BSIG2019-001978-495 CALLE TAMPICO D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 12/13/2019
Permit Type/Subtype: SIGN/ Owner:
Application Number: BSIG2019-0019 WASHINGTON 111 LTD
Property Address: 78995 HIGHWAY 111 STE 8 80618 DECLARATION AVE
APN: 643020051 INDIO, CA 92253
Application Description: WEIGHT WATCHERS / NEW BRANDING SIGNS
Property Zoning:
Application Valuation: $2,400.00
Applicant: Contractor:
KENNETH FLORA / K & K ALLEGIANCE DBA ALLEGIANC IG A
K & K ALLEGIANCE DBA ALLEGIANCE SIGN
1701 ADRIENNE DR 1701 ADRIENNE DR
CORONA, CA 92882 DEC 13 2019 CORONA, CA 92882
00 (909)322-5319
CITY OF LA QUINTA LIc. No.: 1057055
DESIGN & DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
{commencing with Section 70001 of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: g45 License No.: 1057055
Date: _. _ contractor:Aw
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.).
(_) 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 Na
Lender's Addres
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one ofthe 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 the work for which this permit is 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 insurance carrier and policy number are:
Carr- EXEMPT Policy Number:_
I certify that in the performance of the work for which this permit is issued, I
s al 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 Section 3700 of the Labor Code, I shall forthwith
comply with those pr visions.
Date: 6 Applicant:
Z--'IA�
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 city to enter upon the above -
mentioned f inspection purposes.
Date: I� Signature (Applicant or Agent): / `
Dates 12/13/2019
Application Number:
BSIG2019-0019
Properly Address:
78995 HIGHWAY 111 STE 8
APN:
643020051
Application Description:
WEIGHT WATCHERS / NEW BRANDING SIGNS
Property Zoning:
Application Valuation:
$2,400.00
Applicant:
KENNETH FLORA / K & K
ALLEGIANCE DBA ALLEGIANCE SIGN
1701 ADRIENNE DR
CORONA, CA 92882
Owner:
WASHINGTON 111 LTD
80618 DECLARATION AVE
INDIO, CA 92253
Contractor:
K & K ALLEGIANCE DBA ALLEGIANCE SIGN
1701 ADRIENNE DR
CORONA, CA 92882
(909)322-5319
Llc. No.: 1057055
--------------------------------------------------------------------------------------------
Detail: NEW BRANDING SIGNS AROUND UNIT. APPROVED BY PLANNING. PER 2016 CALIFORNIA BUILDING CODES
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: 51.00
DESCRIPTION
DEVICES, FIRST 20
ACCOUNT
101-0000-42403
QTY
0
AMOUNT
$26.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$26.83
Total Paid for ELECTRICAL 2019: $53.66
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/AWNING SIGN, EA ADDITIONAL
101-0000-42404
0
$27.37
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/AWNING SIGN, EA ADDITIONAL PC
101-0000-42600
0
$27.37
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/AWNING SIGN, FIRST
101-0000-42404
0
$27.37
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/AWNING SIGN, FIRST PC
101-0000-42600
0
$96.60
Total Paid for SIGN 2019: $178.71
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
PERMIT # A� 1 1, — 00
PLAN LOCATION:
Project Address: 7 ?fff/ 1 }
` I
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Applicant Name:
Address:
City, ST, Zip:
Telephone:
Email:
Valuation of Project S00
Contractor Name: 1 New SFD Construction:
Address: yN,O , Conditioned Space SF
City, St, Zip Goroi;q CA o-1
Garage SF
Telephone: oJ ,09so�--S-3 I
1,
Patio/Porch SF
Email: Al ,� ANcfo i � N(�MA d , CQrr,Fire
Sprinklers SF
State Lic: 1 os7 () S-S City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories: # Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name:
New Commercial / Tenant Improvements:
Address
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
J_.
tudlo
PLANNING APPROVAL
ADMINISTRATIVE
SA2019-0046
CASE#
EXHIBIT#
INITIAL
DATE
cflores
12/11 /2019 10:08:05 AM
plq_ owl
�17Y OF6�'QLJWTABUILDING
eq�[���°� �.� �L �
FOR C
Orus�.,�:�.. �����
DATE /)) 1
�,/
,P PRIORITY
Site) Site Plan
PW
Rev_ Islons:
PRIORITY x-
Rrr�ral.i
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FM,tu[.t— STND=
pnveiciien�s/Ww CST._ Dale: 101119 Cily/Slale: La Opin[a,CA
■ AS QCR OEN Designei:SO PM LM Address:]8995 Hwy 111
o.a�lns.�
OE N
S1) Main Building Sign (WW-RMT-W)_—
... - ---
• Remove existing letterset, patch and repaint fascia seam to seam, _ I • • - - -- -
to like new condition (note: color match to be performed at time of l
insleflaborl) I
• Install new raceway wired illuminated letterset as shown ! ��'1'-'�1"�Y _ jM -
CITY OF LA QUIN TA.
BUILDING & SAFETY
APPROVED
foI4 CONS -
RUCTION
❑ATE__ --BY
F
existing sign area: 10'-0" x 1'-10 3/4" (18.96 sq.R.)
restoration area: 17'-6" x 5-71/2" ( 98.44 sq.R.)
` 3„ r
h
A
A i r.
E
G
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n B c D E I G H' so F1
WW-RWY-W-24 2'-0" 7'-10 3/8" rr 1•4- 1' 2 11/16' '.�'-/ b/8" 1'-0 3/8" 1'', /3
SECTION DETAIL
WW
JILIt
WW
3/4' Jewelite trim cap
n nt
pLtl I� tact
3" 040"pre coaled —�
m a minum letter
Face: N7328 White acrylic
IplM
Film: "W W" to be digitally printed to match
PMS 2738C and laminated to 3M N3645-22B
Black Blockout film
Returns: Pre -coated Brushed Aluminum
vw• nuyx v+ber race
Trim cap: 3/4" Brushed Chrome
Backs: Pre -coated white aluminum
LEDs: White modules
Stand-offs: Painted black
HIT vn .ou huly
s+raayanrr
050" pre-roaled
aluminum leder back
LED module
t/2" aluminum
mounting spacer
Faces: #7328 White acrylic
.�•
Returns: Pre -coated Brushed Aluminum
1/4•dia, weep hole
—�
Trim cap: 3/4" Brushed Chrome
with light cover
Backs: Pre -coated white aluminum
.-d.. ..�_.l
LEDs: White modules
Stand-offs: Painted black
Nate: All final mounting hardware will be
verlged and obalnetl locally by installer
basetl on site contlilions. Power supplies
and mounting p,norns will be inclutled
by manufacturer during shipping
-3/a" nexib a ennauit (min)
— thaaraal>tn.rcc„ a.w
ILL Llstetl weatherproof
toggle disconnect
^ 11aww Yhtpry
Primary elecklcal source
Addltlonal backing provided
by ellenl/GC If required
Secure mechanical faslener
per site contliltons
(nslaner to determine)
. ilacil attm
RMllenc. Revisions: R Ds File Location: STND x
PPRIORITY -- _ eyhlo : - - _- _ S R D 5
Jrll.ylrllltlN�nn.rinlienr�r11H11D.1plp %- -"-- %— Drive/CIIenISM'W CSTM_ Dale: 10-11-19 Clly/Stele: La Oulnla, CA pyyr]app�
CY IMal eca lyerWr>e{PWnllnllg l/l4 % _- -- -_ --- -- — - - - _ _- K - —
K. x' x ■A OC OEN eslgner. a Ply: UM Address:78.991>Hwy $11 oe, 72871aq
available area: 17'-6" x 3r-4" (58 3:1 sq.ft.) SECTION DETAIL
3/4" Je him cap boo t
r � � bondetl to (ace Note: All final mounting hardware will be
{ I 3'.040" pre coaletl 0 verified and obtained locally by installer
aluminum teller r based on site concilaons Power supplies
return '� and moun0ng pallems will be inclutled
by manufaclurer during shipping
A B G
WW-RWY-W-24 2'-0" T-103/8" B-
B
F
L I I G H SO FT
1' r 1'-7 11/I6' b / '>,ft 1'-0 3/8" 16 /3
Face. #7328 White acry Ic
Film: "WW" to be digitally printed to match
PMS 2738C and laminated to 3M #3645-22B
Black Blockout film
Returns: Pre -coated Brusned Aluminum
Trim cap: 3/4" Brushed Cvome
Backs: Pre -coated white aluminum
LEDs: White modules
Stand-offs: Painted black
Faces: #7328 White acrylic
Returns: Pre -coated Brusned Aluminum
Trim cap: 3/4" Brushed Chrome
Backs: Pre -coated white aluminum
LEDs: White modules
Stand-offs: Painted black
ME' acrylic letter race
i
7/a° plastic bushing
Supply wire
050' or -coated
aluminum letter back
LED module
tun' aluminum
mounting spacer
1/4' dla. weep hale
with Ilghl cover
-4-
91R M1ea1We Cordll+f tm+1 I
— Rbmnymrro .ccn., raw,
—ILL Llsted weatherproof
toggle disconnect
Power supply
Pmmvy a eclrlcal source
Additional backing provided
by client/GC If requked
Seare mechanicel fastener
per site caWiaons
pnstaller to determine)
7vcn9n ❑aa
e Local.,: STIND X
..- Revlalons__ _ Revlclona: _ -- _ __ _ __!t!_ __-_ _._ -- _ -- — - Drlrvelcllenrs/WW CSTM Dale: 1P11-19 CIIY/Stale: La Ouinla, CA tlrawirly��
.. .-. .lSl!LIi4l4.r W_tlt1R9.+1".!!^A.9tP-�YL'.Q �. Add,.-78-995 1 OEI
X
P.PRIOR Gccrt�tlW+efalgrdrtrlpllyyfµrygrH x _ _ _ _ _ X - - _ .- .____ I■AS QCIR •OEN Design,,SB PM:LM Hy 726714
53 ) Rear Door Vinyl I WW-DV-RE
• Install new 3M #7725-10 Opaque White vinyl with digitally printed
graphics to match PMS 2738C.
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE BY
SCALE 1 3" =1'-0..
2'-0"
1'-6 11/16"
4 3/4" 1'-1 3/8"
Stud 100
.a
1
Rwttlen �- — R.uieionf: R_evlslo Hle Lo tlon: STND x
P PRIORITY oroeicneniyww csTM_ Date to-n t5 x Cltyislet,: Le Dulnte. CA
x _
OAS ACR OEN Deslgner.Sa PM: LM Aatlress:/9.995thwltl OEp
RECEIVED
Nu V Z Z 2019
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
-A-crr�
rile "Won: STIND-L
x
(Nwc1,.nt.fWW CSTM— D.t.! 10.11-19 C*%hk1ocLaQul01h.CA orarilnjlIN AS CR EN n ogn.,. 50 PM: LM Adtlr!m 7111-08 tint L O
PPRIORITY
S1 ) Main Building Sign (WW RMT W)
Remove exlsting letterset, pmcli and repaint FuWe seamto seam.
to like Ihew condition (note: color match to be performed at time of
ktstallation)
Install new raceway wired Illuminoted letterset as shown
a:;.l,dlnq':irtn m�1�: n)' �1"� P-4Q �+•1" (tEi.f),i srl.11.l
—_ - - o--
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A p .—.— f E
A 4 <: �� f; h c; ;is;ca,ff
Al RWY-W 4 ..� �)'. 7' 11I `M." .it' I..P� 1'..7. ,mils' rr�F" T 0 ''rr. 157'
Face: A7326 White acrylic
Film: "WW" to be digitally pllntod to match
PMS 2738C and laminated to 3M #3645.22B
^j4
BInck Blockoul film
Roturns: Plo contod Brushod Alurnlnum
Trlmcap:3WBruchodCllrnrnti
Backs: Pro -coated white alumtnum
11
LEJ]L Whllo modhiles
r
i
Stnnu-offs: Pal mod black
i.
Fares: 97320 While ecrytic
Rrtuins: Pre -ranted Hrughed Alumtnwh
Trim cn�y.3M, Prushed Chrome
Backs: Pta-c:oJtad whllo aiuminnm
LCbs: While cllwulva
Stand-offs: NOW htdr. y
3MMON OUA4.
314' Jrlxn:iy g'm CAP —. I
boodad to fpca N.le: Aa nnn Raunloyr r4PAwara Nil, as
3'.040- acoaWd -- v¢rlikd and obtrAe WVV lW lmterl&
Pr bared en ¢t. —dwans. Pe , ¢1py17e¢
aluminuml.ttnr MM, I'm p¢dwm wnl laa InWxkA
,.turn '` try nlan=4-:rduNfp Wpp'n*-
a r
T10• ncMlc ,otter faco s{
718' PlnMlc blmwng '
Supply wlro - -) i LB•Anxb'r Conduit(min.)
fraomavahlo acrana Cow
ACA'prc•eonled--_ f I ULL dwoalhn, Mof
alu w,wm IMler beck i f. , Ing010 OI¢cannoM
�
LE0 modu,a Pnwar¢upply
1121oluminum 1 E}�'-"Pnnrllyc'grPlW gnyrcn
mounting¢pnccr 1 Adtppaow bKk;ma ,m<dpd
byctlnwoc K raq�od
Va• din. we.p hot. pn aNp Mne'am s
with Ilghl co.
IIII {4ruYhrlo dolprminoi
Junction box
--� -- --- Pile Locotlon: S '
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x>< X .`DeT M: NN1_- r oee
®5 QR NPRIORITYf.
4
-S2 I--,' ) Secondary Building Sign
L
Install new remote wired Illuminated letterset as shown
Av'10blu mwl; 17"0" sqfl.)
Sol
C
1? F r G HI Sf.1. F f
I I I I
61
F4CW 0732B WhituArPylik!
Film: 'WW'Iot)cd#jltlillyglintLdtoinfit,h
PMS2?3ffC4jtdlnmInnlv to3M#3646-228
Bifickl3lockOLlIfilm
RQUirns: Pro-coatud Brushed Aluminum
Trim cap: 314" Brutihed Chroino
Backs; Pro-coatod white Aluminum
LEDs: White modules
Stand-offs: PnInled black
Faces: M2EJ While acqlk:
Returns: Pr&coawt[ Brushed Aftimlnuai
TrIm cap: 3/4' Btu,;hEql Cluivilu.-
On" Prirp-roAtod Whim ElMmIrLU"I
—1—: —110 ModIJMS
stalld-olTs! Painlod hl,,k
SEM1014 W.'[Alk,
314'J~Wi= —�, 1� I
bmd.d Nplg AM MN nd MW
W.0401 r,.4".d -------- or ,ZP INfor
5E -
0M
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M)
"M c.Vpl
0
Aluminum lNlcr beak
tgg 0 alwa-eft
LED M.du!o
1W 1 inilnum
flowo
.111rIgP660,
f
Wdie. waapheld
11911
ffiftC,-6 idcoammlpolwIlh
PJuWl.n
box
PAO LOGOM STNDJ-
U,.� cam Delc:
CIA
------ OAS L CR OEN nenonSB I ----------
PPRIORITY
Rear Door Vinyl I VVW-DV-RE
• Install new 3M #7725-10 Opaque White vinyl with digitally printed
graphics to match PIVIS 2736C.
SCALE 13' = T-O" F1W L"Mu.": B'FND-?L
wmowtemw csrm� Das_lg;1 1 OWS ie La 0 n
M- ACR MEN
PRIORITY
STATE OF CALIFORNIA
SIGN LIGHTING
1 "(1)
CEC-NRCC-LTS-01-E Revised 08110 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 1 of 5)
Project Name: Date Prepared:
A. General Information
Project Address:
`lRS HwJ III L
-qQuirdq CA
Location of Sign Outdoor Signs ❑ Indoor Signs
Phase of Sign Construction YNew Signs ❑ Sign Alterations
Type of Lighting Control ❑ New Lighting Controls ❑ Replaced Lighting Controls dNot Installing lighting Controls
This Certificate of Compliance includes the fallowi g components (check all that apply):
Mandatory Measures (Lighting Controls) Maximum Allowed Lighting Power ❑ Specific Lighting Sources
1. Mandatory Sign Lighting Controls
NOTES:
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
for the entire construction (e.g. a C-10 contractor may complete parts 1a and 1b on one compliance document and a C-45
contractor may complete parts 2a and 2b on a separate compliance document — the Responsible Designer shall submit the two
compliance documents togetherfor the same complete installation).
I have responsibility for installing the sign lighting controls:
0 Yes, I have responsibility for the sign lighting controls, and will Ef No, I do not have responsibility for installing the sign lighting controls.
complete parts 1a and 1b of this compliance document Someone else will complete parts 1a and 1b of this compliance document.
1a. Check Yes or No for all of the following statements:
There are existing sign lighting controls that comply with the applicable provisions of §110.9 and §130.3
1
ff Yes ❑ No
There are no existing sign lighting controls and I will be installing sign lighting controls that comply with the applicable
2
provisions of §110.9 and §130.3
❑ Yes E�No
There are existing sign lighting controls that do not comply with the applicable provisions of §110.9 and §130.3 and I will be
3
le provisions of §110.9 and §130.3
installing sign lighting controls that comply with the applilNo
El Yes
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance August 2016
STATE OF CALIFORNIA
SIGN LIGHTING
r��
CEC-NRCC-LTS-01-E(ReVi5ed 08116) CALIFORNIA ENERGY COMMISSION T
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 2 of 5)
Project Name: M Date Prepared:
1b. Mandatory Sign Lighting Controls
If the person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E 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
mandatory measures (sign lighting control) note block can be located:
§130.3(a)1. All indoor sign lighting is controlled with an automatic time -switch control or astronomical time-
Y
N
N
1
switch control.
®
Q
NN
NA
_
§330.3(a)2A. All outdoor sign lighting is controlled with a photocontrol in addition to an automatic time-
switch control, or an astronomical time -switch control.
2
EXCEPTION to Section 130.3(a)2A: Outdoor signs in tunnels, and signs in large permanently covered outdoor
Y
N
areas that are intended to be continuously lit, 24 hours per day and 365 days per year.
§130.3(a)2B. All outdoor sign lighting that is ON both day and night is controlled with a dimmer that provides
the ability to automatically reduce sign lighting power by a minimum of 65% during nighttime hours. Signs that
Y
N
N
3
are illuminated at night and for more than 1 hour during daylight hours shall be considered ON both day and
00
0
night.
EXCEPTION to Section 130.3(a)2B: Outdoor signs in tunnels and large covered areas that are intended to be
Y
N
illuminated both day and night.
§130.3(a)3. Demand Responsive Electronic Message Center Control. An Electronic Message Center (EMC)
having a new connected lighting load than 15 kW has a control installed that is capable
Y
N
N�
power greater of
00
4
reducing the lighting power by a minimum of 30% when receiving a demand response signal.
EXCEPTION to Section 130.3(a)3: Lighting for EMCs that is not permitted by a health or life safety statute,
Y
`IVY
ordinance, or regulation to be reduced by 30%.
Field Inspector Notes:
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance August 2016
STATE OF CALIFORNIA
SIGN LIGHTING
"(1) 1
CEO•NRCC•LTS-01-E(Revised 0811E) CALIFORNIA ENERGY COMMISSION -qEP'-
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 3 of 5)
Project Name: Date Prepared:
2. Mandatory Sign Lighting Measures ®1
I have responsibility for installing the sign lighting
JU Yes, I have responsibility for the sign lighting, and will complete ❑ No, I do not have responsibility for installing the sign lighting. Someone
parts 2a and 2b of this compliance document else will complete parts 2a and 2b of this compliance document.
2a. Maximum Allowed Lighting 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 2b of this
Certificate of Compliance if there are signs using the Specific Lighting Sources method of compliance).
A
B
C
D E F G
H
I
1
OPTIONAL -
Field
Symbol or
Description of the Sign
Energy Verified
Label (see
Allotted Watts
Design
Complies
Inspector
Code
instructions
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Watts
Y/N
Check that
below)
Sign Complies
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A
Symbol or code used on the plans (when plans are required) and other documents.
B
A 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 140.8 of the California 2016 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
C
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, 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 in square feet.
E
List "I" if the sign is internally 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(c).
Enter Y if the number in column H is less than or equal to the number in column G. Otherwise, the sign does not comply.
J
This page doubles as a field inspection checklist.
Field Inspector Notes.
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance August 2016
STATE OF CALIFORNIA
SIGN LIGHTING
- - "r )
CEC-NRCC-LTS-01-E(Revised 08116) CALIFORNIA ENERGY COMMISSION '441111P�
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 4 of 5)
Project Name: Date Prepared:
eI
2b. Specific Lighting 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 2 of this Certificate of
Compliance if there are signs using the maximum allowed lighting power method of compliance)
A
B
C
D
E
OPTIONAL
ENERGY
Specific light source used for
Symbol
VERIFIED
compliance
Field Inspector
or
Description
label
Shall include only lighting
Check that Sign
Code
(see
technologies listed below
Complies
instructions
(List all that apply)
below)
sl
'
Li
7
El
a( Akers
Li
Li
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 this sign
complies with the Section 140.8 of the California 2016 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
C
(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 9) that apply in column D above for each row.
1
High pressure sodium lamps
Metal halide lamps that are pulse start or ceramic served by a ballast that has a minimum efficiency of 88% or greater.
2
Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage when
tested according to ANSI C82.6-2005.
Metal halide lamps that are pulse start that are 320 watts or smaller, are not 250 watt or 175 watt lamps, and are
3
served by a ballast that has a minimum efficiency of 80%.
Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage when
tested according to ANSI C82.6-2005.
Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 75% when
D
4
the transformer or power supply rated output current is less than 50 mA. The ratio of the output wattage to the input wattage is at
100%tubing load.
Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 68% when
5
the transformer or power supply rated output current is 50 mA or greater. The ratio of the output wattage to the input wattage is at
100% tubing load.
6
Fluorescent lighting systems meeting one of the following requirements: A.) Use only lamps with a minimum color rendering index
(CRI) of 80; or B.) Use only electronic ballasts with a fundamental output frequency not less than 20 kHz.
7
Light emitting diodes (LEDs) with a power supply having an efficiency of 80% or greater.
Single voltage external power supplies that are designed to convert 120 volt AC input into lower voltage DC or AC output, and have a
8
nameplate output power less than or equal to 250 watts, shall comply 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).
E
This page doubles as a field inspection checklist.
Field Inspector Notes:
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance August 2016
STATE OF CALIFORNIA
SIGN LIGHTING
f "'.)
CE.I;-NRCC-L I S-D1-E Revised D0116) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 5 of 5)
Project Name: Date Prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and
complete.
Documentation Author Name: j
Documentation Author Signature:
f/ �Q
Signature Date
12 13
Company:
I
l � ►v�-C-' �l nJ
Address: ti
CEA Certification entift tion (if applicable):
City/State/ ip: Phone:
d) 09�
RESPONSIBLE PERSON'S DECLARATION STATEMENT Li
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified
on this Certificate of Compliance (responsible designer).
3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system
design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of
Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information
provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building permit application.
5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building 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.
Responsible Designer Name:
Responsible Designer Signature:
Company :
Date Signed:
Address:
License:
City/State/Zip:
Phone:
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance August 2016