Laserfiche WebLink
CERTIFICATE OF COMPLIANCE (Page 2 of 4)LTG-le <br />INDOOR LIGHTIG SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST <br />Project Name:Po,L)* BAVe 4,7,14Date: <br />Installation Certificate, LTG-1-INST (Retain a copy and verify form is completed and signed.) O Field Inspector <br />Certificates of Acceptance, LTG-2A and LTG-3A (Retain a copy and verie form is O Field Inspector <br />completed and signed.)A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces Installed Lighting Power listed on <br />this Lighting Schedule is onlyfor. O CONDITIONED SPACE O UNCONDITIONED SPACE <br />O The actual indoqr lighting power listed below includes all installed permanent and portable lighting systems in accordance <br />with §146(a)O Onlyfor ollices: Up to thefirst 0.2 watts per square foot ofportable lighting shall not be required to be included in thecalculation ofactual indoor lighting power density in accordance with the Exception to §146(a). All portable lighting in <br />excess of 0.2 watts per squarefoot is totaled below. <br />Luminaire Schedule (Type, Lamps, Ballasts)Installed Watts <br />A B C D E F G HHow wattage was Field <br />determined Inspector 1 <br />4. 5 X <br />Complete Luminaire Description <br />CEC According Z.3 ·: ea Default to o S (i.e, 3 lamp fluorescent troffer,=i from §1306* 0 9 <br />Z= ,F32TS, one immable elec78,8:L t. 3 l'.te.n Ad go O 0 22 40 0 0NA8(d or e)c * 04 ... <br />0 0 00 <br />0 0 00 <br />0 0 00 <br />0 0 0 .0 <br />O 0 00 <br />0 0 00 <br />O 0 00 <br />0 0 00 <br />0 0 00 <br />O 0 00 <br />0 0 00 <br />0 0 00 <br />0 0 00 <br />O 0 00 <br />O 0 0 :O <br />INSTALLED WATTS PAGE TOTAL: 440 <br />Installed Watts Building Total <br />Building total number of pages (Sum ofall pages) <br />Enter into LTG-IC Page 4 of 4 <br />1. Wattage shall be determined according to Section ]30(d and e). Watioge shall be rating of light fixture, not rating of bulb.2. If Fail then describe on Page 2 ofthe Inspection Checklist Form and take appropriate action to correct. Verb building plans if necessary. <br />2008 Nonresidential Compliance Forms <br />July 2010