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HomeMy WebLinkAboutSIGN-19-2010 City of Arcadia, CA Permit NO.SIGN-19-2010 Development Services Department Permit Type:Sign 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:Sign- Illuminated (626)574-5416 Permit Status:Issued ARCADIA Issue Date: 10/03/2019 I Expiration: 03/31/2020 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 56 E Duarte RD 101 Arcadia,CA 5781005020 Contacts PACIFIC PLAZA ARCADIA LLC Owner SIGNS EXPRESS MANUFACTURING Contractor 9661 E LAS TUNAS DR A,Temple City,CA 91780 COMPANY* (626)533-1942 jasonmak@gmail.corn 1438 Santa Anita,S El Monte,CA 91733 (626)443-3333 552097 Description:ILLUMINATED SIGN FOR MO-MO-PARADISE AND Valuation: $ 11,000.00 Tenant SHABU-SHABU&SUKIYAKI Total Sq Feet: 0.00 Plan Check# Plan# • Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $646.88 Building Permit Fees $253.95 Cash/Receipt#REC-02691-19 $646.88 Electrical Permit Issuance Fee $47.01 Amount Due: $0.00 Sign and Branch Circuit $131.72 Sign Connection $32.96 Sign Plan Review $126.98 Solid Waste Management Fee $6.25 Solid Waste Management Fee 2 $1.00 Total: $646.88 CALLS FOR INSPECTIONS I022-'3 9 Request for inspection by telephone at 626-574-5450. Leave a message / requesting the address,timeframe and what inspection item is needed. iL 6 h This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. October 03, 2019 Issued By: Date October 03,2019 Page 1 of 1 Al oxIFOgryy•I 4 PERMIT/PLAN REVIEW APPLICATION it,„ §, * Development Services Department, 240 West Huntington Drive,Post Office Box 60021 Arcadia, CA 91066-6021, (626) 574-5416, Fax (626)447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Busine s an Professions Code,and my license is in full force and ect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class C��_ License o. Exp. Date .rO compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My wo ers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier 74 7-3- 141, demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number for such permit to file a signed statement that he or she is licensed pursuant to the 3 provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the perms for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of 0 I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith corn y those provisions. compensation,will do the work,and the structure is not intended or offered for d sale(Section 7044,Business and Professions Code:The Contractors License Date - Signature Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature I Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396-2000 for further information. Name / Title ____c: L. %�e PR NAME 7 I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-men ed property for inspection purposes. q ignature tate / a ; �. // l 30" p a 18" 3M M.-Ns -Psr-.par • • 2.5" _.,-_ - ------ 12" EQ 17'-9" 31'-5" PROPOSED WALL SIGN A. PROPOSED WALL SIGN B. 1 I PROPOSED STOREFRONT SIGN A PROPOSED 4" DEEP DUAL-LIT ALUMINUM C ON 1.5" DEEP ALUMINUM BACK PANEL WITH F IN BLACK FINISHED. 0.040"THICK ALUMINUM .•. „ WITH POWDER COATING IN BLACK EXTERIOR _ FOR EVEN LIGHT REFLECTION. 3/16"THICK RI W.; WITH 1" BLACK TRIM CAPS.ALL LETTERS ARE -'`�,. ON STEEL CANOPY. ALL ELECTRICAL COMPO i _ TARE TO BE U. L. RATER R I ARFI FIS_ •• "`,: ING ACTION ' Date and o�P \��°ao�P� G��o�`'/ *E Initials o /oro QQe o�Pt No Checker i `2L__ P G on She( - -- --- ---- r :ter - -- -,� rPGS N.u,►'! 4:471/ NORTH�ST CORNER �� �— 59_6 SCALE:1 1'-0" -- This sign is intended to be in accordance with the requirements of Article 600 of the National Electrical Code&/or other applicable local codes. This includes proper gra lN !1 Job Name: MOMO PARADISE SIGNS EXPRESS Does NOT CUSTOMER APPROVAL LANDLORD lic 11 EXP E nFE. CO. Address: 56 E.Duarte Road,SUITE 101,ARCADIA,CA91006 provide primary electrical to sign 1439 SANTA ANTIA AVE,,SOUTH EL MONTE,CA 91733 location. Tel:626.443-3333 - Fax:626.443.3232 Date : 091219 Drawing#: Drawn by: TT RESPONSIBILITY BY OTHERS! Signature Data Signature nit'IRlpp N STATE LIC ¢55209? ' U L.APPROVED aE.119566 Revisions:A 091819 FREE STANDING CHANNEL LETTER SECTION DETAILS A.4"DEEP,6" HEIGHT ALUMINUM WIREWAY W/DISCONNECT SWITCH. I . _ PROPOSED STOREFRONT SIGI • B.2"X 2"ALUMINUM TUBE W/ POWDER COATING IN METALLIC SILVER FINISHED. • C. 1.5"DEEP ALUMINUM BACK PANEL W/POWDER COATING IN METALLIC SILVER. 4111111111411111111114111.111 PROPOSED STOREFRONT SIGN B • D. 1/4"DIAMETER X 2"MACHINE BOLTS. I E.4" DEEP DUAL-LIT ALUMINUM CHANNEL LETTERS W/CLEAR LEXAN BACKING& 1l AR•TE FtD W/WHITE LED INTERNALLY ILLUMINATED. I E. D - F. 1.5"X 1.5"ALUMINUM TUBE W/1/4" DIAMETER X 2" MACHINE BOLTS. I -1".m 0 ':a G. 1/4"THICK,6"X 4"ALUMINUM PLATE W/POWDER COATING IN METALLIC SILVER. �" ���� H. 3/8" DIAMETER X 1.5"MACHINE BOLTS. __.. `. [ 1',;: a u I. BUILDING STEEL CANOPY. (E) `•s �_ �. ••2w: ,:�j�1re� 9 *��' J. 120 VOLTS J-BOX TO PRIMARY (E) I J i i.FE ; 99 1 I I r- C. I ' o I�':, L; L' III D. ..����__ ! I I I I ���������- I41.111.1 .r iII l l y . . E �,� • r 11��, --F. - ._ IV 1 E . • Nei .b_ . ill 1 . , , IL SEE ELEVATION PLAN I I I I I I I FOR I - — H. \ 1 I r SECTION VIEW -I. IAeilk• SITE PLAN This sign is intended to be in accordance with the requirements of Article 600 of the National Electrical Code &/or other applicable local codes. This includes proper gro , N Job Name: MOMO PARADISE SIGNS EXPRESS Does NOT CUSTOMER APPROVAL LANDLORD ,ICI A CXP�C» MFC. CO. Address: 56 E.Duarte Road,SUITE 101,ARCADIA,CA91006 provide primary electrical to sign 1438 SANTA ANTIA AVE.,SOUTH EL MONTE,CA 91733 location. Drawing#: Drawn bRESPONSIBILITY BY OTHERS! MTh pp Tel:626-443.3333 ' Fax; 626.443.3232 Date : 091219 Y� u U"J 111�n n STATE LIC.#552097 U L.APPROVED#E-t 19586 Revisions:zI ® ® A. ® All above design and artworks are the exclusive property of Signs Express and cannot be reproduced.In whol, A. I. I r-- B. I I r C. III I---- D. 17'-9" I ' \ i l i i I 30" 14'-7" N. I " - I. EXISTING 31'-5"(W),3" U CHANNEL STEEL CANOPY '_d . r; //1 12 P / \ 3 j0" 131 I 1 \\ SCALE:3/8" _ / I 1 \ / I I \ / I 1 \ / _ \ FREE STANDING CHANNEL LETTER SECTION DETAILS I 1 //� J ` I I / ---....s..\ .\ A.4"DEEP 6"HEIGHT ALUMINUM WIREWAY W/DISCONNECT SWITCH. / \ 1 1 / \ B.2"X 2"ALUMINUM TUBE W/ POWDER COATING IN METALLIC SILVEF / 4"` \ I 1 / \ C.1.5'DEEP ALUMINUM BACK PANEL W/POWDER COATING IN METAL / \ I 1 / \ • I 1 1/ 1 D.1/4"DIAMETER X 2"MACHINE BOLTS. } 4 - _ 1 E.4"DEEP DUAL-LIT ALUMINUM CHANNEL LETTERS W/CLEAR LEXAN I I ,...1.. �� I W/WHITE L E D INTERNALLY ILLUMINATED. . -----_.._ I r4 / F.1.5"X 1.5"ALUMINUM TUBE W/1/4"DIAMETER X 2"MACHINE BOLTS / G.1/4"THICK,6"X 4"ALUMINUM PLATE W/POWDER COATING IN MET, H. 3/8"DIAMETER X 1.5"MACHINE BOLTS. // I. 3"U CHANNEL STEEL CANOPY(E) QgOF ESS/0,1r - / J. 120 VOLTS J-BOX TO PRIMARY.(E) <9 v04 ( (4 . _ SECTION VIEW FRONT VIEW ^` .3042xi 6"X4"X1/4"ALUMINUM PLATE WITH 3/8"DIAMETER X 1.5"MACHINE BOLTS '6-3U-2c ONTO EXISTING BUILDING STEEL CANOPY * �11°' P~ MINIMUM 8 BOLTS PER UNIT \ * \d �UC'T' ��! �F CAL.1F0� _o be in accordance with the requirements of Article 600 of the National Electrical Code &/or other applicable local codes.This includes proper grounding ani _ _ Job Name: MOMO PARADISE SIGNS EXPRESS Does NOT CUSTOMER APPROVAL LANDLORD/AUTHORIZE CXt7TCIS nrE. CO. Address: 56 E.DUARTE ROAD,SUITE 191,ARCADIA.CA 91006 provide primary electrical to sign location. TI44 AVE.,3SOUTH El. 4CA 91717 Drawing#: Drawn byRESPONSIBILITY BY OTHERS! 43-3333 ' Fax:626-443-3232 Date: 100119 : TT S;gnalure Date Signature ,'.iv'97 ' U.L.APPROVED eE•119586 Revisions: i _ .a - All above design and artworks are the exclusive property of Signs Express and cannot be reproduced.in whole or in part,wdhow 2500 E. FOOTHILL BLVD. L U ENGINEERS , INC . 0: (626) 795-1250 SUITE#211 E LU6100@GMAIL COM PASADENA, CA 91107 I y f� BY / Z . DATE qz-Itl SUBJECT NEN ,I[�!(� t\Fc12 NO-MO F))►*is 1 5C PAGE 1 OF I ADDRESS E, 'Du A1 t ,11Cf\b113 (t) qu,06+ ATt�.lvt. AN&7$is ; ,, 6164 cSEl5MiL - SIGIN WT: r4r 3" -1_ X0,3 Sass 5, / s3q i/10 4 r ; 046, GA= 154x �,sx2,S -�q �o _ jI fr 413d 3"i 5E16 WIND; HO MPM (P C ELe-vAT►o N) • r-s-p.,GC; As /�Q�pEESSfp� Z �. ���6' L $ a,o02s6 4k?4 �a I k o,BS K}E=1.0 �� 110 .I= �z Ir .3042 % - 1,35 1/- ,,o \-* • 3°" * "1k 22, 41 4 :0188 Ce : 1II As; , ZSAi' oFc+�'�°Q - 73il t iND cloVEz4s • wIN D_ __.- --_ - . CH('de BccTs.: F r; 171)4' /a cot . i: 8i'Vcot_, la" dd Tzt =C8� x` 18 - 52744/2BoLIS ---- 2614 II - •3 3 CCE 4 . 3/8 ct' Bar pE-P (pc. . 2500 E. FOOTHILL BLVD. LU ENGINEERS , INC . 0: (626) 795-1250 SUITE#211 E: LU6100@GMAIL COM PASADENA, CA 91107 ,�I y ra+ BY /.G DATE /IJ(�ifrSUBJECT PAGE OF ADDRESS (( VALL 5I6N B .� ---. 1 s'' SiG7rvA��� Il IND- /I0 MPh Ext C s" k6 Cc A, Z ..4 G= 0. Ss = /, 85 Acbe,Zs' s c, -- 220*i CtldL Boc.1.5; 72 cot , F //o/cot, '° � II 110 s ID ?67 41/28otis ` � r� 4 (P Bog_ pee coG, Yr s-arYrr.arr:.r- w.atw.•-++.-.m-....c.......... .... • Search Information o oAp O Address: 56 e duarte arcadia Hesperia Coordinates: 34.1293199, -118.02839770000003 Elevation: ft Los Angeles San Beronardin+ ° Riverside Timestamp: 2019-10-02T17:49:07.263Z � � Hazard Type: Seismic Anaheim CEP O Reference ASCE7-16 Go gle Long Beach° Map data© Report a map error Document: Risk Category: Ill Site Class: D-default Basic Parameters Name Value Description Ss 1.924 MCER ground motion(period=0.2s) • S1 0.665 MCER ground motion(period=1.0s) SMs 2.309 Site-modified spectral acceleration value SM1 *null Site-modified spectral acceleration value SDS 1.539 Numeric seismic design value at 0.2s SA Spt *null Numeric seismic design value at 1.0s SA * See Section 11.4.8 vAdditional Information Name Value Description SDC * null Seismic design category Fa 1.2 Site amplification factor at 0.2s F„ * null Site amplification factor at 1.0s CRs 0.894 Coefficient of risk (0.2s) CR1 0.894 Coefficient of risk (1.0s) PGA 0.829 MCEG peak ground acceleration FPGA 1.2 Site amplification factor at PGA PGAM 0.995 Site modified peak ground acceleration TL 8 Long-period transition period (s) a 1 STATE OF CALIFORNIA SIGN LIGHTING CEC-NRCC-LTS-01-E(Revised 06/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE N RCC-LTS-01-E Sign Lighting (Page 1 of 5) Project Name:MO-MO PARADISE Date Prepared:10/01/19 A.General Information Project Address: 56 E.DUARTE ROAD,#101,ARCADIA,CA 91006 Location of Sign ❑Outdoor Signs 0 Indoor Signs Phase of Sign Construction New Signs ❑Sign Alterations Type of Lighting Control ❑New Lighting Controls 0 Replaced Lighting Controls ❑Not Installing Lighting Controls This Certificate of Compliance includes the following components(check all that apply): 0 Mandatory Measures(Lighting Controls) 0 Maximum Allowed Lighting Power IZJ Specific Lighting Sources 1.Mandatory Sign Lighting Controls NOTES: 1. The same responsible person may install both the sign lighting power and the sign lighting controls, or a different responsible person may install the sign lighting controls than the responsible person installing the sign lighting power. 2. The Mandatory Measures (sign lighting controls) are required for compliance with the sign lighting Standards. if the person responsible for installing the sign lighting power is not also responsible for the sign lighting controls, then the owner of the sign, general contractor, or architect shall be responsible to have the sign lighting controls installed. 3. If more than one person has responsibility for compliance, each responsible person shall prepare and sign a Certificate of Compliance and an Installation Certificate applicable to the portion of construction for which they are responsible;alternatively, the person with chief responsibility for construction shall prepare and sign the Certificate of Compliance Declaration Statement for the entire construction (e.g. a C-10 contractor may complete parts la and lb on one compliance document and a C-45 contractor may complete parts 2a and 2b on a separate compliance document—the Responsible Designer shall submit the two compliance documents together for the same complete installation). I have responsibility for installing the sign lighting controls: 0 Yes,I have responsibility for the sign lighting controls,and will 0 No,I do not have responsibility for installing the sign lighting controls. complete parts la and lb of this compliance document Someone else will complete parts la and lb of this compliance document. la.Check Yes or No for all of the following statements: 1 There are existing sign lighting controls that comply with the applicable provisions of§110.9 and§130.3 ✓❑Yes 0 No There are no existing sign lighting controls and I will be installing sign lighting controls that comply with the applicable 2 provisions of§110.9 and§130.3 ❑yes 0 No There are existing sign lighting controls that do not comply with the applicable provisions of§110.9 and§130.3 and I will be 3 installing sign lighting controls that comply with the applicable provisions of §110.9 and§130.3 ❑yes 0 No CA Building Energy Efficiency Standards-2016 Nonresidential Compliance August 2016 V STATE OF CALIFORNIA SIGN LIGHTING CEC-NRCC-LTS-01-E(Revised 08/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 2 of 5) Project Na" MO-MO PARADISE Date Prepared:10/01/19 lb.Mandatory Sign Lighting Controls If the person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E is responsible for complying with the sign lighting control requirements,that person shall answer all of the following questions: If there are construction documents,indicate whereon the building plans the mandatory measures(sign lighting control)note block can be located: 1 §130.3(a)1.All indoor sign lighting is controlled with an automatic time-switch control or astronomical time- Y N NA switch control. 0 0 0 §130.3(a)2A. All outdoor sign lighting is controlled with a photocontrol in addition to an automatic time- Y N NA 2 switch control,or an astronomical time-switch control. 0 0 EXCEPTION to Section 130.3(a)2A:Outdoor signs in tunnels,and signs in large permanently covered outdoor Y NA areas that are intended to be continuously lit,24 hours per day and 365 days per year. 0 0 §130.3(a)2B. All outdoor sign lighting that is ON both day and night is controlled with a dimmer that provides the ability to automatically reduce sign lighting power by a minimum of 65%during nighttime hours.Signs that Y N NA 3 are illuminated at night and for more than 1 hour during daylight hours shall be considered ON both day and 0 0 0 night. EXCEPTION to Section 130.3(a)2B:Outdoor signs in tunnels and large covered areas that are intended to be Y NA illuminated both day and night. 0 0 §130.3(a)3. Demand Responsive Electronic Message Center Control.An Electronic Message Center(EMC) having a new connected lighting power load greater than 15 kW has a control installed that is capable of Y N N/A 4 reducing the lighting power by a minimum of 30%when receiving a demand response signal. O O EXCEPTION to Section 130.3(a)3: Lighting for EMCs that is not permitted by a health or life safety statute, Y NA ordinance,or regulation to be reduced by 30%. 0 0 Field Inspector Notes: CA Building Energy Efficiency Standards-2016 Nonresidential Compliance August 2016 v, STATE OF CALIFORNIA SIGN LIGHTING CEC-NRCC-LTS-01-E(Revised 08/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 3 of 5) Project Name:MO-MO PARADISE Date Prepared:10/01/19 2.Mandatory Sign Lighting Measures I have responsibility for installing the sign lighting ❑Yes,I have responsibility for the sign lighting,and will complete ❑No,I do not have responsibility for installing the sign lighting.Someone parts 2a and 2b of this compliance document else will complete parts 2a and 2b of this compliance document. 2a.Maximum Allowed Lighting Power Method of Compliance Certificate of Compliance and Field Inspection Energy Checklist. Complete this part if there are signs using the maximum allowed lighting power method of compliance. (Complete part 2b of this Certificate of Compliance if there are signs using the Specific Lighting Sources method of compliance). A B C D E F G H I J OPTIONAL— Field Energy Verified Symbol or Design Complies Inspector Code Description of the Sign Label(see Allotted Watts Watts Y/N Check that instructions below) Sign Complies L7 o v m VI $ = > � ' $ � 3 Yin ✓ is C y 3 -p x C w • fy Q c E 3 � N °Jo Z‘13 X II II p jp G L7. < a 123 co ✓ ✓ SIGN A MOMO PARADISE ❑ 28.38 I 12 340.56 264 0 SIGN B SHABU SHABU SUKIYAKI ❑ 17.8 12 213.6 132 0 ❑ 0 ❑ ❑ 0 ❑ ❑ 0 ❑ ❑ 0 0 O 0 0 O o 0 O 0 0 ❑ 0 ❑ A Symbol or code used on the plans(when plans are required)and other documents. 8 A description of the sign,or location of sign on the building;and the location of sign on construction documents. OPTIONAL-Check this box only if this sign has a permanent,pre-printed,factory-installed,ENERGY VERIFIED label,confirming that the sign complies with the Section 140.8 of the California 2016 Title 24,Part 6 Standards,using the Maximum Allowed Lighting Power method of compliance. The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks C authorized by Underwriters Laboratories(UL)or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards Institute in accordance with ISO/IEC 17011.Surveillance by the Accredited Certification Body shall be an ongoing annual inspection program carried out by a Type A Inspection body in accordance with ISO/IEC 17020.For signs with such an ENERGY VERIFIED label,columns'D'through'I'are not required to be filled out.Note:Using an ENERGY VERIFIED label is an optional method to validate compliance.An ENERGY VERIFIED label is not needed for compliance. D The sign area in square feet. E List"I"if the sign is internally illuminated. List"E"if the sign is externally illuminated. F Allowed watts per square foot. Enter 12 if the sign is listed as"I"in column E.Enter 2.3 if sign is listed as"E"in column E. G Multiply the square footage in column D times the allowed Lighting Power Density(LPD=watts)in column F. H Show the total installed watts in the sign,as determined according to the applicable provisions of 4130(c). I Enter Y if the number in column Fl is less than or equal to the number in column G. Otherwise,the sign does not comply. J _ This page doubles as a field inspection checklist. Field Inspector Notes: CA Building Energy Efficiency Standards-2016 Nonresidential Compliance August 2016 STATE OF CALIFORNIA SIGN LIGHTING CEC-NRCC-LTS-01-E(Revised 08/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 4 of 5) Project Nome MO-MO PARADISE Date Prepared:10/01/19 2b.Specific Lighting Source Method of Compliance Certificate of Compliance and Field Inspection Energy Checklist Complete this part if there are signs using the Specific Lighting Source method of compliance.(Complete part 2 of this Certificate of Compliance if there are signs using the maximum allowed lighting power method of compliance) A B C D E OPTIONAL ENERGY Specific light source used for Symbol VERIFIED compliance Field Inspector or Description label Shall include only lighting Check that Sign Code (see technologies listed below Complies instructions (List all that apply) below) SIGN A MOMO PARADISE ❑ 7 ❑ SIGN B SHABU SHABU SUKIYAKI ❑ 7 0 ❑ ❑ ❑ ❑ ❑ ❑ A Symbol or code used on the plans(when plans are required)and other documents. B A narrative description of the sign,or location of sign on the building;and the location of sign on construction documents OPTIONAL-Check this box only if this sign has a permanent,pre-printed,factory-installed ENERGY VERIFIED label,confirming that this sign complies with the Section 140.8 of the California 2016 Title 24,Part 6 Standards,using the Specific Lighting Source Method of Compliance. The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by Underwriters Laboratories (UL)or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards Institute in accordance with ISO/IEC 17011.Surveillance by the Accredited Certification Body shall be an ongoing annual inspection program carried out by a Type A Inspection body in accordance with ISO/IEC 17020.For signs with such an ENERGY VERIFIED label,column'D'is not required to be filled out.Note:Using an ENERGY VERIFIED label is an optional method to validate compliance.An ENERGY VERIFIED label is not needed for compliance. Specific Light Source Compliance Method. The sign(s)identified above use only the following lighting technologies: List all applicable numbers(1 through 9)that apply in column D above for each row. 1 High pressure sodium lamps Metal halide lamps that are pulse start or ceramic served by a ballast that has a minimum efficiency of 88%or greater. 2 Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage when tested according to ANSI C82.6-2005. Metal halide lamps that are pulse start that are 320 watts or smaller,are not 250 watt or 175 watt lamps,and are 3 served by a ballast that has a minimum efficiency of 80%. Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage when tested according to ANSI C82.6-2005. Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 75%when D 4 the transformer or power supply rated output current is less than 50 mA.The ratio of the output wattage to the input wattage is at 100%tubing load. Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 68%when 5 the transformer or power supply rated output current is 50 mA or greater.The ratio of the output wattage to the input wattage is at 100%tubing load. 6 Fluorescent lighting systems meeting one of the following requirements:A.)Use only lamps with a minimum color rendering index (CRI)of 80;or B.)Use only electronic ballasts with a fundamental output frequency not less than 20 kHz. 7 Light emitting diodes(LEDs)with a power supply having an efficiency of 80%or greater. Single voltage external power supplies that are designed to convert 120 volt AC input into lower voltage DC or AC output,and have a 8 nameplate output power less than or equal to 250 watts,shall comply with the applicable requirements of the Appliance Efficiency Regulations(Title 20). 9 Compact fluorescent lamps that do not contain a medium screw base sockets(E24/E26). E This page doubles as a field inspection checklist. Field Inspector Notes: CA Building Energy Efficiency Standards-2016 Nonresidential Compliance August 2016 STATE OF CALIFORNIA SIGN LIGHTING • CEC-NRCC-LTS-01-E(Revised 08/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 5 of 5) Project Name:MO-MO PARADISE Date Prepared.10/01/19 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name:LAVENDER FUNG Documentation Author signal Company. SIGNS EXPRESS MFG.CO Signature Date: Address: 1438 SANTA ANITA AVE CEA Certification Identification(if ap able): City/State/zip: SOUTH EL MONTE,CA 91733 Phone:626-443-3333 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury,under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance(responsible designer). 3. The energy features and performance specifications,materials,components,and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. I will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s)issued for the building,and made available to the enforcement agency for all applicable inspections.I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provi es to the building owner at occupancy. Responsible Designer Name: VENDER FUNG Responsible Designer Sig ture: LACompany. SIGNS EXPRESS MFG.CO Date Signed: Address: License: 1438 SANTA ANITA AVE 552097-C45 Ciry/state/zip: Phone: SOUTH EL MONTE,CA 91733 626-443-3333 CA Building Energy Efficiency Standards-2016 Nonresidential Compliance August 2016