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08-0635 (CNHK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tit!t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 08-00000635 Property Address: 81839 BAFFIN AVE APN: 767-200-998-Q -330762- Application description: NEW COMML - OTHER NON -HOUSEKEEPING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 15408 Applicant: Architect or Engineer: 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 C10 __Lice; No.: 746198 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of. Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec.�B.&P�C. for this reason Date:7-�1—SFS Owner: �� w CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/17/08 Lis clry __.NAIQ p/MTq 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 044-0028137-07 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith hhcomply with those pr isions, Date: 0,' 1 "'DTSApplican, 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 a tftonze representatives of this county to enter upon the above-mentioned pr?0*,p, r-+'aSpection ses. Date: -7- (7-a D Signature (Applicant or Agent): �( .`t�/Jr�� Owner: EAST OF MADISON LLC PO BOX 1482 LA QUINTA, CA 92247 > ACV � D J Contractor: A & M CONSTRUCTION P.O. BOX 366 LA QUINTA, CA 92247 (760)564-4832 Lic. No.: 746198 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 C10 __Lice; No.: 746198 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of. Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec.�B.&P�C. for this reason Date:7-�1—SFS Owner: �� w CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/17/08 Lis clry __.NAIQ p/MTq 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 044-0028137-07 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith hhcomply with those pr isions, Date: 0,' 1 "'DTSApplican, 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 a tftonze representatives of this county to enter upon the above-mentioned pr?0*,p, r-+'aSpection ses. Date: -7- (7-a D Signature (Applicant or Agent): �( .`t�/Jr�� Application Number . . . . . 08-00000635 ------ Structure Information COMFORT STATION ----- Other struct info . . . . . CODE EDITION 2007 FIRE SPRINKLERS NO MIXED-USE OCCUPANCY B OCCUPANT LOAD .00 PATIO SQ FTG 254.00 1ST FLOOR SQUARE FOOTAGE 206.00 ---------------------------------------------------------------------------- Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 171.00 Plan Check Fee 111.15 Issue Date . . . . Valuation . . . . 15408 Expiration Date . . 1/13/09 Qty Unit Charge Per Extension BASE FEE 45.00 14.00 9.0000 THOU BLDG 2,001-25,000 126.00 --------------------------------------- --------------------------- Permit . . . ELEC-NEW COMMERCIAL Additional desc . Permit Fee . . . . 19.12 Plan Check Fee 4.78 Issue Date . . . . Valuation . . 0 Expiration Date 1/13/09 Qty Unit Charge Per Extension BASE FEE 15.00 206.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 4.12 ---------------------------------------------------------------------------- Permit . . . GRADING PERMIT Additional desc . . Permit Fee . . . . 15.00 Issue Date . . . . Expiration Date . . 1/13/09 Plan Check Fee Valuation . . �i N Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Permit . . . MECHANICAL Additional desc . Permit Fee . . 33.00 Issue Date . . . . Expiration Date . . 1/i3/09 Qty Unit Charge Per LQPERMIT Plan Check Fee Valuation . . 8.25 0 Extension Application Number 08-00000635 Permit . . . . . . MECHANICAL Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 ---------------------------------------------------------------------------- EA MECH B/C <=3HP/100K BTU 9.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 70.50 Plan Check Fee 17.63 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/13/09 Qty Unit Charge Per Extension BASE FEE 15.00 5.00 6.0000 EA PLB FIXTURE 30.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 ---------------------------------------------------------------------------- Special Notes and Comments 206 SF AIR CONDITIONED MEN & wOMEN COMFORT STATION (14TH HOLE) 254 SF ATTACHED PATIO. TYPE V -B CONSTRUCTION. 2007 CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW 11.12 ENERGY REVIEW FEE 11.12 STRONG MOTION (SMI) - COM 3.23 Fee summary Charged Paid Credited Due --------------------------- Permit Fee Total ------------------------------ 308.62 .00 .00 308.62 Plan Check Total 141.81 .00 .00 141.81 Other Fee Total 25.47 .00 .00 25.47 Grand Total 475.90 .00 .00 475.90 LQPERMIT r Jolm R. Hawkins Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of. Banning a Beaumont f Calimesa 01 Canyon Lake 0 Coachella 0 Desert Hot Springs a Indian Wells a Indio a Lake Elsinore 4 La Quints Moreno Valley a Palm Desert a Perris a rancho Mirage 0 iubidoux CSD 0 San Jacinto t+ 'emeeula bard of supervisors bb Buster, District I )hn Tavaglione, District 2 fi stone, District 3 Dy, wits«,, District 4 .anion Ashley, District 5 RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 210 West San Jacinto Avenue • PeMa. Cahfornla 92570 • (951) 940.6900 • Fax(951)940-691,0 April 24, 2008 RE: Building PLAN CHECK --- LAQ-08-BP-024 Comfort Station @ Hole 14181-839 Baffin Ave. La Quinta, CA 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. 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 2007 UBC. THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION: A minimum 2A1013C 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. ELECTRICAL PANEL BOX: All breakers must be labeled and a clearance of 36 inches must be maintained around the panel at all times. 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. Sincerely, By: Jason Stubble Fire Safety Specialist n TITLE 24 REPORT Title 24 Report for: Comfort Station @ 14 - The Madison Club 81-839 Baffin Avenue La Quinta, CA 92253 Project Designer: Pearson Architects, Inc. 74-040 Highway 111, Suite 232 Palm Desert, CA 92260 760-779-1937 Report Prepared By: Victor Leon MRC Engineering, Inc. 72-880 Fred Waring Drive, C11 Palm Desert, CA 92260 (760) 340-9005 CITE OF �A QUINTA BUILDING SAFETY DEPT. APPROVED FOR CONSTRUCTION Job Number: °a 6Z3 °� By g _ Y� � 3s -- Date: 11���� 1 5/28/2008 0 A 2008 T11is'-pr g> m has approval and is Energy Efficiency Standards. I EnergyPro 4.4 by EnergySoft Job Number: User Number: 6429 Of C�f'- CERTIFICATE OF COMPLIANCE (Part 1 of 4) LTG -1 -C PROJECT NAME 53-962 GRAY AVENUE LA QUINTA, CALIFORNIA PRINCIPAL DESIGNER -LIGHTING TELEPHONE RANDALL V. MOSS 760-340-9005 DATE Building Permit # DOCUMENTATION AUTHOR TELEPHONE Checked by/Date VICTOR LEON 760-340-9005 Enforcement Agenc Use GENERAL INFORMATION DATE OF PLANS 5-28-08 BUILDING CONDITIONED FLOOR AREA 131 CLIMATE ZONE Certificate of Compliance. Part 3 of 4 submittal is required only 'If Control Credits are claimed BUILDING TYPE NONRESIDENTIAL ❑ HIGH RISE RESIDENTIAL ❑ HOTEL/MOTEL GUEST 0 CONDITIONED SPACES ❑ UNCONDITIONED SPACES ❑ INDOOR/ OUTDOOR SIGNS Portable Lighting Worksheet PHASE OF CONSTRUCTION NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION ❑ PERFORMANCE [9 COMPLETE BUILDING ❑ AREA CATEGORY ❑ TAILORED ❑ COMMON LIGHTING ' STATEMENT OF COMPLIANCE ' This Certificate of Compliance lists the building features and performance specifications n..Idto compl with Title 24, Parts 1 and 6 of the California Code of Regulations. This certificate applies only to building lighting requirements. The documentation preparer hereby certifithat the documentation i iesate d complete. DOCUMENTATION AUTHOR SIGNATURE 11 DATE VICTOR LEON 5-28-08 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 lighting requirements contained in the applicable parts of Sections 110, 119, 130 through 132, 146,148 and 149 of Title 24, Part 6. ❑ The plans & specifications meet the requirements of Part 6 (Sections 10-103a). ❑ The installation certificates meet the requirements of Part 6 (10-103a3). ❑ The operation & maintenance information meets the requirements of Part 6 (10-103c). Please check one: (These sections of the Business and Profesions Code are printed in full in the Nonresidential Manual.) ❑ 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 or electrical engineer, or I am a licensed architect. ❑ I affirm that 1 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 tractor performing this work. ❑ I affirm that I am eligible under Division 3 of the Business and Pr sions C de to sign thi ocurfent because it pertains to a structure or type of work described as exempt pursuant to Business and Professio ode Se ions 38 aP606737.1._ PRINCIPAL LIGHTING DESIGNERS NAME I WUNA I UK]f3f, " I DATE I LIC. # RANDALL V. MOSS r 5—eft—nA El 3453 M Indicate location on plans of Note Block for Mandatory Measure LIGHTING COMPLIANCE FORMS & WORKSHEETS (check box if worksheet is included) LTG -1-C, Parts 1 of 4 and 2 of 4 Certificate of Compliance. Part 1 of 4 and 2 of 4 are required for all submittals ❑ LTG -1-C, Parts 3 of 4 Certificate of Compliance. Part 3 of 4 submittal is required only 'If Control Credits are claimed LTG -1-C, Parts 4 of 4 Certificate of Compliance. Part 4 of 4 submittal is required when lighting controls are Installed LTG -2-C Indoor Lighting Schedule ❑ LTG -3-C Portable Lighting Worksheet ❑ LTG -4-C Lighting Controls Credit Worksheet [� LTG -5-C Indoor Lighting Power Allowance ❑ LTG -&C Tailored Method Worksheet ❑ LTG -7-C Room Cavity Ratio Worksheet ❑ LTG -8-C Common Lighting Systems Method Worksheet ❑ LTG -9-C Line Voltage Track Lighting Worksheet ❑ OLTG-4-C Signs (See OLTG-4-C Sign Worksheet in Chapter 6, Outdoor Lighting and Signs Chapter) 2005 Nonresidential Compliance Forms January 2006 CERTIFICATE OF COMPLIANCE (Part 2 of 4) LTG -1 - PROJECT NAME DATE THE MADISON CLUB — COMFORT STATION ® 14 5-28-08 INSTALLED INDOOR LIGHTING POWER FOR CONDITIONED AND UNCONDITIONED SPACES INSTALLED WATTS INSTALLED LIGHTING, CONDITIONED SPACES (From LTG -2-C) PORTABLE LIGHTING (From LTG -3-C) LIGHTING CONTROL CREDIT, CONDITIONED SPACES (From LTG -4-C) CONDITIONED SPACE ADJUSTED INSTALLED LIGHTING POWER INSTALLED LIGHTING, UNCONDITIONED SPACES (From LTG -2-C) LIGHTING CONTROL CREDIT, UNCONDITIONED SPACES (From LTG -4-C) UNCONDITIONED SPACE ADJUSTED INSTALLED LIGHTING POWER ALLOWED INTERIOR LIGHTING POWER FOR CONDITIONED SPACES M COMPLETE BUILDING METHOD (from LTG -5-C) ❑ AREA CATEGORY METHOD (from LTG -5-C) ❑ TAILORED METHOD (from LTG -5-C) ALLOWED WATTS ALLOWED LIGHTING POWER 82 ALTERNATE COMPLIANCE J ❑ PERFORMANCE METHOD ❑ COMMON LIGHTING SYSTEM (from LTG -8-C) ALLOWED INTERIOR LIGHTING POWER FOR UNCONDITIONED SPACE (From LTG -5-C) MANDATORY LIGHTING MEASURES FOR INDOOR AND DAYLIT AREAS MANDATORY INDOOR AND DAYLIGHTING AUTOMATIC CONTROLS Watts CONTROL LOCATIO (Room #, Area #, or Description) CONTROL IDENTIFICATION CONTROL TYPE (Auto Time Switch, Dimming,Photosensor, etc.) ✓ If Control is for Daylighting NOTE TO FIELD SPACE CONTROLLED Lists the location of controlled lights #101 MENS RR a OCCUPANCY SENSOR #101 MENS RR #102 JANITOR a OCCUPANCY SENSOR #102 JANITOR #103 WOMENS RR OCCUPANCY SENSOR #103 WOMENS.RR 2005 NONRESIDENTIAL COMPLIANCE FORMS January 2006 ICATE OF COMPLIANCE (Part 4 of 4) LTG -1-C E CLUB — COMFORT STATION ® 14 F DATE 5-28-08 This form is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for lighting systems. The designer is required to check the boxes by all acceptance tests that apply and list all equipment that require an acceptance test. If all equipment of a certain type requires a test, list the equipment description and the number of systems to be tested in parenthesis. The NJ number designates the Section in the Appendix of the Nonresidential ACM Manual that describes the test. Also indicate the person responsible for performing the tests (i.e. the installing contractor, design professional or an agent selected by the owner). Since this form will be part of the plans, completion of this section will allow the responsible party to budget for the scope of work appropriately. Building Departments: Systems Acceptance. Before an 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. In addition a Certificate of Acceptance, LTG -1-A, Forms shall be submitted to the building department that: A. Certifies plans, specifications, installation certificates, and operating and maintenance information meet the requirements of § 10- 103(b) and Title 24 Part 6. Test Description Test Performed By: Q LTG -2-A: Lighting Control Acceptance Document - Occupancy Sensor Acceptance INSTALLING CONTRACTOR - Manual Daylight Controls Acceptance - Automatic Time Switch Control Acceptance Equipment requiring acceptance testing OCCUPANCY SENSOR PHOTOSENSOR J ❑ LTG -3-A: Automatic Daylighting Controls Document Equipment requiring acceptance testing 2005 NONRESIDENTIAL COMPLIANCE FORMS January 2066 INDOOR LIGHTING SCHEDULE (Part 1 of 2) LTG -2-C PROJECT NAME THE MADISON CLUB — COMFORT STATION ® 14 DATE 5-28-08 INSTALLED LIGHTING POWER FOR CONDITIONED SPACES Luminaire Lamps/Ballasts Installed Watts A B C D E F G Name Type Description P 3 N V z r- 3 �m c° 01'v N (A m 3 z r- 3 C� c° °'' y fD c T). N V/ o m .-. 0 r 3 3 rr m o S iv n x x 1 MIRROR BRACKET CFL 1 18 1 18 2 36 2 WALL BRACKET FL 1 17 1 17 1 17 3 DOWNLIGHT CFL 1 13 1 13 2 26 PAGE TOTAL 1 79 BUILDING TOTAL (sum of all pages) I+ — PORTABLE LIGHTING (From LTG -3-C) k— CONTROL CREDIT (from LTG -4-C) I + — ADJUSTED ACTUAL WATTS = 79 2005 NONRESIDENTIAL COMPLIANCE FORMS January 2006 AREA CATEGORY METHOD - CONDITIONED SPACES B C D AREA CATEGORY (From §146 Table 146-C) PER S ARE A,LNLAOWED TOTALS I AREA II WATTS 1 TAILORED METHOD - CONDITIONED SPACES 1 TOTAL ALLOWED WATTS (From LTG -6-C) UNCODITIONED SPACES Complete Building and Area Category Methods CATEGORY From § 146 Table 146-B & C WATTS P = A&A (ft') ALLOWED WATTS TOTALS AREA WATTS 1 TAILORED METHOD - UNCONDITIONED SPACES 1 TOTAL UNCONDITIONED SPACES ALLOWED WATTS (From LTG -5-C and LTG -6-C) 2005 NONRESIDENTIAL COMPLIANCE FORMS January 2006 LIGHTING MANDATORY MEASURES LTG -MM PROJECT NAME THE MADISON CLUB — COMFORT STATION ® 14 DATE 5-28-08 DESCRIPTION DESIGNER ENFORCEMENT § 131(d)1 For every floor, all interior lighting systems shall be equipped with a separate automatic control to shut off the lighting. This automatic control shall meet the MRC requirements of Section 119 and may be an occupancy sensor, automatic time switch, or other device capable of automatically shutting off the lighting. MRC §131(d)2 Override for Building Lighting Shut-off. The automatic building shut-off system is provided with a manual, accessible override switch in sight of the lights. The area of override is not to exceed 5,000 square feet. MRC §119(g) Automatic Control Devices Certified: All automatic control devices specified are certified, all alternate equipment shall be certified and installed as directed by the manufacturer. MRC §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. Q §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 MRC floor -to -ceiling walls. §131(b) Uniform Reduction for Individual Rooms: All rooms and areas greater than 100 square feet and more than 0.8 watts per square foot of lighting load shall be MRC controlled with bi-level switching for uniform reduction of lighting within the room. ❑ §131(c). Daylight Area Control: All rooms with windows and skylights that are greater than 250 square feet and that allow for the effective use of daylight in the area shall have 50% of the lamps in each daylit area controlled by a separate switch; or the effective use of daylight cannot be accomplished because the windows are continuously shaded by a building on the adjacent lot. Diagram of shading during different times of the year is included on plans. ❑ §131(e) Display Lighting. Display lighting shall be separately switched on circuits that are 20 amps or less. 2005 Nonresidential Compliance Forms January 2006 CERTIFICATE OF COMPLIANCE (Part 1 of 2) OLTG-1-C PROJECT NAME THE MADISON CLUB — COMFORT STATION ® 14 Certificate of Compliance. Required on plans for all submittals for outdoor lighting. Part 2 of 2 may be DATE 5-28-08 PROJECT ADDRESS 53-970 GRAY AVENUE LA QUINTA, CALIFORNIA Building Permit # Checked by/Date Enforcement Agency Use PRINCIPAL DESIGNER -LIGHTING RANDALL V. MOSS TELEPHONE 760-340-9005 DOCUMENTATION AUTHOR VICTOR L. LEON TELEPHONE 760-340-9005 GENERAL INFORMATION 3. Use OLTG-1-C if the project consists solely of outdoor signs DATE OF PLANS OUTDOOR LIGHTING ZONE( ✓ One) ❑ LZ1 ❑ LZ2 m LZ3 ❑ LZ4 FUNCTION TYPE OUTDOOR LIGHTING ❑ OUTDOOR SIGNS ❑ INDOOR SIGNS PHASE OF CONSTRUCTION 0 NEW CONSTRUCTION ❑ ADDITIONS ❑ ALTERATIONS STATEMENT OF COMPLIANCE ❑ OLTG-3-G AREA CALCULATIONS WORKSHEETS. Applicable parts required for all outdoor area calculations. This Certificate of Compliance lists outdoor lighting system specifications need to comply with Tie 24, Parts 1 and 6 of the California Code of Regulations. This certificate applies only to building lighting requirements. The documentation preparer hereby certifies that the documentation is ac` ie anjomplete. DOCUMENTATION AUTHORI SIGNATURE 'J/ 1DATE 5-28-08 VICTOR LEON U04t The Principal Lighting Designer hereby certifies that the proposed outdoor lighting and signs 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 lighting requirements contained In the applicable parts of Sections 110, 119, 130 through 132, 146, and 149 of Title 24, Part 6. Please ✓one: ❑ 1 hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am licensed in the State of California as a civil engineer or 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. (These sections of the Business and Professions Code are printed JK)611 in RANDALL V. MOSS 5-28-08 1 El 3453 INSTRUCTIONS TO APPLICANT OUTDOOR LIGHTIN COMPLIANCE & 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 Energy Commission. ❑ OLTG-I-C Certificate of Compliance. Required on plans for all submittals for outdoor lighting. Part 2 of 2 may be incorporated in schedules on the plans. Either LTG -1-C or OLTG-1-C may be used for signs as follows: 1. Use LTG -1-C if the project consists solely of indoor signs 2. Use LTG -1-C if the project consists of indoor lighting, and outdoor or indoor signs, but no other outdoor lighting. 3. Use OLTG-1-C if the project consists solely of outdoor signs 4. Use OLTG-I-C if the project consists of outdoor lighting, and indoor or outdoor signs, but no other indoor lighting ❑ OLTG-2-G LIGHTING COMPLIANCESUMMARY. Applica le Parts require or A outdoor ig Ung allowances (Except or Signs) ❑ OLTG-3-G AREA CALCULATIONS WORKSHEETS. Applicable parts required for all outdoor area calculations. ❑ OLTG-4-C SIGN LIGHTING COMPLIANCE. Required for all internally and externally illuminated signs, for both indoor and outdoor signs 2005 Nonresidential Compliance Forms January 2006 CERTIFICATE OF COMPLIANCE (Part 2 of 2) OLTG-1-C PROJECT NAME Lighting Schedules on Plans Show that Outdoor Lighting Meets Allowed Lighting Power Lighting power allowances for general site illumination on OLTG-2-C Part 1 of 4 ❑ Not Applicable ❑ Lighting power allowances for local ordinances or for security multipliers on OLTG-2-C Part 2 of 4 0 Not Applicable ❑ Lighting power allowances for specific applications, other than vehicle service stations with canopies on OLTG-2-C Part 3 of 4 Not Applicable ❑ Lighting power allowances for vehicle service station canopies on OLTG-2-C Part 4 of 4 Not Applicable ❑ Sign lighting compliance on OLTG-4-C Not Applicable Manditory Measures on Plans Show that Outdoor Lighting Meets Outdoor Lighting Controls and Equipment Indicate location on plans of Note Block for Mandatory Measure Q Installed lighting power has been determined in accordance with § 130(c)l ❑ Not Applicable ❑ All permanently installed luminaires with lamp rated over 100 watts either have a lamp efficacy of at least 60 lumens per watt or are controlled by a motion sensor § 132(a) Not Applicable ❑ All Luminaires with lamp rated greater than 175 watts in hardscape areas, including parking lots, building entrances, canopies, and all outdoor sales areas meet the Cutoff Requirements of § 132(b) Not Applicable Q All permanently installed outdoor lighting meets the Control Requirements of § 132(C)1 ❑ Not Applicable ❑ Building facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi -Level Lighting Requirements of § 132(c)2 0 Not Applicable MANDATORY AUTOMATIC CONTROLS CONTROL LOCATION CONTROL IDENTIFICATION CONTROL TYPE Auto Time Switch/Photosensor, etc AREA CONTROLLED NOTE TO FIELD EXTERIOR PC PHOTOSENSOR EXTERIOR LIGHTS 2005 Nonresidential Compliance Forms January 2006 LIGHTING COMPLIANCE SUMMARY (Part 1 of 4) OLTG-2-C PROJECT NAME THE MADISON CLUB — COMFORT STATION ® 14 DATE 5-28-08 LIGHTING POWER ALLOWANCES - GENERAL SITE ILLUMINATION - (Table 147-A) Allotted Watts Luminalre Lamps/Ballasts Installed Watts A B C D E F G H 1 J K L M N O Lighting Applications Category (Table 147-A) r D �x oN o �CL r n v D o n m� n x w c c� �5 a v d o m m Description v =. c 0 o :3 ::u r 3 c ° r 3 z 3.0 5 w 3 �' m m m v d � 3 �' r d Z 5'�3 °1 m m m m r 5•� m m �n c m — 0 o r z 53 �'' m 'm X �m z x m y a PEDESTRIAN HARDSCAPE 700 .17 119 3 DOWNLIGHT NON CFL 1 13 1 13 1 13 4 WALL SCONCE NON CFL 1 26 1 26 2 52 Total Allotted Watts 119 Total Installed Watts 65 2005 Nonresidential Compliance Forms January 2006 ILLUMINATED AREA CALCULATION WORKSHEET (Part 1 of 5) OLTG-3-C PROJECT NAME DATE THE MADISON CLUB — COMFORT STATION ® 14 5-28-08 Hardscape - Method (i) A. Hardscape for automotive vehicular use, including parking lots, driveways and site roads A B C D E F G H Actual Paved Area plus 5' Areas (ft2) to Subtract from within Illuminated Area perimeter of adjacent Areas between unpaved land. Includes Poles or planters and landscaped luminaires that Overlapping Areas Sub Total wide areas less than 10' are enclosed wi that ar are greater than Areas of Obstructed of areas to List Specific Application hthat P eon at least 3 6' mounting Another By Sign or Subtract height distance Application or Building Other (C + D + Illuminated Area (Table 147-A) sides (if Applicable) Luminaire Areas Structure E + F) (B - G) B. Hardscape for pedestrian use, including plazas, sidewalks, walkways and bikeways A B C D I E F G H Areas (ft 2) to Subtract from within Illuminated Area Actual Paved Area plus 5' Areas between of unpaved land on either poles or luminaires that Overlapping Areas Sub Total side of path of travel. Shall are greater than Areas of Obstructed of areas to include all contiguous paved 6' mounting Another By Sign or Subtract List Specific Application area before including height distance Application or Building Other (C + D- Illuminated Area (Table 147-A) adjacent grounds. (if Applicable) Luminaire Areas Structure E + F) (B - G) SIDEWALKS 700 NA 0 0 0 700 700 Checklist GZr§ 147(c) 1 B - Each portion of all illuminated areas has been assigned only one lighting application, and the applications are consistent with the actual use of the areas. § 147(c)1A - General illumination areas includes only those illuminated areas that are in the bounds of the Application and are within a square pattern around a luminaire that is six times the luminaire mounting height, with the luminaire In the middle of the pattern, less any areas that are within buildings, under canopies, beyond property lines, or obstructed by a sign or other structures. 2005 Nonresidential Compliance Forms January 2006