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06-2973 (CSCS) Title 24TITLE 24 REPORT Title 24 Report for: 78 983 Highway 111 - tosr A141, Project Designer: KKE Architects, Inc. 525 E. Colorado Blvd., 4th Floor Pasadena, CA 91101 (626) 796 8230 Report Prepared By: Sang Lee S.Y. Lee Associates 143 S. Glendale Ave., Suite #205 GLENDALE, CA 91208 (818) 244-4337 �Q?,pFESSIpv� s� FCTRIGP� �Q 9TF�F CALF LEY OF LA 'QUINTA Job Number: DING & SAFE DEPT, 5352 PPROVED R CONSTRUCTIO(�(Date: 4zzsy 11/14/2006 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2005 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC - www.energysoft.com. EnergyPro 4.2 by EnergySoft Job Number: 5352 User Number. 3193 �j • �8 -9�3 �wr rir "a�r� it 2 CRT,IFICATE OF COMPLIANCE (Part 1 of 4) LTG -1-C PROJECT NAME DATE COST PLUS MARKET PLACE 11/14/2006 PROJECT ADDRESS LA QUINTA, CA Building Permit # PRINCIPAL DESIGNER - LIGHTING TELEPHONE SOTHOLROEUNG Checked by/Date DOCUMENTATION AUTHOR S.Y. Lee Associates TELEPHONE (818) 244-4337 Enforcement A en Use GENERAL INFORMATION DATE OF PLANS BUILDING CONDITIONED FLOOR AREA CLIMATE ZONE 8/2/05 17,521 sq.Ft 7 BUILDING TYPE ® NONRESIDENTIAL ❑ HIGH RISE RESIDENTIAL ❑ HOTEUMOTEL GUEST ROOM ® CONDITIONED SPACES ❑ UNCONDITIONED SPACES ❑ INDOOR & OUTDOOR SIGNS PHASE OF CONSTRUCTION NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION METHOD OF LIGHTING ® COMPLETE BUILDING ❑ AREA CATEGORY ❑ TAILORED 0 PERFORMANCE COMPLIANCE ❑ COMMON LIGHTING STATEMENT OF COMPLIANCE This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This certificate applies only to building lighting requirements. The documentation preparer hereby certifies that the documentation is ac urate and complete. DOCUMENTATION AUTHOR SIGNATU D TE SOTHOL ROEUNG - 7-O The Principal Lighting Designer hereby certifies that the p se building design represented in this set of cons ruction docum is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submittec this permit application. The proposed building has been designed to meet the lighting requirements contained in Sections 110, 130 - 132, 146, 148 & 149 of Title 24, Part 6. ❑ The plans & specifications meet the requirements of Part 6 (Sections 10-103a). ❑ The installation certificates meet the requirements of Part 6 (10-103a 3). ❑ The operation & maintenance information meet the requirements of Part 6 (10-103c). Please Check One: (These sections of the Business and Professions Code are printed in full in the Nonresidential Manual.) ❑ I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am licensed in the State of California as a civil engineer or electrical engineer, or I am a licensed architec ❑ I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code by Section 5537.2 or 6737.3 to sign this docume as the person responsible for its preparation; and that I am a licensed contractor performing this worts. ❑ I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code to sign this document because it pertains to a structure or type of work described as exempt pursuant to Business and Professions Co Sections 5537, 5538 and 6737.1. PRINCIPAL LIGHTING DESIGNER - NAME SIG NATU DATE LIC. # SOTHOL ROEUNG LIGHTING MANDATORY MEASURES Indicate location on plans of Note Block for Mandatory Measure LIGHTING COMPLIANCE FORMS & WORKSHEETS Check box if worksheet is included ®LTG -1-C, Parts 1 of 4 and 2 of 4Certificate of Compliance. Part 1 of 4 and 2 of 4 are required for all submittals ❑LTG -1-C, Part 3 of 4: Certificate of Compliance. Part 3 of 4 submittal is required only if Control Credits are claimed ®LTG -1-C, Part 4 of 4: Certificate of Compliance. Part 4 of 4 submittal is required when lighting controls are installec ®LTG -2-C: Indoor Lighting Schedule ❑LTG -3-C: Portable Lighting Worksheet 11 LTG -4-C: Lighting Controls Credit Worksheet ®LTG -5-C: Indoor Lighting Power Allowance ❑LTG -6-C: Tailored Method Worksheet ❑ LTG -7-C: Room Cavity Ratio Worksheet ❑LTG -8-C: Common Lighting Systems Method Worksheet ❑LTG -9-C: Line Voltage Track Lighting Worksheet I tnercmiro 4.1 by tnerw6ott User Number: 3193 Job Number. Paste:1 of 6 CERTIFICATE OF COMPLIANCE (Part 2 of 4) LTG -1 -C PROJECT NAME DATE COST PLUS MARKET PLACE 1 11/14/2006 INSTALLED INDOOR LIGHTING POWER FOR CONDITIONED AND UNCONDITIONED SPACES INSTALLED WATTS INSTALLED LIGHTING, CONDITIONED SPACES (From LTG -2-C) PORTABLE LIGHTING (From LTG -3-C) LIGHTING CONTROL CREDIT, CONDITIONED SPACES (From LTG -4-C) CONDITIONED SPACE ADJUSTED INSTALLED LIGHTING POWER INSTALLED LIGHTING, UNCONDITIONED SPACES (From LTG -2-C) 0 LIGHTING CONTROL CREDIT, UNCONDITIONED SPACES (From LTG -4-C) 0 UNCONDITIONED SPACE ADJUSTED INSTALLED LIGHTING POWER 0 ALLOWED INDOOR LIGHTING POWER FOR CONDITIONED SPACES ❑X COMPLETE BUILDING METHOD (From LTG -5-C) ❑ AREA CATEGORY METHOD (From LTG -5-C) ❑ TAILORED METHOD (From LTG -5-C) ALTERNATE COMPLIANCE ❑ PERFORMANCE METHOD ❑ COMMMON LIGHTING SYSTEM (From LTG -8-C) ALLOWED WATTS ALLOWED LIGHTING POWER 26,282 ALLOWED INDOOR LIGHTING POWER FOR UNCONDITIONED SPACES From LTG-5-C)o MANDATORY INDOOR AND DAYLIGHTING AUTOMATIC CONTROLS CONTROL LOCA (Room #) CONTROL IDENTIFICATION CONTROL TYPE (Auto Time Switch, Dimming, etc.) NOTES TO FIELD - For Building Department Use Only SPACE CONTROLLED Check if I EnergyPro 4.2 by EnergvSoft User Number. 3193 Job Number. Page:2 of 6 CERTIFICATE OF COMPLIANCE (Part 4 of 4) LTG -1-C PROJECT NAME COST PLUS MARKET PLACE DATE 11/14/2006 Designer: This form is to be used by the designer and attached to the plans. Listed below are all the acceptanc tests for lighting systems. The designer is required to check the boxes by all acceptance tests that apply and list all equipment that require an acceptance test. If all equipment of a certain type require: a test, list the equipment description and the number of systems to be tested in parentheses. The NJ number designates the Section in the Appendix of the Nonresidential ACM Manual that describes the test. Also indicate the person responsible for performing the tests (i.e. the installing contractor, desig professional or an agent selected by the owner). 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. Building Departments: Before an occupancy permit is granted for a newly constructed building or space, or a new lighting system system serving a building or space is operated for normal use, all control devices serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance. In addition a Certificate of Acceptance, LTG -1-A, Forms shall be submitted to the building departmen that: A. Certifies plans, specifications, installation certificates, and operating and maintenance information meet the requirements of 10-103(b) and Title 24 Part 6. Test Description Test Performed By: LTG -2-A: Lighting Control Acceptance Document - Occupancy Sensor Acceptance - Manual Daylight Controls Acceptance - Automatic Time Switch Control Acceptance Equipment requiring acceptance testing O LTG -3-A: Automatic Daylighting Controls Acceptance Document Equipment requiring acceptance testing EnergyPro 4.2 by EnergvSoft User Number: 3193 Job Number. Page:3 of 6 INDOOR LIGHTING SCHEDULE (Part 1 of 2) LTG -2-C PROJECT NAME' ATE COST PLUS MARKET PLACE 11/14/2006 INSTALLED LIGHTING POWER FOR CONDITIONED SPACES Luminaire Lam s/Ballasts Installed Watts D E F G H I J Name Type Description �m v CD 3 00) x.33 5 Cr a>.� m o mv� m y -a �vC 3n�3 5. U n' a m m m o 3-oo 5'm n' a, ma v �n m m c n ypqtNn r- c z 3oc .3 °)• Cr N vi m 5�3) 4 ft Fluorescent T8 Rapid Start IecRO F32TS 3 32 1.0 76.0 X 10 760 A8 (4) 4 ft Fluorescent TS EIecRO B 150w Wall Mount Incandescent 1 3 450 D 705w Incandescent 1 7C 70.0 X 18 1,260 D TRACK LIGHT TYPE D H (2ecRO ) 4 ft Fluorescent T8 Rapid Start El 2 1 51 K (2) 4 ft Fluorescent T8 Rapid Start EElecRO 2 32 IS 51-0 X 14 714 L (4) 4 ft Fluorescent T8 Rapid Start ElecRO 739T,9 4 7 686 O 100w Metal Halide Mag PAGE TOTAL 23 251 BUILDING TOTAL (sum of all pages) 23,251 PORTABLE LIGHTING (From LTG-3-C)�� CONTROL CREDIT (From LTG -4-C) Q ADJUSTED ACTUAL WATTS 23 251 I EnergvPro 4.2 by EnergvSoft User Number. 3193 Job Number: Paae:4 of 6 INpOQR LIGHTING POWER ALLOWANCE LTG -5-C PROJECT NAMEDATE COST PLUS MARKET PLACE 11/14/2006 ALLOWED LIGHTING POWER Choose One Method COMPLETE BUILDING METHOD - CONDITIONED SPACES COMPLETE ALLOWED BLDG. AREA WATTS 17,521 26,282 BUILDING CATEGORY (From Section 146 Table 146-B) WATTS PER SF Comp Bldg Retail and Wholesale 1.50 AREA CATEGORY METHOD - CONDITIONED SPACES AREA CATEGORY (From Section 146 Table 146-0) WATTS PER SF PAGE TOTAL BUILDING TOTAL AREA (SF) ALLOWED WATTS WATTS AREA TOTAL UNCONDITIONED SPACES ALLOWED WATT (From LTG -5-C and LTG -6-C) WATTS AREA TAILORED METHOD - CONDITIONED SPACES TOTAL ALLOWED WATTS (From LTG-" or from computer run.) UNCONDITIONED SPACES Complete Building and Area Catagory Methods WATTS Category (From Section 146 Table 146 -B&C) PER SF PAGE TOTAL BUILDING TOTAL TAILORED METHOD - UNCONDITIONED SPACES AREA (SF) ALLOWED WATTS WATTS AREA TOTAL UNCONDITIONED SPACES ALLOWED WATT (From LTG -5-C and LTG -6-C) �• _ ������ vsei rvurnuer. Ji Uj JOD Number. Paoe'5 of 6 LIGHTING MANDATORY MEASURES ILTG-MM PROJECT NAME DATE COST PLUS MARKETPLACE 11/14/2006 DESCRIPTION Desi mer Enforcement ❑X 131(d)1For every floor, all interior lighting systems shall be equipped with a separate automatic control to shut off the lighting. This automatic control shall meet the requirements o Section 119 and maybe an occupancy sensor, automatic time switch, or other device capable of automatically shutting off the lighting. X❑ 131(d)20verride for Building Lighting Shut-off: The automatic building shut-off system is provided with a manual, accessible override switch in sight of the lights. The area of override is not to exceed 5,000 square feet. X❑ 119(h) Automatic Control Devices Certified: All automatic control devices specified are certified, all alternate equipment shall be certified and installed as directed by the manufacturer. R111 Fluorescent Ballast and Luminaires Certified: All fluorescent fixtures specified for the project are certified and listed in the Directory. All installed fixtures shall be certified. 132 Tandem Wiring for One and Three Lamp Fluorescent Fixtures: All one and three lamp fluorescent fixtures are tandem wired with two lamp ballasts where required by Standards Section 132; or all one and three lamp fluorescent fixtures are specified with electronic high -frequency ballasts and are exempt from tandem wiring requirements. D131(a) Individual Room/Area Controls: Each room and area in this building is equipped with a separate switch or occupancy sensor device for each area with floor -to - ceiling walls. X❑ 131(b) Uniform Reduction for Individual Rooms: All rooms and areas greater than 100 square feet and more than 0.8 wafts per square foot of lighting load shall be controlled with bi-level switching for uniform reduction of lighting within the room. R131(c) Daylight Area Control: All rooms with windows and skylights that are greater than 250 square feet and that allow for the effective use of daylight in the area shall have 50% of the lamps in each daylit area controlled by a separate switch; or the effective use of daylight cannot be accomplished because the windows are continuously shaded by a building on the adjacent lot. Diagram of shading during different times of the year is included on plans. ® 131(e) Display Lighting. Display lighting shall be separately switched on circuits that are 20 amps or less. EnergvPro 4.2 by EnergvSoft User Number. 3193 Job Number. Page:6 of 6 CERTIFICATE OF COMPLIANCE (Part 1 of 2) OLTG-I-C pulbished by the California Energy Commission. ® OLTG—I—C PROJECT NAME: COST PLUS MARKET PLACE DATE 8/6/2006 PROJECT ADDRESS: LA Q U I N TA, CA Either LTG -1—C or OLTG—I—C may be used for signs as follows: PRINCIPAL DESIGNER - LIGHTING: SOTHOL ROEUNG '(d1') 244-4337 2. Use LTG -1—C if the project consists of indoor lighting, and outdoor or indoor signs, but no other outdoor Building Permit DOCUMENTATION AUTHOR: SOTHOL ROEUNG TELEPHONE 818 244-4337 3. Use OLTG—I—C if the project consists solely of outdoor signs Checked by Date Enforcement Agency Use GENERAL INFORMATION ❑ OLTG-3—C DATE OF PLANS: 8/6/2006 JOUTDOOR LIGHTING ZONE (\/ One) ❑ LZ1 ❑ LZ2 ® LZ3 ❑ tZ4 FUNCTION TYPE ® OUTDOOR LIGHTING ❑ OUTDOOR SIGNS ❑ INDOOR SIGNS PHASE OF CONSTRUCTION ® NEW CONSTRUCTION ❑ ADDITIONS ❑ ALTERATION STATEMENT OF COMPLIANCE This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This certificate applies only to building lighting requirements. The documentation preparer hereby certifies that the documentation is accurate and complete. DocuMENr AUTHOR S OT H O L R O E U N G SIGNATURE I DATE: 8/6/2006 The Principal Lighting Designer hereby certifies that the proposed outdoor lighting and signs design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application. The proposed building has been designed to meet the lighting requirements contained in the applicable ports of Sections 110, 119, 130-132, 146, do 149 of Title 24, Part 6. Please V one: ® 1 hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am licensed in the State of California as a civil engineer or electrical engineer, or I am a licensed architect. ❑ I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code by section 5537.2 or 6737.3 to sign this document as the person responsible for its preparation; and that I am a licensed contractor performing this work. ❑ I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document because it pertains to a structure or type of of work described as exempt pursuant to Business and Professions Code Sections 5537, 5538 and 6737.1. (These sections of the Business and Professions Code are printed in full in the Nonresidential Manual.) PRINCIPAL LIGHTING DESIGNER — NAME SIGNATURE: DATE: UC. NO.SOTHOL ROEUNG 8/6/2006 16927 INSTRUCTIONS TO APPLICANT OUTDOOR LIGHTING COMPLIANCE & WORKSHEETS ( V 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 pulbished by the California Energy Commission. ® OLTG—I—C Certificate of Compliance. Required on plans for all submittals for outdoor lighting. Part 2 of 2 may be incorporated in schedules on the plans. Either LTG -1—C or OLTG—I—C may be used for signs as follows: 1. Use LTG -1—C if the project consists solely of indoor signs 2. Use LTG -1—C if the project consists of indoor lighting, and outdoor or indoor signs, but no other outdoor lighting. 3. Use OLTG—I—C if the project consists solely of outdoor signs ® OLTG-2—C UGHTINi'9t iMPLIANCE SUMMARY. Applicable Parts required for ALL outdoor lighting allowances (Except for Signs) ❑ OLTG-3—C AREA CALCULATIONS WORKSHEETS. Applicable parts required for all outdoor area calculations. ❑ OLTG-4—C SIGN LIGHTING COMPLIANCE. Required for all internally and externally illuminated signs, for both indoor and outdoor signs. I avuo nvnTmaemuiz (,omp lance tons April 2005 1 DIMMING PANEL IS EQUIPED WITH STATE OF CALIFORNIA TITLE 24 ENERGY REGULATION CERTIFIED "APPROVED" PROGRAMMABLE TIME CLOCK CAPABILITIES FOR CONTROL OF OUTDOOR LIGHTING. Nonresidentid Compliance Forms April 2005 CERTIFICATE OF COMPLIANCE (Part 2 of 2) OLTG-I-C PROJECT NAME: COST PLUS MARKET PLACE LIGHTING SCHEDULES ON PLANS SHOW THAT OUTDOOR LIGHTING MEETS ALLOWED LIGHTING POWER ® Lighting power allowances for general site illumination on OLTG-2—C Part 1 of 4 El Not Applicable ® Lighting power allowances for local ordinances or for security multipliers on OLTG-2—C Part 2 of 4 ❑ .Not Applicable ❑ Lighting power allowances for specific applications, other than vehicle service stations with canopies on OLTG-2—C Part 3 of 4 ® Not Applicable ❑ Lighting. power allowances for vehicle service station canopies on OLTG-2—C Part 4 of 4 ® Not Applicable El Sign lighting compliance on OLTG-4—C ® Not Applicable � • MANDATORY MEASURES ON PLANS SHOW THAT OUTDOOR LIGHTING MEETS OUTDOOR LIGHTING CONTROLS AND EQUIPMENT Indicate location on plans of Note Block for Mandatory Measure ® Installed lighting power has been determined in accordance with ¢ .130(c)1 ❑ Not Applicable ® All permanently installed luminaires with lamps rated over 100 watts either have a lamp efficacy of at least 60 lumens per woos or are controlled by a motion sensor ¢ 132(0) El Not Applicable ® All Luminaires with lamps rated greater than 175 watts in hardscape areas, including parking lots, building entrances, canopies, and all outdoor sales areas meet the Cutoff Requirements of § 132(b) El Not Applicable ® All permanently installed outdoor lighting meets the Control Requirements of ¢ 132(c)1 El Not Applicable ®. Building facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi—Level Lighting Requirements of ¢ 132(c)2 ❑ Not Applicable MANDATORY AUTOMATIC CONTROLS . CONTROL LOCATION CONTROL IDENTIFICATION CONTROL TYPE AREA CONTROLLED NOTE TO FIELD Auto Time Switch/Photosensor, etc ELECTRICAL ROOM PANEL SCHEDULE PROGRAMMABLE. TIME SW. AND PHOTOCELL BUILDING EXTERIOR 1 1 DIMMING PANEL IS EQUIPED WITH STATE OF CALIFORNIA TITLE 24 ENERGY REGULATION CERTIFIED "APPROVED" PROGRAMMABLE TIME CLOCK CAPABILITIES FOR CONTROL OF OUTDOOR LIGHTING. Nonresidentid Compliance Forms April 2005 CERTIFICATE OF COMPLIANCE (Part 2 of 2) OLTG-I-C PROJECT NAME: COST PLUS MARKET PLACE LIGHTING SCHEDULES ON PLANS SHOW THAT OUTDOOR LIGHTING MEETS ALLOWED LIGHTING POWER ® Lighting power allowances for general site illumination on OLTG-2—C Part 1 of 4 El Not Applicable ® Lighting power allowances for local ordinances or for security multipliers on OLTG-2—C Part 2 of 4 ❑ .Not Applicable ❑ Lighting power allowances for specific applications, other than vehicle service stations with canopies on OLTG-2—C Part 3 of 4 ® Not Applicable ❑ Lighting. power allowances for vehicle service station canopies on OLTG-2—C Part 4 of 4 ® Not Applicable El Sign lighting compliance on OLTG-4—C ® Not Applicable � • MANDATORY MEASURES ON PLANS SHOW THAT OUTDOOR LIGHTING MEETS OUTDOOR LIGHTING CONTROLS AND EQUIPMENT Indicate location on plans of Note Block for Mandatory Measure ® Installed lighting power has been determined in accordance with ¢ .130(c)1 ❑ Not Applicable ® All permanently installed luminaires with lamps rated over 100 watts either have a lamp efficacy of at least 60 lumens per woos or are controlled by a motion sensor ¢ 132(0) El Not Applicable ® All Luminaires with lamps rated greater than 175 watts in hardscape areas, including parking lots, building entrances, canopies, and all outdoor sales areas meet the Cutoff Requirements of § 132(b) El Not Applicable ® All permanently installed outdoor lighting meets the Control Requirements of ¢ 132(c)1 El Not Applicable ®. Building facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi—Level Lighting Requirements of ¢ 132(c)2 ❑ Not Applicable MANDATORY AUTOMATIC CONTROLS . CONTROL LOCATION CONTROL IDENTIFICATION CONTROL TYPE AREA CONTROLLED NOTE TO FIELD LIFE VOLTAGE TRACK LIGHTING WORKSHEET LTG -9-C PROJECT NAME C, osl PLUS MARKET PLACC DATE g-r._Zopr. ✓ ❑METHOD 1 —VOLT-AMPERE (VA) RATING OF THE BRANCH CIRCUIT(S) FEEDING THE TRACKS A B A (continued) B (continued) C BRANCH CIRCUIT VOLT-AMPERE (VA) RATING BRANCH CIRCUIT VOLT-AMPERE (VA) RATING NAME OR ID OF THE BRACHK CIRCUIT NAME OR ID OF THE BRACHK CIRCUIT ADD BOTH SUB - TOTALS TOTAL Z ICAO ✓ ❑METHOD 3 — ONLY TO BE USED WITH INTEGRAL CURRENT LIMITER 3 (a) O ✓ HERE IF THE CURRENT LIMITER IS CERTIFIED TO THE COMMISSION (DEVICE MUST BE CERTIFIED TO THE COMMISSION TO USE THIS METHOD TO QUALIFY FOR TIER 1 ALL OF THE FOLLOWING STATEMENTS (3b & 3c & 3d) MUST BE TRUE. IF ANY ARE FALSE THEN USE TIER 2 VALUE SUB TOTAL SUB TOTAL programmable load types. TOTAL liner foot. ✓ ETHOD 2 — USE THE HIGHER OF: . 45 WATTS / LINEAR FOOT OF TRACK — OR TOTAL RATED WATTAGE OF ALL OF ALL LUMINAIRES A B C D E F LARGER TRACK # LINEAR FEET OF B x C TOTAL RATED WATTAGE OF OF R NAME TRACK(W/LF) W ALL LUMINAIRES D or E -r ZIL ex 45 45 45 45 TOTAL Z ICAO ✓ ❑METHOD 3 — ONLY TO BE USED WITH INTEGRAL CURRENT LIMITER 3 (a) O ✓ HERE IF THE CURRENT LIMITER IS CERTIFIED TO THE COMMISSION (DEVICE MUST BE CERTIFIED TO THE COMMISSION TO USE THIS METHOD TO QUALIFY FOR TIER 1 ALL OF THE FOLLOWING STATEMENTS (3b & 3c & 3d) MUST BE TRUE. IF ANY ARE FALSE THEN USE TIER 2 VALUE 3 (b) The specifications and installation exclusively include only high efficacy luminaires as defined in § 150 (k)1. 3 (c) The track in not connected to a dimmer of any kind, including preset controller or dimmer modules that have programmable load types. 3 (d) At time of inspection the actual installed wattage of high efficacy luminaires is equal to or more than 7.5 watts per liner foot. USE THE HIGHER OF: VA RATING OF INTERGRAL CURRENT LIMITER, 15 WATTS PER LINEAR FOOT FOR TIER 1, OR 25 WATTS PER LINEAR FOOT FOR TIER 2 . A B C D E F G H I J "Tier 1" if b, LINEAR VA RATING CHOOS c, and d = TIER I = FEET OF E TRACK # ✓ IF 3 (b) ✓ IF 3 (c) ✓ IF 3 (d) True, Otherwise 15 (W/ft) TIER 2 = OF TRACK TOTAL Watts CURRENT LIMITER LARGE R OF OR NAME =TRUE =TRUE =TRUE Enter "Tier 2" 25 /ft ft F x G W H or I ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ TOTALWATTS 2005 Residential Compliance Forms April 2005 InstalledC14 Watts C, Cl) CO M 'D 04 N' C) (D q- (M x 0) 0 Number of 04 M co Luminaires CU (D '0 w z If CEC Defaull X X X X cc _j M C) —ca Watts per U-) (0 (D U-) o U) Luminaire LU (D Zi CL Number of Ballast cc per Luminaire Watts per Lamp CD cli 04 C) ............... . ........... ca CU CO0 a) .......... ... . .... E Number of Lamps .............. ... . per Luminaire CNw. . . . ......... ....... —0 ...... L amp Type c� C) M: 04 'r w Cc, W' CCD, x U) Cutoff . ...... CU Designation w U. o C) M < CO F- E- a a) CL Qi < 0 < Z> (D < z 0 < z (D < z 0) z ........ Z M —IM —IM (D ....... ........ -------- -- ---- ......... O U Code for - Luminaire Type N '2 L) 0 ca Allotted Watts (B F1- 'IT C) Cl) Cl) C14o LO Cl) 0 Lu x C x D) or C13 (B x C) LU 2 U Security Multiplier o 0 0 9 CD Z if Applicableo or "147-C" �2 7 r- LO Uj Allotted LPD W1ft2 < a) wQ a or W/LF LU 00Cq NU LO 0 CO Area (W) or 04 Vi Cl) w C Li Length (LF) cx� .......... ........ E.... z zi 16 . 2 z 0 'a I Q. m 2LU F- z 0 F- CL CU C)0 (D w w H CM w < I. I .. . .... ..... 0 ... . ......... ............ ..