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STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA �►
<br /> INDOOR LIGHTING INDOOR LIGHTING INDOOR LIGHTING Q
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<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) .+r
<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 Imw
<br /> Indoor Lighting- (Page 1 of 6) Indoor Lighting (Page 4 of 6) Indoor Lighting (Page 6 of 6)
<br /> Project Name: STARBUCKS @ Union and Yosemite Date Prepared: 11/15/2019 Project Name: STARBUCKS @ Union and Yosemite Date Prepared: 11/15/2019 Project Name: STARBUCKS @ Union and Yosemite Date Prepared: 11/15/2019
<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 : 1695 This section shall be filled out ONLYfor portable luminaires in offices (As defined in §100.1).All other planned portable luminaires shall be documented on next page of this 1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
<br /> complianceform. Documentation Author Name: Documentation Author Signature:
<br /> Unconditioned Floor Area : g
<br /> This section is used to determine if greater than 0.3 watts of portable lighting is planned for any office ©2017STARBUCKS COFFEE COMPANY
<br /> Building Type: Nonresidential High-Rise Residential ❑ Hotel/Motel Fi I I out a s epa rate I i ne for ea ch different offi ce.Sma I I offi ces that a re typi ca I (ha vi ng the sa me genera I and portable lighting)may be grouped together.This allowance shall
<br /> TOMISLAVGAJIC
<br /> ❑Schools ❑Relocatable Public Schools Conditioned Spaces ❑ Unconditioned Spaces not betraded between offices having different lighting systems. Company: Signature Date:
<br /> Phase of Construction: ❑New Construction ❑ Addition 0 Alteration STARBUCKS COFFEE
<br /> ACIES ENGINEERING 11/15/2019
<br /> Method of Compliance: ❑Complete BuiIding Area Category E]Tailored Office Portable Lumi naire Schedule Office Installed Portable Luminaire Watts Per Square Foot Office Location Field COMPANY
<br /> Inspector Address: CEA Certification Identification(if applicable):
<br /> Project Address: 129 S.union Rd.,Manteca,CA 95337
<br /> 01 02 03 04 05 06 07 08 09 10 3371 Olcott Street 2401 UTAH AVENUE SOUTH
<br /> Cit State/Zi Phone: SEATTLE, WASHINGTON 98134
<br /> Installed °�� v y/ p
<br /> B. Lighting Compliance Documents(select yes for each document included) — (206) 318-1575
<br /> portable _20 Watts per Santa Clara CA 95054 (408) 522 5255
<br /> For detailed instructions on the use of this and all Energy Efficiency Standards compliance documents,refer to the Nonresidential Manual published by the California Energy Commission. luminaire 3 m square If G06<_0.3, '
<br /> YES NO COMP.DOC. TITLE 3• 3 RESPONSIBLE PERSON'S DECLARATION STATEMENT THESE DRAWINGS AND SPECIFICATIONS ARE
<br /> Complete Luminaire Description S watts in this o o foot enter zero; Identify Office area in which
<br /> cy- I certif the followin under enalt of er perjury, CONFIDENTIAL AND SHALL REMAIN THE SOLE
<br /> Q ❑ NRCC-LIT-01-E Certificate of Compliance. All Pages required on plans for all submittals. (i.e.,LED,under cabinet,furniture mounted Watts per m office rD r o (G04 G05 ifG06>0.3, these portable luminaires are y g p y p j y,underthe laws ofthe State of California:
<br /> ❑+I ❑ NRCC-LIT-02-E Lighting Controls,Certificate of Compliance,and PAF Calculation.All Pages required on plans forall submittals. direct/indirect) Luminaire N (G02 xG03) ) (G06-0.3) G05 G07 installed 1. The information provided on this Certificate of Compliance is true and correct. PROPERTY OF STARBUCKS CORPORATION,
<br /> 0 0 0 0 El 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibilityfor the building design or system design identified on this Certificate of WHICH IS THE OWNER OF THE COPYRIGHT IN
<br /> ❑/ ❑ NRCC LIT-03 E Indoor Lighting PowerAllowance Compliance (responsible designer). THIS WORK. THEY SHALL NOT BE
<br /> ❑ 0 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 or system design identified on this REPRODUCED (IN WHOLE OR IN PART), SHARED
<br /> ❑ 0 NRCC-LIT-05-E Line Voltage Track Lighting Worksheets 0 0 0 0 1:1 ❑ Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 ofthe California Code of Regulations. WITH THIRD PARTIES OR USED IN ANY MANNER
<br /> ❑ Q NRCC LIT-06 E Indoor Lighting Existing Conditions 4. The buildingdesign features orsystem design features identified on this Certificate of Compliance are consistentwith the information provided on otherapplicable ON OTHER PROJECTS OR EXTENSIONS TO THIS
<br /> 0 0 0 0 ❑ ❑ compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agencyfor approval with this building permit application. PROJECT WITHOUT THE PRIOR WRITTEN
<br /> 0 0 1 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 for the building,and made CONSENT OF STARBUCKS CORPORATION.
<br /> CA Building Energy Efficiency Standards-2016 Nonresidential Compliance April 2016 0 0 0 0 ❑ ❑ available to the enforcement agency for all applicable inspections.I understand that completed signed copy of this Certificate ofCompliance is required to be included THESE DRAWINGS AND SPECIFICATIONS ARE
<br /> Enter sum total of all pages into with the documentation the builder provides to the building owner at occupancy. INTENDED TO EXPRESS DESIGN INTENT FOR A
<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: PROTOTYPICAL STARBUCKS STORE (WHICH IS
<br /> SUBJECT TO CHANGE AT ANYTIME)AND DO
<br /> STATE OF CALIFORNIA TOMISLAV GAJIC NOT REFLECT ACTUAL SITE CONDITIONS.
<br /> INDOOR LIGHTING Company: Date Signed: NEITHER PARTY SHALL HAVE ANY OBLIGATION
<br /> CEC-NRCC-LTI-01-E Revised 04/16 UNOR LIABILITY TO THE OTHER (EXCEPT STATED
<br /> ( ) ACIES ENGINEERING 11/15/2019 ABOVE) UNTIL A WRITTEN AGREEMENT IS
<br /> CALIFORNIA ENERGY COMMISSION
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E CA Building Energy Efficiency Standards-2016 Nonresidential Compliance April 2016 Address: License: FULLY EXECUTED BY BOTH PARTIES.
<br /> Indoor Lighting-Tailored Method (Page 2 of 6) 3371 Olcott Street E15130
<br /> Project Name: STARBUCKS @ Union and Yosemite Date Prepared: 11/15/2019 ARCHITECT OF RECORD
<br /> City/State/Zip: Phone:
<br /> STATE OF CALIFORNIA mcg architecture
<br /> C. Summary of Allowed Lighting Power Santa Clara,CA 95054 (408) 522-5255 0 �,
<br /> INDOOR LIGHTING
<br /> Conditioned and Unconditioned space Lighting must not be combined for compliance CEC NRCC LTI 01 E(Revised 04/16) AT& c > o 2= lit
<br /> Indoor Lighting Power for Conditioned Spaces Indoor Lighting Power for Unconditioned Spaces CALIFORNIA ENERGY COMMISSION CA Building Energy Efficiency Standards-2016 Nonresidential Compliance April 2016 U_ c�
<br /> Watts Watts CERTIFICATE OF COMPLIANCE NRCC-LTI-01-EM iri
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<br /> 01 Installed Lighting + 1,007.5 Installed Lighting + Indoor Lighting (Page 5 of 6)
<br /> NRCC-LTI-01-EDate Prepared: 11/15/2019 111 Pacifica, Suite 280, Irvine,CA 92618
<br /> 02 PORTABLE ONLY FOR OFFICES + P: 949.553.1117 F:949.474.7056
<br /> NRCC-LTI-01-E,page 4 A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces.Installed Lighting Power listed on this Lighting Schedule is only for:
<br /> Minus LightingControl Credits Minus Lighti ng Control Credits
<br /> 03 QCONDITIONED SPACE ❑ UNCONDITIONED SPACE
<br /> 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 ;^~QRQFES$/pv Zitt
<br /> 04 (row 1 plus row 2 minus row 3) 1,007.5 (row 1 minus row 3) 0 r',�0 LAV 2 qct ,
<br /> H. INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Yr R �S C F 2
<br /> ENGINEERING �cZtr
<br /> Complies ONLY if Installed<_Allowed Complies ONLY if Installed<AllowedField Inspector 1
<br /> Luminaire Schedule Installed Watts Location z tt
<br /> 3371 Olcott Street
<br /> Allowed Lighting Power Santa Clara,CA 95054
<br /> Allowed Lighting Power 01 02 03 04 05 06 07 08 2 1 Lip. 15130
<br /> Unconditioned NRCC-LTI-03-E,page 1 How wattage was ph:(408)522-5255 ?j * r
<br /> Conditioned NRCC LTI 03 E,page 1 408d ine ° fx:
<br /> r
<br /> Alterations with replacement luminaries that have at least determa ( )522-5260 t2lJl 4 P�' �Prrr
<br /> 05 Alterations with replacement luminaries that have at least 50/35% 1,986.0 0 -o nfo aCi@SnOt 2191 FCTRtG �� r
<br /> 50/35/olower power compared tothe original existing o v — . i F FON.
<br /> lower power compared to the original existing luminaries,may y g u N E = Copyright©2019 itiOF
<br /> CAO
<br /> luminaries,may instead use the allowed wattage m v ai
<br /> instead use the allowed wattage from NRCC-LTI-06,page Complete Luminaire Description ° 'o v z o QJ f0 '– x
<br /> NRCC-LTI-06,page 2 a = o _
<br /> E E (i.e,3lamp fluorescent troffer, E o o E 'n Primary Function area in which
<br /> Z " F32T8,one dimmable electronic ballast) u o ¢ w z - =I these luminaires are installed Pass Fail
<br /> D. Declaration of Required Installation Certificates L19027 LED DOWNLIGHT 11 ❑ Q 9 99 CAFE SEATING/RESTRMS ❑ ❑
<br /> Declare bv selectingves for all Installation Certificates thatwill besubmitted. Retain copies and verif forms arecom leted and signed.) L15076 LED DOWNLIGHT 11 ❑ 0 22 242 WORKROOM ❑ ❑
<br /> YES NO Form/Title L15057 2X4 LED FIXTURE 36 ❑ 0 4 144 WORKROOM ❑ ❑
<br /> Q ❑ NRCI-LTI-01-E-Must besubmitted for all buildings ❑ Fieldlnspector T4 LVTRANSFORMER W/240W 2 ❑ ❑+y 240 480 BAR AREA ❑ ❑
<br /> L20784 LED WALL SCONCE 8.5 ❑ ❑+I 2 17 CAFE SEATING ❑ ❑
<br /> NRCI-LTI-02-E-Must be submitted for a Iighti ng control system,or for a n Energy Management Control System(EMCS), ❑ Field I nspector L20783 LED WALL SCONCE 8.5 ❑ ❑+I 3 25.5 CAFE SEATING ❑ ❑
<br /> ❑ to be recognized for compliance. ❑ ❑ 0 ❑ ❑
<br /> ❑ R NRCI-LTI-03-E-Must besubmittedfor aIine-voltagetrackIightingintegraIcurrentIimiter,orfor asupplementary ❑ Fieldlnspector ❑ ❑ 0 ❑ ❑
<br /> overcurrent protection panel used to energize only line-voltagetrack lighting,to be recognized for compliance. ❑ ❑ 0 ❑ ❑
<br /> NRCI-LTI-04-E-Must besubmitted for two interlocked systems serving an auditorium,a convention center,a ❑ Field Inspector ❑ ❑ 0 ❑ ❑
<br /> conference room,a multipurpose room,or a theater to be recognized for compliance.
<br /> ❑ ❑ NRCI-LTI-05-E-Must besubmitted for a Power Adjustment Factor(PAF)to be recognized for compliance. ❑ Field I nspector ❑ ❑ 0 ❑ ❑ rn
<br /> E] ❑ 0 ❑ ❑ v! Q Q
<br /> El NRCI-LTI-06-E-Must besubmitted for additional wattage installed in a video conferenc i ng studio to be recognized for ❑ Field Inspector ❑ ❑ 0 ❑ ❑ O
<br /> compliance.
<br /> ❑ ❑ 0 ❑ ❑ 7 f ,
<br /> CA Building Energy Efficiency Standards -2016 Nonresidential Compliance April 2016 Z
<br /> El ❑ 0 ❑ ❑ W V
<br /> 1:1El0 El El � 06 Q O
<br /> INSTALLED WATTS PAGE TOTAL: Enter sum total of all pages into Q z
<br /> STATE OF CALIFORNIA z ' `
<br /> 1007.5 NRCC LTI 01 E;Page 2 v
<br /> Q
<br /> INDOOR LIGHTING w
<br /> CA Building Energy Efficiency Standards-2016 Nonresidential Compliance April 2016 W O LLLI U�/)�vJ Z
<br /> CEC-NRCC-LTI-01-E(Revised 04/16) z
<br /> CALIFORNIA ENERGY COMMISSION
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E (V
<br /> Indoor Lighting (Page 3 of 6) d r
<br /> Project Name: STARBUCKS @ Union and Yosemite Date Prepared: 11/15/2019
<br /> STORE #: 11830
<br /> E. Declaration of Required Certificates of Acceptance PROJECT #: 37913-049
<br /> Declare by checking a II of the Certificates of Acceptance that wi II be submitted.(Retain copies and verify forms are completed and signed.)
<br /> YES NO FORM/TITLE PROFILE TYPE: CORE
<br /> H ❑ NBCA-LTI-02-A-Must be submitted for occupancy sensors and automatic time switch controls. ❑ Field Inspector ISSUE DATE:
<br /> 0 ❑ N RCA-LTI-03-A-Must be submitted for automatic daylight controls. ❑ Field Inspector PROGRAM MANAGER: M.DREBIKA
<br /> E] ❑ NRCA-LTI-04-A-Must be submitted for demand responsivelightingcontrols. ❑ Fieldlnspector STORE DESIGNER: T.MARINIC
<br /> LEED®AP: N/A
<br /> CHECKED BY:
<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:
<br /> ❑� CONDfFIONEDSPACE ❑ UNCONDRIONEDSPACE
<br /> ACIES PROJECT#: 190478
<br /> ACIES PROJ. MANAGER: HT
<br /> F. INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST ACIES PROJ. SPECIALIST: TG
<br /> 0 The actual indoor lighting power listed on this page and on the next page includes all installed permanent and planned portable I ighting systems.
<br /> Revision Schedule
<br /> ❑ When Complete Building Method is used for compliance,list each different type of luminaireon separate lines.
<br /> 0 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 Rev Date By Description
<br /> ❑ Also include track lighting in schedule,and submit thetrack lighting complianceform(NRCC-LTI-05-E)when line-voltage track I ighting is instal led.
<br /> CA Building Energy Efficiency Standards -2016 Nonresidential Compliance April 2016
<br /> SHEET TITLE:
<br /> ELECTRICAL ENERGY
<br /> CODE FORMS
<br /> SCALE: AS SHOWN
<br /> SHEET NUMBER:
<br /> E-003
<br />
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