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STATE OF CALIFORNIA <br />Sign Lighting CALIFORNIA ENERGY COMMISSION <br />CERTIFICATE OF COMPLIANCE NRCC-LTS-E <br />Project Name: AltaMed Sunflower Dental Report Page: (Page 4 of 4) <br />Project Address: Date Prepared: 2025-01-14T20:59:54-05:00 <br />Generated Date/Time:Documentation Software: Energy Code Ace <br />CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 <br />Schema Version: rev 20220101 <br />Compliance ID: 256742-0125-0002 <br />Report Generated: 2025-01-14 17:59:56 <br />DOCUMENTATION AUTHOR'S DECLARATION STATEMENT <br />I certify that this Certificate of Compliance documentation is accurate and complete. <br />Documentation Author Name: <br />Ullrich Hepperlin <br />Documentation Author Signature: <br />Company:Signature Date: <br />Address:CEA/ HERS Certification Identification (if applicable): <br />City/State/Zip:Phone: <br />RESPONSIBLE PERSON'S DECLARATION STATEMENT <br />I certify the following under penalty of perjury, under the laws of the State of California: <br />1. The information provided on this Certificate of Compliance is true and correct. <br />2. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer) <br />3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements <br />of Title 24, Part 1 and Part 6 of the California Code of Regulations. <br />4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, <br />plans and specifications submitted to the enforcement agency for approval with this building permit application. <br />5. I will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable <br />inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. <br />Responsible Designer Name: <br />Ullrich Hepperlin <br />Responsible Designer Signature: <br />Company:Date Signed: <br />Address:License: <br />City/State/Zip:Phone: <br />3601 W. Sunflower Ave, Santa Ana, CA 92704 <br />Sign Imaging <br />Sign Imaging <br />10140 E. Artesia Place <br />Bellflower, CA 90706 <br />10140 E. Artesia Place <br />Bellflower, CA 90706 <br />1/14/2025 <br />1/14/2025 <br />961009 <br />562.866.9600 <br />562.866.9600