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SHUT-OFF LIGHTING CONTROL ACCEPTANCE DOCUMENT
Intent: This document is used to demonstrate compliance with acceptance requirements in §130.4(a)4 and Reference Nonresidential
Appendix NA7.6.2 for shut-off lighting controls. Attach additional sets of pages 1 through 2, as required, for all controls that must be
tested.
Indicate all types of shut-off controls tested for this project:
r Automatic time switch lighting controls (Sections A-1 and B-1 of this document should be
completed)
f� Occupant sensing lighting controls (including occupant sensors, partial -ON occupant sensors, partial -OFF occupant
sensors, and/or vacancy sensors) (Sections A-2 and B-2 of this document should be completed)
A-1. Automatic Time Switch Lighting Control Construction Inspection (NA7.6.2.4)
r a. Automatic time switch controls are programmed with acceptable weekday, weekend, and holiday (if applicable)
schedules. (NA7.6.2.4(a), §110.9(b)lAii, §130.1(c)lA, §130.1(c)4)
r lo. Document for the owner weekday, weekend, and holidays schedules, as well as all set-up and preference program
settings. (NA7.6.2.4(b))
r c. The correct time and date are properly set in the time switch. (NA7.6.2.4(c))
r d. The battery backup (if applicable) is installed and energized. (NA7.6.2.4(d), §110.9(b)1)
I- e. Override time limit is no more than 2 hours. (NA7.6.2.4(e), §110.9(b)IAi, §130.1(c)3B) OR The automatic time switch
control's override time is exempt from the 2-hour limit. (EXCEPTION to §130.1(c)38)
r f. Override switches remote from area with controlled luminaires have annunciator lights. (NA7.6.2.4(f), §130.1(c)3A,
§130.1(a)) OR The manual override switch is exempt from being in the same enclosed area with the lighting it controls.
(EXCEPTION 1 to §130.1(a)2)
Construction Inspection Compliance: r Complies f Does Not Comply
California Advanced Lighting.
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CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance This is page 1 of 5
ACCEPTANCE
A-2. Occupant Sensing Lighting Control Construction Inspection (NA7.6.2.2))
ry a. Occupant sensors have been located to minimize false signals. (NA7.6.2.2(a))
r b. Occupant sensors are located no closer than four (4) feet from any HVAO diffuser. (NA7.6.2.2(b))
e. Passive infrared sensor pattern does not enter into adjacent zones. (NA7.6.2.2(c))
(� d. Occupant sensors do not encounter any obstructions that could adversely affect desired performance. (NA7.6.2.2(d))
r e. Ultrasonic occupant sensors do not emit audible sound. (NA7.6.2.2(e), §110.9(b)6Bii)
Construction Inspection Compliance: R Complies f Does Not Comply
B-2. Occupant Sensing Lighting Control Functional Testing (NA7.6.2.3)
Confirm compliance (Y - yes / N - no) for the control being tested.
Building: 1 Floor: 1 Room: Sales Control: Motion Sensors & Switches
r
Control is representative of sample. (NA7.6.2.3) If sampling method is used, attach a page listing untested controls in sample.
Step
1: Simulate an unoccupied condition. (NA7.6.2.3(a))
a.
Lights controlled by occupant sensing control turn off or partially off, if applicable, within a maximum of 20 minutes from start of
r
an unoccupied condition. (NA7.6.2.3(a)1, §110.9(b)4A)
In the partial off state, partial -OFF occupant sensors automatically reduce lighting power by at least 50% (§130.1(c)6A-C,
§130.1(c)7A), OR: - -
• For metal halide or high pressure sodium lighting in warehouses, automatically reduce lighting power by at least 40%
(EXCEPTION 2 to §130.1(c)6A).
• In aisle ways. and open areas in warehouses in which the installed lighting power is 80% or less of the value allowed under
the Area Category Method, automatically reduce lighting power by at least 40% (EXCEPTION 1 to §130.1(c)6A).
• In corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category
Method, automatically reduce lighting power by at least 40% (EXCEPTION to §130.1(c)7A).
Occupant sensing controls in parking garages, parking areas, and loading and unloading areas have at least one control step
between 20 to 50% of design lighting power (§130.1(c)7B). OR Occupant sensing controls for metal halide luminaires with a lamp
plus ballast mean system efficacy of 75 lumens per watt in parking garages, parking areas, and loading and unloading areas have
at least one control step between 20 to 600/ of design lighting power (EXCEPTION to §130.1(c)7B).
b.
The occupant sensing control does not trigger
p g gger a false "on" from movement in an area adjacent to the controlled space or from
r
HVAC operation. (NA7.6.2.3(a)2)
c.
Signal sensitivity is adequate to achieve desired control. (NA7.6.2.3(a)3) For library book stacks or warehouse aisles, activity
r
beyond the stack or aisle shall not activate the lighting in the stack or aisle. (§130.1(c)6A,§130.1(c)6B) - - -
Step
2: Simulate an occupied condition. (NA7.6.2.3(b))
a.
Status indicator or annunciator operates correctly
. y. (NA7.6.2.3(b)1, §110.9(b)4C)
b.
Immediately upon an occupied condition (NA7.6.2.3(b)2):
• Lights controlled by an occupant sensor or a partial -OFF occupant sensor turn on; OR:
• A vacancy sensor indicates a space is "occupied" and lights may be turned on manually; OR:
• The first stage of a partial -ON occupant sensor automatically activates between 50 to 70% of the lighting.
(§ 130.1(c) 5A)OR:
After the first stage occurs for partial -ON occupant sensors, 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.
Functional Testing Compliance:
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CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance This is page 3 of 5
OFACCEFTANCE
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1 certify that this Certificate of Acceptance documentation is accurate and complete.
Documentation Author Company Name
Name Tracy Beattie
Address
Phone
Author Signature
Date of Signature:
5968 Joshua Trail
(805)320-0
04/21/2022
City/State/Zip
CEA/ATT Certification
Renovise
Camarillo, CA 93012
TC-AB13]10
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
s peciflcations approved by the enforcement a an cY, and conforms to the applicable acceptance requirements and proced ui as 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
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 Tracy SeatCompany Name
Beattie Renovise
Address:
Phone
Position with Company
(Title)
Date of
5968 Joshua Trail City/State/Zip Camarillo, CA 93012
(805)320-0105 ATT Certification TC-A813 ]30
Identification
VP Field Technician Signature
u.""u«
RESPONSIBLE PERSON'S DECLARATION STATEMENT
1 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 1 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 an 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. 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 permits) 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 Bonnie Beattie Renovise
Address: 5968 Joshua Trail City/State/Zip Camarillo, CA 93012
Phone
Position with
(Title)
Date of Signature:
(805)320-0105
President
I
CSLB License
995038
Responsible Acceptance Person Signature
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CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance This is page 5 of 5
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
I certify that this Certificate of Acceptance document is accurate and complete.
Documentation Author Company Name
Name Tracy Beattie
Renovise
Address City -,
59681oshua Trail
Camarillo
Zip Code Phone
93012
(005)320-0105
CEA/ATT Certification
Ideatifir-'--
applicat
Date of
Tf-AR1111a Author Signature
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. 1 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. 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 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, E%G�f1 �.
Responsible Acceptance SA{er i / Company Name
Person Name I ae.„ Address:
City Zip Cade
Phone `l 09 -73� —Z 3qe CSLB License 10 S(/'?$�
Position with Company ow n e r Responsible Acceptance Person Signature
(Title) _
Date of Signature: 04/21/2022
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INDOOR LIGHTING
NRCI_LTI02_E
G The reat-_Newport Beach
Orange
General Information
Building Type:
r 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: 2/24/2022 12;00:00 AM
g130.4(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 1S0.2; 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.
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I 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.
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. - - -
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 FMCS 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 FMCS 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;
it. 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
iii. Does not have an override switch that disables the sensor.
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DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
I certify that this Certificate of Acceptance document Is accurate and complete.
Documentation Author Company Name
Name Tracy Beattie
Renovise
Address City
59681oshua Trail
Camarillo
Zip Code Phone
93012
(805)320-0105
CEA/ATT Certification Author Signature
Identification (if TC-ABI3710
applicable)
Data a
RESPONSIBLEPERSON'S DECLARATION STATEMENT
1 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 1 have reviewed the information provided an this
Certificate of Acceptance.
2. I am eligible under Division 3 of the Business and Professions Cade 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.
5. I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permlt(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 documentatio5 the builder provides to the building owner at occupancy. �'�IQCT rsC
Responsible Acceptance //1� C Company Name
Person Name Gr0.1 G e /
S�,e,C'e�Suel�/, V 11�i�51V..0. Address: .i,5ly 6g C �•tA /\d. S0.N d0\Y\0.TG 1»O w •`��
City Zip Code Irg q0' J
Phone 907. 73c -Z37r, CSLB License �� Y
Position with Company Responsible Ac epta nce Fe rTsoiiSiiJ'(at-ure
(Title) L1 604 e
Date of Signature: 04/21/2022
( AALGTP California Controls Training
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Controols lMlning Program
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