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10-0437 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 10-00000437 4.76471CALEO BAY STE 643-200-004- - MECHANICAL COMMUNITY COMMERCIAL 8000 c&t!t aF4w BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: 100 LA QUINTA MEDICAL PARTNERSHIP_., - 5500 TRABUCO RD 4100 bD IRVINE, CA 92620 Architect �orEEngineer 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 Cl�W��ontractor: icense No.: 928543 Date:. 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 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.). 1 1 I am exempt under Sec. B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERIMIT Date: 5/26/10 JUKV 2 S 2010 Contractor: PENTA BUILDING GROUP LP, TH CITY OF LA QUINTA 44250 MONTEREY AVENUE F[PW,!GE OEPT PALM DESERT, CA 92260 (760)776-6111 Lic. No.: 928543 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 OLD REPUBLIC Policy Number AlCW95160900 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 3700ofthe Labor Code, I shall forthwit ply with those provisions. Date: 10 %Applicant: bei.../ 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 ofhs county to enter p the above-mentioned prope(rt�y for in ection purpos S. Date': � 6Z� 10�nature (Applicant or Agent): Y ! Application Number . . . . . 10-00000437 Permit MECHANICAL Additional desc . . Permit.Fee . . . . 37.50 Plan Check Fee 9.38 Issue Date . . Valuation . . . . 0 Expiration Date 11/22/10 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 1.00 9.0000 ---------------------------------------------------------------------------- EA MECH B/C <=3HP/100K BTU 9.00 Permit ELEC-MISCELLANEOUS Additional desc . Permit Fee 21.45 Plan Check Fee 5.36 Issue Date . . Valuation 0 Expiration Date 11/22/10 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 3.0000 EA ELEC APPLIANCES 6.00 1.00 .4500 EA ELEC DEVICE/FIXTURE.>20 .45 ---------------------------------------------------------------------------- Special Notes and Comments ADD 4 TON SPLIT AC UNIT FOR MRI UNIT. tHIS IS A REPLACEMENT OF EXISTING UNIT. 2007 CODES. 2008 ENERGY. . ------------------=--------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged --------------------------- ---------- Paid Credited -------------------- Due Permit Fee Total. 58.95 .00 .00 58.95 Plan Check Total 14.74 .00 .00 14.74 Other Fee Total 1.00 .00 .00 1.00 Grand Total 74.69 .00 .00 74.69 LQPERMIT BUILDING ENERGY ANALYSIS REPORT PROJECT: DRMC Outpatient Imaging 47-647 Caleo Bay, Suite 100 La Quinta, Ca 92253 Project Designer: Report Prepared by: Bibi Moscovici MRC Engineering, Inc. 72-880 Fred Waring Drive, Suite C-11 Palm Desert, CA 92260 760-340-9005 sk A R A00*'& M U CITY OF LA QUINTA ENGINEERING? INC.` BUILDING & SAFETY DEPT. Job Number: APPROVED 9065.00 FOR CONSTRUCTION DArE BY IVI Date: 5/26/2010 1 I g� 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. I_ TABLE OF CONTENTS I Cover Page 1 Table of Contents 2 Nonresidential Performance Title 24 Forms 3 Form ENV-MM Envelope Mandatory Measures 20 HVAC System Heating and Cooling Loads Summary 21 EnergyPro 5.0 by EnergySoft Job Number ID: 9065.00 User Number: 7746 1 PERFORMANCE CERTIFICATE OF COMPLIANCE Part 1 of 3 PERF-1 C Project Name Date DRMC Outpatient Imaging W612010 Project Address Climate Zone Total Cond. Floor Area Addition Floor Area 47-647 Ca/eo Bay, Suite 100 La Quinta CA Climate Zone 15 192 I 192 GENERAL INFORMATION Building Type: ® Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room ❑ Relocatable - indicate 0 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 Bibi Moscovici Signature Company MRC Engineering, Inc. Date 526/2010 Address 72-880 Fred Waring Drive, Suite C-11 Phone 760-340-9005 City/State/Zip Palm Desert CA 92260 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 Signature Company Date Address License # City/State/Zip Phone Principal Mechanical Designer Name MRC.ENG Signature gA� e/�� Company MRC.ENG Date Address 72-880 Fred Waring Dr. License # City/State/Zip palm Desert, Ca 92260 Phone 760-340-9005 Principal Lighting Designer Name MRC. ENG. Signature Company MRC.ENG Date Address 72-880 Fred Waring Dr License # City/State/Zip Palm Desert, Ca 92260 Phone 760-340-9005 INSTRUCTIONS TO APPLICANT COMPLIANCE & WORKSHEETS (check box if worksheets are included) 0 ENV-1C Certificate of Compliance. Required on plans. 0 MECH-1C Certificate of Compliance. Required on plans. ® LTG-1 C Certificate of Compliance. Required on plans. 0 MECH-2C Air/Water Side/Service Hot Water & Pool Requirements. ❑ LTG-2C Lighting Controls Credit Worksheet. © MECH-3C Mechanical Ventilation and Reheat. ❑ LTG-3C Indoor Lighting Power Allowance. © MECH-5C Mechanical Equipment Details. EnergyPro 5.0 by EnergySoft User Number., 7746 RunCode: 2010-05-26T14:07.51 ID: 9065.00 Pa e 3 of 21 PERFORMANCE CERTIFICATE OF COMPLIANCE Part 2 of 3 PERF-1 C Project Name Date DRMC Outpatient Imaging 512612010 ANNUAL TDV ENERGY USE SUMMARY (kRtu/saft-vrl Energy Component Space Heating Space Cooling Indoor Fans Heat Rejection Pumps & Misc. Domestic Hot Water Lighting Receptacle Process Process Lighting TOTALS Percent better than itandard Proposed Complian Desian Da --.inn Uarnin 0.00 0.00 0.00 64,299.94 63,343.41 956.54 12, 265.20 10, 307.46 1,957.74 0.00 0.00 0.00 0.00 0.00 0.00 113.39 113.39 0.00 281.95 281.95 0.00 156.63 156.63 0.00 113,719.54 113,719.54 0.00 447.98 447.98 0.00 191,284.64 188,370.36 2,914.28 GENERAL INFORMATION 1.5 % 1 ( 3.8 % Heating Cooling Fans Heat Rej Pumps DHW Lighting Receptacle Process Process Ltg Building Orientation (W 270 deg Conditioned Floor Area 192 sqft. Number of Stories 1 Unconditioned Floor Area 0 sqft. Number of Systems 1 Conditioned Footprint Area 192 sqft. Number of Zones 1 Natural Gas Available On Site Yes Front Elevation Left Elevation Rear Elevation Right Elevation Total Orientation r-,imQQ Aron (tM 120 (N) 0 (E) 0 (s) 160 280 0 sqft. sqft. sqft. sqft. sqft. sqft. GIRAnn Area Standard Proposed Lighting Power Density 1.800 W/sgft. 1.800W/sq ft. Prescriptive Envelope TDV Energy 2,365 3,886 Remarks: sqft. sqft. sqft. sqft. sqft. sqft. GIAAnn Rntin 0.0 % 0.0 % 0.0 % 0.0 % 0.0 % 0.0 % PERFORMANCE CERTIFICATE OF COMPLIANCE Part 3 of 3 PERF-1 C Project Name DRMC Outpatient Imaging Date 512612010 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 /sf s Tailored /sf 4 FC-7 CT SCAN —Mammography 192 '1.800 726.000 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 HVAC System Carrier 38QRC060 A Premium Efficiency 0.75 BHP Supply Fan Motor has been specified. —Denotes an OSHPD Healthcare (I Occupancy) in the list of spaces above, which is NOT regulated by Title 24. 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 Energypro 5.0 by EnergySoft User Number., 7746 RunCode: 2010.05-26T14:07:51 ID: 9065.00 Page 5 of 21 CERTIFICATE OF COMPLIANCE (Part 1 of 3) ENV-1 C AND FIELD INSPECTION ENERGY CHECKLIST Project Name DRMC Outpatient Imaging Date 512612010 Project Address 47-647 Ca/eo Bay, Suite 100 La Quinta Climate Zone 15 Total Cond. Floor Area 192 Addition Floor Area 192 GENERAL INFORMATION Building Type: ® Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room ❑ Schools (Public School) ❑ Relocatable Public School ® Conditioned Spaces ❑ Unconditioned S Bldg. P P ❑ Skylight Area for Large Enclosed Space z 8000 ft2 (If checked include the ENV-4C with submittal) Phase of Construction: ❑ New Construction ❑ Addition ® Alteration Approach of Compliance: ❑ Component ® Overall Envelope ❑ Unconditioned (file affidavit) Front Orientation: N, E, S, W or in Degrees: 270 deg FIELD INSPECTION ENERGY CHECKLIST OPAQUE SURFACE DETAILS INSULATION T ID' AssemblyT 2 a C3 cN O z �°, 3 � v of a ° m W> � g' W ti o d g> c c C u° „c -2 Q � 44 v in a ti 1 Wall 160 (S) 0.069 R-21 4.3.1-A6 Altered ❑ ❑ 2 Wall 120 (IM 0.069 R-21 4.3.1-A6 Altered ❑ ❑ 3 Slab 192 (N) 0.730 None 4.4.7-A1 Altered ❑ ❑ ❑ (3 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 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 2 9 a °$ O z .. r; LL a> ` 12 ° > w ,., s 'o U) U1 0 > O c o �° v m m a if ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 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 5.0 by EnergySoft User Number: 7746 RunCode: 2010-05-26T14:07.51 ID: 9065,00 Page 6 of 21 CERTIFICATE OF COMPLIANCE (Part 2 of 3) AND FIELD INSPECTION ENERGY CHECKLIST ENV-1 C Project Name DRMC Outpatient Imaging Date 5/26/2010 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 Fall' N/A ❑ Roofing compliance not required in Climate Zones 1 and16 with a Low -Sloped. 2:12 pitch or less. ❑ ❑ ❑ ❑ Roofing compliance not required in Climate Zone 1 with a Steep -Sloped with less than 5 ib/ft2. Greater than 2:12 pitch. ❑ ❑ ❑ ❑ Low -sloped Wood framed roofs in Climate Zones 3 and 5 are exempted, solar reflectance and thermal emittance or SRI that have a U-factor of 0.039 or lower. See Opaque Surface Details roof assembly, Column H of ENV-2C. ❑ ❑ ❑ ❑ Low -sloped Metal building roofs in Climate Zone 3 and 5 are exempted, solar relectance and thermal emittance or SRI that have a U-factor of 0.048 or lower. See O a ue Surface Details roof assemblybelow, 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.eneMy.ca.gov/title24/ ❑ ❑ ❑ ❑ Roof constructions that have thermal mass over the roof membrane with a weight of at least 25 ib/ft are exempt from the Cool Roof criteria below. ❑ ❑ ❑ ❑ 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 roofingcriteria. ❑ ❑ ❑ 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 < 5lb/ft2 a 5lb/ft' Product Type 2 Aged Solar Reflectance Thermal Emmitance SR15 Pass Fails ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ 1 ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑ ❑ 4 13 ❑ ❑ ❑ ❑ ❑ ❑ ❑4 ❑ ❑ 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroofs.oLq/products/search.r)hi) 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;,gt;a, — 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance from the Cool Roof Rating Council's Rated Product Directory. 4. Check box if the Aged Reflectance is a calculated value using the equation above. 5. The SRI value needs to be calculated from a spreadsheet calculator at http://www.enerov.ca.gov/title24/ 6. If Fail then describe on this page of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary, To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(i)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑Other Discrepancies: EnemyPro 5.0 by EnergySoft User Number: 7746 Run Code: 2010-05-26T14:07:51 ID: 9065.00 Page 7 of 21 CERTIFICATE OF COMPLIANCE (Part 3 of 3) ENV-1 C AND FIELD INSPECTION ENERGY CHECKLIST Project Name DRMC Outpatient Imaging Date 512612010 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 Requiring Testing or Verification Area of like Products Building Envelope Acceptance Test 13 13 13 13 13 13 13 13 13 13 13 13 13 13 13 13 13 13 13 EnergyPro 5.0 by EnergySoft User Number., 7746 RunCode: 2010.05-26T14.07:51 ID: 9065.00 Page 8 of 21 CERTIFICATE OF COMPLIANCE and (Part 1 of 4) MECH-1 C FIELD INSPECTION ENERGY CHECKLIST Project Name DRMC Outpatient Imaging Date 512612010 Project Address 47-647 Caleo Bay, Suite 100 La Quinta Climate Zone 15 Total Cond. Floor Area 192 Addition Floor Area 192 GENERAL INFORMATION Building Type: 0 Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room ❑ Schools (Public School) ❑ Relocatable Public School Bldg. 0 Conditioned Spaces ❑ Unconditioned Spaces affidavit Phase of Construction: ❑ New Construction ❑ Addition 0 Alteration Approach of Compliance: ❑ Component ❑ Overall Envelope TDV ❑ Unconditioned (file affidavit) Energy Front Orientation: N, E, S, INor in Degrees: 270 deg HVAC SYSTEM DETAILS FIELD INSPECTION ENERGY CHECKLIST E ui ment2 Inspection Criteria Meets Criteria or Requirements Pass Fail — Describe Reason Item or System Tags i.e. AC-1 RTU-1 HP-1 FC-7 ❑ ❑ Equipment Type 3: Split DX ❑ ❑ Number of Systems 1 ❑ ❑ Max Allowed Heating Capacity' 58,000 Btu/hr ❑ ❑ Minimum Heating Efficiency' 20.00 HSPF ❑ ❑ Max Allowed Cooling Capacity' 24,900 Btu/hr ❑ ❑ Cooling Efficiency' 13.0 SEER/ 10.0 EER ❑ ❑ Duct Location/ R-Value R-8.0 ❑ ❑ When duct testing is required, submit MECH-4A & MECH-4-HERS NO ❑ ❑ 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 ❑ ❑ Equipment Type 3: ❑ ❑ 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 ❑ ❑ 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. [Energypro, 5.6 by EnergySoft User Number., 7746 RunCode: 2010-05-26T14:07:51 ID: 9065.00 Page 12 of 21 CERTIFICATE OF COMPLIANCE and (Part 2 of 4) MECH•l C FIELD INSPECTION ENERGY CHECKLIST DRMC u 512612010 C C < 04 ca cu 0 0 C (D U) T is C -0 0 ca 0) 'E 0 0 11 0 11 11 0 0 E3 El 0 E3 11 0 0 ,t 15 2- (D 0).C:coa) uj -S < zC614 0 0 ID 0 w (a Q. 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Total installed capacity (MBtu/hr) of all electric heat on this project exclusive of electric auxiliary heat for heat if electric heat is used explain which exception(s) to §144(g) apply. pumps. rE—nergyPro 5.0 by EnergySoft User Number: 7746 RunCode: 2010-05-26T14.07:51 ID: 9065.00 Pa a i6 of 21 U N o � M O 2 N cQ N O Zui n O � H U a a�•cQ,r � V a v, y g EXLL �_ Qz c E O al gU=M g y co {Q. a Y xg rn °c U d > LL 00 a o 0 cr ° (D c _ o E cc _ °N—' C 'S�ui �o caug. c o U �o.�=U E y U c o 0 O U vl m C E c ' >-_ =oc� E c ° m Z U O _ caU n = QU ° > ° U Eg p` O E c h C O F to xaa x� o` c �� I>�0 cca Q =.co raQ a v Q MOE �- g p O y ~ CC y x U W U C C C14 CS g O o m U `m y a U g co C w E E'er C U. Ua(D v m ° ; d�a a= n. 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ENVELOPE MANDATORY MEASURES: NONRESIDENTIAL ENV-MM Project Name DRMC Outpatient Imaging Date 512612010 DESCRIPTION Building Envelope Measures: 1§118(a): Installed insulating material shall have been certified by the manufacturer to comply with the California Quality Standards for insulating material, Title 20 Chapter 4, Article 3. §118(c): All Insulating Materials shall be installed in compliance with the flame spread rating and smoke density requirements of Sections 2602 and 707 of Title 24, Part 2. 118 f The opaque portions of framed demising walls in nonresidential buildings shall have insulation with an installed R-value § ()' of no less than R-13 between framing members. §117(a): All Exterior Joints and openings in the building that are observable sources of air leakage shall be caulked, gasketed, weatherstripped or otherwise sealed. Manufactured fenestration products and exterior doors shall have air infiltration rates not exceeding 0.3 cfm/ft 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 (sWinnging and slidin_gy, 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). 1EnemvPro5.0bY ergySoft User Number: 7746 RunCode: 2010-05-26T14:07:51 /D: 9065.00 Page 20 of 21 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name DRMC Outpatient Imaging Date 5/26/2010 System Name FC-7 Floor Area 192 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total Room Loads 27,199 Return Vented Lighting Return Air Ducts Return Fan Ventilation 17 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COOLING Sensible 481,190 0 24,059 0 644 2,344 24,059 1 532,296 PEAK COIL HTG. PEAK Heating System Latent CFM Sensible Output perSystem 58,000 298 23 1,749 Total Output Btuh 58,000 Output Btuh/s ft 302.1 87 Cooling System 0 Output per System 24,900 362 17 808 Total Output Btuh 24,900 660 -2,344 Total Output(Tons) 2.1 87 Total Output Btuh/s ft 129.7 Total Output s ft/Ton 92.5 389 Air System CFM per System 1,600 HVAC EQUIPMENT SELECTION Airflow cfm 1,600 Carrier 38QRC060 17,061 4,103 36,225 36,225 Jan 1 AM Airflow cfm/s ft 8.33 Airflow cfm/Ton 771.1 Outside Air % 1.1 % Total Adjusted System Output (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK 17,061 4,103 Outside Air cfm! ft 0.09 Note: values above given at ARI conditions Aug 3 PM HEATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 26 OF Outside Air 17 cfm 70 OF 69 OF 140 OF 141 of Heating Coil Supply Fan 1,600 cfm 141 IF r ROOM 70 OF COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak 112 / 78 IF Outside Air 17 cfm 77 i 62 OF 77 / 62 OF 55 / 54 OF 56154 OF ♦ -0, Cooling Coil Supply Fan 1,600 cfm TT 58155 °F 45.9 % DOOM is 75 / 61 IF: I Ene yPro 5.0 by EnergySoft User Number., 7746 RunCode: 2010-05-26T14:07.51 ID: 9065.00 Page 21 of 21