06-3315 (RC)P.O. BOX 1504_ VOICE -(760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/19/06
Application Number: 06-00003315 Owner: i �]
Property Address: 47110 WASHINGTON ST STE ,201 CALEO BAY INVEST r:
APN: 643-200-999-A, -0'3429 -
Application description: REMODEL COMMERCIAL PALM DESERT, CA OCT 19 006
Property Zoning: COMMUNITY COMMERCIAL
Application valuation: 60000 CITY OF
LA FINANCE DEP-:TA
Contractor:
Applicant: Architect or Engineer: AFFILIATED CONSTRUCTION CO
77900 AVE,OF THE STATES
PALM DESERT, CA 92211
(760)345-2626
Lic. No.: 186863
LICENSED CONTRACTOR'S DECLARATION-.: WORKER'S COMPENSATIONDECLARATION
I hereby affirm under penalty of perjury thaAlised under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Busin.!.d
Section C e, and my License is in full force and effect. _ I have and will maintain a certificate df consent to self -insure for workers' compensation, as provided
- ,License Class: i e No.: 186863 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
Date:Contractor: _ 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
0 NE •B LDER D RATION insurance carrier and policy number are: • "
hereby affirm under penalty of perjury that I m xemp rom the Contractor's State License Law for•the Carrier STATE FUND Policy Number 0015385-2006
following reason (Sec. 7031 .5, Business and ssions Code: Any city or county that requires a permit to _ 'I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct; alter, improve, demolish, or repair any structure, prior to.its issuance, also requires the applicant for the person in any manner so anPEN
9C0VE,AG,m,S
s' compensation laws of California, '
permit to file a signed statement that he or she is licensed pursuant'to the provisions of the Contractor's State - and agree that, if I should pensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or (i�p� of the Labor Code, I provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by v�`y
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: .Date Applicant:
1—) 1, 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 WARNI FAILURE TO SECURE UNLAWFUL, AND SHALL"
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENAL A IVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS i$100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended. or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.). APPLICANT ACKNOWLEDGEMENT
1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby, made to the Director of Building and Safety for a permit'subject to the '
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. -
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made,; each person at whose request and for
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
( I I am exempt under* Sec. , BAP.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the,City
of La Quirita, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
Date: Owner: 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
CONSTRUCTION LENDING AGENCY permit to cancellation. -
I hereby affirm under penalty of perjury that there is a construction lending agency for the performanceof the_ I certify that I have read this application and state that the ab a rm ion is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). - - "city and cou ty ordinances and state laws relating to buildin con t c i ,and hereb authorize representatives
of -this u0 ter upon the above-mentioned property or i• a io -pur oses.
Lender's Name:
Da
� Signature (Applicant or Agent):
Lender's Address:
LQPERAIIT.'.
Application Number 06-.00003315
Permit BUILDING PERMIT
_ Additional desc .
Permit Fee' 459.50Plan Check
Fee
.298.68
Issue Date -Valuation.
.60000
Expiration Date 4/17/07
Qty Unit Charge -Per
Extension.
BASE FEE
414.50
10.00 4.5000 THOU "BLDG 50,001-100,000
45:00
Permit . -ELECT:- ADD/ALT/REM
Additional desc:
Permit Fee. 43.94 Plan Check
'Fee
10.99
Issue Date Valuation
0
Expiration Date 4/17/07
Qty Unit Charge Per.
Extension
BASE FEE
15.00
1447.00 0200 ELEC GARAGE OR NON-RESIDENTIAL
---------------------------------------------------------------
28.94
Permit MECHANICAL
Additional-desc.
Permit" Fee 30.50 Plan Check
Fee
7.63
'Issue Date : : ' Valuation
0
Expiration Date 4/17/07
Qty Unit Charge Per
Extension
BASE. FEE
15.00
1.00 9.0000 EA MECH APPL REP/ALT/ADD,
9.00
1.00 6.5000.EA MECH-VENT FAN
6.50
Permit. . . PLUMBING
Additional desc .
Permit Fee 58.50 - P1an.Check
Fee
14.63
Issue Date. Valuation
0
Expiration Date 4/17/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
3.00 6.00.00 EA PLB FIXTURE
18.00
1.00 15.0000 EA PLB BUILDING SEWER
15.00
1.00. 7.5000 EA PLB.WATER.HEATER/VENT
7.50
1.00 3.0000 EA PLB WATER INST/ALT/REP
3..00
---------------------------------
Special Notes. and Comments
--------
1,447-SF TENANT.IMPROVEMENT, V-NR,
LQPERMIT
Application -Number . . .
06-00003315
-----------------------------------------
.-Special Notes and Comments
---------------
-------
--------
B-OCCUPANCY,_15-OCC..LOAD,
- FIRE -SPRINKLE. October 19, 2006-
10:011:08 AM AORTEGA
-- r ---------------
Other -Fees .. . . . . . . . .
- - -
STRONG MOTION
- -- - - -- - - -----------------
(-SMI)'- COM
12.60
Fee summary Charged
Paid„
Credited
Due
Permit Fee Total X592.44
---------- ----------
.00.
----------
.00
592.44
Plan Check -Total 331.93
.00
.00
331.93-
31.93Other
OtherFee Total 12.60
.00
.00
12.60
Grand Total 936.97
.00
.00
936.97:
LQPERMIT ..
0
&wAdwe Gw4o, nJbr in K9
Permit # -"
City of LaQ uinta
Building 8t Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:7
Owner's Name:.
NV165iDes;
A. P. Number:
Address:
Legal Description:
Contractor: r����� G��/%�
City, ST, Zip:
Telephone: `R
Address:
Project Description:
City, ST, Zip:
Telephone:
y
State Lie. # 12 City Lie. #:
Arch., Engr., Designer:
Address:
City, ST, Zip: `. r
Telephone:
g 3 y
Construe• n Type: Occupancy:
Project type (circle one . New. Add'n Alter Repair Demo
State Lie. #: � - ,; ����r�
Name of Contact Person: ,,/)� `
!�/,�" �
Sq. Ft.: / ories:
#Units:
Telephone # of Contact Person: L J ��.
Estimated Value of Project: .'
APPLICANT: DO- NOT WRITE BELOW THIS LINE t
Submittal
Req'd
Recd
TRACKING .
PERMIT FEES
�#1 ,
v
Plan Sets
Plan Check submitted
2 0
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
l '$
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
ZZ
Energy Calcs.
Plans picked up
%
Construction
Flood plain plan
Plans'resubmitted
Mechanical
Grading plan
2nd Review, ready for correctiossue
O
Electrical
Subcontactor List
Called Contact Person ,
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted .
Grading
IN HOUSE:-
3rd Review, ready,for corrections/issue
Developer Impact Fee
PlanningApproval PP
Called Contact Person
Pub. Wks. App
Date of permit issue
,
J
School Fees
Total•Pci•mit Fees..
Wad
161510(o -=70V 604RD
a s.
I
tv
Vr
LE
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
Beaumont
Calimesa
Canyon Lake
Coachella
Desert Hot Springs
Indian Wells
Indio
Lake Elsinore
La Quinta
Moreno Valley
4.
Palm Desert
Perris
Rancho Mirage
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District I
John Tavaglione,
District 2
Jeff Stone,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
RIVERSIDE COUNTY
FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
210 West San Jacinto Avenue Perris, California 92570 • (951) 940-6900 Fax (951) 940-6910
)ate
-ity of LaQuinta
3uilding Department
Che Riverside County Fire Departm nt is granting th Fire Clearance for the following
acation = /
?lease call if you should have question -863-8886
Respectfully
By
Terry D Soucy
Fire Systems Inspecto
EMERGENCY SERVICES DIVISION . PLANNING SECTION . INDIO OFFICE
82-675 Highway 111, 2n° FI:, Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
John R. Hawkins
Fire Chief
Proudly serving the
Unincorporated
Areas of Riverside
County and the
Cities of
Banning
Beaumont
4.
Calimesa
4.
Canyon Lake
4.•
Coachella
Desert Hot Springs
4.
Indian Wells
Indio
❖
Lake Elsinore
4.
La Quinta
4.
Moreno Valley
:•
Palm Desert
•.
Perris
4.
Rancho Mirage
4.
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jim Venable,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
RIVERSIDE COUNTY FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection '
210 West San Jacinto Avenue • Perris, California 92570 • (909) 940-6900 • Fax (909) 940-6910
January 11, 2007
Stahl Fire
1
,74140 Scholar Lane East -
Palm Desert, CA 92211 r Y'
,Re: Fire: Sprinkler Plan Review
LAQ-06-TI-114 /-La QuintaProfessional Plaza at,47110 Washington,#201, La
Quinta ,_ _
The sprinkler plans youvsubmitted,for the above referenced project have been ;
reviewed by Riverside County Fire Department Planning & Engineering personnel
and are approved with the following conditions:
1) Approval of these plans does not include the piping of the underground system.
Installing contractor shall provide separate underground,- plans for review and
approval prior to installation.
2) Provide a separate point of connection for the second sprinkler head .as noted or
provide hydraulic calculations to verify the design flow rate when piping two new
ceiling sprinklers from an existing outlet in an overhead system. (NFPA 13, Sec: a
-5-13.20.3, Excep. 1)
3) Permanently marked identification signs shall be attached to all control valves.
4) A sign shall be located adjacent to the alarm bell -worded as follows
a) SPRINKLER FIRE ALARM -.WHEN BELL RINGS CALL 911
5) Provide for 24 hour monitoring of the sprinkler alarm 'system.
6) The following inspections/tests are required to be witnessed by the Fire
Department Planning Division staff:
a) Overhead: All piping must be visible and :200 psi hydrostatic for 2 hours. -
(Verify,with field inspector for hydro variance.) Ceiling panels must not:be in
place. (NFPA 13, Sec. 10-2.2.1, Exception No. 4) ,
b) Final inspection.
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
r ' • 82-675 Highway 111, 2nd FI.; Indio, CA .92201••(760) 863-8886 • Fax (760) 863-7072
The Fire Department job card, approved plans and conditions letter must be at the job site or
NO inspection will be performed. Applicant/installer shall be responsible to contact the Fire
Department to schedule inspection(s) a minimum of 72 hours prior to the requested
inspection date.
All questions regarding the meaning of these conditions should be referred to the Fire
Department Planning & Engineering staff at (760) 863-8886.
Sincerely,
Tracy Hobday
Chief Fire Department Planner
By .
Sonia Cooley
Fire Safety Specialist
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
.John R. Hawkins
Fire Chief
Proudly serving the
Unincorporated
Areas of Riverside
County and the
Cities of:
Banning
Beaumont
Calimesa
Canyon Lake
Coachella
Desert Hot Springs
Indian Wells
Indio
Lake Elsinore
La Quinta
A*. -
Moreno Valley
Palm Desert
4.
Perris
Ri&ch6 Mirage
e•
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jim Venable,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
RIVERSIDE COUNTY FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
210 West San Jacinto Avenue • Perris, California 92T70 • (909) 940-6900 -Fax(909)940-6910
September 23, 2006
Affiliated Construction Co., Inc.
77900 Avenue of the States
Palm Desert, CA 92260
RE: TENANT IMPROVEMENT PLAN CHECK
La Quinta Professional Plaza at 47110 Washington Street, Ste 201, La Quinta, CA
You have been issued a release for a tenant improvement on an existing building. THIS IS
NOT AN OCCUPANCY PERMIT.
Itis prohibited to use/process or store any materials in this occupancy that would classify it
as an "H" occupancy per Sec. 307 of the 2000 UBC.
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
Install door hardware and exit signs as per Chapter 10 of the 2000 UBC.
Install Knox Lock Boxes, Models 4400, 3200 or 1300, mounted per recommended standard
of the'Knox Company. Plans must be submitted to the Fire Department for approval of
mounting location/position and operating standards. Special forms are available from this
office for the ordering of the Key Lock Boxes. This form must be authorized and signed by
this office for the correctly coded system to be purchased. If the building/facility is protected
with a fire alarm system or burglar alarm system, the lock boxes will require "tamper"
monitoring.
A minimum 2A10BC Fire Extinguisher, (State Fire Marshal Approved) must be mounted in a
visible'location within 75' walking distance from any point in your building or suite. Fire
extinguishers can be installed by a licensed extinguisher company with a State Fire Marshal
service tag attached to the extinguisher, or purchased from a retail store with a sales receipt
attached. Xlicensed fire extinguisher company must service extinguisher yearly.
ELECTRICAL PANEL BOX:
All breakers must be labeled and a clearance of 36 inches must be maintained around the
panel at all times.
OTHER REQUIREMENTS:
Approved building address shall be placed in such a position a to be plainly visible and.
legible from the street. Said numbers shall contrast with their background.
A durable sign stating "This door to remain unlocked during business hours" shall be placed
on or adjacent to the front exit door. The sign shall be in letters not less than one inch high
on a contrasting background.
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
,
82-675 Highway 111, 2n° FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
Applicantlinstaller shall be responsible to contact the Fire Department to schedule
inspections. A re -inspection fee will be required if more than one (1) inspection is necessary.
Requests for inspections are to be made at least 72 hours in advance and may be arranged
by calling (760) 863-8886.
All'questions regarding the meaning of these conditions should be referred to the Fire
Department Planning & Engineering Staff at (760) 863-8886.
Sincerely,
Tracy Hobday
Chief Fire Department Planner r
By.
Sonia Coole
Fire Safety Specialist
' J
M Ara
--wate. OFOCCU
.,Certhmfft
dOt"
G�i11�OF'T�����,-�Buildng•r:� Safet De •artrh.e�t4.
,: � � }� • .•
' This- Certificate is• issued pursuant to•'the requirements of Section 109 -of the California Building,
'Code, certifying ;that;- at the time of issuance; this structure was • in compliance -with" the,• ,
'provisions of the Building Code .and the various ordinances ofthe City: regulating building
• construction and%r• use. � � ♦ - � � � �� -
BUILDING ADDRESS: 47110 WASHINGTON`ST. #201 : • .` , � � _
-
Use -classification -Comm - • - ' � = � � • . •- - • . •Building Permit No.: 06-3315
Occupancy -Group- M Type,of Construction: VN � Land Use Zorie: Voninql
Owner of Building: CALEO BAY INVESTORS ..: 'Address- 44-139 MONTEREY
• � � � ., � - City, ST,•ZIP: PALM DESERT CA 92260 � -
- � . � • • � nY By: S. TRAXEL .' • ; - ,
• - �- - : � � . - � ✓ • Date: 2-23-07 - � • • ' , - `
. _ • . .Building Off
ici • . '' - �. ,' . � . ', �•; • _ • " .. - = • - •
' `• - POST IN A CONSPICUOUS PLACE � "
M Ara
--wate. OFOCCU
.,Certhmfft
dOt"
G�i11�OF'T�����,-�Buildng•r:� Safet De •artrh.e�t4.
,: � � }� • .•
' This- Certificate is• issued pursuant to•'the requirements of Section 109 -of the California Building,
'Code, certifying ;that;- at the time of issuance; this structure was • in compliance -with" the,• ,
'provisions of the Building Code .and the various ordinances ofthe City: regulating building
• construction and%r• use. � � ♦ - � � � �� -
BUILDING ADDRESS: 47110 WASHINGTON`ST. #201 : • .` , � � _
-
Use -classification -Comm - • - ' � = � � • . •- - • . •Building Permit No.: 06-3315
Occupancy -Group- M Type,of Construction: VN � Land Use Zorie: Voninql
Owner of Building: CALEO BAY INVESTORS ..: 'Address- 44-139 MONTEREY
• � � � ., � - City, ST,•ZIP: PALM DESERT CA 92260 � -
- � . � • • � nY By: S. TRAXEL .' • ; - ,
• - �- - : � � . - � ✓ • Date: 2-23-07 - � • • ' , - `
. _ • . .Building Off
TITLE 24 -REPORT
y
Title 24 Report for:
= 'Suite 201 T.I:-La Quinta Professional Plaza'
47-110 Washington -Street
La Quinta, Ca 92253
- t'•
Project Designer:..
- La Quinta Developers, LLC
77-900 Avenue of the States
` Palm Desert, Ca 92211
(760) 346-2626 .
Report Prepared By:CDATE
-
F•IA QUINTATim
Scott
'& SAFE Y D'T•Scott
Design &Title 24PROVED77085
Michigan Dr.
ONSTRUCTlO�Palm
Desert, CA 92211-(760)
200-4780
Job Number:
a
-OCT 0 52006
tDate:
BY
9/25/2006
e EnergyPro computer program has been used to perform the calculations summarized•in this compliance
report. This program has approval and is
thorized bythe California Energy Commission for use with both the Residential'and Nonresidential
2005 Building Energy Efficiency Standards.
E This program developed by EnergySoft, LLC'- www.energysoft.com. r
" R EnergyPro 4.2 by EriergySoft Job Number:
t User Number: 6712
. �.
t
_
yr
i
�� -
PERFORMANCE CERTIFICATE OF COMPLIANCE Part 1 Of 3 PERF -1
PROJECT NAME
This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the
DATE
Suite 201 T.I.-La Quinta Professional Plaza
DOCUMENTATION AUTHOR
9/25/2006
OJECT ADDRESS
DAT
BUILDING CONDITIONED FLOOR AREA
1,447Sq.Ft.
47-110 Washington Street La Quinta
CLIMATE ZONE
15
BUILDING TYPE
PRINCIPAL DESIGNER - ENVELOPE
TELEPHONE
Building Permit #
La Quinta Developers, LLC
(760) 346-2626
-_
DOCUMENTATION AUTHOR
TELEPHONE
Checked b'y'/Date,:.
Scott Design & Title 24
(760) 200-4780
Enforcement Agency Use
GENERAL INFORMATION
This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the
California Code of Regulations. This certificate applies only to a Building u ng the performance compliance approach.
The documentation preparer hereby certifies that the documentation is ac rate and Ilomplete.
DOCUMENTATION AUTHOR
DATE OF PLANS
DAT
BUILDING CONDITIONED FLOOR AREA
1,447Sq.Ft.
Tim Scott
CLIMATE ZONE
15
BUILDING TYPE
®
NONRESIDENTIAL
HIGH RISE RESIDENTIAL
HOTEL/MOTEL GUEST ROOM
PHASE OF CONSTRUCTION
®
NEW CONSTRUCTION
ADDITION
EXISTING + ADDITION/ALTERATION
STATEMENT OF COMPLIANCE
This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the
California Code of Regulations. This certificate applies only to a Building u ng the performance compliance approach.
The documentation preparer hereby certifies that the documentation is ac rate and Ilomplete.
DOCUMENTATION AUTHOR
SI NA
DAT
Tim Scott
The Principal Designer hereby certifys that the proposed building design represented in this set of construction docume, s is
consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this
permit application. The proposed building as designed meets the energy efficiency requirements contained in sections 110, 116,
through 118, and 140, 142, 143 or 149 of Title 24, Part 6.
ENV. LTG. MECH.
❑ ❑ 1. 1 hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to
sign this document as the person responsible for its preparation; and that I am licensed in the State of
California as a civil engineer, mechanical engineer, or I am a licensed architect.
El [1 2. 1 affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code Section
5537.2 or 6737.3 to sign this document as the person responsible for its preparation; and that I am a licensed
contractor performing this work.
❑ ❑ ❑ 3. 1 affirm that I am eligible under Division 3 of the Business and Professions Code to sign this document
because it pertains to a structure or type of work described as exempt pursuant to Business and Professions
Code Sections 5537, 5538, and 6737.1. (These sections of the Business and Professions Code are printed in
full in the Nonresidential Manual.)
ENVELOPE COMPLIANCE
Indicate location on plans of Note Block for Mandatory Measures
Envelope Compliance Not In The Scope Of
Required Forms
I IS bubmiftal
PRINCIPAL ENVELOPE DESIGNER - NAME
SIGNATURE
LIC. NO.
DATE
LIGHTING COMPLIANCE
Indicate location on plans of Note Block for Mandatory Measures
LTG -1, LTG -2
Required Forms
PRINCIPAL LIGHTING DESIGNER - NAME
SIGNATURE
LIC. NO.
DATE
La Quinta Developers, LLC
MECHANICAL COMPLIANCE
Indicate location on plans of Note Block for Mandatory Measures
Mechanical Compliance Not In the Scope Of
Required Forms
This Submittal
PRINCIPAL MECHANICAL DESIGNER - NAME
SIGNATURE
LIC. NO.
DATE
EnergyPro 4.2 by EnergySoft User Number: 6712 Job Number: Page:3 of 11
PERFORMANCE CERTIFICATE OF COMPLIANCE - -Part 3.'of 3 PERF -1
Notes: 1. See LTG -2-C 2. See LTG4-C '3. See LTG -5-C 4. See LTG -6-C Items::
(items marked with asterisk, see LTG -2 -C by others) (by others)
EXCEPTIONAL CONDITIONS COMPLIANCE CHECKLIST '
The local enforcement agency should pay special attention to the items specified In this checklist. These items require special written justii
and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the adeq
the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and docume
submitted. '
The exceptional features listed in this performance approach application have specifically been reviewed. Adequate written justification and
cumentation for their use have been provided by the applicant.
uthorized Signature or Stam
Run Initiation Time: 09/22106 11:05:39 Run Code: 1158948339-
EnergyPro 4.2 by EnergySoft User Number: 6712 Job Number: - Page:5 of 11
3
CERTIFICATE OF COMPLIANCE (Part 1 of 3) LTG -1 -C
3339
•ROJECT NAME
DATE
'
Suite 201 T.I.-La Quinta Professional Plaza •.
9/25/2006 7]
11 STALLED INDOOR LIGHTING POWER FOR CONDITIONED AND UNCONDITIONED SPACES
"
INSTALLED
"
WATTS
y
INSTALLED LIGHTING, CONDITIONED SPACES (From LTG -27C)
1,428
p
PORTABLE LIGHTING (From LTG -3-C)
0
LIGHTING CONTROL CREDIT, CONDITIONED SPACES (From LTG -4-C)
0
` CONDITIONED SPACE ADJUSTED INSTALLED LIGHTING POWER 1,428 T.
INSTALLED LIGHTING, UNCONDITIONED SPACES (From LTG -2-C)
• 0
LIGHTING CONTROL CREDIT, UNCONDITIONED SPACES (From LTG -4-C)
R 0 ._
- UNCONDITIONED SPACE ADJUSTED INSTALLED LIGHTING POWER
0
- ALLOWED INDOOR LIGHTING POWER FOR CONDITIONED SPACES
❑ COMPLETE BUILDING METHOD (From LTG -5-C)
ALLOWED
❑ AREA CATEGORY METHOD (From LTG -5-C)
WATTS
❑ TAILORED METHOD (From LTG -5-C) ALLOWED LIGHTING POWER
1,428 1
•' LTERNATE COMPLIANCE
PERFORMANCE METHOD
• ❑ COMMMON LIGHTING SYSTEM (From LTG -8-C)
ALLOWED INDOOR LIGHTING POWER FOR UNCONDITIONED SPACES From LTG -5-C)
0
MANDATORY INDOOR AND DAYLIGHTING AUTOMATIC CONTROLS . •
c
NOTETO'-
'
CONTROL LOCATION
CONTROL
CONTROL TYPE •
Check if
(Room #)
IDENTIFICATION—
(Auto Time Switch, Dimming, etc.)
SPACE CONTROLLED
Daylighting
FIELD s_
J
„
NOTES TO FIELD - For Buildinci Department Use Only.=
3339
'
Page:6 of 11
4
.4
CERTIFICATE OF COMPLIANCE (Part 3 of 3) LTG -1 -C
PROJECT NAME
Suite 201 T.I.-La Quinta Professional Plaza
DATE
9/25/2006
esigner:
This form is to be used by the designer and attached to the plans. Listed below are .all the acceptance
tests for lighting systems. The designer is required to check the boxes by all acceptance tests that
apply and list all equipment that require an acceptance test. If all equipment of a certain type requires
a test, list the equipment description and the number of systems to be tested in parentheses. The NJ,
number designates the Section in the Appendix of the Nonresidential ACM Manual that describes the
test. Also indicate the person responsible for performing the tests (i.e. the installing contractor, design
professional or an agent selected by the owner). Since this form will be part of the plans, completion
of this section will allow the responsible party to budget for the scope of work appropriately.
Building Departments:
Before an occupancy permit is granted for a newly constructed building or space, or a new lighting
system 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.
In addition a Certificate of Acceptance, LTG -1-A, Forms shall be submitted to the building department
that:
A. Certifies plans, specifications, installation certificates, and operating and maintenance
information meet the requirements of§ 10-103(b) and Title 24 Part 6.
Test Descri tion
Test Performed By:
❑ LTG -2-A: Lighting Control Acceptance Document
' . -Occupancy Sensor Acceptance '
- Manual Daylight Controls Acceptance
= Automatic Time Switch Control Acceptance
Equipment requiring acceptance testing
❑ LTG -3-A: Automatic Daylighting Controls Acceptance Document
Equipment requiring acceptance testing
1
Run Initiation Time: 09/22/06 11:05:39 Run Code: 1158945339
EnergyPro 4.2 by EnergySoft User Number: 6712 Job Number: Pagel of 11
t
a
INDOOR LIGHTING SCHEDULE (Part 1 of 2) LTG -2-C
ROJECT NAME DATE
Suite 201 T.I.-La Quinta Professional Plaza 9/25/2006
INSTALLED LIGHTING POWER FOR CONDITIONED SPACES
4
Luminaire
Lamps/Ballasts
Installed Watts
C
D
E
F
G
H
I
J
Name
-
Type Description
3
CD -0
r
CNC
7NQ
61.E
fD `�—
3!D�
N
CNC
7NQ
N.� N
C
?fD
N y
m
O
ar m
n
r
C c
N0 Cr
- fD
H
ci <...
x N
- N fD
CL
(2) 2 ft Fluorescent T8 Elec
F17T8
2
171
1.0
32.0
X
43
1,376
V) 4 ft Fluorescent T8 Energy Savings
ec
F32T8
2-
301
1.0
52.0
X
1
52
PAGE TOTAL 1 428
'BUILDING TOTAL (sum of all pages)
PORTABLE LIGHTING (From LTG -3-C) D
CONTROL CREDIT (From LTG -4-C) D
• ADJUSTED ACTUAL WATTS 1 428
Run Initiation Time:. 09/22/06 11:05:39 Run Code: 1158948339
EnergyPro 4.2 by EnergySoft User Number: 6712 Job Number: Page:8 of 11
FRb0M CAVITY RATIO WORKSHEET ;(RCR>=3 5:) . ,I LTG'7-C'
PROJECT NAME.'_ .F.
SUIt@ 201 T.l.' La Quints- . rof@SSIOIIal Plaza: < . FORaENFORGEMENT.AGENCY USE ON Y
CUMENTATION AUTHORDATE P N CHECKBY' DATE w
' .:
MC/lTA L11-111 A.r @Pf Af►CQ
LIGHTING MANDATORY MEASURES LTG -MM
ECT NAME
Suite 201 T.I.-La Quinta Professional Plaza .
DATE '
9/25/2006 -
DESCRIPTION •
Designer,
Enforcement
§131(d)1 For every floor, all interior lighting systems shall be equipped with a separate automatic
• ,
control to shut off the lighting. This automatic control shall meet the requirements of
Section 119 and may be an occupancy sensor, automatic time switch, or other device
capable of automatically shutting off the lighting.
❑ §131(d)20verride for Building Lighting Shut-off: The automatic building shut-off system is ,
provided with a manual, accessible override switch in sight of the lights. The area
of override is not to exceed 5,000, square feet.
'
-
§119(h) Automatic Control Devices Certified: All automatic control devices specified are
certified, all alternate equipment shall be certified and installed as directed by the
manufacturer.
X❑ §111 Fluorescent Ballast and Luminaires Certified: All fluorescent fixtures specified for
the project are certified and listed in the Directory. All installed fixtures shall be
certified.
"
R§132 Tandem Wiring for One and Three Lamp Fluorescent Fixtures: All one and three
lamp fluorescent fixtures are tandem wired with two lamp ballasts where required
r-
by Standards Section 132; or all one and three lamp fluorescent fixtures are
;
specified with electronic high -frequency ballasts and are exempt from tandem
;
wiring requirements. „
X❑ §131(a) Individual Room/Area Controls: Each room and area in this building is equipped
with a separate switch or occupancy sensor device for each area with'floor-to-
ceiling walls.
§131(b) Uniform Reduction for Individual Rooms: All rooms and areas greater than 100
square feet and more than -0.8 watts per square foot'of lighting load shall be
controlled with bi-level switching for uniform reduction of lighting within the room.
❑ §131(c) Daylight Area Control: All rooms with windows and skylights that are greater than
250 square feet and that allow for the effective use of daylight in the area shall
r
have 50% of the lamps in each daylit area controlled by a separate switch; or the
effective use of daylight cannot be accomplished because the windows are
continuously shaded by a building on the adjacent lot. Diagram of shading during
different times of the year is included on plans.
,
❑ §131(e) Display Lighting. Display lighting shall be separately switched on circuits that
are 20 amps or less.
EnergyPr 04.2 by EnergySoft User Number: 6712 Job Number. Page: 10 of 1.
1
MECHANICAL VENTILATION MECH-3-C
NAME DATE
Suite 201 T.1 Aa Quinta Professional Plaza 9/25/2006
W
PRESCRIPTIVE REHEAT
LIMITATION (section 144(d))
MECHANICAL VENTILATION Section
121 (b)2)
AREA
BASIS
OCCUPANCY
BASIS
VAV MINIMUM
A
B
C
D
E
F
G
H
I
J
K
L
M
N
ZONE/SYSTEM
n
D0
61 _:
N
M
oCi�A
T I
°o
.+
Q3
W'�
xDn
0;
" °' 3
c
A3
v°m
-
coo
syn
c,3
Cr
%3
M03
_n
T T
`" 7 3
..
m
0mID
�xv
0
47 " y
<
n=M
3tYta
D
No
0'
nM0,
3cO
N
�,
0
TW
�o
x A
n
02
w3m
oNx
0
T?
3 C—
(1)
fAy
a�
o3
•
»'
D
-4
a
v0i
m
D
Suite 201
1,447
0.15
217
217
217
Existing HVAC Unit
Total
217
21,7
Minimum ventilation rate per Section 121 Table 121-A
E Based on fixed seat or the greater of the expected number of occupants and 50% of the CBC occupant load foregress purposes fors aces without fixed seating.
H Re uired Ventilation Air REO'D V.A. is the lar er of the ventilation rates calculated on and AREA or OCCUPANCY BASIS column D or G).
I Must be realer than orequal to H or use Transfer Air column N to make u the difference.
J Desi n fan supply cfm Fan CFM x 30%: or
K Condition area ft. s x 04 cfmlfl. s .0 or
L Maximum of Columns H, J. K, or 300 clm
M This must be less than orequal to Column L and greater that orequal to the sum of Columns H + 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 - M.
7��EnergyPro
4.2 b Ener Soft User Number: 6712 Job Number: Page: 12 of 16
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� I s• PROFESSIONAL PLAZA
LA QUINTA, CA -
d- 0
47-150
\ I _.L.—. --.—._i �� ADDRESS MAP
I •
I - --- INSTRUMENTS OF SERVICE
I_ _____.______.�_..___ O___ ____--------------------------------------------
a___________________________________ _ _____ _- - Dp n
' Oi9QesED
I I. I � • ) DAVID O. PRE3f, AIA 68880 OED ARCMA4CM
•ALL PARCELS SHOWN ARE JONN J.V SC AlA G1B]IO s ""��.
WASHINGTON STREET ADDRESSES �- 'ADDRESSMAP
REVISIONS =
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