11-1110 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING &'SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 11'"00001170
Property Address: 46050 WASHINGTON ST
APN: 604-050-024-18 —0000001 -
Application description: MECHANICAL
Property. Zoning: REGIONAL COMMERCIAL
Application valuation: . 52000
Applicant: 0 ,N Architect or Engineer:
U
` LICENSED CONTRACTOR'S DECLARATION.
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my. License is in full force and effect.
Lice se Class: C4 , C20CC36 License No.: 120696
.Date: �c�j 2� 111� tractor:
- OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I amexempt .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 repaicany'structure, prior to its issuance, also requires the applicant for the
. permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
1—) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereo n,
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.).
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the .
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: '
Lender's Address: -
LQPERMIT
VOICE (760) 777-7012 '
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
AUTOMOBILE CLUB.OF SOUTHERN CA
ATTN TAX ADMIN A379
3333 FAIRVIEW RD A379
COSTA MESA, CA 92626
Contractor:
ACCO ENGINEERED S'.
6265 SAN FERNANDO
GLENDALE, CA 9120:
(818)244-6571
Lic. No.: 120696
Date: 10/27/11
WORKER'S COMPENSATI ECLARATION }..-
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 XL SPECIALTY Policy Number RWD500014804
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
., 3700ESECUREWORKERS'
the Laor Code, I shall forthwith comg�y--with those provisions.
ate: V �Z?(
WARNING: FAI E COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE.COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. '
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued_as.a result of this application becomes null and void if work is not commenced
'within 180 days from date of issuance of. such permit, or cessation of work for 180 days will subject
permit to cancellation. - - -
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of s county to enter upon above-mentioned.. property for ins
U 62 I ' nature (Applicant or Agent
Application Number 11-00001110
Permit BUILDING PERMIT
Additional desc .
Permit Fee . . . . 423:50 Plan Check Fee
2.75:28
Issue Date Valuation
52000
Expiration.Date 4/24/12
Qty Unit Charge Per
Extension
BASE FEE
414.50
2.00 4.5000 THOU BLDG 50,001-100,000
9.00
Permit MECHANICAL
Additional.desc .
Permit Fee 222.50 Plan Check Fee
.55.63
Issue Date. Valuation
0
Expiration Date 4/24/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
2.00 9.0000 EA MECH FURNACE <=100K
•.18.00
4.00. 11.0000 EA MECH FURNACE >100K
.44.00
.
12.00 4.5000 EA MECH VENT INST/•DUCT ALT
54.00
1.00 9.0000 EA MECH B/C.,<=3HP/100K BTU
9.00
5..00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU
82.50
Special Notes and Comments
.
REPLACE 6 ROOFTOP HVAC UNITS WITH
EQUIVALENT EQUIPT. STRUCTURAL
• REINFORCEMENT OF MOUNTING PADS PER
ENGINEERED DESIGN BY RICHARD PLUMP
C52696. 2010 CODES
-----------------.-.-.---------------------------.-----------------------
Other Fees . . . . . .. BLDG STDS ADMIN-(SB1473)
--
3.00
ENERGY REVIEW FEE
27.52
ENERGY REVIEW FEE
27.53.
STRONG MOTION (SMI) -'COM
10.92
Fee summary Charged Paid Credited
Due
Permit Fee Total 646.00 .00 .00.
646.00
PlanCheck Total 330.91 .00 .00
330.91
Other Fee Total. 68.97 .00 .00
68.97
Grand Total 1045.88 00. .00
1045.88
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City of La Quinta
Building &r Safety Division
P.O. Box 1504,78-495 Calle Tampico
la.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
•,�,�
ProjectAdd[esS:96.050 WASHINGTON STREET, LA QUINTA, CA
Owner'SName: AUTOMOBILE CLUB OF. CALIFORNIA .
Item Amount
A. P. Number.
Address: 3333 FAIRVIEW
Structural Cales.
Legal Description:
City, ST, Zip. COSTA MESA, CA 92626
Reviewed, ready for corrections
Contractor: ACCO ENGINEERED SYSTEMSTelephone:(
7 19) 888-1539
'� 3s'� `ti^
•�''�
,;, ,� ,;-
Address: 265 MCCORMICK AVENUE
Project Description: REPLACE SIX (6) ROOFTOP PACKAGE
City, ST, zip: COSTA MESA, CA 92626
UNITS WITH LIKE -FOR -LIKE UNITS. UNIT SIZES ARE AS
Plan Check Balance
Telephone: (719) 352-2226
ra7ar)?' JV
FOLLOWS: FOUR (9). 6.TON UNITS; ONE (1) 9 TON UNITS;
State Lie. #: 120696
CityLlc.#•:Forthcoming
ONE (1) 3 TON UNIT.
Construction ,
Arch., Engr., Designer. ACCO ENGINEERED SYSTEMS
Flood plain plan
Address: 265 MCCORMICK AVENUE
Plans resubmitted..
City,ST,Zip: COSTA MESA, CA 92626
Mechanical
Telephone: (719) 352-2226C`':;
P
'Y � �; � <.
; 7'"' k
Construction Type: TENANT IMP ROVOccupancy: COMMERCIAL
State Lie. #: 12'0 6 9 6
Project type circle one): New Add'n Alter Repair Demo
Name of Contaet Person: MATTHEW MATTSON
Sq. Ft.: 8,400
# $torics: 1
#Units: 1
•
Telephone # of Contact Person: (530). 304-1253-
Estimated Value of Project $52,000.00.
Called Contact Person
APPLICANT: DO NOT WRITE BELOW THIS LINE
plumbing
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES'
Total Permit Fees •�
Plan Sets
Plan Cheek submitted
/0
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calci.
Pians picked up
Construction ,
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
V Review, ready for corrections ssue
!Q b
Electrical
Subcontactor List
Called Contact Person
plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
W ROUSE:-
'^` Review,' ready for eorrectionsfissue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.I.P.P. '.
Pub. Wks. Appr '
Date of permit issue
School Fees
I 1 Al'"
Total Permit Fees •�
P.O. BOX 1504, BUILDING & SAFETY DEPARTMENT
78=495 CALLE TAMP ICO , (760) 777-7012
LA QUINTA, CALIFORNIA 92253 F.AX (760) 777-7011
To: Greg Butler, Building & Safety Manager To CDD:
From: Les Johnson, Director -Planning Due Date: Z
Permit #: Status.'
E�ullding Plans A aro vial
(This is an approval to- issue a Building- Permit)
The Planning' Department has reviewed the Building Plans for the following
project:
Description:
Address or General Location: zl&-06O , �/J
. Applicant. Contact:
o � Sao -:304 - /as3
The Planning Department finds that:
O ...these Building. Plans do not require Planning Department approval.
.:.these Building Plans are approved by the Planning Department.
O ...these B ilding Plans require corrections. Please forward a copy of the
attached rrections to the applicant: When the corrections are made
please retu n them to the Planning Department for review.
t_e Johns n, Di0&-bt&-\P.lannin Date
recer ie-,
OCT 1 0 20:11
Ci'!y of Lo Quirfo
- Planning Oeparlmnf
CERTIFICATE OF COMPLIANCE and (Part 1 of 5) MECHA C
FIELD INSPECTION ENERGY CHECKLIST
—'project Name:
A LA QUINTA ROOFTOP UNITS CHANGE -OUT
Date:
912612011
Climate Zone:
15
roject Address:
46050 WASHINGTON STREET, LA QUINTA, CA 92253
Conditioned Floor Area:
8,400
General Information
Building Type: O Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room
❑ Schools (Public School) ❑ Relocatable Public School Bldg. ❑ Conditioned Spaces ❑ Unconditioned Spaces
Phase Of Construction: ❑ New Construction ❑ Addition ❑ Alteration
Approach of Compliance: ❑ Component ❑ Overall Envelope TDV Energy ❑ Unconditioned (file affidavit)
Front Orientation: N,S,E,W or in Degrees: E
HVAC SYSTEM DETAILS
FIELD INSPECTION ENERGY CHECKLIST
Equipment'
Inspection Criteria
Meets Criteria or Requirements
S ecial Feature' Pass Fail -Describe Reason
Item or System Tags
(i.e. AC -1, RTU -1, HP -1)
AC -1, AC -2, AC -3, AC -4
❑ ❑
Equipment Type 4:
PACKAGE
❑ ❑ ❑.
No of Systems
4
❑ ❑ ❑
Max Allowed Heating Capacity
84 MBH
❑ ❑ ❑
Minimum Heating Efficiency
❑ ❑ ❑
Max Allowed Cooling Capacity
72.8 MBH
❑ ❑ ❑
Cooling Efficiency
11.0 EEF
❑ ❑ ❑
Duct Location/ R -Value_
ROOFTOP/ R-8
❑ p ❑
Duct Leakage Testing - If Yes,
a MECH-4A must be submitted
N/A
❑ ❑ ❑
Economizer
NO
❑ ❑ ❑ -
armostat
YES
❑ ❑ ❑
ran Control
N/A
❑ ❑ ❑
Equipment2
Inspection Criteria
FIELD INSPECTION ENERGY CHECKLIST
Special Feature' Pass
Fail -Describe Reason
Item or System Tags
(i.e. AC -1, RTU -1, HP -1)
AC -5
❑ ❑
p
Equipment Type 4:
PACKAGE
❑ ❑
❑
No of Systems
1
❑ ❑
❑
Max Allowed Heating Capacity
65 MBH
❑ ❑
❑
Minimum Heating Efficiency
_
❑ ❑
❑
Max Allowed Cooling Capacity
50 MBH
❑ ❑.
p
Cooling Efficiency
11.0 EER
❑ ❑
❑
Duct Location/ R -Value
ROOFTOP/ R-8
❑ ❑
❑
Duct Leakage Testing - If Yes,
a MECH-4A must be submitted
N/A
❑ ❑
❑
Economizer
NO
❑ ❑
❑
Thermostat
YES
❑ ❑
p
Fan Control
N/A
❑ ❑
❑
1. Indicate special feature DETAILS on Page 2 of the Inspection Checklist Form.
2. 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.
3. For additional detailed discrepancy use Page 2 of the Inspection Checklist Form.
4. Indicate Equipment Type: Gas (Pkg or, Split), VAV, HP (Pkg or, Split), Hydronic, PTAC, or other
2008 Nonresidential omp iance Forms August 2009
CERTIFICATE OF COMPLIANCE and (Part 1 of 5) MECHA C
FIELD INSPECTION ENERGY CHECKLIST
--project Name:
A LA QUINTA ROOFTOP UNITS CHANGE -OUT
Date:
9/2612011
Climate Zone:
15
-roject Address:
46050 WASHINGTON STREET, LA QUINTA, CA 92253
Conditioned Floor Area:
8,400
General Information
Building Type: O Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room
❑ Schools (Public School) ❑ Relocatable Public School Bldg. ❑ Conditioned Spaces ❑ Unconditioned Spaces
Phase Of Construction: ❑ New Construction ❑ Addition ❑ Alteration
Approach of Compliance: ❑ Component ❑ Overall Envelope TDV Energy ❑ Unconditioned (file affidavit)
Front Orientation: N,S,E,W or in Degrees: E
HVAC SYSTEM DETAILS
FIELD INSPECTION ENERGY CHECKLIST
Equipmentz
Inspection Criteria
Meets Criteria or Requirements
Special Feature' Pass Fail -Describe Reason
Item or System Tags
(i.e. AC -1, RTU -1, HP -1)
AC -6
❑ ❑ ❑
Equipment Type 4:
PACKAGE
❑ ❑ ❑
No of Systems
1
❑ ❑ ❑
Max Allowed Heating Capacity
65 MBH
❑ ❑ ❑
Minimum Heating Efficiency
-
❑ ❑ ❑
Max Allowed Cooling Capacity
37.5
❑ ❑ ❑
Cooling Efficiency
11.0 EER
❑ ❑ ❑
Duct Location/ R -Value
ROOFTOP/ R-8
❑ ❑ ❑
Duct Leakage Testing - If Yes,
a MECH-4A must be submitted
N/A
❑ ❑ ❑
Economizer
NO
❑ ❑ ❑
ermostat
YES
❑ ❑ ❑
ran Control
N/A
❑ ❑ ❑
Equipmerit2
Inspection Criteria
FIELD INSPECTION ENERGY CHECKLIST
Special Feature' Pass Fail -Describe Reason
Item or System Tags
(i.e. AC -1, RTU -1, HP -1)
❑ ❑ ❑
Equipment Type 4:
❑ ❑ ❑
No of Systems
❑ ❑ ❑
Max Allowed Heating Capacity
❑ ❑ ❑
Minimum Heating Efficiency
❑ ❑ ❑
Max Allowed Cooling Capacity
❑ ❑ ❑
Cooling Efficiency
❑ ❑ ❑
Duct Location/ R -Value
❑ ❑ ❑
Duct Leakage Testing - If Yes,
a MECH-4A must be submitted
❑ ❑ ❑
Economizer .
❑ ❑ ❑
Thermostat
❑ ❑ ❑
Fan Control
❑ ❑ ❑
1. Indicate special feature DETAILS on Page 2 of the Inspection Checklist Form.
2. 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.
3. For additional detailed -discrepancy use Page 2 of the Inspection Checklist Form.
4. Indicate Equipment Type: Gas (Pkg or, Split), VAV, HP (Pkg or, Split), Hydronic, PTAC, or other
2008 onresi enha ompiance Forms I August 2009
CERTIFICATE OF COMPLIANCE and (Part 2 of 5) MECH-1 C
FIELD INSPECTION ENERGY CHECKLIST
�'.roject Name: Date:
A LA QUINTA ROOFTOP UNITS CHANGE -OUT 9/26/2011
SPECIAL FEATURES INSPECTION 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. The local enforcement agency determines the adequacy of the -
justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and
documentation submitted
N/A
Discrepancies: ,
r.
2008
f.
Nonresidential omp iance Forms August 2097
CES. i IFICATE OF COMPLIANCE and
FIELD INSPECTION ENERGY CHECKLIST (PART 3 OF 5) MECH-1 t;
Project Name:
Date:
AAA LA QUINTA ROOFTOP UNITS CHANGE -OUT
9/26/2011
.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 list all equipment that requires an acceptance test. If all equipment of a certain type requires a test, list the
equipment description and the number of systems. 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.
ENFORCEMENT AGENCY:
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 using the Acceptance Requirements.
The MECH-1C form is not considered a completed form and is not 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
Outdoor
Ventilation Constant Demand Hydronic
for Volume & Air Control Supply Valve System
Automatic
Equipment Requiring Testing or # of VAV & Single -Zone Distribution Economizer, Ventilation Fan Leakage Supply Water Variable Flow
Demand Shed
Verification Units CAV Unitary Ducts Controls DCV VAV Test Temp. Reset Control
Control
AC -1, AC -2, AC -3, AC -4 4 O O ❑ ❑ ❑ ❑ ❑ ❑ ❑
❑
AC -5 1 O O ❑ ❑ ❑ ❑ ❑ ❑ ❑
❑
AC -6 1 O O ❑ ❑ ❑ ❑ ❑ ❑ ❑
❑
❑ ❑ ❑ ❑. ❑ ❑ ❑ ❑ ❑
❑
❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ _ ❑
❑
❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑
❑
❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑
❑
❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑
❑
❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑
❑
❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑
❑
Nonresidential Compliance Forms August
CEr. (IFICATE OF COMPLIANCE and
FIELD INSPECTION ENERGY CHECKLIST
(PART 4 OF 5) MECH-1 C
Project Name:
AAA LA QUINTA ROOFTOP UNITS CHANGE -OUT
Date:
9/2612011
Test Description MECH-12A MECH-13A
MECH-14A
MECH-15A
Fault Automatic Fault
Detection & Detection &
# of Diagnostics Diagnostics for
Equipment Re uirin Testing Units for DX Units Air & Zone
Distributed
Energy Storage
DX AC
S stems
Thermal Energy
Storage (TES)
S stems
Test Performed By:
AC -1, AC -2, AC -3, AC -4 • 4 ❑ ❑
❑
❑
ACCO ENGINEERED SYSTEM
AC -5 1 ❑ ❑
❑
❑
ACCO ENGINEERED SYSTEM
AC -6 1 ❑ ❑
❑
❑
ACCO ENGINEERED SYSTEM
❑ ❑
❑
❑
❑ ❑
❑
❑
.❑ ❑
❑
❑
❑ ❑
❑
❑
❑ ❑
❑
❑
❑ ❑
❑
❑
❑ ❑
❑
❑
CERTIFICATE OF COMPLIANCE and
(Part 5 of 5) MECHA C
FIELD INSPECTION ENERGY CHECKLIST
—'-oject Name:
Date:
A LA QUINTA ROOFTOP UNITS CHANGE -OUT
19/26/2011
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and complete. -
Name:
re:
MATTHEW MATTSON
Company:
Date:
ACCO ENGINEERED SYSTEMS
9/26/2011
Address:
If Applicable
265 MCCORMICK AVENUE
EA #
CEPE #
City/ State / Zip:
Phone:
COSTA MESA, CA 92626
(714) 352-2226
Principal Mechanical Designer's Declaration Statement
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for mechanical r
design.
f _
• This Certificate of Compliance identifies the mechanical features and performance specifications required for compliance with
Title 24, Parts 1 and 6 of the California Code of Regulations.
• F.The design, features represented on this Certificate of Compliance are consistent'with the information provided to document
this design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the
enforcement agency for approval with this building permit application.
Name:
Sig nat
JUSTIN KIRCHART
Company Name:
Date:
ACCO ENGINEERED SYSTEMS
9/26/2011
'dress:
License #
j5 MCCORMICK AVENUE
M33976
City / State / Zip:
Phone:
COSTA MESA, CA 92626
(714) 352-2226
Mandatory Measures
Indicate location on building plans of Note Block for Mandatory Measures AC0.01
MECHANICAL COMPLIANCE FORMS & WORKSHEETS (check box if worksheet is included)
For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, refer to the 2008 Nonresidential
Manual Note: The Enforcement Agency may require all forms to be incorporated onto the building plans. -
❑ MECHA C Certificate of Compliance. Required on plans for all submittals.
❑ MECH-2C Mechanical Equipment Summary is required for all submittals.
❑ MECH-3C Mechanical Ventilation and Reheat is required for all submittals with mechanical ventilation.
❑ MECH-4C Fan Power Consumption.is required when for all prescriptive submittals. `
AIR SYSTEM REQUIREMENTS
Part 1 of 3
MECH-2C
Project Name:.
Date:
AAA LA QUINTA ROOFTOP UNITS CHANGE -OUT
912612011
Indicate Air Systems Type (Central, Single Zone, Package, VAV or etc...)
Item or System Tags
(i.e. AC -1, RTU -1, HP -1)
AC -1 AC -2 AC -3, AC -4
AC -5"
AC -6
No. of Systems
4
Indicate Page Reference on the Plans or Schedule list or list
information below
MANDATORY MEASURES
T-24 Sections
-
Heating Equipment Efficiency
112 a
Cooling Equipment Efficiency
112 a
11.0 EER
11.0 EER
10.7 EER
HVAC or Heat Pump Thermostats
112(b), §112 c
AC1.01
AC1.01
AC1.01
Fumace Controls / Thermostat
112(c), §115 a
N/A
N/A
N/A
Natural Ventilation
§121(b)
N/A
N/A
N/A
Mechanical. Ventilation
§121(b)
AC0.01
AC0.01
AC0.01
VAV Minimum Position Control
§121(c)
N/A
N/A
N/A
Demand Control Ventilation
§121(c)
N/A
N/A
N/A
Time Control
§122(e)-
Setback and Setup Control
§122(e)
Outdoor Damper Control
122
Isolation Zones
122
Pipe Insulation
123
-
_
Duct Insulation
124
AC0.01
AC0.01
AC0.01
PRESCRIPTIVE MEASURES
Calculated Design Heating Load
§144(a & b
84 MBH
65 MBH
65 MBH
:alculated Design Cooliing Load
§144(a & b
72.8 MBH
50 MBH
37.5 MBH
Fan Control
§144(c)_
DP Sensor Location
§144(c)
N/A
N/A
N/A.
Supply Pressure Reset (DDC Only)
.§144(c)
N/A
N/A
N/A
'Simultaneous Heat/Cool
144 d
N/A
N/A
N/A
Economizer
§144(e)
N/A
N/A
N/A
Heat and Cool Air Supply Reset
144
AC0.01
AC0.01
AC0.01
Electric Resistance Heating'
144
N/A
N/A
N/A
Heat Rejection System
§144(h)
N/A
N/A
N/A
Air Cooled Chiller Limitation
§144(i)
N/A'
N/A
N/A
Duct Leakage Sealing. If Yes, a
MECH-4-A must be submitted
§144(k)
N/A
N/A
N/A
1. Total Installedcapacity (MBtu/hr) of all electric heat on this project exclusive of electric auxiliary heat for heatpumps. /f electric heat is
used explain which ecxeption(s) to §144(g) apply.
Wi-. , ER SIDE SYSTEM REQUIREMENTS (Part 2 of 3) MECI, . tC
Project Name:
AAA LA QUINTA ROOFTOP UNITS CHANGE -OUT
Date:
912 612 0 1 1
ITEM or SYSTEM TAG(S)
(i.e. AC -1, RTU -1, HP -1, CT-1,etc...)'
No. of Systems
MANDATORY MEASURES
Equipment Efficiency
Pipe Insulation
PRESCRIPTIVE MEASURES
Cooling Tower Fan Controls
Cooling Tower Flow Controls
Variable Flow System Design
Chiller and Boiler Isolation
CHW and HHW Reset Controls
WLHP Isolation Valves
VSD on CHW, CW & WLHP Pumps > 5 HP
DP Sensor Location
1. The Proposed Equipment need to match the building
2. For each chiller, cooling tower, boiler, and hydronic
where the required features are documented. If a
WATERSIDE SYSTEMS: Chillers, Towers, Boilers, Hydronic Loops
N/A
Indicate Page Reference on Plans or Specifications'
T-24 Section
112 a
123
§144(a & b -
§144(h)
—§144(h)
§1440)
§144(j)
§144(j)-
_§144(j)-
-§1440)
plans schedule or specifications. If a requirement is not applicable, put "N/A" in the column next to applicable section.
loop (or groups of similar equipment) fill in the reference to sheet number and/or specification section and paragraph number
requirement is not applicable, put "N/A" in the column next to applicable section.
SErx' ACE HOT WATER & POOL/SPA REQUIREM"JTS (Part 3 of 3) MECO _ �C �
Project Name:
Date:
AAA LA QUINTA ROOFTOP UNITS CHANGE -OUT
19/26/2011
Service Hot Water, Pool Heating
ITEM or SYSTEM TAG(S) N/A
(i.e. WH-1,WHP, DHW, etc...)'
No. of Systems
` Indicate Page Reference on Plans or Schedule
MANDATORY MEASURES T-24 Section
SERVICE HOT WATER
Certified Water Heater §111, §113(a) ,
Water Heater Efficiency §113 (b)
Service Water Heating Installation §113 (c)
Pipe Insulation §123
POOL AND SPA
Pool and Spa Efficiency and Control §114 (a)
Pool and Spa Electric Resisting Heating §114 (b)
Exception
Pool and Spa Installation §114 (b)
Pool Heater - No Pilot Light §115 (c) -
Spa Heater - No Pilot Light §115 (d)
Pipe Insulation • §123 -
1. The Proposed Equipment need to match the building plans schedule or specifications: If a requirement is not applicable, put "N/A" in the column next to the measure.
2. For each water heater, pool heat and domestic water loop (or groups of similar equipment) fill in the reference to sheet number and/or specification section and paragraph number
where the required features are documented. if a requirement is not applicable, put "N/A" in the column.
Ni
ME%,rIANICAL VENTILATION AND REHEAT MEC, :;C
Project Name: 7Date:
AAA LA QUINTA ROOFTOP UNITS CHANGE -OUT
9/26/2011
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
y
Condition
Area
(ft2)
CFM
per
(ft')
Min
CFM by
Area
B x C
Num of
People
p
CFM
per
Person
Min
CFM by
Occupant
p
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/ft)
Max of
Columns
H,
or 3000 cfm
Desi 9 n
Minimum
Air
Setpoint
Transfer
Air
AC -1
—
1,625
0.15
244
17
15
255
255
255
1,200
650
1,200
960
AC -2
AC -3
1,625
1,625
—
0.15
0.15
244
244
17
17
17
11
15
15
- 15�
15
15
255
255
255
165
135
255
255
255
165
135
255
255
1,200
1,200
—1,200
800
600
650
650
650
435
1,200
1,200
_ 1,200
800
960
960
960 T
640
— —
I
AC -4
AC -5
1,625
1,085
0.15
0.15
244
163
255
165
135
AC -6
815
0.15
122
9
330
600
480
1,320 .1,320 Column I Total Design Ventilation Air
TotalsLEJ-
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 for egress purposes for spaces 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 or equal 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 (ft Z) x 0.4 cfm/ft z; or
L Maximum of Columns H, J, K, or 300 cfm
M This must be less than or equal to Column L and greater than or equal to the sum of Columns H plus N.
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.
2008 onresi enba omp iance orms August 2009
FAN POWER CONSUMPTION MECH-4C
Project Name: Date:
AAA LA QUINTA ROOFTOP UNITS CHANGE -OUT 9/26/2011
_)TE: Provide one copy of this worksheet for each fan system with a total fan system horsepower greater than 25 hp for Constant Air Volume
A B C. D E F
DESIGN EFFICIENCY NUMBER OF PEAK WATTS
FAN DESCRIPTION B x E x 746 /
BRAKE HP MOTOR DRIVE FANS C x D
N/A - -
Totals and Adjustments
FILTER PRESSURE ADJUSTMENT Equation 144-A in
§144(c) of the Energy Standards.
A) If filter pressure drop (SPa) is greater than 1 inch W.C.
or 245 Pascal then enter SPa on line 4.
Enter Total Fan pressure drop across the fan (SPf)
on Line 5.
B) Calculate Fan Adjustment and enter on line 6.
C) Calculate Adjusted Fan Power Index and enter on Row 7.
1) TOTAL FAN SYSTEM POWER (WATTS, SUM
COLUMN F)
-
2) SUPPLY DESIGN AIRFLOW (CFM)
_
3) TOTAL FAN SYSTEM POWER INDEX (Row 1 / Row 2)'
W/CFM
4) SPa
-
5) SPf
-
6) Fan Adjustment = 1 - (SPa - 1) / SPf •
7) ADJUSTED FAN POWER INDEX (Line 3 x Line 6)'
W/CFM
+. TOTAL FAN SYSTEM POWER INDEX or ADJUSTED FAN POWER INDEX must not exceed 0.8 w/cfm, for Constant Volume systems or 1.25 w/cfm for
a V systems.
-
m
Automobile Club of Southern California
�yFRNcp°�� Office of the General Counsel
' f 3333 FAIRVIEW ROAD ' MAIL STOP A451 • COSTA MESA, CALIFORNIA 92626-1698
MAILING: P.O. BOX 25001 ' MAIL STOP A451 - SANTA 'ANA, CALIFORNIA .92799=5001
TERENCE R. HENDRICKS
• xc. Managing Counsel
Tel: (714) 885-1301
Fax: (714) 885-1307
E-mail: hendricks.terence@aaa-calif.com
' -A ril 20 2007 E C E. E
MAY 0.1 2007
' CITY OF LA OUINTA
:.-
City of La QuintaCOMMUNITYDEVELOPMENT
DEPARTMENT
78-495 Calle Tampico '
La Quinta, California, 92253
Re: Authorization to Submit Building Plans, a variance and related Documents on ,
Behalf of the Automobile Club of Southern California
• To Whom it may concern:
Sign Identity is herby authorized to submit plans, a variance and any other documents required by
the City of La Quinta on' behalf of the -Automobile Club of Southern -California for_its.project located
at 46-050 Washington Street La Quinta, California. ` • }
Should you have any questions about this authorization, please feel free meat 714-885-1301 or '
David Abdouch at 714-885-1530.
Sincerely, -
Terence R. Hen ' ricks
Managing Counsel y
TRH:th
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