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BCOM2016-0001f C � 78-495 CALLE TAMPICO C� 0 D �NMICl/ LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BCOM2016-0001 Property Address: + 47875 CALEO BAY STE 102 APN: 643200038 Application Description: DR. STEVE PHAN D.D.S. /TI TO ADD 665 SQ FEET NEXT SUITE Property Zoning: Application Valuation: $5,000.00 Applicant: GABRIEL LUJAN 36947 COOK ST STE 104 PALM DESERT, CA AUG 0 8. 2016 . CITY OF LA QUI.�vTA LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B License No.: 669244 DC ate:' Contract OWNER -B ER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ( ) 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 am exempt under Sec. BAP.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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/8/2016 Owner: CALEO BAY P 0 BOX 13230 PALM DESERT, CA 92253 Contractor: BRADLEY -JORDAN CONSTRUCTION COMPANY INC PO BOX 3428 FULLERTON, CA 92834 (714)356-1203 Llc. No.: 669244 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 �thkerk for which this permit is issued. have and will maintain workers' compensation insurance, as required by Sotion 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 COMPENSATION INSURANCE FUND Policy Number: 9053224' I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section Zofabor Code, I shall forthwith comply with those provisions. Date: A4q Applica WARNING: FAILURE TO SECURE WO RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official 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 toany permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives oZcity ruponthe above-mentioned pro erty for inspection purposes. Date: Signature (Applicant or Age Date: 8/8/2016 Application Number: BCOM2016-0001. Owner: Property Address: 47875 CALEO BAY STE 102 CALEO BAY APN: 643200038 P 0 BOX 13230 Application Description: OR. STEVE PHAN D.D.S. /TI TO ADD 665 SQ FEET NEXT SUITE PALM DESERT, CA 92253 Property Zoning: Application Valuation: $5,000:00 Applicant: Contractor: GABRIEL LUJAN BRADLEY-JORDAN CONSTRUCTION COMPANY INC 36947 COOK ST STE 104 PO BOX 3428 PALM DESERT, CA FULLERTON, CA 92834 (714)356-1203 -------.--------------- ------------------------------------------------------------------------ LIC. No.: 669244 Detail: REMODEL'& ADDITION OF DENTIST OFFICE SUITE 102.ADDTION OF 665 SF FROM STE. 101, REMODEL 288 SF OF SUITE 102. NEW TOTAL AREA OF SUITE 102 = 665 + 790 =1455 SF. "B" OCCUPANCY TYPE VB CONSTRUCTION W/ FIRE SPRINKLERS. 16 OCCUPANT LOAD. 2013 CODES. FINANCIAL •R • DESCRIPTION_. ACCOUNT QTY AMOUNT ADDITION, EA ADDITIONAL 500 SF 101-0000-42400 0 $124.72 DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $34.80 DESCRIPTION ACCOUNT QTY AMOUNT ' ADDITION, FIRST 100 SF 101-0000-42400 0 $120.83 DESCRIPTION ACCOUNT QTY AMOUNT ADDITION, FIRST 100 SF PC 101-0000-42600 0 $171.14 Total Paid for ADDITION: $451.49 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 . -0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00, DESCRIPTION ACCOUNT QTY AMOUNT NON-RESIDENTIAL, FIRST 2,000SF 101-0000-42403 0 $108.77 DESCRIPTION ACCOUNT QTY AMOUNT NON-RESIDENTIAL, FIRST 2,000SF, PC 101-0000-42600 0 $84.12 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 DESCRIPTION ACCOUNT QTY AMOUNT. FIXTURE/TRAP 101-0000-42401 0 $36.27 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $36.27 Total Paid for PLUMBING FEES: $72.54 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 -0 $21.75 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 DESCRIPTION ACCOUNT QTY' AMOUNT REMODEL, FIRST.500 SF PC 101-0000-42600 0 $134.88 Total Paid for REMODEL: $205.94 Bin Permit # Tac-c�'m 2c� l Project Address:4-1, A. P. Number: City of La Q rein to Buildin; & Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 -- t� ( Building Permit Application and Tracking Sheet Enc�p, Owner's Name: iZ , Address: Legal Description: City, ST, Zip: Contractor: Telephone: P one: Address: Project Descripiion: City, ST, Zip: Q 0^ a �K Telephone: State Lie. # : City Lie. #.: e C t e Ln, Arch., Gngr.,sig r: h AftA . `Jt1/1 'C Address: �Ot� City., ST, Zip: C,\aA Telephone: h one: �7 Construction Type: r Occupancy: •V State to Lic. # ProJect tYPa (circle e Ad' w 'cir e one • N dn Repair Demo 0 Name of Contact Person: /+ `.oec tL. tJ Ct Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: , p S 5 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Title 24 Cafes. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan god Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. 14.0.A. Approval Plans resubmitted Grading' IN IiOUSE:- '^! 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, dr. in ro ilk sm Total Permit Fees JAN 04 2016 M 'D s CITY OF LA OUINTA ' COMMUNITY DEVELOPMENT Plan Submittal Job Site Building Permit Number Project Description:: tenant improvement Exempt: ❑ (Materials may. contain• hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan Owners Name Number, Street, or PO Box City, State,, Postel Code Owners Phone Number Owner's E -Mail Address Project Managers Project Managers Phone N Project Managers E-mail A Builder / Contrc Number, Street or PO CRY; state, Postai C 8/3/2016 47875 Calso Bay Dr. #102 Steve Phan 47875 Caleo Bay Dr. #101 La Quinta, CA. 92253 James Hammer/All County Const 714-322-1456 ihammerac cRamall.com All County Const P.O. Box 8428 Fullerton, CA 92834 Project Square Footagel 500 square feet City Approval Date of City Approval 05/03%j(o To Be Discarded: Product Tons Trash 2.00 Not recyclable Product Asphalt 0.00 Recyclable Masonry (broken) Brick/Block 0.00 Recyclable Plaster Cardboard 0.00 Recyclable Scrap Metal Commingled -0.00 Recyclable Tile (floor). Concrete1.75 Recyclable Tile (roof) Drywall 0.25 Recyclable Wood Donated /Reuse" .0:00 Recyclable Landscape Debris "Describe Items r : Recycle Trash 2.8 2.0 Tons Projected Diversion: 56.14°A 1 I understand It Is the property owner's responsibility to submit copies of weight tickets or receipts to the District Environmental Coordinator as these hauls occur. I hereby certify that completion, implementation and adherence of -the Debris Management Plan (OMP)'for the above named project shell guarantee that at least 50% of the jobsite waste is diverted from landfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining materials generated from the first day of the project through the completion of the project in accordance with this plan. This DMP is issued in the name of the property owners) and shall remain their property throughout the construction and/or demolition project A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP Is still Issued In the name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the DMP are adhered to.`The property owners) and general contractor shall be'kept informed of the diversion progress through bi-monthly reports. If self -hauling, all refuse material from this project site must be taken to an approved recycler or transfer Owner I Developer / Project Manager / Superintendant Date CITY BUILDIN AP FOR STATE OF CALIFORNIA INDOOR LIGHTING CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 1 of 5) Project Name: EXPANSION/TENANT IMPROVEMENT FOR DR STEVE PHAN D.D.S. Date Prepared: 01/04/2015 Climate Zone:Conditioned 15 Floor Area: 1455 S.F. YES NO FORM TITLE NRCC-LIT-01-E Unconditioned Floor Area: N.A. NRCC-LIT-02-E General Information NRCC-LIT-03-E Indoor Lighting Power Allowance . NRCC-LIT-04-E Tailored Method Worksheets Building Type: ❑ Schools Iff Nonresidential ❑ Relocatable Public Schools ❑ High -Rise Residential Conditioned Spaces ❑ ❑ Hotel/Motel Unconditioned Spaces Phase of Construction: ❑ New Construction Addition ❑ Alteration Method of Compliance: Complete Building ❑ Area Category ❑ Tailored LIGHTING COMPLIANCE DOCUMENTS (select yes for each document included) For detailed instructions on the use of this and all Energy Efficiency Standards compliance documents, refer to the Nonresidential Manual published by the California Energy Commission. YES NO FORM TITLE NRCC-LIT-01-E Certificate of Compliance. All Pages required on plans for all submittals. NRCC-LIT-02-E Lighting Controls, Certificate of Compliance, and PAF Calculation. All Pages required on plans for all submittals. NRCC-LIT-03-E Indoor Lighting Power Allowance . NRCC-LIT-04-E Tailored Method Worksheets NRCC-LIT-05-E I Line Voltage Track Lighting Worksheets Summary of Allowed Lighting Power Conditioned and Unconditioned space Lighting must not be combined for compliance Indoor Lighting Power for Conditioned Spaces Indoor Lighting Power for Unconditioned Spaces QUINTA Installed Lighting NRCC-LTI-01-E, age 4 Watts Installed Lighting NRCC-LTI-01-E, age 4 Watts + 854 + Epir DEPT. PORTABLE ONLY FOR OFFICES D NRCC-LTI-01-E, page 3 + 0 ON RUCTION Minus Lighting Control Credits NRCC-LTI-02-E, page 2 324.8 Minus Lighting Control Credits NRCC-LTI-02-E, age 2 Adjusted Installed Lighting Power (row 1 plus row 2 minus row 3 _ J c��.Zo RECEIV Installed Lighting Power (row 1 minus row 3 ZP �� " �� JAN Q 4 2016 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 g? 11'. CITY OF L-AQUINTA /,. COMMUNITY DEVELOPMENT STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION 'W,!N_00'' CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 2 of 5) Project Name: EXPANSION/TENANT IMPROVEMENT FOR DR STEVE PHAN D.D.S. Date prepared: 01/04/2015 5. Complies ONLY if Installed <_ Allowed Complies ONLY if Installed <_ Allowed Form/Title Allowed Lighting Power Allowed Lighting Power ❑ Field Inspector 6. Conditioned NRCC-LTI-03-E, page 1 1164 WATTS Unconditioned NRCC-LTI-03-E, page 1 400. Declaration of Required Installation Certificates — Declare by selecting yes for all Installation Certificates that will be submitted. (Retain copies and verify forms are completed and signed.) YES NO Form/Title NRCI-LTI-01-E - Must be submitted for all buildings ❑ Field Inspector NRCI-LTI-02-E - Must be submitted for a lighting control system, or for an Energy Management Control System (EMCS), to be recognized for compliance. ❑ Field Inspector 400. NRCI-LTI-03-E - Must be submitted for a line -voltage track lighting integral current limiter, or for a supplementary overcurrent protection panel used to energize only line -voltage track lighting, to be recognized for compliance. ❑ Field Inspector NRCI-LTI-04-E - Must be submitted for two interlocked systems serving an auditorium, a convention center, a conference room, a multipurpose room, or a theater to be recognized for compliance. ❑ Field Inspector NRCI-LTI-05-E - Must be submitted for a Power Adjustment Factor (PAF) to be recognized for compliance. ❑ Field Inspector NRCI-LTI-06-E - Must be submitted for additional wattage installed in a video conferencing studio to be recognized for compliance. ❑ Field Inspector Declaration of Required Certificates of Acceptance — Declare by checking all of the Certificates of Acceptance that will be submitted. (Retain copies and verify forms are completed and signed.) YES NO Form/Title NRCA-LTI-02-A - Must be submitted for occupancy sensors and automatic time switch controls. ❑ Field Inspector NRCA-LTI-03-A - Must be submitted for automatic daylight controls. ❑ Field Inspector NRCA-LTI-04-A - Must be submitted for demand responsive lighting controls. ❑ Field Inspector CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 3 of 5) Project Name: EXPANSION/TENANT IMPROVEMENT FOR DR STEVE PHAN D.D.S. Date Prepared: 01/04/2015 ;A�arate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces. Installed Lighting Power listed on this Lighting Schedule is only for: ® CONDITIONED SPACE ❑ UNCONDITIONED SPACE I A. INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST I ❑ The actual indoor lighting power listed on this page and on the next page includes all installed permanent and planned portable lighting systems. ❑ When Complete Building Method is used for compliance, list each different type of luminaire on separate lines. ❑ When Area Category Method or Tailored Method is used for compliance, list each different type of luminaire by each different function area on separate lines ❑ Also include track lighting in schedule, and submit the track lighting compliance form (NRCC-LTI-05-E) when line -voltage track lighting is installed. B. Installed Portable Luminaires in Offices — Exception to Section 140.6(a) ❑ This section shall be filled out ONLY for portable luminaires in offices (As defined in §100.1). All other planned portable luminaires shall be documented on next page of this compliance form. ❑ This section is used to determine if greater than 0.3 watts of portable lighting is planned for any office ❑ Fill out a separate line for each different office. Small offices that are typical (having the same general and portable lighting) may be grouped together. This allowance shall not be traded between offices having different lighting systems. Office Portable Luminaire Office Installed Portable Luminaire Watts Per Square Office Location Field Schedule Foot Inspector A B C D E F G H I J Installed Zportable 0 V, Watts If F5 0.3, Identify Office area in which 5 3 c luminaire 2:v ;, per enter zero; E x G these portable luminaires are v Complete Luminaire Description T watts in this � square installed N (i.e., LED, under cabinet, furniture mounted Watts per ' ° office m :» foot if F > 0.3, direct/indirect) Luminaire (B x C) (D / E) (F-0.3) ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Enter sum total of all pages into NRCC- Total installed portable luminaire watts that are greater than 0.3 watts per square foot per office: LTI-01-E; Page 1 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 4 of 5) Project Name: EXPANSION/TENANT IMPROVEMENT FOR DR STEVE PHAN D.D.S. Date Prepared: 01/04/2015 Asap orate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces. Installed Lighting Power listed on this Lighting Schedule is only for: al CONDITIONED SPACE ❑ UNCONDITIONED SPACE C. INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Luminaire Schedule Installed Watts Location Field Inspector 1 A B C D E F G H How wattage was determined :E of v O r'i Dto v Complete Luminaire Description 3 3 w �. c ET N (Le, 3 lamp fluorescent troffer, d a z d o "• 3 x a a Primary Function area in which z = F32T8, one dimmable electronic ballast) �" `� c = o `� - a C- these luminaires are installed Pass Fail (E) ROUND RECESSED 32 ❑ 7 224 office > 250 sq. ft. ❑ ❑ (E) TROFFER 54 Old& g 486 office > 250 sq. ft. ❑ ❑ ROUND RECESSED LIGHT LED 12 ❑ 2 24 BATHROOMS ❑ ❑ ROUND RECESSED LIGHT LED 12 ❑ 3 36 office > 250 sq. ft. ❑ ❑ ROUND RECESSED LIGHT LED 12 ❑ 7 84 WALKWAYS ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ INSTALLED WATTS PAGE TOTAL:Enter C /� 854 sumages into l of all Z CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION ' CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 5 of 5) Project Name: EXPANSION/TENANT IMPROVEMENT FOR DR STEVE PHAN D.D.S. I Date Prepared: 01/04/2015 I DOCUMENTATION AUTHOR'S DECLARATION STATEMENT I. i certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Armando Chavez Documentation Author Signature: Signature Date: 01/04/201' Company:TITLE 24 OF THE DESERT services inc. Address: 74800 Sheryl Ave. #62 CEA/ HERS Certification Identification (if applicable): City/State/Zip: Palm Desert CA 92260 Phone: 1 760 278.1840 . RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). .3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5.- 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance i ulr to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name:GABRIEL LUJAN Responsible Designer Signature: Company: GABRIEL LUJAN & ASSOCIATES Date Signed: r ' Address: 36-947 COOK ST. STE 104 License: City/State/Zip: Palm Desert, Ca 92211 Phone: 760 674-8100 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE` 'EC -NRCC-LTI-03-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION" CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E Certificate of Compliance - Indoor Lighting Power Allowance (Page 1 of 4) vroteccName:EXPANSION/TENANT IMPROVEMENT FOR DR STEVE PHAN D.D.S. oatev,epared:01/04/2015 ALLOWED LIGHTING POWER Parate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for: CONDITIONED spaces ❑ UNCONDITIONED spaces A. SUMMARY TOTALS OF LIGHTING POWER ALLOWANCES I IM If using Complete Building Method for compliance, use only the total in column (a) as total allowed building watts. ❑ If using Area Category Method, Tailored Method, or a combination of Area Category and Tailored Method for compliance, use only the total in column (b) as the total allowed building watts (a) (b) 1. Complete Building Method Allowed Watts. Documented in section B of NRCC-LTI-03-E (below on this page) 2452 W c� 4 2. Area Category Method Allowed Watts. Documented in section C-1 of NRCC-LTI-03-E (below on this page) .` 3. Tailored Method Allowed Watts. Documented in section A of NRCC-LTI-04-E TOTAL ALLOWED BUILDING WATTS. Enter number into correct cell on NRCC-LTI-03, Page 2, Row 1 1164 watts Check here if building contains both conditioned and unconditioned areas. B. COMPLETE BUILDING METHOD LIGHTING POWER ALLOWANCE Watts Total from section C-2 A B C D TYPE OF BUILDING (From §140.6 Table 140.6-B) WATTS PER (ft) X COMPLETE BLDG. AREA = ALLOWED WATTS OFFICE BUILDING 0.8 1455 s.f. 1164 Total Area: 1455 s.f.' Total Watts. Enter Total Watts into section A, row 1 (Above on this page) 1164W C -1 AREA CATEGORY METHOD TOTAL LIGHTING POWER ALLOWANCES (C-2 plus C-3) Watts Total from section C-2 Total from section C-3 Total Watts. Enter Total Watts into section A, row 2 (Above on this page) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE MRA :EC-NRCC-LTI-03-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E Certificate of Compliance - Indoor Lighting Power Allowance (Page 2 of 4) Project Name: Date Prepared: _XPANSION/rENANT IMPROVEMENT FOR OR STEVE PHAN D.D.S. 01!09!2015 A separate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for: ❑ CONDITIONED spaces ❑ UNCONDITIONED spaces C -2 AREA CATEGORY METHOD GENERAL LIGHTING POWER ALLOWANCE ❑ Do not include portable lighting for offices. Portable lighting for offices shall be documented only in section B of NRCC-LTI-01-E. ❑ Separately list lighting for each primary function area as defined in §100.1 of the Standards. A B C D AREA CATEGORY (From §140.6 Table 140.6-C) WATTS ALLOWED Location in Building Primary Function Area per Table 140.6-C PER (ft) X AREA (ft) = WATTS TOTALS Enter sum total Area Category allowed watts into section C-1 of NRCC-LTI-03-E (this compliance form) WATTS CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE nxs 3EC-NRCC-LTI-03-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E Certificate of Compliance - Indoor Lighting Power Allowance (Page 3 of 4) °`ole«Name:EXPANSION/TENANT IMPROVEMENT FOR DR STEVE PHAN D.D.S. Date°`epared:01/04/2015 A separate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for: ❑ CONDITIONED spaces ❑ UNCONDITIONED spaces C-3 AREA CATEGORY METHOD Additional Lighting Wattage Allowance (from Table 140.6-C Footnotes) A B C D E F G ALLOWED Additional Wattage WATTS Primary Sq Ft or Watts Allowance Description(s) and Quantity of Special Total Design Smaller of Function linear ft 1 Allowed (B x C) Luminaire Types in each Primary Function Area Watts 3 D or F TOTALS —Enter into TOTAL AREA CATEGORY METHOD ADDITIONAL ALLOWANCES —Section C-1 .I 1- 1. Use linear feet only for additional allowance for white board or chalk board. All other additional Area Category allowances shall use watts per square foot. 2. Additional watts are available only when allowed according to the footnotes on bottom of Table 146-C, which include: Specialized task work; Ornamental lighting; Precision commercial and industrial work; Per linear foot of white board or chalk board; Accent, display and feature lighting; and Videoconferencing Studio lighting.. 3. Luminaire classification and wattage shall be determined in accordance with §130.0(c) of the Standards. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE Al2 A CEC-NRCC-LTI-03-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E Certificate of Compliance - Indoor Lighting Power Allowance (Page 4 of 4) ProlectName:EXPANSION/TENANT IMPROVEMENT FOR DR STEVE PHAN D.D.S. Date Prepared: 01/04/2015 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Armando Chavez Documentation Author Signature: Signature Date: 01/04/2016 company:TITLE 24 OF THE DESERT services inc. Address: 74800 800 Sheryl Ave. #62 CEA/ HERS Certification Identification (if applicable): City/State/Zip: Palm Desert CA 92260 - Phone: 1 760 278.1840 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance ' red to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: GAB RI EL LUJAN Responsible Designer Signature: Company:GABRIEL LUJAN & ASSOCIATES Date Signed: Address: 36-947 COOK ST. STE 104 License: City/State/Zip: Palm Desert, Ca 92211 Phone: 760 674-8100 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING — LIGHTING CONTROLS CEC-NRCC-LTI-02-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting - Lighting Controls (Page 1 of 3) Prale«Name:EXPANSION/TENANT IMPROVEMENT FOR DR STEVE PHAN D.D.S. Date Prepared: 01/04/2015 The NRCC-LTI-02-E shall be used to document all mandatory and prescriptive lighting controls that are applicable to the project. Mandatory Lighting Control Declaration Statements (Indicate if the measure applies by checking yes or no below.) YES NO Control Requirements Lighting shall be controlled by self-contained lighting control devices which are certified to the Energy Commission according to the Title 20 Appliance Efficiency Regulations in accordance with Section 110.9. Lighting shall be controlled by a lighting control a system or energy management control system in accordance with §110.9. An Installation Certificate shall be submitted in accordance with Section 130.4(b). One or more Track Lighting Integral Current Limiters shall be installed which have been certified to the Energy Commission in accordance with §110.9 and §130.0. Additionally, an Installation Certificate shall be submitted in accordance with Section 130.4(b). A Track Lighting Supplementary Overcurrent Protection Panel shall be installed in accordance with Section 110.9 and Section 130.0. Additionally, an Installation Certificate shall be installed in accordance with Section 130.4(b). All lighting controls and equipment shall comply with the applicable requirements in §110.9 and shall be installed in accordance with the manufacturer's instructions in accordance with Section 130.1. All luminaires shall be functionally controlled with manually switched ON and OFF lighting controls in accordance with Section 130.1(a). General lighting shall be separately controlled from all other lighting systems in an area. Floor and wall display, window display, case display, ornamental, and special effects lighting shall each be separately controlled on circuits that are 20 amps or less. When track lighting is used, general, display, ornamental, and special effects lighting shall each be separately controlled; in accordance with Section 130.1(a)4. The general lighting of any enclosed area 100 square feet or larger, with a connected lighting load that exceeds 0.5 watts per square foot shall meet the V multi-level lighting control requirements in accordance with Section 130.1(b). All installed indoor lighting shall be equipped with controls that meet the applicable Shut -OFF control requirements in Section 130.1(c). Lighting in all Daylit Zones shall be controlled in accordance with the requirements in Section 130.1(d) and daylit zones are shown on the plans. Lighting power in buildings larger than 10,000 square feet shall be capable of being automatically reduced in response to a Demand Responsive Signal in accordance with Section 130.1(e). Before an occupancy permit is granted for a newly constructed building or area, or a new lighting system serving a building, area, or site is operated for normal use, indoor lighting controls serving the building, area, or site shail be certified as meeting the Acceptance acquirements for Code Compliance in accordance with Section 130.4.(a). The controls required to meet the Acceptance Requirements include automatic daylight controls, automatic shut -OFF controls, and demand responsive controls. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING — LIGHTING CONTROLS CEC-NRCC-LTI-02-E (Revised 06114) CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting - Lighting Controls (Page 2 of 3) Project Name: Date Prepared: EXPANSIONITENANT IMPROVEMENT FOR DR STEVE PHAN D.D.S. 01/042015 A separate document must be filled out for Conditioned and Unconditioned Spaces. This page is used only for the following: eCONDITIONED SPACES ❑ UNCONDITIONED SPACES MANDATORY AND PRESCRIPTIVE INDOOR LIGHTING CONTROL SCHEDULE, PAF CALCULATION, and FIELD INSPECTION CHECKLIST PAF Credit Calculation 2 t a _T fD a 1 r 7 " r) n o (I -D vii Standards Complying With m v x a n Lighting Control Schedule (✓ all that apply, or enter 'E' if Exempted) fl- ° T = �* ° fl- ID - A B C D E F G H I J K L M N O Type/ Description of Lighting Control (i.e.: occupancy sensor, # to, Nto, a 'A' Location in Building automatic time switch, of o 0 LU 0 0 o a 0 N = dimmer, automatic daylight, Units d g- v t: CL r m N Q1 a. to etc... ) OFFICES OCC. SENSOR -<= 125 sgft 746 0.40 298.4 * ❑ ❑ BATHROOMS OCC. SENSOR -<= 125 sqft 24 0.40 9.6 ❑ ❑ WALKWAYS DIMMER 84 0.20 16.8 * ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Control Credit PAGE TOTAL (Sum of Column M): 324,8 IF MULTIPLE PAGES ARE USED, ENTER SUM TOTAL OF Control Credit for all pages HERE (Sum of all Column M): 324.8 Enter Control Credit total into NRCC-LTI-01-E; Page 1. 1. §130.1(o) = Manual area controls, §130.0(b) = Multi Level; §130.1(c) = Auto Shut -Off; §130.1(d) = Me(Idatory Day!ight• §130.1(e) = Demand Responsive; §140.6(d) = i Additional lighting controls installed to earn a PAF; §140.6(d) = Prescriptive Secondary Sidelit Daylight Controls. 2. Check Table 140.6-A for correct Factor. PAFs shall not be traded between conditioned and unconditioned spaces. As a condition to earn a PAF, an Installation Certificate is also required to be filled out signed, and submitted. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 . a STATE OF CALIFORNIA INDOOR LIGHTING — LIGHTING CONTROLS CEC-NRCC-LTI-02-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting - Lighting Controls (Page 3 of 3) Project Name:EXPANSION/TENANT IMPROVEMENT FOR DR STEVE PHAN D.D.S. Date Prepared :01/04/2015 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation AuthorName:Armand0 Chat/@Z Documentation Author Signature: Signature Date: 01/04/2016 Compan,:TITLE 24 OF THE DESERT services inc. Address: 74800 800 Sheryl Ave. #62 CEA/ HERS Certification Identification (if applicable): City/State/Zip: Palm Desert CA 92260 Phone: 1 760 278.1840 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design_ identified on this Certificate of Compliance (responsible designer). ' 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or.system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance i fired to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name:GABRIEL LUJAN Responsible Designer Signature: compan,:GABRIEL LUJAN & ASSOCIATES Date Signed: 1 , Address: 36-947 COOK ST. STE 104 License: City/State/Zip: Palm Desert, Ca 92211 Phone: 760 674-8100 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014