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11-0694 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00000694 �-Property Address:= 60750'.TRILOGY PKWY .APN: 764-270-999-135 -300231- Application description: REMODEL - COMMERCIAL Property Zoning: MEDIUM HIGH DENSITY RES; .Application valuation: 71100 Applicant: G:Wz*sc=ti . c&ht, 4 rw BUILDING &.SAFETY DEPARTMENT BUILDING PERMIT Archkect or Engin'eef: = ReA c l� zip Owner: SHEA LA QUINTA 60800 TRILOGY PARKWAY ILA QUINTA, CA -92253 D � 2 2011 Contractor: RR BUILDERS . t4= �I.IyOF�,pQUINT�► 9301 BADGER, SUITE #300 FIWNrtYEPT ALM DESERT, CA 92211 (760)360.-6632 Lic. No.: 693077 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 o e' usme clt_ofessio Code, and my License is in full force and effect. License Class: B Licens o.: 693077 Date: ✓ Contractor OWNER -B ILDER DECL RATION I hereby affirm under penalty of perjury that I am exempt rom the Contr ctor's State License Law for the following reason (Sec. 7031 .5, Business and Professions de: Any cit or county that requires a permit to construct, alter, improve, demolish, or repair any'structure, pri suance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the proyisions 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 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.). (_) 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.). I 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: LQPETVMIT VOICE (760) 777-7012. FAX (760) 777-7011 INSPECTIONS (760).777-7153 Date: 8/30/11 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: - I have and will maintain a certificate of consent to self -insure for workers'compensation,'as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 1960920-2011 _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree ould become subject to the workers' compensation provisions of Section � 3700ofthe Labor Code, sha y of�rth-w"iittftVomply with those provisions. Date: �/ Gr - Applicant: ` 4 WARNING: FAILURE TO SECURE WORKERS' OMPENSATI COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO TH OST OF COMP SATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTERES ATTO EY'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 tha bove information is correct. I agree to comply with all. city and county ordinances and state laws relat g to building cc s uctio - ereby authorize representatives ofthis cou ty to enter on the above-mentioned property for inspe n purpose oe /}� Date: /�V Signature (Applicant or Agent): Application Number 11-00000694• Structure Information Construction Type TYPE V, UNPROTECTED Occupancy Type . . . ... . ASSY BLDG <300 NO STAGE Other struct info . . . . CODE EDITION 2010 FIRE SPRINKLERS yes OCCUPANT LOAD 35.00 ------------------7------7--------------------------------------°------------ 1ST FLOOR SQUARE FOOTAGE 900.00 Permit . . . BUILDING PERMIT Additional-desc . Permit Fee . . . . "513.50 Plan Check Fee 333.78 Issue Date Valuation, ': 71100 Expiration Date .2/26/12 Qty Unit Charge Per Extension BASE FEE 414.50 22•.00 4.5000 THOU BLDG 50,0017100,000 99.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date Valuation 0 Expiration Date .2/26/12 Qty. Unit Charge Per Extension BASE FEE 15.00 900.00 0200 ELEC GARAGE OR NON-RESIDENTIAL. 18.00 Permit . . . .MECHANICAL Additional desc . Permit Fee . . . . 40.50 Plan Check Fee 10.13 Issue Date . . . . Valuation. . . . . 0 Expiration Date 2/26/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000.EA MECH FURNACE <=100K 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>10'OK-500KBTU 16.50 ----------------------------------------------------------------------------- Special Notes and Comments 900 sf ADDITION TO EXISTING AEROBICS ROOM. TYPE V -B CONSTRUCTION W/ FIRE SPRINKLERS, A-3 OCCUPANCY. 2010 CODES. Other Fees ACCESSIBILITY PLAN REVIEW 66.76 LQPMk1IT Application Number 11-00000694 -------------------------- Other Fees . . . . •. . . ----------------- -- ---------------- BLDG STDS ADMIN (SB1473) 4.00 ENERGY REVIEW FEE 33.38 STRONG MOTION (SMI) - RES 7.11 Fee summary Charged Paid Credited Due Permit Fee Total 587.00 .00 .00 587.00 Plan Check.Total 352.16 .00 .00 352.16 Other Fee Total 111.25 .00 .00 111.25 -Grand Total 1050.41 .00 .00 1050.41 i�_stiA� I']A � t�iwH Bin, # � Ar Qtyof LQ Quinta Building sz Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #,'`` 0A Project Address: (60 I C 'V I Lo&=, Owner's Name: A. P. Number: iO 4- 2nD - O 2 i Address: Legal Description: City, ST, Zip: Contractor: Telephone: hone: Address: Project Description: City, ST, Zip: •. S��C �tr-1�S(, rc3V�•+7 Telephone: .. ....... - State Lic. # : City Lic. Arch., Engr., Designer: -r , G , Address: —� City., ST, Zip:2�� - Telephone: hone: C Lic. 2, Construction n T e: vOan cY• 3 roJe ct tYPe�c p (circle one): New Alter Repair Demo Name of Contact Person: �, ��� U,E� Sq. Ft.: Stories: I I# Units: Telephone # of Contact Person: — -�j�j� 7s Estimated Value of Project: 4mo APPLICANT: DO NOT WRITE BELOW LINE # Submittal Req'd Recd 1T,HIS TRAC �✓ PERMIT FEES Plan Sets a Plan Check submitted Item Amount Structural Calcs. a Reviewed, ready for corrections /01Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Tide 24 Calcs. 2 Plans picked up o . uction Flood plain plan Plans resubmitted II I Mechanical Grading plan 2" Review, ready for correction issue Electrical Subcontactor List Called Contact Person g 3D Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I•P.P. Pub. Wks. Appr Date of permit issue School Fees T tat -Permit Fees %W �f d,44 -c 7 -S -/I •- -7- - Co kAAA t .�' 7/i l II '7-11 - t 1 �L l2 C A Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMM/IND. AMOUNT: DATE: RECEIPT: CHECK #: INITIALS: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Date: September 2, 2011 Owner's Name: Trilogy at La Quinta Maintenance Phone No. 760 360-6632 Project Address: 60-750 Trilogy Parkway, La Quinta, Ca ' Project Description: Addition to Commercial Building — Addition to Existing Aerobics Rm at Sta Rosa APN: 764 390 021 Type of Development: Residential Tract #: Total Square Feet of Building Area: Lot #'s: mmercial XX1 1 Industrial 900 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: Signature: **********************************V*`l * (*� ***** *************** SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEE WI L BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing 17620 65995 Approval Prior to 1/1/87 Note, Number of Sq.Ft. 900 Amount per Sq.Ft. $.47 Amount Collected $423.00 Building Permit Application Completed: Yes/No By: Jamie T. Brown, Asst. Supt., Business Services Certificate issued by: Marcela Valdez, Construction Analyst Signature: 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 (1) a wrltte notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the impgAition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable lav, thiLhLaWc shall serve tc 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 othem 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 thio time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days 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. ?.1\%:c m tic,us't1; ti.'er, tr ili att of ;oml+i.ianc;u lbr n Ilpdated 3-11007 11/2610 PROUDLY SERVING THE UNINCORPORATED AREAS OF RIVERSIDE COUNTY AND THE CITIES OF: BANNING BEAUMONT CALIMESA CANYON LAKE, COACHELLA DESERT HOT SPRINGS EASTVALE INDIAN WELLS INDIO JURUPA VALLEY LAKE ELSINORE LA QUINTA MENIFEE MORENO VALLEY PALM DESERT PERRIS RANCHO MIRAGE RUBIDOUX CSD SAN JACINTO TEMECULA WILDOMAR BOARD OF SUPERVISORS: BOB BUSTER DISTRICT 1 JOHN TAVAGLIONE DISTRICT 2 JEFF STONE DISTRICT 3 JOHN BENOIT DISTRICT 4 MARION ASHLEY DISTRICT 5 RIVERSIDE COUNW FtRE DEPARTMEW IN COOPERATION WITH THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION John R. Hawkins - Fire Chief 210 West San Jacinto Avenue — Perris, CA 92570 (951) 940-6900 — www.rvcfire.org July 12, 2011 RE: BUILDING PLAN CHECK -Non Structural LAQ-1 I -BP -019 Trilogy — Aerobics Ro60-750 Trilogy Pakwy La Quinta, CA You have been issued a release for a tenant improvement on an existing building. THIS ISNOT AN OCCUPANCY PERMIT. It is prohibited to use/process or store any materials in this occupancy that would classify it as an "H" occupancy per Sec. 307 of the 2010 CBC. THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION: Install door hardware and exit signs as per Chapter 10 of the 2010 CBC. All breakers must be labeled and a clearance of 36 inches must be maintained around the panel at all times. An approvedaudible interior notification alarm device shall be provided in approved location. Air handling systems supplying air in excess of 2000 cubic feet per minute to enclosed spaces within buildings shall be equipped with an automatic shutoff. A C-10 licensed contractor must submit plans, designed in accordance with NFPA 72 to the Fire Department for review and approval prior to installation A durable sign stating "This door to remain unlocked during business hours" shall be placed on or adjacent to the front exit door. The sign shall be in letters not less than one inch high on a contrasting background. As may be necessary to maintain proper fire sprinkler protection due to constructions changes, fire sprinkler system plans for the tenant improvement area may be required to be submitted to the Fire Department for review. Applicant/installer shall be responsible to contact the Fire Department to schedule inspections. A re -inspection fee will be required if more than one (1) inspection is necessary. Requests for inspections are to be made at least 72 hours in advance and may be arranged by calling (760) 863-8886. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering Staff at (760) 863-8886. Sincerely, By: Jason Stubble Fire Safety Specialist 4 P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT 78-495 CALLS TAMPICO (760) 777-7012 LA QUINTA, CALIFORNIA 92M FAX (760) 777-7011 ` n �i To: Greg Butler, Building & Safety Director From: Les Johnson, Planning -Director Permit #: 11-694-695 To PD: August 11, 2011 Due Date: Auqust 17, 2011 Status: 2nd Building, Plans Approval (This is an approval to issue a Building Permit) The Planning Department has reviewed the Building Plans for the following project: Description: Aerobics (Trilogy) Address or General Location: 60-750 Trilogy Parkway Applicant Contact: Frank Rodriquez (760)779-5393 The Planning Department finds that: ❑ ...these Building Plans do not require Planning Department approval. 8 ...these Building Plans are approved by the Planning Department. ❑ ...these Building Plans require corrections. Please forward a copy of the attached corrections to the, applicant. When the corrections are made Please return them to the Planning Department for review. r. 4A Les John�o)'1, Director -Planning v re (S�Ve AUG 12 2011 . City of La ointa Nanning D15POsfinent ��► Date 3 J� ' BUILDING ENERGY ANALYSIS REPORT PROJECT: Trilogy Golf Club -Aerobics & Storage 60NO Trilogy Parkway Luinta, CA 92253 Project Designer: PrestVuksic Architects 44-530 San Pablo Ave. Suite200 Palm Desert, Ca 92260 (760) 779-5393 Report Prepared by: Tim Scott Scott Design and Title 24; Inc, 77-085 Michigan Drive Palm Desert, Ca 92211 (760) 200-4780 CITY OF LA QUINTA y BUILDING & SAFETY DEPT x APPROVED FOR CONSTRUCTION. I Job Number: DATE $ Zoll BY7f;i I t ':._....._... Date: - p AUG 11 2011 7/28%2011 The EnergyPro Tputer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by-the;California-Eneommissio for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC — www.energysoft.com. E,=VPro5.1 by EnerovSoR User Number: 6712 Run Code: 2011-07-28T12:59:38 ID v PtRFORMANCE CERTIFICATE OF COMPLIANCE (Part 1 of 3) PERF -1 C Project Name Date )Trilogy Golf Club -Aerobics & Storage 7/28/2011 Project Address Climate Zone Total Cond. Floor Area Addition Floor Area 60800 Trilogy Parkway La Quinta I CA Climate Zone 15 1,405 n/a GENERAL INFORMATION Building Type: m Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room ❑ Relocatable - indicate ❑ specific climate zone ❑ all climates Phase of Construction: ❑ New Construction ❑ Addition ❑ Alteration STATEMENT OF COMPLIANCE This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This certificate applies only to a Building using the performance compliance approach. The documentation author hereby certifies that the documentation is accurate and co fete. Documentation Author Name Tim Scott Signature Company Scott Design and Title 24, Inc, Date 7/28/2011 Address 77-085 Michigan Drive Phone (760) 200-4780 �r City/State/Zip Palm Desert, Ca 92211 la��' NR_ Oa � — � 7CG The Principal Designer hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application. The proposed building has been designed to meet the energy efficiency requirements contained in sections 110, 116 through 118, and 140 through 149 of Title 24, Part 6. Please check one: ENV. LTG. MECH. I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to ❑ ❑ ❑ sign this document as the person responsible for its preparation; and that I am licensed in the State of California as a civil engineer, mechanical engineer, electrical engineer, or I am a licensed architect. I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code by section ❑ ❑ ❑ 5537.2 or 6737.3 to sign this document as the person responsible for its preparation; and that I am a licensed contractor performing this work. I affirm that I am eligible under Division 3 of the Business and Professions Code to sign this document ❑ ❑ ❑ because it pertains to a structure or type of work described as exempt pursuant to Business and Professions Code Sections 5537, 5538 and 6737.1. Principal Envelope Designer Name Prost Vuksic Architects Signature Company Prest Vuksic Architects Date Address 44-530 San Pablo Ave. Suite200 License # City/State/Zip Palm Desert, Ca 92260 Phone 60) 779-5393 Principal Mechanical Designer Name Tim Scott Signature Company Scott Design and Title 24, Inc. Date OQ6 1( Address 77-085 Michigan Drive License # City/State/Zip Palm Desert, Ca 92211 Phone (760) 200-4780 Principal Lighting Designer Name Prest Vuksic Architects Signature Company Prost Vuksic Architects Date Address 44-530 San Pablo Ave. Suite200 License # City/State/Zip Palm Desert, Ca 92260 Phone (760) 779-5393 INSTRUCTIONS TO APPLICANT COMPLIANCE & WORKSHEETS (check box if worksheets are included) m ENV -1 C Certificate of Compliance. Required on plans. m MECH-1 C Certificate of Compliance. Required on plans. m LTG -1C Certificate of Compliance. Required on plans. m MECH-2C Air/Water Side/Service Hot Water & Pool Requirements. m LTG -2C Lighting Controls Credit Worksheet. m MECH-3C Mechanical Ventilation and Reheat. ❑ LTG -3C Indoor Lighting Power Allowance.. m MECH-5C Mechanical Equipment Details. EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2011-07-28712:59:38 ID: Page 3 of 27 PERFORMANCE CERTIFICATE OF COMPLIANCE . (Part 2 Of 3) 'PERF -1 C Project NameDate Trilogy Golf Club -Aerobics & Storage 7/28/2011 ANNUAL TDV ENERGY USE SUMMARY (kBtu/s ft- r) Standard Proposed Compliance Energy Component Design Design Margin ` K Space Heating Space Cooling Indoor Fans Heat Rejection -Pumps & Misc. Domestic Hot Water Lighting Receptacle Process Process' Lighting TOTALS 0.49 1.45 , -0.96 175.85 153.80 22.05 57.15 76.78. -19.63 0.00 _ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00. 59:90 51.99 7.91 43.57 43.57. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 336.96 327.59 9.37 Heating`}'{ Cooling� c zti Fans x' Rx�Vm Heat Re) Pumps DHW r ,Lighting �� � ,Receptacle Process Process Ltg�3 r , Percent better'than Standard 2.8%1 2.8 excluding process) BUILDING COMPLIES GENERAL INFORMATION _Building Orientation (E) 90 deg Conditioned Floor Area 1,405 sqft. Number of Stories 1 Unconditioned Floor Area 0 sqft: Number of Systems ' 2 Conditioned footprint Area. 1,405 sqft. Number of Zones 2 Natural Gas Available On Site Yes Orientation E Gross Area Glazinq Area Glai ing Ratio . Front.. Elevation Left Elevation Rear Elevation Right Elevation Total Roof (E) ; 145 (S) 548 (lA� 221 (N) 780 1,694 906 sqft. sq sqft. sqft. sqft. sqft. 0 96 26 30 151 0 Sgft. 3 sqft. sqft. sqft., sqft. sqft. 0.0% 17.4 11.5 3.8 8.9�% 0. ;Standard Proposed ',Prescriptive Values for Prescriptive Lighting Power Density o.85s W/sgft., 0.43 W/sgft � ,Comparison only: See. Prescriptive Envelope.TDV Energy s5,sss io3,715 i LTG -1 C for allowed LPD. Remarks' Ene Pro 5.1 6 Ene Soft User Number. 6712 Run Code: 2011-07-28712:59:38 ID: Page 4 of 27 P RFORMANCE CERTIFICATE OF COMPLIANCE (Part 3 of 3) PERF -1 C Project Name 'Trilogy Golf Club -Aerobics & Storage Date 7/28/2011 ZONE INFORMATION System Name Zone Name Floor Inst. Area LPD Occupancy Type s ft. W/sf' Ctrl. Allowed LPD Proc. Credits Area Tailored Loads W/sf 2 W/sf 3 W/Sf ° W/sf HVAC - 1 Aerobics Exercise, Gymnasium 900 0.920 HVAC -2 Storage All Others 505 0.535 0.107 Notes: t. See LTG -1C 2. See LTG -2C 3. See LTG -3C 4. See LTG -4C items marked with asterisk, see LTG- t -C by others) (by others Items above require special documentation EXCEPTIONAL CONDITIONS COMPLIANCE CHECKLIST The local enforcement agency should pay special attention to the Items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the adequacy of the justifications, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. The HVAC System HVAC - 1 incorporates HERS verified Duct leakage. Target leakage is calculated and documented on the MECH-4A. 1 The exceptional features listed in this performance approach application have specifically been reviewed. Adequate written justification and documentation for their use have been provided by the applicant. Authorized Signature or Stamp EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2011-07-28T12:59:38 /D: Page 5 of 27 J CERTIFICATE OF COMPLIANCE (Part 1 of 3) ENV -1 C AND FIELD INSPECTION ENERGY CHECKLIST Project Name Trilogy Golf Club -Aerobics & Storage Date 7/28/2011 Project Address 60800 Trilogy Parkway La Quinta Climate Zone 15 Total Cond. Floor Area 1,405 I Addition Floor Area n/a GENERAL INFORMATION Building Type: m Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room ❑ Schools (Public School) ❑ RRiellocatable Public School m Conditioned Spaces ❑ Unconditioned Spaces ❑ Skylight Area for Large Enclosed Space >_ 8000 ft2 (If checked include the ENV -4C with submittal) Phase of Construction: ❑ New Construction ❑ Addition ❑ Alteration Approach of Compliance: ❑ Component m Overall Envelope ❑ Unconditioned (file affidavit) Front Orientation: N, E, S, W or in Degrees: 90 deg FIELD INSPECTION ENERGY CHECKLIST OPAQUE SURFACE DETAILS INSULATION Ta /ID AssemblyType Q c oOE C y W O z V LL D d « cc> U of C O x l0 w> .� O C V4 7 W LL ' 0 0 "O' A 5> O C "O' 7 5 LL � x a d QC 'p a -.)< c o 7 O.O. U N y cc'l6 a LL 1 Roof 900 (N) 0.025 R-38 14.2. 1-A21 New ❑ ❑ 2 Wall 460 (NE) 0.178 R-21 4.3.3-A6 New ❑ ❑ 3 Wall 210 (S) 0.178 R-21 4.3.3-A6 New ❑ ❑ 4 Wall 146 (NM 0.178 R-21 4.3.3-A6 New ❑ ❑ 5 Slab 900 (N) 0.730 None 4.4.7-A1 New ❑ ❑ 6 Roof 6 (N) 0.025 R-38 4.2.1-A21 New ❑ ❑ 7 Wall 290 (N) 0.178 R-21 4.3.3-A6 New ❑ ❑ 8 Wall 145 (E), 0.178 R-21 4.3.3-A6 New ❑ ❑ ❑ ❑ 1. See Instructions in the Nonresidential Compliance Manual, page 3-96. 2. If Fail, then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. A fail does not meet compliance. FENESTRATION SURFACE DETAILS Tag/ID Fenestration Type lC a C 0� a C y 4) UJ 0 2 C V x m LL M M ; M O LL o D cn U xfN 0 7 x o N U) c N > O U) o C" O U N a LL 1 Window 30 (NE) 1 0.510 NFRC 0.460 NFRC ❑ New ❑ ❑ 2 Window 96 (S) 0.510 NFRC 0.460 NFRC ❑ New ❑ ❑ 3 Window 26 (NVIO 0.510 NFRC 0.460 NFRC ❑ New ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1. See Instructions in the Nonresidential Compliance Manual, page 3-96. 2. If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. EnergyPro 5.1 by EnergySoft User Number: 6712 Run Code: 2011-07-28T12:59:38 /D: Page 6 of 27 O C� CERTIFICATE OF COMPLIANCE (Part 1 of 3) ENV -1 C AND FIELD -INSPECTION ENERGY CHECKLIST Project Name Trilogy Golf Club -Aerobics & Storage Date 1 7/28/2011 Project Address 60800 Trilogy Parkway La Quinta Climate Zone 15 Total Cond. Floor Area 1,405 Addition Floor Area n/a GENERAL INFORMATION Building Type: m Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room ❑ Schools (Public School) ❑ RRlellocatable Public School m Conditioned Spaces [3Unconditioned Spaces ❑ Skylight Area for Large Enclosed Space >_ 8000 ft2 (If checked include the ENV -4C with submittal) Phase of Construction: ❑ New Construction ❑ Addition ❑ Alteration Approach of Compliance: ❑ Component m Overall Envelope ❑ Unconditioned (file affidavit) Front Orientation: N, E, S, W or in Degrees: 90 deg FIELD INSPECTION ENERGY CHECKLIST . OPAQUE SURFACE DETAILS INSULATION Ta /ID AssemblyType y Q O CN DL O z ` O �y n d >� W (.0 of 'rm :: O x M w> oS :% I x 7 w U. Cy d O a) > �S d 7 = u- X O ..ami C G O G -5 a 0 v7 C is O ... U cn a N a7 a a7 LL 9 Wall 242 (S) 0.178 R-21 4.3.3-A6 New ❑ ❑ 10 Wall 50 (IM 0.178 R-21 4.3.3-A6 New ❑ ❑ 11 Slab 505 (N) 0.730 None 4.4.7-A1 New ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1. See Instructions in the Nonresidential Compliance Manual, page 3-96. 2. If Fail, then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. A fail does not meet compliance. FENESTRATION SURFACE DETAILS Tag/ID Fenestration Type a C o Y C N 0W O Z o ; x W @ U. M> �, V Az LL o > N2— V = xN o ^ V i a� = o N WO C d > y Y 'O 3 cam- o :9 Urn vyi ca a A LL [3 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1. See Instructions in the Nonresidential Compliance Manual, page 3-96. 2. If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. EnergyPro 5.1 by EnergySoft User Number.' 6712 RunCode: 2011-07-28T12:59:38 /D: Page 7 of 27 CERTIFICATE OF COMPLIANCE (Part 2 of 3) AND FIELD INSPECTION ENERGY CHECKLIST ENV -1 C Project Name Trilogy Golf Club -Aerobics & Storage Date 7/28/2011 ROOFING PRODUCT COOL ROOFS) (Note if the roofing product is not CRRC certified, this compliance approach cannot be used). Go to Overall Envelope Approach or Performance Approach. CHECK APPLICABLE BOX BELOW IF EXEMPT FROM THE ROOFING PRODUCT "COOL ROOF" REQUIREMENTS: Pass Fail' N/A ❑ Roofing compliance not required in Climate Zones 1 and16 with a Low -Sloped. 2:12 pitch or less. ❑ ❑ ❑ ❑ Roofing compliance not required in Climate Zone 1 with a Steep -Sloped with less than 5 Ib/ft2. Greater than 2:12 pitch. ❑ ❑ ❑ ❑ Low -sloped Wood framed roofs in Climate Zones 3 and 5 are exempted, solar reflectance and thermal emittance or SRI that have a U -f actor of 0.039 or lower. See Opaque Surface Details roof assembly, Column H of ENV -2C. ❑ ❑ ❑ ❑ Low -sloped Metal building roofs in Climate Zone 3 and 5 are exempted, solar relectance and thermal emittance or SRI that have a U -factor of 0.048 or lower. See Opaque Surface Details roof assembly below, Column H of ENV -2C. ❑ ❑ ❑ ❑ The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempted. Solar reflectance and thermal emittance or SRI, seespreadsheet calculator at www.energy.cg-.gov/title24/ ❑ ❑ ❑ ❑ Roof constructions that have thermal mass over the roof membrane with a weight of at least 25 Ib/ft are exempt from the Cool Roof criteria below. ❑ ❑ ❑ ❑ High-rise residential buildings and hotels and motels with low -sloped roofs in Climate Zones 1 through 9, 12 and 16 are exempted from the low -sloped roofing criteria. ❑ ❑ ❑ 1. If Fail then.describe on this page of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. CRRC Product ID Number' Roof Slope s 2:12 > 2:12 Product Weight < 5lb/ft2 a 5lb/ft2 Product Type 2 Aged Solar Reflectance Thermal Emmitance SRI5 Pass Fail6 ❑ ❑ ❑ ❑ ❑ 4 ❑ ❑ ❑ ❑ ❑ ❑ ❑ 4 ❑ ❑ ❑ ❑ ❑ ❑ ❑ 4 ❑ ❑ ❑ ❑ ❑ ❑ ❑ 4 ❑ ❑ ❑ ❑ ❑ ❑ ❑ 4 ❑ ❑ ❑ ❑ ❑ ❑ ❑ 4 ❑ ❑ 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroofs.ora/products/search.i)hi) 2. Indicate the type of product is being used for the roof top, i.e. single -ply roof, asphalt roof, metal roof, etc. 3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation (0.2+0.7(pj�j1j.1 — 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance from the Cool Roof Rating Council's. Rated Product Directory. 4. Check box if the Aged Reflectance is a calculated value using the equation above. 5. The SRI value needs to be calculated from a spreadsheet calculator at http://www.eneroy.ca.gov/title24/ 6. If Fail then describe on this page of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(i)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other Discrepancies: EnemyPro 5.1 by EnerqySoft User Number: 6712 RunCode: 2011-07-28712:59:38 /D: Page 8 of 27 .0 ERTIFICATE OF COMPLIANCE (Part 3 of 3) ENV -1C AND FIELD INSPECTION ENERGY CHECKLIST Project Name Trilogy Golf Club -Aerobics & Storage Date 7/28/2011 Required Acceptance Tests Designer: This form is to be used by the designer and attached to the plans. Listed below is the acceptance test for Envelope Fenestrations system. The designer is required to check the acceptance tests and list all the fenestration products that require an acceptance test. If all the site -built fenestration of a certain type requires a test, list the different fenestration products and the number of systems. The NA7 Section in the Appendix of the Nonresidential Reference Appendices Manual describes the test. Since this form will be part of the plans, completion of this section will allow the responsible party to budget for the scope of work appropriately. Enforcement Agency: Systems Acceptance. Before Occupancy Permit is granted for a newly constructed building or space or whenever new fenestration is installed in the building or space shall be certified as meeting the Acceptance Requirements. The ENV -2A form is not considered a complete form and is not to be accepted by the enforcement agency unless the boxes are checked and/or filled and signed. In addition, a Certificate of Acceptance forms shall be submitted to the enforcement agency that certifies plans, specifications, installation certificates, and operating and maintenance information meet the requirements of §10-103(b) of Title 24 Part 6. The field inspector must receive the properly filled out and signed forms before the building can receive final occupancy. A copy of the ENV -2A for each different fenestration product line must be provided to the owner of the building for their records. Test Description ENV -2A Test Performed By: Fenestration Products Name or ID Area of like Building Envelope Requiring Testing or Verification Products Acceptance Test Double Metal Tinted 151 13 13 13 13 13 11 13 EnergyPro 5.1 by EnergySoft User Number., 6712 RunCode: 2011-07-28T12:59:38 ID: Page 9 of 27 RTIFICATE OF COMPLIANCE (Part 1 of 3) LTG,1C- ctName: b;1 F�n?l } gy GolfClub-Aerobics &'Storage '7/28%2011;} INDOOR LIGHTING'.SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Installation Certificate, LTG -1- INST (Retain a copy and verify form is completed and signed.): - YField Inspector-- `: ❑ Certificate of Acceptance, LTG -2A and LTG -3A (Retain a copy and verify form is completed and signed.) 'Field Inspector ❑ A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces Installed Lighting Power listed on this Lighting Schedule is only for. 3 RTIFICATE OF COMPLIANCE (Part 1 of 3) LTG,1C- ctName: b;1 F�n?l Date gy GolfClub-Aerobics &'Storage '7/28%2011;} INDOOR LIGHTING'.SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Installation Certificate, LTG -1- INST (Retain a copy and verify form is completed and signed.): - YField Inspector-- `: ❑ Certificate of Acceptance, LTG -2A and LTG -3A (Retain a copy and verify form is completed and signed.) 'Field Inspector ❑ A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces Installed Lighting Power listed on this Lighting Schedule is only for. 3 0 CONDITIONED SPACE. ❑ ': UNCONDITIONED SPACE r The actual indoor lighting powerlisted below includes all. "installed permanent and portable Ilghting'systems in accordance lz •with §146(a). Only for offices: Up to the first 0.2 watts per square foot of. portable lighting shall not be required to be included in the ' .0 calculation of actual indoor lighting -power density in accordance with the Exception to §146(a). All portable lighting in excess of . 0.2 watts per square foot is totaled below. " Luminaire (Type, Lamps, Ballasts 'Installed Watts _ A B C ;D E F G H '. How wattage { 8' Was determined Ins ecto� Norte a t o CEC N or Complete Luminaire Description'Ca . ti, , Default , E ;E c ` Item t, (i.e, 3 lamp fluorescent troller,� NAS Q Z -1 , Tag F32T8, one dimmable electronic ballasts ❑ (2) 13W • (2) 13w Compact Fluorescent 36:0. ,i 23 828❑�❑ C�� Vow (2)2X4 '41t (2)FluorescentTB 54.0 ® ❑-k 5 270 REIf® + '0 r ❑ ❑ u1141� ❑ - ❑. ❑ o 1:1®� [3; ❑ ' �a ❑ ❑� �o - ❑®�p ❑ ❑ IN a a: a a Y' .. ❑ ❑ 11 - ❑ 0 ❑' ❑ ®�❑� 13 13 IN NA NL ' Installed Watts Pa6e Total: ;x,098,,„ s Installed Watts Building Total Building total number of pages: ., Sum of all ages Enter,into LTG -1C Pa*e.4 of 4. 1,098 1. Wattage shall be determined according to Section 130 (d and e). Wattage shall tie rating of light fixture, not rating of bulb: 2. If Fail then describe on Page 2 of the Inspection, Checklist Form and take appropriate action to correct. Verify building, plans if necessary. Ene Pro 5:1 by EnergySoft User Number- 6712 RunCode: 2011-07-28T12:59:38 ID: Pae 10 of 27 CERTIFICATE -OF COMPLIANCE = . ; (Part2 of.3) LTG.-1.0 Project -Name .Trilogy Golf Club -Aerobics & Storage Date 7%28/2011 INDOOR LIGHTING SCHEDULE and, 'FIELD INSPECTION ENERGYCHECKLIST Fill incontrols,for all spaces, a) area controls, b) multi-level controls, c) manual daylighting controls for daylit areas ;> 250 ft2, automatic daylighting controls for daylit areas >2,500 ft?, d) shut-off controls, e),display lighting controls, f)•.taiJored lighting controls — general 'lighting controlled separately from display., ornamental and display case:lighting and g) demand responsive automatic controls for.retail stores > 50,000 ft2, in accordance. with Section 131. MANDATORY LIGHTING CONTROLS — FIELD INSPECTION ENERGY CHECKLIST Md +Ins ectoi Number Special`_ T eI. Descri tion of Units Location in Building Features PaWHI TIl k o } �o 1010 ,:❑ . moo, o W11, .. ❑ ot 00 1 N ON ON W NESS. V ❑ f :�.���� ..- a ® e9. • • • ❑ F ❑ oo SPECIAL' .FEATURES INSPECTION CHECKLIST See Page 2 of 4 of.LTG-1.0 The local.enforcement agency should pay special attention to the items specified in this checklist. These items require. special written justification and docurtientation,':and special verification. The local enforcement agencydetermines the adequacy of the justification, ' and may reject a building or design that.otherwise complies based on the adequacy of the special justification and documentation submitted. ,: r Field Iris"pector's Notes or;Discrepancies: Ene P. ro 5.1 b Ene Soft : User Number: 6712 RunCode: 2011 -OZ -28712:59:38 ID: r Pae 11 of 27' J CERTIFICATE OF COMPLIANCE Part 3 of 3 LTG -1C Project Name Date Trilogy Golf Club -Aerobics & Storage 1 7128/2011 CONDITIONED AND UNCONDITIONED SPACE LIGHTING MUST NOT BE COMBINED FOR COMPLIANCE Indoor Lighting Power for Conditioned S aces Indoor Lighting Power for Unconditioned Spaces Watts Watts Installed Lighting 1,098 Installed Lighting 0 from Conditioned LTG -1C, Page 2 from Unconditioned LTG -1C, Page 2 Lighting Control Credit _ 54 Lighting Control Credit _ 0 Conditioned Spaces from LTG -2C Unconditioned Spaces from LTG -2C Adjusted Installed 1044 Adjusted Installed = o Lighting Power Lighting Power Complies if Installed 5 Allowed Complies if Installed 5 Allowed . Allowed Lighting Power 1,044 Allowed Lighting Power 0 Conditioned Spaces from LTG -3C or PERF-1)Unconditioned Spaces from LTG -3C Required Acceptance Tests Designer: This form is to be used by the designer and attached to the plans. Listed below is the acceptance test for the Lighting system, LTG -2A and LTG -3A. The designer is required to check the acceptance tests and list all control devices serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance. If all the lighting system or control of a certain type requires a test, list the different lighting and the number of systems. The NA7 Section in the Appendix of the Nonresidential Reference Appendices Manual describes the test. Since this form will be part of the plans, completion of this section will allow the responsible party to budget for the scope of work appropriately. Forms can be grouped by type of Luminaire controlled. Enforcement Agency: Systems Acceptance. Before Occupancy Permit is granted for a newly constructed building or space or when ever new lighting system with controls is installed in the building or space shall be certified as meeting the Acceptance Requirements. The LTG -2A and LTG -3A forms are not considered complete forms and are not to be accepted by the enforcement agency unless the boxes are checked and/or filled and signed. In addition, a Certificate of Acceptance forms shall be submitted to the enforcement agency that certifies plans, specifications, installation certificates, and operating and maintenance information meet the requirements of §10-103(b) of Title 24 Part 6. The field inspector must receive the properly filled out and signed forms before the building can receive final occupancy. A copy of the LTG -2A and LTG -3A for each different lighting luminaire control(s) must be provided to the owner of the building for their records. LTG -2A and Luminaires Controlled LTG -3A Controls and Sensors and Number of Automatic Luminaires Daylighting Controls Equipment Re uirin Testing Description controlled Location Acceptance Occ Sensor - Multi -Level (2) 4 It Fluorescent T8 5 Storage/Hall El 13 EnergyPro 5.1 by EnergySoh User Number: 6712 Run Code: 2011-07-28712:59:38 /D: Pae 12 of 27 CERTIFICATE OF COMPLIANCE and (Part 1 of 4) MECH-1 C FIELD INSPECTION ENERGY CHECKLIST Project Name Trilogy Golf Club-Aerobics & Storage Date 7/28/2011 Project Address 60800 Trilogy Parkway La Quinta Climate Zone 15 Total Cond. Floor Area 1,405 Addition Floor Area n/a GENERAL INFORMATION Building Type: ® Nonresidential ❑ High-Rise Residential ❑ Hotel/Motel Guest Room ❑ Schools (Public School) ❑ Relocatable Public School Bldg. m Conditioned Spaces ❑ Unconditioned Spaces affidavit Phase of Construction: ❑ New Construction ❑ Addition ❑ Alteration Approach of Compliance: ❑ Component ❑ Overall Envelope TDV ❑ Unconditioned (file affidavit) Energy Front Orientation: N, E, S, W or in Degrees: 90 deg HVAC SYSTEM DETAILS FIELD INSPECTION ENERGY CHECKLIST E ui ment2 Inspection Criteria Meets Criteria or Requirements Pass Fail — Describe Reason Item or System Tags i.e. AC-1, RTU-1, HP-1 HVAC - 1 ❑ ❑ Equipment T e3: Split DX ❑ ❑ Number of Systems 1 ❑ ❑ Max Allowed Heating Capacity' 57,500 Btu/hr ❑ ❑ Minimum Heating Efficiency' 7.70 HSPF ❑ ❑ Max Allowed Cooling Capacity' 59,000 Btu/hr ❑ ❑ Cooling Efficiency' 13.5 SEER /'11. 2 EER ❑ ❑ Duct Location/ R-Value Attic, Ceiling Ins, vented/ 8.0 ❑ ❑ When duct testing is required, submit MECH-4A & MECH-4-HERS Yes ❑ ❑ Economizer No Economizer ❑ ❑ Thermostat Setback Required ❑ ❑ Fan Control Constant Volume ❑ ❑ E ui ment2 Inspection Criteria FIELD INSPECTION ENERGY CHECKLIST Pass Fail — Describe Reason Item or System Tags i.e. AC-1, RTU-1, HP-1 HVAC -2 ❑ ❑ Equipment T e3 Split DX ❑ ❑ Number of Systems 1 ❑ ❑ Max Allowed Heating Capacity' 21,600 Btu/hr ❑ ❑ Minimum Heating Efficiency' 10.00 HSPF ❑ ❑ Max Allowed Cooling Capacity' 18,000 Btu/hr ❑ ❑ Cooling Efficiency ' 19.0 SEER / 14.0 EER ❑ ❑ Duct Location/ R-Value n/a ❑ ❑ When duct testing is required, submit MECH-4A & MECH-4-HERS No ❑ ❑ Economizer No Economizer ❑ ❑ Thermostat Setback Required ❑ ❑ Fan Control Constant Volume ❑ i ❑ 1. If the Actual installed equipment performance efficiency and capacity is less than the Proposed (from the energy compliance submittal or from the building plans) the responsible party shall resubmit energy compliance to include the new changes. 2. For additional detailed discrepancy use Page 2 of the Inspection Checklist Form. Compliance fails if a Fail box is checked. 3. Indicate Equipment Type: Gas (Pkg or, Split), VAV, HP (Pkg or split), Hydronic, PTAC, or other. 1EnerqyPro5.1byEnergySoft User Number: 6712 Run Code: 2011-07-28712:59:38 ID: Pae 13 of 27 CERTIFICATE OF COMPLIANCE and (Part 2 of 4) MECH-1 C FIELD INSPECTION ENERGY CHECKLIST t J Project Name Date ,-, Trilogy Golf Club -Aerobics & Storage 7/28/2011 Discrepancies: EnergyPro 5.1 by EnergySoft User Number., 6712 RunCode: 2011-07-28T12:59:38 ID: Pae 14 of 27 0 . 0 CERTIFICATE OF COMPLIANCE and FIELD, INSPECTION ENERGY CHECKLIST (Part 3 of 4) MECH-1 C Project Name Date Trilogy Golf Club -Aerobics & Storage 7/28/2011 Required Acceptance Tests 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 applicable boxes by all acceptance tests that apply and listed 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. The NA number designates the Section in the Appendix of the Nonresidential Reference Appendices Manual that describes the test. Since this form will be part of the plans, completion of this section will allow the responsible party to budget for the scope of work appropriately. Building Departments: Systems Acceptance: Before 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. Systems Acceptance: Before occupancy permit is granted. All newly installed HVAC equipment must be tested using the Acceptance Requirements. The MECH-1 C form is not considered a completed form and isnot to be accepted by the building department unless the correct boxes are checked. The equipment requiring testing, person performing the test (Example: HVAC installer, TAB contractor, controls contractor, PE in charge of project) and what Acceptance test must be conducted. The following checked -off forms are required for ALL newly installed equipment. In addition a Certificate of Acceptance forms shall be submitted to the building department that certifies plans, specifications, installation, certificates, and operating and maintenance information meet the requirements of §10-103(b) and Title -24 Part 6. The building inspector must receive the properly filled out and signed forms before the building can receive final occupancy. TEST DESCRIPTION MECH-2A MECH-3A MECH-4A MECH-5A MECH-6A MECH-7A MECH-8A MECH-9A MECH-10A MECH-11A Hydronic Outdoor Constant Demand Supply System Automatic Ventilation Volume & Air Control Supply Valve Water Variable Demand For Single -Zone Distribution Economizer Ventilation Fan Leakage Temp. Flow Shed Equipment Re uirin Testing or Verification QtY. VAV & CAV Unitary Ducts Controls DCV VAV Test Reset Control Control Carrier 25HBC360/FX4BNC060 1 ❑ ® m ❑ ❑ ❑ ❑ ❑ ❑ ❑ Fujitsu 18RLQ 1 ❑ 1 ® ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1 ❑ ❑ ❑ ❑ ❑ EnemyPro 5.1 by EnerqySoft User Number., 6712 RunCode: 2011-07-28712:59:38 ID: Pae 15 of 27 M CERTIFICATE OF COMPLIANCE and FIELD INSPECTION ENERGY CHECKLIST (Part 4 of 4) MECH-1 C Project Name Trilogy Golf Club -Aerobics & Storage Date 7/28/2011 TEST DESCRIPTION MECH-12A MECH-13A MECH-14A MECH-15A Fault Detection & Diagnostics Equipment Re uirin Testinq Qty. for DX Units Automatic Fault Detection & Diagnostics for Air & Zone Distributed Energy Storage DX AC Systems Thermal Energy Storage (TES) Systems Test Performed By: Carrier 25HBC360/FX4BNC060 1 ❑ ❑ ❑ ❑ Fujitsu 18RLQ 1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1 ❑ EnergyPro 5.1 by EnergrySoft User Number: 6712 Run Code: 20 1 1-0 7-28 71 2:59:38 ID: Pae 16 of 27 NMI! LIGHTING CONTROLS CREDIT WORKSHEET (Part 1 of 2) LTG -2C Project Name Trilogy Golf Club -Aerobics & Storage Date 1 7/28/2011 POWER ADJUSTMENT FACTORS (PAF) FOR NON -DAYLIGHT CONTROLS A Separate PAF Worksheet Must Be Filled Out for Conditioned and Unconditioned Spaces. Control Credits listed on this schedule are only for: CO CONDITIONED SPACES 0 UNCONDITIONED SPACES A B C D E F G Watts of Power Room # Zone ID Plan Room Area Control Adjustments Areas Lighting Control Description' Reference(ft) Lighting Factor Control Credit Watts E x F Storage/Hall Occ Sensor- Multi -Level (2) 2X4 505 270 0.20 54 PAGE TOTAL 54 Note: Building total of non -daylight control credit watts for all pages of LTG -2C Pa e 1 of 2 Conditioned and Enter building total of all daylight controls credit watts from LTG -2C Page 2 of 2 0 Unconditioned Space shall be separately totaled BUILDING TOTAL OF ALL CONTROL CREDIT WATTS (FOR BOTH NON -DAYLIGHT AND DAYLIGHT CONTROL CREDITS) Enter in LTG -1 C; Page 4: Lighting Control Credit as appropriate for CONDITIONED 54 or UNCONDITIONED Spaces 1. Description shall be consistent with Type of Control defined in Table 146-C 2. Power Adjustment Factor taken from Table 146-C EnergyPro5.1byEnergySoft User Number: 6712 Run Code: 2011-07-28712:59:38 ID: Pae 17 of 27 AIR SYSTEM REQUIREMENTS Part 1 of 2 MECH-2C Project Name Date Trilogy Golf Club -Aerobics & Storage 1 7/28/2011 Indicate Air Systems Type (Central, Sinqle Zone, Packaqe, VAV, or etc...) Item or System Tags (i.e. AC -1, RTU -1, HP -1) Number of Svstems MANDATORY MEASURES Heating Equipment Efficiency Cooling Equipment Efficiency HVAC Heat Pump Thermostat Furnace Controls/Thermostat Natural Ventilation Mechanical Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Location/ R -value PRESCRIPTIVE MEASURES Calculated Design Heating Load Proposed Heating Capacity Calculated Design Cooling Load Proposed Cooling Capacity Fan Control DP Sensor Location Supply Pressure Reset (DDC only) Simultaneous Heat/Cool Economizer Heat Air Supply Reset Cool Air Supply Reset Electric Resistance Heating' Air Cooled Chiller Limitation Duct Leakage Sealing. If Yes, a MECH-4-A must be submitted Indicate R T-24 Sections 112(a) 112(a) 112(b), 112(c) 112(c), 115(a) 121(b) 121(b) 121 122 122 122 HVAC - 1 HVAC -2 1 1 Reference on Plans or Schedule and Ind 7.70 HSPF 13.5 SEER/ 11.2 EER Yes n/a Yes 208 cfm No No Programmable Switch Setback Required Auto n/a 10.00 HSPF 19.0 SEER / 14.0 EER Yes n/a Yes 76 cfm No No Programmable Switch Setback Required Auto n/a 123 124 1 Attic, Ceiling Ins, vented/ 8.0 n/a 1 144 144 144 144 n/a 35,913 Btu/hr n/a 45,249 Btu/hr Constant Volume Yes No No Economizer Constant Temp Constant Temp n/a 13,491 Btu/hr n/a 15,924 Btu/hr Constant Volume Yes No No Economizer Constant Temp Constant Temp 1 4 A A 11A I Yes I No I I 11. Total installed capacity (MBtu/hr) of all electric heat on this project exclusive of electric auxiliary heat for heat pumps. If electric heat is used (D explain which exception(s) to §144(g) apply. EneravPro 5.1 by EnergvSoft User Number: 6712 RunCode: 2011-07-28712:59:38 ID: Page 18 of 27 MECHANICAL VENTILATION AND REHEAT MECH-3C Project Name Trilogy Golf Club -Aerobics & Storage Date 7/28/2011 MECHANICAL VENTILATION §121 b 2 REHEAT LIMITATION (§144(d)) AREA BASIS OCCUPANCY BASIS VAV MINIMUM A B C D E F G H I J K L M N Zone/System Condition Area ft2 CFM per ft2 Min CFM By Area B X C Number Of People CFM per Person Min CFM by Occupant E X F REQ'D V.A. Max of D or G Design Ventilation Air CFM 50% of Design Zone Supply CFM B X 0.4 CFM / W Max. of Columns H, J, K, 300 CFM Design Minimum Air Setpoint Transfer Air Aerobics 900 0.15 135 135 208 HVAC - 1 Total 135 208 Storage 505 0.15 76 76 76 HVAC -2 Total 76 76 Totals Column I Total Design Ventilation Air C Minimum ventilation rate per Section 121, Table 121-A. E Based on fixed seat or the greater of the expected number of occupants and 50% of the CBC occupant load foregress purposes fors aces without fixed seating. H Required Ventilation Air REQ'D V.A. is the larger of the ventilation rates calculated on an AREA BASIS or OCCUPANCY BASIS Column D or G). I Must be greater than orequal to H, or use Transfer Air column N to make up the difference. J Design fan supply CFM Fan CFM x 50%; or the design zone outdoor airflow rate per 121. K Condition area ft2 x 0.4 CFM / ft2; or L Maximum of Columns H, J, K, or 300 CFM M This must be less than orequal to Column L and greater than orequal to the sum of Columns H plus N. Transfer Air must be provided where the Required Ventilation Air (Column H) is greater than the Design Minimum Air (Column M). Where required, transfer air must be greater than or equal to the difference between the Required Ventilation Air Column H and the Design Minimum Air Column M), Column H minus M. �E,=,P,,5 .1 6 Ene Soft User Number: 6712 Run Code: 2011-07-28712:59:38 ID: Pae 19 of 27 MECHANICAL EQUIPMENT DETAILS Part 1 of 2 MECH-5C Project Name Trilogy Golf Club -Aerobics & Storage Date 7/28/2011 CHILLER AND TOWER SUMMARY PUMPS Equipment Name Type Ot . Eff iciency Tons Pump Ot . GPM BHP Control DHW / BOILER SUMMARY System Name Type Distribution aty. Rated Input Vol. (Gals). Energy Factor or RE Standby Loss Tank Ext. or Pilot R -Value Status MULTI -FAMILY CENTRAL WATER HEATING DETAILS Hot Water Pump Hot Water Piping Length ft Control Ot . HP Type In Plenum Outside Buried Add Yi' Insulation CENTRAL SYSTEM RATINGS HEATING COOLING System Name Type at . Output Aux. kW Eff iciency Output Eff iciency Status Carrier 25HBC360/FX4BNC060 Split DX 1 57,500 0.0 7.70 HSPF 59,000 13.5 SEER/ 11.2 EER New Fujitsu 18RLQ Split DX 1 21,600 0.0 10.00 HSPF 18,000 19.0 SEER/ 14.0 EER New CENTRAL SYSTEM FAN SUMMARY SUPPLY FAN RETURN FAN System Name Fan Type Economizer Type CFM BHP CFM BHP Carrier 25HBC360/FX4BNC060 Constant Volume No Economizer 2,000 1.00 none Fujitsu 18RLQ Constant Volume No Economizer 412 0.12 none EnergyPro 5.1 by EnergySoft User Number: 6712 Run Code: 2011-07-28712:59:38 ID: Page 20 of 27 W 0 1011A ENVELOPE MANDATORY MEASURES: NONRESIDENTIAL ENV -MM Project Name Date Trilogy Golf Club -Aerobics & Storage 7/28/2011 DESCRIPTION Building Envelope Measures: §118(a): Installed insulating material shall have been certified by the manufacturer to comply with the California Quality Standards for insulating material, Title 20 Chapter 4, Article 3. §118(c): All Insulating Materials shall be installed in compliance with the flame spread rating and smoke density requirements of Sections 2602 and 707 of Title 24, Part 2. §118(f): The opaque portion's of framed demising walls in nonresidential buildings shall have insulation with an installed R -value of no less than R-13 between framing members. All Exterior Joints and openings in the building that are observable sources of air leakage shall be caulked, gasketed, §117(a): weatherstripped or otherwise sealed. Manufactured fenestration products and exterior doors shall have air infiltration rates not exceeding 0.3 cfm/ft.z of §116(a) 1: window area, 0.3 cfm/ft.z of door area for residential doors, 0.3 cfm/ft.z of door area for nonresidential single doors (swingingand sliding), and 1.0 cfm/ft.2 for nonresidential double doors (swinging). §116(a) 2: Fenestration LI -factor shall be rated in accordance with NFRC 100, or the applicable default U -factor. Fenestration SHGC shall be rated in accordance with NFRC 200, or NFRC 100 for site -built fenestration, or the §116(a) 3: applicable default SHGC. Site Constructed Doors, Windows and Skylights shall be caulked between the unit and the building, and shall be §116(b): weatherstripped (except for unframed glass doors and fire doors). Ene Pro 5.1 6 Ene Soft User Number. 6712 RunCode: 2011-07-28712:59:38 /D: Page 21 of 27 E* EO LIGHTING MANDATORY MEASURES: NONRESIDENTIAL LTG -MM Project Name Date Trilogy Golf Club -Aerobics & Storage 7/28/2011 Indoor Lighting Measures: §131(d): Shut-off Controls For every floor, all interior lighting systems shall be equipped with a separate automatic control to shut off the lighting. 1. This automatic control shall meet the requirements of Section 119 and may be an occupancy sensor, automatic time switch, or other device capable of automatically shutting off the lighting. 2 Override for Building Lighting Shut-off: The automatic building shut-off system is provided with a manual, accessible override switch in sight of the lights. The area of override is not to exceed 5,000 square feet. §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. §111: Fluorescent Ballast and Luminaires Certified: All fluorescent fixtures specified for the project are certified and listed in the Directory. All installed fixtures shall be certified. §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. Uniform Reduction for Individual Rooms: All rooms and areas greater than 100 square feet and more than 0.8 watts §131(b): per square foot of lighting load shall be controlled with bi-level switching for uniform reduction of lighting within the room. Daylight Area Control: All rooms with windows and skylights that are greater than 250 square feet and that allow for the effective use of daylight in the area shall have 50% of the lamps in each daylit area controlled by a separate switch; §131(c): or the effective use of daylight cannot be accomplished because the windows are continuously shaded by a building on the adjacent lot. Diagram of shading during different times of the year is included on plans. §131(c): Display Lighting. Display lighting shall be separately switched on circuits that are 20 amps or less.6. . Outdoor Lighting Measures: §130(c)1: Mandatory lighting power determination for medium base sockets without permanently installed ballasts All permanently installed luminaires with lamps rated over 100 Watts either have a lamp efficacy of at least 60 lumens §132(a): per Watt or are controlled by a motion sensor. All Luminaires with lamps rated greater than 175 Watts in hardscape area, including parking lots, building entrances, §132(b): canopies, and all outdoor sales areas meet the Cutoff Requirements. §132(c)l : All permanently installed outdoor lighting meets the control requirements listed. Building facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi -Level Lighting Requirements §132(c): listed. EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2011-07-28712:59:38 ID: Page 22 of 27 E 0 MECHANICAL MANDATORY MEASURES: NONRESIDENTIAL MECH-MM Project Name Date Trilogy Golf Club -Aerobics & Storage 7/28/2011 Equipment and System 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. 1123: 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, 602, 603, 604, and 605 of the CMC Standards. Controls §122(e): Each space conditioning system shall be installed with one of the following: 1A. Each space conditioning 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 and have 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 1 B. An occupancy sensor to control the operating period of the system; or 1 C. A 4 -hour timer that can be manually operated to control the operating period of the system. Each space conditioning system shall be installed with controls that temporarily restart and temporarily operate the 2 system as required to maintain a setback heating and/or a setup cooling thermostat setpoint. Each space conditioning system serving multiple zones with a combined conditioned floor area more than 25,000 §122(g). 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. Thermostats shall have numeric setpoints in degrees Fahrenheit (F) and adjustable setpoint stops accessible only to §122(c): authorized personnel. Heat pumps shall be installed with controls to prevent electric resistance supplementary heater operation when the §122(b): heating load can be met by the heat pump alone Each space conditioning system shall be controlled 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 §122(a&b): control shall be adjustable up to 85 degrees F or higher. Where used for both heating and cooling, the control shall be capable of providing a deadband of at least 5 degrees F within which the supply of heating and cooling is shut off or reduced to a minimum. Ventilation Controls shall be provided to allow outside air dampers or devices to be operated at the ventilation rates as specified §121(e): on these plans. All gravity ventilating systems shall be provided with automatic or readily accessible manually operated dampers in all §122(f): openings to the outside, except for combustion air openings. Ventilation System Acceptance. Before an occupancy permit is granted for a newly constructed building or space, or a §121(f): new ventilating system serving a building or space is operated for normal use, all ventilation systems serving the building ors ace shall be certified as meeting the Acceptance Requirements for Code Compliance Service Water Heating Systems §113(c) Installation 3. Temperature controls for public lavatories. The controls shall limit the outlet Temperature to 110° F. Circulating service water -heating systems shall have a control capable of automatically turning off the circulating pump 2 when hot water is not required. EnergyPro 5.1 by EnergySoft User Number., 6712 RunCode: 2011-07-28712:59:38 ID: Pa a 23 of 27 c HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name Date 'Trilogy Golf Club -Aerobics & Storage 7/28/2011 System Name Floor Area HVAC - 1 900 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total Room Loads 1,198 Return Vented Lighting Return Air Ducts Return Fan Ventilation F 208 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COOLING PEAK COIL HTG. PEAK Heating System Sensible Latent CFM Sensible Output per System 57,500 19,186 4,154. 922 12,620 Total Output Btuh 57,500 0 Output Btuh/s ft 63.9 1,439 946 Cooling System 0 0 Output per System 59,000 7,366 1,808 208 9,627 Total Output Btuh 59,000 2,978 5,961 -2,978 Total Output Tons . 4.9 1,439 946 Total Output Btuh/s ft 65.6 Total Output s ftrron 183.1 32,407 1 21,162 Air System CFM per System 2,000 HVAC EQUIPMENT SELECTION Airflow cfm 2,000 Carrier 25HBC360/FX4BNC060 45,249 9,513 35,913 Airflow cfm/s ft 2.22 35,913 Airflow cfm/Ton 406.8 Outside Air % 10.4% Total Adjusted System Output 45,249 (Adjusted for Peak Design conditions) 9,5131 0.23 Outside Air cfm/s ft TIME OF SYSTEM PEAK Aug 3 PM Jan 1 AM Note: values above given at ARI conditions HEATING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Heating Peak 26 OF 65 OF 82 OF 83 OF G mss., Outside Air 208 cfm Heating Coil Supply Fan 83 OF 2,000 cfm j ROOM 70 OF 4 70 OF COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak 112178 OF 82168 OF 61 / 60 OF 62 / 60 OF Outside Air Supply Fan 63 / 60 OF 208 cfm Cooling Coil 2,000 cfm 53.8 ; ... ._..... .... ............ - % ROOM'' i 78/ 66 OF 79 ! 66 OF EnergyPro 5.1 by EnergySoff User Number: 6712 RunCode: 2011-07-28T12:59:38 ID: Page 24 of 27 ON C HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name 'Trilogy Golf Club -Aerobics & Storage System Name HVAC -2 Date 7/28/2011 Floor Area 505 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total Room Loads 364 Return Vented Lighting Return Air Ducts Return Fan Ventilation F 76 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COOLING Sensible 10,385 0 779 0 2,598 0 779 1 14,540 PEAK COIL HTG. PEAK Heating System Latent CFM Sensible Output perSystem 21,600 1,515 463 9,697 Total Output Btuh 21,600 Output Btuh/s K 42.8 727 Cooling System 0 Output perSystem 18,000 1,994 76 3,413 Total Output Btuh 18,000 3,509 0 Total Output Tons 1.5 727 Total Output Btuh/s ft 35.6 Total Output s ft/Ton 336.7 14,565 Air System CFM perSystem 412 HVAC EQUIPMENT SELECTION Airflow cfm 412 Fujitsu 18RLQ 15,924 0 13,491 Airflow cfm/s ft 0.82 13,491 Jan 1 AM Airflow cfm/Ton 274.7 Outside Air % 18.4% Total Adjusted System Output 15,924 (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK 0 Aug 3 PM Outside Air cfm/s ft 0.15 `Note: values above given at ARI conditions HEATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 26 OF 61 OF 61 OF 91 OF Outside Air 76 cfm Supply Fan Heating Coil 412 cfm 68 OF 90 of Room 70 OF COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak 112 / 78 OF 86165 OF 86 ! 65 OF 49 / 48 OF Outside Air c 76 cfm Supply Fan Cooling Coil51 412 cfm 80/61 OF 4 :01 1 4 H - *1'. / 49 OF .. _ ....... ..._.. __._...._... _.,._... a 36.2% ROOM 78/614°F EnergyPro 5.1 by EnergySoft User Number: 6712 Run Code: 2011-07-28712:59:38 ID: Page 25 of 27 'ZONE•AD SUMMARY Project Golf Club -Aerobics & Storage 712812011 System Name FloorTrilogy •ii LOAD SUMMARY HEATING PEAK (BLOCKZONE LOAD) 0 n ZONE LOAD SUMMARY ProjectDate Goff Club -Aerobics & Storage 712812011 System Name HVAC -2 FloorTrilogy 505 ZONE LOAD SUMMARY COOLING PEAK (BLOCK...•, .. , , Evaluation This report is subject to renewal in two years. www.icc-es.org 1 (800) 423-6587 1 (562) 699-0543 A Subsidiary of the International Code Council® DIVISION: 07 00 00—THERMAL AND MOISTURE PROTECTION Section: 07 54 00—Thermoplastic Membrane Roofing REPORT HOLDER: SEAMAN CORPORATION 1000 VENTURE BOULEVARD WOOSTER, OHIO 44691 (800) 927-8578 www.fibertite.com EVALUATION SUBJECT: FIBERTITE® ROOFING MEMBRANES: FIBERTITE®, FIBERTITE®-XT, AND FIBERTITE®-FB 1.0 EVALUATION SCOPE Compliance with the following codes: ■ 2006 International Building Codee (IBC) ■ Other Codes (see Section 8) Properties evaluated: ■ Weather resistance ■ Roof covering fire classification ■ Wind uplift resistance ■ Impact resistance 2.0 USES FiberTite® roofing membranes are single -ply membranes used as roof covering in ballasted, adhered and mechanically fastened Class A or B membrane roof covering systems, on new or existing roofs. 3.0 DESCRIPTION 3.1 General: The FiberTite® roof covering systems consist of FiberTite® single -ply membranes, insulation where used, barrier board or slip sheet where used, flashing, adhesives, and mechanical fasteners that are installed on combustible or noncombustible roof decks. 3.2 FiberTite® Roofing Membranes: 3.2.1 FiberTite : FiberTite® membrane is a single -ply membrane consisting of an ethylene interpolymer / kethone ethylene ester (EIP / KEE) reinforced with a knitted polyester fabric. The membrane is nominally 36 mils [0.036 inch (0.91 mm)] thick and is available in conventional rolls 56 inches (1.4 m) wide and 100 feet T -PEW � ' Evaluation Reports as an t of en nr to c� ig or Copyright © 2011 (30.5 m) long. It is also available in 20 -foot -by -64.5 -foot (6 096 mm by 19 660 mm) prefabricated panel rolls with integral 3.5 -inch -wide (89 mm) securing tabs located every 51 inches (1.3 m) on center running perpendicular to the length of the membrane. 3.2.2 FiberTite®-XT: FiberTite®-XT membrane is the same formulation as the FiberTite membrane, but is nominally ('45 mils' [0.045 inch (1.14 mm)] thick. It is available in the same widths and lengths as the FiberTite membrane. 3.2.3 FiberTite®-FB (Fleece Back): FiberTite®-FB (Fleece Back) membrane is the same formulation as the FiberTite® membranes, but has a 6 -ounce -per -square -yard (200 g/M2), polyester, nonwoven fabric fleece heat -bonded to the back side. The membrane is nominally 40 mils [0.040 inch (1.02 mm)] thick prior to the addition of the polyester fleece material, and is nominally 45 mils [0.045 inch (1.14 mm)] thick with the polyester fleece material. The membrane is available in rolls 54 inches (1.4 m) wide and 80 feet (24.4 m) long. 3.3 Insulation: Foam plastic insulation, where used, must have a flame - spread index of not more than 75 when tested in accordance with ASTM E 84 at the maximum thickness intended for use. See Tables 1 through 7 for insulations for use with specific roof covering systems. 3.4 Barrier Board: Barrier board, where used, must be one of the following: '/a inch -thick (6.4 mm) "DensDeck," manufactured by Geogia-Pacific Corporation f ■ 5/8 -inch -thick (15.9 mm) gypsum wallboard 3.5 Slip sheet: Slip sheet, where used, may be either of the following: ■ One -ply, "FR -50," manufactured by Atlas Roofing ■ Two plies, "FR -10," manufactured by Atlas Roofing 3.6 Fasteners: Fasteners, used to mechanically fasten 'insulation and membranes to the roof deck, must be corrosion -resistant and may be any of the FiberTite® insulation and membrane fasteners and plates summarized in this section or shown in Tables 6 and 7 of this report. Spacing of fasteners must be in accordance with Table 6. 3.6.1 FiberTite® Insulation Fastener: A No. 14 carbon steel screw used in combination with the FiberTite® to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed _� rhe report or a recommendation for its use. There is no warranty by ICC Evaluation Service, LLC, express or implied as �lee__''cc22�� ��\\ r report, or as to any product covered by the report. llsu. Page 1 of 8 ESR -1456 I Most Widely Accepted and Trusted Page 2 of 8 Insulation Stress Plate to attach insulation to steel, wood, or structural concrete deck. Fastener length must be sufficient to penetrate through the steel or into the wood deck a minimum of 3/4 inch (19.1 mm) and into the concrete deck a minimum of 1 inch (25.4 mm). 3.6.2 FiberTite® Insulation Stress Plate: A 3 -inch - diameter (76.2 mm), 0.032 -inch -thick 0.82 mm) steel plate used in combination with the FiberTite Insulation Fastener to attach insulation to roof deck. 3.6.3 FiberTite® Magnum Fastener: A No. 15 carbon steel screw used in combination with the FiberTite® Magnum Stress Plate to attach the membrane to steel, wood, or structural concrete deck. Fastener length must be sufficient to penetrate through the steel or into the wood deck a minimum of 3/4 inch (19.1 mm) and into the concrete deck a minimum of 1 inch (25.4 mm). 3.6.4 FiberTite® Magnum Stress Plate: A 2.5 -inch -by - 1.5 -inch (64 mm by 38 mm), No. 18 gage (0.048 inch), galvalume steel plate used in combination with the FiberTite® Magnum Fastener to attach the membrane to the roof deck. 3.7 Adhesives: 3.7.1 FTR 190: FTR 190 is a solvent -based contact adhesive for bonding FiberTite® and FiberTite®-XT membranes to a variety of compatible substrates. FTR 190 is applied to both the substrate and the underside of the membrane with a coverage of 50 square feet (4.65 m2) per gallon (3.78 L). The adhesive has a shelf life of one year. 3.7.2 FTR 290: FTR 290 is a one -side application (substrate only) solvent -based adhesive for bonding FiberTite®-FB to a variety of compatible substrates. It has a coverage of 90 square feet (8.37 m2) per gallon (3.78 L). The adhesive has a shelf life of six months. 3.7.3 FTR 390: FTR 390 is a water vehicle, rubberized asphalt adhesive designed for bonding FiberTite =F6 to a variety of compatible substrates. It is applied to the substrate with a coverage of 60 square feet (5.58 m2) per gallon (3.78 L). The adhesive has a shelf life of six months. 3.7.4 Insta-Stik: Insta-Stik by Dow Chemical Company is a single -component polyurethane adhesive used to secure insulation boards to concrete, wood or metal decks. It has a coverage of 540 square feet (50.22 m2) per unit. The adhesive is supplied in a 30 -pound (13.62 kg) unit, consisting of a cylinder with a flexible dispensing hose and wand assembly. 3.8 Impact Resistance: The FiberTite® Roofing Membranes described in this report meet requirements for impact resistance in accordance with Section 5.5 of FM 4470. 4.0 INSTALLATION 4.1 General: Installation and application of the FiberTite® roofing membranes must comply with the IBC, the manufacturer's published installation instructions, and this report. The manufacturer's published installation instructions must be available at the jobsite at all times during installation. The slope of the roof on which the FiberTite® membranes are installed must be a minimum of 1/4:12 (2 -percent slope) and must not be more than the maximum slope indicated for the particular assembly as listed in Tables 1 through 5. Penetrations and terminations of the roof covering must be flashed and made weather -tight in accordance with the requirements of the membrane manufacturer and the IBC. 4.2 Fire Classification: 4.2.1 New Construction: Roof assemblies which include the FiberTite® roofing membranes described in, and installed in accordance with, this report are classified as Class A or B roof assemblies in accordance with ASTM E 108 or UL 790, as noted in Tables 1 through 3. 4.2.2 Reroofing: Prior to installation of new roof coverings, inspection in accordance with Section 1510 of the IBC, and approval from the code official, are required. See Tables 4 and 5 for fire classification of reroofing systems. Class A, B or C roof coverings may be installed over existing classified roof assemblies under the following conditions without additional roof classification tests, provided the resulting classification is the lower of the new and existing roofing classification: ■ New uninsulated roof coverings installed only over existing uninsulated assemblies. ■ New insulated roof coverings installed over existing uninsulated assemblies only. 4.3 Wind Resistance: 4.3.1 New Construction: The maximum allowable wind uplift pressures for the FiberTite® Roofing Membranes as part of roof covering systems are noted in Tables 6 and 7. The ballasted system in Table 1 must be designed in accordance with IBC Section 1504.8 and ANSI/SPRI RP -4. Metal edge securement for low -slope membrane roof covering systems must be designed in accordance with ANSI/SPRI ES -1, complying with IBC Section 1504.5. 4.3.2 Reroofing: Roof coverings employing mechanical fasteners must be qualified, to the satisfaction of the code official, on the adequacy of fasteners penetrating through existing roof coverings into structural substrates. The uplift resistance of adhered systems in reroofing applications is outside the scope of this report. 5.0 CONDITIONS OF USE The FiberTite®, FiberTite®-XT, and FiberTite -FB roofing membranes described in this report comply with, or are suitable alternatives to what is specified in, the code indicated in Section 1.0 of this report, subject to the following conditions: 5.1 Installation and application of FiberTite® roofing membranes must comply with the IBC, the manufacturer's published installation instructions, and this report. The instructions within this report govern if there are any conflicts between the manufacturer's instructions and this report. 5.2 FiberTite® roofing systems must be installed by approved installers licensed by Seaman Corporation. 5.3 Foam plastic insulation, where used, must be separated from the interior of the building by an approved thermal barrier in accordance with IBC Section 2603.4.1.5, unless otherwise noted in an ICC - ES evaluation report on the foam plastic insulation for direct -to -steel -deck applications. 5.4 Foam plastic insulation, where used, must bear the label of an approved testing and listing agency indicating that the foam plastic has a flame -spread index of not more than 75 when tested in accordance with ASTM E 84 at the maximum thickness intended for use. Except for applications where a thermal barrier is not required, total thickness of foam plastic insulation must be limited to the least of the maximum ESR -1456 I Most Widely Accepted and Trusted Page 3 of 8 thicknesses allowed in Tables 1 through 7, or the maximum thickness that limits the flame -spread index to not more than 75 when testing is performed in accordance with ASTM E 84. 5.5 Design wind uplift pressure on any roof area, including edge and corner zones, must not exceed the allowable wind uplift pressure for the roof covering installed in that particular roof area. Refer to the allowable wind uplift pressure for systems in Tables 6 and 7. 5.6 The allowable wind uplift pressures listed in Tables 6 and 7 are for the roof covering only. The deck and framing to which the covering is attached must be designed for the applicable components and cladding wind loads in accordance with the IBC. 5.7 When application is over existing roofs, documentation of the wind uplift resistance of the composite roof construction must be submitted to the authority having jurisdiction. 5.8 The membranes are manufactured in Wooster, Ohio, and Bristol, Tennessee, under a quality control program with inspections by FM Approvals (AA -653). 6.0 EVIDENCE SUBMITTED Data in accordance with Membrane Roof -covering 2007. VAINI�l�aiil�[9�iL�I: ICC -ES Acceptance Criteria for Systems (AC75), dated April Each roofing membrane bears a label noting the product name; the manufacturer's name (Seaman Corporation) and address; the manufacturing location; the production date code; the ICC -ES evaluation report number (ESR - 1456); and the name of the inspection agency (FM Approvals). 8.0 OTHER CODES 8.1 Evaluation Scope: In addition to the code referenced in Section 1.0, the products in this report were evaluated for compliance with the requirements of the 1999 Standard Building Code° (SBC). 8.2 Uses: See Section 2.0. 8.3 Description: See Section 3.0. 8.4 Installation: 8.4.1 General: Installation and application of FiberTite® Roofing Membranes must comply with the SBC, the manufacturer's published installation instructions, and this report. The manufacturer's published installation instructions must be available at the jobsite at all times during installation. The slope of the roof on which the FiberTite® membranes are installed must be a minimum Of 1/412 (2 percent slope) and must not be more than the maximum slope indicated for the particular assembly as listed in Tables 1 through 5. Penetrations and terminations of the roof covering must be flashed and made weather -tight in accordance with the requirements of the membrane manufacturer and the SBC. 8.4.2 Fire Classification: 8.4.2.1 New Construction: See Section 4.2.1. 8.4.2.2 Reroofing: Prior to installation of new roof coverings, inspection in accordance with Section 1510 of the SBC, and approval from the code official, are required. See Section 4.2.2 for the balance of reroofing requirements. 8.4.3 Wind Resistance: 8.4.3.1 New Construction: The maximum allowable wind uplift pressures for the FiberTite® Roofing Membranes as part of roof covering systems are noted in Tables 6 and 7. 8.4.3.2 Reroofing: See Section 4.3.2. 8.5 Conditions of Use: The FiberTite®, FiberTite®-XT, and FiberTite®-FB roofing membranes described in this report comply with, or are suitable alternatives to what is specified in, the SBC, subject to the following conditions: 8.5.1 Installation and application of FiberTite Roofing Membranes must comply with the SBC, the manufacturer's published installation instructions, and this report. The instructions within this report govern if there are any conflicts between the manufacturer's instructions and this report. 8.5.2 See Section 5.2. 8.5.3 Foam plastic insulation must be separated from the interior of the building by an approved thermal barrier in accordance with SBC Section 2603.5.1.5, unless otherwise noted in an ICC -ES evaluation report on the foam plastic insulation for direct -to - steel -deck applications. 8.5.4 See Section 5.4. 8.5.5 See Section 5.5. 8.5.6 The allowable wind uplift pressures listed in Tables 6 and 7 are for the roof covering only. The deck and framing to which the covering is attached must be designed for the .applicable components and cladding wind loads in accordance with the SBC. 8.5.7 See Section 5.7. 8.5.8 See Section 5.8. 8.6 Evidence Submitted: See Section 6.0. 8.7 Identification: See Section 7.0. ESR -1456 I Most Widely Accepted and Trusted Page 4 of 8 TABLE 1—BALLASTED ROOFING SYSTEMS SYSTEM NO. ROOF CLASS SUBSTRATE MAX. ROOF SLOPE INSULATION 1,2.3 MEMBRANE SURFACING/ COATING NO. CLASS SLOPE One or more layers of the following or combinations of Atlas Roofing "ACFoam 11" or River bottom stone, (3/4 inch 1 A Noncombustible 2:12 the following (any thickness,, except restricted to 2 -inch "FiberTite" or "FiberTite-XT," to 1 /2 inches in dorm.) at max. when polystyrene is laid loosely 1000 lbs/square or min. 10 used alone): polystyrene, polyisocyanu rate. (2 in. max.) psf concrete blocks polyisocyanurate, laid loosely Atlas Roofing "ACFoam 11" or For SI: 1 inch. = 25.4 mm; 1 Ib = 4.448 N; 1 psf = 47.88 Pa; 1 square = 9.29 mz 'All foam plastic insulation must be UL -classified foam plastic for roofing systems, and must be limited to the maximum thickness in accordance with Section 5.4 of this report or the maximum thickness in accordance with this table, whichever is less. 2EPS insulation boards must comply with ASTM C 578. Polyisocya n u rate insulation boards must comply with ASTM C 1289. 3Unless otherwise specified, the insulation and membranes must be UL -classified for roofing system applications. 4Steel deck must be minimum No. 22 gage galvanized steel [0.030 inch (0.76 mm)]. Concrete must have a minimum compressive strength (Q of 2500 psi. TABLE 2— MECHANICALLY FASTENED ROOFING SYSTEMS' SYSTEM ROOF SUBSTRATE MAX. ROOF BARRIER BOARD INSULATION' MEMBRANE NO. CLASS SLOPE OR SLIP SHEET Atlas Roofing "ACFoam 11" or 1 A Noncombustible 2:12 --- Johns -Manville "E'NRG'Y 2" "FiberTite" or "FiberTite-XT" and Seaman's FTR-VALUE polyisocyanu rate. (2 in. max.) Atlas Roofing "ACFoam 11" or Johns -Manville "E'NRG'Y 2" 2 A Noncombustible '/4:12 --- and Seaman's FTR-VALUE "FiberTite" or "FiberTite-XT" polyisocyanurate (any thickness) Optional) 3 A Noncombustible 1:12/4 -inch G -P Gypsum "DensDeck," Cellular, gypsum or structural "FiberTite" or "FiberTite-XT" or Atlas Roofing concrete "FR -10" Combustible -'/4-inch G -P Gypsum (Optional) 4 A 15/32 -inch Unlimited "DensDeck," w/ all joints Polyisocyanurate, "FiberTite" or "FiberTite-XT" plywood min. staggered a minimum of 6 polystyrene, any thickness or inches from plywood joints combination Combustible - 5/6 -inch gypsum board w/ 5 . B 15 min. /32 -inch 1:12 6 -inch offset joints from --- "FiberTite" or "FiberTite-XT" plywood plywood deck Combustible - 6 B 3 -inch T&G 1:12 5/6 -inch gypsum board --- "FiberTite" or "FiberTite-XT" lumber For SI: 1 inch = 25.4 mm. 'All foam plastic insulation must be UL -classified foam plastic for roofing systems, and must be limited to the maximum thickness in accordance with Section 5.4 or the maximum thickness in accordance with this table, whichever is less. 2EPS insulation boards must comply with ASTM C 578. Polyisocyanu rate insulation boards must comply with ASTM C 1289. 3Unless otherwise specified, the barrier board, slip sheet, insulation and membranes must be UL -classified for roofing system applications. 4Wood deck must be minimum 15/32 -inch -thick (11.9 mm) plywood. Steel deck must be minimum No. 22 gage galvanized steel [0.030 inch' (0.76 mm)]. Concrete must have a minimum compressive strength (Q of 2500 psi. ESR -1456 I Most Widely Accepted and Trusted Page 5 of 8 TABLE 3—ADHERED ROOFING SYSTEMS' SYSTEM ROOF SUBSTRATE MAX. ROOF BARRIER BOARD INSULATION 1.2 MEMBRANE NO. CLASS SLOPE OR SLIP SHEET (Optional) Seaman "FTR-Value," Atlas (Optional) Roofing "ACFoam II" or Min.'/4-inch-thick G -P 'DensDeck' ACFoam III" or Johns "FiberTite," "FiberTite-XT," 1 A Noncombustible 2:12 mechanically Manville "E'NRG'Y-2," any "FiberTite fastened or adhered with thickness or combination, or FB." "Insta-Stik" or hot asphalt mechanically fastened or adhered in "Insta-Stik" or hot asphalt 2 A Concrete 2:12 --- --- "FiberTite-FB" (Optional) (Optional) Min.'/4-inch-thick G -P Atlas Roofing "ACFoam II" or "ACFoam "DensDeck" mechanically III" or Johns "E'NRG'Y-2, 3 A Concrete 2:12 fastened or adhered with "Insta-Stik" Manville and Seaman "FTR-Value," any "FiberTite," "FiberTite-XT," or hot asphalt. thickness or combination, or "FiberTite-FB." Vapor barrier: Celotex "Hydrostop," mechanically fastened or loosely laid or adhered in "Insta-Stik" or hot mechanically fastened asphalt Min. 5/6 -inch gypsum board or (Optional) min.'/4-inch-thick G -P Seaman "FTR-Value," Atlas "DensDeck" mechanically Roofing "ACFoam ll" or Combustible - ,s fastened w/ joints offset 6 ACFoam III" or Johns "FiberTite," "FiberTite-XT," 4 A /32 -inch 2:12 inches. Manville "E'NRG'Y-2," any or "FiberTite-FB." plywood min. Vapor barrier (optional): thickness or combination, Polyethylene, kraft paper or mechanically fastened or Celotex "Hydrostop," loosely adhered in "Insta-Stik" or hot laid asphalt (Optional) (Optional) Combustible- 15/32 Min.'/4-inch-thick G -P Polyisocyanurate, any "FiberTite," "FiberTite-XT," 5 A -inch Unlimited "DensDeck," mechanically thickness, "FiberTite-FB." plywood min. fastened or adhered with loosely laid or mechanically or "Insta-Stik" or hot asphalt fastened (Optional) Atlas Roofing "ACFoam II" or Min.'/4-inch-thick G -P "ACFoam III" or Johns "DensDeck," mechanically Manville "E'NRG'Y-2" and 6 A Concrete '/2:12 fastened or adhered with "Insta-Stik" Seaman "FTR-Value," any "FiberTite-FB" or hot asphalt. thickness or combination, Vapor barrier: Celotex mechanically fastened or "Hydrostop," loosely laid or adhered in "Insta-Stik" or hot mechanically fastened asphalt For SI: 1 inch = 25.4 mm; 1 ft2 = 0.093 m2; 1 square = 9.29 m2; 1 gal = 3.785 L. 'All foam plastic insulation must be UL -classified foam plastic for roofing systems, and must be limited to the maximum thickness in accordance with Section 5.4 or the maximum thickness in accordance with this table, whichever is less. 2EPS insulation boards must comply with ASTM C 578. Polyisocyanurate insulation boards must comply with ASTM C 1289. 'Unless otherwise specified, the barrier board, slip sheet, insulation and membranes must be UL -classified for roofing system applications. 4Wood deck must be minimum 15/32 -inch -thick (11.9 mm) plywood. Steel deck must be minimum No. 22 gage galvanized steel [0.030 inch (0.76 mm)]. Concrete must have a minimum compressive strength (Q of 2500 psi. ESR -1456 I Most Widely Accepted and Trusted Page 6 of 8 TABLE 4—REROOFING SYSTEMS (MECHANICALLY FASTENED) SYSTEM ROOF SUBSTRATE MAX. EXISTING BARRIER BOARD INSULATION'' MEMBRANE NO. CLASS ROOF UNINSULATED OR SLIP SHEET Seaman "FTR-Value," Atlas SLOPE ROOF SYSTEM (Optional) Roofing "ACFoam 11" or Class A, B, or C cap Min. 1/4 -inch -thick G -P "ACFoam III" or Johns "FiberTite," 1 A, B or Combustible - 2:12 sheet, smooth- One -ply Atlas Roofing Manville "E'NRG'Y-2," any "FiberTite-XT," 1 A 15/32 -inch Unlimited surfaced BUR roof or ' FR -50" or two plies thickness or combination, or plywood, min. single -ply membrane Atlas Roofing "FR -10" mechanically fastened or "FiberTite' FiberTite-XT" (EPDM, PVC or CPE) Stik" or hot asphalt adhered in "Insta-Stik" or hot membrane a. Any UL -classified polystyrene insulation, Class A, B, or C to (Optional) (tapered or uniform Combustible- retain the existing Min. /4 -inch -thick G -P "DensDeck" thickness), any "FiberTite," 2 A, B or 15/32 -inch 2:12 Class A, B, or C cap thickness, covered w/ "FiberTite-XT," C plywood, min. sheet, smooth- mechanically fastened "Insta- Atlas Roofing "FR -10." or "FiberTite-FB" 2 A Noncombustible '/2:12 surfaced BUR roof or ___ b. Atlas Roofing "Al" "FiberTite" or single -ply membrane Stik" or hot asphalt or "ACFoam II" or "FiberTite-XT" (EPDM, PVC or CPE) Johns Manville "E'NRG'Y 2" and Seaman "FTR-Value" polyisocyanu rate insulation, any thickness Class A, B, or C cap Combustible - sheet, smooth- 1/4 -inch G -P 3 A 15/32 -inch Unlimited surfaced BUR roof or DensDeck, ___ "FiberTite" or plywood, min. single -ply membrane mechanically fastened "FiberTite-XT" (EPDM, PVC or CPE) Atlas Roofing "ACFoam 11" or Johns Combustible - 1s Class A gravel- Manville "E'NRG'Y 2" 4 A /3z-�nch 2:12 surfaced BUR (gravel - and Seaman "FTR- "FiberTite" or plywood, min. maintained) Value" "FiberTite-XT" polyisocyanu rate insulation, any thickness For SI: 1 inch = 25.4 mm. 'All foam plastic insulation must be UL -classified foamed plastic for roofing systems, and must be limited to the maximum thickness in accordance with Section 5.4 or the maximum thickness in accordance with this table, whichever is less. 'PS insulation boards must comply with ASTM C 578. Polyisocyanurate insulation boards must comply with ASTM C 1289. 3Unless otherwise specified, the barrier board, slip sheet, insulation and membranes must be UL -classified for roofing system applications. 4Wood deck must be minimum 1'/32 -inch -thick (11.9 mm) plywood. Steel deck must be minimum No. 22 gage galvanized steel [0.030 inch (0.76 mm)]. Concrete must have a minimum compressive strength (Q of 2500 psi. TABLE 5—REROOFING SYSTEMS' (ADHERED) SYSTEM NO. ROOF CLASS' SUBSTRATE MAX. ROOF SLOPE EXISTING ROOF SYSTEM BARRIER BOARD OR SLIP SHEET INSULATION'' MEMBRANE Class A, B, or C to Seaman "FTR-Value," Atlas retain the existing (Optional) Roofing "ACFoam 11" or classification, Min. 1/4 -inch -thick G -P "ACFoam III" or Johns "FiberTite," 1 A, B or Noncombustible 2:12 insulated or "DensDeck" Manville "E'NRG'Y-2," any "FiberTite-XT," C uninsulated cap sheet, mechanically fastened thickness or combination, or "FiberTite-FB" smooth surface BUR or adhered in "Insta- mechanically fastened or or single -ply Stik" or hot asphalt adhered in "Insta-Stik" or hot membrane asphalt Seaman "FTR-Value," Atlas Class A, B, or C to (Optional) Roofing "ACFoam ll" or Combustible- retain the existing Min. /4 -inch -thick G -P "DensDeck" "ACFoam III" or Johns "E'NRG'Y-2," "FiberTite," 2 A, B or 15/32 -inch 2:12 classification, Manville any "FiberTite-XT," C plywood, min. insulated or mechanically fastened "Insta- thickness or combination, or "FiberTite-FB" uninsulated cap sheet or adhered in mechanically fastened or "Insta-Stik" Stik" or hot asphalt adhered in or hot asphalt For SI: 1 inch = 25.4 mm; 1 gal = 3.785 L; 1 square = 9.29 m2. 'All foam plastic insulation must be UL -classified foam plastic for roofing systems, and must be limited to the maximum thickness in accordance with Section 5.4 or the maximum thickness in accordance with this table, whichever is less. 2EPS insulation boards must comply with ASTM C 578. Polyisocyan u rate insulation boards must comply with ASTM C 1289. 3Unless otherwise specified, the barrier board, slip sheet, insulation and membranes must be UL -Classified for roofing system applications. 4Wood deck must be minimum 15/32 -inch -thick (11.9 mm) plywood. Steel deck must be minimum No. 22 gage galvanized steel [0.030 inch J0.76 mm)]. Concrete must have a minimum compressive strength (Q of 2500 psi Classification remains the same as that of the existing roof covering system. ESR -1456 I Most Widely Accepted and Trusted Page 7 of 8 TABLE 6—WIND RESISTANCE ASSEMBLIES (MECHANICALLY ATTACHED) SYSTEM ALLOWABLE DECK INSULATION' MEMBRANE MEMBRANE/INSULATION FASTENER FASTENER ROW NO. WIND UPLIFT FASTENING' SPACING SPACING (Psf) (inches) (inches) (Open Lap) Paneled rolls are fastened at securing tabs, "FiberTite" or 4.25 It (1.3 m) on center. Nonpaneled rolls Concrete or Foam plastic "FiberTite-XT," are secured at 5 -inch (0.12 m) overlap and 1 30 steel deck insulation board paneled and the outside edge is heat -welded (min. 1.15- 24 51 nonpaneled inch [38 mm] weld). roll membrane Membranes are applied over insulation and secured at tabs or laps w/ FiberTite Magnum Fasteners and Magnum Stress Plates. "FiberTite" or Concrete or Foam plastic "FiberTite-XT," (Open Lap) 2 45 steel deck insulation board paneled and Same as System #1 above. 18 51 nonpaneled roll membrane "FiberTite" or 3 60 Concrete or Foam plastic "FiberTite-XT," paneled and (Open Lap) 12 51 steel deck insulation board nonpaneled Same as System #1 above. roll membrane (Open Lap) Paneled rolls are fastened at securing tabs, "FiberTite" or 1.92 ft (0.6 m) on center. Nonpaneled rolls "FiberTite-XT," re secured at 5 -inch (0.12 m) overlap and 4 75 Concrete or Foam plastic insulation paneled and he outside edge is heat -welded (min. 1.5- 12 51 steel deck board nonpaneled roll inch [38 mm] weld). membrane Membranes are applied over insulation and secured at tabs or laps w/ FiberTite Magnum Fasteners and Magnum Stress Plates. (Closed Lap) "FiberTite" or Membranes are applied over insulation with "FiberTite-XT," top surface tabs (Top -Sider), and are 5 37 Concrete or Foam plastic double -width secured to the deck with FiberTite Magnum 12 104 steel deck � insulation board panel roll Fasteners and Magnum Stress Plates, under membrane (Top- the roof cover's 4.5- inch (114 mm) top Sider System) surface tabs. The tabs are then heat -welded (min. 1.5 -inch [38 mm] weld). "FiberTite" or "FiberTite-XT," 6 75 Concrete or Foam plastic double -width (Closed Lap) 6 104 steel deck insulation board panel roll Same as System #5 above. membrane (Top - Sider System) "FiberTite"or (Closed Lap) "FiberTite-XT," Membranes are applied over insulation, with Double -Width op surface tabs (Top -Sider) ,and are 7 30 Concrete or deck Foam plastic insulation Panel Roll secured to the deck with FiberTite Magnum 12 120 steel board Membrane Fasteners and Magnum Stress Plates, (Modified Top- through the top of the membrane. The strip is Sider System) heat -welded (min. 1.5 -inch [38 mm] weld) down both sides of the strip. (Open Lap) Paneled rolls are fastened at securing tabs, 105.5 inches (2.68 m) on center. Membranes Concrete or "FiberTite" or are applied over insulation, with top surface 8 37 steel deck Foam plastic "FiberTite-XT," tabs (Top -Sider) and secured to the deck 12 106 insulation board Paneled Roll with FiberTite Magnum Fasteners and Membrane Magnum Stress Plates, under the roof cover F.5 -inch (114 mm) top surface tabs. The tabs Pre then heat -welded (min. 1.5 inches [38 mm] weld). For SI: 1 inch = 25.4 mm; 1 psf = 47.88 Pa. 'Insulation and fasteners must be FM -approved. Foam plastic insulation must be UL -classified foam plastic for roofing systems, and must be limited to the maximum thickness in accordance with Section 5.4 of this report or the maximum thickness in accordance with this table, whichever is less. 2Steel deck must be minimum No. 22 gage galvanized steel [0.030 inch (0.76 mm)]. Concrete must have a minimum compressive strength (fc) of 2500 psi. See Section 5.6 ESR -1456 I Most Widely Accepted and Trusted Page 8 of 8 • TABLE 7— WIND RESISTANCE ASSEMBLIES (ADHERED) SYSTEM ALLOWABLE DECK INSULATION' MEMBRANE INSULATION ADHERING MEMBRANE DIRECTIONS NO. WIND UPLIFT ATTACHMENT' (psf) Membranes are (1) " FiberTite" or "FiberTite-XT" is adhered to applied over the the insulation w/ Seaman FTR-190 Bonding insulation board, Adhesive roller -applied to both the underside of mechanically the roof cover and the insulation at 1 gal per "FiberTite," attached to the deck square (0.4 UmZ), and allowed to set for 5 to 10 "FiberTite-XT," with FiberTite minutes before joining. The membrane edges or "FiberTite- Insulation Fasteners are lapped a min. of 4 inches (204 mm) and Concrete FB," (steel or plastic sealed w/ a min. 1.5 -inch -wide (38 mm) heat 1 45 Foam plastic paneled plate) applied at a weld. or steel deck insulation board membrane density of one (2) "FiberTite-FB" is adhered to the insulation (without tabs) fastener per 2 sq ft w/ Seaman FTR-390 at an application rate of 1 or (0.2 sq m) for min. gal per 60 sq ft (0.67 UmZ or Seaman FTR-290 nonpaneled 1.5 -inch (38 mm) solvent adhesive at an application rate of 1 gal rolls insulation thickness per square (0.4 Urn) or asphalt applied at a or one fastener per 4 rate of 20-25 lbs/square (1.0-1.2 kg/m2). The sq ft for min. 2.0 -inch membrane edges are lapped a min. of 4 inches (51 mm) insulation (204 mm) and sealed w/ a min. of 1.5- inch - thickness. wide (38 mm) heat weld. (1) " FiberTite" or "FiberTite-XT" is adhered to the insulation w/ Seaman FTR-190 Bonding Adhesive roller -applied to both the underside of the roof cover and the insulation at 1 gal per "FiberTite," Membranes are square (0.4 UmZ), and allowed to set for 5 to 10 "FiberTite-XT," applied over min. minutes before joining. The membrane edges or "FiberTite- 1.5 -inch (38 mm) are lapped a min. of 4 inches (204 mm) and FB," insulation board, sealed w/ a min. 1.5 -inch -wide (38 mm) heat 2 45 Structural Foam plastic paneled adhered to the weld. concrete insulation board membrane primed or unprimed (2) "FiberTite-FB" is adhered to the insulation (without tabs) structural concrete w/ Seaman FTR-390 at an application rate of 1 or deck with Insta-Stik gal per 60 sq ft (0.67 UmZ or Seaman FTR-290 nonpaneled Roofing Adhesive or solvent adhesive at an application rate of 1 gal rolls hot asphalt. per square (0.4 UM) or asphalt applied at a rate of 20-25 lbs/square (1.0-1.2 kg/M2). The membrane edges are lapped a min. of 4 inches (204 mm) and sealed w/ a min. of 1.5 -inch -wide (38 mm) heat weld. FMRC- Approved "Cellular" lightweight concrete w/ a "FiberTite-FB" is adhered to the sealed cellular min. 36 lb/ft3 lightweight concrete with Seaman FTR-390 at (577kg/m') an an application rate of 1 gal per 60 sq ft (0.67 3 45 wet cast nonpaneled Um or Seaman FTR-290 solvent adhesive at density, a min. rolls an application rate of 1 gal per square (0.4 2 in (51 mm) UM2). The membrane edges are lapped a min. thick top pour of 4 inches (204 mm) and sealed w/ a min. of and sealed w/ 1.5 -inch -wide (38 mm) heat weld. approved curing compound For SI: 1 inch = 25.4 mm; 1 Ib = 4.448 N; 1 psf = 47.88 Pa; 1 gal = 3.785 L; 1 square = 9.29 ml. 'Insulation and fasteners must be FM -approved. Foam plastic insulation must be UL -classified foamed plastic for roofing systems, and must be limited to the maximum thickness in accordance with Section 5.4 of this report or the maximum thickness in accordance with this table, whichever is less. ZSteel deck must be minimum No. 22 gage galvanized steel [0.030 inch (0.76 mm)]. Concrete must have a minimum compressive strength (Q of 2500 psi. See Section 5.6 R P.O. BOX 1504 , LA QUINTA, CALIFORNIA 92247-1504 r . BUILDING& SAFETY DEPARTMENT 78-495 CALLS TAMPICo (760) 777=7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 ' NON—RESIDENTIAL PLAN CHECK CORRECTION LIST (as> , DATE: July 18, 2011 STATUS FIRSTgfREV_IE PLAN CHECKED BY: B HANADA•/ YES TELEPHONE NUMBER: (760) 777-7023 ADDRESS: 60-750.TRILOGY PARKWAY DESCRIPTION '''AEROBICS & STO.ADD. . APPLICANT: TRILOGY PLAN CHECK #:ls 169 4,11-695 This submittal has been checked for compliance witli the 2010 California Residential, Mechanical, Electrical, Plumbing, Energy, and Green Building Codes, and the City of La Quinta Municipal Code. r APPLICANT: ` The'following items are being returned to you for correction: 2 Sets,:-,Redline&Plans7='Aerobics*Room "2 Sets – Redlined Plans_ Storage Room .,LyUlUYLUi al+�aIc;s—tierODIcsIKoOm 2 Sets - Structural Calcs - Storage Room - o p rts "Aeioblcs Rm, 2 Sets – Energy Reports - Storage Room This Correctio List BUILDING DEPARTMENT STAFF: DO NOT accept any resubmittal unless ALL of the following items are included: . 2 Sets – Redlined Plans ani -Si g om 1 A Review 3 Sets = Revised Plans Storage Room StructuialiCalcs Aer blcs Room.l ReeYiew 2 Ss 'Rev.—T, ru-"` c u al alcs" A oblcs+Room 2 Sets- Structural-Calcs StorageRoom,lst Review 2 Sets .. "Energy Reports Storage Room 1S`- Review 2 Sets–, Revised Energy. Reports Storage room Thls �CorrectlonxLlstsw/kWntten R'esponSes. INSTRUCTIONS TO APPLICANT:'* 1) PPLICANT:- 1) Provide a written response to each comment on the following pages, noting specifically where the correction can be found. Responses such as, "Sheet A-3," or, "Handrails shall be per CBC Section 1003;" are not acceptable. Show or note specifically how compliance with a code requirement is achieved. Responses such as, "Added note 16 on sheet A-3" are appropriate and will help expedite your back check. 2) Corrections may not be made by handwriting on existing drawings. Revise originals and reprint Plans and/or Calculations as necessary. ' 3) Return all red -marked Plans and/or Calculations with your resubmittal. 4) Each sheet of resubmitted Plans and/or Calculations shall include the preparer's name and telephone number and shall be wet -signed by the preparer. If the pfeparer is a licensed architect or engineer, all documents prepared by that licensed individual shall also bear his/her stamp as prescribed by California Business and' Professions Code Section 5536. Resubmittals will not be accepted with signatures missing. 5) Return this list, your written responses, and all documents listed above with your resubmittal. Residential Plan Check Correction List Pagel of 4 r . , City of La Quinta SECTION A - GENERAL . 1) Provide on each sheet of resubmitted Plans and cover sheet of bound Calculations the preparer's name and telephone number and wet -signature. If the preparer is a licensed architect or engineer, all documents prepared by that licensed individual shall also bear his/her stamp as prescribed by California Business and Professions Code §5536. Resubmittals will not be accepted with signatures missing. 2) Note on Plans: "All construction shall comply with the 2010 California Residential, Mechanical, Electrical, Plumbing, Energy, and Green Building Codes and the La Ouinta Municipal Code." Add missing Code to - Title Sheet. 3) Provide written evidence of Planning Department approval of this Project. Contact the Planning Department directly at (760) 777-7125. See attached conditional approval letter from Eric Ceja. 4) Provide written evidence from Riverside County Fire Department approval of this Project. Contact Jason Stubble at the Fire Department directly at (760) 863-8886. SECTION B - PRECISE / SITE PLAN / ZONING 1) No corrections apply. 'SECTION C - ARCHITECTURAL 1) Provide Occupant Load Calculations for the Aerobics Room incorporating the proposed addition. Specify the occupant load factor -per -C -BC Table1004-1-17-(CBC-§T004) 2) Show on Floor Plan or Window Schedule all locations of windows requiring safety glazing. (CRC .§R308.4) See'Floor-Plan at propos6d`d6`filile door: 3) Specify the ICC Evaluation Report number for proposed "metal roof and fiber-tite roofing materials. 4) Provide current material specifications for each of the -proposed -roofing types -(CBC -§107:2.-1) - --------- 5) Provide on the Electrical Plan an illuminated exit signs indicating egress travel through proposed egress doors. (CBC § 1011.1) Illuminated exit signs shall have a battery backup with duration of a minimum of 90 minutes in case of power loss. (CBC § 1011.5.3) Final exit signage location will be verified and approved by the Fire Inspector. 6) Provide luminaires at the exterior of proposed egress doors to illuminate path of exit travel. Incorporate into Electrical Plans and Energy Report. 7) Provide a note on the Door Schedule stating "Egress doors shall be readily openable from the egress side without the use. of a key or any special knowledge or effort. The unlatching of any door or leaf shall not require more than one operation. (CBC 1008.1.9, 1008.1.9.5) 8) Specify the hardware for the proposed door, showing compliance with egress and accessibility requirements. SECTION D - MECHANICAL 1) Provide on the plan location and ampacity of electrical meter and all sub -panels. (CBC §107.2.1) 2) Provide a Mechanical Plan showing the following information: Residential Plan Check Correction List Page 2 of 4 City of La Quinta a) Location of each dual -mode automatic -setback thermostat or each thermostatically controlled damper; (CMC § 113.3) 3) Note on Plans: "Mechanical equipment supported directly by the ground shall be isolated from the ground by a level concrete slab extending not less than three (3) inches above the adjoining ground level." (CMC § 1106.2) SECTION E — ELECTRICAL 1) Provide electrical load calculations. (CBC §107.2.1) Note: Incorporate all additions and electrical equipment proposed for this project. 2) Provide a single -line diagram showing: (CBC §107.2.1) a) Service panel and its ampacity; b) Grounding size, location and method; c) All sub -panels, their location and ampacities; d) Conduit size from service panel to sub -panels; e) Number of conductors, their size, material, and insulation type. See CEC Articles 215, 220, 230, 240, 250 and 310. 3) Provide the following information on Electrical Plan: a) Show how .light switching controls comply with California Energy Code § 111,119 and 131. SECTION F - PLUMBING 1) Provide roof drains at each low point of the roof. Roof drains shall be sized and discharged in accordance with California Plumbing Code (CPC) Chapter 11. Show the size of drains provided. Assume 2 inches of rainfall per hour. See Plans for area(s) not in compliance. SECTION G — ENERGY EFFICIENCY 1) Identify the phase of construction on the Energy Report. 2) Provide complete LTG forms incorporating the Aerobics Room addition, Stor to the Storage Room. age Room and Hallway adjacent 3) Incorporate metal framed wall values in ENV -1C of the Energy Calculations. 4) Show all required lighting Mandatory Measures on the Electrical Plan for the Aerobics Room Addition. California Energy Code, Sections 111, 119 &131. 5) Verify the conditioned area for the proposed Storage Room and the Aerobics Room addition. SECTION H - STRUCTURAL 1) See separate structural correction list for the Aerobics Room, attached. 2) The Storage Room structural portion is approvable. Important note to Engineer of Record: If these corrections require revisions to structural calculations, in response to these corrections, do NOT simply submit two copies of a few supplemental calculations. Residential Plan Check Correction List Page 3 of 4 City of La Quinta For resubmittal, include: • One complete set of structural calculations from the previous submittal, and... • Two complete, stamped and wet -signed sets of structural calculations for review and approval. Your written responses should direct the plan reviewer to the appropriate revised page(s). Failure to provide documentation in this manner will delay approval of your client's project. Incomplete sets, loose pages will not be assembled by the Building Department. SECTION I - MISCELLANEOUS COMMENTS 1) Red marks on Plans, even if not specifically mentioned in this list, indicate items needing correction. Revise Plans as necessary and provide written response, noting where correction can be found. 2) Provide one copy of the Plans for the County Assessor's office. While not required for resubmittal, this administrative item must be addressed prior to issuance of building permit. 3) Provide contractor information to complete building permit application form. 4) Provide proof of payment of school fees. While not required for resubmittal, this administrative item must be addressed prior to issuance of building permit. 5) Provide a current Certificate of Workers Compensation Insurance covering this project. 6) Provide a complete list of subcontractors. 7) Provide proof of current City business license. 8) Inadequate information has been provided at this submittal to calculate'fees for this project. Fee calculation will be performed when Plans are complete. . END CORRECTION LIST As further information is provided and reviewed, additional corrections may be required. Residential Plan Check Correction List Page 4 of 4 1 6 City of La Quinta Building and Safety Department Plan .Check Corrections Stru ural Santa Rosa Club - robics,Room Addition, Engineer: Leonard C. Knapp, PE 60-750 Trilogy Parkway Plan Check No.: 11-694 0" check) La Quinta, California Date: 7/11/2011 1. Specify the seismic separation between the existing structure and the addition; note the clear dimension of the separation on framing plan and on detail 9 and 10/S5.1. 2. Revise anchorage calculations for epoxied anchors based on ACI 318-08, Appendix D, Cracked Concrete in High Seismic, check anchorage based on the steel strength of a ductile steel element ACI D.3.3.4. (Refer to the brittle failure note at the end of the Simpson Anchorage Calculations output, the strength reduction factor must be selected to comply with ACI 318-08 Section D3.3.4. Revise the calculation and ancliorage detail.) 3. Check foundation along grid line "B" for point loads from steel columns supporting beams RB2, RB4, RB7 and RB8. 4. Revise grade beam size and reinforcing along grid line I" to match the calculations. 5. Specify hold down at left end of shear wall along grid line "B".' 6. Revise framing detail callouts for the steel stud box beam to detail 13/S1.2 and at the moment frame joint connections to detail reference plan sheet S6.3. If corrections require revisions to the structural calculations, provide one complete copy of the redlined calculations from this submittal plus two complete, bound copies of the revised _ calculations for review.and.approval,.Providing,only_a few supplemental,. revised.pages.will.not.be_ - • accepted and will delay approval of this'project. Please incorporate requested corrections into plan sets and reprint. Plan Reviewer. John W Thompson, P.E. Phone No.: 760-834-8860 Fax No.: 760-834-8861 °� MEMORANDUM TO: Building and Safety Department FROM: AlEric Ceja, Assistant Planner DATE: 7/1 /11 RE: 60-800 + 60-750 TRILOGY PARKWAY 60-800 Trilogy Parkway 1. The proposed renovations to the "Arts and Crafts" room are approved by the Planning Department i '60y 7 0 Tnlog "Parkway ..__ Ae obics Room _.- 1 . Sheet A 1.1 - the building is shown to encroach into the fire lane access. Please confirm with the Fire Department that the building encroachment is permitted. 2. Sheet A1.2 - the applicant is to ensure that the ground -mounted .-------�- ---mechanical pFquipment-is screened -from view. The applicant -is permitted` ----'- to construct the wall at a maximum height of six (6) feet. 3. The wall enclosure for the ground -mounted mechanical equipment shall be painted to match the existing buildings. 4. The applicant shall provide a sheet for proposed landscape improvements around the building additions. Storage Room 1 Why is there a two (2) inch gap between the storage room addition and the existing building? If you have any questions, please contact me at X7125.