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11-1083 (SIGN)P.O BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:Tl-0.0.O 831.083 Property Address: 78430 HIGHWAY 111 APN: 604 -050 -044 - Application description: SIGN Property Zoning: COMMUNITY COMMERCIAL Application valuation: 4888 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner:V---,= —DAV_IS:ROBERT. SANE FD Contractor: AD ELECTRICAL ADVE VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/03/11 !!"tib `� 1 OCT 0 3 2011 Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is aconstruction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). - - Lender's Name: Lender's Address: or LQPER,MIT of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances a r d state laws relating to building construction, and hereby authorize representatives of s county to enter up the above-mentioned property f inspection purposes. - Date: o ignature (Applicant or Agent): 9437 VALLEY BLVD 1 CITY OF LAQUII TA I ROSEMEAD, CA 91770 FINa+;(W�f,�PF (626)448-1166 Lic. No.: 927951 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and P ofessionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Licegse Class: C45 License• No.: 927951 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Date: ntract/Pusiness issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of hat I am exempt from the Contractor's State License Law for the Carrier PENNSYLVANIA MA Policy Number 2009010121541Z following reason (Sec. 7031.5,and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any _ • construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code�forthwith with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by9. any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).: dele 3 ppficant: 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and _) the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECU ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO RIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. ' property who builds or'improves thereon, and who contracts for the projects with a contractors) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for - pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is aconstruction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). - - Lender's Name: Lender's Address: or LQPER,MIT of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances a r d state laws relating to building construction, and hereby authorize representatives of s county to enter up the above-mentioned property f inspection purposes. - Date: o ignature (Applicant or Agent): Application Number . . . . . 11-00001083 .Permit . . . ELEC-ELECTRICAL SIGN Additional desc . Permit Fee 33.00 Plan Check Fee .00' Issue Date Valuation . . . . 0 Expiration Date 3/31/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 15.0000 EA ELEC SIGN 1ST CIRCUIT 15.00 1.00 .3.0000 EA ELEC SIGN ADDITIONAL CIRUITS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments (2)PERMANENTLY MOUNTED INTERNALLY ILLUMINATED CHANNEL LETTER SIGNS, PER SA # 2011-1550 "DJ ASIAN BUFFET". 2010 CODES. - -------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN -(SB1473) -------- - - - - - 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 33.00 .00 .00 33.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 34.00 .00 .00 34.00 P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 `September 28, 2011 Ms. Zu Hua Liu 78-430 Highway 1 1 1 La Quinta, CA 92253 SUBJECT: SIGN PERMIT APPLICATION 2011-1550 DJ ASIAN BUFFET Dear Ms. Liu: N (760) 777-7000 FAX (760) 777-7101 The Planning Department has reviewed and approved your request for two building - mounted, illuminated channel letter signs ("DJ ASIAN BUFFET"), located at 78-430 Highway 1 1 1 in the Point Happy commercial center. The approval is subject to the following Conditions of Approval: 1. This sign . permit grants two permanently -mounted illuminated building identification signs as shown on the attached exhibits. The total square footage for the building -mounted sign on the south building elevation along Highway 111 will be no greater. than 24.00 square feet. The total square footage for the east -facing building -mounted sign near the parking lot will be no greater than 22.00 square feet. 2. The signs will be mounted on the south and east building elevations as shown on the exhibit. The "Martini Dome" awning signs shall be removed as part of this sign permit approval. 3. The signs shall conform to the approved sign program for Point Happy. Should you have any questions ,or need additional information please feel free to 60) 777-7125. Associate Planner C: Building & Safety Department Bin. # . . City. of La Quinta Building at Safety Division P.O. Box 1504 '78-495 Calle Tampico La.Qldnta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address. v ! �� (� Owner's Name:. A. P. Number. Address: . Legal Description: r r Contractor: E�� M 1 C � City, ST, Zip: �:53a�?3gs; Telephone: 3 ,>'�'(i(/h Address:. 0. � W Project Description: fi�O City, ST, Zip: CA v 1-1,C 0\ [ ' Telephone: State Lic. # : 2. City Lie. k Arch., Engr., Designer. Address: City., ST, Zip: Telephone: • .'�»;��;�. ,rV ' State Lic. : Name of Contact Person: N �/ Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Univ: Telephone # of Contact Person: ( Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG PERMPy FEES Plan Sets Plan Cheek submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Plan Check Balance Title 24 Calcs. Plana picked up Construction' Flood plain plan Plans resubmitted.. Mechanical Grading plan 2'4 Review, ready for corrections/issue Electrical Subcontattor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L &OA. Approval Plans resubmitted Grading IN DOUSE.- '"' Review, ready for correctionslissue Developer Impact Fee Planning Approval Called Contact Person A I P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees V-4- ASIAN BUFFET-j— Proposing: Internally illuminated LED channel letter sign. • Faces: 1/8" thk red acrylic face . • Trim Cap: 3/4" brown trim cap. • Letter Returns: 5" deep .040 aluminum, painted brown. • Sign Area: 22 Sq Ft. S„ WALL TYPE DRYWALL � WALL TRIM -TO -PAN PAN -TO -WALL FASTENER FASTENER-4MIN.33 ANCHORMG (#10 Screw) TRIMtCAP - } 114"Xt" TO 3". MIN. 4PCS- GTO WIRING AND FLEX CONDUIT LEO 41umBatlon—► a I� TRANSFORMER ENCLOSURE TRANSFORMER DISCONNECT SWITCH TO SE WITHIN SIGHT OF SIGN LETTER FACE —f PRIMARY ELECTRICAL WEEP HOLES i TTLWOODSCREW 318'70'/."%YT04" CONCRETE ANCRORILAO STUCCO I SHEETROCX ANCHORA G STEEL BEAMS MACHIANCH. 3/8"TO h"XYT04' All assembly and electrical components to be U.L. listed and labeled. 1 SIAGNS This sign is intended To be Installed In accordance with The requirements of Article 600 of the National Electrical Code and/or other applicable local r ._ LOCATION / 9437 VALLEY BL., ROSEMEAD, CA 91770 I 78430 Highway 111, La Quinta, CA 92253 I T TEL: 626-448-1166 FAX: 626-448-1161 16'-5" 'ON 3SV 3 181HX3 1NNUNW11119 10NININVIV APP 93A0MddVr proper grounding and bonding of the sign. '11161s all 10 8u1pu011 PUD 6ulpunWO ledoid 1 I £9ZZ6 vo'oluln6 DI 'LLL ADM401H 0£b8L L9LL-M-M :XV3 99LL-8�i AU :131 I .OLLL6 VD '4d3WHO0 '19 A311VA L£b6 'sepo0 M-1. op-liddo 18110 l0/puo ap0a IDOW S IoualloN eql la 009 elalllV to sluawallnbel eql gjIM mopmoo ul pallolsul eq 0l papualul sl u6js spU WM SNRIS , Fm �/ A - t31 no, dis 'ra r •pelepi puD peisll i*n eq of siusuodwoo IDalilaele puD Algwesso IRI .9012 X.%01.SIC 'HONVlHOVW SWV391331S .9012%.%O1.S/E OVIMOH�Ntl MDOMl331`15 107IO1S .9012%.%O1.BIC OVVlfOHONV 313HON00 , .9012 %.Y. O1.SlE M OS OOM S001S/mmA90 3dA1lIVM a '44 bS VZ :oaJy uBIS . •umoaq palulad 'wnulwnlD Ob0• deep „(j:sujnleZl J91191 • •dDo wlal umojq „t,/£ :dD3 w14 . - o3ol DIIAjoo pax )I41 ,S/L :s83DA . •uBls aellel IauuD43 a31 palDulwnill Al�Duaalul : ", odo] APPRO D Y PLANNING DEPART ENT BYE DATE EXHIBIT ' CASE N0.1. �-� 29 •� SSS . � .o •til J I fi S3IDH di3M lVDIM3313 y _ _ _ • AUVWIad—. �_ 30tli 1131131 NOIS 30 1MOiS NilMA 3901 H011MS 103NNOOSIO 1z.3;... H3WHOiSN1M1 IMJ' 3Mf1odsNVtl1SOl0N3 N3m •� — uop—In 031 MWIM 010 X31J CNV ONRIIM OlO 'S0d9'NIW '.S Ol .l X.9/l (---S 01,0) OWaOHONV C'NIWN3N315Vi V3N31SV4 IWM-aL-Wd NVdOliVl111 IIVM S a '44 bS VZ :oaJy uBIS . •umoaq palulad 'wnulwnlD Ob0• deep „(j:sujnleZl J91191 • •dDo wlal umojq „t,/£ :dD3 w14 . - o3ol DIIAjoo pax )I41 ,S/L :s83DA . •uBls aellel IauuD43 a31 palDulwnill Al�Duaalul : ", odo] APPRO D Y PLANNING DEPART ENT BYE DATE EXHIBIT ' CASE N0.1. �-� 29 •� SSS . � .o •til J I fi Certificate of Compliance (Sign Lighting) (Page 1 of 4) SLTG-1C Project Name: AI J ®' I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the lighting design. Date. Lolut I Project Address: The design features represented on this Certificate of Compliance are consistent with the information provided to document this design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Location of Sign Nutdoor Signs ❑ Indoor Signs Phase of Sign Construction ❑New Signs ❑ Sign Alterations Type of Lighting Control ❑ New Lighting Controls ❑ Replaced Li htin Controls Not Installing Lighting Controls This Certificate of Compliance includes the following components (check all that apply) ❑ Mandatory Measures (Lighting Controls) ❑ Maximum Allowed Lighting PowerIV Specific Lighting Sources 1. Certificate of Compliance Declaration Statement (this maybe a CIO, C45 or other eligible person) I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. ®' I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the lighting design. This Certificate of Compliance identifies the lighting features and performance specifications required for compliance with Title 24, Parts 1 and 6 of the California Code of Regulations. The design features represented on this Certificate of Compliance are consistent with the information provided to document this design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Name- • -t r„ ( Signature applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. Company : ��- — - – --, /-- -- p ..% l G � eQ t I Phone /' !(r` Address: t /a� Lice4e number may be contractor's lic #) City/State/Zip O Date 'Cl /i 2. Installation Certificate (to be signed by responsible person after installation) Permit number Checked by/Datc (Enforcement Agency Use (Enforcement Agency Use Installation Declaration statement f I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. ❑ ,�'I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction. I certify that the installed features, materials, components, or manufactured devices identified on this certificate conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. I certify that the requirements detailed on this Certificate of Compliance have been met. I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: Responsible Person's N me: V Responsible Pe son's Signature: HkA Li ense number (may be contractor's lic #) Date Signed: Positio With Company: L.°� . 2008 Nonresidential Compliance Forms October 2010 Certificate of Compliance (Sign Lighting) (Page 2 of 4 SLTG-1C Project Name: i 1 U 1fjfj complying with the sign lighting control requirements, that person shall answer all of the following questions: Date: %O I 3. Mandatory Sign Lighting Controls NOTES.- OTES:1. 1.The same responsible person may install both the sign lighting power and the sign lighting controls, or a different responsible person may install the sign lighting controls than the responsible person installing the sign lighting power. 2. The Mandatory Measures (sign lighting controls) are required for compliance with the sign lighting Standards. If the person responsible for installing the sign lighting power is not also responsible for the sign lighting controls, then the owner of the sign, general contractor, or architect shall be responsible to have the sign lighting controls installed. 3. If more than one person has responsibility for compliance, each responsible person shall prepare and sign a Certificate of Compliance and an Installation Certificate applicable to the portion of construction for which they are responsible; alternatively, the person with chief responsibility for construction shall prepare and sign the Certificate of Compliance Declaration Statement or the entire construction. 3a. Statements of Responsibility: Any person signing the Certificate of Compliance Declaration Statement on page 1 of 4 on this SLTG-1C shall complete Part 3a. Check Yes or No for all of the following statements: 1 I have responsibility for installing the sign lighting controls Y ❑ Yes, complete parts 3a and 3b of this form No, complete part 3a of this form 2 There are no existing sign lighting controls and I will be iristalling compliant sign lighting controls control, or an outdoor astronomical time switch, that comply with the applicable requirements of § 119. ❑ Yes o 3 There are no existing sign lighting controls and someone else will be responsible to install compliant sign lighting controls ❑ Yes No Y There are existing sign lighting controls that do not comply with the applicable provision of § 119 and § 133 and I will be 4 installing compliant sign lighting controls 11e ❑ Yes No There are existing sign lighting controls that do not comply with the applicable provision of § 119 and § 133 and someone else 5 will be responsible to install compliant sign lighting controls NA ❑ Yes A.No 3b. Mandatory Sign Lighting Controls If the person signing the Certificate of Compliance Declaration Statement on page 1 of 4 of this SLTG-1C is responsible for complying with the sign lighting control requirements, that person shall answer all of the following questions: If there are construction documents, indicate where on the building plans the ma datory measures (sign lighting control) note block can be located: 1 §133(a)1. All indoor sign lighting is controlled with an automatic time switch control that complies with the Y N NA applicable requirements of § 119. 001 ❑ §133(a)1 and 2. All outdoor sign lighting is controlled with an automatic time switch control plus a photo Y N NA 2 control, or an outdoor astronomical time switch, that comply with the applicable requirements of § 119. ❑ ❑ ❑ Exception to §133(a)2. Outdoor signs in tunnels or large covered areas that require illumination during Y Nps daylight hours. 11e §133(a)3. All outdoor signs are controlled with a dimmer that provides the ability to automatically reduce Y N NA sin power by a minimum of 65 percent during nighttime hours. ❑ ❑ Exception 1 to §133(a)3. Signs illuminated for less than one hour per day during daylight hours. Y NA 3 a,, ❑ Exception 2 to §133(a)3. Outdoor signs in tunnels or large covered areas that require illumination during Y NA daylight hours. ❑ Exception 3 to §133(a)3. Only metal halide, high pressure sodium, cold cathode, or neon lamps used for Y Nq illuminating signs or parts of signs. ❑ �( §133(a)4. An Electronic Message Center (EMC) having a new connected lighting power load greater than 15 kW has a control installed capable of reducing the lighting power by a minimum of 30 percent when Y N N/A 4 receiving a demand response signal that is sent out by the local utility. ❑iij❑ Exception to §133(a)4. EMC required by a health or life safety statue, ordinance, or regulation, including Y NA but not limited to exit signs and traffic signs. I ❑ Field Inspector Notes: 1UU(Y Nonresidential Compliance Forms October 2010 Certificate of Compliance (Sign Lighting) Pa e 3 of 4 SLTG-1C Project Name: Date: 4. Maximum Allowed Lightin2 Power Method of Compliance Certificate of Compliance and Field Inspection Energy Checklist Complete this part if there are signs using the maximum allowed lighting power method of compliance. (Complete part 5 of this Certificate of Compliance if there are signs using the S ecific lighting sources method of compliance A B C D E I F G H I J Q Allowed Watts Design Complies? w Watts Y / N � 3 N w o � O U o a g N oV 3 I z '°„ x x E C"Z 3 M o u N b o A 2 y Field Inspector c �- rig QW~ ~ Qw — d Q Check that Fay c om. ;� U Sign E° Complies Description ✓ el ❑ ❑ ❑ ❑ ❑ ° A Symbol or code used on the plans when plans are required) and other documents. B A narrative description of the sign, or location of sign on the building; and the location of sign on construction documents. OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory -installed, ENERGY VERIFIED label, confirming that the sign complies with the Section 148 of the California 2008 Title 24, Part 6 Standards, using the Maximum Allowed Lighting Power method of compliance. The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized C by Underwriters Laboratories (UL) or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards Institute in accordance with ISO/IEC 17011. Surveillance by the Accredited Certification Body shall be an ongoing annual inspection program carried out by a Type A Inspection body in accordance with ISO/IEC 17020. For signs with such an ENERGY VERIFIED label, columns `D' through `I' are not required to be filled out. Note: Using an ENERGY VERIFIED label is an optional method to validate compliance. An ENERGY VERIFIED label is not needed for compliance. D The sign area insquare feet. E List "I" if the sign is intemally illuminated. List "E" if the sign is externally illuminated. F Allowed watts per square foot. Enter 12 if the sign is listed as "I" in column E. Enter 2.3 if sign is listed as "E" in column E. G Multiply the square footage in column D times the allowed Lighting Power Density LPD = watts in column F. H Show the total installed watts in the sign, as determined according to the applicable provisions of § 130(d ore . I I Enter Y if the number in column H is less than orequal to the number in column G. Otherwise the sign does not comply. J I This page doubles as a field inspection checklist. Field Inspector Notes: 2008 Nonresidential Compliance Forms October 2010 Certificate of Com fiance (Sign Lighting) (Page 4 of 4 SLTG-1C Project Name: Date: 5. Specific Li2htin2 Source Method of Compliance Certificate of Compliance and Field Inspection Energy Checklist Complete this part if there are signs using the Specific lighting source method of compliance. (Complete part 4 of this Certificate of Compliance if there are signs using the maximum allowed lighting ower method of compliance) A B C D E OPTIONAL Specific light source used for Field ENERGY Symbol y VERIFIED compliance Inspector or Description label Shall include only lighting Check that Code (see instructions technologies listed below Sign below) List all that apply Complies ��I� St ❑ ❑ Woo Sj ❑ g ❑ ❑ ❑ A I Symbol or code used on the plans when plans are required) and other documents. B A narrative description of the sign, or location of sign on the building; and the location of sign on construction documents C OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory -installed ENERGY VERIFIED label, confirming that this sign complies with the Section 148 of the California 2008 Title 24, Part 6 Standards, using the Specific Lighting Source Method of Compliance. The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by Underwriters Laboratories (UL) or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards Institute in accordance with ISO/IEC 17011. Surveillance by the Accredited Certification Body shall be an ongoing annual inspection program carried out by a Type A Inspection body in accordance with ISO/IEC 17020. For signs with such an ENERGY VERIFIED label, column `D' is not required to be filled out. Note: Using an ENERGY VERIFIED label is an optional method to validate compliance. An ENERGY VERIFIED label is not needed for compliance. Specific Light Source Compliance Method. The sign(s) identified above use only the following lighting technologies: List all applicable numbers 1 through 10 that apply in column D above for each row. / High pressure sodium lamps 2 Pulse start or ceramic metal halide lamps served by a ballast with > 88% efficient 3 Pulse start metal halide lamps that are < 320 watts, are not 250 watt or 175 watt lamps, and are served by a ballast with > 80% efficient 4 Neon or cold cathode lamps with transformer or power supply efficiency>_ 75% with rated output current < 50 mA D S 1 Neon or cold cathode lamps with transformer or power supply efficiency>_ 68% with rated output current > 50 mA 6 Fluorescent lamps with a minimum color rendering index (CRI) of 80 (Note: when using electronic ballasts for compliance, lamps with a CRI < 80 may be used 7 Light emitting diodes LEDs with a power supply with > 80% efficiency Single voltage LED external power supplies designed to convert 120 volt AC input into lower voltage DC or AC 8 output, having a nameplate output power less than or equal to 250 watts, and certified to the Energy Commission as complying with the applicable requirements of the Appliance Efficiency Regulations Title 20 9 Compact fluorescent lamps that do not contain a medium screw base sockets E24/E26) 10 Electronic ballasts with a fundamental output frequency > 20 kHz E I This page doubles as a field inspection checklist. Field Inspector Notes: 2008 Nonresidential Compliance Forms October 2010