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12-0736 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 C&t!t 4 4- a" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 12-0000073-6' - Owner: Property Address: 78267'HIGHWAY 111 HARSCH INV REALTY APN: 604-050-012-1 -000000- rf 1121 SW SALMON ST #4TH Application description: REMODEL - COMMERCIAL PORTLAND, OR 97205 Property Zoning: COMMUNITY COMMERCIAL Application valuation: 490000 VOICE (760) 777-012 FAX (760) 777-701 INSPECTIONS (760) 777-7153 Date: 10/08/12 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 _ 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(sl licensed pursuant to the Contractors' State License Law.). 1 _ ) I am exempt under Sec. , BAP.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 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 buildin struction, and hereby authorize representatives off this count t enter ypon the above-mentioned proper f r i spection purp S. gate/� :;SSi/!nature (Applicant or Agent)• Contractor: /A\ Applicant: Architect or Engineer: PLACE CONSTRUCTION - A PAR (� 110 NEWPORT CENTER DR STE Q� NEWPORT BEACH, CA 92660�� h %(� 0` (949)748-8555 " V "x12 Lic. NO.: 955163 CITY OF LA QUINTA FINANCE DEPT. LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I,hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Busine d Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: B 'yense No.: 955163 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Date _V/Contractor; V Contractor:;: - _ c�•1G� 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 OW -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am empt from the Contractor's State License Law for the Carrier GEMINI INS CO Policy Number 198027211 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I shoul come subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Co , I all forthwith c ly with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by �f any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date/U VApplican (_) 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 WARNING: FAILURE TO SECWORKERS' C ENS ATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENA ES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1 _ 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(sl licensed pursuant to the Contractors' State License Law.). 1 _ ) I am exempt under Sec. , BAP.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 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 buildin struction, and hereby authorize representatives off this count t enter ypon the above-mentioned proper f r i spection purp S. gate/� :;SSi/!nature (Applicant or Agent)• k Application Number . . . . . 12-00000736 . ------ Structure Information EXISTING 7000 SF. SHELL BLDG ----- Construction Type . . . . . TYPE V, UNPROTECTED Occupancy Type . . . . . BUSINESS <50 Other struct info . . . . . CODE EDITION 2010 FIRE SPRINKLERS NO MIXED-USE OCCUPANCY B/S OCCUPANT LOAD 70.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 7000.00 Permit . . . BUILDING PERMIT Additional-desc . Permit Fee . . . . 2004.50 Plan Check Fee 1302.93 Issue Date . . . . Valuation 490000 Expiration Date .4/06/13 , Qty Unit Charge Per Extension BASE FEE 639.50 390.00 3.5000 THOU BLDG 100,001-500,000 1365.00 Permit . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 249.35Plan Check Fee 62.34 Issue Date . . . . I . Valuation . . . . 0 Expiration Date 14/06/13 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 4.00 18.5000 EA ELEC SVC <=600V/<=200A 74.00 323.00 .4500 ---------------------------------------------------------------------------- EA ELEC DEVICE/FIXTURE >20 145.35 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 95.00 Plan Check Fee 23.75 Issue Date . . . . Valuation . . . . 0 Expiration Date . . . 4/06/13 Qty Unit Charge Per • Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 3.00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00 4.00 6.5000 - -------------------------------------=-------------------------------------- EA MECH VENT FAN 26.00 Permit . . . . . . PLUMBING LQPERMIT LQPERMIT Application Number . . . . .. 12-00000736 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 292.50, -Plan Check Fee 73.13 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/06/13 Qty Unit Charge Per Extension BASE FEE 15.00 44.00 6.0000 EA PLB FIXTURE 264.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 a 1.00 3.0000 EA PLB FIXTURE DRAIN/VENT REP/ALT 3.00 -------------------------------------------------------------- Special Notes and Comments ` INTERIOR REMODEL (7000 SF) FOR A VETERINARY CLINIC. "B" OCCUPANCY TYPE V -B CONSTRUCTION. EXISTING BUILDING NOT EQUIPPED W/ FIRE SPRINKLER. 2010 CODES. CONDITIONAL USE PERMIT 2012-141. TENANT: VCA ALL CREATURES CLINIC - CHARLES NICHOLLS --------------------7------------------------------------------------------- Other Fees . . . . . . . ACCESSIBILITY PLAN REVIEW 130.29 BLDG STDS ADMIN (SB1473) 19.60 ENERGY REVIEW FEE 130.29 STRONG MOTION (SMI) - COM 102.90 Fee summary Charged Paid Credited ----------------- Due ---------------------------------------- Permit Fee Total 2641.35 .00 .00 2641.35 Plan Check Total 1462.15 .00 .00 1462.15 Other Fee Total 383.08 .00 .00 383.08 Grand Total 4486.58 .00 .00 4486.58 LQPERMIT Bln. BGG Cray of La Qu` to . Bulldhlg 8t Safety Aivision P.O. Box 1504,78-495 Calle TamPPCID La.Qulnta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Perinit # a ProjectAddress: 78267 California Hwy 111 -Owna'sxame:. Charles Nicholls A. P. Number. 604050012-0 Address: 12401 West Olympic Blvd. Legal Description: Lot 1 PM 124/047 PM 19028 City, sT, zip: Los Angeles, CA 90064 Contractor . JPA N 'A & E In q Telephone: 310-571-6422 Pmiv4Descripdon: Non stn uctural remodel Address: City, ST. Zip: -of existing office building to be Telephone: usea as a veterinary clinic State Lic. #: City Li c #; Amfi, Bngr., Designer Animal Arts Design Studio . Address: 4520 Broadway, Suite E C.ST, zip: Boulder, CO 80304 Telephone:303-444-4413 Construction Type: V-13 Occupancy: B State Lie. #: G20,833 ;Nor. Pm'ecttype ( c r t itde one): New Add'a Alter Repair Demo Name of Contact Person: -B N A U sq. Ft.: 6,848 # Stories: 1 #Unit$ N/A Telephone # of Contact Person: 310.57 ` Vatae of Project $490,000 APPLICANT: DO NOT WRITE BELOW THIS UNE !! Submittal Req'd 'Reed TRACK.It+IG PERMIT FEES- Plan Sets Amount Plan Cheng submitted f[Eleetrical, Stmetural Cales. a Reviewed, ready for correctionsCheck Deposit. . . Called Contact Person Check Balance_ Truss Cates. Title 24 Cates. Plans picked up struction Flood plain plan Plansresubmitted Zbarileal Giading planReview, ready fo eorrectio ensueSubeontactor List Called Contact Person mbing Grant Deed Plans picked up SALL ILO.A. Approval Plans resubmitted 1 Grading IN HOUSE:- '"' Review; ready for correetio Developer Impact Fee Planning Approval Called Contact Person V AXP.P. Pub. Wks. Appr ' Date of permit issue School Fees y Q Total Permit Fees ---� 112- d4t 4 14�, 2 yr1z. a#er r .A . AMWA Ab �iW R if� Sfy�-. �-m.' rrr�+► JOS . � ��i�� . � . �� . - P.O. BOX 1504 BUILDING &'SAFETY DEPARTMENT 78-495 CALLE TAMPICO (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011" i f To: Greg Butler, Building & Safety Manager From: Les Johnson, -Director -Planning Permit #: To CDD: 7 - ;2 - Due Dater 7 Status: %Sf i Building Plans Approval (This is an approval to issue a Building Permit) The Planning Department has. reviewed the Building Plans for the following project: J Description: Address or General Location: Applicant Contact: «z" 3l ` The Planning Department finds that: Les 1 .these Building Plans do not require' Planning Department approval. r ...these Building Plans are approved by the Planning Department. ...these Buildin Plans require corrections. Please forward a copy of the attached orre tions to the applicant. When the corrections are made ; please 1Vt�n t"em to the Planning Department for review. irector-Planning Date i v celve JUL i� cit'+f 01 La ella Planning Q,-zpadment Certificate of Occupancy 4 Community Development Department This Certificate is issued pursuant to the requirements of Chapter 1 Section 111 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. BUILDING ADDRESS: 78-267 HIGHWAY 111 Use classification: OFFICE — VCA ALL CREATURES ANIMAL HOSPITAL Occupancy Group: B __ Type of Construction: VB Code Edition: 2010 Sprinkler Installed: YES Owner of Building: Address: City, ST, ZIP By: Building Official Date: CUOUS PLACE Building Permit No.: 12-0736 Land -Use Zone: CC _ Occupant Load: 70 HARSCH ,1NV REALTY 1121 SW SALMON ST, STE 4 PORTLAND, OR 97205 AJ ORTEGA MARCH 21, 2013 a ITIE(�ICf�I G(�1 1ERVICEI OF Cf�IFOR(�i(� 2839 Onyx Way U1e.ft C0 iC91792 626 712 1137 FIELD REPORT Preventive Maintenance Testing, Verification Testing and Repairs of Medical Gas piping systems. All testing, repairs were performed in accordance with NFPA 99 C 2005, C.G.A and The Joint Commission Requirements for Medical Gas and Vacuum Systems. Date: j -/A_ Facility: -UAC 4U A.4.. ao/3 Medical Gas Purity of Gas % Pressure PSIG Flow rate LPM Meets NFPA Code requirements Requirement >99 % 02 50-55 100 02 711 s• 6'r a2S d dtw..r (.GIS >99 % N20 50-55 100 N20 19.5-23.5 % 02 50-55 100 MA -12in Hg 90 VAC\WAGD <1 % 02 >99 N2 170-200 300 N2 OTHER P --Pass F=Fail COMPONENTS TESTED_ Outlets\tnlets__A Shutoff Valves Alarm Panels Central Supply Systems k TETE FOLLOWING WAS NOTED: MEDICAL GAS AND VAUCCUM INSPECTION WAS COMPLETED FOR OX VfF wJ COMMENTS: '_-.t� T.11ai Q.L.- :.fV. Facilitv Technician Sib afore Signature *-1n % i MEDICAL GAS SERVICES OF CALIFORNIA 2839 Onyx Way. West Covina, CA. 91792. Ph. (626) 913-6314 Fx. (626) 912-4361 Facility: V C A 09 t o CRE.4Tv R FS Date: MGS CYLINDER SUPPLY SYSTEM Gas: (021 N20 N2 Manufacture: Q a. a, c o o M Model# i o 7 o/ p- o Capacity: AI X JV Line Pressure: So ,Sa Left Bank Pressure: !6D D PS Righ Bank Pressure: t 100 PS 14- GReserve ReservePressure Switch: �ES) NO Pressure Relief Valve: �ES) NO Meets NFPA Code Requirements (YES) (RETESTING REQUIRED: NO YES (PASS) FAIL`, COMMENTS MA CO2 SER# if oft Ypd /90 0 MGS MEDICAL GAS SERVICES OF CALIFORNIA 2839 Onyx Way. Covina, CA. 91792. Ph. (626) 9136314 Fx. (626) 912-4361 SHUT OFF VALVES Facility: VAG C, I I PA, _ t, Date: ? - OPA • 61 o / 3 Zone: AL1 m j jL w Floor. C WARNING ALARM PANELS NONE Area Service MEDICAL GASES LABELED Valve Services Manufacturer Type of Visual 02 N20 M/A VAC/WADG 1 172 CO2 AREA GAS LEAKAGE Co rM an K I IYES NO I (YES) NO YES NO Comments: OX Pass k FAIL 02: 1 (2) (31 (41 5 6 7 Mat& d AREA MAS K) MA: 1 2 3 10 11 12 13 14 15 M A 1 Al GAUGE READING PSI/Hg PASS]( FAIL e - rx I I I WARNING ALARM PANELS NONE Area Service Manufacturer Type of Visual Audible MEDICAL GAS ALARM PANEL INDICATORS Alarm Indicator Indicator Pass k FAIL 02: 1 (2) (31 (41 5 6 7 Mat& d AREA MA: 1 2 3 10 11 12 13 14 15 M A 1 Al VAC: 2 12 (YES (YES1 N20: 1 2 3 4 CHEM AMICO (MAIN �. N2: 1 2 3 4 NO NO CO2 1 2 3 4 OHIO MEDAES PB Lamps 8 9 COMMENTS: Note: There are usually only 2 main alarm panels in a facility. To be classified as a main alarm panel, it must monitor the source (such as reserve in use or liquid level low). USE # 1-1s FOR TYPE OF ALARM MONITORED Note: #1 INDICATES ABNORMAL CAN BE A HIGH OR LOW ALARM 1. Line Pressure ADnormai 2. Line Pressure Low 3. Line Pressure High 4. Reserve In Use 5. Main Liquid Level Low 6. Reserve Liquid Level Low 7. Reserve Pressure Low 8. Green Light Out Normal 9. Indicator Light Out Normal 10. Dew point High 11. Medical Air Failure 12. Lag Pump in Use 13. Carbon Monoxide High 14. rugn temperature 15.Lag Compressor in use PAGE a MEDICAL GAS SERVICES OF CALIFORNIA 1 2938 Onyx Way, W. Covina. CA 91792 Pit. (626) 9138341 Fx. (626) 912-0361 ?ek - i r _.. OUTLETSIINLETS FadlityName: jAisc QR,x a. — A. 1. Missing Hardware S= Screws 1=id Tab SPSSpring F=Faceplate FRates: Pressures: d S D LpM p2 PSIG Date: /% 'IZO/3 Floor. Leakage noted without adapter inserted Manufacturer. ..�-� �- VAC LPM VAC �'Hg 5. Reduced Flow Zone: 6. Latch Defective Stat1on Type: &C, 01S5 AVERAGE FLOW RATES IN ZONES 8.OutleNnlet loose 9. Hose drop needs replacement Quan =Number of outtetsliniets-No Quan # no outletsUnlet tested Oxygen I Medica( Air N'drous Oxide VaG WAGD Nitrogen CO2 Quanity Quanity Quanity Quanity, Quanity Quanity Location Medi -Anal Meat -Anal Mech-Anal Mech Mach Mech Comments or staff. Note they still need to be repaired so the system meet manufacture spec PAGE 99.9% Purity 21run Purity 99.8% Purity < 1.0% 02 100% e 0 C w r 1. Missing Hardware S= Screws 1=id Tab SPSSpring F=Faceplate FRates: Pressures: d S D LpM p2 PSIG 2. Leakage noted with adapter inserted LPM MIAPISG3. Leakage noted without adapter inserted LPM N20 PSIG 4. No Flow VAC LPM VAC �'Hg 5. Reduced Flow N2 LPM N2 PSIG 6. Latch Defective CO2 LPM CO2 PSIG 17. Difficult to insertlextract AVERAGE FLOW RATES IN ZONES 8.OutleNnlet loose 9. Hose drop needs replacement Quan =Number of outtetsliniets-No Quan # no outletsUnlet tested 10. Corrective action taken X= Outlets% Inlets check for mechanical function, analysis of gas for 11.OulletUnlets require replacement Purity, now, pressure. All outletVnlets are Tested left to right 13. Bushing requires replacement 14. Key disc needs replacement from room entrance. Comments= Discrepancies noted by use of legend # 1 thru 16 15.Ou6etUnlet Requires Retro Fit #10 = Repaired to manufacture spec 16. Critical Repair 17. Unable to test due to facility request or a locked area Date: Tech: Note: In comments If not noted as critical items are a normal maintenance Items and do not pose a safety threat to patient or staff. Note they still need to be repaired so the system meet manufacture spec PAGE and code requirements. ' 1 t MEDICAL GAS SERVICES OF CALIFORNIA 2838 Onyx Way, W. Covina. CA 91792 PR (626) 9138341 Fc (M) 8124361 F OUTLETSIINLETS Facility Name: y Floor. G 1. Missing Hardware S= Screws I=1d Tab SP -Spring F=Faceplate Manufacturer. wA../� _ NUA_LPM MIAPISG Date: a ►/� O/.T Zone: 4. No Flow Station Type: Qt= A t S C _LPM N2 LPM N2 PSIG 8. Latch Defective CO2 LPM CO2 PSIG Oxygen Medical Air I Nitrous Oxide Vac! WAGD Nitrogen CO2 Location Quanity Mech-Anal 99.9% Purity Quanity Mech-Anal 21 % Purity Quanity Quanity Mech Anal Mech 99.6% Purity Quanity, Mach < 1.00A 02 Quanity Mach Comments 1001 from room entrance. 14. Key disc needs replacement Comments= Discrepancies noted by use of legend # 1 thru 1s 15.Out etUnlet Requires Retro Fit #10 = Repaired to manufacture spec 16. Critical Repair Tech: 17. Unable to test due to facility request or a locked area Date: Note: In comments if not noted as critical items are a normal Pressures: 1. Missing Hardware S= Screws I=1d Tab SP -Spring F=Faceplate Flow Rates: 02 as o LPM 02 so .,Tr PSIG 2. Leakage noted with adapter inserted NUA_LPM MIAPISG 3. Leakage noted without adapter Inserted N20 LPM N20 PSIG 4. No Flow VAC VAC _"Hg 5. Reduced Flow _LPM N2 LPM N2 PSIG 8. Latch Defective CO2 LPM CO2 PSIG 7. Difficult to inserhextract AVERAGE FLOW RATES IN ZONES 8.Outieftlet loose 9. Hose drop needs replacement Quan = Number of Outletslinlets-No Quan # no outletslinlet tested 10. Corrective action taken X= Outletsl inlets check for mechanical function, analysis of gas for 11.OutletUnlets require replacement Purity, flow, pressure. All outletllnletS are Tested (eft to right 13. Bushing requires replacement from room entrance. 14. Key disc needs replacement Comments= Discrepancies noted by use of legend # 1 thru 1s 15.Out etUnlet Requires Retro Fit #10 = Repaired to manufacture spec 16. Critical Repair Tech: 17. Unable to test due to facility request or a locked area Date: Note: In comments if not noted as critical items are a normal maintenance items and do not pose a safety threat to patient or staff. Note they still need to be repaired so the system meet manufacture spec PAGE ' and code requirements. of pen tug THIS IS TO CERTIFY THAT PURSUANT' TO THE PROVISIONS OF THE HOSPITAL SEISMIC SAFETY ACT OF 1983 P.I.P . E 501 SHATTO.PL.., SUITE 405 LOS ANGELES, CA 90020 BERTRAM B. MACD'ONAL D for XenI14 ton and AND IS ENTITLPD TO ALL THE RIGHTS AND PRIVILEGES CONF5RRED IN SAID ACT REGISTRATION No. rC-10001 WITNESS OUR HAND AND SEAL THIS DAY' OF� Noventhet, 7987 TC 7 OnOl -020rl-rhmir Michael J. SUB LICEfTS-E#. CERTIFIER STATEWIDE t6NtTFWCTl0N CH Richard M. Bisnett IV., tn- t,lov9Z/LO Jav!-RA 0£09 asst sa ydX3 66901000 # PaJ � a:lusal. uc o " �1Yt1013YH r f CERTIFICATE OF COMPLIANCE (Page 1 of 4) LTG -1C Project Name: VOA I J ✓V tY"rt 6�'A 401jA/1 Date: •. /J; v02 J Project Address: 7065 C44rItz I/l / f �q (,K, Climate Zone: �5 Building CFA: Unconditioned Floor Area: General Information Building Type:. Nonresidential High -Rise Residential Q Hotel/Motel 0 Schools Relocatable Public Schools Conditioned Spaces Unconditioned Spaces Phase of Construction: New Construction Q Addition Alteration Method of Compliance: ® Complete Building Q Area Category Tailored Documentation Author's Declaration Statement • 1 certify that this Certificate of Compliance documentation is accurate and complete. - Name: Y,J_W C Signature: Company: Address: If -407M Jot(rk wr k `4vtix— CEA CEPE applicable: # # City/Sfate/Zipi/__ I / _ �� / �/1 q� Phone:S67-- lDecllaa/r(attiiioon Y%Z 3,10 Principal Lighting Designer's Statem'enn-t► • 1 am eligible.under Division 3 of the California Business and Professions Code to accept responsibility for the lighting design. • This Certificate of Compliance identifies the lighting features and performance specifications required for compliance with Title 24; Pages I 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: Signature. Company: Phone: Address: License # City/State/Zip: Date: Lighting Mandatory Measures Indicate location on building plans of Mandatory Measures Note Block: LIGHTING COMPLIANCE FORMS & WORKSHEETS (check box if worksheet, is included) Ir For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential Manual blished by the California EneriD, Commission. I® LTG -IC Pages I through 4 Certificate of Compliance. All Pages required on plans for all submittals. E LTG -2C Lighting Controls Credit Worksheet E] LTG -3C Indoor Lighting Power Allowance LTG -4C Pages + through 4 Tailored Method Worksheet Q LTG -5C Pages I and 2 Line Voltage Track Lighting Worksheet - 2008 Nonresidential ,Compliance Forms July 2010 CERTIFICATE OF COMPLIANCE (Page 2 of 4) LTG -1C INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Project Name: VcA ha er"rn do* Date: 3,-26 - l3 Installation Certificate, LTG-I-INST (Retain a copy and verify form is completed and signed.) Field Inspector Certificates of Acceptance, LTG -2A and LTG -3A (Retain a copy and verify form is completed and signed. El Field Ins ector p A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces Installed Lighting Power listed on this Lighting Schedule is onlyfor: ® CONDITIONED SPACE El UNCONDITIONED SPACE ® The actual indoor lighting power listed below includes all installed permanent and portable lighting systems in accordance with §146(a) Only for offices: Up to the first 0.2 watts per square foot of portable lighting shall not be required to be included in the calculation of actual indoor lighting power density in accordance with the Exception to §146(a). All portable lighting in excess of 0.2 watts per s care oot is totaled below. Luminaire Schedule (Type, Lamps, Ballasts Installed Watts A B C D E F G H How wattage was Field determined _ Ins ector 2 _ w bn F Complete Luminaire Description a •cc CEC According ° . A c Default to a c — 2 (i.e, 3 lamp fluorescent troffer, E from §130 E 2 c '7o Z y F32T8, one dimmable electronic ballast ° NA8 d or e ° ❑ " �'" DI w c i Aniw r /t• s E] M - Z S -o to (.ha Vtft, r**1a- LA•M C# A 0 3 /1./00 ./El_ LAM 8 A*Wb Ow 6zo 9 ril 62 C F2 &A*V Wsr IV t. +• b2.0I t - LAA P r. r $ +• Z -o 1 yrn I -+M P40 get P y NO Ree. 1A ..o r aTF 3I 0 4n. S+wyeftf— 1 29.4 p p L GAM P JPT 't8 0e & .o ro 2- ft rr_ 2 `Aftf Ire C -T ork SWIlsdt". CV e R a P z,Pi:79 644,. 33 l p _ Z 2 -14MP Ovp /.996 __ 2G P $ R .. a' S ,�6 El a r N o .o c b FF1 o S ZyyMP a IT0 I IN C z r rM INSTALLED WATTS PAGE TOTAL: Installed Watts Building Total Building total number of pages • ' �o� Z. (Sum of all pages) Enter into LTG- I C Page 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. I Fail then describe on Page 2 o the Inspection Checklist Form and take appropriate action to correct. Verify building plans ifnecessary, 2008 Nonresidential Compliance Forms July 2010 CERTIFICATE OF COMPLIANCE' (Page 2 of 4) LTG -1C INDOOR LIGHTING SCHEDULE and 'FIELD INSPECTION ENERGY CHECKLIST Project Name: VOAtv �r Date: 2 L Installation Certificate, LTG-I-INST (Retain a copy and verify form is completed and signed.) Q Field Inspector Certificates of Acceptance, LTG -2A and LTG -3A (Retain a copy and verify form is completed and signed. Field Inspector A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces Installed Lighting Power listed on this Lighting Schedule is only for: F CONDITIONED SPACE El UNCONDITIONED SPACE I The actual indoor lighting power listed below includes all installed permanent and portable lighting systems in accordance with 146 a R Only for offices: Up to the first 0.2 watts per square foot of portable lighting shall not be required to be included in the calculation of actual indoor lightingpower density in accordance with the Exception to §146(a). Allportable lighting in excess of 0.2 watts per s uare oot is totaled below. Luminaire Schedule (Type, Lamps, Ballasts Installed Watts A B C D E F G H How wattage was Field determined Ins ector Z _ w bo CEC F" Complete Luminaire Description y crDefault AccordingW Ca d(.e, 3 lamp fluorescent troffer, om §130 E �. z F32T8, one dimmable electronic ballast A8 d or e ° ° c CU —960— 604 1,95 R1 Q o ❑r oil 2AM19 l p 2 E1 C C r E El I + El M 0 F11 El I - F-1 El Li I - l _ r EF El El o INSTALLED WATTS PAGE TOTAL: 4-071 Installed Watts Building Total �g} 1 Building total number of pages �,(�:Z (Sum of all pages) Enter into LTG -I C Page 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. I Fail then describe on Page 2 o the Inspection Checklist Form and take appropriate action to correct. Verify building plans ifnecessary. 2008 Nonresidential Compliance Forms July 2010 CERTIFICATE OF COMPLIANCE (Page 3 of 4) LTG -1C Project Name: ,/AA Aul #O Date:"kl 1 �-�� INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Fill in controls for all spaces: a) area controls, b) multi-level controls, c) manual daylighting controls for daylit areas > 250ft" automatic daylighting controls for daylit areas > 2, 500 ft2, d) shut-off controls, e) display lighting controls, fi tailored lighting controls - general lighting controlled separately from display, ornamental and display case lighting and g) demand responsive automatic controls or retail stores > 50, 000ft, in accordance with Section 131. MANDATORY LIGHTING CONTROLS - FIELD INSPECTION ENERGY CHECKLIST Feld . Inspector T e / Descri tion Number of Units Location in Building Pass Fail Tbi' ,o✓ Src!` �' �l -/oy Of 1N liS;.. Ild� /! 9 1Z4 1/v� 0 El El 0 11 d 0 M o - M o M. El 11 E] 0 Field Inspector's Notes or Discrepancies: 2008 Nonresidential Compliance Forms July 2010 CERTIFICATE OF COMPLIANCE (Page 4 of 4) LTG -IC Project Name:• Date: 144 hTt �%M Conditioned and Unconditioned space Lighting must not be combined for compliance Indoor Lighting Power for Conditioned Spaces Indoor Lighting Power for Unconditioned Spaces Watts Watts Installed Lighting Installed Lighting from Conditioned LTG -1C Page 2 17 from Unconditioned LTG -1C Page 2 Lighting Control Credit _ Z�( Lighting Control Credit Conditioned Spaces from LTG -2C Unconditioned Spaces from LTG -2C Adjusted Installed Adjusted Installed Li htin Power Lighting Power 0 Complies if Installed:5 Allowed = Complies if Installed < Allowed Allowed Lighting Power6 6—&Allowed Lighting Power 6 Conditioned Spaces from LTG -3C Unconditioned Spaces Lfrom LTG -3C Required Acceptance Tests Designer: This form is to be used by the designer and attached to the plans. Listed below is the acceptance test for the Lighting system, LTG -2A and LTG -3A. 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. /fall the lighting system or control of a certain type requires a test, list the different lighting and the number of systems. The NA 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. Forms can be grouped by type of Luminaire controlled Enforcement Agency: Systems Acceptance. 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 and LTG -3A forms are not considered a complete form and are 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 X10 -103(b) of Title 24 Part 6. The field inspector must receive the properly filled out and signed forms before the building can receive final occupancy. A copy of the LTC -2A and LTG -3A for each different lighting luminaire controls must be provided to the owner of the buildin or their records. Luminaires Controlled LTC -2A and 3A Controls and i Sensors and as W i x Automatic Daylighting Controls Equipment Re uirin Testing Description ° o U Location Acceptance oot CAW- ' ick t L Fi t y �- !�! • lT O L W - y 2 r w j�� ec ✓ tit — I r -�' - — /I & oa - z - y / -- - deCA144 Ji J. J 41 71 4 `S A113-/yy / - . Oct 2 S� z / 0 0 2008 Nonresidential Compliance Forms July 2010 CERTIFICATE OF ACCEPTANCE MECH-2A NA7.5.1 Outdoor Air Acceptance Pae 1 of 3 Project Name/Address VCA - La Quinta System Name or Identification/Tag: RTU -1 System Location or Area Served: Waiting Enforcement Agency: Permit Number: Note: Submit one Certificate of Acceptance for each system that must demonstrate compliance. Enforcement Agency Use: Checked by/Date FIELD TECHNICIAN'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am the person who performed the acceptance requirements verification reported on this Certificate of Acceptance (Field Technician). • I certify that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. Com any Name: Com Mechanical Services Field Technician's Name: Ryan Hammer Field Technician's Signature: fiacvl;�vre�' Responsible Person's Signature: K� Date Si ed: 4-13 Position With Company (Title): Installer RESPONSIBLE PERSON'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, that I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this form. • I am a licensed contractor, architect, or engineer, who is eligible under Division 3 of the Business and Professions Code, in the applicable classification, to take responsibility for the scope of work specified on this document and attest to the declarations in this statement (responsible person). • I certify that the information provided on this form substantiates that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made "available"with the building permit(s) issued for the building. • I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. CompanName: G� oastal Mechanical Services Phone: Responsible Person's Name: Ryan Hammer Responsible Person's Signature: K� License: Date Si ed: Position With�Company (Title): 925406 4- -13 owner t A,.,......* 111nn CERTIFICATE OF ACCEPTANCE MECH-2A NA7.5.1 Outdoor Air Acceptance (Page 2 of 3 Project Name/Address: VCA - La Quinta System Name or Identification/Tag: RTU -1 Syt m h9cation or Area Served: V�/aiting Intent: Verify measured outside airflow reading is within f 10% of the total required outside airflow value found in the Standards Mechanical Plan (MECH-3C, Column H or Column I), per NA7.5.1. Construction Inspection 1 Instrumentation to perform test includes, but not limited to: a. Watch b. Calibrated means to measure airflow 2 Check one of the following: ❑ Variable Air Volume (VAV) - Check as appropriate: a• Sensor used to control outdoor air flow must have calibration certificate or be field calibrated ❑ Calibration certificate (attach calibration certification) ❑ Field calibration (attach results) t Constant Air Volume (CAV) - Check as appropriate: ® System is designed to provide a fixed minimum OSA when the unit is on NA7.5.1.1 Outdoor Air Acceptance A. Functional Testing (Check appropriate column) CAV VAV a. Verify unit is not in economizer mode during test - check appropriate column n/a n/a Step 1: CAV and VAV testing at full supply airflow a. Adjust supply to achieve design airflow b. Measured outdoor airflow reading (cfin) 905 c. Required outdoor airflow (cfin) (from MECH-3C, Column 1) 900 d. Time for outside air damper to stabilize after VAV boxes open (minutes) e. Return to initial conditions (check) Step 2: VAV testing at reduced supply airflow a. Adjust supply airflow to either the sum of the minimum zone airflows or 30% of the total design airflow b. Measured outdoor airflow reading (cfin) C. Required outdoor airflow (cfin) (from MECH-3C, Column I) d. Time for outside air damper to stabilize after VAV boxes open and minimum air flow achieved minutes e. Return to initial conditions (check) B. Testing Calculations & Results CAV VAV Percent OSA at full supply airflow (%OAFA for Step 1) a. %OAFA = Measured outside air reading /Required outside air (Step 1 b/Step 1 c) 100 % % b. 90%:S %OAFA < 110% X Y / N Y / N C. Outside air damper position stabilizes within 15 minutes (Step Id < 15 minutes) X Y / N Y / N Percent OSA at reduced supply airflow (%OARA for Step 2) a. %OARA = Measured outside air reading /Required outside air (Step2b/Step2c) % % b. 90%:5 %OARA < 110% F Y / N C. Outside air damper position stabilizes within 15 minutes (Step 2d < 15 minutes) Y / N Note. Shaded boxes do not apply for CAV systems ')nnsr A........0....... r',.r..... e.,,......* Inns CERTIFICATE OF ACCEPTANCE MECH-2A NA7.5.1 Outdoor Air Acceptance (Page 3 of 3 Project Name/Address: La Quinta System Name or Identificationaag: RTU - 1 Sys em,liocation or Area Served: Sys C. PASS / FAIL Evaluation (check one): PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive (Y - yes) p FAIL: Any Construction Inspection responses are incomplete OR there is one or more negative (N - no) responses in Testing Calculations & Results section. Provide explanation below. Use and attach additional pages if necessary. •�M A,..,..,... Inno CERTIFICATE OF ACCEPTANCE MECH-3A NA7.5.2 Constant Volume Single Zone Unitary Air Conditioner and Heat Pump Systems Pae 1 of 3 Project Name/Address: VCA - La Quinta System Name or Identification/Tag: RTU -1 System Location or Area Served: Waiting Enforcement Agency: Permit Number: Note: Submit one Certificate of Acceptance for each system that must demonstrate compliance. Enforcement Agency Use: Checked by/Date FIELD TECHNICIAN'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • • I am the person who performed the acceptance requirements verification reported on this Certificate of Acceptance (Field Technician). • I certify that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAT • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. Company Name: Coastal Mechanical Services 5 Field Technician's Name: Field Technician's Signature: Ryan Hammer A.�li I�%l�fi�f�GLL�Y License: J Date Signed: Position With Company (Title): 925406 4-1-13 Installer RESPONSIBLE PERSON'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, that I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this form. • I am a licensed contractor, architect, or engineer, who is eligible under Division 3 of the Business and Professions Code, in the applicable classification, to take responsibility for the scope of work specified on this document and attest to the declarations in this statement (responsible person). • 1 certify that the information provided on this form substantiates that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAT • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. • I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: Phone: Coastal Mechanical Services 7606443136 Responsible Person's Name: Ryan Hammer Responsible Person's Signature - License: J Date Signed: Position With Company (Title): 925406 1 4-1-13 Owner 2008 Nonresidential Acceptance Forms August 2009 J6 CERTIFICATE OF ACCEPTANCE MECH-3A NA7.5.2 Constant Volume Single Zone Unitary Air Conditioner and Heat Pump Systems (Page 2 of 3 Project Name/Address: System Name or Identification/Tag: RTU -1 System Location or Area Served: Intent• Verify the individual components of a constant volume, single -zone, unitary air conditioner and heat pump system function correctly, including: thermostat installation and programming, supply fan, heating, cooling, and damper operation per NA 7.5.2 Construction Inspection 1. Instrumentation to perform test includes, but not limited to: a. None required 2. Installation 29 Thermostat is located within the space -conditioning zone that is served by the HVAC system. 3. Programming (check all of the following): E Thermostat meets the temperature adjustment and dead band requirements of 122(b) Jl Occupied, unoccupied, and holiday schedules have been programmed per the facility's schedule. ® Pre -occupancy purge has been programmed to meet the requirements of Standards Section 121(c A. Functional Testing Requirements IOperating Modes Cooling load during unoccupied condition Cooling load during occupied condition Manual override No-load during unoccupied condition Heating load during unoccupied condition No-load during occupied condition Heating load during occupied condition Step 1: Check and verify the following for each simulation mode required A B C D JE F G a• Supply fan operates continually b• Supply fan turns off c• Supply fan cycles on and off d• System reverts to "occupied" mode to satisfy any condition e• System turns off when manual override time period expires f Gas-fired furnace, heat pump, or electric heater stages on g Neither heating or cooling is provided by the unit ps h• No heating is provided by the unit i. No cooling is provided by the unit 09 � J • Compressor stages on k. Outside air damper is open to minimum position Ix N l Outside air damper closes completely m• System returned to initial operating conditions after all tests have been completed: XY / N B. Testing Results A B C D E F G Indicate if Passed (P), Failed (F), or N/A (X), fill in appropriate letter p pI P Ip p 2008 Nonresidential Acceptance Forms August 2009 CERTIFICATE OF ACCEPTANCE MECH-3A NA7.5.2 Constant Volume Single Zone Unitary Air Conditioner and Heat Pump Systems (Page 3 of 3 Project Name/Address: System Name or Identification/Tag:System RTU -1 Location or Area Served: C. PASS / FAIL Evaluation (check one): Xi PASS: All Construction Inspection responses are complete and all applicable Testing Results responses are "Pass" (P) FAIL: Any Construction Inspection responses are incomplete OR there is one or more "Fail" (F) responses in Testing Results section. Provide explanation below. Use and attach additional pages if necessary. 2008 Nonresidential Acceptance Forms August 2009 .r CERTIFICATE OF ACCEPTANCE MECH-11A NA .5.10 Automatic Demand Shed Control Acceptance (Page 1 of 2 Project Name/Address: . VCA -La Quinta System Name or Identification/Tag: RTU -1 System Location or Area Served - Waiting Enforcement Agency: Permit Number: Note: Submit one Certificate of Acceptance for each system that must demonstrate compliance. Enforcement Agency Use: Checked by/Date FIELD TECHNICIAN'S DECLARATION STATEMENT ' • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am the person who performed the acceptance requirements verification reported on this Certificate of Acceptance (Field Technician). • I certify that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAT • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. Company Name: Coastal Mechanical Services Field Technician's Name: Ryan Hammer Field Technician's Signature: !'L I�%t.W(^WLBY' R�a Responsible Person's Name: Ryan Hammer Date Si ned: Position With Company (Title): Date Signed: 43-13' Installer RESPONSIBLE PERSON'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, that I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this form. • I am a licensed contractor, architect, or engineer, who is eligible under Division 3 of the Business and Professions Code, in the applicable classification, to take responsibility for the scope of work specified on this document and attest to the declarations in this statement (responsible person). • I certify that the information provided on this form substantiates that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. • I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: Coastal Mechanical Services Phone: 7606443136 Responsible Person's Name: Ryan Hammer Responsible Person's Signature: RJJ Arz fi"v V.&r License: 925406 Date Signed: Position With Company (Title): 4-1-13 owner c,,..,:,.. A..,..,..* Inno CERTIFICATE OF ACCEPTANCE MECH-11A NA .5.10 Automatic Demand Shed Control Acceptance (Page 2 of 2 Project Name/Address: System Name or Identification/Tag: RTU -1 System Location or Area Served: Intent: Ensure that the central demand shed sequences have been properly programmed into the DDC system Construction Inspection 1 Instrumentation to perform test includes, but not limited to: a. None 2 Installation I ❑ The EMCS front end interface enables activation of the central demand shed controls I A Functional Testing Step 1: Engage the demand shed controls a• Engage the central demand shed control signal XY / N b• Verify that the current operating temperature setpoint in a sample of non-critical spaces increases by the proper amount. XY/N c• Verify that the current operating temperature setpoint in a sample of critical spaces does not change. XY / N Step 2: Disengage the demand shed controls a• Disengage the central demand shed control signal XY / N b• Verify that the current operating temperature setpoint in the sample of non-critical spaces returns to their original value. X Y / N c• Verify that the current operating temperature setpoint in the sample of critical spaces does not change. XY / N Step 3: System returned to initial operating conditions Y / N B Testing Results PASS / FAIL Test passes if all answers are yes in Step 1 and Step 2 IN ❑ C PASS / FAIL Evaluation (check one): jo PASS: All Construction Inspection responses are complete and all Testing Results responses are "Pass" ❑ FAIL: Any Construction Inspection responses are incomplete OR there is one or more "Fail" responses in Testing Results section. Provide explanation below. Use and attach additional pages if necessary. ')nnQ e,.,.,..,.,.a r'—- .4--1 1 Wnn ,r CERTIFICATE OF ACCEPTANCE MECH[-2A NA7.5.1 Outdoor Air Acceptance Pae 1 of 3 Project Name/Address: La Quinta System Name or Identification/Tag: RTU -5 System Location or Area Served: Treatment Enforcement Agency: Permit Number: Note: Submit one Certificate of Acceptance for each system that must demonstrate compliance. Enforcement Agency Use: Checked by/Date FIELD TECHNICIAN'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am the person who performed the acceptance requirements verification reported on this Certificate of Acceptance (Field Technician). • I certify that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAT • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. Company Name: Coastal Mechanical Services Field Technician's chnician's Name: Ryan Hammer Field Technician's Signature: Ki I�L�s^bMM2y' Responsible Person's Name: Ryan Date Signed: Position With Company (Title): 4-1-13 Installer RESPONSIBLE PERSON'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, that I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this form. • I am a licensed contractor, architect, or engineer, who is eligible under Division 3 of the Business and Professions Code, in the applicable classification, to take responsibility for the scope of work specified on this document and attest to the declarations in this statement (responsible person). • I certify that the information provided on this form substantiates that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAT • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. • I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: Phone: Coastal Mechanical Services 7606443136 Responsible Person's Name: Ryan Responsible Person's Signature: AfTi��`�WG�1" Hammer License: Date Signed: Position With Company (Title): 925406 ' . . 4-1-13 Owner 1nnra rr,.---,4—f; .t A .... t..— r,,..— e.,,..,..t Wno CERTIFICATE OF ACCEPTANCE MECH-2A NA7.K1 Outdoor Air Acceptance (Page 2 of 3 Project Name/Address: La Quinta System Name or Identificationfrag: RTU -5 System Location or Area Served: Treatment Intent: Verify measured outside airflow reading is within f 10% of the total required outside airflow value found in the Standards Mechanical Plan (MECH-3C, Column Hor Column I), per NA7.5.1. Construction Inspection 1 Instrumentation to perform test includes, but not limited to: a. Watch b. Calibrated means to measure airflow 2 Check one of the following: ❑ Variable Air Volume (VAV) - Check as appropriate: a• Sensor used to control outdoor air flow must have calibration certificate or be field calibrated ❑ Calibration certificate (attach calibration certification) ❑ Field calibration (attach results) Xj Constant Air Volume (CAV) - Check as appropriate: ❑ System is designed to provide a fixed minimum OSA when the unit is on NA7.5.1.1 Outdoor Air Acceptance A. Functional Testing (Check appropriate column) CAV VAV a. Verify unit is not in economizer mode during test - check appropriate column X Step 1: CAV and VAV testing at full supply airflow a. Adjust supply to achieve design airflow b. Measured outdoor airflow reading (cfm) 1093 c. Required outdoor airflow (cfm) (from MECH-3C, Column 1) 1100 d. Time for outside air damper to stabilize after VAV boxes open (minutes) e. Return to initial conditions (check) Step 2: VAV testing at reduced supply airflow a. Adjust supply airflow to either the sum of the minimum zone airflows or 30% of the total design airflow b. Measured outdoor airflow reading (cfm) C. Required outdoor airflow (cfrn) (from MECH-3C, Column 1) d. Time for outside air damper to stabilize after VAV boxes open and minimum air flow achieved minutes e. Return to initial conditions (check) B. Testing Calculations & Results CAV VAV Percent OSA at full supply airflow (%OAFA for Step 1) a. %OAFA = Measured outside air reading /Required outside air (Step I b/Step I c) 99 % % b. 90%:S %OAFA < 110% XY / N Y / N C. Outside air damper position stabilizes within 15 minutes (Step I < 15 minutes) XY / N Y / N Percent OSA at reduced supply airflow (%OARAA for Step 2) a. %OARA = Measured outside air reading /Required outside air (Step2b/Step2c) % I % b. 90%:5 %OARA 5 110% Y / N C. Outside air damper position stabilizes within 15 minutes (Step 2d < 15 minutes) Y / N Note. Shaded boxes do not apply for CAV systems 11111Q A,.,.,,..i,.a— V-- e,,,...,..1 ')Ano CERTIFICATE OF ACCEPTANCE MECH-2A NA7.5A Outdoor Air Acceptance (Page 3 of 3 Project Name/Address: La Quinta System Name or Identification/Tag: RTU -5 System Location or Area Served: Treatment C. I PASS / FAIL Evaluation (check one): ® PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive (Y - yes) . p FAIL: Any Construction Inspection responses are incomplete OR there is one or more negative (N - no) responses in Testing Calculations & Results section. Provide explanation below. Use and attach additional pages if necessary. ')nnQ A.,.,,...r Wnn CERTIFICATE OF ACCEPTANCE MECH-3A NA7.5.2 Constant Volume Single Zone Unitary Air Conditioner and Heat Pump Systems (Page 1 of 3 Project Name/Address: VCA - La Quinta System Name or Identification/Tag: RTU -5 System Location or Area Served: Treatment Enforcement Agency: Permit Number: Note: Submit one Certificate of Acceptance for each system that must demonstrate compliance. Enforcement Agency Use: Checked by/Date FIELD TECHNICIAN'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am the person who performed the acceptance requirements verification reported on this Certificate of Acceptance (Field Technician). • I certify that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified Reference Nonresidential Appendix NAT • I have confirmed that the Installation'Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. Company Name: Coastal Mechanical Services Field Technician's Name: ' Ryan Hammer Field Technician's Signature: RYq,K, i-ww,yw Responsible Person's Name: Ryan Hammer Date Signed: Position With Company (Title): Date Signed: 4-1-136 Installer RESPONSIBLE PERSON'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, that I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this form. • I am a licensed contractor, architect, or engineer, who is eligible under Division 3 of the Business and Professions Code, in the applicable classification, to take responsibility for the scope of work specified on this document and attest to the declarations in this statement (responsible person). • I certify that the information provided on this form substantiates that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. • I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name:Phone: Coastal Mechanical Services 7606443136 Responsible Person's Name: Ryan Hammer Responsible Person's Signature: RYA� f-l"l;we-ly' License: Date Signed: Position With Company (Title): 925406 14-1-13 Owner 2008 Nonresidential Acceptance Forms August 2009 CERTIFICATE OF ACCEPTANCE MECH-3A NA73.2 Constant Volume Single Zone Unitary Air Conditioner and Heat Pump Systems (Page 2 of 3 Project Name/Address: System Name or Identification/Tag: RTU -5 System Location or Area Served: Intent' Verify the individual components of a constant volume, single -zone, unitary air conditioner and heat pump system function correctly, including: thermostat installation and programming, supply fan, heating, cooling, and damper operation per NA 7.5.2 Construction Inspection 1. Instrumentation to perform test includes, but not limited to: a. None required 2. Installation KI Thermostat is located within the space -conditioning zone that is served by the HVAC system. 3. Programming (check all of the following): ® Thermostat meets the temperature adjustment and dead band requirements of 122(b) J1 Occupied, unoccupied, and holiday schedules have been programmed per the facility's schedule. JO Pre -occupancy purge has been programmed to meet the requirements of Standards Section 121(c A. Functional Testing Requirements Operating Modes Cooling load during unoccupied condition Cooling load during occupied condition Manual override No-load during unoccupied condition Heating load during unoccupied condition No-load during occupied condition Heating load during occupied condition Step 1: Check and verify the following for each simulation mode required A I B C D E F G a• Supply fan operates continually 10 W b• Supply fan turns off c• Supply fan cycles on and off d• System reverts to "occupied" mode to satisfy any condition e• System turns off when manual override time period expires f Gas-fired furnace, heat pump, or electric heater stages on 9- Neither heating or cooling is provided by the unit xX h• No heating is provided by the unit 1I W I N i. No cooling is provided by the unit IJR R 14 j• Compressor stages on k. Outside air damper is open to minimum position 1. Outside air damper closes completely m• System returned to initial operating conditions after all tests have been completed: X Y / N B. Testing ResultsANP C D E F G Indicate if Passed (P), Failed (F), or N/A (X), fill in appropriate letter pp p P., 2008 Nonresidential Acceptance Forms August 2009 4( CERTIFICATE OF ACCEPTANCE MECH-3A NA7.5.2 Constant Volume 'Single Zone Unitary Air Conditioner and Heat Pump Systems (Page 3 of 3 Project Name/Address: System Name or Identification/Tag: RTU -5 System Location or Area Served: C. PASS / FAIL Evaluation (check one): ® PASS: All Construction Inspection responses are complete and all applicable Testing Results responses are "Pass" (P) FAIL: Any Construction Inspection responses are incomplete OR there is one or more "Fail' (F) responses in Testing Results section. Provide explanation below. Use and attach additional pages if necessary. _ 4 2008 Nonresidential Acceptance Forms August 2009 CERTIFICATE OF ACCEPTANCE MECH-11A NA7.9.10 Automatic Demand Shed Control Acceptance (Page 1 of 2 Project Name/Address: VCA - La Quinta System Name or Identification/Tag: RTU -5 System Location or Area Served: Treatment Enforcement Agency: Permit Number: Note: Submit one Certificate of Acceptance for each system that must demonstrate compliance. Enforcement Agency Use: Checked by/Date FIELD TECHNICIAN'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am the person who performed the acceptance requirements verification reported on this Certificate of Acceptance (Field Technician). • I certify that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAT • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. Company Name: Coastal Mechanical Services Field Technician's Name: Ryan Hammer Field Technician's Signature: Ria. fd"v +t&r Responsible Person's Name: Ryan Hammer Date Signed: Position With Company (Title): Date Signed: 4-1-13 4-1-13 Installer RESPONSIBLE PERSON'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, that I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this form. • I am a licensed contractor, architect, or engineer, who is eligible under Division 3 of the Business and Professions Code, in the applicable classification, to take responsibility for the scope of work specified on this document and attest to the declarations in this statement (responsible person). • I certify that the information provided on this form substantiates that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAT • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. • I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: Phone: Coastal Mechanical Services 7606443136 Responsible Person's Name: Ryan Hammer Responsible Person's Signature: R�a.�r. fiQ�vl;wtet^ License: 925406 Date Signed: 4-1-13 Position With Company (Title): Owner A,,,,.....f )nnn CERTIFICATE OF ACCEPTANCE NMCH-11A NA7.5.10 Automatic Demand Shed Control Acceptance (Page 2 of 2 Project Name/Address: System N, qr5 entification/Tag: System Location or Area Served: Intent: Ensure that the central demand shed sequences have been properly programmed into the DDC system Construction Inspection 1 Instrumentation to perform test includes, but not limited to: a. None 2 Installation I ❑ The EMCS front end interface enables activation of the central demand shed controls I A Functional Testing Step 1: Engage the demand shed controls a• Engage the central demand shed control signal XY / N b• Verify that the current operating temperature setpoint in a sample of non-critical spaces increases by the proper amount. X Y / N c• Verify that the current operating temperature setpoint in a sample of critical spaces does not change. X Y / N Step 2: Disengage the demand shed controls a• Disengage the central demand shed control signal X Y / N b• Verify that the current operating temperature setpoint in the sample of non-critical spaces returns to their original value. X Y / N C. Verify that the current operating temperature setpoint in the sample of critical spaces does not change. X Y / N Step 3: System returned to initial operating conditions Ix Y / N B Testing Results PASS / FAIL Test passes if all answers are yes in Step 1 and Step 2 ❑ C PASS / FAIL Evaluation (check one): PASS: All Construction Inspection responses are complete and all Testing Results responses are "Pass" ❑ FAIL.: Any Construction Inspection responses are incomplete OR there is one or more "Fail' responses in Testing Results section. Provide explanation below. Use and attach additional pages if necessary. A.,-# Wnn CERTIFICATE OF ACCEPTANCE MECH-11A NA7.5.10 Automatic Demand Shed Control Acceptance Pae 1 of 2 Project Name/Address: VCA La Quinta System Name or Identificationfrag: RTU -6 System Location or Area Served: Breakroom Enforcement Agency: Permit Number: Note: Submit one Certificate of Acceptance for each system that must demonstrate compliance. Enforcement Agency Use: Checked by/Date FIELD TECHNICIAN'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am the person who performed the acceptance requirements verification reported on this Certificate of Acceptance (Field Technician). • I certify that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAT • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. Company Name: Coastal Mechanical Services Field Technician's Name:Field Ryan Hammer Technician's Signature: q� HQMwer License: 925406 Date Signed: Position With Company (Title): 4-1-13 Installer RESPONSIBLE PERSON'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, that I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this form. • I am'a licensed contractor, architect, or engineer, who is eligible under Division 3 of the Business and Professions Code, in the applicable classification, to take responsibility for the scope of work specified on this document and attest to the declarations in this statement (responsible person). • I certify that the information provided on this form substantiates that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAT • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. • I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: CoastalMechanical Services Phone: 7606443136 Responsible Person's Name: Ry an .Hammer Responsible Person's Signature. License: 925406 Date Signed: 4-1-13 Position With Company (Title): Owner CERTIFICATE OF ACCEPTANCE MECH-11A NA7.5.10 Automatic Demand Shed Control Acceptance (Page 2 of 2 Project Name/Address: System Name or Identification/Tag: RTU -6 System Location or Area Served: Intent: I Ensure that the central demand shed sequences have been properly programmed into the DDC system Construction 1 Instrumentation to perform test includes, but not limited to: a. None 2 Installation I ❑ The EMCS front end interface enables activation of the central demand shed controls I A Functional Testing Step 1: Engage the demand shed controls a• Engage the central demand shed control signal X Y / N b• Verify that the current operating temperature setpoint in a sample of non-critical spaces increases by the proper amount. XY / N c• Verify that the current operating temperature setpoint in a sample of critical spaces does not change. X Y / N Step 2: Disengage the demand shed controls a• Disengage the central demand shed control signal X Y / N b• Verify that the current operating temperature setpoint in the sample of non-critical spaces returns to their original value. X Y / N C. Verify that the current operating temperature setpoint in the sample of critical spaces does not change. X Y / N Step 3: System returned to initial operating conditions XY / N B Testing Results PASS / FAIL Test passes if all answers are yes in Step 1 and Step 2 Pq ❑ C PASS / FAIL Evaluation (check one): gl PASS: All Construction Inspection responses are complete and all Testing Results responses are "Pass" ❑ FAIL: Any Construction Inspection responses are incomplete OR there is one or more "Fail' responses in Testing Results section. Provide explanation below. Use and attach additional pages if necessary. A..,.....r Innn CERTIFICATE OF ACCEPTANCE MECH-3A NA7.5.2 Constant Volume Single Zone Unitary Air Conditioner and Heat Pump Systems (Page 1 of 3 Project Name/Address: VCA - La Quinta System Name or Identification/Tag: RTU -6 System Location or Area Served: Breakroom Enforcement Agency: Permit Number: Note: Submit one Certificate of Acceptance for each system that must demonstrate compliance. a Enforcement Agency Use: Checked by/Date FIELD TECHNICIAN'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am the person who performed the acceptance requirements verification reported on this Certificate of Acceptance (Field Technician). • I certify that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAT • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. Company Name: Coastal Mechanical Services Field Technician's Name:.Field yan Hammer Technician's Signature: �/, Ryai-t"Wvr w Responsible Person's Name: Date Signed: Position With Company (Title): Ryaw f i n"Ubr 4-1-13 Installer RESPONSIBLE PERSON'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, that I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this form. • I am a licensed contractor, architect, or engineer, who is eligible under Division 3 of the Business and Professions Code, in the applicable classification, to take responsibility for the scope of work specified on this document and attest to the declarations in this statement (responsible person). • I certify that the information provided on this form substantiates that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAT • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. • I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: Coastal Mechanical Services Phone: 7606443136 Responsible Person's Name: Responsible Person's Signature: Ryan Hammer Ryaw f i n"Ubr License: 925406 Date Signed: Position With Company (Title): 4-1-13 Owner ZUU6 Nonresiaentiat Acceptance Forms August 2009 CERTIFICATE OF ACCEPTANCE MECH-3A NA7.5.2 Constant Volume Single Zone Unitary Air Conditioner and Heat Pump Systems (Page 2 of 3 Project Name/Address: System Namedentification/Tag: RTUor System Location or Area Served: Intent• —Verify the individual components of a constant volume, single -zone, unitary air conditioner and heat pump system function correctly, including: thermostat installation andprogramming, supplyfan, heating, cooling, and damper operation per NA 7.5.2 Construction Inspection 1. Instrumentation to perform test includes, but not limited to: a. None required 2. Installation IN Thermostat is located within the space -conditioning zone that is served by the HVAC system. 3. Programming (check all of the following): X1 Thermostat meets the temperature adjustment and dead band requirements of 122(b) �] Occupied, unoccupied, and holiday schedules have been programmed per the facility's schedule. 9 Pre -occupancy purge has been programmed to meet the requirements of Standards Section 121(c)2. A. Functional Testing Requirements Operating Modes Cooling load during unoccupied condition Cooling load during occupied condition Manual override No-load during unoccupied condition Heating load during unoccupied condition No-load during occupied condition Heating load during occupied condition Step 1: Check and verify the following for each simulation mode required A B C D E F G a• Supply fan operates continually b• Supply fan turns off c• Supply fan cycles on and off KI d• System reverts to "occupied" mode to satisfy any condition e• System turns off when manual override time period expires f Gas-fired furnace, heat pump, or electric heater stages on lel 9. Neither heating or cooling is provided by the unit 14 1 &5 h• No heating is provided by the unit ® xi 0 i. No cooling is provided by the unit R IR i. Compressor stages on W li§ k. Outside air damper is open to minimum position �g L Outside air damper closes completely m• System returned to initial operating conditions after all tests have been completed: X Y / N B. Testing Results A B C D E F G Indicate if Passed (P), Failed (F), or N/A (X), fill in appropriate letter P1 P I p 1 01 d p p 2008 Nonresidential Acceptance Forms August 2009 CERTIFICATE OF ACCEPTANCE MECH-3A NA7.5.2 Constant Volume Single Zone Unitary Air Conditioner and Heat Pump Systems (Page 3 of 3 Project Name/Address: Systmg or Identification/Tag: System Location or Area Served: C. PASS / FAIL Evaluation (check one): 1 PASS: All Construction Inspection responses'are complete and all applicable Testing Results responses are 'Pass" (P) 0 - FAIL: Any Construction Inspection responses are incomplete OR there is one or more "Fail' (F) responses in Testing Results section. Provide explanation below. Use and attach additional pages if necessary. 2008 Nonresidential Acceptance Forms August 2009 C19RTIFICATE OF ACCEPTANCE MECH-2A NA7.5.1 Outdoor Air Acceptance (Pagel of3) Project Name/Address: VCA - La Quinta System Name or Identificationfrag: RTU -6 System Location or Area Served: Breakroom Enforcement Agency: Permit Number: Note: Submit one Certificate of Acceptance for each system that must demonstrate compliance. Enforcement Agency Use: Checked by/Date FIELD TECHNICIAN'S DECLARATION STATEMENT - ' • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am the person who performed the acceptance requirements verification reported on this Certificate of Acceptance (Field Technician). • I certify that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. Company Name: Coastal Mechanical Services Field Technician's Name: Ryan Hammer Field Technician's Signature: kyA� H"W4,w Responsible Person's Name: Ryan Hammer Responsible Person's Signature. IF%t f�l�Gl�YL2Y' Date Signed: Position With Company (Title): Date Signed: 4-1-13 Installer RESPONSIBLE PERSON'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, that I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this form. • I am a licensed contractor, architect, or engineer, who is eligible under Division 3 of the Business and Professions Code, in the applicable classification, to take responsibility for the scope of work specified on this document and attest to the declarations in this statement (responsible person). • I certify that the information provided on this form substantiates that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAT • I have confirmed that the Installation Certificate(s) for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. • I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: Phone: Coastal Mechanical Services 1 7606443136 Responsible Person's Name: Ryan Hammer Responsible Person's Signature. IF%t f�l�Gl�YL2Y' License: Date Signed: Position With Company (Title): 925406 1 4-1-13 owner 1/)r)JQ JV..,,.,.--*,1e,-f;..1 A.....,..f..,,...... F...- A,,,.,...t 'lnnn C19RTIFICATE OF ACCEPTANCE MECH-2A NA7.5.1 Outdoor Air Acceptance (Page 2 of 3 Project Name/Address: System Name or Identification/Tag: 77System Location or Area Served: Intent: Verify measured outside airflow reading is within f 10% of the total required outside airflow value found in the Standards Mechanical Plan (MECH-3C, Column Hor Column 1), per NA7.5.1. Construction InSDectiOn 1 Instrumentation to perform test includes, but not limited to: a. Watch b. Calibrated means to measure airflow 2 Check one of the following: ❑ Variable Air Volume (VAV) - Check as appropriate: a• Sensor used to control outdoor air flow must have calibration certificate or be field calibrated ❑ Calibration certificate (attach calibration certification) ❑ Field calibration (attach results) In Constant Air Volume (CAV) - Check as appropriate: ❑ System is designed to provide a fixed minimum OSA when the unit is on NA7.5.1.1 Outdoor Air Acceptance A. Functional Testing (Check appropriate column) CAV VAV a. Verify unit is not in economizer mode during test - check appropriate column X Step 1: CAV and VAV testing at full supply airflow a. Adjust supply to achieve design airflow b. Measured outdoor airflow reading (cfm) 711 c. Required outdoor airflow (cfm) (from MECH-3C, Column 1) 700 d. Time for outside air damper to stabilize after VAV boxes open (minutes) e. Return to initial conditions (check) Step 2: VAV testing at reduced supply airflow a. Adjust supply airflow to either the sum of the minimum zone airflows or 30% of the total design airflow b. Measured outdoor airflow reading (cfin) C. Required outdoor airflow (cf n) (from MECH-3C, Column 1) d. Time for outside air damper to stabilize after VAV boxes open and minimum air flow achieved minutes e. Return to initial conditions (check) B. Testing Calculations & Results CAV VAV Percent OSA at full supply airflow (%OAFA for Step 1) a. %OAFA = Measured outside air reading /Required outside air (Step 1 b/Step I c) 101 % % b. 90%:S %OAFA < 110% X / N Y / N C. Outside air damper position stabilizes within 15 minutes (Step Id < 15 minutes) X Y / N Y / N Percent OSA at reduced supply airflow (%OARA for Step 2) a. %OARA = Measured outside air reading /Required outside air (Step2b/Step2c) % % b. 90% < %OARA < 110% Y / N c. Outside air damper position stabilizes within 15 minutes (Step 2d < 15 minutes) Y / N Note. Shaded boxes do not apply for CAV systems CERTIFICATE OF ACCEPTANCE ]VIECH-2A NA7.5.1 Outdoor Air Acceptance (Page 3 of 3 Project Name/Address: System Name or Identification/Tag: System Location or Area Served: C. PASS / FAIL Evaluation (check one): �] PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive (Y - yes) p FAIL: Any Construction Inspection responses are incomplete OR there is one or more negative (N - no) responses in Testing Calculations & Results section. Provide explanation below. Use and attach additional pages if necessary. IMP F.,,...,.. A..,...... Inno California Department of Public Health •�...; Certificate of Registration COPH ALL CREATURES VET CARE is registered with the requirements of California Code of Regulations, title 17, section 30108 as possessing reportable sources of radiation at 4 78-359 HIGHWAY 111 LA QUINTA CA 92253 Registration Number: FAC00054076 . Registration Expires: August 31, 20126y—\ •• Gary W. Owner, Chief Radiulogic Health Branch y r CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATEI 1,v gy} 127? Catalog Number O eration I I I r C C I I LED Housine Finish ERE1010 codes and standards -Three blinks ON/pause 4 seconds: Charger rev. 2.03/2012012 • ETL listed to standard UL924. board circuit fault Accessories (order separately 6W halogen PDHTR Patron Heater Kit • Wet/Damp location listed.' • Four blinks ON/pause 4 seconds:Transformer fault Emergency Unit -� NFPA 101 (National Life Safety Code). • Five blinks ON/pause 4 seconds: Lamp fault. a -gen WG3 Wire Guard 6W halogen • NFPA 70 (NEC). The unit will automatically initiate a self -test as Patron Series • Meets ADA specifications. follows: Die -Cast AIUmInUm construction •One minute self -test each month. 6 • Marine -grade die-cast aluminum housing with miro • 30 minute self -test on the 6th month following Emergency Unit reflector to provide excellent photometrics. • installation. 6 • UV stable polycarbonate lens and neoprene gasket ' 90 minute self -test on the 12th month following 12W halogen to protect from moisture and rain. installation. 6 • Polyester powder coat for superior protection. Manual testing of the unit can be accomplished by 12W halogen PDLTT pressing the test button as follows: 6 • Choice of white, black dark bronze, titanium and . Once —1 minute test 12W halogen brushed aluminum. Remote unit _ 6 • Contact factory for custom colors. • Twice — 2 minute test 6W halogen installation -Three — 30 minute test 6 • Universal J -box pattern on back or rigid conduit ' Four — 90 minute test 6W halogen entry on top of housing for mounting flexibility. 120/277 VAC dual voltage input selectable input. 6 electronics Power Consumption 6W halogen • The charger system includes low voltage disconnect ' PDL 6 to prevent deep discharge of battery. AC lockout 120Volts: 108.5 mA 6W halogen to prevent battery drain prior to the energizing of 277Volts: 46.3 mA utility power, and brownout protection which will •PDN Specifier's Reference automatically switch unit into emergency mode if _ the utility power sags below 80% of nominal. Solid- 120Volts: 105.8 mA Project VCA All Creatures state, fully automatic charging circuit is protected 277Volts: 45.6 mA with a moisture -resistant coating. All units are m laS p Type EY1 provided with self-diagnostics/self-test feature(Not P available in remote units). Lead acid units have two 6V, 12W halogen Model No. PDNW self-diagnostic/self-test bi-pin lamps. Comments • This feature provides automatic testing and Nicad and remote units have two 6V, 6W halogen continuous monitoring of the unit and indicates any bi-pin lamps. faults via a dual -color LED Iamp.The low -profile test battery button with easily visible status indicator is located 6V Maintenance free sealed lead acid battery. beneath the lens. . • Battery has a service life of 5-8 years. • This innovative circuitry monitors battery disconnection, charger failure, lamp failure and Operating temperature range of 50 F (10 C) transformer fault every 5 seconds without to 90 F (32 C). discharging the battery or illuminating the lamps. It Provides 90 minutes of emergency illumination. will automatically indicate lamp, battery, and charger OR status by dual -color LED lamp. • The LED lamp indicator shows the following status: • 6V Maintenance free nickel cadmium battery. , • Green - ON: Unit is ready. • Battery has a service life of 7-9 years. • Blinking: Unit is self -testing. • Operating temperature range of 0 F (A 8 C) to 131 F (55 C)* • Red - Service Alert (see fault indications) provides 90 minutes of emergency illumination. • Fault Indications: (Red LED lamp indicator) . Units with a heater will operate in temperatures as • One blink ON/pause 4 seconds: Battery not low as -20 F (-29 C). connected. Warranty • Two blinks ON/pause 4 seconds: Battery is shorted or battery voltage drops below the Five year warranty on units. (Lamps not included.) accepted value. • Increases or decreases in temperature may affect battery performance. Optimum battery performance realized at 77'F (25'C). Catalog Number O eration Volts LED Housine Finish Lam T PDNW Nicad battery 6 6 White Accessories (order separately 6W halogen PDHTR Patron Heater Kit PDNBZ Nicad a rYac Nicad battery 6 6 Dark Bronze a -gen WG3 Wire Guard 6W halogen PDNTT Nicad battery 6 6 Titanium 6W halogen i PDLW Lead Acid battery 6 12 White 12W halogen PDLB Lead Acid battery 6 12 Black 12W halogen PDLBZ Lead Acid battery 6 12 Dark Bronze 12W halogen PDLTT Lead Acid battery 6 - 12 Titanium 12W halogen PDRW Remote unit _ 6 6 White 6W halogen PDRB Remote unit 6 6 Black 6W halogen PDRBZ Remote unit 6 6 Dark Bronze 6W halogen PDRTT Remote unit 6 6 Titanium 6W halogen PHILIPS Day -Brite 0 ERE 1010 rev. 2,03/20/2012 dimensions OQD b pD 7 •40 a 00• tt-1/e^ (283mm) 7-3/16" L JJ (183mm) • Q • 7-12" 3.1/8" (191 mm) (79mm) photometrics Meets Life Safety Code standard minimum illuminance of 0.1 FC and average Illuminance of 1.0 FC.Assumes open space with no obstructions, mounting height 8', ceiling height 9', and reflectances: 80/5020.Analysis based on independently tested photometrics. Note:All Illustrations based on a 3' path of egress. PDL spacing on a 3 -foot path of egress III T�'C Ci I Die -Cast Aluminum Emergency b Weight PDL-8bs PDN – 61bs PDR –4lbs PDN spacing on a 3 -foot path of egress �— 40 —� Avg fc = 1.04 Min = 0.2 Max = 3.1 N PDL spacing on a 6 -foot path of egress I'— 26 —� Avg fc =1.09 Min = 0.2 Max = 1.8 PDN spacing on a 6 -foot path of egress �— 33 —� Avg fc = 1.02 Min = 0.3 Max = 2 40 ©2012 Philips Day -Brite PHILIPS All rights reserved. 776 South Green Street • Tupelo, MS 38804 p. 800.234.1890 • f. 662.841.5501 Canadian Division 189 Bullock Drive • Markham, Ontario UP 1 W4 p. 905.294.9570 • f. 90S.294.981 1 F 22' —� Avg fc = 1.00 Min = 0.3 Max = 2.00 Contact factory for Additional Configurations. Specifications are subject to change without notice. mcPh i Iben® emergency lighting Job Name: VCA All Creatures Type: X1 Voltage: 120 CODES AND STANDARDS UL Listed to Standard 924, NFPA 101 (Life Safety Code) NFPA 70 (NEC) VOLTAGE INPUT 120/277 VAC selectable input. FINISH Units are available in white or black finishes. Also.available in black housing with aluminum color face plate. HOUSING Low profile, snap -together quick mount design. Flame rated, UV stable ABS ther mo - plastic housing. CATALOG NUMBER (Example: CXXLIRW) FAMILY S` TM <-EXIT� INSTALLATION Universal mounting (wall, ceiling or end— canopy provided). Canopy not required for flat wall mount (electronics contained inside housing). Optional pendant accessories avail- able. Pop -out chevron directional indicators are easily removed when required. Exit sign mounts up to a standard 4" square outlet box. NUMBER OF FACES LAMPS Bright red or green energy efficient LED lamps. Uniform 6" letter illumination (3/4" stroke). 3 - Universal (includes extra stencil face plate) Footnotes: For use with AC only exits. : For use with Emergency exits. 'Not to be used in conjunction with FI option. 'For Emergency operation, DC external backup power. ' Not to be used in conjunction with F, 2C or FI option. 'Must order pendant assembly separate. PANEL COLOR HOUSING Stencil face, white panel with red lens COLOR G CXPMC Pendant Mount Canopy white' W Pendant Mount Canopy, black' CXPAI2W R - Red I W -White G - Green B - Black Pendant Assembly, Swivel canopy, 12" Stem White' (requires CXPMC) BA - Black housing Polycarbonate Vandal Shield with aluminum Wire Guard (Wall mount only) color face plate Mounting kit, white (Universal only) ACCESSORIES (ordered separately) CXLSPWR Stencil face, white panel with red lens CXLSPWG Stencil face, white panel with green lens CXPMC Pendant Mount Canopy white' CXPMCB Pendant Mount Canopy, black' CXPAI2W Pendant Assembly, Rigid Canopy, 12" Stem White' (requires CXPMC) CXPAI2B Pendant Assembly, Rigid Canopy, 12" Stem Black' (requires CXPMC) CXPAS12W Pendant Assembly, Swivel canopy, 12" Stem White' (requires CXPMC) PVS2 Polycarbonate Vandal Shield WG4 Wire Guard (Wall mount only) CXCW Mounting kit, white ' Stem lengths available: 12",18", 24", 30", 36" and 48" I rr BATTERY/ELECTRONICS Maintenance -free nicad battery. Standard emergency electronics provide a state-of-the- art self-test/self-diagnostic circuit. Features an exclusive system that aids in correcting wiring mistakes by checking power and wiring before applying a load to system com- ponents. All emergency units have built-in circuitry protection/low-voltage battery dis- connect and transformer isolation. Solid state charger, test switch and green LED AC status indicator, along with three red fault indicators. OPTIONS FI - Fire Alarm Flashing Interface (ER units only) F - Flasher (ER units only) 2C - 2 Circuit Input'' OC - DC External Backup (6- 12V)1,4.5 OR - Damp Location Rating SA - Salida M M rn O D C) 0 s CID n E3 0 Q N n r M M X mcPhilben is a Philips group brand PHILIPS mcPhilbon• emergency lighting CXX SERIES COMPACO Thermoplastic LED Exit SPECIFICATIONS X�' ELECTRONICS All battery units are STANDARD with X"r- self diagnostic/self-testing circuitry. The X'� management system controls test para- meters within the embedded micro -controller to verify that all system components are func- tioning properly. This is accomplished using various system checks on a continuous basis, as well hourly and monthly tests. Several manual test can also be initiated or cancelled at any time by pressing the test switch. DIMENSIONS CXX SERIES H1-5/8" (41.3mm) T8-3/4 " (22246 .3mm) " (320.7m0.7mm) (Note: If required, canopy is 6-1/2' x 5-1/4' x 7/8') Xhes TESTING SPECIFICATIONS During automatic self -test or manual test the green AC status indicator will flash. Any mal- function is reported via the appropriate external LED indicators. X� complies with all the lat- est UL924 and NFPA 101 requirements for self diagnostic/ self -testing operation. For complete details on many of the exclusive features that the X�` system offers, including the correc- tion of wiring errors before applying power, refer to specification sheet ERC2001.2. art XI INSTALLATION The signs mount to a 4 inch octagon or square outlet box. Signs that are back mount- ed to a wall require no canopy. Punch out concealed knock outs on back plate. Ceiling and end mounted signs require a canopy (provided with each sign). Canopy mounts to outlet box via mounting plate (provided with each exit sign). Exit housing snaps to canopy. WARRANTY Full five year warranty on unit. Xtes`-STATUS INDICATOR PANEL L / DIAGNOSTIC CHARGER BATTERY LAMPS Location of sensor for laser activation of manual test via handheld remote laser tester (this is an optional feature, specify 'U" option) Automatic Test: Manual Test: The system charger and lamps are continually being controlled via pre- A manual test switch allows for the X'e'`- system to perform the follow - determined parameters specific to each model configuration, automati - ing tests at any time: cally. The battery is controlled via a true open circuit test each hour after Press Button: initial installation. Every thirty days the Xe5r System illuminates lamps Once— 5 second, charger off, lamps on under load for 30 minutes, simulating a power outage with a true charger Twice— 60 second, charger off, lamps on off condition, without affecting long-term battery life. This is above and Three — 90 minute, charger off, lamps on beyond the requirements of the National Electric Code and/or the 6 second hold — fully reinitializes microprocessor National Fire Protection Association, which only requires a full load test Pressing once during any test will cancel/abort testing. once every month. This gives you unequaled contr of and confidence, Replace circuit board knowing you are meeting self -test code requirements each and ever y month. Check connection or replace batter Fault Indications: Four LED indicators provide visible indication of system status: AC Green Char-ger/Red Ba ed Lam ed Status/Fault Action ON AC power is on/ok None F PerforminQ Test None ON F F F LED/Battery Disconnected or Charger Fault Check connections; if ok, replace cir- cuit board ON F Charger fault Replace circuit board ON F Battery disconnected/fault Check connection or replace batter ON F LED disconnected or bad Check connection or replace LED strip ON=On Steady F=Flashing BLANK=Off e rx7010 5 776 South Green TING •www., Mississippi 3880 - P PHILIPS • 776 South Green Street •Tupelo, Mississippi 38804 • PH: (662)842-7212 •FAX: (662)841-5501 CANADIAN DIVISION 189 Bullock Drive • Markham, Ontario UP 1W4 • PH: (905) 294-9570 • F AX: (905) 294-9811 CAUGUST 2008 DAY-BRRE LIGHTING DAY-BRITE RESERVES THE RIGHT TO MAKE CHANGES WITHOUT NOTICE. mcPh i Iben® emergency lighting Job Name: Type: Y1 Voltage: VCA All Creatures 120 CODES AND STANDARDS UL Listed to Standard 924. NFPA 70 (NEC). NFPA 101 (Life Safety Code). VOLTAGEANPUT 120/277 VAC selectable input. INSTALLATION Snap -together quick mount design. Universal J -box mounting pattern. Wall mount only. Flexible conduit entry provision on top of the unit. HOUSING Flame -rated, UV stable, ABS thermoplastic housing. Utilizes an innovative track system that allows for a full range of adjustment to CATALOG NUMBER (Example: CTXR6L54WCSWCI TM wilest the lamp heads. This unit is offered in black or white. LAMP HEADS The CTX unit comes with a choice of fully adjustable lamp heads including a wedge - base tungsten or bi-pin halogen source. Optional PAR36 lamp heads are available (see below). BATTERY Choice of 6 -volt or 12 -volt maintenance -free sealed lead calcium with a service life of 5 years and an operating temperature range of 65"F (19"C) to 85"F (30"C) or 6 -Volt or 12 - Volt maintenance -free sealed nickel cadmium with a service life of 10 years and an operating temperature range of 20"F (-7"C) to TYPI E Y1 95"F (35"C). Both provide a minimum of 90 minutes emergency illumination. ELECTRONICS All units utilize a microprocessor and contain the X " self-diagnostic/self-test circuit. Each unit includes low voltage disconnect, AC lockout, and brownout protection. Each unit will automatically conduct a self -test once a month with the lamps on to verify all systems are functioning properly. REMOTE CAPACITY Remote capacity models allow for the connection and monitoring of remotes. WARRANTY Full five years on unit (lamps not included). Catalog Number Voltage Wattage Remote Housing Lamp Type' OPTIONS ACCESSORIES Lead Calcium: Capacity Color' TO 15 min. Time Delay RLT Remote Laser CTXR6L36WCSWC 6v 36w 18W white 9W tungsten LX Laser activation of manual Tester CTXR6L36WCSWF 6v 36w 12W white 12W halogen test via handheld remote laser WG5 Wire Guard CTXR6L54WCSWC 6v 54w 36W white 9W tungsten tester, RLT (sold separately). (wall mount) CTXR6L54WCSWF 6v 54w 30W white 12W halogen LS Less Self -test of lamps. PVS1 Polycarbonate CTXR12L54WCSWJ 12v 54w 30W white 12W tungsten DR Damp Location Rating Vandal Shield CTXR12L54WCSWM 12v 54w 30W white 12W halogen 1 CAXRMB Mounting Bracket CTXR12L72WCSWM 12v 72w 48W white 12W halogen NOTES: for Truss, 6" bolt. CRICSWM 1 12v 12W 1) For black finish substitute "Ws" in catalog number with "B's". Nicad: (Example CTXR6L36BCSBC) CTXR6N48WCSWF 6v 48w 24W white 12W halogen 2) For units less heads leave off lamp head designation. i.e. CTX12N24WCSWM 12v 24w none white 12W halogen 1 CTXR6L36W. 6v C� 0 s CD 3 0 Q C n M 3 CD co CD `G C CTXR12N48WCSWM 12v 48w 24W white 12W halogen REMOTE LAMP HEADS OPTIONAL PAR36 LAMP HEADS �- CATALOG NUMBER NO. OF HEADS VOLTAGE WATTAGE FINISH LAMP NUMBER VOLTAGE WATTAGE FINISH LAMP f CRICSWA CRICSWB CRICSWC CRICSWJ 1 1 1 1 6v 6v 6v 12v 5AW 7.2W 9W 12W white white white white tungsten tungsten tungsten tungsten r CPWM CPWJ CPWF CPWB 6v 6v 6v 6v 6 12 20 18 W W W W Halogen Halogen Halogen Tungsten CRICSWD CRICSWE CRICSWF 1 1 1 6v 6v 6v 6W 8W 12W white white white halogen halogen halogen CPWL CPWE CPWK 12v 12v 12v 12 12 18 W W W Halogen Tungsten Tungsten CRICSWL 1 12v 8W white halogen NOTES: CRICSWM 1 12v 12W white halogen 1) For PAR36 style head substitute standard lamp head designation. (i.e. CTXR6L36WCPWJ) NUMBER HEADS VOLTAGE WATTAGE FINISH LAMP CR2CSWD 2 6v 6W white halogen + CR2CSWA 2 6v 5AW white tungsten CR2CSWE 2 6v 8W white halogen CR2CSWB 2 6v 7.2W white tungsten CR2CSWF 2 6v 12W white halogen CR2CSWC CR2CSWJ 2 2 6v 12v 9W 12W white white tungsten tungsten CR2CSWL 2 CR2CSWM 2 12v 12v 8W 12W white white halogen halogen mcPhilben is a Philips group brand PHILIPS ;T I YNt Y1 mcPhilbone emergency lighting CTX Series High Capacity COMPACO Thermoplastic Emergency Units SPECIFICATIONS Xesf" ELECTRONICS Xest" TESTING SPECIFICATIONS Manual Test: All units are STANDARD with )(tew self- Automatic Test: A manual test switch allows for the )6e" system diagnostic/self-testing circuitry. The The system charger and lamps are continually to perform the following tests at any time: management system controls test parameters being controlled via pre -determined parameters Press Button: . within the embedded micro -controller to specific to each model configuration, auto- Once -5 second, charger off, lamps on verify that all system components are matically. The battery is controlled via a true Twice -60 second, charger off, lamps on functioning properly. This is accomplished open circuit test each hour after initial Three -90 minute, charger off, lamps on using various system checks on a continuous installation. Every thirty days the " System 6 second hold—fully reinitializes basis, as well as hourly and monthly tests. illuminates lamps under load for 30 minutes, microprocessor Several manual tests can also be initiated or simulating a power outage with a true "charger Pressing once during any test will cancelled at any time by pressing the test off" condition, without affecting long-term cancel/abort testing. switch. During automatic self -test or manual battery life. This is above and beyond the test the green AC status indicator will flash. requirements of the National Electric Code and Any malfunction is immediately reported via /or the National Fire Protection Association, Xtest STATUS INDICATOR PANEL the appropriate external LED indicators. which only requires a full load 30 second test " complies with all of the latest UL924 once each month. This gives you unequaled and NFPA 101 requirements for self- control and confidence, knowing you are SELF -TEST/ DIAGNOSTIC diagnostics/self-testing operation. For meeting self -test code requirements each and. � CHARGER complete details on many of the exclusive every month. � BATTERY • features that the )(Eesr system offers, CHG-TEST 4� LAMPS including the correction of input wiring errors before applying power, refer to specification sheet ERC2001.2. Location of sensor for laser activation of manual test via Fault Indications: Four LED indicators provide visible indication of system status: handheld remote laser tester (this is an optional feature, specify "LX" option) AC Green Charger/Red Ba ed Lam ed Status/Fault Action ON AC power is on/ok None F Performing Test None ON F F F Lamp/Battery Disconnect or Charger Fault Check connections; if ok, replace circuit board ON I F Charger fault Replace circuit board ON F Battery disconnected/fault Check connection or replace batter ON F Lamp disconnected/bad or remote disconnected Check connection then press manual test once to determine bad lamp/replace lamp or check remote lam .* *If unit has remote capacity and remote cable is connected to charger board but not connected to a remote load, then either connect remote load or disconnect cable from charger board. ON=On Steady F=Flashing BLANK=Off Avg ff = 2.7 Max � = 2.�o CTX-CSWC Min fc=0.1 DIMENSIONS I3' — 48' —� 6-3/8" . r "r r r r " DEPTH _ (130.3mm) 7-5/8" (193.8mm) Avg Max fc: = .26 CTX CSWF max: 8-1/2" (215.9mm) Min fc = 0.1 F_ 13-1/4" IT (336.6mm) F— 60' erc2016 3 PHIUPS PHILIPS • 776 South Green Street •Tupelo, Mississippi 38804 • PH: (662) 842-7212 •FAX: (662) 841-5501 CANADIAN DIVISION 189 Bullock Drive • Markham, Ontario UP 1W4 • PH: (905) 294-9570 • FAX: (905) 294-9811 CAprU 2010 DAY-BRITE-LIGHTING DAY-BRITE RESERVES THE RIGHT TO MAKE CHANGES WITHOUT NOTICE. BeaconMed.—,s Medical Gas Design Guide Laying Out the Sources: Ventilation Once the source equipment is chosen and adequate locations are selected, the equipment can be laid out in the space, the equipment wiring and piping described, and ancillary services detailed. Step 1: The ventilation requirements for the room or Detail 8.16 Lifeline Cylinder Manifold Dimensions Notes ems: ■■■■■■■■■■■■ 000 1 II 11 :.11 ' .. sly -^,'.{4 �•rt 1 WALL 11" (27.9 cm) manifold enclosure front 20" (50.8 cm) Recommended cylinder space 45" (111.8 cm) n Recommended minimum access clearance enclosure must be determined and provided: Indoor Locations: unless the total gas volume, connected and in storage is below 84,950 L (3,000 ft'), mechanical ventilation must be provided for the room. This is typically achieved with a fan or blower. The system must operate continuously and must only extract air from the manifold room. It is not appropriate to use a common HVAC or shared extraction system for this purpose. Provide for the Ceiling (Typ.) stem Connection (Typ.) Cylinder Header 96" '•'•■E■■■■■■ 244 cm 84" y; :. 213 cm 11 1; 1 I 1 1 ,I ,I , [1„ ' 11 II ; 6111 1 1 155 cm 11 II 1 1 I I I I Note 1 : Overall Manifold Minimum Space Allocation (Outermost cylinder to outermost cylinder, staggered cylinders) # Cylinders per header (total cylinders is 2x this number) 2 3 4 5 6 7 8 9 10 11 12 13 14 21” 36" 47" 57" 67" 77" 87" 97" 107" 117" 127" 137" 147" 53 cm 91 cm 119 cm 145 cm 170 cm 196 cm 221 cm 246 cm 272 cm 297 cm 323 cm 348 cm 373 cm Minimum permitted number of cylinders is two x two (ref. NFPA.99 5.1.3.4.10.4 (2)) Other cylinder header configurations are possible. Consult your BeaconMeda=_s representative for exceptional situations. . BEACONMEDAES Lifeline Gas x Gas Manifold 11/2004 .Minimum Clearance Dimensions MWA Page 16 Chapter 0 Detail 8.7 Fxamnles of containers and cvlinders. Type H Cylinder -- - -- F Small LP Liquid Portable -- Small HP Liquid Portable Large LP Liquid Portable Large HP Liquid Portable Sample Sample Bulk Minibulk Tank Tank Model Chart 160 MP Chart 160 HP Chart 265 MP Chart 265 HP Taylor -Wharton Taylor - EF 450 HP Wharton 6000 Normal Max. Pressure 2,200 psi 15.2 mPa 230 psi 1.6 mPa 350 psi 2.4 mPa 230 psi 1.6 mPa 350 psi 2.4 mPa 350 psi 250 psi 2.4 mPa 1.7 mPa Diameter in/cm 9/22.8 20/50.8 20/50.8 26/66 26/66 30/76.2 96/240 ' Height in/cm 51/130 59.6/151 59.6/151 57.8/132 57.8/132 1 74/188 312/800 02 153/69.5 629/285 640/290 935/424 924/420 1,637/736 83.9k/38.0k 517/234 531/241 758/344 754/343 1,364/613 67.7k/30.7k N2 Weight (full) CO2 lbs/kg N20 E4 667/315 610/303 967/439 1,008/456 Argon 710/322 717/325 1,062/481 1,046/475 1,832/824 96.3k/43.6k 02 244/6,900 4,5771129.5k 4,348/123k 7,183/203.2k 6,811/192.7k 11,000/311.3k 676k/19,167k 226/6,400 3,685/104.2k 3,464/98k 5,769/163.2k 5,438/153.8k 8,750/247k 547k/1 5,494k Contents (Gas at N2 STP) CO2 434/12,300 3,382/95.7 5,305/150.1 ft3/liters N20 558/15,800 3,207/90.7 5,034/142.4 Argon 6,634/187.7 10,700/302.8 661 k/18,720k 4,448/125.8 4,226/119.5 6,982/197.5 N E R (%/day) 02/N2/N20 NA 1.4/2/NA 1.4/2/0.5 1.4/2/NA 1.4/2/0.5 02 = 1 02 = 0.25 02 Withdrawal Rate ft3/hr / liters/hr Unlimited 350/9,905 350/9,905 400/11,320 400/11,320 575/16,272 Unlimited N20/CO2 Withdrawal Rate ft3/hr / liters/hr Very High I F 110/3,113 110/3,113 NS NA = Not Applicable. Usually, these containers are not used with this gas. NS = non-standard. It may be possible to use a container in this manner, but the supplier should be consulted. Unlimited indicates that although there obviously is a limit, it is so high as to be effectively irrelevant with medical gases. Very High indicates the limit is so high that only rare situations will approach it. Nitrous oxide is above it's triple point in a normal cylinder and thus is both a gas and a liquid inside. The pressure in a cylinder at 70°F is about 750 psi. Raising or lowering that temperature will drarr'at'' arfect that pressure. Carbon Dioxide acts in a similar manner. Material Safety Data Sheet -Airas. .Oxygen Section 1. Chemical product and company identification Product Name Oxygen . Supplier AIRGAS INC., on behalf of its subsidiaries 259 North Radnor -Chester Road Suite 100 Radnor, PA 19087-5283 1-610-687-5253 Product use Synthetic/Analytical chemistry. Synonym oxygen (dot),Oxygen USP, Aviator's Breathing Oxygen (ABO) MSDS# 001043 Date of 7/30/2007. ' Preparation/Revision In case of emergency : 1-866-734-3438 Section 2. Hazards identification . Physical state Emergency overview Routes of entry Potential acute health effects Eyes Skin Inhalation Ingestion Potential chronic health effects : Gas. Warning! OXIDIZER. CONTENTS UNDER PRESSURE. Contact with combustible material may cause fire. Do not puncture or incinerate container. Store in tightly closed container. Avoid contact with combustible materials. Contact with rapidly expanding gases or liquids can cause frostbite. Inhalation No known -significant effects or critical hazards. No known significant effects or critical hazards. : Slightly irritating to the respiratory system. Practically non-toxic by inhalation. Ingestion is not a normal route of exposure for gases CARCINOGENIC EFFECTSNot available. MUTAGENIC EFFECTS Not available. TERATOGENIC EFFECT:: Not available. Medical conditions : Acute or chronic respiratory conditions may be aggravated by overexposure to this gas. aggravated by overexposure See toxicological Information (section 11) Section 3. Composition, Information on Ingredients Name CAS number % Volume Exposure limits 'Oxygen 7782-44-7 100 Section 4. First aid measures No action shall be taken involving any personal risk or without suitable training.lf fumes are still suspected to be present, the rescuer should wear an appropriate mask or a self-contained breathing apparatus.lt may be dangerous to the person providing aid to give mouth-to-mouth resuscitation. Eye contact In case of contact, immediately flush eyes with plenty of water for at least 15 minutes. Get medical attention if irritation occurs. - Skin contact In case of contact, immediately flush skin with plenty of water. Remove contaminated clothing and shoes. Wash clothing before reuse. Thoroughly -clean shoes before reuse. Get medical attention. Frostbite : Try 'to warm up the frozen tissues and seek medical attention. Oxygen Inhalation If inhaled, remove to fresh air. If not breathing, give artificial respiration. Get medical attention. - Ingestion Do NOT induce vomiting unless directed to do so by medical personnel. Never give anything by mouth to an unconscious person. Get medical attention if symptoms appear. Section & Fire fighting measures Flammability of the product : Non-flammable. Fire fighting media and ,: Use an extinguishing agent suitable for surrounding fires. instructions If involved in fire, shut off flow immediately if it can be done without risk. Apply water from a safe distance to cool container and protect surrounding area. This material increases the risk of fire and may aid combustion. Contact with combustible material may cause fire. Special protective : Fire fighters should wear appropriate protective equipment and self-contained breathing equipment for fire-fighters apparatus (SCBA) with a full facepiece operated in positive pressure mode. Section 6. Accidental release measures Personal precautions Immediately contact emergency personnel. Eliminate all ignition sources. Keep unnecessary personnel away. Use suitable protective equipment (Section 8). Do not touch or walk through spilled material. Environmental precautions : Avoid dispersal of spilled material and runoff and contact with soil, waterways, drains and sewers. Section 7. Handling and storage Handling : Store in tightly closed container. Avoid contact with combustible materials. Do not puncture or incinerate container. High pressure gas. Use equipment rated for cylinder pressure. Close valve after each use and when empty. Protect cylinders from physical damage; do not drag, roll, slide, or drop. Use a suitable hand truck for cylinder movement. Never allow any unprotected part of the body to touch uninsulated pipes or vessels that contain cryogenic liquids. Prevent entrapment of liquid in closed systems or piping without pressure relief devices. Some materials may become brittle at low temperatures and will easily fracture. Storage : Keep container tightly closed. Keep container in a cool, well -ventilated area. Cylinders should be stored upright, with valve protection cap in place, and firmly secured to prevent falling or being knocked over. Cylinder temperatures should not exceed 52 °C (125 °F). Section 8. Exposure Controls, Personal Protection Engineering controls Personal protection Eyes Skin Respiratory Use only with adequate ventilation. Use process enclosures, local exhaust ventilation, or other engineering controls to keep airborne levels below recommended exposure limits. Safety eyewear complying with an approved standard should be used when a risk assessment indicates this is necessary to avoid exposure to liquid splashes, mists or dusts. When working with cryogenic liquids, wear a full face shield. Personal protective equipment for the body should be selected based on the task being performed and the risks involved and should be approved by a specialist before handling this product. Use a properly fitted, air -purifying or air -fed respirator complying with an approved standard if a risk assessment indicates this is necessary. Respirator selection must be based on known or anticipated exposure levels, the hazards of the product and the safe working.limits of the selected respirator. The applicable standards are (US) 29 CFR 1910.134 and (Canada) Z94.4-93 Oxygen L Wands Chemical -resistant, impervious gloves or gauntlets complying with an approved standard should be worn at all times when handling chemical products if a risk assessment indicates this is necessary. Insulated gloves suitable for low temperatures Personal protection in case A self-contained breathing apparatus should be used to avoid inhalation of the product. of a large spill Consult local authorities for acceptable exposure limits. Section 9. Physical and chemical properties Molecular weight 32 g/mole Molecular formula 02 Boiling/condensation point -183.11°C (-297.6°F) Melting/freezing point -218.55°C (-361.4°F) Critical temperature Not available. Vapor density 1.105 (Air= 1) Specific Volume (ft3/Ib) 12.0482 Gas Density (Ib/ft3) 0.083 Section 10. Stability and reactivity Stability and reactivity The product is stable. Incompatibility with various Extremely reactive or incompatible with reducing agents, combustible materials. substances Section 11. Toxicological information Other toxic effects on No specific information is available in our database regarding the other toxic effects of humans this material for humans. Specific effects Packing group Carcinogenic effects No known significant effects or critical hazards. Mutagenic effects No known significant effects or critical hazards. Reproduction toxicity No known significant effects or critical hazards. Section 12. Ecological information Toxicity of the products of : The product itself and its products of degradation are not toxic. biodegradation Environmental fate Not available. Environmental hazards No known significant effects or critical hazards. Toxicity to the environment : Not available. Section 13. Disposal considerations Product removed from the cylinder must be disposed of in accordance with appropriate Federal, State, local regulation.Return cylinders with residual product to Airgas, Inc.Do not dispose of locally. Section 14. Transport information Regulatory UN number Proper shipping Class Packing group Label Additional information name information DOT Classification UN1072 OXYGEN, 2.2 Not applicable (gas). Limited COMPRESSED Quanti Yes. UN1073 Oxygen, refrigerated Packaging liquid instruction Passenger Oxygen Aircraft Quantity limitation: 75 kg Cargo Aircraft Quantity limitation: 150 kg Special f provisions A52 TDG Classification UN1072 OXYGEN, 2.2 Not applicable (gas). Explosive COMPRESSED Limit and Limited • Quantity UN1073 Oxygen, refrigerated Index liquid 0.125 ERAP Index 3000 Passenger Carrying Ship Index 50 • Passenger Carrying - Road or Rail Index 75 Special provisions 42 Mexico UN1072 OXYGEN, 2.2 Not applicable (gas). - Classification COMPRESSED 19k UN1073 Oxygen, refrigerated liquid Section 15. Regulatory information United States U.S. Federal regulations TSCA 8(b) inventory: Oxygen SARA 302/304/311/312 extremely hazardous substances: No products were found. SARA 302/304 emergency planning and nptification: No products were found. SARA 302/304/311/312 hazardous chemicals: Oxygen SARA 311/312 MSDS distribution - chemical inventory - hazard identification: Oxygen: Fire hazard, Sudden Release of Pressure, Delayed (Chronic) Health Hazard Clean Water Act (CWA) 307: No products were found. Clean Water Act (CWA) 311: No products were found. Clean air act (CAA) 112 accidental release prevention: No products were found. Clean air act (CAA) 112 regulated flammable substances: No products were found. Clean air act (CAA) 112 regulated toxic substances: No products were found. ' Oxygen Class A: Compressed gas. State regulations Pennsylvania RTK: Oxygen: (generic environmental hazard) Hazardous Material Massachusetts RTK: Oxygen. New Jersey: Oxygen Canada Information System (U.S.A.) WH MIS (Canada) Class A: Compressed gas. 0 Class C: Oxidizing material. CEPA DSL: Oxygen Section 16. Other information United States Label Requirements,- OXIDIZER. CONTENTS UNDER PRESSURE. CONTACT WITH OTHER MATERIAL MAY CAUSE FIRE. Canada Label Requirements Class A: Compressed gas. Class C: Oxidizing material. Hazardous Material Information System (U.S.A.) Fire hazard 0 ReactIV �(° R ,4.I 0 Personal protection I C liquid: Fire hazard Reactivity Personal protection National Fire Protection Flammability Association (U.S.A.) n Health 0 x 0 Instability Special liquid: Flammability HealthSox P' Instability ' Special . Notice to reader To the best of our knowledge, the information contained herein is accurate. However, neither the above named supplier nor any of its subsidiaries assumes any liability whatsoever for the accuracy or completeness of the information contained herein. Final determination of suitability of any material is the sole responsibility of the user. All materials may present unknown hazards and should be used with caution. Although certain hazards are described herein, we cannot guarantee that these are the only hazards that exist. It t BUILDING ENERGY ANALYSIS REPORT r PROJECT: VCA All Cre res Animal Hospital 78'C lifornia 111 0. La uinta, CA 92.253 CITY OF LA QUINTA Project Designer: BUILDING & SAFETY DEPT. APPROVED Animal Arts FOR CONSTRUCTION 4520 Broadway, Suite E � Boulder, CO 80304 L DAT BY - L (303) 444-4413 * (Z_73� I� I� Report Prepared by: Steve K. Means EasyTitle24 852 Galvin Dr. EI Cerrito, CA 94530 K (925) 671-4789 INSTALLERS: CLICK LEFT HAND JUL 0 2 2012 LINK AT WWW.ETITLE24.COM FOR FIELD COMPLIANCE FORMS By; Job Number: 66612 Date: 6/26/2012 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 2008 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC—www.energysoft.com. Energ Pro 5.1 by Energ Soft User Number: 2729 RunCode: 2012-06-26718:47:31 ID: 66612 HOW TO USE THIS REPORT What This Report Is Upon validation (see below), this Report certifies compliance of the subject project with the California "Energy Efficiency Standards for Residential and Nonresidential Buildings" as regulated by the California Energy Commission. Compliance is contingent upon - building according to the designer -coordinated permit documents, completing "Installation Certificates," and performing all required "Acceptance Tests" to the satisfaction of the building official. Please keep a copy of this important Report for your records. Form PERF -1C (if included) certifies compliance of the envelope and/or lighting and/or mechanical systems for the project. The bottom of Part 1 lists the forms included in this report, and tells which ones are required on the plans. Some building departments require all Title 24 compliance forms to be reproduced on the plans. Part 2 gives an overview of the computer simulation, and lists important remarks. Part 3 gives a lighting overview, and lists any exceptional conditions. Form ENV -1C (if included) summarizes the exterior envelope of the conditioned space, and indicates required "Acceptance Tests." If the Overall Envelope approach was used, refer to Form ENV -3C for all required calculations. Form LTG -1C (if included) for interior lighting only: tabulates all lighting to be installed, indicates required "Acceptance Tests," and references all mandatory lighting controls, as well as all controls for credit. Form LTG -2C tabulates lighting control credits (if any). Form LTG -3C for the Prescriptive Approach only: shows lighting power allowances. If the Per ormance Approach is used, the lighting power allowance is equal to what is documented on Form LTG -1C. Form LTG -4C provides backup details if the Tailored Method is used. Form LTG -5C is used to document how line voltage track lighting is required to be counted. Please be aware that fluorescent, LED, or other high efficacy lighting cannot have medium base screw-in sockets, or they will count as incandescent. Form MECH-1C (if included) lists important HVAC system details to be met by installed system(s) [or better). Special features, and required "Acceptance Tests" are indicated. Form MECH-4C for the Prescriptive Approach only: documents fan power consump- tion. Form MECH-5C for the Performance Approach only: shows maximum supply and return fan BHP, and auxilliary electric heat details (if any). Form MECH-2C (if included) lists system specs alongside applicable code sections. If Natural Ventilation (on Part 1 of 2) is marked "Yes," and all spaces are within 20 feet of an operable exterior opening, then all references to Mechanical Ventilation or Outdoor Ventilation on any form may be ignored. Form MECH-3C (if included) calculates reheat limitations (if applicable) and outdoor air ventilation rates required for human respi- ration. No other type of outdoor air requirement is calculated.This form also shows zone assignments for each mechanical system. HVAC Sizing Summary (if included) gives ASHRAE heating and cooling loads for the building. The inside design temperatures used are as stipulated in § 144(b)3 of the Energy Efficiency Standards, and may be somewhat extreme (thus resulting in decreased loads). This firm prides itself in the accuracy of its calculations; however, these loads are only one of many factors to consider in the selection of HVAC equipment. Unless requested by the client, specific "process equipment" loads will not be included. What This Report Is Not Unless specifically contracted, outdoor lighting compliance is not included. This Report is not a design document. It merely de- scribes minimum and maximum criteria for certain components and systems which may effect material and product specifications. It is the building designer's responsibility to coordinate the information contained in this Report with the project's construction documents. Mandatory Measures checklist(s) may be provided as an aid to the designer(s); however, the producer of this report assumes no responsibilities in connection with these unwavering requirements and their applicability. Any products named in this Report are only exemplary in nature (equivalent or better products by different manufacturers almost certainly exist). Product spec- ifications, construction details, design integration, acceptance requirements, and proper installation/inspection documentation and procedures are not responsibilities assumed by the producer of this Report. This Report does not describe criteria for an "energy efficient" design. It merely documents that the design --as analyzed --will meet California's code minimum energy efficiency requirements. If you are interested in achieving higher levels of energy efficiency and/ or energy efficiency rebates, we encourage you to start by contacting your utility company. Report Validation In order for this Report to become valid, it must be processed and coordinated with the construction documents as directed in the "Energy Efficiency Standards." The following actions are required: The designer(s) must review and coordinate this report with all of the project's construction documents. This includes completing portions of any form that requires reference(s) to the design documents. • The chief licensed designer(s) of each component must sign the respective Certificate(s) of Compliance. • Forms PERF -1, ENV 1-C, LTG -1-C, MECH-I-C, and applicable Mandatory Measures must be reproduced on the plans. Conditions Invalidatin the Warranty 1) Design changes made after Report issuance that alter the referenced building's energy utilization. 2) Delay in application for building permit during which time significant code changes take place. 3) Unauthorized use, alteration, or extracting of this Report. Copyright 1993, 1995, 1999, 2001, 2005, 2010 by Steve K. Means, all rights reserved. PERFORMANCE CERTIFICATE OF COMPLIANCE Part 1 of 3 PERF-1 C Project Name Date VCA All Creatures Animal Hospital 6/26/2012 Project Address Climate Zone Total Cond. Floor Area Addition Floor Area 78265 Califomia 111 La Quinta CA Climate Zone 15 7,027 0 GENERAL INFORMATION Building Type: ® Nonresidential ❑ High-Rise Residential ❑ Hotel/Motel Guest Room ❑ Relocatable - indicate ❑ specific climate zone ❑ all climates Phase of Construction: ❑ New Construction ❑ Addition ® Alteration STATEMENT OF COMPLIANCE This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This N R08-90-530 certificate applies only to a Building using the performance compliance approach. The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author ��% r` Name Signature �2� Steve K. Means • � !� Company EasyTitle24 Date 6/26/2012 Address 852 Galvin Dr. Phone (925) 671-4789 City/State2ip EI Cerrito, CA 94530 The Principal Designer hereby certifies that the proposed building 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 has been designed to meet the energy efficiency requirements contained in sections 110, 116 through 118, and 140 through 149 of Title 24, Part 6. Please check one: ENV. LTG. MECH. I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to ❑ ❑ ❑ sign this document as the person responsible for its preparation; and that I am licensed in the State of California as a civil engineer, mechanical engineer, electrical engineer, or I am a licensed architect. affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code by section ❑ ❑ ❑ 5537.2 or 6737.3 to sign this document as the person responsible for its preparation; and that I am a licensed contractor performing this work. I affirm that I am eligible under Division 3 of the Business and Professions Code to sign this document ❑ ❑ ❑ because it pertains to a structure or type of work described as exempt pursuant to Business and Professions Code Sections 5537, 5538 and 6737.1. Principal Envelope Designer Name Mark R. Hafen, Architect Signatur Atok—_ Company Animal Arts Date Address 4520 Broadway, Suite E License # City/State/Zip Boulder, CO 80304 Phone(303) 444-4413 Principal Mechanical Designer Name Kyle Manske, P.E. Signature Company 2020 Engineering Date 11Z Address 1032 E. So. Boulder Rd., Suite 208 License # 3y386 City/State/ZIP Louisville, CO 80027 Phone (303) 926-0020 Principal Lighting Designer Name Jonathan E. Brooks Signature Company Architectural Engineering Design Group, Inc. Date Address 1900 Wazee Street, Suite 255 License # City/State/Zip Denver, CO 80202 Phone (303) 296-3037 INSTRUCTIONS.TO APPLICANT COMPLIANCE & WORKSHEETS (check box if worksheets are included) m ENV-1C Certificate of Compliance. Required on plans. m MECH-1C Certificate of Compliance. Required on plans. m LTG-1C . Certificate of Compliance. Required on plans. m MECH-2C Air/Water Side/Service Hot Water & Pool Requirements. m LTG-2C Lighting Controls Credit Worksheet. m MECH-3C Mechanical Ventilation and Reheat. ❑ LTG-3C Indoor Lighting Power Allowance. m MECH-5C Mechanical Equipment Details. EnergyPro 5.1 by Energ Soft User Number: 2729 RunCode: 2012-06-26718:47:31 /D: 66612 Pa e 3 of 44 PERFORMANCE CERTIFICATE OF COMPLIANCE (Part 1 of 3) PERF-1 C Project Name Date VCA All Creatures Animal Hospital 6/26/2012 Project Address Climate Zone Total Cond. Floor Area Addition Floor Area 78265 California 111 La Quinta CA Climate Zone 15 7, 027 0 GENERAL INFORMATION Building Type: ® Nonresidential ❑ High-Rise Residential ❑ Hotel/Motel Guest Room ❑ Relocatable - indicate. ❑ specific climate zone ❑ all climates Phase of Construction: ❑ New Construction ❑ Addition ® Alteration STATEMENT OF COMPLIANCE This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This N R08 9�-53 0 certificate applies only to a Building using the performance compliance approach. The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author i` �% Name Signature � �2� • !� Steve K. Means , Company EasyTit/e24 Date 6/26/2012 Address 852 Galvin Dr. Phone (925) 671-4789 City/State/Zip E/ Cerrito, CA 94530 The Principal Designer hereby certifies that the proposed building 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 has been designed to meet the energy efficiency requirements contained in sections 110, 116 through 118, and 140 through 149 of Title 24, Part 6. Please check one: ENV. LTG. MECH. I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to ❑ ❑ ❑ _sign this document as the person responsible for its preparation; and that I am licensed in the State of California as a civil engineer, mechanical engineer, electrical engineer, or I am a licensed architect. affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code by section ❑ ❑ ❑ 5537.2 or 6737.3 to sign this document as the person responsible for its preparation; and that I am a licensed contractor performing this work. I affirm that I am eligible under Division 3 of the Business and Professions Code to sign this document ❑ ❑ ❑ because it pertains to a structure or type of work described as exempt pursuant to Business and Professions Code Sections 5537, 5538 and 6737.1. Principal Envelope Designer Name Mark R. Hafen, Architect [Signature Company Animal Arts Date Address 4520 Broadway, Suite E License # City/State2ip Boulder, CO 80304 . Phone (303) 444-4413 Principal Mechanical Designer Name Kyle Manske, P.E. Signature Company 2020 Engineering Date Address 1032 E. So. Boulder Rd., Suite 208 License # City/State/Zip Louisville, CO 80027 hone (303)926-00 20 Principal Lighting Designer , Name Jonathan E. Brooks Signature Company Architectural Engineering Design Group, Inc. Date Z7. ( 2 Address 1900 Wazee Street, Suite 255 License # v a City/State/Zip Denver, CO 80202 Phone (303) 296-3037 INSTRUCTIONS TO APPLICANT COMPLIANCE & WORKSHEETS (check box if worksheets are included) El ENV-1 C Certificate of Compliance. Required on plans. El MECH-1 C Certificate of Compliance. Required on plans. m LTG-1C Certificate of Compliance. Required on plans. m MECH-2C Air/Water Side/Service Hot Water & Pool Requirements. m LTG-2C Lighting Controls Credit Worksheet. m MECH-3C Mechanical Ventilation and Reheat. ❑ LTG-3C Indoor Lighting Power Allowance. m MECH-5C Mechanical Equipment Details. Energ Pro 5.1 by Energ Soft User Number: 2729 RunCode: 2012-06-018:47:31 ID: 66612 Page 3 of 44 PERFORMANCE CERTIFICATE OF COMPLIANCE Project Name VCA All Creatures Animal Hospital ANNUAL TDV ENERGY USE SUMMARY (kBtu/s ft -yr) Standard Proposed Compliance Energy Component Design Design Margin Space Heating Space Cooling Indoor Fans Heat Rejection Pumps & Misc. Domestic Hot Water Lighting Receptacle Process Process Lighting TOTALS 11.20 6.74 4.46 225.19 213.61 11.58 79.33 99.60 -20.27 0.00 0.00 0.00 0.00 0.00 0.00 17.93 16.94 0.99 76.96 65.53 11.43 75.64 75.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 486.25 478.06 8.19 Part 2of3 Heating Cooling Fans Heat Rej Pumps DHW Lighting Receptacle Process Process Ltg Percent better than Standard 1.7% 1.7% excluding process) BUILDING COMPLIES GENERAL INFORMATION PERF -1 C Date 6/26/2012 Building Orientation (SE) 135 deg Conditioned Floor Area 7,027 sqft. Number of Stories 2 Unconditioned Floor Area 0 sqft. Number of Systems 9 Conditioned Footprint Area 7,027 sqft. Number of Zones 11 Natural Gas Available On Site Yes Front Elevation Left Elevation Rear Elevation Right Elevation Total I Roof Orientation Gross Area (SE) 1,624 (S VV) 1,426 (NVt9 1,274 (NE) 680 5,004 7,027 Prescriptive Lighting Power Density Prescriptive Envelope TDV Energy Remarks: process Standard 1.100 W/sqft. 169,225 gas sqft. sqft. sqft. sqft. sqft. sqft. Glazina Area 176 11 0 0 187 0 Proposed 0.937 W/sqft. 306,672 are sqft. sqft. sqft. sqft. sqft. sqft. Glazing Ratio 10.8 0.7 0.0 0.0 3.7 0.0 Prescriptive Values for Comparison only. See LTG -1 C for allowed LPD. PERFORMANCE CERTIFICATE OF COMPLIANCE (Part 3 of 3) PERF -1 C Project Name VCA All Creatures Animal Hospital Date 6/26/2012 ZONE INFORMATION System Name Zone Name Occupancy Type Floor Area s ft. Inst. LPD W/sf' Ctrl. Credits W/sf 2 Allowed LPD Proc. Loads W/sf Area Tailored W/sf s W/sf ° (N)RTU-1 RTU -1 Comp Bldg Medical and Clin 1,178 0.821 (E)RTU-2 RTU -2 Comp Bldg Medical and Clin 1,002 1.078 0.086 (E)RTU-3 RTU -3 Comp Bldg Medical and Clin 1,137 1.117 0.019 Med.Gas Comp Bldg Medical and Clin 30 '1.100 AC -3 AC -3 Comp Bldg Medical and Clin 105 1.029 (E)RTU-4 RTU -4 Comp Bldg Medical and Clin 1,458 0.899 0.033 (N)RTU-5 RTU -5 Comp Bldg Medical and Clin 1,112 0.737 (N)RTU-6 RTU -6 Comp Bldg Medical and Clin 596 0.777 0.106 (E)Phone Comp Bldg Medical and Clin 30 '1.100 AC -1 AC -1 Comp Bldg Medical and Clin 74 1.459 0.219 AC -2 AC -2 Comp Bldg Medical and Clin 305 2.046 Notes: 1. See LTG -1C 2. See LTG -2C 3. See LTG -3C 4. See LTG -4C items marked with asterisk, see LTG -1 -C b others b others Items above require special documentation EXCEPTIONAL CONDITIONS COMPLIANCE CHECKLIST 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 to be used with the performance approach. The local enforcement agency determines the adequacy of the justifications, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. The exceptional features listed In this performance approach application have specifically been reviewed. Adequate written justification and documentation for their use have been provided by the applicant. Authorized Signature or Stamp EnergyPro 5.1 by EnergySoft User Number: 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Page 5 of 44 CERTIFICATE OF COMPLIANCE (Part 1 of 3) ENV -1 C AND FIELD INSPECTION ENERGY CHECKLIST Project Name VCA All Creatures Animal Hospital Date 6/26/2012 Project Address 78265 California 111 La Quinta Climate Zone 15 Total Cond. Floor Area 7,027 Addition Floor Area 0 GENERAL INFORMATION Building Type: 0 Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room ❑ Schools (Public School) ❑ RRledlocatable g. Public School 0 Conditioned Spaces ❑ Unconditioned Spaces ❑ Skylight Area for Large Enclosed Space z 8000 ftz (If checked include the ENV -4C with submittal) Phase of Construction: ❑ New Construction ❑ Addition 0 Alteration Approach of Compliance: ❑ Component 0 Overall Envelope ❑ Unconditioned (file affidavit) Front Orientation: N, E, S, W or in Degrees: 135 deg FIELD INSPECTION ENERGY CHECKLIST OPAQUE SURFACE DETAILS INSULATION Ta /ID AssemblyType y Q 3 UJ i Oz 0 ti � d R b U0: O �m+� x l0 w> O o> d� V 7 wLL �� "-' f0 5> tm m� 7 U. `� � a 'O a -.34 0 �— 02 vN y M a •O LL 1 Wall 814 (SE) 0.061 R-19 1.0 Wood 1.0 Wood 4.3.1-A5 Existing ❑ ❑ 2 Roof 1,178 (N) 0.049 R-19 4.2.1-A4 Existing ❑ ❑ 3 Wall 50 (S) 0.061 R-19 1.0 Wood 1.0 Wood 4.3.1-A5 Existing ❑ ❑ 4 Wall ` 116 (E) 0.061 R-19 1.0 Wood 1.0 Wood 4.3.1-A5 Existing ❑ ❑ 5 Slab 1,178 (N) 0.730 None 4.4.7-A1 Existing ❑ ❑ 6 Slab 1,002 (N) 0.730 None 4.4.7-A1 Existing ❑ ❑ 7 Wall 584 (S) 0.061 R-19 1.0 Wood 1.0 Wood 4.3.1-A5 Existing ❑ ❑ 8 Wall 639 (W) 0,061 R-19 1.0 Wood 1.0 Wood 4.3.1-A5 Existing ❑ ❑ 9 Door 18 (W) 0.700 Nonel 4.5.1-A2 New ❑ ❑ 10 Roof 1,002 (N) 0.049 R-19 4.2.1-A4 Existing ❑ ❑ 1. See Instructions in the Nonresidential Compliance Manual, page 3-96. 2. If Fail, then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. A fail does not meet compliance. FENESTRATION SURFACE DETAILS Tag/ID Fenestration Type N m a 0 H V% W OZ L r A LL 2> ` 0 LL 0 > N U exa N 2 0 NN C) C > O C Y o- 0 C cya a is LL 1 Window 50 (SE) 0.550 Default 0.670 Default 0 Existing ❑ ❑ 2 Window 42 (SE) 0.710 Default 0.730 Default 0 Existing ❑ ❑ 3 Window 84 (SE) 0.770 Default 0.700 Default 0 Existing ❑ ❑ 4 Window 11 (W) 1.190 Default 0,830 Default ❑ New ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1. See Instructions in the Nonresidential Compliance Manual, page 3-96. 2. If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. Energ Pro 5.1 by Energ Soft User Number: 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Page 6 of 44 CERTIFICATE OF COMPLIANCE (Part 1 of 3) ENV -1 C AND FIELD INSPECTION ENERGY CHECKLIST Project Name VCA All Creatures Animal Hospital Date 6/26/2012 Project Address 78265 California 111 La Quinta Climate Zone 15 Total Cond. Floor Area 7,027 Addition Floor Area 0 GENERAL INFORMATION Building Type: 0 Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room ❑ Schools (Public School) ❑ RRlelocatable Public School ® Conditioned Spaces ❑ Unconditioned Spaces ❑ Skylight Area for Large Enclosed Space z 8000 ft2 (If checked include the ENV -4C with submittal) Phase of Construction: ❑ New Construction ❑ Addition m Alteration Approach of Compliance: ❑ Component ® Overall Envelope ❑ Unconditioned (file affidavit) Front Orientation: N, E, S, W or in Degrees: 135 deg FIELD INSPECTION ENERGY CHECKLIST OPAQUE SURFACE DETAILS INSULATION Ta /ID AssemblyType d .2 a N UT O z ° LL :5 a) j> eo c5 CEw> c d 7 V �a 0 0� d.E � o w LL d> -- A E> o> d•E �- E U. X o C a o a -.)< c 0 c 02 v N y M a = �a LL 11 Roof 1,167 (N) 0.049 R-19 4.2.1-A4 Existing ❑ ❑ 12 Slab 1,272 (N) 0.730 None 4.4.7-A1 Existing ❑ ❑ 13 Wall 128 (W) 0.061 R-19 1.0 Wood 1.0 Wood 4.3.1-A5 Existing ❑ ❑ 14 Door 13 (W) 0.700 None 4.5.1-A2 New ❑ ❑ 15 Door 42 (W) 0.700 None 4.5.1-A2 New ❑ ❑ 16 Roof 105 (N) 0.049 R-19 4.2.1-A4 Existing ❑ ❑ 17 Wall 572 (N) 0.061 R-19 1.0 Wood 1.0 Wood 4.3.1-A5 Existing ❑ ❑ 18 Wall 564 (E) 0.061 R-19 1.0 Wood 1.0 Wood 4.3.1-A5 Existing ❑ ❑ 19 Roof 1,458 (N) 0.049 R-19 4.2.1-A4 Existing ❑ ❑ 20 Slab 1,458 (N) 1 0.730 None 4.4.7-A1 Existing ❑ ❑ 1. See Instructions in the Nonresidential Compliance Manual, page 3-96. 2. If Fail, then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. 'A fail does not meet compliance. FENESTRATION SURFACE DETAILS Tag/ID Fenestration Type Q °� C0 °' w OZ m LL 2> 0 m LL o > N V C7 cxa 2e m = o NN rn C CN > O c o° 0u) a R LL ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1. See Instructions in the Nonresidential Compliance Manual, page 3-96. 2. If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. Energ Pro 5.1 by Energ Soft User Number: 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Page 7 of 44 CERTIFICATE OF COMPLIANCE (Part 1 of 3) ENV -1 C AND FIELD INSPECTION ENERGY CHECKLIST Project Name VCA All Creatures Animal Hospital Date 6/26/2012 Project Address 78265 California 111 La Quinta Climate Zone 15 Total Cond. Floor Area 7,027 Addition Floor Area 0 GENERAL INFORMATION Building Type: M Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room ❑ Schools (Public School) ❑ RRledlocatable g. Public School ® Conditioned Spaces ❑ Unconditioned Spaces ❑ Skylight Area for Large Enclosed Space z 8000 ft2 (If checked include the ENV -4C with submittal) Phase of Construction: ❑ New Construction ❑ Addition m Alteration Approach of Compliance: ❑ Component ® Overall Envelope ❑ Unconditioned (file affidavit) Front Orientation: N, E, S, W or in Degrees: 135 deg FIELD INSPECTION ENERGY CHECKLIST OPAQUE SURFACE DETAILS INSULATION Ta /ID Assembly Type Q N Cd W O z o ` M d j U of Vi w> V w U. ' 5> 'iC E LL a x c d o a --� a Fc ' ry o M U to H M a a m LL 21 Roof 1,112 (N) 0.049 R-19 4.2.1-A4 Existing ❑ ❑ 22 Wall 143 (N) 0.061 R-19 1.0 Wood 1.0 Wood 4.3.1-A5 Existing ❑ ❑ 23 Slab 1,112 (N) 0.730 None 4.4.7-A1 Existing ❑ ❑ 24 Roof 626 (N) 0.049 R-19 4.2.1-A4 Existing ❑ ❑ 25 Wall 402 (W) 0.061 R-19 1.0 Wood 1.0 Wood 4.3.1-A5 Existing ❑ ❑ 26 Door 42 (W) 0.700 None 4.5.1-A2 Existing ❑ ❑ 27 Wall 146 (N) 0.061 R-19 1.0 Wood 1.0 Wood 4.3.1-A5 Existing ❑ ❑ 28 Slab 626 (N) 0.730 None 4.4.7-A1 Existing ❑ ❑ 29 Wall 131 (W) 0.061 R-19 1.01 Wood 1.0 Wood 4.3.1-A5 Existing ❑ ❑ 30 Wall 125 (N) 0.061 R-19 1.0 Wood 1.0 Wood 4.3.1-A5 Existing ❑ ❑ 1. See Instructions in the Nonresidential Compliance Manual, page 3-96. 2. If Fail, then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. A fail does not meet compliance. FENESTRATION SURFACE DETAILS Tag/ID FenestrationZ Type a CB: O> ea c > N V mE. 2— x o N U) rn r- > O c 02 v rn m a R LL ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1. See Instructions in the Nonresidential Compliance Manual, page 3-96. 2. If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. Energ Pro 5.1 by Energ Soft User Number. 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Page 8 of 44 CERTIFICATE OF COMPLIANCE (Part 1 of 3) ENV -1 C AND FIELD INSPECTION ENERGY CHECKLIST Project Name VCA All Creatures Animal Hospital Date 6/26/2012 Project Address 78265 California 111 La Quinta Climate Zone 15 Total Cond. Floor Area 7,027 Addition Floor Area 0 GENERAL INFORMATION Building Type: 0 Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room ❑ Schools (Public School) ❑ RRlellocatable Public School 0 Conditioned Spaces ❑ Unconditioned Spaces ❑ Skylight Area for Large Enclosed Space z 8000 ft2 (If checked include the ENV -4C with submittal) Phase of Construction: ❑ New Construction ❑ Addition 0 Alteration Approach of Compliance: ❑ Component 0 Overall Envelope ❑ Unconditioned (file affidavit) Front Orientation: N, E, S, W or in Degrees: 135 deg FIELD INSPECTION ENERGY CHECKLIST OPAQUE SURFACE DETAILS INSULATION Ta /ID Assembly Type AX y a C V1 O d W O z ti 6 j co 0 M d 7 V w> p C d E w U. C y d 7 5> 0O c d 5 u_ C r d C d c a -, Q C r-, N C o- U to N ca a co a 31 Slab 74 (N) 0.730 None 4.4.7-A1 Existing ❑ ❑ 32 Roof 74 (N) 0.049 R-19 4.2.1-A4 Existing ❑ ❑ 33 Wall 267 (N) 0.061 R-19 1.0 Wood 1.0 Wood 4.3.1-A5 Existing ❑ ❑ 34 Door 21 (N) 0.700 None 4.5.1-A2 Existing ❑ ❑ 35 Slab 305 (N) 0.730 None 4.4.7-A1 Existing ❑ ❑ 36 Roof 305 (N) 0.049 R-19 4.2.1-A4 Existing ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1. See Instructions in the Nonresidential Compliance Manual, page 3-96. 2. If Fail, then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. A fail does not meet compliance. FENESTRATION SURFACE DETAILS Fenestration Te '+ c O x 2 Ora) LoM^ > Cl) K x o C > O •OO r :;00 o Q 6 �yea Hui e.Tag/ID ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1 ❑ 1. See Instructions in the Nonresidential Compliance Manual, page 3-96. 2. If Fail then describe on Page 2 of the' Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. Energ Pro 5.1 by Ener Soft User Number: 2729 RunCode: 2012-06-26T18:47:31 ID: 66612 Page 9 of 44 CERTIFICATE OF COMPLIANCE (Part 2 of 3) AND FIELD INSPECTION ENERGY CHECKLIST ENV -1 C Project Name VCA All Creatures Animal Hospital Date 6/26/2012 ROOFING PRODUCT (COOL ROOFS) N/A - EXISTING ROOF (Note if the roofing product is not CRRC certified, this compliance approach cannot be used). Go to Overall Envelope Approach or Performance Approach. CHECK APPLICABLE BOX BELOW IF EXEMPT FROM THE ROOFING PRODUCT "COOL ROOF" REQUIREMENTS: Pass Fail' N/A ❑ Roofing compliance not required in Climate Zones 1 and16 with a Low -Sloped. 2:12 pitch or less. ❑ ❑ d ❑ Roofing compliance not required in Climate Zone 1 with a Steep -Sloped with less than 5 Ib/112. Greater than 2:12 pitch. ❑ ❑ d ❑ Low -sloped Wood framed roofs in Climate Zones 3 and 5 are exempted, solar reflectance and thermal emittance or SRI that have a LI -factor of 0.039 or lower. See Opaque Surface Details roof assembly, Column H of ENV -2C. ❑ ❑ d ❑ Low -sloped Metal building roofs in Climate Zone 3 and 5 are exempted, solar relectance and thermal emittance or SRI that have a LI -factor of 0.048 or lower. See Opaque Surface Details roof assembly below, Column H of ENV -2C. ❑ ❑ U ❑ The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempted. Solar reflectance and thermal emittance or SRI, seespreadsheet calculator at www.eneLgv.ca-gov/title24/ ❑ ❑ d ❑ Roof constructions that have thermal mass over the roof membrane with a weight of at least 25 IbIft4 are exempt from the Cool Roof criteria below. 13 13d ❑ High-rise residential buildings and hotels and motels with low -sloped roofs in Climate Zones 1 through 9, 12 and 16 are exempted from the low -sloped roofing criteria. ❑ ❑ 1. If Fail then describe on this page of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. CRRC Product ID Number' Roof Slope s 2:12 > 2:12 Product Weight < 5Ib/ft2 z 5Ib/ft2 Product Type2 Aged Solar Reflectance3 Thermal Emmitance SRI5 Pass Fails ❑ ❑ ❑ ❑ ❑ 4 ❑ ❑ ❑ ❑ ❑ ❑ ❑ 4 ❑ ❑ ❑ ❑ 1 ❑ ❑ ❑ 4 ❑' ❑ ❑ ❑ ❑ ❑ ❑ 4 ❑ ❑ ❑ ❑ ❑ ❑ ❑ 4 ❑ ❑ ❑ ❑ ❑ ❑ ❑ 4 ❑ 1 ❑ 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www. cool roof s.o rq/prod ucts/search. ph p 2. Indicate the type of product is being used for the roof top, i.e. single -ply roof, asphalt roof, metal roof, etc. 3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation (0.2+0.7(p,,low — 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance from the Cool Roof Rating Council's Rated Product Directory. 4. Check box if the Aged Reflectance is a calculated value using the equation above. 5. The SRI value needs to be calculated from a spreadsheet calculator at http://www.ener-Qv.ca.gov/title24/ 6. If Fail then describe ori this page of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(i)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other Discrepancies: N/A - EXISTING ROOF Ener Pro 5.1 by Ene YSoft User Number: 2729 RunCode: 2012-06-26T18:47:31 ID: 66612 Pae 10 of 44 CERTIFICATE OF COMPLIANCE (Part 3 of 3) ENV -1 C AND FIELD INSPECTION ENERGY CHECKLIST Project Name VCA All Creatures Animal Hospital Date 6/26/2012 Required Acceptance Tests Designer: This form is to be used by the designer and attached to the plans. Listed below is the acceptance test for Envelope Fenestrations system. The designer is required to check the acceptance tests and list all the fenestration products that require an acceptance test. If all the site -built fenestration of a certain type requires a test, list the different fenestration products 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. Enforcement Agency: Systems Acceptance. Before Occupancy Permit is granted for a newly constructed building or space or whenever new fenestration is installed in the building or space shall be certified as meeting the Acceptance Requirements. The ENV -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 properly filled out and signed forms before the building can receive final occupancy. A copy of the ENV -2A for each different fenestration product line must be provided to the owner of the building for their records. Test Description ENV -2A Test Performed By: Fenestration Products Name or ID Area of like Requiring Testing or Verification Products Building Envelope Acceptance Test Single Metal Clear 11 ✓❑ 13 13 13 El 13 11 11 11 11 13 13 11 13 13 11 13 11 11 13 13 Ener Pro 5.1 by Ener Soft User Number: 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Pae 11 of 44 CERTIFICATE OF COMPLIANCE (Part 1 of 3) LTG -1 C Project Name VCA All Creatures Animal Hospital Date 6/26/2012 INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Installation Certificate, LTG -1- INST Retain a copy and verify form is completed and signed.) Field Inspector ❑ Certificate of Acceptance, LTG -2A and LTG -3A (Retain a copy and verify form is completed and signed.) Field Inspector ❑ A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces Installed Lighting Power listed on this Lighting Schedule is only for: El CONDITIONED SPACE ❑ UNCONDITIONED SPACE El The actual indoor lighting power listed below includes all installed permanent and portable lighting systems in accordance with §146(a): Only for offices: Up to the first 0.2 watts per square foot of portable lighting shall not be required to be included in the ® calculation. of actual indoor lighting power density in accordance with the Exception to §146(a). All portable lighting in excess of 0.2 watts per square foot is totaled below. Luminaire (Type, Lamps, Ballasts) Installed Watts A B C D E F G H' None or Item Ta Complete Luminaire Description ' (i.e, 3 lamp fluorescent troffer, F32T8, one dimmable electronic ballasts o_ ti •— E J How wattage Was determined �, �, c E > > Z X ami o N Field Ins ector, CECM Default o w, From Q o NA8 Q ~ N ca n R LL D1 Cree 12.5w LED Downlight 12.5 ❑ 0 11 138 ❑ ❑ D2 50w Low Voltage Halogen 54.0 El ❑ 1 54 ❑ ❑ D3 Cree 11.1 w LED Downlight 11.1 ❑ El 7 78 ❑ ❑ F1 2 Lamp 4 ft T8 Rapid Start Elec 62.0 El ❑ 1 62 ❑ ❑ F2 1 Lamp 4 If T8 Rapid Start Elec 32.0 El ❑ 1 32 ❑ ❑ F3 1 Lamp 4 ft T8 Rapid Start Elec 32.0 21 ❑ 1 32 ❑ ❑ P1 4 Lamp 32w CFL Triple 4 Pin Elec 138.0 ❑ ❑ 5 690 ❑ ❑ P2 1 Lamp 32w,CFL Triple 4 Pin Elec 35.0 ❑ ❑ 5 175 ❑ ❑ P3 1 Lamp 4 ft T8 Energy Savings Elec 29.0 El ❑ 1 29 ❑ ❑ P4 2 Lamp 3 ft T8 Elec 48.0 El ❑ 2 96 ❑ ❑ P5 2 Lamp 4 If T8 Energy Savings Elec 54.0 0 ❑ 1 54 ❑ ❑ R1 2 Lamp 2 ft T8 Elec 33.0 ❑ ❑ 10 330 ❑ ❑ R2 2 Lamp 4 ft T8 Energy Savings Elec 54.0 El ❑ 29 1,566 ❑ ❑ R3 2 Lamp 4 ft T8 Energy Savings Elec 54.0 El ❑ 14 756 ❑ ❑ R4 4 Lamp 4 ft T8 Energy Savings Elec 104.0 Rl ❑ 6 624 ❑ ❑ R5 2 Lamp 4 ft T8 Energy Savings Elec 54.0 El ❑ 25 1,350 ❑ ❑ Standard Allowance: 30 sgft at 1.100 w/sf ❑ ❑ 33 ❑ ❑ Standard Allowance: 30 sgft at 1.100 w/sf ❑ ❑ 33 ❑ ❑ UC1 8w LED Array 8.0 ❑ 0 10 80 ❑ ❑ Wl 2 Lamp 2 ft T8 Elec 33.0 0 ❑ 2 66 ❑ ❑ Installed Watts Page Total: 6,277 Building total number of pages: Installed Watts Building Total Sum of all pages) 6,817 Enter into LTG -1C Page 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 Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. Ener Pro 5.1 by Ener Soft User Number: 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Pae 12 of 44 CERTIFICATE OF COMPLIANCE (Part 1 of 3) LTG-1 C Project Name VCA All Creatures Animal Hospital Date 6/26/2012 INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Installation Certificate, LTG-1- INST Retain a copy and verify form is completed and signed.) Field Inspector ❑ Certificate of Acceptance, LTG-2A and LTG-3A (Retain a copy and verify form is completed and signed.) Field Inspector ❑ A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces Installed Lighting Power listed on this Lighting Schedule is only for: 0 CONDITIONED SPACE ❑ UNCONDITIONED SPACE The actual indoor lighting power listed below includes all installed permanent and portable lighting systems in accordance with §146(a). Only for offices: Up to the first 0.2 watts per square foot of portable lighting shall not be required to be included in the ® calculation of actual indoor lighting power density in accordance with the Exception to §146(a). All portable lighting in excess of 0.2 watts per square foot is totaled below. Luminaire (Type, Lamps, Ballasts Installed Watts A B C D E F G H None or Item Ta Complete Luminaire Description' (Le, 3 lamp fluorescent troffer, F32T8, one dimmable electronic ballasts N a COCEC ;n `° �' J How wattage Was determined O N ca E Ev > > Z J Ll X 3g (n3 Field Ins ector2 m O C O .9c) Default 0 co, From o O NA8 Q ~ N a ca LL W2 2 Lamp 4 ft T8 Energy Savings Elec 54.0 ❑ ❑ 10 540 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Installed Watts Page Total: 540 Building total number of pages: Installed Watts Building Total Sum of all pages) 6,817 Enter into LTG-1 C Page 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 Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. Ener Pro 5.1 by Ener Soft User Number. 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Pa a 13 of 44 CERTIFICATE OF COMPLIANCE (Part 2 of 3) LTG -1 C Project Name VCA All Creatures Animal Hospital Date 6/26/2012 INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Fill in controls for all spaces: a) area controls, b) multi-level controls, c) manual daylighting controls for daylit areas > 250 fe, automatic daylighting controls for daylit areas > 2,500 ftz, d) shut-off controls, e) display lighting controls, f) tailored lighting controls — general lighting controlled separately from display, ornamental and display case lighting and g) demand responsive automatic controls for retail stores > 50,000 ftZ, in accordance with Section 131. MANDATORY LIGHTING CONTROLS — FIELD INSPECTION ENERGY CHECKLIST Field Inspector Type/ Description Number of Units Location in Building Special Features Pass Fail Bi -level (a,b) switching or dimming 44+ 101-104, 109, 111, 112, 114, ❑ ❑ ❑ 115, 118, 119, 121, 122, 124, 11 11 0 126-129, 131, 132, 135-138, 11 11 11 141 & 146 ❑ ❑ ❑ ❑ ❑ ❑ Occupancy sensor w/manual-off 2+ 114, 124 (integrate with bi- ❑ ❑ ❑ override level switch in /dimmin ❑ ❑ ❑ Auto -shutoff timer -contactor 1+ Lighting Control Panel ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ SPECIAL FEATURES INSPECTION CHECKLIST (See Page 2 of 4 of LTG -1C) 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. Field Inspector's Notes or Discrepancies: Energ Pro 5.1 by Ener Soft User Number: 2729 RunCode: 2012-06-26T18:47:31 ID: 66612 Page 14 of 44 CERTIFICATE OF COMPLIANCE Part 3 of 3 LTG -1C Project Name Date VCA All Creatures Animal Hospital 6/26/2012 CONDITIONED AND UNCONDITIONED SPACE LIGHTING MUST NOT BE COMBINED FOR COMPLIANCE Indoor Lighting Power for Conditioned S aces Indoor Lighting Power for Unconditioned Spaces Watts Watts Installed Lighting 6,817 Installed Lighting 0 from Conditioned LTG -1C, Page 2 from Unconditioned LTG -1C, Page 2 Lighting Control Credit - 236 Lighting Control Credit Conditioned Spaces from LTG -2C _ Unconditioned Spaces from LTG -2C 0 Adjusted Installed 6,581 Adjusted Installed = 0 Lighting Power Lighting Power Complies if Installed:5 Allowed Complies if Installed:5 Allowed Allowed Lighting Power Allowed Lighting Power Conditioned Spaces from LTG -3C or PERF-1)Unconditioned 6,581 Spaces from LTG -3C 0 Required Acceptance Tests Designer: This form is to be used by the designer and attached to the plans. Listed below is the acceptance test for the Lighting system, LTG -2A and LTG -3A. 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 a 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. Forms can be grouped by type of Luminaire controlled. Enforcement Agency: Systems Acceptance. 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 and LTG -3A forms are not considered complete forms and are 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 properly filled out and signed forms before the building can receive final occupancy. A copy of the LTG -2A and LTG -3A for each different lighting luminaire control(s) must be provided to the owner of the building for their records. LTG -2A and Luminaires Controlled LTG -3A Controls and Sensors and Number of Automatic Luminaires Daylighting Controls Equipment Re uirin Testing Description controlled Location Acceptance Occ Sensor - Multi -Level 2 Lamp 4 It T8 Energy Savings Elec 4 121,131,135-138 Occ Sensor - Multi -Level 2 Lamp 4 ft T8 Energy Savings Elec 4 121,131,135-138 Occ Sensor - Multi -Level 2 Lamp 4 It T8 Energy Savings Elec 2 103,123-126,132,134,139 El Occ Sensor - Multi -Level 2 Lamp 4 It T8 Energy Savings Elec 4 105-118 El Dimming - Manual 50w Low Voltage Halogen 1 105-118 El Occ Sensor - Storage 2 Lamp 4 It T8 Rapid Start Elec 1 143-144, 146-147 El Occ Sensor- Multi -Level 2 Lamp 4 It T8 Energy Savings Elec 5 143-144, 146-147 El Occ Sensor - Storage 2 Lamp 4 It T8 Energy Savings Elec 2 148 El EnergyPro 5.1 by Ener Sof User Number: 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Pae 15 of 44 CERTIFICATE OF COMPLIANCE and (Part 1 of 4) MECH-1 C FIELD INSPECTION ENERGY CHECKLIST Project Name VCA All Creatures Animal Hospital Date 6/26/2012 Project Address 78265 California 111 La Quinta Climate Zone 15 Total Cond. Floor Area 7,027 Addition Floor Area 0 GENERAL INFORMATION Building Type ® Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room ❑ Schools (Public School) ❑ Relocatable Public School Bldg. M Conditioned Spaces ❑ Unconditioned Spaces affidavit Phase of Construction: ❑ New Construction ❑ Addition 0 Alteration Approach of Compliance: ❑ Component ❑ Overall Envelope TDV ❑ Unconditioned (file affidavit) Energy Front Orientation: N, E, S, W or in Degrees: 135 deg HVAC SYSTEM DETAILS FIELD INSPECTION ENERGY CHECKLIST E ui ment2 Inspection Criteria Meets Criteria or Requirements Pass Fail — Describe Reason Item or System Tags i.e. AC -1, RTU -1, HP -1 DHW Heater 13 ❑ Equipment T e3: Electric Res DHW Boiler ❑ ❑ Number of Systems 1 ❑ ❑ Max Allowed Heating Capacity' 102,390 Btu/hr ❑ ❑ Minimum Heating Efficiency' 100% ❑ ❑ Max Allowed Cooling Capacity' n/a ❑ ❑ Cooling Efficiency' n/a ❑ ❑ Duct Location/ R -Value n/a ❑ ❑ When duct testing is required, submit & MECH-4-HERS n/a ❑ [3MECH-4A Economizer n/a ❑ ❑ Thermostat n/a ❑ ❑ Fan Control n/a ❑ ❑ E ui ment2 Inspection Criteria FIELD INSPECTION ENERGY CHECKLIST Pass Fail — Describe Reason Item or System Tags AC -1, RTU -1, HP -1 (N)RTU-1 ❑ 13i.e. Equipment T e3: Packaged DX ❑ ❑ Number of Systems 1 ❑ ❑ Max Allowed Heating Capacity' 84,000 Btu/hr ❑ ❑ Minimum Heating Efficiency' 3.50 COP ❑ ❑ Max Allowed Cooling Capacity' 90,000 Btu/hr ❑ ❑ Cooling Efficiency' 12.1 EER ❑ ❑ Duct Location/ R -Value Conditioned / 0.0 ❑ ❑ When duct testing is required, submit & MECH-4-HERS No 13 [3MECH-4A Economizer No Economizer ❑ ❑ Thermostat Setback Required ❑ ❑ Fan Control Constant Volume ❑ ❑ 1. If the Actual installed equipment performance efficiency and capacity is less than the Proposed (from the energy compliance submittal or from the building plans) the responsible party shall resubmit energy compliance to include the new changes. 2. For additional detailed discrepancy use Page 2 of the Inspection Checklist Form. Compliance fails if a Fail box is checked. 3. Indicate Equipment Type: Gas (Pkg or, Split), VAV, HP (Pkg or split), Hydronic, PTAC, or other. EnergyPro 5.1 by Ener Soft User Number. 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Pae 16 of 44 CERTIFICATE OF COMPLIANCE and (Part 1 of 4) MECH-1 C FIELD INSPECTION ENERGY CHECKLIST Project Name VCA All Creatures Animal Hospital Date 6/26/2012 Project Address 78265 California 111 La Quinta Climate Zone 15 Total Cond. Floor Area 7,027 Addition Floor Area 0 GENERAL INFORMATION Building Type: 0 Nonresidential ❑ High-Rise Residential ❑ Hotel/Motel Guest Room ❑ Schools (Public School) ❑ Relocatable Public School Bldg. 0 Conditioned Spaces ❑ Unconditioned Spaces affidavit Phase of Construction: ❑ New Construction ❑ Addition EI Alteration Approach of Compliance: ❑ Component ❑ Overall Envelope TDV ❑ Unconditioned (file affidavit) Energy Front Orientation: N, E, S, W or in Degrees: 135 deg HVAC SYSTEM DETAILS FIELD INSPECTION ENERGY CHECKLIST E ui ment2 Inspection Criteria Meets Criteria or Requirements Pass Fail — Describe Reason Item or System Tags i.e. AC-1, RTU-1, HP-1 (E)RTU-2 13 ❑ Equipment T e3: Packaged DX ❑ ❑ Number of Systems 1 ❑ ❑ Max Allowed Heating Capacity' 56,200 Btu/hr ❑ ❑ Minimum Heating Efficiency' 7.60 HSPF ❑ ❑ Max Allowed Cooling Capacity' 6 1, 000 Btu/hr ❑ ❑ Cooling Efficiency' 11.9 SEER / 11.0 EER ❑ ❑ Duct Location/ R-Value Conditioned / 0.0 ❑ ❑ When duct testing is required, submit MECH-4A & MECH-4-HERS No ❑ ❑ Economizer No Economizer ❑ ❑ Thermostat Setback Required ❑ ❑ Fan Control Constant Volume ❑ ❑ E ui ment2 Inspection Criteria FIELD INSPECTION ENERGY CHECKLIST Pass Fail — Describe Reason Item or System Tags i.e. AC-1, RTU-1, HP-1 (E)RTU-3 ❑ ❑ Equipment T e3: Packaged DX ❑ ❑ Number of Systems 1 ❑ ❑ Max Allowed Heating Capacity' 56,200 Btu/hr ❑ ❑ Minimum Heating Efficiency' 7.60 HSPF ❑ ❑ Max Allowed Cooling Capacity' 61,000 Btu/hr ❑ ❑ Cooling Efficiency' 11.9 SEER / 11.0 EER ❑ ❑ Duct Location/ R-Value Conditioned / 0.0 ❑ ❑ When duct testing is required, submit & MECH-4-HERS No [3 [3MECH-4A Economizer No Economizer ❑ ❑ Thermostat Setback Required ❑ ❑ Fan Control Constant Volume ❑ ❑ 1. If the Actual installed equipment performance efficiency and capacity is less than the Proposed (from the energy compliance submittal or from the building plans) the responsible party shall resubmit energy compliance to include the new changes. 2. For additional detailed discrepancy use Page 2 of the Inspection Checklist Form. Compliance fails if a Fail box is checked. 3. Indicate Equipment Type: Gas (Pkg or, Split), VAV, HP (Pkg or split), Hydronic, PTAC, or other. Ener Pro 5.1 by Ener Soft User Number: 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Pae 17 of 44 CERTIFICATE OF COMPLIANCE and (Part 1 of 4) MECH-1 C FIELD INSPECTION ENERGY CHECKLIST Project Name VCA All Creatures Animal Hospital Date 6/26/2012 Project Address 78265 California 111 La Quinta Climate Zone 157,027 T otal Cond. Floor Area Addition Floor Area 0 GENERAL INFORMATION Building Type: 0 Nonresidential ❑ High-Rise Residential ❑ Hotel/Motel Guest Room ❑ Schools (Public School) ❑ Relocatable Public School Bldg. 0 Conditioned Spaces ❑ Unconditioned Spaces affidavit Phase of Construction: ❑ New Construction ❑ Addition 0 Alteration Approach of Compliance: ❑ Component ❑ Overall Envelope TDV ❑ Unconditioned (file affidavit) Energy Front Orientation: N, E, S, W or in Degrees: 1 135 deg HVAC SYSTEM DETAILS FIELD INSPECTION ENERGY CHECKLIST E ui ment2 Inspection Criteria Meets Criteria or Requirements Pass Fail — Describe Reason Item or System Tags AC-1, RTU-1, HP-1 AC-3 ❑ [3i.e. Equipment T e3: Split DX ❑ ❑ Number of Systems 1 ❑ ❑ Max Allowed Heating Capacity' 0 Btu/hr ❑ ❑ Minimum Heating Efficiency' n/a ❑ ❑ Max Allowed Cooling Capacity' 12,000 Btu/hr ❑ ❑ Cooling Efficiency' 15.2 SEER/ 10.1 EER ❑ ❑ Duct Location/ R-Value n/a ❑ ❑ When duct testing is required, submit MECH-4A & MECH-4-HERS No ❑ ❑ Economizer No Economizer ❑ ❑ Thermostat Setback Required ❑ ❑ Fan Control Constant Volume ❑ ❑ E ui ment2 Inspection Criteria FIELD INSPECTION ENERGY CHECKLIST Pass Fail — Describe Reason Item or System Tags i.e. AC-1, RTU-1, HP-1 (E)RTU-4 ❑ ❑ Equipment T e3: Packaged DX ❑ ❑ Number of Systems 1 ❑ ❑ Max Allowed Heating Capacity' 56,200 Btu/hr ❑ ❑ Minimum Heating Efficiency' 7.60 HSPF ❑ ❑ Max Allowed Cooling Capacity' 61,000 Btu/hr ❑ ❑ Cooling Efficiency' 11.9 SEER/ 11.0 EER ❑ ❑ Duct Location/ R-Value Conditioned / 0.0 ❑ ❑ When duct testing is required, submit MECH-4A & MECH-4-HERS No ❑ ❑ Economizer No Economizer ❑ ❑ Thermostat Setback Required ❑ ❑ Fan Control Constant Volume ❑ ❑ 1. If the Actual installed equipment performance efficiency and capacity is less than the Proposed (from the energy compliance submittal or from the building plans) the responsible party shall resubmit energy compliance to include the new changes. 2. For additional detailed discrepancy use Page 2 of the Inspection Checklist Form. Compliance fails if a Fail box is checked. 3. Indicate Equipment Type: Gas (Pkg or, Split), VAV, HP (Pkg or split), Hydronic, PTAC, or other. JEnergyPro5.1byEnergySoft User Number: 2729 RunCode: 2012-06-26T18:47:31 ID: 66612 Pae 18 of 44 CERTIFICATE OF COMPLIANCE and (Part 1 of 4) MECH-1 C FIELD INSPECTION ENERGY CHECKLIST Project Name VCA All Creatures Animal Hospital Date 6/26/2012 Project Address 78265 California 111 La Quinta Climate Zone 15 Total Cond. Floor Area 7,027 Addition Floor Area 0 GENERAL INFORMATION Building Type: 0 Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room ❑ Schools (Public School) ❑ Relocatable Public School Bldg. 0 Conditioned Spaces ❑ Unconditioned Spaces affidavit Phase of Construction: ❑ New Construction ❑ Addition , 0 Alteration Approach of Compliance: ❑ Component ❑ Overall Envelope TDV ❑ Unconditioned (file affidavit) Energy Front Orientation: N, E, S, W or in Degrees: I 135 deg HVAC SYSTEM DETAILS FIELD INSPECTION ENERGY CHECKLIST E ui ment2 Inspection Criteria Meets Criteria or Requirements Pass Fail — Describe Reason Item or System Tags i.e. AC -1, RTU -1, HP -1 (N)RTU-5 ❑ ❑ Equipment T e3: Packaged DX ❑ ❑ Number of Systems 1 ❑ ❑ Max Allowed Heating Capacity' 100,000 Btu/hr ❑ ❑ Minimum Heating Efficiency' 3.40 COP ❑ ❑ Max Allowed Cooling Capacity' 100,000 Btu/hr ❑ ❑ Cooling Efficiency' 12.0 EER ❑ ❑ Duct Location/ R -Value Conditioned / 0.0 ❑ ❑ When duct testing is required, submit MECH-4A & MECH-4-HERS No [3 ❑ Economizer No Economizer ❑ ❑ Thermostat Setback Required ❑ ❑ Fan Control Constant Volume ❑ ❑ E ui ment2 Inspection Criteria FIELD INSPECTION ENERGY CHECKLIST Pass Fail — Describe Reason Item or System Tags i.e. AC -1, RTU -1, HP -1 (N)RTU-6 ❑ ❑ Equipment T e3: Packaged DX ❑ ❑ Number of S stems 1 ❑ ❑ Max Allowed Heating Capacity' 55,000 Btu/hr ❑ ❑ Minimum Heating Efficiency' 8.20 HSPF ❑ ❑ Max Allowed Cooling Capacity' 58,500 Btu/hr ❑ ❑ Cooling Efficiency' 15.0 SEER / 12.5 EER ❑ ❑ Duct Location/ R -Value Conditioned / 0.0 ❑ ❑ When duct testing is required, submit MECH-4A & MECH-4-HERS NO ❑ ❑ Economizer No Economizer ❑ ❑ Thermostat Setback Required ❑ ❑ Fan Control Constant Volume ❑ ❑ 1. If the Actual installed equipment performance efficiency and capacity is less than the Proposed (from the energy compliance submittal or from the building plans) the responsible party shall resubmit energy compliance to include the new changes. 2. For additional detailed discrepancy use Page 2 of the Inspection Checklist Form. Compliance fails if a Fail box is checked. 3. Indicate Equipment Type: Gas (Pkg or, Split), VAV, HP (Pkg or split), Hydronic, PTAC, or other. EnergyPro 5.1 by Ener Soft User Number: 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Pae 19 of 44 CERTIFICATE OF COMPLIANCE and (Part 1 of 4) MECH-1 C FIELD INSPECTION ENERGY CHECKLIST Project Name VCA All Creatures Animal Hospital Date 6/26/2012 Project Address 78265 California 111 La Quinta Climate Zone 15 Total Cond. Floor Area 7,027 Addition Floor Area 0 GENERAL INFORMATION Building T e: 0 Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room ❑ Schools (Public School) ❑ Relocatable Public School Bldg. 0 Conditioned Spaces ❑ Unconditioned Spaces affidavit Phase of Construction: ❑ New Construction ❑ Addition 0 Alteration Approach of Compliance: ❑ Component ❑ Overall Envelope TDV ❑ Unconditioned (file affidavit) Energy Front Orientation: N, E, S, W or in Degrees: 135 deg HVAC SYSTEM DETAILS FIELD INSPECTION ENERGY CHECKLIST E ui ment2 Inspection Criteria Meets Criteria or Requirements Pass Fail — Describe Reason Item or System Tags i.e. AC -1, RTU -1, HP -1 AC -1 ❑ ❑ Equipment T e3: Split DX ❑ ❑ Number of Systems 1 ❑ ❑ Max Allowed Heating Capacity' 0 Btu/hr ❑ ❑ Minimum Heating Efficiency' n/a ❑ ❑ Max Allowed Cooling, Caacit ' 18,000 Btu/hr ❑ ❑ Cooling Efficiency' 15.3 SEER / 8.0 EER ❑ ❑ Duct Location/ R -Value n/a ❑ ❑ When duct testing is required, submit MECH-4A & MECH-4-HERS No ❑ ❑ Economizer No Economizer ❑ ❑ Thermostat Setback Required ❑ ❑ Fan Control Constant Volume ❑ ❑ E ui ment2 Inspection Criteria FIELD INSPECTION ENERGY CHECKLIST Pass Fail — Describe Reason Item or System Tags i.e. AC -1, RTU -1, HP -1 AC -2 ❑ ❑ Equipment T e3: Split DX ❑ ❑ Number of Systems 1 ❑ ❑ Max Allowed Heating Capacity' 0 Btu/hr ❑ ❑ Minimum Heating Efficiency' n/a ❑ ❑ Max Allowed Cooling Capacity' 18,000 Btu/hr ❑ ❑ Cooling Efficiency' 15.3 SEER / 8.0 EER ❑ ❑ Duct Location/ R -Value n/a ❑ ❑ When duct testing is required, submit & MECH-4-HERS No 13 13MECH-4A Economizer No Economizer ❑ ❑ Thermostat Setback Required. ❑ ❑ Fan Control Constant Volume ❑ ❑ 1. If the Actual installed equipment performance efficiency and capacity is less than the Proposed (from the energy compliance submittal or from the building plans) the responsible party shall resubmit energy compliance to include the new changes. 2. For additional detailed discrepancy use Page 2 of the Inspection Checklist Form. Compliance fails if a Fail box is checked. 3. Indicate Equipment Type: Gas (Pkg or, Split), VAV, HP (Pkg or split), Hydronic, PTAC, or other. Ener Pro 5.1 by Ener Soft User Number: 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Page 20 of 44 CERTIFICATE OF COMPLIANCE and (Part 2 of 4) MECH-1 C FIELD INSPECTION ENERGY CHECKLIST Project Name Date VCA All Creatures Animal Hospital 6/26/2012 I EnergyPro 5.1 by EnergySoft User Number: 2729 RunCode: 2012-06-26T18:47:31 ID: 66612 Page 21 of 44 CERTIFICATE OF COMPLIANCE and FIELD INSPECTION ENERGY CHECKLIST (Part 3 of 4) . MECH-1 C Project Name Date VCA All Creatures Animal Hospital 6/26/2012 Required Acceptance Tests 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 applicable boxes by all acceptance tests that apply and listed 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. The NA number designates the Section in the Appendix of the Nonresidential Reference Appendices Manual that 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. Building Departments: Systems Acceptance: Before 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. Systems Acceptance: Before occupancy permit is granted. All newly installed HVAC equipment must be tested using the Acceptance Requirements. The MECH-1 C form is not considered a completed form and is not to be accepted by the building department unless the correct boxes are checked. The equipment requiring testing, person performing the test (Example: HVAC installer, TAB contractor, controls contractor, PE in charge of project) and what Acceptance test must be conducted. The following checked -off forms are required for ALL newly installed equipment. In addition a Certificate of Acceptance forms shall be submitted to the building department that certifies plans, specifications, installation, certificates, and operating and maintenance information meet the requirements of §10-103(b) and Title -24 Part 6. The building inspector must receive the properly filled out and signed forms before the building can receive final occupancy. TEST DESCRIPTION MECH-2A MECH-3A MECH-4A MECH-5A MECH-6A MECH-7A MECH-8A MECH-9A MECH-10A MECH-11A Hydronic Outdoor Constant Demand Supply System Automatic Ventilation Volume & Air Control Supply Valve Water Variable Demand For Single -Zone Distribution Economizer Ventilation Fan Leakage Temp. Flow Shed Equipment Re uirin Testing or Verification Qty. VAV & CAV Unitary Ducts Controls DCV VAV Test Reset Control Control Carrier 50HCQD08-5/6 1 0 .0 ❑ ❑ ❑ ❑ ❑ ❑ ❑ 0 Mitsubishi PUY-Al2NHA + PKA-A 12 1 0 0 ❑ ❑ ❑ 1 ❑ ❑ ❑ ❑ ❑ Carrier 50HCQD09-5/6 1 0 0 ❑ ❑ ❑ ❑ ❑ ❑ ❑ 0 Carrier 50HCQA06-3/5/6 1 ® 0 ❑ ❑ ❑ ❑ ❑ ❑ ❑ 0 Mitsubishi PUY-A18NHA + PKA-A 18 2 0 0 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Ener Pro 5.1 by EnerqySoft User Number: 2729 RunCode: 2012-06-26718:47.31 ID: 66612 Page 22 of 44 CERTIFICATE OF COMPLIANCE and FIELD INSPECTION ENERGY CHECKLIST (Part 4 of 4) MECH-1 C Project Name VCA All Creatures Animal Hospital Date 6/26/2012 TEST DESCRIPTION MECH-12A MECH-13A MECH-14A MECH-15A Equipment Re uirin Testing Qty. Fault Detection & Diagnostics for DX Units Automatic Fault Detection & Diagnostics for Air & Zone Distributed Energy Storage DX AC Systems Thermal Energy Storage (TES) Systems Test Performed By: Carrier 50HCQD08-5/6 1 ❑ ❑ ❑ ❑ Mitsubishi PUY-Al2NHA + PKA Al2 1 ❑ ❑ ❑ ❑ Carrier 50HCQD09-5/6 1 ❑ ❑ ❑ ❑ Carrier 50HCQA06-3/5/6 1 ❑ ❑ ❑ ❑ Mitsubishi PUY-A18NHA + PKA-A18 2 ❑ ❑ ❑ ❑ ❑ ❑ ' ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Ener Pro 5.1 by Ener Soft User Number- 2729 RunCode: 2012-06-26T18:47:31 ID: 66612 Page 23 of 44 LIGHTING CONTROLS CREDIT WORKSHEET (Part 1 of 2) LTG -2C Project Name VCA All Creatures Animal Hospital Date 6/26/2012 POWER ADJUSTMENT FACTORS (PAF) FOR NON -DAYLIGHT CONTROLS A Separate PAF Worksheet Must Be Filled Out for Conditioned and Unconditioned Spaces. Control Credits listed on this schedule are only for: 2 CONDITIONED SPACES ❑ UNCONDITIONED SPACES A B C D E F G Room # Zone ID Areas Lighting Control Description' Plan Reference Room Area (ft) Watts of Control Lighting Power Adjustments Factor' Control Credit Watts E x F 121,131,135-138 Occ Sensor- Multi -Level R2 1,002 216 0.20 43 121,131,135-138 OccSensor -Multi-Level R3 1,002 216 0.20 43 103,123-126,132,1 Occ Sensor - Multi -Level R2 1,137 108 0.20 22 105-118 Occ Sensor- Multi -Level R2 1,458 216 0.20 43 105-118 Dimming - Manual D2 1,458 54 0.10 5 143-144, 146-147 Occ Sensor - Storage F1 596 62 0.15 9 143-144, 146-147 Occ Sensor - Multi -Level R2 596 270 0.20 54 148 Occ Sensor - Storage R3 74 108 0.15 16 PAGE TOTAL 236 Note: Building total of non -daylight control credit watts for all pages of LTG -2C Pae 1 of 2 Conditioned and • Unconditioned Enter building total of all daylight controls credit watts from LTG -2C Page 2 of 2 0 Space shall be separately totaled BUILDING TOTAL OF ALL CONTROL CREDIT WATTS (FOR BOTH NON -DAYLIGHT AND DAYLIGHT CONTROL CREDITS) Enter in LTG -1 C; Page 4: Lighting Control Credit as appropriate for CONDITIONED or UNCONDITIONED Spaces 236 1. Description shall be consistent with Type of Control defined in Table 146-C 2. Power Adjustment Factor taken from Table 146-C Ener Pro 5.1 by EnergySoft User Number. 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Page 24 of 44 AIR SYSTEM REQUIREMENTS VCA All Creatures Animal Hospital Item or System Tags i.e. AC -1, RTU -1, HP -1 Number of Svstems MANDATORY MEASURES Heating Equipment Efficiency Cooling Equipment Efficiency HVAC Heat Pump Thermostat Furnace ControlsfThermostat Natural Ventilation Mechanical Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Location/ R -value PRESCRIPTIVE MEASURES Calculated Design Heating Load Proposed Heating Capacity Calculated Design Cooling Load Proposed Cooling Capacity Fan Control DP Sensor Location Supply Pressure Reset (DDC only) Simultaneous Heat/Cool Economizer Heat Air Supply Reset Cool Air Supply Reset Electric Resistance Heating' Air Cooled Chiller Limitation Duct Leakage Sealing. If Yes, a MECH-4-A must be submitted Indicate Air Indicate P; T-24 Sections 112(a) 112(a) 112(b), 112(c) 112(c), 115(a) 121(b) 121(b) 121(c) 121(c) 122(e) 122(e) 122(f) 122(8) 123 124 144(a & 144a& 144a& 144a& 144(c) 144(c) 144(c) 144(d) 144(e) 144(6 Part 1 of 2 Single Zone. Pac (N)RTU-1 (E)RTU-2 1 1 Reference on Plans or Schedule and indicate the 3.50 COP 12.1 EER Yes n/a No 900 cfm No No Programmable Switch Setback Required Auto n/a Hot Water Conditioned / 0.0 n/a 52,464 Btu/hr n/a 84,850 Btu/hr Constant Volume n/a No No No Economizer Constant Temp Constant Temp 7.60 HSPF 11.9 SEER / 11.0 EER Yes n/a No 500 cfm No No Programmable Switch Setback Required Auto n/a Hot Water Conditioned / 0.0 n/a 35,101 Btu/hr n/a 56,577 Btu/hr Constant Volume n/a No No No Economizer Constant Temp Constant Temp ► MECH-2C Date 6/26/2012 VAV, or etc...) (E)RTU-3 1 7.60 HSPF 11.9 SEER/ 11.0 EER Yes n/a No 500 cfm No No Programmable Switch Setback Required Auto n/a Hot Water Conditioned / 0.0 n/a 35,101 Btu/hr n/a 56,577 Btu/hr Constant Volume n/a No No No Economizer Constant Temp Constant Temp 144(i) 144(k) I No I No I No 11'. Total installed capacity (MBtu/hr) of all electric heat on this project exclusive of electric auxiliary heat for heat pumps. If electric heat is used explain which exception(s) to §144(g) apply. I EnergyPro 5.1 by EnergySoft User Number. 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Page 25 of 44 AIR SYSTEM REQUIREMENTS Project Name VCA All Creatures Animal Hospital Item or System Tags i.e. AC -1, RTU -1, HP -1 Number of Systems MANDATORY MEASURES Heating Equipment Efficiency Cooling Equipment Efficiency HVAC Heat Pump Thermostat Furnace Controls/Thermostat Natural Ventilation Mechanical Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Location/ R -value PRESCRIPTIVE MEASURES Calculated Design Heating Load Proposed Heating Capacity Calculated Design Cooling Load Proposed Cooling Capacity Fan Control DP Sensor Location Supply Pressure Reset (DDC only) Simultaneous Heat/Cool Economizer Heat Air Supply Reset Cool Air Supply Reset Electric Resistance Heating' Air Cooled Chiller Limitation Duct Leakage Sealing. If Yes, a MECH-4-A must be submitted Part 1 of Indicate Air S stems Tvoe (Central Single Zone Packag Indicate P� T-24 Sections 112(a) 112(a) 112(b), 112(c) 112(c), 115(a) 121(b) 121(b) 121(c) 121(c) 122(e) 122(e) 122(f) 122(8) 123 124 144a& 144a& 144(a & 144a& 144(c) 144(c) 144(c) 144(4) 144(e) 144(f) 144(f) 144 144(1) AC -3 (E)RTU-4 1 1 Reference on Plans or Schedule and indicate the n/a 15.2 SEER / 10.1 EER n/a n/a No 0 cfm No No Programmable Switch Setback Required Auto n/a Hot Watei/Refrigerant n/a n/a 0 Btu/hr n/a 9,508 Btu/hr Constant Volume n/a No No No Economizer Constant Temp Constant Temp 7.60 HSPF 11.9 SEER / 11.0 EER Yes n/a No 500 cfm No No Programmable Switch Setback Required Auto n/a Hot Water Conditioned / 0.0 n/a 35,101 Btu/hr n/a 56,685 Btu/hr Constant Volume n/a No No No Economizer Constant Temp Constant Temp MECH-2C 1 6/26/2012 VAV, or etc...) (N)RTU-5 1 3.40 COP 12.0 EER Yes n/a No 1,100 cfm No No Programmable Switch Setback Required Auto n/a Hot Water Conditioned / 0.0 n/a 62,457 Btu/hr n/a 95,384 Btu/hr Constant Volume n/a No No No Economizer Constant Temp Constant Temp 144(k) I No I No I No 11. Total installed capacity (MBtu/hr) of all electric heat on this project exclusive of electric auxiliary heat for heat pumps. If electric heat is used explain which exception(s) to §144(g) apply. EnergyPro 5.1 by EnergySoft User Number: 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Page 26 of 44 M AIR SYSTEM REQUIREMENTS (Part 1 of 2 Project Name VCA All Creatures Animal Hospital Indicate Air S stems Type Central, Single Zone Package. Item or System Tags (i.e. AC -1, RTU -1, HP -1) Number of Svstems MANDATORY MEASURES Heating Equipment Efficiency Cooling Equipment Efficiency HVAC.Heat Pump Thermostat Furnace Controlsffhermostat Natural Ventilation Mechanical Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Location/ R -value PRESCRIPTIVE MEASURES Calculated Design Heating Load Proposed Heating Capacity Calculated Design Cooling Load Proposed Cooling Capacity Fan Control DP Sensor Location Supply Pressure Reset (DDC only) Simultaneous HeaVCool Economizer Heat Air Supply Reset Cool Air Supply Reset Electric Resistance Heating' Air Cooled Chiller Limitation Duct Leakage Sealing. If Yes, a MECH-4-A must be submitted Indicate P. T-24 Sections 112 a 112 a 112(b), 112 c 112(c), 115(a) 121 b 121 b 121 c 121 c 1 22 e 122(e) 122(f) 122 123 124 I (N)RTU-6 AC -1 1 4 1 Reference on Plans or Schedule and indicate the 8.20 HSPF 15.0 SEER/ 12.5 EER Yes n/a No 700 cfm No No Programmable Switch Setback Required Auto n/a Hot Water Conditioned / 0.0 n/a 34,352 Btu/hr n/a 55,907 Btu/hr Constant Volume n/a No No No Economizer Constant Temp Constant Temp n/a 15.3 SEER/ 8.0 EER n/a n/a No 0 cfm No No Programmable Switch Setback Required Auto n/a Hot Water/Refrigerant n/a n/a 0 Btu/hr n/a 12,625 Btu/hr Constant Volume n/a No No No Economizer Constant Temp Constant Temp MECH-2C Date 6/26/2012 VAV, or etc...) AC -2 1 n/a 15.3 SEER/ 8.0 EER n/a n/a No 0 cfm No No Programmable Switch Setback Required Auto n/a Hot Water/Refrigerant n/a n/a 0 Btu/hr n/a 12,561 Btu/hr Constant Volume n/a No No No Economizer Constant Temp Constant Temp 1144(k) I No I No I No 11. Total installed capacity (MBtu/hr) of all electric heat on this project exclusive of electric auxiliary heat for heat pumps. If electric heat is used explain which exception(s) to §144(g) apply. I EnergyPro 5.1 by EriergySoft User Number: 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Page 27 of 44 WATER SIDE SYSTEM REQUIREMENTS Part 2 of 2 MECH-2C Project Name Date VCA All Creatures Animal Hospital 6/26/2012 WATER' SIDE SYSTEMS: Chillers, Towers, Boilers, H dronic Loops Item or System Tags (i.e. AC-1, RTU-1, HP-1)' Number of Systems Indicate Page Reference on Plans or Specification 2 MANDATORY MEASURES T-24 Sections Equipment Efficiency 112 a Pipe Insulation 123 PRESCRIPTIVE MEASURES Cooling Tower Fan Controls i44(a & b Cooling Tower Flow Controls 144(h) Variable Flow System Design 144(h) Chiller and Boiler Isolation 1440) CHW and HHW Reset Controls 1440) WLHP Isolation Valves 1440) VSD on CHW, CW & WLHP Pumps>5HP 144U) DP Sensor Location 1440) 1. The proposed equipment need to match the building plans schedule or specifications. If a requirement is not applicable, put "N/A" in the column next to applicable section. 2. For each chiller, cooling tower, boiler, and hydronic loop (or groups of similar equipment) fill in the reference to sheet number and/or specification section and paragraph number where the required features are documented. If a requirement is not applicable, put "N/A" in the column next to applicable section. Service Hot Water, Pool Heating Item or System Tags (i.e. WH-1, WHIP, DHW, etc...)' DHW Heater Number of Systems 1 IndicatePa a Reference on Plans or Schedule MANDATORY MEASURES T-24 Sections SERVICE HOT WATER Certified Water Heater 111, 113(a) tate Ind. CSB-120-30-SFE- Water Heater Efficiency 113(b) 100 Service Water Heating Installation 113(c) Controls Req. Pipe Insulation 123 Required POOL AND SPA Pool and Spa Efficiency and Control 114(a) n/a Pool and Spa Installation 114(b) n/a Pool Heater — No Pilot Light 115(c) n/a Spa Heater— No Pilot Light 115(d) n/a Pipe Insulation 1 123 n/a 1. The Proposed equipment needs to match the building plans schedule or specifications. If a requirement is not applicable, put "N/A" in the column next to applicable section. 2. For each water heater, pool heater and domestic water loop (or groups of similar equipment) 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/W in the 1 column. Ener Pro 5.1 by Ener Soft User Number. 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Page 28 of 44 MECHANICAL VENTILATION AND REHEAT MECH-3C Project Name VCA All Creatures Animal Hospital Date 6/26/2012 MECHANICAL VENTILATION 121 b 2 REHEAT LIMITATION (§144(d)) AREA BASIS OCCUPANCY BASIS VAV MINIMUM A B C D E F G H I J K L M N Zone/System Condition Area ft2 CFM per ft2 Min CFM By Area B X C Number Of People CFM per Person Min CFM by Occupant E X F REQ'D V.A. Max of D or G Design Ventilation Air CFM 50% of Design Zone Supply CFM B X 0.4 CFM / ft2 Max. of Columns H, J, K, 300 CFM Design Minimum Air Setpoint Transfer Air RTU -1 1,178 0.15 177 15.0 60.0 900 9001 900 (N)RTU-1 Total 900 900 RTU -2 1,002 0.15 150 8.3 60.0 500 500 500 (E)RTU-2 Total 500 500 RTU -3 1,137 0.15 171 8.3 60.0 495 495 495 Med. Gas 30 0.15 5 0.3 15.0 5 5 5 (E)RTU-3 Total 500 500 AC -3 105 0.15 16 16 0 16 AC -3 Totall 16 0 RTU -4 1,458 0.15 219 16.7 30.0 500 500 500 (E)RTU-4 Total 500 500 RTU -5 1,112 0.15 167 12.2 90.0 1,100 1,100 1,100 (N)RTU-5 Total 1,100 1,100 RTU -6 596 0.15 89 7.7 90.0 696 696 696 (E)Phone 30 0.15 5 0.3 15.0 5 5 Totals Column I Total Design Ventilation Air C Minimum ventilation rate per Section 121, Table 121-A. E Based on fixed seat or the greater of the expected number of occupants and 50% of the CBC occupant load foregress purposes fors aces without fixed seating. H Required Ventilation Air REQ'D V.A. is the larger of the ventilation rates calculated on an AREA BASIS or OCCUPANCY BASIS Column D or G). I Must be greater than orequal to H, or use Transfer Air column N to make up the difference. J Design fan sup I CFM Fan CFM x 50%; or the design zone outdoor airflow rate per 121. K Condition area ft2 x 0.4 CFM / ft2; or L Maximum of Columns H, J, K, or 300 CFM M This must be less than orequal to Column L and greater than orequal to the sum of Columns H plus N. N Transfer Air must be provided where the Required Ventilation Air (Column H) is greater than the Design Minimum Air (Column M). Where required, transfer air must be greater than or equal to the difference between the Required Ventilation Air Column H and the Design Minimum Air Column M), Column H minus M. Ener Pro 5.1 by EnergySoft User Number. • 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Page 29 of 44 MECHANICAL VENTILATION AND REHEAT Project Name VCA All Creatures Animal Hospital MECHANICAL VENTILATION 121 b 2 AREA BASIS OCCUPAN( A B C D E F Condition CFM Min CFM Number CFM Area per By Area Of per Zone/Svstem (ft2) ft2 B X C People Perso AC -1 AC -1 AC -2 AC -2 741 0.151 1 0.1 Totals MECH-3C Date 6/26/2012 Column I Total Design Ventilation Air C Minimum ventilation rate per Section 121, Table 121-A. E Based on fixed seat or the greater of the expected number of occupants and 50% of the CBC occupant load foregress purposes fors aces without fixed seating. H Required Ventilation Air REQ'D V.A. is the larger of the ventilation rates calculated on an AREA BASIS or OCCUPANCY BASIS Column D or G). I Must be greater than orequal to H, or use Transfer Air column N to make up the difference. J Design fan supply CFM Fan CFM x 50%; or the design zone outdoor airflow rate per 121. K Condition area ft2 x 0.4 CFM / ft2; or L Maximum of Columns H, J, K, or 300 CFM M This must be less than orequal to Column L and greater than orequal to the sum of Columns H plus N. N Transfer Air must be provided where the Required Ventilation Air (Column H) is greater than the Design Minimum Air (Column M). Where required, transfer air must be greater than or equal to the difference between the Required Ventilation Air Column H and the Design Minimum Air Column M), Column H minus M. Ener Pro 5.1 by EnergySoft User Number: 2729 RunCode: 2012-06-26T18:47:31 ID: 66612 Page 30 of 44 REHEAT LIMITATION (§144(d)) BASIS VAV MINIMUM G H I J K L M N Min CFM by Occupant E X F REQ'D . V.A. Max of D or G Design Ventilation Air CFM 50% of Design Zone Supply CFM B X 0.4 CFM / ft2 Max. of Columns H, J, K, 300 CFM Design Minimum Air Setpoint Transfer Air Total 700 700 11 0 11 Total 11 0 46 01 46 Total 46 0 Column I Total Design Ventilation Air C Minimum ventilation rate per Section 121, Table 121-A. E Based on fixed seat or the greater of the expected number of occupants and 50% of the CBC occupant load foregress purposes fors aces without fixed seating. H Required Ventilation Air REQ'D V.A. is the larger of the ventilation rates calculated on an AREA BASIS or OCCUPANCY BASIS Column D or G). I Must be greater than orequal to H, or use Transfer Air column N to make up the difference. J Design fan supply CFM Fan CFM x 50%; or the design zone outdoor airflow rate per 121. K Condition area ft2 x 0.4 CFM / ft2; or L Maximum of Columns H, J, K, or 300 CFM M This must be less than orequal to Column L and greater than orequal to the sum of Columns H plus N. N Transfer Air must be provided where the Required Ventilation Air (Column H) is greater than the Design Minimum Air (Column M). Where required, transfer air must be greater than or equal to the difference between the Required Ventilation Air Column H and the Design Minimum Air Column M), Column H minus M. Ener Pro 5.1 by EnergySoft User Number: 2729 RunCode: 2012-06-26T18:47:31 ID: 66612 Page 30 of 44 MECHANICAL EQUIPMENT DETAILS Part 1 of 2 MECH-5C Project Name VCA All Creatures Animal Hospital Date L 6/26/2012 CHILLER AND TOWER SUMMARY PUMPS Equipment Name Type Ot . Efficiency Tons Ot . GPM BHP Pump Control DHW / BOILER SUMMARY System Name Type Distribution Ot . Rated Input Vol. (Gals). Energy Factor or RE Standby Loss Tank Ext. or Pilot R -Value Status State Ind. CSB -120 -30 -SFE -A Large Elec. RecirclTime+Temp 1 102,390 119 1.00 0.00% n/a New MULTI -FAMILY CENTRAL WATER HEATING DETAILS Hot Water Pump Hot Water Piping Length ft Control Ot . HP Type In Plenum Outside Buried I Add 'A" Insulation CENTRAL SYSTEM RATINGS HEATING COOLING System Name Type Ot . Output Aux. kW Efficiency Out ut Efficiency Status Carrier 50HCQD08-5/6 Packaged DX 1 84,000 0.0 3.50 COP 90,000 12.1 EER New Carrier 50HJQ006-3/5/6 Packaged DX 3 56,200 0.0 7.60 HSPF 61,000 11.9 SEER/ 11.0 EER Existing Mitsubishi PUY-Al2NHA + PKA-Al2 Split DX 1 0.0 n/a 12,000 15.2 SEER / 10.1 EER New Carrier 50HCOD09-5/6 Packaged DX 1 100,000 0.0 3.40 COP 100,000 12.0 EER New Carrier 50HCOA06-3/5/6 Packaged DX 1 55,000 0.0 8.20 HSPF 58,500 15.0 SEER / 12.5 EER New Mitsubishi PUY-A18NHA + PKA-A 18 Split DX 2 0.0 n/a 18,000 15.3 SEER / 8.0 EER New CENTRAL SYSTEM FAN SUMMARY SUPPLY FAN RETURN FAN System Name Fan Type Economizer Type CFM BHP CFM BHP Carrier 50HCQD08-5/6 Constant Volume No Economizer 2,650 1.02 none Carrier 50HJ0006-3/5/6 Constant Volume No Economizer 1,850 1.07 none Mitsubishi PUY-Al2NHA + PKA-Al2 Constant Volume No Economizer 425 0.05 none Carrier 50HCOD09-5/6 Constant Volume No Economizer 2,800 1.19 none Carrier 50HCQA06-3/5/6 Constant Volume No Economizer 1,750 1.35 none Mitsubishi PUY-A18NHA + PKA-A 18 Constant Volume No Economizer 425 0.05 none Ener Pro 5.1 by Ener Soft User Number. • 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Page 31 MECHANICAL EQUIPMENT DETAILS Part 2 of 2 MECH-5C Project Name VCA All Creatures Animal Hospital Date 6/26/2012 ZONE SYSTEM SUMMARY SYSTEM VAV Fan N ii V O w 0 Zone Name System Name Type city. HeatingCoolingRatio Min CFM Reheat Coil CFM BHP Outside Air 01 ❑ ❑ ❑ ❑ ❑ ❑ 0 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ .❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ EXHAUST FAN SUMMARY EXHAUST FAN EXHAUST FAN EXHAUST FAN Room Name Ot . CFM BHP Room Name Ot . CFM BHP Room Name Qty. CFM BHP 119,127-128 1.0 1,000 0.25 EnergyPro 5.1 by Ener Soft User Number: 2729 RunCode: 2012-06-26T18:47:31 ID: 66612 Page 32 of 44 ENVELOPE MANDATORY MEASURES: NONRESIDENTIAL ENV -MM Project Name Date VCA All Creatures Animal Hospital 6/26/2012 DESCRIPTION Building Envelope Measures: §118(a): 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. §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. §118(f): The opaque portions of framed demising walls in nonresidential buildings shall have insulation with an installed R -value of no less than R-13 between framing members. §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. Manufactured fenestration products and exterior doors shall have air infiltration rates not exceeding 0.3 cfm/ft.2 of §116(a) 1: window area, 0.3 cfm/ft.2 of door area for residential doors, 0.3 cfm/ft.2 of door area for nonresidential single doors (swinging and sliding), and 1.0 cfm/ft.2 for nonresidential double doors (swinging). §116(a) 2: Fenestration U -factor shall be rated in accordance with NFRC 100, or the applicable default U -factor. §116(a) 3: Fenestration SHGC shall be rated in accordance with NFRC 200, or NFRC 100 for site -built fenestration, or the applicable default SHGC. §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). i t Ener Pro 5.1 by Ener Soft User Number. 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Pa - e 33 of 44 LIGHTING MANDATORY MEASURES: NONRESIDENTIAL LTG -MM Project Name Date VCA All Creatures Animal Hospital 6/26/2012 Indoor Lighting Measures: §131(d): Shut-off Controls For every floor, all interior lighting systems shall be equipped with a separate automatic control to shut off the lighting. 1. This automatic control shall meet the requirements of Section 119 and may be an occupancy sensor, automatic time switch, or other device capable of automatically shutting off the lighting. 2 Override for Building Lighting Shut-off: The automatic building shut-off system is provided with a manual, accessible override switch in sight of the lights. The area of override is not to exceed 5,000 square feet. §119(h): Automatic Control Devices Certified: All automatic control devices specified are certified, all alternate equipment shall be certified and installed as directed by the manufacturer. §111: Fluorescent Ballast and Luminaires Certified: All fluorescent fixtures specified for the project are certified and listed in the Directory. All installed fixtures shall be certified. §131(a): Individual Room/Area Controls: Each room and area in this building is equipped with a separate switch or occupancy sensor device for each area with floor -to -ceiling walls. Uniform Reduction for Individual Rooms: All rooms and areas greater than 100 square feet and more than 0.8 watts §131(b): per square foot of lighting load shall be controlled with bi-level switching for uniform reduction of lighting within the room. Daylight Area Control: All rooms with windows and skylights that are greater than 250 square feet and that allow for ' §131(c): the effective use of daylight in the area shall have 50% of the lamps in each daylit area controlled by a separate switch; or the effective use of daylight cannot be accomplished because the windows are continuously shaded by a building on the adjacent lot. Diagram of shading during different times of the year is included on plans. §131(c): Display Lighting. Display lighting shall be separately switched on circuits that are 20 amps or less.6. Outdoor Lighting Measures: §130(c)1: Mandatory lighting power determination for medium base sockets without.permanently installed ballasts §132(a): All permanently installed luminaires with lamps rated over 100 Watts either have a lamp efficacy of at least 60 lumens per Watt or are controlled by a motion sensor. §132(b): All Luminaires with lamps rated greater than 175 Watts in hardscape area, including parking lots, building entrances, canopies, and all outdoor sales areas meet the Cutoff Requirements. §132(c)1: All permanently installed outdoor lighting meets the control requirements listed. §132(c): Building facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi -Level Lighting Requirements listed. Ener Pro 5.1 by Ener Soft User Number. 2729 RunCode: 2012-06-26718:47.31 ID: 66612 Page 34 of 44 MECHANICAL MANDATORY MEASURES: NONRESIDENTIAL MECH-MM Project Name Date VCA All Creatures Animal Hospital 6/26/2012 Equipment and System Efficiencies §111: Any appliance for which there is a California standard established in the Appliance Efficiency Regulations will comply with the applicable standard. §115(a): Fan type central furnaces shall not have a pilot light. §123: Piping, except that conveying fluids at temperatures between 60 and 105 degrees Fahrenheit, or within HVAC equipment, shall be insulated in accordance with Standards Section 123. §124: Air handling duct systems shall be installed and insulated in compliance with Sections 601, 602, 603, 604, and 605 of the CMC Standards. Controls §122(e): Each space conditioning system shall be installed with one of the following: 1 A. 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 1 B. An occupancy sensor to control the operating period of the system; or 1 C. A 4 -hour timer that can be manually operated to control the operating period of the system. 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. Each space conditioning system serving multiple zones with a combined conditioned floor area more than 25,000 §122(8)' 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(c): Thermostats shall have numeric setpoints in degrees Fahrenheit (F) and adjustable setpoint stops accessible only to authorized personnel. §122(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 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 §122(a&b): 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. 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): 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. Ventilation System Acceptance. Before an occupancy permit is granted for a newly constructed building or space, or a §121(f): new ventilating system serving a building or space is operated for normal use, all ventilation systems serving the building ors ace shall be certified as meeting the Acceptance Requirements for Code Compliance Service Water Heating Systems §113(c) Installation 3. Temperature controls for public lavatories. The controls shall limit the outlet Temperature to 110° F. 2 Circulating service water -heating systems shall have a control capable of automatically turning off the circulating pump when hot water is not required. Ener Pro 5.1 by Ener Soft User Number: 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Page 35 of 44 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name VCA All Creatures Animal Hospital Date 6/26/2012 System Name (N)RTU-1 Floor Area 1,178 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL COOLING CFM Sensible Total Room Loads 1,345 21,150 Return Vented Lighting 0 Return Air Ducts 634 Return Fan 0 Ventilation 900 36,196 Supply Fan 0 Supply Air Ducts 634 TOTAL SYSTEM LOAD 1 58,6151 PEAK COIL HTG. PEAK Heating System Latent CFM Sensible Output per System 84,000 1,598 490 14,003 Total Output (Btuh) 84,000 Output Btuh/s ft 71.3 420 Cooling System 0 Output per System 90,000 13,059 900 42,018 Total Output Btuh) 90,000 14,658 0 Total Output ons 7.5 420 Total Output (Btuh/s ft) 76.4 Total Output s ft/Ton 157.1 56,862 Air System CFM per System 2,650 HVAC EQUIPMENT SELECTION Airflow cfm 2,650 Carrier 50HCQD08-5/6 84,850 0 52,464 Airflow cfm/s ft) 2.25 Airflow cfm/Ton 353.3 Outside Air %) 34.0% Total Adjusted System Output (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK 84,850 0 52,464 Outside Air cfm/s ft) 0.76 Jan 1 AM Note: values above given at ARI conditions Jul 3 PM HEATING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Heating Peak) 26 OF Outside Air 900 cfm 70 OF 44 AK 55 OF 97 OF 97 OF CYC r-� Heating Coil Supply Fan 2,650 cfm97 °F ROOM 70 OF 4 COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak) 112/78°F Outside Air 900 cfm 74/63°F 87/69°F 59/58°F 59/58°F � Cooling Coil Supply Fan 59 / 58 OF 2,650 cfm - - 54.9 % ROOM 74/63°F EnergyPro 5.1 by EnergySoft User Number: 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Page 36 of 44 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name VCA All Creatures Animal Hospital Date 6/26/2012 System Name (E)RTU-2 Floor Area 1,002 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total Room Loads 878 Return Vented Lighting Return Air Ducts Return Fan Ventilation 500 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COOLING PEAK COIL HTG. PEAK Heating System Sensible I Latent CFM Sensible Output per System 56,200 13,696 888 346 9,493 Total Output Btuh 56,200 0 Output Btuh/s ft 56.1 685 475 Cooling System 0 0 Output per System 61,000 20,042 7,143 500 23,292 Total Output Btuh) 61,000 0 8,031 0 Total Output ons 5.1 685 475 Total Output Btuh/s ft 60.9 Total Output s ft/Ton 197.1 35,107 33,734 Air System CFM per System 1,850 HVAC EQUIPMENT SELECTION Airflow cfm 1,850 Carrier 50HJQ006-3/5/6 56,577 0 35,101 Airflow cfm/s ft 1.85 Airflow (cfmrron) 363.9 Outside Air(%)-27-0% Total Adjusted System Output (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK 1 56,577 0 35,101 Outside Air cfm/s ft 0.50 Note: values above given at ARI conditions Aug 3 PM Jan 1 AM HEATING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Heating Peak) 26 OF Outside Air 500 cfm 70 OF 58 OF 96 OF /�--� 96 OF Heating Coil Supply Fan 1,850 cfm 96 °F RO0M 70 OF COOLING SYSTEM PSYCHROMETICS (Airstream Temperatures at Time of Cooling Peak) 112/78°F Outside Air 500 cfm 74 /,63 °F. 85/68°F 59/58°F 59/58°F c c Cooling Coil Supply Fan 59 / 58 OF 1,850 cfm 55.1 % ROOM 74163 OF EnergyPro 5.1 by EnergySoft User Number: 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Page 37 of 44 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name VCA All Creatures Animal Hospital Date 6/26/2012 System Name (E)RTU-3 Floor Area 1,167 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total Room Loads 905 Return Vented Lighting Return Air Ducts Return Fan Ventilation 500 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COOLING PEAK COIL HTG. PEAK Heating System Sensible Latent CFM Sensible Output perSystem 56,200 14,102 911 226 6,214 Total Output Btuh 56,200 0 Output Btuh/s ft 48.2 705 311 Cooling System 0 0 Output perSystem 61,000 20,012 7,127 500 23,309 Total Output Btuh 61,000 0 705 1 35,524 8,038 0 Total Output ons) 5.1 311 Total Output Btuh/s ft 52.3 Total Output s ft/Ton 229.6 30,144 Air System CFM perSystem 1,850 HVAC EQUIPMENT SELECTION Airflow cfm 1,850 Carrier 50HJQ006-3/5/6 56,577 0 35,101 Airflow cfm/s ft 1.59 Airflow cfmr on) 363.9 Outside Air % 27.0 % Total Adjusted System Output (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK 56,577 0 35,101 Outside Air cfm/s ft) 0.43 Jan 1 AM Note: values above given at ARI conditions Jul 3 PM HEATING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Heating Peak) 26 OF Outside Air 500 cfm 70 OF 58 OF 96 OF /-� 96 OF Heating Coil Supply Fan 1,850 cfm 96 OF ROOM In 70 OF COOLING SYSTEM PSYCHROMETICS (Airstream Temperatures at Time of Cooling Peak) 112/78°F Outside Air 500 cfm 74/63°F 85/68°F 59/58°F 59/58°F c fns c Cooling Coil Supply Fan 59 / 58 OF 1,850 cfm 55.1 % ROOM 74/63°F EnergyPro 5.1 by EnergySoft User Number: 2729 RunCode: 2012-06-26T18:47:31 ID: 66612 Page 38 of 44 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name VCA All Creatures Animal. Hospital Date 6/26/2012 System Name AC -3 Floor Area 105 ENGINEERING, CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total Room Loads 49 Return Vented Lighting Return Air Ducts Return Fan Ventilation 0 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COOLING PEAK COIL HTG. PEAK Heating System Sensible Latent CFM Sensible Output per System 0 976 112 10 300 Total Output Btuh) 0 0 Output Btuh/s ft 0.0 49 15 Cooling System 0 0 Output per System 12,000 0 0 0 0 Total Output Btuh) 12,000 0 112 0 Total Output (Tons) 1.0 49 15 Total Output Btuh/s ft 114.3 Total Output s ft/Ton 105.0 1,073 330 Air System CFM per System 425 HVAC EQUIPMENT SELECTION Airflow cfm 425 Mitsubishi PUY-Al2NHA + PKA-Al2 9,508 589 0 Airflow cfm/s ft 4.05 Airflow cfm/Ton 425.0 Outside Air % 0-0% Total Adjusted System Output (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK 9,508 589 0 Outside Air cfm/s ft 0.00 Note: values above given at ARI conditions Jul 2 PM F Jan 1 AM HEATING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Heating Peak) 26 OF Outside Air Ar 0 cfm 70 OF 70 OF 97 OF 97 OF Heating Coil Supply Fan . 425 cfm 97 OF ROOM In 70 OF COOLING SYSTEM PSYCHROMETICS (Airstream Temperatures at Time of Cooling Peak) 111/78°F Outside AirAr 0 cfm 74/61°F 74/61°F 55/54°F 55/54°F c rn c Cooling Coil Supply Fan 55 / 54 OF 425 cfm 48.2% ROOM 74/61°F EnergyPro 5.1 by EnergySoft User Number: 2729 RunCode: 2012-06-26T18:47:31 ID: 66612 Page 39 of 44 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name VCA All Creatures Animal Hospital Date 6/26/2012 System Name (E)RTU-4 Floor Area 1,458 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total Room Loads 1,002 Return Vented Lighting Return Air Ducts Return Fan Ventilation 500 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COOLING PEAK COIL HTG. PEAK Heating System Sensible Latent CFM Sensible Output per System 56,200 15,568 1,775 351 9,626 Total-Output (Btuh) 56,200 0 481 0 Output Btuh/s ft 38.5 778 Cooling System 0 Output per System 61,000 20,005 6,881F 500 23,277 Total Output Btuh 61,000 0 0 481 8,656 33,866 Total Output ons 5.1 778 Total Output Btuh/s ft) 41.8 Total Output s ft/Ton 286.8 37,131 Air System CFM per System 1,850 HVAC EQUIPMENT SELECTION Airflow cfm 1,850 Carrier 50HJQ006-3/5/6 56,685 0 35,101 Airflow cfm/s ft 1.27 Airflow cfmrron 363.9 Outside Air % 27-0% Total Adjusted System Output 56,685 (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK 0 Jul 3 PM 35,101 Outside Air cfm/s ft 0.34 Note: values above given at ARI conditions Jan 1 AM HEATING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Heating Peak) 26 OF Outside Air 500 cfm 70 OF 58 OF 96 OF 96 OF Heating Coil Supply Fan 96 OF 1,850 cfm ROOM 70 OF COOLING SYSTEM PSYCHROMETICS (Airstream Temperatures at Time of Cooling Peak) 112/78°F Outside Air 500 cfm 1 74/63°F 85/68°F 59/58°F 59/58°F Eli c Cooling Coil Supply Fan 59 / 58 OF 1,850 cfm 55.7% LRO'OM 74/63°F EnergyPro 5.1 by EnergySoft User Number: 2729 RunCode: 2012-06-26T18:47.31 ID: 66612 Page 40 of 44 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name VCA All Creatures Animal Hospital Date 6/26/2012 System Name (N)RTU-5 Floor Area 1,112 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total Room Loads 610 Return Vented Lighting Return Air Ducts Return Fan Ventilation 1,100 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COOLING PEAK COIL HTG. PEAK Heating System Sensible Latent CFM Sensible Output per System 100,000 9,673 1,301 138 3,951 Total Output Btuh 100,000 0 Output Btuh/s ft 89.9 290 119 Cooling System o 0 Output per System 100,000 44,361 16,406 1,100 51,451 Total Output (Btuh) 100,000 0 17,708 0 Total Output ons 8.3 290 119 Total Output Btuh/s ft 89.9 Total Output s ft/Ton 133.4 1 54,615 55,640 Air System CFM per System 2,800 HVAC EQUIPMENT SELECTION Airflow cfm 2,8001 Carrier 50HCQD09-5/6 95,384 0 62,457 Airflow (cfm/s ft) 2.52 Airflow cfm/Ton) 336.0 Outside Air %) 39.3% Total Adjusted System Output 1 95,384 01 (Adjusted for Peak Design conditions) I TIME OF SYSTEM PEAK Jul 3 PM 1 62,457 Jan 1 AM Outside Air cfm/s ft) 0.99 Note: values above given at ARI conditions HEATING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Heating Peak) 26 OF Outside Air 1,100 cfm 70 OF 53 OF 97 OF 97 OF Heating Coil Supply Fan 2,800 cfm 97 OF ROOM 70 OF COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak) 112/78°F Outside Air 1,100 cfm AL 74/63°F 89/69°F 59/57°F 59/57°F C C f [) r c Cooling Coil Supply Fan 59 / 57 OF 2,800 cfm 54.4% [Room 74/63°F EnergyPro 5.1 by EnergySoff User Number: 2729 RunCode: 2012-06-26T18:47:31 ID: 66612 Page 41 of 44 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name VCA All Creatures Animal Hospital Date 6/26/2012 System Name (N)RTU-6 Floor Area 626 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1. COIL CFM Total Room Loads 572 Return Vented Lighting Return Air Ducts Return Fan Ventilation 700 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COOLING PEAK COIL HTG. PEAK Heating System Sensible Latent CFM Sensible Output per System 55,000 9,041 855 203 5,826 Total Output Btuh 55,000 0 Output Btuh/s ft 87.9 271 175 Cooling System 0 0 Output per System ° 58,500 28,209 10,458 700 32,718 Total Output Btuh 58,500 0 271 1 37,792 11,313 0 Total Output (Tons) 4.9 175 Total Output Btuh/s ft 93.5 Total Output s ft/Ton 128.4 38,894 Air System CFM per System 1,750 HVAC EQUIPMENT SELECTION Airflow cfm 1,750 Carrier 50HCQA06-3/5/6 55,907 0 34,352 Airflow cfm/s ft) 2.80 Airflow cfmrron 359.0 Outside Air %) 40.0% Total Adjusted System Output (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK 55,907 0 34,352 I Jan 1 AM Outside Air cfm/s ft 1.12 Note: values above given at ARI conditions Jul 3 PM HEATING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Heating Peak) 26 OF Outside Air 700 cfm 70 OF 4 Mee - 52 OF 97 OF 97 OF Heating Coil Supply Fan o 1,750 cfm 97 F ROOM 70 OF COOLING SYSTEM PSYCHROMETICS (Airstream Temperatures at Time of Cooling Peak) 112/78°F Outside Air 700 cfm 74/63°F 89/69°F 59/57°F 59/57°F c t% c Cooling Coil Supply Fan 59 / 57 OF 1,750 cfm 54.4% ROOM 74/63°F EnergyPro 5.1 by EnergySoff User Number. • 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Page 42 of 44 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name VCA All Creatures Animal Hospital Date 6/26/2012 System Name AC -1 Floor Area 74 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total Room Loads 74 Return Vented Lighting Return Air Ducts Return Fan Ventilation 0 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COOLING PEAK COIL HTG. PEAK Heating System Sensible Latent CFM Sensible Output per System 0 1,488 79 51 1,443 Total Output (Btuh) 0 0 Output Btuh/s ft 0.0 74 72 Cooling System 0 0 Output per System 18,000 0 01 0 0 Total Output Btuh 18,000 0 791 0 Total Output ons 1.5 74 72 Total Output Btuh/s ft 243.2 - Total Output s ft/Ton 49.3 1,6371 1,587 Air System CFM per System 425 HVAC EQUIPMENT SELECTION Airflow cfm 425 Mitsubishi PUY-A18NHA + PKA-A18 12,625 2,517 0 Airflow cfm/s ft) 5.74 Airflow cfm/Ton 283.3 Outside Air %) 0.0%. Total Adjusted System Output (Adjusted for Peak Design conditions) I TIME OF SYSTEM PEAK 12,625 2,517 1 0 Jan 1 AM Outside Air cfm/s ft) 0.00 Note: values above given at ARI conditions Jul 4 PM HEATING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Heating Peak) 26 OF Outside Air 0 cfm 70 OF 70 OF 97 OF 97 OF & Heating Coil Supply Fan 425 cfm 97 OF ROOM 70 OF COOLING SYSTEM PSYCHROMETICS (Airstream Temperatures at Time of Cooling Peak) 111/78°F Outside Air 0 cfm 74/61 OF 74/61°F 55/54°F 55/54°F c Cooling Coil Supply Fan 55 / 54 OF 425 cfm -• - 48.1 % ROOM 74/61 OF EnergyPro 5.1 by EnergySoft User Number. 2729 RunCode: 2012-06-26T18:47:31 ID: 66612 Page 43 of 44 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name VCA All Creatures Animal Hospital Date 6/26/2012 System Name, AC -2 Floor Area 305 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL COOLING CFM Sensible Total Room Loads 236 4,649 Return Vented Lighting 0 Return Air Ducts 232 Return Fan 0 Ventilation 0 0 Supply Fan 0 Supply Air Ducts 232 TOTAL SYSTEM LOAD 1 5,114 PEAK COIL HTG. PEAK Heating System Latent CFM Sensible Output per System 0 325 101 2,859 Total Output (Btuh) 0 Output Btuh/s ft 0.0 143 Cooling System 0 Output per System 18,000 0 0 0 Total Output Btuh 18,000 325 0 Total Output ons 1.5 143 Total Output Btuh/s ft 59.0 Total Output s ft/Ton 203.3 3,144 Air System CFM per System 425 HVAC EQUIPMENT SELECTION Airflow cfm 425 Mitsubishi PUY-Al8NHA+'PKA-A18 12,561 2,575 0 Airflow (cfm/s ft) 1.39 Airflow cfm/Ton 283.3 0 Jan 1 AM Outside Air % 0.0% Total Adjusted System Output (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK 12,561 2,575 Outside Air cfm /s ft 0.00 Note: values above given at ARI conditions Jul 3 PM HEATING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Heating Peak) 26 OF Outside Air 0 cfm 70 OF 70 OF 97 OF /-� 97 OF Heating Coil Supply Fan 425 cfm 97 OF ROOM1" 70 °F --Efl 4 COOLING SYSTEM PSYCHROMETICS (Airstream Temperatures at Time of Cooling Peak) 112/78°F r Outside Air 0 cfm 75/62°F 75/62°F 55/54°F 55/54°F 0. c Cooling Coil Supply Fan 56 / 54 OF 425 cfm 48.8% ROOM 74/61 OF EnergyPro 5.1 by EnergySoft User Number: 2729 RunCode: 2012-06-26718:47:31 ID: 66612 Page 44 of 44 A�rTestkandBalance #Re+poxrt VCA All Creatures #372 Animal Hospital 78267 Hwy 111 La Qu i nta, CA 92253 /900. ENERGY DRIVEN SOLUTIONS INC: P. O. Box 6705 La Quinta, CA 92248 Phone: 760-541-9025 / Fax: 760-775-4723 NCI National Balancing Institute Certified Member 06-039-01 03292013A -N HVAC Air Test and Balance Report Date: March 29, 2013 Building: VCA All Creatures #372 Animal Hospital 78267 Hwy 111 La Quinta, CA 92253 For: - Dan Agema, Place Construction General Contractor This 24 page report is complete. It covers five 'new Carrier rooftop heat pumps, one existing Carrier rooftop heat pump, and seven new Greenheck exhausters. Diagnostic testing and adjusting was performed referencing DWG M1.2, M1.3, M1.5, M2.0, and M2.1 from Animal Arts and 2020 Engineering. The results of this diagnostic and air balance test are within acceptable limits, with the exception of RTU -4, the existing rooftop heat pump. Please refer to the enclosed report specific to.this unit. f Dave Bricker NBI Certified Testing Principal Energy Driven Solutions Inc. © 2013 EDS Inc. DATE March 29, 2013 HVAC Air Test and Balance Report TO VCA All Creatures #372 Animal Hospital 78267 Hwy 111 La Quinta, CA 92253 JOB NUMBER 03292013A -N U C N O � 04 4T 0 0 }� Q 1 V r- M m ceC) (n *k UxCo c J LL.2 0 _� N w O � L (D 0 mLOm Z O co L. C W 'nF1 06-0 9-01 ®moo HVAC SYSTEM REPORT DATE March 29, 2013 AIR HANDLER NAMEPLATE DATA MANUFACTURER Carrier PROJECT MODEL I50HCQD08A2A5A SUPPLY AIR CFM 2650 2628 VCA Animal Hospital SERIAL NUMBER 10213G40167 RETURN AIR CFM 1750 1754 #372 TYPE IHeat Pump OUTSIDE AIR *from dwg 900 874 HVAC Air Balance TONNAGE 17.5 FAN RPM 850 730 SYSTEM MOTOR NAMEPLATE DATA STATIC PRESSURE + 0.385"Wc MANUFACTURER Marathon STATIC PRESSURE- 0.820"wc VOLTS/PHASE I208-230/460/3 TOTAL STATIC PRESSURE 1.0"Wc 1.205"Wc RTU -1 HORSEPOWER INA Waiting FULL LOAD AMPS 15.6/2.8 RPM 11725 MOTOR PULLEY DATA MOTOR AMPS @ 208 VAC 5.6 3.8 READINGS DIAMETER 4" VOLTS 208 205 Dave Bricker SHAFT 15/8" HORSEPOWER NA N Bob Johnson ADJ/FIXED %d'ustable BELT NO. & SIZE %46 FAN PULLEY DATA JOB NUMBER DIAMETER 7-1/4" 03292013A SHAFT I1" ADJ/FIXED (Fixed CONDENSER NAMEPLATE DATA U MANUFACTURER NA FFA— _ oft MODEL INA AREA 12"x12" = 1 .0 s C/) SERIAL NUMBER INA AVERAGE VELOCITY FPM 874C 00 N N TONNAGE INA OSA CFM 874 O N r o 3 0 co CY) Outlet Required Final % of Room Code Size Test 1 Number Waiting S11 SAI 2x2l CFM 100 CFM�.siqn 109 1.09 (0o C •L 0 L- C w C3 X co LL o J LOM o o G °' v x � — 00 a z Waiting S2 SA 2x2 330 350 1.06 Waiting S3 SA 2x2 330336 1.02 Waiting S4SA 2x2 330 358 1.08 Waitingtf S5 SA 2x2 445 460 1.03 Waiting S6 SA 2x2 445 4751.07 WaitingS7 SA 2x2 445 432 0.97 WaitingS8 SA 2x2 100 108 1.08 Waiting R1 RA 2x2 NS 910 Actual Waiting R2 RA 2x2 NS 309 Actual Waiting R3 RA 2x2 NS 535 Actual 01 Bel, 44VY ERTI¢IED 06-0 9-01 *MINIMUM POSITION OUTSIDE AIR DAMPER SETTING o OSA velocity obtained from vane anemometer traverse readings. REMARKS NS = Not Shown on plan O�ffi$131'L�B�'� 2002 NCI @CONTENTS EDS 2013 HVAC SYSTEMREPORT P•R DATE March 29, 2013 AIR HANDLER NAMEPLATE DATA _ MANUFACTURER Carrier PROJECT MODEL ' I50HCQA06A2A5A SUPPLY AIR CFM 1970 1861 VCA Animal Hospital SERIAL NUMBER k4112C75640 RETURN AIR CFM 1470 1324 #372 TYPE Meat Pum OUTSIDE AIR 'from dwg 500 537 HVAC Air Balance TONNAGE IS FAN RPM NS 1252 MOTOR NAMEPLATE DATA STATIC PRESSURE + 0.908"wc SYSTEM MANUFACTURER Marathon STATIC PRESSURE - 0.651"wc VOLTS/PHASE 1208-230/460/3 TOTAL STATIC PRESSURE 1.0"wc 1.559"wc RTU -2 HORSEPOWER INA Dog/Exam FULL LOAD AMPS 16.8/3.4 RPM MOTOR PULLEY DATA READINGS DIAMETER Dave Bricker SHAFT Bob Johnson ADJ/FIXED %d ustable BELT NO. & SIZE %X43 FAN PULLEY DATA JOB NUMBER DIAMETER 5-3/4" 03292013B SHAFT I5/8" J ADJ/FIXED IFixed j CONDENSER NAMEPLATE DATA _ U MANUFACTURER NA • • �• �' MODEL INA AREA 9"x9"1144=0.56 s ft I) 00 SERIAL NUMBER INA AVERAGE VELOCITY FPM 959{ C rC14 N TONNAGE INA OSA CFM 537 0 rn ti v�cn � o Outlet ••• • • • O Cho Number CFM CFM • � cr`o Do /Exam S'lSA 2x2 100 165 109 1.09 Ci X Do /Exam S2 SA 2x2 175 167 0.95 C: m u- o Do /Exam S3 SA 2x2 110 178 118 1.07 J �, cu Do /Exam S4 SA 2x2 175 172 0.98 •L o o Dog/Exam S5 SA 2x2 325 286 308 0.95 Q co °' v Dog/Exam S6 SA 2x2 480 355 437 0.91 0 I — Dog/Exam S7 SA 2x2 305 267 278 0.91 0° o z Do /Exam S8 SA 2x2 300 252 272 0.91 O a-- Dog/Exam - — Do /Exam R1 RA 2x2 NS 280 Actual � Dog/Exam R2 RA 2x2 NS 714 Actual w Do /Exam R3 RA 2x2 NS 330 Actual *MINIMUM POSITION OUTSIDE AIR DAMPER SETTING OSA velocity obtained from vane anemometer traverse readings. ERilF1ED REMARKS Ob -0 -01 NS =Not Shown on plan ---�'- 2002 NCI ©CONTENTS EDS 2013 oma ge1�°'� 11725 • • TA AMPS @ 208 VAC 6.8 4.6 4-3/4" VOLTS 208 210 IS/8" HORSEPOWER NA NA AIR HANDLER NAMEPLATE DATA 2x2 MANUFACTURER Carrier _ A MODEL 150HCQA06A2A5A SUPPLY AIR CFM SERIAL NUMBER 13812C83670 RETURN AIR CFM TYPE IHeat Pump OUTSIDE AIR *from'dwg TONNAGE 15 FAN RPM MOTOR NAMEPLATE DATA STATIC PRESSURE + MANUFACTURER IMarathon ISTATIC PRESSURE - VOLTS/PHASE 1208-230/460/3 ITOTAL STATIC PRESSURE HORSEPOWER INA - 1?�1E FULL LOAD AMPS 16.8/3.4 i► RPM 11725 oz MOTOR PULLEY DATA AMPS @ 208 VAC DIAMETER 43%4" VOLTS SHAFT 15/8" HORSEPOWER ADJ/FIXED (Adjustable BELT NO. & SIZE IAX43 FAN PULLEY DATA DIAMETER 5-3/4" SHAFT 15/8" I ADJ/FIXED IFixed I CONDENSER NAMEPLATE DATA MANUFACTURER NA _ MODEL INA AREA SERIAL NUMBER INA AVERAGE VELOCITY FPM TONNAGE INA OSA CFM Offce/Wk Offce/Wk Offce/Wk Offce/Wk Offce/Wk Offce/Wk Offce/Wk Offce/Wk Offce/Wk 1 SAI 2x2 325 2 SA 2x2 140 3 SA 2x2 165 4 SA 2x2 165 5 SA 2x2 115 6 SA 2x2 135 7 SA 8"x8" 35 6 SA 2x2 75 9 SA 8"x8" 30 OffcefWkj S10 SA 8"x8" 30 Offce/Wk S11 SA 2x2 325 Offce/Wk R1 RA 10"x22" NS Offce/Wk R2 RA 10"x22" NS Offce/Wk R3 RA 2x2. NS Offce/Wk R4 RA 2x2 NS OffcefWkj R5 RA 2x2 NS :MINIMUM[POSITION [OUTSIDEIAIRIDAMPERISEVIN OSA velocity obtained from vane anemometer traverse readings. REMARKS NS = Not Shown on plan 2002 NCI ©CONTENTS EDS 2013 `W N 275 138 131 DATE March 29, 2013 IGN ACTUAL PROJECT 1540 1588 VCA Animal Hospital 1040 1075 #372 1500 111513 HVAC Air Balance NS 1252 1.0"wc I 1 SYSTEM RTU -3 Office/Work 6.8 5.1 READINGS 208 207 Dave Bricker NA N Bob Johnson JOB NUMBER 03292013C 151 180 179 125 144 38 80 33 33 331 206 147 248 335 139 9171 0. 1. 1. 1. 1. 1. 1.1 1.1 1.0 U C C: O N N CN r-_ �r--o M dc(00 " /0/ x 4t M C: M U-0 J P/� `W N .L - 1?�1E C) BTU i► xv_ oz O(0 � a " W Actual Actual' - VQ, . 06-03 -01 ®��tat AIR HANDLER NAMEPLATE DATA MANUFACTURER Carrier ::i= C MODEL ISOHJQ006-511- SUPPLY AIR CFM 17601 146 SERIAL NUMBER TYPE TONNAGE MOTOR NAMEPLATE MANUFACTURER VOLTS/PHASE 10902GIO277 RETURN AIR CFM 1260 BELT NO. & SIZE 1Heat Pum OUTSIDE AIR *from dwg 500 0.84 with the existing drive components FAN RPM NS d47 DATA STATIC PRESSURE + 1 General Contractor will advise if further 1.1 GE STATIC PRESSURE - CONDENSER NAMEPLATE 0.253"wc 1208-230/460/3 TOTAL STATIC PRESSURE 1.0"WC 1 1.403"WC HORSEPOWER INA FULL LOAD AMPS RPM MOTOR PULLEY DA DIAMETER SHAFT 15.812.6 MOTOR 11725 TA AMPS @ 208 VAC 5.8 3.7 3-1/4" VOLTS 208 207 15/8" HORSEPOWER NA N ADJ/FIXED %d'ustable Note: This existing equipment was not BELT NO. & SIZE %40 capable of delivering the specified CFM FAN PULLEY DATA 0.84 with the existing drive components DIAMETER 4-1/4" adjusted for maximum output. SHAFT 15/8" 1 General Contractor will advise if further ADJ/FIXED IFixed 1work is desired for this system. CONDENSER NAMEPLATE DATA 100 MANUFACTURER NA _ 4 MODEL ` INA AREA 9"x9"/144=0.56 s ft SERIAL NUMBER INA AVERAGE VELOCITY FPM 848 1 TONNAGE INA OSA CFM 475 Cat/Examl S1 SA 2x2 110 70 92 0.84 Cat/Exam S2 SA 2x2 225 108 154 0.68 Cat/Exam : S3 SA 2x2 100 56 99 0.99 Cat/Exam S4 SA 2x2 60 109 66 1.10 Cat/Exam S5 SA 2x2 135 69 87 0.64 Cat/Exam S6 SA 2x2l 60 94 64 1.07 Cat/Exam S7 SA 8"x8"I 135 84 122 0.90 Cat/Exam S8 SA 2x2 175 80 167 0.95 Cat/Exam S9 SA 2x2 170 134 154 0.91 Cat/Exam S10 SA 2x2 85 84 99 1.16 Cat/Exam S11 SA 2x2 85 0 60 0.71 Cat/Exam S12 SA 10"x22" 220 123 178 0.81 Cat/Exam S13 SA 10"x22" 200 87 120 0.60 Cat/Exam R1 RA 2x2 NS1 224 Actual Cat/Exam R2 RA 10"x22" NS 100 Actual Cat/Exam R3 RA 2x2 NS 178 Actual Cat/Exam R4 RAI 10"x22" NS 136 Actual CaVExam R5 RAI 2x2 NS 3491 Actual *MINIMUM POSITION OUTSIDE AIR DAMPER SETTING OSA velocity obtained from vane anemometer traverse readinas. S = Not Shown on plan. Unit electrical phasing incorrect upon initial inspection SA damper not present during initial inspection, but present during illowup inspection. Please see additional comments. 102 NCI @CONTENTS EDS 2013 DATE March 29, 2013 PROJECT VCA Animal Hospital #372 HVAC Air Balance SYSTEM RTU -4 Cat/Exam READINGS Dave Bricker Bob Johnson JOB NUMBER 03292013D U I` V) 00 N co C: 0) LO O CU U M 0 (0o o C3 � It LL O J C ca t� C) cc -:4) ' 1` L Q (O 1) N o It 0 Z a- 0 c i a N I` Li 614 AIR HANDLER NAMEPLATE DATA MANUFACTURER ICarrier MODEL %HCQD09 SERIAL NUMBER 1361OG20695 TYPE IHeat Pump TONNAGE 18.5 MOTOR NAMEPLATE DATA MANUFACTURER IMarathon VOLTS/PHASE 1208-230/46013 HORSEPOWER INA FULL LOAD AMPS 17.5/3.4 RPM 11725 MOTOR PULLEY DATA DIAMETER 3-3/4" SHAFT 13/4" ADJ/FIXED %d'ustable BELT NO. & SIZE %48 FAN PULLEY DATA Treatment DIAMETER 7-1/4" SHAFT 11" 1 ADJ/FIXED 1Fixed 1 1.00 CONDENSER NAMEPLATE DATA MANUFACTURER INA MODEL INA SERIAL NUMBER INA TONNAGE INA SUPPLY AIR CFM RETURN AIR CFM OUTSIDE AIR `from dwg FAN RPM STATIC PRESSURE + STATIC PRESSURE - TOTAL STATIC PRESSURE AMPS @ 208 VAC VOLTS HORSEPOWER AREA AVERAGE VELOCITY FPM OSA CFM 2625 1525 1100 871 0.41 .1"wcl 0.89 DATE March 29, 2013 PROJECT 2549 VCA Animal Hospital 1532 #372 1017 HVAC Air Balance SYSTEM . RTU -5 Treatment 7.514. READINGS 208 Dave Bricker NA Bob Johnson JOB NUMBER 03292013E 12"x12"=1 sgft� 10171 Treatmentl S1 SA 2x2 475 64 431 0.91 Treatment S2 SA 2x2 475 645 470 0.99 Treatment S3 SA 2x2 425 54 391 0.92 Treatment S4 SA 2x2 475 510 456 0.96 Treatment S5 SA 2x21 475 575 474 1.00 Treatment S6 SA 2x2 300 428 327 1.09 Treatment R1 RA 2x2 NS 608 Actual Treatment R2 RA 2x2 NS 706 Actual Treatment R3 RA 2x2 NS 218 Actual *MINIMUM POSITION OUTSIDE AIR DAMPER OSA velocity obtained from vane anemometer traverse i REMARKS NS = Not Shown on plan 2002 NCI ©CONTENTS EDS 2013 U N v "' O rn L6 .- =3 0 V � rn Cf) C6 c r` o C1 M *� ^C W J O LO CDCI- C � CP (0 a� 'IT L 0 ° O z . O(0 C a " W CERTIFIED 06 -ON -01 AIR HANDLER NAMEPLATE DATA MANUFACTURER Carrier MODEL I50HCQA06A2A5A SUPPLY AIR CFM 1850 SERIAL NUMBER TYPE TONNAGE MOTOR NAMEPLAT MANUFACTURER VOLTS/PHASE DATE March 29, 2013 PROJECT 2063 VCA Animal Hospital 1337 #372 726 HVAC Air Balance 13112C79566 RETURN AIR CFM 1150 FULL LOAD AMPS 1Heat Pum 15 OUTSIDE AIR *from dwg FAN RPM 700 1287 1244 E DATA STATIC PRESSURE + AMPS @ 208 VAC 0.997"WC Marathon STATIC PRESSURE - SHAFT 0.787"wc 1208-230/460/3 TOTAL STATIC PRESSURE 1.1"WC 1.784"Wc HORSEPOWER INA SA FULL LOAD AMPS 16.8/3.4 450 450 RPM 11725 S2 MOTOR PULLEY DATA AMPS @ 208 VAC DIAMETER 4-3/4" VOLTS SHAFT 15/8" HORSEPOWER ADJ/FIXED %d'ustable 565 BELT NO. & SIZE %X43 S4 FAN PULLEY DATA 2x2 220 DIAMETER 5-3/4" Break SHAFT 15/8" 1 ADJ/FIXED IFixed 1 CONDENSER NAMEPLATE DATA MANUFACTURER NA _ MODEL INA AREA SERIAL NUMBER INA AVERAGE VELOCITY FPM TONNAGE INA OSA CFM SYSTEM RTU -6 Break 6.8 4.6 READINGS t08 210 Dave Bricker NA N Bob Johnson JOB NUMBER 03292013F 9"x9"/144=0.56 sgftl 12971 Break S1 SA 2x2 NS 450 450 Actual Break S2 SA 2x2 400 438 1.10 Break S3 SA W. NS 565 Actual Break S4 SA 2x2 220 240 1.09 Break S5 SA 2x2 370 370 1.00 Break R1 RA 2x2 NS 673 Actual Break R2 RA 2x2 NS 277 Actual Break R3 RA 10"x22" NS 387 ed-+ilmi NIMUM POSITION OUTSIDE AIR DAMPER SETTING velocity obtained from vane anemometer traverse readings. MARKS = Not Shown on plan 2 NCI @CONTENTS EDS 2013 U C C °O vM O C14 C,4 C14 r— 0 0 U rM U Coo �10o C Cy m �* M� o • J LO L C) C14 C) C14 (0 T CD Xo V moz OCD C a " W ERTIFIED 06-03 -01 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 DATE March 29, 2013 PROJECT VCA Animal Hospital #327 HVAC Air Balance SYSTEM Exhaust Fan EF -1 Exam 1-4 READINGS Dave Bricker Bob Johnson SYSTEM REPORTHVAC EXHAUSTER NAMEPLATE DATA MANUFACTURER Greenheck MODEL ICUE-099-VG EXHAUST FAN CFM 780 818 SERIAL NUMBER 1130506601210 FAN RPM DD TYPE 1U blast Centrifu al STATIC PRESSURE 0.75"WC 0.382'WC I I MOTOR NAMEPLATE DATA MANUFACTURER Varigreen VOLTS/PHASE ' 1115/1 j HORSEPOWER 11/4 FULL LOAD AMPS I RPM MOTOR PULLEY DATA 1725 • • AMPS 5.g DIAMETER DD VOLTS 115 SHAFT IDD HORSEPOWER .25 ADJ/FIXED IDD MOTOR RPM DD DD BELT NO. & SIZE. IDD FAN PULLEY DATA JOB NUMBER DIAMETER DD 03292013G SHAFT IDD I ADJ/FIXED IDD I U C C: N N O �N� M O Outlet o .. VCM :ago Number Exam E1 EXH 22"x10" CFM CFM 215 308 230 Desiqn 1.07 U) •L c t o a m m LL o J �,Ca o o Exam E2 EXH 22"x10" 175 222 170 0.97 Exam E3 EXH 22"x10" 175 145 190 1.09 Exam E4 EXH 22"x10" 215 320 228 1.06 C) >, (0�U. xv_ m & Z O(o � w a " nFIED 06- 9-01 REMARKS DD = Direct Drive 2002 NCI ©CONTENTS EDS 2013 Tot DATE March 29, 2013 PROJECT VCA Animal Hospital #327 HVAC Air Balance SYSTEM Exhaust Fan EF -1 Exam 1-4 READINGS Dave Bricker Bob Johnson HAUSTER NAMEPLATE DATA MUFACTURER Greenheck )DEL ICUE-095-VG EXHAUST FAN CFM RIAL NUMBER 113050661210 FAN RPM PE 1Upblast Centrifuqal STATIC PRESSURE MOTOR NAMEPLATE DATA MANUFACTURER FVarigreen VOLTS/PHASE 1115/1 HORSEPOWER 1.17 FULL LOAD AMPS 13.1 RPM 1300-1750 MOTOR PULLEY DATA AMPS DIAMETER DD VOLTS SHAFT IDD HORSEPOWER ADJ/FIXED IDD MOTOR RPM BELT NO. & SIZE IDD FAN PULLEY DATA DIAMETER IDD SHAFT IDD 1 ADJ/FIXED IDD 1 Exam Ell EXH 22"x10"j NS Exam E21 EXH 22"x10" NS DD = Direct Drive NS = Not Shown on plan 2002 NCI ©CONTENTS EDS 2013 3.1 115 1/6 DD DATE March 29, 2013 PROJECT VCA Animal Hospital #327 HVAC Air Balance SYSTEM Exhaust Fan EF -2 Exam 5-6 READINGS JDave Bricker Bob Johnson JOB NUMBER 03292013H U C C IT 04 M p N� _ 0) 6 � =3 V ^M 0dao cto 3801 Actual a m 1301 Actual m U- 0 U �L � C W J }. ca LO Ct`V V C) ) xv_ m a m O�Z a " U HVAC SYSTEM P•R REPORT DATE March 29, 2013 EXHAUSTER NAMEPLATE DATA MANUFACTURER Greenheck PROJECT MODEL FC N CFM TIC. 970 976 VCA Animal Hospital SERIAL NUMBER 1130506621210 NS #327 TYPE 1U balst Centrifugal 1 SSURE S1E15. C HVAC Air Balance MOTOR NAMEPLATE DATA I SYSTEM MANUFACTURER Varigreen VOLTS/PHASE 1115/1 1 Exhaust Fan EF-3 HORSEPOWER 13/4 Dog Ward FULL LOAD AMPS 110.1 RPM 1300-1725 MOTOR I MOTOR PULLEY DATA AMPS 13.8 READINGS DIAMETER IDD VOLTS 115 Dave Bricker SHAFT IDD HORSEPOWER 3/4 dDD Bob Johnson ADJ/FIXED IDD MOTOR RPM DD BELT NO. & SIZE IDD FAN PULLEY DATA JOB NUMBER DIAMETER IDD 03292013J SHAFT IDD I ADJ/FIXED IDD I U C00 qT co p NI C%4 � tL') OutletRoom Code Size Testl 75 C6 C, 9 Number Dog Ward E1 EXH I 22"x10" CFM 230 540 CFM• 229 1.00 •L Q >, E Co Cy X m U- o J �, o o m °' U xv_ m a m OmZ Do Ward E2 EXH 22"x10" 230 510 235 1.02 Do Ward E3 EXH 22"x10'.' 230 470 240 1.04 Do Ward E4 EXH 22"x10" 230 600 225 0.98 Do Ward E5 EXH 22"x10" 50 84 47 0.94 � I` w a " 1a wj6w I.0 06-0 -01 REMARKS DD = Direct Drive 2002 NCI ©CONTENTS EDS 2013 L EXHAUSTER NAMEPLATE DATA MANUFACTURER Greenheck MODEL ICUE-141-VG-7-X 7EXHAUSTFAN CFMSERIAL NUMBER 1130506641210 TYPE 1U blast Centrifu al ESSURE .1 I MOTOR NAMEPLATE DATA MANUFACTURER Varigreen VOLTS/PHASE 1115/1 I HORSEPOWER 13/4 FULL LOAD AMPS 1 110.1 RPM 1300-1725 MOTOR PULLEY DATA DIAMETER IDD SHAFT IDD ADJ/FIXED IDD BELT NO. & SIZE IDD FAN PULLEY DATA 22"x10" DIAMETER IDD SHAFT IDD 1 ADJ/FIXED IDD 1 DATE OEM March 29, 2013 1ESIGN ACTUAL PROJECT 525 ]540 VCA Animal Hospital DD #327 1.15"wc 0.626 HVAC Air Balance SYSTEM Exhaust Fan EF -5 Cat Boarding AMPS 13.8 READINGS VOLTS 115 Dave Bricker HORSEPOWER 3/4 Bob Johnson MOTOR RPM DD d I I JOB NUMBER 03292013L Cat Bd'g I E1 EXH 22"x10" 100 see note Cat Bd'g E2 EXH 22"x10" 450 see note Cat Bd'g E4 EXH 22"x10" 265 418 285 1.08 Cat Bd' E5 EXH 22"x10" 260 278 255 0.98 RGIrIMRf��7 DD = Direct Drive Note: E1 and E2 not present. 2002 NCI ©CONTENTS EDS 2013 U C I C 00 q M C14 c,4 � Cd O U �M O dc,o U) c o * C a m : c CU U— ` J �L Q C)Nw O X Iq m O^Z O(0 � a LU EXHAUSTER NAMEPLATE DATA MANUFACTURER JGreenheck MODEL ICUE-101 HP -VG SERIAL NUMBER -1130506651210 TYPE IU blast Centrifugal MOTOR NAMEPLATE I DATA MANUFACTURER Varigreen VOLTS/PHASE 1115/1 HORSEPOWER I1/2 FULL LOAD AMPS k4.0 RPM 12500 MOTOR PULLEY DATA DIAMETER IDD SHAFT IDD ADJ/FIXED IDD BELT NO. & SIZE IDD FAN PULLEY DATA DIAMETER IDD SHAFT IDD j ADJ/FIXED IDD I EXHAUST FAN CFM FAN RPM STATIC PRESSURE VOLTS HORSEPOWER MOTOR RPM, DATE March 29, 2013 ESIGN ACTUAL PROJECT 660 dDD VCA Animal Hospital DD #327 1.15"wc 0.408 HVAC Air Balance SYSTEM Exhaust Fan EF -6 ISO/ICU 9.8 READINGS 115 Dave Bricker 1/2 Bob Johnson DD DD JOB NUMBER 03292013M O/ICU E1 EXH 22"x10" 180 223 192 L E2 EXH 22"x10" 240 308 .244 jinOO/ICU O/ICU E3 EXH 22"x10" 240 520 251 0 MARKS = Direct Drive 2 NCI ©CONTENTS EDS 2013 U C C: O N N 04rl-� = O U rM 6(0q U) E- no dX N U- O ^` W J - M �� O CDT U it xv_ OD o O(0 N a " C W 4y IN HVAC SYSTEM P•R REPORT DATE March 29, 2013 EXHAUSTER NAMEPLATE DATA MANUFACTURER GreenheckW-1 To PROJECT MODEL ICSP-A290 EXHAUST FAN CFM 25 27 VCA Animal Hospital SERIAL NUMBER INA FAN RPM DD DD #327 TYPE Online STATIC PRESSURE 0.45"wc 0.121"wc HVAC Air Balance MOTOR NAMEPLATE DATA SYSTEM MANUFACTURER INA VOLTS/PHASE INA I Exhaust Fan EF -7 HORSEPOWER INA Medical Gas Room FULL LOAD AMPS INA RPM INA MOTOR PULLEY DATA MOTOR AMPS 0.7 READINGS DIAMETER DD VOLTS 115 Dave Bricker SHAFT IDD HORSEPOWER NS N Bob Johnson ADJ/FIXED IDD MOTOR RPM DD DD BELT NO. & SIZE IDD PULLEY DATA JOB NUMBER IFAN DIAMETER IDD 03292013N SHAFT IDD I ADJ/FIXED IDD j 00 04 040 C (6;o r- (n Outlet Room Code Size Number Required Testl Final CFIVI % of 75 U M aT a b Gas Rm LV -1 EXH CFM 25 27 Desiqn 1.08 C: sto a X* co Cc U- o J M ,L Op m0)U %� 2) oLO — moz O co w S a TIRE® 06-0 -01- REMARKS 002 NCI @CONTENTS EDS 2013 �� Arr REFRIGERATI UNITE DE REF U.N.2, IMPORTANT �cTnlCtil lT1 I I iGS ra ! naq 01 Ia Y fI A Y lgftlgn �uBI. hn ,1agla Ii g I tag 0 tie �s n lull told t p phaaa wheret 7 }}�1 V a US P,.-- by N sa B Y w—, F eWpy! U�tl '. a;tlp W rad I- I 9MC (IBa4j LISTED INSTALLATION - M,- onrvecling el,e4leal peer IM, len, do nm r,a6kt rn�iar mOv,ma:t I., poaawa Paver I t ''e ball of wheel ad;uatmen:. - Ventilator f.XSSLEt47i _ Md,nt Milo the 1 'nu,t moving pan at leaet 5655E BB 12,61)1b.11 door. or Brad, leve;. Not , q I,a0 an root rtea vanummra cr dcci --oo v,mnmae provided »nn ha" 'a:da. _asse7e f00fID I MARK ter'_ yV, in k opri - 7 3` 709 ::aecmca! owar to rll this tan, do not restrict mG<c ov;ar/tent for p0s5ilyie power future belt or wheel adjuslrnent. p!oca' VetltilatOt' 565L CAUTION _ Mount with the lowest moving part at least 8ft (2.5m) above floor or grade level. Not required on roof mounted ventilators or duct mounted ventilators' -provided with belt guards, 456678 1� � HEC ASSEM4s o+NusA ";"MODEL Ar S/N p MARK 0308 0288 1 2087230 1 60 1 9 31/30 85145 7 30730' "` 72 ECTRICAL DATA FOR ACCESSORY POWER EXHAUST MODEL INSTALLED COM80TION WITH ELECTRICAL HEATER MODEL CRheAr6R Z 20813 Ga 1361 - 4E148__ 240 156 50160 I- 1 _ _ 861188 B 2081360 219/ �lb2 SS'S9 A�03d 240 253 60170 7 1- 19d7197 AT ii 72778 L708/0 Ell 3341 68)74 0 240 38.5 205!211 _� l 85/g.1 ._ ® "' TL 395 9NY. r.1. _ 72 FOR INSTALLATION ON COMBUSTIBLE FLOORING OR CLASS A,O, OR C ROOFING MATERIAL F'T jl— �Y62/300 1028 2087360 Y3 6( 46%- a0/ T-437 9t - I 240 156 46 50 L *' 1049 / 3 60 71 q 561 _ 40 T 60 57 119 1058 20813 � 4/ 7P% 707 _ 66'�� 20 _ 240 36 5 T7 BO / 0� 72 _ 20 E r �E F E 1048+1048 208/y 60 4381 505 92 337U39 i81 P� [ c e c r Z40 , 100 _ 86 27' 1040+10SA ^208/3 552 981 100 t` -i- 039 91! td( Eli 108 110 tai_ 2N i _ f� sFFn COP F55 n 17.1 �15- ^ I I L Sp000 L 16 .1 77 WED -. •.,, au Tdleo for at le' • ._'vu, t'or su'". DI L�a71 GY est 90°C (te4° ELEC�rRICAL-lf fan motor is tiQLthermally protrctod, � INSTAL ®TIAat _ F). ' f' �-"'�ot re hct connecting eleotncal power, remote overload protection must be Installed having this fan, do n adequate rating as to voltage, frequency, horse motor movement for p - power, and fsOWer future belt or wheel adjustment. full load current per phase. Where connected to a circuli _ Ventilator protected by fuses, use time delay fuses. For suppty _ ^ 5�5L CAUTION —Mount with the lowest rnovfn connection nee wires rated for at toast 90°C (f 0+°F). O�OWOU 8ft (2.5m) above floor or grade level. Not req pard onlr' ° INSTALLATION — When connecting electrical power to Q W mounted ventilators or duct mounted ventilators r this fan, do not restrict motor movement for possible with belt guards. P ovided future belt or wheel adjustment. 456878 �f9H— Mount with the lowest moving part. at least Bit (2.5m) above floor or grade level. Not required on roof mounted ventilators or duct mounted ventilators provided with belt guards.4S£E78 `j�dnQ ?� -ASsE(,tgED IN USA , . HECK .EaR . 4 ,'kiwi• 2. uiL "uxYO.1Na�'i:o:x+n .'.n.w$MMrIV.Wfrt .. Jbi ECTRICALDIDremote ovaria Del adequate rating (CBG) ry 1 �p LElull load currei Y a7protected by connection use eapprovat IICTCB 3 <_. z4 IN. TALL PN: 4iesna ■ pi's ,e �fi ; '�' •�:� ^�, irl` It thy'!+' 1U f (_� rt !Y # �{..'!'r"t. `.4i�1.r ,�+ ! ,r,�. ', '�i;1 1' it � ,. r ` r [ a f r ,�� {� �.4 +. .�. �_� ..�,_-�..—_...._.�___.�.._ .._-._�... __, _. _ __.�..� ,_... _,.._.....�.__ _.__ _,. �..-...�.. �.-�__.._. _ —_.___ate: _-•_.• _ ___—_—___...�_.�. _.�._�..�,�_.-_. _. i...r__v. ._�. _ $a Ort y � - Dave Bricker Has successfully completed the required training and passed ' t the written exam by the _ Olt k to perform HVAC light commercial system balancing up to 25 tons, according to NCI practical standards and procedures. Certified Since tAinfo February 22, 2006 as administered and recognized by , pC Certified �� T AirBalancer wwC11 i Cert # 06-039-01 Y E Expires: 02/28'15 Tr ne► Eandbrt Insulate, InL Rob Falke, t �� President ► -- CERTIFICATE OF CALIBRATION TSI Incorporated, 500 Cardigan Road, Shoreview, MN 55126 USA TELA -800-874-2811 1-651490-2811 FAx:1-651-490-3824 www.tsi.com TEMPERATURE 73.2 OF RELATIVE HUMIDITY 50.9 % RH BAROMETRIC PRESSURE 28.9 in.Hg of reading + 5.0 cfm) SUPPLY DATA RETURN DATA CALIBRATION STANDARD USED Capture Hood Calibration System l MODEL ACCUBALANCO 8371 SERIAL No. 56090454 ❑ As LEFT ® IN TOLERANCE ® A3 FOUND p OUT OF TOLERANCE * Indicates out of tolerance condition Standard Conditions: Arribient Temperature= 21.1 °C, Barometric Pressure = 760.0 mmHg ' TSllncorporated does hereby certify. that the above described instrument conforms. to the original manufacturer's specifications (not applicable to As Found data) and has been calibrated using standards whose accuracies are traceable to the National Institute of Standards and Technology within the limitations of MST's calibration services or have been derived from accepted values of natural physical constants or have been derived by.the ratio type ofself calibration techniques. The calibration ratio for this instrument is at least 2.5.1. TSIs calibration system meets ISO -9001:2000 and complies with ISO 10012.2003, Quality Assurance Requirements for Measuring Equipment This report may not be reproduced, except in full, unless permission for the publication of an approved abstract is obtained in writing from the calibration organization issuing this report �i Measurement Variable System ID Number Date Last Calibrated Calibration Due Date DC Voltage E001573 06-24-09 06-24-10 ' Thermometer E002044' 07-20-09 01-20-10 Pressure E001554 06-18-09 12-18-09 A Pressure E001555 06-18-09 12-18-09 r' �,. Calibration procedure used: 9010526B ' Aug. 24 2009 Calibrated By Calibration Date W 0 c� CALIBRATION DATA TEST POINTS, AIR VOLUME MEASURED IN ft3/min Tolerance: t(5% of reading + 5.0 cfm) SUPPLY DATA RETURN DATA CALIBRATION INSTRUMENT STANDARD OUTPUT ALLOWABLE RANGE CALIBRATION INSTRUMENT ALLOWABLE STANDARD OUTPUT RANGE 1 35.6 33 2942 34.5 33 28-41 2 3 59.6 56' 52.68 59.7 56 52-68 4 149.6 144 137-162 150.4 144 138-163 5 — 6 7` 8 .798.2 803 753-843 801.8 802 757-847 9 10 1489.1 1491 1410-1569 1501.3 1463 1421-1581 * Indicates out of tolerance condition Standard Conditions: Arribient Temperature= 21.1 °C, Barometric Pressure = 760.0 mmHg ' TSllncorporated does hereby certify. that the above described instrument conforms. to the original manufacturer's specifications (not applicable to As Found data) and has been calibrated using standards whose accuracies are traceable to the National Institute of Standards and Technology within the limitations of MST's calibration services or have been derived from accepted values of natural physical constants or have been derived by.the ratio type ofself calibration techniques. The calibration ratio for this instrument is at least 2.5.1. TSIs calibration system meets ISO -9001:2000 and complies with ISO 10012.2003, Quality Assurance Requirements for Measuring Equipment This report may not be reproduced, except in full, unless permission for the publication of an approved abstract is obtained in writing from the calibration organization issuing this report �i Measurement Variable System ID Number Date Last Calibrated Calibration Due Date DC Voltage E001573 06-24-09 06-24-10 ' Thermometer E002044' 07-20-09 01-20-10 Pressure E001554 06-18-09 12-18-09 A Pressure E001555 06-18-09 12-18-09 r' �,. Calibration procedure used: 9010526B ' Aug. 24 2009 Calibrated By Calibration Date W 0 c� CERTIFICATE OF CALIBRATION TSI Incorporated,' 00 Cardigan Road, Shoreview, MN 55126 USA TEL:1-800-874-2811 1-651490-2811 FAX: 1-651490-3824 www.tsi.com TEMPERATURE 73.6 OF RELATIVE HUMIDITY 50:9 % RH BAROMETRIC PRESSURE 28.9 in.Hg INSTRUMENT OUTPUT ALLOWABLE .RANGE 1 MODEL ACCUBALANCO AIR VOLUME MEASURED IN W/min Tolerance: t(S% of reading + 5.0 cfm) . 8371 SERIAL No. 56090454 CALIBRATION STANDARD USED ® AS LEFT ® IN TOLERANCE Capture Hood-Calibration'System 1 ❑ As FOUND ❑ OUT OF TOLERANCE CALIBRATION DATA TEST POINTS, AIR VOLUME MEASURED IN W/min Tolerance: t(S% of reading + 5.0 cfm) . SUPPLY DATA RETURN DATA CALIBRATION STANDARD INSTRUMENT OUTPUT ALLOWABLE RANGE CALIBRATION STANDARD INSTRUMENT OUTPUT ALLOWABLE .RANGE 1 34.4 34 28-41 34.0 34 27-01 2 44.6 43 37-52 44.6 43 3752 3 69.4. 69 61-78 69.2 68 61-78 4 119.6 121 109-131 119.7 118 109-131 5 230.6 229 214-247 227.6 228 211-244 6 327.1 325 306-348 328.0 328 307-349 T. 546.5' .. 547 514-579 550.6 554 518-583 8 797.1 791 752-842 799.2 799 754-844 .9 1100.2 1109 1040-1160 1106.5 1104 1046-1167 10 1494.0 1492 1414-1574 1495.4 1496 1416-1575 inatcates out of tolerance condition Standard Conditions: Ambient Temperature = 21.1 °C, Barometric Pressure = 760.0 mmHg TSI Incorporated does hereby certify that the above described instrument conforms to the original manufacturer's specifications ( not applicable to As Found data) and has been calibrated using standards whose accuracies are traceable to the National Institute of Standards and Technology within the limitations ofNIST's calibration services or have been derived from accepted values of natural physical constants or have been derived by the ratio type of self calibration techniques. The calibration ratio for this instrument is at least 2.5:1. TSI's calibration system meets ISO -9001:2000 and complies with ISO 10012:2003, Quality Assurance Requirements for . Measuring Equipment This report may not be reproduced, except in full, unless permission for the publication of an approved abstract is obtained in writing from the calibration organization issuing this report. Measurement Variable, System ID Number Date Last Calibrated Calibration Due Date DC,Voltage E001573 06-24-09 06-24-10 Thermometer E002044 07-20-09 01-20-10 Pressure E001554 06-18-09 12-18-09 Pressure E001555 06-18-09 12-18-09 Calibration procedure used: 9010526B Calibrated By Aug. 24, 2009 Calibration Date W 0 c� 5 0 1�eo I a0 CERTIFICATE OF CALIBRATION TSI Incorporated, Alnor Products, 500 Cardigan Road, Shoreview, MN 55126 USA TEL:1-800-874-2811 1-651-490-2811 FAxi 1-651-490-3824 www.ainor.com ' +E ' & ENVIRONMENT CONDITION MODEL EBT"" Micromanometer EBT -720 TEMPERATURE 21.8 C C RELATIVE HUMIDITY .52.0 %RH SERIAL NO. 90650001 ALLOWABLE RANGE 1 675 674 BAROMETRIC PRESSURE 977 hPa CALIBRATION STANDARDS USED. ® AS LEFT ® IN TOLERANCE Manometer, Calibration Bench I ❑ AS FOUND OUT OF TOLERANCE I Indicates out of tolerance condition Recomiriended Next'Calibration Date: TS/ Incorporated does hereby certify that the above described instrument conforms to the original manufacturer's specifications (not applicable to.As Found data) and has been calibrated using standards whose accuracies are traceable to the National Institute of Standards and•Technologp within the limitations of NIST's calibration services or have been derived fiom accepted values of natural ° s physical constants or have been derived by the ratio type of self calibration techniques. The calibration ratio for this instrument is at least 6.7:1 for barometric pressure and 3:1 for differential pressure. TSI's calibration system meets ISO -9001:2000 and complies with ISO 10012:2003, Quality Assurance Requirements for Measuring Equipment This report may not be reproduced, except in full, unless ' permission for the publication of an approved abstract is obtained in writing from the calibration organization issuing this report. Measurement Variable System ID Number Date Last Calibrated Calibration Due Date ' DC Voltage EO02798 01-08-09 01-08-10 DC Voltage E002797 01-08-09 01-08-10 Pressure E002173 07-06-09 01-06-10 A Pressure E062447 07-07-09 07-07-10 r , Calibration rocedure used: 90. 1158A Aug. 24, 2009 0 C I rated By Calibration Date a.=.ttt CALIBRATION DATA TESTINGBAROMETRIC POINTS PRESSURE MEASURED IN hPa DIFFERENTIAL PRESSURE MEASURED IN Pa CALIBRATION INSTRUMENT ALLOWABLE CALIBRATION STANDARD OUTPUT RANGE STANDARD INSTRUMENT OUTPUT ALLOWABLE RANGE 1 675 674 662-689 24.0 24.0 23.3-24.7 2 977 977 957-997 120 120 117-123 3 1170, 1169 1147-1193 712 712 698-726 4 - 2989 2989 2929'- 3049 5 3761 3761 3686 -3836 TESTING POINTS TEMPERATURE MEASURED IN °C HUMIDITY MEASURED IN %RH CALIBRATION INSTRUMENT ALLOWABLE CALIBRATION INSTRUMENT STANDARD OUTPUT RANGE STANDARD OUTPUT ALLOWABLE RANGE 1 -38.9 -38.9 =38.3 -39.4 71.4 71.5 71.3-71.5 2 A5.0 15.0 -14.8--15.2 5.6 5.6 5.5-5.7 3 25.0 25.0 24.0-25.1 4 70.0 70.0 69.9-70.1 5 110.0 110.0 109.8 -110.2 Indicates out of tolerance condition Recomiriended Next'Calibration Date: TS/ Incorporated does hereby certify that the above described instrument conforms to the original manufacturer's specifications (not applicable to.As Found data) and has been calibrated using standards whose accuracies are traceable to the National Institute of Standards and•Technologp within the limitations of NIST's calibration services or have been derived fiom accepted values of natural ° s physical constants or have been derived by the ratio type of self calibration techniques. The calibration ratio for this instrument is at least 6.7:1 for barometric pressure and 3:1 for differential pressure. TSI's calibration system meets ISO -9001:2000 and complies with ISO 10012:2003, Quality Assurance Requirements for Measuring Equipment This report may not be reproduced, except in full, unless ' permission for the publication of an approved abstract is obtained in writing from the calibration organization issuing this report. Measurement Variable System ID Number Date Last Calibrated Calibration Due Date ' DC Voltage EO02798 01-08-09 01-08-10 DC Voltage E002797 01-08-09 01-08-10 Pressure E002173 07-06-09 01-06-10 A Pressure E062447 07-07-09 07-07-10 r , Calibration rocedure used: 90. 1158A Aug. 24, 2009 0 C I rated By Calibration Date a.=.ttt ;.r t�♦gt_'�y �.. It'�r, `� t��'�.t' _."�' ' �i ,.. I [� � l I T{ fr � J,# r � �t h.l��l irr n {3��U j�{Yjll �I` �.irt�t tttl,-,-..,w j r a (y7(�y��j r':• tE w+. ,s t �jj�r TL / 1,.. 4 �•n-�..--f� �4�. T�-+f . ./:.. �7'�.,-�' ...�v� /n ��I r`�� 4 yy-� �•':rh - �%• C �C � sl S--' � J� t1 i-4�( / U g J y/'��I?(.! )` �lttl .�f �" �"' Ll I^F J a1r�CERTIFICATE OF CALIBRATION TSI'Incorporated, Alnor Products, 500 Cardigan Road, Shoreview, MN 55126 USA II I I , ' 1sT a. 1 ENVIRONMENT CONDITION. CALIBRATION DATA MODEL EBT` Micromanometer EBT -720 TEMPERATURE 71.3 -F RELATIVE HUMIDITY 52.0 % RH DIFFERENTIAL PRESSURE MEASURED IN in.H2O CALIBRATION STANDARD INSTRUMENT ALLOWABLE CALIBRATION OUTPUT RANGE STANDARD INSTRUMENT ALLOWABLE OUTPUT RANGE 1 19.93 19.91 19.54 - 20.32 SERIAL NO. 90650001 0.094'- 0.098 2 28.86 'BAROMETRIC PRESSURE 28.86 inH 28.29 - 29.43 0.483 0.483 E ALIBRATION STANDARDS USED ® AS LEFT ®IN TOLERANCE Manometer. Calibration Bench 1 []As FOUND ❑ OUT OF TOLERANCE Recommended Next Calibration Date: Indicates out of tolerance condition TSI Incorporated does hereby certify that the above described instrument conforms to the original manufacturer's specifications ( not ' applicable to As Found data)' and has been calibrated using standards whose accuracies are traceable to the National Institute of Standards and Technology within the limitations of NIST's calibration services or have been derived from accepted values of natural % t physical constants or have been derived by the ratio type of self calibration techniques. The calibration ratio for this instrument is at ' least 6.7:,1 for barometric pressure and 3:1 for differential pressure- TSI's calibration system meets ISO -9001:2000 and complies with ISO 10012:2003, Quality Assurance Requirements for Measuring Equipment This report may not be reproduced, except in full, unless permission for the publication of an approved abstract is, obtained in writing from the calibration organization issuing this report Measurement Variable System ID Number Date Last Calibrated Calibration Due Date ' DC Voltage E002798 01-08-09 01-08-10 DC Voltage E002797 01-08-09 01-08-10 Pressure E002173 07-06-09 01-06-10 ` Pressure 8002447 07-07-09 07-07-10 Calibration procedure used: 9011158A Calib d By Aug. 24, 2009 Calibration Date CALIBRATION DATA TESTING, POINTS BAROMETRIC PRESSURE MEASURED IN in.Hg. DIFFERENTIAL PRESSURE MEASURED IN in.H2O CALIBRATION STANDARD INSTRUMENT ALLOWABLE CALIBRATION OUTPUT RANGE STANDARD INSTRUMENT ALLOWABLE OUTPUT RANGE 1 19.93 19.91 19.54 - 20.32 0.096 0.097 0.094'- 0.098 2 28.86 28.86 28.29 - 29.43 0.483 0.483 .0.473 - 0.493 3 34.54 34.53 33.85 - 35.23 2.86 2.86 2.81-2.91 4 12.0 12.0 11.8 -12.2 5 15.1 15.1 14.8-15.4 TESTING POINTS' TEMPERATURE MEASURED IN OF HUMIDITY MEASURED IN %RH CALIBRATION INSTRUMENT STANDARD OUTPUT ALLOWABLE CALIBRATION INSTRUMENT RANGE STANDARD OUTPUT ALLOWABLE RANGE 1 -38.0 -3.8.0 37.0 - -39.0 71.4 71.5 71.3-71.5 2 5.0 5.0 4.7-5.3 5.6 5:6 5.5-5.7 3 77.0 77.0 76.8-77.2 4 158.0 158.0 157.8 -158.2 5 230.0 230.0 229.7 - 230.3 Recommended Next Calibration Date: Indicates out of tolerance condition TSI Incorporated does hereby certify that the above described instrument conforms to the original manufacturer's specifications ( not ' applicable to As Found data)' and has been calibrated using standards whose accuracies are traceable to the National Institute of Standards and Technology within the limitations of NIST's calibration services or have been derived from accepted values of natural % t physical constants or have been derived by the ratio type of self calibration techniques. The calibration ratio for this instrument is at ' least 6.7:,1 for barometric pressure and 3:1 for differential pressure- TSI's calibration system meets ISO -9001:2000 and complies with ISO 10012:2003, Quality Assurance Requirements for Measuring Equipment This report may not be reproduced, except in full, unless permission for the publication of an approved abstract is, obtained in writing from the calibration organization issuing this report Measurement Variable System ID Number Date Last Calibrated Calibration Due Date ' DC Voltage E002798 01-08-09 01-08-10 DC Voltage E002797 01-08-09 01-08-10 Pressure E002173 07-06-09 01-06-10 ` Pressure 8002447 07-07-09 07-07-10 Calibration procedure used: 9011158A Calib d By Aug. 24, 2009 Calibration Date 1. The'published accuracy specifications for the DG700 gauge Is +/-1.0% of reading, or .15 Pa (whichever is greater). The calibration Interval for this gauge is 12 months. This calibrationis NIST traceable. 2. The manufacturer's reference for the purpose of accuracy assurance Is a Mensor Series 6100 Digital Pressure Transducer. SM: 590145 Calibration Date: March 27, 2012 5 The ENERGY Gauge # 4640.7 CONSERVATORY Positive Polarity Standard Channel A %Difference Channel B % Difference DIAGNOSTIC TOOLS TO MEASURE BUILDING PERFORMANCE 25.7 Pa Digital Gauge Calibration Certificate 25.7 Calibration Facility: 2801 21st.Ave. S., Minneapolis, MN 55407 Model: DG700 Calibration Date: December17, 2012 Serial #: 4640-7 Customer #: IN3676 Temperature (F): 72.0 Certificate #: DG700-4640=12-17-12 Firmware Version: 7 Calibration Data (After Recalibration) -0.1% 1. The'published accuracy specifications for the DG700 gauge Is +/-1.0% of reading, or .15 Pa (whichever is greater). The calibration Interval for this gauge is 12 months. This calibrationis NIST traceable. 2. The manufacturer's reference for the purpose of accuracy assurance Is a Mensor Series 6100 Digital Pressure Transducer. SM: 590145 Calibration Date: March 27, 2012 Gauge # 4640.7 Gauge # 4640.7 Positive Polarity Standard Channel A %Difference Channel B % Difference 25.7 Pa 25.7 Pa 0.0% 25.7 0.0% 39.8 39.9 0.3% 39.9 0.3% 60.7 60.6 -0.2% 60.7 0.0% 90.2 90.1 -0.1% 90.1 -0.1% 126.1 125.9 -0.2% 126.0 -0.1% 181.4 181.4. 0.0% 181.4 0.0% 301.1 300.8 -0,1% 301.0 0.0%. 502.6 502.0 -0.1% 502.4 0.0% 962.7 962.5 0.0% 962.6 0.0% 1222.4 1222.2 0.0% 1222.3 0.0% Calibration Calibration 1.022192 0.992999 -1.858E-06 -3.015E-06 1.723E-09 2.425E-09 Negative Polarity -25.7 Pa -25.7 Pa 0.0% -25.7 0.0% -39.8 -39.9 0.3% -39.8 0.0% -60.7 -60.7 0.0% -60.6 -0.2% -90.2 -90.0 -0.2% -90:1 -0.1% -126.2 -126.0 -0.2% -126.0 -0.2% -181.4 -181.2 -0.1% -181.2 -0.1% -301.2 -301.2 0.0% -301.1 0.0% -503.5' -503.7 0.0% -503.7 0.0% -963.5 -963.3 0.0% - -963.7 0.0% -1221.9 -1220.1 -0.1% -1220:7 -0.1% Calibration Calibration 1.022049. 0.991694 -9.985E-06 -1.180E-05 -7.742E-10 -1.292E-09 1. The'published accuracy specifications for the DG700 gauge Is +/-1.0% of reading, or .15 Pa (whichever is greater). The calibration Interval for this gauge is 12 months. This calibrationis NIST traceable. 2. The manufacturer's reference for the purpose of accuracy assurance Is a Mensor Series 6100 Digital Pressure Transducer. SM: 590145 Calibration Date: March 27, 2012