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05-4642 (RC)r 4 P.O. BOX 1504 �VOICE 760 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 1/09/06 C� Application Number: 05-00004642 Owner: Property Address: 78370 HIGHWAY 111 STE 280 0 MADISON PTM LA QUINTA APN: 604-050-048- - - O78370 HIGHWAY 111, STE. 200 Application description: REMODEL - COMMERCIAL LA QUINTA, CA. 92253 Property Zoning: COMMUNITY COMMERCIAL JAN 0.9 Application valuation: 15000 200 Clay OF LA CUINTA P�NANC� C�pT, Contractor: Applicant: r Architect or Engin r. MARTINOVICH, GEORGE., DBA MRVT 78750 SAINT THOMAS DRIVE INDIO, CA 92203 �� (760)360-5251 Lic. No.: 466671 r — — — — — — — — — — — — — — — — = — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — ♦�f. LICENSED CONTRACTOR'S DECLARATION . I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B License No.: 466671 ate' —f% 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 basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1—) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the. improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will, have the burden.of proving that he or she did not build or improve for the purpose of sale.). ' (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). I—) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: v� 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 - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — 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 WMPT Policy Number EXEMPT I certify that, in the performance of the work for whic ued, I shall not employ any person in any manner so as to become s ' o the workers' compens n laws of California, and agree that, if I should become sect to the workers' compensa ' provisions of Section' 3700 of the Labor Code, I sh o com h thos iso ns. r WARNING: FAILURE TO SECURE WORKERS' C AGE IS SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONEHUNDREDTHOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN 1 SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building con uctian, and hereby authorize representatives of this county to en er upon the bove-mentioned property for i e tion purposes. te:Si u,a (Applicant or Agent): Application Number . . 05-00004642 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 162.00 Plan Check Fee 105.30 Issue Date . . . . Valuation 15000 C� Expiration Date 7/08/06 Qty Unit Charge Per Extension BASE FEE 45.00 13.00 9.0000 THOU BLDG 2,001-25,000 ------------------------------------------- -------------------------------- 117.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . . Permit Fee . . . . 45.08 Plan Check Fee 11.27 Issue Date . . . . Valuation . . . . . 0 Expiration Date -7/08/06 Qty Unit Charge Per Extension BASE FEE 15.00 1504.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL -=------------------------------------------------------------------=------- 30.08 �� Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 19.50 Plan Check Fee 4.88 Issue Date . . . . Valuation . . . 0 Expiration Date 7/08/06 Qty Unit Charge Per 'Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 ---------------------------------------------- ------------------------------ Special Notes and Comments INTERIOR TENANT IMPROVEMENT 1504 S.F. "B" OCCUPANCY - LAWYER'S TITLE CO. TYPE V -N CONSTRUCTION, 16 OCCUPANT LOAD. 2001 CODES, 2004 CEC, 2005 ENERGY CODE. - -----------------------------7----------------------- Other Fees. . . . . . . . . ACCESSIBILITY PLAN REVIEW, 10.53 ENERGY REVIEW FEE 10.53 Fee summary Charged Paid Credited Due ---- ---------- ---------- ---------- Permit Fee Total 226.58 .00 00 226.58 Plan Check Total 121.45 .00 00 121.45 Other Fee Total 21.06 .00 .00 21.06 Grand Total 369.09 .00 .00 369.09 LQPERMIT . Z�� CITY OF LA QUINTA SUS-CONTRACT®R LIST JOB ADDRESS 79370 �� PERMIT NUMBER OJ" K6 ��- OWNER BUIL. -- This form shall be ost don the job with the Building Inspection Card at -all times in a conspicuous place. Only persons appearin ' is list or their employees are authorized to work n this 'ob. Any changes to this list must be approved by the Building Division prior to commencement of work "On lF File" s nocomply an acceptablelresponspe.age of work and/or the voidance 0 1 b Ica ted a each applicable trade, all information requested below must be completed Y applicant. In permit. For in of build 9 P City. Business �s license: > :: :. . ' : • Staii46ontractor's. Lrcerls0 . ;' ::.Vyo fte s.Com ertsation .I ' Trade /Classification Contractor `;;:<:>' :'::::.. Company Name Classification License NumberFp. Date Carrier Name Policy Number FE: Date License Number Exp. Date (e.g. A, 6, C 8) (xxxxxx) x/xx/xx) (e.g. State Fund, CalComp) (Format Varies) (xxxx) (xx/xx/xx) EARTHWORK (C-12) CONCRETE (C-8) FRAMING .(C-5) STRUCT. ':VEEL• 4 C41) .MASONRY (C-29) PLUMBING' (C-36)' }� j.ATH; PLASTER (C-351 DRYWALL (C-9) . ;. x AC tLECTRICAL (C=101 `:SHEET METAL (C4:0 'FLOORING GLAZING (C-17)` INSULATION'. (C-21 ' X SEWAGE PAINTING (C.'33) CERAMIC TILE (C-54) CABINETS (C-6) FENCING (C43) LANDSCAPING (C-27)..... POOL (C-53) Y — { JS 3 sr 131-0 2� A AA)� f c. �G D s�.Il - �i'?�s cam✓ C ` L- Zb -/o 3� �3 0 2-Z Z-0 g -7/6 Z-7,9-44ff �bd =IMS �i41 C- f-a/V 7 J, - V 2�_:(oo o y600�o Doo ol6b LZ6 �r66 3- �� S.: 4 0..3 Z &::,04S Y — { JS 3 sr 131-0 2� P.O. BOX 1504 78-495 CALLF-_ TAMPICO LA QUINTA, CAI:,IFORNIA 92253 BUILDING & SAFE -r), DI�PARTMLNT (760) 777-7012 FAX (760) 777-701 1 To: Greg Butler, Building & Safety Manager To CDD: October 14, 2005 From: Doug Evans, Director -CDD Due Date: October 27, 2005 Status: 1 st Review Building Plans Approval (This is an approval to issue a Building Permit) The Community Development Department has reviewed the Building Plans for the following project: Description: TI -Use Address or General Location: 78-370 Hwy 111 #280 Applicant Contact: Candice Noto 880-3016 The Community Development Department finds that - 'D ...these Building Plans do not -require Community Development Department approval. ...these Building Plans are approved by the Community Development Department. ❑ ...these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant. When -the corrections are made please return them to the Community Development Department for review. %-os Doug vans, Director -CDD Date EIDE C RIVERSIDE COUNTY FIRE DEPARTMENT 82-675 Highway 111, 2nd Fl., Indio, . Fax863-70 72 DEPARTMENT January 3, 2006 Craig E. Anthony Fire Chief Candice Designs 75-347 Kelsey Circle S. Proudly serving the Palm Desert, CA 92211 unincorporated areas of Riverside Re: Non -Structural Building Plan Review County and the LAQ-05-TI-116 / Lawyers Title Cities of: BanningFire Department personnel have reviewed and approved the plans you submitted for the above referenced project. Please be advised the following conditions apply as a part of the conditions for the Beaumont issuance of a building permit. 4. Cahmesa 1) Fire sprinkler system plans for the tenant improvement area must be submitted to the Fire Department for review, along with a plan/inspection fee. A licensed C-16 contractor will have to Canyon Lake submit plans for review and approval and modify the fire sprinkler system in accordance with NFPA 4. Coachella 13,1999 Edition. A licensed C-16 contractor shall do all sprinkler work and certification. The approved plans, with Fire Department Job card must be at the job site for all inspections. Desert Hot Springs .;. 2) Install interior notification within the unit upon activation of the fire sprinkler system. Plans must be Indian Wells submitted to the Fire Department for review, along with a plan check/inspection fee. .;. Indio 3) Provide keys to the tenant space for inclusion in the main building Knox Box. Key(s) shall have durable and legible tags affixed for identification of the correlating tenant space. Lake Elsinore .� Lat 4) Install portable fire extinguishers per Title 19, but not less than 2A1 OBC in rating. Contact a certified extinguisher company for proper placement and spacing of equipment. Moreno Valley .;. 5) Approved building address shall be placed in such a position as to be plainly visible and legible from Palm Desert the street and rear access if applicable. In multi -tenant buildings, businesses shall post the ❖ business name and suite number. Suite numbers or letters must be a minimum of 6° in height. All Perris addressing must be legible and of a contrasting color with the background. .;. Rancho Mirage Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy. 4. San Jacinto Requests for inspections are to be made at least 72 hours in advance and may be arranged by calling (760) 863-8886. 4. Temecula All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering staff at (760) 863-8886. Board of Supervisors Sincerely, Bob Buster, District 1 Tracy Hobday John Tavaoone, Chief Fire Department Planner District 2 Jeff Stone, District 3 Roy Wilson, By District 4 Walter Brandes Fire Safety Specialist Marion Ashley, Cc: City of La Quinta — Building Dept. District 5 HAPEMP DMUa o,:WROJECMTRL w-osnnsAoe EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 ,-. Certificate of Occupancy 57. G� 0F'i'9�� Building Y p & Safety Department This Certiticate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 78-370 Highway 111 Suite 280 Use classification: Commercial "Lawyer Title Co." TI Building Permit No.: 05-4642 Occupancy Group: B Type of Construction: VN Sprinkled Land Use Zone: CR Owner of Building: Madison PTM La Quinta Address: 78-370 Highway 111 Ste 200 City, ST, ZIP: LA QUINTA, CA 92253 By: Daniel P. Crawford, Jr. Date: 4/11/06 Building Official POST IN A CONSPICUOUS PLACE TITLE 24 REPORT Title 24 Report for: Lawyer Title -Tenant Improvement Suite 280 -The Plaza at Point Happy La Quinta, Ca 92253 Project Designer: Candice C. Noto Designs 75-347 Kelsey Circle S. Palm Desert, Ca 92211 (760) 880-3016 Report Prepared By: Tim Scott H & H Air Conditioning 74-991 Joni Drive #20 Palm Desert, CA 92260-2043 (760) 340-3088 Job Number: Date: 12/13/05 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CON STRUCTION DAT 'Z The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and authorized by the California Energy Commission for use with both the Residential and Nonresidential 2005 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC - www.energysoft.com. EnergyPro 4.0 by EnergySoft Job Number: User Number: 5533 y pf fl e f/ 41�y TABLE OF CONTENTS Cover Page Table of Contents Nonresidential Performance Title 24 Forms Form LTG -7-C Room Cavity Ratio Worksheet Form LTG -MM Lighting Mandatory Measures MECH-3-C Mechanical Ventilation i EnergyPro 4.0 by EnergySoft Job Number: User Number: 5533 PERFORMANCE CERTIFICATE OF COMPLIANCE Part 1 of 3 PERF -1 PROJECT NAME This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the DATE Lawyer Title -Tenant Improvement DOCUMENTATION AUTHOR SIGN / DATE Tim Scott 3/�_ 12/13/05 PROJECT ADDRESS Suite 280 -The Plaza at Point Happy La Quinta 15 Building Permit # PRINCIPAL DESIGNER = ENVELOPE TELEPHONE Candice C. Noto Designs (760) 880-3016 (DOCUMENTATION AUTHOR H & H Air Conditioning HOTEL/MOTEL GUEST ROOM TELEPHONE (760) 340-3088 Checked by/Date Enforcement Agency Use ISTATEMENT OF COMPLIANCE This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This certificate applies only to a Building using the performance compliance approach. The documentation preparer hereby certifies that the documentation is 4tcurate a d complete. DOCUMENTATION AUTHOR SIGN / DATE Tim Scott 3/�_ The Principal Designer hereby certifys that the proposed building design represented in this set of construction document$ is 1,504 Sq.Ft. permit application. The proposed building as designed meets the energy efficiency requirements contained in sections 110, 116, 15 BUILDING TYPE NONRESIDENTIAL 1. 1 hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to HIGH RISE RESIDENTIAL HOTEL/MOTEL GUEST ROOM PHASE OF CONSTRUCTION NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION EXISTING + ADDITION ISTATEMENT OF COMPLIANCE This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This certificate applies only to a Building using the performance compliance approach. The documentation preparer hereby certifies that the documentation is 4tcurate a d complete. DOCUMENTATION AUTHOR SIGN / DATE Tim Scott 3/�_ The Principal Designer hereby certifys that the proposed building design represented in this set of construction document$ is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application. The proposed building as designed meets the energy efficiency requirements contained in sections 110, 116, through 118, and 140, 142, 143 or 149 of Title 24, Part 6. ENV. LTG. MECH. 1. 1 hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am licensed in the State of California as a civil engineer, mechanical engineer, or I am a licensed architect. o o 2. 1 affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code Section i I_J LJ 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. F1 3. 1 affirm that I am eligible under Division 3 of the Business and Professions Code to sign this document because it pertains to a structure or type of work described as exempt pusuant to Business and Professions Code Sections 5537, 5538, and 6737.1. (These sections of the Business and Professions Code are printed in full in the Nonresidential Manual.) Indicate location on plans of Note Block for Mandatory Measures Envelope Compliance Not In The Scope Of Required Forms This—Submittal PRINCIPAL ENVELOPE -DESIGNER -NAME ---7SfGNATUR LIC -NO. DAT ILIGHTING COMPLIANCE Indicate location on plans of Note Block for Mandatory Measures—` Required Forms LT94,1 PRINC PAL LIGHTING DESIGNER,- NAMESIGNATU LIC. NO. DATE Indicate location on plans of Note Block for Mandatory Measures Mechanical Compliance Not In the Scope (1 Required Forms This Sum-mittal - IPRINCIPAL MECHANICAL DESIGNER - NAME SIGNATURE LIC. NO. DATE Run Initiation Time: 12/13/05 08:10:07 Run Code: 1134490207 EnergyPro 4.0 by EnergySoft User Number: 5533 Job Number: Page:3 of 12 )f PERFORMANCE CERTIFICATE OF COMPLIANCE Part 2 of 3 PERF -1 PROJECT NAME DATE Lawyer Title -Tenant Improvement 1 12/13/05 ANNUAL TUV ENERGY USE SUMMARY u sq -yr Standard ENERGY COMPONENT Design Space Heating 0.03 Space Cooling 100.45 Indoor Fans 31.10 Heat Rejection 0.00 Pumps & Misc. 0.00 Domestic Hot Water 0.00 Lighting 79.61 Receptacle 91.54 Process 0.00 TOTALS: 302.73 Percent better than Standard: Proposed Compliance Design Margin 0.09 -0.06 89.04 11.41 27.28 3.82 0.00 0.00 0.00 0.00 0.00 0.00 51.68 27.93 91.54 0.00 259.63 43.10 14.2% ( 14.2% excluding )s� 5�d 'Proposed Sp-"aO^g 1dou r H"ftj.U� a MW 01- 10 20 30 40 50 60 70, 'M, - 90 100 keiwsgrr-Yr process) GENERAL INFORMATION Building Orientation Number of Stories Number of Systems Number of Zones (North) 0 deg Conditioned Floor Area Unconditioned Floor Area Conditioned Footprint Area Fuel Type 1,504 sqft. 1 0 sqft. 1 o sqft. il Natural Gas Orientation Front Elevation (North) Left Elevation (East) Rear Elevation (South) Right Elevation (west) Total Roof Gross Area Glazing sqft. sqft. sqft. sqft. sqft. sqft. Area Glazing sqft. sqft. sqft. 1 sqft. sqft. sgft. Ratio o 0 0.0% 0 0 0.0% 0 0 0.0% 0 o 1 0.00/1 0 0 0.0% E:::::::� E:::::::� o.o°i° Standard Proposed Lighting Power Density 1.200 W/sqft. 0.779 W/sqft. Prescriptive Env. Heat Loss 0 Btu/h 0 Btu/h Prescriptive Env. Heat Gain 0 Btu/h-F 0 Btu/h-F Remarks: Run InitiationTime: un Code: 1134490207 EnergyPro 4.0 by EnergySoft User Number: 5533 Job Number: Page:4 of 12 PERFORMANCE CERTIFICATE OF COMPLIANCE Part 3 of 3 PERF -1 (PROJECT NAME DATE l Lawyer Title -Tenant Improvement 12/13/05 _-J Floor Inst. Area LPD System Name Zone Name Occupancy Type (sqft.) (W/sf)1 Ctrl. Allowed LPD CreditsArea adore (W/sf)2 (W/sf)3 (W/sf)4 Proc. Loads (W/Sq Office Office 1,504 0.77 Notes: 1. See LTG -2-C 2. See LTG -4-C 3. See LTG -5-C 4. See LTG -6-C (items marked with asterisk, see LTG -2 -C by others) (by others) Items above require special documentation for 11.06ai enivicement agency snuuia pay spewai attention io in nems specmeo m tnis cnecKust. i nese items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. Not Valid for permit applications submitted on or after 01/23/06 because Energy Budget is based on SEER 10. The exceptional features listed in this performance approac documentation for their use have been provided by the appl Authorized Signature or Stamp Ily been Run Initiation Time: 12/13/05 08:10:07 Run EnergyPro 4.0 by EnergySoft User Number: 5533 Job Number: on and Page:5 of 12 CERTIFICATE OF COMPLIANCE (Part 1 of 3) LTG -1-C Lawyer Title -Tenant Improvement 1 12/13/05 1 INSTALLED LIGHTING, UNCONDITIONED SPACES (From LTG -2-C) 0 LIGHTING CONTROL CREDIT, UNCONDITIONED SPACES (From LTG -4-C) 0 UNCONDITIONED SPACE ADJUSTED INSTALLED LIGHTING POWER 0 ALLOWED INTERIOR LIGHTING POWER FOR CONDITIONED SPACES a COMPLETE BUILDING METHOD (From LTG -5-C) AREA CATEGORY METHOD (From LTG -5-C) TAILORED METHOD (From LTG -5-C) ALLOWED LIGHTING POWER INSTALLED WATTS Run ® INSTALLED LIGHTING, CONDITIONED SPACES (From LTG -2-C) 1,171 PORTABLE LIGHTING (From LTG -3-C) 0 LIGHTING CONTROL CREDIT, CONDITIONED SPACES (From LTG -4-C) 0 CONDITIONED SPACE ADJUSTED INSTALLED LIGHTING POWER 1,171 INSTALLED LIGHTING, UNCONDITIONED SPACES (From LTG -2-C) 0 LIGHTING CONTROL CREDIT, UNCONDITIONED SPACES (From LTG -4-C) 0 UNCONDITIONED SPACE ADJUSTED INSTALLED LIGHTING POWER 0 ALLOWED INTERIOR LIGHTING POWER FOR CONDITIONED SPACES a COMPLETE BUILDING METHOD (From LTG -5-C) AREA CATEGORY METHOD (From LTG -5-C) TAILORED METHOD (From LTG -5-C) ALLOWED LIGHTING POWER ALLOWED WATTS 1,171 Run ® PERFORMANCE METHOD COMMMON LIGHTING SYSTEM (From LTG -8-C) User Number: 5533 Job Number: Page:6 of 12 rom L I U -b -L;)0 CONTROLLOCA (Room #) CONTROL IDENTIFICATION CONTROL TYPE (Auto Time Switch, Dimming, etc.) Check if NOTE TO SPACE CONTROLLED Daylighting FIELD - or Building Department use Unly Run nitiation"Re: un Code: 1134490207 EnergyPro 4.0 by EnergySoft User Number: 5533 Job Number: Page:6 of 12 CERTIFICATE OF COMPLIANCE (Part 2 of 3) LTG -1 -C Lawyer Title -Tenant Improvement 12/13/05 CONTROL LOCATION (Room # or Dwg. #) CONTROL IDENTIFICATION CONTROL TYPE (Occupant, Daylight, Dimming, etc.) LUMINAIRES CONTROLLED NOTE TO FIELD TYPE # OF LUMINAIRES I Run Initiation Time: 12/13/05 08:10:07 Run Code: 1134490207 EnergyPro 4.0 by EnergySoft User Number: 5533 Job Number: Pagel of 12 � CERTIFICATE OF COMPLIANCE (Part 3 of 3) LTG -1-C PROJECT NAME Lawyer Title -Tenant Improvement DATE 12/13/05 Designer: This form is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for lighting systems. The designer is required to check the boxes by all acceptance tests that apply and list all equipment that require an acceptance test. If all equipment of a certain type requires a test, list the equipment description and the number of systems to be tested in parentheses. The NJ number designates the Section in the Appendix of the Nonresidential ACM Manual that describes the test. Also indicate the person responsible for performing the tests (i.e. the installing contractor, design professional or an agent selected by the owner). Since this form will be part of the plans, completion of this section will allow the responsible party to budget for the scope of work appropriately. Building Departments: Before an occupancy permit is granted for a newly constructed building or space, or a new lighting system system serving a building or space is operated for normal use, all control devices serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance. In addition a Certificate of Acceptance, LTG -1-A, Forms shall be submitted to the building department that: A. Certifies plans, specifications, installation certificates, and operating and maintenance information meet the requirements of§ 10-103(b) and Title 24 Part 6. Test Description lest Pertormedy: ❑ LTG -2-A: Lighting Control Acceptance Document - Occupancy Sensor Acceptance - Manual Daylight Controls Acceptance - Automatic Time Switch Control Acceptance Equipment requiring acceptance testing ❑ LTG -3-A: Automatic Daylighting Controls Acceptance Document Equipment requiring acceptance testing Run Initiation Time: 12/13/05 08:10:07 Run Gode: 1134490207 EnergyPro 4.0 by EnergySoft User Number: 5533 Job Number: Pagel of 12 INTERIOR LIGHTING SCHEDULE , (Part 1 of 2) LTG -2-C Lawyer Title -Tenant Improvement 12/13/05 Luminaire Lamps/Ballasts Installed Watts C D E F G H Name Type Description (1F 26w Compact Fluorescent Quad 2 .gym D3 in CFQ26W/G24d-3 r d c 333 5m, M M w�� m 3I 26 r-Mz 3a 3 -m 'm M� -0„A 1.0 r 3vd _ 5�" 37.0 o� cn YesNo X r z 3 ��3 ' N 4 x°:� G 148 (2) 2 ft Fluorescent T8 Elec F17T8 2 17 1.0 33.0 X 1 31 1,023 G J I PAGE TOTAL 1 ,171 BUILDING TOTAL (sum of all pages) -1-,l 7- 1 PORTABLE LIGHTING (From LTG -3-C) CONTROL CREDIT (From LTG -4-C) ADJUSTED ACTUAL WATTS 1,171 User Number: 5533 Job Number: LIGHTING MANDATORY MEASURES LTG -MM PROJECT NAME DATE Lawyer Title -Tenant Improvement 12/13/05 DESCRIPTION Designer Enforcement LJ § 131(d)1 For every floor, all interior lighting systems shall be equipped with a separate automatic I control to shut off the lighting. This automatic control shall meet the requirements of r Section 119 and may be an occupancy sensor, automatic time switch, or other device capable of automatically shutting off the lighting. § 131(d)20verride 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. U§ 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. 1 § 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. LJ § 132 Tandem Wiring for One and Three Lamp Fluorescent Fixtures: All one and three lamp fluorescent fixtures are tandem wired with two lamp ballasts where required by Standards Section 132; or all one and three lamp fluorescent fixtures are specified with electronic high -frequency ballasts and are exempt from tandem wiring requirements. U§ 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 i walls. 1=J § 131(b) Uniform Reduction for Individual Rooms: All rooms and areas greater than 100 square feet and more than 0.8 watts per square foot of lighting load shall be controlled with bi-level switching for uniform reduction of lighting within the room. U• § 131(c) Daylight Area Control: All rooms with windows and skylights that are greater than 250 square feet and that allow for 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(e) Display Lighting. Display lighting shall be separately switched on circuits that are 20 amps or less. - EnergyPro 4.0 by EnergySoft User Number: 5533 Job Number: Page: 11 of 12 U M U W L0 0 M r N r z I Transfer Air ( ' I I I ( l t o Design Min. Air v Setpoint I m Q ! I _ Max of a Columns H, J, ( 6 U 2 K or 300 CFM E > a Z B x 0.4 x U O > Y CFM/sq. ft. _ wa > t v M ~ 30% of Design 3 Q IL Zone Supply �? CFM o v r Design n ° E 3 Vent. 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