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<br /> STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> INDOOR LIGHTING xl. INDOOR LIGHTING l9®OOR LIGHTING o
<br /> CEC-NRCC-LTl-01-E(Revised 04116) CALIFORNIA ENERGYCOMMISSlON GEC-NRCC-L7I-01-E(Revised 04116) CALIFORNIA ENERGY COMMISSION CEG-NRCC-LTI-01-E(Reviised 04116) CALIFORNIA ENERGY COMMISSION U U
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E [L N E L1
<br /> Indoor Lighting (Page 1 of 6) Indoor Lighting (Page 2 of 6) Indoor Lighting (Page 3 of 6) >1
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<br /> Project Name:DUNG FU TEA Date Prepared: Project Name:KUNG FU TEA Date Prepared:9/18 2019 Project Name:KU9/18/2019 NG FU TEA Date Prepared: V` i 0) C7)
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<br /> 9/18/2019 / � rl Ol 00
<br /> C.Summa of Allowed Lighting Power E. Declaration of Required Certificates of Acceptance 0 w I
<br /> A. General Information Summary g g q p W dd Q_ r
<br /> Climate Zone: Conditioned Floor Area: 1290 SF Conditioned and Unconditioned space Lighting must not be combined for compliance Declare by selecting yes for all of the Certificates of Acceptance that will be submitted, (Retain copies and verify forms are completed and signed.) C7 CL (D
<br /> 12 Indoor Lighting Power for Conditioned Spaces Indoor Lighting Power for Unconditioned Spaces YES NO FORM/TITLE Q
<br /> Unconditioned Floor Area: © i 0
<br /> Building Type: © Nonresidential ❑ High-Rise Residential ❑ Hotel/Motel Watts Watts NRCA-LTI-02-A-Must be submitted for occupancy sensors and automatic time switch controls. ❑ Field Inspector (D
<br /> Installed Lighting Installed Lighting w a co c�
<br /> ❑Schools ❑ Relocatable Public Schools ❑✓ Conditioned Spaces ❑ Unconditioned Spaces 01 NRCGLTI-01-E,Table H,page S + 1374 NRCC-LTI-01-E,Table H, page 5 NBCA LTI-03 A Must be submitted for automatic daylight controls. ❑ Field Inspector 9,. LO E k
<br /> Portable Only for Offices 0) W w
<br /> Phase of Construction: ❑ New Construction ❑ Addition ✓❑ Alteration 02 Y � � NRCA-LTI-04-A-Must be submitted for demand responsive lighting controls. Field Inspector � W
<br /> NRCGLTI-01-E,Table G,page 4 + L(7
<br /> Method of Compliance: ❑ Complete Building ❑✓ Area Category ❑ Tailored 0 ®' NRCA-LTI-05-A-Must be submitted for institutional tuning power adjustment factor(PAF). 00
<br /> 03 Minus Lighting Control Credits Minus Lighting Control Credits
<br /> Project Address: 4663 PACIFIC AVE.,STE"G",STOCKTON,CA NRCC-LTI-02-E,page 2 NRCC-LTI-02-E, page 2 '
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<br /> Adjusted Installed Lighting Power Adjusted Installed Lighting Power A Separate Lighting Schedule Must Be Filled Out or Conditioned and Unconditioned Spaces. Installed Lighting Power listed on this Lighting Schedule is only CD
<br /> 04 row 1 plus row 2 minus raw 3 - 1374 0 p g q f p g 9 9 4 y
<br /> ( p ) (row 1 minus row 3) h
<br /> B. Lighting Compliance Documents(select yes far each document included} "'�,7 for: ❑ CONDITIONED SPACE ❑ UNCONDITIONED SPACE �
<br /> For detailed instructions an the use of this and al!Energy Efficiency Standards compliance documents,refer to the Nonresidential Manua!published by the California Energy Commission. Complies ONLY if Installed 15 Allowed(Bax 04< Box 05) Complies ONLY if Installed<-Allowed(Box 04< Bax 05)
<br /> YES NO COMP.DOC. TITLE Allowed Lighting Power Allowed Lighting Power F. Indoor Lighting Schedule and Field Inspection Energy Checklist
<br /> �. Conditioned NRCGLTI-03-E, page 1 Unconditioned NRCC-LTI-03-E,page 1 add
<br /> d Q NRCC-LTI-01-E Certificate of Compliance. All Pages required on plans for all submittals. ❑ The actual indoor lighting power listed on the next 2 pages includes all installed permanent and planned portable lighting systems. I J' (1)
<br /> NRCC-LTI-02-E Lighting Controls,Certificate of Compliance,and PAF Calculation.All Pages required on Ions for all submittals, 05 Alterations with replacement luminaires that have at least 1432 Alterations with replacement luminaires that have at least ❑ When Cam plebe Building Method is used for complia nce,list each different type of luminaire on separate lines. ~
<br /> © g g p g q P 50/35%lower power compared to the original existing lum[naires, 50/35%lower power compared to the original existing luminaires,
<br /> NRCC-LTI-03-E Indoor Lighting Power Allowance ❑✓ When Area Category Method or Tailored Method is used for compliance,list each different type of luminalre by each different function area on separate lines ;
<br /> g g may instead use the allowed wattage from NRCC-LTI-06,page 2 may instead use the allowed wattage from NRCC-LTI-O6,page 2
<br /> 0NRCC-LTI-04-E Tailored Method Worksheets E] Also include track lighting in schedule,and submit the track lighting compliance document{NRCC-LTI-05-E)when line-voltage track lighting is installed.
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<br /> NRCC-LTI-05-E Line Voltage Track Lighting Worksheets -11 o
<br /> D.Declaration of Required Certificates of Installation 0
<br /> 0 0 NRCC-LTI-06-E Indoor Lighting Existing Conditions oc+� a
<br /> Declare by selecting yes for all of the Certificates that will be submitted. (Retain copies and verify forms are completed and signed.) 2° o v o E a
<br /> YES NO Form/Title
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<br /> • NRCI-LTI-01-E-Must be submitted for all buildings Field Inspector n noo -a �s
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<br /> N RCI-LTI-02-E-Must be submitted for a lighting control system,or for an Energy Management Control System (EMCS), _o 0 °a; o U' 3
<br /> 0 ❑ Field Inspector c a)'o•- -a ata += o
<br /> to be recognized for compliance. o c E .a o a,
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<br /> NRCI-LTI-03-E-Must be submitted for a line voltage track lighting integral current limiter,or for a supplementary Q O-0 >, a c c
<br /> ❑ Field Inspector m u, L 0 0 m
<br /> overcurrent protection panel used to energize only line-voltage track lighting,to be recognized for compliance. to o a -
<br /> NRCI-LTI-04-E-Must be submitted for two interlocked systems serving an auditorium,a convention center,a ° a)a c a 0 vi J
<br /> I ❑ Field Inspector _0L x •q L.
<br /> O-O)o o o_Jconference room,a multipurpose room,or a theater to be recognized for compliance. a,a t2 a) U ° v' :3
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<br /> 0 NRCI-LTI-05-E--Must be submitted for a Power Adjustment Factor(PAF)to be recognized for compliance, ❑ Field Inspector s•L m o o a' E L'L
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<br /> ® ® NRCI-LTI-06-E- Must he submitted for additional wattage installed in a video conferencing studio to be recognized for ❑ Field Inspector o �' c w 0 a2 (t) '�
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<br /> compliance. � a •- o
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<br /> p April 2016 -_ aa) a� �
<br /> CA Building Energy Efficiency5tandards 2016 Nonresidential Compliance
<br /> CA Building Energy Efficiency Standards-2016 Nonresidential Compliance April 2016 CA Bullding Energy Efficiency Standards-2016 Nonresidential Compliance A rfl 2016 a O I O to c
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<br /> REVISIONS/DATE
<br /> STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> INDOOR LIGHTING I INDOOR LIGHTENG INDOOR LIGHTINGa '�L
<br /> CEC-NRCC»1_71-01-E(Revised 04118) CALIFORNIA ENERGY COMMISSION CEO-NRCC-L-n-01-E(Revised 04116) CALIFORNIA ENERGY COMMISSION CEC-NRCC-LTI-01-E(Revised 04116) CALIFORNIA ENERGY COMMISSION
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E
<br /> Indoor Lighting (Page 4 of 6) Indoor Lighting (Page 5 of 6) Indoor Lighting (Page 6 of 6)
<br /> Project Name:KUNG FU TEA Date Prepared;9/18/2019 Project Name:KUNG FU TEA Date Prepared:9/18/2019 Project Name:KUNG FUI TEA Date Prepared;9/18/2019
<br /> G. Installed Portable Luminaires in Offices-Exception to Section 140.6(a) 0 A Separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces. installed Lighting Power listed on this Lighting Schedule is only far. DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
<br /> - This section shall be filled out ONLY for portable luminaires in offices(As defined in§100.1). All other planned portable luminaires shall be documented on next page of ❑ CONDITIONED SPACE E] UNCONDITIONED SPACE 1. 1 certify that this{Certificate of Compliance documentation is accurate and complete.
<br /> Documentation Author Name:ANDY DANG Documentation Author Signature:
<br /> this compliance document,
<br /> - This section is used to determine if greater than 0.3 watts of portable lighting is planned for any office H. Indoor Lighting Schedule and Field Inspection Energy Checklist 111
<br /> Company: Signature nate:AD ENGINEERING 9/18/2019
<br /> I.
<br /> - Fill out a separate line for each different office.Small offices that are typical(having the same general and portable lighting)may be grouped together.This allowance Luminaire Schedule Installed Watts Location Field Inspector 1 Address:9587 DAPPLE CRAY PL CEAcertiflcatlon identification(if applicable):
<br /> shall not be traded between offices having different lighting systems. 01 02 03 04 05 06 07 08 city/state/zip: phone: Seal:
<br /> ELK GROVE,CA 95624 (916)761-4858 ��i�
<br /> Office Portable Luminaire Schedule Office Installed Portable Luminalre W/ft2 Office Location Field Inspector How wattage was
<br /> determined RESPONSIBLE PERSON'S DECLARATION STATEMENT ( KHAN 0
<br /> 01 OZ 03 04 05 06 07 08 09 10 G�
<br /> m I certify the following under penalty of perjury,under the laws of the State of California: a0 'k,
<br /> Installed If G06 50.3, o 1. The informatfon provided on this Certificate of Compliance is true and correct. F
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<br /> z portable o ut Watts enter o
<br /> Complete Luminaire Description - .� _ v •� C 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or stem design identified on this Certificate of Compliance
<br /> Identif Office area in p P y gN0. 63610
<br /> c Y u 'C z a o a c u x
<br /> 3 luminaire per zero; v n E E (i.e, lamp fluorescent troffer, o `o o E ro m (responsible desiigner}.
<br /> ( E u E C. E p Primary Function area in which * Exp. 09/30/2020
<br /> W m n (GCS x G07) which these portable v m m o o 3. The energy features and
<br /> Complete Luminaire Description watts in square v - z _ a gy performance specifications,materials,components,and manufactured devices for the building design orsystem design identified on this Certificate of
<br /> rD o = m luminaires are Installed p• conform to the requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations.
<br /> F32T8 one dimmable electronic ballast) these luminaires are installed Pass Fail C
<br /> (' p foot If G06>0.3, Compliance cool
<br /> i.e.,LED,under cabinet,furniture mounted Watts per � -», this office q g ��` ! V \
<br /> L1 2X4 LED LAY IN 52 ❑✓ ❑ 16 832 i, C) 4. The buildingdesign features or stem design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance
<br /> 9
<br /> direct/indirect) Luminaire {G02 x G03) (G04/GQ5 (G06-0.3) g y g P P PP p
<br /> - . L2 6"LED RECESS 13 ❑✓ ❑ 14 182 0 C ) documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. C
<br /> None 0 0
<br /> _ r') ). 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 available to the
<br /> L3 TRACK LIGHT(SEF LTG-5D) 180 ✓❑ [] 2 3601
<br /> 0 0 ❑ �' 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
<br /> 0 0 0 ❑ 0 -, l builder provides to the building owner at occupancy.
<br /> ...... El D ❑ _;`p Responsible Designer Name:: Responsible Designer Signature:
<br /> 0 0 lo ❑ ANDY DANG
<br /> ✓❑ ❑ 0 ��: ..-� I. company: - Date Signed:
<br /> 0 0 () -. _ AD ENGINEERING 9/18/2019Id
<br /> Enter sum total of all pages into NRCC-LTI - - ---- ❑ ❑ 0 Address: octose
<br /> 9587 DAPPLE GRAY PL 063640 1
<br /> Total installed portable luminaire watts that are greater than 0.3 W/ft2 per office: 01-E; Page 2 El F] Q
<br /> ❑ ❑ 0 `} C a city/stats/zip ELK GROVE,CA 95624 Phone:(916)761-4858 i
<br /> INSTALLED WATTS PAGE TOTAL: 1374 Enter sum total of all pages intoNRCC-LTI-01-E; Page 2
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<br /> CA Building Energy Efficiency Standards-2016 Nonresidential Compliance April 2016 CA Building Energy Efficiency Standards-2016 Nonresidential Compliance April 2016 CA Building Energy Efficiency Standards-2016 Nonresidential Compliance April 2016 Q p
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<br /> STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> INDOOR LIGHTING -- LIGHTING CONTROLS INDOOR LIGHTING - UGHTING CONTROLS INDOOR LIGHTING - LIGHTING CONTROLS I j
<br /> CEC-NRCC-LTI-02-E(Revised 01116) CALIFORNIA ENERGY COMMISSION CEC-NRCC-LTI-02-E(Revised 01/16) CALIFORNIA ENERGY COMMISSION CEC-NRCC-LTI-02-E(Revised 01116) CALIFORNIA ENERGY COMMISSION .
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E � 1�
<br /> Indoor Lighting-Lighting Controls (Page 1 of 3) Indoor Lighting-Lighting Controls (Page 2 of 3) Indoor Lighting-Lighting Controls (Page 3 of 3)
<br /> Proied Name:KUNG FU TEA Date Prepared:9/18/2019 Project Name:KUNG FU TER Date Prepared: 9/18/2019 Project Name:KUNG FU TEA Date Prepared:9/18/2019
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<br /> A. Mandatory Lighting Control Declaration Statements (Indicate if the measure applies by checking yes or no beloW.) A separate document must be filled out for Conditioned and Unconditioned Spaces.This page is used only for the following: ?
<br /> ❑ CONDITIONED SPACES ❑ UNCONDITIONED SPACES DOCUMENTATION AU'THOR'S DECLARATION STATEMENT
<br /> YES NO Control Requirements 1. I certify that this Certificate of Compliance documentation is accurate and complete.
<br /> Documentatlor Author Name: Documentation Author Signature:
<br /> B. Mandator and Prescriptive Indoor Lighting Control Schedule PAF Calculation ANDYDANG
<br /> � Lighting shall be controlled by self-contained lighting control devices which are certified to the Energy Commission according to the Title 20 Appliance Y p g g ,and Field Inspection Checklist company: Signature Date: Jej.
<br /> Efficiency Regulations in accordance with Section 110.9. PAF Credit Calculation AD ENGINEERING 9/18/2019
<br /> Address: CfACertlfication IdentlflcatEon(If applicable):
<br /> Lighting shall be controlled by a lighting control system or energy management control system in accordance with§110.9. An Installation Certificate +s rp 9587 DAPPLE GRAY PL
<br /> IS 0 shall be submitted in accordance with Section 130.4(b). i n a city/state/zlp: phone:
<br /> Standards Complying With y N FLK GROVE,CA 95624 (916)761-4858 f
<br /> ® One or more Track Lighting Integral Current Limiters shall be installed which have been certified to the Energy Commission in accordance with§110.9 and (✓all that apply,or leave empty :yo ;4x m � c o rD RESPONSIBLE PERSON'S DECLARATION STATEMENT
<br /> §130,0.Additionally,an Installation Certificate shall be submitted in accordance with Section 130,4(b). CD
<br /> Lighting Control Schedule if Exempted) ao CL T ti ° ° m ° I certify the following under penalty of perjury,under the laws of the state of California:
<br /> A Track Lighting Supplementary Overcurrent Protection Panel shall be installed in accordance with Section 110.9 and Section 130.0,Additionally,an 1. The information provided on this Certificate of compliance is true and correct. I
<br /> 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15
<br /> 0 0) Installation Certificate shall be installed In accordance with Section 130.4(b), 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responslbility forthe building design orsystem design identified on this Certificate of Compliance
<br /> Type/Description of Lighting
<br /> (responsible designer).
<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 � C01 LM W, tv `b w
<br /> Control(i.e.:occupancy sensor, # N L, 3. The energy features and performance specifications,materials,components,and manufactured devices for the building design or system design identified on this Certificate of
<br /> instructions in accordance with Section 130.1. o 0 0 0 0 o M T Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations. -
<br /> Location In Building automatic time switch, of . o -----°- --- =~-
<br /> �' o N r' I_' m m = 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 Drawn By
<br /> • All luminaires shall be functional! controlled with manual ON and OFF lighting controls in accordance with Section 130.1(a). dimmer,automatic daylight, Units a n a m N a documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for A. DANG
<br /> Y g gp p g y approval with this building permit application.
<br /> etc...) 5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made avallable with the building permit(s)issued for the building,and made available to the Checked By
<br /> General lighting shall be separately controlled from all other lighting systems in an area. Floor and wall display,window display,case display,ornamental, enforcement agency for all applicable inspections.I understand that a completed signed copy of this Certificate of Compliance is require to b 'nd ded with the documentation the
<br /> RESTROOM MOTION SENSOR 1 • • p F1 (y 1 ( 1 p q
<br /> .� ® ands special effects lighting shall each be separately controlled on circuits that are 20 amps or less.When track lighting Is used general,display, builder providesto the building owner at occupancy.
<br /> p g g p Y P g g ,g p y, DINING MULTI-LEVEL 1 + + + 0 ❑ l.� ci Responsible Designer Name: Responsible Designer Signature: Dote �_rl�_q�
<br /> ornamental,and special effects lighting shall each be separately controlled; in accordance with Section 130.1(a)4. ANDY DANG 28 II
<br /> FOOD PREP MOTION SENSOR 1 • ♦ ♦ 0 ❑ k_,1: :!.
<br /> The general lighting of any enclosed area 100 square feet or larger,with a connected lighting load that exceeds 0.5 watts per square foot shall meet the company: Date signed: scale
<br /> © g g p q SUPPORT MOTIONSEN50R 1 + + ♦ D ❑ 1.,� ._()' AD ENGINEERING 9/18/2019
<br /> multi-level lighting control requirements in accordance with Section 130.1.(b). 0 � Address: License: ;
<br /> RECEPTION MOTION SENSOR 1 ❑ (� ( 9587 DAPPLE GRAY PL C63640 Job No. AS NOTED
<br /> E) Q All installed indoor lighting shall be equipped with controls that meet the applicable Shut-OFF control requirements in Section 130,1(c). 0 F1City/Sia to/Zip: Phone:(916)ELK GROVE,CA 95624 (916)761-4858
<br /> 0 ❑ C� ) -_ z-�- --
<br /> ®i Lighting in all Day lit Zones shall be controlled in accordance with the requirements in Section 130,1(d)and daylit zones are shown on the plans. Control Credit PAGE TOTAL(Sum of Column 13): 0
<br /> IF MULTIPLE PAGES ARE USED, ENTER SUM TOTAL OF Control Credit for all pages HERE(Sum of all Column 13);
<br /> Lighting power in buildings larger than 10,000 square feet shall be capable of being automatically reduced in response to a Demand Responsive Signal in Enter Control Credit total TITLE-24
<br /> accordance with Section 130.1(e).
<br /> into NRCC-LTI-01-E; Page LIGHTING I
<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 1,
<br /> 0 0 normal use,indoor lighting controls serving the building,area,or site shall be certified as meeting the Acceptance Requirements for Code Compliance in 1. §130.1(a)=Manual area controls;§130.0(b)=Multi Level;§130.1(c)=Auto Shut-Off; §130.1(d)=Mandatory Daylight;§130.1(e)=Demand Responsive, §140.6(d)= Drawing No.
<br /> accordance with Section 130.4,(a).The controls required to meet the Acceptance Requirements include automatic daylight controls,automatic shut-OFF Additional lighting controls installed to earn a PAF;§140.6(d)=Prescriptive Secondary Sidelit Daylight Controls.
<br /> controls,and demand responsive controls, 2. Check Table 140.6-A for correct Factor.PAFs shall not be traded between conditioned and unconditioned spaces.As a condition to earn a PAF, an Installation Certificate is
<br /> also required to be filled out,signed, and submitted. =mmo
<br /> CA Building Energy Efficiency Standards-2016 Nonresidential Compliance January 2016 CA Buiiding Energy Efficiency Standards-2016 Nonresidential Compliance January 2016 CA Building Energy Efficiency Standards-2016 Nonresidential Compliance January 2016
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