BCOM2014-100478 495.CALLE TAMOICO • • _ -
LA QUINTA, CALIFORNIA 92253
Application Number: BCOM2014-1004
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING'
Property Address: 47020 WASHINGTON ST JA NG 0z��HH
APN: 643200017
Application Description: HASHIMOTO CHIROPRACTIC TI, HTE#14-953 LA II
Property Zoning: COKMvf�9`- rr— );:VE LA UINTA
TDFPAFtTM�
Application Valuation: $254,476.80
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
), NAOTA•& NORA
J CT
CA 92253
Applicant: Contractor:
ROY ASARO ' ASARO BUILDERS INC
42220 GREEN WAY STE. H 42 220 GREEN WAY, SUITE # H
PALM DESERT, CA 92211 PALM DESERT, CA 92211
(760)776-0043
Llc. No.: 588920
Date: 1/30/2015
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I I hereby affirm under penalty of perjury one of the following declarations
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: B License No.: 588920
of the work for which this permit is issued.
n /
Date: /�
I have and will maintain workers' compensation insurance, as required by
Con or:
Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and polity number are:
OWNER -BUILDER D ON
Carrier: Policy Number:_
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter,improve, demolish, or repair
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisions.
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3
Business
% y�
�3!/ ���
of the and Professions Code) or that he or she is exempt therefrom and the
Doe,. / App' -ant:
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a�
OPIES
permit subjects the applicant to a civil penalty of not more than five hundred dollars ,
WARNING: FAILURE TO SECURE WORKERS' ERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRID CIVIL FINES UP TO
(1 I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion,.the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(� I, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this.application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(� I am exempt under Sec. B.&P.C. for this reason
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.
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 Address:
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above. .
mentioned property for inspection purposes.
Dat — Signature(Applican rAgen"'t):
BicV
'
F P -p- I -pop - I a a P P F1 P F I
UU1 I IMity of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quints,CA 92253 - (760) 777-7012
Building- Permit Application and Tracking Sheet
Permit #
�E 1�,Q53
Project Address: oz- 0.
Owner's Name:
A. P. Number: -100- Q
Address:*7 67S
Legal Description:
City, ST, Zip:
Contractor:
Telephone: 0.
Address:
Project Description:
City, ST, Zip:
NCO Z)k& &L
6 (9
Telephone:
State Lie. # :
City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip: PO
UA�0_v ,
Telephone:
ep Q •
::::: > <>:<:<%<=<;`'{
:<> :_f- • <->:<:-::->:
r ' ' ' = {--``
Construction Type Occupancy
State Lie. #:
Project type circle one): New Add'n Alter Repair Demo
Name of Contact Person:
V15
Sq. Ft :
#Stories:
#Units:
-50Telehone #of Contact Person: I J
ated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRAC]MG
PERMIT FEES.
Plan Sets
Plan Check submitted/p?�
Item
Amount
Structural Cates.
Reviewed, ready fo correctionsIL
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance
Title 24 Cala.
Plans picked upsAtj &nh&pConstruction
Flood plain plan
Plans resubmitted
I6
Mechanical
Grading plan
2°" Review, ready for correcti srssue
l
2
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3" Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
Scho61 Fees
n
n
Total Permit Fees
Ze? < lS -- ?;Iu,Z_-_T- , '0\)0 (2 2z5\_� i
FINANCIAL .a•
" kDESCRIPTION t r A xACCOUNT w CtTlfi AMOUNT..
=PAID
PAID:DATE;
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BSAS SB1473 FEE
101-0000-20306 0
$11.00
$11.00
1/30/15
PAID BYE, `S
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PAID DATE'
'77.
BSAS
BSAS SB1473 FEE 101-0000-20306 0
$11.00
$11.00
1/30/15
ar . tyPAID BY ;z;' METHOD x :; r RECEIPT
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HASHIMOTO CHRIPRACTIC CHECK R3549
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Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $22.00 $22.00
DESCRIPTION
N. 4'A000UNT
AM L
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DATE
,y n h
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NON-RESIDENTIAL, EA ADDITION 2,000SF
101-0000-42403
0
$35.75
$35.75
1/30/15
as: 4 r,f PAIO
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AMOUNT `
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PAID. DATE
k .$$
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NON-RESIDENTIAL, EA ADDITION 2,000SF,
101-0000-42600
0
$9.53
$9.53
1/30/15
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'PAID DATE
:DESCRIPTION;
NON-RESIDENTIAL, FIRST 2,000SF
10.1-0000-42403
0
$107.25
$107.25
1/30/15
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NON-RESIDENTIAL, FIRST 2,000SF, PC
101-0000-42600
0
$82.94
$82.94
1/30/15
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R3549
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Total Paid forELECTRICAL - NEW CONSTRUCTION: $235.47 $235.47
-
;QTY
AMOUNT' zv
; PAID aPAID
DATE
MyDESCRIPTIONNT
Iq`3
CONDENSER/COMPRESSOR
101-0000-42402 -
0
$178.75
'$178.75
1/30/15
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#: 'ACCOUNT .y
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PAID !V
PAID DATE.
yQTYi
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101-0000-42600
0
$119.15
$119.15
1/30/15
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DESCRIP--TION,
=ACCOUNT, `j �,:QTYb
I AMOUNT g,'
PAID u
z PAID DATE:
.
FURNACE
101-0000-42402
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$178.75
$178.75
1/30/15
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DESCRIPTIONc
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QTY
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PAID
PAIO DATE•
FURNACE PC
101-0000-42600
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$119.15
$119.15
1/30/15
F I PAID;BYi x�
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'QTY,
AMOUNT,$
x
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s
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VENT FAN
1010000-42402
0
$23.84
$23.84
1/30/15
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+# DESCRIPTION �{
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CITY
AMOUNTS
PAID
L, 13, µ - ,sE
,.;_
�,
�M1
,PAID3DATE
VENT FAN PC
101-0000-42600
0.
$9.54
$9.54
1/30/15
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-Total Paid forMECHANICAL: $629.18 $629.18
`F DESCRI?TION r ±
t
PAID
PAID DATE
�. .
r�A000UNT
CITY
yfiAMOUNT
F s” g'E`
NEW CONSTRUCTION PERMIT
101-0000-42400
0
$612.37
$612.37
1/30/15
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Total Paid for NEW CONSTRUCTION PERMIT: $612.37 $612.37
DESCRIPTI
TON
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PAIU.DATE
i F
:
,
NEW CONSTRUCTION PLAN CHECK
101-0000-42600
0
$1,303.16
$1,303.16
1/30/15
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Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,303.16 $1,303.16
`; a'iACCOUNT
DESCRIPTION t ' �x�
r
Q TY
AMOUNT i
_ PAIDF
xPAID;DATE;
�s .
BACKFLOW DEVICE
101-0000-42401
0.
$11.92
$11.92
1/30/15
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g.z i`
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BACKFLOW DEVICE PC
101-0000-42600
0
$4.77
$4.77
1/30/15
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DESCRIPTION
,
t ACCOUNTS
CITY
s`�pAMOUNT �$
f' FR�PAID
PAIDDAIE
gY
BUILDING SEWER
101-0000-42401
0
$11.92
$11.92
1/30/15
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,.101-0000-42600
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1/30/15
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P.TION
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t"`ACCOl1NT ' t�
CITY
AM OUNT
�A_ PAID,
PAID DATE
�tx_`
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FIXTURE/TRAP
101-0000-42401
` 0
$119.20
$119.20
1/30/15
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'-
PAID
"PAID,DATE
t
FIXTURE/TRAP PC
.101-0000-42600'
0
$119.20
$119.20.
1/30/15
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BY €
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PAID
PAID.DATE.
x¢°µDESCRIPTION
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WATER HEATER/VENT
101-0000-424011-
0
$107.28
$107.28
1/30/15
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DESCRIPTION lit
i ACCOl1NT � � � �
AMOUNT l
e41PAID� a
)PAID
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M
,DATE
WATER HEATER/VENT PC
101-0000-42600
0
$64.35
$64.35
1/30/15
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ACCOUNT _
;QTY
`AMOUNT
1Pd'
AID
PAID DATE''.
x�
3
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$11.92
$11.92
1/30/15.
aX �' PAID BY
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F
+`'QTY
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PAID�xz
PAID;DATE
T v,-t'`z.•, H
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2.
WATER SYSTEM INST/ALT/REP PC
101-0000=42600
0
$11.92
$11.92
1/30/15
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Total Paid for PLUMBING FEES: $474.40 $474.40
fp � ; ,
`� _" � ACCOUNT i�
QTY
R �i41VI0UNT
P PAID Akzo ''
PAID DATE
.DESCRIPTION
{:
ow ,r.......sft.
SMI - COMMERCIAL
101-0000-20308
0
$53.44
$53.44
1/30/15
PAIDBY r g
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� RECEIPT # `
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CLTD BYE
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Total Paid forSTRONG MOTION INSTRUMENTATION SMI $53.44 $53.44 '
TOTALS:0.00.0
f •
r
Description: HASHIMOTO CHIROPRACTIC TI, HTE#14-953
Type: BUILDING, COMMERCIAL Subtype: REMODEL Status: APPROVED
Applied: 7/10/2014 AZA
Approved:
Parcel No: 643200017 Site Address: 47020 WASHINGTON ST LA QUINTA,CA 92253
Subdivision: PM 29889 Block: Lot: 2
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $254,476.80 Occupancy Type: Construction Type:
Expired: 4/6/2015 BHA
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: THIS PERMIT MAY NOT BE ISSUED UNTIL PLANNING SIGNS OFF ON PARKING
MBA 2014-1007 FOR PARKING ALLOWANCE AS ALL MOB WAS APPROVED9/26/14.
OK TO ISSUE TI PERMIT.
Per CBC R105.5, the extension is granted for 90 days. You will have to obtain the Building Permit on or by April 6, 2015.
PERMIT IS FOR TENANT IMPROVEMENT TO SHELL BUILDING, 3080 SQ. FT. CHIROPRATIC OFFICE.'
Printed: Friday, January 30, 2015 12:37:49 PM 1 of 6
SYSTEMS
Printed: Friday, January 30, 2015 1237:49 PM 2,of 6 srsre ns
s
Hi Roy,
received your letter dated Jan. 9, 20115 requesting an
extension to Application BCOM2014-1004.
Per CBC R10S.S, the extension is granted for90 days. You will
have to obtain the Building Permit on or by April 6, 2015.
Please contact me if you have any questions.
E-MAIL
BURT HANADA
1/26/2015
1/26/2015
Sincerely,
Burt Hanada ( Building Official
City of La Quinta
78495 Calle Tampico ? La Quinta, CA92253.
Ph. 760.777.7023
bhanada@la-quinta.org
Website ( Map
E-MAIL
WALLY NESBIT
8/19/2014
8/19/2014
NOTE
STEPHANIE KHATAMI
1/16/2015
1/16/2015
RECEIVED WRITTEN REQUEST FOR EXTENSION DATED 1-9-
2015. SEE ATTACHMENT.
JOSEPH (SU RPERINTENDENT) CAME IN TO SUBMIT REVISIONS
WHILE JIM WAS OUT OF THE OFFICE, INFORMED APPLICANT
PUBLIC COUNTER VISIT
Al ORTEGA
1/27/2015
1/27/2015
THAT REVIEW LOOKS TO BE COMPLETE BUT WE NEED TO
CHECK WITH REVIEWER. TWO (2) SETS OF PLANS AND
ENERGY CALCULATIONS TAKEN IN AND PLACED WITH JIM
JOHNSON.
RESUBMITTAL
STEPHANIE KHATAMI
1/16/2015
1/22/2015
HANADA CONFIMED HE APPROVED EXTENSION, PROCESSED
FOR NON STRUCTURAL PLAN CHECK.
TELEPHONE CALL
JIM JOHNSON
1/28/2015
1/28/2015
CALL ROY ASARO TO IMFORM HIM OF ITEMS EQUIRED TO
ISSUE PERMITS SQ. FT. NOT THE SAME TITLE -24 / PLANS.
CONDITIONS
Printed: Friday, January 30, 2015 1237:49 PM 2,of 6 srsre ns
s
CONTACTS
NAMETYPE k NAMES "fir' 'ADDRESSl`x ''? "z &s CITY t r - STATE ZIP "; d'PHONE? (i dFAXp' z EMAIL r�r <._
r
CONTACTS
NAMETYPE k NAMES "fir' 'ADDRESSl`x ''? "z &s CITY t r - STATE ZIP "; d'PHONE? (i dFAXp' z EMAIL r�r <._
APPLICANT ROY ASARO
42220 GREEN WAY STE. PAL_ M DESERT CA 92211 royasaroarchitect@gm
`$119.15'
H +• ail.com
-ARCHITECT ROY ASARO 42220 GREEN WAY STE, PALM DESERT ' CA 92211 royasaroarchitect@gm
H ail.com
CONTRACTOR ASARO BUILDERS INC 42 220 GREEN WAY, PALM DESERT. CA 92211
SUITE #H1
OWNER HASHIMOTO, NAOTA & NORA 49545 BRIAN CT ' LA QUINTA CA 92253
SOR PC
FINANCIAL
INFORMATION
k4EN
DISCRIPTI
asACCOUNT'r
� x,rAMOUNT 'k `
is3.ax# ,'=.i
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CHRIPRACTIC
.{3 a::%.,`.'z„t
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QTY,;
`:€ -.Et ..-
PAID 1 {PAID DATE; (CHECKq 'METHOD
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PAID BY�k
...- _tiEk ;?„
'BY �S3
BSAS SB1473 FEE
101-0000-20306
0 ` $11.00 '
$11.00- y . 1/30/15' 113549
5568 CHECK
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CRWIVSTVAS
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CHR PIRACTIIC
BSAS SB1473 FEE
101-0000-20306
0 , $11.00
$11.00 • } 1/30/15 R3549
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HASHIMOTO
MFA
CHRIPRACTIC
Total Paid forBUILDING STANDARDS ADMINISTRATION , r.
$22.00'- $22.00.
BSA:
NON-RESIDENTIAL, EA
101-0000-42403
0
$35.75 ` r
$35.75
i
+ ''
5568
CHECK'
HASHIMOTO'1/30/15
ADDITION 2,0005E
•
,R3549
i Y,• •
..
CHRIPRCTIMFA
CHRIPRACTIC
f •
NON-RESIDENTIAL, EA
101-0000-42600
`--r
0..
.$9.53
$9.53
1/30/15
R3549
5568
CHECK
HASHIMOTO
MFA
ADDITION 2,000SF, PC
CHRIPRACTIC
NON-RESIDENTIAL,
101-0000-42403
0
$107.25
$107.25
1/30/15'
•:R3549
5568
CHECK
HASHIMOTO
MFA
FIRST 2,000SF
CHRIPRACTIC
NON-RESIDENTIAL,.94•
101-0000-42600
0
f
$82
$82.94
1/30/15'
R3549
5568
CHECK
HASHIMOTO
MFA
FIRST 2,000SF, PC
-
�
CHRIPRACTIC
Total PaidforELECTRICAL- NEWCONSTRUCTION: $235.47 $235.47.
CONDENSER/COMPRES
101-0000-42402
0
$178.75 `
$178.75
1/30/15
-113549
5568
CHECK
HASHIMOTO
MFA
SOR
CHRIPRACTIC
CONDENSER/COMPRESHASHIMOTO
101-0000-42600
0
$119.15
`$119.15'
` 1/30/15.
113549
5568
CHECK
MFA
SOR PC
CHRIPRACTIC
Printed: Friday, January 30, 2015 12:37:49 PM
n• .
,{ 3 of 6 N
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p
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y� y'
FURNACE
101-0000-42402
0
$178.75'.
$178.75
1/30/15'
R3549
.5568
CHECK
HASHIMOTO
MFA
CHRIPRACTIC
FURNACE PC
101-0000-42600
0
$119.15
$119.15
1/30/15
R3549
5568
CHECK
CHRIPRM4CfC
MFA
VENT FAN
101-0000-42402 v
�0
$23.84:
$23.84 p
~ 1/30/15 '
R3549
5568
CHECK
MFA
CHR PIRACTHASHMOTC
VENT FAN PC
101-0000-42600
0
$9.54
$9.54 S
1/30/15
R3549
5568
CHECK
HASHIMOTO
MFA
CHRIPRACTIC
Total Paid for MECHANICAL: . • $629.18 $629.18
NEW CONSTRUCTION
101-0000 42400T0.1
$612.37
$612.37
1/30/15
R3549
5568
CHECK
HASHIMOTO
.1
MFAPERMITCHRIPRACTIC
Total Paid for NEW CONSTRUCTION PERMIT: $612.37 .$612.37
NEW CONSTRUCTION
101-0000-42600
0 -,
'
$1,303.16
$1,303.16
#
1/30/15
R3549
5568
CHECK
HASHIMOTO
MFA
PLAN CHECK
_
_
CHRIPRACTIC
Total Paid forNEW CONSTRUCTION PLAN CHECK:: $1,303.16 $1,303.16
BACKFLOW DEVICE
101-0000-42461
0
$11.92
.$11.92
1/30/15,
113549
5568
CHECK
HASHIMOTO
MFA
CHRIPRACTIC
BACKFLOW DEVICE PC
101-0000-42600
0 -
$4.77
! $4.77
1/30/15
5568
CHECK
HASHIMOTO
MFA
�.R3549
CHRIPRACTIC
BUILDING SEWER
101-0000-0
0 '•
'
$11.92 °
$11.92.-
•1/30/15
R3549
5568
.CHECK
HASHIMOTO2401
MFA
`:'
CHRIPRACTIC
BUILDING SEWER PC
101-0000-42600
0.
x $11.92
$11.92.
1/30/15
R3549
°5568
� CHECK
HASHIMOTO
MFA
CHRIPRACTIC
FIXTURE/TRAP
101-0000-42401
0
$119.20
$119.20,
1/30/15
113549
5568
CHECK.
HASHIMOTO,
MFA
CHRIPRACTIC
FIXTURE/TRAP PC
101-0000-42600
0
$119.20
$119.20
1/30/15?
R3549
5568
CHECK
HASHIMOTO'
MFA
1
CHRIPRACTIC
WATER HEATER/VENT
101-0000 42401
0
: $107.28
$107.28
1/30/15
113549
5568
CHECK
HASHIMOTO
MFA
CHRIPRACTIC
i _, 4
Printed: Friday, January 30, 2015 12:37:49 PM r, • . , . 4 of 6 ,
E Y CRW.,YsTrms
qp
-
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'_
�IDESCRIPTION j
:#"e (ACCOUNTQTYE
AMOUNT
PAID x
PAID DATE
:4RECEIPT t1
CHECK N
METHOD'
iT . PAID BY, X11
r
F,,,; , a�.'
,
10 R- i�
st ��. > �,
d :r*
WATER HEATER/VENT
101-0000-02600.
0
$64.35
$64.35 +
1/30/15
R3549
5568
CHECK
HASHIMOTO
MFA
PC •
,
et. ,
..»
a aSs#a :` ars`
�;'��
f ',c Ln� $
NON-STRUCTURAL
JIM JOHNSON
CHRIPRACTIC
7/20/2014
WATER SYSTEM
101-0000-42401, -
0
$11.92 V
$11.92
1/30/15 _�
R3549
5568
CHECK
HASHIMOTO
MFA
INST/ALT/REP
'
assigned to WN 7.10
CHRIPRACTIC
WATER SYSTEM
101-0000 42600
0
` $11.92
$11.92 i
1/30/15
R3549
5568
CHECK
HASHIMOTO
MFA
INST/ALT/REP PC
,
1
5/13/14. ASKED FOR CLARIFCATIONS
CHRIPRACTIC
Total Paid for PLUMBING FEES: $474.40 1$474.40 :'�' .. ,•
SMI - COMMERCIAL
101-0000-20308
`0-
$53.44
$53.44
1/30/15
R3549
5568
CHECK
HASHIMOTO.,MFA
says it is prior to date sent which it is not.
SEE 7/31 REVIEW MEMO IN ATTACHMENTS. NOTE
s-
CHRIPRACTIC '
Total.Paid forSTRONG MOTION INSTRUMENTATION SMI $53.44. ` $53.44 '
TOTALS:0.00.0
INSPECTIONS.
PROJECTSPARENT
REVIEWS
RETURNED
REVIEW TYPE , _
REVIEWER
SENT DATE.
DUE DATE
wE q STATUS +n
DATE "
aIREMARKS f
gat # NOTES
Iv . �� 4s'
: .*..
et. ,
..»
a aSs#a :` ars`
�;'��
f ',c Ln� $
NON-STRUCTURAL
JIM JOHNSON
7/10/2014.
7/20/2014
"9/1/2014
REVISIONS REQUIRED
ITEM SUBMITTED
1ST. PLAN CHECK
••6/27/2014
'
assigned to WN 7.10
SENT EMAIL TO ARCHITECT 7/16/14 - PLANS ARE
<
NOT CONSISTENT WITH SDP APPROVED BY PC ON
5/13/14. ASKED FOR CLARIFCATIONS
returned 7.17.2014 Trakit will not accept date,
PLANNING
WALLY NESBIT 7/10/2014
7/18/2014 7/31/2014 REVISIONS REQUIRED SEE NOTES
-
says it is prior to date sent which it is not.
SEE 7/31 REVIEW MEMO IN ATTACHMENTS. NOTE
s-
'THAT 7/17 COMMENTS APPLY ONLY TO THE TI
UNDER THIS PERMIT, AND NOT THE SHELL
BUILDING OR THE PG PLAN.
Printed: Friday, January 30, 2015 12:37:49 PM 6 of 6 cps"
MBA APPROVAL GRANTED ON 9/26/14 FOR 10W
PLANNING
WALLY NESBIT
7/10/2014
7/18/2014 7/31/2014
REVISIONS REQUIRED
SEE NOTES
MOB USE. TI PERMIT CAN BE ISSUED WHEN
READY THROUGH BLDG DIV.
NON-STRUCTURAL
JIM JOHNSON
1/16/2015
1/30/2015 1/28/2015
APPROVED
APPROVED
3080 SQ. FT. TENANT IMPROVEMENTTO SHELL
BUILDING
PLANNING
WALLY NESBIT
1/22/2015
1/30/2015 1/22/2015
APPROVED
'PER MBA2014-0007
MBA APPROVED FOR 1001% OCCUPANCY AS
MEDICAL. NO OTHER COMMENTS.
:•
• INFORMATION
ATTACHMENTS
AttacHmentType CREATED
OWNER,:
DESCRIPTION
PATHIVAME
SUBDIR
KITENABLED .,.
DOC
8/16/2014
JIM JOHNSON
47-020 WASHINGTON
47-020 WASHINGTON
1
ST.doc
ST.doc
DOC
1/16/2015
STEPHANIE KHATAMI
PERMIT EXTENSION
PERMIT EXTENSION
0
REQUEST 1-16-2015.pdf
REQUEST 1-16-2015.pdf
DOC
7/17/2014
WALLY NESBIT
47020 Washington Pad
47020 Washington Pad
0
2 building.pdf
2 building.pdf
DOC
8/19/2014
WALLY NESBIT
BldgPC_7-31-14.pdf
BldgPC_7-31-14.pdf
0
DOC
9/29/2014
WALLY NESBIT
14-26-09_MBA 14-
14-26-09_MBA 14-
0
1007_applltr.pdf
1007_applltr.pdf
Printed: Friday, January 30, 2015 12:37:49 PM 6 of 6 cps"
Permit number: BCOM2014-1004 Description: HASHIMOTO CHIROPRACTIC TI, HTE#14-953
Applied: 7/10/2014
Issued:
Status: SUBMITTED
Parent Permit:
Parent Project:
Details
Approved: Site Address: 47020 WASHINGTON ST
Finaled: City, State Zip Code:, CA
Applicant: ROY ASARO
Owner: COLIN MCDERMOTT
Contractor: <NONE>
THIS PERMIT MAY NOT BE ISSUED UNTIL PLANNING SIGNS OFF ON PARKING
MBA 2014-1007 FOR PARKING ALLOWANCE AS ALL MOB WAS APPROVED9/26/14.
` OK TO ISSUE TI PERMIT.
LIST OF
„ r « RCTURNED
DATES €., 5''`DATE¢,-DUE:DATE, ,,.TYPEw ,;; �rCONrrzTACTa ;}may STATUSp ; '`REMARKS
�
(SENT
y
t-c_d k {' `r'� �� i, �'i - 3 ai fi �.ki.°P 3 P/ ys¢'• �t].r !�'- ,tF e� 1''€: C."S .v 7fA� d.'� `@F 1 i { � y �P. R� n�i�.
Review Group: BLDG 2ND (2WK)
NON-STRUCTURAL
tVotesk,
a ° � t 'i,"rt�� � � y„ � r� s ,off �a• k: <;'�g�
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Review Group: BLDG INITIAL (2WK)
7/10/2014
9/1/2014
7/20/2014
NON-STRUCTURAL JIM JOHNSON
REVISIONS
ITEM SUBMITTED
REQUIRED
6/27/2014
"TlNotes 3#ar, ¢ 'as'�''ss'`,%�r�
�+
y� �):,♦3{�yY t'*';'
'3�.:)'N'i ';,2' U3i"'NY}C 'l`,J�•�v'` SLI y�W R�,�''^' RkuJ�,^A 'xF},c� �i }:,.�ITv..$��9', ''L3i°k 1#jy {'A.�i+ �'�,,
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7/10/2014
7/31/2014
7/18/2014
PLANNING
WALLY NESBIT REVISIONS
SEE NOTES
REQUIRED
c'S p �.;a+ - pr`+7
,,??..11Votes s -' M,p ` :� `. . a,� #,_.: .�':, .J jF, x
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-assigned to WN 7 10 rf n` ` t :` 3y ira 4=
#;7g `''`-.;''lh tc,,R
z X46'
,� ^�" J ! :,'?°��""�.0
SENT EMAIL TO ARCHITECT 7/16/14 ;PLANS ARE NOT CONSISTbit WITHiSDP APRROVED:BY PC ONS/1j3/14:ASKED:FO.R,CLARIFCATIONS"
.l.: . ...'.y "i
'�returnedtT:17 2014 Teakit will not accept date ,says it is„pnor to ,' 5te sent which it is not
._':'Y%pr.,5$',-•e"':�;`$t,'a"l£,�Aa 4�"iA'j"m�,$�'ujl $!,J%i;., ..FS"�7 �„�,cs .. ., 7, h.`�#�
; 7/31 REVIEW MEMO IN ATTACHMENTS NOTE THAT 7/17 COMMENTS APPLY.ONLY T01HE TITHIS PERMIT AND'NOT,THE SHELL BUIL'DINE
pi ,UNDER
34,7111 r,ea } {, ,f z..
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`! fa- i'"$�t".,i.
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,��n�`C+,. �'�:,:.p 'h
'MBA�APPROVAL GRANTED
ON9/2°6/19`,FOR1100% MOB;IJSETI PERMITCAN BE ISSUEDWHEN READY THROUGH,BLDG
J
Printed: Monday, 29 September, 2014 1 of 1
CRWISYS7ns
PROUDLY SERVING THE
UNINCORPORATED AREAS
OF RIVERSIDE COUNTY
AND THE CITIES OF:.
BANNING
BEAUMONT
CALIMESA
CANYON LAKE
C OACH E LLA
DESERT HOT SPRINGS
EASTVALE
INDIAN WELLS
INDIO
JURUPA VALLEY
LAKE ELSINORE
LA QUINTA
MENIFEE
MORENO VALLEY
NORCO
PALM DESERT
PERRIS
RANCHO MIRAGE
RUBIDOUx CSD
SAN JACINTO
TEMECULA
WILDOMAR
BOARD OF
SUPERVISORS:
KEVIN ,JEFFRIES
DISTRICT 1
JOHN TAVAGLIONE
DISTRICT 2
JEFF STONE
DISTRICT 3
JOHN BENOIT
DISTRICT 4
MARION ASHLEY
DISTRICT 5
RIVERSIDE COUNTY FIRE DEPARTMENT
IN COOPERATION WITH
THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION
77-933 Las Montanas Rd., Ste. #201, Palm Desert, CA 92211-4131 • Phone (760) 863-8886
• Fax(760)863-7072
www.rvcfire.org
July 15, 2014
John Greenwood J U L 15 2014
44530 San Pablo Ave Suite 200
Palm Desert, CA CITY OF LA Q UINTA
COMMUNITY DEVELOPMENT
Re: Non -Structural Building Plan Review.
LAQ-I4-BP-027 LQ Professional Plaza —Parcel 47020 Washington La Quinta, CA 92253
i
Fire Department personnel have reviewed and approved the plans you submitted for the above
referenced project. Please be advised the following conditions apply as a part of the conditions for
the issuance of a building permit.
1) Fire Department approval is based upon the 2013 CBC requirements for Group B occupancies.
It is prohibited to use, process or store any materials in the occupancy that would classify it as a
Group H occupancy.
2) Repair work and/or maintenance using open flame equipment, welding or the use of Class I, H, .
or III -A liquids are prohibited.
3) The Fire Department is required to set a minimum fire flow for the remodel or construction of all
commercial buildings using the procedure established in the 2013 CFC. A fire flow of 1,500
gpm for a 2 -hour duration ai 20 psi residual operating pressure must be available before any
combustible material is placed on the job site.
4) The required fire flow shall be available from 1 Super hydrant(s) (6" x 4" x 2'/2" x 2'/2") spaced
not more than 450 apart. All Fire Department Appliances such as hydrants, FDCs and PIVs shall
be located on the front access side of the building. PIV and FDC appliances shall not less than
40' from the building or more than 20.0' from an approved hydrant.
The following conditions must be met prior to occupancy:
5) Whenever sprinkler overhead mains of 4" size or larger are provided, the Riverside County Fire
Department requires documentation from a structural engineer that the roof structural members
will be capable of supporting the weight of the water filled mains and attached lines. Provide
appropriate detailed documentation, with a wet stamp and signature, by the project structural
engineer.
6) Install a complete fire sprinkler system per NFPA 13. System plans must be submitted to the
Fire Department for review, along with current plan/inspection fee
7) Install a monitoring system designed in accordance with NFPA 72, which must include a water
flow monitor, control valve tamper and continuous monitoring service. System plans must be
submitted to the Fire Department for review, along with current plan check/inspection fee..
8) A UL 300 hood/duct fire extinguishing system must be installed over the cooking equipment as
required by the California Fire Code, California Mechanical Code and adopted standards.
System plans must be submitted to the. Fire Department for review, along with current plan
check/inspection fee. (if applicable)
Buildings/facilities
9) Install Knox Key Lock box, mounted per recommended standard of the Knox Company. If the
building/facility is protected with -a fire alarm system or burglar alarm system, the lock boxes
will require "tamper" monitoring. Special forms are available from this office for the ordering of
the Key Switch. This form must be authorized and signed by this office for the correctly coded
system to be purchased.
10) Provide keys to the tenant space for inclusion in the main building Knox Box. Key(s) shall have
durable and legible tags affixed for identification of the correlating tenant space.
Other requirements:
11) Install panic hardware and exit signs as per the 2013 CBC
12) Prior'to final inspection of any building, the applicant shall prepare and submit to the Fire
Department for approval, a site plan designating required fire lanes with appropriate lane
painting and/or signs.
13) Certain designed areas will be required to be maintained as fire lanes -and will require approved
signs and/or stenciling in red with CVC 22500.1 conspicuously posted.
14) Install portable fire extinguishers per Title 19, but not less than 2AlOBC in rating. Contact a
certified extinguisher company for proper placement and spacing of equipment.
15) This building has not been reviewed or approved for high pile/rack storage. Prior to such use,
building(s) shall be approved for high -piled storage (materials in closely packed piles or on
pallets, or in racks. where the top of storage exceeds .12 feet in height, 6 feet for Group A plastics
and certain other hazardous commodities) or aerosols products. High -piled and aerosol stock
shall be approved by the Fire Department prior to materials being stored on site. A licensed Fire
Protection Engineer. or a Fire Department approved consultant must prepare plans for high -piled
storage or aerosol storage in accordance with the 2013 CFC and NFPA 13.
16) Applicant/developer shall be responsible for obtaining aboveground tank permits from both the
County Health and Fire Departments.
17) Approved building address shall be placed 'in such a position as to be plainly visible and legible
from the street and rear access if applicable. Building address numbers shall be a minimum of
12". All addressing must be legible and of a contrasting color with the background and
adequately illuminated to be visible from the street at all hours.
18) Applicable room door(s) shall be posted "ELECTRICAL ", "FACP", "FIRE RISER"
and "ROOF ACCESS on the outside of the door so it is visible and in a contracting
color:
19) A durable sign stating "This door to remain unlocked during business hours" shall be placed on
or adjacent to the front exit doors. The sign shall be in letters not less than one inch high on a.
contrasting background.
Nothing in our review shall be construed as encompassing structural integrity. Review of this plan
does not authorize or approve any omission or deviation from all applicable regulations. Final
approval is subject to field inspection.
Please contact the Fire Department Planning & Engineering staff for final inspection prior to
occupancy.
G
Applicant/installer shall be responsible to contact the Fire Department to schedule inspections.
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.
t BY
7accqueeine Qa tv is
Fire Safety Specialist '
WSW`
t I.0 6p�
BUILDING ENERGY ANALYSIS REPORT
PROJECT:
HASHIMOTO CHIROPRATIC
.47-020 WASHINTON
LA QUI NTA, CA 92253 ,
Project Designer: 1
ROY ASARO ARCHITECT
42-220 GREEN WAY STE. G,
PALM DESERT, CA
760.805.4640
Report Prepared by:
PAUL ALLEN SMITH.
Paul Allen Smith Title 24 Energy Consultant
1183 PALMAS RIDGE
PALM SPRINGS, CA 92262 ,
760.831.9879 r
_ CITY OF LA QUINTA
'
BUILDING & SAFETY DEPT.
REC
_'APPROVED
.I Y�®® FOR CONST UGTION
JAN 2 8.,2015 ^ '0ATEL Z BY
CITY oFLaQuINTa -Job Number:,,.,
COMMUNITY DEVELOPMENT • 012215 ,
Date:
a/
1/27/2015 -
The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is
authorized by the California Energy Commission for use with both the Residential and Nonresidential 2013 Building Energy Efficiency Standards.
This program developed by EnergySoft, LLC —www.energysoft.com.
STATE OF CALIFORNIA
INDOOR LIGHTING
IA
CERTIFICATE OF COMPLIANCE – USER INSTRUCTIONS NRCC-LTI-01-E
Indoor Lighting (Page 1 of 5)
Project Name: HASHIMOTO CHIROPRATIC oatePrepared: 1/27/2015
Climate Zone:
Conditioned Floor Area : 3,080
For detailed instructions on the use of this and all Energy Efficiency Standards compliance documents, refer to the Nonresidential Manual published bya
California Energy Commis ion.
YES NO FORM
TITLE
15
Unconditioned Floor Area : 0
Certificate of Compliance. All Pages required on plans for all submittals.
YES NRCC-LIT-02-E
'� 1 0 O
YES NRCC-LIT-03-E
Indoor Lighting Power Allowance
NO NRCC-LIT-04-E
Tailored Method Worksheets
NRCC-LTI-01-E, page 4
General Information
Line Voltage Track Lighting Worksheets
NRCC-LTI-01-E, page 4
+
�u
Building Type:
m Nonresidential
❑
High -Rise Residential
❑
HoeVM,otcl0 y
❑ Schools
❑ Relocatable Public Schools
®
Conditioned Spaces
❑
Un onec�iti neeLS 'aces m
958
Minus Lighting Control Credits
0
NRCC-LTI-01-E, page 2
Phase of Construction:
m New Construction
[3Addition
E3Alte
ationp`LL -z
Adjusted Installed Lighting Power
2'920
Adjusted Installed Lighting Power
c-6
Method of Compliance:
m Complete Building
❑
Area Category
❑
Tailo d-
LIGHTING COMPLIANCE DOCUMENTS (select yes for each document included)
Conditioned and Unconditioned space Lighting must not be combined for compliance
For detailed instructions on the use of this and all Energy Efficiency Standards compliance documents, refer to the Nonresidential Manual published bya
California Energy Commis ion.
YES NO FORM
TITLE
Watts
YES NRCC-LIT-01-E
Certificate of Compliance. All Pages required on plans for all submittals.
YES NRCC-LIT-02-E
Lighting Controls, Certificate of Compliance, and PAF Calculation. All Pages required on plans for all submittals.
YES NRCC-LIT-03-E
Indoor Lighting Power Allowance
NO NRCC-LIT-04-E
Tailored Method Worksheets
NRCC-LTI-01-E, page 4
NO NRCC-LIT-05-E
Line Voltage Track Lighting Worksheets
NRCC-LTI-01-E, page 4
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
Watts
Watts
Installed LightingInstalled
Lighting
3,878
0
1.
NRCC-LTI-01-E, page 4
+
NRCC-LTI-01-E, page 4
+
2'
PORTABLE ONLY FOR OFFICES
+
NRCC-LTI-01-E, page 3
3'
Minus Lighting Control Credits
958
Minus Lighting Control Credits
0
NRCC-LTI-01-E, page 2
NRCC-LTI-01-E, page 2
4'
Adjusted Installed Lighting Power
2'920
Adjusted Installed Lighting Power
0
(row 1 plus row 2 minus row 3)
(row 1 minus row 3)
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2013
STATE OF CALIFORNIA
INDOOR LIGHTING
CEC-NRCC-LTI-01-E Revised 06/13 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS NRCC-LTI-01-E
Indoor Lighting I (Page 2 of 5)
Project Name: HASHIMOTO CHI ROPRATIC Date Prepared: 1/2t/29)5 ,
1�- a— Z
5.
Complies ONLY if Installed <_ Allowed
Compll 'N cif 0t Aed 5 Al o ed
NO
6.
Allowed Lighting Power
Conditioned NRCC-LTI-03-E, page 1
4,620
Allowed Lighting Powe
Unconditioned NRCC-LTI-03-E, page 1
NRCI-LTI-01-E - Must be submitted for all buildings
�
I -
Declaration of Required Installation Certificates — Declare by selecting yes for all Installation Certificates that will be submitted. (Retain 13s and%veriforms r
completed and signed.) 0. el
YES
NO
Form/Title
W `'`. Q
NRCA-LTI-02-E - Must be submitted for occupancy sensors and automatic time switch controls.
NRCI-LTI-01-E - Must be submitted for all buildings
0 Otield Inspector
NRCA-LTI-03-E - Must be submitted for automatic daylight controls.
NRCI-LTI-02-E - Must be submitted for a lighting control system, or for an Energy Management Control System (EMC�),
❑ Field Inspector
NRCA-LTI-04-E - Must be submitted for demand responsive lighting controls.
to be recognized for compliance.
NRCI-LTI-03-E - Must be submitted for a line -voltage track lighting integral current limiter, or for a supplementary
❑ Field Inspector
overcurrent protection panel used to energize only line -voltage track lighting, to be recognized for compliance.
NRCI-LTI-04-E - Must be submitted for two interlocked systems serving an auditorium, a convention center, a
❑ Field Inspector
conference room, a multipurpose room, or a theater to be recognized for compliance.
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
❑ Field Inspector
compliance.
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-E - Must be submitted for occupancy sensors and automatic time switch controls.
❑ Field Inspector
NRCA-LTI-03-E - Must be submitted for automatic daylight controls.
❑ Field Inspector
NRCA-LTI-04-E - Must be submitted for demand responsive lighting controls.
❑ Field Inspector
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2013
,y
STATE OF CALIFORNIA
INDOOR LIGHTING
IA ENERGY COMM
CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS C-LTI-01-E
Indoor Lighting P ge 3 of 5)
project Name: HASHIMOTO CHIROPRATIC Date Prepared: 1/27/201 <
A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces. Installed Lighting Power listed on this Lighti115'IV
ed u brily for:
® CONDITIONED SPACE ❑ UNCONDITIONED SPACE ► . � %�
A. INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST13 (q
❑ The actual indoor lighting power listed on this page and on the next page includes all installed permanent and planned portable lighti gLsy-st esg
❑ When Complete Building Method is used for compliance, list each different type of luminaire on separate lines. I g
❑ When Area Category Method or Tailored Method is used for compliance, list each different type of luminaire by each different function area on separ to lines
r � � .
❑ Also include track lighting in schedule, and submit the track lighting compliance form (LTG -5C) when line -voltage track lighting is installed.- '� `d LU
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
Accountabl
Office Location
Field
Schedule
Foot
a Watts
Inspector
A
B
C
D
E
F
G
H
I
J
Installed
c Z
portable
o to
Watts
If F:5 0.3,
Identify Office area in which
3 j
5 Cr
luminaire
? nc.
GCD
per
enter zero;
E x G
these portable luminaires are
v
r
a
Complete Luminaire Description
�.
watts in this
= M
square
installed
_
(i.e., LED, under cabinet, furniture mounted
Watts per
Moffice
o M
foot
if F > 0.3,
direct/indirect)
luminaire
(B x C)
(D / E)
(F-0.3)
❑
ON
❑
❑
❑
❑
❑
❑
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 2
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance
June 2013
STATE OF CALIFORNIA
INDOOR LIGHTING
ENERGY COMM
CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS _ NRCC-LTI-01-E
Indoor Lighting (Pa e 3 of 5)
Project Name: HASHIMOTO CHI ROPRATIC Date Prepared: 1/27/2015
�Z
A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces. Installed Lighting Power listed on this Lightingc!5ule,NVR-br:
❑ CONDITIONED SPACE m UNCONDITIONED SPACE �--,
A. INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST ID N Fr_ D7
❑ The actual indoor lighting power listed on this page and on the next page includes all installed permanent and planned portable lighting y6, s" Q
❑ 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 a ea�an s:epa nes
11 Also include track lighting in schedule, and submit the track lighting compliance form (LTG -5C) when line -voltage track lighting is installed. L'
e'i
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
Accountabl
Office Location
Field
Schedule
Foot
a Watts
Inspector
A
B
C
D
E
F
G
H
I
J
Installed
r- Z
portable
$ v+
Watts
If FS 0.3,
Identify Office area in which
3 3
5 cr
luminaire
2:a
per
enter zero;
E x G
these portable luminaires are
v
d
Complete Luminaire Description
"
watts in this
,�
square
installed
_
(i.e., LED, under cabinet, furniture mounted
Watts per
CD °
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 NRC
Total installed portable luminaire watts that are greater than 0.3 watts per square foot per office:
LTI-01-E; Page 2
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2013
STATE OF CALIFORNIA '
INDOOR LIGHTING
CEC-NRCC-LTI-01-E Revised 06/13 ' CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS NRCC-LTI-01-E
Indoor Lighting t (Page 4 of 5) `
Project Name: HASHIMOTO CHIROPRATIC Date Prepared: 1 7/2015
r
A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces. Installed Lighting Power listed on th/ Li ting Sched5le is on or:
® CONDITIONED SPACE ❑ UNCONDITIONED SPACE m
-V) I
j
ylvs
�R•i
� y
C. INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST - '
Luminaire Schedule
Installed Watts .
Lo atiion 0
Foie d Inspector 1
A
B
C
D
E
F?'
H
! `
_
,How wattage was
-
n
'
determined
-
-
r
• r
o
`o
': Complete LuminaireDescnption,�
Ce
e ^
z
E •�
(i.e, 3 lamp fluorescent troffer,
,', 'a - `y
3 v w
e Z „ o ;
a•
. x m O/
Primary Function area in which
z = -
F32T8, one dimmable electronic ballast)
M
� G. = 0 -
— Di Q.
these luminaires are installed
Pass
Fail
TYPE 1
2 Lamp 4 ft T8 Energy Saving Elec ' y -
54.0
m ❑
27
1,458 ` ..
Comp Bldg Office s
❑ "-
O
TYPE 2
1' Lamp 2 ft U -Tube T8 Elec
39.0
10 ❑ ' --
53_
2,067
Comp Bldg Office
; ;- ❑
❑ • ,_''
.TYPE 3
RECESS LED FIXTURE
14.0
❑ ®'.:
22 ,;
•308 .,
Comp Bldg Office ; ' _; r.
❑
❑ '
TYPE X
1 LED EXIT/EMERG. - Y,'
15.0
❑ ®
3
45
Comp Bldg Office
❑
❑
❑
10
13 13
INSTALLED WATTS PAGE TOTAL:
3,878
Enter sum total of all pages into
NRCC-LTI-01-E; Page 2
r.
t
11
STATE OF CALIFORNIA
INDOOR LIGHTING
CEC-NRCC-LTI-01-E (Revised 06/
CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS NRCC-LTI-01-E
Indoor Lighting (Page 5 of 5)
Project Name: HASHIMOTO CHI ROPRATIC Date Prepared: 1/27/2015
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT A A
1. 1 certify that this Certificate of Compliance documentation is accurate and complete..
Documentation Author Name: PAUL ALLEN SMITH
D?Aatio Author i
Company: Paul Allen Smith Title 24 Energy Consultant
ignature Date: 1/27/2015
Address:
1183 PALMAS RIDGE
CEA/ HERS Certification Identification (if applicable):
Ie
City/State/Zip:
PALM SPRINGS, CA 92262
Phone: (�
760.831.9879 �
RESPONSIBLE PERSON'S DECLARATION STATEMENT 0--
I certify the following under penalty of perjury, under the laws of the State of California:Vt
1. The information provided on this Certificate of Compliance is true and correct. ��� i�� p
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified n�this:Certificate•of Com: jli$nce
(responsible designer).
�
3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system desi midlntifled 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 mpliance is required to be included with the documentation the
builder provides to the building owner at occupancy.
Responsible Designer Name: ROY ASARO
Responsible Designer Sig to
Company: ROY ASARO ARCHITECT
Date Signed: 01-27-2015
Address: 42-220 GREEN WAY STE. G
License: C2 0 3 5 0
City/state/zip: PALM DESERT, CA 92211
Phone: 760.805.4640
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2013
INDOOR LIGHTING — LIGHTING CONTROLS
CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E
Indoor Lighting - Lighting Controls (Page 1 of 3)
I Project Name: HASHIMOTO CHIROPRATIC I °a'ePrepa" 1/22/2015 l
The NRCC-LTI-027E shall be used to document all mandatory and prescriptive lighting controls that are appli project..
A. Mandatory Lighting Control Declaration Statements
Indicate if the measure applies: �.
YES
NO
Control Requirements
1
J
Lighting shall be controlled by self-contained lighting control devices which are.certified to the Energy Commission a rd n to�tW Title ppliance
Efficiency Regulations in accordance with Section 110.9. t17
Lighting shall be controlled by a lighting control a system or energy management control system in accordance wit §3lJ 0.9A rinsollation rtificate
shall be submitted in accordance with Sectio_ n 130.4(b). ®�
J
One or more Track Lighting Integral Current Limiters shall be installed which have been certified to the Energy Com is i—oAn' aceorrdance w8 h 1§110.9 and
§130.0. An Installation Additionally,. an Installation Certificate shall be submitted in accordancewith Section.130.4(b)
A Track Lighting Supplementary Overcurrent Protection Panel shall be installed in accordance with Section 110.9 and lion 130.3. 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.
J
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 130.0(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
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
Section
accordance with 130.1(e).
Before an occupancy permit is granted fora, newly constructed building or area, or a new lighting system serving a building, area, or site is operated for
S
normal use, indoor lighting controls serving the building, area, or site.shall be certified as meeting the Acceptance Requirements 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.
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2013
STATE OF CALIFORNIA
INDOOR LIGHTING — LIGHTING CONTROLS
CALIFORNIA ENERGY COMMISSION 18
CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E
Indoor Lighting - Lighting Controls (Pace 2 of 3)
Project Name: HASHIMOTO CHIROPRATIC Date Prepared: 1/27/2015
A separate document must be filled out for Conditioned and Unconditioned Spaces. This page is used only for t yP ilk nz
❑ CONDITIONED SPACES ❑ UNCONDITIONED SPACES
MANDATORY AND PRESCRIPTIVE INDOOR LIGHTING CONTROL SCHEDULE, PAF CALCULATION, and FIELD IN [6h- CF CKLI'�
PAF ed � Calc ocr Z
r)
7
K
C
'
r
o
v
Standards Complying With
°
�;
V-
Lighting Control Schedule
(✓ all that apply, or enter 'E' if Exempted)
o- a
�
a c
f L I
o
A
B
C
D
E
F
G
H
I I
J
K
L
M __
._. N
O
Type/ Description of Lighting
Control (i.e.: occupancy sensor,
#
'r'
ri
LAM
r,
p
�;
Location in Building
automatic time switch,
of
o
0
0
0
0
o
o
dimmer, automatic daylight,
Units
F+
d
O
2
t-+
V
F+
a
►�
r°
01
a
v+
N
-
etc...)
Room 1
Dimming w/Occ Sensor
✓
1,458
0.25
365
✓
❑
❑
Room 1
Dimming w/Occ Sensor
2,067
0.25
517
❑
❑
Room 1
Dimming w/Occ Sensor
308
0.25
77
❑
❑
❑
❑
❑
❑
❑
❑
INSTALLED WATTS PAGE TOTAL:
958
IF MULTIPLE PAGES ARE USED, ENTER SUM TOTAL OF ALL PAGES HERE:
958
1. §130.1(0) = Manual area controls; §130.0(b) = Multi Level; §130.1(c) = Auto Shut -Off; §130.1(d) = Mandatory Daylight; §130.1(e) = Demand Responsive; §140.6(d) _
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.
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2013
STATE OF CALIFORNIA
INDOOR LIGHTING - LIGHTING CONTROLS
CERTIFICATE OF COMPLIANCE NRCC-LTI-02 EE
Indoor Lighting - Lighting Controls r-- -- "--`—�i (Page 3 of 3)
Project Name: HASHIMOTO CHIROPRATIC I DatePrepared: 1/2712-01.5-
_I�- 11111'z II
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT n "a ".._
1. I certify that this Certificate of Compliance documentation is accurate and complete. = ids V
Documentation Author Name:
PAUL ALLEN SMITH
Doc a uthorSi tatr
'�
t t
Company: Paul Allen Smith Title 24 Energy Consultant
w9nature ate: 1/27/2015<�` m
G7
Address: 1 183 PALMAS RIDGE
CEA/ HERS Certification Identification (if applicable): 10-1
I=L s re �` 0
City/State/Zip: PALM SPRINGS, CA 92262
Phone: 760.831.9879 0 .a Q
RESPONSIBLE PERSON'S DECLARATION STATEMENT`
I certify the following under penalty of perjury, under the laws of the State of California:N'
1. The information provided on this Certificate of Compliance is true and correct. ;! `
2. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified o 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 is required to be included with the documentation the
builder provides to the building owner at occupancy.
Responsible Designer Name: ROY ASARO
Responsible Desi er i itures
Company: ROY ASARO ARCHITECT
Date Signed: 01 2 7 — 2 015
Address: 42-220 GREEN WAY STE. G
License: c20350
City/State/zip: PALM DESERT, CA 92211
Phone: 760.805.4640
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2013
STATE OF CALIFORNIA
INDOOR LIGHTING POWER ALLOWANCE
-NRCC-LTI-03-E (Revised 06/13) CALIFORNIA ENERGY COMMISSION
RTIFICATE OF COMPLIANCE NRCC-LTI-02
rtificate of Compliance - Indoor Lighting Power Allowance (Page 1 of
ect Name: HASHIMOTO CHIROPRATIC Date Prepared: /272 45
Z I -
ALLOWED LIGHTING POWER (Chose Method)
A
A separate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for: ® CONDITIONED spaces
�' �- ZZIP UNCO I
ITIONED spaces
A. SUMMARY TOTALS OF LIGHTING POWER ALLOWANCES m
❑ If using Complete Building Method for compliance, use only the total in column (a) as total allowed building watts. LL CZ
❑ If using Area Category Method, Tailored Method; or a combination of Area Category and Tailored Method for compliance, usE Q tRe
t talfin column (b) as the total
allowed building watts
_ f(a)g LL -
1. Complete Building Method Allowed Watts. Documented in section B of NRCC-LTI-03-E (below on this page) 20
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
el
TOTAL ALLOWED BUILDING WATTS. Enter number into correct cell on NRCC-LTI-01, Page 2, Row 1 4,620•'
❑ Check here if building contains both conditioned and unconditioned areas.
B. COMPLETE BUILDING METHOD LIGHTING POWER ALLOWANCE '
A
B
C
D
WATTS
COMPLETE
ALLOWED
t E TYPE OF BUILDING (From §140.6 Table 140.6-13)`' t
PER (ft')
X
BLDG. AREA
WATTS
Comp Bldg Auditorium f
1.50
3,080
4,620
Total Area:
a3
Total Watts. Enter Total Watts into section A, row 1 (Above on this page)
4,620
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) _
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance
HERS Provider:
June 2013
STATE OF CALIFORNIA -
INDOOR LIGHTING POWER ALLOWANCE
CEC-NRCC-LTI-03-E Revised 06/13 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E
Certificate of Compliance - Ihdoor Lighting Power Allowance (Page 4 of 4)
Project Name: HASHIMOTO CHIROPRATIC Date Prepared: 1/
U-1C0
LU
0 U :D
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT �_ LD
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. _1
Documentation Author Name: PAUL ALLEN SMITH
D um n Autho i L u
Company: Paul Allen Smith Title 24 Energy Consultant
5'gnature°ate: 1/ /2015u
Address:
1183 PALMAS RIDGE
CEA/ HERS Certification Identification (if applicable):
�- Iii
L
City/State/Zip: PALM SPRINGS, CA 92262
Phone: 760.831.9879 00 =�
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 is required to be included with the documentation the
builder provides to the building owner at occupancy.
Responsible Designer Name: ROY ASARO
Responsible Desig r Si gnat e:
Company: ROY ASARO ARCHITECT
DateSgned:0 — 7-2 5
Address: 42-220 GREEN WAY STE. G
License: C 2 0 3 5 0
City/State/Zip: PALM DESERT, CA 92211
Phone: 760.805.4640
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance
HERS Provider:
June 2013
a;t, # City of La Quinta
Building a Safety Division
Permit # 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
�1�k® Building Permit Application and Tracking Sheet
Project Address:6.5u-LI�,O•-- Owner's Name: :•� Q?,(� N 5
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: S
� 3 2
v � f
Telephone:
Address: (2 ZZQ
W6,11Y -
Project Description:
City, ST, Zip: 4L
AJ
U
Telephone:
ele h ne �0 .— '0 O �f3
State Lic. # :
2O
City Lic.
Arch., Engr., Designer:
eoI A-5 4eo
Address:
City., ST, Zip:
Telephone:
le one:
P
Construction TY Pe: ancY
Occupancy:
:
State te Lic. #:
air Ject tYPa circle ne • New A]te Demo
Name of Contact Person:
/ ���GI[
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 76 J Q —176-1-7
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 Calcs.
Revicwed,.ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for corrections/issue
Electrical
Subcontactor.List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Jrd 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,
RFC
IVEly
Total Permit Fees
SEP 1.5 2015
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT