BCOM2016-002378-495 CALLE TAMPICO ' Ct 0 U VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: B License No.: 771784'
Contractor:
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.).
() I, 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
Lender's Address:
(626)967-8001
Llc. No.: 771784
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and polity number are:
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9149633
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 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: max. Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS AWFUL,
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 Building Official 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 city to enter upon the
above-mentioned property for inspection purposes.
sDate: -�l �� �7 Signature (Applicant or Agent):
Date: 8/11/2016
Application Number:
BCOM2016-0023
n
D �1
Owner:
Property Address:
78400 HIGHWAY 111
BANK OF AMERICA
APN:
604050045
AUGC
1
Z��u
1695 AVENIDA DE NOG
Application Description:
POINT HAPPY / BANK OF AMERICA /T.I.
FALLBROOK, CA 92253
Property Zoning:
CITYOFL,;
Application Valuation:
$190,000.00
QUPI
OOtiftilfNliYDEVEF,
w�•EWDEPA2T?4ENT
+(A
Applicant:
Contractor:
MJY GROUP
JOHN ARMSTRONG CONSTRUCTION INC DBA ARMS
PO BOX 4535
840 W FRONT STREET
OR^ANGF, f 92!�F?
COVINA, CA.91722
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: B License No.: 771784'
Contractor:
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.).
() I, 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
Lender's Address:
(626)967-8001
Llc. No.: 771784
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and polity number are:
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9149633
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 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: max. Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS AWFUL,
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 Building Official 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 city to enter upon the
above-mentioned property for inspection purposes.
sDate: -�l �� �7 Signature (Applicant or Agent):
a
Date: 8/11/2016
Application Number:
BCOM2016-0023
Owner:
Property Address:
78400 HIGHWAY 111
BANK OF AMERICA
APN:
604050045
1695 AVENIDA DE NOG
Application Description:
POINT HAPPY/ BANK OF AMERICA/T.I.
FALLBROOK, CA 92253
Property Zoning:
Application Valuation:
$190,000.00
Applicant:.
Contractor:
MJY GROUP
JOHN ARMSTRONG CONSTRUCTION INC DBA ARMS
PO BOX 4535
840 W FRONT STREET
ORANGE, CA 92863
COVINA, CA 91722
(626)967-8001
LIc. No.: 771784
---.---------------------------- ----------------------------------.----------------------------
Detail: INTERIOR REMODEL T.I. TO EXISTING 4,000 SF "BANK OF AMERICA" BANK BUILDING:
. TYPE VB, FIRE SPRINKLERS, CONSTR. "B" OCCUPANCY, 48 OCCUPANT LOAD. WORK INCLUDES ELECTRICAL,. MECHANICAL AND PLUMBING. 2013 CODES.
a
FINANCIAL •• •
.DESCRIPTION ACCOUNT QTY AMOUNT
ART IN PUBLIC PLACES - COMMERCIAL REMOD
270-0000-43201 0 $450.00
Total Paid for ART IN PUBLIC PLACES - AIPP: $450.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - YES ADMINISTRATIVE STAFF
101-0000-42600.
0.5
$20.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - YES PRINCIPAL/STRUCTURAL ENGINEER
101-0000-42600
0.25
$37.50
'DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE -.YES STRUCTURAL PLAN REVIEW ENGINEER
101-0000-42600
3
$285.00
DESCRIPTION
ACCOUNT -
QTY
AMOUNT
HOURLY'CHARGE'- YES STRUCTURAL PLAN REVIEW ENGINEER
101-0000-42600'
Total Paid for BLDG CITY STAFF - PER HOUR: $437.50
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$8.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $8.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURES, ADDITIONAL
101-0000-42403
281
$680.02
DESCRIPTION
ACCOUNT .
QTY
AMOUNT
FIXTURES, ADDITIONAL PC
101-0000-42600
281
$168.60
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURES, FIRST 20
101-0000-42403
1
$24.17
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURES, FIRST 20 PC
101-0000-42600
1
$24.17
Total Paid for ELECTRICAL: $896.96
DESCRIPTION
ACCOUNT
QTY
AMOUNT
APPLIANCE REPAIR/ALTERATION
101-0000-42402
0
$60.45
DESCRIPTION
ACCOUNT
QTY
AMOUNT
APPLIANCE REPAIR/ALTERATION PC
101-0000-42600
0
$24.15
Total Paid for MECHANICAL: $84.60
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$12.09
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$12.09
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$12.09
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600
0
$7.25
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST%ALT/REP
101-0000-42401
0
$12.09
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.09
Total Paid for PLUMBING FEES: $67.70
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400
0
$174.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$139.20
DESCRIPTION-%
ACCOUNT
QTY
AMOUNT
REMODEL, FIRST 100 SF
101-0000-42400
0
$49.31
DESCRIPTION.
ACCOUNT
QTY
AMOUNT
REMODEL, FIRST 500 SF PC
101-0000-42600
0
$134.88
Total Paid for REMODEL: $497.39
DESCRIPTION
ACCOUNT
'QTY"
AMOUNT
SMI - COMMERCIAL
101-0000-20308
0
$53.20
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $53.20
TOTALS:
$2,495.35
Plan Submittal
Job Site
Building Permit Number.
Project Description: bank renovabon/const
Exempt: l]
(Materials may contain hazardous wastes and
are not subject to recycling provisions)
Construction Debris Management Plan
Owner's Name
Number, Street, or PO Box
City, State, Postal Code
Owner's Phone Number
Owner's E -Mail Address
Project Manager's
Project Managers Phone N
Project Managers E-mail Ai
Builder / Conta
Number, Street or PO
City, State, Postal C
Project Square
8/8/2018
78-400 Hwy 111
Bank of America
PO Box 182588
Columbus, OH. 43218-2588
714-337-1578
scolt.nitzelfdlam.ill.com
Scott Nitzel
714-337-1578
scott.Mtzel0am.111.com
Armstrong Construction
840 West Front St.
Covina, CA. 91722
2,000 square feet
City Approval By
Date of City Approval
Materials To Be Discarded:
Product
Product
Tons
Trash
9.(
Asphalt
0.(
Bdck/Block
0.(
Cardboard
0.t
Commingled
0.(
Concrete
7. i
Drywall
1.t
Donated / Reuse•
0.t
"Describe Items
Totals: . Recycle Trash
11.0 9.0
Not recyclable
Product
Tons
Recyclable
Masonry (broken)
0.(
Recyclable
Plaster
0.(
Recyclable
Scrap Metal
1.e
Recyclable
Tile (floor)
0.:
Recyclable
Tile (roof)
0.(
Recyclable
Wood
0.1
Recyclable
Landscape Debris
0.(
Projected Diversion:
65.00%
Recyclable
I understand It is the property owner's responsibility to submit copies of weight tickets or receipts to the District
Environmental Coordinator as these hauls occur. I hereby certify that completion, Implementation and adherence of the
Debris Management Plan (DMP) for the above named project shall guarantee that at least 50% of the jobsite waste is
diverted from landfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining
materials generated from the first day of the project through the completion of the project in accordance with this plan. This
DMP is Issued In the name of the property owner(s) and shall remain their property throughout the construction and/or
demolition project. A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP Is still
Issued In the name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the
DMP are adhered to. The property owners) and general contractor shall be kept informed of the diversion progress through
bi-monthly reports. If self -hauling, all refuse material from this project site must be taken to an approved recycler or transfer
Owner / Developer / Project Manager / Superintendent Date
Bin. #
�,'y p •
City. of . a Quinta
Building 8t Safety Div[sion
P.O. Box 1504,78-495 Calle Tampico
1.a.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Le—�
Project Address: -I. Z? 0.7 (
Owner's Name: .
A. P. Number.
Address:
Legal Description:
City, ST, Zip:
Telephone: %
n •,
Contractor: i W'' ��vd l/QU' J' vfl toiQ
Address:ZS
Project Description: 1 0 1 J r A�
City, ST, Zip: :60U I WX L
Structural Cates.
`i
Telephone: l�� qI�1'
ha c°? :` ',
>:�es :mac%`:. =
City Lie. #;
,Q r7
State Lic. # : 7
O -- .
3 �� '
i' 1
J O�%1�,. v%t At
Arc ., Engr., Designer: /� /)
/ _ �},
Address: b A.atL K f +Y BOJ
City, ST, Zip: x -W f%N-` 1 L 6 6 `�
^I 'L t -
Tele hone. ` .
p b`
State Lie. #: C ( o '� '
��'�`
Construction Type: Occupancy: _ /e
Project type (circle one): New Add'n ter Repair Demo
Sq. Ft. Stories: I #Units:
.;fir`'
Name of Contact Person: V (,�
rT.l,=pho, of Contact Person: (0 q Z
` �_ -"�
lEstimated Value of Project.; 6119 D
�jJP.Q'Q.
' it ,1Att'IYI
#
(f, 5ilx,
Submittal
O X - M"A
Req'd'Ree'd
PLICANT: DO NOT WRITE BELOW THIS LINE
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted '
Mecharilcal
Giading plan
2a° Review, ready for correctionskssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grunt Deed
Plans picked up
S.M.I.
ILO -A- Approval
Plans resubmitted
Grading
IN HOUSE:.
'^' Review; ready for correctionsliissue
Developer Impact Fee
Planning Approval
Caked Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name: Knight Residence Date Prepared: 2016-08-02
A. General Information
CF111-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one CF1R-ALT-02 document for.each dwelling unit.
O1
Project Name
Knight Residence
02
Date Prepared
2016-08-02
03
Project Location
78330 Via Pavion
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Knight Residence
07
Zip Code
92253
08
Dwelling Unit Conditioned
2443
4nstalling=new SC
?installing
Installing
installing
Floor Area (ft2)
Identification or
Location or Area
by this SC
ducted
r
containing
Number of space conditioning
ore than 40
09
Climate Zone
15
10
(SC) systems in this dwelling
2
system?
component?
components?
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System Information:
01
02
03 -..
04 !
a 05 ` :1`+
.•.U6 , .-'. ti
ff 07':'
€ 08
09
10
41s the SC"
"Installing a..�
SC System
SC System
CFA served
system a - +
refrigerant
4nstalling=new SC
?installing
Installing
installing
Identification or
Location or Area
by this SC
ducted
r
containing
system
ore than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Main Living Area
1222
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Bedroom
1220
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 216-A0287482A-00000000Q-0000 • Registration Date/Time: 2016-08-02 09:30:22 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Rzz-idential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-02 09:30:32
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
'Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)lE and F)
01
02
03
04
05
06
07
08
09
10
11
12
Heating
Cooling
System
Heating
Altered
Heating
Minimum
Altered
Cooling
Minimum
Required
New or
Identification
System
Heating
Efficiency
Efficiency
Cooling
Cooling
Efficiency
Efficiency
Thermostat
Replaced
New Duct
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R -Value
Central gas
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
78
AC
cooling
SEER
13
Setback
section is not
section is not
components
components
applicable
applicable
Central gas
All new
Central split
All new
This field or
This field or
System 2.
furnace
heating
AFUE
78
AC
cooling
SEER
13
Setback
section is not
section is not
components
components
applicable
applicable
Reouired Documentation:
CQR-MCH-014 - Space Conditioning Systems Ducts and Fans -
-Duct insulation requirement for new plenums: R6.
CF211-MCH-20-1-1 & CF311-MCH-20-1-1 — Duct Leakage testing required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: 5 15%, or15 10% leakage to outside, or seal all accessible leaks.
CF211-MCH-25-11 & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant conta-ining.components are Installed or altered (applicable in CZ,2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required when MCH -25 is required..
Exceptions-.
-Duct systems registered with HERS provider as. previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MECH-25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage .Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 216-A0287482A-000000000-0000
Registration Date/Time: 2016-08-02 09:30:22
HERS Provlder: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-02 09:30:32
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 3 of 3 )
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature: r% %(7 %'
Knight, April
rlC CJCYtt iZt
p c
Company:
Signature Date:
ALL KNIGHT HEATING & AIR CONDITIONING
2016-08-02 09:30:22
Address:
CEA/ HERS Certification Identification (if applicable):
P 0 BOX 5232
City/State/Zip:
Phone:
LA QUINTA CA 92248'
760-772-4947•
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under th- laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications, materials, components, and manufactured devices for the building d�essign r,system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations of x' ,
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted'to the enforcement agency for approvaL'with this bwldmg permit applicati'>
5. I will ensure that a registered copy of this Certificate of Compliance shall-be:made available with.the building permit(s). issued forsthe;buildmg, and;made available to.the:enforcementsgency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance,is required to be included with the,documentation�the builder proyides to the building owner at occupancy.
-
Responsible Designer Name: `*�»- �µ
Responsible Designer Signature: Ait rj / / s
�I�rt
Knight, April
t t
j
Company:
Date Signed:
ALL KNIGHT HEATING & AIR CONDITIONING
2016-08-02 09:30:22
Address:
License:
P 0 BOX 5232
771254
City/State/Zip:
Phone:
LA QUINTA CA 92248
760-772-4947 -
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 216-A0287482A-00000000:.)-0000 Registration Date/Time: 2016-08-02 09:30:22 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-02 09:30:32
Schema Version: 0.555SDD
0
3
' 4
STATE OF CALIFORNIA
INDOOR LIGHTING
" EC-NRCC-LTI-01-E (Revised 08/15) V,MLR"VRIVIA CIVCRbT I.VMIVIIJJIVIV
CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E
Indoor Lighting '(Page 1 of 6)
Project Name: Bank of America - Point Happy Renovation Date Prepared: 5/27/2016
A. General Information
For detailed instructions on the use of this and all Energy Efficiency Standards compliance documents, refer to the Nonresidential Manual published by the California Energy Commission.
YES
NO FORM
TITLE
✓
Climate Zone:
Conditioned Floor Area : 3,161
✓.
NRCC-LTI-02-E
Lighting Controls, Certificate of Compliance, and PAF Calculation. All Pages required on plans for all submittals.
✓
9
Unconditioned Floor Area : 0
✓ NRCC-LTI-04-E
Tailored Method Worksheets
Building Type:
❑ Nonresidential
❑
High -Rise Residential
❑
Hotel/Motel
❑ Schools
❑ Relocatable Public Schools
15
Conditioned Spaces
❑
Unconditioned Spaces
Phase of Construction:
❑ New Construction
❑
Addition
CJ
Alteration
Method of Compliance:
❑ Complete Building
In
Area Category
❑
Tailored
Project Address: 78-400 Highway 111
B. Lighting Compliance Documents (select yes for each document included)
For detailed instructions on the use of this and all Energy Efficiency Standards compliance documents, refer to the Nonresidential Manual published by the California Energy Commission.
YES
NO FORM
TITLE
✓
NRCC-LTI-01-E
Certificate of Compliance. All Pages required on plans for all submittals.. -
✓.
NRCC-LTI-02-E
Lighting Controls, Certificate of Compliance, and PAF Calculation. All Pages required on plans for all submittals.
✓
NRCC-LTI-03-E
Indoor Lighting Power Allowance
✓ NRCC-LTI-04-E
Tailored Method Worksheets
✓ NRCC-LTI-05-E
Line Voltage Track Lighting Worksheets
CiiY OF LA QUIDNTP
APA
BUILDINGPROVED RECENEU
FOR CONSTRUCTION
DATE1�ILtBy J U L 19 2016,
V�Z�t(P � �'L� CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
i
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015
STATE OF CALIFORNIA
INDOOR LIGHTING
CEC-NRCC-LTI-01-E (Revised 08/15) UAurUMIA LNLKUY UUMnaisswry —
CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E
Indoor Lighting (Page 2 of 6)
Project Name: Bank of America - Point Happy Renovation Date Prepared: 5/27/2016
C. Summary of Allowed Lighting Power
Conditioned and Unconditioned space Lighting must not be combined for compliance
Indoor Lighting Power for Conditioned Spaces
Indoor Lighting Power for Unconditioned Spaces
Form/Title
Watts
Watts
❑ Field Inspector
Installed Lighting
Installed Lighting
NRCI-LTI-02-E - Must be submitted for a lighting control system, or for an Energy Management Control System (EMCS),
2,031
0
1.
NRCC-LTI-01-E, page 4
+
✓
NRCC-LTI-01-E, page 4
+
2'
PORTABLE ONLY FOR OFFICES
+
NRCI-LTI-04-E - Must be submitted for two interlocked systems serving an auditorium, a convention center, a
NRCC-LTI-01-E, page 3
✓
conference room, a multipurpose room, or a theater to be recognized for compliance.
Minus Lighting Control Credits
310
Minus Lighting Control Credits
0
3'
NRCC-LTI-02-E, page 2
-
NRCC-LTI-02-E, page 2
4
Adjusted Installed Lighting Power
=
1,721
Adjusted Installed Lighting Power
=
0
(row 1 plus row 2 minus row 3)
(row 1 minus row 3)'
5.
Complies ONLY if Installed:5 Allowed
Complies ONLY if Installed:5 Allowed
6
Allowed Lighting Power
3,803
Allowed Lighting Power
0
Conditioned NRCC-LTI-03-E, page 17
Unconditioned NRCC-LTI-03-E, page 1
D. Declaration of Required Installation Certificates
Declare by selecting yes for all Installation"Certificates that will be submitted. (Retain copies and verify forms are completed and signed.)
YES
NO
Form/Title
✓
NRCI-LTI-01-E - Must be submitted for all buildings
❑ Field Inspector
✓
NRCI-LTI-02-E - Must be submitted for a lighting control system, or for an Energy Management Control System (EMCS),
❑ Field Inspector
to be recognized for compliance.
✓
NRCI-LTI-03-E - Must be submitted for a line -voltage track lighting integral current limiter, or for a supplementary
❑Field Inspector
overcurrent protection panel used to energize only line -voltage track lighting, to be recognized for compliance.
NRCI-LTI-04-E - Must be submitted for two interlocked systems serving an auditorium, a convention center, a
❑Field Inspector
✓
conference room, a multipurpose room, or a theater to be recognized for compliance.
✓
NRCI-LTI-05-E - Must be submitted for a Power Adjustment Factor (PAF) to be recognized for compliance.
❑ Field Inspector
✓
NRCI-LTI-06-E - Must be submitted for additional wattage installed in a video conferencing studio to be recognized for
❑ Field Inspector
compliance.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015
STATE OF CALIFORNIA
INDOOR LIGHTING
'EC
-NRCC-LTI-01-E (Revised 08/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E
Indoor Lighting (Page 3 of 6)
Project Name: Bank of America - Point Happy Renovation Date Prepared: 5/27/2016
E. Declaration of Required Certificates of Acceptance _
Declare by checking all of the Certificates of Acceptance that will be submitted. (Retain copies and verify forms are completed and signed.)
YES
NO
Form/Title
✓
NRCA-LTI-02-A - Must be submitted for occupancy sensors and automatic time switch controls.
❑ Field Inspector
✓
NRCA-LTI-03-A - Must be submitted for automatic daylight controls.
❑ Field Inspector
✓
NRCA-LTI-04-A - Must be submitted for demand responsive lighting controls.
❑ Field Inspector
A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces. Installed Lighting Power listed on this Lighting Schedule is only for:
❑ CONDITIONED SPACE ❑ UNCONDITIONED SPACE
F. Indoor Lighting Schedule and Field Inspection Energy Checklist
❑ The actual indoor lighting power listed on this page and on the next page includes all installed permanent and planned portable lighting systems.
❑ When Complete Building Method is used for compliance, list each different type of luminaire on separate lines.
❑-When Area Category Method -or Tailored Method is used for compliance, list each different type of luminaire by each different function area on separate lines
0 Also include track lighting in schedule, and submit the track lighting compliance form (NRCC-LTI-05-E) when line -voltage track lighting is installed.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015
STATE OF CALIFORNIA
INDOOR LIGHTING
CEC-NRCC-LTI-01-E (Revised 08/15) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E
Indoor Lighting (Page 4 of 6)
Project Name: Bank of America - Point Happy Renovation Date Prepared: 5/27/2016
G. Installed Portable Luminaires in Offices — Exception to Section 140.6(a)
❑ This section shall be filled out ONLY for portable luminaires in offices (As defined in §100.1). All other planned portable luminaires shall be documented on next page of
this compliance form.
❑ This section is used to determine if greater than 0.3 watts of portable lighting is planned for any office
❑ Fill out a separate line for each different office. Small offices that are typical (having the same general and portable lighting) may be grouped together. This allowance
shall not be traded between offices having different lighting systems.
Office Portable Luminaire Schedule
Office Installed Portable Luminaire Watts Per Square
Foot
Office Location
Field Inspector
1
2
3
4
5
6
7
8
9
10
Installed
If F:5 0.3,
portable
Watts
enter
o v
luminaire
w �
per
zero;
Identify Office area in
QJ S
watts in
2 °
square
G05 x G07
which these portable
Pass Fail
Complete Luminaire Description
Z J
this office
'Q w
foot
if G06 >
luminaires are installed
(i.e., LED, under cabinet, furniture mounted
Watts per
(G02 x
Ln 0
(G04 /
0.3,
direct/indirect)
Luminaire
G03)
G05)
(G06-0.3)
❑ ❑ ;
❑," ❑
❑ ❑
0 0
Enter sum total of all pages into NRCC-LTI
Total installed portable luminaire watts that are greater than 0.3 watts per square foot per office:
01-E; Page 1
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015
p a
U)
rp
O a
z
v
rbr-
z
m
tA
v �
Ln
C1
mc
Q
c
❑ L4
m
C (p
z
n
O o
z
v �
Z
m
v �
LA o
D
n
M
m
Q
Q
0
o_
C
rl
n
0
0
a
0
m
4
4
Q
rb
�n
3
0
a
r-
0
m
v
0
m
m
a
0
Z3
n
S
M
Q
C
n1
H
O
0
M
m
m
0
0
C)
M
W
�
T
�Oo
Z
m
x
n
OOC')
s
D
rLX
010
o
-r0
or
-,
mY/Z
DName
x = D
o
N
D
HOZ
D
3
Z
r
D
00
jc
O
Z
cn
�
m
Item Tag
2.
O
O
M
m'
o
33
00
-C:
_
c)
O
Q
C
-n
N
Z
G
N
N
O
n
G1
LT
_
m w a
m
M
-
CD
�
3
CD
CD .
r
D
3 c
n
m
o
ai
vi
0
0
6 0
3
CD
CL
(D
a
=3
c
M
ru n,
CO
a
c
O.
CD
r-
�
m
,D
M
O
m
C7
0
^. 0
m
CO
^ 0 a
z
o
M
m
m
O
z
M
z
M
A
A
N
N
W
-+
Q
o
Cn
cn
o
w
w
Watts per
-<
0
0
0
0
0
0
0
0
n
n
_
Luminaire
2
Z
m
L
n
D
m
11
El
11❑
❑
❑
❑
011
❑
CEC Default
o
p
from NA8
rCLo
D
0
3
.0
.0�
C
U
13
40
According to
M�m
CL
n
D
§130.0(c)
�,
G)
m
;
;Ln
Cn
v
0)
Ln
N
O
OD
Number
Dm
r
Luminaires
C)
o
rn
N
o
-01
Ln
Total Installed
0
0
Watts in this area
T
CO
(1-103 x H05)
Z M
TI
TI
TI
p
TI
p
TI
TI
r-
r
ro
0
w
n
0
w
n
n
w
n<
s
3
n
_
p)'
A�
�l
A�
,�'
O
O
n
M�
3
T
of p
V)
(A
Al
En
(A
p1
En
N
N
W
m
.O-«
O
N :3
'�
n
CI
".
qa
0
0
0
n
_
O
n
_
a
o
_
NO
O
O
O
O
O
cu7
M
En
M
N
N
(n
Cl)
(D
f G
O
o❑❑❑❑❑a:00
a
=
v
M
❑'❑
❑
❑
❑
❑
❑
❑
❑
o
p a
U)
rp
O a
z
v
rbr-
z
m
tA
v �
Ln
C1
mc
Q
c
❑ L4
m
C (p
z
n
O o
z
v �
Z
m
v �
LA o
D
n
M
m
Q
Q
0
o_
C
rl
n
0
0
a
0
m
4
4
Q
rb
�n
3
0
a
r-
0
m
v
0
m
m
a
0
Z3
n
S
M
Q
C
n1
H
O
0
V-8
7
O
G
w
0
M
0
d
m
v
�o
v
M
a
Cn
N
N
O
zS
v n N
61 n O
on Zj Z
u
O O .
� m
m
U)
n Z D
o
a
o
z�m
^.
o
�
T
�Oo
Z
m
r
n
OOC')
s
D
rLX
010
o
-r0
-,
mY/Z
n
°`�
x = D
o
N
D
HOZ
3
r
D
00
jc
O
Z
cn
�
m
U
2.
V-8
7
O
G
w
0
M
0
d
m
v
�o
v
M
a
Cn
N
N
O
zS
v n N
61 n O
on Zj Z
u
O O .
� m
STATE OF CALIFORNIA
INDOOR LIGHTING
CEC-NRCC-LTI-01-E (Revised 08/15) UALIFUKNIA tNtKUY UUMMIJJIUN
CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E
Indoor Lighting (Page 5 of 6)
Project Name: Bank of America - Point Happy Renovation Date Prepared: 5/27/2016
A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces. Installed Lighting Power listed on this Lighting Schedule is only for:
0 CONDITIONED SPACE ❑ UNCONDITIONED SPACE
H. INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST
Luminaire Schedule
Installed Watts
Location
Field Inspector
A
B
C
D
E
F
G
H
How wattage was
determined
v
v M
W 0
`o M
Complete Luminaire Description
GJ
a 'Fa
O
w a E
0
Gu
a, 'o
— L vi
c •`— _
v H
E E
(i.e, 3 lamp fluorescent troffer,
N c
;
v z v o
o E g m
-0 c
E 'E
x
;° rn
Primary Function area in which
z —'
F32T8, one dimmable electronic ballast)
3 J
u a °i
Z 3
~ 3 =
these luminaires are installed
Pass Fail
S-90 Elbow
15.0
❑4
60
Financial Transactions
❑ ❑
- -
32.0
❑ Q
4
128
Financial Transactions
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑+ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
INSTALLED WATTS PAGE TOTAL:
Enter sum total of all pages into
188
NRCC-LTI-01-E; Page 2
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015
STATE OF CALIFORNIA
INDOOR LIGHTING '¢''
CEC-NRCC-LTI-01-E (Revised 08/15) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E
Indoor Lighting (Page 6 of 6)
Project Name: Bank of America - Point Happy Renovation Date Prepared: 5/27/2016
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: Yves Yanuarla
1
Documentation Author Signature:
Company:
Infrastructure Factor Consulting, Inc.
Signature Date:
5/27/2016
Address: 2361 Rosecrans Avenue, Suite 368
CEA Certification Identification (if applicable):
City/State/Zip: EI Segundo, CA 90245
phone: 323-617-0332
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance
(responsible designer).
3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of
Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance
documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
S. I will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for.the building, and made available to the
enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the
builder provides to the building owner at occupancy.
Responsible Designer Name: Ricky HOCUtt
Responsible Designer Signature:
Company: Infrastructure Factor Consulting, Inc.
Date Signed: 05/971001 F;
Address: 2361 Rosecrans Avenue, Suite 368
License: E19284
City/State/Zip: EI Segundo, CA 90245
Phone: 310.220.2729
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015
STATE OF CALIFORNIA
INDOOR LIGHTING — LIGHTING CONTROLS
CEC-NRCC-LTI-02-E (Revised 05/15) CALIFORNIA ENERGY COMMISSION -fir
CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E
Indoor Lighting - Lighting Controls (Page 1 of 3)
Project Name: Bank of America - Point Happy Renovation Date Prepared: 5/27/2016
The NRCC-LTI-02-E shall be used to document all mandatory and prescriptive lighting controls that are applicable to the project.
Mandatory Lighting Control Declaration Statements (Indicate if the measure applies by checking yes or no below.)
YES
NO
Control Requirements
Lighting shall be controlled by self-contained lighting control devices which are certified to the Energy Commission according to the Title 20 Appliance
✓
Efficiency Regulations in accordance with Section 110.9.
Lighting shall be controlled by a lighting control a system or energy management control system in accordance with §110.9. An Installation Certificate
shall be submitted in accordance with Section 130.4(b).
One or more Track Lighting Integral Current Limiters shall be installed which have been certified to the Energy Commission in accordance with §110.9 and
§130.0. Additionally, an Installation Certificate shall be submitted in accordance with Section 130.4(b).
A Track Lighting Supplementary Overcurrent Protection Panel shall be installed in accordance with Section 110.9 and Section 130.0. Additionally, an
✓
Installation Certificate shall be installed in accordance with Section 130.4(b).
All lighting controls and equipment shall comply with the applicable requirements in §110.9 and shall be installed in accordance with the manufacturer's
✓
instructions in accordance with Section 130.1.
✓
All luminaires shall be functionally controlled with manually switched ON and OFF lighting controls in accordance with Section 130.1(a).
General lighting shall be separately controlled from all other lighting systems in an area. Floor and wall display, window display, case display, ornamental,
✓
and special effects lighting shall each be separately controlled on circuits that are 20 amps or less. When track lighting is used, general, display,
ornamental, and special effects lighting shall each be separately controlled; in accordance with Section 130.1(a)4.
The general lighting of any enclosed area 100 square feet or larger, with a connected lighting load that exceeds 0.5 watts per square foot shall meet the
✓
multi-level lighting control requirements in accordance with Section 130.1(b).
✓
All installed indoor lighting shall be equipped with controls that meet the applicable Shut -OFF control requirements in Section 130.1(c).
✓
Lighting in all Daylit Zones shall be controlled in accordance with the requirements in Section 130.1(d) and daylit zones are shown on the plans.
Lighting power in buildings larger than 10,000 square feet shall be capable of being automatically reduced in response to a Demand Responsive Signal in
✓
accordance with Section 130.1(e).
Before an occupancy permit is granted for a newly constructed building or area, or a new lighting system serving a building, area, or site is operated for
✓
normal use, indoor lighting controls serving the building, area, or site shall be certified as meeting the Acceptance Requirements for Code Compliance in
accordance with Section 130.4.(a). The controls required to meet the Acceptance Requirements include automatic daylight controls, automatic shut -OFF
controls, and demand responsive controls.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance • May 2015
STATE OF CALIFORNIA
INDOOR LIGHTING — LIGHTING CONTROLS
CEC-NRCC-LTI-02-E (Revised 05/15) CALIFORNIA ENERGY COMMISSION -Q&P''
CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E
Indoor Lighting - Lighting Controls .(Page 2 of 3)
Project Name: Bank of America - Point Happy Renovation Date Prepared: 5/27/2016
A separate document must be filled out for Conditioned and Unconditioned Spaces. This page is used only for the following:
D CONDITIONED SPACES ❑ UNCONDITIONED SPACES
MANDATORY AND PRESCRIPTIVE INDOOR LIGHTING CONTROL SCHEDULE, PAF CALCULATION, and FIELD INSPECTION CHECKLIST
PAF Credit
Calculation
Z
t
T
11
D
FD*
a
-
1
OC
r- r=+ G
do d
°
r) p
n
a YrD
a
Lighting Control Schedule
Standards Complying With
(✓ all that apply, or enter 'E' if Exempted)
o °
T
x � ct
= a °
n o
°
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
Type/ Description of Lighting
Control (i.e.: occupancy sensor,
#
W;
AOM
o
A
Q)I
Location in Building
automatic time switch,
of
o
0
0
0
0
o
o
dimmer, automatic daylight,
Units
2
T
a
etc...)
Office 102
Dimming w/Occ Sensor
40
0.25
10
V
. ❑ ❑
Office 103
Dimming w/Occ Sensor
40
0.25
10
✓
❑ ❑
Office 104
Dimming w/Occ Sensor
✓
40
0.25
10
r
❑ ❑
Office 105
Dimming w/Occ Sensor
40
0.25
10
'❑ ❑
Office 130
Dimming w/Occ Sensor
40
0.25
10
✓
❑ ❑
Teller 116
Dimming - Manual
✓
150
0.10
15
❑ ❑
Teller 116
Dimming - Manual
200 10.10
20 1✓
- ❑ ❑
Control Credit PAGE TOTAL (Sum of Column M):
85
IF MULTIPLE PAGES ARE USED, ENTER SUM TOTAL OF Control Credit for all pages HERE (Sum of all Column M):
310
Enter Control Credit total
into NRCC-LTI-01-E; Page
1.
1. §130.1(a) = Manual area controls; §130.0(b) = Multi Level; §130.1(c) = Auto Shut -Off; §130.1(d) = Mandatory Daylight; §130.1(e) = Demand Responsive; §140.6(d) =
Additional lighting controls installed to earn a PAF; §140.6(d) = Prescriptive Secondary Sidelit Daylight Controls.
2. Check Table 140.6-A for correct Factor. PAFs shall not be traded between conditioned and unconditioned spaces. As a condition to earn a PAF, an Installation Certificate is
also required to be filled out signed, and submitted.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance
May 2015
STATE OF CALIFORNIA
INDOOR LIGHTING — LIGHTING CONTROLS
Waaw_"
CEC-NRCC-LTI-02-E (Revised 05/15) CALIFORNIA ENERGY COMMISSION -�-
CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E
Indoor Lighting - Lighting Controls (Page 2 of 3)
Project Name: Bank of America - Point Happy Renovation Date Prepared: 5/27/2016
A separate document must be filled out for Conditioned and Unconditioned Spaces. This page is used only for the following:
D CONDITIONED SPACES ❑ UNCONDITIONED SPACES
MANDATORY AND PRESCRIPTIVE INDOOR LIGHTING CONTROL SCHEDULE, PAF CALCULATION, and FIELD INSPECTION CHECKLIST
PAF Credit Calculation Z
n
�
M +
Ln D
_T
FD
a
Standards Complying With 1
r 7
QO N
H
f7
rl p
X rDlu
N rDD
Q 'a
'0
Lighting Control Schedule
(✓ all that apply, or enter 'E' if Exempted)
j�
w CL °
D
n
= '* o
Q (Do
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
Type/ Description of Lighting
Control (i.e.: occupancy sensor,
#
`71
i'm
�
L40M
a;
a
N
Location in Buildingautomatic
time switch,
of
o
0
0
0
C)
rn
o
v CU
Y'n =
dimmer, automatic daylight,
Units
�+
o
N
r
etc...)
Calling Cube
Dimming w/Occ Sensor
88
0.251
22
V
0 ❑.
Coupon Booth
Dimming w/Occ Sensor
✓
26
0.2517
✓
❑ ❑
Vault Lobby
Dimming w/Occ Sensor
65
0.25
16
r
❑ ❑
Central Zone 101
Dimming - Manual
234
0.10
23
V
❑ ❑
Central Zone 101
Dimming - Manual
✓
60
0.10
6
✓
0 ❑.
Central Zone 101
Dimming - Manual
✓
128
0.10
13
✓
0 -0
Queue Area
Dimming - Manual
169
0.10
17 10
Control Credit PAGE TOTAL (Sum of Column M):
104
IF MULTIPLE PAGES ARE USED, ENTER SUM TOTAL OF Control Credit for all pages HERE (Sum of all Column M):
310
Enter Control Credit total
into NRCC-LTI-01-E; Page
1.
1. §130.1(a) =Manual area controls; §130.0(b) = Multi Level; §130.1(c) =Auto Shut -Off; §130.1(d) =Mandatory Daylight; §130.1(e) =Demand Responsive; §140.6(d) =
Additional lighting controls installed to earn a PAF; §140.6(d) = Prescriptive Secondary Sidelit Daylight Controls.
2. Check Table 140.6-A for correct Factor. PAFs shall not be traded between conditioned and unconditioned spaces. As a condition to earn a PAF, an Installation Certificate is
also required to be filled out, signed, and submitted.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance May 2015
STATE OF CALIFORNIA
INDOOR LIGHTING — LIGHTING CONTROLS
ORN-Al-,
CEC-NRCC-LTI-02-E (Revised 05/15) UALIrUKNIA tNtKUY UUMMItiZ51
CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E
Indoor Lighting - Lighting Controls (Page 2 of 3)
Project Name: Bank of America - Point Happy Renovation Date Prepared: 5/27/2016
A separate document must be filled out for Conditioned and Unconditioned Spaces. This page is used only for the following:
D CONDITIONED SPACES ❑ UNCONDITIONED SPACES
MANDATORY AND PRESCRIPTIVE INDOOR LIGHTING CONTROL SCHEDULE, PAF CALCULATION, and FIELD INSPECTION CHECKLIST
PAF Credit
Calculation z
t
(D
�+ D
!D
Q
1
f1
r 7
r)
n o
rD (nD
Standards Complying With
3�
X a q
Lighting Control Schedule
(✓ all that apply, or enter 'E' if Exempted)
a °
T
CL
o
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
Type/ Description of Lighting
Control (i.e.: occupancy sensor,
#
)
O
a;
a;
Lo
A
w+
Location in Building
automatic time switch,
of
0
0
0
0
0 .
P .
o
dimmer, automatic daylight,
Units
I�
i;,
CD
a
^
_EZ
N
a
etc... )
ATM / Work Room 121 / 12;
Dimming w/Occ Sensor
220
0.25
55
❑
❑
Break Room 117
Dimming w/Occ Sensor
✓
264
0.25166
✓
❑
❑
❑
❑
Control Credit PAGE TOTAL (Sum of Column M):
121
IF MULTIPLE PAGES ARE USED, ENTER SUM TOTAL OF Control Credit for all pages HERE (Sum of all Column M):
310
Enter Control Credit total
into NRCC-LTI-01-E; Page
1.
1. §130.1(a) = Manual area controls; §130.0(b) = Multi Level; §130.1(c) = Auto Shut -Off; §130.1(d) = Mandatory Daylight; §130.1(e) = Demand Responsive; §140.6(d) =
Additional lighting controls installed to earn a PAF; §140.6(d) = Prescriptive Secondary Sidelit Daylight Controls.
2. Check Table 140.6-A for correct Factor. PAFs shall not be traded between conditioned and unconditioned spaces. As a condition to earn a PAF, an Installation Certificate is
also required to be filled out, signed, and submitted.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance May 2015
STATE OF CALIFORNIA
INDOOR LIGHTING — LIGHTING CONTROLS
r-r-S-sR
CEC-NRCC-LTI-02-E (Revised 05/15) UALIhUKNIA ENLKUY UUMMIZ: IK N
CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E
Indoor Lighting - Lighting Controls (Page 3 of 3)
Project Name: Bank of America - Point Happy Renovation Date Prepared: 5/27/2016
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: Yves Yanuaria
Documentation Author Signature:
Company: Infrastructure Factor Consulting, Inc.
signature Date: 5/27/2016
�]
Address: 2361 Rosecrans Avenue, Suite 368
CEA Certification Identification (if applicable):
City/State/Zip: EI Segundo, CA 90245
phone: 323-617-0332
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance
(responsible designer).
3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of
Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance
documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. 1 will ensure that_a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the
enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the
builder provides to the building owner at occupancy. t
Responsible Designer Name: Ricky HOCutt
Responsible Designer Signature:
Company: Infrastructure Factor Consulting, Inc.
Date Signed: 05274 01 6
Address: 2361 Rosecrans Avenue, Suite 368
License: E19284
City/state/Zip: EI Segundo, CA 90245 •
phone` 310.220.2729
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance May 2015
STATE OF CALIFORNIA
INDOOR LIGHTING POWER ALLOWANCE
CEC-NRCC-LTI-03-E (Revised 05/15) %,MUrVfVVIM CINCMUT l UIVIM1001 AV
CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E
Certificate of Compliance - Indoor Lighting Power Allowance (Page 1 of 4)
ProjectName:
Bank of America - Point Happy Renovation Date Prepared: 5/27/2016
A separate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for:
0 CONDITIONED spaces ❑ UNCONDITIONED spaces
A. SUMMARY TOTALS OF LIGHTING POWER ALLOWANCES
❑
❑
If using Complete Building Method for compliance, use only the total in column (a) as total allowed building watts.
If using Area Category Method, Tailored Method, or a combination of Area Category and Tailored Method for compliance, use only the total in column (b) as the total
allowed building watts
3,803
3
(a)
(b)
1.
Complete Building Method Allowed Watts. Documented in section B of NRCC-LTI-03-E (below on this page)
X
COMPLETE
BLDG. AREA
2.
Area Category Method Allowed Watts. Documented in section C-1 of NRCC-LTI 03 E (below on this page);
,.
3,803
3. Tailored Method Allowed Watts. Documented in section A of NRCC-LTI-04-E
0
TOTAL ALLOWED BUILDING WATTS. Enter number into correct cell on NRCC-LTI-01, Page 2, Row 1
1
13,803
❑
Check here if building contains both conditioned and unconditioned areas. _
B. COMPLETE BUILDING METHOD LIGHTING POWER ALLOWANCE
1
2
3,803
3
0
4
TYPE OF BUILDING (From §140.6 Table 140.6-B)
WATTS
PER (ftz)
X
COMPLETE
BLDG. AREA
ALLOWED
WATTS
Total Area:
Total Watts. Enter Total Watts into section A, row 1
(Above on this page)
C -1 AREA CATEGORY METHOD TOTAL LIGHTING POWER ALLOWANCES (D plus E)
Watts
Total from section C-2
3,803
Total from section C-3
0
Total Watts. Enter Total Watts into section A, row 2 (Above on this page)
3,803
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance May 2015
STATE OF CALIFORNIA
• .u...�..�..-. . .i..�0-%.wie-rte w. . 0-%Iwiw&inr
mr]
CEC-NRCC-LTI-03-E Revised 05/15 L ALIrVKNIA tNtKkJY UUMIVIIJSIVN
CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E
Certificate of Compliance - Indoor Lighting Power Allowance (Page 2 of 4)
Project Name: Bank of America - Point Happy Renovation Date Prepared: 5/27/2016
A separate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for:
0 CONDITIONED spaces 0 UNCONDITIONED spaces
C -2 AREA CATEGORY METHOD GENERAL LIGHTING POWER ALLOWANCE
❑ . Do not include portable lighting for offices. Portable lighting for offices shall be documented only in section B of NRCC-LTI-01-E.
❑ Separately list lighting for each primary function area as defined in §100.1 of the Standards.
A
B
X
C
=
D
AREA CATEGORY (From §140.6 Table 140.6-C)
WATTS
PER (ft')
AREA (ft')
ALLOWED
WATTS
Location in Building
Primary Function Area per Table 140.6-C
Offices < 250 sqft
Financial Transactions
1.20
1,130
1,356
Vestibule
Lobby, Main Entry
1.50
148
222
ATM Room / Work Room / Lobby / Queue Ar
Financial Transactions
1.20
1,533
1,840
Break Room
Dining Room -
1.10
350
385
TOTALS 3,161
Enter sum total Area Category allowed watts into section C-1 of NRCC-LTI-03-E (this compliance form) 3,803
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance May 2015
STATE OF CALIFORNIA
INDOOR LIGHTING POWER ALLOWANCE
CEC-NRCC-LTI-03-E (Revised 05/15) UALIFUKNIA LNLKUY UUMMISSIUN
CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E
Certificate of Compliance - Indoor Lighting Power Allowance (Page 3 of 4)
Pro;ectName: Bank of America - Point Happy Renovation oatePrepared: 5/27/2016
A separate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for:
CONDITIONED spaces ❑ UNCONDITIONED spaces
C-3 AREA CATEGORY METHOD ADDITIONAL LIGHTING WATTAGE ALLOWANCE (from Table 140.6-C Footnotes)
A
B
CZ
D
E
F
G
ALLOWED
Additional
Wattage
WATTS
Primary
Sq Ft or
Watts
Allowance
Description(s) and Quantity of Special
Total Design
Smaller of
Function
linear ft 1
Allowed
(B x C)
Luminaire Types in each Primary Function Area
Watts 3
D or F
TOTALS — Enter into TOTAL AREA CATEGORY METHOD ADDITIONAL ALLOWANCES - Section C-1.110
1
1. Use linear feet only for additional allowance for white board or chalk board. All other additional Area Category allowances shall use watts per square foot.
2 . Additional watts are available only when allowed according to the footnotes on bottom of Table 146-C, which include: Specialized task work; Ornamental lighting;
Precision commercial and industrial work; Per linear foot of white board or chalk board; Accent, display and feature lighting; and Videoconferencing Studio lighting..
3. Luminaire classification and wattage shall be determined in accordance with §130.0(c) of the Standards.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance May 2015
STATE OF CALIFORNIA
INDOOR LIGHTING POWER ALLOWANCE
CEC-NRCC-LTI-03-E (Revised 05/15) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E
Certificate of Compliance - Indoor Lighting Power Allowance (Page 4 of 4)
Project Name: Bank of America - Point Happy Renovation Date Prepared: 5/27/2016
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: Yves Yanuarla
Documentation Author Signature:
Company:
Infrastructure Factor Consulting, Inc.
Signature Date:
5/27/2016
Address:. 2361 Rosecrans Avenue, Suite 368
CEA Certification identification (if applicable):
City/State/Zip:
EI. Segundo, CA 90245
Phone:
323-617-0332
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance
(responsible designer).
3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of
Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance
documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
S. I will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the
enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the
builder provides to the building owner at occupancy.
Responsible Designer Name: Ricky Hocutt
Responsible Designer Signature:
Company: Infrastructure Factor Consulting, Inc.
Date Signed: 05/27/2016
Address: 2361 Rosecrans Avenue, Suite 368
License: E19284
City/State/Zip: EI Segundo, CA 90245
Phone: 310.220.2729
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance May 2015
JUN715-2016 WED 08:03 AM RIVERSIDE COUNTY FIRE FAX N0, 17608637072 P. 01/01
Riverside County Fire Department Fire Protection Planning Section
Rlvemlde Office: 2300 Mseket 61., Ste, 150, RNeral4a, CA o7no1 Ph. (881) 9664777 Fax (951) 955-ASao
N,urrlate Office: 39493 Loa Alambe Rd., Ste A, Munlela, OA 02569 Ph, (051) ODo8100 Fax (96t) 800.8164
Palm Detarl 01111oo: 77.033 We Montana$ Rd„ F 201 Palm Desert, CA 92211.4131 ft. (760) 863.88861760) 863-7077
A •
Fire Department Clearance/Release
Date:" 6/15/2016
To: LA-QUINTA B&S
Fax:
Tract/Parcel Map #: BANK OF AMERICA'
PermillLot #:
LAQ-16-T I-015
Job Site Address: 78-400 HWY 111
LA QUINTA
Final For Recordation
XXX ( Release For Building Permit(s)
Shell Final Only (No Tenant)
Final For Occupancy
XXX 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,
l
Authorizing Signature For Release.
KOHL HETRICK
Print Name
FOR11 C — ReVIeed 6119/2014 - -
D PLAN
GENERAL NOI