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13-1591 (RC)P.O. BOX 1504 1/ 78-495.CALLE TAMPICO LA QUINTA, CALIFORNIA 9225 Application Number: Property, Address: APN: Application description: Property Zoning: Application valuation: Applicant: 13-00001591 47350 WASHINGTON ST 643-200-006- - REMODEL - COMMERCIAL COMMUNITY COMMERCIAL 30000 c&ty,, 4 4& �. . BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury54,,,,�icense�No.: ensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busifessionals Codeand my License is in full force and effect. License Class: B 859158 f )ate: �� Contr OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License. Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or 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 Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 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 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.). (_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). I—) I am exempt under Sec. B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty ofperjury that there is a construction lending agency for the performanceof the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT VOICE (760)' 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/31/14 Owner: WG PROPERTIES LLC 1 ADRIA CIR PALM DESERT, CA 92211 _...r----_.,--^•.., 1 i t Ali, Contractor: PREMIER. CONSTR & REMODEL 61.333 DEVILS LADDER ROAD ��1� � °•7 � � :til � �� MOUNTAIN CENTER, CA 92561 (760) 275-2891 Lic. No.. 859158 CITYa t i`c; r -- ----------------------------------------------- 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 d -will maintain workers' compensation insurance, as required by Section 3700 of the Labor- . . J ode, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 197807212 1 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�°'�� a subject to the workers' compensation laws of California, and agree that, if I sho ed"b co s bjec t worker' compensation provisions of Section 3700 of the Labo ode, 1 s t o ly wi Rhose provisions. Date App" aZI WJIN/ FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUCT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being. performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws'relating to buildi construction, and hereby authorize representatives of this cou ty to nter upon the above-mentioned propert r ' spec ' purp es. Da � � Signature (Applicant or Agent �� Application Number 13-00001591 ------ Structure.'Information 5,450SF SHELL IMPROVEMENT ------ Other.str'uct -info'. CODE EDITION 2010 FIRE SPRINKLERS. FULLY MIXED -USE -OCCUPANCY, OCCUPANT LOAD" 55.00 -------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 5450.00 --------- Permit . . . . . REMODEL 2013 Additional desc Permit Fee . . . . 220.22 Plan Check Fee QO Issue Date . . . . Valuation' 0 Expiration Date 7/30/14 Qty- Unit Charge Per Extension 1,00 .48.6200 LS MISC REMODEL, 1ST 100 SF 48.62 8.00 21.4500 ---------------------------------------------------------------------------- EA MISC REMODEL, ADDL 500 SF 171.60 Permit . . . . . . PLUMBING 2013 Additional desc Permit Fee . . . . 315.76 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 7/30/14 Qty Unit Charge Per Extension 2.00 11.9200 EA PLBG FIXTURE/TRAP 23-84 1.00 11.9200 - - - - - - - - - - - - - - - - - - - - - - - - - EA 'PLBG WATER INST/ALT/REP - - - - - - - - - - - - - - - 7 - - - - - - - - - - - - - - - - - 11.92 - - - - - - - - - - - - - - - - Permit . . . . . . MECHANICAL 2013 Additional desc Permit Fee . . . . 35.76 Plan Check'Fee .00 -Issue Date . . . . Valuation . . . . . 0 Expiration Date 7/30/14 Qty Unit Charge Per Extension 1.00 - 11.9200 EA. MECH APPL REP/ALT 11.92 2.00 11.9200 ------------------------------------------ EA MECH-VENT FAN 7 ---------------------------------- 23.84 Permit ELECTRICAL 2013 Additional desc Permit Fee 143..00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/30/14 Qty Unit Charge Per Extension LQPERMIT Application Number 13-00001591 Permit ELECTRICAL 2013 Qty Unit Charge Per Extension 1.00 107.2500 LS ELEC NEW COMM, FIRST 2 KSF 107.25-1- 1.00 35.7500 EA ELEC NEW COMM, ADD -L 2 KSF 35.75 Special Notes and Comments 5,450SF SHELL IMPROVEMENT TO REMOVE SUITE 104 AND RECONFIGURE SUITES 101 AND 102/VB/B-OCC/55-OL/SPRINKLED [WINDERMERE REAL ESTATE].THIS PERMIT DOES NOT INCLUDE ADDITIONAL SQUARE FOOTAGE OR BUILDING SIGNAGE. SEE UPDATED SUITE ADDRESSING MAP DATED: 1/30/2014. 2010 CALIFORNIA BUILDING CODES. January 30, 2014 9:14:57 AM AORTEGA ------------------------------ ----------------------------------------------- Other Fees .. . . . . . . BLDG STDS ADMIN (SB1473) 2.00 PLAN CHECK, ELECTRICAL 92.47 PLAN CHECK, REMODEL 270.27 PLAN CHECK, MECHANICAL 14.31 PLAN'CHECK, PLUMBING' 35.76 STRONG MOTION (SMI) - COM 6.30 Fee summary Charged Paid --------------- --------------------- Credited -------------------- Due ` Permit Fee Total 434.74 .00 .00 434.74 - Plan Check Total .00 .00 .00 .00 Other Fee Total 421.11 .00 .00 421.11 Grand Total 855.85 .00 -00 855.85 Riverside County Fire Department ? Fire Protection Planning Section 1b Riverside Chios. 230064arket St Ste. 150. Riverside, CA 92501 Ph (951)9554777 Fax (951) 95548BG Moalela Ofras. 39493 Las Alamos Rd., Ste A. Mumela, CA 92563 Ph (951)600-6160 Fair(951)600-6164 Palm Desert Clfice 72.933 las Momenas Rd , 4 201 Palm Deeen. CA 922114131 Ph. (760) 863.8096 (260) 863 7072 Fire Department Clearance/Release Date:/1 �� To: (� a Qdtld7�� Fax: Tract/ParcelMap#: t/V tV1 JPrLIP(Q, 1q i Permit/Lot#: t/t� "'3 -�1 — X15 Job Site Address: X17-556 I'vtVt itf/o/ s rot Final For Recordation Release For Building Permit(s) A Shell Final Only (No Tenant) XCCe ff Final For Occupancy Building Plan Check Fees Paid Building Plan Check Fees Not Paid Other Fees Fees Not Required If you should have any questions, please contact the appropriate Riverside County Fire Protection Planning office for further assistance. Auth r1 ing Signature For Release Jc�Sd K c':, L �Ij, Print Name Form C — Revised 719)2014 RECEIVED Bin # C 1 A City of La Quinta DEC 1,o 20 Building &r Safety Division Cr" i LA QU P.O. Box 1504, 78-495 Calle Tampico DOMMUIrI7Y pEVE 01 l7? La Quinta, CA 92253 - (760) 777-7012 1+ 102 uilding Permit Application and Tracking Sheet Permit # Project Address: < Owner's Name: (� /j,0 ��, �✓ L G A. P. Number: Address:/ Ayzi,14 Legal Description: City, ST, Zip: Contractor: 1l� o/V1 . /.�oO� Telephone: Address: GE. �• Project Description: City, ST, Zip: 1.1 ^' 4+ �•� EN Tele hone: -2 p 2 <'•:'u:::'•i:>:>%<><':>`<>„<'>sz<;<:<.'F State Lie. #: City Lie. #•: Arch., Engr., Designer: S e Address: 2 ?i fitti/U G /'%tsK IA.iV Pt�a Eif111'C n City., ST, Zip: 7 li �6 2 3.01�AZ-- "—' �0 IAIi .'gt t� �7 OF 1 6 ZDILIp Tele hon a :.::.,:::.<•::..,•:.::.:..::. Cons c T e • ccu :<>.<:<s<:::.;:,:;;,...,:•::::.;::;:.; 5 P '�Siir `iii '..f,..':i..i: nv{: •i �:•.v iwil:.v.:: �:::::. +•i:v:<..::v;:}f r'4i::Q�:4i:ly>.L•:{iY,.s::i'.. }:4i ii:; , Project type (circle one): New Add n Alter Repair Demo State Lie. #: Name of Contact Person: Sq. Ft.: t0! f/ #.Stories: # Units: Telephone #,of Contact Person 0 2 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted f2/,413, Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person % Plan Check Balance Title 24 Calcs. Plans picked up 06 I 1 Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°” Review, ready for correctio ssu lectrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr a pe it- 1, l O School Fees Total Permi ees NS 9tt 1 WGCI'_ 4iiAti — ott- llelulf •--1 Qr*04 'to iSWO w' C' *WK uW/L UftAOL&- A 1MEW • RIVERSIDE COUNTY FI EPARTMENT _ IN COOPERATION WITH t THE CALIFORNIA,DEPARTMENT OF FORESTRY AND FIRE PROTECTION 77-933 Las Montanas Rd., Ste: #201, Palm Desert, CA 92211-4131 • Phone (760)863-8886 . s Fax (760) 863-7072 www. rvcfire.org PROUDLY SERVING THE January Z1� 2U14 UNINCORPORATED AREAS OF RIVERSIDE COUNTY AND THE crnEs OF: RE- TENANT IMPROVEMENT PLAN CHECK -Non Structural LAQ-I34I-025 Windermere Real 47-350 Washington #101 &1'02 La Quinta, CA BANNING BEAUMONT You have been'issued a release for a tenant improvement on an existing building. THIS IS CALIMESA NOT AN OCCUPANCY PERMIT. , CANYON LAKE It is prohibited to use/process or store any materials in this occupancy that would classify it COACHELLA as an "H" occupancy per Sec. 307 of the 2013 CBC. DESERT HOT SPRINGS r THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION: EASTVALE INDIAN wE"-s Install door hardware .and exit signs asper Chapter 10 of the CBC.' , INDIO , JURUPA.VALLEY A°minimum 2AI OBC 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 LAKE ELSINORE extinguishers can be installed by a licensed extinguisher company with a State Fire Marshal LA QUINTA service tag attached to; the, extinguisher, or purchased from a retail store with a sales receipt MENIFEE ,< t" _ attached. A licensed fire extinguisher company must service extinguisher yearly. " ., MORENO VALLEY All breakers must be labeled:and a clearance of 36 inches must be maintained around the NORCO ` panel at all times. PALM DESERT PERRIS • 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 • RANCHO MIRAGE on a contrasting background. RUBIDOux CSD SAN JACINTO An approved audible interior notification alarm device shall be provided in approved TEMECULA location. A 'C-10 licensed contractor must submit plans, designed in accordance with NFPA 72 to the Fire Department for review and approval prior to installation WILDOMAR . a - Approved suite addresses shall be.placed in such a position to be plainly visible and legible ' from the street. Said numbers shall contrast with their background. BOARD OF SUPERVISORS:. Provide key(s) to the tenant space for inclusion in the main building Knox Box. Key(s) KEVIN JEFFRIES DISTRICT 1 shall have durable -and legibleaffixed ble tags d for idificati(s shall be provided at " identification. Ke Y( ) time of final inspection. JOHN TAVAGLIONE DISTRICT 2 As it may be necessary to maintain proper fire sprinkler protection due to constructions - JEFF STONE DISTRICT s changes, fire sprinkler system plans for the tenant improvement area may be require_ d to be submitted to the Fire Department for review. JOHN BENOIT DISTRICT 4 v MARION ASHLEY t. " DISTRICT 5 „ AS jtmv�a{ Aore Jo l -- 3.5Zq SF I ZsZso SF • I �...-: AS jtmv�a{ Aore Jo l -- 3.5Zq SF %One-- ZsZso SF �...-: BUILDING ENERGY ANALYSIS REPORT PROJECT: Windermere Estates 47-350 Washington Street La Quinta, CA 92253 Project Designer: Windermere Estates 71-691 H.WY 111 Rancho Mirage, CA 92270' (760) 409-4327 Report Prepared by: 01. Jon Scott K Scott Design and Title 24,. Inc, 77-085 Michigan Drive - Palm Desert, Ca 92211 (760) 200=4780 - ewu# 13.1591 CITY Or -LA QUIIUTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE 70 -001 gy Job Number:. EC E IVE Dater JAN 21.2014 N CITY OF LA QUINTA 1/15/2014 COMMUNITY DEVELOPMENT The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC — www.energysoft.com. Energ Pro 5.1 by Energ Soft User Number: 6712 Run Code: 201401-15T14:36:42 /D: �3 ` SM 0 CERTIFICATE OF COMPLIANCE (Part 1 of 4) LTG -1 C Project Name Date Windermere Estates 1/15/2014, Project Address Climate Zone Total Cond. Floor Area Unconditioned Floor Area 47-350 Washington Street La Quinta 15 2,100 0 GENERAL INFORMATION Building Type: m Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room ❑ School ❑ Relocatable Public School m Conditioned Spaces 13Unconditioned Spaces Phase of Construction: m New Construction ❑ Addition ❑ Alteration Method of Compliance: ❑ Complete Building m Area Category 13 Tailored Documentation Author's Declaration Statement I certify that this Certificate of Compliance documentation is accurate and complete. Signature Name Jon Scott Company Date Scott Design and Title 24, Inc, 1/152014 Address CEA # 77-085 Michigan Drive CEPE # City/State/Zip Phone Palm Desert, Ca 92211 (760) 200-4780 The Principal Lighting Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professional Code to accept responsibility for the lighting design. • This Certificate of Compliance identifies the lighting features and performance specifications required for compliance with Title 24, Pages 1 and 6 of the California Code of Regulations.. • The design features represented on this Certificate of Compliance are consistent with the information provided to document this design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Name Signature Page Tyley Company Phone �Nndermere Estates (760) 409-4327 Address License # 71-691 HWY 111 City/State/Zip Date Rancho Mirage, CA 92270 Lighting Mandatory Measures Indicate location on building plans of Mandatory Measures Note Block: LIGHTING COMPLIANCE FORMS & WORKSHEETS check box if worksheets is included 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. © LTG -1C Pages 1 through 4 Certificate of Compliance. All Pages required on plans for all submittals. m LTG -2C Lighting Controls Credit Worksheet Q LTG -3C Indoor Lighting Power Allowance m LTG -4C Pages 1 through 4 Tailored Method Worksheet ❑ LTG -5C Pages 1 and 2 Line Voltage Track Lighting Worksheet EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2014-01-15714:36:42 /D: Page 3 of 9 4 4 4 CERTIFICATE OF COMPLIANCE (Part 2 of 4) LTG -1 C Project Name Date indermere Estates 1/_15/2014 INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST ,Installation Certificate, LTG -1- INST Retain a copy and verify form is completed and signed.) Field Inspector .'❑ Certificate of Acceptance, LTG -2A and LTG -3A Retain a co and verifyform is completed and signed.)Field Ins ector ❑ A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces Installed Lighting Power listed on this Liqhtinq Schedule is only for: ® CONDITIONED SPACE ❑ UNCONDITIONED SPACE The actual indoor lighting power listed below includes all installed permanent and portable lighting systems in accordance with §146(a). Only for offices: Up to the first 0.2 watts per square foot of portable lighting shall not be required to be included in the ® calculation of actual indoor lighting power density in accordance with the Exception to §146(a). All portable lighting in excess of 0.2 watts per square foot is totaled below. Luminaire (Type, Lamps, Ballasts Installed Watts A B C D E F G H How wattage Field ;" Was determined In ectoe - O i w2� None a' CEC N NA Or Complete Luminaire Description n E Default w, a .c E E m -1i Item (i.e, 3 lamp fluorescent troffer, J From o o Q ~ > > Z J `° 3 4m y: co• a`,' Tag.F32T8, one dimmable electronic ballasts NA8 (1) 2 R Fluorescent T8 20.0 ❑ ❑ 1 20 ❑„` (1) 4 ft Fluorescent T8 27.0 ® ❑ 9 243 (2) 4 ftFluorescent .T8 47.0 ® ❑ 42 1,974 ``❑>}' a��� ❑ ❑0+'❑�. ❑ ❑ k p, :, ❑ ❑ ❑ °-�;` ❑ ❑ %oA .❑~ 11 0 ❑ ❑❑ r❑`. ❑ ❑❑ ❑ ❑ F E111. -E]-: ❑ ❑; El `"El ` ❑ ❑ E] .nab 11 ❑ ❑ Installed Watts Page Total: 2,237 �j Installed Watts Building Total Building total number of pages: Sum of all pages)— a esEnter Enterinto LTG -1 C Page 4 of 4 1 2'237 1. Wattage shall be determined according to Section 130 (d and e). Wattage shall be rating of light fixture, not rating of bulb. 2. If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2014-01-15714:36:42 /D: Page 4 of 9 4 CERTIFICATE OF COMPLIANCE ` Part 3 of 4 LTG -1 C Project Name Windermere Estates Date 1/15/2014 INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY. CHECKLIST Fill in controls for all spaces: a) area controls, b) multi-level controls, c) manual daylighting controls for daylit areas > 250 ft2, automatic daylighting controls for daylit areas > 2,500 ft2, d) shut-off controls, e) display lighting controls, f) tailored lighting controls — general lighting controlled separately from display, ornamental and display case lighting and g) demand responsive automatic controls for retail stores > 50,000 ft2, in accordance with Section 131. MANDATORY LIGHTING CONTROLS — FIELD INSPECTION ENERGY CHECKLIST .. x " 'FieldrL _ r. - 'in spector ; Number Special Type/ Description of Units Location in Building Features ;Pass`, +_ "Fail`` ❑❑ ❑,t ❑ ,gip, '0':'r ❑ o e, 5 1 ❑ 0 ,. -0; 11, El 11 0 0 0 - SPECIAL_ FEATURES INSPECTION CHECKLIST See Page 2 of 4 of LTG71C The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification. The local enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. Field Inspector's Notes or Discrepancies: EnergyPro 5.1 by EnergySoft User Number: 6712 Run Code: 2014-01-15714:36:42 ID: Pa e 5 of 9 FJ C • CERTIFICATE OF COMPLIANCE Part 4 of 4 LTG -1 C Project,Name Date Windermere Estates 1/15/2014 CONDITIONED AND UNCONDITIONED SPACE LIGHTING MUST NOT BE COMBINED FOR COMPLIANCE Indoor Lighting Power for Conditionedaces Indoor Lighting Power for Unconditioned Spaces .S Watts Watts Installed Lighting 2 237 Installed Lighting 0 from Conditioned LTG -1C, Page 2 from Unconditioned LTG -1C, Page 2 Lighting Control Credit _ 399 Lighting Control Credit Conditioned Spaces from LTG -2C _ Unconditioned Spaces from LTG -2C 0 Adjusted Installed — 1,838 Adjusted Installed = 0 Lighting Power Lighting Power Complies if Installed:5 Allowed Complies if Installed:5 Allowed Allowed Lighting Power Allowed Lighting Power Conditioned Spaces from LTG -3C or PERF -1 1878 Unconditioned Spaces from LTG -3C 0 Required Acceptance Tests Designer: This form is to be used by the designer and attached to the plans. Listed below is the acceptance test for the Lighting system, LTG -2A and LTG -3A. The designer is required to check the acceptance tests and list all control devices serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance. If all the lighting system or control of a certain type requires a test, list the different lighting and the number of systems. The NA7 Section in the Appendix of the Nonresidential Reference Appendices Manual describes the test. Since this form will be part of the plans, completion of this section will allow the responsible party to budget for the scope of work appropriately. Forms can be grouped by type of Luminaire controlled. Enforcement Agency: Systems Acceptance. Before Occupancy Permit is granted for a newly constructed building or space or when ever new lighting system with controls is installed in the building or space shall be certified as meeting the Acceptance Requirements. The LTG -2A and LTG -3A forms are not considered complete forms and are not to be accepted by the enforcement agency unless the boxes are checked and/or filled and signed. In addition, a Certificate of Acceptance forms shall be submitted to the enforcement agency that certifies plans, specifications, installation certificates, and operating and maintenance information meet the requirements of §10-103(b) of Title 24 Part 6. The field inspector must receive the properly filled out and signed forms before the building can receive final occupancy. A copy of the LTG -2A and LTG -3A for each different lighting luminaire control(s) must be provided to the owner of the building for their records. LTG -2A and Luminaires Controlled LTG -3A Controls and Sensors and Number of Automatic Luminaires Daylighting Controls Equipment Re uirin Testing Description controlled Location Acceptance Occ Sensor- Multi -Level (2) 4 It Fluorescent T8 36 Offices m Occ Sensor- Multi -Level (2) 4 R Fluorescent T8 4 Reception m Occ Sensor - Multi -Level (2) 4 It Fluorescent T8 2 Restrooms 0 Occ Sensor- Multi -Level (1) 2 It Fluorescent T8 1 Corridor El El EnergyPro 5.1 by EnergySoh User Number: 6712 RunCode: 2014-01-15T14:36:42 /D: Page 6 of 9 LIGHTING CONTROLS CREDIT WORKSHEET Part 1 of 2 LTG -2C Project Name Windermere Estates Date. 1/15/2014 POWER ADJUSTMENT FACTORS PAF FOR NON -DAYLIGHT CONTROLS A Separate PAF Worksheet Must Be Filled Out for Conditioned and Unconditioned Spaces. Control Credits listed on this schedule are only for: m CONDITIONED SPACES ❑ UNCONDITIONED SPACES A B C D E F G Watts of Power Control Room # Zone ID Plan Room Area Control Adjustments Credit Watts Areas Lighting Control Description' Reference(ft) Lighting Factor2 E x F Offices Occ Sensor- Multi -Level 800 1,692 0.20 338 Reception Occ Sensor - Multi -Level 420 188 0.20 38 Restrooms Occ Sensor- Multi -Level 200 94 0.20 19 Corridor Occ Sensor- Multi -Level 680 20 0.20 4 PAGE TOTAL 399 Note: Conditioned and Unconditioned Space shall be separately totaled Building total of non -daylight control credit watts for all pages of LTG -2C Pae 1 of 2 Enter building total of all daylight controls credit watts from LTG -2C Page 2 of 2 0 BUILDING TOTAL OF ALL CONTROL CREDIT WATTS (FOR BOTH NON -DAYLIGHT AND DAYLIGHT CONTROL CREDITS) 399 Enter in LTG -1 C; Page 4: Lighting Control Credit as appropriate for CONDITIONED or UNCONDITIONED Spaces 1. Description shall be consistent with Type of Control defined in Table 146-C 2. Power Adjustment Factor taken from Table 146-C EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2014-01-15714:36:42 ID: Page 7 of 9 4 r INDOOR LIGHTING POWER ALLOWANCE LTG -3C Project Name I dermere Estates Date 1/15/2014 ALLOWED LIGHTING POWER Chose One Method A Separate LTG -3C must be filled out for Conditioned and Unconditioned Spaces. Indoor Lighting Power Allowances listed on this page are only for: m CONDITIONED SPACES ❑ UNCONDITIONED SPACES COMPLETE BUILDING METHOD WATTS BUILDING CATEGORY From §146 Table 146-E PER(ft) X COMPLETE BLDG. AREA = ALLOWED WATTS TOTALS AREA WATTS AREA CATEGORY METHOD WATTS BUILDING CATEGORY From §146 Table 146-F PER(ft) X Area ft2 = ALLOWED WATTS Office > 250 sgft 0.90 800 720 Lobby, Main Entry 1.50 420 630 Corridor/Restroom/Support 0.60 880 528 TOTALS 2,100 1,878 AREA WATTS TAILORED METHOD Total Allowed Watts using the Tailored Method taken from LTG -4C Pae 1 of 4 Row 3 0 The indoor lighting power allowance using the Tailored Method of compliance shall be determined using the LTG -4C set of forms. A separate set of LTG - 4C forms shall be filled out for CONDITIONED and UNCONDITIONED spaces EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2014-01-15T14:36:42 /D: Page 8 of 9 LIGHTING MANDATORY MEASURES: NONRESIDENTIAL LTG -MM Project Name Date Windermere Estates 1/15/2014 Indoor Lighting Measures: §131(d): Shut-off Controls For every floor, all interior lighting systems shall be equipped with a separate automatic control to shut off the lighting. 1. 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. 2 Override 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. §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. §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. Uniform Reduction for Individual Rooms: All rooms and areas greater than 100 square feet and more than 0.8 watts §131(b): per square foot of lighting load shall be controlled with bi-level switching for uniform reduction of lighting within the room. Daylight Area Control: All rooms with windows and skylights that are greater than 250 square feet and that allow for §131(c): the effective use of daylight in the area shall 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(c): Display Lighting. Display lighting shall be separately switched on circuits that are 20 amps or less.6. Outdoor Lighting Measures: §130(c)1: Mandatory lighting power determination for medium base sockets without permanently'installed ballasts §132(a): All permanently installed luminaires with lamps rated over 100 Watts either have a lamp efficacy of at least 60 lumens per Watt or are controlled by a motion sensor. §132(b): All Luminaires with lamps rated greater than 175 Watts in hardscape area, including parking lots, building entrances, canopies, and all outdoor sales areas meet the Cutoff Requirements. §132(c)1: All permanently installed outdoor lighting meets the control requirements listed. §132(c): Building facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi -Level Lighting Requirements listed. EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2014-01-15714:36:42 /D: Page 9 of 9 SEP -23-04 THU 8:54 AM RIV, CO,' FIRE RE IND L0 FAX YO, 1 760 8.63 7072 P, l RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 3 -- - 210 West San jacinto Nvenue • ems; California ;70 •(9W) . ax 09) 940-690 September 23, 2004 Craig Anthony Fire Chief To: City of La Quints t - Proudly serving the Building Department UnincofPoot©d Areas of Riverside County laid the cities or: Re: Release for Permit .. Dr. Matt Werner /�47 350°Washingtion _Street; i�tQ 04 -BP -102 Banning Beaumont The Riverside County Fire Department hereby releases the above referenced proj ect for . < issuance of a for const iXtIon, at the discretion of the Building Department. C.tiliincsa permit - ' ' .Canyon Lake _ .: . • , • - . Respectfully, Coachella Desert Hot Sprifigs Indian WeuS Dale A. Evenson Fre Safety Specialist Indio Lnkc Flsincrc La Quiala MON no valley, Palin Dcscft . t� w 114-fTi3 Rancho Mirage ` Y _ San Jacinto Tcmocula .. Boord of Supervisors . f Bob iivator, District 1 John Tavagliono; ,. District 2 . Jim Venable. mtrid 3 Roy W ilsml� Mixicf 4 Mvion a slilcy, Di.ttid 5 EMMEN Y SERVICES DIVISION • RA 1 NG SWFION • INWO OFFICE 82.675 Highway 1111- 2•d R., Indio, CA 92201 • (760) 86378886 •lea (760) 863-7072 , Permit Details City of La Quinta PERMIT NUMBER RC-13-1591 Description: 5,4505F SHELL IMPROVEMENT TO SUITES 101/102/104 Type: BUILDING, COMMERCIAL Subtype: REMODEL Status: EXPIRED Applied: 12/10/2013 Approved: 12/10/2013 Issued: 1/31/2014 AOR Finaled: Expired: 8/17/2014 AOR Parcel No: 643200006 Site Address: 47350 WASHINGTON ST LA QUINTA,CA 92253 Subdivision: PM 27892 Block: Lot: 6 Lot Sq Ft: Building Sq Ft: Zoning: Valuation: $30,000.00 Occupancy Type: Construction Type: No. Buildings: No. Stories: No. Unites: Details: 5,4505F SHELL IMPROVEMENT TO REMOVE SUITE 104 AND RECONFIGURE SUITES 101 AND 102/VB/B-OCC/55-OL/SPRINKLED [WINDERMERE REAL ESTATE] THIS PERMIT DOES NOT INCLUDE ADDITIONAL SQUARE FOOTAGE OR BUILDING SIGNAGE. SEE UPDATED SUITE ADDRESSING MAP DATED: 1/30/2014. 2010 CALIFORNIA BUILDING CODES. January 30, 2014 9:14:57 AM AORTEGA Process Summary 52 Applied to Approved Approved to Issued CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL APPLICANT PREMIER CONSTRUCTION & REMODEL 61333 DEVILS LADDER RD MOUNTAIN CENTER CA 92561 (760)275-2891 CONTRACTOR PREMIER CONSTRUCTION & REMODEL 61333 DEVILS LADDER RD MOUNTAIN CENTER CA 92561 (760)275-2891 FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BLDG STDS ADMIN (5B1473) 10100002030600 $2.00 $2.00 1/31/14 Total Paid for BLDG STDS ADMIN (SB1473): $2.00 $2.00 Printed: Wednesday, September 21, 2022 10:04:59 AM 1 of 3 CRWSYSTEMS Permit Details City of La Quinta DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD rAID BY CLTD BY PERMIT FEES 0 $143.00 $143.00 1/31/14 PERMIT FEES 0 $35.76 $35.76 1/31/14 PERMIT FEES 0 $35.76 $35.76 1/31/14 PERMIT FEES 0 $220.22 $220.22 1/31/14 Total Paid for PERMIT FEES: $434.74 $434.74 PLAN CHECK, ELECTRICAL 10160003428200 $92.47 $92.47 1/31/14 Total Paid for PLAN CHECK, ELECTRICAL: $92.47 $92.47 PLAN CHECK, MECHANICAL 10160003428200 $14.31 $14.31 1/31/14 Total Paid for PLAN CHECK, MECHANICAL: $14.31 $14.31 PLAN CHECK, PLUMBING 10160003428200 $35.76 $35.76 1/31/14 Total Paid for PLAN CHECK, PLUMBING: $35.76 $35.76 PLAN CHECK, REMODEL 10160003428200 $270.27 $270.27 1/31/14 Total Paid for PLAN CHECK, REMODEL: $270.27 $270.27 - COM STRONG MOTION (SMI) 10100002030800 I $6.30 $6.30 1/31/14 Total Paid for STRONG MOTION (SMI) - COM: $6.30 $6.30 TOTALS: $855.85 $855.85 INSPECTION' SEQID INSPECTION TYPE INSPECTOR SCHEDULED DATE COMPLETED DATE RESULT REMARKS NOTES PLUMBING 2013 - UNDERGROUND PLUMBING KIRK KIRKL 2/11/2014 2/11/2014 APPROVED Printed: Wednesday, September 21, 2022 10:04:59 AM 2 of 3 CRWSYSTE S Permit Details City of La Quinta PERMIT NUMBER RC-13-1591 REMODEL 2013 FRAMING KIRK KIRKL 2/13/2014 2/13/2014 APPROVED REMODEL 2013 ROUGH ELECTRICAL KIRK KIRKL 2/13/2014 2/13/2014 APPROVED REMODEL 2013 DRYWALL NAIL KIRK KIRKL 2/18/2014 2/18/2014 APPROVED PARENT PROJECTS 1 1 REVIEW TYPE REVIEWER SENT DATE DUE DATE I RE DATEED STATUS REMARKS NOTES ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 2/25/2015 AJ ORTEGA APPLICATION WITH DEPARTMENT APPROVALS 13-1591 - APPLICATION WITH DEPARTMENT APPROVALS.pdf 0 DOC 9/12/2022 AJ ORTEGA APPROVED PLAN FOR REFERENCE ONLY (RC-13 -1591) PSN 04244 - APPROVED PLAN FOR REFERENCE ONLY (RC-13-1591).pdf 0 Printed: Wednesday, September 21, 2022 10:04:59 AM 3 of 3 CRWSYSTEMS