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STATE OF CALIFORNIA Outdoor Lighting CERTIFICATE OF COMPLIANCE CALIFORNIA ENERGY COMMISSION NRCC-LTO-E Project Name:TESLA SUPERCHARGER_LODI, CA Project Address: A. GENERAL INFORMATION 01 Project Location (city) 02 Climate Zone LZ-1: Low - Rural Areas 05 Occupancy Types within Project ● All Other Occupancies B. PROJECT SCOPE My Project Consists of: 01 New Lighting System Altered Lighting System 03 < 10% % of Existing Luminaires Being Altered1 >= 10% and < 50%>= 50% Please proceed to Table F. Outdoor Lighting Fixture Schedule to define the project's luminaires. 1 FOOTNOTES: % of Existing Luminaires Being Altered = (Sum Total ofLuminaires Being Added or Altered / Existing Luminaires within the Scope ofthe Permit Application) x 100. Must Comply with Allowances from 140.7 / 170.2(e)6 Is your alteration increasing the connected lighting load (Watts)? 04 Sum Total of Luminaires Being Added or Altered Yes 05 Calculation Method No 02 Date Prepared: (Page 1 of 7) 2023-08-28 LODI, CA 12 04 Total Illuminated Hardscape Area (ft2) 03 Outdoor Lighting Zone per Title 24 Part 1 10.114 or as designated by Authority Having Jurisdiction (AHJ): LZ-0: Very Low - Undeveloped Parkland LZ-2: Moderate - Urban Clusters LZ-3: Moderately High - Urban Areas LZ-4: High - Must be reviewed by CA Energy Commission for Approval This document is used to demonstrate compliance with requirements in 110.9, 130.0, 130.2, 140.7, and 141.0(b)2L for outdoor lighting scopes using the prescriptive path for nonresidential and hotel/motel occupancies. It is also used to document compliance with requirements in 160.5, 170.2(e)6, 180.1(a) and 180.2(b)4Bv for outdoor lighting scopes using the prescriptive path for multifamily and mixed-use occupancies. Multifamily includes dormitory and senior living facilities. Report Page: This table includes outdoor lighting systems that are within the scope of the permit application and are demonstrating compliance using the prescriptive path outlined in 140.7 /170.2(e)6 or 141.0(b)2L /180.2(b)4Bv for alterations. C. COMPLIANCE RESULTS Calculations of Total Allowed Lighting Power (Watts) 140.7 / 170.2(e)6 or 141.0(b)2L / 180.2(b)4Bv 0201 + +---+ + 03 ---+ + 04 ---+ + 05 443.07 OR Shielding Compliance (See Table G for Details) Controls Compliance (See Table H for Details) D. EXCEPTIONAL CONDITIONS This table is auto-filled with uneditable comments because of selections made or data entered in tables throughout the form. Selections made in Certificates of Installation Table have been changed by the permit applicant. See Table E. Additional Remarks for permit applicant's explanation. E. ADDITIONAL REMARKS This table includes remarks made by the permit applicant to the Authority Having Jurisdiction. OR 06 --- = =443.07 ≥ ≥375 07 must be >= 08 COMPLIES N/A COMPLIES 07 Compliance Results 08 09 Results in this table are automatically calculated from data input and calculations in Tables F through N. Note: If any cell on this table says "COMPLIES with Exceptional Conditions" refer to Table D. Exceptional Conditions for guidance or see applicable Table referenced below. General Hardscape Allowance 140.7(d)1 / 170.2(e)6 (See Table I) Per Application 140.7(d)2 / 170.2(e)6 (See Table J) Sales Frontage 140.7(d)2 (See Table K) Ornamental 140.7(d)2 / 170.2(e)6 (See Table L) Per Specific Area 140.7(d)2 / 170.2(e)6 (See Table M) Existing Power Allowance 141.0(b)2L / 180.2(b)4Bv (See Table N) Total Allowed (Watts) Total Actual (Watts) F. OUTDOOR LIGHTING FIXTURE SCHEDULE Designed Wattage: 01 02 Complete Luminaire Description Pole-mountedLGT-#Linear 75 Mfr. Spec G. SHIELDING REQUIREMENTS (BUG) This section does not apply to this project. 5 New Total Design Watts: 03 Watts per 04 05 06 07 08 Design Watts 09 10 Pass Fail For new or altered lighting systems demonstrating compliance with 140.7 /170.2(e)6 all new luminaries being installed and any existing luminaries remaining or being moved within the spaces covered by the permit application are included in the Table below. For altered lighting systems using the Existing Power method per 141.0(b)2L only new luminaries being installed and replacement luminaries being installed as part of the project scope are included (ie, existing luminaries remaining or existing luminaries being moved are not included). Outdoor lighting attached to multifamily buildings and controlled from the inside of a dwelling unit are included in Table H. and are not included here. All other multifamily outdoor lighting is included here. Name or Item Tag Luminaire1, 2 How is Wattage determined Total Number Luminaires 2 Luminaire Status3 Excluded per 140.7(a) / 170.2(e)6A Cutoff Req. > 6,200 initial lumen output 130.2(b) / 160.5(c)14 Field Inspector NA: Replacement of pole-mounted per 130.2(b) / 160.5(c) 1FOOTNOTES: Authority Having Jurisdiction may ask for Luminaire cut sheets to confirm wattage used for compliance per 130.0(c) / 160.5(b) 2 For linear luminaires, wattage should be indicated as W/lf instead ofWatts/luminaire. Total linear feet should be indicated in column 05 instead ofnumber of luminaires. 3 Select "New" for new luminaires in a new outdoor lighting project, or for added luminaires in an alteration. Select "Altered" for replacement luminaires in an alteration. Select "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 being removed and reinstalled as part of the project scope. 4 Compliance with mandatory shielding requirements is required for luminaires with initial lumen output >= 6,200 unless exempted by 130.2(b)/ 160.5(c) * NOTES: Selections with a * require a note in the space below explaining how compliance is achieved. EX: Luminaire is lighting a statue; EXCEPTION 2 to 130.2(b) H. OUTDOOR LIGHTING CONTROLS Mandatory Controls for Nonresidential Occupancies, Parking Garages & Common Areas in Multifamily Buildings 01 02 Area Description 03 04 I. LIGHTING POWER ALLOWANCE (per 140.7 / 170.2(e)) J. LIGHTING ALLOWANCE: PER APPLICATION This section does not apply to this project. 01 "Use it or lose it" Allowance (select all that apply) (select all that apply) 05 Field Inspector Pass Fail K. LIGHTING ALLOWANCE: SALES FRONTAGE This section does not apply to this project. L. LIGHTING ALLOWANCE: ORNAMENTAL This section does not apply to this project. M. LIGHTING ALLOWANCE: PER SPECIFIC AREA N. EXISTING CONDITIONS POWER ALLOWANCE (alterations only) This section does not apply to this project. O. DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION Form/Title NRCI-LTO-01-E - Must be submitted for all buildings P. DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE Form/Title NRCA-LTO-02-A - Must be submitted for all outdoor lighting controls except for alterations where controls are added to <= 20 luminaires. DOCUMENTATION AUTHOR'S DECLARATION STATEMENT I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Vineal Singh Company: Address: City/State/Zip: RESPONSIBLE PERSON'S DECLARATION STATEMENT Responsible Designer Name: Company: Address: City/State/Zip: Responsible Designer Signature: Date Signed: License: Phone: Documentation Author Signature: Signature Date: CEA/ HERS Certification Identification (if applicable): Phone: Registration Number:Generated Date/Time: CA Building Energy Efficiency Standards - 2022 Nonresidential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Documentation Software: Energy Code Ace Compliance ID: 95395-0323-0004 Report Generated: YYYY-MM-DD This table demonstrates compliance with controls requirements for all new or altered luminaires installed as part of the permit application. For 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 even if they are within the spaces covered by the permit application. Outdoor lighting for nonresidential buildings, parking garages and common service areas in multifamily buildings must be documented separately from outdoor lighting attached to multifamily buildings and controlled from the inside of a dwelling unit Shut-Off 130.2(c)1 / 160.5(c) Auto-Schedule 130.2(c)2 / 160.5(c) Motion Sensor 130.2(c)3 / 160.5(c) 1FOOTNOTE: Text has been abbreviated, please refer to Table 160.5-A to confirm compliance with the specific light source technologies listed. 2Authority having jurisdiction may ask for cutsheets or other documentation to confirm compliance of light source. 3Recessed luminaires marked for use in fire-rated installations, and recessed luminaires installed in non-insulated ceilings are excepted from ii and iii. This table includes areas using allowance calculations per 140.7 / 170.2(e). General Hardscape Allowance is per Table 140.7-A/Table 170.2-R while "Use it or lose it" Allowances are per Table 140.7-B /Table 170.2-S. Indicate which allowances are being used to expand sections for user input. Luminaires that qualify for one of the "Use it or lose it" allowances shall not qualify for another "Use it or lose it" allowance. Outdoor lighting attached to multifamily buildings and controlled from the inside of a dwelling unit are included in Table H. and are not included here. All other multifamily outdoor lighting is included here. General Hardscape Allowance Table I (below) Per Application Table J Sales Frontage Table K Ornamental Table L Per Specific Area Table M Systems/Spaces To Be Field Verified Parking Area I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of Compliance is true and correct. 2.I 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 Compliance (responsible designer) 3.The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this 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 compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5.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 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 documentation the builder provides to the building owner at occupancy. E801.1211 TITLE 24 ENERGY MANAGEMENT RB TITLE 24 2022 OUTDOOR LIGHTING NRCC-LTO-E NTSA 14700 THORNTON RD, LODI, CA 95242, US 9,193 Tesla, Inc. 3500 Deer Creek Road Palo Alto, CA 94304 650-681-6475 12-17-2023 Photocontrol NA: Not permitted by H&LS ProvidedParking area --- 03 0402 05 Area Wattage Allowance (AWA) Area Description Parking Area 9193 0.019 06 07 Linear Wattage Allowance (LWA) 0.15 Initial Wattage Allowance for Entire Site (Watts): Instances of Initial Wattage Allowance (LZ 0 only)1 Total General Hardscape Allowance (Watts): 08 09 200 Illuminated Area (ft2) Allowed Density (W/ft2) Area Allowance (Watts) Perimeter Length (lf) Allowed Density (W/lf) Linear Allowance (Watts) Total General AWA + LWA (Watts) This section does not apply to this project. 375 375 456174.67 68.4 243.07 443.07 Jared Marchand (508) 951-5489 E23862 Tesla, Inc. 3500 Deer Creek Road Palo Alto, CA 94304 E-Signed By: Vineal Singh 1"12"0 PROPRIETARY AND CONFIDENTIAL ABCDEFGH 1 2 3 4 5 6 DATENO.REVISIONORIGINAL SIZE 24"X36" SHEET SIZE ARCH "D" 3500 DEER CREEK RD. PALO ALTO, CA 94304 (650) 681-5000 3/27/2024AARCH SITE PLAN COMMENTS10/18/2024BCIVIL AND BUILDING COMMENTS14700 THORNTON RDLODI, CA 95242, USTITLE 24 E-801 REV: B IFP MVANDERWALPLOT DATE: 10/25/2024 9:26 a. m. JB-9528024TESLA SUPERCHARGER_LODI, CAPHASE 1: 16 SUPERCHARGERS10/30/2024