BCOM2015-000478-495 CA
LA QUINT
ApplicatLdn Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
I
VOICE (760) 777-7125
192253 FAX (760) 777-7011 .
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/30/2015
BCOM2015-0004 Owner:
79785,HIGHWAY 111 #102 P6K PORTFOLIO KDP -
600440006 2301 ROSECRANS STE 21
KOMAR DESERT CENTER - T.I. FIT GALS CLOSET EL SEGUNDO, CA 92253 a U
$20,000.00
Applicant:
SOUTH WEST CONCEPTS -ARCHITECT
78115 CALLE ESTADO 201 .
LA QUINTA, CA 92253
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.: AEC285 /�
Contract __Wl/% I� �SC�.��
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:.
() I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that
he or she did not build or improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
( ) I am exempt under Sec. . B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's
Lender's Address:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the wjprk for which this permit is issued.
have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: _ Policy Number: _
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 wit those provisions.
Dater rJ Applicant:
WARNING: AILURE 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 the above-
mentioned property for inspection purposes.
Date: �� ignature(Applicant orAgent):•/
0
on
z
Contractor:
CAD
MATT KLEINE CONTRAC
.
73950 22ND AVENUE
o n
cNj
SKY VALLEY, CA 92241
cin
(760)578-2038
Llc. No.: AEC285
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the wjprk for which this permit is issued.
have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: _ Policy Number: _
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 wit those provisions.
Dater rJ Applicant:
WARNING: AILURE 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 the above-
mentioned property for inspection purposes.
Date: �� ignature(Applicant orAgent):•/
T BUILDING ENERGY ANALYSIS REPORT
PROJECT:
Fit Gals Closet Tenant Improvement
79-785 Highway 111, Suite 102
La Quinta, Ca 92253
Project Designer:
South West Concepts, Inc
78-145 Calle Estado, Suite 21.5
La Quinta, CA 92253
(760) 564-4707
Report Prepared by:
Tim Scott
Scott Design and Title 24, Inc,
77085 Michigan Drive
Palm Desert, CA 92211
(760) 200-4780
CITY OF LA QUINTA
BUILDING & SAFETY SEPT.
APPROVED
FOR NSTRU N'
6A � bsey
fowl Lo/5 —&00+
RECEIVED
Job Number:
JAN 13 2015
CITY OF LA QUINTA
Date: COMMUNITY DEVELOPMENT
1/8/2015
The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is
authorized by the California. Energy Commission for use with both the Residential and Nonresidential 2013 Building Energy Efficiency Standards.
This program developed by EnergySoft, LLC — www.energysoft.com.
Ener Pro 6.4 by Ener Sok User Number: 6712 gyp;
r a -
TABLE OF CONTENTS
r '
Cover Page 1
Table of Contents 2
Form LTI-01-E Indoor Lighting 3
Form LTI=02-E Lighting Controls g
Form LTI-03-E Indoor Lighting Power Allowance 12
EnergyPro 6.4 by EnergySoft Job Number: ID: User Number: 6712
STATE OF CALIFORNIA
INDOOR LIGHTING
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS NRCC-LTI-01-E
Indoor Lighting (Page 1 of. 5)
Project Name: Fit Gals Closet Tenant Improvement Date Prepared: 1/8/2015
Climate Zone:
15
Conditioned Floor Area: 2,960
YES NO FORM
TITLE
YES NRCC-LIT-01-E
Certificate of. Compliance. All Pages required on plans for all submittals.
Unconditioned Floor Area : 0
Lighting Controls, Certificate of. Compliance, and PAF Calculation. All Pages required on plans for all submittals.
General Information
Indoor Lighting Power Allowance
NO I NRCC-LIT-04-E
Tailored Method Worksheets
NO I NRCC-LIT-05-E
Line Voltage Track Lighting Worksheets
Building Type:
❑ Schools
E3 Nonresidential
❑ Relocatable Public Schools
❑
El
High -Rise Residential
Conditioned Spaces
❑
❑
Hotel/Motel
Unconditioned Spaces
Phase of Construction:
❑ New Construction
❑
Addition
❑
Alteration
Method of Compliance:
❑ Complete Building
0
Area Category
❑
Tailored
LIGHTING COMPLIANCE DOCUMENTS (select yes for each document included)
For detailed instructions on the use of this and all Energy Efficiency Standards compliance documents, refer to the Nonresidential Manual published by the California Energy Commission.
YES NO FORM
TITLE
YES NRCC-LIT-01-E
Certificate of. Compliance. All Pages required on plans for all submittals.
YES NRCC-LIT-02-E
Lighting Controls, Certificate of. Compliance, and PAF Calculation. All Pages required on plans for all submittals.
YES NRCC-LIT-03-E
Indoor Lighting Power Allowance
NO I NRCC-LIT-04-E
Tailored Method Worksheets
NO I NRCC-LIT-05-E
Line Voltage Track Lighting Worksheets
Summary of Allowed Lighting Power
Conditioned and Unconditioned space Lighting must not be combined for compliance
Indoor Lighting Power for Conditioned Spaces
Indoor Lighting Power for Unconditioned Spaces
Watts
Watts
Installed Lighting
Installed Lighting
3,318
0
1.
NRCC-LTI-01-E, page 4
+
NRCC-LTI-01-E, page 4
+
2.
PORTABLE ONLY FOR OFFICES
+
NRCC-LTI-01-E, page 3
3
Minus Lighting Control Credits
11
Minus Lighting Control Credits
0
NRCC-LTI-02-E, page 2
NRCC-LTI-02-E, page 2
4
Adjusted Installed Lighting Power
=
3,307
Adjusted Installed Lighting Power
=
0
(row 1 plus row 2 minus row 3)
(row 1 minus row 3)
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
STATE OF CALIFORNIA
INDOOR LIGHTING
CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS
Indoor Lighting
Project Name: Fit Gals Closet Tenant Improvement
Date Prepared: 1/8/2015
N RCC-LTI-01-E
(Page 2 of. 5)
5.
Complies ONLY if Installed <_ Allowed
Complies ONLY if Installed <_ Allowed
NO
6.
Allowed Lighting Power
Conditioned NRCC-LTI-03-E, page 1
3,552
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
V
NRCA-LTI-02-A - Must be submitted for occupancy sensors and automatic time switch controls.
NRCI-LTI-01-E - Must be submitted for all buildings
❑ Field Inspector
NRCA-LTI-03-A - Must be submitted for automatic daylight controls.
NRCI-LTI-02-E - Must be submitted for a lighting control system, or for an Energy Management Control System (EMCS),
❑ Field Inspector
NRCA-LTI-04-A - Must be submitted for demand responsive lighting controls.
to be recognized for compliance.
NRCI-LTI-03-E - Must be submitted for a line -voltage track lighting integral current limiter, or for a supplementary
❑ Field Inspector
overcurrent protection panel used to energize only line -voltage track lighting, to be recognized for compliance.
./
NRCI-LTI-04-E - Must be submitted for two interlocked systems serving an auditorium, a convention center, a
❑ Field Inspector
conference room, a multipurpose room, or a theater to be recognized for compliance.
NRCI-LTI-05-E - Must be submitted for a Power Adjustment Factor (PAF) to be recognized for compliance.
❑ Field Inspector
NRCI-LTI-06-E - Must be submitted for additional wattage installed in a video conferencing studio to be recognized for
❑ Field Inspector
compliance.
Declaration of Required Certificates of Acceptance — Declare by checking all of the Certificates of Acceptance that will be submitted. (Retain copies and verify forms are
completed and signed.)
YES
NO
Form/Title
NRCA-LTI-02-A - Must be submitted for occupancy sensors and automatic time switch controls.
❑ Field Inspector
NRCA-LTI-03-A - Must be submitted for automatic daylight controls.
❑ Field Inspector
NRCA-LTI-04-A - Must be submitted for demand responsive lighting controls.
❑ Field Inspector
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
STATE OF CALIFORNIA
INDOOR LIGHTING
CALIFORNIA ENERGY
CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS NRCC-LTI-01-E
Indoor Lighting (Page 3 of. 5)
Project Name: Fit Gals Closet Tenant Improvement Date Prepared: 1/8/2015
A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces. Installed Lighting Power listed on this Lighting Schedule is only for:
® CONDITIONED SPACE ❑ UNCONDITIONED SPACE
A. INDOOR LIGHTING SCHEDULE and' FIELD INSPECTION ENERGY CHECKLIST
❑ The actual indoor lighting power listed on this page and on the next page includes all installed permanent and planned portable lighting systems.
❑ When Complete Building Method is used for compliance, list each different type of luminaire on separate lines.
❑ When Area Category Method or Tailored Method is used for compliance, list each different type of luminaire by each different function area on separate lines
❑ Also include track lighting in schedule, and submit the track lighting compliance form (NRCC-LTI-05-E) when line -voltage track lighting is installed.
B. Installed Portable Luminaires in Offices — Exception to Section 140.6(a)
❑ This section shall be filled out ONLY for portable luminaires in offices (As defined in §100.1). All other planned portable luminaires shall be documented on next page of
this compliance form.
❑ This section is used to determine if greater than 0.3 watts of portable lighting is planned for any office
❑ Fill out a separate line for each different office. Small offices that are typical (having the same general and portable lighting) may be grouped together. This allowance
shall not be traded between offices having different lighting systems.
Office Portable Luminaire
Office Installed Portable Luminaire Watts Per Square
Office Location
Field
Schedule
Foot
Inspector
A
B
C
D
E
F
G
H
I
J
Installed
,— Z
portable
0 v,
Watts
If F5 0.3,
Identify Office area in which
3
a-
luminaire
,
? a
per
enter zero;
E x G
these portable luminaires are
v T,
°/ o,
Complete Luminaire Description
O1'
watts in this
�m
square
installed
—
(i.e., LED, under cabinet, furniture mounted
Watts per
office
n
foot
if F > 0.3,
direct/indirect)
Luminaire
(B x C)
(D / E)
(F-0.3)
❑ ❑
❑ ❑
❑ D
❑ ❑
❑ ❑
Enter sum total of all pages into NRCC-
Total installed portable luminaire watts that are greater than 0.3 watts per square foot per office:
LTI-01-E; Page 1
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
STATE OF CALIFORNIA
INDOOR LIGHTING
CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS NRCC-LTI-01-E
Indoor Lighting (Page 4 of. 5)
Project Name: Fit Gals Closet Tenant Improvement Date Prepared: 1/8/2015
A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces. Installed Lighting Power listed on this Lighting Schedule is only for:
E3 CONDITIONED SPACE ❑ UNCONDITIONED SPACE
C. INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST
Luminaire Schedule
Installed Watts
Location
Field Inspector 1
A
B
C
D
E
F
G
H
How wattage was
determined
a
H O
o
Complete Luminaire Description
r
3
('1 D+
o^ 0 0
C
3 z
3
s F
(i.e, 3 lamp fluorescent troffer,
,'�
a
O W n
Z E o w
j' C
m.
(1 V, H
x a °
Primary Function area in which
z -
F32T8, one dimmable electronic ballast)
M m�
= E
0 m
- a
these luminaires are installed
Pass
Fail
2X4
(3) 4 ft Fluorescent T8
90.0
® ❑
35
3,150
Retail Sales, Wholesale
❑
❑
Can Lt.
(1) 13w Compact FI
15.0
® ❑
4
60
Retail Sales, Wholesale
❑
❑
CFL
(1) 26w Compact Fluorescent
28.0
® ❑
1
28
Retail Sales, Wholesale
❑
❑
Fan Lt.
17 W LED
20.0
❑ ®
4
80
Retail Sales, Wholesale
❑
❑
❑ ❑
❑
❑
❑ ❑
❑
❑
❑ ❑
❑
❑
❑ ❑
❑
❑
❑ ❑
❑
❑
INSTALLED WATTS PAGE TOTAL:
3,318
Enter sum total of all pages into
NRCC-LTI-01-E; Page 2
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
STATE OF CALIFORNIA ;
INDOOR LIGHTING
CEC-NRCC-LTI-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS NRCC-LTI-01-E
Indoor Lighting (Page 5 -of 5)
Project Name: Fit Gals Closet Tenant Improvement Date Prepared: 1/8/2015
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: Tim Scott
Documentation Author Signature:
Company: Scott Design and Title 24, Inc,
Signature Date: 1/8/2015
Address: 77085 Michigan Drive
CEA/ HERS Certification Identification (if applicable):
City/State/Zip: Palm Desert, CA 92211
Phone: (760) 200-4780
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 consistentwith the ' formation provided on other applicable compliance
documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with thi uilding permit application.
5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building pe i (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 Co li nce is required to be included with the documentation the
builder provides to the building owner at occupancy.
Responsible Designer Name: Steve Nieto
Responsible Designer Signa
i
Company: South West Concepts, Inc
Date Signed:
w
Address: 78_145 Calle Estado, Suite 21.5
License: ,
City/State/zip: La Quinta, CA 92253
Phone: (760) 564-4707
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance
June 2014
STATE OF CALIFORNIA
INDOOR LIGHTING - LIGHTING CONTROLS
CERTIFICATE OF COMPLIANCE
Indoor Lighting - Lighting Controls
Project Name: Fit Gals Closet Tenant Improvement
Date Prepared: 1/8/2015
The NRCC-LTI-02-E shall be used to document all mandatory and prescriptive lighting controls that are applicable to the project
N RCC-LTI-02-E
(Pagel of 31
Mandatory Lighting Control Declaration Statements (Indicate if the measure applies by checking yes or no below.)
YES
NO
Control Requirements
Lighting shall be controlled by self-contained lighting control devices which are certified to the Energy Commission according to the Title 20 Appliance
Efficiency Regulations in accordance with Section 110.9.
Lighting shall be controlled by a lighting control a system or energy management control system in accordance with §110.9. An Installation Certificate
shall be submitted in accordance with Section 130.4(b).
One or more Track Lighting Integral Current Limiters shall be installed which have been certified to the Energy Commission in accordance with §110.9 and
§130.0. Additionally, an Installation Certificate shall be submitted in accordance with Section 130.4(b).
A Track Lighting Supplementary Overcurrent Protection Panel shall be installed in accordance with Section 110.9 and Section 130.0. Additionally, an
Installation Certificate shall be installed in accordance with Section 130.4(b).
All lighting controls and equipment shall comply with the applicable requirements in §110.9 and shall be installed in accordance with the manufacturer's
instructions in
accordance with Section 130.1.
All luminaires shall be functionally controlled with manually switched ON and OFF lighting controls in accordance with Section 130.1(a).
General lighting shall be separately controlled from all other lighting systems in an area. Floor and wall display, window display, case display, ornamental,
and special effects lighting shall each be separately controlled on circuits that are 20 amps or less. When track lighting is used, general, display,
ornamental, and special effects lighting shall each be separately controlled; in accordance with Section 130.1(a)4.
The general lighting of any enclosed area 100 square feet or larger, with a connected lighting load that exceeds 0.5 watts per square foot shall meet the
multi-level lighting control requirements in accordance with Section 130.1(b).
All installed indoor lighting shall be equipped with controls that meet the applicable Shut -OFF control requirements in Section 130.1(c).
�I
Lighting in all Daylit Zones shall be controlled in accordance with the requirements in Section 130.1(d) and daylit zones are shown on the plans.
Lighting power in buildings larger than 10,000 square feet shall be capable of being automatically reduced in response to a Demand Responsive Signal in
accordance with Section 130.1(e).
Before an occupancy permit is granted for a newly constructed building or area, or a new lighting system serving a building, area, or site is operated for
normal use, indoor lighting controls serving the building, area, or site shall be certified as meeting the Acceptance Requirements for Code Compliance in
accordance with Section 130.4.(a). The controls required to meet the Acceptance Requirements include automatic daylight controls, automatic shut -OFF
controls, and demand responsive controls.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
STATE OF CALIFORNIA
INDOOR LIGHTING — LIGHTING CONTROLS
CEC-NRCC-LTI-02-E (Revised 06114)
CERTIFICATE OF COMPLIANCE
Indoor Lighting - Lighting Controls
Project Name: Fit Gals Closet Tenant Improvement
Date Prepared: 1/8/2015
A separate document must be filled out for Conditioned and Unconditioned Spaces. This page is used only for the following:
El CONDITIONED SPACES ❑ UNCONDITIONED SPACES
COMMISSION
N RCC-LTI-02-E
(Page 2 of 3)
MANDATORY AND PRESCRIPTIVE INDOOR LIGHTING CONTROL SCHEDULE, PAF CALCULATION, and FIELD INSPECTION CHECKLIST
PAF Credit Calculation Z
t
n
(D
V, D
(D
a
1
r 7 G
rY
_ f)
�
rD (nD
N
Standards Complying With
°
r. v
v
"
x (D .'
�•
CD
n
Lighting Control Schedule
(✓ all that apply, or enter 'E' if Exempted)
a °
-n
= a °
a m
o
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
Type/ Description of Lighting
Control (i.e.: occupancy sensor,
#
'O'
`O'
`a'
n
°,
O
Location in Building
automatic time switch,
of
o 0
0
0
o
0
N
dimmer, automatic daylight,
Units
v
v
etc...)
Tenant Improvement
Occ Sensor - <= 125 sqft
✓
28
0.40
11
✓
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑ 1
❑
❑
❑
Control Credit PAGE TOTAL (Sum of Column M):
11
IF MULTIPLE PAGES ARE USED, ENTER SUM TOTAL OF Control Credit for all pages HERE (Sum of all Column M):
11
Enter Control Credit total
into NRCC-LTI-01-E; Page
1.
1. §130.1(a) =Manual area controls, §130.0(b) = Multi Level, §130.1(c) =Auto Shut -Off; §130.1(d) =Mandatory Daylight, • §130.1(e) =Demand Responsive; §140.6(d) =
Additional lighting controls installed to earn a PAF, • §140.6(d) = Prescriptive Secondary Sidelit Daylight Controls.
2. Check Table 140.6-A for correct Factor. PAFs shall not be traded between conditioned and unconditioned spaces. As a condition to earn a PAF, an Installation Certificate is
also required to be filled out signed, and submitted.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
STATE OF CALIFORNIA
INDOOR LIGHTING — LIGHTING CONTROLS
'EC
-NRCC-LTI-02-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION '%�
CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E
Indoor Lighting - Lighting Controls (Page 2 of 3)
Project Name: Fit Gals Closet Tenant Improvement Date Prepared: 1/8/2015 r
G
A separate document must be filled out for Conditioned and Unconditioned Spaces. This page is used only for the following:
❑ CONDITIONED SPACES 0 UNCONDITIONED SPACES
MANDATORY AND PRESCRIPTIVE INDOOR LIGHTING CONTROL SCHEDULE, PAF CALCULATION, and FIELD INSPECTION CHECKLIST
PAF Credit Calculation z
t
n
r7 n
_T
1
0
r o
n
-0
Standards Complying With
0 `�
v
3
x a
�•
m
fD
Lighting Control Schedule
(✓ all that apply, or enter 'E' if Exempted)
ro
M a °
-n
= �*
n m
-
A
B
C
D
E
F
G
H
I
I J
K
L
M
N
O
Type/ Description of Lighting
Control (i.e.: occupancy sensor,
#
`4'
L40n
to
o
to
p
` ,
Location in Building
automatic time switch,
of
o
0
0
0
0
o
d
dimmer, automatic daylight,
Units
v
etc...)
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
a
❑
Control Credit PAGE TOTAL (Sum of Column M):
0
IF MULTIPLE PAGES ARE USED, ENTER SUM TOTAL OF Control Credit for all pages HERE (Sum of all Column M):
0
Enter Control Credit total
into NRCC-LTI-01-E; Page
1.
1. §130.1(a) =Manual area controls, §130.0(b) = Multi Level; §130.1(c) =Auto Shut -Off,• §130.1(d) =Mandatory Daylight, §130.1(e) =Demand Responsive, §140.6(d) =
Additional lighting controls installed to earn a PAF; §140.6(d) = Prescriptive Secondary Sidelit Daylight Controls.
2. Check. Table 140.6-A for correct Factor. PAFs shall not be traded between conditioned and unconditioned spaces. As a condition to earn a PAF, an Installation Certificate is
also required to be filled out signed, and submitted.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
STATE OF CALIFORNIA
INDOOR LIGHTING - LIGHTING CONTROLS
CEC-NRCC-LTI-02-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E
Indoor Lighting - Lighting Controls (Page 3 of 3)
Project Name: Fit Gals Closet Tenant Improvement Date Prepared: 1/8/2015
r
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: Tim Scott
Documentation Author Signature: , A
e{y
Company: Scott Design and Title 24, Inc,
Signature Date: 1/8/2015
Address: 77085 Michigan Drive
CEA/ HERS Certification Identification (if applicable):
City/State/Zip: Palm Desert, CA 92211
phone: (760) 200-4780
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance
(responsible designer).
3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of
Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance
documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the
enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the
builder provides to the building owner at occupancy.
Responsible Designer Name: Steve Nieto
Responsible Designer Signature:
Company: South West Concepts, Inc
Date Signed:
Address: 78_145 Calle Estado, Suite 21.5
License:
city/state/zip: La Quinta, CA 92253
Phone: (760) 564-4707
i
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance
June 2014
STATE OF CALIFORNIA
INDOOR LIGHTING POWER ALLOWANCE
;EC-NRCC-LTI-03-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION `*�
CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E
Certificate of Compliance - Indoor Lighting Power Allowance (Page 1 of 4)
Project Name: Fit Gals Closet Tenant Improvement Date Prepared: 1/8/2015
ALLOWED LIGHTING POWER
A separate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for:
0 CONDITIONED spaces ❑ UNCONDITIONED spaces
A. SUMMARY TOTALS OF LIGHTING POWER ALLOWANCES
❑ If using Complete Building Method for compliance, use only the total in column (a) as total allowed building watts.
❑ If using Area Category Method, Tailored Method, or a combination of Area Category and Tailored Method for compliance, use only the total in column (b) as the total
allowed building watts
(a) I I (b)
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) 3,552
3. Tailored Method Allowed Watts. Documented in section A of NRCC-LTI-04-E 0
TOTAL ALLOWED BUILDING WATTS. Enter number into correct cell on NRCC-LTI-01, Page 2, Row 1 3,552
❑ Check here if building contains both conditioned and unconditioned areas.
B. COMPLETE BUILDING METHOD LIGHTING POWER ALLOWANCE
A
B
3,552
C
0
D
TYPE OF BUILDING (From §140.6 Table 140.6-B)
WATTS
PER (ft)
X
COMPLETE
BLDG. AREA
=
ALLOWED
WATTS
Total Area:
Total Watts. Enter Total Watts into section A, row 1 (Above on this page)
C-1 AREA CATEGORY METHOD TOTAL LIGHTING POWER ALLOWANCES (C-2 plus C-3)
Watts
Total from section C-2
3,552
Total from section C-3
0
Total Watts. Enter Total Watts into section A, row 2 (Above on this page)
3,552
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance ' June 2014
STATE OF CALIFORNIA
INDOOR LIGHTING POWER ALLOWANCE
r�',imi�s
:EC-NRCC-LTI-03-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION '%Qi"
CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E
Certificate of Compliance - Indoor Lighting Power Allowance (Page 2 of 4)
Project Name: Fit Gals Closet Tenant Improvement Date Prepared: 1/8/2015
A separate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for:
m CONDITIONED spaces 11 UNCONDITIONED spaces
C -2 AREA CATEGORY METHOD GENERAL LIGHTING POWER ALLOWANCE
❑ Do not include portable lighting for offices. Portable lighting for offices shall be documented only in section B of NRCC-LTI-01-E.
❑ Separately list lighting for each primary function area as defined in §100.1 of the Standards.
A B C D
AREA CATEGORY (From §140.6 Table 140.6-C) WATTS ALLOWED
Location in Building Primary Function Area per Table 140.6-C PER (ft) X AREA (ft') = WATTS
Tenant Improvement Retail Sales, Wholesale 1.20 2,960 3,552
TOTALS 12,960
Enter sum total Area Category allowed watts into section C-1 of NRCC-LTI-03-E (this compliance form)
3,552
WATTS
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
STATE OF CALIFORNIA
INDOOR LIGHTING POWER ALLOWANCE
CEC-NRCC-LTI-03-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E
Certificate of Compliance - Indoor Lighting Power Allowance (Page 4 of 4)
Project Name: Fit Gals Closet Tenant Improvement Date Prepared: 1/8/2015
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: Tim Scott
Documentation Author Signature:
Company: Scott Design and Title 24, Inc,
Signature Date: 1/8/2015
Address: 77085 Michigan Drive
CEA/ HERS certification Identification (if applicable):
City/State/zip: Palm Desert, CA 92211
Phone: (760) 200-4780
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance
(responsible designer).
3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of
Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance
documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the
enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the
builder provides to the building owner at occupancy.
Responsible Designer Name: Steve Nieto
Responsible Designer Signature:
Company: South West Concepts, Inc
Date Signed:
Address: 78-145 Calle Estado, Suite 21.5
License:
City/State/Zip: La Quinta, CA 92253
Phone: (760) 564-4707
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
DESCRIPTION
PermitTRAK -
+ ••ITY
PAID
$474.03 '
,,BCOM2015-0004Address:,79785 HIGHWAY 111 #102 ' Apn: 600440006
$474.03
BUILDING STANDARDS ADMINISTRATION BSA$1.00
.
BSAS SB1473 FEE
101-0000-20306
0 $1.00
ELECTRICAL
$48.34.
DEVICES, FIRST 20
101-0000-42403
0 $24.17
DEVICES, FIRST 20 PC
101-0000-42600
0 $24.17
REMODEL ' •,,
$419.09
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400
0 $130.50
REMODEL, EA ADDITIONAL 500 SF PC
101-0000-42600
0 $104.40
REMODEL, FIRST 100 SF
101-0000-42400.
0 $49.31
REMODEL, FIRST 500 SF PC
101-0000-42600
0 $134.88
STRONG MOTION INSTRUMENTATION SMI
- $5.60
SMI - COMMERCIAL
TOTAL FEES PAID BY RECEIPT:R3534
101-0000-20308
0 $5.60
Date Paid: Thursday, January 29; 2015
Paid By: FIT GALS CLOSET
Cashier: SKH
Pay Method: CHECK 1001
Printed: Thursday, January 29, 2015 3:47 PM 1 of 1 GJ
<ve rr ie c
DESCRIPTION
FINANCIAL INF•• L •
ACCOUNT its CITY AMOUNT
PAID PAID DATE
BSAS SB1473 FEE
101-0000-20306 j
0 $1.00
$1.00 1/29/15
PAID,BY
METHOD -
RECEIPT #
CHECK # CLTD BY
FIT GALS CLOSET
CHECK ''
R3534
1001 SKH
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$24.17
1/29/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
FIT GALS CLOSET
CHECK
R3534
1001
SKH
DESCRIPTION
ACCOUNT ;
CITY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$24.17
1/29/15
PAID BY
METHOD
RECEIPT #
CHECK .#
CLTD BY
FIT GALS CLOSET
CHECK
R3534
1001
SKH
Total Paid for ELECTRICAL: $48.34 $48.34
DESCRIPTION
ACCOUNT,
CITY
AMOUNT
PAID
PAID DATE
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400
0
$130.50
$130.50
1/29/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
FIT GALS CLOSET
CHECK
R3534
1001
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
REMODEL, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$104.40
$104.40
1/29/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
FIT GALS CLOSET
CHECK
R3534
1001
SKH
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
REMODEL, FIRST 100 SF
101-0000-42400
0
$49.31
$49.31
1/29/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
FIT GALS CLOSET
CHECK
R3534
1001
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
REMODEL, FIRST 500 SF PC
101-0000-42600
0
$134.88
$134.88
1/29/15
PAID BY'
METHOD
RECEIPT #
CHECK #
CLTD BY
FIT GALS CLOSET
CHECK
R3534
1001
SKH
Total Paid for REMODEL: $419.09 $419.09
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
SMI - COMMERCIAL
101-0000-20308
0
$5.60
$5.60
1/29/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
FIT GALS CLOSET
CHECK
R3534
1001
SKH
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $5.60 $5.60
TOTALS:
Description: KOMAR DESERT CENTER - T.I. FIT GALS CLOSET
Type: BUILDING, COMMERCIAL Subtype: REMODEL Status: APPROVED -CONDITIONS
Applied: 1/13/2015 SKH
Approved: 1/29/2015 BHA
Parcel No: 600440006 Site Address: 79785 HIGHWAY 111 #102 LA QUINTA,CA 92253
Subdivision: PM 036269 Block: Lot: 6
Issued:
Lot Sq Ft: 0 ' Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $20,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: SUITE 102 - 3005 SF TENANT IMPROVEMENT -RETAIL STORE -FIT GALS CLOSET. "M" OCCUPANCY TYPE V -B CONSTRUCTION. 100
OCCUPANT LOAD. 2013 CODES **NO ELECTRICAL INSPECTION UNTIL LOAD CALCS ARE APPROVED**
t
Printed: Friday, January 30, 2015 11:34:11 AM 1 of 3
SYSTEMS
I�
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME.
ACTION DATE COMPLETION DATE
NOTES
EMAILED GREG WATERMAN RE:
1. Electrical load Calcs for the project.
2. Building Permit Fee of $474.03 (payable when the
E-MAIL
BURT HANADA
1/29/2015
contractor comes to the City to sign for the Building Permit.
3. Contractor bring a set of Plans for the County Assessor's
office.
PLAN CHECK SUBMITTAL
STEPHANIE KHATAMI
1/12/2015
1/13/2015
RECEIVED
INFORMED GREG WATERMAN THAT ELECTRICAL LOAD CALCS
REQUIRED & GENERAL CONTRACTOR WITH CITY BUSINESS '
TELEPHONE CALL
BURT HANADA
1/28/2015
1/29/2015
LICENSE PRIOR TO PERMIT ISSUANCE. ALSO INFORMED GREG
THAT PLANS ARE REDLINED WITH ACCESSIBILITY AND EGRESS
ITEMS TO BE RESOLVED IN THE FIELD.
CONDITIONS
Printed: Friday, January 30, 2015 11:34:11 AM 1 of 3
SYSTEMS
I�
Printed: Friday, January 30, 2015 11:34:11 AM 2 of 3 CJ
SYSTEMS
CONTACTS
CITY
STATE
ZIP
PHONE
FAX
EMAIL
NAME TYPE
NAME
ADDRESSI
APPLICANT
SOUTH WEST CONCEPTS -ARCHITECT
78115 CALLE ESTADO
201
LA QUINTA
CA
92253
CONTRACTOR
MATT KLEINE CONTRACTING
73950 22ND AVENUE
SKY VALLEY
CA
92241
RECEIPT #
CHECK #
METHOD
OWNER
P6K PORTFOLIO KDP
2301 ROSECRANS STE
2110
EL SEGUNDO
CA
92253
TENANT
FIT GALS CLOSET
79785 HIGHWAY 111,
#102
LA QUINTA
CA
92253
$1.00
1/29/15
R3534
Printed: Friday, January 30, 2015 11:34:11 AM 2 of 3 CJ
SYSTEMS
FINANCIAL
INFORMATION
CLTD
DESCRIPTION
ACCOUNT QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
.. -
BY
BSAS SB1473 FEE
101-0000-20306 0
$1.00
$1.00
1/29/15
R3534
1001
CHECK
FIT GALS CLOSET
SKH
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00
$1.00
-
BSA:
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$24.17
1/29/15
R3534
1001
CHECK
FIT GALS CLOSET
SKH
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$24.17
1/29/15
R3534
1001
CHECK
FIT GALS CLOSET
SKH
Total Paid for ELECTRICAL:
$48.34
$48.34
REMODEL,EA
101-0000-42400
0
$130.50
$130.50
1/29/15
R3534
1001
CHECK
FIT GALS CLOSET
SKH
ADDITIONAL 5000 SF
REMODEL, EA
101-0000-42600
0
$104.40
$104.40
1/29/15
R3534
1001
CHECK
FIT GALS CLOSET
SKH
ADDITIONAL 500 SF PC
REMODEL, FIRST 100 SF
101-0000-42400
0
$49.31
$49.31
1/29/15
R3534
1001
CHECK
FIT GALS CLOSET
SKH
REMODEL, FIRST 500 SF
101-0000-426000
$134.88
$134.88
1/29/15
R3534
1001
CHECK
FIT GALS CLOSET
SKH
PC
Total Paid for REMODEL:
$419.09
$419.09
SMI -COMMERCIAL
101-0000-20308
1 0
$5.60
$5.60
1/29/15
1 R3534
1001
CHECK
FIT GALS CLOSET
SKH
Total Paid forSTRONG MOTION INSTRUMENTATION SMI:
$5.60
$5.60
TOTALS:
Printed: Friday, January 30, 2015 11:34:11 AM 2 of 3 CJ
SYSTEMS
Printed: Friday, January 30, 2015 11:34:11 AM 3 of 3
SYSTEMS
RETURNED STATUS REMARKS
REVIEW TYPE
REVIEWER SENT DATE DUE DATE NOTES
DATE
GENERAL CONTRACTOR REQUIRED
BURT
APPROVED-
NON-STRUCTURAL
1/12/2015
1/26/2015
1/28/2015
ELECTRICAL LOAD CALCS
HANADA
CONDITIONS
PLAN REDLINED FOR CODE ITEMS.
Printed: Friday, January 30, 2015 11:34:11 AM 3 of 3
SYSTEMS
rpai4t
-La da
' 'N ;TTrC Btttftlg ss Safety Alvistoil`
� P.'O.
.
, Box 1504,78-495 Calk Tam fco
NW 26 6'
La.-Wita, CA 92253 -.-(760) 777--7012
B011CUng Application
Permit and Tracking Sheet
Pmjea. ddtaess:7 _ 85
M/ p146►F j 's Name:_
kh
A. P. Nurhber. �j Od — 6" ^ Q y : . -
t6itv--s
Lege( De=ipdow
T, Zap: ;
Contractor. TADn/,
V%4OW Ilk � Telephone: • 7
Address:
PrnjtctDescription:
City, ST, Zip:
l�OM� 1 • Of St -9
Telephone:
KKK WN �4,0 _
State Lk. # :
City Lid. tkfit 15
Meir, BW, Daslgucri
Addre=78#5
o -5K le -5
City' ST, zx
Telephone: % b3W a
Con*UCt%n Type:IrOocx�ancy:
State Lia #:
Pmjed We (circle one): Now Add'a Alter RrPaa Demo
Name of Contact Person:
Sq Ft•: I # Stories: # Unita:
Telephone # of Contact Person:7W
Estimakd Value'of Pmi&k
Gne.,Q►InC �,`� .,i z�
et%nlS
TN '
r`AitiT• BIAT ufnmt nta sur ,r..... V Ran-
#
ASubmittal
Plan Sets
mega
--Vee'd
TR&OWG PT3RM[i; M.
Plan Chmk submitted.1 Item , Amomnt
Straduisl Chic:.
Reviewed, ready for con-azons Plan c"Deposit_ _
Thus: Calts,
WrA Contact Person Pian Check Balani
Tl6e 24 C"
Plans picked up Construction
Plocd,pbtht plan
Grading plan
Plans resubmlthd.•. Methadicid
2" Review, ready for eorrett2a issue � jFj Electrics[
Subcontactor List
called Contact Person Plumblag
Grant Deed
Plans #Ieked up SAU
H.O.A. Approval
Plans resubmitted Grading
IN If0US81-
Planting Approval.
Reykw; may for oorrectionsllrsne F
twilled Contact Person
Pub. Wks. Aper '
Date of permit issue i
School Fees
JAIN 12 2015
CITY 0: LA QUINTA
Tota! PsrmitBees 7 . p
i
pi
Certificate of Compliance (Sign Lighting) (Pao t of SLTG-1C
Project Harm" Phasc of Construction O ew Construction O Addition D Alteration
P-- T- (�, Function Typc XOutdoor Signs O Iado* r Signs
Pro*1 Address C Date Compliance Methal Used Wtaxlmum Allowed
7,? S 4DJ 4 /.11 j�—,(, l q Ughting Power O Altematt Ughting Sources
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and complete.
Name �
s LL ; a vh, <e c^-5-f.rJ
Stgntttws
Con'p"Y _
Date d �l
Address
I f applicable:
j, .�« < Q
� k l' '��c
CEPIt
O G. J� T V� �vt.1
CEPSS M
City/StatcrLip
L_,
Phone:
w-*,
2
Principal Lighting Designer's Decl ration Statement
• 1 tem eligible under Division 3 of the California Business and Professions Code to accept responsibility for the lighting .
design.
• This Certificate of Compliance identifies the lighting features and performance specifications required for compliance with
Title 24. Pages 1 and 6 of the California Code of Regulations.
• The design features represented on this Certificate of Compliance am 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:
Signature
Company:
Phonc
Address:
Uccnsc tY
City/Statdzip:
Date
Sign Mandatory Measures
Indicate location on building plans of Mandatory Sign Measures Note Block:
Mandatory Sign Lighting Controls
Ycs
No
1
1133(x)1. All signs with permanently connected lighting are controlled with an automatic time switch control
O
that complies with theapplicable requirements of 119.
§133(a)2. All outdoor signs are controlled with a photo control or outdoor astronomical time switch control.
d
❑
2
Exception to §133(a)2. Outdoor signs are in tunnels or large covered areas that require illumination during
O
daylight hours.
§133(&)3. All outdoor signs arc controlled with a dimmer that provides the ability to automatically reduce
O
,0
sign power by a minimum of 65 percent during nighttime hours.
Exception I to §133(a)3. Signs are illuminated for less than one hour per day during daylight hours.
49:
❑
3
Exception 2 to 1133(a)3. Outdoor signs are in tunnels or large covered areas that require illumination
O
during da li t hours. .
Exception 3 to §133(&)3. Only metal.halide, high pressure sodium, cold cathode, or noon lamps are used to
O
6
illuminated signs or parts of signs.
1133(a)4. An Electronic Message Center (EMC) having a new connected lighting power load greater than
Y
N
IS kW has a control installed is capable of reducing the lighting power by a minimum of 30 percent when
O
t]
N/A
4
receiving a demand response signal that is sent out by the local utility. _
Exception to §133(n)4. The EMC is required by a health or life safety statue, ordinance, or regulation,
Y
including but not limited to exit signs and traffic signs.
O
O
2008,Vonrexidenlial Compliance !-arms .dugas/ 2009
Certificate of Compliance and Field Ins ection Energy Checklist (Sign Li htin (Page 2 ot2
SLTGIC
Project Name:
Dau:
Com fiance Method
Maximum Allowed Lighting
Power
A
g
C D E F
G
H
(
i
K
Design
Complies?
Light
Field
Allowed Watts
Watts'
YM
Source
I
Ins ?
v
FM
'�
l
p 9
E V,
E
C
in
Description or location and len location
t�
7
'�
_� A
¢ " V
V
"
F
v v
v
"" m
�
/21
13
C3
O
❑
❑
❑
❑
❑
O
❑
•❑
❑
❑
O
Total Sign Area:
1. Design iVatts a total connected lighting load installed in the sigm including power used by lamps, ballasts, transformers, power supplies, etc.
Ariare action to correct. Verily building arts if necessary. Use additional sheets if necessary.
2. /Fail then describe on Page ? of the lnupecdon Checklist Form and take appry
The sins identified above; use only one or more of the following technologies: list all applicable numbers that apply in column 1 above
I High un sodium lamp
ncy
2 Puht start or ceramic metal halide tarmw served 0 a ballast with >_ 88% a reit
3 Pulse start metal halide l that are <_ 320 watts, are not 2J0 wait or 173 welt la and are served by a ballast with >_ 80Y efficiency
t Neon or cold cathode larnos with trans ormer or er s y e tcielu r >_ 7 % with rated our w current S0 rnA
5 Neon or cold cathode 1 with ownformer or power s v efficiency > 68% wilt rated out t currant > SO -A
6 Fluorescent janW with a minimum color rendering index (CRO o 80
7 Light e'"iffing diodes O with a Power s with > 80% a ncien
having a nantplate output power less an equal to 250 wotu, and
Singk voltage LED externa/ power supplies designed to convert 120 volt AC Ltpvt into lower vwltbge DC or AC output• htha
8
ceni ed to the Energy Conu4ssian as coAWIjiqg with t/te SE&Icabte rc uirureents o/the Appliance Efficlemm, Regulations itle IO
9 Comact fluorescent 1 that do not contain a medium screw base sockets (E21/E26
10 Elecuonk ballasts with a undamenta/ out t K >_ 20 kth
Field Inspector Notes or Discrepancies
2008 tVontresideniial Compliance Fortes August 2009