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STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA Ll
<br /> Outdoor Lighting Outdoor Lighting Outdoor Lighting af Lp_�
<br /> NRCC-LTO-E(Created 9/17) CALIFORNIA ENERGY COMMISSION NRCC-LTO-E(Created 9/17) CALIFORNIA ENERGY COMMISSION NRCC-LTO-E(Created 9/17) CALIFORNIA ENERGY COMMISSION E
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTO-E CERTIFICATE OF COMPLIANCE NRCC-LTO-E CERTIFICATE OF COMPLIANCE NRCC-LTO-E Architecture / Development
<br /> This document is used to demonstrate compliance with requirements in JIL0_9 §ILO_.O §ILO_.2 §140. and§14LO bL
<br /> L 2L for outdoor lighting scopes using the prescriptive path. Project Name: In-N-Out Burger IReport Page: Page 2 of 8 Project Name: In-N-Out Burger Report Page: Page 3 of 8
<br /> Project Name: In-N-Out Burger lReport Page: Page 1 of 8 Project Address: SEQ of River Island Pkwy&Golden Valley Pkwy IDate Prepared: 10/16/2018 Project Address: SEQ of River Island Pkwy&Golden Valley Pkwy Date Prepared: 10/16/2018
<br /> Project Address: SEQ of River Island Pkwy&Golden Valley PkwY jDate Prepared: 10/0/2018 14901 Quorum Drive
<br /> D.EXCEPTIONAL CONDITIONS G.CUTOFF REQUIREMENTS(BUG) Suite 300
<br /> A.GENERAL INFORMATION This table is auto-filied with uneditable comments because of selections made or data entered in tables throughout theform. Table Instructions: Complete this table forfixtures>15OW indicated on Table F as needing to comply with Cutoff Requirements. Maximum lumens can be found in Table 130.2-A Dallas Texas 75254
<br /> 01 Project Location(city) Lathrop 104 ITotal Illuminated Hardscape Area(ft2) 55,085 No exceptional conditions apply to this project. for Uplight and Table 130.2-Bfor Glare by Lighting Zone. Ph: (972)239-8884
<br /> 02 Climate Zone 12 1 01 02 03 04 05 06 Fax: (972)239-5054
<br /> 03 Outdoor Lighting Zone per Title 24,Part 1§10-114 or as designated by Authority Having Jurisdiction(AHJ): Name or Complete Luminaire Uplight Ratings(Lumens) Glare Ratings(Lumens) Field Inspector
<br /> LZ-0:Very Low-Undeveloped Parkland LZ-2:Moderate-Rural Areas LZ-4:High-Must be reviewed by CA Energy Commission for Approval E.ADDITIONAL REMARKS Item Tag Description Luminaire Type' High(UH) Low(UL) ForwardVery BacklightVery ForwardHigh BacklightHigh Pass Fail ISSUE RECORD
<br /> LZ-1:Low-Developed Parkland LZ-3:Moderately High-Urban Areas This table includes remarks made by the permit applicant to the Authority Having Jurisdiction. High(FVH) High(BVH) (FH) (BH) DATE DESCRIPTION
<br /> OA1 Single Head LED(OA1) 0 0 0 0 0 0 0 E] E]
<br /> B.PROJECT SCOPE OA2 Double Head LED(OA2) 0 0 0 0 0 0 0 E] E] URBAN PROTOTYPE DESIGN
<br /> Table Instructions:Include any outdoor lighting systems that are within the scope of the permit application and are demonstrating compliance using the prescriptive path ODI Single Head LED(0131) 0 0 0 0 0 0 0 El El 10-22-2018 ISSUED FOR PERMIT
<br /> outlined in§V40.7 or 114LO bL2L
<br /> L -for alterations. F.OUTDOOR LIGHTING FIXTURE SCHEDULE Maximum Lumens Allowed for Type I-IV: 500 Soo 500 500 1 7,500 1 2,500
<br /> My project consists of: Table Instructions:For new or altered lighting systems demonstrating compliance with§140. (ie Table/has expandedfor input),include all luminaires being installed and any Maximum Lumens Allowed for Type V and V Square: 500 500 500 500 1 7,500 1 7,500
<br /> 01 02 existing luminaires remaining or being moved within the spaces covered by the permit application in the Table below. For altered lighting systems using the Existing Power
<br /> New Lighting System Must Comply with Allowances from§140.7. methodper 4141.0(b)2L(ie Table N has expandedfor input),include only new luminaires being installed and replacement luminaires being installed as part cifthe project scope H.OUTDOOR LIGHTING CONTROLS
<br /> Altered Lighting System Is your alteration increasing the connected lighting load(Watts)? Yes rNo (ie,do not include existing luminaires remaining or existing luminaires being moved).
<br /> 'FOOTNOTES:%of Existing Luminaires Being Altered=(Sum Total of Luminaires Being Added or Altered/Existing Luminaires within the Scope of the Permit App Designed Wattage: Table Instructions:Complete this table demonstrating compliance with controls requirementsfor all new or altered luminaires installed as part cifthe permit application. For
<br /> 01 02 03 04 05 06 07 08 09 10 alteration projects,luminaires which are existing to remain lie untouched)and luminaires which are removed and reinstalled(wiring only)do not need to be included in this table
<br /> even if they are within the spaces covered by the permit application.
<br /> C.COMPLIANCE RESULTS CutoffReq. Field Inspector When an option having a*is selected,the notes section of this table must be completed The lighting controls section of the Compliance Summary Table on thefirstpage will
<br /> Table Instructions:If any cell on this table says"DOES NOT COMPLY"or"COMPLIES with Exceptional Conditions"refer to Table 0.for guidance. Name or Complete Luminaire Description Watts per How Wattage is Total number Luminaire Excluded per Design Watts >150W
<br /> Calculation of Total Allowed Lighting Power(Watts)§140.7 or§141.0(b)2 Compliance Results Item Tag luminairel determined luminaires Status' §140.7(a) §130.2(b 3 Pass Fail show"DOES NOT COMPLY"if the notes are leftblank.Foreach requirementin columns 02 through 07,do notleave thefieldblank,insteadselectNA orExempt*from the
<br /> dropdown list to indicate not applicable or an exemption.
<br /> 01 02 03 04 05 06 07 1 08 09 DI 1x4 Recessed LED Fixture 46 Mfr.Spec' 3 New 138 Mandatory Controls
<br /> General Per Sales Per Specific Existing M Maxilume LED Lamps 80 Mfr.Spec' 14 New 1,120 01 02 03 04 05 06 07 08
<br /> Hardscape + Application + Frontage + Ornamental + Area OR Power Total Allowed 2: Total Actual OA1 Single Head LED(OA1) 188 Mfr.Spec' 3 New S64 Yes Motion Sensor: Fa�acle,Ornament,
<br /> Allowance §140.7(d)2 §140.7(d)2 §_1_4Q3(d)2 §140.7(d)2 §141.0(b)2L (Watts) (Watts) 07MustbeaO8 OA2 Double Head LED(OA2) 376 Mfr.Spec' 3 New D 1,128 Yes D E] Area Description Incandescent>100W Shut-Off Auto-Schedule Motion Sensor Sales Frontage Outdoor Dining Field Inspector REVISION RECORD
<br /> §140.7(d)l -1 a §130.2(c)l §130.21c:12 §13.0.&L3 §130.2(c)4
<br /> ODI Single Head LED(0131) 188 Mfr.Spec' 5 New 940 Yes D I J130.2U §130.2(c)5 Pass Fail
<br /> (See Table 1) (See Table J) (See Table K) (See Table L) (See Table M)l (SeeTabl N) (See Table F) S LED 65 W 65 Mfr.Spec' 2 New 130 Parking Lot Lighting NA:No Incand>100W Photocontrol Yes NA:Mounted>24ft NA:No Sales Front Ltg No Applicable Lt
<br /> 3,047.15 1 + + -1,2-9 4.9-4 JORI 4,342.094 4,210 COMPLIES S1 LED 31 W 31 Mfr.Spec' 2 New 62 Trash Enclosure NA:No Incand>100W Astronomical Time Yes Yes NA:No Sales Front Ltg No Applicable Lt
<br /> Cutoff Compliance(See Table G for Details) COMPLIES El 1 11 1 1 1 1 1 1 71
<br /> Controls Compliance(See Table H for Details) COMPLIES W1 Lithonia Recessed-Exterior 64 Mfr.Spec' 2 New 128 D I E] Building Facade NA:No Incand>100W Astronomical Time Yes See Fagade,etc. NA:No Sales Front Ltg Part-night 171
<br /> Total Designed Watts: 4,210 Patio Dining NA:No Incand>100W Astronomical Time Yes Yes NA:No Sales Front Ltg No Applicable Lt 71
<br /> NOTES:Selections with a*require a note in the space below explaining how compliance is achieved. Drive-Through NA:No Incand>100W Astronomical Time Yes Yes NA:No Sales Front Ltg No Applicable Lt 71
<br /> EX.Luminaire is lighting a statue;EXCEPTION 2 to§130.2(b). *NOTES:Controls with a*require a note in the space below explaining how compliance is achieved.
<br /> EX.Not permitted by health&safety to be turned off;EXCEPTION 1 to§130.2(c).
<br /> 1.LIGHTING POWER ALLOWANCE(per§140.7)
<br /> Table Continued
<br /> CA Building Energy Efficiency Standards-2016 Nonresidential Compliance:http://www.energy.ca.gov/title24/2016standards September 2017 CA Building Energy Efficiency Standards-2016 Nonresidential Compliance:http://www.energy.ca.gov/title24/2016standards September 2017 CA Building Energy Efficiency Standards-2016 Nonresidential Compliance:http://www.energy.ca.gov/title24/2016standards September 2017
<br /> STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> Outdoor Lighting Outdoor Lighting Outdoor Lighting
<br /> NRCC-LTO-E(Created 9/17) CALIFORNIA ENERGY COMMISSION NRCC-LTO-E(Created 9/17) CALIFORNIA ENERGY COMMISSION NRCC-LTO-E(Created 9/17) CALIFORNIA ENERGY COMMISSION
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTO-E CERTIFICATE OF COMPLIANCE NRCC-LTO-E CERTIFICATE OF COMPLIANCE NRCC-LTO-E PR E F4 L
<br /> Project Name: In-N-Out Burger ]Report Page: Page 4 of 8 Project Name: In-N-Out Burger IReport Page: Page 5 of 8 Project Name: In-N-Out Burger lReport Page: Page 6 of 8
<br /> Project Address: SEQ of River Island Pkwy&Golden Valley Pkwy jDate Prepared: 10/16/2018 Project Address: SEQ of River Island Pkwy&Golden Valley Pkwy IDate Prepared: 10/1612018 Project Address: SEQ of River Island Pkwy&Golden Valley Pkwy jDate Prepared: 10/1612018 04
<br /> Table Continued 01 02 03 1 04 1 05 06 1 07 1 08 1 09 10 01 02 03 1 04 1 05 06 1 07 1 08 1 09 10
<br /> Table Instructions:Please complete this table for areas using the 01 CALCULATED ALLOWANCE(Watts) DESIGN WATTS Additional CALCULATED ALLOWANCE(Watts) DESIGN WATTS A itiona 17044
<br /> allowance calculations per§140. General Hardscape Allowance "Use it or lose it"Allowance(Watts) Area Description Specific Area Type per Specific Allowed Extra Luminaire Watts per It of Allowance Area Description Specific Area Type per Specific Allowed Extra Luminaire Watts per #of Allowance
<br /> is per Table 140.7-A while"Use it or lost it"Allowances are per General Table 140.7-B Area Density Allowance Name or Design Watts Table 140.7-B Area Density Allowance Name or Design Watts
<br /> Table 140.7-B.Indicate which allowances are being used to Hardscape Per Application 0 Sales Frontage E] Ornamental Z PerSpecificArea (ftl (W/ft2) (Watts) Item Tag Luminaire Luminaires (Watts) (ft'), (W/ft2) (Watts) Item Tag Luminaire Luminaires (Watts) 16P I rc
<br /> expand sections for user input. Luminaires that qualifyfor one of Allowance if:
<br /> the"Use it or lose it"allowances shall not qualify for another"Use Building Facade Bldg Fagade 2,560 0.35 896 W1 64 2 128 1 Trash Enclouser Non-sales Canopies/Tunnels 505 0.408 206.04 D1 46 3 138 OF A0V
<br /> it or lose it"allowance. Table I(below) Table J Table K Table L Table M Total Design Watts for this Area:1 138 138
<br /> Calculated General Hardscape Lighting Power Allowance per Table 140.7-A Building Facade Bldg Fagade 2,560 0.35 896 S 65 2 130
<br /> 02 03 1 04 05 06 1 07 1 08 09 llept�wly
<br /> Area Wattage Allowance(AWA) Linear Wattage Allowance(LWA) Total General Building Facade Bldg Fagade 1 2,560 1 0.35 1 896 1 S1 1 31 2 62 Total Allowance(Watts)All Areas:Fl,294-944
<br /> Area Description Illuminated Allowed Density Area Allowance Perimeter Allowed Density Linear Allowance AWA+LWA Building Facade Bldg Fagade 2,560 0.35 896 M 80 2 160 'FOOTNOTES:See Table 140.7-Bfor the rulesforcalculating the specific areas(ft)for these additional lighting allowances.
<br /> Area(ft2) (W/ft2) (Watts) Length[If) (W/lf) (Watts) (Watts)
<br /> Parking Lot Lighting 55,085 0.04 2,203.4 925 0.35 323.75 2,527.15 Total Design Watts for this Area: 480 1 480 �N.EXISTING CONDITIONS POWER ALLOWANCE(alterations only)
<br /> This Section Does Not Apply
<br /> Initial Wattage Allowance for Entire Site(Watts): 520 03 0.DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION
<br /> Total General Hardscape Allowance(Watts): 3,047.15 CALCULATED ALLOWANCE(Watts) DESIGN WATTS Additional
<br /> Specific Area Type per Specific Allowed Extra Luminaire Table Instructions:Selections have been made based on information provided in previous tables of this document.If any selection needs to be changed,please explain why in t M
<br /> J.LIGHTING ALLOWANCE:PER APPLICATION Area Description Table 140.7-B Area Density Allowance Name or Watts per #of. Design Watts Allowance Table E.Additional Remarks.These documents must be provided to the building inspector during construction and can befound online at htra
<br /> This Section Does Not Apply Luminaire Luminaires (Watts) www.energy.ca.qovl2Ol5DublicationsICEC-400-2015-0331appendiLces ormsINRCI
<br /> I . (ft'), (W/ft2) (Watts) Item Tag &___-_ engineering consultants
<br /> K.LIGHTING ALLOWANCE:SALES FRONTAGE Patio Dinning Outdoor Dining 954 0.24 228.96 M 80 6 480 YES NO Form/Title Field Inspector 14901 Quorum Dr. #565 Dallas, TX 75254
<br /> This Section Does Not Apply Total Design Watts for this Area: 480 228.96 Pass Fail rtmassociates.com 1 972.387.3500
<br /> NRCI-LTO-01-E-Must be submitted for all buildings. El El 18.GHAA.033
<br /> IL.LIGHTING ALLOWANCE:ORNAMENTAL 01 02 03 1 04 1 05 06 1 07 1 08 09 10 NRCI-LTO-02-E-Must be submitted for a lighting control system;or for an Energy Management Control System(EMCS),to be
<br /> This Section Does Not Apply CALCULATED ALLOWANCE(Watts) DESIGN WATTS Additional recognized for compliance. PROTOTYPE VERSION
<br /> Area Description Specific Area Type per Specific Allowed Extra Luminaire Watts per #of Allowance URBAN DESIGN
<br /> IM.LIGHTING ALLOWANCE:PER SPECIFIC AREA Table 140.7-B Area Density Allowance Name or Luminaire Luminaires Design Watts (Watts)
<br /> Table Instructions:Please complete this table for areas using the wattage allowance per specific area type from Table 140.7-B. More than one specific area allowance maybe (ftl � (W/ft2) (Watts) Item Tag
<br /> taken in a single project,if applicable. However,multiple specific area allowances may not be taken for the exact same area on the site. Drive Through Non-sales Canopies/Tunnels 1,098 0.408 447.984 80 6 480 PROJECT NAME
<br /> 01 02 03 1 04 1 05 06 1 07 1 08 1 09 10 7M
<br /> CALCULATED ALLOWANCE(Watts) DESIGN WATTS Additional Total Design Watts for this Area:1 480 447.984 IN-N-OUT
<br /> Area Description Specific Area Type per Specific Allowed Extra Luminaire Watts per #of Allowance
<br /> Table 140.7-B Area Density Allowance Name or Design Watts
<br /> (ft'), (W/ft2) � (Watts) Item Tag Luminaire Luminaires (Watts) BURGER
<br /> Table Continued
<br /> CA Building Energy Efficiency Standards-2016 Nonresidential Compliance:http://www.energy.ca.gov/title24/2016standards September 2017 CA Building Energy Efficiency Standards-2016 Nonresidential Compliance:http://www.energy.ca.gov/title24/2016standards September 2017 CA Building Energy Efficiency Standards-2016 Nonresidential Compliance:http://www.energy.ca.gov/title24/2016standards September 2017
<br /> LATHROP
<br /> CALIFORNIA
<br /> STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> Outdoor Lighting Outdoor Lighting
<br /> NRCC-LTO-E(Created 9/17) CALIFORNIA ENERGY COMMISSION NRCC-LTO-E(Created 9/17) CALIFORNIA ENERGY COMMISSION 16514 GOLDEN VALLEY PKWY
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTO-E CERTIFICATE OF COMPLIANCE NRCC-LTO-E
<br /> Project Name: In-N-Out Burger ]Report Page: Page 7 of 8 Project Name: In-N-Out Burger IReport Page: Page 8 of 8 LATHROP, CA 95330
<br /> Project Address: SEQ of River Island Pkwy&Golden Valley Pkwy jDate Prepared: 10/16/2018 Project Address: SEQ of River Island Pkwy&Golden Valley Pkwy IDate Prepared: 10/16/2018
<br /> P.DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 101- G
<br /> Table Instructions:Selections have been made based on information provided in previous tables of this document.If any selection needs to be changed,please explain why in Documentation Author Name: Alex Garcia Documentation Author Signature:
<br /> Table E.Additional Remarks.These documents must be provided to the building inspector during construction and must be completed through an Acceptance Test Technician Company: Wade Energy Signature Date: 10/16/2018
<br /> Certification Provider(ATTCP). For more information visit.htto.11www.energy,ca.goyltitle241attcPAProviders,html
<br /> YES NO Form/Title Field Inspector Address: 1942 Linda Dr. CEA/HERS Certification Identification(if applicable):
<br /> Pass Fail City/State/Zip: Pleasant Hill,CA 94523 Phone: (925)326-6330
<br /> NRCA-LTO-02-A-Must be submitted for all outdoor lighting controls except for alterations where controls area added to:5 20 RESPONSIBLE PERSON'S DECLARATION STATEMENT
<br /> luminaires. I certify the following under penalty of perjury,under the laws of the State of California: INNIIIIIIOUT
<br /> 1.The information provided on this Certificate of Compliance is true and correct. IkOURGER@
<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
<br /> Compliance(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 GOD BLESS AMERICA
<br /> Certificate of Compliance conform to the requirements of Title 24,Part I and Part 6 of the California Code of Regulations.
<br /> 4.The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable
<br /> compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application.
<br /> 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
<br /> to the 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
<br /> documentation the builder provides to the building owner at occupancy.
<br /> Responsible Designer Name: John Gholmieh Responsible Designer Signature: PROJECT NUMBER
<br /> Company: RTM Engineering Consultanting Date Signed: zaxf 180641.001
<br /> Address: 14901 Quorum Drive,#565 License: E17044
<br /> City/State/Zip: Dallas,Texas 75254 Phone: (972)387-3500 SHEET TITLE
<br /> TITLE 04
<br /> E COMPLIANCE
<br /> CN FORMS
<br /> C=>
<br /> 06 SHEET NUMBER
<br /> CD C�)
<br /> LLJ CA Building Energy Efficiency Standards-2016 Nonresidential Compliance:http://www.energy.ca.gov/title24/2016standards September 2017 CA Building Energy Efficiency Standards-2016 Nonresidential Compliance:http://www.energy.ca.gov/title24/2016standards September 2017 To4= 6
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