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13-0475 (RC)
P.O. BOX 1504 78-495 CALLE TAMPICO, LA QUINTA, CALIFORNIA 92253 CTApplication Number: 13-00000475 Property Address: 79440 HIGHWAY 111 STE APN: 649-820-004- - Application description: REMODEL - COMMERCIAL Property Zoning: REGIONAL COMMERCIAL Application valuation: 15000 A plicaant:: A / BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: 101 WESTATES HOLDING Architect or Engineer: A 'Y En LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with - Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force'and effect. License Class: -B LicenseNo.: 948120 Date G(7laO��Contractor: 1 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_ I 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: LQPERMIT Contractor: D C R CONSTRUCTION, INC. 1209 VAN BUREN AVENUE, SUIT SALTON CITY, CA 92275 (909)208-3625 Lic. No.: 948120 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/03/13 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 ALASKA INS Policy Number 12HW340251 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 1 should become subject to the workers' compensation provisions of Section �00 of the Labor Code, I shall forthwith comp] with those provisions. • Dat�1n (7.� �✓ Applicant~ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building.and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this count toe er upon the -above-mentioned property for inspection purposes. �1 q 7�� L _ Date. �J �-!Signature (Applicant or Agent): LQPERMIT Application Number• . . . . . •13-00000475 ------ Structure Information EXIST SHELL SPACE 2014SF ----- Construction Type . . . . . TYPE V, UNPROTECTED Occupancy Type _ . . . . MERCANTILE Other struct info . . . . . CODE EDITION 2010 FIRE SPRINKLERS YES OCCUPANT LOAD 63.00 1ST FLOOR SQUARE FOOTAGE 2014.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . 162.00 Plan Check Fee 105.30 Issue Date Valuation 15000 Expiration Date 11/27/13 Qty Unit Charge Per' •• Extension BASE FEE 45.00 13.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 117.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . . Permit Fee . . . . 37.20 Plan Check Fee 9.30 Issue Date . . . . Valuation . . 0 Expiration Date . 11/27/13 Qty Unit Charge Per Extension .BASE FEE 15.00 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 16.00 .4500 ---------------------------------------------------------------------------- EA ELEC DEVICE/FIXTURE >20 7.20 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 33.00 Plan Check Fee ._ 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/27/13 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 4-.5000 ----------------------------------------------------------------------------- EA MECH VENT INST/ DUCT ALT 18.00 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . 0 Application Number . . . 13-00000475 Permit . . .s. PLUMBING Expiration Date 11/27/13 Qty Unit Charge Per Extension BASE FEE 15.00 -• 3.00 6.0000 EA PLB FIXTURE 18.00 ----- ------------------------------------------------------ Special Notes and Comments 2014 GROSS SF T.I. FOR RETAIL PAINT STORE.TYPE V -B CONSTR. M OCC. 2010 CODES W/ FIRE SPRINKLERS. 63 OCCUPANT LOAD.ARCHITECT: KONRAD RIEGER C8766. ----------------------------------------'------------------------------------ Other Fees . . . . . . . . PLAN REVIEW, ACCESSIBILTY 10.53 BLDG STDS ADMIN (SB1473) 1-00 ENERGY REVIEW FEE 10.53 Fee summary Charged Paid Credited Due ------------------------------------- Permit Fee Total 265.20 .00 -------------------- .00 265.20 Plan Check Total 131.10 .00 .00 131.10 Other Fee Total 22.06 .00 .00 22.06 Grand Total 418.36 .00 .00 418.36 LQPERAIIT �,a Bin # CIA I ' Cl W of La Quin ta Rodding 8r Silky LlMi6n A -PR j 7 2 P.O. Box 1504,78-495 Calle Tampico C17Y 0 0 LaQuinta, CA 92253 -:(760) 777-7012 COM FLA QUI Building Permit Application' and Tracking Sheetufvr7Y -rA Permit # zl-7�5- Project Add=: 7 et +to k4tooyttj Owner's Name:. A. P. Number. Address: I? T 0. Legal Description: City, ST, Zip: LA 4zU(qfA 225 S Contractor. 6. Telephone:( ?(v 6) 4-5. 61185 Pmjeq Description: Address: City, ST, Zip: Telephone: State Lie. #:ity Lia #, Icsstructi FA OJ TO FLG Ate-, EnF-, Designer. Address: L�Vf w> CAfLft a txrA OtR-c-t-e' City., ST, Zip: C o -f& &u tA '-A 't- 5, Ct I Telephone: a.? 9 d? State Lie. M b 'I Co e4p, Name of Con= Person: K,6 tj iZA-17 Construction Type:. Vf> Occupancy:qy: Project 0 Projeet type (circle one): Now Add'n. Alter Repair Demo Sq. FL: 2e>$ L{ I # Stories: I # Unitx Telephone* of Contact Person: Estimated Value of Project 1570". APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACING PERMIT FEES - Plan Sets Plan Check submitted Item Amount Structural CRIc& Reviewed, ready for corrections Fin Check Deposit. Tross Coles. Called Contact Person fit Plan Check Balance Tide 24 CRIcs. Plans picked up Construction flood plain plan Plans resubmitted Grading plan 2' Review, ready for correctioWasue J) Electrical Subcontactor list Called Contact Person W�t Plumbing M, Grant Deed Puns picked up U S.M.I. H.O.A. Approval Mans resabinitted Grading INHOUSE., Review; ready for correctiondissoc Developer Impact Fee Planning Approval. 5 Called Contact Person A.LP-P- Pub. Wks. Appr Date of permit Issue School Fen Total Permit Fees 51�5j � �►s . --� QNV 'M- PLAsiwale, #r Arsusv4% —tt L) -7c--,e,,+.-J% r (a A K Ll' Ar r. - 5AP 9-1Zff jCj,4 NT- Sub Contractors La Quinta Plaza 79440 Hwy 111 Unit #101 La Quinta, CA 92253 1. Rudy's Electric Lic #496913 736 Palm Ave Coachella CA 922 v 36 PH: 760.275.6307 2. PG Acoustics Lic #951228 ' 31528 Railroad Canyon Rd Ste -B Canyon Lake, CA 92587 PH: 951.545.1002 Christopher Ginter U I KS Fire Sprinklers 247 S. Mt View San Bernardino, CA 92408 Ken Shattwell PH: 909.991.9971 CITY OF LA QUINTA'SUB-CONTRACTOR LIST JOB ADDRESS' -S'IZC' Afe' �IWf 1 /l S� LO/— PERMIT NUMBER' OWNER &if IX' r,F-r -14C BUILDER 1-KIZ C01,57/LGC6Y0x111 This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are auiharized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. Trade / Class�f�cabon ::. Contractor <:::;: ;; ::--- .:;:.:.;:.:.;:.:.;:. -:::>:::;:::::::::>::::.:::::::State:Contractors. License... :: ; ..;;: W.orkecs.Com ensa on::Insurance: City Bus ries License::..:: Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK (C-12) .: CONCRETE (C-8)' FRAMING IC -5) ..: STRUCT'.STEEL (G-51) MASONRY (C-29) 6--36j f-S06z c / y 3 D7 /3 .�i�� It �e PD LATH; PLASTER (C-35) DRYWALL (C-9)..:.,. HVAC (C-20)` - t ELECTRICAL (C-19)'.. &1-2 Y-5 7-4 G �3 . O :SHEET. METAL (643) FLOORING GLAZING (C -17) INSULATION:(C72) . /QCO C/ C S ' e -2— c / / p a SEWAGE DISP (C.-42) PAINTING (C-33) CERAMIC TILE (C-54) CABINETS IC -6) FENCING (C-13) ` LANDSCAPING (C=27) ? POOL (C-53) Chl M G 4 Building & Safety Department 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 voice — (760) 777-7011 fax To: Greg Butler, Building Official To: PD: May23; 21T13 From: Les Johnson, Community Development Director Due date: ASAP Permit #13-475 Status: 1ST Review Building Plans Approval (This is an approval to i sue a Building Permit) CVMSHCP Applicable Fee N/A The Planning Department has reviewed the Building Plans for the following project: Description: Commercial Remodel, New Ceiling & Finish Work for a Paint Store Address or general location: 79440 Highway 111 #101 APN: Applicant Contact: Konrad ph: 951-676-3759 The Planning Department finds that: ❑ ...these Building Plans do not require Planning Department approval: 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. Les Tohnson, Coydmunity Development Director Date NOTE: PLEASE RETURN PLANS WITH GREEN SHEET TO THE BUILDING AND SAFETY DEPARTMENT PROUDLY SERVING THE UNINCORPORATED AREAS OF RIVERSIDE COUNTY, AND THE CITIES OF: BANNING BEAUMONT CALIMESA CANYON LAKE C OAC H E LLA DESERT HOT SPRINGS EASTVALE INDIAN WELLS INDIO JURUPA VALLEY LAKE ELSINORE LA QUINTA . MENIFEE MORENO VALLEY NORCO PALM DESERT' PERRIS . RANCHO MIRAGE RuBIDOUx CSD SAN JACINTO TEMECULA WILDOMAR BOARD OF SUPERVISORS: KEVIN JEFFRIES . 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 77-933 Las Montanas Rd., Ste. #201, Palm Desert, CA 92211-4131 • Phone (760) 863-8886 • Fax (760) 863-7072 www.rvcfire.org May 21, 2013 RE: TENANT IMPROVEMENT PLAN CHECK -Non Structural LAQ-I3-TI-015 Paint Store 79-440 Hwy 111 #101 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. THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION: Install door hardware and exit signs 'as per Chapter 10 of the CBC. A mimmum'2A10BC 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. 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. An approved audible interior notification alarm device shall be provided in approved location. A C-10 licensed contractor must submit plans, designed in accordance with NFPA 72 to the Fire Department for review and approval prior to installation 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. 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. Key(s) shall be provided at time of final inspection. As it may be necessary to maintain proper fire sprinkler protection due to constructions changes, fire sprinkler system plans for the tenant improvement area maybe required to be submitted to the Fire Department for review. Ll p E'M .to Go w f The maximum allowable quantity shall not exceed the approved amount stated within the Hazardous Materials Inventory Statement. Visible hazard identification signs as specified in NFPA 704 for the specific material contained shall be placed at entranced to locations where hazardous materials are stored. The NFPA 704 sign .shall not be removed or obscured, shall be in symbols allowed by this code, shall be durable, and the size, color and lettering shall be approved. Storage and display shall be in accordance with Sections 2703.11.3.1 through 2703.11.3.10 of the California Fire Code. Material Safety Data Sheets (MSDS) shall be readily available on the premises. Applicant/installer shall be responsible to contact the Fire Department to schedule inspections. Are -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. Sincerely, By: Jason Stubble Fire Safety Specialist Hazardous Materials. Inventory Statement' Tru -Tone Paint 79-440 Highway 111., Suites 101-102 La Quinta,.CA 92253 May 23, 2013. } s t Hazardous Materials {Inventory Statement - ' - Hazard Item # CAS # State Conc % Product Name/Material Class Storage Units NFPA 704 1 L Interior waterbourne paint OHH 350 gallons .100 14808-60-4 13% Quartz 14464-46-1 3% Cristobalite 1332-58-7 4% Kaolin 13463-67-7 10% Titanium Dioxide 1 L Exterior waterbourne paint OHH 350 gallons 100 14464-46-1 0.10% Cristobalite 1332-58-7 6% Kaolin 13463-67-7 15% Titanium Dioxide .1314-13-2 2% Zinc Oxide 2 L - Life Waterbourne floor coatings, OHH 60 gallons 10 0 A 5131-66-8 Unknown Propylene Glycol Monobutyl Ether - 107-21-1 1.40% Ethylene Glycol 3 L Waterbourne clear wood finishes OHH 30 gallons 2 1 0 29911-28-2 4.11% Dipropylene Slycol, n -Butyl Ether 34590-94-8 4.06% Dipropylene Slycol, Monoethyl Ether 872-50-4 1.85% 1 -Methyl -2 -Pyrrolidone 4 L Water based exterior stain OHH 20 gallons 1 0 1 57-55-6 1-5% Propylene Glycol 5 L Exterior oil based stain COM/Class II 20 gallons 2 2 1 064742-88-7 5.09% 142 Solvent 1330720-7 1.27% Xylene 100-41-4 0.22% Ethyl Benzene 6 L Old Master's/Zar Interior oil based stain COM/Class-11 60 quarts 220 8001-26-1 0-50% Linseed Oil •14808-60.-7 0-10% Cyrstalline Silica 8008-20-6 - 5-20% Supersene 13463-67-7 0-20% Titanium Dioxide - 8052741-3 1-5% Aliphatic Hydrocarbons Unknown 0.0296% Cobalt Compounds 1333-86-4 0-2.0% Carbon Black .7 L Sunnyside Paint Thinner - Water based COM/Class II 12 gallons 1 2 1 98-56-5 <5% Para chlorobenzotrifluoride 34590-94-8 <5% Dipropylene Glycol ' 64741=65-,7 <5% Petroleum Distillate ' 577-11-7 <59/o Sodium dioctyl Sulfosuccinate - 8 - L Denatured Alcohol FLA, OHH 15 gallons 230 64175 .90% Ethyl Alcohol 67561 10% Methyl Alcohol 9 67-64-1 L •100% Acetone FL/1B 15 gallons 130 10 L VOC Compliant General Purpose Thinner FL/113 15 gallons 130 67-64-1 Unknown Acetone 6472-89-8 Unknown Light Aliphatic Solvent Naphtha - 11 L . VOC Compliant Lacquer FL/16 80 gallons 130 67-64-1 50-70% Acetone 9004-70-0 1-10% Cellulose nitrate, cellulose ester Proprietary 1-10% alkyd resin 98-56-6 1-10% p-chlorobenzotrifluoride 6846-50-0 1-10% 2,2,4-trimethyl-1,3-pentanediol diisobutyrate 67-63-0 1-10% isopropanol Proprietary 1-10% polyketone resin 111-76-2 1-10% butyl cellsolve 12 L Interior wood dyes . 67-64-1 - 50-70% Acetone 7732-18-5 1-10% Water 57-55-6 ' 1-10% Propylene glycol . 64-17=5 1-10% Ethanol, 52125-53-8 1-10% Propylene glycol monoethyl ether 72828-69-4 1-10% benzenesulfonic acid disodium salt derivative r Other Health Hazards Storage Use Closed Solid Liquid Gas Solid Liquid . Gas Item # Product Name/Material Pounds Gallons scf Pounds Gallons scf 1 Interior waterbourne paint 350 1 = Exterior waterbourne paint 350 2 Life Waterbourne floor coatings 60 3 Waterbourne clear wood finishes 30 4 Water based exterior stain 20 8 Denatured Alcohol 15 Use Open Solid Liquid Gas Pounds Gallons scf 0 COM/Class II (Combustible) Storage Use Closed Use Open - - Solid Liquid Gas Solid 'Liquid Gas Solid Liquid Gas Item # Product Name/Material Pounds Gallons scf Pounds Gallons scf Pounds Gallons scf .5 Exterior oil based stain, 20 6 Interior oil based stain 15 - 7 Paint Thinner - Water based 12 0 'Solid Liquid Gas Solid Liquid Gas Solid Liquid Gas Item ,.# Product Name/Material Pounds Gallons scf Pounds Gallons scf _ Pounds Gallons scf . 8' Denatured Alcohol 15 FL/16 (Flammable) Storage _ Use Closed Solid Liquid Gas Solid Liquid Gas Item # Product Name/Material Pounds Gallons scf Pounds Gallons scf 9 Acetone - f 15 10 VOC Compliant General Purpose Thinner 15 11 VOC Compliant Lacquer. 80 12 Interior wood dyes 6 . Use Open Solid Liquid Gas Pounds Gallons scf RI COM CERTIFICATE OF COMPLIANCE (Page 1 of 4) LTCv-1C Project Name:/ 1 �r 5; �� i O / 1 d Z. Date: LE I Vso r:Ap Project Address: 6Z v r N1A - CA q` 22 �j� Climate Zone: Building CFA Unconditioned Floor Area: � General Information Building Type: Nonresidential Q High -Rise Residential Q Hotel/Motel Schools Relocatable Public El Schools Conditioned Spaces Q Unconditioned Spaces Phase of Construction: Q New Construction Addition Alteration Method of Compliance: 0 'Complete Building 0 Area Category • Tailored Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate and complete. Name: W© t J ,Z ` 9 `�� Signature: Company: ) E 6f;- t iz. Ar y a eqA iGd� Date Address: M��illTA GC2� If applicable: CEA # CEPE # City/State/Zip � _( Z 7 of t hgn o I CP 76 "' 12 7 j J Principal Lighting Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the lighting design. • This Certificate of Compliance identifies the lighting features and performance specifications required for compliance with Title 24, Pages I and 6 of the California Code of Regulations. • The design features represented on this Certificate of Compliance are consistent with the information provided to document this design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Name: �/© Signature: - Company: n Ph e: Address: *a +tO C M t J ELAtA n, r �1 •`E/i/r� License #� City/State/Zip: T -F V(r, `V 1,-A / /' 2� q Date: Lighting Mandatory Measures Indicate location on building plans of Mandatory Measures Note Block: LIGHTING COMPLIANCE FORMS & WORKSHEETS (check box if worksheet is included) For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential Manual published by the California EneW Commission. LTG -1C Pages 1 through 4 Certificate of Compliance. All Pages required on plans for all submittals. LTG -2C Lighting Controls Credit Worksheet -- LTG -3C Indoor Lighting Power Allowance PsAW.1 through 4 Tailored Method Worksheet 121 TA tr-- 1 Line Voltage Track Lighting Worksheet DEPT. �"►rr't-tUV�D ' FOR STRUC110N MAY 2 2 2013 LEY nF LA al TK,TA DA BY . Forms July 2010 CERTIFICATE OF COMPLIANCE (Page 2 of 4) LTG -1C INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST. Project Name: �Frr�1T � Pte. (o l tot Date: �lrsl t� Installation Certificate, LTG-I-INST (Retain a copy and verify form is completed and signed.) O Field Inspector Certificates 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 -A CONDITIONED SPACE E 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 s uare pot is totaled below. Luminaire Schedule (Type, Lams Ballasts Installed Watts A B C. D E F G H How wattage was Field determined Ins ector 2 w c ; .� CEC According F' Complete Luminaire Description Default to y z (i.e, 3 lamp fluorescent troffer, from §130 a w F32T8 one dimmable electronic ballast NA8 dor e At R6-4*W S7— - 9:95 6P 438`f D A2 F k E4 0 5 GV +-1 S6'6P 'l 7-5 riiI,2, _i A3 SURP MTP Coo' n' G 0 p 1!> F; MTP 2— t pfd , Fes- ni OpAiry y Pyr & t 2. E3 M D 13 1 13 o- Ei 13 El 1 0 13 INSTALLED WATTS PAGE TOTAL: 1,906 Installed Watts Building Total Building total number of pages � (Sum of all pages) l � o 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. I Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary, 2008 Nonresidential Compliance Forms July 2010 CERTIFICATE OF COMPLIANCE a e 3 of 4 LTG- 1C-Project Name: TGKtjr C pA is 101 t_O 2 Date: 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 f , automatic daylighting,iontrols for daylit areas > 2,500 ft2, d)'shut-off'controls, e) display lighting controls, 1) tailored lighting controls - general lighting controlled separately from display, ornamental and display case lighting and g) demand responsive automatic controls or retail stores > 50, 000 in accordance with Section 131. MANDATORY LIGHTING CONTROLS -FIELD INSPECTION ENERGY CHECKLIST Field Inspector Type / Description Number of Units Location in Building Pass Fail .map;q i4 AL _ g a0 M lr/,�I, sG,l�tGl� rt�v�1 Sf�Sof� � D�FtG� a 0 0 o 0 a o o 0 o Field Inspector's Notes or Discrepancies: 2008 Nonresidential Compliance Forms July 2010 CERTIFICATE OF COMPLIANCE (Page 4 of 4) LTG -1C Project Name: � (� m Z Date: 9 Conditioned and Unconditioned space Lighting must not be combined for compliance Indoor Lighting Power for Conditioned Spaces Indoor Lighting Power for Unconditioned Spaces C Installed Lighting from Conditioned LTG -1C Page 2 Watts Wa Installed Lighting from Unconditioned LTG -1C Page 2 Lighting Control Credit Conditioned Spaces from LTG -2C _ Lighting Contro edit _ Unconditioned S aces fr TG -2C Adjusted Installed Li htin Power dusted Installed Lighting Power Complies if Installed <_ Allowed = Complies if Installed:5 Allowed Allowed Lighting Power Conditioned S aces from LTG -3C (/ Allowed Lighting Power Unconditioned 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 NA 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 a complete form 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 controls must be provided to the owner of the building or their records. Luminaires Controlled LTG -2A and 3A Equipment Re uirin Testing Description t� 6 o o "+ ° Locatiop Controls and Sensors and Automatic Daylighting Controls Acceptance 13 2008 Nonresidential Compliance Forms July 2010 INDOOR LIGHTING POWER ALLOWANCE LTG -3C Project Name: tot �t Date: ALLOWED LIGHTING POWER Chose One Method A Separate LTG -3C must be filled out for Conditioned and Unconditioned Spaces. Indoor Lighting Power Allowances listed on this page are only for: [I CONDITIONED spaces 0 UNCONDITIONED spaces COMPLETE BUILDING METHOD WATTS COMPLETE ALLOWED BUILDING CATEGORY(From § 146 Table 146-E PER (fe) X BLDG. AREA = WATTS CATEGORY METHOD — Part A A AREA CATEGORY (From S 146 Table Sum of Additional Allowed Watts from Area TOTALS AREA WATTS B C D WATTS ALLOWED PER ft X AREA ft = WATTS Method — Part B TOTALS AREA WATTS AREA CATEGORY METHOD — Part B Additional Wattage Allowance from Table 146-F Footnotes " A B I C D E F G Primary Function Sq Ft Additional Watts Per ft Allowed Wattage Allowance x C Description(s) and Quantity of Special Luminaires Types in each Primary Function Area Total Design Watts ALLOWED WATTS Smaller of D or F TOTALS — Enter into Area Category Method — Part A (table above) Additional watts available only when allowed according to the footnotes on bottom of Table 146-F for chandelier or sconce; art, craft, assembly or manufacturing specialized task work; precision commercial/ industrial work; or lab specialized task work. 2' Special luminaires are light fixtures described in the Table 146-F Footnotes that are subject to an additional wattage allowance. TAILORED METHOD Total Allowed Watts using the Tailored Method taken from LTG -4C (Page I of 4) Row 3 The indoor lighting power allowance using the Tailored Method of compliance shall be determined using the LTG -4C set of forms. A separate set of LTG4C forms shall be filled out for CONDITIONED and UNCONDMONED spaces 2008 Nonresidential Compliance Forms August 2009 ASSESSOR COPY ISSUED MAY 212013 CITY OF LA QUINTA IMUNITY DEVELOPMENT BUILDING ENERGY ANALYSIS REPORT PROJECT: Bldg. 4 - Suites 101 & 102 79440 Highway 111 La Quinta, Ca. 92253 Project Designer: Rieger Associates 40440 Carmelita Circle Temecula, Ca. 92591 (951) 676-3759 Report Prepared by: Reed Singleton, M.E. N.A.Mikhail & Associates, Inc. 17643 Brightman Ave Lake Elsinore, California 92530 (951) 333-3030 Job Number: 22-2013 Date: 5/22/2013 -+k�-A-,1;:' CITY OF ��I��A BUILDING APPROVED OR CONSTRUCT10" �+ IXf�j lye l� V a �� kce , 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. This program developed by EnergySoft, LLC — www.energysoft.com. User TABLE OF CONTENTS Cover Page 1 Table of Contents 2 Nonresidential Performance Title 24 Forms 3 Form ENV -MM Envelope Mandatory Measures 15 Form MECH-MM Mechanical Mandatory Measures 16 1 EnergyPro 5.1 by EnergySoft Job Number: ID: 22-2013 User Number: 6459 PERFORMANCE CERTIFICATE OF COMPLIANCE Part 1 of 3 PERF -1 C Project Name Date Bldg. 4 - Suites 101 & 102 5/22/2013 Project Address Climate Zone Total Cond. Floor Area Addition Floor Area 79440 Highway 111 La Quinta CA Climate Zone 15 1 1,980 n/a GENERAL INFORMATION Building Type: ® 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 complete. Documentation Author Name Reed Singleton, M.E. Signature Company N.A. Mikhail & Associates, Inc. Date 512212013 Address 17643 Brightman Ave Phone (951) 333-3030 City/State/Zip Lake Elsinore, Califomia 92530 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. I 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. I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code by section ❑ ❑ ❑ 5537.2 or 6737.3 to sign this document as the person responsible for its preparation; and that I am a licensed contractor performing this work. I affirm that I am eligible under Division 3 of the Business and Professions Code to sign this document ❑ ❑ ❑ because it pertains to 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 Konrad Rieger Signature Company Rieger Associates Da S Z -t-/-3 Address 40440 Carmelita Circle License # G t 2 G City/State/Zip Temecula, Ca. 92591 Phone (951) 676-3759 Principal Mechanical Designer Name Signature �eeol Srh�Getoh M.>C R. Singleton, M.E. Company RSA Engineering, LLC Date Address 17643 Brightman Ave License # City/State/Zip Lake Elsinore, Ca. 92530 Phone (951) 333-3030 Principal Lighting Designer Name Signature Company Lighting Compliance Not /n The Scope Of This Submittal Date Address License # City/State/Zip Phone INSTRUCTIONS TO APPLICANT COMPLIANCE & WORKSHEETS (check box if worksheets are included) m ENV -1C Certificate of Compliance. Required on plans. m MECH-1 C Certificate of Compliance. Required on plans. ❑ LTG -1C Certificate of Compliance. Required on plans. m MECH-2C Air/Water Side/Service Hot Water & Pool Requirements. ❑ 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: 6459 Run Code: 2013-05-22T09:35:51 ID: 22-2013 Page 3 of 16 PERFORMANCE CERTIFICATE OF COMPLIANCE Project Name Bldg. 4 - Suites 101 & 102 ANNUAL TDV ENERGY USE SUMMARY (kBtu/sqft-yr) 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 0.24 0.31 -0.07 272.29 276.37 -4.09 87.74 80.65 7.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 184.10 184.10 0.00 91.38 91.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 635.74 632.82 2.92 Part 2of3 Heating Cooling Fans Heat Rej Pumps DHW Lighting Receptacle Process Process Ltg Percent better than Standard. 0.5% 0.5 % excluding process) BUILDING COMPLIES GENERAL INFORMATION PERF -1 C Date 5/22/2013 Building Orientation (K9 270 deg Conditioned Floor Area 1.980 sqft. Number of Stories 1 Unconditioned Floor Area 0 sqft. Number of Systems 2 Conditioned Footprint Area 1,980 sqft. Number of Zones 1 Natural Gas Available On Site yes Front Elevation Left Elevation Rear Elevation Right Elevation Total Roof nriPntntinn (,rnss Aran (vtq 440 (N) 450 (E) 440 (S) 450 1,780 1,980 Prescriptive Lighting Power Density Prescriptive Envelope TDV Energy Remarks: Standard 1.600 W/sgft 66, 778 sqft. sqft. sqft. sqft. sqft. sqft. Glazinn Area 243 85 0 0 328 0 Proposed 1.60o W/sgft. 87,113 sqft. sqft. sqft. sqft. sqft. sqft. Glazing Ratio 55.2 18.9 0.0 0.0 18.4 0.0% Prescriptive Values for Comparison only. See LTG -1C for allowed LPD. 4 PERFORMANCE CERTIFICATE OF COMPLIANCE Part 3 of 3) PERF -1C Project Name Bldg. 4 - Suites 101 & 102 Date 5/22/2013 ZONE INFORMATION System Name Zone Name Occupancy Type Floor Area s ft. Inst. LPD W/sf ' Ctrl. Credits W/sf 2 Allowed LPD Proc. Loads W/sf Area Tailored W/sf 3 W/sf 4 System 1 Zone 1 Retail Sales, Wholesale 1,980 '1.600 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 b others b 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 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 Energ Soft User Number: 6459 RunCode: 2013-05-22709:35:51 ID: 22-2013 Page 5 of 16 CERTIFICATE OF COMPLIANCE (Part 1 of 3) ENV -1C AND FIELD INSPECTION ENERGY CHECKLIST Project Name Bldg. 4 - Suites 101 & 102. Date 5/22/2013 Project Address 79440 Highway 111 La Quinta Climate Zone 15 Total Cond. Floor Area 1,980 Addition Floor Area n/a GENERAL INFORMATION Building Type: ® Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room ❑ Schools (Public School) ❑ Bledlocatable g. Public School m Conditioned Spaces [3Unconditioned 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: 270 deg FIELD INSPECTION ENERGY CHECKLIST OPAQUE SURFACE DETAILS INSULATION Ta /ID AssemblyType y a e C N O W O z `o v U. M m 7 '> j to U¢ e ` O X M uw > c C x 7 w a O d •N O lC > .N •� 7 a X C C. 'a C. a c o C-6 O« V w W ly0 a r 'M a 1 Wall 197 (VV) 0.183 R-19 4.3.3-A5 Existing ❑ ❑ 2 Wall 365 (N) 0.183 R-19 4.3.3-A5 Existing ❑ ❑ 3 Wall 440 (E) 0.183 R-19 4.3.3-A5 Existing ❑ ❑ 4 Wall 450 (S) 0.183 R-19 4.3.3-A5 New ❑ ❑ 5 Roof 1,980 (IM 0.031 R-301 4.2.1-A20 Existing ❑ ❑ 6 Slab 1,980 (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 T e a 03 cN v r Z O 0 v LL > 0 9 oX o > m V = co 2— U _ 'o rn rn c t > O y o v O N a a 1 Window 243 (Vio 0.550 Default 0.550 Default ® Existing ❑ ❑ 2 Window 85 (N) 0.550 Default 0.550 Default ® 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: 6459 RunCode: 2013-05-22709:35:51 ID: 22-2013 Page 6 of 16 CERTIFICATE OF COMPLIANCE (Part 2 of 3) AND FIELD INSPECTION ENERGY CHECKLIST ENV -1C Project Name Bldg. 4 - Suites 101 & 102 Date 5/2212013 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 andl6 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. ❑ ❑ ❑ Wood framed roofs in Climate Zones 3 and 5 are exempted, solar reflectance and thermal emittance or 13SRIthat have a LI -factor of 0.039 or lower. See Opaque Surface Details roof assembly, Column H of ENV -2C. 13 [3 13SRI ❑ Low -sloped Metal building roofs in Climate Zone 3 and 5 are exempted, solar relectance and thermal emittance or SRI that have a U -factor 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 www.energy.ca.govttitle24/ ❑ ❑ ❑ constructions that have thermal mass over the roof membrane with a weight of at least 25 Ib/ft are exempt from 13 the the Cool Roof criteria below. ❑ 13 ❑ ❑ High-rise residential buildings and hotels and motels with low -sloped roofs in Climate Zones 1 through 9, 12 and 16 are exempted from the low -sloped roofing criteria. ❑ ❑ ❑ 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 Number' Roof Slope s 2:12 > 2:12 Product Weight < 51b/ft2 a 51b/ft2 Product Type 2 Aged Solar Reflectance Thermal Emmitance SR 15 Pass Fails ❑ ❑ ❑ ❑ ❑ ° ❑ ❑ ❑ ❑ ❑ ❑ ❑ ° ❑ ❑ ❑ ❑ 1 ❑ ❑ o 1❑ 1 ❑ ❑ ❑ ❑ ❑ ❑ ° ❑ ❑ ❑ 1 ❑ ❑ ❑ ❑ ° ❑ ❑ ❑ 1 ❑ ❑ 1 ❑ ❑ ° ❑ ❑ 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroofs.org/i)roducts/search.phi) 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;da, — 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 httpJ/www.energv.ca.gov/btle24/ 6. If Fail then describe on this page of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessarv. 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: Ener Pro 5.1 by EnemySoft User Number: 6459 Run Code: 2013-05-22T09:35:51 /D: 22-2013 Page 7 of 16 CERTIFICATE OF COMPLIANCE (Part 3 of 3) ENV -1C AND FIELD INSPECTION ENERGY CHECKLIST Project Name Bldg. 4 - Suites 101 & 102 Date 5/22/2013 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 13 ❑. 13 13 13 EnergyPro 5.1 by EnergySoft User Number: 6459 RunCode: 2013-05-22709:35:51 /D: 22-2013 Page 8 o/ 16 CERTIFICATE OF COMPLIANCE and (Part 1 of 4) MECH-1 C FIELD INSPECTION ENERGY CHECKLIST Project Name Bldg. 4 - Suites 101 & 102 Date 5/22/2013 Project Address 79440 Highway 111 La Quinta Climate Zone 15 Total Cond. Floor Area 1,980 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) Enerqy Front Orientation: N, E, S, W or in Degrees: 1270 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 AC -1 RTU -1, HP -1 System 1 [3 13i.e. Equipment T e3: Packaged DX ❑ ❑ Number of Systems 2 ❑ ❑ Max Allowed Heating Capacity' 48,000 Btu/hr ❑ ❑ Minimum Heating Efficiency' 7.80 HSPF ❑ ❑ Max Allowed Cooling Capacity' 48,000 Btu/hr ❑ ❑ Cooling Efficiency' 13.5 SEER / 12.0 EER ❑ ❑ Duct Location/ R -Value Attic, Ceiling Ins, vented/ 8.0 ❑ ❑ When duct testing is required, submit & MECH-4-HERS No [3 [3MECH-4A Economizer No Economizer ❑ ❑ Thermostat Setback Required ❑ ❑ Fan Control Constant Volume ❑ ❑ 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 [3 ❑ Equipment T e3: ❑ ❑ Number of Systems ❑ ❑ Max Allowed Heating Capacity' ❑ ❑ Minimum Heating Efficiency' ❑ ❑ Max Allowed Cooling Capacity' ❑ ❑ Cooling Efficiency' ❑ ❑ Duct Location/ R -Value ❑ ❑ When duct testing is required, submit MECH-4A & MECH-4-HERS 13 ❑ Economizer ❑ ❑ Thermostat ❑ ❑ Fan Control ❑ ❑ 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. iEnergyPro5.1byEnetgySoft User Number: 6459 RunCode: 2013-05-22709:35:51 ID: 22-2013 Page 9 of 16 CERTIFICATE OF COMPLIANCE and (Part 2 of 4) MECH-1 C FIELD INSPECTION ENERGY CHECKLIST Project Name Date Bldg. 4 - Suites 101 & 102 1 5/22/2013 EnergyPro 5.1 by EnergySoft User Number: 6459 RunCode: 2013-05-22709:35:51 /D: 22-2013 Page 10 of 16 AIR SYSTEM REQUIREMENTS Part 1 of 2 MECH-2C Project Name Date Bldg. 4 - Suites 101 & 102 5/22/2013 Indicate Air Systems TvDe Central, Single Zone, Packa e, VAV, or etc... Item or System Tags i.e. AC -1, RTU -1, HP -1 System 1 Number of Systems 2 Indicate Pa a Reference on Plans or Schedule and indicate the applicable exception(s) MANDATORY MEASURES T-24 Sections Heating Equipment Efficiency 112(a) 7.80 HSPF Cooling Equipment Efficiency 112(a) 13.5 SEER / 12.0 EER HVAC Heat Pump Thermostat 112(b), 112(c) Yes Furnace Controls/Thermostat 112(c), 115(a) n/a Natural Ventilation 121 b No Mechanical Ventilation 121 b 495 cfm VAV Minimum Position Control 121 c No Demand Control Ventilation 121 c No Time Control 122(e) Programmable Switch Setback and Setup Control 122(e) Setback Required Outdoor Damper Control 122(f) Auto Isolation Zones 122 n/a Pipe Insulation 123 Duct Location/ R -value 124 Attic, Ceiling Ins, vented/8.0 PRESCRIPTIVE MEASURES Calculated Design Heating Load 144 a & b n/a Proposed Heating Capacity 144(a & b 59,959 Btu/hr Calculated Design Cooling Load 144(a & b n/a Proposed Cooling Capacity 144(a & b 84,650 Btu/hr Fan Control 144c Constant Volume DP Sensor Location 144 c Supply Pressure Reset (DDC only) 144 c No Simultaneous Heat/Cool 144(d) No Economizer 144(e) No Economizer Heat Air Supply Reset 144(f) Constant Temp Cool Air Supply Reset 144(f) Constant Temp Electric Resistance Heating' 144 Air Cooled Chiller Limitation 144(i) Duct Leakage Sealing. If Yes, a MECH-4-A must be submitted 144(k) No i 1. 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. EnergyPro 5.1 by EnergySoft User Number., 6459 RunCode: 2013-05-22709:35:51 /D: 22-2013 Pae 11 of 16 MECHANICAL VENTILATION AND REHEAT MECH-3C Project Name Bldg. 4 - Suites 101 & 102 Date 5/22/2013 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(ft) Condition Area 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 1 Air Zone 1 1,980 0.25 495 495 495 System 1 Total 495 495 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 Reguired 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 design zone outdoor airflow rate per 121. K Condition area ft2 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. Energypro5.1 by EnergySoft User Number: 6459 RunCode: 2013-05-22T09:35:51 /D: 22-2013 Pae 12 of 16 MECHANICAL EQUIPMENT DETAILS Part 1 of 2 MECH-5C Project Name Bldg. 4 - Suites 101 & 102 Date 5/22/2013 CHILLER AND TOWER SUMMARY PUMPS Equipment Name Type City. Eff iciency Tons Pump City. GPM BHP Control DHW / BOILER SUMMARY System Name Type Distribution City. Rated Input Vol. (Gals). Energy Factor or RE Standby Loss Tank Ext. or Pilot R -Value Status MULTI -FAMILY CENTRAL WATER HEATING DETAILS Hot Water Pump Hot Water Piping Length ft Control City. HP Type In Plenum Outside Buried I Add 1/2" Insulation CENTRAL SYSTEM RATINGS HEATING COOLING System Name Type City. Output Aux. kW Efficiency Output Eff iciency Status Existing 4 -ton Unit Packaged DX 2 48,000 0.0 7.80 HSPF 48,000 13.5 SEER/ 12.0 EER Existing CENTRAL SYSTEM FAN SUMMARY SUPPLY FAN RETURN FAN System Name Fan Type Economizer Type CFM BHP CFM BHP Existing 4 -ton Unit Constant Volume No Economizer 1,600 0.45 none Ener Pro 5.1 by EnergySoft User Number.- 6459 RunCode: 2013-05-22T09:35:51 ID: 22-2013 Pae 13 of16 MECHANICAL EQUIPMENT DETAILS Part 2 of 2 MECH-5C Project Name Bldg. 4 - Suites 101 & 102 Date 5/22/2013 ZONE SYSTEM SUMMARY SYSTEM VAV Fan H m w ` O V c W M Min CFM Zone Name System Name Type Ot . Heating Cooling Ratio Reheat Coil CFM BHP Outside Air ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ EXHAUST FAN SUMMARY EXHAUST FAN EXHAUST FAN EXHAUST FAN Room Name of . CFM BHP Room Name Ot . CFM BHP Room Name Of . CFM BHP Suite 101 & 102 2.0 50 0.10 EnergyPro 5.1 by EnergySoft User Number. 6459 RunCode: 2013-05-22T09:35:51 ID: 22-2013 Page 14 of 16 1v it ENVELOPE MANDATORY MEASURES: NONRESIDENTIAL ENV -MM Project Name Date Bldg. 4 - Suites 101 & 102 5/22/2013 DESCRIPTION Building Envelope Measures: 18 a Installed insulating material shall have been certified by the manufacturer to comply with the California Quality §1 ()' 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.2 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 (swinging and 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. §116(a) 3: Fenestration SHGC shall be rated in accordance with NFRC 200, or NFRC 100 for site -built fenestration, or the applicable default SHGC. §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). Ener Pro 5.1 by Ene Soft User Number: 6459 RunCode: 2013-05-22T09:35:51 ID: 22-2013 Pae 15 of 16 MECHANICAL MANDATORY MEASURES: NONRESIDENTIAL MECH-MM Project Name Date Bldg. 4 - Suites 101 & 102 5/22/2013 Equipment 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 §122(g): square feet shall be provided with isolation zones. Each zone: shall not exceed 25,000 square feet; shall be provided 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. §122(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. Ener Pro 5.1 by EnergySoft User Number: 6459 RunCode: 2013-05-22T09:35:51 /D: 22-2013 Pae 16 of 16 Craig E. Anthony Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning 4. Beaumont Calimesa 4. Canyon Lake 4. Coachella 44 Desert Hot Springs .;. Indian Wells 4. Indio Lake Elsinore La Quinta .; Moreno Valley c Palm. Desert 4. Perris Rancho Mirage San Jacinto Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, District 2 Jeff Stone, District 3 Roy Wilson, District 4 Marion Ashley, District 5 RIVERSIDE COUNTY FIRE DEPARTMENT 82-675 HighwayIndio, Fax863-7072 January 18, 2006 Lench Design Studio, Inc. P.O. Box 450 La Quinta, CA 92253 Re: Non -Structural Building Plan Review LAQ-06-B'O2,103,104,105,106 -004 / 79-440 Hwy 111 Ste. 101,102, 103, 104, 105, 106 Fire Department personnel have reviewed and approved the plans you submitted for the above referenced project Please be advised the following conditions apply as a part of the conditions for the issuance of a building permit. . 1) Fire Department approval is based upon the 2001 CBC requirements for Group B or M occupancies. It is prohibited to use, process or store any materials in the occupancy that would classify it as a Group H occupancy per Sec. 307 of the 2001 CBC. 2) The Fire Department is required to set a minimum fire flow for the remodel or construction of all commercial buildings using the procedure established in the 2001 CFC. A fire flow of 1500 gpm for a 2 -hour duration at 20 psi residual operating pressure must be available before any combustible material is placed on the job site. 3) The required fire flow shall be available from a Super hydrant(s) (6" x 4" x 21/2" x 21/2") located not less than 25' or more than 165' from any portion of the building(s) as measured along approved vehicular travel ways. 4) Install a complete fire sprinkler system per NFPA 13. The post indicator valve and fire department connection shall be located to the front within 25' to 50' of a hydrant, and a minimum of 25' from the building. System plans must be submitted to the Fire Department for review, along with a plan/inspection fee. The approved plans, with Fire Department Job card must be at the job site for all inspections. (Fire sprinkler riser location should be placed within the building in relation to the approved location of the FDC/PIV.) 5) Whenever sprinkler overhead mains of 4" size or larger are provided, the Riverside County Fire Department requires documentation from a structural engineer that the roof structural members will be capable of supporting the weight of the water filled mains and attached lines. Provide appropriate detailed documentation, with a wet stamp and signature, by the project structural engineer. 6) Install an alarm monitoring system for fire sprinkler system(s) with 100 or more heads (20 or more in Group I, Division 1.1 and 1.2 occupancies). Valve monitoring, water -flow alarm and trouble signals shall be automatically transmitted to an approved central station, remote station or proprietary monitoring station in accordance with 2001 CBC, Sec. 904.3.1. An approved audible sprinkler flow alarm shall be provided on the exterior in an approved location and also in the interior in a normally occupied location. A C-10 licensed contractor must submit plans, designed in accordance with NFPA 72, 1999 Edition, to the Fire Department for review and approval prior to installation. EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 7) Install Knox Key Lock box, Model 3200, mounted per recommended standard of the Knox Company. If the buildingtfacility is protected with a fire alarm system or burglar alarm system, the lock boxes will require "tamper" monitoring. Special forms are available from this office for the ordering of the Key Switch. This form must be authorized and signed by this office for the correctly coded system to be purchased. 8) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware. 9) Install portable fire extinguishers per Title 19, but not less than 2A10BC in rating. Contact a certified extinguisher company for proper placement and spacing of equipment. 10) Approved building address shall be placed in such a position as to be plainly visible and legible from the street and rear access if applicable. Building address numbers shall be a minimum of 12" for building(s) up to 25' in height, and 24' in height for building(s) exceeding 25' in height. In multi -tenant buildings, businesses shall post the business name and suite number on back doors as well as the front Suite numbers or letters must be a minimum of 6' in height. All addressing must be legible and of a contrasting color with the background. Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy. Requests for inspections are to be made at least 72 hours in advance and may be arranged by calling (760) 863- 8886. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering staff at (760) 863-8886. -Cc: City'of La Quinta—_Building Dept. H:UPEZWP OaftUA Q*ft%PRQlEcrsmAag PCV AO*&BP-oo4.eoc Sincerely, Tracy Hobday Chief Fire Department Planner By � Walter Brandes Fire Safety Specialist