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0 BY DATE REVISIONS J r Q V Z L J N Q O W u) � SDCJ Q W I�L`II C] V) W STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CAL IFORNLA Indoor Lighting Indoor Lighting indoor Lighting , NRCC-L7I•F ICreated 9/171 CALIFORNIA ENERGY COMMISSION NRCC-LTI•E{Created 9/171 CALIFORNIA ENERGY COMMISSION NRCC-CTI-E(Created 91171 CALIFORNIA ENERGY CO M MISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-E CERTIFICATE OF COMPLIANCE NRCC-LTI-E CERTIFICATE OF COM PLAN CE NRCC-LTI-E This document is used to demonstrate compliance with requirements in§11613,§230.0,§130.1,§140.6,and§141.0(b)2 for indoor ligh ting scopes using the prescriptive path. lProject Name: Dutch Bros Report Page: Page 2 of 6 Project Name: Dutch Bros. Report Page: Page 3 of 6 Project Name: Dutch Bros of Repart Page: Page 1 6 Project Address: 2625 W.Kettleman Lane jDate Prepared: 5/15/2018 Project Address: 2625 W.Kettleman Lane Date Prepared: 5/15/2018 Project Address: 2625 W.Kettleman Lane IDate Prepared: 5/15/2018 D.EXCEPTIONAL CONDITIONS Area Level Controls A.GENERAL INFORMATION This table Is auto filled whh uneditable comments because of selections made ordato entered In tables throughout the form. 04 05 06 07 08 09 10 11 12 01 Project Location(city) Lodi 1 04 ITotaI Conditioned Floor Area(ft2) 1,366 Multi-Level shut-Off Primary/Skyllt Secondary Interlocked No exceptional conditions apply to this project. Cprrlplete Building or Area Category Area Controls Field Inspector 02 Climate Zane 12 05 ota1 Unconditioned Floor Area Utz) D Area Description Controls Controls Daylfghting Daylighting Systems 03 Occupancy Types Within Project(select all that apply): 06 of Stories[Hab(table Above Grade) 1 Primary Function Area §130.1[0] §M 1(b) §130.1(c) §130.1(d) §140.6(d) §140.6(a)1 Pass Fa 11 ❑ Office 0 Retail ❑ Warehouse ❑ Hotel/Motel ❑ School 0 Support Areas E.ADDITIONAL REMARKS RETAIL SALES Manual ON/OFA Dimmer ] Occ Sensor A A A ❑ ❑ ❑ ❑ Parking Garage ❑ High Rise Residential ❑ Relacatable ❑ Other(write in); This table includes remarks made by the permit appllcantta the AuthorltyHaving Jurisdiction. FOOD PREP0 Manual ON/OFA Dimmer ] Occ Sensor 0 0 A E] ❑ ❑ LAV 1 0 IManual ON/0FE] ] Occ Sensor 0 L1 L1 LiA A B.PROJECT SCOPE Table Instructions:include any fighting systems that are within the scope of the permit application and are demonstrating compliance using the prescriptive path outlined In LAV 2 A Manual ON/OFA Oce sensor A ] A A E] ❑ ❑ §1.40.6 or§141.0(b)2 for alterations. WARNING:Changing the Calculation Meth ad in this table wilt result in the deletion of data previously input. If you need to change the F.INDOOR LIGHTING FIXTURE SCHEDULE (� Ell 0 Al ❑ ❑ ❑ calculation method,please open a new form or use"So veAs". Q A A Q A A ❑ E] ❑ Table lnstructivns:include all permanent designed lighting and oil portable lighting in offices. Scope of Work Conditioned Spaces Unconditioned Spaces NOTES:Controls with a require a note 1n the space below explaining how compliance is achleved. 13 01 02 03 04 05 06 07 08 09 01 02 03 04 05Name or SpedaQxed Luminaire Types Watts per How Wattage is Total number Exempt per Field Inspector X:Conference 1:Primary/Skyligh t Daylighting:Exempt because less than 120 watts of general lighting; Plan Sheet Showing Day Iit Zones: \ My Project Consists of check all that apply): Calculation Method Area ft2 Calculation Method Area ft2 Complete Luminafre Description Desi Watts EXCEPTION 1 to§130.1[d)2 1 { PP Y)' [ ) [ ] Item Tag p P Track Portable luminaires determined luminaires §140.6{a]3 � Pass Fail ry� 0 New Lighting System Area Category 1,366 Area Category 0 Reset u� A TYPE A LE❑2x4 TROFFER U-1 ❑ 41 NAB Default 11 ❑ 451 ❑ ❑ I.LIGHTING POWER ALLOWANCE:COMPLETE BUILDING OR AREA CATEGORY METHODS B TYPE B LED 1X4 SURFACE ❑ ❑ 8 NAB Default 2 ❑ 16 ❑ ❑ ❑Altered Lighting System Table Instructions:Complete the table for each area complying using the Complete euitding or Area Category McYllads per§I41a.&[b). indicate if additional fighting power C TYPE C LED RECESSED CAN ❑ ❑ 18 NAS Default 3 ❑ 54 ❑ ❑ allowances per§140.6(c)or adjustments per§140.6(a)are being used. 0 1) TYPE D LED PENDANT ❑ LJ is NAS Default 5 L190 ❑ ❑ 01 02 03 04 05 06 Total Area of Work[ft2] 1,M6 G TYPE G ❑ ❑ 15 NAB Default 6 ❑ 90 ❑ ❑ Allowed Dere€ __-_-_........ GampleteBuildingorArea Category tY Area Allowed Wattage Additional Allowances/Adjustments C.COMPLIANCE RESULTS Total Designed Watts CONDITIONED SPACES: 701 Area Descriptlon fig Primary Function Area (W/ftz) (ftz) (Watts) Footnotes PAF Portable Ltg Table Instructions:if any cell on this table says"DOES NOT COMPLY"or"COMPLIES with Exceptional Conditions"refer to Table D.for guidance. I Reset Remove Last' RETAIL SALES Retail Merch.,Showroom 0 1.2 262 314.4 ❑ ❑ ❑ Allowed Lighting power per§140.5[6}(Watts) Actual Lighting Power per§140.6(x)(Watts) Compliance Results 'NOTES:Authority Having Jurisdiction may ask for Luminolre car sheets to confirm wotrage used for comptionce per§130.0(c) Wattage used must be the maxrmum rated for the FOOD PREP Kitchen,Food Preparation 0 1.2 992 1,190.4 ❑ ❑ L]Lighting in 01 02 03 04 05 06 07 08 09 10 Luminaire,not thelomp. SUPPPORT Corridor,Restrm,Stair,Support A 0.6 112 67.2 11 El 1:1conditioned and Area Adjustments TOTAL: 1,366 1,572 See Tables 1,K,R far detail unconditioned Complete Area Category wo Tailored Total Portable PAF Col Totaua I Actl G.TRAGIC LIGHTINGspaces must not Total Z 6 1 Reset be combined far Building Category Footnotes §140.6[c]3 = Designed Lighting Credits = (Watts) OS Mint ba;=08 This Section L7oes Not Apply §140.6(c)1 §140.6(c)2 §140,fi[c)2G [+] Allowed (Watts) §140.6(a) §140.6(@)2 *Includes §140.6 J.POWER ADJUSTMENT:PORTABLE LIGHTING IN OFFICES o compliance per {Watts) §1406(b)s H {-) [-} Adjustments H.INDOOR LIGHTING CONTROLS(Not including PAFs) ® This Section Does Not Apply (see Tale I) (See Table I) (see Table K) {see Table L] {See Table F) (See Table J);(See Table R) Table Instructions: Building Level Controls Please include ligh ting controls for conditioned and unconditioned K.ADDITIONAL LIGHTING ALLOWANCE:AREA CATEGORY METHOD FOOTNOTES p� Conditioned: - 1,572 = 1,572 z 701 = 701 COMPLIES 01 02 03 t.`C Spaces in this table.When on option having a*is selected,rhe notes This Section Does Not Apply nem Unconditiod: = z Mandatary Demand Response Shut-off Controls Field Inspector section of this fable mustbe completed.The lighting controls section Controls Compliance(See Table H for Details) COMPLIES o the Compliance Table on the first §130.1[8) §130.1{c) Pass Fail f p ry f page will "DOES Rated Power Reduction Cam plianoo(See Table S for Details) Not AppReable NOT COMPLY"if the nares are left blank. Required a 10,000 SF 0 Whale Build ing:Automatic Time Switch] ❑ CA Building Energy EfficIencgStandards-2016 Nonresidential Compliance:http://www.energy.ca.govAitle24/2016standards September 2017 CA Building Energy Efficiency Standards-2016 Nonresidential Compliance:http://www.energy.ca.gov/title24/2016standards September 2017 CA 9ulid ing Energy Efficiency Standards-2016 Nonresidential Compliance:http://www.energy.ca.gov/title24/2016standards September 2017 (� bn u�d •per STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA Indoor Lighting Indoor Lighting Indoor Lighting NRCC-L7I-F ICreated 9/171 CALIFORNIA ENERGY COMMISSION NRCC-L7I-F ICreated 9/171 CALIFORNIA ENERGY COMMISSION NRCC-LTif(created 9117) CALI FOR NIA ENERGY COM M I&SION �( CERTIFICATE OF COMPLIANCE NRCC-LTI-E CERTIFICATE OF COMPLIANCE NRCC-LFI-E CERTIFICATE OF COMPLIANCE NRCC-LTI-E l•� ?reject Name: Dutch Bros. Report Page: Page 4 of 6 lProject Name: Dutch Bros. Report Page: Page 5 of 6 Project Name: Dutch Bros. Report Page: Page 6 of 6 Project Address: 2625 W.Kettleman Lane IDate Prepared: 5/15/2018 Project Address: 2625 W.Kettleman Lane Date Prepared: 5/15/2018 Project Address: 2625 W.Kettleman Lane Date Prepared: 5/15/2018 L.TAILORED METHOD GENERAL LIGHTING POWER ALLOWANCE ® T.DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION 1DOCUMENTATION AUTHOR'S DECLARATION STATEMENT ® , This Section Oces Not Apply Table Instructions:Selections have been made based on information provided in previous tables of this document.if arty selection needs to be changed,please explain why in Documentation Author Name: MATT STEWART Documentation Author Signature: Table F.Additional Remarks.These documents must be provided to the building inspector during construction and can be found online at http.//www.energy.ca. ®J M.ADDITIONAL LIGHTING ALLOWANCE:TAILORED SPECIAL FUNCTION AREAS @ gov/2o15publications/CEC400-2015-033/appendices/forms/NRO Company: Harris Electric Signature Date: 5-15-18 Address: 4679 NORTH EL CAPITAN CEA/HERS Certificatian Identification(if applicable): TC-AS14238 ThisSectlanDoesNotApply YES NO Form/Title Field Inspector TA1 Pass Fall City/State/Zlp: FRESNO CA 93722 Phone: 559-271-0970 N.ADDITIONAL LIGHTING ALLOWANCE:TAILORED WALL DISPLAY ® RESPONSIBLE PERSON'S DECLARATION STATEMENT Th is Section Does NotApply [i [ N RCI-LTI-0 1-E-Must be submitted for all but€dIngs ❑ ❑ I certify the following under penalty of perjury,under the laws of the State of California: 0 { NRCI-LTI-02-E-Must be submitted for a IlGhtingcontrol system,or for an Energy Managemerrt Control System[FMCS],to be El El 2.The information provided on this Certificate of Compliance is true and correct. O.ADDITIONAL LIGHTING ALLOWANCE:TAILORED FLOOR AND TASK LIGHTING 0 recognized for compliance. 2.1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design a system design identified as this Certificate of Th is Section floes Not Apply � (a- NRCI-LTI-03-E-Must be submitted for a line-voltage track lighting integral current limiter,or for a supplementary ova rcurrent � Compliance[responsible designer] protection panel used to energize only line-voltage track lighting,to be recognized for compliance. ❑ ❑ 3.The energy features and performance specifications,materials,components,and manufactured devices for the building design or system design identified on this P.ADDITIONAL LIGHTING ALLOWANCE.TAILORED ORNAMENTAL/SPECIAL EFFECT5Certificate of Compliance conform to the requirements of Tit Io 24,Part 1 and Parc 6 of the CaINornha Cada of Regulations. NRCI-LTI-04-E-Must be submitted for two interlocked systems serving an auditorium,a cornention center,a conference 4.The building design features or system design features identified an this Certificate of Campliance are consistent with the information provided an other applicable This Section Dees Not Apply r roam,a multipurpose room,or a theater to be recognized for compilance. El Elcompliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. i^ 6F N RCI-LTI-05-F-Must be submitted for a Power Adjustment Factor(PAF)to be recognized for compITance. E7 ❑ 5.1 wili 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 Q.ADDITIONAL LIGHTING ALLOWANCE:TAILORED VERY VALUABLE MERCHANDISE 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 This section Does NotApply N RCI-LTI-06-E-Must be submitted for additional wattage installed in a video conferencing studio to be recognized for ❑ ❑ documentation the builder provides to the building owner at occupancy. compliance. R.POWER ADJUSTMENT:UGHTING CONTROL CREDIT(PAF) Responsible Designer Name: TIM BREMER Responsible Designer Signature: Th is Section Claes Not Apply U.DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE � Company: HARRIS ELECTRIC Date Signed: 5-15-18 Table Instructions:Selections have been mode based on information provkled in previous tables of this document If any selecrian needs to be changed,please explain why in Address: 4679 N EL CAPITAN License: 505816/ATE-0132 5.RATED POWER REDUCTION COMPLIANCE BY SPACE ® Table E.Additional Remo rks.Th ese documen ts must be provided to the building inspector during construction and must be completed through an Acceptance Test Technician City/state/zip; FRESNO,CA 93722 Phone- 559-271-0970 Th is Section Does NorApply Certcf @tion Provider(ATTCF). For more information visit:httpy/www.energy.co.govldtle24/attcp/providers.html YES NO Form/Title Field Inspector Pass Fail Q. r NBCA-LTI-02-A-Must be submitted for occupancy sensors and automatic time switch controls. ❑ ❑ C" NBCA-LTI-03-A-Must be submitted for automatic daylight controls. ❑ ❑ C is NRCA-LTI-04-A-Must be submitted for demand responsive lightingcontraIs. ❑ ❑ ( ( NRCA-LTI-05-A-Must be submitted for institutional tuning power adj ustme nt fa ctor[PAF]. ❑ ❑ CA Building Energy Efficiency Standards-2016 Nonresidential Compliance:http)/www.energy.ca.govA it lc2 4/2016sta nda rds September 2017 CA Building Energy Efficiency Standards-2016 Nonresidential Compliance:http://www.energy.ca.govAitic24/2016standards September2017 CA Building Energy Efficiency Standards-2016 Nonresidential Compliance:http;//www.enefgy.ca.gov/title2412016standards September 2017 Q O N C t C U O } U oV U L.L. C LLJ M OLLJ N ckf a U r,() •> ro EL QO O C -t U APPROVED: BY DATE DESIGN DRAWN CKD. CKD./CONST. PROD. ENG. SCALE: TITLE 24 COMPLIANCE FORS E4 OF � N.T.S JOB NO. Dwg. No. Fld. Bk. No.