Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
BCOM2014-1043
71 5 •M1 � 5 78-495 CALLE TAMPICO LA QUINTA,`CALIFORNIA 92253 Application Number: BCOM2014-1043 Property Address: 78900 HIGHWAY 111 APN: 643080003 Application Description: T.I. FOR MILAN INSTITUTE Property Zoning: Application'Valuation: $180,000.00 Applicant: ULTRA CONSTR & DEVELOPMENT INC OUTSIDE CITY LIMITS LA QUINTA, CA 92253 D VOICE (760) 777-7125 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 1/26/2015 Owner: OWASHINGTON ADAMS PARTNERSHIP 46753 ADAMS STREET AN 2 9 LA QUINTA, CA 92253 O COMMUNRYDEVELQ MEW DE DEPARTMENT Contractor: ULTRA CONSTR & DEVELOPMENT INC OUTSIDE CITY LIMITS LA QUINTA, CA 92253 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 Professions Code, and my License is in full force and effect. License Class: License No.: :LIC -0002478 Date:-hd/Contractor: 4 n 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 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: I ) 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.). I ) 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.).. (r) I am exempt under Sec. B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. Q. Lender's Name: r Lender's (760)320-2110 Llc. No.: :LIC -0002478 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier:- Policy Number: _ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Sectibn 3700 of the Labor Code, I shall forthwith comply with those provisions. pate: t1Z l�Zc?l Applicant: 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 Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above• men[ioned property for inspection purposes. �Qte: Signature (Applicant or Agent): JeA4!;CA -. DESCRIPTION FINANCIAL INFORMATION ACCOUNT. T QTY AMOUNT PAID PAID DATE ART IN PUBLIC PLACES - COMMERCIAL REMOD 270-0000-43201 0 $400.00 $0.00 PAID BY METHOD RECEIPT # . CHECK # CLTD BY e Total Paid forART IN PUBLIC PLACES - AIPP: $400.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $8.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $8.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NON-RESIDENTIAL, EA ADDITION 2,000SF 101-0000-42403 0 $145.04 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NON-RESIDENTIAL, EA ADDITION 2,000SF, PC 101-0000-42600 0 $38.68 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NON-RESIDENTIAL, FIRST 2,000SF 101-0000-42403 0 $108.77 $0.00 PAID BY' METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NON-RESIDENTIAL, FIRST 2,000SF, PC 101-0000-42600 0 $84.12 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forELECTRICAL - NEW CONSTRUCTION: $376.61 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE APPLIANCE REPAIR/ALTERATION 101-0000-42402 0 $24.18 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT* QTY AMOUNT PAID PAID DATE APPLIANCE REPAIR/ALTERATION PC 101-0000-42600 0 i $9.66 $0.00 PAID BY, METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID..' PAID DATE VENT FAN 101-0000-42402 0 $36.27 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 $14.49 $0.00 .PAID BY. METHOD RECEIPT # CHECK # CLTD BY Total Paid forMECHANICAL: $84.60 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $241.80 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $241.80 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION' ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $169.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY ,DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $169.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $822.12 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $369.75 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $295.80 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION- ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, FIRST 500 SF PC 101-0000-42600 0 $134.88 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forREMODEL: $849.74 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - COMMERCIAL 101-0000-20308 0 $50.40 $0.00 PAID BY METHOD RECEIPT,# CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SM! $50.40 $0.00 • $0.01 r Description: T.I. FOR MILAN INSTITUTE Type: BUILDING, COMMERCIAL Subtype: REMODEL Status: APPROVED Applied: 12/10/2014 PJU Approved: 1/23/2015 BHA Parcel No: 643080003 Site Address: 78900 HIGHWAY 111LA QUINTA,CA 92253 Subdivision: PM 25865 Block: Lot: 5 Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $180,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 EMAILED BOB PIERCE TO NOTIFY THAT CORRECTIONS ARE Details: REQUIRES CC APPROVAL OF ZOA ON 12.16 BURT HANADA 'VOCATIONAL BEAUTY SCHOOL T.I. 'MILAN INSTITUTE" "B" OCCUPANCY. TYPE V -B CONSTRUCTION WITH FIRE SPRINKLERS. 198 OCCUPANT LOAD. 2013 CODES. SUITES 78-900 AND 78-910. FINAL OCCUPANCY SHALL BE ALLOWED ON 2/05/2015 PER MUP 2014- 1016. Printed: Monday, January 26, 2015 12:16:22 PM 1 of 5 CRWYsrfMs CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES EMAILED BOB PIERCE TO NOTIFY THAT CORRECTIONS ARE E-MAIL BURT HANADA 1/6%2015 1/6/2015 AVAILABLE FOR PICKUP AND SENT A COPY OF CORRECTION LIST. Bob Pierce 760-898-1899 brought in energy reports for Milan NOTE PHILIP JUAREZ 12/22/2014 12/22/2014 Institute. BOB PIERCE 760-898-1899 CALLED FOR AN UPDATE REGARDING PROJECT GAVE HIM AN UPDATE THAT BURT HAD PLANS ON HIS DESK FOR REVIEWME WAS VERY UPSET THAT THEY ARE NOT READY YET AND WANTED TO SPEAK TO BURT NOTE PHILIP JUAREZ 1/6/2015 1/6/2015 PUT HIM THROUGH TO BURT'S VOICE MAIL. ALSO INFORMED HIM THERE WAS A HOLD UP WITH PROJECT BECAUSE WE NEEDED ENERGY REPORTS THAT WERE NOT BROUGHT IN AT 1ST SUBMITTAL 12-10-2014 BROUGHT IN ENERGY REPORTS TILL 12-22-2014. Printed: Monday, January 26, 2015 12:16:22 PM 1 of 5 CRWYsrfMs �� off. 3; r "` 4 • = ®MURVATEW; PLAN CHECK SUBMITTAL KAY HENSEL 12/10/2014 12/10/2014 RECEIVED CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY RESUBMITTAL BY MARY AT COUNTER. PER CONVERSATION PLAN CHECK SUBMITTAL KAY HENSEL 1/12/2015 1/12/2015 WITH WALLY, I'M SENDING 1 REVISED SET TO PLANNING FOR RECEIVED Total Paid forART IN PUBLIC PLACES - AIPP: $400.00 $0.00 BSAS SB1473 FEE 101-0000-20306 REVIEW. PLAN CHECK SUBMITTAL $0.00 MARY FASANO 1/12/2015 _ 1/12/2015 $8.00 RECEIVED BSA: NON-RESIDENTIAL, EA 101-0000-42403 0 $145.04 $0.00 CALLED BOB PIERCR TO INFORM HIM PERMIT IS APPROVED TELEPHONE CALL BURT HANADA 1/23/2015 1/23/2015 ADDITION 2,000SF AND READY TO ISSUE. TELEPHONE CALL PHILIP JUAREZ 12/17/2014 1/17/2015 NON-RESIDENTIAL, EA CONDITIONS 0 $38.68 $0.00 CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT ULTRA CONSTR & DEVELOPMENT INC OUTSIDE CITY LIMITS LA QUINTA CA 92253 (760)413-1997 CONTRACTOR ULTRA CONSTR & DEVELOPMENT INC OUTSIDE CITY LIMITS LA QUINTA CA 92253 (760)413-1997 OWNER WASHINGTON ADAMS PARTNERSHIP 46753 ADAMS STREET LA QUINTA CA 92253 (760)413-1997 Printed: Monday, January 26, 2015 12:16:22 PM 2 of 5 C[/[S Wrsre,uS FINANCIAL • • CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY ART IN PUBLIC PLACES - 270-0000-43201 0. $400.00 $0.00 COMMERCIAL REMOD Total Paid forART IN PUBLIC PLACES - AIPP: $400.00 $0.00 BSAS SB1473 FEE 101-0000-20306 0 $8.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $8.00 $0.00 BSA: NON-RESIDENTIAL, EA 101-0000-42403 0 $145.04 $0.00 ADDITION 2,000SF NON-RESIDENTIAL, EA 101-0000-42600 0 $38.68 $0.00 ADDITION 2,OOOSF, PC Printed: Monday, January 26, 2015 12:16:22 PM 2 of 5 C[/[S Wrsre,uS DESCRIPTION i ACCOUNT QTY AMOUNT PAID PAID DATE . RECEIPT # CHECK # METHOD PAID BY CL TD BY NON-RESIDENTIAL, 101-0000-42403 0 $108.77 $0.00 FIRST 2,000SF NON-RESIDENTIAL, 101-0000-42600 0 $84.12 $0.00 FIRST 2,000SF, PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $376.61 $0.00 APPLIANCE 101-0000-42402 0 $24.18 $0.00 REPAIR/ALTERATION APPLIANCE 101-0000-42600 0 $9.66 $0.00 REPAIR/ALTERATION PC VENT FAN 101-0000-42402 0 $36.27 $0.00 VENT FAN PC 101-0000-42600 0 $14.49 j $0.00 Total Paid forMECHANICAL: $84.60 $0.00 FIXTURE/TRAP 101-0000-42401 0 $241.80 $0.00 FIXTURE/TRAP PC 101-0000-42600 0 $241.80 $0.00 WATER SYSTEM 101-0000-42401 0 $169.26 $0.00 INST/ALT/REP WATER SYSTEM101-0000-42600 0 $169.26 $0.00 INST/ALT/REP PC Total Paid for PLUMBING FEES: $822.12 $0.00 REMODEL, EA 101-0000-42400 0. $369.75 $0.00 ADDITIONAL 500 SF REMODEL, EA 101-0000-42600 0 $295.80 $0.00 ADDITIONAL 500 SF PC REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $0.00 REMODEL, FIRST 500 SF 101-0000-42600 0 $134.88 $0.00 PC Total Paid for REMODEL: $849.74 $0.00 Printed: Monday, January 26, 2015 12:16:22 PM 3 of 5 ' - N?WYSiEMS d 9 } n 7- D , =[• cF^1 or rNw� A a PERMIT NUMBER B00 .2014-1043 DESCRIPTION ACCOUNT QTY AMOUNT ~PAID PAID DATE ___j___j__j RECEIPT # CHECK # -METHOD PAID BY CLTD NOTES, , DATE BY SMI - COMMERCIAL 101-0000-20308 0 $50.40 $0.00 NON-STRUCTURAL BURT 12/10/2014 1/6/2015 1/6/2015 REVISIONS REQUIRED Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $50.40 $0.00 TOTALS:00 HANADA INSPECTIONS PARENT PROJECTS REVIEW TYPE REVIEWER SENT DATE DUE DATE REVIEWS RETURNED STATUS REMARKS NOTES, DATE FIRE DEPT CALLED ABOUT DOOR SWING FOR NON-STRUCTURAL BURT 12/10/2014 1/6/2015 1/6/2015 REVISIONS REQUIRED FRONT DOOR AND OCC. LOAD REQUIREMENTS. HANADA PLAN CHECKER PLEASE CHECK DOORS AND OCC LOAD REQUIREMENTS. CONFIRM ZCA WENT THROUGH AT CC ZCA WAS ADOPTED ON 1/6/15, BUT IS NOT SEE MUP2014-1016 PLANNING WALLY NESBIT 12/10/2014 12/17/2014 1/7/2015 INCOMPLETE EFFECTIVE UNTIL 2/5/15, SO WE CANNOT HOLD APPROVE MUP 2014-1016 OR THIS PERMIT UNTIL THAT DATE. LISA FIRE NOTTINGHA 12/17/2014 1/7/2015 1/7/2015 REVISIONS REQUIRED Corrections required(not approved) M LISA FIRE NOTTINGHA 1/7/2015 1/7/2015 1/7/2015' APPROVED - Resubmittal approved. M CONDITIONS BURT TRADE SCHOOL TUMF FEE IS LESS THAN RETAIL NON-STRUCTURAL 1/12/2015 1/26/2015 1/23/2015 APPROVED SERVICES TUMF FEE.$5187.00 < $5683.94 / 1000 HANADA SF. TUMF FEE DOES NOT APPLY. PLANNING WALLY NESBIT 1/12/2015 1/19/2015 1/14/2015 READY FOR APPROVAL MUP NOW APP'D PER CONVERSATION WITH WALLY, I'M SENDING A REVISED PLAN SET FOR REVIEW. Printed: Monday, January 26, 2015 12:16:22 PM 4 of 5 (jmWSYSTEMS 01 T_�•� ,t;3 ".ci * -. `.pnt`..:`.^" - `-T .i,, t ti'v9"',i' i°•'r;?9"' z,^„a.-f'� 17 - � a PLANNING WALLY NESBITI 1/12/2015 I 1/19/2015 I 1/14/2015 I READY FOR APPROVAL I MUP NOW APP'D s PLANS MATCH MUP. MUP 2014-1016 APPROVED 1/14 - SEE LETTER IN ATTACHMENTS. NO FINAL INSP PRIOR TO 2/5/15 Printed: Monday, January 26, 2015 12:16:22 PM 5 of 5 Ci?wsrSrEMS BOND INFORMATION Attachment Type CREATED OWNER ATTACHMENTS DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED' DOC 12/17/2014 LISA NOTTINGHAM LAQ-14-TI-046 BLDNG LAQ-I4-TI-046 BLDNG 0 TI CORRECTIONS.docx TI CORRECTIONS.docx DOC 1/7/2015 LISA NOTTINGHAM LAQ-14-TI-046 BLDNG LAQ-I4-TI-046 BLDNG 0 TI RESUBMITTAL.docx TI RESUBMITTAL.docx DOC 1/14/2015 WALLY NESBIT 15-01-14 MUP 14- 15-01-14 MUP 14- 0 1016.pdf 1016.pdf Printed: Monday, January 26, 2015 12:16:22 PM 5 of 5 Ci?wsrSrEMS Bin # ., City Of LaQ Ih ta . , y Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # (� ' 0 Project Address: 7J-C?jb �O Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: U� ZZS3 ntr Co actor• ' 7 2 0� �r- c Tele h ne: P 0 '7 ©� 7 3 �/ S 6 Z/ Address: 9065 C, V 4 v_ Project Description: :z' LD' -C)o �f- eN Kee City, ST, Zip: 9-C..Is ( S t4 I Z Z tf 2 ne• TeleP ho . 76 6-7V State Lie. 4: City Lie. #.- Arch., Engr., Designer: e Address: City, ST, Zip: Telephone: ? Construction Type:nn Occupancy: 17~� State Lie. #l: Proja circle one): New Addn Alter Repair Demo Ject hP ' ) p P Name of Contact Person: �9 / Sq. Ft.: 50 # Stories: / #Units: Z Telephone #,of Contact Person:*Y-) Estimated Value of Project: &9 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd 4 TRACKING PERMIT FEES Plan Sets 3 Plan Check submitted lv Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Pcrso---� t I Plan Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted l Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Pcrson Plumbing Grant Deed Plans picked up S.M.I. ` H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''" Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Al M /67/77 r-V*7( �'-y C lix, One Eleven La Quinta with a single B-2 N, 01'ox P fl o K -LA". QUINTA ZATEti`u8,050 F. - I . ' F-2 ZG7 C�Ei G -Z 9'00U GHWAY 0 5 00 PAAD 3,500 S. 500 S.F.SF. 1z;- • Phase I to include WAL-MART, PHAR-MOR and ALBERTSON'S • Positioned at one of the strongest intersections in the entire Coachella Valley ■ +-620,000 square feet of retail space planned a Located within one of the highest growth areas, of Riverside County 0 Trade areas include the communities of La Quinta, Palm Desert, Indio, Indian Wells, Bermuda Dunes, Rancho Mirage and Cathedral City. a Limited existing, ret, W services in trade area BUILDING ENERGY ANALYSIS REPORT HECEIVED DEC '2 *2" 2014 CITY OF LA QUINTA COMMUNITY DEVELOPMENT PROJECT: Milan Institute 78-900 & 78-910 Hwy 111 La Quinta, CA Project Designer: Report Prepared by: Joan D. Hacker Insu-form, Inc. 77810 Las Montanas Road, Suite 201 Palm Desert, Ca 92211 760-345-1352 CITY OF �A QUINTA BUILDING & SAFETy cEpT� APPROVED FOR CONSTRUCTION DA J $ iF BY Job Number: Date: 12/16/2014 RECEIVED JAN 1 29 2015 1 CITY OF LA QUINTA COMMUNITY DEVELOPMENT The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2013 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC —www.energysoft.com. Ener Pro 6.3 by Ener Soft User Number. 2655 ID: TAPLE OF CONTENTS Cover Page 1 Table of Contents 2 Form LTI-01-E Indoor Lighting 3 Form 'LTI-02-E Lighting Controls 9 Form LTI-03-E Indoor Lighting Power Allowance 13 EnergyPro 6.3 by EnergySoR Job Number: ID: User Number: 2655 STATE OF CALIFORNIA INDOOR LIGHTING ENERGY COMMISS CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS NRCC-LTI-01-E Indoor Lighting (Page 1 of 5) Project Name: Milan Institute Date Prepared: 12/16/2014 Climate Zone: 15 Conditioned Floor Area: 8,500 Indoor Lighting Power for Conditioned Spaces Indoor Lighting Power for Unconditioned Spaces Unconditioned Floor Area : 0 General Information Installed Lighting Installed Lighting 9'234 Building Type: ❑ Schools 21 Nonresidential ❑ Relocatable Public Schools ❑ ❑ High -Rise Residential Conditioned Spaces ❑ ❑ Hotel/Motel Unconditioned Spaces Phase of Construction: ❑ New Construction ❑ Addition ® Alteration Method of Compliance: El Complete Building ❑ Area Category ❑ Tailored LIGHTING COMPLIANCE DOCUMENTS (select yes for each document included) For detailed instructions on the use of this and all Energy Efficiency Standards compliance documents, refer to the Nonresidential Manual published by the California Energy Commission. YES NO FORM TITLE YES NRCC-LIT-01-E Certificate of Compliance. All Pages required on plans for all submittals. YES NRCC-LIT-02-E Lighting Controls, Certificate of Compliance, and PAF Calculation. All Pages required on plans for all submittals. YES NRCC-LIT-03-E Indoor Lighting Power Allowance NO NRCC-LIT-04-E Tailored Method Worksheets NO NRCC-LIT-05-E Line Voltage Track Lighting Worksheets Summary of Allowed Lighting Power Conditioned and Unconditioned space Lighting must not be combined for compliance Indoor Lighting Power for Conditioned Spaces Indoor Lighting Power for Unconditioned Spaces Watts Watts Installed Lighting Installed Lighting 9'234 0 1. NRCC-LTI-01-E, page 4 + NRCC-LTI-01-E, age 4 + 2 PORTABLE ONLY FOR OFFICES + NRCC-LTI-01-E, page 3 3 Minus Lighting Control Credits 923 Minus Lighting Control Credits 0 NRCC-LTI-02-E, page 2 NRCC-LTI-02-E, page 2 4 Adjusted Installed Lighting Power = $,311 Adjusted Installed Lighting Power _ 0 (row 1 plus row 2 minus row 3) (row 1 minus row 3) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA' INDOOR LIGHTING CEC-NRCC-LTI-01-E (Revised 06/14) CERTIFICATE OF COMPLIANCE —'USER INSTRUCTIONS Indoor Lighting Project Name: Milan Institute Date Prepared: 12/16/2014 N RCC-LTI-01-E (Page 2 of 5) 5• Complies ONLY if Installed 5 Allowed Complies ONLY if Installed <_ Allowed 2 6. Allowed Lighting Power Conditioned NRCC-LTI-03-E, page 1 9,350 Allowed Lighting Power Unconditioned NRCC-LTI-03-E, page 1 0 Declaration of Required Installation Certificates — Declare by selecting yes for all Installation Certificates that will be submitted. (Retain copies and verify forms are completed and signed.) YES NO Form/Title NRCI-LTI-01-E - Must be submitted for all buildings ❑ Field Inspector NRCI-LTI-02-E - Must be submitted for a lighting control system, or for an Energy Management Control System (EMCS), to be recognized for compliance. ❑ Field Inspector NRCI-LTI-03-E - Must be submitted for a line -voltage track lighting integral current limiter, or for a supplementary overcurrent protection panel used to energize only line -voltage track lighting, to be recognized for compliance. ❑ Field Inspector NRCI-LTI-04-E - Must be submitted for two interlocked systems serving an auditorium, a convention center, a conference room, a multipurpose room, or a theater to be recognized for compliance. ❑ Field Inspector s` NRCI-LTI-05-E - Must be submitted for a Power Adjustment Factor (PAF) to be recognized for compliance. ❑ Field Inspector NRCI-LTI-06-E - Must be submitted for additional wattage installed in a video conferencing studio to be recognized for compliance. ❑ Field Inspector Declaration of Required Certificates of Acceptance — Declare by checking all of the Certificates of Acceptance that will be submitted. (Retain copies and verify forms are completed and signed.) YES NO Form/Title NRCA-LTI-02-A - Must be submitted for occupancy sensors and automatic time switch controls. ❑ Field Inspector NRCA=LTI-03-A - Must be submitted for automatic daylight controls. ❑ Field Inspector NRCA-LTI-04-A - Must be submitted for demand responsive lighting controls. ❑ Field Inspector CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-01-E (Revised 06/1 CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS NRCC-LTI-01-E Indoor Lighting 3 of 5 (Page ) Project Name: Milan Institute Date Prepared: 12/16/2014 A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces. Installed Lighting Power listed on this Lighting Schedule is only for: ® CONDITIONED SPACE ❑ UNCONDITIONED SPACE A. INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST -------- - - --- ❑ The actual indoor lighting power listed on this page and on the next page includes all installed permanent and planned portable lighting systems. ❑ When Complete Building Method is used for compliance, list each different type of luminaire on separate lines. ❑ When Area Category Method or Tailored Method is used for compliance, list each different type of luminaire by each different function area on separate lines ❑ Also include track lighting in schedule, and submit the track lighting compliance form (NRCC-LTI-05-E) when line -voltage track lighting is installed. B. Installed Portable Luminaires in Offices — Exception to Section 140.6(a) ❑ This section shall be filled out ONLY for portable luminaires in offices (As defined in §100.1). All other planned portable luminaires shall be documented on next page of this compliance form. ❑ This section is used to determine if greater than 0.3 watts of portable lighting is planned for any office ❑ Fill out a separate line for each different office. Small offices that are typical (having the same general and portable lighting) may be grouped together. This allowance shall not be traded between offices having different lighting systems. Office Portable Luminaire Office Installed Portable Luminaire Watts Per Square Office Location Field Schedule Foot Inspector A B C D E F G H I J Installed Z portable o 1; Watts If F:5 0.3, Identify Office area in which 3 3 3 a- luminaire o ,� per enter zero; E x G these portable luminaires are ., 1, Complete Luminaire Description O1 watts in this square installed (i.e., LED, under cabinet, furniture mounted Watts per `�° ° office foot if F > 0.3, . direct/indirect) Luminaire (B x C) (D / E) (F-0.3) ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑. ❑ ❑ Enter sum total of all pages into NRCC- Total installed portable luminaire watts that are greater than 0.3 watts per square foot per office: LTI-01-E; Page 1 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-01-E (Revised 06/1 CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS NRCC-LTI-01-E Indoor Lighting (Page 3 of 5) Project Name: Milan Institute Date Prepared: 12/16/2014 A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces. Installed Lighting Power listed on this Lighting Schedule is only for: ❑ CONDITIONED SPACE 0 UNCONDITIONED SPACE A. INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST ❑ The actual indoor lighting power listed on this page and on the next page includes all installed permanent and planned portable lighting systems. ❑ When Complete Building Method is used for compliance, list each different type of luminaire on separate lines. ❑ When Area Category Method or Tailored Method is used for compliance, list each different type of luminaire by each different function area on separate lines ❑ Also include track lighting in schedule, and submit the track lighting compliance form (NRCC-LTI-05-E) when line -voltage track lighting is installed. B. Installed Portable Luminaires in Offices — Exception to Section 140.6(a) ❑ This section shall be filled out ONLY for portable luminaires in offices (As defined in §100.1). All other planned portable luminaires shall be documented on next page of this compliance form. ❑ This section is used to determine if greater than 0.3 watts of portable lighting is planned for any office ❑ Fill out a separate line for each different office. Small offices that are typical (having the same general and portable lighting) may be grouped together. This allowance shall not be traded between offices having different lighting systems. Office Portable Luminaire Office Installed Portable Luminaire Watts Per Square Office Location BERM Field Schedule Foot Inspector A B C D E F G H I 1 Installed z portable 0 Ln Watts If 1`5 0.3, Identify Office area in which �, 5 luminaire v per enter zero; E x G these portable luminaires are o „ Complete Luminaire Description o � watts in this �; � square installed — (i.e., LED, under cabinet, furniture mounted Watts per `�° ° office c :: foot if F > 0.3, direct/indirect) Luminaire (B x C) (D / E) (F-0.3) ❑ ❑ ❑ ❑ ❑ ❑ ❑ 0 ❑ ❑ Enter sum total of all pages into NRCC- Total installed portable luminaire watts that are greater than 0.3 watts per square foot per office: LTI-01-E; Page 1 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING Nla CEC-NRCC-LTI-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE - USER INSTRUCTIONS NRCC-LTI-01-E Indoor. Lighting (Page 4 of 5) Project Name: Milan Institute Date Prepared: 12/16/2014 A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces. Installed Lighting Power listed on this Lighting Schedule is only for: ID CONDITIONED SPACE ❑ UNCONDITIONED SPACE C. INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Luminaire Schedule Installed Watts Location Field Inspector 1 A B C D E F G H How wattage was determined Q o Complete Luminaire Description r 3 n n ° o d c (i.e, 3 lamp fluorescent troffer, o', W Z T b o °�-'. v X °i Primary Function area in which Z .. F32T8, one dimmable electronic ballast) m `� 00 ^ = o `� - a these luminaires are installed Pass Fail (4) 4 ft Fluorescent T8 Rapid Start Elec 114.0 ® ❑ 81 9,234 Comp Bldg Classroom ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑. ❑ ❑ ❑ ❑. ❑ ❑ ❑.: ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ o INSTALLED WATTS PAGE TOTAL: 9,234 Enter sum total of all pages into NRCC-LTI-01-E; Page 2 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS NRCC-LTI-01-E Indoor Lighting (Page 5 of 5) Project Name: Milan Institute Date Prepared: 12/16/2014 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Joan D. Hacker Documentation Author Signature: Company: Insu-form, Inc. Signature Date: 12/16/2014 Address' 77810 Las Montanas Road, Suite 201 CEA/ HERS Certification Identification (if applicable): City/State/zip: Palm Desert, Ca 92211 Phone: 760-345-1352 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of r Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance 1 documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Company: Date Signed: Address: License: City/State/Zip: Phone: CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING - LIGHTING CONTROLS CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting - Lighting Controls (Page 1 of 3) "...... ' Milan Institute I"Date Prepared: 12/16/2014 1 The NRCC-LTI-02-E shall be used to document all mandatory and prescriptive lighting controls that are applicable to the project. Mandatory Lighting Control Declaration Statements (Indicate if the measure applies by checking yes or no below.) YES NO Control Requirements Lighting shall be controlled by self-contained lighting control devices which are certified to the Energy Commission according to the Title 20 -Appliance Efficiency Regulations in accordance with Section 110.9. Lighting shall be controlled by a lighting control a system or energy management control system in accordance with §110.9. An Installation Certificate shall be submitted in accordance with Section 130.4(b). One or more Track Lighting Integral Current Limiters shall be installed which have been certified to the Energy Commission in accordance with §110.9 and §130.0. Additionally, an Installation Certificate shall be submitted in accordance with Section 130.4(b). A Track Lighting Supplementary Overcurrent Protection Panel shall be installed in accordance with Section 110.9 and Section 130.0. Additionally, an Installation Certificate shall be installed in accordance with Section 130.4(b). All lighting controls and equipment shall comply with the applicable requirements in §110.9 and shall be installed in accordance with the manufacturer's instructions in accordance with Section 130.1. All luminaires shall be functionally controlled with manually switched ON and OFF lighting controls in accordance with Section 130.1(a). General lighting shall be separately controlled from all other lighting systems in an area. Floor and wall display, window display, case display, ornamental, and special effects lighting shall each be separately controlled on circuits that are 20 amps or less. When track lighting is used, general, display, ornamental, and special effects lighting shall each be separately controlled; in accordance with Section 130.1(a)4. The general lighting of any enclosed area 100 square feet or larger, with a connected lighting load that exceeds 0.5 watts per square foot shall meet the multi-level lighting control requirements in accordance with Section 130.1(b). All installed indoor lighting shall be equipped with controls that meet the applicable Shut -OFF control requirements in Section 130.1(c). Lighting in all Daylit Zones shall be controlled in accordance with the requirements in Section 130.1(d) and daylit zones are shown on the plans. Lighting power in buildings larger than 10,000 square feet shall be capable of being automatically reduced in response to a Demand Responsive Signal in accordance with Section 130.1(e). Before an occupancy permit is granted for a newly constructed building or area, or a new lighting system serving a building, area, or site is operated for normal use, indoor lighting controls serving the building, area, or site shall be certified as meeting the Acceptance Requirements for Code Compliance in accordance with Section 130.4.(a). The controls required to meet the Acceptance Requirements include automatic daylight controls, automatic shut -OFF controls, and demand responsive controls. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA ' INDOOR LIGHTING — LIGHTING.CONTROLS AMU. �e"'.� CEC-NRCC-LTI-02-E (Revised 06114) CALIFORNIA ENERGY COMMISSION '*M' CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting - Lighting Controls (Page 2 of 3) Project Name: Milan Institute Date Prepared' 12/16/2014 A separate document must be filled out for Conditioned and Unconditioned Spaces. This page is used only for the following: Il CONDITIONED SPACES ❑ UNCONDITIONED SPACES MANDATORY AND PRESCRIPTIVE INDOOR LIGHTING CONTROL SCHEDULE, PAF CALCULATION, and FIELD INSPECTION CHECKLIST PAF Credit Calculation Z 11 (D 1-n D _T fD a Standards Complying With 1K r � :E n (o 7 rDD (.Jo(D S. N N fD Lighting Control Schedule (✓ all that apply, or enter 'E' if Exempted) fl ° n x = - o : a (D o A B C D E F G H I J K L M N 0 Type/ Description of Lighting Control (i.e.: occupancy sensor, # i , I to, N to, L01 Location in Building automatic time switch, of W o w 0 W 0 W 0 w 0 0 A -0 0 CU dimmer, automatic daylight, Units N o r a r � t: r .T.2 etc...) School Dimming - Manual 9,234 0.10 923 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Control Credit PAGE TOTAL (Sum of Column M): 923 IF MULTIPLE PAGES ARE USED, ENTER SUM TOTAL OF Control Credit for all pages HERE (Sum of all Column M): 923 Enter Control Credit total into NRCC-LTI-01-E; Page 1. 1. §130.1(0) = Manual area controls; §130.0(b) = Multi Level; §130.1(c) = Auto Shut-Off,§130.1(d) = Mandatory Daylight; §130.1(e) = Demand Responsive, §140.6(d) _ Additional lighting controls installed to earn a PAF; §140.6(d) = Prescriptive Secondary Sidelit Daylight Controls. 2. Check Table 140.6-A for correct Factor. PAFs shall not be traded between conditioned and unconditioned spaces. As a condition to earn a PAF, an Installation Certificate is also required to be filled out signed, and submitted. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING — LIGHTING CONTROLS 291 EC-NRCC-LTI-02-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION ' KZi9-"^' CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting - Lighting Controls (Page 2 of 3) Project Name; Milan Institute -t" Prepared: 12/16/2014 A separate document must be filled out for Conditioned and Unconditioned Spaces. This page is used only for the following: ❑ CONDITIONED SPACES El UNCONDITIONED SPACES MANDATORY AND PRESCRIPTIVE INDOOR LIGHTING CONTROL SCHEDULE, PAF CALCULATION, and FIELD INSPECTION CHECKLIST PAF Credit Calculation z t T (D D _ (D a - ' • Complying With ' n O _r ==3 Op d °_ n (l O X z (D (D ,-r �• vOi _0 (o Lighting Control Schedule Standards (✓ all that apply, or enter 'E' if Exempted) :3 an Q ° v T x m q = a ° ' n (D o A B C D E F G H I J K L M N 0 Type/ Description of Lighting Control (i.e.: occupancy sensor, # , to, a o, Location in Building automatic time switch, of o 0 0 0 0 P o C v dimmer, automatic daylight, Units r v o 6 ^ a T fl- etc... ) ❑ ❑ ❑ ❑ Cl ❑- ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Control Credit PAGE TOTAL (Sum of Column M): 0 IF MULTIPLE PAGES ARE USED, ENTER SUM TOTAL OF Control Credit for all pages HERE (Sum of all Column M): 0 Enter Control Credit total into NRCC-LTI-01-E; Page 1. 1. §130.1(a) = Manual area controls; §130.0(b) = Multi Level; §130.1(c) =Auto Shut-Off,§130.1(d) = Mandatory Daylight; §130.1(e) =Demand Responsive; §140.6(d) _ Additional lighting controls installed to earn a PAF,' §140.6(d) = Prescriptive Secondary Sidelit Daylight Controls. 2. Check Table 140.6-A for correct Factor. PRFs shall not be traded between conditioned and unconditioned spaces. As a condition to earn a PAF, on Installation Certificate is also required to be filled out, signed, and submitted. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING -LIGHTING CONTROLS 'EC (Revised 06/14) - CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting - Lighting Controls (Page 3 of 3) Project Name: Milan Institute Date Prepared: 12/16/2014 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Joan D. Hacker Documentation Author Signature: . Company: Insu-form, Inc. signature Date: 12/16/2014 Address' 77810 Las Montabas Road, Suite 201 CEA/ HERS Certification Identification (if applicable): City/State/Zip: Palm Desert, Ca 92211 Phone: 760-345-1352 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. S. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: ' Company: Date Signed: Address: License: City/State/Zip: Phone: CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE ;EC-NRCC-LTI-03-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E Certificate of Compliance - Indoor Lighting Power Allowance (Page 1 of 4) Project Name: Milan Institute Date Prepared: 12/16/2014 ALLOWED LIGHTING POWER A separate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for: 0 CONDITIONED spaces ❑ UNCONDITIONED spaces A. SUMMARY TOTALS OF LIGHTING POWER ALLOWANCES ❑ If using Complete Building Method for compliance, use only the total in column (a) as total allowed building watts. ❑ If using Area Category Method, Tailored Method, or a combination of Area Category and Tailored Method for compliance, use only the total in column (b) as the total allowed building watts (a) (b) 1. Complete Building Method Allowed Watts. Documented in section B of NRCC-LTI-03-E (below on this page) 9,350 2. Area Cateor Method Allowed Watts. Documented in section C-1 of NRCC-LTI-03-E below on this page) r 3. Tailored Method Allowed Watts. Documented in section A of NRCC-LTI-04-E' TOTAL ALLOWED BUILDING WATTS. Enter number into correct cell on NRCC-LTI-01, Page 2, Row 1 9,350 ❑ Check here if building contains both conditioned and unconditioned areas. B. COMPLETE BUILDING METHOD LIGHTING POWER ALLOWANCE Watts A B Total from section C-3 C Total Watts. Enter Total Watts into section A, row 2 (Above on this page) D TYPE OF BUILDING (From §140.6 Table 140.6-B) WATTS PER (ft') X COMPLETE BLDG. AREA.— = ALLOWED WATTS Comp Bldg Medical and Clinic 1.10 8,500 9,350 Total Area: Total Watts. Enter Total Watts into section A, row 1 (Above on this page) C -1 AREA CATEGORY METHOD TOTAL LIGHTING POWER ALLOWANCES (C-2 plus C-3) Watts Total from section C-2 Total from section C-3 Total Watts. Enter Total Watts into section A, row 2 (Above on this page) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE • IN. GEC-NRCC-LTI-03-E Revised 06/14 �elr''• CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E Certificate of Compliance - Indoor Lighting Power Allowance (Page 4 of 4) Project Name: Milan Institute - Date Prepares: 12/16/2014 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Joan D. Hacker Document t' n Author Signature: _ ' Company: Insu-form, Inc. Signatur Dat � 12/16/2014 Address•- 77810 Las Montanas Road, Suite 201 CEA/ HERS Certification Identification (if applicable): City/State/Zip: Palm Desert, Ca 92211 Phone` 760-345-1352 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance - (responsible designer). 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Company: Date Signed: Address: License: City/State/Zip: Phone: CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014