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Home My WebLink AboutADM20-0110 Title 24 FormCA Building Energy Efficiency Standards - 2019 Nonresidential Compliance: http://www.energy.ca.gov/title24/2019standards November 2019STATE OF CALIFORNIA Sign LightingNRCC-LTS-E (Created 11/19) CALIFORNIA ENERGY COMMISSIONPage 1 of 5CERTIFICATE OF COMPLIANCENRCC-LTS-EThis document is used to demonstrate compliance with requirements in §110.9, §110.12, §130.0, §130.3, §140.8, and §141.0(b)2M for sign lighting scopes using the prescriptive path. Exit signs and traffic signs are not required to comply with prescriptive requirements per exceptions to §140.8 and do not need to complete this compliance document.Project Name:Rite AidReport Page:Project Address:14115 Lakeridge Cir.Date Prepared:9/15/2020A. GENERAL INFORMATION 01Project Location (city)Magalia02Climate Zone1103Building is a healthcare facilityB. PROJECT SCOPE Table Instructions: Include any illuminated signs that are within the scope of the permit application and are demonstrating compliance using the prescriptive path outlined in §140.8 or §141.0(b)2M for alterations. Exit signs and traffic signs are not required to comply with prescriptive requirements per exceptions to §140.8 and do not need to complete this compliance document. WARNING: Changing the Compliance Method in this table will result in the deletion of data previously input. If you need to change the compliance method, please open a new form or use "Save As".01Name or Item Tag02Complete Sign Description03Sign Status¹04Sign Type05Compliance Method²R4"Drive Thru" wall signNewOutdoorAlternate Light SourcesR5"Rite Aid" wall signNewOutdoorAlternate Light SourcesR7"Thrifty" wall signNewOutdoorAlternate Light SourcesR8"Pharmacy" wall signNewOutdoorAlternate Light SourcesR10"Drive Thru" wall signNewOutdoorAlternate Light SourcesR11"Rite Aid" wall signNewOutdoorAlternate Light SourcesR13"Drive Thru" wall signNewOutdoorAlternate Light Sources ¹FOOTNOTE: Sign alterations that increase the connected lighting load, replace and rewire more than 50% of the ballasts, or relocate the sign to a different location must comply with §140.8. See §141.0(b)2M for more details. ²The ENERGY VERIFIED Label compliance method is only applicable if the sign has a permanent, factory-installed, ENERGY VERIFIED label certified by UL or comparable, confirming the sign complies with §140.8. Note that using an ENERGY VERIFIED label is an optional compliance path, not a mandatory requirement. See the tool tips for this table for more details.C. COMPLIANCE RESULTS Table Instructions: If any cell on this table says "DOES NOT COMPLY" or "COMPLIES with Exceptional Conditions" refer to Table D. for guidance. Table Continued CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance: http://www.energy.ca.gov/title24/2019standardsNovember 2019STATE OF CALIFORNIA Sign LightingNRCC-LTS-E (Created 11/19) CALIFORNIA ENERGY COMMISSIONPage 2 of 5CERTIFICATE OF COMPLIANCENRCC-LTS-EProject Name:Rite AidReport Page:Project Address:14115 Lakeridge Cir.Date Prepared:9/15/2020Table ContinuedName or Item Tag(See Table B)01(See Table B)Complete Sign Description02(See Table F)Total Allowed (Watts) 03≥(See Table F)Total Designed (Watts) 04OR(See Table G)Compliant Light Sources05OR(See Table H)ENERGY VERIFIED Label06Compliance Results07R4"Drive Thru" wall sign≥ORYESORCOMPLIESControls Compliance (See Table F/G/H for Details) COMPLIESR5"Rite Aid" wall sign≥ORYESORCOMPLIESControls Compliance (See Table F/G/H for Details) COMPLIESR7"Thrifty" wall sign≥ORYESORCOMPLIESControls Compliance (See Table F/G/H for Details) COMPLIESR8"Pharmacy" wall sign≥ORYESORCOMPLIESControls Compliance (See Table F/G/H for Details) COMPLIESR10"Drive Thru" wall sign≥ORYESORCOMPLIESControls Compliance (See Table F/G/H for Details) COMPLIESR11"Rite Aid" wall sign≥ORYESORCOMPLIESControls Compliance (See Table F/G/H for Details) COMPLIESR13"Drive Thru" wall sign≥ORYESORCOMPLIESControls Compliance (See Table F/G/H for Details) COMPLIESD. EXCEPTIONAL CONDITIONSThis table is auto-filled with uneditable comments because of selections made or data entered in tables throughout the form. No exceptional conditions apply to this project.E. ADDITIONAL REMARKSThis table includes remarks made by the permit applicant to the Authority Having Jurisdiction. F. MAXIMUM ALLOWED LIGHTING POWER AND CONTROLSThis Section Does Not Apply CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance: http://www.energy.ca.gov/title24/2019standardsNovember 2019STATE OF CALIFORNIA Sign LightingNRCC-LTS-E (Created 11/19) CALIFORNIA ENERGY COMMISSIONPage 3 of 5CERTIFICATE OF COMPLIANCENRCC-LTS-EProject Name:Rite AidReport Page:Project Address:14115 Lakeridge Cir.Date Prepared:9/15/2020G. LIGHT SOURCES AND CONTROLSTable Instructions: Complete this table for illuminated signs using the Alternate Lighting Sources compliance method per §140.8(b) as indicated on Table B of this compliance document. Also demonstrate compliance with mandatory controls requirements from §130.3 by indicating control types for each sign.01Name or Item Tag02Complete Sign Description 03Compliant Light Sources¹04Shut-OffDimmingDemand Response³Mandatory Controls05Field InspectorPassFailR4"Drive Thru" wall signLED + pwr supply 80%+ eff. Auto Timer + PhotocontrolPwr. reduced 65%+NA 1R5"Rite Aid" wall signLED + pwr supply 80%+ eff. Auto Timer + PhotocontrolPwr. reduced 65%+NA 1R7"Thrifty" wall signLED + pwr supply 80%+ eff. Auto Timer + PhotocontrolPwr. reduced 65%+NA 1R8"Pharmacy" wall signLED + pwr supply 80%+ eff. Auto Timer + PhotocontrolPwr. reduced 65%+NA 1R10"Drive Thru" wall signLED + pwr supply 80%+ eff. Auto Timer + PhotocontrolPwr. reduced 65%+NA 1R11"Rite Aid" wall signLED + pwr supply 80%+ eff. Auto Timer + PhotocontrolPwr. reduced 65%+NA 1R13"Drive Thru" wall signLED + pwr supply 80%+ eff. Auto Timer + PhotocontrolPwr. reduced 65%+NA 1*NOTE: Selections with a * require a note in the space below explaining how compliance is achieved. EX: Sign within tunnel illuminated day & night; EXCEPTION to §130.3(a)2A. ¹FOOTNOTE: Dropdown choices have been abbreviated, please refer to §140.8(b) to confirm compliance with the specific light source technologies listed. ² Authority having jurisdiction may ask for cutsheets to confirm compliance of light source. ³ Demand response controls are only required for an Electronic Message Center having a new connected lighting power load greater than 15 kW per §110.12(d). H. ENERGY VERIFIED LABELED SIGNS AND CONTROLSThis Section Does Not Apply CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance: http://www.energy.ca.gov/title24/2019standardsNovember 2019STATE OF CALIFORNIA Sign LightingNRCC-LTS-E (Created 11/19) CALIFORNIA ENERGY COMMISSIONPage 4 of 5CERTIFICATE OF COMPLIANCENRCC-LTS-EProject Name:Rite AidReport Page:Project Address:14115 Lakeridge Cir.Date Prepared:9/15/2020●I. DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION Table Instructions: Selections have been made based on information provided in previous tables of this document. If any selection needs to be changed, please explain why in Table E. Additional Remarks. These documents must be provided to the building inspector during construction and can be found online at https://www.energy.ca.gov/title24/2019standards/2019_compliance_documents/Nonresidential_Documents/NRCI/YESNOForm/TitleField InspectorPassFailNRCI-LTS-01-E - Must be submitted for all buildings.J. DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCEThere are no Certificates of Acceptance applicable to sign lighting requirements. CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance: http://www.energy.ca.gov/title24/2019standards November 2019STATE OF CALIFORNIA Sign LightingNRCC-LTS-E (Created 11/19) CALIFORNIA ENERGY COMMISSIONPage 5 of 5CERTIFICATE OF COMPLIANCENRCC-LTS-EProject Name:Rite AidReport Page:Project Address:14115 Lakeridge Cir.Date Prepared:9/15/2020DOCUMENTATION AUTHOR'S DECLARATION STATEMENT I certify that this Certificate of Compliance documentation is accurate and completeDocumentation Author Name:Michael FordDocumentation Author Signature:Michael FordCompany:Coast SignSignature Date:9/15/2020Address:1500 W. Embassy St.CEA/ HERS Certification Identification (if applicable):City/State/Zip:Anaheim, CA 92802Phone:(714) 520-9144RESPONSIBLE PERSON'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 Compliance is true and correct.2.I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer)3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.4.The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.5.I will ensure that a completed signed copy of this Certificate of Compliance shall be 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 completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.Responsible Designer Name:Michael FordResponsible Designer Signature:Michael FordCompany :Coast SignDate Signed:9/15/2020Address:1500 W. Embassy St.License:654238City/State/Zip:Anaheim, CA 92802Phone:(714) 520-9144