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Title 24 Energy <br />Compliance-Bldg A 06-02-2023 FIFTH PLAN CHECK SUBMITTALProject Name:4th and Mortimer - Building A NRCC-PRF-01-E Page 26 of 26 <br />Project Address:415 & 515 E. 4th St Santa Ana 92701 Calculation Date/Time:23:01, Wed, Jun 21, 2023 <br />Input File Name:4th and Mortimer-Bldg.A_Epro8.3_2023-06-21.cibd19x <br />CA Building Energy Efficiency Standards- 2019 Nonresidential Compliance Report Version: NRCC-PRF-01-E-12092021-6844 Report Generated at: 2023-06-21 23:12:05 <br />DOCUMENTATION AUTHOR'S DECLARATION STATEMENT <br />I certify that this Certificate of Compliance documentation is accurate and complete. <br />Documentation Author Name: <br />Signature: <br />Company: VCA Green <br />Address:Signature Date: 2023-06-21 <br />City/State/Zip:CEA/ HERS Certification Identification (if applicable): <br />Phone: <br />  <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 />  <br />Responsible Envelope Designer Name: <br />Signature: <br />Company: <br />Address:Date Signed: <br />City/State/Zip: <br />Phone:Title:License #: <br />  <br />Responsible Lighting Designer Name: <br />Signature: <br />Company: <br />Address:Date Signed: <br />City/State/Zip: <br />Phone:Title:License #: <br />  <br />Responsible Mechanical Designer Name: - specify - <br />Signature: <br />Company: <br />Address:Date Signed: <br />City/State/Zip: <br />Phone:Title:License #: <br />Anthony Moreno <br />1845 W. Orangewood Ave., Ste 310 <br />Orange, CA 92868 <br />(714) 363-4700 <br />TAD Consulting, Inc. <br />1401 N. Batavia Ave., Ste. 103 <br />Orange, CA 92867 <br />714-538-3802 <br />6/22/23 <br />Mechanical EoR M34354 <br />Henry Cao <br />Wilbur Wong <br />KTGY Group, Inc. <br />17911 Von Karman, #200 <br />Irvine, CA 92614 <br />949-851-2133 <br />June 22, 2023 <br />Principal C29795