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B-2016-2147 CITY OF I UPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2147 10741 N WOLFE RD CUPERTINO,CA 95014-0613(316 45 015) HOSPITALITY RENOVATIONS CEDARTOWN,GA 30125 OWNER'S NAME: QUITO HOSPITALITYASSCS LLC ETAL DATE ISSUED:06/16/2016 OWNER'S PHONE:408-777-8787 PHONE NO:(770)748-6400 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class GENERAL BUILDING CONTRACTOR Lic.#;28531 X BLDG X ELECT _PLUMB Contractor HOSPITALITY RENOVATIONS Date 11/30/2016 — MECH X RESIDENTIAL—COMMERCIAL I hereby affirm that I am licensed under the provisions of Chapter 9(commencing — with Section 7000)of Division 3 of the Business&Professions Coa and that my license is in full force and effect. JOB DESCRIPTION: REPLACE 17 WALL SCONES(LIKE FOR LIKE)-HILTON GARDEN I hereby affirm under penalty of perjury one of the following two{leclarations: INN 1. I have and will maintain a certificate of consent to self-insa for Worker's Compensation,as provided for by Section 3700 of the Lab r Code,for the performance of the work for which this permit is issued. 2. I have and will maintain Worker's Compensation Insurane I,as provided for by Section 3700 of the Labor Code,for the performance of thel work for which this permit is issued. 1�R B Sq.Ft Floor Area: Valuation:$1500.00 APPLICANT CERTIFICATION I certify that I have read this application and state that the abov information is correct.I agree to comply with all city and county ordinances APN Number: Occupancy Type: and state laws relating to building construction,and hereby authI rize 316 45 015 representatives of this city to enter upon the above mentioned poperty for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments,costs,and expenlses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City inconsequence of the granting of his permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all n n-point source regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature � bV l \� Date 6/16/2016 Issued by:AbbyAyende Date:06/16/2016 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License L w for one of the RE-ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is 1. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for compensation,will do the work,and the structure is not intended or offered for inspection. sale(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am exclusively contracting with licensed Signature ofApplicant: contractors to construct the project(Sce.7044,Business& rofessions Code). Date:6/16/2 016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1. I have and will maintain a Certificate of Consent to self-ins e for Worker's Compensation,as provided for by Section 3700 of the Labol Code,for the performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code,for the performance of the vork for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous I material. Additionally,should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become to the air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If,after makin this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,25533,and 25534. Labor Code,I must forthwith comply with such provisions o this permit shall be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION Date:6/16/2016 1 certify that I have read this application and state that the above nformation is CONSTRUCTION LENDING AGENCY correct.I agree to comply withal[city and county ordinances and,state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.) to enter upon the above mentioned property for inspection purpo$es. (IIVe)agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cup rtino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date16/ 6/2016 professional GENERAL PERMIT APPLICATIONMEP d CONIVIUNITY DEVELOF HENT DEPARTMENT• BUILDING DIVISION 10300 TORP.E AVENUE• CUPERTINO, CA 95014-3255 CUPERTI (408)7.77-3228• FAX(4)8)777-3333, building5_cuDerdno.org 13, C � n `NO aI�� ❑PLUMBING NIECR4, C.AL LECTRICAL ❑.MISCELLANTEOUS PROJF.CT ADDRESS,41, I � 1 14& ( �® ` • i APN 4' O\\r,KER NA-1 PHONE J I E-1`ZAIL STREET ADDRESS � I TTY, STAT 7l� � �: � I F.AX CONTACT NA.M-E �� P 0.t 9qL� I E-M.AIL — ` REED.ADU SQ� �1 ITY STATE��,�ZIP FAX C7�o E3O\§NFR ❑ 0wy,-R-Btm— ❑ 0\1't.TER AGENT ❑ CONTRACTOR ❑CO1,TTR4CTOR AGENT ❑ ARCHITECT ❑ENGB.T.cR ❑ DE\ELOPER ❑ TENA.NT lc>A I LICENSE NIJAIDEF1� �, LICENSE TYPE I BUS.LIC'41(s i c' COMPAN NAME E-MAIL FAX ST ���h h i�S�\•rt, �� "ITY;STA( .IP PHONE ARCIl17'ECT/ENGL�EERN.4b;E. I LICENSE NUMBER. BUS.LIC r COMPANY NAME -- —� -- � E-1.-14IL^ ..—�. — —T I FAX — STREET ADDRESS I CITY;STATE,ZIP �i PHONE USE OF 0 SFD or DUPLFX ❑ WLTI-FAMILY I PROJECT A FJILDLAN'D ❑❑ YES PROJECT IN El❑YES IS THE BLDG AN YES BUILDL\G: CONQMZCIAL URBAN -FERFACE AREA No FLOOD ZONE ❑NO EICHLERHOME? ❑ NO DESCRIPTION OF WORK .� Ai n �c TOTAL\rALL'.4TION. r_r/�n RECEIVED Bl 00 By my signature below,I certify to each of the folloNving: lain e property owner or authorized agent to act on the property owner's beh 1£ I have read this application and the information I have provided is correct. I have ead the Description of\T,rork and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating building cons do . .uth rize repr sentatives of Cupertino to enter the ab ov -iden Tied property for inspection purposes. Signature of Applicant�kgent: ► Date: SUPPLEMENTAL INFORMATIONT RAQUIRED "`�-n.OFFICE LSE:OTLI„ .,.,._< ...<..: I yti^,y� ❑-O\ER THE-CO[Jr�TER X - <x L41ZGE__ , t , EPn7isc,9pp-201].doe revised 06/21/11 f BUILDING ENERGY ANALYSIS REPORT JOB COPY THIS PLAN SHALL REMAIN ON THE JOB AT ALL TIMES DURING PROJECT: CONSTRUCTION Hilton Garden Inn 10741 Wolfe Rd. Cupertino, CA 95073 Project Designer: Peg y Dye and Associates 17 0 2nd Avenue South Birmingham, AL. 35233 R port Prepared by: J mes G. Blomquist A Plu Green Energy Services 1 C Hangar Way Watsonville, CA 95076 COMMUNITY DEVELOPMENT DEPARTMENT 408-310-0081 BUILDING DIVISION-CUPERTINO APPROVED - - �10, --t•hf plans and specifications MUST be kept dtthe construction. It is unlawful to mak or alterations on same,or to deviat { without approval from the Building Off�ca r' of this plan and specifications SHAL - i •:d co pe-mit or to be an approval of the viol tion of an./ ,provisions of any City Ordinance or State I.a\J, ob Number: Hilton DATE Date: 5/26/2016 The EnergyPro computer program has been used to perfothe calculations summarized in this compliance report.This program has approval and is authorized by the California Energy Commission for use ith both the Residential and Nonresidential 2013 Building Energy Efficiency Standards. This program develop ed by EnergySoft, LLC—www.energysoft.com. Energ Pro 6.7 by Energ Soft User Number:6373 ID:Hilton STATE OF CALIFORNIA = OUTDOOR LIGHTING CEC-NRCC-LTO-01-E Revised 05/15 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTO-01-E Outdoor Lighting (Page 1 of 4) Project Name: Hilton Garden Inn Date Prepared:5/26/2016 Project Address: 10741 Wolfe Rd. Cupertino, 6A 95073 Total Illuminated Hardscape Area 0 General Information Phase of Construction: ❑ New Constructi n ❑ Addition ❑ Alteration Outdoor Lighting Zone(OLZ) OLZ-1 ❑OLZ-2 ❑OLZ-3 ❑ OLZ-4 I have confirmed with the AHJ which OLZ applies to this site. For default lighting zone designations,see Title 24 Part 6,§10-114 LIGHTING COMPLIANCE DOCUMENTS(check box for iach document included) For detailed instructions on the use of this and all Ene4y Efficiency Standards compliance documents,refer to the Nonresidential Manual published by the California Energy Commission. m NRCC-LTO-01-E Certificate of Ompliance Q NRCC-LTO-02-E Outdoor Ligh ing Controls Certificate of Compliance m NRCC-LTO-03-E Outdoor Ligh'ing Power Allowance Certificate of Compliance Summary of Allowed Outdoor Lighting P�wer Watts 1. Sum Total ALLOWED Outdoor Lightin Wattage from NRCC-LTO-03-E, page 1 = 374 Complies ONLY if Installed<_Allowed 2. Sum Total INSTALLED Outdoor lightin Wattage from NRCC-LTO-01-E,page 3 374 Declaration of Required Installation Cert`ficates— Declare by checking all Installation Certificates that will be submitted. (Retain copies and verify f rms are completed and signed.) D NRCI-LTO-01-E- Must be submitted for all buildings ❑ Field Inspector ❑ NRCI-LTO-02-E- Must be submitted for a lighting control system, or for an ❑ Field Inspector Energy Management Control System (EM S), to be recognized for compliance. Declaration of Required Certificates of A ceptance—Declare by checking all of the Certificates of Acceptance that will be submitted. (Retai copies and verify forms are completed and signed.) © NRCA-LTO-02-A- Must be submittedNr outdoor lighting controls. ❑ Field Inspector CA Building Energy Efficiency Standards-2013 Nonresidential Compliance May 2015 STATE OF CALIFORNIA OUTDOOR LIGHTING , CEC-NRCC-LTO-01-E Revised 05/15 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTO-01-E Outdoor Lighting 1 �fG (Page 2 of 4) Project Name: Hilton Garden Inn Date Prepared: 5/26/201I 6 Schedule of luminaires exempt from the outdoor lighting ower requirements in §140.7 p , g gp q Name or Symbol Description of exempt luminaire in accordance with the exemptions Schedule of luminaires exempt from they cutoff requirements in §130.2(b) Name or Symbol Description of a empt luminaire in accordance with the exemptions Schedule of luminaires exempt from the loutdo6r lighting control requirements in §130.2(c) Name or Symbol Description of ex mpt luminaire in accordance with the exemptions CA Building Energy Efficiency Standards-2013 Nonresidential Compliance May 2015 STATE OF CALIFORNIA OUTDOOR LIGHTING CEC-NRCC-LTO-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTO-01-E Outdoor Lighting C (Page 3 of 4) Project Name: Hilton Garden Inn Date Prepared: 5/26/2016C A. OUTDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Luminaire Schedule Installed Watts Location Cutoff Field Inspector A B C D E F G H I How wattage was determined � i r O p7 c c d C Name or B a �. 3 S _ Primary Function area in which G v T Complete Luminaire Description m R :3o- x o, d Item Tag v v o w o n; , m s these luminaires are installed °I _ 3 0 o cv m o z M 0 9 m 0 d 04 00C .�.. Q * O N 1 Troy Ethos LED Wall Sconce 22.0 ❑ E] 17 374 Building Facade ❑ p ❑ ❑ ❑ 0 ❑ ❑ ❑ ❑'. ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑. ❑ ❑ p ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ INSTALLED WATTS PAGE TOTAL: Enter sum total of all pages(Sum Total 374 INSTALLED Outdoor lighting wattage)into 374 NRCC-LTO-01-E;Page 1 CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2013 STATE OF CALIFORNIA OUTDOOR LIGHTING CEC-NRCC-LTO-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTO-01-E Outdoor Lighting (Page 4 of 4) Project Name: Hilton Garden Inn Date Prepared: 5/26/2016 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: James G. Blomquist Documentation Author Signature: Company: A Plus Green Energy Services Signature Date:5/26/2016 Address: 41 C Hangar Way CEA Certification Identification(if applicable): NROB-10-3719 City/State/Zip: Watsonville, CA 95076 Phone:408-310-0081 RESPONSIBLE 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. 1 am eligible_under-Division-3-of-the-Business and-Profes$ions-C-ode-to-acceptTespunsibill y for the bUllcling 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. 1 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: Responsible Designer Signature: Company: Peggy y Date Signed: Pe Dye and Associates Address: License: 1700 2nd Avenue South City/State/Zip: Phone: Birmingham, AL. 35233 CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2013 STATE OF CALIFORNIA OUTDOOR LIGHTING CONTROLS CEC-NRCC-LTO-02-E Revised 05/15 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTO-02-E Outdoor Lighting Controls (Page 1 of 3). Project Name: Hilton Garden Inn Date Prepared: 5/26/2016 The NRCC-LTO-02-E shall be used to document all mandatory outdoor lighting controls that are applicable to the project. Mandatory Outdoor Lighting Control Declaration Statements Check all that apply: ❑ Lighting shall be controlled by self-contained lighting control devices which are certified to the Energy Commission according to the Title 20 Appliance Efficiency Regulations in accordance with §110.9(a). ❑ Lighting shall be controlled by a lighting control system or energy management control system in accordance with §110.9. An Installation Certificate shall be submitted in accordance with§130.4(b). 0 All lighting controls and equipment shall comply with the applicable requirements in §110.9 and shall be installed in accordance with the manufacturer's instructions in accordance with §130.1 ❑ P_art-blight-Outdoar-L-ighting-C-ontr-ols—as-defined-in-Section-00.-I(brshall meet the requirements in Section 110.9(b)5 ❑ All outdoor incandescent luminaires rated over 100 watts, determined in accordance with Section 130.0(c),shall be controlled by a motion sensor. ❑ All outdoor luminaires rated for use with lamps greater than 150 lamp watts, determined in accordance with Section 130.0(c),shall comply with Backlight, Uplight, and Glare (collectively referred to as "BUG") in accordance with Section 130.2(b) El All installed outdoor lighting shall be controlled by a photocontrol or outdoor astronomical time-switch control in accordance with Section 130.2(c)1 ❑ All installed outdoor lighting shall be circuited and independently controlled from other electrical loads by an automatic scheduling control in accordance with Section 130.2(c)2 ❑ All installed outdoor lighting,where the bottom of the luminaire is mounted 24 feet or less above the ground,shall be controlled with automatic lighting controls in accordance with Section 130.2(c)3 ❑ For Outdoor Sales Frontage, Outdoor Sales Lots, and Outdoor Sales Canopies lighting, an automatic lighting control in accordance with Section 130.2(c)4 ❑ For Building Facade, Ornamental Hardscape and Outdoor Dining lighting, an automatic lighting control in accordance with Section 130.2(c)5 0 Before an occupancy permit is granted for a newly constructed building or area, or a new lighting system serving a building,area,or site is operated for normal use, indoor lighting controls serving the building,area,or site shall be certified as meeting the Acceptance Requirements for Code Compliance in accordance with §130.4.(a). Outdoor lighting controls shall comply with the applicable requirements of Section 130.2(c)and Reference Nonresidential Appendix NA7.8 CA Building Energy Efficiency Standards-2013 Nonresidential Compliance May 2015 STATE OF CALIFORNIA OUTDOOR LIGHTING CONTROLS CEC-NRCC-LTO-02-E Revised 05/15 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTO-02-E Outdoor Lighting Controls (Page 2 of 3)_ Project Name: Hilton Garden Inn Date Prepared: 5/26/2016 MANDATORY OUTDOOR LIGHTING CONTROL SCHEDULE and FIELD INSPECTION CHECKLIST NN CL Standards Complying With z 0 Outdoor Lighting Control Schedule (✓all that apply,or enter'E'if Exempted) W 0 CL r) o r A B C D E F G H I N O Type/Description of Lighting Control(i.e. motion sensor,photocontrol,outdoor # `4i ° `4' °i `4' `F i Location and Application of Wo W W 0 W W _t Luminaires being controlled astronomical time-switch control, of N N N N N N N centralized time-based zone lighting Units F+ N W A U9 control) Building Facade Photocontrol 111 0 ✓ ✓ ❑ ❑ 0 13 O ❑ ❑ ❑ ❑ ❑ ❑ CA Building Energy Efficiency Standards-2013 Nonresidential Compliance May 2015 STATE OF CALIFORNIA OUTDOOR LIGHTING CONTROLS CEC-NRCC-LTO-02-E Revised 05/15 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTO-02-E Outdoor Lighting Controls (Page 3 of 3)- ProjectName: Hilton Garden Inn Date Prepared: 5/26/2016 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name:James G. Blomquist Documentation Author Signature: Company: A Plus Green Energy Services signature Date:5/26/2016 Address: 41 C Hangar Way CEA Certification Identification(if applicable): NROS-1D-3719 City/State/Zip: Watsonville, CA 95076 Phone: 408-310-0081 X71! RESPONSIBLE 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. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system designldentified_on_this-Certific-ate-of-Complian (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. 1 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: Responsible Designer Signature: Company: Peggy Dye e and Associates Date Signed: Address: 1700 2nd Avenue South License: City/State/Zip: Birmingham, AL. 35233 Phone: CA Building Energy Efficiency Standards-2013 Nonresidential Compliance May 2015 STATE OF CALIFORNIA OUTDOOR LIGHTING POWER ALLOWANCES ` CEC-NRCC-LTO-03-E Revised 05/15 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTO-03-E Outdoor Lighting Power Allowances �+ 16 C (Page 1 of 4)- ProjectName: Hilton Garden Inn Date Prepared:5/26/2016 A. OUTDOOR LIGHTING POWER ALLOWANCE SUMMARY 1.General Hardscape Lighting Power Allowance(Site Total from Section B of NRCC-LTO-03-E) 1. 0 2.Additional Specific"use it or lose it"Lighting Power Allowances listed in each of these cells shall be identical to total allowed watts determined in Section C-1 to C-4 of NRCC-LTO-03-E. PER APPLICATION PER UNIT LENGTH PER HARDSCAPE AREA PER SPECIFIC AREA from Section C-1 (SALES FRONTAGE) (ORNAMENTAL LIGHTING) from Section C-4. from Section C-2 from Section C-3 0 + 0 + 0 + 374 = 2• 374 3.Sum Total ALLOWED Outdoor Lighting Wattage(add rows 1 and 2) 3. 374 B. GENERAL HARDSCAPE LIGHTING POWER ALLOWANCE FROM TABLE 140.7-A T Area Wattage Allowance(AWA) Linear Wattage Allowance(LWA) Initial Wattage otal General Hardscape Allowance(IWA) Lighting Allowance A B C D E F G H I Illuminated AWA Per Perimeter Length of LPA per LWA IWA Name of area AWA(B x C) D+G+H Hardscape Area Square Foot General Hardscape Linear Foot (E x F) (Watts) TOTAL 0 CA Building Energy Efficiency Standards-2013 Nonresidential Compliance May 2015 STATE OF CALIFORNIA OUTDOOR LIGHTING POWER ALLOWANCES W . CEC-NRCC-LTO-03-E Revised 05/15 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTO-03-E Outdoor Lighting Power Allowances (Page 2 of 4) Project Name: Hilton Garden Inn Date Prepared: 5/26/2016 . C. ADDITIONAL"USE IT OR LOSE IT" OUTDOOR LIGHTING POWER ALLOWANCES FOR SPECIFIC APPLICATIONS ❑The additional specific outdoor lighting power allowance shall be the smaller of the allowed lighting power or the actual lighting power used. ❑ Use Outdoor Lighting Zone(OLZ)that is documented on page 1 of NRCC-LTO-01-E to calculate the specific wattage allowances. C-1. WATTAGE ALLOWANCE PER APPLICATION—Table 140.7-13 ❑Available only for qualifying locations,which include Building Entrances or Exits; Primary Entrances to Senior Care Facilities, Police Stations, Hospitals, Fire Stations,and Emergency Vehicle Facilities;Drive Up Windows;Vehicle Service Station Uncovered Fuel Dispenser ❑ If more than one luminaire type is used per location, use multiple rows for that location A B I C D E F G H I J ALLOTTED WATTS DESIGN WATTS Wattage Name of Location for Number of Allowance per Allotted Luminaire which allowance is qualifying qualifying Watts Code or Luminaire Watts per Design Watts Allowed Watts claimed locations location (B x C) Symbol Luminaire Description Quantity luminaire (G x H) (smaller of D or 1) Sum total allowance per application on this site: 0 C-2. WATTAGE ALLOWANCE PER UNIT LENGTH (Sales Frontage)from Table 140.7-13 ❑ If more than one luminaire type is used per location, use multiple rows for that location A B C D E F G H I J ALLOTTED WATTS DESIGN WATTS Name of Location for Wattage Allotted Luminaire which allowance is Linear feet of Allowance per Watts Code or Luminaire Watts per Design Watts Allowed Watts claimed Sales Frontage linear foot (B x C) Symbol Luminaire Description Quantity luminaire (G x H) (smaller of D or 1) Sum total allowance for sales frontage on the site:. 0 CA Building Energy Efficiency Standards-2013 Nonresidential Compliance May 2015 STATE OF CALIFORNIA OUTDOOR LIGHTING POWER ALLOWANCES . CEC-NRCC-LTO-03-E Revised 05/15 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTO-03-E Outdoor Lighting Power Allowances (Page 3 of 4)- Pro;ectName: Hilton Garden Inn Date Prepared: 5/26/2016 C-3. WATTAGE ALLOWANCE PER SQUARE FOOT OF HARDSCAPE AREA (Ornamental Lighting) —Table 140.7-13 ❑Allowance for the total site illuminated hardscape area. Luminaires qualifying for this allowance shall be rated for 100 watts or less as determined in accordance with Section 130.0(c),and shall be post-top luminaires, lanterns, pendant luminaires,or chandeliers. ❑ If more than one luminaire type is used per location,use multiple rows for that location A B C D E F G H I J ALLOTTED WATTS DESIGN WATTS Name of area for which Wattage Allotted Luminaire ornamental allowance is Square feet of Allowance per Watts Code or Luminaire Watts per Design Watts Allowed Watts claimed Hardscape square foot (B x C) Symbol Luminaire Description Quantity luminaire (G x H) (smaller of D or]) Sum total allowance for ornamental lighting on the site:.10 C-4. WATTAGE ALLOWANCE PER SQUARE FOOT OF SPECIFIC AREA-Table 140.7-13 ❑Allowances for Building Facades;Outdoor Sales Lots;Vehicle Service Station Hardscape;Vehicle Service Station Canopies;Sales Canopies;Non-sales Canopies;Guard Stations;Student Pick-up/Drop-off zone:Outdoor Dining;Special Security Lighting for Retail Parking and Pedestrian Hardscape. ❑ If more than one luminaire type is used per location, use multiple rows for that location A B I C D E F G H I J ALLOTTED WATTS DESIGN WATTS Name of Location for Wattage Allotted Luminaire which allowance is Illuminated Area Allowance per Watts Code or Luminaire Watts per Design Watts Allowed Watts claimed of Application square foot (B x C) Symbol Luminaire Description Quantity luminaire (G x H) (smaller of D or 1) Undefined Ext Task 43,200 0.350 15,120 1 Troy Ethos LED Wall Sconce 17 22.0 374 374 Sum total allowance for specific area on the site: 374 CA Building Energy Efficiency Standards-2013 Nonresidential Compliance May 2015 STATE OF CALIFORNIA OUTDOOR LIGHTING POWER ALLOWANCES CEC-NRCC-LTO-03-E Revised 05/15 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTO-03-E Outdoor Lighting Power Allowances (Page 4 of 4)- Project Name: Hilton Garden Inn Date Prepared:5/26/20 16 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: James G. Blomquist Documentation Author Signature: Company: A Plus Green Energy Services Signature Date:5/26/2016 Address: 41 CHangar Way CEA Certification Identification(if applicable): NROB-10-3719 City/State/Zip: Watsonville, CA 95076 Phone:408-310-0081 v RESPONSIBLE 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. 1 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-designe�. 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. 1 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: Responsible Designer Signature: Company: Peggy Dye and Associates Date Signed: Address: 1700 2nd Avenue South License: City/state/Zip: Birmingham, AL. 35233 Phone: CA Building Energy Efficiency Standards-2013 Nonresidential Compliance May 2015