STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CAU FO RNIA
<br /> INDOOR LIGHTING INDOOR LIGHTING INDOOR LIGHTING
<br /> CEC-14RCC-LTI-01-E(Revised 04/16) CEC-NRCC-111-01-E(Revised 04/16) CEC-NRCC-LT-01-E(Revised 04/16) �
<br /> CAU FORMA ENERGY COMMISSION CALIFORNIA ENERGY COMMISSION CALIFORNIA ENERGY COMMISSION
<br /> CERTIFICATEOF COMPLIANCE NRCC-W-01-E CERTIFICATE Of COMPLIANCE NRCGLT-0I-E CERTI FIC4TE Of COMPLIANCE NRCC-LTI-01-E
<br /> Indoor Lighting- (Page lof 6) Indoor Lighting (Page 4of 6) IndoorU Th (Page 6of6
<br /> ProjectName: Saint Bit ARCH ROgD8HWY 99 Date Prepared 6/6/2018 ProjectName: SBUX@ARCH ROAD&HWY99 Date Prepared: 6/6/2016 Project Name: SBUX@ ARCH ROAD at HWY 99 Date Prepared: 6/6/2018
<br /> A.General Information G.Installed Portable Luminaires In Offices—Exception to Section 140.6(a) DOOLMEWAT AUTHOR'S DECIARATION STATEMENT
<br /> Climate Zone: 12 Condi U oned Floor Area: 1700 -This section s hall be fil led out ONLY for portable luminaires in offices defined in¢100.11.All other planned portable l uminaires shal l be documented on next page ofthis 1. I certl fy that this Certificate of Compliance documentation is accurate and complete.
<br /> Inc
<br /> onditioned Roar area: compliance farm. Documentation Author Name: Documentation Author Signature: ©zpn sTnuaucxs coFFee comPnev
<br /> -This section is used to determi ne i f greater than 0.3 watts of portable lighting Is planned for any office
<br /> Building Type: RI Nonresidential F1 High-Rise Residential 0 Hotel/Motel -Fill outa se aratelinefor each different office.Small offices thatare Ical (having the same general and portable lighting)may be roll ed to ether.This allowanceshall TOMISLAV GAIIC
<br /> ° "° ' g g g g' y g ° g STARBUCKS COFFEE
<br /> E]Schools ❑Relocathble Public Schools 21 Conditioned Spaces F] Unconditioned Spaces not be tratletl between offices having different lighting systert6. Company: Signature Date:
<br /> Phaseof Construction: Naw Construction ❑Addition E]Alteration ACHES ENGINEERING 6/6/2018 COMPANY
<br /> Method of Compliance: ❑Compl em Building 2Area Category E]Tailored Off ice Portable Lumi pairs Schedule Office Install ad Portable Luminaire Watts Per Square Fact Office Location Field
<br /> Project Address: 48955.STATE HWY99 EAST,FRONTAGE ROAD,STOCKTON,[A,95215
<br /> Inspector Address: CEA Certification ldentificrtion(if applicable): 2401 UTAH AVENUE SOUTH Ol 02 03 04 OS 06 07 08 09 30 337101clptt Street SEATTLE, WASHINGTON 98134
<br /> ^„4 _
<br /> B.Lighting Compliance Documents(select yes for each document included) Installed City/State/Zip: Phone: (206) 318-1575;; —
<br /> porcable watts per Santa Clara,[A 95054 (408)522-5255 THESE DRAWINGS AND SPECIFICATIONS ARE
<br /> For dimadedinsfmcdns oon the use of this anddl Energy EJlciency Standards complfava,documents,refer to de Nonresidential Manuel pidahed by the Cullfornlp Energy Cgmmission. 3 z luminaire g n square If 60650.3,
<br /> YES NO COMP.DOC. TITLE Complete Luminaire Description — 3 watts in this foot enterzero; Idenfify Office area in which RMS SOU PERSON'S DECLARATION STATEMENT CONFIDENTIAL AND SHALL REMAIN THE SOLE
<br /> Naceua i.e.,IED,underabinet,furniture mounted watts er office a 'g Goa PROPERTY OF STARBUCKS CORPORATION,
<br /> ❑ ❑ 01-E Cenificateof Cgmpliance. All Pal,srequireelonplansforallsubmltals. ( ° ( /GUS if G06>0.3, thes a porta bl e l umi na i re s a re I certify the fol l owl ng a nder pens l tyof pe qury,and er the laws of the State of Cal ifomi a:
<br /> 9, R 9, WHICH IS THE OWNER OF THE COPYRIGHT IN
<br /> NRCL-0T-02-E Uhtin Cnntmis,Cenifica[e of Compliance, PAFUlculation.All Pages required on tans forallsubmittals. direIndireR Luminaire 602x603 GO6-0.3 GOSxGO] installed 1. lainformation er Division
<br /> ant oishe Business and
<br /> Compliance Profeceins ue Code t mneR.
<br /> ❑ ❑ H B p i e qai p THIS WORK. THEY SHALL NOT BE
<br /> 0 0 0 0 ❑ ❑ 2. lamlianceligible under Dlble designers Businessantl Professions cetle to acceptresponsibllity forthe buildingtlesignorsystem design Identified on this Certificate of
<br /> Q ❑ NRCC-UT-03E Indoor UgM1ting Power Allowance o 0 0 D ❑ ❑ compliance(responsible designed. REPRODUCED(N WHOLE OR IN PART),SHARED
<br /> ❑ @ NRCC-UT-00.E Tailored Method Wo0sheets0 0 0 0 El ❑ 3. The anergy features and performance specifications,mateda Is,components,and manufactured deares forthe building design or system design identified on this WITH THIRD PARTIES OR USED IN ANY MANNER
<br /> El21 NRCC-UT-OS-E Une Voltage Trad Leming Worksheets 0 0 0 0 Certificate of Compliance conform to the requirements of Tide 24,Part 1 and Part hof the California Code of Regulations. ON OTHER PROJECTS OR EXTENSIONS TO THIS
<br /> ❑ ❑ 4. The building design features orsystem design features idendfied on thisCertifiate of Compliance are consistentwith the information provided on otherappliwble PROJECT WITHOUT THE PRIOR WRITTEN
<br /> ❑ ❑ NRCC-UT-Di Indoor Ughting Existing Conditions o a o 0 ❑ ❑ CONSENT OF STARBUCKS CORPORATION.
<br /> 0 0 0 0 ❑ ❑ Ciampi lance documents,worksheets,calcul ations,plans and specifications submitted to the enforcement agency for approval with this building permit application. THESE CIFRPORNSORE
<br /> S. I will ensure that a completed signed copy of this certificate of Compliance shall be made avalla ble with the building perraust i slued forthe building,and made THESE DRAWINGS
<br /> INGSEXPANDESS DESIGN CATIONS ARA
<br /> CA Building Energy Efficiency Standards-2016 Nonresidential Compliance April 2016 0 0 0 a ❑ ❑ available to the enforcement agency for all applicable inspections.l understand that a completed signed mpyof this Certificate of Compliance is required to be included INTPROTOTYPICALSTARBUCKSGN INTENTRE FOR
<br /> IS
<br /> Enter sum total of all pages into with the documentation the builder provides to the building ownerat occupancy.
<br /> Total installed portable luminaire watts that are eaterthan 0.3 W/ftz per office: NRCC-LTI-0I-E;Page SUBJECT TO CHANGE AT ANYTIME)AND DO
<br /> a Br B Responsible Designer Name Responsible Designer Signature: NOT REFLECT ACTUAL SITE CONDITIONS.
<br /> TOMISLAV GAIIC NEITHER PARTY SHALL HAVE ANY OBLIGATION
<br /> STATE OF CALIFORNIA NOR LIABILITY TO THE OTHER(EXCEPT STATED
<br /> INDOOR LIGHTING
<br /> Company: Date Signed: ABOVE)UNTIL A WRITTEN AGREEMENT IS
<br /> CEC-NRCC-LT-01-E(Revised 04/16) ACHES ENGINEERING 6/6/2078 FULLY EXECUTED BY BOTH PARTIES.
<br /> CAU FORNIA ENERGY COMMISSION CA Building Energy Efficiency Standards-2016 Nonresidential Compliance Apr112016 Address: License:
<br /> CERm"CATE OF COMPLIANCE NRCC-LTI-01-E STARBUCKS TEMPLATE VERSION 12017.05.18
<br /> Indoor Ughting (Page2ot 6) 13371 Olcott Street E757311
<br /> ProjectName: SBUX@ARCH ROAD&HWY99 jDateprepareth 6/6/2016
<br /> City/State/Zip: Phone:
<br /> STATE OF CALIFORNIA Santa Clare,CA 95054 (409)522-5255
<br /> G Summary of Allowed Lighting Power INDOOR LIGHTING
<br /> Conditioned and Unconditionedepam Lighting must not becomb'medfor compliance CEC-NRCC-LTI01-E(Revised 04/16)
<br /> to
<br /> Indoor Lighting Power for Conditioned SpaceIndoor Lighting Power for unconditioned Spaces CALIFORNIA ENERGY COMMISSION Nonresidential Energy Efficiency Standards Compliance April 2016
<br /> s
<br /> Watts tya� CERTIFI CATE OF COMPLIANCE NRCC-LT01-E
<br /> 01 Installed Lighting Installed Lighting Indoor Ughting (Page 5 of 6)
<br /> NRCC-LTI-02-E,page5 , 1'238'0 NRCC-LT-01-E,page5 ProjectName: SBUX@ARCH ROAD&HWY99 Date Prepared 6/6/2018
<br /> 02 PORTABLE ONLY FOR OFFICES
<br /> NRCC-LU 01-E,page4 A separate Lighting Schedule Must8e Filled Outfor Conditioned and Uncondldoned5paces.Installed Lighting Powerlisted on this Lighting Schedule is onlyfoc
<br /> Minus Ughting Contral Credits Minus Ughting Control Credits
<br /> 03 I - �CONDfnONEDSPACE ❑ UNCONDRIONEDSPACE ACHES a
<br /> NRCCLTI-02-E,page 2 0 NRCC-lTl-02-E a e2 pOFESS
<br /> Adjusted Installed Lighting Power Adjusted Installed Lighting Power
<br /> 04 - 12380 = D t. Ny 2 4
<br /> row 1 ills row 2 minus row 3 - 1,238.0 row 1 minus row 3 H.INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST
<br /> ENGINEERING
<br /> Complies ONLY if Installed SAllowed Complies ONLYif Installed SAlowed Luminaire Schedule Installed Watts Location RNalrspecmr+ 3371 Olcott street
<br /> 01 02 03 04 OS O6 0] 08 Santa Gam,CA 95054 I s
<br /> Allowed Ughting Power ph:(408)522-5255 i
<br /> Allowed Lighting Power How wattage was h:(408)522-52M tFCTRWH
<br /> Unconditioned NRCC-LT-03-E,Pagel r P
<br /> Conditioned NRCCno ries Mat have
<br /> l determined in(pdghI(Dnel FOF CAVI
<br /> Alterations with replacement luminaries that have a[least A CppydgN©2oie
<br /> OS Alterations with rep]acementl uminaries tha[havea[least 50/35% 2,152.8 50/35%lower power comps red an the origi na l exi sti ng = - -
<br /> lower power compared to the origi na l existi ng l ummari m,may lumi navies,may instead us wattage Y 40 Y
<br /> I nsteid use the all owed wattage from NRCC-LT-06,page y g BF Complete Luminalre Description
<br /> NRCC-LT-06,page o c
<br /> — a c
<br /> E E (I&,31amp Fluorescen[troffer, E W i c e . g 5 PrimaryFunction area in which
<br /> =' F327&unetltmmable electronic ballast 33 ws kw z 3H these luminaires are Installed Pass Fail
<br /> D.Declaration of Required Installation Certificates L19116 IED DOWNRIGHT 11.5 ❑ Q 56 640 BAR AREA/CAFE SEATING ❑ ❑
<br /> Declare by selacti Na ves,for all Installation Certificates that wi l l be submitted.Began copies and veri fy forms are completed and Maned.) L19113 IEDDOWNUGHT 11.5 ❑ Q 2 23 RESTROOMS ❑ ❑
<br /> YES NO Form/ritle L15057 2X4 LED FIXTURE 36 ❑ 0 4 144 WORKROOM ❑ ❑
<br /> Q ❑ NRCI-LT-01-E-Must be submitted for all buildings ❑ Field Inspector CL TRACK CURRENT UMITER W/IA 120 ❑ [a 2 240 CAFE SEATING El L1 T
<br /> 1X00302 LED PENDANT 13.5 ❑ 212 27 CAFE SEATING 1:1 El /VJ Ln
<br /> 21 NRChLTI-02-E-Must be submitted for a lighti ng control system,or for an Energy Management Control System(EMCS1. ❑ Field Inspector 1X00303 LED PENDANT 20 El 3 60 CAFESEATING ElElVJ P
<br /> El to be recognized for compliance. U4409 IED STRIP 3 ❑ 0 20 60 BAR AREA ❑ ❑ U) Ly
<br /> LI O NRCI-LTI-03-E-Must be s ubmitted for a If ne-voltage track l igh6 ng i ntegra l cur rent l i miter,or for a sup plementa ry ❑ Field Inspector L16593 LED WALL SCONCE 20 El0 2 40 RESTROOMS El El LO
<br /> overcurrent protecti on pa net used to energi ze am y If re-vol Cage track l i ghting.W be recogni zed for comp)is nce. ❑ ❑ 0 ❑ ❑ > LLI
<br /> NRCI-LTI-04-E-Must be submitted for two interl cc kind systems cervi ng a n a udi corium,a convention center,a ❑ Field Inspector El Ela ID 1-1conference room,a multipurpose room,or a theater to be recognized for compliance.
<br /> El ❑ ❑ 0 111 1:1
<br /> NRCI-LTI-05-E-Mustbe submitted fora Power Adjustmentfactor(PAF)to be recognized for compliance. ❑ Field Inspector ElEl0 11 El
<br /> lD ❑ 1 ❑ o ❑ ❑ W Z
<br /> NRCI-LTI-06-E-Must be submitted for additional wattagemstfilled ina video conferencing studio to be recognized for ❑ Field Inspector ❑ ❑ 0 ❑ ❑ _
<br /> ❑ compliance. 10:1 10:110 El 1:1O
<br /> LiLi0 El El0
<br /> CA Building Energy Efficiency Standards-2016 Nonresidential Compliance Apri12016 1 1 ❑ 1 ❑ 1 0 ❑ ❑ Q LLI Y
<br /> 0 Lu
<br /> INSTALLED WATTS PAGETOTAU Enter sumtotzl of all pages into Ljj /��// Q LI..)LI..)
<br /> 1238 NRCC-LT-OS-E:Page2 M
<br /> STATE OF CALIFORNIA �'n^
<br /> Z Q W
<br /> INDOOR LIGHTING iS1 CA Building Energy Efficiency Standards-2016 Nonresidential Compliance April 2016 1—
<br /> CEC-NRCC-LT-01-E(Revised04/16) L) U U Z 0
<br /> CERTIFICATEOF COMPLIANCE CAU FORMAENERGY COMMISSION NRCC-LTI-01-E 0 O L.t
<br /> M NO
<br /> Intloor Lighting (Page3 of 6) W OO — O
<br /> ProjectName: SBUX@ARCH ROAD&HWY99 DatePrepared: 6/6/2018 a D- el- LL of
<br /> E.Declaration of Required Certificates of Acceptance STORE #: 10183
<br /> Dei,areb chK rise of the Certificates of Accigatancethat will be submitted. Retain copies and ver ify forms are completed andsi ned. PROJECT#: 27237-038
<br /> YES NO FORM/TITLE
<br /> Q ❑ NRCA-LTI-02-A-Must be submitted for occupancy sensors and automatic timeswitch controls. ❑ Fieldlnspector CASEWORK CONCEPT:
<br /> 0 ❑ NRCA-LTI-03-A-Mus[besubmittedfor automatic daylight controls. ❑ Fieldlnspector ISSUE DATE:
<br /> DESIGN MANAGER:
<br /> ❑ ❑ NRCA-LT-04-A-Must be submitted for demand responsive lighting controls. ❑ Field lnspectar LEED®AP:
<br /> PROGRAM MANAGER: HT
<br /> AsepaN Lig Ong Schedule Must Be Fills OutforCandidonedand Umm�didoned Spaces. Installedlighting Powerlistedon[his Lighting Schedule is onlyJor: CHECKED BY: TG
<br /> OCONDIONEDSPACE ❑ UNCONDNIDNEDSPACE
<br /> Revision Schedule
<br /> F.INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST
<br /> ❑y Theactual indoor lighting power listed on this pageand on the next page includes all installed permanent and planned portable lighting systems. Rev Date By Description
<br /> ❑ When Complete Building Method is used for compliance,listeach different type of luminaire on separate lines. 06-05-18 SS PERMITSET
<br /> IRI When Area Category Method or Tailored Method is used for compliance,list each different typeof luminaire by each different function area on separate lines 1
<br /> ❑ Also include track lighting in schedule,and submitthetrack lighting complia nce form(NRCC-LTI4)5-E1 when line-voltage track lighting is installed. 2
<br /> 3
<br /> CA Building Energy Efficiency Standards-2016 Nonresidential Compliance Apri 12016 SHEET TITLE:
<br /> ELECTRICAL ENERGY
<br /> CODE FORMS
<br /> SCALE:AS SHOWN N.T.S.
<br /> SHEET NUMBER:
<br /> E-0003
<br />
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