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