 4 of 4 www.hotwater.com AOSCG10300 Architectural Specifications General Walk-in coolers or freezers provided under this portion of the specifications shall be prefabricated, of modular design and construction. They shall be designed to allow convenient and accurate field assembly and future enlargement by the addition of panels. Panel Fabrication Standard wall, ceiling and floor panels shall be nominal 2' and 4' in width and shall be interchangeable with like panels. Standard heights of walk-ins shall be. Corner panels shall be 90-1/4 angles with actual 12' exterior horizontal measurements. Nominal 1' and 3' panels shall be used if required to meet job site conditions. Available heights with floor or 4" vinyl screeds: T6" 8'6", 9'6", 10'6", 11' 6", 12'6". Available heights without floor, with 1 1/2" vinyl screeds: T4", 8'4", 9'4", 10'4", 11'4", 12'4". Panels shall consist of foamed - in - place urethane insulation, sandwiched between interior and exterior metal "skin" which has been die -formed and gauged for uniformity in size. Edges of panels shall be foamed - in - place tongue and groove with locking facilities foamed - in - place at time of fabrications. Floor Construction (select one) • Floor Panels: Panels shall be fabricated similar to other panels, designed to readily withstand uniformly distributed loads of 700 lbs. per square foot. Floor (will/will not) be recessed. Floor (will/will not) be covered by the tile and grout, or concrete wearing floor. • Floorless: Provide 1-1/2" high or 4" high Temp -Guard vinyl screeds. Screeds must be coved on both sides and sit flat on the floor. Screeds shall be nailed or lag fasteners shall be allowed. Wall panels lock to screeds on 2'0" centers. Insulation Each panel shall be filled with rigid "Foamed -In -Place" urethane having a thermal conductivity (K factor) of .133 BTU/hr./ft squared per degrees Fahrenheit/inch and an overall coefficient of heat transfer (U factor) of not more than .03. "R" factor shall be 31 or greater. Insulation shall have a 97% closed cell structure. Overall thickness shall be 4". Metal Finishes Panel skins, standard models, standard and optional metal finishes are as follows (Specify one or a combination of the following): Exterior and Interior walls shall be one of the following: 1. .26 gauge stucco -embossed Galvalume steel. 2. 032 stucco -embossed aluminum. 3. 22 gauge Type 304 stainless steel, #3 finish. 4. 20 gauge Type 304 stainless steel. #3 finish. 5. 26 gauge stucco -embossed Galvalume pre -painted white. 6. Other metal finishes and paint colors available. Consult factory. Exterior floor and ceiling shall be 26 gauge Galvalume steel on all walk-ins, unless otherwise called for. Interior floor shall be one of the following: 1. .100"smooth aluminum 2. 16 gauge stainless steel 3. .100 tread plate aluminum 4. 16 gauge galvanized steel (tile and grout applications) Panel locking assemblies Assembly of walk-in shall be accomplished by Posi-Lots. Posi-Lots shall be foamed -in-place and activated by a hex wrench provided by the manufacturer. Access ports to locking devices shall be covered by snap caps. Access ports shall be on interior to allow assembly of walk-in from the inside. Section gaskets NSF listen gaskets shall be foamed -in-place to the male side of all panels, on both interior and exterior. Gaskets shall be impervious to stains, greases, oils, mildew, etc. Kolpak Entrance door and door panel Each walk-in shall be fitted with one standard 34" x 78" swing -type entrance door. The door shall be flush type, finished in and out to match the wall in which located. Doors and door section shall be listed by Underwriters Laboratories and equipped with the following: • Door shall be equipped with magnetic gasket. Posi-Seal door closure and latch. Hardware has provisions for locking and a safety release which prevents entrapment of personnel within the box • Door shall be self-closing with two strap -type, cam -lift hinges. • Doorjamb shall be made of Fiberglass Reinforced Plastic. An isolated, low wattage heater strip covered by magnetically attracting stainless steel shall be fitted onto this jamb (freezer only). This strip shall provide perfect sealing of magnetic gasket and prevent frost and condensation build-up. • Each entrance door section shall be provided with an incandescent type vapor -proof light, pilot light switch and conduit between switch box and outlet box. Concealed wiring shall be standard on each entrance door section. • A threshold with non-skid striping shall be provided with each door section. Heater wire shall continue beneath the threshold (freezer). • A 2" dial thermometer shall be included with each door section to indicate inside temperature. Partitions Fabrication and finish of partition walls shall be the same as the walk-in walls and shall lock into wall, ceiling, and/or floor panels, with Posi-Loc assemblies. Tongue and groove foam fabrication shall provide the thermal break between cooler and freezer compartments. Wall 'T' panels shall be 23" x 12" symmetrical tee. Heater wires not required. NSF All walk -i s shall be fabricated to comply with National Sanitation Foundation No. 7. The NSF label shall be affixed to the i erior door pan. All interior corners, including floor shall be coved. Air Vent A Tri -Action air vent shall be provided to equalize pressure between the interior and exterior, caused by sudden temperature changes due to door openings and evaporator defrosting. The vent shall be heated to prevent moisture and/or frost accumulation (required for freezers). Installation Instructions A complete set of installation instructions shall be included with the walk-in. These instructions shall cover the erection and assembly of the walk-in, and the installation of refrigeration systems. A floor plan print shall be included. Refrigeration Equipment Condensing units shall be fully hermetic or semi -hermetic type. Refrigerant shall be R-22 or R -404A unless otherwise specified. Condenser shall be air-cooled or optional water-cooled. Condensing units shall be factory assembled and UL or ETL listed. Evaporators shall be forced air type. Air discharge shall be parallel to the walk-in ceiling. Fan motors, guards multi -fin and tube -type coil, shall be housed in heavy gauge aluminum. Unit shall have drain pan with suitable drain pipe fitting. Freezer evaporators shall have and automatic electric defrost system including heater, time clock, fan delay control, and heated drain pan. Defrost shall be time initiated and temperature terminated with built-in fail-safe control. All evaporators shall be UL listed. All systems include pump down cycle to provide additional protection against unwanted refrigerant flow, These basic components shall be supplied by Kolpak as one of the following systems: • "CS" Self -Contained Top Mounted • 'SS" Self -Contained Side Mounted • "PCL" Pre -Charged Lines (Remote) • "PR" Pre -assembled Remote See Refrigeration Systems for details on above systems. Refrigeration Accessories Low Ambient Kit For air-cooled condensing units installed outdoors (to -20°F) where sub -zero ambient temperatures prevail for sustained periods - include crankcase heater, head pressure control, and rainproof housing. For below -20°F ambient temperatures, consult factory. `Kolpak Drain Lines Installing contractor shall provide suitable drain lines from all evaporators. Drains shall be trapped outside the walk-in. Freezer drains shall be copper tubing and shall be heated and insulated to prevent freeze-up. All plumbing to be in accordance with local codes. Drain line heater kits available from Kolpak in 6', 2' or 18' lengths. Condensate Evaporator Required if job site does not have a floor drain near the walk-in. An electric condensate evaporator shall be provided for wall mounting on exterior of the walk-in. 115-60-1 AC continuous service voltage required. Insulated Evaporator Top -mounted coil system can be used to provide more useable storage space. Coil is positioned above interior of ceiling. 717:2014 Thunder Group CMSV2472 Wire Shelves 24"X72" Heavy Duq Chrome NSF. 2 pcs: Shelf Accessories Amazon.com I.L1Li1lfq>i Your Amazon com Today's Deals Gift Cards Sell Help Shop by Search -Hello. Sign in Try (� Wish Department - thunder group shelving Your Account - Prime - Cart - List - Home & Kitchen Best Sellers Markdowns Kitchen & Dining Appliances Bedding & Bath Furniture & Decor Patio & Garden Kids' Home Store Home & Kitchen ) Storage & Organization > Racks, Shelves & Drawers , Shelf Accessories Thunder Group CMSV2472 Wire -- Shelves24' X72" Heavy Duty Chrome' 'NSF 2 pcs by Thunder Gro ---l1 Be the first to review this item ��,� // Price. $$$,25 & FREE Shipping In Stock. wakYY f ��fMrt'7�°�' - � �x Usually ships within 2 to 3 days. Ships from and sold by Apex Entertainment Retail. - 12 2 new from S73.95 Click to open expanded view Customers Who Viewed This Item Also Viewed $20.37 $67.97 $49.99 Share Qty: 1 C $88.25 + Free Shipping to stock Usually ships within 2 to 3 days. Sold by Apex Entertainment Retail Add to Cart or Sign In to tum on 1 -Click ordering. Add to Wish List Other Sellers on Amazon $73.95Add' to can + $19.24 shipping Page 1 of 2 Sold by. TigerChef 2 new from $73.95 Have one to sell? Sell on Amazon Customers viewing this page may be interested in these sponsored links (what's this?) Shelving Systems IF - Industrial Racks & Shelves for your Industry needs. Call us industrial. interlakemecalux.com/ today! ULINE - Shelving & - Huge Catalog! Over 29,000 Products. Same Day Shipping www.uline.com/Shelving - Racks From 7 Locations. See a problem with these advertisements? Let us know ........._.. .................... Product Details Item Weight: 25 pounds Shipping Weight: 25 pounds (View shipping rates and policies) ASIN: BOOIPZ9KY6 Item model number: CMSV2472 Average Customer Review: Be the first to review this item Amazon Best Sellers Rank: #2,082,571 in Home & Kitchen (See Top 100 in Home & Kitchen) Would you like to give feedback on images or tell us about a lower price? http://www.amazon.comt'Fhunde r -G roup-CMSV 2472- Sheh•es-Chrome, dpBOO I VZ9KY6/ref=sr_ 1_ 13?ic=UTR&qid=140563791 I &sr=8-13&ke ywords=thunder+... 1 3 f v v Honey -Can -Do SHF -01939 Honey -Can -Do SHF -01443 Seville Classics 5 -Shelf. 4 -Inch Casters for Shelving 5 -Tier Shelving Holds 200- 14 -inch by 30 -Inch by 60 - System Pounds per .. Inch Shelving System (51 j (92) (446) $20.37 $67.97 $49.99 Share Qty: 1 C $88.25 + Free Shipping to stock Usually ships within 2 to 3 days. Sold by Apex Entertainment Retail Add to Cart or Sign In to tum on 1 -Click ordering. Add to Wish List Other Sellers on Amazon $73.95Add' to can + $19.24 shipping Page 1 of 2 Sold by. TigerChef 2 new from $73.95 Have one to sell? Sell on Amazon Customers viewing this page may be interested in these sponsored links (what's this?) Shelving Systems IF - Industrial Racks & Shelves for your Industry needs. Call us industrial. interlakemecalux.com/ today! ULINE - Shelving & - Huge Catalog! Over 29,000 Products. Same Day Shipping www.uline.com/Shelving - Racks From 7 Locations. See a problem with these advertisements? Let us know ........._.. .................... Product Details Item Weight: 25 pounds Shipping Weight: 25 pounds (View shipping rates and policies) ASIN: BOOIPZ9KY6 Item model number: CMSV2472 Average Customer Review: Be the first to review this item Amazon Best Sellers Rank: #2,082,571 in Home & Kitchen (See Top 100 in Home & Kitchen) Would you like to give feedback on images or tell us about a lower price? http://www.amazon.comt'Fhunde r -G roup-CMSV 2472- Sheh•es-Chrome, dpBOO I VZ9KY6/ref=sr_ 1_ 13?ic=UTR&qid=140563791 I &sr=8-13&ke ywords=thunder+... 1 3 7n12014 Whalen Storage ` f �-r Home About Whalen Storage Customer Se rvicc Recalls 1 L &ENO S T O R A G E Home Organization Garage/Industrial RACKS CANTILEVER SHELF BLACK STEEL STORAGE RACK SILVER STEEL STORAGE RACK GREY INDUSTRIAL RACK BLACK INDUSTRIAL RACK EXTRA SHELF KIT 48 INCH 5 SHELF STORAGE RACK 3 -WAY STORAGE RACK SYSTEM 36 INCH 5 SHELF STORAGE RACK STORAGE RACK WITH 2 -WAY SHELVES STEP BEAM CORNER STORAGE RACK Z -BEAM CORNER STORAGE RACK INDUSTRIAL BIN RACK CARTS Black Industrial Rack wwsiRm .3wwo m View Larger 21 people like this. Features Commercial grade steel components with powder coated black wrinkle epoxy finish Three adjustable shelves with heavy duty welded end frames Silver powder coated finish on welded wire decks and channel • Add Extra Shelf Kit (#WSIRS2472-BW sold separately) to connect 2 racks together and create large storage wail • Certified for st rage of , water and other goods y NSF Internatior 1 • Easy single -tool assem y rubber mallet not included) • Shelf Capacity. 2,000 lbs. EVENLY DISTRIBUTED NON -SEISMIC CAPACITY (when load applied to beams) Home Organization Closets Garage/Industrial Compliance Site Terms Privacy Policy Copyrightf52014 Whalen Furniture http:i,'www .whalenstorage.com/category/Garage-I ndustriallgrouplRacks/Black%201 ndustriai%20Rack 1/1 Master -Fit FEATURES Commercial Gas Water Heaters The Master -Fits' BTR series provides outstanding performance and maximum installation flexibility for both new construction and replacement applications. Multiple options for placement of water connections and low installation clearances are additional installer -friendly features. THE ELIMINATOR TM SELF-CLEANING SYSTEM ■ Designed to significantly reduce or eliminate sediment build-up inside the tank ■ Reduced sediment build-up maintains rated thermal efficiency and reduces water heating costs • Self-cleaning system maximizes tank life FACTORY INSTALLED DRAFT DIVERTER AND AUTOMATIC FLUE DAMPER (BTR -120400 Models) ■ Low -profile draft diverter helps for installation in tight spaces ■ Automatic motorized flue damper helps minimize standby heat loss ■ BTR -500 Model features induced draft design and no damper THREE WATER CONNECTION OPTIONS FOR ADDED FLEXIBILITY ■ Hot and cold water connections can be made through front, top or rear of unit ■ Eliminator T14 system operates when cold water is connected through front PERMAGLAS" ULTRA COAT" GLASS LINING ■ Exclusive process provides superior protection against corrosion ■ CoreGardT" anode rods with stainless steel core provide additional corrosion protection INTERMITTENT ELECTRONIC IGNITION ■ Eliminates standing pilot, saves energy ■ Includes power ON/OFF switch ■ Provides flame failure response in less than one second FACTORY INSTALLED, CSA CERTIFIED AND ASME RATED T&P RELIEF VALVE MAXIMUM HYDROSTATIC WORKING PRESSURE: 160 PSI 80% THERMAL EFFICIENCY CODES AND STANDARDS ■ Design -certified by UL (Underwriters Laboratories), according to ANSI Z.21.10.3 - CSA 4.3 standards governing storage -type water heaters ■ Meets the thermal efficiency and standby loss requirements of the U. S. Department of Energy and current edition of ASHRAE/IESNA 90.1 ■ Design -certified by Underwriters Laboratories Sanitation t(f2> 5 for 180°F (82"C) water ■ Optional ASME tank construction available THREE-YEAR LIMITED TANK WARRANTY ■ For complete warranty information, consult written warranty shipped with water heater or contact A. O. Smith BTR -120 through BTR -500(A) _,Iti Page 1 of 4 Revised June 2013 AOSCG10300 7/3/2014 Universal SG 1848 - 48" X 18" Stainless Steel Work Table W/ Galvanized Under Shelf If How, / Unrversal SG 1848 - 48" X 18" Stainless Steel Work Table Wi Galvanized Under Shen UNIVERSAL SG1848 - 48" X 18" STAINLESS STEEL WORK TABLE W/ GALVANIZED UNDER SHELF http://www.eliterestaurantequipment.com/universal-sgIM-48-x-18-stainless-steel-work-table-w-galvanized-under-shelf.hanl?SID=g5hvtl7u',4gilioutntm 6,;drnpl 1/.3 7312014 RELATED PRODUCTS Universal SG 1848 - 48" X 18" Stainless Steel Work ]'able W! Galvanized lander Shelf 4 NSF Certified UNIVERSAL SG2436 - 36" UNIVERSAL SG2484 - 84" UNIVERSAL SG2430 - 30" X 24" STAINLESS STEEL X 24" STAINLESS STEEL X 24" STAINLESS STEEL WORKTABLE W/ WORKTABLE W/ WORKTABLE W/ GALVANIZED UNDER GALVANIZED UNDER GALVANIZED UNDER SHELF SHELF SHELF View Details hew Deiaia 11,%ey. Details RETURN POLICY: All stocked items may be returned to us if the item has not been used and is in original packaging. In order for returns to be accepted, your items must be returned within 30 days from receipt Please contact a customer solutions specialist before returning an item We will create a return authorization for you and send you an e-mail with instructions on how to complete the return. You will be credited 24-72 hours upon receipt and inspection of returned products). Products returned may be subject to restocking fees CUSTOMER REVIEWS Customer Rating Don Luis Catering Palo Alto, CA The table itself is great for the price. If you need a table that will be seeing a lot of heavy use I would go for a more heavy-duty model. However, it works great for what we need it. We use this table day and night in our commercial kitchen. This stainless steel work table is A+. Posted on 7/2114 by Refugio M. Customer Rating Perfect For All Commercial Kitchens Hagerstown, MD This is the table you see in every commercial kitchen including ours. We order a couple of these in different size variations fit our kitchen. We received all the tables within 6-7 days. Because we ordered several they came on a pallet via freight. Shipping was free which i love, and the packaging was tight. No damages here. We have been using the tables for over 2 years and are very happy. We hope this review helps others Posted on 6r2611 4 by Michael S. WRITE YOUR OWN REVIEW You're reviewing. Universal SG1848 - 48" X 18" Stainless Steel Work Table W/ Galvanized Under Shelf How do you rate this product? t STAR 2 STARS 3 STARS 4 STARS 5 STARS Customer Rating Nickname Summary of Your Review" Review' N Weight Capacity of Approx. 600+ lbs. V Contact Elite Restaurant Equipment For Custom Models Perfect For Applications That Require S/S Durability http:i/www.eliterestaurantequipment.com/universal-sg 1848-48-x-18-stainless-steel-work-table-w-galvanized-under-shelf.hurt]'SID=g5hvt17u74qjl3ountgme68dmp I 213 713/2014 Air -Pro Air Curtains I Restaurant and Food Service solutions - TMI, LLC Home » Restaurant & Food Service Solutions » Food Service Air Curtains N Air -Prod Air -Pro@ Air Curtains Click to enlarge Related Files: Air -Pro Installation Instructions Air Curtain Catalog Air -Pro Flyer Air -Pro Specifications Air Curtain Mounting Q12tions Economy -Class Air -Pro PC The Air -Pro® series through Curtron Products is an NSF certified air curtain/air door and is designed for interior mounting on doors up to seven feet high. Air -Pro units are available in stainless steel and a white powder -coat to best match the facility's surroundings. The NSF certification (for stainless steel only, excluding 72" models) makes the Air -Pro air curtain an ideal solution for restaurants and food service facilities. Aluminum blower wheels help make this air curtain a light weight, yet highly effective, unit that separates temperatures, ensures employee and customer comfort, and enables workflow to remain constant. The Air -Pro helps to substantially reduces utility bills while blocking flying insects and airborne pollutants from entering the controlled environments. A heavy-duty directional vane allows the air to be directed into the area where it can be used most effectively. Air -Pro air curtains come with a separate mounting plate that attaches to the wall and enables the Air -Pro to be installed with ease. Both the stainless steel and white powder coat units come with 120 volt, single-phase http://www.tmi-pvc.com/food-service-curtains-c-107-127_128-1-en.huni 112 73/2014 Air -Pro Air Curtains I Restaurant and Fwd service Solutions - TMI. LLC motors. The 36" Air -Pro unit is ideal for use in drive-through windows at restaurants, pharmacies or any other facility with a service window. Features • 1/3 horsepower motors • Housing, grill and nozzle are 304 series stainless steel • Aluminum blower wheels • Built-in high/low switch for 2 -speed motors • Heavy-duty directional vane • e: 120V, single-phase, plug-in unit rtified up to 7' interior mounting height �NSF ar warranty • Low noise levels (67 dBA) • Separate mounting plate for easy installation Door Width -------- - :Power Supply ,.Heated -Reset Model AP -2 -36 -1 -SS AP -2 -42 -1 -SS AP -2 -48 -1 -SS AP -2 -60 -1 -SS AP -4 -72 -2 -SS AP -2 -36 -1 -PC Door Width 36 42 48 60 72 36 AP -2 -60 -1 -PC 60 Displaying 1 to 7 (of 7 products) Toll Free 800.888.9750 Phone 412.787.9750 Fax 412.787.3665 Power SgI2121y 110 Volt/ 1 Phase/ 60 Hz 110 Volt/ 1 Phase/ 60 Hz 110 Volt/ 1 Phase/ 60 Hz 1.10 Volt/ 1 Phase/ 60 Hz 1.10 Volt/ 1 Phase/ 60 Hz 110 Volt/ 1 Phase/ 60 Hz 110 Volt/ 1 Phase/ 60 Hz TMI LLC 5350 Campbells Run Road Pittsburgh, PA 15205 Heated none none none none none none none Result Pages: 1 http://www.tmi-pvc,coni/food-service-curtains-c-107_127_12$-1-en.htnil 212 } kp�1AN Our most �owerful vertical broiler. rt> For the operator using large & extra large cones® Easier to clean. ; Compact design, 2 will fit �on 3b" table. Newley designed 18" burners with 2 burner controls offer the most uniform burr=, MODEL# G=4001 Extra Large capacity and your choice of clean burning natural or LP gas. 40,000 BTW ot Ino <,tK4"iceA�rtfk�`ua :!•d�SF: �� 'ti«.;�:iftki u'>bdr'�°+ui"Pf$ M Slandard Modei5 ❑ GF14 ❑ GF40 GF40 Shown with optional casters Specifications Designed for versatile frying production and solid performance These all-purpose fryers feature outstanding Frymaster reliability and durability. GF fryers are capable of cooking a wide variety of fried foods with consistent uniformity and great taste. The Master Jet burner system's durable metal targets create a large heat -transfer area for reliable, even heat distribution. Durable temperature probe senses temperature changes and activates burner response. Standard Features Open -pot design is easy to clean Millivolt temperature controls, no elec- tric connection required Durable temperature probe Deep cold zone, 1-1 /4" (3.2 cm) IPS ball -type drain valve Master Jet burner heat -transfer system Stainless steel frypot and door, enamel cabinet Two twin baskets • 6" steel legs with 1"adjustment 3/4'(1.91 cm) (NPT) gas connection GF14 40-1b. (20 liter*) oil capacity -- 100,000 Btu/hr. input (25,189 kcal/hr.) (29.3 kw/hr.) - Frying area 12'x 15"x 4"(30.5 x 38.1 x 10.2 cm) GF40 - 50-1b. (25 liter*) oil capacity - 122,000 Btu/hr, input (30,730 kcal/hr.) (35.8 kw/hr.) — Frying area 14"x 15"x 5" (35.6 x 38.1 x 12.7 cm) The open frypot has a large heat - transfer area and every inch of the frypot and cold zone can be cleaned and wiped down by hand. The large cold zone and forward sloping bottom help collect and remove sediment from the frypot to safeguard oil quality and support routine frypot cleaning. *Liter conversions are for solid shortening @707. Projett item - Quantity CSI Section 11406 Date ❑ Frypot cover ❑ Sediment Tray ❑ Clean-out rod ❑ Piezo ignitor kit ❑ Screen -type basket support is Fishplate ❑ Casters See Frymaster domestic price list for other available options and acces- sories. 4,1 plaEiGYt Cot'?ap' 8700 Line Avenue Tel: 318-865-1711 u: urlu.i±�nla,tc r.e<m: Shireveport, LA 71106-6814 Tei: 1-800-221-4583 Bulletin No. 818.0592 !�,^ USA Fax: 318-868-5487 Revtsetl 10/29112 sand ow0c, E -mall: IntoC6frymaster.com ILII Kqmp_pl im, 1563 (397) E -�d DIMENSIONS INCHES _._ (MM) 30.83 (783) 4.50 (114) 57 (40) (40) 36.13 OIL ELECTRICAL (918) j NET i. 35,82 i CAPACITY (910) I WEIGHT WIDTH DEPTH HEIGHT WEIGHT CLASS CU. FT. DIMENSIONS 6.18 (167) Pipe +.. MODEL OIL ELECTRICAL GF14 DRAIN NET SHIPPING INFORMATION NO. CAPACITY HEIGHT with Drain WEIGHT WIDTH DEPTH HEIGHT WEIGHT CLASS CU. FT. DIMENSIONS (A) Pipe (cm) GF14 401bs. (20 liters) 15-5/8" (39.7 cm) 30-7/8" (78.4 cry)) 41-118" (104.4 cm) 13' (33.0 cm) 1151bs. (52 kg) 1521bs, (69 kg) 85 1 19 W 22" D 36" H 46-1/2" (55.9 cm) (91.4 cm) (118.1 cm) GF40 1 501bs, (25 liters) 15-5/8- (39.7 cm) 30-718" (78.4 em} 46-118" (717.2 cm) 13" (33.0 cm) 131tbs. (59 kg) 176 lbs. (80 kg) 85 21 22" (55.9 cm) 36" (91.4 cm) 46-1,'2° (118.1 cm) MODEL NAT/LP GAS ELECTRICAL GF14 100,000 Stu/hr. none required for 125,189 kcal) (29.3 kw) millivolt system GF40 122,000 Btu/hr. (30,730 kcal) (35.8 kW) The following descriptions will assist with ordering the features desired for this equipment: GF14 40 -►b standard, open -pot gas fryer with millivolt controls and durable temperature probe GF40 504b, standard, open -pot gas fryer with millivolt controls and durable temperature probe SD Stainless steel frypot and door, enamel cabinet Check plumbing codes for proper supply line sizing. Recommended minimum store manifold pressure to be 6" W.C. for natural gas and 11" W,C. for LP gas. Check plumbing codes for proper supply line sizing to attain burner manifold pressure of 3-1/2" W.C. natural or 8-1 /4" W.C. LP A minimum of 24" (61.0 cm) should be provided at the front of the unit for servicing and proper operation, and 6" (15.2 cm) between the sides and rear of the fryer to any combustible material. A minimum of 18" (45,7 cm) should be maintained between the flue outlet and the lower edge of the exhaust hood filters. f 8700 Lina Avenue Tel: 318-865-1711 nvcvv .f>emnxtw.com Shreveport, LA 711o6-6800 Tei: 1-800.22,4583 Bulletin No.81&0592 e�i� USA Fax: 318-868-5987 I Revised 10129/12 aR�fV a�11 Itinfo@frymastercom Litho in US -A. 0Frymaster, LLC We reserve the right to change specifications appearing in this bulletin without incurring any obligation for equipment previously or subseauently sold. Check www.fryMaster.com for updates. (I) Model Numbers IR -10 IR -2-G48 IR -10 -CC IR -2 -G48 -CC IR -10 -XB I11 -2 -G48 -XB IR -6-G24 IR -G60 I11 -6 -G24 -CC IR -G60 -CC IR -6 -G24 -XB IR -G60 -XB IR -4-G36 IR-6-RG24 IR -4 -G36 -CC IR-6-RG24-CC IR -4 -G36 -XB IR-6-RG24-XB Two rings of flarne for even cooking no matter the pan size. Top grates with anti -dogging pilot shield protect the pilot from grease and debris. Back grate hot air dam deflects heat onto the stock pot, not the backsplash. Large S" (127 mm) stainless steel landing ledge for convenient plating. Durable cast aluminum With,) vylox heat protection grip. eye ?+ 1i Ik-6-RG24 shown with 1 optional casters OPEN BURNERS - PyroCentric- 32,000 BTU (9 KW) anti -clogging burner with a 7,000 BTU/hr. (2 KW) low simmer feature. Two rings of flame for even heating. Cast iron PyroCentric burners are standard on all IR Series Ranges. Burners are anti -clogging and lift-off and separate for easy cleaning. No gaskets or screws. One standing pilot per burner for instant ignition. GRATES -Front grates measure 12" x 11" (305 x 279 mm). Back grates are 12" x 13"(305 x 330 mm). Back grates are sized for positioning large stock pots directly over burner and feature a hot air dam. Pots slide easily from section to section and onto landing ledge. Grates are cast iron for along service life. GRIDDLES AND RAISED GRIDDLE BROILERS - Highly polished 3/4" (19 mm) steel plate. 21" (533 mm) plate depth. 3" (76 mm) wide grease trough. Burners have 20,000 (6 KW) BTU/hr. output with a heat deflector every 12" (305) for even heating. Large griddle grease can and full width drip tray. Both remove for easy cleaning. STANDARD OVENS - Linear burner provides even heating throughout the 35,000 BTU (10 KW) oven. Unique burner baffle distributes heat flow to provide even temperatures throughout the oven cavity. - Exclusive heat deflector reflects heat into the oven, not the floor. 100% safety pilot. - Chef Depth interior is 26-1/2" w x 26" d x 14" h (673 x 660 x 356 mm) and accommodates 18" x 26" (457 x 660) sheet pans left-to-right and front -to -back. - Porcelainized sides, rear, deck and door lining for easy cleaning. Heavy duty door hinge. Stamped inner door liner provides extra strength while optimizing heat retention. - One chrome oven rack included. CONVECTION OVENS - 30,000 BTU/hr. (9 KW) convection oven with 1/4 hp blower motor cooks products quickly and evenly with less shrinkage. Convection oven interior dimensions 26-1/2" w x 22-1/2" d x 14" h (673 x 572 x 356 mm). Three position switch for cooking or cool down. Fan shuts off automatically when door is open. Porcelainized sides, rear, deck and door lining for easy cleaning. Heavy duty door hinge. - Three chrome oven racks included. ;1; , ;" { 11274)1 1 STANDARD OV�ENJ j CONVECTION OVEN; 66-1/2 � .(1435) e_ =- I 1-142 � - �� 6-114. .•- 41-3/4 (38( 16fif) ,- (1 7� 22112 r t 20 419 14) r G 551 (664) 1 30' �� (572)_______ ---------.i 762) r'-'"_ ) 1483) 16-114 28-7/8 PROWDED WITH A -1 (412) 17331 Eft POWER CORD. CRATED OMEN51CINS DIMENSIONS 60'" w x 31-1/2" d x 56-1/2" h 62-112"w x 39" d x 35" h (1524 x 800 x 1435 mm) (1588 x 991 x 889 mm) 5.0" W.C. 10.0" W.C. 3/4" (19 mm) Specify elevation, if over 2,000 ft. For use only on non-combustible floors. Legs or casters are required for non-combustible floors; or 2" (51 mm) overhang is required when curb mounted. Provide 0" clearance from non-combustible surfaces and 8" (203 mm) from combustible surfaces. IR -G60 -XB 135,000 (40) N/A 60" (1524 mm) (481), 1465 IR40 ' 390,000 (114) 10 N/A (444) 980 Measurements in () are metric equivalents IR -10 -CC 380,000 (111) 10 N/A (493) 1090 "XB" specifies (1) 26-1/2" (673 mm) Standard Oven and (1) Cabinet Base IR -10-X6 355,000 '(104) 10 N/A (425) 940 IR -6-G24 302,000 (89) 6 24" (610 mm) (480) 1060 Large 5" (127 mm) stainless steel landing ledge IR -6 -G24 -CC 292,OW (86) 6 24" (614 mm) (530) 1170 IR -6 -G24 -XS 267,000 (78) 6 24" (610 mm) (457) 1010 tR-4-G36 258,000. (76) 4 36" (914 mm) (491) 1085 IR -4 -G36 -CC 248,000 (73) 4 36" (914 mm) (540) 1195 IR -4 -G36 -XB 223,000 (65) 4 36" (914 mm) ; (468) 1035 -- IR -2-G48 1R -2 -G48 -CC 214.000 204,000 (63) (60) 2 2 48" (1219 mm) 48" ()219 mm) (496) (540) 1095 1195 IR -2 -G48 -XB 179,000 (52) 2 48" (1219 mm) (472) 1045 tR-1560, IR -660 -CC 170,000 160,000 (54) (47) N/A N/A 60" (1524 mm) 60" (1524 mm) (505) (554) 1115. 1225 CRATED OMEN51CINS DIMENSIONS 60'" w x 31-1/2" d x 56-1/2" h 62-112"w x 39" d x 35" h (1524 x 800 x 1435 mm) (1588 x 991 x 889 mm) 5.0" W.C. 10.0" W.C. 3/4" (19 mm) Specify elevation, if over 2,000 ft. For use only on non-combustible floors. Legs or casters are required for non-combustible floors; or 2" (51 mm) overhang is required when curb mounted. Provide 0" clearance from non-combustible surfaces and 8" (203 mm) from combustible surfaces. IR -G60 -XB 135,000 (40) N/A 60" (1524 mm) (481), 1465 � RAISED GRIDDLE BROILER IR-6-RG24 302,000 (89) 6 24"(610mm) (496) 1095 t1- o - Reinforcement channels for mounting IR-6-RG24-CC 292,000 (86) 6 24" (610 mm) (540) 1395 cheesemelter/salamander IR-6-RG24-XB 267,000 (78) 6 24" (610 mm) (468) 1035 6" and 11" (152 and 279 mm) stainless steel backguards Measurements in () are metric equivalents 10" (254 mm) stainless steel wok ring Saute burner head, interchangeable Wok burner head, interchangeable "CC"specifies (2) 26-1/2" (673 mm) Convection Ovens - 220V motor and transformer for convection oven "XB" specifies (1) 26-1/2" (673 mm) Standard Oven and (1) Cabinet Base Extra oven racks 'C -XB" specifies (1) 26-1/2"(673 mm) Convection Oven and (1) Cabinet Base Thermostatic griddle control "G"specifies GriddleTop, griddle on left is standard - Grooved griddle plate Chrome griddle plate Griddle safety valve Gas shut off valve 3/4" (19 mm) Stainless steel front, sides, backguard, shelf, landing ledge and kick plate Quick disconnect and flexible gas hose Welded and polished stainless steel seams 6" (152 mm) casters Large 5" (127 mm) stainless steel landing ledge Z)04(N�FCE Control knobs are durable cast aluminum with a heat protection grip Full width; removable crumb tray under open burners for easy cleaning 6" (152 mm) heavy duty legs with adjustable feet One year parts and labor warranty 1128 5herbom Street Corona, CA 92879 $00.343.7790 Ph:951.281.1830 Fx:951.281.1879 www.imperialrange.com E-mail: imperialsalesC&imperialrange.com R-4 iim X201;3impedaiCommerdal Coding Equpment Printed in the USA, Imperial reserves rite dght to change specifKations at any time without prmr notice and wnbout any obiigabon for past or future equipment purchases %it wwwjmpenalfanat.com for spetlfiotton updates. STEP-UP Model Numbers IR -4-51L) IR -8 -SU -XB IR -4 -SU -XB IR -10 -SU IR -6 -SU IR -10 -SU -CC IR -6 -SU -C IR -10 -SU -XB IR -6 -SU -X8 R -12 -SU IR -8 -SU IR -12 -SU -CC IR -8 -SU -C -X8 IR -12 -SU -XB Two rings of flame for even cooking no matter the pan size. x, lop grates with anti -clogging pilot shield protect the pilot from grease and debris. Large 5" (127 mm) stainless steel landing ledge for convenient plating. Durable cast aluminum with a vylox heat protection grip. IR -4 -SU shown with optional casters OPEN BURNER - PyroCentric" 32,000 BTU (9 KW) anti -clogging burner with a 7,000 BTU/hr. (2 KW) low simmer feature. Two rings of flame for even heating. Cast iron PyroCentric burners are standard on all IR Series Ranges. Burners are anti -clogging and lift-off and separate for easy cleaning. No gaskets or screws. One standing pilot per burner for instant ignition. Rear burners are elevated 4" (102 mm) higher than frontburners for easy and safe access to rear burners. GRATES - Cast iron grates are in 12" x 12" (305 x 279 mm) sections to lift-off easily. - Pots slide easily from section to section and onto landing ledge. - Anti -clogging shield is designed into the grate to protect the pilot from grease and debris. STANDARD OVENS - Both Space Saver and Chef Depth ovens are available. - Linear burner provides even heating throughout the oven. - Space Saver output is 27,000 BTU (8KW), Chef Depth is 35,000 BTU (10 KW). - Unique burner baffle distributes heat flow to provide even temperatures throughout the oven cavity. - Exclusive heat deflector reflects heat into the overs, not the floor. 100% safety pilot. - Space Saver interior is 20" w x 26" d x 14" h (508 w x 660 d x 356 h mm). Chef Depth interior is 26-1/2" w x 26" d x 14" h (673 w x 660 d x 356 h mm) and accommodates 18" x 26"(457 x 660 mm) sheet pans left-to-right and front -to -back. - Porcelainized sides, rear, deck and door lining for easy cleaning. Heavy duty door hinge. - Stamped inner door liner provides extra strength while optimizing heat retention. - One chrome oven rack included. CONVECTION OVENS - 30,000 BTU/hr. (9 KW) convection oven with 1/4 hp blower motor cooks products quickly and evenly with less shrinkage. - Convection oven interior dimensions 26-1/2" w x 22-1/2" d x 14" h (673 x 572 x 356 mm). - Three position switch for cooking or cool down. Fan shuts off automatically when door is open. - Porcelainized sides, rear, deck and door lining for easy cleaning. Heavy duty door hinge. - Three chrome oven racks included. cNIS CE STEP-UP RESTAURANT RANGES 329) E {279f — STANDARD OVEN CONVECTION OVEN r--41102) 56-112 (1435) 1 II ,. 1 i- 2- 6-1114---a 134) 36 "22112 914) (351q 16501 30' i t3sol (572) l---- - 762) _----- 19 (483) u —16-114 (412)-- 28-718 � d PROVIDED WITH r - DOOR SWING 17331 en. POWER CORD. Stainless steel front, sides, backguard, shelf, landing IR -4 -SU 135,000 (45) 4 (210) 465 ledge and kick plate IR -4 -SU -XB 128,000 (38) 4 (183) 405 Welded and polished stainless steel seams —J Large 5" (127 mm) stainless steel landing ledge IR -6 -SU 227,000 IR -6 -C -SU 222,000 (67) 6 (274) (65) 6 (301) 605 665 Control knobs are durable cast aluminum with a heat protection grip IR -6 -XB -SU 192,000 (56) 6 (246) 545 Full width, removable crumb tray for easy cleaning IR -8 -SU 310,000 (91) 8 (322) 710 6" 0 52 mm) heavy duty legs with adjustable feet IR -8 -SU -C -XB 286,000 (84) 8 (303) 670 One year parts and labor warranty IR -8 -SU -XB 291,000 (85) 8 (290) 640 IR -10 -SU 390,000 h; (114) 10 (444) 980 aNIFOLID eR PROPANENATURAL GAS IR -10 -SU -CC 380,000 (111) 10 (493) 1090 5.0" W.C. 10.0" W.C. 3/4"(19 mm) IR -10 -SU -XB 355,000 (104) 10 (425) 940 Specify elevation, if over 2,000 ft. IR -12 -SU 454,000 (133) 12 (514) 1135 IR -12 -SU -CC 444,000 (130) 12 (568) 1255 CLEARANCE IR -12 -SU -XB 419,000 (123) 12 (545) 1205 For use only on non-combustible floors.- oors Legs or Measurements in () are metric equivalents. casters are required for non-combustible floors; or 2" (51 mm) overhang is required when curb mounted. CRATED Provide 0" clearance from non-combustible surfaces DIMENSIONS DIMENSIONS J and 8" (203 mm! from combustible surfaces. IR -4 Series 24"w x 31-1/2'd x 56-1/2" h 26-1/2" w x 39" d x 39" h (610 x 800 x 1435 mm) (673 x 991 x 991 mm) IR -6 Series 36" w x 31-1/2" d x 56-1/2" h 38-1/2" w x 39" d x 39" h A r a s� Reinforcement channels for mounting cheesernelter (914 x 800 x 1435 mm) (978 x 991 x 991 mm) or salamander IR -8 Series 48„ w x 31-1/2" d x 56-1/2" h 50-1/2" w x 39" d x 39" h 6" and 11" (152 and 279 mm) stainless steel backguards (1219 x 800 x 1435 mm) (1283 x 991 x 991 mm) 10" (254 mm) stainless steel wok ring IR -10 Series 60" w x 31-1/2" d x 56-1/2" h 62-1/2" w x 39" d x 39" h Saute burner head, interchangeable 0 524 x 800 x 1435 mm) (1588 x 991 x 991 mm) Wok burner head, interchangeable 72" w x 31-1/2" d x 56-1/2" h 74-1,12" w x 39" d x 39" h Stainless steel wok ring IR -12 Series 0829 x 800 x 1435 mm) (1892 x 991 x 991 mm) 220V motor and transformer Extra oven racks Gas shut off valve 3/4" (19 mm) "CC"specifies (2) 26-1/2" (673 mm) Convection Ovens Quick disconnect and flexible gas hose "C-XB"specifies (1) 26-1/2" (673 mm) Convection Oven and (1) Cabinet Base 6" (152 mm) casters "C'specifies (1) 26-1/2" (673 mm) Convection Oven "4 -SU -XB" specifies (1) Cabinet Base ,NSF ` C "-XB" specifies (1) 26-1/2" (673 mm) Standard Oven and (1) Cabinet Base 1128 Sherborn Street Corona, CA 92879 800.343.7790 Ph: 951.281.1830 Fx:951.281.1879 MPR29011 www.imperiairange.com E-mail: imperialsales(wimperialrange.cam R-6 1 t?13 0 20131mperd)Commerdat (ookirg fgopmert Printed in the U.S.A. ImperialrescuestherighttorhawwdhationsatanytimewithoutpoornoticeandwithoutanyobligationforpastorfutureequipmentpurchasesNotw 6Jmperialrange.(omforspedfxationupdates. 6 .217:1ZESCO.: 0 VIP, 800-729-5051 . " Model Numbers Radiant Char -broilers J IRB -24 J IRB -48 J IRB -30 J IRB -60 J IRB -36 J IRB -72 Model IRB -36 a Broiler Features ■ Stainless steel front, sides, and landing ledge. ■ Welded stainless steel seams. ■ Large 5" (127) stainless steel landing ledge. ■ 4" (102) heavy duty stainless steel legs with adjustable feet. ■ One year parts and labor warranty. ■ AGA and C esign certified, NSF and CE listed. 41 �..Y Radiant Char -broiler Features ■ Individually controlled 15,000 BTUnr. (4 KW) stainless steel burners located every 6" (152). ■ Removable reinforced cast iron radiants prevent clogging of burners and provide even broiling. ■ Heavy duty cast iron top grates provide attractive char -broiler markings. ■ 3" x 22" (76 x 559) sections remove easily and safely for cleaning. ■ Slanted cooking surface provides a range of cooking temperatures. ■ Each top grate blade has a cast -in grease trough that allows excess fat to flow to the front grease gutter minimizing flare-up. ■ Full width grease gutter and large capacity removable drip pan. ■ Insulated throughout cooktop to conserve energy. ■ No tools are needed to remove grates, radiant covers and stainless steel burners for cleaning. ■ Constructed for durability with heavy gauge angle iron chassis. ■ Available in 24", 30", 36", 48", 60" and 72" (610, 762, 914,1219, 1524 and 1829) width models. All measurements in ( ) are metric equivalents. I I I i i Radiant broiler system Imperial Commercial Cooking Equipment 1128 Sherborn Street ■ Corona. CA 92879 ■ 800.343.7790 ■ Ph: 951.281.1830 ■ Fx: 951.281.1879 www.imperialrange.com ■ E-mail: i mperialsales C& imperial range. com B-4 r7'*/",Z1—=.►CcoM Imperial Radiant Char -broilers 800-729-5051 X�k" eV � 4�A4 okC1 Radiant Char -broilers 24" (610) 4 48"(1219) 8 Total Total Ship Weight' Stand Ship Weight BTU (KW) (Ka.) Lbs. Models (Ka.) Lbs. IRB -72 72" (1829) 12 180.000 (53) (319) 705 1 IRBS-72 (62) 135 Crated Dimensions: 31" (788) d x 19" (483) h. Add 2112" (64) to width of unit. All measurements in ( ) are metric equivalents Standard Exterior Specifications Front and sides shall be stainless steel. Stainless steel seams shall be welded and finished. Chassis shall be angle iron for added durability. Control knobs shall be durable cast metal, polished chrome finish. Legs shall be stainless steel 4"(102) legs with adjustable feet. Char -broiler Specifications Burners shall be individually controlled 15.000 BTU/hr (26 KW) stainless steel and shall be located every 6" (152). Burners shall be removable, reinforced cast iron to prevent clogging and provide uniform distribution of heat. Burners grates shall be heavy duty reversible cast iron. Top grates shall be constructed in 3" x 22" (76 x 559) sections. They shall be pitched forward with a cast -in grease trough in each blade for fat run off. Grease gutter shall be full width and removable with a large capacity drip pan. Broiler body shall be fully insulated broiler body with replaceable inner liner. No tools shall be required to remove top grates. radiant covers or stainless steel burners Gas: Manifold pressure is 5.0" W.C. for natural gas or 10 0" for propane gas. Manifold size 3/4" NPT. 3/4" pressure regulator supplied with equipment to be installed at time of connection. Specify type of gas and elevation if over 20001t. (610 m) Clearance: For use only on non-combustible surfaces. Legs or stands are required for non-combustible floors. Provide 0" clearance from non-combustible surfaces and 8" (203) from combustible surfaces. Optional Items: ■ Stainless steel stand, 6" (152) casters (front two are locking) ■ Gas shut off valve 3!4' (19) ■ Quick disconnect and flexible gas hose ■ Fish top grates 5kr Imperial Commercial Cooking Equipment 1128 Sherborn Street ■ Corona. CA 92879 ■ 800.343.7790 ■ Ph: 951.281.1830 ■ Fx: 951.281 . 1879 www.imperialrange.com ■ E-mail: imperialsales@imperialrange.com B-4 1/07 s• 2007 Imperial Commercial Cooking Equipment All specifications subject to change without notice Printed in the t1S A. > ADVANCE TABCO* HMART FA(3RIGATION'- "940" Series shown STAINLESS STEEL REGALINE SINK(," Three Compartments - Two Drai oard Standard Sink Notch For Poly -Vance Cutting Boards & Sink Covers FEATURES: Tile edge for ease of installation. One piece Deep Draws sink bowls with integral drainboards with splash. Featuring the single bowl unit design. All sink bowls have a large liberal 3" radius. Placement of the welded leg assembly ensures stability and furnishes direct support of the column load requirement for the entire sink unit. "940" series is supplied with adjustable front and rear cross brace. CONSTRUCTION: All TIG welded. Welded areas blended to match adjacent surfaces and to a satin finish. Gussets welded to a die -embossed reinforcing channel. Item #: ____._ Qty #: Model #: - — -------- Project_---- MATERIALS: Spec -Line (940 Series): 14 gauge type 304 stainless steel 11" High Splash. Standard (930 Series): 16 gauge type 304 stainless steel 8" High Splash. Super Saver (900 Series): 18 gauge type 304 stainless steel 8" High Splash. LEGS: • 1 5/8" diameter tubular stainless steel. • Stainless steel gussets & channels • Stainless Steel 1" adjustable bullet feet. SPEC -LINE 940 Series STANDARD 930 Series SUPER SAVER goo series wrtn two sets 01 t-eas tar support. r' Customer Service Available To Assist You 1-800-645-31 66 8:30 am - 8:00 pm E.S.T. (" Email Orders To: customer@advancetabco.com. For Smart Fabrication- Quotes. Email To: smarttab@advancelabco.wrn or Fax To 631-586-2933 ADVANCE TABC111 NEW YORK GEORGIA TEXAS NEVADA awaa`av `cetabco.co Fax: 631 242-6900 Fax: (770 775-5625 rax: (972) 9;32-4795 Fax (775) 972-1578 www.advancetabco.com ( ) ) U-5 O.A. LENGTH DRBD. SIZE Approx. Wt. Approx. Wt. Approx. W1. Cubic BOWL SIZE (inches) (mm) (inches) (mm) MODEL # (lbs.) MODEL # (lbs.) MODEL # (tbs.) Feet 91" 2311 18" 457 94-3-54-18RL 230 93-3-54-18RL 189 9-3-54-18RL 182 49 16 x 20 103" 2616 24" 610 94-3-54-24RL 248 93-3-54.24RL 197 9-3-54-24RL 190 55 (aos x 50e) 127" 3226 -36" 914 94-3.54-36RL 275 93-3-54-36RL 239 9-3-54-36RL 208 96 103" 2616 18" 457 94-23-60-18RL 248 93-23-60-18RL 203 9.23-60-18RL 198 59 20 x 20 115" 2921 24" 610 94-23-60-24RL 276 93-23-60-24RL 220 9-23-60-24RL 195 65 (508 x 508) 139" 3531 -36" 914 94-23-60-36RL 408 93-23-60-36RL 387 9-23-60.36RL 364 89 97" 2457 18" 457 94-63-54-18RL 323 93-63.54-18RL 289 9-63-54.18RL 226 62 18 x 24 109" 2762 24" 610 94-63.54.24RL 334 93.63-54-24RL 304 9-63-54-24RL 233 85 (457 x 610) 133" 3372 -M" 914 94-63.54.36RL 418 93-63-54-36RL 367 9-63-54-36RL 325 96 24 x 24 127" 3226 24" 610 94-43-72-24RL 390 93-43-72-24RL 331 9-43-72-24RL 318 98 (610 x 610) +151" 3835 -36" 914 9443-72-36RL 448 93.43-72.36RL 393 9-43-72.36RL 345 110 103" 2616 18" 457 94-83-60-18RL 358 93-83-60-18RL 315 9-83.60-18RL 277 83 20 x 28 115" 2921 24" 610 94-83-60-24RL 394 93-83-60-24RL 346 9-83.60-24RL 305 95 (508 x 711) 139" 3531 *36" 914 94-83-60-36RL 451 93-83-60-36RL 398 9-83-60-36RL 350 109 t Requires Two Faucets 14" Water Level 12" Water Level 12" Water Level * Regalines with 36" Drainboards are Supplied 1 17" Flood Level 15" Flood Level 15" Flood Level wrtn two sets 01 t-eas tar support. r' Customer Service Available To Assist You 1-800-645-31 66 8:30 am - 8:00 pm E.S.T. (" Email Orders To: customer@advancetabco.com. For Smart Fabrication- Quotes. Email To: smarttab@advancelabco.wrn or Fax To 631-586-2933 ADVANCE TABC111 NEW YORK GEORGIA TEXAS NEVADA awaa`av `cetabco.co Fax: 631 242-6900 Fax: (770 775-5625 rax: (972) 9;32-4795 Fax (775) 972-1578 www.advancetabco.com ( ) ) U-5 DIMENSIONS and SPECIFICATIONS TOL Overall: ± .500" ALL DIMENSIONS ARE TYPICAL Interior: ± .250" i 1 i A Overeli r{ Length -j e OO ® OO ^ D Li Drainboard sae lustable Cross Bracing DESCRIPTION 940 SERIES 900 & 930 SERIES BOWL Overall DRBD Recommendeo 91" 18° 16x20 103" 24" DISH SINKS 20" 16" 13 5/8" 27" 38" 11" 14" 20" 45" j 38" ; 8" ! 12" 22" 42" 127" *36" i 103" 18"DISH { 20x20 115" 139" 24" & POT SINKS 20" i 20" 13 5/8" 27"i38" 11" 114" 20" 45" 38" 8" 12" 22" i 42" *3B" i 97" 18" 18x24 109" 24" POT & PAN 24" 18" 15 5/8" 31 " 38" 11" 14" 20" 45" 38" 8" 12" 22" 42" , SINKS 133" *36" 127" 24" 24x24 POT SINKS 24" 24" 15 5/8" 31" 38" 11" 14" 20" 45"' 38" 8" 12" 22" 42" +151 " *36" 103" 18" 20x28 115" 24^ PAN SINKS 28" 20" 17 5/8" 35" 38" 11" 14" 20" 45"' 38" 1 8" 12" 22" 42" 139" *36" t Requires Two Faucets * Regalines with 36" Drainboards are Supplied with Two Sets of Legs for Support. --4 1rp• »--2 j Faucet - f __ .... i # 70 '-- c waste r - Line V ,ralnf tl- Y i MECHANICAL: • Supply is 1/2" IPS hot & cold. • Faucet holes on 8" centers. • Faucets are not included (see accessories). • Waste drains are 1 1/2" IPS S/S basket type, located in center of sink bowl, and are Included. [NS]F w Flood Level x X.3 Water -- 3B"-• - LeWi 4 37" working Heic7nt � `. aa:ostatxe sw*om slow t 5"Ifet ree. r -_ ,.,....:..�:,; ... .. '�d:�:vfi.�a�:`� Y:S. ='" �,..5,a.5:d+Si.•: 5"k':�,.'iPa"=r..�"m�..a.�nasnc.:-�:i-�,�a'4B°u�Cc56.Y:�VaatirrWsab^..r:,5t�r.�«.:..a.:S�..s-:�. , Ar , = AWANCE TABCO. 1— -0-1— C-5& 0a1—C-Sa 200 Heartland Boulevard, Edgewood NY 11717-8380 ADVANCE TABCO is constantly engaged in a program of improving our products. Therefore, we reserve the right to change specifications without prior notice. &. ADVANCE TABCO, MARCH 2014 ADVANCE TABCO• �M4il'1 - NI'aIC:ATIUN" STAINLESS STEEL FABRICATED ECONOMY SINKSO One & Two Compartments MATERIAL: 5/8diameter stainless steel legs with 1" adjustable stainless steel bullet feet. Entire unit is 16 gauge 304 stainless steel. Gussets - stainless steel. MECHANICAL: • Supply is 1;2" IPS not & cold. • Faucet holes on 8" centers. • Faucets are not included (see accessories). • Waste drains are 1 1/2" IPS S/S basket type, located in center of sink bowl, and are included. FEATURES: Backsplash has tile edge for ease of installation. Sink bowls are 3/4" coved corner and meet NSF requirements. Rolled Rim Edge for additional strength. Sink Bowls are 14" deep for greater capacity CONSTRUCTION: All TIG welded. Welded areas blended to match adjacent surfaces and to a satin finish. Gussets welded to a die -formed reinforced plate. Fabricated Bowls are Welded Together at the Seams K-700 Removable Side Splashes Fits Left OR Right Side Rolled Rim Edge For Additional Strength FC-1.1620.18RorL 36 1/2" 26" 16"x20" 18" 1 Specify, 65 lb& FC-1-1620-18RL 52" 26" 18" 2 R & L 80 lbs. FC -1-1818 23" 24" N;A 0 None 60 lbs. FC-1-1818-18RorL 38112" 24° 18" 1 Specify 65 lbs. FC-1-1818-24RorL 44 1/2" 24% 18"x18" 24" 1 Specify, 70 lbs. FC -1-1818-i BRL 54" 24' 18" 2 R & L 90 lbs. FC-1-1818-24RL 66' 24" 24" 2 R & L 100 lbs. FC -1-1824 23" 30" WA 0 None 67 lbs. FC-1-1824-18%rL 381/2"' 30' 18" 1 Specify `105lbs. FC-1.1824.24RorL 45" 30° 18"x24" 24" 1 Specify 115 lbs. FC-1-1824-18RL 54" 30" 18" 2_ R & L 120 lbs. FC-1-1824-24RL 66" 30" 24" 2 R & L 130 lbs. FC -1-2424 29" 30" N/A 0 None 90 lbs. FC-1.2424-18RorL 45" 30' 18" 1 Specify 118 lbs. FC-1.2424-24RorL 50 12' 30" 24"x24" 24" 1 Specify 123 lbs. FC-1.2424-18RL 60" 30' 18' R & L 135 lbs. FC-1-2424-24RL 72 30` 24 2 R & L 14 lbs. FC -2-1515 35' 21" 15"x15" N,A 0 None 78 lbs. FC -2-1620 37" 26" NA. 0 None 85 lbs FC-2-1620-18RorL 52 1l2" 26 16"x20" 18" 1 Specify ° 100 Ibs.l� 18RL 8 FC -2-1818 41° 24°' N A 0 Noe 83 lbs. FC-2.1818-18RorL 561/2"' 24" 18" 1 Specify 90 lbs. FC-2.1818-18RL 72 24� 18"x18" 18" 2 R & L 105 lbs. FC-2.1818-24RL 84" 24" 24" 2 R & L 1 15 lbs. FC -2-1824 41' 30: Nr`A 0 None 115 lbs. FC-2-1824-18RorL 56 112" 30" 18" 1 Specify 130 lbs. FC-2-1824-24RorL 62 1/25' 3G° 18"x24" 24" 1 Specify' 140 lbs. FC -2-1824.1 BRL 72" 30" 18" 2 R & L 145 lbs. FC-2-1824-24RL 84" 30" 24" 2 R & L 160 lbs. FC -2.2424 53" 30' NIA 0 None 138 lbs. FC-2-2424-18RorL 68 1,2" 30" is 1 Specify" 155 lbs. FC-2-2424-18RL 84" 30' 24"x24" 18" 2 R & L 210 lbs. FC-2-2424.24RorL 741/2' 30' 1 Specify 195 lbs. FC-2-2424-24RL 96 30" 24" 2 R & L 225 lbs. Customer Service Available To Assist You 1-800-645-3166 8:30 am - 8:00 pm E.S.T. Ema,; Orders To: custom er@advancetabco com. For Smart Fabrication" Quotes. Emar To: smar1,f3c@aevancetabco.co1m cr Fax 10 631-586-2933 ADVANCE TABCQ NEW YORK GEORGIA TEXAS NEVADA wwx.advancetabcc.com Fax (631) 242-600r� Fax (770) 775-5625 Fax: (972) �;:; X1735 Fax (7 75) 972-1578 E-4 DIMENSIONS and SPECIFICATIONS TOL Overall: :t .500" ALL DIMENSIONS ARE TYPICAL Interior: ± .250" � L I 1 COMP - 1 DRBD L C L I-- A 1 COMP 1 COMP - 2 DRBDS �—A --1 2 COMP - 2 DRBD L r— B �// W ACCESSORIE T,- DRAINS _ FAUCETS M_ PLUMBING ROUGH -IN I— A --I 2 COMP �r 161!2' ,.t4, ffbatlLM� 0- 3 37' fm«kMo wtm � 3 3r'16" "15" K 16" Bowls ere 12" Do" ADVANCE TABCO is constantly engaged in a program of ADVANCE TABCO. improving our products. Therefore, we reserve the right to change specifications without prior notice. E -4a 200 Heartland Boulevard. Edgewood, NY 11717-8380 Z, ADVANCE TABCO. MAY 2014 \` B W �—A --1 2 COMP - 2 DRBD L r— B �// W ACCESSORIE T,- DRAINS _ FAUCETS M_ PLUMBING ROUGH -IN I— A --I 2 COMP �r 161!2' ,.t4, ffbatlLM� 0- 3 37' fm«kMo wtm � 3 3r'16" "15" K 16" Bowls ere 12" Do" ADVANCE TABCO is constantly engaged in a program of ADVANCE TABCO. improving our products. Therefore, we reserve the right to change specifications without prior notice. E -4a 200 Heartland Boulevard. Edgewood, NY 11717-8380 Z, ADVANCE TABCO. MAY 2014 77ADVANCE TABM snnnr-ar r-ne�aicn-nnr�- Keyhole Bracket for easier installation and greater stability. udes wable ear V Tray 37 7 -PS -66 7 -PS -66 -NF (Faucet Not Included) 7 -PS -66W 7 -PS -66L (Shown) or 7 -PS -66R 7 -PS -56 SPACE SAVER 9" x 9" x 5" Bowl STAINLESS STEEL. HAND SINKS SIDE SPLASH UNITS Item #: - --- -- Qty #: ----. Model #: ------ ---- Project STANDARD FEATURES: One piece Deep Mown s,-ik bowl design. Sink bowl is 10" x 14" x 5'. Keyhole wall mount bracket. Stainless steel basket dram 1-1/2' IPS. Solash mounted 4" O.C. gooseneck faucet furnished with aerator. 7 -PS -40 & 7 -PS -66 Series Specific Features: Welded 7 3/4" high side splashes 7 -PS -66W includes K-316 Wrist Handle Faucet 7 -PS -40 lever operated drain and built-in overflow with plastic overflow tube and spring clamps. P -Trap is 1 1/2" IPS 7 -PS -56 Specific Features: Space Saver Sink bowl is 9" x 9" x 5". 7 3/4" high side splashes Flat -Top Strainer 1-1/2" IPS, 7 -PS -76 Specific Features: 12" high side splashes. Includes 17 114" x 3" x 2 5/16" Full length removable Utility Tray for use with 12" Side Splash Units. Lever operated drain and built-in overflow with plastic overflow tube and spring clamps. P -Trap is 1 1/2" IPS. 7 -PS -87 Specific Features: Same features as 7 -PS -40 Plus C -Fold Paper Towel & Soap Dispenser. CONSTRUCTION: All TIG welded. Welded areas blended to match adjacent surfaces and to a satin finish. Die formed Countertop Edge with a 3/8" No -Drip offset One sheet of stainless steel - No Seams. All sink bowls have a large liberal radii with a minimum dimension of 2" and are rectangular in design for increased capacity MATERIAL: Heavy gauge type 304 series stainless steel. Wall mounting bracket is galvanized and of offset design All fittings are brass / chrome plated unless otherwise indicated. MECHANICAL: Faucet supply is 112' IPS mate thread hot and cold. Lany'stanclard MOVABLE UTILITY TRAY 7-PS-48Compliant. 3" x 2 5!l 6' Tray - Tray hem allows to hang from side splash.Perforated for water drainage. For Replacement Faucets & Upgrades. Drains & Accessories visit our website at www.advancetabco.com Customer Service Available To Assist You 1-800-645-3166 8:30 am - 8:00 pm E.S.T. Z3=11k Email Orders To: customer@advancetabco.com. For Smart Fabrication" Quotes. Email To: smartfab@advancetabco.com or Fax To: 631-586.2933 ADVANCE TA CL NEW YORK GEORGIA TEXAS NEVADA arowv.advancetabcc.com Fax: 242-6900 Fax: (770) 775-5625 Fax (972) 332_-4795 Fax: (775) 972--1578 B-10 4 DIMENSIONS and SPECIFICATIONS TOL Overall: 500" Interior: ± .250" FITTINGS SUPPLIED AS SHOWN ALL DIMENSIONS ARE TYPICAL 7 -PS -40, 7 -PS -66, 7 -PS -66 -NF, 7 -PS -66W & 7-PS-66RorL (7 -PS -66 Series Excludes P -Trap & Lover Drain & Overflow) F 15114^ L r--17 1/4'- i ----L T TOP VIEW FOR 7 -PS -40 & 7 -PS -66 Series Faucet Side Splash 12 1/4" 1 -4 2 - Lever 314' 123/4' -4 2- 5 7 -PS -40 - 22 lbs. 7 -PS -66W -22 lbs. 7 -PS -66 -19 lbs. 7-PS-66RorL - 20 lbs, 14 lbs. 7 -PS -66 -NF -19 lbs. 7 -PS -76 7 -PS -87 17 1/4"----- 3- 151/4 1001 14' rlwrwveae Side Splash Ufty Tray ------------------ Leval Drain F'Trap 15 1 1/4' ... ......... . . .. .. ....... ........ 7 1/4' Soap Dispenser Side Splash i 9 3/4" Faucet Side Splash Love, Drain RTMP , e-11LX AM Mk ADVANCE TABCO is constantly engaged in a program of ADVANIM TABM improving our products. Therefore, we reserve the right to e change specifications without prior notice. B -10a 200 Heartland Boulevard, Edgewood, NY 11717-8380 Cc, ADVANCE TABCO, AUGUST 2013 0 I I BUILDING ENERGY ANALYSIS REPORT I PROJECT: C>UPERTINO so.ding Departure. The Kebab Shop 1900 Vallco Parkway, # AU Cupertino, CA 95014 iy� RENEWED FOR LODE COMPLI Reviewed 13Y Project Designer: DONG DAO ARCHITECT 4433 Convoy Street, ste. F San Diego, CA 92111 858-279-4046 Report Prepared by: ACP Engineering Solutions, Inc. 1 Job Number: RECEIVED JUL 01 2015 BY SUBMITTAL # 3 Dat�FFICE COPY 6/23/2015 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 2013 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC —www.energysoft.com. 6.4bvEnerovSoft User PERFORMANCE CERTIFICATE OF COMPLIANCE (Part 1 of 3) PERF -1C Project Name Date The Kebab Shop 6/23/2015 Project Address Climate Zone Total Cond. Floor Area Addition Floor Area 19800 Vallco Parkway, #500 Cupertino CA Climate Zone 04 2,004 n/a GENERAL INFORMATION Building Type: 0 Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room ❑ Relocatable - indicate ❑ specific climate zone ❑ all climates Phase of Construction: ❑ New Construction ❑ Addition ❑ Alteration STATEMENT OF COMPLIANCE This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 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. Documentation Author Name ALVIN K. NGO, PE Signature J44WA� Company ACP Engineering Solutions, Inc. Date 6/23/2015 Address 25386 Chesterfield Ln. Phone 951-370-4369 City/State/Zip , Wildomar, CA 92595 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 110.0, 116.0 through 118.0, and 140.0 through 149.0 of Title 24, Part 6. Please check one: ENV. LTG. MECH. I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to ❑ ❑ X 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 ❑ ❑ ❑ 5537.2 or 6737.3 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 6737.1. Principal Envelope Designer Name DONG DAO Signature Company DONG DAO ARCHITECT Date Address 4433 Convoy Street, ste. F License # City/State/Zip San Diego, CA 92111 Phone 858-279-4046 Principal Mechanical Designer Name Alvin K. Ngo Signature Company AN Engineering ate Address 25386 Chesterfield Ln. License # City/State/Zip lildomar, CA 92595 Phone 951-370-4369 Principal Lighting Designer Name Signature Company Lighting Compliance Not In The Scope Of This Submittal Date Address License # City/State/Zip Phone INSTRUCTIONS TO APPLICANT COMPLIANCE & WORKSHEETS (check box if worksheets are included) ENV -01 Certificate of Compliance. Required on plans. 0 MCH -01 Certificate of Compliance. Required on plans. ❑ LTI-01 Certificate of Compliance. Required on plans. 0 MCH -02 HVAC Air/Water Side Requirements. ❑ LTI-02 Lighting Controls Credit Worksheet. 13 MCH -03 Mechanical Ventilation and Reheat. ❑ LTI-03 Indoor Lighting Power Allowance. 0 MCH -08 Mechanical Equipment Details. EnergyPro 6.4 by EnergySoft User Number: 6260 Run Code: 2015-06-23721:53:09 ID: Page 2 of 13 PERFORMANCE CERTIFICATE OF COMPLIANCE (Part 2 of 3) PERF -1C Project Name Date The Kebab Shop 6/23/2015 ANNUAL TDV ENERGY USE SUMMARY (kBtu/sgft- r Standard Proposed Compliance Energy Component Design Design Margin Space Heating Space Cooling Indoor Fans Heat Rejection Pumps & Misc. Domestic Hot Water Lighting Receptacle Process Process Lighting TOTALS 39.39 27.73 11.66 163.16 138.02 25.13 199.09 113.58 85.51 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 155.89 155.89 0.00 125.60 125.60 0.00 65.01 65.01 0.00 0.00 0.00 0.00 748.14 625.84 122.30 Heating Cooling Fans Heat Rej Pumps DHW Lighting Receptacle Process Process Ltg Percent better than Standard 16.3% ( 17.9 % excluding process) BUILDING COMPLIES GENERAL INFORMATION Building Orientation (S) 180 deg Conditioned Floor Area 2,004 sqft. Number of Stories 1 Unconditioned Floor Area 0 sqft. Number of Systems 2 Conditioned Footprint Area Z004sqft. Number of Zones 2 Natural Gas Available On Site Yes Front Elevation Left Elevation Rear Elevation Right Elevation Total Roof Orientation Gross Area (S) 377 (w) 0 (N) 559 (E) 0 o 936 0 sqft. sqft. sqft. sqft. sqft. sqft. Glazing Area sqft. sqft. sqft. sqft. sqft. sqft. 140 0 0 o 140 o Glazina Ratio 37.1% 0.0% 0.0% 0.0% 15.0% 0.0 % Standard -Proposed Prescriptive Values for Prescriptive Lighting Power Density 1.368 W/sqft. 1.368 W/sqft. Comparison only. See LTI-01 for allowed LPD. I Remarks: I EnergyPro 6.4 by EnergySoft User Number: 6260 Run Code: 2015-06-23T21:53:09 ID: Page 3 of 13 1 PERFORMANCE CERTIFICATE OF COMPLIANCE (Part 3 of 3) PERFAC Project Name The Kebab Shop Date 6/23/2015 ZONE INFORMATION System Name Zone Name Occupancy Type Floor Area s ft. Inst. LPD W/sf' Ctrl. Allowed LPD Credits Area Tailored /s 2 (W/Sol W/s ° Proc. Loads W/s CU-1/FC-1 Food Prep and Supports Kitchen, Food Preparation 1,075 "`1.600 1.000 CU-2/FC-2 Dinning Dining 929 `1.100 Notes: 1. See LTI-01 2. See LTI-02 3. See LTI-03 4. See LTI-04 (items marked with asterisk, see LTI-01 b others b others Items above require special documentation EXCEPTIONAL CONDITIONS COMPLIANCE CHECKLIST 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 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 Signature or Stamp EnergyPro 6.4 by EnergySoft User Number. 6260 Run Code: 2015-06-23T21:53:09 ID. Page 4—o 73 STATE OF CALIFORNIA ENVELOPE COMPONENT APPROACH ri CEC-NRCC-ENV-01-E Revised 06114 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-ENV-01-E Envelope Component Approach (Page 1 of 4) ProjectName: The Kebab Shop Date Prepared: 6/23/2015 A. GENERAL INFORMATION 1 Project Location: 19800 Vallco Parkway, #500 6 Compliance Method: 0 Component ❑ Unconditioned (file 6 7 8 9 Affidavit) 2 CA City and Zip Code: Cupertino, 95014 7 Building Front Orientation (deg or cardinal): 180 deg 3 Climate Zone: 4 8 Permitted Scope of Work 1 ❑ New Construction ❑ Addition ❑ Alteration 4 Total Conditioned Floor 2,004 9 Building Type(s) 0 Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room Wood Area: 4.5.1-A4 4.3.1-A3 13 5 ❑ Schools (Public School) ❑ Relocatable Public School Bldg. 12 Conditioned Spaces ❑ Unconditioned Spaces ❑ Skylight Area for Large Enclosed Space > 5000 ftz (If checked include the NRCC-ENV-04-E with submittal) B. ENVELOPE DETAILS — Framed 1 2 3 4 5 6 7 8 9 10 11 Tag/ID Assembly Type Frame Material Frame Depth Frame Spacing Appendix JA4 Reference Cavity R -value Continuous Insulation R -value Proposed U -Factor Required U -Factor From Tables, B, C, D Comments 1 Wall Wood 2x4 @ 16 4.5.1-A4 4.3.1-A3 13 0.0 0.102 R-13 Wall C. ENVELOPE DETAILS — Non -framed 1 2 3 4 5 6 7 8 9 10 Tag/ID Assembly Type Assembly Materials Thickness (inches) Interior or Core Insulation R -value Continuous Insulation R -value Appendix JA4 Reference Proposed U -Factor Required U -Factor from Tables, B, C, D Comments 1 Door Wood, 1-3/4 in. Floor 0 0.0 4.5.1-A4 0.500 0.0 Wood Door 0.269 Uninsulated Raised Slal D. ENVELOPE DETAILS —Mass 1 2 3 4 5 6 7 8 9 10 11 Tag/ID Mass Type Density (Ib/ft3i Mass Thickness (inches) Furring Strip Thickness (inches) Interior Insulation R -value Exterior Insulation R -value Appendix JA4 Reference Proposed Insulation U -factor Required U -Factor from Tables, B, C, D Comments 1 Floor 7.0 0.0 0.0 4.4.6-A1 0.269 Uninsulated Raised Slal CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA s; . ENVELOPE COMPONENT APPROACH EC-NRCC-ENV-01-E (Revised 06!14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-ENV-01-E Envelope Component Approach (Page 2 of 4) Project Name: The Kebab Shop6/23/2015 Date Prepared: E. ROOFING PRODUCTS (COOL ROOF) 1 2 3 4 5 6 7 8 9 10 11 Mass Roof 251b ft2 or greater Roof Pitch CRRC Product ID Number Product Type Proposed Minimum Required Comments Aged Solar Reflectance Thermal Emittance SRI (Optional) Aged Solar Reflectance Thermal Emittance SRI (optional) ❑ ❑i ❑ ❑t ❑ ❑' ❑ An aged solar reflectance less than 0.63 is allowed provided the maximum roof / ceiling U -factor in TABLE 140.3 is not exceeded ❑ High-rise residential buildings and Hotels and Motels with low -sloped roofs in Climate Zones 1 through 8, 12 and 16 are exempted from aged Solar Reflectance and emittance requirements. ❑ High-rise residential buildings and Hotels and Motels with steep -sloped roofs in Climate Zones 1 and 16 are exempt from aged Solar Reflectance and emittance requirements. ❑ The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempt from aged Solar Reflectance and emittance requirements To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in §110.8(i)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other NOTES: 1. Check the box if the aged Solar reflectance was not available in the Cool Roof Rating Council's Rated Product Directory, Then use the equation in Section 110.8(1)2 where the Initial Reflectance value from the some directory and use the equation (0.2+B(p; ;t;ai — 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance and B is either set to 0.65 for Field -Applied Coatings or it is set to 0. 70for all other roofing products other than Field -Applied Coating. 2. Calculate the SRI Value by using the SRI -Worksheet at (TBD) and enter the resulting value in the SRI Column above and attach a copy for the SRI -Worksheet NRCC-ENV-03-E to the to this form. F. Air Barrier 1 2 3 4 5 Tag/ID Air Barrier Material Type Air Barrier Assembly Tye Whole Building Air Leakage Testing Comments CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA ENVELOPE COMPONENT APPROACH F CEC-NRCC-ENV-01-Eerose CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-ENV-01-E Envelope Component Approach (Page 3 of 4) Project Name: The Kebab Shop Date Prepared: 6/23/2015 G. FENESTRATION PROPOSED AREAS AND EFFICIENCIES 1 2 3 4 5 6 7 8 9 10 11 12 Tag/ID Fenestration Type Area Orientation N, S, W, E or Roof # of Panes Max U -Factor Overhang Max (R)SHGC Min VT Label Conditions Status Comments H. ENVELOPE MANDATORY MEASURES Indicate location on building plans of Mandatory Envelope Measures Note Block: ENV -MM INSTRUCTIONS TO APPLICANT ENVELOPE COMPLIANCE & WORKSHEETS (check box if worksheet are included) For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential Compliance Manual. la NRCC-ENV-01-E Certificate of Compliance. Required on plans for all submittals. ❑ NRCC-ENV-04-E Use when minimum skylight requirements for large enclosed spaces are required in climate zones 2 through 15. Optional on plans. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA MECHANICAL SYSTEMS CEG-NRCC-MCH-01-E Revised 06114 CALIFORNIA ENERGY COMMISSION" CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E Mechanical Systems (Page 1 of 3) Project Name: The Kebab Shop Fate Prepared: 6/23/2015 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 2013 Nonresidential Manual Note: The Enforcement Agency may require all forms to be incorporated onto the building plans. YES NO Form/Worksheet # Title ❑ ❑ NRCC-MCH-01-E (Part 1 of 3) Certificate of Compliance, Declaration. Required on plans for all submittals. En ❑ NRCC-MCH-01-E (Part 2 of 3) Certificate of Compliance, Required Acceptance Tests (MCH -02A to 11A). Required on plans for all submittals. 0 ❑ NRCC-MCH-01-E (Part 3 of 3) Certificate of Compliance, Required Acceptance Tests (MCH -12A to 18A). Required on plans where applicable. ❑ ❑ NRCC-MCH-02-E (Part 1 of 2) Mechanical Dry Equipment Summary is required for all submittals with Central Air Systems. It is optional on plans. m ❑ NRCC-MCH-02-E (Part 2 of 2) Mechanical Wet Equipment Summary is required for all submittals with chilled water, hot water or condenser water systems. It is optional on plans. El ❑ NRCC-MCH-03-E Mechanical Ventilation and Reheat is required for all submittals with multiple zone heating and cooling systems. It is optional on plans. MECHANICAL HVAC ACCEPTANCE FORMS (check box for required forms) Designer: This form is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for HVAC 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. All equipment of the some type that 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 them self 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-MCH-01-E form is not considered a completed form 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 MCH -02A MCH -03A MCH -04A MCH -05A MCH -06A MCH -07A MCH -08A MCH -09A MCH -10A MCH -11A Equipment # of Outdoor Single Zone Air Economizer Demand Supply Fan Valve Leakage Supply Water Hydronic Automatic Requiring Testing units Air Unitary Distribution Controls Control VAV Test Temp. Reset System Demand Shed or Verification Ducts Ventilation Variable Flow Control (DCV) Control Carrier 25HHA4 1 In ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Carrier 25HHA4 1 E ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1 ❑ ❑ ❑ ❑ CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA MECHANICAL SYSTEMS GEC-NRCC-MCH-01-E Revised 06114 CALIFORNIA ENERGY COMMISSION""""W, ' " CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E Mechanical Systems (Page 2 of 3) Project Name: The Kebab Shop Date Prepared: 6/23/2015 MECHANICAL HVAC ACCEPTANCE FORMS (check box for required forms) Designer: This form is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for HVAC 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. All equipment of the some type that 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 them self 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. The following tests require a Enforcement Agency: Plancheck — The NRCC-MCH-01-E form is not considered a completed form 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 MCH -12A MCH -13A MCH -14A MCH -15A MCH -16A MCH -17A MCH -18A Equipment # of Fault Detection & Automatic Fault Distributed Energy Thermal Energy Supply Air Condenser Water ECMS Requiring Testing units Diagnostics for DX Detection & Storage DX AC Storage (TES) Temperature Reset Reset Controls or Verification Units Diagnostics for Air & Systems Systems Controls Zone Carrier 25HHA4 1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Carrier 25HHA4 1 ❑ ❑ 13 1:1 ❑ [3 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA w HVAC SYSTEM REQUIREMENTS L;1G-NRGGML;H-02-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION - CERTIFICATE OF COMPLIANCE NRCC-MCH-02-E HVAC Dry System Requirements (Page 1 of 3) Project Name: The Kebab Shop Date Prepared: 6/23/2015 Equipment Tags and System Description' CU-1/FC-1 I CU-2/FC-2 MANDATORY MEASURES T-24 Sections Reference to the Requirements in the Contract DocumentsZ Heating Equipment Efficiency3 110.1 or 110.2(a) Cooling Equipment Efficiency3 110.1 or 110.2(a) HVAC or Heat Pump Thermostats 110.2(b), 110.2(c) Furnace Standby Loss Control 110.2(d) Low leakage AHUs 110.2(f) Ventilation 120.1(b) Demand Control Ventilations 120.1(c)4 Occupant Sensor Ventilation Contro16 120.1(c)5, 120.2(e)3 Shutoff and Reset Controls' 120.2(e) Outdoor Air and Exhaust Damper Control 120.2(f) Isolation Zones 120.2(g) Automatic Demand Shed Controls 120.2(h) Economizer FDD 120.2(i) Duct Insulation 120.4 PRESCRIPTIVE MEASURES Equipment is sized in conformance with 140.4(a & b) Y Y 140.4(a&b) Supply Fan Pressure Control 140.4(c) Simultaneous Heat/Cool$ 140.4(d) Economizer 140.4(e) Heat and Cool Air Supply Reset 140.4(f) Electric Resistance Heating9 140.4(g) Duct Leakage Sealing and Testing.10 140.4(1) Notes: 1. Provide equipment tags (e.g. AHU 1 to 10) and system description (e.g. Single Duct VAV reheat) as appropriate. Multiple units with common requirements can be grouped together. 2. 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. 3. The referenced plans and specifications must include all of the following information: equipment tag, equipment nominal capacity, Title 24 minimum efficiency requirements, and actual rated equipment efficiencies. Where multiple efficiency requirements are applicable (e.g. full- and part -load) include all. Where appliance standards apply (110.1), identify where equipment is required to be listed per Title 201601 et seq. 4. Identify where the ventilation requirements are documented for each central HVACsystem. Include references to both central unit schedules and sequences of operation. If one or more space is naturally ventilated identify where this is documented in the plans and specifications. Multiple zone central air systems must also provide a MCH -03-E form. 5. If one or more space has demand controlled ventilation identify where it is specified including the sensor specifications and the sequence of operation. 6. If one or more space has occupant sensor ventilation control identify where it is specified including the sensor specifications and the sequence of operation 7. If the system is DDC identify the sequences for the system start/stop, optimal start, setback (if required) and setup (if required). For all systems identify the specification for the thermostats and time clocks (if applicable). 8. Identify where the heating, cooling and deadband airflows are scheduled for this system. Include a reference to the specification of the zone controls. Provide a MCH -03-E form. 9. Enter N/A if there is no electric heating. If the system has electric heating indicate which exception to 140.4(g) applies. 10. If duct leakage sealing and testing is required, a MCH -04-A form must be submitted. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 L- STATE OF CALIFORNIA MECHANICAL VENTILATION AND REHEAT Y3 CEC-NRCC-MCH-03-E (Revised 06114) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-MCH-03-E Mechanical Ventilation & Reheat (Page 1 of 2) Project Name: The Kebab Shop Date Prepared: 6/23/2015 ACTUAL DESIGN INFO (FROM EQUIPMENT VAV Reheated Primary Air VAV Deadband SCHEDULES, ETC) AREA BASIS OCCUPANCY BASIS MINIMUM CFM Primary Air CFM A B C D E F G H I 1 K L M N O P Q R S T N <? n O 0 O L1 D 0 T O N G1 = m 0 v -i Gl n D n z 3 r n Z 3 T 3 3 Tl D m nJD 'z_ Z o n n 3 O Z d D m O - O '^ v m v T v \ p�p T T Z z OT z D 3 T O �+ p� 0 n Z O D< A 3 C a' T Z O T p 0 NCo x -1 1 3 D z r �o n D D p T Z v ` m O r D O Z v A Co K v v Z co -i { 3 G - O m o O s n 3 0 n O Dy 3 O X m, - D n V n Z G) O z 3 O s O a O p D z o O 2 N n o O 0= n Z 0 C, vi mD D m 'Z Food F 1,075 0.15 161 5.4 30.0 161 161 Y Total 161 Dinnin 929 0.50 465 60.3 15.0 905 905 Y Total 905 Yellow shaded cells require user input. Remaining cells are protected and automatic B. The largest amount of primary air supplied by the terminal unit when it's operating in the cooling mode. C. The smallest amount of primary air supplied by the terminal unit in the deadband mode. D. The largest amount of primary air supplied by the terminal unit when it's operating in the heating mode. E. A terminal unit can be controlled with DDC controls, or non -DDC controls. Each control category has different reheat limitations in code. F. Transfer Air must be provided where Required Ventilation Airflow (Column M) is greater than the Design Primary Deadband Airflow (Column C). H. Minimum ventilation rate per Section §120.1. Table 120.1-A. J. Based on number of fixed seats where applicable or the greater of the expected number of occupants and 50% of the CBC occupant load for egress purposes for spaces without fixed seating. M. Required Ventilation Airflow (Req'd Ventilation Airflow) is the larger of the ventilation rates calculated on an AREA BASIS or OCCUPANCY BASIS (Column I or L) N. This column identifies whether or not the Design Primary Deadband Airflow complies or not. It compares the value in column M to the value in column C and column F. O. Design Primary Cooling Airflow * 0.50 for DDC, Design Primary Cooling Airflow * 0.30 for Non -DDC. If the Design Primary Cooling Airflow is less than 300 cfm, then this is not applicable. P. Maximum of Column M and Column O. If the Design Primary Cooling Airflow is 300 cfm or less, then this is not applicable. Q. This column identifies whether or not the Design Primary Reheat Airflow at the zone level, complies or not. It compares the value in column P to the value in column D. R. Design Primary Cooling Airflow * 0.20 for DDC. Not applicable for Non -DDC zones or zones where Design Primary Cooling Airflow is is 300 cfm or less. S. Maximum of Column M and Column R. Not applicable if the Design Primary Cooling Airflow is 300 cfm or less. T. This column identifies whether or not the Design Primary Deadband Airflow at the zone level, complies or not. It compares the value in column S to the value in column C. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 MECHANICAL EQUIPMENT DETAILS Part 1 of 2 NRCC-MCH-08-E Project Name The Kebab Shop Date 6/23/2015 CHILLER AND TOWER SUMMARY PUMPS Equipment Name Type Qty. Eff 1clency Pump Tons Qty. GPM BHP Control DHW / BOILER SUMMARY System Name Type Distribution Qty. Rated Input Vol. Energy Factor Standby Loss Tank Ext. (Gals). or RE or Pilot R -Value Status MULTI -FAMILY CENTRAL WATER HEATING DETAILS Hot Water Pump Hot Water Piping Length ft Control aty. HP Type In Plenum Outside Buried I Add'/P Insulation CENTRAL SYSTEM RATINGS HEATING COOLING System Name Type Qt . Output Aux. kW Efficiency Output Efficiency Status Carrier 25HHA4361FX4DN8037 Split DX 1 34,200 0.0 8.50 HSPF 34,200 14.0 SEER/ 11.0 EER New Carrier 25HHA4481FX4DNB049 Split DX 1 46,000 0.0 8.20 HSPF 45,500 14.0 SEER / 11.0 EER New CENTRAL SYSTEM FAN SUMMARY SUPPLY FAN RETURN FAN System Name Fan Type Economizer Type CFM BHP CFM BHP Carrier 25HHA4361FX4DNB037 Constant Volume No Economizer 1,200 0.50 none Carrier 25HHA4481FX4DNB049 Constant Volume No Economizer 1,600 0.75 none EnergyPro 6.4 by EnergySoft User Number: 6260 RunCode: 2015-06-23721:53:09 ID: Page 12 of 13 ENVELOPE MANDATORY MEASURES: NONRESIDENTIAL ENV -MM Project Name Date The Kebab Shop 6/23/2015 DESCRIPTION Building Envelope Measures: Installed insulating material shall have been certified by the manufacturer to comply with the California Quality §110.8(a): Standards for insulatingmaterial, Title 20 Chapter 4, Article 3. All Insulating Materials shall be installed in compliance with the flame spread rating and smoke density requirements of §110.8(c): Sections 2602 and 707 of Title 24, Part 2. The opaque portions of framed demising walls in nonresidential buildings shall have insulation with an installed R -value §110.8(f): of no less than R-13 between framing members. All Exterior Joints and openings in the building that are observable sources of air leakage shall be caulked, gasketed, §110.7(a): weatherstripped or otherwise sealed. Manufactured fenestration products and exterior doors shall have air infiltration rates not exceeding 0.3 cfm/ft.2 of §110.6(a): window area, 0.3 cfm/ft.z of door area for residential doors, 0.3 cfm/ft.z of door area for nonresidential single doors (swinging and sliding), and 1.0 cfm/ft.2 for nonresidential double doors (swinging). §110.6(a): Fenestration U -factor shall be rated in accordance with NFRC 100, or the applicable default U -factor. Fenestration SHGC shall be rated in accordance with NFRC 200, or NFRC 100 for site -built fenestration, or the §110.6(a) : applicable default SHGC. Site Constructed Doors, Windows and Skylights shall be caulked between the unit and the building, and shall be §110.6(b): weatherstripped (except for unframed glass doors and fire doors). Ener Pro 6.4 by EnergySoft User Number: 6260 Run Code: 2015-06-23T21:53:09 ID: Pa e 13 of 13 Project: Kebab Shop Plancheck: Mechanical Mechanical Design Engineer: Alvin K. Ngo, PE 27. Revised, added uninsulated slab floor (raised) and uninsulated slab floor above the space, see revised title 24 cals documents and M3.1 and M3.2. Title 24 cals is in compliance per performance method, not per prescriptive method; therefore raised floor below and floor above do not required to be insulated. 61. Corrected detail #4 on M1.2 to say "detail #1", see M1.2. 62. Added height for outside air-intake louver (10' above floor) at the front, see note #11 on M21. Added height for exhaust air cap (10' above floor) at the back, see note #13 on M21. 63. Added exhaust grease duct and make up air duct design, see M2.1. 64. Revised, condensing units shall be hung high above floor, see note #6 of M2.1. 65. Added note #18 for thermally insulated condensate piping. If M ITR N COMPANY INC. A ODOR ABATE SYSTEM, US V\ QSTEO Intertek 0 G Self-contained s lfoualizin r � offensive odors and smoke .� ed g Reduces odor particles up to 95% and smoke particles up to 50% 0 Easy installation and maintenance MOLITRON ODOR AND SMOKE ABATEMENT SYSTEM THE MOAS FOR SIMPLIFIED ODOR NEUTRALIZATION The Molitron Odor and Smoke Abatement System (MOAS) is designed to provide a totally self contained system for neutralizing offensive odors and smoke emanating from commercial exhausts or any other source of unde- sirable odors and smoke. The MOAS can be used independently, or with the Molitron Enviro-Clean Air Scrubber or Enviro-Pak Filter Assembly. The Molitron "MOAS" Odor & Smoke Abatement System can reduce up to 95% of the odor particles and up to 50% of the smoke particles. The MOAS dispenses a neutralizing solution through nozzles located in the exhaust air stream. Chemical neutralization changes the particle's molecular structure, effectively modifying it. And, unlike chemical mask- ing agents or perfumes that superimpose a pleasant fragrance on an unpleasant odor, odor neutralizers absorb and convert malodors resulting in a reduction in odor and smoke particles. EASY INSTALLATION AND MAINTENANCE All necessary components, except for the remote atomizing nozzles, are located in a stainless steel wall mounted cabinet. Utilities required are one 115 VAC electric service and one 1/4" cold water supply. Connect- ing the basic MOAS cabinet to the remotely located atomizing nozzles are one 1/4" OD liquid hose and one 3/8" OD air hose. RECENT INSTALLATIONS: St. Anthony's Hospitals Jersy Mike's Subs Seasons 52 Restaurants Habit Burger Restaurants Chipotle Restaurants True Food Kitchen Porter Adventist Hospital CT OC/STEU Intertek STAINL�ES5 STEEL, CABINE 7 V WALL MOUNTED 18 GA. STAINLESS STEEL CABINET, 24" WIDE, 32" HIGH, 8" DEEP WEIGHT: 95 LBS. -7 Moli"tron Company, Inc. To Whom It may Concern The MoliTron "MOAS" Odor & Smoke Abatement System can reduce up to 95% of the odor particles and up to 50% of the smoke particles. The exact reduction of smoke particles cannot be determined because of various cooking processes utilized and the variation in the efficiency of kitchen hood grease removal devices. However, we recommend that the MOAS nozzles be located as closely as possible to the source of the contaminants, both odor and visible smoke particles, in order to maximize the effectiveness of the MOAS system. Arlen Gallagher President 1457 Ammons Street, Suite103 Lakewood, CO 80214 Phone: (303) 969-8888 . (800) 525-9494 - www.moli-tron.com M 0LITROIM MOLITRON ODOR AND SMOKE ABATEMENT SYSTEM MOAS CONCENTRATE INFORMATION The Molitron Odor and Smoke Abatement System is one which automatically dilutes the MOAS concentrate for atomization into an exhaust air stream. The amount of concentrate required to neutralize all odors and smoke depends on the solution concentration setting and the length of time available to mix the atomized MOAS concentrate with the air stream before being released into the atmosphere. The amount of concentrate required is manually adjusted inside the MOAS cabinet. Satisfactory performance will result after the volume of concentrate is adjusted to the proper amount required to neutralize the odors and smoke in question. In most cases up to 95% of offensive odors and up to 50% of smoke particles can be neutralized. For greater efficiency with the least amount of product used, there should be a minimum of 10 feet of duct from the point of the atomization nozzle to the point of air discharge into the atmosphere. Increasing the duct length, to greater than 10 feet, increases efficiency because it allows more time for the neutalization process before discharging into the atmosphere. INSTALLATION INSTRUCTIONS FOR THE MISTING NOZZLE MISTING NOZZLES ARE FURNISHED ATTACHED TO A 4 INCH SQUARE STAINLESS STEEL EXHAUST FAN PLATE. THIS PLATE IS FURNISHED WITH 8 HOLES, AND IS MOUNTED TO THE OUTSIDE OF THE KITCHEN EXHAUST DUCT. MOUNT THE NOZZLE ASSEMBLY AS TWO NOZZLES PER SYSTEM SHOULD NOZZLES REQUIRE BLACK AIR HOSE SERVICING, THE NOZZLE AND CONNECTION. MOUNTING PLATE ASSEMBLY CAN AIR HOSE IS 3/8" OD BE EASILY REMOVED FROM THE SIDE WALL OF THE DUCT. EXHAUST DUCT THE MOAS IS PROVIDED WITH TWO SETS OF TUBING AS WELL AS THE NECESSARY FITTINGS TO CONNECT THE NOZZLES TO THE CONTROL CABINET. ODOR AND SMOKE SOURCE FOLLOWS: 1) WELD THE 8 STAINLESS STEEL STUDS PROVIDED TO THE DUCT SIDE WALL TO MATCH THE HOLES ON THE STAINLESS STEEL MOUNTING PLATE 2) WITH THE MOUNTING PLATE IN PLACE ON THE DUCT, MARK THE RED SOLUTION CENTER OF THE PLATE. REMOVE HOSE CONNECTION THE PLATE AND DRILL A 1-1/2" -SOLUTION HOSE IS HOLE IN THE SIDE WALL OF THE 1/4" O.D. DUCT. MISTING NOZZLE FOR 3) ATTACH THE NOZZLE TO THE NEUTRALIZER MOUNTING PLATE AND MOUNT SOLUTION. THEM OVER THE PREVIOUSLY CUT HOLE. TWO NOZZLES PER SYSTEM SHOULD NOZZLES REQUIRE BLACK AIR HOSE SERVICING, THE NOZZLE AND CONNECTION. MOUNTING PLATE ASSEMBLY CAN AIR HOSE IS 3/8" OD BE EASILY REMOVED FROM THE SIDE WALL OF THE DUCT. EXHAUST DUCT THE MOAS IS PROVIDED WITH TWO SETS OF TUBING AS WELL AS THE NECESSARY FITTINGS TO CONNECT THE NOZZLES TO THE CONTROL CABINET. ODOR AND SMOKE SOURCE MOLITRON ODOR AND SMOKE ABATEMENT SYSTEM MOU ON 1 THE "MORS" FOR SIMPLIFIED ODOR NEUTRALIZATION FOR USE WITH ANY TYPE OF EQUIPMENT REQUIRING A MEANS OF NEUTRALIZING ODORS AND SMOKE. •ITI.1/� TA �r {\ 3" FRONT VIEW WALL MOUNTED 18 GA. STAINLESS 24'► STEEL CABINET, 24" WIDE, 32" HIGH, 8" DEEP. g�� WEIGHT: 95 LBS o © O G ul PARTS IDENTIFICATION: TOP VIEW A) UL LISTED ENCLOSURE FOR IDEC TIME CONTROLLER. B) 24 VOLT SOLUTION PUMP FOR MOAS SOLUTION C) 115 VOLT GAST AIR COMPRESSOR D) 24 VOLT SOLENOID VALVE AND SOLUTION INJECTOR E) MIXING TANK F) ONE GALLON MOAS CONCENTRATE G) 1" CONDUIT CONNECTION FOR TUBING TO MOAS MISTING NOZZLES. ......RED LIGHT ALARM FOR LOW SOLUTION WARNING. P) 115 VAC, 15 AMP SUPPLY CONNECTION W) 1/4" COLD WATER SUPPLY CONNECTION J) FRESH AIR INLET K) CAM LATCH HANDLE T) AIR AND SOLUTION TUBING TO MISTING NOZZLES UTILITIES REQUIRED:115VOLT, 15 AMP CIRCUIT AND ONE 1/4" COLD WATER SUPPLY. MOLITRON ODOR AND SMOKE ABATEMENT SYSTEM EQUIPMENT DESCRIPTION The MOLITRON ODOR AND SMOKE ABATEMENT SYSTEM (MOAS) is designed for the express purpose of neutralizing odors and smoke emanating from commercial exhaust systems. The MOAS is comprised of a stainless steel cabinet with a hinged door, 24" wide, 32" high and 8" deep. Interior components consist of an air compressor, a solution pump, an internal cooling fan, a mixing tank, a solenoid valve, a solution injector with an adjustable volume control and an electrical control system with a disconnect switch that turns the system on and off at preset time intervals. Utility requirements are one 1/4" cold water supply and one 115 vac supply circuit. Connections for both water and electric are on the top of the stainless steel enclosure as are the connecting points for 3/8" OD compressed air tubing and for 1/4" OD neutralizing solution tubing. Maxi- mum tubing length should not exceed 100 feet. Injection of the odor and smoke neutralizing solution into the contaminated air stream is accomplished through the use of stainless steel atomizing nozzles mounted through the wall of the exhaust duct. The nozzles must be connected to the 3/8" and 1/4" tubing that exit from the stainless steel enclosure. When the system is in use, the nozzles spray a fine mist of compressed air and neutralizing solution which quickly mixes with the moving air in the duct system as it neutralizes the odors and smoke. Each system is furnished with two nozzles which are adequate for up to 6,000 CFM. Nozzles should be located as far as possible from the point of discharge to the atmosphere to allow for maximum neutralization of odors and smoke. System performance can be increased or decreased by adjusting the dilation ratio set point located on the brass solution injector on the cold water supply. Start up and calibration must be done in accordance with the MOLITRON MOAS installation manual. ETL LISTING The Molitron Odor and Smoke Abatement System is ETL listed and tested to the following standards: UL 197: Commercial Electric Cooking Appliances UL 710, Clause 43: Fire and Leakage Test of Fittings for Hood Penetrations 15 May 2014 Mr. Arlen Gallagher Moli-Tron Company, Inc. 1457 Ammons St, Suite 103 Lakewood, CO 80214 E-mail: cleanair@molitron.com 22887 NE Townsend Way Fairview, OR, 97024 Telephone: 503-676-2311 Conforming Letter Report Facsiminile: .c03- 76-2350 www.ter Intertek Report No. 101650036PRT-001 Intertek Project No.: G101650036 Phone: (303) 969-8888 Subject: Evaluation of the nozzle assembly for WAS to be installed in commercial cooking hood exhaust ducts. Dear Mr. Arlen Gallagher, This letter report represents the results of our evaluation of the above referenced product(s) to the requirements contained in the following standards: UL 710 Issued: 2012/09/13 Ed: 6 Rev: 2013/11/05 Exhaust Hoods for Commercial Cooking Equipment Clause 43 ULC S646 Issued: 2010/07/01 Ed:3 Standard for Exhaust Hoods and Related Controls for Commercial and Institutional Kitchens Clause 6.18 SECTION 1: SUMMARY Intertek wishes to inform you that, during our evaluation we found that the nozzle assembly is acceptable for installation in commercial cooking exhaust ducts. During our evaluation we concluded, per the manufacturer's instructions, the odor neutralizing nozzle assembly was intended to be installed in exhaust ducts for commercial kitchen cooking exhaust hoods. The nozzle assembly for the WAS model line was tested to clause 43 of UL 710 and clause 6.18 of ULC S646, Fire and Leakage Test of Fittings for Hood Penetrations. As a result of this evaluation we concluded the nozzle assemblies complies with the applicable requirements of the standards listed above, and possessed acceptable performance per the applicable test clauses citied above. SECTION 2: TESTING The following testing was completed with passing results. This information is for the exclusive use of Intertek's Client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense, or damage occasioned by the use of this information. Any observations and results in this report are relevant only to the sample evaluated. Only the Client is authorized to copy and distribute this information and only then in its entirety. UL 710 ULC S646 Test Description Clause Clause Fire and Leakage Test of Fittings for Hood Penetrations 43 6.18 This information is for the exclusive use of Intertek's Client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense, or damage occasioned by the use of this information. Any observations and results in this report are relevant only to the sample evaluated. Only the Client is authorized to copy and distribute this information and only then in its entirety. Report No. 101453585DEN-002 Page 14 of 22 Issued: 6 -Mar -2014 Moli-Tron Company, Inc. Revised: 14 -May -2014 7.0 Illustrations Illustration 2 - Installation Instructions PARTS ENCLOSED: 1- ODOR ABATEMENT CABINET WITH MOUNTED PARTS 2- NOZZLE ASSEMBLY 1- ROLL 318" OD HOSE 1- ROLL 114" OD HOSE 2- 2" LAG BOLTS. 114" OD INSTALL MOAS CABINET: The MORS cabinet is to be securely mounted using the 2 lag bolts provided, on a wall in the vicinity of the kitchen exhaust hood, where adequate ventilation is available Using the mounting tabs on the top of the cabinet, the lag bolts should be screwed into wood studs in the wall The NIOAS must not be located in an enclosed closet where there is no ventilation Utilities required are one 1 15 -VAC. 15, AA1P electric service hard wired to main disconnect switch on cabinet top and one '/a- cold water supply Connection points for both water (W) and power (P) are located on the top of the cabinet as shown on prior page The water connection consists of a 's.- copper union The electrical point of connection is a UL Listed disconnect switch All components inside the cabinet are factory wired to disconnect switch A. INSTALL NOZZLES: (.listing nozzles are furnished attached to a 4" square stainless steel plate. Installation of this nozzle assembly requires cutting a 1 112" hole in the side wall of the exhaust duct (drilled by the contractor) in order to mount the assembly. See INSTALLATION INSTRUCTIONS diagram on the next page Nozzles must be located in exhaust duct, as close to the hood as possible The purpose is to allow as much time possible for the odor neutralizer to interact with the odor molecules in exhaust air before being exhausted to the outside atmosphere B. CONNECT MOAS TO NOZZLES: I ) The air (318' OD Hose) and solution (114" OD Hose) are to be then connected to the appropriate points of connection on the nozzle as shown in the diagram on the next page. The words "Air" and -Liquid" are imprinted on the nozzles 2 ) After hoses are connected to nozzles, connect opposite ends to point of connection (G) on NIOAS cabinet NOTE: It is recommended by the factory that all hoses be nm inside a I" conduit for safeguarding the integrity of the tubing ED 16.3.15 (1 -Jan -13) Mandatory Report No. 101453585DEN-002 Page 17 of 22 Issued: 6 -Mar -2014 Moli-Tron Company, Inc. Revised: 14 -May -2014 9.0 Correlation Page For Multiple Listings The following products, which are identical to those identified in this report except for model number and Listee name, are authorized to bear the ETL label under provisions of the Intertek Multiple Listing Program. BASIC LISTEE Moli-Tron Company, Inc. Address 1457 Ammons St, Suite 103 Lakewood, CO 80214 Country USA Product Odor Abatement System MULTIPLE LISTEE 1 None Address Country Brand Name ASSOCIATED MANUFACTURER Address Country MULTIPLE LISTEE 1 MODELS BASIC LISTEE MODELS MULTIPLE LISTEE 2 None Address Country Brand Name ASSOCIATED MANUFACTURER Address Country I MULTIPLE LISTEE 2 MODELS I BASIC LISTEE MODELS I MULTIPLE LISTEE 3 lNone Address Country Brand Name ASSOCIATED MANUFACTURER Address Country I MULTIPLE LISTEE 3 MODELS I BASIC LISTEE MODELS I ED 16.3.15 (1 -Jan -13) Mandatory MOLITRON COMPANY INC. WAS ETL LISTED UL 197: COMMERCIAL ELECTRIC COOKING APPLIANCES UL 710, CLAUSE 43: FIRE & LEAKAGE TEST OF FITTINGS FOR HOOD PENETRATIONS Ail cOTus Intertek Contact US: 303.969.8888 www.molitron.com I cleanair@molitron.com 1457 Ammons Street, Suite 103, Lakewood, Colorado, 80214 STATEMENT OF SPECIAL INSPECTIONS, 2013 CBC COMMUNITY DEVELOPMENT DEPARTMENT -BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.C., BUILDING OFFICIAL SUBMITTAL 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 CUPERTINO (408) 777-3228 - FAX (408) 777-3333 - building(a)cupertino.ong ADDRESS 111160 VA�U6W aLK�- _J APNII& __Ae1_p L$ BP;9 I I I Owner.......1. 41, ... Lic.# O- ............ t Contractor ...... W&� ...... ,x ............... ..... Address..... ik!�D ....... ... . .. 1177 ........................ C��.k Address ........ 71t.1A. . ...... 9, ...... ------ ...... .... 011 City/St ...... 5 .. .. ..... 7jp ..... W .. ..... ... Phone.... L" "7 ...... (A ......... Zip ...... Applicant ...... A,.,, . . .... .......................... ............................ Av Engineer/Architect_pmro-A "—AAMY.rl�t� . ........ Address ..... ...... ................ Lic-# ........ ...................... ....... Date:.......................... -------- .........Colt Address.4�*�-�Fif . .. .................................... City/St......... St ......... -Zip ...........................Phone...(a 31(o City/St.. PROJECT DESCRIPTION: This "STATEMENT OF SPECIAL INSPECTIONS" is submitted in fulfillment of the requirements of CBC Sections 1704 and 1705. This form is structured after and used by permission from the Structural Engineer Association of Northern California's (S 0 ye statement of Special Inspections. Also, included with this form is the wi F -LIST OF SPECIAL INSPECTION AGENCIES (page I* W (11 wil F;e*s Wa t'wi I retained to conduct the tests and inspections for this pro' [:1 "SCHEDULE OF SPECIAL INSPECTION- (page 3 - 6). The Schedule of Special Inspections summarizes the Special Inspections and tests required- Special Inspectors will refer to the approved plans and specifications for detailed special inspection requirements. Any additional tests and inspections required by the approved plans and specifications shall also be performed. Special Inspections and Testing will be performed in accordance with the approved plans and specifications, this statement and CBC Sections 1704, 1705, 1706, 1707, and 1708- Interim reports will be submitted to the Building Official and the Registered Design Professional in Responsible Charge in accordance with CBC Section 1704.1.2. A Final Report of Special Inspections documenting required Special Inspections, testing and correction of any discrepancies noted in the inspections shall be submitted prior to issuance of a Certificate of Use and Occupancy (Section 1704.1.2). The Final Report will document: • Required special inspections • Correction of discrepancies noted in inspections. TheOwner recognizes his or her obligation to ensure that the construction complies with the approved permit d WIT implement this program of special inspections. In partial fulfillment of these obligations, the Owner will retain a Special Inspections as required in CBC Section 1704.1. This plan has been developed with the understanding that the Building Official will: the AUG 17 2015 • Review and approve e qualifications of the Special Inspectors who will perform the inspections. • Monitor special inspection activities on the job site to assure that the Special Inspectors are qualified and are performing their duties as called for in this Statement of Special Inspection. • Review submitted inspection reports. Jay • Perform inspections as required by the local building code. I have read and aqree to co with the f- and Prepared By: Project U Engineer &/ con cons o this... --acriumufn Architect Registered Design Professional in Charge Signature ... ........... 41, ... Lic.# Owner Narne: ...16- ....... ... Mr's Authoriza on Signature ........................... -- ------------ ........................................................... Date: 1/131 Inspection Agency / Inspector Name Signature...... ........ ................... ...... ................ Lic-# ........ ...................... ....... Date:.......................... Building Official or designee: Signature.......a ........................... ...... ................................... ............... a— ............ Date:.......................... SPecw1n5Pec1i0nF0)7n-2012. doc revised 09106112 LIST OF SPECIAL INSPECTION AGENCIES APPROVAL OF SPECIAL INSPECTORS: Each special inspection agency, testing facility, and special inspector shall be recognized by the Building Official prior to performing any duties. Special Inspection agency's listed on this form must be pre -approved and listed on Cupertino's approved Special Inspector's list. Special inspectors shall carry approved identification when performing the functions of a special inspector. Identification cards shall follow the criteria set by the California Council of Testing a nd..inspection Arsonnel ,gencies_ No personnel changes changes may result in a shall be made out first obtaining the approval of the Building Official- Any unauthorized permit revocation- To be pre- approved by the City of Cupertino,Frefer to the SPECIAL INSPECTION CCRI ERIA"Stop WorkOrderhandoutdPleasee allow two weeks to complete the application process. possible The following are the testin and s tial inspection agencies that will be retained to conduct tests and inspection EXPERTISE on this pro ect: 1- Special Inspection (except for FIRM /INSPECTOR INFORMATION' geotechnical)- Firm..- .............................................. Addr----- ............... Telephone ........ ........................... State ......................Zi ............................. Fax............................................ .................... 2. Material Testing Email................................P ....................... Firm.................................................. City................................• Telephone ....................................... ........................ .......... ..................................... State .......................Zip Fax............................................ ...................... 3. Geotechnical Inspections Firm... Email ............................................. ............................................. .....................Addr................................................ Telephone ...............• State ....................... ---•---•---......... Fax Zi ...................... 4. Other............................. Firm ............................................P Email ...................... ..................._..... ...................................................... city..................................... Telephone.. _ .._..- ...... .............. ---..... ............. .......... State ........... _..... .................. Fax................... -....Zi p --..._.... .......... `AII agencies specified pecified on this form ....... Email-.... - ......p. must be pre -approved --" "" P pproved and listed on the City of Cupertino's Approved Special Ins ector s List. SEISMIC REQUIREMENTS (Section 1705.3.6) Description of seismic -force -resisting system and designatedsei terns subject to special inspections as j�-IT �f,(f < �O f 7-9 Ah /C / O1Kn_ f)/V(A Pe per Section 1705.3: I >��Vo � �S/J ® �rTr!WS10J Al ,. PPZK M�� 7� rf,roP-70 1A19��n� r(pyo ®��-t7�n/ �xyT�5i��s P omfi�W To � ) e $iN � 60 �� tAl G T CNG. �M , l � � iNTo FXlS7. C 4 The extent of the seismic -force -resisting system is defined in more detail in the construction documents. AUG � � ��' Description of main wind -force -resisting system and designated wind resisting components subject to special inspections in accordance with Section 170$.42: The extent of the main wind -force -resisting system and wind resisting components is defined in more detail in the construction documents. SpecialnspectionFomn 2012.doc revised 09106112 STATE OF CALIFORNIA SUPPLY FAN VFD ACCEPTANCE CEC-MECH-7A (Revised 08!09) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE MECH-7A NA7.5.6 Supply Fan VFD Acceptance (Page 1 of 2 Project Name/Address: LC�J9 System Name or Identification/Tag: W- System Location or Served: V-1 TC+t Enforcement Agency: Permit Number: Note: Submit one Certificate of Acceplancefor each system that must demonstrate compliance. Enforcement Agency Use: Checked by/Date FIELD TECHNICIAN'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am the person who performed the acceptance requirements verification reported on this Certificate of Acceptance (Field Technician). • I certify that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. ame: CompaNL) Wagw rqu axt Field Technician's Name: Field an's Signature: Date Signed: Position With Com y (Title): Date Signed: P ' .n Wiih Company (Title): v1 i C. a4/1 RESPONSIBLE PERSON'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, that I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this form. • I am a licensed contractor, architect, or engineer, who is eligible under Division 3 of the Business and Professions Code, in the applicable classification, to take responsibility for the scope of work specified on this document and attest to the declarations in this statement (responsible person). • I certify that the information provided on this form substantiates that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. • I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Company �iame: ,�1 CSL Phone: Responsibi Person's Name: R nsi Person's Signature: License: Date Signed: P ' .n Wiih Company (Title): 8► I c5A3 q-1 '- t to 10 WV11qlc 2008 Nonresidential Acceptance Forms August 2009 STATE OF CALIFORNIA SUPPLY FAN VFD ACCEPTANCE CEC-MECH-7A (Revised 08/09) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE MECH-7A NA7.5.6 Supply Fan VFD Acceptance (Page 2 of 2 Project Name/Address: System Name or Identification/I'ag: 777Location or Area Served: Intent: I Verify that the supply fan in a variable air volume application modulates to meet system airflow demand. Construction Inspection 1 Instrumentation to perform test includes, but not limited to: a. Calibrated differential pressure gauge 2 Installation ❑ Discharge static pressure sensors are either factory calibrated or field -calibrated. ❑ The static pressure location, setpoint, and reset control meets the requirements of Standards section 144(c)2C 3 Documentation of all discharge static pressure sensors including (check one of the following): Field -calibrated ❑ Calibration complete, all pressure sensors within 10% of calibrated reference sensor A. Functional Testing Results Step 1: Drive all VAV boxes to achieve design airflow a. Supply fan controls modulate to increase capacity Y / N b. Supply fan maintains discharge static pressure within +/-10% of the current operating set point. Y / N C. Supply fan controls stabilize within a 5 minute period. Y / N Step 2: Drive all VAV boxes to minimum flow a. Supply fan controls modulate to decrease capacity. Y / N b. Current operating setpoint has decreased (for systems with DDC to the zone level). Y / N c. Supply fan maintains discharge static pressure within +/-10% of the current operating setpoint. Y / N d. Supply fan controls stabilize within a 5 minute period. Y / N Ste 3: System returned to initial operating conditions Y / N B. Testing Results PASS / FAIL Step 1: Drive all VAV boxes to achieve design airflow Step 2: Drive all VAV boxes to minimum flow C. PASS / FAIL Evaluation (check one): ❑ PASS: All Construction Inspection responses are complete and all Testing Results responses are "Pass" ❑ FAIL: Any Construction Inspection responses are incomplete OR there is one or more "Fail" responses in Testing Results section. Provide explanation below. Use and attach additional pages if necessary. 2008 Nonresidential Acceptance Forms August 2009 VERIFICATION AND INSPECTION C p REFERENCED IBC _— STANDARD IREFERENCE 6. Wind Resistance ❑ Roof cladding and roof framing connections. — -- — ❑ Wail connections to roof and floor diaphragms and framing. — — -- ❑ Roof and floor diaphragm systems, including collectors, drag struts and boundary elements. ❑ Vertical wind-force-resisting systems, including braced frames, moment frames, and shear walls. ❑ Wind-force-resisting system connections to the foundation. — ❑ Fabrication and installation of systems or components required to meet the impact resistance requirements — --- of Section 1609.1.2. SPECIAL INSPECTION FOR WIND REQUIREMENTS 1. Structural Wood ❑ Inspect field gluing operations of elements of the main x wind-force-resisting system. — 1706.2 ❑ Inspect nailing, bolting, anchoring, and other fastening of components within the main windforce-resisting — X system, including wood shear walls, wood diaphragms, drag struts, braces and hold-downs. 2. Cold-Formed Steel Framing ❑ Welding of elements of the main wind-force-resisting — x system. ❑ Inspection of screw attachments, bolting, anchoring, and other fastening of components within the main -- 1706.3 wind-force-resisting system including shear walls, — x braces, diaphragms, collectors (drag struts) and hold- downs. 3. Wind-resisting components ❑ Roof cladding. — x — 1706.4 ❑ Wall cladding. — x SPECIAL INSPECTIONS FOR SEISMIC RESISTANCE 1. ❑ Special inspection for welding in accordance with the X J_ quality assurance plan requirements of AISC 341. — 1707.2 2. Structural Wood ❑ Inspect field gluing operations of elements of the seismic-force-resisting system. x CEIVE Inspect bolting, nailing, anchoring, and other fastening of components within the seismic-force-resisting 1707.3 system, including wood shear walls, wood — x 4UG 17 2015 diaphragms, drag struts, braces, shear panels and hold-downs. 3. Cold-Formed steel light-frame construction ❑ Welding of elements of the seismic-force-resisting system. — X 1707.4 SpeciainspectionFonn 2012.doc revised 09106112