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PR0517445
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Last modified
9/20/2023 11:37:32 AM
Creation date
12/2/2020 4:01:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
WORK PLANS
RECORD_ID
PR0517445
PE
1625
FACILITY_ID
FA0013430
FACILITY_NAME
LOVES COUNTRY STORES OF CALIFORNIA #223
STREET_NUMBER
1553
STREET_NAME
COLONY
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
24517054
CURRENT_STATUS
01
SITE_LOCATION
1553 COLONY RD
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA <br /> Indoor Lighting Indoor Lighting Indoor Lighting <br /> NRCC-LTI-E CALIFORNIA ENERGY COMMISSION NRCC-LTI-E CALIFORNIA ENERGY COMMISSION NRCC-LTI-E 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 in1§ 10.9"§110.12(c) 130.0 130.1 140.6 and.4141.0(b)2 for indoor lighting scopes using the prescriptive Project Name: LOVE'S#223 1 Report Page: (Page 4 of 7) Project Name: LOVE'S#223 1 Report Page: (Page 7 of 7) r <br /> path. Project Address: Ripton CA Date Prepared: 8/26/2020 Project Address: Ripton CA Date Prepared: 8/26/2020 <br /> Project Name: LOVE'S#223 1 Report Page: (Page 1 of 7) <br /> Project Address: Ripton CA Date Prepared: 8/26/2020 <br /> I.LIGHTING POWER ALLOWANCE:COMPLETE BUILDING OR AREA CATEGORY METHODS DOCUMENTATION AUTHOR'S DECLARATION STATEMENT <br /> A.GENERAL INFORMATION Each area complying using the Complete Building or Area Category Methods per§140.6(b) are included in this table.Column 06 indicates if additional lighting power allowances per I certify that this Certificate of Compliance documentation is accurate and complete. <br /> 140.6 c or adjustments per 140.6 a are being used. Documentation Author Name: Documentation Author Signature: Architect of Record: <br /> 01 Project Location(city) RIPTON 04 Total Conditioned Floor Area(ft2) 1,082 ° Mariah B. Meyer <br /> Conditioned Spaces Coleen Lewis <br /> 02 Climate Zone 12 05 Total Unconditioned Floor Area(ft2) 0 <br /> Ol 02 03 04 05 06 Company: Signature Date: 8131 Metcalf Avenue <br /> 03 Occupancy Types Within Project(select all that apply): 06 #of Stories(Habitable Above Grade) 1 RTM Engineering Consultants,LLC 08-26-2020 Suite 300 <br /> Complete Building or Area Category Primary Allowed Density 2 Allowed Wattage Additional Allowance/Adjustment Overland Park,KS 66204 <br /> ElOffice ® Retail ElWarehouse ❑ Hotel/Motel ❑ School ❑ Support Areas Area Description 2 Area(ft ) Address: CEA/HERS Certification Identification(if applicable): www.brrarch.com <br /> Function Area (W/ft ) (Watts) Area Category PAF 9225 Indian Creek Prwy.,Suite 1075 <br /> ❑ Parking Garage El High-Rise Residential ❑ Relocatable ❑ Healthcare El Other(Write in) See Table I Zone 1 Retail Merchandise Sales 1 1,082 1,082 No No City/State/Zip: Phone: Tel:913-262-9095 <br /> Fax:913-262-9044 <br /> B.PROJECT SCOPE <br /> TOTALS: 1,082 1,082 See Tables J,or P for detail Overland Park KS 66210 1913-322-1400 <br /> RESPONSIBLE PERSON'S DECLARATION STATEMENT <br /> This table includes any lighting systems that are within the scope of the permit application and are demonstrating compliance using the prescriptive path outlined in14 40.6 or J.ADDITIONAL ALLOWANCE:AREA CATEGORY METHOD QUALIFYING LIGHTING SYSTEM I certify the following under penalty of perjury,under the laws of the State of California: <br /> (b)2 <br /> 4141.0for alterations. 1. The information provided on this Certificate of Compliance is true and correct. <br /> Scope of Work Conditioned Spaces Unconditioned Spaces This section does not apply to this project. 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 Compliance(responsible designer) w w <br /> 01 02 03 04 05 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 <Z) O U LL > <br /> of Title 24,Part 1 and Part 6 of the California Code of Re ulations, o z_ z ui w w �O Q <br /> K.TAILORED METHOD GENERAL LIGHTING POWER ALLOWANCE g LL O Co w 2 X L O z � <br /> 2 2 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, W o a w�w O Lu O z <br /> My Project Consists of(check all that apply): Calculation Method Area(ft ) Calculation Method Area(ft ) w- o F_z <br /> This section does not apply to this project. plans and specifications submitted to the enforcement agency for approval with this building permit application. � ff Z UL w a =O o O <br /> ❑ New Lighting System 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 to the enforcement agency for all applicable 0 a a o a O w o)X o rwn p Lu <br /> O ww��¢�LL=w¢ODzln <br /> El New Lighting System-Parking Garage inspections.I understand that a completed signed copy of his Cert icate ofCompliance is required to be included with he documentation the builder r vides to tho building owner at occupancy <br /> zO_-zo5w w <br /> . :TAILORED WALL DISPLAY LLT-a <br /> Responsible Designer Name: Responsible Designer Signature: DignailY signed by James R Briquette z fn U Z)¢w¢-z L �X <br /> ® Altered Lighting System Area Category Method 1082 Area Category Method o James R. Bas Ui3t(13 DN:C=,E-j b.agnec@niamesameaosaRen ¢¢>1°o,,q¢cwn w O W <br /> This section does not apply to this project. JIM BASQUETTE Date 2020.08.3112:32:24-05'00' O >5 Z N M O LL Z O 6 LL z <br /> Total Area of Work(ft ) 1082 0 Company: Date Signed: Z a ae o O~rn u' r w Z Cr 0 <br /> z H Ow¢��w0Ow2'00¢ <br /> P y g Q tn0�LLU) >-z awl <br /> M.ADDITIONAL LIGHTING ALLOWANCE:TAILORED FLOOR AND TASK LIGHTING RTM Engineering Consultants 2020-08-26 ¢ z w W ¢w E <br /> Address: License: d o O UJ O Q'O x 5�1 0"T <br /> This section does not apply to this project. H fn w Z O w w o 0 o N o= <br /> 9225 Indian Creek Pkwy.,Suite 1075 E17170 u7 1 co°o n a 7)o it a a a a° <br /> N.ADDITIONAL LIGHTING ALLOWANCE:TAILORED ORNAMENTAL/SPECIAL EFFECTS City/State/Zip: Phone: <br /> Overland Park KS 66210 913.322.1400 <br /> This section does not apply to this project. <br /> CONSULTANT LOGO <br /> O.ADDITIONAL LIGHTING ALLOWANCE:TAILORED VERY VALUABLE MERCHANDISE <br /> This section does not apply to this project. Itt <br /> P.POWER ADJUSTMENT:LIGHTING CONTROL CREDIT(POWER ADJUSTMENT FACTOR(PAF)) <br /> This section does not apply to this project. kvvNqlr <br /> Registration Number: Registration Date/Time: Registration Provider:Energysoft Registration Number: Registration Date/Time: Registration Provider:Energysoft Registration Number: Registration Date/Time: Registration Provider:Energysoft <br /> CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated:2020-08-2613:39:29 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated:2020-08-2613:39:29 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated:2020-08-2613:39:29 engineering consultants <br /> Schema Version:rev 20190401 Schema Version:rev 20190401 Schema Version:rev 20190401 650 E.Algonquin Road I Suite 250 1 Schaumburg,IL 60173 <br /> T:913.322.1400:www.rtmec.com <br /> STATE OF CALIFORNIA STATE OF CALIFORNIA <br /> Indoor Lighting Indoor Lighting <br /> NRCC-LTI-E CALIFORNIA ENERGY COMMISSION NRCC-LTI-E CALIFORNIA ENERGY COMMISSION W <br /> (D <br /> CERTIFICATE OF COMPLIANCE NRCC-LTI-E CERTIFICATE OF COMPLIANCE NRCC-LTI-E Q Oz <br /> Project Name: LOVE'S#223 1 Report Page: (Page 2 of 7) Project Name: LOVE'S#223 Report Page: (Page 5 of 7) O Q <br /> Project Address: Ripton CA Date Prepared: 8/26/2020 Project Address: Ripton CA Date Prepared: 8/26/2020 CO OU <br /> a- 0 <br /> W W <br /> Da 0� Cif <br /> C.COMPLIANCE RESULTS Q.RATED POWER REDUCTION COMPLIANCE FOR ALTERATIONS a = Y <br /> If any cell on this table says"DOES NOT COMPLY"or"COMPLIES with Exceptional Conditions"refer to Table D.for guidance. This section does not apply to this project. w w <br /> Allowed Lighting Power per§140.6(b) (Watts) Adjusted Lighting Power per§140.6(a) (Watts) Compliance Results W <br /> Lighting in 01 02 03 04 05 06 07 08 09 R.80%LIGHTING POWER FOR ALL ALTERATIONS-CONTROLS EXCEPTIONS < CIO w LU <br /> conditioned and N a w <br /> unconditioned <br /> Area Adjustments IThis section does not apply to this project. N >- 0 <br /> Complete Area Category Tailored > Total PAF Lighting Total Adjusted ,� F- Z <br /> spaces must not be g g ) <br /> P Building Category Additional §140.6(c)3 = Total Designed Control Credits = Watts OS must be>=08 S. DAYLIGHT DESIGN POWER ADJUSTMENT FACTOR(PAF) 0 O <br /> combined for Allowed ( ) Z W Pz <br /> §140.6(c)1 §140.6(c)2 §140.6(c)2G (+) (Watts) 4140.6(a)2 *Includes 140.6 0 0 <br /> compliance per (Watts) This section does not apply to this project. p 0 <br /> 4140.6(b)l (+) (-) Adjustments 0U-1 <br /> a0 <br /> (See Table 1) (See Table I) (See Table J) (See Table K) (See Table F) (See Table P) T.DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION O <br /> Conditioned 1,082 0 = 1,"�e 515.4 0 = 515.4 COMPLIES _ O Selections have been made based on information provided in this document.If any selection have been changed by permit applicant an explanation should be included in Table E. I- coUnconditioned = = Additional Remarks. These documents must be provided to the building inspector during construction and can be found online at n/ o <br /> Controls Compliance(See Table H for Details) COMPLIES https://www.energy.co.gov/title2412019standards/2019 compliance documents/Nonresidential Documents/NRC(/ <br /> M <br /> f9 <br /> Rated Power Reduction Compliance(See Table Q for Details) Yes No Form/Title Field Inspector <br /> Pass Fail <br /> D. EXCEPTIONAL CONDITIONS • �? NRCI-LTI-01-E-Must be submitted for all buildings ❑ ❑ <br /> This table is auto filled with uneditable comments because of selections made or data entered in tables throughout the form. NRCI-LTI-02-E-Must be submitted for a lighting control system,or for an Energy Management Control System(FMCS),to be El ❑ m <br /> 0 411' recognized for compliance. 2i <br /> E.ADDITIONAL REMARKS 0 NRCI-LTI-04-E-Must be submitted for two interlocked systems serving an auditorium,a convention center,a conference room,a ❑ ❑ z <br /> multipurpose room or a theater to be recognized for compliance. m <br /> This table includes remarks made by the permit applicant to the Authority Having Jurisdiction. O <br /> C 4i'l NRCI-LTI-05-E-Must be submitted for a Power Adjustment Factor(PAF)to be recognized for compliance. ❑ ❑ <br /> F.INDOOR LIGHTING FIXTURE SCHEDULE O 40' NRCI-LTI-06-E-Must be submitted for additional wattage installed in a video conferencing studio to be recognized for compliance. ❑ ❑ <br /> This table includes all permanent designed lighting and all portable lighting in offices. ISSUE BLOCK <br /> Designed Wattage:Conditioned Spaces <br /> NO. DATE DESCRIPTION <br /> 01 02 03 04 05 06 07 08 09 10 <br /> Name or Item Complete Luminaire Modular Small Aperture& Watts per How is Wattage Total Number Excluded per Field Inspector <br /> n <br /> Tag Description (Track)Fixture Color Change' Iuminaire2 determined of Luminaires Desi Watts <br /> 140.6 a 3 g Pass Fail <br /> Al Al No No 31.9 Mfr.Spec 6 No 191.4 ❑ ❑ <br /> C C No No 34 Mfr.Spec 4 No 136 ❑ ❑ <br /> Registration Number: Registration Date/Time: Registration Provider:Energysoft Registration Number: Registration Date/Time: Registration Provider:Energysoft <br /> CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated:2020-08-2613:39:29 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated:2020-08-2613:39:29 <br /> Schema Version:rev 20190401 Schema Version:rev 20190401 <br /> STATE OF CALIFORNIA STATE OF CALIFORNIA <br /> Indoor Lighting Indoor Lighting <br /> NRCC-LTI-E CALIFORNIA ENERGY COMMISSION NRCC-LTI-E CALIFORNIA ENERGY COMMISSION CHECKED BY: BJK <br /> CERTIFICATE OF COMPLIANCE NRCC-LTI-E CERTIFICATE OF COMPLIANCE NRCC-LTI-E <br /> Project Name: LOVE'S#223 1 Report Page: (Page 3 of 7) Project Name: LOVE'S#223Report Page: (Page 6 of 7) DRAWN BY: J H F <br /> Project Address: Ripton CA Date Prepared: 8/26/2020 Project Address: Ripton CA Date Prepared: 8/26/2020 <br /> DOCUMENT DATE: 09/01/2020 <br /> F.INDOOR LIGHTING FIXTURE SCHEDULE U.DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE PROTO TYPE: <br /> S4 S4 No No 51 Mfr.Spec 2 No 102 ❑ ❑ Selections have been made based on information provided in this document.If any selection have been changed by the permit applicant an explanation should be included in Table E. <br /> T4 T4 No No 43 Mfr.Spec 2 No 86 ❑ ❑ 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 Acceptance PROTO CYCLE: <br /> Total Designed Watts:CONDITIONED SPACES 515.4 Test Technician Certification Provider(ATTCP).For more information visit:http://www.energy.ca.gov/title24/attcp/providers.html <br /> 'FOOTNOTE:Design Watts for small aperture and color changing luminaires which qualify per 4Field Inspector <br /> 140.6(a)4B is adjusted to be 75%of their rated wattage.Table F automatically makes Yes No Form/Title Pass Fail PROFESSIONAL SEAL <br /> this adjustment,the permit applicant should enter full rated wattage in column 05. <br /> ZAuthority 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 luminaire,not NRCA-LTI-02-A-Must be submitted for occupancy sensors and automatic time switch controls. ❑ ❑ <br /> the lamp. 01 NRCA-LTI-03-A-Must be submitted for automatic daylight controls. ❑ ❑ <br /> NRCA-LTI-04-A-Must be submitted for demand responsive lighting controls. ❑ ❑ Q?pFESS/ON <br /> G.MODULAR LIGHTING SYSTEMS 1 01 NRCA-LTI-05-A.-Must be submitted for institutional tuning power adjustment factor(PAF) ❑ ❑ q� <br /> This section does not apply to this project. <br /> -A z <br /> H. INDOOR LIGHTING CONTROLS(Not including PAFs) w rmn <br /> -'No. E-17170 "� � <br /> This table includes lighting controls for conditioned and unconditioned spaces. When a control having a*is shown,the notes section of this table provides more detail on how Exp 12-31-21 <br /> compliance is achieved.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 /> Building Level Controls q <br /> of 02 03 JI'l �fCTR� �\P=Ra n ,e <br /> F OF N SFO <br /> E�,m.e.,t. @M.-,O-RTM <br /> Field Inspector James R.Basquetfa Eng,n..nn o „a N m. <br /> Mandatory Demand Response§110.12(c) Shut-off controls130.1 c pa,e 2020083„za,s,-as 00 <br /> Pass Fail <br /> Required>10,000 SF Whole Building Auto Time Switch ❑ ❑ <br /> Area Level Controls <br /> 04 05 06 07 08 09 10 11 12 <br /> Complete Building or Area Multi-Level Primary/SkySecondary Interlocked <br /> Area Controls Shut-Off Controls lit Field Inspector <br /> Area Description Category Primary Function Controls Daylighting Systems <br /> Area 4130.1(a) §130.1(b) §130.1(c) Daylighting 4140.6(d) 140.6 a 1 TITLE 24 <br /> 4130.1(d) <br /> L _L <br /> Pass Fail <br /> *NOTES:Controls with a*require a note in the space below explaining how compliance is achieved. 13 <br /> EX:Conference 1:Primary/Skylight Daylighting:Exempt because less than 120 watts of general lighting;EXCEPTION 1 <br /> to UIL1 d 2 Plan Sheet Showing Daylit Zones: <br /> Registration Number: Registration Date/Time: Registration Provider:Energysoft Registration Number: Registration Date/Time: Registration Provider:Energysoft SHEET: <br /> CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated:2020-08-2613:39:29 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance Report Version:2019.1.003 Report Generated:2020-08-2613:39:29 E701 <br /> Schema Version:rev 20190401 Schema Version:rev 20190401 <br /> Copyright Notice:This drawing was prepared for use on a specific site contemporaneously with <br /> BRR Original printed on recycled paper is issue date and itis not smtame for ose on a different project me or at a later time.use of th s <br /> drawing for referance o ample o n ther project regmres me services of properly Ilcenied <br /> architects and engineerse Reproduction of this drawing for reuse on another project is not <br /> authorized and may be contrary to the law. <br />
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