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CONR (05-3827)=-_ P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number:05-00003827 Property Address: 5—MERIWETHER WY APN: 767-200-998-84 -330761 Application description: NEW COMML - OTHER NON-RESI Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 22046_ Applicant: Architect or Owner: EAST OF MADISON, LLC. PO BOX 1482 LA QUINTA,'CA 92247 (760)391-5072 0 MAYi Contractor: 1 $ 2006 LUSARDI.CONSTRUCTION COMPANY U 1570 LINDA VISTA DRIVE O 4 "` SAN MARCOS, CA 92078 'IX4,tt cj_� QuwrA (760.) 744-3133.. Lic. No.: 207287 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 Business and Professionals Code, and my License is in full force and effect. License Class: A B LicenseNo.: 207287 Date:�� dor. 7 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I 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 a civil penalty of not more than five hundred dollars ($500).: (_ 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: 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.). (_ 1 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.). (_ 1 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/18/06 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.. 1 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 NATL FIRE INS . Policy Number WC7169394 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, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I�shall lfforthwith c mply with those provisions. WARNING: FAILICIRE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE 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 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 county to enter upon t above-mentioned property for inspection purposes. c Date: !7 ignature (Applicanfor Agent): LQPERmnr Application Number 05-00003827 Permit. . BUILDING PERMIT Additional desc . Permit Fee 234.00 Plan Check Fee.. 152.10 Issue Date- Valuation 22046 Expiration,Date 11/14/06 Qty Unit Charge-. Per Extension BASE FEE 45.00 21.'00 9.0000 THOU BLDG 2,001-25,000 189.00_'' Permit MECHANICAL .Additional desc . Permit Fee 48.50 Plan Check Fee 12.13 Issue Date Valuation 0 Expiration Date 11/14/06 - Qty Unit Charge Per Extension BASE -FEE 15.00 1.00 9.0000 EA MECH FURNACE<=100K 9.00 -2.00 9.0000 EA. MECH B/C <=3HP/100K BTU 18.00 1.'00 6.5000 ------------------------------------------------------- EA MECH VENT FAN .6:50 Permit ELEC-NEW COMMERCIAL Additional desc .. . Permit Fee . . 29.12 -Plan Check Fee.. 7.28 Issue Date Valuation . . . . 0 Expiration. Date 11/14/06 Qty Unit Charge Per.- Extension BASE FEE 15.00 706.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.12 Permit PLUMBING Additional desc . Permit Fee . . . . 54.00 Plan Check Fee 13.50 Issue Date . . Valuation 0 Expiration Date 11/14/06 Qty Unit Charge- Per Extension . BASE FEE 15.00 1.00 -6.0000 EA PLB FIXTURE 6.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 1.00 15.0000 EA PLB GAS METER 15.00 LQPERmnr Application Number . . . 05-00003827 Permit GRADING PERMIT Additional'desc -. Permit Fee. 15.00 Plan Check.Fee .00 Issue Date Valuation 0 Expiration Date 11/14/06 Qty Unit -Charge .Per Extension BASE, FEE 15.00 - --------------------------------------_-------------------------- Special Notes and Comments GUARDHOUSE "A" 706 SF, S-2 OCCUPANCY (PUMP HOUSE. BLDG.) TYPE V -N CONSTRUCTION, 2001 CBC, CMC, CPC.2004 CEC, 2005 ENERGY CODES'. ------------------------------------------------------- Other Fees . . . . . ACCESSIBILITY PLAN REVIEW 15.21 ART IN PUBLIC PLACES -COM 90.23 DIF CIVIC CENTER - COMM 38.12- ENERGY 8.12ENERGY REVIEW FEE. 15.21 DIF FIRE PROTECTION -COMM 40.94 STRONG MOTION (SMI) - COM 4.62 DIF.STREET MAINT FAC -COMM 19.76 DIF TRANSPORTATION - COMM 1493.89 Fee summary Charged' Paid Credited Due ------------ --------=-- ---------- ---------- ----------- Permit Fee Total 380.62 .•00 .00 380.62 Plan Check Total 185.01- .150.00 .00 35.01. Other Fee Total 1717.98 .00 .00 1717.98 - Grand Total 2283.61 150.00 .00 2133.61 J • LQPERMIT ,�7✓(/i' Wim✓ w G G f C/�i'J�/",S '_ .��.�� .�. , T4tV/ mac/ S, Po. BOX 1504 APPLICATIO ML Building 78-495 CALLE TAMPICO Address LA QUINTA, CALIFORNIA 92253 / Owner FAQ v i-4G/J / - — mamng - Address i1 . U, 600 11,A82 Cityi / Zig W-4 BUILDING: TYPE CONST. OCC. GRP. A.P. Number 7&2-4-040-003 39 f 4�57�Legal Description L;on>rac>or Address City Zip Tel7 Lie-Q�c��7 97 s3 State Lic. City & Classif.� Lic. # ¢�h� Designer Address a.Lis�s�94/ ILic. 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 o/ 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 WORKER'S COMPENSATION DECLARATION I 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 ($700) 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 Project Description/u �u .!�JJ ns Sq. Ft. 7 No. Size /'4 197 Stories New W�, Add ❑ Alter ❑ C 3b 2-7 No. Dw. Units r ❑ Demolition Gt Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. s3 Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. B ^Li) % O Infrastructure � - TA TOTAL REMARKS I ( w�i Ate � A111Ld PY pyr 1 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_ Issued by: Validated by: Validation: YELLOW = APPLICANT INSPECTOR Date Permit PINK = FINANCE �ai \u.Wi4 "(,�.C� - .• III �� cc)4 3 P.O. Box 1504 •�� LA QUINTA, CALIFORNIA 92247-1504 BUILDING & SAFETY DEPARTMENT78-495 CALLE TAMPICO - OF 7.8-495 (760) 777-7012 LA QUINTA,, CALIFORNIA 92253 FAX (760) 777-7011 April 14, 2006 - y Ms. Cynthia Zamorez East of Madison, LLC.'. - PO Box 1482 La Quinta, CA 92247-1482 ' RE: Plan Review Extension Request `52125 Meriwether Way Dear Ms. Zamorez: > I have reviewed your e-mail dated 4/13/16, 'requesting a time extension for the Plan Review of the Madison Club HOA pump house proposed to be built at the above address under Application #05-3825. Plan review status: , Original application date: 8/30/05 180 -day expiration date: 2/27/06 180 -day extension date: 8/28/06 Under the provisions of California Building Code Section 107.4, your request is hereby granted. Because the Building Code specifies that "no application shall be extended more 'than once'," please be.advised that unless a building permit for this project is issued on or before Monday, August 28, 2006, your application will expire. automatically. Yours truly,' Greg Butler Building & Safety Manager - '. 'r ✓ \ ,, Greg.Butler From: Cindy*Zamorez [czamorez@madisonclubca.com] Sent: Thursday, April 13, 2006 5:28 PM To: Greg Butler Subject: Caretaker's Residence (81475 Avenue 52; now: 52120 Meriwether Way and 52125 Meriwether Way) Greg: - We are in, the final stages of getting the permit for the Caretaker's Residence. The last piece is getting Green Sheet approval from Public Works .which I hope should be late next week or by April 28th (worst case scenario). My glitch, however, is that we applied for the permit on September 28, 2005, and in talking to Burt this afternoon, .it's my understanding that we only have 180 days (or until March 27, 2006) to get our permit issued before the application expires. Since we are very close to pulling the permit (again only awaiting Green Sheet approval plus we also need the, Building/Safety plan check fee), I respectfully request an extension until April 28th to get the permit. We are anxious to commence -construction so hopefully we won't.need.,that long..of an extension, butI don't know Public Works' timeframe. Please advise. Thank you in advance for your consideration of this matter. Cynthia Zamorez The Hideaway/Madison Club J 4/14/2006 �' � � 'f �� / ti��: � / � ` / Certificate of Occu ancy 44P V11 0 Building & Safet Department t11! Y 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 City regulating building construction and/or use. iii BUILDING ADDRESS: 52-125 MERIWETHER WAY Use classification: COMM Building Permit No.: 05-3827 Occupancy Group: B Type of Construction: VN Land Use Zone: RL la is d Owner of Building: EAST OF MADISON, LLC Address: P.O. BOX 1482 City, ST, ZIP: LA QUINTA, CA 92247 By: DAVID*GATICA Date: NOVEMBER 15, 2006 Building Official WN, POST IN A CONSPICUOUS PLACE TITLE 24 REPORT Title 24 Report for: Madison Club Guardhouse Building A Meriwether Way La Quinta, CA Project Designer: Nick Fullerton Architects P.C. 424 South Main Street Kalispell, MT 59901 406-257-4091 Report Prepared By: Dave Celmer, P.E. EquitySpec Consulting Engineers, Inc., 4508 N. Sierra Way Suite 115 San Bernardino, CA 92407 (909) 881-7278 CITY OF LA QUINTA BUILDING & SAFETY DEPT. L -APPROVED FOR C ST ON Job Number: DAT O's ?a �y 05019 27 Date: 10/13/2005 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.en6rgysoft.com. EnergyPro 4.0 by EnergySoft Job Number: 05019 User Number: 4582_ 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 PERFORMANCE CERTIFICATE OF COMPLIANCE Part 1 of 3 PERF -1 PROJECT NAME Madison Club Guardhouse Building A 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 ac a d complete. DATE 10/13/2005 PROJECT ADDRESS DATE •� _ Meriwether Way La Quinta NONRESIDENTIAL HIGH RISE RESIDENTIAL [:] HOTELIMOTEL GUEST ROOM Building Permit# PRINCIPAL DESIGNER - ENVELOPE Nick Fullerton Architects P.C. TELEPHONE 406-257-4091 I: DOCUMENTATION AUTHOR EquitySpec Consulting Engineers, Inc. TELEPHONE (909) 881-7278 Checked by /Date Eriforcemenf'AgencyUse 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 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 ac a d complete. DATE OF PLANS BUILDING CONDITIONED FLOOR AREA CLIMATE ZONE 15 DATE •� 207 S 8.17.05 9•Ft• BUILDING TYPE NONRESIDENTIAL HIGH RISE RESIDENTIAL [:] HOTELIMOTEL GUEST ROOM PHASE OF CONSTRUCTION NEW CONSTRUCTION ADDITION [:] ALTERATION ❑ 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 ac a d complete. DOCUMENTATION AUTHOR Dave Celmer, P.E. SIGNATU DATE •� The Principal Designer hereby certifys that the proposed buildin design 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 res s preparation; and that I am licensed in the State of California as a civil engineer, anical engineer, I am a licensed architect. 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. ❑ ❑ 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 r V - Require o PRINCIPAL ENVELOPE DESIGNER - NAME IG Nick Fullerton Architects P.C. AT LIC. NO. DAT C' LIGHTING COMPLIANCE Indicate location on plans of Note Block for Mandatory Measures Lighting Compliance Not In The Scope Of R s T !r Sub-m-itta MECHANICAL COMPLIANCE Indicate location on plans of Note Block for Mandatory Measures f: MECH-1 M EH -2, MECH-3 Required Forms PRINCIPAL MECHANICAL DESIGNER - NAME Equi Sec Consulting Engineers, Inc. SIGNAT R LIC. NO. 0 -2-Z7 6 b DATE 1 10-.116 Run Initiation Time: 10/13/05 11:53:46 Run Code: 1129229626 EnergyPro 4.0 by Energysoft User Number: 4582 Job Number: 05019 Page:3 of 13 •'f ��;x 4�ir a �;_ �aM PERFORMANCE CERTIFICATE OF COMPLIANCE„ ` Part 2:O'f'3 PERF -1 PROJECT NAME. .. L DATE Madison Club Guardhouse Buildin A 10/13/2005 ANNUAL TDV.ENERGY.USE SUMMARY kBtu/5• ft- ir Standard Proposed 'Compliance ` ENERGY COMPONENT Design " _ Design' '- '' �' Margin, 3.12 2.58 ((j sta�°erd Pioa°seerae Space Heating' 5.70 �, ,s, Space Cooling j ^Yrr 186.33 _ ' 41.63 1° `��',- ' ( µ,r7 „`' 227:95 k" : 146.10 Indoor. Fans ,� ~ 132.58 Heat Rejection 0.00 0:00 0.00 Pumps & Misc. 0.06,- 0.00, 0.00 28.77 Domestic Hot Water "28.77 .w ., -'0-00 °""' E °E Lighting 79.61 e <79.61 0.00E�� , r91:54 Receptacle �`.' N 91.54 �0.00F Processr 0 00 0.00' a.,. es j 0.00 � . F" � a , � ' mm 0 200 80 �80. 700 120 � 140 J80 E180 200 220 , L TOTALS.. ' ,519.68 521.95 ^ 57.73 - ,keiWsgR yr Percent better than Standard: '10.0% ( 10.0% excluding process) BUILDING COMPLIES ._ u GENERAL INFORMATION Building Orientation (West)"27adeg Conditioned -Floor Area 207 sqn Number of Stories` „, 1 Unconditioned Floor Area. ' o sqn Number of Systems °Conditioned Footprint Area .. 0 sgft. • "� �" 1 Number of Zones i• Fuel Type Natural Gas , 1 ' -Orientation Gross Area: ` Glazing Area Glaiing,l2atio , � '�� '� ` � 121 �-o o o% Front Elevation."'� west sgft sqn; 143 . 78 54.2% Left Elevation (North) sgft ` sgft' ' Rear Elevation ., East _ sgft sgft. A , "� �. 143 ? 10 7.2% _ o.` =o.o°%Right Elevation (South Total X* ROOF r+ z "sgft. sgft s sgft 4 07 8 21 6 %' X207 Standard Proposed - rt y;�. .. l,. :-4 r Lighting Power Density i.2oo w/sgh: a 1.200 w/sgfC i` Prescriptive Env. Heat Loss 84 Btu/r, s� etu/r; Yz F a a u Prescriptive Env.' Heat,Gain '`: s,4o2 Btu/h-F 6,544 Btu/h-F . _t - r �t a Remarks: ! r • G..y V'. 4Y Run Initiation Time: 10/13/05 11:53:46_ Run Code:_ 1129229626 „ r EnergyPro 4.0 by EnergySoff„ .. User Number`. 4582 Job Number 05019 " .. Page:4 of 13 a,, e / ` �` *`.p,..'x s �, ,s, ,,-• -ylh j ^Yrr •,SS. ti" 1° `��',- ' ( µ,r7 „`' PERFORMANCE CERTIFICATE OF COMPLIANCE PROJECT NAME nn.,, ;^^r, (Ili ih %i vnrHhni IRP Rimdina A Part 3 of 3 PERF -1 DATE 10/13/2005 The local enforcement agency should pay special attention to me nems ,NW,,,,,W..,,, .,,,, _-- •__---- - - -- 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.__u.. L..........v:e.ueri Arinnnmta written ingtification and The exceptional features ustea in mis perrormance dlipi wau„ aMN,,, a.,.,,, ..�-� �r--• -- --- - documentation for their use have been provided by the applicant. euthnrized Sianature or Stamp Run Initiation Time: 1011310511: 4.0 by EnergvSoft User Number: 4582 Job Number: 05019 of 13 CERTIFICATE OF COMPLIANCE ENV -1-C PROJECT NAME DATE Madison Club Guardhouse Building A 10/13/2005 OPAQUE SURFACES FENESTRATION SURFACES I FMore than or equal to 10,000 sq.ft. of site -built fenestration area must Include a label certificate either issued by NFRC or provide a CEC Default Label Certificate using the default LI -factors from Standards Table 116-A and 8 certificate shall ha rind in the centractors rimiact office durine construction and in the buildino managers office after construction Act. Cond. # Type Area U -Fac' SHGC2 Am. Stat. a Area 66 U -Fac. 0.069 Insulation Cay. Cont. R-21 R-0.0 Act. Azm. 0 Tilt 90 Cond" Status New Joint Appendix IV Reference 09-A6 Location / Comments Bld A 133 0.069 R-21 R-0.0 90 90 New 09-A6 Bldg A kface 121 0.069 -21 R- 270 90 w 09-A6 Bld A 207 0.025 R-38 R-0.0 0 0 New 01-A18 Bldg A FENESTRATION SURFACES I FMore than or equal to 10,000 sq.ft. of site -built fenestration area must Include a label certificate either issued by NFRC or provide a CEC Default Label Certificate using the default LI -factors from Standards Table 116-A and 8 certificate shall ha rind in the centractors rimiact office durine construction and in the buildino managers office after construction Act. Cond. # Type Area U -Fac' SHGC2 Am. Stat. Location/ Glazing_Iype Comments 1 Window Left (North) 78 0.390 NFRC 0.37 NFRC 0 New Arch.Traditions Clad 2 -pane low -e Bldg A 2 Window Rear East 10 0.390 NFRC 0.37 NFRC 90 New Arch.Traditions Clad 2 -pane low -e Bldg A (1) 1.1 -factor Type: 116-A Default Table from Standards, Table NI -1 Default Table 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 Window Overhang Left Fin Right Fin ## Exterior Shade Type SHGC Hgt. Wd. Len. Hot. LExt.RExt- Dist. Len. H t. Dist. Len. H t. 1 None 0.76 2 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 calling height greater than 15 feet and a LPD for general lighting of at least 0.5 Wlsn.ft. If this box Is checked, ENV -4-C must be filled out when submitting under the Prescriptive Compliance Approach. EnergyPro 4.0 by EnergySoft User Number: 4582 Job Number: 05019 Page_ 6 of 13 1 CERTIFICATE OF COMPLIANCE MECH-1-C PROJECT NAME I DATE Madison Club Guardhouse Building A 1 10/13/2005 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 ,...•....t c,,,.c— in_'InIA KN Jnr! Ti41c 9d Pnr} R 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 EnergyPro 4.0 by EnergySoft User Number: 4582 Job Number: 05019 Page:? of 13 R SYSTEM REQUIREMENTS Part 1 of 2 MECH-2-C PROJECT NAME (DATE Madison Club Guardhouse Building A 10/13/2005 SYSTEM FEATURES ITEM OR SYSTEM TAG(S) Number of Systems MANDATORY MEASURES 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 T-24 Section AIR SYSTEMS, Central or Single Zone FC/HP-A 1 Reference on Plans or Specification 1 112(a) 6.80 HSPF 112(a) 12.0 SEER / 10.0 EER 112(b) Yes 112(c), 115(a) n/a 121(b) No 121(b) 31 cfm 121 (0_ No 121(c) No 121(, 122(e) Programmable Switch 122(e) Heating & Cooling Required 144 No Economizer 1220 Gravity 122(9) n/a 123 No 124 R-8.0 ' 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 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/K 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. 144 a & b n/a 144 a & b 10,618 btuh 144 a & b n/a 144 a & b 11,719 btuh 144 U Constant Volume 144 (c) 144 U No 144 () No 144 No Economizer 144 (f? Constant Temp 144(f) Constant Temp 144 (k) No U M V W r- z Transfer Air LO `o 0 0 C -- Design Min. Air, t m N Q Setpoint I m m a CV-)�� w v W C: Max of I d m O W.2 :)W Columns H, J, I a ~ w a M K or 300 CFM d E C a z 'y O 2 > Y B x 0.4 CFM/sq. ft. m UUi Q > s = w ~ 30% of Design CL ,:3 Zone Supply I c� CFM m o m H o Design c) s E — Vent. Air ' 22 CFM o ELrn E_ REQ'D V.A cn co Nim 3 E o _ Max of a8 (D or G) Z `a �� E Lo Min CFM m a E _ U) O by Occupant v $ m (ExF) o V CFMw + E Z Qa w per a 5 E Person v E U Number of o o o o c a .N C� V O w People o E m m Min CFM04 m C p by Area o E E, m m (B x C) o m 3 E v N Z - a CFM i° o E o E m U per 8 < ' z O C4 a Square Foot E y c o N m Condition N d o= a d d DArea m am�� a ($F) ti /VI1 a E E m ii N i N O og y m x m o U m ¢ Z> _ O 2 � o mt U O m 12 m U'GY Q mm p !✓ Q m O1 W WM Uj c v' m a_ � fA O J w o A a ° o t E y Eco m a$ 211 w o m m N _ o E a C > Q m x> = m o n m W G J Z o a c c E E o N m m m o m `� t- rn m� O U F- H 0 U Q Q W w= Q z tll CM a � :2 m LL MECHANICAL EQUIPMENT DETAILS Part 1 of 2 MECH-5-C >ROJECT NAME DATE, 0�� 3I2OO�J Madison Club Guardhouse Building A Name Hot Energy Rated Vol. Condition Factor Distribution Type Qty Input (Gals.) Status or RE Hot Water Standby IANR INJ Loss or Ext. Pilot R -Val. Add 1/2" Insulation CENTRAL SYSTEM RATINGS COOLING HEATING Aux. Condition system Name S stem T pe Q Output kW Eff. Out ut Efficiency Status Economizer Type York F3RPT018/E4FH018 Split DX 1 17,010 0.0 6.80 HSPF 13,100 12.0 SEER / 10.0 EER New No Economizer CENTRAL SYSTEM FAN SUMMARY RET RN FAN System Name York F3RPT018/E4FH018 Fan T e Constant Volume Motor Location Blow -Through h 9 S PPLY CFM 500 FAN BHP 0.25 Motor Eff. 64.0% Drive Eff. 97.0% CFM none BHP Motor Eff. Drive Eff. 4.0 User Number: 4582 Job Number: 05019 10 of 13 ENVELOPE MANDATORY MEASURES PROJECT NAME Madison Club Guardhouse Building A DESCRIPTION FRI § 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. F §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. FV1§117(a) All Exterior Joints and openings in the building that are observable sources of air leakage shall be caulked, gasketed, 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). F§ 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. a §118(e) Demising Walls in Nonresidential Buildings: The opaque portions of framed demising walls in nonresidential buildings shall have Insulation with an installed R -value of no less than R-11 between framing members. ENV -MM (DATE 10/13/2005 ,signer Enforcement iergyPro By EnergySoft User Number User Job Number 05019 Page: 11 of 13 - w . MECHANICAL MANDATORY MEASURES Part 1 of 2 MECH-MM ROJECT NAME DATE Madison Club Guardhouse Building A 10/13/2005 DESCRIPTION Desi ner Enforcement Equipment and Systems Efficiencies 0 §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. F§ 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: X § 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. F § 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. § i22(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. XJ § 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: 05019 Page: 12 of 13 0 VIE CHANICAL MANDATORY MEASURES Part 2 of 2 MECH-MM PROJECT NAME DATE Madison Club Guardhouse Building A 10/13/2005 Description Designer Enforcement Ventilation § 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. F] § 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 a§121(Q2 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(b)3B Lavatories In restrooms of public facilities shall be equipped with controls to limit the outlet temperature to 110 degrees F. El § 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: 05019 Page:13 0f 13