Loading...
14060114CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19550 STEVENS CREEK BLVD CONTRACTOR: MAIN STREAM PERMIT NO: 14060114 ELECTRIC OWNER'S NAME: CONOCO PHILLIPS 2795 E BIDWELL ST #100-315 DATE ISSUED: 06/19/2014 OWNER'S PHONE: 4082572200 FOLSOM, CA 95630 PHONE NO: (916) 439-5253 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL SERVICE STATION- INSTALL (12) CANOPY LIGHTS, (�76 License Class`� 0 Licc. # ���-( �/� (4) POLE LIGHTS Q C-54 / c� Contractor C/ — /?rrL ��++.TlDate !p �i 7 I I hereby affirm that I am 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: $2700 1 have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 36906007 00 Occupancy Type: Section 3700 of the Labor Code, for the performance of the work for which this 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 T CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, / costs, and expen h may accrue against said City in c qucnce of the Issued by: Date: granting of this permit. Additio , th understands and will comply with all non-po' s ce re s per the Cupertino Municipal Code, Section RE -ROOFS: 9 18. S' nat Date G �C 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 I, 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) I, 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. 1 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 compliancewith t upertino Mu 'cipal Code, Chapter 9.12 and 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 the Health & Safety Code, Se s 5505, 255 ,and l ` Owner or authorized age t: Date �/ permit is issued. I 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 918. Signature Date CUPERTINO GENERAL PERMIT APPLICATION ME P COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION (� 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 —IPLIJMBING MMFC14AMCAL CTRIC.AI l I n MJSCELLANE0l JS Illll�l� PROJECT ADDRESS t �J O JC/'id)G Pr[v APN II V / (fl VV � LI✓ � � - NN�E _ OWNERNAME PWQP ' • t ('� �zs ^/7i� EQ OLS GI6�� �,►d W 1 D ST T `DRFSS ! Ci� STATE, ZIP C4 S FAX J �% CONTACTNAMEs � ne ��0�l.EQr� PH1NF a0-4a1-�73D E4.! czw R 00 'AX .71 CITYyST' Si�I A [ J F —� ❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT ONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER Qla.toa LICE E TYPE c a BUS. LIC # COMPANY NAME �+ rii,f.; E-MAIL A TH FAX /1 a�iGl+r�'► STREET DRE CITY ST TE, ZIP a rY" a HO 9/ 43 .3 .s'� i ARCHITECT/ENGINEER N LICENSE NUMBER BUS. LTC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or DUPLEX ❑ MULTI -FAMILY PROJECT IN WILDLAND ❑ YES PROJECT IN ❑ YES IS THE BLDG AN ❑ YES BUILDING: AtSOM114ERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑ NO EICHLER HOME? ❑ NO DESCRIPTION OF WORK lf� CCV' `' fvl 740 e--' A' Sei (y) ?Ale, h'.�o S TOTAL VALUATION: z � b RECEIVED B7f� By my signature below, I certify to each of the fol wing: I am the property own d agent to act on the pr pe owner's behalf. I have read this application and the information I have pro correct I ha r escription of Work and verify it is accurst . I ee to comply with all applicable local ordinances and state laws relating to bui g nstructi suUl resentatives of Cupertino to enter the above Iden edproperty for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY ❑ OVER-THE-COUNTER pW, F❑ x EXPRESS U ❑ STANDARD UU a ❑ LARGE a. ❑ MAJOR MEPMiscApp_201 Ldoc revised 06/21/11 CITY OF CUPERTINO Im FEE ESTIMATOR — BUILDING DIVISION A,fec,h, I'iFtri i::he,-,k r Mech. Permit Fee Other ,vfech, l'i onh. t'emtit F-ce: P7i4wb..ln.v', Fee: Elec. Plan Check 10.0 1 hrs $0.00 Elec. Permit Fee: I EPERMIT Other Elec. Insp. 1 0.0 1 hrs 1 $47.00 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School Tl;etr;rt ofr ) Th— fooe nro h—d nn tho nro1;m;nary ;nfnrmatinn nvn;lahle and nro nnhv an owimato_ rnntart tho Dent for addn °l info_ FEE ITEMS (Fee Resolution 11-053 E j' 7/1113) 19550 SCB DATE: 06/17/2014 REVIEWED BY: Mendez JimADDRESS: APN: BP#: *VALUATION: 1$2,700 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: I PENTAMATION 1 CEAP11 I PERMIT TYPE: WORK service station- install 12 canopV lights, 4 ole lights �76 SCOPE A,fec,h, I'iFtri i::he,-,k r Mech. Permit Fee Other ,vfech, l'i onh. t'emtit F-ce: P7i4wb..ln.v', Fee: Elec. Plan Check 10.0 1 hrs $0.00 Elec. Permit Fee: I EPERMIT Other Elec. Insp. 1 0.0 1 hrs 1 $47.00 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School Tl;etr;rt ofr ) Th— fooe nro h—d nn tho nro1;m;nary ;nfnrmatinn nvn;lahle and nro nnhv an owimato_ rnntart tho Dent for addn °l info_ FEE ITEMS (Fee Resolution 11-053 E j' 7/1113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 16 # Electrical $70.00 1BREMFIXT Fixtures, Lighting Suppl. PC Fee: Reg. 0 OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. 0 OT0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $47.00 ("On.E�1-���icgTax: a : Administrative Fee: IADMIN $44.00 0 G Work Without Permit? 0 Yes (j) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential E) Building or Structure Cl Travel Documentation Fee: 1TRAVDOC $47.00 Strong Motion Fee: 1BSEISMICO $0.57 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 _ r. $139.57 $70.00 TOTAL FEE: $209.57 Revised: 04/01/2014 15OW Single Output Switching Power Supply CLG - 1 5 0 series CAn D s ,^ W r :5 cc m c r d E z .![ ILI N t.i l � •„b1 0 .N _+/J4-o G. 0 N V st 0 ■ Features : • Universal AC input/ Full range (up to 295VAC) • Built-in active PFC function • High efficiency up to 91 % • Protections: Short circuit / Over current / Over voltage / Over temperature • GoDMgby.free.airconvection • OCP point adjustable through output cable or internal potentiometer • IP65 / IP67 design for indoor or outdoor installations Suitable for LED lighting and moving sign applications Compliance to worldwide safety -regulations for lighting • 3 years warranty D U T h1e SELV IP65 IP67 � c% us A E CLG-150-12[] Blank: IP67 rated. Cable for 1/0 connection. A : IP65 rated. Output voltage and constant current level can be adjusted through internal potentiometer. B :1P67 rated. Constantcurrent level adjustable through output cable. C : Terminal block for 1/0 connection. Output voltage and constant current level can be adjusted through internal potentiometer. SPFGIFICATION MODEL CLG-150.12❑ CLG-150-115F] CLG-150-20E] CLG-150-240 CLG-150-30❑ CLG•150-36 CLG-150-48❑ DC VQG?�1GE "_ 1V " " 15V ` 20V 24V 30V 36V 48V CONSTANT CURRENT REGION Not 4 9 -12V 11.25 -15V 15 - 20V 18 - 24V 22.5 - 30V 27 - 36V 36 - 48V RI1TE0f ENi .% 'T 75A 6.3A5A , 4.2A 3.2A RATED POWER 132W 142.5W 150W 151.2W 150W 151.2W 153.6W RIPPLE 6'00ISE`(rnax) Note2 150mVp p; 150mVp p 150mVp-p 150mvp-p 150mVp-p 150mVp-p 200mVp-p VO17-22V 22-27V 26-32V 31-41V 40-56V _ OU�UT Can'hie adjusted by fntem5l poteritiomeYerAiype And `C type only rAG Ap li 4.75=9.SA 3.75-7.SA 3.15^6.3A 2.5'5A 2.1-4.2A 1.6-3.2A O TOLE N Nc D.3 ±2.0% ±2.0% ±2.0% ±1.0% ±1.0% ±1.0% ±1.00 C I UU► N , :. .5% +W.5% ' �.5%._ ±0.5% ±0.5% +-A.5% ±0.5% z_ REIGULA N ±1.0% ±1:0% ±1:0% 10.5% ±0:5% 10.5% ±0.5% QIP SETT'`'" 3000ros,SOmsatfull load ;230VAC/115VAC M 0p *TIME yp. 50ms I230VAC 16ms / 115VAC at full load 0r7A1QJMh s 9Q-295VAC 127-417VDC E E RMURCY G 47-63Hz C3 c C3 OMS GTO ,iTy PF>0.98/115VAC, PF>0,95I230VAC, PF>0.93/277VAC at full load (Please refer to "Power Factor Characteristic" curve) ._. gIVPUU7 F I Y(Ty .) 88% 88% 90% 90% 91% 91% 91% c o NT ,) - 2015VAC` 1AI230VAC 0.68A/277VAC CL RRE m COLD START 65A(twidth=595us measured at 50% (peak) at 230VAC C13a U <1mA1240VAC 95-108% A 0 o � o Prolectionlype:Cnnstantcurrentlimiting„recoversautomatically,afterfauttcon "onsaQmoved *01tTION T. Hiccup mode, recovers automatically after fault condition is rem (M o 13.5-16V 18-20V 23-27V 28-34 V 42-4 GE i { a o Protection type : Shut down and latch off o/p voltage, re -power o cov V 4- Y�:lUt>10WAA/j1�AftaQB,.ieOWerOhtQT8C4YCf. i i. O�j(1 TEMP -30-+70-C (Refer to'Derating Curve-) 1 - - J`W NGHU 20-95%RHnon-condensing ENVIRONMENT STORAGETEIW.0MIDITY 10-+800,10-95%RH PLI TEMP.--moavc 40 Y50t).. VIBRATION 10 - 500Hz, 5012min.l1 cyde, period for 72min. each along X, Y, Z axes UL8750,CSAC22.2 No. 250.0-08, UL1012, CAN/CSA-C22.2 No. 107.1-01,EN61347-1,EN61347-2-13 independent SAFETYST Note? , ' (exceptforCLG•150 Ctype); UL6095f1-1; TUVEN60950-1,IP65 or IP67, J61347-1 (except for CLG-150 Ctype), J61347-2-13 approved SAFETY & WITHSTANWVOLTAGE `t1P-01P:3.75KVAC I/P-fG:2KVAC O/P-FG 0 5KVAC EMC ISOLATION: RESISTANCE "` ILP-OIP,IIP-FG,O/P-FG:IOOM Ohms /500VDC125'C170%RH EMC EMISSION Compliance to EN55015, EN55022 (CISPR22) Class B, EN61000-3-2 Class C (>_75% load) ; EN61000-3-3 EMC IMMUlIITY ` Compliance "to EN610004-2,3,4,5,6,8,11, EN61547, EN55024, light industry level (surge 4KV), criteria A MTBF 303.TK'hrsmin. MIL-HDBK417F'25C) OTHERS DIMENSION 222.2.6838.8mm (L" W'H)(CLG-150-BlankIAB) 229'68'38.8mm,(L`W'H)(CLG-150-0) PACKING I1.01(g; 12pas/13Kg10.58CUFT(CLG-150-Blank/A/B) IKg; 12pcs/13Kg10.96CUFT(CLG-150-C) NOTE 1. All parameters NOT specially mentioned are measured at 230VAG input, rated load and 25°C of ambient temperature. 2. hippie:& -noise are measured at-201*lz ofWandwidth by uskV a12"-twistedpair-wire-terminated wither 0.luf & 47uf:parallel capacitor. 3. Tolerance : tndudes set up tolerance, line regulation and load regulation. 4. Please refer to "DRIVING METHODS OF LED MODULE". 5. Derating may be needed under law input voltages. Please check the static characteristics for more details. 6. A type and C type only - 7. Safety.arid. EMC.desigp refer b 8460598-1, subject.8750(UL), CNS152313,-G87000 ower 8. The psupply is considered as a component Uhat will be operated in com ' nt I a complete installation, the rural equgdnent manufacturers must requalify EMC Di ' on Ni t'1 O r VA - "; ,,w 0 tent NCF 15.OW Single Output Switching Power Supply L L V - 1 50 series ■ macii-anicif-AMEM Case No. 954A Unit:mm Blank:(CLG-150) 222.2 12 198.2 9.6 v 300+20 300+10 AC/L{Brown)! TTe 991 +v Red AC/N(Blue) • V(`ilaC�) FGD(GreenYex v STW 14AWGx2C v LJ � X Tcase: Max. Case Temperature. iWP67 rated. t-aNetorVO connection. AType:(CLG-150-_A) 222.2 12 198.2 9.6 300+10 IoADJ.0 300+20 AC/L(Brown) N TTe 991 +V(Red AC/N(Blue) • V(Blac�) FGD(GreenNellow) SJTW fBAYyg VoADJ. G <; SJTW 14AWGx2C � 4.2x4PL X T case: Max. Case Temperature. X 11265rated. Output voltage and constant current level can be adjusted through internal potentiometer. (Can access by removing the rubber stopper on the case.) File Name:CLG-150-SPEC 2013-11-27 15OWSingleOutput Switching Power Supply 4 L V' 1 J Q series B Type: (CLG-150-_B) AC/L(Brown) AC/N(Blue) FGQ(GreenNe 999 7 X T case: Max. Case Temperature. VR 111-ea) ADJ1 Blue) ADJ2 hit.) X IP67 rated. Output constant current level can be adjusted through output cable by connecting a resistor between ADJ1 and ADJ2. X Reference resistance value for output current adjustment (Typical) Resistance Percentage of rated current Open Slightly> 100% 4.7K'Q 100% 62652 75% 8252 50%. Shoff Slightly <50% C Type:(CLG-150-_C) 1W X T case: Max. Case Temperature. OIP 04.2x4PL --X Output voltagerand ronstant current levetcanbe adjusted through internal potentiometer. (Can access by removing the rubber stopper on the case.) AC Input Terminal Pin No Assignment PinNo, I Assignment 1 FG 2 AClN 3 AClL DC Output Terminal Pin No. Assignment Pin No. Assignment 1 +V 2 -V File Name:CLG-950-SPEC 2013-11-27 e� loADJ.• VO ADJ. , • ONE X117 6,,1 lip— _ N X T case: Max. Case Temperature. OIP 04.2x4PL --X Output voltagerand ronstant current levetcanbe adjusted through internal potentiometer. (Can access by removing the rubber stopper on the case.) AC Input Terminal Pin No Assignment PinNo, I Assignment 1 FG 2 AClN 3 AClL DC Output Terminal Pin No. Assignment Pin No. Assignment 1 +V 2 -V File Name:CLG-950-SPEC 2013-11-27 'i 5OW Sjnl Gut"# Swikhin- Powef Supply GLV' 1 5 Q series � ^Power facto] Constant Current Mode 1.00 0.98 0.96 0.94 0.92 LL. 0.90 —0--277V ac IL 0.88 --ND-230Vac 0.86 —ei�l 15 V a c 0.84 0.82 0.80 0.78 50% 60% 70% 80% 90% 100% LOAD 050w) ■'.,f FFICIENCY���' CLG-150 series possess superiorworking efficiency that up to 91% can be reached in field applications. 96 92 88 84 t"277Vac W 80 --F230Vac LL 76 ,L—&-115Vac LU 72 68 64 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% LOAD There are two major kinds of LED drive method "direct drive" and "with LED driver". Atypical LED power supply may either work in "constant voltage mode (CV) or constant current mode (CC)" to drive the LEDs. Mean Well's LED. powersupply-with CV+=,characteristic can be operated at bath CV mode [with LED driver, at area (AM and CC mode [direct drive, at area (8)]. In the constant current region, the highest voltage at the output of the driver 100 depends on the configuration of the end systems. tant Should there be any compatibility issues, please contact MEAN WELL. (A) Cons 0 Nottage area Constant o Current area 75 (C) Hiccup �. taatection 75 100 to (%) Typical] ED.4mwersupplyl-Vcurve file Name:CLG-150-SPEC 2013-11-27 EVERFINE GONIOPHOTOMETERS SYSTEM TEST REPORT STR-F-120W 1 Of 9 Light Output Ratio: 100.0% Luminaire Poorer: 135.5 W I80 = 3.7 cd per k1m. I88 = 0.1 cd per klm. I90 = 0.1 cd per klm. I80/I88 = 34.096 C Range: 0 - 360DEG Y Range: 0 - 180DEG C Interval: 15.ODEGInterval: 1.ODEG Test Test Speed: HIGH Test System:EVERFINE GO-R5000_V2 SYSTEM V2.0.266 Temperature:25.3DEG Humidity:65.0% Operators:E422339 Test Distance:30.000m [K=1.0000] Test Date:2013-03-20 Remarks: PFO.981 EVERFINE GONIOPHOTOMETERS SYSTEM TEST REPORT STREETLIGHT PHOTOMETRIC TEST REPORT Paste 2 Of 9 NAND:: LED Street Light TYPE:CCT=4840K,Ra=75.7 WEIGHT: DIM.: SPEC.: SERIAL No.: MFR.: SUNWELL SUR.: PROTECTION ANGLE: DATA OF LAMP PHOTOMETRIC DATA Eff: 77.84 lm/W MODEL STR-F-120W Imax(cd) 4616 T1 street up(%) 0.1 NOMINAL POWER(W) 135.5 LOR(%) 100.0 street down () 51.3 RATED VOLTAGE(V) 220 TOTAL FLUX(1m) 9341 house up(%) 0.1 NOMINAL FLUX(lm) 9341 MAXIMUM @(C,7 ) 195,70.0 H house down(%) 48.5 LAMPS INSIDE 1 up(%) 0.1 76 FLASHAREA(m2) TEST VOLTAGE(V) 220 down(%) 99.9 SLI -1 -90 INTENSITY DISTRIBUTION DIAGRAM IN C PLANS -/+180 C: 90 r�,7n Mad ),143.4 - LO , ,143.4'L0, 141.0 !0,110.3 0 C90/270,80.0 - AVERAGE BEAM ANGLE(50$):118.7 DEG C Range: 0 - 360DEG C Interval: 15.ODEG Test Speed: HIGH Temperature:25.3DEG Operators:E422339 Test Date:2013-03-20 Note: SLI:Specific Luminaire Index C: MAX INTENSITY CONE SURFACE DISTRIBUTION DIAGRAM C180 HOUSE 20 C90 I 7 CO Max @ 7 = 70.ODEG STREET Range: 0 - 180DEG Y Interval: 1.ODEG Test System:EVERFINE GO -R5000 -V2 SYSTEM V2.0.266 Humidity:65.0% Test Distance:30.000m [K=1.0000] Remarks: PFO.981 EVERFINE GONIOPHOTOMETERS SYSTEM TEST REPORT Page 3 Of 9 STREETLIGHT ISOCANDELA DIAGRAM NAME: LED Street Light TYPE:CCT-4840K,Ra=75.7 WEIGHT: DIM.: SPEC.: SERIAL No.: MFR.: SDNWELL SDR.: PROTECTION ANGLE: 7V DO Classification: IES:Type III - Medium CIE:Narrow - Long IES:Cut-off CIE:Semi-cut-of£ Max.At80:5.576cd/klm Max.At90:O.1153cd/klm Max.80-90:5.576cd/klm ISOCANDELA DIAGRAM UNIT cd Imax=1008 4616 90% 4155 80% 3693 70% 3231 60% 2770 50% 2308 40% 1847 30% 1385 20% 923 10% 462 5% 231 C Range: 0 - 360DEG Y Range: 0 - 180DEG C Interval: 15.ODEGInterval: 1.ODEG Test Test Speed: HIGH Test System:EVERFINE GO-R5000—V2 SYSTEM V2.0.266 Temperature:25.3DEG Humidity:65.0% Operators:E422339 Test Distance:30.000m [K=1.0000] Test Date:2013-03-20 Remarks: PFO.981 EVERFINE GONIOPHOTOMETERS SYSTEM TEST REPORT COEFFICIENT OF UTILIZATION CURVE AND ISOLUX DIAGRAM 4 Of 9 ROAD SURFACE ISOLUX DIAGRAM ILLUMINANCE AT MH=10 m,Enadir = 24.48 lx lYLi 8S LHVIVIC 11V 1RG I- -5 -4 -3 -2 -1 0 1 2 3 4 5 6 RATIO OF DISTANCE TO MOUNTING HEIGHT 20 15 12 9.8 — 7.3 2.4 1.2 0.73 0.24 0.12 HEIGHT FACTOR 5 m 4.000 6 m 2.778 7 m 2.041 8 m 1.563 9 m 1.235 10 m 1.000 11 m 0.826 12 m 0.694 13 m 0.592 14 m 0.510 15 m 0.444 16 m 0.391 C Range: 0 - 360DEG 7 Range: 0 - 180DEG C Interval: 15.ODEG y Interval: 1.ODEG Test Speed: HIGH Test System:EVERFINE GO-R5000—V2 SYSTEM V2.0.266 Temperature:25.3DEG Humidity:65.0% Operators:E422339 Test Distance:30.000m [K=1.0000] Test Date:2013-03-20 Remarks: PFO.981 EVERFINE GONIOPHOTOMETERS SYSTEM TEST REPORT ZONAL FLUX DIAGRAM 5 Of 9 NAME: LED Street Light TYPE:CCT-4840K,Ra=75.7 WEIGHT: DIM.: SPEC.: SERIAL No.: MFR.: SUNWELL SDR.: PROTECTION ANGLE: 7 CO C45 C90 C135 C180 C225 C270 C315 7 4Y zone 0 total %lM,l 10 2324 2425 2521 2522 2418 2388 2382 2346 0- 10 20 2319 2497 2525 2582 2333 2323 2092 2151 10- 20 30 2516 2614 2091 2531 2423 2031 1525 1862 20- 30 40 2714 2563 1825 2289 2731 1874 937.3 1668 30- 40 50 2939 2734 1095 2521 3284 1716 867.4 1415 40- 50 60 3604 2622 1110 1942 3854 1992 767.1 1063 50- 60 70 3304 830.9 400.5 898.8 3255 956.8 391.5 906.8 60- 70 80 34.80 26.71 9.335 25.17 45.89 34.10 15.00 22.93 70- 80 90 0.7871 0.6412 0.4200 0.1404 0.3312 0.5276 0.0700 0.4551 80- 90 100 2.606 0.8466 0.4874 0.6672 2.276 0.8944 0.3681 0.7852 90-100 110 4.353 1.950 0.8918 1.524 4.026 2.441 1.085 2.041 100-110 120 5.089 2.030 1.172 1.681 4.464 2.986 1.299 2.798 110-120 130 4.202 2.068 1.329 1.770 3.607 2.913 1.627 2.813 120-130 140 3.342 2.161 1.748 1.855 2.830 2.548 1.731 2.659 130-140 150 3.219 2-.672 2.464 2.485 2.631 2.571 2.030 2.710 140-150 160 3.307 2.916 3.078 2.782 2.860 2.788 2.204 2.914 150-160 170 4.182 3.757 3.428 3.726 3.870 3.549 3.341 3.636 160-170 180 4.166 3.830 3.411 3.953 4.148 3.795 3.323 3.900 170-180 DEG LUMINOUS INTENSITY:cd UNIT:lm C Range: 0 - 360DEG Y Range: 0 - 180DEG C Interval: 15.ODEGInterval: 1.ODEG Test Test Speed: HIGH Test System:EVERFINE Temperature:25.3DEG Humidity:65.0% Operators:E422339 Test Distance:30.000m Test Date:2013-03-20 Remarks: PFO.981 GO -R5000 V2 SYSTEM V2.0.266 [K=1.0000] EVERFINE GONIOPHOTOMETERS SYSTEM TEST REPORT Page 6 Of 9 ISOCANDEIA DIAGRAM NAME: LED Street Light TYPE:CCT-4840K,Ra=75.7 WEIGHT: DIM.: SPEC.: SERIAL No.: MFR.: SUNWELL SUR.: PROTECTION ANGLE: 9U 80 70 60 50 40 30 20 c� q 10 a U H E, -10 w -20 -30 -40 -50 -60 -70 -80 -90 10% 457.5 20% 915.0 30% 1372 40% 1830 50% 2287 60% 2745 70% 3202 80% 3660 90% 4117 Imax:4575(H-65.0,V35.5) (At:C=195.0,Gamma=70.0) UNIT: cd -90 -80 -70 -60 -50 -40 -30 -20 -10 0 10 20 30 40 50 60 70 80 90 HORIZONTAL(DEG) C Range: 0 - 360DEG �, Range: 0 - 180DEG C Interval: 15.ODEGInterval: 1.ODEG Test Test Speed: HIGH Test System:EVERFINE GO-R5000—V2 SYSTEM V2.0.266 Temperature:25.3DEG Humidity:65.0% Operators:E422339 Test Distance:30.000m (K=1.0000] Test Date:2013-03-20 Remarks: PFO.981 EVERFINE GONIOPHOTOMETERS SYSTEM TEST REPORT Page 7 Of 9 Planar Illuminance Curve Planar Illuminance Curve E Ux) MEI = 10 m 25 C01180 22.5 20 17.5 15 12.5 10 7.5 5 2.5 0 -25 -20 -15 -10 -5 0 5 10 15 20 25 Distance (m) C Range: 0 - 360DEG Y Range: 0 - 180DEG C Interval: 15.ODEGInterval: 1.ODEG Test Test Speed: HIGH Test System:EVERFINE Temperature:25.3DEG Humidity:65.0% Operators:E422339 Test Distance:30.000m Test Date:2013-03-20 Remarks: PFO.981 GO -R5000 V2 SYSTEM V2.0.266 [K=1.0000] EVERFINE GONIOPHOTOMETERS SYSTEM TEST REPORT LUMINOUS DISTRIBUTION INTENSITY DATA • NAME: LED Street Light TYPE:CCT-4840K,Ra=75.7 WEIGHT: DIM.: SPEC.: SERIAL No.: MFR.: SANWELL SDR.: PROTECTION ANGLE: Table --1 UNIT: cd C (DEG) 7 (DEG 0 15 30 45 60 75 90 105 1 120 135 150 165 180 195 210 225 240 255 270 0 2451 2448 2447 2447 2449 2445 2447 2445 2446 2446 2448 2446 2451 2448 2447 2447 2449 2445 2447 5 2403 2417 2423 2436 2464 2465 2475 2460 2492 2485 2464 2478 2441 2446 2429 2430 2435 2436 2447 10 2324 2353 2366 2425 2459 2496 2521 2508 2538 2522 2488 2469 2418 2426 2382 2388 2384 2374 2382 15 2288 2315 2339 2422 2471 2558 2576 2579 2587 2549 2488 2422 2379 2398 2366 2368 2325 2279 2260 20 2319 2371 2420 2497 2496 2546 2525 2570 2612 25821251412 10 2333 2343 2349 2323 2248 2122 2092 25 2380 2485 2551 2563 2466 2379 2322 2396 2545 2598 2566 2429 2329 2355 2319 2179 2064 1856 1802 30 2516 2630 2647 2614 2338 2148 2091 2143 2323 2531 2642 2499 2423 2447 2266 2031 1803 1570 1525 35 2631 2750 2747 2577 2209 2107 2117 2103 2178 2379 2720 2659 2587 2551 2222 1924 1628 1364 1297 40 2714 2872 2838 2563 2215 2091 1825 2035 2215 2289 2770 2914 2731 2650 2259 1874 1440 1034 937 45 2841 2999 2956 2590 2146 1474 1283 1351 1940 2324 2824 3172 3015 2940 2413 1775 1208 958 939 50 2939 3180 3061 2734 1787 1210 1095 1220 1426 2521 2975 3487 3284 3275 2702 1716 1082 952 867 55 3166 3337 3218 2756 1386 1165 1100 1175 1271 2398 3280 3648 3522 3533 3107 1726 971 842 788 60 3604 3735 3351 2622 1308 1207 1110 1237 1312 1942 3252 3835 3854 3908 3484 1992 899 860 767 65 3724 3985 3234 1927 1250 1097 946 1106111333 1519 2691 3737 3974 3764 3191 1290 915 665 574 70 3304 3505 1622 831 793 532 400 489 907 899 1302 3745 3255 4616 2606 957 677 417 392 75 351 368 126 86.9 44.7 32.6 28.7 37.4 43.7 85.5 122 230 407 465 390 386 102 31.7 27.1 80 34.8 45.0 30.5 26.7 13.3 11.7 9.33 13.4 12.4 25.2 38.3 46.8 45.9 51.2 52.1 34.1 21.4 16.7 15.0 85 3.82 3.53 4.44 5.43 3.22 2.41 2.09 2.68 3.18 6.77 8.00 7.47 5.92 6.63 7.28 6.58 4.31 3.45 3.39 90 0.79 0.54 0.68 0.64 0.46 0.09 0.42 0.09 0.44 0.14 0.56 0.26 0.33 0.77 1.08 0.53 0.66 0.51 0.07 95 0.97 0.53 0.66 0.37 0.42 0.14 0.45 0.11 0.46 0.26 0.65 0.47 0.61 0.98 0.31 0.46 0.18 0.38 0.07 100 2.61 2.65 2.10 0.85 0.72 0.38 0.49 0.37 0.56 0.67 1.32 2.15 2.28 2.41 1.33 0.89 0.67 0.51 0.37 105 3.95 3.81 3.07 1.51 0.97 0.67 0.66 0.63 0.84 1.02 2.45 3.18 3.70 3.61 2.51 1.72 1.09 0.94 0.79 110 4.35 4.20 3.77 1.95 1.07 0.86 0.89 0.86 1.07 1.52 3.16 3.62 4.03 3.95 3.24 2.44 1.36 1.17 1.09 115 4.82 4.63 3.86 2.02 1.34 0.98 1.07 0.98 1.20 1.63 3.37 4.02 4.22 4.54 3.41 2.74 1.74 1.35 1.27 120 5.09 4.68 3.80 2.03 1.44 1.07 1.17 1.05 1.39 1.68 3.34 3.85 4.46 4.53 3.41 2.99 1.96 1.47 1.30 125 4.66 3.88 3.64 2.04 1.48 1.12 1.17 1.09 1.40 1.73 3.17 3.28 4.15 4.28 3.29 2.96 2.00 1.50 1.32 130 4.20 3.54 3.13 2.07 1.60 1.28 1.33 1.26 1.41 1.77 2.81 3.14 3.61 3.87 2.87 2.91 2.06 1.70 1.63 135 3.59 3.07 2.98 2.08 1.69 1.47 1.59 1.46 1.64 1.80 2.78 2.79 3.01 3.32 2.75 2.87 2.20 1.80 1.67 140 3.34 2.82 2.92 2.16,2.04,1.75_1.75 1.67 1.94 1.86 2.74 2.72 2.83 3.25 2.66 2.55 2.57 1.94 1.73 145 3.32 2.80 2.91 2.32 2.52 2.12 2.15 2.09 2.32 2.12 2.65 2.69 2.72 3.09 2.45 2.52 2.74 2.25 1.89 150 3.22 2.94 2.92 2.67 2.77 2.57 2.46 2.44 2.64 2.49 2.69 2.69 2.63 2.90 2.42 2.57 2.79 2.43 2.03 155 3.19 3.05 3.01 2.84 3.03 2.95 3.02 2.84 2.83 2.69 2.82 2.83 2.57 2.85 2.63 2.71 2.84 2.47 2.18 160 3.31 3.06 3.16 2.92 3.11 2.99 3.08 2.93 2.94 2.78 2.97 2.96 2.86 2.85 2.73 2.79 2.89 2.55 2.20 165 3.66 3.58 3.39 3.30 3.42 3.37 3.18 3.23 3.27 3.17 3.29 3.48 3.44 3.28 3.24 3.02 3.30 2.76 2.64 170 4.18 4.16 3.89 3.76 3.87 3.45 3.43 3.33 3.61 3.73 3.74 4.00 3.87 3.65 3.62 3.55 3.60 3.34 3.34 175 4.46 4.28 4.12 3.85 4.02 3.40 3.60 3.36 3.96 3.91 3.98 4.11 4.07 3.91 3.81 3.70 3.75 3.36 3.35 180 4.17 4.07 4.00 3.83 3.86 3.29 3.41 3.35 3.99 3.95 3.98 3.98 4.15 4.00 3.96 3.79 3.82 3.39 3.32 C Range: 0 - 360DEG �, Range: 0 - 180DEG C Interval: 15.ODEGInterval: 1.ODEG Test Test Speed: HIGH Test System:EVERFINE Temperature:25.3DEG Humidity:65.0% Operators:E422339 Test Distance:30.000m Test Date:2013-03-20 Remarks: PFO.981 GO -R5000 V2 SYSTEM V2.0.266 [K=1.0000] EVERFINE GONIOPHOTOMETERS SYSTEM TEST REPORT LUMINOUS DISTRIBUTION INTENSITY DATA Paae 9 Of 9 NAME: LED Street Light TYPE:CCT-4840K,Ra=75.7 WEIGHT: DIM.: SPEC.: SERL4L No.: MFR.: SUNWELL SUR.: PROTECTION ANGLE: Table --2 UNIT: cd C Range: 0 - 360DEG Y Range: 0 - 180DEG C Interval: 15.ODEGy Interval: 1.ODEG Test Speed: HIGH Test System:EVERFINE G0-R5000_V2 SYSTEM V2.0.266 Temperature:25.3DEG Humidity:65.0% Operators:E422339 Test Distance:30.000m [K=1.0000] Test Date:2013-03-20 Remarks: PFO.981 BUILDING ENERGY ANALYSIS REPORT - I PROJECT: UNION 76 SERVICE STATION 19550 Stevens Creek Blvd. Cupertino, CA 95014 Project Designer: Main Stream Electric 2795 E. Bidwell Street 100-315 Folsom, CA 95630 916-439-5253. T rd 1FFI'E "OP" Report . : .. Jam Hezar, J.D.LEED AP ,Alliance 24 Title 325 Berry Street, Ste-# 624 San Francisco, CA 94158 (530) 902-4387 FINCUPERTINO ..i .. i REVIEWED FOR CODE COMPLIANCE Job Number: Reviewed By: jmh` A710� 14-06111 Date: 6115/20'14 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC—www energysoft com: ID:14-0694? LIGHTING MANDATORY MEASURES:: NONRESIDENTIAL LTG -MM Project NameDate UNION 76'SERVECE STATION 6/16/2014 Indoor Lighting Measures.' §131(d): Shut-off Controls For every floor, all interior lighting systems shall be equipped with a separate automatic control to shut off the lighting. 1. This automatic control shall meet the requirements of Section 119 and may be an occupancy sensor, automatic time switch or other device capable of automaticall shutting off the li htin . 2 Overridefor Building Lighting Shut-off: The automatic building shut-off system is provided with a manual, accessible override switch in si ht of the `fights. The area of override is not to exceed 5,000 square feet. 19 §1 �h) Automatic Control Devices Certified: All automatic control devices specified are certified, all alternate equipment shall be certified and installed as directed by the manufacturer. §111: Fluorescent Ballast and Luminaires Certified: AN fluorescent fixtures specified for the project are certified and fisted in the Directory. All installed fixtures shall be certified. §131(a): Individual Room/Area Controls: Each room and area in this building is equipped with a separate switch or occupancy sensor device.for each area with floor--to-ceiling walls. Uniform Deduction for Individual Rooms: All rooms and areas greater than 100 square feet and more than 0.8 watts §131(b): per square foot of lighting load shall be controlled with bi-level switching for uniform reduction of lighting within the room: Daylight Area Control: All rooms with windows and skylights that are greater than 250 square feet and that allow for i 31 c § ()' the effective use of daylight in the area shall have 50% of the lamps in each daylit area controlled by a separate switch; or the effective use of daylight cannot be accomplished because the windows are continuously shaded by a building on the adjacent lot: Diagram of shading during different times of the year is includedon plans. §131(c):' Display. Lighting. Display righting shall be separately switched on circuits that are 20 amps or Iess.6. Outdoor LightingUghtihg Measures: §130(c)l : Mandatory lighting power determination for medium base sockets without permanently installed ballasts §1 32(a):All permanently installed luminaires with lamps rated over 100 Watts either have a lamp efficacy of at least 60 lumens per Watt or are, controlled by a motion sensor: §132(b): All Luminaires with lamps rated greater than f 75 Wafts in hardscape area, including parking lots, building entrances, canopies, and all outdoor sales areas meet the Cutoff Requirements. §132(c)1 ` All permanently installed outdoor lighting meats the control requirements listed. §132(c): Building facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi -Level Lighting Requirements listed. EnergyPro 5.1 by Ene Soft UserNamber: 6262>; RaaCode: 2014-0646718:10:20 ID: 14-06111 Page 3 of 8 TABLE OF CONTENTS Cover Page Table of Contents Form LTG -MM Lighting Mandatory Measures Form OLTG-1-C Certificate of Compliance Form OLTG-2-C Lighting Compliance Summary 1 EnergyPro 5.1 by Energy8oft job Number ID: 44-06III User Number: 6262 1 2 3 4 8 Part i of 4 0LTG-1 C Project Name Date UNION 76 SERVICE STATION 611612014 Project Address Total Illuminated Area 19550 Stevens Creek Blvd., Cupertino, Cit 95014 2,800 GENERAL INFORMATION Phase of Construction: 0 New Construction ❑ Addition ® Alteratio Documentation Author's Declaration Statement I certify that this Certificate of Compliance documentation is accurate and complete. Name Jam HeW J.B. LEER-APCompanyAlliance MDat 24:Title Address -(M41ZGree325 Berry Street Ste.# 624 City/State/Zip Phone San Frandsco, CA ,94158 Irt ttor # 9099390 (530) 802-4387 Principal Lighting'Designer's Declaration Statement • 1 am eligible under Qivision.3 of the California Business and Professional Code to accept responsibility for the lighting design:. • This Certificate of Compliance identifies the righting features and performance specifications required for compliance with`Title 24, Pages 1 and 6 of the California Code of Regulations. • The design features :represented can this Certificate of Compliance are consistent with the information provided to document: this design on the other applicable compliance forms, worksheets, calculatio ', plans and specifications submitted to the enforcement agency for approval with this buildin e' ' appli Names Sign re Shane Halstead Company Ph Main Scream Electric 916 -016-43"253 Address License � l 2785 E. Bidwell Street'!Qt?-3:s �! City/State/Zip Folsom, GA 95630 Date A& Principal Lighting Designer's Declaration ® 1`certify that this Ger0ficate of Compliance documentation is accurate and complete, and accounts for all outdoor lighting power, including building mounted, pole mounted, as well as all other lighting designed for the site, and that Additional Lighting Power Allowances for Specific Applications or Additional Lighting Power Allowances for Ordinance Requirements have not been counted more than one time for the same area, in accordance with Section 147 of the Standards. Outdoor Lighting Mandatory Measures Indicate location on buildir7g plans of Mandatory Measures Note Block: LIGHTING COMPLIANCE FORMS & WORKSHEETS (check box if worksheets is included) For detailed instructions on the use of this and esti Energy Efficiency Standards compliance forms;.please refer to the Nonresidential Manual published b the California Ener commission. ❑ OLTG-t c Certificate of Compliance.,All 4 pages required on plans for all submittals. ❑ OLTG-2C( gs s 1 of 3) Lighting Wattage Allowances for General Hardscape, Safes Frontage, or Ornamental Lighting. Optional on OLTG-2C (Pages 2 of 3) lighting wattage Allowance for Per Application or Per Area. Optional on plans. 17 OLTG-2C (Pages 3 of 3) Additional Lighting Power Allowance for Ordinance Requirements. Optional on plans. Ener Pro5:1 b Ener ft UserNumber.6262 RunCode*2DIA.17F-1A,TIR-1n•9n un• a.r_na", - - -- res c -t tit o CERTIFICATE O COMPLIANCE Part 2 of 4 0LTG-1C Project Name Clate UNION 76 SERVICE STATION t3196/2t314 COMPLIANCE FIXTURE ILIGHTING. CONTROL SCHEDULE 'and FIELDINSPECTION CHECKLIST INSTALLATION CERTIFICATE, OLTG-I INST (Retain a copy and verify form is completed and signed.) Field Inspection O CERTIFICATE OF ACCEPTANCE; OLTG-2A (Retain a copy and verity form is completed and signed_) Field Ins ectlon © Luminaire Schedule Installed Watts A B C D E F G H ! Name or Item Ta' Luminaire Descri tion' ._ See footnote below i.e.:1 lam to .sle-hoe-box�400 watt metal halide ;gm' a= U o �' m m `� o. t How wattage was determined n z 3 2 tD N' x _ a Feld , fns or2'" E �' �' m ¢ U " in ¢ G+a _ a U_ Pole Lig LED 120W 120.0 0' 10 ❑ 4 480 ❑ 0 Canopy LED 12OW 120.0C3 ill ❑ 12 1,440 Q ©;" © 0 Q ❑ 0 0 Q Q, ❑ ❑ 0--- E3 0 ❑ 0 ❑'' 13 ❑ o t ❑ a ❑ ❑ o ❑ 13 ❑ 13 1 1 0 1 0 Enter total into OLTG-1 C _ Page 4 of 4: Row H; Total installed Watts, 1,920 1. Type of luminaire (f.e.:;past top, waif pack,:surface, shoe box); for non -incandescent luminaires, indicate nominal lamp wattage and lamp type (i.e.: fluorescent, incandescent, Hip); ballast type (i.e.: electronic or magnetic); number of lamps and number of ballasts per luminaire. For incandescent luminaires, the luminaire wattage listed Iin column D shall be the maximum relampind rated wattage on a permanent factory -installed label on the luminaire, NOT the wattage. of the lamp (bulb) used, in accordance with Section 134(d ore). 2. If Fail then describe ori Page 2 of the Inspection Checklist Form and take appropriate action to correct Verify building pians if necessary. EXEMPT LUMINAIRES Field ins ectian Name or S bo! Descri tion of exempt t luminaires in accordance with §147 MANDATORY CONTROLS Field Inspection _I # Descri lorr Location # Deseri' tion Location SPECIAL FEATURES INSPECTION CHECKLIST (See Page 2 of 4 of OLTGr1 C) The local enforcement agenoy should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification. The local enforcement agency determines the adequacy of the justi ication, and may reject a building car design that otherwise complies based on the adequacy of the special justification and documentation submitted. Filed Inspector Notes or Discrepancies: Enc Pro 5.1 by Enc Soft' (lserNumbelr 6262 RunCode: 2014-06-16718:10:20 ID: 14-06111 Page 5 of 8 CERTIFICATE QF COMPLIANCE Part 3 of 4 0LTG-1 C Project Name Date UNION 76 SERVICE STATION � 611612014 A. OUTDOOR LIGHTING ZONE OUTDOOR LIGHTING ZONE: ❑ OLZ 1 Q OLZ 2 13 OLZ 3 ❑ OLZ 4 Is the Outdoor Lighting Zone:. ® Default in accordance with §10-114, or ❑ Amended by JNA Complete the information below if the default Outdoor Lighting Zone has been amended by the local jurisdiction having authority (JHA): © The site is a govemment designated park, recreational area, wildlife preserve, or portion thereof, and has been designated as LZ2 or LZ3, in accordance with Table 10-114-A, because the site is contained within such a zone. 13 The local jurisdiction having authority has officially adopted a change to the State Default Lighting Zone and has notified the Energy Commission by providing the materials required in_§10-114(d) to the Executive Director. 1 The adopted change is posted on the Energy Commission website. B. ADDITIONAL LIGHTING POWER ALLOWANCE FOR ORDINANCE REQUIREMENTS Are additional lighting 06wer allowances for ordinance in Table 147-C used? ❑ Yes ®No Complete the information below if additional Ilghting power allowances for ordinance requirements are used: 171 The local jurisdiction having authority has officially adopted specific outdoor light levels, which are expressed as average or minimum footcandle levels, by following a public process that allowed for formal public notification, review, and comment about the proposed' change. ❑ The local jurisdiction having,authority which adopted specific outdoor light levels and has notified the Commission by providing the following materials required §10-114(1) to the 'Executive Director. C. ACCEPTANCE FORMS Required Acceptance Tests Designer: This form is to be used by the designer and attached to the plans. Listed below is the acceptance test for the Lighting system, OLTG-2A. The designpris required to check the acceptance tests and list all control devices serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance. If all the lighting system or control of a certain type requires a test, list the different 'lightingand the number of systems. The NA7 Section in the Appendix of the Nonresidential Reference Appendices Manual describes the test Since-this formwill be part of the plans, completion of this section will allow the responsible party to budget for the scope of work appropriately. Forms can be grouped by type of Luminalre controlled. Enforcement Agency: Systems Acceptance, IBefore_ Occupancy Permit is granted for a newly constructed building or space or when ever new lighting system with controls is installed in the building or space shall be certified as meeting the Acceptance Requirements. The 0LTG-2A form is not considered a complete form and is not to be accepted by the enforcement agency unless the boxes are checked and/or filled and signed. in addition, a Certificate of Acceptance forts shall be submitted to the enforcement agency that certifies plans, specifications,'installation certificates, and operating and maintenance information meet the requirements of §10-103(b) of Titre 24, Part B. The field inspector must receive the properly filled out and signed forms before the building can receive final occupancy. A copy of the OLTG: 2A for each different lighting luminaire control(s) must be provided to the owner of the building for their records. Certificate of Acceptance Luminaires Controlled OLTG-2A' Qty: Of Equipment Re uirin Testing Like Description Controls Location Outdoor Lighting Acceptance Tests 1. Insert: OMS for Outdoor Motion Sensor; OLSC for Outdoor Lighting Shutoff Controls; OP for Outdoor Photocontrol; ATS for Astronomical Time Switch; and, STS for Standard non-astronomical Time Switch acceptance. EnergyPro 5.1 by EnergysDff : User Number 6262 RanCode. 2014-06-18Tf8:10:20 ID. 14-06f i1 Page Sof 8 CERTIFICATE OF COMPLIANCE Part 4 of4 OLTG-1 C Project Name UNION 76 SERVICE STATION Date 611612014 ALLOWED AND INSTALLED OUTDO5—R LIGHTING POWER Lighting Wattage Power Allowance A Lighting power, allowance for general hardscape (from OLTG-2C Page I of 3) o $ Specific application lighting wattage allowance per unit length ,(from OLCG-2C'Page t of 3) o C Specific application lighting Wattage allowance for ornamental lighting (from OLT6-2C Page 1 of 3) 0 D Specific application lighting wattage allowance per application (from 0LTG-2C Page .2 of 3) o E Specific application lighting wattage allowance per area (from OLTG-2C Page 2 of 3) 1,920 F Specific application lighting wattage allowance for ordinance requirements (from QLTG-2C Page'3 of 3) 0 G Total Allowed Wattage = Sum of rows A through F: 1,920 H Total installed watts (from Compliance Fixture Schedule, (from .OLTG-2C !Page i of 3) 1,920 Complies if wattage in .row H .is less than or equal to the wattages in row -G ®Yes ❑ No EnergyPro 5.1 by Ener '''Soft User Number: 6262 RunCode: 2014406-f6T18:10:20 1D: 14-06111 Pae 7 of 8 OUTDOOR LIGHTING WORKSHEET Part 2 of 3 OLTG-2C Project Name Date UNION 76 SERVICE STATION 9 612014 D. SPECIFIC APPLICATION LIGHTING WATTAGE ALLOWANCE PER APPLICATION DETERMINE WATTAGE ALLOWANCE DESIGN WATTS ALLOWANCE A E C D E F Q __H I J Speolfic Lighting Application Number of Applications Specific Applioation Allowance watts Wattage Ailowanoe B X C) Lunilneka Symbol Luminaire T e Lumin QTY Watts Per Luminaire Desl n Watts G X H' Allowed Watts Minimum of`D or Enter total into OLTG-10; Page 4 of 4; Row D; Specific Application Wattage Allowance P2rApplication 0 E. SPECIFIC APPLICATION LIGHTINGWATTAGE ALLOWANCE PER AREA DETERMINE WATTAGE ALLOWANCE LUMINAIRE TYPE DESIGN WATT'S A B C p E F G H I J Specific Lighting Application Illuminated Area of Application Specific Application Allowance watts per ft2 Wattage Allowance B X G Code for Luminaire Type Luminaire Type Lumin QTY Design Watts Per Watts Luminaire G X H Allowed Watts Minimum of D or I Service Station Hardscape 1,600 0:308 493 Pole Ltg LED 120tH 4 120.0 480 480 Gas Station Canopy 1,200 11358 1,630 Canopy LEO 120W 12 120;0 1,440 1,440 Enter total into OLTG-1C• Page 4 of 4; Row E; Specific.Application Lighting Watia a Allowance Per Area 11920 EnergyPro 5.1 by EnergySoft User Number, 6262 Run Code: 2014-06.16718:70:20 ID: 14-06111 page 6 of 8