Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
BCOM2014-1033
-i 78-495 CALLE TAMPIC8 LA QUINTA, CALIFORNIA 92253 Application Number: BCOM2014-1033 Property Address: 78370 HIGHWAY 111 260 APN: 604050068 Application Description: COMMERICALT.I. Property Zoning: Application Valuation: $37,000.00 Applicant: ULTRA CONSTR & DEVELOPMENT INC 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 � Ce, 0 D VOICE (760) 777-7125 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT , Date: 11/14/2014 Owner: POINT HAPPY REALTY 8665 WILSHIRE BLV STE 410 BEVERLY HILLS, CA 92253 CtN OF lA QEN�DEPARSMENT ntY DENELOPM LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr a 'ons Code, and my License is in full force and effect. License Class License No.::LIC- 0 8 Date: ontractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3' of the Business and Professions Code) or that he or she is exempt therefrom and the' I basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for if permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Lender's Contractor: ULTRA CONSTR & DEVELOPMENT INC 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 (760)320-2110 LIC. No.: :LIC -0002478 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy Number: _ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with t ose p visions. Date: Applicant: J / �1✓�C�,Dd WARNING: FAILU E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official 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 corr I agree to comply with all city and county ordinances and state laws relatin� to b 'din construction, and hereby authorize representatives of this city to nter up above mentione rope y for inspection p ses. Date Sig ure (Applicant or Agent FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 PAID BY METHOD.- RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, ADDITIONAL 101-0000-42403 0 $43.56 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, ADDITIONAL PC 101-0000-42600 0 $10.80 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SERVICES 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SERVICES PC 101-0000-42403 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $138.96 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE APPLIANCE REPAIR/ALTERATION 101-0000-42402 0 $145.08 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE APPLIANCE REPAIR/ALTERATION PC 101-0000-42600 0 $57.96 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for MECHANICAL: $203.04 $0.00 DESCRIPTION ACCOUNT I QTY AMOUNT PAID PAID DATE REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $65.25 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT . QTY AMOUNT PAID PAID DATE REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $52.20 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY , DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, FIRST 500 SF PC 101-0000-42600 0 $134.88 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forREMODEL: $301.64 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - COMMERCIAL 101-0000-20308 0 $10.36 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SM! $10.36 $0.00 TOTALS:00 $0.00 Description: COMMERICAL T.I. ADDITIONAL Type: BUILDING, COMMERCIAL Subtype: REMODEL Status: APPROVED Applied: 10/22/2014 MFA Approved: 11/14/2014 JJO Parcel No: 604050068 Site Address: 78370 HIGHWAY 111 260L QUINTA,CA 92253 Subdivision: PM 29736 _ Block: Lot: 11 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $37,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 RESUBMITTAL Details: BUILD NON BEARING PARTITION WALLS, T -BAR CEILING, LIGHTING, DUCT FROM EXISTING 4 TON HVAC, 20 ELECTRICAL OUTLETS Printed: Friday, November 14, 2014 3:20:48 PM 1of3 CR- SYSTEMS ADDITIONAL NOTES CHRONOLOGY TYPE CHRONOLOGY STAFF NAME ACTION DATE COMPLETION DATE PLAN CHECK SUBMITTAL RECEIVED MARY FASANO 10/22/2014 10/22/2014 RESUBMITTAL KAY HENSEL 11/7/2014 11/7/2014 TELEPHONE CALL JIM JOHNSON 11/14/2014 11/14/2014 CALLED BOB PIERCE TO PICK UP CORRECTIONS 'NAME TYPE NAME • ADDRESSI CONDITIONS CONTACTS CITY STATE ZIP PHONE FAX EMAIL . APPLICANT ULTRA CONSTR & DEVELOPMENT INC 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 CONTRACTOR ULTRA CONSTR & DEVELOPMENT INC 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 OWNER POINT HAPPY REALTY 8665 WILSHIRE BLV STE 410 BEVERLY HILLS CA 92253 Printed: Friday, November 14, 2014 3:20:48 PM 1of3 CR- SYSTEMS Printed: Friday, November 14, 2014 3:20:48 PM 2 of 3 CRWYSrEMS FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT . CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD -PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $2,00 $0.00 BSA: DEVICES, ADDITIONAL 101-0000-42403 0 $43.56 $0.00 DEVICES, ADDITIONAL 101-0000-42600 0 $10.80 $0.00 PC DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 SERVICES 101-0000-42403 0 $24.17 $0.00 SERVICES PC 101-0000-42403 0 $12.09 $0.00 Total Paid for ELECTRICAL: $138.96 $0.00 APPLIANCE 101-0000-42402 0 $145.08 $0.00 REPAIR/ALTERATION APPLIANCE 101-0000-42600 0 $57.96. $0.00 REPAIR/ALTERATION PC Total Paid forMECHANICAL: $203.04 $0.00 REMODEL, EA 101-0000-42400 0 $65.25 $0.00 ADDITIONAL 500 SF REMODEL, EA 101-0000-42600 0 $52.20 $0.00 ADDITIONAL 500 SF PC REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $0.00 REMODEL, FIRST 500 SF 101-0000-426000 $134.88 $0.00 PC Total Paid forREMODEL: $301.64 $0.00 SMI -COMMERCIAL 101-0000-20308 1 0 $10.36 $0.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $10.36 $0.00 Printed: Friday, November 14, 2014 3:20:48 PM 2 of 3 CRWYSrEMS TOTALS: $656.00 $0.00 INSPECTIONS Printed: Friday, November 14, 2014 3:20:48 PM 3 of 3 ��EmAr Ms PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED DATE STATUS REMARKS NOTES NON-STRUCTURAL JIM JOHNSON 10/22/2014 10/29/2014 11/6/2014 REVISIONS REQUIRED CORRECTIONS CORRECTIONS 1ST. PLAN CHECK NON-STRUCTURAL JIM JOHNSON 11/6/2014 11/20/2014 11/14/2014 REVISIONS REQUIRED CORRECTIONS 2ND. PLAN CHECK CORRECTIONS REQUIRED; PLANS NOT SIGNED, NO FIRE -DEPT APPROVAL, NO PLANNING DEPT APPROVAL, NO ACCESSIBILITY IN WAITING AREA. TALKED TO WALLY IN PLANNING DEPT. REVIEW FROM PLANNING NOT REQUIRED. NON-STRUCTURAL JIM JOHNSON 1 11/14/2014 11/14/2014 1 11/14/2014 1 APPROVED APPROVED PLANS WERE CORRECTED AT COUNTER Printed: Friday, November 14, 2014 3:20:48 PM 3 of 3 ��EmAr Ms Bin # Permit # P � /� �4,' J" I Project Address: 72-37y City of La Quinta Building 8z Safety Division P.O. Box 1504, 78-495 Calle Tampico . R - La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet a Owner's Name: A. P. Number: Address: Legal, Description: City, ST, Zip: /L Contractor:>>r''s � Telephone: <'<'^<z ..:;,;;.��:::;;:•::::�•:::::: Address: 0 Project Description: City, ST, Zip: Telephone: h o . p _ ,. >: ul" No 14 V44 State Lic. # : City Lie. #; r � Arch., Engr., Designer: r 7 .toeO C /d r*, Am gW Address: City, ST, Zip: - Telephone: P :€';:.;>:<:::>:z?__<r;:>:;;>:>:- ;:::;<<?::;:: �:.:.:.5s::5.;::;;::.:.; :;::.;:;<5.>;:-<-�<.>:•5:�,< Construction Type: Occupancy: State Lic_ #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: 60.6 1 tatt Sq. Ft.: Z # Stories: # Units: Telephone #,of Contact Person: Estimated Value of Project: 51 0 # Submittal Req'd APPLICANT: DO NOT WRITE BELOW THIS LINE Rec'd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, read or corrections I Plan Check Deposit Truss Calcs. Called Contact Pe Plan Check Balance Title 24 Calcs. Plans picked up C� Construction Flood plain plan Plans resubmitted ?� �� Mechanical Grading plan 2°" Review, ready or corrections/issuetu le4 Electrical • Subcontactor List Called Contact Pe Plumbing Grant Decd Plans picked up S.M.I. • H.O.A. Approval Plans resubmitted • Grading IN IiOUSE:- '"d Review, ready for correctio srssn (� llf Developer Impact Fee Planning Approval Called Contact Person V 141 A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees BUILDING ENERGY ANALYSIS REPORT r '7%'. PROJECT: ' L Cardinal Equitie 78-370 Highway 111, #2 0 La Quinta, CA Project Designer: I RE(�,j:,VED NOV 0 7 2014 CT sY' 0�: LA QUiNTA COMMUN17Y DEVELOPMENT Report Prepared by: Joan D. Hacker Insu-form, Inc. 77810 Las Montanas Road, Suite 201 Palm Desert, Ca 92211 760-345-1352 Job Number: Date: .11/6/2014 CIS OF LAQC1INTA BUILDING & SAFFTY DEPT APPROV The EnergyPro computer program has been used to perform the calculations summarized in this compli@ce;'�eport.i3 i$�ro am has app vat and is authorized by the California Energy Commission for use with both the Residential and Nonresidentia 201'3 Building `Ener • 'ffi�iency St ndards. This program developed by EnergySoft, LLC — www.eneA/Ankw EnergyPro 6.3 by EnergySoft User Number. • 2655 /D; �i T7 1 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-01-E (Revised 06/ CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS NRCC-LTI-01-E Indoor Lighting (Page 1 of 5) Project Name: Cardinal Equities Date Prepared: 11/6/2014 Climate Zone: 15 Conditioned Floor Area: 1,224 YES NO FORM TITLE YES NRCC-LIT-01-E Certificate of Compliance. All Pages required on plans for all submittals. Unconditioned Floor Area : 0 Lighting Controls, Certificate of Compliance, and PAF Calculation. All Pages required on plans for all submittals. General Information Indoor Lighting Power Allowance NO NRCC-LIT-04-E Tailored Method Worksheets NO I NRCC-LIT-05-E Line Voltage Track Lighting Worksheets Building Type: ❑ Schools 0 Nonresidential ❑ Relocatable Public Schools ❑ ❑ High -Rise Residential Conditioned Spaces ❑ ❑ Hotel/Motel Unconditioned Spaces Phase of Construction: ❑ New Construction ❑ Addition 0 Alteration Method of Compliance: ❑ Complete Building 0 Area Category ❑ Tailored LIGHTING COMPLIANCE DOCUMENTS (select yes for each document included) For detailed instructions on the use of this and all Energy Efficiency Standards compliance documents, refer to the Nonresidential Manual published by the California Energy Commission. YES NO FORM TITLE YES NRCC-LIT-01-E Certificate of Compliance. All Pages required on plans for all submittals. YES NRCC-LIT-02-E Lighting Controls, Certificate of Compliance, and PAF Calculation. All Pages required on plans for all submittals. YES NRCC-LIT-03-E Indoor Lighting Power Allowance NO NRCC-LIT-04-E Tailored Method Worksheets NO I NRCC-LIT-05-E Line Voltage Track Lighting Worksheets Summary of Allowed Lighting Power Conditioned and Unconditioned space Lighting must not be combined for compliance M Indoor Lighting Power for Conditioned Spaces Indoor Lighting Power for Unconditioned Spaces —n t; Watts Watts .. 0 _�> r' Installed Lighting Installed Lighting 1'239 0 10 __ 71 S NRCC-LTI-01-E, page 4 + NRCC-LTI-01-E, page 4 + 3 ) PORTABLE ONLY FOR OFFICES —n I NRCC-LTI-01-E, page 3 + Minus Lighting Control Credits 0 Minus Lighting Control Credits 0 �j'�� NRCC-LTI-02-E, page 2 NRCC-LTI-02-E, age 2 c:: .0Adjusted Installed Lighting Power _ 1 239 Adjusted Installed Lighting Power = 0 r— (row 1 plus row 2 minus row 3) (row 1 minus row 3) :Opz CA Buildine.En�e Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-01-E (Revised 06/14 CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS NRCC-LTI-01-E Indoor Lighting (Page 2 of 5) Project Name: Cardinal Equities Date Prepared: 11/6/2014 5. Complies ONLY if Installed <_ Allowed Complies ONLY if Installed <_ Allowed Form/Title l orm/Title Allowed Lighting Power nom_ Allowed Lighting Power ❑ Field Inspector 6. Conditioned NRCC-LTI-03-E, page 1 1,259 Unconditioned NRCC-LTI-03-E, page 1 0 Declaration of Required Installation Certificates — Declare by selecting yes for all Installation Certificates that will be submitted. (Retain copies and verify forms are completed and signed.) YES NO Form/Title l orm/Title nom_ NRCI-LTI-01-E - Must be submitted for all buildings ❑ Field Inspector ❑ Field Inspector v Z -� NRCI-LTI-02-E - Must be submitted for a lighting control system, or for an Energy Management Control System (EMCS), to be recognized for compliance. ❑ Field Inspector ❑ Field Inspector VJ NRCI-LTI-03-E - Must be submitted for a line -voltage track lighting integral current limiter, or for a supplementary overcurrent protection panel used to energize only line -voltage track lighting, to be recognized for compliance. ❑ Field Inspector ❑Field Inspector NRCI-LTI-04-E - Must be submitted for two interlocked systems serving an auditorium, a convention center, a conference room, a multipurpose room, or a theater to be recognized for compliance. ❑ Field Inspector NRCI-LTI-05-E - Must be submitted for a Power Adjustment Factor (PAF) to be recognized for compliance. ❑ Field Inspector NRCI-LTI-06-E - Must be submitted for additional wattage installed in a video conferencing studio to be recognized for compliance. ❑ Field Inspector Declaration of Required Certificates of Acceptance — Declare by checking all of the Certificates of Acceptance that will be submitted. (Retain copies and verify forms are I completed and signed.) 'YES v � ANO — l orm/Title nom_ 'NRCA-LTI-02-A - Must be submitted for occupancy sensors and automatic time switch controls. ❑ Field Inspector v Z -� , Qo NRCA-LTI-03-A - Must be submitted for automatic daylight controls. ❑ Field Inspector VJ CoNRCA-LTI-04-A -Must be submitted for demand responsive lighting controls. ❑Field Inspector CA Building 'Eri ergy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS NRCC-LTI-01-E Indoor Lighting (Page 3 of 5) Project Name: Cardinal Equities Date Prepared: 11/6/2014 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 I A. INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST I ❑ The actual indoor lighting power listed on this page and on the next page includes all installed permanent and planned portable lighting systems. ❑ When Complete Building Method is used for compliance, list each different type of luminaire on separate lines. ❑ When Area Category Method or Tailored Method is used for compliance, list each different type of luminaire by each different function area on separate lines ❑ Also include track lighting in schedule, and submit the track lighting compliance form (NRCC-LTI-05-E) when line -voltage track lighting is installed. B. Installed Portable Luminaires in Offices — Exception to Section 140.6(a) ❑ This section shall be filled out ONLY for portable luminaires in offices (As defined in §100.1). All other planned portable luminaires shall be documented on next page of this compliance form. ❑ This section is used to determine if greater than 0.3 watts of portable lighting is planned for any office ❑ Fill out a separate line for each different office. Small offices that are typical (having the same general and portable lighting) may be grouped together. This allowance shall not be traded between offices having different lighting systems. Office Portable Luminaire Office Installed Portable Luminaire Watts Per Square Office Location Field Schedule Foot Inspector A B C D E F G H I J Installed Z portable 0 s Watts If F <_ 0.3, Identify Office area in which - 3, 3 � v luminaire a 0 B M per enter zero; E x G these portable luminaires are v � a Complete luminaire Description �J � i LED, furniture Watts T. ( o o — watts in this 0 m :R square foot if F 0.3, installed (i.e., under cabinet; mounted Edi ct/indirect) ! per Luminaire office (B x C) (D / E) > (F-0.3) 11� 1 ❑ ❑ 1 63X°A"� 1 ❑ ❑ 1 �` �0�'� I ❑ ❑ C' Enter sum total of all pages into NRCC- ®tal installed portable luminaire watts that are greater than 0.3 watts per square foot per office: MT_o LTI-01-E; Page 1 Building EnergylEff cielicy Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS NRCC-LTI-01-E Indoor Lighting (Page 3 of 5) Project Name: Cardinal Equities Date Prepared: 11/6/2014 A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces. Installed Lighting Power listed on this Lighting Schedule is only for: ❑ CONDITIONED SPACE 0 UNCONDITIONED SPACE I A. INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST ❑ The actual indoor lighting power listed on this page and on the next page includes all installed permanent and planned portable lighting systems. ❑ When Complete Building Method is used for compliance, list each different type of luminaire on separate lines. ❑ When Area Category Method or Tailored Method is used for compliance, list each different type of luminaire by each different function area on separate lines ❑ Also include track lighting in schedule, and submit the track lighting compliance form (NRCC-LTI-05-E) when line -voltage track lighting is installed. B. Installed Portable Luminaires in Offices — Exception to Section 140.6(a) ❑ This section shall be filled out ONLY for portable luminaires in offices (As defined in §100.1). All other planned portable luminaires shall be documented on next page of this compliance form. ❑ This section is used to determine if greater than 0.3 watts of portable lighting is planned for any office ❑ Fill out a separate line for each different office. Small offices that are typical (having the same general and portable lighting) may be grouped together. This allowance shall not be traded between offices having different lighting systems. Office Portable Luminaire Office Installed Portable Luminaire Watts Per Square Office Location Field Schedule Foot Inspector A B C D E F G H I J Installed Z portable 0 v, Watts If F5 0.3, Identify Office area in which r 3. 3 � 0- luminaire ? n, N per enter zero; E x G these portable luminaires are v T a j Complete Luminaire Description °' M— watts in this = m square installed (i.e., LED under cabinet, furniture mounted Watts per office m :°. foot if F > 0.3, r dirct/indirrect) Luminaire (B x C) (D / E) (F-0.3) � _Q Z— I ❑ ❑ k -J U L) V f ❑ ❑ .,/ —4 ❑ ❑ 13 11 ®rr7 Enter sum total of all pages into NRCC- Z -;FTotlal installed portable luminaire watts that are greater than 0.3 watts per square foot per office: LTI-01-E; Page 1 CA Building;@rielgy E fficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-01-E (Revised 06/ CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS NRCC-LTI-01-E Indoor Lighting (Page 4 of 5) Project Name: Cardinal Equities Date Prepared: 11/6/2014 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 C. INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Luminaire Schedule Installed Watts Location Field Inspector' A B C D E F G H How wattage was determined o o Complete Luminaire Description r 3 r)� o ^ ° c z y H E (Le, 3 lamp fluorescent troffer, o', 3O w n Z „ cop c:n °1. .+ x a d Primary Function area in which Z - F32T8, one dimmable electronic ballast) m = `� - d n these luminaires are installed Pass Fail (1) 4 ft Fluorescent T8 Energy Savings Elec 29.0 0 ❑ 1 29 Commercial, Industrial Storage ❑ ❑ (4) 4 ft Fluorescent T8 Energy Savings Elec 104.0 0 ❑ 2 208 Convention/Conference/Meetin( ❑ ❑ (2) 4 ft Fluorescent T8 Energy Savings Elec 54.0 0 ❑ 1 54 Kitchen, Food Preparation ❑ ❑ (4) 4 ft Fluorescent T8 Energy Savings Elec 104.0 El ❑ 6 624 Office > 250 sqft ❑ (2) 4 ft Fluorescent T8 Energy Savings Elec 54.0 0 ❑ 6 1324 Waiting Areas/Lounges ❑ 0 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ INSTALLED WATTS PAGE TOTAL: � i i'� 1,238 Enter sum total of all pages into / .� �, © / NRCC-LTI-01-E; Page 2 CO X Po p � 0 co i�7o ®oma CA ency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-01-E Revised 06/14 CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS Indoor Lighting Project Name: Cardinal Equities CALIFORNIA ENERGY COMMISSION NRCC-LTI-01-E (Page 5 of 5) Date Prepared: 11/6/2014 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Joan D. Hacker Documentation Author Signature: Company: Insu-form, Inc. Signature Date: 11/6/2014 Address: 77810 Las Montanas Road, Suite 201 CEA/ HERS Certification Identification (if applicable): City/State/Zip: Palm Desert, Ca 92211 Phone: 760-345-1352 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. _ S. - I will ensure that a completed signed copy of this Certificate of Compliance shall be 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 completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Company: Date Signed: Address: _ License: City/State/Zip: Phone: fl r '®'T7� 11� CA Buil Ing-nergy_ icienc. Standards - 2013 Nonresidential Compliance l •r, June 2014 STATE OF CALIFORNIA INDOOR LIGHTING — LIGHTING CONTROLS CEC-NRCC-LTI-02-E (Revised 06/141 CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting - Lighting Controls (Page 1 of 3) Project Name: Cardinal Equities I Date Prepared: 11/6/2014 I The NRCC-LTI-02-E shall be used to document all mandatory and prescriptive lighting controls that are applicable to the project. Mandatory Lighting Control Declaration Statements (Indicate if the measure applies by checking yes or no below.) YES NO Control Requirements Lighting shall be controlled by self-contained lighting control devices which are certified to the Energy Commission according to the Title 20 Appliance Efficiency Regulations in accordance with Section 110.9. Lighting shall be controlled by a lighting control a system or energy management control system in accordance with §110.9. An Installation Certificate shall be submitted in accordance with Section 130.4(b). One or more Track Lighting Integral Current Limiters shall be installed which have been certified to the Energy Commission in accordance with §110.9 and §130.0. Additionally, an Installation Certificate shall be submitted in accordance with Section 130.4(b). A Track Lighting Supplementary Overcurrent Protection Panel shall be installed in accordance with Section 110.9 and Section 130.0. Additionally, an Installation Certificate shall be installed in accordance with Section 130.4(b). All lighting controls and equipment shall comply with the applicable requirements in §110.9 and shall be installed in accordance with the manufacturer's instructions in accordance with Section 130.1. All luminaires shall be functionally controlled with manually switched ON and OFF lighting controls in accordance with Section 130.1(a). General lighting shall be separately controlled from all other lighting systems in an area. Floor and wall display, window display, case display, ornamental, and special effects lighting shall each be separately controlled on circuits that are 20 amps or less. When track lighting is used, general, display, ornamental, and special effects lighting shall each be separately controlled; in accordance with Section 130.1(a)4. The general lighting of any enclosed area 100 square feet or larger, with a connected lighting load that exceeds 0.5 watts per square foot shall meet the multi-level lighting control requirements in accordance with Section 130.1(b). k Ji AllI s�ledl ndbor/lighting shall be equipped with controls that meet the applicable Shut -OFF control requirements in Section 130.1(c). / L ght g,iaI 9ayl�it Zones shall be controlled in accordance with the requirements in Section 130.1(d) and daylit zones are shown on the plans. -Ug hting®power fn buildings larger than 10,000 square feet shall be capable of being automatically reduced in response to a Demand Responsive Signal in C 'accord,ance-with Section 130.1(e). 4 JBefore a�oc •upancy permit is granted for a newly constructed building or area, or a new lighting system serving a building, area, or site is operated for `nor5�nn, aI a indoor lighting controls serving the building, area, or site shall be certified as meeting the Acceptance Requirements for Code Compliance in cdorda cn 7 with Section 130.4.(a). The controls required to meet the Acceptance Requirements include automatic daylight controls, automatic shut -OFF contrVo s; 9nd demand responsive controls. CA Building Energy Effic envy _standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING — LIGHTING CONTROLS CEC-NRCC-LTI-02-E (Revised 06/141 CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting - Lighting Controls (Page 2 of 3) Project Name: Cardinal Equities Date Prepared: 11/6/2014 A separate document must be filled out for Conditioned and Unconditioned Spaces. This page is used only for the following: 0 CONDITIONED SPACES ❑ UNCONDITIONED SPACES MANDATORY AND PRESCRIPTIVE INDOOR LIGHTING CONTROL SCHEDULE, PAF CALCULATION, and FIELD INSPECTION CHECKLIST PAF Credit Calculation Z t n M " LnD (D n Standards Complying With 1 r 0� v n x n m M v, Lighting Control Schedule (✓ all that apply, or enter 'E' if Exempted) a ° -n rD a. m o A B C D E F G H I J K L M N O Type/ Description of Lighting Control (i.e.: occupancy sensor, # o (ADM N Lo N LOW Location in Building automatic time switch, of o 0 0 0 0 o im dimmer, automatic daylight, Units etc... ) ❑ ❑ ❑ ❑ ❑ ❑ �j ❑ ❑ Control Credit PAGE TOTAL (Sum of Column M): 0 IF MULTIPLE PAGES ARE USED, ENTER SUM TOTAL OF Control Credit for all pages HERE (Sum of all Column M): 0 �- �' �/ Enter Control Credit total into NRCC-LTI-01-E; Page 0'y//� Z ®(� 1. §130.1(a) = W66 afro -a controls; §130.0(b) = Multi Level; §130.1(c) =Auto Shut -Off; §130.1(d) =Mandatory Daylight; §130.1(e) =Demand Responsive; §140.6(d) = Additional lightingFZntr Is installed to earn a PAF; §140.6(d) = Prescriptive Secondary Sidelit Daylight Controls. 2. Check T b1e.140.6-A7r correct Factor. PAFs shall not be traded between conditioned and unconditioned spaces. As a condition to earn a PAF, an Installation Certificate is also required tobe filled out, signed, and submitted. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING — LIGHTING CONTROLS Fwiarlul CEC-NRCC-LTI-02-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting - Lighting Controls (Page 2 of 3) Project Name: Cardinal Equities Date Prepared: 11/6/2014 A separate document must be filled out for Conditioned and Unconditioned Spaces. This page is used only for the following: ❑ CONDITIONED SPACES ❑ UNCONDITIONED SPACES MANDATORY AND PRESCRIPTIVE INDOOR LIGHTING CONTROL SCHEDULE, PAF CALCULATION, and FIELD INSPECTION CHECKLIST PAF Credit Calculation z t Lo Ln D T ro a Standards Complying With1 f7 r � N n rl O X a M N rt Lighting Control Schedule (✓ all that apply, or enter 'E' if Exempted) ? CL ° D -n a = ° �• a M ° A B C D E F G H I I i K L M N O Type/ Description of Lighting Control (i.e.: occupancy sensor, # co W1 � (40n Lo A (40M Location in Building automatic time switch, of o 0 0 0 0 P o iT a d dimmer, automatic daylight, Units a o : r v F+ a t-+ N a vi etc.. ) ❑ ❑ ❑ ❑ ❑ ❑ �i ❑ ❑ ❑ ❑ r, 1� C ❑ ❑ C� ❑ ❑ 1 Control Credit PAGE TOTAL (Sum of Column M): 0 MULTIPLE PAGES ARE USED, ENTER SUM TOTAL OF Control Credit for all pages HERE (Sum of all Column M): 0 `+sJ Enter Control Credit total into NRCC-LTI-01-E; Page 1. §130.1(a)" Manual"ar_"'ea, c ntrols; §130.0(b) = Multi Level; §130.1(c) =Auto Shut -Off; §130.1(d) = Mandatory Daylight; §130.1(e) = Demand Responsive; §140.6(d) _ < *..'e� Additional lighting control3 i stalled to earn a PAF; §140.6(d) = Prescriptive Secondary Sidelit Daylight Controls. 2. Check Table 140,i�' ;Jor correct Factor. PAFs shall not be traded between conditioned and unconditioned spaces. As a condition to earn a PAF, an Installation Certificate is also required to be filled b t, signed, and submitted. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING - LIGHTING CONTROLS CEC-NRCC-LTI-02-E (Revised 06/14) CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting - Lighting Controls (Page 3 of 3) Project Name: Cardinal Equities - I Date Prepared: 11/6/2014 I DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Joan D. Hacker Documentation Author Signature: Company: Insu-form, Inc. Signature Date: 11/6/2014 Address: 77810 Las Montanas Road, Suite 201 CEA/ HERS Certification Identification (if applicable): City/State/Zip: Palm Desert, Ca 92211 Phone: 760-345-1352 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be 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 completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Company: Date Signed: Address: License: City/State/Zip: ] Phone: m d) JPO C~0 AD CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE 71114 SEC-NRCC-LTI-03-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E Certificate of Compliance - Indoor Lighting Power Allowance (Page 1 of 4) Project Name: Cardinal Equities Date Prepared: 11/62014 ALLOWED LIGHTING POWER A separate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for: 0 CONDITIONED spaces ❑ UNCONDITIONED spaces A. SUMMARY TOTALS OF LIGHTING POWER ALLOWANCES ❑ If using Complete Building Method for compliance, use only the total in column (a) as total allowed building watts. ❑ If using Area Category Method, Tailored Method, or a combination of Area Category and Tailored Method for compliance, use only the total in column (b) as the total allowed building watts (a) (b) 1. Complete Building Method Allowed Watts. Documented in section B of NRCC-LTI-03-E (below on this page) 2. Area Category Method Allowed Watts. Documented in section C-1 of NRCC-LTI-03-E (below on this page) f 1,259 3. Tailored Method Allowed Watts. Documented in section A of NRCC-LTI-04-E 0 TOTAL ALLOWED BUILDING WATTS. Enter number into correct cell on NRCC-LTI-01, Page 2, Row 1 1,259 ❑ Check here if building contains both conditioned and unconditioned areas. B. COMPLETE BUILDING METHOD LIGHTING POWER ALLOWANCE A I Q° Total from section C-2 B 1 I� 0 DJ>. Total from section C-3 C I CN: ' � n < P�71 0 Total Watts. Enter Total Watts into section A, row 2 (Above on this page) D WATTS COMPLETE ALLOWED TYPE OF BUILDING (From §140.6 Table 140.6-B) PER (ft') X BLDG. AREA = WATTS Total Area: f W Total Watts. Enter Total Watts into section A, row 1(Above on this page) i C -1 AREA=CAfftGPRMETHOD TOTAL LIGHTING POWER ALLOWANCES (C-2 plus C-3) Watts I Q° Total from section C-2 1,259 1 I� 0 DJ>. Total from section C-3 0 I CN: ' � n < P�71 0 Total Watts. Enter Total Watts into section A, row 2 (Above on this page) 1,259 Standards - 2013 Nonresidential Compliance ti June 2014 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE 5"',ircl,'/.. :EC-NRCC-LTI-03-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E Certificate of Compliance - Indoor Lighting Power Allowance (Page 2 of 4) Project Name: Cardinal Equities Date Prepared: 11/6/2014 A separate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for: 0 CONDITIONED spaces 0 UNCONDITIONED spaces C -2 AREA CATEGORY METHOD GENERAL LIGHTING POWER ALLOWANCE ❑ Do not include portable lighting for offices. Portable lighting for offices shall be documented only in section B of NRCC-LTI-01-E. ❑ Separately list lighting for each primary function area as defined in §100.1 of the Standards. A B X C = D AREA CATEGORY (From §140.6 Table 140.6-C) WATTS PER (ftz) AREA (ft') ALLOWED WATTS Location in Building Primary Function Area per Table 140.6-C Office Office > 250 sqft , 0.75 334 251 Waiting Waiting Areas/Lounges 0.80 364 291 Kitchen Kitchen, Food Preparation 1.60 90 144 Storage Commercial, Industrial Storage 0.60 47 28 Conference Convention/Conference/Meeting 1.40 1 389 545 OD 0 .� W r- TOTALS 1,224 Enter sum total Area Category allowed watts into section C-1 of NRCC-LTI-03-E (this compliance form) 1,259 ._I M -Y y I WATTS CA Building Energy Eff ce cn y Stinds - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE :EC-NRCC-LTI-03-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE ' NRCC-LTI-03-E Certificate of Compliance - Indoor Lighting Power Allowance (Page 4 of 4) Project Name: Cardinal Equities Date Prepared: . 11 /6/2014 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Joan D. Hacker Documentation Author Signature: Company` Insu-form, Inc. signature Date: 11/6/2014 Address: 77810 Las Montanas Road, Suite 201 CEA/ HERS Certification Identification (if applicable): City/State/Zip: Palm Desert, Ca 92211 Phone' 760-345-1352 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be 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 completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Company: Date Signed: Address: License: City/State/Zip: Phone: CA Building Energy;Efficiency Staddards - 2013 Nonresidential Compliance O MZ June 2014