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Comm-18-0937 Folder 3
JR Air Balance & Duct Testing Co. Test & Balance Report Heating & A/C 11700 Goldring Rd. Arcadia, CA Project: Tenant Improvement Business: KLYT, LLC Use: Office/ Warehouse Designer: ANF Engineer: JS Engineering Contractor: Euro-Image Construction Date of Approved Plans: 9/7/2018 Permit Number: Comm18 0937 THE TESTING AND BALANCING HAS BEEN PERFORMED IN ACCORDANCE WITH THE"AS BUILT" DRAWINGS AND SPECIFICATIONS, AND/OR THE STANDARD REQUIREMENTS AND PROCEDURES OF THE NATIONAL BALANCING INSTITUTE.THE RESULTS OF THESE TESTS ARE HEREIN RECORDED. CERTIFICATION # 06-199-01 DATE: March 30, 2021 APPROVED: John Kwan Report #: 21-9560 J. Air Balancing & Duct Testing 110 9040 Telstar Ave.#137 El Monte,CA 91731 Phone: 626-274-05221 Fax: 626-448-6568 \ATIONAI. 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' U2M�{ Uu0(' w r3w c° Y z N }aodau aauere8 aid L N 3 c no F O c m IIco = Lu 0 Q t m C Or- t i Ce ' m O III �F�^ VJ Q Z o 0 0 (9 0 0 0 0 .U) O N N N N N N N N _Ig O O O O O O O O 11110110O m O a I U U_ W 0 — 0— 0 5 o o 0 U) X CL CC IY a Z 0 F cp O Eo _o_o I I z Z0) U) co 0 Q a O U o 0 0 o O (fl 00 OD M to N U (n .a m 0 0 IL d 0 o F-- O 2 2 2 � 0 d' v) z E u O 0 m w U Q Q H z0 0 a) 0 0 co To in Q ce Y m W W — Qm a�— m W I{rkI O cf, r d o o 4 I H Jco O F- E N OJ O > a co y «° © U. 0 3 o H •� Q Q 2 Oa fi g F STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A(Revised 12/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 1 of 3) Project Name: Enforcement Agency: Permit Number: 11700 Goldring Rd. Arcadia,CA 0937 Project Address: City: Zip Code: 11700 Goldring Rd. Arcadia,CA 91006 System Name or Identification/lag: System Location or Area Served: 1,2,3,4 1,2,3,4 Note:Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date that must demonstrate compliance. Verify measured outside airflow reading is within 10%of the total required outside airflow.Required for all newly installed HVAC Intent: units. Reference MECH-3C(Column H or Column I)or Mechanical Equipment Schedules. • A. Construction Inspection Note:MCH-02-A can be performed in conjunction with MCH-07-A Supply Fan VFD Acceptance(if applicable)since testing activities overlap. 1. Supporting documentation needed to perform test includes: As-built and/or design documents(for example,Mechanical Equipment Schedules,Equipment a' Start-Up Sheets or Balancing Reports). b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual(NA7.5.1.1 Ventilation Systems:Variable Air Systems At-A-Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At-A-Glance). c. 2013 Building Energy Efficiency Standards. 2. Instrumentation needed to perform test includes: a. Watch b. Calibrated means to measure airflow(i.e.hot-wire anemometer,velocity pressure probe,etc.). i. Method and equipment used: VELOCITY PRESSURE PROBE ii. Equipment calibration date(must be within one year): 9/8/2020-CAV 3. System type(check either VAV or CAV): 0 VAV CAV a. Check if Variable Air Volume(VAV)and complete the following: i. Outside airflow is either factory calibrated or field calibrated. ❑ Check if factory calibrated and attach calibration certification. ❑ Check if field calibrated and attach calibration results. ii. Damper Control(must be checked): p✓ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position). iii. One of the following dynamic controls is being utilized to control outside air(check method used) ❑ Outdoor Air CFM Compensation ❑ Energy Balance Method ❑ Demand Control Ventilation ❑ Return Fan Tracking ❑ Injection Fan Method ❑ Dedicated Minimum Ventilation Damper with Pressure Control ❑ Other Active Control,Describe: b. Check if Constant Air Volume(CAV)and verify the following: ❑ System is designed to provide a fixed minimum OSA when the unit is on. 4. Method of delivering outside air to the unit(check one of the following): ❑✓ Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either(check one of the following): ❑✓ Within five ft.of the unit. ❑ Within 15 ft.of the unit,with the air directed substantially toward the unit. ❑✓ Return air plenum is NOT used to distribute outside air to the unit. I.e.outside air is ducted directly to the unit or outside air is provided independent of the unit. 5. Pre-occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide(one of the following methods must be verified and checked): ❑✓ The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A,or 15 cfm per person times the expected number of occupants,whichever is less. ❑✓ 3 complete air changes to the zone served by the air handler. CA Building Energy Efficiency Standards-2013 Nonresidential Compliance December 2015 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCI+02-A(Revised 12/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 2 of 3) Project Name Enforcement Agency: Permit Number. 11700 Goldring Rd. Arcadia,CA 0937 Project Address: Cny: Zip Cody. 11700 Goldring Rd. Arcadia,CA 91006 System Name o'Identification,,rag: System Location or Arca Served: 1,2,3,4 1,2,3,4 B. NA7.5.1.1 Outdoor Air Acceptance Functional Testing ❑✓ CAV ❑VAV Step 1:Disable demand control ventilation(if applicable) Step 2:Verify unit is not in economizer mode during test(economizer disabled). ❑✓ ❑ Note:Shaded boxes do not apply for CAV systems Step 3:CAV and VAV testing at full supply airflow a Adjust supply air to achieve design airflow or maximum airflow at full cooling. Record VFD speed(Hz). Hz b. Measured outdoor airflow reading(cfm) SEE REPORT cfm cfm_ Required outdoor airflow(cfm)(from MECH-3C,Column 1,or SEE REPORT c' Mechanical Equipment Schedules). cfm cfm Time for outside air damper to stabilize after full supply airflow is achievedd. (minutes): min Step 4:VAV testing at reduced supply airflow CAV VAV a. Adjust supply airflow to either the sum of the minimum zone airflows,full heating,or 30%of the total design airflow. Record VFD speed(Hz). - Hz b. Measured outdoor airflow reading(cfm) cfm c. Required outdoor airflow(cfm)(from MECH-3C,Column 1,or mechanical equipment schedules). • cfm d. Time for outside air damper to stabilize after reduced supply airflow is achieved(minutes): min Ir Step 5:Return to initial conditions(check) (✓ ❑ C.Testing Calculations& Results Determine Percent Outside Air at full supply airflow(%OARA)for Step 3 a. %OArA=Measured outdoor airflow reading/Required outdoor airflow(Step3b/Step3c) NaN % % b. %OAFA is within 10%of design Outside Air. (%OArA<_110%) Yes ® No 0 Yes 0 No 0 c. Outside air damper position stabilizes within 5 minutes(Step 3d<5 minutes) ' Yes 0 No 0 Determine Percent Outside Air at reduced supply airflow(%OARA)for Step 4(VAV only) a. %OARA=Measured outdoor airflow reading/Required outdoor airflow reading(Step4b/Step4c) b. %OARA is within 10%of design Outside Air. (OARA<_110%) Yes 0 No 0 c. Outside air damper position stabilizes within 5 minutes(Step 4d<5 minutes) a; Yes 0 No 0 Note:The intent of this test is to ensure that 1)all air handlers provide the minimum amount of OSA and 2)VAV air handlers use dynamic controls to avoid over ventilation. D. Evaluation ❑✓ PASS:All Construction Inspection responses are complete and Testing Calculations&Results responses are positive (Y-yes) CA Building Energy Efficiency Standards-2013 Nonresidential Compliance December 2015 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A(Revised 12/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 3 of 3) Project Name: Enforcement Agency: Permit Kumer,: 11700 Goldring Rd. Arcadia,CA 0937 Project Address. City: Zip Coce. 11700 Goldring Rd. Arcadia,CA 91006 System Name or identification/Tag: System location or Arca Served: 1,2,3,4 1,2,3,4 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name:John Kwan Documentation Author Signature:John Kwan Documentation Author Company Name:J Air Balancing&Duct Testing Date Signed:March 30,2021 Address: ATT Certification Identification(If applicable): 9040 Telstar Ave.#137 06-199-01 City/State/Zip: Phone: El Monte,CA 91731 626-274-0522 HELD 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. I 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. I 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: Field Technician Signature: . John Kwan John Kwan , Field Technician Company Name:J Air Balancing&Duct Testing Position with Company(Title):Tech. ATT Certification Identification(if applicable):06-199-01 Address:9040 Telstar Ave.#137 City/State/zip:El Monte,CA 91731 Phone:626-274-0522 Date Signed:March 30,2021 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury,under the laws of the State of California: 1. I am the Field Technician,or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. I 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. I 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. I will ensure that a completed,signed copy of this Certificate of Acceptance shall be posted,or made available with the building permit(s)issued for the building,and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Acceptance Person Name:PING SUN Responsible Acceptance Person Signature:PING SUN Responsible Acceptance Person Company Name:SUN GENERAL CONSTRUCTION Position with Company(Title): Contractor Address: CSLB FOOTHILL DR CSLB License: City/State/Zip:WEST COVINA,CA 91791 [hone.626)919-6958 Date signed:March 30,2021 CA Building Energy Efficiency Standards-2013 Nonresidential Compliance December 2015 r:TATE OF CALIFORNIA CONSTANT VOLUME, SINGLE ZONE, UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A(Revised 12115) 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 3) Project Name. enforcement Agency. Permit Number: 11700 Goldring Rd. Arcadia,CA 0937 Project Address: City. 7p Code. 11700 Goldring Rd. Arcadia,CA 91006 System Name or Identification/Tag: System Location or Area SeNed: 1,2,3,4 1,2,3,4 Note: Submit one Certificate of Acceptance for each system that must Enforcement Agency Use: Checked by/Date demonstrate compliance. A. Construction Inspection 1. Supporting documentation needed to perform test includes,but not limited to: a. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual(NA7.5.2 Constant Volume,Single-zone, Unitary Air Conditioner and Heat Pumps Systems Acceptance At-A-Glance). b. 2013 Building Energy Efficiency Standards Manual. 2. Instrumentation to perform test includes,but not limited to: a. Temperature Meter b. Amp Meter 3. Installation(check if applies): Thermostat is located within the space-conditioning zone that is served by the HVAC system. 4. Programming(check all those that apply): E Thermostat meets the temperature adjustment and dead band requirements of 2013 Building Energy Efficiency Standards Manual section 120.2(b). Minimum heating setpoint: 72°F. Maximum cooling setpoint 78 _°F. Deadband: 6 °F. sE Occupied,unoccupied,and holiday schedules have been programmed per the facility's schedule. • Pre-occupancy purge has been programmed to meet the requirements of 2013 Building Energy Efficiency Standards Manual section 120.1(c)2. 1. Check method used to determine pre-occupancy purge: (1 Lesser of:conditioned floor area times ventilation rate from 2013 Building Energy Efficiency Standards TABLE 120.1-A or 15cfm per person times the expected number of occupants. R1 3 complete air changes. Notes: law CA Building Energy Efficiency Standards-2013 Nonresidential Compliance December 2015 STATE OF CALIFORNIA CONSTANT VOLUME, SINGLE ZONE, UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCI-I-03-A(Revised 12/15) 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 2 of 3) Project'Jame: Enforcement Agency Permit Number: 11700 Goldring Rd. Arcadia,CA 0937 Project Address: City: 7.p Code: 11700 Goldring Rd. Arcadia,CA 91006 System Name or Identification/fag: System Location or Area Se need: 1,2,3,4 1,2,3,4 I B. Functional Testing Requirements Operating Modes Step 1:Disable economizer control and demand-controlled ventilation(if applicable)to prevent unexpected interactions. Occupied Mode Step 2:Heating load during occupied condition Step 3:No-load during occupied condition Step 4:Cooling load during occupied condition Unoccupied Mode Step 5:No-load during unoccupied condition Step 6: Heating load during unoccupied condition Step 7: Cooling load during unoccupied condition Step 8: Manual override 8 7 6 5 4 3 2 Step 2—8:Check and verify the following for each simulation mode required a. Supply fan operates continually V V V V b. Supply fan turns off V c. Supply fan cycles on and off V ✓ d. System reverts to"occupied"mode to satisfy any condition V e. System turns off when manual override time period expires ✓ f. Gas-fired furnace,heat pump,or electric heater stages on V V g. No heating is provided by the unit V V V V h. No cooling is provided by the unit V V V V i. Compressor stages on V V j. Outside air damper is open to minimum position V V V V ✓ a{a k. Outside air damper closes completely V V Step 9:System returned to initial operating conditions after all tests have been completed: Yes Q No 0 C.Testing Results 8 7 6 5 4 3 2 Indicate if Passed(P),Failed(F),or N/A(X),fill in appropriate letter P PP pi' PP D. Evaluation �✓ I PASS:All Construction Inspection responses are complete and all applicable Testing Results responses are"Pass"(P) CA Building Energy Efficiency Standards-2013 Nonresidential Compliance December 2015 STATE OF CALIFORNIA CONSTANT VOLUME, SINGLE ZONE, UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS Vii» CEC-NRCA-MCH-03-A(Revised 12/15) 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 3) Project Name Enforcement Agency Permit Number: 11700 Goldring Rd. Arcadia,CA 0937 Project Address City: Zip Code: 11700 Goldring Rd. Arcadia,CA 91006 System Name o'Identification/fag: System Location or Area Served: 1,2,3,4 1,2,3,4 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name:John Kwan Documentation Author Signature:John Kwan Documentation Author Company Name:J Air Balancing&Duct Testing Date Signed:March 30,2021 ATT Certification Identification(If applicable):06-199-01 Address:9040 Telstar Ave.41137 City/State/Zip: Phone: El Monte,CA 91731 626-274-0522 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. I 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. I 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: Field Technician Signature: John Kwan John Kwan `t.J�3i.'''c\ ,ft.nft,�• Field Technician Company Name: Position with Company(Title): J Tech. Air Balancing&Duct Testing • 1 • Address: ATT Certification Identification(if applicable): . 9040 Telstar Ave.#137 06-199-01 City/State/zip:El Monte,CA 91731 Phone:626-274-0522 Date signed:March 30,2021 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury,under the laws of the State of California: 1. I am the Field Technician,or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. I 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. I 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. I will ensure that a completed,signed copy of this Certificate of Acceptance shall be posted,or made available with the building permit(s)issued for the building,and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Acceptance Person Name:PING SUN Responsible Acceptance Person Signature:PING SUN Responsible Acceptance Person Company Name:SUN GENERAL CONSTRUCTION Position with Company(Title):Contractor Address: CSLB License. 1332 FOOTHILL DR 1022862 City/State/tip:WEST COVINA,CA 91791 Phone:626)919 6958 Date Signed:March 30,2021 CA Building Energy Efficiency Standards-2013 Nonresidential Compliance December 2015 STATE OF CALIFORNIA AIR DISTRIBUTION DUCT LEAKAGE CEC-NRCA-MCI+04-A(Revised 05!15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-04-A AIR DISTRIBUTION DUCT LEAKAGE (Page 1 of 3) 14110" Project Name: Enforcement Agency: Permit Number. 11700 Goldring Rd. Arcadia, CA 0937 ProyectAddress:11700 Goldring Rd. °ty:Arcadia, CA Z1pCo0e91006 Note: Submit one Certificate of Acceptance for each system that Enforcement Agency Use: Checked by/Date must demonstrate compliance. HERS verification required. This form used for duct pressure test and to certify low leakage air handlers. Fill out the System Information in section A then determine if this is a New Duct System(fill out Section B),an Altered Space Conditioning System and/or Altered Duct System(fill out Section C),or if the compliance software requires Low Leakage Air-Handling Unit Verification(fill out Section E) A. System Information 01 HVAC System Identification or Name: 1,2,3,4 02 HVAC System Location or Area Served: 1,2,3,4, 03 Was Low Leakage Air-handling Unit Credit taken on MCH-01? NO ❑Yes/❑No 04 Duct System Construction Type: CENTRAL/CAV 05 Condenser Nominal Cooling Capacity(ton) 4,4,3,3,TONS 06 Heating Capacity(kBtu/h) 4,4,3,3,TONS B. Duct Leakage Diagnostic Test-New Duct System A New Duct System is when at least 75 percent of the duct system is new duct material,and up to 25 percent may consist of reused parts from the dwelling unit's existing duct system(e.g.,registers,grilles, boots,air handler,coil,plenums,duct material) 01 Air-Handler Airflow Determination Method (Tons or BTU) 5,5,5,5,TONS Calculated Target Allowable Duct Leakage Rate(cfm) a) For an air conditioner or heat pump use 400 cfm per rated ton of cooling capacity of outdoor 120,120, 120,120 02 condenser or package unit. Calculation= (0.06 x 400 x Tons )= cfm b) For heating-only system furnaces shall be based on 21.7 cfm per kBtu/hr of rated heating output capacity.Calculation=(0.06 x 21.7 x kBtu)/hr )= cfm 03 Actual duct leakage rate from leakage test measurement(cfm) 103,112, 98,90 04 Compliance statement: PASS Pass-Pass if B3 is less than or equal to B2. C. Duct Leakage Diagnostic Test-Altered Space Conditioning System and/or Altered Duct System Altered Space Conditioning System—is an HVAC changeout or when the air handler,condensing unit of a split system,our cooling coil or any amount of ducting added to an existing system but less than a new duct system. 01 Air-Handler Airflow Determination Method (Tons or BTU) Calculated Target Allowable Duct Leakage(cfm) a) For an air conditioner or heat pump use 400 cfm per rated ton of cooling capacity of outdoor 02 condenser or a package unit. Calculation= (0.15 x 400 x Tons )= cfm b) For heating-only system furnaces shall be based on 21.7 cfm per kBtu/hr of rated heating output capacity.Calculation=(0.15 x 21.7 x kBtu/hr )= cfm 03 Actual duct leakage rate from leakage test measurement(cfm) 04 Compliance statement: Pass-Pass if C3 is less than or equal to C2,or Fail but passed with Smoke—If unable to pass the leakage test a smoke test is allowed to confirm that all accessible leaks have been sealed. Enter actual leakage rate before moving to smoke. Fill out D Smoke Test below. CA Building Energy Efficiency Standards-2013 Nonresidential Compliance May 2015 STATE OF CALIFORNIA AIR DISTRIBUTION DUCT LEAKAGE CEC-NRCA-MCH-04-A(Revised 05/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-04-A AIR DISTRIBUTION DUCT LEAKAGE (Page 2 of 3) lir °rojc""d're.11700 Goldring Rd. EnwrcemeMngenn:Arcadia, CA Permit Number 0937 P`°'e"Address:11700 Goldring Rd. a"`Arcadia, CA Zip Co ec91006 D.Smoke Test Inject smoke into a fan pressurization device that is maintaining a duct pressure difference of 25 Pa(0.1 inches water)relative 01 to the duct surroundings,with all grilles and registers in the duct system sealed. 02 Compliance statement: N/A Pass System passes if no smoke emanates from all accessible portions of the HVAC system including the package unit,furnace,ducts, plenums,wyes,tees. This includes the air handler refrigerant line,door panels,and curb. Accessible includes having access thereto, but which first may require removal or opening of access panels,doors,or similar obstructions including moving insulation. Requires 100%testing by HERS rater. No sampling allowed. 03 I Final Duct Leakage(CFM) N/A E. Low Leakage Air-Handling Unit(LLAHU) 01 Installed Air-Handling Unit Manufacturer Name N/A 02 Installed Air-Handling Unit Model Number N/A The installed Low Leakage Air-handling Unit Model is listed here 03 N/A http://www.energv.ca.gov/title24/equipment cert/Ilahu/low leakage air handling units.pdf 04 Compliance statement: Pass if Manufacturer Name,Model Number of installed equipment is listed with the Energy Commission F.Additional Requirements for Compliance 01 System was tested in its normal operation condition. (No temporary taping except for the damper used for outside air) 02 Building cavities for new ducting were not used as plenums or platform returns in lieu of ducts. 03 If cloth backed tape was used it was covered with Mastic and draw bands. 04 All connection points between the air handler and the supply and return plenums are completely sealed including at the curb. Temporary Taping over registers to perform duct leakage test. 05 When registers are installed in drywall tape covers register and drywall. For t-bar mounted registers taping of register can occur to the register or to the t-bar. By signing this document I certify that all the above applicable requirements have been met. CA Building Energy Efficiency Standards-2013 Nonresidential Compliance May 2015 STATE OF CALIFORNIA AIR DISTRIBUTION DUCT LEAKAGE CEC-NRCA-MCH-04-A(Revised 05/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-04-A AIR DISTRIBUTION DUCT LEAKAGE (Page 3 of 3) ~ °`°,etcName:11700 Goldring Rd. Enforcement Agency:Arcadia, CA PermitNim�r0937 ProjectAddress:11700 Goldring Rd. CityArcadia, CA /*CO*:91006 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name:John Kwan Documentation Author Signature:John Kwan Documentation Author Company Name:J Air Balancing&Duct Testing Date Signed:March 30,2021 Addfeu'9040 Telstar Ave.#137 CEA/HERS/ATT Certification Identification(IfapDlicabie)•0cV- 199-01 cm,/state/aP EI Monte, CA 91731 °hnne:626-274-0522 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. I 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. I 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: Field Technician Signature: John KwanJohn Kwan Field Technician Company Name: Position with Company(Tick).Trt • ! Il1 J Air Balancing& Duct Testing ( 'Tech. Address: ATT Certification Identification(if applicable): `v 9040 Telstar Ave.#137 06-199-01 crcy/state/zip:El Monte,CA 91731 Phone:626-274-0522 DateSigned:March 30,2021 RESPONSIBLE PERSON'S DECLARATION STATEMENT U I certify the following under penalty of perjury,under the laws of the State of California: 1. I am the Field Technician,or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. I 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. I 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. S. I 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. I will ensure that a completed,signed copy of this Certificate of Acceptance shall be posted,or made available with the building permit(s) issued for the building,and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Acceptance Person Name:PING SUN Responsible Acceptance Person Signature:PING SUN Responsible Acceptance Person Company Name:SUN l�GENERAL CONST. Position with Company(7itle):COntractor Address:1332 FOOTHILL DR GENERAL `SLB License:1022862 V pity/state/Zi°WEST COVINA, CA 91791 Phone:626)919-6958 DateSigned:March 30, 2021 CA Building Energy Efficiency Standards-2013 Nonresidential Compliance May 2015 116 ABBREVIATIONS, DEH['41TLONS,SYMBOLS&CONVERSIONS Pound or unit number ABS Absolute AC Air-Coniiuoncr;ar Ar Handing UM! ACCU: Air-Cooled Conoeastng Unit ACC,IH American Conference.of Govern/at:mai Hygi rusis ACT. Actual ADP: Apparatus Dew Point AEE: Association of Energy Engineers AFE: Association for Facility Engineering AHG' Air Handling Unit AK: Free Area Fn,:tor ALT Altitude AMB: Ambient AMP: Ampere ANSI: Amer..can National Standards Institute A-Scale or DNA):A filtering system which roughly matches the response i:ti2tccteristres of the human ear ASFERAE: Antencan Society of Heaung,Air Cond:[:tonin;and Refrigeration Engineers ASTM: American Society to Testing and Materials ATM': Atmosphere AVG: Average AZ: Azimuth B' Boiler BHP: Brake Horsepower BP; Boiling Point BSC: Building Systems Commissioning BTU: British Thermal Unit BT'UH: British Thermal Unit net Hour C to C: Center to Center C: Celsius CAV: Constant Air Volume CC: Cooling Coil CCW: Counter-Clocicwtse CD: Ceiling Diffrsuer CEG: Ceiling Exhaust Grin CER: Ceiling Exhaust Register CFM: Cubic Feet per Minute CH: Chiller CHW or CHWS: gulled Water Supple CHWR: Chiller Water Return CMD: Count Mean Diaraetet CP: Specific Heat Water= L0 ETU/lb per 7,air:-0.24 BTU'lb per*I: CPT: Capacity Per om<uice'resting(Building Comnusstonrngi CL C:eil ng Register CRR: Ceiling Return Register CT: Cooling Tower CU: Condensing Unit CUH: Cabinet Unit Heater CV: Specific Hear at Constant Volume CV: Valve Constant CW or CWS: Condenser Water Supply CW: Chilled Water CWR: Condenser Water Ream DAT: Discharge Air Temperature DB: Dry Bulb Db: Decibel DC: Direct Current DD: Direct Drive Delta(A)'. Difference or Ne..Change Wir DLA: Diameter Data No:Littc',i DOP: Dioctyl Phthalate.an ueros:i generate[)by Mowing air through Liquid!)toctyi Phthalate i.rreui particle diameter:5 between 0.2 and 0A micron) Differential Piessure or Pressure Drop.net co,utge ir.!'rIssure DPT: Dew Point Temperature DSTD Standard Air Det icy.igna,s 0.075{t;Cu. 29 92 t^.Fig • ABBREVIATIONS,DEFINITIONS. SYMBOLS&CON VERSIONS Differential Temperave.net chanee E.S.D. :ectf.as,aar::)ts;:harge PAT: Enteritg Art EC: Evaporau COOrer• Econonuaer. Allows art handier to:twat:cool outsioe an I:,rtxUrni as opposed ruruung the compressor for the t:OoLtig effect EDC. Electric Duct Cot! EDH. . Electric Duct Heater EER: Energy Efficiency Ratio ' GE or E. Exhaust Fan EFF: Efficiency EG: Exhaust Grill E.MCS: Energy Management Control System EMF: Electromotive Force ENT: Entering Air•remperarure EP: Electro Pneumatic Switches ER: Exhaust Register ESP: External Static Pressure • EWT: Entering Water Temperature F to F: Face to Face FAF Forced Air Dan Ecu. Fan Coil Um FDA: Food and Drug AdministraUon FG: Floor Grille FH: Flow Hcod(rAeasuret CVM directly so PPM and AK Factors drtmg.required) FIV: Field Installation Verification(Building Commissioning': FLA: Full Load Amperage Freenog Point • 46, FPB: Fan Powered Box Feet per Minute FPS: Feet per Second EF'T: Functional Performance Testing(Building Corninissiorting) FR: Floor Register ETU: Fan Terminal Unit G or g. Gravitauonal Constant GA Gauge GC General Contractor GPH Gallons Per Hour GPM Gallons per Minute CR: Grain,measurement cf actual moisture in an air sample.7000 gr4L'IS .arte pound of water GSP: Geomeuic Standard Deviation H: Enthalpy H20: Water HC: Heating Coil • HD: Head Pressure measaied in feet of water • Heater 01- Thermal Overload protection for motors located a:the moo:s:ane: HEPA Filter High Efficiency Particulate Air Filter Hg: Mercury HOA Hand/Off/Amu Switct-,, HP: Horse Power or Hear Pump HPS: High Pressure Steam HRC: Heat Recovery Coil or Heat Reclaim Coil HV: Heating Ventilator HVAC: Heating.Ventilation It Air Conditioning HW or HTHW Hot Water or High Temperature Hot Water HWR: Hot Water Return or Heating Water Return HWS Hot Water Supply or Heating Water Supply HX Heat Exchanger Hydronic: Pertaining to water&glycol I inhibitor thermal transfer systems Hz. Hertz I/O: Inside Diameter Input!Output ID: Impeller Diameter(pump) Inslitute of Emrorunentru Sciences IV: Inlet Valve K: Kelvin(absolute temp.:Laura Kekin=5i9 i-taaki(le ABBREVIATIONS, DEFINITIt.)NS,SYMBOLS &CONVERSIONS LAT leaving Air LD: Linear Diffuser LF: Linear Foot LPS: Low Pressure tircam LPS: Liters pet Second • LTD: Least Temp.Difference LTHW: Low Temp Hot Water LVG: Leaving Air Temperature LWG: Low Wall Grille LWR: Low Wall Register LWT: Leaving Water Temperature MAU or MOA: Make-Up Air Unit or Make-Up Air MAX: Maximum MB: Mixing Box MBH: 1000 BTU per Hour NfET:. Mean Effective Temp Micron: 1.0 x 10-6 metes Mil 2.54 x 10.5 teeter M1N7. Minimum MMD: Mass Mean Diameter MTD. Mean Temp Difference MVD: Manual volume Darr L>;•i M2: Multizone N.A: Not applicable:No Aciess NASA: National Aerc:uuuucs and Space Adcsnis;ra; ,: NC: Noise Criteria or Normally Closed NEBB: National Environmental Balancing Bureau MC: Not in Contract NM: Not measured NO: Normally Open Iv7'FC: Naval Publications and Forms Center NPSHA: Net Positive Suction Head Available NS: Not specified NSF: National Sanitation Foundation NITS: National Technical Information Service NTS: Not to Scale NVL No Valid Location O.B.: Octave Band,a range al frequency where the highest frequency of tae band is double the Lowest frequency of ine band The band is usuull' specified by the center frequency. The ptefe:led xt.s e bands are f esisnated by the fcriktwing center Irequenc:es..31.5,63.125.2.50.500. 1000.2000,4000.80a . 15003. G.D.: Outside Diameter OAT. Outside Air Temperatar•: "F: Degrees Fahrutiweit OPT: Operational Perfcnnai ee Testing t Building Commissioning) OSA or OA: Outside Air P.E. Professional Engineer • P: Power Pa: Pascal,I Pascal-6.$94 x 103 psi PCT: Percent I'D: Pressure Drop • PE: Pneumatic Electric Switch PF: Power Factor PH: Plisse PHC: PreHeat Coil PNC: Preferred Noise Criterion Curves PPM: Pans per Million PSI: Pounds per Square Inch PSLA: Pounds per Square teach Absolute PSIG: Pounds per Square Inch Gauge PSL: Polystyrene Latex Spheres,used to generate as:ierosol challenge medium wnete electrneiv 3 semi-conductor pr ocucts arc manufactured. P.: Rankine(absolute temperature Rankine= 1 r fieri R: Thermal Resistance • 4110 ABBREVIATIONS, DET~INITIONS,SYM L OL.S,a CONVERSIONS RA. Return Air a RAT Return Air Tela or -re -r e R C Room Criterion Curves REQ. Required R}. Return Air Fan RH' Relative Humidity RliC; Reheat Coil RPM: Revolutions per Minute RTC. Roof Top Unit 5: Entropy SA: Supply Air S.A.R.: Supply Air Register • SAT.: Supply Air Temperature S.A.r.: Saturation SD: Smoke Detector or Smoke Damper SEER. Season Energy Efficient Ratio SEF Smoke Exhaust Fan SF(Motor:, Factor by which,:ecus}amps car:exrec l ri te,:su:i,:e .1W.!..n me sxprn,se of expected ffesrpurt SF Supply Fan SHC Steam Heating Csi: SMACr"A. Sheet Metal and Air Conditioning Ccntractcrs Nationi Anociation Si'VOL.: Specific Volume $l' Set Point or Static.Pressure SPF: Stairwell Pressurization Fan SQ: Square SID: Standard SWG: Sidewall Grille 41111110 SWR Sidewall Register SWR Side Wall Return SWS: Side Wall Supply T STAT: Thermostat T.A•B.: Testing,Adjusting and Balancing TD: Temperature Difference TDH". Total Dynamic Head or Total Dead Head(pressure differential when flow equals zero) Throw Distance an airstream travels after leaving an air outlet before the air stream velocity is reduced to approximately 50 fpn., Ton(AirCond.): Equals 1200E BTU per hour TIN:Motor): Thermally Protected(opens motor cirrrrtr if rated ames are exceeded) TP. Traverse Fonts.lest Point or Total Pressure TSP: Total Static Pressure UH: Unit Heater ULPA Filter. Ultra Low Penetration Air Filter UV: Unit Ventilator V: Volt or Voltage VA:' Volt Ampere VAC: Vacuum VAV. Variable Air Volume VD: Volume Damper • VFD. Variable Frequency Drive(automatic motor speed controller) VP: Velocity Pressure W: Watts WB: Wet Bulb WG: Water Gauge WT: Weight WIR" Water Z: Zone Zoning: The practice of dividing a budding into smL sections for heating and cooling control,selected se that one thermostat can he used:::deterin:!! each sections heating&cooling requirements ' . • • - 1--- --1. '• .:,... /. • ••- 1 -;•... . - i-s.. o'Nev, ^ c•-•-••- . \\I 1 . . :..-.*- - . 1 • 1• - 4., -› ‘- ir r •„ ,, ..:-.1. ' 7.> ‹.`,.1. - ........„ ..,.....:_.. , , .............,; • ,4 • A .. _ Vit...., --. • .- ‘,. ir......, f „.....s., - 4..,-0,""9 7 .. • ..e - ..t, -• . • :- , . - • . 1 y ... - ! •— ..e) . .., ‘C.11 •.... v ..... ....;\.iipai. _•_,-,..--....---,. - -1,—/ I", .. _ :(... i.1(..:.." - , . • . • • '-71 k 6 .... J..) _ , .... , . . 1,„11 .07, IiivE, 4 z_ ...;•• ' ---/ i-,'? ,-•• • .. : "Z. (-- 1 - .7•• 7-: rk... ,.. I 2: . ..r .r• i s.\--1 . . .. 11 •— ... --!:: -.4f-C ,, • C 4-, ‘•••• ,=.._-.. . !...., .------.) -..• ___ , ._ -,..-1 ...) ,•-•, - •._ f( / ...., .4 ii .,-......e• i..=-_.---• ,...- -. ,- •.-i. 1....., 1 eZ1,d, 01 • ,.., .... 7.Za,.....--1 :-...... 7...., -0 ..., ...-. — vs /s..."-----,(.. .:.) N ,-- .- ....., 0., ,.... ...1...... -rs „.., (3) .. -* a i L') L4)--- - IIIIIIII d •'.--. k, ..,:=. 40,.. ,-----, /=_-. (12 113X , -'--- E's'n 4••-•(13 ki/' — -0 _.,...: e-• ,...,-..... ._. fc - t,...) ... 1 t ‘ i , t•-• 4.... )\ .1 . '7 ci el• ... . .e.3 l...; :"."- r: rd .. e"-- 0 • -,,-- .= :.--LI:=• 7, '''' - - 1 1 ,,›,-, =-..... :g ......, . , • _ _ .., 4. 1....N...... C '''.: 7. L.) • .... •I ,s7r• .---• ) __„__, (...._,...•,.e, c ,. ....--••• • ,.. ,.., ....: ,-_,_. .., ..,-• ..... 4... r - - :". .. ,_ .-1-.-.. >. _.....„ ...... - - ) - ';'-- < - ,-G. • ..- )87<...)...,‘ • -"c-5(. _ :( ,,.-.. > ''''. • - Li 4 ...i.,• ,,,.,... ..___,. .. ......: ,.../". t... va ...... -1:-_ e:- - ''' ,-, ....‘ „ ,..-.... d ! .voite .'...#‘" • .41 • 0.• - 4 . ss.,-. • -r- 0 I.,,c .-2, Lig •%„,,..• • ------ -7/ \-- ...,'•• ;uf: ,6 -_-_- . E;6 •• "....t.) ;1 0 ' .. ___, rl•-, -. r• c -..) .„,,. • . • r.. z-fetv If,- rj • r'cl .-_—• ,•• r — i-.;• - .-...,..... ........ , . . .' I i•.....".. ...." --',... , .....3w,..,- --7 •.• 7 --. - :2 75- . . - ::" . ';.rp• ..:. . .. , . .;,...:,-., -. . v ; • \i, I ....,b16›. • 4.0, A A . it.> <fgagdO, A .,.. --. % . -.".•---friA ..-.. .„. ...... i, ... ,..., ,.... ..,„,....1_,-. .,,, . vt - i i ._. v. 7-- •., _.4--, < ,...' •--- P L..,. .._., •,• . rl‘,..... .. :..L...A ; '. •s... -1, . - 1-•' . „ ''',..-:--, • --.,":1 . . • RAY YOUNG ELECTRIC CORP. 1903 MERCED AVE. SOUTH EL MONTE, CA 91733 TEL: 626-712-3032 FAX: 626-454-3383 LIC. C-10 #570197 Date: April 15, 2021 Project Address : 11700 Goldring Rd. Arcadia, CA 91006 Re: Certificate of Electrical Contractor Performance To whom it may concern : This letter is to certify that I, Gelacio Vazquez, working under Ray Young Electric Corp. for the project address: 11700 Goldring Rd. have torques the new panel, main breaker for all terminate at 250 in-lbs. according to written manufactured specifications. Sincerely, Adr Gelacio Vazquez INSPECTOR'S DAILY REPORT OF COMPACTED FILL J Name r Job Location Job N Page of (V d yf� _ I t�7OC GOtCll(( — )l l� ( 04 GradingContractor Date ,p a�pp of Week General C tractor I /J I( -3o`2c .IIVVI�IVC , Email&Phone No. Contractor's Supt of Foreman&Signature Field Tech Hours on Site ---- - =z a3C tetA Sour and Descriptions of Fill Materials Equipment Used - 1-3 1(_)dokA_ - ( c 14 -Th—CS 46 ?L-1S-----e 4 Ric anC ' ( Elevation Fill' Tet Dry %of Max Test Testor Soil Moisture Density Dry Remark No. Location Depth Type % lbs/cu.ft Density 12--(66tV RttiVIVT s- t-- c a , 1 [ 7 ,4 mac. .3 )(-2 U( (( (� 8 ,G t -Z9 C) c�A0 i( ll �,R 7 2-2-11 .0 )/N-1.-464---- 23 oC a4° __------7S t�- . / CSS c1 V r 4(.. -�6- ( ; /C-Y\ 35 ( 5- I -61 . • Ut6 (tqatt/C- 9C)/ -------------- \(\:16? -(kt, o• Gb,S act (V Remarks: _ - ...i A I I / hi likSketch ", - b fa-8 4-' ---- '44. 47-- 41 - Copy to Client( ) Copy to QCI( ) CAL L ►ND ENGINEERING,INC„_, Company Policy:Three(3)hours minimum charge(including travel time) Quartech Consultants,Inc.by —"7 ��l�.r ---.7.------- INSPECTOR'S DAILY REPORT OF COMPACTED FILL Job Name Job Location Job No. Page of Ntri nr'C�ki)[�---(---- , ,--„, G nw ,((•. y( 11,,C , :.�General Contractor Grading Contractor ! Date Day of Week Email&Phone No. Contractor's Supt of Foreman&Signature Field Tech __.__.Hours on Site I ,------'� L From B't'X,Ro Soyra and Descriptions of Fill Materials Equipment Used ,,....:),‘ ' Pllt (AAA CO\CPL61.7 -'---;ir-t-7.(1 .....xdAd 1-29„.- ix,- 71.-civaih __ . Test Test Elevation Soil Fill— Test Dry %of Max No. Location or Type Moisture Density Dry Remark Depth % lbs/cu.ft Density Ifl.( L 7a 1204, s- q1 -- _-_3 -43 s tXlvt) Lk- (, (1 q 0 v 21 ,- v lO-9 /4-- ll 11 (i a J 12-2. l I2.� 7(- (( 1t (1 i 1 121.7 9202 -✓ l c t''..`iM._As L , 'km. 1.4ri ci"Q .-------- Co c 1(J 5 _ �v( t�.S , cam. 2 ��e Remarks:— ..se it 4' ___. P . I V r Sketch 1 ; 1 n 1 ') JC=.„„,„,,,=„z„„:„..,,...._. N Copy to Client( ) Copy to QCI( ) CAL LAND ENGINEERING, INC. Company Policy:Three(3)hours minimum charge(including travel time) �� Quartech Consultants, Inc. by: ,.\ INSPECTOR'S DAILY REPORT OF COMPACTED FILL Job Name \ Job Location 1 D Job No. Page of �. r f 117� > -"� �� t Atucct fix CP �� ( r } General Contractor ) Grading Contractor / Date Day of Week \ i 2 . A(1,,‘ Email&Phone No. Contractor's Supt of Foreman&Signature Field Tech Hours on Site 4/re/� i- G �- From Source and Descriptions of Fill Materials Equipment Used Elevation Soil Fill Test Dry I %of Max Test Test or Moisture Density Dry Remark No. Location Depth Type % lbs/cu.ft Density --A '- r #.- 4-..5ciO4-::::)t7L‘J',-.:viA.:--a+-,-) -C C'L 03CV:"4:::$1' C. `' -/ — -- i .'r drw.-ta , C t c n4.__ i i l >cc uJ _ 4U , Vs a(Z._ :2,2 vkC yr.s cks (,kes s 1 I I (-\,-,2./E_, DA • Pic„ S(, . �cka `,/t�- y - J Remarks: I f __ _. - - Sketch e i ........ IS 5,<- 4.......; Li 6 ....-0 C -r ' U ' '''''''=1111110 .' \ i ray= ���, ...IMP �"'`---_� Copy to Client( ) Copy to QCI( ) CAL LAND ENGINEERING, INC. J Company Policy:Three(3)hours minimum charge(including travel time) Quartech Consultants, Inc. by: �Ta-