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BCOM2014-1046I ' Q94440 VOICE (760) 777-7125 78-495 CALL"E TAMPICO D � FAX (760) 777-7011 LA QUINTA,'CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/31/2015 Application Number: BCOM2014-1046 Owner: , Property Address: 79775 HIGHWAY 111 105 P6K PORTFOLIO KDP APN: 600440005 2301 ROSECRANS STE 2110 - Application Description: KOMAR CENTER DICKEY'S BBQ PIT RESTAURANT EL SEGUNDO, CA 92253 Property Zoning: - Application Valuation: $450,000.00 Sn Mm Applicant: IU I MAR 3 12015 IUI Contractor: P6K PORTFOLIO KDP INTEGRITY CONSTRUCTION 2301 ROSECRANS STE 2110CI7Y0FLAQUIMTA OUTSIDE CITY LIMITS EL SEGUNDO, CA 92253 COMM11N......_._ 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: License No.::LIC_7bi6-28---_ L WNE"UILDER WCLARATION 1 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 fo permit subjects the applicant to a civil penalty of not more than five hundred dolls s ($500).: (1 1, 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 Name: Lender's Address: Llc. No.: :LIC -762628 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' 17pensation, as provided for by Section 3700 of the Labor Code, for the performance 1 e work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by &e6Eieaa700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: _ Policy Number: _ 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. pate: 3-31— ) S AdoIli cant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 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 Lbe above• mentioned property for inspection purposes. �1 ate: 3"3)" 1< Signature (Ap ' ant or Agent ` 1hir ie"Ic kM Bin �� 'L .. CI�j/ Of ld Quinta 8uA tg 8[ Safety Division P.O Box 1504,78-495 Caife Tampico )a.QLdrita, CA 92253 -:(760) 7777012 Bonding Permit Application and Tracking Shea : Permit Proved Address: — 1 � 1�- L• . � FDamer�s Nam-- „� �" - .. L A P. Number. Pe t ()A — b j Address: Legal Description: Contrador. City, ST, Zap. Telephone: Project Description: Address: H Lawns q C ; _ City, $T, Zip= :. C C a -7L)-(- Z Telephone: State Lia #: 4 04 1 1 city Lic. #; Arefi., EW., Dodguer Ga � �✓ ` �• "'�- A&h=: "l 31 � v' e Cir, ST. Zip= div S Z, �1 2 gj Telephone:q$6 3fi 2 � � �s � State Lir. #: � _ n• _ .,;a. �; �- panty: - - Project type (dude one): New Add'n Alper Repair Demo Sq. Ft: 2 # Stories: # Unit Name of Confect Person jv SZ, Telephone # of Contact Pes%m: 6 7(0-7 S . aGie"of Pmjecx. �j® APPLICANT: DO NOT WRITE BELOW IRIS UNE # Submittal Req'd 'd TRACK PERbRTFM- Pipn Sets Pias Check submitted Itr� Amoral Strgdarai Cala. Revs dy fur cmreedons Pian Check Deposit. . Truss Cala. Called Contact Person Plan Cheek Balance Tide 24 Calee. Ptans picked up ( Comaetion Flood plain plan Plans resubmitted.'. Mechanical Grading p" 2" Review, ready for eorvectioteliaue Electrical Subioatattur List Called Contact Person Plumbing Grant Deed Plans picked up SJYLL E.O.A. Approval Plans resabntited Grading 10 HOUSE:- ''' Review; ready for eamcdlonaJissae Dcvdoptr Impact Fee Planning Approval- Caged Contact Person A TB.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees 2-3.��-fib Lagt-t RIVERSIDE COUNTY FIRE DEPARTMENT IN COOPERATION WITH THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION 77-933 Las Montanas Rd., Ste. #201, Palm Desert, CA 92211-4131 - Phone (760) 863-8886 - Fax (760) 863-7072 www. rvcftre. org PROUDLY SERVING THE UNINCORPORATED AREAS OF RIVERSIDE COUNTY AND THE CITIES OF DeCCI1111e2 24 th,2014 BANNING r� BEAUMONT RE: TENANT IMPROVEMENT PLAN CHECK Non Structural CALIMESA LAQ-I4-TI-047 Dickey's BBQ 79775 Hwy. 111 Suites 104 & 105, La Quinta, CA CANYON LAKE COACHELLA You have been issued a release for a tenant improvement on an existing building. THIS IS NOT AN OCCUPANCY PERMIT. DESERT HOT SPRINGS EASTVALE It is prohibited to use./process or store any materials in this occupancy that would classify it as a "11" INDIAN WELLS S occupancy per Sec. 307 of the 2013 CBC. INDIO THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION: JURUPA VALLEY Install door hardware and exit signs as per Chapter 10 of the 2013 CBC. LAKE ELSINORE LA QUINTA A minimum 2A10BC Fire Extinguisher, (State Fire Marshal Approved) must be mounted in a visible MENIF'EE' location within 75' walking distance from any point in your building or suite. Fire extinguishers can be installed by a licensed extinguisher company with a State Fire Marshal service tag attached to the MORENO VALLEY extinguisher, or purchased from a retail store with a sales receipt attached. A licensed fire NORCO extinguisher company must service extinguisher yearly. PAL"' DESERT All breakers must be labeled and a clearance of 36 inchesmust be maintained around the panel at all PERRIS times. RANCHO MIRAGE Approved suite addresses shall belaced in such a P position to be plainly visible and legible from the RUBIDOUx CSD street. Said numbers shall contrast with their background. SAN JACINTO TEMECULa An approved audible interior notification alarm device shall be provided in approved location. A C- 10 licensed contractor must submitlana designed geed in accordance with NFPA 72 to the Fire WILDOMAR Department for review and approval prior to installation. A UL 300 hood/duct fire extinguishing system must be installed over the cooking equipment. The BOARD OF extinguishing'system must automatically shutdown gas and /or electricity to all cooking appliances SUPERVISORS: upon activation. A C-16 licensed contractor must submit plans, along with the current $215.00 KEVIN JEFFRIES deposit based fee, to the Fire Department for review and approval prior to installation. Alarm DISTRICT I system supervision is only required if the building has an existing fire alarm system. JOHN TA o STR CT 2 A durable sign stating "This door to remain unlocked during business hours" shall be placed on or JEFF STONE adjacent to the front exit door. The sign shall be in letters not less than one inch high on a DISTRICT 3 Contrasting background'. JOHN BENorr. DISTRICT 4 Provide key(s) to the tenant space for inclusion in the main building Knox Box. Ke shalt have g Key(s) ) MARION ASHLEY DISTRICT 5' durable and legible tags affixed for identification of the correlating tenant space. Keys) shall be :provided at time of final inspection. As may be necessary to maintain proper fire sprinkler protection due to constructions changes, fire sprinkler system plans for the tenant improvement area may be required to be submitted to the Fire Department for review. Will need a copy of a 5 year certification on the sprinkler system(if the system is 5 years or older). Applicant/installer shall be responsible to contact the Fire Department to schedule inspections. A re- inspection fee will,be required if more than one (1) inspection is necessary. Requests for inspections are to be made at least 72 hours in advance and may be arranged by calling (760) 863-8886. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering Staff at (760) 863-8886. Sincerely, By: Lisa Nottingham . Fire Safety Specialist Iii%�!1,i {� � , � � � • COACHELLA VALLEY WATERDISTRICT �s 4 P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 INVOICE Date: 2/12/2015 SUBJECT: PM 33960, KOMAR DESERT CENTER, 79755 HIGHWAY 111, SUITES 105 & 105, DICKEY'S BARBECUE PIT r. Rodney Harper Project: 2380 E. Vincentia Rd. Project Date: SUITES 105 & 106 Amount Due: PALM SPRINGS, CA 92264 GEO: Planner: TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK 15-6103 2/2/2015 $44,922.04 05-07-29-4 SARA LOPEZ BIM- RMIMOM1111i 1.00 DN 1 1/2" METER - 35 $500.00 $500.00 1.00 ER 2" RP BACKFLOW DEVICE - 35 $1,600.00 $1,600.00 7.04 FF SCC -COLLECTION = $2,415.00 $17,001.60 7.04 FJ SCC -TREATMENT $2,436.00 $17,149.44 1.001F4 11 1/2" METER SURCHARGE $8,621.00 $8,621.00 1.00 SA JAPPMAIVER FEE SOURCE CNTRL $50.00 $50.00 $44,922.04 `PAID $ - �a?�. Del ewc*_ IN % Development Services Department (�Lt- S MAR 1'8 2015 Coachella Valley Water District 75-515 Hovley Lane East Palm Desert, CA 92211 SUBJECT:PM 33960, KOMAR DESERT CENTER, 79755 HIGHWAY 111, SUITES 105 & 105, DICKEY'S BARBECUE PIT 3 r COACHELLA VALLEY WATER DISTRICT P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398=2651 d Page 1 s-7 ®CITY OF LA QUINTA SUB-CONTRACTC OR LIST JOB ADDRESS � "f — 715 wq 111 I, y-, ERMIT NUMBER OWNER �I�NC� 1 1 Ott t l BUILDER 16 0,01 This form shalt be po�t�on the I with the Building InApecliQn Card at all times in a consnic��r us place.. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list,must be approved by -the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. Treid9:t.Elas5lficaton :.:C4jitrp'iltor.: $tae;_,Contract9%"SLaGeh:Se.. .: ::: WQ1kerie:CO. n5@tlorritiyrgp�$.::.,1<:_ CI :t3ui)ip9Rs:Litense,; Company Name Ciassification (e.g: A, B, C-8) . License Number Exp. Date Carrier Name (zxxxxx) (xx/xxlxx) (e.g: State Fund, CWComp) 'Policy Number (Format Varies) Exp. Date License Number Exp. Date (xxlxxixx) llixxx) (xxlxxlxx) ;ER1RfiilW..ORK (C-12) FBAMtHG ;(C-5) — $TRUCT. STEEL (C=59:17777, 'A$ONRY (C-29) -�— % LUMBING.lc.3sr71<IRLA (-,i..,,o T Z,4!�:55alQQ Iq / ; LATH;. PLASTER (C-35) - -- YWALL .(C-9) 2/ HVA'C'IC-20) I ' I ' AL C- y/ 15 =.mss CvVAA 9CW C SEI z CACIC-,q) SJ IS.L 'CiZ) C -to ` '-m (o Ao-exatlp'r % �3 RO:OFWG: (C33) SHEET METAL (C.-43) 'FCp:ORING::(C-451 . -.GLAZING,1C-17)' EWAGE pf! P: (0-421 PA)N7iNG (C-33) j , 900-i Iq' - I.0 TILE (9-54) SCA►61NEfiS.(C 6)'. 1/�%Q9R. CL FENCING (C -i31 a11NDSCAPINd:-lC'27) ..: _ �--- I -PQQL (C-53) c�--- Permit Number: BCOM2014-1046 Applied: 12/19/2014 Approved: Issued: Finaled: Status: UNDER REVIEW Parent Permit: Parent Project: Details: T.I. FOR A 2,561 DICKEY'S BBQ PIT RESTAURANT. Description: KOMAR CENTER DICKEY'S BBQ PIT RESTAURANT Site Address: 79775 HIGHWAY 111 105 City, State Zip Code: LA QUINTA, CA 92253 Applicant: <NONE> Owner: P6K PORTFOLIO KDP Contractor: <NONE> LIST OF RETURNED SENT DATE DUEDATE TYPE CONTACT STATUS REMARKS DATE Review Group: BLDG 1ST (2WK) 12/19/2014 12/23/2014 1/2/2015 NON-STRUCTURAL BUILDING BUCKET REVISIONS 1ST REVIEW REQUIRED Notes: RFC' 12/19/2014 12/30/2014 12/29/2014 PLANNING WALLY NESBIT APPROVED TI - BBQ RESTAURANT Notes: REVIEW DUE BACK 12/29/14 ASSIGNED TO JAY WUU. JAY OUT, BUILDING REVIEW COMPLETED AND APPLICANT EXPECTS TO P/U PERM'IT1/5. PLANS REVIEWED BY WN, OK. NOTE: NO EXTERIOR SIGNS ARE APPROVED; ANY SUCH SIGNS REQUIRE SEPARATE PLANNING/BUILDING DIVISION APPROVALS Printed: Tuesday, 30 December, 2014 1 of 1 � zYS, m„ Plan Check # COUNTY OF RIVERSIDE DEPARTMENT OF ENVIRONMENTAL HEALTH FOOD ESTABLISHMENT PLAN APPROVAL -NOTICE Date 1-6=15 Project Name. Dickey's Barbeque Pit Address 79-775 Highway 111, La:Quinta Plans Submitted by Glen Ross Phone _ 4.80=362-1944 Owner Polar Enterprises Address 2839 E. Vicentia Rd. Palm Springs CA.. . (Rodney Harper) Phone 301-710--891 The plans are now approved subject to theconditions listed below and the attached compliance sheet 1) Provide a certified air balance report for the exhaust and make up air. 2) Provide a grease interceptor letter from the seweragency. 3) Provide an air -curtain at the delivery door (1'600fpm measured 3' above the ground minimum). The air -curtain must be hard wired, 4) The outside dumpster area must have smooth and epoxy sealed interior walls and floor. 5) Provide a reduce pressure backflow device for the water line to the soda carbonator. The RP must drain into a floor -sink via air aao. 6) Any floor sinks Under cabinets must be half exposed with a 1 inch berm along back half of the floor -sink. 7) The quarry the must be smooth under all equipment. CONSTRUCTION INSPECTIONS: Contact the Plan Checker for a Preliminary Inspection when construction is approximately 80% complete, with plumbing, rough ventilation, and rough equipment installed. Request for inspection should be made at least five (5) working days in advance. A FINAL INSPECTION MOST be made upon completion of ALL work including finished details. APPROVAL to operate shall not be granted, or remodeled areas approved to operate, until the facility, has passed the FINAL INSPECTION, and "APPLICATION TO OPERATE" has been completed and PERMIT FEES have been paid. Request for inspection should be made at least five (5) working days in advance. PLANS CHECKED BY Kristine Kim, REHS III Phone (951) 358-5172 I acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate them during construction: - 4} VEE Signature Date �� ��-- k Company Name. FEB 11 2015 GFP Lh QUINTA DEH -SAN -178 (Rev 2/06) COMMUNITY DEVELP? vIENT Corona Hemet Indio Murrieta Palm Springs Riverside -west Riversl e- t 2275 S. Main St #204 8005. Sanderson #200 47-950 Arabia St "A" 38740 Sky Canyon Dr. 544 S. Paseo Dorotea 4065 County Circle 3880 Lemon St. Corona, Ca 92882 Hemet, Ca 92545 Indio, Ca 92201 Murrieta, Ca 92563 Palm Springs, Ca Riverside, Ca 92503 Riverside, Ca 92501 (951).273-9140 (951) 766.2824 (760) 863-8287 (951) 461-0284 92264 (951) 358-512 (951) 955-8982 Fax (951) 520-8319 Fax (951) 7664874 Fax (760) 863-8303 Fax (951) 461=0245 (760) 320-1048 Fax (951) 358-5017 (951) 955.8988 N W(4- i C)4Ce Z- 03 COACHELLA VALLEY WATER DISTRICT 85-995 Avenue 52 Coachella, California 92236 (760)398-2651 Aisnr i/ ATfllwr rig., �v�crr�v� ran r�tm�c i+�wmn A7 Di AM ADDDnUAx APPLICANT: Submit this form with a copy of a SCALED plot plan (I' – 2(Y to1- - 40' SCALE) drawn to District specifications. A nonrchuidable filing fa is required wfien the application is submitted. Check must be made payable to The Coachella Valley Water DiatricL Approval of this application shall remain valid for a period not to exceed one (I ) year Som date of payment NOTE: ALL USERS DISCRARGING FAT, OIL, AND/OR GREASE. LOCATED IN A MULTI -S= BUELDrgG WILL REQUIRE A SEPARATE LATERAL OFF THE NLMN SEWER LINE FOR GREASE INTERCEPTOR CONNECTION. Cv" Source Control will Inspect the esposed grease plombing and the Installed Interceptor. Please call (760) 398-2661 x333648 Noun In advance to schedule inspection(:} Agent. Contractor, Cautact pe Address City Stale Zip Telephone , � 9 Li P V I LAC LAW 'r CA Il GVl'ISl-956•WA, Owner Address City State Zip Telephone t. Job Site Address City Zip let- 1 S5 LA 00 ATA CA q 2253 Business Type . Doing Business As NOTE: NO PLANS WILL BE APPROVED TMS APPLICATION IS COMPLETE AND PLAN CRECK FEES ARE PAID. Type of Construction: I lNeiv I Hours of Operation Coolie TOW s For Vehicle Service: For Food Se . Wand bays _ Trench drain ( ft) Water Softener Garbage Grinder(:) Roll over Service bay(s) Multiservice (reusable) Ys Single Service (disposable) Tunnel(s) _ Parts Washer Seating Capacity. Internal 19�- External f 2 Spill Canuiamcut (Solvent Aqueous ❑) Seating with Misters or Heaters 4!r— Hydmhc Lifl(s) _ Wok sinks) I Bar seating Bar seating with Food Service OWNER/REPRESENT that I have read the entire application and state that all information is correct I understand that the fee amount is based onm y rri�on of info matiou on this form that incorrect information is grounds for rejection of the submitted plans. I also understand that plans may be di if not picked up within sixty (60) days proval or rerun and that no District inspection of my establishment will be conducted until all rcquegted information been cc sad plans have been a Si Date FOR, DISTRICT:USE ONLY' o. of Systems Type of S s)t Equipment Grease Interceptor C:]G ease Interceptor Waived nNOil ®Existing Connect b Sewer Addition Li Lint Trap Replacement Clarifier Size:11 s REMARKS: .. ti t 0 L Will i P c 1z ��45,CJD -. P lutn bb' 0 1 � 1 C f 4-O1/WD c b 1 This application is: conditionally Approved- 0 Approved PZ wJ 'Sw l DD5 7 Remarks Fees O ' Check No. Date 3 Initial Signature Date e- CVWD-921 Rev 5114 "by=Cam-canne RECEIE IFORNIA V�.. LIGHTING ' •01-E Revised 06/14)CALIFORNIA ENERGY COMMISSION E OF COMPLIANCE -USER INSTRUCTIONS FEB13 ting N RCC-LTI-01-E CIT( �7 = 1 FA (Page 1 of 5) Dickey's Barbecue Pit COMMUNITY DE � w 00 ENT Date Prepared: 12/15/2014 ie: Conditioned Floor Area: 2,565 Unconditioned Floor Area: 0 (formation pe: 0 Nonresidential E3 High -Rise Residential O Hotel/Motel 13 Relocatable Public Schools 0 Conditioned Spaces O Unconditioned Spaces )nstruction: 13 New Construction 13 Addition 0 Alteration Compliance: O Complete Building 0 Area Category 13 Tailored )MPLIANCE DOCUMENTS (select yes for each document included) instructions on the use of this and all Energy Efficiency Standards compliance d0ruments, refer to the Nonresidential Manual published by the California Energy Commission. NO FORM TITLE NRCC-LIT-01-E Certificate of Compliance. All Pages required on plans for all submittals. NRCC-LIT-02-E . lighting Controls, Certificate of Compliance, and'PAF Calculation. All Pages required on plans for all submittals. NRCC-LIT-03-E Indoor Lighting Power Allowance NRCC-TIT-04-E Tailored Method WorksheetsUINTA NRCC-LIT-05-E Line Voltage Track Lighting Worksheet.; BUILDING r of Allowed Lighting Power FOR C01,4;) I utau"Ilv d and Unconditioned space Lighting must not be combined for compliance Indoor lighting Power for Conditioned Spacesitioned 'EShs Spacerowel tar Q Wat+.sWatts Installed Lighting page 4 + 2,870 Installed. Lighting 0 NRCC-LTI-01-E, a e 4 + PORTABLE ONLY FOR OFFICES - _ NRCC-LTI-01-E, page 3 + Minus Lighting Control Credits- 317 Minus Lighting Control Credits NRCC-LTI-02-E, e 2 NRCC-LTI-02-E, - 0' Adjusted a e 2 Installed Lighting Power= 2,553 Adjusted Installed lighting Power (row 1 plus row 2 minus row 3) (row 1 minus row 3 0 anergy Efficiency Standards - 2013 Nonresidential. Compliance . June 2014 STATE OF CALIFORNIA' INDOOR LIGHTING ... . CEC-NRCC-LT141-E lRevised 08114 CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS CALIFORNIA ENE RGY COMMISSION Indoor Lighting NRCC-LTI-01-E Project Name: Dickeys Barbecue Pit (Page 2 of 5) .: Date Prepared: 12!15/2014 5' Complies ONLY if Installed 5 Allowed Complies ONLY if Installed 5 Allowed Allowed Lighting Power 6: Coriditioned NRCC-LTI-03-E, page 1 3,297 Allowed Lighting Power Unconditioned NRCC-LTI-03-E, page 1 0 ' 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 X NRCI-LTI-01-E - Must be submitted for all buildings NRCI-LTI-02-E - Must be submitted for a lighting control system, or for an Energy Management Control System (EMCS), to be ❑ Field Inspector ❑Field inspector X recognized for compliance. X NRCI-LTI-03-E - Must be submitted for a line-voltage track lighting integral current limiter, or for a supplementary overcurrent ❑ Field Inspector protection panel used to energize only line-voltage track lighting, to be recognized for compliance. X NRCI-LTI 04-E -Must be submitted for two Interlocked systems serving an auditorium, a convention center, a conference room, a multipurpose room, or theater O Field Inspector a to be recognized for compliance. • X NRCI-LTI-0S-E - Must be submitted for a Power Adjustment Factor (PAF) to be recognized for compliance. [3 Field Inspector X NRCI-LTI-06-E - Must be submitted for additional wattage• Installed in a video conferencing studio to be recognized for compliance. ❑ Field Inspector Declaration of Required Certificates of Acceptance — Declare by checking all of the Certificates of Acceptan a at wI d. Retain copies completed and signed.) CITY and verify forms are YES NO Form/Title UlLDIN G & X NRCA-LTI-02-A - Must be submitted for occupancy sensors and automatic time swit h contr ¢ie Inspector X NRCA-LTI-03-A - Must be submitted for automatic daylight controls. ONSTRUCTIO 0 Fi d Inspector X NRCA-LTI-04-A - Must be submitted for demand responsive lighting controls. DATE O Fi Id Inspector CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTi-01-E Revised 06114 CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS CAU FoRNIA ENERGY COMMISSION Indoor Lighting NRCC-LTI-01-E Project Name: Dickey's Barbecue Pit (Page 4 of 5) Date Prepared: 12/15/2014 A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces. Installed Lighting Power listed on this Lighting Schedule is E3 CONDITIONED SPACE O UNCONDITIONED SPACE only for: C. INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Luminaire Schedule Installed Watts Location A B C D E F Field Inspector' How wattage was . G H determined . HComplete Luminaire Description 3 z ; s Z (Le, 3 lamp fluorescent troffer, - � N � '3� , : o � iu 3 X a Primary Function F32T8, one dimmable electronic ballast). o 8 a ro ,,, 2 area in which g candescent 175.0 ❑ 0 these luminaires are installed Pass ' Fail , D 3 W CFL 50.0. . 5 875 Dining ❑ ❑ D D 4 D 32W CFL 50.0: D 0 200. Dining ❑ D 32W CFL 50.0- © 5 250 Kitchen, Food Preparation . D E3 F Recessed LED Troffer 0 2 100 Corrydor/RestroomlSuppart ❑ ❑ . 39.0 D . D ®.. 13 507 Kitchen, Food Preparation p D T16 12.5w per ft Track Light (with Current Limiter) 12.5 T22 12.5w per ft Track Light (with Current Limiter) 12.5 D 0 16 200 Dining D T31 12.5w per ft Track Li ht with Current Limiter) g ( 12.5- 22 275 Dining ❑ ❑ ❑ ® 31 T6 12.5w per ft Track Light (with Current Limiter) 12.5 D Dining ❑ 0 0 6 ..' INSTALLED WATTS PAGE TOTAL: S ,8IL s O €,n, e s t t t W�4ridiEPT Q :. . O R GONS.TRUGTION, :...• ::. bATE__ BY .. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 IFORNfA LIGHTING -01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION E OF COMPLIANCE — USER INSTRUCTIONS NRCC-LTI-01-E ting Dickey's Barbecue Pit Date Prepared: 12/15/2014 (Page 5 of 5) ATION AUTHOR'S DECLARATION STATEMENT that this Certificate of Compliance documentation is accurate and complete. Author Name: Documentation Author Signature: sigratu�e Dace: 12/15/2014 Lead Design CEA/ HERS Certification Identification (if applicable): Phone: .E PERSON'S DECLARATION STATEMENT r the following under penalty of perjury, under the laws of the State of Californi<: Drmation provided on this Certificate of Compliance is true and correct. gible under Division 3 of the Business and Professions Code to accept responsib.lity for the building design or system design identified on this Certificate of Compliance isible designer), argy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of ante conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. ilding design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance ents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. isure 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'avallable to the !ment 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 provides to the building owner at occupancy. >igner Name: Omid Ardebili Responsible Designer Signature: ' ArdebiliBorum Consulting Engineers Date signed: 8100 E. Indian School Rd, Suite 205 `cense: Scottsdale, AZ 85251 Phene: 480-361-6269 anergy Efficiency Standards - 2013 Nonresidential Compliance STATE OF CALIFORNIA INDOOR LIGHTING —LIGHTING CONTROLS CEC-NRCC-LTI-02-E Revised 08114 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting - Lighting Controls ProjedMame.Dickey's Barbecue Pit oacePreoa,ea: (Page 1 of 3) 12/15/2014 The NRCC-LTI-02-E shall be used to document all mandatory and prescriptive lighting controls that aye a0plicable 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 X Efficiency Regulations in accordance with Section 110.9. XLighting 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). X 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). X 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. i( 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, X 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. X 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). X All installed indoor lighting shall be equipped with controls that meet the applicable Shut -OFF control requirements in Section 130.1(c). . X Lighting in all Daylit Zones shall be controlled in accordance with the requirements in je6W 1361QFc1 dA1i � yI_ r n on the plans. B �VI X lighting power in buildings larger than 10,000 square feet shall be capable of being a tomatic� VM' ema d Responsive Signal in accordance with Section 130.1(e). /`ii]— ®` , Before an occupancy permit is granteEb d for a newly constructed building or area, or anew lighting sys V �pg, are , or site is operated for normal use, indoor lighting controls serving the building, area, or site shall be certifi� cl�eeting the Acceptance Requiremen for Code Compliance in X accordance with Section 130.4.(a). The controls required to meet the Acceptance Require* nnelacirs afh'omatic daylight co rots, automatic shut -OFF controls, and demand responsive controls. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 z ; 0 � c �z J Z V Z 2 W l v Z Q Z-0 CL c=� O w'L p Ja O ui c' �3 0 (U o. a G 0 V1 60 OL d u m a N a) C 0 .O C O u C W C V m a a d N C Lu Lu .2 Z _O O ~ U 2i Z O UO Z O LD 13 v n N Q a U N O �LU Z 0 Field Inspector O Fail ' .1010101010 0 ❑ Pass 1301313000 ✓ if Acceptance z � H Test Required X v ... u J c ' o � Control = o Credit V o (K x L) N N ao Z O u U PAF - •-� v o 0 0 NWatts of Z IL a Controlled . Y C ° Lighting 0 LO W ' §140.6(d) W W UJ C Q 0 W - §140.6(a)2 X O a=+ g m t, = §130.1(e) L1.i W a o Q �+- � §130.1(c) X X X W.+ ep W §130.0(b) X X X W -- - - H p §130.1(a) XXX O a h o.= O � V z C N m v ;, u �, E v v p �, II I! 7 V V C ? r _I u ai m O O > M 6 3 E m ~u ME N to E 04 00� V c W Q 0 0 0 Q p 0 0 0 O C .. w to N � a. M41 " v ... u c ' o � w0 o C � N 010 W f=IZO)00 o >j o ®r j c- Z 4 �.0 M < 0: o, Q �� 4 o Pa n ro, c 0 M Q 0 v M y� r q obi 1 \ H t a'o,a • g� a$ w c � c 1 tjO `o 1z 3 V k6 w M STATE OF CALIFORNIA' INDOOR LIGHTING -LIGHTING CONTROLS CEC-NRCC-LTI.02-E Revised 06/14)CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE Indoor Lighting -Lighting Controls NRCC-LTI-02-E ProlW Name: (Page 3 of 3) . Dickeys Barbecue Pit °atePfeparedi 12/15/2014 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author signature: Company. Lead Design Signature Date: 12/15/2014 . . Address: CEA/ HERS Certification Identification (if applicable): City/State/Zip: phone: 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 permits) 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: Omid Ardebili Responsible Designer Signature: company ` ArdebiliBorum Consulting Engineers Date signed:. Address: 8100 E. Indian School Rd, Suite 205 License: sty/stateMp: Scottsdale. AZ 85251. Phone: 480-361-6269 CITY -OF LA :QUINTA BUILDING & SAFETY DEPT APPROVED• ..FO.R. CONSTRUCTION .., .. .. ATE _ ----6Y CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE CEO-NRCC-LTIM-E Revised 06114 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E' Certificate of Compliance - Indoor Lighting Power Allowance : (Page 1 of 4) °`°,e""a"'e' Dickey's Barbecue Pit DaleP"—d.. 12/15/2014 ALLOWED LIGHTING POWER A separate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for: ® CONDITIONED spaces : ❑ UNCONDITIONED spaces : .. A. SUMMARY TOTALS OF LIGHTING POWER ALLOWANCES Watts ❑ If using Complete Building Method for compliance, use only the total in column (a) as total allowed building watts. . . B ❑ 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 WATTS PER (ft) XBLDG. COMPLETE AREA ... (a) ALLOWED WATTS 1. Complete Building Method Allowed Watts. Documented in section B of NRCC-LTI-03-E (below on this page) 2. Area Category Method Allowed Watts. Documented in section C-1 of NRCC-LTI-03-E (below on this page) Total Area: Total Watts. Enter Total Wa s i3O i oipe )C / Fil A _: ->: 'r,n !� > a 3. Tailored Method Allowed Watts. Documented in section A of NRCC-LTI-04-E 3,297. a TOTAL ALLOWED BUILDING WATTS. Enter number into correct cell on NRCC-LTI-01, Page 2, Row 1 3,297 . ❑ Check here if building contains both conditioned and unconditioned areas. B. COMPLETE BUILDING METHOD LIGHTING POWER ALLOWANCE Watts A B C D TYPE OF BUILDING (From §140.6 Table 140.6-8) :,. ..... WATTS PER (ft) XBLDG. COMPLETE AREA ... = ALLOWED WATTS Total Area: Total Watts. Enter Total Wa s i3O i oipe )C / Fil A _: ->: 'r,n !� > a C-1 AREA CATEGORY METHOD TOTAL LIGHTING POWER ALLOWANCES (C-2 plus C-3 V/ Watts P,297 DATE •: Total from section C-3 . Total Watts: Enter Total Watts int. ovei 3,297 .. CA Building Energy. Efficiency Standards - 2013 Nonresidential Compliance . lune 2014 !FORNIA LIGHTING POWER ALLOWANCE 03-F (Revised 06/14) E OF COMPLIANCE CALIFORNIA E NERGY COMMISSION NRCC-LTI-03-E (Page 2 of 4) Date vrevared: 12/15/2014 NdsC rnust ue nueo out Tor conditioned and Unconditioned Spaces. This page is only for: IONED spaces ❑ UNCONDITIONED spaces .CATEGORY METHOD GENERAL LIGHTING POWER ALLOWANCE include portable lighting for offices: Portable lighting for offices shall be documented only in section B of NRCC-LTI-01-E: :ely list lighting for each primary function area as defined in §100.1 of the Standards. A B .. C 0. AREA CATEGORY (From §144.6 Table 140.6-C) WADS Location in Building LLOWED Primary Function Area per Table 140.6-C PER (ftz} X AREA (W)WATTSa Dining 1.10 1,194 1,313 Area Kitchen, Food Preparation 1.60 1,161 1,858 estroom Corridor/Restroom/Support 0.60 210 126 101 ilk of Bu G t-297 TEnter sum total Area Category allowed watts into section C-1 of NRC -LTI-03-E (this compliance or DATE. ABY -.WATTS iergy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA . CEC-NRCC-LTi-03-E Revised 06114 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTi-03-E Certificate of Compliance - Indoor Lighting Power Allowance (Page 4 of 4) Project Name: Dickey's Barbecue Pit DatePtepare°` 12/15/2014 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. 001-1 Documentation Author Name: Documentation Author Signature: company: Lead Design signature Date: 12/15/2014 " Address: CEA/ HERS Certification identification $f applicable): City/State./Zip: , Phone: . 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,.materiais, 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. 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: Onlld Ardeblll Responsible DesignerSignature: Company: ArdebiliBorum Consulting Engineers .. oatesgnea: Address: 8100 E. Indian School Rd, Suite 205 ucense: 41statenip:Scottsda)e, AZ 85251 Phone:. 480-361-6269 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance DATE.. lune 2014 BY 7. CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS NRCC-LTI-04-E Indoor Lighting — Tailored Method (Page 7 of 7) DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Company: Lead Design Signature Date: 12/15/2014 Address. CEA/ HERS Certification identification (if applicab 1: City/State/Zip: Phone: .. o LJ _0 RESPONSIBLE PERSON'S DECLARATION STATEMENT U 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 then �designro 5 . I dentified on this Certificate of Compliance (responsible designer). 3. The energy features and performance specifications, materials, components, and manufactured devices f �rM I tlgn or S m design identified on this Certificate of Compliance conform to the requirements of Title 24, Part: and Pa oftpra Code Regulations. Cb 4. The building design features or system design features identified on this Certificate of Compliance are co sl form n provided on other applicable compliance documents, worksheets, calculations, plans and specifications s b0e83o the enforce*n 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 permlt(s) issue or the building, and made available to the enforcement agency for all applicable inspections.) understand that acompleted 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: Responsible Designer Signature: Omid Ardebili - company ` ArdebiliBorum Consulting Engineers Date signed: Address: 8100 E. Indian School Rd, Suite 205 ucense: Gty/Stace/ap: Scottsdale, AZ 85251 Phone: 480-361-6269 STATE OF CALIFORNIA LINE -VOLTAGE TRACK LIGHTING WORKSHEET D There are four different methods available for determining how many watts of line -voltage tra loll tWvoltage busty as j been installed. One or more methods may be used to determine how many watts of line -vol gC�lra o�iTg�Vottage b sway 0 has been installed. Use this worksheet to separately calculate the input wattage for each syst n?; p. ❑ Separately enter each row of this worksheet into the Luminaire Schedule in section C of NRCC-L I-DDE?7_ W U ❑ Method 1 is the only option available for determining wattage for track or busway rated for moss ' O METHOD 1— VOLT-AMPERE (VA) RATING OF THE BRANCH CIRCUIT(S) - 06A Z. V ®E ®RATING F HE BRANCH CIRCUIT NAME OR ID NLi11�1RCUlT W co p. ❑ METHOD 2 —USE THE HIGHER OF 45 WATTS PER LINEAR FOOT OF TRACK OR TOTAL RATED WATTAGE OF ALL LUMINAIRES rA g C D E F .. Track or Name # Linear Feet of Track (W%LF). . B x C .. (W) TOTAL RATED WATTAGE OF ALL LUMINAIRES.. LARGER OF (Dor E) VA Rating of Integral Current Larger of.. . 45 Track . (W/LF) (Vln ... ' Limiter (Dor E) 45 6 12.5 75 120 120 45 16 12.5 200 ® METHOD 3 —.USE THE HIGHER OF: 12.5 WATTS / LINEAR FOOT OF TRACK = OR VA RATING OF INTEGRAL CURRENT LIMITER M Only integral current limiters which are certified to the Energy Commission shall be recognized by the Standards. GI This method shall not be recognized if an Installation Certificate is not submitted. A B. C D E F .:. Linear Feet of B x C VA Rating of Integral Current Larger of.. . Track or Name # Track . (W/LF) (Vln ... ' Limiter (Dor E) T6 . 6 12.5 75 120 120 T16 16 12.5 200 210 210 T22 22 12.5 275 300 300 T31 ........ -evv 4BO ❑ METHOD 4 - DEDICATED TRACK LIGHTING SUPPLIMENTARY OVERCURRENT PROTECTION PANEL O This method shall not be recognized if an Installation Certificate is not submitted. 0 This method shall be used only for line -voltage track lighting, and shall not be recognized for any other lighting systems. If any other lighting . systems or devices are installed, the supplementary overcurrent protection panel shall not be recognizedfor compliance with the Standards A B C D NAME OR ID Voltage of the Branch Circuit Sum of the Ampere Rating of all Devices installed in the Panel Wattage = Sum of the Ampere Ratings of all of the Devices Times The Branch Circuit Voltage (B x C) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 ,r ! : . STATE OF CALIFORNIA LINE -VOLTAGE TRACK LIGHTING WORKSHEET CEC-NRCC-LTi05-E Revised 06114 CALIFORNIA ENERGY COMMISSION CERTIFICATE Of COMPLIANCE NRCC-LTI-05-E Indoor Lighting — Line -Voltage Track Lighting Worksheet (Page 2 of 2) Project rvame: Dickey's Barbecue Pit Date Prepared: 12/15/2014 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author signature: O Company: Lead Design signature Date: 12/15/2014 U Address: CEA/ HERS Certification Identification (if applicab ): Q City/State/Zip: Phone:VIP od RESPONSIBLE PERSON'S DECLARATION STATEMENT t; j LLV I certify the following under penalty of perjury, under the laws of the State of California: U 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 buildingd Osystek'8esigr u identified on this Certificate of Compliance (responsible designer). m Q 3. The energy features and performance specifications, materials,components, and manufactured devices fo ulldin des'� systAk 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. l 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: Amid Ardeblli Responsible Designer signature: Company: ArdebiliBorum Consulting Engineers Date signed: Address: 8100 E. Indian School Rd, Suite 205 ''tense: Phone: 480-361-6269 City/State/Zip: Scottsdale, AZ 85251 CA Building Energy Efficiency Standards- 2013 Nonresidential Compliance lune 2014 - Certificate of Occupancy 4 I EEO LM G� O 1 �4 Community Development Department This Certificate is issued pursuant to the requirements of Chapter 1 Section 111 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction andlor use. BUILDING ADDRESS: 79775 HIGHWAY 11'1 STE 105 Use classification: ASSEMBLY - DICKEY'S BARBECUE PIT Building Permit No.: BCOM2014-1046 Occupancy Group: A2 Type of Construction: VB Land Use Zone: CR Code Edition: 2013 Sprinkler Installed- YES Occupant L•o6d: 84 By: KIRK KIRKLAND Owner of Building: P6K PORTFOLIO KDP Date: 111V2016 Address: 2301 ROSECkAl4b STE x'1110 Building Official: BURT HANADA City, ST, ZIP: EL SEGUNDO, GA 92253 POST IN A CONSPICUOUS PLACE