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14-0375 (ELEC)FAA P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4hf 4 40" - BUILDING & SAFETY DEPARTMENT . BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/15/14 Application Number: 14-00000375 Owner: Property Address: 79815 HIGHWAY 111 STE 101 P6K PORTFOLIOC APN: 600-020-034- - - 79775 HIGHWAY/ 1 Application description: ELECTRICAL LA QUINTA, CA Zoning: COMMERCIAL PARK �Property Application valuation: 3369 a APp,�( 15 �Q�2014Contractor: App] ican/ Architect or Engineer: COVE ELECTRI , INC�IT1/()F UINTA 77824 WILDCA EOEPT, �/ N PALM DESERT, CA 92211 (760)360-0036 Lic. No.: 397002 --------------------------------------------- --------------------------------------------------- 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 Busi ess and Professionals 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 License Cla C10 License No.: 397002 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is 1 issued. Date: K Contractor: — 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-BUIL�.ECLARAIIN insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier INS CO OF WEST Policy Number WSD500504302 following reason (Sec. 7031.5, Business 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 Cod I shall f 'th comply with those provisions. 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 1$5001.: Date: Applicant: (_) 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 SECURE WORKERS' COMPENSATION COVERAGE I)NLAWFUL, AND SHALL - Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL 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 ($100,000). 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 contractor(s) 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, (_ 1 I am exempt under Sec. , BAP.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 a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT 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 thea ove information is correct. I agree to comply with all city and co u ty ordinances and state laws relating to buildin construction, and hereby auth rize representatives of this cou y to mer upon the above-mentioned property fo inspectioq ur oses. Date: S Signature (Applicant or Agent): Application Number . . . . . 14-00000375 Permit . . . ELECTRICAL 2013 Additional desc . Permit Fee . . . . 23.83 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/12/14 Qty Unit Charge Per Extension 1.00 23.8300 LS ELEC DEVICES, FIRST 20 23.83 ---------------------------------------------------------------------------- Special Notes and Comments SIX (6) LED FACADE LIGHTS AT EXISTING BUILDING TRELLIS. 2013 CALIFORNIA BUILDING CODES. April 15, 2014 2:09:14 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, ELECTRICAL 23.83 PERMIT ISSUANCE M/P/E 90.57 Fee summary Charged Paid Credited --------------------------- Due ------------------------------ Permit Fee Total 23.83 .00 .00 23.83 Plan Check Total .00 .00 .00 .00 Other Fee Total 115:40 .00 .00 115.40 Grand Total 139.23 .00 .00 139.23 Din # City of La Quinta Building 8i' Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 ; (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: Sk l©t Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: ` telephone: :<::.>z:;::::<:;:<:::>:<::>:>:::••: Address: 77 Project Description: 1 City, ST, Zip: `v'� •� 22 i / Lam- 0 %tr t q �07t l Telephone: State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: P ;:;.>::;•s:.;;;.>;:- a»::z::;:,.::.:,.::•;:.. Construction Type: Occupancy: YP P Y: Lic. #: Project tYPa circle one • New Add'n 'Alter Repair Demo Name of Contact Person: �y�y Sq. Ft.: # Stories: #Units: Telephone #,of Contact Person: 76o 2 % L. 33 Estimated Value of Project: �6 a� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING .PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person "' Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 7rd Review, ready for correction s Developer Impact Fee Planning Approval Called Contact Person ` A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees r. M N.. Building & Safety Department 78-495 Calle Tampico PO Box 1504 La Quinta, CA 92253 (760) 777-7012 voice — (760) 777-7011 fax To: Greg Butler, Building Official To PD: April 7, 2014, 2014 From: Les Johnson, CDD Director Due date: ASAP Permit # 14-375 Status: 1ST REVIEW Building Plans.Approval (This is an approval to issue a Building Permit) The Planning Division has reviewed the Building Plans for the following project: Description: INSTALL EXT. L.E.D.- LIGHTING 108 TOTAL WATTS 6 FIXTURES 18 WATTS EACH "BURGERS & BEER" Address or general location: 79815 HWY 111 STE 101 Applicant Contact: COVE ELECTRIC 760-360-0036 The Planning Division finds that: ` ❑ ...these Building Plans do not require Planning Division approval. % ...these Building Plans are approved by the Planning Division. ❑ ...these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant. When the corrections are made please return them to the Planning Division for review. Les Johnson, Community Development Director � Ad lY Date Note: PLEASE RETURN PLANS WITH GREENSHEET TO THE BUILDING DIVISION. CITY CrFLA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION I DATE 111-2 1 ramal BY--AVZ--_ I a,,,:s.f>-..-wwwww..wn•....M.•�•-a.w i•.. •.•.n•�... ,� S. A 74ti t or aw � raw..-�,.,�H+Z � '.r..fwA• •�a •'f 1 3 L#A &4,yr4044 NL4 W c s FrLED18Y Rectangul44haped,LED<floodlight designed to replace 70W Metal Halide. Patent Pending airflow technology ensures long LED and driver lifespan. Use for building facade lighting, sign lighting, LED landscape lighting and instant -on security lighting. LED Info Driver Info Wa Type: Color Temp: 3000K (Warm) 84 100000 1,422 64 LPW 120V: 208V: 240V: 277V: Input Watts: Technical Specifications Efficiency: Co Stant=Currernt `r . 0.2A 0.15A 0.13A 0.11A 22W 81% _Lumen Maintenance: 100,000 -hour LED lifespan based on IES LM -80 results and TM -21 calculations. IP Rating: Ingress Protection rating of IP65 for dust and water. NEMA Type: 7H x 6V Beam Spread. Airflow: Patent pending Airflow technology heat sink for superior cooling. LEDs: 18 Watt.high performance LEDs. Driver: Constant Current, Class 2, 100 - 277V, 50 - 60 Hz, 100 - 277VAC 0.4 Amps. THD: 10:6% at 120V Surge Protection: 6kV Ambient Temperature: Suitable for use in 40°C ambient temperatures. Cold Weather Starting: The mi " t rt' o Color: Bronze Created: 02/27/2014 Weight: 4.8 lbs _ii Color Consistency: 3 -step MacAdam Ellipse binning to achieve consistent fixture -to -fixture color. Color Stability: LED color temperature is warrantied to shift no more than 200K in CCT over a 5 year period. Color Uniformity: RAB's range of CCT (Correlated Color Temperature) follows the guidelines of the American National Standard for (SSL) Products, ANSI C78.377-2008. Equivalency: The FFLED18 is Equivalent in delivered lumens to a 70W Metal Halide. Reflector: Semi -specular anodized aluminum. Gaskets: High-temperature silicone gaskets. Finish: Our environmentally friendly polyester powder coatings are formulated for high -durability and long-lasting color, and contains no VOC or toxic heavy metals. Green Technology: Mercury and UV free. rnmum s a Ing temperature Is -40 F/-40 C. IESNA LM -79 & LM -80 Testing: Thermal Management Housing: B-fDluminaires-have-been-tested-byan - independent laboratory in accordance with IESNA Die-cast aluminum housing, lens frame and mounting,- arm. LM -79 and LM -80, and have received the Department of Energy Lighting Facts label. Mounting: Heavy-duty mounting arm with O ring seal & stainless steel screw. L I G H T I N G Tech Help Line: 888 RAB-1000 Copyright ©2014 RAB Lighting, Inc. All Rights Reserved Email. sales@rabweb.com On the web at: www.rabweb.com Note: Specifications are subject to change without notice Page 1 of 2 PANEL A MAINS LUGS ONLY M� 400 A PALL A 200 A 3P LOCATION 3P BUST 225 AMPS, 120/208 VOLTS, 3 PHASE, 4 WIRE \ U (4) f3/0, (1) #6GR MOUNTINGi FLUSH LOAD(WATTS) .....-. ...... ...... 14. (1) #8GR (4) LOAD(WATTS) IN 1 CONDUIT LOCATION A B C LTS REC MIS BRKR CRKT CRKT BRKR MIS REC LTS A B. C LOCATION SIGNS 900 3 20/1 1 2 20/1 4 1440 - SIGNS RECEPTACLES 600 3 20/1 3 4 20/1 4 1440 SIGNS RECEPTACLES 360 2 20/1 5 1 6 20/1 4 720 RECEPTACLES RECEPTACLES 1000 5 20/1 7 8 20/1 1 600 RECEPTACLES RECEPTACLES 800 4 20/1 9 10 20/1 5 1000 RECEPTACLES RECEPTACLES 800 4 20/1 11 12 20/1 4 800 RECEPTACLES RECEPTACLES 600 1 20/1 13 14 20/1 4 1200 SIGNS SIGNS 1200 4 20/1 15 16 20/1 5 1000 RECEPTACLES RECEPTACLES 1000 5 20/1 17 18 20/1 2 800 RACKS RECEPTACLES 800 4 20/1 .19, 20 20/1 2 800 RACKS RECEPTACLES 800 4 20/1 21 22 20/1 5 1000 RECEPTACLES RECEPTACLES 600 1 20/1 23 24 20/1 1 600 RECEPTACLES RECEPTACLES 600 1 20/1 25 26 20/1 5 1500 RECEPTACLES RESTROOMS 360 2 20/1 27 28 20/1 5 1500 RECEPTACLES SPACE, 29 30 20/1 1 p$ SPACE HP -1 9840 1 100/3 31 32 SPACE 9840 33 34 SPACE 9840 35 36 SPACE SPACE 37 38 SPACE SPACE 39 40 SPACE SPACE 41 42 SPACE LOAD PHASE A...... 19280 LOAD PHASE B...... 195yy40 LOAD PHASE .G ..... -i SW& IS/ 6 �g TOTAL CONNECTED LOAD.... -5"44 TOTAL NON -CONTINUOUS LOAD.. - 40 X 1.00 = 34t3 54l�t v TOTAL CONTINUOUS LOAD...... 40000 X 1.25 = 50000 TOTAL LOAD......... = -64340— = 179 AMPS AT 120/206 VOLTS, 3 PHASE, .4 WIRE NOTE Of q4'6 _ , 10 S CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE 8Y� EXISTING DISTRIBUTION MAIN SERVICE 1200 AMPS, 120/208 VOLTS, 3 0, 4 W M EXISTING FEEDER. REROUTE M� 400 A 200 A 200 A 3P 3P 3P EXISTING FEEDER. REROUTE TO NEW PANEL LOCATION cr V \ U \ U (4) f3/0, (1) #6GR IN 2 CONDUIT .....-. ...... ...... 14. (1) #8GR (4) IN 1 CONDUIT RELOCATE EXISTING ----•- PANEL PP AS NOTED PANEL PANEL PANEL PANEL PANEL PP A K1 K2 K3 (3) #8. (1) #10GR 0 2 IN 3/4 CONDUIT 100A 172A = 272A - PANEL H 359A (PLUS) 179A (PLUS) 177A = 715 AMPS Tori i nan Qi PANELKI, .... ........100A PANELS K2 + K3.... .172A 1 TOTAL ..."I... ..... .272A DEMAND FACTOR .'65X2 =177-A PER TABLE 220.56 OF THE NEC THE - - �- DEMAND FACTOR FOR COMMERCIAL I KITCHEN EQUIPMENT OF 6 OR MORE IS 65X WE HAVE 58 PIECES OF KITCHEN EQUIPMENT ON THESE S I N 1 E L 1 N E 3 PANELS. L 1 1 z�z -IA/C- e it TjoXe s 2x fu � o` 3 w; (-4e- -Tum, ��•+Et. z o 6ci UT4 �� • ��RECEI . ;_ D. APR 0 7 t CITY OF LA COMMUNITY DEV w_' t° AENT STATE OF CALIFORNIA CERTIFICATE OF COMPLIANCE AND FIELD INSPECTION CHECKLIST CEC-OLTG-1C Revised 07/10 CALIFORNIA ENERGY COMMISSION Certificate of Compliance (Page 1 of 4)' 0LTG-1C Project NDate: 49wr W) i T. /17A Project Address:Total Hardscape c. (� Illuminated Area: General Information Phase of Construction: ❑ New Construction ❑ Addition ❑ Alteration Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate and complete. Name Signature e.-- Company C9a� �. (� Date Ll -7 1 (4 Address W ``,, 11 L 7 7 � L� )-) C.41 = IF Applicable CEA # CEPE # City/State/Zip f m D651 lam' • c44 - Z 2 f r !2a` Phone: WO 27 2 332 Principal Lighting Designer's Declaration Statement •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, Pages 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: Si n S TA Company & SAFETY DEPT. Phone: Address: ® V E D License # City/State/Zip: , FOR CONSTRUCTION Date: Principal Lighting Designer's Declartion I certify that this Certificate of Compliance n �i� ccounts for all outdoor lighting power, including building mounted, pole mount , as a of er outdoor lighting designed for the site, and that Additional Lighting Power Allowances for Specific Applications or Additional Lighting Power Allowances for Ordinance Requirements have not been counted more than one time for the same area, in accordance with Section 147 of the Standards. Outdoor Lighting Mandatory Measures Indicate location on building plans of Mandatory Measures Note Block: LIGHTING COMPLIANCE FORMS & WORKSHEETS (check box if worksheet is included) For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential Manual published by the California Energy Commission. ❑ OLTG-1C Certificate of Compliance. All 4 pages required on plans for all submittals. OLTG-2C (Page 1 of 3) Lighting Wattage Allowances for General Hardscape, Sales Frontage, or Ornamental Lighting. Optional on plans. ❑ OLTG-2C (Page 2 of 3) Lighting Wattage Allowances for Per Application or Per Area. Optional on plans. ❑ OLTG-2C (Page 3 of 3) Additional Lighting Power Allowance for Ordinance Requirements. Optional on plans. 2008 Nonresidential Compliance Forms July 2010 STATE OF -CALIFORNIA .CERTIFICA"'TE OF COMPLIANCE AND FIELD INSPECTION CHFCKI IST 1.0 CEC-OLTG-1C Revised 07/10 CALIFORNIA ENERGY COMMISSION Imw Certificate of Compliance (Page 2 of 4) 0LTG-1C Proj ame: Date: COMPLIANCE FIXTURE / LIGHTING CONTROL SCHEDULE and FIELD INSPECTION CHECKLIST INSTALLATION CERTIFICATE, OLTG-I-INST (Retain a copy and verify form is completed and signed.) Field Inspection ❑ CERTIFICATE OF ACCEPTANCE, OLTG-2A (Retain a copy and verify form is completed and signed.) Field Inspection ❑ Luminaire Schedule Installed Watts A B C D I E F G H I Name Or Item Ta Luminaire Description ' See footnote below (i.e.: 1 lamp pole -top shoe -box 400 watt . metal halide o ° Q a 3 w How wattage was determine d N E £ z a 3 Field lnspector2 ,> w E °° ° o A w z a _ ❑ ❑ ❑ ❑ ❑ ❑ .❑ ❑ ❑, ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Enter total into OLTG-1C; Page 4 of 4; Row H; Total Installed Watts: /.Type of luminaire (i.e.: post top, wall pack, surface, shoe box); for non -incandescent luminaires, indicate nominal lamp wattage and lamp type (i. e.: , fluorescent, incandescent, HID); ballast type (i.e.: electronic or magnetic); number of lamps and number of ballasts per luminaire. For incandescent luminaires, the luminaire wattage listed in column D shall be the maximum relamping rated wattage on a permanent factory -installed label on the luminaire, NOT the wattage of the lamp (bulb) used, in accordance with Section 130(d or e). 2. I Fail then describe on Page 2 o the Inspection Checklist Form and take appropriate action to correct. Verify building plans ifnecessary. EXEMPT LUMINAIRES IField Inspection ❑ Name or Symbol Description of exempt luminaires in accordance with §147 MANDATORY CONTROLS Field Inspection ❑ # Description Location # Description Location SPECIAL FEATURES INSPECTION CHECKLIST (See Page 2 of 4 of 0LTG-1C) The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification. The local enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. 2MY Nonresidential Compliance Forms July 2010 STATE OF CALIFORNIA CERTIFICATE OF COMPLIANCE AND FIELD INSPECTION CHECKLIST Ift CEC-OLTG-1C Revised 07H0CALIFORNIA ENERGY COMMISSION t Certificate of Compliance (Page 3 of 4) OLTG-1C Project Name: Date: Field Inspector Notes or Discrepancies: A. OUTDOOR LIGHTING ZONE OUTDOOR LIGHTING ZONE: ❑ OLZ 1 ❑ OLZ 2 OLZ 3 ❑ OLZ 4 Is the Outdoor Lighting Zone: eDefault in accordance with § 10-114, or ❑ Amended by JHA Complete the information below if the default Outdoor Lighting Zone has been amended by the local jurisdiction having authority (HA): ❑ The site is a government designated park, recreation area, wildlife preserve, or portion thereof, and has been designated as LZ2 or LZ3, in accordance with Table 10-114-A, because the site is contained within such a zone. ❑ The local jurisdiction having authority has officially adopted a change to the State Default Lighting Zone and has notified the Energy Commission by providing the materials required in § 10-114(d) to the Executive Director. ❑ The adopted change is posted on the Energy Commission website. B. ADDITIONAL LIGHTING POWER ALLOWANCE FOR ORDINANCE REQUIREMENTS Are additional lighting ower allowances for ordinance. in Table 147-C used? ❑ Yes ❑ No . Complete the information below if additional lighting power allowances for ordinance requirements are used: ❑ The local jurisdiction having authority has officially adopted specific outdoor light levels, which are expressed as average or minimum footcandle levels, by following a public process that allowed for formal public notification, review, and comment about the proposed change. ❑ The local jurisdiction having authority which adopted specific outdoor light levels and has notified the Commission by providing the following materials required § 10-114( to the Executive Director. C. ACCEPTANCE FORMS Required Acceptance Tests Designer: This form is to be used by the designer and attached to the plans. Listed below is the acceptance test for the Lighting system, OL TG -2A. The designer is required to check the acceptance tests and list all control devices serving the building or space shall be certified as meeting the Acceptance Requirements for Code. Compliance. If all the lighting system or control of a certain type requires a test, list the different lighting and the number of systems. The NA Section in the Appendix of the Nonresidential Reference Appendices Manual describes the test. Since this form will be part of the plans, completion of this section will allow the responsible party to budget for the scope of work appropriately. Forms can be grouped by type of Luminaire controlled Enforcement Agency: Systems Acceptance. Before Occupancy Permit is granted for a newly constructed building or space or when ever new lighting system with controls is installed in the building or space shall be certified as meeting the Acceptance Requirements. The OL TG -2A form is not considered a complete form and is not to be accepted by the enforcement agency unless the boxes are checked and/or filled and signed. In addition, a Certificate of Acceptance forms shall be submitted to the enforcement agency that certifies plans, specifications, installation certificates, and operating and maintenance information meet the requirements of §10-103(b) of Title 24 Part 6. The, f eld inspector must receive the properly filled out and signed forms before the building can receive final occupancy. A copy of the OL TG -2A for each different lighting luminaire control(s) must be provided to the owner of the building or their records. Certificate of Acceptance Luminaires Controlled OLTG-2A' Outdoor Equipment Re uirin Testing Description o o 8 c Location Lighting Acceptance Tests 2008 Nonresidential Compliance Forms July 2010 STATE OF CALIFORNIA EC-OLTG-1C (Revised 07110) CALIFORNIA ENERGY COMMISSION 44-500 certificate of Compliance (Page 4 of 4) OLTG-1( roject Name: Date: 1. Insert: OMS for Outdoor Motion Sensor,' OLSC for Outdoor Lighting Shutoff Controls; OP for Outdo�Photo�control;�TS Astronomical Time Switch; and, STS for Standard (non -astronomical) Time Switch acceptance ALLOWED AND INSTALLED OUTDOOR LIGHTING POWER 2008 Nonresidential Compliance Forms July 2010 Lighting Wattage Power Allowance A Lighting power allowance for general hardscape from OLTG-2C Page 1 of 3) B Specific application lighting wattage allowance per unit length from OLTG-2C Page I of 3) C Specific application wattage allowance for ornamental lighting from OLTG-2C Page 1 of 3) D Specific application wattage allowance per application O Vj from OLTG-2C Page 2 of 3) E Specific application lighting wattage allowance per area from OLTG-2C Page 2 of 3) F Additional lighting power allowance for ordinance requirements from OLTG-2C Page 3 of 3) G Total Allowed Wattage = Sum of rows A through F: H Total Installed,Watts (from Luminaire Schedule, from OLTG-1 C (Page 2 of 4) Provided that the lighting wattage power allowances listed in rows A through F are identical to the lighting wattage power allowances taken from OLTG-2C Pages 1 through 3, complies if Installed . 19 Yes ❑ No atta a in row H is less than orequal to the Total Installed Wattage in row G 2008 Nonresidential Compliance Forms July 2010 STATE OF CALIFORNIA OUTDOOR LIGHTING INSTALLATION CERTIFICATE CEC-OLG-INST (Revised 08/09) CALIFORNIA ENERGY COMMISSION to INSTALLATION CERTIFICATE (Part 1 of 2) OLTG-INST PROJECT NAME: DATE: Responsible erson's Signat�_ Building Permit', _ ' PROJECT ADDRESS: Position With Company: Checked by/Date 7 1 EniorcementAgencyUse • • - GENERAL INFORMATION DATE OF BUILDING PERMIT PERMIT # BUILDING TYPE ) Nonresidential Outdoor Lighting --7❑ PHASE OF CONSTRUCTION 4New Construction Addition ❑ Alteration If more than one person has responsibility for building construction, each person shall prepare and sign an Installation Certificate document applicable to the portion of construction for which they are responsible; alternatively, the person with chief responsibility for construction shall prepare and sign the Installation Certificate document(s) for the entire construction. DECLARATION STATEMENT • 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 (responsible person). • 1 certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the Certificate of Compliance that apply to the installation 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 occuvancv. Company Name: • V1. � n Responsible Person's Name: Responsible erson's Signat�_ Lic.# Dateigned: Position With Company: 7 1 SCOPE OF RESPONSIBILITY Enter the date of approval by enforcement agency of the Certificate of Compliance that provides Date: the specifications for the energy efficiency measures for the scope of responsibility for this Installation Certificate: In the table below identify all applicable construction documents that specify the requirements for the scope of -responsibility for this Installation Certificate. Document Title or Description Applicable Sheets or Pages, Tables, Schedules, etc. Date Approved By s the Enforcement - A enc 2008 Nonresidential Compliance Forms August 2009 V STATE OF CALIFORNIA OUTDOOR LIGHTING INSTALLATION CERTIFICATE CEC-OLG-INST (Revised 08/09) CALIFORNIA ENERGY COMMISSION INSTALLATION CERTIFICATE. (Part 2 of 2) OLTG-INST In the table below idents all applicable construction documents that speck the requirements for the scope of responsibility reported by this Installation Certificate (continued). Document Title or Description Applicable Sheets or Pages, Tables, Schedules, etc Date -Approved By; c r the Enforcement ; 2008 Nonresidential Compliance Forms August 2009 OUTDOOR LIGHTING WORKSHEET CEC-OLTG-2C (Revised 03/10) CALIFORNIA ENERGY COMMISSION in OUTDOOR LIGHTING WORKSHEET (Page 2 of 3) OLTG-2C Project Name: � � Date: D. SPECIFIC APPLICATION LIGHTING WATTAGE ALLOWANCE PER APPLICATION DETERMINE A WATTAGE ALLOWANCE B C D DESIGN WATTS E F G H I ALLOWANCE J Specific Lighting Application Wattage Number of Specific Application Allowance Applications Allowance watts B x C) Luminaire Symbol Luminaire Type Luminaire Quantity Watts per Luminaire Design Watts G x H) Allowed Watts Minimum of D or I ',4 1' Enter total into OLTG-1C; Page 4 of 4; Row D; Specific Application Wattage Allowance Per Application E. SPECIFIC APPLICATION LIGHTING WATTAGE ALLOWANCE PER AREA DETERMINE WATTAGE ALLOWANCE LUMINAIRE TYPE DESIGN WATTS A B C D E F G H I J Specific Lighting Application Illuminated Area of Application Specific Application Allowance watts per ft B Wattage Allowance x C Code for Luminaire Type Luminaire Type Luminaire Quantity Watts per Luminaire Design Watts G x Allowed Watts Minimum Of D or I Enter total into OLTG-1C; Page 4 of 4; Row E; Specific Application Lighting Wattage Allowance Per Area 2008 Nonresidential Compliance Forms March 2010