11-0622 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ht 4 4& Qum Au
Application Number: 11-00000622
Property Address: 79430 HIGHWAY 111 STE 101
APN: 600-390-005- - -
Application description: REMODEL - COMMERCIAL
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 500000
Applicant: Architect or Engineer:
Ce•st�t��cswn- NAr
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 ot`ThE'Saslnes nd sei als Code, and my License is in full force and effect.
License Class: B L ense No.: 693077
xDate: Contractor. 1
WNER-BUILDER D CLARATION
I hereby affirm under penalty of perjury that I a xempt from the C mractor's State License Law for the
following reason (Sec. 7031 .5, Business and Profe ' Code: A 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.).
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
( ) 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: r
LQPERMIT
Owner:
TIBB DALIP S
Contractor:
ORR BUILDERS
39301 BADGER, SUITE #300
PALM DESERT, CA 92211
(760)360-6632
Lic. No.: 693077
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/15/11
R a a
I
D 20i1
n�.
QCP
CITY OF LA CAUINTA
FIr-Mk1C1I: DEPT.
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 STATE FUND Policy Number 1960920-2011
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
7� 3700 of th or o II twit r ply.with those provisions.
Date: Applicant:
WARNING: FAILURE TO SECU PENSATION OVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENAL ES AND CIVIL NES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE C T OF COMPE SATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, A 0 Y'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.
1 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 rer g- g construction, and hereby authorize representatives
of this coup to enter upon the above-mentioned property fo ec urposes.
Date: Signature (Applicant or Agent):
Application Number . . . . . 11-00000622
Structure Information 7,706SF TI/VB/13-OCC/115-OL/SPRINKLED
Other struct info . .
. . . CODE EDITION 2010
FIRE SPRINKLERS FULLY
MIXED -USE -OCCUPANCY B
OCCUPANT LOAD
115.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
7706.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
2039.50 Plan Check Fee
1325.68
Issue Date
Valuation . .
500000
Expiration Date
3/13/12
Qty Unit Charge
Per
Extension
BASE FEE
639.50
400.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
1400.00
Permit . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
169.12 Plan Check Fee
42.28
Issue Date . . . .
Valuation . . . .
0
Expiration Date
3/13/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
7706.00 .0200
--------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
-------------------------------------------
154.12
Permit MECHANICAL
Additional desc .
Permit Fee . . . .
280.50 Plan Check Fee
70.13
Issue Date . . . .
Valuation
0
Expiration Date
3/13/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
8.00 4.5000
EA MECH VENT INST/ DUCT ALT
36.00
8.00 16.5000
EA MECH B/C >3-15HP/>100K-500KBTU
132.00
8.00 6.5000
EA MECH AH <=10K CFM
52.00
7.00 6.5000
----------------------------------------------------------------------------
EA MECH VENT FAN
45.50
Permit . .
PLUMBING
Additional desc .
Permit Fee
303.00 Plan Check Fee
75.75
LQPERMIT
LQPEPMIT
Application Number . . . . . 11-00000622
Permit . . . . . . PLUMBING
Issue Date . . . . Valuation . . .
. 0
Expiration Date 3/13/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
45.00 6.0000 EA PLB FIXTURE
270.00
2.00 7.5000 EA PLB WATER HEATER/VENT
15.00
1.00 .3.0000 EA PLB WATER INST/ALT/REP
3.00
----------------------------------------------------------------------------
Special Notes and -Comments
7,706SF OFFICE TI/VB/B-OCC/115-OL/FULLY
SPRINKLED [VALLEY PLAZA MEDICAL) PLAN
APPROVED WITH COMMENTS - LOBBY BATHROOM
TO COMPLY WITH CBC 1115B.3.1. THIS
PERMIT DOES NOT INCLUDE ALTERATION TO
THE SHELL BUILDING OR EXTERIOR SIGNAGE.
2010 CALIFORNIA BUILDING CODES.
September 15, 2011 4:34:31 PM AORTEGA
---------------------------------------------------------------
Other Fees . . . . . . . . ACCESSIBILITY PLAN REVIEW
-------------
132.57
ART IN PUBLIC PLACES -COM
2480.00
BLDG STDS ADMIN (SB1473)
20.00
ENERGY REVIEW FEE
132.57
Fee summary Charged Paid Credited
-------------=--------------------------
Due
-----------------
Permit Fee Total 2792.12. .00 .00
2792.12
Plan Check Total 1513.84 .00 .00
1513.84
Other Fee Total 2765.14 .00 .00
2765.14
Grand Total 7071.10 .00 .00
7071.10
LQPEPMIT
N
t
P.O..BOX 1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLE TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
To: Greg Butler, Building & Safety Manager To PD: June 8, 2011
From: Les Johnson, Planning -Director Due Date: June 15, 2011
Permit #: 11-0622 Status: 1St Review
Building Plans Approval
(This is an approval to issue a Building Permit)
The Planning Department has reviewed the Building Plans for the following
project:
Description: MEDICAL OFFICE TENANT IMPROVEMENT
Address or General Location: 79-430 HWY 111, SUITE 200 + 300
Applicant Contact: JASON SMITH = (760) 972-9262
The Planning Department finds that'
❑ ...these Building Plans do not require Planning Department approval.
IJ ...these Building Plans are approved by the Planning Department.
❑ ...these Building Plans require corrections. Please forward a copy of the
attached corrections to the applicant. When the corrections are made
please return them to the Planning Department for review.
Johnson
rector -Planning
received
JUN X e 2011
City of La Quinta
Planning Depovirnent
`&/C1/< t
W
PROUDLY SERVING THE
UNINCORPORATED AREAS
OF RIVERSIDE COUNTY
AND THE CITIES OF:
BANNING
BEAUMONT
CALIMESA
CANYON LAKE
C OAC H ELLA
DESERT HOT SPRINGS
EASTVALE
INDIAN WELLS
INDIO
JURUPA VALLEY
LAKE ELSINORE
LA QUINTA
MENIFEE
MORENO VALLEY
PALM DESERT
PERRIS
RANCHO MIRAGE
RUBIDOUX CSD
SAN JACINTO
TEMECULA
WILDOMAR
BOARD OF
SUPERVISORS:
BOB BUSTER
DISTRICT 1
JOHN TAVAGLIONE
DISTRICT 2
JEFF STONE
DISTRICT 3
JOHN BENOIT
DISTRICT 4
MARION ASHLEY
DISTRICT 5
RIVERSIDE COUNTY FIRE DEPARTMENT'
IN COOPERATION WITH
THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION
John R. Hawkins - Fire Chief
210 West San Jacinto Avenue — Perris, CA 92570
(951) 940-6900 — www.rvcfire.org
August 29, 2011
RE: TENANT IMPROVEMENT PLAN CHECK -Non Structural RE -DESIGN
LAQ-1 I -TI -017 Valley Medical Plaza 79430 Hwy 111 #101 & 103 La Quinta, CA
You have been issued a release for a tenant improvement on an existing building. THIS IS NOT
AN OCCUPANCY PERMIT.
It is prohibited to use/process or store any materials in this occupancy that would classify it as an
"H" occupancy per Sec. 307 of the 2010 CBC.
NOTE: "Red -lined" corrections on page E-2 Lighting plan.
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
Install door hardware and exit signs as per Chapter 10 of the 2010 CBC.
A minimum 2AlOBC Fire Extinguisher, (State Fire Marshal Approved) must be mounted in a
visible location within 75' walking distance from any point in your building or suite. Fire
extinguishers can be installed by a licensed extinguisher company with a State Fire Marshal
service tag attached to the extinguisher, or purchased from a retail store with a sales receipt
attached. A licensed fire extinguisher company must service extinguisher yearly.
All breakers must be labeled and a clearance of 36 inches must be maintained around the panel
at all times.
Approved suite addresses shall be placed in such a position to be plainly visible and legible from
the street. Said numbers shall contrast with their background.
An approved audible interior notification alarm device shall be provided in approved location. A
C-1 O licensed contractor must submit plans, designed in accordance with NFPA 72 to the Fire
Department for review and approval prior to installation
A durable sign stating "This door to remain unlocked during business hours" shall be placed on
or adjacent to the front exit door. The sign shall be in letters not less than one inch high on a
contrasting background.
Provide key(s) 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. Key(s)
shall be provided at time of final inspection.
As may be necessary to maintain proper fire sprinkler protection due to constructions changes,
fire sprinkler system plans for the tenant improvement area may be required to be submitted to
the Fire Department for review.
y ,
i
I.
Applicant/installer shall be responsible to contact the Fire Department to schedule inspections.
A re -inspection fee will be required if more than one (1) inspection is necessary. Requests for
inspections are to be made at least 72 hours in advance and may be arranged by calling (760)
'863-8886.
All questions regarding the meaning of these conditions should be referred to the Fire
Department Planning & Engineering Staff at (760) 863-8886.
incerel
By: IN v
Jas Stubble
Fire afety Specialist
Bin #c
City of La Quinta
# Building 8E Safety Division
�` P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 71• y 30 (((
Owner's Name: `�1 VAL,L'
A. P. Number: C-403g00O r 1
Address: '
Legal Description:
Contractor:
City, ST, Zip:
telephone: — .:;:.:;:;:.:;:>::;:::.:;:;»»
Project Descr iption: TEMA aVbM ENT -
Address:
City, ST, Zip:'
- es
Telephone:
: <.:.., ...
City Lic. #;
State Lic. # :
Arch., Engr., Designer. Is
Address: X111 \/ III it /
City, ST, Zip: � 7-7-06S
Telephone: #:'4i:'<v.Ytv�.n::Y •i...i_::^.••:;:{;:-
State Lic. #:<r#>:'>#>:;:::;:;:>:.>:af•>::r
:..
Construction Type: \J. Occupancy:
:
Project type (circle one): New Add'n ter Repair Demo
Name of Contact Person: -IA56 5
Sq. Ft.: -7H 13
#Stories:
#Units: 2
Telephone # of Contact Person: —7c90 -q'7 Z - q2(0 Z
Estimated Value of Project: Q
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted Item
Amount
Structural Cafes.
Reviewed, ready for corrections 6 Plan Check Deposit
Truss Cafes.
Called Contact Person Plan Check Balance
Tide 24 Cafes.
Pians picked up Construction
Flood plain plan
Plans resubmitted I Mechanical
Grading plan
2°" Review, ready N!coArectionjissue 4q Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted 9 ' Grading
IN HOUSE:-
'"' Review, ready for corrcctio Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
77
. .
- "t. J.fL4 . wo - W-
Bl�q�u� 16Tt6D (2)
bJa IU,,,,
FV&, -r awt
in
UILDING ENERGY ANALYSIS REPORT
PROJECT:
Valley Medical PlazaTenant Improvement
Highway 111 & Dune Palms Road
La Quinta, Ca 92253
Project Designer:
JMS Design
79-405 Highway 111, Suite 9170
La Quinta, CA 92253
(760) 972-9262
Report Prepared by:
Tim Scott
Scott Design and Title 24, Inc,
77-085 Michigan Drive
Palm Desert, Ca 922
(760) 200-4780
Job Number:
Date:
9/11/2011
CITY OF. LA QUI NTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
GATE
p} SEP 12 2011
BV
The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is
• authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards.
a
This program developed by EnergySoft, LLC — www.energysoft.com.
+ EnergyPro 5.1 by EnergySoli User Number. 6712 RunCode: 2011-09-11713:07:59 /D:
4
r
PERFORMANCE CERTIFICATE OF COMPLIANCE (Part 1 of 3) PERF -1 C
Project Name
Date
alley Medical Plaza Tenant Improvement
9/11/2011
Project Address
Climate Zone
Total Cond. Floor Area
Addition Floor Area
Highway 111 & Dune Palms Road La Quinta
CA Climate Zone 15
7,766
n/a
GENERAL INFORMATION
Building Type: m Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room
❑ Relocatable - indicate ❑ specific climate zone ❑ all climates
Phase of Construction: ❑ New Construction ❑ Addition ❑ Alteration
STATEMENT OF COMPLIANCE
This certificate of compliance lists the building features and specifications needed to
comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This
certificate applies only to a Building using the performance compliance approach.
The documentation author hereby certifies that the documentation is accurate and comajete.
Documentation Author
Name Tim Scott
Signature
Company Scott Design and Title 24, Inc, Date 911112011
Address 77-085 Michigan Drive Phone (760) 200-4780
City/State/Zip Palm Desert, Ca 92211 — (20 -__5 %O6
The Principal 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 specifications, and with
any other calculations submitted with this permit application. The proposed building has been designed to meet the energy
efficiency requirements contained in sections 110, 116 through 118, and 140 through 149 of Title 24, Part 6. Please
check one:
ENV. LTG. MECH.
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.
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 a structure or type of work described as exempt pursuant to Business and Professions
Code Sections 5537, 5538 and 6737.1.
Principal Envelope Designer
Name Jason Smith
Signature
Company JMS Design Date
Address 79-405 Highway 111, Suite 9170 License #
City/State/Zip La Quinta, CA 92253 hone (7 ) 972-9262
Principal Mechanical Designer
Name Tim Scott
Signature
Company Scott Design and Title 24, Inc. Date Q 1( 1(
Address 77-085 Michigan Drive License #
City/State/Zip Palm Desert, Ca 92211 Phone (760) 200-4780
Principal Lighting Designer
Name Jason Smith
Signature
Company JMS Design Date
Address 79-405 Highway 111, Suite 9170 License #
City/State/Zip La Quinta, CA 92253 Phone (760) 972-9262
INSTRUCTIONS TO APPLICANT COMPLIANCE & WORKSHEETS (check box if worksheets are included)
m ENV -1C Certificate of Compliance. Required on plans. m MECH-1C Certificate of Compliance. Required on plans.
m LTG -1C Certificate of Compliance. Required on plans. m MECH-2C Air/Water Side/Service Hot Water & Pool Requirements.
m LTG -2C Lighting Controls Credit Worksheet. m MECH-3C Mechanical Ventilation and Reheat.
❑ LTG -3C Indoor Lighting Power Allowance. m MECH-5C Mechanical Equipment Details.
Energ Pro 5.1 by Energ Soft User Number: 6712 RunCode: 2011-09-11T13:07:59 /D: Page 3 of 41
PERFORMANCE CERTIFICATE OF COMPLIANCE Part 2 of 3) PERF -1 C
Project Name Date
Valle Medical PlazaTenant Improvement 9/11/2011
ANNUAL TDV ENERGY USE SUMMARY kBtu/s ft- r
Standard Proposed Compliance
Energy Component Design Design Margin
Space Heating
Space Cooling
Indoor Fans
Heat Rejection
Pumps & Misc.
Domestic Hot Water
Lighting
Receptacle
Process
Process Lighting
TOTALS
0.39
0.35
0.03
199.59
158.00
41.59
74.87
79.31
-4.44
0.00
0.00
0.00
0.00
0.00
0.00
26.99
25.11
1.88
74.72
90.61
-15.89
96.15
96.15
0.00
0.00
0.00
0.00
0.00
0.00
0.00
472.721
449.55
23.17
Heating
887
(W)
Cooling
`
860
Fans
.
4,267
7,766
Heat Rej
S
Pumps
t
DHW
Lighting
w..
Receptacle
- -
Process
Process Ltg
�- - -7
Percent better than Standard 4.9 4.9 excluding process)
BUILDING COMPLIES
GENERAL INFORMATION
Building Orientation (S) 180 deg Conditioned Floor Area 7,766 sqft.
Number of Stories 1 Unconditioned Floor Area 0 sqft.
Number of Systems 8 Conditioned Footprint Area 7,766 sqft.
Number of Zones 2 Natural Gas Available On Site Yes
Orientation Gross Area Glazing Area Glazing Ratio
Front Elevation
Left Elevation
Rear Elevation
Right Elevation
Total
Roof
(S)
887
(W)
1,260
(N)
860
(E)
1,260
4,267
7,766
sqft.
sqft.
sqft.
sqft.
sgft.
sqft.
656
351
774
0
1,781
0
sqft.
sqft.
sqft.
sqft.
sqft.
sqft.
74.0
27.9
90.0%
0.0%
41.7
0.0%
Standard Proposed Prescriptive Values for
Prescriptive Lighting Power Density 1.200 W/sgft. 1.2x5 W/sqft. Comparison only. See
Prescriptive Envelope TDV Energy 376,557 596,726 LTG -1C for allowed LPD.
Remarks:
EnemyFro 5.1 by Enemysoft User Number: 6712 RunCode: 2011-09-11713:07:59 ID: Page 4 of 41
4
4
PERFORMANCE CERTIFICATE OF COMPLIANCE Part 3 of 3 PERF -1 C
Project Name
Valley Medical Plaza Tenant Improvement
Date
9/11/2011
ZONE INFORMATION
System Name
Zone Name
Occupancy Type
Floor Inst.
Area LPD
s ft. W/sf'
Ctrl.
Credits
W/sf 2
Allowed LPD
Proc.
Loads
W/sf
Area Tailored
W/sf s W/sf 4
HVAC -1-4
Suite A
Medical and Clinical Care
3,865 1.412
0.141
HVAC -5-8
Suite B
Medical and Clinical Care
3,901 1.476
0.157
Notes: 1. See LTG -1C 2. See LTG -2C 3. See LTG -3C 4. See LTG -4C
items marked with asterisk, see LTG -1 -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 justifications, and may reject a building or design that otherwise complies based on the adequacy of the
special Justification and documentation submitted.
The DHW` System Bradford White #E32-505-3 is a non-NAECA large storage gas water heater. Verify DHW details.
The Roof Roof Alt has been designated as an alteration, however the Roof Surface is NOT being replaced.
The DHW System Bradford White #E32-505-3 is a non-NAECA large storage gas water heater. Verify DHW details.
The Roof Roof Alt has been designated as an alteration, however the Roof Surface is NOT being replaced.
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
Energ Pro 5.1 by Ene Soft User Number: 6712 RunCode: 2011-09-11713:07:59 10: Page 5 of 41
0
•
0
CERTIFICATE OF COMPLIANCE (Part 1 of 3) ENV -1 C
AND FIELD INSPECTION ENERGY CHECKLIST
Project Name
Valley Medical PlazaTenant Improvement
Date
9/11/2011
Project Address
Highway 111 & Dune Palms Road La Quinta
Climate Zone
15
Total Cond. Floor Area
7,766
Addition Floor Area
n/a
GENERAL INFORMATION
Building Type: m Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room
❑ Schools (Public School) ❑ Bledlocatable g. Public School m Conditioned Spaces [3 Unconditioned Spaces
❑ Skylight Area for Large Enclosed Space >_ 8000 ft2 (If checked include the ENV -4C with submittal)
Phase of Construction: ❑ New Construction ❑ Addition ❑ Alteration
Approach of Compliance: ❑ Component m Overall Envelope ❑ Unconditioned (file affidavit)
Front Orientation: N, E, S, W or in Degrees: 180 deg
FIELD INSPECTION ENERGY CHECKLIST
OPAQUE SURFACE DETAILS
INSULATION
Ta /ID
Assembly Type
y
Q
c
23-
d Wti
O z
°
n
W i
U of
OC
% M�-
w>
w U.
O d
7
m
5>
4M
O C
y '�
U.
IT
x
C
C 0.
o a
Q
c
41
C
o—
V co
H
A
a
�o
a
1
Roof
3,865
(N)
0.041
R-301
4.2.4-A8
Altered
❑
❑
2
Wall
83
(N)
0.074
R-19
4.3.1-A5
Existing
❑
❑
3
Wall
630
(E)
0.074
R-19
4.3.1-A5
New
❑
❑
4
Wall
27
(S)
0.074
R-19
4.3.1-A5
Existing
❑
❑
5
Wall
80
(S)
0.074
R-19
4.3.1-A5
New
❑
❑
6
Wall
630
(149
0.074
R-19
4.3.1-A5
New
❑
❑
7
Slab
3,865
(N)
0.730
None
4.4.7-A1
Existing
❑
❑
8
Roof
3,901
(N)
0.041
R-30
4.2.4-A8
Altered
❑
❑
❑
❑
❑
❑
1. See Instructions in the Nonresidential Compliance Manual, page 3-96.
2. If Fail, then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. A fail does not meet compliance.
FENESTRATION SURFACE DETAILS
Tag/ID
Fenestration
Type
:'
a.
c3
� y
c w
O Z
r
V
g 9
>
r
V V
9 'o
> w
U
X
9 N
-
V V
z 'o
N N
c
t
>
O
y
o
N
o :°
0 <n
a
A
u-
1
Window
774
(N)
0.710
Default
0.4601
NFRC
❑
Existing
❑
❑
2
Window
526
(S)
0.710
Default
0.460
NFRC
❑
Existing
❑
❑
3
Window
130
(S)
0.710
NFRC
0.390
NFRC
❑
Altered
❑
❑
4
Window
351
(149
0.710
Default
0.460
NFRC
❑
Existing
❑
❑
❑
❑
❑
❑
❑
❑
❑.
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
1. See Instructions in the Nonresidential Compliance Manual, page 3-96.
2. If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary.
EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2011-09-11713:07:59 ID: Page 6 of 41
•
C �
CERTIFICATE OF COMPLIANCE (Part 1 of 3) ENV -1 C
AND FIELD INSPECTION ENERGY CHECKLIST
Project Name
Valley Medical Plaza Tenant Improvement
Date
1 9/11/2011
Project Address
Highway 111 & Dune Palms Road La Quinta
Climate Zone
15
Total Cond. Floor Area
7,766
Addition Floor Area
n/a
GENERAL INFORMATION
Building Type: m Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room
❑ Schools (Public School) ❑ Bledlocatable g. Public School m Conditioned Spaces ❑ Unconditioned Spaces
❑ Skylight Area for Large Enclosed Space a 8000 ft2 (If checked include the ENV -4C with submittal)
Phase of Construction: ❑ New Construction ❑ Addition ❑ Alteration
Approach of Compliance: ❑ Component m Overall Envelope ❑ Unconditioned (file affidavit)
Front Orientation: N, E, S, W or in Degrees: 180 deg
FIELD INSPECTION ENERGY CHECKLIST
OPAQUE SURFACE DETAILS
INSULATION
Ta /ID
AssemblyType
y
a`
C
o
c N
d W
of
u
li
6
y
>;
U&
0
d 7
w>
00)
c
d C
wri
0m
7
�>
C 5
y'�
cLL
v
x
aci
c a
�a
c
v�
c
0(A
vyi
a.
-
ii
9
Wall
3
(N)
0.074
R-19
4.3.1-A5
Existing
❑
❑
10
Wall
630
(E)
0.074
R-19
4.3.1-A5
New
❑
❑
11
Wall
124
(S)
0.074
R-19
4.3.1-A5
Existing
❑
❑
12
Wall
279
(tM
0.074
R-19
4.3.1-A5
Existing
❑
❑
13
Slab
3,901
(N)
0.730
None
4.4.7-A1
Existing
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
1. See Instructions in the Nonresidential Compliance Manual, page 3-96.
2. If Fail, then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. A fail does not meet compliance.
FENESTRATION SURFACE DETAILS
Tag/ID
Fenestration
Type
a
�3
0
W
OZ
0
LL
M>
W
> N
�
X (n
2-
S O
U) (n
�
>
O
C
y
O .
vN
A
a
'itl
U.
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
1❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
1 ❑
1. See Instructions in the Nonresidential Compliance Manual, page 3-96.
2. If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary.
EnergyPro 5.1 by EnergySoft User Number. 6712 RunCode: 2011-09-11713:07:59 ID: Page 7 of 41
�J
•
a
CERTIFICATE OF COMPLIANCE (Part 2 of 3)
AND FIELD INSPECTION ENERGY CHECKLIST
ENV -1 C
Project Name
Valley Medical PlazaTenant Improvement
Date
9/11/2011
ROOFING PRODUCT COOL ROOFS
(Note if the roofing product is not CRRC certified, this compliance approach cannot be used). Go to Overall Envelope Approach or
Performance Approach.
CHECK APPLICABLE BOX BELOW IF EXEMPT FROM THE ROOFING PRODUCT "COOL ROOF" REQUIREMENTS:
Pass
Fail'
N/A
❑ Roofing compliance not required in Climate Zones 1 and16 with a Low -Sloped. 2:12 pitch or less.
❑
❑
❑
❑ Roofing compliance not required in Climate Zone 1 with a Steep -Sloped with less than 5 Ib/ft2. Greater than 2:12 pitch.
❑
❑
❑
❑ Low -sloped Wood framed roofs in Climate Zones 3 and 5 are exempted, solar reflectance and thermal emittance or
SRI that have a LI -factor of 0.039 or lower. See Opaque Surface Details roof assembly, Column H of ENV -2C.
❑
❑
❑
❑ Low -sloped Metal building roofs in Climate Zone 3 and 5 are exempted, solar relectance and thermal emittance or SRI
that have a U -f actor of 0.048 or lower. See Opaque Surface Details roof assembly below, Column H of ENV -2C.
❑
❑
❑
❑ The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are
exempted. Solar reflectance and thermal emittance or SRI, seespreadsheet calculator at 4nM .ener.ca. ov/title24/
❑
❑
❑
❑ Roof constructions that have thermal mass over the roof membrane with a weight of at least 25 Ib/ft are exempt from
the Cool Roof criteria below.
❑
❑
❑
residential buildings and hotels and motels with low -sloped roofs in Climate Zones 1 through 9, 12 and 16 are
Elexempted
exem ted from the low -sloped roofing criteria.
13
13
13
1. If Fail then describe on this page of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary.
CRRC Product ID Roof Slope
Number' s 2:12 > 2:12
Product Weight
< 51b/fe a 51b/ t2
Product
Type
Aged Solar
Reflectance
Thermal
Emmitance
SRI5
Pass
Fails
❑ ❑
❑ ❑
❑ 4
❑
❑
❑ ❑
❑ ❑
❑ 4
❑
❑
❑ ❑
1 ❑ ❑
❑ 4
❑
❑
❑ ❑
❑ ❑
1
❑ °
❑ 1
❑
❑ ❑
❑ ❑
❑ 4
❑
❑
❑ ❑
❑ ❑
❑ °
❑ 1
❑
1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at
www.coolroofs.org/products/search.phr)
2. Indicate the type of product is being used for the roof top, i.e. single -ply roof, asphalt roof, metal roof, etc.
3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory. then use the Initial Reflectance value from the
same directory and use the equation (0.2+0.7(p;n;t,a, — 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance from the Cool
Roof Rating Council's Rated Product Directory.
4. Check box if the Aged Reflectance is a calculated value using the equation above.
5. The SRI value needs to be calculated from a spreadsheet calculator at http!/www.eneray.ca.gov/title24/
6. If Fail then describe on this page of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary.
To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(i)4. Select the applicable coating:
❑ Aluminum -Pigmented Asphalt Roof Coating
❑ Cement -Based Roof Coating
❑ Other
Discrepancies:
I
EnergyPro 5.1 by EnerqySoft User Number. 6712 Run Code: 2011-09-11T13:07:59 ID:
Page 8 of 41
0
F—
L J
C
CERTIFICATE OF COMPLIANCE (Part 3 of 3) ENV -1 C
AND FIELD INSPECTION ENERGY CHECKLIST
Project Name
Valley Medical Plaza Tenant Improvement
Date
9/11/2011
Required Acceptance Tests
Designer:
This form is to be used by the designer and attached to the plans. Listed below is the acceptance test for Envelope
Fenestrations system. The designer is required to check the acceptance tests and list all the fenestration products that
require an acceptance test. If all the site -built fenestration of a certain type requires a test, list the different fenestration
products and the number of systems. The NA7 Section in the Appendix of the Nonresidential Reference Appendices
Manual describes the test. Since this form will be part of the plans, completion of this section will allow the responsible
party to budget for the scope of work appropriately.
Enforcement Agency:
Systems Acceptance. Before Occupancy Permit is granted for a newly constructed building or space or whenever new
fenestration is installed in the building or space shall be certified as meeting the Acceptance Requirements.
The ENV -2A form is not considered a complete form and is not to be accepted by the enforcement agency unless the
boxes are checked and/or filled and signed. In addition, a Certificate of Acceptance forms shall be submitted to the
enforcement agency that certifies plans, specifications, installation certificates, and operating and maintenance
information meet the requirements of §10-103(b) of Title 24 Part 6. The field inspector must receive the properly filled
out and signed forms before the building can receive final occupancy. A copy of the ENV -2A for each different
fenestration product line must be provided to the owner of the building for their records.
Test Description ENV -2A Test Performed By:
Fenestration Products Name or ID Area of like Building Envelope
Requiring Testing or Verification Products Acceptance Test
New Double Metal Glass Door 130 m
13
13
11
13
13
13
13
13
13
EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2011-09-11T13:07:59 ID: Page 9 of 41
r
4
RTIFICATE OF COMPLIANCE (Part 1 of 3) LTG -1 C
ect Name
ey Medical Plaza Tenant Improvement
r
Date
9/11/2011
DOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST
Installation Certificate, LTG -1- INST Retain a copy and verify form is completed and signed.)
Field Inspector ❑
Certificate of Acceptance, LTG -2A and LTG -3A (Retain a copy and verify form is completed and signed.)
Field Inspector ❑
A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces Installed Lighting Power listed on
this Lighting Schedule is only for:
® CONDITIONED SPACE ❑ UNCONDITIONED SPACE
® The actual indoor lighting power listed below includes all installed permanent and portable lighting systems in accordance
with §146(a).
Only for offices: Up to the first 0.2 watts per square foot of portable lighting shall not be required to be included in the
® calculation of actual indoor lighting power density in accordance with the Exception to §146(a). All portable lighting in excess of
0.2 watts per square foot is totaled below.
Luminaire (Type, Lamps, Ballasts
Installed Watts
A
B
C
D
E
F
G
H
None
or
Item
Ta
Complete Luminaire Description'
(i.e, 3 lamp fluorescent troffer,
F32T8, one dimmable electronic ballasts
a ,o
19 E
J
How wattage
Was determined
`o
E E
Z
�
X
Y
Field
Ins ectorz
o
CEC
Default m,
From 0 0
NAS
a.0
_
li
Al/A2
(3) 4 ft Fluorescent T8
84.0
0 ❑
10
840
11
❑
A 1/A2 os
(3) 4 ft Fluorescent T8
84.0
® ❑
56
4,704
❑
❑
B
(3) 4 ft Fluorescent T8
84.0
® ❑
2
168
❑
❑
B
B os
(3) 4 ft Fluorescent T8
84.0
El❑
1
84
❑
13C
(2) 4 ft Fluorescent T8
58.0
® ❑
32
1,856
❑-
❑
C os
4 ft Fluorescent T8
58.0
® ❑
11
638
13F
01
(1) 26w Compact Fluorescent
32.0
® ❑
57
1,824
❑
❑
F os
(1) 26w Compact Fluorescent
32.0
® ❑
3
96
❑
❑
G
(2) 32w Compact Fluorescent
58.0
® ❑
12
696
D
❑
G os
(2) 32w Compact Fluorescent
58.0
® ❑
4
232
❑
13
Hos
(1) 32w Compact Fluorescent
35.0
® ❑
1
35
❑
❑
J
(2) 2 ft Fluorescent
42.0
® ❑
1
42
❑
❑
❑ ❑
❑
❑
❑ ❑
❑
❑
❑ ❑
❑
❑
❑ ❑
❑
D
❑ ❑
❑
o
❑ ❑
13
❑
❑ ❑
❑
o.
Installed Watts Page Total:
11,215
Building total number of pages:
Installed Watts Building Total
Sum of all pages)
11'215
Enter into LTG -1 C Page 4 of 4
1. Wattage shall be determined according to Section 130 (d and e). Wattage shall be rating of light fixture, not rating of bulb.
2. If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary.
EnergyPro 5.1 by EnergySoft User Number: 6712 Run Code: 2011-09-11 T13:07:59 /D: Pae 10 of 41
C`
C
CERTIFICATE OF COMPLIANCE (Part 2 of 3)
LTG -1 C
Project Name
Valley Medical Plaza Tenant Improvement
Date
9/11/2011
INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST
Fill in controls for all spaces: a) area controls, b) multi-level controls, c) manual daylighting controls for daylit areas > 250 ft2,
automatic daylighting controls for daylit areas > 2,500 ft2, d) shut-off controls, e) display lighting controls, f) tailored lighting controls —
general lighting controlled separately from display, ornamental and display case lighting and g) demand responsive automatic
controls for retail stores > 50,000 ft2, in accordance with Section 131.
MANDATORY LIGHTING CONTROLS — FIELD INSPECTION ENERGY CHECKLIST
Field
Inspector
Number Special
Type/ Description of Units Location in Building Features
Pass
Fail
D f N o�L L, ❑
❑
❑. .
❑
❑
❑
❑
❑
❑
❑
0
0
❑
0
❑
❑
❑
❑
❑
❑
01.
❑
❑
❑
❑
❑
❑
❑
'❑
❑
❑
❑
1-1
❑"
❑
rE
❑
❑
0.
❑
❑:
❑
.❑
0
❑
❑
❑.
❑.
❑
0
0
❑
❑
❑
❑,
❑
❑
❑
❑
❑
❑
❑
❑
0
❑
❑
0
❑` -.
SPECIAL FEATURES INSPECTION CHECKLIST See Page 2 of 4 of LTG -1 C
The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written
justification and documentation, and special verification. The local enforcement agency determines the adequacy of the justification,
and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation
submitted.
Field Inspector's Notes or Discrepancies:
i
EnergyPro 5.1 by EnergySoft User Number: 6712 Run Code: 2011-09-11713:07:59 ID:
Pae 11 of 41
•
•
•
CERTIFICATE OF COMPLIANCE Part 3 of 3 LTG -1C
Project Name
Date
Valley Medical Plaza Tenant Improvement 1
9/11/2011
CONDITIONED AND UNCONDITIONED SPACE LIGHTING MUST
NOT BE COMBINED FOR COMPLIANCE
Indoor Lighting Power for Conditioned S aces
Indoor Lighting Power for Unconditioned Spaces
Watts
Watts
Installed Lighting
11215
Installed Lighting
0
from Conditioned LTG -1C, Page 2
from Unconditioned LTG -1C, Page 2
Lighting Control Credit -
1,158
Lighting Control Credit _
0
Conditioned Spaces from LTG -2C
Unconditioned Spaces from LTG -2C
Adjusted Installed
10,057
Adjusted Installed =
0
Lighting Power
Lighting Power
Complies if Installed:5 Allowed
Complies if Installed 5 Allowed
Allowed Lighting Power
Allowed Lighting Power
0
Conditioned Spaces from LTG -3C or PERF-1)Unconditioned
10,057
Spaces from LTG -3C
Required Acceptance Tests
Designer:
This form is to be used by the designer and attached to the plans. Listed below is the acceptance test for the Lighting system,
LTG -2A and LTG -3A. The designer is required to check the acceptance tests and list all control devices serving the building or space
shall be certified as meeting the Acceptance Requirements for Code Compliance. If all the lighting system or control of a certain type
requires a test, list the different lighting and the number of systems. The NA7 Section in the Appendix of the Nonresidential
Reference Appendices Manual describes the test. Since this form will be part of the plans, completion of this section will allow the
responsible party to budget for the scope of work appropriately. Forms can be grouped by type of Luminaire controlled.
Enforcement Agency:
Systems Acceptance. Before Occupancy Permit is granted for a newly constructed building or space or when ever new lighting
system with controls is installed in the building or space shall be certified as meeting the Acceptance Requirements.
The LTG -2A and LTG -3A forms are not considered complete forms and are not to be accepted by the enforcement agency unless
the boxes are checked and/or filled and signed. In addition, a Certificate of Acceptance forms shall be submitted to the enforcement
agency that certifies plans, specifications, installation certificates, and operating and maintenance information meet the requirements
of §10-103(b) of Title 24 Part 6. The field inspector must receive the properly filled out and signed forms before the building can
receive final occupancy. A copy of the LTG -2A and LTG -3A for each different lighting luminaire control(s) must be provided to the
owner of the building for their records.
LTG -2A and
Luminaires Controlled
LTG -3A
Controls and
Sensors and
Number of
Automatic
Luminaires
Daylighting Controls
Equipment Re uirin Testing
Description
controlled
Location
Acceptance
Occ Sensor- Multi -Level
(3) 4 ft Fluorescent T8
26
Suite A
m
Occ Sensor- Multi -Level
(3) 4 ft Fluorescent T8
1
Suite A
m
Occ Sensor- Multi -Level
(2) 4 ft Fluorescent T8
6
Suite A
E)
Occ Sensor - Multi -Level
(2) 32w Compact Fluorescent
2
Suite A
p
Occ Sensor- Multi -Level
(3) 4 ft Fluorescent T8
30
Suite B
El
Occ Sensor - Multi -Level
(2) 4 ft Fluorescent T8
5
Suite B
E)
Occ Sensor- Multi -Level
(1) 26w Compact Fluorescent
3
Suite B
El
Occ Sensor- Multi -Level
(2) 32w Compact Fluorescent
2
Suite B
El
Occ Sensor - Multi -Level
(1) 32w Compact Fluorescent
1
Suite B
El
11
13
11
1 13
EnergyPro 5.1 by EnergySoh User Number., 6712 RunCode: 2011-09-11T13:07:59 ID: Pae 12 of 41
•
0
CERTIFICATE OF COMPLIANCE and (Part 1 of 4) MECH-1C
FIELD INSPECTION ENERGY CHECKLIST
Project Name
Valley Medical Plaza Tenant Improvement
Date
9/11/2011
Project Address
Highway 111 & Dune Palms Road La Quinta
Climate Zone
15
Total Cond. Floor Area
7,766
Addition Floor Area
n/a
GENERAL INFORMATION
Building Type: ® Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room
❑ Schools (Public School) ❑ Relocatable Public School Bldg. m Conditioned Spaces ❑ Unconditioned Spaces
affidavit
Phase of Construction: ❑ New Construction ❑ Addition ❑ Alteration
Approach of Compliance: ❑ Component ❑ Overall Envelope TDV ❑ Unconditioned (file affidavit)
Energy
Front Orientation: N, E, S, W or in Degrees:
180 deg
HVAC SYSTEM DETAILS
FIELD INSPECTION ENERGY CHECKLIST
E ui ment2
Inspection Criteria
Meets Criteria
or Requirements
Pass
Fail — Describe Reason
Item or System Tags
i.e. AC -1, RTU -1, HP -1
DHW Heater
❑
❑
Eq ui ment Type 3:
Electric Res DHW Boiler
❑
❑
Number of Systems
1
❑
❑
Max Allowed Heating Capacity'
61,470 Btu/hr
❑
❑
Minimum Heating Efficiency'
98%
❑
❑
Max Allowed Cooling Capacity'
n/a
❑
❑
Cooling Efficiency'
n/a
❑
❑
Duct Location/ R -Value
n/a
❑
❑
When duct testing is required, submit
MECH-4A & MECH-4-HERS
n/a
❑
❑
Economizer
n/a
❑
O
Thermostat
n/a
❑
❑
Fan Control
n/a
❑
❑
E ui ment2
Inspection Criteria
FIELD INSPECTION ENERGY CHECKLIST
Pass
Fail — Describe Reason
Item or System Tags
i.e. AC -1, RTU -1, HP -1
HVAC -1-4
❑
❑
Equipment T e3:
Packaged DX
❑
❑
Number of Systems
4
❑
❑
Max Allowed Heating Capacity'
49,000 Btu/hr
❑
❑
Minimum Heating Efficiency'
8.00 HSPF
❑
❑
Max Allowed Cooling Capacity'
49,000 Btu/hr
❑
❑
Cooling Efficiency'
15.6 SEER / 12.8 EER
❑
❑
Duct Location/ R -Value
Conditioned /4.2
❑
❑
When duct testing is required, submit
MECH-4A & MECH-4-HERS
No
❑
❑
Economizer
No Economizer
❑
❑
Thermostat
Setback Required
❑
❑
Fan Control
Constant Volume
❑
❑
1. If the Actual installed equipment performance efficiency and capacity is less than the Proposed (from the energy compliance submittal or from
the building plans) the responsible party shall resubmit energy compliance to include the new changes.
2. For additional detailed discrepancy use Page 2 of the Inspection Checklist Form. Compliance fails if a Fail box is checked.
3. Indicate Equipment Type: Gas (Pkg or, Split), VAV, HP (Pkg or split), Hydronic, PTAC, or other.
JEnergyPro5.1byEnergySoft User Number: 6712 RunCode: 2011-09-11713:07:59 /D: Pae 13 of 41
.0
•
1�
CERTIFICATE OF COMPLIANCE and (Part 1 of 4) MECH-1C
FIELD INSPECTION ENERGY CHECKLIST
Project Name
Valley Medical PlazaTenant Improvement
Date
9/11/2011
Project Address
Highway 111 & Dune Palms Road La Quinta
Climate Zone
15
Total Cond. Floor Area
7,766
Addition Floor Area
n/a
GENERAL INFORMATION
Building Type: ® Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room
❑ Schools (Public School) ❑ Relocatable Public School Bldg. m Conditioned Spaces ❑ Unconditioned Spaces
affidavit
Phase of Construction: ❑ New Construction ❑ Addition ❑ Alteration
Envelope TDV Ener [3Unconditioned (file affidavit)
Approach of Compliance: ❑ Component 13 Energy
Front Orientation: N, E, S, W or in Degrees:
180 deg
HVAC SYSTEM DETAILS
FIELD INSPECTION ENERGY CHECKLIST
E ui ment2
Inspection Criteria
Meets Criteria
or Requirements
Pass
Fail — Describe Reason
Item or System Tags
i.e. AC -1 RTU -1 HP -1
DHW Heater
❑
❑
Equipment T e3:
Electric Res DHW Boiler
❑
❑
Number of Systems
1
❑
❑
Max Allowed Heating Capacity'
61,470 Btu/hr
❑
❑
Minimum Heating Efficiency'
98%
❑
❑
Max Allowed Cooling Capacity'
n/a
❑
❑
Cooling Efficiency'
n/a
❑
❑
Duct Location/ R -Value
n/a
❑
❑
When duct testing is required, submit
MECH-4A & MECH-4-HERS
n/a
❑
❑
Economizer
n/a
❑
❑
Thermostat
n/a
❑
❑
Fan Control
n/a
❑
❑
E ui ment2
Inspection Criteria
FIELD INSPECTION ENERGY CHECKLIST
Pass
Fail — Describe Reason
Item or System Tags
i.e. AC -1, RTU -1, HP -1
HVAC -5-8
❑
❑
Equipment T e3:
Packaged DX
❑
❑
Number of Systems
4
❑
❑
Max Allowed Heating Capacity'
49,000 Btu/hr
❑
❑
Minimum Heating Efficiency'
8.00 HSPF
❑
❑
Max Allowed Cooling Capacity'
49,000 Btu/hr
❑
❑
Cooling Efficiency'
15.6 SEER / 12.8 EER
❑
❑
Duct Location/ R -Value
Conditioned/4.2
❑
❑
When duct testing is required, submit
MECH-4A & MECH-4-HERS
No
❑
❑
Economizer
No Economizer
❑
❑
Thermostat
Setback Required
❑
❑
Fan Control
Constant Volume
❑
❑
1. If the Actual installed equipment performance efficiency and capacity is less than the Proposed (from the energy compliance submittal or from
the building plans) the responsible party shall resubmit energy compliance to include the new changes.
2. For additional detailed discrepancy use Page 2 of the Inspection Checklist Form. Compliance fails if a Fail box is checked.
3. Indicate Equipment Type: Gas (Pkg or, Split), VAV, HP (Pkg or split), Hydronic, PTAC, or other.
EnergyPro 5. 1 by EnergySoft User Number.- 6712 Run Code: 2011-09-11713:07:59 /D: Pae 14 of 41
CERTIFICATE OF COMPLIANCE and (Part 2 of 4) MECH-1 C
FIELD INSPECTION ENERGY CHECKLIST
• Project Name Date
Valley Medical PlazaTenant Improvement 9/11/2011
Discrepancies:
•
•
EnergyPro 5.1 by EnemySoft User Number: 6712 Run Code: 2011-09-11T13:07.59 ID: Pae 15 of 41
•
CERTIFICATE OF COMPLIANCE and FIELD INSPECTION ENERGY CHECKLIST (Part 3 of 4) MECH-1 C
Project Name
Date
Valley Medical Plaza Tenant Improvement
9/11/2011
Required Acceptance Tests
Designer:
This form is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for mechanical systems. The designer is required to check the applicable
boxes by all acceptance tests that apply and listed all equipment that requires an acceptance test. If all equipment of a certain type requires a test, list the equipment description and
the number of systems. The NA number designates the Section in the Appendix of the Nonresidential Reference Appendices Manual that describes the test. Since this form will be
part of the plans, completion of this section will allow the responsible party to budget for the scope of work appropriately.
Building Departments:
Systems Acceptance: Before occupancy permit is granted for a newly constructed building or space, or a new space -conditioning 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.
Systems Acceptance: Before occupancy permit is granted. All newly installed HVAC equipment must be tested using the Acceptance Requirements.
The MECH-1 C form is not considered a completed form and is not to be accepted by the building department unless the correct boxes are checked. The equipment requiring testing,
person performing the test (Example: HVAC installer, TAB contractor, controls contractor, PE in charge of project) and what Acceptance test must be conducted. The following
checked -off forms are required for ALL newly installed equipment. In addition a Certificate of Acceptance forms shall be submitted to the building department that certifies plans,
specifications, installation, certificates, and operating and maintenance information meet the requirements of §10-103(b) and Title -24 Part 6. The building inspector must receive the
properly filled out and signed forms before the building can receive final occupancy.
TEST DESCRIPTION
MECH-2A
MECH-3A
MECH-4A
MECH-5A
MECH-6A
MECH-7A
MECH-8A
MECH-9A
MECH-10A
MECH-11A
Hydronic
Outdoor
Constant
Demand
Supply
System
Automatic
Ventilation
Volume &
Air
Control
Supply
Valve
Water
Variable
Demand
For
Single -Zone
Distribution
Economizer
Ventilation
Fan
Leakage
Temp.
Flow
Shed
Equipment Re uirin Testing or Verification Qty.
VAV & CAV
Unitary
Ducts
Controls
DCV
VAV
Test
Reset
Control
Control
Carrier Package HP's 8
❑
®
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
Cl
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
Ene Pro 5.1 6 Ene Soff User Number. 6712 Run
Code: 2011-09-11T13:07:59
ID: Pae 16 of 41
•
CERTIFICATE OF COMPLIANCE and FIELD INSPECTION ENERGY CHECKLIST
(Part 4 of 4) MECH-1C
Project Name
Valley Medical Plaza Tenant Improvement
Date
9/11/2011
TEST DESCRIPTION MECH-12A
MECH-13A
MECH-14A
MECH-15A
Fault
Detection &
Diagnostics
Equipment Re uirin Testing Oty. for DX Units
Automatic Fault
Detection &
Diagnostics for
Air & Zone
Distributed
Energy Storage
DX AC
Systems
Thermal Energy
Storage (TES)
Systems
Test Performed By:
Carrier Package HP's 8 ❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
EnergyPro 5.1 by EnergySoft User Number- 6712
RunCode: 2011-09-11T13:07:59 ID:
Pae 17 of 41
•
C J
LIGHTING CONTROLS CREDIT WORKSHEET Part 1 of 2
LTG -2C
Project Name
Valley Medical Plaza Tenant Improvement
Date
1 9/11/2011
POWER ADJUSTMENT FACTORS PAF FOR NON -DAYLIGHT CONTROLS
A Separate PAF Worksheet Must Be Filled Out for Conditioned and Unconditioned Spaces. Control Credits listed on this
schedule are only for:
I0 CONDITIONED SPACES ❑ UNCONDITIONED SPACES
A B C D E F
G
Watts of Power
Room # Zone ID Plan Room Area Control Adjustments
Areas Lighting Control Description' Reference (ft2) Lighting Factorz
Control
Credit Watts
E x F
Suite A Occ Sensor- Multi -Level A 1/A2 os 3,865 2,184 0.20 437
Suite A Occ Sensor- Multi -Level B os 3,865 84 0.20 17
Suite A Occ Sensor- Multi -Level C os 3,865 348 0.20 70
Suite A Occ Sensor- Multi -Level G os 3,865 116 0.20 23
Suite B Occ Sensor- Multi -Level Al/A2 os 3,901 2,520 0.20 504
Suite B Occ Sensor- Multi -Level C os 3,901 290 0.20 58
Suite B Occ Sensor - Multi -Level F os 3,901 96 0.20 19
Suite B Occ Sensor- Multi -Level G os 3,901 116 0.20 23
Suite B Occ Sensor- Multi -Level H os 3,901 35, 0.20 7
PAGE TOTAL 1,158
Note:
Conditioned and
Unconditioned
Building total of non -daylight control credit watts for all pages of LTG -2C Pae 1 of 2
Enter building total of all daylight controls credit watts from LTG -2C Page 2 of 2 0
Space shall be
separately
totaled
BUILDING TOTAL OF ALL CONTROL CREDIT WATTS
(FOR BOTH NON -DAYLIGHT AND DAYLIGHT CONTROL CREDITS) 1,158
Enter in LTG -1 C; Page 4: Lighting Control Credit as appropriate for CONDITIONED
or UNCONDITIONED Spaces
1. Description shall be consistent with Type of Control defined in Table 146-C
2. Power Adjustment Factor taken from Table 146-C
EnergyPro5.1byEnergySoft User Number: 6712 Run Code: 2011-09-11713:07:59 ID:
Pae 18 of 41
•
•
•
AIR SYSTEM REQUIREMENTS
Project Name
Valley Medical Plaza Tenant Improvement
Item or System Tags Indicate Air Systems T
i.e. AC -1, RTU -1, HP -1 HVAC -1-4
Number of Systems 4
Indicate Page Reference on P
MANDATORY MEASURES T-24 Sections
Heating Equipment Efficiency
Cooling Equipment Efficiency
HVAC Heat Pump Thermostat
Furnace ControlsfThermostat
Natural Ventilation
Mechanical Ventilation
VAV Minimum Position Control
Demand Control Ventilation
Time Control
Setback and Setup Control
Outdoor Damper Control
Isolation Zones
Pipe Insulation
Duct Location/ R -value
112(a)
144(a &
112(a)
144(a &
112(b), 112(c)
144(c)
112(c), 115(a)
144 d
121 b
144 f
121 b
144
121 c
144(k)
121 c
122(e)
122(e)
122(f)
122
123
124
PRESCRIPTIVE MEASURES
Calculated Design Heating Load
Proposed Heating Capacity
Calculated Design Cooling Load
Proposed Cooling Capacity
Fan Control
DP Sensor Location
Supply Pressure Reset (DDC only)
Simultaneous Heat/Cool
Economizer
Heat Air Supply Reset
Cool Air Supply Reset
Electric Resistance Heating'
Air Cooled Chiller Limitation
Duct Leakage Sealing. If Yes, a
MECH-4-A must be submitted
144(a &
144(a &
144(a &
144(a &
144(c)
144(c)
144(c)
144 d
144(e)
144 f
144(f)
144
144Ci)
144(k)
8.00 HSPF
15.6 SEER / 12.8 EER
Yes
n/a
Yes
580 cfm
No
No
Programmable Switch
Setback Required
Auto
n/a
Conditioned / 4.2
n/a
122,416 Btu/hr
n/a
140,798 Btu/hr
Constant Volume
Yes
No
No Economizer
Constant Temp
Constant Temp
Idl%
Part 1 of 2
Single Zone
HVAC -5-8
4
8.00 HSPF
15.6 SEER / 12.8 EER
Yes
n/a
Yes
585 cfm
No
No
Programmable Switch
Setback Required
Auto
n/a
Conditioned / 4.2
n/a
122,416 Btu/hr
n/a
141,062 Btu/hr
Constant Volume
Yes
No
No Economizer
Constant Temp
Constant Temp
No
► MECH-2C
Date
9/11/2011
VAV. or etc...)
le
11. Total installed capacity (MBtu/hr) of all electric heat on this project exclusive of electric auxiliary heat for heat pumps. If electric heat is used
explain which exception(s) to §144(g) apply.
2011-09-11 T13:07:59
•
.7
WATER SIDE SYSTEM REQUIREMENTS Part 2 of 2 MECH-2C
Project Name
Date
Valley Medical Plaza Tenant Improvement
1 9/11/2011
WATER' SIDE SYSTEMS: Chillers, Towers, Boilers, H dronic Loops
Item or System Tags
(i.e. AC -1, RTU -1, HP 1)'
Number of Systems
Indicate Page Reference on Plans or Specification 2
MANDATORY MEASURES T-24 Sections
Equipment Efficiency 112(a)
Pipe Insulation 1 123
PRESCRIPTIVE MEASURES
Cooling Tower Fan Controls 144(a & b
Cooling Tower Flow Controls 144(h)
Variable Flow System Design 144(h)
Chiller and Boiler Isolation
CHW and HHW Reset Controls
WLHP Isolation Valves
]44
VSD on CHW, CW & WLHP Pumps>5HP
DP Sensor Location 144
1. The proposed equipment need to match the building plans schedule or specifications. If a requirement is not applicable, put "N/A" in the column
next to applicable section.
2. For each chiller, cooling tower, boiler, and hydronic loop (or groups of similar equipment) fill in the reference to sheet number and/or specification
section and paragraph number where the required features are documented. If a requirement is not applicable, put "N/A" in the column next to
applicable section.
Service Hot Water, Pool Heating
Item or System Tags DHW Heater DHW Heater
(i.e. WH -1, WHP, DHW, etc...)
Number of Systems 1 1
Indicate Page Reference on Plans or Schedule'
MANDATORY MEASURES T-24 Sections
SERVICE HOT WATER
Certified Water Heater 111, 113(a) Bradford White #E32-505-3 Bradford White #E32-505-3
Water Heater Efficiency 113(b) 98% 98
Service Water Heating Installation 113(c) Controls Req. Controls Req.
Pipe Insulation 1 123 n/a n/a
POOL AND SPA
Pool and Spa Efficiency and Control 114(a) n/a n/a
Pool and Spa Installation 114(b) n/a n/a
Pool Heater — No Pilot Light 115(c) n/a n/a
Spa Heater — No Pilot Light I 115(d) n/a In/a
Pipe Insulation 1 123 Required Required
1. The Proposed equipment needs to match the building plans schedule or specifications. If a requirement is not applicable, put "N/A" in the column
next to applicable section.
2. For each water heater, pool heater and domestic water loop (or groups of similar equipment) fill in the reference to sheet number and/or
specification section and paragraph number where the required features are documented. If a requirement is not applicable, put "N/A" in the
column.
EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2011-09-11 T13:07:59 ID: Page 20 of 41
0 0 0
MECHANICAL VENTILATION AND REHEAT MECH-3C
Project Name
Valley Medical Plaza Tenant Improvement
Date
9/11/2011
MECHANICAL VENTILATION 121 b 2
REHEAT LIMITATION (§144(d))
AREA BASIS
OCCUPANCY BASIS
VAV MINIMUM
A
B
C
D
E
F
G
H
I
J
K
L
M
N
Zone/System
Condition
Area
ft2
CFM
per
ft2
Min CFM
By Area
B X C
Number
Of
People
CFM
per
Person
Min CFM
by
Occupant
E X F
REQ'D
V.A.
Max of
D or G
Design
Ventilation
Air
CFM
50% of
Design Zone
Supply
CFM
B X 0.4
CFM / ft2
Max. of
Columns
H, J, K,
300 CFM
Design
Minimum
Air
Setpoint
Transfer
Air
Suite A
3,865
0.15
580
580
580
HVAC -1-4
Total
580
580
Suite B
3,901
0.15
585
585
585
HVAC -5-8
Total
585
585
Totals Column I Total Design Ventilation Air
C Minimum ventilation rate per Section 121, Table 121-A.
E Based on fixed seat or the greater of the expected number of occupants and 50% of the CBC occupant load foregress purposes fors aces without fixed seating.
H Required Ventilation Air REQ'D V.A. is the larger of the ventilation rates calculated on an AREA BASIS or OCCUPANCY BASIS Column D or G).
I Must be greater than orequal to H, or use Transfer Air column N to make up the difference.
J Design fan supply CFM Fan CFM x 50%; or the desi n zone outdoor airflow rate per 121.
K Condition area(ft) x 0.4 CFM / ft2; or
L Maximum of Columns H, J, K, or 300 CFM
M This must be less than orequal to Column L and greater than orequal to the sum of Columns H plus N.
N Transfer Air must be provided where the Required Ventilation Air (Column H) is greater than the Design Minimum Air (Column M). Where required, transfer air must be greater than or
equal to the difference between the Required Ventilation Air Column H and the Design Minimum Air Column M), Column H minus M.
EnergyPro 5.1 by EnergySoft User Number.- 6712 Run Code: 2011-09-11T13:07:59 ID: Page 21 of 41
• a a
MECHANICAL EQUIPMENT DETAILS
Part 1 of 2 MECH-5C
Project Name
Valley Medical Plaza Tenant Improvement
Date
9/11/2011
CHILLER AND TOWER SUMMARY
PUMPS
Equipment Name Type
Ot . Eff iciency Tons
Pump
aty, GPM BHP Control
DHW / BOILER SUMMARY
System Name Type
Vol.
Distribution Ot . Rated Input (Gals).
Energy Factor Standby Loss Tank Ext.
or RE or Pilot R -Value Status
Bradford White #E32-505-3 Large Elec.
All Pipes Ins 1 61,470 50
0.98 0.00% 0.0 New
Bradford White #E32-505-3 Large Elec.
All Pipes Ins 1 61,470 50
0.98 0.00% 0.0 New
MULTI -FAMILY CENTRAL WATER HEATING DETAILS
Hot Water Pump
Hot Water Piping Length ft
Control Ot . HP
Type
In Plenum Outside Buried Add 1/2" Insulation
CENTRAL SYSTEM RATINGS
HEATING
COOLING
System Name Type
Ot . Output Aux. kW Efficiency
Output Eff iciency Status
Carrier Package HP's Packaged DX
8 49,000 0.0 8.00 HSPF 49,000 15.6 SEER / 12.8 EER New
CENTRAL SYSTEM FAN SUMMARY
SUPPLY FAN RETURN FAN
System Name Fan Type
Economizer Type
CFM BHP CFM BHP
Carrier Package HP's Constant Volume
No Economizer
1,700 0.70 none
EnergyPro 5.1 by EnergySoft User Number., 6712
Run Code: 2011-09-11T13:07:59
ID: Pa a 22 of 41
Ah
•
•
ENVELOPE MANDATORY MEASURES: NONRESIDENTIAL ENV -MM
Project Name
Date
Valley Medical Plaza Tenant Improvement
911112011
DESCRIPTION
Building Envelope Measures:
§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.
§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.
§118(f): 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.
§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.
Manufactured fenestration products and exterior doors shall have air infiltration rates not exceeding 0.3 cfm/ft? of
§116(a) 1: window area, 0.3 cfm/ft.2 of door area for residential doors, 0.3 cfm/ft.2 of door area for nonresidential single doors
(swingingand sliding),and 1.0 cfm/ft.2 for nonresidential double doors (swinging).
§116(a) 2: Fenestration U -factor shall be rated in accordance with NFRC 100, or the applicable default. U -factor.
Fenestration SHGC shall be rated in accordance with NFRC 200, or NFRC 100 for site -built fenestration, or the
§116(a) 3:
applicable default SHGC.
Site Constructed Doors, Windows and Skylights shall be caulked between the unit and the building, and shall be
§116(b):
weatherstripped (except for unframed glass doors and fire doors).
EnergyPro 5.1 bV Enem ySoft User Number: 6712 RunCode: 2011-09-11 T13:07:59 ID: Page 23 of 41
C]
•
•
LIGHTING MANDATORY MEASURES: NONRESIDENTIAL LTG -MM
Project Name
Date
Valley Medical PlazaTenant Improvement
9/11/2011
Indoor Lighting
Measures:
§131(d): Shut-off Controls
For every floor, all interior lighting systems shall be equipped with a separate automatic control to shut off the lighting.
1.
This automatic control shall meet the requirements of Section 119 and may be an occupancy sensor, automatic time
switch, or other device capable of automatically shutting off the lighting.
2
Override for Building Lighting Shut-off: The automatic building shut-off system is provided with a manual, accessible
override switch in sight of the lights. The area of override is not to exceed 5,000 square feet.
§119(h):
Automatic Control Devices Certified: All automatic control devices specified are certified, all alternate equipment shall
be certified and installed as directed by the manufacturer.
§111:
Fluorescent Ballast and Luminaires Certified: All fluorescent fixtures specified for the project are certified and listed in the
Directory. All installed fixtures shall be certified.
§131(a):
Individual Room/Area Controls: Each room and area in this building is equipped with a separate switch or occupancy
sensor device for each area with floor -to -ceiling walls.
Uniform Reduction for Individual Rooms: All rooms and areas greater than 100 square feet and more than 0.8 watts
§131(b):
per square foot of lighting load shall be controlled with bi-level switching for uniform reduction of lighting within the
room.
Daylight Area Control: All rooms with windows and skylights that are greater than 250 square feet and that allow for
the effective use of daylight in the area shall have 50% of the lamps in each daylit area controlled by a separate switch;
131 c
§ ()'
or the effective use of daylight cannot be accomplished because the windows are continuously shaded by a building on
the ad'acent lot. Diagram of shading during different times of the year is included on plans.
§131(c):
Display Lighting. Display lighting shall be separately switched on circuits that are 20 amps or less.6.
Outdoor Lighting Measures:
§130(c)1:
Mandatory lighting power determination for medium base sockets without permanently installed ballasts
All permanently installed luminaires with lamps rated over 100 Watts either have a lamp efficacy of at least 60 lumens
§132(a):
per Watt or are controlled by a motion sensor.
All Luminaires with lamps rated greater than 175 Watts in hardscape area, including parking lots, building entrances,
§132(b):
canopies, and all outdoor sales areas meet the Cutoff Requirements.
§132(c)1:
All permanently installed outdoor lighting meets the control requirements listed.
Building facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi -Level Lighting Requirements
§132(c):
listed.
EnefgyPro 5.1 by EnefgySoft User Number. 6712 Run Code: 2011-09-11T13:07.59 ID: Page 24 of 41
•
0
F. "
MECHANICAL MANDATORY MEASURES: NONRESIDENTIAL MECH-MM
Project Name
Date
Valley Medical Plaza Tenant Improvement
9/11/2011
E ui ment and System Efficiencies
§111:
Any appliance for which there is a California standard established in the Appliance Efficiency Regulations will comply .
with the applicable standard.
§115(a):
Fan type central furnaces shall not have a pilot light.
§123:
Piping, except that conveying fluids at temperatures between 60 and 105 degrees Fahrenheit, or within HVAC
equipment, shall be insulated in accordance with Standards Section 123.
§124:
Air handling duct systems shall be installed and insulated in compliance with Sections 601, 602, 603, 604, and 605 of
the CMC Standards.
Controls
§122(e):
Each space conditioning system shall be installed with one of the following:
1A.
Each space conditioning system serving building types such as offices and manufacturing facilities (and all others not
explicitly exempt from the requirements of Section 112 (d)) shall be installed with an automatic time switch with an
accessible manual override that allows operation of the system during off -hours for up to 4 hours. The time switch
shall be capable of programming different schedules for weekdays and weekends and have program backup
capabilities that prevent the loss of the device's program and time setting for at least 10 hours if power is interrupted; or
1 B.
An occupancy sensor to control the operating period of the system; or
1 C.
A 4 -hour timer that can be manually operated to control the operating period of the system.
2
Each space conditioning system shall be installed with controls that temporarily restart and temporarily operate the
system as required to maintain a setback heating and/or a setup cooling thermostat setpoint.
Each space conditioning system serving multiple zones with a combined conditioned floor area more than 25,000
square feet shall be provided with isolation zones. Each zone: shall not exceed 25,000 square feet; shall be provided
§122(g).
with isolation devices, such as valves or dampers that allow the supply of heating or cooling to be setback or shut off
independently of other isolation areas; and shall be controlled by a time control device as described above.
§122(c):
Thermostats shall have numeric setpoints in degrees Fahrenheit (F) and adjustable setpoint stops accessible only to
authorized personnel.
§122(b):
Heat pumps shall be installed with controls to prevent electric resistance supplementary heater operation when the
heating load can be met by the heat pump alone
Each space conditioning system shall be controlled by an individual thermostat that responds to temperature within the
zone. Where used to control heating, the control shall be adjustable down to 55 degrees F or lower. For cooling, the
§122(a&b):
control shall be adjustable up to 85 degrees F or higher. Where used for both heating and cooling, the control shall be
capable of providing a deadband of at least 5 degrees F within which the supply of heating and cooling is shut off or
reduced to a minimum.
Ventilation
§121(e):
Controls shall be provided to allow outside air dampers or devices to be operated at the ventilation rates as specified
on these plans.
§1,22(f):
All gravity ventilating systems shall be provided with automatic or readily accessible manually operated dampers in all
openings to the outside, except for combustion air openings.
Ventilation System Acceptance. Before an occupancy permit is granted for a newly constructed building or space, or a
§121(f):
new ventilating system serving a building or space is operated for normal use, all ventilation systems serving the
building ors ace shall be certified as meeting the Acceptance Requirements for Code Compliance
Service Water Heating Systems
§113(c)
Installation
3.
Temperature controls for public lavatories. The controls shall limit the outlet Temperature to 110° F.
2
Circulating service water -heating systems shall have a control capable of automatically turning off the circulating pump
when hot water is not required.
EnergyPro 5.1 by EnergySoft User Number: 6712 Run Code: 2011-09-11T13:07:59 ID: Page 25 of 41