HomeMy WebLinkAboutCOLLIER AVE 19930_18-1236 C11-Y 10F
LA ICE L S1 C) FZE
130 South Main et I�, FA tA Street
APPLICATION FOR APPLI(g_110K
BUILDING PERMIT APPLICA 12fi 1'71
DATE
VALUATION CALCULATIONS AP# UY
BUIEMNZ:ADDRESS
1st FLOOR SF IC1930 (16 11'
TRACT 9UOCV,7 T,77 LO*F/P)KRCFL
2nd FLOOR SF
3rd FLOOR SF 0 NAM!r vv cz*-P.
W MAILIW3
GARAGE SF N ADDRESSMILD
E nin J*C) zip -2e2,,5 q
STORAGE SF R
I hereby affirm that I am licensed under provisions ot Chapter 9(commencing
DECK&BALCONIES SF with section 7000)of division 3 of the buslner and professions code,and
C my license is in full force a IM OTHER: SF 0 LICENSE# A Zldfftyg) C81LT BUSINESS
N AND CLAS61 35LOI L-99 �i+b 13 TAX#
T NMV-,k_
VALUATION., occ) R _0 C+
A MAILINGcc
G ADDRESS-1
_�7 r
FEES T I Y E
0 bri ry eir TA'92�0_7 Q47'1q_C)Cq
BUILDING PERMIT R CONTRACT §1
PLAN CHECK irqAMt-
A
PLAN REVIEW R MAILING
C ADDRESS
SEISMIC H CITY Y= r5Hi5Nr
PLAN RETENTION 0 NEW OCC GRI(`\J CONST,
0 ADDITION DIVISION, TYPE.
ED ALTERATION NUMBER OF NUMBER OF
0 OTHER STOR�U_S: BEDROOMS:
0 SINGLE FAMILY ZONE: N
0 APARTMENTS X
certify that I have read this application and state that the 0 CONDOMINIUM HA D YES
above information is correct. I agree to comply with all city 0 TOWN HOMES ARE 7 NO
and county ordinances and state laws relating to building 0 COMMERCIAL SPFJINKLERS YES
construction, and hereby authorize representatives of this 0 INDUSTRIAL REQUIRED? NO
city to enter upon the above-mentioned property for insp- 0 REPAIR PROPOSED USE OF BLDG
tion purpos' 0 DEMOLISH PRESENT USE OF BLDG:
JOB DESCRIPTION � I-
VehyllAQIC- '(("C'I.P9_11 . AtW
nature I T3 CeAf y-I,vc'f 4-iA L /I
of Applicant or Agent Date
Agent for F] contractor El owner
Agents Name
Agents Address
Street city State Zip _J
471.1 am licensed under the provisions of Business and Professional Code Section 7000 et seq.and my license is in full force.
2. 1,as owner of the property,or my employee w/wages as their sole compensation will do the work and the structure is not
intended or offered for sale.
3.1,as owner of the property,am exclusively contracting with licensed contractors to construct the project.
4.1 have a certificate of consent to self-insure or a certificate of Workers Compensation Insurance or a certified copy thereof.
5. 1 shall not employ any person in any manner so as to become subject to Workers Compensation Laws in the performance
of the work for which this permit is issued.
NORTH
Iwo
Donco & Sons, Inc.
City of Lake Elsinore Signs • lighting • Electrical
4582 E.Eaenhoww Qr.,Ansheen,CA 92807
Planning Division Approval Ph!(714)„9-0099 FX(714)779-019B
CA St Lic.#435616 C10-C45--061
EXISTING SIGN SC LE CUSTOMER:
CODE DESCRIPTION SZ} L - - -- HENfARKS
(E)DISPENSER GRAPHICS 6 0 0 O BE R D W W G
(E)ARCO ID SPARKS 7 21 TO B L EW YSIGNS
(E)PRICE SIGN 2 42 B4 REFACE EXISTING PRICE SIGN
(E) FREEWAYSIGN 1 85 85 EXISTING TO REMAIN UNCHANGED
(E)AMPM BUILDING LETTERS 2 21 42 EXISTING TO REMAIN UNCHANGED
- TESORO CORPORATION
..y EXISTING TOTAL SIGN AREA 232 SQ.FT, 19100 RIDGEWOOD PARKWAY
SAN ANTONIO,TX 78259
_ (210)626-7390
PROPOSED SIGN SCHEDULE
CODE DESCRIPTION QTY SQ.FT. TOTAL REMARKS
A CANOPY CHANNEL LETTERS 2 10 20 ON EXISTING CANOPY FASCIA SITE PLAN
• + B 36"CANOPY BUTTON SIGNS 3 7 21 ON EXISTING CANOPY FASCIA
D REFACE(E)DISPENSERS 6 0 0 DISPENSER TOP$SKIRT
PROJECTADDRESS:
(E)PRICE SIGN 2 42 84 REFACE EXISTING PRICE SIGN
(E) FREEWAYSIGN 1 85 85 EXISTING TO REMAIN UNCHANGED ARCO STATION#42210
19930 COLLIER AVENUE
(E)AMPM BUILDING LETTERS 2 21 42 EXISTING TO REMAIN UNCHANGED LAKE ELSINORE, CA 92530
BULLNOSE GRAPHIC W1 LED LASERLIGHT--t ON CANOPY FASCIA
' PROPOSED TOTAL SIGN AREA= 252 SQ.FT.
DATE: 3-23-16
'THE FOLLOWING APPLIES TO ALL ELECTRICAL SIGNS:U.L.LABELS,EXTERNAL DISCONNECT SWITCHES,
CONNECT TO E4STING ELECTRICAL CIRCUIT REVISION DATE
CONTRACTOR: PROPERTY OWNER: 1 -
DONCO & SONS, INC. TESORO CORPORATION
BN�py . , 4582 E. EISENHOWER CIR 19100 RIDGEWOOD PARKWAY 2
y` ANAHEIM, CA 92807 SAN ANTONIO, TX 78259 3
714-254-0099 JOHN BARBER 4
r ST. LIC. 435616 714-254-0099
B C10 C45 C61 SCALE: 1" = 20'
A liilllill
PROJECT: JOB ADDRESS:
SHEET NUMBER
ARCO LUMINATE PROGRAM ARCO STATION #42210 1 OF 7
.r 11 �? ,� a 19930 COLLIER AVENUE —
LC��� �Y.� v
" R ' ' •' LAKE ELSINORE, CA92530 DRAWN: M.M.
s " VICINITY MAP
ALL RIGHTS RESERVED
~* t ^____��— J! — b 2 ; ' All designs& prints are the
it �1s exclusive property of
E. "Donco&Sons, Inc."And
may not be copied,
,� a PROJECT SITE_
• ?4 LEGEND AM
distributed,distributed, modified,
1� reused, reposited,
reproduced or otherwise
QEW
]STING .. used without express
�� written permission.
D =DISPENSER Any un-authorized use or
C =COLUMN duplication will result in a
P =PICMACHINE 20% charge per occurrence
per the value of the display.
T =TRASH VALET
�.
�.
^y
�;:..
EXI TIN S G PRICE SIGN EXISTING BUILDING Iwo
we nonco & Sons, inc.
I Signs • lighting • Electrical
to 4582 E.Eisenhower Cir.,Anaheim,CA 92807
Ph:(714)779-0099 Fx:(714)779-0198
CA St Lio.#435616 C10-C45-C61
CUSTOMER: ---
_ f wat
Q•
�. 4
TESORO CORPORATION
19100 RIDGEWOOD PARKWAY
SAN ANTONIO,TX 78259
(210)626-7390
SIGN PLAN
PROJECTADDRESS:
E _ •.
ARCO STATION#42210
QUANTITY: TWO (2) EXISTING TO REMAIN UNCHANGED
19930 COLLIER AVE
LAKE ELSINORE,CA92530
DATE: 3-23-16
PROPOSED PRICE SIGN REVISION DATE
EXISTING FREEWAY SIGN
WV
We
2
Uke
3
to
3 SCALE: NTS
SHEET NUMBER
—2 OF 7
DRAWN: M.M.
ALL RIGHTS RESERVED
All designs & prints are the
exclusive property of
"Donco &Sons, Inc."And
may not be copied,
distributed, modified,
reused, reposited,
- - reproduced or otherwise
EXISTING TO REMAIN UNCHANGED used without express
REFACE EXISTING SIGN ONLY written permission.
NO CHANGE TO STRUCTURE OR SQUARE FOOTAGE Any
h
QUANTITY: TWO (2) duplication will Z result in a
20% charge per occurrence
per the value of the display.
-
SPECIFICATIONS
FOLYC# � 145 R IN 0 STRIP
MATCH BRIGHTNESS
LENS-ARE LIGHT BLUE(PMS 2935C)MUST
MATCH BRIGHTNESS OF CURRENT LED STRIP.
ya ENTIRE LENGTH AND PRO OF LENS MUST ILLUMINATE EVENLY,
WITH
TH NO DARK SPOTS U OR LIGHT LEAKS
} I LASER UNE LED STRIP IS FLUSH MOUNTED TO THE CANOPY
_ tt ACM.AND SHOULD BE EASILY SERVICEABLE.
LIGHTING UL LISTED LED L /OW VOLTAGE
DOACO & Sons,
inc.
SEALED UNIT
ACCES98LEFOR MANTENANDE AIR
Signs lighting Electrical
ARCO CHANNEL LETTERS MATERIAL WHITE TRANSLUCENT ACRYLIC FACES.METAL LETTER 4582 E.Eisenhower Cic,Anaheim,CA 92807
CABINET Ph:(714)779-0099 Fx:(714)77"198
LIGHTING- UL LISTED
LED UGHTING/LOW VOLTAGE CA St.Lk-/435818 Cl a-C45-C61
SEALED UNIT,SELF-CONTAINED TRANSFORMER
ACCESSIBLE FOR MAINTENACE/REPAIR
#` CUSTOMER:
' .,F y •' �� `E, -. ` I� ! MATERIAL Fn C BR EO-FORMED POLYCARBONATE FACE,METAL
ARCO L
UL LISTED
LED LIGHTING/LOW VOLTAGE
SEALED UNIT
•..} -(a- ACCESSIBLE FOR MAINTENANCE/REPAIR
f '•�_ri GRAPHICS- UVRRATEO GRAPHICS,2ND SURFACE
v1►
11ONTRACTOR TO VERIFY DIMENSIONS
BEFORE ORDERING MATERIALS.
{y. .:. 100 RIDOG WOOD CORPOTION
19 PARKWAY
NOTE:
A
y`�"-^• EXISTING FASCIA HEIGHT TO REMAIN THE SANE.CONTRACTOR TO SAN ANTONIO,TX 78259
�• .�+,,''.� `; - '� - :.'If VERIFY AND MATCH(E)FASCIA HEIGHT IN THE FIELD.STRUCTURAL (210)626-7390
^'�"- -'•'{ -- ` - ENGINEERING IS NOT REQUIRED PURSUANT TO CBC 2013; SECTION
EXISTING CANOPY 3403.4"EXCEPTION: ANY EXISTING LATERAL STRUCTURAL ELEMENT
WHOSE DEMAND-CAPACITY RATIO WITH THE ADDITION IS NO MORE
THAN 10 PERCENT GREATER THAN THE DEMAND-CAPACITY RATIO NTH
THE ADDITION IGNORED SHALL BE PERMITTED TO REMAIN UNALTERED." SIGN PLAN
60'-0" 64'-0"
CHANNEL /t► B (N)36"SPARK B (N)36"SPARK PROJECT ADDRESS:
LETTERS
ARCO STATION#42210
AVE
4811 21" W
� 48" 21" LAKE ELOSINORE,CA 92530
(N)ACM OVER (N)L.E.D. V DATE: 3-23-16
(N)L.E.D. (N)ACM OVER
EXISTING FASCIA LASERLINE LASERLINE EXISTING FASCIA REVISION DATE
�
14'-01, I ' 14'-0" ro Mcoo ro
.. .... 2
F h ® ® 4
SCALE: NTS
PROPOSED EAST ELEVATION PROPOSED SOUTH ELEVATION
SHEET NUMBER
60'-0" 3 OF 7
(N)20" (N)36"SPARK
H
CHANNEL LETTERS B 64'
-0 DRAWN: M.M.
y �-
48" 21" --- AR CO 48"
ALL RIGHTS RESERVED
All designs&prints are the
(N)ACM OVER (N)L.E.D.
(N)ACM OVER exclusive property of
EXISTING FASCIA LASERLINE EXISTING FASCIA "Donco&Sons, Inc."And
may not be copied,
distributed, modified,
14'-0" j j 141_0R ro reused, reposited,
reproduced or otherwise
used without express
® ® written permission.
Any un-authorized use or
° ° ! duplication will result in a
20% charge per occurrence
PROPOSED WEST ELEVATION PROPOSED NORTH ELEVATION per the value of the display.
��t:T„
re1
10.51 6'-0-- 13" varies(length of fascia) —{
36'diameter 21°decal used for fascia heights greater 36"
_ -_- Donco & Sons, Inc.
equal _ �.___..__.,.___�.
T f equal Signs a lighting a Electrical
} 4Ph: E.4)779- 09 Cir.,F)c(714) 79 92B67
Ph:(714}779-00799 F�c(714}779-0198
4el
CA St.Lic.#435516 C14YC45-C61
(field 21'
check) � 21"
CUSTOMER:
equal equal
- To ensure colour accurac,cano yy fascia
Canopy LED stops 20"In Aluminum channel letters Bullnose Decal without LED Flat bullnese decal decals should be screen printed on vinyl suubstrate. 4.5'drop shadow
short of letters with LED internal illumination (including tapered end cap) 4. on ACM substrate
Pearl-O
Internally illuminated TESORO CORPORATION
LED laserline 19100 RIDGEWOOD PARKWAY
SAN ANTONIO,TX 78259
(210)626-7390
3 6. �{
I
—I Surface mount Surface mount to canopy fascia
ARCO letters _ equal SIGN PLAN
equal to canopy fascia
pY
A
modules j LED modules Opaque Face Background
White Red LED t, ARCO Blue PROJECTADDRESS:
White Polycarbonate face C C Illuminated Spark Face ARCO STATION#42210
0`m� 4 0ARCOFled 19930 COLLIERAVE
White LED Modules ° LAKE ELSINORE,CA92530
O White ° Calm&probe"review
(day and night conitions)
with 61aYa1 Design Tnm
36' regeirodpriortopredaetion. DATE: 3-23-16
oo ®®
°
a
¢ e Termoformedanate nd
REVISION DATE
•—Trimcap Retainer ; i embossed translucent
�___—_ —._ .....—_.
Note:LED light modules shown are for placement only. � �ARCO el■e Po yc
TJ
Vendor to engineer quantity and placement Aluminum Returns
Latter Lighting Detail equal 0ARCO al. i 2
7
-. --�- _3 — -.
equal _ ._.........------
Section ViewNote:LED light modules shown are for placement only.Vendor to engineer quantity and i Ci
placement of LED modules that meet approved control sample standards
(N) "ARCO" CHANNEL LETTERS 10 SQ.FT. Spark Lighting Detail Section View
INTERNALLY-ILLUMINATED QTY: TWO (2) (N) SPARK SCALE: NTS
INT OGOMINATED QTY: THREE
ERNALL (3) SHEET NUMBER
4 OF _7_
DRAWN: M.M.
w ALL RIGHTS RESERVED
—PEAIL ACM ASTH.0 ADSr DECAL TO
4E TDRN To BACK OF FASCIA.CD Es NC
ANY 5TCP5 OR GAPS IN FRONT OF FASCIA
All designs& prints are the
LEO LAERLINE,SEE 6/A2.2
exclusive property of
"Donco&Sons, Inc."And
may not be copied,
°s -ILLou1NATGD END GARS distributed, modified,
E
INTERNALLV ILLUAINALED POLVCARBONATF reused, reposited,
LENS-.ARCO L'c"T SLUE RRS zvs< reproduced or otherwise
Al used without express
HALF ROUND I_ED LASEF2ILINE written permission.
Any un-authorized use or
OTHERS U T SUPPLIER TO ENGINEER EEC FOR ONS MENi(1 EXACT
ARC ASCIA DECAL AND LED LASERLINE C-EIIsL-1111 LT IN TO NGINEERouANTITYSA EFLo 6EEs Rv`eD r duplication will result in a
NOTE. LED IG T NODULES ARE SHO
N.T.S. a CONTROL STANDARDS SET a 50kb. 20%charge per occurrence
per the value of the display.
Iwo
Donco & Sons, inc.
Signs • Lighting • Electrical
ILLUMINATED VALANCES 4582 E.Eisenhower Dr.,Anaheim,CA 92607
Ph:(714)779-0099 Fx:(714)779-0198
CA St.Lic.*435616 C1 O-C45-C61
PANTONE WHITE
CUSTOMER:
ARCO RED
40" 33 1/2. _.
" TESORO CORPORATION
ARCO �� I 19100 RIDGEWOOD PARKWAY
i ; stop engine SAN ANTONIO,TX 78259
(210)626-7390
"0611111COOM Tvm�ow
SIGN PLAN
k=S E L F
i
ILLUMINATED VALANCE {
vAcuuM FORMED PROJECT ADDRESS:
ACRYLIC SHELL APPROACH TYPE
SCREENED GRAPHICS, APPLIED VINYL
2ND SURFACE (ARCO BLUE)
f
ARCO STATION#42210
CLAM SHELL 19930 COLLIER AVE
cDNSTRUCTION _4,_--� LAKE ELSINORE,CA 92530
OPAQUE VINYL LETTER
APPLIED FIRST SURFACE _
(ARCO BLUE) • .' -
(ARCO PROCESS BLUE) _ -__ L DATE: 3-23-16
j
--- —
ARCOPEARL REVISION DATE
- 2
- M
4
LOWER DOOR SIZE
VARIES BY MANE/MODEL
` . SCALE: NTS
C° -- - -
SHEET NUMBER
5 OF 7
LOWER DOOR PANEL
SHEET METAL DOOR D RAW N: M.M.
SCREENED GRAPHICS
29" EXISTING DISPENSER ALL RIGHTS RESERVED
FRONT NEW All designs & prints are the
exclusive property of
"Donco &Sons, Inc."And
1
PROPOSED DISPENSER
may not be copied,distributed, modified,
AD.1 N.T.S.
reused, reposited,
reproduced or otherwise
used without express
written permission.
Any un-authorized use or
duplication will result in a
20% charge per occurrence
per the value of the display.
SPECIFICAI IONS
P-2 CANOPY CLEARANCE SIGNS
MATERIAL ALUMINUM
GRAPHICS SCREENED GRAPHICS,1S7 SURFACE
WHITE UV RATED
(PANTONE WHITE) WARRANTY FOR COLOR/OUAU iY
COLOR SAMPLE APPROVAL PROCESS PRIOR 10
PRODU C"a
ARCO LIGHT BLUE
32.TS' CONSTRUCTION ALUMINUM SHEET METAL WITH APPROPRIATE
25.3)3' 3275' 25.313' (PMS 2935C) CONTRACTOR TO VERIFY CANOPY FASTENERS DOncO Sons, Inc.
C—2B'--1 equal �I 22' -1 equal N N WHITE HEIGHT BE ORE ORDERING SIGNS. p_3 pROOUCi LOCATOR�6N5(COLUMN MOUNTED)
aqua[ FLE%IBIUIY CONFIGURATIONS US COLUMN SIZES AND •
Equal L Signs lighting • Electrical
P-2 ARCO BLUE 1'-3'RADIUS SIGN PLACEMENT SHOULD 8E ALIGNED MATERIAL ALUMINUM
ARCQ�6 575' M A COLUMN,50 AS TO AVD p BEING 4582 E.Eisenhower Cfr.,Anehelm,CA 92807
ARCQ�� 2r 3.675' we tkd*h 4'-7 1/4- (PMS 288C) T BY TALL VEHICLES SHOULD ALSO BE GRAPHICS APPLIED-LETTERS,1ST SURFACE
t✓/p w O AWAY FROM SPARK BUTTON SIGN. UV RATED Ph:(714)779-0099 FX:(714)779-0198
WARRANTY FOR COLOR/OUALITY CA St.Lic.#435516 C1 Q-C45-061
equal equal COLOR SAMPLE APPROVAL PROCESS PRIOR TO
•�• PRODUCTION
3s.5' � 3 CANOPY CLEARANCE SIGN (FIELD VERIFY CLEARANCE HEIGHT)
CONSTRUCTION METAL SLEEVE MOUN1w6 SYSTEM YMICH
CONCEALS ALL FASTENERS CUSTOMER:
sq. P{ SUPPPUER I� FORTE PRODUCT SOLUTIONS'CONTOUR'
L PRODUCT UNE
4 ' MATERIAL AR 0 DARK
PEA
ATE
COLOR ESTABLISHED
DARN PEARL CUSTOM COLOR MATCH
93.5' 4 A AaCo alw ESTABLISHED
2 51/64' 3/q' P-5 BOLLARD PAINT
PAINT TOP 113 PAINTED ARCO YELLOW BOTTOM 2/.'.
a 1 1 PAINTED ARCO PEARL SURFACE MUST BE
EXISTING COLUMNS PREPARED PER PRODUCT SPECIFICATIDN5
TO REMAIN (MUST USE ESTABLISHED,ARCO APPROVED
PAINT PRODUCTS AND COLORS TO PAINT,
O O 12' 10'RADIUS
SHERWN WIWAMS OR BENJAMIN MOORE)
INTO SI CK WHICH SI
I INTO META EXTRUSM ON ARCO
GOWN P-6 PAINT ANOPY FORECOURT PUNT TESORO CORPORATION
PEARL(RAL1013) PAINT SURFACE MUST BE PREPARED PER SHED, t
SPECIFICATIONS APPROVE(MAST USE PR DUCTS AMID 19100 RIDGEWOOD PARKWAY
ARCO APPROVED PAINT PRODUCTS AND
„
35.75' A6a M1 PUNTED METAL EXTRUSION ATTACHED TO COLORS ICI PAINT,SHERWN WILLIAMS OR SAN ANTONIO,TX 78259
C UMN WITH COVER PLATE TOP AND
BOTTOM. • WHITE AR BLUE(PMS 296)SHADKTBLUONE WHITE)DIGITS ADOW. 21 D 626-7390
ITHI
TO
BEN—N MOORE) )
„ � , OL ARCO DARK _. CREATE SHADOW DROP DIGITS ON A
45 DEGREE ANGLE TO THE RIGHT 1/2-
SIGN PLAN
Nw Vlm La t Sflh view fioo Vlaw Right Silo Y'—
P-3
l ARCO PIC UNIT - REIMAGE PROJECTADDRESS:
AF.1 N.T.S. PLAN NEW SIDE NEW FRONT VIEW
4 ARCO STATION#42210 COLUMN SIGNAGE - PRODUCT LOCATOR 19930 COLLIER AVE
AF.1 NT5' LAKE ELSINORE,CA92530
DATE: 3-23-16
REVISION DATE
F.
1
_. 2
ARCO DARK PEARL
ARM DARK PEARL- + 3
4
P-6 P_4 SCALE: NTS
PAINT EXISTING COLUMNS IHON1 HEW RIGHT SIDE NEW 3O ME-
(ARM PEARL)
Ao �5 TRASH VALET - FORTE PRODUCT SOLUTIONS (FORMERLY KITTERMAN PLASTICS) SHEET NUMBER
AF.1 N.T.9.
6 OF 7
ARCQ Q --- -
—--
DRAWN: M.M.
1/13'THICK POLYETHYLENE
e�~ BOLLARD GUARD ARCO YELLOW j
TOP 1/3 PAINTED ( )
AF1 (ARCO YELLOW) ALL RIGHTS RESERVED
All designs$ prints are the
FIELD YERIFY I
l 1/8'THICK POLYETHYLENE exclusive property of
PAINT CURB I BOLLARD GUARD(ARCO PEARL, "DOnCO &Sons, Inc."And
(ARCO WARM GRAY f
l OR WHITE IF NOT AVAILABLE) -
BOTTOM 2/3 PAINTED 1
(ARCO PEARL) ' may not be copied,
distributed, modified,
reused, reposited,
2 UNDER CANOPY PAINT -
reproduced or otherwise
AF.1 N.T.S. used without express
U-SHAPE BOLLARD BOLLARD SLEEVES BY wNOPUST
written permission.
Any un-authorized use or
e BOLLARD PAINT AF.1 N.T.°. duplication will result in a
20% charge per occurrence
per the value of the display.
STATE OF CALIFORNIA STATE OF CALIFORNIA STATE OF CALIFORNIA
SIGN LIGHTING SIGN LIGHTING SIGN LIGHTING
CEGNRCC-LTS-DI-E Revised O6/t4 CALIFORNIA ENERGY COMMISSION CEC-NRCC-LTS-0t-E(Revised 06f14) CALIFORNIA ENERGY COMMISSION CEC-NRCC-LTS-01 E ReYs®d OW14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 1 of 5) Sign Lighting
(Page 3 of 5) Sign Lighting (Page 4 of S)
°'°I"— Luminate Luminate °'°i`nN,' Luminate
Project Address: 2.Maximum Allowed Lighting Power Method of Compliance 3.Specific Lighting Source Method of Compliance
19930 Collier Avenue Certificate of Compliance and Field Inspection Energy Checklist Certificate of Compliance and Field Inspection Energy Checklist
Location of Sign ,�putdoor Signs E)Indoor Signs Complete this part if there are signs using the maximum allowed fighting power method of compliance.(Complete part 3 of Complete this part if there are signs using the Specific lighting source method of compliance.(Complete part 2 of this Certificate
Phase of sign Construction 87 flew signs ❑Sign Alterations this Certificate of Compliance if there are signs using the Specific lighting sources method of compliance) of Compliance if there are signs using the maximum allowed lighting power method of compliance)
Type of Lighting Control New Min Controls ❑Replaced Lighting Controls ❑Not Installing Lighting Controls A B C D E I F G H I J /� B p E
This Certificate of Compliance includes the following components(check all that apply) / OPTIONAL-Energy Filed Inspector
❑MandatoryMeasures(Lighting Controls ❑Maximum Allowed Lighting Power to Specific Lighting Sources symbol Complies OPTIONAL Specific light source used for
( g g ) 8 g p g g Or Code D—riptionoftheSign VerifiedLabel(see Allotted warn Design wars mplYIN check that sign Symbol ENERGY VERIFIED compliance Field Inspector
instructions below) complies y Geld that Sign
or Description label Shall include only lighting
1.Mandatory Sign Lighting Controls o` h Code (see instructions technologies listed below complies
o ^
NOTES: ^_ m g�3 3 �LL q m x below) List all that apply
1. The some responsible person may install both the sign lighting power and the sign lighting controls,or a different responsible 2 = tt aA ARCO Channel Letters El
u o O
person may install the sign lighting controls than the responsible person installing the sign lighting power. E'� ^ g c z r
2. The Mandatory Measures(sign lighting controls are required for compliance with the sin lighting Standards.if the person o B I Round Logo Spark ❑ 7 O
responsible for installing the sign lighting power is not also responsible for the sign lighting controls,then the owner of the sign, ✓ s/ Dispenser Valance ❑ 7 O
general contractor,or architect shall be responsible to have the sign lighting controls installed. ❑ ❑ ❑
3. I more than on person responsibility or o li n e hasc m o compliance,each responsible person shall prepare and sign a Certificate o
f Pf P P P P P 9 f
❑Compliance and an installation Certificate applicable to the portion of construction for which they are responsible;alternatively,
nativelY
❑ El
A Symbol or code used on the plans when plans are re uired and other documents.
the person with chief responsibility for construction shot/prepare and sign the Certificate of Compliance Declaration Statement ❑ ❑ y p ( p q )
for the entire construction. ❑
❑ e A narrative description of the sign,or location of sign on the building;and the location of sign on construction documents
Ia. Statements of Responsibility:An C OPTIONAL-Check this box only If this sign has i permanent,pre-printed,factory-unstated ENERGY VERIFIED label,confirming that this sign
p ty: y person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-Ol-E ❑
shall complete Part Ia.Check Yes or No for all of the following statements: ❑ complies with the Section 1gniz of the California a are Title 24,Part 6 Standards,using the s authorized
fighting Source Method of Compliance.The
only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by Underwriters Laboratories(Lil)or
1 1 have responsibility for installing the sign lighting controls ❑ ❑ other Product Certification Body accredited to ISO/IEC Guide 65 bythe American National Standards Institute in accordance with ISO/IEC
❑Yes,complete parts la and 1b of this form NO,complete part la of this form ❑ ❑ 17011.Surveillance by the Accredited Certification Body shall be an ongoing annual Inspection program carried out by a Type A Inspection body '..
2 There are no existing sign lighting controls and I will be installing compliant sign lighting controls ❑ El 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
❑Yes No ❑ ❑ ENERGY VERIFIED label is an optional method to validate compliance.An ENERGY VERIFIED label is not needed for compliance.
There are no existing sign lighting controls and someoneJ¢Ise will be responsible to install Compliant sign lighting controls Specific Light Source Compliance Method.The sign(s)Identified above use only the following lighting technologies:
3 ❑Yes GI NO ❑ ❑ List all applicable numbers(1 through 91 that apply in column D above for each row.
1 High pressure sodium lamps
There are existing sign lighting controls that do not comply with the applicable provision of§110.9 and§130.3 and I will be ❑ ❑
Metal halide lamps that are pulse start or ceramic served by a ballast that has a minimum efficiency of 86 percent or
❑
4 In ailing compliant sign lighting controls ❑ 2 greater.Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage
Yes ❑No A Symbol or code used on the plans(when plans are required)and other documents. When tested according to ANSI C82.6-2005.
There are existing sign lighting controls that do not comply with the applicable provision of§110.9 and§130.3 and someone B A description of the sign,or location of sign on the building;and the location of sign on construction documents. Metal halide lamps that are pulse start that are 320 watts or smaller,are not 250 watt or 175 watt lamps,and are served 6y
5 else will be responsible to install compliant sign lightingg°ntrols OPTIONAL-Check this box only if this sign has a permanent,pre-printed,factory-installed,ENERGY VERIFIED label,confirming that the a Ballast efficiency
that has a minimum efficiency of 80 percent.
❑Yes M No sign complies with the Section 140.8 of the California 2013 Title 24,Part 6 Standards,using the Maximum Allowed Lighting Power 3 ency is the measured output wattage to the Tamp divided by the measured operating input wattage when tested
method of compliance.The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by according ci ANSI C82.6-2005.
CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2014 C Underwriters Laboratories(UL)or other Product Certification Body accredited to ISOAEC 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 Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 75 percent
program carried out by a Type A inspection body in accordance with ISO/IEC 17020.For signs with such an ENERGY VERIFIED label, D 4 when the transformer or power supply rated output current is less than SO mA.The ratio of the output wattage to the input wattage is at
columns'C'through T are not required to be filled out Note:Using an ENERGY VERIFIED label is an optional method to validate 1D0 percent tubing load.
STATE OF CALIFORNIA _ compliance.An ENERGY VERIFIED label is not needed for compliance. Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 68 percent
SIGN LIGHTING D The sign area in square feet. 5 when 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
CEC-NRCC.LTS-0i-E Revised D6114 CALIFORNIA ENERGY COMMISSION 100 percent tubing load.
E List"i"if the sign is internally illuminated.List"E"if the sign is externally illuminated.
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E 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. 6 Fluorescent lighting systems meeting one of the following requirements:A.Use only lamps with a minimum color rendering index(CRI)of
Sin Li htin g ) Multiply q g g g ty( ). go;or B.Use only electronic ballasts with a fundamental output frequency not less than 20 kHz.
g g g (Page 2 of 5 G the square footage in column D times the allowed Lighting Power Dents LPD=watts m column F. 7 Light emitting diodes LEDs with a g (LEDs) power supply having an efficiency of 80 percent or greater;
rw,ro:,ram.. o.a°,m,,..a H Show the total installed watts in the sign,as determined according to the a I cable provisions of 130 c Single voltage external power supplies that are designed to convert 120 volt AC input into lower voltage DC or AC output,and have a
Luminate PPi P § )
I Enter Y if the number in column His less than or equal to the number in column G.Otherwise,the sign does not comply. E
nameplate output power less than or equal to 250 watts,shall comply with the applicable requirements of the Appliance Efficiency
J This age doubles as a field inspection checklist. Regulations Title 20).
ib.Mandatory Sign Lighting Controls Field Inspector Notes:
If the person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E Is responsible for complying with 9 Compact douflubles
as field
lamps that c not contain a medium screw base sockets(E24/E26).
the sign lighting control requirements,that person shall answer all of the following questions; E This page douhles as a Reld inspection checklist.
If there are construction documents,indicate where on the building plans the Field Inspector Notes:
mandatory measures(sign lighting control)note block can be located:
1 9130.30)1.All indoor sign fighting is controlled with an automatic time-switch control or astronomical time- Y N N�
switch control. ❑ ❑
;1 itch control,
,o outdoor sign fighting is controlled with a photocontroi in addition to an automatic time- Y N NA CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2014 CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2014
2 switch control,or an astronomicaifime-switch control. ❑ ❑
EXCEPTION to Section 130.3(a)2A:Outdoor signs in tunnels,and signs in large permanently covered outdoor Y Nfy
areas that are intended to be continuous) lit,24 hours per day and 365 daysper year. ❑ fi'f STATE OF CALIFORNIA
§130.3 a 2B.All outdoor sign lighting that is ON both day and night is controlled with a dimmer that provides SIGN LIGHTING
( ) gn $ $ Y $ P CEGNRCC-LTS-01-E Revised 06114
CALIFORNIA ENERGY COMMISSION
the ability to automatically reduce sign lighting power by a minimum of 65 percent during nighttime hours. Y N NPy CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
3 Signs that are illuminated at night and for more than 1 hour during daylight hours shall be considered ON both ❑ [3E( Sign Lighting (Page 5 of 5)
day and night- Luminate
EXCEPTION to Section 130.3(a)26:Outdoor signs in tunnels and large covered areas that are intended to be Y NJj.
illuminated both day and night. ❑
§130.3(a)3.Demand Responsive Electronic Message Center Control.An Electronic Message Center(EMC) Y N N6 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
having a new connected lighting power load greater than 15 kW has a control installed that is capable of ❑ ❑ 1. 1 certify that this Certificate of Compliance documentation is accurate and co t
Ef
4 reducing the lighting power by a minimum of 30 ercent when receivin a demand response signal. °ocumenit1on Au1bDf Ninie Eddie Vidales D°cemenntbe AnMm g. re
EXCEPTION to Section 130.3(a)3:Lighting for EMCs that is not permitted by a health or life safety statute, Y NFy
ordinance,or regulation to be reduced by 30 percent. ❑ Lit comp'"Y Donco&Sons,Inc. sit rem
Field Inspector Notes: 4582 E.Eisenhower Circle ERS temfkadl nWen 'o on tfapplirable):
tmrstawnp:Anaheim,CA 92807 °hats (714)779-0099
RESPONSIBLE PERSON'S DECLARATION STATEMENT
CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2014 1 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
Z. 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
PROJECT ADDRESS: provided on other applicable compliance documents,worksheets,calculations,plans and specifications submitted to the)ewcement
agency for approval with this building permit application.
ARCO STATION#42210 5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made availa th the building perj issued for the
building,and made available to the enforcement agency for all applicable inspections.i unde that a completed sigopy of this
19930 COLLIER AVE Certificate of Compliance is required to be included with the documentation the builder to t ildingowner aupan .
LAKE ELSINORE,CA 92530 "epon°G0e"""'"" Eddie Vidales `
comp"Donco&Sons,Inc. hate
4582 E.Eisenhower Circle 616
SHEET NUMBER
°rye""?p Anaheim,CA 92807 (714)779-0099
7 OF _7 CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2014