HomeMy WebLinkAboutX2018-3673 - MiscProject Name: SPEC SUITE 4400
YXIIF 357.3
5000 B; rch S �
440 N. Barranca Ave., Covina, CA 91723
626-339-4700 • abco@airbalanceco.com
. .
1
Location: 5000 BIRCH ST., NEWPORT BEACH, CA 92660
Architect:
Engineer:
Contractor: CONTEMPORARY AIR
Project Number: 14954
This is to certify that Air Balance Co., Inc. (ABCO) has balanced the systems described herein
to their optimum performance capabilities. The testing and balancing has been performed in
accordance with the standard requirements and procedures of the Associated Air Balance
Council and the results of these tests are herein recorded.
Associated Air Balance Council TBE Number: 12-01-93
Completion Date: 04/05/19
Reviewed By: Alan V. Sandoval, TBE
Test & Balance Technician: RICHARD CANALES
®,
v
naso
ceriried .menr6er
Q
b
�7s
:v
DIFFUSER & GRILLE TEST SHEET
JOB NAME: SPEC SUITE 4400
SYSTEM:SA
440 N. Barranca Ave., Covina, CA 91723
626-339-4700 • abco@airbalanceco.com
Sheet No: 9
ADDRESS: NEWPORT
BIRCH STREET
NEWPORT BEACH, CA 92660
FAN NO: EXISTING BLDG. NO.: 4TH FLOOR WEST
TOWER
ROOM
NO.
OUTLET
NO.
SIZE
TYPE
K
REQUIRED
FPM
REQUIRED
CFM
ACTUAL
FPM
ACTUAL
CFM
FL
COEFF.
VAV-1
.63
1
10"
CD
FH
400
365
2
10"
CD
FH
400
435
(800)
(800)
VAV-2
.66
1
10"
CD
FH
400
395
2
10"
CD
FH
400
400
3
10"
CD
FH
400
395
(1200)
(1190)
VAV-3
.61
1
10"
CD
FH
400
370
2
12"
CD
FH
500
530
(900)
(900)
VAV-4
.59
1
12"
CD
FH
500
465
2
12"
CD
FH
500
525
(1000)
(990)
NOTES:
AmL
[;enified Member
_✓"- .c.',a 'WILL {i to "� 4 `•f"s3tt� ..
DIFFUSER & GRILLE TEST SHEET
JOB NAME: SPEC SUITE 4400
SYSTEM: SA
440 N. Barranca Ave., Covina, CA 91723
626-339-4700 • abco@airbalanceco.com
Sheet No: 2
ADDRESS NEWPORT
BIRCH ST.
NEWPORT BEACH, CA 92660
FAN NO: EXISTING BLDG. NO.: 4TH FLOOR WEST
TOWER
ROOM
NO.
OUTLET
NO.
SIZE
TYPE
KREQUIRED
FPM
REQUIRED
CFM
ACTUAL
FPM
ACTUAL
CFM
FL
COEFF.
VAV-5
.68
1
10"
CD
FH
400
415
2
8"
CD
FH
150
140
3
8"
CD
FH
150
155
4
8"
CD
FH
150
155
5
10"
RD
FH
250
235
6
10"
RD
FH
300
295
(1400)
(1395)
VAV-6
.63
1
8"
CD
FH
200
205
2
8"
CD
FH
200
190
3
10"
RD
FH
400
410
4
10"
RD
FH
300
330
(1100)
(1135)
VAV-7
.79
1
10"
DUCT
.55
500
555
2
8"
CD
FH
200
15
(700)
(570)
(1)
NOTES:
(1) CORRIDOR FD CLOSED. 10" BOX 100% OPEN, EXISTING CONDITION.
HOT DECK TEST SHEET
JOB NAME: SPEC SUITE 4400
440 N. Barranca Ave., Covina, CA 91723
626-339-4700 • abco@airbalanceco.com
:y�T-�.r•7i
ADDRESS: 5000 BIRCH ST.
NEWPORT BEACH. CA 92660
1�
SYSTEM: SA FAN NO: EXISTING FLOOR: 4TH FLOOR WEST
TOWER
INLET SIZE
ZONE NO.
REQUIRED CFM
ACTUAL CFM
FL COEFF.
8"
VAV-1
240
239
0.99
10"
VAV-2
360
350
.83
8"
VAV-3
270
272
1.10
10"
VAV-4
300
315
.90
NOTES:
VAV MINIMUM TEST SHEET
JOB NAME: SPEC SUITE 4400
SYSTEM:SA
440 N. Barranca Ave., Covina, CA 91723
626-339-4700 • abco@airbalanceco.com
FAN NO:EXISTING
Sheet No:
0
ADDRESS: 5000 BIRCH ST.
NEWPORT BEACH, CA 92660
BLDG. 4TH FLOOR WEST
NO.:TOWER
INLET SIZE
ZONE NO.
REQUIRED CFM
ACTUAL CFM
FL COEFF.
12"
VAV-5
420
493
.68
10"
VAV-6
330
350
.63
10"
VAV-7
210
290
.79
NOTES:
Ask
Ccrfi(icd Mcmb r
STATE OF CALIFORNIA
MECHANICAL
CFC-NRCI.Mr.F n1.F
X2M-3673
5000 Birch Si
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF INSTALLATION
NRCI-MCH-01-E
Mechanical
(Page 1 of 2)
Pro'o""omn:
Spec Suite 4400
EnMmpNtAgencY: Pe,mitW.ber.
ntemporaq Heating & Air
ProjectAddre.s 5000 Birch St.
I`" Ne ort Beach Zip Code: 92660
A. GENERAL INFORMATION
DATE OF BUILDING PERMIT:
Applicable Sheets or Pages, Tables, Schedules, etc.
BUILDING TYPE
I EfNonresidential ❑ High -Rise Residential ❑ Hotel/Motel
PHASE OF
❑ New Construction 11 Addition EAlteration
CONSTRUCTION
If more than one person has responsibility for building construction, each person shall prepare and sign an Installation
Certificate document applicable to the portion of construction for which they are responsible; alternatively, the person
with chief responsibility for construction shall prepare and sign the Installation Certificate document(s) for the entire
construction.
B. SCOPE OF RESPONSIBILITY
Date of approval by the enforcement agency of the Certificate of Compliance that provides the Date:
specifications for this Installation Certificate.
In the table below identify all applicable construction documents that specify the features, materials, components,
manufactured devices, or system performance diagnostic results required for the scope of responsibility for this Installation
Certificate.
Document Title or Description
Applicable Sheets or Pages, Tables, Schedules, etc.
Date Approved By
the Enforcement
Agency
Mechanical Title 24 Forms
M-3.0
3/6/19
CA Building Energy Efficiency Standards- 2016 Nonresidential Compliance
STATE OF CALIFORNIA
MECHANICAL
CEC-NRCI-MCH-01-E Revised 01/16
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF INSTALLATION
NRCI-MCH-01-E
Mechanical
(Page 2 of 2)
Pmfect Name: Spec Suite 4400
Enforcen[ ency: j20rarYHeat,ng&Air
Permit Number:
Project Address 5000 Birch
City Ne3mport Beach
Zip Code:
92660
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Do enation Au Si tune:
C Peterson
Q���
Documentation Author Company Name:
Contemporary Heating& Air Condit Dining Inc.
Dale Sign
4/11 9
Address:
CEA/ HERS Certification Identification (If applicable):
1750 E. Miraloma Ave.
NA
City/State/Zip:
Phone:
Placentia CA 92870
714 572-8914
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 Installation is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the
system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement (responsible builder/installer),
otherwise I am an authorized representative of the responsible builder/installer.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this
Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements
given on the plans and specifications approved by the enforcement agency.
4. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements
for the scope of construction or installation identified on this Certificate of Installation, and I have ensured that the requirements
that apply to the construction or installation have been met.
5. 1 will ensure that a completed signed copy of this Certificate of Installation shall be posted, or 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 Installation is required to be included with the documentation the builder provides to
the building owner at occupancy.
Responsible Builder/Installer Name:
1179.9risibleBullcuMnst 11 rsignatu
B
Company Name: (]nstalling subcontractor or General Contractor or Builder/Owner)
Position Company (Title):
temporary Heatingit n i i nin Inc.
PM
Address:
CSLB License:
1750 it l m Ave.
582-686
City/State/Pp:
Phone:
Date Signed:
Placentia CA 92870
(714)572-8914
4/11/19
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance
mblu,i,nr:ivr
INDOOR LIGHTING
NRCI_LTI02_E
Spec suite_4400
Orange
General Information
X300-303
5000 3;r6h 54
Building Type:
r Nonresidential r High -Rise Res (Common Area)
r Hotel/Motel (Common Area)
Phase of Construction:
r New Construction r Addition iJ Alteration
F Unconditioned
Scope of Responsibility
Enter the date of approval by enforcement agency of the Certificate of Compliance that provides the specifications for the energy
efficiency measures for the scope of responsibility for this Installation Certificate.
Date: 1/29/2019 12:00:00 AM
§130.4(b) Before an Energy Management Control System (EMCS), or Lighting Control System can be recognized for compliance with
the lighting control requirements in Part 6 of Title 24, the person who is eligible under Division 3 of the Business and Professions Code
to accept responsibility for the construction or installation of features, materials, components, or manufactured devices shall sign and
submit this Installation Certificate.
If any of the requirements in this Installation Certificate fail the Energy Management Control System or Lighting Control System
installation requirements, these options for controlling lighting shall not be recognized for compliance with the Building Energy
Efficiency Standards.
Check all that apply
PART 1 What type of Lighting Control System has been installed?
r A. Energy Management Control System (EMCS) - Is a computerized control system designed to regulate the energy
consumption of a building by controlling the operation of energy consuming systems, such as the heating,
ventilation and air conditioning (HVAC), lighting, and water heating systems, and is capable of monitoring
environmental and system loads, and adjusting HVAC operations in order to optimize energy usage and respond to
demand response signals.
r The Energy Management Control System has been installed to function as a lighting control required by Part
6 and functionally meets all applicable requirements for each application for which it is installed, in
accordance with Sections 110.9, 130.0 through 130.5, 140.6 through 150.0, and 150.2; and complies with
Reference Nonresidential Appendix NA7.7.2.
r The EMCS has been separately tested for each respective lighting control system for which it is installed to
function as.
r B. Lighting Control System - Requires two or more components to be installed in the building to provide all of the
functionality required to make up a fully functional and compliant lighting control.
Thi. ;c nmo 1 nF
r The installed Lighting Control System complies with the requirements checked below; and all components of
the system considered together as installed meet all applicable requirements for the application for which
they are installed as required in Sections 130.0 through 130.5, Sections 140.6 through 140.8, Section 141.0,
and Section 150.0(k).
PART 2 Lighting Control Functional requirements: Check all that apply when verifying
the installation of an EMCS or Lighting Control System.
P A. All lighting controls and equipment have been installed in accordance with the manufacturer's instructions.
fJ B. The manufacturer has provided instructions for calibration.
V C. If indicator lights are integral to any components, such indicator lights consumes no more than 1 watt of power
per indicator light.
PW D. Components that are regulated by the Title 20 Appliance Efficiency Regulations have been certified to the
Energy Commission.
r E. The EMCS or Lighting Control System functions as one or more of the Time -Switch Lighting Controls checked
below, and complies with all of the following requirements:
r 1. Automatic Time -Switch Controls meeting all requirements for Automatic Time Switch Control devices in the
Title 20 Appliance Efficiency Regulations, including the requirements below:
a. Residential automatic time -switch controls have program backup capabilities that prevent the loss of the
device's schedule for at least 7 days, and the device's date and time for at least 72 hours if power is
interrupted.
b. Commercial automatic time -switch controls meet the following requirements:
i. Has program backup capabilities that prevent the loss of the device's schedule for at least 7 days, and the
device's date and time for at least 72 hours if power is interrupted
ii. Is capable of providing manual override to each connected load and shall resume normally scheduled
operation after manual override is initiated within 2 hours for each connected load and
iii. Incorporates an automatic holiday shutoff feature that turns off all connected loads for at least 24 hours
and then resumes normally scheduled operation.
r 2. Astronomical Time -Switch Controls meeting all requirements for Astronomical Time -Switch Control devices
in the Title 20 Appliance Efficiency Regulations, including the requirements below:
a. Meets the requirements of an automatic time -switch control
b. Has sunrise and sunset prediction accuracy within plus -or -minus 15 minutes and timekeeping accuracy
within 5 minutes per year
c. Is capable of displaying date, current time, sunrise time, sunset time, and switching times for each step
during programming
d. Has an automatic daylight savings time adjustment; and
e. Has the ability to independently offset the on and off for each channel by at least 99 minutes before and
after sunrise or sunset.
r 3. Multi -Level Astronomical Time -Switch Controls, in addition to meeting all of the requirements for
Astronomical Time -Switch Controls, includes at least 2 separately programmable steps per zone.
r F. The EMCS or Lighting Control System functions as one or more of the Daylighting Controls listed below:
TFic is nano � of
r 1. Automatic Daylight Controls meet all requirements for Automatic Daylight Control devices in the Title 20
Appliance Efficiency Regulations, including the following:
a. Is capable of reducing the power consumption in response to measured daylight either directly or by
sending and receiving signals;
b. If the system includes a dimmer, complies with the Dimmer Control device requirements in the Title 20
Appliance Efficiency Regulations.
c. Automatically return to its most recent time delay settings within 60 minutes when put in calibration
mode;
d. Has a set point control that easily distinguishes settings to within 10 percent of full scale adjustment;
e. Has a light sensor that has a linear response within 5 percent accuracy over the range of illuminance
measured by the light sensor;
f. Has a light sensor that is physically separated from where the calibration adjustments are made, or is
capable of being calibrated in a manner that the person initiating the calibration is remote from the sensor
during calibration to avoid influencing calibration accuracy; and
g. Complies with the Title 20 requirements for photo controls if the system contains a photo control
component.
F 2. Photo Controls meet all requirements for Photo Control devices in the Title 20 Appliance Efficiency
Regulations, including the following that it does not have a mechanical device that permits disabling of the
control.
r G. The EMCS or Lighting Control System functions as a Dimmer and meets all requirements for a Dimmer Control
device in the Title 20 Appliance Efficiency Regulations, including the following:
1. Is capable of reducing power consumption by a minimum of 65 percent when the dimmer is at its lowest level;
2. Includes an off position which produces a zero lumen output; and
3. Does not consume more than 1 watt per lighting dimmer switch leg when in the off position.
4. Dimmer controls that can directly control lamps provide electrical outputs to lamps for reduced flicker operation
through the dimming range so that the light output has an amplitude modulation of less than 30 percent for
frequencies less than 200 Hz without causing premature lamp failure.
5. If designed for use in three way circuits is capable of turning lights off, and to the level set by the dimmer if the
lights are off.
r H. The EMCS or Lighting Control System meets the following requirements:
1. Is capable of automatically turning off controlled lights in the area no more than 30 minutes after the area has
been vacated;
2. Allows all lights to be manually turned off regardless of the status of occupancy; and
3. Has a visible status signal that indicates that the device is operating properly, or that it has failed or
malfunctioned. The visible status signal may have an override switch that turns off the signal.
4. All occupant sensing devices that utilize ultrasonic radiation for detection of occupants meet the Ultrasound
Maximum Decibel Values in the Title 20 Appliance Efficiency Regulations
5. All occupant sensing devices that utilize microwave radiation for detection of occupants meet the radiation
requirements in the Title 20 Appliance Efficiency Regulations
6. Occupant sensing devices incorporating dimming comply with the requirements for dimmer controls in the Title 20
Appliance Efficiency Regulations
7. The EMCS or Lighting Control System functions as one or more of the Occupant Sensing Controls Checked Below:
I7 a. Occupant Sensors meeting all applicable requirements for Occupant Sensor Control devices in the Title 20
Appliance Efficiency Regulations
F-1 b. Motion Sensors meeting all applicable requirements for Motion Sensor Controls devices in the Title 20
Appliance Efficiency Regulations, including that motion sensors are rated for outdoor use.
r c. Vacancy Sensors meeting all applicable requirements for Vacancy Sensor Controls devices in the Title 20
Appliance Efficiency Regulations, including the following:
i. Does not turn on lighting automatically and does not incorporate DIP switches, or other manual means, for
conversion between manual and automatic functionality;
ii. Has a grace period of no more than 30 seconds and no less than 15 seconds to turn on lighting
automatically after the sensor has timed out; and
in. Does not have an override switch that disables the sensor.
:N:KA"IUAla Vr ll blAL IIUA
r d. Partial -ON Sensors meeting all applicable requirements for partial on sensing devices in the Title 20
Appliance Efficiency Regulations, including the following:
i. Has two poles each with automatic -off functionality;
ii. Has one pole that is manual -on and does not incorporate DIP switches, or other manual means, for
conversion between manual and automatic functionality; and
iii. Has one pole that is automatic -on and is not be capable of conversion by the user to manual -on
functionality.
r e. Partial -OFF Sensors meet all applicable requirements for partial off sensing devices in the Title 20
Appliance Efficiency Regulations, including the following:
i. Has two poles;
ii. Has one pole that is manual -on and manual off; and
M. Has one pole that is automatic -on and automatic -off and is not capable of conversion by the user to
manual -on only functionality.
r f. Occupant Sensing Control systems consist of a combination of single or multi-level Occupant, Motion, or
Vacancy Sensor Controls, and all components installed to comply with manual -on requirements are not
capable of conversion by the user from manual -on to automatic -on functionality.
PART 3 Requirements for which the control is being installed to complied with:
Identify all requirements in the Standards for which the EMCS or Lighting Control System is installed to function as and complies
with:
Check all that are applicable.
P
A. Section 130.1(a) Area Controls.
13
B. Section 130.1(b) Multi -Level Lighting Controls
17
C. Section 130.1 (c) Shut -OFF Controls
F-0
D. Section 130.1 (d) Automatic Daylighting Controls.
r
E. Section 130.1 (e) Demand Responsive Controls.
r
F. Section 130.5 (d) Circuit Controls for 120 -Volt Receptacles.
V
G. To qualify for the PAF for a Partial -ON Occupant Sensing Control in TABLE 140.6-A
r
H. To qualify for the PAF for an occupant sensing control controlling the general lighting in large open plan office
areas above workstations, in accordance with TABLE 140.6-A
r
I. To qualify for the PAF for a Manual Dimming System PAF or a Multiscene Programmable Dimming System PAF in
TABLE 140.6-A
r
J. To qualify for the PAF for a Demand Responsive Control in TABLE 140.6-A
rJ
K. To qualify for the PAF for Combined Manual Dimming plus Partial -ON Occupant Sensing Control in TABLE 140.6-A
Thk ;c nonce d of
VN llVJ1il1.1.A11Un
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
I certify that this Certificate of Acceptance document is accurate and complete.
Documentation Author
Sorin Chis
Company Name
Star Electric, Inc.
Name
Address 920 orangethorpe
City
Anaheim
Zip Code
Phone
92801
(714)680-3342
CEA/ATT Certification
Author Signature
Identification (if TC -A813717
applicable)
Date of Signature:
04/15/2019
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this
Certificate of Acceptance.
2. I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design,
construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and
attest to the declarations in this statement (responsible acceptance person).
3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance
complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable
acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7.
4. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and
is posted or made available with the building permit(s) issued for the building.
5. I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or 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 signed copy of this Certificate of Acceptance is
required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Acceptance Company Name
Sorin Chis Star Electric, Inc.
Person Name
Address: 920 orangethorpe City Anaheim
Zip Code 92801 Phone (714)680-3342
CSLB License 877367 Position with Company (Title) Foreman
Responsible Acceptance Person Signature
Date of Signature: 04/15/2019
Thi. ;. xt�n< Q of
VN
36773
Enforcement Agency Use: Checked by/Date SOoo 13lrch 54
LIGHTING CONTROL ACCEPTANCE DOCUMENT
Automatic Shut-off Controls: Automatic Time Switch Control and Occupant Sensor
Intent: Lights are turned off or set to a lower level when not needed per Section 110.9(a) & 130.1(c).
A. Construction Inspection
Fill out Section A to cover spaces 1 through 3 that are functionally tested under Section B.
Instruments needed to perform tests include, but are not limited to: hand-held amperage meter, power meter, or light meter
1: Automatic Time Switch Controls Construction Inspection—confirm for all listed in Section S
a. All automatic time switch controls are programmed for (check all):
i" Weekdays r Weekend r Holidays
b. Document for the owner automatic time switch programming (check all):
r• Weekday settings r Weekend settings r" Holidays settings r Set-up settings
r Preference program setting r- Verify the correct time and date is properly set in the time switch
r" Verify the battery is installed and energized r Override time limit is no more than 2 hours
f" Occupant Sensors and Automatic Time Switch Controls have been certified to the Energy Commission in accordance with
the applicable provision in Section 110.9 of the Standards, and model numbers for all such controls are listed on the Commission
database as Certified Appliance and Control Devices
2. Occupancy Sensor Construction Inspection—confirm for all listed in Section B
r Occupancy sensors are not located within 4 feet of any HVAC diffuser
N7 Ultrasonic occupancy sensors do not emit audible sound 5 feet from source
Th;c ice', t �r
B. Functional Testing of Lighting Controls
For every space in the building, conduct functional tests 1 through 5 below if applicable. If there are several geometrically similar spaces
that use the same lighting controls, test only one space and list in the cells below which "untested spaces" are represented by that
tested space. EXCEPTION: For buildings with up to seven (7) occupancy sensors, all occupancy sensors shall be tested. (NA7.6.2.3)
D. Evaluation :
P7 PASS: All applicable Construction Inspection responses are complete and all applicable
Equipment Testing Requirements responses are positive.
Thi. m no . 9 of
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
I certify that this Certificate of Acceptance documentation is accurate and complete.
Documentation Author Company Name
Name Sarin Chis
Star Electric, Inc.
Address City
920 orangethorpe
Anaheim
Zip Code Phone
92801
(714)680-3342
CEA/ATT Certification Author Signature
Identification (if TC -A813717
applicable)
Date of Signature: 04/15/2019
FIELD TECHNICIAN'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 Acceptance is true and correct.
2. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician).
3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and
specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference
Nonresidential Appendix NA7.
4. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and
signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building.
Field Technician Name Company Name
Sorin Chis Star Electric, Inc.
Address: 920 orangethorpe City Anaheim
Zip Code 92801 Phone (714)680-3342
ATT Certification Position with Company Foreman
Identification (Title)
Field Technician ,,,
Date of Signature: 04/15/2019
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this
Certificate of Acceptance.
2. I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction
or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the
declarations in this statement (responsible acceptance person).
3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies
with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance
requirements and procedures specified in Reference Nonresidential Appendix NA7.
4. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is
posted or made available with the building permit(s) issued for the building.
5. I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or 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 signed copy of this Certificate of Acceptance is
required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Acceptance Sorin Chis Company Name Star Electric, Inc.
Person Name
Address: 920 orangethorpe City Anaheim
Zip Code 92801 Phone (714)880-3342
CSLB License Position with Company
877367 (Title) Foreman
Responsible Acceptance Person Signat
Date of Signature: 04/15/2019
Thio is , .— 1 -f'
Al,UErlA1V1.'b
Thic ie nma d -f
3673
AUTOMATIC DAYLIGHTING CONTROL ACCEPTANCE DOCUMENT
Enforcement. Agency Use: Checked by/Date
Check boxes for all pages of this NRCA-LTI-03-A completed and included in this submittal
•
NRCA-LTI-03-A Page
Construction Inspection. This page required for all submittals.
Check if Tested Control is Representative of Sample
1&2
•
NRCA-LTI-03-A Page
Continuous dimmingcontrol functional performance test—watt-meter or amp -meter measurement
3&4
❑
NRCA-LTI-03-A Page
Stepped Switching/ Stepped Dimming functional performance test—watt-meter oramp-meter measurement
5&6
NRCA-LTI-03-A Page
Continuous dimming control functional performance test — light meter power measurement, and default look -up
7&8
table of fraction of rated power versus fraction of rated light output.
0
NRCA-LTI-03-A Page
Stepped Switching/ Stepped Dimming functional performance test — based on light output
9&10
1. NA7.6.1.1 Construction Inspection:
1. Drawing of Daylit Zone(s) must be shown on plans or attached to this compliance document. By checking this
box, technician certifies that plans have been attached to this webform
r
Document Name and Page #'s
E-3.0
Add Control Systems below. If sampling method is used in accordance with NA7.6.1.2. If adding, attach a page with names of other controls in sample (only for
buildings with > 5 daylight control systems, sample group glazing same orientation)
Leviton
Levitan
Plans Page Number
2
Check if Tested Control is Representative of Sample
r
Zone Type: Skylit (Sky), Primary Sidelit (PS), or Secondary Sidelit (SS) PS
Control Type: Continuous Dimming with more than 10 light levels (C), Stepped Dimming (ED), Switching (SW)
Design Footcandles: (Enter footcandle (fc) value or "U" if unknown): U
3. Sensors and Controls
Control Loop Type: Open Loop (OL), Closed Loop (CL) CL
Sensor Location: Outside (0), Inside Skylight (IS), Near Windows facing out (NW), In Controlled Zone (CZ) CZ
Sensor Location is Appropriate to Control Loop Type: (Yes/No) If control loop type is Open Loop (OL): Enter yes (Y) if location = Yes
Outside (0), Inside Skylight (IS), or Near Windows facing out (NW); otherwise, enter no (N). If Control loop type is Closed Loop
(CL): Enter yes (Y) if location = In Controlled Zone (CZ); otherwise, enter no (N).
Control Adjustments are in Appropriate Location (Yes/No): Yes, If Readily Accessible or Yes if in Ceiling less than or equal to 11 it, Yes
'chic :c I of
No for all other.
4. Has Documentation Been Provided by the Installer:
Installation Manuals and Calibration Instructions Provided to Building Owner: (Yes/No)
Yes
Location of Light Sensor on Plans: (Yes/No)
Ves
Location of Light Sensor on Plans: (Page Number)
5. Separate Controls of Luminaires in Daylit Zones:
Are luminaires controlled by automatic daylighting controls only in daylit zones: (Yes/No)
Yes
Separately circuited for daylit zones by windows and daylit zones under skylights: (Yes/No)
Ves
6. Daylighting Control Device Certification
Daylighting control has been certified in accordance with §110.9: (Yes/No)
Yes
Construction Inspection PASS/FAIL. If all responses on Construction Inspection pages 1 & 2 are complete and all Yes/No questions
Pass
have a Yes response, the tests PASS; If any responses on this page are incomplete OR there are any No responses, the tests FAIL
PASS/FAIL Evaluation (check one):
r PASS: If all responses on Construction Inspection pages 1 & 2 are complete and all Yes/No questions have a Yes (Y) response, the
tests PASS
r FAIL: Any applicable Construction Inspection responses are incomplete OR there is one or more negative (N - no) responses in any applicable
Functional Performance Testing Requirements section. System does not pass and is NOT eligible for Certificate of Occupancy according to Section TO-
103(a)3B. Fix problem(s) and retest until the system(s) passes all portions of this test before retesting and resubmitting NRCA-LTI-03-A with PASSED
test to the enforcement agency. Describe below the failure mode and corrective action needed.
Thic is ..anP � of
2. NA7.6.1.2.1 Functional Performance Testing - Continuous Dimming Systems:
Power estimation using light meter measurement
Complete all tests on page 7 & 8 (No Daylight Test, Full Daylight Test, and Partial Daylight Test) and fill out Pass/Fail section on Page 8.
Leviton
Svstem Information
a. Control Loop Type: Open Loop or Closed Loop? (0 or C)
97
b. Indicate if Mandatory control - M (required for skylit zone or primary sidelit zone with installed general lighting power > 120 W);
76
for Control Credit - CC; or Voluntary not for credit -V (M, CC, V)
F87 356321839080 6
c. If automatic daylighting controls are mandatory, are all general lighting luminaires in daylit zones controlled by automatic
Ves
daylight controls? (Yes/No)
FO
d. General lighting design footcandles. (Enter footcandle (FC) value, or "U" if unknown.)
Ves
e. Power estimation method. (see line q) Default ratio of power to light (Dfc), cut -sheet ratio of power to light (CSfc) if CSFc -
Dfc
attach cut -sheet. Enter Dfc or CSfc
32
Step 1: Identify Reference Location
(location where minimum daylight illuminance is measured in zone served by the controlled lighting.)
97
f. Method Used: Illuminance or Distance? (I or D)
76
Override daylight controls stem and drive electric lights to highest light level for the following:
F87 356321839080 6
g. Highest light level fc - enter measured controlled electric lighting footcandles (fc)
87
h. Indicate whether this is Full Output (FO), or Task Tuned (Lumen Maintenance) (TT)
FO
Ste 2: No Daylight Test controls enabled & daylight less than 1 fc at reference location
Ves
i. Method Used: Night time manual measurement (Night), Night Time Illuminance Logging (Lag), Cover Fenestration (CF), Cover
Open Loop Photosensor (COLP)
ryigh[
I. Reference Illuminance (footcandles) as measured at Reference Location (see Step 1). Enter footcandles
32
k. Enter Y if either of the following statements are true: If line h = TO; [Reference Illuminance (line j)] / [Full Output fc (line g)] >
70%7 or [Reference Illuminance (line j)] / [design footcandles (line d)] > 80%? (Yes/No)
No
Ste 3: Full Daylight Test conducted when daylight > 150% of reference illuminance (line j)
1. Daylight illuminance (light level with electric lighting turned off) measured at Reference Location (fc)
21
m. Daylight illuminance (line 1) greater than Reference Illuminance (line j)? (Yes/No)
No
Fill nut lines o through t only if electric liahtino is turned down or off.
n. Total (daylight + electric light) illuminance measured at the Reference Location (fc).
97
o. Electric lighting illuminance at the Reference Location (fc) [(line n) - (line 1)].
76
p. Electric lighting illuminance (line o) divided by Highest Light Level fc (line g). Enter %.
F87 356321839080 6
q. Dimmed luminaire fraction of rated power. Attach manufacturer's cut -sheet or use default graph of rated power to light output.
Label applicable control system on cut -sheet or graph. Enter fraction of rated power in %.
r. System Power Reduction = [1 - line q]
100
s. Is System Power Reduction (line r) > 65% when line h = F0, or > 56% when line h = TT (Yes/No).
Ves
t. With uncontrolled lights also on, no lamps dimmed outside of daylit zone by control (Yes/No).
Yes
u. Dimmed lamps have stable output, no perceptible flicker (Yes/No).
Yes
Th;c ;c r.orrP 2 nF
,HH1lNll IEUkAUUErlAlVUh
v. Daylight Dimming plus OFF Controls PAF
(This portion of the Full daylight test applies to lighting systems that are claiming a PAF for daylight dimming plus OFF controls.
This portion of the full daylight test shall be conducted instead of steps I. thru u.)
Does the system automatically turn OFF the luminaires when full daylight is available? (Yes/No)
Step 4: Partial Daylight Test conducted when daylight between 60% and 95% of (line j),
Ves
w. Daylight illuminance (fight level without electric light) measured at Reference Location (fc).
22
x. Daylight illuminance divided by the Reference Illuminance = (line w )/ (line j). Enter %.
60.75
y. Is Ratio of Daylight illuminance to Ref. illuminance (line x) between 60% and 95%? (Yes/No).
Ves
z. Total (daylight + electric light) illuminance measured at the Reference Location (fc).
9q
aa. Total illuminance divided by the Reference Illuminance - (line z )/ (line j), Enter %.
293.75
bb. Is Total illuminance divided by the Reference illuminance (line aa) between 100% and 150%? (Yes/No).
No
PASS/FAIL Evaluation (check one):
PASS: All applicable Construction Inspection responses are complete and all applicable Functional Performance Testing Requirements responses are
positive (Y - yes)
FAIL: Any applicable Construction Inspection responses are incomplete OR there is one or more negative (N - no) responses in any applicable
Functional Performance Testing Requirements section. System does not pass and is NOT eligible for Certificate of Occupancy according to Section 10-
303(a)3B. Fix problem(s) and retest until the system(s) passes all portions of this test before retesting and resubmitting NRCA-LTI-03-A with PASSED
test to the enforcement agency. Describe below the failure mode and corrective action needed.
T'hic ie no— A . f
VY AI;I:L'Y1AlVl;Ll
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1 certify that this Certificate of Acceptance documentation is accurate and complete:
Dommentation Author Name
Company Name
Sorin Chis
Star Electric, Inc.
Address
City
Zip Code
Phone
CEA/ATT Certification Identification (if
Author Signature
applicable)
Date of Signature:
FIELD TECHNICIAN'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 Acceptance is true and correct.
2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician).
3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements Indicated in the plans and specifications approved by the enforcement agency, and
conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix Ni
4. I have confirmed that the Certificates) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been
posted or made available with the building permli issued for the building.
Field Technician Name Company Name
Sorin Chis Star Electric, Inc,
Address: City
Zip Code Phone
ATT Certification Identification Partition with Company (Title)
Field Technician Signature
Data of Signature:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I [artily the following under penalty of perjury, under the laws of the State of California:
1. I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance.
2. I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, constmction or installation of features, materials, components, or
nufactu red devices far the scope of work identified on this Certificate of Acceptance and attest to the declaratil in this statement (responsible acceptance person).
3. The information provided on this Certificate of Acceptance substantiates that me construction at installation identified on this Certificate of Acceptance complies with the acceptance requirements Indicated in the plans
and specifications approved by the enforcement agency, and conforms ro the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix Ni
4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation imourfed an this Certificate of Acceptance has been completed and Is posted or made available with the building permits)
issued far the building.
S. I will ensure that a completed, signed copy of this Certifirate of Acceptance shall be posted, or made available with the building Pi issued for the building, and made available to the enforcement agency for all
applicable inspections. I understand that a signed copy of this Certificate of Acceptance is recurred to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Acceptance Person Name Company Name
Address: City
Zip Code
CSLB License
Responsible Acceptance Person Signature
Date of Signature:
Phone
Posltion with Company (Title)
Th;c ;e,.onP G of
,LKI, x;AI�Ur uvbiAr 11VN
General Information
X201 g-3673
5000 (3 rch 54
Building Type:
� Nonresidential r High -Rise Res (Common Area)
r Hotel/Motel (Common Area)
Phase of Construction:
r New Construction r Addition r Alteration
r Unconditioned
Scope of Responsibility
Enter the date of approval by enforcement agency of the Certificate of Compliance that provides the specifications for the energy
efficiency measures for the scope of responsibility for this Installation Certificate.
Date: 1/28/2019 12:00:00 AM
Tl.ic ;� „onn 7 of
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
I certify that this Certificate of Acceptance document is accurate and complete.
Documentation Author
Company Name
Name Sorin Chis
Star Electric, Inc.
Address
City
920 orangethorpe
Anaheim
Zip Code
Phone
92801
(714)680-3342
CEA/ATT Certification TC -A813717 Author Signature
Identification (if
applicable)
Date of Signature: 04/15/2019
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this
Certificate of Acceptance.
2. I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction
or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the
declarations in this statement (responsible acceptance person).
3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance
complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable
acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7.
4. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and
is posted or made available with the building permit(s) issued for the building.
5. I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or 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 signed copy of this Certificate of Acceptance is
required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Acceptance Sorin Chis Company Name Star Electric, Inc.
Person Name
Address: 920 orangethorpe City Anaheim
Zip Code 92801 Phone
(714)680-3342
CSLB License 877367 Position with Company Foreman
oreman
Responsible Acceptance Person Signatu
Date of Signature: 04/15/2019
Thi. ie norm 7 nF