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ROY ASSOCIATES
<br /> CONSULTING ENGINEERS
<br /> 39510 PASEO PADRE PKWY,
<br /> SUITE 250
<br /> FREMONT, CALIFORNIA 94538
<br /> STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA —8091
<br /> INDOOR LIGHTING INDOOR LIGHTING INDOOR LIGHTING Tel.: (510) 794
<br /> CE!�-NK r,-LTI-0 I-E(Reyised 04/16) CALIFORNIA ENERGY COMMI�3310N r-EC-NRCC LTI-01-E�Revisej 04/16) :�ALIFORNIAENEFaYCONIMISSION ON Is
<br /> CEC-NRCC�LTI-131-E(Revised 04116� CAUFORNIA ENEf�OY COMM S�I —7250
<br /> Fax: (510) 794
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E CERTIFICATE OF COMPLIANCENRCC-LTI-01-E CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Email: roy@royassociates.com
<br /> Indoor Lighting(Page 5 of 6)
<br /> Indoor Lighting (Page 3 of 6) Indoor Lighting (Page 1 of 6)
<br /> —1-11-at E! This drawing embodles ideas,designs,
<br /> Project Name: Black Bear Diner Date Prepared; 7/212019 Pmjnt Name: Black Beer Diner Date Prepared' 712/2019 Black Bear Diner Prepared,
<br /> 712J2019 ej arrangements, plans.and spacificotbris that or*
<br /> property to Roy Associates and which were
<br /> designed, created,evolved and developed for use
<br /> A Separate Lighting Schedule Must Be Filled Out or Conditioned and Unconditioned Spores.installed Lighting Power on this Lighting Schedule is onlyfor., A.Gen era I I nformati an -'*In connection with the specified project for
<br /> Roy Asecd use
<br /> only. No transfer of any dgMs
<br /> them to be Intended or aRected by delkwy
<br /> 0 CONDITIONED SPACE 0 UNCONDITIONED SPACE E. Declaration OfRequired Certifirates ofAcceptance Climate Zone: Conditioned FloorArea: 5,643 hereof,And except upon written permission of Roy
<br /> Associates this drawing is not to be disclosed to
<br /> Declare by selecting yes for all ofthe Certificates that will be submitted.(Retain copies and verify forms are completed and signed.) 12 Unconditioned ricroi-Area: 0 u others,reproduced or copied In whole or In part
<br /> or used in the fabriedfion,permitilin and
<br /> H.Indoor Lighting Schedule and Field Inspection Energy Checklist YES NO Compliance Document/fltle construction of building(s),structures,fourdatiom,
<br /> design guWlnee, or any portions thereof for
<br /> BultdingType: Q Nonresidential 0 High-Rise Residential IJ Hotel/Motel
<br /> Luminaire Schedule Installed Watts Location Field Inspectar'tother than Roy Associates specific use alone.
<br /> V) 0 NRCA-LTI-02-A- Must be su bmitted for occupancy sensors and automatic time switch controls. 0 Field inspector 11 schools 0 Relocatable Public Schools 0 Conditioned Spaces 0 Unconditioned Spaces drawings and use of can be revolted at any
<br /> 01. 02 03 04 05 06 07 09 iI time by Roy Assclelat" Including removal from
<br /> EO
<br /> How wattage was NRCA-LTI-03-A- Must be su larnitted for auautomatic daylight cont roPhase of Construction-. 13 New Construction
<br /> ion El Addition Alteration
<br /> ls� 0 Field Inspector Building and Planning Department upon demand
<br /> WNW cam.
<br /> determined Method of Compliance: 11 Complete Building (A Area Category 0 Tailored
<br /> M ❑LA El NRCA-LTI-04-A- Must be submitted for demand responsive lighting controls. ❑13Fieid Inspector copyright Roy Associates
<br /> Complete Luminaire Description
<br /> Name or CL
<br /> E - 0 Q z T Primary Function area in which Field Inspector
<br /> Address:2347 W. Kettileman Avenue
<br /> ]tern Tag
<br /> (i.e,3 lamp fluorescent troffer, C ❑
<br /> o 2 E — — C X these luminaires are installed Pass Fall ❑ NKCA-LTI-05-A— Must he submitted for institutional tuning power adjustment factor(PAF).
<br /> F32T8, one dimmable electronic ballast) E o If
<br /> W Ld' B. Lighting Compliance Documents(select yes for each document included)
<br /> ASeparate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spores.installed Lighting Power fisted on this Lighting Schedule is only for.-
<br /> 1:1 CONDITIONED SPACE 0 UNCONDITIONED SPACE For detaded Instructfons ori the v.5e ofthis naid a�lErierqyEffidenryStandnrds compfloace documents,refer to the by the Cu�ifornky Energy Comm[ssfun-
<br /> Al (3) 4 ft Fluorescent T8 Elec 94.0 El Ll 10 940 Comp Bldg Restaurant 11 El YESNo COMP. IDOC. TITLE
<br /> A2 (2) 4 ft Fluorescent T8 Elec 62.0 El [3 1 62 Camp Bldg Restaurant 13 El
<br /> A3 (2) 4 ft Fluorescent T$ Elec 62.0 El El 1 62 Comp Bldg Restaurant 11 Ej
<br /> F.indoor Lighting Schedule and Field inspection Energy Checklist 0 NRCC-LTI-01-E Certificate of Compliance. All Pages required on plans for all submittals. ii
<br /> --
<br /> A4 (3) 4 ft Fluorescent T8 Elec 94.02 pages includes all installed permanent and planned portable lighting 0The actual indoor lighting power listed an the nee 0 ARCC-LTI-02-E Lighting Controls,Certificate of Compliance,and PAF Calculation.All Pages required on plansfor all submittals.
<br /> El [1 2 188 Comp Bldg Restaurant 0 El
<br /> B (1) 13w Compact Fluorescent Twin 2 Pin 13.0 FO El 68 884 Comp Bldg Restaurant 0 1:1 0 When Complete Building Method is used for compliance,list each different type of luminaire on separate lines. 0 NIRCC-LTI-03-P Indoor Lighting['lower Allowance
<br /> El When Area Category Method orTailored Method is used torcompliance, list each differenttype of luminaire byeach different function on separate lines
<br /> B1 (1) 13w Compact Fluorescent Twin 2 Pin 13.0 R2 [3 43 559 Comp Bldg Restaurant 1:1 1:1 ❑ 0 NRCC-LTI-04-E Tailored Method Worksheets
<br /> —0 11 ❑ 0 E]Also include track lighting in schedule,and submit the track lighting compliance document(NRCC-LTI-05-E) when line-voltage track lighting is installed. NRCC-LTI-05-E Line JoltageTrack Lighting Worksheets
<br /> 13 [3 El ❑
<br /> NRCC-LTI-06-E Indoor Lighting Existing Conditions
<br /> INSTALLED WATTS PAGE TOTAL: 2,695 Enter sum total of all pages into
<br /> NRCC-LTI-01-E; Page 2
<br /> N
<br /> li
<br /> PC
<br /> W
<br /> ME
<br /> CA Building Energy Efficiency Standards-2016 Nonresidential Compliance April 2011.13 CA 3ullding Ener[ry Efficiency Standards-2016 Nonresidential Compliance April 201G CA Building Energy Efficient Standards-201.6,Nonresidential Compliance April 2016 it
<br /> 41XA �
<br /> STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALEFURNIA
<br /> L-4 gh
<br /> INDOOR LIGHTING INDOOR LIGHTING F INDOOR LIGHTING
<br /> CEC-NRC C-LTI-0 1-E.(Revised 041 161 CALIFORNIA ENERGY COMM I S,31ON (21EC-NRCGLTI-01-E(Revised 041113) CALIFORNIA ENE[RCY COMM135 CEC-NRCGLTI-01-E(Revised 04/16) CALIFORNIA ENERGY COMMISSION
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTI-01-F CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E
<br /> CE RTI Fill E OF COMPLIANCE NRCC-LTI-01-E
<br /> indoor Lighting (Page 6 of 51 Indoor Lighting (Page 4 of 6) Indoor Lighting (Page 2 of 6)
<br /> Praject Name Black Bear Diner Date Preparvd 1 71212019 Project Name: Black Bear Diner Date Prepared: 71M019 Project Name: Black Bear Diner Date Prepared: 7/212019
<br /> DOCtJMENTATION AUTHOR'S DECLARATION STATEMENT G.Installed Portable Luminaires in Offices—Exception to Section 140.6(a) L C.Summary of Allowed Lighting Power
<br /> II Conditioned and Unconditioned space Lighting must not be combined for compliance
<br /> 1- 1 certify that this Certificate of Compliance documentation is accurate and complete.
<br /> 0 This 5ection shall be f i led out ONLY for portable iuminaires 1 n offices(As defined I n§100.1)-Ail othe r planned portable lu mi nalres shall be docu rrented or) next page of
<br /> Ducu"�ntatian Author N dme: 1)ccurn��nt�tion Author Signatui e:
<br /> Ii Banat Roy
<br /> this compliance document. Indoor Lighting Power for Conditioned Spaces indoor Lighting Power for Unconditloned Spaces
<br /> iI Company: SIgnaUre[rate: (i
<br /> Roy Associates 7/212019 ❑ This section is used to determine if greater than 0.3 watts of portable lighting is planned for any office Watts Watts
<br /> Address: CEA rertflutlon1dertification Iifapjxicabiei: installed Lighting Installed Lighting
<br /> 39510 Paseo Padre Parkway Suite#250 ❑ Fill out a separate line for each different office.Small offices that are typical (havingthe same general and portable lighting) may be grouped toget�her.This allowance 21695 0
<br /> 01 N RCC-LTI-01-E,Table H, page 5 + NRCC-LT1l Table H, page 5 +
<br /> shall not be traded between offices having different lighting systems.
<br /> Fremont, CA 94538 (510) 794-8091 Portable Only for Offices
<br /> Office Portable Lurninalre Schedule Office Installed Portable Luminaire W/W Office Location Field Inspector 02 N RCC-LTI-01-F,Table G, page 4 +
<br /> RESPONSIBLE PERSON'S DECLARATION STATEMENT
<br /> 1 2 3 4 S 6 7 8 9 10 Minus Lighting Control Credits Minus Lighting Control Credits
<br /> certify the following under penalty of perjury,under the laws of the State of California: 03
<br /> If 606 NRCC-LTI-02-E, pa5e 2 NRCC-ILTI-02-F, page_2
<br /> 1. The information provided on this Certificate of Compliance is true and correct. installed Watts
<br /> 0.3,enter Adjusted Installed Lighting Power Adjusted Installed Lighting Power
<br /> 2. 1 am eligible under Division of the Business and Professions Code to accept responsibility for The buildingdesign or syst m. design identified onthis Certificate of Compliance portable per 04 2,695 0
<br /> 3)
<br /> (responsible designer}- Complete Luminaire Description zero; Identify Office area in �raw I Rlus row 2 minus row (row I minus row 3)
<br /> Watts per t5
<br /> fa luminaire o square
<br /> 3. The energy features and performance specifications, materials,components,and manufactured d ovires for the building design or system design identified on this Certificate of (Le,,LED,under cabinet,furniture mounted Q (GO5 K Gay) which these portable Pass Fail Complies ON LY if Installed 5 Allowed(Box 04<Box 05) Complies ONLY if Installed 5 Allowed(BoK 04 e Box 05)
<br /> Luminaire E 'E watts in this foot
<br /> Compliance conform to the reClUiremcrits of Title 24, Part I and Part 6 ofthe California Code of Regulations- direct/indirect) if G06> luminaires are installed DATE ISSUE FOR By
<br /> 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided an other applicable compliance Zi office (G94/ 0.3, Allowed Lighting Power Allowed Lighting Power
<br /> documents,worksheets,calculations,plans and specifications submitted to the enforcement aRencV for approval with this building permit application. IG02 K GD3) Gos) Conditioned NRCC-LTI-03-E,page I Unconditioned NRCC-LTI-03-E, page 1 5-01-19 100% DEMO PLAN SR
<br /> (GOG-0.3)
<br /> S. I will ensurt-that a completed signed copy ofthis CertHcata of Compliance shall bemade available with the building permitjs�issued for the building,and made available to the 05 6,207 0 07-02-19 CffY/HEALTH SUBMITTAL SIR
<br /> J enforcement agency for all applicableinspections. I understand that a completed signed copy of this Certiticate of Compliance is required to beincluded with the documentationthe Alterations with replacement luminaires that have at least Alterations with replacement luminaires that have at least 50/35%
<br /> builder prDvidesto the building owner at occupancy. 50/3.5% lower power compared to the original existing luminaires, lower power compared to the original e)cisting luminaires, may
<br /> EesperslbleDesjgne Name: R@Zpors hle Designer 5 ig naturL; ❑ may instead use the allowed wattage from NRCC-LTI-06, page 2 instead use the allowed wattage frarr NRCC-LTI-06
<br /> page 2
<br /> Company: Roy Associates Date SIgned: 07-02-19
<br /> D,Declaration of Required Certificates of Installation
<br /> 39510 Paseo Padre Parkway,#250 Declare by selecting yes for 8,11 of the Certificates that will be submitted.(Retaii copies a n d verify forms are completed and signed.)
<br /> Enter sum total of all pages into
<br /> Fremont,CA 94538 Phone: (510) 794-8091 Total installed portable luminaire w atts that a r e greater than 0.3'W/ft per office: NRCC-LTI-01-E; Page I YES NO Compliance Docurnent/Title
<br /> T1
<br /> NRCI-LTI-01-F-Must be submitted for all buildings 0 Field inspector
<br /> 0 0 NRCI-LTI-02-E-Must be submitted fora lighting control system,orfor an Energy Management Control System(ENCS), 0 Field inspector SHEET CONTENT:
<br /> to be recognized for compliance. TM-EMENERGY
<br /> 11 0 NRCI-LTI-03-E-Must be submitted fora line-voltage track lighting integral current limiter, orfora supplementary 11 Field Inspector d6—r
<br /> ANALYSIS (LKMNG)
<br /> overcurrent protection panel used to energize only line-voltage track lighting,to be recognized for compliance.
<br /> 0 0 NRCI-LTI-04-F-Must be submitted fortwo interlocked systems servingan auditorium,a convention center, a 0 Field Inspector
<br /> conference room, a multipurpose roo m,c r a t heat er to be recognized for compliance.
<br /> N RCI-LT 1-05-E-M u st be submitted for a Powe r Ad j ust m e it Factor(PAF}to be recognized for compliance. 11 Field inspector
<br /> NRCI-LTI-06-E-Must be Submitted for additional wattage installed in a video conferencing studio to be recognized for
<br /> 0 Field inspector
<br /> compliance.
<br /> CA Building Energy Efflclency Standards-2016 Nonresidential Compliance April 2016 CA Building Energy Efficiency Standards-2016 Nonresidential Compliance April 2016 CA Building Energy Efficiency Standards-2016 Nonresidential Compliance April 2016
<br /> -j
<br /> SCALE: AS INDICATED
<br /> DATE: 07-02-19
<br /> DRAWN BY: VS/WA/JB/GS
<br /> CHECKED BY: SR/KS/FP/SP
<br /> SHEET No.:
<br /> T24- Ll
<br /> SHEET 31 OF 33
<br /> PROJECT No,: 19-020
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