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STATE OF CALIFORNIA STATE OF CALIFORNIA 0fiM11h STATE OF CALIFORNIA
<br /> INDOOR LIGHTING INDOOR LIGHTING INDOOR LIGHTING
<br /> CEC-NRCC-LTI-01-E(Revised 04/16) CEC-NRCC-LTI-01-E(Revised 04/16) CEC-NRCC-LTI-01-E(Revised 04/16)
<br /> CALIFORNIA ENERGY COMMISSION CALIFORNIA ENERGY COMMISSION 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 1 of 6) Indoor Lighting (Page4 of 6) Indoor Lighting (Page 6 of 6)
<br /> Project Name: STARBUCKS @ MARCH AND WEST Date Prepared: 12/10/2019 Project Name: STARBUCKS @ MARCH AND WEST Date Prepared: 12/10/2019 Project Name: STARBUCKS @ MARCH AND WEST Date Prepared: 12/10/2019
<br /> A. General Information G. Installed Portable Luminaires in Offices—Exception to Section 140.6(x) DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
<br /> Climate Zone: 12 Conditioned Floor Area : 1589 -This section shall befilied out ONLY for portable luminaires in offices (As defined in§100.1).All other planned portable luminaires shall be documented on next page ofthis 1. 1 certifythat this Certificate of Compliance documentation is accurate and complete.
<br /> 02011 STARBUCKS COFFEE COMPANY
<br /> Unconditioned Floor Area : compliance form. Documentation Author Name: Documentation Author Signature:
<br /> This section is used to determine if greater than 0.3 watts of portable lighting is planned for any office
<br /> Building Type: ,� Nonresidential ❑ ent ❑ oteoteHigh-Rise Residential Hl/Ml TOMISLAV GAJIC STARBUCKS COFFEE
<br /> ❑ -Fi II out a separate I ine for each different office.Smal I offices that are typical (having the same general and portable lighting)maybe grouped together.This allows nce shal I
<br /> ❑ Schools ❑ Relocatable Public Schools Q Conditioned Spaces ❑ Unconditioned Spaces not betraded between offices having different lighting systems. Company: Signature Date:
<br /> Phase of Construction: ❑ New Construction ❑ Addition 0 Alteration ACIES ENGINEERING 12/10/2019 COMPANY
<br /> Method of Compliance: ❑Com Complete +� Area Category Tailored Field 2401 UTAH AVENUE SOUTH
<br /> P g ❑ g Y ❑ Office Portable Office Office Location Address: CEA Certificationldentification (ifapplicable):
<br /> Project Address: 247SOSCOLAVE.,NAPA,CA94559 Inspector SEATTLE, WASHINGTON 98134
<br /> 01 02 03 04 05 06 07 08 09 10 3371 Olcott Street
<br /> (206) 318-1575
<br /> Installed ° City/State/Zip: Phone:
<br /> B. Lighting Compliance Documents(select yes for each document included) portable Watts per THESE DRAWINGS AND SPECIFICATIONS ARE
<br /> f 9Y Efficiency p f p YCaliforniaY luminaire square IfG06<3 r- _0.3, Santa Clara,CA 95054 (408)522-5255
<br /> For detailed instructions on the use o this and all Ener E icienc Standards compliance documents,re er to the Nonresidential Manual ublished b the Cali ornia Ener Commission. c z CONFIDENTIAL AND SHALL REMAIN THE SOLE
<br /> YES NO COMP. DOC. TITLE Complete Luminaire Description 3' 3 watts in this o D foot enter zero; Identify Office area in which RESPONSIBLE PERSON'S DECLARATION STATEMENT PROPERTY OF STARBUCKS CORPORATION,
<br /> W. Cr — fD WHICH IS THE OWNER OF THE COPYRIGHT IN THIS
<br /> Q ❑ NRCC-LIT-01-E Certificate of Compliance. All Pages required on plans for all submittals. (i.e.,LED,undercabinet,furniture mounted Watts per office : o (G04/GOS ifG06>0.3, these portable luminaires are I certifythe following underpenaltyof perjury,underthe laws ofthe State of California:
<br /> o WORK. THEY SHALL NOT BE REPRODUCED(IN
<br /> ❑++ ElNRCC-LIT-02-E Lighting Controls,Certificate of Compliance,and PAF Calculation.All Pages required on plans forall submittals. direct/indirect) Luminaire (602x603) ) (606-0.3) 605x607 installed 1. The information provided on this Certificate of Compliance is true and correct. WHOLE OR IN PART), SHARED WITH THIRD
<br /> 0 0 0 0 2. I am eligible underDivision 3ofthe Business and Professions Code to accept responsibilityforthe building design or system design identified on this Certificate of
<br /> NRCC-LIT-03-E Indoor Lighting Power Allowance PARTIES OR USED IN ANY MANNER ON OTHER
<br /> ❑ ❑ g g 0 0 0 0 ❑ ❑ Compliance (responsible designer). PROJECTS OR EXTENSIONS TO THIS PROJECT
<br /> ❑ Q NRCC-LIT-04-E Tailored Method Worksheets 0 0 0 0 ❑ ❑ 3. The energyfeatures and performance specifications,materials,components,and manufactured devices forthe building design orsystem design identified on this WITHOUT THE PRIOR WRITTEN CONSENT OF
<br /> Q ❑ NRCC LIT 05 E Line Voltage Track Lighting Worksheets 0 0 0 0 ❑ ❑ Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations. STARBUCKS CORPORATION. THESE DRAWINGS
<br /> 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on otherapplicable AND SPECIFICATIONS ARE INTENDED TO EXPRESS
<br /> ❑ ❑+� NRCC-LIT-06-E Indoor Lighting Existing Conditions 0 0 0 0 ❑ ❑ compliance documents,worksheets,calculations,Plansand ecificationssubmitted tothe enforcement a enc foraPProvalwiththisbuilding permit application. DESIGN INTENT FOR A PROTOTYPICAL
<br /> 0 0 0 0 ❑ ❑ 5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s)issued forthe building,and made STARBUCKS STORE(WHICH IS SUBJECT TO
<br /> g Energy Y p p 0 0 0 0 available to the enforcement agency pp p p g copy p q CHANGE AT ANYTIME AND DO NOT REFLECT
<br /> CABuildin Ener Efficient Standards 2016 Nonresidential Compliance April 2016 ❑ ❑ gent for a licable ins ections.I understand that completed signed co of this Certificate of Com liance is requi to be included
<br /> Enter sum total of all pages into with the documentation the builder provides to the building owner at occupancy. ACTUAL SITE CONDITIONS. NEITHER PARTY SHALL
<br /> HAVE ANY OBLIGATION NOR LIABILITY TO THE
<br /> Total installed portable luminaire watts that are greater than 0.3 W/ftz per office: NRCC-LTI-01-E;Page 2 Responsible Designer Name Responsible Designer Signature: OTHER(EXCEPT STATED ABOVE) UNTIL A
<br /> TOMISLAV GAJIC --d- WRITTEN AGREEMENT IS FULLY EXECUTED BY
<br /> STATE OF CALIFORNIA
<br /> LIGHTING Company : Date Signed: BOTH PARTIES.
<br /> INDOOR L
<br /> CEC NRCC LTIIG E(Revised 04/16) ACIES ENGINEERING 12/10/2019 ARCHITECT OF RECORD
<br /> CALIFORNIA ENERGY COMMISSION CABuilding Energy Efficiency Standards-2016 Nonresidential Compliance Apri12016 0 = �
<br /> Address: License: > —
<br /> CERTI FICATE OF COMPANCE NRCC-LTI-01-E C.) CD
<br /> LIi
<br /> Indoor Lighting (Page 2 of 6) 3371 Olcott Street E15130
<br /> U
<br /> Project Name: STARBUCKS @ MARCH AND WEST Date Prepared: 12/10/2019 City/State/Zip: Phone:
<br /> cn
<br /> STATE OF CALIFORNIA 01911111hSanta Clara,CA 95054 (408)522-5255
<br /> C. Summary of Allowed Lighting Power INDOOR LIGHTING
<br /> Conditioned and Unconditioned space Lighting must not be combined for compliance CEC-NRCC-LTI-OI-E(Revised 04/16) m c g a r c h i t e c u re
<br /> 4a
<br /> Indoor Lighting Power for Conditioned Spaces Indoor Lighting Power for Unconditioned Spaces
<br /> CALIFORNIA ENERGY COMMISSION CABuilding Energy Efficiency Standards 2016 Nonresidential Compliance April 2016 111 Pacifica, Suite 280, Irvine,CA 92618
<br /> Watts watts CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E P: 949.553.1117 F:949.474.7056
<br /> 01 Installed Lighting Installed Lighting Indoor Lighting (Page 5 of 6)
<br /> NRCC-LTI-01-E,page 5 + 1,746.5 NRCC-LTI-01 E,page 5 + Project Name: STARBUCKS @ MARCH AND WEST Date Prepared: 12/10/2019
<br /> 02 PORTABLE ONLY FOR OFFICES + ACIES ~~1
<br /> NRCC-LTI-01-E,page 4 A separate Lighting Schedule Must Be Filled Outfor Conditioned and Unconditioned Spaces.Installed Lighting Powerlisted on this Lighting Schedule is only for: rr;OQRpFESS/0N�lilt
<br /> Minus Lighting Control Credits Minus Lighting Control Credits r SAV Z. ! 2
<br /> 03 ❑CONDITIONED SPACE ❑ UNCONDITIONED SPACE ti✓rQ NS C F'At-
<br /> NRCC-LTI-02-E,page 2 NRCC-LTI-02-E,page 2 ENGINEERING
<br /> Adjusted Installed Lighting Power Adjusted Installed Lighting Power _ 3371 01cott Street
<br /> 04 (row 1 plus row 2 minus row 3) - 1,746.5 (row 1 minus row 3) o H. INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Santa Clara,CA 95054 l 15130 A i
<br /> Complies ONLY if Installed<_Allowed Complies ONLY if Installed<_Allowed Luminaire Schedule Installed Watts Location Field Inspector' ph:(408)522-5255 1 zp. /30/20 *�j
<br /> fx:(408)522-5260
<br /> Allowed Lighting Power l
<br /> 01 02 03 04 05 06 07 08 info@acies.net 2zli9pFFCTRXCO��rrrr
<br /> Allowed Lighting Power Unconditioned NRCC LTI 03 E,page 1 How wattage was Copyright©2019 ltttitO�vCA�YF�r^
<br /> Conditioned NRCC-LTI-03-E,page 1 determined w
<br /> Alterations with replacement luminaries that have at least
<br /> 05 Alterations with replacement luminaries that have at least 50/35% 1,810.8
<br /> 50/35/o w
<br /> lower power compared to the original existing o = Y
<br /> lower power compared to the original existing luminaries,mayv v ° o
<br /> luminaries,may instead use the allowed wattage from `o Complete Luminaire Description a .� w a E _ a` c _
<br /> instead use the a I lowed wattage from NRCC-LTI-06,page2 a Y c v z o o c - y X
<br /> NRCC-LTI-06,page 2 E E (i.e,3lamp fluorescent troffer, '£ E o o E 'E m o PrimaryFunction area in which
<br /> z ' F32T8,one dimmable electronic ballast) u � a w z 3 = these luminaires are installed Pass Fail
<br /> D. Declaration of Required Installation Certificates L19027 LED DOWNLIGHT 11 ❑ 2 1 11 RESTROOMs ❑ ❑
<br /> Declare by selecting es for all Installation Certificates that will be submitted. Retain copies and verif forms are completed and signed.) L19092 LED DOWNLIGHT 11 E] Q 43 473 BAR AREA/CAFE SEATING El El
<br /> YES NO Form/Title L15057 2X4 LED FIXTURE 36 ❑ Q 7 252 WORKROOM ❑ ❑
<br /> T4 LED LV TRACK(240W) 240 ❑ Q 2 480 BAR AREA ❑ ❑
<br /> Q ❑ NRCI-LTI-01-E-Must be submitted for al l buildings ❑ Field Inspector T5 LED LV TRACK(48OW) 480 ❑ ❑+I 1 480 BAR AREA/CAFE SEATING ❑ ❑
<br /> NRCI-LTI-02-E-Must be submitted for a lighting control system,or for an Energy Management Control System(EMCS), ❑ Field Inspector L16593 LED WALL SCONCE 20 ❑ ❑+I 1 2 40 RESTROOMs ❑ ❑
<br /> ❑ ❑ to berecognized for compliance. L20799 LED WALL SCONCE 3.5 ❑ ❑� 3 10.5 CAFE SEATING ❑ ❑ O
<br /> NRCI-LTI-03-E-Must be submitted for a line-voltage track lighting integral current limiter,or for a supplementary ❑ Field Inspector ❑ ❑ 0 ❑ ❑ 7—
<br /> ❑ overcurrentprotectionpanelusedtoenergizeonlyline-voltage track lighting,to be recognized forcompliance. ❑ ❑ 0 ❑ ❑ CSI
<br /> NRCI-LTI-04-E-Must be submitted for two interlocked systems serving an auditorium,a convention center,a ❑ Field Inspector ❑ ❑ 0 ❑ ❑ W LLJ
<br /> ❑ conference room,a multipurpose room,or a theater to be recognized for compliance. ❑ ❑ o ❑ ❑
<br /> ❑ 211NRCI-LTI-05-E-Must be submitted for a Power Adjustment Factor(PAF)to be recognized for compliance. ❑ Field Inspector U Q Q
<br /> 11 11I
<br /> J U
<br /> El ❑ NRCI-LTI-06-E-Must be submitted for additional wattage installed in a video conferencing studio to be recognized for ❑ Field Inspector ❑❑ 0 El ❑❑ 06 W
<br /> compliance. 7
<br /> J ElEl0 El 1:1Q 0 U^ OL
<br /> CABuilding Energy Efficiency Standards-2016 Nonresidential Compliance April 2016 ❑ ❑ 0 ❑ ❑ r , w
<br /> 0 Z
<br /> INSTALLED WATTS PAGE TOTAL: Enter sum total of all pages into
<br /> 1746.5 U
<br /> NRCC-LTI-01-E;Page 2 W W Q
<br /> STATE OF CALIFORNIA 0 Q 0 O
<br /> INDOOR LIGHTING CABuilding Energy Efficiency Standards-2016 Nonresidential Compliance April 2016
<br /> Lo U)
<br /> CEC-NRCC-LTI-01-E(Revised 04/16)
<br /> CALIFORNIA ENERGY COMMISSION
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E STORE #: 13402
<br /> Indoor Lighting (Page 3 of 6) PROJECT #: 39714-051
<br /> Project Name: STARBUCKS @ MARCH AND WEST Date Prepared: 12/10/2019
<br /> CASEWORK CONCEPT: CORE
<br /> E. Declaration of Required Certificates of Acceptance ISSUE DATE:
<br /> Decla re by checking all of the Certificates of Acceptance that wi11 be submitted.(Retain copies and verify forms are completed and signed.) PROGRAM MANAGER: M. DREBIKA
<br /> YES NO FORM/TITLE
<br /> STORE DESIGNER: S. BELVINS
<br /> ❑l ❑ NRCA-LTI-02-A-Must be submitted for occupancy sensors and automatic time switch controls. ❑ Field Inspector LEED®AP: N/A
<br /> Q ❑ NRCA-LTI-03-A-Must be submitted for automatic daylight controls. ❑ Field Inspector CHECKED BY:
<br /> ❑ ❑ NRCA-LTI-04-A-Must be submitted for demand responsive lighting controls. ❑ Field Inspector ACIES PROJECT#: 190480
<br /> ACIES DESIGNER BY: HT
<br /> A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces. Installed Lighting Power listed on this Lighting Schedule is only for: ACIES CHECKED BY: TG
<br /> ❑Q CONDITIONED SPACE ❑ UNCONDITIONED SPACE
<br /> Revision Schedule
<br /> F. INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST
<br /> Rev Date By Description
<br /> 0 The actua I indoor I lighting power I isted on this page and on the next page i ncl udes all installed permanent a nd planned portable lighting systems.
<br /> ❑ When Complete Building Method is used for compliance,I ist each different type of luminai re on separate lines.
<br /> Q When Area Category Method or Tailored Method is used for compliance,list each different type of luminaire by each different function area on separate lines
<br /> ❑ Also include track I ighting in schedule,and submit the track lighti ng compliance form(NRCC-LTI-05-E)when I ine-voltage track I ighting is installed.
<br /> CABuilding Energy Efficiency Standards-2016 Nonresidential Compliance April 2016 SHEET TITLE:
<br /> ELECTRICAL ENERGY
<br /> CODE FORMS
<br /> SCALE: AS SHOWN
<br /> SHEET NUMBER:
<br /> E-003
<br />
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