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HomeMy WebLinkAboutX2022-1009 - Misc-uogejado 6u!pei6 ay; 6uunp se4iodoid 6u!ulofpe loa;o.id o; pasn oq Heys suo!s!no.id a6ewejp panoiddV -{, 4 'OWBN a4J 10 0EVOL'9; 4;!M BOUEPJ030e u! aq Heys sped pup sadols 0e l0 6uldeospurl -0; •aap!uuad ay; to asuadxa egos ay; aq H!m put, 4oeeg podmON to A;!O ay; o; asuadxa o! ;oafgns aq jo Ile;ue ;ou Heys 6wJanO3aJ pup 6u!sodxa to 3uom ay1 -uogeulwexe jol posodxa aq )uom aq; ;ey; aoqou uapum Aq aanbw Heys le!oyl0 6u!p0ng la!4O ay; 'pagsewpa;oadsu! 6u!aq ;siy ;noy;!M )uoM !euog!ppe Aq paJanoo s! 6ugsa;/uogaadsu! paimbai yo!yM uo �uoM �anauay/yl •6 -jaaufte sl!os ay; Aq panoadde pup uogoedwoo angelai;uaojad 0610 wnw!u!w a a4;noy6noutp pa;opdwoo aq Hpys Ippoeq Hem 6u!u!e;ai pup (sayouaq Ali !gn jouapca pue mua;u! 6u!pnlou!) youaq !!y -Vodam silos Aieu!wgaid mg o; 6u!pi000e pauuoliad aq Heys s;sa; uogoedwoO •jaeu!6ua silos ay; Aq panoidde pup 199; potpaw ;SO4 W1SV Aq paunwagap se uogaedwoo;uoojad 0610 wnw!u!w a ol;noy6noap pa;oedwoo aq Heys spy IIV •ulej to eoueyo JejeaJ6 Jo %OS a s;seoajol aouuaS Jaq;eaM IeuogeN ay; uaym si1104-8q ulypM a;!s ay; to suogiod pasodxa lle;oa;ojd o; SAWS Aoldap aq A;lllge ay; pue ueld uogoe „paja66u; jay;eam„ V -pa;uawaldw! aq Heys sagingoe uogon.gsuoo wog; Ja;pMuuo;s to uogeu!we;uoo ;uanaad a; s,dWg a;eudoiddV •paule;u!ew pue pa;uaweldw! aq Ileys 6unlop4 ;uaw!pas aps-go loquoo o; SAWS zoafoud ay; o; Iewa;ui s;alui uleip uuo;s leuogruado He le paulqulew pue pa6p;sul aq Heys SAWS loquoo;uawlpaS -pa;uawaldw! aq Heys (1oquoo;snp) s,dWg uolswa pwm uoseas Arp JeeA ay; to Japulewai ay; 6uuna -aoeld u! aq Heys sainseaw dWg loquoo uo!swa'0£ IudV pue ; jago;o0 uoam;a© .8 .9 -possaippe are sanss! 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The permittee or his agent shall notify the Building Division when the grading operation is ready for each of the following inspections: a. PRE -GRADE MEETING When the permittee is ready to begin work, but not less than two days before any grading or brushing is started. b. DRAINAGE DEVICE INSPECTION After forming of terrace drains, down drains or after placement of pipe in subdrains, but before any concrete or filter material is placed. C. d. ROUGH GRADING When all rough grading has been completed, the rough grade report shall be provided to the Building Inspector at foundation inspection or sooner based on the Building Inspector's discretion. e. FINAL When all work, including installation of all drainage structures and other protective devices, has been completed and the as -graded plan, professional approvals and the required reports have been submitted. l 13. All footing excavations, slab on grade areas and subdrains shall be inspected and approved by the Geotechnical Engineer or Engineering Geologist Written approval shall be submitted to the Building Inspector. 14. Prior to the start of grading, all permanent property corner monuments shall be in place. Prior to any foundation inspections, proof of recordation of the "comer record" or "record of survey" with the County of Orange shall be provided. 15. The undersigned acknowledge a copy of the above and agree to comply with the Grading Code of the City of Newport Beach, the recommendations of the project soils report and any special requirements of the permit 16. Prior to foundation inspection a Line and Grade Certificate Form must signed and stamped by the surveyor of record and submitted to the building inspector. A Structural Observation Report may be required. 17. All parties listed below must be present for the pregrade meeting unless approved by the building inspector. 18. All duplex construction requires separat utilities (sewer, water, gas, electrical, fire sprinkler risers). 410V1 u7kI5�t�� OWNER/CONTRA O DESIGN CIVIL ENGR.: IS k'F By: I By: Apt~,S1� rat C (oRR ijnSib a, b: ut Address: Address: S;Ly/ - Telephone: :Z/T, 4/49/%, �Z7U pp Telephone: GEOTECHNICAL ENGIN ER: GEOLOGIST.: By: iE. By: Address: IA Address: Telephone: "I I-f ;" f -1, id () "i, Telephone: GRADING I By: Address: Telephone: NEWPORT BEACH REPRESENTATIVE:_ INSPECTION REQUESTS: (949) 644-3255 Newport Beach Construction Hours: Monday through Friday: 7:00 a.m. to 6:30 p.m. Saturdays: 8:00 a.m. to 6:00 p.m. No work on Sundays and Holidays COORDINATOR: By: Address: PHONE F-o MPregmde meeting agreement 6-18 CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive i P.O. Box 1768 i Newport Beach, CA 926588915 www.newportbeachca.gov i (949) 644-3200 SETBACKS AND TOP OF SLAB/FLOOR ELEVATION CERTIFICATE The purpose of this certificate is to insure that the structure is located properly on site per the approved drawings. This certificate also verifies the top of slab/floor elevation noted on the approved drawings. After the top of slab/floor elevation is verified to match the elevation specified on the approved drawings, the contractor and inspector can measure the height of the structure to the top of slab/floor to verify that it is equal or less than the dimension shown on building sections and elevations. This form must be filled out by a registered surveyor or civil engineer authorized to perform surveys. The survey must be done after the concrete forms are in place or preferable after the concrete slab is poured or raised floor is built, but prior to starting wall framing. Engineer/Surveyor's Name Cesar Moran License # 9376 Engineer/Surveyor's Address 4500 E Pacific Coast Hwy. Suite 210 Long Beach, Ca Job Address 901 East Ocean Front, Newport Beach, Ca Setbacks: Sketch a site plan and specify surveyed setbacks (use back page). See Attached Plan Sheet Al.1 * Top of slab/floor elevation: 16.0 * If slab/floor elevation varies, sketch a plan or section through slab on the back page and specify the elevations. Use same datum used in the survey of record. I certify that the setbacks from plans: are 12r are not ❑, per City approved plans. Describe any deviations I certify that top of slab/floor elevation(s) is N( is not ❑ any deviations from plans: 5/14/24 Date Fours/SetbacksandTopotSlabElevationCert. per City approved drawings. Describe Engineer/Surveyor's stamp and signature s a: a+ ea s p 3 4a ? s 3999Ee"a'eA ggseaxa c__z_ 4 Ky�E Iglg 5 1, i�gdYi � �z 7L 4�. N y4gi�i ERO N W mummer �S@�� a ���E����1�3�3� iri ltds • qp gg 3 re rwn• uu rom• \ S CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: 901 E. Ocean Front, Newport Beach, CA Report Date: 01-18-2023 CNB Inspector Name: Jason Rupenick CNB Permit#: 221009 Building Owner Name: Owners Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: City of Newport Beach 100 Civic Center Drive, Newport Beach (949) 644-3309 0929-2022 Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: Donald R. Orie dorie@orie2.com (858) 335-7843 S3838 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete ® Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck Placement of Perimeter Fig. & Mat Foundation Reinforcing 01-18-2023 ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. I Shear Panels ❑ Masonry ❑ Wood ❑ Other ❑ Other: ❑ Other: ❑ Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: IN REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which 1 have documented must be corrected, prior to final acceptance cf J eg syucturad systems by the City of Newport Beach, Building Division. 9 y signed by DONALD R nn ORIE .02�%(�/e Date: 01-18-2023 lrna ni is STAMP OF STRUCTURAL OBSERVER STRUCTURAL OSSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms\Stman a ObservatioN cpon&hmma ons CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: 901 E. Ocean Front, Newport Beach, CA Report Date: 11-28-2023 CNB Inspector Name: Chad Shelton CNB Permit #: 221009 Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: City of Newport Beach 100 Civic Center Drive, Newport Beach (949) 644-3309 0929-2022 Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: Donald R. Orie dorietaorie2.com (858) 335-7843 S3838 PLEASE INDICATE STRUCTURAL FLFMFNTS ANn rnNNFCTInklQ nneGcvon FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑x Concrete ❑ Steel ❑ Concrete Placement of Reinforcing Steel at Walls Along Gridlines C & 5 11-01-2023 to 11-15-2023 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood ElOther: ❑Other: El Other: —IF her IN ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: IM REPORT CONTINUED ON ATTACHED PAGES. ❑ The FINAL STRUCTURAL OBSERVATION REPORT: structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all dgficier� ies which I have documented must be corrected, prior to final acceptance of ttl��tural systems by the City of Newport Beach, Building Division. signed y DONALD R ORIE •0, Date: 11-28-2023 SIGNATURE OF STRUC BURR MM I;W ER OF RECORD DATE 0 M STAMP OF STRUCTURAL OBSERVER STRUCTURAL O,SlRVATION-@SNOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. FormsS[ cwmlObservatwo cppon&r=mctiom CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: Report Date: CNB Inspector Name: CNB Permit#: 901 E. Ocean Front, Newport Beach, CA 11-27-2023 Chad Shelton 221009 Building Owner Name: Owner's Mailing Address (if different from site); Owners Telephone #: CNB Plan Check #: City of Newport Beach 100 Civic Center Drive, Newport Beach (949) 644-3309 0929-2022 Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: Donald R. Orie dorie@ode2.com (858) 335-7843 S3838 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab W Concrete ❑ Steel ❑ Concrete Placement of Reinforcing Steel at Walls Along Gridline 5 (East 11-01-2023 to 11-15-2023 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood ❑ Other: ❑ Other: ❑ Other: ❑ Other: ® ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: IN REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of 1heDsgtfidifysignc�dStems by the City of Newport Beach, Building Division. by DONALD R ORIE //-(S /./� ' Date: TII No. 11-28-2023 STAMP OF STRUCTURAL OBSERVER Hc\I:1 STRUCTURAL OB;E! NATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms Stmcmm[Observatioa pm&W mctioiu CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newl)ortbeachGa.gov 1 (949) 644-3200 Structural Observation Report Project Address: 901 E. Ocean Front, Newport Beach, CA Report Date: 1-2-2024 CNB Inspector Name: Chad Shelton CNB Permit #: 221009 Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: City of Newport Beach 100 Civic Center Drive, Newport Beach (949) 644-3309 0929-2022 Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: Donald R. Orie dorie@orie2.com (858) 335-7843 S3838 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab IX Concrete ❑ Steel ❑ Concrete Walls at North & NW Perimiter 12-29-2023 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood ❑ Other: ❑ Other: ❑ Other: ❑ Other: In ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Divisionowwl�.(OA.� 01-02-2024 SIGNATURE OF STRUCTURAL OBSERVER OF RECORD DATE STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms. Ssmcm®IObserv,almntepmt&I mretions CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: 901 E. Ocean Front, Newport Beach, CA Report Date: 12-12-2023 CNB Inspector Name: Chad Shelton CNB Permit#: 221009 Building Owner Name: Owners Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: City of Newport Beach 100 Civic Center Drive, Newport Beach (949) 644-3309 0929-2022 Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: Donald R. One dorie@orie2.com (858) 335-7843 S3838 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footin s & Slab ❑ Concrete ❑ Steel ❑ Concrete Placement of Reinforcing Steel at Walls Along Gridlines 2,5,A, to 12-11-2023 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood ❑ Other: ❑ Other: ❑ Other: ❑ Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. IN OBSERVED DEFICIENCIES AND COMMENTS: At the section of wall between Grids D&F along Grid 3.1 the upper portion of the wall was not poured due to an insufficient amount of concrete ordered during the pour. ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all d6fi ' �i&8 I have documented must be corrected, prior to final acceptance of tiaby � Wstems by the City of Newport Beach, Building Division. ORIE %/�� C La/T(04jDate: 2023.12.13 12-12-2023 S 1 AMP OF S I KUL; I UKAL ULIJCKV LK STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Forms Stmcmn10bserve[ionRepon&Tm"crions CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: 901 E. Ocean Front, Newport Beach, CA Report Date: 01-25-2024 CNB Inspector Name: Chad Shelton CNB Permit M 221009 Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone M CNB Plan Check #: City of Newport Beach 100 Civic Center Drive, Newport Beach (949) 644-3309 0929-2022 Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone M SO License / Reg. #: Donald R. Orie dorie@orie2.com (858) 335-7843 S3838 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Footings & Slab ❑ Concrete ❑ Steel ❑ Concrete I Jailing of Wood Roof Diaphragm heathing (Plywood) 01-25-2024 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry X Wood ❑ Other: ❑ Other: ❑ Other: ❑ Other: )l ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with theapproved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. I understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building 01/25/2024 ty ra a, I i.� xy care r��:a:i s.� -ay a:m of STRUCTURAL OBSERVATION DOES NOT WANE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Fomu\Strvc[uralOhserva[ionReport&Inswc�in„x CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: 901 E. Ocean Front, Newport Beach, CA Report Date: 08-01-2024 CNB Inspector Name: Chad Shelton CNB Permit #: 221009 Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: City of Newport Beach 100 Civic Center Drive, Newport Beach (949) 644-3309 0929-2022 Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: Donald R. Orie dorie@orie2.com (858) 335-7843 S3838 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check applicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED X Conventional Footings & Slab Concrete ❑ Steel ❑ Concrete ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry j$[ Wood ❑ Other: ❑ Other: ❑ Other: ❑ Other: Pq ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: ❑ REPORT CONTINUED ON ATTACHED PAGES. ]8) FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building aDiv' ' j J.4917 0A-i 08/01 /2024 3 STAMP OF STRUCTURAL OBSERVER STRUCTURAL OBSERVATION DOES NOT WANE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Fu,mslSwcwalObservatian epun&Inswclwm CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 BUILDING HEIGHT CERTIFICATION Project street Address: 901 East Ocean Building Permit Number(s): X2022-1009 Beach, CA As the surveyor of record for the project at the above address, I hereby certify that I have reviewed the City of Newport Beach approved plan and original topographic survey and based the elevations listed below on those plans. Elevations shall include an allowance for roofing material thickness if not yet installed. Provide each critical ridge and flat roof, or roof deck railing elevations indicated on the approved plans. Use the format below on the back of this form if additional space is necessary or further explanation is needed. Provide original copy to the inspector before roof framing inspection. All elevation points are based on: &NAVD88 O NGVD29 O Assumed Please provide the following elevation information for the highest roof ridges, flat roofs, or parapets/guardrails. Additional elevation points may be requested by the Building Inspector. RIDGES (3:12 slope or greater) 1. Approved elevation point of ridge is and actual elevation point is 2. Approved elevation point of ridge is and actual elevation point is 3. Approved elevation point of ridge is and actual elevation point is FLAT ROOFS, PARAPETS AND GUARDRAILS 1. Approved elevation point of flat roof or parapet is 33.5 and actual elevation point is 33.5 2. Approved elevation point of flat roof or parapet is 33.5 and actual elevation point is 33.46 3. Approved elevation point of flat roof or parapet is 33.5 and actual elevation point is 33.47 I certify that the above height measurements are correct and the above project: U IS in compliance with the City -approved plans. OIS NOT in compliance with the City -approved plans (Provide explanation). Please describe any deviation from the City -approved plans on the back of this form. Surveyor or Civil Engineer's* signature and seal (Wet stamp and signature required) 2/8/24 Date * License number of 33965 or lower Forms\Building Height Certification 11/02/16 CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive i P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachea.gov 1 (949) 644-3200 CIVIL ENGINEER'S CERTIFICATION FORM From: BKF Engine Bruce Kirby 4675 MacArthur Court, Suite 400, Newport Beach, CA 92660 ATTENTION: GRADING ENGINEER, BUILDING DIVISION Date: 5/30/2024 GPC No.: 7524-2 Tract/Subdivision/Lot No.: Rough: Final: Project Names: Newport Beach Jr. Lifeguard Building Owner/Developer: City of Newport Beach Type of Project: Notes: Tract: Drainage Public works Commercial ✓ Other Industrial Yardage for Project: Notes: _ Cut: ✓ Borrow: 205 CY ✓ Fill: Export: I hereby approve the grading for this project in accordance with my responsibilities under the City Grading Code. I have inspected the project and hereby certify that all areas exhibit positive surface flow to public ways or City approved drainage devices. The grading has been completed: November 22, 2022 in conformance with, City of Newport Beach with the following changes to the approved grading plan. Description of Changes: Demoliton of existing parking lot and replaced with a new lifeguard building. Company: BKF Engineers 11 sl- Name: Bruce W Kirby " t�Aeyc (print) (sign) 42 License No.: C42393 (RCE/LS) s r9Jf OF CAl\FOP Forms\Civil Engineers Certification Form 9-13 CITY OF NEWPORT BEACH I` T. Community Development Department I Building Division n 100 Civic Center Dr.1 P.O. Box 1768 1 Newport Beach, CA 92658 www.newportbeachca.gov 1 (949) 644-3200 CALGREEN DOCUMENTATION COMPLIANCE CERTIFICATION ADDRESS: 901 East Oceanfront, Newport Beach, CA 92647 PERMIT NO.: X2022-1009 THIS FORM SHALL BE COMPLETED AND SIGNED PRIOR TO REQUEST FOR FINAL BUILDING INSPECTION. ONE COPY OF THIS FORM SHALL BE SUBMITTED TO THE BUILDING INSPECTOR AT FINAL INSPECTION AND ONE SHALL BE PROVIDED TO THE BUILDING OWNER AS PART OF THE CAL GREEN CERTIFICATION PACKAGE. The following section shall be completed by a person with overall responsibility for the planning and design portion of the project. REQUIRED DOCUMENTATIONS PROVIDED TO THE PROPERTY OWNER(S) X Franchise Hauler for Construction/Demolition Waste (65% min. reuse of nonhazardous waste) X VOC Contents Limitation X Formaldehyde Emissions Limitation X T-24 Energy Certificate of Installations (Env., QII, Lighting, Photovoltaic, Mech., Plumb.) X T-24 Energy Certificate of Verifications or Acceptance ( Env., QII, Lighting, Photovoltaic, Mech., Plumb., HERS) IN Operations and Maintenance Manual MOISTURE CONTENT OF BUILDING MATERIAL (RESIDENTIAL CONSTRUCTION ONLY) ® 1 certify that the moisture content of the wall and floor framing is less than 19 percent as determined in accordance with Section 4.505.3 of CAL Green prior to being enclosed. DECLARATION STATEMENT • 1 certify under penalty of perjury, under the laws of the State of California, the information provided is true and correct. • I certify that the installed measures, materials, components, or manufactured devices identified on this certificate conform to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcing agency. Responsible Person's Name: Steven Fangmeyer 5/29/24 Notes: Responsible Person's Project Manager Forms\CALGreen Documentation Compliance Cert Farm 1-2017 STATE OF CALIFORNIA MULTIFAMILY DWELLING UNIT CONTINUOUS VENTILATION ACCEPTANCE Is rer_uarA-eeru_en_u 1povimH nv�m CAI IFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-20-H MULTIFAMILY DWELLING UNIT CONTINUOUS VENTILATION ACCEPTANCE (Page 1 of 3) Pmj.d Name: Newport Beach JR Life Guard BL BO}°r°amen[Agemyr City of Newport Beach Permit NumEee Project Address: 901 East Oceanfront City: Newport Beach Zip Code: 92661 system Name or mennBeanon/*as: RTU-1 system[nation °`Area served: MULTIPLE AREAS Compliance Results (technician): HERS Rater in receipt of document (Signature / Date) Complies p Does Not Comply Submit one Certificate of Acceptance for each dwelling unit to verify that the CONTINUOUS ventilation airflow conforms to the requirements of the Energy Standards 120.1 b 2 Nonresidential Reference Appendices NA7.18.1.1 and NA2.2 and California Energy Intent: Commission adopted version of ANSI/ASHRAE Standards 62.2-2016. If using Supply -only or Exhaust -only ventilation, Certificate of Acceptance NRCA-MCH-21-H must be completed prior to beginning this acceptance test. NOTE: HERS Verification required. A. Construction Inspection Buildin, Floor: Room/Ama/Zone: Contro15ystem: 1 1 Multiple Areas T-STAT Priorto Functional Testing, verify and document all of the following. 1 Required documentation (check all of the following): ❑✓ a Design, drawings, and cut -sheets as approved bythe authority having jurisdiction. ❑✓ b NRCC-MCH-E, as approved bythe authority having jurisdiction. (§10-103(a)2A) ❑ c NRCA-MCH-21-H if using Supply -only or Exhaust -only ventilation. 2 System installation(check all of the following): ❑✓ a Verify that the system uses a fixed minimum setting for outside air when the unit is operating. (NA7.18.1.1.1(a), ASHRAE 62.2.7.3) ✓❑ b Specify the ventilation system type (NA7.18.1AA lbl): Supply only ❑ c Method of control (NA7.18.1.1.11c1) must be CONTINUOUS only ❑ d Central ventilation system serving multiple dwelling -units; specify balancing system (§120.1(b)2Av): ❑ e Confirm the kitchen range hood is ventilated to outside. (NA7.18.1.1.1(dR Kitchen range hood manufacturer name. (NA7.18.1.1.1(e), NA2.2.4.1.3(a)) El f Equipment model number. (NA7.18.1.1.1(e), NA2.2.4.1.3(a)) El Confirm the kitchen range hood is HVI certified (NA7.18.1.1.1(f), NA2,2.4.1.3(b), §120.1(b)2M). g https://www.hvi.oMZhvi-certified-products-directoryz ❑ i Record the rated airflow value listed in the HVI directory. (NA2.2.4.1.3(c)) CFM ❑ ii Record the sound rating value listed in the HVI directory. (NA2.2.4.1.3(d)) Sone Verify that a manual ON/OFF switch associated with dwelling unit ventilation system is operational and labeled with the following ❑ h text, or equivalent text: "This switch controls the indoor air quality ventilation for the home. Leave it on unless the outdoor air quality is very poor." (§120.1(b12Aviii) Instrumentation Specification Requirements 3 Verify the instrumentation specifications of the ventilation system airflow rate measurement equipment: (check all of the following): NA 2.2.2 The pressure measurement instrumentation is: (NA 2.2.2.1) El a • Accurate to plus or minus 0.2 Pa or plus or minus 1°% of the pressure reading . Includes a sensor plus data acquisition system • Makes use of a static pressure probe Ventilation system airflow rate measurement apparatus is: (NA 2.2.2.2, NA2.2.3) ❑ b listed on the Energy Commission website: https://ww2.energy.ca.gov/t-itle24/equipment cert/ama vs/index.html Calibrated according to the manufacturer procedures Construction Inspection Compliance Results: Complies Q Does Not Comply CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA MULTIFAMILY DWELLING UNIT CONTINUOUS VENTILATION ACCEPTANCE CEC-NRCA-MCH-20-H (Revised 01/20) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-20-H MULTIFAMILY DWELLING UNIT CONTINUOUS VENTILATION ACCEPTANCE (Page 2 of 3) Project Name: Newport Beach JR Life Guard BL r^fnrcemart Agenq: City of Newport Beach Permit Number Pro,eRAddreas: 901 East Oceanfront Our: Newport Beach Zip code; 92661 system Name or mentiRratmm/rag: RTU-1 system Location or Area Served: MULTIPLE AREAS B. Functional Testing Building: Flom: Room/Area/Zone: Control S'vem: 1 1 Multiple Areas T-STAT STEP Procedures NA2.2.4 If multiple fans are specified to operate simultaneously to provide the total required ventilation airflow, the measurements within this 1 functional test must be made with all applicable fans operating simultaneously. INA2.2.4.11 2 Activate the ventilation system using the system control. (NA2.2.4.1, NA2.2.4.1.1(b)l Measure and record the ventilation airflow(s) of each operating fan as either an exhaust fan or supply fan (not both),using an airflow 3 capture hood (see Construction Inspection 3b): (NA2.2.4.1.1(a), NA2.2.4.1.1(a). NA2.2.4.1.1(b)NA2.2.4.1.1(cl, NA2.2.4.1.11d11 Fan Location/ID Exhaust Measurement (CFM) Supply Measurement (CFM) a b c d e f g TOTALS: 0 0 h (NA2.2.4.1.1(fl) AVERAGES: 4 Calculations Calculate the percent difference between the exhaust and supply airflow rates for Balanced Systems Only. % a (100 x (ExhaustUg1—Su 1 3 ) _ ExhaustUyd) INA2.2.4.1.1(el) b Record the design ventilation air flow rate for the dwelling unit: (NRCC-MCH-E. Table III CFM 5 PASS or FAIL Ventilation systems that serve one dwelling -unit Supply Only or Exhaust Only Ventilation System passes if ALL of the following are true: C) PASS a • 3g>=4b (NA2.2.4.1.1(c)) oFAIL • NRCA-MCH-21-H is completed and complies. (§120.1(h12Aivb21 O Not Applicable Balanced Only Ventilation System passes if ALL of the following are true: (NA2.2.4.1.1(g)) O PASS b • 4a<20%,AND C) FAIL • Exhaust(3h)>=gib AND @Not Applicable Su I 3h >= 4b Kitchen Range Hood passes if ALL of the following are true: (NA2.2.4.1.3(e), §120.1(b)2Avi, §120.1(b)2Bii) C) PASS c Construction Inspection (g)(i) >=the design value in INRCC-MCH-E. Table A CFM QFAIL • Construction Inspection (gl(ii) <= the design value in INRCC-MCH-E. Table Q) sone • Not Applicable Central ventilation systems that serve multiple dwelling -units ONLY Supply Only or Exhaust Only Ventilation System passes if ALL of the following are true: (§120.1(b)2Av) U PASS d • 5a Passes, AND QFAIL • 3g<(1.2 xAb) @ Not Applicable Balanced Ventilation System passes if ALL of the following are true: (§120.1(b)2Av) O PASS e • 5b Passes, AND C) FAIL • Exhaust(3h) < (1.2 x4b, AND IO Not Applicable Su _ppI 3h <(1.2 x� 6 Return system to normal operating condition. Functional Test Compliance Results:@ Complies O Does Not Comply CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA MULTIFAMILY DWELLING UNIT CONTINUOUS VENTILATION ACCEPTANCE y CEC-NRCA-MCH-20-H Revised 01/20 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-20-H MULTIFAMILY DWELLING UNIT CONTINUOUS VENTILATION ACCEPTANCE (Page 3 of 3) Project Name: Newport Beach JR Life Guard BL Enforcement Agency: City of Newport Beach Permit Number: Project Atldress: 901 East Oceanfront City: Newport Beach ZIP Code: 92661 System Name or Identification/Tag: RTU-1 system incatmn or Area sereed: MULTIPLEAREAS DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: JERRY MCCLANAHAN Documentation author signature: Documental.. Author Comte, Nome: HARTMANAIRE Datesigned:5/23/2024 Address: 12 GARDENIA,LAKE FOREST,CA,92630 Phone: (626) 826-5656 FIELD TECHNICIAN'S DECLARATIO14 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 Terhmcmn Name: JERRY MCCLANAHAN hem Technician signature: Field Technician company Name: HARTMANAIRE ATT Certification iaeotdiranon of ncamel: 2 GARDENIA,LAKE FOREST,C Address: 12 GARDENIA,LAKE FOREST,CA,92630 'bone` (626) 826-5656 Date Signed: 5/23/2024 RESPONSIBLE PERSONS 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 !Lhe 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 understand that a HERS rater will check the installation to verify compliance, and that if such checking identifies defects the responsible builder/installer shall be required to take corrective action at his expense. I understand that Energy Commission and HERS Provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at the responsible builder/installer's expense. 5. 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. 6. 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. RespandbInAace;homcePe,smrName: JERRY MCCLANAHAN Responsible Acceptance Person Signature: Responffile Ar.mance Person company Name: HARTMANAIRE Position wtm`ompany frme): PRESICLNT Addmas: 12 GARDENIA atB ucense: city/stateRip: LAKE FOREST,CA,92630 Phone: (626) 826-5656 DahaSigned: 55/23/2024 CA Building Energy Efficiency Standards- 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A 18 Revised 01/20 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 1 of 3) Puled N.mm Newport Beach JR Life Guard Bldg Emmeemeot Agem,: City of Newport Beach Permit Number: PreledAddrets:901 East Oceanfront cit Newport Beach Zip Cede 92661 sntem N.me or IdeRdna.tmr/r.B: RTU-1 sy.tem L.Wimr er Are. sexed: MULTIPLE AREAS Compliance Results: Enforcement Agency Use:Initial/Date G Complies O Does NOT Comply Verify measured outside airflow: _-__--__diRg is within 10%of the total required outside airflow. Required for all newly installed HVAC units. Reference NRCC-MCH-E. Intent: Submit one Certificate of Acceptance for each system that must demonstrate compliance. NRCA-MCH-02-A can be performed in conjunction with NRCA-MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. A. Construction Inspection Bildt., 1 Floor: 1 Room/Aru./Zm.e: Multiple Areas comml/system: T-STAY Prior to Functional Testing, verify and document all of the following 1. Required Documentation (all must be checked). a. NRCC-MCH-E as approved by the authority having jurisdiction. J§10-103(a)2A) 2. System type —Select either Constant Air Volume (CAV) or Variable Air Volume (VAV) below: a. VAV only: L Outside airflow is either factory calibrated or field calibrated (check one of the following). Q A factorycalibrated.INA7.5.1.1.11aU B field calibrated. INA7.5.1.1.1(bU I. Damper Control (check all of the following): ❑ A Dynamic damper control is being used to control outside air. (NA 7.5.1.1.11c)) ❑ B Dynamic damper is NOT a fixed minimum damper. INA 7.5.1.1.1, §120.1(f)2) iii. Identify the dynamic control being utilized to control outside air. (NA 7.5.1.1.1 fell ❑ Describe control: Q b. CAV only (check all of the following): ❑✓ i. System is designed to provide a fixed minimum outside air when the unit is on. INA 7.5.1.2.11a)) ❑✓ if. Minimum position is marked on the outside air damper. (N67.5.1.2.1 (d)) ❑✓ iii. The system has means of maintaining the minimum outdoor air damper position. INA 7.5.1.2.1 Jell 3. Method of delivering outside air to the heating or cooling unit (select one of the following): INA 7.5.1.1.1 (e) NA 7.5A.2.1 (b)) Q a. Return Plenum Ducted: Confirm that outside air is ducted to within 5 or 15 ft. (with direction and velocity requirement) of the heating or coaling unit as specified by NRCC-MCH-E, Section H. (§120.11e)1 &2) O b Direct Unit Ducted. Return air plenum is NOT used to distribute outside air to the heating or cooling unit. (i.e. outside air is ducted directly to the unit, outside air is provided independent of the unit, or economizer). 4. Pre -occupancy Purge a' Verify that the pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide ventilation as indicated on NRCC-MCH-E. (VAV - NA 7.5.1.1.1 (f) , CAV - NA 7.5.1.2.1(c). §120.1(d)2) Construction Inspection Compliance Results: ') Complies () Does NOT Comply CA Building Energy Efficiency Standards- 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCEAIM CEC-NRCA-MCH-02-A Revised 01/20 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 2 of 3) Froed Name: Newport Beach JR Life Guard Bldg Eidomament Agenry� City of Newport Beach Permit Wnrber. H.Jactnddress: 901 East Oceanfront city, Newport Beach zi, code. 92661 System Name or Identification/Tag: RTU-1 system Location or Area served: MULTIPLE AREAS B. Functional Testing Building: Floor Room/Area/Zone: Contml/SVstem. 1 1 MULTIPLE AREAS RTU-1 Steps: CAV VAV 1 Disable demand control ventilation (if applicable) ❑ Check if NA ❑✓ ❑ Verify unit is not in economizer mode during test 2 (economizer disabled) ❑ Check if NA ❑✓ ❑ (VAV - NA 7.5.1.1.2 Step 1, CAV — NA 7.5.1.2.2 Step 1) 3 CAV and VAV testing at full supply airflow a. Adjust supply air to achieve design airflow or maximum airflow at full cooling. El(NA Z5.1.1.2 Step 2) E. Measured outdoor airflow reading (cfm) 1258 (VAV - NA 7.5.1.1.2 Step 2a, CAV — NA 7.5.1.2.2 Step 2a) cfm cfm Required outdoor airflow (cfm) 1250 C.(refer to NRCC-MCH-E, Section J). cfm cfm d Time for outside air damper to stabilize after full supply airflow is achieved (minutes): tNA 7.5.1.1.2 Step 2b) min 4 VAV testing at reduced supply airflow a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or El30% of the total design airflow. (NA 7.5.1.1.2 Step 31 b. Measured outdoor airflow reading (cfm). [NA 7.5.1.1.2 Step 3ai cfm Required outdoor airflow (cfm) C. (refer to NRCC-MCH-E, Section 11. cfm Time for outside air damper to stabilize after reduced supply airflow is achieved d. (minutes): (NA 7.5.1.1.2 Step 3b) min 5 Return to initial conditions (NA 7.5.1.1.2 Step 4)❑ ❑ 6 Calculations Determine Percent Outside Air at full supply airflow (%DAFA) for Step 3. (§120.1(fl1) %OAFA = Measured outdoor airflow reading /Required outdoor airflow. 101 % % a' 100 x (Step3b/Step3c) b. %OAm is within 10% of design Outside Air. (90% < %OAFA <-110%) O P / F O © P / F 6 C. Outside air damper position stabilizes within 5 minutes. (Step 3d <5 minutes) O P / F O VAV only: Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 4. (§120.1(f121 %OAR, = Measured outdoor airflow reading /Required outdoor airflow reading. a. 100 x (Step4b/Step4c) b. %OARA is within 10%of design Outside Air. (90%5 %OARA 5110%) O P / F 0 c. Outside air damper position stabilizes within 5 minutes. (Step 4d <5 minutes) O P / F O Functional Testing Compliance Results: e Complies O Does NOT Comply CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE GEC-NRCA-MCH-02-A (Revised 011201 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 3 of 3) Project Name: Newport Beach JR Life Guard Bldg Enforcement Agency: City of Newport Beach PermiNimber: Project Add mss. 901 East Oceanfront city: Newport Beach Zip code. 92661 System Name or menus ostion/mg: RTU-1 System Location or Area sewed: MULTIPLE AREAS DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name:JERRYMCCLANAHAN Documentation Author Signature: Documentation Author Company Name:HARTMANAIRE Date signed: 05/23/24 Address: 12 GARDENIA ATr Certification Identification (if applicable): BB119809OTMT city/state/zip: LAKE FOREST,CA,92630 Phone` 626-826-5656 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 pasted or made available with the building permit(s) issued for the building. Field Technician Name: JERRYMCCLANAHAN Field Technician Signature: rN Ir' Field Technician Company Name:HARTMANAIRE Position with Company (Title): PRESIDENT Address: 12 GARDENIA ATT Certification Identification (if applicable): BB 119809OTMT City/State/Zip: LAKE FOREST,CA,92630 Phone:626-826-5656 Date signed: 05/23/24 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 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 pasted or made available with the building permit(s) issued for the building. 5. 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. Responsible Acceptance Person Name:JERRYMCCLANAHAN Responsible Acceptance Person Signature: III Responsible Acceptance Person Company Name:HARTMANAIRE Position with Company(Title): PRESIDENT Address: 12 GARDENIA CSLB License' 1017713 city/state/zip: LAKE FOREST,CA, 92630 Phone: 626-826-5656 Date Signed: 05/23/24 CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA CONSTANT VOLUME, SINGLE ZONE, UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A (Revised 01120) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume, Single Zone, Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 1 of 4) Project Name: Newport Beach JR Life Guard BLDG Enforcement Agency. City of Newport Beach Permit Number: Pored Ail 901 East Oceanfront ci Newport Beach Zmcode 92661 sncem name or menuRotinn/rag: RTU-1 5vnem LoraBon or Area snr ne: MULTPLE AREAS Compliance Results: Enforcement Agency Use: Checked by/Date Q Complies Q Does NOT Comply Intent: Submit one Certificate of Acceptance for each room, area, or zone that is directly or indirectly served by a thermostatic controls system. Includes construction inspection for an optional economizer that has been certified to the Energy Commission. A. Construction Inspection Building: 1 Floor: 1 Room/Area/zone MULTIPLE AREA: odmml/ 'me RTU-1 Prior to Functional Testing, verify and document all of the following 1. Required Documentation (check all of the following): ❑✓ a. NRCC-MCH-E as approved by the authority having jurisdiction is available for reference. (§10-103(a12A) A printed copy of the OpenADR 2.Oa or OpenADR 2.Ob Virtual End Node (VEN) certificate for the demand response control system (y110.12(a)lA); OR A certificate from the manufacturer stating that the demand response control system is capable of responding to a demand ❑✓ b. response signal from a certified OpenADR 2.Ob Virtual End Node by automatically implementing the control functions requested by the Virtual End Node for the equipment it controls. (§110. 12(a)1B) Note: Demand responsive controls may incorporate and use protocols in addition to (not instead of) the protocols listed above. (§110.121a13) 2. Thermostatic controls for each zone served by the system (check one of the following): Q a. Thermostat is located within the space -conditioning zone that is served by the HVAC system (NA 7.5.2.1(a), §120.2(a)L O b An Energy Management Control system is installed to comply with the requirement of one or more thermostatic controls. 120.2 a O C. An independent perimeter heating or cooling system that serves more than one zone without individual thermostatic controls is installed (check all of the following): (Exception to §120.2(a)) ❑ i All zones served by the perimeter system are also served by an interior cooling system; and ❑ li The perimeter system is designed solely to offset envelope heat losses or gains; and ❑ lii The perimeter system has at least one thermostatic control for each building orientation of 50 feet or more; and ❑ Iv The perimeter system is controlled by at least one thermostat located in one of the zones served by the system. 3. Criteria for Thermostatic zone controls (check all of the following): a. Set Points and Dead -band (check one of the following): O The thermostatic control is used to control comfort heating only and is capable of being set, locally or remotely, down to 55°F or lower. (§120.2(b)1) o II The thermostatic control is used to control comfort cooling only and is capable of being set, locally or remotely, up to 85°F or higher. (§120.21b12) O ill The thermostatic control is used to control both comfort heating and comfort cooling and requires manual changeover between heating and cooling modes. (Exception to §120.2(b131 0 iv The thermostatic control is used to control both comfort heating and comfort cooling and does NOT require manual changeover between heating and cooling modes and is capable of all of the following: (§120.2(b)31 ❑ A A minimum heating setpoint of 55`F or lower; and ❑ B A maximum cooling setpoint of 85°F or higher; and ❑ C A temperature range or dead band of at least 57 within which the supply of heating and cooling energy to the zone is shut off or reduced to a minimum. b. ADDITIONAL THERMOSTATIC CONTROLS (check one of the following): The heating or cooling systems is NOT a heat pump system and is NOT controlled by an Energy Management Control i System, and has a clock mechanism that allows the building occupant to program the temperature setpoints for at least four periods within 24 hours (a setback thermostat). (§120.2(b)4, §110.2(c111 Thermostatic control NOT required. O ii The heating or cooling system is NOT a heat pump system and is NOT controlled by an Energy Management Control System, and is one of the following (check one of the following): (Exception to §110.2(c)1 El A Gravity gas wall heater CA Building Energy Efficiency Standards -2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA CONSTANT VOLUME, SINGLE ZONE, UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A Revised 01120 CALIFORNIA ENERGY COMMISSION v4: CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume, Single Zone, Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 2 of 4) Project Name: Newport Beach JR Life Guard BLDG Enforcement Agenry: City of Newport Beach Permit Number: Project Address: 901 East Oceanfront cift Newport Beach zip Code. 92661 System Name or Identiflcatlon/7ag: RTU-1 system Location or Area served MULTIPLE AREAS A. Construction Inspection Building: Floor: Roam/Area/Zone: Eantrol/System: 1 1 MULTIPLE AREA RTU-1 Prior to Functional Testing, verify and document all of the following ❑ B Gravity floor heater ❑ C Gravity room heater ❑ D Non -central electric heater, fireplace or decorative gas appliance, wood stove, room air conditioner, or room air - conditioner heat pump. O The heating or cooling system is a heat pump with supplementary electric resistance heaters and has all of the following controls (check all of the following): The cut -on temperature for compression heating is higher than the cut -on temperature for supplementary ❑ A heating, and the cut-off temperature for compression heating is higher than the cut-off temperature for supplementary heating. J11L2 b 2 Verify that supplementary heater operation is prevented when the heating load can be met by the heat pump alone (§110.2(b11). UNLESS the thermostatic controls provide preferential rate control, intelligent recovery, ❑ B staging, ramping or another control mechanism designed to preclude the unnecessary operation of supplementary heating; supplementary heater operation is limited the following conditions: • Defrost • Transient Periods (i.e., start-ups or following thermostat setpoint advance) (Exception to §110.2(b)1) 4. Demand Response Controls & Demand Responsive Zonal HVAC Controls (check all of the following) a. Verify that the demand responsive controls are capable of communicating using one or more of the following for communications that occur within the building: Wi-Fi, ZigBee, BACnet, Ethernet, or hard -wiring. (§110.12(a)2) O b Verify that when the demand responsive control communications are disabled or unavailable, all demand responsive controls continue to perform all other control functions provided by the control. (§110.12(a14) Verify that the demand response control system has been certified to the Energy Commission as meeting all of the ❑✓ c. requirements in Joint Appendix 5 (Occupant Controlled Smart Thermostat). (§110.12(a)5) httos://ww2.enerev.ca.gov/title24/equipment cert/ocst/index.html d Verify that the controls are programmed to provide an adjustable rate of change for the temperature setup increase, decrease, and reset. (1110.121b14) e. Verify that the controls have the following features: (check all of the following) (§110.12(b)51 ❑✓ i. Disabled. Disabled by authorized facility operators; (§110.12(a)5A) ❑✓ ii Manual control. Manual control by authorized facility operators to allow adjustment of heating and cooling set points globally from a single point in the EMCS. (§110.12(a)5B) Automatic Demand Shed Control. Upon receipt of a demand response signal, the space conditioning systems conduct a ✓❑ iii. centralized demand shed for non -critical zones during the demand response period. (§110.12(b)l, §110.12(b)2, and §110.12(a)5C) 5. OCCUPANCY AND PRE -OCCUPANCY PROGRAMMING (check all of the following) ❑✓ a. Occupied, unoccupied, and holiday schedules have been programmed per the schedule provided. (NA7.5.2.11c)) b Pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide ventilation by (check one of the following). (NA7.5.2.1(d), §120.1(d)2) Q The minimum CFM specified by design for the heating or cooling unit; reference NRCC-MCH-E_Section J. (§120.1(d121 Three complete air changes to the zone served by the heating or cooling unit as specified by design; reference NRCC-MCH-E. Section 1 (§120.2(d)21 6. If an economizer is installed that is certified to the Energy Commission (check all of the following): (NA7.5.4.1) ❑✓ a. Verify that the economizer has been certified to the Energy Commission at the Energy Commission website: (NA7.5.4.1(a)-(e),(h),&(I), §140.4(e)2) http://www.energy.ca.goy/title24/equipment cert/ae/index.html ❑✓ b. Economizer damper moves freely without binding. INA7.5.4.1(fl) ❑✓ C. Unitary systems with an economizer have control systems, including two -stage or electronic thermostats, that cycle compressors off when economizers can provide partial cooling (NA7.5.4.1(e)) O d System has return fan speed control, relief dampers, or dedicated relief fans to prevent building over pressurization in full economizer mode. (NA7.5.4.111)) ❑✓ e. For systems with CDC controls, sensor used for economizer lockout has been factory or field calibrated. (NA7.5.4.11i)1 CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA CONSTANT VOLUME, SINGLE ZONE, UNITARY (PACKAGED AND SPLIT) t '� AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A Revised 01/20 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume, Single Zone, Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 3 of 4) Project Name: Newport Beach JR Life Guard BLDG Enforcement Agency. City of Newport Beach Perm6 Number. P,.jed Address: 901 East Oceanfront `i"l Newport Beach Zip Code. 92661 sysaem Name or menereatmn/rog, RTU-1 sntem Loaaon or Area served: MULTPLE AREAS A. Construction Inspection Building: 1 Floor: 1 Room/Area/Zone'. MULTIPLE AREA C,r1rol lin: RTU-1 Prior to Functional Testing, verify and document all of the following ❑✓ f. I Forsystems with non-DDC controls, manufacturer's startup and testing procedures have been applied. (NA7.5.4.1(k)) Construction Inspection Compliance Results: Q Complies Q Does NOT Comply B. Functional Testing Building. 1 Floor. 1 R oom/Area: MULTIPLE AREAS Connno" stem. RTU-1 Step 1: Disable economizer control and demand -controlled ventilation (if applicable) to prevent unexpected interactions. (NA7.5.2.2 Step 1) Occupied Mode Step 2: Heating load during occupied condition (NA7.5.2.2 Step 2) Step 3: No-load during occupied condition (NA7.5.2.2 Step 31 Step 4: Cooling load during occupied condition (NA7.5.2.2 Step 4) Unoccupied Mode Step 5: No-load during unoccupied condition (NA7.5.2.2 Step 5) Step 6: Heating load during unoccupied condition INA7.5.2.2 Step 61 Step 7: Cooling load during unoccupied condition (NA7.5.2.2 Step 7) Step 8: Manual override (N67.5.2.2 Step 81 As each test applies, enter in the box either Pass (P), Fail (F), or Does Not Apply (X) 8 7 6 5 4 3 2 a. Supply fan operates continuously (NA7.5.2.2 Step 2(a), Step 3(e), Step 4(h)1 P P P P b. Supply fan turns off (NA7.5.2.2 Step 5111) P C. Supply fan cycles on and off (NA7.5.2.2 Step 6(o), Step 7(s)) P P d. System operates in "occupied" mode 1NA7.5.2.2 Step 81w11 P e' System reverts back to "unoccupied" mode when manual override time period expires (NA7.5.2.2 Step 8(x)) P f. The unit provides heating (NA7.5.2.2 Step 2(b), Step Sip)) P P g. No heating is provided by the unit (NA7.5.2.2 Step 3(f), Step 4(i), Step 5(n), Step 7(u)) P P P P h. No cooling is provided by the unit (NA7.5.2.2 Step 2(c), Step 3(f), Step 5(n), Step Sic)) P P P P i. Cooling is provided by the unit (NA7.5.2.2 Step 4(i), Step 71t)1 P P j. Outside air damper is at minimum position(NA7.5.2.2 Step 2(d), Step 3(e), Step 4(k)) P P P k. Outside air damper closes completely (NA7.5.2.2 Step 5(m)) P I. Outside air damper is either closed or at minimum position (NA7.5.2.2 Step 6(r), Step 7(v)l P P Step 9: Functional Testing Results (NA7.5.2.2 Step 9) Enter: P/F/X P P P Pt P Step 10: System returned to initial operating conditions after all tests have been completed. Functional Test Compliance Results: & Complies O Does NOT Comply CA Building Energy Efficiency Standards- 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA CONSTANT VOLUME, SINGLE ZONE, AIR CONDITIONER AND HEAT PUMP CEC-NRCA-MCH-03-A Revised 01/20 UNITARY (PACKAGED AND SPLIT) SYSTEMS CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume, Single Zone, Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 4 of 4) PI.Je,r N.me: Newport Beach JR Life Guard BLDG Enforcement Aper,: City of Newport Beach Permit Number: Pm.d Address. 901 East Oceanfront ciw Newport Beach Zip code: 92661 svaem %.e or Idenfirw9pP/Te9: RTU-1 s,ztem Loc.fine urAre. seP,ed. M ULTPLE AREAS DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Nam a:JERRYMCCLANAHAN Documentation Author Signaturpl—). Documentation Author Company Name: HARTMANAIRE Date Signed: 5/23/2024 Address:12 GARDENIA ATT Certification Identification (If applicable): BB119809OTMT City/State/zip: LAKE FOREST,CA, 92630 Phone:626-826-5656 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 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 posted or made available with the building permits) issued for the building. Field Technician Name: JERRYMCCLANAHAN Field Technician Signature: Field Technician Company Name: HARTMANAIRE Position with Company (Title)60RE 4b ENT Address:12 GARDENIA ATT Certification Identification (if applicable): BB119809OTMT City/State/Zip: LAKE FOREST,CA, 92630 Phone: 626-826-5656 Date Signed: 5/23/2024 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 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. 5. 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. Responsible Acceptance Person Name: JERRYMCCLANAHAN Responsible Acceptance Person Sign to Responsible Acceptance Person Company Name: HARTMANAIRE Position with Company (Title): FIEL TEC NICIAN Address:12 GARDENIA CSLB Ucense:1017713 City/State/Zip: LAKE FOREST,CA, 92630 Phone: 626-826-5656 I Date Signed: 5/23/2024 11W CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA AIR ECONOMIZER CONTROLS ACCEPTANCE CEC-NRCA-MCH-05-A (Revised01120) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-05-A Air Economizer Controls Acceptance (Page 1 of 3) Project Name: Newport Beach JR Life Guard BLDG Enforcement Agency: City of Newport Beac Permit Number: Poind Address: 901 East Oceanfront City: NEWPORT BEACH zip God.: 92661 System Name or menMicanon/ra, RTU-1 system Location or Area seraea: MULTIPLE AREAS Compliance Results: Enforcement Agency Use: Checked by/Date Q Complies O Does NOTComply Construction inspection and functional testing for an air economizer to verify that the HVAC system can use outdoor air to satisfy Intent: space -cooling loads. Intended for air economizers that are NOT already certified to the Energy Commission. Submit one Certificate of Acceptance for each system that must demonstrate compliance. INA7.5.4, 4140.41e1) A. Construction Inspection Building: Floor: Room/Area/Zane: Control/System: 1 1 MULTIPLE AREAS RTU-1 Priorto Functional Testing, verify and document all of the following 1. Required documentation must be available for review (check all of the following). ❑✓ a. All documentation shipped with the economizer including manuals and performance curves. Verify the economizer is set to the Required High Limit setting according to the economizer Device Type and Climate Zone where 2' installed (check one compliance path and all applicable NOTES). (Table 140.4-E. NA7.5.4.1(a). §140.4(e)2C) Required High Limit Setting (Economizer off when :) Equation Description Device Type Climate Zone ❑ 1, 3, 5, 11-16 To,> 75°F Outdoor air temperature exceeds 75°F. ❑ 2, 4, 10 To,> 73°F Outdoor air temperature exceeds 73°F. "' v d ❑✓ Fixed Dry Bulb ✓❑ 6, 8, 9 TOA> 71°F Outdoor air temperature exceeds 71°F. a w ❑ 7 ToA>69°F outdoor air temperature exceeds 69°F. El 1, 3, 5, 11-16 TOA> TRA Outdoor air temperature exceeds return air temperature. El 2 4 10 ToA>TRA 2"F Outdoor air temperature exceeds return air .E t ❑ Differential Dry Bulb temperature minus 2°F. ❑ 6,8,9 TOA>Tm-4°F Outdoor air temperature exceeds return air 00 _ v temperature minus 4'F. v ❑ 7 TOA>Tm-6°F Outdoor air temperature exceeds return air IT temperature minus 6°F. ❑ Fixed Enthalpy and All hOA> 28 Btu/Ib or Outdoor air enthalpy exceeds 28 Btu/Ib of dry air or w Fixed Dry-bulb I ToA> 75°F I Outdoor air temperature exceeds 757. c aOthers such as Dew Point, Fixed Enthalpy, May not he used in any Climate Zone in California unless approval for use m ❑ Electronic Enthalpy, and Differential Enthalpy is provided by the Energy Commission Executive Director. a m Controls APPROVAL MUST BE ATTACHED. a E ❑ NOTE: Devices with selectable (ratherthan adjustable) setpoints must be setto within 2°F and 2 Btu/Ib of the setpoint listed. a NOTE for Fixed Enthalpy At altitudes substantially different than sea level, the Fixed Enthalpy limitvalue must be setto the El and Fixed Dry-bulb devices enthalpy value at 75"F and 50% relative humidity. As an example, at approximately 6,000 foot elevation, the fixed enthalpy limit is approximately 30.7 Btu/Ib. 3. Economizer reliability features are present as specified in the Energy Code (check all of the following): (NA 7.5.4.1(h), §140.4(e)2D) ✓❑ a. 5-year manufacturer warranty of economizer assembly(§140.4(e)2Di) The economizer assembly (including but not limited to outdoor air damper, return air damper, drive linkage, and actuator) ✓❑ b. have been tested and are able to open and close against the rated airflow and pressure of the system for 60,000 damper opening and closing cycles. (§140.4(el2Dii1 c' The outdoor air and return air dampers have a maximum leakage rate of 10 cfm/sf at 250 Pascals (1.0 inch of water) when tested in compliance with AMCA Standard 500-D. 1§140.4(e12Diii) O d If the high -limit control is fixed dry-bulb or fixed enthalpy + fixed dry-bulb, then it must have an adjustable setpoint. (NA7.5.4.1(b), §140.41e12Div1 CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA AIR ECONOMIZER CONTROLS ACCEPTANCE CEC-NRCA-MCH-05-A (Revised: 01/20) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-05-A Air Economizer Controls Acceptance (Page 2 of 3) Project Name: Newport Beach JR Life Guard BLDG Enforcement Agency: City of Newport BeacP Permit Number: Project Address:901 East Oceanfront at, NEWPORT BEACH aPcode: 92661 System Name or ldert flcatlon/rag RTU-1 S,tern Wmtion .'area Served: MULTIPLE AREAS A. Construction Inspection Building: 1 Fla.c 1 Roam/Area/Zone: MULTIPLE AREA: Control/System: RTU-1 e. Outdoor air, return air, mixed air, and supply air sensors must be calibrated as follows (check all of the following): (140.4(e)2Dv) ✓❑ i. Dry-bulb and wet -bulb temperatures accurate to±2'F over the range of 40°F to 80'F ii. Enthalpy accurate to ±3 Btu/lb over the range of 20 Btu/lb to 36 Btu/Ib ❑✓ iii. Relative humidity (RH) accurate to±5%over the range of 20%to 80% RH ❑✓ f. Sensor performance curve(s) is provided with the economizer instruction materials that plotted data used for economizer control as well as plotted sensor output value measurements during calibration. (NA7.5.4.1(d) & (e), §140.4(e12Dvi1 g Sensors used for high limit control shall be located to prevent false readings, including but not limited to being properly shielded from direct sunlight. (NA7.5.4.1(c), §140.4(e)2Dvii) 4. Economizer additional features (check all of the following): ❑ a. Economizer damper moves freely without binding.(NA7.5.4.1(f)1 ❑✓ b Unitary systems with an economizer have control systems, including two -stage or electronic thermostats, that cycle compressors off when economizers can provide partial cooling (NAT5.4.1(I:)) ❑✓ c System has return fan speed control, relief dampers, or dedicated relief fans to prevent building over pressurization in full economizer mode. INA7.5.4.1(ill (Check one of the following): d. For systems with CDC controls, sensor used for economizer lockout has been factory or field calibrated. (NA7.5.4.1(i)1 • e. For systems with non-DDC controls, manufacturer's startup and testing procedures have been applied. INA7.5.4.1(k)) Construction Inspection Compliance Results: ') Complies 0 Does NOT Comply B. Functional Testing Building: 1 Floor 1 Room/Area/Zmae MULTIPLE ARE/ CommVSysm.: RTU-1 Step 1: Disable demand control ventilation systems (if applicable) (NA7.5.4.2 Step 1) Step 2: Enable the economizer and simulate a cooling demand large enough to drive the economizer fully open (record all of the following): (NA7.5.4.2 Step 21 a Economizer damper modulates 100%open and that the return air damper modulates 100%closed. (NA7.5.4.2 Step 2a) O P / F O b. All applicable fans and dampers operate as intended to maintain building pressure. (NA7.5.4.2 Step 2b) Q P / F O C. The unit heating is disabled (if applicable). (NA7.5.4.2 Step 2c) Q P / F Q Step 3: Disable the economizer and simulate a cooling demand (record all of the following): (NA7.5.4.2 Step 3) a. Economizer damper closes to its minimum position. (NA7.5.4.2 Step 3d1 Q P / F Q b. All applicable fans and dampers operate as intended to maintain building pressure. (NA7.5.4.2 Step 3e) P / F O C. The unit heating is disabled (if unit has heating capability). (N67.5.4.2 Step 3f1 l& P / F O Step 4: If unit has heating capability, simulate a heating demand and set economizer so that it is capable of operating (i.e., actual outdoor air conditions are below lockout setpoint). (record all of the following): (NA7.5.4.2 Step 41 a. Economizer is at minimum position. (NA7.5.4.2 Step 4¢) (j)PQFQNA b. Return air damper opens. (NA7.5.4.2 Step 4h) OPOF ON Step 5: Turn off the unit. INA7.5.4.2 Step 5) Record if the Economizer damper closes completely. (NA7.5.4.2 Step 5i) Q P / F Step 6: Restore demand control ventilation systems (if applicable) and remove all system overrides initiated. (NA7.5.4.2 Step 61 Functional Test Compliance Results: e Complies Q Does NOT Comply CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA AIR ECONOMIZER CONTROLS ACCEPTANCE CEC-NRCA-MCH-05-A (Revised: 01/20) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-05-A Air Economizer Controls Acceptance (Page 3 of 3) Project Name: Newport Beach JR Life Guard BLDG Edoro ment Ageney. City of Newport Beact Permit Number: Project Address: 901 East Oceanfront city NEWPORT BEACH zip Code:92661 System Name or nfendacst m/rag: RTU-1 system Location or Area sersed: MULTIPLE AREAS DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: JERRY MCCLANAHAN Documentation Author Signature: Documentation Author Company Name:HARTMANAIRE Date Signed: 05/24/24 Address: 13 GARDENIA ATT Certification Identification (if applicable): BB119809OTMT on"son"Ip: LAKE FOREST,CA,92630 Phone:626-826-5656 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 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 posted or made available with the building permits) issued for the building. Field Technician Name: JERRY MCCLANAHAN Field Technician Signature: Field Technicia n com pang Name:HARTMANAIRE Position with Company (Title): RE ENT Address:12 GARDENIA ATT Certification Identification (if applicable): BB119809OTMT ot"'tau""p: LAKE FOREST,CA,92630 Phone:626-826-5656 Date Signed:05/24/24 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 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. 5. 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. Responsible Acceptance Person Name: JERRY MCCLANAHAN Responsible Acceptance Person Signatur: 64 Responsible Acceptance Person Company Name; Position Position with Company (Title):PRES NT Address:12 GARDENIA CSLa License` 1017713 Ciry/state/zip LAKE FOREST,CA,92630 Phone:626-826-5656 Date Signed: 05/24/24 CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 g E a Y v £ �a Fl�4 a p S & 91.. �'� E! 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FS d I i i 1 • L€ EE i ice a Ej = .. $ 5 .°r@2 s ij }g ILI 5 E it i4� a $ 'a } a ;'E9g'j : Ei;§ii1a '"i aeda:=ag e ME 5 a! gF e s � a'r ate• £ a 4 � s's E 5gi j 3 a g g B g6 i= 441e d Z ,9E €di AU E, 3 3Ei a F 8 a �§ a [ LL CERTIFIED TEST, ADJUST, AND BALANCE REPORT DATE MAY 13, 2024 PROJECT NEWPORT BEACH JR LIFE GUARD BUILDING ADDRESS 901 EAST OCEAN FRONT NEWPORT BEACH, CA ARCHITECT JKA ARCHITECTURE ADDRESS 6353 DEL CERRO BLVD. SAN DIEGO, CA 92120 PHONE/FAX 619-698-9177 ENGINEER MCPARLANE & ASSOCIATES ADDRESS 4830 VIEWRIDGE AVE., SUITE A SAN DIEGO, CA 92123 PHONE/FAX 858-277-9721 / 858-277-9760 HVAC CONTRACTOR AIREMASTERS AIR CONDITIONING ADDRESS 12556 MCCANN DRIVE SANTA FE SPRINGS, CA 90670 PHONE/FAX 562-944-6302 Ger[ifiCar TAB FIRM HARTMANAIRE o' ADDRESS 12 GARDENA ��c LAKE FOREST, CA 92630 ]_ /V_ PHONE / FAX 951-479-6855 / 949-215-1001 Cindy McCanahan McClanahan Inc DBA Hartmanaire Mechanical Acceptance Test Empl.w, SME00083 C7Y�� Expires 12/31/2025 / 7. CERTIFICATION PROJECT NEWPORT BEACH JR LIFE GUARD BUILDING ADDRESS 901 EAST OCEAN FRONT NEWPORT BEACH, CA THE DATA PRESENTED IN THIS REPORT IS AN EXACT RECORD OF SYSTEM PERFORMANCE AND WAS OBTAINED IN ACCORDANCE WITH TABB - ICB STANDARD PROCEDURES. ANY VARIANCES FROM DESIGN QUANTITIES WHICH EXCEED TABB TOLERANCES ARE NOTED THROUGHOUT THIS REPORT. THE AIR DISTRIBUTION SYSTEMS HAVE BEEN TESTED & BALANCED AND FINAL ADJUSTMENTS HAVE BEEN MADE IN ACCORDANCE WITH TABB - ICB PROCEDURAL STANDARDS FOR TESTING, ADJUSTING BALANCING OF ENVIRONMENTAL SYSTEMS AND THE PROJECT SPECIFICATIONS. TABB TAB FIRM REG. No. TB0690817C CERTIFIED BY Mario Covarrubias DATE MAY 13, 2024 (Air Tab Supervisor) THE HYDRONIC DISTRIBUTION SYSTEMS HAVE BEEN TESTED & BALANCED AND FINAL ADJUSTMENTS HAVE BEEN MADE IN ACCORDANCE WITH TABB - ICB PROCEDURAL STANDARDS FOR TESTING, ADJUSTING BALANCING OF ENVIRONMENTAL SYSTEMS AND THE PROJECT SPECIFICATIONS. TABB TAB FIRM REG. NO. TB0690817C SUBMITTED & CERTIFIED BY: TABB TAB FIRM TAB SUPERVISOR CERTIFIED BY HARTMANAIRE Mario Covarrubias SIGNATURE (Hydmnic Tab Supervisor) 1 DATE Mario Covarrubias McClanahan Inc. DBA Hartmanaire TABB Supervisor '],rf #TB99J76775S H TABLE OF CONTENTS SECTION I -PROJECT INFORMATION CERTIFICATES WARRANTY CALIBRATION ABBREVIATIONS SECTION II - UNIT REPORTS 1 6 7 8 AIR MOVING EQUIPMENT DATA - RTU-1, AC-1 9 DIFFUSER AND GRILLE TEST DATA - RTU-1 10 EXHAUST FAN DATA - EF-1 THRU EF-3 11 DIFFUSER AND GRILLE TEST DATA - EF-1 12 EXHAUST FAN DATA - EF-4 THRU EF-9 13 - 14 SECTION III - OTHER DATA MECHANICAL PLAN 15 R N I I IN �V I ii a 'ma VW ZU i UZ g2gV mZ 'ramr^�l v1 N it, z Ri m 0 m • `v U � o m U U v o � U � Vl N � V O ro V N a ® w a m� VW ZU 2U2Z aU .mJJ 02 1 19 8 t3 V EE `v ti i Vd T '- M En No A N m, W z :o 5" J m Q 0 Q2y z z NO �a °aF cs 11 S IR ti 1 r� �I ►i iauueaSweJ ® m� mw 2Q¢UJZ Z yy2_ <F2 ilaWq M Q p�6 <N U� .� RE z N 0.1 ail titN It tn N O O i I c I 12 Gardenia Lake Forest, CA 92630 951-479-6855 Warranty Warranty of Services Hartmanaire warranties the TAB work for one year from the date of this report. Hartmanaire reserves the right to correct errors or omissions in the collection of data. The Warranty covers Balancing Issues. Off Season Testing: Typical balance report covers testing and balancing of all scheduled equipment, regardless of the outside air temperature. An Off Season test will generally cover temperature measurements Balancing Issues: Any balancing issues or concerns that arise, Hartmanaire will return to the site any time during the warranty period. Systems will be rechecked and verified that tested items adhere with the reported test date, AT NO CHARGE. Warranty Procedures For all warranty items Balancing Issues, Hartmanaire requires a written request. The written request should be specific on the areas of concern, such rooms, or equipment, and the type of issue the occupants are having. Once written notification is received Hartmanaire will schedule a Technician. It is recommended that an Owner, or Architect, or Engineer be on site at that time. Voided Warranty and Additional Charges If a complaint issue is due to a mechanical equipment failure, control or maintenance related, the return trip maybe subject to a service charge, not covered under warranty. Hartmanaire reserves the right to resolve any TAB issues. If a third party or competing Test & BalancelCommissioning firm test or adjust any equipment, all project warranty is voided. (This is typical standard for the Mechanical industry, as Manufacture, Mechanical and Control Contractor voids all warranty when a competing firm test or manipulates their systems.) Any return trip to the job site is subject to a service charge and a purchase order will be required before returning to the job site. Document Archiving An electric file of all test documents will be kept on file until the end of the Warranty period. During that time an electronic copy of the test date will be provided a no charge. Any additional hard bound copies requested will be subject to a fee. Building owner should retain all documentation for future reference. All documentation pertaining to this project will be destroyed in accordance with our record retention schedule. m I I yOO v bOmOOO �O l0O NO�O bO O �O.�OI.J OO Z a` � I I OO z OO OO O z z z O z z O O z Z O z O z OO OO O z z z O z W y y y h y h mI y y h y y m y Z O N 80 O vm O gym.. O N d M rl N d o '. y OJ N d N V m m O O m N N y N LL I' ¢ N E f7 Cl m N N OJ m o `o �. E �� 3- N N U' K oK oX E� o ov ot° oe 3 °1 v o 0 oco 3 Z LL Y \LL a 0 Wo v x F q A mjS y LL O O m N m 6 J LL J s U m a a a a a s a'Ua a a a a'ma da 0 0 0 0 0 o a o 0 0 0 o v o A o w m m m ro ro ro m ro � E c E c E c E c E c E c E c E c E c E c E c E c E c E c Z m d Od LL LL LL - Z O QI m m m m m m m m ¢ N N N N N O ry N N H N11+I LL LL LL +I +I E N +I H +I N N Z Ea N L o 0 0 > Y Y Y O 0 O N O O O O O 2 0 p Q N O O O p m N Y N N E •. E ` E m .. > ., O m aE, E u E E m I ` v K CK fir¢ E U o E w> Q ¢ ¢ z,x II 12 Gardenia Lake Forest, CA 92630 951-479-6855 ABBREVIATIONS ACT - Actual AK - Free Area Factor AHU - Air Handling Unit CD - Ceiling Diffuser CER - Ceiling Exhaust Register CFM - Cubic Feet per Minute CR - Ceiling Return Register D.B. - Dry Bulb DD - Direct Drive DDC - Direct Digital Controls: EMS Control System for the HVAC DL - Drum Louver DNL - Data Not Listed EF - Exhaust Fan EMS - Energy Management System ERU - Energy Recovery Unit ENT - Entering FH - Flowhood (Measures CFM Directly SO FPM and AK factors are not required). FPM - Feet per Minute GPM - Gallons per Minute H.P. - Horsepower LVG - Leaving MBH - 1,000 BTUH NA - Not Available / No Access NVL - No Valid Location O.S.A. - Outside Air P.D. - Pressure Drop R.A. - Return Air REQ - Required RPM - Revolutions per Minute RTU - Roof Top Unit S.A. - Supply Air S.F. - Service Factor S.P. - Static Pressure SWS - Side Wall Supply SWR - Side Wall Return TAB - Test, Adjust, and Balance TSP - Total Static Pressure Traverse - CFM readings take in at a point in the ductwork VAV - Variable Air Volume; box that contains a motorized damper that modulates airflow W.B. - Wet Bulb W.G. - Water Gauge L:.- AIR MOVING EQUIPMENT DATA PROJECT NEWPORT BEACH JR LIFE GUARD BUILDING LOCATION 901 EAST OCEAN FRONT NEWPORT BEACH, CA FAN NAME RTU-1 AC-1 SERVICE SEE DIF/GRILLE SHEET IT 112 LOCATION ROOF WALL MANUFACTURER CARRIER CARRIER MODEL# 50TCQD12A2 40MAHBQ36 SERIAL # 4322P66721 0123V15287 CFM DESIGN ACTUAL DESIGN ACTUAL DESIGN ACTUAL DESIGN ACTUAL TOTAL FAN 4010 3982 920 928 RETURN AIR 2760 2724 920 925 OUTSIDE AIR 1250 1258 C: 46.7" DAMPER POS OSA % 20% H: 81.6" STAT PRIES DISCHARGE - .46 NVL SUCTION - -.50 - NVL ESP 1.0" .96 .25' NVL FILTER SIZEITYPE MERV 13 - WASHABL - MOTOR FAN MANUFACTURER MARATHON NIA HORSEPOWER N/A N/A VOLTAGE 208 208 208 208 AMPERAGE 9.2 8.7 .55 1 .46 PHASE 3 1 RPMISPEED 1750 1 1735 VARI IDIRECTDRIVE SERVICE FACTOR 1.15 T.P. DRIVE MOTOR SHEAVE SIZE 4 3/4" X 7/8" DIRECT DRIVE % CLOSED 0% DIRECT DRIVE FAN SHEAVE SIZE AFD74 X 1" DIRECT DRIVE FAN RPM 1114 DIRECT DRIVE BELT SIZE / # OF (1) AX49 DIRECT DRIVE CENTER TO CENTER 16 7/8" DIRECT DRIVE loi DIFFUSER & GRILLE PROJECT NEWPORT BEACH JR LIFE GUARD BUILDING AREA NO. KIND SIZE AK DESIGN PRELIM FINAL FIRM % REMARKS RTU-1 SA MEETING ROOM 122 1 LD 2" X48" 0.67 250 283 246 367 98% (1) MEETING ROOM 122 2 LD 2" X48" 0.67 250 277 259 387 104% 1 MEETING ROOM 122 3 LD 2" X48" 0.67 250 277 243 363 97% (1) MEETING ROOM 122 4 LD 2" X48" 0.67 250 308 236 352 94% 1 MEETING ROOM 122 5 LD 2"X48" 0.67 350 401 322 451 92% (1) MEETING ROOM 122 6 LD 2"X48" 0.67 350 407 361 539 103% (1) SUPERVISOR/ STAFF 103 7 CD 8" 1.0 150 95 142 95% (1) ADMINISTRATION 8 CD 10" 1.0 250 133 238 95% (1) RECEPTION 101 9 CD 8" 1.0 150 103 154 103% (1) RECEPTION 101 10 CD 8" 1.0 160 130 156 98% (1) PANTRY 105 11 CD 8" 1.0 150 183 147 980/u (1) BOARD ROOM 12 CD 10" 1.0 200 264 211 106% (1) BOARD ROOM 13 CD 8" 1.0 200 273 207 104% (1) HALLWAY 14 CD 8" 1.0 100 144 108 108% (1) STORAGE 113 15 CD 8" 1.0 150 124 147 98% (1) MEN'S LOCKER 16 CD 14" 1.0 400 356 407 102% (1) WOMEN'SLOCKER 17 CD 14" 1.0 400 338 398 100% (1) T= 4010 4096 3982 99% RTU-1 RA ADMINISTRATION 1 RG 10" 1.0 300 271 90% RECEPTION 101 2 RG 10" 1.0 400 368 92% STORAGE 113 3 RG 8" 1.0 200 197 99% BOARD RM 4 RG 12" 1.0 500 458 92% HALLWAY 5 RG 12" 1.0 453 439 97% (2) HALL 06 6 RG 12" 1.0 453 494 109% (2) HALLWAY 7 RG 12" 1.0 454 497 109% (2) T= 2760 2724 99% OSA HOOD 1250 1258 101% 20% Notes: (1) S/A GRILLES RE -DESIGNED TO ACCOMMODATE TONAGE OF EQUPMENT (2) R/A GRILLES RE -DESIGNED TO ACCOMMODATE 1250 CFM OF OSA. T EXHAUSTFAN DATA PROJECT NEWPORT BEACH JR LIFE GUARD BUILDING FAN DATA FAN NUMBER EF-1 FAN NUMBER EF-2 FAN NUMBER EF-3 Location ROOF CEILING CEILING Service MEN'S/WOMEN'S LOCKERS KITCHEN 105 RR / SHOWER 109 Manufacturer COOK COOK COOK Model Number 180C10D GEMINI 180 GC 186 Motor Mfr. GENTEQ N/A QUEACE Motor H.P. / RPM 3/4 HP / 1075 .013 HP / N/A 50 W / 1350 Volts / Phase 115 - 1 - 60 115 - 1 - 60 115 - 1 - 60 F.L. Amps / S.F. 10.0 / T.P. 1.0 / T.P. 1.0 / T.P. Motor Sheave Diam x Bore DIRECT DRIVE DIRECT DRIVE DIRECT DRIVE % Closed DIRECT DRIVE DIRECT DRIVE DIRECT DRIVE Fan Sheave Diam x Bore DIRECT DRIVE DIRECT DRIVE DIRECT DRIVE No. Belts/ Size DIRECT DRIVE DIRECT DRIVE DIRECT DRIVE TEST DATA DESIGN ACTUAL DESIGN ACTUAL DESIGN ACTUAL CFM 2100 1987 200 198(1) 160 168 Fan RPM 925 DIRECT DRIVE 1059 DIRECT DRIVE 905 DIRECT DRIVE Motor RPM 1075 DIRECTDRIVE N/A DIRECTDRIVE 1350 DIRECT DRIVE Discharge - ATMOS ATMOS - NVL Suction - -.28 - -.18 - NVL E.S.P. .75" 0.28 .35" 0.18 .35" NVL Voltage 115 115 115 115 115 115 Amperage 10.0 9.10 1.0 0.87 1.0 0.83 VFD/Setting REMARKS (1) AIRFOILED ABOVE TILE FOR ACCURACY. 8" DUCT, 566 FPM L! DIFFUSER & GRILLE TEST SHEET PROJECT NEWPORT BEACH JR LIFE GUARD BUILDING AREA NO. KIND SIZE AK DESIGN PRELIM FINAL FPM % REMARKS EF-1 WOMEN'S LOCKER 107 1 EG 12" 1.00 500 471 94% WOMEN'S LOCKER 107 2 EG 12" 1.00 500 458 92% JANITOR 3 EG 8" 1.00 100 108 108% MEN'S LOCKER 108 4 EG 12" 1.00 500 464 93% MEN'S LOCKER 108 5 EG 12" 1.00 500 486 97% T= 2100 1987 95% Notes: All EXHAUST FAN PROJECT NEWPORT BEACH JR LIFE GUARD BUILDING FAN DATA FAN NUMBER EF-4 FAN NUMBER EF-5 FAN NUMBER EF-6 Location CEILING CEILING CEILING Service RR / SHOWER 110 RR 115 RR 116 Manufacturer COOK COOK COOK Model Number GC 186 GC 186 GC 186 Motor Mfr. QUEACE QUEACE QUEACE Motor H.P. / RPM 50 / 1350 50 / 1350 50 / 1350 Volts / Phase 115 -1 - 60 115 -1 - 60 115 -1 - 60 F.L. Amps / S.F. 1.0 / T.P. 1.0 / T.P. 1.0 / T.P. Motor Sheave Diam x Bore DIRECT DRIVE DIRECT DRIVE DIRECT DRIVE % Closed DIRECT DRIVE DIRECT DRIVE DIRECT DRIVE Fan Sheave Diam x Bore DIRECT DRIVE DIRECT DRIVE DIRECT DRIVE No. Belts/ Size DIRECT DRIVE DIRECT DRIVE DIRECT DRIVE TEST DATA DESIGN ACTUAL DESIGN ACTUAL DESIGN ACTUAL CFM 160 148 160 152 160 164 Fan RPM 905 DIRECT DRIVE 905 DIRECT DRIVE 905 DIRECT DRIVE Motor RPM 1350 DIRECT DRIVE 1350 DIRECT DRIVE 1350 DIRECT DRIVE Discharge - NVL - NVL - NVL Suction - NVL NVL - NVL E.S.P. .35" NVL .35" NVL .35" NVL Voltage 115 115 115 115 115 115 Amperage 1.0 0.89 1.0 0.84 1.0 0.83 VFD/Setting REMARKS Har4t, Haire EXHAUST FAN PROJECT NEWPORT BEACH JR LIFE GUARD BUILDING FAN DATA FAN NUMBER EF-7 FAN NUMBER EF-8 FAN NUMBER EF-9 Location CEILING CEILING CEILING Service TRASH 119 ELECTRICAL 118 EQUIP STORAGE 117 Manufacturer COOK COOK COOK Model Number 90SQN120 100SQN120 1OOSQN120 Motor Mfr. N/A N/A N/A Motor H.P. / RPM .167 / 1550 .167 / 1550 .167 / 1550 Volts / Phase 115 - 1 - 60 115 - 1 - 60 115 - 1 - 60 F.L. Amps / S.F. .75 / T.P. 1.09 / T.P. 1.4 / T.P. Motor Sheave Diam x Bore DIRECT DRIVE DIRECT DRIVE DIRECT DRIVE % Closed DIRECT DRIVE DIRECT DRIVE DIRECT DRIVE Fan Sheave Diam x Bore DIRECT DRIVE DIRECT DRIVE DIRECT DRIVE No. Belts/ Size DIRECT DRIVE DIRECT DRIVE DIRECT DRIVE TEST DATA DESIGN ACTUAL DESIGN ACTUAL DESIGN ACTUAL CFM 200 218 500 531 600 591 Fan RPM 1420 DIRECT DRIVE 1300 DIRECT DRIVE 1677 DIRECT DRIVE Motor RPM 1550 DIRECT DRIVE 1550 DIRECT DRIVE 1550 DIRECT DRIVE Discharge - ATMOS - ATMOS - ATMOS Suction - -.02 - -.07 -1 -.10 E.S.P. .35" 0.02 .35" 0.07 .35' 0.10 Voltage 115 115 115 115 115 115 Amperage 0.75 0.57 1.09 0.87 1.4 1.02 VFD/Setting REMARKS STATE OF CALIFORNIA FAULT DETECTION AND DIAGNOSTICS FOR PACKAGED DIRECT EXPANSION UNITS CEC-NRCA-MCH-12-A Revised 01/20 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-12-A Fault Detection and Diagnostics (FDD) for Packaged Direct Expansion Units (Page 1 of 3) Project Name: Newport Beach JR Life Guard BLDG Fnror<emem Agency: City of Newport Beach Permit Number: Pre;ea Address: 901 East Oceanfront City: Newport Beach mP�de 92661 System Name or identifiration/Tag: RTU-1 system moaaon or Area served: MULTIPLE AREAS Compliance Results: Enforcement Agency Use: Checked by/Date Q Complies Q Does NOT Comply Intent: Submit one Certificate of Acceptance for each system that must demonstrate compliance. (NA7.5.11 §12l) This acceptance test is recommended to be performed simultaneity with NRCA-MCH-02-A (Outside Air) and NRCA-MCH-05-A (Air Economizer Controls). A. Construction Inspection Building: Floor: Boom/Area/Zone: Control/syro.: 1 1 MULTIPLE AREA RTU-1 1 Required Documentation (check all of the following): Q✓ a. NRCC-MCH-E, designs, specification sheets, and schedules as approved by the authority having jurisdiction. (10-103(a12A) ❑✓ b. NRCA-MCH-02-A (Outside Air) and NRCA-MCH-05-A (Air Economizer controls); recommended to be completed simultaneously. 2 Prior to functional testing (check all of the following): ❑✓ a. Verify that the Fault Detection and Diagnostics (FDD) hardware is installed on the unit. (NA7.5.11.1(a)) ❑✓ b. Verify the FDD system matches the make and model reported on the design drawings. (NA7.5.11.1(b)) 3 IF the manufacturer HAS certified the FDD to the Energy Commission (check the following): (120.2 i U8 El Verify that the FDD is currently listed with the Energy Commission approved list: (NA7.5.11.1(c), (d). and (e), 120.2 8 JAl a' http://www.energy.ca.gov/title24/equipment cert/fdd/index.html 4 IF the manufacturer HAS NOT certified. the FDD to the Energy Commission, reference the Required Documentation la. and lb (check all the following): (Exception to§120.2(i18) ❑✓ a. Verify that the following temperature sensors are permanently installed: outside air, supply air, and when required for differential economizer operation, a return air sensor. (NA7.5.12.11a1§120.2(ill) ❑✓ b. Verify that the temperature sensors have an accuracy of±2°F over the range of 4l to 8l (NA7.5.12.1(a). §120.2(i)2) 0✓ C. Verify that the controller has the capability of displaying the value of each sensor. (120.2 i 3) Verify that the controller provides a system status by indicating the following conditions: (120.2 i 4) • Free cooling available; • Economizer enabled; ❑✓ d. • Compressor enabled; • Heating enabled, if the system is capable of heating; and • Mixed air low limit cycle active. Verifythatthe unit controller allows manual initiation of each operating mode so that the operation of cooling systems, e' economizers, fans, and heating systems can be independently tested and verified. (120.2 i 5) Verify that the faults are reported in one of the following ways: (120.2 i l • Reported to an Energy Management Control System regularly monitored by facility personnel. • Annunciated locally on one or more zone thermostats, or a device within five (5) feet of zone thermostat(s), clearly visible, at eye level, and meeting the following requirements: O f o On the thermostat, device, or an adjacent written sign, display instructions to contact appropriate o building personnel or an HVAC technician; and o In buildings with multiple tenants, the annunciation shall either be within property management offices or in a common space accessible by the property or building manager. as Reported to a fault management application which automatically provides notification of the fault to remote HVAC Nice provider. Construction Inspection Compliance Results: G Complies Q Does NOT Comply CA Building Energy Efficiency Standards — 2019 Nonresidential Compliance January 2020 Compliance Results: Enforcement Agency Use: Checked by/Date Q Complies Q Does NOT Comply Intent: Submit one Certificate of Acceptance for each system that must demonstrate compliance. (NA7.5.11 §12l) This acceptance test is recommended to be performed simultaneity with NRCA-MCH-02-A (Outside Air) and NRCA-MCH-05-A (Air Economizer Controls). A. Construction Inspection Building: Floor: Boom/Area/Zone: Control/syro.: 1 1 MULTIPLE AREA RTU-1 1 Required Documentation (check all of the following): Q✓ a. NRCC-MCH-E, designs, specification sheets, and schedules as approved by the authority having jurisdiction. (10-103(a12A) ❑✓ b. NRCA-MCH-02-A (Outside Air) and NRCA-MCH-05-A (Air Economizer controls); recommended to be completed simultaneously. 2 Prior to functional testing (check all of the following): ❑✓ a. Verify that the Fault Detection and Diagnostics (FDD) hardware is installed on the unit. (NA7.5.11.1(a)) ❑✓ b. Verify the FDD system matches the make and model reported on the design drawings. (NA7.5.11.1(b)) 3 IF the manufacturer HAS certified the FDD to the Energy Commission (check the following): (120.2 i U8 El Verify that the FDD is currently listed with the Energy Commission approved list: (NA7.5.11.1(c), (d). and (e), 120.2 8 JAl a' http://www.energy.ca.gov/title24/equipment cert/fdd/index.html 4 IF the manufacturer HAS NOT certified. the FDD to the Energy Commission, reference the Required Documentation la. and lb (check all the following): (Exception to§120.2(i18) ❑✓ a. Verify that the following temperature sensors are permanently installed: outside air, supply air, and when required for differential economizer operation, a return air sensor. (NA7.5.12.11a1§120.2(ill) ❑✓ b. Verify that the temperature sensors have an accuracy of±2°F over the range of 4l to 8l (NA7.5.12.1(a). §120.2(i)2) 0✓ C. Verify that the controller has the capability of displaying the value of each sensor. (120.2 i 3) Verify that the controller provides a system status by indicating the following conditions: (120.2 i 4) • Free cooling available; • Economizer enabled; ❑✓ d. • Compressor enabled; • Heating enabled, if the system is capable of heating; and • Mixed air low limit cycle active. Verifythatthe unit controller allows manual initiation of each operating mode so that the operation of cooling systems, e' economizers, fans, and heating systems can be independently tested and verified. (120.2 i 5) Verify that the faults are reported in one of the following ways: (120.2 i l • Reported to an Energy Management Control System regularly monitored by facility personnel. • Annunciated locally on one or more zone thermostats, or a device within five (5) feet of zone thermostat(s), clearly visible, at eye level, and meeting the following requirements: O f o On the thermostat, device, or an adjacent written sign, display instructions to contact appropriate o building personnel or an HVAC technician; and o In buildings with multiple tenants, the annunciation shall either be within property management offices or in a common space accessible by the property or building manager. as Reported to a fault management application which automatically provides notification of the fault to remote HVAC Nice provider. Construction Inspection Compliance Results: G Complies Q Does NOT Comply CA Building Energy Efficiency Standards — 2019 Nonresidential Compliance January 2020 CA Building Energy Efficiency Standards — 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA FAULT DETECTION AND DIAGNOSTICS FOR PACKAGED DIRECT EXPANSION UNITS CEC-NRCA-MCH-12-A (Revised 01/20) CALIFORNIA ENERGY COMMISSION IS CERTIFICATE OF ACCEPTANCE NRCA-MCH-12-A Fault Detection and Diagnostics (FDD) for Packaged Direct Expansion Units (Page 2 of 3) Projed Name: Newport Beach JR Life Guard BLDG ".Hamer! Agenrn City of Newport Beach Permit Number. Projr, Address: 901 East Oceanfront city: Newport Beach lip Code: 92661 sysc.m N.re. or ideerinratioNr., RTU-1 system i.oranon or Area seryed: MULTIPLE AREAS B. Functional Testing Steps: For each HVAC unit to be tested, complete the following: (NA7.5.11.2) Results 1 Air Temperature Sensor failure/fault: (NA7.5.11.2.1,§120.2(i)7A) a. Verify the FDD system indicates normal operation. (NA7.5.11.2.15tep 1) e P/F O b Disconnect outside air temperature sensor from unit controller. Verify that the FDD system reports a fault. Q P/F O (NA7.5.11.2.1 Step 2aI C. Connect outside air temperature sensorto unit controller. Verifythat the FDD system indicates normal operation. O P/F O (NA7.5.11.2.1 Step 36) 2 Excess Outside Air Sensor failure/fault: Coordinate this test with NRCA-MCH-02-A (Outdoor Air) (NA7.5.11.2.2, §120.2(i)7B) a. IF NRCA-MCH-02-A indicates "pass' THEN verify that the FDD system indicates normal operation. Qi P/F O (NA7.5.11.2.2 Step 1a1 Economizer Operation Sensor failure/fault: Coordinate this test with NRCA-MCH-05-A (Air Economizer Controls) 3 (NA7.5.11.2.3, §120.2(i17C) Simulate failure by immobilizing the outdoor air economizer damper according to the manufacturer's instructions. a. CAUTION: physically preventing the economizer from operating can cause damage to the equipment as well as Q P/F O severe personal injury. Verifythatthe FDD system reports a fault. (NA7.5.11.2.3 Step 1al b Successfully complete and pass NRCA-MCH-05-A and verify that the FDD system report normal operation. O P/F O (NA7.5.11.2.2 Step 261 Functional Testing Compliance Results: e Complies O Does NOT Comply CA Building Energy Efficiency Standards — 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA FAULT DETECTION AND ,CEC-NRCA-MCH-12-A Revised 01120 DIAGNOSTICS FOR PACKAGED DIRECT EXPANSION UNITS CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-12-A Fault Detection and Diagnostics (FDD) for Packaged Direct Expansion Units (Page 3 of 3) project Name: Newport Beach JR Life Guard BLDG Enforcement Agency. City of Newport Beach Permit Namber: Project Address; 901 East Oceanfront Clty; Newport Beach Zip Code: 92661 Sysem Name or Identificatinn/rag: RTU-1 System Location or Area Served: MULTIPLE AREAS DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and. complete. Documentation Author Name: JERRY MCCLANAHAN Documentation Author Signature: rN Documentation Author Company Name: HARTMANAIRE Date Signed:05/24/24 Address: 12 GARDENIA ATT Certification Identification (If applicable): BB119809OTMT City/State/Zip: LAKE FOREST, CA, 92630 Phone:626-826-5656 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: JERRY MCCLANAHAN Field Technician Signature:' Field Technician Company Name: HARTMANAIRE Position with Company (Title): FIELD TECHNICIAN Address:12 GARDENIA ATT Certification Identification (if applicable): BB1198090TMT City/State/Zip: LAKE FOREST, CA, 92630 Phone: 626-826-5656 Date Signed:05/24/24 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 thatthe 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. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permits) 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: JERRY MCCLANAHAN Responsible Acceptance Person Signature: rRes onviHle Acceptance Person Company Name: IAIKC Position with Company (Title): FIELD TECHNICIAN Address:12 GARDENIA CSLB License:1017713 City/State/Zip: LAKE FOREST, CA, 92630 Phone:626-826-5656 Date Signed:05/24/24 CA Building Energy Efficiency Standards —2019 Nonresidential Compliance January 2020