B-2017-0056 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-0056
20350 STEVENS CREEK BLVD CUPERTINO,CA 95014(369 01 068) WEIDNER
ARCHITECTURAL
SIGNAGE/HOUSE OF
SIGNS INC
SACRAMENTO,CA
95822
OWNER'S NAME: CUPERTINO CITY CTR GARAGE DATE ISSUED:01/10/2017
OWNER'S PHONE:650-931-3452 PHONE NO:(916)452-8000
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class C-45:C-61:D-45 Lic.#559090
Contractor WEIDNER ARCHITECTURAL SIGNAGE/HOUSE OF SIGNS INC X BLDG _ELECT _PLUMB
Date 03/31/2017 _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 Code and that my JOB DESCRIPTION:
license is in full force and effect. CUPERTINO CITY CENTER-INSTALL 1 ILLUMINATED WALL SIGN
I hereby affirm under penalty of perjury one of the following two declarations:
1. 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
,fperformance of the work for which this permit is issued.
Ihave 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 Sq.Ft Floor Area: Valuation:$10242.00
permit is issued.
APPidCANT CERTIFICATION
I certify that I have read this application and state that the above APN Number: Occupancy Type:
information is correct.I agree to comply with all city and county ordinances 369 01 068
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 indemnify and keep harmless the PERMIT EXPIRES IF WORK IS NOT STARTED
City of Cupertino against liabilities,judgments,costs,and expenses which WITHIN 180 DAYS OF PERMIT ISSUANCE OR
may accrue against-,11City in consequence of the granting of this permit.
Additionally,th appli un erstan and will comply with all non-point 180 DAYS FROM LAST CALLED INSPECTION.
source regulat ris pe t""Cupertino Municipal Code,Section 9.18.
€ M ay�� Issued by:Abby Ayende
Sig-.tu e - —Date 1/10/2017 Date:01/10/2017
OWNER-BUHsDER DECLARATION
RE-ROOFS:
I hereby affirm that I am exempt from the Contractor's License Law for one of the All roofs shall be inspected prior to any roofing material being installed.If a roof is
following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for
1. I,as owner of the property,or my employees with wages as their sole inspection.
compensation,will do the work,and the structure is not intended or offered for
sale(Sec.7044,Business&Professions Code) Signature of Applicant: -
2. I,as owner of the property,am exclusively contracting with licensed Date:1/10/2017
cogtractors to construct the project(Sec.7044,Business&Professions Code).
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-insure for Worker's
Compensation,as provided for by Section 3700 of the Labor Code,for the HAZARDOUS MATERIALS DISCLOSURE
performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the
2. I have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safety Code,Sections 25505,25533,and 25534. I will
Section 3700 of the Labor Code,for the performance of the work for which this maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
permit is issued. Health&Safety Code,Section 25532(a)should I store or handle hazardous
a. I certify that in the performance of the work for which this permit is issued,I material. Additionally,should I use equipment or devices which emit hazardous
shall not employ any person in any manner so as to become subject to the
air b contaminants as defined tie TB y}Area Air Quality Management District I
will maintain compliance wi the Cup'ertipo Mugicipal Code,Chapter 9.12 and
Worker's Compensation laws of California. If,after making this certificate of the Health&Safety Co • "ea lions" 50-,25 33,and 25534.
exemption,I become subject to the Worker's Compensation provisions of the r!
Labor Code,I must forthwith comply with such provisions or this permit shall r' �f
Owner or authoriz • ager OSIS
be deemed revoked. Date:1/10/2017
APPLICANT CERTIFICATION
CONSTRU TIt9N > ..! I e ' ENCY
I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance
correct.I agree to comply with all city and county ordinances and state laws • of work's for which this permit is issued(Sec.3097,Civ C.)
relating to building construction,and hereby authorize representatives of this city Lender's Name
to enter upon the above mentioned property for inspection purposes. (We)agree
to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address
judgments,costs,and expenses which may accrue against said City in
consequence of the granting of this permit. Additionally,the applicant understands ARCHITECT'S DECLARATION
and will comply with all non-point source regulations per the Cupertino Municipal I understand my plans shall be used as public records.
Code,Section 9.18. -
{13-2t Obaio
f SIGN PERMIT APPLICATION
!°/ ` COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
�sz.,aSs 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUPERTINO (408)777-3228• FAX(408)777-3333•buildinq(a�cupertino.orq
PROJECT ADDRESS APN# e �r
`' `.gG mss`--ad "3' Gzer—=�tatisus rc� — 9
OWNERNAME PHONE E-MAIL l 1 \Js'^'L163®4-e2.A,
-Ir S. ij..F...a�--c75..- gleo saP &Ss> irSi- ?41,s .D.* 1 t 2 )
STREETgADDRESS CI STATE,ZIP FAX
1 `...P S.?.1. P-. Lie-- J^ �.ti =-r-- i' Gam:'I.- -- 41'' +c2.-
CONTACT NAME PHONE E-MAIL
a IIS. L — ' SV'•P;�-Q elii=a .csZ-- ® ' i'S .t aa4,-. a.t a.-
STREET ADDRESS CITY,STATE,ZIP FAX
❑OWNER 0 OWNER-BUILDER 0 OWNER AGENT 1 CONTRACTOR 0 CONTRACTORAGENT 0 ARCM' CT 0 ENGINEER 0 DEVELOPER 0 TENANT '
CONTRACTOR NAME 4 '4 't LICENSE NUMBER LICENSE T 'E BUS.LIC#
\s ' .- . /6".- .�4-`�5-'-i Vii® s-Gc i �xfes" a S
COMPANY VAME E-MAIL
O`' d. FAX
�`STREET ADDRESS TATEZPHONE
. t > __. --c, '.
rte.44S2-zD
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK
i s.3—- -L-1– r—) <C) :,S r I t -air-/ 'S1 ,mss
46.'17 ., l-
USE OF ❑ SFD or Duplex a Multi-Family ILLUMINATED SIGN TYPE NO.OF SIGN AREA VALUATION
STRUCTURE: ❑ Commercial (Y/N) (CODE) SIGNS (SQ.FT.) (5)
SIGN TYPE CODES: - ''.1( fid%®•-N•asi I €,S'J : t ;,Z.4 Z,G,,
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
RECEIVED BY: aystikTOIL VALUATION:
By my signature below,I certify to e�ach-oftU� sw g:�n I am the property owner or authorized agent to act on the p-operty owner's behalf I have read this
application and the information I)iave pp.vrd d is orrect.'"I ha,'e read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating t.btlfldin• struction. I a,thorize representatives of Cupertino to enter the above•identified property for inspection purposes.
Signature of Applicant/Age, :- I - Date: I
1 ) /171—
,
SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY
Site Plan - PLAN CHECK TYPE ROUTING SLIP
'Elevations 0 OVER-THE-COUNTEa 0 BUILDING PLAN REVIEW
V Sign Details-including UL listing(s)applicable 0 EXPRESS 0 PLANNING PLAN REVIEW"
Structural Calculations(if applicable) 0 STANDARD 0 OTHER:
Copy of Planning Approval Letter or Meeting with Planning prior to 0 LARGE
submittal of Building Permit application. ❑ MAJOR
SignApp_2011.doc revised 03/31/11
Scope of Work: Illuminated wall -mounted Project ID
Contractor: WeidnerCA
500124th Street Sacramento CA 95622
Project Manager: Gigi Gaskin / Patrick Du Hain
Index
Sheet
Page
Permit Cover Sheet
1
Project information
2
Site map
0.1
3
MID -W street view
1.0
4
MID -W detail
1.1
5
MID -W section detail
1.2
6
MID -W elevation view
1.3
7
Location plan
L1.0
8
California cerificate of compliance IN RCC-LTS-01-E
9 to 11
Total number of pages
11
Z C NO
Building Department
REV FW_D �OR CODE CONTIANC-
Revz-wed 3y' ADD, Alende
MCOMMLIETYDEEiSPE EWDEPARTNMN_
BU W IG DIVIS ON —CUTIn O
APPROV—D
f S. Ic—
z_ 'G C :a,
AM
• .. • City Center
-,YTERIOR SIGNAGE
Project Address
20350 Stevens Creek Blvd.
Cupertino, CA 95014
Contact
Patrick DUI" lain
P: 916-454-7414
E: PatrickD@WeidnerCA.com
Gisele Gaskin
P: 916-806-9971
E: GiseleG@WeidnerCA.com
Weidner 5001 24th Street, Sacramento, CA 95822
Tel 916-452-8000 + Fax 916-452-3331
Sionage and GmpNcs
to Brand the Bunt Envircr Men[' CA License No. 559090 - NV License No. 0040109
41A,4PERTMO
W Department
Rew-wed -y' ADD, Alende
NORYk
4 3+353y3C A?.nx
T
Rl
RSi
{ 0 M
CALI AVE. ADDRESS 4 MONUMENT Street View
o to za ao
'" NORTH 80ALIA-20'
CUPERTINO
i din Department
Revi-wed 3y' ADD, Alende
-rale-
sn
&'9nage and G.ph os
to Brand the Bl1t En,4--
5001 24th Street
Sacramento, CA 95622
950-452.8000
WeidnerCA.COm
Project
Cupertino City Gemer
20350 Stevens Greek Blvd.
Cupertino, CA
Client
Prometheus Real Estate Gruup
Designer:
Weidn.GA
Werk Order: 41980
Est, No: A09054
issued: 12-05-16
Drawn By: ES
PM: GG
OWB: 41960 SITE 00
Reale cine:
Rt. 01-06-017 JR
SITE
Site Map & Street View
■
IN
Spa
o i9
2G
411
i
021
- _—Irl
-77
212 i
..,.
Fiiil
2 t'318
#
_4
0$ d{ .zGd t
{ 0 M
CALI AVE. ADDRESS 4 MONUMENT Street View
o to za ao
'" NORTH 80ALIA-20'
CUPERTINO
i din Department
Revi-wed 3y' ADD, Alende
-rale-
sn
&'9nage and G.ph os
to Brand the Bl1t En,4--
5001 24th Street
Sacramento, CA 95622
950-452.8000
WeidnerCA.COm
Project
Cupertino City Gemer
20350 Stevens Greek Blvd.
Cupertino, CA
Client
Prometheus Real Estate Gruup
Designer:
Weidn.GA
Werk Order: 41980
Est, No: A09054
issued: 12-05-16
Drawn By: ES
PM: GG
OWB: 41960 SITE 00
Reale cine:
Rt. 01-06-017 JR
SITE
Site Map & Street View
■
IN
Keynotes
E] Sig. I ... MID -W, se. sheet, 1.7 - 1.3,
ElSign type An, sta, sheet 2.0.
Installation
Mechanically fasten to exterior building,
see sheet 1.2
REV FW D �DR CODE CONIPIANC
Rew-wed 3y'ADDI Alence
Dale -
Weidner
Sl'n.g.and Graphics
t. Brand the Buy,;", Environment'
5001 24th Street
Sacramento, CA 95822
916-452-8000
W.ld—CA.—
I
P -J -.t
Cupertino City Center
20350 Stevens Greek Bhd.
Cupertino, CA
Client:
Prometheus Real Estate Group
Designer.
WeidderCA
Wank Order: 41980
Est. No: A09054
fismed: 11-17-16
D— By: Jim R.
PM: G.G.
DWO: 41960_MID-W_00
R-191cmina
Einummsomm=
MID -W
building id
1.0
0 CUPERT-NO
Butlding department
e :used 3t Abby Avel
l
Slgnage a1d Graph
to Brand the Bnift E -r cnmsnf'
5001 24th Street
Sacramento, CA 95822
916-452-8000
WeldnerCA.com
Project:
Cupertino City Center
20350 Sievers Creek Blvd.
Cupertino, CA
Client
Prometheus Real Estate Group
Designer.
WeidnerCA
Keynotes
Work Drdon 41980
Fabricated aluminum face, all visible surfaces painted Black,
w! push-thru LED illuminated copy.
Sign illumination should not exceed 259 foot lamberts.
Issued: 11-17-16
Fabricated aluminum cabinet, all vtoll surfaces painted
o
Matthews Bnwhed Aluminum' NMP 30136.
push-thm White acrylic copy, net 7l8".
aON/OFF
switch.
aLow
voltage transformer.
0
120V, 20A, electrical clmuff wl dedicated gratnd
Blind looto
(by otheml.
Installation
Mechanically fasten to exterior building,
see sheet 1.2
0 CUPERT-NO
Butlding department
e :used 3t Abby Avel
l
Slgnage a1d Graph
to Brand the Bnift E -r cnmsnf'
5001 24th Street
Sacramento, CA 95822
916-452-8000
WeldnerCA.com
Project:
Cupertino City Center
20350 Sievers Creek Blvd.
Cupertino, CA
Client
Prometheus Real Estate Group
Designer.
WeidnerCA
ig
Work Drdon 41980
Est, No: A09054
Issued: 11-17-16
Drawn BY: Jim R.
PM: Q.Q.
DWG: 41980 -MID -W-00
Blind looto
R1. 01-06-17 JR
1°
14°
12
QTY: (1), copy as shown.
2
(� SIDE VIEW
Scale:
ig
Kevnotes
Q1/8'
think aluminum face panel, attached to angle/tube w/ Lop
1 * VWft. acrylic pot,h-1hm dopy, net 7/8*. —,�,
1-1/2" x 1-112' aluminum mounting angle, welded cons"Ite
1 * sq. aluminum Who, at smanno cannot
1/8' thick aluminum cars, all —no cabinet
E]
#1024cafte
R7
Wrote LED—y..
R8
Law voltage was.
Rq
FRMS pointed to match background,
Mal=
Mechanically fasten to exterior building,
R -V EWE [) MR CODE CO{„PL A—'P Scale: 1' �
2ev'ewed By AN), Alende
Da—' CVAC'17
Weidner
Signage and Graphics
to Brand the got Environment`
5001 24th Scant
Sacramento, CA 95822
916-452-8000
W.1dce,CA..m
I"
Project
Cupertino City Center
20350 Stevens Creek Blvd.
Cupertino, CA
ClIeft
Prometheus Real Estate Group
Designer:
w6doorDA
Work Order: 419e0
Est. NO: A09054
Issued 11-17-16
Drawn By: Jim R.
PM: G.G.
DWG: 41980_MD-W_00
Revisions:
Ed. 01-06-17 JR
QTY: (1), copy as shown
MID -W
building id
1.2
L7
2 C E R -114 0
Buisding Department
REQ,` EW -D -OR CODE COMP_ tiNC-
W CA
4,
Signage and GraPht a
to Brand the Bunt Emironme-±'
5001 24th Street
Sanramorm CA 95822
916-452-8800
Mid—CA—rn
In
Project
Cupertino City Center
20350 Stevens Creek BIW
Cupertino. CA
client:
Prometheus Real Estate Group
Designer.
WeidnerCA
Work Order: 41980
Est. N. A09054
Issued: 11-1716
Drawn 8y: it. R.
DWG: 41980_MID-W 00
Revisions:
QTY,, M), copy as sfintc,n.
s
w
I
120
220
alt}
420 jG
-_
111
� 21
318
f-41-8
i
M
Entrance_508
LOCATION PLAN
Not to Scale
Fitness 1
Center(
§ Zen Room
€01 1
201
' 30 1 01
S
402 _ EL401
11
X10meq 10-3
11 104 � j i
,L20 1 € 3 a
_ 3 303
r
4�4 43
Q 503 _s
MONUMENT
(2� 0 10 20 40
Weidner
Sigmas and G—Hh s
n Brand the Buil, E-1 onna.-
5001 24th Street
Sacramento, CA 95822
916-462-8000
Weid—CA.—
ev �aoa«a. oo�aoiw
Project:
Cupertino City Center
20350 Stevens Creek Blvd.
Cupertino, CA
Client:
Prometheus Real Estate Group
Deeigner.
WeidmrCA
Work Ord": 41980
Est. No: A09054
Issued: 12-05-16
Drawn SIT ES
PM: G.G.
DWG: 41980 LOC -1 00
Revisions:
U
09
M Bui di g Department
2093123,19
REV EW -D =01R COD C ,MP=tiNt_=
Li ■
41,2
s 4M s
Entrance_508
LOCATION PLAN
Not to Scale
Fitness 1
Center(
§ Zen Room
€01 1
201
' 30 1 01
S
402 _ EL401
11
X10meq 10-3
11 104 � j i
,L20 1 € 3 a
_ 3 303
r
4�4 43
Q 503 _s
MONUMENT
(2� 0 10 20 40
Weidner
Sigmas and G—Hh s
n Brand the Buil, E-1 onna.-
5001 24th Street
Sacramento, CA 95822
916-462-8000
Weid—CA.—
ev �aoa«a. oo�aoiw
Project:
Cupertino City Center
20350 Stevens Creek Blvd.
Cupertino, CA
Client:
Prometheus Real Estate Group
Deeigner.
WeidmrCA
Work Ord": 41980
Est. No: A09054
Issued: 12-05-16
Drawn SIT ES
PM: G.G.
DWG: 41980 LOC -1 00
Revisions:
U
M Bui di g Department
Location Plan
REV EW -D =01R COD C ,MP=tiNt_=
Li ■
w --wed Ety-Abby Alende
g1'G`N"L'1_G"HT'1'NG
GEC-NRCC-LTS-0l-E(RoAs.d e8115) CALIFORNIA ENERCY COMMISSION
A. General Information
Project Address:
20350 Stevens Creek Blvd. Cupertino CA 95014
Location of Sign El Outdoor Signs ❑ Indoor Signs
Phase of Sign Construction 21 New Signs 171 Sign Alterations
Type of Lighting Control EJ New Lighting Controls [I Replaced Lighting Controls E] Not Installing Lighting Controls
This Certificate of Compliance includes the following components (check all that apply)
Mandatory Measures (Lighting Controls) [] Maximum Allowed Lighting Power R) Specific Lighting Sources
W 5
ITITTMT
NOTES:
1, The some responsible person may instoll both the sign lighting power and the sign fighting controls, or a different responsible
person may Install the sign lighting controls than the responsible person installing the sign lighting power.
2. The Mandatory Measures (sign lighting controls) are required for compliance with the sign lighting Standards. If the person
responsible for installing the sign lighting power is n at also responsible for the sign lighting controls, then the owner of the 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; alternatively,
the person with chief responsibility for construction shall prepare and sign the Certificate of Compliance Declaration Statement
for the entire construction.
Ia. Statements of Responsibility
Any person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E shall complete Part la. Check Yes or
No for all of the following statements:
I
I have responsibility for installing the sign lighting controls
the sign lighting control requirements, that person shall answer all of the following questions:
0 Yes, complete parts la and lb of this form 0 No, complete part Ia of this form
2
There are no existing sign lighting controls and I will be installing compliant sign lighting controls
I I
0 Yes 0 No
§130.3(a)1. All indoor sign lighting is controlled with an automatic time -switch control or astronomical time-
There are no existing sign lighting controls and someone else will be responsible to install compliant sign lighting controls
3
0 Yes 0 No 1
-4
There are existing sign lighting controls that do not comply with the applicable provision of §110.9 and §130.3 and I will be 1
1 4
installing compliant sign lighting controls
0
0 Yes No
§13133(a)2& All outdoor sign lighting is controlled with a photocontrol in addition to an automatic time-
There are existing sign lighting controls that do not comply with the applicable provision of §110.9 and §130.3 and someone
5
else will be responsible to install compliant sign lighting controls I
2
0 Yes is No
SIGN LIGHTING
I CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E I
TP -9n Lighting (Page 2 of S)
I
I '.i.. w- Cupertino City Center 12/14/16
!I Ib. Mandatory Sign Lighting Controls
If the person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E is responsible for complying with
the sign lighting control requirements, that person shall answer all of the following questions:
If there are construction documents, indicate where on the building plans the
mandatory measures (sign lighting control) note block can be located:
I I
§130.3(a)1. All indoor sign lighting is controlled with an automatic time -switch control or astronomical time-
I Y
N.
NA
switch control,
o
0
0
§13133(a)2& All outdoor sign lighting is controlled with a photocontrol in addition to an automatic time-
Y
10
IN
NA
2
switch control, or an astronomical time -switch control.
o
01
EXCEPTION to Section 130.3(a)2A: Outdoor signs in tunnels, and signs in large permanently covered outdoor
Y
NA
areas that are intended to be continuously [it, 24 hours per day and 365 days per year.
1 0
0
§130.3(a)2B. All outdoor sign lighting that is ON both day and night is controlled with a dimmer that provides
I the ability to automatically reduce sign lighting power by a minimum of 65 percent during nighttime hours.
Y
N
NA
3
Signs that are illuminated at night and for more than I hour during daylight hours shall be considered ON both
0
0
0
day and night.
EXCEPTION to Section 130.3(a)2B: Outdoor signs in tunnels and large covered areas that are intended to be
Y
NA
illuminated both day and night,
0
el,
§130.3(a)3. Demand Responsive Electronic Message Center Control. An Electronic Message Center (EMC)
having a new connected lighting power load greater than 15 kW has a control installed that is capable of
Y
N
L
NA
4
reducing the lighting power by a minimum of 30 percent when receiving a demand response signal.
0
0
0
0
(3)
EXCEPTION
ON to Section 130.3(a)3: Lighting for EMCs that is not permitted by a health or life safety statute,
Y
NA
a ordin�
nc
rdinance, or regulation to be reduced by 30 percent.
0
0
Field Inspector Notes:
CUPERT-NO
Z Buiding Department
[a
R_V EWED OR CODE COMPI AWE
CA Building Energy Efficiency Standards- 2013 Nonresidential Compliance August '7n-�y' AU U A '&�eding Energy Efficiency Standards- 2013 Nonresidential Compliance August 2015
20
. $ I&I-16"T
A, I"N G a $16'14' L'IG"'H"'Tl'NG CEC-
-EC-NRCC-1_TS-01-E(Revs.d 08115) CALIFORNIA ENERGY COMMISSION -,%-
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 3 of 5)
Cupertino city Center
2. Maximum Allowed Lighting Power Method of Compliance
Certificate of Compliance and Field Inspection Energy Checklist
Certificate
of Compliance and Field Inspection Energy Checklist
B
Complete this part if there are signs using the maximum allowed lighting power method of compliance. (Complete part 3 of
D
this Certificate of Compliance if there are signs using the Specific lighting sources method of compliance)
A
B
C
DI E TF I G
H
I
J
Field Inspector
Symbol
or
Description
ENERGY VERIFIED
label
compliance
Shall include only lighting
Field
Symbol
OPTIONAL -Energy
Design
Complies
Inspector
or
Description of the Sign
Verified Label (see
Allotted Watts
Watts
Y/N
Check that
Code
MID -W_
instructions below)
F-1
7
❑
sign complies
L9
El
❑
N 4f_
El I
El
E3 1
46
A Symbol
or code used on the plans (when plans are required)
and other documents.
E O
C OPTIONAL -Check this box only if this sign has a permanent, pre-printed, factory -installed ENERGY VERIFIED label, confirming that this sign
complies with the Section 140.8 of the California 2013 Title 24, Part 6 Standards, 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 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, column 'D' is not required to be filled out. Note: Using an
ENERGY VERIFIED label is an optional method to validate compliance. An ENERGY VERIFIED label is not needed for compliance.
Specific Light Source Compliance Method. The sign(s) identified above use only the following lighting technologies:
E
1
High pressure sodium lamps
Metal halide lamps that are pulse start or ceramic served by a ballast that has a minimum efficiency of 88 percent or
2
greater, Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage
0
when tested according to ANSI C82.6-2005.
Metal halide lamps that are pulse start that are 320 watts or smaller, are not 250 watt or 175 watt lamps, and are served by
a ballast that has a minimum efficiency of 80 percent.
3
Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage when tested
according to ANSI C82.6-2005.
El
0.00
when the transformer or power supply rated output current is less than 50 mA. The ratio of the output wattage to the input wattage is at
❑
Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 68 percent
❑
0.00
100 percent tubing load.
❑
Fluorescent lighting systems meeting one of the following requirements: A. Use only lamps with a minimum color rendering index (CRI) of
6
❑
0.00
Light emitting diodes (LEDs) with a power supply having an efficiency of 80 percent or greater;
❑
8
nameplate output power less than or equal to 250 watts, shall comply with the applicable requirements of the Appliance Efficiency
El
0.00
9
Compact fluorescent lamps that do not contain
1:1
I Field Inspector Notes:
! Hqu
�
r partment
❑
0.00
El
❑
0.00
El
El
0.00
❑
El
O.DO
❑
El
0.00
❑
El
O.DO
El
0
1 1 0.00
1:1
El
0.00
El
A
Symbol or code used on the plans (when plans are required) and other documents.
8
A description of the sign, or location of sign on the building; and the location of sign on construction documents.
OPTIONAL -Check this box only if this sign has a permanent, pre-printed, factory -installed, ENERGY VERIFIED label, confirming
that the
sign complies with the Section 140.8 of the California 2013 Title 24, Part 6 Standards, using the Maximum Allowed Lighting Power
method of compliance. The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by
Underwriters Laboratories (UL) or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards
C
Institute in accordance with S0/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,
columns TY through 'I' are not required to be filled out. Note: Using an ENERGY VERIFIED label is an optional method to validate
compliance. An ENERGY VERIFIED label is not needed for compliance.
The sign area in square feet,
E
List -I- if the sign is internally illuminated. List 'E" if the sign is externally illuminated.
F
Allowed watts per square foot. Enter 12 if the sign is listed as "I" in column E. Enter 2.3 if sign is listed as "E" in column E.
G
Multiply the square footage in column D times the allowed Lighting Power Density (LPD = watts) in column F
H
Show the total installed watts in the sign, as determined according to the applicable provisions of §130(c).
I
Enter Y if the number in column H is less than or equal to the number in column G. Otherwise, the sign does not comply,
1
This page doubles as a field inspection checklist.
Field Inspector Notes:
CUICEF
Bui ding D
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 4 of 5)]
Pmj,d M,- Cupertino City Center r- -'-d: 12/2/16 1
3. Specific Lighting Source Method of Compliance
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 2 of this Certificate
of Compliance if there are signs using the maximum allowed lighting power method of compliance)
B
C
D
E
OPTIONAL
Specific light source used for
Field Inspector
Symbol
or
Description
ENERGY VERIFIED
label
compliance
Shall include only lighting
Check that Sign
Complies
Code
(see instructions
technologies listed below
below)
List all that apply
MID -W_
on Building Project ID
F-1
7
❑
El
❑
El I
El
E3 1
13
A Symbol
or code used on the plans (when plans are required)
and other documents.
B_ A narrative description of the sign, or location of sign on the building; and the location of sign on construction documents
C OPTIONAL -Check this box only if this sign has a permanent, pre-printed, factory -installed ENERGY VERIFIED label, confirming that this sign
complies with the Section 140.8 of the California 2013 Title 24, Part 6 Standards, 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 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, column 'D' is not required to be filled out. Note: Using an
ENERGY VERIFIED label is an optional method to validate compliance. An ENERGY VERIFIED label is not needed for compliance.
Specific Light Source Compliance Method. The sign(s) identified above use only the following lighting technologies:
List all applicable numbers (I through 9) that apply in column D above for each row.
1
High pressure sodium lamps
Metal halide lamps that are pulse start or ceramic served by a ballast that has a minimum efficiency of 88 percent or
2
greater, Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage
when tested according to ANSI C82.6-2005.
Metal halide lamps that are pulse start that are 320 watts or smaller, are not 250 watt or 175 watt lamps, and are served by
a ballast that has a minimum efficiency of 80 percent.
3
Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage when tested
according to ANSI C82.6-2005.
Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 75 percent
D 4
when the transformer or power supply rated output current is less than 50 mA. The ratio of the output wattage to the input wattage is at
100 percent tubing load.
Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 68 percent
5
when the transformer or power supply rated output current is 50 mA or greater. The ratio of the output wattage to the input wattage is at
100 percent tubing load.
Fluorescent lighting systems meeting one of the following requirements: A. Use only lamps with a minimum color rendering index (CRI) of
6
80; or B. Use only electronic ballasts with a fundamental output frequency not less than 20 kHz.
7
Light emitting diodes (LEDs) with a power supply having an efficiency of 80 percent or greater;
Single voltage external power supplies that are designed to convert 120 volt AC input into lower voltage DC or AC output, and have a
8
nameplate output power less than or equal to 250 watts, shall comply with the applicable requirements of the Appliance Efficiency
Regulations (Title 20),
9
Compact fluorescent lamps that do not contain
E This page doubles as a field inspection checklist.
I Field Inspector Notes:
! Hqu
�
r partment
R_V EW -D �011 CODE COMPL ANC_
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 20,15'CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015
Darp:
'S'i&W6&T&G CEG
I CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 5 of 5)
Cupertino City Center hact 1,uu,ed:
12/2/16
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1, 1 certify that this Certificate of Compliance documentation is accurate and complete..,,,,
Documentation Author Name: Patrick DuHain D.cu trop'Au guathre
Company: WeidnerCA Sian atral!rma; 12/2/46
Add— 500124th Street CEA co,rai,an.. idenuir-un (if applicable):
citylstatanml Sacramento CA 95822 Phone: (916) 452-8000
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 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 I 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
ble with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable ins6ections.,,runderstand thata completed signed copy of this
Certificate of Compliance is required to be included with the documentation.' build r_proyides to theuilding owner at occupancy.i
Responsible Design Name:
iun ns la Desi mirm,
Company; WeldnerCA Date sig ed. �12/2/16�
i
Address: 5001 24th Street t1Cen5P CA 559090 i
G1,/stmc/Zro: Sacramento CA 95822 Phone: (916) 452-8000
CUPERTINO
BW ding Depat1tment
REV�EWED -OR CODE COMPI,ANC_�_
CA Building Energy Efficiency Standards -20 2 Nor
August 2015