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ROIifH M�CF�SI�L ;h[t�GH MECHAt�C�L R�U�N EI.E�1'RI�AL V�� }C( 3 '�AS�ST i�I�I��;H pLUMBfNG P�i��SIJNlTE it�SIIlATION WALL P��L PFfE IlEC�{B0�l�lING f�ISIJLA7I0N C�1�.IP1G �-�W�� a,/�VY{u,i� �{Y1��j l,;!'S��{�11�1 i iATH iP�E) F[hl�,,PQ(�I. L1�7H EX"fEFilDft < �ltAl1,5 �'�� LA�H[NTE��OR � �I��.LFClClT1N�15TEEt �TE,�a� � I �V�(.L ST�I]� f^�""( j LSFt ' S�RAT�I Ci�A7 �WAE.L BON€���1[ E�.ECTAIC M�T'�R F��L�ASE ;1�IA�L DRAINI� �METER FiEL�� I�AI.L FIN�,,, SP�GIRI.INSPE�ItON Rf��f�iPL�t��iAPl��I., F[t+l�►�Hi31L[11NG AtTtI�H�iRE APP�QFSA[. F[�fAt.1�I�G�IAf�ICAL �IhtAL FIRE DEF�AF�TM�N'C FICdA�,.�i.ECT�3i�. Ft�IAL pLANNi� _ �IP[Ai.PLUAqHI�i� ;F�1+�.ENG{N�FCi�d�!PW T�� otQC[�FAtd�t ': C-tN��Cl]h7M11f�ITY SE�{i��,a �EE�f.tIf{I�Plit��lf ' �t�At.N�lL1'H D�PT �I�lii4.IN�lI�S'1�iEAL WAST� ' �{�Ivll11[E�IT� � ...; ,. • ., . , � sx��r���=cas���r�au� .,�i,.!.i"'.aN LCCaHT��Ca CEC-�lRCGLtS�{il R�Yls�tt C�54 CAUFQRNIA EMERGY COhI�MIS51pN C�RT3�ICATE C)f C�IMPi.IA�tCE N�iCC-l"i'��11-E �i�n Ei�htrng �Pa�e 1 pf 5} Nralvtt Narnr ` ("'4,. EHtc Prrgered � /-. � � � �rqJpCi.ACId��SS ` � , . t.�catnon vf 5�gn �u#dnar Signx t�tndnnr S�gns ' phas�of Sign ConstrucUan C7 New S�g�s 0 Sign�klt�ratrons T e nf I� htin Control �New L�ght�ng Controts 0 R�pl�ced Li ht� Contrats ❑Not InstatJ�ng�.� t�n Cantrols Thrs Certificaip of Campl�ance m[tude5 t7�e fpl�awmg cornpvnerrCs{�heck all that aFF�Y� l�Iwlandataw�q Measures(�ghfing Contra�sJ O Max+enum Ailowed llghdng Power �15pec�ftc Ught�ng Sources 1 Mand�tory S�gn L�ght�ng Cantrois Nz7T�5 1 77re sarne r�espansrbte pers�an moy�r�stot!br�t�t khe s�gn lrghting pawer and the slgn I►ghtrng ccrntrvls, ot�a d�fferent respons��►!e pe,�c�n rnoy r�sta}t the srgr�lrghtrr�g cantrais thnn the respor+s+ble�ersan zr�sta(ling the srgn lrqhk,ng power 2 �"he �tAurtdfliory tsrter�sures �srgr� tjghtrng carrtrols) �re requrred'fnr com�trc�nce wrth the srgn lrghtrng Sknndards If the person r�spans�6t��ar rns£oldln�the srgr�leghttrtg ppwi�r ts nqt�lsp�'espt�s+bie Jor the srgn kghttng controls, then the awr+er af the srgn, t�rt�ra�1�orrtroctar,ar orch�cect sttoll be respt�r�st6le ta haue the slgrr trghtrrtg contrals►nstotled 3 tf mvr� tt�an nne �rsQr� has r�sprarrsrtarlrty far c�mptrance, eact� res�nnRsrbte persor� shott�rrepvr� or�d srgr� o C�r!'�J�cc�te of �trmp�rtrnc�Qnd r�n lns�r�llQ��or�Certr/tcote appl�ca6ie ta t��porCror��/ctsnstn�ctrort for whrch they ore ri�spons�bre, �lt�rn+�t�vely. the�srsorr wrth chr�f r�spans}brtrt3t,�or er�rrsi�uc�tr�n shcr!!�re�p+�re t�r��t srg�the Cett�f�cute af C�vmplronce t:'►i�clar�t��rn 5totemer�t #'nr the entrre cr�r�structrvrt 1a Staternents af Resgsonstb�l�ty.�ny pe��son srgn�ng th�Ceria�cate of C�mp��ance Declar�t�on�tt�terr�ent on�hEs NFtC�-LTS-01-E shall complete Part la Check Y�s 4r No for afl c�f t'�e fcsllc7ur�ng st�T�m�nts � G have responsibilitv fcar msta���ng tE�e skgn i�,�hi�ng tarttrals .... Yes,comptete part5 la and 1b pf thrs farrrr �'C t�p,tart���ete pa�t la of t��s fc�cr�rs � There are no ex�s�ing,��gn 4ight�ng cc�ntrc�ls and I wrl�t�e�nstaklrng comp[Kant sEgn IEght�ng�onirt�I� Yes C] NO � �'here are na exist�n�sign l�ghhng�qntrals and sameane else w�l�be responsible to mstall tttmplrant srgr�(c��t�r��tc��tra[s ❑Yes !do , There are exist�ng s�gn l�ght�ng controls that do not com�ly w�th the applicable prqvi5ion pf§11f19�nc€§13�3 and I wtlC�e 4 '' inst211ing compli�rrt sign light�ng controNs �Yes Nq There are exist�ng sign iight�ng contrcals th�t do not camply with the applicable pravi5ian of�11Q 9 and�1�0 3 and somecsne � '' e3se w�li be re5�ans�bFe to install ecampl�ant sNgn(ight�ng cantrols Q Yes No �� � �� ��� � � � � ��� rn �� ��� �'� �� ��� � � �e� � �� � � �� "f� s�� � �tt� �� e�,�� �A �� ��� �rn �.n r,� s� � �' �� °�,��a � * '��� r cn �,., C7 i,7 ��„ ��D � � V�ii Q �n z r {�j! � ' QL f7�Z � � �� � � � Q m � t' i CA BuGiding Energy EfiF1��nGy St�nd�rd5•2�013 Nonres�dent��l Compl�ance June 2D1� 1 � ' STATE IIF CALiFDRNiA , ���� �`������ �E�-I+IitCC-LTS-Lif-E(Re�is�il p6�9a ----- �AL[r���#tA EMERi'sY Ct3A4ht1SSIQN CEf�TiFIC�tTE C�F CL3MPLIANCE �3RCC-LTS-[?1.-'E '. ..... 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