HomeMy WebLinkAboutPS 2019-0124; STATER BROS; Sign Permits/Programs (PS)(cityof
Carlsbad
REVIEW FOR
SIGN PERMIT
P-11
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
7::)€; V 2--0 I .J -,:;, 2.. c..f-D
PLANNING APPLICATION# p~ 2-01 :, -O I 2-4
REC'D BY ,9t..,., b C I rt fP
DATE 12-:/J-3 / I 9: ft
SIGN FEE £ <..1. ~
s1GN PROGRAM FEE 1., ss --, o , o 2=-c20 ~.9 co,b /1 RECEIPT NO. ___________ _
NOTE: AN APPOINTMENT IS REQUIRED FOR SUBMITTAL. PLEASE CONTACT THE APPOINTMENT SPECIALIST AT (760) 602-
2723 TO SCHEDULE AN APPOINTMENT. *SAME DAY APPOINTMENTS ARE NOT AVAILABLE*
All plans submitted for sign permits/sign programs shall consist of a minimum of a site plan and sign
elevations containing the following information:
1. North arrow and scale.
2. Location of existing buildings or structures, parking areas, and vehicular access points to the
property.
3. Location of all existing and proposed signs for the property.
4. Distance to the property line(s) for all proposed freestanding sign(s).
5. Provide an elevation for all proposed sign(s) which specifies the following:
A. Dimensions and area for all existing and proposed sign(s).
B. Materials the sign(s) will be constructed of.
C. Source of Illumination.
D. Proposed sign copy.
APPLICANT MUST SUBMIT THREE (3) SETS OF SIGN/SITE PLANS, A COMPLETED
APPLICATION FORM, AND THE APPLICATION FEE. Average processing time: 2 weeks
Name of Project: ___ Y_~----~ ___ s ________________ _
Address of Project: ___ '2_6_g ....... 7_~ ___ _,___RD ___________ _
Assessor Parcel Number: _______________________ _
Related Planning Case Number(S): ____________________ _
TYPE OF DEVELOPMENT:
(a) _,,,Residential
(9( Commercial
(c) Office/Industrial
(d)
(e)
(f)
Hotel/Motel
Service Station
Prof. Care
(g) Theater
{h) Gov't/Church/School
(i) Public Park
SIGN PROGRAM AND/OR SPECIFIC PLAN CRITERIA
(j) Produce Stand
(k) Nursery
(I) P-U/OS Zone
Yes □ No □
Specific Plan Number ____ _
VILLAGE REVIEW AREA (If yes, please complete information on page 3) Yes D
SOUTH CARLSBAD COASTAL REVIEW AREA Yes □
SIGN ORDINANCE: Yes □ No □ COASTAL ZONE: Yes □ No □
P-11 Page 1 of 4
No □ No □
Rev. 02/28/18
,
EXISTING SIGNS:
TYPE NUMBER SIGN AREA SIGN HEIGHT
Pole
Monument
Wall
Suspended/Projecting
Directional
Canopy
Freestanding (Project Identity)
PERMITS ISSUED FOR EXISTING SIGNS: Yes □ No □ Date --------
PROPOSED PERMANENT SIGNS:
MAXIMUM NUMBER MAXIMUM PROPOSED MAXIMUM PROPOSED
TYPE NUMBER PROPOSED SIGN SIGN AREA SIGN SIGN
ALLOWED AREA HEIGHT HEIGHT
Pole**
Monument**
Wall ~ ~ '2,..(., '7. ,.o l,,Z,2-. 7 2Ai ~I(,,• It "5"1~// -r I I Suspended/Projecting
Directional
Canopy
Freestanding**
(Project Identity)
Digital Display
PROPOSED TEMPORARY SIGNS:
MAXIMUM NUMBER MAXIMUM PROPOSED MAXIMUM PROPOSED
TYPE NUMBER SIGN SIGN SIGN
ALLOWED PROPOSED AREA SIGN AREA HEIGHT HEIGHT
Construction**
For Sale**
Banner
Interim
**Prior to approval, all proposed pole, monument, and freestanding signs must be reviewed
for potential sight distance and visibility issues. Additional information must supplement
this application showing how the proposed signage will not encroach into the public right-of-
way or present a traffic hazard. Page 3 of 4 illustrates an example for what would be required
for such proposed signs.
P-11 Page 2 of 4 Rev. 02/28/18
SITE PLAN REQUIREMENT FOR POLE, MONUMENT, AND FREESTANDING SIGN
APPLICATIONS
The following example illustrates the information that is required for all pole, monument, and
freestanding sign permit applications. Prior to approval, all such proposed signs must be reviewed
· for potential issues by the Transportation Department, which will not allow signs to be approved
over the counter. Additional time will be required for on-site inspection.
I I l I
P/L : Sight Dist"1\ce Requirement .
Show building/s . I : . I . . . I .
' I I , _____ !_
Show setbacks from all curbs ---
' : I . I ' : I I I Show all property Jines I
P/L : . . I .
: .: I
curb line . . . I . .
----------~--
• •
Sight Visibility I
Street Name(s) Ci) I
I North
21.41.080 Sign design standards
Relationship to Streets: Signs shall be designed and located so as not to interfere with the
unobstructed clear view of the public right-of-way and nearby traffic regulatory signs of any
pedestrian, bicyclist or motor vehicle driver.
Sight Distance: No sign or sign structure shall be placed or constructed so that it impairs the sight
distance requirements at any public or private street intersection or driveway.
EXISTING SIGN PROGRAMS OR SPECIFIC PLAN SIGN CRITERIA
Total Building Square Footage: ________ sq. ft.
Total Building Street Frontage: linear ft.
Total Signage Allowance: sq. ft.
Existing Signage (sq. ft.): sq. ft.
Remaining Sign Allowance at Present: sq. ft.
Proposed Signage (sq. ft.): sq. ft.
Remaining Sign Allowance After Proposed Sign: sq. ft.
VILLAGE REVIEW AREA
Total Signable Area: ________ sq. ft.
Total Signable Area Length: sq. ft.
Total Signable Area Height: sq. ft.
Total Projection from Wall Face: inches
P-11 Page 3 of 4 Rev. 02/28/18
PROPERTY OWNER APPLICANT
NAME PRINT OR TYPE NAME PRINT OR TYPE
MAILING ADDRESS MAILING ADDRESS
5~.
CITY STATE ZIP TELEPHONE CITY STATE ZIP TELEPHONE
Tv';fl rf
I CERTIFY THAT I AM THE LEGAL OWNER
AND THAT ALL THE ABOVE INFORMATION
IS TRUE . ORRECT TO THE BEST OF
MY WLED E.
SIGNATURE DATE
PLANNER CHECK LIST:
1. Field check by planner.
2. Within maximum length, area.
I CERTIFY THAT I AM THE REPRESENTATIVE
OF THE LEGAL OWNER AND THAT ALL THE
ABOVE INFO IS TRUE AND CORRECT
TO THE BEST OF M NOWLEDGE.
J-2) 2--3)" ,-
DA TE
3. Style consistent with Sign Program and/or Specific Plan criteria, if applicable.
4. Location: In right-of-way In visibility triangle at corner
5. Pole and monument signs to be checked by Transportation Engineering, for visibility issues.
6. When approved route copy to Data Entry
APPROVED: Planner: ~ U,i,-/~ Date: 12--/ 2--3, / I 9
/.
P-11 Page 4 of 4 Rev. 02/28/18
fil1 pit~: G:'ADS Drawings\ltater Bros\ti~sht tA 111\11131 _ 27315\3 -,,r■il\2 • ut1ri11 si11ag1
REALITY BEGINS WITH VISION
WI I I I I II I I I Ill II II Ill II II I Ill lllll I lllllllllllll/1/l!/llllllllllllllllllll!II! lllllllllllllllllllllllllllllllllllllllllllll/lll/lll/ll/lllllllllllll!IIII//I//IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII! /Ill! II
D Conceptual Package
~ Permit Package
D Production Package
Prepared for:
#186
2687 Gateway Road
Carlsbad, CA 92009
NEW BRANDING SIGNAGE Project Scope:
SIGN PERMIT NO. PS Z..o 19 -o I 2-~
APPROVED BY DATE
BUILDING I I
Sign Type Sign Number lllum. Dimension Qty. Sq. Ft. % Sq. Ft. Allowed
From: Barbara Cohen
cell: 714-906-2029
email: bcohen@ad-s.com
COLOR DISCLAIMER
Channel Letters (Bldg ID) -replacement
Channel Letters (Dept) • replacement
Channel Letters (Dept) -replacement
Channel Letters (Dept) -replacement
Channel Letters (Bldg ID) -replacement
Out lo 1h illila1ians II NSI!,, sunaers nd Ike rit.lin iacoosiswcin if nrim disfla, aait,11 m prinlers. ae cols rs r•u m Ill 1au1 scrieo 0111 paper■ir !IOI Ha tltally a«llill riprojftlio■ 11 ae
aclllal 1111IKI. w, stri'r■ ID .... '" rolors IS lttllill as p1ssiWe, hi SlleH ad pri■IN i■atu '" illtoltd as a g1id1 oolr W sbaafd ,01 bt rtgardtl as abstlat,~ amffl. Silt C111'1i1ns Ind mile
tigltiag can also affect itwllle p11dutc 111pears {it. UD. diff11111 Aowml lllbs. lmral lilbl Blttlil Hafolit. fanlit). ffe recommed that you request a color sam,te as Cllll (Cr•~ Magema,
,...., nd Blad) 111 !he 11fo11 m l ii lhtprinti1i,11em. mriasR68 {ReHm,uad Sb) •re lh ""rs ml ly sm1ndisplars ml asroumD1i1u f11 lllis ,....,, ... lut 1, miatituiltrodacel ly
iglt11durim1qaip11t1l tber:allrs1nJA1fl<ll!IIOllprill..-,,otwcU,■atcllhlilisltdpro4act.
ff you woati fike to see• sample el any colo~ ,ieue n,~aesu■actnl sample Ire■ ynr Salesperso• or Project M111ger.
fflTHOUT A SIGNED COLOR SAMPll AD/S COMPANIES. ITS VENDORS ANO AfRUAITS ARE NOT RESPONSIBLE FOR DIFFERENCES. REAL OR PERCEIVED, BETWEEN THE WAY
YOUR PRODUCT APPEARS ON SCREEN OR PAPER AND TH£ FINAL PRODUCT.
-y 36" ht. letters 1 83.05 -y 17" ht. letters 1 20.07 -y 17" ht. letters l 18.66 -y 15 1 /8" ht. letters 1 17.89
Cf) y 36" ht. letters 1 83.05
Total Prooosed Sq.Ft. 'l'll..72
Total Allowed Sq.Ft. 269.1
Clieqtlame (nease PrinO_______ Date_/_/_
Client lame (Signalllre) __________ _
PLEASE INITIJIL AU PAGES
AD/S Drawing #47132 Rev. #09 (PS) Rev. Date, 2019-12-23
Pages, 8 (Including Cover Sheet)
30.86%
2311%
30.86%
84.93%
100.00%
D Approved
D Appmed as Noted
□ Rnise & Resubmit
□ Rejected
~
update SF
.
--
0
Tenant Sign •us Bank"
to remain
-=--I · -. ---. --•
WEST ELEVATION -Existing Condition
SCALE: NTS -
fflE 1160 Railroad St.
Corona, CA 92882
T 800.862.3202
F951.278.0681
■ ■ ■ www.ad-s.com . ' --f
• ·-----... . .
•
•
-•
■ Si gnoge + Fabrication
■Disp l ay s + Fi,dures
■Lighting+ Maintena nce
..
fV_SA:...:...;T.:..::E-=LL::.:..:.IT-=..E S:..:.IT:..:.E..:.:Vl~EW ______________________________ -1~ ~ SCALE: l" = 160'-0" U
Client: Prtject: Rnisieas: Project lo: 47132-R09 (PS) RB/JMH
51nnR P.R9?. 51nnR P.R9?. ffiSI: !ll~ll~i 1nist11flil11illil:ietfflitt1tl!lttlcifslfthl This is an eriginal unpublished dmiing crealed by AM lie.his
submitted tor your pmonal use in conjunction nith I preject being Dale: 2019-12-09
ffill lll~l!~i ~11e11•p1nllUl!ili1dlrilJtUllnffll1ius plaoned loryou hy AO/S In. II is ROI to h shonn to aayone tutside
P.O. Box 150 #186 Site Plan
2687 Gateway Rood ffiS!: !llf.lW IIRll•11r,-11ll1t1lt
your organization. nor is it ti be used. reproduced, copied or Si1Jlllyp1:
Attn: Construction Accounting exhiiited in aAy lashioa without writtet pe111issi1Ja lru■ AO/S lie.
Son Bernardino, CA 92402 Carlsbad, CA 92009 Sheet No: SP-1.00
•
'
Cl! ---• -•
CDf-V_IC_IN_ITY_MA_P _____________ ~
SCALE: 1' = 20'-0' U
Tenant Sign
"US Bank"
to remain
WEST ELEVATION -Existing Condition
SCALE: NTS ------
ffl~ 1160 Railroad St.
Corona, CA 92882
T800.862.3202
F 951.278.0681
• • • www.od-s.com
■ Signoge + Fab rica tion Client:
STRHR~R9J; ■Displays + Fixtures
■Lighting+ Main tenance P.O. Box 150
Attn: Construction Accounting
Son Bernardino, CA 92402
~2 ~ATELLITE SITE VIEW
\_V SCALE: 1• = 160'-0'
Project:
STRHR~R9J;
#186
2687 Gateway Rood
Carlsbad, CA 92009
Revisions:
.. ~ I \SH 11191111 rmseperi111sab1,sgo,d~IIClll&r1fte~t1ly"sl11dbatk
LL SH 101rn-11 updalum, page~ ■illll m cl,111h ~, dete11,,1a1i□ns
,
Project No: 47132-ROB(PS) RB/JWSH
This is an original unpublished drawing created by AO/S Inc. It is
Date: 2019-12-09 submitted for your personal use in conjunction witll a project being
planned for you by AO/S Inc. II is notlo be shown to anyone outside Site Pion your organization. nor is it to be used. reproduced, copied or Sign Type:
exhibited in any fashion without written permission lromAD/S Inc.
Sheet No: SP-1.00
Qty: One (1) Set Channel Letters, Face & Halo Ilium.
_83.05 square feet.
16"x 12" oreo of ascender
\ )81-811 ~~'----__ ---------'-"-="'---------t,
I
I IJIIf R-_-~a~-o~-SJ._._._._·_·-·,
I .
lD_ a_ r __ k _ e _ t _ s =l 9" ~,:~icol penetrations ~ ore to align near the s•x 2• area of descender top of channel letters.
CD SIGN A-FRONT VIEW -1 ~S-CALE-,-lM-•=-1-'--0'------------------~■ 1
2341-0" l 19'-0" I f 61'-0" f 1'
26'-0" f 19'-0" l
WEST Front/Entrance) ELEVATION, Existing Condition
SCALE: 1" = 40' -0"
1160 Railroad St. ■ Signage + Fabrication Clint Pr1ject:
◄
Sample Isometric View: Sample Night View
Red Face,
Red Trim Cap, Block Returns,
Face & Halo illumination.
LITTER SPECIFICATIONS:.
• 5" deep internally illuminated channel letters.
with lace & retro halo illumination effect.
• Mount 1 • off of building fascia.
• Returns to be .040" painted Satin Black on outside/.
Spraylat Star-Brite Light Enhancing Point on inside.
• Faces to be 3/16" thick Red (2793) acrylic.
• Bock is 3/16" dear polycarbonate ..
• Trim cop to be l" Red Jewelite ..
• Illumination to be white 2, l OOk Principal LED..
M\
update dim
WEST Front/Entrance ELEVATION, Proposed U dote
SCALE: 1 • = 40' -0"
Rerisiuns: ft Corona, CA 92882 ■Di splays+ Fixtures STATER P.R9?; STATERP.R9?; ffi!I: 1111-1!~1 miu,e1111Sllilislinmiriatt11!1e!tcilf11!1illd T 800.862.3202
F951.278.0681 ■Lighting+ Maintenance ffilll.1111-11~11181Utllp1Jl~llllnlldri!l1111niulim P.O. Box 150 #186 • • • www.ad-s.com Attn: Construction Accounting 2687 Gateway Rood ffilt: 101!-lW uiilt1l■S!lllllcot1dlrllllC
Son Bernardino, CA 92402 Carlsbad, CA 92009
-s· l"
1• LONG PVC SPACERS, PAINT lO MATCH FASCIA ------------.
.040" FABRICATED AWM. RETURN, BU.CK --------,.
l'RfDTRJMCAP------/
NON-CORIOSIYE 1/4' DIA. RIYNUT & ----'-------+-•~!!!~~=:;:;:::~
TltREADED ROD -NUT FROM BACKSIDE
MIN. (4) PU LETTER
3/16" Cl.W POIJCARBONATE LETTER BACKS ---l~--
.063" GROUND
.l87'THIO:REDACRTUCFACE -----M
~ CABLE TltRU Ill' DIA. FLEXIBLE ---1
METALUC CONDUIT TO 120. EUmlCAL
1:Z0./20 SELF-CONTAINED POWER ------'I
120. J.BOX WITH DlSCONNECT SWITCH ---....-
LIGHT-EMITTING DIODE (LE.D.) MODULES
2, loot WHITE, PRJNCIPAl 11111111 • OOUBLE-SllCX TAPED lO LETTER BACK 17nz5z:K•c. ,
MIN. (2) 114' DIA. WEEP HOLES PEI LETTER All COMPONENTS TO BE@ APPROVED
SECTION VIEW, CHANNEL LETTER -FACE & HALO ILLUMINATION
SCALE: NTS
SECONDARY GROUND FAULT
CIRCUIT PROTECTION PROVIDED
CONSTRUCTION COMPLIES WITH
THE 2016 CBC, CEC,AND CENC
CODE EDITIONS (CBC 3107.1)
◄ update dim
222.72 S . Ft. Total update total
Projen No:
This is an origi1al uapubfished drming created ~ ~D/S lit. h is
subllitted lor11ur persanal ase ia conjU11ction 11itll a p111jen being Dale:
~amd 111101 by AO/S lie. It is nolte h sbownla aarone ouuide
1ou1 019aai1atien. nor is it ID be used. rep111duced. copied or Sign Type:
eihi•ited in any fashion without writtu permission Ira■ All/S lac.
Sheet No:
r--..iNC1D.t1•aJID6•■..,_.■DHffS. •---m•sat!t...s-.,-.t ... lt!Nf~15111lMP:itlll5lli.l,lll)( m. ,-,uw •• ,r;ti,\nNI_.,, __ ,.... ...
MlJ111151CetWJl:IJIMQlltSHLISS.UtEM-,~Jflmftl .......... ..,ODf
--~, ...... ,Wilt ••••-DIUW.laOIIU .. 1111•-••glfll.a1r1-wm•••~•,.11<cw• ---a!il·-----·Milllil9'1■-wt--llS. .IQilltsatu••111.1t.,.ISl(IWJ~-liMl-·-OIIIIJ•MlS---·l'WU••iw••"'l.'.llllJ~•IOOD.~
l'hl1~<S/Mflllll:"fobeflWIIIJd11>c:cortl' .. c.wil'llbot~
dAl'lc•loOllolPl1N""°".rlli.d1t'.iCCfl....a«o'l>eo_,~.tr1
loc4'«ocl"K n..~.,pmfl'l'~'l'd-.g ..-.c ~dr.. "G"a.
_1_ DNlmlo,I ~ up Cimlll ot ~ VGlb
l:lisztl..Ll: All requimnHts 1121 bl sip company's
scope of wot\ aust be I■ placa prior to lns-tolkrtm.
Hlo!!..tl: lledriad 10 be iHwgkt IO lto>o ol ,igo
(by O!hen) cod !21 In •lg• '°"'petty', sa,pe of won.
~,n-,cndJo,~lot~be """.~"~-=t~"':'~ ....:~ ,_b<Odo"""l'lil,RI.
All COIVONENTS TO BE@ APPROVED
All SIGNS TO II( @ USTED
47132-R09 (PS) RIIIJWSH
2019-12-09
A: Building ID
1.00
Qty: One (1) Set Channel Letters, Face & Halo Ill urn .
. 20.07 square feet.
l 14'-2" L
1 1 {EUCL::sERVJC:e ----:;,~~ft
FONT: SWISS 721 BOLD HV (HELVETICA)
CD SIGN B-FRONT VIEW ~ 1 ,-...-.-------------1---S CALE: 3/8" = 1'-0" _
Qty: One (1) Set Channel Letters, Face & Halo Ill urn.
18.66 square feet.
l 6'-7" L l 6'-7" L 1 1 1 1 {EBE~sa-:~~ft LO~CAu-:;~~
~
update SF
Qty: One (1) Set Channel Letters, Face & Halo Ill urn.
17.89 squarefeet.
14'-2"
1160 Railroad St. ■ Signage + Fabrication Clieat:
FONT: SWISS 721 BOLD HV (HELVETICA)
FONT: SWISS 721 BOLD HV (HELVETICA)
Project:
-
-Corona, CA 92882 ■Displ ays+ Fix.l ures STAHR P.R9?; STATER P.R9?; T 800.862.3202
F 951.278.0681 ■L ighting+ Maintenance
■ ■ ■ www.od-s.com P.O. Box 150 #186
Attn: Construction Accounting 2687 Gateway Rood
San Bernardino, CA 92402 Carlsbad, CA 92009
Sample Isometric View: Sample Night View
Red Face,
Red Trim Cap, Black Returns,
Face & Halo illumination.
LETTER SPECIFICATIONS:.
• 5" deep internally illuminated channel letters.
with lace & retro halo illumination effect ..
• Mount 1 • off of building fascia.
• Returns to be .040" pointed Satin Block on outside/.
Sproylot Star-Brite Light Enhancing Point on inside ..
• Faces to be 3/16" thick Red (2793) ocrylit
• Bock is 3/16" clear polycorbanote.
• Trim cop to be 1" Red Jewelite ..
• Illumination to be white 2, 1 OOk Principal LED ..
Rerisiens:
ffi SK: 111~1I-IS lfflll ,i111 sallisliol mq ~1ilidcilfs lnacl.
ffiSK: mm.as ip,1iurn,a11~mtn.<~darilJtH•11■":m"
ffiSt ll1~11·1l ,p4d1dias,erpr,cualh11!t
5• ---1"
1• LONG PVC SPACERS, PAINT TO MATCH FASCIA -------------.
.040" FABRKATTD AWM. RETURN, BLACK ------
l'REDTRIMCAP-----~/
NON-CORROSIVE 1/4' DIA. RIVNUT & -----1-------~!!!!i!!!!!-:;==::=::c-
TltREADED ROD· NUT FROM BACKSIDE
MIN. (4) PER UTTf.R
3/16" CLEAR POLJCARBOIIATE lfTTER BACXS _ _JL-----::c,,t ~.....,.,,~-----
.063" GROUND
.187"THICKREDACRYUCFACE ----..a
R!Wl!lf CABLE THRU 1/2' DIA. FL.EllBLE ----1'
METAUI( CDNDUITTO 120v ELECTRICAL
120v/20 SELF-CONTAINED POWER -----f"'
LIGHT-EMITTING DtODE (LLD.) MODULES
2,100k WHITT. PRINCIPAL
• DOUBL.E-STlCK TAPED TO UTTf.R BACK I ! • c f 11 ti
~
MIN. l2l 114' DIA. WEEP HOLES PER UTTf.R All COMPONENTS TO BE® APPROVED
SECTION VIEW, CHANNEL LETTER -FACE & HALO ILLUMINATION
SCALE: NTS
SECONDARY GROUND FAULT
CIRCUIT PROTECTION PROVIDED
CONSTRUCTION COMPLIES WITH
THE 2016 CBC, CEC, AND CENC
COOE EDITIONS (CBC 3107.1)
~~--~··,.,..,·~·------~ .. , ... laNIDIII-ISlfO.llfll'Ol:NSallMDI. a •JHWl6■•511rS---~••,..,.-. • .._..Mll1MOIHSll'N~Sllil.llliltA91JllllMU8lftl
lliSll&llSllllll•lflDl9IMl-
•-Me111l.lOIIII.&~ ·••.-•!la.Nl<Dlftllllf n•wia:••1ll?INill•illam«s,1...-ent11Ctlllll-. ·--ll!il• ..... -tDND1a.-11a,--,5GN115. -a-.saauu•••1a!illffltla.t•11111•
•-Cll191'■MIS--!III, .,om ... "51'K'°""'Sll5lfua'.MNO«-lltrl0Dll.
nw,..,_,., ... .,.,.,~loC.inmledlll~..V.lha~
o/Mcf•&eo«-.rutonllfltd'it"-Ctld•at!dcroe,,.,..,_utll•
loe.i'n:odn Th1'~npmper~~DOnllll,v«S'!•tt;n.
_1_ .,.._. ~ ... °""""'~Voll,
~: All requirements llf ia si911 company's ,cope of worlo...., bo In pl,.. pdor to lastollo!looo.
~' !ledriaol to be brouglotto bmo of ws• (by of!MnJ ond J12! 11 "91 company'> .,.,. of won.
~-~~~ ::::.::. '!t:.::. who should obo emuro 11,ot lhe...,plei.d olectritol
SfAM Is code to11pllanl.
All COMPONENTS TO BE@APPIOVED
All SIGNS TO BE @ LISTED
Projee1lo: 47132-R09 (PS) RB/Jl\'SH
Ibis is an original unpublished drawing created by AO/S lie. h i$
sub11itted lorreur pmonal use ia conjamction ma I pruject being Date: 2019-12-09
planned fer1oa bf AIVS Inc. It is not 10 h shown to an1one 1utside
1ou1 organization. aor is i1 to be used. repruduced. copied or B, C, D: Ancillary Sign Trpe:
wi•itei in any fashion without wiittea permissioa hu■AIVSlac.
Skeet No: 2.00
Qty: One (1) Set Channel Letters, Face & Halo lllum.
83.05 square feet
I II
I II
NORTH ELEVATION -Existing Condition, Faces Gateway Rd., Overlooks El Fuerte St.
SCALE: l ' = 40'-0'
-
ffl 1160 Roilrood St. ■ Sign age+ Fabrication Client:
Corona, CA 92882 ■Displays+ Fixtures STATER P.R9~; T 800.862.3202
F 951.278.0681 ■Lig hting+ Maintenance P.O. Box 150 • • • www.od-s.com Attn: Construction Accounting
Son Bernardino, CA 92402
Sample Isometric View: Sample Night View
Red Face,
Red Trim Cap, Black Returns,
Face & Halo illumination.
LITTER SPECIFICATIONS:
• 5" deep internally illuminated channel letters
with face & retro halo illumination effect.
• Mount 1 • off of building fascia.
• Returns to be .040" painted Satin Black on outside/
Spraylat Star-Brite Light Enhancing Paint on inside.
• Faces to be 3/16" thick Red (2793) acrylic.
• Back is 3/16" clear polycarbonate.
• Trim cap to be 1" Red Jewelite.
• Illumination to be white 2, 100k Principal LED.
EQ ~ EQ
NORTH ELEVATION -Proposed Update, Faces Gateway Rd., Overlooks El Fuerte St.
SCALE: 1" = 40'-0'
P,oject: Revisions:
STATERP.R9~;
#186
\ I SH 10l9-11-DI re,~e per1,1 wl1,srn drawm1 trn11ea c,cy·s leidbatk
Lt,Sii 101~11-19 11diecmrpag1Slf1atru~rnll1Slfdete111naunns
2687 Gateway Road
Carlsbad, CA 92009
5"
1• LONG PVC SPACERS, PAINT TO MATCH FASCIA ---------~
.040" FABRICATED ALUM. RETURN, BLACX
1• RED TRIM CAP ------✓
HOH-CORROSIVE 1/4' DIA. RIYNUT & ----1-------
THREADED ROD -HUT FROM BACKSIDE
MIN. (4) PER LfTTER
3/16" CLEAR POLYCARBONATE LETTER BACKS __ .._ __ _
.063' GROUND
.1B7"THICKRED ACRYLICFACE ____ _.,I
lilWl!llf CABU THRU lfl' DIA. FLEXIBLE --~--r
METAWC CONDUIT TO 120v EUCTRICAL
120v/20 SELF-CONTAINED POWER ____ ,.-
120v J-BOX WITH DISCONNECT SWITCH
SCALE: NTS
83.05 S . Ft. Total
SECONDARY GROUND FAULT
CIRCUIT PROTECTION PROVIDED
CONSTRUCTION COMPLIES WITH
THE 2016 CBC, CEC, AND CENC
CODE EDITIONS (CBC 3107.1)
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_1_ Dedicated~ Amp Circuit at _!!!.. Volt,
~: All requireinentl Ml_ in sign company's
scope of wodl. inust be Ht pla<e prior to instaHation.
E-Nott 11!2, Electricol to be b'°"gl,t to bo,, of sign
(by othen) mHI ngt in ~gn _,pony's scope of wo<k.
::!rj!:~=~d/~ t:C~s=
who shovld oko ..,,.. thot the completed eledri<ol
..,.,... is code compliont.
All COMPONENTS TO BE® APPROVfD
All SIGNS TO BE ® LISTED
Project No: 47132-R0B PS RB/JM/SH
This is an original unpublished drawing created by AD/S Inc. It is
submitted for your pmonal use in conjunction with a project being
planned for you by AD/S Inc. It is not to be shown to anyone outside
your organization, nor is it to be used, reproduced, copied or
exhibited in any fashion without w1itten permission fromAD/S Inc.
Date: 2019-12-09
Sign Type: E: Project Entry ID Monuments
Sheet No: 3.00
ffl~
■ ■ ■
STATE OF CALIFORN~
SIGN LIGHTING
CECNRCClTS-01..£t0-'-108116\ CAllfOf!N14 ENERGY COMMISSION ■ I CERTIFICATE OF COMPLIANCE
I Sign Lighting
NRCC-LTS-01-E
(Page lofS)
2019-12-06 I_ .... Stater Bros #186 1--
A. General Information
Pro}ea Address:
2687 Gateway Road, Carlsbad, CA 92009
Loc•tk>n of Sis•
Phse of Si&n Construction
T or U htin Control ed u hti
This c.rtlfatt of compli.nce lndud<s the followinc components (check •Ii that •pply): C Manclotory Mnsures (lighting Controls) C Maximum Allowed Ughtin1 Power I!!( Specific ughtlnc Sources
1. Mandatnn, Slln Li.i,tlna Controls
NOTES:
1. The some re.sponsible person may Install both tM sign lighting power and tM sign lighting controls, or o different responsibk
person may Install the sign lighting controls than tht responsible person installing tht <ign lighting power.
1. The Mandatory Measures /sign lighting controls) art llquir~ for compliance with the sign lighting StondordJ. If the person
respon<iblt for installing the sign lighting power is not also responsible for the sign lighting controls, thtn tht owner of the sign,
gtntrol contractor, o, architect shall bt rtspon,ib/t to hovt the sign lighting controls /nstolltd.
3. If mart than one person hos responsibility for complionce, toch responsible person shall prepore and 5ign o Certificate of
Complionce and on Installation Certificate opplicoblt to tht portion of constrvction for which they ore respon,ible; oltemo~/y,
the person with chief responsibility for construction shall pr,pore ond ,ign th• C.rtif,cott of Complionce O.Clorotlon Statement
for the entire construction (e.Q. a C-10 contractor may complete po,u lo and lb on one compliona document and o C-45
contractor may compkte ports 2o and Zb on a separat~ compliance document -tM Responsi~ tNsigner shall submit tM two
complionc, documents tooether for the some comoltte instollation).
I have responslblllty for lnstalll111 the slsn ll<tilll controls: D Yes, I haw rosponslbility fo, the sign fi1htlnc controls, and will l?J' No, I do not haYe rnpon,ibllity fo, lnst•lllns the sic/1 lfshdns controls.
complete p.1111S la and lb of this compliance document Someone efse wal comp~te parts la ind lb of this compUance document.
la. Chedc Yes or No for all of tht followln.o statements:
I There are existing sign lilhting controls that comply with the applicable provisions of §110.9 and §130.3
□Yes n No
There are no existing sign lighting controls and I wiH be Installing sign lighting controls that comply with the applicable
2 provisions of §110.9 and §130.3
□Ye, n No
There are existing sign lilhting controls that do not oomply with the applia ble 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 a~ n ~
STATE OF CAUFORNlA
SIGN LIGHTING
CEC-NRCC-lTS-01-E Re.....ad 0&'16} CAllfORNl4 ENERGY COMMISSKlH Ill
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 2 of S)
--Stater Bros #186 .... -2019-12-06
lb. Mandatory Sien LJct,t1n1 Controls
If the person signing the Certificate of Compliance Decla,.tion Statement on this NRCC-LTS-01-E Is responsible for complying with
the shm lhzhtlna control requirements, that oerson shall answer all of the foUowina questions:
If there are construction documents, Indicate where on the building plans the I mandatorv measures (sit!n ll2htin2 control) note blodc can be located:
§130.3(1)1. All Indoor slcn ll1htln1 is controlled with an automatic time-switch control or astronomical time-y N NA 1 switch control. 0 0 0
§ll0.3(1)2A. All outdoor slcn n,t,tln1 Is controlled with a photocontrol In addition to an automatic time• y N NA
2 switch control, or an astronomical time--switch contr~. 0 0 0
EXCEPTION to Section 130.3(a)2A: Outdoo, signs in tunnels, and signs in larxe permanently covered outdoor y NA
areas that are intended to be contlnuousiv lit, 24 hours oer dav and 365 davs oer vear. 0 0
§130.3(1)2B. All outdoor slcn ll&htln1 that is ON both day and night is controlled with a dimmer that provides
the ability to automatic.illy 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 I hour during daylight hours shall be considered ON both day and 0 0 0
niaht.
EXCEPTION to Section 130.3(a)ZB: Outdoor signs In tunnels and large covered areas that are Intended to be y NA
Illuminated both day and niltht. 0 0
§130.3(0)3. Oemond Responsive Electronic Messoce Center Control. An Electronic Message Center (EMC) y N N/A having a new connected lighting power load greater than 15 kW has• control installed that is capable of 0 0 0 4 reducln1 the liahtina power by a minimum of 30% when recelvin• a demand res~se sl•nal.
EXCEPTION to Section 130.3(1)3: Lighting for EMCs that Is not permitted by a health o, life safety statute, y NA
ordinance, or re2ulation to be reduced bv 30%. 0 0
Field lns.....-1-0, Notes.:
CA Buildlng Energy EfficiencyStand,rds-2016 Nonresldential Compliance August 2016
1160 Railrood St. ■ Signoge + Fabrication Client: Project:
Corona, CA 92882
Displays+ Fixt ures 51nnR~R9~; STAHR ~R9tS; T 800.862.3202 ■
F 95l.278.0681 ■ Lighling + Maintenance
www.od-s.com P.O. Box 150 #186
Attn: Construction Accounting 2687 Gateway Rood
Son Bernordino, CA 92402 Carlsbad, CA 92009
STATE OF CALIFORNIA
SIGN LIGHTING
CEC-NRCC-L TS-01-ECRevlsed 08116) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 3 of 5) __ ,
Stater Bros #186 I""'._,.., 2019-12-06
2. Mandatory Sign Lighting Measures
I have responsibility for Installing the sign lighting
@ Yes, I have responsibility for the sign lighting, and will complete O No, I do not have responsibility for installing the sign lighting. Someone
parts 2a and 2b of this com~ liance 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 DE F G H I J
Symbol or
Code
A
B
C
D
E
G
H
Description of the Sign
OPTIONAL -
Energy Verified
Label (see
instructions
below}
✓
D
□
D
D
D
D
D
D
D
□
□
□
□
D
1:. .. ~ < C .. vi
Allotted Watts
~ o-N-tl ~§:-g ~~~ .. ->-'0 :!= :!= :i=u:-~=;; ~ t~~ '0 " ~ EE ., 0
~ ., :, .g_ II II 3:-i :fi = .Q < =-e <(
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Symbol or code used on the plans (when plans are required) and other documents.
Design
Watts
Complies
Y/N
A descriction of the sign, or location of siRn on the buildinR; and the location of siRn on construction documents.
Field
Inspector
Check that
Sign Complies
✓
□
□
□
□
□
□
□
□
□
□
□
□
□
□
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
authorized by Underwriters Laboratories (UL) or other Product Certification Body accredited to 1S0/IEC Guide 65 by the American
National Standards Institute in accordance with 1S0/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.
The siRn area in square feet.
List •1• if the siRn Is internally illuminated. List "E" if the sign is externally illuminated.
Allowed watts per sauare foot. Enter 12 if the sign is listed as •1• in column E. Enter 2.3 if sign is listed as "E" in column E.
Multiply the square footage In column D times the allowed Lighting Power Density (LPD = watts} in column F.
Show the total installed watts in the siRn, as determined according to the apolicable provisions of §130(c).
Enter Y if the number in column H is less than or equal to the number in column G. Otherwise, the siRn does not comply.
This pue doubles as a field insoection checklist.
Field Inspector Notes:
CA Building Energy Efficiency Standards -2016 Nonresidential Compliance August 2016
Revisions: Project No:
\ This is an original unpublished drawing c1eated by AO/S Inc. It is ~ SH. 1119-11-01 rn~e 111111111b1,si.u dlilrn! 1rnflec1 ~q·: leediatk
submitted for your personal use in conjunction with a project being Dale:
~SH 1119-1 rn u1late cem pa;e t111r.nrn tllf1fy !II de111uat1nlll planned foryou by AO/S Inc. It is not to be shown to anyone outside
your organization, nor is ii to be used, reproduced, copied or Sign Type:
--'~ exhibiled in any fashion wilhoul written permission from AO/S Inc.
Sheet No.
47132-ROB(PS) RB/Jf,\/SH
2019-12-09
Title 24
T24.00
STATE OF CALIFORNIA
SIGN LIGHTING
STATE OF CALIFORNIA
SIGN LIGHTING
CEC-NRCC-l TS-01-E{Revised 08/16) CALIFORNIA ENERGY COMMISSION CEC-NRCC-US-01-€/Revlsed 08/161 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign lighting (Page 4 of 5)
-N-. Stater Bros #186 I C>Me Prepared: 2019-12-06
Sign Lighting (Page 5 of 5)
Pl'o;tclNfn.: Stater Bros #186 r Dl-te Pftpared: 2019-12-06
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
DOCUMENTATION AUTHOR'S DEClARATION STATEMENT
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: Oocumffltation Author Si&nitur~
Barbara Cohen 'rj;-
Compliance if there are si1ms usinR the maximum allowed lighting power method of compliance)
A B C D E
OPTIONAL
Compony: 5l&nibJ~ Daite: '--
Architectural Oeslan & Sl11ns 2019-12-06
Address: CEA Certificatjon ldenti!iatlon (;f •ppllc•blt):
1160 Railroad Street
ENERGY Specific light source used for Field Inspector Symbol VERIFIED compliance
or Description label Shall include only lighting Check that Sign
Code (see technologies listed below Complies
✓
instructions (list all that apply)
below)
A Channel Letters IB(dn IOI 0 7 D
B Channel Letters (Dept) @ 7 D
Oty/St,te/Zip: Phone:
Corona CA 92882 (9511278.()680 X 124
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 ntle 24, Part 1 and Part 6 of the California Code of
C Channel Letters (Dept) @ 7 D
0 Channel Letters (Dept) 0 7 D
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
E Channel Letters (Bldg ID) @ 7 D
□ D
D D
D D
A Symbol or code used on the plans (when plans are required) and other documents.
B A narrative descriotion of the siQn, or location of sign on the building; and the location of sign on construction documents
agency for approval with this building permit application.
s. 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 provides to the bu;t14ing owner at occupancy.
Responsible Designer Name: Responsible Ocsigner 5i&nature: ~ Milton Solomon
Compony: O.teS,cned:
Architectural Design & Signs 2019-12-06
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
Address: License:
1160 Railroad Street 714309
Oty/St,te/Zip, Phone: Corona, CA 92882 (951) 278--0680 x122
C (UL) or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards Institute in accordance with
1S0/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 applv 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 2SO 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 C82.6-200S.
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 SO mA. The ratio of the output wattage to the Input wattage is at
100% tubin2 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 SO mA or greater. The ratio of the output wattage to the input wattage is at
100% tubin2 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 onlv 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.
8
Single voltage external power supplies that are designed to convert 120 volt AC input into lower voltage DC or AC output, and have a
nameplate output power less than or equal to 250 watts, shall comply with the applicable requirements of the Appliance Efficiency
Re2ulations (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 CA Building Energy Efficiency Standards -2016 Nonresidential Compliance August 2016
n 1160 Railroad St. ■ Sign age+ Fabrication Client Project: Revisions. Project No: 47132-ROB(PS) RB/JM/SH
Corona, CA 92882 ■Displays+ Fixtures STAHR P.R9~; ST ATER ~ R 9 ~; T 800.862.3202 __h SH 111i11.11& m,se 1111111 sub1,uio1 dllll',g ra ,eflea tllJ's leedb.ck This is an original unpublished drawing created by AD/S Inc. It is 2019-12-09 submitted for your personal use in conjunction with a project being Date:
F951.278.0681 ■Light in g+ Maintenance ,__LSH P.O. Box 150 #186 mi I Hl upl~e Cm!I Pi!I s,11illlll ~ Cia!'lf s,1 i!leranat,a,s planned for you by AD/S Inc. It is not to be shown to anyone outside Title 24 • • • www.od-s.com you, organization, nor is it to be used, 1eproduced, copied or Sign Type: Attn: Construction Accounting 2687 Gateway Rood '----' exhibited in any fashion without written pe1mission from AD/S Inc.
Son Bernardino, CA 92402 Carlsbad, CA 92009 124.10 Sheet No:
.. ...
STATE OF CALIFORNIA
SIGN LIGHTING
CEC-NRCI-LTS-0HRevised /01/16) CALIFORNIAENERGYCOMMISSIO • STATE OF CALIFORNIA
SIGN LIGHTING
CEC-NRCI-LTS-01-evised 01/16 CALIFORNIAENERGYCOMMISSIO
CERTIFICATEOF INSTALLATION NRCI-LTS-O1-E CERTIFICATEOF INSTALLATION NRCI-LTS-O1-E
Sign Lighting Page 1 of 2 Sign Lighting Page 2 of 2
Project Name:
Stater Bros #186 Enron:ement Agency: Permit Number: Project Name: Stater Bros #186 Enforcemenl Agency: Penni! Number:
.-roject Address: 2687 Gateway Road 1,;;iy: Carlsbad, CA Lip'-""": 92009 roject dress: 2687 Gateway Road ity: Carlsbad, CA 92009
GENERAL INFORMATION DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
DATE OF PERMIT: PERMIT NUMBER: 1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature:
LOCATION OF SIGN{S): □ Outdoor Sign(s) □ Indoor Sign(s)
PHASE OF CONSTRUCTION: □ New Sign(s) □ Sign Alteration
Documentation Author Company Name: Date Signed:
Address: CEA Certification Identification (If applicable):
SCOPE OF RESPONSIBILITY City/State/Zip: Phone:
Enter the date of approval by enforcement agency of the Certificate of Compliance that provides the
specifications for the energy efficiency measures for the scope of responsibility for this Installation Date: RESPONSIBLE PERSON'S DECLARATION STATEMENT
Certificate. I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
In the table below identify all applicable construction documents that specify the requirements for the scope of responsibility 2. I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the
reported by this Installation Certificate (continued). system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
Document Title or Description Applicable Sheets or Pages, Tables, Date Approved by
Schedules, etc. Enforcement Agency
identified on this Certificate of Installation and attest to the declarations in this statement (responsible builder/installer),
otherwise I am an authorized representative of the responsible builder/installer.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this
Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements
given on the plans and specifications approved by the enforcement agency.
4. I reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements
for the scope of construction or installation identified on this Certificate of Installation, and I have ensured that the requirements
that apply to the construction or installation have been met.
5. I will ensure that a completed signed copy of this Certificate of Installation shall be posted, or 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 Installation is required to be included with the documentation the builder provides to
the building owner at occupancy.
Responsible Builder/Installer Name: Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Position With Company (Title):
Address: CSLB License:
City/State/Zip: Phone I Date Signed:
CA Building Energy Efficiency Standards -2016 Nonresidential Compliance January 2016 CA Building Energy Efficiency Standards -2016 Nonresidential Compliance January 2016
II 1160 Roilrood St. ■ Sign age+ Fa brica tion Client: Project: Revisions: Project No: 47132-ROB(PS) RB/JWSH
Corona, CA 92882
STATER P.R9~; STATER P.R9~; T 800.862.3202 ■Displays+ Fixt ures J SI mrn-Oi mne per111111i1 si,an draorn111 rei,a crty's ~edll.ltk This is an original unpublished drawing created by AD/S Inc. II is 2019-12-09 submitted for your personal use in conjunction with a project being Date. F951.278.0681 ■lighting+ Maint enance
www.od-s.com P.O. Box 150 #186 .:.-.L St 111~11·39 ,plirn111 pigulaa1111 ~ tlan~ ~ldetera,,~ieAS planned lor 1ou by AO/S Inc. II is not lo be shown lo anyone outside Title 24 ■ ■ • Attn: Construction Accounting 2687 Gateway Rood your organization, nor is ii to be used, reproduced, copied or Sign Type.
'---' exhibited in any fashion without written permission fromAO/S Inc.
Son Bernardino, CA 92402 Carlsbad, CA 92009 T24.20 Sheet No.