|
STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> Indoor Lighting ® Indoor Lighting Indoor Lighting
<br /> NRCC-LTI-E(Created 10/20) CALIFORNIA ENERGY COMMISSION NRCC-LTI-E(Created 10/20) CALIFORNIA ENERGY COMMISSION NRCC-LTI-E(Created 10/20) CALIFORNIA ENERGY COMMISSION
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTI-E CERTIFICATE OF COMPLIANCE NRCC-LTI-E ICERTIFICATE OF COMPLIANCE NRCC-LTI-E Dn n D
<br /> This document is used to demonstrate compliance with requirements in 110.9 §110.12(c), 1§ 30.0. 130.1 140.6 and§141.0(b)2 for indoor lighting scopes using the Project Name: Dutch Bros-Ripon,CA lReport Page: Page 2 of 7 IProject Name: Dutch Bros-Ripon,CA Report Page: Page 3 of 7
<br /> prescriptive path. Project Address: 1220 Colony Road Ripon,CA 95366 JDate Prepared: 01.05.2021 lProject Address: 1220 Colony Road Ripon,CA 95366 Date Prepared: 01.05.2021
<br /> JProject Name: Dutch Bros-Ripon,CA lReport Page: Page 1 of 7
<br /> Controls Compliance See Table H for Details COMPLIES with Exceptional Conditions G.MODULAR LIGHTING SYSTEMS
<br /> Q Project Address: 1220 Colony Road Ripon,CA 95366 Date Prepared: 01.05.2021 p ( ) p
<br /> U) Rated Power Reduction Compliance(See Table Q for Details) Not Applicable This Section Does Not Apply
<br /> A.GENERAL INFORMATION p
<br /> 01 Project Location(city) Ripon 04 otal Conditioned Floor Area(ft2) 792 D.EXCEPTIONAL CONDITIONS H.INDOOR LIGHTING CONTROLS(Not Including PAFs)
<br /> 02 Climate Zone 12 05 otal Unconditioned Floor Area(ft2) This table is auto filled with uneditab/e comments because of selections made or data entered in tables throughout the form. 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 /> LL 1 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 /> oOffice Retail Warehouse Hotel/Motel School Support Areas Table H Indoor Lighting Controls Permit Applicant Notes:
<br /> a ❑ ❑ ❑ ❑ ❑ ❑ pp Building Level Controls
<br /> Parkin Garage High-Rise Residential Relocatable Healthcare Restroom:Only one fixture in RR
<br /> ❑ g g ❑ ❑ ❑ ❑✓ Other(write in): Restaurant 03 02 03
<br /> � Electrical Room:Only one fixture
<br /> B.PROJECT SCOPE Mandatory Demand Response Shut-Off Controls Field Inspector
<br /> Apo
<br /> v §110.12(c) §130.1(c.) Pass Fail
<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
<br /> 140.6 or§141.0(b)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 ❑ ❑
<br /> 0 calculation method,please open a new form or use"Save As". This table includes remarks made by the permit applicant to the Authority Having Jurisdiction. Area Level Controls
<br /> Scope of Work Conditioned Spaces Unconditioned Spaces 04 05 06 07 08 09 10 11 12
<br /> 01 02 1 03 04 05 Multi-Level Shut-Off Primary/Skylit Secondary Interlocked
<br /> Complete Building or Area Category Area Controls Field Inspector
<br /> o My Project Consists of(check all that apply): Calculation Method Area(ft2) Calculation Method Area(ft2) Area Description Controls Controls Daylighting Daylighting Systems
<br /> o F.INDOOR LIGHTING FIXTURE SCHEDULE ,II Primary Function Area §130.1(a)
<br /> `m ❑✓ New Lighting System Area Category 792 �! §130.1(b) §130,1(c) §130,1(d) §140.6(d) §140.6Call Pass Fail
<br /> Table Instructions:Include all permanent designed lighting and all portable lighting in offices. Manual ON/
<br /> U) Food Prep Kitchen,Food Preparation Dimmer Occ.Sensor Included NA ❑ ❑ El
<br /> `° ❑ Altered Lighting System Designed Wattage:Conditioned Spaces OFF
<br /> 01 02 03 04 05 06 07 08 09 10 Manual ON/
<br /> ca ica Restroom Restroom Exempt* Occ.Sensor NA NA ❑ ❑ ❑
<br /> Total Area of Work(ft2)1792 Name or Modular Small Aperture Watts per How Wattage is Total number Exempt per Field Inspector OFF
<br /> GNICH
<br /> Complete Luminaire DescriptionDesign Watts ARCHITECTURE
<br /> Item Tag (Track)Fixture&Color Change, luminaire, determined luminaires §140.6(a)3 Electrical,Mechanical,Telephone Manual ON/
<br /> Pass Fail Electrical Room Exempt* Exempt* NA NA ❑ ❑ ❑
<br /> C.COMPLIANCE RESULTS Rooms OFF
<br /> L2/E 2x2 Flat Panel LED ❑ ❑ 30 Mfr.SpecZ 17 E] 510 ❑ ❑
<br /> Table Instructions:l an cell on this table says"DOES NOT COMPLY"or"COMPLIES with Exceptional Conditions"refer to Table D. or guidance. * . 13
<br /> a�
<br /> f y y p f f g L3 Round LED ❑ ❑ 26 Mfr.SpecZ 1 ❑ 26 ❑ ❑ NOTES:Controls with a require a note in the space below explaining how compliance is achieved. S T U D I O
<br /> o Allowed Lighting Power per§140.6(b.)(Watts) Adjusted Lighting Power per§140.6(aJ(Watts) Compliance Results Z EX.Conference l:Primary/Skylight Dovlightinq:Exempt because less than 120 watts of generallightinq, Plan Sheet Showing Daylit Zones:
<br /> Lighting in 01 02 03 04 05 06 07 08 09 L8 Round LED ❑ ❑ 13 Mfr.Spec 1 ❑ 13 ❑ ❑ EXCEPTION 1 to§13-0.1(d)2 AN oREoov unniTE�uveiuTv COMPANY
<br /> E1.01
<br /> a conditioned and Total Designed Watts CONDITIONED SPACES: 549
<br /> � Adjustments Restroom Only one fixture in RR
<br /> unconditioned Area Category
<br /> Complete Tailored Total PAF Control Total Ad usted Electrical Room On/ one fixture
<br /> CL spaces must not p Area Category Additional t 1 , Y f
<br /> -o Building g 140.6 c 3 = Total Allowed Desi ned Credits = FOOTNOTE:Design Watts forsmall aperture and co/or changing luminaires which qualify per§140.6(a)48 is adjusted to be 75%of their rated wattage. Table F automatically
<br /> be combined for §140.6(c)2 §140.6(c)2G � a *I(Watts) 05 Mustbe208
<br /> §140.6 c 1 M (Watts) (Watts) §140.6(a)2 ncludes §140.6 makes this adjustment the permit applicant should enterfull rated wattage in column 05.
<br /> compliance per M O 'Authority HavingJurisdiction may askfor Luminaire cut sheets to confirm wattage usedfor compliance per 130.0(c)
<br /> §140.6(b)1. Adjustments Wattage used must be the maximum ratedfor the
<br /> 1.LIGHTING POWER ALLOWANCE:COMPLETE BUILDING OR AREA CATEGORY METHODS
<br /> luminaire,not the lamp.
<br /> o (See Table I) (See Table I) (See Table 1) (See Table K) (See Table F) (See Table P) 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 1001 S E SANDY BLVD, SUITE 100
<br /> 0 Conditioned: 700.05 = 700.05 >_ 549 = 549 COMPLIES allowances per 140.6 cl or adjustments per J149.6 a are being used. PORTLAND, OR 97214
<br /> Unconditioned: _ >_ _
<br /> Conditioned Spaces V. 503.552.9079
<br /> 0 Table Continued
<br /> � F. 503.241.7055
<br /> CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.energy.ca.goy/title24/2019standards October 2020 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.enerpv.ca.goy/title24/2019standards October 2020 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.enerpv.ca.goy/title24/2019standards October 2020 W W W.GN ICHARC H.COM
<br /> 01.13.21
<br /> STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> Indoor Lighting ® Indoor Lighting Indoor Lighting
<br /> NRCC-LTI-E(Created 10/20) CALIFORNIA ENERGY COMMISSION NRCC-LTI-E(Created 10/20) CALIFORNIA ENERGY COMMISSION JE NRCC-LTI-E(Created 10/20) CALIFORNIA ENERGY COMMISSION
<br /> CL
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTI-E CERTIFICATE OF COMPLIANCE NRCC-LTI-E CERTIFICATE OF COMPLIANCE NRCC-LTI-E ¢Eg;
<br /> o' Project Name: Dutch Bros-Ripon,CA lReport Page: Page 4 of 7 Project Name: Dutch Bros-Ripon,CA Report Page: Page 5 of 7 IProject Name: Dutch Bros-Ripon,CA Report Page: Page 6 of 7 Q�
<br /> 0 Project Address: 1220 Colony Road Ripon,CA 95366 Date Prepared: 01.05.2021 Project Address: 1220 Colony Road Ripon,CA 95366 Date Prepared: 01.05.2021 Project Address: 1220 Colony Road Ripon,CA 95366 Date Prepared: 03 052021
<br /> 76
<br /> o� 01 02 03 04 05 06 Q.RATED POWER REDUCTION COMPLIANCE FOR ALTERATIONS U.DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE Iii E 1786E
<br /> g Complete Building or Area Category Allowed Area 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 EXP.Bl3dl 22'
<br /> �r d
<br /> ;n Area Description Density z 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
<br /> o Primary Function Area (ft ) F
<br /> o (W/ft2) (Watts) IR.80%LIGHTING POWER FOR ALTERATIONS-CONTROLS EXCEPTIONS Acceptance Test Technician Certification Provider(ATTCP).Formore information visit.http://www.energy.ca.gov/title24lattcplprovid rrs.htmI S �ECTHICP t�
<br /> Area Category PAF (� T
<br /> Food Prep Kitchen,Food Preparation 0.95 683 648.85 ❑ 11This Section Does Not Apply Field Inspector S OF CF.41�0�
<br /> E Restroom Restroom 0.65 56 36.4 1:1 1:1 Pass Fail
<br /> YES NO Form/Title
<br /> E.Room Electrical,Mechanical,Telephone Rooms 1 0.4 37 14.8 1:1 ElS.DAYLIGHT DESIGN POWER ADJUSTMENT FACTOR(PAF)
<br /> O NRCA-LTI-02-A-Must be submitted for occupancy sensors and automatic time switch controls. ❑ ❑
<br /> X'
<br /> TOTAL-.1 776 700.05 See Tables J or P for detail FThisSection Does Not Apply
<br /> 0 NRCA-LTI-03-A-Must be submitted for automatic daylight controls. El 1:1ca
<br /> 775 T.DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION O 00 NRCA-LTI-04-A-Must be submitted for demand responsive lighting controls. ❑ ❑
<br /> o ij 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 Q (0) NRCA-LTI-05-A-Must be submitted for institutional tuning power adjustment factor(PAF). El Elo J.ADDITIONAL LIGHTING ALLOWANCE:AREA CATEGORY METHOD QUALIFYING LIGHTING SYSTEM
<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.11ww2.energy.ca.gov/ (� NRCA-ENV-03-F-Must be submitted for daylighting design power adjustment factors(PAF). El El
<br /> title24 2019standards 2019 compliance documents Nonresidential Documents NRC(
<br /> cm
<br /> K.TAILORED METHOD GENERAL LIGHTING POWER ALLOWANCE Field Inspector
<br /> YES NO Form/Title
<br /> This Section Does Not Apply Pass Fail
<br /> L.ADDITIONAL LIGHTING ALLOWANCE:TAILORED WALL DISPLAY no
<br /> O NRC(-LTI-01-E-Must be submitted for all buildings ❑ ❑ Q
<br /> This Section Does Not Apply O NRCI-LTI-02-E-Must be submitted for a lighting control system,or for an Energy Management Control System(EMCS),to beno ❑ ❑
<br /> recognized for compliance. O
<br /> o
<br /> M.ADDITIONAL LIGHTING ALLOWANCE:TAILORED FLOOR AND TASK LIGHTINGO NRCI-LTI-04-E-Must be submitted for two interlocked systems serving an auditorium,a convention center,a conference ❑ ❑ CV
<br /> w This Section Does Not Apply room,a multipurpose room,or a theater to be recognized for compliance. O 127
<br /> -oO C) NRCI-LTI-05-E-Must be submitted for a Power Adjustment Factor(PAF)to be recognized for compliance. ❑ ❑
<br /> YN.ADDITIONAL LIGHTING ALLOWANCE:TAILORED ORNAMENTAL/SPECIAL EFFECTS NRCI-LTI-06-E-Must be submitted for additional wattage installed in a video conferencing studio to be recognized for
<br /> o _ 0 110)
<br /> compliance.
<br /> El El
<br /> This Section Does Not Apply P
<br /> o O.ADDITIONAL LIGHTING ALLOWANCE:TAILORED VERY VALUABLE MERCHANDISE
<br /> This Section Does Not Apply O
<br /> 0
<br /> P.POWER ADJUSTMENT:LIGHTING CONTROL CREDIT(POWER ADJUSTMENT FACTOR(PAF)) N
<br /> This Section Does Not Apply O
<br /> U
<br /> LL
<br /> C
<br /> U
<br /> v CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.energy.ca.goy/title24/2019standards October 2020 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.enerpy.ca.goy/title24/2019standards October 2020 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.enerpv.ca.goy/title24/2019standards October 2020 z
<br /> (D 110^
<br /> Ci STATE OF CALIFORNIA O (� CV
<br /> -° M Indoor Lightingco `~ Ln
<br /> 7 7� r__10� NRCC-LTI-E(Created 10/20) CALIFORNIA ENERGY COMMISSION z L+_ V o 011
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTI-El O 0 0 U
<br /> E -o Project Name: Dutch Bros-Ripon,CA Report Page: Page 7 of 7 ( 1 v) O
<br /> Project Address: 1220 Colony Road Ripon,CA 95366 Date Prepared: 01.05.2021 �J
<br /> UN � m N
<br /> U) DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 0 C:
<br /> I certify that this Certificate of Compliance documentation is accurate and complete m U
<br /> oU �
<br /> ZD Documentation Author Name: Dan Conrad Documentation Author Signature: O U
<br /> O D cn
<br /> c w
<br /> o �, Company: Case Engineering Inc. Signature Date:
<br /> Address: 796 Merus Ct. CEA/HERS Certification Identification(if applicable): N Q L O i
<br /> N II.L..
<br /> �- m City/State/Zip: ST.Louis,MO 63026 Phone: 636.349.1600 C) C �
<br /> o RESPONSIBLE PERSON'S DECLARATION STATEMENT
<br /> I certify the following under penalty of perjury,under the laws of the State of California:
<br /> E 1.The information provided on this Certificate of Compliance is true and correct.
<br /> ISSUED FOR PERMIT:
<br /> o
<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 O 1 .1 .�OnL I 1
<br /> Compliance(responsible designer)
<br /> I I
<br /> 3.The energy features and performance specifications,materials,components,and manufactured devices for the building design or system design identified on this
<br /> iv
<br /> Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations.
<br /> g 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 /> o s
<br /> a' compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application.
<br /> 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 /> 0 o 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 /> ca documentation the builder provides to the building owner at occupancy. EV: DATE: DESCRIPTION:
<br /> o Responsible Designer Name: Dan Conrad Responsible Designer Signature: ESa
<br /> c
<br /> Company: Case Engineering Inc. Date Signed:
<br /> 0
<br /> 0 Address: 796 Merus Ct. License: E-17866
<br /> U
<br /> City/State/Zip: ST.Louis,MO 63026 Phone: 636.349.1600
<br /> EXR 6(30+
<br /> c5� 6CT0I .tQ
<br /> SHEET NAME:
<br /> o
<br /> w
<br /> 0
<br /> a
<br /> m
<br /> TITLE 24 INDOOR
<br /> co
<br /> co ELECTRICAL FORMS
<br /> c -
<br /> U) CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.energy.ca.goy/title24/2019standards October 2020
<br /> m SHEET NUMBER:
<br /> C*4SE
<br /> Engineering Inc.
<br /> 796 Merus Court T 636.349.1600 E5 . 01
<br /> m
<br /> c
<br /> a�
<br /> s
<br /> St.Louis,MO 63026 F 636.349.1730
<br /> 02020 DB Franchising USA,LLC
<br />
|