B-2017-0178CITY OF CUPERTINO BUILDING PERMIT
BUILDINGADDRESS: CONTRACTOR: PERMIT NO: B-2017-0178
20010 STEVENS CREEK BLVD CUPERTINO, CA 95014-2308 (369 03 005) SIGN CITY
PACIFICA, CA 94044
OWNER'S NAME: CHEUK HOR LAND KAY TRUSTEE
OWNER'S PHONE: 408-439-6102
LICENSED CONTRACTOR'S DECLARATION
License Class ELECTRICAL SIGNS Lie. #9sM
Contractor SIGN CITY Date 11/30/2017
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:
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
6 performance of the work for which this permit is issued.
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
permit is issued.
APPLICANT CERTIFICATION
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 indemnify and keep harmless the
City of Cupertino against liabilities, judgments, costs, and expenses which
may accrue against said City in consequence of the granting of this permit.
Additionally, the applicant understands and will comply with all non -point
source regulations per the Cupertino Municipal Code, Section 9.18.
Signature p'i 0 /f, , Date 1/30/2017
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of the
following two reasons:
1. 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)
2. I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (See.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three 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
performance of the work for which this permit is issued.
2. 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
permit is issued.
/3:/ I certify that in the performance of the work for which this permit is issued, I
shall not employ any person m any manner so as to become subject to the
Worker's 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 forthwith comply with such provisions or this permit shall
be deemed revoked.
l
APPLICANT CERTIFICATION
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 indemnify and keep harmless the City of Cupertino against liabilities,
judgments, costs, and expenses which may accrue against said City in
consequence of the granting of this permit. Additionally, the applicant understands
and will comply with all non -point source regulations per the Cupertino Municipal
Code, Section 9.18.
Signature Date 1/30/2017
DATE ISSUED: 01/30/2017
PHONE NO: (415) 550-8955
BUILDING PERMIT INFO:
X BLDG —ELECT -PLUMB
_ MECH _ RESIDENTIAL X COMMERCIAL
JOB DESCRIPT1f ON:
COCONUTS FISH CAFE - INSTALL 1 ILLUMINATED WALL SIGN
Sq. Ft Floor Area: .I I Valuation: $3000.00
"N Number: 1 Occupancy Type:
369 03 005
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: Abby Avende
Date: 01/30/2017 11 1
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without fiat obtaining an inspection, I agree to remove all new materials for
inspection.
i
Signature of Applicant:
Date: 1/30/2017
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
I have read the h ardous materials requirements under Chapter 6.95 of the
California Heal h &Safety Code, Sections 25505, 25533, and 25534. I will
maintain compli ce with the Cupertino Municipal Code, Chapter 9.12 and the,
Health & Safetyj Code, Section 25532(a) should I store or handle hazardous
material. Additionally, should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
the & Safety Code, Sections 25505, 25533, and 25534.
Owner or authori�ed agent:Ile-
Date:
t.d L
1/30/2017
CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performance
of work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's Addresst
I,
1ARCHITECT'S DECLARATION
I understand my pans shall be used as public records.
Licensed
Prnf -ccinnal
010C+ ._ o p --z
SIGN PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(akupertino.or�
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PROJECT ADDRESS ® Q a cry wv
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OWNER NAME
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CONTACT NAME e , , �
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CITY, STATE, ZIP
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FAX
❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER P.NANT
CONTRACTOR NAME a !I p
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LICENSE NUMBER dp�/� �j IGENS TP� aBUS. LIC# 6� / � 4
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COMPANY NAME ^ a
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CITY, STATE, (� PHONEOg ` i
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ARCHITECT/ENGINEERNAME
LICENSE NUMBER BUS. LIC #
COMPANY NAME (�
STREET ADDRESS yj� i� _®
CITY, STAT C NL
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11 - -r Of
DESCRIPTION OF WORK 4 �g n A ) c FA
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USE OF ❑ SFD Or Duplex ❑ Multi -Family
STRUCTURE: Wcommercial
ILLUMINATED
(Y / N)
SIGN TYPE
(CODE)
140. OF
SIGNS
SIGN AREA
(SQ. FT.)
VALUATION
M
SIGN TYPE CODES:
B - BANNER SIGN M - MONUMENT (GROUND) SIGN
BL - BLADE SIGN P PROJECTING SIGN
-i�-- -DEVELOPMENT M-SIGN---•,•-.SP-==--SPECLkL.-EVENT'DANNTR -
DI - DIRECTIONAL SIGN T -TEMPORARY
E - ELECTRONIC W -WALL SIGN
READERBOARD WI -- WINDOW SIGN
V
1a^
✓
3 f
RECEIVED BY:
TOT& V LU T_IQN:
By my signature below, I certify to each of the following: I am the property owner or authorized agent to act n the property owner's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and verify it i� accurate. I agree to comply with all applicable local
ordinances and state laws relating to building cons coon. •I autjWrize representatives of Cupertino to enter the above -identified property for inspection purposes.
Signature of Applicant/Agent: _ _ _ �_ _ te:
SUPPLEMENTAL INFOM\4ATIONYEQUIRED
Site Plan
— Elevations
— Sign Details - including UL. listing(s) applicable
Structural Calculations (if applicable)
_ Copy of Planning Approval Letter or Meeting with Planning prior to
submittal of Building Permit application.
OFFICE
USE ONLY
PLAN CHECK TYPE
ROUTING SLIP
❑ OVER-THE-COUNTER
i
❑ EXPRESS !,
❑ STANDARD
❑ LARGE
❑MAJOR
❑ BUILDING PLAN REVIEW
❑ PLANNING PLAN REVIEW
❑ OTHER:
SignApp_2011.doc revised 03;31/11
156"
150 3/8"
Custom Illuminated Channel Letter Sign with Cloud Backer and Raceway - DETAILS
Scale: 1" = 1
.080 Aluminum "cloud" backer panel. Painted MAP silver metallic.
5" tall x 3 deep raceway. .060 Aluminum fabricated, painted black.
.060 Aluminum channel letter and logo cabinet 5" depth.
Black returns and black trim cap.
JS (or equivalent) White LED Illumination.
Letters attached to raceway using 1" threaded bolts with washer and fastener.
Existing exposed electrical conduit. Power provided by others.
Waterproof low voltage cable to each letter and thru raceway/wall.
Low voltage transformer/power supply inside raceway. Maximum 2.
"Cloud" backer panel cut from
1/8" thick aluminum, painted
MAP Silver Metallic.
LED illuminated channel letters with
black returns and trim cap. Letters and
cabinet to have translucent digitally
printed vinyl applique.
-_ .DO—ER _- _Y --FOR M=f 0 -
Js1260: Power Supply (12VDC/60W), Input Voltage: 108-305VAC; Damp Rated; _ a 4gts
Self -Contained, 1 Output Bank; Class 2 (x3 TOTAL UNITS PER SIGN) COMYLNSid ILD NG DIMS 0- CU �M O
E-_01- t .__ LED \ R r
0.36 Watt 7,256K 33 Lumens /F White Operating Temperature -13 Deg to 172 Deg Fahrenheit
120 Deg Beam Angle 60,000 Hour Life UL Listed
Fr6ti5: TO:
0001?0000001 €103 672557515 , w - 7
m illinit
lambert
3/8" x 4" Redhead concrete anchors in silicone adhesive or equivalent millilambert
construction adhesive. Minimum (12) anchors equally spaced. act lambert
per sq—re f-t per t La:ar_ jhwi
Faces of letters and cabinet to have UV laminated translucent digitally printed
vinyl applique.
Drain/Weep Holes (as required) U
Disconnect switch on side of raceway C ® � U$ Edrriot Lambe -t 0 R
LISTED
millinit
(lambert
millilambert - - -
�i�art5t
apostilb
blcncel
:_hal ----. ----. ----. ---_ �.-
i
[,� SECTION VIEW/ MOUNTING DETAIL
-
L Scale: NTS
INSTALLATION ADDRESS: 20010 STEVENS CREEK BLVD
DATE: 01/06/2017 Q CLIENT:
AIJ 5E 408-294-7446 Coconut's Fish Cafe
desi4n®¢sanlos¢si4ns.com
SIGNS Designer: M.Albiar ❑�
PROJECT DES
ICS-LED/CII 0
,� ""sor
1 -ding Department
Approved by: Design Disclaimer:
Sg,I f'tl rpr p r% 1
d f9'tl� ISI 1
uur �sno,�� �msn o say neaserr"i �ti.,. .... w...
REvzewed
3y,ADD,Alende
-vat c-
F1 SOUTH ELEVATION
Scale: 114" — 1'
DATE: 01/06/2017 CLIENT: PROJECT DEREVISIONS:
`� ■', ftM
SAN 408-294-7446 coconuts Fish cafe ICS -LED/cu
tlesign@esanlosesigns.som
'Building Depart T`
450 1 G3 N Designer: M.Albiar ❑�
Reviewed By, AN), Alenae
Approved by:
Sq,otho dooti oppri—Iof IN, di odtlf
tlI'a 1 theblti f' tl II tett
f t h,,,,,, in lh. prop Rase renew—t,'t,
c'tieiull�
INSTALLATION ADDRESS: 20010 STEVENS CREEK BLVD
Design Disclaimer:
S. BLANEY
IND IHUM I IUN HuunM. M I U 0 FrVENS CREEK BLVD
DATE: 01/06/2017 CLIENT. PROJECT DE P 10 �
Approved by: Design Disclaimer:
IN
SAIU 408-294-7446 coconut's Fish cafe ICS - LED/
dHign®esanjo igns.com Snd d inP p "b' n r9 dd m
�r i� [—11th P� �i. Niease�re
all
SIGNS Designer: M.Albiar °°s'
•,`iE� C ��RC� COMM t,N�._�.
Rev' -wed 3w ADD, Ale
STATE OF CALIFORNIA
SIGN LIGHTING
CEG-NRCC-LTS-01-E(Revlsed 08196) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 1 of 5)
Protect Name: ii Al / �7�/ t/� f %' ,/ Rate P1'epared: r
A. General Information
Project Address:
Location of Sign Wbutdoor Signs ❑ Indoor Signs
Phase of Sign Construction ELNew Signs ❑ Sign Alterations
Type of Lighting Control t3 New Lighting Controls ❑ Replaced Lighting Controls WNot Installing Lighting Controls
This Certificate of Compliance includes the following components (check all that apply):
❑ Mandatory Measures (Lighting Controls) ❑ Maximum Allowed Lighting Power ❑ Specific Lighting Sources
1. Mandatory Sign Lighting Controls
NO TES:
1. The same responsible person may install both the sign lighting power and the sign lighting 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 not 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 (e.g. a C-10 contractor may complete parts 1a and 1b on one compliance document and a C-45
contractor may complete parts 2a and 2b on a separate compliance document -- the Responsible Designer shall submit the two
compliance documents together for the same complete installation).
I have responsibility for installing the sign lighting controls:
❑ Yes, I have responsibility for the sign lighting controls, and will &o, I do not have responsibility for installing the sign lighting controls.
complete parts 1a and 1b of this compliance document Someone else will complete parts 1a and 1b of this compliance document.
1a. Check Yes or No for all of the following statements:
1
There are existing sign lighting controls that comply with the applicable provisions of §110.9 and §130.3
❑ Yes ❑ No
There are no existing sign lighting controls and I will be installing sign lighting controls that comply with the applicable
2
provisions of §110.9 and §130.3
❑ Yes ❑ No
There are existing sign lighting controls that do not comply with the applicable provisions of §110.9 and §130.3 and I will be
3
installing sign lighting controls that comply with the applicable provisions of §110.9 and §130.3
❑ Yes ❑ No
CUPERTINO
Building Department
JAN 3 0 2017
RE--VIEVVED �-(Jk CODE COMPLIANCE
CU1111EIRTINO
Buildling 1par°turent
CA Building Energy Efficiency Standards - 2016 Nonresid" i..t I°°" a "'COD
- COMl)[] A NCE August 2016
DaN<r 0:)ffl/l 7
STATE OF CALIFORNIA
SIGN LIGHTING
CEC-NRCC-LTS-01-E(Revised D6/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting r (Page 2 of 5)
Project Name: zv?mi .ir Date Prepared: /1 I
1b. 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:
1
§130.3(a)1. All indoor sign lighting is controlled with an automatic time -switch control or astronomical time-
Y
N
NA
switch control.
0
0
§130.3(a)2A. All outdoor sign lighting is controlled with a photocontrol in addition to an automatic time-
Y
N
NA
switch control, or an astronomical time -switch control.
0
0
2
EXCEPTION to Section 130.3(a)2A: Outdoor signs in tunnels, and signs in large permanently covered outdoor
Y
�Aj
areas that are intended to be continuously lit, 24 hours per day and 365 days per year.
0
04
§130.3(a)2B. All outdoor sign lighting that is ON both day and night is controlled with a dimmer that provides
the ability to automatically reduce sign lighting power by a minimum of 65% during nighttime hours. Signs that
Y
N
NA
are illuminated at night and for more than 1 hour during daylight hours shall be considered ON both day and
p
3
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
0
§130.3(a)3. Demand Responsive Electronic Message Center, Control, An Electronic Message Center (EMC)
Y
N
N/A
having a new connected lighting power load greater than 15 kW has a control installed that is capable of
4
reducing the lighting power by a minimum of 30% when receiving a demand response signal.
EXCEPTION to Section 130.3(a)3: Lighting for EMCs that is not permitted by a health or life safety statute,
Y
NA
ordinance, or regulation to be reduced by 30%.
0
0
Field Inspector Notes;
CUPERTIN
`r1 Building Department
z ` JAN 3 0 2017
-REVD \IVFD f~ JIB CODE COMPLIANCE
Revlewed PY
CU1111EIRTINO
Prri°iilldiling Il trill mime 't
CA Building Energy Efficiency Standards - 2016 Nonresident al �nllance UOull August 2016
Da N: 0 :)ffl"I f "l
STATE OF CALIFORNIA
SIGN LIGHTING
CEC-NRCC.LTS-01-E(Revlsed 08/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 3 of 5)
Project Name: O i Date Prepared:i
f A7
2. Mandatory Sign Lighting Measures
I have responsibility for installing the sign lighting
Yes, I have responsibility for the sign lighting, and will complete E] No, I do not have responsibility for installing the sign lighting. Someone
arts 2a and 2b of this compliance document else will complete parts 2a and 2b of this compliance document.
2a. Maximum Allowed Lighting Power Method of Compliance
Certificate of Compliance and Field Inspection Energy Checklist.
Complete this part if there are signs using the maximum allowed lighting power method of compliance. (Complete part 2b of this
Certificate of Compliance if there are signs using the Specific Lighting Sources method of compliance).
A
B
C
D E F G
H
I
J
OPTIONAL--
Field
Symbol or
Description of the Sign
Energy Verified
Label (see
Allotted Watts
Design
Complies
Inspector
Code
Watts
Y/N
Check that
instructions
Sign Complies
below)
_
.-. v d N ^'
v
ED
vi
4 L QJ�
O
N
v
61 II kl p
+�.+
�'
Gi u (6A)
❑3
f a�
❑
❑
0
❑
❑
0
❑
JPERTI.W❑
it w iiing Dep @O
❑
5
0
❑
D
❑
❑
MPLIAW-E
❑
iT ' -
❑
❑ l
,viewe Y o
❑
A
Symbol or code used on the plans (when plans are required) and other documents.
B
A description ofthe 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 2016 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
C
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, columns 'D' 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.
D
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
Multiplythe square footage in column D times the allowed Lighting Power Density (LPO = watts) in column F.
H
Show the total installed watts in the sign, as determined according to the applicable provisions of §130(c).
I
EnterY if the number in column His less than or equal to the number in column G. Otherwise, the sign does not comply.
J
This page doubles as a field inspection checklist.
Field Inspector Notes:
I11I11, Twp
WjIIIIID II O1partilrent
CA Building Energy Efficiency Standards - 2016 Nonresi € g.� �° r W LTi__ ITP7l
i i - August 2016
u:> Era 0:)10U 7
STATE OF CALIFORNIA
SIGN LIGHTING
n
CEC-NRCC-LTS-01-E(Revised 08/16) CALIFORNIA ENERGY COMMISSION 'w4W
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting C06101V07 5 F7 5A (Page 4 of 5)
Project Name: Date Prepared: 10-1(7
2b. 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)
A
B
C
D
E
OPTIONAL
ENERGY
Specific light source used for
Field Inspector
Symbol
VERIFIED
compliance
Check that Sign
or
Description
label
Shall include only lighting
Complies
Code
(see
technologies listed below
f
-r'10
instructions
(List all that apply)
r Vv:
,U-ArVIPA
below)
„. _.
❑
utildynUeptni❑
❑
❑
El
El
El
_, Jj i,J '
❑
❑
A
Symbol o 6 used on th I (w s are required) and other documents.
B
A narrative descdoWhMsf he 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 this sign
complies with the Section 140.8 of the California 2016 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
C
(UL) or other Product Certification Body accredited to 150/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 (1 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% or greater.
2
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%.
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% when
D
4
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% tubing load.
Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 68% when
5
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% tubing load.
6
Fluorescent lighting systems meeting one of the following requirements: A.) Use only lamps with a minimum color rendering index
(CRI) of 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% 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 a medium screw base sockets (E24/E26).
E I
This page doubles as a field inspection checkli
Field Inspector Notes:
alo
I U III l III lin g O IIpB r" IIY"t"f e n't
CA Building Energy Efficiency Standards- 2016 Nonresid IISX i n r - - Mrr r l August 2016
Reviewed ByAbL)y Ayaride
Datta P
STATE OF CALIFORNIA
SIGN LIGHTING
We)
CEC-NRCC-LTS-01-E(Revised 46116) GALIF'UKNIA LNEKUY UUMMISSIUN
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 5 of 5)
project Name; Gf�i�J ./�
Date Prepared: p 7
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: J� /jam �f
Documentat utho 51 natur
Company: �a } r :
L�
Signature Date � , z
Address: r� 1 �� (� n �}r f/J�•fP 7 .
P� ! i�Cri
CEA Certification Identification (if pplicaabfe);
�i✓�r'j
City/State/Zip: " 4
Phone: 65--b—
--b —
RESPONSIBLE
RESPONSIBLE PERSON'S DECLARATION 5 ATEMENT
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 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.
S. I will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this
Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:,� �y,�
Responsible q�sjgn 51 a,ture:
Company: VA)� �� f ,A i �
Date Signed:
Address: 7 5
License:
.�_,._.
City/State/Zip: "C
Phone: �i�yrt�r t9C(-7f%(��
CUIIIIEIRTINO
Buildling II II u1° uren
CA Building Energy Efficiency Standards -2016 NonresidI�t)^�IIII.�I �' �IL�.�IICL August 2016
Reviewed ByAbby Ayaride
Datta:
GU
H
!1
Ing oarmlu�:1b
CUIIIIEIRTINO
Buildling II II u1° uren
CA Building Energy Efficiency Standards -2016 NonresidI�t)^�IIII.�I �' �IL�.�IICL August 2016
Reviewed ByAbby Ayaride
Datta:
STATE OF CALIFORNIA
SIGN LIGHTING
OF-044iiGLTS-01-Eflevised OW16)
CERTIFICATE OF COMPLIANCE
Sign Lighting
ProjedName- Cocon
ut's Fish Cafe
A. General information
Project Address -
20010 Stevens Creek Blvd.
Location of Sign El Outdoor Signs U Indoor Signs
Phase of Sign ionstructionONewSlgns IJ Sign Alterations
Re of Li hting Control 0 New Lighting controls Q Replaced Lighting Controls ❑ Not Installing Lighting controls
This Certificate of Compliance Includes the following components (check all that apply):
El Mandatory Measures (Lighting Controls) 0 Maximum Allowed Lighting Power 0 Specific Lighting Sources
I. Mandato ry,Sign Lighting controls
NOTES:
I- The SOM responsible Person may install both the sign lighting power and the sign lighting 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 ftghtin Standards. If the person
responsible for Installing thf sign lighting power is not also responsible for the sign lighting controls, then the owneripf 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 (e.g. a C-10 contractor may complete parts lo and 16 on one compliance document and a C-45
contractor may complete parts 2a and 2b on a separate compliance document— the Responsible Designer shall submit the two
installation).
Yes, d have r sponsibility for the sign lighting controls, and will No, I do not have responsibility for installing the sign lighting controls,
complete parts hand ib ofthis compliance daaeument Someone else will complete parts la and lb of this compliance document.
1a. Checdc,Yes'aar No fflr alt tai the fallowing statements;
1
flier are existing sign ligEiting s #hat comply with the applicable provisions of §120.9 and §130.3
es M Na
There are no existing sign lighting controls and I Will be installing sign lighting controls that comply with the applicable
2
Provisions of §110.9 and §130.3
bYes
—
0 No
There are existing sign lighting controlsthatdo not comply with the applicable provisions of §110.9 and §130.3 and I will be
3
installing sign lighting controls that comply with the applicable provisions of §110.9 and §130.3
8,Yes
I
rrl ha
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance August 2016
STATE OF CALIFORNIA
SIGN LIGHTING
r
CEC.NRCC-1-TS-01-f(Rovised 08116) CALIFORNIA
CERTIFICATE OF COMPUANCE E—GY—COMMISSION
NRCC-LTS-01-E
Sign Lighting
Pro*t Kme: (Page 2 of 5)
'Coconut's Fish Cafe 1
2/1/17 j
1b. Mandatory Sign Lighting Controls
If the person signing the Certificate of Compliance Declaration Statement on this NRCC-GTS-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:
3 s'
§130.3(a)I.All indoor sign lighting controlled with an automatic time -switch control or astronomical time-
'I
Y N NA
I ro
switch control.
I
E§130.3(a)U.
=h
00 0
0
0� (a 11 om,
All outdoor sign lighting Is controlled with a photocontrol in addition to an automatic time-
tic time -
Y N NA
switch control, or an astronomical Mime switch control.
0 0
0
EXCEPTION to Section 130.3(a)2A: Outdoor signs in tunnels, and signs in large permanently covered outdoor
W
Y NA
areas that are Intended to be continuously lit, 24 hours per day and 365 clays per ear.
0
§130.3(a)28. All outdoor sign lighting that is ON both day and night is controlled with a dimmer that provides
the ability to automatically reduce sign lighting power by a minimum of 65% during nighttime hours. Signs that
Y N NA
3 are illuminated at night and for more than I hour during daylight hours shall be considered ON both day and
0 0
night.
EXCEPTION to Section 130.3(a)213: Outdoor signs In tunnels and large covered areas that are intended to be
Y
NA
illuminated both day and night.
0
-0
§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
Y N
N/A
4
of
r during the Iig ting power by a minimum of 30% when receiving a demand response s!@nal.
0 0
0
EXCEPTION to Section 130.3(a)3: Lighting for EMCs that is not permitted by a health or life safety statute,
Y
NA
ordinance, or regulation to be reduced by 30%.
Field
Inspector Notes,
CA Building Energy Efficiency Standards -2016 Nonresidential Compliance August 2416
STATE OF CALIFORNIA
SIGN LIGHTING
CEG-NR00-ITS-01-E(Revised oatjO) CAtIFC3E�AilA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 3 of 5)
tlroloctNarm; Coconuts Fish Cafe Date Pmpred; 2/1117
2. Mandatory Sign Lighting Measures
I have responsibility for installing the sign lighting
0 Yes, I have responsibility for the sign lightingi and will complete &NO"ci, I do not have responsibility for installing the sign lighting. Someone
parts 2a and 2b of this compliance document will complete parts 2a and 2b of this compliance document.
-else
2a. Maximum Allowed Lighting Power Method of Compliance
Certificate of Compliance and Field inspection Energy Checklist.
Complete this part if there are signs using the maximum allowed lighting power method of compliance. (Complete part 2b of this
Certificate of Compliance if there are signs using the Specific lighting Sources method of compi nce).
A
a
C
D E F G
H
I
OPTIONAL—
Symbol or
Code
Description of the Sign
Energy Verified
Label (see
Allotted Watts
Design
Complies
Field
Inspector
instructions
Watts
Y/N
Check that
below)
Sign Complies
�
(D
V1
Fu
'a E
1, 'N'
- x
0
"(0-
@
a E
0 1
f
=r-
*5.
E
V
0
❑
0
0
13
El
0
0
0
0
❑
0
❑
0
0
0
0
-0
0
0
0
0
0
0
❑1
0
f
0
A
Symbol or code used on the plans (when plans are required) and other documents.
8 1
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 2016 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
C
authorized by Underwriters Laboratories (UL) or other Product Certification Body accredited to ISOAEC 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, columns `D' through T -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.
D
The sign area in square feet.
E
List "I" if the sign Is internal!t 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 timesthe allowed Lighting Power Density (LPD = watts) in column
�i
---]'Enter
Show the total installed watts In the si n, as determined according to the applicable provisions of §130(c).
1
Y if the number in column H Is less than or equal to the number In column G. Otherwise, the sign does not comply,
J I
This page doubles as a field inspection checklist.
Field Inspector Notes:
CABuilding Energy Efficiency Standards - 2016 Nonresidential Compliance August 2016
STATE OF CAUFOFMIA
SIGN LIGHTING
CEC-NRCC-LTS-01:L(ReV,,,d OLVIL) CALIFORNIA
ENERGY GOMNi15StC1N
CERTIFICATE OF COMPLIANCE
Sign Lighting NRCC-LTS-014
(Page
Project Name:
Coconut's Fish Cafe Date PrepareZ - — — --
2/1/17
DOCUMENTATION AUTHOWS DECLARATION STATEMENT
L f ceEI!Lythat this Certificate of Compliance documentation is accurate and complete.
Documenta ion Author Name:
Documentation Author Signature, I
company:.
-
Signature I Date:
/7
!1*
Address*
out4'tt of'.) Avg. SM fi
CGA Certification Identikal n rif pplicable):
Qltylstate/7jp:
Phonez
Phone_
&6b
RESPONSIBLE PERSO='SDECLARAT170N STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
Y. 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 Codecif
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.
S. I will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit($) issued forthe
building, and made available to the enforcement agency for all applicable inspections. f understand that a completed signed copy of this
Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name; Responsible Designer Signature:
Company.,
�
Date$igned*
Address;
License:
city/sta
Phone,,
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance August 2016