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HomeMy WebLinkAboutX2019-1966 - MiscINDOOR LIGHTING NRCI_LTI_02_EREAdY Orange OW STE 475 AT 4675 MACARTHUR COURT 14675 I aOdr&r C� Orange General Information Building Type: Phase of Construction: W Nonresidential r Hotel/Motel (Common Area) r New Construction r Unconditioned Scope of Responsibility r High -Rise Res (Common Area) r Addition r Alteration Enter the date of approval by enforcement agency of the Certificate of Compliance that provides the specifications for the energy efficiency measures for the scope of responsibility for this Installation Certificate. Date: 8/1/2019 12:00:00 AM §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 sign and 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 Energ Efficiency Standards. y Check all that apply PART 1 What type of Lighting Control System has been installed? r A. Energy Management Control System (FMCS) - 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 order to optimize energy usage and respond to demand response signals. r The 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 NA7.7.2. r The EMCS has been separately tested for each respective lighting control system for which it is installed to function as. r B. Lighting Control System - Requires two or more components to be installed in the building to provide all of the functionality required to make up a fully functional and compliant lighting control. This is nane 1 „r c CERTIFICATE OF INSTALLATION NRCLLTI-02-G EMCS ar Lighting Conhol Syslcm Lromo Name: READYNOW STE 475 AT 4675 MACARTHUR COURT Enforcement Agency: CITY OF NEWPORT BEACH Pmjcct Address: 4675 MACARTHUR COURT STE 4]5 Permit Number. X2019-196fi City: NEWPORT BEACH Zip Code: 9e6m, FF, 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). PART 2 Lighting Control Functional requirements: Check all that apply when verifying the installation of an EMCS or Lighting Control System. fJ A. All lighting controls and equipment have been installed in accordance with the manufacturer's instructions. Iv B. The manufacturer has provided instructions for calibration. r. C. If indicator lights are integral to any components, such indicator lights consumes no more than 1 watt of power per indicator light. W D. Components that are regulated by the Title 20 Appliance Efficiency Regulations have been certified to the Energy Commission. r 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: r 1. 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 ii. 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. F 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 sunset prediction accuracy within plus -or -minus 15 minutes and timekeeping accuracy within 5 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 channel by at least 99 minutes before and after sunrise or sunset. r 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. r F, The EMCS or Lighting Control System functions as one or more of the Daylighting Controls listed below: This is page 2 of 5 This is page 3 of 5 1..,1.JlZif Code: 926M r 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. r 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. r G. The EMCS or Lighting Control System functions as a Dimmer and meets all requirements for a 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 1 watt per fighting 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 range so that the light output has an amplitude modulation of less than 30 percent for frequencies less than 200 Hz without causing premature lamp failure. 5. 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 EMCS or 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 area has been vacated; 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 S. 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 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 r b. Motion Sensors meeting all applicable requirements for Motion Sensor Controls devices in the Title 20 Appliance Efficiency Regulations, including that motion sensors are rated for outdoor use. r 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; if. 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. This is page 3 of 5 d. Partial -ON Sensors meeting all applicable requirements for partial on sensing devices in the Title 20 Appliance Efficiency Regulations, including the following: i. 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 user to manual -on functionality. r 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 manual off; and iii. Has one pole that is automatic -on and automatic -off and is not capable of conversion by the user to manual -on only functionality. r f. Occupant Sensing Control systems consist of a combination of single or multi-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. 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. I7 A. Section 130.1(a) Area Controls. V B. Section 130.1(b) Multi -Level Lighting Controls P C. Section 130.1 (c) Shut -OFF Controls r D. Section 130.1 (d) Automatic Daylighting Controls. r E. Section 130.1 (e) Demand Responsive Controls. r F. Section 130.5 (d) Circuit Controls for 120 -Volt Receptacles. r G. To qualify for the PAF for a Partial -ON Occupant Sensing Control in TABLE 140.6-A r 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 r I. To qualify for the PAF for a Manual Dimming System PAF or a Multiscene Programmable Dimming System PAF in TABLE 140.6-A r J. To qualify for the PAF for a Demand Responsive Control in TABLE 140.6-A r K. To qualify for the PAF for Combined Manual Dimming plus Partial -ON Occupant Sensing Control in TABLE 140.6-A This is page 4 of 5 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT I certify that this Certificate of Acceptance document is accurate and complete. Documentation Author Company Name Name loan Rahovan SASCO Address City 2750 Moore ave Fullerton Zip Code Phone 92833 (714)870-0217 CEA/ATT Certification Author Signature Identification (If TC-AS13578 applicable) r Date of Signature: 09/16/2019 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the Information provided on this Certificate of Acceptance. 2. 1 am eligible 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements Indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAS. 4. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. I will ensure that a completed, signed copy of this Certificate of Acceptance 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 Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Acceptance Company Name Person Name Donald W. King SASCO Address: City 2750 Moore Avenue Fullerton Zip Code 92833 Phone (714)8]0-021] CSLs License Position with Company 125897 (Title) Project Engineer Responsible Acceptance Person Signature Date of Signature: 09/16/2019 This is page 5 of 5 OF INSTALLATION General Information Building Type: *f Nonresidential r High -Rise Res (Common Area) r Hotel/Motel (Common Area) r77 n: r New Construction r Addition r Alteration r Unconditioned Scope of Responsibility Enter the date of approval by enforcement agency of the Certificate of Compliance that provides the specifications for the energy efficiency measures for the scope of responsibility for this Installation Certificate. Date: 8/1/2019 12:00:00 AM This is page I of 2 CERTIFICATE OF INSTALLATION NRCI-LTI-01-E Indoor Lighting -- Project Name: READYNOW STE 475 AT 4675 MACARTHUR COURT Enforcement Agency: CITY OF NEWPORT BEACH Permit Nurii X2019-1966 PaI Address: 4675 MACARTHOR COURT STE 475 City: NEWPORT BEACH Zip Coda 92660 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1 certify that this Certificate of Acceptance document is accurate and complete. Documentation Author Company Name Name loan Removed SASCO Address City 2750 Moore ave Fullerton Zip Code Phone 92833 (714)870-0217 CEA/ATT Certification Author Signature Identification (if TC -A813578 applicable) ZOIVT Qk� Date of Signature: 09/16/2019 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the fallowing under penalty of perjury, under the laws of the State of California: 1. I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided an this Certificate of Acceptance. 2. I am eligible under Division 3 of the Business and Professions Code in the applicable classUlcatlon 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation Identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. I have confirmed that the Certificates) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) Issued for the building. S. I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permits) issued for the building, and made available to the enforcement agency for all applicable inspections. 1 understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Acceptance Company Name Person Name Donald W. King SASCO Address: City 2750 Moore Avenue Fullerton Zip Code 92833 Phone (714)870-0217 CSLB License Position with Company 125897 Project Engineer (Title) Responsible AcceeppttaPerson Signature, V Date of Signature: 09/16/2019 This is page 2 of 2 RTo Enforcement Agency Use: Checked by/Date LIGHTING CONTROL ACCEPTANCE DOCUMENT Automatic Shut-off Controls: Automatic Time Switch Control and Occupant Sensor Intent: Lights are turned off or set to a lower level when not needed per Section 110.9(a) & 130.1(c). A. Construction Inspection Fill out Section A to cover spaces 1 through 3 that are functionally tested under Section B. Instruments needed to perform tests include, but are not limited to: hand-held amperage meter, power meter, or light meter 1: Automatic Time Switch Controls Construction Inspection—confirm for all listed in Section B a. All automatic time switch controls are programmed for (check all): F Weekdays r Weekend r Holidays b. Document for the owner automatic time switch programming (check all): r Weekday settings r Weekend settings r Holidays settings r Set-up settings r Preference program setting r Verify the correct time and date is properly set in the time switch r Verify the battery is installed and energized r Override time limit is no more than 2 hours P . Occupant Sensors and Automatic Time Switch Controls have been certified to the Energy Commission in accordance with the applicable provision in Section 110.9 of the Standards, and model numbers for all such controls are listed on the Commission database as Certified Appliance and Control Devices 2. Occupancy Sensor Construction Inspection—confirm for all listed in Section B R Occupancy sensors are not located within 4 feet of any HVAC diffuser W Ultrasonic occupancy sensors do not emit audible sound 5 feet from source This is page 1 of 31 OFACCEPTANCE B. Functional Testing of Lighting Controls For every space in the building, conduct functional tests 1 through 5 below if applicable. If there are several geometrically similar spaces that use the same lighting controls, test only one space and list in the cells below which "untested spaces" are represented by that tested space. EXCEPTION: For buildings with up to seven (7) occupancy sensors, all occupancy sensors shall be tested. (NA7.6.2.3) Representative Spaces Selected Tested space/room name: Office 480 Space Type (office, corridor, etc) Office Untested areas/rooms Confirm compliance for all control system types (1-5) present in each space: 1. Automatic Time Switch Controls Step 1: Simulate occupied condition a. All lights can be turned on and off by their respective area control switch r b. Verify the switch only operates lighting in the ceiling -height partitioned area in which the switch is located. r Step 2: Simulate unoccupied condition a. All lighting, including emergency and egress lighting, turns off. Exempt lighting may r remain on per Section 130.1(c)1 and 130.1(a)1. b. Manual override switch controls only the lights in the selected ceiling height partitioned space where the override switch is located and the lights remain on no longer than 2 hours (unless serving public areas and override switch is captive key type), r Step 3: System returned to initial operating conditions r 2. Occupancy Sensors Step 1: Simulate an unoccupied condition a. Lights controlled by occupancy sensors turn off within a maximum of 20 minutes r from start of an unoccupied condition per Standard Section 110.9(b) b. The occupant sensor does not trlgger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. r Step 2: Simulate an occupied condition a. Status indicator or annunciator operates correctly r b. Lights controlled by occupancy sensors turn on immediately upon an occupied condition OR sensor indicates space is 'occupied' and lights may be turned on r manually This is page 2 of 31 Step 3: System returned to initial operating conditions R 3. Partial Off Occupancy Sensor Step 1: Simulate an unoccupied condition a. Lights go to partial off state within a maximum of 20 minutes from start of an r unoccupied condition per Standard Section 110.9(a) b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. For library book stacks or warehouse aisle, activity beyond the stack or aisle shall not activate the lighting in the aisle or stack, r c. In the partial off state, lighting shall consume no more than 50% of installed lighting power, or: No more than 60% of installed lighting power for metal halide or high pressure sodium lighting in warehouses. No more than 60% of installed lighting power for corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category Method. Light level may be used as a proxy for lighting power when measurements are taken r Step 2: Simulate an occupied condition The occupant sensing controls shall turn lights fully ON in each separately controlled r areas, Immediately upon an occupied condition 4. Partial On Occupancy Sensors Step 1. -Simulate an occupied condition. Verity partial on operation. a. Immediately upon an occupied condition, the first stage activates between 50 to r 70% of the lighting automatically. b. After the first stage occurs, manual switches allow an occupant to activate the alternate set of lights, activate 100% of the lighting power, and manually deactivate all of the lights. r Step 2. Simulate an unoccupied condition a. Both stages (automatic on and manual on) lights turn off within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 130.9(a) r b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. r This is page 3 of 31 5. Aaa}tlonal test for occupancy sensors serving smart zones in office spaces Larger 250 ft , to Qualify for a Power Adjustment Factor (PAF) Step 0: First, complete Functional Test 2 (above) for each controlled zone. Step 1: Verity area sewed and compare actual PAF with claimed PAF. Refer to Functional Test 2. a. Area served by controlled lighting ft2 b. Enter PAF corresponding to controlled area from line (a) above (<125 ft2 for PAF=0.4, 126-250 ft2 for PAF=0.3, 251-500 ft2 for PAF=0.2). c. Enter PAF claimed for occupant sensor control in this space from the Certificate of Compliance. d. The PAF corresponding to the controlled area (line b), is greater than or equal to the PAF claimed in the compliance documentation (line c). r e. Sensors shall not trigger in response to movement in adjacent walkways or r workspaces f. All steps are conducted in Functional Test 2'Occupancy Sensor (On Off Control)' rand all answers are Yes. This is page 4 of 31 C. Testing Results 1. Automatic Time Switch Controls (all answers must be Yes). r- 2, 2. Occupancy Sensor (On Off Control) (all answers must be Yes). r 3. Partial Off Occupancy Sensor (all answers must be Yes). For warehouses, library book stacks, corridors, stairwells in nonresidential buildings must also be accompanied by passing Test 1 or Test 2. r 4. Partial On Occupant Sensor for PAF (all answers must be Yes). r S. Occupant Sensor serving small zones for PAF (all answers must be Yes). Also must pass Test 2. r Representative Spaces Selected Tested space/room name: COFFEE 477 SENSOR 2 Space Type (office, corridor, etc) Break Room Untested areas/rooms Confirm compliance for all control system types (1-5) present in each space: 1. Automatic Time Switch Controls Step 1: Simulate occupied condition a. All lights can be turned on and off by their respective area control switch r b. Verify the switch only operates fighting in the ceiling -height partitioned area in which the switch is located. r Step 2: Simulate unoccupied condition a. All lighting, including emergency and egress lighting, turns off. Exempt lighting may remain on per Section 130.1(c)1 and 130.1(a)1. r b. Manual override switch controls only the lights in the selected ceiling height partitioned space where the override switch is located and the lights remain on no longer than 2 hours (unless serving public areas and override switch is captive key type) r Step 3: System returned to initial operating conditions r 2. Occupancy Sensors Step 1: Simulate an unoccupied condition This is page 5 of 31 rmJmt Nsme: KAIYNOW STE475 AT4675 MACARTHURCOURT - nfomement Agency: CITY OF NEWPORT BEACH - pe,mit Number. X2019-1966 Project Addm 'WDMACARTHURCOURTSTE475 City:NEWPORTBEACH IZ1C 92692660 a. Lights controlled by occupancy sensors turn off within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(b) J. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. r Step 2: Simulate an occupied condition a. Status indicator or annunciator operates correctly W b. Lights controlled by occupancy sensors turn on immediately upon an occupied condition OR sensor indicates space is 'occupied' and lights may be turned on manually P Step 3: System returned to initial operating conditions IJ 3. Partial Off Occupancy Sensor Step 1: Simulate an unoccupied condition a. Lights go to partial off state within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) :�Tr_] J. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. For library book stacks or warehouse aisle, activity beyond the stack or aisle shall not activate the lighting in the aisle or stack. r c. In the partial off state, lighting shall consume no more than 50% of installed lighting power, or: No more than 60% of installed lighting power for metal halide or high pressure sodium lighting in warehouses. No more than 60% of installed lighting power for corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category Method. Light level may be used as a proxy for lighting power when measurements are taken r Step 2: Simulate an occupied condition The occupant sensing controls shall turn lights fully ON in each separately controlled areas, Immediately upon an occupied condition r 4. Partial On Occupancy Sensors Step 1. -Simulate an occupied condition. Verity partial on operation. a. Immediately upon an occupied condition, the first stage activates between 50 to 70% of the lighting automatically. r b. After the first stage occurs, manual switches allow an occupant to activate the alternate set of lights, activate 100% of the lighting power, and manually deactivate all of the lights. r This is page 6 of 31 OF an a. Both stages (automatic on and manual on) lights turn off within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) r �b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. r This is page 7 of 31 --- gzmc.:9i 5�o . Add}tional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger than 250 ft , to Qualify for a Power Adjustment Factor (PAF) Step 0: First, complete Functional Test 2 (above) for each controlled zone. Step 1: Verify area served and compare actual PAF with claimed PAF. Refer to Functional Test 2. a. Area served by controlled lighting ft2 b. Enter PAF corresponding to controlled area from line (a) above (<125 ft2 for PAF=0.4, 126-250 ft2 for PAF=0.3, 251-500 ft2 for PAF=0.2). c. Enter PAF claimed for occupant sensor control in this space from the Certificate of Compliance. d. The PAF corresponding to the controlled area (line b), is greater than or equal to the PAF claimed in the compliance documentation (line c). r e. Sensors shall not trigger in response to movement in adjacent walkways or workspaces r f. All steps are conducted in Functional Test 2 'Occupancy Sensor (On Off Control)' and all answers are Yes, r. i This is page 8 of 31 C. Testing Results 1. Automatic Time Switch Controls (all answers must be Yes). IF, 2. Occupancy Sensor (On Off Control) (all answers must be Yes). F7 3. Partial Off Occupancy Sensor (all answers must be Yes). For warehouses, library book stacks, corridors, stairwells in nonresidential buildings must also be accompanied by passing Test 1 or Test 2. f' 4. Partial On Occupant Sensor for PAF (all answers must be Yes). r 5. Occupant Sensor serving small zones for PAF (all answers must be Yes). Also must pass Test 2. r Representative Spaces Selected Tested space/room name: Open Office 478 SENSOR 3 Space Type (office, corridor, etc) Open Office Untested areas/rooms Confirm compliance for all control system types (1-5) present in each space: 1. Automatic Time Switch Controls Step 1: Simulate occupied condition a. All lights can be turned on and off by their respective area control switch b. Verify the switch only operates lighting in the ceiling -height partitioned area in which the switch is located. r7 Step 2: Simulate unoccupied condition a. All lighting, including emergency and egress lighting, turns off. Exempt lighting may remain on per Section 130.1(c)1 and 130.1(a)1. I' b. Manual override switch controls only the lights in the selected ceiling height partitioned space where the override switch is located and the lights remain on no longer than 2 hours (unless serving public areas and override switch is captive key type). r Step 3: System returned to initial operating conditions - r- 2. 2. Occupancy Sensors Step 1: Simulate an unoccupied condition This is page 9 of 31 CERT4TCATE OF ACCEPTANCE CA-LTI-02-A Li(rJ4;o8 CmWol JP.i=N.v, READY OW STE 475AT4675 M CARTHURCGURT Evfotcemavt Agevcy: CITY OF NEWPORT BEACH Pa�mit Number. X20194966 JPmject Address: 4675 AUICARTHURCOURT STE 475 Ciry: NEWPORT BEACH ZipQ,&:92660 a. Lights controlled by occupancy sensors turn off within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 1109(b) b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. W Step 2: Simulate an occupied condition a. Status indicator or annunciator operates correctly r b. Lights controlled by occupancy sensors turn on immediately upon an occupied condition OR sensor indicates space is 'occupied' and lights may be turned on manually Step 3: System returned to initial operating conditions r 3. Partial Off Occupancy Sensor Step 1: Simulate an unoccupied condition a. Lights go to partial off state within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) r b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. For library book stacks or warehouse aisle, activity beyond the stack or aisle shall not activate the lighting in the aisle or stack. r c. In the partial off state, lighting shall consume no more than 50% of installed lighting power, or: No more than 60% of installed lighting power for metal halide or high pressure sodium lighting in warehouses. No more than 60% of installed lighting power for corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category Method. Light level may be used as a proxy for lighting power when measurements are taken r Step 2: Simulate an occupied condition The occupant sensing controls shall turn lights fully ON in each separately controlled r areas, Immediately upon an occupied condition 4. Partial On Occupancy Sensors Step 1. -Simulate an occupied condition. Verify partial on operation. a. Immediately upon an occupied condition, the first stage activates between 50 to 70% of the lighting automatically. r b. After the first stage occurs, manual switches allow an occupant to activate the alternate set of lights, activate 100% of the lighting power, and manually deactivate all of the lights. r This is page 10 of 31 . Step 2. Simulate an unoccupied condition . a. Both stages (automatic on and manual on) lights turn off within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) r b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. r This is page 11 of 31 5. Add%tional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger than 250 ft , to Qualify for a Power Adjustment Factor (PAF) Step 0: First, complete Functional Test 2 (above) for each controlled zone. step 1; Verify area served and compare actual PAF with claimed PAF. Refer to Functional Test 2. a. Area served by controlled lighting ft2 b. Enter PAF corresponding to controlled area from line (a) above (<125 ft2 for PAF=0.4, 126-250 ft2 for PAF=0.3, 251-500 ft2 for PAF=0.2). c. Enter PAF claimed for occupant sensor control in this space from the Certificate of Compliance. d. The PAF corresponding to the controlled area (line b), is greater than or equal to the PAF claimed in the compliance documentation (line c). =7r -- e. Sensors shall not trigger in response to movement in adjacent walkways or workspaces r f. All steps are conducted in Functional Test 2 'Occupancy Sensor (On Off Control)' and all answers are Yes. r This is page 12 of 31 C. Testing Results 1, Automatic Time Switch Controls (all answers must be Yes). C'- 2. Occupancy Sensor (On Off Control) (all answers must be Yes). r �3. Partial Off Occupancy Sensor (all answers must be Yes). For warehouses, library book stacks, corridors, stairwells in nonresidential buildings must also be accompanied by passing Test 1 or Test 2. r 4. Partial On Occupant Sensor for PAF (all answers must be Yes). r 5. Occupant Sensor serving small zones for PAF (all answers must be Yes). Also must pass Test 2, r Confirm compliance for all control system types (1-5) present in each space: 1. Automatic Time Switch Controls Step 1: Simulate occupied condition a. All lights can be turned on and off by their respective area control switch b. Verify the switch only operates lighting in the ceiling -height partitioned area in which the switch is located. r Step 2: Simulate unoccupied condition a. All lighting, including emergency and egress lighting, turns off. Exempt lighting may remain on per Section 130.1(c)1 and 130.1(a)1. r b. Manual override switch controls only the lights in the selected ceiling height partitioned space where the override switch is located and the lights remain on no longer than 2 hours (unless serving public areas and override switch is captive key type). r Step 3: System returned to initial operating conditions r 2. Occupancy Sensors Step 1: Simulate an unoccupied condition This is page 13 of 31 IPmJe Neme:A YNUW STE 475 AT4675 MACARTHUR COURT ---t Agency: CITY OF NEWPORT BEACHPeonit Number.x2019-1566 Pmim Adele :a 75 MACARTHUR COURT STE 475ICny: NEWPORT BEACH EP Code: 92660 -� a. Lights controlled by occupancy sensors turn off within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(b) r b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. r. Step 2: Simulate an occupied condition a. Status indicator or annunciator operates correctly r b. Lights controlled by occupancy sensors turn on immediately upon an occupied condition OR sensor indicates space is 'occupied' and lights may be turned on manually r Step 3: System returned to initial operating conditions r 3. Partial Off Occupancy Sensor Step 1: Simulate an unoccupied condition a. Lights go to partial off state within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) r b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. For library book stacks or warehouse aisle, activity beyond the stack or aisle shall not activate the lighting in the aisle or stack. c. In the partial off state, lighting shall consume no more than 500% of installed lighting power, or: No more than 60% of installed lighting power for metal halide or high pressure sodium lighting in warehouses. No more than 60% of installed lighting power for corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category Method. Light level may be used as a proxy for lighting power when measurements are taken r Step 2: Simulate an occupied condition The occupant sensing controls shall turn lights fully ON in each separately controlled areas, Immediately upon an occupied condition r 4. Partial On Occupancy Sensors Step I. -Simulate an occupied condition. Verify partial on operation. a. Immediately upon an occupied condition, the first stage activates between 50 to 70% of the lighting automatically. G b. After the first stage occurs, manual switches allow an occupant to activate the alternate set of lights, activate 100% of the lighting power, and manually deactivate all of the lights. r This is page 14 of 31 Step 2. Simulate an unoccupied condition a. Both stages (automatic on and manual on) lights turn off within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) r J. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. r This is page 15 of 31 I� ,, r,,, 5. Additional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger than 250 ft , to Qualify for a Power Adjustment Factor (PAF) Step 0: First, complete Functional Test 2 (above) for each controlled zone. Step 1: Verify area served and compare actual PAF with claimed PAF. Refer to Functional Test 2. a. Area served by controlled lighting f:2 b. Enter PAF corresponding to controlled area from line (a) above (<125 ft2 for PAF=0.4, 126-250 ft2 for PAF=0.3, 251-500 ft2 for PAF=0.2). c. Enter PAF claimed for occupant sensor control in this space from the Certificate of Compliance. d. The PAF corresponding to the controlled area (line b), is greater than or equal to the PAF claimed in the compliance documentation (line c). ('', e. Sensors shall not trigger in response to movement in adjacent walkways or workspaces =r - f. All steps are conducted in Functional Test 2 'Occupancy Sensor (On Off Control)' and all answers are Yes. r This is page 16 of 31 C. Testing Results 1. Automatic Time Switch Controls (all answers must be Yes). r 2. Occupancy Sensor (On Off Control) (all answers must be Yes). FJ 3. Partial Off Occupancy Sensor (all answers must be Yes), For warehouses, library book stacks, corridors, stairwells in nonresidential buildings must also be accompanied by passing Test 1 or Test 2, r 4. Partial On Occupant Sensor for PAF (all answers must be Yes). r 5. Occupant Sensor serving small zones for PAF (all answers must be Yes). Also must pass Test 2. Representative Spaces Selected Tested space/room name: Reception 475 SENSOR 1 Space Type (office, corridor, etc) Reception Untested areas/rooms Confirm compliance for all control system types (1-5) present in each space: 1. Automatic Time Switch Controls Step 1: Simulate occupied condition r a. All lights can be turned on and off by their respective area control switch r b. Verify the switch only operates lighting in the ceiling -height partitioned area in which the switch is located. Step 2: Simulate unoccupied condition a. All lighting, including emergency and egress lighting, turns off. Exempt lighting may remain on per Section 130.1(c)1 and 130.1(a)1. r b. Manual override switch controls only the lights in the selected ceiling height partitioned space where the override switch is located and the lights remain on no longer than 2 hours (unless serving public areas and override switch is captive key type). r Step 3: System returned to initial operating conditions I*c 2. Occupancy Sensors Step 1: Simulate an unoccupied condition This is page 17 of 31 luptApe: Y26W a. Lights controlled by occupancy sensors turn off within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(b) I r b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. r Step 2: Simulate an Occupied condition a. Status indicator or annunciator operates correctly .r J. Lights controlled by occupancy sensors turn on immediately upon an occupied condition OR sensor indicates space is 'occupied' and lights may be turned on manually ro Step 3: System returned to initial operating conditions W 3. Partial Off Occupancy Sensor Step 1: Simulate an unoccupied condition a. Lights go to partial off state within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) 1:._ b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. For library book stacks or warehouse aisle, activity beyond the stack or aisle shall not activate the lighting in the aisle or stack. F- c. c. In the partial off state, lighting shall consume no more than 50% of installed lighting power, or: No more than 60% of installed lighting power for metal halide or high pressure sodium lighting in warehouses. No more than 60% of installed lighting power for corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category Method. Light level may be used as a proxy for lighting power when measurements are taken r Step 2: Simulate an occupied condition The occupant sensing controls shall turn lights fully ON in each separately controlled areas, Immediately upon an occupied condition',' 4. Partial On Occupancy Sensors Step 1. -Simulate an occupied condition. Verify partial on operation. a. Immediately upon an occupied condition, the first stage activates between 50 to 70% of the lighting automatically. :::::=r— b, After the first stage occurs, manual switches allow an occupant to activate the alternate set of lights, activate 100% of the lighting power, and manually deactivate all of the lights. r This is page 18 of 31 Step 2. Simulate an unoccupied condition a. Both stages (automatic on and manual on) lights turn off within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) I r b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. r This is page 19 of 31 5. Additional test for Occupancy Sensors Serving Small Zones in Office Spaces ~Larger than 250 ft , to Qualify for a Power Adjustment Factor (PAF) Step O: First, complete Functional Test 2 (above) for each controlled zone. Step 1: Verify area served and compare actual PAF with claimed PAF. Refer to Functional Test 2. a. Area served by controlled lighting ft2 b. Enter PAF corresponding to controlled area from line (a) above (<125 ft2 for PAF=0.4, 126-250 ft2 for PAF=0.3, 251-500 ft2 for PAF=0.2). C. Enter PAF claimed for occupant sensor control in this space from the Certificate of Compliance. d. The PAF corresponding to the controlled area (line b), is greater than or equal to the PAF claimed in the compliance documentation (line c). r e. Sensors shall not trigger in response to movement in adjacent walkways or workspaces F. - f. All steps are conducted in Functional Test 2 'Occupancy Sensor (On Off Control)' and all answers are Yes. (;- This is page 20 of 31 C. Testing Results 1. Automatic Time Switch Controls (ail answers must be Yes). f.''. 2. Occupancy Sensor (On Off Control) (all answers must be Yes). F 3. Partial Off Occupancy Sensor (all answers must be Yes), For warehouses, library book stacks, corridors, stairwells in nonresidential buildings must also be accompanied by passing Test 1 or Test 2. r 4. Partial On Occupant Sensor for PAF (all answers must be Yes). r 5. Occupant Sensor serving small zones for PAF (all answers must be Yes). Also must pass Test 2. i;- Representative Spaces Selected Tested space/room name: Office 482 Space Type (office, corridor, etc) Office Untested areas/rooms Confirm compliance for all control system types (1-5) present in each space: 1. Automatic Time Switch Controls Step 1: Simulate occupied condition a. All lights can be turned on and off by their respective area control switch r J. Verify the switch only operates lighting in the ceiling -height partitioned area in which the switch is located. r' Step 2: Simulate unoccupied condition a. All lighting, including emergency and egress lighting, turns off. Exempt lighting may remain on per Section 130.1(c)1 and 130,1(a)l. r J. Manual override switch controls only the lights in the selected ceiling height partitioned space where the override switch is located and the lights remain on no longer than 2 hours (unless serving public areas and override switch is captive key type). r Step 3: System returned to initial operating conditions - r 2. Occupancy Sensors Step 1: Simulate an unoccupied condition This is page 21 of 31 irau�m,vemw nuv�irv�w sman Ar 4675 MACARTHUR COURT lBvforcemes[Ageocy: CITY OFNEWPORTBEACH Pmmit Number. X2019-1966 Irm�eaaaaress: 4675 MAl;ARrHUR COURT STE 4]5 �JUEY: NEWPORT BEACH -- Zip Code: 92650 a. Lights controlled by occupancy sensors turn off within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(b) r F_. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. f✓ Step 2: Simulate an occupied condition a. Status indicator or annunciator operates correctly r b. Lights controlled by occupancy sensors turn on immediately upon an occupied condition OR sensor indicates space is 'occupied' and lights may be turned on manually r Step 3: System returned to initial operating conditions h 3. Partial Off Occupancy Sensor Step 1: Simulate an unoccupied condition a. Lights go to partial off state within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) r b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. For library book stacks or warehouse aisle, activity beyond the stack or aisle shall not activate the lighting in the aisle or stack, r c. In the partial off state, lighting shall consume no more than 50% of installed lighting power, or: No more than 60% of installed lighting power for metal halide or high pressure sodium lighting in warehouses. No more than 60% of installed lighting power for corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category Method. Light level may be used as a proxy for lighting power when measurements are taken r Step 2: Simulate an occupied condition The occupant sensing controls shall turn lights fully ON in each separately controlled areas, Immediately upon an occupied condition r 4. Partial On Occupancy Sensors Step 1. -Simulate an occupied condition. Verity partial on operation. a. Immediately upon an occupied condition, the first stage activates between 50 to 70% of the lighting automatically. r b. After the first stage occurs, manual switches allow an occupant to activate the alternate set of lights, activate 100% of the lighting power, and manually deactivate all of the lights. r This is page 22 of 31 Step 2. Simulate an unoccupied condition a. Both stages (automatic on and manual on) lights turn off within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110,9(a) r b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. r EM= This is page 23 of 31 IE41Code:926M 5. Add}tional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger than 250 ft , to Qualify for a Power Adjustment Factor (PAF) Step 0: First, complete Functional Test 2 (above) for each controlled zone. Step 3: Verify area served and compare actual PAF with claimed PAF. Refer to Functional Test 2. a. Area served by controlled lighting ft2 b. Enter PAF corresponding to controlled area from line (a) above (<125 ft2 for PAF -0.4, 126-250 ft2 for PAF=0.3, 251-500 ft2 for PAF=0.2). c. Enter PAF claimed for occupant sensor control in this space from the Certificate of Compliance. d. The PAF corresponding to the controlled area (line b), is greater than or equal to the PAF claimed in the compliance documentation (line c). r e. Sensors shall not trigger in response to movement in adjacent walkways or workspaces r f. All steps are conducted in Functional Test 2 'Occupancy Sensor (On Off Control)' and all answers are Yes. F This is page 24 of 31 C. Testing Results 1. Automatic Time Switch Controls (all answers must be Yes). r 2. Occupancy Sensor (On Off Control) (all answers must be Yes). r 3. Partial Off Occupancy Sensor (all answers must be Yes). For warehouses, library book stacks, corridors, stairwells in nonresidential buildings must also be accompanied by passing Test 1 or Test 2. r 4. Partial On Occupant Sensor for PAF (all answers must be Yes). r 5. Occupant Sensor serving small zones for PAF (all answers must be Yes). Also must pass Test 2. r Confirm compliance for all control system types (1-5) present in each space: 1. Automatic Time Switch Controls Step 1: Simulate occupied condition a. All lights can be turned on and off by their respective area control switch r b. Verify the switch only operates lighting in the ceiling -height partitioned area in which the switch is located. r Step 2: Simulate unoccupied condition a. All lighting, including emergency and egress lighting, turns off. Exempt lighting may remain on per Section 130.1(c)1 and 130.1(a)1. r b. Manual override switch controls only the lights in the selected ceiling height partitioned space where the override switch is located and the lights remain on no longer than 2 hours (unless serving public areas and override switch is captive key type). r Step 3: System returned to initial operating conditions r- 2. 2. Occupancy Sensors Step 1: Simulate an unoccupied condition This is page 25 of 31 Icm Daae: r<oou a. Lights controlled by occupancy sensors turn off within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(b) I P b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. W Step 2: Simulate an occupied condition a. Status indicator or annunciator operates correctly i b. Lights controlled by occupancy sensors turn on immediately upon an occupied condition OR sensor indicates space is 'occupied' and lights may be turned on manually r Step 3: System returned to initial operating conditions r 3. Partial Off Occupancy Sensor Step 1: Simulate an unoccupied condition a. Lights go to partial off state within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. For library book stacks or warehouse aisle, activity beyond the stack or aisle shall not activate the lighting in the aisle or stack. 1..- c. In the partial off state, lighting shall consume no more than 50% of installed lighting Power, or: No more than 60% of installed lighting power for metal halide or high pressure sodium lighting in warehouses. No more than 60% of installed lighting power for corridors and stairwells in which the installed lighting power is 8001a or less of the value allowed under the Area Category Method. Light level may be used as a proxy for lighting power when measurements are taken r Step 2: Simulate an occupied condition The occupant sensing controls shall turn lights fully ON in each separately controlled areas, Immediately upon an occupied condition (•.- 4. Partial On Occupancy Sensors Step 1. -Simulate an occupied condition. Verify partial on operation. a. Immediately upon an occupied condition, the first stage activates between 50 to 70% of the lighting automatically. r; b. After the first stage occurs, manual switches allow an occupant to activate the alternate set of lights, activate 100% of the lighting power, and manually deactivate all of the lights. This is page 26 of 31 Step 2. Simulate an unoccupied condition a. Both stages (automatic on and manual on) lights turn off within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) r b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. I F This is page 27 of 31 uIW:NtW 5. Additional test for Occupancy Sensors Serving Small Zones in Office Spaces'Larger than 250 ft , to Qualify for a Power Adjustment Factor (PAF) Step o: First, complete Functional Test 2 (above) for each controlled zone. Step 1: Verify area served and compare actual PAF with claimed PAF. Refer to Functional Test 2. a. Area served by controlled lighting ft2 b. Enter PAF corresponding to controlled area from line (a) above (<125 ft2 for PAF=0.4, 126-250 ft2 for PAF=0.3, 251-500 ft2 for PAF=0.2). c. Enter PAF claimed for occupant sensor control in this space from the Certificate of Compliance. d. The PAF corresponding to the controlled area (line b), is greater than or equal to the PAF claimed in the compliance documentation (line c), Tr - e. e. Sensors shall not trigger in response to movement in adjacent walkways or workspaces f. All steps are conducted in Functional Test 2 'Occupancy Sensor (On Off Control)' and all answers are Yes. m r This is page 28 of 31 C. Testing Results 1. Automatic Time Switch Controls (all answers must be Yes). 2. Occupancy Sensor (On Off Control) (all answers must be Yes). 3. Partial Off Occupancy Sensor (all answers must be Yes). For warehouses, library book stacks, corridors, stairwells in nonresidential buildings must also be accompanied by passing Test 1 or Test 2. 4. Partial On Occupant Sensor for PAF (all answers must be Yes). S. Occupant Sensor serving small zones for PAF (all answers must be Yes). Also must pass Test 2. D. Evaluation : r PASS: All applicable Construction Inspection responses are complete and all applicable Equipment Testing Requirements responses are positive. i r r r r r This is page 29 of 31 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT I certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name loan Rahovan Company Name Address BASCO 2750 Moore ave City Zip Code Fullerton 92833 Phone CEA/ATT Certification (714)870-0217 Identification (if TC -A813578 Author Signature applicable) J"' Data of Signature: 09/16/2019 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the fallowing under penalty of perjury, under the laws of the State of California: 1. The information Provided on this Certificate of Acceptance is true and correct. 2. I am the person who Performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified an this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Field Technician Name loan Rahovan Company Name Address: SASCO Data of 09/16/2019 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: I. I am the Field Techuiclan, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. I am eligible 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 Acceptance and attest to the declarations In this statement (responsible acceptance person). 3. The information provided an this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. I have confirmed that the Certificate(s) of Installation for the construction or Installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building, S. I will ensure that a completed, signed copy of this Certificate of Acceptance 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 Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Acceptance Person Name Donald W. King Company Name Address: SASCO 2750 Moore Avenue City Zip Code Fullerton 92833 Phone CSLB License 125897 Responsible Actepta on Signature Date of Signature: 09/16/2019 (714)870-0217 ineer This is page 30 of 31 2750 Moore ave City Zip Code Fullerton 92833 Phone Certification (714)870-0217 Identification dentification TC -A813576 Position with Company Field Technician Signature (Title) Foreman Data of 09/16/2019 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: I. I am the Field Techuiclan, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. I am eligible 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 Acceptance and attest to the declarations In this statement (responsible acceptance person). 3. The information provided an this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. I have confirmed that the Certificate(s) of Installation for the construction or Installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building, S. I will ensure that a completed, signed copy of this Certificate of Acceptance 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 Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Acceptance Person Name Donald W. King Company Name Address: SASCO 2750 Moore Avenue City Zip Code Fullerton 92833 Phone CSLB License 125897 Responsible Actepta on Signature Date of Signature: 09/16/2019 (714)870-0217 ineer This is page 30 of 31 This is page 31 of 31