2016_Lighting-Compliance-Form Compliance Forms I Lighting
Compliance Forms
Lighting
Instructions
The following compliance forms are provided to assist in understanding and documenting compliance with
the lighting requirements of ASHRAE/IES Standard 90.1-2016.Electronic versions of the compliance forms
are available for download from ASHRAE's website.
The lighting forms are organized into eight sections on four pages,beginning with header information and
mandatory measures and concluding with exterior lighting requirements.
Header Information
Project Name:Enter the name of the project.This should agree with the name that is used on the plans and
specifications or the common name used to refer to the project.
ProjectAddress:Enter the street address of the project,for instance,"142 First Street."
Date:Enter the date when the compliance documentation was completed.
Designer of Record/Telephone:Enter the name and the telephone number of the designer of record for the
project.This will generally be an architecture firm.
Contact Person/Telephone:Enter the name and telephone number of the person who should be contacted if
there are questions about the compliance documentation.
City:Enter the name of the city where the project is located,including the state or province and postal code,
for instance,"Riverside,CA 94105."
Exterior Lighting Zone:Enter the exterior lighting zone(see Table 9.4.2-1).This must be an integer between
0 and 4.
Mandatory Provisions Checklist
This section of the compliance form summarizes the mandatory provisions for the design of the lighting
system.The mandatory measures are organized on this form in the same order as they are in the Standard.
Check the box to indicate that the mandatory requirement applies to the building and that the building
complies with the requirement.If the requirement is not applicable,then leave the box unchecked.
Interior Lighting Power Allowance(Building Area Method)
Complete this section of the form if the Building Area Method(Section 9.5)is used to determine the interior
lighting power allowance.Complete a row in this table for each building type in your building.For instance,if
you have a three-story building with the first floor retail and the upper two floors office,you would enter two
building types.
Building ID:An identifying number or designation that keys the building to the plans and specifications.
Building Type:Select a building type from the first column of Table 9.5.1 and write it in this column.
Lighting Power Density:Select the lighting power density from Table 9.5.1 that corresponds to the building
type entered in the first column.
Building Area:Enter the building floor area for this building type.
Lighting Power Allowance:Multiply the lighting power density(LPD)times the building area to get the
lighting power allowance and enter the product in this box.Once the lighting power allowance is calculated
for each building type,then sum the values and enter the sum in the box labeled Total.
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Interior Lighting Power Allowance(Space-by-Space Method)
Complete this section of the form if the Space-by-Space Method(Section 9.6)is used to determine the interior
lighting power allowance.Complete a row in this table for each unique space in your building.
Building ID:Enter the room number or other designation that keys the space to the plans and specifications.
Building Type/Space Type:Select a building type and space type from Table 9.6.1 and write them in this
column.An example would be"Library: Reading Area,"where"Library"is the building type and"Reading
Area"is the space type.
Lighting Power Density:Select the LPD from Table 9.6.1 that corresponds to the building type and space type
entered in the first column.This value should include the 20%increase for a high room cavity ratio when
appropriate.
Room Cavity Ratio:If the LPD is increased by 20%due to a high room cavity ratio,then the calculated room
cavity ratio should be entered in this column.If no adjustment is made,this column may be left blank.
Building Area:Enter the floor area for this space.
Lighting Power Allowance:Multiply the LPD to get the lighting power allowance and enter the product in this
box.
Subtotal:Sum the lighting power allowance for each of the spaces and enter the total in this box.This is the
lighting power allowance before possible credits for automatic controls.
Controls Allowance:If additional power is being claimed for automatic lighting controls per Section 9.6.3,then
the calculated watts from page 3 of the compliance form should be entered in this box.
Total:Sum the subtotal and controls allowance.This is the maximum interior power,excluding special power
for decorative lighting and display,which is treated separately in the use-it-or-lose-it category(see page 3 of
the compliance form).
Interior Connected Lighting Power
Use this portion of the form to calculate the connected lighting power for the interior of the building.Fill out a
row in this table for each type of luminaire you have.This list will generally match the lighting fixture
schedule found on the electrical drawings.
ID:Enter a code number or identification number that is consistent with the lighting schedule on the plans
and specifications.This identification should enable a plan checker to identify the location of luminaires of
this type on the plans.
Luminaire Description:Provide a description of the luminaire,including information such as the number of
lamps,watts per lamp,type of ballast,and type of fixture.
Type:Select one column to indicate the type of lighting source used for this luminaire.The choices are
incandescent,fluorescent,high-intensity discharge(HID),line-voltage track,low-voltage track,and other.
Number of Luminaires:Enter the number of luminaires of this type that are located in the building.
Watts/Luminaire:Enter the total watts of power per luminaire.Be sure to include consideration of the ballast
and any other factors that affect input power.
Total Watts:Calculate the total watts of power for this luminaire by multiplying the power per luminaire
times the number of luminaires.
Total:Calculate the total installed watts for the building by adding the total watts for each luminaire type.In
order for the building to comply,this value must be less than the total lighting power allowance calculated
with either the Space-by-Space Method(Section 9.6)or the Building Area Method(Section 9.5).
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Additional Interior Lighting Power Allowance—Control Credits
Use this portion of the form to calculate any additional power due to the installation of automatic lighting
controls meeting the requirements of Section 9.6.3.
Building ID:Enter the room number or other designation that keys the space to the plans and specifications.
Building Type/Space Type:Select a building type and space type from Table 9.6.1 and write them in this
column.An example would be"Library: Reading Area,"where"Library"is the building type and"Reading
Area"is the space type.
Control Type:Select a control type from Table 9.6.3.
Control Factor:Select the appropriate control factor from Table 9.6.3.This may vary with different spaces.
Installed Watts:Enter the installed watts that are controlled.
Additional Allowance:Multiply the control factor times the installed watts to determine the additional power.
Total:Sum the additional power for all controls and carry this value to page 1 of the compliance form,where
the interior lighting power allowance is determined using the Space-by-Space Method(Section 9.6).
Additional Interior Lighting Power Allowance—Decorative and Display
Use this section of the form to identify additional lighting power that is permitted by Section 9.6.2.This
section of the Standard allows additional lighting power for decorative purposes such as wall sconces or
chandeliers and for display lighting in sales areas.These special lighting power allowances may only be used
for their intended purpose.If the installed power is smaller than the allowance,the surplus power may not be
allocated to another portion of the building.This type of allowance is often called a"use it or lose it"
allowance.
Space ID:Enter an identification code for the space where the special allowance applies.This code should be
consistent with the numbering scheme on the plans.Typically,the room number from the plans will be
entered in this box.
Space Name:Enter a descriptive name for the space.This should be consistent with the name used on the
room schedule on the plans.The Space ID,however,is the principal link back to the plans from the
compliance form.
Type:Enter the type of special allowance that applies.Choose just one.The choices are decorative and display
lighting.See Section 9.6.2 of the Standard for more details on these allowances.
Area:Enter the applicable area for the special allowance.
UnitAllowance:This allowance is fixed.Enter 0.75 W/ft2 (8.1 W/m2)for the decorative allowance or either
0.45,1.05,or 1.88 W/ft2 (4.8,11,or 20 W/m2)for the display lighting allowance.See Section 9.6.2 of the
Standard for more details.
Allowance:Calculate the allowance by multiplying the area times the unit allowance.Enter the product in this
box.
Luminaire IDs:Enter the identification numbers of the luminaires used for the intended purpose.If the
allowance is for decorative lighting,the ID should reference a chandelier or wall sconce that satisfies the
decorative lighting requirement.The IDs entered in this column should be consistent with those used in the
lighting schedule on the plans and in the section of the lighting compliance form labeled Additional Interior
Connected Lighting Power.
Installed Power.Enter the lighting power actually installed in the room for the intended use.If the allowance
is for decorative or display lighting,this value should represent the lighting power for the qualifying fixtures.
This value must be lower than the allowance for each type of allowance and within each room.In other
words,the value in the last column must be less than the value in the next to last column in every row of the
table.
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Additional Interior Connected Lighting Power
This portion of the compliance form provides additional documentation on the lighting equipment installed
for the additional decorative or display lighting allowance.Multiple rows must be completed in this form for
each space type on page 2 of the form,where an additional power allowance is claimed for decorative or
display lighting.This form lists all the luminaires used for each application.Essentially,it documents the
Installed Power field of the previous page.
Space ID:This field should correspond to one of the Space ID fields on the previous form.The luminaire
described on this row of the form is used for the decorative or display allowance claimed on the previous
page.
Luminaire ID:Enter a code number or identification number that is consistent with the lighting schedule on
the plans and specifications.This ID should enable a plan checker to identify the location of luminaires of this
type on the plans.This ID is also entered on the Additional Interior Lighting Power Allowance section of this
form.
Luminaire Description:Provide a description of the luminaire,including information such as the number of
lamps,watts per lamp,type of ballast,and type of fixture.
Type:Select one column to indicate the type of lighting source used for this luminaire.The choices are
incandescent,fluorescent,LED,high-intensity discharge(HID),line-voltage track,low-voltage track,and
other.
Number of Luminaires:Enter the number of luminaires of this type that are used for the special purpose.
Watts/Luminaire:Enter the total watts of power per luminaire.Be sure to include consideration of the ballast
and any other factors that affect input power.
Total Watts:Calculate the total watts of power for this luminaire by multiplying the power per luminaire
times the number of luminaires.This column should be summed and the total entered at the bottom of this
form.
Exterior Building Lighting Power Allowance(Tradable Lighting Applications)
Use this table to calculate the lighting power allowance for exterior lighting in tradable applications.For each
of the tradable lighting applications listed in Table 9.4..2-2 that occur in the project,enter the application type
(e.g.,building entrance with canopy),enter the allowance from Table 9.4.2-2,enter the length(ft.or m) or
area(ft'or mz) as appropriate,multiply the allowance times the length or area,and enter that result in the
Tradable Power Allowance column.
Exterior Building Lighting Power Allowance(Nontradable Lighting Applications)
This table is identical to the previous table except that the nontradable lighting applications,as listed in
Table 9.4.2-2,are to be entered here.
Exterior Connected Lighting Power(Tradable Applications)
Use this table to list exterior lighting equipment used for tradable applications as identified in Table 9.4.2-2.
ID:Enter a code number or identification number that is consistent with the lighting schedule on the plans
and specifications.This ID should enable a plan checker to identify the location of luminaires of this type on
the plans.
Luminaire Description:Provide a description of the luminaire,including information such as the number of
lamps,watts per lamp,type of ballast and type of fixture.
Number of Luminaires:Enter the number of luminaires of this type that are used for the allowances listed
above.For example,if the same type of luminaire is used for pathway lighting and entrance lighting,count
only the luminaires that are used for entrance lighting in this table.
Watts/Luminaire:Enter the total watts of power per luminaire.Be sure to include consideration of the ballast
and any other factors that affect input power.
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Total Watts:Calculate the total watts of power for this luminaire by multiplying the power per luminaire
times the number of luminaires.
Exterior Connected Lighting Power(Nontradable Applications)
This table is similar to the preceding table except that the lighting application needs to be identified along
with its corresponding luminaires because each of the nontradable applications must comply individually.
Exterior Lighting Compliance Test
Each of the conditions in this table must be met for exterior lighting systems to comply with the Standard.
The tradable exterior lighting applications comply if the connected lighting power is no greater than the total
allowance.All or a portion(or none)of the base site allowance can be used to achieve compliance.
Connected lighting power for each of the nontradable applications must be no greater than their
corresponding allowances.Here additional base site allowance can be applied to achieve compliance.The
total of the base site allocations used for both the tradable and nontradable applications must be no greater
than the base site allowance taken from Table 9.4.2-2 for the applicable exterior lighting zone.
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Lighting Compliance Documentation , of 4
Project Name:Kohl's Department Store Sephora Remodel
Project Address:1350 Town Centre Drive, Eagan, MN Date:01/18/22
Designer of Record:James Norman Email:james.norman@thecdcompanies.com Telephone:
Contact Person:James Norman Email:james.norman@thecdcompanies.com Telephone:314.821.1100
City:Eagan, MN Exterior Lighting Zone:
Mandatory Provisions Checklist
❑ Lighting Control(Section 9.4.1)
0 Interior Lighting Controls(Section 9.4.1.1)—See worksheet.
❑ Controls for parking garages(Section 9.4.1.2).
6d Automatic lighting shutoff per Section 9.4.1.1(i).
❑ Occupancy-based automatic lighting power reduction.
❑ Separately controlled transition areas.
❑ Perimeter daylight responsive control as required.
0 Separate lighting controls independent of general lighting(Section 9.4.1.3).
❑ Display/accent,display cases,nonvisual lighting,and demonstration lighting applications.
❑ Guestroom lighting and receptacle automatic OFF.Separate bathroom automatic OFF.
❑ Task lighting,undershelf,and undercabinet lighting has an integral or wall-mounted control device.
❑ Exterior lighting controls including automatic shutoff and bilevel as required(Section 9.4.1.4).
❑ Daylight responsive shutoff.
❑ Automatic facade and landscape lighting shutoff.
❑ Automatic lighting power reduction for lighting other than fagade and landscape lighting.
❑ Exterior lighting power(Section 9.4.2)—See worksheet.
❑ Functional controls testing completed(Section 9.4.3).
Interior Lighting Controls Section 9.4.1.1
Control Function
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90.1-2016 User's Manual Forms-6
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Lighting Compliance Documentation
Project Name:Sephora Beauty Interior Remodal
Contact Person:James Norman Email:james.norman@thecdcompanies.com Telephone:(314)821-1100
Interior Lighting Power Allowance (Building Area Method—Section 9.5.1
Lighting
Lighting Power Building Power
Building Building Area Type Density Area Allowance
ID (Table 9.5.1) (W/ft'or W/m2) (ft'or m2) (W)
Total
Interior Lighting Power Allowance (Space-by-Space Method—Section 9.6.1
Lighting
Lighting Power Room Space Power
Space Building Type/Space Type Density Cavity Area Allowance
ID (Table 9.6.1) (W/ft'or W/m2) Ratio (ft'or m2) (W)
SALES RETAIL 1.22 81975 100010
Subtotal 100010
Controls Allowance(Section 9.6.3)
Total 100010
Interior Connected Lighting Power
Type
U U
� H
� O O
N
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N 6
N O O
Luminaire Description a P > >
(including number of lamps per fixture, ° 3 ❑ o r Number of Watts/ Total
ID watts per lamp,type of ballast,type of fixture) S J LL = J J O Luminaires Luminaire Watts
A 2 X 4 0 0 0 0 0 0 0 716 34 24344
B 2X2 0 0 0 0 0 0 0 113 17 1921
L2X 2'CORNICE LIGHTING(2 LAMPS) 0 0 0 0 0 0 0 5 24 120
M,c3X, X CORNICE LIGHTING(2 LAMPS) 0 0 0 0 0 0 0 146 34 4964
L4x,cox. 4'CORNICE LIGHTING(2 LAMPS) 0 0 0 0 0 0 0 304 42 12768
TS2 2'RECESSED LIGHT(1 LAMP) 0 0 0 0 0 0 0 2 21 42
TS3 3'RECESSED LIGHT(1 LAMP) 0 0 0 0 0 0 0 7 17 119
TS4 4'RECESSED LIGHT(1 LAMP) 0 0 0 0 0 0 0 23 12 276
WRL,WRl WALL WASHER 0 0 0 0 0 0 0 239 24 5736
Total 50290
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Lighting Compliance Documentation Page 8 of 4
Project Name:Sephora Beauty Interior Remodal
Contact Person:James Norman I
Email:james.norman@thecdcomapies.com Telephone:(314)821-1100
Additional Interior Lighting Power Allowance Section 9.6.2 —Decorative, Display, and Retail
Type
ra
c
N M V
j J 2 2 2 9D
Unit
o m — — — — Area Allowance Installed
Space Space (ft2 or (W/ft2 Allowance Luminaire Power
ID Name 5 m2) or W/mz) (W) IDs (W)
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Total
Additional Interior Lighting Power Allowance (9.6.3)—Control Credits
Additional
Space Space Control Type Control Factor Installed Watts Allowance
ID Name (Table 9.6.2) (Table 9.6.2) (W) (W)
Total
Additional Interior Connected Lighting Power
Type
U U
_ F �
C (D N
U 0) 0)
Luminaire Description o o
(including number of lamps > > Watts/
Space Luminaire per fixture,watts per lamp, cO w o (D 3 - Number of Lumin Total
ID ID type of ballast,type of fixture) _JiZ = J J O Luminaires -aire Watts
SALES TO DOWNLIGHTS O O O O O O O 25 24 600
SALES JR1 DECORATIVE PENDANT LIGHT O O O O O O O 1 96 96
SALES XAL4 4'LINEAR LIGHTS O O O O O O O 2 44 99
SALES XAL5 5'LINEAR LIGHTS O O O O O O O 7 55 385
SALES XAL8 8'LINEAR LIGHTS O ® O O O O O 36 88 3168
SALES NFL Track Head(wattage based on 288'of track) OO O O O O O 8640 8640
O O O O O O O
Total 12988
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Compliance Forms I Lighting
Lighting Compliance Documentation
Exterior Building Lighting Power Allowance Tradable Lighting Applications
Area or Length Tradable
z ft Power
Application Allowance or rn orr m Allowance
Tradable Power Allowance
Exterior Building Lighting Power Allowance Nontradable Li hting Applications
Nontradable
Area or Length or Power
ID Application Allowance per Unit Quantity Allowance
Nontradable Power Allowance
Exterior Connected Lighting Power Tradable Applications
Luminaire Description(including number of lamps per fixture,watts per lamp, Number of Watts/ Total
ID type of ballast,type of fixture) Luminaires Luminaire Watts
Total
Exterior Connected Lighting Power Nontradable Applications
Luminaire Description(including number
of lamps per fixture,watts per lamp, Number of Watts/ Total
ID Nontradable Application type of ballast,type of fixture) Luminaires Luminaire Watts
Total
Exterior Lighting Compliance Test
Tradable
Tradable Power Connected Lighting Power
Allowance(Watts) Base Site Allowance (Watts)
+ >
Nontradable
Nontradable Nontradable Power Connected Lighting Power
Application Allowance(Watts) (Watts)
Allocated Unallocated
Base Site Allowance Base Site Allowance
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