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STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> Indoor Lighting Indoor Lighting
<br /> NRCC-LTI-E lCreated 71181 CALIFORNIA ENERGY COMMISSION NRCC-LTI-E(Created 7118) CALIFORNIA ENERGY COMMISSION
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTI-E CERTIFICATE OF COMPLIANCE NRCC-LTI-E
<br /> Project Na me: Yummy Donuts-Lighting report Report Page: Page 5 of 6 This document is used to demonstrate compliance with requirements In 1§ I0.9, 1f 3RD. 13 30.1,k14a and14k 3.D[b]2 for indoor figh ring scopes using the prescriptive path.
<br /> Project Address: 3221 W Hammer Lane Pate Prepared: 4/24/201Project Name: Yummy Donuts-Lighting report Report Page: Page 1 of 6
<br /> Project Address: 3221 W Hammer Lane Date Prepared: 4/24/201
<br /> T.DECLARATION OF REQUIRED CERTIFICATES OF IN5T14LLATiDN
<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 A.GENERAL INFORMATION
<br /> Table E.Additional Remarks.These documents must be provided to the building inspector during construction and can befound online at htw.& 01 Project Location[city] Stockton 04 Total Conditioned floor Area(ftz) 1.819
<br /> www.eneW.co.govl2Ol5publicotfons,ICEC-400-2015-933Jappenfflccs&ormsllVRO 02 Climate Zone 12 05 Total Unconditioned Floor Area(ft2) 0
<br /> YES N4 Farm/TfYle Field Inspector 03 Occupancy Types Within Project(select all that apply): 06 IN of Stories(Habitable Above Grade) 1
<br /> Pass Fail ❑ Office ❑ Retail ❑ Warehouse ❑ Hotel/Motel ❑ School 0 Support Areas
<br /> ❑ Parking Garage E] High-RiseResidential ❑ Relocatable 0 Other(write in):
<br /> NRCI-LTI-01-E-Must be submitted for all buildings El ❑
<br /> B.PRO]ECTSCOPE
<br /> NRCgnIze for
<br /> -Must be submitted for a lighting control system,or for an Energy Management Contra!System{FMCS},to be Table instructions:include an Ir hrin s sterns that are within the scope o the perm application and are compliance using the prescriptive ath outfinedin
<br /> r recognized for avmpliance. ❑ ❑ Y ,g g y Pe f p pG g p ng' p p p
<br /> 4240.6 or§.141,OW2foralterations. WARNING:Changing the Calculation Method in this table will result in the deletion of data previously input. if you need to change the
<br /> NRCI-LTI-03-E-Must be submitted for a Eine-voltage track lighting integral current limiter,or for a supplementary overcurrent ❑ ❑ calculation method,please open a newform a use"So veAs".
<br /> prote ctlon panel used to energize only line-voltage track lighting,to be recognized for compliance. Scope of Work Conditioned Spaces Unconditioned Spaces
<br /> N RC I-LTI-04-E-Must be submitted for two Interlocked systems serving an auditorium,a convention center,a conference 01 02 03 04 05
<br /> room,a multipurpose room,or a theater to be recognized for compliance. L1 L1My PrejectCons ists of(check all that apply): Calculation Method Area(ftz) Calculation Method Area(ftz)
<br /> 0 f N RC I-LTI-05-E-Must be submitted for a Power Adjustment Factor{PAF}to be recognized for Compliance. ❑ ❑ ❑J New Lighting System Area Category 1,819 Area Category 0
<br /> NRCI-LTI.06-E-Must be submitted for additional wattage installed In a video conferencing studio to be recognized for Add Parking Gar Bid. thud Remove Parking Garage
<br /> 70 It(i pliance. ❑ ❑
<br /> E]Altered LightfngSystem
<br /> COmAdM Remove Last Altered System
<br /> U.DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE Total Area of Work(itz}, 1,819 0
<br /> Table Instructions:Selections have been made based an information provided in previous tables of this document.if any selection needs to be changed,please explain why in C.COMPLIANCE RESULTS
<br /> Table E.Additional Remo rks.These documents must be provided to the building inspector during construction and must be completed through onAcceptonce Tesr Technician Table instructions:If any cell on this table says"DOE5 NOT COM PLY"or"COMPLIES with Exceptional Con ditions"r efer to Table D.for guidance.
<br /> Certlfirntfon Provider(RTTCP). For more information visit:http:j/www.energy.ca..,gvvltji(e24[a..ttcpJprpvfders.htmf Allowed Lighting Power per 6140.61b)(Watts) Actual Lighting Power per 140.6 a (Watts) Compliance Results
<br /> ligh tiny in 01 02 03 04 05 06 07 08 09 10
<br /> YES NO Form/Title Field Inspector conditioned and Area Adjustments
<br /> Pass Fail unconditioned
<br /> spaces must ria[ Complete Area Category Tailored a Total Portable PAF Control Total Actual
<br /> 66 { NRCA-LTI-02-A-Must be submitted for occupancy sensors and automatic time switch controls. [] ❑ Building Category Total Footnotes 6140.6163 = Designed Lighting Credits (Watts) 05 Must be209
<br /> be combined for Allowed
<br /> compiiance per 4140.6fc12 k140,6(c)2G (+} (Watts) §140.6(a 140.5 a 2 *Includes 140.6
<br /> G!' C' NBCA-LT I-03-A-Must be submitted for automatic daylight controls. El E] (+] [Watts]
<br /> s140.6fba1. Adjustments
<br /> H (-) j
<br /> ( 4 NRCA-LT I-04-A-Must be submitted for demand respans ive lighting controls. El [] (See Table 1) (See Table I) (See Table K) (See Table L) (See Table F) (See Table J) (See Table R)
<br /> Condldvned: 1,871.4 = 1,871.4 z 1,176 15,6 - 1,160.4 COMPLIES
<br /> C NRCA-LTI-05-A-Must be submitted for institutional tuning power adjustment factor(PAF). ❑ ❑ Unconditioned: j = _
<br /> Controls Compliance(See Table H for Dote Is) COMPLIES
<br /> Rated Power Reduction Compliance(See Table S for Data is) Not Applicable
<br /> CA Building Energy Efficiency Standards-2016 Nonresidential Compliance:httpJlwww,energy.ca.67ovltitle24/2015standards July 2018 CA Building Energy Efficiency Standards-2015 Nonresidential Compliance:httpjlwww.energy.ca.gov/title24/2015standards Juiy 2018
<br /> STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> Indoor Lighting Indoor Lighting
<br /> NRCC-LTI-E(Created 7118) CALIFORNIA ENER GY COM MISSION NRCC-LTI-E{Created 7118} CALIFORNIA ENERGY COMMISSION
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTI-E CERTIFICATE OF COMPLIANCE NRCC-LTI-E
<br /> Project Name: Yummy Donuts-Lighting report Report Page: Page 6 of 6 Project Name: Yummy Donuts-Lighting report Report Page: Page 2 of 6
<br /> Project Address: '3221 W Hammer Lane Date Prepared: 4/24/201
<br /> Project Address: 3221 W Hammer Lane Date Prepared: 4/24/2019
<br /> DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 6i D.EXCEPTIONAL CONDITIONS
<br /> Documentation Author Name: Tailored Ener and Testing Services Ltd Documentation Author Signature:Kevin Laughton oiewr>ceeor Pon even This tablets auto flNed with r neditable comments because of selections made or data entered in tables throughout theform.
<br /> $y O g a.t.:N194CMA 9:.T.O0 K'
<br /> Company: Kevin Laughton Signature Date: Na exceptional conditions apply to this project.
<br /> Address: 548 Market St#30051 CEA/HERS Certification Identification(if applicable):
<br /> City/State/Zip: San Francisco, Ca Phone: 1 888 310 0808 E.ADDITIONAL REMARKS
<br /> RESPONSIBLE PERSON'S DECLARATION STATEMENT This table includes remarks made by the permit applicant to the Authority Having Jurisdiction.
<br /> 1 certify the follow Ing 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 torrect.
<br /> 2.1 am eligible under Division 3 of the Business and Profess Ila ns Code to accept responsibility far the building design a system design identified an this Certificate of
<br /> Compliance(responsible designer) F.INDOOR LIGHTING FIXTURE SCHEDULE
<br /> 3.The anergy features and performance specifications,materials,eomponants,and manufactured devices forthe building design or system design identified on this Table instructions:Include all permanent designed lighting and all portable lighting in offices.
<br /> Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations. 01 02 03 04 05 06 07 08 09
<br /> 4 The building design features or system design features identified on this Certificate of Compiiance are consistent with the information provided on other appIicah le Name or Specialized Luminaire Types Watts per How Wattage is Total number Exempt per Field Inspector
<br /> compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency forapproval with this building permit application. Item Ta Complete Luminaire Description Track Portable luminaire' determined luminaires Design Watts
<br /> Tag � Pass Fail
<br /> 5.1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permits)issued for the building,and made available A A ❑ ❑ 62 NA8 Default 10 ❑ 620 ❑ ❑
<br /> to the enforcement agency forall 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 buildingowner atoccupancy. B B ❑ ❑ 69 Mfr.Spec' 4 ❑ 276 ❑ ❑
<br /> Responsible Designer Name: Responsible Designer Signature: C C ❑ ❑ fit NAS Default Z ❑ 124 ❑ ❑
<br /> p D El E] 26 NAB Default 6 11 156 11 ElCompany: Date Signed:
<br /> Tota]Designed Watts CONDITIONED SPACES: 1,176
<br /> Address: License: Reset vv I Re-ave Last
<br /> City/State/"1ip: , Phone- 'NOTES:Authority Having Jurisdiction may ask for Luminaire cut sheets to confirm wattage used for compliance per 130.0 c Wattage used must be the maxim um rated far th e
<br /> luminaire,not the lamp.
<br /> G.TRACK LIGHTING
<br /> This Section Does Not Apply
<br /> H.INDOOR LIGHTING CONTROLS(Not Including PAFs)
<br /> Table instructions: BulIdIng Level Controls
<br /> Please include lighting controls for condltfoned and unconditioned 01 02 03
<br /> spaces in this table.When an option having a'is selected the notes Mandatory Demand Response Shut-off Controls Field Inspector
<br /> section of this table must be completed.The ilghtfng controls section
<br /> of the Compliance Summary Table on thefirstpage will show"DOES §134 1IeJ §130.1(c] Pass Fail
<br /> NOT COMPLY"if the notesare left blank. Not Required c 10,000 SF U1 Whole Building:Automatic Time Switch I ❑ ❑
<br /> Area Level Controb
<br /> Table Continued
<br /> CA Building Energy Efficiency Standards-2016 Nonresidential Compliance:httpJ/www.energy.ca.gov/title24/2015standards July 2018 CA Building Energy Efficiency Standards-2016 Nonresidential Compliance:httpjlwww.energy.ca.67ov/title24/2M5standards July2018
<br /> STATE OF CALIFORNIA
<br /> Indoor Lighting
<br /> NRCCATI-E{Created 71181 CALIFORNIA ENERGY COMMISSION
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTI-E
<br /> Project Name: Yummy Donuts-Lighting report Report Page: Page 3 of 6
<br /> Project Address: 3221 W Hammer Lane IDate Prepared: 4/24/201
<br /> 134 05 06 07 08 09 10 11 12
<br /> Multi-Level Shut-Off Primary/Skylit Secondary Interlocked
<br /> Area Description Complete Building or Area Category Area Controls Controls Controls Daylighting Daylightfng Systems Field inspector
<br /> Primary Function Area RN-1w 13§ 0 11b) 13§ 0.1[c13§ 0.1(d} 14§ 0.6L) 14§ 0.5La)l Pass Fail
<br /> Food Prep OManuel ON/OU Dimmer 0 OccSensor 0 Included 0 Included 0 ❑ ❑ [❑
<br /> Dining E]ManualON/OR]I Dimmer E]l OccSensor 0 Included E]l Included E] ❑ ❑ ❑
<br /> Restroom/Support 0 Manual ON1OFLv]1 Dimmer H1 OccSensor © Included H1 Included 0 E] ❑ ❑
<br /> *NOTES:Controls with a*require a note in the space below explaining how compliance is achieved, 13
<br /> EX.Conference 1:Prim ary/SkylfghrDaylighring.Exempt beco ase less than 120 watts of general figh ring, Plan Sheet Showing DaylitZones:
<br /> EXCEPTI ON 1 to 130.1 Id 2
<br /> Reset Add R Pm-- Remove Last
<br /> I.LIGHTING POWER ALLOWANCE:COMPLETE BUILDING OR AREA CATEGORY METHODS
<br /> Table instructions:Complete the table far each area aomplyfng using the Complete Building or Area Category Methods per1§ 40.fiu, Indicate if additional lighting power
<br /> aflowances per 140 or adjustments per§249 6iaJ are being used.
<br /> Conditioned Spaces
<br /> Ol 02 03 04 05 06
<br /> Complete Building or Area Category Allowed Density Area Allowed Wattage Additional Allowances/Adjustments
<br /> Area Description Primary Function Area (W/W) (ft2) (Watts) Footnotes AAF Portable Ltg
<br /> Food Prep Kitchen,Food Preparation 0 1.2 800 960 [ ❑ ❑
<br /> Dining Dining 0 1 750 750 ❑ Q ❑
<br /> Restroom Corridor,Restrm,Stair,Support Q 0.6 269 161.4 ❑ ❑ ❑
<br /> TOTAL-1 1,819 1,871.4 See Tables J,K,R for detail
<br /> Reset WL0dft4E
<br /> J.POWER ADJUSTMENT'PORTABLE LIGHTING IN OFFICES
<br /> This Section Does Not Apply
<br /> K.ADDITIONAL LIGHTING ALLOWANCE:AREA CATEGORY METHOD FOOTNOTES
<br /> This Section Does Not Apply
<br /> L TAILORED METHOD GENERAL LIGHTING POWER ALLOWANCE
<br /> This Section Does Not Apply
<br /> CA Building Energy Efficiency Standards-2016 Nonresidential Compliance:httpJlwww.energy.ca.gov/title24/2016standards July 2018
<br /> STATE OF CALIFORNIA
<br /> Indoor Light(ng
<br /> NRCC-LTI-E(Created?;1°: CALIFORNIA ENERGY COMMISSION
<br /> CERTIFICATE OF COMPLIANCE LIANCE NRCC-LTI-E
<br /> Project Name: yummy Donuts-Lighting report lReport Page: Page 4 of 6
<br /> Project Address: 3221 W Hammer Lane pate Prepared: 4/24/201
<br /> M.ADDITIONAL LIGHTING ALLOWANCE:TAILORED SPECIAL FUNCTION AREAS
<br /> This Section Does Not Apply
<br /> N.ADDITIONAL LIGHTING ALLOMfANCE:TAILORED WALL DISPLAY
<br /> This Section Does Not Apply
<br /> O.ADDITIONAL LIGHTING ALLOWANCE:TAILORED FLOOR AND TASK LIGHTING
<br /> This Section Does Not Apply
<br /> P.ADDITIONAL LIGHTING ALLOWANCE:TAILORED ORNAMENTAL/SPECIAL EFFECTS
<br /> This Section Does Not Apply
<br /> Cl,ADDITIONAL LIGHTING ALLOWANCE:TAILORED VERY VALUABLE MERCHANDISE
<br /> This Section Does Not Apply
<br /> R.POWER ADJUSTMENT:LIGHTING CONTROL CREDIT(PAF)
<br /> Table Instructions:Please complete the table for all areas Indicated in Table I or Table L as using a PAF credit described in§140.6iaJ2.
<br /> Conditioned Spaces
<br /> 01 02 03 04 D5 06 07
<br /> PAF per§140.6(a)2 Luminaires Controlled for PAF Credit
<br /> (*Can be used In conjunction with other PAF's) Control Credit
<br /> Area Description 1 2A 2B 2C 3A" 3B' 4• Luminaire Name Watts per #of Lighting Power Adjustment
<br /> or Item Tag Luminaire Luminaires Controlled [Watts)
<br /> Pick up to one Pick up to one I (watts)
<br /> Dining VE11 ❑ ❑ ❑ 1 ❑ 1 ❑ I D Q 26 6 156 15.6
<br /> Reset mina!` move
<br /> O8
<br /> Total Power Adjustment(Watts)CONDITIONED SPACES: 15.6
<br /> 5,RATED POWER REDUCTION COMPLIANCE BY SPACE
<br /> This Section Does Not Apply
<br /> CA Building Energy Ef mencyStandards-2016 Nonresidential Compliance7 http://vN,w.energy-ca-gov/titleZ4/2015standards 1u;2018
<br /> LIGHTING REPORT ENGINEER CONTRACTOR TENANT OWNER JURISDICTION
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