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04-3699 (OFC)A" ,o 1111 BUILDING & SAFETY DEPARTMENT . r ' 011,15 04. (760)1777-.7012 95 CALLE TAMPICO FAX (760) 777-7011 U CALIFORNIA 92253 INSPECTION REQUESTS. (760).777-71.53 �J CITY OF LA QUINTF. ; . FINANCE DEPT BUILDING PERMIT Application Number . . . . . 0:4-0.0003699 Date 7/09/04 Property Address . . . 473.50 WASHINGTON ST APN: .... 643 -200 -'006 - Application description NEW COMML ­OFFICE/BANK. Property Zoning COMMUNITY-COMMERC-IAL Application.valuation .. 365537 Owner Contractor WG PROPERTIES LLC. CONSTRUCTION ZONE, -THE 1', ADRIA. CIR : , . 77.799 JACKEL DRIVE, SUITE :B` PALM :DESERT: CA 922.11: PALM. DESERT .:. 1760) 772:=3.585 . ;.. ::.. WCC : STATE ..F.UND .:. . WC: :. 22.90212490`3 01/01/05 _._ :.. . CS 7:6 0.9,/.09/0 5 CCCB. B40.2 _:-=---_-:----------- - St rucue Info r Construction Type TYPE .V.'=.NON: RATED. Occupancy Type BUSINESS <50 Flood Zone .:.NON -AO FLOOD ZONE Other struct info -CODE EDITION 2001 CBC 'FIRE :SP.RINKLERS PATIO. SQ FTG' 17.72..00'.`..: FI RST FLOOR SQ FTG... - 7430...00 Permit:,.:.. ;: 'BUILDING PERMIT Additioriaa desc. :.'..'.:.. . Permit Fee 1570.50 Plan' Check Fee 1020.8.3 Issue.Date . . Valuation 365537. Expirat.ion.Date 1/09/.05 Qty Unit, Charge Extension BASE FEE. 639.50 • 266.00 3.:5000 THOU _BLDG 100;001-500,000_ :931.00 Permit MECHANICAL Additional desc - Permit Fee 28.00 Plan Check Fee 7.00 Issue . Da.te......Valuation 0 .:Expiration Date,. 1/09/05 Qty Unit Charge Per. Extension BASE FEE. 15:.00 .. P.O. Box 1504 VOICE -'(760) 777=701-2. 78-495 CALLE TAMPICO T- 4 WeiFAX (760) 777-7011 LA QUINTA, CALIFORNIA 922.53 INSPECTIONS (760)'777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0 ✓�o�I I Date: Applicant: Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals CCe�dde, and my License is in full force and effect. -7 /L%ense class--&- / nse No. / f� © Z jDate tractor OWNER -BUILDER DECLARATION I hereby affix 'under penalty of perjury that I am exempt from the Contractors' State Dense Law for the following reason (Sea 7031.5, Business and Professions Code: Any city or county that requires a permit to constrict, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or.that he or she is exempt therefrom and the basis for.the alleged exemption. Any violation of Section 7031.5 by. any applicant fora permit subjects the applicant. to a civil penalty of not more than five hundred dollars ($500).): U I; as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or offered for sale (Sec: 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the improvements are not Intended or offered for sale. If, however; the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve.for the purpose of sale.). U 1, as owner of the property, am exclusively contracting with licensed contractbrs to constrict the project (Sea 7044, Business and Prors' Professions Code: The Contracto State. License Law does not apply to an owner of property who builds or improves thereon,'and who contracts for the projects with a contractors) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations:. I have and will maintain a certificate of consent to setf-insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. . I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.workers' compensation>su6nce carrier and policy number are: .1-6mer S7.47`r PCC -4( oliCy Number 7 7 15 D Z l z Y 9 a 3 I certify that, in the performance of the work for which 0 -ds permit issued, I shall not employ any person in any manner so as to become subject to the workeis' . compensation laws of California; and agree that, If I should become subject to the workers': compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. t, 4( plicant��-- WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). Lenders Name Lenders Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose.behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following Issuance of this permit 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. 1 certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-m6htioned property for inspection purposes. ✓bate « T mgnature (Applicant or Agent): Page 2 Application Number 04-00003,6.99 Date 7/09/04 Qty --.Unit Charge Per Extension 2.00 6.5000 EA MECH VENT FAN 13.00 -------------------------------------------------------------- Permit ELEC-NEW COMMERCIAL 7 .,Additional desc Permit Fee 163.60 Plan Check Fee 40.90 Issue Date Valuation 0 Expiration Date •1/,,09/05. Qty Unit Charge Per Extension BASE FEE 15.00 r 7430.00 .0200 'ELEC GARAGE OR NON-RESIDENTIAL 148:60 .00 .7500 EA ELEC POLE LIGHT -------------- 00 Permit PLUMBING; Additional desc Permit Fee, 81.00 Plan Check Fee 20.25 Issue Date Valuation 0 Expiration Date 1/09/05 Qty Unit Charge Per Extension BASE FEE. 15.00 4.00 -6.0.000 EA PLB FIXTURE 24.00 1.00 15.0000 EA PLB BUILDING SEWER .15,.00 4.00 6.0000 EA PLB ROOF DRAIN 24:00. 1.00... 3.0000 EA PLB WATER INST/ALT/REP 3.00 Permit . . . . . GRADING PERMIT Additional desc Permit.Fee •15.00. Plan Check Fee,. .00 Issue Date . . . . Valuation 0 Expiration Date 1/09/05 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes and Comments 7430 SF.SHELL BUILDING ONLY PLUS 1772 SF CANOPY. NO TENANT IMPROVEMENT MECH, ELEC OR PLUMBING INCLUDED. Other Fees ART IN PUBLIC PLACES -COM 180'7:68 i Page 3 Application Number 04-00003699 Date 7/09/04 Other Fees . . . DIF.CIVIC CENTER -.COMM 496.90 ENERGY REVIEW FEE 102.08 DIF'FIRE`PROTECTION-COMM 533.71 STRONG MOTION ( SMI) _ COM 76.7-6 DIF STREET MAINT FAC -COMM 257.65 DIF TRANSPORTATION'.- COMM 19471.43 Fee summary Charged Paid -Credited - Due ' Permit Fee Total 1858.10 1194.90 .00 663.20 Plan Check Total 1088.98 5.10. .00 1083.88 Other Fee Total 22746.21. .00 .00 22746.21 Grand'Total 25693.29 1200.00 .00 24493.29 . CERTIFICATE OF COMPLIANCE Desert Sands Unified School District Z4G'ca�� 47950 Dune Palms -Road ¢ BERMUDA DUNES C i Date 10/15/04 La Quinta, CA 92253 rA RANCHO MIRAGE !� ,r INDIAN WELLS ti No. 26535 (760) 771-8515 �,�; PALM A UINTS :V INDIOO Owner WG Properties APN # 643200006 Address 47350 Washington St. Jurisdiction La Quinta City La Quinta Zip 92253 Permit # Tract # Study Area Type Commercial No. of Units Lot # No. Street S.F. Lot # No.. , Street S.F. Unit 1 47350 Washington St. 7430 Unit.6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 . Unit 9 Unit 5 Unit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: Commercial Building EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. . in the amount of $0.36 X 7,430- S.F. or $2,674.80 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By C/C-Pacific Western - Chuck Topalian Check No. 255565 Name on the check Telephone Funding Commercial By Dr. Doris Wilson Superintendent Fee collected /exempted by Patrici Barbuzza Payment Recd $2,674.$0 Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), 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 run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized" to collect them on the DistrictCs) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy- Applicant/Receipt Copy - Accounting -CITY OF Leo Q1:9'I'Nl'A. s o`� Bud90�� AFS 4 f y01; nPARTMENT U 777 70 _ OV� "`' ! INSPECTION "l5 /�L� � ; ST LINE . Owner Contractor MITI lF Q a Permit Number �•/yr=r�� $"4� POST ON JOB IN CONSPICUOUS PLACE r 5/0&400 y�/���� `° ,, INSPECTOR MUST SIGN ALL'A. PPLICABLE SPACES 3 " ES JOB ADDRESS-47350 �f 7430 4 WASHINGTON STREET• SF SHELL BUILDING ONLY P t LUSy1772 SF CANOPY..1V0 TENANT IMPROVEMENT MECH ELEC OR PLU -..- --- c MBING INCLUDED. ` , iTYPE OF INSPECTION DATE TEMPORARY, POWER INSP, s . y `• 6 ! SETBACKS * U/G PLUMBING / WASTE U/G ELECTRICAL / GROUNDING • O FOOTINGS'/:.STEEL • I J r CONCRETE DO: NOT POUR CONC ETE .UNTIL A .O E SIG ROOF NAIL /'`PRE-ROOF OKAY TO WRAP ; FRAMING. COMBINATION �``."''-`''. ^"' ^-• _ ROUGH ELECTRIC ' ROUGH; PLUMBING ROUGHSMECHANICAL ' f= 7 INSULATION COVER NO WORK:UNTIL ABOVE SIGNED • ' INTERIOR.GYP. D. ; D_ R. CL ' EXTERIOR LATH (; GAS .TEST SEPTIC ABANDONMENT' i SEWER CONNECTION ' SEPTIC % GREASE'INTERCEPl OR" MASONRY INSPECTIONS FOOTINGS./ STEEL BONQkBEAM •POOL /,SPA / WATER FEATURE INSPECTIONS f t PRE-GUNITE / SETBACKS = PLUMBING U/G GAS - J U/G ELECTRICAL PRE-PLASTER (ALARMS BARRIERS r f FINAL INSPECTI .NS S 1 TEMP. USE O.F PERMANENT.POWER ELECTRICAL + !PLUMBING • J MECHANICAL PUBLLC WORKS DEPARTMENT Z,� v F CO MMUMTY'DEVELOPMENT DEPT:' ^d 2" r . _'. - ti• FINAC% :1OB'COMPL'ETED r ABOVE APPROVALS DO NOT INCLUDE RIGHT TO y i TURN ON UTILITIES OR-OCCUPY BUILDING e e 64,? - o P�,Ati #3P C/< OF 71►,s P°O.-Box 1504 LA QUINTA, CALIFORNIA, 92247-1504 BUILDING & SAFETI' DEPARTMENT 78-495 CALLE TAMPICO (7 60) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 To Customer: Permit #: ®� p Public Works Fugitive Dust Control (PM O) Plan Approval Instructions to Applicant: Public Works Department approval of a fugitive dust control plan is required prior to Building Permit issuance for the following project. Please: 1. fill out the attached forms, then; 2. Submit this entire packet to the Public Works Department for review. If you need help completing the forms, contact the Public Works Department at 760-777-7075. The Public Works Department will review and, .when approvable, forward the approved plan to the Building & Safety Department, approving the issuance of Building Permit(s). If the Public Works Department has questions or concerns,'an attempt will be made to contact the person whose name and telephone number appear below. Project to be permitted: OM^ -i PSLD ev Project Street Address: y. 7 3 O 4r� S ff rvG� 7_C;1 Al C ;P - Applicant Contact &Telephone Number: H vc 41 Public Works -Department Findings t. To: Greg Butler, Building & Safety Manager From John Freeland, Senior'Engineer The Public Works Department has reviewed the attached Fugitive Dust Control Plan for the above-mentioned project and finds that: u U. ...issuance of this Building Permit does not require Public Works Department approval. ❑ ...issuance of this Building Permit is approved by the Public Works Department. . a Freeland, Senior Engineer Date ►`p i ry (4rV QtdeC4J Site Specific Construction Phase PM 10 Plan The signature of the property owner (or authorized representative): Shall act as his/her acknowledgement of dust control requirements and their enforceability, pursuant to AQMD Rules 403 and 403.1; ■ Shall constitute an agreement to comply with all project conditions as identified in the approved dust control -plan; The property owner (or authorized representative): F ■ Acknowledges that dust control is required 24 hours a day, 7 days a week, throughout the period of project performance, regardless of project size or status; Shall ensure that each and every contractor/subcontractor and all other persons associated . with the project shall, -.be in continuous compliance with all requirements of the approved dust control plan; ■ Shall take all necessary precautions to minimize dust, even if -additional measures beyond those listed in the dust control plan are necessary; ■ Shall authorize representative of, the City/County to enter upon the above , mentioned property for inspection and/or abatement purposes; and ■ Shall hold harmless the City/County and it's representatives from liability for any actions related to this dust control, plan or any City/County-initiated abatement activities. Please fill out this section: Property Owner or Authorized Representative Title: f Company: / /Z� (�j�,S'% jo,•• ZO N 4e- Signature: (, Printed Name: Date: / f Project Contact Information -for (check one) o 'Owner o Owner's Authorized Representative o Environmental Observer K, o General Contractor o Sub -Contractors) involved in earth movement and/or soil stabilization Instructions: Please enter information below, t Name: Title: (If Applicable) Company Name: (If Applicable) Mailing' Address: City: . State: Zip, Code: i Primary Phone: Fax: 24 Hour Access/Emergency Phone: Cell Phone: Email Address: Responsible for dust control during construction activities? (circle one) Yes No Responsible for, dust control during off hours? (circle one) Yes No *Where property owner is NOT the lead contact for the project, his/her authorized representative is responsible for ALL dust control actions. is Remember... DUST CONTROL IS REQUIRED 24 HOURS A DAY, 7 DAYS A WEEK, REGARDLESS OF CONSTRUCTION STATUS. „ DUST CONTROL ACTIONS n Project Name: Contractor Name: Instructions:, Please complete this form for each phase of the construction project. Identify the Phase by number (e.g., Phase' 2 of 5) in the spaces provided below. i Phase of Instructions to Applicant: Please enter information below as requested. y o Clearing / Grubbing a Number of Acres under active construction: Project Phase (check): o Mass Grading 0 o Finish Grading o Construction Phase 0 :o Other (specify): Anticipated• Start Date: y Anticipated Completion Date:. Number of Acres under active construction: 4 a y Gi Lol;e � P.O. BOX 1504 I BUILDING & SAFETY DEPARTMENT �k 78-495 CALLE TAMPICO (760) 777-7012 OF T194 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 r, 14 To: Greg Butler, Building & Safety Manager To CDD: 4=26-2004 From: Oscar Orci, Planning Manager '' Due date: 5-14-2004 - Status: 1St Review Building Plans Approval (This is an approval to issue a Building Permit) The Community Development Department has ;reviewed the Building Plans for the following project: Description: Office Buildin>; Address or general location: 47-350 Washington St. Applicant Contact: Construction Zone 760'772=3585 The Community Development Department'. finds that: ❑ ...these Building Plans do not require Community.Development Department approval. ❑ ` ...these Building Plans are approved by, the Community Development Department. ` { these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant. When the corrections are made please return them to the Community Development Department for review. 4. O Orci, Planning. Manager Date SEP701-2005 THU 12:16 PM RIVERSIDE COUNTY FIRE FAX NO, 17608637072 P. 01/01 . RIVERSIDE COUNTY'.. FIRE DEPARTMENT . 1P 82-675 Highways iii, 2nd Fi., Indio, CA. 92201. (760) 863-8866. Fax (760) 863-7072 Craig I-. Anthony Fire Chief Proudly serving the September 1; 2005 unincorporated areas.of Riverside , County And the City of La Quirita cities or . Building Department Banning Beaumont Re: Shell Final Calimesa 4� 350 Washington-/ WG Properties Canyon Lake !^ ' 1 Coachella The -Riverside County'Dept Department is graming.a shell fire final , Resort Hot Springs For the following project located at 4'7-350 Washington. ` ti Indian Wells, Indio. Lakc Elsinore La Quints h' Moreno Valley Palm Deseti Perris By i e• ��Rancho lvlitttse San lacinio. IN- Terry DeS Fire Systems nspector Temeculti Board of Supervisors . Bob Duster, District 1 John Tuvaglionc, 1 District 2 Jeff Slone, District 3 Roy Wilson, Distric14 Marion Ashley, District S EMERGENCY SERVICES DMSION'• PLANNING SECTION - INt)[O OFFICE 82-675 Highway 111, 204 KI., Indio, CA 92201. (760) 863-8886:. fax (760) 869-7072 ....................................................................... ........ �����,03/24/2005 10:23FA% .8586139481 BUNCH ARCHITECTS, INC. TIMOTHY A. BUNCH, ARCHITECT C-17792 13952 CHICARITA CREEK ROAD SAN DIEGO, CA 92128 TELE: (858) 613-9480, FAX: (858)613-9481 E-MAIL: buncharchitects @ earthlink.net March 24, 2005 City of La Quinta. - Building & Safety Department 78-495 Calle Tampico La Quinta, CA 92253 Re: Structural observation of the new building at 47-350 Washington Street Building Inspector, As the architect of record, I have made visits to the job site and have observed progress of the construction. At this time, the plywood sheathing has been completed on the roof and shear walls and, to the best of my knowledge, there are no deficiencies to the construction. Sincerely, BUNCH ARCHITECTS, INC. Timothy A. Bunch President � 7, -.----j- ineering6782 Stanton Ave.,.Suite A, Buena Park, CA 90621- (714).523:-0952 Fax (714) 523�'136939-725 Garand Ln., Suite G, Palm Desert, CA 92211 ArDat (760) 77�73893 Fax (760) 772-3895- A2 I/Job No.FIELD MEMOProje.ct Name Client:Site Addr;SSJob PhoneWork DoneTest Summary Footino-Test . Elev. Dry Moist.. % Relative Ref. Max Moist1. -, 1 Compaction � 7, -.----j- 45. � 7, -.----j- CERTIFICATE OF COMPLIANCE (Part 1 of 2) ENV -1 PROJECT NAME 1-11- 3190 ASH N 'raw SSR a I' Q-4-7-3-OLI DATE 4-5—o9 PROJECT ADDRESS %• S50 -SH 11.1 lots S-19 C- K Building Permit# Checked by/Date Enforcement PRINCIPAL DESIGNER -ENVELOPE ►u' AA�N 1'f SG , TELEPHONE se - $o DOCUMENTATION AUTHOR C 'f m.S TELEPHONE 9 w $0, "DATEAce INFORMATION OFS BUILDING CONDITIONED FLOOR AREA 0 CLIMATE ZONE BUILDING TYPE UNONRESIDENTIAL ❑ HIGH RISE RESIDENTIAL ❑ HOTEL/MOTEL GUEST ROOM PHASE OF CONSTRUCTION UrNEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION ❑ UNCONDITIONED (file affidavit) METHOD OF ENVELOPE ❑ COMPONENT COMPLIANCE OVERALL ENVELOPE ❑ PERFORMANCE STATEMENT OF COMPLIANCE This Certificate of Compliance lists the building features and performance specifications need to comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This certificate applies only to building envelope requirements. The documentation preparer hereby certifies that the documentation is accurate and complete. DOCUMENTATION AUTHOR SIGNATURE DATE Pc, a Q-4-7-3-OLI The Principal Envelope Designer hereby certifies that the proposed building design represented in this set of construction documents 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 has been des'si�V64 eat the envelope requirements contained in sections 110, 116 through 118, and 140, 142, 143 or 149 of Title 4, P r! Please check one: VI hereby affirm that I am eligible under the provisions of Division 3 of the Business; document as the person responsible for its preparation; and that I am licensed in engineer or mechanical engineer, or I am a licensed architect. ❑ 1 affirm that I am eligible under the provisions of Division 3 of the Business and Prof) 6737.3 to sign this document as the person responsible for its preparation; and performing this work. BOLDIOF QUi+N7-q nd Prof�ssy"o�f & eA� �i n 41pr the stat��f ON a �� STRUCTION sffts CN(ep 4 section 1537.2 or ❑ 1 affirm that I am eligible under Division 3 of the Business and Professions Code to sign this documente�cause 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 orinted in full in the Nonresidential Manual.l PRINCIPAL ENVELOPE _11"imo-rWX A. W0414 ---- SIGNATURE ----------- ---------- DATE LIC. # ENVELOPE7 MANDATORY MEASURES indicate location on plans of Note Block for Mandatory Measures A,— SN�t;S I INSTRUCTIONS TO APPLICANT 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. ENV -1: Required on plans for all submittals. Part 2 may be incorporated in schedules on plans. ENV -2: Used for all submittals, choose appropriate form depending on method of envelope compliance. ENV -3: Optional. Use if default U -factors are not used. Choose appropriate form for assembly U -factor to be calculated. Nonresidential Compliance Forms 4*P150 Ia1u61w of fltt+ •CoP4 August 2001 &&W C&OW, TIFICATE OF COMPLIANCE (Part 2 of 2) ENV -1 HAME ` 150 W N -rooDATEUE E SURFACES Surface Type (a -g, Block, Type W I mew)a ctor Tilt Solar Gains YIN Form 3 Reference (e.g., Suspended CaLlina, Demlairm, 4tc.1Use For Building D"L Only ALL - I WOOD 239 .0 9cio ° 0 ❑ ❑ ❑ ❑ O ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ WALL - r fXfIRIOR WALL. Roof- I WOOD 70 .o 1 O'. Roo - R F w FENESTRATION SURFACES Site Assembled Glazing ❑ Check box If Building is > 100,000 ft' of CFA and Z 10,000 ftp of vertical glazing then NFRC Certification is required. Follow NFRC 100 -SS Procedures and submit NFRC Label Certificate Form. See Section 10-111 Fenestration Type Area Udador Azimuth Glazing NOTES TO FELD — SHGC Type Location I Comments For Bldg. Dept Use Only Vil 04 Oo - up Z 41 CIO ° , Zv Rf R&ftY 15;,A R tom EXTERIOR SHADING Fenestration 9— Exterior Shade Tmft SHGC Window I Overhano Left Fin Richt Fin Haight W �.000. €�'< NOTES TO FIELD — For Building Department Use Only Nonresidential Compliance Forms August 2001 S OVERALL ENVELOPE- METHOD. (Part1 of 6) ENV -2, PROJECT NAME DATE 41-350, WINDOW AREA TEST A DISPLAY PERIMETER �. FT x 6 SF DISPLAY AREA B. GROSS EXTERIOR WALL AREA SF x 0.40 rZ SF 46% AREA C. GROSS EXTERIOR WALL AREA 3" SF x 0.10 m �' (� 8F MINIMUM STANDARD AREA . D. ENTER LARGER OF A OR Bs SF MAXIMUM STANDARD AREA E. ENTER PROPOSED WINDOW AREA SF PROPOSED AREA F. WINDOW WALL RATIO Proposed Window Area Divided by Gross Exterior Wali Area , •T ati IF E 13 GREATER THAN D OR LESS THAN C, PROCEED TO THE NEXT CALCULATION FOR WINDOW AREA ADJUSTMENT. IF NOT, GO TO ' PART 2 OF 6. 1. IF E IS GREATER THAN D: MAXIMUM PROPOSED WINDOW STANDARD AREA WINDOW AREA ADJUSTMENT FACTOR GO TO PART 6 TO CALCULATE ADJUSTED AREA 2. -IF LESS THAN C: MINIMUM PROPOSED WINDOW WINDOW STANDARD AREA AREA (IF E - 0 ENTER 1) ADJUSTMENT FACTOR GO TO PART 6 TO CALCULATE ADJUSTED AREA: SKYLIGHT AREA TEST, FT Ok IF15 55 FT IF:, 55 FT 0.10 x 0.03 x z STANDARD % GROSS ROOF AREA STANDARD SKYLIGHT AREA PROPOSED SKYLIGHT AREA IF THE PROPOSED SKYLIGHT AREA IS GREATER THAN THE STANDARD SKYLIGHT AREA, PROCEED TO THE NEXT CALCULATION FOR THE SKYLIGHT AREA ADJUSTMENT. IF NOT, GO TO PART 2 OF 6. ' q 1. IF PROPOSED SKYLIGHT AREA 2 STANDARD SKYLIGHT AREA: . STANDARD PROPOSED SKYLIGHT SKYLIGHT SKYLIGHT AREA AREA IF E 0 ENTER 1 ADJUSTMENT FACTOR T_ GO TO PART 6 TO CALCULATE ADJUSTED MEAS + Nonresidential Compliance Forms August 2001 0 0 0- o a a a F- If Window and/or Skylight Area Adjustment Is required, use adjusted areas from part 6 of 6. Nonresidential Compliance Forms M Clumn E shall C u greater TOTAL than Column H August 2001 ���©© SOME • • ■■■■��■■ ■■ �■�■■� 13 • 3 ■■■■ ■■�■■■ ■■ ■■■■■� 11 0 ■■■�■■■ ■■ ■■�� • • • ..� a �■�■� . �. � �� • ■■■ ■ ■■■�■■� ■■ ��■� • • 0 11 11 0 If Window and/or Skylight Area Adjustment Is required, use adjusted areas from part 6 of 6. Nonresidential Compliance Forms M Clumn E shall C u greater TOTAL than Column H August 2001 v COVERALL ENVELOPE METHOD (Part 3 of 6) ENV -2 1 4-7.01 350 WA 59 itJ 'fON OVERALL HEAT GAIN FROM CONDUCTION o v v memOPME ... . . ° °Mull "M MIMIMMEMMI MIMIMMIMMIM EN _-�- ° -• ©mmmm-° ° 9 NINE INIMENIMINE NINE MINNIMMINE NEIN IN IMENIMINE INE INNIN Nonresidential Compliance Forms Subtotal 1. yS9�39 August 2001 D O D D D O D O O D O ASSEMBLY NAME ■�� ��7RS�ff1�71C�1C1 C�1�7R7E�[3'0 r Subtotal w + 8ubfot$S Nonresidential Compliance Forms ; . + August 2001 0 00000aao a o00 Nonresidential Compliance Forms August 2001 WINDOWISKYLIGHT NAME6 Window -1, Sky -1.. IMBUE: , HEAT G.(e.g ®GW . I'MIMMa■ee ; , tUMMIM �. � - • ®�eees .: ��®mom ®mem©ee�s - • �IMIM �s■ l7 Only SHGC is . For ... used for Skylights I:Frg • ... column..: If Window and/or Skylight Area Adjustment IS required, LISO adjusted areasfrom part 6 of 6. Nonresidential Compliance Forms August 2001 CHECK IF NOT APPLICABLE (see Part 1 of 6) [fl El a TOTALS: GHT AREA ADJUSTMENT CALCULATIONS :K IF NOT APPLICABLE (see Part 1 of 6) D S LA U U SKYLIGHT ADJUSTMENT FACTOR From Part 1 ADJUSTED SKYLIGHT AREA (C 0) ADJUSTED ROOF AREA (B - E ROOF NAME (e.g. Roof -1; Roof -2) GROSS AREA SKYLIGHT AREA ©�®©. •11 •11 113110El ■ 11 : • ::: ■ 11 ■ ■ 13 ■ 0 : • ■ 11 El ■ ■ 13 13 13 ■ 11 : • . 0 11 ■ ■ ■ • D ■ 0 : • : •El El 0 El ■®� ■®� ■■■�■� ■■■■i■■ ®a■■ ®® ®® ■■■ai■■■ate■■■■ ■mss■■ ■■■® ■ ■ ®��■■s■■® ■■■�■ ■■®■�®■®® ■ ■■■■■■�■■■®� ®® ®� TOTALS: GHT AREA ADJUSTMENT CALCULATIONS :K IF NOT APPLICABLE (see Part 1 of 6) D S LA U U SKYLIGHT ADJUSTMENT FACTOR From Part 1 ADJUSTED SKYLIGHT AREA (C 0) ADJUSTED ROOF AREA (B - E ROOF NAME (e.g. Roof -1; Roof -2) GROSS AREA SKYLIGHT AREA PROPOSED WOOD FRAME ASSEMBLY ENV -3 PROJECT NAME DATE H 7 3 So WAQ-f 1 N GF'roN COMPONENT DESCRIPTION W CAVITY WOOD R -VALUE FRAME (Rc) R -VALUE WALL WEIGHT lbs/sf SPECIFIC HEAT (Btu/F°•Ibs) ASSEMBLY TYPE L (check one) OUTSIDE SURFACE AIR FILM LU �/ Wall 1 F.,c-rE2 to 2. S7 U Lc.o Ceiling/Roof FRAMING MATERIAL 2 PL V2' FRAMING SIZE �i X• Fr %:' z_ Z)3 15% (16' o. c. Wall PERCENTAGE s p 12% (24"o. c. Wall) O 10% (16' o. c. Floor/Ceil.) .SCS? FRA. iNG `f Ll 5 SKETCH OF ASSEMBLY CONSTRUCTION COMPONENTS ASSEMBLY NAME WAVt,- CAVITY WOOD R -VALUE FRAME (Rc) R -VALUE WALL WEIGHT lbs/sf SPECIFIC HEAT (Btu/F°•Ibs) ASSEMBLY TYPE Floor (check one) OUTSIDE SURFACE AIR FILM , I �/ Wall 1 F.,c-rE2 to 2. S7 U Lc.o Ceiling/Roof FRAMING MATERIAL 2 PL V2' FRAMING SIZE �i X• Fr %:' FRAMING 31 15% (16' o. c. Wall PERCENTAGE s p 12% (24"o. c. Wall) 10% (16' o. c. Floor/Ceil.) .SCS? FRA. iNG 7% (24"o. c. Floor/Cell.) R•VALUE HEAT CAPACITY (optional) Hc Rt [ 0.0L-rI X o• SS ] + [ x o IS ] o.0 1/Rc 1 - (Fr%/100) 1/Rf Fr'/o/100 ASSEMBLY U -VALUE COMMENTS Nonresidential Compliance Form November 1998 CAVITY WOOD R -VALUE FRAME (Rc) R -VALUE WALL WEIGHT lbs/sf SPECIFIC HEAT (Btu/F°•Ibs) HC (AxB) (Btu/F°•sf),, DESCRIPTION OUTSIDE SURFACE AIR FILM , I 1 F.,c-rE2 to 2. S7 U Lc.o . 32 , 32 2 PL V2' 31 R--19 N SI)t--ATI ori 19 -' 4 .SCS? FRA. iNG - S..yy. Ll 5 6 7. INSIDE SURFACE AIR FILM SUBTOTAL TOTAL HC N I ZI • 1 7 '%, Hc Rt [ 0.0L-rI X o• SS ] + [ x o IS ] o.0 1/Rc 1 - (Fr%/100) 1/Rf Fr'/o/100 ASSEMBLY U -VALUE COMMENTS Nonresidential Compliance Form November 1998 -- 47-3570 was){ fr1(? ION sTTR6&- DATE" - — ♦� •i' ��oo • A�1Avl SKETCH OF ASSEMBLY ASSEMBLY NAME Roor, WOOD FRAME R -VALUE WALL WEIGHT Ibs/sf SPECIFIC HEAT (Btu/F°•Ibs) ASSEMBLY TYPE floor (check one) OUTSIDE SURFACE AIR FILM ( 1 1-7 Wall ✓ Ceiling/Roof FRAMING MATERIAL WO FRAMING SIZE Fr %: FRAMING PERCENTAGE Iv iFJC� �P��Z I5%(16" o. c. Wall ,O(o f� 12% (24- o. c. Wall) 4 10% (16" o. c. Floor/Ccd. 7% (24" o. c. Floor/Ccr7.) FA a MCAT !`A Dw /`tTl• ... _.:�__n Nonresidential Compliance Form January :,.- VI CAVITY R -VALUE (Rc) WOOD FRAME R -VALUE WALL WEIGHT Ibs/sf SPECIFIC HEAT (Btu/F°•Ibs) HC (AxB) (Btu/F°••" DESCRIPTION OUTSIDE SURFACE AIR FILM ( 1 1-7 1 14:nT-UP ROOF ,oS .os 2 Iv iFJC� �P��Z ,OCo ,O(o 4 I R-39 5 LPril O til 3 —. 5 Pc I1(o S pkv . O ,$0 7 PROP GE LW& -.49 8 INSIDE SURFACE AIR FILM '61 SUBTOTAL 40.7q q , L3 TOTAL HC N Nonresidential Compliance Form January :,.- VI