06-2368 (RC)I
P.O. BOX 1504 VOICE (760) 777-7012
78-4.95 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSP4' S (760) 777-7153
BUILDING PERMIT
Dates 12/{05/06
Application Number:
X06-00002368
Owner:
Property Address:
78865 HIGHWAY_Tll.
LOWE-S HIW, INC.
0 tiQ
APN:
643-020-022- - -
1530' FARADAY AVE, SUITE
140 �/ 2Q
J
Application description:
REMODEL - COMMERCIAL
CARLSBAD, CA 92008
40 pQ
Property Zoning:
REGIONAL COMMERCIAL
(760)804-S300
v O $�
Application valuation:
300000
Z OQ
Q 2
Contractor:
4
-� Applicant:
Architect or Engineer:
ARRIS INC
P.O. BOX 5099
ANNISTON, AL 36205
(256)237-1601
Lic. No.:.839365
--------------------------------------------------
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.: 839365
Dater #—Con
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
( 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: ,� (%%T Dwner:
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.). 1
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
ISSLred.
— 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 OHIO INS Policy Number WC6645265
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
31790 of the Labor Cod s all forthwith com ly with th se provisions.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000) IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that. I have read this application and state that the above information is correct. I agree to comply with all
city and couty ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property/fir j;Jspection purposes: A '
Application Number . . . . . 06-00002368
------ Structure Information EXISTING LOWES RETAIL STORE
-----
Other struct info . . . . . CODE EDITION
O1BMP04EOSEN
FIRE SPRINKLERS
YES
MIXED-USE OCCUPANCY
M/S-1
OCCUPANT LOAD
.00
1ST FLOOR SQUARE FOOTAGE
----------------------------------------------------------------------------
212085.00
Permit . . . BUILDING PERMIT
Additional desc ALTERATIONS EXISTING BLDG
Permit Fee 700.00 Plan Check Fee
455.00
Issue Date Valuation . . .
. 300000
Expiration Date 6/03/07
- Qty Unit Charge Per
Extension
200.00 3.5000 THOU BLDG 100,001-500,000
----------------------------------------------------------------------------
700.00
Permit . . . ELECT - ADD/ALT/REM
Additional desc
Permit Fee . . . . 21.75 Plan Check Fee
5.44
Issue Date . . . . Valuation . . .
. 0
Expiration.Date 6/03/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
9.00 :7500 PER ELEC DEVICE/FIXTURE 1ST"20
6.75`
- ----------------------------------------------------------------
Special Notes and Comments
ALTERATION OF NEW LOADING DOCK SPACE
^ AND -RELOCATION OF EXISTING TRASH
COMPACTOR, REMODEL.TO GARDEN SHOP AND
EXTERIOR FACADE TO EXISTING LOWE'S
RETAIL BUILDING. 2001 CBC, 2004 CEC.
------------------
Other Fees . . . . . . . STRONG MOTION (SMI) = COM
63.00
Fee summary Charged Paid Credited
Due
d Permit Fee Total 721.75 .00 .00
721.75
Plan Check Total 460.44 .Od .00
460.44
Other Fee Total 63.00 .00 .00
- 63.00
Grand Total 1245.19 .00 .00
1245.19
k
• l
LQPERMIT
Limited Power of Attorney
To Whom It May Concern:
Please let it be known that Glenn Fulcher has Limited Power of Attorney for Arris; Inc. in
obtaining all legal permits and licensing allowing Arris Inc. to do business in the city of
La Quinta, CA.
Sincerely,
Corey ilkerson
President, Arris Inc. .
Notary:
ci
My Commission E. ' es: 04/12/2010
TAMMY WILLIAMS
Notary Public, state of Texas
My Commission Expires
April 12, 2010
Co�Y.�-
1
i0. � '� •
CERTIFICATE OF COMPLIANCE (Part 1 of 4) LTG -1 -C
PROJECT NAME
DATE
LOWES REMODEL
5/15/2007
PROJECT ADDRESS
a -,r: :v__ •r. , ,
78865 HIGHWAY 111 LA QUINTA
PRINCIPAL DESIGNER -LIGHTING
Page 'Interworks, P.A.
TELEPHONE
(336) 667-4225
Builiiing Permit;#> xe
DOCUMENTATION AUTHOR
SACRAMENTO ENGINEERING
TELEPHONE"*,Checked
368-4468
by/Date.}
(916)
°a',Enfo�a} mentA ericuae-f
GENERAL IN
DATE OF PLANS
BUILDING CONDITIONED FLOOR AREA CLIMATE
ZONE
3,278 Sq.Ft
15
BUILDING TYPE ® NONRESIDENTIAL ❑ HIGH RISE RESIDENTIAL ❑ HOTEUMOTEL GUEST ROOM
❑X CONDITIONED SPACES ❑ UNCONDITIONED SPACES ❑ INDOOR & OUTDOOR SIGNS
PHASE OF CONSTRUCTION ❑ NEW CONSTRUCTION ❑ ADDITION ALTERATION
METHOD OF LIGHTING ❑ COMPLETE BUILDING ® AREA CATEGORY ❑ TAILORED ❑ PERFORMANCE
COMPLIANCE ❑ COMMON LIGHTING
STATEMENT OF COMPLIANCE'
This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24,
Parts 1 and 6 of the Califomia Code of Regulations. This certificate applies only to buildin I' ht nts.
The documentation preparer hereby certifies that the documentation is accurate pnd co et .
DOCUMENTATION AUTHOR
SIGNATURE
DATE
Rickert HenriksenJ44
5/15/07
ign repre ent d in this set of construction documents
The Principal Lighting Designer hereby certifies that the proposed buildingle'Clighting
is consistent with the other compliance forms and worksheets, with the spations, a th any other calculations submitted with
this permit application. The proposed building has been designed to meet requirements contained in Sections 110, 119,
130-132, 146, 148 & 149 of Title 24, Part 6.
❑X The plans & specifications meet the requirements of Part 6 (Sections 10-103a)..
® The installation certificates meet the requirements of Part 6 (10-103a 3).
® The operation & maintenance information meet the requirements of Part 6 (10-103c).
Please eck One: (These sections of the Business and Professions Code are printed in full in the Nonresidential Manual.)
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 1 am licensed in the State of California as a civil engineer or electrical engineer, or I am a licensed architect.
❑ I 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.
0 I affirm that I am eligible under the exemption to 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 Professio Code Sections 5 , 53 and 6737.1.
PRINCIPAL LIGHTING DESIGNER - NAME SIGNA ATE LIC. #
Page Interworks P.A. CS41,101 1611-7-
ILIGHTING MANDATORY MEASURES
Indicate location on plans of Note Block for Mandatory Measures
I ON THIS SHEET
LIGHTING COMPLIANCE FORMS & WORKSHEETS Check box if worksheet is included
®LTG -1-C, Parts 1 of 4 and 2 of 4: Certificate of Compliance. Part 1 of 4 and 2 of 4 are required for all submittals
❑ LTG- 1-C, Part 3 of 4: Certificate of Compliance. Part 3 of 4 submittal is required only if Control Credits are claimed
0LTG-1-C, Part 4 of 4: Certificate of Compliance. Part 4 of 4 submittal is required when lighting c s are installed
®LTG -2-C: Indoor Lighting Schedule
0LTG-3-C: Portable Lighting Worksheet n
0
10 LTG -4-C: Lighting Controls Cred'
lloyvane�-U OF LA QUINTA
®LTG -S -C: Tailored
®LTG -6-C: Tailored Method Work hee�✓� T
4 k C%
❑LTG -7-C: Room Cavity Ratio Wo ks@ ILDING & SAFEfY DEP B
❑LTG -8-C: Common Lighting Sys t ms Met hq�i 1�VQr Cs�C�^e O\ / C D �' <00,
❑LTG -9-C: Line Voltage Track Lig ting WO a PSI V C_
EnergyPro 4.3 by Energysoft User Number. 3045 QRI
Page:1 of 6
DiH
CERTIFICATE OF COMPLIANCE (Part 2 of 4) LTG -1 -CI
(PROJECT NAME DATE
LOWES REMODEL 1 5/15/2007
INSTALLED INDOOR LIGHTING POWER FOR CONDITIONED AND UNCONDITIONED SPACES
INSTALLED LIGHTING, UNCONDITIONED SPACES (From LTG -2-C) 0
LIGHTING CONTROL CREDIT, UNCONDITIONED SPACES (From LTG44) 0
UNCONDITIONED SPACE ADJUSTED INSTALLED LIGHTING POWER 0
ALLOWED INDOOR LIGHTING POWER FOR CONDITIONED SPACES
❑ COMPLETE BUILDING METHOD (From LTG -5-C) ALLOWED
❑X AREA CATEGORY METHOD (From LTG -5-C) WATTS
❑ TAILORED METHOD (From LTG -5-C) ALLOWED LIGHTING POWER 5,573
]ALTERNATE COMPLIANCE
❑ PERFORMANCE METHOD
❑ ' COMMMON LIGHTING SYSTEM (From LTG -8-C)
ALLOWED INDOOR LIGHTING POWER FOR UNCONDITIONED SPACES From LTG -5-C o
MANDATORY INDOOR AND DAYLIGHTING AUTOMATIC CONTROLS
INSTALLED
WATTS
INSTALLED LIGHTING, CONDITIONED SPACES (From LTG -2-C)
4,326
PORTABLE LIGHTING (From LTG -3-C)
0
LIGHTING CONTROL CREDIT, CONDITIONED.SPACES (From LTG-")
0
CONDITIONED SPACE ADJUSTED INSTALLED LIGHTING POWER
4,326
INSTALLED LIGHTING, UNCONDITIONED SPACES (From LTG -2-C) 0
LIGHTING CONTROL CREDIT, UNCONDITIONED SPACES (From LTG44) 0
UNCONDITIONED SPACE ADJUSTED INSTALLED LIGHTING POWER 0
ALLOWED INDOOR LIGHTING POWER FOR CONDITIONED SPACES
❑ COMPLETE BUILDING METHOD (From LTG -5-C) ALLOWED
❑X AREA CATEGORY METHOD (From LTG -5-C) WATTS
❑ TAILORED METHOD (From LTG -5-C) ALLOWED LIGHTING POWER 5,573
]ALTERNATE COMPLIANCE
❑ PERFORMANCE METHOD
❑ ' COMMMON LIGHTING SYSTEM (From LTG -8-C)
ALLOWED INDOOR LIGHTING POWER FOR UNCONDITIONED SPACES From LTG -5-C o
MANDATORY INDOOR AND DAYLIGHTING AUTOMATIC CONTROLS
CERTIFICATE OF COMPLIANCE (Part 4 of 4) LTG -1-C
PROJECT NAME
LOWES REMODEL
DATE
5/15/2007
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 fora 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
Test Performed B
❑ 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
+ I EnergyPro 4.3 by EnergySoft User Number: 3045 Job Number. 07408 Page:3 of 6
9
NDOOR LIGHTING SCHEDULE (Part 1 of 2) LTG -2-C
PROJECT NAME DATE
LOWES REMODEL 5/15/2007
INSTALLED LIGHTING POWER FOR CONDITIONED SPACES
Luminaire
Lam s/Ballasts
Installed Watts
C
D
E
F
G
H
I
J
Name
.
Type Description,
�w
v3
,N�
r -mc
3.x'3
ov,c
0) N
fD `, °
wv�
3mm
N
cmI
3.m3
Seo
N N
`�,° o
c
3.v�
9�P:
0) y
m
0
fDn
wm
S.0
Yes No
r
a Z
3.
So3
N �Q
y
dd
X 2—
v m c
F4
2T
3
32
2.0
89.0
X
38
3.382
F6 '
2
3
1 .0
59.0—X
16
944
PAGE TOTAL 4 326
BUILDING TOTAL (sum of all pages) 4, 326
PORTABLE LIGHTING (From LTG -3-C)
CONTROL CREDIT (From LTG -4-C) C�
ADJUSTED ACTUAL WATTS 4 326
1 EnergyPro 4.3 by EnergySoft User Number: 3045 Job Number: 07408 Page:4 of 6
I
,O -j
INDOOR LIGHTING POWER ALLOWANCE LTG -5 -CI
PROJECT NAME
LOWES REMODEL
DATE
5/15/2007
XLLOWED LIGHTING POWER (ChooseOne-Method)
COMPLETE BUILDING METHOD - CONDITIONED SPACES
ALLOWED
WATTS
BUILDING CATEGORY (From Section 146 Table 146-B)
WATTS
PER SF
COMPLETE
BLDG. AREA
ALLOWED
WATTS
AREA CATEGORY METHOD - CONDITIONED SPACES
AREA CATEGORY (From Section 146 Table 146-0)
WATTS
PER SF
AREA
(SF)
ALLOWED
WATTS.
Retail Sales Wholesale
1.70
3,278
5,573
PAGE TOTAL
BUILDING TOTAL
C�
AREA
WATTS
TAILORED METHOD - UNCONDITIONED SPACES
TOTAL UNCONDITIONED SPACES ALLOWED WATTS
(From LTG -5-C and LTG -6-C) 0
EneFgyPro 4.3 by EnergySoft User Number: 3045 Job Number. 07408 Page:5 of 6
PAGE TOTAL
BUILDING TOTAL
3 278
5 573
3,278
5,573
AREA
WATTS
TAILORED METHOD - CONDITIONED SPACES
TOTAL ALLOWED WATTS
(From LTG -6-C or from computer run.)�.J
UNCONDITIONED SPACES
Complete Building and Area Category Methods
Category (From Section 146 Table 146 -B&C)
WATTS
PER SF
AREA
(SF)
ALLOWED
WATTS
PAGE TOTAL
BUILDING TOTAL
C�
AREA
WATTS
TAILORED METHOD - UNCONDITIONED SPACES
TOTAL UNCONDITIONED SPACES ALLOWED WATTS
(From LTG -5-C and LTG -6-C) 0
EneFgyPro 4.3 by EnergySoft User Number: 3045 Job Number. 07408 Page:5 of 6
LIGHTING MANDATORY MEASURES
r
ROJECT NAME
LOWES REMODEL
LTG -MM
DATE
5/15/2007
DESCRIPTION
Designer
Enforcement
§131(d)1 For every floor, all Interior lighting systems shall be equipped with a separate automatic
control to shut off the lighting. 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.
. §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
X] §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.
X❑ §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.
o§132 Tandem Wiring for One and Three Lamp Fluorescent Fixtures: All one and three
damp 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..
§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.
a'§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 bl-level switching for uniform reduction of lighting within the room.
§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 dayllt 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 4.3 by EnergySoft User Number: 3045 Job Number: 07408 Page:6 of 6
f
o�
CERTIFICATE OF COMPLIANCE
(Part l.of3)
MECH-1-C
PROJECT NAME
LOWES REMODEL
Air/Water/Service/Water Pools Requirements. Part 1 of 3, 2 of 3, 3 of 3 are required for all submittals, but may be on plans.
DATE
5/15/07''
PROJECT ADDRESS
78865 HIGHWAY 1 1 1, LA QUINTA
❑ MECH-4-C
HVAC Misc. Prescriptive Requirements is required for all prescriptive submittals, but may be on plans. .
PRINCIPAL DESIGNER -MECHANICAL
PAGE INTERWORKS, P.A.
TELEPHONE
336-667-4225
Building Permit #
Checked by/Date
Enforcement Agency Use
D CU NTA 10 AUT 0
�A ` AMR15 MINEERING CONSULTANTS
TELEPHONE
916-368-4468
GENERAL INFORMATION
DATE OF PLANS 4/13/07 BUILDING CONDITIONED FLOOR AREA 3278 S . FT.
CLIMATE ZONE 15
BUILDING TYPE ® NONRESIDENTIAL
❑ HIGH RISE RESIDENTIAL
❑ HOTEUMOTEL GUEST
ROOM
PHASE OF CONSTRUCTION ❑ NEW CONSTRUCTION
❑ ADDITION ® ALTERATION
❑ UNCONDITIONED
(file affidavit)
STATEMENT OF COMPLIANCE
This Certificate of Compliance lists the building features and performance specifications need to comply with Title 24, Parts 1 and 6 of the California Code
of Regulations. This certificate applies only to building lighting requirements.
The documentation preparer hereby certifies that the documentation is accurate
I RICKERT HENRIKSEN . I A ,J • +tom 1-5/-15/07
The Principal Mechanical Designer hereby certifies that the proposed building design represen d In this et f construction documents Is consistent with the
other compliance forms and worksheets, with the specifications, and with any other calculatis submitte with this, permit application. The proposed building
'has been designed to meet the lighting requirements contained in the applicable parts of Sections 100, 101, 102, 110 through 115, 120 through 125, 142, 144
and 145.
El . The plans & specifications meet the requirements of Part.1 (Sections 10-103a).
Q The installation certificates meet the requirments of Part 1 (10-103a 3).
Ej The operation & maintenance information meets the requirements of Part 1 (.10-103c).
Please check one:,( These sections of the Business and Professions Code are printed in full in the Nonresidential Manual.)
E] 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 or mechanical engineer, or I am a licensed
architect.
❑ 1 affirm that I am eligible under the exemption to 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 the exemption to Division 3 of the Business and Professions Code to sign this document because ft pertains to a
structure or type of work described pursuant to Business and Professions Code sections 5537, 5538, and 6737.1.
INSTRUCTIONS TO APPLICANT MECHANICAL COMPLIANCE & WORKSHEETS (check box if worksheet is included)
❑ MECH-I-C
Certificate of Compliance. Part 1 of 3, 2 of 3, 3 of 3 are required on plans for all submittals
❑ MECH-2-C
Air/Water/Service/Water Pools Requirements. Part 1 of 3, 2 of 3, 3 of 3 are required for all submittals, but may be on plans.
❑ MECH-3-C
Mechanical Ventilation and Reheat is required for all submittals with mechanical ventia Ilion, but may be on plans.
❑ MECH-4-C
HVAC Misc. Prescriptive Requirements is required for all prescriptive submittals, but may be on plans. .
2005 Nonresidential Compliance Forms January 2006
CERTIFICATE OF COMPLIANCE (Part 2 of 3) MECH-1-C
PROJECT NAME
LOWES REMODEL.
DATE
75/15/07
Designer:
This form is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for mechanical systems. The designer is
required to check the boxes by all acceptance tests that apply and list all the equipment that requires an acceptance test. If all equipment of a certain
type requires a test, list the equipment description and the number of systems to be tested in parentheses. The NJ number designates the Section in
the Appendix of the Nonresidential ACM Manual that describes the test. Also indicate the person responsible for performing the tests (i.e. the installing
contractor, design professional or an agent selected by the owner), Since this form will be part of the plans, completion of this section will allow the
responsible party to budget for the scope of work appropriately.
Building Departments:
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 oeprated for normal use, all control devices serving the buidling or space shall be certified as meeting the Acceptance
Requirements for Code Compliance.
In addition a Certificate of Acceptance, MECH-I-A, Forth shall be submitted to the building department that certifies plans, specifications, installtion
certificates, and operating and maintenance information meet the requirements of §10-103(b) and Title 24 Part 6.
Test Description
Test Performed By:
v/ ❑ MECH-2-A: Ventilation System Acceptance Document
- Variable Air Volume Systems Outdoor Air Acceptance
- Constant Air Volume Systems Outdoor Air"Acceptance
Test required on all New systems both New Construction and Retrofit.
Equipment requiring acceptance testing
❑ MECH-3-A: Packaged HVAC Systems Acceptance Document
Test required on all New packaged systems both New Construction and Retrofit.
Equipment requiring acceptance testing
n
,/ ❑ MECH-4-A: Air -Side Economizer Acceptance Document est required on all New packaged
Test required on all new air -side economizers for both New Construction and Retrofit. Units with
economizers that are installed at the factory and certified with the Commission do not require
equipment testing but do require construction inspection.
Equipment requiring acceptance testing
2005 Nonresidential Compliance Forms . January 2006
CERTIFICATE OF COMPLIANCE (Part 3 of 3) •MECH-1-C
PROJECT NAME .;
LOWES REMODEL y ` ..,,_�
DATE
5%15/07
Test Description
Test Performed By:
✓ O MECH-5-A: Air Distribution Acceptance Document
This test is required if the unit serves 5, 000 ft zof space or less and 25% or more of the ducts
are in nonconditioned or semiconditioned space like an attic. New systems that meet the
above requirements. Retrofit systems that meet the above requirements and either extend
ducts, replace ducts or replace the packaged unit.
Equipment requiring acceptance testing
✓ O MECH-6-A: Demand Control Ventilation Acceptance Document
All new DCV controls installed on new or existing packaged systems must be tested.
Equipment requiring acceptance testing
✓ 0 MECH-7-A: Supply Fan Variable Flow.Control Acceptance Document
All new VA fan volume controls installed on new or existing systems must be tested.
Equipment requiring acceptance testing
✓ O MECH-8-A: Hydronic System Control Acceptance Document
Variable Flow Controls, Applies to chilled and hot water systems.
Automatic Isolation Controls, Applies to new boilers and chillers and the primary
pumps are connected to a common header.
Supply Water Temperature Reset Controls, Applies to new constant flow chilled.and
hot water systems that have a design capacity greater than or equal to 500, 000
Btu/hr.
Water-loop Heat Pump Controls, Applies to all new waterloop heat pump systems
when= the•combined loop pumps are greater than 5 hp.'
Variable Frequency Control, Applies to all new distributionpumps on new variable
flow chilled,.hydronic heat pump or condenser water systems where the pumps
motors are greater than 5hp.
Equipment requiring acceptance testing
2005 Nonresidential Compliance Forms January 2006
Wil
MECHANICAL MANDATORY MEASURES Part.1 of 2 MECH-MM
(PROJECT NAME DATE
LOWES REMODEL 15/15/07
DESCRIPTION
Desi ner
Enforcement
Equipment and Systems 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.
R 124 Air handling duct systems shall be installed and insulated in compliance with
Sections 601, 603 and 604 of the Uniforrn Mechanical Code.
Controls
122(e) Each space conditioning system shall be Installed with one of the following:
122(e)1A Each space conditioning system serving building types such as offices and
manufacturing facilities (and all others not explicitly exempt from the
requirements of Section 112 (d)) shall be installed with an automatic time•switch
with an accessible manual override that allows operation of the system during
off -hours for up to 4 hours. The time switch shall be capable of programming
different schedules for weekdays and "weekends and have program backup
capabilities that prevent the loss of the device's program and time setting for at .
least 10 hours if power is interrupted; or
122(e)1B An occupancy sensor to control the operating period of the system; or
❑ 122(e)1C A 4 -hour timer that can be manually operated to control the operating period of
the system.
El 122(e)2 Each space conditioning system shall be installed with controls that temporarily
restart and temporarily operate the system as required to maintain a setback
heating and/or a setup cooling thermostat setpoint.
122(g) Each space conditioning system serving multiple zones with a combined
conditioned floor area more than 25,000 square feet shall be provided with
Isolation zones. Each zone: shalt not exceed.25,000 square feet; shall be
provided with isolation devices, such. as valves or dampers, that allow the supply
of heating or cooling to be setback or shut off independently of. other isolation
areas; and shall be controlled by a time control device as described above.
122(a&b) Each space conditioning system shall be controlled by an individual thermostat
that responds to temperature within the zone. Where used to control heating, the
control shall be adjustable down to 55 degrees F or lower. For cooling, the
control shall be adjustable up to 85 degrees F or higher. Where used for both
heating and cooling, the control shall be capable of providing a deadband of at
.least 5 degrees F within which the supply of heating and cooling is shut off or
reduced to a minimum.
122(c) Thermostats shall have numeric setpoints in degrees Fahrenheit (F) and
adjustable setpoint stops accessible only to authorized personnel.
112(b). Heat pumps shall be Installed with controls to prevent electric resistance
supplementary heater operation when the heating load can be met by the heat
pump alone.
Pagel of 9
MECHANICAL MANDATORY MEASURES Part 2 -of 2 MECH-M
PROJECT NAME DATE
LOWES REMODEL 15/15/07
Description
Desi her
Enforcemen
Ventilation
121(e) Controls shall be provided to allow outside air dampers or devices to be operated at
the ventilation rates as specified on these.plans.
122(f) Gravity or automatic dampers interlocked and closed on fan shutdown shall be
provided on the outside air intakes and discharges of all space conditioning and
exhaust systems.
El 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.
121(f)1 Air Balancing: The system shall be balanced In accordance with the National
- Environmental Balancing Bureau (NEBB) Procedural Standards (1983), or
Associated Air Balance Council (AABC) National Standards (1989); or
121(f)2 Outside Air Certification: The system shall provide the minimum outside air as
shown on the mechanical drawings,, and shall be measured and certified by the
installing licensed C-20 mechanical contractor and certified by (1) the design
mechanical engineer, (2).the installing licenced C-20 mechanical contractor, or (3) the
person with overall responsibility for the design of the ventilation system; or
❑ 121(f)3 Outside Air Measurement: The system shall be equipped with a calibrated local or
remote device capable of measuring the quantity of outside air on a continuous
basis and displaying that quantity on a readily accessible display divice; or
M121(f)4 Another method approved by the Commission.
Service Water Heating Systems
El113(b)2 If a circulating hot water system is installed, it shall have a control capable of
automatically turning off the circulating pump(s) when. hot water Is not required.
113(b)3B Lavatories in restrooms of public facilities shall be equipped with controls to limit the
outlet temperature to 110 degrees F.
❑ 113(b)3C Lavatories in restrooms of public facilities shall be equipped with one of the
following:
Outlet devices that limit the flow of hot water to a maximum of 0.5 gallons per
minute.
Foot actuated control valves, and outlet devices that limit the flow of hot water to a
maximum of 0.75 gallons per minute.
Proximity sensor actuated control valves, and outlet devices that limit the flow of hot
water to a maximum of 0.75 gallons per minute.
Self-closing valves, and outlet devices that limit the flow of hot water -to a maximum
of 2.5 gallons per minute, and 0.25 gallons/cycle (circulating system).
Self-closing valves, and outlet devices that limit the flow of hot water to a maximum
of 2.5 gallons per minute, and 0.50 gallons/cycle (non -circulating system).
Self-closing valves, and outlet devices that limit the flow of hot water to a maximum
of 2.5 gallons per minute, and 0.75 gallons/cycle (foot switches and proximity sensor
controls).
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