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This page required for all submittals. 3&4-LTI-03-A Page Continuous dimming control functional performance test -watt -meter or amp -meter measurement NRRCGA-LTI-03-A Page Stepped Switching/ Stepped Dimming functional performance test -watt -meter or amp -meter measurement 1 NRCA-LTI-03-A Page 7&8 Continuous dimming control functional performance test- light meter power measurement, and default look -up table of fraction of rated power versus fraction of rated light output. 0 NRCA-LTI-03-A Page 9 SLID Stepped Switching/ Stepped Dimming functional performance test - based on light output 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 ELECTRICAL E1.31 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) WATT STOPPER WATT STOPPER Plans Page Number 1 Check if Tested Control is Representative of Sample r 2. System Information 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 (SO), Switching (SW) Design Footcandles: (Enter footcandle (fc) value or "U" If unknown): 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): 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 :AL �`` TP California Advanced Lighting Controls hainlno Program 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-1.31 S. 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) Yes 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 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 PASS/FAIL Evaluation (check one): r PASS If all responses on Constructlon 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. TPCalifornia Advanced Lighting Controls Traloino Pron ram 2. NA7.6.1.2.1 Functional Performance Testing - Continuous Dimming Systems: Power estimation using amp -meter measurement, or alternate option - watt -meter measurement Complete all tests on page 3 & 4 (No Daylight Test, Full Daylight Test, and Partial Daylight Test) and fill out Pass/Fail section on Page 4. WATT STOPPER Svstem Information a. Control Loop Type: Open Loop or Closed Loop? (O or C) 43.1 b. Indicate if Mandatory control - M (required for skylit zone or primary sidelit zone with installed general lighting power > 120 W); —68 880866425992 8 for Control Credit - CC; or Voluntary -V (M, CC, V) Yes c. If automatic daylighting controls are mandatory, are all general lighting luminaires In daylit zones controlled by automatic Yes daylight controls? (Yes/No) Yes d. General lighting design footcandles. (Enter footcandle (fc) value or "U" if Unknown) Yes e. Power estimation method. Measured Amps Multiplied by Volts, Volt -Amps (VA), alternate option Is Measured Watts (W) Step 1: Identify Reference Location (location where minimum daylight illuminance is measured In zone served by the controlled Iightinq.) E Method Used: Illuminance or Distance? (I or D) �. g. Highest light level fc: Enter measured footcandles (fc) from controlled electric lighting (does not include daylight illuminance) In. Full load Highest light level power: Enter measured Amps times Volts, Volt -Amps (VA) or measured Watts (W). i. Indicate whether this is Full Output (FO), or Task Tuned (Lumen Maintenance) (TT) Step 2: No Davlioht Test controls enabled & davliaht less than 1 fc at reference location j. Method Used: Night time manual measurement (Night), Night Time Illuminance Logging (Log), Cover Fenestration (CF), Cover Night Open Loop Photosensor(COLP) k. Reference Illuminance (footcandles) as measured at Reference Location (see Step 1). Enter footcandles 82.3 I. Enter V if either of the following statements are true: [Reference Illuminance (line k)] /[Highest light level In (line g)] > 70% Ves when line i = FO or [Reference Illuminance (line k)] / [design footcandles (line d)] > BOP/o? (Yes/No) Sten 3: full Davliaht Test conducted when davliaht > 1500/a of reference illuminance (line ll m. Enter measured Amps Multiplied by Volts, Volt -Amps (VA) or measured Watts (W). 43.1 n. System power reduction enter [3 - (line m)/(line h)], Enter %. —68 880866425992 8 o. Is System Power Reduction (line n) > 65% when line i = F0, or > 561/. when line i = TT (Yes/No) Yes p. With uncontrolled lights also on, no lamps are dimmed outside of daylit zone by same control mechanism or formula (Yes/No) Yes q. Dimmed lamps have stable output (no perceptible visual flicker) (Yes/No) Yes r. Daylight Dimming plus OFF Controls PAF Yes (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 m. thru q.) Does the system automatically turn OFF the luminaires when full daylight is available? (Yes/No) 4: Partial Davliaht Test s. Daylight illuminance (light level without electric light) measured at Reference Location (fc) L �' Tp California Advanced Ughtlng Controls Training Program 53.7 I. Daylight illuminance divided by the Reference Illuminance = (line s )/ (line k). Enter %. 65.249088699878# u. Is Ratio of Daylight Illuminance to Ref. illuminance (line t) between 60% and 95%? (Yes/No) Yes v. Total (daylight + electric Ilght) Illuminance measured at the Reference Location (fc) 83.2 w. Total Illuminance divided by the Reference Illuminance = (line v )/ (line k), Enter %. 101.09356014580 04 x. Is Total Illuminance divided by the Reference illuminance (line w) between 100% and 150%7 (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 Construction Inspection responses are incomplete OR there Is one or more negative IN - 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 TPCalgornla Advanced Lighting — Controls Training Praaram 2. NA7.6.1.2.1 Functional Performance Testing - Continuous Dimming Systems: Power estimation using light meter measurement Complete all tests on page 7 IS 8 (No Daylight Test, Full Daylight Test, and Partial Daylight Test) and fill out Pass/Fail section on Page B. WATT STOPPER Svstem Tnfnrmatinn a. Control Loop Type: Open Loop or Closed Loop? (0 or C) 115.2 b. Indicate if Mandatory control - M (required for skylit zone or primary sidelit zone With installed general lighting power > 120 W); for Control Credit - CC; or Voluntary not for credit -V (M, CC, V) 19.799999999999 97 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.) 82.3 e. Power estimation method. (see line q) Default ratio of power to light (Old), cut -sheet ratio of power to light (CSfc) If CSFc - attach cut -sheet. Enter Ofd or CSfc CSfc btep l: lOentlry Kererence Location (location where minimum daylight illuminance Is measured in zone served by the controlled lighting.) 115.2 FM Method Used: Illuminance or Distance? (I or D) 19.799999999999 97 Override daylight controls stem and drive electric lights to highest light level for the following: 24.05832320777612E g. Highest Ilght level fc - enter measured controlled electric lighting footcandles (fc) 82.3 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 Yes I. Method Used: Night time manual measurement (Night), Night Time Illuminance Lagging (Log), Cover Fenestration (CF), Cover Open Loop Photosensor(COLP) Night 1. Reference Illuminance (footcandles) as measured at Reference Location (see Step 1). Enter footcandles 82.3 k, Enter Y If either of the following statements are true: If line In = FO; [Reference Illuminance (line j)] / [Full Output fc (fine g)] > 70%? or [Reference Illuminance (line j)] / (design footcandles (line d)) > 80%? (Yes/No) Yes Ste 3: Full Daylight Test conducted when daylight > 150% of reference illuminance (line j I. Daylight illuminance (light level with electric lighting turned off) measured at Reference Location (fc) 95.4 m. Daylight Illuminance (line 1) greater than Reference Illuminance (line j)? (Yes/No) Yes Fill out lines o threuah t nnly if eleetric liahtina is turnarl rinwn nr nff n. Total (daylight + electric light) Illuminance measured at the Reference Location (fc). 115.2 o. Electric lighting illuminance at the Reference Location (fc) [(line n) - (line I)]. 19.799999999999 97 p. Electric lighting illuminance (line o) divided by Highest Light Level fc (line g). Enter %. 24.05832320777612E 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 an cut -sheet or graph. Enter fraction of rated power In %. r. System Power Reduction = [I - line q] Igo 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). Ves u. Dimmed lamps have stable output, no perceptible flicker (Yes/No). Yes. :AL�� T" California Advanced Ughdng r Controls Tninlno Program 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) Stnn 6: Yes w. Daylight Illuminance (light level without electric light) measured at Reference Location (fc). 65.4 x. Daylight illuminance divided by the Reference Illuminance = (line w )/ (line J). Enter i. 79.46 5370 59 5 382 5 y. Is Ratio of Daylight illuminance to Ref. illuminance (line x) between 60% and 95%7 (Yes/No). Yes z. Total (daylight + electric light) Illuminance measured at the Reference Location (fc). 103.2 aa. Total illuminance divided by the Reference Illuminance = (line z )/ (line j), Enter %. 125.39489671931 56 bb. Is Total illuminance divided by the Reference illuminance (line as) between 100% and 150%? (Yes/No). Yes 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- 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. i �� -In California Advanced Lighting —. L 1� Controls Tralninn Progrom DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1 certify that this Certificate of Acceptance documentation is accurate and complete Documentation Author Name Ivan Gri'.m' Address 3003 crape myrtle cir Zip code 91209 CENATT Unification ldimbflo ion (If applicable) TC -A217039 Date of SlgnaWre: 08/20/2018 Company Name City Phone Author 5ignature IS eleRric China His (714)686-8233 FIELD TECHNICIAN'S DECLARATION STATEMENT I all the following under penalty of pe'riurv, under the laws of the State of California: 1. The Information provided on this Certificate of Acceptance Is true and cathect. 2. lam 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 me applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applleable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA). 4. l have confirmed that the Certlfinfl 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 permlt(s)Issued for the bulltling. Field Technician Name Ivan GCompany Name Hgorov, IG electric Address: City 3003 crape myrtle or Chino Hills Zip Code Phone 91709 (714)686-8233 An Certification Identification Position with Company (Title) TC -A217039 Position Fluid Technician Signature Date of Signature: �A 08/28/2018 RESPONSIBLE PERSON'S DECLARATION STATEMENT I campy the following untler penalty of p,do,, untler the laws of the State of California: 1. l am the Field Technician, or the Field Technldan Is acting on my behalf as my employee or my agent and have reviewed the information provided on this Certificate of Acceptance, 2, lam 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 ldenbfied on this Certificate of Acceptance and attest A 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 repulrement, 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. l have confirmed that the Certificates) of installation for the construction or Installation Identified on this Certificate of Acceptance has been completed and is posted or made available with the boiling permn(s) Issued for the building. S. I will ensure that completed, signed cagy of this Certificate of Acceptance shall be posted, or made available with the building permlt(s) issued for[he building, and made available to rhe enforcement agency for all applicable inspection, l understand that slmi copy of this Certificate of Acceptance is required to be Included with the documentation the builder provides to me bundle, owner at Occupancy. Responslhle Acceptance Person Name Company Name Ivan Gfigmov IS electric Address: City 3003 crepe myrtle or Chino Hills Zip Code 91209 CSIB License 1023951 Responsible Acceptance Person Signature Date of SlgnaWre: 08/28/2018 i O Celitornla Advanced Ughting 'A DTP Coni Trainlno Program Phone Position with Company (Title) (714)686-8233 OWNER