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HomeMy WebLinkAbout5685REF-14STATE OF CALIFORNIA OUTDOOR LIGHTING DEC-NRCC-LTO-01-E (Revised 08/15) CALIFORNIA ENERGY COMMISSION ."r CERTIFICATE OF COMPLIANCE NRCC-LTO-01-E Outdoor Lighting (Page 1 of 4) Project Name: VALLEY OAK PARK Bate Prepared: 2 22 17 A. General Information Watts Project Address: XXXX AGAVE AVENUE FONTANA,CA Sum Total ALLOWED Outdoor Lighting Wattage from NRCC-LTO-03-E, page 1 Total Illuminated Hardscape Area Phase of Construction: EI New Construction ❑ Addition ❑ Alteration Outdoor Lighting Zone (OLZ) ❑ OLZ-1 ❑ OLZ-2 Q OLZ-3 ❑ OLZ-4 I have confirmed with the AM which OLZ applies to this site. For default lighting zone designations, see Title 24 Part 6, §10-114 B. LIGHTING COMPLIANCE DOCUMENTS (check box for each document included) For detailed instructions on the use of this and all Energy Efficiency Standards compliance documents, refer to the Nonresidential Manual published by the California Energy Commission. ® NRCC-LTO-OI-E Certificate of Compliance ® NRCC-LTO-02-E Outdoor Lighting Controls Certificate of Compliance ® NRCC-LTO-03-E Outdoor Lighting Power Allowance Certificate of Compliance C. Summary of Allowed Outdoor Lighting Power Watts I. Sum Total ALLOWED Outdoor Lighting Wattage from NRCC-LTO-03-E, page 1 = 1,939 WATTS Complies ONLY if Installed <Allowed 2. Sum Total INSTALLED Outdoor lighting Wattage from NRCC-LTO-01-E, page 3 659 WATTS D. Declaration of Required Installation Certificates Declare by checking all Installation Certificates that will be submitted. (Retain copies and verify forms are completed and signed.) ❑ NRCI-LTO-01-E -Must be submitted for all buildings ❑ Field Inspector M NRCI-LTO-02-E - Must be submitted for a lighting control system, or for an ❑ Field Inspector Energy Management Control System (EMCS), to be recognized for compliance. CEA Certification Identification (if applicable): E. Declaration of Required Certificates of Acceptance Declare by checking all of the Certificates of Acceptance that will be submitted. (Retain copies and verify forms are completed and signed.) ® NRCA-LTO-02-A -Must be submitted for outdoor lighting controls. ❑ Field Inspector CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance STATE OF CALIFORNIA OUTDOOR LIGHTING August 2015 STATE OF CALIFORNIA OUTDOOR LIGHTING °:. :EC-NRCC-LTO-01-E (Revised 08/15) CALIFORNIA ENERGY COMMISSION AW CERTIFICATE OF COMPLIANCE NRCC-LTO-01-E Outdoor Lighting (Page 2 of 4) Prefect Names: VALLEY OAK PARK Bate Prepared: 2 22 17 F. Schedule of luminaires exempt from the outdoor lighting power requirements in §140.7 Name or Symbol Description of exempt luminaire in accordance with the exemptions TYPE B LANDSCAPE LIGHTING TYPE D I ANnRRAPF I lrWTIn1r G. Schedule of luminaires exempt from the cutoff requirements in §130.2(b) 1 Name or SymbolDescription of exempt luminaire in accordance with the exemptions H. Schedule of luminaires exempt from the outdoor lighting control requirements in §130.2(c) Name or Symbol Description of exempt luminaire in accordance with the exemptions TYPE A Not permitted by a health or life safety statute, ordinance or regulation to be turned off. TYPE E Not permitted by a health or life safety statute, ordinance or regulation to be turned off. CEA Certification Identification (if applicable): Otv/state/Zip: San Juan Capistrano, CA 92675 Phone: 949-240-1378 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. UA tsullaing Energy tnlclency Standards - 2013 Nonresidential Compliance �vnvnoalvry CERTIFICATE OF COMPLIANCE NRCC-LTO-01-E Outdoor Lighting (Page 4 of 4) °`p;ea Name: VALLEY OAK PARK Data prepared: 2.22.17 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Owens wens Documentation AI r gnaku Company: West Coast Design Group Signature Date: 2.22. 17 Address: 26692 Paseoo Brlllo, Suite 200 CEA Certification Identification (if applicable): Otv/state/Zip: San Juan Capistrano, CA 92675 Phone: 949-240-1378 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 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 (responsible designer), 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 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 documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permits) issued for the building, and made available 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 documentation the builder provides to the building owner at occupancy. Responsro.oeslgner Name: Russell A. Neal II Responsible Designs nature: company: West Coast Design Group Data Signed: A B 2.22.17 Address: 26692 Paseoo Brillo, Suite 200 Llcense: E-11028 City/state/zip: San Juan Capistrano, CA 92675 Phone: 949-240-1378 .auunir ulelgy t naency aianaaros-ZU16 Nonresidential Compliance MANDATORI' CHECK LIST AUTOMATIC CONTROL DEVICES CERTIFIED ® All automatic control devices and alternate equipment specified herein shall be certified and Ietalled in accordance with the manuFacturer's direction. FLUORESCENT 5ALLA5TS AND LAMPS R1 Use only lamps with a minimum color rendering Index (GRI) of 80, or Use only electronic ballasts with a fundamental output frequency not less than 20 kHz. CONTROL OF SIGN LIGHTS ❑X Exterior mounted fixtures served from the panel inside the building are controlled with an astronomical programmable time switch and corresponding relag In the electrical panel. Astra Dial feature tracks sunrise and sunset times electronically compensate for dally variation in sunrises and sunsat. August 2015 August 2015 STATE OF CALIFORNIA OUTDOOR LIGHTING CEC-NRCI 1 TO -a9 -F Aroa A,, 1011[, STATE OF CALIFORNIA OUTDOOR LIGHTING CEC-NRCC-LTO-Off-E (Revised 08/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTO-01-E Date Signed: Outdoor Lighting Page 2 of Z Prole" Name: Nae: VALLEY OAK PARK (Page 3 of 4) PeritmNamber: Project Address: °fOfe Nam° VALLEY OAK PARK Bate Prepares: 2.22.17 lip Cotle: system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation and attest to the declarations in this statement (responsible builder/installer), I. Outdoor Lighting Schedule and Field Inspection Energy Checklist 3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements Luminaire Schedule Installed Watts Location Cutoff Field Inspector permits) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Installation is required to be included with the documentation the builder provides to A B C D E F G H 1 Bullder/Owner) Address: CSLB License: City/State/Zip: How wattage was Date Signed: determined Name or Complete Luminaire Description o M °' .— Primary Function area in which Y ocs o Item Tag w d v �, these luminaires are installed v adad y c o z =a o s c _ w do o u3 m TYPE A 35 WATT LED POLE MOUNTED 35 IN ❑ 12 420W WALKWAY LIGHTING 0 0 11 WATT LED FLOODS 11 X ❑ 6 66W LANDSCAPE LIGHTING 0 O" ' ❑ ❑ ° jB1-UO-Gi �TYPED 11 X ❑ 8 88W LANDSCAPE LIGHTING �00�0 TYPE E 33 WATT LED CANOPY LIGHTS 33 X ❑ 3 99W CANOPY LIGHTING O 0 ❑ ❑ o ❑ ❑ 0 ® 0 ❑ ❑ 0 0 011 ❑ ❑ o O O ❑ ❑ o ©. ,. ❑ ❑ 0 O 0 ❑ ❑ o ® O ❑ ❑ 0 0 0 ❑ ❑ o O ❑ ❑ 0 0 O ❑ ❑ 0 ® 0, - - ❑ ❑ o O C` ❑ ❑ 0 0 0 INSTALLED WATTS PAGE TOTAL: 650W Enter sum total of all pages or if only one page is used, enter PAGE total here (Sum Total INSTALLED Outdoor lighting wattage) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 CERTIFICATE OF INSTALLATION RIMY. CIVCKI+T liU1V11VI1p.,UN Documentation Author Name: NRCI-LTO-01-E Outdoor Lighting Date Signed: Address: Page 2 of Z Prole" Name: Nae: VALLEY OAK PARK Enforreneant Agar,: PeritmNamber: Project Address: CRy: lip Cotle: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Documentation Author Company Name: Date Signed: Address: CEA Certification Identification (If applicable:: City/State(Zip: Phone: RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Installation is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation and attest to the declarations in this statement (responsible builder/installer), otherwise I am an authorized representative of the responsible builder/installer. 3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements given on the plans and specifications approved by the enforcement agency. 4. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of Installation, and I have ensured that the requirements that apply to the construction or installation have been met. 5. 1 will ensure that a completed signed copy of this Certificate of Installation shall be posted, or made available with the building permits) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at Occupancy. Responsible Builder/Installer Name: Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): Bullder/Owner) Address: CSLB License: City/State/Zip: Phone Date Signed: CA Building Energy Efficiency Standards- 2013 Nonresidential Compliance N61 Y E' � -'f R¢ f� ... 6 Fi_: 2 �• `Y A i J li STATE OF CALIFORNIA OUTDOOR LIGHTING CEC-NRCI-1 TO-a'I-F Iii 1911M CERTIFICATE OF INSTALLATION LV CIVCKtoY UUNINIIJ5IUN� DATE 05/30/17 NRCI-LTO-01-E Outdoor Lighting BUILDING TYPE: ❑ Nonresidential Outdoor Lighting Page 1 of 2 Pr°jlr Werra: VALLEY OAK PARK Enforcement Agency: ParmaNImba,: Project Address: City: Zip Code: GENERAL INFORMATION DATE OF BUILDING PERMIT: DATE 05/30/17 PERMIT NUMBER: E1.0 BUILDING TYPE: ❑ Nonresidential Outdoor Lighting PHASE OF CONSTRUCTION: E] New Construction Addition ❑Alteration a o U U SCOPE OF RESPONSIBILITY Enter the date of approval by enforcement agency of the Certificate of Compliance that provides the specifications for the energy efficiency measures far the scope of responsibility for this Installation Certificate. Date: in the table below identify all construction documents that show that the outdoor lighting and controls were installed as it was proposed in the Certificates of Compliance. Document Title or Description Applicable Sheets or Pages, Tables, Date Approved by 1.Schedules, etc. Enforcement Agency CA Building Energy Efficiency Standards- 2013 Nonresidential Compliance December 2015 AE5T GOA5T DE51 GN GROUP ELECTRICAL S LIGHTING ENGINEERS 26692 PA5E0 13RILL0, SUITE 200 5AN JUAN CAPI5TRANO, CA 926-75 (4149) "155-1000 % I T E S C A P E S Landscape Architecture and Planning 3190 B2 Airport Loop Drive Costa Mesa, CA 92626 Richard Polhamus, License CA–#2782 (949) 644-9370 (714) 210-3140 FAX Ld UQJ [� a- how^®^®U W Z� U Z > —� 01 Z O Cd �wa'Aj-144 �O -i rG-1 SDr � a!Zp U 7® r- 1`--1 ~ DWN Cn DATE 05/30/17 Z E1.0 V I— ~ z Li a o U U a U z a N O W 0 r --i DWN CHK DATE 05/30/17 JOB * 16-033 E1.0 14 OF 17