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CERTIFICATE OF COMPLIANCE (Page 4 of 4)LTG-le <br />Project Name: <br />Date: <br />Conditioned and Unconditioned space Lighting must not be combined for compliance <br />Indoor Lighting Power for Condi ioned Spaces Indoor Lighting Power for Unconditioned Spaces <br />Watts <br />Watts <br />Installed Lighting <br />(from Conditioned LTG-1C Page 2) <br />Lighting Control Credit <br />Conditioned Spaces (from LTG-2C) <br />Adjusted Installed _ <br />Lighting Power <br />Installed Lighting <br />(from Unconditioned LTG-IC Page 2) <br />Lighting Control Credit <br />Unconditioned Spaces (from LTG-20 - <br />Adjusted Installed <br />Lighting Power <br />Complies if Installed S Allowed <br />Allowed Lighting Power <br />Conditioned Spaces (from LTG-3C) <br />Required Acceptance Tests <br />Designer: <br />Complies if Installed 5 Allowed <br />Allowed Lighting Power <br />Unconditioned Spaces (from LTG-3C) <br />This form is to be used by the designer and attached to the plans. Listed below is the acceptance test for the Lighting system,LTG-2A and LTG-34. The designer is required to check the acceptance tests and list all control devices serving the building or space shelli becertijied as meeting the Acceptance Requirements for Code Compliance. Ifali the lighting system or control ofa certain type requires a test, listthe diferent lighting and the number ofsystems. The NA7 Section in the Appendix ofthe Nonresidential Reference Appendices Manual describesthe test. Since thisform will be part ofthe plans, completion ofthis section wili allow the responsible party to budgetforthe scope of workappropriately. Forms can be grouped by type of Luminaire controlled. <br />Enforcement Agency:Systems Acceptance Before Occupancy Permit is grantedfor a newly constructed building or space or when ever new lighting system withcontrols is installed in the building or space shall be certilied as meeting the Acceptance Requirements.The LTG-2A and LTG-3Aforms are not considered a complete form and are not to be accepted by the enforcement agency unless the boxes arechecked and/or filled andsigned inaddition, aCertilicate ofAcceptanceforms shall be submitted to the enforcementagency that certijks plans.specilications, installation certijicates, and operating and maintenance injormation meet:he requirements of §10-]03(b) oflitle 24 Part 6. Thefleld inspector must receive the properly jilled out and signedforms before the building can receive jinal occupancy. A copy ofthe LTG-2A andLTG-3Afor each diferentlighting luminaire control(s) must be provided to the owner of the buildingfor theirrecords. <br />Luminaires Controlled <br />LTG-2A and 3A <br />Controls and <br />Sensors and <br />2 -2 Automatic <br />Daylighting Controls <br />=-0 <br />Equipment Requiring Testing Description Z '3 U Location Acceptance <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />2008 Nonresidential Compliance Forms <br />July 2010 <br />4