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STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> INDOOR LIGHTING -LIGHTING CONTROLS INDOOR LIGHTING -LIGHTING CONTROLS
<br /> CEC-NRCC-LTI-02-E Revised 0116 CALIFORNIA ENERGY COMMISSION CEC-NRCC-LTI-02-E Revised 0116 CAUFORNIA ENERGY COMMISSION
<br /> CERTIRCATEOFCOMFLUANCE NRCC-LTI-02-E CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E
<br /> Indoor Ughting-Lighti ng Controls (Page l of 3) lindoor Lighting-Lighting Controls (Page 3 of 3)
<br /> Pro'ect Name: SBU%@ARCH ROAD&HWY99 Date Prepared: 6/6/2018 Project Name: SBUX@ARCH ROAD&HWY99 Date Prepared: 6/6/2018
<br /> The NRCC-LTI-02-E shall be used to document all mandatory and prescriptive lighting controls that area pplicable to the project. DOCUMENTATION AUTHOR'S DECLARATION STATEMENT ©2017 STAnauCKS COFFEE COMPANY
<br /> A. Mandatory Lighting Control Declaration Statements (Indicate if the measure applies by checking yes or no below.) 1. 1 certify that this Certificate of Compliance documentation is aocurate and complete.
<br /> AS
<br /> Documentation Author Name: Documentation Author Signature: STARB ICKS COFFEE
<br /> YES NO Control Requirements TOMISLAVGAJIC J /1RoC�JOMT�PANY
<br /> Ughting s hall be control led self-conta ined lighting control devices which are certified to the Ener Commissi on according to the Title 20A lia nce Company: Signature Date:
<br /> 0 ❑ g g y g g Energy g pp 2401 UTAH AVENUE SOUTH
<br /> Efficiency Regulations in accordancewith Section 110.9. ACIES ENGINEERING 6/6/2018 SEATTLE, WASHINGTON 98134
<br /> O ❑ Ughting shall be controlled by a lighting control a system or energy management control system in accordance with§110.9.An Installation Certificate Address: CEA Certification Identification(if applicable): (206) 318-1575
<br /> shall be submitted In accordance with Section 130.4(b).
<br /> One or more Track Ughting Integral Current Limiters shall be installed which have been certified to the Energy Commission in accordance with§110.9 and 337101cott Street THESE DRAWINGS AND SPECIFICATIONS ARE
<br /> §130.0.Additionally,an Install ad on Certificate shall be submitted in accordance with Section 130.4(6). City/State/Zip: Phone: PROPERTY OF STARBUCKS CORPORATION,CONFIDENTIAL AND SHALL REMAIN THE SOLE
<br /> ATrack Ughting Supplementary Overcurrent Protection Panel shall be installed in accordance with Section 110.9 and Section 130.0.Additionally,an Santa Clare,CA 95054 (408)522-5255 WHICH IS THE OWNER OF THE COPYRIGHT IN
<br /> ❑ Installation Certificate sha l l be installed in accordance with Section 130.4(6). THIS WORK. THEY SHALL NOT BE
<br /> RESPONSIBLE PERSON'S DECLARATION STATEMENT REPRODUCED(IN WHOLE OR IN PART),SHARED
<br /> O ❑ Al l lighting controls a nd equipment shal l comp)y with the app]icable requirements i n§110.9 and sha l l be i nstalled i n accordance with the manufacturer's I certify the fall owi ng under penalty of periu ry,under the laws of the State of Cal ifomia: WITH THIRD PARTIES OR USED IN ANY MANNER
<br /> instructions in accordance with Section 130.1. 1. The information provided on this Certificate of Compliance is true and correct. ON OTHER PROJECTS OR EXTENSIONS TO THIS
<br /> 2. 1 am eligible under Division 3 o the Business and Professions Code ro accept responsibility forthe building design orsystem design Identified on this Certificate of PROJECT WITHOUT THE PRIOR WRITTEN
<br /> ❑Q ❑ Al l luminal res shal l be functional ly control led with ma nual ly switched ON a nd OFF light!ng controls 1 n accordance with Section 130.1(a). CONSENT OF STARBUCKS CORPORATION.
<br /> Compliance (responsible designer). THESE DRAWINGS AND SPECIFICATIONS ARE
<br /> General lighting shall be separately controlled from all other lighting systems in an area.Floor and wall display,window display,casedisplay,ornamental, 3. The energy features and performance specifications, components and manufactured devices building design orsystem design identified on this INTENDED TO EXPRESS DESIGN INTENT FORA
<br /> ❑v ❑ Certificate of Compliance conform to the requirements of Title 24,Part l and Part 6ofthe California Code of Regulations. PROTOTYPICAL STARBUCKS STORE WHICH IS
<br /> and special effects lighting shall each be separately controlled on circuits that are 20 amps or less.When track lighting is used,general,display,ornamental, 4. The building design features or system design features Identified on this Certificate of Compliance are consistent with the information provided on otherapplicable
<br /> and special effects lighting shall each be separately controlled;in accordance with Section 130.1(a)4. g SUBJECT TO CHANGE AT ANYTIME)AND DO
<br /> compliancedocuments,worksheets,calculations,plans and specifications submitted to the enforcement agencyfor approval with this building permitapplicatlon. NOT REFLECT ACTUAL SITE CONDITIONS.
<br /> Thegeneral lighting of any enclosed area 100 square feet or larger,with a connected lighting load that exceeds 0.5 watts per square foot shal l meetthe S. I will ensure thata completed signed copy of this Certificate of Compliance shall be made available with the building permit(s)issued for the building,and made NEITHER PARTY SHALL HAVE ANY OBLIGATION
<br /> ❑ ❑ multi-level lighting control requirements in accordance with Section 130.1(b). available to the enforcement agencyfora]I applicable inspections.l understand that a completed signed copyof this Certificate of Compliance is required to be included NOR LIABILITY TO THE OTHER(EXCEPT STATED
<br /> with the documentation the builder provides to the building owner at occupancy. ABOVE)UNTIL A WRITTEN AGREEMENT IS
<br /> 0 ❑ Al l instal l ed indoor lighting sha l l be equipped with controls that meet the appl1 ca bl a Shut-OFF control requi rements 1 n Section 130.1(c). FULLY EXECUTED BY BOTH PARTIES.
<br /> Responsible Designer Name: Responsible Designer Signature:
<br /> 0 ❑ Lighti ng in all Dayl it Zones shall be control led l n accords nce with the requirements 1 n Section 130.1(d)and dayll t zones are shown on the plans. TOMISLAVGAJIC STARBUCKS TEMPLATE VERSION 12017.05.18
<br /> Ughting power in buildf ngs larger than 10,000 square feet shall be ca pableaf being automatically reduced in response to a Demand Responsive Signal in Company: Date Signed:
<br /> ❑ 2 accordance with Section 130.1(e). ACIES ENGINEERING 6/6/2018
<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 Address: License:
<br /> normal use,indoor lighting controls servingthe building,area,or site shall be certified as meeting the Acceptance Requirements for Code Compliance l n 337101cott Street E15130
<br /> accordance with Section 130.4.(a).The controls requl red to meet the Accepts nce Requl rements Include automatic daylight controls,automatic shut-OFF controls,
<br /> and demand responsive controls. City/State/Zip: Phone:
<br /> Santa Clara,CA 95054 (408)522-5255
<br /> CA Bul lding Energy Efficiency Standards-2016 Nonresidential Compliance January 2016
<br /> CA Building Energy Efficiency Standards-2016 Nonresidential Compliance January 2016 ACIES
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<br /> INDOOR LIGHTING -LIGHTING CONTROLS info@aues.Pel 'For CAVI "
<br /> CPPYngM©2018
<br /> CEC-NRCC-LT-02-E Revised 0116 CALIFORNIA ENERGY COMMISSION to
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E
<br /> Indoor Lighting-Lighting Controls (Page 2 of 3)
<br /> Project Name: SBUX@ARCH ROAD&HWY99 Date Prepared: 6/6/2018
<br /> A separate document must be filled out for Conditioned and Unconditioned Spaces. This page is used only for the following:
<br /> O CO N DITIONED SPACES ❑ UNCONDITIONED SPACES
<br /> Ln
<br /> B. MANDATORY AND PRESCRIPTIVE INDOOR LIGHTING CONTROL SCHEDULE, PAF CALCULATION, and FIELD INSPECTION CHECKLIST
<br /> PAF Credit Calcul atlon' W CID
<br /> s � �
<br /> 7-i -
<br /> = �X m Stantlartls ComplyingWithv � 'm ,maxLi htin Control Schedule ✓all that a 1 or enter'E'If Exem ted ko' = » $ m S W Z
<br /> 01 02 03 04 05 06 1 07 1 08 09 10 11 12 13 14 15
<br /> Type/Descri ption of Lighting
<br /> Control (Le.:occupancy sensor, w w w w a c .° Q u) Ui Y
<br /> Location In Building automatic time switch, #Of .vim, c ? P P m a I O W ~ U
<br /> dimmer,automatic daylight, Units o v n n = w n LU A/ Of W 0
<br /> etc <
<br /> LIQ V
<br /> WORKROOM/CAFE SEATING GRAFI K EYE DIMMER 1 Z ❑Q 0 Q ❑ ❑ ❑ 0 2 NOD Z
<br /> RESTROOMS/WORKROOM OCCUPANCY SENSOR 4 ❑Q ❑ R ❑ ❑ ❑ ❑ 0 Q L) / 1 W Z
<br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ 0 ❑ �J O
<br /> ° 0 0 DODO
<br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ 0 ❑ a Q a � LL of
<br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ 0 ❑
<br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ ° ❑ STORE #: 10183
<br /> ❑ ❑ ❑ ❑ ❑ r_1
<br /> ❑ 0 ❑
<br /> Control Credit PAGE TOTAL(Sum of Column M): 0 PROJECT#: 27237-038
<br /> IF MULTIPLEPAGESARE USED,ENTERSUM TOTALOF Control Creditfor all pages HERE(Sumof all Column M): 0 CASEWORK CONCEPT:
<br /> Enter Control Credit total into ISSUE DATE:
<br /> NRCC-LTI-01-E; Page 1. DESIGN MANAGER:
<br /> LEEDGI AP:
<br /> 1.§330.1(a)=10anual area controls;§330.0(6)=MultiLevel;§330.1(c)=Auto Shut-Off; Mandatory Daylight;§130.1(e)=Demand Responsive; §140.6(d)= PROGRAM MANAGER: HT
<br /> Additional lighting controls installed to earn a PAF;§140.6(d)=Prescriptive SecondorySidelft DaylightControls. CHECKED BY: TG
<br /> 2.Check Toblel40.6-A forcomectFactor.PAFsshall notbe traded between conditioned and unconditionedspaces.As a condition to eam a PAF, an Installation Certificate is also
<br /> required to be fllledout,signed,and submitted. Revision Schedule
<br /> Rev Date By Description
<br /> CA Building Energy Efficiency Standards-2016 Nonresidential Compliance January 2016 06-05-18 SS PERMITSET
<br /> 1
<br /> 2
<br /> 3
<br /> SHEET TITLE:
<br /> ELECTRICAL ENERGY
<br /> CODE FORMS
<br /> SCALE:AS SHOWN N.T.S.
<br /> SHEET NUMBER:
<br /> E-0004
<br />
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