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11-0345 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tit!t 4 4 Q" Application Number: 11-00000345 Property Address: 78995 -HIGHWAY 111 APN: 643-020-056- - - Application description: REMODEL - COMMERCIAL Property Zoning: REGIONAL COMMERCIAL Application valuation: 25000 Applicant: Architect or Engineer: �(A BUILDING & SAFETY DEPARTMENT BUILDING PERMIT --------------------------------------------------- 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: License No.: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have'the burden of proving that he or she did not build or improve for the purpose of sale.)• _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ 1 I /am exempt under Sec. , B.&P.C. for this reason ` ate: 1., ner: ax CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: - LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/10/11 Owner: WASHINGTON 111 LTD PO BOX 1623 PALM DESERT, CA 922 D Contractor: Owner `[:�FtCP�FPS --------------- - - - 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 114 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 houId become subject to the workers' compensation provisions of Section 3700 of the or Code, I shall forthwith comply with those provisions. D �0 pplicant: R 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, indemnity and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to tha 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 a state laws relating to building construction, and hereby authorize representatives ;�,.'-s hounty to enter up the above-mentioned property r inspection purposes. Signature (Applicant or Agent):_ Application Number . . . . . 11-00000345 Structure Information Construction Type . . . . . TYPE V, UNPROTECTED Occupancy Type DWELLG/LODGING/CONG <=10 Other struct info . . . . . CODE EDITION 2010 FIRE SPRINKLERS YES 1ST FLOOR SQUARE FOOTAGE ---------------------------------------------------------------------------- 3071.00 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 252.00 Plan Check Fee 163.80 Issue Date Valuation . . . . 25000 Expiration Date 12/07/11 Qty Unit Charge Per Extension BASE FEE 45.00 23.'00 9.0000 THOU BLDG 2,001-25,000 ---------------------------------------------------------------------------- 207.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 36.30 Plan Check Fee 9.08 Issue Date . . . . Valuation . . . 0 Expiration Date 12/07/11 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 14.00 .4500 EA ELEC DEVICE/FIXTURE >20 6.30 ----------------------------------------------- ------------------------------ Special Notes and Comments COMBINE SUITE 1 AND PORTION OF SUITE 2 (1001 SF). COMBINE PORTION OF SUITE 2 [1549 SF] INTO SUITE 3 [1522 SF] FOR A TOTAL AREA OF 3071 SF. ADD NEW DEMISING WALL IN SUITE 2 AND REMOVE EXISTING_ PARTITIONS IN SUITE 3. 2010 CODES. **THIS BUILDING PERMIT .IS FOR SHELL " IMPROVEMENT ONLY. NOTE: PRIOR TO OCCUPANCY, SPECIFIC OCCUPANCY, EXITING, ELECTRICAL, MECHANICAL, PLUMBING, ENERGY AND ACCESSIBILITY CODE REQUIREMENTS WILL BE VERIFIED** =- =- ----------------------------------------------------------- Other Fees . . . . . . BLDG STDS ADMIN (SB.1473) ------------- 1.00 ENERGY REVIEW FEE 16.83 STRONG MOTION (SMI) - COM 5.25 LQPERMIT Application Number . . . . . 11-00000345 Fee summary Charged ---------- Paid ---------- Credited --------=- ---------- Due ----------------- Permit Fee Total 288.30 .00 .00 288.30 Plan Check Total 172.88 .00 .00. 172.88 Other Fee Total 23.08 .00 .00 23.08 Grand Total '484.26 .00 .00 484.26 1 CITY OF LA QUINTA SUB -CONTRACTOR. LIST JOB ADDRESSZ9'795_/}W. 01 PERMIT NUMBER OWNERf �GLtji/h�?bh-//[rLTG� BUILDER This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. ror U.- Trade.) GJtis'Slflcut�n . .. t,onir)Ctoi:Mete.oittriettfi:t3�eiise.... , yV; e±sC ngpQon[nsprat) _ Gi s+ness:l{(=ense " company. Name Classification License Number Exp. Date Canier Name Policy Number Exp. Date License Number Exp. Date fe.g_ A, B, C-81 (xxxxxxl (xxlxx/xx) {e.g. Stata Fund, CalComp) (Format Varies) lxxlxx/xxl {xxxxl Ixxlxx/xxl EART} *0" {'C•y Zl FRAMINOW4) .' STitUCI STEEL fCiF 'RAEI'SONRY 10-291:', , PLUNlBINtf;C-36) jjt/5L (.ATH, piASTW 10 -AS) DRYWALLC 9) .. , . L des 0 6130112- P ,Qe o rei,: s. .2 I S Ll l 12- O 26 CZO` 7~ �2- fp2 JfiG[1Tyi 10214_9 2 2 y O A'011 � 14 01 7 G (e�'ZeZ.ZO, G 3/ DO Z j Z /2 ,�r n5, ( d T A, LQ .SIJ sd -g y DO 913oll 7 313i SHEET:' ETAL (C R i) . fi:OQRIMG tC�1�1,. ,. , GLAZIXG (C-1.71* . !Ng( PAINT!NG (GcS31. CERAMIC TILE.(CcSA3 CABJNE;$,(C�61 FENG1Nt3,;(C=73} LANDSCAP1N4 (C-27,1. POOL (Cr53*) t Jun 08 11 02:37p Jack Tarr 949-661-6971 p.1 WASHINGTON III,, LTD 80.618 Declaration Ave 760-775-7967 PHONE Indio, CA 92201 760-775-8329 FAX June 8, 2011 ' RE: Letter of Authorization for Bill Sanchez To Whom It May Concern:, i Authorization his here by given to Bill Sanchez to sign on behave of Washington -111, LTD for the property located at 78-995 HWY 111, La Quinta, California. Mr. Sanchez has authority to pull an Owner/Builder building permit for the improvements to suite 2 and 3 at the aforementioned location. Sincerely, • 1 Washington -111, LTD, a California limited partnership By:. JTDC, LLC a Delaware limited liability company Its: General Partn r By: Name: —t��=�- Title: ' Dlll !1 City of La Quinta Building 8T Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico 11 % La Quinta, CA. 92253 - (760) 777-7012 Building Permit APPlication and Tracking Sheet . Project Address: 2 Owner's Name: A. P. Number: Address: ` 1 Legal Description: City, ST, Zip: , O Contractor: Telephone: `") f%J ' Cit�::>:::::.:::::>:::::::: ROW Address: ................ . Project Description: E City, ST, Zip: 1 ^ 1 Telephone: State Lic. # : ..#.:.... .City .Lic. Arch., Engr., Ign Address: , 1 i 6J -ec,J M City, ST, Zip: Telephone: ,I �O �7 4 Co n s truc • tl on P: Type: Y v occ State Lic. u P anc Y= Name of Contact Person: ell Pr 0 e ct e (circle Irc J le on h'P ( e). New Add'n Alter Repair Demo LIU Sq. F #Stories: # Units: Telephone # of Contact Person: ."] Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE ># Submittal Req'd Recd TRACKING Plan Sets /� PERMIT FEES Plan Check submitted I �% Item Structural Calcs. Amount Reviewed, ready for corrections Truss Cafes. Plan Check Deposit Called Contact Person Plait Check Balance Title 24 Calcs. a Plans picked up Construction � Flood plain plan Plans resubmitted Mechanical Grading plan :2':"Revie:w, ready for correction Issue Z� Electrical Subcontactor List Called Contact Person t% Plumbing Grant Deed Plans picked up S.M.I. H -OA. Approval Plans resubmitted. Grading . INHOUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees . 7%,0 Total Permit Fees L I 'ton. Park rk 78-995 HWY 111 (Pad 1) Suite Addresses 4 CITY OF LA QUINTA BUILDING & SAFETY DEPT APPROVED FOR CONSTRUCTION DATE fljBy I I BUILDING ENERGY ANALYSIS REPORT PROJECT: Washington 111 78995 Hwy 111 Suite 2 La Quinta, CA Project Designer: Desert Cities Design 67670 Vista Chino Cathedral City, CA 92234 760-774-0101 Report Prepared by: • Dave Border . Desert Cities Design 67670 Vista Chino Cathedral City, CA 92234 760-774-0101 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED. FOR CONSTRUCTION DATElZ 20 `L BY Job Number: -� I V44f FkZ-W)�W--f4-1 1 �4t;, APR 0 7 2011 , I Date: t 4/6/2011 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 2008 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC — www.energysoft.com. Energ Pro 5.1 by Energ Soft User Number: 6774 RunCode: 2011-04-06T11:07:44 ID: PS -04-11 4 TABLE OF CONTENTS Cover Page 1 Table of Contents 2 Form LTG -1-C Certificate of Compliance 3 Form LTG -2-C Lighting Controls Credit Worksheet 7 Form LTG -3-C Indoor -Lighting Power Allowance 8 Form LTG -MM Lighting Mandatory Measures 9 Form. MECH-1-C Certificate of Compliance 10 Form MECH-2-C Air & Water System Requirements 13 Form MECH-3-C Mechanical Ventilation 14 Form MECH-4-C HVAC Misc. Prescriptive Requirements 15 Form MECH-MM Mechanical Mandatory Measures 16 w ' EnergyPro 5.1 by EnergySoft Job Number: ID: PS -04-11 User Number: 6774 CERTIFICATE OF COMPLIANCE (Part 1 of 4) LTG -1 C Project Name Date Washington 111- 4/6/2011 Project Address . Climate Zone Total Cond. Floor Area Unconditioned Floor Area 78995 Hwy 111 Suite 2 La Quinta 15 3,071 0 GENERAL INFORMATION Building Type: - m Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room ❑ School ❑ Relocatable Public p Conditioned Spaces ❑ Unconditioned Spaces School Phase of Construction: ❑ New Construction ❑ Addition ❑ Alteration Method of Compliance: ❑ Complete Building m Area Category ❑ Tailored Documentation Author's Declaration Statement I certify that this Certificate of Compliance documentation is accurate and complete. Signat Name Dave Border V P—J�ei Company Date Desert Cities Design 4/6/2011 Address CEA # 67670 Vista Chino CEPE # City/State/Zip Phone Cathedral City, CA 92234 760-774-0101 The Principal Lighting Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professional Code to accept responsibility for the lighting design. • This Certificate of Compliance identifies the lighting features and performance specifications required for compliance with Title 24, Pages 1 and 6 of the California Code of Regulations. • The design features represented on this Certificate of Compliance are consistent with the information provided to document this design on the other applicable compliance forms, worksheets, c a s, plans and specifications submitted to the.enforcement agency for approval with this buil ' g permit plication. Name Signature Gabriel Lujan Company Phone Gabriel Lujan & Associates 760-578- 45 Address License # 45175 Panorama Drive Suite A City/State/Zip Date Palm Desert, CA 92260 Lighting Mandatory Measures Indicate location on building plans of Mandatory Measures Note Block: LIGHTING COMPLIANCE FORMS & WORKSHEETS (check box if worksheets is included For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms; please refer to the Nonresidential Manual published by the California Energy Commission. © LTG -1C Pages 1 through 4 Certificate of Compliance. All Pages required on plans for all submittals. © LTG -2C Lighting Controls Credit Worksheet Q LTG -3C Indoor Lighting Power Allowance ❑ LTG -4C Pages 1 through 4 Tailored Method Worksheet ❑ LTG -5C Pages 1 and 2 Line Voltage Track Lighting Worksheet EnergyPro 5.1 by Ener Soft User Number: 6774 RunCode: 2011-04-06T11:07:44 /D: PS -04-11 Page 3 of 16 CERTIFICATE OF COMPLIANCE (Part 2 of 4) LTG -1C Project Name Washington 111 Date 1 4/6/2011 INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Installation Certificate, LTG -1- INST (Retain a copy and verify form is completed and signed.) Field Inspector ❑ Certificate of Acceptance, LTG -2A and LTG -3A (Retain a copy and verify form is completed and signed.) Field Inspector ❑ 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 ® The actual indoor lighting power listed below includes all installed permanent and portable lighting systems in accordance with §146(a). , Only for offices: Up to the first 0.2 watts per square foot of portable lighting shall not be required to be included in the ® calculation of actual indoor lighting power density in accordance with the Exception to §146(a). All portable lighting in excess of 0.2 watts per square foot is totaled below. Luminaire (Type, Lamps, Ballasts Installed Watts A B C D E F G H None or Item Ta Complete Luminaire Description' (i.e, 3 lamp fluorescent troffer, F32T8, one dimmable electronic ballasts a m = E J How wattage Was determined N o �, � E E M � X m z c CO Feld Ins ectorz m 6 rn' > CEC Default 0 m, From U F0- NA8 _ ca a LL type 1 (1) 4 It Fluorescent T8 ElecRO 27.0 0 ❑ 3 81 ❑ ❑ type 1 (2) 4 It Fluorescent T8 ElecRO 48.0 ® ❑ 28 1,344 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 0 D ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 0 ❑. ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Installed Watts Page Total: 1,425 Building total number of pages: Installed Watts Building Total Sum of all pages) 1,425 Enter into LTG -1C Pa e 4 of 4 1. Wattage shall be determined according to Section 130 (d and e). Wattage shall be rating of light fixture, not rating of bulb. 2. If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. Ener Pro 5.1 by Ener Soft User Number: 6774 RunCode: 2011-04-06T11:07:44 /D: PS -04-11 Page 4 of 16 fi CERTIFICATE OF COMPLIANCE (Part 3 of 4) LTG -1C Project Name Washington 111 Date 4/6/2011 INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Fill in controls for all spaces: a) area controls, b) multi-level controls, c) manual daylighting controls for daylit areas > 250 ff, automatic daylighting controls for daylit areas > 2,500 fe, d) shut-off controls, e) display lighting controls, f) tailored lighting controls — general lighting controlled separately from display, ornamental and display case lighting and g) demand responsive automatic controls for retail stores > 50,000 ft2, in accordance with Section 131. MANDATORY LIGHTING CONTROLS — FIELD INSPECTION ENERGY CHECKLIST Field Inspector Number Special Type/ Description of Units Location in Building Features Pass "Fait ❑ .❑ ❑ ❑ ❑ ❑; ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑` ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 0 ❑ 0cci ❑ ❑ ❑':: ❑ 00 ❑ ❑ ❑. ❑ 0 ❑ ❑ ❑ ❑. ❑ ❑ ❑ ❑ ❑ L7 ` ❑ ❑ .❑ ❑ ❑ '0. ❑ ❑ ❑ ❑ 0 ❑ ❑ 0 ❑ ❑ ❑ ❑ ❑ ❑: , SPECIAL FEATURES INSPECTION CHECKLIST See Page 2 of 4 of LTG -1C The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification. The local enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. Field Inspector's Notes or Discrepancies: Ener Pro 5.1 by Ener Soft User Number: 6774 RunCode: 2011-04-06711:07:44 ID: PS -04-11 Pa e 5 of 16 CERTIFICATE OF COMPLIANCE Part 4 of 4 LTG -1 C Project Name Date Washington 111 4/6/2011 CONDITIONED AND UNCONDITIONED SPACE LIGHTING MUST NOT BE COMBINED FOR COMPLIANCE Indoor Lighting Power for Conditioned S aces Indoor Lighting Power for Unconditioned Spaces Watts Watts Installed Lighting 1 425 Installed Lighting 0 from Conditioned LTG -1 C, Page 2 from Unconditioned LTG -1C, Page 2 Lighting Control Credit _ 16 Lighting Control Credit _ 0 Conditioned Spaces from LTG -2C Unconditioned Spaces from LTG -2C Adjusted Installed = 1409 Adjusted Installed = 0 Lighting Power Lighting Power Complies if Installed:5 Allowed Complies if Installed 5 Allowed Allowed Lighting Power 2 610 Allowed Lighting Power 0 Conditioned Spaces from LTG -3C or PERF-1)___Unconditioned Spaces from LTG -3C Required Acceptance Tests Designer: This form is to be used by the designer and attached to the plans. Listed below is the acceptance test for the Lighting system, . LTG -2A and LTG -3A. The designer is required to check the acceptance tests and list all control devices serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance. If all the lighting system or control of a certain type requires a test, list the different lighting and the number of systems. The NA7 Section in the Appendix of the Nonresidential Reference Appendices Manual describes the test. 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. Forms can be grouped by type of Luminaire controlled. Enforcement Agency: - Systems Acceptance. Before Occupancy Permit is granted for a newly constructed building or space or when ever new lighting system with controls is installed in the building or space shall be certified as meeting the Acceptance Requirements. The LTG -2A and LTG -3A forms are not considered complete forms and are not to be accepted by the enforcement agency unless the boxes are checked and/or filled and signed. In addition, a Certificate of Acceptance forms shall be submitted to the enforcement agency that certifies plans, specifications, installation certificates, and operating and maintenance information meet the requirements of §10-103(b) of Title 24 Part 6. The field inspector must receive the properly filled out and signed forms before the building can receive final occupancy. A copy of the LTG -2A and LTG -3A for each different lighting luminaire control(s) must be provided to the owner of the building for their records. LTG -2A and Luminaires Controlled LTG -3A Controls and Sensors and Number of Automatic Luminaires Daylighting Controls Equipment Re uirin Testing Description controlled Location Acceptance Occ Sensor - Multi -Level (1) 4 It Fluorescent T8 ElecRO 1 Office m Occ Sensor - Multi -Level (1) 4 ft Fluorescent T8 ElecRO 1 Office m Occ Sensor - Multi -Level (1) 4 ft Fluorescent T8 ElecRO 1 Office El ❑ ❑ ❑ Ener Pro 5.1 by Ener Soft User Number: 6774 RunCode: 2011-04-06T11:07:44 ID: PS -04-11 Page 6 of 16 LIGHTING CONTROLS CREDIT WORKSHEET (Part 1 of 2) LTG -2C Project Name Washington 111 Date 1 4/6/2011 POWER ADJUSTMENT FACTORS (PAF) FOR NON -DAYLIGHT CONTROLS A Separate PAF Worksheet Must Be Filled Out for Conditioned and Unconditioned Spaces. Control Credits listed on this schedule are only for: m CONDITIONED SPACES ❑ UNCONDITIONED SPACES A B C D E F G Watts of Power Room # Zone ID Plan Room Area Control Adjustments Areas Lighting Control Description' Reference fiz Lighting Factorz Control Credit Watts E x F Office Occ Sensor - Multi -Level type 1 3,071 27 0.20 5 Office Occ Sensor- Multi -Level type 1 3,071 27 0.20 5 Office Occ Sensor- Multi -Level type 1 3,071 27 0.20 5 z PAGE TOTAL 16 Note: Conditioned and Unconditioned Building total of non -daylight control credit watts for all pages of LTG -2C Pae 1 of 2 Enter building total of all daylight controls credit watts from LTG -2C Page 2 of 2 0 Space shall be separately totaled BUILDING TOTAL OF ALL CONTROL CREDIT WATTS (FOR BOTH NON -DAYLIGHT AND DAYLIGHT CONTROL CREDITS) Enter in LTG -1C; Page 4: Lighting Control Credit as appropriate for CONDITIONED or UNCONDITIONED Spaces 16 1. Description shall be consistent with Type of Control defined in Table 146-C 2. Power Adjustment Factor taken from Table 146-C Ener Pro 5.1 by Ener Soft User Number: 6774 RunCode: 2011-04-0 6 711:07:44 /D: PS -04-11 Pae 7 of 16 INDOOR LIGHTING POWER ALLOWANCE LTG-3C Project Name Washington 111 Date 4/6/2011 ALLOWED LIGHTING POWER (Chose One Method) A Separate LTG-3C must be filled out for Conditioned and Unconditioned Spaces. Indoor Lighting Power Allowances listed on this page are only for: 13 CONDITIONED SPACES ❑ UNCONDITIONED SPACES COMPLETE BUILDING METHOD WATTS BUILDING CATEGORY From §146 Table 146-E PER (ft) X COMPLETE BLDG. AREA = ALLOWED WATTS F TOTALS AREA WATTS AREA CATEGORY METHOD WATTS BUILDING CATEGORY From §146 Table 146-F)' PER(ft) X Area ft2 = ALLOWED WATTS Comp Bldg Office 0.85 3,071 2,610 J ' " TOTALS 3,071 2,610 AREA WATTS TAILORED METHOD • - Total Allowed Watts using the Tailored Method taken from LTG-4C Pae 1 of 4 Row 3 0 The indoor lighting power allowance using the Tailored Method of compliance shall be determined using the LTG-4C set of forms. A separate set of LTG- 4C forms shall be filled out for CONDITIONED and UNCONDITIONED spaces Ener Pro 5.1 by Ener Soft User Number: 6774 RunCode: 2011-04-06T11:07:44 ID: PS-04-11 Page 8 of 16 LIGHTING MANDATORY MEASURES: NONRESIDENTIAL LTG -MM Project Name Date Washington 111 4/6/2011 Indoor Lighting Measures: §131(d): Shut-off Controls For every floor, all interior lighting systems shall be equipped with a separate automatic control to shut off the lighting. 1. 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. 2 Override 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. §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. §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. §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. Uniform Reduction for Individual Rooms: All rooms and areas greater than 100 square feet and more than 0.8 watts §131(b): per square foot of lighting load shall be controlled with bi-level switching for uniform reduction of lighting within the room. Daylight Area Control: All rooms with windows and skylights that are greater than 250 square feet and that allow for §131(c): the effective use of daylight in the area shall have 50% of the lamps in each daylit area controlled by a separate switch; or the effective use of daylight cannot be accomplished because the windows are continuously shaded by a building on the adjacent lot. Dia ram of shading during different times of the year is included on plans. §131(c): Display Lighting. Display lighting shall be separately switched on circuits that are 20 amps or less.6. Outdoor Lighting Measures: §130(c)1: Mandatory lighting power determination for medium base sockets without permanently installed ballasts §132(a): All permanently installed luminaires with lamps rated over 100 Watts either have a lamp efficacy of at least 60 lumens per Watt or are controlled by a motion sensor. §132(b): All Luminaires with lamps rated greater than 175 Watts in hardscape area; including parking lots, building entrances, canopies, and all outdoor sales areas meet the Cutoff Requirements. §132(c)1: All permanently installed outdoor lighting meets the control requirements listed. §132(c): Building facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi -Level Lighting Requirements listed. Ener Pro 5.1 by Ener Soft User Number: 6774 RunCode: 2011-04-06T11:07:44 ID: PS -04-11 Page 9 of 16 CERTIFICATE OF COMPLIANCE and (Part 1 of 5) MECH-1C FIELD INSPECTION ENERGY CHECKLIST Project Name Washington 111 Date 4/6/2011 Project Address 78995 Hwy 111 Suite 2 La Quinta Climate Zone 15 Total Cond. Floor Area 3,071 Addition Floor Area n/a GENERAL INFORMATION Building Type: ® Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room ❑ Schools (Public School) ❑ Relocatable Public School Bldg. m Conditioned Spaces ❑ Unconditioned Spaces affidavit Phase of Construction: ❑ New Construction ❑ Addition ❑ Alteration Approach of Compliance: ❑ Component ❑ Overall Envelope TDV ❑ Unconditioned (file affidavit) Energy Front Orientation: N, E, S, W or in Degrees: 180 deg HVAC SYSTEM DETAILS FIELD INSPECTION ENERGY CHECKLIST E ui menu Inspection Criteria Meets Criteria or Requirements Pass Fail — Describe Reason Item or System Tags i.e. AC -1, RTU -1, HP -1 Existing A/C's ❑ ❑ Equipment T e3: Packaged DX ❑ ❑ Number of Systems 2 ❑ ❑ Max Allowed Heating Capacity' 28,946 Btu/hr ❑ ❑ Minimum Heating Efficiency' 80% AFUE ❑ ❑ Max Allowed Cooling Capacity' 88,046 Btu/hr ❑ ❑ Cooling Efficiency' 10.0 SEER / 10.0 EER ❑ ❑ Duct Location/ R -Value Conditioned / 8.0 ❑ ❑ When duct testing is required, submit MECH-4A & MECH-4-HERS No ❑ ❑ Economizer No Economizer ❑ ❑ Thermostat Setback Required ❑ ❑ Fan Control Constant Volume ❑ ❑ E ui ment2 Inspection Criteria FIELD INSPECTION ENERGY CHECKLIST Pass Fail — Describe Reason Item or System Tags i.e. AC -1, RTU -1, HP -1 ❑ ❑ Equipment T e3: ❑ ❑ Number of Systems ❑ ❑ Max Allowed Heating Capacity' ❑ ❑ Minimum Heating Efficiency' ❑ ❑ Max Allowed Cooling Ca acit ' ❑ ❑ Cooling Efficiency' ❑ ❑ Duct Location/ R -Value ❑ ❑ When duct testing is required, submit MECH-4A & MECH-4-HERS ❑ ❑ Economizer ❑ ❑ Thermostat ❑ ❑ Fan Control ❑ ❑ 1. If the Actual installed equipment performance efficiency and capacity is less than the Proposed (from the energy compliance submittal or from the building plans) the responsible party shall resubmit energy compliance to include the new changes. 2. For additional detailed discrepancy use Page 2 of the Inspection Checklist Form. Compliance fails if a Fail box is checked. 3. Indicate Equipment Type: Gas (Pkg or, Split), VAV, HP (Pkg or split), Hydronic, PTAC, or other. Ener Pro 5.1 by Ener Soft User Number- 6774 RunCode: 2011-04-06T11:07:44 ID: PS -04-11 Pae 10 of 16 CERTIFICATE OF COMPLIANCE and (Part.2 of 5) MECH-1C FIELD INSPECTION ENERGY CHECKLIST Project Name Date . Washington 111 4/6/2011 Discrepancies: Ener Pro 5.1 by EnergySoft User Number: 6774 RunCode: 201 1-04 0 6 711:07:44 ID: PS -04-11 Pae 11 of 16 s CERTIFICATE OF COMPLIANCE Part 5 of 5 MECH-1C Project Name Date Washington 111 4/6/2011 Documentation Author's Declaration Statement I certify that this Certificate of Compliance documentation is accurate and complete. Signature Name Dave Border Company Desert Cities Design Date 4/6/2011 Address CEA # 67670 Vista Chino CEPE # City/State/Zip Cathedral City, CA 92234 Phone 760-774-0101 The Principal Mechanical Designer's Declaration Statement • 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the mechanical design. • This Certificate of Compliance identifies the mechanical features and performance specifications required for compliance with Title -24, Parts 1 and 6 of the California Code of Regulations. • , The design features represented on this Certificate of Compliance are consistent with the infor on provided to document this design on the other applicable compliance forms, worksheets, calculations, plans and ecificat ns submitted to the enforcement agency for approval with this building permit application. Name Gabriel Lujan Signature Company Gabriel Lujan & Associates Date Address 45175 Panorama Drive Suite A License # City/State/Zip Palm Desert, CA 92260 Phone 760-578-8545 Mandatory Measures Indicate location on building plans of Note Block for Mandatory Measures MECHANICAL COMPLIANCE FORMS & WORKSHEETS (check box if worksheet is included) For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the 2008 Nonresidential Manual. Note: The Enforcement Agency may require all forms to be incorporated onto the building plans. ® MECH-1 C Certificate of Compliance. Required on plans for all submittals. ® MECH-2C Mechanical Equipment Summary is required for all submittals. ® MECH-3C Mechanical Ventilation and Reheat is required for all submittals with mechanical ventilation. ® MECH-4C Fan Power Consumption is required for all prescriptive submittals. Ener Pro 5.1 by Ener Soft User Number: 6774 RunCode: 2011-04-06711:07:44 ID: PS -04-11 Pae 12 of 16 AIR SYSTEM REQUIREMENTS Part 1 of 2 MECH-2C Project Name Date Washington 111 1 4/6/2011 Indicate Air Systems Type Central, Single Zone, Packa e, VAV, or etc... Item or System Tags - i.e. AC -1, RTU -1, HP -1 -` _ ExistingA/C's Number of Systems 2 Indicate Pa a Reference on Plans or Schedule and indicate theapplicable exception(s) MANDATORY MEASURES T-24 Sections Heating Equipment Efficiency 112 a 80%AFUE Cooling Equipment Efficiency 112(a) 10.0 SEER / 10.0 EER HVAC Heat Pump Thermostat 112(b), 112(c) n/a Furnace Controls/Thermostat 112(c), 115(a) n/a Natural Ventilation 121 b No Mechanical Ventilation 121 b 461 cfm VAV Minimum Position Control 121 c No Demand Control Ventilation 121 c No Time Control 122(e) Programmable Switch Setback and Setup Control 122(e) Setback Required Outdoor Damper Control 122(f) Auto Isolation Zones 122 n/a Pipe Insulation 123 Duct Location/ R -value 124 Conditioned/8.0 PRESCRIPTIVE MEASURES Calculated Design Heating Load 144 a & b 28,946 Btu/hr Proposed Heating Capacity 144(a & b 78,800 Btu/hr Calculated Design Cooling Load 144 a & b 61,632 Btu/hr Proposed Cooling Capacity 144(a & b 79 -- Btu/hr Fan Control 144 c Constant Volume DP Sensor Location 144 c Supply Pressure Reset (DDC only) 144 c Yes Simultaneous Heat/Cool. 144 d No Economizer 144(e) No Economizer Heat Air Supply Reset 144(f) Constant Temp Cool Air Supply Reset, 144(f) Constant Temp Electric Resistance Heating' .. 144 Air Cooled Chiller Limitation 144(i) Duct Leakage Sealing. If Yes, a MECH-4-A must be submitted 144(k) No 1. Total installed capacity (MBtu/hr) of all electric heat on this project exclusive of electric auxiliary heat for heat pumps. If electric heat is used explain which exception(s) to §144(g) apply. Energ Pro 5.1 by Energ Soft User Number: 6774 RunCode: 2011-04-06711:07:44 ID: PS -04-11 Page 13 of 16 MECHANICAL VENTILATION AND REHEAT MECH-3C Project Name Washington 111 Date 4/6/2011 - MECHANICAL VENTILATION §121 b 2 REHEAT LIMITATION (§144(d)) AREA BASIS OCCUPANCY BASIS VAV MINIMUM A B C D E F G H I J K L M N Zone/System(ft) Condition Area CFM per ft2 Min CFM By Area B X C Number Of People CFM per Person Min CFM by Occupant E X F REQ'D V.A. Max of D or G Design 50% of Ventilation Design Zone Air Supply CFM CFM B X 0.4 CFM / ft2 Max. of Columns H, J, K, 300 CFM Design Minimum Air Transfer Setpoint Air Office 3,071 0.15 461 461 461 Existing A/C's Total 461 461 Totals Column I Total Design Ventilation Air C Minimum ventilation rate per Section 121, Table 121-A. E Based on fixed seat or the greater of the expected number of occupants and 50% of the CBC occupant load foregress purposes fors aces without fixed seating. H Required Ventilation Air REQ'D V.A. is the larger of the ventilation rates calculated on an AREA BASIS or OCCUPANCY BASIS Column D or G). I Must be greater than orequal to H, or use Transfer Air column N to make up the difference. J Design fan supply CFM Fan CFM x 50%; or the design zone outdoor airflow rate per 121. K Condition area ft2 x 0.4 CFM / ft2; or L Maximum of Columns H, J, K, or 300 CFM M This must be less than orequal to Column L and greater than orequal to the sum of Columns H plus N. N Transfer Air must be provided where the Required Ventilation Air (Column H) is greater than the Design Minimum Air (Column M). Where required, transfer air must be greater than or equal to the difference between the Required Ventilation Air Column H and the Design Minimum Air Column M), Column H minus M. Ener Pro 5.1 by Ener Soft User Number 6774 RunCode: 2011-04-06711:07:44 ID: PS -04-11 Pae 14 of 16 FAN POWER CONSUMPTION MECH-4C Project Name Washington 111 Date 4/6/2011 NOTE: Provide one copy of this worksheet for each fan system with a total fan system horsepower greater than 25 hp for Constant Air Volume (CAV) Fan Systems or Variable Air Volume (VAV) Systems when using the Prescriptive Approach. See Power Consum tion of fan §144(c). A B C D E F ' Fan Description Design Brake HP Eff icl ncy Number of Fans Peak Watts B X E X 746 / (C X D Motor Drive Existing A/C's - Supply Fan 0.170 60.0% 97.0% 2.0 436 TOTALS AND ADJUSTMENTS FILTER PRESSURE ADJUSTMENT Equation 144-A in §144(c) of the Energy Standards. 1 TOTAL FAN SYSTEM POWER WATTS, SUM COLUM F 436 2 SUPPLY DESIGN AIRFLOW (CFM) 1,600 A) If filter pressure drop (SP.) is greater than 1 inch W. C. or 245 Pascal then enter SP, on line 4. Enter Total Fan pressure drop across the fan (SP,) on Line 5. 3 • TOTAL FAN SYSTEM POWER INDEX Row 1 / Row 2 W/CFM 4 SPa S S P, B Calculate Fan Adjustment and enter on line 6. 6 Fan Adjustment = 1- SPa-1 / SP, C) Calculate Adjusted Fan Power Index and enter on Row 7 7) ADJUSTED FAN POWER INDEX (Line 3 x Line 6)' 0.272 W/CFM 1. TOTAL FAN SYSTEM POWER INDEX or ADJUSTED FAN POWER INDEX must not exceed 0.8 W/CFM for Constant Volume systems or 1.25 W/CFM for VAV systems. Ener Pro 5.1 by Ener Soft User Number: 6774 RunCode: 2011-04-06T11:07:44 ID: PS -04-11 Pae 15 of 16 MECHANICAL MANDATORY MEASURES: NONRESIDENTIAL MECH-MM Project Name Date Washington 111 4/6/2011 Equipment and System 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. §124: . Air handling duct systems shall be installed and insulated in compliance with Sections 601, 602, 603, 604, and 605 of the CMC Standards. Controls . §122(e): Each space conditioning system shall be installed with one of the following: .1 A. 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 1 B. An occupancy sensor. to control the operating period of the system; or 1 C. A 4 -hour timer that can be manually operated to control the operating period of,the system. 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: 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: shall not exceed 25,000 square feet; shall be provided §122(g). 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(c): Thermostats shall have numeric setpoints in degrees Fahrenheit (F) and adjustable setpoint stops accessible only to authorized personnel. §122(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 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 §122(a&b): 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. 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): 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. Ventilation System Acceptance. Before an occupancy permit is granted for a newly constructed building or space, or a §121(f): new ventilating system serving a building or space is operated for normal use, all ventilation systems serving the building ors ace shall be certified as meeting the Acceptance Requirements for Code Compliance Service Water Heating Systems §113(c) Installation 3. Temperature controls for public lavatories. The controls shall limit the outlet Temperature to 110° F. 2 Circulating service water -heating systems shall have a control capable of automatically turning off the circulating pump when hot water is not required. Ener Pro 5.1 by Ener Soft User Number: 6774 RunCode: 2011-04-06711:07:44 ID: PS -04-11 Pae 16 of 16