HomeMy WebLinkAboutB16-1469 040-310-093t sl
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
INSPECTION CA",MUST BE ON JOB SITE
t
24 Hour Inspection Line (IVR) : 510.538.4365 (Cut off time for inspections is 2pm)
Development Services cannotlguarantee inspections on the date requested
t Office: 530.538.7601 Fax': 530.538.7785 www.ButteCounty.net/dds
Permit No: B16-1469 Issued: 10/24/2016
APN: 040-310-093
Address: 39 SPEEDWAY AVE, CHICO
Owner: SMUCKER QUALITY BEVERAGES INC
Permit Type: 3 PHASE ELECTRIC SER
Description: ELECTRICAL FOR BUILDINGS UNDER
AREA
5
Flood Zone: None SRA Area: No
SETBACKS for Zonine. AG. SRA. W
Front: Centerline of Road:
Rear: SRA:
Side: AG:
Other:
Total Setback from Centerline of Road:
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
131
Foundations / Footings
111
Pier/Column Footings
122
Eufer Ground
216
Masonry Grout
120
Setbacks
131
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test Underground/floor
404
Gas Piping Underground/floor
403
Underfloor Framing
149'
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Coach Info
Do Not Install Floor Sheathing
or Slab Until Above Signed
Shearwall/B.W.P.-Interior
134
Shearwall/B.W.P.-Exterior
135
Roof Nail/Drag Trusses
129
Length x Width:
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing
153
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
4 -Way Rough Framing
128
Gas Piping House
403
Gas Test House
404
Shower Pan/Tub Test
408
Do Not Insulate Until Above Signed
Permit Final',
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Fire Sprinkler Test or Final
702
Manufactured Homes
M�
Will
PERMITS BECOME NULL AND VOID I YEAR FROM THE DATE OF 1
RENEWAL 30 DAYS
Inspection Type
I IVR I INSP
T -Bar Ceiling
LDATE
145
Stuccp Tato -
rt Bldg Permit:
SetbacjAddress:
Pool PI. <
- r= w =-
OFFICE COPY-_
`�
Gas To,
Pre -Gd _GAS By: t Date: '
Pre -De','.
Pool F� "Electric By, Date:
Pre -Planer
507
Manufactured Homes
Setbacks
131
Blocking/Un einin
612
Tiedown/Soft Set System
611
Permanent Foundation System 613
Underground Electric
218
Sewer
407
Underground Water
417
Manometer Test
605
Continuity Test
602
Skirting/Steps/Landings
1 610
Coach Info
Manufactures Name:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia:
Public Works Final 538.7681
Fire De artment/CDF 538.6226
Env. Health Final 538.7281
Sewer District Final
"PROJECT FINAL
*Project Final is a Certificate of Occupancy for Re dentia) Only)
"E. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR
TO EXPIRATION
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT .
` ' SERVICES
BUILDING PERMIT
• 24 HOUR INSPECTION (IVR)#:530.538.4365
• C A L I P 0 R N I A• OFFICE #: 530.538.7601 FAX#: 530.538.2140 or 530.538.7785
PROJECT INFORMATION. 1
Site Address: 39 SPEEDWAY AVE Owner:SMUCKER QUALITY BEVERA Permit No: B16-1469
APN:, 040-310-093
Permit type: MECH ELECTRIC PLUMB - P O BOX 3841 Issued Date:. 10/24/2016 BY DAH
Subtype: 3 PHASE ELECTRIC SER CHIICAGO, IL 60654 Expiration Date: 10/24/2Q17
No ;Mfi UT S!'TDT!` A T LYID IQiTTT T\TIUCQ 5308995000 (lr•r•unanr 7nnino-
Contractor
'Applicant:
Square Footage:
NORTH VALLEY BUILDING SYSTEMS INC
OWEN BENTZ
Building Garage RemdUAddn
30 SEVILLE COURT
30 SEVILLE COURT
• 0 0 0
CHICO, CA 95928
CHICO- CA 95928
Other Porch/Patio Total
5303457296
5303457296 i
0 0 0
LICENSED CONTRACTOR'S DECLARATION'
OWNER/ BUILDER
DECLARATION .
Contractor (Name) - State Contractors License No. / Class / Expires
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for
NORTH VALLEY 812173 / B / 9/30/2018
the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section
-
7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter,
improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of lite Contractors'
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter g
(commencing with Section 7000) of Division 3 of the Business and Professions Cade, and my license i
State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
in full force and effect.
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption.
Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
X
not more than five hundred dollars ($500).):
❑I, as owner of Me property, or my employees with wages as their sole compensation, will
Contractor's Signature Date
- -
do U all of or U portions of the work, and the structure is not intended or offered for sale
(Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
apply to an owner of property who, through employees' or personal effort, builds or Improves the
- property, provided that the improvements are not intended or offered for sale. If, however, the
building or improvement is sold within one year of completion, the Owner -Builder will have the
WORKERS'. COMPENSATION -DECLARATION
-
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
-
have and will maintain a certificate of consent to self -insure for workers'
- burden of proving that it was not built or ,
❑I
compensation, issued by the Director of Industrial Relations as provided for by Section
improved for the purpose of sale.).
3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy
No.
I, as owner of thero e
p p rty, am exclusively contracting with licensed Contractors to
construct the project (Section 7044, Business and Professions Code: The Contractors' State
I have and will maintain workers' compensation insurance, as required by Section 3700 of
❑❑
License Law does not apply to an owner of property who builds or improves thereon, and who
the Labor Code, for the performance of the work for which this permit is issued. My workers
contracts for the projects with a licensed Contractor pursuant to the Contractors' State License
compensation insurance carrier and policy number are: -
Law.). _ r
Center: INSURANCE Policy NumbWSA5034330(k - Exp. 1NW2017
❑I am exempt from licensure under the Contractors' State. License Law for the following
❑I certify that, in the performance of the work for which this permit is issued, I shall not
reason:
-
- -
employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the workers'
_
compensation provisions of Section 3700 oftheLabor Code, I shall forthwith comply with those
provisions.
Owner's Signature Date
X
a PERMIT APPLICANT DECLARATION -
r
Signature DateBy
my signature below, I certify to.each of the following:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS
I am L) a California licensed contractor or U the property owner' or L) authorized to
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ,
act on the properly owner's behalf".
I have read this construction permit application and the information I have provided is
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN
correct.
ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
I agree to comply with all applicable city and county ordinances and state laws relating
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
to building construction.
I authorize representatives of this city or county to enter the above -identified property
for inspection purposes. California Licensed Contractor, Property Owner* or
Authorized Agent": 'requires separate verification form "requires separate
CONSTRUCTION LENDING AGENCY DECLARATION
hereby affirm under penalty of perjury that there is a construction lending agency for the
authorization form
performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name and Address
N
„ '
ki f P itt SIGN Pri t ^�•�
Lenders Name & Address
ame o enn ee [ 1 n
City - ,State Zip '
FEE INFORMATION
Total Fees: $795.00 Fees Paid: $795.00
Balance Due: (None) • Job Value: $150,000.00
STATE OF CALIFORNIA
ENERGY MANAGEMENT CONTROL SYSTEM OR LIGHTING CONTROL SYSTEM
CEC-NRCI-LTO-02-EY01l161_ _- .... _
CERTIFICATE OF INSTALLATION
�„UFQRNuA ENERGYC;0MMiSSIUN
DATE•OF BUILDING PERMIT
8/15116
NRCI LTO 02 E
Energy Management Control System or Lighting:Control System
(Pagel of S)
Proled Name:SPROUTINGBLDG ADDITION FOR SMUCKERS'FOODS,
E r°«emenL Agencr .
/�u/flC
CG'vti)�'
permit Number:
B16-1469
ProJeaAddress:"�
37 SPEEDWAY AVE
City;.
CHICO
-
ypc°46:9592$
.GENERAL INFORMATION
Enter 4he date of opproitdlfementagenc`othe,jd!ficote ompf: iance thotprovioes
DATE•OF BUILDING PERMIT
8/15116
the specifications for the energy effuency measures for the scope of responsibility for this
PERMIT7f B16-1469
SUIL&NEiTYPE
Q
Nonresidential 0utdoor•LigR"ting:
:PHASE OF
CONSTRUCTION
❑''
New.Gonstru.ction
[� Addition.
❑.Alteration
5C6PE OF RESRONSfBILITY'
Enter 4he date of opproitdlfementagenc`othe,jd!ficote ompf: iance thotprovioes
Date'
the specifications for the energy effuency measures for the scope of responsibility for this
lnstollation eertificote .,
Requirements in the Standards:
§130 0(e) Before an E.nergy.Management Control System (FMCS), or Lighting Control System can;lie recognized for
compliance with :the lighting control r..equirements:In'Part6.of T.itled4 the:person.:who Is eligible under Division 3 of the
Business:and Professions Codeao:accept responsibility -for the.constructron or Installation, offeatures materials, .
components.ot manufactured devices shallsign,and sub'iniftfiis Installation Certificate:
If anyof the requirements In this.Insiahation Certificate fail the EnergV.:Mj; nager- ent Control System or Lighting Control
System installation requirements,'these"optlonsfor contro_llingligFiting'sFiall not be recognized for. cornpl ance:with the
Building Energy Efficiency Standards.
Check #11 Mat apply:
f?ART 1. What type of'Lighting Control'System;fias been installed?'
Q A. Energy.Management::Control $ysternJE -S) Is'a`cornputenzed control system designed ' reg
ufate`the energy
consumption; of a building bycontrolling the operation of energy consurriing,Systems, such as the heating,.
_.
ventilation and air ccinditi66in HVAC ,,li light g (_.. ) g g, _and water heating systems;.and is:capable of monitoring
environmental and system loads; and adjusting HVACeraYions imorde[to.opfimize energy usage -and respond to
de' mand'response,signals:.
❑ The Energy Management Control System has'6een 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 1.10.9, 1"30.0aheough 130:5„14016 through 1SO.O,.and 150:2;.and complies with Reference.
Nonresidential Appendix NA7.7.2..
❑ The EMCShas been separately tested for each "respective lighting control system for which it is installed to
function as.
Z B. Lighting Control System - Requires two or more components to be ihstalled'in the. building to provide all of the
functionality required'to make up a fully functional and compliant lighting control.
EI The installed Lighting Control System complies with the requirements checked belowand:all components of
the system considered together as installed meet allapplicable requirements for the application for which they
are installed as required in Sections 130.0 through 130.5, Sections 140.6 through 140.8, Section 141.0, and
Section 150.0(k).
CA Building Energy Efficiency Standards -1016 Nonresidential.Compliance January 2016
STATE OF CALIFORNIA
ENERGY , , , MANAGEMENT CONTROL SYSTEM OR. LIGHTING CONTROL SYSTEM
CECINRCJ�L'170-02=E lReviRM OV161 . rai mr)pKiia rmrQr_,v rnUhAlicQWNKI
CEFMMATEOF INSTALLATION,
NRC!: -LTO -O I 2-E
Energy Management Control System or Lighting Control System
(Page 2 of 3)
Project Name: Smuckers Sprouting Building Addition Enforcement Agencv: Butte Co.
Project Address: 37 Speedway Ave c�7 Chico
Zip code: 95928
PART Lighting. Co ntrol Functional req u irementst:.
Check 'ail. that op when _ .e ..
apply verifying the installation pfanEMC.SorLighting, Crn
o trolSyste.
A;.AII outdoor lighting.i;qntrols and equipment'have been installed. in accordance %;Mh-the ririanufacturer�s
0 'B.., Th.emf" t- ihstruction0orcailibtation.
Mu acl.dre
'El C IfJfi.cIic@t.6rlights are -integral toany -comporilents, such-, I nd ic.ator lights c.drfsulmes:Ro'.more .th'a nA watt 6f-
'Obw6i, 0-Ondicbfdr- light,
0, C.6m.06'ne-n.n't',h'at'a'r6.related by the Title -20 Ap' liahce Efficient Regulitions have be'en,',*�ertifiecl.to the-
:Energy,
gp. p y
.Z E,e:t or Lig6ti, toniroI,Svsiem functions as ong,pr.mtre of the outdoor I IIght!r)g'jc'pnt . r , ols i:he&ed.beI0*w*
-and . -cqrnpii� . es-Withwing
,al(of ihe:f6lio requirements:
E), 1_06tdocirAstrongiftilcal Time=Switch,Controls meeting All requirerrients fpr,.Ast.rbno.ini.t.al.Ti,me,S.i4itchw
Control cleVices."in.the.1-iiie 2O'Appliance Efficiency Regulations; :including:the. mcldij ement below:
a. :Have setback functions thit,allow the.119hiing on each.,con'tr6fled channel to be switched or
-dimmed to lower levels: The set back functions shaill becapable .of,being programmed by the.user
.for-afleast one spimi6c.time of day
1. 'Photocontro'Is. meeting all requirements for Photo Control devices in the Title 20
0 Appliance Efficiency
Re.gufati6ht,', includ . Ing t . he requirementof not having.a mechanical device'that . permits disabli . ng,cif the
control-...
0' 3, M.btioh,Seinscirs', riee.Ung ;ii . I . req,u.irement$f6rMotib6SehsordeVlCes:inth6Title'2bAppliancci*tfficiehcy
Regulations Jincluding that.motibn sensors are rated for outdoor u.se-
PARTS
utcl .6debse-
PART3- 'Requ.i-iremen#. for *hic.'h-ilhe control is being installed to. comply With:
Identify all requirenjmts in the Standards for.Which the EMCS or LightingControl System: is installed to function as:and
complies with:
-eheckvil that -are' applicable
R) 'A. Sicti6hl30;2('C-ji-PhototdntroI
.F_1 'B. "Section 130:2(c)1 . (c)1 Outdoor astronomical time -switch control
C. :Settion 130.2(c)l Other controfcapable of automatically -shutting OFF the outdoor lighting when daylight is
-available,
El D. Section 1:30.2 (c)3 Motion sensor
E. Section 130.2-( 04A Part -Night Outdoor Lighting Control
EJ F. ;Section. 130.1 (c) 4B.Motion Sensor
0 G. Section'130.2 (c)5A Part -Night Outdoor Lighting Control
[:1 H. Section 130.2 (c)5B Motion Sensor
L Section 130.2 (c)5C;Cent.ralized time -based Zone lighting control.
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016
STATE 'OF.CALIFORNIA
ENERGY MANAGEMENT CONTROL SYSTEM OR LIGHTING CONTROL SYSTEM
CEC-NqCI-LTO-02-E (01/16) 1 r—an—ft, a—m-,
CERTIFICATE OF INSTALLATION
NRC17LTO-02-E
EnArgy.Manpigemeni Control System or Lighting Control System
(Pak 3 of 3)
.Proje.ct.Name'I '.. .
BLD&ADDITION FOR SMUCKERS FOODS
IEhfw.ew.tAi-ly:Butte {Mount y
Number:.
616-146 9
"Pro ectAddress;
37 SPEEDWAY AVE
City: CHICO
Zip Code:
95928..
'DOCUMENTATIONAUTHbk!.S DECLARATION STATEMENT
L I.certify .thatthis C&rtificai&:6firisiafl6ti6h:documenfation'is accurate, and complete.
-Documentation Author Name:JOWSCOTT
DocurnentatiorfAuthor Slgnjtufie:
i.
66cument,ation,AuthbrCompany .Naine::Date
PACE ENGINEERING*
Signed;
5117/17
Aodress:..'i7jo , $fknEr
CEALertificabion Identification (If.applica.be).
.city/State/zip:
REDDfNG CA. 96001,530=244-0202
Phone:.
RESPONSIBLE- PERSO N'S DECLARATION STATEMENT
j)Certify the 'following under penalty 'of - perjury; :under thtlaws of the -Staxe:ofCalifornia:
.1. The; irIfo' did -iftificaieof Installation is-true.ancf correct.
rMait!qn� pTovi. 6ri this CC
I `am eligible underDivision'3 bf theffusineiss and Professions Code in the applicable classificationU responsibility p accept�re�pcinsi
installation f
system design,, cons' d'd
truction,opinstallatio . fgitures; materials, 6(manb acture . Lvit6Sf&thes'e&l16df;vVdW
id6rtified on this*C6ftifieate of Ijjjt6II ji- " .5n
a on" d attest"
tb..the cletl6eiti6iis:in this statement.(respqn�iblp 40derlinst 11'er)
I . - . . a.
_1
-a
6�herWite IM an authoriied,reprete htiWe of th6'ie�Odii§ible'buildeF/i6s't6ilee:
The constructed ,or irisfifle0eatures. materials, -components or manuf actureclAevices ftlie instaliationjild' niieieid,'on:this
i e i I
C&tificate of Installaticirk6hifornrIs to all applicable codes and reguJIStions* and the installibon cbnfbiins* to., the requirements. rements,
given on. t.h'e,ptar!s,andspecificat.lo.ns;approve8, by.tke "e4orcethent_agency.
41 reviewed ac' f he , 1 r d e., Opyp_t :Certificate of6mphon.celapproyed by the enforcement agency that: L :s scifiidrequirements.
for theStooe oftbinstructibri'dif installation identified o n'this, C41rifficate, of Inka flit io n;.a nd:' I have. ensUred that the r.eqqirements;
that,apply to theconstruction'b.i ill 1.rinsa a i,ii on,have_been met.
5; f Will ensure that :j 66mp10ecl,sigriecl:copy :qf - this. - tertificaie!of InSiallation.shall be posted or with fh*e'building-
permit(s)issOed-f6r'the.bijilding;,and made available to:the efifo'rceme6tagency for *allaippliLable %,;t��Eti6rit.�."i On,O e.rS6n0:ihat.a
completed signed copy .of thistertificate of Installation is required to be included with the. clocurnentatiori the builder pr6Vid6s,to
thi building-&Wh6r atpec-Upancy.,
Resp ns . i e 8 jder,/I' alter kame:
Responsib
o
c;Name: aTe: (In I ngsubcdntiactor.or.Geheral.Cijrit*rattor6eBuilder/OWner)
'Poiltidn With It any.Kitie)w�
,C
.Address :
ev -jwwoZ:
G/®— .1/yX y _4s"
City/Sltate/Zp*Ph
C&. -4 0:157 z "o,
I/_- ye e, T
Sighed:,
e /_7 7
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January:2016
STATE OF CALIFORNIA
ENERGY MANAGEMENT CONTROL SYSTEM. OR. LIGHTING CONTROL SYSTEM
CEC-NRCI-LTI-02-E (Revised 01/161
GENERAL INFORMATION
in o.�rwr �.vrvrmraorury
CERTIFICATE OF INSTALLATION
NRCI-LTI-02-E
Energy Management Control:System or Lighting Control System
(Page 1 of'6)
Projec[Name:
BWGADDITION FORSMUCKERS FOODS
nforcermentgSPROUTING ency:
Butte County
'Per it N
�16P 1 69
Project Address -
37 SPEED.WAY AVE
CH I,CO
95928,
GENERAL INFORMATION
Enter the dafe.;of approval byenforcernent agency of the'Cerfificate of Compliance. that provides
DATE OF BUILDING PERMIT
PERMIT,#
B16-1469
8/15/16
BUILDING TYPE
0 Nonresident'ial�
❑High Rise.Res (Common Area),
❑ Hotel/Motel (Common.Area)
PHASE'OF
CONSTRUCTION
❑ New:Construction
❑ Addition
❑' Alteration
❑ Uncditioned
on
SCOPE.OF RESPONSIBILITY
Enter the dafe.;of approval byenforcernent agency of the'Cerfificate of Compliance. that provides
Date`.,
the specif/cations for the energy efFciency.measures for the scope:of respo nsibilityfot this
Installdtion.Certifcofe.
Requirements in the: Standards-;:
§130.4(q) :Before an -:Energy Management Control Systern (EKA.C5);: or Lighting Control System, can be recognizeii'for
;compliance•with,thelighEing„control requirements In Part 6 6i1itle 24, the person who N eligible under'Division 3'fat e
Business and Professions,Code:.to acceptresponsibilityfor the construction'or installation of features materials;
components, or.manufactured•deviees:shall'sign and ubmit this Installation Certificate..
l any of:the.requGernents 1n.this Installation Certificate fail the Energy Mannagement:Control System or Lighting Control,
System installation requirerrients;,these;options for controllrig, lighting shall not be.recogniied'for`corripliance:with the
Building Energy Efficiency+Standards:
Check all'that apply;
PART1 What;type of Lighting. Control System fias been installed?:
❑ A Energy Management'Control_ System:(EMCS),- Is a computerized control system designed to regulate -the
energyconsumption'of"a building by controlling.the. operation of energy consuming systems, such as the heating,
ventilaton;and air conditioning (HVAC), lighting, and water•heating systems, and is capable of monitoring
erivironrnental and;system loads; and adjusting HUAC.operations in order to optimizeenergyusage:and.respond,
to•demand response„signals.
❑. The Energy. Managerfient Control.5ystem. has been installed to function as:a lighting control required by Part
6. and functionally meets all, appli;cable requirements for each application. for which it is installed; in
accordance With Sections 110.9, 1300 through 130.5, 140.6 through 150.0,.and 150.2; and complies with
Reference Nonresidential Appendix NA7:7.2.
❑. 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.
Il The installed Lighting Control System complies with the requirements checked below; and all components of
the system considered together as installed meet all applicable requirements for the application for which
they are installed as required in Sections 130.0 through 130.5, Sections 140.6 through 140.8, Section 141.0,
and Section 150.0(k).
CA Building' Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016
STATE.OF CALIFORNIA
ENERGY MANAGEMENT -CONTROL. -SYSTEM OR: LIGHTING -CONTROL SYSTEM
CEC-NRCi-LTI-02-E (Revised 01/161 r.A1 1MRNIA FNFRr.y r.r)K4M1qR1r)r-J
CERTIFICATE OF INSTALLATION:
N . RCI-LTI-02-E
Energy Management Control System or Lighting Control System
2. of 6)
Project,Name:
s*P'AbUTING'BLb6 ADDITION Fd�11SM06KEASiFbibbs
Butte County
Permit Number:
B16-1469
Pro)ect Address:
37�0EED'WAiYA'VE'
ZipCpdi:
95928
PART 2 Lighting Ccntro! Functional requiremghts:
chetVall that p I' ,'h..
eniteriffijd1heinstallation of;an,£MCS or
Lighting Control System.:
X All lightihgx ntt,61!�iridO�q*6iO6ii�hf�K�i)*e:bO.6n�:ih�t'all'e'd,i'n,''a"ccord h h 'manufacturers instructions:.
p anc6wjt.A.,e'
❑
B.The .manufacturer i�aS provided iristfuctidibsiforcalibration.
❑ C. If indicator li�ghts.are integral to:any-componen I is, such'. indicator, lighis,consumes no more'than" I waft of--
�powet. per inclicatd
bi cornpd6eiits that are regpIaiipd'bV t -h.'0 -Ti' Ii - "Eifiti&ticy..!�egUl'a'ti'ons',have be-en-,ceftified to tK&
. ..... �Ie,20.Appan.ce-
.Energy.,commission.,
f.`The-EMCS 6r.1ightinig,(ohirol SVstem-*furietibns.a one; -re.cifth' TiM&Switch,Lighti fig. Controlschk-kecl
- . I I — - System . -1. .11 1 1 .. 1. 1 1-s I - z . o,... . . e
`below
cpMp- �q.- all,of the following r
KOt-O'M*at.i�'.Tihid-SWitch.Co6.tr'l�,ii.woing.411. requirements. for. Automkic'TimeSw.it6h Conteol-0e.vicesin
Q :.
'p!ia MC t s including .e
theTitle' QAP rice E i6ni y:.R iticin ;.iffclud-1the requirementsbelow:'
Kesid6r:tial,-AOtomatkcitime Sw..It-K—
.,66n -te6tshavdorogr,a6,bickup,. tap6b*lit,io!;thatpre htth6
loss: ofthedevice's,scKeduthe:devite's.date*jhd-tihe-fbr
at i6ast-72
ho.urs-if,p.o,w.erls-i'*riterr,upie4.
b. Commercial iiVto'r'n* 'h tor'
qtic,time-switc, trolsffiejetthd-f6llo in- i
W g.requireme.n, s -
T Has program backup -.capabilitiesfhat
prevent the loss-ofthe; device's s6heclul&:fqr:at least:
T days, and the device s n. d -
IL Is tqp&6dforo iding manual override tdeach connected , load and shall resurne-hormilly'
sthe4uled'operat'ion*,aher,'.ma.riUai*override *isini't*isied Within 2 hours for each connected
load;. fid,
A
III. Intoroo-rates an automatic. holiday shutoff feature that turns offall'.tdrinected lbads fot:at,
least2'4 hours:.arid4heq resumes; norm ah scheduled":.operatiorf.
0 2.- Ast'ronomi - cj I Time Sw . i . td I hX0 ntrols.me eti n g; a I I . re q u i re me h ts* f . orAstronomical I . Time -'Switch Control
.
d6vlces:imthe Title'20"Appli6nce Effl66hqy Regylkidhs, including the'requirements below:
Efficiency'
a. Meetsjh' 6 hi t �ci a - cirrizitic'ti 'e -switch control;,
--p,reqLikrernems. f. rta,ut. M
b. Hassunrise.and sunseUprediction accuracy within plus-orrminus 15 minutes: and, timekeeping.
accuracy within 5,minu minutes p e r yea. r,
C; Wcapable6f disolayingdate;,currerittirKej sunrise time; sunset time;bncl switching times -for
each' step during
d. Has an autbrinatic!.dayligh't savings tir-ne.adjustrneht;, and
e. 'Has the ability to independently - Liperidently offset,the on and,off f . or each channel by at least. 99 minutes
before and after sunrise or. sunset.
EJ 3. Multi -Level Astronomical Time -Switch Controls, in addition to meeting all of the requirements for
Astronomical'Time-Switch Controls, inclUclqs'e least 2:separately programmable steps per zone.
El F. The EMCS,or Lighting Conirol*System functions,.as-one. or moreof the Daylighting Controls listed below:
CA Building Energy Efficiency standards - 2,01.6.Npnresidential Compliance January 2016
STATE OF CALIFORNIA
ENERGY MANAGEMENT CONTROL SYSTEM OR LIGHTING CONTROL SYSTEM
CEC-NRCI-LTI-02-E (Revised 011161 e"C ivnown ewleon 1 ...a ,
CERTIFICATE OF INSTALLATION
YIIJJIVIV
NRCI-LTi-02-E
Energy Management Control System or Lighting Control System
(Page 3 of 6)
ProjectName: SPROUTING BLDG ADDITION FOR SMUCKERS FOODS Enforcement Agency:
Butte county
Permit Number.
B16-1469
Project Address: 37 sPEEDWAY AVE. ciy: CHICO
'zip Code:
95928
El 1. Automatic Day light 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 rneasu[ed daylight either directly or
by sending:and receiving signals;:
b. If the system includes- dimmer,.complies with the Dimmertonfrol device-requirements:in the
TitIe'20Appliance Effidency.'Regulations:'
c. Automaticallyreturntoits most: recent timedelaysettings within 60.minuteswhen `put. in
calibration mode;
d: Has a set point:control that easily dtstinguishes=settings t&wlthin.;10% of full; scale
adjustment;
e.: Hasa lightaensor tYiaY Figs a linear response iniifhin 5%.accuracy:;over the range of.
Illuminance measured bythe light sensor;,
U Was;- light ensor that s physically: separated f[om:where the calibration adjustments are°made,
oris capable..ofbemg calibrated.ih a mannerthat;the,person tmtiating the calibration is,remote
from;thesensor during calibration to avoid influencing salt ration''accuracy; and
g: Complies with the Title::20'requirements,for photo controls if the:system:contaiins..a photo control
component:
El :2. Photo Controls meet:all requirements for. Photo:Control devices in'ihe'Ttle 20.Appliance Effciency
Regulations„ including'the following,that it doses not have a mechanical device that permits disabling.of the
control..
G. The,EMCS or.Lighting Control System functions:as a Dirrimer:and. m6ets all requirements for a Dimmer Control
device in. the Titie'20:Appliance:Efficiency Regulat ons;`including the followings
1. Is capable ofreducing power consumption by a.minimum of 65% when the;d,immer'.is at its lowest
level;
2'. Include$ an off position which produces a zero.lumen output;:and
3. Does not consume more thin_1 watt per Iighting.
—dimmer -switch leg when in:the.off position.
4. Dimmer controls that can directly control larrips' peoVlde electrical:outputs to Ia 'f Oc.reduced flicker
operation through the dintming range.so that the Ii' hto6tpui has;.an amplitude:' odulation of less than
30% 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 Eff iciency 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
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016
STATE OF CALIFORNIA
ENERGY MANAGEMENT CONTROL SYSTEM OR LIGHTING CONTROL SYSTEM
CEC-NRCI-LTI-02-E /Revised n1/1A1
CERTIFICATE OF INSTALLATION
oww
NRC17LTI-02-E
'En.ergy.M.anageiment Control Sysiern.cir'Lighting controlsystern
(Page 4 of 6)
Proje[t1W.ice-iftery:
"': SPRO"LITING BLDGADDITION FOR SMUCKERS Butte County
'Project
PermitNumber:
616-1469
Address:: 37 SPEEDWAY AVE'
"v! C.H.ItO
710 Cade: "95928
95§28
7, Thp EM -_.C.Sor Lightingtontr Isystem functions as or. more of:the
. Occupant Sensing Controls
e
Check0d BIoW:
. . -
Octu* ant:
p Sensors. meeting all. applicable* requiremeks f6rb.ccupant Sensor.bontrol devices in-
t!*.Title ,2.0�..Appli6n*ce*,Efficiency keg6114fi6hs.,
_
M oti bn;S&is6'(s; meeting all .:a:
pp I ica b le: tea uirerih e h ts: for Motion S 6 riscilrz Cb ntr6 1s'*d dvices. in the
Title 2dAppliance,Efflciiecy'k
n eg
i i ,GIaei on s, iI
lineCucli qg 6 afrricitionsenso rs are- rate Vol r-dutdoor use;
'c.. ;Y6cahcv Sensors meeting all applicable requdements f 'Vac nc
S Controls devices in
A y jenso*r
ti e:,rhle 20.Appliance,E.Aciency kogul I atioris,-Ineluding-the:following:
i. Does - fiotiurn on lighting AgtitirrI ihd-.dlpps:pqtjRcorpprafeDIP switc'kes, Qrother
manual means jo('conversiph betWeen.manual a d.:*au.omaticf.iun
ctiobality;
Haso,rand no'lless:fhant.15'seconcls tolurn on
gjace,periodO.,no morethan 3t seconds
lightifij� 6m 'tical F9.`4..rhesensor, as tkmed'
F ' t . "d ou.;,ain.
III. Does rfdt.havpAn ov�rrde.1s..it. h thawdigables hg
.sebsor.,
El & Partiai=bN-Sensors rrfieeithg:aff'-8i3olfcabl'e:requieemeh.ts for .-p 'artial'bn-sentinkdeviti�sin'the�
s
Title"20AOplij . hce.Effibehcv Regulations * IndUding fhq.fo'I1bWin'g-
1.
L- HJstW6:p h
..vvit autdtha�tic,'off`.,functionality;,
jj Has :,one ,pale I thaiis manua I Izon and does. not., incorporate D . ii? sw . itches
;:or other manual
rbe6his'f conversion io"h..b
_tWeen.ma uaI:nc.a4t6 jiit'fu'hftfqnaIity;qqd
:iii. _Has' one -pole thati.is:-aUtbirnatic-orf. a nd'is2nbt be capable oft6riversibri bytKe-userto.
manual -op functionality.,,
e. Partial -OFF Sensors 'md giremefits.for bafti5l'W't6nsing dq.v iP_-
.
"
'in'the Title
lb-AppliaraJEfficiehcyketulations inclucling:th'efollowing.
.ii*.: Has 6 . (It!..pble thit.is.rhorfbal-.g.h and manual off' and
iii. Has,,dnei off t'capable -o'f c.ojn.V&9ibn: by
the user -to manual -on only.functio'nall - t' Y:..
❑ f. Ocb6paht,sentiniz C66tebl systems ,,consist :.df' a.combihation of single oe " ulti-*l ieviKOcc upant;
a
Motion; or Vacan.tySensorControls, and all corno6netits.-installed'Ao comply with'ftirtual7ch
requiremebts,are hot t6pabie,,of"tdnVersiiin:bythL- user from rriahuakoh:taautomatic-on
fu'rictionalify.
CA Building Energy Efficiency Stan&rds - 2016 Nonresi.dential Compliance. January 2016
STATE OF CALIFORNIA
ENERGY MANAGEMENT CONTROL, SYSTEM OR LIGHTING CONTROL. SYSTEM
r.;=r-NPr1-1 TI.A'J-r 10—Ae� n114 a% — ..---.--.-- . - --
CERTIFICATE.OF INSTALLATION
vv
NRCI.�LTI02 -E
Energy management Control System or Lighting Control System
(Page 5 of 6)
"ectNirbe; Enfoncernent Agency:
.SPROUTING BLDG..ADDITIO.N FOR SMUCKERS FOODS Butte County
'- ' - I
errnft Number
r B16-1469
Pnoject Address:� : C11y: CHICO
3� SPEil)W��AVE
Z10 Code:
19.5�928
PART 3l Requirements for which the control is bei . ng installed to'complied With:
I e
d n ify;all* req,uirementsimtKe Standards for which fhe EMCS or Lighting CohftI,SY§temJs installed to'function :as and
compfie's-with:
check -all that are appificable,
0 A. 3ectibh'130.1(a) Area Controls.
EI :B..,SL-ciion.'1.30.'1(10.,).'MultiTL6VeI Lighting Controls
.El
C. 'S.e.6tiO.h.130-1.(t).'Shui-QFP Controls
0 D: Section ),A-ijtoinafticDaylighting Controls
❑ E,.:,Se ion j8dj (e) Demangl Responsim'e,Cbritrok.
0 F; Siectiori 13 -ri.tVcil.s.f.o.e.'12Cf7voltRe.cepta'cles.
Circuitit'Cd.
If i tist d He& t6:,qtjdfihfofa Power Adjustment Fadtbr,* submit t I his. IrW6116tibnCdr(iftoteiri ai-dditiph to -t PAF
�staAbt'iorj- Certificate..
0' G, fbqualify- - fQ'rthe PAF fora 'Oartialmdkbccupant-Sensing Control in TABLE -140:6-A.
H. To qualify .'for:'h 6upani sensing copfrol,.controll - ing..the general lighting -in I
t] *e. PAF an argeopen,plan,offi
ice,
areis'a66V*e'Wotkstitidiim actoeclahce With TABLE: 140.'6-A
C1 I.. To.cluglify1or the -PAF for -a Mariffal "Dimming System PAF or.a Multiscen6Progranirria le Dimming.$Vstenh PAF in
TABLE 1.40.6-A.
J. To qVilify.for'thi PAF'fdr.a (Yerrigrid Resp6risive Control -,in TABLE 140.6-A.
0 K. To qualify fbrthe. 0 AF f6r Corn bined. Man ua I Dim Ming, plus Partial -.ON* Occupant SOhsi'hg Control. inTABLE 140:6-A
CA Building Energy Mci.ency,Sianclarcls - 2016 Nonresidential Compliance January , 2016
STATE OF CALIFORNIA
ENERGY MANAGEMENT CONTROL SYSTEM OR LIGHTING CONTROL SYSTEM
CEC-NRCI' LTh02-E (Revised 011191 - � 1 11-- --1. a
-
CERTIFICATE OF INSTALLATION
urvRYu1 CrvCf[b T bVMmIJpIVIV
DoluriientatlDh Author Name:
JOSH SCOTT
NRCI-LTI-02-E
Energy. Managemerrttontro( System or lighting Control System
(Page 6 of 6)'
vroJea Namei SPROUTING.BLDG'ADDITION FOR SMUCKERS FOODS
Enrotcement Agency:
Butte C,OUnt Y
Fem+iPNumtur
B16-1469'
vruiect Address; . - '
3l SPEED1NAy AVE,
C`R".CHICO
I. TheJhformation provided;on:this.Certificate of+Ynstallation is true; and dbr�td.
Lv rade:
95928
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. I certify that.thls•.Certificate of lnstallation'documentation is.accurate and complete:
DoluriientatlDh Author Name:
JOSH SCOTT
Documentation Authorgnaure:
Sit
-
:Documentation Author Company;Names -
PACE ENGINEERING
-Date'Signedi -
5 v47;
'Address.-
1730 SOUTH STREET
P
'CEACertificatiodldentikation(ifapplicable):-
,Caty600/0 .. .. .. _
BEDDING, CA, :96001
Phoiie: .
530.244-0202
RESPONSIBLE:PERSON S-DECI:ARATION.STATEMENT-
I.Ceiti : the followin under'enal of er'.. , under fhe;law of the Sfate,of California:
I. TheJhformation provided;on:this.Certificate of+Ynstallation is true; and dbr�td.
2 I a n:eligibig under`Division 3'of;the. Business and Professions.Code in'the.applicable classificatioilto'accepttresponsibility:for the
systent:design, construction; or installation of features materials, ;components, or manufactured devices for the scope of.work:
.identifiedlon this Certificate.of Instal lation,and attest to1he declarations in this'staterbent (responsibie bLiiider/Installer);
otherWlse:I a,'.m an authori2ed representative of;the responsible: builder/installer...
31 The:constructed or'idstalled features; materials 'components or riianafactured,devkes'.(the installation) oentlfled.on this
Certificate of lnstallafion conforms.to'all applicable codes and regulations, and.the _nstallation:conform Ab the reptiirement3
given on the,plans;and•specifications.approved by the enforcement agency.
4- Lreviewed a copy of.tt:e Certficate of Compliance approved: by the enforcement agency that,identifies ihespecific.,reguiremerits.
forthe scope.of construction or. installation�identified.on°this'Certifcate of installation; and I have ensured'rhat!h'e requirements:
"ihat'apply'to the. construct(on,or ins allation;have been met.
5. I will ensure that a completed signed copy of this Ce of Installation shall be'pos'ted §e._ do available with the buil8ing
.. -.. .. .. .
. ..
permits) issued forthe:buiiding,:and made available to the enforcement.agency for.A applicable inspections I understand that a.
compietedsigned copy of this Certificate.:of Installation is.required_to be included with the' documentation the builder 0rovidesto
the building owner at occupancy.
Respon'si Ie:Bwider tallegNatne
Responsible- 'Ide tall ,ignature,-
'company Name (Install, g SubcontractorGeneral Contractocon,
'Builder/Owner)
Position With p ,(Title)p
'
Address,
CSLB License:
'Gty/stateRip
Ph n -
DateSignedi.
CA Building Energy Efficiency -Standards - 2016 Nonresidential Compliance January.2016
STATE OF CALIFORNIA
INDOOR LIGHTING
CEC-NRCI-LTMI-F fRrvi-d nitim
CERTIFICATE OF INSTALLATION
NRCI-LTI-01=E
Indoor Lighting
Page l of 2.
ProjectNamc: SPROUTING BLDG: ADDITION FOR S,MUCKEk$.FOODS
Enforcement Agemy:
Butte County
;Pe—It Number:
B16-1469
Project Address:
37 SPEEDWAY AVE
❑t Y` CHfCO
L [ode: 95928
GENERAL INFORMATION
DATE OF BUILDING PERMIT:. 8/15116 PERMIT NUMBER:B16-1469
BUILDING WE..,Nonresidential ❑ High --Rise Residential (common area) ❑ Hotel/Motel, (Common Area)
PHASE OF CONSTRUCTLON: Q' New Construction :❑Addition'. ❑ Alteration ❑ Unconditioned.
SCOPE OF RESPONMBILITY
Enter the dote of approva[byenforcementagency of the Certifi.cafe of Compliance: that; provides the
Applicable'Sheets or Pages, Tables;.
Schedules, etc..:
specificationsforahe;energy.efficiency meosures-for the seope;of responsibility for this;dnstallation
Date:
Certificate.
In the table below identify oll applicable construciron dacurrmerits thatspecify the requirements for rhe. scope of responsibility
reported by.this Installation Certificate (continued):
Document Tltle or Description
Applicable'Sheets or Pages, Tables;.
Schedules, etc..:
Date Aporoved;by.
Enforcement.A ghi;y
INDOOR TITLE 24 COMPLIANCE FORMS
SHEET E24;
Add WN Row
Remove4La .'
CA Building Energy Efficiency Standards- 2016 Nonresidential Compliance January 2016
STATE OF CALIFORNIA
INDOORUGHTING
CEG-NRCI-LTI-01-F (Revised MIA)
CERTIFICATE OF INSTALLATION'
.wwry •ih�C.Y.
NRCI-LTI-01=E
Indoor Lighting
Docurnentation Author,Signature:
(,
Documentation Author Company;Name:
RG:ACE;ENGINEERIN
Paget of2
Prolecq Name: SPROUTING.BLDGADDITION' FORSMUCKERDS
S FOOge."
• linforcement A
Butte County
Permit Number.
B16-1469
Project Address:`�
i 37 SPEEDWAY AVE
CityCHICO:
ro eoge: 95928.'
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1.: 1 certify that this Certificate of Installation documehtation is accurate:and complete.
Documentation.Author. Name
JOSH SC Tr'
Docurnentation Author,Signature:
(,
Documentation Author Company;Name:
RG:ACE;ENGINEERIN
- -
s 5/17/17
Address --applicable)-
1730 SOUTH STREET
Certificatio'nidenti0cation Qf-applicable):
N/A
City/State/Zip:
REDDING,CA.96QD1
'Phonei
530=244=0202
RESPONSIBLE'PERSON'S' DECLARATION:STATEMENT
Fcertify;the foflowingunder penaltyof:perjury,' underithe lam'of:the State of California'
:1. The'inf&matibngpOided:gnthis.tertlficate;oflnstallationfisirue.andzorrectf
-.. .
2.. 1 am eligible:under Division 3 of the:Business and Professions Code in the:applicalile classification to accept responsibility for the
system design, construction or:instaliation of"features,;matenals, components, oB manufactured"devices for the scope of work,
ide itified on this for fi afe of Installation and attestto the declarations in this,statement'(responsible builder/installer),.
otherwise l am an autFioiized representative"of the responsitile6uilder/installer:
3:= Thetonstructed orinstalled features,, materials,:components:or manufactured devices(the installation) identified on'this:
certificate of Installation conforms to all appf cable codes and;regulatiori3; and the,i'nstalfation conforms [o.tfie,reguire.merits:
giyen,on,the plans and speci Ica, ions:approved by the.'enforceWent agency:
4. I reviewed a.copy:of the Ce',_ f a e. of Compliance -a
.,, pproyed;by<the enforceme"nEagency that identifies the.specific requirements
for,thescoPe'of constriiction or installation identlfied.on this Certificate of Installation; and l have ensured.fhat the requirements
'that,oppiy.to'.the:;ConStTUCtibj or�installatiomhave"been meY
5." 1 will ensure thata completed sign,ed,copyofthts Certificate of Installation shall,be.posted„or made availall'e'with the building
Perrnit(s) issued for the building and made ayallable to^the enforcement agency for all :applicable inspections. l understand.that a.
completed signed copy. of2his Certificate of Installation.•is requiredxo'be.included With the<docurnentation the. builder provides to'
the building owner at occupancy:.
Respon bele 8uilde staHer-Name:
'Responsib A "Id ' natorei
CompYName;(Inst ling`Su contrastor`biGeineralContra'ctororBuilder/owner)
'PosrtlonWi ”eco mpany" tle):
Address:. /'
CSLB license
City/5tae/Zip:
.,'09
Phone"Date:Signed:..
CA Building Energy Efficiency Standards -2016• Nonresidential Compliance January 2016
STATE OF CALIFORNIA
OUTDOOR LIGHTING
CFC-NRCI-1 TMnl-r IP -1 1 nsrsnt
CERTIFICATE OF INSTALLATION
.a 11.UMMA Cry CKUT GU1V1MIl51UN :;
t)ocumentatianAuthorName:
JOSH SCOTT
NRCI-LTO-01-E
Outdoor Lighting
Date signed:
5/17/17
Address'1730 SOUTH STREET
Page 2 of 2
Project Name: SPROUTING BLDG ADDITION FOR'SMUCKERS FOODS
Enforcement ngencyrButte County
Permit Number:
I certifythe following under penalty of perjury;;under the laws of,the State of Califo[itia;
1. The information provided on this Certificate of Installation is Prue and:correcti
616-1469
Project Address: 37 SPEEDWAY AVE
I Gty:
:CHICO'
Zip Code:
95928
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Installation documentation is accurate and complete:
t)ocumentatianAuthorName:
JOSH SCOTT
Documentation Author
lTtial_n
Documentation Author Company Name:
PACE ENGINEERING
Date signed:
5/17/17
Address'1730 SOUTH STREET
LEA Certifcation'ldentification (ffapplicable):
N/A,
Clry/state/Zip:REDDING, GA .96001
Phone;
53.0-244-0202.
'RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certifythe following under penalty of perjury;;under the laws of,the State of Califo[itia;
1. The information provided on this Certificate of Installation is Prue and:correcti
2:. :1 am under Division 3. of'the Business and Professions Code m the applicable classification' to accept responsibility for the
system design, construction,.or'Installation offeatures, materials components, or.m`anufacturetfdevicesfor the scope of work.
identified,on this Certificate of Installation and *41: fo the:deClarat!ons;'in 4hls statement jresporisible. builder/ihstaller),
:otherwise.) am an authorized eepresentati46 of the•responslble builder%installer:
3: The constructed or installed features, materials, components..or manufactured devices,,(the'installation)identified on this
Certificate of Installation conforms to all applicable codes -and regulations and -the lnstallation:conforms to the` requirements
givetron. the plans and specifications approved ey the enforcement agericy.
4. 1 revlewii&a copy of the Certificate of Com piiance.approved by the enforcement ,ageneythit 'identifies the specific requirements
for.the scope of construction or installation identified'on this Certificate.of lnstallation;.and l have:ensured that the requirements
that apply to the construction or installation have been met.
5 1 will ensure that a completed signed copy'of this Certificate of Installation shall be posted; or made available with the building
permits) issued for the building;. and made available to the: enforcement agency. focal( applicable inspections. I understand that a
completed signed copy.of this Certificate of Installation is eequired:to be included with the'documeritation the builder provides to
the.,building owner at occupancy.
Re spo 'DIe Builder/I taller Name:
Responsi 'Bu /In
t'
Comp ny Name:. Installi g ubcontractor or �Generai Contractoror Bulider/Owner)
Position With CC y (Title):.
?p .
Add ess:
CSiB.ticense:
Bio � yy3 : Ste`.
City/Stat ip:. -
c.Y.- ej14�k
Phone -
-
-pateSigned•
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January
STATE OF CALIFORNIA
OUTDOOR LIGHTING u
CFr-NRrI_I TO_n,-cn; i;kc
CERTIFICATE OF: INSTALLATION
n cI�Cl.[V r I vMIVIIJJIVN 41142103�,yNRCI-LTO-Ol-E
BUILD[NG?YPEi NottresidentialOuidoot:Lghting
PHASE Of CONSTRUCTION: A- ew.itonstructton ];❑ A6itidn ❑Alteration
Outdoor Lighting
kb,of OF RESPONSIBILITY
Enter the date of approval by enforceMent-ogencyof the Cer6rtcate af.:Complionce that-provrdes`the
specifications for the energy. efficiency measures for'the:acope.of responsrbrlrtyfor tiiis�lnstal/otion
Certificate,.
Rage 1 of 2
Grdjett Narver -Enforcement
SPROUTING BLDGADDITION FOR SNIUCKERS FOODS:.
Agency,
Butte County
permitNumber:
.Add.=Row
Remo�e�last'
g16-1469
Project Address:'; 37'SPEEDWAYAVE
City: -
CHICO'
11PLw� " 95928
GENERAL INFORMATION
11 OF BUIIDIIVG PERMIT: 8/15116 PERNI;IT NUNI.BER: B16-1469
BUILD[NG?YPEi NottresidentialOuidoot:Lghting
PHASE Of CONSTRUCTION: A- ew.itonstructton ];❑ A6itidn ❑Alteration
Date.Approved by.
kb,of OF RESPONSIBILITY
Enter the date of approval by enforceMent-ogencyof the Cer6rtcate af.:Complionce that-provrdes`the
specifications for the energy. efficiency measures for'the:acope.of responsrbrlrtyfor tiiis�lnstal/otion
Certificate,.
Date;
in the ioble;below' dentrfy all:construction do'cuments,[hatshaw that th'e outdoor lighting and controls were i'nstolled'ps it wb3
proposed in:t 6 Certificates'of Compliance
Document TI#le`or Description
:Applicable Sheets or Pages; Tables.
Date.Approved by.
Schedules ete.
Enforcement Agency
OUTDOOR TITLE -24 COMPLIANCE FORMS
=SHEET E2S
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Remo�e�last'
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016
Location: Smuckers, Chico CA
Tested by: Intermountian Electromechanical Testing.and Servces
Date: 6 -Dec -16
Title: Main Breaker GFI Test
•Uc. 771080
Type: WLS2F316
Trip Unit: ETU745
IETS
21658 Wades Way
Burney CA, 96013
(530)"945-3633
As Found Settings
Megger test of netral buss with netral link open
Ir = 0.4
Megger @1000 VDC = 1000MO
I4T = 2
Ckeck CT wiring. OK
Isd = 1.25
Reconnect N link OK
IZTsd = 0.1
GF Trip test
li = 1.5
A phase = 110 amps:
Pass
B phase = 111 amps:
Pass
gnd trip = A
C phase = 111 amps:
Pass
I alarm = A
All 3 phases tripped at desired current level.
GF No Trip test. Apply current through Phase and Nuetral CT at 1000 amps
A Phase = No Trip: Pass
B Phase = No Trip: Pass
C Phase = No Trip: Pass
12/9/2016 Tested By: