Loading...
13-0298 (RC)/000`� -_ �e l Y 7 c• I - o Ahf P.O. BOX 1504 :' - " ' VOICE (760) 777-7012 78-495 CALLE TAMPICO 4f FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT 5/06/13 Application Number: 13-00000298 Owner: AI� Property Address: 79710 HIGHWAY 111 STE 103 RICHARD SCHINDLER u APN: 649-020-014-3 -31143 38516 AMATEUR WAY Application description: REMODEL - COMMERCIAL BEAUMONT, CA 92223 Mill J 2��3 Property Zoning: REGIONAL COMMERCIAL ( L Application valuation: 95000 i CITYOFWQUINTA Contractor: ---- Applicant: Architect or Engineer: BIO CONVERTERS, INC., DBA MARV 42335 WASHINGTON ST, S=F#424 \ \� PALM DESERT, CA 92211 (760) 774-6475 Lic. No.: 876299 ------------------------------------------------------------------------------------------------— LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with 1 hereby affirm under penalty of perjury one of Sf('owing declarations: Section 7000) of Division 3 of the Business and Professionals y License is in full force and effect. ve and will maintain nate of consent to self -insure for workers' compensation, as provided License Class: B ice o.: 876299 for by Sectio of the Labor Code, for the performance of the work for which this permit is ��� issue Datee-=� Contract�;r� Z— I l� and will maintain workers' compensation insurance, as required by Section 3700 of the Labor 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 Codel 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 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 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: LQPERN11T e7 Code, for the performance of the work for which this permit is issued. My workers compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 191730313 /JI certify that, in the perfognance 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 subje e-worke ' pensation provisions of Section /3700 of the Labor Code, I shall 'th comply w' visions. Date/1 �!/` Applicants '` ' WARNING: FAILURE TO CSECURE WO S' COMPENSATI z• SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, - • the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above informa ' s correct. I agree to c ply with all city and county ordinances and state laws relating to building constr ion, and h y authorize re esentatives 'of this county toenterupon the above-mentioned property for i ection S. Dat" e` �w Signature (Applicant or Agent)'-/ Application Number . . . . . 13-00000298 ------ Structure Information 3,600SF RETAIL TI/VB/M-OCC/97-OL/SPRINK ----- Other struct info . . . . . CODE EDITION 2010 FIRE SPRINKLERS FULLY MIXED-USE OCCUPANCY M/B OCCUPANT LOAD 97.00 - ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 3600.00 Permit . . . . . . BUILDING PERMIT Additional desc . Permit Fee 617.00 Plan Check Fee 401.05 Issue Date . . . . Valuation . . . . 95000 Expiration Date . . 11/02/13 Qty Unit Charge Per Extension BASE FEE 414.50 45.00 4.5000 ---------------------------------------------------------------------------- THOU BLDG 50,001-100,000 202.50 Permit ... . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 87.00 Plan Check Fee 21.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/02/13 Qty Unit Charge Per Extension = BASE FEE 15.00 3600.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 72.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 68.50 Plan Check Fee 17.13 Issue Date . . . . Valuation 0 Expiration Date 11/02/13 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 4.5000 EA MECH VENT INST/ DUCT ALT 13.50 3.00 9.0000 EA MECH APPL REP/ALT/ADD 27.00 2.00 6.5000 ---------------------------------------------------------------------------- EA' MECH VENT FAN 13.00 Permit .. . PLUMBING Additional desc . Permit Fee . . . . 69.00 Plan Check Fee 17.25 Issue Date . . . . Valuation . . . . 0 LQPERDIIT Application Number . . . . . 13-00000298 Permit . . . . . . PLUMBING Expiration Date 11/02/13 Qty Unit Charge Per Extension BASE FEE 15.00 6.00 6.0000 EA PLB FIXTURE 36.00 2.00 7.5000 EA PLB WATER HEATER/VENT 15.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 ---------------------------------------------------------------------------- Special Notes and Comments 3,600SF TI/VB/M-OCC/97-OL/SPRINKLED [PAPER DOLLS INTERIORS] THIS PERMIT DOES NOT INCLUDE ALTERATION -TO THE EXISTING SHELL BUILDING OR EXTERIOR SIGNAGE. 2010 CALIFORNIA BUILDING CODES. May 6, 2013 8:36:41.AM AORTEGA . ---------------------------------------------------------------------------- Other Fees . . . . . . . ... ACCESSIBILITY PLAN REVIEW 40.11 BLDG STDS ADMIN (SB1473) 4.00 ENERGY REVIEW FEE 40.11 Fee summary Charged Paid Credited ------------------------------ Due --------------------------- Permit Fee Total 841.50 .00 .00 841.50 Plan Check.Total 457.18 .00 .00 457.18 Other Fee Total 84.22 .00 .00 84.22 Grand Total 1382.90 .00 .00 1382.90 LQYERAI IT Bln.# 05P) t QtY Of La Quidta Buifdfng 81 Safety Division P.O. Box 1504, •78-495 Calfe Tampico 4.QLdnta, CA 92253 -:(760) 777-7012 * Building Permit Application and Tracking Sheet Permit # I ProjectAddtess: q �� I ��, Owner'. Name:. A P. Number Legal Description:' 6 Contractor. ST, Zip: Telephone: ProjectDescription: Zj( Address: 6W1 City, ST, Zip: ' Telephone:0510 State Lic. # : qty Lic. 9, Arch, Engr., Designer.S � •addr�: cJ � . City. ST, zip: 2 2 Telephone• Construction Type:. Ooarpancy: State Lia #: 0-1574M Project type (circle one): New Add'n Alta Repair Demo Name of Contact Person: L L tWQ P# V y . S4. Ft.: # Stories: # Unit Telephone # of Contact Person: Estimated Value of Project: p� APPLICANT: DO NOT WRITE BELOW THIS UNE !E Sabmlttal Req'd. Reed TRACENG PERMITFEES Plan Sets 1Y 1 Plan Check submitted" Idffi Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit" . Truss Calcs. - Wed Contact Person Jk Pias Cheek Balance- alance_Title Title24 Cates. Plans picked up J$C Construction Blood; plain plan Plans resubmi. ted.' . Mechariical Grading plan 2'! Review, ready [or correctiongrigmel ectrical Subcontactor List Called CoutactPerson i'.4 Plumbing Grant Deed Plans ptcked.up S.I1U H.O.A. Approval Plans resubmitted 101. Grading IN ROUSE:- ''" Review, ready for eorrectionsfissue peveloper Impact Fee Planning Approval. Called ContP acterson A.LP.P. Pub. Wks Appr Date of permit issue School Fees Total Permit Fees Ptfot 4e:�• tri -e4 u.�s��e... ® � ® 1-• PART1 1 1 t - 4� CG ='r" I4'-�' IQ'-^�' �h'-0' q' -p' 14'�� ?6'•6' 1, i4'-0• 14' -per �b'-G' �'-� Iq'-C"" 70'-0' 14.-J" la, -.I" 00 -H l [� P£C �P¢'9;•BI•i fE5-A9• n � FAL 115y'5i �1 145 E9 � h �1�3'SZ I 165-1 {• �I .2 I'-0' ACC a 0 a nmlq' ry PRO I. ti — I - se a• sum — -T ` 6 4, - 14 El" v s 6 •y a e S �. ~ 7 a V` swm Inv b s of � -g TrP 6] Zo-o : �+" CI I 1 d x �J �� •. � curt I'm y �yI 14, 1 1 V su>'e bf Q � J r ETAIL 1 - parte I FIN. FLR EL IV,=58.26 " PAD ELEV = 57.50 RETAIL 2 - parcel 2 L ZETAIL 3- n I 1 a, 223 SF F� FIN. FLR. ELEV.=58.25 - - sart pwrr: sort s PAD ELEV. = 57.50 I, la a. 15'-5 SU?E 100 26 ® sun ra { 4.558 SF Q' a � a jr I sort oe � I I � JC 13 k - -- 1p. I.ni. v� ----`"4` -7m• �_-__-��--fes-� � � �r_.��- _tea �''� r�] `— — — — — — — — — — — — — — — — — — — - - ---STATE------kI4�WA-------- 1-1-1--------------- -- ---- --------------------------------------- ly Su�T� �In�Ess tea I CITY OF LA OUINTA R£'FEREW-E SITE PLAN APN 4..644-010-014-6) I BUILDING 6 SAFETY DEPT. IAPPF40VED rel � ALL PPLtpltt LI/S, EASf}gfi5 Ny7 BIILDIMSS, vvmM � � P.G STIb TNO PRO^::9FD, A� 9NdN d TMS 51TE PLA N rtnl im No V.r l t,t � John R. Hawkins - Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning Beaumont Calimesa Canyon Lake ., Coachella •. Desert Hot Springs Indian Wells Indio .y Lake Elsinore 4. r La Quinta Moreno Valley 10. Palm Desert Perris 4.Rancho Mirage .;. Rubidoux CSD San Jacinto 4. Temecula Board of Supervisors Bob Buster, RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the . California Department of Forestry and Fire Protection 77-933 Las Montanas Rd. #201, Palm Desert, CA 92211 Ph: (760) 863-8886 Fax: (760) 863-7072 05-06-2013 Jack Lanphere- , 38516 Amuhire Way Beaumont, CA 92223 Permit Number: LAQ-13-TI-016 Project Name: Paper.Dolls Project Address: 79-710 HWY 111, STE 103, La Quinta, CA 92253 Type of Review: Fire Department personnel have reviewed and approved the plans you submitted for the above referenced project. The Applicant shall be responsible to contact the Fire Department to schedule inspections. Requests for inspections are to be made at least 72 hours in advance. For'City of La Quinta fire inspections, please call. 760-863-8886 All questions regarding the meaning of these conditions shall be referred to Riverside County Fire Department - Fire Protection Planning office at (760) 863-8886. Sincerely/ Respectfully, Stephen Otero Fire Safety Specialist Attachments - 1 of 3 pages of conditions District 1 John Tavaglione, District 2 Jeff Stone, District 3 Roy Wilson, District 4 Marion Ashley, District 5 CASE# I General Conditions PRIOR TO BUILDING FINAL INSPECTION A five year sprinkler service and certification for the existing sprinkler system is required per Title 19. A licensed C-16 contractor must complete the servicing and certification. Documentation of completed work must be submitted to the Fire Department. The maintenance records, for the sprinkler system must be available on- site for review by a Fire Department Inspector. Existing fire lanes shall be maintained and additional fire lanes may be required. Contact the Fire Department for guidance and any plan requirements. Install a portable fire extinguisher, with a minimum rating of 2A 10BC for every 3,000 sq. ft and/or 75 feet of travel distance in warehouse and/or work areas. Fire extinguishers shall be mounted no higher than 5 ft. above finished floor, measured to the top of the extinguisher. Where not readily visible, signs shall be posted above all Extinguishers to indicate their locations. Extinguishers must have current CSFM service tags affixed; or within one year of from the date of month and year of manufacture. (NOTE: If only a year of manufacture is indicated, maintenance shall be due January 1 st of the year following. The existing fire alarm system shall be modified to provide proper coverage as required by the California Building Code, California Fire Code and adopted standards. A C-10 licensed contractor must submit plans to the Fire Department for review and approval prior to installation. A rapid entry Knox Box shall be installed on the outside of the building. If the building/facility is protected with a fire alarm or burglar alarm system, it is recommended that the lock box be "tamper" monitoring. Special forms are available from this office for ordering the Knox Box. Provide keys to the tenant space for inclusion in the main building Knox Box. Key(s) shall have durable and legible tags affixed for identification of the correlating tenant space. , Exit signs, exit marker and exit path markings shall be installed per the California Building Code. CASE# Page 12 Applicant/developer must submit an emergency evacuation plan to the Fire Department for review and approval prior to installation. Evacuation plan(s) must be posted in the building at locations approved by the Fire Department. Submit to the Fire Department flame-retardant certification(s) by applicator or manufacturer, along with CSFM Listing, for all decorative materials used in this facility. Samples of flame-retardant material(s) may be required for flame spread testing. All required treated materials must have. a current CSFM approval tag affixed to each item or panel. Display street numbers in a prominent location on the address side of building(s) and rear access if applicable. Numbers and letters shall be a minimum of 12" in height for building(s) up to 25' in height and 24" in height for building(s) exceeding 25' in height. All addressing must be legible, of a contrasting color with the background and adequately illuminated to be visible from the street at all hours. All lettering shall be to Architectural Standards. In multi -tenant buildings, lettering a minimum of 6" in height shall be posted with business names and suite numbers/letters on front and back doors. All addressing must be legible, of a contrasting color with the background and adequately illuminated to be visible from the street at all hours. All lettering shall be to Architectural Standards. Applicable room door(s) shall be posted "ELECTRICAL ", "FACP", "FIRE RISER" and "ROOF ACCESS" on the outside of the door so it is visible and in a contracting color. Room occupancy load, as approved by the Building Official, shall be posted in a conspicuous place near the main exit from the room(s). The location shall be approved by the Fire Department. Posting shall be by means of an approved durable sign having a contrasting color from the background to which it is attached. The . owner shall maintain signs in a legible manner. No person shall deface, remove or change the occupant load on the sign except as authorized by the Building Official and/or Fire Department. All egress door hardware shall comply with the California Building Code. CASE# . Page 13 V_' • • PERFORMANCE CERTIFICATE OF COMPLIANCE (Part 1 of 3) PERF -1 C Project Name Date Paper Dolls 3/14/2013 Project Address Climate Zone Total Cond. Floor Area Addition Floor Area 79-710, D, E, F HWY 111 La Quinta CA Climate Zone 15 3,600 0 GENERAL INFORMATION Building Type: m Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room ❑ Relocatable - indicate ❑ specific climate zone ❑ all climates Phase of Construction: ❑ New Construction ❑ Addition ® Alteration STATEMENT OF COMPLIANCE This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This certificate applies only to a Building using the performance compliance approach. The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author Name ,L `��1�� �t Signature i Z�/� Company Date 3/141201 Address Phone ( 23 City/State/Zip�� �._.. The Principal Designer hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application. The proposed building has been designed to meet the energy efficiency requirements contained in sections 110, 116 through 118, and 140 through 149 of Title 24, Part 6. Please check one: ENV. LTG. MECH. 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 1' d i the State California as a civil engineer, mechanical engineer, electric i�n ro eAo s tion ❑ ❑ ❑ 5537.2 or 6737.3 to sign this document as the person respe ffrgio§an 1W nse I affirm that I am eligible under the provisions of Division 3 FProfes contractor performing this work. T A FE I affirm that I am eligible under Division 3 of the Business a i nt ❑ ❑ because it pertains to a structure or type of work described f i�i tdr fession Code Sections 5537, 5538 and 6737.1. Principal Envelope Designer Name Signatur Company Envelope Compliance Not In The Scope Of This Document L)AltBY Address License # City/State/Zip Phone Principal Mechanical Designer Name Alfredo Adame Signature a f Company v ate Address License# City/State/Zip .1- ..ti �% t1r (�. U l �''( Phone Principal Lighting Designer Name Signature Company Lighting Compliance Not In The Scope Of This Submittal Date Address License # City/State/Zip Phone INSTRUCTIONS TO APPLICANT COMPLIANCE & WORKSHEETS (check box if worksheets are included) ❑ ENV -1C Certificate of Compliance. Required on plans. 0 MECH•1C Certificate of Compliance. Required on plans. ❑ LTG -1 C e/S n'�l of Compliance. Required on plans. © MECH-2C Air/WMechanic LighigCertificate ❑ LTG -2C Lighting Controls Credit Worksheet. m MECH•3C Mechanical Venli an ehe l �� ❑ LTG -3C Indoor Lighting Power Allowance. El MECH•5C Mechanical Equipment etar V EnergyPro 5.1 by EnergySofl User Number: 5830 RunCode: 2013.03.14T17:54:50 ID: Page 1 of 11 APR 17 2013 CITY OF LA QUINTA COMMUNITY DEVELOPMENT • • i PERFORMANCE CERTIFICATE OF COMPLIANCE (Part 2 of 3) PERF -1C Paper Dolls ANNUAL TDV ENERGY USE SUMMARY (kBtu/sqft-yr) Standard Proposed Compliance Energy Component Design Design Margin Space Heating Space Cooling Indoor Fans Heat Rejection Pumps & Misc. Domestic Hot Water Lighting Receptacle Process Process Lighting TOTALS 5.50 1.85 3.65 295.87 226.44 69.43 100.90 130.42 -29.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 59.47 59.47 0.00 85.90 85.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 547.63 504.07 43.56 Heating Cooling Fans Heat Rej Pumps DHW Lighting Receptacle Process Process Ltg Percent better than Standard 8.0% 8.0 % excludingprocess) BUILDING COMPLIES GENERAL INFORMATION Front Elevation Left Elevation Rear Elevation Right Elevation Total m 3/14/2013 (1M 270 deg Conditioned Floor Area 3,600 sqft. 1 Unconditioned Floor Area 0 sqft. 3 Conditioned Footprint Area 3,600 sqft. 1 Natural Gas Available On Site Yes Orientatinn Gross Area (lM 840 (N) 840 (E) 840 (S) 840 sqft. 3,360 sqft. 3,600 Prescriptive Lighting Power Density Prescriptive Envelope TDV Energy Remarks: Standard 0.850 W/sqft. 159,009 sqft. sqft. sqft. sqft. sqft. sqft. Glazinn Area 360 0 0 0 360 0 Proposed 0.850 W/sgft. 380,520 Prescriptive Values for Comparison only. See LTG -1C for allowed LPD. I EnergyPro 5.1 by EnergySoft User Number 5830 Run Code: 2013.03.14717:54:50 ID: Page 2 of 11 Glazing Ratio sqft. 429% sqft. 0.0% sqft. 0.0% sqft. 0.0% sqft. 10.7% sqft. 0.0% Prescriptive Values for Comparison only. See LTG -1C for allowed LPD. I EnergyPro 5.1 by EnergySoft User Number 5830 Run Code: 2013.03.14717:54:50 ID: Page 2 of 11 • • PERFORMANCE CERTIFICATE OF COMPLIANCE (Part 3 of 3) PERF -1 C Project Name Paper Dolls Date 3/14/2013 ZONE INFORMATION st. Ctrl. Allowed LPD Proc. FloorFLPD Area Credits Area Tailored Loads System Name Zone Name Occupancy Type s h./sf 1 W/sf z W/sf s /sf ° /sf system 1 Zone 1 Comp Bldg Office 3,600 0.850 Notes: 1. See LTG -1C 2. See LTG -2C 3. See LTG -3C 4. See LTG -4C Items above require special documenlation items marked with asterisk, see LTG -1 -C by others) (by others EXCEPTIONAL CONDITIONS COMPLIANCE CHECKLIST The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the adequacy of the justifications, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. The HVAC System System 1 incorporates HERS verified Duct Leakage. Target leakage is calculated and documented on the MECH-4-A. The exceptional features listed In this performance approach application have specifically been reviewed. Adequate written justification and documentation for their use have been provided by the applicant. Authorized Signature or Stamp EnergyPro 5.1 by Energ Sok User Number. • 5830 RunCode: 2013-03.14T17:54:50 ID: Page 3 of 11 • • • CERTIFICATE OF COMPLIANCE and (Part 1 of 4) MECH-1 C FIELD INSPECTION ENERGY CHECKLIST Project Name Paper Dolls Date 3/14/2013 Project Address 79-710, D, E, F HWY 111 La Quinta Climate Zone 15 Total Cond. Floor Area 3,600 Addition Floor Area 0 GENERAL INFORMATION Building Type: 0 Nonresidential C3 High -Rise Residential ❑ Hotel/Motel Guest Room ❑ Schools (Public School) [3Relocatable Public School Bldg. 0 Conditioned Spaces E3 Unconditioned Spaces affidavit Phase of Construction: ❑ New Construction ❑ Addition ® Alteration Approach of Compliance: ❑ Component ❑ Overall Envelope TDV ❑ Unconditioned (file affidavit) Energy Front Orientation: N, E, S, W or in Degrees: 270 deg HVAC SYSTEM DETAILS FIELD INSPECTION ENERGY CHECKLIST Equi ment2 Inspection Criteria Meets Criteria or Requirements Pass Fail — Describe Reason Item or System Tags i.e. AC -1, RTU -1, HP -1 System 1 ❑ ❑ Equipment T e3: Packaged DX ❑ ❑ Number of Systems 3 ❑ ❑ Max Allowed Heating Capacity' 56,200 Btu/hr ❑ ❑ Minimum Heating Efficiency' 7.70 HSPF ❑ ❑ Max Allowed Cooling Capacity' 61,000 Btu/hr ❑ ❑ Cooling Efficiency' 13.0 SEER / 11.0 EER ❑ ❑ Duct Location/ R -Value Attic, Ceiling Ins, vented/ 8.0 ❑ ❑ When duct testing is required, submit MECH-4A & MECH-4-HERS Yes ❑ ❑ Economizer No Economizer ❑ ❑ Thermostat Setback Required ❑ ❑ Fan Control Constant Volume ❑ ❑ E ui ment2 Inspection Criteria FIELD INSPECTION ENERGY CHECKLIST Pass Fail — Describe Reason Item or System Tags i.e. AC -1, RTU -i, HP -1 ❑ ❑ T e3: ❑ ❑ -Equipment Number of Systems ❑ ❑ Max Allowed Heating Capacity' ❑ ❑ Minimum Heating Efficiency' ❑ ❑ Max Allowed Cooling Capacity' ❑ ❑ Cooling Efficiency' ❑ ❑ Duct Location/ R -Value ❑ ❑ When duct testing is required, submit MECH-4A & MECH-4-HERS ❑ ❑ Economizer ❑ ❑ Thermostat ❑ ❑ Fan Control ❑ ❑ 1. If the Actual installed equipment performance efficiency and capacity is less than the Proposed (from the energy compliance submittal or from the building plans) the responsible party shall resubmit energy compliance to include the new changes. 2. For additional detailed discrepancy use Page 2 of the Inspection Checklist Form. Compliance fails if a Fail box is checked. 3. Indicate Equipment Type: Gas (Pkg or, Split), VAV, HP (Pkg or split), Hydronic, PTAC, or other. Ener Pro 5.1 b Ener Soft User Number. 5830 RunCode: 2013.03.14T17.54:50 1D: Pa e 4 of i l • • C7 f CERTIFICATE OF COMPLIANCE and (Part 2 of 4) MECH-1 C I I FIELD INSPECTION ENERGY CHECKLIST Project Name Date Paper Dolls 1 3/94/2013 CERTIFICATE OF COMPLIANCE and FIELD INSPECTION ENERGY CHECKLIST (Part 3 of 4) MECH-1 C Project Name Date Paper Dolls 3/14/2013 Required Acceptance Tests Designer: This form is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for mechanical systems. The designer is required to check the applicable boxes by all acceptance tests that apply and listed all equipment that requires an acceptance test. If all equipment of a certain type requires a test, list the equipment description and the number of systems. The NA number designates the Section in the Appendix of the Nonresidential Reference Appendices Manual that describes the test. Since this form will be part of the plans, completion of this section will allow the responsible party to budget for the scope of work appropriately. Building Departments: Systems Acceptance: Before occupancy permit is granted for a newly constructed building or space, or a new space -conditioning system serving a building or space is operated for normal use, all control devices serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance. Systems Acceptance: Before occupancy permit is granted. All newly installed HVAC equipment must be tested using the Acceptance Requirements. The MECH-1 C form is not considered a completed form and is not to be accepted by the building department unless the correct boxes are checked. The equipment requiring testing, person performing the test (Example: HVAC installer, TAB contractor, controls contractor, PE in charge of project) and what Acceptance test must be conducted. The following checked -off forms are required for ALL newly installed equipment. In addition a Certificate of Acceptance forms shall be submitted to the building department that certifies plans, specifications, installation, certificates, and operating and maintenance information meet the requirements of §10-103(b) and Title -24 Part 6. The building inspector must receive the properly filled out and signed forms before the building can receive final occupancy. TEST DESCRIPTION MECH-2A7S�ingle-Zone MECH-4A MECH-5A MECH-6A MECH-7A MECH-8A MECH-9A MECH-10A MECH-11A Hydronic Outduur Demand Supply System Automatic Ventilation Air Control Supply Valve Water Variable Demand For Distribution Economizer Ventilation Fan Leakage Temp. Flow Shed Equipment Re uirin Testingor Verification O . VAV & CAVDucts Controls DCV VAV Test Reset Control Control Caner 50HJQ006-315/6 3 ® El 21 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1 ❑ EnergyPro&l by EnemySoft User Number. 5830 RunCode: 2013-03-14T17:54:50 /D: Page 6 of 11 CERTIFICATE OF COMPLIANCE and FIELD INSPECTION ENERGY CHECKLIST (Part 4 of 4) MECH-1 C Project Name Paper Dolls Date 1 3/14/2013 TEST DESCRIPTION MECH-12A MECH-13A MECH-14A MECH-15A Equipment Re uirin Testing Fault Detection & Diagnostics Qty. for DX Units Automatic Fault Detection & Diagnostics for Air & Zone Distributed Energy Storage DX AC Systems Thermal Energy Storage (TES) Systems Test Performed By: Carrier 50HJQ006-3/516 3 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ - ❑ ❑ ❑ ❑ ❑ En ergyRro 5.1 by EneTySoft User Number.- 5830 RunCode: 2013-03-14T17:54:50 !D: Pa e 7 of 11 • • • AIR SYSTEM REQUIREMENTS Part 1 of 2 MECH-2C Project Name 1 Date Paper Dolls 3/14/2013 Indicate Air Systems Type (Central, Single Zone, Package, VAV, or etc...) Item or System Tags i.e. AC -i, RTU -1, HP -1) _,`r.Y.-__:......-..:�`;; System 1 Number of Systems `===~ Indicate Page Reference on Plans or Schedule and indicate the applicable exception(s) MANDATORY MEASURES T-24 Sections Heating Equipment Efficiency 112(a) 7.70 NSPF Cooling Equipment Efficiency 112(a) 13.0 SEER/11.0 EER HVAC Heat Pump Thermostat 112(b), 112(c) Yes Furnace Controls/Thermostat 112(c), 115(a) n/a Natural Ventilation 121 b No Mechanical Ventilation 121(b) 540 cfm VAV Minimum Position Control 121 c No Demand Control Ventilation 121 c No Time Control 122(e) Programmable Switch Setback and Setup Control 122(e) Setback Required Outdoor Damper Control 122(f) Auto Isolation Zories 122 n/a Pipe Insulation 123 Duct Location/ R -value 124 Attic, Ceiling Ins, vented/B.0 PRESCRIPTIVE MEASURES Calculated Design Heating Load 144(a & b fila Proposed Heating Capacity 144(a & b 105,303 Btu/hr Calculated Design Cooling Load 144(a & b n1a Proposed Cooling Capacity' 144(a & b 132,147 Btwhr Fan Control 144(c) Constant Volume DP Sensor Location 144(c) Supply Pressure Reset (DDC only) 144(c) Yes Simultaneous Heat/Cool 144(d) No Economizer 144(e) No Economizer Heat Air Supply Reset 144(f) Constant Temp Cool Air Supply Reset 144(f) Constant Temp Electric Resistance Healing' 144 Air Cooled Chiller Limitation 144(i) Duct Leakage Sealing. If Yes, a Yes MECH-4-A must be submitted 144(k) 1. Total installed capacity (MBtuthr) of all electric heat on this project exclusive of electric auxiliary heat for heat pumps. If electric heat is used explain which exception(s) to §144(g) apply. EnergyPro 5.1 by Ener Solt User Number: 5830 RunCode: 2013-03-14717:54:50 ID: Page 8 of 11 0 0 0 MECHANICAL VENTILATION AND REHEAT MECH-3C Project Name Paper Dolls Date 1 3/14/2013 MECHANICAL VENTILATION 121 b 2 REHEAT LIMITATION 144 (d)) AREA BASIS OCCUPANCY BASIS VAV MINIMUM A B C D E F G H I J K L M N Min CFM REQ'D Design 50% of Max. of Condition CFM Min CFM Number CFM by V.A. Ventilation Design Zone Columns Area per By Area Of per Occupant Max of Air Supply B X 0.4 H, J. K, Zone/System (tt) f? B X C People Person E X F D or G CFM CFM CFM / W 300 CFM Design Minimum Air Transfer Setpoint Air Zone 1 3,600 0.15 540 540 540 System 1 Total 540 540 Totals Column I Total Design Ventilation Air C Minimum ventilation rate per Section 121, Table 121-A. E Based on fixed seat or the greater of the expected number of occupants and 50% of the CBC occupant load foregress purposes fors aces without fixed seating. H Required Ventilation Air REQ'D V.A is the larger of the ventilation rates calculated on an AREA BASIS or OCCUPANCY BASIS Column 0 or G). I Must be greater than orequal to H, or use Transfer Air column N to make up the difference. J Design fan supply CFM Fan CF x 50%• or the design zone outdoor airflow rate per 121. K Condition area ftZ x 0.4 CFM / ftZ; or L Maximum of Columns H, J, K, or 300 CFM M This must be less than orequal to Column L and greater than orequal to the sum of Columns H plus N. N Transfer Air must be provided where the Required Ventilation Air (Column H) is greater than the Design Minimum Air (Column M). Where required, transfer air must be greater than or equal to the difference between the Required Ventilation Air Column H and the Design Minimum Air Column M), Column H minus M. Ene Pro 5.1 b Ene Soft User Number. 5830 RunCode: 2013-03.14T17:54:50 ID: Pa e 9 of 11 MECHANICAL EQUIPMENT DETAILS Part 1 of 2 MECH-5C Project Name Paper Dolls Date 3/14/2013 CHILLER AND TOWER SUMMARY PUMPS Equipment Name Type of . Efficiency Tons Pump Ot . GPM BHP Control DHW / BOILER SUMMARY System Name Type Distribution City. Rated Input Vol. (Gals). Energy Factor or RE Standby Loss Tank Ext. or Pilot R -Value Status MULTI -FAMILY CENTRAL WATER HEATING DETAILS Hot Water Pum Hot Water Piping Length ft Control of . HP Type In Plenum Outside Buried Add 1/2" Insulation CENTRAL SYSTEM RATINGS HEATING COOLING System Name Type My. Output Aux. kW Eff iciency Output Eff iciency Status Carrier 50HJQ006-315/6 Packaged DX 3 56,200 0.0 7.70 HSPF 61,000 13.0 SEER / 11.0 EER New CENTRAL SYSTEM FAN SUMMARY SUPPLY FAN RETURN FAN System Name Fan Type Economizer Type CFM BHP CFM BHP Carrier50HJQ006-315/6 Constant Volume No Economizer 2,000 1.07 none Ener Pro 5.1 by EnergySoft User Number: 5830 RunCode: 2013-03-14T17:54:50 ID: Pae 10 of 11 • • MECHANICAL MANDATORY MEASURES: NONRESIDENTIAL MECH-MM Project Name Date Paper Dolls 3/14/2013 Equipment and System Efficiencies §111: Any appliance for which there is a California standard established in the Appliance Efficiency Regulations will comply with the applicable standard. §115(a): Fan type central furnaces shall not have a pilot light. §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. §124: Air handling duct systems shall be installed and insulated in compliance with Sections 601, 602, 603, 604, and 605 of the CMC Standards. Controls §122(e): Each space conditioning system shall be installed with one of the following: IA. 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 and have program backup capabilities that prevent the loss of the device's program and time setting for at least 10 hours it power is interrupted; or 1 B. An occupancy sensor to control the operating period of the system; or 1C. A 4 -hour timer that can be manually operated to control the operating period of the system. 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. Each space conditioning system serving multiple zones with a combined conditioned floor area more than 25,000 §122(g): 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(c): Thermostats shall have numeric setpoints in degrees Fahrenheit (F) and adjustable setpoint stops accessible only to authorized personnel. §122(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 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 §122(a&b): 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. Ventilation §121(e): Controls shall be provided to allow outside air dampers or devices to be operated at the ventilation rates as specified on these plans. §122(f): All gravity ventilating systems shall be provided with automatic or readily accessible manually operated dampers in all openings to the outside, except for combustion air openings. Ventilation System Acceptance. Before an occupancy permit is granted for a newly constructed building or space, or a §121 ft new ventilating system serving a building or space is operated for normal use, all ventilation systems serving the building ors ace shall be certified as meeting the Acceptance Requirements for Code Compliance Service Water Heating Systems §113(c) Installation 3. Temperature controls for public lavatories. The controls shall limit the outlet Temperature to 110° F. 2 Circulating service water -heating systems shall have a control capable of automatically turning off the circulating pump when hot water is not required. Energ Pro 5.1 by Ener Soft User Number: 5830 RunCode: 2013.03-14T17:54:50 ID: Pae 11 of 11 CELL 111CATE OF COMPLIANCE (Page 1 of 4) LTG -1C Project Name: Date: 3/19/13 PAPER DOLLS Project Address: , . ; Climate Zone: Building CFA: 3600 79-710 HIGHWAY 111' LA QUINTA, CA 10 Unconditioned Floor Area: N/A General foto rrrtation Bvilding'fype: ❑ Nonresidential ❑ l ligb-Rise Residential O llotel/Motel •❑ Schools ❑ Relocatahle Public ❑ Conditioned Spaces ❑ Unconditioned Spaces. Schools Phase of Construction: ❑ New Construction ❑ Addition ❑ Alteration Method of Com fiance: ❑ Complete Building ❑ Area Category ❑ Tailored Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation iv curate an • Name: Robert Castro CITY Company:ELECTRICAL DESIGN JEWWN,s 1Frr nate' 3/19/13 oft�. Address: -' &i` Mw If applicable: 307 West Street CONSTRUCTION CEA # FOR CRPI? # Cityl%tate/Zip Oceanside, CA 9254 Phone: (760) 696-3572 6 r �o� eY Principal Ligbting Designer's Declaration f 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the lighting design. • This Certificate of Compliance identities the lighting features and performance specifications required for compliance with Title 24, Pages I and 6 of the Cal Nomia Code of Regulaiiong. • The design featums represented on this Certificate of Compliance are consistent with the information provided to document this design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Name: Gerald 'Beason Signature: Company: ELECTRICAL DESIGN SERVICES INC Phone: (760) 696-3572 Address: 307 West Street License # E9506 City/State/Zip: Oceanside, CA 92054 Date' 3/19/13 Lighting Mandatory Measures Indicate location on building plans of Mandatory Measures Note Block. THIS SHEET LIGHTING COMPLIANCE FORMS & WORKSH>EE'f8 (check box if worksheet is included) For detailed instmoions on the use of this and all EnerD.,Efficiency Standards compliance forms, please refer to the Nonresidenlial Manual published by the Cali/brnia Energy Commission, 14 LTG -1C Pages l through 4 Certificnte of Compliance. All Pages required on plants for all submittals, 14 1,TG-2C Lighting Controls Credit Worktiheet ❑ LTG -3C Indoor Lighting Power Allovwence ❑ 1,TG-4C Pages 1 through 4 Tailored Method Worksheet p LTG -5C Pages 1 and 2 Line Voltage Track Lighting Worksheet CERTIFICATE OF COMPLIANCE (Page 2 of 4) JJGAC INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Project Name: PAPER DOLLS Date: 3/19/13 Installation Certificate, LTG-14NST (Retain a copy and verify form is completed and signed.) Field Inspector 13 Certificate of Acceptance, LTG -2A (Retain atopy and verify form is completed and signed.) 113 Field Inspector A separate Lighting Schedule Mast Be Filled Out for Conditioned and Unconditioned Spaces Installed Lighting Power listed on A0 LightingSchecttde is only for: ❑ CONDITIONED SPACE ❑ UNCONDITIONED SPACE ❑ The actual indoor lighting power listed below includes all installed perrrranent and portable lighting systems in accordance with §14b a ❑ arty for tees: Up to the first 0.2 watts per square foot ofportable lighting shall not be required to be included in the calculation of action indoor lighting power,density i{r accordance with tyre Exception to §146(a). All portable lighting in exce vs (0.2 watts per s uare oot is totaled below. Luminaire Schedule T Lane Ballasts Installed Watts A B C D E F G H o t^'° m 2 ^F32T8 iption Complete Luminaire Description (i.e, 3 lamp fluorescent troffer, one dimmable electronic ballast y ,� $ . �' c ;� Hove wattage was determined C ,� .c w x s d Field In r z GEC Defaaiit - ,ro,n NAB According to §130 d ore -4 Q. A 6" FLUORESCENT DOWN LIGHT ❑ 20 ® ❑ 2 40 ❑ ❑ B,C 2X4 3 LAMP LAY—IN FLOURESCENT T-8 ❑ 1 96 ® ❑ 37 3552 ❑ ❑ D 2X4 2 LAMP LAY—IN FLOURESCENT T-8 ❑ 64 M ❑ 4 256 ❑ 0 E OVER MIRROR FLUORECENT WALL MOUNT ❑ 19 2 ❑ 2 38 ❑ ❑ ❑ ❑ ❑ ❑ 0 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ .❑ ❑ ❑ ❑ ❑ ❑ ❑ F ❑ ❑ 0 ❑ ❑ ❑ ❑ ❑ 0 ❑ ❑ ❑ ❑ ❑ �❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ - ❑ ❑ ❑ ❑ o ❑ ❑ ❑ o ❑ In ❑ ❑ ❑ '❑ INSTALLED WATTS PAGE TOTAL: Building total number of pages Installed Watts Building Total (Sum of all pages) Enter into 3886 LTG -IC Page 4 of 4 1. Wagage shall be determined according to Section 130(d and e). Wattage shalt be rating gflightfuture, not rating of bulb, 2. If Fail then describe on Page 2 of tlx lres ection Checklist Form and rake appropriate action to correct. Verffy but ans ifnecessar , 7AM Ain»rnciiiurrlinl !'ns„ntinrrnu Pnpmv Aucymvt 200.19 CERTIFICATE OF COMPLIANCE Pa e 3 of 4 LTG -IC Project Norm: PAPER DOLLS Date: 3/19/13 INDOOR LIGHTIIgG SCREDULE and FIELD INSPECTION ENERGY CHECKLIST Fill in controls for all spaces: a) area controls, b) multi-level controls, c) manual daylighting controls for daylit areas > 250j?. automatic daylightirtg contrvis fur daylit areas > 2,500,4?, d) shut-off controls, e) display lighting controls, fl lallored lighting controls - general lighting controlled separatelfrom display, ornamental and display- case lighting and g) demand responsive automatic controls or retail stores > 30 000 , in accordance with Section 131. MANDATORY LIGHTING CONTROLS - FIELD INSPECTION ENERGY CHECKLIST Find Inspector Tv pe / Description Number of Units Location in Building cti ffi 7 a ,, v, w ' _ Pass Fail LOCAL SWITCHING 8 AT ENTRANCES ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Q ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ D SPECIAL FEATURES INSPECTION CHECKLIST See Page 2 of 4 of LTG -IC The local t-Worcet+ment agency shouldpay special attention to the items specied in this checklist. These items require specie! written fucfifcation and documentation, and special verification. The local enforcement agency determines time adequacy ofthe justification, and inn y re jest a buildinge or design that otherwise complies based on the adegmy ol'the speciaijunification and documentation submitted Field Inspector's Notes or Discrepancies: 21?(W Nonravidpntial i'mmnliance Fornme August 2009 CERTIFICATE OF COMPLIANCE (Page 4 of 4) LTG -1C Projcx;t h"nine: PAPER DOLLS Date: . 3/19/13 ConditionM and Unconditionedspace Lighting must not be combined for compliance Indoor Lighting Pourer for Conditioned Spaces indoor Lighfiar,Power for Unconditiored< $ sites Watts Watts Installed Lighting Installed Lighting from Conditioned LTG- 1CPage 2 3886 (from Unconditioned LTG-ICPage 2 _ Lighting Control Credit Lighting Control Credit Conditioned S es from LTG -2C _ Unconditioned Spaces from LTG -2 _ Adjusted laAalled Adjusted Installed Li htinq tower Lightigg Power Complies if Installed :5 Allowed = Complies if Installed c Allowed Allowed Lighting Power 4957 Allowed .Lighting Power _ Conditioned Spaces (from LTG -3Q Unconditioned. S aces {from LTG -3G Required Acceptance Tests Designer: 77tisform is to be used by the designer and attached to the plans. Listed below is the acceptance testfor the Lighting system, LTG -Z4. ?the designer !s required to check the acceptance tests and list all control devices serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance. If all the llghifng system or control of a certain type requims a test, list the different lighting and the number of systems. The NA 7 Section M the Appendix of the Nonresidential Reference Appendices Manual describes the test. Since Phis form will be part of the plans, completion of this sectirm will allow the responsible party to budget for the scope of work appropriately. Forms can begrottped by type ofLundnaire controlled Enforcement Agency: Svstems Acceptance. Before Occupancy Permit is granted for a newly constructed building or space or when ever row lighting system with cantrols is installed In the building or space shall be cep -;tied as meeting the Acceplance Requirements. 7Jhe LTG -2A form is not considered a complete form and is not to be accepted by the enforcement agency unless the boxes are checked and/or filled and signed In addition; a Certificate of Acceptance forms shall be submitted to the enforcement agency that certij<ies plans, speci*ations; installation certificates, and operating and maintetuurce information meet the requirements of §10.103(b) of Title 24 Part 6. The field inspector must receive tate properly filled out and Signed forms before rite btdlding can receive final occupancy. A copy of the U64A for each diffi�renl lighting luminaire control(s) ,rust be provided to the owner ilfdw buildingfor their records. Luminaires Controlled LTG -2A Controls and �a Sensors and d $ Automatic x Mylighting Controls ni ment R!Suirft Testing Description '" Location Acceptance X X X X ❑ a r� 0 13 13 13 2(X)8 Nonresidential Compliance Forms August 2009 INDOOR LIGHTING POWER ALLOWANCE Project Mark: Data: PAPER. DOLLS a 1 3/19/13 ALLOWED LIGHTING POWER Chose One Method A Separate LTG -3C must be filled out for Conditioned and Unconditioned. Spaces. Indoor Fighting Power Allowances listed on this pame are only for: ❑ CONDMONED spaces Q UNCONDITIONED spaccs COMPLETE BLIILDWC METHOD BUILDING CATEGORY (F 146 Table 146-E) I I PER M) I X Ig DGp REAI = I AWATTSD TOTALS AREA WATTS n of Additional Allowed Watts from Area I Part B from table below TOTAT S AREA WA AREA CATEGORY AREA CATEGORY METHOD — Part A A $ X C = ]? AREA CATEGORY From §146 Table 146-F WATTS PER ft) AREA ft' ALIMN ED WATTS RETAIL 1.6 2700 4320 STORAGE & RESTROOMS 0.6 705 195 423 SMALL OFFICE ri.1 214 n of Additional Allowed Watts from Area I Part B from table below TOTAT S AREA WA AREA CATEGORY Mr HOD - Part B Additional watt a Allowance from Table 146-F Footnotes A I B C I3 E F Cr Primary Function S q F't .. Additional Watts Per tfi Allowed Wattage Allowance B x C Description(s) and Quantity of Speeial Luminaire 2Types in each PriTM Function Area Total Design Watts ALLOWED WATTS Smaller of Dor F TOTALS — Enter into Area Category Method — Part A (table above) ' Additional watts available only when allowed according to the footnotes on bottom of Table 146-F for chandelier or sconce; art, craft, assembly or manufacturing specialized task work; precision commercial/ industrial work; or lab specialized task work ` Special luminaires are light fixtures described in the Table 146-F Footnotes that are subject to an additional wattage allowance. TAU,ORE."D METHOD Total Allowed Watts using the Tailored Method taken from LTG -4C (Page 1 of 4) Row 3 The indoor lighting power allowance using the Tailored Method of compliance shall be determined using tate LTG -4C set of forms. A separate set of LT04C forms shall be filled out for CONDITIONED and UNCONDTTIONED spaces MANDATORY MEASURES ❑ BUILDING LIGHTING SHUTOFF THE BUILDING LIGHTING SHUT-OFF SYSTEM CONSISTS OF AN AUTOMATIC TIME SWITCH, WITH A ZONE FOR EACH FLOOR ❑ 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 SF. ❑ AUTOMATIC CONTROL DEVICES CERTIFIED ALL AUTOMATIC CONTROL DEVICES SPECIFIED ARE CERTIFIED, ALL ALTERNATE EQUIPMENT SHALL BE CERTIFIED AND INSTALLED AS DIRECTED BY THE MANUFACTURER. Ed FLUORESCENT BALLAST AND LUMINARIES CERTIFIED ALL FLUORESCENT FIXTURES SUBJECT TO CERTIFICATION AND SPECIFIED.. FOR THE PROJECTS ARE CERTIFIED. ad-,INDIVIDUAL-ROOM/AREA CONTROLS EACH ROOM AND AREA IN THIS BUILDING IS EQUIPPED ,:'WITH A SEPARATE SWITCH OR OCCUPANCY SENSOR DEVICE FOR EACH AREA WITH FLOOR -TO -CEILING WALLS. UNIFORM REDUCTION FOR INDIVIDUAL ROOMS ALL ROOMS AND AREAS GREATER THAN 100 SQUARE FEET AND MORE THAN 0.8 WATTS PER SQUARE FOOT OF LIGHTING LOAD SHALL BE "CONTROLLED WITH MULTI-LEVEL SWITCHING FOR UNIFORM REDUCTION OF LIGHTING WITHIN THE ROOM. p DAY -LIT AREA CONTROL ALL ROOMS THAT ARE GREATER THAN 250 SQUARE ALLOW FOR TTHEAEFFC EFFECTIVE WINDOWS SKYLIGHTS IN THE AREA SHALL HAVE 50% OF THE LIGHTING POWER EACH DAYLIT AREA CONTROLLED BY A SEPARATE SWITCH: OR THE EFFECTIVE USE OF DAYLIGHT THROUGHOUT CANNOT BE ACCOMPLISHED BECAUSE THE WINDOWS ARE CONTINUOUSLY SHADED BY A BUILDING ON THE ADJACENT LOT. DIAGRAM OF SHADING DURING DIFFERENT TIMES OF YEAR IS INCLUDED ON PLANS. ❑ CONTROL OF EXTERIOR LIGHTS EXTERIOR MOUNTED FIXTURES AND 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. -HAU-N-U465 Fire Resistance Ratings - ANSA TLS 263 -Page Bottom Gut'de Inform tiron . Questions? Fire Resistance I ati-nos. -ANcufm � 7g -i RECEIVE[ APR 17 W3 CIT`( OF LA QUlfr! a COMMUtjIV DEVELOPMENT De ' NoU465 S19A . July 25, 2003 Nonbearmig Wall Rating — I HR. U I . Flear and. Ceiling Runners — (not shown) — Channel shaped runners, 3- 5/8 z11' wide (Min), 1, -1/4 in., legs, formed from min No. 25 MSG (min No, 20 MSG whan [tern 4C is used) gals` steel, attached to floor and ceiling with fasteners space . d 24 in, CC 'max. - 2_ Steel Studs ---• Channel shaped, 3-5/8 in. Nvide (rn - n) -P 1-1/4 in. jrP, 3/8 in. ful ded . I ^ - back returns, fon-ned TTorn nun No- 25'MSG (min No, 20 MSG when Item 4C is used) gale, steel spaced 2'4 in. OC. Max. I Batts and Blankets (Optional.) — Mineral. wool or glass fiber Batts parti ally or completely fill-ing stud cavity. See Batts and Blankets (BZI) category for names of C1 ass ified companies. 3A, Fiber, Sprayed* _ As an alternate to Batts and :Blankets (Item. 3) — Spray . 6. Fasteners �'(Not Shown) — Screws used to attach wallboard to studs: 'Self -tapping bugle head sheet steel type,, spaced 12 in. C. First layer Type S -12 -by 1, in. long for 1/2 and 518 in. thick - wallboards and 1- 1/4 in.. long for 3/4 in. thick wallboard. Second layer Type S-12 by 1-5/8 in. long for 1/2 and. )/8 in. thick Nvallboards and 2-114 in. long for 3,14 in. thick wal ]board. Th.ird layer Type S- 12 by 1.-7./8 in. long. 7. Batts and Wanket-s* — Placed in stud cavities of all exterior walls. May or may not be used in interior walls. Any glass' fiber or mineral wool batt material bearing the UL Classification Marking as to Fire .Desistance, of a thickness to Completely fill ,stud cavity., See Batts and Blankets (BZI*Z) Category for nares of Classified Companies. 7A. Fiber, Sprayed* — As an alternate to Batts and Blankets (Item 7) .— Spray applied cellulose material. The fiber is applied with water to completely fill the enclosed cavity in accordance with the application instructions supplied with the product. Nominal dry density of :3.0 IWO. Alternate application method: Th e filer is. applied, with U.S. Green't-iber LLC Type AD 100 hot melt. adhesive at anominalratio of one -part adhesive to 6.6 parts fiber to completely fill. the enclosed oavity in accordance with the application, instructions suppl led with the '3 product. Nominal dry density of 2.5 lb/ft U'S GREENFIBER LL C — Cocoon2 Stabilized or Cocoon- FRM (,ire Rated Material) 9. Joint Tape, and Compound — (Not Shown) — Vinyl or casein, dry or premixed joint compound applied in. two coats to joints aid screw heads of outer layer. Perforated paper tape,, 2 ins wide, embedded in first layer of compound over all Joints of outer I ager. `8. Furring Channels!— (Optional, not sho-w-ri, for single or double layer Vsterns) —Resifient furHng channels fabricated from. min. 25 MSG corrosion -protected steel, spaced vertically a max of 24 in. OC. Flancre Portion attached to each intersecting, 0 stud with - 1, In. ions Type S-1.2 stee I screws. *Bearing the UL Classification Mark Page Top UL Listed and Classified Products Notice ,of Disclaimer UL Recognized Components .Last Updated on 2004-12-21 Questions? Canada This page and all contents are Copyrilgrbt t 2005 by Underwriters Laboratories Inc.V The appearance of a company's name or product in this database does not in itself assure that products so identified-havebeen -manufactured under: UL's Follow -Up Sem­lce., Ottly those prodLicts bearing the U.L Mark should be considered to be Listed. and covered -under UL's Follow -Up Service—Always look for the Mark on the product. UL perniits the reproduction of the material contained in the Offline Certification DIT ctory subject to -the folloiiving conditions: 1. The Guide Info mL,.iation, Designs and,"or Listings (files) mist be presented in their entirety and in a non-mislea.ding rnanner, wtthuttt anv manipulation of the data (or drawings). 2. The statement "Reprinted .Fro.m, the 011.11ne Certifications Director}{ with permission from Under'VIVIriters Laboratories Inc." appear adjacent to the extracted material. In addition. the reprinted eprin'ted inaterial must include a copyright notice in the follo�vtng forniat: "CopyTight CO 2005 Undervvi-iters Laboralones IncA," appaeu ccuuiose inswation materia. i ne noer is appnea witft water to completely M the'enclo'sed cavity in accordance with, the application in.muctions supplied with the product. Nominal dry density of 3.0 lb/ft3. US GREFINFIBER L L C — Cocoon stabilized cellulose insulation. 3B. Fiber, Sprayed* — As an alternate to Batts and Blankets Item 3) and Item 3A - Spray applied celhilose, insulation material. The fiber it, app ied with. water tiznteri or surfaces in. accordance with the application instructions supplied with the product. Applied to complMly fill. the enclosed cavity. Minimum dry density of 4-3 Pounds per cubic ft. NU -WOOL CO INC — Cellulose I U lat'ion us 4. Gypsum Board* — 5/8 in, thick, 4 ft wide, attached to steel studs and floor and cedig track. with 1 i& longjypr, S steel screws spaced 8 in. OC. along edges of board and. 12 in. OC in the field of the board. Joints oriented vertically and staggered on opposite sides of the assembly. When, attached to it= 6 (resilient channel) or 6A (fw-ring channels), wallboard is screw attached to fun ng channcls with. I in. long, Type S steel screws spaced 12 in. OC, AMEWCAN GYPSUM CO — Types AG -C, AGX-C. BEIJING NEW BUILDIN G MAXERIALS CO LTD — Type UBX- 1. BFB AMERICA INC — Types 1, EGRG) ProRoc Type X, ProRoc Type C. CXNADIAN GYPSUM COMPANY — Types AR, C, IP -AR, IP -X2, WC -AR, scx, SIM WRC or WRX G -P GYPSUM CORP, SUB OF GEORGIA -PACIFIC CORP ----; Types 5, 9, C, DAP, DD,.t)A,DCjG, DS, GPFS6. LAFARGE NORTH AMERICA INC — Types LGFC2, LGFC2A, LCYFC6, L&C6A, LGFC-C, .UPC -C/A. NATIONAL GYPSUM CO — Types FSK -C, FSK -G, FSzW-C, FSW-G,*FSNK PAIBCO GYPSUM, DIV OF r,ft%-Ar It- UuAb I BUILDING PK DUCTS INC — Type FG -C. SIAM GYPSUM ENDUSTRY (SA. URI) CO:,LTD .— Type EX -1 STANDARD GYPSUM L,L C —Type SG -C, TENIPLE-IINLAND FaREST PRODUCTS CORP — Type TG -C, UNITED STATES GYPSUM C:0 Type AR, C, FRX-G� !P -AR, IP -X-2, J -PC -AR, SCX,, SHX, WRC or WRX USG WXICS A DE C V — Type ARI: C, IF -AR, IP -X2, IPC -Ali; SCX, SHX, WRC or RPB CANADA INC — Type, Westfoc Fi-Rok or Abuse -Resistant. 4A. GYPAIM Boaz -d*,— (As altmate to Item 4) Nom 518 in, thick gypsurn panels 'with beveled, square or tapered edges,applied vertically or hori7.ontally.. Vertical joints centered over studs and staggered one stud cavity on opposite sides of studs, ffcaizontal edge joints and horizcntat butt joints on opposite sides cif studs need .not be staggered or backed. Panels attached to steel studs and floor runner with 1 in, long Type S steel screws spaced 8 in. OC When a0plied horizontally, or. 8 in. OC along vertical and bottom edges and 12 in. OC in the field when panels are applied vert icafly, CANADIAN GYPSUM C ' OMPANY — Types AR, C, IP -AR, IP -.X2, tpC-AR, SCX, SHX, WRC or W;RX. UNITED STATES GYPSUM CO — T yp.e AR, Q FKX-G, IP -AR, 1p -x2? 1pc- AR, SCX SIMAIRC or WRX. USG AMXICO S A DE C V — Type AR, C, IP -AR, IP -X2, W -AR, SCX, SHX, VVRC or Wim. 4B. Gypsum. Board* — (As an. altanake to Items 4 or 4A) — No 3/4 in, thick, 4 ft wide, installed as described in'Itern 4A with screw length increased to 1-1/4 in. ............ Irr USG NEXIC 0 S A DI C TV Types AR, P -AIS., 5_ Joint Tape d Compound —Vinyl, or prenixed joint co o applied �n two coals to jointts end sere^u�� head; .paper tape, 2 in. -wide, ernbedde.d ire ; rst layer of c npo tnd over ill joints. As an alternate, nom 3/32 in, thick.,gypsumveneer plaster may be applied to t.he en re surf=ace of Classified veneer baseboard. .. ,loins reinforeed_ 6. Resilient Channel — (Optional -Not, Shown) — 25 :1��G gals peel res�ient: channel*spaced vertall rnax 2 ih t, Mange portion attached to each lateen skid with 112 in. long type S--12 panbead steel .screws. Not for use Type F gyIPsUrn panels. 6A Steel Fr am M4 g Members of ShoWD) —As,an alt rna eto It xz ,ung chamiels and resilient sound solation cls as described belnw- a, Furring Channels — F ed of No. 25 MSG gals ;steels 2-318 in.. Wide b e 718 in. deepspaced 24 in. �endi.cudair to.stnds. Chanjnels secured to studs as desbed i.n Itemb, Ends of 'adjoining channels are overlapped � g � aped 6 in.. aid tied together with double. strand of No: 18 SO gale steel wire near eaeb end of overlap.. As an alternate,ends, ofadjoinmi g eha els may be over] apped.6 in, and. secured together with: two self tapping #6 framing screws, min. 7/ 16 in, long at the midpoint of theoverlap, With one screw an. each flge of the channel: b. Steel Framing Members* Used to arch fang channels (Item a) to stIlds (Item I). Clips spaced 48 in, OC„ and secured to studs X"'Ih 1-518 in, Wafer, or hex head. TypeS steel screw through the center grommet. Furring channels are frion fitted into clips, FACINT I A.TIONAL INC --'Type l lC-t,.. *healing the UL Cl assification Marl. 'INTERI(WWWALL, RIZOUTA 'EXTERIOIR -WALL INTER -1 W ( FI#E-T,$,10,I_'_' .. . 9 1 , . — I E MORiZONTAL'SlEECT0,14 I- Steel Floor an,d Cei I fing Tracks — (Not Shown) — Top and bottom tracks of wall assemblies shall consist of steel members, min No. 20 MSG (0.00 3 )29 in., min. bare metal thickness) steel or min No. 20 GSA (0-036 in. thick) gala steel or No. 20 MSG (0.0333 in. thick) primed steel, that provide a sound structural. connection between steel studs, and to adjacent assemblies SUch as a floor, ceiling, and!or other walls. Attached to -floor and cellincr assemblies with steel fasteners spaced n,ot greater than 24 in. O.C. '2 . Steel. Studs — Corrosion protected steel studs, min No. 20 MSG (0.0329 in., nein baremetal thickness) steel. or min 3- 1/2 in. wide, min, No. 20 CACI (9.036 in. thick) gale steel. or No. 20 MSG (0,033 -in. thick.) primed steel' cold formed, shall be, .designed in accordance with the current edition of the Specification for the Design of Cold -Formed Steel Structural Members by the .American, Iron and Steel Institute. All design details enhancing the structural integrity of the Wall assembly, including the axial design load of the studs, shall be as specified by the steel stud designer and/or producer, and shall. meet the requirements of a] I applicable local code agencies.. The max stud spacing of wall assemblies sgall .not exceed 24 in. OC (or 1.6 in. OC - See Item 5c). Studs attached to floor and ceiling tTacks.A-Vith 1/2-1n. long .Type S-12 steel screws on both sides of studs or lyy welded or bolted connections designed. in accordance )lith the SISI specifications. 3. Lateral S-a.ppo.rt Members — (Not shown) — Where requirefor lateral suppoit of studs, support may be provided by means of steel' -straps, channels or other similar -means as specified in the'design. of aparticular steel stud wall system. 4. Gypsum -Board* — Gypsum wallboard bearing the UL1* Classification Mar . kiniz as to Fire Resistance. Applied �fertically with joints between layers staggered. Outer layer of 3 layer construction, may be app] ledhorizonta horizontally. The thickness and '11.11mber of layers and percent of design. load for the 45 min, I hr, 14/2 hr and 2111- ratings are as,follows: Irate or Walls Rating Wallboard ProteWon. Both Sides of Wall. - No. of No.of Layers & Thkns '4/0 of of Board In...Each Layers Design Load 45 111_ D. .*I layer, 1/2 in. thick 100 1 hr *I layer, 5/8 in. thick 100: 1-1/ 2 hr *2 layers, 1/2 in.thick '100 2 .lir *2 laves, 5/8 in. thick or so W l laver, 5/8 in. thick *3 layers, 1/2'in. dick 100 *2 layers, 3/4 in, thick 1.00, *Ratings applicable to assemblies serving as exterior walls where Classified fire resistive gyp; 1. sumsheathing type wallboard is f substituted on the exterior b Ace.. Exterior Walls .Rating Wallboard Protection ,on. Interior Slide of Wal, - No. of Layers & Thknv, :of Board In. Each Layers % of DesignLoad. .......... 45 in l laver, 5/8 in. thick 100 I hr 2 layers, 1/2 in.. thick 100 1 -1 /2 lir 2 layers, 5/8 in. thick.. 100 12, . hr 1 3 layers, 1/2 in. thick 100 2 layeTs. 3/4 In. thick 1 00 See Gypsum Board (CKNX Category — for r an of Classified Companies of] /2 in,. or 5,18 in. thick Nvallboard, See below for Classified Company of 3/4 in. th I' C -k wal I board. CANADIAN GYPSUM COMPANY —Type IP -X3. *ULTRACODE, ULTRACODE SNIC of* ULTRACODE WRC. UNITED STATES GYPSUM CO � Type fP- X35 ULT RACODE,'UL.TRAC.ODE S14C or ULTRACOD E W -RC. USG MEXICO S A DE C V — Type IPA3, ULTkk-CODE, ULTRACODESFIC or ULTRACOIDE ATR.C, 4A. G�►,. psuni Board* — (As an alternate to _5/8 in. thick wallboards in Item. 4) —'Nom 3/4 in. thick. CANADIAN GYPSUM COMPAN)Y — Types AR.I.P-AR, UNITED STATES GY'PS-(,I.',Vl CO — Types AR, TP -AR. USG A11EXICO S A DE C V — Types AR., 1,P -AR. 5, Gypsum Sheathing — For exterior Walls, 1.1`2 or 5/8 in. thick exterior regular gypsum sheathing applied vertically and attached to studs and runner tracks with, 1 in. long Type S-1.2 bugle head screws spaced '12 in. OC, along studs and tracks. - One of the following exterior facings are to 'be applied over the gypsum sheathing. A. Si*.djnp-,, Brick, or Stucco — Aluminumsidin.g. steel siding, brick veneer, or stucco attached to studs over gypsum sheathing and meefing the requirements of local carie agencies. When a min 3-3/4 in.. thick brick veneer facing is used, the ExteriOT Wall Rating is applicable with exposure on either face. Brick veneer wall attached to studs With, COTTUgatedmetal wall. ties attached to each stud with steel screws, not more than each sixth course of brick,. B. Mineral. and Filer Boars' — Exterior hard board panclinor, chernically treated over gypsum. Z�' sheathing w i th primed or finished face, 7/16 in. thick by 48 in. wide. Attached to studs over gyps -Lim sheathing with 1-7/8 in. long bugle -head TE K fasteners 16 in,,. OC at theintermediate 'supports Or., exterior lap siding, chemically treated, 7/16 in. th i c k by 8 in. or 12 1 n . wide. Attached. to studs with 1-7/8 in. long, bugle -head. Type TEK fasteners at each lap. Panels lapped rnini.murn I in. MASONITE CGR-P — 1`ype FT. C. Cementitions Backer Units,* —1 /2. or 5/8 in. thick, square edge boards,, attached to steel studs over gypsum sheathing with -1-5/8 in.. long, Type S-123 corrosion resistant, wafer head steel screws, spaced 9 1n.,0C. Studs spaced a max. of 16 in. OC. Join-ts covered with glass fiber mesh tape. UNITED STATES GYPSUM CO — Durock Exterior Cement Board or Durock. Brand Cement Board. D. Fiber -Cement Siding ----1~ icier -cement exterior sidings- including smooth. and patterned t> panel or lap siding. E. Molded Plastic* — Solid -vinyl siding mechanicaly secured to framing members in. accordance with manufacturer's reconimended installation details. ALSII)E,, DtV OF ,kSSOCIATE-D MATERIALS INC HEARTLAND BUILDING PRODUCTS INC NEBRASKA PLASTICS INC