07-1343 (RC)78080 Calle Amigo Ste 101
07-1343
-11 IIIIIIIIIIIIIIIIIIIIIIIII 05IE
Tity/
P.O. BOX 1504 _ _ ..._..._._._._.._ _......__. _ _ _ _ )
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 07-00001343 Owner:
Property Address: 78080 CALLE AMIGO STE 101 ESSI
APN: 770-182-008- - - 78-080 CALLE AMIGO
Application description: REMODEL -.COMMERCIAL LA QUINTA, CA 92253
Property Zoning: VILLAGE COMMERCIAL r'J
Application valuation: 50000
Contractor:
Applicant' Architect or Engineer: SUN VISTA DEVELOPMENT CO P
P.O. BOX 1144
LA QUINTA, CA 92247
(760)771-4722
Lic. No.: 744091
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busin Professionals Code, and my License is in full force and effect.
License Cl*s: B IjEe\tse No.: 744091
Date:- 10 / It, I/V 7Contractor:
I hereby affirm under penalty of perjury tat 1 am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to civil penalty of not more than five hundred dollars ($500).:
(_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.). -
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).,
I—) I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY .
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERA1IT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153'
Date: 6/20/07
JUN 2 11007
Z4 I
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 170546206
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
"if agree that, if I sho ome subject'to thrkers' compensation provisions of Section
ofthe Labo ode, I s all forthwith coth those provisions.
Date: LIL&Iplica :
WARNIN F LURO SECURE WOE"RS' COMPENSATION VERAGEI UNLAWFUL, AND SHALL
SUBJEC AN EMPLOYER TO CRIMENALTIES AND CIVIL NES UP TO ONE HUNDRED THOUSAND
DOLLARS'($100,000). IN ADDITITHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days .from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above informatio is correct. I agree to comply with all
city andcou y ordi anand state laws relating t in c structio , a hereby authorize representatives
of this c nt to en r upon the above -mention property f r ' spectio purp as.
Date: ig ature (Applicant or genu: r
T
Application Number . . . . . 07-00001343
Permit
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
414.50
Plan Check
Fee
269.43
Issue Date . . . .
Valuation
. . . .
50000
Expiration Date
12/17/07
Qty Unit Charge
Per
Extension
BASE FEE
.252.00
25.00 6.5000
THOU_ BLDG 25,001-50,000
162.50
Permit
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
47.44
Plan Check
Fee
11.86
Issue Date . .
Valuation
. . . .
0
Expiration Date
12/17/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1622.00 .0200
----------------------------------------------------------------------------
- ELEC GARAGE OR NON-RESIDENTIAL
32.44.
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
24.00
Plan Check
Fee
6.00
Issue Date . . . .
Valuation
0
Expiration Date
12/17/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
--------------------------=---------------------.----------------------------
EA MECH APPL
REP/ALT/ADD
9.00
Permit . .
PLUMBING
Additional desc .
Permit Fee
31.50
Plan Check
Fee
7.88 -
Issue Date . . . .
Valuation
. . . .
0
Expiration Date
12/17/07
Qty Unit.Charge
.Per
Extension
BASE FEE
15.00
1.00 6.0000
EA PLB FIXTURE
6.-00
1.00 '7.5000
EA PLB WATER
HEATER/VENT
7.50
1.00 3.0000
EA PLB WATER
INST/ALT/REP
3.00
----------------------------------------------------------------------------
Special Notes and Comments
TENANT IMPROVEMENT OFFICES
.
LQPERMIT
s
Application Number
07 -00001343
--------------------------
Other Fees . .
. . . . .
STRONG MOTION
----------
(SMI) - COM
10.50
Fee summary
Charged
----------
Paid
--------------------
Credited
----------
Due
-----------------
Permit Fee Total
517.44
.00
.00
517.44
Plan Check Total
295.17
.00
.00
295.17
Other Fee Total
10.50
'.00
.00
10.50
Grand Total
823.11
.00
.00
823.11
e
LQPERMIT `
Bin #
City of La Quinta
Building & Safety Division
P.O. Box -1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building .Permit Application and Tracking Sheet
L-SX.Ld g
Permit #
Project Address:';7 ® j /
Owner's Name:
A. P. Numb er.`/7- 0 .
Address: Ce z
Legal Description: L l-- 1217--F
City; ST, Zip:
Contractor:
Telephone: ELL
Address: -`
City, ST, Zip:
Project Description:
Telephone:
State Lie. # :!6 City Lic. #:
Arch., Engr., Designer: 0
Address:
City, ST, Zip:
Telephone: 7
oop# `
Construction Type: — Occupancy:
State Lic. #:
Project type (circle one): New Add'n lter Repair Demo
Name of Contact Person:. / S a
Sq. F,t.: f,2Z
# Stories:
# Units:
Telephone # of Contact Person: _ 7 — 2 3 7
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING. PERMIT FEES
3
Plan Sets
Plan Check submitted Item Amount
Structural Calcs.
Reviewed, ready fo corrections 67 Plan Check Deposit
Truss Calcs.
Called Contact Person f 6 Plan Check Balance
zEnergy
Calc&
Plans picked up lConstruction
Flood plain.plan.
Plans resubmitted Mechanical
Grading. plan
2°" Review, ready forcorrectioY44sue Electrical
Subcontactor List
Called Contact Person 6 Plumbing
Grant Deed
Plans picked up S.M.I. .
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
'"' Review, ready for correctionstissue Developer Impact Fee
Planning Approval
Called Contact Perso A.I.P. .
Pub. Wks. Appr
Date of permit is U
School Fees
1411:2 JA 4•
Y(7 .
' . U Tota 'e it ees
01
r-tPf
06
TITLE 24 REPORT — — IE
(DFFOCCI(ropy
Title 24 Report for:
Essi Shahandeh
78-080 Calle Amigo. Suite 101
._, La Quinta , CA 92254
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONST CTION
,s,z CIS/7
FMAY 2 2007
Project Designer:
Bob Sipovac
72651 Theodora Ln
Palm Desert, CA 92260
760-567-2347
Report Prepared By:
Bob Sipovac
Sipovac Construction
72651 Theodora Lane
Palm Desert, CA 92260
(760) 779-0790
Job Number:
342007
Date:
05/02/2007
The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is
authorized by the California Energy Commission for use with both the Residential and Nonresidential 2005 Building Energy Efficiency Standards.
This program developed by EnergySoft, LLC - www.energysoft.com.
I EnemvPro 4.2 by EnemvSoft Job Number. 342007 User Number. 5289 1
i
TABLE OF CONTENTS
Cover Page
Table of Contents
Form LTG -1-C Certificate of Compliance
Form LTG -2-C Indoor Lighting Schedule
Form LTG -MM Lighting Mandatory Measures
Form MECH-1-C Certificate of Compliance
Form MECH-4-C HVAC Misc. Prescriptive Requirements
Form MECH-MM Mechanical Mandatory Measures
G
4
1
2
3
6
7
8
10
12
EnergyPro 4.2 by EnergySoft Job Number. 342007 User Number. 5289
CERTIFICATE OF COMPLIANCE (Part 1 of 4) LTG -1-C
PROJECT NAME
DATE
Essi Shahandeh
05/02/2007
PROJECT ADDRESS
78-080 Calle Amigo. Suite 101 La Quinta
Building Permit
PRINCIPAL DESIGNER - LIGHTING
TELEPHONE
#
DOCUMENTATION AUTHOR
SI ovac Construction
TELEPHONE
760 779-0790
Checked by/Date
1 Enforcement A en Use
GENERAL INFORMATION
DATE OF PLANS
BUILDING CONDITIONED FLOOR AREA
CLIMATE ZONE
05/01/071
1,654 Sq.Ft.
15
BUILDING TYPE ❑X NONRESIDENTIAL ❑ HIGH RISE RESIDENTIAL ❑ HOTELIMOTEL GUEST ROOM
❑X CONDITIONED SPACES ❑ UNCONDITIONED SPACES ❑ INDOOR & OUTDOOR SIGNS
PHASE OF CONSTRUCTION ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION
METHOD OF LIGHTING ❑ COMPLETE BUILDING 0 AREA CATEGORY ❑ TAILORED ❑ PERFORMANCE
COMPLIANCE ❑ COMMON LIGHTING
[STATEMENT OF COMPLIANCE
This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24,
Parts 1 and 6 of the California Code of Regulations. This certificate applies only to building lighting requirements.
The documentation preparer hereby certifies that the documentation is accurate and comp) te.
DOCUMENTATION AUTHOR
SIGN
DATE
Bob Si ovac
z
The Principal Lighting Designer hereby certifies that the proposed building design represented in this set of construction docume is
is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with
this permit application. The proposed building has been designed to meet the lighting requirements contained in Sections 110, 119,
130 - 132, 146, 148 & 149 of Title 24, Part 6.
❑ The plans & specifications meet the requirements of Part 6 (Sections 10-103a).
❑ The installation certificates meet the requirements of Part 6 (10-103a 3).
❑ The operation & maintenance information meet the requirements of Part 6 (10-103c).
Please Check One: (These sections of the Business and Professions Code are printed in full in the Nonresidential Manual.)
❑ I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document as the person
responsible for its preparation; and that I am licensed in the State of California as a civil engineer or electrical engineer, or I am a licensed architect.
❑ I affirm that 1 am eligible under the provisions of Division 3 of the Business and Professions Code by Section 5537.2 or 6737.3 to sign this document
as the person responsible for its preparation; and that I am a licensed contractor performing this work.
❑ I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code to sign this document because it pertains to a
structure or type of work described as exempt pursuant to Business and Professions Code Sections 5537, 5538 and 6737.1.
PRINCIPAL LIGHTING DESIGNER - NAME
SIGNATURE
DATE
LIC. #
LIGHTING MANDATORY MEASURES
Indicate location on plans of Note Block for Mandatory Measures
LIGHTING COMPLIANCE FORMS 8r WORKSHEETS Check box if worksheet is included
®LTG -1-C, Parts 1 of 4 and 2 of 4: Certificate of Compliance. Part 1 of 4 and 2 of 4 are required for all submittals
❑LTG -1-C, Part 3 of 4: Certificate of Compliance. Part 3 of 4 submittal is required only if Control Credits are claimed
193LTG-1-C, Part 4 of 4: Certificate of Compliance. Part 4 of 4 submittal is required when lighting controls are installed
®LTG -2-C: Indoor Lighting Schedule
❑LTG -3-C: Portable Lighting Worksheet
❑LTG -4-C: Lighting Controls Credit Worksheet
❑LTG -5-C: Indoor Lighting Power Allowance
®LTG -6-C: Tailored Method Worksheet
❑LTG -7-C: Room Cavity Ratio Worksheet
❑LTG -8-C: Common Lighting Systems Method Worksheet
❑LTG -9-C: Line Voltage Track Lighting Worksheet
EnergyPro 4.2 by EnergySoft User Number. 5289 Job Number. 342007 Page:3 of 13
CERTIFICATE OF COMPLIANCE (Part 2 of 4) LTG -1 -C
PROJECT NAME DATE
Essi Shahandeh 1 05/02/2007
INSTALLED INDOOR LIGHTING POWER FOR CONDITIONED AND UNCONDITIONED SPACES
INSTALLED LIGHTING, CONDITIONED SPACES (From LTG -2-C)
PORTABLE LIGHTING (From LTG -3-C)
LIGHTING CONTROL CREDIT, CONDITIONED SPACES (From LTG4-C)
CONDITIONED SPACE ADJUSTED INSTALLED LIGHTING POWER
INSTALLED LIGHTING, UNCONDITIONED SPACES (From LTG -2-C)
LIGHTING CONTROL CREDIT, UNCONDITIONED SPACES (From LTG4-C)
UNCONDITIONED SPACE ADJUSTED INSTALLED LIGHTING POWER
INSTALLED
WATTS
1,758
0
0
1,758
0
0
0
ALLOWED INDOOR LIGHTING POWER FOR CONDITIONED SPACES
❑ COMPLETE BUILDING METHOD (From LTG -5-C) ALLOWED
❑X AREA CATEGORY METHOD (From LTG -5-C) WATTS
❑ TAILORED METHOD (From LTG -5-C) ALLOWED LIGHTING POWER 1,985
ALTERNATE COMPLIANCE
❑ PERFORMANCE METHOD
❑ COMMMON LIGHTING SYSTEM (From LTG -8-C)
ALLOWED INDOOR LIGHTING POWER FOR UNCONDITIONED SPACES From LTG -5-C o
MANDATORY INDOOR AND DAYLIGHTING AUTOMATIC CONTROLS
CONTROL
CONTROL
IDENTIFICATION
CONTROL TYPE
(Auto Time Switch, Dimming, etc.)
SPACE CONTROLLED
Check if
NOTE TO
FIELD
NOTES TO FIELD - For Building
Department Use Only
EnergyPro 4.2 by Energysoft
User Number. 5289 Job Number. 342007 Page:4 of 13
CERTIFICATE OF COMPLIANCE (Part 4 of 4) LTG-1-C
PROJECT NAME
Essi Shahandeh
DATE
05/02/2007
Designer:
This form is to be used by the designer and attached to the plans. Listed below are all the acceptance
tests for lighting systems. The designer is required to check the boxes by all acceptance tests that
apply and list all equipment that require an acceptance test. If all equipment of a certain type requires
a test, list the equipment description and the number of systems to be tested in parentheses. The NJ
number designates the Section in the Appendix of the Nonresidential ACM Manual that describes the
test. Also indicate the person responsible for performing the tests (i.e. the installing contractor, design
professional or an agent selected by the owner). Since this form will be part of the plans, completion
of this section will allow the responsible party to budget for the scope of work appropriately.
Building Departments:
Before an occupancy permit is granted for a newly constructed building or space, or a new lighting
system system serving a building or space is operated for normal use, all control devices serving the
building or space shall be certified as meeting the Acceptance Requirements for Code Compliance.
In addition a Certificate of Acceptance, LTG-1-A, Forms shall be submitted to the building department
that:
A. Certifies plans, specifications, installation certificates, and operating and maintenance
information meet the requirements oft 10-103(b) and Title 24 Part 6.
Test Description
Test Performed By:
❑ LTG-2-A: Lighting Control Acceptance Document
- Occupancy Sensor Acceptance
- Manual Daylight Controls Acceptance
- Automatic Time Switch Control Acceptance
Equipment requiring acceptance testing
❑ LTG-3-A: Automatic Daylighting Controls Acceptance Document
Equipment requiring acceptance testing
EnergyPro 4.2 by EnergySoft User Number: 5289 Job Number. 342007 Page:5 of 13 1
INDOOR LIGHTING SCHEDULE (Part 1 of 2) LTG -2-C
PROJECT NAME DATE
Essi Shahandeh 1 05/02/2007
INSTALLED LIGHTING POWER FOR CONDITIONED SPACES
Luminaire
Lamps/Ballasts
Installed Watts
C
D
E
F
G
H
I
J
Name
Type Description
rDV
c c
3wv
fD
` ` °
mo i
N
c m c
awv
m
`
c
amm
N N
O
wm
C n
No
r
Z
M—M
_N. Q
H
Xmm
3=
v N (D
V) 4 ft Fluorescent T8 Energy Savings
F32T8
2
30
1.0
54.0
X
15
810
2) 4 It Fluorescent T8 Energy Savingsec
--32T8
3
30
1.0
79.0
X
12
948
PAGE TOTAL 1 ,758
BUILDING TOTAL (sum of all pages)
PORTABLE LIGHTING (From LTG -3-C) D
CONTROL CREDIT (From LTG -4-C) D
ADJUSTED ACTUAL WATTS 1 758
EnergyPro 4.2 by EnergySoft User Number. 5289 Job Number. 342007 Page:6 of 13
LIGHTING MANDATORY MEASURES LTG -MM
PROJECT NAME DATE
Essi Shahandeh 1 05/02/2007
DESCRIPTION
Designer
Enforcement
§131(d)1 For every floor, all interior lighting systems shall be equipped with a separate automatic
control to shut off the lighting. This automatic control shall meet the requirements of
Section 119 and may be an occupancy sensor, automatic time switch, or other device
capable of automatically shutting off the lighting.
§131(d)20verride for Building Lighting Shut-off: The automatic building shut-0ff system is
provided with a manual, accessible override switch in sight of the lights. The area
of override is not to exceed 5,000 square feet
§119(h) Automatic Control Devices Certified: All automatic control devices specified are
certified, all alternate equipment shall be certified and installed as directed by the
manufacturer.
X] §111 Fluorescent Ballast and Luminaires Certified: All fluorescent fixtures specified for
the project are certified and fisted in the Directory. All installed fixtures shall be
certified.
§132 Tandem Wiring for One and Three Lamp Fluorescent Fixtures: All one and three
lamp fluorescent fixtures are tandem wired with two lamp ballasts where required
by Standards Section 132; or all one and three lamp fluorescent fixtures are
specified with electronic high -frequency ballasts and are exempt from tandem
wiring requirements.
§131(a) Individual Room/Area Controls: Each room and area in this building is equipped
with a separate switch or occupancy sensor device for each area with floor -to -
ceiling walls.
§131(b) Uniform Reduction for Individual Rooms: All rooms and areas greater than 100
square feet and more than 0.8 watts per square foot of lighting load shall be
controlled with bilevel switching for uniform reduction of lighting within the room.
§131(c) Daylight Area Control: All rooms with windows and skylights that are greater than
250 square feet and that allow for the effective use of daylight in the area shall
have 50% of the lamps in each daylit area controlled by a separate switch; or the
effective use of daylight cannot be accomplished because the windows are
;
continuously shaded by a building on the adjacent lot Diagram of shading during
different times of the year is included on plans.
§131(e) Display Lighting. Display lighting shall be separately switched on circuits that
are 20 amps or less.
EnergyPro 4.2 by EnergySoft User Number. 5289 Job Number. 342007 Page:7 of 13
CERTIFICATE OF COMPLIANCE (Part 1 of 2) MECH-1-C
PROJECT NAME
DATE
Essi Shahandeh
05/02/2007
PROJECT ADDRESS
1,654 Sq.Fz
78-080 Calle Amigo. Suite 101 La Quinta
BUILDING TYPE ® NONRESIDENTIAL ❑ HIGH RISE RESIDENTIAL ❑ HOTELIMOTEL GUEST ROOM
PRINCIPAL DESIGNER - MECHANICAL
TELEPHONE
Building Permit #
DOCUMENTATION AUTHOR
TELEPHONE
Checked by/Date
Sipovac Construction
(760) 779-0790
Enforcement Agency Use
GENERAL INFORMATION
DATE OF PLANS
BUILDING CONDITIONED FLOOR AREA
CLIMATE ZONE
05/01 /07
1,654 Sq.Fz
1 15
BUILDING TYPE ® NONRESIDENTIAL ❑ HIGH RISE RESIDENTIAL ❑ HOTELIMOTEL GUEST ROOM
PHASE OF CONSTRUCTION ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION ❑ UNCONDITIONED (File Affidavit)
METHOD OF MECHANICAL ® PRESCRIPTIVE ❑ PERFORMANCE
COMPLIANCE
PROOF OF ENVELOPE COMPLIANCE ❑ PREVIOUS ENVELOPE PERMIT ❑ ENVELOPE COMPLIANCE ATTACHED
STATEMENT OF COMPLIANCE
This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24,
Parts 1 and 6 of the California Code of Regulations. This certificate applies only to building mechanical requirements.
The documentation preparer hereby certifies that the documentation is accurate and complete
DOCUMENTATION AUTHOR
SIGNA
DATE
Bob Si ovac
The Principal Mechanical Designer hereby certifies that the proposed building design rep6&enWin this set of constru ton
documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other
calculations submitted with this permit application. The proposed building has been designed to meet the mechanical
requirements contained in the applicable parts of Sections 100, 101, 102, 110 through115, 120 through 125, 142, 144, and 145.
❑ The plans & specifications meet the requirements of Part 6 (Sections 10-103a).
❑ The installation certificates meet the requirements of Part 6 (10-103a 3).
❑ The operation & maintenance information meets the requirements of Part 6 (10-103c).
Please Check one: (These sectionsof the Business and Professions Code are printed in full in the Nonresidential Manual.)
❑ 1 hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document as the person
responsible for its preparation; and that I am licensed in the State of California as a civil engineer, or mechanical engineer or I am a licensed
architect.
❑ I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section 5537.2 or 6737.3 to sign this
document as the person responsible for its preparation; and that I am a licensed contractor performing this work.
❑ I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code to sign this document because it pertains to a structu
or type of work described pursuant to Business and Professions Code sections 5537, 5538, and 6737.1.
PRINCIPAL MECHANICAL DESIGNER - NAME
SIGNATURE
DATE
LIC. #
INSTRUCTIONS TO APPLICANT
IN MECH-I-C: Certificate of Compliance. Part 1, 2, 3 of 3 are required on plans for all submittals.
O MECH-2-C: Certificate of Compliance. Part 1, 2 of 2 are required for all submittals, but may be on plans.
❑ MECH-3-C: Certificate of Compliance are required for all submittals with mechanical ventilation, but may be on plans.
IM MECH-4-C: Certificate of Compliance are required for all prescriptive submittals, but may be on on plans.
❑ MECH-5-C: Mechanical Equipment Details are required for all performance submittals.
EnergyPro 4.2 by EnergySoft User Number. 5289 Job Number. 342007 Page:8 of 13
CERTIFICATE OF COMPLIANCE (Part 2 of 2) MECH-1-C
PROJECT NAME
EssiShahandeh
DATE
Designer:
This form is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for mechanical systems. The designer is required to
check the boxes by all acceptance tests that apply and fist all equipment that requires an acceptance test. If all equipment of a certain type requires a test, list the
equipment description and the number of systems to be tested in parentheses. The NJ number designates the Section in the Appendix of the Nonresidential
ACM Manual that describes the test. Also indicate the person responsible for performing the tests (i.e. the installing contractor, design professional or an agent
selected by the owner). Since this forth will be part of the plans, completion of this section will allow the responsible party to budget for the scope of work
appropriately.
Building Departments:
SYSTEM ACCEPTANCE. Before an occupancy permit is granted for a newly constructed building or space, or a new space -conditioning system serving a
building or space is operated for normal use, all control devices serving the building or space shall be certified as meeting the Acceptance Requirements for
Code Compliance.
In addition a Certificate of Acceptance, MECH-I-A Forth shall be submitted to the building department that certifies plans, specifications, installation
certificatesand ooeratina and maintenance information meet the reouirements of Section 10-103(b) and Title 24 Part 6.
STATEMENT OF COMPLIANCE
❑ MECH-2-A Ventilation System Acceptance Document
-Variable Air Volume Systems Outdoor Air Acceptance
-Constant Air Volume Systems Outdoor Air Acceptance
Equipment requiring acceptance testing
Test required on all New systems both New Construction end Retrofit.
❑ MECH-3-A: Packaged HVAC Systems Acceptance Document
Equipment requiring acceptance testing
Test required on all New systems both New Construction and Reboft
❑ MECHA-A: Air -Side Economizer Acceptance Document
Equipment requiring acceptance testing
Test required on all New systems both New Construction and Retrofit Units with economizers that ere installed at the factory and cerlified with the
commission do not require equipment testing but do require construction inspection.
❑ MECH-5-A: Air Distribution Acceptance Document
Equipment requiring acceptance testing
This test required If the unit serves 5,000 1112 of space or less and 25% or more of the ducts are m noncondifioned or semiconditfoned space like an
attic. New systems that meet the above requirements. Retrofit systems that meet the above requirements and either extend ducts, replace duds or
replace the padraged unit
❑ MECH-A: Demand Control Ventilation Acceptance Document
Equipment requiring acceptance testing
All new DCV controls installed on new or existing padoaged systems must be tested.
❑ MECH-7-A: Supply Fan Variable Flow Control Acceptance Document
Equipment requiring acceptance testing
All new VA fan volume controls installed on new or existing systems must be tested
❑ MECH-&A: -Hydronic System Control Acceptance Document
-Variable Flow Controls Applies to chilled and hot water systems.
-Automatic Isolation Controls Applies to new boilers and chillers and the primary pumps are connected to a common header.
-Supply Water Temperature Reset Controls
Applies to new constant flow chilled and hot water systems that have a design capacity greater than or equal to 500,000 Bhdhr.
-Water400p Heat Pump Controls
Applies to all new waterloop heat pump systems where the combined loop pumps are greater than 5 hp.
-Variable Frequency Controls Applies to all new distribution pumps on new variable flow chilled, hydronic heat pump
or condenser water systems where the pumps motors are greater than 5 hp.
Equipment requiring acceptance testing
EnergyPro 4.2 by EnewSoft User Number. 5289 Job Number. 342007 Page:9 of 13
MECHANICAL SIZING AND FAN POWER MECH-4-C
PROJECT NAME
DATE
Essi Shahandeh
05/02/2007
SYSTEM NAME Zone 1
FLOOR AREA
76
FAN POWER CONSUMPTION
A
FAN DESCRIPTION
Supply Fan
FILTER PRESSURE ADJUSTMENT EQUATION
144-A
A) If fitter pressure drop is greater than 1 inch W.C. enter
filter pressure drop. SPa on line 4 and Total Fan pressure
SPf on Line 5.
B) Calculate Fan Adjustment and enter on Line 6.
C) Calculate Adjusted Fan Power Index and enter on Line 7.
B
DESIGN
BRAKE HP
0.500
C I D
EFFICIENCY
MOTOR DRIVE
80.0% 97.0%
E
NUMBER
OF FANS
1.0
1) TOTAL FAN SYSTEM POWER (Watts, Sum Column F)
2) SUPPLY DESIGN AIRFLOW (CFM)
1
3) TOTAL FAN SYSTEM POWER INDEX (Row 1/Row 2)
4) SPa
5) SPF
6) Fan Adjustment =1{SPa-1)/SPf
1
7) ADJUSTED FAN POWER INDEX (Line 3 x Line 6)
1. TOTAL FAN SYSTEM POWER INDD(or ADJUSTED FAN POWER INDEX must riot exceed 0.8 W/dm for Constant Volume systems or 1.25 W/cfm for VAV systems.
PEAK WATTS
BxEx7"/(CXD)
48
ITEM or SYSTEM TAG(S)
PRESCRIPTIVE MEASURES
Electric Resistance Heating '
Heat Rejection System 2
Air Cooled Chiller Limitation 3
T-24
Section
Capacity
Exception
Notes
144 (g)
144 (h)
144(l)
1. Total incased capacity (MBtu" of all electric heat on this project exclusive of electric auxiliary heat for heat pumps. K electric heat is used. explain which exception(s) to Secdon(g) apply.
2. Are oentrifugel fan cooling towers used on this project? (Enter 'Yesr or'No) If centrifugal fan cooling tower amused, explain which exception(s) to Section 144(h) apply.
3. Toted installed capacity (tons) of all water and air coded chillers under chis parmiL tfthere are more than 100 tons of air-cooled driller capacity being installed, explain which exception(s) to Section
144() apply.
EnergyPro 4.2 by EnergySoft User Number. 5289 Job Number. 342007 Page:00 of 33
MECHANICAL SIZING AND FAN POWER MECH-4-C
PROJECT NAME
DATE
Essi Shahandeh
05/02/2007
SYSTEM NAME
FLOOR AREA
Zone 2
78
FAN POWER CONSUMPTION
A
FAN DESCRIPTION
Supply Fan
FILTER PRESSURE ADJUSTMENT EQUATION
144-A
A) If fitter pressure drop is greater than 1 inch W.C. enter
filter pressure drop. SPa on line 4 and Total Fan pressure
SPf on Line 5.
B) Calculate Fan Adjustment and enter on Line 6.
C) Calculate Adjusted Fan Power Index and enter on Line 7.
B
DESIGN
BRAKE HP
0.500
C I D
EFFICIENCY
MOTOR DRIVE
80.0% 97.0%
E
NUMBER
OF FANS
1.0
1) TOTAL FAN SYSTEM POWER (Watts, Sum Column F)
2) SUPPLY DESIGN AIRFLOW (CFM)
1
3) TOTAL FAN SYSTEM POWER INDEX (Row 1/11ow 2)
4) SPa
5) SPf
6) Fan Adjustment=1-(SPa-1)1SPf
1
7) ADJUSTED FAN POWER INDEX (Line 3 x Line 6)
1. TOTAL FAN SYSTEM POWER INDEX or ADJUSTED FAN POWER INDEX must rat exceed 0.8 W/dm for Constant Volume systems or 1.25 W/dm for VAV systems.
PEAK WATTS
BxEx7461(CXD)
481
1 0.6871
ITEM or SYSTEM TAG(S)
PRESCRIPTIVE MEASURES
Electric Resistance Heating '
Heat Rejection System 2
Air Cooled Chiller Limitation 3
T-24
Section
Capacity
Exception
Notes
144 (g)
144 (h)
144(l)
1. Total installed capacity (MBhdM of all electric haat on this proud exclusive of electric auxNary feat for heat pumps. If electric heat is used. explain which exception(s) to Section(g) apply.
2. Are centrifugal fan roofing towers used on thus project? (Enter Yes' or -No-) if cenhifigal fan woWV tower are used. explain which exception(s) to Section 144(h) apply.
3. Total installed capacity (tons) of all water and air coded drillers under this permit. If Owe are more than 100 tons of air- ooled duller capacity being installed. explain which exceptions) to Section
14401 appy.
EnergyPro 4.2 by Energysoft User Number. 5289 Job Number. 342007 Page: 11 of 13
MECHANICAL MANDATORY MEASURES Part 1 of 2 MECH-MM
PROJECT NAME DATE
Essi Shahandeh 1 05/02/2007
DESCRIPTION
Desi ner
Enforcement
Equipment and Systems Efficiencies
§111 Any appliance for which there Is a California standard established in the Appliance
Efficiency Regulations will comply with the applicable standard.
§ 115(a) Fan type central furnaces shall not have a pilot light
§ 123 Piping, except that conveying fluids at temperatures between 60 and 105 degrees
Fahrenheit, or within HVAC equipment, shall be insulated in accordance with
Standards Section 123.
§ 124 Air handling duct systems shall be installed and insulated in compliance with
Sections 601, 602, 603, 604, and 605 of the 2001 CMC Standards.
Controls
§ 122(e) Each space conditioning system shall be Installed with one of the following:
F] § 122(e)1A Each space conditioning system serving building types such as offices and
manufacturing facilities (and all others not explicitly exempt from the requirements
of Section 112 (d)) shall be installed with an automatic time switch with an
accessible manual override that allows operation of the system during off -hours for
up to 4 hours. The time switch shall be capable of programming different
schedules for weekdays and weekends and have program backup capabilities that
prevent the loss of the device's program and time setting for at least 10 hours if
power is interrupted; or
§ 122(9)1 B An occupancy sensor to control the operating period of the system; or
§ 122(e)1C A 4 -hour timer that can be manually operated to control the operating period of the
system.
X❑ § 122(9)2 Each space conditioning system shall be Installed with controls that temporarily
restart and temporarily operate the system as required to maintain a setback
heating and/or a setup cooling thermostat setpoint.
§ 122(9) Each space conditioning system serving multiple zones with a combined
conditioned floor area more than 25,000 square feet shall be provided with isolation
zones. Each zone: shall not exceed 25,000 square feet; shall be provided with
Isolation devices, such as valves or dampers, that allow the supply of heating or
cooling to be setback or shut off independently of other isolation areas; and shall
be controlled by a time control device as described above.
❑ § 122(a&b) Each space conditioning system shall be controlled by an individual thermostat
that responds to temperature within the zone. Where used to control heating, the
control shall be adjustable down to 55 degrees F or lower. For cooling, the control
shall be adjustable up to 85 degrees F or higher. Where used for both heating and
cooling, the control shall be capable of providing a deadband of at least 5 degrees
F within which the supply of heating and cooling is shut off or reduced to a
minimum.
F§ 122(c) Thermostats shall have numeric setpoints in degrees Fahrenheit (F) and adjustable
setpoint stops accessible only to authorized personnel.
a§ 112(b) Heat pumps shall be installed with controls to prevent electric resistance
supplementary heater operation when the heating load can be met by the heat
pump alone.
EnergyPro By EnergySoft User Number. User Job Number. 342007 Page: 12 of 13
MECHANICAL MANDATORY MEASURES Part 2 of 2 MECH-MM
PROJECT NAME DATE
Essi Shahandeh 1 05/02/2007
Description
Designer
Enforcement
Ventilation
§ 121(,)
Controls shall be provided to allow outside air dampers or devices to be operated at
the ventilation rates as specified on these plans.
❑
§ 1220
Gravity or automatic dampers interlocked and closed on fan shutdown shall be
provided on the outside air Intakes and discharges of all space conditioning and
exhaust systems.
❑
§ 122(f)
All gravity ventilating systems shall be provided with automatic or readily accessible
manually operated dampers in all openings to the outside, except for combustion air
openings.
§ 121(f)1
Air Balancing: The system shall be balanced in accordance with the National
Environmental Balancing Bureau (NESS) Procedural Standards (1983), or
Associated Air Balance Council (AABC) National Standards (1989); or
❑
§ 121(f)2
Outside Air Certification: The system shall provide the minimum outside air as
shown on the mechanical drawings, and shall be measured and certified by the
Installing licensed C-20 mechanical contractor and certified by (1) the design
mechanical engineer, (2) the installing licenced C-20 mechanical contractor, or (3) the
person with overall responsibility for the design of the ventilation system; or
§ 121(f)3
Outside Air Measurement: The system shall be equipped with a calibrated local or
remote device capable of measuring the quantity of outside air on a continuous
basis and displaying that quantity on a readily accessible display divice; or
§ 121(f)4
Another method approved by the Commission.
Service Water Heating Systems
§113(b)2
If a circulating hot water system is installed, it shall have a control capable of
automatically turning off the circulating pump(s) when hot water is not required.
§ 113(c)
Lavatories in restrooms of public facilities shall be equipped with controls to limit the
outlet temperature to 110 degrees F.
EnergyPro
By EnergySoft User Number. User Job Number. 342007 Page: 13 of 13