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<br /> ° U) Indoor Lighting Indoor Lighting Indoor Lighting
<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 Dn nn/�I 11"1
<br /> i CERTIFICATE OF COMPLIANCE NRCC-LTI-E CERTIFICATE OF COMPLIANCE NRCC-LTI-E ICERTIFICATE OF COMPLIANCE NRCC-LTI-E
<br /> This document is used to demonstrate compliance with requirements in 11 3 §110.12(c). 130.0 1§ 30.1. 140.6 and§141.0(612 or indoor lighting scopes using the Project Name: Dutch Bros-Manteca,CA Re ort Page: Page 2 of 7 Prv'ect Name: Dutch Bros-Manteca,CA Report Page: Page 3 of 7
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<br /> prescriptive path. Project Address: 1105W.Yosemite Ave JDate Prepared: 01.29.2020 Project Address: 1105W.Yosemite Ave Date Prepared: 01.29.2020
<br /> Project Name: Dutch Bros-Manteca,CA Report Page: Page 1 of 7
<br /> a) +' Project Address: 1105W.Yosemite Ave JDate Prepared: 01,29,20201 Controls Compliance[See Table H for Detalls)l COMPLIES with Exceptional Conditions G.MODULAR LIGHTING SYSTEMS
<br /> C) Q) Rated Power Reduction Compliance(See Table Q for Details) Not Applicable +This Section Does Not Apply
<br /> E A.GENERAL INFORMATION
<br /> •- C
<br /> 0 01 Project Location(city) Manteca 04 *al Conditioned Floor Area(ft') 791 D.EXCEPTIONAL CONDITIONS ® H.INDOOR LIGHTING CONTROLS(Not Including PRFs)
<br /> X rn 02 Climate Zone 12 05 Total Unconditioned Floor Area ftz This table is auto-rlled with uneditable comments because o selections made or data entered in tables throughout theform.
<br /> a� 3 { } f f g f 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 /> 0 03 Occupancy Types Within Project(select all that apply): 06 of Stories(Habitable Above Grade) 1 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 /> 0 C ❑ Office ❑ Retail ❑ Warehouse ❑ Hotel/Motel ❑ School ❑ Support Areas Table H Indoor Lighting Controls Permit Applicant Notes: Building Level Controls
<br /> 0 Restroom:only one fixture in restroom
<br /> E] ParkingGarage High-Rise Residential ❑ Relocatable E] Healthcare Q Other(write in): Kitchen 01 02 03
<br /> +� ir- Electrical Room:only one fixture in electrical room
<br /> 0 Mandatary Demand Response Shut-Off Controls Field Inspector
<br /> 0 a B.PROJECT SCOPE
<br /> §110.12(c) §130.1 c
<br /> 0 E 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
<br /> Pass Fail
<br /> a140.6 or§141.0(6)2 for alterations. WARNING:Changing the Calculation Method in this table will result in the deletion of data previously input. If you need to change the E.ADDITIONAL REMARKS Not Required<_10,000 SF Whole Building Timeswitch ❑ 1 ❑
<br /> calculation method,please open anew farm or use"Save As". This table includes remarks made by the permit applicant to the Authority Having Jurisdiction. Area Level Controls
<br /> C � Scope of Work Conditioned Spaces Unconditioned Spaces 04 05 06 07 08 09 10 11 12
<br /> m 01 02 03 04 05 Multi-Level Shut-Off Primary/Skylit Secondary Interlocked
<br /> Complete Building or Area Category Area Controls Field Inspector
<br /> My Project Consists of(check all that apply): Calculation Method Area(ftz) Calculation Method Area(ftz) Area Description Controls Controls Daylighting Daylighting Systems
<br /> a� F.INDOOR LIGHTING FIXTURE SCHEDULE Primary Function Area 130.1(a) §130.1(b) §130.1(c) 140.6(d §140.6(a)i Pass Fail
<br /> 0 New Lighting System Area Category 791
<br /> E
<br /> 0 Table Instructions:Include all permanent designed lighting and all portable lighting in offices. Manual ON/
<br /> En +a Designed Wattage:Conditioned Spaces Kithcen Kitchen,Food Preparation OFF Dimmer Occ.Sensor Included Included Li 1:1 1:1Z ❑Altered Lighting System
<br /> 0 0) 01 02 03 04 05 06 07 08 09 10 Manual ON/'L Restroom Restroom Exempt" Occ.Sensor NA NA ❑ ❑ ❑
<br /> a� T Total Area of WoGNICH
<br /> rk{ftz) 791 Name or Modular Small Aperture Watts per How Wattage is Total number Exempt per Field Inspector OFF
<br /> Complete Luminaire Description a Design Watts ARCHITECTURE
<br /> 0 Item Tag (Track)Fixture&Color Change luminaire determined luminaires4140.6(a)3 Electrical,Mechanical,Telephone Manual ON/
<br /> � N Pass Fail Electrical Room Exempt Occ.Sensor NA NA ❑ ❑ ❑
<br /> +� a C.COMPLIANCE RESULTS Rooms OFF D I 0
<br /> U L2/E 2x2 LED Flat Panel ❑ ❑ 30 Mfr.Spec' 18 ❑ 540 ❑ ❑
<br /> Table Instructions:If any cellon this table says"DOES NOT COMPLY"or"COMPLIES with Exceptional Conditions"refer to Table D.for guidance. x *NOTES:Controls with a*require a note in the space below explaining how compliance is achieved. 13
<br /> o a L3 16"LED Surface ❑ ❑ 26 Mfr.Spec 1 ❑ 26 ❑ ❑
<br /> _ Allowed Lighting Power per 140.11 b (Watts) Adjusted Lighting Power per§140.6fa)(Watts) Compliance ResultsEX:Conference 1:Primary/Skylight Daylighting:Exempt because less than 120 watts of general lighting; Plan Sheet Showing Daylit Zones:
<br /> 0 Lighting in L8 Ceiling LED ❑ ❑ 13 Mfr.Spec, 1 ❑ 13 ❑ ❑ EXCEPTION 1 to§130.1(W2
<br /> 0 01 02 03 04 05 06 07 08 09 E1.01
<br /> conditioned and Total Designed Watts CONDITIONED SPACES: 579
<br /> unconditioned Area Category
<br /> U Adjustments Restroom only one fixture in restroom
<br /> 0
<br /> Complete Tailored Total PAF Control Total Ad usted Electrical Room ort! one fixture in electrical room
<br /> C a) spaces must not Area Category Additional ? 1 r Y f
<br /> 0 +' Building §140.6(c)3 = Total Allowed Designed Credits = (Watts) 05Mustbe?08 FOOTNOTE:Design Watts forsmali aperture and color changing luminaires which qualify per§I40.6(a146 is adjusted to be 75%of their rated wattage. Table Fautomatically
<br /> C be combined for §140.61c)2 §140.6(c)2G * makes this adjustment,the permit applicant should enterfull rated wattage in column 05.
<br /> §140.61ci1 {�} (Watts) [Watts] §140.6(a)2 Includes 140.6 ! p pp f g
<br /> 0 L_ compliance per 'Authority g Y f f g f P P §130.01c) 4 f
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<br /> Autharit Navin Jurisdiction may ask or Luminaire cut sheets to confirm wattage used or compliance perWatts a used must be the maximum ratedfor the
<br /> [-) Adjustments p I.LIGHTING POWER ALLOWANCE:COMPLETE BUILDING OR AREA CATEGORY METHODS ® 1001 SE SANDY BLVD, SUITE 100
<br /> o � 140.6 b 1. luminaire,not the tamp,(See Table I) (See Table I) (See Table J) (See Table KJ (See Table F) (See Table P) Table Instructions:Complete the table or each area complyingusing the Complete Building or Area Category Methods per 140.6i(b). indicate i additional lighting ower
<br /> 0 Conditioned: 714.3 = 714.3 > 579 - 579 COMPLIES p f g p g g Y p § f g gp PORTLAND, OR 97214
<br /> i allowances per 140.6 c or adjustments per 140.6 a are being used.
<br /> +' 0 unconditioned: _ - V. 503.552.9079
<br /> 0 -0 Table Continued Conditioned Spaces F. 503.241.7055
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<br /> 0 WWW.GNICHARCH.COM
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<br /> 02. 14.2020
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<br /> Cl STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> 0Indoor Lighting Indoor Lighting Indoor Lighting
<br /> (n NRCC-LTI-E(Created 11/19) CALIFORNIA ENERGY COMMISSION IM NRCC-LTI-E(Created 11/19) CALIFORNIA ENERGY COMMISSION NRCC-LTI-E(Created 11/19) CALIFORNIA ENERGY COMMISSION 31
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTI-E1 ICERTIFICATE OF COMPLIANCE NRCC LTI CERTIFICATE OF COMPLIANCE NRCC-LTI-E t 't
<br /> Project Name: Dutch Bros-Manteca,CA Report Page: Page 4 of 71 Project Name: Dutch Bros-Manteca,CA lReport Page: Page 5 of 7 Project Name: Dutch Bros-Manteca,CA Report Page: Page 6 of 7 FCP
<br /> -U0 Project Address: 1105W.Yosemite Ave JDate Prepared: 01.29.2020 Project Address: 1105W.Yosemite Ave jDate Prepared: 01.29.2020 Project Address: 1105W.Yosemite Ave JDate Prepared: 01.29.2020 C q p
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<br /> 01 02 03 04 05 06 Q.RATED POWER REDUCTION COMPLIANCE FOR ALTERATIONS U.DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE 10EXP.sl3(6/3017-0L_ Allowed Allowed Additional Allowances/ This Section Does Not Apply 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 3r
<br /> p Complete Building or Area Category Area
<br /> Area Description Density a Wattage Adjustment 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 �CTP!-'��
<br /> ai E Primary Function Area 2 (ft ) cce tante Test Technician Certi ication Provider eSp E�
<br /> 0 � (W/ft ) (Watts) Area Category PAF R.80%LIGHTING POWER FOR ALTERATIONS-CONTROLS EXCEPTIONS p f (ATTCP).For more information visit:httn://www.energy.ca.govLtitle24/attcplproviders.htmi Ot(.
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<br /> C0 0 Kitchen Kitchen,Food Preparation 0.95 698 663.1 El EliThis Section Does Not Apply Field Inspector
<br /> t Restroom Restroom 1 0.65 56 36.4 11 1:1YES NO Form/Title Pass Fail
<br /> S.DAYLIGHT DESIGN POWER ADJUSTMENT FACTOR(PAF)
<br /> 0 Electrical Roam Electrical,Mechanical,Telephone Rooms 0.4 37 14.8 ❑ ❑ (0 ( NRCA-LTI-02-A-Must be submitted for occupancy sensors and automatic time switch controls. ❑ ❑
<br /> 0' TOTAL: 791 714.3 See Tables J or P for detail This Section Does Not Apply
<br /> C (0 NRCA-LTI-03-A-Must be submitted for automatic daylight controls. ❑ ❑
<br /> � T
<br /> O T.DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION ( 1 (i NBCA-LTi-04-A-Must be submitted for demand responsive fighting controls. El El
<br /> U U
<br /> J.ADDITIONAL LIGHTING ALLOWANCE:AREA CATEGORY METHOD QUALIFYING LIGHTING SYSTEM Table Instructions:Selections have been made based on information provided in previous tables of this document.!f any selection needs to be changed,please explain why in ( (t N RCA-LTI-05-A-Must be submitted for institutional tuning power adjustment factor(PAF). 1:1 ❑ _
<br /> 0 Table E.Additional Remarks.These documents must be provided to the building inspector during construction and con be found online at httas://ww2.eneray.co.aov/ (' 1 (0 NRCA-ENV-03-F-Must be submitted for daylighting design power adjustment factors(PAF), ❑ ❑
<br /> o This Section Does Not Apply title24 2019standards 2019 compliance documents Nonresidential DocumentsINR
<br /> 0
<br /> 0 K.TAILORED METHOD GENERAL LIGHTING POWER ALLOWANCE g Field Inspector
<br /> N YES NO Form/Title
<br /> -0 o This Section Does Not Apply Pass Fail n,
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<br /> E 0- t f NRCI-LTI-01-E-Must be submitted for all buildings ❑ ❑ L N
<br /> L.ADDITIONAL LIGHTING ALLOWANCE:TAILORED WALL DISPLAY 0 m
<br /> 0 NRCI-LTI-02-E-Must be submitted for a lighting controls stem,or for an Ener Management Control System EMCs to be ❑ 1:1
<br /> � v This Section Does Not Apply � � g g Y Energy g Y ( ),
<br /> 0 recognized for compliance.
<br /> C 6 M.ADDITIONAL LIGHTING ALLOWANCE:TAILORED FLOOR AND TASK LIGHTING (- NRCI-LTI-04-E-Must be submitted for two interlocked systems serving an auditorium,a convention center,a conference ❑ ❑ Tn
<br /> This Section Does Not Apply
<br /> room,a multipurpose room,or a theaterto be recognized for compliance. �JJ
<br /> t J C 4 N RCI-LTI-05-E-Must be submitted for a Power Adjustment Factor(PAF)to be recognized for compliance. ❑ ❑
<br /> J
<br /> � N.ADDITIONAL LIGHTING ALLOWANCE:TAILORED ORNAMENTAL/SPECIAL EFFECTS � (-. ro NRCI-LTI-06-E-Must be submitted for additional wattage installed in a video conferencing studio to be recognized for ❑ ❑
<br /> C This Section Does Not Apply compliance. O
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<br /> Crn O.ADDITIONAL LIGHTING ALLOWANCE:TAILORED VERY VALUABLE MERCHANDISE m /�
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<br /> L 0 CERTIFICATE OF COMPLIANCE NRCC-LTI-E �� U U
<br /> Project Name: Dutch Bros-Manteca,CAReport Page: Page 7 of 7 Q) , ` 0
<br /> 0 Project Address: 1105W.Yosemite Ave Date Prepared: 01.29.2020 0 V) v 0,
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<br /> C 3 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT ® ^ ` m � J L
<br /> 0 I certify that this Certificate of Compliance documentation is accurate and complete , • O Q)
<br /> oDocumentation Author Name: Dan Conrad Documentation Author Signature: U '� m
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<br /> E <- Company: Case Engineering Inc. Signature Date: 02.14.2020O i
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<br /> 0 Address: 79fi Merus Ct. CEA/HERS Certification Identification[if applicable): 0 a
<br /> Q) City/State/Zip: St.Louis,MO 63026 Phone: 314.349.1600
<br /> 0 RESPONSIBLE PERSON'S DECLARATION STATEMENT
<br /> I certify the following under penalty of perjury,under the laws of the State of California:
<br /> 0 N 1.The information provided on this Certificate of Compliance is true and correct. ISSUED FOR PERMIT.
<br /> U 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 02. 17 4.2 0
<br /> vi T Compliance(responsible designer)
<br /> (7) a 3.The energy features and performance specifications,materials,components,and manufactured devices for the building design or system design identified on this
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<br /> .> Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations.
<br /> 00 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 /> > 0 compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application.
<br /> 0 S. 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
<br /> U 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
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<br /> 0 documentation the builder provides to the building owner at occupancy.
<br /> DATE: DESCRIPTION:
<br /> Responsible Designer Name: Dan Conrad Responsible Designer Signature: p0 �r31s
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<br /> Company: Case Engineering Inc. Date Signed: 02.14.2020
<br /> Cn -0 Address: 796 Merus Ct. License: E-17866
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<br /> = CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:httn://www.energy.ca.goy/title24/2019standards November 2019
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