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BCOM2017-002178-495 CALLE TAMPICO c&ty, 4 4� Q" LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BCOM2017-0021 Owner: Property Address: 78437 HIGHWAY 111 WEN ZHANG APN: 604050059 Application Description: ZHANG / 1,423SF OFFICE IT/VB/B-OCC/14-OL/NON-SPRINKLED Property Zoning: Application Valuation: $48,000.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Applicant: LDEPARTMENT (l Contractor: ULTRA -CONSTRUCTION tJ ULTRA CONSTRUCTION 3065 E VERONA ROAD 3065 E VERONA ROAD PALM SPRINGS, CA 92262 017 PALM SPRINGS, CA 92262 NTA (760)320-2113 Llc. No.: 464856 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B % License No.: 464856 COate �i a5 / 7 Cont tcar or: 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 4 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 11, 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: Date: 8/25/2017 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is.issued. _ I have and will maintain workers'compensation insurance, as required by Section 3700 of the Labor Code, for the perfiormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carr• C MPT Policy Number: _ 0�0_!<Kcertify 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 L Er Code, I shall forthwith comply with those provisions. Dates O 7 tTApplicant:- 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 perfo-med 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 Cit,/ of La Quinta, its officers, agents, and employees for any act or omission related tc the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this appication 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 oreinances and state laws relating to building. construction, and hereby authorize representatives of this city to enter up n the above- mentioned properrtt for inspection purposes Date: $/� /'% Signature-(ApplicarcorAgent)- Date: 8/25/2017 Application Number: BCOM2017-0021 Owner: Property Address: 78437 HIGHWAY 111 WEN ZHANG APN: 604050059 Application Description: ZHANG / 1,423SF OFFICE IT/VB/B-OCC/14-OL/NON-SPRINKLED Property Zoning: Application Valuation: $48,000.00 Applicant: Contractor: ULTRA CONSTRUCTION ULTRA CONS—RUCTION 3065 E VERONA ROAD 3065 E VERONA ROAD PALM SPRINGS, CA 92262 J PALM SPRINGS, CA 92262 (760)320-2113 -------------=------------------------------------------------------------------------------ Llc. No.: 464256 Detail: 1,423SF INTERIOR TI/VB/B-OCC/14-0L/NON-SPRINKLED [PILATES,STUDIO] THIS PERMIT DOES NOT INCLUDE BUILDING SIGNAGE, MECHANICAL ECIUIPMENT ALTERATION OR ALTERATION TO LOAD BEARING OR LATERAL RESISTING CONSTRUCTION. 2016 CALIFORNIA BUILDING CODE. FORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $2.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 DESCRIPTION ACCOUNT QTY AMOUNT NON-RESIDENTIAL, FIRST 2,000SF 101-0000-42403 0 $114.00 DESCRIPTION ACCOUNT QTY AMOUNT• NON-RESIDENTIAL, FIRST 2,000SF, PC 101-0000-42600 0 $88.16 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $202.16 DESCRIPTION ACCOUNT QTY AMOUNT FIRE COMMERCIAL TI 101-0000-22811 1 $614.00 Total Paid for FIRE COMMERCIAL TI: $614.00 DESCRIPTION. ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $25.34 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $25.34 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEMINST/ALT/REP 101-0000-42401 0 $121.67 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.67 Total Paid for PLUMBING FEES: $76.02 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $68.40 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $54.72 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 100 SF 101-0000-42400 0 $51.68 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 0 $141.36 . Total Paid for REMODEL: $316.16 DESCRIPTION ACCOUNT QTY AMOUNT SMI - COMMERCIAL 101-0000-20308 0 $13.44 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $13.44 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 t Bin ff r ► G y (5f La,Quint `• { . _Building U Safety Division Permit ft +' 78-495 Calle Tampico _ ..._,�, ..��_ .. �.�•,,, :.� La,Quinta, CA 92253: (760) 777-701,2 _,C Building Permit Application at Tracking Sheet Project�Address: ��' l�Ir✓� � f 1, Owner's Name: A. P. Number: �" 37- — � � �. Address:�` •` s " . Legal Description: , City, ST, Zip: Co ti a r: n' ct 0 LT"ii AUG `U T S S O T ele .h on - Address: 3066 i'F;?OO AO.& - ';y Project Description:I �Ni4AJ1 SPa1fv0IlE/`i—FW r City, ST, Zip: S??YNG S ICA g0r10q6 01, ! ' Telephone: e h Po . 7 �O— ai -a � X16 >r _ State Lic. 9: JJr, J/ 5- City Lic:#; 0t0Q47J 1" Arch., Engr., Designer: L - Address: �JUN f: �. b_ - 26 ' City, ST, zip: CITY: OF LA QUINTA h ne: ccTele E N Con T recti n TYPe: t ic. , State a L#. 1 Project Pe (circle one): New Add'n Re air. Demo 0 Name of Contact Person:­-�Vy - Sq. Ft.: ) ��a #Stories: 4 # Units: Telephone # of Contact Person: 76O - a7a- -V6e2S .: Estimated Value of Project: 4 h/$l 000 - APPLICANT: DO NOT WRITE BELOW THIS LINE it Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted a' Item Amount Structural Calcs. Reviewed, ready for corrections f Plan Check Deposit Truss Calc;. .Called Contact Person Plan Check Balance Title 24 Calcs Pians picked up .r Construction Flood plain plan Plans resubmitted a Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Callcd Contact Person' Plumbing Grant Deed Plans picked up " S.M.I. ' lLO.A. Approval Plans resubmitted ` Grading IN IiOUSE:- '"! Review, ready for corrections/issue. Developer Impact Fee i Planning Approval Called Contact Person' A.I.P.P. Pub. \Vks: Appr Date of permit issue School Fees, / s� Total Permit Fees BUILDING ENERGY ANALYSIS REPORT PROJECT: Pilates Studio 78=437 Highway 111 La Quinta, CA Project Designer: CITY OF LA QUINTA BUILDING & SAFETY DEPT. - APPROVED ` FOR CONSTRUCTION ' DATE, BY Report Prepared by: VCphMon • eapt.l Joan Hacker Insu-form, Inc.. 72875 Fred Waring Drive, Suite C Palm Desert, Ca 92260 760-345-1352 s RECEIVED Job Number: AUG 1 1 2017 CITY OF LA QUINTA COMMUNITY DEVELOPMENT Date: 8/3/2017 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 2016 Building Energy Efficiency Standards. This program developed by EnergySoft Software — www.6nergysoft.com. EnergyPro 7.1 by EnergySoft Job Number. ID: User Number: 2655 f EnergyPro 7.1 by EnergySoft Job Number. ID: User Number: 2655 STATE OF CALIFORNIA INDOOR LIGHTING ....r CEC-NRCC-LTI-01-E Revised 04/16 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE " NRCC-LTI-01-E Indoor Lighting (Page 1 of 6) Project Name: Pjlates Studio Date Prepared: 8/3/2017 A. General Information For detailed instructions on the use of this and all Energy Efficiency Standards compliance documents, refer to the Nonresidential Manual published'by the California Energy Commission. YES' NO COMP. DOC. TITLE Climate Zone: Conditioned Floor Area: 1,423• NRCC-LTI-01-E Certificate of Compliance. All Pages required on plans for all submittals. 0 ❑ 15 Unconditioned Floor Area: 0 fc] ❑' NRCC-LTI-03-E Indoor Lighting Power Allowance Building Type: ❑ Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel ❑ Schools ❑ Relocatable Public Schools © Conditioned Spaces ❑ Unconditioned Spaces . Phase of Construction: ❑ New Construction ❑ Addition Ll Alteration Method of Compliance: ❑ Complete Building m Area Category ❑ Tailored Project Address:78-437 Highway 111 ' B. lighting Compliance Documents (select yes for each document included) For detailed instructions on the use of this and all Energy Efficiency Standards compliance documents, refer to the Nonresidential Manual published'by the California Energy Commission. YES' NO COMP. DOC. TITLE p ❑ NRCC-LTI-01-E Certificate of Compliance. All Pages required on plans for all submittals. 0 ❑ NRCC-LTI-02-E Lighting Controls, Certificate of Compliance, and PAF Calculation. All Pages required on plans for all submittals. fc] ❑' NRCC-LTI-03-E Indoor Lighting Power Allowance ❑ �C] NRCC-LTI-04-E Tailored Method Worksheets ❑ Q NRCC-LTI-05-E Line Voltage Track Lighting Worksheets ❑ ❑ NRCC-LTI-06-E Indoor Lighting Existing Conditions CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-01-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 2 of 6) Project Name: Pilates Studio Date Prepared: $/3/2017 C. Summary of Allowed Lighting Power Conditioned and Unconditioned space Lighting must not be combined for compliance Indoor Lighting Power for Conditioned Spaces Indoor Lighting Power for Unconditioned Spaces Compliance Document/Title Watts • ❑ Watts ❑Field Inspector Installed Lighting Installed Lighting NRCI-LTI-02-E - Must be submitted for a lighting control system, or for an Energy Management Control System (EMCS), 947 01 NRCC-LTI-01-E, Table H, page 5 + ® NRCC-LTI-01-E, Table H, pages + 0 02 Portable Only for Offices Field Inspector ❑ 0 NRCI-LTI-04-E - Must be submitted for two interlocked systems serving an auditorium, a convention center, a NRCC-LTI-01-E, Table G, page 4 + conference room, a multipurpose room, or a theater to be recognized for compliance. 03' Minus Lighting Control Credits ❑ 0 Minus Lighting Control Credits ❑ ® NRCI-LTI-06-E - Must be submitted for additional wattage installed in a video conferencing studio to be recognized for • NRCC-LTI-02-E, page 2 l`A A .:1 J:�_ � NRCC-LTI-02-E, age 2 ❑ Field Inspector 0 04 Adjusted Installed lighting Power 947 Adjusted Installed Lighting Power (row 1 plus row 2 minus row 3) 1 _ (row 1 minus row 3) 0 Complies ONLY if Installed <_ Allowed (Box 04 < Box 05) Complies ONLY if Installed <_ Allowed (Box 04 < Box 05) Allowed Lighting Power Allowed Lighting Power Conditioned NRCC-LTI-03-E, page 1 Unconditioned NRCC-LTI-03-E, page 1 05 Alterations with replacement luminaires that have, at least 1,377 Alterations with replacement luminaires that have at least 50/35% 0 50/35% lower power compared to the original existing luminaires, lower power compared to the original existing luminaires, may may instead use the allowed wattage from NRCC-LTI-06, page 2 instead use the allowed wattage from NRCC-LTI-06, page 2 D. Declaration of Required Certificates of Installation - - - - - - • _ _ ,._ , .... Declare by selecting yes for all of the Certificates that will be submitted. (Retain copies and'verify forms are completed and signed.) YES NO Compliance Document/Title �] ❑ NRCI-LTI-01-E - Must be submitted for all buildings ❑Field Inspector ❑ m NRCI-LTI-02-E - Must be submitted for a lighting control system, or for an Energy Management Control System (EMCS), to be recognized for compliance. ❑ Field Inspector ❑ ® NRCI-LTI-03-E - Must be submitted for a line -voltage track lighting integral current limiter, or for a supplementary overcurrent protection panel used to energize only line -voltage track lighting, to be recognized for compliance. Field Inspector ❑ 0 NRCI-LTI-04-E - Must be submitted for two interlocked systems serving an auditorium, a convention center, a conference room, a multipurpose room, or a theater to be recognized for compliance. 1:1 Field Inspector ❑ ❑ 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 l`A A .:1 J:�_ � compliance. ❑ Field Inspector �M DUllulllg clergy crnaency zotanaaras - Lu1b Nonresidential Compliance April 2016 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-01-E Revised 04/16 CALIFORNIA ENERGY COMMISSION '4—W" CERTIFICATE OF COMPLIANCE NRCC-LTI-OI-E Indoor Lighting (Page 3 of 6) ,Project Name: PllateS Studio Date Prepared: 8/3/2017 E. Declaration of Required Certificates of Acceptance Declare by selecting yes for all of the Certificates that will be submitted. (Retain copies and verify forms are completed and signed.) YES NO Compliance Document/Title ❑ Q NRCA-LTI-02-A - Must be submitted for occupancy sensors and automatic time switch controls. ❑ Field Inspector ❑ Q 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 ❑ 1 J NRCA-LTI-05-A — Must be submitted for institutional tuning power adjustment factor (PAF). ❑ Field Inspector A Separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces. Installed Lighting Power listed on this Lighting Schedule is only for: ❑ CONDITIONED SPACE ❑ UNCONDITIONED SPACE F. Indoor Lighting Schedule and Field Inspection Energy Checklist ❑ The actual indoor lighting power listed on the next 2 pages 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 document (NRCC-LTI-05-E) whenJine-voltage track lighting is installed. CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-01-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION *Ao,- CERTIFICATE OF COMPLIANCE NRCC-LTI-OI-E Indoor Lighting (Page 4 of 6) Project Name: Pilates Studio Date Prepared: 8/3/2017 G. Installed Portable Luminaires in Offices — Exception to Section 140.6(a) ❑ This section shall be filled out ONLY for portable luminaires in offices (As defined in §100.1). All other planned portable luminaires shall be documented on next page of this compliance document. ❑ This section is used to determine if greater than 0.3 watts of portable lighting is planned for any office ❑ Fill out a separate line for each different office. Small offices that are typical (having the same general and portable lighting) may be grouped together. This allowance shall not be traded between offices having different lighting systems. Office Portable luminaire Schedule Office Installed Portable Luminaire W/ft . Office Location Field Inspector 1 2 3 4 .5 6 7 8 9 10 Installed Watts If G06:5 Complete Luminaire Description c a, portable P Y a, w per P 0.3, enter zero; Identify Office area in (i.e., LED, under cabinet, furniture mounted Watts per _ „ a c '� luminaire a) o square (G05 x G07) which these portable Pass Fail direct/indirect) Luminaire E watts in this L foot if G06 > luminaires are installed z' office vii o (G04 / (G02 x G03) G05) 0.3, (G06-0.3) Total installed portable luminaire watts that are greater than 0.3 W/ftz per office: Enter sum total of all pages into NRCC-LTI-01-E; Page 1 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-01-E Revised 04/16 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 5 of 6) Project Name: pllates Studio Date Prepared: 8/21/2017 A Separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces. Installed Lighting Power listed on this Lighting Schedule is only for: 0 CONDITIONED SPACE ❑ UNCONDITIONED SPACE H. Indoor Lighting Schedule and Field Inspection Energy Checklist Luminaire Schedule Installed Watts Location Field Inspector 01 .02 03 04 05 06 07 08 How wattage was determined 2 Complete Luminaire Description a`, 2!v 'F v C, Name or (Le, 3 lamp fluorescent troffer, a o 5 � ;, r S s x c x Primary Function area in which Pass Fail Item Tag F32T8, one dimmable electronic ballast) m E 3 J w z o o o z E - m M these luminaires are installed f U o o N w U w+ U J Y= m -- 3 a Halo 6" 750i Can Light 24.0 ❑ ® 15 360 Exercise Room ❑ ❑ (2) 4 ft 48 w LED Troffer 48.0. ❑ ® 3 144 Lobby, Main Entry ❑ ❑ Halo 6" 750i Can Light 24.0 ❑ IZ 3 72 Lobby, Main Entry ❑ ❑ (2) 4 ft 48 w LED Troffer 48.0 ❑ ❑ 1 48 Corridor/Restroom/Support ❑ `> ❑ 'i (2) 4 ft 48 w LED Troffer 48.0 ❑ ® 9 432 Exercise Room ❑ ❑ (2) 4 ft 48 w LED Troffer 48.0 ❑ ® 1 48 Commercial, Industrial Storage u❑ ❑1' ,; 35w LED 35.0 El ❑ 1 35 Corridor/Restroom/Support ❑. D ❑ ❑ ❑ ❑ .......... ❑ ❑ .r❑ ❑ ' 1,139 Enter sum total of all pages into INSTALLED WATTS PAGE TOTAL: NRCC-LTI-01-E; Page 2 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-01-E Revised 04/16 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 6 of 6) Project Name: Pilates Studio Date Prepared: 8/3/2017 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Joan Hacker. Documen ation Author ignatur Company: Insu-form, Inc. Sig ature ate: $/3/2017 Address. 72875 Fred Waring Drive, Suite C CEA Certification Identification (if applicable): City/State/Zip: Palm Desert, Ca 92260 Phone: 760-345-1352 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 land 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: Responsible Designer Signature: Company: Date Signed: Address: License: City/State/Zip: Phone: CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA INDOOR LIGHTING - LIGHTING CONTROLS CEC-NRCC-LTI-02-E (Revised 01/16) CALIFORNIA ENERGY COMMISSION NUP CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting - Lighting Controls (Page 1 of 3) Project Name:Pllates Studio Date Prepared r 8/3/2017 A. Mandatory Lighting Control Declaration Statements (Indicate if the measure applies by checking yes or no below.) YES NO, Control Requirements �. L 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. a/ ❑ Lighting shall be controlled by.a lighting control 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). E 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, ❑ ❑ 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. E:a 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). Ca All installed indoor lighting shall be equipped with controls that meet the applicable Shut -OFF control requirements in Section 130.1(c). l� C! lighting in all Daylit Zones shall be controlled in accordance with the requirements in Section 130.1(d) and daylit zones are shown on the plans. ❑ Lighting power in buildings larger than 10,000 square feet shall be capable of being automatically reduced in response to a Demand Responsive Signal in accordance with Section 130.1(e). Before an occupancy permit is granted for a newly constructed building or area, or a new lighting system serving a building, area, or site is operated for d 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 conteols, and demand responsive controls. �_r Dunuuig cnergy cmciency xanaaras - [ulb Nonresidential Compliance January 2016 STATE OF CALIFORNIA INDOOR LIGHTING - LIGHTING CONTROLS CEC-NRCC-LTI-02-E (Revised 01/16) CALIFORNIA ENERGY COMMISSION — CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting- Lighting Controls (Page 2 of 3) Project Name: Pilates Studio Date Prepared: 8/3/207 A separate document must be filled out for Conditioned and Unconditioned Spaces. This page is used only for the following: ❑ CONDITIONED SPACES ❑ UNCONDITIONED SPACES B. Mandatory and Prescriptive Indoor Lighting Control Schedule, PAF Calculation, and Field Inspection Checklist PAF Credit Calculation a, U -0 C v ' O N C O �+ J m '� n N u N Q Standards Complying With 1 Y O L. o f Q C y X 0 u" w C v Lighting Control Schedule (✓ all that apply, or enter `E' if Exempted) " ~ LL 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 Type/Description of Lighting Control (i.e.: occupancy sensor, # r° v a, Location in Building automatic time switch, of a --I o Q 0 0 0 0 0 dimmer, automatic daylight, Units b, 1, 10 Cn u0n LO Q to d LL etc... ) vpY LnNr 5G vso-z ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ a ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ —r�au�s z a vac �,�so ❑ ❑ ❑ ❑ ❑ ❑ ❑ ` ❑ STo��6� D�nrnE>� dCtt�C�,' SEn� ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ El Control Credit PAGE TOTAL (Sum of Column 13): 0 IF MULTIPLE PAGES ARE USED, ENTER SUM TOTAL OF Control Credit for all pages HERE (Sum of all Column 13): 0 Enter Control Credit total into NRCC-LTI-OI-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 - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA _ INDOOR LIGHTING — LIGHTING CONTROLS 4" CEC-NRCC-LTI-02-E Revised 01/16 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting - Lighting Controls (Page 3 of 3) Project Name: Pllates Studio Date Prepared: 8/3/2017 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Joan Hacker Docume talion Author S' nature, Company: Insu-form, Inc. Sig,ature ate: 8/3/2017 Address.. 72875 Fred Waring Drive, Suite C CEA Certification Identification (if applicable): City/State/Zip: Palm Desert, Ca 92260 Phone` 760-345-1352 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. 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: Responsible Designer Signature: Company: Date Signed: Address: License: City/State/Zip: Phone: CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE — CEC-NRCC-LTI-03-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E Certificate of Compliance - Indoor Lighting Power Allowance (Page 1 of. 4) Project Name: PllateS Studio Date Prepared: 8/3/2017 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 01 02 ❑ 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 03 (a) (b) 01 Complete Building Method Allowed Watts. Documented in section B of NRCC-LTI-03-E (below on this pager WATTS. X 02 Area Category Method Allowed Watts. Documented in section C-1 of NRCC-LTI-03-E (below on this page) 03 Tailored Method Allowed Watts. Documented in section A of NRCC-LTI-04-E> } 1,377 0 TOTAL ALLOWED BUILDING WATTS. Enter number into correct cell on NRCC-LTI-01, Page 2, Row 1 PER ft' 1,;377 ❑ Check here if building contains both conditioned and unconditioned areas. WATTS B. COMPLETE BUILDING METHOD LIGHTING POWER ALLOWANCE 01 02 03 04 WATTS. X COMPLETE = ALLOWED TYPE OF BUILDING (From §140.6 Table 140.6-B) PER ft' BLDG. AREA WATTS Total Area: wa3r'" Total Watts. Enter Total Watts into section A, row 1 (Above on this page) C -1 AREA CATEGORY METHOD TOTAL LIGHTING POWER ALLOWANCES Watts Total from section C-2. 1,377 Total from section C-3: 0 Total Watts. Enter Total Watts into section A, row 2 (Above on this page). 1,377 For Alterations Only — Reduced lighting power option (Total Allowed Watts x 0.85). Enter this value into section A, row 2 if using this option. CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE g> CEC-NRCC-LTI-03-E Revised 04/16 CALIFORNIA ENERGY COMMISSION — - CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E Certificate of Compliance - Indoor Lighting Power Allowance (Page 2 of 4) Prgect Name: Pilates Studio Date P`epared: 8/3/2017 A separate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for: 10 CONDITIONED spaces ❑ 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 G of NRCC-LTI-01-E ❑ Separately list lighting for each primary function area as defined in §100.1 of the Standards. 01 02 X 03 = 04 AREA CATEGORY (From §140.6 Table 140.6-C) WATTS PER ft' , AREA (ft) ALLOWED WATTS Location in "Building" Primary Function Area per Table 140.6-C Personal Training Room Exercise Room 1.00 11.1 111 Storage Commercial, Industrial Storage 0.60 32 19 Restroom Corridor/Restroom/Support 0.60 56 34 Gym Exercise Room 1.00 1,008 1,008 Reception Lobby, Main Entry 0.95 216 205 TOTALS1 1,423 Enter sum total Area Category allowed watts into section C-1 of NRCC-LTI-03-E (this compliance document) 1,377 WATTS CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE CEC-NRCC-LTI-03-E Revised 04/16 CALIFORNIA ENERGY COMMISSION i CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E Certificate of Compliance - Indoor Lighting Power Allowance _ (Page 3 of 4) Project Name: Pllates Studio Date Prepared: 8/3/2017 . A separate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for: I21 CONDITIONED spaces ❑ UNCONDITIONED spaces • I C-3 AREA CATEGORY METHOD ADDITIONAL LIGHTING WATTAGE ALLOWANCE (from Table 140.6-C Footnotes) 01 02 03 Z 04 OS 06 07 ALLOWED Additional Wattage WATTS Primary Sq Ft or Watts Allowance Description(s) and Quantity of Special Total Design Smaller of Function Linear ft' Allowed (02 x 03) Luminaire Types in each Primary Function Area Watts 3 04 or 06 r TOTALS —Enter into TOTAL AREA CATEGORY METHOD ADDITIONAL ALLOWANCES— Section C-1 . 0 1. Use linear feet only for additional allowance for white board or chalk board. All other additional Area Category allowances shall use watts per square foot. 2 . Additional watts are available only when allowed according to the footnotes on bottom of Table 140.6-C, which include: Specialized task work; Ornamental lighting; Precision commercial and industrial work. Per linear foot of white board or chalk board; Accent, display and feature lighting; and Videoconferencing studio lighting.. 3. Luminaire classification and wattage shall be determined in accordance with §130.0(c) of the Standards. CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE CEC-NRCC-LTI-03-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E Certificate of Compliance —Indoor Lighting Power Allowance (Page 4 of 4) Project Name: Pilates Studio Date Prepared: 8/3/2017 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Joan Hacker Documentatio Author S;jgnat r Company: Insu-form, Inc. Signatuiffgh12017 Address: 72875 Fred Waring Drive, Suite C CEA Certification identification (if applicable): City/State/Zip:, Palm Desert, Ca 92260 ,one: 760-345-1352 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: I.- 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: Responsible Designer Signature: Company: Date Signed: Address: License: City/State/Zip: Phone: CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016