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13060223 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19960 HOMESTEAD RD CONTRACTOR:ACTIVE SIGN CO PERMIT NO: 13060223 OWNER'S NAME: WAYNE&MARY GONG 1365 E TAYLOR ST DATE ISSUED:06/27/2013 OWNER'S PHONE: 4088651879 SAN JOSE,CA 95133 PHONE NO:(408)297-6640 01 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIALE] License Class Lic.# INSTALL(1)ILLUMINATED CHANNEL LETTER SIGN(18" HT) Contractor ate I hereby affirm that I lin licensed under the provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self-insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$2000 I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this APN Number:31603039.19960 Occupancy Type: permit is issued. APPLICANT.CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct.I agree to comply with all city and.county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the Issued b Date: granting of this permit. Additionally,the applicant understands and will comply y' with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. l RE-ROOFS: Signature Date►/ All roofs shall be inspected prior to any roofing material being installed.If a roof is installed without first obtaining an inspection,I agree to remove all new materials for inspection. ❑ OWNER-BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1,as owner of the property,or my employees with wages as their sole compensation, will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) 1,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 255 , 5533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: ---.Date: permit is issued. , 1 certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Worker's CONSTRUCTION LENDING AGENCY Compensation laws of California. If,after making this certificate of exemption,I become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. Signature Date SIGN PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION (O 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 �O CUPERTINO (408)777-3228•FAX(408)777-3333•building(cDcupertino.org PROJECT ADDRESS T?T0 APN# -31 / 0 3 9, OWNER NAME E-MAIL STREET ADDRESSCITY,STATE,ZIP !v FAX CONTACT NAME PHONE /7W— E-MAH eA _ L-V rf'l/�, STREET ADDRESS CITY,STATE,ZIP 0(W ' FAX V_qjl cgT E]OWNER 11 OWNER-BUILDER ❑ OWNER AGENT � CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAMEG t LICENSE BER LICENSE TYPE-- BUS.LIC# COMPANY NAME E-MAIL FAX /�� STREET ADDRESS (/JY. CITY,STATE,ZIP PHO ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK � 1 12 USE OF ❑ SFD or Duplex ❑ Multi-Family ILLUMINATED SIGN TYPE NO.OF SIGN AREA VALUATION STRUCTURE: Commercial (Y/N) (COD ) SIGNS (SQ.FT.) M SIGN TYPE CODES: B - BANNER SIGN M - MONUMENT(GROUND)SIGN BL - BLADE SIGN P - PROJECTING SIGN D - DEVELOPMENT ID SIGN SP SPECIAL EVENT BANNER DI - DIRECTIONAL SIGN T - TEMPORARY E - ELECTRONIC W - WALL SIGN READERBOARD WI - WINDOW SIGN RECEIVE TOT V ION: By my signature below,I certify to each of the following: I am the property owner riz n 7-0—act on the operty owner's behalf. I ha a read this application and the information I have provided is correct. I have re Description of W and verify it is acc e. I agree t comply with all applicable local ordinances and state laws relating to building wnstntction. I a oriz presentatives of Cupertm e a Ove-idgntifie ro erty for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY Site Plan PLAN CHECK TYPE ROUTING SLIP Elevations VER-THE-COUNTER ❑ BUILDING PLAN REVIEW _Sign Details-including UL listing(s)applicable ❑ EXPRESS ❑ PLANNING PLAN REVIEW Structural Calculations(if applicable) ❑ STANDARD ❑ OTHER: _Copy of Planning Approval Letter or Meeting with Planning prior to ❑ LARGE Submittal of Building Permit application. ❑ MAJOR SignApp_2011.doc revised 03/31/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 19960 HOMESTEAD RD DATE: 06/27/2013 REVIEWED BY: MELISSA APN: 316 03 039 BP#: "VALUATION: 1$2,000 *PERMIT TYPE: Building Permit PLAN CICECK TYPE: PRIMARY PENTAMATION 1 CEAP5 USE: Sign PERMIT TYPE: i WORK INSTALL N ILLUMINATED CHANNEL LETTER SIGN 18" HT SOPE SIGN TYPE FEE ID QTY SIGN FEE Wall Sign,Electric 1SIGNWELEC 1 $266 TOTALS: $266 00a TlE :l1c<c:h.t'lan t;hec: P1�4rnb.Plun Check ircuits 1 $45.00 Elec.Permit Fee: IEPERMIT ,-fech.Permit I"ee: Plumb.Ptrimit Pet':OiherAfcch.Insp. Other Plumb Insp. .Insp. 0.0 $45.00 tlech.CnsP. f'ec: Plumb. Lisp.Fee: ''ee: NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc. . These fees are based on therelimin information available and are only an estimate. Contact the Dept for a info. FEE ITEMS (Tee Resolution 11-053 E�' 711112) FEE QTY/FEE MISC ITEMS Plan Check Fee: Suppl.PC Fee: (E) Reg. 0 OT 0.0 his $0.00 Plulnh./r'vtech.IE,lec Permit Fee: $266.00 Suppl. Insp.Feer Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $45.00 PME Permit Fee: $45.00 Construction .Tax: Administrative Fee: Work Without Permit? ®Yes (j) No $0.00 Sign Master Plan: ® Yes 0 No $0.00 Travel Documentation Fee: 1TRAVDOC $45.00 Strong Motion Fee: 1BSEISMICO $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 x ,W4 $402.50 � $402.50 $0.00 a : Revised: 04/29/2013 Building Department City Of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: PERMIT# OWNER'S NAME: PHONE# GENERAL CONTRACTOR: BUSINESS LICENSE#;. ADDRESS: CITY/ZIPCODE:" ¢ *Our municipal coderequiresall b sinesses working in the city to have a,City of Cupertino°business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTIONS) WILL"BE' SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONT RS HAVE.OBTAINED A�CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring/Carpeting Linoleum/Wood g , Glass/Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date D&T DESIGN PROJECT/LOCATION: DATE: 5/22/2013 JOB NUMBER: ❑ Art ❑ Plex/Asm. 3580 Park Dr. D &T San Josese,,CA CA 95I36 BAKERY&CAFE SALES PERSON:TOMMY YOON DRAWING NUMBER: ❑ Vinyl E] Paint Office:408.78I.8602 VPROECT MANAGER:TOMMY YOON SHEET NUMBER: p C I g n Fax:408.484.1091 19960 Homestead Road J E] Elect. E] Install�i J E-mail:tyoonl23@gmail.com Cupertino,CA 9501 DRAW BY. SooJin Kikby SCALE: NTS ❑ Non Elect. ❑ Shp./Rec. Signs&Graphics ALL RIGH FS RI 11A IRVl I).This is an original unpublished piece of artwork generated be 1)&T I resigns live Signs&Graphics.It is int to be shown to ancone outside tour organization,nor is to hr used,repruduceLl,copied ur exhibited in:arr fashion without written aurlwncanun trust I)&T I)csigns. 18" ;1aDterra 18" 210-13/16" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION -CUPERTINO INSTALLATION DETAIL Total S FTALV:L7 T DETAIL: Q � rr This set of fans and specifications MUST be kept at(Wor Face Letter : Pantone 375C Digital Print on 3/16 White Acrylic P s�eC Pt ( ) 9 Y job site during construction. It is unlawful to makaWaMCAP: Dark Anodized Bronze 3/4" TRIMCAP EXPOSED RACEWAY changes or alterations on same, or to deviate-RTURN :3"THICK ALUMINUM RETURN-(Dark Anodized Bronze) 3" —BLOG.wALL(wood) therefrom, without approval from the Building OffictNSHTING:INTERNAL ILLUMINATED WHITE L.E.D .'UIPERTINO TRANSLUCENT PLEX FACE $(TOP L E D Proposal View The Stamping of this plan and specifications SHALL NQQL LETTERS"U.0 LISTED L' , ' L?uilding Department DCABLE be held toA r n a rOt/al Of theN violation 1/4"X 2"ANCHOR BOLTS Law. i (7 MIN/LETTER) OLT L.E.0 TRANSFORMER - " ' ''d - •-- tate JUN 2 7 2013 ELECTRO BITS(END CAP) ., C q 3/4"TRIMCAP - REVIEWED FOR CODE COMPLIANCE va•x r ANGLE a v�lrrx3-1 rr LAo BOLTs DATE PAN CHANNEL TYP 4&BOT.3 TTL.7) 20 _ p View LETTER PERMIT NO. 16 2 . .. Reviewed By DISCONNECT SWITCH Londonderry Or LOW LETTER SECTION �Ot /r2 r Lange mts'o Existing View E Homestead Rd Homestead Rd :i 212 New + - - • it 7411PILO m Yak Pizza Ay AA .S Allstate 3mdewortd Fam1r Insurance Dental Office Of Mira T Godtwara DDS n Northwind Square - Japanese Z7 /S rt Fusan Tapas � Q .. 1 e PLANNIN DEPT. Northlorde Spuare M _--�..►_ ,. Z SATE Square PG E Services � Center DF'PT, z Aft, MV&Its " T This design is the layout we will use in producing your signs per your instructions. LANDLORD APPROVAL: CLIENT APPROVAL: PLEASE CHECK IT CAREFULLY!Mark any changes or revisions dearly on the layout.We furnish art for a one-time set up charge.Your design will be kept in a permanent tile.In the event you need more signs,you will not ❑ Art approved as ❑ Art NOT approved-note changes. ❑ Art approved as ❑ Art NOT approved-note changes. incur another set up charge,if you use the original design.Whereupon you purchase signs elsewhere or elect not to purchase signs,we will bill you for an amount not to exceed the amount of the set up charge. Signature: Date: Signature: Date: Please note:D&T Design Signs&Graphics Solutions retains copyright of this art. *Your signature is required before we can begin production. STATE OF CALIFORNIA STATE OF CALIFORNIA CERTIFICATE OF COMPLIANCE, SIGN LIGHTING CERTIFICATE OF COMPLIANCE, SIGN LIGHTING CEC•SLTG-1C(Redaed 10110) CALIFORNIA ENERGY COMMISSION CECSLTG-1C(Revised 10/10) CALIFORNIA ENERGY COMMISSION Certificate of Com fiance (Sign Lighting) (Page 1 of 4) SLTGIC Certificate of Com fiance (Sign Lighting) (Page 2 of 4 LTG-1C Project Name: � Project Name: Date: L--�� Date: Z Project Address: 3.Mandatory Sign Lighting Controls 014- NOTES.• Location of Sign O Outdoor Signs O Indoor Signs 1. The same responsible person may install both the sign lighting power and the sign lighting controls,or a different responsible Phase of Sign Construction *ew Signs 1]Sign Alterations person may install the sign lighting controls than the responsible person installing the sign lighting power. Type Of Lighting Control 0 New Lighting Controls 13 Replaced Lighting Controls ❑Not Installing Lighting Controls 2. The Mandatory Measures(sign lighting controls)are required for compliance with-the sign lighting Standards.If the person This Certificate of Compliance includes the following components(check all that apply) responsible for installing the sign lighting power is not also responsible for the sign lighting controls, then the owner of the ❑Mandatory Measures(Lighting Controls) ❑Maximum Allowed Lighting Power ❑Specific Lighting Sources sign,general contractor,or architect shall be responsible to have the sign lighting controls installed. 3. If more than one person has responsibility for compliance, each responsible person shall prepare and sign a Certificate of ' Compliance and an Installation Certificate applicable to the portion of construction for which they are responsible; 1. Certificate of Compliance Declaration Statement(this may be a CIO,C45 or other eligible person) alternatively, the person with chief responsibility for construction shall prepare and sign the Certificate of Compliance • I cern under anal of Declaration Statement or the entire construction. certify penalty perjury,under the laws of the State of California,the information provided on this form is true and correct. 3a. Statements of Responsibility:Any person signing the Certificate of Compliance Declaration Statement on page 1 of • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the lighting 4 on this SLTG-1 C shall co lete Part 3a.Check Yes or No for all of the followingstatements: ep respo ty ghting design. I have responsibility for installing the sign lighting controls • This Certificate of Compliance identifies the lighting features and performance specifications required for compliance with 1 ❑Yes complete arts 3a and 3b of this form o complete 3a of this form Title 24,Parts 1 and 6 of the California Code of Regulations. There are no existing sign lighting controls and I will be installing compliant sign lighting controls • The designfeatures 2 ❑Yes ONo represented on this Certificate of Compliance are consistent with the information provided to document this design on the other applicable compliance forms,worksheets,calculations,plans and specifications submitted to the 3 There are no existing sign lighting controls and someone else will be responsible to install compliant sign lighting controls enforcement agency for approval with this building permit application. ❑Yes XNo Name: T Sipoature There are existing sign lighting controls that do not comply with the applicable provision of§119 and§133 and I will be 1 v mM Yom 4 installing compliant sign lighting controls a Company: Phone [3 Yes 9ZLO W-`-M: CUP'ERTINO Address: n There are existing sign lighting controls that do not comply with the ovision of ne else License nugr�(may be contractor's lic it) 5 will be responsible to install compliant sign lighting controls ' 2013 City/State/Zip: ❑No "'k I -� 7 CADate ;�. 3b.Mandatory Sign Lighting Controls REVIEWED FOR CODE COMPLIANCE If the person signing the Certificate of Compliance Declaration Statement on pa y�1 of 4 of SLT C is res�o siGbllee for 2. Installation Certificate to be signed ble after installation complyingwith the siplighting control requirements,that on shall answer ai 40MN I � eals" s: r�'r� a If there are construction documents,indicate where on the building plans the man measures(siza IiWitinit control note block can be located: _ Installation Declaration statement 1 §133(a)l.Ali Indoor sign lighting is controlled with an automatic time switch control that complies with the Y N N • 1 certify under penalty of perjury,under the laws of the State of California,the information provided on this form is true and 133c1 and 2. All ontdoorle raluirements of§ 19. ,❑ ❑ IR arm• § ( ) dp lighting is controlled with an automatic time switch control plus a photo Y N NA • I am eligible under Division 3 of the Business and Professions Code to t 2 control or an outdoor astronomical time switch,that 1 with the applicable requirements of 119. ❑ ❑ representative of the responsibility for construction'or an authorized Exception to§133(&)2. Outdoor signs m tunnels or large covered areas that represen person responsible for construction. cep gns� arg require illumination duringE3NA JK • I certify that the installed features materials daylight hours. ,components,or manufactured devices identified on this certificate conforms to all §133(&)3. All outdoor signs are controlled with a dimmer that provides the ability to automatically reduce Y I N NA applicable codes and regulations,and the installation is consistent with the plans and specifications approved by the signower b a minimum of 65 percent durin nighttime hours. ❑ E3enforcement agency. Y NA • I certifythat the Exception 1 to§133(a)3.Signs illuminated for less than one hour per day during daylight hours. requirements detailed on this Certificate of Compliance have been met. IS, • I will ensure that a completed,signed copy of this Installation Certificate shall be posted,or made available with the building 3 Exception 2 to§133(a)3. Outdoor signs in tunnels or large covered areas that require illumination during Y Nth permits)issued for the building,and made available to the enforcement agency for all applicable inspections. I understand daylight hours. ❑ , that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the Exception 3 to§133(a)3.Only metal halide,high pressure sodium,cold cathode,or neon lamps used for Y N building owner at opmWancy, illuminating signs or parts of signs. ❑ Company Name: --rM,VLV / §133(W. An Electronic Message Center(EMC)having a new connected lighting power load greater than C AW-- —> 15 kW has a control installed capable of reducing the lighting power by a minimum of 30 percent when Y N N/A RePerson's Name: Responsible P Signahue: 4 receiving a demand response signal that is sent out by the local orifi ❑ ❑ Q Exception to§133(a)4.EMC required by a health or life safety statue,ordinance,or regulation,including Y N License num may be is lir Date 'gn • Position With y: but not limited to exit signs and traffic signs. ❑ Field Inspector Notes: 2008 Nonresidential Compliance Forms October 2010 2008 Nonresidential Compliance Forms October 2010 STATE OF CALIFORNIA STATE OF CALIFORNIA CERTIFICATE OF COMPLIANCE, SIGN LIGHTING CERTIFICATE OF COMPLIANCE, SIGN LIGHTING CECSLTG-1C(Revised 10/10) CALIFORNIA ENERGY COMMISSION CECSLTG-1C(Revised 10/10) CALIFORNIA ENERGY COMMISSION i Certificate of Com fiance (Sign Lighting) (Page 4 of 4 SLTGIC Certificate of Com fiance (Sign Li htin (Page 3 of 4 SLTGIC Project Name: LLILarro- Date: 1 Project Name: Date: / p v b 5.Sueciflc Lighting Source Method of ompliance 4.Maximum Allowed LiQhtinQ Power ethod of Compliance Certiflcate of Compliance and Field Inspection Energy Checklist Certificate of Compliance and Field Inspection Energy Checklist Complete this part if there are signs using the Specific lighting source method of compliance. (Complete part 4 of this Complete this part if there are signs using the maximum allowed lighting power method of compliance.(Complete part 5 Certificate of Compliance if there are signs usina the maximum allowed li tin ower method of compliance) of this Certificate of Compliammee if there are signs using the S ecific Eghtin sources method of compliatice A B C D E A B C D E F G H I J OPTIONAL Field A Allowed Watts Design Complies? ENERGY Specific light source used forInspector Watts Y/N Symbol � � compliance B or Description Check:that o p � label Shall include only lighting w° Field Code (see instructions technologies listed below Sign c ,.\.. :9Inspector below) List all appy Complies o vi ✓ a w 3 x Check that Lill that l Sim �/ ❑ : ] .a 3 N 3 A q Complies yy c�Ul 5. o I o rn .� II I II a c ,� w � vv ❑ Cl � o Description ✓ ❑13 V D Tbl ❑ ❑. ❑ O .a< ❑ )3u (ding Department ❑ A Symbol or code used on the plans when plans are and other documents. 04 1.IFY. _- B A narrative description of the sign,or location of sign on the buildin •and the location of sign on construction documents 1 C OPTIONAL-Check this box only if this sip has a permanent,pre-printed,factory-installed ENERGY VERIFIED label,confirming that ❑ UN 2013 n this signlies with the Section 148 of the California 2008 Title 24 Part 6 Standards comp using the Specific Lighting Source Method of -� Compliance. The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by ❑ RE VIEWE0 OR COME CO M4 L IAN C E Underwriters Laboratories(UL)or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards Institute in accordance with ISO/IEC 17011.Surveillance by the Accredited Certification Body shall be an ongoing annual inspection program carried out by a Type A Inspection body in accordance with ISO/IEC 17020.For signs with such an ENERGY VERIFIED label, ❑ 41- � E column'D'is not required to be filled out.Note:Using an ENERGY VERIFIED label is an optional method to validate compliance.An t ; ' ENERGY VERIFIED label is not needed for compliance. A Symbol or code used on the plans when lana are and other documents. Specific Light Source Compliance Method The sign(s)identified above use only the following lighting technologies: B A narrative description of the sim or location of sign on the buildin •and the location of sign on construction documents. List allapplicable numbers 1 6roush 10 that awly in column D above for each row. OPTIONAL-Check this box only if this sign has a permanent,pre-printed,factory-installed,ENERGY VERIFIED label,confirming that I the sign complies with the Section 148 of the California 2008 Title 24,Part 6 Standards,using the Maximum Allowed Lighting Power 2 Pulse start or ceramic metal halide lamps served by a ballast with >_88%efficiency method of compliance. The only labels that will be recognized for this purpose aro ENERGY VERIFIED Certification Marks authorized 3 Pulse start metal halide lamps that are<_320 watts,are not 250 watt or 175 watt lamps,and are served by a ballast C by Underwriters Laboratories(UL)or other Product Certification Body accredited to ISOAEC Guide 65 by the American National with>800/s efficiency Standards Institute in accordance with ISOAEC 17011.Surveillance by the Accredited Certification Body shall be an ongoing annual 4 Neon or cold cathode lamps with transformer or power supply efficiency> 75%with rated output current<50 mA inspection program carried out by a Type A Inspection body in accordance with ISO/IEC 17020.For signs with such an ENERGY S Neon or cold cathode 1 s with transformer or war 1 efficien >68%with rated ou t current>50 mA VEXED label,columns'D'through'I'are not required to be filled out.Note:Using an ENERGY VERIFIED label is an optional IDFluorescent lamps with a minimum color rendering index(CRI)of 80 j method to fiance.An ENERGY VERIFIED label is not needed for fiance. 6sign area in square feet ote:when usingelectronic ballasts for fiance lamps with a CRI<80 may be used) E Lha"I"if the sijm is internally ill , List"E"if the sign is externall illuminated 7 Light emitting diodes s with a power supply with>_ 800/eefficient F Allowed watts pa square foot. Enter 12 if the sign is listed as"I"in column E.Enter 2.3 if sign is listed as'Vin column E. Single voltage LED external power supplies designed to convert 120 volt AC input into lower voltage DC or AC G MWtiply Multiplythe square footage in column D times the allowed Lighting Power Deni D=watts in column F. 8 output,having a nameplate output power less than or equal to 250 watts,and certified to the Energy Commission as H Show the total installed watts in the sign,as determined according to the applicable provisions of§130 d ore. complying with the applicable requirements of the Appliance Efficiency Regulations(ride 20 I Enter Y lithe number in column H is less than or equal to the number in column G. Otherwise the sign does not comply. 9Compact fluorescent lamps that do not contain a medium screw base sockets /E26 J This pw doubles as a field inspection checklist. 10 Electronic ballasts with a fundamental output frequency>_20 kHz Field Inspector Notes: E This pap doubles as a field inspection checklist. Field Inspector Notes: 2008 Nonresidential Compliance Forms October 2010 2008 Nonresidential Compliance Forms October 2010