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STATE OF CALIFORNIA
<br /> STATE OF CALIFORNIA STATE OF CALIFORNIA OUTDOOR LIGHTING
<br /> OUTDOOR LIGHTING OUTDOOR LIGHTING CEC-NRCC-LTO-01-L(Revised 64!16) CALIFORNIA ENERGY COMMISSION
<br /> CEC-NRCC LTO 09-E Revised 04I16CALIFORNIA ENERGY COMMISSION CEC-NRCC-LTO-01-E(Revised D41i6) CALIFORNIA ENERGY CDMMISSIDN CERTIFICATE OF COMPLIANCE NRCC-LTO-01-E
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTO-01-E CERTIFICATE OF COMPLIANCE NRCC-LTO-01-€ outdoor Lighting (Page 3of4)
<br /> Outdoor Lighting {Page 1 of 4} Outdoor Lighting {Page 2 of 4} Pref=a N-BP ARCO Manteca,CA vete Praeared-2121/2018
<br /> Pmlect Name,BP ARCO Manteca,CA Date Prepared:2/21/2018 Pmiect Name,Bp ARCO Manteca,CA Date Prepared:2/21/2018 1.Outdoor Lighting Schedule and Field inspection Energy Checklist
<br /> Field ROBISON
<br /> A.General Information G.Schedule of Luminaires Exempt from the Cutoff Requirements in§130.2(6) Luminaire Schedule Installed Watts Location cutoff Inspector 01 02 03 04 05 06 07 08 09
<br /> Project Address: Total Illuminated HardscapeArea: 01 02 How wattage was ENGINEERING, INC
<br /> West Lathrop Rd.&Crestwood Ave.Manteca,CA 29300 Name or Symbol Description of exempt luminaire in accordance with the exemptions determined 1. Primary Function area in
<br /> Name or ° which these luminaires are _ 19401 40TH AVE W.,SUITE 302
<br /> Complete Luminaire Description a ° o v ;9 z BUG Rating 1 LYNNWOOD,WA98036
<br /> Phase of Construction: 0 New Construction ❑ Addition ❑ Alteration Item Tag a v c c o Installed a '� 206-364-3343TEL
<br /> { ) ❑ ❑ ❑ ❑ 3 c -U -2 a p Z c r o CONTACT:TYLER BEAM
<br /> Outdoor LightingZone LZ LZ-1 !Z-2 ✓ LZ-3 LZ-4 w o E 3 0
<br /> x (Outdoor ughting Zone]
<br /> I have confirmed with the AHJ which LZ applies to this site. For default lighting zone designations,see Title 24 Part 6,§10-1111 CW1 Wali Mounted LED Fixture Car wash facing drive-thru UH:
<br /> UL:
<br /> 56.1 ❑ ❑✓ 7 392.7 FVH: 00 O
<br /> B.Lighting Compliance Documents(check box for each document included) QR()FESS/
<br /> H.Schedule of Luminaires Exempt from the Outdoor Lighting Control Requirements in§330.2(c) FH: �O `�{L E R B
<br /> For detailed instructions on the use of this and all Energy Efficiency Standards compliance documents,refer to the Nonresidential Manual BH:
<br /> published by the California Energy Commission. 01 02 UH:
<br /> G Ceiling Mounted LED fixture C-Store Entrance z
<br /> ❑✓ NRCC-LTO-01-E Certificate of Compliance Name or Symbol Description of exempt luminaire in accordance with the exemptions UL: w No. E-21545 m
<br /> ❑✓ NRCC-LTO-02-E Outdoor Lighting Controls Certificate of Compliance 59.9 Li E11 658-9 FVH: Q
<br /> BVH:
<br /> ❑✓ NRCC-LTO-03-E Outdoor Lighting Power Allowance Certificate of Compliance PH:
<br /> [] NRCC-LTO-04-E Outdoor Lighting Existing Conditions Certificate of Compliance I I BH: q F4ECTR�()P�f]��P
<br /> H Wall Mounted LED Graphics Fixture C-Store Facade UH:
<br /> UL: F OF CA��F�
<br /> C.Summary of Allowed Outdoor Lighting Power Watts FVH: Seal
<br /> 11.4 ❑ ❑✓ 6 68-4
<br /> Sum Total ALLOWED Outdoor Lighting Wattage from NRCC-LTO-03-E,page 1 BVH:
<br /> FH'
<br /> 01 6969.34 BH:
<br /> Alterations with NO increase of connected lighting load may instead use the Enter sum total of all pages{Sum Total bp
<br /> allowed wattage from NRCC-LTO 04,page 2. INSTALLED WATTS PAGE TOTAL: 1120 INSTALLED Outdoor lighting wattage)into 5516
<br /> Complies ONLY if Installed(Box 02)5 Allowed(Box 01) NRCC-LTO-01-E;Page 1
<br /> 02 Sum Total INSTALLED Outdoor Lighting Wattage from NRCC-LTO-01-E,page 3. 5516
<br /> CA Building Energy Efficiency Standards-2416 Nonresidential Compliance April 2016
<br /> D.Declaration of Required Installation Certificates
<br /> Declare by checking all Installation Certificates that will be submitted.(Retajn copies and verify compliance documents are completed and
<br /> STATE OF CALIFORNIA
<br /> signed.} OUTDOOR LIGHTING
<br /> CEC-NRCC-LTO-01-E(Revised 04116) CALIFORNIA ENERGY COMMISSION
<br /> ❑NRCI-LTO-01-E-Must be submitted for ail buildings ❑Field Inspector CERTIFICATE OF COMPLIANCE NRCC-LTO-01-E
<br /> ❑NRCI-LTO-02-E-Must be submitted for a lighting control system,or for an Energy Management Control outdoor Lighting (Page 3 of 4)
<br /> ❑Field Inspector Pros=rt Neme:BP ARCO Manteca,CA Dere P eRe ed:2/21/2016
<br /> System[FMCS],to be recognized far compliance.
<br /> (.Outdoor Lighting Schedule and Field Inspection Energy Checklist
<br /> E.Declaration of Required Certificates of Acceptance Field
<br /> Luminaire Schedule installed Watts Location Cutoff Inspector
<br /> Declare by checking all of the Certificates of Acceptance that will be submitted.(Retain copies and verify compliance documents are completed 01 02 03 04 05 06 07 08 09
<br /> and signed.) Haw wattage was
<br /> ❑NRCA-LTO-02-A-Must be submitted for outdoor lighting controls. ❑Field Inspector determined g
<br /> Primary Function area in
<br /> v
<br /> Name or " which these luminaires are
<br /> Complete Luminaire Description L ° c ` �; « BUG Rating
<br /> Item Tag a c N instahed o-
<br /> F.Schedule of Luminaires Exempt from the Outdoor Lighting Power Requirements in§140.7 G
<br /> E E o , M (Outdoor ughtfng Zone)
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<br /> 01 02 1 1 J
<br /> S3 Recessed LED Canopy Fixture Fuel Canopy UH:
<br /> Name or Symbol Description of exempt luminaire in accordance with the exemptions vacuum Canopy UL:
<br /> FVH:
<br /> 60.9 El F47 2446.9 BVH: O O m
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<br /> 51 Site LED Pole Fixture Site Parking Area UH' Z ~
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<br /> CA BuildingEner Efficient Standards-2016 Nonresidential Compliance Aril 2016 CA Building Ener Efficient Standards-2016 Nonresidential Compliance Aril 2016 FVH: LU
<br /> Energy Y P p g 1;1+ Y P p 96.2 0 Q 16 1539.2 BVH: © © �
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<br /> STATE OF CALIFORNIA
<br /> F Exterior Facade LED Building Facade UH: :D
<br /> OUTDOOR LIGHTINGUL: pp
<br /> CEC-NRCC-LTO-01-E(Revised04116) CALIFORNIA ENERGY COMMISSION 72 ❑ ❑✓ S 360 PVH: O o J
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTO-01-E BVH: Q
<br /> Outdoor Lighting (Page 4 of 4) FH: F-
<br /> Pmlect Neme:BP ARCO Manteca,CA --nered:2/21/2018 BH: Z
<br /> Enter sum total of all pages(Sum Total 00
<br /> DOCUMENTATION AUTHOR'S DECLARATION STATEMENT INSTALLED WATTS PAGE TOTAL: 4396.1 INSTALLED Outdoor lighting wattage)into 5516
<br /> 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. � N
<br /> D-....radon Author Na me: Documentation Author sigmtnre: NRCC-LTO-Dl-E;Page 1 Q N
<br /> 1.Tyler Beam
<br /> = Company: Signature Date: I'r)
<br /> J Robison Engineering Inc. 2/21/2018 C)
<br /> Add,ess:1940140th Ave W.Suite#302 CLACert16catlun id-tin-ti-(rfapph-[Ael: CA Building Energy Efficiency Standards-2416 Nonresidential Compliance April 2016
<br /> city/state/2Jp.Lynnwood,WA 98036 Rhone:(206)WA-3343 < a a a a a a a
<br /> U RESPONSIBLE PERSON'S DECLARATION STATEMENT
<br /> I cert!fy the following under penalty of perjury,under the laws of the State of California:
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<br /> 1. The information provided on this Certificate of Compliance is true and correct.
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<br /> 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance
<br /> (responsible designer).
<br /> 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 /> 00 Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations.
<br /> 04. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance
<br /> C4 documents,worksheets,calculations,pians and specifications submitted to the enforcement agency for approval with this building permit application.
<br /> NS. I 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 available to the
<br /> enforcement agencyfor 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 /> M builder provides to the building owner at occupancy.
<br /> Responslhle Designer Name:1.Tyler Beam Resp...W.Designer Signature: Q°
<br /> G company: Date signed;
<br /> Robison Engineering Inc. 2/21/2018
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<br /> Address: License: LU
<br /> � 1940140th Ave W.Suite#302 E-21545
<br /> O CILq/state/ap: 0
<br /> Lynnwood,WA 98036 Phone:(206)364-3343
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<br /> CA Building Energy Efficiency Standards-2016 Nonresidential Compliance April 2916 I � G � W tJ J
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<br /> STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> U OUTDOOR LIGHTING CONTROLS OUTDOOR LIGHTING CONTROLS OUTDOOR LIGHTING CONTROLS V
<br /> CEC-NRCC-LTO-02-L(RevSW 08!16) CALIFORNIA EN ERGY COMMISSION 4W CEC-NRCC-LT0-02-L(Revised 08116( CALIFORNIA ENERGY COMMISSION CEC-NRCC-LT0-02-E(Revised 08116( CALIFORNIA ENERGY COMMISSION II u
<br /> UCERTIFICATE OF COMPLIANCE NRCC-LTO-02-E CERTIFICATE OF COMPLIANCE NRCC-LTO-02-E CERTIFICATE OF COMPLIANCE NRCC-LTO-02-E ® Q 5
<br /> Outdoor Lighting Controls (Page 1 of 3) Outdoor Llghting Controls (Page 2 of 3) Outdoor Lighting Controls (Page 3 of 3) L
<br /> QP "ame:BP ARCO Antioch,CA D.t Pf -;212112018 Pme "ame.BP ARCO Antioch,CA Da P--d:2/21/2018 1O"`"ame'BP ARCO Antioch,CA D P` -&2/21/2018
<br /> L) B.Mandatory Outdoor Lighting Control Schedule and Field Inspection Checklist DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
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<br /> 1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
<br /> Q A.Mandatory Outdoor Lighting Control Declaration Statements Documentation Author Name:].Tyler Beam Documentation Author Signature
<br /> m Check ali that apply:
<br /> �, Company: Signature Date:
<br /> l� Lighting shall be controlled by self-contained lighting control devices which are certified to the Energy Commission according to the Title 20 Appliance Efficiency a o Robison Engineering Inc. 2/21/2018
<br /> Standards Complying With a
<br /> t0 Regulations in accordance with§110.9(a). Outdoor Lighting Control Schedule Address: erArE Riationmenrnranon✓ m 19401417th Ave W.Suite#302 (lfappllablel:
<br /> ( all that apply,or leave empty if c
<br /> ❑✓ Lighting shall be controlled by a lighting control system or energy management control system in accordance with§110.9. An Installation Certificate shall be submitted
<br /> Exempted) Idyls ate/zp: Panne:
<br /> in accordance with§130.4(b). p ) Q @ o Lynnwood,WA 98036 (206]364-3343
<br /> NRESPONSIBLE PERSON'S DECLARATION STATEMENT
<br /> 1* Q All lighting controls and equipment shall comply with the applicable requirements in§110.9 and shall be installed in accordance with the manufacturer's instructions in 01 02 03 04 OS 06 07 OS 09 10 11
<br /> 1-1( accordance with§130.0(d). 1 certify the following under penalty of perjury,under the laws of the State of California:
<br /> Z Type/Description of Lighting Control(i.e. 1. The information provided on this Certificate of Compliance Is true and correct.
<br /> 0 �] Part-Night Outdoor Lighting Controls,as defined in Section 100.1(b),shall meet the requirements In Section 110.9(b)5. m w 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance
<br /> outdoor motion sensor,outdoor # m
<br /> F Al outdoor incandescent luminaires rated over 100 watts,determined in accordance with Section 130-0 c,shall be controlled b a motion sensor. Location and Application of nr " D 0 " ro (responsible designer). Project Number
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<br /> hotoconttol outdoor astronomical time- m
<br /> p of o ca o 0 0 o N - 3. The energy features and performance specifications,materials,components,and manufactured devices forthe building design or system design identified on this Certificate of
<br /> All outdoor luminaires rated for use with lamps greater than 150 lamp watts,determined in accordance with Section 130.0(c),shall comply with Luminaires Being M m m m m
<br /> N ❑ switch control,automatic scheduling Units Compliance conform to the requirements of Title 24,Part1 and Part6 of the California Code of Regulations. ^/
<br /> N Uplight and Glare requirements in accordance with Section 130.2(b) Controlled a Q 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 PA 1 L.
<br /> control,part-night outdoor lighting control) documents,worksheets,calculations,plans ands specifications submitted to the enforcement agency fora approval with this buiidin permit application.
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<br /> � [] All installed outdoor lighting shall be controlled by a phatocontrol or outdoor astronomical time-switch control,or other control capable of automatically switching OFF P P g y PP g p PP
<br /> in accordance with Section 130.2(c)1. Main Entrance Photocell VIF + ❑ C C S. I 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 /> lu 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 /> ❑✓ All installed outdoor lighting shall be circuited and independently controlled from other electrical loads b an automaticscheduling control in Wall Sides Photocell VIF • ❑ 0 C
<br /> $ $ P Y Y $ builder provides to the building owner at occupancy.
<br /> W accordance with Section 130.2(c)2. Throughout Site Astronomical Time controls VIF • ❑ o t� ResponslhleDeslgnerName: RespondhleDeslgnerSig-ture: Sheet Name
<br /> J.Tyler Beam
<br /> 0 ❑✓ All installed outdoor lighting,where the bottom of the luminaire is mounted 24 feet or less above the ground,shall be controlled with automatic lighting ❑ Q O cnmPa°y: Dafaslgned:
<br /> controls in accordance with Section 130.2(c)3.
<br /> N ❑ O O Robison Engineering Inc. 2/21/2018
<br /> TITLE 24 FORMS
<br /> Address: 0cense:
<br /> C ❑✓ For Outdoor Sales Frontage,an automatic lighting control shall be installed in accordance with Section 130.2(c)4. ❑ 0 C 1940140th Ave W.Suite#302 E-21545
<br /> ❑ For Building Facade,Ornamental Hardscape and Outdoor Dining lighting,an automatic lighting control shall be installed in accordance with Section 130.2(c)5 ❑ © © aty/stat 17JP: Phone: UTD00 R LIGHTING
<br /> Lynnwood,WA 98036 (206(3643343
<br /> L) ZBefore an occupancy permit is granted for the newly constructed building or for the addition,or for any altered outdoor lighting controls, El C
<br /> Q shall be certified as meeting the Acceptance Requirements for Code Compliance in accordance with§130.4.(a).Outdoor lighting controls shall comply with the El O o PART 1
<br /> a applicable requirements of Section 130.2(c)and Reference Nonresidential Appendix NA7.8. ❑ © Q
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<br /> WCA Building Energy Efficiency Standards-2016 Nonresidential Compliance August 2016 CA Building Energy Efficiency Standards-2016 Nonresidential Compliance August 2016 CA Building Energy Efficiency Standards-2016 Nonresidential Compliance August 2016
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