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04-6420 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 04-00006420 Property Address: __ _ _ 1___ __ _ - APN: 78995 HIGHWAY 111 STE 1', Application description: 643-020-999-6 -30903 - Property Zoning: REMODEL - COMMERCIAL Application valuation: REGIONAL C Applicant: Architect or Engineer: DIA 0 4 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 nd Pr essionals Code, and my License is in full force and effect. License Class: 74 08 82 License No.: 0460010355 �ate: Co tor: / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 ($5001.: (_ 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.). (_) 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 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. C.). Lender's Name: Lender's Address: A LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/19/05 Owner: --------------------------------- WASHINGTON III LTD 30240 RANCHO VIEJO ROAD #B SAN JUAN CAPISTRANO, CA 92675 Contractor: a TIMBERWOLFF CONSTRUCT, 129 EAST A STREET P 1 r� 200 UPLAND, CA 91786 SEP J Lic. No.: 0460010355 CITY GF LA QUINTA FINANCE DEPT• ---------------------7-------------7-------- 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 Vissued. -11ave 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 0380 Policy Number STATE FUND 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 700 of the Labo Code, all forthwith comply with those provisions. r �f fe � A ant: .���NING: FAIL RE 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 county ordinances and sta aws relating to building c nstr �tion, and hereby authorize representatives ;�i� mentioned property fo s ecEion purposes. Applicant or Agent):. �^� Application Number . . . . . 04-00006420 LQPERMIT Structure Information Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . MERCANTILE Flood Zone . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 FIRE SPRINKLERS YES MIXED-USE OCCUPANCY M/B OCCUPANT LOAD 44.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2332.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 630.50 Plan Check Fee 409.83 Issue Date Valuation 97126 Expiration Date 3/18/06 Qty Unit Charge Per Extension BASE FEE 414.50 48.00 4.5000 ----------------------------------------------------------------------------' THOU BLDG 50,001-100,000 216.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 61.64 Plan Check Fee 15.23 Issue Date . . . . Valuation. 0 Expiration Date 3/18/06 Qty Unit Charge Per Extension BASE FEE 15.00 2332.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 46.64 Permit . . . MECHANICAL 1 Additional desc . Permit Fee 43.50 Plan Check Fee 10.88 Issue•Date . . . . Valuation . . . . 0 Expiration Date 3/18/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 4.5000 EA MECH VENT INST/ DUCT ALT 9.00. 1.00 6.5000 EA MECH AH <=10K CFM 6.50 2.00 6.5000 --------------------------------- EA MECH VENT FAN --------------------------------------- 13.00 ---- Permit . . . . . . PLUMBING LQPERMIT Application Number . . . . . 04-00006420 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 90.00 Plan Check Fee 22.50 Issue Date . . Valuation . . . . 0 Expiration Date 3/18/06 Qty Unit Charge Per Extension BASE FEE 15.00 7.00 6.0000 EA PLB FIXTURE 42.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00. 2.00 7.5000 EA PLB WATER HEATER/VENT 15.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 ---------------------------------------------------------------------------- Special Notes and Comments COMMERCIAL INTERIOR TENANT IMPROVEMENT - 2332 SQ.FT. RETAIL STORE (VERIZON WIRELESS) M OCC. TYPE V -N CONSTRUCTION. 44 TOTAL.00CUPANTS, 2001 CODES. ---------------------------------------------------------------------------- O_ther Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW 40.98 ENERGY REVIEW FEE 40.98 HOURLY PLAN CHECK 210.00 Fee summary. Charged Paid Credited Due ----------------- ---------- Permit Fee Total ---------- 825.64 .00 .00 825.64 Plan Check Total 458.44 300.00 .00 158.44 Other Fee Total 291.96 .00 .00 291.96 Grand Total 1576.04 300.00 .00 1276.04 .LQPERMIT - JUL-05-2005 TUE Craig E. Anthony Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of. - Banning a Beaumont O Calitnew a Canyon .Lake - 6 Coachella 0 Desert (lot Springa Indian Wells bubo Lake Elsinoti La Quinta o' Moreno Valley J Palm llesen Perris Rancho Mirage r San Jacinto a Tumt:culu Board of Supervisors Bob Duster. uktrict 1 John Tavaglianc, T)L%Irict 2 Jeff steno. District 3 Roy wilRon, District 4 Marion ARhloy. District S June 2. 2005 RIVERSIDE COUNTY FIRE DEPARTMENT Rtghmy • • Fax (760) 053-7072 Nicholas Tricarico 500 Valley Road Wayne, NJ 07470 Re: Non -Structural Building TA Plan Review — Revision 01 LAO -04 -TI -123 /Verizon Wireless Store Adams St. / Hwy 111 Fire Department personnel have reviewed and approved the revised plans you submitted for the above referenced project. Please be advised the following conditions apply as a part of the conditions for the issuance of a building permit. 1) Fire sprinkler system plans for the tenant improvement area must be submitted to the Fire Department for review, along with a plenfinspection fee. The approved plans, with Fire Department Job card must be at the job site for all Inspections. 2) Provide either a separate Knox Key Lock box, Model 4400, 3200 or 1300, mounted per recommended standard of the Knox Company or provide key(s) for inclusion in the general building Knox Box. If the building/facility Is protected with a fire alarm system or burglar alarm system, the lock boxes will require "tamper" monitoring. 3) Install portable Are extinguishers per Title 19, but not less than 2A1 OBC in rating. Contact certified extinguisher company for proper placement of equipment 5) Approved building address shall be placed in such a position as to be plainly visible and legible from the street and rear access if applicable. In multi -tenant buildings, businesses shall post the business name and suite number on back doors as well as the front. Suite numbers or letters must be a minimum of 6" in height. All addressing must be legible and of a contrasting color with the background. Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy. Requests for inspections are to be made at least 72 hours in advance and may be arranged by calling (760) 863-8886. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering staff at (760) 863-8886. Cc: City of La Ouinta — Building Dept. Itt"MW WWI* 00WROJEC7 MUAI-OFTI./D.aaa Sincerely, FRANK KAWASAKI Chief Fire Department Planner By Walter Brandes Fire Safety Specialist EMERGENCY SERVICES DIVISION • PLANNING SECTION - INDIO OFFICE 82-675 Hiahww 111, Z"" FI.. Indio. CA 92201 • (780) 883-8888 • Fax (780) 863-7072 'F—► . s Titf 4 4 Q" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT (760) 777-7012 FAX (760) 777-7011 To: Greg Butler, Building & Safety Manager To CDD: July 15, 2005 From: Doug Evans, Director -CDD Due Date: July 22, 2005 Status: 3rd Check Building Plans Approval ° (This is an approval to issue a Building Permit) The Community Development Department has reviewed the Building Plans for the following project: J ** PLEASE NOTE PREVIOUS SUBMITTAL ** Description: TI: VERIZON WIRELESS REDESIGNED Addressor General Location: 78-742 HIGHWAY 111 PAD 1 SUITE A SAME SITE AS TARGET Applicant Contact: GRUSKIN GROUP JOEL SHULMAN 973-376-4411 The Community Development Department finds that: ❑ ...these Building Plans do not require Community Development " D artment approval. ...these Building Plans are approved by the Community Develop ent Department. ❑ ...these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant. When the corrections are made please return them to the Community Development Department for review. Doug Evan, • a va« T,d4f 4'4 aaUrw P.O. Box 1504 78-495 CALLE'TAMPICO LA QUINTA, CALIFORNIA 92253' To: Greg Butler, Building & _Safety Manager From: Doug Evans, Planning Director BUILDING & SAFETY DEPARTMENT (760)777-7012 FAX (760) 777-7011 To CDD: 05/24/05 Due date: 06/02/05 Status: 2nd Building Plans Approval (This is an approval to issue a Building Permit) ° The Community Development Department has reviewed the Building Plans for the following project: Description: "Redesigned" TI for Verizon Wireless on Pad 1 (same site as Target) Address or general location: 78-742 HIGHWAY 111, Pad 1, Suite A Applicant Contact: Washington 111 (949) 240-2482 The Community Development Department finds that: ❑ ...these Building Plans do not require Community Development Department approval. ❑ ...these Building Plans are approved by the Community Development Depart f. ...these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant. When the corrections are made please return them to the Community Development Department for review. �r ° oug Evans, Planning Dir c or Date <i ate l� P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT 78-495 CALLE TAMPICO (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 To: Greg Butler, Building & Safety Manager To CDD: From: Oscar. Orci, Planning Manager Due date:(_ 0 % 19"� Status: Building Plans Approval (This is an approval to issue a building permit) The Community Development Department has reviewed the Building Plans for the following project: Description: p Address or general location: 7�— `702J�/ `/� �� o�/�►` Applicant Contact: The Community Development Department finds that: ...these Building Plans do not require Community Development Department approval. ❑ ...these Building Plans are approved by the Community Development Department. ❑ ...these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant. When the corrections are made please return them to the Community Development Department for review. P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 June 2, 2005 Mr. Sean Eno Gruskin Group 294 Morris Avenue Springfield, NJ 07081 BUILDING & SAFETY DEPARTMENT RE: Plan Review Extension Request — 78995 Highway 111 Dear Mr. Eno: (760) 777-7012 FAX (760) 777-7011 I have received your letter dated 5/19/05, requesting a time extension for the Plan Review of the Verizon Wireless store (tenant. improvement) proposed to be built at the above address under Application #04-6420. Plan review status: Original application date: - . 9/23/04 180 -day expiration date: 3/23/05 180 -day extension date: 9/19/05 Under the provisions of California Building Code Section 107.4, your request is hereby granted. Because the Building Code specifies that "no application shall be extended more than once," please be advised that unless a building permit for this project is issued on or before Monday, September 1.9, 2005, your application will expire automatically. Yours truly, Greg Butler Building & Safety Manager ol4a. AtmbD 4� 4CS in Mr. Greg Butler Building & Safety Department City of La Quinta 78-945 Calle Tampico La Quinta, CA 92253 RE: Plan Check/Permit #04-6420 Verizon Wireless 78-995 Highway 111 La Quinta, CA 92253 May 19, 2005 JOB NUMBER: 24017 We hereby request an extension for the above referenced building permit application. We are submitting revised plans as per design changes and shell building changes since our original approval in January. i If you have any questions or require further information, please do not hesitate to contact our office. Sincerely, Sean M Eno Gruskin Group CC. B_urtlHanada = B.uilding and Safety; City of La Quinta Marty Pompermayer Jim Van Dalfsen Gruskin Group File 0 JAN -30-2006 MON 01;00 PM RIVERSIDE COUNTY FIRE FAX NO, 17608637072 P. 03 Craig E. Anthony Fire Chle! Proudly serving the unincorporated areas of Riverside r County and the Cities of: r Binning Beatanont Cutimesa Canyon Lake: Coachella Desert Hot Springs Indian Wells •s Indio Lakc Elsinore La Quinta Moreno Vallcy Palm Desert Penis , Rmneho Mirage San Jacinto Ternecula Board of supervisors John Tavagliono, District 2 Jeff Stone, District 3 Roy Wilson, District a Marion Ashley, D"rstrict S RI'V'ERSIDE COUNTY FIRE DEPARTMENT Highway n o,CA 9220to • Fax January 212006 City.ofLa Quinta 'Building Department Ref Washington Park: �efizon Wireless Ste 1 f'ake's'Pizza Ste. 9 Riverside County Fire Department is granting a fire final for the following project located atr 78-995_Hwy 11.1. , , By Terry DeSoucy Fire Systems Inspector s EMERGENCY SERVICES DIVISION - PLANNING SECTION • INDIO OFFICE 82-675 Kghway 111, 2°d FI., Indio, CA =01 - (760) 88341888 0 Fax (760) 863-7072 s'+ i TITLE 24 REPORT Title 24 Report for: VERIZON Wireless Store Washington Park, 78995 Highway 111 Suite 1 a Quinta, CA , " Project Designer: Kenneth A. Gruskin Gruskin Group, 294 Morris Avenue Springfield, NJ 07081 973-376-4411 Report Prepared By: Eric Engell EMR, LLC " 4020 Highway 30 West Annville, KY 4040 (606) 364-2886 CIN OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DA A Or Job Number: - &e ¢ZD 5102 Date: 7/1/2005 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 2001 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC (415) 883-5900. EnergyPro 3.1 By EnergySott Job Number. 5102 User Number: 5852 ' ��� 7 �� �PIERFORMANCE CERTIFICATE OF COMPLIANCE Part 1 of 3 PERF -1 PROJECT NAME VERIZON Wireless Store DATE OF PLANS °a-°7-20°5 DATE 7/1/2005 PROJECT ADDRESS _ BUILDING TYPE ® NONRESIDENTIAL HIGH RISE RESIDENTIAL HOTELIMOTEL GUEST ROOM PHASE OF CONSTRUCTION NEW CONSTRUCTION ❑ ADDITION Ej ALTERATION EXISTING + ADDITION Washington Park, 78995 Highway 111, Suite 1 La Quintan 8.14q -2=5 PRINCIPAL DESIGNER - ENVELOPETELEPHONE for this permit application are consistent with all other forms and worksheets, specifications, and other calculations submitted with this " �.� Kenneth A. Gruskin 973-376-4411 r�,,�<. �'. �� �'� � .•:� j r DOCUMENTATION AUTHOR EMR, LLC TELEPHONE t Checkedby/Date" sky ❑ 2. 1 affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code Section (606) 364-2886 contractor preparing documents for work that I have contracted to perform. GENERAL INFORMATION DATE OF PLANS °a-°7-20°5 BUILDING CONDITIONED FLOOR AREA 2,250 Sq.Ft CLIMATE ZONE 15 _ BUILDING TYPE ® NONRESIDENTIAL HIGH RISE RESIDENTIAL HOTELIMOTEL GUEST ROOM PHASE OF CONSTRUCTION NEW CONSTRUCTION ❑ ADDITION Ej ALTERATION EXISTING + ADDITION 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 State Building Code. This certificate applies only to a Building using the performance compliance approach. DOCUMENTATION AUTHOR SIGNATURE C DATE Eric En ell 8.14q -2=5 The Principal Designers hereby certify that the proposed building design represented in the construction documents and modelled for this permit application are consistent with all other forms and worksheets, specifications, and other calculations submitted with this permit application. The proposed building as designed meets the energy efficiency requirements of the State Building Code, Title 24, Part 6. ENV. LTG. MECH. R' [j 1: 1 hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am licensed as a civil engineer, mechanical engineer, electrical engineer or architect. ❑ 2. 1 affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code Section 5537.2 or 6737.3 to sign this document as the person responsible for its preparation; and that I am a licensed contractor preparing documents for work that I have contracted to perform. R F1 3.1 affirm that I am eligible under Division 3 of the Business and Professions Code to sign this document because it pertains to a structure or type of work described as exempt pusuant to Business and Professions Code Sections 5537, 5538, and 6737.1. (These sections of the Business and Professions Code ae printed in full in the Nonresidential Manual.) ENVELOPE COMPLIANCE Indicate location on plans of Note Block for Mandatory Measures ENV -1 Required Forms PRINCIPAL ENVELOPE DESIGNER - NAME SIGNATURE LIC. NO. DATE Kenneth A. Gruskin L717GH—TING COMPLIANCE Indicate location on plans of Note Block for Mandatory Measures Required Forms LTG -1, LTG -3 PRINCIPAL LIGHTING DESIGNER -NAME SIGN LIC. NO. DAIZ2-/Og- Joe Howard -- E11353 8 MECHANICAL COMPLIANCE Indicate location on plans of Note Block for Mandatory Measures MECH-1 MECH 2 MECH-3 Required Forms PRINCIPAL MECHANICAL DESIGNER - NAME SIGNATURE : NO. DATE Eric En ell ]LIC. „ At 32655 I 8 14-2065 IEnergyPro 3.1 ' By EnergySoft User Number. 5852 Job Number: 5102 Pace:2 of 12 PERFORMANCE CERTIFICATE OF COMPLIANCE Part2 of 3 PERFA VERIZON Wireless Store __7E 7/l/200571 ANNUAL SOURCE ENERGY USE SUMMARY kBtu/s ft- r Standard Proposed Compliance ENERGY COMPONENT Design Design Margin ❑ svi�tiaral . > -,; ®Rropo9eE :: 1.20 0.84 Space Heating 2.04 64.40 10.80"00"0 Space Cooling ` 75.20 42.40 -6.53 Indoor Fans 35.87 Heat Rejection 0.00 Pumps & Misc. 0.00 Domestic Hot Water 8.71 Lighting 50.00 y 4 ��. 0.00 000 0.00 0.00 0.00 8.71 62.13 -12.13 Receptacle 15.87 Process o.o0 • - TOTALS: 187.69 0 r 10 20 -; 30 40! 50 ` 80 70.I"' 15.87 0.00 0.00 0.00 186.00 1.69 0.9% ( 0.9% excluding Percent better than Standard: process)( _1,0%z excluding process & receptacle: BUILDING COMPLIES GENERAL INFORMATION Building Orientation North Odea Conditioned Floor Area 2,250 sqft. Number of Stories 1 Unconditioned Floor Area 0 sqft. Number of Systems 2 Conditioned Footprint Area 2,250 sqft. Number of Zones 2 Orientation Gross Area Glazing Area Glazing Ratio Front Elevation (North) 300 sgft. 136 sqft. 45.3% Left Elevation (East) 750 sqft. 216 sqft. 28.8% Rear Elevation , South 300 sqft. 0 sqft. 0.0% Right Elevation (West) 750 sqft. 01 sqft'0.0% Total 1 2,100 sqft. 352 sqft. Roof 2,250 sqft. 1= sqft. 0.0% Standard Proposed Lighting Power Density 1.700 vi/sqft. 2.109 W/sqft. Prescriptive Env. Heat Loss 615 564 Prescriptive Env. Heat Gain 58,142 64,788 Remarks: Run Initiation Time: 04/25/05 13:28:02 Run Code: 1114450082 EnergyPro 3.1 By Energysoft User Number: 5852 Job Number: 5102 Page:3 of 12 IPPERFORMANCE CERTIFICATE OF COMPLIANCE Part 3 of 3 PERF -1 PROJECT NAME DATE VERIZON Wireless Store 7/1/2005 _ ZONE INFORMATION Floor Inst Port..Tailored Area LPD LPD Credits LPD :Loads;' System Name Zone Name Occupancy Type (sgtL) (W/s f)' (Wisf)' /sf)? : (INlsf) RTU -1 1st Floor Comp Bldg Retail/Wholesale 900 2.069 RTU -2 1st Floor Comp Bldg RetaiINVholesale 1,350 2.910 0.000 .20:7747. .F i T � 1 A , fZ1�:t•.4. y Notes: 1. See LTG -1 (items marked with asterisk, see LTG -2 by others) 2. See LTG -3 3. See LTG -4 Reins above require special, doramentation EXCEPTIONAL CONDITIONS COMPLIANCE CHECKLIST ..v wwl cuw1cemena aBtlnUy bnvura pay bpecrar attention to the nems specified in this cnecKl►sL I nese items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the soecial iustification and documentation submitted. Plan Fio'd The HVAC System "CARRIER 48SS060100521" includes an Economizer. This system has a cooling output < 75,000 btuh or a supply m The HVAC System "CARRIER 48HJD007PMF541" includes an Economizer. This system has a cooiing output < 75,000 btuh or a sup I GIM zouv. The exceptional features listed in this performance approach application have specifically been reviewed. Adequate written justification and documentation for their use have been provided by the applicant. Authorized Signature or Stamp �EnergyPro 3.1 By EnergySoft User Number. 5852 Job Number. 5102 Page:4 of 12 ENVELOPE COMPLIANCE SUMMARY Performance ENV -1 PROJECT NAME VERIZON Wireless Store Area U -Fac. Act. Azm. SHGC Glazing Type Location / Comments DATE 7/1/2005 OPAQUE SURFACES 0.67 Double NonMtl Clear Default 1st Floor 2 Window 216 0.570 90 0.67 Double NonMtt Clear Default Surface Framing Act. # I Type I Type Area U -Fac. Azm. Tilt --9-0 Solar Gains Y/N Form 3 Reference —FX Location /Comments 1 lWall IMetal 300 0.145 90 R-19 Metal Stud Wall 1st Floor 2 Wall Metal 279 0.145 180 90 A R-19 Metal Stud Wall 1st Floor 3 Door None 21 0.146 180 90 X Insulated Metal Door 1st Floor 4 Wall Metal 300 0.145 270 90 X R-19 Metal Stud Wall 1st Floor 5 Roof Metal 900 0.050 0 0 R-19 Built Up Roof 1st Floor 6 Wall Metal 164 0.145 _0 90 X R-19 Metal Stud Wall 1st Floor 7 lWall Metal 234 0.145 90 90 X11 I R-19 Metal Stud Wall _ 1st Floor 8 Wall Metal 450 0.145 270 90 X R-19 Metal Stud Wall 1st Floor 9 Roof Metal 1,350 0.050 0 0 X1 I R-19 Built Up Roof 1st Floor # Exterior Shade a Window SHGC H t. Wd. Overhang Lon. . L .RE Dist, Left Fin Right Fin Len. Hgt. Len. 1 None 0.76 ----Dist. 2 None 0.76 FENESTRATION SURFACES Run Site Assembled Glazing LjV..GM YVA " uuuumy [s i uu,vvu syn ul %,rm anu i v,vvu sgrr verucal glazing tnen NP -KL; uertmcation is required. Fnllnw NERC inn -QR D-ii,me sued e..►....a nieor� i . ,, i Ir .6E # Type Area U -Fac. Act. Azm. SHGC Glazing Type Location / Comments 1 Window 136 0.570 0 0.67 Double NonMtl Clear Default 1st Floor 2 Window 216 0.570 90 0.67 Double NonMtt Clear Default 1st Floor EXTERIOR SHADING # Exterior Shade a Window SHGC H t. Wd. Overhang Lon. . L .RE Dist, Left Fin Right Fin Len. Hgt. Len. 1 None 0.76 ----Dist. 2 None 0.76 Run Initiation Tomee QV26106 13028:02 Run Codea 1114450082 EnergyPro 3.1 By EnergySoft User Number. 5852 Job Number. 5102 Page:5 of 12 LIGHTING COMPLIANCE SUMMARY Part 1 Of 2 LTG -1 PROJECT NAME DATE VERIZON Wireless Store 7/1/2005 IINSLLED LIGHTING SCHEDULE Code LUMINAIRE DESCRIPTION TYPE DESCRIPTION # Per Lamp ONLLAJ IJ DESCRIPTION # nnmc Lam + Ballast Total Watts # waw A 3 4 ft Fluorescent T8 Elec F32T8 3 32 Electronic 10 1693.0 1,488 B (3) 4 ft Fluorescent T8 Elec F32T8 3 32 Electronic 1. 4 930 372 C (3 14 ft Fluorescent T8 Elec F32TB 3 32 Electronic 1. 5 93.0 465 CC 3 2 ft Fluorescent T8 Elec F17T8 3 17 Electronic 1. 1 53.0 53 D 3 4 ft Fluorescent T8 Elec 3 32 Electronic —i -c 4 93.0 372 F 75w Recessed Incandescent 75W 11 751 No Ballast 14 75.0 1.050 N 75w Surface Mount Incandescent 75W 1 75 No Ballast 13 75.01 975 NC 75w Surface Mount Incandescent75W 1 75 No Ballast 7 ' 75.0 525 NN 2 36w/39w Fluorescent Twin Elec 2 36 Electronic 1.01 7 70.0 490 Lighting Schedule on Plans Shows Exterior Lighting Subtotal from this Page 5,790 Meets Total 5,790 ❑Efficacy and Control Requirement of §130(c) Portable Lighting (From LTG -1) ❑ Control Requirements of g131(f) Less Control Credit Watts (From LTG -3) 1,046 4=744MANDATORY AUTOMATIC ONT OL Adjusted Actual Watts CONTROL LOCATION (Room #) CONTROL IDENTIFICATION CONTROL TYPE (Auto Time Switch, Exterior, etc.) SPACE CONTROLLED NOTE10. "�FIELI)15 CONTROL LOCATION I CONTROL (Room # or Dwg. #) IDENTIFICATION FRONT HALF FRONT HALF CONTROL TYPE (Occupant, Daylight, Dimming, etc.) Daylighting Controls - 50% Daylighting Controls - 50% 12 13 EneWPro 3.1 By EnergySoft User Number: 5852 Job Number. 5102 PaQe:6 of 12 LIGHTING COMPLIANCE SUMMARY Part2 of 2 LTG -11 1PROJECTNAME DATE VERIZON Wireless Store 1 7/1/2005 [TABLE 1A - PORTABLE LIGHTING NOT SHOWN ON PLANS FOR OFFICE AREAS >250 SOHARF FFFT —1 0 0- o o - ROOM # OR ZONE ID DEFAULT is ft AREA SF TOTAL WATTS B X C OFFICER >250 SQUARE a o a o F a s ROOM # PORTABLE LIGHTING LUMIN. # OF WATTS PER TASK AREA # OF TASK TOTAL TOTAL AREA (SF) WATTS OR ZONE ID CIYT r1VT1 IOC /en werwe in r• BACK HALF 900 1 - TOTAL 0 1 0 T L I B- PORTABLE I SHOWN ON PLANS FOR OFFICER >250 SQUARE a o a o F a s ROOM # PORTABLE LIGHTING LUMIN. # OF WATTS PER TASK AREA # OF TASK TOTAL TOTAL AREA (SF) WATTS OR ZONE ID CIYT r1VT1 IOC /en werwe in r• BACK HALF 900 1 ' 900 FRONT HALF 1,350 1 1,350 TOTAL 2 250 0 ROOM # OR ZONE ID TOTAL TOTAL AREA 3 0 Designer needs to provide detailed documentation that the ligh level provided by the overhead lighting meets the needs of the space. The details include luminalre types, CU, and mounting locations relative to work areas. TOTAL AREA (S TOTAL WATTS BUILDING SUMMARY (FROM TABLES 1A+119+1C) (FROM TABLES 1A+1B) BUILDING TOTAL ' 2,250 0 Initiation Time, 041251063 n C 1114450082 EnergyPm 3.1 By EnergySoft User Number. 5852 Job Number. 5102 Paoe:7 of 12 CERTIFICATE OF COMPLIANCE Performance MECH3 PROJECT NAME DATE VERIZON Wireless Store 7/1 /2005 [SYSTEM FEATURES MECHANICAL SYSTEMS SYSTEM NAME RTU -1 RTU -2 NQTE.TO TIME CONTROL SETBACK CONTROL ISOLATION ZONES HEAT PUMP THERMOSTAT? ELECTRIC HEAT? FAN CONTROL VAV MINIMUM POSITION CONTROL? SIMULTANEOUS HEAT/COOL? HEATING SUPPLY RESET COOLING SUPPLY RESET HEAT REJECTION CONTROL VENTILATION OUTDOOR DAMPER CONTROL ECONOMIZER TYPE DESIGN O.A. CFM MECH-3, COLUMN I HEATING EQUIPMENT TYPE HEATING EQUIPMENT EFFICIENCY COOLING EQUIPMENT TYPE COOLING EQUIPMENT EFFICIENCY MAKE AND MODEL NUMBER PIPE INSULATION REQUIRED? PIPE/DUCT INSULATION PROTECTED? HEATING DUCT LOCATION I R -VALUE COOLING DUCT LOCATION R -VALUE ELISPACECTS IN CIINCROOF Programmable Switch Heating & ooling Required n/a n%a n/a Constant Volume No No Constant Tem Constant Tem n/a Air Balance Auto . Diff. Enth (Integrated) . 160 cfm Gas Furnace 81% AFUE Packaged DX 13.0 SEER / 11.0 EER CARRIER 48SS060100521 Yes Yes Ducts in Attic 4.2 Ducts in Attic 4.2 No Programmable Switch Heating & Cooling Required n/a n/a n/a Constant Volume No No Constant Tem Constant Tem n/a Air Balance Auto Diff. Enth (integrated) 193 cfm Gas Furnace 81% AFUE Packaged DX 11.0 EER CARRIER 48HJD007PMF541 Yes Yes Ducts in Attic 4.2 Duds in Attic 4.2 No CODE TABLES: Enter code from table below into columns above. HEAT PUMP THERMOSTAT? TIME CONTROL SETBACK CTRL. ISOLATION ZONES FAN CONTROL ELECTRIC HEAT? S: Prog. Switch H: Heating Enter Number of I: Inlet Vanes 0: Occupancy C: Cooling Isolation Zones. P: Variable Pitch VAV MINIMUM POSITION CONTROL? Sensor B: Both V: VFD SIMULTANEOUS HEAT / COOL? Y: Yes M: Manual Timer O: Other • C: Curve — — - --- N: No PIPE INSULATION REQUIRED? PIPE/DUCT INSULATION PROTECTED? SEALED DUCTS IN CEILING/ROOF SPA VENTILATION OUTDOOR DAMPER ECONOMIZER O.A. CFM B: Air Balance A: Auto A: Air Enter Outdoor Air C: Outside Air CerL G: Gravity : Water CFM. M: Out Air Measure N: Not Required Note: This shall be no D: Demand Control EC: Economizer less than Col. H on N: Natural Control See Section MECH-3. 144(e)3 Run Initiation Time: 04125/0513.28.02 Run Code: 1114450082 3.1 By EnergySoft User Number. 5852 Job Number. 5102 Page:8 of 12 . •t �LIGHTING CONTROL CREDIT WORKSHEET LTG -3 PROJECT NAME DATE — VERIZON Wireless Store J7/1/2005 WORKSHEET o. F © o o a n a o PLANS REF. ROOM AREA (SF) DAYLIGHTING WATTS OF CONTROL LIGHTING LIGHTING ADJUST. FACTOR CONTROL CREDIT WATTS ROOM # ZONE ID LIGHTING CONTROL DESCRIPTION ROOM RATIO• GLAZING VLT FRONT HALF Daylightin Controls - 5�°� A 1,350 1,116 0.50 558 FRONT HALF Daylighting Controls - 50% N 1 350 975 0.50 48$ ( 1X046 A0#6 calculation. f Enter on LTG -1 PAGE BUILDING and 2: Actual TOTAL TOTAL Lighting Power For windows, use For skylights, use the Window Wall Ratio for the Skylight -to -Roof ratio the room. for the room. Run Initiation Time: / Code: EnergyPro 3.1 By Energysoft User Number 5852 Job Number. 5102 Page:9 of 12 MECHANICAL EQUIPMENT SUMMARY Part 1 of 2 MECH-2 PROJECT NAME VERIZON Wireless Store DATE 7/1/2005 ICHILLER ANB TOWER SUMMARY CFM BHP Motor Eff. Drive Eff. CFM BHP Efficient Tons PUMPS 1,995 Equipment Name Equipment Type Qty. Tot Qty GPM BHP Motor Eff. Drive Eff. Pump Control 1.00 82.5% 100.0% none IDHW I BOILER SUMMARY ANKINSUL. Extys -Val. [Energy Factor covery ciency Standby Loss or Pilot System Name S tem T ype Dlstrlbutlon Type Rated Input (Gals.) Vol. —R CENTRAL SYSTEM RATINGS HEATING COOLING System Name System T . Output Aux. kW Eff. O ut Sensible Efficiency Economizer Type CARRIER 48SS06010052 Packaged DX 1 77,140 0.0 81%AFUE 59,500 41,65 13.0 SEER/ 11.0 EER Diff. Enth (Integrated) CARRIER 48HJD007PMF541 Packaged DX 1 72,000 7.5 81%AFUE 78,900 59,20011.0 EER Diff. Enth (Integrated) System Name Fan Type CARRIER 48SS06010052 Constant Volume CARRIER 48HJU007PMF541 Constant Volume SUPPL:Y FAN RETURN FAN Motor Location CFM BHP Motor Eff. Drive Eff. CFM BHP Motor Eff. Dri,re Et?'. Blow -Through 1,995 1.00 82.5% 100.0% none Blow -Through 2,400 1.00 82.5% 100.0% none 1 EnergyPro 31 By EnergyBoft User Number. 5852 Job Number. 5102 Paoe:10 of 12 1 0 (MECHANICAL EQUIPMENT SUMMARY PROJECT NAME VERIZON Wireless Store Zone Name EXHAUST FAN SUMMARY CFM Part 2of2 DATE MECH-•2] CFM BHP I EffI . Effe I I Tvoe I Outout EnergyPro 3.1 By EneMSoft User Number: 6852 Job Number. 6102 Page:11 012 HAU -I IAN Room Name Qty. CFM BHP Motor Eff. Drive Eff. Room Name Qty. I CFM BHP Motor Eff. Drive Eff. BACK HALF 2 80 0.06 77.09' 97.0% EnergyPro 3.1 By EneMSoft User Number: 6852 Job Number. 6102 Page:11 012 4 1UIECHANICAL VENTILATION MECH-3 PROJECT NAME DATE VERIZON Wireless Store 7/1/2005 _ MECHANICAL VENTILATION a © © a a E © ❑I 1st Floor RTU -1 1st Floor RTU -2 I ZONE/SYSTEM AREA BASIS COND. AREA (SF) CFM PER SF MIN. CFM (B x C) 900 • 0.23 207 1,350 0.23 310 OCCUPANCY BASIS NO. CFM MIN. OF PER CFM PEOPLE PERSON I (ExF) T T REQ'D O.A. (MAX OF D OR G) 207 207 310 310 DESIGN OUTDOO AIR CFM 160 160 193 193 VAV MIN. RATIO C Minimum Ventilation Rate per Section 121, Table 1-F. E Based on Expected Number of Occupants or at least 50% of Chapter 10 1997 UBC Occupant Density. I Must be greater than or equal to H, or use Transfer Air. Design Outdoor Air includes ventilation from Supply Air System & Room Exhaust Fans. K Must be greater than or equal to (H minus 1), ancf, for VAV, greater than or equal to (H-1). EnergyPm 3.1 By EnergySoft User Number. 5852 Job Number. 5102 Pa9e:12 of 12 Certificate of Occupanc' Y . ........... . Ulf OFBuilding & Safety- Department 5 i t This Certificate is issued pursuant to the requirements of Section 109 of the California Building M x: Code, certifying that, at the time of issuance, this structure was in compliance with the q provisions of the Building Code and the various ordinances of the City regulating building a g f construction -and/or use. 7 f i y t 1 1 x BUILDING ADDRESS: 78-995 Highway 111 Suite 1 s F Use classification: Commercial "Verizon Wireless" TI Building Permit No.: 04-6420 t t Occupancy Group: M Type of Construction: VN Sprinkled Land Use Zone: CR k Owner of Building: Washington III LTD Address: 30240 Rancho Vieio Road #B' f 3 { City, ST, ZIP: San Juan Capistrano CA'92675 - 4 1� By: Daniel P. Crawford Jr. i Date: 1/31/06 Building Official } u ( POST IN A CONSPICUOUS PLACE f''