13.109 Lighting Forms for Acceptance Requirements

There are three forms used to document the completion of these procedures. Each form includes a series of check boxes relating to each test or verification that needs to be performed. When completing the forms, check the appropriate box on the form after each test or verification is completed. Where the form includes data entry locations other than check boxes, enter the data requested on the form.

These forms are located in Appendix A.

      NRCA-LTI-02-A Lighting Control Acceptance Document

      NRCA-LTI-03-A Automatic Daylighting Controls Acceptance Document

      NRCA-LTI-04-A Demand Responsive Lighting Controls Acceptance Document

 

NRCA-LTI-02-A – Lighting Control Acceptance Document

This form is used to document the results for various lighting control tests. The form was designed so that data for three lighting control strategies (occupant sensors, manual daylight control, and automatic time switch) could be recorded on one form. The form is separated into the following sections: project information; construction inspection; functional testing results; evaluation and certification statement. Each section consists of a combination of data entry requirements and check boxes.

Project Information

      PROJECT NAME is the title of the project, as shown on the Code Compliance forms.

      PROJECT ADDRESS is the address of the project as shown on the Code Compliance forms.

      ENFORCEMENT AGENCY identifies who has enforcement jurisdiction such as the county or city. The enforcement agency is the entity that issued the building permit

      PERMIT NUMBER is from the permit issued by the enforcement agency and is located on the building permit.

 

Construction Inspection (Pre-test Inspection)

This section consists of check boxes. Complete check boxes as instructed.

Functional Testing

This section consists of data entry requirements arranged by individual test procedures. There are three columns to record testing results for up to three tested spaces.

Testing Results

Check the appropriate box as instructed to indicate pass or fail.

Evaluation

Check the appropriate box as instructed.

Certification Statement

The statement of compliance is signed by the person responsible for performing the test and verifying system performance. The signatory provides the following: name; company name; signature and date signed; as well as license number and expiration date.

NRCA-LTI-03-A – Automatic Daylighting Control Acceptance Document

This form is used to document the results for automatic daylighting control tests. The form was designed so that data for three lighting control strategies (continuous dimming, stepped dimming, and stepped switching) could be recorded on one form. The form is separated into the following sections: project information; construction inspection; functional testing requirements; pass/fail evaluation; and certification statement. Each section consists of a combination of data entry requirements and check boxes.

Project Information

      PROJECT NAME is the title of the project, as shown on the Code Compliance forms.

      PROJECT ADDRESS is the address of the project as shown on the Code Compliance forms.

      CONTROL SYSTEM NAME/DESIGNATION is the name or unique identifier for the system(s) being tested For example: “continuous dimming – whole building”.

      ENFORCEMENT AGENCY identifies who has enforcement jurisdiction such as the county or city. The enforcement agency is the entity that issued the building permit

      PERMIT NUMBER is from the permit issued by the enforcement agency and is located on the building permit.

 

Construction Inspection (Pre-test Inspection)

Functional Testing

This section consists of data entry requirements arranged by individual test procedures. There are three columns under the “Applicable Control System” heading labeled 1 through 3 are available for up to three system information to be filled in.

 

Pass/Fail Evaluation

Check the appropriate box as instructed.

Certification Statement

The statement of compliance is signed by the person responsible for performing the test and verifying system performance. The signatory provides the following: name; company name; signature and date signed; as well as license number and expiration date.

 

NRCA-LTI-04-A – Demand Responsive Lighting Controls Acceptance Document

This form is used to document the results for demand responsive lighting controls tests. The form was designed so that data for up to seven spaces could be recorded on one form. The form is separated into the following sections: project information; construction inspection; functional test; evaluation; and certification statement. Each section consists of a combination of data entry requirements and check boxes.

Project Information

      PROJECT NAME is the title of the project, as shown on the Code Compliance forms.

      PROJECT ADDRESS is the address of the project as shown on the Code Compliance forms.

      ENFORCEMENT AGENCY identifies who has enforcement jurisdiction such as the county or city. The enforcement agency is the entity that issued the building permit

      PERMIT NUMBER is from the permit issued by the enforcement agency and is located on the building permit.

Construction Inspection (Pre-test Inspection)

This section consists of check boxes. Complete check boxes as instructed.

Functional Test

This section begins with general requirements and follows by individual test procedures for two methods, Illuminance Measurement method and Power Input Measurement method. One of the two methods shall be selected for the acceptance test.

Evaluation

Check the appropriate box as instructed.

Certification Statement

The statement of compliance is signed by the person responsible for performing the test and verifying system performance. The signatory provides the following: name; company name; signature and date signed; as well as license number and expiration date.