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05-5309 (RC)•c:t%,. .> P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: C0S-00005309- 3 Property Address: 79024 HIGHWAY 111 STE 101 APN: 649-820-999- - - Application description:. REMODEL - COMMERCIAL Property Zoning: REGIONAL COMMERCIAL Application valuation: 60250 ceityl 4 4. Q" Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License'is in full force and effect. License Class: B Lice�nnsse7 No.: 419010 Date: �i,y a., Ofontractor: E _ 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 _ 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 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). I—) 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: LQPERMIT Owner: FOURTH QUARTER PROPERTIES 45 ANSLEY DR NEWNAN,' GA 30263 (760)613-3783 Contractor: CDJ CONSTRUCTION INC 10700 JERSEY BLVD, #75 RANCHO CUCAMONGA, CA 9 (909)987-8029 Lic. No.: 419010 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: • 12/21/06 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affiim 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 STATE FUND Policy Number 0729329 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 3700 of the Labor CC000dd�ee,,JI shall forthwith comply with those provisions. Date/ �/ QG Applicant: 4/;� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Ouinta, 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 county to enter upon the above-mentioned property for inspection purposes. Date: aJ dLfignature (Applicant or Agent): ��� LQPERMIT Application Number . . . . . 05-00005309 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 464.00 Plan Check Fee. 301.60 Issue Date . . . . Valuation . . . . 60250 Expiration Date 6/19/07 Qty Unit Charge Per Extension BASE FEE 414.50 11.00 4.5000 -------------------------- THOU BLDG 50,001-100,000 ------`-------------------------------- 49.50 ------------ Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/19/07 Qty Unit Charge Per Extension BASE FEE 15.00 1500.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 30.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 70.50 Plan Check Fee 17.63 Issue Date . . . . Valuation . . . 0' Expiration Date 6/19/07 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 2.00 6.5000 EA MECH VENT FAN 13.00 1.00 6.5000 ------------------------7--------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit PLUMBING Additional desc . Permit Fee . . 130.50 Plan Check Fee 32.63 Issue Date . . . . Valuation 0 Expiration Date . . 6/19/07 Qty Unit Charge Per Extension BASE FEE 15.00 12.00 6.0000 EA PLB FIXTURE 72.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7..5000 EA PLB WATER HEATER/VENT 7.50 LQPERMIT LQPERMIT Application Number 05-00005309 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00. 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 1.00, 15.0000 EA PLB GAS METER 15.00 ----------------=---------=------------------------------------------------- Special Notes and Comments. INTERIOR TENANT IMPROVEMENT SUITE 101, COFFEE SHOP - "B" OCCUPANCY, TYPE V -N. CONSTRUCTION, 42 TOTAL OCCUPANT LOAD. 2001 CODES, 2004 CEC, 2005 ENERGY. EXTERIOR SIGNAGE AND SITE LIGHTING REQUIRES SEPARATE<PERMITS. ---------------------------------------------------------------------------- Other Fees ACCESSIBILITY PLAN REVIEW 30.60 ENERGY REVIEW FEE 30.60 Fee summary Charged Paid ----------------- Credited Due ----- - ---- ---------- ---------- Permit Fee Total 710.00 .00 ---------- .00- 710.00 Plan Check Total 363.11 .00 .00 363.11 Other Fee Total 61.20 .00 .00 61.20 Grand Total 1134.31 .00 .00 1134.31 I -A X 1�n 0Y City of La Quinta Building ez Safety Division Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit ItP.O. 11-11., D Project Address: 7f -L -p Owner's Name: P. Number: Address: egal Description: Contractor: C_DJ City. ST. Zip: FTelephone: ,;L322 - Address: XProject Description': City. ST. Zip: Telephone: State Lic. 4 Cin, Lic. Arch.. Engr.. Designer: M/As­ 412,_100e Address: City. ST. Zip: 2,! Telephone: State Lic. #: IC — . . Name of Contact Person: I IWO,_ Construction Type: cupancy: Project type (circle one): Q -Z) Ad'd'n Alter Repair Demo Sq. Ft.: MOO I # Stories: 4 Units: Telephone # of Contact Person: stimated Value of ProJcc U,00, )19�k APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted a Item Amount Structural Calcs. Reviewed, ready for corrections -78> Plan Check Deposit Truss Calcs. Called Contact Person Plan Check -Balance Energy Calcs. Av fA V Plans picked up Construction Flood plain plan Plans resubmitted 117,71N Mechanical Grading plan 2"' Review, ready for corrections I Aue 21, 0, ;;Electrical Subcontactor List _ Called Contact Perso ZO,04 PPlumbing - Grant Deed Plans picked up S.M.I. H.O.A. Approval \Y Plans resubmitted 00000�� Grading IN HOUSE:- Review, ready for correction issue a�h I �;Developer Impact Fee Planning Approval Called Contact Person -A _1 7,JWV( A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees John R. Hawkins Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning Beaumont Calimesa Canyon Lake Coachella ` Desert Hot Springs Indian Wells Indio Lake Elsinore La Quinti Moreno Vallee Palm Desert Perris Rancho Mirage San Jacinto Temecula Board of supervisors Bob Buster, District 1 John Tavaglione, District 2 Jeff Stone, District 3 Roy Wilson, District 4 Marion Ashley, District 5 R -WE RS IIDE COUNTY FIRE DEPARTMENT hi cooperation Frith the California Department -of Forestry and Fire Protection 210 West San Jacinto Avenue • Perris, California 92570 e (951) 940-6900 . Fax (951) 940-6910 e Date Building Department RE LAA- -T1-Ivy (0 (9 e &ao The Riverside County F*e Department is granting the Fire clearance for the following location. 1Q -6)y �Wq ijj .STc * /01 CofrEE -amu Please call if you should have questions 760-863-8886 C Respectfully, 4— Jason tubble Fire Systems Inspector Craig E, Anthony Fire: Chief Proudly serving the unincorporated mus of Riverside County and the Cities of. Bunning Beaumont Cala, nm o' Canyon Lake Coachella . Q Desert Hot Springs C► Indian Wells 0 Indio e� Lake Elsinore La Quints, �o Moreno Valley Palm Desert Perris o� Rancho Mirage d San Jacinto Temecula Board of Supervisors Bob Buster, District t Jahn Tavagiione, District 2 Jeff Stone, District 3 Roy Wilson, District 4 Marion Ashley, District 5 RIVERSIDE COUNTY FIRE DEPARTMENT ay n o,I . ax 70- December 12, 2005 Michael R. Black, AIA 3100 E. Randol Mill Arlington, TX 76011 Re: Non -Structural Building Plan Review LAQ-05-TI-109 / The Coffee Bean & Tea Leaf 79-024 Hwy 111, #101 Fire Department personnel have reviewed and approved the 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 Wth a planlfnspection fee. A licensed C-16 contractor shall do all sprinkler work and certification. The approved plans, with Fire Department Job card must be at the job site for all Inspections. 2) Provide keys to the tenant space for Inclusion in the main building Knox Box. Key(s) shall have durable and legible tags affixed for Identification of the correlating tenant space. 3) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware and as noted on Sht. A2.1 of the building plans. 4) Install portable fire extinguishers per title 19, but not less than 2A1 OBC in rating. Contact a certified - extinguisher company for proper placement and spacing 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 tb be made at least 72 hours in advance and may be arranged by calling . (760) 883-6886. 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 Quints — Building Dept, Kl nwP eahuJ ahtNPR018CTE1TItA4o6Tr10i.Eoo Sincerely, Tracy Hobday Chief Fire Department Planner By Walter Brandes Fire Safety Specialist EMERGENCY SERVICES DIVISION . PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2"" FI., Indlo, CA 82201 • (760) 663.8886 . Fax (780) 853-7072 OAS ,LIAIli3d HVH1 ,LSVa L6906LZT26 XX3 9C:ZT 90OZ/LZ/TO Area.# IV COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH PLAN CORRECTION Plan Check # IVN06-001 Date 1/4/06 DBA Coffee Bean & Tea Leaf # 178 Address 79-024 Hwy111, Ste 101, La Quinta Plans Submitted by Mark Glover Phone 951-279-0604 Owner International Coffee Address 1945 S. La Cienega, Los Angeles Phone 310-237-2372 & Tea The plans are now approved subject to the conditions listed below and the attached compliance sheet. 1. This plan does not include sewage or water service approval. Prior to the final inspection provide a grease interceptor sizing form or waiver from your local water agency. For more information call County of Riverside Land Use at (760)863-7000. 2. All floor, wall and ceiling finishes in food service areas must be smooth and easily cleanable including waitress and self service stations such as drink dispensers. Formica (PLAM-1) is not approved in rooms #2, 4 & 5 -service area and restrooms. Use approved material, i.e. FRP, tile, etc. 3. The mop sink must be of the floor basin style. Behind all sinks in the splash zone the finish must be water proof to a height of 8' (e.g. FRP/tile) 4. The trash enclosure must meet current standards and be finished so that the interior floor and walls are smooth and easily cleanable. Seal these interior surfaces with an approved epoxy sealant. 5. All exterior and restroom doors must be self closing. Exterior doors must also be sealed against entry by vermin. Service windows such as drive through windows must likewise be self closing and if greater than 216 square inches have dedicated air curtains. Maximum opening for service window is 432 square inches. The delivery door air curtain must deliver air at a velocity of 1600 fpm at a height of 3' above the floor. 6. A construction guide has been issued with this plan correction. All issues not otherwise addressed by this plan correction must be resolved according to the guidelines set forth therein. 7. The number of lockers provided shall be equal, or greater than the number of workers assigned to a peak shift 8. Provide an additional 4' linear feet of approved dry storage shelving. The minimum requirement is 32' 9. Sneeze guard requirement will be evaluated on-site at time of inspection. 10. Provide approved backflow prevention devices(double check valves) for all direct water feeds. I.e. Coffee brewers, etc. CONSTRUCTION INSPECTIONS: Contact the Plan Checker for a Preliminary Inspection when construction is approximately 80% complete, with plumbing, rough ventilation, and rough equipment installed. Request for inspection should be made at least five (5) working days in advance. A compliance guide is attached to this plan correction sheet. All construction not otherwise addressed on the plan correction must be performed in accordance with the guidelines set forth therein. A FINIAL INSPECTION MUST be made upon completion of ALL work including finished details. APPROVAL to operate shall not be granted, or remodeled areas approved to operate, until the facility has passed the FINAL INSPECTION, and "APPLICATION TO OPERATE" has been completed and PERMIT FEES have been paid. Request for inspection should be made at least five (5) working days in advance. PLANS CHECKED BY Jerry Dubin Phone (760) 320-1048 1 acknowledge the corrections noted herein and as in ' ated o the plans and agree to inc rporate them during construction: Signature Company ¢ P Date %^��-6 .IF !E _C . R ` JI�t `i�tO1 ,J3dJ,t l GNV DNI(113AA MVIlf10 (l OUTLAW WELDING AND INSPECTION, INC. � P.O. Box 7185 Riverside, CA 92513 Cell (909) 232-8794 DEPT. OF BLDG. & SAFETY " SPECIAL INSPECTION REPORT CITY OF 6, n- , - + Permit No 0 S^ aJ�_ Job No. Date B uiIdmi g /9 _ Job Identification / Address �� .o "D '�, TIlVlE IN General Contractor / Address C, C) ' '^ -/ Initials 1//,/,,--7 "! C' 7lJ Sub -Contractor /Address Structural Engineer / Address TYPE OF WORK: REINFORCED CONCRETE — MASONRY— HI -TENSILE BOLTING — PRESTRESSED CONCRETE — WELDING -7k OTHER DESCRIPTION OF WORK INSPECTED 7 Z- ,e) i , J �� a-• Date Reg. O.T. TIlVlE IN TIIVIE OUT Mileage Code Initials 1//,/,,--7 "! C' 7lJ ,/, All inspections based on a minimum of 4 hours & over 4 hours - 8 hour minimum. In addition, any inspection extending past noon hour will bean 8 hour minimum. CERTIFICATE OF COMPLIANCE Registered Deputy Building Inspector's certificate Signed by Inspector ��— —=� ez k"Iz"�F" I.D.NO. ��/ ? ,i• �/ � - has been filed and it states that the above work was inspected by him and complies with the provisions of the Building Code!!p.plicable thereto. Approved by: Respectfully Submitted By c --i 'John R. Hawkins Fire Chief Proudly serving the Unincorporated Areas of Riverside County and the Cities of: Banning 4. Beaumoni Calimesa e. - Canyon Lake Coachella 4. Desert Hot Springs 4. Indian Wells Indio Lake Elsinore La Quinta Moreno Valley Palm Desert Perris Rancho Mirage .; San Jacinto Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, District 2 Jim Venable, District 3 Roy Wilson, District 4 Marion Ashley, District 5 RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 210 West San Jacinto Avenue • Perris, California 92570 • (909) 940-6900 • Fax (909) 940-6910 May 2, 2007 PS Fire Pros 4639 sunny Dunes Palm Springs, CA 92264 Re: Fire Sprinkler Plan Review LAQ-05-TI-109 / Coffee Bean at 79024 Hwy 111, Ste 101, La Quinta, CA The sprinkler plans you submitted for the above referenced project have been reviewed by Riverside County Fire Department Planning & Engineering personnel and are approved with the following conditions: 1) Approval of these plans does not include the piping of the underground system. Installing contractor shall provide separate underground plans for review and approval prior to installation. 2) Provide a separate point of connection for the second sprinkler head as noted or provide hydraulic calculations to verify the design flow rate when piping two new ceiling sprinklers from an existing outlet in an overhead system. (NFPA 13, Sec. 5-13.20.3, Excep. 1) 3) Permanently marked identification signs shall be attached to all control valves. 4) A sign shall be located adjacent to the alarm bell worded as follows: a) SPRINKLER FIRE ALARM - WHEN BELL RINGS CALL 911 5) Provide for 24 hour monitoring of the sprinkler alarm system. 6) The following inspections/tests are required to be witnessed by the Fire Department Planning Division staff: a) Overhead: All piping must be visible and 200 psi hydrostatic for 2 hours. (Verify with field inspector for hydro variance.) Ceiling panels must not be in place. (NFPA 13, Sec. 10-2.2.1, Exception No. 4) b) Final inspection. The Fire Department job card, approved plans and conditions letter must be at the job site or NO inspection will be performed. Applicant/installer shall be responsible to contact the Fire Department to schedule inspection(s) a minimum of 72 hours prior to the requested inspection date. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering staff at (760) 863-8886. Sincerely, Tracy Hobday Chief Fire Department Planner By Sonia Coole Fire Safety Specialist EMERGENCY SERVICES DIVISION • PLANNING SECTION . INDIO OFFICE 82-675 Highway 111, 2n° R., Indio, CA 92201 . (760) 863-8886 . Fax (760) 863-7072 f ,. CERTIFICATE OF COMPLIANCE (PART 1 OF 4) LTG- 1-C PROJECT NAME COFFEE BEAN & TEA LEAF DATE 119/06 PROJECT ADDRESS H Y 1 1��/�/ 1 1 1 & ADAMS, LA QUI NTA, CA Building Permit PRINCIPAL DESIGNER - LIGHTING MICHAEL R. BLACK, A.I.A. TELEPHONE (817) 633-4200 DOCUMENTATION AUTHOR MICHAEL R. BLACK, A.I.A. TELEPHONE (817) 5334200 Chucked by/Date Enforcement Agency Use GENERAL INFORMATION Lighting Controls Credit Worksheet DATE OF PIANS 1/19/06 BUILDING CONDITIONED FLOOR AREA 1500 SO FT CLIMATE ZONE 1 10 BUILDING TYPE ® NONRESIDENTIAL ❑ HIGH RISE RESIDENTIAL ❑ HOTEL/MOTEL GUEST ® CONDITIONED SPACES ❑ UNCONDITIONED SPACES ❑ INDOOR/OUTDOOR SIGNS ❑ LTG -8-C PHASE OF CONSTRUCTION ❑ NEW ❑ ADDITION ® ALTERATION ❑ LTG -9-C METHOD Of COMROWE ❑ OLTG-4-C ❑ PERFORMANCE ❑ COMPLETE BUILDING ❑ AREA CATEGORY ® TAILORED ❑ COMMON LIGHTING STATEMENT OF COMPLIANCE lnrg c,erurrcore, or Gornplior)CC lists the building features and performance gpecifiCotionS needed to comply with Title 24, Ports 1 and 6 of the California Code of ,4egulatians. chis certificate applies only to building lighting requirements. The documentation preporer hereby cerfifios that the documentation is accurate and complete. DOCUMENTATION AUTHOR SIGNATURE DATE MICHAEL R. BLACK, A.I.A. 1/19/06 The Principal Lighting Designer hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets. with the specifiootions, and with any other Calculations submitted with this permit application. ?'he proposed building has been designed to meet lighting requirements contained in applicable ports of Sections 110, 119, 130-132, 146, 146, & 149 of Ytle 24. -Part 6. ® The plans & specifications meet the requirements of Part 6 (Sections 10-103a). ❑ The installation certificates meet the requirements of Part 6 (1010303). ❑ The installation certificates meet the requirements of Port 6 (1010303). Please check one: (These sections of the Business and Professions Code are printed in full in the Nonresidential Manual.) I hereby affirm that f on ellglble under the provisions of Division 3 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am licensed in the Stole of Co1,Yornio as a civil engineer or electrical engineer, or I am o licensed arrhifecf• 0I affirm that / an eligible under the provisions of Division 3 of the Business and Professions Code by section 5537.2 or 6737.3 to sign this documont os the person responsible for Its preparation; and that I am a licensed contractor performing th/s work. ❑ I affirm that I an eligible under Division 3 of the Business and Professions Code to sign this document because it pertains to a structure or type or work described as exempt pursuant to Business and Professions Code Sections 5537, 3536 and 6737.1. PRINCIPAL LIGHTING DESIGNER - NAME MICHAEL R. BLACK, A.I.A. SIGNATURE DATE 1/19/06 LIC, # C-26839 UGHIING MANDATORY MEASURES V Q9 Indicate location on plans of Note Block for Mandatary Measure LIGHTING COMFLIANC.E FORMS & WORK RUM (&hock bpk if wgel 0 is indvdII4 LTG -1-C, Ports t of 4 and 2 of 4 Certificate of Compliance. Part 1 of 4 and 2 of 4 are required for aH submittals ❑ LTG -1-C, Part 3 of 4 Certificate of Compliance, Part 3 of 4 submittal is required only if Control Credits are claimed LTG -1-C, Part 4 of 4 Certificate of Compliance. Part 4 of 4 submittal is required when lighting controls are installed ® LTC -2-C Interior Lighting Schedule ❑ LTC -3-C Portable Lighting Worksheet © LTG -4-C Lighting Controls Credit Worksheet ❑ LTG -5-C Interior Lighting Power Allowance ® LTG -6-C Tailored Method Worksheet ® LTG -7-C Room Cavity Ratio Worksheet ❑ LTG -8-C Common Lighting Systems Method Worksheet ❑ LTG -9-C Une Voltage Track Lighting Worksheet ❑ OLTG-4-C Signs (See OLTG-4-C Sign Worksheet in Chapter 6. Outdoor Lighting ands Signs Chapter) 2005 Nonresidential Compliance Forms April 2005 ZO 30Vd SWQd ESTbEESILT8 £E:9Z 900Z/9Z/Z0 CERTIFICATE OF COMPLIANCE (PART 2 OF 4) LTG -1 -C PROJECT NAME COFFEE BEAN & TEA LEAF W DATE ` SPACE CONTROLLED Lists the location of controlled lights 1/19/06 NOTE TO FIELD INSTALLED INTERIOR LIGHTING .POWER FOR CONDMONED AND UNCONDITIONED SPACES LCP LIGHTING CONTROL PANEL INSTALLED WATTS INSTALLED LIGHTING, CONDITIONED SPACES (From LTG -2—C) 3279 PORTABLE LIGHTING (Fropm LTG -3—C) + LIGHTING CONTROL CREDIT, CONDITIONED SPACES (From LTG -4—C) — CONDITIONED SPACE ADJUSTED INSTALLED LIGHTING POWER = 3279 INSTALLED LIGHTING, UNCONDITIONED SPACES (From LTG -2—C) LIGHTING CONTROL CREDIT, UNCONDITIONED SPACES (From LTG -4—C) — UNCONDITIONED SPACE ADJUSTED INSTALLED LIGHTING POWER = ALLOWED INTERIOR LIGHTING POWER FOR CONDITIONED SPACES ❑ COMPLETE BUILDING METHOD (From LTG -•5—C) ❑ AREA CATEGORY METHOD (From LTG -5—C) ® TAILORED METHOD (From LTG -5—C) ALLWO ED ALLOWED LIGHTING POWER 3281 ALTERNATE COMPLIANCE ❑ PERFORMANCE. METHOD ❑ COMMON LIGHTING SYSTEM (From LTG -8—C) ALLOWED INTERIOR LIGHTING POWER FOR UNCONDITIONED SPACES (From LTG -5—C) Watts MANDATORY LIGHTING MEASURES FOR INTERIOR UGHflNG AND DAYLIT AREAS. MANDATORY INTERIOR AND DAYLIGHTING AUTOMATIC CONTROLS CONTROL LOCATION (Room #, Area, or Description) CONTROL IDENTIFICATION CONTROL TYPE (Auto Time Switch, Dimming, Photosensor, etc.) SPACE CONTROLLED Lists the location of controlled lights If Control Is for Doylighting NOTE TO FIELD BACK AREA LCP LIGHTING CONTROL PANEL ENTIRE SPACE 2005 Nonresidential Compliance Forms April 2005 E0 39dd SWQd ESTPEE9L18 EE:9T 90OZ/9Z/TO CERTIFICATE OF COMPLIANCE (PART 4 OF 4) LTG -1 -C PROJECT NAME COFFEE BEAN & TEA LEAF DATE 1/19/06 Designer: This form is to be used by the designer and attached to the plans. Listed below are all the acceptable tests for lighting systems. The designer is required to check the boxes by all acceptance tests that apply and list all equipment that require an acceptance test. If all equipment of a certain type requires a test, list the equipment description and the number of systems to be tested in parentheses, The Nd number designates the Section in the Appendix on the Nonresidential ACM Manual that describes the test. Also indicate the person responsible for performing the tests (i.e. the installing contractor, design professional, or on agent selected by the owner). Since this form will be part of the plans, completion of this section will allow the responsible party to budget for the scope of work appropriately. Building Departments: Systems Acceptance. Before an occupancy permit is granted for a newly constructed building or space, or a new spoce-conditioning system serving a building or space is operated for normal use, all control devices serving the building or spoce shall be certified as meeting the Acceptance Requirements for Code COmplionce. In addition, a Certificate of Acceptance, MECM- I -A, Forms shall be submitted to the building depKtmepAti�, %1' plans, specifications, installation certificates, and operating and maintenance information meet the requirements of 10-103(b) and Title 24 Part 6. Test Description Test Performed By, LTG -2-A: Lighting Control Acceptance Document INSTALLING • Occupancy Sensor Acceptance CONTRACTOR • Manual Daylight Controls Acceptance • Automatic Time Switch Control Acceptance Equipment requiring acceptance testing LIGHTING CONTROL PANEL El -LTG -3-A; Automatic Daylighting Controls Acceptance Document Equipment requiring acceptance testing 2005. Nonresidential Compliance Forms • April 2005 VO 39dd SWQd ESZbEE9LT8 EE:9Z 90OZ/9i;/TO INTERIOR LIGHTING SCHEDULE (PART 1 OF 2) LTG -2-C PROJECT NAME COFFEE BEAN & TEA LEAF DATE 1/19/06 INSTALLED UGWTING POWER FOR CONDITIONED SPACES Luminalm 6mwiBolloila Inelatled Waft A 8 C D E F G H I J Nome Type Description • a • v T .. —� F- 0 F, w mi a � yG,.� j E = + � d c E n o CL �in c E z m 3 a� cu a O v F 9 3 \ W N > v o o , E 5 z c 2 _ ��`. A 2x4 TROFFER F 3 32 1 91 ✓ '4 364 B 1x4 SURFACE MOUNT F 2 32 1 61 ✓ 1 61 C PENDANT 1 1 50 50 ✓ 6 300 0 CFL DOWNLIGHT F 1 26 26 ✓ 18 950 E CFL DOWNLIGHT F 1 26 26 ✓ 11 350 M LOW VOLTAGE TRACK I 1 37 6 ✓ . 300 1800 2005 Nonresidential Compliance Forms PAGE TOTAL 3279 BUILDING TOTAL (sum of all pages) + PORTABLE LIGHTING (From LTG -3—C) + CONTROL CREDIT (From LTG -4—C) ADJUSTED ACTUAL WATTS = 3279 April 2005 S9 .39Vd SWQd ESTPEE9LT8 EE:9Z 999Z/9Z/TO TAILORED METHOD WORKSHEET (PART 1 OF 3) LTG -6-C PROJECT NAME COFFEE BEAN & TEA LEAF DATE 1/19/06 TAILORED METHOD SUMMARY - Seponute Tailored Method Worbhsah Must Be Fliled Out For Condi toned And Unconditioned Spaces 1. Watts for Illuminance Categories (from Tailored LPD Total below) 1863 WATTS 2. Watts for Display Lighting 933 + + 485 + 4187 WATTS Wall Display Floor Display Ornamentol/Speciol Very Valuable Display r Effects Display 3. Total Allowed Watts (lines 1 + 2) 3281 1 WATTS TAILORED LPD - Illuminance Categories from Table 146-0 A B C D E F G ROOM NUMBER TASK/ACTIVITY OR NON—TASK AREA (1) ILLUMINANCE CATEGORY (2) ROOM CAVITY RATIO RCR FROM LTG -7—C? Y N FLOOR AREA ALLOWED LPD ALLOWED WATTS (E x F) 01 PUBLIC AREA D 4.4 ® ❑ 693 1.2 832 02 SERVICE AREA E 4.2 ® ❑ 413 1,8 743 03 STORAGE AREA C 6.4 ® ❑ 291 0.8 233 04. TOILET C 9.1 ® ❑ 50 1.1 55 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ PAGE TOTAL 1 BUILDING TOTAL 1447 ft2 ft WATTS 1863 1447 v 1863 1 Include non—tosk area as a separate line. 2 From Table 146—D Column 2 or IESNA Handbook. 2005 Nonresidential Compliance Forms 90 39dd April 2005 SWQd ESTPEE9LT8 EE:9T 90OZ/9Z/Z0 TAILORED METHOD WORKSHEET (PART 2 OF 3) PROJECT "AME COFFEE BEAN & TEA LEAF DISPLAY IJGHT1140: WALLS Qualifying wall display lighting systems shall be mounted within 6 ft fn n Wnu 4qo0 iarttilts DATE LTG -6-C TOTAL LENGTH OF DISPLAY.WALLS 47 ft TOTAL 933 1 From Table 146—E. Enter on Line 2, Part 1 of LTG -6—C WATTS 2) From Table 146—D Column 3. Qualifying wall display lighting systems shall be mounted within 6 ft to o wall. DISPLAY LIGHTING: FLOORS ./ ❑ Qualifying floor display liohtinq systems shall be mounted no closer thnn F ft to n Wnu ceo 1AA/k%'ta A A 9 C D E F ALLOTTED WATTS G H I J DESIGN WATTS K TH. WALL TASK/ACTIVITY MOUNTING HEIGHT MOUNTING HEIGHT FACTOR (4) ALLOTTED WATTS DESIGN WATTS MOUNTING WALL 'DISPLAY (2,3 ALLOTED WATTS (C x D x E) LUMIN, CODE LUMIN. QTY. WATTS/ LUMIN. DESIGN WATTS (H x 1) TASK/ACTIVITY MOUNTING HEIGHT HEIGHT FACTOR DISPLAY Length in Power in Watts per ALLOTED WATTS LUMIN. LUMIN. WATTS/ DESIGN WATTS ALLOWED WATTS (1) Linear Feet Linear Foot (C x D x E) CODE QTY. LUMItJ, (H x 1) (Min. F or J) WALL DISPLAY 10.5 1.0 17 21,0 357 M 9 37 333 333 WALL DISPLAY 10.5 1.0 30 21.0 630 M 2 300 600 600 TOTAL LENGTH OF DISPLAY.WALLS 47 ft TOTAL 933 1 From Table 146—E. Enter on Line 2, Part 1 of LTG -6—C WATTS 2) From Table 146—D Column 3. Qualifying wall display lighting systems shall be mounted within 6 ft to o wall. DISPLAY LIGHTING: FLOORS ./ ❑ Qualifying floor display liohtinq systems shall be mounted no closer thnn F ft to n Wnu ceo 1AA/k%'ta A 8 C D E F G TH. TASK/ACTIVITY MOUNTING HEIGHT MOUNTING HEIGHT FACTOR (4) ALLOTTED WATTS DESIGN WATTS ALLOWED WATTS (Min. F or J) FLOOR DISPLAY AREA (sq. ft.) FLOOR DISPLAY (5,6 Power in (W/s9- ft.) ALLOTED WATTS (C x D x E) LUMIN, CODE LUMIN. QTY. WATTS/ LUMIN. DESIGN WATTS (H x 1) TOTAL LENGTH FLOOR DISPLAYS Ift1 1 From Table 146—E. J 2� From Table 146—D Column 4. . Qualifying floor display lighting systems shall be mounted no closer than 6 ft to o wall. TOTAL WATTS 2005 Nonresidential Compliance Forms. April 2005 LO 39Vd SWQd ESTPEESILT8 EE:9Z 90OZ/9Z/TO TAILORED METHOD WORKSHEET (PART 3 OF 3) LTG -6-C PROJECT NAME COFFEE BEAN & TEA LEAF DATE 1/19/06 DISPLAY LIGHTING ORNAMENTAL/SPECIAL EFFECTS A' 8• C D E F G H ALLOTTED WATTS DESIGN WATTS ORNAMENTAL SPECIAL DISPLAY EFFECTS ALLOTTED DESIGN ALLOWED AREA LIGHTING WATTS LUMINAIRE WATTS/ WATTS WATTS LIGHTING DESCRIPTION (sq. ft.) (W/sq. ft.) (BxC) CODE QUANTITY LUMIN, (FxG) (Min. 0 or H) EA CRATE/CANOPY/POSTERS 693 0.7 485 M 16 37 592 1 485 TOTAL DISPLAY AREAS 693 ft2 TOTAL WATTS h85 1) From Toble 146—D Column 5. DISPLAY LIGHTING: VEIY VALUABLE DISPLAY A 8 C D E F ALLOTTED. WATTS G H ! J DESIGN WATTS K L VALUABLE VALUABLE SPACE VALUABLE 20 DISPLAY LUMINAIRE DISPLAY AREA DISPLAY POWER AREA WATTS DISPLAY AREA WATTS PER AREA WATTS LUMINAIRE WATTS/' DESIGN WATTS ALLOWED WATTS NAME/LOCATION (sq. ft.) (W/sq. ft.) (BxC) (sq, ft.) (sq. ft.) (ExF) CODE QUANTITY LUMINAIRE (IxJ) (Min. F or J) TOTAL AREAft TOTAL AREA=ft2 TOTAL WATTS 1) From Toble 146—D COLUMN 6. 2005 Nonresidential Complionce Forms April 2005. 80 39dd SWQd ESZbEE9LZ8 EE:91 90OZ/9Z/TO ROOM CAVITY RATIO WORKSHEET PROJECT NAME COFFEE BEAN & TEA LEAF • DOCUMENTATION AUTHOR' DATE MICHAEL R. BLACK, A.I.A. 1/19/06 RECTANGULAR SPACES (RCR z 3-5) LTG -7-C FOR ENFORCEMENT AGENCY USE'ONLY PLAN CHECKED BY I DATE 2005 Nonresidential Compliance Forms April 2005 60 39dd SWQd ESTPEE9LZ8 EE:9Z 90OZ/9Z/10 CERTIFICATE OF COMPLIANCE (Part 2 of 2) PROJECT NAME COFFEE BEAN & TEA LEAF DATE SYSTEM FEATURES MECHANICAL SYSTEMS SYSTEM NAME RTU -1 RTU -2 TIME CONTROL S S SETBACK CONTROL 8 ISOLATION ZONES ISOLATION ZONES N/A N/A HEAT PUMP THERMOSTAT? N N ELECTRIC HEAT? N N FAN CONTROL C C VAV MINIMUM POSITION CONTROL? N/A N/A SIMULTANEOUS HEAT/COOL? N N HEAT AND COOL SUPPLY RESET? N N HEAT REJECTION CONTROLVENTILATION N N VENTILATION 6 g OUTDOOR DAMPER CONTROL? G G ECONOMIZER TYPE A A DESIGN O.A, CFM (MECH-3, COLUMN H) 250 250 HEATING EQUIPMENT TYPE NAT, GAS NAT. GAS HIGH EFFICIENCY? IF YES ENTER EFF. # N — N — MAKE AND MODEL NUMBER LENNOX LGA060H Enter Design Outdoor Air CFM, COOLING EQUIPMENT TYPE PACKAGE DX PACKAGE DX HIGH EFFICIENCY? IF YES ENTER EFF. # Y I 1 1.0 EER .Y MAKE AND MODEL NUMBER LENNOX LGA060H M; Outside Air Measure PIPE INSULATION REQUIRED? N/A N/A PIPEIDUCT INSULATION PROTECTED? Y Y HEATING DUCT LOCATION R -VALUE ATTIC (R-4.2) ATTIC (R-4.2) COOLING DUCT LOCATION R -VALUE ATTIC (R-4.2) ATTIC (R-4.2) VERIFIED SEALED DUCTS IN OILING/ROOF SPACE % FAN FLOW N N MECH-1 11/30/05 NOTE TO FIELD Oldg. Dept. uBe Nonresidential Compliance Form — ���� August QZ 39dd SWQd ESTV669LTB EE:9Z 900Z/9Z/Z0 T. Tey N; No - TIME CONTROL SETBACK CTRL. ISOLATION ZONES FAN CONTROL HEAT PUMP THERMOSTAT? S: Prog. Switch 0: Occupancy H: Heating C: Cooling Enter number of Isolation I: Inlet Vanes P: Variable Pitch ELECTRIC HEAT? Sensor M: Manuel Timer B: Both Zones V: VFD O: Other VAV MINIMUM POSITION CONTROL? C: Curve HEAT AND COOL SUPPLY RESET? VENTILATION OUTDOOR DAMPER ECONOMIZER DESIGN O.A. CFM SIMULTANEOUS HEAT/COOL? B: Air Balance C: Outside Air Cert A: Auto G: Gravity A: Air W; Water Enter Design Outdoor Air CFM, HIGH EFFICIENCY? M; Outside Air Measure N: Not EC; economizer Note: This shall be no less than PIPE INSULATION REQUIRED? D: Demand Control N: Natural Control See Section 144(e)3 Column H on MECH-3, PIPE/DUCT INSULATION PROTECTED? SEALED DUCTS IN CEILING/ROOF Nonresidential Compliance Form — ���� August QZ 39dd SWQd ESTV669LTB EE:9Z 900Z/9Z/Z0 CERTIFICATE OF COMPLIANCE (Part 1 of 2) MECH_1 PROJECT NAME COFFEE BEAN & TEA LEAF DATE ` 11/30/05 PROJECT ADDRESS 79_024 Highway 1 1 1 - La Quinta, CA ,PRINCIPAL DESIGNER -ENVELOPE TELEPHONE Building Permit# MICHAEL R. BLACK, A.I.A. 817 633-4200 DOCUMENTATION AUTHOR TELEPHONE Checked by/Date MICHAEL R. BLACK, A.I.A. (817) 633-4200 Enforcement GENERAL INFORMATION DATE OF PLANS 11/30/05 1 BUILDING CONDITIONED FLOOR AREA 1500 SQ. FT, CLIMATE ZONE 15 BUILDING TYPE 0< NONRESIDENTIAL ❑ HIGH RISE RESIDENTIAL ❑ HOTEL/MOTEL GUEST ROOM PHASE OF CONSTRUCTION ❑ NEW CONSTRUCTION ❑ ADDITION QtALTERATION ❑ UNCONDITIONED (file affiddavit) METHOD Of` MECHANICAL COMPLIANCE ❑PRESCRIPTIVE PROOF OF ENVELOPE COMPLIANCE PERFORMANCE ❑ PREVIOUS ENVELOPE PERMIT ❑ENVELOPE COMPLIANCE ATTACHED STATEMENT OF COMPLIANCE This Certificate of Compliance lists the building features and performance specifications need to comply with Title 24, Parts 1 and 6 of the California Code of Regulations- This certificate applies only to building mechanical requirements. The documentation preparer hereby certifies that the documentation is accurate and complete. DOCUMENTATION AUTHOR MICHAEL R. BLACK, A,LA. SIGNATURE 11/30/05 The Principal Mechanical Designer hereby certifies that the proposed building design represented in this set of construction documents is consisten with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application. the proposed building has been designed to meet the mechanical requirements contained In sections 110 through 115, 120 through 124, 140 through 142, 144 and 145. Please check one: ❑ 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 perosn responsible for its preparation; and that I am licensed in the State of California as a civil engineer or mechanical engineer, or I am a licensed architect. ❑ I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code by section 5537.2 or 6737.3 to sign this document as the person responsible for its preparation; and that I am a licensed contractor performing this work. ❑ I affirm that I am eligible under Division 3 of the Business and Professions Code to sign this document because it pertains to o structure or type of work described as exempt pursuant to Business and Professions Code Sections 5537, 5538 and 6737.1. PRINCIPAL MECHANICAL DESIGNER -NAME SIGNATURE MICHAEL R. BLACK, A.I.A. MECHANICAL MANDATORY MEASURES Indicate location on plans of Note Block for Mandatory Measures INSTRUCTIONS TO APPLICANT . GATE LIC. # 11/30/05 1 C-26839 For Detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential Manual published by the Califomia Energy Commission. MECH-7: Required on plans for all submittals. Part 2 may be incorporated in schedules on plans. MECH-2: Required for all submittals; but may be incorporated in schedules on plans. MECH73: Required for all submittals unless required ventilation rates and airflows are shown on plans, see 4.3.4. MECH;4: Required for all prescriptive submittals. MECH-5: Optional. Performance use only for mechanical distribution summary. Nonresidential Compliance Forms - August 2001 TT 39dd S"ad E9TbEE9LT8 EE:9T 9006/9VT0 MECHANICAL, EQUIPMENT SUMMARY (Part 1 of 2) . MECFI_2 PROJECT NAME COFFEE BEAN $ TEA LEAF DATE 11/30-/05 CHILLER AND TOWER SUMMARY PUMPS Equipment Total Motor Name Equipment Type qty, Efficiency Tons Qty- GPM BHP Eft. Drive Eff, Pump Control DHW / BOILER SUMMARY Energy Factor Standby TANK INSUL. Rated System Name -System Type Distribution Type Qty. Input Vol, or Recovery (Gals.) Efficiency Loas or Pilot External R Vel CENTRAL SYSTEM RATING HEATING COOLING Aux. System Name System Type qty, Output kW Efficiency Output Sensible Efficiency Economizer Type RTU -1 PACKAGE 1 62.4— 0% AFu 58.1 50.9 11,0 EER AIR RTU -2 PACKAGE 1 62.4 — 0% AFUE 58.1 50.9 11.0 EER AIR CENTRAL FAN SUMMARY SUPPLY FAN RETURN FAN Motor CFM BHP Motor Drive CFM system Name Pan Type Location BHP Motor Drive Elf. EK.. Eff. Elf. Nonresidential Compliance Form August 2007 ZZ 39dd SW(id ESZbEE9LT8 EE:9Z 9006/9Z/Z0 a • FA] a s -a o F• a BA818 AREA BASIS 360 OCCUPANCY ZONE/ SYSTEM NO AREA (SF) CFM PER F N. CFM (BXC NO. OF PEOPLE CFM PER PERSON N CFM (ExF) Public Area 726 0.30 218 24 15 360 Service Area 387 0.20 77 1 15 15 Storage Area 317 0.15 48 1 15 15 Toilet Room 56 0.2 11 1 15 15 RTU -1 — — — RTU -2 a o REQ'D. I)ESIGN O.A. OUTDOOR (MAX. OF D AIR OR G) CFM 360 — 77 — 48 — 15 - -- 250 — 250 Totals (For MECH-4). 27 500 500 C Minimum vantilatlon 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 1 Must be greater than or equal to H, or use Transfer Air. Design outdoor air includes ventilation from supply air system 8 exhaust fans whlch operate at design conditions. KO Murt be greater than or equal to (H - 1), and. for VAV, greater than or equal to (H - J). Nonresidential Compliance Form` August 2001 ET 30Vd SWQd ESTV669L18 EE:9T 900Z/9Z/T0 NOTE: Provide one copy of this form for each mechanical system when using the Prescriptive Approach SIZING and EQUIPMENT SELECTION a NUMBER 1. DESIGN CONDITIONS: CFM COOLING HEATING - OUTDOOR, DRY BULB TEMPERATURE (APPENDIX C) 108 32 - OUTDOOR, WET BULB TEMPERATURE (APPENDIX C) 72 - INDOOR, DRY BULB TEMPERATURE (1993 RSHRAE handbook. See Chap. 8, WATTS / CFM Col. F / Fig 5.) 75 70 2. SIZING - DESIGN OUTDOOR AIR 500 CFM (MECH-3; COLUMN 1) 17.8 20,5 - ENVELOPE LOAD (Part 2 of 5), COLUMN E •.- Btu/Hr (Btu/Hrx1000) 26-5 15.4 - LIGHTING (Adjusted Actual Watts -LTG -2) 2,47 Watts / SF (W/SFx3414.4) 12,7 -PEOPLE 27 # OF PEOPLE (MECH-3; COLUMN E) 13.5 MISCELLANEOUS EQUIPMENT 5.81 WATTS / SF (W/SF x3414,4) 29.9 - OTHER (PROCESS LOADS, DUCT- 210 INFILTRATION (CFM) 7,5 8.7 OTHER LOSS, INFILTRATION, ETC.) 3 BLOWER MOTORS (HP) 7,6 -OTHER — TOTAL$ 115.5 44.6 OTHER LOADS/SAFETY FACTOR (for cooling and heating) 1.21 1.43 MAXIMUM ADJUSTED LOAD (TOTALS FROM ABOVE 3 OTHER LOADISAFETY FACTOR) 139.8 63,8 3. SELECTION: INSTALLED EQUIPMENT CAPACITY 1 16.2 124.8 KBtu / Hr KStu / Hr IF INSTALLED CAPACITY EXCEEDS MAXIMUM ADJUSTED LOAD, EXPLAIN FAN POWER CONSUMPTION N FAN DESCRIPTION I ALL FANS <25HP DESIGN BRAKE HP a I EFFICIENCY I NOTE: Include only fan systems exceeding 25 HP (see § 144), 1.25 WatTotal Fan System Power Demand may not exceed 0,8 Watts/CFM for constant volume systems or 1.25 WatWCFM for VAV systems. a a NUMBER PEAK WATTS CFM OF FANS BxEx746 / (CxD) (Supply Fans) TOTALS TOTAL FAN SYSTEM POWER DEMAND WATTS / CFM Col. F / Col. G Nonresidential Compl/ance Form August 2001 PT 3Jdd SWQd E9TbEE9LT8 EE:9T 900Z/9Z/T0 Certificate of Occupancy T-Vf 4 4 a" Building & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 79-024 HIGHWAY 111 #101 Use classification: COMMERCIAL (THE COFFEE BEAN) Occupancy Group: B Type of Construction: VN Owner of Building: FOURTH QUARTER PROPERTIES Building Official Building Permit No.: 05-5309 Land Use Zone: CR Address: 45 ANSLEY DR. City, ST, ZIP: NEWNAN, GA 30263 By: STEVE TRAXEL Date: 06-08-2007