Loading...
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