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CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-E This document is used to demonstrate compliance with requirements in110.9 110.12 c 1§ 30.0• 130.1 140.6 and §141.0(b)2 for indoor lighting scopes using the prescriptive path. Project Name: KUNGFU TEA Report Page: Page 1 of 7 Project Address: 785 S TRACY BLVD IDate Prepared: 1/12/2023 B. PROJE4TSCOPE Table Instructions: Include any lighting systems that are within the scope of the permit application and a re demonstrating compliance using the prescriptive path outlined in 140.6 or §141.0(b)2 for alterations. WARNING: Changing the Calculation Method in this table will result in the deletion of data previously input. If you need to change the calculation method, please open a new form or use "Save As". Scope of Work Conditioned Spaces Unconditioned Spaces 01 02 03 _.. 04 05 M Project Consists o 1Calculation M ft2 2 y Pr J f (check all that appy) Method Area Calculation Method Area 1 ) ea ( ft ) ❑ New Lighting System Q Altered Lighting System Area Category 1,200 Total Area of Work (ft2) 11200 C. COMPLIANCE RESULTS ORAL INFORMATION" ' Lighting in conditioned and unconditioned spaces must not P I be combined for I compliance per I §14Q6KI, Project Address: 785 S TRACY BLVD Allowed lighting Power pet140.6Ab) 01 Project Location (city) Allowed Density (W/ft2) TRACY 04 Total Conditioned Floor Area (ftz_) 1,180 02 Climate Zone 01 Complete Building §140�Lii 12 05 Total Unconditioned Floor Area ft2. 1 ) _ = 03 Occupancy Types Within Project (select all that apply); 07 1 06 1# of Stories (Habitable Above Grade) ; 1 ❑ ❑ Office ❑ Retail Parking Garage ❑ High -Rise Residential ❑ Warehouse ❑ Relocatable ❑ ❑ Hotel/Motel ❑ School Healthcare 0 Other (write in): EJ Support Areas IRESTAURANT B. PROJE4TSCOPE Table Instructions: Include any lighting systems that are within the scope of the permit application and a re demonstrating compliance using the prescriptive path outlined in 140.6 or §141.0(b)2 for alterations. WARNING: Changing the Calculation Method in this table will result in the deletion of data previously input. If you need to change the calculation method, please open a new form or use "Save As". Scope of Work Conditioned Spaces Unconditioned Spaces 01 02 03 _.. 04 05 M Project Consists o 1Calculation M ft2 2 y Pr J f (check all that appy) Method Area Calculation Method Area 1 ) ea ( ft ) ❑ New Lighting System Q Altered Lighting System Area Category 1,200 Total Area of Work (ft2) 11200 C. COMPLIANCE RESULTS Table Instructions: If any cell on this table says "DOES NOT COMPLY" or "COMPLIES with Exceptional Conditions"refer to Table D. for guidance. Lighting in conditioned and unconditioned spaces must not P I be combined for I compliance per I §14Q6KI, Project Address: 785 S TRACY BLVD Allowed lighting Power pet140.6Ab) (Watts) Complete BWidingorArea Category _ Primary .Function Area . , Allowed Density (W/ft2) > _ Adjusted Lighting Power per L40.6taa _ (Watts) Compliance Results 01 Complete Building §140�Lii 02 Area Category 140.6 c 2 §__1)_ 03 Area Category .Additional 140.6 c 2G § __�LL _ (+) 04 Tailored §140_61c}_3 _ = 05 _..:.. 06 07 45.5 08 09 Total:Ailowed (Watts) Total Designed B (Watts) Adjustments Total Adjusted (Watts) 'Includes Adjustments ". 05Mustbet08 X140.6 PAF Control Credits dlts §140_6112 (+) 0.4 . (-1 (See Table 1) (See Table I) (See Table J) (See Table K) (See Table F) (See Table P) Conditioned r°.`rte 75175 0 Exempt per §1406 a3 Design Watts 751.75 z 713 ?�''` ; _ 713 COMPLIES Unconditioned:"' ,uw""aWA ❑ w ` _ _ F > s ❑ 13 Mfr. Spec' 25 Table Continued CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance: htto://www.energv.ca.gov/title24/2019standards January 2020 STATE OF CALIFORNIA Indoor Lighting NRCC•LTI-E (Created 01/20) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-E Project Name: KUNGFU TEA IRepart Page: Page 4 of 7 Project Address: 785 S TRACY BLVD Date Prepared: 1/12/2023 OS2 0 ' 03 04 05 ' 06 Area Description Complete BWidingorArea Category _ Primary .Function Area . , Allowed Density (W/ft2) Area ftz ( ) Allowed B a Watta .(Watts) Additional Allowances if Adjustment Category Area PAF- FOOD PREP Kitchen, Food Preparation 0.95 315 299.25 ❑ ❑ RESTROOM Restroom 0.65 70 45.5 ❑ ❑ HALLWAY Corridor 0.6 183 109.8 ❑ ❑ STORAGE All Other Space Types. 0.4 . 88 35.2 ❑ [] TOTAL: 1,180 751.75 See Tables J or P for detail Small Aperture Color Change' Watts per luminaire2 J. ADDITIONAL LIGHTING ALLCiWANCIE: AREA CATEGORY METHOD QUALIFYING LIGHTING SYSTEM Table instructions: Please complete the table for all areas indicated in Table i as using an additional allowance per the Area Category Method in Table 140.6-C. K. TAILORED MET1( ,(yEIfAL.LIGHTINGPgWV I4 1 LOWANCE This Section Does Not Apply L. ADDITIONAL LIGHTING ALCC}-. CE: TAILORED WALL DIS Y This Section Does Not Apply NI. ADDITIONAL LiGHTING ALLOWANCE: TAILORED " AND TA51t LIGHTING This Section Does Not Apply N. t_)p_! J NAL L1 T7iNG ALLOW V0^1,;�',tAILOREO ORNAMi:NTAL/SPECIAL EFFECTS This Section Does Not Apply O ADDITIONALL ,#T!lIL OWANCE: TAILORED VERY VALUABLE MERCHANDISE This Section Does Not Apply P. PO TING CONTROL CREDIT (POWER ADJUSTMENT FACTOR (PAF)) This Section Does Not Apply CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance: http://www.energy.ca,govLtitle24/2019standards January 2020 STATE OF CALIFORNIA Indoor Lighting NRCC-LTI-E (Created 01/20) CERTIFICATE OF COMPLIANCE Prepared: CALIFORNIA Controls Compliance (See Table H for Details) COMPLIES with Exceptional Conditions Rated Power Reduction Compliance (See Table Q for Details)='."'i title24.2019standards 2019 compliance documents Nonresidential Documents NRCI D,EXCEPTIONAL - bITIONS This table is auto -filled with uneditable comments because of selections made or data entered in tables throughout the form. Table H Indoor Lighting Controls Permit Applicant Notes: UTILITY: Provide occupancy sensor E: ADDITIONAL REMARKS This table includes remarks made by the permit applicant to the Authority Having Jurisdiction. Pv',oOR LIGHTING FTXTURE SCHEDULE 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 Table E. Additional Remarks. These documents must be provided to the building inspector during construction and can be found online at ht_tps://ww2.eneray.ca.aovl title24.2019standards 2019 compliance documents Nonresidential Documents NRCI YES . - Form/Title -- ,. . Field Inspector :. Pass .fail. Table Instructions: Include all permanent designed lighting and all portable lighting in offices. 04 ,... ,.-.,. Q (7` NRCI-LTI-01-E - Must be submitted for all buildings ❑ Designed Wattage: Conditioned Spaces 11 12 NRCI-LTI-02-E - Must be submitted for a lighting control system, or for an Energy Management Control System (EMCS), to be - El ' Multi -Level Controls ... 130 !Lbj Shut -Off Controls §k 3Ml c' for compliance. Secondary Daybghtmg §140.6 d 01 02 03 04 DS 06 07 08 09 10 Name or Item Tag Complete Luminaire Description ..Modular. (Track) Fixture& Small Aperture Color Change' Watts per luminaire2 How Wattage Is determined Total number luminaires Exempt per §1406 a3 Design Watts Field Inspector pass. Fail 13 L1 RECESSED 2X4 ❑ ❑ 52 Mfr. Spec' 5 ❑ 260 ❑ ❑ L2 6" RECESS ❑ ❑ 13 Mfr. Spec' 25 ❑ 325 ❑ ❑ L3 10" PENDANT ❑ ❑ 23 Mfr. Spec2 4 ❑ 92 ❑ ❑ L4 48" CEILING LIGHT El El36 Mfr. Spec2 1 1:136 El El Total Designed Watts CONDITIONED SPACES: 713 'FOOTNOTE: Design Watts for small aperture and color changing luminaires which qualify per 4140.61x)48 is adjusted to be 75% of their rated wattage. Table F automatically makes this adjustment the permit applicant should enter full rated wattage in column 05. 2Authority Having Jurisdiction may ask for Luminaire cut sheets to confirm wattage used for compliance per §130.0(c) Wattage used must be the maximum rated for the luminaire, not the lamp. CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance: htto•//www energy ca goy/title24/2019standards January 2020 STATE OF CALIFORNIA Indoor Lighting NRCC-LTI-E(Created 01/20) CALIFORNIA ENERGY COMMISSION IC IFICATE OF COMPLIANCE NRCC-LTI-E PERTroject Name: KUNGFU TEA IReoort Page: Page 5 of 7 RATEO, DWER'REDUCTI0N COMPLIANCE FOR ALTERATIONS This Section Does Not Apply - R. 80% LIGHTING POWER FOR ALTERAA INS -CONTROLS EXCEPTIONS This Section Does Not Apply &: DAYLIGHT DESIGN POWER Ai)JUSTMENTFACTORp4F". This Section Does Not Apply T. DECLARATIOkRECIUIRED CERTIFICATES OF INSTALLATION ral 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 Table E. Additional Remarks. These documents must be provided to the building inspector during construction and can be found online at ht_tps://ww2.eneray.ca.aovl title24.2019standards 2019 compliance documents Nonresidential Documents NRCI YES . - Form/Title -- ,. . Field Inspector :. Pass .fail. .,. 04 ,... ,.-.,. Q (7` NRCI-LTI-01-E - Must be submitted for all buildings ❑ ❑ 11 12 NRCI-LTI-02-E - Must be submitted for a lighting control system, or for an Energy Management Control System (EMCS), to be F-1 El ' Multi -Level Controls ... 130 !Lbj Shut -Off Controls §k 3Ml c' for compliance. Secondary Daybghtmg §140.6 d Interlocked Systems. §14D.6, fa,).1 GI #, NRCI-LTI-04-E - Must be submitted for two interlocked systems serving an auditorium, a convention center, a conference 1:10 All Other Space Types REVISIONS/DATE Manual OFFON/ room, a multipurpose room, or a theater to be recognized for compliance. Other" 0 CO) NRCI-LTI-05-E - Must be submitted for a Power Adjustment Factor (PAF) to be recognized for compliance. ❑ ❑ 00 NRCI-LTI-06-E - Must be submitted for additional wattage installed in a video conferencing studio to be recognized for ❑ ❑ 13 Plan Sheet Showing Da Iii Zones: Y compliance. UTILITY Provide occupancy sensor CA Building Energy Efficiency Standards- 2019 Nonresidential Compliance: htto://www.energv.ca.gov/title24/2019standards January 2020 STATE OF CALIFORNIA Indoor Lighting NRCC-LTI-E (Created 01/201 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-E Project Name: KUNGFU TEA Report Page: Page 3 of 7 Project Address: 785 S TRACY BLVD JDate Prepared: 1/12/2023 G. MODULAR LIGHTING RYSTeMS' ` --.... _. This Section Does Not Apply iNO00R LIGHTING C014TROLS'(Not'tticitrtling PAFs); Table Instructions: Please include lighting controls for conditioned and unconditioned spaces in this table. 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 the first page will show "DOES NOT COMPLY" if the notes are left blank. Building Level Controls .01 02 03 _Mandatory Demand Response 11.0 12 c §___.. Shut Off Controls Field Inspector 130.1 §_._-_L4) Pass I Fad Not Required < 10,000 SF Whole Building Timeswitch ❑ I ❑ Area Level Controls 04 05 06 07 08 09. 10 11 12 Description Complete Building .or Area Category. p Primary Function Area . .Area Controls 130_1L ' Multi -Level Controls ... 130 !Lbj Shut -Off Controls §k 3Ml c' PrimarY/S,k,..Iii Dayhghting 130.1 dj ; Secondary Daybghtmg §140.6 d Interlocked Systems. §14D.6, fa,).1 Field Inspectorec to rArea Pass Fail UTILITY All Other Space Types REVISIONS/DATE Manual OFFON/ Other" Occ. Sensor NA NA ❑ ❑ ❑ *NOTES: Controls with a * require a note in the space below` explaining how compliance is achieved. EX: Conference 1: Primary/Skylightpaylightin : Exempt because less than 120 watts o enerallighting; 9 f4B EXCEPTION 1 to 3 .1 dJ2 13 Plan Sheet Showing Da Iii Zones: Y NO. 63640 UTILITY Provide occupancy sensor I LIGHTING -POWER ALLOWANCE: COMPLETE BUILDING OR AREA CATEGORY METHODS Table Instructions: Selections have been made based on information provided in previous tables of this document. If anyselection needs to be changed, please explain why In Table E Additional Remarks. These documents must be provided to the building inspector during construction and any with 'M"in the form name must be completed through an Acceptance Test Technician Certification Provider (ATTCP). For more information visit: htta://www. energy. ca.aov/tit/e241attco/aroviders.html YES NO - ,.;, _..,,� ,- . , , -.,, Form/Title Table /nstrudions: Complete the table for each area complying using the Complete Building or Area Category Methods per §140.6(b). Indicate if additional lighting power allowances per §140.6 c or adjustments per 140.6 a are being used. Conditioned: Spaces '. Fail. ( (^ NRCA-LTI-02-A -Must be submitted for occupancy sensors and automatic time switch controls. 01 02 03 04 OS ` 06 Area Description Complete Building or Area Category - Primary Function Area Allowed Density 2 (W/ft ) .Area W)' Allowed' Wattage (Watts) Additional Allowances/ Adjustment Area Category PAF DINING AREA Dining -Family 0.5 524 262 ❑ ❑ CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance: http://www.energy.ca.jzov/title24/2019standards January 2020 STATE OF CALIFORNIA Indoor Lighting NRCC-LTI-E (Created 01/20) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-E Project Name: KUNGFU TEA IReport Page: Page hof 7 ED CERTIFICATES OF ACCEPTANCE Table Instructions: Selections have been made based on information provided in previous tables of this document. If anyselection needs to be changed, please explain why In Table E Additional Remarks. These documents must be provided to the building inspector during construction and any with 'M"in the form name must be completed through an Acceptance Test Technician Certification Provider (ATTCP). For more information visit: htta://www. energy. ca.aov/tit/e241attco/aroviders.html YES NO - ,.;, _..,,� ,- . , , -.,, Form/Title Field Inspector Pass '. Fail. ( (^ NRCA-LTI-02-A -Must be submitted for occupancy sensors and automatic time switch controls. ❑ ❑ Q C' NRCA-LTI-03-A -Must be submitted for automatic daylight controls. ❑ ❑ 0 4, NRCA-LTI-04-A- Must be submitted for demand responsive lighting controls. ❑ ❑ py:o N aO U c NRCA-LTI-05-A-Must be submitted for institutional tuning power adjustment factor (PAF). ❑ ❑ G 00 NRCA-ENV-03-F -Must be submitted for daylighting design power adjustment factors (PAF). ❑ ❑ CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance: http://www.energy.ca.gov/title24/2019standards January 2020 E U 0 -y CCI N E C7z °CC � C) CO 00 w o - Q Q vJ U WWj �3 co > X > o CD � W � � CD 0 't OJE m 00 W LU F- y y O J- y V O j Td L co o 0 C L C_ 5 3: N rt,, °" a � oo a E N T V a a o d `'o' z u oo O a C E p C VC 0.9 0 0 a .5 oV C •rnC3 Laar, dg00 O N py:o N aO U v`- o a.0 arno o 0i D� O all. j° h C 0 V> O C N VV� 0, O= o cv [-21 .=.r- 3� 3 C N 0i o4)yq�couJ 0, a QWS NO = m J= o L p ooy I v�igc"'¢ �N3=YE�a`8000 REVISIONS/DATE seal 7 ESS/ ��y NFIAly aqe. Cni 'L+ NO. 63640 * Exp. 09/30/2024 MOD a LOD 00 aroen By A. DANG Checked By Date 1-12-23 9cole Jab No.AS NOTED TITLE00 0 LI0 0 TIO 0 Dmwing No. 724 I of Sheets