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STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> Outdoor Lighting Outdoor Lighting Outdoor Lighting
<br /> NRCC-LTO-E(Created 11/19) CALIFORNIA ENERGY COMMISSION IM NRCC-LTO-E(Created 11/19) CALIFORNIA ENERGY COMMISS119 13 NRCC-LTO-E(Created 11/19) CALIFORNIA ENERGY COMMISS119 D
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTO-E CERTIFICATE OF COMPLIANCE NRCC-LTO-E ICERTIFICATE OF COMPLIANCE NRCC-LTO-E DD UU �Utl`/V
<br /> This document is used to demonstrate compliance with requirements in 110.9130.0 130.2 140.7 and§141.0(b)2L for outdoor lighting scopes using the prescriptive path. Project Name: Dutch Bros-Ripon,CA Report Page: Page 2 of 7 Project Name: Dutch Bros-Ripon,CA Report Page: Page 3 of 7
<br /> J Project Name: Dutch Bros-Ripon,CA lReport Page: Page 1 of 7 Project Address: 1220 Colony Road Ripon,CA 95366 jDate Prepared: 10.22.2020 lProject Address: 1220 Colony Road Ripon,CA 95366 Date Prepared: 10.22.2020
<br /> Project Address: 1220 Colony Road Ripon,CA 95366 JDate Prepared: 10.22.2020
<br /> Q _ D.EXCEPTIONAL CONDITIONS 'FOOTNOTES:Authority Having Jurisdiction may ask for Luminaire cut sheets to confirm wattage used for compliance per 130.0 c
<br /> A.GENERAL INFORMATION This table is auto filled with uneditable comments because of selections made or data entered in tables throughout the form. 'For linear luminaires,wattage should be indicated as W/lf instead of Watts/luminaire. Total linear feet for the luminaire should be indicated in column 05 instead of number of
<br /> cm
<br /> Ol JProject Location(city) IRipon 104 ITotal Illuminated Hardscape Area(ft2)1 35,000 luminaires.
<br /> 02 Climate Zone 12
<br /> Table F.indicates a dropdown selection with a*requiring a note describing the compliance approach,but no notes have been entered. 'Select New"for new luminaires in a new outdoor lighting project orfor added luminaires in an alteration. Select"Altered"for replacement luminaires in an alteration. Select
<br /> m 03 Outdoor Lighting Zone per Title 24.Part 1§10-114 or as designated by Authority Having Jurisdiction(AHI): Table F.Outdoor Lighting Fixture Schedule Permit Applicant Notes: "Existing to Remain"for existing luminaires within the project scope that are not being altered and are remaining. Select"Existing Reinstalled"for existing luminaires which are
<br /> LL being removed and reinstalled as part of the project scope
<br /> m LZ-0:VeryLow-Undevelo ed Parkland LZ-2:Moderate-Rural Areas LZ-4:High-Must be reviewed b CA Ener Commission for Approval NV:130.2(6) Exception 5:existing poles to remain,only Itg fixtures replace;n o
<br /> o ❑ P ❑ ❑ g y Energy Pp NV:null Compliance with mandatory cutoff requirements is required for luminaires with initial lumen output_>6,200 unless exempted by§130.2(6).
<br /> ❑ LZ-1:Low-Developed Parkland 1Z LZ-3:Moderately High-Urban Areas G.CUTOFF REQUIREMENTS(BUG) j
<br /> N B.PROJECT SCOPE E.ADDITIONAL REMARKS Table Instructions: Complete this table for fixtures of_>6,200 initial luminaire lumens indicated on Table F as needing to comply with Cutoff Requirements. Maximum lumens
<br /> Table Instructions:Include any outdoor lighting systems that are within the scope of the permit application and are demonstrating compliance using the prescriptive path This table includes remarks made by the permit applicant to the Authority Having Jurisdiction. can be found in Title 24,Part 11,Section 5.106.8.
<br /> 0 outlined in 1140.7 or§141.0U2L for alterations. 01 02 03 04 1 05 06 1 07 1 08 09 1 10 1 11 12
<br /> -C My project consists of: Field
<br /> CZ> Ol 02 Rarklieht RatingZ I 1plieht Rating, Gtarp Rating,
<br /> Inspector
<br /> F.OUTDOOR LIGHTING FIXTURE SCHEDULE Name or Complete
<br /> a ❑✓ New Lighting System Must Comply with Allowances from 140.7. Luminaire Max Backlight Max Uplight Max Glare
<br /> CD Table Instructions:For new or altered lighting systems demonstrating compliance with 1§ 40.7(ie Table/has expanded for inTag
<br /> put),include all luminaires being installed and any Item T
<br /> 3 E]Altered Lighting System Is your alteration increasing the connected lighting load(Watts)? CYes C No p Descri tion Mounting Height from Allowable Rating Allowable Rating Mounting Height Allowable Rating
<br /> d 03 04 05 existing luminaires remaining or being moved within the spaces covered by the permit application in the Table below. For altered lighting systems using the Existing Power Property line' Backlight Per Lighting Type Backlight Per from Property line' Glare Per Pass Fail
<br /> ED method per§141.0(b)2L(le Table N has expanded for input),include only new luminaires being installed and replacement luminaires being installed as part of the project scope a ; a
<br /> %of Existing Luminaires Being Altered' Sum Total of Luminaires Being Added or Altered Calculation Method Rating Design Rating Design Rating Design
<br /> -D (ie,do not include existing luminaires remaining or existing luminaires being moved).
<br /> m 'FOOTNOTES:%of Existing Luminaires Being Altered=(Sum Total of Luminaires Being Added or Altered/Existing Luminaires within the Scope of the Permit Application)x 100 Designed Wattage: >2 MH from property Front hemisphere
<br /> '5 Ol 02 03 04 05 06 07 08 09 10 NV Pole Light line No Limit BS Area Lighting UO U0 0.5-1 MH from G1 G1 El ElC.COMPLIANCE RESULTS prop line
<br /> Ia) Table Instructions:/f any cell on this table says"DOES NOT COMPLY"or"COMPLIES with Exceptional Conditions"refer to Table D.for guidance. Total Excluded Cutoff Req.a
<br /> > GNICH
<br /> Name or Watts per How Wattage is , 6,200 initial lumen Field Inspector , ARCHITECTURE
<br /> Calculation of Total Allowed Lighting Power(Watts)§140.7 or§141.0(b)2L Compliance Results Complete Luminaire Description number Luminaire Status per Design Watts FOOTNOTES: Mounting Height is labeled MH in this table
<br /> Item Tag luminairel z determined luminaires §140.7 a output P
<br /> > 01 02 03 04 05 06 07 08 09 ( ) , Authority having jurisdiction may ask for luminaire cut sheets or other documentation to confirm luminaire type,uptight ratings and glare ratings used for compliance per
<br /> §130_AbJPass Fail §130.2(b)
<br /> General U T 1 1 D I O
<br /> o Ornamental Per Sales Per Specific Existing NV Pole Light E] Linear 156 Mfr.Spec' 11 New El 1,716 Yes El El 'BUG ratings with a lower number than the'Max Allowable'are compliant.Ex.If Max Allowable is Bug Rating is B4,then B0,Bl,B2,B3 and B4 are all compliant. I
<br /> v Hardscape AN OREGON LIMITED LIABILITY COMPANY
<br /> + Arnliratinn + Frnntagp + + Arpa OR Pnwpr = Tntal Allnwpd > Tntal Artnal L7 Linear Canopy Linear 40 Mfr.Spec' 3 New 120 NA:<6,200 lumens
<br /> Allowance §140.71412 07 Must be PY ❑ p ❑ ❑ ❑ H.OUTDOOR LIGHTING CONTROLS
<br /> �i40.�.(d�z §.140,7.(dj2 §140.7(d)2 §141_Q(b�2L (Watts) (Watts) Li
<br /> §140.71dJ1 L6 Wallpack ❑ Linear 30 Mfr.Spec' 1 New ❑ 30 NA:<6,200 lumens ❑ ❑ Table Instructions: Complete this table demonstrating compliance with controls requirements for all new or altered luminaires installed as part of the permit application. For
<br /> Q (See Table 1) (See Table J) (See Table K) (See Table L) (See Table M) (See Table N) (See Table F) L9 Canopy Downlight ❑ Linear 12 Mfr.Spec' 4 New ❑ 48 NA:<6,200 lumens ❑ ❑ alteration projects,luminaires which are existing to remain(ie untouched)and luminaires which are removed and reinstalled(wiring only)do not need to be included in this table
<br /> 1,729.2 + 40 + 350 JORI 2,119.2 1 >_ 1,914 COMPLIES Total Designed Watts: 1,914 even if they are within the spaces covered by the permit application.
<br /> L Cutoff Compliance(See Table G for Details) COMPLIES *NOTES:Selections with a*require a note in the space below explaining how compliance is achieved. When an option having a*is selected,the notes section of this table must be completed.The lighting controls section of the Compliance Summary Table on the first page will
<br /> EX:Luminaire is lighting a statue;EXCEPTION 2 to 130.2 6. show"DOES NOT COMPLY"if the notes are left blank.For each requirement in columns 02 through 04,do not leave the field blank,instead select NA or Exempt*from the
<br /> m Controls Compliance(See TableHforDetails) COMPLIES g g p pp P 1001 SE SANDY BLVD, SUITE 100
<br /> a, dro down list to indicate not applicable or an exemption.
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<br /> Mandatory controls PORTLAND, OR 97214
<br /> N Table Continued
<br /> V. 503.552.9079
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<br /> 76 F. 503.241.7055
<br /> WWW.GNICHARCH.COM
<br /> CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:htto://www.energy.ca.gov/title24/2019standards November 2019 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:htto://www.energy.ca.goy/title24/2019standards November 2019 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:htto://www.energy.ca.gov/title24/2019standards November 2019
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<br /> a STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA
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<br /> Outdoor Lighting ® Outdoor Lighting ® Outdoor Lighting
<br /> c- NRCC-LTO-E Created 11/19) CALIFORNIA ENERGY COMMISS119 NRCC-LTO-E Created 11/19) CALIFORNIA ENERGY COMMISS119 NRCC-LTO-E Created 11/19) CALIFORNIA ENERGY COMMISS119
<br /> 0) CERTIFICATE OF COMPLIANCE NRCC-LTO-E CERTIFICATE OF COMPLIANCE NRCC-LTO-E CERTIFICATE OF COMPLIANCE NRCC-LTO-E FESS
<br /> c Project Name: Dutch Bros-Ripon,CA Report Page: Page 4 of 7 Project Name: Dutch Bros-Ripon,CA Report Page: Page 5 of 7 Project Name: Dutch Bros-Ripon,CA Report Page: Page 6 of 7
<br /> 15 Project Address: 1220 Colony Road Ripon,CA 95366 jDate Prepared: 10.22.2020 Project Address: 1220 Colony Road Ripon,CA 95366 jDate Prepared: 10.22.2020 Project Address: 1220 Colony Road Ripon,CA 95366 Date Prepared: 10.22.2020
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<br /> 01 02 03 04 05 01 02 03 04 05 06 07 O8 09 10 L.LIGHTING ALLOWANCE:ORNAMENTAL j
<br /> Shut-Off Auto-Schedule Motion Sensor Field Inspector
<br /> CALCULATED ALLOWANCE(Watts) DESIGN WATTS This Section Does Not Apply * EXP.Bl3t11 Z
<br /> ;n Additional
<br /> O Area Description ( p Application per Locations Table AllowanceExtra Luminaire Watts per #of Allowance
<br /> o §130.2(c)1 §130.2 c)2 §130.2(c)3 Area Description #of
<br /> U Pass Fail 140.7-8 per Location: Luminaire, Luminaires (Watts)Allowance Name or 3 Design Watts M.LIGHTING ALLOWANCE:PER SPECIFIC AREA
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<br /> a� Parking Arealtg Photocontrol Yes Yes 1:1 El This(Watts) Item Tag This Section Does Not Apply
<br /> Building Ltg Photocontrol Yes Yes El ElDrive Thru Drive up Window 1 50 50 L7 40 1 40
<br /> *NOTES:Controls with a'require a note in the space below explaining how compliance is achieved. Total Design Watts for this Area: 40 40 N.EXISTING CONDITIONS POWER ALLOWANCE(alterations only)
<br /> EX.Not permitted by health&safety to be turned off-EXCEPTION 1 to§130.2(c). This Section Does Not Apply
<br /> vi Total Allowance(Watts)All Areas:1 40
<br /> O.DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION J
<br /> o I.LIGHTING POWER ALLOWANCE(per 140.7 'FOOTNOTES:Primary entrance applications are only available for senior care facilities,healthcare facilities,police stations,hospitals,fire stations,and emergency vehicle Table Instructions: Selections have been made based on information provided in previous tables o this document. I an selection needs to be changed, lease explain why in
<br /> Q (p �) � f P P f f Y 9 P P Y
<br /> facilities. Table E.Additional Remarks. These documents must be provided to the building inspector during construction and can be found online at https://www.eneray.ca.gov/
<br /> -� Table Instructions:Please complete this table for areas using the of P 9� P 9
<br /> CZ z The Allowance per Location for ATMs is 100W for the first ATM and 35W for each additional per Table 140.7-8. title24 2019standards 2019 compliance documents Nonresidential DocumentsINR
<br /> CZ allowance calculations per 1§ 40.7. General Horoscope Allowance "Use it or lose it"Allowances(select all that apply)
<br /> s is per Table 140.7-A while"Use it or lost it"Allowances are per General For luminaires indicated in Table F as linear,wattage in column 07 is W/lf instead of Watts/luminaire. Total linearfeet for the luminaire should be indicated in column 08 Field Inspector
<br /> a)
<br /> E Table 140.7-B.Indicate which allowances are beinginstpnrl of niimhpr of l�iminnirpc_ YES NO Form/Title
<br /> used to ❑ Hardscape P Pass Fail
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<br /> expand sections or user input Luminaires that uali or one o Allowance ✓❑ Per Application ✓❑ Sales Frontage ❑ Ornamental ❑ Per Specific Area
<br /> P f P q fYf f K.LIGHTING ALLOWANCE:SALES FRONTAGE
<br /> a the"Use it or lose it"allowances shall not qualify for another"Use (�} (� NRCI-LTO-01-E-Must be submitted for all buildings. ❑ ❑ Q
<br /> Table Instructions:Please complete this table for areas using the wattage allowance for Outdoor Sales Frontage from Table-140.7-B. This allowance maybe used for one or two I
<br /> it or lose it"allowance. Table I(below) Table J Table K Table L Table M NRCI-LTO-02-E-Must be submitted for a lighting controls stem;or for an Ener Management Control System(EMCS),to be O
<br /> � rontage side(s)per site. g g Y Energy g Y
<br /> Calculated General Hardscape Lighting Power Allowance per Table 140.7-A(LZ 2&3) O recognized for compliance. ❑ O
<br /> 0
<br /> 02 03 04 05 06 07 08 01 02 03 04 05 06 07 08 09 09 10 Q�
<br /> CALCULATED ALLOWANCE(Watts) DESIGN WATTS i N
<br /> Area Wattage Allowance(AWA) Linear Wattage Allowance(LWA) Total General Additional P.DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE O GD
<br /> Area Description Surface Type Illuminated Allowed Density Area Allowance Perimeter Allowed Density Linear Allowance AWA+LWA Area Description Luminaire Q
<br /> p yp ty y P Linear ft.of Sales Allowed Density Extra Allowance Watts per , Allowance 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 /> `° Area(ft') (W/ft') Watts Length If (W/If) Watts (Watts) Frontage(If) (W/If) (Watts) Name or Luminaire' #of Luminaires Design Watts (Watts) Cn
<br /> Y ( ) ( / ) ( ) g ( ) ( / ) ( ) ) Item Tag Table E.Additional Remarks.These documents must be provided to the building inspector during construction and must be completed through an Acceptance Test Technician
<br /> o Parking Area Concrete 35,000 0.03 1,050 823 0.4 329.2 1,379.2 Building 1,873 19 35,587 L7 40 8 320 Certification Provider(ATTCP). For more information visit:htto://www.enerov.ca.aov/title24/attco%roviders.html
<br /> L6 30 1 30
<br /> Field Inspector
<br /> YES NO rorm/Title
<br /> d Initial Wattage Allowance for Entire Site(Watts): 350 'FOOTNOTES:For luminaires indicated in Table F as linear,wattage in column 06 is W//f Pass Fail O
<br /> Total General Hardscape Allowance(Watts): 1,729.2 'nstead of Watts/luminaire. Total linear feet for the luminaire should be indicated in column Total Design Watts for this Area: 350 350 O NRCA LTO-02-A-Must be submitted for all outdoor lighting controls except for alterations where controls area added to<20
<br /> 7instead ofnumberofluminaires. luminaires. El 0
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<br /> 0
<br /> J.LIGHTING ALLOWANCE:PER APPLICATION vv
<br /> Table Instructions:Please complete this tablefor areas using the wattage allowance per application from Table-140.7-8. Total Allowance(Watts)All Areas: 350
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<br /> a, Table Continued
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<br /> rj CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:htto://www.energy.ca.gov/title24/2019standards November 2019 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:htto://www.energy.ca.goy/title24/2019standards November 2019 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:htto://www.energy.ca.gov/title24/2019standards November 2019
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<br /> Outdoor Lighting 4-
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<br /> O CALIFORNIA ENERGY COMMISSION � / 1
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<br /> ;v NRCC-LTO-E(Created 11/19) \.l
<br /> M CERTIFICATE OF COMPLIANCE NRCC-LTO-E /O� O
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<br /> a Project Name: Dutch Bros-Ripon,CA Report Page: Page 7 of 7
<br /> Project Address: 1220 Colony Road Ripon,CA 95366 Date Prepared: 10.22.2020 r ' cn 0, � t j V
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<br /> DOCUMENTATION AUTHOR'S DECLARATION STATEMENT n l
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<br /> I= I certify that this Certificate of Compliance documentation is accurate and complete O U U
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<br /> Documentation Author Name: Dan Conrad Documentation Author Signature: U U 0
<br /> - Company: Case Engineering Inc. Signature Date:
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<br /> 3 Address: 796 Merus Ct. CEA/HERS Certification Identification(if applicable): n Q N O
<br /> a City/State/Zip: St.Louis,MO 63026 Phone: 636.349.1600 1••`
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<br /> RESPONSIBLE PERSON'S DECLARATION STATEMENT
<br /> mI certify the following 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 correct. ISSUED FOR PERMIT.
<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 0 1 .1 3.202 1
<br /> m =3 Compliance(responsible designer)
<br /> E 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 /> a o, 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 /> o Q 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 /> Q 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 /> o documentation the builder provides to the building owner at occupancy. EV: DATE: DESCRIPTION:
<br /> s Responsible Designer Name: Dan Conrad Responsible Designer Signature: FESS
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<br /> Company: Case Engineering Inc. Date Signed: y
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<br /> o Address: 796 Merus Ct. License: E-17866 w, p
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<br /> m ELECTRICAL FORMS
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<br /> OCA Building Energy Efficiency Standards-2019 Nonresidential Compliance:htto://www.energy.ca.gov/title24/2019standards November 2019
<br /> Of m SHEET NUMBER:
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<br /> 0 796 Merus Court T 636.349.1600 E5 . 02
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<br /> St.Louis,MO 63026 F 636.349.1730
<br /> 02020 DB Franchising USA,LLC
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