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Home My WebLink About15-1167 CITY OF DIAMOND BAR � DEPARTMENT OF COMMUIVITY&DEVELOPMENT SERVICES ' �� 21810 Copley Drive,Diemond Beq CA 91765 PRESS W� (909)839-7020 Fax:(909)861•3117 Bwldmg Inspecdon Hotlme(909)839-7027 FIRMLY '�°" BUILDING PERMIT APPLICATION � 1I .��J� APPLICATION DATE �SII�I S P/pCN JS— ��(� I i JOBSITEADDRESSI�7D VPrLLEY VISTA 8�.. ��" �SSUEDATE �� `r PERMRp I � �.I� � ��.A1 I z APN LOT TRACT � � OWNER TVPE CONST OCC GROUP L = ADDRESS ZONING SEfBACKS � CITV ZIP TEL FRONT RW ❑ � APPLICANICACOLYnI ,�0�/1�. TEL94 —�7 — REAR ❑ I n SIDFJSIDESTREEf RW ❑ Y¢ CONTRACTOR KA�R— �II��QR SIDE ❑ a ADORESS �'I� S . x GTVTIX,TIAI ZI��TEL — 0 PROP9SEDUSE � �'S T� �1 , � x ( YC flawJl�"Cf �IA. i ARCH/ENG/DESIGNER Q.F��( STW G (�G �l S� i ADDRESS � � p OWELh0UN�7§ A STORIES A BEDROOMS I � GTy ZIP TEL OW1191-&IaOEROEfIARRTION DESCRIPTION SO Ff FACTORPSF A0.1 AREA/VALUATION s I hereby e1Him undar pena�N ol per�ury Net I em aKempt ham the ConVeclor's Stale llcensa law br @e aaem�e) SFWADD/REM � IMI�teE Eebw M Ne cAeckmarWs) I Aa�e Ola�i ren m tl�e eDVllable Mnqe)ISatlm Rtl$&slron eM Gare e/CerVart '� imMelmo fnEe My Clly a CouMy M0l RpulRa e permH E4 Cpqb�Kl,e1Rr,Impmw,denrolb�,a mPelr,any 9 yabucWm.pMrE4lhlteuvra,ebomW4astlreDPllrantlartlrV�ItE401aeBIBnaECInIm�10i0ihealhB tA Petb/Deck �; i Ifll[nnfMPOMUMbtlmP�sbm0ltleWNfcbr15qmllEB�WIHwlU�aO�'+BICOnmtlKlnp�lEiSBCtlM w � lOW ol0lrlelon J ol tle Buslnea enE Rvhulore WGe]orNat ha or cha Is a>empt Imm Ilcenwre anU Ma bazle br LL P��S7a � n tMaONeOwamYtlanp^YNd�'mNSacGm]03t5ManYaYDIImnMaRrtnrtwblecbitueGGl�ntroeNrlipeiWy C7 id not more Ihan 6re huMreO Gallare�SSW� p RB�RO°� � Ul,eaawnerolmeD�oeM.ormyemployeeewMwapeaavMelrmlemmpensmlonwillao[JallolaUD�ore � Cammerdal � y ol tl�e MdY.aztl Ihe 91nGWR lv npl NIBnCM a OIIflBO b Bale(Stl.tlM]061 Bu41n2m MA ROIBSIOn9 CaEa The m i CaNeclore Stele llcen9e law Joae not eDGly b 6n vnnar 01 propaM1y who Ihmup�Bmployem'ar pereonL olbM1 builtls � � m Imawe9 ih8 OmD�I'pm+AeO tla�Ne ImprDVBmnb BrB nN ImBntl00 or utterBO br ale M IqRRr tlu Wlping or � ImpovementnedaxMlnmayearNwmpleAonNeOvmarBUllEerwilll¢�retheWNenNpmrmpthetrtxvrplbultt p w impm�BO lar Ne purywa ol aele� ' [��p OMIIBf 01 NB p�ODyM�M OCIYlhYh'WIIE2Ctl11Y Wltll I�@119UE�i011EDCbR VI tPISh11C1 nIB WU�0.1(50.Uq1 i 106/ Buelne9 enE ROIOBvan9 COEe The ConM1Btmrs'Smla Llnwa law Uoss not epply m an vxnar N pmparry wha �aluation Atl� Area n Eullmalmp`wn�tnmeon miEwliomivabbMeombcbwMallmneUCurmanurwR�mmoCaNacmn Shule OUANTIN �ESCRIPrION FEE — ucemela«) j U I em wemptlrom Ilcereum unCer ba Co�Nactor'e Smte IJmnm law br Me bllawlnp meeon(e� � 3 i BymyelBnaNrebelawlecNnowlaLAeNeqe¢eptlormypereanelreeltlencelnvrtilcAlmusthareradEadlarelleastane �� ' � yearpMWmmpletlonNlhalm0�e��dMREbYb��P�nlrann0110peIty1011a6puCpvetl0t116reWlttnten — awner-OUIIEeIIhAasnot�eenmiaViicWlni6e�'retyEyllQnmEmnseMelunOersbnalnalewpyot@aapO�IceGle � law SBGtlan]044 N Ihe Bu9lnese enE PNke9bM CoEa b avBllabla upOn rapuart wAen Nis appllcatlon If euEmltleC a el � NeM1NbwInBNEU91eM�M�'wlLqiMOGW//�IawA�nl a � 2 � oah sicx � — uce�n coxmnc�ox�s oEaaennox � y IhereGyalArtnunGerpenalryNpar�uryMatlemllcanseEuntlerpmrlsbnedChapterB�mnmenclnpwlMSeclbn7000) � � NOMeIm3NtMBuelnona�RolesslamCotla,a�mylkenmlvinlullbReenAaMect � C � � n ucEuse cvss � C.'9 C33 uc No �� , TOu �t ' � onh./ 1�..�I�[ mxraocroe KN� 'b,711 � � i �lv 1�� WORRA'S COMYFNSITION OFS�AMTION y I NBIFBYNAPM UNOEA PQLYIY OF PEANRf ONE OF hlE FOLLDVANG OHANWPON$ � I ha�re anA wlll melntaln a CeNliram N tonsent ta Sell Insure br WorMerS Campenmtlm,n�Pmritle0 Cy CONSTRUCTION � 7 d' 7 , � /Sectlma]ooNmelaGorCotlalaMeP��mdtlrewoncMwlikntMGemiPlvLswea PL.4NREVIEW SI. I a �� Iha+eanOwlllmalnminWoM1erSCanpensatlonlnwrenceaerequlreEby5ect1on3100o1@eLaGatoEe,br ELECTRIC � � ,r.�. � MaVerta�manmNtheworkMwhMMbpemiklsl�uetl Aq'WOM1aSCampe�Gmhwre�fsrilerdk �d" IHIryNumOaare PLUMBING d��s` � GAFIEN �r�r'r CovtFE,�r,n•nna �AksJ��YLCI�' I'UV� MECHlWICAL �. y7 � PoLIGYNUMBEA `�"�'(�(�y"L INSPECTION FEE —r �? (MISYCIIONNEFDNO�BE�MRE7EOIF7HEPWMlilSfdflONEHUN011�D0.1MSB10�IX11F4) ISSUANCE I ? I�M'tla�mihe0arlm�an¢alNexakbv� ANhRmJ�ksaeElsnmrotmiqM„f'D�manf'�mmrmesb SMIP beminB vfileR b Ihe NbMerB Canpei6etlon l� IMnla Mtl 0 re0 tlut R I shWIE bern'na w01a1 b ttwWa4erS ' � Can dSetllm9�aodihe COGe uueh+N�RwL^Ima ENERGVP/C � I.ZS• I3 , � �p�lm�� ENERGV PERMIT � WARNIN FaIWr b�are Wakers a 2pa lv un�avRul a�shall suG�.i en empbyer m uvnlrel RETENTION FEE l.�n ' i pereNas arq cWll fina up ro ane�untlretl tha tl R100000�,In aGEllbn m Me asl N Me mnpereatlm � EamaA�%s P�W4��In eecllm 3]oe af ine labor caEe,Interest entl ettumaY's ba PRE-ALT FEE y G016fRUCf10N 1B101NG Rf8lCY BSAF i I hereby elfirtn unGer penelN of perlury Mel lhere Is e tonstrucllon LenUInA/benry lor @e parformanca N tAa vmrk br c-xvFnmoN: -63 ; whlrhmb0�ulvmuml5ee7o9]GvL) — LENDER 5 NNAE i lFllDEASAUDFE55 yi I ceNry Nat I heve reaA NIe appllratlon antl shte Nat tha ebwe IMormatlan Is mrtecl I apree m camply witli ell clry anA TOTAL FEES z�'1 ,0�, ��rd„ s wuml'aGirenusa�stam�axsrela@NmEUIMInpm�swrnmenahereMaNrrlxereV�mathmWthlvmun7m COMMENTS � emer upan tlre ebore-m�o�OeRy br liepectlon pmposee ` I = J -� 9 � a PFAMI G '—' O '(,Ol �/ � i SIGNANNEOF MR7EE OA7E RECEIPTp�7�_ PAIDBY.,��L VALIDATION i WHRE—DqierMentCapy YELLOW—F�anceCapy PINK-0.vaessaCapy,GOLDENROD—FlleCapy GREEN—Appllcari9Capy CITY OF DIAMOND BAR � , INSPECTION RECORD ' • � � • - • o � • - SETBACK/LETTER TRACTANDLEDGER FQOTINGS FORMS SWITCH GFAR SLAB COMMERCIAL HOOD UG PLUMBING T-BAR • UG ELECTRICAL INTERCEPTER UFER GROUND HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE � HEHS REPORT RECEIVED SEWER CLEANOUT DEMDLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS EXTERIOR POOUSPA SHEAR WALLS INTERIOR ROUGH PLUMBING FFTAMINGNENiING �f 5 ROUGH EIECTRICAL RQUGH MECHAPIICAL ROUGH MECHANICAL ROUGH ELECIAICAL W� �CO - GASTEST R6UGH PLUMBING PRE G1INITE INSULATION WALL POOL PRE DECK BON�ING INSULATION CEILING P•TfiAP DRYWALL �� fENCE/GATE/ALARM LATH(PRE) FINAL POOL LATH EXTERIOR WALLS LATHINTERIOR WALLFOOTING/STEEL GAS TEST WALL STEEL 1 sr� �pxo� )UFT SCRATCH COAT WALL BOND BEAM ELECTRIC MEfER RELEASE WALL DRAIW SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO FRAMPIGPUWNING4PPROVAL FiNAL BUILDING HOUGH FIRE APPROVAL FlNAL MECHANIGAL FINAL FIHE DEPAIITMENT FINAL ELECTHICAL FINAL PLANNING F1NAL PLUMBING FINAL ENGINEERINGI PW T C of OCCUPANCY FINAL COMMUNRY SERVICES CERT.ai OCCUPIINL"t FINAL HEALiH�EPT FINAL INDUSTHIAL WpSTE COMMENTS STATE QF QAtJFC7RNIA �a INDOOR LIGFlTINC, i�r CEGNRC41.T1-01•E ReHeed 07ri4 CAtIFpRN1A ENERGY COMMISSION CERTIFICATE OP INSTALlATION NRCI-LTI-Ol•E Indoor�ght�ng (Page t of 2� "°"""'"" APR CONSULTING `^`°".�`^'"°°^� DIRMQND BAR °°'""""'"°`� °'°`°"�'°""13�0 VALLEY VI�W SUITE 2$� "� DIAMt3ND BAFC 2ipCo0e 91785 GENERA�INFL7RMATtON DATE�FBUILDIN�iPERMiT PERMi7N BUILDINC,lYPE Nonresidentlal ❑ H�glriUse Res(Gomman Area� ❑ HoteljMotel{Common Area} PHASE OF CONSTRUC�IC}N � New ConstnicUon ❑Addibon Atteratron ❑ UMandihoned SCOPE OF RESRONSI9IltTY Ertter the dote c�f approvat by enfprcement agency oj the Certrfirrrte af Camp7ronce ttrat pravrdes Date the specrfrcotrons for the energy e�crency measures jor ttie scape oj responsrbdrty for tfiis tnstoltot�on Cert�ficvte !n tbe toble below�derrt¢y oll opphcable construchon documentr thot spec�fy the reqwremenks far the scope of responsibdity reported by th�s InstallaUan Cert�f�cate(contmued) Date Apprwed By Document Title nr Descripbon Applicable Sheets or Pages,'fables,Schedules,etc the Enforcement Agency LE�a.�1�lr n..,i a'7rt..� r^ 7 M�t-S ,4r+t7 � , �^—, -r-�L.�.. 'L-� '�.Z T-t�.� Z c -r. �--'3 L.i��k-r,f.�c.. �'4.,�a £- � �-��*�rr.�...�, r-v.,-rt'.c-ea�. p�S tG.nJ �� CA Bu�ld�ng Energy Effiaency Standards-2p13 Nonresidennal Campliance luly 201A $TATE 4F i:ALiFOf?NIA �a INDOOR �IGHTING ',3'�� CEC.NRCFlTF41-E 07ttd CAUFORNiA ENERGV COMMISSION CERFlFICATE OF INSiALLATidN NRCI-LTI-01-E �ndoor Ughong (Page 2 of 2) "°'"'"'"" APR Ct}NSULTING �``�"'"e"`"'°"" QIAM(?ND BAR °"'""""""°`� "'�""^°°""1370 VALLEY VIEW, SU{TE 280 "" DIAMCIND BAR �'°�'° 91765 ',. OCIGUMENTATION All7'Hai'S DEtSAIiATfON STATEMENt !.. 1 �cert�fy that this Cerbficate of�nstalla4on docume�tahon is aaurate and cam�lete � 6ocumentallonAuthwName OowmemaM1�anAuthor5igneture Michael Helm �--' o�meM��A�h��`"�'„` Heimco Electnc, Inc. °ata�"`" 7t6120�5 naa,eu 17g85 Sk Park Circle, Ste. J ��"�"�s`�tln�tl��'tlfi`�'«�sN'°+a'��`� ATE-0156 cmrs��p Iroine, CA 92614 `� 949 872-2155 NFSPONSIBLE PEHSON'S OECIARATtON STATEMENf I cechfy the followmg under penalty of pequry,under the laws af the State of Calrfomua 1 The�nformatlon prou�ded on this CeR�fi�ate af InstallaHon�s We and carrect 2. 1 am elig�ble under D��swn 3 of the&umess and Profess�ons Code m the appbcaMe cEass�ficaaon to acc�t respons�bEhty for tfre system design,construchan,or installa6on of fesiures,materlals,[ompanents,or manufattured deWces for the xope af work idenbfted on this terbficate of tnstaliaton and attest to ttre dedarat]ons m th�s statement(respons�ble 6m�er�nstaller}, otherw�se 1 am an authorized representabve of the respansibie bu�tderllnstail� 3 The constructed or�nsia4led features,matenais,compa�e�rts ar manufactu�i dences(th�mstaHahon}i�n�fied on thrs Cerbflcate of�nstallaUon conforms ta aII appl�cable cod�and r�u4atfons,end the installa0on conforms to the requireme�tt g�ven on the plans and spectlicatians approved by the enforcemeM agency 4 �rev�eured a capv af the Ceroficate of compt�ance approved by the enforcemerrt agency that idenafies the speafic requiremenu for the scope af c�tstnupon or mstaiianon idenbfied an th�s CerhficaSe af I�xYallatron,and I have ensured that the requ�remenu thxi aRp$F to the rnns#rucbon or mstallanon have 6een met 5 i xn1l ensure that a campieted s�gned capy of th�s Gefificate of Instailat�on sfiail6e pasted,ar made avadable with the bu�lding perm�t�s}�ssued for the tnnkimg,and made avadahfe ta Me eMorcement agency far all app6cable inspec6ons I understand that e completed s�gned copy af#h�s Certificate of Installahon is reqwred to be mduded wrth the dacumenta0an the 6uJder prov�des to the 6mtdmg rnmer at occupancy xe�,�,a�au�w�t�+�a�,e �1Chael Helm n��e�na�n��s��,t--..,...— C�+p3nyHmna {�staqin83ubconCractorrnGsneMConb�actwar PosktonwtthCmnpanylTide) ��.r��7 Helmco Electnc, Inc. President �'�"�'179$5 Sk Park C�rcle Ste J `��"��` 933623 �fs�atw�P Irome CR 92614 ""M {949)872-2155 °�`�d'71612fl15 CA 8uFldmg Energy Efificre�cy Skendards-2013 Nonresidentlal Compl�ance July 201A STATE OF CAUFORNIA ENERGY MANAGEMENT CONTRClL SYSTEM OR LIGHTING CONTROL SYSTEM ' � CEGNRCI•I.TI-0&E Rawsetl07HA CAtIFpRNIAENERGYC�dbtiSStON CERTIFICATE OF INSTALlAS16N NRCI-i_TI-02-E Energy Management Cantrol System ar taghbng Control {Page 6 of 6} S stem "fO�°tl"'"1B APRCONSUITifdG E"b"'<iTt°�^�"'�+ DiAMQNb81lR �nxumeer v��^�� 137DVAl.L.EYVIEW,SUITE2B0 �r DIAMONDBAR na�9t?65 DOCUMENfATION AUTHOA'S DECU#RATiQiY STATEMENT 1 I certty that this CerttNcate of Insqltat�on documentation is aavrate and mmpiete bocumentadonAutharNa� MICh801H0kTf OaauneMabmAuthnrSlgnatur� �' oowme+nana,nmh«cam�*rp�ne Nekrx»E�eeG#c.Ine �e� 7t6fZD15 ��'s 17�fl5$�Cf�811C(iNt19�$28 .) CFA/HERTCertlB�admldebEBmi(mlffaP��e) AT�-01$6 c�rls+azpnw �mne,ca szs�n °''�'� {sne�szx-2+ss RESPONSIBI.E PER50M'S OECtARA710N STATEMEN'f i certify the foilowmg urxier penalty of peryury,under the laws nf the State of Cal�fom�a 1 rhe�nformation prowded on this Cerdfirate of tnstaltakion�s true and conect 2 I am el�gtbSe urtide�O�ws�on 3 of the 8us+ness and Professiona Code In the appUcabte classificanon to accept respons�6�6ty for the system des�gn,construcrion,or instailat�on of features,materfats,components,or manufactured dehces for the uope of work Idem�fled on th�s Cernfkate of InstalfaUon and attesk to tfie decfarations m this statement(respons�ble bwlderJmstaller), ahervnst 1 am an authonzed representatrve af the responsible budder/installer 3 The con#tru[ted or InStalled features,matenals,component5 or manufadured dences(the mstallat�on)idenrfied on thrs Certlflcate of Inst»Ilabon conforms ta all app6wble codes and reguiatlons,and the Installatlon confarms to tt�e r�u�re�nts g�ve�on the pians and specificafionx approved by the enfwcement agenq 4 t rewewed a eapy of the CerdHrate of Campl�ance approved by the enforcement agenq thai�dennfies the s�cfic reqwre�nts for the sc�of construction or�nstallatian ident�fied on this Certflwte of Instaliebon,end i have ensured thet the reqwrements tfiat applY to the construcfion ar Installatron heve been met 5 1 mi{ensure that a campleted signed capy of thfs CerUflcate pf InstalleUon shell be posted,or made avada6le vnth the buddmg permk(s�rssued far the buiiding,and made available to the enforcement agen�y for alt applacaMe Inspecnons i understand that a completed signed copy of Mis CertiRwte of Installadon Is required to be included w�th the documentat�un the bmider�ov�des to thebwfdingowneratoccu an nespansibie euiiderlins[�er xame MiCha01 Helfit flesPoas�b�e Builderl�nstallcr 5rgnature �' CmrPaM Nemc bratalMg Su6conMaaor M General Cmrcm�ta m PosNion V1lM CdnP�Y iT�S Bullder/Owmrl Fielmco Elednc.Ina P18S�t18� address 7 i986 Sky Paric Cucle,SGi J ��"� 933823 GryJStake(uP Irvine,CA 92614 �+a�{949)$?Z-2155 �ss^� 7t6f1615 CA Bu�Idmg Energy Effic�ency Standards-20i3 Nanresidennal Compllance July 2014 STAT£OF CAUFORNIA �IGHTING CflNTRQ�AGCEPTANCE DOCUMENT ' � CEGNRCA-0.Tt-0Y-A 9811A GALIFQRplIAENERGYCOA4di$$ION CERTIFICATE OF ACCEPTANCE NRCA-LTf-02•A laghtmg Conkrol Acceptance Document (Page 1 of 5) '""""'m° APR CONSULTING `�`°"°"�•�"a""' DIAMCIND BAR �,��, �. MoNttAAdroa. Ot5" ZIDC6d! 137p VALLEY VISTR SUITE 280 DIAMOND BAR 91765 Note For more thon 3 spaces ottarh addmonol seis of pages 2 EnPorcement Agency Use Checked by/Date thraugh S,as reqwred Automatic 5fiut-aff CoMrols. Automafic Time Switcfi Contro!and Ckcupant Sensor Intent: taghts are tumed oJf or set to o lawer tevet when not needed per Sec£+on 110 9(a)&1301{�) Guidance Th�s acceptance test farm must be fiI{ed out for ail newty-mstalied I�ght�ng corrtroi systeme of ihe follovnag types i Automattc T�me Sw�tch Controis II Occupancy 5ensars II! Farkaal-OFFoaupancysensors IV Parhal-ON occuparrcy sensars taniy�f used to cla�m a Power Ad�ustment Factor) V Occupancy Sensars sernng small zanes in{arge open plan offices{4�Iy d used ta cla�m a Power Ad�ustment Fac[ar} For automat�c dayl�ghtmg controls use acceptance test form NRCA-ITI-Cf3-A,for demand r�sponsive Itght�ng contrais,use acceptancetestform NRCA-LTI-04-A The tests an th�s cerhflce#e are reqwred by Seccion 140 6{a}2 and 130 4(aj of the Budding Energy Effiici�cy Standards 2013 The tests themseives are descnbed in Sectwns 14U 6{a}2 a�d m Reference Appendix NA]6 A. Construction Inspectfan Fdl out Section A ta cover spaces]through 3 that are func[ionally tested under 5ectian B Make as many copies of pages 2-5 as are required to test aU spaces m khe bwlding,and attach to page 1 �nstruments needed ta perform tests meiude,but are noi hmited to hand-held amperage meter,power meter,or hght meter 1 Automatic Tirne Switch Controls Construction I�pection—conflrm Eor aIl Iisted in SecNon B a A31 automaUc time switch contepis are programmed for(check allj ❑ Weekdays ❑ Weekend ❑ ; Haf�days b Document for ttre owner automak�c k�me svntch programmmg(check allj ❑ WeekdaYssettings p Weekendsett�ngs ❑ Hohdays settmgs ❑ Set-up settmgs p Preference pragram settmg ❑ Venfy the carrect fime and date is properly set m the time swdch ❑ Verifiy the battery�s mstalled and energized ❑ Overrrde time hmrt is no more than 2 hours Occupant Sensars and Autamabc Time Switch Controls have been certified to the Energy Commission in ❑ accordance wuh the appbrable prpv�sion m Section 210 9 of the Standards,and model numbers for all wch conhols are listed an the Cammission databese as Certfied Apphance and Control Dewces 2 Ouupancy Senwr Constructian inspectfon—canflrm for ell Ilsted M Section 8 oaupancy sensors are not Iocated within faur feet of any HVAG diffuser Ultrasanic accupancy sensors do not em�t audi6le saund S teet fram source CA 8uddmg Enetgy Effic�enty Standerda-20i3 NoneesEderrt�al Campl�ance lune 2614 STATE OF CALIFORNIA �� LIGH7ING CONTROL ACGEPTANCE dt?GUMENT CEC-NRCA�LTF02-A Ktevnetl 4B/14 CAUFORNIXt EMERC3Y GfiMM15SIIX�1 CER7IFICATE OF ACCEPTANCE NRCAd.Tl-02-A Lighting Cantml Acceptante Dcatument {Page 5 oP 5) Dro1�N�me n��R�� i.t�S4J�i��V Enr�rte�nt� d��iYIV�tJ CiJ'\R YermnNumber t't Peo}ktAddttu �qr iiPCatle 137fl VAL�EY VIEW SUITE 280 DIAMOND BAR 91765 60£UMEN7ATION AUTMOR'S 6ECtARATKNI STATEMENT 1 1 cartify that th�s Cerhficate of Atceptante documentabon�s aaurate and complete oaa,memat�mrnnchaxame �14ehael Nslm OOcumente[IonAuthorSBnaNre �_ o�'�'em��,�u'�c�,��,x� Helm EIBCtnC InC. 47e51�"a 7!6l2015 ��` 179$5 S P�rk Cit`cl+e Ste J �a«E�rA*.c��m�m�o�ina„u�m�� 4TE-0156 �"�� Irvine CA 92814 �'�'� 949 872-2155 FIEtD 7E£tiNlCfdN'S DE�IARATtQN STs1EMEM1FT i tertify the fdlamng under penalty at�ryury,unde'the laws of the State of Cahfomla , i The infomsat�on prowded on SMis Certlflcate of Atceptance is true and correct i 3 �am the persan who performed the arceptance venfltaUon repwted on this Cerdficate of Acceptance{Field iechniaan] i 3 The tonstrucUon or installatian�den4fled on this Certlflcate of Acceptance comphes wRh the app6ca61e aaephance requerements �ndicated m the piana and spedfkatwns epproved by the enforcement agency,and confortns to ttre applicakle acceptance reqwremeMs and procedures spec�ied i�Reference Nonres�deot�al Appendix NA7 ��': 4 I have cantirmed thaz the Certiflcate(sf of Installetion for the construstion or mstallatlon idennfied on thii Cert�ficate of atteptance has be�compiettd end xlgned ky the responsible budder/fnstaller and has heen pc�sted or ma�avaiW6te wrth the bu+ld�ng permrt(s) ��... issuedforthebwidmg fiNd Teshniaan Name V7eld TacM1nldan Sftnabet Samual Gent Fieia reehntnan campany Name Pcpmon xith COmpa�+y(rMlc} Heimco ElecU�c Inc. Joume man naa� 179$5 Sky PariC GirCle, Ste J a�rc�m�iaa,nx��,tu�ow�t TC-A$13$75 CIry15WtefLP Irvine CA 92614 �'�'� 949 $72-2155 Q"��71812015 RESPONSIBIE PERSON'S QEGLARA710N STATEMEI�iT I cerUfy the followmg under penaity of peryury,underthelaws of Ufe Stete of Catrfomia 1 I am the Feid Techroc�an,or ffie F�eld Technicran is aIX�ng on my behaif as my emptoyee or my a�nt and i ha�rewewed the informanon provlded on this Cert�flcate of Atcepta�e 2 1 am ebgible under�w�s�on 3 of tfie Business and Protessions Code�n the ai'�Ircabie etass�ficat,on to accept re:ponz�bi6ty fa the system devgn,tonsttvrnon or mstatlat�an af features,matenals,canporienis,ar manufattured der�cc�for the scope of wexk iden�Fled on th�s Certtficate of AtcepWnce ard attest m the declaraUons m thrs statement{respons�bie aacptance persun} 3 The informaban prowded an th�s Cert�Bcate af Acceptance substa�ates tl�ai the canstruct�on ar msWl3apan idenUfied on thrs CertiBcate of Actept2nce tamphes wRh the aaeptance reqwrem�rts��xl�cated rn the plans and speafiwdais approved by the enfflrcemeM agenty,anG tonforms ta thc aPP��uzb�e xcceirteme reqv�re�nts arui praedures specfiied m Refere�ce Nonres�denual Appendu�NA7 4 I have conflrmed that the Cerc�flwte(s)of Instafiaaon fa the contin.rct�on or ins#silattan identifled on this Cer4Piwte of Acceptance has been compieted and is posted or made avadabEe w�th the bu�kiEr�perm�t(s�issued fpr the bui�ing i 1 wdi ensure that a canpleted,sign�copy of th�s{erti8tate of Acceptaiue sha0 be posted,ar made available w�th the buAdmg permrt(s}issued for the buildmg,and made avadable to the enforceme�rt agency for aIl apphcable l�spectrons 1 understand that a slgned copy of this terc�flcate oi Aaeptance�s required ta be mduded with the documentabon the budder prov�des to the buliding owner at accupancy Respwa761eAcap[a�P¢nanMame �IC'1dP.� �@�I'Tl Nnponn�4lehacptanceRtrsnn5lgnatw� ReSpdWbien«epq�Ye�son Cmnpairy Mame Poytlon wtth Compairy(fidel Hetmco Eiectric Inc. President '� 17985 Sk Park G�rcie Ste. J a`�u�� 933623 °�'J5t82fro° Irvtne, CA 92614 `"°"° (949) 872-2155 °ate�grced 7J6/2015 U18u�Idmg Energy Efflc�ency StandaMs-2613 Nonres�deM�al Compllance lune 2014 STATE qF CALIFpRN1A AUTOMATIC DAYl.IGHTENC� CONTROL ACCEPTANCE DOGUMENT CEGNRChtTI-01A Rev�aedfl81�9 CAUPOftNIAEtCER6YC06AMISSION •� CERTIFICkTE OF ACCEPTANCE NRCA-�TI-03-A Autamabc Dayl�ghring Controi Atceptance Dotument {page 1 af 12} r`°�"`m' APRCt7N5ULTfNt'm ��'°"'°'°`�`'�9"n DIAMONDBAR "'m'�"`°�"�°� °1O�°""�'°" 13?4 VAI.I.EY VIEW,SUITE 284 °" DIAMf}ND BAR �`°'" 91765 Note SubmrYorreLemfrrnteofAcceptanceforeahsysYemYhoi Enforcert�ntAgc�nc.yUse dieckedbyJDate must demtrnskrcrke CamFttaace theck baxes tor atf pages of this NRtA-tTt-U&A carqsieted end induded In this wbmlaai � 2�-lTi-43-A Page Ca�strucbon!ns on Th�e a peck+ p ge requ�red Por ali wbmiitats ❑ 3&d-`¶•Q3•A P�� Cqni�n�ous d�mm�ng conkrol iunctional performence test-wait-meter or amµmeter measurement � �&-�TI-03-A Page �tepped SwKchmgj Stepped p�mmmg tunctbnal perfortnance test-watt-meter or amp-meter measurement ,�'h3RCA-�7'i-03-A Page Corrt�nuous dimming wntral functional performante test-hght meter power measurement,and deiauk loak-up 7&8 table of fraction of rated power versus fractwn of rated hght output � MftCA-tT1-03-A Page Stepped Sw�tcnm St ifl�ii gj epped Dimmmg funciional performance test-based on li�t uutp�t i.ConstrucNon Inspeckian NA-?.6.1.1 1 Drawi o#6a lit 2ane s must 6e shown on lans or attadred W this fortn.Seieet one or 6oth af the foltawmg. �hown an plans page#'s �� ❑ Oayht zones(s)drawn m on as-budt plans(attached)page Ws Check box below¢samplmg method�s used�n accordance wtUr NA7 6 f 2 tf checked,utiach a page wrth rrames af other mrrtrots m sample/only for buddrngs wrth�5 dayHght carrtro!systems,sample group gtazing sQme orrentohanJ Wan3 Page Check If Tested Control is Control System System Name Mumber Repr+esen#attve of Sample A fl A Ecable Cmstro{System B ❑ t � A B C System Infarmatia� ane Type Skyirt(Skyj,Pnma S�det�t PS},or SecOndary Srdel�t(55) ntrol Type Conrinuous 4immmg w�th more than 10l�ght levets(C�,Stepped D�mming(50), witth�ng{SW} ign Foatcandles {enter number or'Unknown"} fA BmWmg Energy Effinency Standards-2013 F3onresident�al Complience June 2p14 STA7E OF CALIFORNIA AUTOMATIC DAYLIGHTING CONTROL ACCEPTANCE DOCUMENT r"� CEGNRCA-LTI-0}q Rewetl Ofl�14 CALIFORNIA ENERGV COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-LTI-03-A Automat�c Daylight�ng Control Acceptance Document (Page 12 of 12) Prok�� APR CONSULTING EMortament�genp� DIAMOND BAR ""mrc"°mb" i '�°wiiidtl1eS 1370 VALLEY VIEW,SUITE 280 °"- DIAMOND BAR 3ipf°` 91765 DOCUMENTATION AUTHOR'S DECIARATION STATEMENT 1 I certify that thls Certficate of Acceptance documentahon is accurate and complete Docume�rcanonAuNaName MICHAELHELM �e��e �� Do[umen[abonAu[hwCompa�ryName HELMCOELECTRIC, INC ��eSlgned �/6/2015 nadras 17985SKYPARKCIRCLE,STE J «/HERS/ATrCertlflotlanldmtlflmtlon�MaOP��mble) A�-0'� C�ry/state/zp IRVINE,CA92614 �O� 949-872-2155 FIELD TECMNICIAN'S DECIARATION STATEMENT I certfy the following under penalty of per�ury,under the laws of the State of Califomia 1 The informaeon provided on th�s Certficate of Acceptance is true and correct 2 I am the person who performed the acceptance verifiweon reported on this Certfiwte of Acceptance(Field Techniaan) 3 The construchon or�nstallaeon idenefied on this Certfiwte of AccepW nce complies wrth the appliwble accepWnce reqwrements indicated in the plans and speaflweons approved by the enforcement agency,and confortns to the appliwble acceptance requirements and procedures specified in Reference Nonresident�al Appendix NA7 4 I have confirmed that the Certficate�s)of Installaeon for the construcnon or installanon Idenefied on th�s Certficate of Acceptance has been completed and signed by the responsible bwlder�nstaller and has been posted or made avadable with the building pertmt(s) issued for the bwlding FIeldTerhnioanName SAMUALGENTRY FlNdTxhnitlanSgnatwe vieldTerhnioan[omparryName HELMCO ELECTRIC, INC P�onw°h�Om�'mR�uO� JOUNEYMAN Atltlress ��5 SKY PARK CIRCLE,STE J A7T�eNBmtlon ItlentlNotlon(if appllraMe) TGA813875 aN/State2P IRVINE,CA92614 �o�` 949-872-2155 oxe9�ed 7/6/2015 RESPONSIBLE PERSON'S DECIAIiATION SfATEMENT I certfy the following under penalty of per�ury,under the laws of the State of Calrfomia 1 I am the Fleld Technlaan,or the Field 7echnivan is acnng on my behalf as my employee or my agent and I have re�ewed the informaeon prowded on this Certfiwte of AccepW nce 2 I am eligible under Dlvision 3 of the Business and Professions Code in the applicable classifiweon to accept responsibility for the rystem des�gn,construction or installaaon oi features,materials,components,or manufactured dewces for the swpe of work idenefied on this Certficate of Acceptance and attest to the declaraeons in this statement(respons�ble aaeptance person) 3 The informaeon prowded on this Certfiwte of Acceptance subs[annates that the construction or Installanon idennfied on this Certfiwte of AccepWnce complies wrth the accepWnce requirements indicated in the plans and specifiweons approved by the enforcement agency,and conforms to the apphwble acceptance reqwrements and procedures specrfied m Reference Nonresidennal Appendix NA7 4 I have confirmed that the Certficate�s)of Ins[allaeon for the construction or ins[allaeon Idenefied on this Certficate of Acceptance has been completed and is posted or made available w�th the budding permit(s)issued for the buildmg 5 I will ensure that a completed,signed copy of this Certficate of AccepWnce shall be posted,or made available with the building permit(s)issued for the budding,and made available to the enforcement agency for all appiicable mspections I undersund that a signed copy of this Certficate of Acceptance is reqwred to be mcluded with the documentanon the builder prowdes to the building owner at occupancy ResponslbleAccep[ancePenonName MICHAELHELM RgOonslbleAcreptancePerson5ignature� Respons�bleAcceO��PersonComparryName HELMCO ELECTRIC,INC POfbonw�nComparry(nt�e1 PRESIDENT Address G51B uoense 17985 SKY PARK CIRCLE,STE J 933623 ory/staie/ap IRVINE,CA 92614 �� 949-872-2155 oxe9�ed ��Z015 CA Budding Energy Effiuency Standards-2013 Nonresidennal Compliance lune 2014