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0005-366 (OFC)Wt LICENSED CONTRACTOR DECLARATION I+hereby,affirm under.penalty,of,perjury that I am licensed under provlsions'of Chaptter,9}(commencing �with:Sectlon,7060) of Division'3"of,the Business'and Professionals'Code and my�Lic6 nn— Is In full force and effect% 5 ; _SW License # S,r:y1,pK.� ,r l` Lica' Class � 5%ti} ;h Exp Date 7?428 rh��I, ''Date -11A t✓11"(..0V ;Sig- nature'of Contract6L1/11lA1 X1141 r—1 Y:"'4G—�-� v rp rl1t '+i1'Ty�, I' �, R `f'�.':3 i'✓.�5; e;�-+!S. .c< i, 'y,�,••,`!+ I, :+y i 5� ' �� OWNER BUILDER DECLARATION 'I hereby aiffirrritunder penalty of perjury that I am exempt_ from�the•Contractor's License Law for,the following reason r ''•, I'as owner of,tFie'property, or myemployees with .wages as their sole compensation will do the work, and the structure is not intended or offered for ksale (Sec 7044'�B6siness &'Professiorials Code). I;•,as`owner of the property amlexclusively contracting with licensed ;contractors to, construct'the1,project•(Sec.. 7044, Business & Professionals ;; Code). ;.t `O I am ex . empt under Section R'" ; B&P.C. for this reason yDate,,­ - Signature of Owner --"WORKER'S COMPENSATION DECLARATION' ` .I:hereby affirm;under penalty of perjury one of the following declarations: r',<,( `)AI 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. (h� have and will maintain workers' compensation insurance, as required by ection 3700 of the Labor'Code for the performance of the work for which this ;p I ermitis' issued'' My workers' compensation I insurance carrier '& policy no. are: ?' Camer ' '' �` - ' ` Policy No. ZURx".14�INJ CO, ,, WC 693996507 (This section need not be completed if the permit valuation is for $100.00 or less). h O I certify that in theperformance'of the work for which this permit is issued, 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 s�jall forthwith comply wlth,those provisions; F , a 'Date AppIican� .fl,0Jl ,s` .\-A: 4 Warning: -Failure to secure,Workers' Compensation coverage is unlawful and 'shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT'Appllcation is hereby made to the Director of Building and Safety �,•'for a permit subject • to the • conditions and restrictions set forth on his X'application. .1 :-Each person upon whose behalf this application is made & each person at �who_se request and for whose benefit work is performed under or pursuant to any permit issued as a result of this' applicaton agrees to, & shall, indemnify n''& hold harmless the' City of La Quinta, its officers, agents and employees. : _ 2 Any' permit issued as a result of this application becomes null and voidtif work- isnot-commenced within 180 days from date Iof issuance of such permit,, or cessation of work for 180 days will subject permit to cancellation. I certifythat I have read this application and state that the above information is .correct. I agree to comply with all City, and State laws relating to the building construction; and hereby authorize representatives of this City to enter upon the above -m' e­ntioned property for inspection purposes. J f Signature, (Own `Agji IFt I� !l'i/jld Date BUILDING�PERMIT� � �.• PE���:��� �" . ��� -.r �'� �4�� tY"r. ""moi i'�.a�7 �`:•'i ��i'+'t•• �:4tf/��; ,fan �•y�r;�. ��.��-Ti��..(V!`,�f;i. '��W'!{ v �., y fon Si L.ys� r� �''�a ilgN.761 J1I6.�nc ,.,.t[dd -i �'y♦ ..� y,��� �. .•.r��:�i.. w.'.t�f�c�i, .. �._. ...,A"tlL.. ..�y�..�SV�h'....��1�"1'Ji.nE:��L'P,.. .�t���y�;�' _ JOB SITE ,Y r K 1114 A��r d div �'��LL LYM1�L� F� „ S + moi" i 1 4i ` ADDRESS �y. t I �A. L �� k A d ru �r '�i�t iit7>tt„1sVAIR 3 r)� `►"., APN I-'.`�i_'10+9MV a J' � �r-4�:20, �:,-x41 •4, �J ++''' 'y[a I.4..-... _:V'.ur,..a..; --, ., .<l'Rrl, _.f .H.?11 ifv: Lt 4�'i�vy} � W'!T`rs. Ate: i4 �:J.MaWf!':-'�.."� OWNER Y-5 <✓ s` p.� ��. -r'��r ,�.� •.iis "G xk_ ""t,ii+., tl..' -�{p�_. 4' CONTRACTOR / DESIGNER /.EN INEER rWf(jt L ';fl' r i,�, A ��,' �! . t -.� , ..n,�.rs`. r k il","'.. Ism `y..�i�l.�JyFyi�,r�:.;x��(°•;;k r/ri�yy'��, yyt��.t^��,,r�ry�`y;+��.,I �� p.'Ia+}'��y�p •'KZ,DEtl.tL�.%iSNLf dR r'l.,.)l'ld'O.iCl1J.�Vd`7 �7M!��/ �••i'3�O.L 1l.C+V I.rl iL.��NAi'. _ ."-55492OPGABLVD. �' •. .CVLS,[-OR .A.I ,fr' S5'920P ABLVD>4 "", r'": '; z 1AQUIN A 'CA, 92253' f r . ('760)564 71 Fib _ '.. USE OF PERMIT• CO2&MCLAL 340 S.F. QU.ATs'DHOIJSl, PUA .FJLVD AT SPANISH UAY • ' . , J. 'CUSTOM CONSTRUCTIc)N $40.OD 3F CANOPY 1,080.00 S0 I>;b_.rDAA113i COSI" OF CONS"rRUCYLON r•. , � h a *56 .00 PMUAN r, EE 9LIM'KARY FEE DEPOSIT 101-000439.318 PLAN CHECK FRE 101-000-439-318 CONSTRUCTION ' FEE 101.000.418.000 1446.Q0 MECHANICAL FEE 101-000-421-000 ELECTRICAL FEE 101.000.420-000 $53 30 PLUMBING FEE 101 -OW-419-000 $4ii g0 CIitACyINCf RE 101-000-42'pero0 > � t STRONG MOTION FEE- COMAS 100-000-241-000 $1I 83 AIT IN PUBLIC PLACES - COMD 701-000-255-000 CIVIC CEN` FR IIU'idD 252-000-440-000 $106 I6 4 STREET FACILDI Y FUND 25510o®�0-0(10 +$490.1n TRANSI'OR'TATIi7N FUND -; 25fl-Oflfl-44fl-000 � b SUB -TOTAL CONOTRUC°I`ION taM YLAN C IRC'TC t x yZ �117�'4 78+ "�, I $200.0 s. r'3 '7Ilk. `i` )TA�ti �'I P'1:?; 617UE I ()fid$1,K04 8� . RECEIPT - DATE vBy = DATE FINALED, •: -; �� •I �:� INSPECTOR 1X•n;aSv1 .I• �•t%a:'.i" .itt� i`�; hr�,5:'-�`a.:� '�. INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Q Drywall - Int. Lath Final Final . POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground PIN. Test Final I I Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final ing Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Go All Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: I Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low VoRage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) 3L Building 5� I Address Mailing �(''r Address) b, tAD Icy,/ Zip Tel. 1 - 1 6005 W en(zAvt Ta PR-�►.?a� s �3 t oo P.O. BOX 1504 APPLICATION ONLY 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE'CONST. OCC. GRP. A.P. Number Legal Description�- Project Description(�f-\ City' IZip ITel. I f -.I A _-7ICZ-7 State Lic.I City & Classif. �''�� Lic. # Arch., Engr., Designer Address Tel. CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5.Business and Professions .Code: Any city or county which requires a permit to construct• alter. improve, demolish, or repair any Structure, prior to its Issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees• provided that such improvements are not intended or offered for sale. If, however, the building orimprovement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) Il I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044; Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 17 I am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that Ihave a certificate of consent to self -insure, or a certificate of, Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company C7 Copy is filed with the city. 0 Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) 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. Date Owner NOTICE TO APPLICANT., Il, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 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 city to enter the above- mentioned property for inspection purposes. Signature of a0plicant Date Mailing Address City, State, Zip Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ 1 77r 3 x Syo = y/, 7y`2 - 10,Y12 2 10,Y0 7 Itimated Valuation 0 / , oO 106,00 10 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal • Const. Mech. Electrical , 30 Plumbing Y41 d S.M.I. Grading Driveway Enc. T� — 282.15 TOTAL REMARKS ZONE: B . Minimum Setback Distance Front Se ent Rear Setback from Rear Prop. Line Side Street Setback from Center Line ' Side Setback from Property Line FINAL DATE INSPECTOR r•i +� f,l f r , Issued'by,. ,' ° • + Date Permit Validated by: Validation:. - WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION �tye'd s 2�0 000 YIlo 000 ZP- Doo �va 000 00 Zss Don "o 0 SCA Pick F� 16, z9 603-�� 2 IF Certificate -of Occupancy City of La Quinta De= arnent OF- Bu►ld�ng. an,d Safety ,p R e This :Certificate issued pursuant to, the; requirements of Section '109 of the., Uniform Building.. Code;,. certifying =dng the time ofissuance,. this structure .wasin- compliance with the°various ordinances oftheme -Citbui/ding construction or use. For the fol%wing: 'BUILDING ADDRESS: 56-1,44 PGA BOULEVARD Use Classification: COMMERCIAL Bldg.. Permit -No.: 0005-366. - 'Occupancy Group: B Type of,,Const ruction: VN Land Use Zone:-' RL-•. Owner of' Building: KSL DEVELOPMENT CORP Building. Official Address: 55-920:.PGA BLVD City: LA QUINTA, CA., -92253 By: DANIEL- P. CRAWFORD JR. Date: 11/28/2000 POST IN A CONSPICUOUS PLACE Coachella Valley Unified School District P.O. Box 8479 Thermal, CA 92274 (760) 399-5137, Ext. 235. This Box For District Use Only CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Date: June 1, 2000 Owner's Name: KSL Development Phone No. 564-8000 Project Address: 55-920 PGA Blvd.. La Quinta, CA 92253 Project Description: Guardhouse _ APN: 775 390 q3$ Type of Development: Residential Tract #• Lot #'s: Commercial XX Total Square Feet'of Building Area: 540 .Sq. Ft. Industrial . Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated:--_- � — I - V V Signature: SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov...Code Project 17620 65995 Approval Number of Sq.Ft. 540 Amount per Sq.Ft. $ .33 Amount Collected $ 1,78.20 Building Permit Application Completed: Yes/No Agreement Existing Prior to 1/1/87 Note: By: Foch "Tut'.' Pensis. Assistant Superintendent Administrative Services Administrator in Charge Certificate issued by: Marcela Valdez Signature: aci ities'Clerk Not Subject to Fee Requirement Section 66020 of the Government Code asserted by Assembly. -Bill 3081, effective January 1, 1997, requires that this District provide f) a written notice to the project appellant, at the time of,payment of school fees; mitigation'payment or other exactions ("Fees"), of th`e, 90 -day period to protest the imposition of these Fees and (2) the amount of the fees, Therefore, in'accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the`.payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to. issuance of a Certificate of Occupancy.. As in the latter, the 96 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) clays from the date of issuance. Extension will be granted only. for good cause, as determined by the School District, and up to three (3) such extensions may be granted. ;"At such time as this Certificate expires, it a building permit has not been issued for the project that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance. Rev. 09/27/99 DEVELOPER FEES PAID AREA: AMOUNT: RCPT p: CK M CASH: MITIALS: DATE: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Date: June 1, 2000 Owner's Name: KSL Development Phone No. 564-8000 Project Address: 55-920 PGA Blvd.. La Quinta, CA 92253 Project Description: Guardhouse _ APN: 775 390 q3$ Type of Development: Residential Tract #• Lot #'s: Commercial XX Total Square Feet'of Building Area: 540 .Sq. Ft. Industrial . Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated:--_- � — I - V V Signature: SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov...Code Project 17620 65995 Approval Number of Sq.Ft. 540 Amount per Sq.Ft. $ .33 Amount Collected $ 1,78.20 Building Permit Application Completed: Yes/No Agreement Existing Prior to 1/1/87 Note: By: Foch "Tut'.' Pensis. Assistant Superintendent Administrative Services Administrator in Charge Certificate issued by: Marcela Valdez Signature: aci ities'Clerk Not Subject to Fee Requirement Section 66020 of the Government Code asserted by Assembly. -Bill 3081, effective January 1, 1997, requires that this District provide f) a written notice to the project appellant, at the time of,payment of school fees; mitigation'payment or other exactions ("Fees"), of th`e, 90 -day period to protest the imposition of these Fees and (2) the amount of the fees, Therefore, in'accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the`.payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to. issuance of a Certificate of Occupancy.. As in the latter, the 96 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) clays from the date of issuance. Extension will be granted only. for good cause, as determined by the School District, and up to three (3) such extensions may be granted. ;"At such time as this Certificate expires, it a building permit has not been issued for the project that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance. Rev. 09/27/99 City'of'La Quinta Developers Project Approval Form SU Prior to the issuance of Building Permits for the project listed below, the following Departmental clearances must be obtained. Please return this form to the Building and Safety Department only after approval. Contact applicant for resolution of conditions preventing or delaying approval. Project: 56-144 PGA Boulevard Gate House III @ 56-144 PGA Boulevard Applicant Contact: KSL Development Corp., 564-7166 Applicatio' culation Date: `. Community Development Department y7v -�i'6c Christine Di Iorio, Planning Manager Public Works Department Steve Speer, Senior Engineer Building and Safety Department Mark Harold, Building and Safety Department Manager Health Department Fire Department Schools Fees Paid Date Date Date Date &' S Date Date Date Larry Benson Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning 4. Beaumont 4. Calimesa 4 - Canyon Lake e. - Coachella 4. Desert Hot Springs 4. Indian Wells .v Indio Lake Elsinore La Quinta Moreno Valley Palm Desert Perris Rancho Mirage San Jacinto Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, District 2 Jim Venable, District 3 Roy Wilson, District 4 Tom Mullen, 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) 94045EM • Fax (909) 940.6910 June 6, 2000 To: Forrest K. Haag, ASLA, Inc. 250 Newport Center Drive, Suite 104 Newport Beach, CA 92660 Re: Building Plan Review PGA West Gate House 3 Fire Department personnel have completed a review of the plans you submitted for the above referenced project. Please be advised the following conditions apply as a part of the conditions for the issuance of a building permit. 1) The Fire Department is required to set a minimum fire flow for the remodel or construction of all commercial buildings using the procedure established in the Uniform Fire Code. A fire flow of 1,500 gpm for a 2 hour duration at 20 psi residual operating pressure must be available before any combustible material is placed on the job site. 2) The required fire flow shall be available from a (Standard/Super) hydrant(s) (6"x 4" x 21/2" x 21/2") located not less than 25' or more than 165' from any portion of the building(s) as measured along approved vehicular travel ways. 3) Install Knox key operated switches, series KS -2P with dust cover, mounted per recommended standard of the Knox Company. Special forms are available from this office for the ordering of the Key Switch. This form must be authorized and signed by this office for the correctly coded system to be purchased. 4) Operation of the Knox key switch shall simultaneously open and control the gates for both directions of travel. Gates shall have either a secondary power supply or an approved manual means to release mechanical control of the gate in the event of loss of primary power. . 5) Install portable fire extinguisher's per NFPA, Pamphlet #10, but not less than 2A10BC in rating. Contact certified extinguisher company for proper placement of equipment. Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy. Applicantlinstaller shall be responsible to contact the Fire Department to schedule inspections. Requests for inspections are to be made at least 24 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, FRANK KAWASAKI Chief Fire Department Planner By Walter Brandes Fire Safety Specialist EMERGENCY SERVICES DIVISION - PLANNING SECTION - INDIO OFFICE 82.675 highway 111, 2°d Fl., Indio, CA 92201 -(760)863-8886 -Fax(760)863-7072 PGA WEST: GATE MOUSE 3 din Reiii6d: ,05/16100 FOUNDATION ENERGY -Pkwy- 27660..Marguerite ­,—Suitb.:_,124- Mi' si-oh"Vi.dip, -C-X92692 (949)t.�548-2414 PERFORMANCE CERTIFICATE OF COMPLIANCE Part 1 of 3 PERF -1 PROJECT NAMEDATE PGA West Gate House 3 05/16/2000 PROJECT ADDRESS:_ PGA Blvd. and Spanish Way La Quinta PRINCIPAL DESIGNER -ENVELOPE TELEPHONE �ulding P earn Mr. Frank Stolz, A.I.A. ME - DOCUMENTATION AUTHOR TELEPHONE Ch— ecked3by D Foundation Energy (949) 348-2414 Enforcement TAgency Use GENERAL INFORMATION is Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 rand DATE OF PLANS CUMENTATION AUTHOR DA E BUILDING CONDITIONED FLOOR AREA 540 sq.Ft. CLIMATE ZONE 15 BUILDING TYPE [� NONRESIDENTIAL HIGH RISE RESIDENTIAL HOTEL/MOTEL GUEST ROOM PHASE OF CONSTRUCTION ® NEW CONSTRUCTION ADDITION ❑ ALTERATION Ej EXISTING + ADDITION ATEMENT OF COMPLIANCE is Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 rand 6, of the State Building Code. This certificate applies only to a Building using the rtormance compliance appy ach. CUMENTATION AUTHOR DA E Benito Ramirez & The Principal Designers hereby certify that the proposed building design represente the construction documents nd modelled for this permit application are consistent with all other forms and worksheets, specifications, and other calculations submitted with this permit application. The proposed building as designed meets the energy efficiency requirements of.the State Building Code, Title 24, Part 6. ENV. LTG. MECH. ❑ 1. 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 as a civil engineer, mechanical engineer, electrical engineer or architect. 2. 1 affirm that I am eligible. under the exemption to Division 3 of the Business and Professions Code by Section 5537.2 of the Business and.Professions Code to sign this document as the person responsible for its preparation; and that I am a licensed contractor preparing documents for work that I have contracted to perform. 3. 1 affirm that I am eligible under the exemption to.Division 3 of the Business and Professions Code by Section of the Code to sign this document as the person responsible for its preparation; and for the following reason: ENVELOPE COMPLIANCE. Indicate location on plans of Note Block for Mandatory Measures - ly Required Forms PRINCIPAL ENVELOPE DESIGNER - NAME SIGNATUR LIC. NO. DATE Mr. Frank Stolz A.I.A. LIGHTING COMPLIANCE Indicate location on plans of Note Block for Mandatory Measure/ -s Required Forms PRINCIPAL LIGHTING DESIGNER -NAME SIGNATURELIC. NO. DATE A.I.A. Mr. Frank Stolz 26L niL ¢o9 S%uV MECHANICAL COMPLIANCE Indicate location on plans of Note Block for Mandatory Measures -C - MECH-2 MECH-3 Required Forms PRINCIPAL MECHANICAL DESIGNER - NAME SIGNATURE LIC. NO. I DATE Mr. Frank Stolz A.I.A. I .a gjr-40 � uawawn. un�.. v.n IW.%FW WO.UU.JV- RUII VUUU. .7G/04.7LL40 EnergyPro 2.0 By,EnergySoft User Number: 3412 Job Number: HAAGPGA3 Pagel of 13 PERFORMANCE CERTIFICATE OF COMPLIANCE Part 2 of 3 PERF -1 DATE PGA West Gate:House•3 05/16/2000 ANNUAL SOURCE ENERGY'U.SE SUMMARY kBtu/s ft= 'r ENERGY COMPONENT Standard Design Proposed Design Compliarice Margin._staeaara Space Heating Space Cooling Indoor Fans Heat Rejection Pumps Domestic Hot Water Lighting Receptacle Process TOTALS- 2.78 4:44 -1.67 ,. 118.33 97.78 20.56 61.11 59.44. 1.67' - 0.00 0.00 0.00 0.00 0.00 0.00. 5.56 5.56 0.00 35.56 37.78 -2.22. 22.78 22.78 0.00 " �? o.o0 0.00 0.00 246.11 227.78 18.33 BUILDINGZOMPLIES GENERAL INFORMATION Building Orientation (Northwest) 315 deg Conditioned Fbor Area 540 sgR Number of Stories 1 Unconditioned Floor Area 0 sgft Number of Systems 1 Conditioned Footprnt Area 540 sqft. Number of Zones 1 Orientation Gross Area Gbzing Area Glazing Ratio Front Elevation (Northwest) 200 soft. 25 sgft. 12.5% Left Elevation (Northeast) 360 scfL 96 sgft. 26.7% Rear Elevation (southeast) 200 sc- t. 44 sgft. 22.0% Right Elevation (southwest) 360 scft. 601 sgft. 16.70% Total 1,120 scft. 225 sgft 20.1 Roof Sao soft. OsgfL Standard Propo _led Lighting Power Density 1.200 w/sgft. 1.289 nusgft. Prescriptive Env. Heat Loss 268 271 Prescriptive Env. Heat Gain 14,738 1.4,912 Remarks: Run Initiation Time:. 05/16/00.08:60-- 36Run Code: 958492236 EnergyPro 2.0 By Energysoft User Number. 3412 Job Number: HAAGPGA3 Page:2 of 13 f 1PERFORMANCE-CERTIFICATE, OF COMPLIANCE Part 3 of 3 PERF IJ PROJECT NAME DATE PGA West Gate House 3 05/16/2000 ZONE INFORMATION Area LPD :CfedRs( L"PDQ VeM' Loads System Name Zone Name Occupancy Type (sgft.) (W/sf)1 T(W—C!H (1NJ 33 ,1 Sf)t:.(Wls Office Mech System Zone Surfaces Comp Bldg Office 540 1.289 .. 1 :..N Notes: 1. See LTG -1 (items marked with asterisk, see LTG -2 by others) 2. See LTG -3 3. See LTG -4 11tems ebo�e uue pe iadocumen�Eanon EXCEPTIONAL''CONDITIONS COMP.LIAN ' E.0 EECKLIST, The local enforcement agency 'should pay -.special attention; to the Rams specked 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 justification, and may reject a building or design that otherwise complies based on the adequacy of the special 'u and documentation submitted. I Plan I Field 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 'Run Initiation Time: 05M6/00 08:50:36 Run.Code: 958492236 I EneravPro 2.0 By EnergySoft User Number: 3412 Job Number: HAAGPGA3 Page:3 of 13 ENVELOPE COMPLIANCE SUMMARY Performance ENV -1 PROJECT NAME DATE PGA West,,Gate House 3 05/16/2000 OPAQUE SURFACES Solar Surface Framing Act. Gains M T...... T.,.... A...... 11-1/01 A,.« T:14 it Iypa IYpw FUCo ••-•a•• P%Llll. illy rorm'J meyerenue LOGdiIUn / %_U1I1r11C11W 1 Wall Wood 300 0.081 225 �90 X I JR-13MW, .13.2x4.16 Zone Surfaces 2 Roof Wood 540 f 0.051 • 0 22 X I,,R-19 Roof. R:19:2A.1 6 Zone Surfaces 3 Wall Wood 156 0.081 135 90 X n R-13 Wall % .13.224.16 Zone Surfaces 4 Wall Wood 175 0.081 315 90 R-13 Wall ;, .13.2x4:16 Zone Surfaces 5 Wall Wood 264 0.081 45 90 X I R-13 Wall - .13:2x4.16 'Zone Surfaces FENESTRATION SURFACES # Type Act. Area U -Val. Azm.- SHGC Glazing -Type Location / Comments 1 Window 20 0.850 225 0.70 Double Mtl Uncoated•Defauft Zone Surfaces 2 Window 28 0.710 225 0.63 Mtl Thermal Brk Unctd Default. Zone Surfaces 3 Window 12 . '0.710 •225 0.63 WThermal Brk Unctd'Default Zone Surfaces 4 Window 24 0.710 1 135 0.63 Mtl Thermal Brk Unctd Default one Surfaces 5 Window 20 0.710 1 135 0.63 Mtl Thermal Brk Undid Default one Surfaces 6 Window 25 0.710 315 0.63. Mtl.Thermal Brk..Unctd Default one Surfaces 7 Window 40 0.850 45 0.70 Double''Mtl'Uncoated Defauft one Surfaces lone 8 Window .20 0.850 ' 45 0.70 TDouble Mtl Uncoated.Defauft r one Surfaces 9 Window 20 0.710 45 0.63 Mor Thermal Brk Unctd Default . one Surfaces 10 Window 16 0:710 45 0.63 Mtl Thermal Brk;Unctd Default Surfaces EXTERIOR, SHADING ## Exterior Shade Type SHGC WindoW Hgt. Wd. Overh'ang.' `teft Fin Right Fin Len. Hgt. LExt.REzt. Dist:aen. Hgl. Dist. Len. Hgj. 1 None 0.76' 6.7 3.0 7.0 0.1 7.0 7.0 2 None 0.76 3 None 0.76 4.0 3.0 7.0 0.1 7.0 7.0 4 None 0.76 5 1 None 0.76 1 4.0 5:0 1.5 0.1 1.5 1.5 6 None • 0.76 7 None 0.76 6.7 6.0 7.0 0.1 7.0 7.0 8 None 0.76 9 None 0.76' 10 None 0.76 4.0 4.0 7.0 0.1 7.0 7.0 unl iti tion` i e• 05/16/00'08:50:36-, RLun Code: 958492236 EnergyPro 2.0 By EnergySoft User Number: 3412 • Job Number: HAAGPGA3 Page:4 of 13 LIGHTING COMPLIANCE 'SUM -MARY Performance LTG -1 PROJECT NAME PGA West Gate House 3 DATE 05/16/2000 INSTALLED=LIGHTING . SCHEDULE .. . LAMPS BALLASTS Luminaire + Ballast) Code LUMINAIRE DESCRIPTION DESCRIPTION # Pew Lamp DESCRIPTION # (Lamp # Watts Total Watts 4 4 ft Fluorescent T8' Elec F32T8 4 32 Electronic 2.0 4 124.0 496 100w Recessed Incandescent 100W 100 No Ballast 2 100.0 200 Page Total 696 Building Total 696 Less Control Credit Watts (From LTG -3) 0 Adjusted Actual Watts 696 MANDATORY AUTOMATIC CONTROLS CONTROL TYPE (Auto Time Switch, Exterior, etc.) SPACE CONTROLLEDFIELD �NO� ATE TO CONTROL LOCATION (Room #) CONTROL . IDENTIFICATION CONTROLS FOR CREDIT ` a. CONTROL LOCATION (Room # or Dwg. #) CONTROL IDENTIFICATION CONTROL TYPE.. (Occupant, Daylight, Dimmeng, etc.)' LUMINAIRES CONTROLLED NOTE TO.' FIS ELD TYPE # OF LUMINAIRES NOTES TO FIELD- ForMildirti :De artment Use.Onl -- rr.. Y~ - Run Initiation Time::: -'06/16700'08 60'.36; 1166 -Code:. 958492236 EnergyPro 2.0 By EnergySoft Usei Number: 3412 Job Number.` NAAGPGA3 Page:5 of 13 CERTIFICATE OF COMPLIANCE Performance MECH-1 MECHANICAL_ EQUIPMENT SUMMARY Part 1 of 2 MECH-2 PROJECT NAME PGA West Gate Hous1"'05/16/2000 e 3 CHILLER AND TOWER SUMMARY.: Efficiency Tons PUMPS Equipment Name Equipment Type —[Qtyf Tot. . Qty GPM BHP Motor Eff. Drive Eff. Pump Control QHW/ BOILER SUMMARY EEnFactor Standby Loss or Pilot TANKINSUL. System Name System Type Distribution Type Rated Input (Galsency Vol.overy Ext. R-Val. O SMITH ELS-1 Instant Elec Standard 1 2,730 1 0.98 n/a n/a CENTRAL SYSTEM RATINGS HEATING COOLING System Name System T Out ut Aux. Aux. Eff. Output Sensible Efficienc Economizer Type CARRIER 38YCC0486" Split Heat Pump 1 47,000 0.0 6.8 HSPF 461000 32,20010.0 SEER 18.7 EER No Economizer MECHANICAL EQUIPMENT SUMMARY Part 2 of 2 MECH-2 PROJECT NAMEDAT PGA West Gate House 3 5/16/2000 ZONE TERMINAL SUMMARY VA V TERMINAL•BOX TERMINAL FAN BASEBOARD Zone Name System T Min. CFM Ratio . Reheat Coil Flow Ratio CFM BHP Motor Eff. Drive Eff. Type output Type DeltaT EXHAUST FAN SUMMARY Room Name Qty. CFM BHP Motor Eff: Drive Eff. Room Name Qty. CFM BHP Motor Eff. Drive Eff. Run Initiation Time: 05/16/00 08:50:36 Run Code: 958492236 EnergyPro 2.0 By EnergySoft User Number: 3412 Job Number: HAAGPGA3 Page:8 of 13 MECHANICAL VENTILATION MECH-3 PROJECT NAME DATE PGA West Gate House 3 05/16/2000 MECHANICAL VENTILATION FA a o o© a M o 0 EnergyPro 2.0 By EnergySof User Number: 3412' Job Number. HA GPGA3 Page:9 of 13 AREA BASIS OCCUPANCY BASIS 7REQ'13 , O.A. (MAX OF D OR G) DESIGN OUTDOOF AIR CFM VAV MIN. RATIO RANS- FER AIR ZONE/SYSTEM COND. AREA (SF):. CFM'.,"`.CFM •PER SF MIN. (B z C). , . • NO. OF. PEOPLE CFM PER PERSON >MIN: CFM' (ExF) Zone Surfaces 540 0.15 81 81 81 Office Mech System Total 81 81 C E I K Minimum Ventilation Rate per Section 121, Table 1'-F. Based on Expected Number of Occupants or at least 50% of Chapter. 16 1994 UBC Occupant Density. Must be greater than or equal to. H, or use Transfer Air. Design Outdoor Air CFM includes ventilation from Supply Air System & Room Exhaust Fan Must be greater than or equal jo (H.minus 1). EnergyPro 2.0 By EnergySof User Number: 3412' Job Number. HA GPGA3 Page:9 of 13 ENVELOPE. MANDATORY MEASURES ENV -MM PROJECT NAME (DATE PGA West Gate House 3 05/16/2000 DESCRIPTION Designer Enforcement § 118(.) 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. F § 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. F§ 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. § 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). Nil 1A I § 116(a)l Manufactured Doors and Windows installed shall have air infiltration rates not exceeding those shown in Table Number 1-E. of the Standards. Manufactured fenestration products must be labeled for U -value according to NFRC procedures. F § 118(e) Demising Walls in Nonresidential Buildings: The opaque portions of framed demising walls in nonresidential buildings shall have insulation with an installed R -value of no less than R-11 between framing members. EnergyPro 2.0 By EnergySoft User Number: 3412 Job Number: HAAGPGA3 Page: 10 of 13 LIGHTING MANDATORY MEASURES' LTG -MM PROJECT NAME I DATE PGA West Gate House 3 05/16/2000 DESCRIPTION Designer Enforcement F § 131(d)1 Building Lighting Shutoff: The building lighting shutoff system consists of an automatic time switch, with a lone for each floor; or the, building is separately metered and less than 5,000 square feet; exempt -from the shut-off 'requirement. ❑ § 131 (d)2 Override for Building Lighting Shutoff: The automatic building shutoff system is provided with a manual, accessible overrideswitch insight of the lights. The area of override is not to exceed 5,000 square feet: § 119(h) Automatic Control Devices Certified: All automatic control devices specified are certified, all alternate equipment shall be certified and installed as directed by the manufacturer. X❑ 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. ❑ § 132 Tandem Wiring for One and Threetamp Fluorescent Fixtures: All one and three lamp fluorescent fixtures are tandem wired with two lamp ,ballasts where required by Standards Section 132; or all three -lamp fluorescent fixtures are specked with electronic high -frequency ballasts and are exempt from tandem wiring requirements. § 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 floor -to - ceiling walls. § 131(b) Uniform Reduction for Individual Rooms: All•roorns and areas greater than 100 square feet and more than 1.0 watts per. squire .foot of lighting load shall be controlled with bi-level switching for uniform reductio'n•of lighting within the room. 0 § 131(x) Daylight Area Control: All rooms with windows and skylights that are greater than 250 square feet and that allow for the effective use ;ofdaylight 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. 0 § 131(f) Control of Exterior Lights:, Exterior mounted fixtures served from the electrical panel inside the building are controlled with -a directional photo cell control on the roof and a corresponding relay in the electrical panel. F § 131(e) Display Lighting. Display lighting shall be separately switched on circuits that are 20 amps or less. EnergyPro 2.0 By EnergySoft User Number: 3412 Job Number: HAAGPGA3 Page: 11 of 13 MECHANICAL MANDATORY` MEAsuRES Part 1 of 2 MECH-MM- PROJECT NAME DATE PGA West Gate House 3 05/16/2000 DESCRIPTION Designer Enforcement Equipment and Systems Efficiencies §111 Any appliance for which there is a California;standard established in the Appliance Efficiency Regulations will comply with the applicable standard. § 115(a) Fan type central furnaces shall not have a pilot light. § 123 Piping, except that conveying fluids at temperatures between 60 and 105 degrees Fahrenheit, or within HVAC equipment; shall be insulated in accordance with Standards Section 123. § 124 Air handling duct systems shall be installed and insulated -in compliance with Sections 601, 603 and 604 of the Uniform Mechanical' Code. Controls § 1Y2(e) Each space conditioning system shall be installed with one of the following: § 122(e)1A Each space condi tioning'-system serving building types such as""offices and manufacturing facilities (and all others not explicitly exempt from -the requirements of Section 112 (d)).shall be installed with'an automatic time switch with an accessible manual override, that allows operation of the system during off -hours for up to 4 hours. The time switch shall be capable.of programming different schedules for weekdays and weekends"incorporate :an automatic;holiday "shut- off' feature that furns off all•loads'for at least 24 hours, then resumes the normally scheduled operation; and has program backup capabilities that.prevent the loss of the device's program and time setting for at least 10 hours if power is interrupted; or § 122(e)1B An occupancy sensor to control the operating period of the,system; or § 122(e)1 C A 4 -hour timer that can be manually operated to control the operating period of the system. § 122(e)2 Each space conditioning system shall be installed with controls that temporarily restart and tem porarily,operate the system as required to maintain a setback heating and/or a setup cooling thermostat setpoint. § 122(g) Each space conditioning system serving multiple zones with a combined conditioned floor area more than 25,000 square feet shall be provided with isolation zones. Each zone: shall not exceed 25,000`square feet; shall be provided with isolation devices, such as valves or dampers;'that allow the supply of heating or cooling to be setback or shut off independently of other isolation. areas; and shall be controlled by a time control device as described above. 0 § 122(a&b) Each space conditioning system shall be control led,by an individual thermostat that responds to temperature -within the zone.. Where used to control heating, the control shall be adjustable down to 55 degrees F or lower. For cooling, the;control shall be adjustable up to 85 degrees F orhigher. Where'used for both heating and cooling, the control 'shall be capable of providinga dedband of at least 5 degrees F within which the supply of heating and cooling is shut off or reduced to a minimum. rXI § 122(c) Thermostats shall have numeric setpoints in degrees Fahrenheit (F) and adjustable setpoint stops accessible; onlyto authorized.personhel. § 112(b) Heat pumps shall be installed with controls to,prevent electric resistance supplementary heater operation when the heating load,can be met by the heat pump alone. EnergyPro 2.0 By EnergySoft User Number. 3412 Job Number. HAAGPGA3 Page: 12 of 13 MECHANICAL MANDATORY..MEASURES Part 2 of 2 MECH-MM PROJECT NAME DATE PGA West Gate House 3 1 05/16/2000 Description Designer Enforcement Ventilation r§ 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. X] § 1220 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. ❑ § 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)l 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(f)3 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 pumps) when hot water is not required. ❑ § 113(b)3B Lavatories in restrooms of public facilities shall be,equipped with controls to limit the outlet temperature to 110 degrees F. § 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 gallons/cycle (foot'switches and proximity sensor controls). EnergyPro 2.0 By EnergySoft User Number. 3412 Job Number. HAAGPGA3 Page: 13 of 13