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06-0180 (CONR)52402 Madison St 06-0180 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: - Application description Property Zoning: Application valuation: ' 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 06-00000180 52402 MADISON 'ST 767-200-998-M -330761-' NEW COMML - OTHER NON-RESIDENTIAL LOW DENSITY RESIDENTIAL' 52200 Owner: EAST OF MADISON LLC PO BOX 1482 LA QUINTA, CA 92247 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/12"/06 Contractor: Applicant: Architect or Engineer: LUSARDI CONSTRUCTION 1570 LINDA VISTA DRIVE SAN MARCOS, CA 92078 r .O r r (760)744-3133. C O. Lic. No.: 207287 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided license Class: 'AB Li ense No.: 207287 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is G issued. Date: D Z ontractor. 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 workerscompensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier NATL FIRE INS Policy Number WC71693 94 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or.repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or _ 3700 of the Labor Code, I shall forthwith comply with those provisions. . 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 a civil penalty of not more than five hundred dollars ($5001.: .J. Date: jAPPlicant: (_ 1 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: They . WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS J$1 00,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT r ^L (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, ( 1 I am exempt under Sec.' , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta its officers a ants and em Io ees for an act or omission related to the work bein 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. 330197, Civ. C.). Lender's Name: 1 A ----`-- Lender's Address - --- - - - - V LQPERMIT 9 performed under or following issuance of this permit. ' 2. Any permit issued as a result of this application becomes null andvoid 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 information is correct. I agree to comply with all city and bounty ordinances and state laws relating to building construction, and hereby authorize representatives ' of -this cc my to enter upon the above-mentioned propert fo inspect on purposes. Z/tea App— - --- -- _':--- - - - - -- __- =- Application Number 06-00000180 Permit BUILDING PERMIT Additional desc . Permit Fee. 428.00 Plan Check Feet: 278.20 Issue Date . . . Valuation 52200 Expiration Date 12/27/06 Qty -Unit Charge Per Extension BASE FEE 414.50 3.00 4.5000 THOU BLDG 50,001-100,000 13.50 Permit ELEC-NEW COMMERCIAL Additional desc Permit Fee 28.00 Plan Check Fee ,7.00 Issue Date Valuation 0 Expiration Date 12/27/06 Qty Unit Charge Per Extension BASE FEE 15.00 650.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 13'.00• Permit GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 0' Expiration'.Date'. 12/27/06 Qty Unit Charge Per Extension '.. ---------------------------------------------------------------------------- BASE FEE 15.00 Permit MECHANICAL Additional desc . Permit Fee . . . . 59.00 Plan Check Fee 14.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/27/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH.B/C <=3HP/100K BTU 9.00 4.00 6.5000 EA MECH VENT FAN 26.00 ' Permit PLUMBING Additional desc . LQPERMIT Application Number 06-0000.0180 Permit PLUMBING Permit Fee 124.50 Plan Check,Fee 31.13 Issue Date . . Valuation 0 Expiration Date 12/27/06 Qty. Unit Charge Per Extension BASE FEE 15.00 14.;00 6.0000 EA PLB FIXTURE 84.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 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 golf course comford station./ waterfall, blocks walls under seperate permit. May 16, 2005 11:06:54 AM jjohnson ------------------------------------ _ Other Fees . . ACCESSIBILITY PLAN REVIEW 42.80 ART IN PUBLIC PLACES -COM 241.00 DIF CIVIC CENTER - COMM 43.54 ENERGY REVIEW FEE 42.80 DIF FIRE PROTECTION -COMM 13.00 STRONG MOTION (SMI) - COM 10.96 DIF STREET MAINT FAC -COMM 84.50 DIF TRANSPORTATION - COMM2099.49 Fee summary Charged Paid Credited Due ---- ---------- ---------- ---------- ---------- Permit Fee Total 654.50 .00 .00 654.50 Plan Check Total 331.08 .00 .00 331.08 Other Fee Total 2578.09 .00 .00 2578.09 Grand Total 3563.67 .00 00 3563_.67 LQPERMIT i - -. Ce'd icato ofOccu ancp Y G OF -,Building & Safety De artment This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure . was in compliance with the provisions. of the Building -Code -and the various- ordinances of the w.City' regulating building constructio_ n and/or use. - :. • ' .. ; ' ` « -BUILDING ADDRESS: 52-402 MADISON ST." - f. 3 Use classification: B Building Permit No.: 06-180 3 1 , 'Occupancy Group: U1 ` Type of Construction: VN Land Use Zone: RL Owner -of Building: EAST OF MADISON LLC - 'Address: P.O. BOX -1482 City, ST,•ZIP' LA QUINTA, CA 92247 !--b' By: DAVID GATICA Date: JANUARY 25, 2007 t . x Building Official r r. • _ ` POST IN A CONSPICUOUS PLACE ; , JOB ADDRESS • 521-;4:02,11 ASI GOLF COURSE COMFORT STATION/WAT'ERFALL, BLOCK WALLS UNDER SEPARATE PERMIT. TYPE OF INSPECTION DATE INSP. TEMPORARY POWER CITY OF LA QUINTA ODM BUILDING & SAFE73ccp T OF° 777-7INSPECTION U/G PLUMBING / WASTE RE 777-7OwnerFAST OF MADISON L w . Contractor LUSARDI CONSTRU N Oli e.,.... Permit Number 06-180 >_ POST ON JOB IN CONSPIC O S PLA INSPECTOR MUST SIGN ALL APP CE JOB ADDRESS • 521-;4:02,11 ASI GOLF COURSE COMFORT STATION/WAT'ERFALL, BLOCK WALLS UNDER SEPARATE PERMIT. TYPE OF INSPECTION DATE INSP. TEMPORARY POWER 1 1 L - o rL ( SETBACKS U/G PLUMBING / WASTE Ip _ - o U/G ELECTRICAL / GROUNDING FOOTINGS / STEELG- CONCRETE SLAB p .!q-, d DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF'- /s'-! 4 -m G OKAY TO WRAP / p _ .10 -Sce FRAMING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING .ROUGH MECHANICAL INSULATION Il- to-oL COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL / 3 EXTERIOR LATH p GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION /o -a3-0 G SEPTIC /'GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL - 1 B -oF C. At BOND BEAM Q oo eQC POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER ALARMS / BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL PLUMBING MECHANICAL, PUBLIC WORKS DEPARTMENT /_2 -G COMMUNITY DEVELOPMENT DEPT. I - .a'j F,&&- FINAL / JOB COMPLETED /: -2S - A R ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING P1 AV �� See�1> /9dZ),�ss ,`<es .4 4ul�l'�6v Po. BOX 1504 APPLICATION ONLY Bu78-495 CALLE TAMPICO Ad ` QUINTA, CALIFORNIA 92253 wner VC//a-5 t P 1 P70dl!So/1, C� G Mailing Address Ad - /,50,e /4e&2_ City Zip Tel. . Conti ctor Address City �Zip Tel. 80 S� tl.� Sz State Lic. City & Classif. Lic. # MFL;fi r—nyr., I Designer �/I C'ttj Z* State �L fr u•�) Y.�.t L,,y % � Lic. #- // 78Z LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he 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 a 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 Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or im- provement is sold within one year of completion, the owner -builder will have the burden of proving that he 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKER'S COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less). 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 Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation Provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter the above-mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT BUILDING: TYPE CCONST. OCC. GRP. A.P. Number < � 7-2UD_427�7 Legal Description �o2o,F'La ��%a�3307l-/ Project Description Sq. Ft. �i No. No. Dw. Units New ❑ Add Doi Alter ❑ Repair ❑ Demolition ❑ IEstimated Valuation ., /! 67d0 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated bv: Validation: YELLOW = APPLICANT PINK = FINANCE Coachella Valley Unified School District '83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 Project Name: Owner's Name: Project Address: Project Description Easr of Madison LLC East of Madison LLC This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: r MITIGATION AMOUNT: COMM/MD. AMOUNT: DATE: RECEIPT: CHECK #: INITIALS: CERTIFICATE OF COMPLIANCE (California Education Code 17620) 52-402 Madison St., La Quinta, CA Golf Club Comfort Station Date: 05/25/06 Phone No. (760) 393-5288 APN: 767-200-027 Tract #: Lot #'s: Type of Development: Residential Commercial u Industrial Total Square Feet of Building Area: _ 650 sq. Ft. Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated: 05/25/06 Signature: SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BES SFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Number of Sq.Ft. 650 sq. ft. Amount per Sq.Ft. $ .42 Amount Collected $ 273.00 Building Permit Application Completed: Yes/No By: Carey M. Carlson, Asst. Supt., Business Services Certificate issued by: Leticia C. Torres, Facilities Analyst Signatur �. ivU I JLUE OF 9U llAY FKR1UD FOR PROTEST OF FEES AND STATEM$,hXOF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School. District, and up to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance. LT:c/mydocs/devfees/certificate of compliance form tablesTO IJSE.doc 1/16/03 T TdY 4 * 4 Quha P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT 78-495 CALLS TAMPICO (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 To: Greg Butler, Building & Safety Manager To CDD: January 13, 2006 From: Doug Evans, Director -CDD Due Date: January 24, 2006 Status: 1St Review Building Plans Approval (This is an approval to=issue a Building Permit) The Community Development Department has reviewed the Building Plans for the following project: Description: Comfort Station/Snack ShopCab- Madison Club Address or General Location: 53-980 Gray Avenue Applicant Contact: Cindy Zamorez 760-391-5072 The Community Development Department finds that: ❑ ...these Building Plans do not require+ Community Development Department approval. ...these Building Plans are approved by. the Community Development 0 Department. ; ❑ ...these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant. When the corrections are, made please return them to the Community Development Department for review. Doug Evans, Director -CDD Date 0 CITY OF LA QUINTA - PUBLIC WORKS/ENGINEERING DEPARTMENT GREEN SHEET (PUBLIC WORKS CLEARANCE) FOR BUILDING PERMITS Form updated & effective 825/2005 Please DO NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works/Engineering Department until ALL requirements listed below are complete. Incomplete applications or applications which cannot be processed will be returned to Applicant. Green Sheet approvals will be forwarded to the Building Department directly by Public Works. Date: March 22, 2006 Developer: East of Madison, LLC Tract No.: 33076-1 Tract Name: Madison Club Lot No.(s): portion of Lor M Address(s): 53980 Gray Avenue (temp) The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the Building/Safety Department. GaM F�_b s, � t> A) -L CUSTOM HOMES: PROVIDE ITEMS #2, #3, #4 AND #5'BELOW TRACT HOMES: PROVIDE ITEMS #1, #2, #3,94 (AS APPLICABLE) AND #6 BELOW COMMERCIAL BUILDINGS/OTHER: _PROVIDE ITEMS #1, #2,'#3 AND #5 BELOW 1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad (maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must be current (within 6 months of current date). If a precise grading plan creates the pad for approval, please withhold green sheet submittal until. a Pad Elevation Certificate can be. provided. 2. Attach geotechnical certification of grading plan compliance. 3. Attach recorded final map showing proposed building locations are legal lots. 4. Attach a completed <1 acre per lot or infill project Fugitive Dust Control project information form, PM10 plan & agreement or provide alternative & valid City approved PM10 plan set reference number or hard copy plan. PM10 plans for commercial and residential developments (beyond 1 lot) are submitted separately with grading plans and are subject to additional =Attachan �� roved precise grading plan for the building �Iocatiq�s. AO flood .zone --luY1uc111a wu1 lcquire an approvetrrro -I' at�_ A --Pp 6. Attach Attach an approved rough grading plan for the building location(s).. - e I have reviewed and confirmed the requirements listed above as presented and find the to be sufficiently complete for construction of the proposed. building(s)/structure(s) on the subject lot(s). Pursuant t endings, the ove ject may released for building permit issuance. Recommerided by: Dated: Z Declined for approval for reason(s) as follow(s), please correct and resubmit: TIPWDEM%STAFF\Gobk\Green Sheet PW ReleauW50824GREEN SHEET COVERdoc City of La Ouinta - PM' 10 Proiect Information (<1 acre per Lot or Infill Project)` Page 1 of 3 Form updated & effective 8/25/2005 Project Information Project Phase 1 Project Contractor: TBD Project Phase (Check One):. 0 Construction ❑ Demolition Project Name: The Madison Club Comfort Station Project Tract Number: 33076-1 Lot Number(s): Portion of Lot M Anticipated Start Date: Project Street _. Address:. 53980 Gray Avenue (temp address) Anticipated Completion: Total acres in active construction (<1 acre per Lot): ..Project Contact. Information Please Note: Dust control is required 24 hours a day, 7 days a week, regardless of construction status. Person.listed below is responsible for dust control during business and non- business hours. Name: Jose Zavala Title: Environmental Observer Company Name: Zava a, s Toys Mailing Address: 820,71 Airport Boulevard City: Thermal State: California Zip Code: 92274 +` Primary Telephone Number: (760) 766-5450 (mobile) - , ._ ^ -, (r Fax: n/a 24 Hour Access/Emergency Phone - (760) 766-5450 (mobile) (760) 578-5392 (Security) Cell Phone: (760) 766-5450 PM 10 Certificate Number: 0.4-02-615 *Expanded PM 10 plans"for commercial and residential developments > 1 acre are required by the City of La Quinta. , T:\PWDEPT\STAFF\Goble\Green Sheet PW Release\050824MIN1 PM 10 PACKET GREEN SHEET.doc *'. .City of La Quinta - Site Specific Construction Phase PM 10 Agreement Page 3 of 3 Agreement updated & effective 8/25/2005 ...The signature of the property owner (or authorized representative): • Shall act as his/her acknowledgement of dust control requirements and their enforceability, pursuant to AQMD Rules. 403 and 403.1; Shall constitute and agreement to comply with all project conditions as identified in the approved dust control plan; The property owner (or authorized representative): • Acknowledges that dust control is required 24 hours. a day, 7 days a week, throughout the period of project performance; regardless of project size or status; • Shall ensure that each and every contractor/subcontractor and all . other persons associated with the project shall be in continuous compliance with all requirements of the approved dust control plan; • Shall take all necessary precautions to minimize dust, even if additional measures beyond those listed in the. dust control plan are necessary; • Shall authorize representative of the City/County to enter upon the above mentioned property for inspection and/or abatement purposes; and • Shall hold ' harmless the City/County and its representatives from liability for any actions related to this dust control plan or any City/County initiated abatement activities. Cynthia Zamorez Printed Name Assistant Development Manager March 22, 2006. Title Date East of Madison, LLC. Company RIVERSIDE COUNTY COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH w k jp5 . �r..+. t?;�Y. 3,�,_� y..M},i`, w.�.; .. " ,•rr i.-. ';+t -iia. ,F•k .rC '.: ;.1 •',c 9 .- .y -.;,:w•.<<, t •#.. . S. f s i'�K�i*?" ;a;' i- pit* t L 7 "''Y•i;'k`• etti+:- `s.: FOOD ESTABLISHMENT PLAN APPROVAL NOTICE Plan Check # Project Name Madison Club -Comfort Station Plans Submitted by Jeff Prevost Date 07/12/06 Address 80955 Ave 52 La Quinta Phone 602-920-7183 Owner Madison club Address Ave 52; La Quinta Phone The plans are now approved subject to the conditions listed below and the attached compliance sheet. Note: This approval is for a small facility which offers only 100% pre-packaged, non -potentially hazardous foods. 1) Provide a grease interceptor sizing or waiver letter from the appropriate agency prior to final inspection. 2) Install FRP in janitor's room to a minimum height of 8'. 3) Provide an approved water-resistant material behind all sinks. To a minimum of 4' behind all hand wash sinks; to a minimum height of 8' behind all other sinks. CONSTRUCTION INSPECTIONS: Contact the Plan Checker for a Preliminary Inspection when construction is approximately 80% complete, with plumbing, rough ventilation, and rough equipment installed. Request for inspection should be made at least five (5) working days it advance. A FINAL INSPECTION MUST be made upon completion of ALL work including finished details. APPROVAL to operate shall not be granted, or remodeled areas approved to operate, until the facility has passed the FINAL INSPECTION, and "APPLICATION TO OPERATE" has been completed and PERMIT FEES have been paid. Request for inspection should be made at least five (5) working days in advance. PLANS CHECKED BY Debra Johnson Phone (760) 320-1048 I acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate them during construction: D .. n Signature Company Dr_FI-SAN-178 (Rev 2/06) Corona Hemet Indio Murrieta Palm Springs Riverside 2275 S. Main St Suite 204 800 S. Sanderson 47-950 Arabia St "A" 38740 Sky Canyon Dr 2500 N. Palm Canyon Dr 4065 Cour r�, Cir (95kja73-9140 (951) 766-2824 (760)863- ' 8287 (951) 461-0284 (760) 320-1048 (951) 355-5172 Fax (951) 520-8319 Fax (951) 766-7874 • Fax (760) 8=8303 ' Fax (951) 461-0245 Fax (760) 320-1470 Fax (951) 358.5017 Department Web Site — wNvw.rivcoeh.org i f ❑ Redlined Structural Calcs ❑ Approved Truss Calcs ❑ Redlined Truss Calcs ❑ Approved Soils Report ❑ Redlined Soils Reports ❑ Other: Comments: J lMJli wq yvvzdk Ql— WS R(m e Letter of Transmittal To: City of La Ouinta Today's Date: 06- I k— d 6 ❑ Your Files 78-495 Calle Tampico City Due Date 06— — 0 6 ❑ Your Review La Ouinta, Ca 92253 Project Address: l — ❑ At the request of: Other: ❑ zi rUe 52 — M vi on J Attn: Ed Randall Plan Check #: 06-190r, 6— 1905rr, BY: �- Palm Desert Office: ® Submittal: ❑ 1 4th . Washington Office: ❑ # (760) 404-9556 ❑ 2nd 5th ® 3`d ❑ Other: We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: # Of Descriptions: Includes: # Of Descriptions: Copies: Copies: Structural Plans ❑ Revised Structural Plans [ Structural Calcs ❑ Revised Structural Calcs (� I Truss Calcs ❑ Revised Truss Calcs Soils Report ❑ Revised Soils Report Correction List ❑ Approved Structural Plans ❑ Redlined Structural Plans ❑ Approved Structural Calcs ❑ Redlined Structural Calcs ❑ Approved Truss Calcs ❑ Redlined Truss Calcs ❑ Approved Soils Report ❑ Redlined Soils Reports ❑ Other: Comments: J lMJli wq yvvzdk Ql— WS R(m e Thank you! This Material Sent for: ❑ Your Files ❑ Per Your Request ,' ❑ Your Review ❑ Approval ❑ Checking ❑ At the request of: Other: ❑ BY: �- Palm Desert Office: ® # (760) 360-5770 Ext. Washington Office: ❑ # (760) 404-9556 TITLE 24 REPORT, I Title 24 Report for:' Madison Club Comfort Station Avenue 54 and Monroe Street La Quinta, CA 92253 Project Designer: CITY OF LA QUINTA - BUILDING & SAFETY DEPT. , .APPROVED FOR CONS RUCTION , DAT LV Report Prepared By: .j , Jason. Vander Veen Stueven Engineering Consultants ` 326 Kalmia• Street ' • r Escondido, CA 92025 f '(760) 735-8577 , p ( [ Job Number: JAN 1 2 2006. J ay Date: , 12/22/2005 , 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. EnergyPro 4.0 by EnergySoft Job Number: User Number: 3429 TABLE OF CONTENTS Cover Page 1 Table of Contents 2 Nonresidential Performance Title 24 Forms 3 Form ENV -MM Envelope Mandatory Measures 11 Form MECH-MM Mechanical Mandatory Measures 12 ��- EnergyPro 4.0 by EnergySoft �_ _ __ Job Number: _ ,_ User Number: 3429 PERFORMANCE CERTIFICATE OF COMPLIANCE Part 1 of 3 PERF -1 PROJECT NAME Madison Club Comfort Station DATE � 12/22/2005 PROJECT ADDRESS BUILDING CONDITIONED FLOOR AREA CLIMATE ZONE 490 sq.Ft. 15 Avenue 54 and Monroe Street La Quinta NONRESIDENTIAL HIGH RISE RESIDENTIAL [] HOTEL/MOTEL GUEST ROOM _ PRINCIPAL DESIGNER - ENVELOPE TELEPHONE - Building Permit # DOCUMENTATION AUTHOR Stueven Engineering Consultants TELEPHONE (760) 735-8577 Checked by/Date Enforcement Agency Use GENERAL INFORMATION This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the (DATE OF PLANS BUILDING CONDITIONED FLOOR AREA CLIMATE ZONE 490 sq.Ft. 15 BUILDING TYPE ® NONRESIDENTIAL HIGH RISE RESIDENTIAL [] HOTEL/MOTEL GUEST ROOM PHASE OF CONSTRUCTION ® NEW CONSTRUCTION ADDITION ❑ ALTERATION F-] EXISTING + ADDITION 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 a Building using the performance compliance approach. The documentation preparer hereby certifies that the documentation Is accurate and complete. DOCUMENTATION AUTHOR E DATE Jason Vander Veen Tding t Z/z z gy The Principal Designer hereby certifys that the proposed sign represented in this set of construction 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 as designed meets the energy efficiency requirements contained in sections 110, 116, through 118, and 140, 142, 143 or 149 of Title 24, Part 6. ENV. LTG. MECH. 1. 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, mechanical engineer, or I am a licensed architect. R ❑ 2. 1 affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code 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. R ❑ R 3. 1 affirm that I am eligible under 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 pusuant to Business and Professions Code Sections 5537, 5538, and 6737.1. (These sections of the Business and Professions Code are printed in full in the Nonresidential Manual.) ENVELOPE COMPLIANCE Indicate location on plans of Note Block for Mandatory Measures ENV -1 Required Forms PRINCIPAL ENVELOPE DESIGNER - NAME SIGNATURE LIC. NO. DATE LIGHTING COMPLIANCE Indicate location on plans of Note Block for Mandatory Measures Lighting Compliance Not In The Scope Of Required Forms his Subillitt PRINCIPAL LIGHTING DESIGNER - NAME SIGNATURE LIC. NO. DATE MECHANICAL COMPLIANCE Indicate location on plans of Note Block for Mandatory Measures _ Required Forms MECH-1, MECH-2, MECH-3 PRINCIPAL MECHANICAL DESIGNER - NAME SIGNATURE LIC. NO. I DATE - — 4.0 by EnergySoft User Number: 3429 __ Job Number: _ ^ Page:3 of 13 rr t PERFORMANCE CERTIFICATE OF COMPLIANCE Part 2 of 3, PERF -1 PROJECT NAME DATE Madison Club Comfort Station 12/22/2005 ANNUAL TDV ENERGY USE SUMMARY kBtu/s ft- r Standard Proposed Conditioned Floor Area Unconditioned Floor Area Conditioned Footprint Area Fuel Type Compliance sgft. sgft. - sqft. ENERGY COMPONENT Design Design 0 Margin [12 sleddird prpposea 13.54 Natural Gas sgft. Space Heating 13.87 0.34 sgft. 75.30 Space Cooling 255.57 180.27 swoecoe�sa - Indoor Fans 96.94 76.13 274 sgft. 20.82 Heat Rejection 0.00 0.00 7.3% 0.00 Pumps & Misc. 0.00 0.00 South 315 0.00 60 sgft. 19.0% 0.00 Domestic Hot Water 0.00 0.00 (west) °""` 176 1,030 240 sgft. sgft. sgft. 201 124 =:::� sgft. sgft. sgft. 11.40i° 0.0% 0.00 Lighting 53.61 53.61 0.00 Receptacle 32.7s 32.7s „Process o.00 o.00 =t 0.00 • 0 20 X 40 •8D " 80 5'100 120 440,180 180 200 220 240'x TOTALS: 452.76 343.10 109.66 '' ; ' kOu/soft r ( 24.2% excluding Percent better than Standard: 24.2% process) BUILDING COMPLIES GENERAL INFORMATION 1 4 4 s . Building Orientation Number of Stories Number of Systems Number of Zones North 0 deg Conditioned Floor Area Unconditioned Floor Area Conditioned Footprint Area Fuel Type 490 sgft. sgft. - sqft. 1 0 1 490 3 Natural Gas sgft. 24 Orientation Gross Area Glazing Area Glazing Ratio r ' . Front Elevation North 266 sgft. 24 sgft. 9.0% Left Elevation (East) 274 sgft. 20 sgft. 7.3% Rear Elevation South 315 sgft. 60 sgft. 19.0% Right Elevation " - Total Roof (west) 176 1,030 240 sgft. sgft. sgft. 201 124 =:::� sgft. sgft. sgft. 11.40i° 0.0% r Standard Proposed " Lighting Power Density 0.808 wisgft; 0.000 wisgft. , Prescriptive Env. Heat Loss 325 Btu/h 178 Btu/h Prescriptive Env. Heat Gain 21,962 Btu/h-F 21,499 Btu/h-F , Remarks: Run Initiation Time: 12/22/05 17:10:49 Run Code: 1135300249 EnergyPro 4.0 by EnergySoft User Number: 3429 Job Number ' Page•4 of 13 PERFORMANCE CERTIFICATE OF COMPLIANCE Part 3 of 3 PERF -1 I PROJECT NAME _ Madison Club Comfort Station DATE 12/22/2005 ZONE INFORMATION System Name Zone Name Occupancy Type Floor Area (sqft.) Inst. LPD (W/sf)1 Ctrl. Allowed LPD Credits Area Tailored (W/sf)2 /s 3 (W/S4 Proc. Loads (Wlsf) HP -1 Kitchen Kitchen, Food Preparation 90 0.00 utility All Others 60 0.00 Restroom Corridor/Restroom/Support 340 0.00 Notes: 1. See LTG -2-C 2. See LTG -4-C 3. See LTG -5-C 4. See LTG -6-C Items above require special documentation (items marked with asterisk, see LTG -2 -C by others) (by others) EXCEPTIONAL CONDITIONS COMPLIANCE CHECKLIST 'M 1...1 • oW—..Y s+ar aMoa.lal aaaentlun co the stems specrnea in ims cnecKust. i nese items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. Not Valid for permit applications submitted on or after 01/23/06 because Energy Budget is based on SEER 10. . r•.•,••a..caaulca 11OWu 111 ells perlvrmance approacn application nave specifically been reviewed. Adequate written justification and documentation for their use have been provided by the applicant. Authorized Signature or Stamo 4.0 by EnergySoft -- User User Number: 3429 Job Number: Paoe:5 of 13 CERTIFICATE OF COMPLIANCE ENVA -C PROJECT NAME -- — — - -- — DATE — Madison Club Comfort Station _ 12/22/2005 OPAQUE SURFACES # Surface Type Area I U -Fac. InsulationAct.. Cay. Cont. Azm._ Tilt Cond Status Joint Appendix IV Reference_ - - Location / Comments 1 Roof 90 0.032 R-30 R-0.01 0 �- 0 New 01-A17 _ Kitchen 2 Wall 64 0.081 None R-13.0 0 90 New 12-A9 Kitchen 3 Wall 68 0.102 -13 New 90 I 90 New 09-A3 Kitchen 4 Door 40 0.500 None R-0.0 90 90 New 28-A4 Kitchen 5 Roof 6 Wall 7 Door 60 281 40 0.032 0.102 0.500 R-30 R-13 None R-0.0 R-0.0 R-0.0 0 270 270 1 0 90 90 New New New 01-A17 09-A3 _ _ 28-A4 Utility Utility Utility _ 8 Wall 81 0.081 None R-13.0 90 g0 New 12-A9 utility 9 Roof 90 0.032 R-30 R-0.0 0 0 New 01-A17 I Restroom 10 Wall 177 0.102 R-13 R-0.0 0 90 New 09-A3 I Restroom 11 Wall 65 0.081 None R-13.0 90 90 New 12-A9 I Restroom 12 Wall 255 0.081 None R-13.0 180 90 New 12-A9 Restroom 13 Wall 88 0.081 None R-13.01 270 90 New 12-A9 Restroom A, R (New, Existh ❑More than or equal to 10,000 sq.ft. of site-0ullt fenestration area must include a label certificate either issued by NFRC or provide a CEC Default Label Certificate using the default U -factors from Standards Table 116-A and B. Certificate shall be filed in the contractor's project office urinq construction and in the buil-in m n f tf ft # 1 _Type Window Front North g a age so ice a erconstruction Act. Cond. Area U -Fac' SHIG Azm. Stat. Glazin _Iye 12 0.7901116-A 0.70 116-6 0 New Double Metal Clear Location/ Comments Kitchen 2 Window Front North 12 0.7901116-A 0.70 116-8 0 New Double Metal Clear Restroom 3 Window Left East 20 0.7901116-A 0.70 116-8 90 New Double Metal Clear Restroom 4 Window Rear South 60 0.7901116-A 0.70 116-8 180 New Double Metal Clear Restroom 5 Window Right West 20 0.7901116-A 6-131 270 New Double Metal Clear Restroom MINIMUM SKYLIGHT AREA FOR LARGE ENCLOSED SPACES f r C rl YFG: ! Io-.. ueiamf T adie from Standards, Table Ni -i Deraun f able from the ACM Manual Appendix, NFRC Labeled value. (2) SHGC Type: 116-B Default Table from Standards, COG Center of Glass. NFRC Labeled Value EXTERIOR SHADING # Exterior Shade Type 1 Nofie SHGC 0.76 Window Hgt. Wd. Overhang Left Fin Right Fin Len. Hgt. LExt.RExt. Dist. Len. Hgt. Dist. Len. Hgt. 2 None 0.76 3 None 0.76 _ 4 None 0.76 5 None 0.76 _ --- MINIMUM SKYLIGHT AREA FOR LARGE ENCLOSED SPACES The proposed building contains an enclosed space with floor area greater than 25,000 sq.ft, a telling height greater than 15 feet and a LPD for general fighting of at least 0.5 W/sq.fL If this box is checked, ENV -4C must be filled out when submitting under the Prescriptive Compliance Approach. 4_0 by EnergySoft. User Number: 3429 Job Number: Page: 6 of 13 CERTIFICATE OF COMPLIANCE MECH-1-C f PROJECT NAME DATE Madison Club Comfort Station 12/22/2005 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 list 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 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: 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-1-A Form shall be submitted to the building department that certifies plans, specifications, installation certificates, and oDeratina and maintenance information meet the reouiPmPnts of Rartinn in-•inwhi -4 Talo Dd 0-4 a 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 ❑ MECH-3-A: Packaged HVAC Systems Acceptance Document Equipment requiring acceptance testing ❑ MECH-4-A: Air Distribution Acceptance Document Equipment requiring acceptance testing ❑ MECH-5-A: Air -Side Economizer Acceptance Document Equipment requiring acceptance testing ❑ MECH-6-A: Demand Control Ventilation Acceptance Document Equipment requiring acceptance testing ❑ MECH-7-A: Supply Fan Variable Flow Control Acceptance Document Equipment requiring acceptance testing ❑ MECH-8-A:-Hydronic System Control Acceptance Document -Variable Flow Controls -Automatic Isolation Con-trols -Water-loop Heat Pump Controls -Variable Frequency Controls Equipment requiring acceptance testing 4 EnergyPro 4.0 by EnergySoft User Number: 3429 Job Number: Page:7 of 13 AIRSYSTEM REQUIREMENTS Part 1 of 2 MECH-2-C WKWtUt NAME DATE Madison Club Comfort Station 12/22/2005 SYSTEM FEATURES ITEM OR SYSTEM TAG(S) Number of Systems T-24 MANDATORY MEASURES Section Heating Equipment Efficiency Cooling Equipment Efficiency Heat Pump Thermostat Furnace Controls Natural Ventilation Minimum Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Insulation PRESCRIPTIVE MEASURES Calculated Heating Capacity x 1.43 2 Proposed Heating Capacity 2 Calculated Sensible Cooling Capacity x 1.212 Proposed Sensible Cooling Capacity 2 Fan Control DP Sensor Location Supply Pressure Reset (DDC only) Simultaneous Heat/Cool Economizer Heating Air Supply Reset Cooling Air Supply Reset Duct Sealing for Prescriptive Compliance AIR SYSTEMS, Central or Single Zone HP -1 1 Reference on Plans or Specification 1 112(a) 7.60 HSPF 112(a) 13.0 SEER / 11.3 EER 112(b) Yes 112(c), 115(a) n/a 121(b) Yes 121 b) 74 cfm 121(c) No 121 c) No 121(c), 122(e) Programmable Switch 122(e) Heating & Cooling Required 122 Auto 122(8) n/a 123 124 R-8.0 144 a & b n/a 144 (a & b) 15 btuh 144 a & b n/a 144 (a & b) 17,005 btuh 144 c Constant Volume 144 (c) 144 c Yes 144 d No 144 U No Economizer 144 D— _ Constant Temp 144 (f) Constant Temp 144 (k) No 1: For each central and single zone air systems (or group of similar units) fill in the reference to sheet number and/or specification section and paragraph number where the required features are documented. If a requirement is not applicable, put "N/A" in the column. 2: Not required for hydronic heating and cooling. Either enter a value here or put in reference of plans and specificatons per footnote 1. 3: Enter Yes if System is: Constant Volume, Single Zone; Serves < 5,000 sgft; Has > 25% duct in unconditioned space. Duct sealing is required for Prescriptive Compliance, see PERF -1 for performance method duct sealing requirements. L— Energfro 4.0 by EnergySoft User Number: 3429 Job Number: Page:B of 13 MECHANICAL VENTILATION MECH-3-C (PROJECT NAME::] DATE Madison Club Comfort Station _ 12/22/2005 PRESCRIPTIVE REHEAT LIMITATION (section 144(d)) MECHANICAL VENTILATION Section 121 b 2 AREA BASIS OCCUPANCY BASIS VAV MINIMUM A B C D E F G _ H I J K L M_ N ZONE/SYSTEM D0, vi. v� a fy o 'm 0 o T 0 3 o Oo`�3 x D "� 3 M 3 �3 o IJ o, ti mac) lli � T a 0S. x x n v d 3 , 03^' W19 o x p °, < D m C7 0,0 -A 3 D; ' ° 000, Ty 39c v v� Too x to „ A 3 o� K A=° T. M 120 v ' 7 ..• D D W Kitchen 9C 0.15 14 14 14 Utility 6C 0.15 9 9 g Restroom 34C 0.15 51 51 51 HP -1 Total 74 74 ini um ventilation rate perecfon 21. Table 121-A E Based on fixed seat or the greater of the expected number of occupants and 50% of the CBC occupant load for egress purposes for spaces without fixed seating. H Required Ventilation Air (REO'D V.A.) is the larger of the ventilation rates calculated on and AREA or OCCUPANCY BASIS (column Dor I Must be greater than or equal to H or use Transfer Air (column N) to make up the difference. J Design fan supply cfm (Fan CFM) x 30%; or ---- --- - ---`�• _ K Condition area (R. sqj x 04 cfm/ff. sq.Lor ___ _____ ___ L Maximum of Columns H, J. K, or 300 cfm _--""- ---'-` M This =must less than or equal to Column L and greater that or equal to the sum of Columns H + N. N Transfer air must be provided where the Required Ventilation Air (column H) is greater than the Design Minimum Air (column M). Where required, transfer air must be greater than or equal to the difference between the Required Ventilation Air (column H) and the Design Minimum Air (column M), column H - M. �_ EnergyPro 4.0 by EnergySoft User Number: 3429 Job Numher D-- n „r , 1 ! MECHANICAL EQUIPMENT DETAILS Part 1 of 2 MECH-5-C PROJECT NAME � Madison Club Comfort Station E DAT12/22/2005 1 CHILLER AND TOWER SUMMARY Energy Factor or RE Standby Loss or Pilot TANK INSUL. System Name System Type Distribution Type Efficiency Tons PUMPS Drive Pump Eff. Control Equipment Name I Equipment Type Qty. Tot. Qty GPM Motor Eff. _BHP RQUR SUMMARY Hot Water P mp Hot Water Piping Lent ith(ft) Add 1/2" Control # HP Type In Plenum Outside Buried Insulation CENTRAL SYSTEM RATINGS HEATING COOLING Aux. Condition S stem Name System Tvpe Q Output kW Eff. Output Efficiency Status Economizer Type Carrier 25HBR3-30 Split DX 1 24 0.0 7.60 HSPF 26,40013.0 SEER / 11.3 EER New No Economizer Energy Factor or RE Standby Loss or Pilot TANK INSUL. System Name System Type Distribution Type Qty Rated Input Vol. (Gals.) Condition Status Ext. R -Val. Hot Water P mp Hot Water Piping Lent ith(ft) Add 1/2" Control # HP Type In Plenum Outside Buried Insulation CENTRAL SYSTEM RATINGS HEATING COOLING Aux. Condition S stem Name System Tvpe Q Output kW Eff. Output Efficiency Status Economizer Type Carrier 25HBR3-30 Split DX 1 24 0.0 7.60 HSPF 26,40013.0 SEER / 11.3 EER New No Economizer ENVELOPE MANDATORY MEASURES ENV -MM PROJECT NAME�DATE _ Madison Club Comfort Station _ —�_ 12/22/2005 DESCRIPTION Designer Enforcement [X §118(,) Installed Insulating Material shall have been certified by the manufacturer to comply with the California Quality Standards for Insulating material, Title 20, Chapter 4, Article 3. P§118(c) All Insulating Materials shall be Installed in compliance with the flame spread rating and smoke density requirements of Sections 2602 and 707 of Title 24, Part 2. a§ 117(a) All Exterior Joints and openings in the building that are observable sources of air leakage shall be caulked, Basketed, weatherstripped or otherwise sealed. § 116(b) Site Constructed Doors, Windows and Skylights shall be caulked between the unit and the building, and shall be weatherstripped (except for unframed glass doors and fire doors). _ PX § 116(a)1 Manufactured Doors and Windows Installed shall have air infiltration rates not exceeding those shown in Table Number 1-E. of the Standards. Manufactured fenestration products must be labeled for U -value according to NFRC procedures. §118(e) Demising Walls In Nonresidential Buildings: The opaque portions of framed demising walls In nonresidential buildin s shall have g Insulation with an Installed R -value of no less than R-11 between framing members. ro By EnergySoft User Number: User Job Number: Page: 11 of 13 Im' ECHANICAL MANDATORY MEASURES • 'PROJECT NAME - Madison Club Comfort Station r . ' e r Part 1 of 2 MECH-MM DATE 12/22/2005 DESCRIPTION Designer Enforcement Equipment and Systems Efficiencies X] §111 Any appliance for which there is a California standard established in the Appliance Efficiency Regulations will comply with the applicable standard. f §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. X❑ §124 Air handling duct systems shall be installed and insulated in compliance with Sections 601, 603 and 604 of the Uniform Mechanical Code. . Controls § 122(e) Each space conditioning system shall be installed with one of the following: t § 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(e)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. XI § 122(e)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(g) 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. 0 ' § 122(c) Thermostats shall have numeric setpoints in degrees Fahrenheit (F) and + adjustable setpoint stops accessible only to authorized personnel. § 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. Page: 12 of 13 h ]MECHANICAL MANDATORY MEASURES Part 2 of 2 MECH-MM PROJECT NAME — DATE Madison Club Comfort Station _ 12/22/2005 Description Designer Enforcement Ventilation ❑X § 121(e) Controls shall be provided to allow outside air dampers or devices to be operated at the ventilation rates as specified on these plans. § 122(f) 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. RX § 121(f)1 Air Balancing: The system shall be balanced in accordance with the National Environmental Balancing Bureau (NEBB) Procedural Standards (1983), or Associated Air Balance Council (AABC) National Standards (1989); or R § 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 R § 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 F§ 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. a § 113(b)3B Lavatories In restrooms of public facilities shall be equipped with controls to limit the outlet temperature to 110 degrees F. 0 § 113(b)3C Lavatories In restrooms of public facilities shall be equipped with one of the following: Outlet devices that limit the flow of hot water to a maximum of 0.5 gallons per minute. Foot actuated control valves, and outlet devices that limit the flow of hot water to a maximum of 0.75 gallons per minute. Proximity sensor actuated control valves, and outlet devices that limit the flow of hot water to a maximum of 0.75 gallons per minute. Self-closing valves, and outlet devices that limit the flow of hot water to a maximum of 2.5 gallons per minute, and 0.25 gallons/cycle (circulating system). Self-closing valves, and outlet devices that limit the flow of hot water to a maximum of 2.5 gallons per minute, and 0.50 gallons/cycle (non -circulating system). Self-closing valves, and outlet devices that limit the flow of hot water to a maximum of 2.5 gallons per minute, and 0.75 gallons/cycle (foot switches and proximity sensor controls). EnergyPro — By EnergySoft_ — User Number: User—---.., _ Job Number: --- _ `— — Page13 of 13