10181202_2243 E. SANTA CLARA - Plan (2)

Home Browse Search

\Asfe<60 r STATE OF CALIFORNIA CERTIFICATE OF COMPLIANCE, SIGN LIGHTING CEC-SLTG-1 C (Revised 10/10)CALIFORNIA ENERGY COMMISSION Certificate of Compliance (Sign Lighting)(Page 1 of 4)SLTG-le Project Name: DR· 4-/6- 74A.*-+14·*, e) o A p.-,-1- vo,4 4- :·6.e *4Project Address: 2243 Sa#6 d.ltr Av. t qa.,v·/- A.od / CA 92-10,5-Location of Sign gputdoor Signs O Indoor Signs Phase of Sign Construction U New Signs O Sign Alterations Type ofLighting Control O New Lighting Controls O Replaced Lighting Controls O Not Installing Lighting Controls This Certificate of Compliance includes the following components (check all that apply) O Mandatory Measures CLighting Controls)gMaximum Allowed Lighting Power O Specific Lightihg Sources 1. Certificate of Compliance Declaration Statement (this may be a cio, €45 or other eligible person) • I certify under penalty of perjury, under tile laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the lighting design. • This Certificate of Compliance identifies the lighting features and performance specifications required.for compliance with Title 24, Parts 1 and 6 of the California Code ofRegulations. • The design features represented on this Certificate of Compliance are consistent with the information: provided to document this design on the other: applicable compliance, forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. , Name:Signatu - Al llc- 04-2 - w#tr Company: 64£.liav- =615 4- Address: 8 1 8 5- Ar.:# s A- City/State/Zip: (30V- a o._,4. , C..A 00'Phone aa\£&,4- '1 045 71404-011.2- LIEease number (may be contractor's lic #) 0 -1<.044 61001.2, Date 90680 4 -30- M 2. Installation Certificate (to be signed by responsible person after installation) Permit number : ' "'3 Checked by/Date : -(Enforcement Agency Usc )1/ .·· :'(Enforcement·Agency Usc ) Installation Declaration statement • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 ofthe Business and Professions Code to accept responsibility for construction, or:an authorized. representative of the person responsible for construction. • I certify that the installed features, materials, components, or manufactured devices identified on this certificate conforms·to all applicable codes and regulations,(and the installation is consistent With the plans and. specifications approved by the enforcement agency. • I certify that the requirements detailed on this Certificate of Compliance have been met. • I will ensure that:a completed, signed copy ofthis. Installation Certificate shall be posted, 6rmade available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand thata signed copy of this Installation Certificate is.required to be included with the documentation the builder provides to tile· building owner at occupancy. Company Name: €-U=-16.r 3:1,5 4.\Lo'lAo•->s ICA c. Responsible Person's Name:Responsible Person's Signature: . IUU\Ce- T,t'R- 0 44 '1.€_r *UZZ- / Al AA License number (may be contractor's Bic #)Date Signed:'Position With Company: ,/ '4€ 1 00\21 9-1 6- i 4 Fra-s; 01«u 4- 2008 Nonresidential Compliance Fonns October 2010 40