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06-3941 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: -0600003941-1 47875 CALEO BAY STE A104 643-200-001-3 -31248 - REMODEL - COMMERCIAL COMMUNITY"COMMERCIAL 60000 Architect or Engineer: WA BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B License No.: 818003 ate: 0 tractor: 31>-COwskryckt OIJ 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 _ 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 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ.'C.). Lender's Name: Lender's Address: LQPERMIT Owner: REALITY EXECUTIVES 47-875 CALEO BAY 104 LA QUINTA, CA 92253 Contractor: 3-D CONSTRUCITON 12927 OASIS ROAD VICTORVILLE, CA 9239 (760)951-1539 Lic. No.: 818003 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/12/07 ----------------------------------------------— 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. 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 1826946 I certify that, in the performance of the work for which this permit is issued, 1 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 3_700 of the Labor Code, I shall forthwith comply 4with those provisions. Ap nt: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date. of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this co ty t enter upon the above-mentioned proipee/�y for inspection purpo es. tfe: �� ,,,nature (Applicant or Age ntl: ! t� Mei Application Number . . . . . 06-00003941 Structure Information 1,877SF`T.I./V-NR/OCC-B M/OL-19/SHELL Other struct info . . . . . CODE EDITION 2001/2005 FIRE SPRINKLERS FULLY MIXED-USE OCCUPANCY B/M OCCUPANT LOAD 19.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 1877.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . . Permit Fee . . . . 72.75 Plan Check Fee 18.19 Issue Date 2/20/07 Valuation . . . . 0 Expiration Date 8/19/07 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 95.00 .4500 ---------------------------------------------------------------------------- EA ELEC DEVICE/FIXTURE >20 42.75 Permit . BUILDING PERMIT Additional desc . Permit Fee 459.50 Plan Check Fee 298.68 Issue Date . . . . 2/20/07 Valuation 60000 Expiration Date 8/19/07 Qty Unit Charge Per Extension BASE FEE 414.50 10.00 4.5000 ------------------------------------------- THOU BLDG 50,001_100,000 ------------------------ 45.00 --------- Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 32.50 Plan Check Fee 8.13 Issue Date . . . . 2/20/07 Valuation 0 Expiration Date 8/19/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4:50 2.00 6.5000 ------------------------------------------- EA MECH VENT FAN --------------------------------- 13.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 99.00 Plan Check Fee 24.75 Issue Date . . . . 2/20/07 Valuation . . . 0 LQPERMIT Application Number . . . . . 06-00003941 Permit . . . . . PLUMBING Expiration Date 8/19/07 Qty Unit Charge Per Extension BASE FEE 15.00 6.00 6.0000 EA PLB FIXTURE 36.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 4.00 7.5000 EA PLB WATER HEATER/VENT 30.00 1.00 3.0000 EA PLB WATER INST/ALT/REP - 3.00 --------------------------------------------------------------------------- Special Notes and Comments 1,877SF TENANT IMPROVEMENT [REALITY EXECUTIVES]/V-NR/OCC-B M/OL-19/ FULLY SPRINKELED. 2001 BUILDING, PLUMBING, MECHANICAL, 2004 ELECTRICAL, 2005 ENERGY. February 16, 2007 3:35:49 PM AORTEGA. Glen Cutting withdrawn as contractor of record. February 26, 2007 4:59:51 PM erandall ***3/12/07 CHANGE OF CONTRACTOR RECORDED*** ---------------------------------------------------------------------------- Other Fees . . . . . . . ACCESSIBILITY PLAN REVIEW 45.95 CHANGE OF CONTRACTOR 4.50 ENERGY REVIEW FEE 45.95 Fee summary Charged Paid, Credited --------------------------------------------- Due ------------ Permit Fee Total 663.75 663.75 .00 .00 Plan Check.Total 349.75 349.75 .00 .00 Other Fee*Total 96.40 91.90 .00 4.50 Grand Total 1109.90 1105.40 .00 4.50 LQPERMIT P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 P4 Application Number: 06-00003941 Property Address: 47875 CALEO BAY STE A104 APN: 643-200-001-3 -31248 - Application description: REMODEL - COMMERCIAL Property Zoning: COMMUNITY COMMERCIAL Application valuation: 60000 T4hf 4 4a " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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:BB// License No.: 520332 Date: •_!�%� Contractor: �. r OWNE -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 tc a civil penalty of not more than five hundred dollars 1$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 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 I am exempt under Sec. , B.&P.C. for this reason Date: - Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: REALITY EXECUTIVES 47-875 CALEO BAY 104 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/16/07 ----------------------- =----------------------- 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 EXEMPT Policy Number EXEMPT I certify that, in the performance of the work for which this permit is issued, 1 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 s ould become subject to the workers' compensation provisions of Section !_3377000 of the La C I shall with -comply with those provisions. Date:E 7 ��!�P7Applicant: - WARNING: FAILURE TO SECURE WORKER COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001 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 whoe benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. - 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property 'ns tion purpose Date: dV Signature (Applicant or Agent):' ` Application Number . . . . . 06-00003941 ------ Structure Information 1,877SF T.I./V-NR/OCC-13-19/SHELL ----- (i Other struct info . . . CODE EDITION 2001/2005 e FIRE SPRINKLERS FULLY MIXED-USE OCCUPANCY B/M C� OCCUPANT LOAD. 19.00 1ST FLOOR SQUARE FOOTAGE 1877.00 ---------------------------------------------------------------------------- Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 459.50 Plan Check Fee 298.68 Issue Date . . . . Valuation 60000 Expiration Date 8/15/07 Qty ..Unit Charge Per Extension BASE FEE 414.50- 10.00 4.5000 THOU BLDG 50,001-100,000 45.00" ---------------------------------------------------------------------------- Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 72.75 Plan Check Fee 18.19 Issue Date . . . . Valuation 0 Expiration.Date 8/15/07. Qty Unit Charge Per Extension BASE FEE 15.00 20.00 .7500 PER ELEC DEVICE/FIXT.URE 1ST 20 15.00 95.00 .4500 EA ELEC DEVICE/FIXTURE >20 42.75 ---------------------------------------------------------------------------- Permit MECHANICAL Additional desc . Permit Fee . . . 32.50 Plan Check Fee 8.13 Issue Date . . . . Valuation 0 Expiration Date 8/15/07 Qty Unit Charge Per Extension BASE FEE 15.0.0 1.00 4.5000 EA- MECH VENT INST/ DUCT ALT 4.50 2.00 6.5000 EA MECH VENT FAN 13.00 ---------------------------------------------------------------------------- Permit PLUMBING Additional desc . Permit Fee 99•.00 Plan Check Fee 24.75 Issue Date Valuation 0 LQPERMIT Application Number . . . . . 06-00003941 Permit PLUMBING Expiration Date 8/15/07 Qty Unit Charge Per Extension BASE FEE 15.00 �+ 6.00 6.0000 EA FIXTURE 36.00 _PLB 1.00 15.0000 EA PLB BUILDING SEWER 15.00 4.00 7.5000 EA PLB WATER HEATER/VENT 30.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 -------------------------------------------------------- Special Notes and Comments ------------------- 1,877SF TENANT IMPROVEMENT [REALITY EXECUTIVES]/V-NR/OCC-B M/OL-19/ FULLY SPRINKELED. 2001 BUILDING, PLUMBING, MECHANICAL, 2004 ELECTRICAL, 2005 ENERGY. February 16, 2007 3:35:49 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . ACCESSIBILITY PLAN REVIEW 45.95 ENERGY REVIEW FEE 45:95 Fee summary Charged Paid Credited Due Permit Fee Total 663.75 .00 .00 663.75 Plan Check Total 349.75 .00 .00 349.75 Other Fee Total 91.90 .00 .00 91.90 Grand Total 1105.40 .00 .00' 1105.40 LQFEn11T Project Address: i A. P. Number: City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet 5 CA,O Owner's Name: 2O O H Address: �_• '1 y N D N c City, ST, Zip: L A Contractor: !rl A& -•—.Telephone: 60)_ q Address: Project Description: .City, ST, zip: L A C A 5 Telephone: -� --i �rj Z State Lic. # : City Lic. #: Arch•, Engr., Designer: -M e. D - C-ruu Arc1� a Address: `ly. - 21 o I o -N City,:ST, Zip: F CR 2'4 G To (j fit:)_ -•l j y 2 Construction Type: State Lic. #: Projecf type (circle one): New Name of Contact Person: }hpN q�r Sq: Ft.: Telephone # of Contact Person: (--1(*) —1 *11 q e Z-7 Estimated Value Project: KY d"Gae �Li4An 1 bIAPPUCANT: DO NOT WRITE BELOW THS tINE Occupancy: C 14 k- s's i'n-Alter—Revak Demo # Units: 9 Submittal Req'd.: Recd TRACKING, PERMIT FEES Pian Sets Plan Check submitted �� Item Amount Structural Cales. Reviewed, ready for corrections `� Plan Check Deposit Truss Cales. Called Contact Person' Plan Check Balance Plans picked up �O ��' Construction Energy .Cates. Flood plain plan Plans resubmitted Mechanical Grading,plau 2" Review, read or correctiogs ue / /, Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picke hp h i�euo { $.M.I. H.O.A. Approval Plans resubmitted. Grading IN ROUSE:- p ''' Review, ready for correctio sui ?/ 47 Developer Impact Fee, Planning Approval Called Contact Person 7/ A.I.P.P. .Pub. Wks. Appr Date of permit issue. School Fees 1. . Total Permit FJOA RD �IV, 12. ( 0(o CDD F_FC_ John R. Hawkins Fire Chief Proudly serving the Unincorporated Areas of Riverside County and the Cities of- Banning f Banning Beaumont Calimesa Canyon Lake Coachella Desert Hot Springs 4. Indian Wells Indio Lake Elsinore La Quinta Moreno Valley 4. Palm Desert Perris Rancho Mirage San Jacinto Temecula Board of Supervisors Bob Buster, District I John Tavaglione, District 2 Jim Venable, District 3 Roy Wilson, District 4 Marion Ashley, District 5 RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 210 West San Jacinto Avenue - Perris, California 92570 - (909) 940-6900 - Fax (909) 940-6910 April 3, 2007 Mister Fire Protection 57533 29 Palm Hwy, Ste 6 Yucca Valley, CA 92284 Re: Fire Sprinkler Plan Review LAQ-07-TI-003 /QRealtyyExecufive at_478.75YGaleo Ba—Y-Park_#A10_ -La Ouinta, CA The sprinkler plans you submitted for the above referenced project have been reviewed by Riverside County Fire Department Planning & Engineering personnel and are approved with the following conditions: 1) Provide a separate point of connection for the second sprinkler head as noted or provide hydraulic calculations to verify the design flow rate when piping two new ceiling sprinklers from an existing outlet in an overhead system. (NFPA 13, Sec. 5-13.20.3, Excep. 1) 2) Permanently marked identification signs shall be attached to all control valves. 3) A sign shall be located adjacent to the alarm bell worded as follows: a) SPRINKLER FIRE ALARM - WHEN BELL RINGS CALL 911 4) Provide for 24 hour monitoring of the sprinkler alarm system. 5) The following inspections/tests are required to be witnessed by the Fire Department Planning Division staff: a) Overhead: All piping must be visible and 200 psi hydrostatic for 2 hours. (Verify with field inspector for hydro variance.) Ceiling panels must not be in place. (NFPA 13, Sec. 10- 2.2.1, Exception No. 4) b) Final inspection. The Fire Department job card, approved plans and conditions letter must be at the job site or NO inspection will be performed. Applicant/installer shall be responsible to contact the Fire Department to schedule inspection(s) a minimum of 72 hours prior to the requested inspection date. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering staff at (760) 863-8886. Sincerely, Tracy Hobday Chief Fire Department Planner By Sonia Cooley Fire Safety Specialist EMERGENCY SERVICES DIVISION - PLANNING SECTION - INDIO OFFICE 82-675 Highway 111, 2nO FI., Indio, CA 92201 - (760) 863-8886 - Fax (760) 863-7072 ,ZOO dl/ l� � y L�8 J Vl-,73 093��Y 0 � Certificate of Occupancy 4 �.?. IncawoanrIDG� . YC)yC� OF'LBuilding Y p & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 47-875 CALEO BAY #104 Use classification: COMMERICAL (REALTY EXECUTIVES) Building Permit No.: 06-3941 Occupancy Group: B Type of Construction: VN Land Use Zone: CC Owner of Building: REALTY EXECUTIVES Address: 47-875 CALEO BAY City, ST, ZIP: LA QUINTA, CA 92253 fd By: STEVE TRAXEL Date: 06-13-2007 Building Official POST IN A CONSPICUOUS PLACE TITLE 24 REPORT FOR REALTY EXECUTIVES 47-874 CALEO BAY LA QUINTA, CA. TENANT: GARY ROBERTS 47-474 WASHINGTON STREET LA QUINTA, CA 92253 TEL: 760-799-8550 FAX: 760-771-9190 PROJECT DESIGNER THE DESERT GROUP 74-210 ALESSANDRO PALM DESERT, CA 92260 760-779-9827 DATE: NOV. 31 ,2006 REPORT PREPARED BY ANTHONY ARAIZA CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION ASSOCIATE MEMBER AMERICAN INSTITUTE OF ARCHITECTS 74-210 ALESSANDRO PALM DESERT, CA 92260 760-318-5817 The En=>yyPm com., vier program has been used to perform the calculations summarized in this compliance repo This program has approval and is authorized by ;he California Energy Commission for use with both the Residential and Nonresidential 2005 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC - www.energysoft.com. 42 IPERFORMANCE CERTIFICATE OF COMPLIANCE Past 1 of 3 PERF -1- ......... .... ERF-1-_._..._....._ 1PROJEC7 NAftE i DATE REALTY .EXEC LIT IVES_-TENANT.IM-PR_QV.ENI_E_NT....-__....--._..,__...._..__.___.._..__.__.._..�..._._ ! _.__.10_3.1..06 ..................____ iPROJEC T ADDRESS 47-874 CALEO BAY LA QUINTA --.... ...........- _._..........__..........................................._.._.... _...... _.........-._..... _--...._.._.._....--..._..__.__._.._.__......_._....._..............................._...._.._..i +ingregnit _ PRikCipAL DESIGNER - ENVELOPE = TELEP40NE � eal� ; THE DESERT GROUP 760)779-9827 _ _ ...............................- ._... ----..._.........._......_._............_..._...__—..__..........._............_................... �---. ...._.. _ ._...-...._........_......._...... _ IDOCUMENTAMN AUTHOR '-- -----• : TELEPHONE ; ChL ked tyiDJa a ............. .............. ANTHONY ARAIZA,{ _ -0)779-9827 Enna vcauu. TYPE OF CONSrRUCTiON NONRE'SH)ENTIAI_ H*H RME. RESIDENTIAL NEWCONSTRUCTION ADOniON 877._Sq.:t..---�_.._.._._�. HOTEUMOTEL GUEST ROOM l EXISTING +ADDITIOWALTE-CATION T;:is CenHicate of Compiidnce fsts L'te buittlerrg feaLtm; And perFnrmance specifiw6on_a rteedetl to p :vith 'Tits Yams 1 and 6 of the j ':Califomia Code of Regulations. This certificate applies only' a Building using the. performance c pl7a ce ap ash. ! The documentation preparer t:emby certifies that id-,* documentation is accurate and rompicte. ,DOCUMENTATION AUTHOR �S:GiNAtU �DATE . .........—__...._ANTHONY ARAI7A �._......-_..__' -' ---._...-...____-.._..._...._s.G�_-_.3/-Q6. [Tile Principal Designer !tersby certifys that the r roposea buildira design rep. ese. > this ton documents is ICUnsistsnt with 'he oiher cci-np;ianc e forms and vxxksheeits, with the specifications, and witn airy other calculations submitt'<,,0 with this P e -nit ap piication. 'rhe. proposed building as designed meets the merry efficiency requirements contained in sections t 10: i 16, ,through 1 i 8, and 140. 142, 3 or 1'9 of Title 24. Part t5 i ENd. LTG. MECH. hereby arm that t am eligible under the provisions of Division 3 a` the Business and Professions L' xie to _...; sign this document as lie person responsible Eon its preparation; and that t am licensed in the State. of Caiifomia as a civil engineer, nechanical engineer, or 1 am a licensed architect. i ...._._, -'-`; 2. i at irrn it><rt 1 am efigihls under the p.-ovisio , of Division 3 of the Business and Professions Code Section 5537.2 or 673.'.3 b sign this document:as tl;a parsoll res ons[ ie far i pra_part on; and that 1 am a Tensed aCtar {'u-rfornung this v vrk. i — — f 3. 1 affirm ha 1 am e r 'ire under Division 3 of the rosiness and Professions Code to si, n this document '' g' r 9 type P I —r because. a OE:YralilS to � �IIU;,1lrrC' or t -p c:r v.`ork described as exempt pursuant to Business and Professions Code Sections 5537, 5538, and 6737.1. 'These sections of the Business and P.ofessions Cotte are printed in hit) in the Nonresidential. [Manual.; Indicate location, on pians o` Note Brock for fdsandzelM Pleasures n Ankeloi3@ Con'ioliance Not In The Scope Of Indicate location on purrs of %rote oiock for Mandatory Measures Required Forms 'L'T-G-1, LTG -"l. _ .... _._.._.._......._...._._........._.._._......... _ �..-_----.----.--._..__. _.:. SIGNATURE _........ ._....._._._......._._......... fU6 No. RT GROUP f Indicate location on plans of Note Block for Mandatory Measures [Mechanical Compliance Not In the Scope Of t ht�...____ ubmittal Required Forms Es S Re — ; , iPRtNCII�AL RtECHANICf•.t. DE:S;GNER NAME. ( SIGNATURE :LIC_ NO. . I t)-' 111. ..—.—_.............�. e ' E -W v?ry,.. by Ener yS0f 4. 9. l'r Num::er PERFORMANCE CERTIFICATE OF COMPLIANCE Part 2 of 3 PERF-� Percent better thar. Standard: PR03ECTNANE 'DATE REALTY EXECUTIVES 10-31-06 GENERAL INFORMATION ANNUAL TDV ENERGY USE SUMMARY(kBttilsgft-yr) Standard Proposed Compliance EjJERGY COMPOrvE .____....... Design Design 1�argin Space Heating 1..._.^ ^—:i O a l i 0,0710,R --------- (_— ' Number of Systems �� -- __._....,--.`' Space Cooling I 141.021 --...-- - ..._------, 139.87, J ...._......_ .._..__..._.__.... 8t11 081 G as i indoor Cans 25.0(1; i 25.77 ' 0.24 .----_.__..._; t Heat Rejection O.tCI -- ._........ ._�._..... 0 00 _ .— --- G.00' i Front Elevation Pumps &Mise_..._..__.-------- G_Grj 0.0Gi j Left Elevatiort(1) I Domestic Hot Water o.noi ;— o.oG; 0.00 Rear Elevation _.-- Lighting 72.971 .__...------- — 1 71.05' - — Richt Elevation 1 i Total Receptacle r 3-7.3! 8'78 0.001 Roof _ �_._...._. _. ..1 1._.___......._..._......__' ..__..., .---..... _. __... _......._..__..._.__..._ Process j O.OG? -- .._........ --............ O.00I 1 0.001 TOTALS: 321.85 318.53 3.32 Percent better thar. Standard: t _o t 10% excluding p[ocesay BUILDING COMPLIES GENERAL INFORMATION i Sttilding OrientationtN Conditioned Floor Area _.s 9� - j Number of Stories `— ;' Unconditioned Floor Area --------- (_— ' Number of Systems i Conditioned Footprint Area Number Of Zones { 7 i FUei Type rJ 8t11 081 G as ..._... .----_.__..._; I ....._.. ... Gres Area ------- i�tazinq krea Ulazin0 Ratio i i Front Elevation ........ G i s[ft. ----'. ....................... j Left Elevatiort(1) _......... ___ . ..._......._.----__-- ------__— o�smr -- ; o.CMoi - .- —_—, Rear Elevation ! ! ! t• i f Richt Elevation 1 i Total 0� ,. __...._....... ......._.. ............-- — Roof _ —__T— ___ ___—..____ _._..__._.. .---..... _. __... _......._..__..._.__..._ _...------.—. _ _ --.._... Standard ProeaseA...,__ i Lighting Power Density —`' ou 'Jdi'N", �_ _ ... .__ 1 A i 1 VJlsr,,.. ! YSZSCnpth:e Env. Heat LOSS i Oi atw't j O (Plum ! Prescriptive Env, Meat (pair.i i - l o??ltUa-r i � awm.e ......__. cnergy?a e.2 by E,,rTgyS&, (isvr Nur.+b2!:: .. Job Numbar. .. [PERFORMANCE CERTIFICATE OF COMPLIANCE Part 3 of 3 PERF-1 . .. ...... ..... . ........ .. - - -------- - - tP+ZOl�CTAA1E REALTY EXECUTIVES. . . . . . .10/3112006 .................. . ... ... . ........... . ZONE . ..... INFORMATION .. .......... . .. . ...... . ............ .... .. ...... ... . .......... . . ...... ......... . ... Floor Inst CtrL Allowed LPD j Proc, Are- LPO Credits —AArroa --, —Ta Lead's 4 Zone Name, 3 . . ......... [l V.AC 104 Tenant linpiover 187 e, 9 5 1.071 . ..... . ....... . . ............. . ...... . ....... . ... ..... . . .... ..... ....... . .... ............. ....... ..... ..... . .. ......... . ........... . .... . .. . ................ .......... ------ - - ..... .... . .. . . . . .......... . . ... . ....... .......... .. ... . . . .. . ........ .... . ....... . . .. .. . .. . ............ .. . . .. ... .......... .. . ............ . ....... .... ........................ .............. -- - - --------- - --- ...... . ..... . . ............. . .. . ... ... . ......... .... . ..... ......... ........ . ...... . . . .................... ... .. ....... ... I ... . ... . .......... . .... ............. .. ........... . . . .................. - ----- ... . ...... . . ......... . . .... . . . . ........ . ............ . . . ...... ...... . - ------ . ... .................. . ...... ............. ....... . ............. . . . .. . . ............ ................. . ........... . . . . . .. ............. . . ........ . . . . . ..... . .......... ........ . . . . ................. . ... .. ........ . ............. . .. . . . ..... . ........... ............ .................. . . . ....... ... ... ..... ........ . . ... . ........... . ..... ................. . ...... .. . . ...... ........... .. ...... .. ..... ........ . .. . .. . . .. .. . ..................... ........ .. . .......... ....... ... . . ............... . . . .. . ....... ................. .. ....... . . . . .. ..... .... . ...................... .. ............... ......... . ...... ... . ........ .. . .... ..... ...... 4 ..... .. ... . ....... . ..................... . . --- - ----- . ........................... .. ........ . . . . ....... . . . . .................. ..... . ..... ............. . ....... ..... . ..... . ... 4 ---- - ------ ------ . ........... . - - -- - ------- ------- . . . ......... ... . ....... ....... . ...... .... . .... . ..... . ..... .... ....... . . ...... . . . ... .............. . ...... . ...... .......... . . . . ... . ...... . . ...... . . .. . .... .......... ...... ... . . . .................. ....... .... ....... ... . . .. . .. .. .... ........ ........... ....... . . . ..... . ......... ........ ........ .......... .... . . ....... .... .... .......... . . . .............. . ....... ........... . ........ ....... . .. . ....... 1 See L-,G-2- S-. CIM-Ilr Sea LTG-�5-C t,em} above feqeM sM�U! dccumentotiw: L_ ot-a. Mted see. LTG-2 bi Wlhe.,Y) EXCEPTIONAL CONDITIONS COMPLIANCE CHECKLIST The local enforcement agency should pay spacial attention to the items spacifim-d in this checklist These items require special written jusfifir.ation and documentation, and special verification to he used vAth the performance approach. The local enforcement agency determines the adequacy of the justification, and may raja". a building or design thaz otherwise complies based on the adequacy of the special justification and documentation . ........ . .. .... ......... .. . . . ..................... . . -- . . .......... . or is Exp mcied ;eon; thNAECA11SEER,equirem . . . ........ -VA.C, S� 1i "WOW 104 ir .abates HERS verifleld Duct -,i�kafx,. 7 oi, the MECH-!i-A. .......... I& 2rps. j!� . . . . ... . ......... . . . . ... . .... ........... .... ....... .. .. . .... ... ... .. . . . .. .............. .. . ........... . . ................ . . . . .............. . . ......... . .... ... . . ...... . .......... . . . ....... ............................. ............. .. . . ............. . .. . . ........... .. ... . .. . . ..... .. ..... .... .. .. ........ . ................ ... . ...... . ........... . ..... ................ . .. . ............... . ......... . ... . ......... . ... ........... . .. . ... . .......... . ...... ... . ...... . . . . .. ................ . ... . ............. ......... . .. . . . ......... . . ........... . ... ............. .......... . . ....... . .... ... .. ....... . .. . . .......... .. ............... . . .. . .......... . ............. . . ... . .. ......... . .. . . . . ...... . ................. ........................ ... ... . ........ . ... . .... .... .... . . . .......... . ............. ..... . . _._.._._..._...--__-.._--.-'-----..__._..._._._._._..._I . ......... - ------ . ......... ...... .................... ... . . ... ....... .... ..... ... ...... . ...... ------ .... . .. ...... . ........ . ............... .. ......... . ............ . . ..... . .. .... ... .... .. .......... The exceptional features fisted in this r*rfoanance approach application have specifically been reviewed. Adequate written justification and documentation for their use have Depa provided by ttx, applicant 11 "' F mgjP'-- c.2 by U.S Number. 1,".l 1, N.MbCP, Page: I . . ............. T . ....... .. ... ..... . ..... ............ — . . . . ... ... . ................. . . . .. . . ................ . . . ........... . ......... ... . ....... .... . . . . . ..... ... ...... [�KATE OF COMPLIANCE (Part 1 of 3) LTC-'�-� —..__...... ... __...... -- PROJ=CT NAME !DATE ; REALTYEXECUTI\15—.__._........_..---'--...._.._.____.__.__._-------.....---.....___...__..__.__.__.._..__..__.......---.._...:10/31/2006 INSTALLED INDOOR LIGHTING POWER FOR CONDITIONED AND UNCONDITIONED SPACES INSTALLED LIGHTING, CONLWTIONED SPACES (From LTG4-C) PORTABLE LIGHTING (From LTG -3-C) LIGHTING COWROL CREDIT, CONDITIONED SPACES ;From LTG -4-C) CONDITIONED SPACE ADJUSTED INSTALLED LIGHT' NG POWER INSTALLED LIGHTING, UNCONDITIONED SPACES (From LTG -2-C) L;GHTiNG CONTROL CRF.:OM UNCONDITIONED SPACES (From LTG -0-C) UNCONDITIONED SPACE ADJUSTED INSTALLED LIGHTING POWER. AL LU" Jr -D INDOOR !UGHT;NG ?OWER FOR - DiTIONED SPACES COMPLETE BUILDING METHOD (Fern LTG.5..,;: ` AREA CATEGORY METlIOD (From 'I;'IILORED MM.. JOD (From LTG -5-C) ALTERNATE COMPLIANCE. 1771 PERFORMANCE METHOD COMMMON LIGHTING SYSTEM (From LTG -®-C) ALLJ' WEU LIGHTING POWER i 7 S i._ ........ _................. '--------I ALLOWED WATTS _........... ..... ....... --- I ALLOWED INDOOR LIGHTING POWER FOR UNCONDITIONED SPACES (From LTG -5-C) o MANDATORY INDOOR ARID DAYLIGHTING AUTOMATIC CONTROLS CONTROL LOCATION CONTROL (— CONTROL TYPE 1 ...(Room #)_..-.._-- _- : IDENTIFICATION ! (Auto Time Swltr-tt, Dimming, otc.) I SPACE CONTROLLED i 'o'loghtlN ! I FIELD j i L._.--_---. ..__._._..—..._..._ _._......--.---- � I I .. _............. ........ -...-__.-__......»_-.............:{...._..._.... ... ............... ....... ... _......_... i ._................. _....._....... ................ ....__..... .._..._..._.......... .._.__._....i t._- ...... _........ .... _........ .._........... _.............. .-__-_L-........-.._.... 4.....-...-_ ... ................. : ' I I� i 1 i i ! i ...... .......... _._.—_.... _......._._.,.—_.......----..: I........._.......................................__._._...—' ---'—i �__._.._._...—_................__..._.,........__........................_..__.._____._.........._...__—...._.._.........._.......___._....... ....._........ i.. ----.._.._........._.._.-..._.__.—..........._.... I , I ._ s ♦ � I i.._.._......-......_...._ ._.__._...___-._._...._ L.....__...._.. ............... _........... _.................... L-._. _._...__ ....-. j i I '•_._.._-_............_...-.-_--.._.__.__»_..._ . _..-_. .. ................_.... ......_........_...... s- ----.___ -_ __._ i I : : i I f i ERTIFICATE OF COMPLIANCE (Fart 3 of 3) LTG -9-C -----.._.......... - fPROJ[CT NAP,'.c 'DATE } _.._�_... _ RELATED EXECUTIVES_.-_-----._._..._.....-._.-------.__.�__...................__ -- 1013112006__..__.___! Designer_ 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 i apply and list all equipment that require an acceptance test. ff ali equipment of a certairi type requires a test, list the equipment description and the number of systems to be tested in parentheses. The NJ number designates the Section in the Appendix of the Nonresidential ACNE 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. I Building Departments: Before ar, occupancy permit is granted for a newly constructed building or space, or a new lighting system 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- i -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. LTG -2-A: Lighting Control Acceptance Document - Occupancy Sensor Acceptance - Manual Daylight Controls Acceptance - Automatic Time Switch Control Acceptance Equipment requiring acceptance testing _. C L.TG-3-A: Automatic Daylighting Controls Acceptance Document tlsw Nu-n_har; .' -lob Nwmtaer; .....____._....._........___.__..�_..�-._.._._..._._... - ...........................�__............ _.-__....... _---"--- _ LIGHTING MANDATORY MEASURES -- __ LTG-6i�iVI aROJECT NAt7E ... rDATE'--•--.___.__.._..........._..._._.._....: _._._._.__.._..... REALTY EXECUTIVES _._...--'--'-'.----._.._........ _...... _..------..... _—.____.__....._.._....... ....... ._..------"--..-.__.._._._ 10/31/2006 _....__.__.._s DESCRIPTION - " 131(d)1 For every floor, At1 interior lighNnq system: s shalt be equipped with a Separate autornatic control to shut off the lighting. This automatic control shalt meet the requimments of Sec.Oon 119 arid maybe art occupancy sensor, automattic time switch, or other device capable of asitomatically shutting off the lighting. 131(r1)2 Override for Building Lightinn Shut-off: The automatic building shutoff system is provided with a manual, accessible override swilrb in sight of the lights. The area ......�.,...,.,...n, .......,Z.. nsgc.._.,._.. 119(h) Automatic Control Devices Certified: All automatic. control device: specified are certified, all alternate equipment shall be certified and installed as directed by the manufaciurer•. ' lm t32 Fluorescent Ballast and Luminaires Certif rd: All fluoro ;cen7 fixtures speeshed for the project. are certified and listed in Vie Directory. All installed fixtures shall be certified, a, ndam ifdring for One and Three tzmp Fluorescent Fwwms: All one and three lamp fluorescent fixtures ere tandem wired with two lamp ballasts where required by Standards Section 132; oral! one and three lamp fluorescent fixtures are speci5ed with electronic liiryh-irequercy ballasts and are exempt from taodem wiri..iq mquirerients. 131(a) Individual Room/Area Controls: Each room and area in this building is equipped with a separate svlitch or occupancy servo; device for each area with ftrsor...fo- ceiling walii. 131(hi Uniform Reduction for Individual Rooms: Att rooms and areas greater than 100 square feet and more than O.,i watts t>sr :.quare f oot of lighting load shall he catrroiled with bi-level switching for uniform reduction of lighting within the room. `_ f3!(cj Daylight Area Control. All rooms wi`3t windows and skylights that are greeter thart 250 square feet and that allow for the effective use of oayggtlt in the area shall have 50% of the lamps in eac . daylit area controlled by a separate switch; or the effective use of daylight rannot he accomplished because fhe windnws are continuously shaded by a building on the adjacent tot f3iagr nm of shading during different times o1 the yeaf is included on plans. 131(e) Display Lighting. Display lighting shall he separately switched are 20 amps or less. r__.__._--...._-.__.. _..___._.----...... ;Designer 'Enforcement _._.._._._.�._.........._............. 1'---'-- ----'--....._.........---' `---------- I 1 ...... .._— ....... ....... -__.-....r7.............. .'...._.......................................... .----'--..._..............--..__......._..........................._-.._.._.-...._. ................._......_._..-..___. _......_....-...__.._.........__._'___....................._.._......___.__._.._......__.._..-.._._..__......._............_..._.__._.._.__........_.........__.. ..._..... Enervyfko 4.2 )p F..^.ar^ •YYt li.'Nr t�utm5c�: f ,lob flumDer'. jAIR SYSTEM REQUIREMENTS Part 1 of 2 MECH-2-CI SYSTEM FEATURES ITEM OR SYSTEM TAG(S) Number of Systems T-24 MANDATORY MEASURES Section Heating Equipment Efficiency Cooling Equipment Efficiency Heat Pump Thermostat Furnace Controls Natural Ventilation Minimum Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Insulation PRESCRIPTIVE MEASURES Calculated Heating Capacity x 1.43 2 Proposed Heating Capacity 2 Calculated Sensible Cooling Capacity x 1.212 Proposed Sensible Cooling Capacity 2 Fan Control DP Sensor Location Supply Pressure Reset (DDC only) Simultaneous Heat/Cool Economizer Heating Air Supply Reset Cooling Air Supply Reset AIR SYSTEMS, Central or Single one 1 1 Reference on Plans or Specification 1 112(a) 7.00 HSPF 6.00 COP 112(a) 12.0 SEER 110.4 EER 10.0 SEER 18.0 EER 112(b) Yes Yes 112(c), 115(a) n/a n/a 121(b) Yes Yes 121(b) 187 cfm 289 cfm 121 c No No 121(c) No No 121(c), 122(e) Programmable Switch Programmable Switch 122(e) Heating & Cooling Required Heating & Cooling Required 122 Auto Auto 122(8) n/a n/a 123 124 R-8.0 R-8.0 144 a & b 16.293 btuh 37,137 btuh 144 a & b 52.041 btuh 67,031 btuh 144 a & b 28,993 btuh 54,602 btuh 144 a & b 21,273 btuh 38,004 btuh 144 c Constant Volume Constant Volume 144 (c) 144 c Yes Yes 144 d No No 144 a No Economizer No Economizer 144 Constantlemp Constant Tem 144 (f) Constant Temp Constant Temp Duct Sealing for Prescriptive Compliance 144 k No No 1: For each central and single zone air systems (or group of similar units) fill in the reference to sheet number and/or specification section and paragraph number where the required features are.documented. If a requirement is not applicable, put "N/A' in the column. 2: Not required for hydronic heating and cooling. Either enter a value here or put in reference of plans and specificatons per footnote 1. 3: Enter Yes if System is: Constant Volume, Single Zone: Serves < 5,000 sqR; Has > 25% duct in unconditioned space. Duct sealing is required for Prescriptive Compliance, see PERF -1 for performance method duct sealing requirements. EnergyPro by EnergySoft User Number.. " ' Job Number. . " I (WATER SIDE SYSTEM REQUIREMENTS Part 2 of 2 MECH-21!*C� YSTEM FEATURES ITEM OR SYSTEM TAG(S) Number of Systems MANDATORY MEASURES Equipment Efficiency Pipe Insulation PRESCRIPTIVE MEASURES Calculated Capacity Proposed Capacity Tower Fan Controls Tower Flow Controls Variable Flow System Design Chiller and Boiler Isolation CHW and HHW Reset Controls WLHP Isolation Valves VSD on CHW, CW & WLHP Pumps > 5 HP DP Sensor Location DATE 2 WATER SIDE SYSTEMS: Chillers, Towers, Boilers, H dronic Loops T-24 Section Reference on Plans or Specification' 112(a) 123 1E 1, 1: For each chiller, cooling tower, boiler, and hydronic loop (or groups of similar equipment) fill in the reference to sheet number and/or specification section and paragraph number where the required features are documented. If a requirement is not applicable, put "NIX in the column. 2: Water side systems include wet side system using other liquids such as glycol or brine. Service Hot Water, Pool Heating ITEM OR SYSTEM TAG(S) DHW Heater Number of Systems 2 MANDATORY MEASURES Reference on Plans or Specification' Water Heater Certification 113 a Water Heater Efficiency 113 b Service Water Heating Installation 113 c Pool and Spa Efficiency and Control 114 a Pool and Spa Installation 114 b Pool Heater - No Pilot Light 115 (c Spa Heater - No Pilot Light 115 d Hot Aqua 45-208 0% n/a n/a n/a n/a 1: For each water heater, pool heat and domestic water loop (or groups of similar equipment) fill in the reference to sheet number and/or specification section and paragraph number where the required features are documented. If a requirement is not applicable, put 'NA' ins the column. EnergyFro - by EnergySoft laser Number::. Job Number: jMtUMANIUAL IYU'UNUPA AyrX r I GI < < ....-.........., NAME LTY Descriptio) Ventilation DATE FX § 121(e) Controls shall be provided to allow outside air dampers or devices to be operated at the ventilation rates as specified on these plans. a§ 122(f) Gravity or automatic dampers interlocked and closed on fan shutdown shall be provided on the outside air intakes and discharges of all space conditioning and exhaust systems. IX § 122(f) All gravity ventilating systems shall be provided with automatic or readily accessible manually operated dampers in all openings to the outside, except for combustion air openings. § 121(f)1 Air Balancing: The system shall be balanced in accordance with the National Environmental Balancing Bureau (NEBB) Procedural Standards (1983), or Associated Air Balance Council (AABC) National Standards (1989); or § 121(f)2 Outside Air Certification: The system shall provide the minimum outside air as shown on the mechanical drawings, and shall be measured and certified by the installing licensed C-20 mechanical contractor and certified by (1) the design mechanical engineer, (2) the installing licenced C-20 mechanical contractor, or (3) the person with overall responsibility for the design of the ventilation system; or § 121(173 Outside Air Measurement: The system shall be equipped with a calibrated local or remote device capable of measuring the quantity of outside air on a continuous basis and displaying that quantity on a readily accessible display divice; or §121(f)4 Another method approved by the Commission. Service Water Heating Systems § 113(b)2 If a circulating hot water system is installed, it shall have a control capable of automatically turning off the circulating pump(s) when hot water is not required. FRI § 113(b)3B lavatories in restrooms of public facilities shall be equipped with controls to limit the outlet temperature to 110 degrees F. FRI § 113(b)3C Lavatories in restrooms of public facilities shall be equipped with one of the following: Outlet devices that limit the flow of hot water to a maximum of 0.5 gallons per minute. Foot actuated control valves, and outlet devices that limit the flow of hot water to a maximum of 0.75 gallons per minute. Proximity sensor actuated control valves, and outlet devices that limit the flow of hot water to a maximum of 0.75 gallons per minute. Self-closing valves, and outlet devices that limit the flow of hot water to a maximum of 2.5 gallons per minute, and 0.25 gallons/cycle (circulating system). Self-closing valves, and outlet devices that limit the flow of hot water to a maximum of 2.5 gallons per minute, and 0.50 gallons/cycle (non -circulating system). Self-closing valves, and outlet devices that limit the flow of hot water to a maximum of 2.5 gallons per minute, and 0.75 gallonsicycle (foot switches and proximity sensor controls). User Number. User Job Number. ent CERTIFICATE OF COMPLIANUt (Hart z or z) -t.I NAME DATE Designer: This form is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for mechanical systems. The designer is required to check the boxes by all acceptance tests that apply and list all equipment that requires an acceptance test. If all equipment of a certain type requires a test, list the equipment description and the number of systems to be tested in parentheses. 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: SYSTEM 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, MECH-I-A Form shall be submitted to the building department that certifies plans, specifications, installation certificates, and operating and maintenance information meet the requiements of Section 10-103(b) and True 24 Part 6. STATEMENT OF COMPLIANCE ❑ MECH-2-A: Ventilation System Acceptance Document -Variable Air Volume Systems Outdoor Air Acceptance -Constant Air Volume Systems Outdoor Air Acceptance Equipment requiring acceptance testing ❑ MECH-3-A: Packaged HVAC Systems Acceptance Document Equipment requiring acceptance testing ❑ MECH-4-A: Air Distribution Acceptance Document Equipment requiring acceptance testing ❑ MECH-5-A: Air -Side Economizer Acceptance Document Equipment requiring acceptance testing ❑ MECH-6-A: Demand Control Ventilation Acceptance Document Equipment requiring acceptance testing ❑ MECH-7-A: Supply Fan Variable Flow Control Acceptance Document Equipment requiring acceptance testing ❑ MECH-8-A: -Hydronic System Control Acceptance Document -Variable Flow Controls -Automatic Isolation Con-trols -Water-loop Heat Pump Controls -Variable Frequency Controls Equipment requiring acceptance. testing EnergyPro ' by EnergySoff User Number: Job Number. (HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJEQT NAME DATE EERING lNumber of Systems COIL HTG. PEAK REALTY EXECUTIVES Output per System SYSTEM NAME FLOOR AREA 1,877 EERING lNumber of Systems COIL HTG. PEAK Heating System Output per System 80,000 Total Output (Btuh) 80,000 Output (E3tuh/sqft) 71.9 Cooling System Output per System 59,000 Total Output (Btuh) 59,000 Total Output (Tons) 4.91 Total Output (Btuh/sqft) 53,1 Total Output (sqfffTon) 226.2 Air System CFM per System 2,000 Airflow (cfm) 2,000 Airflow (cfrn/sqft) 1-80 Airflow (cfffLrTon) 406.8 Outside Air (0/6) 14.5 Outside Air (cfmfsqft) 0.26 Note. values above given at ARI conditions Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COIL COOLING PEAK COIL HTG. PEAK CFM ISensiblel Latent I CFM I Sensible 2,609 30,516 6,11 431 11,285 0 1,526 564 0 0 289 11,558 9F 289 13,557 0 0 1,5261 5641 45,12T6770819 7S 970 Exist HVAC 38,004 17,052 49,966 5.0 kW Supplemental Electric 17,065 Total Adjusted System Output (Adjusted for Peak Design Conditions) 1 38,0041 17.0752 67 031 TIME OF SYSTEM PEAK Jul 3 pm] Jan 12 aml HEATING SYSTEM PSYCHROMETRICS; (Airstream Temperatures at Time of Heating Peak) 26.0°F 63.4°F 63.40F 86-70F 94.7 OF . . . . . . . . . . Supply Air Ducts Outside Air 289 cfm Supply . Fan Heating Coil Aux. Heat Coil 94-40F 2000 cfm ROOMS 69.7 0F 70.0°F � Retum Air Ducts '4 COOLING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Cooling Peak) 112.0/77.7°F 80.1 /68.1°F 80.1 /68.0°F 62.4/61.3°F Supply Air Ducts Outside Air i 289 cfm Supply Fan Cooling Coil 63.1 161.5 OF 2000 cfm 66.3% R.H. ROOMS 74.7 / 66-3 OF 74.0 / 66.1 OF h Retum Air Ducts "I I EnergyPro '-. by EnergySoff User Number - * Job Number. I