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REVISIONS BY
<br /> STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> Indoor Lighting Indoor Lighting Indoor Lighting
<br /> NRCC-LTI-E(Created 11/19) CALIFORNIA ENERGY COMMISSION to NRCC-LTI-E(Created 11/19) CALIFORNIA ENERGY COMMISSION NRCC-LTI-E(Created 11/19) CALIFORNIA ENERGY COMMISSION
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTI-E CERTIFICATE OF COMPLIANCE NRCC-LTI-E CERTIFICATE OF COMPLIANCE NRCC-LTI-E
<br /> This document is used to demonstrate compliance with requirements in 110.9 §110.12(c), 130.0 130.1 140.6 and§141.0(b)2 for indoor lighting scopes using the Project Name: NEW CONVENIENCE STORE AND AUTO FUELING STORE FOR WEST LN CHEVREiReport Page: Page 2 of 7 Project Name: NEW CONVENIENCE STORE AND AUTO FUELING STORE FOR WEST LN CHEVR Report Page: Page 3 of 7
<br /> prescriptive path. Project Address: 4747 WEST LN.STOCKTON,CA 95210 IDate Prepared: 2020-03-03 Project Address: 4747 WEST LN.STOCKTON,CA 95210 jDate Prepared: 2020-03-03
<br /> Project Name: NEW CONVENIENCE STORE AND AUTO FUELING STORE FOR WEST LN CHEVR Report Page: Page 1 of 7
<br /> Project Address: 4747 WEST LN.STOCKTON,CA 95210 Date Prepared: 2020-03-03 Controls Compliance(See Table H for Details) COMPLIES Table Instructions:Please include lighting controls for conditioned and unconditioned spaces in this table. When an option having a *is selected,the notes section of this table
<br /> Rated Power Reduction Compliance(See Table Q for Details)i Not Applicable must be completed. The lighting controls section of the Compliance Summary Table on the first page will show"DOES NOT COMPLY"if the notes are left blank.
<br /> A.GENERAL INFORMATION
<br /> Building Level Controls CONSULTANT
<br /> 01 Project Location(city) STOCKTON 04 Total Conditioned Floor Area(ft2) D.EXCEPTIONAL CONDITIONS 1113 01 02 03
<br /> 02 Climate Zone 12 05 Total Unconditioned Floor Area(ft2) This table is auto filled with uneditable comments because of selections made or data entered in tables throughout the form. Mandatory Demand Response Shut-Off Controls Field Inspector
<br /> 03 Occupancy Types Within Project(select all that apply): 06 #of Stories(Habitable Above Grade) 2 §110.12(c) §130.1(C) Pass Fail 2249 roaea"a or,
<br /> Pittsburg,CA 94565
<br /> ZOffice ❑✓ Retail E] warehouse E] Hotel/Motel [:] School E] SupportAreas Selections made in Table T have been changed by the permit applicant. See Table E.Additional Remarks for permit applicant's explanation. ❑ ❑ phone(5,6)289-,228
<br /> email:galtlepulla@geaeneyyc°nsWting.wm
<br /> ❑ Parking Garage ❑ High-Rise Residential ❑ Relocatable ❑ Healthcare ❑✓ Other(write in): ICONVENIENCE STORE Area Level Controls
<br /> E.ADDITIONAL REMARKS 04 05 06 07 08 09 10 11 12 ENERGY CONSUL TING
<br /> B.PROJECT SCOPE G & ENGINEERING SERVICES
<br /> Table Instructions:Include any lighting systems that are within the scope of the permit application and are demonstrating compliance using the prescriptive path outlined in This table includes remarks made by the permit applicant to the Authority Having Jurisdiction. Multi-Level Shut-Off Primary/Skylit Secondary Interlocked
<br /> Complete Building or Area Category Area Controls Field Inspector www.gaaenargyconsult/ng.coro
<br /> 140.6 or§141.0(b)2 or alterations. WARNING:Changing the Calculation Method in this table will result in the deletion o data previously input. I ou need to change the Area Description Controls Controls Daylighting Daylighting Systems
<br /> f g g f p y p Ifyou g Primary Function Area 130.1 a
<br /> ja
<br /> calculation method,please open a new form or use"Save As". 130.1 b130.1 c §130.1(d) 140.6 d §140.6(a)1 Pass Fail
<br /> Scope of Work Conditioned Spaces Unconditioned Spaces Manual ON/
<br /> STORAGE Commercial and Industrial Storage Bi-level Switch Occ.Sensor NA NA ❑ ❑ ❑
<br /> 01 02 03 04 05 F.INDOOR LIGHTING FIXTURE SCHEDULE OFF Q�pF ESS
<br /> My Project Consists of(check all that apply): Calculation Method Area(ft2) Calculation Method Area(ft2) Table Instructions:Include all permanent designed lighting and all portable lighting in offices. Manual ON/
<br /> STAIRS Stairwell(Low Vision) OFF Bi-level Switch Vacancy NA NA 1:1 El 11
<br /> ❑✓ New Lighting System Area Category Designed Wattage:Conditioned Spaces co G�
<br /> 01 02 03 04 05 06 07 08 09 10 Manual ON/ m
<br /> Altered Lighting System OFFICE(1F) Office(<_250 square feet) OFF Dimmer Occ.Sensor NA NA ❑ ❑ ❑ w No. 21313 m
<br /> Name or Modular Small Aperture Watts per How Wattage is Total number Exempt per Field Inspector Exp.09-30-21
<br /> Complete Luminaire Description , Z Design Watts Manual ON/
<br /> Item Tag (Track)Fixture&Color Change luminaire determined luminaires §140.6(a)3 Pass Fail OFFICE(2F) Office(>250 square feet) Dimmer Occ.Sensor NA NA ❑ ❑ ❑
<br /> Total Area of Work(ft2)
<br /> 2'x4'RECESSED TROFFER LED LIGHT ❑ ❑ 38 Mfr.SpecZ 31 El 1,178 1:1ElOFF
<br /> Manual ON/ El El ElF OF CAI.�F�
<br /> C.COMPLIANCE RESULTS B 6"RECESSED LED DOWNLIGHT FIXT. El El 12 Mfr.SpecZ 38 El 456 El El CASHIER AREA Financial Transaction OFF Dimmer Occ.Sensor NA NA
<br /> Table Instructions:If any cell on this table says"DOES NOT COMPLY"or"COMPLIES with Exceptional Conditions"refer to Table D.for guidance. Total Designed Watts CONDITIONED SPACES: 1,634 Manual ON/
<br /> Allowed Lighting Power per§140.6(b)(Watts) Adjusted Lighting Power per§140.6(a)(Watts) Compliance Results SALES AREA Grocery Sales OFF Dimmer Occ.Sensor NA NA ❑ ❑ ❑
<br /> Lighting in 01 02 03 0405 06 07 08 09 'FOOTNOTE:Design Watts for small aperture and color changing luminaires which qualify per§140.6(a)4B is adjusted to be 75%of their rated wattage. Table F automatically
<br /> Manual ON/
<br /> conditioned and Adjustments makes this adjustment,the permit applicant should enter full rated wattage in column 05. JANITOR AREA All Other S pace Types OFF Bi-level Switch Occ.Sensor NA NA ❑ ❑ ❑
<br /> unconditioned Area Category Z Authority Having Jurisdiction may ask for Luminaire cut sheets to confirm wattage used for compliance per§130.0(c)Wattage used must be the maximum rated for the
<br /> Complete Tailored > Total PAF Control Total Adjusted Manual ON/ ❑ ❑ ❑
<br /> spaces must not Area Category Additional - luminaire,not the lamp. RESTROOM Restroom OFF Bi-level Switch Occ.Sensor NA NA
<br /> Building §140.6(c)3 = Total Allowed Designed Credits = (Watts) 05 Must be>_08
<br /> be combined for §140.6(c)2 §140.6(c)2G
<br /> compliance per 140.6 c 1 (+) (+) (Watts) (Watts) §140.6(a)2 *Includes 140.6
<br /> (-) Adjustments G.MODULAR LIGHTING SYSTEMS *NOTES:Controls with a*require a note in the space below explaining how compliance is achieved. 13
<br /> §140.6(b)1.
<br /> (See Table I) (See Table I) (See Table J) (See Table K) (See Table F) (See Table P) This Section Does Not Apply EX:Conference 1:Primary/Skylight Daylighting:Exempt because less than 120 watts of general lighting; Plan Sheet Showing Daylit Zones:
<br /> EXCEPTION 1 to§130.1(d)2
<br /> Conditioned: 3,741.55 = 3,741.55 >_ 1,634 0 = 1,634 1 COMPLIES
<br /> Unconditioned: -- 1>1 - H.INDOOR LIGHTING CONTROLS(Not Including PAFs)
<br /> Table Continued
<br /> CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:htti)://www.energy.ca.gov/title24/2019standards November 2019 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.energy.ca.gov/title24/2019standards November 2019 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.energy.ca.gov/title24/2019standards November 2019
<br /> STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> Indoor Lighting lipm
<br /> p Indoor Lighting Indoor Lighting
<br /> 0
<br /> NRCC-LTI-E(Created 11/19) CALIFORNIA ENERGY COMMISSION NRCC-LTI-E(Created 11/19) CALIFORNIA ENERGY COMMISSION NRCC-LTI-E(Created 11/19) CALIFORNIA ENERGY COMMISSION
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTI-E CERTIFICATE OF COMPLIANCE NRCC-LTI-E CERTIFICATE OF COMPLIANCE NRCC-LTI-E
<br /> Project Name: NEW CONVENIENCE STORE AND AUTO FUELING STORE FOR WEST LN CHEVR Report Page: Page 4 of 7 Project Name: NEW CONVENIENCE STORE AND AUTO FUELING STORE FOR WEST LN CHEVR Report Page: Page 5 of 7 Project Name: NEW CONVENIENCE STORE AND AUTO FUELING STORE FOR WEST LN CHEVR Report Page: Page 6 of 7
<br /> Project Address: 4747 WEST LN.STOCKTON,CA 95210 IDate Prepared: 2020-03-03 Project Address: 4747 WEST LN.STOCKTON,CA 95210 IDate Prepared: 2020-03-03 Project Address: 4747 WEST LN.STOCKTON,CA 95210 jDate Prepared: 2020-03-03
<br /> I.LIGHTING POWER ALLOWANCE:COMPLETE BUILDING OR AREA CATEGORY METHODS N.ADDITIONAL LIGHTING ALLOWANCE:TAILORED ORNAMENTAL/SPECIAL EFFECTS ( NRCI LTI 01 E Must be submitted for all buildings ❑ ❑
<br /> Table Instructions:Complete the table for each area complying using the Complete Building or Area Category Methods per§140.6(b). Indicate if additional lighting power This Section Does Not Apply
<br /> allowances per 140.6 c or adjustments per 140.6 a are being used. NRCI LTI 02 E Must be submitted for a lighting control system,or for an Energy Management Control System(FMCS),to be ❑ ❑
<br /> Conditioned Spaces O.ADDITIONAL LIGHTING ALLOWANCE:TAILORED VERY VALUABLE MERCHANDISE recognized for compliance.
<br /> 01 02 03 04 05 06 This Section Does Not Apply C- C0- NRCI-LTI-04-E-Must be submitted for two interlocked systems serving an auditorium,a convention center,a conference ❑ ❑
<br /> Allowed Allowed Additional Allowances Iroom,a multipurpose room,or a theater to be recognized for compliance.
<br /> Complete Building or Area Category Area C A NRCI-LTI-05-E-Must be submitted for a Power Adjustment Factor(PAF)to be recognized for compliance. [ ❑ ❑
<br /> Area Description Density Z Wattage Adjustment P.POWER ADJUSTMENT:LIGHTING CONTROL CREDIT(POWER ADJUSTMENT FACTOR(PAF)) I
<br /> Primary Function Area (W/ft2) (ft ) (Watts) NRCI-LTI-06-E-Must be submitted for additional wattage installed in a video conferencing studio to be recognized for
<br /> ( Area Category PAF Table Instructions:Please complete the table for all areas indicated in Table 1 or Table K as using a PAF credit described in 4140.6(a)2. (' (j ❑ ❑
<br /> g ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑
<br /> STORAGE Commercial and Industrial Storage 0.6 940 564 Restroom 0 0 compliance.
<br /> STAIRS Stairwell 0.5 70 35 ❑ ❑
<br /> OFFICE(1F) Office(<_250 square feet) 0.7 56 39.2 El El Storage El El El El El El El El El0 0 U.DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE
<br /> Table Instructions:Selections have been made based on information provided in previous tables of this document.If any selection needs to be changed,please explain why in
<br /> OFFICE(2F) Office(>250 square feet) 0.65 880 572 ❑ ❑ Table E.Additional Remarks.These documents must be provided to the building inspector during construction and any with"-A"in the form name must be completed through an
<br /> CASHIER AREA Financial Transaction 0.8 203 162.4 ❑ ❑ I FOOTNOTES:PAFs outlined in Table 140.6-A include 1)Daylight dimming plus OFF;2A)Occupant sensors in offices<125 ft2 2B)Occupant sensors in offices from 126-250 ft2 Acceptance Test Technician Certification Provider(ATTCP).For more information visit:http://www.energy.ca.aov/title24/attcp/providers.html
<br /> SALES AREA Grocery Sales 1.05 1 2,135 2,241.75 ❑ ❑ 2C)Occupant sensors in offices from 251-500 ft2 3A)Institutional tuning,non-daylit areas,3B)Institutional tuning,daylit areas,4)Demand response;5)Clerestory fenestration; Field Inspector
<br /> JANITOR AREA All Other Space Types 0.4 9 3.6 ❑ ❑ 6)Horizontal slats;7)Light shelves.
<br /> YES NO Form/Title
<br /> 65 176 114.4 ❑ E] Z Luminaires that qualify for PAF 5,6,or 7 can be used in conjunction with PAF 1. Pass Fail
<br /> RESTROOM Restroom 0.
<br /> EE ROOM Electrical,Mechanical,Telephone Rooms 06 7 9.2 ❑ ❑ C0 C, NRCA-LTI-02-A-Must be submitted for occupancy sensors and automatic time switch controls. El El N O
<br /> Q.RATED POWER REDUCTION COMPLIANCE FOR ALTERATIONS C (0- NRCA-LTI-03-A-Must be submitted for automatic daylight controls. El El
<br /> TOTAL: 4,492 1 3,741.55 See Tables J or P for detail
<br /> This Section Does Not Apply W
<br /> CC� NRCA-LTI-04-A-Must be submitted for demand responsive lighting controls. El El WR.80%LIGHTING POWER FOR ALTERATIONS-CONTROLS EXCEPTIONS C1 Ct NRCA-LTI-05-A-Must be submitted for institutional tuning power adjustment factor(PAF). ❑ ❑ __J LLJ
<br /> J.ADDITIONAL LIGHTING ALLOWANCE:AREA CATEGORY METHOD QUALIFYING LIGHTING SYSTEM This Section Does Not Apply (' (0- NRCA-ENV-03-F-Must be submitted for daylighting design power adjustment factors(PAF). El El
<br /> This Section Does Not Apply �--
<br /> K.TAILORED METHOD GENERAL LIGHTING POWER ALLOWANCE S.DAYLIGHT DESIGN POWER ADJUSTMENT FACTOR(PAF)
<br /> This Section Does Not Apply This Section Does Not Apply
<br /> L.ADDITIONAL LIGHTING ALLOWANCE:TAILORED WALL DISPLAY T.DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION
<br /> Table Instructions:Selections have been made based on information provided in previous tables of this document.If any selection needs to be changed,please explain why in
<br /> This Section Does Not Apply Table E.Additional Remarks. These documents must be provided to the building inspector during construction and can be found online at https://ww2.energy.ca.gov/
<br /> M.ADDITIONAL LIGHTING ALLOWANCE:TAILORED FLOOR AND TASK LIGHTING title24/2019stondards/2019 compliance documents/Nonresidential Documents/NRCl/
<br /> This Section Does Not Apply YES NO Form/Title Field Inspector
<br /> Pass Fail
<br /> CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.energy.ca.gov/title24/2019standards November 2019 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.energy.ca.gov/title24/2019standards November 2019 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.energy.ca.gov/title24/2019standards November 2019
<br /> Z
<br /> STATE OF CALIFORNIA
<br /> Indoor Lighting O
<br /> NRCC-LTI-E(Created 01/20) CALIFORNIA ENERGY COMMISSION /
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTI-E
<br /> Project Name:Name: KID'S CARE-FOLSOM Report Page: Page 8 of 8
<br /> Project Address: 3340 TULLY RD.SUITE D-3,MODESTO,CA 95350 Date Prepared: 02-27-2020 a/ 0 O
<br /> O y- I JLJ
<br /> DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
<br /> J
<br /> I certify that this Certificate of Compliance documentation is accurate and complete U U _J (D
<br /> Documentation Author Name: GASIL ALDEPULLA Documentation Author Signature: w LL_ (� Q
<br /> Company: GEA ENERGY CONSULTING&ENGINEEING SERVICES Signature Date: W z W U
<br /> > LU z z
<br /> Address: 2249 TOSCANA DR. CEA/HERS Certification Identification(if applicable): z w O
<br /> City/State/Zip: PITTSBURG,CA 94565 Phone: 510.289.1228 LL_
<br /> RESPONSIBLE PERSON'S DECLARATION STATEMENT 0 U
<br /> I certify the following under penalty of perjury,under the laws of the State of California: z Q Q
<br /> 1.The information provided on this Certificate of Compliance is true and correct.
<br /> 2. 1 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
<br /> 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
<br /> Certificate of Compliance conform to the requirements 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
<br /> compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application.
<br /> 5. 1 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
<br /> to the enforcement agency for all applicable inspections.I understand that a completed signed copy of this Certificate of Compliance is required to be included with the
<br /> documentation the builder provides to the building owner at occupancy.
<br /> Responsible Designer Name: Anlrban Banerjee Responsible Designer Signature:
<br /> Company: Date Signed: DATE
<br /> Address: 2249 TOSCANA DR. License: E 21313 03/05/2020
<br /> City/State/Zip: PITTSBURG,CA 94565 Phone: SCALE
<br /> AS SHOWN
<br /> DRAWN
<br /> GEA
<br /> JOB
<br /> SHEET
<br /> CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.energy.ca.gov/title24/2019standards January 2020
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