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REVISIONS STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA 1 BLDG REV 1 12/31/21 Indoor Lighting � Indoor Lighting Indoor Lighting , NRCC-LTI-E(Created 01/20) CALIFORNIA ENERGY COMMISSION' NRCC-LTI-E(Created 01/20) CALIFORNIA ENERGY COMMISSION NRCC-LTI-E(Created 01/20) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-E CERTIFICATE OF COMPLIANCE NRCC-LTI-E CERTIFICATE OF COMPLIANCE NRCC-LTI-E This document is used to demonstrate compliance with requirements in1§ 10.9,§110.12(c).§130.0, 1§ 30.1, 1§ 40.6,and§141.0(b)2 for indoor lighting scopes using the Project Name: SOURDOUGH AND COMPANY Report Page: Page 2 of 6 Project Name: SOURDOUGH AND COMPANY Report Page: Page 3 of 6 prescriptive path. Project Address: 959 S TRACY BLVD jDate Prepared: 9.22.21 Project Address: 959 S TRACY BLVD jDate Prepared: 9.22.21 Project Name: SOURDOUGH AND COMPANY IReport Page: Page 1 of 6 Project Address: 959 S TRACY BLVD IDate Prepared: 9.22.211 Controls Compliance(See Table H for Details) H.INDOOR LIGHTING CONTROLS(Not Including PAFs) Rated Power Reduction Compliance(See Table Q for Details) Not Applicable This Section Does Not Apply A.GENERAL INFORMATION 01 Project Location(city) TRACY 1 04 Total Conditioned Floor Area(ft2) 710 D.EXCEPTIONAL CONDITIONS L I.LIGHTING POWER ALLOWANCE:COMPLETE BUILDING OR AREA CATEGORY METHODS 02 Climate Zone 2 05 Total Unconditioned Floor Area(ft2) 0 This table is auto filled with uneditable comments because of selections made or data entered in tables throughout the form. 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 03 Occupancy Types Within Project(select all that apply): 06 #of Stories(Habitable Above Grade) 1 allowances per 140.6 c or adjustments per 140a.6 are being used. No exceptional conditions apply to this project. Conditioned S F1Office L] Retail 7 Warehouse L] Hotel/Motel L] School E] Support Support Areas p Q ftOF E SS/ 9 E] ParkingGarage E] High-Rise Residential Relocatable ❑ Healthcare ZOther(write in): REATUARANT B 01 02 03 04 05 06 �� l E.ADDITIONAL REMARKS c`� MAD 0 FSG B.PROJECT SCOPE Allowed Allowed Additional Allowances/ � This table includes remarks made b the permit applicant to the Authority Having Jurisdiction. Complete Building or Area Category Area , Y p pp Y 9 Area Description Primary Function Area Density (f2) Wattage Adjustment Table Instructions:Include an lighting systems that are within the scope of the permit application and are demonstratingcompliance usingtheprescriptive path outlined in (W/ft2) 2 (Watts) Area Category PAF � r^ 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 calculation method,please open a new form or use"Save As". DINING Dining-Bar/Fine 0.55 160 88 ❑ ❑ Scope of Work Conditioned Spaces Unconditioned Spaces F.INDOOR LIGHTING FIXTURE SCHEDULE (- KITCHEN Kitchen,Food Preparation 0.95 340 323 ❑ ❑ * No. 67047 01 02 03 04 05 . RESTROOM+STORAGE+VEST Restroom 065 210 136.5 ❑ El Exp. 09-30-2022 Table Instructions:Include all permanent designed lighting and all portable lighting in offices. p My Project Consists of(check all that apply): Calculation Method Area(ft2) Calculation Method Area(ft2) Designed Wattage:Conditioned Spaces TOTAL:1 710 547.5 1 See Tables J or P for detail f� C/v ❑ New Lighting System 01 02 03 04 05 06 07 08 09 10 F l OF C Z Altered Lighting System Area Category 710 Name or Complete Luminaire Description Modular Small Aperture Watts per How Wattage is Total number Exempt per Design Watts Field Inspector J.ADDITIONAL LIGHTING ALLOWANCE:AREA CATEGORY METHOD QUALIFYING LIGHTING SYSTEM Item Tag (Track)Fixture&Color Change' luminaire' determined luminaires §140.6(a)3 Pass Fail I This Section Does Not Apply Total Area of Work(ft2) 710 A LED CIRCULAR PENDANT ❑ ❑ 28 Mfr.Spec' 7 ❑ 196 ❑ ❑ C 6"LED DOWNLIGHT El 1:118.5 Mfr.SpeCZ 12 El El ElK.TAILORED METHOD GENERAL LIGHTING POWER ALLOWANCE C.COMPLIANCE RESULTS D 2X2 LED TROFFER ❑ ❑ 35 Mfr.SpecZ 2 ❑ 70 ❑ ❑ This Section Does Not Apply Table Instructions:If any cell on this table says"DOES NOT COMPLY"or"COMPLIES with Exceptional Conditions"refer to Table D.for guidance. E LED DECORATIVE GOOSE NECK ❑ ❑ 15 Mfr.SpecZ 2 ❑ 30 ❑ ❑ Allowed Lighting Power per§140.6(b)(Watts) Adjusted Lighting Power per§140.6(a)(Watts) Compliance Results Total Designed Watts CONDITIONED SPACES: 518 L.ADDITIONAL LIGHTING ALLOWANCE:TAILORED WALL DISPLAY Lighting in 01 02 03 04 05 06 07 08 09 This Section Does Not Apply conditioned and Adjustmentso unconditioned Area Category FOOTNOTE:Design Watts for small aperture and color changing luminaires which qualify per§140.6(a)4B is adjusted to be 75%of their rated wattage. Table F automatically M.ADDITIONAL LIGHTING ALLOWANCE:TAILORED FLOOR AND TASK LIGHTING Complete Tailored Total PAF Control Total Adjusted makes this adjustment the permit applicant should enterfull rated wattage in column 05. spaces must not Area Category Additional - Z This Section Does Not Apply be combined for Building §140.6(c)2 §140.6(c)2G §140.6(c)3 = Total Allowed Designed Credits = (Watts) 05 Must be>:08 Authority 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 compliance per §140.601 1 (+) (+) (Watts) (Watts) §140.6(a)2 *Includes 140.6 luminaire,not the lamp. §140.6(b)1. (-) Adjustments IN.ADDITIONAL LIGHTING ALLOWANCE:TAILORED ORNAMENTAL/SPECIAL EFFECTS (See Table 1) (See Table 1) (See Table J) (See Table K) (See Table F) (See Table P) G.MODULAR LIGHTING SYSTEMS This Section Does Not Apply Conditioned: 547.5 = 547.5 >_ 518 = 518 COMPLIES This Section Does Not Apply Unconditioned: J Table Continued CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.energy.ca.gov/title24/2019standards January 2020 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.energy.ca.gov/title24/2019standards January 2020 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.energy.ca.gov/title24/2019standards January 2020 STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA Indoor Lighting Indoor Lighting Indoor Lighting NRCC-LTI-E(Created 01/20) CALIFORNIA ENERGY COMMISSION NRCC-LTI-E(Created 01/20) CALIFORNIA ENERGY COMMISSION NRCC-LTI-E(Created 01/20) CALIFORNIA ENERGY COMMISSION k' CERTIFICATE OF COMPLIANCE NRCC-LTI-E CERTIFICATE OF COMPLIANCE NRCC-LTI-E CERTIFICATE OF COMPLIANCE NRCC-LTI-E Project Name: SOURDOUGH AND COMPANY IReport Page: Page 4 of 6 Project Name: SOURDOUGH AND COMPANY Report Page: Page 5 of 6 Project Name: SOURDOUGH AND COMPANY Report Page: Page 6 of 6 Project Address: 959 S TRACY BLVD IDate Prepared: 9.22.21 Project Address: 959 S TRACY BLVD Date Prepared: 9.22.21 Project Address: 959 S TRACY BLVD Date Prepared: 9.22.21 O.ADDITIONAL LIGHTING ALLOWANCE:TAILORED VERY VALUABLE MERCHANDISE U.DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE ® DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 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 I certify that this Certificate of Compliance documentation is accurate and complete 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 P.POWER ADJUSTMENT:LIGHTING CONTROL CREDIT(POWER ADJUSTMENT FACTOR(PAF)) ® Acceptance Test Technician Certification Provider(ATTCP).For more information visit:http://www.energy.co.gov/title24/attcp[providers.html Documentation Author Name: MUHAMMAD SIDDIQUE Documentation Author Signature: This Section Does Not Apply Field Inspector Company: MUHAMMAD SIDDIQUE Signature Date: 9.22.21 IQ. YES NO Form/Title Address: 5925 WALKING STICK CT CEA/HERS Certification Identification(if applicable): Th RATED POWER REDUCTION COMPLIANCE FOR ALTERATIONS Pass Fail Cit This Section Does Not Apply C, (0- 1:1 E] Y/State/Zi NRCA-LTI-02-A-Must be submitted for occupancy sensors and automatic time switch controls. p: CITRUS HEIGHTS/CA/95621 Phone: 916-620-4065 C, t: NRCA-LTI-03-A-Must be submitted for automatic daylight controls. El ElRESPONSIBLE PERSON'S DECLARATION STATEMENT (^ (0- NRCA-LTI-04-A-Must be submitted for demand responsive lighting controls. I certify the following under penalty of perjury,under the laws of the State of California: R.80%LIGHTING POWER FOR ALTERATIONS-CONTROLS EXCEPTIONS p g g ❑ ❑ 1.The information provided on this Certificate of Compliance is true and correct. This Section Does Not Apply C' (0 NRCA-LTI-05-A-Must be submitted for institutional tuning power adjustment factor(PAF). ❑ ❑ 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 C (0 NRCA-ENV-03-F-Must be submitted for daylighting design power adjustment factors(PAF). ❑ ❑ Compliance(responsible designer) S.DAYLIGHT DESIGN POWER ADJUSTMENT FACTOR(PAF) 3.The energy features and performance specifications,materials,components,and manufactured devices for the building design or system design identified on this This Section Does Not Apply Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations. 4.The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable T.DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION ® compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. 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 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 Table E.Additional Remarks.These documents must be provided to the building inspector during construction and can be found online at httos.11ww2.eneray.co.gov/ 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 title24 2019standords 2019 compliance documents Nonresidential DocumentsINR documentation the builder provides to the building owner at occupancy. Field Inspector Responsible Designer Name: MOHAMMAD USMAN SADIQ Responsible Designer Signature: YES NO Form/Title Pass Fail Company: MOHAMMAD USMAN SADIQ Date Signed: 9.22.21 C� C� NRCI-LTI-01-E-Must be submitted for all buildings El ElAddress: 1000 BOURN DRIVE License: C-67047 City/State/Zip: WOODLAND,CA 95776 Phone: 530--315-4907 Z C, � NRCI-LTI-02-E-Must be submitted for a lighting control system,or for an Energy Management Control System(FMCS),to be El El for compliance. NRCI-LTI-04-E-Must be submitted for two interlocked systems serving an auditorium,a convention center,a conference ❑ ❑ room,a multipurpose room,or a theater to be recognized for compliance. ANRCI-LTI-05-E-Must be submitted for a Power Adjustment Factor(PAF)to be recognized for compliance. ❑ ❑ NRCI-LTI-06-E-Must be submitted for additional wattage installed in a video conferencing studio to be recognized for ❑ ❑ O compliance. U p ,o o > r---. zJ (y)' n CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:htty://www.energy.ca.gov/title24/2019standards January 2020 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.energy.ca.gov/title24/2019standards January 2020 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:http://www.energy.ca.gov/title24/2019standards January 2020 < r J = U < C� QU O oc V) U O, Q O L � V) O11-1 DATE 09/15/2021 SCALE AS NOTED DRAWN MSK JOB 21035 SHEET TITLE LIGHTING T24 SHEET E4 . 0