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06-2363 (AR)8� L �1 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00002363 Property Address: 55191 FIRESTONE APN: 775-151-023- - - Application description: ADDITION - RESIDENTIAL Property. Zoning: LOW DENSITY RESIDENTIAL Application valuation: 46907 Applicant: Architect or Engineer: 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisidn 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B Licens No.: 867 17 D,� - ate cif -2 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 am exempt under Sec. , B.&P.C. for this reason Date: Owner: 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.). Lender's Name: _ Lender's Address: LQPERI%11T VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/02/06 Owner: FRANK BOHANEC 55191 FIRESTONE LA QUINTA, CA 92253 Contracto IJ PEOTBO O1 AUG 02 2006 LA QUIETA CA 92247 (760)218- S ,1Ty®FLAQ(lQiT9 Lic. N .: • 867!WMM@P()EPT ------------------ WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers'. compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier EXEMPT . Policy Number EXEMPT I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section Xy 3700 of the Labor Code, I sh Vforthwith comply h those pr sions. Applicant:—�� WARNING: FAILURE TO SECURE RKERS 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 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 building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purpose . ,Date Signature:(APPlicant-or-Agent): Application Number . . . . . 06-00002363 Permit . . . BUILDING PERMIT Additional desc . . I Permit Fee . . . . 395.00 Plan Check Fee 256.75 Issue Date Valuation . . . . 46907 Expiration Date 1/29/07 Qty Unit Charge Per Extension BASE FEE 252.00 22.00 6.5000 -------------------------- THOU BLDG 25,001-50,000 ------------------------------------- 143.00 ------------- Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee 16.82 Plan Check Fee*. 4.21 Issue Date . . . . Valuation 0 Expiration Date 1/29/07 Qty Unit Charge Per Extension BASE FEE 15.00 52.00 .0350 -------------'------------------ ELEC NEW RES - 1 OR 2 FAMILY --------------------------------------------- 1.82 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 30.50 Plan Check Fee 7.63 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/29/07 Qty Unit Charge' Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 1.00 6.5000 ---------------------------------------------------------- -EA MECH EXHAUST HOOD ------------------ 6.50 Permit PLUMBING Additional desc . Permit Fee . . . . 30.00 Plan Check Fee 7.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/29/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 2.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 6.00 ---------------------------------------------------------------------------- Special Notes and Comments 52 SQ. FT. ADDITION AND REMODEL TO LQPERA1IT Application Number . . . . . 06-00002363 ---------------------------------------------------------------------------- Special Notes and Comments KITCHEN.August 1, 2006 11:57:07 AM JJOHNSON ---------------------------------------------------------------------------- Other Fees . . . ... . . . . ENERGY REVIEW FEE 25.68 STRONG MOTION (SMI) - RES 5.40 Fee summary ----------------- Charged ---------- Paid Credited ------------------------------ Due Permit Fee Total 472.32 .00 .00 472.32 Plan Check Total 276.09 .00 .00 276.09 Other Fee Total 31.08 .00 .00 31.08 Grand Total .779.49 .00 .00 779.49 iz, LQPERAIIT e • �; City of . La Qui Building .& Safety Division P.0: Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tratking Sheet Permit .# • 3 3 Project Address-' Owner's Name: I -,-- A- P. Number: . 2= Address: Legal Description: City, ST, Zip: Contractor: �� .5 Telephone: Address: X_ 1 Project Description: I 52—L A-toine,.4j M9 City, ST, Zip:LQ Gt 'yZ G1.0 O I X WN Telephone: 6 •' Z! SrS`- 3 Sam State Lie. # : 8 City Lica#: Arch., Engr., Designer: Address: . City, ST, Zip: Telephone: State Lica #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): Ne Add n Repair Demo Sq: FL: # Stories: # Units: Telephone # of Contact Person: �� ' Estimated Value of Project: p c7 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACH NG . PERhM FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections N15 Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Cates. Plans picked up': D Construction . Flood plain plan. Plans resubmitted 7�e2 5 Mechanical' Grading plan ,. 2"d Review, ready for correctionMissue Electrical ' Subcontactor.List ' Called Contact Person $ 4 Plumbing Grant Deed' Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE: ''' Review, ready for correctioissue Developer Impact Fee. Planning Approval Called Contact Person P.P. I.Pub.Wks.Appr Date of permit issue School Fees71� b �� rAa NF�-�'C Total Permit Fees a &127�O1, !�579 APP UJ S lZ - u 1 7SA; CERTIFICATE OF COMPLIANCE -C, Desert Desert Sands Unified School District 47950 Dune Palms Road ¢ BERMUDADUNESO RANCHO MIRAGE Cf Date 8/2/06 La Quinta, CA 92253 INDIAN WELLS PALMDESERT No. 28793 (760) 771-8515 LA QUINTA 4 J�a1NDl0 yJ o J Owner Bohanec APN # 775-151-023 Address 55191 Firestone Jurisdiction La Quinta City La Quinta Zip 92253 Permit # Tract # Study Area Type Single Family Residence No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 55191 Firestone 52 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 patios/walkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: This certifies that school facility fees imposed pursuant to in the amount of $0.00 X 52 S.F. or $0.00 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 Ken West Check No. 0.00 Name on the check Telephone Funding Residential By Or. Doris Wilson Superintendent Fee collected /exempted by Espe Lara Payment Recd "Over/Under- Signature :Over/UnderSignature ' 1' NOTICE: Pursuant to Govemment Code Section 66020(d)(1), this Will serve to notify you that the 90 -day approval period in which you may protest the fees o r 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 District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting CERTIFICATE OF COMPLIANCE,: RESIDENTIAL Documen n Authorr Tel ComplianceMethod (Package or Computer) Climate Zone le l of 3) CF-IR Building Permit N Plan Check / Date rieid Check i Nte GENERAL IMEMAIIQN41 ft Toud Conditioned Floor Area Average Ceiling Height Conditioned Slab Floor Area its Building Type: __ Single Family Addition (check one or more) —Multi-Family Gxiiting-Plus-Addition Front Orientation, 'Ya / South / Fast / West / All Orientations (snp it front orientation in degru" front True North and circle one) Number of Stories Number of Dwelling Units: Floor Construction Type: Sl ab/Raised Floor (oircle ono or twth) R"LANT B&BMR 4 S- S Required for this submittal_ yes !ono RIUMING INVELM INSULATMNS Component Type Frame Type wd s wood stl = steel Cavity Insulation It -Value Sheath Insulation R-Value Total R- Value' Assembly U-Factor' Location/Comments (attic, garage, typical, etc.;, wall •2 will A& Z , O Roof Roof Floor ~ Floor Slab Edge Ei� . c � , n � r .i'3'tll.4'nfR•T+rt'tl<:�T Hit -:� - a: w A r 1"t $ SA r� i y DEFT; 'JPROVED c r e Shading- Devices RVnrrWTI Compliance Forms August 2001 A-2 04 0) ti h r% r% IL t � i 1 • CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 of 31 CF-IR Project Title iy Date RAC §'STEMS Now Inp►tt hydronie or c(mibined hydronic date under Water Heating Systems, except Design Heating Load - Distribution Heating Equipment Minimum Type and Duct or Heat Pump Type (fit K., heat Efficiency Location Piping 'Thermostat Configuration —-.---pum. &P-) LAFUE ar RSPF) [ducts. rttic, ;L, '. R-Value Tvm (milt or paakaAe) Cooling Equipment Minimum Duct Type (air oonditioner, Efficiency Location hat a coali SEF.it etc. Duct Thermostat R-Value Heat Pump Configuration (split or a0* -rZ 'vim p�Tvvee,, ! 1H� JXy1JQLA&rnatlye Measures) Sealed Ducts (ell ciiniate aortrs) (ittetallertestirta and cwtiftcation and HERS rater field verificatiou requited) TXVs, readily accessible (alintate aches 2 and 8.15 only)' (Installer tasting and aettifiation and 'IIrlRS'Rater or bald verification required) 1 [.J Reiiigerant Charge/Air Flow (olunate zones z and 8-15 ,rely) r (Inswiler testing and owtirmation and MRS Rater to field verification rckured) OR !_1 Alternative to Sealed Ducts and TXVs (see Package C or D Alternative Package Features for Project Climate Zone) Climate Zone Window SHGC Window U-Factor SEER Heating f WATER HEATING SYSTEMS Energy' External Rated' Tank Factor or Tank Water Heater Distribution Number Input (kw Capacity Recovery Standby' Insulation T er Typsin Systmi or fjta4 r) cizallosi Effic•e L %i R-Val t 1. For email gas storage water heater, (rated inputs of lees than e': equal to 75,000 Btu/hr), clectrie rosirnance, and heat prurtp water heaters, list Energy Facto.. For large gas storage water heaters (rated input of greater than 75,000 Btu/ltr), list Rated Input, Recovery Efficiency and Standby Loss For instantAneow gas water heaters, list rated input end rowvery effioienuies. SPECIAL EATIXa (add "Im status ifs. Package C and D: TXVs, Sealed Ducts, Radiant i - Barrlers"(see installation requirements for radiant barriers in Section 8.13 of the 2001 Residential .Manual), i Package C. thermal bntm (Thermal mass p. pe. covering, thickness, and description). r-- 4 C. -SLp t/ lei. l�l� ❑ (o S p' !as To CForlphanco Forma August 2001 A--Y fW th I o>e — Loy fit , Q2 W4tt:�, ,r •r • CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 3) CF-I R Pk0&-C� (o" 5+-0 xle Date COMgLIANCF STA fEia+lIF�NT 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'.Reguiations, and the administrative .regulations to implement them. This certificate has been signed by the individual with overall design responsibility When this certificate of compliance is submitted fbr a single building plan to be built in multiple orientation;, any shading feature that is varied is indicated in the Special Features/Remarks, section. The undersigned recognize that compliance using duct sealing and TXVs requires installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business and Professions Code) Name: TitlelFirm: i� Ike Qlr7 Address:-_�� !� Telephone: Lic. #: _ Enforcement Agency Documentation Author 0 • T 9� Tida/Firm: :address: ��3 t��a'� V�►�� "� r r4 . g*Z Tely7Z hi.d `7 -- --- %antes Name: Title: Agency: Telephone; Oisut re /:lamp) kdntc) Compliance Forms August 2001 � A-4 MANDATORY MEASURES CHECKLIST: RESIDENTIAL Ps e i of 2 MF-1R Mote, Lownxe residential builr$irtgs subject to the S'tatudards :ntut contain then- rncasures regardless Of the compliance approach used. Items marked with an asterisk (') nlay be strper%.-dCd by more stringent cor-ap iance ragwremt to listed on the Certificate of Cornplianca. When this chec.klisl is incarporaced into the porntit documents. the features noted shall be considered by all parties as minimurn component performance specificatitxts for the mandatary measures whether they are shown elsewhere in the documents ti or on this checklist only. Instructions: Check or ilnitW applicable boxes when completed or enter N/A. if not applicable. DESCRI:PTIUN DESIGNER ENFORCEMENT Building Envelope He"urer-� • 1 Vgxa): Wwrixlm R-19 wiling inaulaficn. §lS0(bl: Loose fill insulation nznulhettuer's laivIed R-Value. • WOW: OW: Wiinitrsura R-13 wall insulation in ward tianysd wally or e+qurva{cnt 1!-Factor in metal frame wulls t/ jtjLg2LggWL to ex Brier Man Wails . Mkii nium R-13 raised floor ineulation in thimed Hoots. § t 50(1) : Slab edge insulation - watet absorption rate no greater than Q 3%, water vapot transmission rate no—xm e let tbmt 2.0 inch, n § l & liml.ation specified or installed meets inwIstion quwhty ,,#wv,1ards Indicate type and form. §;1(-17: Fencontion Products, Exterior Doors, and Ni iltratiotdExriltmion Controls 1, Doers tad windows lxstKeen conditioned and unconditiorml spaces desigtied to limit air leakage 2. Fenesovion products (except field-fabriomcd) have label with certified J-Factor, uortifiod Solar Heat Oain Coefficient (SO40C), and intihration certification. 3. Exrr_-dw down and wir,4riws % entilerstripped; all joints and ptmetrations Baulked and sealed. § 15 ft): Vapor barriers mandatory in Climate Zones 14 and 16 only §150(0: Special infiltration barrier installed W cohiply with § 151 rneett Coinmission quality starwlard6 § 150(e)- Installation of Fireplaces, Mcorative Oas A.ppt mmi and Gas Logs 1. Masonry and factory -built fireplaces have, }� a Closeable metal or glass door b. Outside air intake with damper and control o. Flue dnrttper iutd control 2. No continitows bursting gas pilot lights allowed / A i A -Ace Condition!Eil, Water Hen ial andAumbing System Measures: § 110-§ 113: HVAC equipment, water heaters, showe bm& raced faucets certified by the Commission. ~ § 150(h): Electing and/or cooling load~ oat�nulatctl in aat:ordance with ASMA -, SMACNA or ACCA Satbtsok thermostat on all applicable heating and/or cooling system 1 i0q): Pipe and tank insulatim t. Storage gas water heaters rated with an 1_nsW Facior less ihaa (08 roust be extornally wTappcd with inrulation havirtg an installed themimi resistnncc s11 C1-12 or greater. 2, Firxt. 51eSt of pipes olosest to water heater tank, non -recirculating systems, insulated (R-4 nr greater) /, I� E 3 Back-uu tames fw 9n1ar system, unfired s(otage tanks, or other indirvot het water tanks have R-12 external insulation or R-16 combined internwl/exturnai insulation. 4. Al!■buried or exp nmd piping insulated in rcoimc sting sections of hot water- systems 5. Cooling system piping below 551 F imulatod. ± 6 PiprN Mod aWdbetween heating source and mdbcot not water laid:, Compliance Forms August 2001 A-5 MANDATORY MEASURES CHECKLIST: RESIDENTIAL jPaLe 2 of 3 MF-1R Note: Lavaisc residential buil"gs subject to the Sta-.Ands must contain these measures regardless of the compliance approach used. Items marked with an asterisk (',)maybe superseded by more stringent compliance requirements listed on 01m Ceriticete of Compliance. When this checklist is incorpo.-ated into the penrat docutnews, the features noted shall be cott_4ider:d Ily all patties as minimum comp cent performance gxcifir,.ations for the mandatory measures whether they are shown elsewhere in the &K,.urnents ' or on this cber:khst only. instructions: Check or kdtial applicable boxes when completed or enter NIA if not applicable. DESCRIPTION DESIGNER ENFORCEMENT: Space Conditioning, Wster Heating and Plumbing System Measures: (continued) • § 130(m Ducts ana r-ans 1. All docks and plenums vtatall"x sealed and insulated to meet the requiremestt of the 1998 CMC S"tiorts 601, 603, 604, and Standard 6-3; ducts insulated to a minimum installed level of R-4.2 or crtclosed entirely iu oonditioned space. (Openings shell be scaled with mwtie, tape, aerosol sealant, or other duct -closure system that meets the applioebk requirements el' UL. 18),1JL 181 A. or W. 181B. If mastic or tape is timed to caul opentrW greater that 1/4 inch, the combination of mastic and either mesh or tape shell be used. Building { cavities shall rat be esed for ooi veying conditioned air !Dints and warns of duct systems and their components shall not be scaled with cloth back rubber adhesive duct tapes unless such tape it) uwd in !+ combination with mastic and drawbands 2. Building cavities, support platforms for air banddea A, and plenums defused or rwastructed with niatermis other than sealed sheer. metal, duct board cr flaxible duct shall net be used for conveying conditioned air Building cavities and support platibnras mray contain cluers. Ducts installed in cavities and support �r platforms shall not be comprossed to cues reductions in the cross -sectional are++ of the ducts 1 3. Joints and seams of duct rystemv and their t:omptuaents china not be sealed with cloth hack rubber adhesive duct tapes unless suoh tape is used in cotnbitwtion with mastic and drawttands. 4. Exhaust fan systems have back draft or automatic dumpers S, Ontvity ventilating syettmte serving conditioned space have either autum:itic or readily accessible., manually operated dampers 6. protection of insulation. Insulation shall be protected from denrage, including that duo to sunlight nwistare, oquipment nwintertance, and wind but tux tirnitetd to the fallnwiteg: iwulatson expor-ed to weather shall he tuitCbla For ouidt)m SCrvien e.g.- 1:mkoctad by aluminwri sheet metal. painted canvas, or plastte cover. Cellular foam inlulati;m shall be prowotod as above or lAinted with a coatir_g that is water rdant and vide, shialdiag from solar radiation that can eauwa�adation of else material. § 114: Pool and Spa Heating Systems and Fquipment. - L 9vemm is certified with 79% theruaal o1'lwa cnoy, on•otl switch, weall-arproof operating inslruc: ions, no Slectric resistance heating and no pilot light 2. System is installed with: a. At least 36" of pipe, between filter and heater tic future solo; halting. b. Cover liar outdoor pools or out&mr slots. 3. Pool system has directional inlets and a circulatiw>I pwnp time switch, § 11 S: Gas fired ceatral fwnaces, pool heaters, spa heaters or household cooking spplianous have no conitnuoua banal ilari li t. lix on. Non-elactriva' c_vc>k_ieglpfaiwuer withailo_t < 15(1l3siJirrl § 1 18 (i): Cool Roof material meet spooified etiteria Lighting Mftmres: g t 50(k)1.: Luminaires for geraoui lighting in kitaheru shall have lamps with on r,13:icaat:y of 40 lumens/watt or gra ter for gmletral fighting in kitclsens. 'i'bis gatiml lighting shall be controlled by a twitch on o readily accessible liphSMg coatrol mW at an ontrarm tO the kitctift. § 150( Z: Roonui with a shower or bathtub must huvd either at least one lumutaire with lamps with an offrdbey of 40 lumens/watt or greater switched at the entrance to the room or one of the e�rnstivex to this ruqukemen► allowed in § 1 S(1(k)2 : and incandas;serit rover-sed ceiling fixtures are .iC (insulation cover) Cornpliance Forms August 2001 A-6 Residential Kitchen Liqhtinq Worksheet WS-5R Frank Bohanec Plan 71 6/2006 Project Title 15 l �' S i Date At least 50% of the total rated wattage of permanently installed luminaires in kitchens must be in luminaires that are high efficacy luminaires as defined in Table 150-C. Luminaires that are not high efficacy must be switched separately. Kitchen Lighting Schedule. Provide the following information for all luminaires to be installed in kitchens. 5J2 High Efficacy Luminaire Type '� Hi h Efficacy? Watts Quantity Watts Other Watts (14) 26w Compact Fluorescent Tripie 4 Pin No 1 364.0 x �. = 364 or 4 18w Fluorescend Tvrin Ma E@ No AYesX 92.0 x 1 = 92 or U I+�� S No _x - or No x = or Yes No _ x = or Yes No x = or Yes No x = or Yes No _ x - _ or Yes No _ x = or Yes No x = or Yes No x = _ or Yes No x = _ - or Yes. No x = i _ or Yes No x = _ or Yes No x = or Yes No x = _ or Yes No x = or Yes No x = _ or Yes No x = or Yes No x = or _ Total A: 456 B: 0 COMPLIES IF A z B YES ® NO ❑ E Job Number: Mester Set paw'.a of 11