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9711-044 (AC)LICENSED CONTRACTOR_ DECLARATION I'hereby'affirm under penalty of perjury,that I am licensed under, provisions of. Chapter 9 (commencing with Section 7000)'of Division 3 of the Business and Professionals Code, and my License is in full force and effect. . -ALicense # Lic. Class. .•^; Exp. Date /7043 ,oDate ' Signature of Contractor " ` // `— .Lim .. OWNER -BUILDER DECLARATION " I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) I, as owner of -the property, or myemployees with wages as their sole compensation; will do the work, and the structure is not intended or offered for sale'(Sec. 7044, Business & Professionals Code). (, ) I, as owner of the property, am exclusively contracting with licensed ,contractors to construct the project (Sec. 7044, Business & Professionals Code). O I am exempt under Section B&P.C. for this reason Date Signature of Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under, penalty of perjury one of the following declarations: () I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work.' for which this permit is issued.. ( .) I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor, Code, for the performance of the work for which this t permit -is issued. My workers' compensation insurance carrier & policy no. are: Carrier 'Policy No. , TATS FtJs f1rJ .t49t)rr�i.UR (This section need not be completed if the permit valuation Is for $100.00 or less). ( ) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if.,l,should become subject.to the workers' compensation provisloris of,Section 3700 of the Labor Codeshall,forthwith comply with those provisions'' r --'/' . t f F Applicant ' �' Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney'.s fees., IMPORTANT Application, is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his ` application' t� 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to • any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 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.'permlt to cancellation. I certify that I have read this application and state that the above Information is correct. I agree to comply,with all City, and State laws relating to thetbuilding sl construction, and hereby authorize representatives of this`City to enter upon the above-mentioned property for inspection p rposes t ! Jr Si nature (Owner/Agenf)•��"� •. � �� Date'`�'� BUILDING PERMIT PERMT# DATE VALUATION LOT9711-44 TRACT JOB SITE � - �- ADDRESS FAP a ;QwNER CONTRACTOR / DESIGNER / ENGINEER ? RO(4€rA i t'.s 1 "OMC 13TS110P OP S8DO T. JAY T0RCrE1,SON & ASSOC:.,1NE ` . 1201 Is HIGHLAND AVE , 1717 WEST ORANGEWOOD SLfrM B SAN BER,';AREI NO Cs\ 92404 ORANGE 6k 9266E (71411134-44x40 CBL# 5281 :.. USE OF PERMIT t?AXI•ORWL CE i ER ADDFf [ON TO EXla•.1.'1NG 09.RCH ADDITION' 1,1200.00 SF C' OMWERCIA1, S, ta.Uti sw PUR+< WPJ1Vrt0 t ,6U0.1}0 SF ' ESTIMATED CO«t'T OF CONST RUC fION _ .. , 488.1.711.10k, PERMIT FEE SUk11:NVILRY FEE TSI SPO iT PLAhl CIAO= FV3 I.il l �LiQf)-�t3ti- t l,ft Pi1,3t3t).aS t:�:tiEi'l'l�Uti'"t'it;�f•'<f�S� 1116-tiUU�t:i�s-Qt'ki ysy:,uC�►:friti N.W HANIC:AL FEE PO ECT 1tI f. 14 4,1. 101 -000-120-rim =120-f()ii $i'7�.fx► 4'l.11t ikil3�lt ' I -C : 10 000 -Lt"► -00o _';t't, �a er. n �r'++i 'tr«. t•'i«+ .., '.r rw \ i r2.r1 P�r'ii'i f a r1:Sri o,.:�, c,•, ' r P>,4HVtS IVaa,rA t•.lA't t? -!"'IL - 4�..JitlLlVl IS!\1^4ViJ-3�i 1. -VV\/ .6rL.5..1t llls`A Cifli i(ifrll.i411tffi112fif-11i7*1 ANI-! P shit?7fr67_ 0 ;� �� " `�• "X'®TAIe 4'ERNITT 1�'!!;I+:S ®iTE NOW 52,82il.�7 . X RECEIPT k DATE BY DATE FINALED INSPECTOR t �! { INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans 0. K. to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G. F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) N 'd ■■■rmmommom '' I■■■■■■■ .'r -C'GI14 OF LA UUIN IA BMW A SAFETY DEPARTMENT 1.5 777-7012 INSP `ION REQUEST LINE I o n vio 777-7163 Owner Ig )MAN CATHOLIC BISHOP SDDO Permit Number 9711444 f " POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MW§T §IGN ALL APPLICABLE PACES I' ,tqg gpppEgg 47225 WASHINGTON ST ' PASTORAL, CENTER ADDITION TO EXISTING CHURCH (6700 S.F. TOTAL) TYPE CW INSPECTION DATE IN SP, III FOUNDATION 8 SETBACK FOOTING STEEL �1Ti•=0t1fVl i g „ DO NAT POUR CONCRETE UNTIL ALL ADOVC MA5 BtEN SIGNED All CONCRETE SLAB JOISTS A GIRDERS E ECTRICAL GROUND WORK R 00 NOT POUR CONCRETE UNTIL A ROUGH ELECTRIC ROUGH PLUMBING ROUGH GAS & GAS TEST HEATING 6 VENT • A/C �' ��IHtYLACE - ROOr II' O.K. TO WRAP ^ AI IT r' w' w irvoULA11UN ` PRE -ROOF I' COVCfl NO wank UNTIL qOU DRYWALL INTERIOR EXTERIOR IATH L POOL PRE PLASTER POOL FENCE 8 CiATI; $EWER SEPTIC TANK FINALS ELECTRICAL PLUMt FINAL TEST ABOVE APPROVALS DO m04NCLUDE RIGHT TO I" TURN ON UTILITIES OR OCCUPY BUILDING 98£0 9VS 619 Nollo 1N,LSN00 MI 6661-01-d3S James M. Wright Fire Chief Proudly serving the unincorporated areas of Riverside County and- the cities of: Banning Beaumont Calimesa Canyon Lake Coachella E. Desert Hot Springs Indian Wells Indio Lake Elsinore La Quinta 00 Moreno Valley 00 Palm Desert 00 Perris 4 Rancho Mirage 41 San Jacinto :o Temecula Board of Supervisors Bob Buster, 'District 1 John Tavaglione, District 2 Jim Venable, District 3 Roy Wilson, District 4 Tom Mullen, 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 August 25, 1999 City of La Quinta Building Department Re: Fire and Life Safety Clearance The Riverside County Fire Department is granting.a fire and.life safety clearance Jor, the group A3/B occupancy known as St. Francis of Assisi located a4Za2b5«1Nashington€St Respectfully, gALIFoflNlq . RIVERSIDE COUNTY FIRE DEPARTMENT �DF�,,, �,��� FIRE In cooperation with the f California Department of Forestry and Fire Protection 210 West San Jacinto Avenue • Perris, California 92570 • (909) 940-6900 • FAX (909) 940-6910 DEPARTMENT James M. Wright " - Date: Fire'Chief Proudly serving the To: Planning Department unincorporated areas of Riverside Surveyor"s Office • County and the Building and Safety I cities of: Banning The Riverside.County Fire Department hereby releases the project listed below: Beaumont Log Number/Case Number: 7 Calimesa ® Address: ✓l . Canyon Lake O Coachella ® Check One: Final Recor atiod n 0 Further Development . Desert Hot Springs " Meter Set Only Shell Final " Indian Wells 4 Indio Tenant Improvement Final Final For Occupancy, Lake Elsinore La Quinta Check One: Fees Paid Fees Not Paid Moreno valley Fees Not Required Palm Desert If you should have any questions regarding this matter, please do not hesitate to contact the Fire Perris Department Planning Section staff. Rancho Mirage ® FRANK KAWASAKI San Jacinto ' Chief:Fire Department Planner Temecula By: IA M. PAULSEN Board of Supervisors cc: file g & Engineering Secretary " REL92.10/92 Bob Buster ". District t John Tavaglione ' District 2 RIVERSIDE COUNTY FIRE DEPT. Jim Venable FIRE PREVENTION PLANNING SECTION District 3 82-675 HIGHWAY 111-, RM. 209 Roy Wilson INDIO, CA 92201 District 4 (760) 863-8886 - FAX (760) 863-7072 Tom Mullen District 5 PROJECT NAME GKUfZ" i9 �% E� � I f{•L �� I E'IZ �"' LS . �(,l, R't7Dl l OtJ DATE a Q /- t 0, � I' . / (o PROJECT ADDRESS:::::::::.::::::......:................... -,+7- 225' v&/A-Sf1 i klY s ►_• bik Q 0I VT;ArJ . a :Fe; nx : ::::::.:::::::::.:::::::::::::::.:::::::::::::::::::: .................:.....:........................::::: PRINCIPAL DESIGNER - MECHANICAL S Gorls� l ins. TELEPHONE 881- o��t rvl ► ��vs - 72 78 ::::Checked bjiiRate: DOCUMENTATION AUTHOR TELEPHON � S "7 2 7� �„�,.. y :GENERAL- • DATE OF PLANS BUILDING CONDITIONED FLOOR AREA BUILDING TYPE NONRESIDENTIAL HIGH RISE RESIDENTIAL HOTEL/MOTEL GUEST ROOM ADDITION [—]ALTERATION' PHASE OF CONSTRUCTION NEW CONSTRUCTION El UNCONDITIONED (File Affadavit) METHOD OF MECHANICAL PRESCRIPTIVE PERFORMANCE COMPLIANCE PROOF OF ENVELOPE COMPLIANCE PREVIOUS ENVELOPE PERMIT ENVELOPE COMPLIANCE ATTACHED 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 building mechanical requirements. The documentation preparer hereby certifies that the documentation is accurate and complete. DOCUMENTATION AUTHOR SI T E / DATE ef The Principal Mechanical Designer hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance for -ns and worksheets; with the specifications, -and with any other calculations submitted with this permit application. The proposed building.has been designed to meet the mechanical requirements contained in sections 110 through 115, 120 through 124, 140 through 142, 144 and 145. Please check one: NA I hereby affirm that I am eligible under the provisions of Division 3 of the Business and.Professions Code to sign this document as the person responsible for its preparation; and that I am a civil engineer ical en inee or architect. F] I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section 5537.2 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am a licensed contractor preparing documents for work that I have contracted -to perform. F1 I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section of the Code to sign this document as the person responsible for its preparation; and for the following reason: PRINCIPAL MECHANICAL DESIGNER - NAME SIGNATURE LIC. NO. DATE VAVlf A. GERMS � l/ M 2Z7GS 10.14.`3� 1 f Indicate location on plans of Note Block for Mandatory Measures Skeet M — For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential Manual published by the California Energy Commission. MECH-1: Required on plans for all submittals. Parts.2 & 3 may be incorporated in schedules on plans. MECH-2: Required for all submittals; choose appropriate version depending on method of mechanical compliance. MECH-3: Required for all submittals, but form does not have to be completed if location of mechanical equipement schedule is. indicated on the form per Section 4.3.3. MECH4: Required for all submittals unless required outdoor ventilation rates and airflows are shown on plans per Section 4.3.4. Nonresidential Compliance Form July 1995 I d H PROJECT NAME SYSTEM NAME TIME CONTROL SETBACK CONTROL ISOLATION ZONES HEAT PUMP THERMOSTAT? ELECTRIC HEAT? FAN CONTROL VAV MINIMUM POSITION CONTROL? SIMULTANEOUS HEAT/COOL? HEAT AND COOL SUPPLY RESET? VENTILATION OUTDOOR DAMPER CONTROL? ECONOMIZER TYPE DESIGN AIR CFM (MECH4, COLUMN H) HEATING EQUIP. Typij HIGH EFFIC.? MAKE AND MODEL NUMBER COOLING EQUIP. TYPE I HIGH EFFIC.? MAKE AND MODEL NUMBER CODE TABLES: Enter code from table below Into columns abovc MECHANICAL SYSTEMS A-5 fer 1n54ruct(o � S ov� MI%u1-1 '%1 i S f h�i�✓tori inh is Incorp rri+M (vi I s�Mjle,s op► Serf' c;, HEAT PUMP THERMOSTAT? Y. Yes N: No ELECTRIC HEAT? VAV MINIMUM POSITION CONTROL? SIMULTAIIEOUS HEAT/COOL? HEAT AND COOL SUPPLY RESET? HIGH EFFICIENCY? TIME CONTROL SETBACK CTRL I S: P�og. Switch H: Heating E 0: Occupancy Sensor C: Cooling Is M: Manual Timer B: Bath VENTILATION OUTDOOR DAMPER B: Air Balance A: Auto A C: Outside Air Cert. G: Gravity VI M: Out. Air Measure N D: Demand Control N: Natural 011111 111 m ERTIFICATE OF COMPLIANCE :dart s of s PROJECT NAME CH l/�'I Op S DA �t PSIS A't.>, i%p��101�.% J 6;,. CTiNSULA SYSTEM NAME SYSTEM NAME DUCT TYPE (Supply Rehim, etc.) DUCT TAPE ALLOWED? Y I N ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ -❑ ❑ ❑ ❑ ❑ ❑ t•1"s �G✓ �S�r��lohs o� Nl EUd ' I I?arfi '1, Ivr-vorIm ei i s on sl��� M -I• o. I DUCT INSULATION R -VALUE PROJECT.NAME GN.VtZU-f U(' S •Ci(5 DATE L9 1+9 SYSTEM NAME /1m u _I V,/ Se Irti/✓S g�7 (VI e j� �i�•/ FLOOR AREA NOTE: Provide one copy of fhis form for each mechanical system when using the Prescriptive Approacti. 1. DESIGN CONDITIONS: COOLING - HEATING . OUTDOOR, DRY BULB TEMPERATURE - OUTDOOR, WET BULB TEMPERATURE �g - INDOOR, DRY BULB. TEMPERATURE 7g 70 2. SING: - VENTILATION LOAD • l (7Q TOTAL CFM (From MECH-4) - ENVELOPE LOAD 7 Cg5r 5j5251 - LIGHTING 2, Z WATTS / SF 10 `189 -PEOPLE e OF PEOPLE (From MECH-4) - MISC. EQUIPMENT WATTS / SF -OTHER Q d r .OTHER i% (Describe) IpJ Q (Describe) TOTALS IZI I yZ 16 35 3. SELECTION: A. SAFETY/WARMUP FACTOR B. MAXIMUM ADJUSTED LOAD (Totals from above X Safety/Warmup Factor) 11-7 9 r C. INSTALLED EQUIPMENT CAPACITY l O8 73, IF UNE 3-C IS GREATER THAN UNE 3-B, EXPLAIN '. KBtu / Hr, KBtu / Hr a. © © a DESIGN BRAKE HP to TE: Include only tan systems exceeding 25 HP (see '§144)tal Fan System Power Demand may not exceed 0.8 Watts/CFM for nstantvolume systems `cc 1.25 Watts/CFM for VAV systems.. NonresidantW Comphaw "Form ' I d EFFICIENCY MOTOR I DRIVE o a NUMBER OF FANS CFM (Supply Fans) r TOTALS TOTAL FAN SYSTEM POWER DEMAND WATTS / CFM Col. F / Col. G PROJECT NAME G���� DATE W. SYSTEM NAME ICFLOOR S" VeI or 0 OAREA NOTE: Provide one copy of this form for each mechanical system when using the Prescriptive Approach. 1. DESIGN CONDITIONS: - OUTDOOR, DRY BULB TEMPERATURE • OUTDOOR, WET BULB TEMPERATURE - INDOOR, DRY BULB TEMPERATURE 2. SIZING: - VENTILATION LOAD - ENVELOPE LOAD - LIGHTING -PEOPLE - MISC. EQUIPMENT -OTHER -OTHER L{ TOTAL CFM (From MECH-4 COOLING, HEATING tip 3�- 70 78 70 . t 9,01 33 WATTS / SF 8 -73 I' i OF PEOPLE (From MECH-4) 6% 9 © WATTS / SF 0 (Describe) t� D (Describe) TOTALSj!j L 7/ S:i�O 3. SELECTION: A. SAFETY/WARMUP FACTOR Z 14 3 S. MAXIMUM ADJUSTED LOAD (Totals from above X Safety/Warmup Factor) - 22,7 p. C. INSTALLED EQUIPMENT CAPACITY �vr S-Is+k Al(, � /I�/►,�Ps� ��, �S d IF UNE 3-C IS GREATER THAN UNE 3-B, EXPLAIN "e j S Q ,�j �� j I )rte KBtu / Hr- KBtu / Hr Ir►rr�vl�vl C12/i SG e� o h — FA a DESIGN BRAKE HP OTE: k�dude only tan systems exceeang 25 HP (see §144). Total Fan System Power Demand mey not exceed 0.8 WatLs/CFM for constant volume systems a 1.25 Watts/CFM for VAV systems. Nonresidential Com#iir a Form i - o ¢ -rte ij , T� -fo j .'e -+r- - EFFICIENCY MOTOR I DRIVE NUMBER OF FANS CFM (Supply Fans) _ I TOTALS TOTAL FAN SYSTEMA POWER DEMAND WATTS / CFM Col. F / Col. G PROJECT NAME C14 vIe SYSTEM NAME _I6,u Z SP ✓'midi - P�C Or. Yletn/ S'} NOTE: Provide one copy of this form for each mechanical system When using the Prescriptive Approach. 1. DESIGN CONDITIONS: - OUTDOOR. DRY BULB TEMPERATURE - OUTDOOR, WET BULB TEMPERATURE - INDOOR, DRY BULB TEMPERATURE 2. SIZING: VENTILATION LOAD - ENVELOPE LOAD LIGHTING -PEOPLE MISC. EQUIPMENT - OTHER •OTHER DATE 1 0� ► 4. � {o rla l Ce,�r{-er FLOOR A . lv�G , Glctssroa�+yi COOLING HEATING 7a 7 f 7e _70_ 22 TOTAL CFM (From MECH-4) 2 6 2 6 748 l I10962— WATTS / S tf%WATTS/SF 41-7 _e OF PEOPLE (From MECH-4) 6 7 5�57 l . WATTS / SF (Describe) O (Describe) X41 f3 8 38 c • ' . TOTALS.. 3. SELECTION: A. SAFETY/WARMUP FACTOR B. MAXIMUM ADJUSTED LOAD (Totals from above X SafetyMarmup Factor) C. INSTALLED EQUIPMENT CAPACITY ' �qvl n�e,,l�'• set ec%ed Is IF UNE 3-C IS GREATER THAN UNE 3-B, EXPLAINS C $"( G /%Na►1u'FA G a Poi , 04. 0 DESIGN BRAKE HP OTE: lndude only tan systems exceeding 25 HP (see §144). Total Fan System Power Demand may not exceed 0.8 Watts/CFM for oonstant.volume systems or 1.25 Watts/CFM for VAV systems. Nonresidential Comphanoe Form A KBtu / Hr KBtu /.Hr ❑� QE .' QF . - EFFICIENCY NUMBER MOTOR DRIVE OF FANS CFM (Supply Fans) i TOTALS TOTAL FAN SYSTEM. POWER DEMAND WATTS / CFM Col. F /Col. G PROJECT NAME /^ I� VizG� o� S' . ►� - DATE SYSTEM NAME(� �" FLOORAREAf� =G-3�G�- j- series Poria 01)o F n��j faS-�rIA� (�ivt+G✓' (oO NOTE: Provide one copy of this form for each mechanical system when using the Prescriptive Approach. GI . GI A SSrOO M4 1. DESIGN CONDITIONS: -OUTDOOR, DRY BULB TEMPERATURE - OUTDOOR, WET BULB TEMPERATURE - INDOOR, DRY BULB TEMPERATURE 2. SIDNG: r - VENTILATION LOAD - ENVELOPE LOAD - LIGHTING. -PEOPLE - MISC. EQUIPMENT - OTHER - OTHER COOLING HEATING, '2- -7 -7 /�2 y TOTAL CFM (From MECH-4) g 2 �O 2 g 48 2 - WATTS WATTS/SF N OF PEOPLE (From MECH4) O WATTS / SF 79 (Describe) O y O (Describe) TOTALS3 3.91 y. 2;9 3 3. SELECTION: A. SAFETYMARMUP FACTOR y , 2-1 4 B. MAXIMUM ADJUSTED LOAD (Totals from above X Safety/Warmup Factor) C. INSTALLED EQUIPMENT CAPACITY -Gr s4�' it 440VIF UNE 3-C IS GREATER THAN UNE 3-B, EXPLAIN e/� l S a J/ Y471 1 "'A 1 l Aq l+e!j KBtu / Hr KBtu / Hr INGrPiwr s�21 SPG u✓1 - 3 DESIGN BRAKE HP t0:01 TE: k�dude only fan systems exceeding 25 HP (see §144). al Fan System Power Demand may not exceed 0.8 Watts/CFMfor stant volume systems or 125 Watts/CFM for VAV systems. EFFICIENCY MOTOR DRIVE 1 N NUMBER OF FANS CFM (Suppty Fans) TOTALS TOTAL FAN SYSTEM POWER DEMAND WATTS / CFM Col. F W. G PROJECT NAME, DATE Gf1Ut2G1-1 OF S � . �r�GiS - � d� 14.`1to SYSTEMNAME Se►^Vfis 'Parlsl� .Nall d►�I�►'� FLOOR AREA 1,2e7t7 NOTE: Provide ohs copy of this form for each mechanical system when using the Prescriptive Approach. G�( $S/oa /►tit SIZING and EQUIPMENT SELECTION 1. DESIGN'CONDITIONS: COOLING HEATING - OUTDOOR, DRY BULB TEMPERATURE l 12�j4,. - OUTDOOR, WET BULB TEMPERATURE -INDOOR, DRY BULB TEMPERATURE 7B 2 SONG: - VENTILATION LOAD s 3Op TOTAL CFM (From MECH-4) (l I ENVELOPE LOAD �v 5- 147 LIGHTING 2.0 WATTS / SF l� -PEOPLE N OF PEOPLE (From MECH-4) �' 0.0p - MISC. EQUIPMENT l Q WATTS / SF -OTHER Q 0 - OTHER (Describe) (Describe) TOTALS 3. SELECTION: A SAFETY/WARMUP FACTOR B. MAXIMUM ADJUSTED LOAD (Totals from above X Safety/Warmup Factor). I 0 2 C. INSTALLED EQUIPMENT CAPACITY F S�� 1'� S-jff e -ti a%L 11�►� iP��,MI►°fi P✓i°i -S DL �1'► if M a4A f 1"'T eA KBbi / Hr KBtu / Hr IF UNE 3-C IS GREATER THAN UNE 3D, EXPLAIN I U (rinM O �4A S I r��( 5'2 ee 0,i DESIGN 'EFFICIENCY BRAKE HP MOTOR, DRIVE NUMBER, OF FANS CFM (Supply Fars) TOTALS • If OTE: Indude only fan systems exceeding 25 HP (see §144). Total Fan System Power Demand may not exceed 0.8 Watts/CFM for TOTAL FAN SYSTEM constant volume systems or 1.25 WaWbFM for VAV systems. POWER DEMAND WATTS / CFM . Col. F / Col. G Nonresidential Compliance Form:: - N V reC,41 DATE Q, MAKE AND DESIGN OUTPUT RATED EFFICIENCY ECONOMIZER MODEL NO. (BTU / HR) DESIGN CFM UNITS ALLOWED PROPOSED L!j N _ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑❑. 0 E [I F] El 1:1 D El mss, ❑ ❑ s� P ❑ ❑ SG�1��1�P.S 6h S� fGt ❑ ❑ "f0 a Form. . PROJECT NAME /'f0� �G�G DATE SYSTEM NAME NOTE: Provide one copy of this form for each mechanical system. MECHANICAL VENTILATION W a a o. o o% a o 0 0 AREA BASIS COND. AREA SF CFM PER SF MIN. CFM BXC X464 O,i X20 Iwo 11600 6,15r 240 TOTALS (FOR MECH-2) VAV MINIMUM CFM LARGEST I DESIGN. MIN. MIN. C Minimum Ventilation Rate per Section 2-5321, Table 2-53F. E Based on Expected Number of Occupants or it least 50°k of Chapter 33 UBC Occupant Density. H Must be greater than or equal to G. or use Transfer Air. / M zorw reheat or re000l Is used, l must be less than or equal to H X 0.3, or less than or oqual to B X 0.4, or less than or equal to 300 CFM, whichever is larger. 8KMust be less than or equal to 1(if applicable), but no less than G. unless Transfer Air (IQ is used. Must be greater than or equal to (G - H), and, for VAV. greater than or equal to (G - J). ore&ventiaf Compfian Firm • // Iwo �s VAV MINIMUM CFM LARGEST I DESIGN. MIN. MIN. C Minimum Ventilation Rate per Section 2-5321, Table 2-53F. E Based on Expected Number of Occupants or it least 50°k of Chapter 33 UBC Occupant Density. H Must be greater than or equal to G. or use Transfer Air. / M zorw reheat or re000l Is used, l must be less than or equal to H X 0.3, or less than or oqual to B X 0.4, or less than or equal to 300 CFM, whichever is larger. 8KMust be less than or equal to 1(if applicable), but no less than G. unless Transfer Air (IQ is used. Must be greater than or equal to (G - H), and, for VAV. greater than or equal to (G - J). ore&ventiaf Compfian Firm y this form for each mechanical S © o AREA BASIS CFM MIN. CFM PER SF BXC 01 1 '120 .. a►s �o { J ois l6 O OCCUPANCY BASIS NO. MIN. OFC FM PEOPLE (E X 15) Ira e� TOTALS (FOR MECH-2) ;anon Rate per Section 2-5321, Table 2-53F. )Clad Number of Occupants or at least 50% of Chapter. 33 UBC Occupant Derulty. Jr than or equal to G. or use Transfer Air. x reood is used. I must be less than or equal to H X 0.3, or less than or equal to B X 0.4,,or less than or equal to 300 CFM, ` s Iger., Zan or equal to 1(11,applicable), but no less than G. unless Transfer Air (IQ is used. t than or equal to (G - H), and, for VAV, greater than or equal to (G - J). x Form a �x �r { J TOTALS (FOR MECH-2) ;anon Rate per Section 2-5321, Table 2-53F. )Clad Number of Occupants or at least 50% of Chapter. 33 UBC Occupant Derulty. Jr than or equal to G. or use Transfer Air. x reood is used. I must be less than or equal to H X 0.3, or less than or equal to B X 0.4,,or less than or equal to 300 CFM, ` s Iger., Zan or equal to 1(11,applicable), but no less than G. unless Transfer Air (IQ is used. t than or equal to (G - H), and, for VAV, greater than or equal to (G - J). x Form a -+ROJECT':NAME t: ST -FRANCIS OF ASSISI/,ADDITION • 'ECT ADDRESS` 47225 WASHINGTON, LA QUINTA, CA'. RINCIPAL DESIGNER `LIGHTING TELEPHONE OCUMENTATION AUTHOR TELEPHONE 4e.Se. some.. ATE OF , UILDING TYPE , • BUILDING CONDITIONED FLOOR AREA 6 , 9 6 6 , SQ FT , F1 NONRESIDENTIAL : HIGH RISE RESIDENTIAL 0 HOTEL/MOTEL GUEST ROOM. RASE OF CONSTRUCTION NEW CONSTRUCTION ® ADDITION c, a ALTERATION a l r ,t ETHOD OF LIGHTING a COMPLETE BUILDING. . • AREA CATEGORY , TAILORED' PERFORMANCE OIAPLIANCE a . , a e NoTOTTIM 1 ' his Certificate of Compliance lists the.building,features and perforinance,specifications needed to comply with Title 24, ares 1 and;6:of the California Code of Regulations. This certificate applies only to building lighting requirements. ' :ie Principal Lighting Designer hereby certifies that the proposed building design repreresented in'this set of construction 'xuments is Consistent with the other compliance forms and worksheets, with the specifications, and with any other Iculations submitted with this permit application. The proposed building has been designed to meet the.lighting requirements dained'in sections 1.10,.119, 130 through 132, and 146 or 149. , se check one: I hereby affirm that I am'eligible' under,the provisions of Division 3 of•the Business and Professions Code to sign this - .` document as the person'responsible for•its preparation; and that l am a civil engineer, electrical engineer or architect. A•. : I affirm that I am eligible under�the exemption to Division 3.of the Business and Professions. Code by;.Section 5537.2 of ' the Business and Professions Code to 'sign this document as the`person responsible for its preparation; and that I am a licensed contractor preparing documents for work that l have 'Contracted .to perform. I affirm that I am eligible under the exemption to Division 3 of the Business'a6d Professions Code by Section of the Code to sign this document as the person responsible for its preparation; and for the following reason:" ' ,INCIPAL LIGHTING DESIGNER . NAME N LIC. NO. DAT 1 , 1 • 1 ° - �. ,ndicate'k>cation on plans of Note Block for Mandatory Measures - • • 1 1 =or detailed instructions on the use of this and all Energy Efficiency.Standards compliance forms, please refer to the Nonresidential' `anual published by the California Energy Commission. 3-1: Required on plans for all submittals. Part 2 may be incorporated in schedules on plans. i .TG -2: Required for all submittals. y TG -3: Optional. Use only if lighting control credits are taken.-' .TG -4: Optional. Use only if Tailored Method is used. Parts2 and 3 used only if applicable: ' w vesidonbul Compliance Form Dvcanba 1991. 30JECT NAME DATE ST FRANCIS OF ASSISI/ ADDITION 1 05-08-1997 ffALL0WEa.L1GHT1NQ1P,QW9FQC ' ose-- ..... ..... .... .......... ........ ... ................. . . ..... ........... ............. ........... ... ... ... ........ . :.B:: M -.1 .................................... COM.::`: '0' D NG'..:M ................................................. ... ..... D......... ....... ..... . ...... ....................................... .. ....... .. ....... .. ..... ...... BUILDING CATEGORY (From Table 2.53M) WATTS COMPLETE ALLOWED PER SF BLDG. AREA WATTS AREA CATEGORY (From Table 2-53N) �JASSROOMS. F:FICE WDITORIUM 2ORRIDORS, RESTROOMS, AND SUPP 717I-G-IOUS WORSHIP WATTS AREA ALLOWED PER SF (SF) WATTS 2.0 586 1,172 1.6 2,451 3,922 2.0 1,689 3,378 0.8 316 253 2.2 1,924 4,233 .6, 966 12,958 TOTALS AREA WATTS ......... .... .... ... .... ..... ... ....<:„:<::... ...... .... X., ........ ... ................ ::: ::.. TAi L-005Q!��.O R�PE R FOR MAN CE N ETH OD” ....... ............. .... . . ...... . WATTS El PERFORMANCE TOTAL ALLOWED TAILORED (From LTG -4 or from computer run.) 11onrosidenbAl CompMn�p Form December 1991 4 LIGHTING COMPLIANCE SUMMARY (CONTINUATION.PAGE) LTG -2 PROJECT NAME: ST FRANCIS.OF ASSISI/,ADDITION DATE: 05-08-1997 LUMINAIRE ------------------------- WATTS/ CEC DEFAULT TOTAL NAME DESCRIPTION QTY'.FIXT (Y) (N) WATTS TYPE M2 FLUOR,'SURFACE, 4 LAMP STRIP 2 116 N 232 - TYPE N INLAND, RECESSED, LOW VOLTAGE 50 75 Y 3,750 TYPE P FLUOR, RECESSED, DOWN LIGHT 11 42 N 462. TYPE H INCAND, SURFACE, PENDENT 1 200 Y 200 TOTAL THIS PAGE ....................... .. .. ...... .... 4,644:: j IPROJECT NAME ST FRANCIS OF ASSISI/ ADDITION LUMINAIRE NAME (eg. Type -i, Type -2, etc.) EE ATTACHED I� CONTROL LOCATION (Room #) CONTROL LOCATION (Room N or Dwg. k) i LAMPS TYPE NO.OF I F H LAMPS WATTS/LAMP ❑ ❑ ❑ ❑ Cl ❑ ❑❑❑ ❑❑❑ ❑❑❑ ❑❑❑ ❑❑❑ ❑❑❑ ❑❑❑ ❑❑El. ❑❑❑ CONTROL IDENTIFICATION CONTROL IDENTIFICATION CONTROL TYPE (Auto Tme Switch, Exterior, etc.) CONTROL TYPE (Occupant, Daylight, Dimming, etc.) DATE 05-08-1997 l BALLASTS TYPE S I E•O• NO. / LUMINAIRE ❑❑❑ ❑❑❑ ❑❑❑ El. El ❑ ❑❑❑ ❑❑❑ ❑❑❑ ❑❑❑ SPACE CONTROLLED LUMINAIRES CONTROLLED TYPE I ®OF LUMIN. ation i LIGHTING COMPLIANCE'SUMMARY Page 2 of 2 '.LTG -1 PROJECT NAME: ST FRANCIS OF ASSISI/ ADDITION DATE:. 05-09-1997 <--------- LAMPS --------> <--=- BALLAST ---> LUMINAIRE TYPE _ NUMBER WATTS/ TYPE QTY/ NOTES TO NAME I F H OF LAMPS LAMP S" E 0- FIXT FIELD'. . TYPE A X 3 32 .TYPE B X 4 32, X 2 TYPE Bl X 4 32 X 2 TYPE C X 2 31 'XI 1 TYPE ' D X 2 32 X`' 1 TYPE F X 2 32 X 1 TYPE G X 1 100 N/A TYPE_ I X 1 50 N/A' TYPE J X 4' 32 X 2 TYPE: •M1 X 2. 32 X TYPE M2 X 4 32 X. 2 TYPE' N X" 1 75 N/A TYPE P X 2 13 X 1 TYPE , H X ' -_ 2 100> N/A Notice:' Document Cannot Be Duplicated Desert Sands Unified School District '47-950 Dune Palms, Road La Quinta, CA 92253 760-771-8515 ' CERTIFICATE OF COMPLIANCE r , Date 7%9/98 APN # 643-090-006 No. 17311 Jurisdiction La Quinta Owner NameRoman Catholic Bishop of SBDO '. Permit # No. 47-225 Street ' Washington St. Log # City La Quinta Zip 92253 Study Area Tract # Lot # Square Footage 6;700 Type of Development Commercial No. of Units 1 j: CommentsPastoral enter addition to existing church, a ition 1,200 sq. ft. ansq. art o e church torn down). y F r At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this -time due to the following reason: . Fac. Used Exclusively,for Religious Purposes EXEMPT. i This certifies,that school facility fees imposed pursuant to Government Code 53080 in the amount of t 0.00 X 6,700 or.$ 0.00 the property listed above and that btii)dtngr ,, C r k permits and/or Certificates of Occupancy for this square, footage in tliis proposed project may no �be f lsued,.. r,`���tr (` Fees Paid By N/A - Al Benitez h]ar 564''4255"` Telep4 t 1 Name on the check t B Dr. Doris Wilson, " By Superintendent Fee collected /exempted by Juanita Green Exempt $0.00 Check No. N/A ' j; Signature } NOTICE:' Pursuant o ssembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to rom the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to collect them on the D stricl('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. #' Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy Accounting f