08-1561 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
08-00001561
79430 HIGHWAY 111
649 -820 -005 -
REMODEL - COMMERCIAL
REGIONAL COMMERCIAL
120000
T4&t °F4Q"
Architect or Engineer:
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 aZProfe'IsCode, and my License is in full force and effect.
License Class: 13ense No.: 877118
`
`
Date: " �i Contractor: 4r
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.).
(_) 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 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:
LQPEIL\1IT
Owner:
KLEINE NEIL WAYNE
41910 BOARDWALK A-10
PALM DESERT
PALM DESERT, CA 92211
Contractor:
DESERT CUSTOM FRAMING, INC.
79595 CORTEZ LANE
LA QUINTA, CA 92253
(760)799-2596.
Lic. No.: 877118
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/15/08
D
OCT 151008
CITY OF
FlNeun.. __ LA QUINTA I
_
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 EXEMPT Policy Number EXEMPT
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 Co shall f comply with those provisions.
Date: f.O ��/ OoApplicant:
: - -
WARNING: FAILURE TO SECURE WORK '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 a struction, n h eby authorize representatives
of this county to enter. upon the above-mentioned property r ' spectio s
�`� �� .nom �-_ _
Date: ignature (Applicant or Agentl:-^--- - - -
Application Number . . . . . 08-00001561
Permit . . .
BUILDING PERMIT - ADA INV FEE
Additional desc . .
Permit Fee . . . .
1419.00 Plan Check Fee
461.18
Issue Date . . . .
Valuation . . . .
120000
Expiration Date . .
4/13/09
Qty Unit Charge
Per
Extension
BASE FEE
1279.00
20.00 7.0000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
140.00
Permit . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
328.60 Plan Check Fee
82.15
Issue Date
Valuation
0
Expiration Date
4/13/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
15680.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
313.60
Permit . . .
MECHANICAL
Additional desc . .
Permit Fee . . . .
140.00 Plan Check Fee
35.0'0
Issue Date . . . .
Valuation
0
Expiration Date
4/13/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 6.5000
EA MECH VENT FAN
13.00
2.00. 56.0000
-----------------=----------------------------------------------------------
EA MECH B/C >50HP/1.75M BTU
112.00
Permit . . .
PLUMBING
Additional desc .
Permit Fee
103.50 Plan Check Fee
25.88
Issue Date . . .
Valuation . . . .
0
Expiration Date
4/13/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
13.00 6.0000
EA PLB FIXTURE
78.00
•1.00 7.5000
EA PLB WATER HEATER/VENT
7:50
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
-----7----------------------------------------------------------------------
Special Notes and Comments
TENANT IMPROVEMENT ICE SKATING RINK WITH
r
LQPER18IIT
Application Number . . . . .
08-00001561
----------------------------------------------------------------------------
Special Notes and Comments
2, 50 TON CHILLERS. ALL FEES
WILL BE
DOUBLE STARTED WORK WITH OUT
PERMITS.
THIS PERMIT DOES NOT INCLUDE
BLOCK WALLS
FOR CHILLER AND TRASH ENCLOSURE,
SEPERATE PERMIT IS REQUIRED.
----------------------------------------------------------------------------
Other Fees . . . . . . . . .
STRONG MOTION
(SMI) - COM
25.20
Fee summary Charged
----------------------------
-Paid
--------------------
Credited
----------
Due
Permit Fee Total 1991.10
.00
.00
1991.10
Plan Check Total 604.21
.00
.00
604.21
Other Fee Total 25.20
.00
.00
25.20
Grand Total 2620.51
.00
.00
2620.51
Bin #
City of La Quinta WA((*5-
Building 8T Safety Division - , •. � • /��
P.O. Box 1504, 78-495 Calle Tampico :5
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
�- ��
Project Address:
Owner's Name: ` 4,1 al
A. P. Number:
Address:
Legal Description:
Contractor:
'J q c - j Soy,. eaAWA 1 IJ (,-
City, ST, Zip: CtsA?—
ZContractor:
Telephone:
Address:
Ccs (71 e--Z-L-A'+J 6
Project Description:
^^
City, ST, Zip: I -A- C k q 2ZS 3
Telephone:
State Lic. #:
City Lic. #:
Arch., Engr., Designer: So u TH W FST C O N c epl- S
Address: 7? -116' C GCE G•s r ,o D Sv l yt- 2-01
City, ST, Zip: ZA 61 V//JT C,4 2 S'3
Telephone: (76 a y 7a
State Lic. #:23533 GC.
Name of Contact Person: P#614 All E Tib
Construction Occupancy:
Project type (circle one): tQe Add'n Alter Repair Demo
Sq. Ft.: j
# Stories:
#Units: J
Telephonne # of Contact Person: do) .516 V- 41 O 7
Estimated Value of Project: % d 0() 0
C"k \ T L"J L 3'- 02-g 5 1 801PLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING PERMIT FEES
Plan Sets
?j
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready fo corrections
(Z4 Plan Check Deposit
Truss Calcs.
Called Contact Pers
Z!( Plan Check Balance
Energy Calcs.
Plans picked up
74Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2n' Review, ready for correctio /issue
d
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''" Review, ready for corrections/ sue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
17
Tot Perm•t Fe/s
ql(�WTVWW
----4�man
1/2W
P6V,&rJJ CAP (-OAA,rr Oe
e
CENTER OF C
COMPRESSOR SIDE
CENTER OF GRAVITY
NTROL
X
D
COOLER
t-LUIDOUr-j COOLER SIDE `FLUID IN
STD 3' VICTAULIC-TYPE CONNECTION STD 3" VICTAULIC-TYPE CONNECTION
TOP VIEW
CONDENSER COIL
022.21 7/8' DIA (2) FIELD POWER SUPPLY 0 OR 21
FIELD POWER SUPPLY CONTROL (SEE NOTES 2 AND 3 AND FIELD
JX POWER SUPPLY CONNECTIONS
TABLE)
S 3/8'
[137.8] 4 S/8"
.•omeoo [117.3)
• 0000
7 21/32" 6 1/8"
[42.2] 1156.11
1'-3 1/8"OUTSIDE OF
[384.93 BASERA IL
4'-3 5/16"
[1303.1]
VIEW A -A
TOP VIEW OF CONTROL BOX SHELF
WITH FIELD POWER SUPPLY CONNECTIONS.
-- i
TOP OF
CONTROL
6 13/16" O 80% SHELF
[172.3] G2(816 976, 1'
• HOLE HOLE I� [13.5] 17/32 DIA
3/4' NPT MTG HOLE (8) MTG HOLES
COOLER DRAIN (040]
HOLE 2 -1 13/16
[655.5]
7-7 5/16"
2 -1 13/16
DESS -S3
C - Copper Fins, Copper Tubing
Mtg Mounting
[2319.37
-
oTES:
1'-7 1/4
(OPTIONAL SOUND
3'-511/,x"3'-1013/ie
050
REDUCTION STACK)
TOP
OF
COOLER DRAIN (045-050)
3'-8' 17031 '
FAN DECK
(4) RIGGING HOLES _[1.1.17.13
30GTO40C
6'-3 11/16"
3'-11"
4'-51/i
(1922.31
21/2"
[63.5]
[1064]
-- i
TOP OF
CONTROL
6 13/16" O 80% SHELF
[172.3] G2(816 976, 1'
• HOLE HOLE I� [13.5] 17/32 DIA
3/4' NPT MTG HOLE (8) MTG HOLES
COOLER DRAIN (040]
HOLE 2 -1 13/16
[655.5]
LEGEND
2 -1 13/16
DESS -S3
C - Copper Fins, Copper Tubing
Mtg Mounting
APPROVED
-
oTES:
1'-7 1/4
1 -Unit must have clearances for airflow as follows:
3'-511/,x"3'-1013/ie
050
C489.03
C
2'-3 11/1
COOLER DRAIN (045-050)
3'-8' 17031 '
3/4" MPT
(4) RIGGING HOLES _[1.1.17.13
30GTO40C
2 S/8' C66.71 DIA. _ -. `-'J
EO ACCESS HINGED ACCESS
PANEL PANEL
IROL SIDE) (POWER SIDE)
AI
6-11 1/I6' COOLER DRAIN
1280.93
138.13 12171.03 (MOUNTING HOLES)
?'-4 1/2"
�... [2247.03
SIDE VIEW
CITY OF LA QUINTA
LEGEND
BUILDING & SAFETY DEPT.
C - Copper Fins, Copper Tubing
Mtg Mounting
APPROVED
-
oTES:
FOR CONST R CTION
1 -Unit must have clearances for airflow as follows:
3'-511/,x"3'-1013/ie
050
TOP - Do not restrict in any way.
ENDS - [1524] 5 it
C
21/2"
[63.5]
,SIDES - [1829] E ft�''
2. 2.00" dia holes are for
DAT O B
/
[1359]
recommended parallel conductors o
`(208/230 V) units.
30GTO40C
3. 35/e" dia hole is recommended for single entry power on 050 (208/230 V)
it
6'-7 1/4'
(2012.7]
A
SEP g p 2008 Ip,
un s.
4. Mounting holes may be used to mount unit to concrete pad. They are not FIELD POWER SUPPLY
recommended for spring isolator location.
5. If spring isolators are used, a perimeter support channel between the unit
and the isolators is recommended.
6. Dimensions in [ ] are millimeters.
Unit
DIMENSIONS
UNIT
A.,
"B„
1140,045
208/230
60
3OGTO40
3'-511/,x"3'-1013/ie
050
4'-5/h"
1'-111h"
21/2"
[63.5]
[1059]
[1189]
[1359]
[587.5]
30GTO40C
3'-57/8"
3'-11"
4'-51/i
11-111/8"
21/2"
[63.5]
[1064]
[1194]
[1359]
[587.5]
3OGTO45
3'-61/,8"
3'-1013/,8"
5'-51/z"
V-53he"
[21/2"
[1069]
[1189]
[1663]
[436.6]
30GTO45C
3'-631/,6"
3'-11"
5'-51/2"
1'-53/1 8"
21/2"
[63.5]
[1072]
[1194]
[1663]
[436.6]
30GT050
3'-57/6'
3'-11"
5'-51/2"1'-53/161
[1064]
[1194]
[1663]
[436.6]
30GTO50C
3'-6"
3'-113/,6"
5'-51/2"
1'-53/,6"
[1067]
[1199]
[1663]
[436.6]
Unit
Voltage
Hz
Diameter
oty
1140,045
208/230
60
3%"
[92.0]
1
050
208/230
60
21/2"
[63.5]
2
040-050
460
60
21/2"
[63.5]
1
040-050
575
60
21/2"
[63.5]
1
040-050
38060
21/2"
[63.5]
1
040,045
346
50
[21/2"
1
050
346
50
0]
1
040,045
380/415
50
21/2"
[63.5]
1
050
380/415
50
3sh"
[92.0]
1 -
Fig. 1 - Dimensions, 30GTO40-050
3
Dimensional
Data 50 Ton
Figure DD -7 — CGAFC50 Unit Dimensions
2 S ;
70mm
1 3/32' (4X) 30V MAY,
tK2Bmm
83mm r�.2892mm
S949mm • 8 I/6'
206-
1 124Imm�`V�— 1241mm
3'-3 6/e' Y-11•. 1 S/32• (t%) NEAT TAPE POKER
OO6mm 889mm
2._9. - 5 7/8- 28mm6.-
8W.—. 149mm }• CONDIIIi MAIN POYIiR1 00
76mm CONNECTIONS BOTTOM I
9 T. SEE DETAIL •A' I
' DETAIL "A"
s—s 3 4• SD�DORG I
losDmm 1ao.
NO OBSTRUCTIONS L--
• AIR FLOW OPTIONAL DAMPER � I 7 •�
��— 4• } DIA X 6 MTG HOLES
smm TOP VIEW
CONTROL 3=D_
PANEL 1371 m
6'-B3B' 614:.
1DD1mm 177mm
fi'-1•
•, p, 1831mm
U
I'-4 14'
413mm
3 I8 DIA-
92mm
UNE VOLTAGE
LEFT SIDE VIEW
1 1 m' X 1 4' % 5 SLOT
CONTROL CONN.
• t' -Y
358mm
S• -
127mm
3' G/OOvetl Plpe
Connection
Yloter ince;
L 3" Grooved Plpe
SIB,
W ler Oullet
7T 30 mm
Rear View
337 mm Access Hole Locations
8_0•
2438mm
WIN UQ CLEARANCE
Y-43 9'
22aSmm
2175mm
8'-0'
2438mm
MINLYUU CLEARANCE
2 12'
64mm
MA HOLES (4)
UFTING LOCATIONS
CKRD QFSA -
DPT.13UILDING & SAFETY ET.
LAAPPR�
FOR CONSTR CTION
DATE BY /r
46 CG-PRC007-EN
TAME"
Dimensional
Data 15 Ton
Figure DD -2 — CGA -180B Unit Dimensions
a
'
f � ,
ACCESS PANEL
TAME"
Dimensional
Data 15 Ton
Figure DD -2 — CGA -180B Unit Dimensions
CONTROL BOX —
TOP DISCHARGE AREA SHOULD BE UNRESTRICTED FOR
ACCESS PANEL
90f2290] MINIMUM. UNIT SHOULD BE PLACED SO ROOF
RURR-OFF WATER DOES NOT POUR DIRECTLY ON UNIT.
VIEW 8&18
'El [2241
F
11/2[3&I
(TYR OF 4 DIA LIFTING HOLE
DETAIL -A' \ j
rr47.68
[1210]
PERIMETER
(NOTE 1) -
7/16f 11,1] DIA.150LATOR / - - FOOTPRINT
MOUNTING MOLE (OUISIOE / (BOLT DOWN PATTERN) --
HOLE. TYP. OF 4)
of -
- LA QUINT
81.77 i
67)8
SAFETY DE
PT(TYP.) 217 [223D,
3620 [551APPROVED[ ] -QRCONSTR3.00[76.2] UCTION
- - - EVAPORATOR, COMPRESSOR,
- PRESSURE TAPS, AND EXPANSION
0)1
�+- / VALVE ACCESS BY
SERVICE
CLEARANCE //�/ fl/� " _'\ �`•[1�_L/ RECOMMENDED
LEARA
• CNCE
Notes: �,-.,.�,�•„_.�--.,.,...—�—
1. Minimum clearance around the perimeter of4hhe unit is 3 feet. Minimum clearance between 8114'
adjacent units is 6 feet.: 4318' MITI
2. When installing water pipes, be certain to route them away from the compressor access Panels m 3118'
to allow for compressor servicing or replacement 2- B�Brmm
2/ 50.amm DIA. KNOCKOUTS, TYP,VOF 2 —
(:HEAD PRESSURE CONTROLWIRING)
1/8' / 22.2mm (CONTROL WIRING)
- - 131V 1444 DIA (POWER WIRING)
26 7/8'
883mm
12 718'
327mm
0
45 3/8'
• 1153mm
VIEW "B"
CG-PRC007-EN
1t �mm
DETAIL "A'
718.122.2 DIA. (HEAT TAPE WIRING)
3 314.185.3 DIA. KNOCKOUT (TYP. OF 4,
PRESSURE GAGE MOUNTING)
7 / 50.8 NPTF WATER OUTLET
1 ,2'138.1 CIA. (TYP. OF 2.
REFRIGERANT GAGE
FITTING ACCESS
41
TITLE 24 REPORT
Title 24 Report for:CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
Shell Improvement - Run #3 APIPF�OVED
79-430 Highway 111 FOR CONST UCTION
La Quinta, CA 92253
DA B
Project Designer:
Gary Steven - Lessee
79-430 Highway 111
La Quinta, CA 92253
760-285-1803 .
Report Prepared By:
Jack LaFontaine
Energy Management Services
41- 485 Adams Street, Unit C
Bermuda Dunes, CA 92203
760-36,0-4631
r
Job Number:
08142008C
SEP 3 0 2008
Date: By
9/29/2008
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 2005 Building Energy Efficiency Standards.
This program developed by EnergySoft, LLC - www.energysoft.com.
EnergyPro 4.4 by EnergySoft Job Number: 08142008C User Number: 5021
TABLE OF CONTENTS
Cover Page 1
Table of Contents 2
Nonresidential Performance Title 24 Forms 3
Form ENV-MM Envelope Mandatory Measures 11
Form LTG-MM Lighting Mandatory Measures 12
PERFORMANCE CERTIFICATE OF COMPLIANCE Part 1 of 3 PERF -1
PROJECT NAME
This Certificate of Compliance lists the building features and performancespecifi ons needed to comply with Title 24, Parts 1 and 6 of the
DATE'
Shell Improvement - Run #3
DATE OF PLANS
8.13.2008
9/29/2008
PROJECT ADDRESS
CLIMATE ZONE
15
BUILDING TYPE [K] NONRESIDENTIAL
79-430 Highway 111 La Quinta
HOTEUMOTEL GUEST ROOM
PHASE OF CONSTRUCTION ❑ NEW CONSTRUCTION
PRINCIPAL DESIGNER - ENVELOPE
TELEPHONE
Building Permit #
Gary Steven - Lessee
760-285-1803
5537.2 or 6737.3 to sign this document as the person responsible for its preparation; and that I am a licensed
DOCUMENTATION AUTHOR
TELEPHONE
Checked by/Date
Energy Management Services
760-360-4631
Enforcement Agency Use
GENERAL INFORMATION
This Certificate of Compliance lists the building features and performancespecifi ons needed to comply with Title 24, Parts 1 and 6 of the
California Code of Regulations. This certificate applies only to a B di g using e p rformance compliance approach.
The documentation preparer hereby certifies that the docti ccur to an complete.
umen
DATE OF PLANS
8.13.2008
BUILDING CONDITIONED FLOOR AREA
1
15,400 Sq.Ft.
CLIMATE ZONE
15
BUILDING TYPE [K] NONRESIDENTIAL
HIGH RISE RESIDENTIAL ❑
HOTEUMOTEL GUEST ROOM
PHASE OF CONSTRUCTION ❑ NEW CONSTRUCTION
❑ ADDITION
Lu
EXISTING + ADDITION/ALTERATION
STATEMENT OF COMPLIANCE
This Certificate of Compliance lists the building features and performancespecifi ons needed to comply with Title 24, Parts 1 and 6 of the
California Code of Regulations. This certificate applies only to a B di g using e p rformance compliance approach.
The documentation preparer hereby certifies that the docti ccur to an complete.
umen
DOCUMENTATION AUTHOR
SIG E TE
Jack LaFontaine
The Principal Designer.hereby certifys that the propose bui ing esign represented in this set of construction documents is
consistent with the other compliance forms and worksh t with the specifications, and with any other calculations submitted with this
permit application. The proposed building as designed meets the energy efficiency requirements contained in sections 110, 116,
through 118, and 140, 142, 143 or 149 of Title 24, Part 6.
ENV. LTG. MECH.
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 in the State of
California as a civil engineer, mechanical engineer, electrical engineer, or I am a licensed architect.
F] 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 performing this work.
D F-] F] 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 pursuant to Business and Professions
Code Sections 5537, 5538, and 6737.1. (These sections of the Business and Professions Code are printed in
full in the Nonresidential Manual.)
ENVELOPE COMPLIANCE
Indicate location on plans of Note Block for Mandatory Measures
Envelope Compliance Not In The Scope Of
Required Forms
FIs Su—bmiftal .
PRINCIPAL ENVELOPE DESIGNER - NAME SIGNATURE LIC. NO.
DATE
LIGHTING COMPLIANCE
Indicate location on plans of Note Block for Mandatory Measures
LTG -1, LTG -2, LTG -4
Requirep Forms
PRINCIPAL LIGHTING DESIGNER - NAME SIGN URE LIC. NO DA E
Gary Steven - Lessee
MECHANICAL COMPLIANCE
Indicate location on plans of Note Block for Mandatory Measures
Mechanical Compliance Not In the Scope Of
Required Forms
This Submittal
PRINCIPAL MECHANICAL DESIGNER - NAME
SIGNATURE
LIC. NO.
DATE
EnergyPro 4.4 by EnergySoft User Number: 5021 Job Number: 081420080 Paae:3 of 12 1
PERFORMANCE CERTIFICATE OF COMPLIANCE Part 2 of 3 PERF -
PROJECT NAME DATE
Shell Improvement - Run #3 9/29/2008
ANNUAL TDV ENERGY USE SUMMARY
kBtu/s ft- r
Standard
ENERGY COMPONENT Design
Space Heating 1.39
Space Cooling 246.69
Indoor Fans 47.79
Heat Rejection 0.00
Pumps & Misc. 0.00
Domestic Hot Water 0.00
Lighting 39.80
Receptacle 61.03
Process 0.00
TOTALS: 396.71
Percent better than Standard:
Proposed
Design
1.49
244.57
47.44
0.00
0.00
0.00
29.26
61.03
0.00
383.79
3.3%
Compliance
Margin
�® Standard _111111 Proposed
-0.10
SpaeCoohg
ndo"F"�
"eat Reecim
L_°
°HN
I_ R
2.12
0.35
0.00
0.00
0.00
10.55
0.00
0.00
12.92
_ _ _ _
0 20 40 60 80 700 120 140 160 180 200 220 240
kBtu/sq0-yr
process)
( 3.3% excluding
BUILDING COMPLIES
GENERAL INFORMATION
Building Orientation
Number of Stories
Number of Systems
Number of Zones
S 180 deg
Conditioned Floor Area
Unconditioned Floor Area
Conditioned Footprint Area
Fuel Type
15,400 sqft.
1
0 sqft.
1
15,400 sqft.
1
Natural Gas
Orientation
Front Elevation (S)
Left Elevation (W)
Rear Elevation (N)
Right Elevation I (E)
Total
Roof
Gross Area
sqft.
sqft.
sqft.
sqft.
sqft.
sqft.
Glazing Area
Glazing
sqft.
sqft.
sqft.
sqft.
sqft.
sqft.
Ratio
3,740
1,463
39.1%
1,190
342
28.7%
3,740
1,463
39.1%
1,190
209
17.6%
9,860
3,477
35.3%
15,400
E=:�
0.0%
Standard Proposed
Lighting Power Density 0.600 W/sqft. 0.441 W/sqft.
Prescriptive Env. Heat Loss 3,784 Btu/h 6,156 Btu/h
Prescriptive Env. Heat Gain 385,092 Btu/h-F 590,551 Btu/h-F
Remarks:
Run Initiation Time: 09/29/08 10:14:59 Run Code: 1222708499
EnergyPro 4.4 by EnergySoft User Number: 5021 Job Number: 08142008C Page:4 of 12
PERFORMANCE CERTIFICATE OF COMPLIANCE Part 3 of 3 PERF -1
PROJECT NAME
Shell Improvement - Run #3
DATE
9/29/2008
ZONE INFORMATION
Floor Inst.
Area LPD
System Name Zone Name Occupancy Type (sqft.) (W/sf)1
Ctrl.
Credits
(W/sf�
Allowed LPDProc.
Loads
(W/sf)
Area Tailored
/s 3 W/s 4
Undefined System Complete Building Comp Bldg All Other 15,400 0.573
0.131
Notes: 1. See LTG -2-C 2. See LTG -4-C 3. See LTG -5-C 4. See LTG -6-C
(items marked with asterisk, see LTG -2 -C by others) (by others)
Items above require special documentation
EXCEPTIONAL CONDITIONS COMPLIANCE CHECKLIST
The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification
and documentation, and special verification 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.
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.
EnergyPro 4.4 by EnergySoft User Number: 5021 Job Number: 081420080 Page:5 of 12 1
CERTIFICATE OF COMPLIANCE (Part 1 of 3) LTG -1 -C
PROJECT NAME DATE
Shell Improvement - Run #3 9/29/2008
INSTALLED INDOOR LIGHTING POWER FOR CONDITIONED AND UNCONDITIONED SPACES
INSTALLED
WATTS
INSTALLED LIGHTING, CONDITIONED SPACES (From LTG -2-C) 8,820
r
PORTABLE LIGHTING (From LTG -3-C) 0
LIGHTING CONTROL CREDIT, CONDITIONED SPACES (From LTG -4-C) 2,025
CONDITIONED SPACE ADJUSTED INSTALLED LIGHTING POWER 6,795
INSTALLED LIGHTING, UNCONDITIONED SPACES (From LTG -2-C) 0
LIGHTING CONTROL CREDIT, UNCONDITIONED SPACES (From LTG -4-C) 0
UNCONDITIONED SPACE ADJUSTED INSTALLED LIGHTING POWER 0
ALLOWED INDOOR LIGHTING POWER FOR CONDITIONED SPACES
❑ COMPLETE BUILDING METHOD (From LTG -5-C) ALLOWED
❑ AREA CATEGORY METHOD (From LTG -5-C) WATTS
❑ TAILORED METHOD (From LTG -5-C) ALLOWED LIGHTING POWER 6,795
ALTERNATE COMPLIANCE
❑X PERFORMANCE METHOD
❑ COMMMON LIGHTING SYSTEM (From LTG -8-C)
ALLOWED INDOOR LIGHTING POWER FOR UNCONDITIONED SPACES From LTG -5-C) 0
MANDATORY INDOOR AND DAYLIGHTING AUTOMATIC CONTROLS
CONTROL LOCATION
(Room #)
CONTROL
IDENTIFICATION
CONTROLTYPE
Time Switch, Dimming, etc.)
Check if
SPACE CONTROLLED Daylighting
NOTE.TO .
FIELD
EnergyPro 4.4 by EnergySoft User Number: 5021 Job Number: 081420080 Page:6 of 12 1
CERTIFICATE OF COMPLIANCE (Part 2 of 3) LTG -1 -C
PROJECT NAME DATE
Shell Improvement - Run #3 9/29/2008
CONTROLS FOR CREDIT IN CONDITIONED AND UNCONDITIONED SPACES
CONTROL LOCATION
(Room # or Dwg. #)
CONTROL
IDENTIFICATION
CONTROL TYPE
(Occupant, Daylight, Dimming, etc.)
Window Daylighting - 50%
O
I
NOTE TO
FIELD
NOTES TO FIELD - For Buildinq Department Use Only
Run Initiation Time: 09/29/0810:14:59 Run Code: 1222708499
EnergyPro 4.4 by Energysoft User Number: 5021 1 1Job Number: 08142008C Page:7 of 12
CONTROLLEDLUMINAIRES
TYPE
# OF
LUMINAIRES
C
18
NOTE TO
FIELD
NOTES TO FIELD - For Buildinq Department Use Only
Run Initiation Time: 09/29/0810:14:59 Run Code: 1222708499
EnergyPro 4.4 by Energysoft User Number: 5021 1 1Job Number: 08142008C Page:7 of 12
CERTIFICATE OF COMPLIANCE (Part 3 of 3) LTG-1-C
PROJECT NAME 3
Shell Improvement - Run #3
DATE
9/29/2008
Designer:
This form is to be used by the designer and attached to the plans. Listed below are all the acceptance
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 NJ
number designates the Section in the Appendix of 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 an 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:
Before an occupancy. permit is granted for a newly constructed building or space, or a new lighting
system system serving a building or space is operated for normal use, all control devices serving the
building or space shall be certified as meeting the Acceptance Requirements for Code Compliance.
In addition a Certificate of Acceptance, LTG-1-A, Forms shall be submitted to the building department
that: ,
A. Certifies plans, specifications, installation certificates, and operating and maintenance
information meet the requirements of§ 10-103(b) and Title 24 Part 6.
Test Descri tion
Test Performed By:
❑ LTG-2-A: Lighting Control Acceptance Document
- Occupancy Sensor Acceptance
- Manual Daylight Controls Acceptance f
- Automatic Time Switch Control Acceptance
Equipment requiring acceptance testing ;
❑ LTG-3-A: Automatic Daylighting Controls Acceptance Document
Equipment requiring acceptance testing
t
i
EnergyPro 4.4 by EnergySoft User Number: 5021 1 Job Number: 081420080 Page:8 of 12 1
INDOOR LIGHTING SCHEDULE (Part 1 of 2) LTG -2-C
PROJECT NAME DATE
Shell Improvement - Run #3 9/29/2008
INSTALLED LIGHTING POWER FOR CONDITIONED SPACES
Luminaire
Lamps/Ballasts
Installed Watts
8,820
C
D
E
F
G
H
I
J
6 795
Type Description
�cri
0
v3
'�
cmc
333
1
m m
_.-0
m m°
a-)-.
3m°;
41
cc�—!�
3,0!3
9^c
p, m
a?
m `,
c
3��
3MRi
d
T N
m
�
mn
n!m
c n
—
�'
Yes T No
r
c Z
3
303
m Cr
— fD
v
3
xmo,
�—
a
N MName
A
(4) 54w Linear Fluorescent T5 HO Elec
F54T5
i 4
54
1.0
225.0
X
20
4.500
B
V) 4 ft Fluorescent T8 Energy Savings
lec
ND
I 2
30
1.0
54.0
X
5
270
C
(4) 54w Linear Fluorescent T5 HO Elec
F54T5
4
541
1.0
225.0
X
18
4,050
k
}
k
r
!
f
}
PAGE TOTAL.
8, H2O
BUILDING TOTAL (sum of all pages)
8,820
PORTABLE LIGHTING (From LTG -3-C)
! CONTROL CREDIT (From LTG -4-C)
2 025
ADJUSTED ACTUAL WATTS
6 795
I Kun initiation I Ime: U512a1Uts 9U:94:55 Kun code: 92227OB499 I
EnergyPro 4.4 by EnergySoft User Number: 5021 Job Number: 08142008C Page:9 of 12 1
i'
{
I
LIGHTING CONTROLS CREDIT WORKSHEET (Part 1 of 2) LTG -4-C
CONTROL CREDITS FOR CONDITIONED SPACES
PROJECT NAME DATE
Shell Improvement - Run #3 9/29/2008
A
B
C
D
E F G
H
I
J
ROOM #
ZONE ID
CONDITIONED
AREAS
LIGHTING
CONTROL
DESCRIPTION
PLAN
REF.
ROOM
AREA
(SF)
DAYLIGHTING
WATTS OF
CONTROL
LIGHTING
LIGHTING
ADJUST.
FACTOR'
CONTROL
CREDIT
WATTS
(H X 1)
WINDOW
WALL
RATIO
GLAZING
VLT
SKYLIGHT
EFFECTIVE
APERTURE'
Complete Building
window O�olighting -
C
15,400
,
4,0501)
0.50
2,05
f
i
i
y
1.
1
r
I
}
i
i
i
1) From Equation 146-A i
2) From Table 146-A
MME
PAGE TOTAL2 025
BUILDING TOTAL 2,025
Enter in LTG -2-C: Lighting Control Credit
EnergyPro 4.4 .by EnergySoft User Number: 5021 Job Number: 08142008C Page: 10 of 12
I
ENVELOPE MANDATORY MEASURES ENV-MM
PROJECT NAME t DATE
Shell Improvement - Run #3 9/29/2008
DESCRIPTION
Designer
Enforcement
NJ §118(a) Installed Insulating Material shall have been certified by the manufacturer to
comply with the California Quality Standards for insulating material, Title 20,
Chapter 4, Article 3. i
X§ 118(c) All Insulating Materials shall be installed in compliance with the flame spread rating
and smoke density requirements of Sections 2602 and 707 of Title 24, Part 2.
§ 117(a) All Exterior Joints and openings in the building that are observable sources of air
leakage shall be caulked, gasketed, weatherstripped or otherwise sealed.
❑ § 116(b) Site Constructed Doors; Windows and Skylights shall be caulked between the unit
and the building, and shall be weatherstripped (except for unframed glass doors
and fire doors).
r
❑ § 116(a)1 Manufactured Doors and Windows installed shall have air infiltration rates not
exceeding those shown in Table Number 1-E. of the Standards. Manufactured
fenestration products must be labeled for U -value according to NFRC procedures.
F-1 §118(e) Demising Walls in Nonresidential Buildings: t
The opaque portions of framed demising walls in nonresidential buildings shall
have insulation with an installed R -value of no less than R-13 between framing
members. {
{
1i
{
t.
{
1
4
a
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EnergyPro 4.4 by Energysoft User Number: 5021 1 Job Number: 081420080 Page: 11 of 12
f ,
LIGHTING MANDATORY MEASURES LTG -MM
PROJECT NAME DATE
Shell Improvement - Run #3 9/29/2008
DESCRIPTION f
Designer
Enforcement
0 § 131(d)1 For every floor, all interior lighting systems shall be equipped with a separate automatic
control to shutoff 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.
'!
A § 131(d)2 Override for Building Lighting Shut-off: The automatic building shut-off system is
provided with a manual, accessible override switch in sight of the lights. The area of
override is not to exceed 5,000 square feet.*
+�
JAI § 119(h) Automatic Control Devices Certified: All automatic cont of devices specified are
certified, all alternate equipment shall be certified and installed as directed by the
s
manufacturer. j
X❑ § 111 Fluorescent Ballast and Luminaires Certified: All fluorescent fixtures specified for the
project are certified and listed in the Directory. All installed fixtures shall be certified.
§ 131(a) Individual Room/Area Controls: Each room and area in this building is equipped with
a separate switch or occupancy sensor device for each area with floor -to -ceiling
wails.
E § 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.
X❑ § 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.
}
X § 131(e) Display Lighting. Display lighting shall be separately switched on circuits that are
20 amps or less,
I
I
}
I
f
1
EnergyPro 4.4 by EnergySoft User Number: 5021 Job Number: 08142008C Page:12 of 12
December
30-DAY TEMPORARY
Certificate of Occupancy
Expires: DECEMBER 19, 2008
ot 4V
Building &Safety Department
This Certificate is issued pursuant to the requirements of Appendix Chapter 1 Section 110 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: 79-430 HIGHWAY Ill
Use classification: COMMERICAL (THE ICE GARDEN)
Occupancy Group: A-3 Type of Construction: V-N
Building Permit No.: 08-1561
Land Use Zone: CR
Code Edition: 2007 CBC Sprinkler Installed: YES Occupant Load: 190
Owner of Building: NEIL KLEINE
Address: 41-910 BOARDWALK A-10
City, ST, ZIP: PALM DESERT, CA 92211
By: STEVE TRAXEL
Building Official Date: NOVEMBER 19, 2008
POST IN A CONSPICUOUS PLACE