HomeMy WebLinkAboutX2019-0020 - Misc°- STATE OF CALIFORNIA
INDOOR LIGHTING
CEC-NRCI-LTb07-E (Revised 06M3)
CERTIFICATE OF INSTALLATION
Indoor Lighting
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CALIFORNIA ENERGY COMMISSION;&
NRCI-LTI-01-E
(Page 1 of 2)
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GENERAL INFORMATION
DATE OF BUILDING PERMIT PERMIT#
BUILDING TYPE ❑ Nonresidential 171 High -Rise Res (Common Area) ❑Hotel/Motel (Common Area)
PHASE OF ".
CONSTRUCTION ❑ New Construction ❑ Addition .Alteration
❑ Unconditioned
SCOPE OF RESPDNSIBIUTV
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
In the table below identify 111 applicable construction documents that specify the requirements for the scope of
responsibility reported by this installation Certificate (continued).
Document Title or Description Applicable Sheets or Pages, Tables, Schedules, etc. Dthe Enate forceme proved By
ssY�in,iencyxomodros- 2013 Nonresidential Compliance June 2013
STATE OF CALIFORNIA
INDOOR LIGHTING
CERTIFICATE OF INSTALLATION
Indoor Lighting
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Document Title or Description I Applicable Sheets or Pages, Tables, Schedules, etc.
1. I certify that this Certificate of Installation documentation is accurate and complete.
Dowmen tation Author Name: Documentation Author Signature
Documentation Author company Name: nate Signed:
Address: tF ,l [ CWHERSCertificationfdentifimion(ifapplicabie):
1. __U k31ai�. Ce>G�r--. �.i
3Y COMMISSION j
NRCI-LTI-01-E
(Page 2 of 2)
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Date Approved By
the Enforcement
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FRESPONSIBLEE PERSON'S DECLARATION STATEMENT
thefoliowingunder penalty of perjury, under the laws of the State of California:rmation provided on this Certificate of Installation is true and correct.
ible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for thedesign, construction, or installation of features, materials, components, or manufactured devices forthe scope of workd on this Certificate of Installation and attest to the declarations in this statement (responsible builder/lnstaller),se I aman authorized representative of the responsible builder/installer.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this
Certificate of Installation conforms to all applicable codes and regulations,. and the installation conforms to the requirements
given oD the ph ns'and specifications approved by the enforcement agency.
4. I reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements
for the scope of construction or installation identified on this Certificate of Installation,. and i have ensured that the requirements
that apply to the construction or installation have been met.
5. 1 will ensure that a completed signed copy of this Certificate of Installation shall. be posted, or made available with the building
permits) Issued for the building, and made available to the enforcement agency for all applicable ingpect ors. I understand that a
completed signed copy of this Certificate of Installation is required to be Included with the documer)tationtlje builder provides to
nnaner name:
:ailing SubcontrattRor o/r Gene`lral [ontrattor or
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Building Energy Efficiency Standards -2013 Nonresidential Compliance June 2013
STATE OF CALIFORNIA
ENERGY MANAGEMENT CONTROL SYSTEM! OR LIGHTING CONTROL SYSTEM
CEC-NRCI-LTI-02-E Revised 72/75
CERTIFICATE OF INSTALLATION
CALIFORNIA ENERGY COMMISSION
NRCI-LTI-02-E
Energy Management Control System or Lighting Control System
PERMIT#
(Page 1 of 6)
PmieR Name: i -Wt {,_, �, r�l\�� Enforcement Agency p
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GENERAL INFORMATION
DATE OF BUILDING PERMIT
PERMIT#
BUILDING TYPE
Nonresidential
[] High -Rise Res (Common Areaj
[� Hoxel(Moxel (Common Area)
PHASE OF
CONSTRUCTION
❑ New Construction
❑ Addition
Er
Er Alteration I ❑ Unconditioned
SCOPE OF ftESPONSfBILfTY
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 responsibiiity for this
Installation Certificate,
Requirements in the Standards:
§130.4(b) Before an Energy Management Control System (EMCS), or lighting Control System can be recognized for
compliance with the lighting control requirements in Part 6 of Title 24, the person who is eligible under Division 3 of the
Business and Professions Code to accept responsibility for the construction or installation of features, materials,
components, or manufactured devices shall signand submit this Installation Certificate.
If any of the requirements in this Installation Certificate fail the Energy Management Control System or Lighting Control
System installation requirements, these options for controlling lighting shall not be recognized for compliance with the
Building Energy Efficiency Standards.
Check all that apply,
PART YWhat type of Lighting Control System has been installed?
ED/ A. Energy Management Control System (EMCs) - Is a computerized control system designed to regulate the
energy consumption of a building by controlling the operation of energy consuming systems, such as the heating,
ventilation and air conditioning (HVAC), lighting, and water heating systems- and is capable of ,monitoring
environmental and system loads,; and adjusting HVAC operations in arderto optimize energy usage and respond
to demand response signals.
dThe Energy Management Control System has been installed to function as a lighting control required by Part
6 and functionally meets all applicable requirements for each application for which it is installed, in
accordance with Sections 110.9, 130.0 through 130.5, 140.6 through 150.0, and 150.2; and complies with
Reference Nonresidential Appendix NA7.71.
D",
The EMCS has been separately tested for each respective lighting control system for which it is_instated _ta
unc Ion as.
�B- Lighting Control System - Requires two or more components to ba installed in the building to provide all of
the functionality required to make up a fully functional and compliant lighting control.
2'The installed Lighting Control System complies with the requirements checked below; and all components of
the system considered together as installed meet all applicable requirements for the application for which
they are installed as required in Sections 130.0 through 130.5, Sections 140.6 through 140.8, Section 141.0,
and Section 150.0(k),
CA Building Energy Efficiency Standards -2013 Nonresidential Compliance December
ate✓
STATE OF CALIFORNIA
ENERGY MANAGEMENT CONTROL SYSTEM OR LIGHTING CONTROL SYSTEM Mw
CEC-NRCI-LTI-02-E lRevisea smut
E OF INSTALLATION
CALIFORNIA ENERGY COM MISSION
NRCI-LTk02-E
EEnergyagement Control System or Lighting Control System (Page 2 of 6)
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PART 2 Lighting Control Functional requirements: Check all that apply when verifying the installation of an EMCS or
Lighting Control System.
i
❑/ A. All lighting controls and equipment have been installed in accordance with the manufacturer's instructions.
d B. The manufacturer has provided instructions for calibration.
❑ C. if indicator lights are integral to any components, such indicator lights consumes no more than 1 watt of
power per indicator light.
❑ D. Components that are regulated by the Title 20 Appliance Efficiency Regulations have been certified to the
Energy Commission.
❑ E. The EMCS or Lighting Control System functions as one or more of the Time -Switch Lighting Controls checked
below, and complies with all of the following requirements:
❑ I. Automatic Time -Switch Controls meeting all requirements for Automatic Time Switch Control devices in
the Title 20 Appliance Efficiency Regulations, including the requirements below:
a. Residential automatic time -switch controls have program backup capabilities that prevent the
loss of the device's schedule for at least 7 days, and the device's date and time for at least 72
hours if power is interrupted.
b. Commercial automatic time -switch controls meet the following requirements:
I- Has program backup capabilities that prevent the loss of the device's schedule for at least
7 days, and the. device's date and time for at least 72 hours if power is interrupted;
if. Is capable of providing manual override to each connected load and shall resume normally
scheduled operation after manual override is initiated within 2 hours for each connected
load; and
iii. Incorporates an automatic holiday shutoff feature that turns off all connected loads for at
least 24 hours and then resumes normally scheduled operation,
❑ 2. Astronomical Time -Switch Controls meeting all requirements for Astronomical Time -Switch Control
devices in the Title 20 Appliance Efficiency Regulations, including the requirements below:
a. Meets the requirements of an automatic time -switch control;
b. Has sunrise and sunsetprediction accuracy within plus -or -minus 15 minutes and timekeeping
accuracy within S minutes per year;
c. Is capable of displaying date, current time, sunrise time, sunset time, and switching times for
each step during programming;
d. Has an automatic daylight savings time adjustment; and
e. Has the ability to independently offset the on and off for each channelby at least 99 minutes
before and after sunrise orsunset.
❑ 3. Multi -Level Astronomical Time -Switch Controls, in addition to meeting all of the requirements for
Astronomical Time -Switch Controls, includes at least 2 separately programmable steps per zone.
❑ F: The EMCS or Lighting Control System functions as one or more of the Daylighting Controls listed below:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance
10
STATE OF CALIFORNIA
ENERGY MANAGEMENT CONTROL SYSTEM OR LIGHTING CONTROL SYSTEM
CEC-NRCI-LTI-02-E (Revised 12115
CERTIFICATE OF INSTALLATION
CALIFORNIA ENERGY COMMISSION -
NRCI-LTI-02-E.
Energy Management Control System or Lighting Control System
(Page 3 of 6)
Proje[CName: A,
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Permit Number;
PtojeRAddrcss:
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❑ 1. Automatic Daylight Controls meet all requirements for Automatic Daylight Control devices in the Title 20
Appliance Efficiency Regulations, including the following:
a. is capable of reducing the power consumption in response to measured daylight either directly or
by sending and receiving signals;
b. If the system includes a dimmer, complies with the Dimmer Control device requirements in the
Title 20 Appliance Efficiency Regulations.
c. Automatically return to its most recent time delay settings within 60 minutes when put in
calibration mode;
d. Has a set point control that easily distinguishes settings to within 10 percent of full scale
adjustment;
e. Has a light sensor that has a linear response within 5 percent accuracy over the range of
illuminance measured by the light sensor;
f. Has a light sensor that is physically separated from where the calibration adjustments are made;
or is capable of being calibrated in a manner that the person initiating the calibration is remote
from the sensor during calibration to avoid influencing calibration accuracy; and
g.. Complies with the Title 20 requirements for photo controls if the system contains a photo control
component.
❑ 2. Photo. Controls meet all requirements for Photo Control devices in the Title 20 Appliance Efficiency
Regulations, including the following that it does not have a mechanical device that permits disabling of the
control.
❑ G. The EMCS or Lighting Control System functions as a Dimmer andmeets all requirements fora Dimmer Control
device in the Title 20 Appliance Efficiency Regulations, including the following:
1. Is capable of reducing power consumption by a minimum of 65 percent when the dimmer is at its lowest
level;
2. Includes an off position which produces a zero lumen output; and
3. Does not consume more than J. watt per lighting dimmer switch leg When in the off position.
4. Dimmer controls that can directly control lamps provide electrical outputs to lamps for reduced flicker
operation through the dimming rangeso that the light output has an amplitude modulation of less than
30 percent forfrequencies less than 200 Hz without causing premature lamp failure.
S. If designed for use in three way circuits is capable of turning lights off, and to the level set by the
dimmer if the lights are off.
❑� H. The EMCSor Lighting Control System meets the following requirements:
1. Is capable of automatically turning off controlled lights in the area no more than 30 minutes after the
2. Allows all lights to be manually turned off regardless of the status of. occupancy; and
3. Has a visible status signal that indicates that the device is operating properly, or that it has failed or
malfunctioned. The visible status signal may have an override switch that turns off the signal.
4. All occupant sensing devices that utilize ultrasonic radiation for detection of occupants meet the
Ultrasound Maximum Decibel Values in the Title 20 Appliance Efficiency Regulations
5. All occupant sensing devices that utilize microwave radiation for detection of occupants meet the
radiation requirements in the Title 20 Appliance Efficiency Regulations
6. Occupant sensing devices incorporating dimming comply with the requirements for dimmer controls in
the Title 20 Appliance Efficiency Regulations
uA nmmmg energy Lniciency Standards - 2013 Nonresidential Compliance ' December 2015
STATE OF CALIFORNIA
ENERGY MANAGEMENT CONTROL SYSTEM OR LIGHTING CONTROL SYSTEM
CEC-NRCI-LTI-02-E (Revised i Wi fit
ATE OF INSTALLATION
�nurtmrvin tlVtt(liT VVMMI551VN `�`
NRCI-LTI-02-E
EEnergy
Management Control System or Lighting Control System
(Page 4 of 6)
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7. The EMCS or Lighting Control System functions as one or more of the Occupant Sensing Controls
Checked Below:
[� a. Occupant Sensors meeting all applicable requirements for Occupant Sensor Control devices in
the Title 20. Appliance Efficiency Regulations
0'' b. Motion Sensors meeting all applicable requirements for Motion Sensor Controlsdevices in the
Title 20 Appliance Efficiency Regulations, including that motion sensors are rated for outdoor use.
❑ c. Vacancy Sensors meeting all applicable. requirements for Vacancy Sensor Controls devices in
the Title 20 Appliance Efficiency Regulations, including the following:
i. Does not turn on lighting automatically and does not incorporate DIP switches, or other
manual means, for conversion between manual and automatic functionality;
R. Has a grace period of no more than 30 seconds and no less than 15 seconds to turn on
lighting automatically after the sensor has timed out; and
iii. Does not have an override switch that disables the sensor.
❑ d. Partial -ON Sensors meeting all applicable requirementsfor partial on sensing devices in the
Title 20 Appliance Efficiency Regulations, including the following:
L Has two poles each with automatic -off functionality;
ii. Has one pole that is manual -on and does not incorporate DIP switches, or other manual
means, for conversion between manual and automatic functionality; and
iii. Has one pole that is automatic -on and is not be capable of conversion by the userto
manual -on functionality.
❑ e. Partial -OFF Sensors meet all applicable requirements for partial off sensing devices in the Title
20 Appliance Efficiency Regulations, including the following:
I. Has two poles;
ii. Has one pole that is manual -on and manualoff; and
iii. Has one pole that is automatic -on and automatic -off and is not capable of conversion by
theuser to manual -on only functionality -
IJ f. occupantsensing Control systems consist of a combination of single ormultl-level Occupant,
Motion, or Vacancy Sensor Controls, and all components installed to comply with manual -on
requirements are not capable of conversion by the user from manual -on to automatic -on
functionality,
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance December 2015
Xs
STATE OF CALIFORNIA
ENERGY MANAGEMENT CONTROL SYSTEM OR LIGHTING CONTROL SYSTEM
CEC-NRA-LTi-02-E (Revised 12115) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF INSTALLATION NRCI-LTI-02-E
Energy Management Control System or Lighting Control System (Page 5 of 6)
Prele�Nalfte {'J
PART 3 Requirements for which the control is being installed to complied with:
Identify all requirements in the Standards for which the EMCS or Lighting Control System is installed to function as and
complies with:
Check all that are applicable
Section 130.1(a) Area Controls.
B. Section 130.1(6) Multi -Level Lighting Controls
C. Section 130.1 (c) Shut -OFF Controls
® D- Section 130.1 (d) Automatic Daylighting Controls,
0 E. Section 130.1 (e) Demand Responsive Controls.
E3 F. Section 1305 (d) Circuit Controls for 120 -Volt Receptacles.
!f installed to qualify for a Power Adjustment Factor, submit this Installation Certificate in addition to the PAF
Installation Certificate.
❑ G. To qualify for the PAF for a Partial -ON Occupant Sensing Control in TABLE 140.6-A
❑ H. To qualify for the PAF for an occupant sensing control controlling the general lighting in large open plan office
areas above workstations, in accordance with TABLE 140.6-A
0 L To qualify for the PAF for a Manual Dimming System PAF or a Multiscene Programmable Dimming System PAF in
TABLE 140.6-A
❑ J. To qualify for the PAF for a Demand Responsive Control in TABLE 140.6-A
13 K. To qualify for the PAF for Combined Manual Dimming plus Partial -ON Occupant Sensing Control in TABLE 140.6-A
5"'_18r 1$U;=r�wnianoaros-<uis Nonresioentlal LOmpllenee December2015
STATE OF CALIFORNIA
ENERGY MANAGEMENT CONTROL SYSTEM OR LIGHTING CONTROL SYSTEM
ECEC-NRCI-�LTJ-02-E Revisedt2li5OMIFITE OF INSTALLATIONNRCI-LTI-02-E
gy nagement. Control system or Lighting Control System (Page 6 of6)
Name: t -�
' urrement Agml
Tai-i-I a.—IeiuR
1. I certify that this Certificate of Installation documentation is accurate and complete.
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pp ........ Date Slgued:
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RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify thefollowing under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I" 11igihle under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the
system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement (responsible builder/installer),
otherwise Lam an authorized representative of the responsible builder/installer.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this
Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements
given on the plans and specifications approved by the enforcement agency.
4. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements
forthe scope of construction or installation identified on this Certificate of Installation, and I have ensured that the requirements
that appiyto the construction orinstallation have been met.
5. 1 will ensure that a completed signed copy ofthis Certificate of Installation shall be posted, or made ava able with the building
Permit(s) issued for the building, and made available to the enforcement agency for all appliyabl , inspec 'ons. I understand that a
completed signed copy of this Certificate of installation is required to be included with the documntati" re. builder provides to
_.. the building owner at occunanrv. t
--r---•--•e =nn�ane� name:ResPoniibie Builderflnetailer Signature: \ -i
Company Name:(Instalang5ubcontractorror General Contractor or Position With Company (Title):
Builder/Owner) Vis"k (ChE}„�; L 1�
Address: �y
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CA Building Energy Efficiency Standards- 2013 Nonresidential Compliance December 2015
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CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 Newport Beach, CA 92658
www.newportbeachea.gov (949) 644-3200
SPECIAL INSPECTION REPORT
Project Address: fVA I
Permit Number: X'ZO (9 -
Inspection Type
Inspection Date (s): 5 - J 9 (,Tl+t )JS� ( ) Periodic K Continuous
Total Inspection Time Each Day:
Date
................. ....... ... ......................... - . ... -
........... ..
Hours:
To the best of my knowledge, the work inspected was in accordance with the Building Division approved design drawings,
specifications and applicable workmanship provisions of the U.S.C. except as noted above.
Special Spector Date:
Print Full Name: Newport Beach Registration No.:
SpecialInspeLfflonRepoft 8-24-15