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Home My WebLink AboutX2019-0975 - MiscX2014-0475 .9830 Newpor4 Blvd CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: 2830 Newport Blvd, Newport Beach, C Report Date: 7/19/19 CNB Inspector Name: CNB Permit #: Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: Phaitoon Sarujikamjotnwattana Phaitoon@g3inc.com 714.465.5200 SE4850 PLEASE INDICATE STRUCTURAL ELEMENTS AND OBSERVED (check applicable boxes) FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ` gonventional ootIng s & Slab ❑ Concrete El Steel El Concrete Continuous Footing 07/19/19 ❑ Mat Foundation, Prestressed Concrete ❑ Masonry ❑ Concrete ❑ Steel Deck Slab on grade dowels ❑ Caissons, Piles, Grade Beams ❑ Wood or Manuf. Shear Panels ❑ Masonry ❑ Wood anchor bolts ❑ Other: ❑ Other: ❑ Other: ❑ Other: )K ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptancp of the structural systems by the City of Newport Beach, Building 07/19/19 STRUCTURAL OBSERVATION DOES NOT WANE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. Fotms Mcta&!Obsm.tion]l port&inctructiotu °i ( tv3 a� i F l 1 1 iI I.� � .r . �` 1 i f i r, tot (r 'r i i�e d { 'i i I BUILDING 1�F��'i(r Iii i`} O 04 " J.. P i1.. leviXii?t Weach, 9A 92M www.newportbeachca.go 1(949)644-3200 Project Address: Permit Number:— Inspection Type (s):. umber:InspectionType(s):_ Inspection Date (s):--? — / 9— ( ) Periodic (,�-) Continuous .,."®este{bepnspeEtoor47tecBaadang4®c8on'sD -- OeS ., - — —L/q -r S;,& ar S 4 a rw FOQ Z--1.626 PA -02 11SI. ®H 96 L,C r ;CJOC .4 �w.a m a.aw s _ ...::.,,(w. '. tlse.�l,{{te sRegooring�orpecRioellocludeQr�.vi'gys .testedf9{a[o[ee ed,4ems• .r ,.;rW.i^t i�_.,.:.<: �1�� A � Y. '4 _ �s;yA �itiv.—✓—ur. it p'�Q.�aPae.K'V r..va.)r_ ,e 3..+ ��Sl:h� V � l+ i:i.:K .AeL�,..YR.tJ 3, .c`� " 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.B.C. except as noted above. 1 0& 7 e SpeciallnspeaionReport &2415 GILES ENGINEERING ASSOCIATES, INC. ❑ 5425 Peachtree Parkway / Atlanta, GA 30092 / 678-906-4031 / Fax: 678-906-4032 ❑ 10553 Olympic Drive, Suite 102 / Dallas, TX 75220 / 214-358-5885 / Fax: 214-358-5884 X 1965 North Main Street / Orange, CA 92865 / 714-279-0817 / Fax: 714-279-9687 ❑ N8 W22350 Johnson Drive, Suite Al / Waukesha, WI 53186 / 262-544-0118 / Fax: 262-549-5868 ❑ 514 Progress Drive, Suite J / Linthicum, MD 21090 / 410-636-9320 / Fax: 410-636-9325 ❑ 8132 Flannery Court / Manassas, VA 20109 / 703-361-2763 / Fax: 703-361-2765 DAILY FIELD MONITORING REPORT CLIENT: T PROJECT: -� PX . /' DATE: WEATHER: 1 /� (—_ G� ) L ` �✓In PROJECT NO: FIELD REP: 2M- I G�1Ltr�LG`i j/LL✓tp COMMENTS/RECOMMENDATIONS t y jj 5 �p'r �V�7G%t .:., 1.�i r(, !`.'t ^v�^�r� j7 ✓'�_,s w+`� c7 ,� Y�. � ., A+ K201q-047S ,2830 Wewpor4 314 Inland A�ir Balance, ine. V Test and Balance Report NEWPORT CREATIVE OFFICE SPACE NEWPORT BEACH Job Address: 2830 NEWPORT BLVD. Job Number: 2001-182 Technician: C. MACGREGOR Contractor SUMMIT COOLING & HEATING Date: 2/4/2020 THE DATA PRESENTED IN THIS REPORT IS A RECORD OF SYSTEM MEASUREMENTS AND FINAL ADJUSTMENTS THAT HAVE BEEN OBTAINED IN ACCORDANCE WITH THE CURRENT EDITION OF THE NEBB PROCEDURAL STANDARDS FOR TESTING, ADJUSTING, AND BALANCING OF ENVIROMENTAL SYSTEMS. THE MEASURMENTS SHOWN, AND THE INFORMATION GIVEN, IN THIS REPORT ARE CERTIFIED TO BE ACCURATE AND COMPETE, AT THE TIME AND DATE INFORMATION WAS GATHERED. ANY VARIANCES FROM DESIGN QUANTITIES, WHICH EXCEED NEBB TOLERANCES, ARE NOTED IN THE TEST -ADJUST- BALANCE REPORT PROJECT SUMMARY. Inland Air Balance, Inc. SYMBOL SHEET BHP Brake Horse Power CFM Cubic Feet per Minute CHWR Chilled Water Return CHWS Chilled Water Supply CSD Ceiling Supply Diffuser CSG Ceiling Supply Grille CWR Condensor Water Return CWS Condensor Water Supply DA Direct Acting DNA Data Not Available DT Duct Traverse EAT Entering Air Temperature EG Exhaust Grill ESP External Static Pressure EWT Entering Water Temperature FLA Full Load Amps FPM Feet per Minute GF Grease Filter HP Horse Power HWR Hot Water Return HWS Hot Water Supply LAT Leaving Air Temperature LSD Linear Slot Diffuser LWT Leaving Water Temperature MAT Mixed Air Temperature N/A Not Accessible N/I Not Installed N/L Not Listed N/S Not Shown NVL No Valid Location Outside Air Reverse Acting Return Air Return Grill Revolutions per Minute Supply Air Static Pressure Sidewall Diffuser To Be Determined Total Static Pressure -STAT Thermostat TR I Linable to Read Air Volume Pressure Inland Air Balance, Inc. PROJECT: NEWPORT CREATIVE OFFICE SPACE LOCATION: 2830 NEWPORT BLVD., NEWPORT BEACH 92663 JOB NUMBER: 2001-182 DATE: 2/4/2020 FAN DATA Fan Number FC -1 FC -2 FC -3 Location CEILING CEILING CEILING Service SUITE A l SUITE B 3 SUITE C 5 Manufacturer LG LG LG Model Number LHN 247 HV LHN 247 HV LHN 247 HV Serial Number 905 KCPY 14 D 08 905 KCPY 16 N 68 905 KCHE 14 D 09 Classification I I I Motor Make/Frame N/A - N/A N/A - N/A N/A - N/A Motor HP (W)/RPM N/A - N/A N/A - N/A N/A - N/A Volts/Phase/Hertz 208-1-60 208-1-60 208-1-60 F.L. Amps/S.F. 1.0 - N/S 1.0 - N/S 1.0 - N/S Motor Sheave Make DIRECT DRIVE DIRECT DRIVE DIRECT DRIVE Motor Sheave Diam./ Bore DIRECT DRIVE DIRECT DRIVE DIRECT DRIVE Fan Sheave Make DIRECT DRIVE DIRECT DRIVE DIRECT DRIVE Fan Sheave Diam./ Bore DIRECT DRIVE DIRECT DRIVE DIRECT DRIVE No. Belts/Make/Size DIRECT DRIVE DIRECT DRIVE DIRECT DRIVE Sheave & Distance DIRECT DRIVE DIRECT DRIVE DIRECT DRIVE TEST DATA DESIGN ACTUAL DESIGN ACTUAL DESIGN ACTUAL CFM 675 671 875 888 675 696 Outside Air CFM 75 77 120 125 85 87 Fan RPM N/S HIGH N/S HIGH N/S HIGH ESP 0.39" 0.34" 0.30" 0.34" 0.39" 0.38" Voltage 208 212 208 210 208 210 ,Amperage T1/T2/T3 1.0 0.91 1.0 1.0 1.0 0.9 VFD Set Point _ SUCTION SP 0.12 0.10 0.14 DISCHARGE SP 0.22 0.24 0.24 NOTE: READINGS BY: CM TEST AND BALANCE REPORT DIFFUSER AND GRILLE TEST SHEET Readings by: CM Inland Air Balance, Inc. NEWPORT CREATIVE OFFICE SPACE NEWPORT BEACH FC -1 DATE: 2/4/2020 JOB NO: 2001-182 • Komi "=I®�� • �� ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- TEST AND BALANCE REPORT DIFFUSER AND GRILLE TEST SHEET Readings by: CM Inland Air Balance, Inc. NEWPORT CREATIVE OFFICE SPACE NEWPORT BEACH FC -2 DATE: 2/4/2020 JOB NO: 2001-182 ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- TEST AND BALANCE REPORT DIFFUSER AND GRILLE TEST SHEET Readings by: CM Inland Air Balance, Inc. NEWPORT CREATIVE OFFICE SPACE NEWPORT BEACH FC -3 DATE: 2/4/2020 JOB NO: 2001-182 0 •®�� ----------- ----------- ----------- ----------- Inland Air Balance, Inc. PROJECT: NEWPORT CREATIVE OFFICE SPACE LOCATION: 2830 NEWPORT BLVD., NEWPORT BEACH 92663 JOB NUMBER: 2001-182 DATE: 2/4/2020 FAN DATA Fan Number FC -4 Location CEILING Service SUITE D 7 Manufacturer LG Model Number LHN 247 HV Serial Number 905 KCCV 14 D 11 Classification I Motor Make/Frame N/A - N/A Motor HP (W)/RPM N/A - N/A Volts/Phase/Hertz 208-1-60 F.L. Amps/S.F. 1.0 - N/S Motor Sheave Make DIRECT DRIVE Motor Sheave Diam./ Bore DIRECT DRIVE Fan Sheave Make DIRECT DRIVE Fan Sheave Diam./ Bore DIRECT DRIVE No. Belts/Make/Size DIRECT DRIVE Sheave & Distance DIRECT DRIVE TEST DATA DESIGN ACTUAL DESIGN ACTUAL DESIGN ACTUAL CFM 350 340 Outside Air CFM 37 38 Fan RPM N/S HIGH ESP 0.39" N/A Voltage 208 210 ,Amperage T1/T2/T3 1.0 0.89 VFD Set Point - SUC: I ION SP N/A DISCHARGE SP N/A NOTE: READINGS BY: TEST AND BALANCE REPORT DIFFUSER AND GRILLE TEST SHEET Readings by: CM Inland Air Balance, Inc. NEWPORT CREATIVE OFFICE SPACE NEWPORT BEACH FC -4 DATE: 2/4/2020 JOB N0: 2001-182 ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- IL��rL1►L�]YG1AG@[yam 7�5�7 �� DIFFUSER AND GRILLE TEST SHEET Readings by: CM Inland Air Balance, Inc. NEWPORT CREATIVE OFFICE SPACE NEWPORT BEACH EXHAUSTFANS DATE: 2/4/2020 JOB N0: 2001-182 ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- ----------- BEACH Enforcement Agency Use: Checked by/Date LIGHTING CONTROL ACCEPTANCE DOCUMENT X530 Ivewpor} Blvd 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 e a. All automatic time switch controls are programmed for (check all): r 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 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 W Occupancy sensors are not located within 4 feet of any HVAC diffuser r Ultrasonic occupancy sensors do not emit audible sound 5 feet from source This is page 1 of 11 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: Restroom A,B,C,D Space Type (office, corridor, etc) Restroom Untested areas/rooms N/A 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 r 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 r 2. Occupancy Sensors Step 1: Simulate an unoccupied condition 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, rJ 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 ry This is page 2 of 11 Step 3: System returned to initial operating conditions 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 tothe controlled space or from HVAC operation. For library book stacks or warehouse aisle, activitybeyond the stack or aisle shall not activate the lighting in r the aisle or stack. 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. 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 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 3 of 11 5. Addi ional 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 r the PAF claimed in the compliance documentation (line c). 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)' r and all answers are Yes. This is page 4 of 11 1. Automatic Time Switch Controls (all answers must be Yes). r 2. Occupancy Sensor (On Off Control) (all answers must be Yes). W 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. 5. Occupant Sensor serving small zones for PAF (all answers must be Yes). Also must r pass Test 2. Representative Spaces Selected Tested space/room name: Suite A,B,C,D Space Type (office, corridor, etc) Office Untested areas/rooms N/A 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 --Tr - 2. Occupancy Sensors Step 1: Simulate an unoccupied condition This is page 5 of 11 Lights controlled by occupancy sensors turn off within maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(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. r Step 2: Simulate an occupied condition a. Status indicator or annunciator operates correctly P 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 iJ Step 3: System returned to initial operating conditions P 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 r the aisle or stack. 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. 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. C This is page 6 of 11 ACCEPTANCE 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 7 of 11 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 controlin this space from the Certificate of Compliance. d. The PAF corresponding to the controlled area (line b), is greater than or equal to r the PAF claimed in the compliance documentation (line c). 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)' r and all answers are Yes. This is page 8 of 11 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). 3. Partial Off Occupancy Sensor (all answers must be Yes). For warehouses, library book stacks, corridors, stairwells in nonresidential buildings must also be r accompanied by passing Test 1 or Test 2. 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 r pass Test 2. D. Evaluation : �J PASS: All applicable Construction Inspection responses are complete and all applicable Equipment Testing Requirements responses are positive. This is page 9 of 11 CERTMCATE OFACCEPTANCE NRCA-LTI-02-A Lighting Control Project Name: Newport Creative Office Space jEnfiencement Agency: CITY OF NEWPORT BEACH Permit Number X201&09]5 Project Address: 2830 Newport Blvd City: Newport Beach Zip Cade: 92663 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT I certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Company Name Name Paul Neuenswander Advanced Energy Compliance Address City 11141 Darling Rd, Ague Dulce Zip Code 91390 Phone (818)4]3-0]97 CEA/ATT Certification Author Signature Identification if TC A814189 applicable) Date of Signature: 02/04/2020 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following 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 en 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 an installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permits) Issued For the building. Field Technician Name Paul Neuenswander Company Name Advanced Energy Compliance Address: City 11141 Ceiling Rd, Ague Dulce Zip Code Phone 91390 (810)973-0797 ATT Certification TC -A814189 Position with Company Identification (Title) Owner Field Technlpia ignatu n.,.. ...Q Date of Slgnatm'e: 02/04/2020 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. 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, oo 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 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 far 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 permits) 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 Paul Neuenswander Advanced Energy Compliance Address: City 11141 Darling Rd, ggua Dulce Zip Code Phone 91390 (818)4]3-0]97 CSLB License Position with Company (Title) Owner Responsible p a Person Signature Date of Signature: 02/04/2020 This is page 10 of 11 This is page 11 of I 1 AUTOMATIC DAYLIGHTING CONTROL ACCEPTANCE DOCUMENT Enforcement Agency Use: Checked by/Date Check boxes forall pages of this NRCA-LTI-03-A completed and included in this submittal 0 NRCA-LTI-03-A Page 1&2 Construction Inspection. This page required for all submittals. 0 NRCA-LTI-03-A Page 3&4 Continuous dimming control functional performance test — watt -meter or amp -meter measurement NRCA-LTI-03-A Page Stepped Switching/ Stepped Dimming functional performance test —watt -meter or amp -meter measurement 5&6 0 NRCA-LTI-03-A Page Continuous dimming control functional performance test—light meter power measurement, and default look -up 7&9 table of fraction of rated power versus fraction of rated light output. 0 NRCA-LTI-03-A Page 9&10 Stepped Switching/ Stepped Dimming functional performance test — based on light output 1. NA7.6.1.1 Construction Inspection: 1. Drawing of Daylit Zone(s) must be shown on plans or attached to this compliance document. By checking this box, technician certifies that plans have been attached to this webform r Document Name and Page #'s E-1.0, E-1.1 Add Control Systems below. If sampling method is used in accordance with NA7.6.1.2. If adding, attach a page with names of other controls in sample (only for buildings with > 5 daylight control systems, sample group glazing same orientation) Suite C 3. Suite C Plans Page Number Check if Tested Control is Representative of Sample r Anrormatwn Zone Type: Skylit (Sky), Primary Sidelit (PS), in Secondary Sidolit (SS) Control Type: Continuous Dimming with more than 10 light levels (q, Stepped Dimming (SD), Switching (SW) Design Footcandles: (Enter footcandle (to) value or "U" if unknown): Control Loop Type: Open Loop (OL), Closed Loop (CL) Sensor Location: Outside (0), Inside Skylight (IS), Near Windows facing out (NW), In Controlled Zone (CZ) Sensor Location is Appropriate to Control Loop Type: (Yes/No) If control loop type is Open Loop (OL): Enter yes (Y) if location = Outside (0), Inside Skylight (IS), or Near Windows facing out (NW); otherwise, enter no (N). If Control loop type is Closed Loop (CL): Enter yes (Y) if location = In Controlled Zone (CZ); otherwise, enter no (N). Control Adjustments are in Appropriate Location (Yes/No): Yes, If Readily Accessible or Yes if in Ceiling less than or equal to 11 ft PS C CL CZ Yes s Yes l II This is page 1 of 11 ACCEPTANCE No for all other. 4, Has Documentation Been Provided by the Installer: Installation Manuals and Calibration Instructions Provided to Building Owner: (Yes/No) Yes Location of Light Sensor on Plans: (Yes/No) Yes Location of Light Sensor on Plans: (Page Number) S. Separate Controls of Luminaires in Daylit Zones: Are luminaires controlled by automatic daylighting controls only is daylit zones: (Yes/No) Yes Separately circuited for daylit zones by windows and daylit zones under skylights: (Yes/No) Yes 6. Daylighting Control Device Certification Daylighting control has been certified in accordance with §110.9: (Yes/No) Yes Construction Inspection PASS/FAIL. If all responses on Construction Inspection pages 1 & 2 are complete and all Yes/No questions have a Yes response, the tests PASS; If any responses on this page are incomplete OR there are any No responses, the tests FAIL Pass PASS/FAIL Evaluation (check one): r PASS: [fall responses on Construction Inspection pages 1 &.2 are complete and all Yes/No questions have a Yes (Y) response, the tests PASS r FAIL: Any applicable Construction Inspection responses are incomplete OR there is one or more negative (N - no) responses in any applicable Functional Performance Testing Requirements section. System does not pass and is NOT eligible for Certificate of Occupancy according to Section 10- 103(a)3B. Fix nobiem(s) and retest until the systems) passes all portions of this test before retesting and resubmitting NRCA-LTI-03-A with PASSED test to the enforcement agency. Describe below the failure mode and corrective action needed. This is page 2 of I1 OFACCEPTANCE 2. NA7.6.1.2.1 Functional Performance Testing — Continuous Dimming Systems: Power estimation using light meter measurement Complete all tests on page 7 & 8 (No Daylight Test, Full Daylight Test, and Partial Daylight Test) and fill out Pass/Fail section on Page 8, Suite C I Svstem Information a. Control Loop Type: Open Loop or Closed Loop? (0 or C) C b. Indicate if Mandatory conh'ol - M (requiredfor skylit zone or primary sidelit zone with installed general lighting power > 120 W); for Control Credit - CC; or Voluntary not for credit -V (M, CC, V) h1 c If automatic daylighting controls are mandatory, are all general lighting luminaires in daylit zones controlled by automatic daylight controls? (Yes/No) yes it. General lighting design footcandles. (Enter footcandle (FC) value, or "U" if unknown.) 20 e. Power estimation method, (see line q) Default ratio of power to light (Dfc), cut -sheet ratio of power to light (CSfc) If CSFc - attach cut -sheet. Enter Dfc or CSfc Df< btep is aaent[ry Kererence Location (location where minimum daylight illuminance is measured in zone served by the controlled lighting.) f. Method Used: Illuminance or Dlstance' it or D) I override daylight control system and drive electric lights to highest light level for the following: g, Highest light level fc - enter measured controlled electric lighting footcandles (d) q3 H. Indicate whether this is Full Output (FO), or Task Tuned (Lumen Maintenance) (TT) FO Step 2: No Daylight Test controls enabled & daylight less than 1 fe at reference location FMethod used: Night time manual measurement (Night), Night Time Illuminance Logging (Log), Cover Fenesin ation (CF), Cover Night 1. Open Loop Photosensor(COLP) j. Reference Illuminance (footcandles) as measured at Reference Location (see Step 1). Enter footcandles 43 k. Enter Y If either of the following statements are true: If line h = TO; [Reference Illuminance (line j)) / [Full Output fc (line g)] r Yes 70%7 or [Reference Illuminance (line j)j / [design footcandles (line d)I > 80%.7 (Yes/No) Step 3: Full Daylight Test conducted when daylight > 150% of reference illuminance (line j) 1. Daylight illuminance (light level with electric lighting turned off) measured at Reference Location (fc) 69 m. Daylight illuminance (line 1) greater than Reference Illuminance (line j)? (Yes/No) Yes Fill out lines o through t only if electric liahtina is turned dnwn nr nff- n. Total (daylight + electric light) illuminance measured at the Reference Location (fc), 72 o. Electric lighting Illuminance at the Reference Location (fc) [(line n) - (line p7. 3 P. Electric lighting illuminance (line o) divided by Highest Light Level fc (line g). Enter %. 6.9 76744186046 2 q. Dimmed luminaire fraction of rated power. Attach manufacturer's cut -sheet or use default graph of rated power to light output. Label applicable control system on cut -sheet or graph. Enter fraction of rated power in %. 20 r. System Power Reduction = [1 - line q) 8o s. Is System Power Reduction (line r) > 6SO/ when line h = F0, or > 56% when line h = IT (Yes/No). Yes t. With uncontrolled lights also on, no lamps dimmed outside of daylit zone by control (Yes/No). Yes u. Dimmed lamps have stable output, no perceptible flicker (Yes/No). Yes This is page 3 of 11 v, Daylight Dimming plus OFF Controls PAF (This portion of the full daylight test applies to lighting systems that are claiming a PAF for daylight dimming plus OFF controls. This portion of the full daylight test shall be conducted instead of steps L thin u.) Does the system automatically turn OFF the luminaires when full daylight is available? (Yes/No) Step 4: Partial Davliaht Test conducted when davliaht hetween Eno/ and aro/ of nine ;\ No w. Daylight illuminance (light level without electric light) measured at Reference Location (Fc). 27 x. Daylight Illuminance divided by the Reference Illuminance = (line w )/ (line j). Enter %. 62.790697674418 y, Is Ratio of Daylight illuminance to Ref. illuminance (line x) between GOND and 95%.? (Yes/No). Yes z. Total (daylight + electric light) Illuminance measured at the Reference Location (fc). 58 aa. Total illuminance divided by the Reference Illuminance = (line z )/ (line j), Enter %. 134.88372093023 S bb. Is Total illuminance divided by the Reference illuminance (line as) between 100% and 150%? (Yes/No). Yes PASS/FAIL Evaluation (check one): 1` PASS: All applicable Construction Inspection responses are complete and all applicable Functional Performance Testing Requirements responses are positive (Y - yes) f FAIL: Any applicable Construction Inspection responses are incomplete OR there is one or more negative (N - no) responses in any applicable Functional Performance Testing Requirements section. System does not pass and is NOT eligible for Certificate of Occupancy according to Section 10- 103(a)38. Fl pro his no(s) and retest until the system (s) passes all portions of this test before retesting and resubmitting N RCA- LTI -03 -A with PASSED test to the enforcement agency. Describe below the failure made and corrective action needed. Suite B Suite e Plans Page Number Check if Tested Control is Representative of So In pie r L. OyMiLWlll all NlIO4EIUFI Zone Type:. Skylit (Sky), Primary Sidelit (PS), or Secondary Sidelit (SS) PS Control Type: Continuous Dimming with more than 10 light levels (C), Stepped Dimming (SD), Switching (SW) C Design Footcandles: (Enter footcandle (fc) value or "U" If unknown): 3. Jtll15a FS "slop l.01111if015 Control Loop Type: Open Loop (OL), Closed Loop (CL) CL Sensor Location: Outside (0), Inside Skylight (IS), Near Windows facing out (NW), In Conti oiled Zone (CZ) CZ Sensor Location is Appropriate to Control Loop Type: (Yes/No) If control loop type is Open Loop (OL): Enter yes (Y) if In cation = Yes Outside (0), Inside Skylight (IS), an Near Windows facing out (NW): otherwise, enter no (N). If Control loop type Is Closed Loop (CL): Enter yes (Y) if location = In Controlled Zone (CZ); otherwise, enter no (N). Control Adjustments are in Appropriate Location (Yes/No): Yes, If Readily Accessible or Yes if in Ceiling less than or equal to 11 ft, Yes No for all other, 4. may VOcuhlentatlon Been PrOviOeO by the installer: Installation Manuals and Calibration Instructions Provided to Building Owner: (Yes/No) Yes This is page 4 of 11 Location of Light Sensor on Plans: (Yes/No) I Yes Location of Light Sensor on Plans: (Page Number) E-1,1 S. Separate Controls of Luminaires in Daylit Zones: Are luminal res controlled by automatic dayllghting controls only in daylit zones: (Yes/No) Yes Separately circuited for daylit zones by windows and daylit zones under skylights: (Yes/No) Yes 6. Daylighting Control Device Certification Daylighting control has been certified in accordance with §110.9: (Yes/No) Yes Construction Inspection PASS/FAIL. If all responses on Construction Inspection pages 1 & 2 are complete and all Yes/No questions Pass have a Yes response, the tests PASS; If any responses on this page are incomplete OR there are any No responses, the tests FAIL PASS/FAIL Evaluation (check one): r PASS: if all responses on Construction Inspection pages 1 A 2 are complete and all Yes/No questions have a Yes (Y) response, the tests PASS r FAIL: Any applicable Construction Inspection responses are incomplete OR there is one or more negative (N - no) responses in any applicable Functional Performance Testing Requirements section. System does not pass and is NOT eligible for Certificate of Occupancy according to Section 10- 103(a)36. Fix problem(s) and retest until the system(s) passes all portions of this test before retesting and resubmitting NRCA-LTI-03-A with PASSED test to the enforcement agency: Describe below the to llure mode and correct lye action nadded. This is page 5 of 11 2. NA7.6.1.2.1 Functional Performance Testing — Continuous Dimming Systems: Power estimation using light meter measurement Complete all tests on page 7 & 8 (No Daylight Test, Full Daylight Test, and Partial Daylight Test) and fill out Pass/Fail section on Page 8, State 6 Svstem Information a. Control Loop Type: Open Loop or Closed Loop? (0 or C) C I If, Indicate if Mandatory control - M (required for skylit zone or primary sidelit zone with installed general lighting power > 120 W); for Control Credit - CC; or voluntary not for credit -V (M, CC, V) 3 r. If automatic daylighting controls are mandatory, are all general lighting luminaires in daylit zones controlled by automatic daylight controls? (Yes/No) Yes d. General lighting design footcandles. (Enter footcandle (FC) value, or "U" if unknown.) 20 e. Power estimation method. (see line q) Default ratio of power to light (Dirt), cut -sheet ratio of power to light (CSfc) If CSFc - attach cut -sheet. Enter Dfc or CSfc Dfc atep 1: lueomy K@Terence Location (location where minimum daylight illuminance is measured in zone served by the controlled lighting.) C Method Used: Illuminance or Distance? (I or D) Override daylight control system and drive electric lights to highest light level for the followina: g. Highest light level fc - enter measured controlled electric lighting footcandles (fc) L. Indicate whether this is Full Output (FO), or Task Tuned (Lumen Maintenance) (TT) step 2: No Daylight Test controls enabled & davliaht less than 1 fc at reference Incatinn I. Method Used: Night time manual measurement (Night), Night Time Illuminance Logging (Log), Cover Fenesh'atlon (CF), Cover Open Loop Photosensor (COLP) -, 49 TO Nlyhk j, Reference Illuminance (footcandles) as measured at Reference Location (see Step 1). Enter footcandles 49 k. Enter Y if either of the following statements are true: If line h = F0; [Reference Illuminance (line j)] / [Full Output fc (line g)j > Ves 70%? or [Reference Illuminance (line j)] / [design footcandles (line d)] > 80 f ? (Yes/No) Step 3: Full Daylight Test conducted when daylight > 150% of reference illuminance (line j) I. Daylight illuminance (light level with electric lighting turned off) measured at Reference Location (fc) el m. Daylight illuminance (line 1) greater than Reference Illuminance (line j)? (Yes/No) Yes Fill out lines n throunh tonly if elertric linhtinn is ivrrnurb dnum n nfP n. Total (daylight + electric light) illuminance measured at the Reference Location (fc). 84 o. Electric lighting illuminance at the Reference Location (fc) Lima n) - (line i)]. 3 In. Electric lighting Illuminance (line o) divided by Highest Light Level fc (line g), Enter %. 6,122448979S918,JG q. Dimmed luminaire fraction of rated power. Attach manufacturer's cut -sheet or use default graph of rated power to light output. Label applicable control system on cut -sheet or graph. Enter fraction of rated power In 20 I. System Power Reduction = [1 - line q] 88 s. Is System Power Reduction (line If > 65% when line h = F0, or > 56% when hire h = TT (Yes/No). Yes C With uncontrolled lights also on, no lamps dimmed outside of daylit zone by control (Yes/No), Yes u, Dimmed lamps have stable output, no perceptible flicker (Yes/No). Yes This is page 6 of 11 v. Daylight Dimming plus OFF Controls PAF (This portion of the full daylight test applies to lighting systems that are claiming a PAF for daylight dimming plus OFF controls. This portion of the full daylight test shall be conducted instead of steps I. thin u.) Does the system automatically turn OFF the luminaires when full daylight is available? (Yes/No) I Sten 4: Partial navliaht That rnndurtpd when davlinht histo..... Anoi ai..d ocoi ..P nin- a No w. Daylight illuminance (light level without electric light) measured at Reference Location (fc). 32 x. Daylight illuminance divided by the Reference Illuminance = (line w )/ (line j). Enter %. 65.306122448979 V. Is Ratio of Daylight illuminance to Ref. illuminance (line x) between 600/o and 95(Vo? (Yes/No), yes z. Total (daylight + electric light) illuminance measured at the Reference Location (fc). 64 aa. Total illuminance divided by the Reference Illuminance = (line z )/ (line j), Enter %. 130.61224489795 2 bb. Is Total illuminance divided by the Reference illuminance (line as) between 100"/% and 150%2 (Yes/No). Yes PASS/PAIL Evaluation (check one): PASS: All applicable Construction Inspection responses are complete and all applicable Functional Performance Testing Requirements responses are positive (Y - yes) FAIL: Any applicable Construction Inspection responses are Incomplete OR there is one or more negative (N - no) responses in any applicable Functional Performance Testing Requirements section. System does not pass and is NOT eligible for Certificate of Occupancy according to Section 10- 103(a)36. Fix problem(s) and retest until the systems) passes all portions of this test before retesting and resubmitting NRCA-LTI-03-A with PASSED test to theenforcement agency. Describe below the failure mode and corrective action needed. Suite A Suite A Plans Page Number CZ Check if Tested Control is Representative of So in pie r 2. System Information Zone Type: Skylit (Sky), Primary Sidelit (PS), or Secondary Sidelit (SS) PS Control Type: Continuous Dimming with more than 30 light levels (C), Stepped Dimming (SD), Switching (SW) C Design Footcandles: (Enter footcandle (fc) value or "U" if unknown): 3. Sensors and Controls Control Loop Type: Open Loop (OL), Closed Loop (CL) ICL Sensor Location: Outside (0), Inside Skylight (IS), Near Windows facing out (NW), In Controlled Zone (CZ) CZ Sensor Location is Appropriate to Control Loop Type; (Yes/N o) If control loop type is Open Loop (0L): Enter yes (Y) if location = Ves Outside (0), Inside Skylight (IS),. or Near Windows facing out (NW); otherwise, enter no (N). If Control loop type is Closed Loop (CL): Enter yes (Y) If location = In Co ntial led Zone (CZ); otherwise, enter no (N). Control Adjustments are in Appropriate Location (Yes/No): Yes, If Readily Accessible or Yes if in Ceiling less than or equal to 11 ft, Yes No for all other. rt. nas uocumencaclon peen Provic ea ov the anstaner: Installation Manuals and Calibration Instructions Provided to Building Owner: (Yes/No) Yes This is page 7 of 11 BEACH Location of Light Sensor on Plans: (Yes/No) I Yes Location of Light Sensor on Plans: (Page Number) E-1.1 5. Separate Controls of Luminaires in Daylit Zones: Are luminaires controlled by automatic daylighting controls only in daylit zones: (Yes/No) Yes Separately ciraiited for daylit zones by windows and daylit zones under skylights: (Yes/No) Yes 6. Dayli hting Control Device Certification Daylighting control has been certified in accordance with §110.9: (Yes/No) Yes Construction Inspection PASS/FAIL. If all responses on Construction. Inspection pages 1 & 2 are complete and all Yes/Poo questions Pass have a Yes response, the tests PASS; If any responses on this page are Incomplete OR there are any No responses, the tests FAIL PA55/FAIL Evaluation (check one): r PASS: If all responses on Construction Inspection pages 1 & 2 are complete and all Yes/No questions have a Yes (Y) response, the tests PASS r FAIL: Any applicable Construction Inspection responses are incomplete OR there is one or more negative IN - no) responses in any applicable Functional Performance Testing Requirements section. System does not pass and is NOT eligible for Certificate of Occupancy according to Section 10- 103(a)3B. FIX problems) and retest until the system(s) passes all portions of this test before retesting and resubmitting NRCA-LTI-03-A with PASSED test to the enforcement agency. Desa'ibe below the failure mode and corrective action needed, This is page 8 of 11 ACCEPTANCE 2. NA7.6.1.2.1 Functional Performance Testing - Continuous Dimming Systems: Power estimation using light meter measurement Complete all tests on page 7 & 8 (No Daylight Test, Full Daylight Test, and Partial Daylight Test) and fill out Pass/Fail section on Page 8. Suite A Svstem Information a. Control Loop Type: Open Loop or Closed Loop? (O or C) C b. Indicate if Mandatory control- M (required for skylit zone or primary sidelit zone with installed general lighting power > 120 W); for Control Credit - CC; or Voluntary not for a'edit -V (h1, CC, V) c If automatic daylighting controls are mandatory, are all general lighting luminaires in daylit zones controlled by automatic Yes daylight controls? (Yes/No) it, General lighting design footcandles. (Enter footcandle (FC) value, or "U" if unknown.) e. Power estimation method. (see line q) Default ratio of power to light (Dfc), cut -sheet ratio of power to light (CSfc) If CSFc - DFc attach cut -sheet. Enter Dfc or CSfc Step 1: identity Keterence LOCatfon (location where minimum daylight illuminance is measured in zone served by the controlled lighting.) N Method Used: Illuminance or Distance? (I or D) Override daylight control system and drive electric lights to highest light level for the following: g. Highest light level fc - enter measured controlled electric lighting footcandles (fc) q3 h. Indicate whether this is Full Output (FO), or Task Tuned (Lumen Maintenance) (TT) I FO Step 2: No Daylight Test controls enabled & daylight less than 1 fc at reference location I. Methotl Used: Night time manual measurement (Night),. Night Time Illuminance Logging (Log), Cover Feneshation (CF), Cover Night Open Loop Photosensor(COLP) j. Reference Illuminance (footcandles) as measured at Reference Location (see Step 1). Enter footcandles 43 k. Enter V If either of the following statements are true: If line h = F0; (Reference Illuminance (line j)] / (Full output fc (line g)] > Ves 70%? or [Reference Illuminance (line j)] / [design footcandles (line d)] > 800/o? (Yes/No) Step 3: Full Daylight Test conducted when daylight > 150% of reference illuminance (line j) I. Daylight illuminance (light level with electric lighting turned off) measured nt Reference Location (fc) 67 m. Daylight illuminance (line I) greater than Reference Illuminance (line j)? (Yes/No) Yes Fill out lines o throuah t oniv if electric liahtina is turned dnwo nr nff_ n. Total (daylight + electric light) illuminance measured at the Reference Location (fc). 69 o. Electric lighting illuminance at the Reference Location (fc) tHine n) - (line p7. 2 F. Electric lighting illuminance (line o) divided by Highest Light Level fc (line g). Enter %. 4.6 5116 27906976 5 q. Dimmed luminaire fraction of rated power. Attach manufacturer's cut -sheet or use default graph of rated power to light output. Label applicable control system on cut -sheet or graph. Enter fraction of rated power in 20 r. System Power Reduction = [3 - line q] 80 s. Is System Power Reduction (line i ) > 55% when line h = FO, or > 56°% when line 15 = TT (Yes/No). Yes t. With uncontrolled lights also on, no lamps dimmedoutside of daylit zone by control (Yes/No). Yes u. Dimmed lamps have stable output, no perceptible flicker (Yes/No). Yes This is page 9 of 11 v. Daylight Dimming plus OFF Controls PAF (This portion of the full daylight test applies to lighting systems that are claiming a PAF for daylight dimming plus OFF controls. This portion of the full daylight test shall be conducted instead of steps I. thin u.) Does the system automatically turn OFF the luminaires when full daylight is available? (Yes/No) Step 4: Partial Davliaht Test conducted when davliaht between 600/h and 950/n of (line i). No w. Daylight illuminance (light level without elect is light) measured at Reference Location (fc). 27 x. Daylight Illuminance divided by the Reference Illuminance = (line w )/ (line j). Enter %. 62.790697674418 y. Is Ratio of Daylight illuminance to Ref. illuminance (line x) between 60% and 95%? (Yes/No). Yes z. Total (daylight + electric light) illuminance measured at the Reference Location (fc), 52 aa. Total illuminance divided by the Reference Illuminance = (line z )/ (line j), Enter W, 120.93023255813 5 bb. Is Total illuminance divided by the Reference illuminance (line aa) between 100% and 150%? (Yes/No). Yes PASS/FAIL Evaluation. (check one): PASS: All applicable Construction Inspection responses are complete and all applicable Functional Performance Testing Requirements responses are positive (Y - yes) FAIL: Any applicable Construction Inspection responses are incomplete OR there is one or more negative (N - no) responses in any applicable Functional Performance Testing Requirements section. System does not pass and is NOT eligible for Certificate of Occupancy according to Section 10- 103(a)36, Fix problem(s) and retest until the systems) passes all portions of this test before retesting and resubmitting NRCA-LTI-03-A with PASSED test to theenforcement agency, Describe below the failure mode and corrective action needed. This is page 10 of 11 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1 cal that this Certlflcaln of Aacoplance document#Ion Is accurate aid ,P,Pege intumeulatlon Author gains pawl Neuanswantler Address 11141 uarllny Rd, Zip Code 9119b CCAs th"Ibrabk Colorfully Name od'all Canopy Comphmce CRY Ague, Duice phone (91l73 -m9] Dare of Signalin M 02(04]20x0 FIELD TECHNICIAN'S DECLARATION STATEMENT 1cernry uw delp y antler prJ,altY ofperDnq umaf tire Pass ofno, State ofCal.forge 1. The Rural plomtlea on this Cortihcate of Acceptance, is true and Ionto. 2.1 am the person who peiformeb the arceptance 1plP lion nagnied on tills cm tificate ar Aaeplance Illegal Ted npar). 3 Tie construction or installation -dei v this C ib n, afle,alli Carol with the p,l,,.blOoor,real, ti ted sn the hispa, Old.f I chich[lous appmveq by the,enf Rp,hpi Gild coniums to the applicable acceptance rphollealunts slid fMotodurve sponged all Reference N[ vcsWernal Appendix NAI. 4. I bate con0nned that the Cartllteate(s) of Installation for the Mnss,ucllon or installathenif,obta d on this Ce,rnficate of Ac[eptence has been completed and shaped by file responsible bulu erpnstaller and has dean posted or made available win)the budding poialt(s)Issued frau the boddho . FBId'14chnldan Name pool Neuenswands. C.In"Y' Nana Ativance[I Cnergy Compllan['e address CIIV 11111 Corbin, Rd, Ayva Duice Zip Code phony e1190 1819)11:1-0197 An certification Identification poeldon said, Conlfmp(Tri Tc-Amnld9 D,tner cold Technician sin Dale of sl9na urv. 021041204 RESPONSIBLE PERSON'S DECLARATION STATEMENT I cartlry obs mnovlmg antler penam, of per)erI, under she laws of the state. of California 1.1 am the Plead Tecdnl6an, or the Ileltl'reehnlclan Is Plaine on my behalf as COY employee or COY agent and I Pala revlawad the lnformatlon provided on [Ills Certificate of Acceptance. 2. lam eligible under Division 3 of the Euslnoes and profoeslons CUdp nr the applleable drefillcation to accmpt responsnlllY Co. the system design, mnslruraph It lalsolloten of reatnrps, meterlals, co epon,t Or aimfaRmd udevices Co. the scoop of work prowled on title Certificate of Acceptance and m attest to the dadabsone In this ,donne,, (ressos ponslhle accepfancf pe). 3. The lnbrmation provided on this CerClllcate of Alceptance subehrootes that the co0slrn1Ion or Installation l[leutlfietl an lids Cal tifi[aCe o(Accepta¢e amplles uth he oaeptance relphoup, Indicated In the plans and lappliffilallph, approved by the f t'y. Y ad coneran,Ca the lr_I,,tridl Rf N is l lx IAppeaMAY. 91have Conf d that Life comfit e(s) of Installation 1 W.cuN Ctut 01i installation Identified on ML Cetf�te of Acrap2n.h been mmplelAand isposted or Made full wM III balldlrgpemft(s) Issued for lite building. S. I will ensure that a mmplette, 519nad copy of this f.rtl0cale Of Acceptance shall ha pulled. or made pal with the building pernlfe(.y Issuetl for the thinking, and made available to the Care uperr agency for all appllcahle Pleased I,.l understand that a efyned COPY of title Cel MiCal'e of Accepton[a is m[iubetl to ho fndudull with the documnrtotlen the bolider provides to the inflating rough as C¢upency. Res'ponsble Acceptance perms Name PauCompony Name l Neuenswandel ntivanced Dnergy comPlmuce Address: City 111-01 lattice R0, Ayua Dulrn Zip Coda, phone 91390 (919)i]3-0191 CSL➢ Lai paswon I'll, Compery (Tame) Dale ar sign rill 02m4/2020 This is page I I of I I General Information Building Type: Nonresidential r High -Rise Res (Common Area) r Hotel/Motel (Common Area) Phase of Construction: r New Construction r Addition p 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: 12/2/2019 12:00:00 AM Document Title or Description Applicable Sheets or Pages, Tables, Schedules, etc. Date Approved By the Enforcement Agency Electrical Drawings E-1.0, E-1.1, E-2.0, ET24-1,2,3,4 12/2/201932:00:00 AM This is page 1 of 2 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT I certify that this Certificate of Acceptance document is accurate and complete. Documentation Author Company Name Name Paul Neuenswander Address City 11141 Darling Rd, Zip Code 91390 CEA/ATT Certification Identifir applicat Advanced Energy Compliance Ague Dulce Phone (818)473-0797 Author Signature Date of. Signature: 02/04/2020 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of Califm'nia: 1. I am the Field Technician, of 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 m- in ate ilaticn of featm'es, materials, co in so n an ts, 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 m- 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 far the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building pe, ri issued for the building. S. I will ensute 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 Paul Neuenswander p y Advanced Energy Compliance Address: 11141 Darling Rd, Zip Code 91390 CSLB License Respon City Agua Dulce Phone (818)473-D797 Position with Company (Title) Owner Date of 5 i n atu re: This is page 2 of 2 INDOOR LIGHTING NRCI_LTI_02E Newport Crea_tive Office Space Orange General Information Building Type: W Nonresidential r High -Rise Res (Common Area) r Hotel/Motel (Common Area) Phase of Construction: r New Construction r Addition iJ 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: 12/2/2019 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 Energy Efficiency Standards. Check all that apply PART 1 What type of Lighting Control System has been installed? r 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 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. 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 page 1 of 5 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. W A. All lighting controls and equipment have been installed in accordance with the manufacturer's instructions. F B. The manufacturer has provided instructions for calibration. P 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. 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. r 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. F. The EMCS or Lighting Control System functions as one or more of the Daylighting Controls listed below: This is page 2 of 5 CERTIFICATE OFI NSTALLATTON NRCI-LTI-Dz-E FMCS or Lighting Control System ProjeM Name: Newport Creative Otf¢e Space JlEnfomementAgcncy CFrY OF NEWPORT BEACH Permit Number X201909]5 Project Address: 2830 Newport Blvd City: Newport Basch IZip Cade: 9253 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; J. 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. 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 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 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. r 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 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 7. The EMCS or Lighting Control System functions as one or more of the Occupant Sensing Controls Checked Below; W 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: L Does not turn on lighting automatically and does not incorporate DIP switches, or other manual means, for conversion between manual and automatic functionality; ii. 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 anoverride switch that disables the sensor. This is page 3 of 5 OFAEVSTALLAUIDN r 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; fl. 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 ill. 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 r A. Section 130.1(a) Area Controls, B. Section 130.1(b) Multi -Level Lighting Controls 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 Paul Neuenswander 11141 Darling Rd, Zip Code 91390 CEA/ATT Corti Flca tion TC -A814189 Identification (if applicable) City Phone Author Signature Advanced Energy Compliance Ague Duice (818)473-0797 Date of Signature:. 02/04/2020 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 fm- 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. 1 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. 1 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 Paul Neuenswander Advanced Energy Compliance Address: City 11141 Darling Rd, Ague Dolce Zip Code 91390 CSLB License Responsible Acceptance Person Signature Phone Position with Company (Title) (818)473-0797 Owner Date of Signature: 02/04/2020 This is page 5 of 5