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05-3923 (SPIN)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 �F 1w4�rw BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 0'5- -0.0.0392.3 Property Address: 79410 HIGHWAY 111 STE 108 APN: 649-820-006- - - Application description: SPECIAL INSPECTION Property Zoning: REGIONAL COMMERCIAL FFD Application valuation: 0 Applicant: . Architect or Engineer: Owner: KLEINE NEIL WAYNE 41910 BOARDWALK A-10 PALM DESERT PALM DESERT, CA 92211 SSP 0 8 2005 Owner Contractor: 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: O W NER-BUILDER MECLARATION 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).: (_) 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.). ( ) 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/08/05 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier - - --- ------------ - - - - - -Policy Number I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the 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 state laws relating to building constructio nd hereby authorj=grepresentatives of this county SQ eater upon the above-mentioned property for inspecti r� rpos�__7 ' z Application Number . . . . . 05-00003923 Permit . . . SPECIAL INSPECTION Additional desc . . Permit Fee . . . . 100.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 3/07/06 Qty Unit Charge Per Extension BASE FEE 100.00 ---------------------------------------------------------------------------- -- Special Notes and Comments SPECIAL INSPECTION/OCCUPANCY REQUIREMENT ASSESSMENT FOR TAEKWON DO STUDIO.MUP 2005-680 Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 100.00 .00 .00 100.00 Plan Check Total .00 .00 .00 .00 Grand Total 100.00 .00 .00 100.00 Titif 4 4 a" P.O. BOX 1504 78-495 CALLE-- TAMPICO LA QUINTA,'CALIFORNIA 92253 To: Greg Butler, Building & Safety Manager From: Doug Evans, Director -CDD BUILDING & SAFETY DcPARTMENT (760) 777-7012 FAX (760) 777-701 1 To CDD: August 24, 2005 Due Date: August 29, 2005 Status: 1ST Review 7 Business Usage t Location Approval (This is an approval to issue a Building Permit) The Community Development Department has reviewed the Building Plans for the following project: Description: TI-TAEKWON DO STUDIO Address or General Location: 79410 HWY 111 #108(LA QUINTA VALLEY CENTRE).' Applicant Contact: BONG J GU 760-702-5383 l The Community Development Department finds that: ...These Building Plans. Do Not Require Community Development Department Approval. ' s . F ❑ ...TheseBuilding Plans Are Approved By The Community Development Department. ❑ `.These Building Plans Require Corrections. Please Forward A Copy Of Attached Corrections To The Applicant. When The Corrections Are Made Please Return Them To The Community Development Department Fo' Review. �- ZS cis Doug E 1 Director -CDD Date I ' TITLE 24 REPORT I Title 24 Report for: Suite 108 T.I., La Quinta Valley Plaza r10 Highway 111 (Building 6) La Quinta, Ca 92253 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION oAr BY Project Designer: obert Pitchford, Architect 74-835 Fox Hills Palm Desert, Ca 92260 (760) 346-8775 Report Prepared By: Tim Scott H & H Air Conditioning 74-991 Joni Drive #20 Palm Desert, CA 92260-2043 (760) 340-3088 Job Number: Date: 4/15/05 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 EnergySoft Job Number: User Number: 5533 TABLE OF CONTENTS I Cover Page 1 Table of Contents 2 Nonresidential Performance Title 24 Forms 3 Form LTG -4 Tailored LPD Summary and Worksheet 8 Form LTG -5 Room Cavity Ratio Worksheet 9 Form LTG -MM Lighting Mandatory Measures 10 MECH 3 Mechanical Ventilation 11 EnergyPro 3.1 By EnergySoft Job Number: User Number 5533 PERFORMANCE CERTIFICATE OF COMPLIANCE Part 1 of 3 PERF -1 PROJECT NAME Suite 108 T.I., La Quinta Valley Plaza This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and DATE 4/15/05 PROJECT ADDRESS 79410 Highway 111 (Building 6) La Quinta I - -. -. Building Permit # PRINCIPAL DESIGNER - ENVELOPE TELEPHONE Robert Pitchford, Architect (760) 346-8775 DOCUMENTATION AUTHOR H & H Air Conditioning TELEPHONE (760) 340-3088 Checked by/Date Enforcement Agency Use I Kun Initiation Iime: U411b/Ub 1U:34:UZ Run Code: 1113586442 IEnergyPro 3.1 By EnergySoft User Number: 5533 Job Number: Page:3 of 11 1 )f 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 Buildin using thfl performance compliance approach. DOCUMENTATION -AUTHOR Tim Scott I DATFa 1 S QS The Principal Designers hereby certify that the proposed building -design represented in the construction documents and tnodelled 1,342 Sq.Ft. permit application. The proposed building as designed meets the energy efficiency requirements of the State Building Code, Title 15 BUILDING TYPE U NONRESIDENTIAL ❑ F] n 1. 1 hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to HIGH RISE RESIDENTIAL HOTEUMOTEL GUEST ROOM PHASE OF CONSTRUCTION NEW CONSTRUCTION ❑ ADDITION ALTERATION EXISTING + ADDITION I Kun Initiation Iime: U411b/Ub 1U:34:UZ Run Code: 1113586442 IEnergyPro 3.1 By EnergySoft User Number: 5533 Job Number: Page:3 of 11 1 )f 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 Buildin using thfl performance compliance approach. DOCUMENTATION -AUTHOR Tim Scott I DATFa 1 S QS The Principal Designers hereby certify that the proposed building -design represented in the construction documents and tnodelled 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. ❑ F] n 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. no o 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. 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.) 1 Indicate location on plans of Note Block for Mandatory Measures Required Forms Envelope Compliance Not In The Scope Of TITrs Submittal PRINCIPAL ENVELOPE -DESIGNER -NAME SIGNATURE LICTNOT ------- JDATE ILIGHTING COMPLIANCE Indicate location on plans of Note Block for Mandatory Measures R uir rm TG -1 - — ooDIL C'NO. _' 16�T�1-07 P CIPAL TING CBWr DINE NAME— I. Indicate location on plans of Note Block for Mandatory Measures Mechanical Compliance Not In the Scope Required Forms This SUbmiftal PRINCIPAL MECHANICAL DESIGNER - NAME SIGNATURE LIC. NO. DATE t. I I Kun Initiation Iime: U411b/Ub 1U:34:UZ Run Code: 1113586442 IEnergyPro 3.1 By EnergySoft User Number: 5533 Job Number: Page:3 of 11 1 )f PERFORMANCE CERTIFICATE OF COMPLIANCE Part 2 of 3 PERF -1 DATE Suite 108 T.I., La Quinta Valley Plaza 1 4/15/05 ANNUAL SOURCE ENF-R6Y USF- SUMMARY u sq -yr ENERGY COMPONENT Standard Design Proposed Design Compliance Margin Sia�dad _ , . ....__ -Aro soa Space Heating Space Cooling Indoor Fans Heat Rejection Pumps & Misc. Domestic Hot Water Lighting Receptacle Process TOTALS: 0.45 0.67 -0.22"Sp Hft 0 10 20 30 40 c50 kBVsah'Yr 37.33 29.28 8.05 14.31 11.40 2.91 H.,W Rejela. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00.°" 50.07 20.34 29.73 15.87 15.87 0.00 Recep ade 0.00 0.00 0.00 118.03 77.57 40.46 1 BUILUINU UUMPLIE-5 GENERAL INFORMATION Building Orientation Number of Stories Number of Systems Number of Zones (East) 90 deg Conditioned Floor Area 1,342 sqft. 1 Unconditioned Floor Area 0 sqft. 1 Conditioned Footprint Area 0 sqft. 1 Orientation Front Elevation (East) Left Elevation (South) Rear Elevation (west) Right Elevation (North) Total Roof Gross Area sqft. sqft. sqft. sqft. sqft. sqft. Glazing Area Glazing sqft. sqft. sqft. sqft. sqft. sqft. Ratio 0 0 0.0% 0 0 0.0% 0 0 0.0% oI 0 0.00% 01 0 0.0% 01 Ei0g Standard Proposed Lighting Power Density 1.700 W/sgft. 0.693 W/sqft. Prescriptive Env. Heat Loss 0 0 Prescriptive Env. Heat Gain 0 0 emar s: Run InitiationTime: un Code: 1113586442 EnergyPro 3.1 By EnergySoft User Number: 5533 Job Number: Page:4 of 11 PERFORMANCE CERTIFICATE OF COMPLIANCE Part 3 of 3 PERF -1 PROJECT NAME Suite 108 T.I., La Quinta Valley Plaza DATE 4/15/05 System Name Zone Name Occupancy Type Floor Area (sqft.) Inst. LPD (W/sf)l Port. Ctrl. lailored LPD Credits (W/sf)l (W/sf)2 (W/sf)3 Proc. Loads (W/sf) HVAC 1 Suite 108 Comp Bldg Retail/Wholesa a 1,342 0.046 0.647 Notes: 1. See LTG -1 (items marked with asterisk, see LTG -2 by others) 2. See LTG -3 3. See LTG4 Items above require special documentation e local entorcement agency should pay special attention o the items specilied in this checklist. ese items require specia wri en 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 special justification and documentation submitted. I Plan I FiPld 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 Run Initiation Time: 5 un Code: 1113586442 EnergyPro 3.1 By EnergySoft User Number: 5533 Job Number: Page:5 of 11 LIGHTING COMPLIANCE SUMMARY Part 1 of 2 LTG -1 Suite 108 T.I., La Quinta Valley Plaza 1 4/15/05 LAMPS BALLASTSLuminaire Code LUMINAIRE DESCRIPTION TYPE DESCRIPTION# SPACE CONTROLLED Watts Lamp DESCRIPTION # tLarnP I # Danas Watts Total Watts (2) 4 ft Fluorescent T8 Elec F32T8 2 32 Electronic 1.0 1 62.0 62 Lighting Schedule on Plans Shows Exterior Lighting Subtotal from this Page 62 Meets Total 62 Portable Lighting (From LTG -1) 868 Efficacy and Control Requirement ofr130(c) Less Control Credit Watts (From LTG -3) Control Requirements of§131(f) Adjusted Actual Watts 930 CONTROL LOCATION (Room #) CONTROL IDENTIFICATION CONTROL TYPE (Auto Time Switch, Exterior, etc.) SPACE CONTROLLED NOTE TO FIELD Run Initiation Time: 5 un Code: 1113586442 EnergyPro 3.1 By EnergySoft User Number: 5533 Job Number: Page:6 of 11 CONTROL LOCATION I CONTROL CONTROLTYPE (Room # or Dwg. #) IDENTIFICATION (Occupant, Daylight, Dimming, etc.) I LUMINAIRES CONTROLLED I NOTE TO FIELD - For Building Department use Only Run Initiation Time: 5 un Code: 1113586442 EnergyPro 3.1 By EnergySoft User Number: 5533 Job Number: Page:6 of 11 LIGHTING COMPLIANCE SUMMARY Part 2 of 2 LTG -1 Suite 108 T.I., La Quinta Valley Plaza 1 4/15/05 1 FA] a a 868 - a 00 OR ZONE ID (W/sgft) (SF) (B X C) TOTAL 1,342 868 TOTAL 0 0 a ROOM # OR ZONE ID a PORTABLE LIGHTING # OF Description FIXT. a LUMIN. WATTS PER FIXTURE o TASK AREA (SF) o a a # OF TOTAL TOTAL TASK AREA (SF) WATTS AREAS (D x E) (C x E) Suite 108 (4) 4 ft Fluorescent T8 Elec 7 124.0 1,342 1 1,342 868 BUILDING TOTAL 1,342 868 TOTAL 1,342 868 ROOM # TOTAL AREA OR ZONE ID (SF) Designer needs to provide detailed documentation that the lighti level provided by the overhead lighting meets the needs of the space. The details include luminaire types, CU, and mounting locations relative to work areas. TOTALI 0 BUILDING SUMMARY TOTAL AREA (SF) (FROM TABLES 1A+1B+1C) TOTAL WATTS (FROM TABLES 1A+1 B) BUILDING TOTAL 1,342 868 Run Initiation Time: 5 un Code: 1113586442 EnergyPro 3.1 By EnergySoft User Number: 5533 Job Number: Pagel of 11 FAILORED LPD SUMMARY and WORKSHEET Part 1 of 3 LTG -4 Suite 108 T.I., La Quinta Valley Plaza 1 4/15/05 1. Watts for Illuminance Categories A -D (from column G) 0 watts 2. Watts for Illuminance Categories E -I (from LTG -4 Part 2) 0 watts 3. Watts for Display Lighting (from LTG -4 Parts 2 & 3) 0 +0 + I � = Public Area Display Sales Feature Floor Display Sales Feature Wall Display 0 watts 4. Total Allowed Watts (lines 1+2+3) 0 watts - Illuminance Categories , anci U and Gross Sales Area a © a o a o a ROOM NAME TASK/ACTIVITY ILLUMINANCE CATEGORY ROOM CAVITY RATIO FLOOR AREA ALLOWED LPD ALLOWED WATTS (E x F) "ice0- A 1.70 0 0.20 0 BUILDING PAGE TOTAL TOTAL 01 1,34-2] �0 > SF WATTS EnergyNro 3.1 By EnergySoft User Number: 5533 Job Number: Page:8 of 11 ROOM CAVITY RATIO WORKSHEET (RCR>=3.5) LTG -5 Suite 108 T.I., La Quinta Valley Plaza 1 4/15/05 Room Name Task/Activity Description Room Length (L) Room Width (W) Room Cavity Height (H) Room Cay. Ratio 5xHx(L+W) /(LxW) Room Name Task/Activity Description Room Area (A) Room Perimeter (P) Room Cavity Height (H) Room Cay. Ratio 2.5 x H x P /A LIGHTING MANDATORY MEASURES LTG -MM Suite 108 T.I., La Quinta Valley Plaza 4/15/05 DESCRIPTION Designer Enforcement 1XIU § 131(d)1 For every floor, all interior lighting systems shall be equipped with a separate automatic control to shut off the lighting. This automatic control shall meet the requirements of Section 119 and may be an occupancy sensor, automatic time switch, or other device capable of automatically shutting off the lighting. § 131(d)20verride for Building Lighting Shut-off: The automatic building shut-off system is provided with a manual, accessible override switch in sight of the lights. The area of override is not to exceed 5,000 square feet. [X] " § 119(h) Automatic Control Devices Certified: All automatic control devices specified are certified, all alternate equipment shall be certified and installed as directed by the manufacturer. I_.J § 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. [XI § 132, Tandem Wiring for One and Three Lamp Fluorescent Fixtures: All one and three lamp fluorescent fixtures are tandem wired with two lamp ballasts where required by Standards Section 132; or all one and three lamp fluorescent fixtures are specified with electronic high -frequency ballasts and are exempt from tandem wiring requirements. [XI § 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. [XI § 131(b) Uniform Reduction for Individual Rooms: All rooms and areas greater than 100 square feet and more than 0.8 watts per square foot of lighting load shall be controlled with bi-level switching for uniform reduction of lighting within the room. (X1 § 131(c) Daylight Area Control: All rooms with windows and skylights that are greater than 250 square feet and that allow for the effective use of daylight in the area shall have 50% of the lamps in each 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. Diagram of shading during different times of the year is included on plans. . § 131(f) Control of Exterior Lights: Exterior mounted fixtures served from the electrical panel inside the building are controlled with a directional photo cell control on the roof and a corresponding relay in the electrical panel, or uses an astronomical time clock. L_1 § 131(e) Display Lighting. Display lighting shall be separately switched on circuits that are 20 amps or less. § 130(c) Efficacy of Exterior Lights: Exterior mounted fixtures with lamps over 100 Watts served from the electrical panel inside the building have a source efficacy of at least 60 lumens per Watt, or are controlled by a motion sensor. EnergyPro 3.1 By EnergySoft User Number: 5533 Job Number: Page:10 of 11 MECHANICAL VENTILATION MECH-3 Suite 108 T.I., La Quinta Valley Plaza 4/15/05 RA ©© o 0 0© a a o a AREA BASIS GOND. ZONE/SYSTEM AREA CFM CFM (SF) PER SF (B x C) Suite 108 1,342 0.23 309 HVAC 1 OCCUPANCY BASIS O. CFM M OF PER CFM PEOPLE PERSON (ExF) Total REQ'D O.A. (MAX OF D OR G) 309 309 DESIGN OUTDOO AIR CFM 134 134 VAV MIN. RATH 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), and, for VAV, greater than or equal to (H -J). EnergyPro 3.1 By EnergySoft User Number: 5533 Job Number: Page:11 of 15 w . a� 'c Certificate of Occupancyo OFT9 Building & Safety Department 4 s 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. t BUILDING ADDRESS: 79-410 Highway 111 Suite 108 Use classification: Champion Martial Arts Taekwondo Studio Building Permit No.: 05-3923 Special Inspection Occupancy Group: A3 Type of Construction: VN Sprinkled Land Use Zone: CR Maximum Occupancy 92 Owner of Building: Neil Kleine Address: 41910 Boardwalk A10 City, ST, ZIP: Palm Desert, CA 92253 4 By: Daniel P. Crawford Jr. " Date: 9/9/05 Building Official POST IN A CONSPICUOUS PLACE