HomeMy WebLinkAboutPR15-1581u�VIOND litui CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 4, (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 BUILDING PERMIT APPLICATION JOB SITE ADDRESS APN LOT TRACT OWNER 7— 1 ADDRESS Zy G S Cm t,..m cA&ts I& AWL CITY ZIP TEL. APPLICANT et> t 6Arl trS TEL. CONTRACTOR 1')0t -,XC 14 C. ADDRESS C G. CITY ZIP"MIS071 TEL. -7I!f `2TY-00099 ARCH/ENG/DESIGNER ADDRESS CITY ZIP TEL. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) indicated below by the checkmark(s), I have placed next to the applicable item(s) [Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair, any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9) Commencing with Section 7000 of Division 3 of the Business and Professions Code] or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). U I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale.). U I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law.). U I am exempt from licensure under the Contractor's State License law for the following reason(s): By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at the following Web site: http/www.loginfo.ca.gov/calaw.html. DATE: SIGN: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cade, and my license is in full force and effect. LICENSE CLA : G 10 UC. NO.: DATE: I CONTRACTOR: b N WORKER'S COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I have and will maintain a Certificate of Consent to Self -Insure for Worker's Compensation, as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Worker's Compensation Insurance Carrier and Policy Number are: CARRIER S POLICY NUMBER 1 I 45SA I — y (THIS SECTION NEED NOT BE COMPLETED IFTHE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS). I certify that in the performance of the work for which this permit is issued, hall not employ any person in any manner so as to become subject to the Worker's Compensation Laws of Califo�la. And ag a that if should became subject to the Worker's Compensa' n p inions of Section 3700 of thr�gGe de, {all forthwi complyith those provisions. DATE: I APPLICANT: C WARNING: Failure to secure Worker's on verage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cast of the compensation, damages as provided for in section 3708 of the labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that them is a Construction Lending Agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the -mentioned property for inspection purposes. PERMITTEE N INT) _ r SI URE RJITTEk DA IJ PRESS FIRMLY APPLICATION DATE: tJ� fOl IS P/C# + ISSUE DATE: ���S PERMIT# PP�►S '� X58 TYPE CONST. OCC GROUP: ZONING SETBACKS FRONT RW ❑ REAR ❑ SIDE/SIDE STREET RW [:L— SIDE SIDE ❑ PROPOSED USE X � IL_wM\tye�L� L� GAi" tV eL. If DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport rn w Patio/Deck LL Pool/Spa ZRe -Roof O � Commercial m Valuation: 00 Adj. Area: QUANTITY DESCRIPTION FEE t a C_\ .) -Cys LJs U J ILA cv I rz U L) � CONSTRUCTION: , �� _aq PLAN REVIEW: 1 . aAi ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: SMTP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: ao PRE -ALT FEE: BSAF: �0 TOTAL FEES Sq C COMMENTS: RECEIPT # y z y PAID BY: UISO 2/ VALIDATION: WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy, GOLDENROD — File Copy, GREEN — Applicant's Copy SEWER LATERAL MAIN WATER LINE SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING INSULATION WALL INSULATION CEILING DRYWALL LATH (PRE)_ LATH EXTERIOR LATH INTERIOR GAS TEST_ SCRATCH COAT ELECTRIC METER RELEASE GAS METER RELEASE SPECIAL INSPECTION NUUU MAKY I of�OGCUPANCYE �,�, COMMENTS: CITY OF DIAMOND BAR INSPECTION RECORD a TRACT AND LEDGER � SWITCH GEAR COMMERCIAL HOOD ,. T—BAR INTERCEPTER HOT MOP/SHOWERPAN _ SEPTIC/CESSPOOL �— HERS REPORT RECEIVED DEMOLITION ROOF DRAINS ROUGH CONDUIT +POOL/SPA° RQUGH'PLUMBING _r ROUGH- ELECTRICAL m- ROUGHNECHANICAL `._�r_�. � �, � , � � GAS TEST � fit'.. "� ✓a 9..X n C!� ..«e: dv PRE GUNITE - �,. ,,. ...,. .^x >< a==, a .: ,. POOL PRE DECK BONDING q, P TRAP FENCE 7 GATE/ALARM --- — -- FINAL FOOL ,- WALLS: WALL FOOTING/STEEL WALL STEEL 1ST( ) 2N°( ) LIFT _ WALL BOND BEAM WALL DRAIN/ SEAL WALL FINAL R0: FRAMING PLANNINGAPPROVAI. ROUGH FIRE APPROVAL, FINAL FIRE DEPARTMENT FINAL PLANNING . ., V— ...ti FINAL ENGINEERING/ PW, - CITY OF DIAMOND BAR Planning Division Plan Check Approval Case/file num,m' er. _ -Lo [� • ?�14 Date: �S Approved. by: With Condi'Ions as Listed: 1. This ap^rov 'is for:_. 2. No other approval is impiiec by this one. 3. This approval is valid for.-- —year(s). 4. Shall comply with Planning, co; fling, Engineering, and Bldg. & Safety requirements. The construction documents submitted for plan check and/or subsequent development shall be in substantial compliance with the architectural nlanc ?pproved by the (Planning Commission/Pl ,r�ning Division r ministrative Hearing Officer/City Councl n rl e with the Planning Division, as modified pursuant to the conditions noted, and thereafter maintained in conformance with such approval. IS- 15l&\ rc. HALL NOT BE dy VIOLATION THIS CITY. HEJOd FQRALL RE(dUiJ t �v try :_�6TIAN» SignResource 800.423.4283 Fax 323.560,7743 '- �� ' � LN ASE 206 S DIAMOND ;A' BLVD DIAMOND ;A' A E C F O I. P Website: wwwsignresource.com 4 SCOPE ' WORK 36" TRI STRIPE CHANNEL LETTER SIGN 3 ® 36" TRI STRIPE CHANNEL LETTER SIGN 4 36" TRI STRIPE CHANNEL LETTER SIGN 5 36" TRI STRIPE CHANNEL LETTER SIGN 6 CITY OF DIAMOND BAR Planning Division Plan Check Approval Case/file num,m' er. _ -Lo [� • ?�14 Date: �S Approved. by: With Condi'Ions as Listed: 1. This ap^rov 'is for:_. 2. No other approval is impiiec by this one. 3. This approval is valid for.-- —year(s). 4. Shall comply with Planning, co; fling, Engineering, and Bldg. & Safety requirements. The construction documents submitted for plan check and/or subsequent development shall be in substantial compliance with the architectural nlanc ?pproved by the (Planning Commission/Pl ,r�ning Division r ministrative Hearing Officer/City Councl n rl e with the Planning Division, as modified pursuant to the conditions noted, and thereafter maintained in conformance with such approval. IS- 15l&\ rc. HALL NOT BE dy VIOLATION THIS CITY. HEJOd FQRALL RE(dUiJ t �v try :_�6TIAN» SignResource 800.423.4283 Fax 323.560,7743 '- �� ' � LN ASE 206 S DIAMOND ;A' BLVD DIAMOND ;A' A E C F O I. P Website: wwwsignresource.com 4 EXISTING 0ITy (; 11, 0 1, p SignResource : PROPOSED - STONE WALL FACADE IS 15.75' WIDE 36" TRI STRIPE CHANNEL LETTER SIGN - 14'-6" CHANNEL LETTERS 3'-11 5/16" 2'-4 1/8" LOGO r 3'-11 5/16" 5 3/8 H w 8 7/81 ELEVEIIM_ W-1 Z s� U S/F INTERNALLY ILLUMINATED REMOTE CHANNEL LETTER STYLE TRI -STRIPE SIGNS 3/16" THICK WHITE ACRYLIC FACES W/ TRANSLUCENT VINYL GRAPHICS APPLIED FIRST SURFACE. 4" DEEP ALUMINUM RETURNS PRE -PAINTED WHITE. 1" WHITE (JEWELITE) TRIM CAP. LETTERS TO BE INTERNALLY ILLUMINATED W/ WHITE LEDS. ATTACHMENT METHOD TO BE DETERMINED BY THE INSTALLER. FRONT VIEW SCALE 3/8" = V 111 pow, 800.423.4283 • Fax 323.560.7143 - ' ' go Website: wvrnsignresource.com PART # SE30ILRT PQG�E# 3of8 IT 1t Zv�� iid^ � �• "taS �i 5y F "� �� ti - j � ( 3 '. t f. k� � 1 1 ,,FLS .. .,�'. t • � a � s j4i- ��- '� � ,r- a � —�`•_. ++yl ■ q-�-•--•--.•,.�„_r, fa 1�; � y ��'+r �, fay \ � !�r � ' � - '" � "��_ ; - -. rm ELEVATION SE 206 S DIAMOND BAR BLVD DIAMOND BAR CA—E 36" TRI STRIPE CHANNEL LETTER SIGN 17315/16" 47 5/16" � �- 261/4" � � 47 5/16" v. 2913/16" AELEYEII 36 .p 79 3/8" FRONT VIEW SCALE 3/8" = V PROPOSED EXISTING SignResource 500.423.4283 •Fax 323.560.7143---�-8,01 — SE 0•DAO/ : •D DAOD : •AWebsite: www.signresource.com� 'A I) P \' ( IY G i 0 I. P . �r.,,. ;it '�1#.Rt�-�-.dv.,."sL�bC'�_c"S: ted; � P`.�_"�T"�'^mr—"'-=•� 4u '� ��� ' � •". .�,.. a�-��F ;'�-L-�"s'�.-"I?�a-i• ter. v ' � ' d ar �r .f t. er }:.;t {vfi �d-�',r+• �{ �� 'x-�. n ,..^��f Lr,�"�.r 40. 15;` .,. r, .f'� • C. z. .. NPS t#_ ... a tf -. !]Lq9!JIJ!ffr!Ii\ill 1►\.1Nm■:2013 � G ELEVATION SE 206 S DIAMOND BAR BLVD DIAMOND BAR CA -E 12V DRIV 120V DEDICATED CIRCUIT TO 20AMP DEDICATED BREAKER F Donco & Sons, Inc. Signs • Lighting • Electrical 4582 E. Eisenhower Cir., Anaheim, CA 92807 Ph: (714) 779-0099 Fx: (714) 779-0198 CA St. Lic. #435616 C10 -C45 -C61 CUSTOMER: IM. RETURNS S'Resource ornr:.:� rtT) c110UrP SIGN RESOURCE 6135 DISTRICT BLVD. VHITE BACKS MAYWOOD, CA 90270 ATTN: CHRIS CRAWFORD 1-800-423-4283 SIGN PLAN PROJECTADDRESS: 7 -ELEVEN #39755 206 S. DIAMOND BAR BLVD. DIAMOND BAR, CA 91765 ITE CONDUIT DATE: 5-19-15 REVISION DATE WHITE LEDS 1 2 3 4 SCALE: NTS I SHEET NUMBER ITE TRIM CAP 1 OF 1 WEEP HOLES i DRAWN: A.S. ALL RIGHTS RESERVED CITY OF DIAMOND BAR THESE P NS AN. DETA S All designs & prints are the NG BUILDING WALL SPP exclusive property of BY "Donco & Sons, Inc." And — - - ®- -- may not be copied, distributed, modified, reused, reposited, reproduced or otherwise THETRUEDTCAPPROVAL G �'�- ?! �3' ; KHt1Ll id8T B6 used without express CONSTRUEDEG S A PEP :ill' 1 L-A ,NY VIOLATION 9F written permission. ANY COLE 0P�:� I is .h z OF THIS CITY. Any un -authorized use or "EbE P'=A4JS'0' = 3� Y�� THE 408 FN,LREQUESTEDin6etiij--y ®R duplication will result in a 20% charge per occurrence per the value of the display. Standard Wall Sign Attachment: SIGN LETTERS Sign Area= A.1 Wind Load: 85 MPH Exp C ( 3 sec Gust) Max. ht = 20 ft above grade 10 sq. ft. DL = 5 PSF = 50 lbs ♦ Approx. 50% void V= 85 mph KZt = 1.00 Kz = 0.9 (Expo C Table 6-3, ASCE 7-05) KZt = 1.00 Kd = 0.85 1 = 1.00 G = 0.85 (Section 6.5.8.1 ASCE) Cf = 1.8 Fig 6-20, ASCE Method 2: h=20, s=5, B =5, Therefore s/h = .3, B/s =1 Wind Load: 0.00256 (Kj(KZ,)(Kd)(V12) (1) (G) (Cf) (Af) 21.64864 Say 21 psf Use 21 psf as wind design load. A.2 Wind Load / sign = 21x10 =210 lbs —► Dead Load/ sign = 50 lbs Resultant =216 lbs A.3 Connection of Sign Letters to Wood Studs: Try 1/4" Diam. Lag Bolt w/ 3" lag or Embedment: Withdrawal resistance = 100 lbs per inch = 300 lbs > 216 lbs Use minimum 4 screws . No special inspection required. Reference: Page VIII -36 Timber Fasteners, Western Wood Use Book. A.4 Connection of sign letters to Masonry Wall: Use 1/4" Kwik Bolt II Expansion Anchors (Hilti or Equal) Minimum Embedment = 2 inches. Use minimum 3 bolts per sign letter. Tension / withdrawal per bolt = 325 lbs. Reference Hilti Design Book No Special Inspection required. A.5 Connection op Sign letter to Concrete (Hollow or Non Hallow) wall: Same as A.4 above. A.6 Connection of Sign letters to Metal / Steel or ACM wall: Use Kwik # 12 Self Drilling Screws. Use minimum 4 screws per sign letter. A.7 Connection of Sign letters to Stud Wall with Plywood Sheathing: Use 1/4" diam. Toggled Bolts: Shear per bolt = 85 lbs. # of bolts needed = 216/85 =2.54 Use minimum 4 bolts per sign letter. Design Criteria Kumar Engineering 6871 East Kentucky Ave Anaheim, CA 92807 PH/Fax (714)281-7286 Each Sign Letter is about 10 sq ft (with 50% Void) Letters weigh 50 lbs maximum. Use minimum 4 bolts or 4 self drilling screws per letter. Client: Donco & Sons Inc. Job No. Date QUO WA -002 16/17/2015 W d 4 FESS OD No. C27429 EXP. 6-30- I Or T CIVI SOF CX HEIGH- VARY 4 BOLTS PER LETTER SINGLE FACE SIGN CABINET BY OTHERS HEI( VAI n SINGLE FACE WALL SIGN ELEVATION SHEET METAL OR ACME FOR WOOD STUD WALL 1/4" DIAM. LAG BOLT BY 3" LONG HEIGHT (PRE DRILL HOLES VARY 3/8" DIAM. PER LAGS) WOOD STUD WALL SINGLE FAC SIGN CABINI BY OTHERS CONC. WALL SINGLE FACE - SIGN CABINET BY OTHERS SINGLE FACE SIGN CABINET BY OTHERS EXISTING STEEL FASCIA FRAME 4-#12X1'/2"L. TEK SCREWS SHEET METAL FASCIA ACM FOR CONC. WALL: 1/4" DIAM. HILT[ KWIK BOLT II EXPANSION ANCHORS 2" MIN. EMB. 2" SINGLE FACE SIGN CABINET BY OTHERS SIGN SECTION WALL SIGN ATTACHMENT DETAILS I - HEIGHT VARY GENERALNOTES 1. CONTRACTOR SHALL VERIFY ALL DIMENSIONS AND CONDITIONS. 2. STRUCTURAL PIPE SHALL CONFORM TO ASTM A501, ASTM A53 GRADE "B" TYPE E OR S FY = 35 KSI. MIN. 3. STRUCTUAL TUBE SHALL CONFORM TO ASTM A500, GRADE "B" FY = 46KSI. 4. STRUCTUAL STEEL SHALL CONFORM TO ASTM A36. 5. ALL BOLTS SHALL CONFORM TO ASTM A307 W/WASHER U.N.O. 6. FABRICATION, ERECTION AND PAINTING OF STRUCTURAL STEEL SHALL CONFORM TO ICC 7. ALL STEEL LESS THAN'/." THICK SHALL BE GALVANIZED OR USE DOUBLE COAT OF PRIMER. 8. ALL HOLLOW STEEL SECTIONS MUST BE CAPPEDAND WELDEDALL AROUND TO PREVENT WATER FROM ENTERING THE SECTION. 9. FLAMMABILITY OF ALL MATERIALS IN SIGN SHALL COMPLY WITH ICC 10. IDENTIFYING NUMBER REQUIRED ON SIGN AND WEIGHT OF SIGN CLEARLY LABELED. 11. ALL HOLES DRILLED OR PUNCHED. 12. ALL WORKS SHALL CONFORM TO CURRENT ICC 13. SIGNS TO BE 6 FT HORIZ. R 12 FT. VERT. FROM HIGH VOLTAGE WIRES. 14. SIGNS TO BE U.L. LABELED AND COMPLY WITH ART. 600, NFC. 15. SIGNS TO BE ON SPEARATE CIRCUIT WITH UNDERGROUND FEEDER. 16. PROVIDE PEDESTRIAN PROTECTION DURING SIGN ERECTION PER ICC 17. STRUCTURAL ALUM., 6061-T6, Fb=19000.PS1. 18. RED HEAD TRU BOLT WEDGEANCHORS PER ICBO #ER -1372, INSTALL PER MANUF. SPECIFICATION. 19. HILTI HY 150 EPDXY ADHESIVE PER ICBG 5193 INSTALL PER MANUF. SPEC. 20, DESIGN WIND LOAD 85 MPH EXP. "C" (3 SECOND GUSTS) 1/4" DIAM. TOGGLE BOLTS PLYWOOD SHEATHING STUD WALL W/ PLYWOOD SHEATHING HEIGHT VARY j I I I I L — 0 q�x Q oo� CMU WALL FOR CMU WALL: 1/4" DIAM. HILTI KWIK BOLT II EXPANSION ANCHORS 2" MIN. EMB. CITY OF DIAMOND BAR THESE PL iNS AND DETAI,.✓a' �Pih,,.. 211 DESIGN CRITE (IAO 7 2015 EACH SIGN LEITER/'IS ABOUT,10�SQ..�,FTRE �. r•ryplCroiiFrl Tr ^c � � SIGN LETTERV,,E�I,GH,TS;50LBS �MAXIMiJM. USE MINIMUM FOUR- BOLT$LPER, LETTER. ��RALL R1=Uucs�c:; ;;vP€GTlONS 2 0 W uj co Q � co V 0) N ZVq uj � W= >< !IX co co coQa ry I-- W W= 00 Q Q QZ 7Q Fri U) v J O N z CD m Q O 3: d c o 0 oLo N UN a W cnO� otj Z 00 W Z N cn� vW� C W= Oooa Oma Uzw_ J DATE: 1-03-08 REVISION SCALE: NTS SHEET NUMBER 1 OF 1 Q�pFESS/QN _ Quo Op KIM �Fy ( No. C27429 \d Exp. 6-30. WV � J I H It: Ur UALit-VKNIH SIGN LIGHTING Fal. CEC-NNCC-LTS-01-E(Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 4 of 5) Project Name: Date Prepared: 3. Specific Lighting Source Method of Compliance Certificate of Compliance and Field Inspection Energy Checklist Complete this part if there are signs using the Specific lighting source method of compliance. (Complete part 2 of this Certificate of Compliance if there are signs using the maximum allowed lighting power method of compliance) A B C D E OPTIONAL Specific light source used for Symbol ENERGY VERIFIED compliance Field Inspector or Description label Shall include only lighting Check that Sign Code (see instructions technologies listed below "Complies below) List all that apply G 1, 1 •5, ❑ ❑ A Symbol or code used on the plans (when plans are required) and other documents. B A narrative description of the sign, or location of sign on the building; and the location of sign on construction documents C OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory -installed ENERGY VERIFIED label, confirming that this sign complies with the Section 140.8 of the California 2013 Title 24, Part 6 Standards, using the Specific Lighting Source Method of Compliance. The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by Underwriters Laboratories (UL) or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards Institute in accordance with ISO/IEC 17011. Surveillance by the Accredited Certification Body shall be an ongoing annual inspection program carried out by a Type A Inspection body in accordance with ISO/IEC 17020. For signs with such an ENERGY VERIFIED label, column 'D' is not required to be filled out. Note: Using an ENERGY VERIFIED label is an optional method to validate compliance. An ENERGY VERIFIED label is not needed for compliance. Specific Light Source Compliance Method. The sign(s) identified above use only the following lighting technologies: List all applicable numbers (1 through 9) that apply in column D above for each row. 1 High pressure sodium lamps Metal halide lamps that are pulse start or ceramic served by a ballast that has a minimum efficiency of 88 percent or 2 greater. Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage when tested according to ANSI C82.6-2005. Metal halide lamps that are pulse start that are 320 watts or smaller, are not 250 watt or 175 watt lamps, and are served by 3 a ballast that has a minimum efficiency of 80 percent. Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage when tested according to ANSI C82.6-2005. Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 75 percent D 4 when the transformer or power supply rated output current is less than 50 mA. The ratio of the output wattage to the input wattage is at 100 percent tubing load. Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 68 percent 5 when the transformer or power supply rated output current is 50 mA or greater. The ratio of the output wattage to the input wattage is at 100 percent tubing load. 6 Fluorescent lighting systems meeting one of the following requirements: A. Use only lamps with a minimum color rendering index (CRI) of 80; or B. Use only electronic ballasts with a fundamental output frequency not less than 20 kHz. 7 Light emitting diodes (LEDs) with a power supply having an efficiency of 80 percent or greater; Single voltage external power supplies that are designed to convert 120 volt AC input into lower voltage DC or AC output, and have a 8 nameplate output power less than or equal to 250 watts, shall comply with the applicable requirements of the Appliance Efficiency Regulations (Title 20). 9 1 Compact fluorescent lamps that do not contain a medium screw base sockets (E24/E26). E This page doubles as a field inspection checklist. Field Inspector Notes: CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 J IH I t Ur' WALIt-UMNIH SIGN LIGHTING CEC-NIeCC-LTS-01-E(Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 5 of 5) Project Name: Date Prepared: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Nam . Documentation Au Ign ure: 1`1% C V Company: , Signature D Address: CEA/ HERS Certification Identification (if applicable): e L City/St to/Zip: Phone: �p RESPONSIBLE PERSON'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 Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand thatq completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Nam Responsible Desig S' re: l 4a 1 aiAfi� Com any : Date Signed: Address: `s License: City/State/Zip: Phone: L/S— 9 280`1 — S — 39 CA Building Energy Efficiency Standards - 2013. Nonresidential Compliance June 2014