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12-0507 (RC).f, (fitit 4 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760).777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT - Date: 6/27/12 Application Number: 12-00000507 Owner: Property Address: 78250 HIGHWAY 111 LA QUINTA REAL ESTATE PARTNERS APN: 604-050-019-3 -000000- C/O TS ENTERPRISES INC Application description: REMODEL - COMMERCIAL 225 PLAZA ST ATE 300 Property Zoning: FLOOD PLAIN SOLANA BEACH, CA 92075 Application valuation: 500000 Contractor: -- Applicant: Architect or Engineer: G C S INC D 3460 MARRON ROAD t, OCEANSIDE, CA 92056 I� �gnqq 4 (760) 659-4015 Ldl9 �` i��►t'tKca/!- II'ik Lia. No.: 968063 C1-TY0,F S-A QLiN TA -------------------------------------------------- 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. A. License Class: B License No.:�968063�� T Dater ' Contractor: � �l J�� 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, 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 _ 1 I am exempt under Sec. BAP.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for theperformance of the • work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ • Lender's Address: LQPERMIT ----------------------------------------------— • WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier TOWER INS Policy Number WCCO02399600 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 Lght Code, I shall fprthwith comply with those provisions. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. 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. i 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 b ' g constructio9 nd eby aut orize representatives of this county to enter upon the above-mentioned ro a for i pectiotf r s. �Date(O 12P' L6ignature (Applicant or Agent): Application Number . . . . . 12-00000507 ------ Structure Information REMODEL/VB/A2+S2-OCC/403OL/SPRINK [ENG] ----- Other struct info . . . . . CODE EDITION 2010 FIRE SPRINKLERS FULLY . MIXED-USE OCCUPANCY A2/S2 OCCUPANT LOAD 403.00 1ST FLOOR SQUARE FOOTAGE .00 ---------------------------------------------------------------------------- 2ND FLOOR SQUARE FOOTAGE .00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 2039.50 Plan Check Fee 1325.68 Issue Date . . . . Valuation . . . . 500000 Expiration Date 12/24/12 Qty Unit Charge Per Extension BASE FEE 639.50 400.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 1400.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . . Permit Fee . . . . 156.85 Plan Check Fee 39.21 Issue Date . . . . Valuation . . 0 Expiration Date 12/24/12 Qty Unit Charge Per Extension BASE FEE 15.00 ` 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 2.00 11.0000 EA ELEC MISC 22.00 233.00 .4500 -------------------------- EA ELEC DEVICE/FIXTURE >20 ---------------------------------- 104.85 ---------------- Permit . . . MECHANICAL Additional desc . Permit Fee 41.50 Plan Check Fee 10.38 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/24/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH.VENT INST/ DUCT ALT 4.50 1.00• 9.0000 EA MECH B/C <=3HP/100K BTU' 9.00 1.00 6.5000 EA MECH AH <=10K CFM 6.50 1.00 6.5000 ------------------------------------------------------------------------ EA MECH VENT FAN 6.50 Permit PLUMBING • LQPERMIT - ~ Application Number . . . . . 12-00000507 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 141.00 Plan Check Fee 35.25 Issue Date Valuation . . . . 0 Expiration Date 12/24/12 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 6.0000 EA PLB FIXTURE 120.00 1.00 3.0000 EA PLB-WATER INST/ALT/REP 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS ------------------------ 3.00 ------------ ---------------------------------------- Special Notes and Comments INTERIOR/EXTERIOR REMODEL AT EXISTING RESTAURANT/VB/A2+S2-OCC/403-OL/SPRINK (ENGINEERED] THIS PERMIT DOES NOT INCLUDE ADDITIONAL SQUARE FOOTAGE, GAZEBO STRUCTURE, OR ALTERATION TO KITCHEN, OR.1ST FLOOR AREAS. 2010 CALIFORNIA BUILDING CODES. June 27, 2012 3:34:19 PM AORTEGA FOR BH ----------------------- ---------------------------------------------------- Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW 132.57 ART.IN PUBLIC PLACES -COM 2480.00 BLDG STDS ADMIN (SB1473) 20.00 ENERGY REVIEW FEE 132.57 STRONG MOTION (SMI) - COM 105.00 Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 2378.85 .00 .00 2378.85 Plan Check Total 1410.52 .00 .00 1410.52 Other Fee Total 2870.14 .00 .00 2870.14 Grand Total 6659.51 .00 .00 6659.51 LQPERMIT V/0 &/&//z -9 Vii/ -ate: Alati - &- PC//2- V, o/iz City Of La QuInta Buaidang 8E Safety Division P.Q. Box 1504, �78-495 Calle Tampico 4.Quinta, CA 92253 - (760) 777-7012 Building Permit -Application and Tracking Sheet Permit # Project Address: • 0--L50 Owner's Name:. G " A P. Number. o ..o Dom, Adder: Aga - Legal Legal Description: -4 4(_ t1J City, ST, Zip: Telephone: r t ' Project Description: TJ ' jp V ige AAG Contractor: ��,(j (� �'YLP'� �v Address: '!k City, ST, Zip: u GiQ. •Zp� �o Telephone:: • � If State Lic. #: City Lie. #; Asch, Engr., Designer: OGI DIS . AW( . It< rd.l5 lav=T MA Address: 0 lafto City., ST, Zip: SAO Law,O'K. 11%. 1 L O w Telephone:O State Lic. #: „� .}�� Name of Contact Person:Sq. Construdxion Type: Occupancy: Project type (circle one): New Add'n AI Repair Demo Ft.: # Stories: 7i #Unit: Telephone # of Contact Person: . . D O Estimated Value of Project: ", APPLICANT: DO NOT WRITE BELOW THIS LINE l L # Submittal Req'd Recd TRACKNG PERMIT FEES Plan Sets Plan Check submi 5!'� Item Amount Structural Calks a Reviewed, ready fr wrtectio Plan Check Deposit. Truss Calcs. Called Contact P eI Plan Check Balance _ Title 24 Calci. Plans picked up Construction Flood plain plan Plans resubmitted n b/(O Mechanical Grading plan 2'! Review, ready fo correctio e q Electrical Subcontactor List Called Contact Person I Id Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correcdo'nsAssue Developer Impact Fee Planning Approval. Called Contact Person P. Pub. Wks. Appr ' Date of permit issue t. School Fees Total Permit Fees V/0 &/&//z -9 Vii/ -ate: Alati - &- PC//2- V, o/iz TA*t!t elf P.O. Box 1 504 BUILDING &.S A F ET Y DEPARTMENT 78-495 CALLE TAMPICO (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7611 d To: Greg Butler, Building & Safety Manager To CDD: i0' l4 ! 2 From: Les Johnson, Director -Planning Due Date: Permit #: Status: I Building Mans Approval (This is an approval -to issue.a Building Permit) .The Planning Department has reviewed the Building Plans for the following project: Description: dz Address or General Location: 76' .2 JV VZ0 ! ! Applicant Contact: Wq- The Planning Department finds that: ...these Building Plans do not require Planning Department approval ...these Building Plans are approved by the Planning Department. ...these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant: When the corrections are made please return fhem t'o�he Planning Department for review. Les Johnson,(D)rector-Planning C teoz ,i Date i CERTIFICATE OF COMPLIANCE MECH-IC-ALT-HVAC Prescriptive HVAC Alterations (Page 2 of 2) Project Name/Address: Date: Gl.{IDV_ d lD1%?a12 Installation Certificate requirement: The installing contractor shall complete and sign an Installation Certificate (MECH-INSZ) to certify that the installed HVACfeatures, materials, components, or manufactured devices (the installation) conforms to all applicable codes and regulations, and the installation is consistent with any required plans and specifications approved by the Certificate of Acceptance requirement. After completing the installation, all required acceptance testing shall be completed, and all applicable Certificate ofAcceptance forms are required to be filled out completely, signed, and made available to the enforcement agency at final inspection. Copies of the completed, signed Certificate of Acceptance forms shall also be made available to the buildine owner. Q Step 3 - MECH-2A - Outdoor Air Acceptance — This test is required for newly installed or replacement HVAC Systems (HVAC equipment and ducts) to verify minimum outside air is provided in accordance with Section 125 of the Energy Standards. Stcp 4 — MECH-3A - Constant Volume, Single Zone Unitary A/C and HP Controls Acceptance— This test is required for new or replaced constant volume, single -zone unitary air conditioners and heatpumps to verb controls function, including: thermostat installation and programming, supplyfan, heating, coolin , and damper operation in accordance with Section 125 of the Enew Standards. 0 Step 5 — MECH-4A - Air Distribution Systems Acceptance — 7his test is required when the new or altered system is a single ;one, constant volume system serving 5,000 ft, or less, and 25% or more of the duct surface area is located in the outdoors, unconditioned space, or a ventilated attic in accordance with Section 125 of the Energy Standards, 0 Step 6 - MECH-4-HERS - Air Distribution System Leakage Diagnostic — 7his test is required to be completed by a HERS Rater when the new or altered system meets the criteria in Step 5 to verify duct leakage in accordance with Section 125 of the Energy Standards. The HERS Rater shall register the MECH-4-HERS Form with an approved HERS Provider. 0 Step 7 - MECH-SA - Economizer Testing Acceptance - This test s required for newly installed or replacement HVAC equipment when an economizer is installed in accordance with Section 125 of the Energy Standards. E3 Step 8 - MECH-6A - Demand Control Ventilation Systems (DCV) Acceptance - 71is test is required for new_!12 m DCV systems or replacement of HVAC equipment with the following characteristics to verify controls and sensors function ' 07d- Gg eve 1'. of the Energy Standards.: A. They have an aireconomizer; and B. They serve a space with a design occ load factor for egress purposes greater than or equal to 15 people per 1000f? (40 square foot oniytd� i. Single zone systems with any controls, or ii. Multi le zone systems with Direct Digital Controls PDQ to the zone level. aNG &S orM Documentation Author's Declaration Statement RIJC • I certify that this Certificate of Compliance documentation is accurate and com I Name: a �y�11 Signanue: BY Company: Address:�A iy1 It�'� 9015N Ie> If Applicable CEA # CEPE # City/State/Zip -gJ1cri1 Cie �2 j2�v Phone: 8133 Principal Mechanical Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the mechanical design. • This Certificate of Compliance identifies the mechanical features and performance specifications required for compliance with Title 24, Parts 1 and 6 of the California Code of Regulations. • The design features represented on this Certificate of Compliance are consistent with the information provided to document this design on the other applicable compliance forms, worksheets, calculations, plans and sp ' ications submitted Pthe enforcement agency for approval with this building permit application. Name: �) lee F*4 AC Z / R,4 , Signature: CompanyNarge: Y • r Rl Date: 1212 aj 2L / Address . � m 19# _t T" � } License # 24"12'1 City/State/Zip: -0 A �,� _ 9 2-42 /_ Phone: g st) _ dJVVDO' ` � 2008 Nonresidential Compliance Form July 2010 t CERTIFICATE OF COMPLIANCE MECH-IC-ALT-HVAC Prescriptive HVAC Alterations (Page 1 of 2 Project Name/Address: Date: Cl- q ¢211:510 a e 5Io'112,gv12 Enforcement Agency: Permit Number: Climate Zone NOTE: This form may be used only for single zone constant volume systems. This form shall not be used for newly constructed buildings, additions, or VA multi -zone systems. Select one "Existing Building Project Type" and complete the corresponding steps listed in the "Complete Steps" column below. Note: After installation of HVAC units and/or ducts, the Installation and the applicable Acceptance Forms are required to be submitted or verification by the field inspector and a copy shall be made available to building owner. Existing Building Project Type select one): Complete Steps: Q New or Replacement HVAC unit 1, 4, S and 6 (If criteria is met), 7 ( When economizer is installed) 12 New or Replacement ducts 1, 4, 5 and 6 (1f criteria is met) New Space Conditioning System (HVAC and ducts) 1, 2, 3, 4,5 and 6 (If criteria is met), 7 (When economizer is installed), 8 (D09 Ste 1— Ducts and HVAC E ui ment Equipment Type, Efficiency Floor Area Distribution Type Duct Insulation Thermostat Configuration and Capacity' Served and Location3 R -Value Types (Central, Split, Package) 124CP DUCT Le -4.6 t� t4 161M epck SptJt't` 1. Indicate Equipment Type; Air Handler, Condenser, Heat Pump, Evap. Cooling, Boiler, Electric Resistance, etc. & HVAC Capacity; or Ducts (new or replaced). 2. If the Floor Area Served (per duct system) exceeds 5,000 square feet, skip Steps 5 and 6. 3. Indicate Type and Location (Ducts on rood ducts in conditioned space, ducts in attic, etc.) 4. Newly installed or replaced duct insulation: R-8 in unconditioned space or in buried concrete slab; R-4.2 in indirectly conditioned space; and R-0 for conditioned space. 5. Existing non -setback thermostats shall be replaced with setback thermostats for all altered units, and all newly installed space conditioning systems requiring a thermostat shall be equipped with a setback thermostat. Setback thermostats shall meet the requirements of Section 112(c). Step 2 — Mechanical Ventilation Calculations Both options (Area and Occupancy Basis) shall be completed to determine the minimum mechanical ventilation rates and Column I must be the greater of either Cohunn E or H. AREA BASIS OCCUPANCY BASIS A B C D E F G H I Zone/ Type of Use Condition CFM Min Num of CFM Min Design Vent. CFM System Area (W) Per ft' CFM2 People per CFM3 Larger of C x D Person F x G E or H 01 MA, 15 15 15 AREA BASIS 1. Minimum ventilation rate (CFM/ ft2) for the Type of Use in the Table below. 2. The conditioned floor area of the space multiplied by the applicable minimum ventilation rate from Table 4-1 CFM/R2 Column below. For additional ventilation rates, see Table 4-3 and use the values listed in the Required Ventilation Column in the Nonresidential Compliance Manual. This provides dilution for the building -borne contaminants like off -gassing of paints and carpets. OCCUPANCY BASIS 2. For spaces with fixed seating such as a theater or auditorium, the expected number of occupants is the number of fixed seats. 3. The expected number of occupants or people multiplied by 15 cfm per person. Type of Use CFM per fe Type of Use CFM per ft' Auto repair workshops 1.50 High-rise residential Ventilation RatesSpecified by the CBC Barber shops 0.40 Hotel guest rooms less than 500 ft' 30 efin/gucst room Bars, cocktail lounges, and 0.20 Hotel guest rooms (500 ft' or greater) 0.15 casinos Beauty shops 0.40 Retail stores 0.20 Coin-operated dry cleaning 0.30 All Others 0.15 Commercial dry cleaning 0.45 1. For additional ventilation rates, see Table 4-3 in the Nonresidential Compliance Manual 2008 Nonresidential Compliance Form July 2010 LIGHTING MANDATORY MEASURES: NONRESIDENTIAL LTG -MM � rgeccNemeCLIFFHOUSE RESTAURANT6/21/12 Indoor Lighting Measures: §191(d): Shu¢off Controls. For every floor, all Interior lighting systeme shell be equipped with a separate automatic control to shut off the lighting. 1. Thi• autoenafCc control shall meet the reoplremente of 8ecdon 111) and may be an occupancy sensor, automatic time switch or other device capable of automatically shutting off the lighting, �' Override for Bulldng Ughtlng Shutes The automatic building shut-off system Is provided with a manual, accessible override switch in eight of the lights. The area of override is port to exceed &000 square feet §11 g(h): Automatic Control Devices Csrtflledt All automatic control devices sped fled are oertiW, all alternate equi pment shall be cartified and installed as directed by the manufacturer. §111: Flucreearmt Meet and Luminaires Certified: Ali fluoreacent fixturse specified for the project are certified and listed in the Directory. All Installed fixtures shall becedfled. §t 91 W Individual RoofWArea Corwals: Each room and area in this building is equipped with a separate, switch or occupancy sensor devicefor each area with floor -to -ceiling walls. Uniform Reduction for Individual Roome: All rooms and areas greater than 100 square feet and more than 0.8 watts 1121 (by per square foot of lighting load shall be controlled with bi-level switching for uniform reduction of lighd ng within the room. Daylight Area Cor *W: AN rooms with wfvv: ws and skylights that are greater than 250 square f eert and that allow for (c): the effective use of daylight in the area shall have 50% of the lamps In each dayllt area controlled by a separate switch; or the effective use d daylight cannot be accomplished because the windows are oontinuously shaded by a building on thea4acentla EXagram of shading durlyM different dimes of the year is included on plans. §1:31(cp Dleplay Ughdng Display lighting shall be separately switched on dreuits that are 20 amps or less.& Outdoor LI htln Measures: $'190(c)1: Mandatory lighting power determination fru medium base sockets without permanently installed ballasts §1 ( Ali permanently Installed luminaires with lamps rated over 100 Watt® elth er have a tamp efficacy of at least 60 lumens per Watt or are controlled by a motion sensor. §1 AN Lumku kes with lamp rated greater than 175 Watts In hardscape area, including parking lots, building entrances, canopies, and all outdoor sales areas meet the Cutoff Requirements. §'192(c)1: All permanently installed outdoor lighting meets the control requirem ants listed. Building facades, parking lots, garages, canopies, and outdoor sales areas meet the Muld-Level Lighting Requirements CITY O LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE BY r IFJk Pa of CERTIFICATE OF COMPLIANCE (Pae 1 of 4) LTG -1C Project Name: CLIFFHOUSE RESTAURANT Date: 06/21/12 Project Address: 78250 CALIFORNIA 111 Climate Zone: Building CFA: 6105 LA QUINTA, CA Unconditioned Floor Area: General Information Building Type: NNonresidential ❑ High—rise Residential ❑ Hotel/Motel ❑ Schools ❑ Relocatable Public ® Condition Spaces ❑ Unconditioned Spaces Schools Phase of Construction: ❑ New Construction ❑ Addition fffi Alteration Method of Compliance: ❑ Complete Building ❑ Area Category ❑ Tailored Documentation Authors Declaration Statement • 1 Certify that this Certificate of Compliance Documentation Is accurate and comptete. Name: PEDRO MEDINA Signature: M A Company. CIV ()^ DEPT, NED INC tNG &gAFET`/ Da e: 06/21/12 Address: 3103 FALCON ST, SUITE B APPS LEAP licote: STRUCT►ON cEPE City State Zip. SAN DIEGO CA 92103 Pho e619 Y 278 0076 Princo U#&g DeSl x(s Declaration Statement DA • I am eligible under Division . of the California Business and o essio�Codeto accept responsibility for the lighting design. • This Certificate of Compliance identifies the lighting features and performance specifications required for compliance with title 24, Page 1 and 6 of the California code of Regulations. • The design features represented on this Certificate of Compliance are consistent with the information provided to document this design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Name: PEDRO MEDINA Signature Company. NED INC Phone - '619 278 0076 Address: 3103 FALCON ST, SUITE B License El 2672 City State Zip. SAN DIEGO CA 92103 Date: 06/21/12 LWft Mandatory Measures Indicate location on building plans of Mandatory Measures Note Block: LIGHTING COMPLIANCE FORMS & WORKSHEETS check box N worksheet b kxWecO or detailed instructions on the use at is and all Energy Efficiency Standards compliance torms, please re er o e onresi en is anus ublished by the California Energy commission. NLTG— 1C Pages 1 through 4 Certificate of Compliance. All pages required on plans for all submittals. ❑ LTG -2C Lighting Controls Credit Worksheet lXLTG-3C Indoor Lighting Power Allowance ❑ LTG -4C Pages 1 through 4 Tailored Method Worksheet ❑ LTG -5C Pages 1 through 2 Line voltage Track Lighting Worksheet 2008 Nonresidential Compliance Forms August 2009 CERTIFICATE OF COMPLIANCE (Pae 2 of 4) LTG -1C INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Project Name: CLIFFHOUSE RESTAURANT Date: 06/21/12 htallat Certificate, LTGWNST (Retain a copy and verify form is completed and signed.) Field Inspector Certificate of Acceptance, LTG2A (Retain a copy and verify form is completed and signed.) Field Inspector ❑ separate lightung Schedule Must He Hied Outor Conditioned and Unconditionedpaces Installed Lighting Power Listed on this Lighting Schedule is only for. 9CONDMONED SPACE ❑ UNCONDMONED SPACE INThe actual indoor lighting power listed below includes all installed permanent and portable lighting systems in accordance ❑Only for o ices: Up to the first 0.2 wattsper square foot of portable lighting shall not be r quired to be included in the calculation of actual indoor lighting power density in accordance with the Exception to 11 (a1. All portable lighting in excess of 0.2 watts per square foot is totaled below. luminaire Schedule (Type, Lam s, Ballast) Installed Watts A B C D I E F GI H o E~ Z Complete luminaire Description (i.e, 3 lamp fluorescent troffer, F32 8, one dimmable electronic ballast) E N y 3 E How wattage was determine o 9 5 o o = 3 Field ins ector 2 CEC Default from NA8 According to 6130 (d or e) A RECESSED DOWNLIGHT ❑ 20 IN ❑ 19 380 ❑ ❑ B RECESSED DOWNLIGHT ❑ 20 IX ❑ 118 360 ❑ ❑ SC WALL SCONCE ❑ 25 IX 0 47 1175 ❑ ❑ EFR WALL SCONCE ❑ 25 IX ❑ 4 100 ❑ ❑ P1 CHANDELIER 0 50 [A ❑ 3 150 0 ❑ C DOWNLIGHT ❑ 50 [X ❑ F7 350 j ❑ ❑ F1 DOWNLIGHT 01 601 X ❑ 1 4 24010 ❑ P2 PENDANT ❑ 225 (X ❑ 1 8 1800 ❑ jo P3 PENDANT ❑ 100 IX ❑ 4 40010 ❑ P4 PENDANT ❑ 120 19 0 2 240 ❑ ❑ L1 TABLE LAMP ❑ 40 CK ❑ 3 12010 ❑ P5 DRUM SHADE ❑ 160 fffi ❑ 4 640111 ❑ P6 PENDANT 111240 CK ❑ 1 240111 113 P7 PENDANT ❑ 240 t$ ❑ 1 2401 ❑ 10 CL1 CARRIAGE LANTERN ❑ 40 Z 0 9 360 ❑ 10 ❑ 1 ❑ ❑ 1 1 O 10 INSTALLED WATTS PAGE TOTAL• 67951 Building total number of pages 1 Installed Watts Buildina Total Sum of all pa es Enter info LTG 6795.0 6795.0 -1C Pae 4 of 4 1. Wattage shall be determined according to Section 130(d and e). Wattage shall be rating of light fixture, not rating of bulb. 2. If Fail then describe on Pae 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary, 2008 Nonresidential Compliance Forms August 2009 CERTIFICATE OF COMPLIANCE (Pae 3 of 4) LTG -1C Project Name: CLIFFHOUSE RESTAURANT Date: 06/21/12 INDOOR LIGHTING SCHEDULE and HELD INSPECTION ENERGY CHECKLIST Fill in controls for all spaces: a area controls, b multi—level controls, c manual do ighting controls for do# areas > 250 ft2, automatic daylighting controls for dayiit areas > ,500 ft2, d) shut—off controls, e) display Ii hting controls, f) tailored lighting controlled separatelyy from displo , ornamental and display case lig ting and g) demand responsive automatic general light21ail c tro s for stores > 50,000 ft2, in accordance with Section 131. MANDATORY LIGHTING CONTROLS • HELD INSPECTION ENERGY CHECKLIST Feld Ins or Type / Description Number of Units location in Building o W � $ Pass Fail AUTOMATIC TIME SW. CONTROL EXIST'G ❑ ❑ ❑ ❑ O 1 ❑ ❑ 10 ❑ ❑ ❑ ❑ ❑ ❑ ❑' ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ SPECIAL FEATURES INSPECTION CHECKLIST (See Pae 2 of 4 of LTG1Q The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written Justification and documentation, and special verification. 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. Notes or 2008 Nonresidential Compliance Forms August 2009 CERTIFICATE OF COMPLIANCE (Pae 4 of 4) LTG -1C Project Name: CLIFFHOUSE RESTAURANT Date: 06/21/12 Conditioned and Unconofrtioned pm *ft must not be combed for c farce Indoor Wft Power for Condibioned Spaces Indoor U Power for Unconditioned Spaces Installed Lightin Watts Installed lightin Watts 6795.0 (from Conditioned LTG -1C Page 2� (from Unconditioned LTG -1C Page 21 Lightin Control Credit Lighting Control Credit Conditioned Spaces from LTG -2C) _ Unconditioned Spaces (from LTG -2C) _ Adjusted Installed Adjusted Installed Lighting Power - 6795.0 Lighting Power — Complies if Installed S Allowed Complies if Installed S Allowed Mowed lighting Power Allowed Lighting Power Conditioned Spaces (from LTG -3C) 6882.7 Unconditioned Spaces (from LTG -3C) R Tess Thiiorm is to be used by the designer and attached to the plans. Listed below is the acceptance test for the Lighting system, LTG -2A. The designer is required to check the acceptance tests and list all control devices serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance. If all the lighting system or control of a certain type requires o test, list the different lighting and the number of systems. The NA7 Section in the Appendix of the Nonresidential Reference Appendices Manual describes the test. 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. Form can be grouped by type of Luminaire controlled. Systems Accce. Before Occupancy Permit is granted for a newly constructed building or space or when ever new lighting system with controls is installed in the building or space shall be certified as meeting the Acceptance Requirements. The LTG -2A form is not considered a complete form and is not to be accepted by the enforcement agency unless the boxes are checked and/or filled and signed. In addition, a Certificate of Acceptance forms shall be submitted to the enforcement agency that certifies plans, specifications, Installation certificates, and operating and maintenance information meet the requirements of $10-103(b) of Title 24 Part 6. The field Inspector must receive the proper) filled out and signed forms before the building can receive final occupancy. A copy of the LTG -2A for each different lighting luminaire control(s) must be provided to the owner of the building for their records. Luminaires Controlled LTG2A controls and Sensors and Equipment Requiring Testing Description Y z o location Automatic Do ighting Controls Acceptance AUTOMATIC TIME SW. CONTROL EXIST'G ❑ O O ❑ ❑ 2008 Nonresidential Compliance Forms August 2009 INDOOR POWER ALLOWANCE LTG -3C Project Name: CLIFFHOUSE RESTAURANT Date: 06/21/12 ALLOWED uGfnNG A Separate LTG -3C must be filled out for Conditioned and Unconditioned Spaces. Indoor Lighting Power Allowances listed on this page are only for. ❑ CONDITIONED spaces ❑ UNCONDITIONED spaces COMPLETE BUILDING METHOD WATTS COMPLETE ALLOWED BUILDING CATEGORY From 146 Table 146—E PER (ft') X BUILDING AREA = WATTS- ATTS TOTALS TOTALS AREA WATTS AREA CATEGORY METHOD • Part A A B X C D _ ALLOWED WATTS 605.4 780.0 4243.8 843.2 410.3 6882.7 AREA CATEGORY From 146 Table 146—F TTS PER PER ft: STORAGE / BATH / HALL 0.6 1009 MAIN ENTRY LOBBY 1.5 520 DINING 1.1 3858 KITCHEN / SERVICE 1.6 527 LOUNGE 1.1 373 Sum of Aditiond Allowed Watts from Area Category Method — Part B from table below TOTALS 1 6287 AREAWATTS AREA CATEGORY METHOD • Part B Additional Wattage Allowance (from Table 146•F Footnotes) A & C D E F G Primary Function Sq Ft Additional Watts Per ft= Allowed Wattage Allowance BxC BUILDING CATEGORY (From § 146 Table 146—E) TOTAL DESIGN WATTS ALLOWED WATTS Smaller of D or F TOTALS — Enter into Area Cate ory Method — Part A table above 1. Additignal watts available only when allowed ac ording to the footnotes on bot V of Table 146—F for chandelier o sconce art, craft, assembly or manufao uring specialized task work; precision commercial% industrial work; or lab specialized task work. 2. Special luminaires are light fixtures described in the Table 146—F Footnotes that are subject to an additional watts a allowance. TAILORED METHOD Total Allowed Watts using the Tailored Method taken from LTG -4C (Page 1 of 4) Row 3 The indoor lightingpower allowance using the Tailored Method of compliance shall be determined using the LTG -4C set of forms. A separate set of LTG -4C forms shall be filled out for CONDITIONED and UNCONDITIONED spaces 2008 Nonresidential Compliance Forms August 2009 "CERTIFICATE OF ACCEPTANCE (LTG -1 -A) AND ALL APPLICABLE ACCEPTANCE DOCUMENTS SHALL BE SUBMITTED TO THE FIELD INSPECTOR DURING CONSTRUCTION. CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL THESE FORMS ARE REVIEWED AND APPROVED" Cerdfcate of Compliance (Page 1 of 4) OLTG-1C A*CNAM Date: CLIFFHOUSE RESTAURANT 06/21/12 ,.,,,, pph "odAMnr Tatra HudKapa IlI=i=;d AIGa: 416 W ALONDRA, CARSON CA 90248 6460 CAU" Iaform moa Phase of Coasaaction: O NM ComUnction O ,addition O Alteration Documentation Author's Declaration. Statement • I ceztify dust this Cauticate of Coatplime domnentidm g acauate sad comple4e. NAME PEDRO MEDINA COMM NED INC. D'°° 06/21/12 Adds IF 3103 FALCON ST, SUITE B CFA #�` CEPE # city"'NN DIEGO CA. > : 619 278 0076 Principal Lighting Designer's Declaration Statement •1= eligible nada Division 3 of the Califouda BusineSS sad Professions Code to accept responsibility for the lighting design. •This Cer ificste of Co®phme identifies the lighting feaitues and performance specifications requited for compliance with Tide 24, Paps 1 and 6 of the Mfmk Code of Regulaoow.. •The design fealties KTraeawd on this Certificate of Compliance are consistent with the information pro%ided to docume= dus design on the od ur applicable oozoplimeee fioaw, arabbeets, calculations, plans and specifications submitted to the enfiotacentead agency for approval with this building pff= application. Name: PEDRO MEDINA 07 c0cwwNED INC. P 00'' 06/21/12 Ad&ew 3103 FALCON ST, SUITE B 'ic`m`et12672 C'Y's'a�AN DIEGO CA. D 06/21/12 Principal Lighting Designer's Declaration O lam* that this Cerd5tate of Compliance documen=on is accurate and complete, and accounts for all outdoor luting Powe, EKhidmg bmlftg monmted, pole mouaied, as well as all other outdoor lighting designed for the site, and that Aftmonal Lighting Pttrwwa Albazaces for Specific Applications or Additional Lighting Pawer Allowances far Ordinance Requiremmts bm not been ax meed move than one time for the same area, in accordance with Section 147 of the Standards. OnWeer Ligating lliaadatoey Aieasom bdlicate tocatitu on building pians of mandatory Measures dote Block: IIlGErjM C0W7jZ&YQfZ & WOtEli>iO S (&Kk batt fuarbUd 6 odode4 For detailed =d* we ofd BMU i funs. please referilo the'Reares ientw Ramral ® OLTGGIC Certificate of Cotgiiance. All 4 pages required on plans for all submittals. ® OLlr,2C (Face 1 RT) I ift, Wattage Allowances for Genetal flardscage, Sales Rootage, or Omatnentsl as O OLTG-2C (Page 2 of 3) Lighting Wattage Allowances for Per Apphution or per Area Optional on plans. O OLM-2C (Page 3 of 3) Additional Light in paint ADomrsnce for Otdinance Requirements. Optional on pians 200dAdotrnstdetttal Coarpliaw&Fmw .4ugwq :009 m Certificate of Compliance (Page 2 of 4) OLTG-IC COMPLIANCE FLXTURE / LIGHTING CONTROL SCHEDULE and FIELD INSPECTION CHECKLIST Ptojectxame: ,ale: 06/21/12 CLIFFHOUSE RESTAURANT P67ALLAT ION CERTMCATE, OLMI-INET (Retain a copy and verify fmmis cmapkod mrd fid.} FWd Inspection 0 CERTIFICATE OF ACCEPTANCE, OLM2A (Rema copy aadxmfy foam is completed and signed) FWd Inspection Q Luminaire Schedule Installed Wath A 8 C D E F G H I Name Or YQIl T Lumioa� DQKdpeom SetfifOQ.lOd' balm .I buoppWpicy Amb=400vnamatalhanda Now vAktage waf memuned ; M Field kmecto? S °4► q w. SC WALL SCONCE FULL 25 0 M 0 26 6501 a o P9 PENDANT FULL 25 0 & 0 5 1251 0 0 P8 PENDANT FULL 25 D )0 0 4 1001 0 0 1 LANDSCAPE Ll FULL25 0 0 0 5 1251 0 0 CM1 DOWNLIGHT FULL 32 0 1 R 1 0 1 8 256 0 o CL2 CARRIAGE LANTERN FULL 15 0 0 10 24 360 0 0 O I D 1 13 1 0 p Fates -total into OLTG-1C• Pzge 4 of 4• Ron, H;'ToW InstaQed Watmj 1616 I- TpsqrrL0:pot fOAWapwk =*4 sitar barJ:,firm*-mmeduc4mthomsmom mdiommmind lamp virago and lruvip 0+pt (i &-: MD).* baflast opt g.t.: e1 Mc do ar maP§dck• mmber o f tm pr mrd muOar gtMhue pwr 10mimaire. For 6mamukmmrr Lao mwvs, dw immmwo wmuap listed as cahmm D shall be rise rmaautoa m rel*pmg rxed t►ermp on a p emancva t ,bcmry m1m1W1mW OR abe t mnnawt AW the uWtW 4eft 1mmp (bmrb) =ad im mccavdarara uvh .Soma I30(d ar e). % FFad they dexrffie 011 POW 1 qftin h4meam t:9tr kkst Fain mmd mb gpopmte aratm 70 corrftt � btsi lints rr?CFSSaI t'. EXEMPT LUJ_MNAIRES Field Inspection O Name or Symbol Description of eiempt huninaires in accordaace with §147 IUMATORY C NTROLS Field T _ ection 13 timscription. Location # Description Location SPECIAL. MTUM INSPECTION CHECKLIST see Nge 2 of d of oLMi lu local Ot9xmnint qpnY Should" spedw autmtdo" to dw itan spec&d in this cha+clrhst These items requim apxinl wittmi=44caieom and docaaam udom: and special yaar#tcadm The local enAmentwrt aagmrcy daterminas the a*quacy atf tiro justUlcadam and xW Mect a badAft or dmr'grs that offiwkse comp�lim based an the adr�uaey gf tiro specialirra4fication and' diocaa�ea�rpatioat sdbrrittad Mad two• Notes or Discrepancies: 2U05 A mapsidenial Comp i ows FormJugu7 ?. 00 Certificate of Compliance 3ge 3 of 4) OLTG-1 C prolectNam CLIFFHOUSE RESTAURANT Date. 06/21/12 A. OUTDOOR LIGHTING ZONE OUMOOR LIGHTING ZONE: DOM 1 p OL2 2 M OLZ 3 O OLZ 4 Is the Outdoor Lighft Zone: 0 Default in acccrdaete With J10-114, or O Amended by JHA Co=*M the inf miation below if the default Outdoor Lighting Zone las been ameoded by the local jurisdiction having authority cJKAr- O The site is a govemm,ent designated park, reueation. area, wildlife pms m-e, or portion thereof; and has been desigared as LZ2 or T.71 in accardmcavith Tible 10-114-Ar because dee site is coed Within such a zone- 13 Unload jurisdumaxhavbg amity has officially adopted a change to the State Default Lighting Zone and has notified rhe Energy Commi«M. by pmvi&W the materials required is §10-114(d) to the Eanemthte Director. 0 The adopted change is posted an the Energy Commasswn aMs m B. ADDITIONAL LIGHTAG POWER ALLOWANCE FOR ORDINANCE RE UEM ENTS Are additional lighting power allowsam for oadinan oe in Table 147-0 used.? O Yes M No Cam &m the infocmation below if additional lighting power aIIowances for on1humce requirements are used- E3 The load jurisdKUM having audmty has off=&= adopted specific outdoor light leclels, which are expressed as average or nutda ma boetcandle kwels, by fallowing a public process that allowed for formal public notification, review, and commear about the proposed wage 0 The load jurisdicmaw having authority wbwh adopted specific outdoor tight la els and has notified the Cavum smn by providingthe hdkming manxiah required 10-11 to the E.tecutim Mwor. C ACCEPTANCE FOR3d5 Required Arcepdance Tests Designer: M,AWM IF ro bo &W 1w the &srpw and attadvdm dt<o plass. LJstad below is the acceptance testlbr this Lighang -~stoma, LTmad Thr dfa Ww as nepMed to c mwk ilea aaapmnm t= ardlat all conbol devices ,save ing due building or., shall be iJ &J"Alttmm Ragun+am m& f br Coda Lbmplrmace fitall the h'ghft sotem or control of a certain apo negtrhM a Whit dw dot lighting and the munbir q(%romL 711 alfdi Sacdon an the Appendar of the Nonresidawtal R4AwM App&xff s Mmtu h des lbw flee but Shove ftp rme ui11 be partof thephwn completion of dais section will allow Ow nuP VSkParV ro Jbr d1ff.5Cgw Vwm* oppv+oprlot* Forms cox be grouped by t}Fe of Luminake con&ousd Enforcement Agentcy: SY.MsnwAcz%M=m BON OM ancyParmet u grmt+adpra newty cautrumd bidldit- or space or %hot over now lighting 4wm weth can &vk a installed lir die bealci ft or space shall be ce DW as mmong the Aceeptmry Ragari►=ants. Y he LItG24jbrm is nw conrMwed a conVkte f brnt and is not ro be accaiJtaed by dw etbrcemont agency, unless rias boxes are chff-W a ftV fiVed and5VMd In aMem a Cetocate ofdcaepanceibm shall be sdbmand ro the ogjbmemow age tcy treat caMVeaPl=L specUkabM h=Uadoa eal*aME and oporaft and neaWarmwe irormmadon meet the rvq&dAm mets of ,00-103{bj qfTjlk 24 Fet d Tlre,id hupecer atter nwaiwr d *pvpw* ffllad or t and sigrrad f rmz bqpm the buMng can le fdnal occapamy A copy gf dia LM24pr eack d&%rmt h% t ng howmanv cmwvl(s} mast be pvuvided to the oumor of Certificate of Acceptance ramimaires Conaolled OLTG2A' y M Outdoor Ligb& EquhuneutRequizingT D a Location Acceptn�g e Tear; 1_ Inseam' GUS for Outlotoor A* tion Sensor, OLSC for Outdbor Lighting Shutoff Con6viss, OP far Outdoor Photcoonftf, ATS for Ashormaileah rRne STS for Standard (nanish=rrkafl %e Sw lch aoceotance. MONAaRresadWifial CompffawsFamn August 20-09 CERTIFICATE OF CONPLLANCE (Page 4 of 4) OLTGIC Rect"aMCLIFFHOUSE RESTAURANT 06/21/12 ALLOWED AND INSTALLED OUTDOOR LIGHTING POWER 2008 Nhww&enWComplianceIona 4ugu7 4D9 Lighting 113nage Power AUota ance A ghting power allowance for general hardscape OLTG-2C Page 1 of 3) B pacific application lighting wattage allowance per unit length &am OLTG-2C Page 1 of 3) C °. i pecific application wattage allowance for omamental lighting • fioma OLTG•2C Page 1 of 3) D application wattage allowance per application ftnaa OLTG-2C Page 2 of 3) E application lighting wattage allowance per area 1661.4 fivm'OLTG 2C Page 2 of 3) FA Mfional ligbfingg power allowance for ordinance regmir+e-- OLTGG2C Page 3 of 3) G rotal Allowed Wattage = Sum of rows A through F: 1661.4 H otal Installed Watts (fsomn Luminaire Schedule, 1616.0 fiam OLTG-IC (Page 2 of 4) Complies if Insb&4 Wattage in roar H is less than or equal to the Total Installed Wattage in row G R Yes O rro 2008 Nhww&enWComplianceIona 4ugu7 4D9 CERTIFICATE OF ACCEPTANCE OLTG-LA- XA7.7 Outdoor Lighfing Acceptance Tests a e I of 3 lkojeci NamelAddtess CLIFFHOUSE RESTAURANT 06/21/12 Systeho A&B or age or Am Saved: HARDSCAPE Fnfooaoemtamt Agency: Pe>casitNambm .'1W& UWrow Ca 4ftw a afAccWtance, jbr each hymn mamaAgencyU K byvD,m Date Sigma Position wam Company (Title): FIELD TECHWCIAWS DECLARATION STATEMENT • I notify tmderpettalty of palmy, undo the laws of the State of California, the int3orm a provided on this form is true sad correct • I a m the peri n who perfotmed the acceptance r *mmma a veification reparted an this Certificate of Acceptance (field Tecbmi dank • I that the idemtibed on this fixin eamplies with the acceptance requiremeets indicated m the plans and speaficagans approvedby rhe enfoto mmw agency. and comfom to the applicable acceptamie regviiremects andpmcedures ipecifed is Reference Nonzxsdeo iad Appendix NA7. • I have coe tined that the Instillation Certificates) far the candonhostallmon identified on this form hu been completed and is posted or made avatlahle with the barldimg perma(s) issued fa the building RESPONSIBLE PERSMS DECLARATION STATEMENT • I ceir*imderpendW of perjmy, tmder the laws of the State of Califmi a, that I am the Fweldel Teem a aa, or the Field Techmci n is actmg m my bebalf as my employee army ager and i hale reviewed the infa®adompravided on this foram_ I ams 6censedcouz cmc architect. ar engines. who is elipl& under Division 3 of the Business amd professions Code, in the applicable russifikabon to take respomsdxlity for the scope of work specified on this document and attest to the declarati ms in chis statement (omapas)- I certify that the mf suni iomptowided am this from subs that the consmtcticmti Wdlatim idewified an this fomcomuplies with the. ameptaace ragoirememi indicated m the ph= and specifications approved by the enfmr est agency. and comiooms to the applicaMe amgnze requireench and ptaoedhires specified in Reference Natesidemial Appendis NA7. I have comfimud that the lnsulL w Cetifiate(sj for the ea=occamvinsahlbum identified on this :foam his been completed mad is posted or made atrarMb with the bml"g pmm*) ironed far the bmldtn' g • I will emtae that a complete& signed copy oftbis Certificate ofAccepeance shall be posted, or made available with the building pemit(g) issued far the buldirtg and made avarlhble to the enforcement agency for all applicable ksped ms. I understand that a signed copy of oris Certificate of Acceptance is required to be included with the doammutuon the builder provides to the building owner at occupancy. CampmyN mse: Field Ted midad% Namir Field Technid&s Signatures Responsille Persaes Sigaat-um- Date Sigma Position wam Company (Title): RESPONSIBLE PERSMS DECLARATION STATEMENT • I ceir*imderpendW of perjmy, tmder the laws of the State of Califmi a, that I am the Fweldel Teem a aa, or the Field Techmci n is actmg m my bebalf as my employee army ager and i hale reviewed the infa®adompravided on this foram_ I ams 6censedcouz cmc architect. ar engines. who is elipl& under Division 3 of the Business amd professions Code, in the applicable russifikabon to take respomsdxlity for the scope of work specified on this document and attest to the declarati ms in chis statement (omapas)- I certify that the mf suni iomptowided am this from subs that the consmtcticmti Wdlatim idewified an this fomcomuplies with the. ameptaace ragoirememi indicated m the ph= and specifications approved by the enfmr est agency. and comiooms to the applicaMe amgnze requireench and ptaoedhires specified in Reference Natesidemial Appendis NA7. I have comfimud that the lnsulL w Cetifiate(sj for the ea=occamvinsahlbum identified on this :foam his been completed mad is posted or made atrarMb with the bml"g pmm*) ironed far the bmldtn' g • I will emtae that a complete& signed copy oftbis Certificate ofAccepeance shall be posted, or made available with the building pemit(g) issued far the buldirtg and made avarlhble to the enforcement agency for all applicable ksped ms. I understand that a signed copy of oris Certificate of Acceptance is required to be included with the doammutuon the builder provides to the building owner at occupancy. CampmyN mse: Phone_ Respom9bae Pounds Namur Responsille Persaes Sigaat-um- I Daae Sigpedc Position %I& Campaay (ride): 200SNmuvsfafenfal ComplfmsceForm Aggust 2009 CERIMCATE OF ACCEPTANCE OLTG-L.k INA7.7 Outdoor Lighting Acce tune Testa (Page 2 of 3 Ptaject NamelAddress CLIFFHOUSE RESTAURANT 06/21/12 System ane or ag System Locatim or NA7.7.1 Outdoor Motion Sensor Acceptance Intent: I Ligba are turned off when not needed per Section 11 tit 132. Construction Inspection 1. Motion Sensor Camstracutm Inspection C3 E3 Motion, sensor bas been located to minimime false signals p Sensor is not trigged by madam oaWde of adjacent area Contrah to tom off tights during daytime hams are finulled p Desired motion sensor ccvemp is not blocked by obstruction that could adversely affect peikituance Functional testing L Sinutlate motiam in area under lights coumlled by the motion seasoc Verify and document the foliowin„ Demonstrate and document for the owner time swig pmgranu m ag mcluding weekday, weekend, holiday schedules as well as all set-up andmfiereoce propm settings ❑ Stator indicator operates con ectly. 0 Lights =hulled by motion sensors tam on immediately upon entry into the area lit by the controlled H*ft near the malign sensor p Sugpal senwtrvriy is adequate w achieve deend conwol 2 S�tlate no motion in atm with ligbang commilled by the sensor bat with motion 4acent to this area. Verify and docurnenr the Verify that the eoaect time and date is properly set in the standard and astronomical dune switch. 0 Lights contralled by motion sensors tats off within s mauinntm of 30 minutes from the start of an unoccupied c ondition per Staadud. Sectkm 119(d). Verify tbattbe correct Inti ude, longitude and time zone mesa in the astronomical time switch - p The occupant sensor does not trigger a false `oe from mo=vement outside of the controlled area Verify the battery back-up (f applicable) is installed and energized in the standard and astronomical time switch p signal sensitivity is adequate to achieve dedmd control NA7.7.2 Outdoor Lighting Stint -off Controls Construction Inspection I. Outdoor lighting shm-off Controls ComstrKtk m Inspection C3 Astranoudal tkne switch controls and aunoam adc time switch controls base been certified to the Energy Cmunmis si in accordance withthe applicable provi um in Standards Sectiom 114: Verify that model numbers of all such controls are listed on the Energy Cammissiam database as "Certified Appliances tit Control Deuces." E3 Contrah to tom off tights during daytime hams are finulled 0 Astronomiat and standard time switch control is programmed with acceptable weekday, weekend, and holiday (if schedules o Demonstrate and document for the owner time swig pmgranu m ag mcluding weekday, weekend, holiday schedules as well as all set-up andmfiereoce propm settings 2. Lug wing systema that meet the amts of Sectim 132(c)2 of the Standards shall have a scbeduling cotozoi (tiaue sR*itch) lnsialled vAdchis"to schedule separately - r3 A reduction in oatdoar lighting power by So to »DAG O Tumft off all oattioar h0 isng coveted by Section 132(c)2 of vire Standards C3 Verify that the eoaect time and date is properly set in the standard and astronomical dune switch. o Verify tbattbe correct Inti ude, longitude and time zone mesa in the astronomical time switch - E3 Verify the battery back-up (f applicable) is installed and energized in the standard and astronomical time switch ao0811bMvzidfextiel Comp6WW&FbMms Algwl 2009 CERTIFICATE OF ACCEPTANCE OLTG-2.A- NAM Outdoor Lighting Acte tune Tests (Page 3 of 3 Avjec1 NnvdAdltw CLIFFHOUSE RESTAURANT 06/21/12 ameor � Locam or A&B. HRDSCAPE A NA7.7.2.2 Outdoor Photocontrol Functional testing Note pbabcmrd const be used in co njuarriam with time switch or matian sensor to meet the requirements of Section 132(c)2 of the StmdardL I. Nighttime test Sumih a or provide condom wnhouar daylight Verify and document: ® CaitM&d lighft ttmn an 2. Staau9e test provide between 10 and 30 horimomtal footcandles (fc) to photosensor. Verify and domment the following, ® Ca Molted Bon tura off NA7.7.2.3 Astronomical Time Switch Functional testis 1. poorer off test Pug n m rGEM d wills location. information„ feral date and &me, and schedules. Discomuect caeurol from snort a far at ]cast 1 how Wify and document: O 1 Camtrol Mains all pavVmnaed wtbnp and local date and time 2. Esc tedole. ON test Simulate or provide Bones when the sum has set and Was are scheduled w be ON. Verify and On scbedule test: Simulate or provide times when lights are scheduled to be ON. Verify and document p 1 Co=uned lights tam on 3. Nod schedule OFFtest. Siuotlate or provide bines when the sum has set and Ughts are scheduled to be OFF. Verify and dominent Schedule test Simulate or provide times when. thee son has set and lights are scheduled to be OFF. Ver 4 and document: 0 Caamoned lighn dun off 4_ Sunrise test Siumlane or provide the programed offset time after the time of local sunrise C3 Cannoned lights tans off NA7.7.2.4 Standard(non-astronomical) 7 -me Switch Functional Testis Non~ dais cannot zombe used in caguncmmwith a pb mocounttol to meet requirements of Seca 132(c) of the Standards. 1. power offtesL Progmam con1vol with local date and tiaa+e and sche&les Disconnect comtrol from power source far at least 1 houL V rad doctmaenr D 1 Calmat resins all puogumned scliedbles sad local dam and time 2. On scbedule test: Simulate or provide times when lights are scheduled to be ON. Verify and document D I Comaned hgbts dun am 3. Schedule test Simulate or provide times when. thee son has set and lights are scheduled to be OFF. Ver 4 and document: M 1 Caamolled lighis loon off 2008 Nmm&ejdd CworpHawiForm.4ugu t 2009 OUTDOOR LIGHTING WOREMMET (Page 2 of 3) OLTG-2C Fmj" RESTAURANT CLIFFHOUSEz D. SPECIFIC APPLICATION LIGHTING WATTAGE ALLOWANCE PER APPLICATION DETERMINE WATTAGE ALLOWANCE DESIGN WATTS ALL01%%ANCE A B I C D E F G H I J Wmepe Numberd Spec& Appliraum AIloRance Lmhwue Speci& LWift Appbcatim Lmdmgku ADowum s Q Symbol LMCMNTYPe Duip Lamimh Wm per waca Qnnft Luminaire (G % .) Allowed Wam Nfmimum of Dor I Etter mnl into OLTO-1C; Pace 4 of 4; Raw D; Spedfic Application Wattage Allowance Per Appticarion E. SPECIFIC APPLICATION LIGHTING WATTAGE ALLOWANCE PER AREA DETERMINE WATTAGE ALLOWANCE UJAMNAIRE TYPE DESIGN WATTS A B C D E F G H I ] TBmmmftd Spsc Appticatim W�Code for Amaof Atlowmm Atloaame mmiaeue S 83 : Lmdnf&e L,,,�;mue Watts per Rett Lummaire O x HlinimumOf Dor I OUTDOOR DINING 3048 0.258 786.3 786.3 NON SALES CANOPY 2145 0.408 875.1 875.1 Eater total into OLTGIC; Page 4 of 4; Row 1 ; .Specific Applicsdm Lighting Ul=ge Allawance Per Area 1661.4 20M A ronmrda+ Ad Complrat "Farrar Augu: t '009 INDOOR POWER ALLOWANCE Project Name: CLIFFHOUSE RESTAURANT Date: 06/21/12 A Separate LTG 3C must be filled out for Conditioned and Unconditioned Spaces. Indoor Lighting Power Allowances listed on this poqe are only for: p CONDITIONED spaces p UNCONDITIONED spaces COMPLETE BUILDING METHOD WATTS COMPLETE ALLOWED BUILDING CATEGORY From q 146 Table 146-E)—PER (ft') X BUILDING AREA = WATTS TOTALS AREA WATTS AREA CATEGORY METHOD - Part A A B X C = D AREA CATEGORY From § 146 Table 146-F WATTS PER W PER ft' ALLOWED WATTS STORAGE / BATH / HALL 0.6 1009 605.4 MAI RY LOBBY 1.5 780.0 G .20 288 3171.3 E-GIJ�NGE 1.6 13 2112.0 1.1 T3 410.3 uat6n WWI Sum of Aditionol Allowed Walls from Area Category Method - Part 6 from table below TOTALS 6105 6979.0 AREA WATTS AREA CATEGORY METHOD - Part B Additional Wattage Allowance (from Table 146-F Footnotes) A B C D E F G Additional ALLOWED Watts Wattage TOTAL WATTS "Primary Per ft' Allowance DESIGN Smaller of Function Sol Ft Allowed (BXC) BUILDING CATEGORY (From § 146 Table 146-E) WATTS D or F TOTALS - Enter into Area Cateqory Method - Part A table qbove 1. Additional watts available onlyq when allowed according to the footnotes on bolt fn of Table 146—F for chandelier or sconce - art, craft, assembly or manufacVihneg specialized task work; precision commercial/ industrial work; or lob specialized task work. 2. Special luminaires are Ii ht fixtures described in the Table 146-F Footnotes that ore subject to on additional wattage allowance. TAILORED METHOD Total Allowed Watts using the Tailored Method token from LTG -4C (Page 1 of 4) Row 3 The indoor lighting power allowance using the Tailored Method of compliance shall be determined using the LTG -4C set of forms. A separate set of LTG -4C Forms shall be filled out for CONDITIONED and UNCONDITIONED spaces 2008 Nonresidential Compliance Forms August 2009 "CERTIFICATE OF ACCEPTANCE (LTG -1 -A) AND ALL APPLICABLE ACCEPTANCE DOCUMENTS SHALL BE SUBMITTED TO THE FIELD INSPECTOR DURING CONSTRUCTION. CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL THESE FORMS ARE REVIEWED AND APPROVED" COACHEL LA VALLEY WATER DISTRICT ASSESS ORtS PAIzcEL N'UM aEA 85.995 Avenue 52 Coachella, California 92236 60061..... ar'o-"-"oil (760) 399-2659 APPLICATION Ff" TEWATER INTERCEPTOR/SEPARATOR APPROVAL APPLICANT: Submit this form with a copy of's SCALED plot plan (I'- 20'to V- 40'SCALE)drawn to Dishict specifications A nonrefundable Ring Pec is required when the application is submitted. Check must be made payable to the Coachella Valley Water District. Approval of this application shall remain valid for a period not to exceed one (1)year from date of payment. NOTE% ALL BUSINESSES PRODUCING FAT, OIL, AND/OR GREASE, LOCATED INA MUCI'i•SUITE BUILDING WILL REQUIRE A SEPERATE LATERAL OFF THE MAIN SEWER LINE FOR GREASE INTERCEPTOR CONNECTION. Plan Check No. LAy V Z OU "w° L%-Sal Apt 1 °ra7 ° loj` Anent Cnnimrmr ("..#—t P-- I Address ra. e s a Slate Z' 44 tp Te State 19,101 Te tri --- Job m Job Property Address City f zip to ,U GA Q& � zz53 Legal Description. 4POAL f DBA `L25 Z�®� PLEASE COMPLETE THIS SECTION FOR REVIEW OF FOOD ESTABLISHM14TS NOTE% PLANS WILL NOT BE ACCEPTED IINLESS THIS APPLICATION IS COMPLETE AND THE PLAN CHECK FEE IS PAID. GENERAL CONSTRUCTION: Type ofConsirvcilow . • New Food Facility1 �" -y . Remodel of Existing Food Establishment Hours of o �._ Scatapactry: ntemal _ ` External �. .... External Sealing with Mgrs or }l{etcn,` ear with Food Servico,� Bar Nonfood Service 4v Water Softener_ Services . Multiservice (reusable) _t Single Service (disposable) r ' OWNER/REPRESENTATIVE DECLARATION: 1 certify that 1 have read the entire application and state that till information is correct. I understand [hot theamount offLe paid is based an my'$eclamtion orinformation an this faun and that incorrect information is grounds for denial of the submitted plans. I also understand that plans will be discarded if not pickvM up within sixty (60) days of approval or denial and that no inspection of my establishment will be conducted, or approval granted to operate• until all proper informationtequeltedhas been received and plans have een approved and returned. Signature _.. _ Date FOR DISTRICT USE O '1r , No. of Systems Type ol'System(s) No. Dwelling Units ®SendfOil Grease Interceptor Waived Fixture Units 0 Giease Interveptor 0 New Existing ® Linl Trap ®Replacement Addition OClarifier 0 Connect to Sewer g/ _ .... $.rC .... as[. REMARKS- U56 EMARKS-U 6 'VISTIf.f6 G UiiN f6—fT1aUfT61Z NO NUMilp-46 maoiricAvdrjS Auaw&o 11r- ttf-Dra l-9SP�o� t 95 �r41�_ir'is B� iIP d i(�� 9� �9�tft�lT.,i� �{0 � �(�� tl�i•�i (�t9 �fP�`C% ��Fi�'�Ui,.�.�t�Ld- �� d�it�L�t{��i� Fee I(, d y (.heck No. 16 `� �l c) Date 6 /9 t d f a�° 1naial XT) CVWD.921 Rev 6111 ` GIobat'Consi ructi, Wtervices.Inc. ;_3460 Marron;RaadSuiie.1:03=471;:Ooeanside, CA-92056' June�S:20.�2 . °City.of;ta�Qu,infa` Building.Qepai#mer`tt r Dear.Sir or',Madarrr hBratl'Block the; pnesadent ofi:Giobal.Construction Serwoes,;lnc �s aware that the tiei►zowa!'of the eiashng .,. i,restrooms at:the,reshaura�t andrthe build grof tfte.Rew Jdunge area,wrrf3`the`reflectedi 3,, slnict�rai,supports" i;beams andrr>omelits frays must, be iiaStaned`per the:{approved stamped; 'structural'drawiC4gs and:l also,understand chat I rnust have.a deputy inspector oO srte during sacci work tbansure that alF:field enstaliat>on and:f>e[d vuelds re also Oompliaitt`.to the buiiding eode:'and apprduetl`' drawiNs. ' iBrd K•BSOC�C _ PreMden `Gk`M"vnstruct'ion 8Servt' "A"' 'GENERALCONTRACTORS'&-COPCr CnC)NCOMULTIr, $460:M a rrn ri, Roa d; -5 u ite.103-471; 'Ocea r9�iie' 6A 92056 -0: 760-659,4015 ��:.519-913x0033'' tira�t�bb' I«r9��ut+tft�n�;f'vic�,CgTry +ny�a+t.�,lc�Eisalrantiirticrie�r�5,eavi�e5'In�:;cr�aie ' Ci4:Lic:'#968063 -' APPLICATION # i1,?050,+ —ADDRESS Im VALUATION _ SQ. FT-. I.St. -FLOOR -o6 ic"049 ed FLOOR COVERED PAT_tb;.' ARAGEw.. TYPE CONST, OCCUPANCY. A/C FIRE SPRINKLER OF Big.UR.00 up --CODE 'EDITION ROOF TYPE'. sons" VENT. FANS # EXHAUSTHOOD A/C -<.3 TON. A/C >3 TON awv FAV <100,1000 BTU PAU.>100,000'BTU. DUCT ALTERATION TVIT' COUNTS / GAS &4-�k l U*KTOILETS BIDET . SHOWERS -BATHTUBS. SINKS BAR -SINK- OVEN -two... C OOKITOP, DRINKING FOUN WASHER DRYER WATER HEATER ROOF DRAINS FLOOR DRAINS -KITCHEN SINK VEG-SINK LAUNDRY SINK -- FIREPLACE FIREPLACE ELECTRICAL SQ. VT. tiv GARAGE SQ. FT. TEMP. POWER FIXT U JRE C�� Cam. � �� -GRADING <5.0 Cu YD S :>5.6 CU YDS. --ODD APPROVAL -ENGINEER APP. • REQVI>RED::--INSPECTION MAINTENANCE, S£TBACiCS: FLOO R NAILING.' TEMP POWER f': GREASE: INIT - EPT K - - SEWER CON N ECTIOhI :A .�• . H'. LT�—I DEPfi Ft NAL . . . UNDERGROUND ELECTRICAL: : PIERS - 1: [JN.DERROVND GAS - _� PRE—GVNITE ::. VNVER ;P,01) D 1��'N:IFIL •:•-�RE—PLASFER UIiIERGRC]`UND PtLJMBING- • -'. ARE—ROO:F ' TEMPLATE'FOOTING '�' <„ PRE -SITE :. DRYPACK :. `:..' ROOF DRAIN s r : GRADE BEAM +-' � •�, SEPTlCA.BANDONl�I.ENT FOOTINGS ,�� : �; ; •, SEPTIC SYSTEM SLAB SPECIAL'INSPECTI:ON ROOF NAIL "• ,.,`•, .• .. T=BAR OKAY TO WRAP WATER.LI-NE FRAMING , .. • ROUGH `ELECTRICAL • ROUGH MECHANICAL - ROVGH. PLUMBING _ SHOWER PAN INSULATION .LATH DRYWALL NAIL :GAS:. LI N E l GAS TEST IP USE OF PEKMANENT POWER= : :;. CPP FINAL ' PUBLIC: WORKS FOAL :.: 'EEECTmCAL FINAL MECHANICAL FINAL T PLUMBING 9 NAL . GRADING FINAL . FINAL AQMD FINAL -BONA BEAD CODE COMPLIANCE FINAL CVWP FINAL FI RE DEPT FINAL