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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). Page:2 of 2