Laserfiche WebLink
CERTIFICATE OF COMPLIANCE (Page l of 4)LTG-1C <br />Date <br />Project Name:- M ·07, 14 <br />Project Address: A i f 1+A Y 3 1-.Climate Zone:Building CFA: <br />A Hwl/lon U hAM to i Unconditioned Floor Area : <br />General Information <br />Building Type: Nonresidential O High-Rise Residential O Hotel/Motel <br />0 Relocatable PublicO Schools O Conditioned Spaces O Unconditioned Spaces <br />1 1 f Schools ·. <br />Phase of Construction:O New Construction -· *Addition O Alteration <br />Method of Compliance:O Complete Building O Area Category <br />Documentation Author's Declaration Statement• I certify that this Certificatb of Complidnce documentation is accurate and compl <br />O Tailored <br />Date: <br />e <br />Name: <br />Signature:DAVIO AERO 4 <br />Company:Q. IAV'Hard' t, a '4 11, <br />Address·. <br />Ifapplicable: <br /><1466 04&*RAAva JA .,™ CEPE # <br />CEA # <br />City/State/Zip <br />Phone:FA AARY, M 94807 71 4 693 · d989 <br />0 1V <br />Principal Lighting Designer's Declaration Statement• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the lighting design. <br />• This Certificate of Compliance identifies the lighting features and performance specifications required for compliance withTitle 24, Pages 1 and 6.oftho California'Code of Regulations. .r ,'t <br />• The design features represented on this Certificate of Compliance are consistent with the information provided to document this designon the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for <br />approval with this building permit application.1 1 1. <br />Name:Signature: <br />Company: <br />Phone: <br />Address: <br />License # <br />City/State/Zip: <br />Date: <br />Lighting Mandatory MeasuresIndicate location on building plans of Mandatory Measures Note Block: <br />LIGHTING COMPLIANCE FORMS & WORKSHEETS (check box if worksheet is included)For detailed instructions on the use ofthis and all Energy Elliciency Standards compliance forms, please refer to the Nonresidential Manual <br />published by the California Energy Commission. <br />M LTG-tc Pages 1 through 4 Certificate ofCompliance. All Pages required on plans for all submittab. <br />O LTG-ZC Lighting Controls Credit Worksheet <br />O LTG-3C Indoor Lighting Power Allowance <br />O LTG-4C Pages 1 through 4 Tailored Method Worksheet <br />O LTG-5C Pages 1 and 2 Line Voltage Track Lighting Worksheet <br />2008 Nonresidentia! Compliance Forms <br />August 2009