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OUTDOOR LIGHTING <br /> CEC-NRCC-LTO-01-E(Revised 06/13) OUTDOOR LWTMG <br /> CERTIFICATE OF COMPLIANCE NRCC-LTO-01-E CEC-NRCC-LTO-01-E(Revised 06/13) <br /> Outdoor Lighting (Page 1 of 3) CERTIFICATE OF COMPLIANCE CERTIFICATE OF COMPLIANCE NRCC-LTO-01-E <br /> Project Name: ARCO ESCALON, CA Date Prepared: 01/18/16 8K&o6T9l Outdoor Lighting <br /> e�� 1e: ARCO ESCALON, CA Date Prepared: 01/18/16 (Page 3 of 3) <br /> Project Name: ARCO ESCALON,CA Date Prepared: 01/18/16 <br /> Project Address: Total Hardscape Illuminated Area <br /> 2706`' Summary of Allowed Outdoor Lighting Power Watts <br /> General Information 1. Lighting Power Allowed for General Hardscape-NRCC-LTO-02-E + 27069 A. OUTDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST ARI 0 <br /> Phase of Construction: ®New Construction Addition Alteration Luminaire Schedule Installed Watts Location Cutoff Field <br /> 2. . Lighting Power Allowed for Specific Application per Unit Length- + 0 Inspector <br /> Outdoor Lighting Zone(OLZ) ❑OLZA F-]OLZ-2 ®OLZ-3 F-]OLZ-4 3. BFH6 Allowed for Specific Application for Ornamental- + 0 C ® F G Hl <br /> The OLZ is: Default in accordance with §10-114,or ❑Amended by the AHJ 4. Ig ting ower Allowed for Specific Application per Square Foot- + How wattage <br /> 5. um Total of ALLOWED Outdoor Lighting Power = 27069,00 was determined c N <br /> DOCUMENTATION AUTHOR'S DECLARATION STATEMENT Complies ONLY if Installed <_Allowedg w , <br /> 1. I certify that this Certificate of Compliance documentation is accurate and complete. m a u Primary Function area in which <br /> 6. INSTALLED Outdoor lighting from NRCC-LTI-01-E page 4 E ' E cO o) V o Fu � <br /> Documentation Author Name: STEVEN CRUZ Documentation Author Signature: g g p g 2678.60 Name or Complete Luminaire Description o ❑ o c o � m these luminaires are installed <br /> ZIK&� EItem Tag U w Z roi <br /> Company: ABOSSEIN ENGINEERING Signature Date: 1/18/2016 Declaration of Required Installation Certificates—Declare by checking all Installation Certificates that will -' a z ° :Em a U_ <br /> be submitted. (Retain copies and verify forms are completed and signed.) F LED DELWA WIDE COB LIGHT,WALL MOUNTED 7 ❑ ® 5 35 EXTERIOR WALLS 1:1 ElAddress: 828 2ND ST CEA/HERS Certification Identification(if applicable): G LED QUADRASYL 44D FIXTURE 9 ❑ ® 10 90 MAIN ENTRANCE El ❑ <br /> City/State/Zip: MUKILTEO,WA 98275 Phone: 4254629441 to�J( NRCI-LTO-01-E - Must be submitted for all buildings � ❑ Field Inspector <br /> Elector H WALL MOUNTED LED SIGN LIGHT 6 ❑ ® 6 36 MAIN ENTRANCE 17_1 F-1tZ NRCI-LTO-02-E - Must be submitted for alighting control system, or for I Field Inspector S1 LED CANOPY LIGHT,LSI CRU-SC-LED-VHO-CW 164 ❑ ® 12 1963.2 FUEL CANOPY 1771 El <br /> RESPONSIBLE PERSON'S DECLARATION STATEMENT an <br /> I certify the following under penalty of perjury, under the laws of the State of California: r S2 LED POLE LIGHT,XLCS-FT-LED-HO-CW 139 ❑ ® 4 554.4 SITE E:1 [__1�� t i knCf <br /> 1the Certificates of El ❑ ❑ F-1. The information provided on this Certificate of Compliance is true and correct. � � �1at will be submitted. (Retain copies and verify forms are completed and signed.) <br /> 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system I EJ 1:10 ❑ <br /> GHAU <br /> design identified on this Certificate Compliance(responsible designer). L 1 NRCA-LTO-02-E - Must be submitted for outdoor lighting controls. ❑ Field Inspector ❑ ❑ El ❑ :? <br /> 3. The energy features and performance specifications, materials,components,and manufactured devices for the building <br /> design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 <br /> of the California Code of Regulations. Schedule of luminaires exempt from the outdoor lighting power requirements in§140.7 ❑ ❑ ❑ ❑ <br /> 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the <br /> information provided on other applicable compliance documents,worksheets, calculations, plans and specifications Name or Symbol Description of exempt luminaire in accordance with the exemptions ❑ ❑ ❑ ❑ <br /> submitted to the enforcement agency for approval with this building permit application. E] 1:1 ❑ F-1 � <br /> 5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) �Q <br /> issued for the building,and made available to the enforcement agency for all applicable inspections. I understand that a ❑ ❑ ❑ ❑ �� � <br /> completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides ❑ ❑ ❑ ❑ �y1 ���,� <br /> to the building owner at occupancy. <br /> Responsible Designer Name: STEVEN CRUZ Responsible Designer Signature: ❑ ❑ ❑ ❑ <br /> /"?!( Schedule of luminaires exempt from the cutoff requirements in§130.2(b) 11 El 1-1 1-118215 72ND AVENUE S® <br /> Company: ABOSSEIN ENGINEERING Date Signed: 1/18/2016 KENT, WA 98032 <br /> Name or Symbol Description of exempt luminaire in accordance with the exemptions El [__1 ❑ ❑ (425)251-6222 <br /> Address: 829 2ND ST License: E17915 Enter sum total of all pages into NRCC-LTO-01-E; (425)251-8782 FAX <br /> City/State/Zip: MUKILTEO,WA 98275 Phone: 4254629441 INSTALLED WATTS PAGE TOTAL: 2678.6 Page 2 <br /> CIVIL ENGINEERING, LAND PLANNING, <br /> SU NG, E MROMMENTAL SERVICES <br /> Schedule of luminaires exempt from the outdoor lighting control requirements in§130.2(c) CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2013 NO. DATE REMSION DESCRIPTION <br /> LIGHTING COMPLIANCE DOCUMENTS(check boat for each document included) Name or Symbol Description of exempt luminaire in accordance with the exemptions 9.15.1 s PERMIT SUBA9ITTAL <br /> For detailed instructions on the use of this and all Energy Efciency Standards compliance documents,refer to the Nonresidential Manual <br /> published by the California Energy Commission. 1 <br /> NRCC-LTO-01-E Certificate of Compliance <br /> 2 <br /> ®NRCC-LTO-02-E Outdoor Lighting Controls Certificate of Compliance 3 <br /> ®NRCC-LTO-03-E Outdoor Lighting Power Allowance Certificate of Compliance 4 <br /> 5 <br /> e <br /> 7 <br /> CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2013 <br /> CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2013 9 <br /> OUTDOOR LIGHTING CONTROLS OUTDOOR LIGHTING CONTROLS OUTDOOR LIGHTING CONTROLS <br /> CEC-NRCC-LTO-02-E(Revised 06113) CEC-NRCC-LTO-02-E(Revised 06/13) CEC-NRCC-LTO-02-E(Revised 06/13) <br /> CERTIFICATE OF COMPLIANCE NRCC-LTO-02-E CERTIFICATE OF COMPLIANCE NRCC-LTO-02-E CERTIFICATE OF COMPLIANCE NRCC-LTO-02-E s <br /> Outdoor Lighting Controls Outdoor Lighting Pa e 2 of 3Lighting <br /> (Page 1 of 3) ( 9 ) Outdoor (Page 3 of 3) 6� b <br /> Project name: Date Prepared: 1/18/2016 Project Name: ARCO ESCALON,CA Date Prepared: 01/18/16 Project Name: ARCO ESCALON,CA Date Prepared: <br /> ARCO ESCALON,CA 01/18/16 <br /> � a <br /> rn <br /> MANDATORY OUTDOOR LIGHTING CONTROL SCHEDULE and FIELD INSPECTION CHECKLIST DOCUMENTATION AUTHOR'S DECLARATION STATEMENT <br /> The NRCC-LTO-02-E shall be used to document all mandatory outdoor lighting controls that are applicable to the project. 1. I certify that this Certificate of Compliance documentation is accurate and complete. <br /> 0 <br /> Mandatory Outdoor Lighting Control Declaration Statements <br /> Documentation Author Name: STEVEN CRUZ Documentation Author Signature: ® of® <br /> Check all that apply: � ��®F' cA` � 0 <br /> Outdoor Lighting Control Schedule Standards Complying With v j Company: ABOSSEIN ENGINEERING Signature Date: 1118/2016 <br /> ® Lighting shall be controlled by self-contained lighting control devices which are certified to the Energy Commission according to the Title 20 Appliance (✓all that apply,or enter'E'if Exempted) <br /> Efficiency Regulations in accordance with §110.9. (D <br /> Lighting shall be controlled b a lighting controls stem or energy management controls stem in accordance with §110.9. An Installation Certificate m ° Address: 829 2ND ST. CEAMERS Certification Identification(if applicable): <br /> 9 9 Y 9 9 Y gY 9 Y CLC o <br /> shall be submitted in accordance with §130.4(b). A E C D E F G H I N O City/State/Zip: MUKILTEO,WA 98275 Phone: 4254629441 <br /> ® All lighting controls and equipment shall comply with the applicable requirements in §110.9 and shall be installed in accordance with the manufacturer's <br /> instructions in accordance with §130.1. Type/Description of Lighting Control(i.e. RESPONSIBLE PERSON'S DECLARATION STATEMENT <br /> Part-Night Outdoor Lighting Controls, as defined in Section 100.1, shall meet the requirements in Section 110.9(b)5. motion sensor, photocontrol,outdoor # �+ �, L0 ,o, ,01 I certify the following under penalty of perjury, under the laws of the State of California: <br /> astronomical time switch control, ofw o 0 0 0 0 1. The information provided on this Certificate of Compliance is true and correct. <br /> All outdoor incandescent luminaires rated over 100 watts, determined in accordance with Section 130.0(c), shall be controlled by a motion sensor. Location and Application of centralized time-based zone lighting Units iv iv iv iv iv iv 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 <br /> All outdoor luminaires rated for use with lams greater than 150 lam watts, determined in accordance with Section 130.0 c ,shall comply with Luminaires being controlled control �' N w u y ,y <br /> P 9 P ( ) p Y Compliance(responsible designer). <br /> Backlight, Uptight, and Glare (collectivly referred to as"BUG") in accordance with Section 130.2(b). <br /> 3, The energy features and performance specifications, materials,components,and manufactured devices for the building design or system design identified on this DEVELOPMENT INF A71 : <br /> F1All installed outdoor lighting shall be controlled by a photocontrol or outdoor astronomical time-switch control in accordance with Section 130.2(c)1 I Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. ARCO NTI <br /> ® All installed outdoor lighting shall be circuited and independently controlled from other electrical loads by an automatic scheduling control in MAIN ENTRANCE PHOTOCELL 12 ❑ ❑ 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. 0 amt / <br /> accordance with Section 130.2(c)2 WALL SIDES PHOTOCELL 10 1:1 ❑ commtibf® QSR <br /> FUEL ANOPY <br /> THROUGHOUT SITE ASTRONOMICAL TIME CONTROLS 4 ❑ ❑ 5• 1 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 All installed outdoor lighting, where bottom of the luminaire is mounted 24 feet or less above the ground, shall be controlled with automatic available 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 a <br /> lighting controls in accordance with Section 130.2(c)3 ❑ ❑ with the documentation the builder provides to the building owner at occupancy. <br /> ® For Outdoor Sales Frontage, Outdoor Sales Lots, and Outdoor Sales Canopies lighting, an automatic lighting control in accordance with Section ❑ ❑ Responsible Designer Name: STEVEN CRUZ Responsible Designer Signature: <br /> 130.2(c)4 ❑ ❑ SITE ADDRES& <br /> For Building Fagade, Ornamental Hardscape and Outdoor Dining lighting, an automatic lighting control in accordance with Section 130.2(c)5 ❑ ❑ Company: ABOSSEIN ENGINEERING Date Signed: 1/18/2016 <br /> Before an occupancy permit is granted for a newly constructed building or area, or a new lighting system serving a building, area,or site is operated for ❑ ❑ ESCALON AVENUE Address: 829 2ND ST. License: E17915 <br /> normal use, indoor lighting controls serving the building, area, or site shall be certified as meeting the Acceptance Requirements for Code Compliance in 7ED@ HIGHWAY 120 <br /> accordance with §130.4.(a). Outdoor lighting controls shall comply with the applicable requirements of Section 130.2(c)and Reference Nonresidential ED IDCity/State/Zip: MUKILTEO,WA 98275 Phone: 4254629441 ESCALON,CALIFORNIA <br /> Appendix NA7.8 ❑ ❑ FACILITY # TBD <br /> CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2013 CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2013 <br /> BY. AtlJMCE <br /> CA Building Energy Efficiency Standards-2013 Nonresidential Compliance 0 S S 0, a 20 3 01M I <br /> Engineering, MM BY ALW4M FM- <br /> L. <br /> :E. L. C. PMECT NO: <br /> 17223 <br /> A NG 'nLEe <br /> MECHANICAL — ELECTRICAL TITLE 24 FORMS <br /> CIVIL — LEED <br /> FIRE PROTECTION OUTDOOR LIGHTING <br /> 2100 112TH AVE. NE PART <br /> BELLEVUE, WA 98004 SHMT NQ <br /> PH: (425) 462-9441 <br /> FAX: (425) 462-9451 <br /> E—Mail: cseruiceftossein.com <br /> www.abossein.com <br /> EOm %9 <br /> ABOSSEIN #215064 <br />