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HomeMy WebLinkAboutX2019-1621 - MiscOF INSTALLATION INDOOR LIGHTING NRCI_LTI_02_E Physical Therapy Office TI Orange General Information Building Type: r Nonresidential F Hotel/Motel (Common Area) )(201q -1v1 3 3 00 Iryw Ave r High -Rise Res (Common Area) Phase of Construction: r New Construction r Addition r 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: 6/6/2019 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. F 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. This is page I of 5 OF --- •-^^ ^s^�r �< < ve ,.r_rvr�ttt ncnutt �Pennit Number X2019-1621 AAddress: 3300Irvme Ave. Suite 130 city: Newport Beach Zip Code: 92660 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. r B. The manufacturer has provided instructions for calibration. r C. If indicator lights are integral to any components, such indicator lights consumes no more than 1 watt of power per indicator light. r D. Components that are regulated by the Title 20 Appliance Efficiency Regulations have been certified to the Energy Commission. P 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: PR 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 ill. 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: This is page 2 of 5 2ep lW.e V26W r I. 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. r 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. F 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: I. 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: r a. Occupant Sensors meeting all applicable requirements for Occupant Sensor Control devices in the Title 20 Appliance Efficiency Regulations r 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 W. Does not have an override switch that disables the sensor. This is page 3 of 5 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; li. 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. F A. Section 130.1(a) Area Controls. P B. Section 130.1(b) Multi -Level Lighting Controls 17 C. Section 130.1 (c) Shut -OFF Controls F, 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. r 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 r K. To qualify for the PAF for Combined Manual Dimming plus Partial -ON Occupant Sensing Control in TABLE 140.6-A This is page 4 of 5 33W Irvine Ave. Suite 130 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT I certify that this Certificate of Acceptance document is accurate and complete. Documentation Author Company Name Name David Korneff Address PO Boz 5755 City Zip Code 90607 Phone CEA/ATT Certification Author Signature Identification (If applicable) tel, Date of Signature: 09/21/2019 Advanced Compliance Whittler (562)254-5250 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: I. 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 NA]. 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. S. 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 Person Name David Komeff Advanced Compliance Address: City PO Box 5755 Whittier Zip Code 90607 Phone (562)254-5250 CSLB License Position with Company (Title) Owner Responsible Acceptance Person Signature 7 Date of Signature: 09/21/2019 This is page 5 of 5 General Information Building Type: F 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: 6/6/2019 12:00:00 AM Lighting Plan I E-2.2 16/6/2019 12:00:00 AM This is page 1 of 2 130 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT I certify that this Certificate of Acceptance document is accurate and complete. Documentation Author David Korneff Company Name Name Address City PO Box 5755 Zip Code Phone 90607 CEA/ATT Certification Author Signature Identification (if applicabr2 l /JI I Date of Signature: 09/21/2019 Advanced Compliance Whittier (562)254-5250 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the fallowing 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. 1 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 Person Name David Korneff Advanced Compliance Address: PO Box 5755 Zip Code 90607 CSLB License Responsi le Acce Person Signature 7 Date of Signature: 09/21/2019 City Phone Position with Company (Title) Whittler (562)254-5250 Owner This is page 2 of 2 ACCEPTANCE of 5 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 1&2 NRCA-LTI-03-A Page Construction Inspection. This page required for all submittals. E3 3 RRCA-LTI-03-A Page Continuous dimming control functional performance test -watt-meter or amp -meter measurement NRCA- E3 5&6 LTI-03-A Page Stepped Switching/ Stepped Dimming functional performance test -watt -meter or amp -meter measurement 0 NRCA-LTI-03-A Page Continuous dimmingcontrol 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. NRCA-LTI-03-A Page 9 &10 Stepped Switching/ Stepped Dimming functional performance test - based on light output 1. NA7.6.1.1 Construction Inspection: 1. Drawing of Daylit Zones) 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 f - Document Name and Page #'s E-2.2 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 > S daylight control systems, sample group glazing same orientation) ZN1 ZN1 Plans Page Number Check if Tested Control is Representative of Sample F 2. System Information Zone Type: Skylit (Sky), Primary Sldent (PS), or Secondary Sidelit (SS) PS Control Type: Continuous Dimming with more than 10 light levels (C), Stepped Dimming (SO), Switching (SW) C Design Footcandles: (Enter footcandle (fc) value or "U" if unknown): 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 = Ves Outside (0), Inside Skylight (IS), or Near Windows facing out (NW); otherwise, enter no (N). If Control loop type is Closed Loop (CL): E-tc, yes (Y) if location - In Controlled Zone (CZ); otherwise, enter no (N), Control Adjustments are in App,apriate Location (Yes/No): Yes, If Readily Accessible or Yes if in Ceiling less than or equal to 11 it, Yes ThIC IC imn.e t of 5 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) Yes Location of Light Sensor on Plans: (Page Number) E-2 2 S. Separate Controls of Luminaires in Daylit Zones: Are luminaires controlled by automatic daylighting controls only in daylit zones: (Yes/No) yP5 Separately circuited for daylit zones by windows and daylit zones under skylights: (Yes/No) Yes 6. Da li hting Control Device Certification Daylighting control has been certified in accordance with 4110.9: (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): (T 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 10- 103(a)3B. Fix pr able in (s) and retest until the system(s) passes all port) ons of this test before retesting and res u b in itt l ug N RCA - LTI-03 - A with PASSED test to the enforcement agency. Descn'Ihe below the failure mode and corrective action needed. This is page 2 of 5 ACCEPTANCE TT 2. NA7.6.1.2.1 Functional Performance Testing — Continuous Dimming Systems: Power estimation using light meter. measurement Complete all tests on page J & 8 (No Daylight Test, Full Daylight Test, and Partial Daylight Test) and fill out Pass/Fail section on Page B. ZN1 Svstem Information a. Control Loop Type: Open Loop or Closed Loop? (0 or C) 90 b. Indicate if Mandatory control - M (required for skylit zone or primary sldelit zone with installed general lighting power > 120 W); for Control Credit - CC; or Voluntary not for credit -V (M, CC, V) IC��—I �•—J c. If automatic daylighting controls are mandatory, are all general lighting luminaires in daylit zones controlled by automatic daylight controls? (yes/No) Yes d. General lighting design footcandles. (Enter footcandle (FC) value, or "U" if unknown.) 20 e. Power estimation method. (see line q) Default ratio of power to light (Dfc), cut -sheet ratio of power to light (CSfc) If C5Fc - attach cut -sheet. Enter Dfc or CSfc OR, Jiep A: S®entlTy KeTerence Location (location where minimum daylight illuminance is measured in zone served by the controlled lighting.) f. Method Used: Illuminance or Distance? (I or D) Override daylight control system and drive electric lights to highest light level for the following: g. Highest light level to - enter measured controlled electric lighting footcandles (fc) 3] h. Indicate whether this is Full Output (FO), or Task Tuned (Lumen Maintenance) (TT) & davliaht less O 1. Method Used: Night time manual measurement (Night), Night Time Illuminance Lagging (Log), Cover Fenestration (CF), Cover CF Open Loop Photosensor (COLP) j, Reference Illuminance (footcandles) as measured at Reference Location (see Step 1). Enter footcandles k. Enter Y if either of the following statements are true: If line h = TO; [Reference Illuminance (line j)] / [Full Output it (line g)] > 70%? at [Reference Illuminance (line j)] / [design footcandles (line dJ > 800/67 (Yes/No) Step 3: Full Daylight Test conducted when davliaht > 150% of reference illuminance (line it Yes I. Daylight illuminance (light level with electric lighting turned off) measured at Reference Location (fc) 88 m. Daylight illuminance (line I) greater than Reference Illuminance (line j)? (Yes/No) Fill out lines o throidah t only if electric liahtino is turned dnatm car riff_ Yes n. Total (daylight + electric light) Illuminance measured at the Reference Location (fc). 90 o. Electric lighting illuminance at the Reference Location (fc) [(line n) - (line I)j. t ' q S. Electric lighting illuminance (line o) divided by Highest Light Level to (line g). Enter %.. 10.810810810810 I 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 %. 20 r. System Power Reduction = [1 - line q] 80 s. Is System Power Reduction (line r) > 65% when line h = F0, or > 56% when line h = TT (Yes/No). Yes t. With uncontrolled lights also on, no lamps dimmed outside of daylit zone by control (Yes/No). Yes u, Dimmed [amps have stable output, no perceptible flicker (Yes/No). Yes This is page 3 of 5 v. Daylight Dimming plus OFF Controls PAF L::: —711 (This par tion 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 1. 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 M w. 0a y l i g ht illuminance (light level without electric light) measured at Reference Location (fc). 31 x. Daylight illuminance divided by the Reference Illuminance = (line w )/ (line j). Enter %. 83.783783783783 9 Y. Is Ratio of Daylight illuminance to Ref. illuminance (line x) between 60% and 95%? (Yes/No). Yes z. Total (daylight + electric light) illuminance measured at the Reference Location (fc), 40 aa. Total illuminance divided by the Reference Illuminance = (line z )/ (line j), Enter %. 108.108108 03 1 bb. Is Total illuminance divided by the Reference illuminance (line ae) between 100% and 150%? (Yes/No). Yes PASS/FAIL Evaluation (check one): r PASS: All applicable Construction Inspection responses are complete and all applicable Functional Performance Testing Requirements responses are positive (Y - yes) r FAIL: Any applicable Consn'uction Inspection responses are incomplete OR there is one of 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- 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. This is page 4 of 5 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT I carr(, that this CeRmcale of Acceptance docnmentallon is accurate and complete. .commentator, Author llama David Horneff Address P. Box 5755 Zlp Code 9C607 CEA/Ji Certification Identification (if Data of Bisector.: o9/21/2019 Company Name Advanced Compliance City WMnler Phone (562)2545250 Author Signamed FIELD TECHNICIAN'S DECLARATION STATEMENT 1 certify the following under penalty or parent, under the laws of the Stale of Clbrornie: 1, The Information .,,load on 11 Certificate of Acceptance Is free and correct. 2.l and the person Aho performed the acceptance verification reported on tills Certificate of Accounts— (Field Technician). 3. The lerstrusted, or Installation Id.milled on this Cer[I&ate of Acceptance ...... jet ,all, the applicable acceptance requi mems indicated in tlm plans And specifmved tlons approby the enforcement agency, findunfused to the apPllcable acceptance requirements and procedures spe<ifled in Reference Nonresidential Appendix Pal. re M1.I have confirmed That the Certhme(s) of lnstell'une for the construction .r installation Identified we this Certificate of Acceptance has been completed and signed by the responsible bullder/installer and has been Posted or made available with me building p ecults)issued for the building. Fired Techoltlen Name David Company Name I I<orneff Advance) Compliance Address: dry po Box 5755City Zip code Art C -furcation Identification field litherellual 17 .at, of Signalur.: 90607 09/21/2019 Ph... (562)25a-52511 Burden with Company (Title) Owner RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of penury, under the laws of the State of CauPorma: 1.1 am the Field Technician, .r the Field Tachelim Is acting on my behalf as all employee or my agent and I [,ave reviewree the Information provided on ties Cerlulcale of Aaeptence. 2. l an, euglhle under Divemn 3 of the Busmese and Professions Code in the applicable classVeli.n or circlet responsibility for it,. system deslgry mistmrnon nr lndeddmri of foam res, materialsr components, or 3. nufartured devices for the scope of work Identified on this Certificate .f Acceptance and attest to the dealaratons in tills statement (responsible acceptance person). The Information provided on his Captured of Acceptance substantiates that the wellu dim or Installation ldentifled on 1615 Certificate of Acceptance complies well the acceptance requirover is reflected In Be plan, and Political— approved by the enforcement agency, and mnfoure to the applicable acceptance requirementr arid procedures 1pat,ficul In Reference Nouresidemlal Appendix NAI. 11.1 have confirmed that the Certlficate(s) of Installation for the completion or installation identified on this Certificate of Acceptance has been completed and is posted or made Foci wltb the budding Perri Issued for the building. S. I will ensure that completed, signed copy of ",Is Certhlorte of Acceptance shall be plated, or made reallable with the building permlt(s) issued for lila building, Find made available to tine m,forcemant agency for all apPllcable lievectione. I underfeed that a signed copy Of tills Carl of Acceptance is required to be included wRb the documentation for defend, provides to the holtling comer at occupancy. Responsible Acceptance Person Nmne Company Name .avid Norneff Advanced Contplla nice Address: PO Box 955 City Whittier ZIP cede 90602 CSL. license Responsible Accept cn 11.a m Date of Berecturs: 09/21/2019 lona (562)251-5250 Invariant such Company (T01e) Owner This is page 5 of 5 Enforcement Agency Use: Checked by/Date 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 B a. All automatic time switch controls are programmed for (check all): F Weekdays r Weekend r Holidays b. Document for the owner automatic time switch programming (check all): F Weekday settings r Weekend settings r Holidays settings r Set-up settings P Preference program setting r Verify the correct time and date is properly set in the time switch W 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 r Ultrasonic occupancy sensors do not emit audible sound 5 feet from source This is page 1 of 23 Once TI 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) Representative Spaces Selected Tested space/room name: Exam Rooms Space Type (office, corridor, etc) Exam Rooms Untested areas/rooms Confirm compliance for all control system types (1-5) present in each space: 1. Automatic Time Switch Controls Step 1; Simulate occupied condition a. All lights can be turned on and off by their respective area control switch r b. Verify the switch only operates lighting in the ceiling -height partitioned area in which the switch is located. r Step 2: Simulate unoccupied condition a. All lighting, including emergency and egress lighting, turns off. Exempt lighting may remain on per Section 130.1(c)1 and 130.1(a)1. r b. Manual override switch controls only the lights in the selected ceiling height partitioned space where the override switch is located and the lights remain on no longer than 2 hours (unless serving public areas and override switch is captive key type). r Step 3: System returned to initial operating conditions r- 2. 2. Occupancy Sensors Step 1: Simulate an unoccupied condition a. Lights controlled by occupancy sensors turn off within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(b) r b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. r J Step 2: Simulate an occupied condition a. Status indicator or annunciator operates correctly r b. Lights controlled by occupancy sensors turn on immediately upon an occupied condition OR sensor indicates space is 'occupied' and lights may be turned on manually This is page 2 of 23 Step 3: System returned to initial operating conditions F 3. Partial Off Occupancy Sensor Step 1: Simulate an unoccupied condition a. Lights go to partial off state within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) r b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. For library book stacks or warehouse aisle, activity beyond the stack or aisle shall not activate the lighting in r the aisle or stack. c. In the partial off state, lighting shall consume no more than 50% of installed lighting power, or: No more than 60% of installed lighting power for metal halide or high pressure sodium lighting in warehouses. No more than 60% of installed lighting power for corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category Method. Light level may be used as a proxy for lighting power when measurements are taken r Step 2: Simulate an occupied condition The occupant sensing controls shall turn lights fully ON in each separately controlled r, areas, Immediately upon an occupied condition 4. Partial On Occupancy Sensors Step 1. -Simulate an occupied condition. Verify partial on operation. a. Immediately upon an occupied condition, the first stage activates between 50 to r 70% of the lighting automatically. b. After the first stage occurs, manual switches allow an occupant to activate the alternate set of lights, activate 100% of the lighting power, and manually Ir deactivate all of the lights. Step 2. Simulate an unoccupied condition a. Both stages (automatic on and manual on) lights turn off within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) r b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. r This is page 3 of 23 5. Add }tional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger than 250 ft , to Qualify for a Power Adjustment Factor (PAF) Step 0: First, complete Functional Test 2 (above) for each controlled zone. Step 1: Verify area served and compare actual PAF with claimed PAF. Refer to Functional Test 2. a. Area served by controlled lighting ft2 b. Enter PAF corresponding to controlled area from line (a) above (<125 ft2 for PAF=0.4, 126-250 ft2 for PAF=0.3, 251-500 ft2 for PAF=0.2). c. Enter PAF claimed for occupant sensor control in this space from the Certificate of Compliance. d. The PAF corresponding to the controlled area (line b), is greater than or equal to r the PAF claimed in the compliance documentation (line c). e. Sensors shall not trigger in response to movement in adjacent walkways or r workspaces f. All steps are conducted in Functional Test 2 'Occupancy Sensor (On Off Control)' r and all answers are Yes. This is page 4 of 23 C. Testing Results 1. Automatic Time Switch Controls (all answers must be Yes). r 2. Occupancy Sensor (On Off Control) (all answers must be Yes). r 3. Partial Off Occupancy Sensor (all answers must be Yes). For warehouses, library book stacks, corridors, stairwells in nonresidential buildings must also be r, accompanied by passing Test 1 or Test 2. 4. Partial On Occupant Sensor for PAF (all answers must be Yes). F 5. Occupant Sensor serving small zones for PAF (all answers must be Yes). Also must pass Test 2. r Representative Spaces Selected Tested space/room name: Breakroom Space Type (office, corridor, etc) Breakroom Untested areas/rooms Confirm compliance for all control system types (1-5) present in each space: 1. Automatic Time Switch Controls Step 1: Simulate occupied condition a. All lights can be turned on and off by their respective area control switch r b. Verify the switch only operates lighting in the ceiling -height partitioned area in r which the switch is located. Step 2: Simulate unoccupied condition a. All lighting, including emergency and egress lighting, turns off. Exempt lighting may remain on per Section 130.1(c)1 and 130.1(a)1. F b. Manual override switch controls only the lights in the selected ceiling height partitioned space where the override switch is located and the lights remain on no longer than 2 hours (unless serving public areas and override switch is captive key type), r Step 3: System returned to initial operating conditions r 2. Occupancy Sensors Step 1: Simulate an unoccupied condition This is page 5 of 23 130 a. Lights controlled by occupancy sensors turn off within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(b) b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. i✓ Step 2: Simulate an occupied condition a. Status indicator or annunciator operates correctly r b. Lights controlled by occupancy sensors turn on immediately upon an occupied condition OR sensor indicates space is 'occupied' and lights may be turned on manually Step 3: System returned to initial operating conditions r 3. Partial Off Occupancy Sensor Step 1: Simulate an unoccupied condition a. Lights go to partial off state within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) r b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. For library book stacks or warehouse aisle, activity beyond the stack or aisle shall not activate the lighting in r the aisle or stack. c. In the partial off state, lighting shall consume no more than 50% of installed lighting power, or: No more than 60% of installed lighting power for metal halide or high pressure sodium lighting in warehouses. No more than 60% of installed lighting power for corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category Method. Light level may be used as a proxy for lighting power when measurements are taken r Step 2: Simulate an occupied condition The occupant sensing controls shall turn lights fully ON in each separately controlled r areas, Immediately upon an occupied condition 4. Partial On Occupancy Sensors Step 1. -Simulate an occupied condition. Verify partial on operation. a. Immediately upon an occupied condition, the first stage activates between 50 to r 70% of the lighting automatically. b. After the first stage occurs, manual switches allow an occupant to activate the alternate set of lights, activate 100% of the lighting power, and manually F deactivate all of the lights. This is page 6 of 23 Step 2. Simulate an unoccupied condition a. Both stages (automatic on and manual on) lights turn off within a maximum of 20 r minutes from start of an unoccupied condition per Standard Section 110.9(a) b. The occupant sensor does not trigger a false 'on' from movement in an area r adjacent to the controlled space or from HVAC operation. This is page 7 of 23 5. Additional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger than 250 ft , to Qualify for a Power Adjustment Factor (PAF) Step 0: First, complete Functional Test 2 (above) for each controlled zone. Step 1: Verify area served and compare actual PAF with claimed PAF. Refer to Functional Test 2. a. Area served by controlled lighting ft2 b. Enter PAF corresponding to controlled area from line (a) above (<125 ft2 for PAF=0.4, 126-250 ft2 for PAF=0.3, 251-500 ft2 for PAF=0.2). c. Enter PAF claimed for occupant sensor control in this space from the Certificate of Compliance. d. The PAF corresponding to the controlled area (line b), is greater than or equal to r the PAF claimed in the compliance documentation (line c). e. Sensors shall not trigger in response to movement in adjacent walkways or workspaces r f. All steps are conducted in Functional Test 2 'Occupancy Sensor (On Off Control)' r and all answers are Yes. This is page 8 of 23 ACCEPTANCE CITY C. Testing Results 1. Automatic Time Switch Controls (all answers must be Yes). r 2. Occupancy Sensor (On Off Control) (all answers must be Yes). r 3. Partial Off Occupancy Sensor (all answers must be Yes). For warehouses, library book stacks, corridors, stairwells in nonresidential buildings must also be r accompanied by passing Test 1 or Test 2. 4. Partial On Occupant Sensor for PAF (all answers must be Yes). r 5. Occupant Sensor serving small zones for PAF (all answers must be Yes). Also must r pass Test 2. Representative Spaces Selected Tested space/room name: Office Space Type (office, corridor, etc) Office Untested areas/rooms Confirm compliance for all control system types (1-5) present in each space: 1. Automatic Time Switch Controls Step 1: Simulate occupied condition a. All lights can be turned on and off by their respective area control switch r b. Verify the switch only operates lighting in the ceiling -height partitioned area in which the switch is located. r Step 2: Simulate unoccupied condition a. All lighting, including emergency and egress lighting, turns off. Exempt lighting may r remain on per Section 130.1(c)1 and 130.1(a)1. b. Manual override switch controls only the lights in the selected ceiling height partitioned space where the override switch is located and the lights remain on no longer than 2 hours (unless serving public areas and override switch is captive key type), r Step 3: System returned to initial operating conditions r 2. Occupancy Sensors Step 1: Simulate an unoccupied condition This is page 9 of 23 a. Lights controlled by occupancy sensors turn off within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(b) b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation.r Step 2: Simulate an occupied condition a. Status indicator or annunciator operates correctly r b. Lights controlled by occupancy sensors turn on immediately upon an occupied condition OR sensor indicates space is 'occupied' and lights may be turned on manually r Step 3: System returned to initial operating conditions r 3. Partial Off Occupancy Sensor Step 1: Simulate an unoccupied condition a. Lights go to partial off state within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) r i b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. For library book stacks or warehouse aisle, activity beyond the stack or aisle shall not activate the lighting in r the aisle or stack. c. In the partial off state, lighting shall consume no more than 500% of installed lighting power, or: No more than 600% of installed lighting power for metal halide or high pressure sodium lighting in warehouses. No more than 60% of installed lighting power for corridors and stairwells In which the installed lighting power is 80% or less of the value allowed under the Area Category Method. Light level may be used as a proxy for lighting power when measurements are taken r Step 2: Simulate an occupied condition The occupant sensing controls shall turn lights fully ON in each separately controlled r areas, Immediately upon an occupied condition 4. Partial On Occupancy Sensors Step 1. -Simulate an occupied condition. Verify partial an operation. a. Immediately upon an occupied condition, the first stage activates between 50 to 70% of the lighting automatically. r b. After the first stage occurs, manual switches allow an occupant to activate the alternate set of lights, activate 100% of the lighting power, and manually r deactivate all of the lights. This is page 10 of 23 Step 2. Simulate an unoccupied condition a. Both stages (automatic on and manual on) lights turn off within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) r b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. r This is page I I of 23 S. Additional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger than 250 ft , to Qualify for a Power Adjustment Factor (PAF) Step 0: First, complete Functional Test 2 (above) for each controlled zone. Step 1: Verify area served and compare actual PAF with claimed PAF. Refer to Functional Test 2. a. Area served by controlled lighting ft2 b. Enter PAF corresponding to controlled area from line (a) above (<125 ft2 for PAF=0.4, 126-250 ft2 for PAF=0.3, 251-500 ft2 for PAF=0.2). c. Enter PAF claimed for occupant sensor control in this space from the Certificate of Compliance. d. The PAF corresponding to the controlled area (line b), is greater than or equal to r the PAF claimed in the compliance documentation (line c). e. Sensors shall not trigger in response to movement in adjacent walkways or r workspaces f. All steps are conducted in Functional Test 2 'Occupancy Sensor (On Off Control)' r„ and all answers are Yes. This is page 12 of 23 1. Automatic Time Switch Controls (all answers must be Yes). r 2. Occupancy Sensor (On Off Control) (all answers must be Yes). r 3. Partial Off Occupancy Sensor (all answers must be Yes). For warehouses, library book stacks, corridors, stairwells in nonresidential buildings must also be r accompanied by passing Test 1 or Test 2. 4. Partial On Occupant Sensor for PAF (all answers must be Yes). I- 5. 5. Occupant Sensor serving small zones for PAF (all answers must be Yes). Also must r pass Test 2. Representative Spaces Selected Tested space/room name: Storage Space Type (office, corridor, etc) Storage Untested areas/rooms Confirm compliance for all control system types (1-5) present in each space: 1. Automatic Time Switch Controls Step 1: Simulate occupied condition a. All lights can be turned on and off by their respective area control switch r b. Verify the switch only operates lighting in the ceiling -height partitioned area in which the switch is located. r Step 2: Simulate unoccupied condition a. All lighting, including emergency and egress lighting, turns off. Exempt lighting may r remain on per Section 130.1(c)1 and 130.1(a)1. b. Manual override switch controls only the lights in the selected ceiling height partitioned space where the override switch is located and the lights remain on no longer than 2 hours (unless serving public areas and override switch is captive key type) Ir Step 3: System returned to initial operating conditions r 2. Occupancy Sensors Step 1: Simulate an unoccupied condition This is page 13 of 23 a. Lights controlled by occupancy sensors turn off within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(b) b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. r Step 2: Simulate an occupied condition a. Status indicator or annunciator operates correctly f b. Lights controlled by occupancy sensors turn on immediately upon an occupied condition OR sensor indicates space is 'occupied' and lights may be turned on manually r Step 3: System returned to initial operating conditions r 3. Partial Off Occupancy Sensor Step 1: Simulate an unoccupied condition a. Lights go to partial off state within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) r b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. For library book stacks or warehouse aisle, activity beyond the stack or aisle shall not activate the lighting in r the aisle or stack. c. In the partial off state, lighting shall consume no more than 50% of installed lighting power, or: No more than 60% of installed lighting power for metal halide or high pressure sodium lighting in warehouses. No more than 60% of installed lighting power for corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category Method. Light level may be used as a proxy for lighting power when measurements are taken r Step 2: Simulate an occupied condition The occupant sensing controls shall turn lights fully ON in each separately controlled r areas, Immediately upon an occupied condition 4. Partial On Occupancy Sensors Step 1. -Simulate an occupied condition. Verify partial on operation. a. Immediately upon an occupied condition, the first stage activates between 50 to 70% of the lighting automatically. r b. After the first stage occurs, manual switches allow an occupant to activate the alternate set of lights, activate 100% of the lighting power, and manually r deactivate all of the lights. This is page 14 of 23 Step 2. Simulate an unoccupied condition a. Both stages (automatic on and manual on) lights turn off within a maximum of 20 r minutes from start of an unoccupied condition per Standard Section 110.9(a) b. The occupant sensor does not trigger a false 'on' from movement in an area r adjacent to the controlled space or from HVAC operation. This is page 15 of 23 5. Additional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger than 250 ft , to Qualify for a Power Adjustment Factor (PAF) Step O: First, complete Functional Test 2 (above) for each controlled zone. Step 1: Verify area served and compare actual PAF with claimed PAF. Refer to Functional Test 2. a. Area served by controlled lighting ft2 ' b. Enter PAF corresponding to controlled area from line (a) above (<125 ft2 for PAF=0.4, 126-250 ft2 for PAF=0.3, 251-500 ft2 for PAF=0.2). c. Enter PAF claimed for occupant sensor control in this space from the Certificate of Compliance. d. The PAF corresponding to the controlled area (line b), is greater than or equal to r the PAF claimed in the compliance documentation (line c). e. Sensors shall not trigger in response to movement in adjacent walkways or workspaces r f. All steps are conducted in Functional Test 2 'Occupancy Sensor (On Off Control)' r and all answers are Yes. This is page 16 of 23 C. Testing Results 1. Automatic Time Switch Controls (all answers must be Yes). r- 2. 2. Occupancy Sensor (On Off Control) (all answers must be Yes). r 3. Partial Off Occupancy Sensor (all answers must be Yes). For warehouses, library book stacks, corridors, stairwells in nonresidential buildings must also be accompanied by passing Test 1 or Test 2. r- 4. 4. Partial On Occupant Sensor for PAF (all answers must be Yes). r- 5. 5. Occupant Sensor serving small zones for PAF (all answers must be Yes). Also must r pass Test 2. Representative Spaces Selected Tested space/room name: Large Open Work Space Type (office, corridor, etc) Large Open Work Untested areas/rooms Confirm compliance for all control system types (1-5) present in each space: 1. Automatic Time Switch Controls Step 1: Simulate occupied condition a. All lights can be turned on and off by their respective area control switch fJ b. Verify the switch only operates lighting in the ceiling -height partitioned area in which the switch is located. V Step 2: Simulate unoccupied condition a. All lighting, including emergency and egress lighting, turns off. Exempt lighting may remain on per Section 130.1(c)1 and 130.1(a)1. r b. Manual override switch controls only the lights in the selected ceiling height partitioned space where the override switch is located and the lights remain on no longer than 2 hours (unless serving public areas and override switch is captive key type) r Step 3: System returned to initial operating conditions F 2. Occupancy Sensors Step 1: Simulate an unoccupied condition This is page 17 of 23 b. The occupant sensor does not trigger a false 'on' from movement in an area r adjacent to the controlled space or from HVAC operation. Step 2: Simulate an occupied condition a. Status indicator or annunciator operates correctly r b. Lights controlled by occupancy sensors turn on immediately upon an occupied condition OR sensor indicates space is 'occupied' and lights may be turned on manually r Step 3: System returned to initial operating conditions r- 3. 3. Partial Off Occupancy Sensor Step 1: Simulate an unoccupied condition a. Lights go to partial off state within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) r b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. For library book stacks or warehouse aisle, activity beyond the stack or aisle shall not activate the lighting in r the aisle or stack. c. In the partial off state, lighting shall consume no more than 50% of installed lighting power, or: No more than 60% of installed lighting power for metal halide or high pressure sodium lighting in warehouses. No more than 60% of installed lighting power for corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category Method. Light level may be used as a proxy for lighting power when measurements are taken r Step 2: Simulate an occupied condition The occupant sensing controls shall turn lights fully ON in each separately controlled r areas, Immediately upon an occupied condition 4. Partial On Occupancy Sensors Step 1. -Simulate an occupied condition. Verify partial on operation. a. Immediately upon an occupied condition, the first stage activates between 50 to 70% of the lighting automatically. r b. After the first stage occurs, manual switches allow an occupant to activate the alternate set of lights, activate 100% of the lighting power, and manually deactivate all of the lights. r This is page 18 of 23 Step 2. Simulate an unoccupied condition Fa. Both stages (automatic on and manual on) lights turn off within a maximum of 20 r minutes from start of an unoccupied condition per Standard Section 110.9(a) b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. r This is page 19 of 23 5. Add}tional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger than 250 ft , to Qualify for a Power Adjustment Factor (PAF) Step 0: First, complete Functional Test 2 (above) for each controlled zone. Step 1: Verify area served and compare actual PAF with claimed PAF. Refer to Functional Test 2. a. Area served by controlled lighting ft2 b. Enter PAF corresponding to controlled area from line (a) above (<125 ft2 for PAF=0.4, 126-250 ft2 for PAF=0.3, 251-500 ft2 for PAF=0.2). c. Enter PAF claimed for occupant sensor control in this space from the Certificate of Compliance. d. The PAF corresponding to the controlled area (line b), is greater than or equal to r the PAF claimed in the compliance documentation (line c). e. Sensors shall not trigger in response to movement in adjacent walkways or r workspaces f. All steps are conducted in Functional Test 2 'Occupancy Sensor (On Off Control)' r and all answers are Yes. This is page 20 of 23 C. Testing Results 1. Automatic Time Switch Controls (all answers must be Yes). r 2. Occupancy Sensor (On Off Control) (all answers must be Yes). r 3. Partial Off Occupancy Sensor (all answers must be Yes). For warehouses, library book stacks, corridors, stairwells in nonresidential buildings must also be r accompanied by passing Test 1 or Test 2. 4. Partial On Occupant Sensor for PAF (all answers must be Yes). r- 5. 5. Occupant Sensor serving small zones for PAF (all answers must be Yes). Also must r pass Test 2. D. Evaluation : W PASS: All applicable Construction Inspection responses are complete and all applicable Equipment Testing Requirements responses are positive. This is page 21 of 23 OF DOCUMENTATION AUTHOR'S DECLARATION STATEMENT I certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Company Name Name David Korneff Address PO Box 5755 City Zip Code 90607 Phone CEA/ATT Certification Author Signature Identificatio - 'f applicable) Date of Signature: 09/21/2019 Advanced Compliance Whittier (562)254-5250 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 David Korneff Advanced Compliance Address: PO Box 5755 Zip Code 90607 ATT Certification Identification TC -AB 13611 Field Technician Signature 1: > I Date of Signature: City Whittier Phone (562)254-5250 Position with Company (Title) Owner 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 pasted 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 David Korneff Company Name Advanced Compliance Person Name P Address: RD Box 5755 City Whittier Zip Code 90607 Phone (562)254-5250 CSLB License Position with Company (Title) Owner Responsible ccep Person SI nature Date of Signature: 09/21/2019 This is page 22 of 23 This is page 23 of 23