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STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA
<br /> Indoor Lighting Indoor Lighting Indoor Lighting Indoor Lighting
<br /> NRCC-LTI-E(Created 9/17) CALIFORNIA ENERGY COMMISSION NRCC-LTI-E(Created 9/17) CALIFORNIA ENERGY COMMISSION NRCC-LTI-E(Created 9/17) CALIFORNIA ENERGY COMMISSION NRCC-LTI-E(Created 9/17) CALIFORNIA ENERGY COMMISSION
<br /> CERTIFICATE OF COMPLIANCE CERTIFICATE OF COMPLIANCE NRCC-LTI-E CERTIFICATE OF COMPLIANCE CERTIFICATE OF COMPLIANCE
<br /> NRCC-LTI-E NRCC-LTI-E NRCC-LTI-E
<br /> Project Name: ARCO CONVENIENCE STORE REMODEL Report Page: Page 4 of 6 Project Name: ARCO CONVENIENCE STORE REMODEL Report Page: Page 3 of 6 Project Name: ARCO CONVENIENCE STORE REMODEL Report Page: Page 2 of 6 This document is used to demonstrate compliance with requirements in 110.9 130.0 130.1 14 6 and X141.0/612 for indoor lighting scopes using the prescriptive path.
<br /> Project Address: 2908 BENJAMIN HOLT DRIVE Date Prepared: 7/2/2018 Project Address: 2908 BENJAMIN HOLT DRIVE Date Prepared: 7/2/2019 Project Address: 2908 BENJAMIN HOLT DRIVE Date Prepared: 7/2/2018 Project Name: ARCO CONVENIENCE STORE REMODEL Report Page: Page 1 of 6
<br /> Project Address: 2908 BENJAMIN HOLT DRIVE IDate Prepared: 7/2/201
<br /> L.TAILORED METHOD GENERAL LIGHTING POWER ALLOWANCE Area Level Controls D.EXCEPTIONAL CONDITIONS
<br /> A.
<br /> This Section Does Not Apply 04 05 06 07 08 09 10 li 12 This table is auto-filled with uneditable comments because of selections made or data entered in tables throughout the form.This INFORMATION
<br /> Multi-Level Shut-Off Primary/Skylit Secondary Interlocked 02 Project Location(city) STOCKTON 04 otal Conditioned Floor Area(fti) 1,630 APEX
<br /> M.ADDITIONAL LIGHTING ALLOWANCE:TAILORED SPECIAL FUNCTION AREAS Complete Building or Area Category Area Controls Field Inspector No exceptional conditions apply to this project 02 Climate Zane z
<br /> Area Description Controls Controls Daylighting Daylighting Systems 12 05 otal Unconditioned Floor Area(ft) 0
<br /> Primary Function Area 130.1 a §130.1(b) 4130.1(c) 4130.1(d) §140.6(d) 140.6 a 1 pass Fail 03 Occupancy Types Within Project select all that apply): 06 of Stories Habitable Above Grade 1
<br /> I ( PpY). ( ARCHITECTURE
<br /> This Section Does Not Apply
<br /> -- - FINANCIAL E.ADDITIONAL REMARKS 0 Office ❑✓ Retail ❑ Warehouse ❑ Hotel/Motel ❑ School Support Areas
<br /> Financial Transactions Manual ON/OFF Dimmer Occ Sensor N/A N/A ❑ ❑ ❑ ® Parkin Garage High-Rise Residential Relocatable
<br /> TRANSACTIONS This table includes remarks made by the permit applicant to the Authority Having Jurisdiction.
<br /> N.ADDRIONAL LIGHTING ALLOWANCE:TAILORED WALL DISPLAY PP ty 9 ❑ g 8 ❑ ❑ 0 Other(write in):
<br /> STORAGE Commercial,Industrial Storage Manual ON/OFF Dimmer Occ Sensor N/A N/A ❑ ❑ ❑ B.PROJECT SCOPE
<br /> This Section Does Not Apply RETAIL Retail Sales,Wholesale Manual ON/OFF Dimmer Occ Sensor N/A I N/A ❑ ❑ ❑
<br /> Table Instructions:include any lighting systems that are within the scope of the permit application and are demonstrating compliance using the prescriptive path outlined in 1325 El P i n a I Drive, Suite D4
<br /> OFFICE Office<=250 sgft Manual how co Dimmer Occ Sensor N/A N/A ❑ ❑ ❑ 140.6 or 4141.0/612 ralterations. WARNING.Changing the Calculation Method in this table will result in the deletion of doto previously input. If you need to change the A. 2
<br /> O.ADDITIONAL LIGHTING ALLOWANCE:TAILORED FLOOR AND TASK LIGHTING ® * ,� F.INDOOR LIGHTING FIXTURE SCHEDULE for g 9
<br /> This Section Does NotA I NOTES:Controls with a require a note in the space below explaining how compliance is achieved. 13 P P f Stockton, C 95 05
<br /> Apply calculation method, lease open o new arm or use"Save As".
<br /> EX.Conference 1:Primary/Skylight Daylighting:Exempt because less than 120 watts of general lighting; Plan Sheet Showing Daylit Zones: Table Instructions:Include all permanent designed lighting and all portable lighting in offices.
<br /> Scope of Work Conditioned Spaces Unconditioned Spaces (209) 662-4874
<br /> EXCEPTION 1 to 4130.I1d12 E3 Ul 02 03 04 OS 06 07 OS 09 Ol 02 03 04 OS
<br /> T ADDITIONAL LIGHTING ALLOWANCE:TAILORED ORNAMENTAL/SPECIALEFFELTS Name or Specialized Luminaire Types Watts per Haw Watta a is Total number Exem t er Field Inspector a expla n n i n hotma i l.co m
<br /> This Section Does Not Apply Item Ta Complete Luminaire Description 1 g p p Design Watts p My Project Consists of(check all that apply): Calculation Method Area(ft2) Calculation Method Area(ft2) t' t' 9
<br /> I.LIGHTING POWER ALLOWANCE:COMPLETE BUILDING OR AREA CATEGORY METHODS B Track Portable luminaire determined luminaires 140.6140.6(a)3 Pass Fail
<br /> ® Q New Lighting System Area Category 1,630 Area Category 0
<br /> Q.ADDITIONAL LIGHTING ALLOWANCE:TAILORED VERY VALUABLE MERCHANDISE ® Table Instructions:Complete the table for each area complying usingthe Complete Building or Area Category Methods per§1400b). Indicate i additional lighting A 53W 1'X4'SURFACE LIGHT g ^/
<br /> p g g y p f g g power ❑ ❑ 53 NAB Default 16 ❑ 848 ❑ ❑
<br /> This Section Does Not Apply allowances per 140.6 c or adjustments per§140.6(a)are being used. D 39W 2'X4'TROFFER ❑ ❑ 39 NAB Default 278
<br /> ❑ ❑ ❑ 1 Altered Lighting System
<br /> 01 02 03 04 05 06 E 4'LED SURFACE WRAP ❑ ❑ 35 NAB Default 2 El70 E] ElR.POWER ADJUSTMENT:UGHTINGCONTROL CREDIT(PAF) Complete Building or Area Category Allowed Density Area Allowed Wattage Additional Allowances/Adjustments F 6"LED RDL ❑ ❑ 18 NA8Default 1 18 : Steven Anthony Torres II
<br /> ® Area Description 2 z ❑ ❑ ❑ Total Area of Work(ft) 1,630 0
<br /> This Section Does Not Apply Primary Function Area (W/ft) (ft) (Watts) Footnotes PAF PortableLtg H 6"LEDPENDANTCYLINDER ❑ ❑ 23 NAB Default 5 ❑ 115 ❑ ❑ Architect # C32553
<br /> RETAIL Retail Merch.,Showroom 1.2 1,121 1,345.2 ❑ ❑ ❑ Total Designed Watts CONDITIONED SPACES:1 1,129 C.COMPLIANCE RESULTS
<br /> S.RATED POWER REDUCTION COMPLIANCE BY SPACE ® FINANCIAL TRANSACTIONS Financial Transaction 1 226 226 ❑ ❑ ❑ Table Instructions:If any cell on this table says"DOES NOT COMPLY"or"COMPLIES with Exceptional Conditions"refer to Table D.for guidance.
<br /> This Section Does Not Apply STORAGE Commercial and Industrial Storage 0.6 167 100.2 ❑ ❑ ❑ 'NOTES.,Authority Having Jurisdiction may ask for Luminaire cut sheets to confirm wattage used for compliance per 4130.0(c) Wattage used must be the maximum rated for the Allowed Lighting Power per 140.6 b (Watts) Actual Lighting Power per 6140.6(a)(Watts) Compliance Results
<br /> luminaire,not the lam Lighting in
<br /> SMALL OFFICE Office(<=250 square feet) 1 116 116 ❑ ❑ ❑ p' conditioned and 01 02 03 04 05 06 07 08 09 10
<br /> TOTAL: 1,630 1,787.4 See Tables J,K,Rfor detail unconditioned Area Adjustments
<br /> G.TRACK LIGHTING Complete Area Category Tailored Total
<br /> spaces must not p g ry z Portable PAF Control Total Actual
<br /> This Section Does Not Apply Building Category Footnotes 4140.6(c)3 = Total Desi
<br /> 1.POWER ADJUSTMENT:PORTABLE LIGHTING IN OFFICES ® 6e combined for Allowed Bned Lighting Credits = (Watts) 0SMustbe>_09 PROPERTY OWNER
<br /> This Section Does Not Apply compliance per 140.6 c 1 §140.6(c)2 4140.6(ci2G M (Watts) (Watts) 6140.6(a) 4 4140.6(a)2 *Includes §140.6
<br /> H.INDOOR LIGHTING CONTROLS(Not Including PAFs) 140.6 b 1. (*) H H Adjustments
<br /> Table Instructions: Building Level Controls (See Table 1) (See Table 1) (See Table K) (See Table L) (See Table F) (See Table 1) (See Table R)
<br /> K.ADDITIONAL LIGHTING ALLOWANCE:AREA CATEGORY METHOD FOOTNOTES ® Please include lighting controls for conditioned and unconditioned Ol 02 03 Conditioned: 1,787.4 = 1,787.4 >_ 1,129 - 1,129 COMPLIES _ LAWRENCE WIGHT
<br /> This Section Does Not Apply * Unconditioned: - >
<br /> Pp y ection/of this tablle must be completed.The lighting controls section Mandatory Demand Response Shut-off Controls Field Inspector - - I I _
<br /> of the Compliance Summary Table on thefirst page will show"DOES 113Q.1 a r130. Pass Fail Controls Compliance(See Table H for Details) COMPLIES
<br /> NOT COMPLY"if the notes are left blank. Not Required<10,000 SF See Area Level Controls Q 1 ❑ Rated Power Reduction Compliance(See Table S for Details) Not Appkable
<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 CA Building Energy Efficiency Standards-2016 Nonresidential Compliance:http://www.energy.ca.gov/title24/2016standards September 2017
<br /> STATE OF CALIFORNIA STATE OF CALIFORNIA CONTRACTOR
<br /> Indoor Lighting Indoor Lighting
<br /> NRCC-LTI-E(Created 9/17) CALIFORNIA ENERGY COMMISSION NRCC-LTI-E(Created 9/171 CALIFORNIA ENERGY COMMISSION
<br /> CERTIFICATE OF COMPLIANCE NRCC-LTI-E ICERTIFICATE OF COMPLIANCE NRCC-LTI-E
<br /> Project Name: ARCO CONVENIENCE STORE REMODEL Report Page: Page 6 of 6 ProjectName: ARCO CONVENIENCE STORE REMODEL lReport Page: Page 5 of 6 BOB LEONARD AND ASSOC.
<br /> Project Address: 2908 BENJAMIN HOLT DRIVE IDate Prepared: 7/2/2019 JProject Address: 2908 BENJAMIN HOLT DRIVE IDate Prepared: 7/2/2019 1325 EL P I NAL DRIVE, SUI D-4
<br /> DOCUMENTATION AUTHOR'S DECLARATION STATEMENT T.DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION ® STO C KTO N, CA. 95205
<br /> Documentation Author Name: RICHARD SMITH Documentation Author Signature: 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
<br /> Table E.Additional Remarks.These documents must be provided to the building inspector during construction and can be found online at htt
<br /> Company: HCS Engineering,Inc. Signature Date: U www.ener .ca. ov 015 ublica ions CEC-400-2015- a endice orms NRCI
<br /> Address: 4512 FEATHER RIVER DR#F CEA/HERS Certification Identification(if applicable): E14303
<br /> YES NO Form/Title Field Inspector
<br /> City/State/Zip: STOCKTON,CA 95219 Phone: 209-478-8270 Pass Fail
<br /> RESPONSIBLE PERSON'S DECLARATION STATEMENT (� (� NRCI-LTI-01-E-Must be submitted for all buildings I certify the following under penalty of perjury,under the laws of the State of California: ❑ ❑
<br /> 1.The information provided on this Certificate of Compliance is true and correct. C NRCI-LTI-02-E-Must be submitted for a lighting control system,or for an Energy Management Control System(EMCS),to be
<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 recognized for compliance. ❑ ❑
<br /> Compliance(responsible designer) NRCI-LTI-03-E-Must be submitted for a line-voltage track lighting integral current limiter,or for a supplementary overcurrent
<br /> 3.The energy features and performance specifications,materials,components,and manufactured devices for the building design or system design identified on this protection panel used to energize only line-voltage track lighting,to be recognized for compliance. ❑ ❑
<br /> Certificate of Compliance conform to the requirements of Title 24,Part 1 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 NRCI-LTI-04-E-Must be submitted for two interlocked systems serving an auditorium,a convention center,a conference
<br /> compliance documents,worksheets,calculations, Tans and specifications submitted to the enforcement agency for approval with this building room,a multipurpose room,or a theater to be recognized for compliance. ❑ ❑
<br /> p p p g cY pp g 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 o 0 NRCI-LTI-05-E-Must be submitted for a Power Adjustment Factor(PAF)to be recognized for compliance. ❑ ❑
<br /> to the enforcement agency for all applicable inspections.l 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. NRCI-LTI-06-E-Must be submitted for additional wattage installed in a video conferencing studio to be recognized for ❑ ❑
<br /> Responsible Designer Name: Richard Smith Responsible Designer Signature: compliance.
<br /> Company: HCS Engineering,Inc. Date Signed: U.DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE
<br /> Address: 4512 Feather River Drive Ste."F" License: PE#E14303 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
<br /> City/State/Zip: Stockton,CA 95219 Phone: 209-478-8270
<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 ARCO CONVENIENCE
<br /> Certification Provider(ATTCF). For more information visit,hlta//www enerav cagovAitle24/attco/providers html
<br /> YES NO Form/Title Field Inspector STORE REMODEL
<br /> Pass Fail
<br /> 2908 Benjamin Holt Drive
<br /> C NRCA-LTI-02-A-Must be submitted for occupancy sensors and automatic time switch controls. ❑ ❑ Stockton, CA. 95207
<br /> 0 n NRCA-LTI-03-A-Must be submitted for automatic daylight controls. ❑ ❑
<br /> C a NRCA-LTI-04-A-Must be submitted for demand responsive lighting controls. ❑ ❑
<br /> (- @ NRCA-LTI-05-A-Must be submitted for institutional tuning power adjustment factor(PAF). ❑ ❑
<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
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<br /> ° SSS HCS ENGINEERING INC. ET24B W
<br /> No. E14303
<br /> CONSULTING ELECTRICAL ENGINEERS L`
<br /> *
<br /> EX 6-30-21 * 4512 FEATHER RIVER DRIVE, SUITE F
<br /> TR STOCKTON, CA 95219 (209)478-8270
<br /> 9TFOF CA E-MAIL ADDRESS - richard®hcs-eng.com Copyright APEX
<br /> PROD.-- 2016.171--DES.--a-ENG.-__!LCL_
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