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BCOM2016-002678-495 CALLE TAMPICO ..LA QUINTA, CALIFORNIA 92253 Application Number: BCOM2016-0026 Property Address: 79485 HIGHWAY 111 STE 1 APN: 600020027 Application Description: T -MOBILE / TI - REMODEL Property Zoning: Application Valuation: $45,000.00 Applicant: BUEHNER CONSTRUCTION INC 2212 SOUTH WEST TEMPLE #40 SALT LAKE CITY, UT 84115 �r �F•�4,�;.rw DESIGN & DEVELOPMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B License No.: 941585 CDate� L-0/,6 'Contractor. r OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or.that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) 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 Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within 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.). (1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. -C.). Lender's Lender's 1 /%0 I�JJOICEV,(760) 777-7125 JJJJI1FAX (760) 777-7011 AUG 16 2G'NSPEIONS (760) 777-7153 CITY OF u,clui!TAA Date: 8/16/2016 n1wMUN'TY DEVELO"'.":T DEPA.'T'.ENT Owner: POLSTAR, LLC 5557 CENTINELA AVENUE LOS ANGELES, CA 90066 Contractor: BUEHNER CONSTRUCTION INC 2212 SOUTH WEST TEMPLE #40 SALT LAKE CITY, UT 84115. (801)486-1888 Llc. No.: 941585 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of thtjuQrk for which this permit is issued. 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 insurance carrier and policy number are: Carrier: ADVANTAGE WORKERS COMPENSATION INSURANCE COMPANY Policy Number: 3307379 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of SectioZ37 0 of the Labor Co shall forthwith comply with those provisions. Date: % i Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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 and state laws relating to building construction, and hereby authorize representatives of this cit�to enter upon above-mentioned property for inspection purposes. Date: Signature (Applicant or Agent) J Date: 8/16/2016 Application Number: BCOM2016-0026 Owner: ' Property Address: 79485 HIGHWAY 111 STE 1 POLSTAR, LLC APN: 600020027 5557 CENTINELA AVENUE Application Description: T-MOBILE / TI - REMODEL' LOS ANGELES, CA 90066 Property Zoning: Application Valuation: $45,000.00 Applicant: Contractor: BUEHNER CONSTRUCTION INC BUEHNER CONSTRUCTION INC 2212 SOUTH WEST TEMPLE #40 2212 SOUTH WEST TEMPLE #40 SALT LAKE CITY, UT 84115 SALT LAKE CITY, UT 84115 (801)486-1888 _ LIC. No.: 941585 ----------------------------------------------- --------------------------------------------- betail: REMODEL STORE REPHACE FLOOR FINISH. WALL FIXTURES TO BE RELOCATED NEW WALL BASE TO BE INSTALL. 2013 CALIFORNIA BUILDING CODES: J FINANCIAL ' + DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $2.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, ADDITIONAL 101-0000-42403 0 $413.82 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, ADDITIONAL PC 101-0000-42600 0 $102.60 DESCRIPTION -ACCOUNT QTY.--rAMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 Total Paid for ELECTRICAL: $540.59 DESCRIPTION ACCOUNT QTY -A'MOUNT PERMIT ISSUANCE . 101-0000-42404 0 $91.85 Total Paid for PERMIT ISSUANCE: $91.85 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $152.25 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $121.80 DESCRIPTION ACCOUNT - QTY AMOUNT • REMODEL, 'FIRST 100 SF 101-0000-42400 0 $49.31 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 0 $134.88 Total Paid for REMODEL: $458.24 4 stn. # CI Of QuIn to BAUng ar Safety DWon P.O. Box 1504, -78-495 Cab 'Tampico La,.Qulma, CA 92253 -:(760) 777-7012 Building Permit Application And Tracking Sheet Permit # VCo��b Project Addtrss: 7 FS t NA III -,.W, 1, Owner's Name:. Q Q A P: Number. Q � 0 . a2 2S�? . Address: ii 0 W J Legal Description: City, ST, Zip: Contractor. L f N/ek Telephone: Address: �' (n 3 (� +,� Project Description: ,wo City. ST. Zip 4 - `,0&- IK Telephone:11% 131(6 SS0 g OZ— State Lic. # : aty Liic. o, Akw c.oc,I Arch, EW., Designer iC—S1 LKl X4- . . S Address City., ST, Zip:5' Telephone: ��pp .-..,,� , �� construction Type. . g panty: State Lic. #>:c L Project type (circle one): New Add'n Alter Repair Demo Name of Contalx Person: _ ._ _ . _r• - Sq. Ft,: 3 C) _ # Stories:..-- .__ - # Units: -- - Telephone # of Contact Person: -,J Y 4 Estimated Value of Project: f VV, 000 APPLICAf1fT: DO NOT WRITE BELOW THIS LINE # Sub mittalReq'd Reed TRACIMG PERMIT FEES Plan Sets Pian Check submitted Item Amount St ducal Cafes. Reviewed, ready for cort•eedow Plan Check Deposit. . Truss Calve. Called Contact PersonPlan Check Balance Tide 24 Calcs. Plans pl*id up Construction Flood plain plan Plans resubmitted.'/' Methariical Grading plan 2'! Review, ready for corrections/issue - Electrical Snbeontactor List Called Contact Person Plumbing Grant -Deed Plans picked up SAIL HA.A- Approval , Plaas imabmil6ed Grading IQI HOUSES- Review, ready for correedonslissue Developer Impact Fee Planning Approval' Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit Issue ` School Fees Total Permit Fees ... ... ........ - .._..._ ... ... 7 4 .. ..3 PROUDLY SERVING THE UNINCORPORATED AREAS OF RIVERSIDE COUNTY AND THE CITIES OF: BANNING BEAUMONT CALIMESA CANYON LAKE COACHELLA DESERT HOT SPRINGS EASTVALE INDIAN WELLS INDIO JURUPA VALLEY LAKE ELSINORE LA QUINTA MENIFEE MORENO VALLEY NORCO PALM DESERT PERRIS RANCHO MIRAGE RumDOux CSD SAN JACINTO TEMECULA WILDOMAR BOARD OF SUPERVISORS: KEVIN JEFFRIES DISTRICT 1 JOHN TAVAGLIONE DISTRICT 2 JEFF STONE DISTRICT 3 JOHN BENOIT DISTRICT 4 MARION ASHLEY DISTRICT 5 $c'Dw`zoIb^ 00 CAL FIRE — RIVERSIDE UNIT RIVERSIDE COUNTY FIRE DEPARTMENT OFFICE OF THE FIRE MARSHAL 77-933 Las Montanas Rd., Ste. #201, Palm Desert, CA 92211-4131 • Phone (760) 863-8886 • Fax(760)863-7072 www.rvcfire.org 8/9/2016 ' Brehner Construction Company 2212 SW Temple #40 Salt Lake City, UT 84101 Re: Building Tenant Improvement — T -Mobile aUG I 6 2016 LAQ-I6-TI-021 / 79485 Hwy 111 #1, La Quinta, CA 9225�33ITY OF LA QUEPlTA �}��nII� _II II'"�11^t-1 C ��r? Fire Department personnel have reviewed and have approve the plans youu subnutted foATWAT above referenced project. Please be advised the following conditions apply asa. part of the conditions for the issuance of a building permit. The following conditions must be met prior to occupancy: Deferred Submittals Required: *No deferred submittals warranted. Buildings/facilities 1) Provide keys to the tenant space for inclusion in the main building Knox Box. Key(s) shall have durable and legible tags affixed for identification of the correlating tenant space. 2) Approved building address shall be placed in such a position as to be plainly visible and legible from the street and rear access if applicable. Building address numbers shall be a minimum of 12". Minimum 6" tall suite addressing shall be provided to both the front and rear entrances. All addressing must be legible and of a contrasting color with the background and adequately illuminated to be visible from the street at all hours. Other requirements: 1) Install portable fire extinguishers per Title 19, but not less than 2AlOBC in rating. All new and existing portable fire extinguishers shall have current annual servicing performed and tagged. 2) Applicable room door(s) shall be posted ELECTRICAL, FACP, FIRE RISER and ROOF ACCESS on the outside of the door so it is visible and in a contrasting color. 3) A durable sign stating "This door to remain unlocked during business hours" shall be placed on or adjacent to the front exit doors. The sign shall be in letters not less than one inch high on a contrasting background. 4) Illuminated Exit Signage and Egress Illumination placement and functional test will be 'witnessed by OFM Fire Inspector at time of final inspection. The Fire Department approved plans and conditions letter must be at the job site or NO inspection will be performed. Applicant/installer shall be responsible to contact the Fire Department to schedule inspections. Requests for inspections are to be made at least 72 hours in advance and may be arranged by calling (760)863-8886. SUBJECT TO FIELD INSPECTION - Nothing in our review shall be construed as encompassing structural integrity. Review of this plan does not authorize or approve any omission or deviation from all applicable regulations. Final approval is subject to field inspection. All questions regarding the meaning of these conditions should be referred to the Office of the Fire Marshal staff at (760)863-8886. Kohl Hetrick — Fire Safety Specialist BCI'National Construction �& Facilities August 12, 2016 City of La Quinta W... Permit Office La Quinta, CA .11j.j . � 7111ti RE: Building Permit C� y r�- e. t " ''tiax�aT coin, CyN �U 114,`ly a& v 0PMENT To Whom it May Concern: I, Stuart Buehner, President of Buehner Construction Inc, dba BCI National; hereby authorize Sean Parkins to pick up the plans and pay for any and all building permits for the project located at 79485 Hwy 111, Suite 1, La Qunita on behalf of the company. Thank you, Stuart Buehner President BCI National 801-486-1888 KATHY 'P ALMER Notary Public sf UtOW Y?_ My_ Commissiones on-,_ Noveq;ber 116 Comm. Numb071_5 M a„y`r Building Permit Number. _.._ improvement Only 0 � � y o Project Description: ITenant 0.00 0.00 Exempt ❑ h (Materials may contain hazardous wastes and �'y KA�r are not subject to recycling provisions) �� OFA Construction Debris Management Plan Plan Submittal Date 7/28/2016 Job Site Owner's Name Number, Street, or PO Box City, State, Postal Code Owner's Phone Number Owner's E -Mail Address Project Manager's Project Manager's Phone N Project Manager's E-mail A, Builder J Contra Number, Street or PO City, State, Postel C 79485 Hwy 111 suite 11 Rabo Bank 74760 Hwy 111 Indian Walls, CA. 92210 Bobby herring & Richard Burg 727-348-5509 richbur uspennit.net Buchner Const Inc 2212 S.W. Temple #40 Salt Lake City, LIT. 84101 Project Square Footage 1 3,108 scift (inside existing retail unit) City Approval B��+��lJRri>-+ Y Date of City Approval( l ID PC -0 M ?ss 1.6 "X26 M (C� t- I V� � AUG 6 2016 CITY OF LA OUINTA COMMUNITY DEVELOPMENT Product Trash Asphalt Brick/Block Cardboard Commingled Concrete Drywall Donated / Reuse* Tons Not recyclable Product Recyclable Masonry (broken) Recyclable Plaster Recyclable Scrap Metal Recyclable Tile (floor) Recyclable Tile (roof) Recyclable Wood Recyclable Landscape Debris 1.00 0.00 0.00 0,75 0.00 0.00 0.00 0.00 "Describe Items Totals: Recycle Trash Projected Diversion: 1.3 1.0 66.66% I understand It is the property owner's responsibility to submit copies of weight tickets,or receipts to the District Environmental Coordinator as these hauls occur. I hereby rartify that completion, Implementation and adherence of the Debris Management Plan (DMP) for the above named project shell guarantee that at least 50% of the jobsite waste is diverted from landfilling. The remaining materiel will be recycled or reused. I will dived, for recycling or reuse, remaining materials generated from the firet day of the project through the completion of the project in accordance with this plan. This DMPis issued name of the property owner(s) and shall remain their property throughout the construction and/or demolition p e . A con ctor pqr ng as agent of the owner may obtain a DMP for the owner. However, the DMP is still Issued f e n a oft property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the DMP read red to. e owner's) and general oontrector shell ba kept informed of the iverefon ogress through bl onth ports. �if-h uling all refuse materiel from this project site must be taken to -”p re %cler or transfer 1/1 l Owner !Developer / Project Manager /Supe ntendant Date .a STATE OF CALIFORNIA INDOOR LIGHTING CEC.NRCC.LTI-01-E (Revised 08115) CALIFORNIA ENERGY COUMISSIOM _ CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 1 of 6) Project Name: T -Mobile Date Prepared: 5/24/2016 A. General Information Climate Zone: 15 Conditioned Floor Area : 2,282 Unconditioned Floor Area :. 0 Building Type: ❑ Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel ❑ Schools ❑ Reloca table Public Schools 6 Conditioned Spaces ❑ Unconditioned Spaces Phase of Construction: ❑ New Construction ❑ Addition C1 Alteration Method of Compliance: O Complete Building ❑ Area Category d Tailored Project Address: 79485 Highway 111 Suite #1 S. Lighting Compliance Documents (select yes for each document included) For detailed instructions on the use of this and alt Energy Efficiency Standards compliance documents, refer to the Atonres(dentrai Manual published by the California Energy Commission. YES NO FORM TITLE NRCC-LTI-01-E Certificate of Compliance. All Pages required on plans for all submittals. v NRCC-LTI.02-E Lighting Controls, Certificate of Compliance, and PAF Calculation. All Pages required on plans for all submittals. NRCC-LTI-03-E Indoor Lighting Power Allowance NRCC-LT1434-E Tailored Method Worksheets NRCC-LTI.OS•E I Line Voltage Track Lighting Worksheets CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE BY CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance AUG y G 2016 CITY OF LA QUIRTA COMMUNITY DEVELOPMENT August 2015 STATE OF CALi F;) RN IA INDOOR LIGHTING CEC-"RCC-LTI-01-E i RaeEsed OFYIS I CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 2 of 6) Proiect Name; T -Mobile Date Prepared! 5/24/2016 C. Summary of Allowed Lighting Power Conditioned and Unconditioned space Lighting must not be combined for compliance Indoor Lighting Power for Conditioned Spaces Indoor Lighting Power for Unconditioned Spaces Form/Title Watts Watts D Field Inspector Installed Lighting Installed Lighting NRCI-LTI-02-E - Must be submitted for a lighting control system, or for an Energy Management Control System (EMCS), ❑ Field Inspector 1. NRCC-LTI-OL-E, page 4 + 2'013 NRCC-LTI-01-E, pa e 4 + 0 X PORTABLE ONLY FOR OFFICES 2. NRCC-LTI-OL-E, page 3 + X conference room, a multipurpose room, or a theater to be recognized for compliance. Minus Lighting Control Credits X NRCI-LTI-05-E - Must be submitted for a Power Adjustment Factor (PAF) to be recognized for compliance. Minus Lighting Control Credits 0 3 NRCC-LTI.02-E, page 2 0 NRCC-LTI-02-E, paRe 2 Adjusted Installed Lighting Power 2'013 Adjusted Installed Lighting Power 0 A.(row 1 plus row 2 minus row 3) row 1 minus row 3 5. Complies ONLY if Installed 5 Allowed Complies ONLY if Installed <_ Allowed 6' Allowed Lighting Power 3.398 Allowed Lighting Power 0 Conditioned NRCC-LTI-03-E, page 1 Unconditioned NRCC-LTI-03-E, page l D. Declaration of Required Installation Certificates Declare by selecting yes for all Installation Certificates that will be submitted. (Retain copies and verify forms are completed and signed.) YES NO Form/Title X NRCI-LTI-01-E - Must be submitted for all buildings D Field Inspector X NRCI-LTI-02-E - Must be submitted for a lighting control system, or for an Energy Management Control System (EMCS), ❑ Field Inspector to be recognized for compliance. NRCI-LTI-03-E - Must be submitted for a line -voltage track lighting integral current limiter, or for a supplementary 0 Field Inspector X overcurrent protection panel used to energize only line -voltage track lighting, to be recognized for compliance. NRCI-LTI-04-E - Must be submitted for two interlocked systems serving an auditorium, a convention center, a ❑ Field Inspector X conference room, a multipurpose room, or a theater to be recognized for compliance. X NRCI-LTI-05-E - Must be submitted for a Power Adjustment Factor (PAF) to be recognized for compliance. ❑ Field Inspector X NRCI-LTI.06-E - Must be submitted for additional wattage installed in a video conferencing studio to be recognized for p Field Inspector compliance. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 STATE OF CALIFORNIA 1NDOOR 1_IGHTINC GEC NRCC LTI-01-E IRnvised OA/SS) CALIFORNIA ENERGY COAAMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 3 of 6) Project Name: T -Mobile Date Prepared: 5/24/2016 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.) YES NO Form/Tille X NRCA-LTI.02-A - Must be submitted for occupancy sensors and automatic time switch controls. ❑ Field Inspector X NRCA-LTI-03-A - Must be submitted for automatic daylight controls. ❑ Field Inspector X NRCA-LTI-04-A - Must be submitted for demand responsive lighting controls. ❑ Field Inspector A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spoces.. fnstolled Lighting Power listed on this Lighting Schedule is only for: 0 CONDITIONED SPACE ❑ UNCONDITIONED SPACE F. Indoor Lighting Schedule and Field Inspection Energy Checklist . ❑ The actual indoor lighting power listed on this page and on the next page includes all installed permanent and planned portable lighting systems. - ❑ When Complete Building Method is used for compliance. list each different type of luminaire on separate lines. - ❑ When Area Category Method or Tailored Method is used for compliance, list each different type of luminalre by each different function area on separate lines ❑ Also Include track lighting in schedule. and submit the track lighting compliance form (NRCC-LTI-05-E) when line -voltage track lighting is installed. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 STATE OF CALIFORNIA INDOOR LIGHTING "'ItY CEG-NRCGLTI-01•E IRnvised 0PJ15 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Ughting (Page 4 of 6) Project Name: T -Mobile Date Prepared: 5/24/2016 G. Installed Portable luminaires In Offices — Exception to Section 140.6(a) ❑ This section shall be filled out ONLY for portable luminaires in offices (As defined in §100.1). All other planned portable luminaires shall be documented on next page of this compliance form. ❑ This section is used to determine if greater than 0.3 watts of portable lighting is planned for any office ❑ Fill out a separate line for each different office. Small offices that are typical (having the same general and portable lighting) may be grouped together. This allowance shall not be traded between offices having different lighting systems. Office Portable Luminaire Schedule Office Installed Portable Luminaire Watts Per.Square Foot Office Location Field Inspector 1 2 3 4 5 6 7 B 9 10 Installed If F:5 0.3, portable Watts enter c luminaire w per zero; Identify Office area In a c watts in square G05 x G07 which these portable Pass Fail Complete Luminaire Description > > L this office C foot If G06 > luminaires are Installed (i.e., LED, under cabinet, furniture mounted Watts per J IG02 x o IGD4 / 0.3, direciAndirect) Luminaire G03) GOS) (G06.0.3) ❑ O ❑ ❑ ❑ ❑ ❑ ❑ Enter sum total of all pages into NRCC-LTI- Total installed portable luminaire watts that are greater than 0.3 watts per square foot per office: 01-E; Page 1 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 STATE OF CALIFORNIA INDOOR LIGHTING - CEC-NRCC-LTI-01•E IRavised 08/151 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 5 of 6) Project Name: T -Mobile Date Prepared: 5/24/2016 A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces. Installed Lighting Power listed an this Lighting Schedule is only for.- 0 or0 CONDITIONED SPACE • ❑ UNCONDITIONED SPACE H. INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Luminalre Schedule Installed Watts Location Field Inspector A B C D E F G H How wattage was determined e v � d N uComplete luminaire Ocscription h e P N x E E(i.e. 3 lamp fluorescent troffer, ;, o E o = Primary Function area in which M 41 2 = F32T8, one dimmable electronic ballast► 3 -� " a Z -' '' 3 these luminaires are installed Pass fail ML1 (1) Mcidule 24-52w LED Q ❑ es.❑ ❑ Q ❑ _ ❑ ❑ 13 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ INSTALLED WATTS PAGE TOTAL: Enter sum total of all pages Into 2 Ola NRCC-LTI-01-E; Page 2 CA Building Energy Efficiency Standards - 2023 Nonresidential Compliance August 2015 STATE OF CALIFORNIA INhOOR LIGHTING CEC.NRCC-LTI-0t-E (Revised W15) CALIFORNIA ENERGY COUMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 6 of 6) Project Name: T -Mobile Date Prepared: 55/24/2016 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certity that this Certificate of Compliance documentation is accurate and complete. DocumentawnAtnhorName: ANDREW C. PANOPIO, P.E. DotumenutionAuthor $16niture: SlenatufeDatt` 5/24/2016 corrvany: NP ENGINEERING Address: 4115 N. 15TH AVE. eat Cucincauon identification Id apd4ablelc litrlsrate/Ia: PHEONIX, AZ 85015 pl`o't" (602) 265-1599 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 or compliance are consistent with the information provided on other applicable compliance documents. worksheeLs, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. S. I 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. pecpamlbleDetignctName. ANDREW C. PANOPIO, P.E. Rnpomlbit Designer slgnature: Date Signed: 5/24/2016 compar"r: NP ENGINEERING Address: 4115 N. 15TH AVE. ticense: E-9462 Cstr/State/Z,p. PHEONIX, AZ 85015 Phone: (602) 265-1599 PROFESS/O� rn o cs NO. 2 E-9462 m XP. 6-30-201 *STq FZECTRtGPRa�P* f OF tFO 07/08/16 CA Building Energy Efficiency Standards - 2023 Nonresidential Compliance August zoin SrATE Or CALIFORNIA INDOOR LIGHTING - LIGHTING CONTROLS CEC•NRCC-LTI-02-E (Revised 051151 CALIFORNIA ENERGY COIMtISSION+� CERTIFICATE OF COMPLIANCE NRCC•LTI-02-E Indoor Lighting - Lighting Controls (Page 1 of 3) "°t"'"'°" T -Mobile °ie""1fO' 5/24/2016 The NRCC-LTI-02-E shall be used to document all mandatory and prescriptive lighting controls that are applicable to the project. Mandatory lighting Control Declaration Statements (Indicate if the measure applies by checking yes or no below.) YES NO Control Requirements Lighting shall be controlled by self-contained lighting control devices which are certified to the Energy Commission according to the Title 20 Appliance X Efficiency Regulations in accordance with Section 110.9. Lighting shall be controlled by a lighting control a system or energy management control system in accordance with §110.9. An Installation Certificate X shall be submitted in accordance with Section 130.4(b). One or more Track Lighting Integral Current Limiters shall be installed which have been certified to the Energy Commission in accordance with §110.9 and X §130.0. Additionally, an Installation Certificate shall be submitted in accordance with Section 130.4(b). A Track Lighting Supplementary Overcurrent Protection Panel shall be installed in accordance with Section 110.9 and Section 130.0. Additionally, an X Installation Certificate shall be installed in accordance with Section 130.4(b). All lighting controls and equipment shall comply with the applicable requirements in §110.9 and shall be installed in accordance with the manufacturer's X instructions in accordance with Section 130.1. X All luminaires shall be functionally controlled with manually switched ON and OFF lighting controls in accordance with Section 130.1(a). General lighting shall be separately controlled from all other lighting systems in an area. Floor and wall display, window display, case display, ornamental, X and special effects lighting shall each be separately controlled on circuits that are 20 amps or less. When track lighting is used, general, display, ornamental, and special effects lighting shall each be separately controlled; in accordance with Section 130.1(a)4. The general lighting of any enclosed area 100 square feet or larger, with a connected lighting load that exceeds 0.5 watts per square foot shall meet the X multi -levet lighting control requirements in accordance with Section 130.1(b). X All installed indoor lighting shall be equipped with controls that meet the applicable Shut -OFF control requirements in Section 130.1(c). X Lighting in all Daylit Zones shall be controlled in accordance with the requirements in Section 1.30.1(d) and daylit zones are shown on the plans. Lighting power in buildings larger than 10,000 square feet shall be capable of being automatically reduced in response to a Demand Responsive Signal in X accordance with Section 130.1(e). Before an occupancy permit is granted for a newly constructed building or area, or a new lighting system serving a building, area, or site is operated for X normal use, indoor lighting controls serving the building, area, or site shall be certified as meeting the Acceptance Requirements for Code Compliance in accordance with Section 130.4.(a). The controls required to meet the Acceptance Requirements include automatic daylight controls, automatic shut -OFF controls, and demand responsive controls. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance May 2015 STATE OF CALIFORNIA INDOOR LIGHTING - LIGHTING CONTROLS CEC-NRCC•LTI.02-E IRenaed 051151 CALIFORNIA ENERGY COh4A11SSION '%"" CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting - Lighting Controls (Page 2 of 3) h'j_1 f1j.e:T-Mobile 5/24/2016 A separate document must be filled out for Conditioned and Unconditioned Spaces. This page is used only for the following: D CONDITIONED SPACES ❑ UNCONDITIONED SPACES MANDATORY AND PRESCRIPTIVE INDOOR LIGHTING CONTROL SCHEDULE, PAF CALCULATION, and FIELD INSPECTION CHECKLIST PAF Credit Calculation' t A d n CC PD1 n Standards Complying With ' 7e:)o D x ca a E ru " p Lighting Control Schedule (✓ all that apply, or enter 'E' if Exempted) ca a 2. T r.. o- m A B C D E F G I H I J K L M N O Type/ Description of Lighting Control (i.e.: occupancy sensor, ti M Location in Building automatic time switch, of W o W o W P W o W0 e i-+ ?A O 0 QA W d -. 2 �-. F+ N dimmer, automatic daylight, Units �+ Q ^ a etc...) ❑ ❑ BOH OVERRIDE SWITCHES t X E E E E E E X ❑ ❑ BOH DIMMING SWITCHES 3 E X E E E E E X ❑ ❑ BOH LCP - LIGHTING CONTROL PANEL 1 E E X E E E E X ❑ ❑ SALES PHOTOCELLS 4 E E E X I E E E I I X ❑ ❑ ❑ ❑ ❑ ❑ Control Credit PAGE TOTAL (Sum of Column M): 0 IF MULTIPLE PAGES ARE USED, ENTER SUM TOTAL OF Control Credit for all pages HERE (Sum of all Column M): 0 Enter Control Credit total into NRCC-LTWI-E; Page 1. 1. §130.1(0) -Manual area controls; §130.0(b) = Multi Level; §130.1(c) =Auto Shut -Off., §130.1(d) =Mandatory Daylight; §130.1(e) =Demand Responsive; §140.6(d) _ Additional lighting controls installed to earn a PAF; §140.6(d) = Prescriptive SecondorySidelit Daylight Controls. 2. Check Table 140.6-A for correct Factor. PAFs shall not be traded between conditioned and unconditioned spaces. Asa condition to earn 0 PAF, on lnstalfation Certificate is also required to be filled out, signed, and submitted. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance May 2015 STATE- OF CALIFORNIA wnnnR t_IGHTING - LIGHTING CONTROLS CEC-NRCC-LTI-02-E(Revl:ed 051151CALIFORNIAENERGYCOMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting . Lighting Controls (Page 3 of 3) T -Mobile 5/24/2016 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. tswurnentatton Audio( Name ANDREW C. PANOPIO, P.E. DvmU entalion Author SaBNture; Signature Date' 5/24/2016 Co`n"nY: NP ENGINEERING Aditew 4115 N. 15TH AVE. CEACettditaltonode nilLcaUen(rapplkable): Gtr/ssaleR.p.. PHEONIX, AZ 85015 Pltpne: (602) 265-1599 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 an 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 permit(s) 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. Rcaponsibk f>Mlbn"r:an,e' ANDREW C. PANOPIO, P.E. aetpe.+sibte oea,6ner s,6l18tu.C. oltes;sned: 5/24/2016 eotnpanV. NP ENGINEERING Address: 4115 N. 15TH AVE. urons`: E-9462 ayAtate/11p: PHEONIX, AZ 85015 pho": (602) 265-1599 QEtOFESSiO\ 40 � O NO. z E-9462 m XP. 6-30-2018 `rT F<ECTRtGP��P OF CALkvG� 07/08/16 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance May,tulb STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE CEC-NRCC.LTI-03-E [Rovised 051151 CALIFORNIA ENERGY COUMISSION —" CERTIFICATE OF COMPLIANCE NRCC LTI-03-E Certificate of Compliance - Indoor Lighting Power Allowance (Page 1 of 4) T -Mobile 5/24/2016 A separate page must be tilled out for Conditioned and Unconditioned Spaces. This page is only for: m CONDITIONED spaces ❑ UNCONDITIONED spaces A. SUMMARY TOTALS OF LIGHTING POWER ALLOWANCES ❑ ❑ If using Complete Building Method for compliance, use only the total in column (a) as total allowed building watts. If using Area Category Method, Tailored Method, Ora combination of Area Category and Tailored Method for compliance, use only the total in column (b) as the total allowed building watts 3 {a) (b) 1. Complete Building Method Allowed Watts. Documented in section 8 of 14RCC-LTI-03-E (below on this page) X !— 2. Area Category Method Allowed Watts. Documented in section C-1 of NRCC-LTI-03-E (below on this page) _ �.� 3,398 3. Tailored Method Allowed Watts. Documented in section A of NRCC-LTI-04-E TOTAL ALLOWED BUILDING WATTS. Enter number Into correct cell on NRCC-LTI-01, Page 2, Row 1 Total Areal 3,398 ❑ Check here if building contains both conditioned and unconditioned areas. 71 B. COMPLETE BUILDING METHOD LIGHTING POWER ALLOWANCE 1 2 3 4 TYPE OF BUILDING (From §140.6 Table 140.6-8) WATTS PER (ftp) X COMPLETE BLDG. AREA ALLOWED WATTS Total Areal Total Watts. Enter Total Watts into section A, row 1 (Above on this page) C -1 AREA CATEGORY METHOD TOTAL LIGHTING POWER ALLOWANCES (D plus E) Watts Total from section C-2 0 Total from section C-3 0 Total Watts. Enter Total Watts into section A, row 2 (Above on this page) 0 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance May201S STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE -EC NRCC-LTI.03•E tRoyisod 05n5i CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI.03-E Certificate of Compliance - Indoor Lighting Power Allowance (Page 2 of 4) P-wl K—e T -Mobile awe 5/24/2016 A separate page must be filled out for Conditioned and Unconditioned spaces. This page is only for: 0 CONDITIONED spaces 0 UNCONDITIONED spaces C -2 AREA CATEGORY METHOD GENERAL LIGHTING POWER ALLOWANCE ❑ Do not include portable lighting for offices. Portable lighting for offices shall be documented only in section B of NRCC-LTI-01-E. ❑ Separately list lighting for each primary function area as defined in §100.1 of the Standards. A B C D AREA CATEGORY (From §140.6 Table 140.6-C) WATTS ALLOWED Location in Building I Primary Function Area per Table 140.6-C PER (ft-) X AREA (ft') = WATTS TOTALS I0 I Enter sum total Area Category allowed watts into section C-1 of NRCC-LTI-03-E (this compliance form) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance 0 WA May 2015 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE CEC-NRCC-LTI-03•E (Ro Wsed 05115) CALIFORNIA ENERGY COUK415510N ' CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E Certificate of Compiiance - Indoor Lighting Power Allowance (Page 3 of 41 °'""' pl " : T -Mobile ` 5/24/2016 A separate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for: 13 CONDITIONED spaces D UNCONDITIONED spaces C-3 AREA CATEGORY METHOD ADDITIONAL LIGHTING WATTAGE ALLOWANCE (from Table 140.6-C Footnotes) A B C! D E F G ALLOWED Additional Wattage WATTS Primary Sci Ft or Watts Allowance Description(s) and Quantity of Special Total Design Smaller of Function linear It 1 Allowed 18 x C) LuminaireTypes In each Primary Function Area Watts D D or F TOTALS— Enter into TOTAL AREA CATEGORY METHOD ADDITIONAL ALLOWANCES — Section C-1 10 1. Use linear feet only for additional allowance for white board or chalk board. All other additional Area Category allowances shall use watts per square foot. 2 . Additional watts are available only when allowed according to the footnotes on bottom of Table 146-C, which include: Specialized task work; Ornamental lighting; Precision commercial and industrial work; Per linear foot of white board or chalk board; Accent, display and feature lighting; and Videoconferencing Studio lighting.. 3. Luminaire classification and wattage shall be determined in accordance with §130.0(c) of the Standards. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance May 2015 5 TATE OF CALIFO RN to INDOOR LIGHTING POWER ALLOWANCE CEC-NRCC-LTI.03-E IRnvisod 05115 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI.03-E Certificate of Compliance - Indoor Lighting Power Allowance (Page 4 of 4) T -Mobile 5/24/2016 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. twrumentatonAuttort ANDREW C. PANOPIO, P.E. 0«amentationAutwrsignatutr. 5/24/2016 eAUnification Identification Vapplicaae): Comoanr. NP ENGINEERING 4115 N. 15TH AVE. otyntott/bo. PHEONIX, AZ 85015 phORe: (602) 265-1599 RESPONSIBLE PERSON'S DECLARATION STATEMENT certify the following under penalty of perjury, under the laws of the State of Califbrnia: 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 fresponsible 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. S. I will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the built ing permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. 1 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 occupan . ResponsibleDc-Agnef ^ANDREW C. PANOPIO, P.E. RetporesibleDesigner Signature: DateSIVwd. 512412016 11tnic; E-9462 Company' NP ENGINEERING Addrtw 4115 N. 15TH AVE. GtyfstateRip: PHEONIX, AZ 85015 Phone: (602) 265-1599 PROFESSC. /O \ 0 2 NO. 2 E-9462 m XP. 6-30-2018 'D `fI,-CTRtGP�;A, OF CACtFO� 07/08/16 CA Building Energy Efficiency Standards - 2033 Nonresidential Compliance May 2015 STATE OF CALIFORNIA TAILORED METHOD rlr" All S �• A. CFC•NRCC.LT1.04.E Roviwd 08/151 CALIFORNIA ENERGY COr. WSSION CERTIFICATE OF COMPLIANCE NRCC•LTI=04-E Indoor Lighting—Tailored Method (Page 1 of 7) r"J'a 'MT -Mobile "rfD" 5/24/2016 Complete separate documents for Conditioned and Unconditioned Spaces. This page is used to document: -0 CONDITIONED SPACES ❑ UNCONDITIONED SPACES A. TAILORED METHOD LIGHTING POWER ALLOWANCE SUMMARY 1. General lighting power (Building Total from Section B of NRCC-LTI.04•E) 1• 2,510 2. General lighting power special function areas (Building Total from Section C of NRCC-LTI.04 E) 2. 10 3. Additional 'use it or lost: it' lighting power (watts listed In each of these cells shall be identical to total allowed watts determined in Section 0 of NRCCATI.D4-E. G Wall Display from Section 0.1 + Combined Floor Display and Task Lighting from Section D-2 ALLOWED LPD Combined Ornamental and Special Effects lighting from So..lion D-3 ALLOWED WATTS (E z F) Very Valuable Merchandise from Section D-4 = 400 2.09 888 0 0 0 3. 88 4. Total Allowed Watts using Tailored Method (add lines 1, 2 and 3) a. 3.398 B. TAILORED METHOD ALLOWED GENERAL LIGHTING POWER FROM TABLE 140.6•D A B C D E F G ROOM NUMBER PRIMARY FUNCTION AREA ILLUMINANCE ROOM VALUE CAVITY flux) RATIO ALLOWED LPD FLOOR AREA ALLOWED WATTS (E z F) Retail Sales, Wholesale 400 2.09 1.10 2,282 2.510 PAGETOTAL If multiple pages are used, enter building total here 0 F::::l PAGE TOTAL II multiple pages are used, enter building total here 2,510 2,510 C. TAILORED METHOD ALLOWED GENERAL LIGHTING POWER FOR SPECIAL FUNCTION AREAS ACCORDING TO § 140.6(c)3H ❑ This section shall be used to determine allowed general lighting power ONLY for the following primary function areas: Exercise Center, Gymnasium; Medical and Clinical Care; Police Stations and Fire Stations; Public rest areas along state and federal roadways; other primary function areas that are not listed In Table 140.6-D A e C 0 E F G ROOM NUMBER PRIMARY FUNCTION AREA ILLUMINANCE ROOM VALUE CAVITY ALLOWED FLOOR (LUX) RATIO LPD AREA ALLOWED WATTS (E w F) PAGETOTAL If multiple pages are used, enter building total here 0 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 STATE- OF CALIFORNIA TAILORED METHOD CEC•NRCG-LTI-&1•E IRovised 0A1151 CALIFORNIA ENERGY GOMM15510N CERTIFICATE OF COMPLIANCE NRCC-LTI-04-E Indoor Lighting—Tailored Method (Page 2 of 7) P-Wini",e T -Mobile mu0,ro�ua: 5/24/2016 Complete separate documents for Conditioned and Unconditioned Spaces. This page is used to document: 0 CONDITIONED SPACES 0 UNCONDITIONED SPACES D. TAILORED METHOD ADDITIONAL "USE IT OR LOSE IT" LIGHTING POWER ALLOWANCES O Use this section to document and calculate additional lighting power for wall display, floor display, task ornamental, special effects, or very valuable display case lighting. • The additional lighting power allowance shall be the smaller of the allowed lighting power or the actual lighting power used. O These additional lighting power allowances shall not be available when using §140.6(c)3H to determine the general lighting power allowance, when using the Complete Building Method, or for any areas using the Area Category Method. D•1. ADDITIONAL ALLOWED LIGHTING POWER FOR WALL DISPLAY LIGHTING 0 Floor displays shall not quality for the wall display lighting power allowance, 0 Qualifying wall lighting complies with the applicable requirements in §140.6(c)31. A 9I C D E F G H tF 1 K Primary Function Area ALLOTTED WATTS DESIGN WATTS Wall Display Length in {linear Feet) Wall Display Power (Whin foot) Allotted Watts (6 x Q Luminaire Code Mounting Height Mounting height factor Watts per luminaire Design Watts is luminaires JG x H x I) Allowed Watts ismaller of 0 ort) SALES 93 14.00 1,302 ML3 < 12 feet 1.00 74.0 12 888 12 feet to < 16 feet 0.87 16 feet or higher 0.77 Total for this Primary Function Area: < 12 feet 1.00 12 feet to < 16 feet 0.87 16 feet or higher 0.77 Total for this Primary Function Area: < 12 feet 1.00 12 feet to < 16 feet 0.87 16 feet or higher 0.77 Total for this Primary Function Area: < 12 feet 1.00 12 feet to < 16 feet 0,87 16 feet or higher 0.77 Total for this Primary Function Area: Sum total power for wall display Fighting for all function areas: 888 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 STATE OF CALIFORNIA TAII.ORFD METHOD CEC•NRGC-L71 bI-E IRevlsed 0A7151 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-04-E Indoor Lighting—Tailored Method (Page 3 of 7) """'T -Mobile 512412016 Complete separate documents for Conditioned and Unconditioned Spaces. This page is used to document: 0 CONDITIONED SPACES C] UNCONDITIONED SPACES .._........................_...._..... 0-2. Additional allowed lighting power for combined floor display and task lighting ❑ Displays that are installed against a wall shall not qualify for the floor display lighting power allowances. ❑ Lighting internal to display cases shall be counted EITHER as floor display lighting in accordance with §140.6(c)3J; or as very valuable display case lighting in accordance with §140.6(c)3Liii and iv. ❑ Additional allowed pourer for floor display lighting, and -additional allowed power for task lighting, may be used by qualifying floor display lighting systems, qualifying task lighting systems, or a combination of both, for floor areas qualifying for both floor display and task lighting power atlawances, the additional allowed power shall be used only once for the same floor area, so that the allowance shall not be additive. ❑ Qualifying floor display lighting complies With the applicable provision in §140.6(c)3J(v and vi). 10 Additional allowed power for a combination of floor display fighting and task lighting shall be available only for (1) floors having floor displays. or (11) floors not having floor displays but having tasks having illuminance recommendations that appear in the Tenth Edition of the IES Lighting Handbook and that aro higher than the general lighting level in column 2 of TABLE 140.6-D. The square footage of floor display or the square footage of task areas shall be determined in accordance with §140.61c)3C and D, except that any floor area designed to not have floor displays or tasks, such as floor areas designated as a path of egress, shall not be included for the floor display allowance. A 8 C ( D £ F G H 1 1 K ALLOTTED WATTS DESIGN WATTS Allotted Primary Function Area Square feet of area Lighting Power (W per sq ft) Watts (a z C) Mounting Watts per Design Watts Luminaire Code Mounting Height height factor luminaire t2 luminaires (G x H x 1) Allowed Watts (smaller of D or J) i < lx icer 1.00 12 feet to < 16 feet 0.87 16 feet or higher 0.77 Total for this Primary Function Area: c 12 feet 1.00 12 feet to<16feet 0.87 16 feet or higher 0.77 Total for this Primary Function Area; < 12 feel 1.00 t 12 feet to < 16 feet 0.87 16 feet or higher 0.77 Total for this Primary Function Areal Sum total power for combined floor display and task lighting -.1 0 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance AugusT Cull STATE OF CALIFORNIA TAIL(ARFD INIFTHOD CEC-NRCC-LTI-04-E iRavlwd OA1151 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-04-E Indoor Lighting—Tailored Method (Page 4 of 7) °'°"': T -Mobile 5/24/2016 Complete separate documents for Conditioned and Unconditioned Spaces. This page is used to document. ❑ CONDITIONED SPACES ❑ UNCONDITIONED SPACES 'D-3. Additional allowed fighting power for combined ornamental and special effects B Qualifying ornamental lighting includes luminaires such as chandeliers, sconces, lanterns, neon and cold cathode, light emitting diodes, theatrical projectors, moving lights, and light color panels when any of those lights are used in a decorative manner that does not serve as display lighting or general lighting. ❑ Special effects lighting is defined as lighting installed to giue off luminance instead of providing illuminance ❑ There is no mounting height multiplier for ornamental or special effects lighting ❑ Additional allowed power for ornamental and special effects lighting may be used only for qualifying lighting systems. for floor areas qualifying for both ornamental and special effects lighting power allowances, the additional allowed power shall be used only once for the same floor area, so that the allowance shall not be additive. A ( 6 1 7-C D E F G H L Primary Function Area ALLOTTED WATTS DESIGN WATTS Square feet of f area Allotted Lighting Power Watts (W per sq ft) 18 x C) Luminaire Code or Description Watts per Design Watts (rows below accommodate 3 layers per function area) luminaire fi luminaires (F X Gil Allowed Watts (smaller of D or Total for HI Total ornamental/special effects lighting for this primary function area: 2. 3 Total ornamental/special effects lighting for this primary function area: _ t r . 1 tt 2 t Total ornamental/special effects lighting for this primary function area: i Total ornamental/special effects lighting for this primary function area: Sum total allowed watts for ornamental and special effects lighting:1 0 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance AugustZui�l STATE OF CALIFORNIA TAILORED METHOD �4. CEC.NRCC-LTI-04-E (Revised CA+15$ CALIFORNIA ENERGY COMMISSION -- CERTIFICATE "—CERTIFICATE OF COMPLIANCE. NRCC-LTI-04-E Indoor Lighting—Tailored Method (Page 5 of 7) ""N" T -Mobile 5/24/2016 Complete separate documents for Conditioned and Unconditioned Spaces. This page is used to document: ❑ CONDITIONED SPACES O UNCONDITIONED SPACES D-0. Additional allowed lighting power for very valuable display case lighting ❑ Lighting internal to display cases shall be counted EITHER as floor display lighting in accordance with §140.6(c)3J; or if qualifying, as very valuable display case lighting in accordance with 4140.6(cJ3LiiI and iv. O Lase lighting is lighting of small art objects, artifacts, or valuable collections which involves customer inspection of very fine detail from outside of a glass enclosed display case. ❑ To qualify for this allowance, case shall contain jewelry, coins, fine china, fine crystal, precious stones, silver, smart art objects or artifacts, and/or valuable collections the display of which involves customer inspection of very fine detail from outside of a locked case. ❑ This allowance is available only for display cases in retail merchandise sales, museum, and religious worship areas. ❑ Any floor area designed to not have very valuable display case lighting shall not be included for this allowance. ❑ A mounting height multiplier is not available. A B C 0 E F G N 1 1 WATTS PER SQUARE FOOT OF QUALIFYING WATTS PER SQUARE FOOT OF QUAUFYING FLOOR AREA DISPLAY CASE AREA - ALLOWED ACTUAL WATTS 15 Allowed Allotted Allotted Square feet of Watts per sq Watts Square feet of Allowed Watts Watts INSTALLED SMALLEST OF Primary Function Area Description of display case floor area ft (C x D) display case per square foot (F x G) WATTS E, H, or 1 0.8 12.0 0.8 12.0 0.8 12.0 0.8 12.0 0.8 12.0 0.8 12.0 0.8 12.0 0.8 12.0 0.8 12.0 0.8 12.0 0.8 12.0 Sum total allowed watu for very valuable display case lighting: CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 STATE OF CALIFORNIA TAILORED METHOD CERTIFICATE OF COMPLIANCE NRCC-LTI•(14-E Indoor Lighting —Tailored Method (Page 6 of 7) P10I.Ct Nm;T-Mobile 104.N'°"s4 5/24/2016 1 ROOM CAVITY RATIO (RCR) WORKSHEET RECTANGULAR SPACES A B C 0 E F Room Number Task/Activity Description Room I ength (t) (ft) Room 1Vidth (LV) (ft) Room Cavity Height (H) (ft) RCR 5 x H x (L4W) / (L x W) NON -RECTANGULAR SPACES A B C D E F Room Number Task/Activity Description Room Area (A) (ft') Room Perimeter (P) (ft) Room Cavity Height (H) (ft) RCR 2.5 x H x P/A SALES Retail Sales, Wholesale 2,282.0 238.0 8.0 2.09 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 STATE OF CALIFORNIA TAILORED METHOD CERTIFICATE OF COMPLIANCE NRCC-LTI.04-E Indoor Lighting —Tailored Method (Page 7 of 7) Ftoiacttisma: oateMet:,'ad 5/24/2016 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Comoliance documentation is accurate and complete. nocumentaoanauthurName- ANDREW C. PANOPIO, P.E. Dac�mentat.on46thor Company NP ENGINEERING s,gnatm,Da1e, 5/24/2016 address 4115 N. 15TH AVE. CEA Cem6catlonldentdcarion(it aonhcabk)- aty[suteYrio: PHEONIX, AZ 85015 "non'(602) 265-1599 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the foltowing 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 Pan 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. 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 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 crovld ding owner at occupancy. RespontibieD`''ane'Name: ANDREW C. PANOPIO, P.E. RetpomibteDestgner5tgnarw `ompa'y NP ENGINEERING 0ale S.4ned[ 5124/2016 Addtnss: 4115 N. 15TH AVE. 1.1ten1e E-9462 01y/Sime/Lp, PHEONIX, AZ 85015 Pbone (602) 265-1599 pR0FE C. P hry � A F 0 C' NO. z UJ E-9462 m XP. 6-30-201 A',F4 CTR tCP� �3 1 OF CAUL 5� 07/08/16 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015