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Certificate of Compliance (Sign Lighting)(Page lof 4)SLTG-le <br />Project Name:Date: <br />CREVIER BMW 3-11-2013 <br />Project Address: <br />1500 AUTO MALL DRIVE SANTA ANA CA 92705 <br />Location of Sign 931 Outdoor Signs ¤Indoor Signs <br />Phase of Sign Construction O New Signs ¤Sign Alterations <br />Type of Lighting Control ¤New Lighting Controls ¤Replaced Lighting Controls ¤Not Installing Lighting Controls <br />This Certificate of Compliance includes the following components (check all that apply) <br />O Mandatory Measures (Lighting Controls) ¤Maximum Allowed Lighting Power B Specific Lighting Sources <br />1. Certificate of Compliance Declaration Statement (this may be a C10, C45 or other eligible person) <br />6 I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and <br />correct. <br />a I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the lighting design. <br />M This Certificate of Compliance identifies the lighting features and performance specifications required for compliance with <br />Title 24, Parts 1 and 6 of the California Code of Regulations. <br />29 The design features represented on this Certificate of Compliance are consistent with the information provided to document <br />this design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the <br />enforcement agency for approval with this building permit 9*kefige>,/7 /0, <br />Name:Signature <br />Richard A. Rice <br />Company: <br />Siqn Contractors Inc 626-335-2887(*C .. <br />Address:License number (may be contractor's lic #) <br />400 W. foothill #130 740985 <br />City/State/Zip: li„,„ DateGlendora CA 91741 3-11-2013 <br />2. Installation Certificate (to be signed by responsible person after installation) <br />Permit number Checked by/Date <br />(Enforcement Agency Use )(Enforcement Agency Use ) <br />Installation Declaration statement <br />a I certify under penalty ofperjury, under the laws of the State of California, the information provided on this form is true and <br />correct. <br />E I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized <br />representative of the person responsible for construction. <br />F I certify that the installed features, materials, components, or manufactured devices identified on this certificate conforms to all <br />applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the <br />enforcement agency. <br />S I certify that the requirements detailed on this Certificate of Compliance have been met. <br />S I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building <br />permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. 1 understand <br />that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the <br />building owner at occupancy. <br />Company Name: <br />Sign Contractors Inc <br />Responsible Person's Name: <br />Richard A. Rice <br />n <br />License number (may be contractor's lic #)Date Signed: <br />740985 3-11-2013 <br />Responsible,PENRignature: <br />1 #0 <br />Posil;dfcompany:0EQ/ <br />2008 Nonresidential Compliance Forms · October 2010