HomeMy WebLinkAboutX2021-3166 - Misc (2)STATE OF CALIFORNIA
VALVE LEAKAGE TEST
CEC-NRCA-MCH-O&A (Revised 01/20)
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CERTIFICATE OF ACCEPTANCE
NRCA-MCH-08-A
Valve Leakage Test
(Page 1 of 2)
ProjeR Name:
Brighton Chiller Replacement
EnFomement Ageaq:
pgud ,FW0 '(AEA 5ft/�
permit Numher:
X2
PmJed Add,esa: 4627 Brighton Rd
`i":Corona Del Mar
rip code:92625
System Name or Identifiadon/Tag:
Air Cooled Chiller
System tnadon or Area Served:
Basement
Compliance Results: Enforcement Agency Use: Checked by/Date
Complies Q Does NOTComply P(W"(,d-0-rrAeW,4y ,S.E,pw/,t S-f n(2ge-Z
Ensure that control valves serving variable flow systems can withstand the pump pressure over the full range of operation.
Intent: Submit one Certificate of Acceptance for the system that must demonstrate compliance, attach additional functional tests
only (NOT additional construction inspections) for each additional Pump Tad ID.
J1A 'o StruGtio a Jon;MMEMMEW
guilEing: Floor: Room/Area/Zone: Control/System:
House Basement Basement Delta
Prior to Functional Testingverify and document the following:
1.
Required documentation(checkall of thefollowing):
a.
Valve and pipingdesign drawing asapproved bythe authority having jurisdiction
b.
Documentationshowing the shut-off head pressure for each pump in the system.
2.
Installation inspection (check all of the following):
a.
I Valve and piping arrangements are'nstalled as specified by the design drawings. (NA7.5.7.1(al)
Construction Inspection Compliance Results: Complies Q Does NOT Comply
14
'8=� uIct!o�s,Tsting.:.
eullding:
House
t
Floor
Basement
Room/Area(Zone:
Basement
Control/System: T\Y�e -I-4.
Pumphglp: J/G"
Steps:
Results
1
For each of the pumps serving the distribution system, dead head the pumps using the discharge
isolation valves at the pum s, Document the following: (NA7.5.7.2 (Step 1))
��SS
a.
Record the differential pressure across the pumps. (NA7.5.7.2 (Step. Sal)
5 Ft. w.c.
b
From the required documentation in Construction Inspection 1b; record the shut-off head pressure for
the Pump Tag ID.
Ft. w.c.
c.
Calculate : 100 x (la- lb)/lb (note: may result in a positive or negative percentage)
01-000 %
d.
Verify that Step lc is between -5% and +5%. (N62.5.7.2 (Step lbl)
P/F Q
2
Reopen the pump discharge isolation valves. Automatically close all valves on the systems being tested.
If 3-way valves are present, close off the bypass line. Verify and document the following:
(NA7.5.7.2 (Step 2))
s�UE.SS
a.
Verify that the 2-way valve automatically close. (NA7.5.7.2 (Step 2a1)
FtSS
his
Record the pressure differential across the pump. (NA7.5.7.2 (Step 261)
-- Ft. w.c.
c.
Calculate : 100 x (2b- lb)/1b (note: may result in a positive or negative percentage)
%
d.
Verify that Step 2c is between -5% and +5%. (NA7.5.7.2 (Step 2c))
er P/F Q
3
Restore system to normal operating conditions.
Fu notional Testing Compliance Results: gComplies QDoes NOTComply
CA Building Energy Efficiency Standards -2019 Nonresidential Compliance January 2020
STATE OF CALIFORNIA
VALVE LEAKAGE TEST
CEC-NRCA-MCH-08-A Revised 01120 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-08-A
Valve Leakage Test (Page 2 of 2)
Protect Name:
Brighton Chiller Replacement
Enforcement Agency:
Permit Number:
X2
Pro;emAadms,:4627 Brighton Rd
cityCorona Del Mar
To Code: 92625
SYctem Name or Identiflcetimurrag:
Air Cooled Chiller
system W.V..or Area Served:
Basement
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Acceptance documentation is accurate and complete.
Documentation Author Name: Kevin GruSs
Documentation Author Signature:
Documentation Author Company Name: Diversified Thermal Sea
Date Signed:
Address: 1220 N Barsten Way
ATT Certification Identification (If applicable):
city/state/zip: Anaheim, CA 92806
Phone: 714-632-7401
FIELD TECHNICIAN'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 Acceptance is true and correct.
2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician).
3. The construction or installation identified on this Certificate of Acceptance compiles with the applicable 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
4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance
has been completed and signed by the responsible builder/installer and has been pis m e available with the building
permit(s) issued for the building.
Field Technician Name:, John Quenga
FieldT Ignat
Field Technician Company Name: Diversified Thermal Services (POsItI911th
C&w<any (Tit ):
Address:1220 N Barsten Way
AlT Certification Identification (if applicable):
City/State/zip: Anaheim, CA 92806
Phone:714-632-7401
Date V747ILL
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. 1 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 Certificate of Acceptance.
2. 1 am eligible under Division 3 of the Business and Professions Code In the applicable classification to accept responsibility forthe
system design, construction or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person).
3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this
Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the
enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference
Nonresidential Appendix NAT
4. 1 have confirmed that the Certificate(s) of Installation forthe construction or installation identified on this Certificate of Acceptance
has been completed and is posted or made available with the building permits) issued forthe building.
S. 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 forthe building, and made available to the enforcement agencyfor 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.
Acceptance Personn Name: Kevin Gruss
Responsible Acceptance Person Signature:
gResppon9s�ibllee
�
L11VBfs�T b I ng t aicaBNlCeSompany Name:
Position with Company (Title): Project Manager
Address:1220 N Barsten Way
CSLB License:
City/State/Zip: Anaheim, CA 92806
Phone:714-632-7401
Date Signed:
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020
STATE OF CALIFORNIA
SUPPLY WATER TEMPERATURE RESET CONTROLS ACCEPTANCE
CEC-NRCA-MCH-09-A!Revised 011201 rnl Iantanua vnivvr_v rnnaaalcclnu
CERTIFICATE OF ACCEPTANCE
NRCA-MCH-09-A
Supply Water Temperature Controls Acceptance
(Page 1 of 2)
"`le"NiT.:Brighton Chiller Replacement
Ed.,rementAge.,:
PermitNumbecX22t
PrmeaAddress: 4627 Brighton Rd
`I": Corona Del Mar
a, Cede: 92625
o pliance Results: Enforcement Agency Use: Checked by/Date
Complies Q Does NOT Comply
Ensure that both the chilled water and hot water supply temperatures are automatically reset based on either
Intent: building loads or outdoor air temperature, as indicated in the control sequences. (§140.4(k)41
Exception: Hydronic systems that use variable flow to reduce pumping energy. 140.4 k 1)
Submit one Certificate of Acceptance far each system that must deolnnStrate rmm.lianrn
ulriNrfta�Y:a �arv_.e� 's
'''iFePY"_-: '_��.t1
uzwv ura w.tse�`
:ty
Building:
House
Floor, gaom/Area/Z,ne:
Basement Basement
Control/System:
Delta
1.
equired documentation (check all of the following):
a.
All factory calibration sheets.
2•
riot to Functional Testing, verify and document the following:
Er
a.
I Supply water temperature sensors have een either factory or field calibrated. (NAZ5.8.SIa1I
Construction Inspection Compliance Results: Complies 0 Does NOTComply
'ry R,jli<ti A%'s,� •i9��K....i i .L(!��ti��ll xr-.3�hlY'S�'�MYS
Steps:
Results
1
Change reset control variable to its maximum value. Verify and document the following:
(NA7.5.g2 (Step 11)
,f)
la`�S
a.
Chilled or hot water temperature setpoint is reset to appropriate value. (NA75.8.2 (Step
1a1)
P/F Q
It
Verify that actual supply temperature changes to within 2 percent of the new setpoint.
(k! .8.2 (Step 1b11
�?P/F O
2
Change reset control variable to its minimum value. Verify and document the following:
(NA75.8.2.(Ste o 21
a.
Chilled or hot water temperature setpoint is reset to appropriate value. (NA7.5.8.2 (Step
2c1)
0 P/F O
b
Verify that actual supply temperature changes to within 2 percent of the new setpoint. (
NA7.5.82. (Step 2d1)
�P/F
3
Restore reset control variable to automatic control. Verify and document the following:
1)
(NA7.5.82 (Step
p��s
W
a:
Chilled or hot water temperature set -point is reset to appropriate value. (N675,821Steo
3e1)
P/F O
b
Verify that actual supply temperature changes to within 2 percent of the new setpoint.
(NA7.5.8.2 (Step 3f1)
�P/F Q
Functional Testing Compliance Results: (_ Complies O Does NOT Comply
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020
STATE OF CALIFORNIA
SUPPLY WATER TEMPERATURE RESET CONTROLS ACCEPTANCE
CEC-NRCA-MCH-09-A Revised 01120 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE
NRCA-MCH-09-A
Supply Water Temperature Controls Acceptance
(Page 2 of2)
Pmlect Name:
Brighton Chiller Replacement
Enkrcement Agenry:
Permit Number;
X221
Pmled Address: 4627 Brighton Rd
0"; Corona Del Mar
aP`�de 92625
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Acceptance documentation is accurate and complete.
Documentation Author Name: Kevin GruSs
Documentation Author Signature:
Documentation Author Company Name: Diversified Thermal
Date Signed:
Address:1220 N Barsten Way
ATr Certification Identification (If applicable):
city/State/Zip:Anaheim, CA 92806
Phone:714-632-7401
FIELD TECHNICIAN'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 Acceptance is true and correct.
2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician).
3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated
in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and
procedures specified in Reference Nonresidential Appendix NA7.
4. 1 have confirmedthat the Certificate(s) of Installation for the construction or installation Identified on this Certificate of Acceptance has
been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued
for the building.
Field Technician Name: John Quenga
Field Technician Signature:
Field Technician Company Name: Diversified Thermal Servi
Position with Company (Title): Foreman
Address:1220 N Barsten Way
ATT Certification Identification (if applicable):
Ciry/State/Zip: Anaheim, CA 92806
Phone: 714-632-7401
Date Signed:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. 1 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 Certificate of Acceptance.
2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system
design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this
Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person).
3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified an this Certificate of
Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and
conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAT
4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has
been completed and is posted or made available with the building permit(s) issued for the building.
S. 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.
Responsible Acceptance Person Name: Kevin Gruss
Responsible Acceptance Person Signature:
ResponsiAcceptance Person Company Name:
Diversifed Thermal Services
eCble
Position with Company (Title): Pro
Project Manager
Address: 1220 N Barsten Way
CSLB License:
city/state/Zip: Anaheim, CA 92806
Phone:714-632-7401
Date signed:
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020
STATE OF CALIFORNIA
HYDRONIC SYSTEM VARIABLE FLOW CONTROL ACCEPTANCE
CEC-NRCA-MCH-10-A (Revised 01120) CALIFORNIA ENERGY COMMISSION 40
CERTIFICATE OF ACCEPTANCE NRCA-MCH-10-A
Hydronic System Variable Flow Control Acceptance (Page 1 of 3)
Prolect Name:
Brighton Chiller Replacement
Enforcement Agenq:
Permit Number.
X221-
PmleetAddrm:4627 Brighton Rd
`t':Corona Del Mar
vPcnde:92625
System Name or Iderdli.don/rag:
Air Cooled Chiller
System Watson or Area Served:
Basement
co fiance Results: Enforcement Agency Use: Checked by/Date -
Complies C)Does NOT Comply
Intent: I Ensure that hydronic pump speed varies with building heating and cooling loads.
Submit one Certificate of Acceptance for each system that must demonstrate compliance.
a .
;: At CdnsEcutaion�lhs�pon:-�
I rjii�� ,d, t
Building:
House
Floor. Room/Area/Lnne: Contras/System:
Basement Basement Delta
1.
Required documentation (check all of the following):
a.
I As- built, Design Documents, or mechanical equipment schedules as approved by the authority having jurisdiction.
2•
Priorto Functional Testing, verify and document the following:
a.
For the static pressure location, setpoint, and reset control (check one of the following): (NA7.5A.1fa1I
C)
I.
For systems WITHOUT direct digital control of individual coils reporting to the central control panel, differential pressure
shall be measured at the most remote heat exchanger or the heat exchanger requiring the greatest differential pressure.
140.4 k 68i) '
ii.
For systems WITH direct digital control of individual coils with a central control panel, the static pressure set point shall be
reset based on the valve requiring the most pressure, and the setpoint shall be no less than 80 percent open. Pressure
sensors may be mounted anywhere. (4140.4(k16Bii)
b.
Pressure sensors are either factory or field calibrated. (N67.5.9.1Jb1)
Construction Inspection Compliance Results: 075ornplies 0 Does NOT Comply
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020
STATE OF CALIFORNIA
HYDRONIC SYSTEM VARIABLE FLOW CONTROL ACCEPTANCE
CEC-NRCA-MCH-10-A (Revised 01120) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE NRCA-MCH-10-A
Hydronic System Variable Flow Control Acceptance (Page 2 of 3)
ProleRName:
Brighton Chiller Replacement
Enforcement Agenry:
Pb Permit Number:
X221
Prate¢ Address: 4627 Brighton Rd
cl"; Corona Del Mar
31p Care; 92625
System Name at Identifotan/rag:
Air Cooled Chiller
System Lrntiva or Area Served:
Basement
Y�Jl� d
BN.nir�onalt[,£,e^6,,,b,,,>,,4w,+.edJ'"kadt�5a:,4"''�at...tdra,.^r
A nai tip ,� t rr }tIF t -i Fa`. _ S Y� } -,.., THbi f"
>...�.. .�C.;,,7as✓,:,a„Cr�z.u7�>c__un. ". G`4.#rl-��r._ih;:xir im n..iy.., ^',
Building:
House
Naar:
Basement
Room/Area/Zone: Control/System:
Basement Delta
Steps:
Results
1
Modulate control valves to reduce water flow to 50 percent of the design flow or less, but not lowerthan
the pump minimum flow. NOTE: in the rare case that the pump minimum flow is greater than 50 percent of
the design flow, modulate the control values to the pump minimum flow. Verify and document the
following:. (NA7.5.9.2 (Stec 11)
V
a.
Pump operating speed decreases (for systems with DDC to the zone level). (N67.5.9.2 (Step 1a))
P F 0
b.
Current operating setpoint has not increased (for all other systems that are not DDC). (NA7.5.9.2 (Step lb))
P QF O NA O
c.
Record the system pressure as measured at the control sensor.
(either ft. w.c. or psig)
LV RLV1A
J.
Record the system pressure setpoint.
(either ft. w.c. or psig)
e.
Calculate: 100 x(Sc-id)/1d
%
f
System pressure is within 5 percent of current operating setpoint (le between -5% and +5%).
(NA7.5.9.2 (Step 1c))
P F
/ O
g.
System operation stabilizes within 5 minutes after test procedures are initiated. (N67.5.9.2 (Step 1d))
2
Open control valves to increase water flow to a minimum of 90 percent design flow. Verify and
document the following: (NA7.5.9.2 (Step 21)
S
a.
Pump speed increases. (NA7.5.9.2 (Stec 2e1)
P Q
b.
Pumps are operating at 100 percent speed. (NA7.5.9.2 (Step 2fl)
_. P/F O
c.
Record the system pressure as measured at the control sensor
(either ft. w.c. or psig)
d.
Record the system pressure setpoint.
(either ft. w.c. or psig)
e.
System pressure setpoint in 2d is greater than the setpoint in Step 1d. (N67.5.9.2 (Ste o gel)
P/F O
f.
Calculate: 100 x(2c-2d)/2d
%
g
System pressure is either within ±5 percent of current operating setpoint (2f is between -5% and +5%).
(NA7.5.9.21Step 2h1)
P/F O
h.
System operation stabilizes within 5 minutes after test procedures are initiated. (N67.5.9.2 (Step 2h1)
P/F Q
3
Restore system to normal operatin conditions. (NA7.5.9.2 (Step 3))
Functional Testing Compliance Results: Complies O Does NOT Comply
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020
STATE OF CALIFORNIA
HYDRONIC SYSTEM VARIABLE FLOW CONTROL ACCEPTANCE
CEC-NRCA-MCH-1n-A (Revised 011201 nAl ianoAnn cr.lcor-vn0AftM1ee1na1
CERTIFICATE OF ACCEPTANCE NRCA-MCH-10-A
Hydronic System Variable Flow Control Acceptance (Page 3 of 3)
Pmiect Name:
Brighton Chiller Replacement
Enforcement Agency:
Permit Number:
X221-
Pmjo&Aaemss:4627 Brighton Rd
c""Carona Del Mar
Zip Code;92625
System Name or Identmostion/rse:
Air Cooled Chiller
System Location or area Served:
Basement
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Acceptance documentation is accurate and complete.
Documentation Author Name: Kevin Gruss
Documentation Author Signature:
Documentation Author Company Name: Diversified Thermal Se
Date Signed:
Address: 1220 N Barsten Way
ATT Certification Identification (If applicable):
City/State/Zip: Anaheim, CA 92806
Phone:714-632-7401
FIELD TECHNICIAN'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 Acceptance is true and correct.
2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician).
3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements
indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance
requirements and procedures specified in Reference Nonresidential Appendix NA7.
4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance
has been completed and signed by the responsible builder/installer and has been posted or made available with the building
permit(s) issued for the building.
Field Technician Name: John Quenga
Field Technician Signature:
Field Technician Company Name: Diversified Thermal Services
Position with Company (Title): Foreman
Address:1220 N Barsten Way
ATT Certification Identification (if applicable):
City/State/Zip: Anaheim, CA 92806
Phone:714-632-7401
Date Signed:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. 1 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 Certificate of Acceptance.
2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the
system design, construction or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person).
3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this
Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the
enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential
Appendix NA7.
4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance
has been completed and is posted or made available with the building permit(s) issued for the building.
S. 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.
Responsible Acceptance Person Name: Kevin Gruss
Responsible Acceptance Person Signature:
Responsible Acceptance Person Company Name:
Diversifed Thermal Services
Position with Company (Title): Project Manager
1
Address:1220 N Barsten Way
CSLB License:
City/State/Zip: Anaheim, CA 92806
Phone: 714-632-7401
Date Signed:
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020