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04-3821 (RC)�aQ• BUILDING & SAFETY DEPARTMENT P-.O. Box 1504. G I (760)' 777-.7012 Ul 9 UF` 7TAMPIC.O8-495 CALLE FAX (760) 777-7011` L'A QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS. (760).777.-71-53: JUL 1'6 2004 BUILDING PERMIT CITY OF d.A GBWNTA Fl .10E DEP? Application Number 04-0.0003821; Date 7/15/04 . Property Address 50921 WASHINGTON ST APN: 770-020-019-5 1 -000000-- Tenant nbr,.name Cl VIDEO DEPOT Application... description :.. ; REMODEL —COMMERCIAL Property Zoning NEIGHBORHOOD COMMERCIAL. .. Application valuation 5000 Owner Contractor_ LQ.INV. COAST DEVELOPMENT: C/0 ROSETTE:CA-DRY 7895.ANNANDALE AVE. BARRINGTON ;AVE : 100 DESERT . HOT' SPRINGS . CA: '92.24 0'. LOS ANGELES, CA 90.049.. (.76:0)25.1-.1421 WCC : :. EXEMPT. WC': EXEMPT 03'/:31/06 CSLB.: 339507 03.%31/06 CCC: B-C20-C36 -=----------=- ----- ------ Structure Information --------------------------- Construction-Type TYPE V - NON RATED Occupancy Type MERCANTILE Other struct info "CODE .EDITION 2'001 FIRE' SPRINKLERS. :: YES.. OCCUPANT .LOAD 11:0..'.00. FIRST FLOOR. SQ FTG . 600::0.0,...... Permit B:UILDING..PERMIT �. Additional desc Permit Fee 72.00. Plan Check. Fee 140.0.0. Issue .Date. Valuation 5000 Qty Unit Charge. Per Extension BASE FEE 45.00 3 . 00 9.:00.00 -THOU BLDG 2,001-25,000- 27'. 00 Permit ELECT ADD/ALT/REM Additional desc ° Permit Fee .27 .00 Plan Check Fee - 6.75 Issue .Date. Valuation 0 Qty Unit Charge Per.. Extension BASE' FEE 15.00 600.00' 0.2.00, ELEC GARAGE. .OR NON-RESIDENTIAL 12..00 Ili P.O. Box 1504 VOiCE"(7C0) 777=701"7 .04 78-495 CALLE TAMPiCO FAX (760) 777 -7011 - LA QUINTA, CALIFORNIA 922.53 INSPECTIONS (760)' 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 3 Sa I Date: Applicant: I Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: aIZ Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals and my License is in fuif force and effect. /-'license Class License No. 3:29S.02 OWNER -BUILDER DECLARATION I hereby affirn under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sea 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 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 for a 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 m himself or herself or through his or her own employees, provided that the'improveents are not intended or offered for sale. If, however; fhe 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 I, as owner of the property, am exclusively contracting with licensed contractors to constrict 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.). U I am exempt under Sec. -.B.& 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 th0 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. My workers' compensation insurance carrier and policy number are: Carrier Policy Number 1 certify -that in the performance of the work for which thispernfd 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, It I should become subject to the workers' --compensation provisions of Section 3700 of the Labor Code, l shall forthwith comply with those S. ate plicanf WARNIN : 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.perfornance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's 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 harnless 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 r upon the abo tioned property for inspection purposes. 7 /ate Sig�Applicant or Agent):2t 01 .; Page 2 Application Number. 04-00003821 Date 7/15/04 Permit . . . _MECHANICAL Additional desc Permit Fee 19.50, Plan Check Fee 4.88 Issue Date Valuation . . 0 Qty Unit Charge Per Extension .BASE FEE 15.00 1.00 4.5000 EA. MECH VENT INST/ DUCT ALT 4.50 Permit PLUMBING Additional desc Permit Fee 45..00 Plan Check Fee 11.25 Issue Date Valuation . . . . 0 Qty Unit Charge Per: Extension BASE.FEE 15.00 2.00 6.0000. EA: PLB FIXTURE 12.00' 1.00 15.0000 EA PLB BUILDING SEWER`. 15.00 1.00 3.0000 EA PLB.WATER INST/ALT/REP 3.00 Special Notes and -Comments - COMMERCIAL INTERIOR ALTERATION AND ADDITION. 600 SQ.FT: TO EXISITNG RETAIL STORE (VIDEO DEPOT): M OCC. TYPE VN CONSTRUCTION. 2001 CODES Other Fees . . ENERGY REVIEW FEE 14.00 STRONG MOTION (SMI) - COM 1.0'5 Fee summary Charged PaidCredited Due Permit Fee Total 163.50 .00 .00' 163.50 Plan Check Total 1,62.88.' .00 .00 162.:88 Other Fee Total 15..05 .00 .00 15.05 Grand Total 341.43 00 v00 341.43 FJ W X 1l 'j ' • City of La Quinta Building It Safety Division �. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Z�P.O. Project Address: 15Q /J9 Owner's Name: � c— A. P. Number: J(� �-- C Legal Description: Contractor. �� C Address: City. ST, Zip: in.) , C(2 709 FTelephone: Address: 7 8 Cl Yd .0 XPrqject Description: J C)o City, ST, Zip: (4- –I Telephone. •- State Lic. # :. 3 l © City Lic. #: Arch., Engr., Designer: Address: q q o- 0 Q S City. ST, Zip:Telephone: -3 :. •,. . ` :.. :. .: State Lic. #:~ _ Name of Contact Person: N-777, V e&, O Construction Tom's u a, Project type (circle one): New Ad`s Alter Repair Demo Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: 7 C/ Z["Estimated Value of Project: . 000 °O=' ' Ce. V SOO'3- -1759 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd R'ee'd TRACKING FEES an Sets Plan Check submitted uPERMIT / I Item Amount 2, Structural Cales. Reviewed, ready for corrections ' Plan Check Deposit Truss CAM Called Contact Person S Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Grading plan Plans resubmitted 2" Review, ready for correctiousn Mechanical % ` Electrical Subcootactor List Called Contact Person �S Plumbing Grant Deed Plans picked up S.M1i.I. H.J.A. Approval Plans resubmitted Grading Developer Impact Fre IN HOUSE:- Review, ready for corrections!issue Planning Approval Called Contact Person A.I:P P. yvt �l Pub. Wks. Appr School Fees Date of permit issue Total Permit Fees 7W y ;-��V "k -V-0 es w7- 6/�s-�Q� /�'`e� -71(dS71P,cta� /J �- /p POC-rRF_ r/,/�� �/a � ot/ a Tom Tisdale Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning 4 - Beaumont Calimesa Canyon Lake ❖ Coachella 4. Desert Hot Springs Indian Wells Indio Lake Elsinore 4. La Quinta Moreno Valley Palm Desert Perris 4. Rancho Mirage San Jacinto Temecula Board of Supervisors Bob Buster, District.1 John Tavaglione, District 2 Jim Venable, District 3 Roy Wilson, District 4 Marion Ashley District 5 RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 82-675 Highway 111, 2nd Fl., Indio, CA 92201 . (760) 863-8886. Fax (760) 863-7072 June 30, 2004 Summit Team Inc. 17165 Newhope St., Ste H Fountain Valley; CA 92708 Re: Non -Structural Building TA Plan Review LAQ-04-TI-093 /Video Depot 50-291 Washington St. Fire Department personnel have reviewed and approved the plans you submitted for the above referenced project. Please be advised the following conditions apply as a part of the conditions for the issuance of a building permit, 1) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware. 2) Install portable fire extinguishers per Title 19, but not less than 2A1 OBC in rating. Contact certified extinguisher company for proper placement of equipment. 3) Approved building address shall be placed in such a position as to be plainly visible and legible from the street and rear access if applicable. In multi -tenant buildings, businesses shall post the business name and suite number on back doors as well as the front. Suite numbers or letters must be a minimum of 6" in height. All addressing must be legible and of a contrasting•color"with the background. Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy. Requests for inspections are to be made at least 24 hours in advance and may be arranged by calling (760) 863-8886. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering staff at (760),863-8886. Sincerely, FRANK KAWASAKI Chief Fire Department Planner Bye"'' . Walter Brandes Fire Safety Specialist Cc: City of La Quinta — Building Dept. H:tPEZWP DatalLa QoudaXPROJECTS1TMAO-06-TF-093.doe EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIOOFFICE 82-675 Highway 111, 2M FI., Indio, CA 92201 • (760) 863-8886 • Fax (71) 863-7072 TITLE 24 REPORT Title 24 Report for: i Video Depot 50- 1�V1%ash ni gtori Street La Quints, CA. Project Designer Report Prepared By: Joan D. Hacker Insu-Form Inc. i, 68255 Corta Road Cathedral City, CA 92234 (760) 324-0216 CITY. OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FO R CONST UCT10 I Job Number.. cn By If Dater . 6/22/2004 I ' 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 2001 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC (415) 897-6400 `!I EnergyPro 3.1 By EnergySoft ' Job Number: User Number. 2655 s.' 2 3 6 7 8 10 12 13 16 17 18 . � I EnergyPro 3.1 By EnergySoft Job Number: User Number. 2655 . � I CERTIFICATE OF COMPLIANCE Part 1 of 3 LTG -1 PROJECT NAME DATE Video Depot 6/22/2004 PROJECT ADDRESS 50-921 Washington Street La Quinta PRINCIPAL DESIGNER - LIGHTING TELEPHONE Building Permit # DOCUMENTATION AUTHOR TELEPHONE Checked by/Date Insu-Form Inc. (760) 324-0216 Enforcement Agency Use GENERAL INFORMATION DATE OF PLANS BUILDING CONDITIONED FLOOR AREA CLIMATE ZONE 3,325 Sq.Ft. 15 BUILDING TYPE ❑X NONRESIDENTIAL HIGH RISE RESIDENTIAL HOTEL/MOTEL GUEST ROOM PHASE OF CONSTRUCTION ❑ NEW CONSTRUCTION ADDITION a ALTERATION EXISTING + ADDITION METHOD OF LIGHTING F-] COMPLETE BUILDING ® AREA CATEGORY ❑ TAILORED PERFORMANCE COMPLIANCE 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 lighting requirements. The documentation preparer hereby certifies that the documentation is accurate and complete. DOCUMENTATION AUTHOR SIGN TURE JDATE Joan D. Hacker The Principal Lighting Designer hereby certifies that the prop 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 designed to meet the lighting requirements contained in Sections 110, 119, 130 through 132, and 146 or 149 of Title 24, Part 6. Please 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 I am licensed in the State of California as a civil engineer or electrical engineer, or I am a licensed architect. I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code by Section 5537.2 or 6737.3 to sign this document as the person responsible for its preparation; and that I am a licensed contractor performing this work. I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code to sign this document because it pertains to a structure or type of work described as exempt pursuant to Business and Professions Code Sections 5537, 5538 and 6737.1. PRINCIPAL LIGHTING DESIGNER - NAME SIGNATURE DATE LIC. # LIGHTING MANDATORY MEASURES Indicate location on plans of Note Block for Mandatory Measures 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. LTG -1: Required on plans for all submittals. Part 2 and 3 may be incorporated in schedules on plans. LTG -2: Required on all submittals. LTG -3: Optional. Use only if lighting control credits are taken. LTG -4: Optional. Use only if Tailored method is used. LTG -5: Optional. Use only if Tailored method is used. EnergyPro 3.1 By EnergySoft User Number 2655 Job Number. Page:3 of 18 LIGHTING COMPLIANCE SUMMARY Part 2 of 3 LTG -1 PROJECT NAME DATE Video Depot 6/22/2004 INSTALLED LIGHTING SCHEDULE I AMPS I RAI I ARTS II Luminaire Code LUMINAIRE DESCRIPTION TYPE DESCRIPTION # Pelts Lamp � DESCRIPTION # Lam + Ballast' Total Waw # Watts 4 4 ft Fluorescent T8 Elec F32T8 4 32 Electronic 2.0 48 124 0 5,952 Lighting Schedule on Plans Shows Exterior Lighting Subtotal from this Page 5,952 Meets Total 5,952 Portable Lighting (From LTG -1) 665 ❑ Efficacy and Control Requirement of§130(c) Less Control Credit Watts (From LTG -3) ❑ Control Requirements of§131(0 Adjusted Actual Watts 6,617 MANDATORY AUTOMATIC CONTROLS CONTROL LOCATION CONTROL CONTROL TYPE NOTE TO (Room #) IDENTIFICATION (Auto Time Switch, Exterior, etc.) SPACE CONTROLLED FIELD LIGHTING COMPLIANCE SUMMARY Part 3 of 3 LTG -1 PROJECT NAME I DATE Video Depot 1 6/22/2004 TABLE 1A - PORTABLE LIGHTING NOT SHOWN ON PLANS FOR OFFICE AREAS >250 SQUARE FEET a a ..a n ROOM# DEFAULT AREA OR ZONE ID Wls ft SF TOTAL WATTS B X C Retail Zone 0.2 3,325 665 3,325 665 TOTAL 3,325 665 TABLE 1 B - PORTABLE LIGHTING SHOWN ON PLANS FOR OFFICE AREAS >250 SQUARE FEET FA] a a a a a a LUMIN. TASK # OF TOTAL TOTAL ROOM # PORTABLE LIGHTING # OF WATTS PER AREA TASK AREA (SF) WATTS ROOM # TOTAL AREA OR ZONE ID I (SF) Designer needs to provide detailed documentation that the ligh level provided by the overhead lighting meets the needs of the* space. The details include luminaire types, CU, and mounting locations relative to work areas. TOTALi 0 BUILDING SUMMARY - PORTABLE LIGHTING BUILDING SUMMARY. TOTAL AREA (SF) (FROM TABLES 1A+1 B+1 C) TOTAL WATTS (FROM TABLES 1A+1B) BUILDING TOTAL 3,325 665 EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number: Page:5 of 18 (LIGHTING COMPLIANCE SUMMARY LTG -2 ;PROJECT NAME DATE Video Depot 1 6/22/2004 ACTUAL LIGHTING POWER Subtotal from this Page 5,9521 Building Total 5,9521 Portable Lighting (From LTG -1) 665' Less Control Credit Watts (From LTG -3) 1 Adjusted Actual Watts6 6171 ALLOWED LIGHTING POWER (Choose One LUMINAIRE j NAME I i DESCRIPTION I COMPLETE BUILDING METHOD NUMBER OF I WATTS PER LUMINAIRE ICEC DEFAULT i Total Watts LUMINAIRES •. _(Including Ballast) I Y i N'! I I(4) 4 ft Fluorescent T8 Elec 48 i I 124.01 5,952- ,952- BUILDING CATEGORY (From Table 1-M) i i i t 11 I � li 1 I' I i i ii 717 i ALLOWED i WATTS AREA CATEGORY (From Table 1-N) WATTS PER SF RetailMholesale Sales I 2.00.1 3,325 L� I 6,6501 ' ❑c► I• ,. PAGE TOTAL BUILDING TOTAL 3 325 3 325 AREA 6,650; 6,16 5 01 WATTS TAILORED METHOD TOTAL ALLOWED WATTS E -J] (From LTG -4 or from computer run.) ' i ❑ Job Number. Page:6 of 18 1 .-moi ED EJ I i Subtotal from this Page 5,9521 Building Total 5,9521 Portable Lighting (From LTG -1) 665' Less Control Credit Watts (From LTG -3) 1 Adjusted Actual Watts6 6171 ALLOWED LIGHTING POWER (Choose One I COMPLETE BUILDING METHOD i COMPLETE BLDG. AREA ALLOWED 1 I WATTS BUILDING CATEGORY (From Table 1-M) i WATTS I PER SF AREA CATEGORY METHOD AREA (SF) i ALLOWED i WATTS AREA CATEGORY (From Table 1-N) WATTS PER SF RetailMholesale Sales I 2.00.1 3,325 L� I 6,6501 ' I PAGE TOTAL BUILDING TOTAL 3 325 3 325 AREA 6,650; 6,16 5 01 WATTS TAILORED METHOD TOTAL ALLOWED WATTS E -J] (From LTG -4 or from computer run.) 1 EnergyPro 3.1 By EnergySoft User Number 2655 Job Number. Page:6 of 18 1 LIGHTING MANDATORY MEASURES LTG -MM PROJECT NAME — DATE Video Depot' __ 6/22/2004 DESCRIPTION Xj § 131(d)1 For every floor, all interior lighting systems shall be equipped with a separate automatic control to shut off the lighting. This automatic control shall meet the requirements of Section 119 and may be an occupancy sensor, automatic time switch, or other device capable of automatically shutting off the lighting. ;x § 131'(d)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:, IX M § 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. § 132 Tandem Wiring for One and Three Lamp Fluorescent Fixtures: All one and three lamp fluorescent fixtures are tandem wired with two lamp ballasts where required by Standards Section 132; or all one and three lamp fluorescent fixtures are specified with electronic high -frequency ballasts and are exempt from tandem wiring requirements. 1X1 §131(a) Individual Room/Area Controls: Each room and area in this building is equipped with a separate switch or occupancy sensor device for each area with .floor -to -ceiling_ walls. • § 131(b) Uniform Reduction for Individual Rooms: All rooms and areas greater than 100 square feet and more than 0.8 watts per square foot of lighting load shall be controlled with bi-level switching for uniform reduction of lighting within the room. § 131(c) Daylight Area Control: All rooms with windows and skylights that are greater than 250 square feet and that allow for the effective use of daylight in the area shall 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. 0 § 131(f) Control of Exterior Lights: Exterior mounted fixtures served from the electrical panel inside the building are controlled with a directional photo cell control on the roof and a corresponding relay in the electrical panel, or uses an astronomical time clock. igner ;Enforcement i I , i 131(e) Display Lighting. Display lighting shall be separately switched on circuits that are 20 amps or less. t- s i] § 130(,) Efficacy of Exterior Lights: Exterior mounted fixtures with lamps over 100 Watts served from the electrical panel inside the building have a source efficacy of at least 60 lumens per Watt, or are controlled by a motion sensor. EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number: Page:7 of 18 i f t I CERTIFICATE OF COMPLIANCE Part 1 of 2 MECH-1 ;PROJECT NAME I DATE Video Depot ; 6/22/2004 ;PROJECT ADDRESS 50-921 Washington Street La Quinta ;PRINCIPAL DESIGNER - MECHANICAL TELEPHONE Building Permit # r DOCUMENTATION AUTHOR j TELEPHONE Insu-Form Inc. (760) 324-0216 Checked by/Date Enforcement Agency Use GENERAL INFORMATION DATE OF PLANS i BUILDING CONDITIONED FLOOR AREA ;CLIMATE ZONE I 3.325 s. Fr ► 15 BUILDING TYPE }CI NONRESIDENTIAL j HIGH RISE RESIDENTIAL +! HOTEL/MOTEL GUEST ROOM i PHASE OF CONSTRUCTION NEW CONSTRUCTION ADDITION .X ALTERATION I_ EXISTING + ADDITION METHOD OF MECHANICAL(] PRESCRIPTIVE j ll PERFORMANCE i COMPLIANCE — -y PROOF OF ENVELOPE COMPLIANCE �/i PREVIOUS ENVELOPE PERMIT E] 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. iThe documentation preparer hereby certifies that the documentation is accurate and complete. DOCUME NTATION AUTHOR SIGNA URE DATE Joan D. Hackerw- 1) - "du) 1 101-1-2 )a., .The Principal Mechanical Designer hereby certifies that the pro os d building design represented in this slat of construction is consistent with the other compliance forms and worksheets, with the specifications, and with any other (documents calculations submitted with this permit application. The proposed building has been designed to meet the mechanical requirements contained in Sections 110 through115, 120 through 124, 140 through 142, 144 and 145. Please 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 I am licensed in the State of California as a civil engineer, or mechanical engineer or I am a licensed architect. i D I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section 5537.2 or 6737.3 to sign this document as the person responsible for its preparation; and that 1 am a licensed contractor performing this work. I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code to sign this document because it pertains to a structure or type of work described pursuant to Business and Professions Code sections 5537, 5538, and 6737.1. PRINCIPAL MECHANICAL DESIGNER - NAME i SIGNATURE DATE LIC. # I MECHANICAL MANDATORY MEASURES i Indicate location on plans of Note Block for Mandatory Measures 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. MECH-1: Required on plans for all submittals. Parts 2 may be incorporated in schedules on plans. MECH-2: Required for all submittals, but may be incorporated in schedules on plans. MECH-3: Required for all submittals unless required outdoor ventilation rates and airflows are shown on plans per Section 4.3.4. MECH-4: Required for Prescriptive submittals. MECH-5: Optional. Performance use only for mechanical distribution summary. EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number: Page:8 of 18 CERTIFICATE OF COMPLIANCE Part 2 of 2 MECH-1 'PROJECT NAME DATE Video Depot 6/22/2004 SYSTEM FEATURES SYSTEM NAME TIME CONTROL SETBACK CONTROL ISOLATION ZONES HEAT PUMP THERMOSTAT? ELECTRIC HEAT? FAN CONTROL VAV MINIMUM POSITION CONTROL? SIMULTANEOUS HEAT/COOL? HEATING SUPPLY RESET COOLING SUPPLY RESET HEAT REJECTION CONTROL VENTILATION OUTDOOR DAMPER CONTROL ECONOMIZER TYPE DESIGN O.A. CFM MECH-3, COLUMN I HEATING EQUIPMENT TYPE HEATING EQUIPMENT EFFICIENCY COOLING EQUIPMENT TYPE COOLING EQUIPMENT EFFICIENCY MAKE AND MODEL NUMBER PIPE INSULATION REQUIRED? PIPE/DUCT INSULATION PROTECTED? HEATING DUCT LOCATION R -VALUE COOLING DUCT LOCATION R -VALUE VERIFIED SEALED DUCTS IN CEILING/ROOF SPACE MECHANICAL SYSTEMS DHW Heater I I Retail n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a Gas Fired 78% n/a n/a Standard Gas 50 gal or Less Yes Yes n/a n/a n/a n/a n/a Programmable Switch Heating & Cooling Required n/a n/a n/a Constant Volume No No Constant Tem Constant Tem n/a Air Balance Auto No Economizer 878 cfm Gas Furnace 80% AFUE Packaged DX 10.0 SEER / 8.5 EER CARRIER 48SS060100521 Yes Yes Ducts in Attic 4.2 Ducts in Attic 4.2 No NOTE TO FIELD CODE TABLES: Enter code from table below into columns above. i HEAT PUMP THERMOSTAT? Y: Yes N: No TIME CONTROL I SETBACK CTRL. ISOLATION ZONES FAN CONTROL ELECTRIC HEAT? S: Prog. Switch O: Occupancy Sensor M: Manual Timer H: Heating C: Cooling B: Both Enter Number of Isolation Zones. I: Inlet Vanes P: Variable Pitch V: VFD O: Other C: Curve VAV MINIMUM POSITION CONTROL? SIMULTANEOUS HEAT / COOL? HEAT AND COOL SUPPLY RESET? VENTILATION OUTDOOR DAMPER ECONOMIZER O.A. CFM HIGH EFFICIENCY? B: Air Balance C: Outside Air Cert. M: Out. Air Measure D: Demand Control N: NaturalControl A: Auto G: Gravity A: Air W: Water N: Not Required EC: Economizer See Section 1144(e)3' Enter Outdoor Air CFM. Note: This shall be no less than Col. H on MECH-3. PIPE INSULATION REQUIRED? PIPE/DUCT INSULATION PROTECTED? SEALED DUCTS IN CEILINGIROOF SPACE T Department EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number: Page:9 of 18 MECHANICAL EQUIPMENT SUMMARY Part 1 of 2 . MECH-2 NAME ` 't'_ _ _. I DATE CHILLER AND TOWER SUMMARY CENTRAL SYSTEM FAN SUMMARY Motor Location CFM BHP Eff. SUPPLY I Efficiency ! i PUMPS ;Tot. i Mo j Tons ; Qty GPM ! BHP Eff. r FAN Equipment Name Equipment Type ! Qty. Driv i Co Pum 1.00 Motor Drive I I Motor - Drive I ! ! I •j I i I I i I I I i ! i I rQ-HW1 BOILER SUMMARY I System Name System Type Distribution Type j 1 Rated Vol. ,Qty,Input j (Gals.) Energy Factor or Recovery I Efficiency ' Standby !TANK INSUL. Loss or j Ext. Pilot ; R -Vat. !Less!stanas Gas 50 gal or Small Gas Standard I ! 0 40,000 50 0.53 n/a; ; 12 i CENTRAL SYSTEM RATINGS HEATING I COOLING Sy stem Name i S stem T e Q outputi Aux. kW Eff. i I Output ; Sensible Efficiency ! Economizer Type CARRIER 48SS06010052iPackaged DX ( 2 77,140 0.0 80%AFUEI 59,5001 41,65 110.0 SEER / 8.5 EER !No Economizer ! I I j CENTRAL SYSTEM FAN SUMMARY Motor Location CFM BHP Eff. SUPPLY FAN RETURN FAN System Name I Fan Type Blow -Through 1,995 1.00 Motor Drive I I Motor - Drive I I ! i I I I i I I I I ! i I EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number. Pape:10 of 18 1 Motor Location CFM BHP Eff. I Eff. CFM BHP ! Eff. Eff. (CARRIER 48SS060100521 ;Constant Volume Blow -Through 1,995 1.00 82.5% 100.0% none] I I ! i I I I i I I I I ! ! I I MECHANICAL EQUIPMENT SUMMARY Part 2 of 2 MECH-2 PROJECT NAME DATE Video Depot 6/22/2004 in. CFM Moto Drive CFM I BHP Eff. Eff. I I TYDe Outaut EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number. Paae:11 of 18 1 Room Name q CFM BHP Motor Eff. Drive Eff. Room Name qty. CFM BHP. Motor Eff. Drive Eff. i EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number. Paae:11 of 18 1 MECHANICAL VENTILATION MECH-3 (PROJECT NAME DATE Video Depot . 6/22/2004 MECHANICAL VENTILATION FX] a a o 0 0© a a a a ZONE/SYSTEM Retail Zone Retail AREA BASIS COND. MIN. AREA CFM CFM (SF) PER SF (B x C) .8311 OCCUPANCY BASIS NO. I CFM MIN. OF PER CFM PEOPL� PERSON (ExF) T REQ'D O.A. (MAX OF D OR G) DESIGN OUTDOO AIR CFM VAV MIN. RATIO 831 878 831 878 C Minimum Ventilation Rate per Section 121, Table 1-F. I E Based on Expected Number of Occupants or at least 50% of Chapter 10 1997 UBC Occupant Density. I Must be greater than or equal to H, or use Transfer Air. Design Outdoor Air includes ventilation from Supply Air System & Room Exhaust Fans. K Must be greater than or equal to (H minus 1), and, for VAV, greater than or equal to (H -J). I EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number. Paae:12 of 18 1 MECHANICAL SIZING AND FAN POWER . MECH-4 PROJECT NAME DATE Video Depot 6/22/2004 SYSTEM NAME FLOOR AREA Retail ` 3,325 NOTE: Provide one copy of this form for each mechanical system when using the Prescriptive Approach. SIZING AND EQUIPMENT SELECTION 1. DESIGN CONDITIONS: COOLING HEATING OUTDOOR DRY BULB TEMPERATURE (APPENDIX C) 112 OF 26 OF OUTDOOR WET BULB TEMPERATURE (APPENDIX C) 78 of - INDOOR, DRY BULB TEMPERATURE SEE ASHRAE CHAPTER 8, 199374 °F 70 OF OR APPENDIX B 2. SIZING: . - DESIGN OUTDOOR AIR - ROOM LOADS RETURN VENTED LIGHTING RETURN AIR DUCTS - RETURN FAN - SUPPLY FAN. - SUPPLY DUCTS 878 CFM (MECH 3; COLUMN 1) 34,698. 96,636 ' 0 4,832 0 0 4,832 TOTALS 140,998 SAFETY / WARM-UP FACTOR 1.21 MAXIMUM ADJUSTED LOAD (TOTALS FROM ABOVE x SAFETY / WARM-UP FACTOR) 170,607 3. SELECTION: INSTALLED EQUIPMENT CAPACITY (ADJUSTED FOR DESIGN CONDITIONS) 79,477 Btu / Hr IF INSTALLED CAPACITY EXCEEDS MAXIMUM ADJUSTED LOAD, EXPLAIN 41,051 . 32 42 n/ 1,62 0 0 1,62 76,713 1.43 109,700 154,280 Btu/ Hr FA © a ED a o a DESIGN EFFICIENCY NUMBER PEAK WATTS CFM FAN DESCRIPTION BRAKE HP MOTOR DRIVE OF FANS B x E x 746 / (C X D (Supply Fans) Supply Fan 1.000 82.5% 100.0% 2.0 1,808 3,990 TOTALS 1 808 3990 NOTE: Include only fan systems exceeding 25 HP (see Section 144). . Total Fan System Power Demand may not exceed 0.8 Watts/cfm for TOTAL FAN SYSTEM constant volume systems or 1.25 Watts/cfm for VAV systems. POWER DEMAND 0.453 WATTS / CFM Col. F / Col. G EnergyPro 3.1 By EnergySoft User Number 2655 Job Number. Page: 13 of 18 VIECHANICAL MANDATORY MEASURES Part 1 of 2 MECH-MM PROJECT NAME Video DATE Video Depot i 6/22/2004 DESCRIPTION Designer ?Enforcement Equipment and Systems Efficiencies X I §111 Any appliance for which there is a California standard established in the Appliance Efficiency Regulations will comply with the applicable standard. IX § 115(a) Fan type central furnaces shall not have a pilot light �I § 123 Piping, except that conveying fluids at temperatures between .60 and 105 degrees Fahrenheit, or within HVAC equipment, shall be insulated in accordance with Standards Section 123. jX § 124 Air handling duct systems shall be installed, and insulated in compliance with Sections 601, 603 and 604 of the Uniform Mechanical Code. Controls § 122(e) Each space conditioning system shall be installed with one of the following: Ivk. § 122(e)1A Each space conditioning system serving building types such as offices and manufacturing facilities (and all others not explicitly exempt from the requirements of Section 112 (d)) shall be installed with an automatic time switch with an accessible manual override that allows operation of the system during off -hours for up to 4 hours. The time switch shall be capable of programming different schedules for weekdays and weekends; incorporate an automatic holiday "shut- off' feature that turns off all loads for at least 24 hours, then resumes the normally scheduled operation; and has program backup capabilities that prevent the loss of the device's program and time setting for at least 10 hours if power is interrupted; or FX] § 122(e)l B An occupancy sensor to control the operating period of the system; or FV -1 § 122(e)1C A 4 -hour timer that can be manually operated to control the operating period of the system. 122(e)2 Each space conditioning system shall be installed with controls that temporarily . restart and temporarily operate the system as required to maintain a setback heating and/or a setup cooling thermostat setpoint § 122(g) Each space conditioning system serving multiple zones with a combined conditioned floor area more than 25,000 square feet shall be provided with isolation (" zones. Each zone: shall not exceed 25,000 square feet; shall be provided with isolation devices, such as valves or dampers, that allow the supply of heating or cooling to be setback or shut off independently of other isolation areas; and shall be controlled by a time control device as described above. 122(a&b) Each space conditioning system shall be•controlled by an individual thermostat that responds to temperature within the zone. Where used to control heating, the control shall be adjustable down to 55 degrees F or lower. For cooling, the control shall be adjustable up to 85 degrees F or higher. Where used for both heating and cooling, the control shall be capable of providing a deadband of at least 5 degrees F within which the supply of heating and cooling is shut off or reduced to a minimum. § 122(c) Thermostats shall have numeric setpoints in degrees Fahrenheit (F) and adjustable setpoint stops accessible only to authorized personnel. U§ 112(b) Heat pumps shall be installed with controls to prevent electric resistance supplementary heater operation when the heating load can be met by the heat pump alone. EnergyPro 3.1 ey EnergySoft User Number: 2655 Job Number. Page: 14 of 18 !MECHANICAL MANDATORY MEASURES Part 2 of 2 MECH-MM 'ROJECT NAME i DATE Video Depot ; 6/22/2004 i Description' Designer ;Enforcement; Ventilation t § 121(e) Controls shall be provided to allow outside air dampers or devices to be operated at ! i the ventilation rates as specified on these plans. j �X § 122(f) Gravity or automatic dampers interlocked and closed on fan shutdown shall be i 1 provided on the outside air intakes and. discharges of all space conditioning and " exhaust systems. I , .X I § 122(f) All gravity ventilating systems shall be provided with automatic or readily accessible j manually operated dampers in all openings to the outside, except for combustion air openings. � I IX § 121(f)l Air Balancing: The system shall be balanced in accordance with the National ( ; Environmental Balancing Bureau (NEBB) Procedural Standards (1983), or i Associated Air Balance Council (AABC) National Standards (1989); or i IX ;; § 121(f)2 Outside Air Certification: The system shall provide the minimum outside air as n shown on the mechanical drawings, and shall be measured and certified by the installing licensed C-20 mechanical contractor and certified by (1) the design mechanical engineer, (2) the installing licenced C-20 mechanical contractor, or (3) the person with overall responsibility for the design of the ventilation system; or � Outside Air Measurement: The system' shall beequipped iJ § 121(f)3 y with a calibrated local or � ! remote device capable of measuring the quantity of outside air on a continuous basis and displaying that quantity on a readily accessible display divice; or ( f I i § 121(f)4 Another method approved by the Commission. Service Water Heating Systems - 0 . § 113(b)2 If a circulating hot water system is installed, it shall have a control capable of automatically turning off the circulating pump(s) when hot water is not required. I i 113(b)36 Lavatories in restrooms of public facilities shall be equipped with controls to limit the outlet temperature to 110 degrees F. X § 113(b)3C Lavatories in restrooms ofp ublic facilities shall beequipped with one of the following: Outlet devices that limit the flow of hot water to a maximum of 0.5 gallons per minute. ' Foot actuated control valves, and outlet devices that limit the flow of hot water to'a maximum of 0.75 gallons per minute. I Proximity sensor actuated control valves, and outlet devices that limit the flow of hot i water to a maximum of 0.75 gallons per minute. y Self-closing valves, and outlet devices that limit the flow of hot water to a maximum of 2.5 gallons per minute, and 0.25 gallons/cycle (circulating system). ! Self-closing valves, and .outlet devices that limit the flow of hot water to a maximum of 2.5 gallons per minute, and 0.50. gallons/cycle (non' -circulating system). Self-closing valves, and outlet devices that limit the flow of hot water td'a maximum of 2.5 gallons per minute, and 0.75 gallons/cycle (foot switches and proximity sensor controls). EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number Page:15 of 18 Q HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME ' DATE I Video Depot ; 6/22/2004 iSYSTEM NAME FLOOR AREA i I Retail 3,325 I 'NGINEERING CHECKS SYSTEM LOAD Number of Systems 211 ! COIL COOLING PEAK .COIL HTG. PEAKS j 'Heating System 111 1 CFM iSensible� Latent ': CFM ; Sensible ; 1 j Output per System j 77,1401 Total Room Loads I 10,9801 96,6361 21,945 ' 1,1761. 32,421 I Total Output (Btuh) 154,2801 I Return Vented Lighting 0 Output (Btuh/sqft) 46.41 I Return Air Ducts 1 4,8321, 1,6211 :'Cooling System Return Fan 1— of 01 1 1 Output per System ; 59,5001 Ventilation 8781 34,6981 -3,253 ' 878i 41,051, 11 Total Output (Btuh) I 119,000 Supply Fan 0 1 01 Total Output (Tons) 9.91 Supply Air Ducts 4,8321 i 1,6211 1 i Total Output (Btuh/sqft) 35.8 TOTAL SYSTEM LOAD 140,9981 18,6921 76,7131 1 1 Total Output (sgft/Ton) j 335.3 System I1Air HVAC EQUIPMENT SELECTION I CFM per System 1,995 11 1 1 Airflow (cfm) i j 3,990 CARRIER 48SS060100521 79,477] 36,2201 i 154,280 1 Airflow (cfm/sgft) 1 1.20 1 1 ' i Airflow (cfm/Ton) 1 402.4 1 1 Outside Air (%) 1 22 0 Total Adjusted System Output 1 79,477 36,2 20 (Adjusted for Peak Design Conditions) 154,280 Outside Air (cfm/sqft) 1 0.26 TIME OF SYSTEM PEAK I Jul 3 pm 1 _Jan 12 am Note: values above given at ARI conditions EATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 1 26.0 OF 60.0 OF 60.0 OF 96.1 OF j� Outside Air Supply Air Ducts 878 cfm 95.7 of Supply. Fan 3990 cfm Heating Coil ' ROOMS 70.0 of 69.6 of Return Air Ducts DOLING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Cooling Peak 112.0/77.7OF 83.2/70.5OF 83.2/70.4OF 64.7/63.5OF Supply Air Ducts Outside Air 878 cfm Supply Fan Cooling Coil 65.8 / 63.9 of 3990 cfm 1 ROOMS 74.3% R.H. 75.1/68.4 of 74.0 / 68.1 OF Return AirDucts I EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number. Page:16 of 18 ROOM HEATING PEAK LOADS (Project Title Date Room Information Design Conditions Room Name Retail Time of Peak Jan 12 am Floor Area 3,325 Outdoor Dry Bulb Temperature 26 of , Indoor Dry Bulb Temperature 70 OF i Conduction Area U -Value AT of Btu/hr Slab -On -Grade perimeter = X0X 44.51 = 3,02 iR-13 Wall (W.13.2x4.16) i I 1,004.01 X 1 0.08101 X 44.01 _ 3_580 (Single Mtl Uncoated Default I _ 396.0 X I 1.19001 X I 44.0 20,735 IR -30 Roof (R.30.2x12.16) 1 3,325.0 X 1 0.0347] X 1 44.01 = 5,0811 I x l I x �_1 F x x i I 1 x 1 l x l x x I I X I= x I. I x I i t x l I X i x X I- i -I i x x = x I. x l -' x _ i x = x I x = I xI x = I x x - x x = x x x I x = x I I x = 1 x x = x I x = x I x = , x x xx x i xx = x x - I xI x = x x I x x =I x x = x x - x I x = x x = x x - Items shown with an asterisk (') denote conduction through an interior surface to another room. Page Total: 32 421 Infiltration: too 1 x 1.072 X 3 325 X . 10.00 X1 0.00 / 601 x ® _ 01 Sensible chedule Air Sensible Area Ceiling Height ACH OT Fraction TOTAL HOURLY HEAT LOSS FOR ROOM 32,421 EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number. Page: 17 of 18