The URL can be used to link to this page

BMCH2017-003778-495 CALLE TAMPICO C& 0 V -` Quiott VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIG ` EVELOPMENT DEPARTMENT FAX (760) 777-7153 ILDI RMIT 'U ® Date: 4/28/2017 Application Number: BMCH2O17-0037 OAK er: Property Address: 79050 HIGHWAY 111 APR 2 g 2017. ND AMERICAN LAQUINTA PAV APN: 600390029 BOX 9271 Application Description: SPROUTS MARKET / CHANGE OUT (5) HVAC SL'5j BROOK, IL 92253 Property Zoning: DESIGN LAQUINTA Application Valuation: $13,000.00 pY&�ECOPMENTDEPARTMENT Applicant: Contractor: • r GREGORY PANEK K I C REFRIGERATION MECHANICAL & CONTROL 914 E KATELLA AVENUE 27890 CLINTON KEITH ROAD SUITE ANAHEIM, CA 92805 D-415 MURRIETA, CA 92562 (855)542-2653 Lic. No.: 990241 LICENSED CONTRACTOR'S DECLARATION. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C38, C-7. C20, CIO License No.: 990241 DRate y Z$ ^ 7 Lontractp� --_ 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.). (__j 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 work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: HARTFORD INSURANCE COMPANY OF THE MIDWEST Policy Number: 57 W ECZU6271 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., lf'.7 .' — / % Ap �-- 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 cancelation. 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. , �O �% . J Date: Signature-(Applicant-CantA Date: 4/28/2017 Application Number: BMCH2O17-0037 Owner: Property Address: 79050 HIGHWAY 111 INLAND AMERICAN LAQUINTA PAV APN: 600390029 P 0 BOX 9271 Application Description: SPROUTS MARKET / CHANGE OUT (5) HVAC SYSTEMS OAK BROOK, IL 92253 Property Zoning: Application Valuation: $13,000.00 Applicant: Contractor: GREGORY PANEK K I C REFRIGERATION MECHANICAL & CONTROL 914 E KATELLA AVENUE 27890 CLINTON KEITH ROAD SUITE ANAHEIM, CA 92805 D-415 MURRIETA, CA 92562 (855)542-2653 LIc. No.: 990241 ------------------------------------------------------------------ ------------------------- Detail: CHANGE OUT 5 ROOF MOUNTED UNITS PER 2016 CIVIC CODES 9 e FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - PACKAGED UNIT 101-0000-42402 0 $190.00 DESCRIPTION ACCOUNT CITY AMOUNT HVAC CHANGEOUT - PACKAGED UNIT PC 101-0000-42600 0 $126.65 Total Paid for CHANG =OUT: $316.65 DESCRIPTION ACCOUNT CITY AMOUNT Credit Card Fee 101-0000-43505 0 $7.54 Total Paid for Credit Car-3 Fee: $7.54 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for PERMIT ISSUANCE: $96.27 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 L TOTALS: ,, Btn.# ' 2-A-Bullding Clty Of LaQutnta iz Safety Division -7 P.O. Box 1504, �78-495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit' Application and Tracking Sheet Permit # Project Address: SQ CA JAMIt I ( R CulmTA q21 Owner's Name:. r �-e } A. P. Number. Address: o SO C R. VtWy I l l Legal Description: City, ST, Zip: Uir\ }q CA C{ ZL$3 Contractor. r (� (Atn�vu�5 Telephone: �(,0��1 - 2y $ �:;,3 � .: Address: 2 i h q L1. SUi4e D.' Project Description: C ( 5 City, ST, Zip: I l �.a CA q 2,56 L i S n x i S '� n' r o o F. Telephone( 1K55 54Z _ 53 l State Lic. # : OlQ 0'2 City Lic. 0, Arch., Engr., Designer. GY e Q (fk Address: \ Ayen-)e City., ST, Zip: e- q Z 05' Telephone: ,+.V-1 ) 3 S,S - 1 I35 State Lic. #: Name of Contact Person: C r e Construction Type: VOccupancy: Project type (circle one): New Add'n Alter epa Demo Sq. Ft : 2s # Stories: 2 # Units: rj Telephone # of Contact Person: s - 3 5 Estimated Value of Project: 0 db APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACIMG PERMITFEES Plan Sets Plan Cheek submitted Item Amount Structural Colas. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Plan Check Balance • Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted.. Mechanical Grading plan 2`' Review, ready for correctionstissue Electrical Subeontaetor List Called Contact Person Plumbing Grant Deed Plans picked up SALL H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review; ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr ' Date of permit Issue School Fees Total Permit Fees STATE OF CALIFORNIA MECHANICAL SYSTEMS aFRtE /copy titi rz- J CEC-NRCC-MCH-01-E (Revised 06i14) — CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E Mechanical Systems (Page 1 of 3) Project Name: SPROUTS LA QUINTA Date Prepared:. 02/20/17 MECHANICAL COMPLIANCE FORMS & WORKSHEETS (check box if worksheet is included) For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, refer to the 2013 Nonresidential Manual Note: The Enforcement Agency may require all forms to be incorporated onto the building plans. YES NO Form/Worksheet # Title ® ❑ NRCC-MCH-01-E (Part 1 of 3) Certificate of Compliance, Declaration. Required on plans for all submittals. ® ❑ NRCC-MCH-01-E (Part 2 of 3) Certificate of Compliance, Required Acceptance Tests (MCH-02A to 11A). Required on plans for all submittals. ® ❑ NRCC-MCH-01-E (Part 3 of 3) Certificate of Compliance, Required Acceptance Tests (MCH-12A to 18A). Required on plans where applicable. ® ❑ NRCC-MCH-02-E (Part 1 of 2) Mechanical Dry Equipment Summary is required for all submittals with Central Air Systems. It is optional on plans. ® ❑ NRCC-MCH-02-E (Part 2 of 2) Mechanical Wet Equipment Summary is required for all submittals with chilled water, hot water or condenser water systems. It is optional on plans. ® ❑ NRCC-MCH-03-E Mechanical Ventilation and Reheat is required for all submittals with multiple zone heating and cooling systems. It is optional on plans. ® ❑ NRCC-MCH-07-E (Part 1 of 2) JPower Consumption of Fans. Required on plans where applicable El 1 ❑ NRCC-MCH-07-E (Part 2 of 2) JPower Consumption of Fans, Declaration. Required on plans where applicable MECHANICAL HVAC ACCEPTANCE FORMS (check box for required forms) Designer: This form is to be used by the designer and attached to the plans. Listed below ore all the acceptance tests for HVAC systems. The designer is required to check the applicable boxes for all acceptance tests that apply and list all equipment that requires an acceptance test. All equipment of the some type that requires a test list the equipment description and the number of systems. Installing Contractor: The contractor who installed the equipment is responsible to either conduct the acceptance test them self or have a qualified entity run the test for them. If more than one person has responsibility for the acceptance testing, each person shall sign and submit the Certificate of Acceptance applicable to the portion of the construction or installation for which they are responsible. Enforcement Agency: Plancheck — The NRCC-MCH-01-E form is not considered a completed form and is not to be accepted by the building department unless the correct boxes are checked. Inspector - Before occupancy permit is granted all newly installed process systems must be tested to ensure proper operations. Test Description MCH-02A MCH-03A MCH-04A MCH-05A MCH-06A MCH-07A MCH-08A M -09A MCH-10A MCH-11A Equipment Requiring Testing # of units Outdoor Air Single Zone Unitary Air Distribution Economizer Controls Dem Con of C u py Fan %(v�� Val j pp m Water . Reset Hydronic System Automatic Demand Shed or verification Ducts Ventil tionB )LDING & AFETY DE T, variable Flow control (D ) Control RTU-1, 2 2 ® ® ® ® ® ❑ ❑ RTU-3 1 ® ® ® ® ❑Jl !13 ❑ ❑ RTU-4 & 5 2 ® ® M ® ❑ 3 ❑ ❑ RTU-6 1 ® M ® ® ❑ UAI t 3 ❑ ❑ CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA MECHANICAL SYSTEMS CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E Mechanical Systems (Page 2 of 3) Protect Name: SPROUTS LA QUINTA Date Prepared: 02/20/17 MECHANICAL HVAC ACCEPTANCE FORMS (check box for required forms) Designer: This form is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for HVAC systems. The designer is required to check the applicable boxes for all acceptance tests that apply and list oil equipment that requires on acceptance test. All equipment of the same type that requires a test; list the equipment description and the number of systems. Installing Contractor: The contractor who installed the equipment is responsible to either conduct the acceptance test them self or have a qualified entity run the test for them. If more than one person has responsibility for the acceptance testing; each person shall sign and submit the Certificate of Acceptance applicable to the portion of the construction or installation for which they are responsible. The following tests require a Enforcement Agency: Plancheck — The NRCC-MCH-01-E form is not considered a completed form and is not to be accepted by the building department unless the correct boxes are checked. Inspector - Before occupancy permit is granted all newly installed process systems must be tested to ensure proper operations. Test Description MCH-12A MCH-13A MCH-14A MCH-15A MCH-16A MCH-17A MCH-18A Equipment # of Fault Detection & Automatic Fault Distributed Energy Thermal Energy Supply Air Condenser Water ECMS Requiring Testing units Diagnostics for DX Detection & Storage DX AC Storage (TES) Temperature Reset Reset Controls or Verification Units Diagnostics for Air & Systems Systems Controls Zone RTU-I, 2 ❑ ❑ ❑ ❑ ❑ . ❑ ❑ RTU-3 ❑ ❑ ❑ ❑ ❑ ❑ ❑ RTU-4 & 5 ❑ ❑ ❑ ❑ ❑ ❑ ❑ RTU-b ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA MECHANICAL SYSTEMS �n CEC-NRCC-MCH-01-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION' CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E Mechanical Systems (Page 3 of 3) Project Name: SPROUTS LA QUINTA Date Prepared: 02/20/17 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: JOSEPH ANTOLIN Documentation Author Signature: Company: PLUMP ENGINEERING signature Date: 02/20/17 Address: 914 E. KATELLA AVE. CEA/ HERS Certification Identification (if applicable): City/State/Zip: ANAHEIM, CA 92805 Phone: (714) 385-1835 RESPONSIBLE PERSON'S DECLARATION STATEMENT I 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: JOSEPH ANTOLIN Responsible Designer Signature: Company: PLUMP ENGINEERING Date Signed: 02/20/17 Address: 914 E. KATELLA AVE. ucense: M37240 City/State/Zip: ANAHEIM, CA 92805 Phone: (714) 385-1835 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA HVAC SYSTEM REQUIREMENTS __ L CEC-NRCC-MCH-02-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-MCH-02-E HVAC Dry System Requirements (Page 1 of 3) Project Name: SPROUTS LA QUINTA Date Prepared: 02/20/17 _ Equipment Tags and System Description RTU-1 & 2 RTU-:,4,5 RTU-6 - MANDATORY MEASURES T-24 Sections Reference to the Requirements in the Contract Documents2 Heating Equipment Efficiency3 110.1 or 110.2(a) 80 80 80 Cooling Equipment Efficiency3 110.1 or 110.2(a) 10.5 EER 12 EER 12.2 EER HVAC or Heat Pump Thermostats 110.2(b),110.2(c) YES YES YES Furnace Standby Loss Control 110.2(d) NO NO NO Low leakage AHUs 110.2(f) YES YES YES Ventilation 120.1(b) YES YES YES Demand Control Ventilations p 120.1(c)4 YES NO� NO, Occupant Sensor Ventilation Controlb 120.1(c)5, 120.2(e)3 NO NO NO Shutoff and Reset Controls? 120.2(e) YES YES YES Outdoor Air and Exhaust Damper Control - 120.2(f) YES - ,YES YES Isolation Zones 120.2(g) NO NO NO Automatic Demand Shed Controls ' -- 120.2(h) NO -NO- - - NO Economizer FDD 120.2(i) YES YES YES Duct Insulation 120.4 YES YES YES PRESCRIPTIVE MEASURES Equipment is sized in conformance with 140.4(a & b) Y/N Y/N Y/N ' 140.4(a&b) Supply Fan Pressure Control 140.4(c) NO NO NO Simultaneous Heat/Cool8 140.4(d) NO NO NO Economizer 140.4(e) YES YES YES ' Heat and Cool Air Supply Reset 140.4(f) YES YES YES Electric Resistance Heating9 140.4(g) NO NO NO Duct Leakage Sealing and Testing.10 140.4(I) Notes: 1. Provide equipment tags (e.g. AHU 1 to 10) and system description (e.g. Single Duct VAV reheat) as appropriate. Multiple units, with common requirements can be grouped together. _ 2. Provide references to plans (i.e. Drawing Sheet Numbers) and/or specifications (including Section name/number and relevant paragraphs) where each requirement is specified. Enter "N/A" if the requirement is not applicable to this system. 3. The referenced plans and specifications must include all of the following information: equipment -ag, equipment nominal capacity, Title 24 minimum efficiency requirements, and actual rated equipment efficiencies. Where multiple efficiency requirements are applicable (e.g. full- and part -load) include all. Where appliance standards app* (110.1), identify where equipment is required to be listed per Title 201601 et seq. . 4. Identify where the ventilation requirements are documented for each central HVAC system. Include references to both central unit schedules and sequences of operation. If one or more space is naturally ventilated identify where this is documented in the plans and specifications. Multiple zone central air systems must also provide a MCH-03-E form. 5. If one or more space has demand controlled ventilation identify where it is specified including the sensor specifications and the sequence of operation. 6. If one or more space has occupant sensor ventilation control identify where it is specified including the sensor specifications and the sequence of operation Z If the system is DDC identify the sequences for the system start/stop, optimal start, setback (if required) and setup (if required). For all systems identify the specification for the thermostats and time clocks (if applicable). 8. Identify where the heating, cooling and deadband airflows are scheduled for this system. Include 3 reference to the specification of the zone controls. Provide a MCH-03-E form. 9. Enter N/A if there is no electric heating. If the system has electric heating indicate which exception to 140.4(g) applies. 10. If duct leakage sealing and testing is required, a MCH-04-A form must be submitted. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CAUFORNIA HVAC WET SYSTEM REQUIREMENTS k CEC-NRCC-MCH-02-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-MCH-02-E HVAC Wet System Requirements (Page 2 of 3) Project Name: SPROUTS LA QUINTA Date Prepared: 02t20/17 Equipment Tags and System Description RTU-1 & 2 RTU-3,4,5 RTU-6 MANDATORY MEASURES T-24 Sections Reference to the Requirements in the Contract Documents Heating Hot Water Equipment Efficiency3 110.1 NA NA NA Cooling Chilled and Condenser Water 110.1, 140.4(i) NA NA NA Equipment Efficiency3 Open and Closed Circuit Cooling Towers 110.2(e) 1 NA NA NA conductivity or flow -based controls Open and Closed Circuit Cooling Towers 110.2(e) 2 Maximum Achievable Cycles of NA NA NA Concentration (LSI)6 Open and Closed Circuit Cooling Towers 110.2(e) 3 NA NA NA Flow Meter with analog output - - Open and Closed Circuit Cooling Towers 110.2(e) 4 NA NA NA Overflow Alarm Open and Closed Circuit Cooling Towers 110.2(e) 5 NA NA NA Efficient Drift Eliminators Pipe Insulation 120.3 NA NA NA PRESCRIPTIVE MEASURES Cooling Tower Fan Controls 140.4(h)2, 140.4(h)5 Y/N NA Y/N Y/N Cooling Tower Flow Controls 140.4(h)3 NA NA NA Centrifugal Fan Cooling Towers° 140.4(h)4 NA NA NA Air -Cooled Chiller Limitations 140.4(j) NA NA NA Variable Flow System Design 140.4(k) NO NO NO Chiller and Boiler Isolation 140.4(k) NA NA NA CHW and HHW Reset Controls 140.4(k) NA NA NA WLHP Isolation Valves 140.4(k) NA NA NA VSD on CHW, CW & WLHP Pumps >5HP 140.4(k) NA NA NA DP Sensor Location 140.4(k) NA NA NA Notes: 1. Provide equipment tags (e.g. CH 1 to 3) or system description (e.g. CHW loop) as appropriate. Multiph_ units with common requirements can be grouped together. 2. Provide references to plans (i.e. Drawing Sheet Numbers) and/or specifications (including Section nurse/number and relevant paragraphs) where each requirement is specified. Enter "N/A" if the requirement is not applicable to this system. 3. The referenced plans and specifications must include all of the following information: equipment tag, equipment nominal capacity, Title 24 minimum efficiency requirements, and actual rated equipment efficiencies. Where multiple efficiency requirements are applicable (e.g. full- and part -load) include all. For chillers operating at non-standard efficiencies provide the Kadj values. For chillers also note whether the efficiencies are Path A or Path B. 4. Identify if cooling towers have propeller fans. If towers use centrifugal fans document which exception is used. S. If air-cooled chillers are used, document which exceptions have been used to comply with 140.46) and the total installed design capacity of the air-cooled chillers in the chilled water plant. 6. Identify the existence of a completed MCH-06-E )when open or closed circuit cooling towers are specred to be installed, otherwise enter "N/A". CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA HVAC SYSTEM REQUIREMENTS :EC-NRCC-MCH-02-E (Revised 06/14) CALIFOP.NIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-MCH-02-E HVAC Wet System Requirements (Page 3 of .3) Project Name: SPROUTS LA QUINTA Date Prepared: C2/20/17 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: JOSEPH ANTOLIN Documentation Author Signature: Company: PLUMP ENGINEERING Signature Date: 02/20/17 Address: 914 E. KATELLA AVE. CEA/ HERS Certification Identification (if applicable): City/State/Zip: ANAHEIM, CA 92805 phone: (714) 385-1835 RESPONSIBLE PERSON'S DECLARATION STATEMENT 1 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 deign 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 a buioilg2voer at occupancy. Responsible Designer Name: JOSEPH ANTOLIN Responsible Designer Signature: company: PLUMP ENGINEERING Date signed: 02/20/17 Address: 914 E. KATELLA AVE. License: M37240 City/State/zlp: ANAHEIM, CA 92805 Phone: (714) 385-1835 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA 1. MECHANICAL VENTILATION AND REHEAT CEC-NRCC-MCH-03-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE I NRCC-MCH-03-E Mechanical Ventilation & Reheat (Page 1 of 2) Project Name: SPROUTS LA QUINTA - Date Prepared: 02/20/17, ACTUAL DESIGN INFO (FROM EQUIPMENT VAV Reheated Primary Air VAV Deadband SCHEDULES, ETC) AREA BASIS OCCUPANCY BASIS a MINIMUM CFM Primary Air CFM A •B C D E F G H I J K L M N O P Q R S T N < O < m pnp o O n D o v 0 in m x v T H -_I L1 n z D p O z 3 3 2 z 3 T 3 3 n D�D m D f1 v z tQoQ 3 g n O Z O W D A O Go G'1 /'') � Z G1 p � z n.� Z K n� D T D �' r 3 n �, p v m r v� L D X m p O O 3 2R D n Z O D_ < 3 p 3 C A 3 O f1 Z o fl 0 O 3 N XN $Da �Dz T 3D� _ Z Vo T Z 30r `�� ,'1' A —D0 m < m P m }} �Kt 3_p< VO*Z = T 30 , ", y OSc� ram- T 3 O T Q f1 3,--,2 r Dm c�3 mD 13 TD m D D O z p n. m` f14+ O I Om �^ O — 0.3 o H Fj 3 <� o M m D m z C = Z 3=�„ -4 D ? z RTU-1,2 20000 - 20000 Y - 23125 0.20 4625- 306 15 4590 4625 YESNA RTU-3 7000 - 7000 N - RTU-4 2400 - 2400 N - 1345 0.15 201 4 15 60 201 YES RTU-5 2400 - 2400 N - 1200 0.15 180 8 15 120 180 YES 1' RTU-6 3400 - 3400 N - 760 0.15 760 12 15 180 180 YES h , . N Yellow shaded cells require user input. Remaining cells are protected and automatic B. The largest amount of primary air supplied by the terminal unit when it's operating in the cooling mode. C. The smallest amount of primary air supplied by the terminal unit in the deadband mode. D. The largest amount of primary air supplied by the terminal unit when it's operating in the heating mode. 1 E. A terminal unit can be controlled with DDC controls, or non-DDC controls. Each control category has different reheat limitations in code. F. Transfer Air must be provided where Required Ventilation Airflow (Column M) is greater than the Design Primary Deadband Airflow (Column C). H. Minimum ventilation rate per Section §120.1. Table 120.1-A. J. Based on number of fixed seats where applicable or the greater of the expected number of occupants and 50% of the CBC occupant load for egress purposes for spaces without fixed seating. M. Required Ventilation Airflow (Req'd Ventilation Airflow) is the larger of the ventilation rates calculated on an AREA BASIS or OCCUPANCY BASIS (Column 1 or L) - N. This column identifies whether or not the Design Primary Deadband Airflow complies or not. It compares the value in column M to the value in column C and column F. 0. Design Primary Cooling Airflow • 0.50 for DDC, Design Primary Cooling Airflow • 0.30 for Non-DDC. If the Design Primary Cooling Airflow is less than 300 cfm, then this is not applicable. P. Maximum of Column M and Column 0. If the Design Primary Cooling Airflow is 300 cfm or less, then this is not applicable. Q. This column identifies whether or not the Design Primary Reheat Airflow at the zone level, complies or not. It compares the value in column P to the value in. column D. R. Design Primary Cooling Airflow • 0.20 for DDC. Not applicable for Non-DDC zones or zones where Design Primary Cooling Airflow is is 300 cfm or less. . S. Maximum of Column M and Column R. Not applicable if the Design Prima Cooling Airflow is 300 cfm or less. PP g Primary g I �) T. This column identifies whether or not the Design Primary Deadband Airflow at the zone level, complies or not. It compares the value in column S to the value in column C. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance t June 2014 - F STATE OF CALIFORNIA MECHANICAL VENTILATION AND REHEAT CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-MCH-03-E Mechanical Ventilation & Reheat (Page 2 of 2) Project Name: SPROUTS LA QUINTA Date Prepared: 02/20/17 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: JOSEPH ANTOLIN Documentation Author Signature: Company: PLUMP ENGINEERING signature Date: 02/20/17 Address: 914 E. KATELLA AVE. CEA/ HERS Certification Identification (if applicable): City/state/Zlp: ANAHEIM, CA 92805 Phone: (714) 385-1835 RESPONSIBLE PERSON'S DECLARATION STATEMENT t 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. 1. Responsible Designer Name: JOSEPH ANTOLIN Responsible Designer Signature: Company: PLUMP ENGINEERING Date signed: 02/20/17 Address: 914 E. KATELLA AVE. Ucense: M37240 City/State/Zip: ANAHEIM, CA 92805 Phone: (714) 385-1835 CA Building Energy. Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA FAN POWER CONSUMPTION M CEC-NRCC-MCH-07-E (Revised 07/14) CALIFOPNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-MCH-07-E Power Consumption of Fans Requirements (Page 1 of 2) Project Name: SPROUTS LA QUINTA Date Prepared: 02/20/17 Constant Volume Fans Systems NOTE. Provide one copy of this worksheet for each fan system with a total fan system horsepower greater than 25 hp of Constant Volume Fan Systems when using the Prescriptive Approach. See Power Consumption of fans §140.4(c). A B C D E F FAN DESCRIPTION DESIGN BRAKE HP EFFICIENCY NUM3ER OF FANS PEAK WATTS BxEx746/ (C x D) MOTOR DRIVE Variable Air Volume Fans Systems NOTE: Provide one copy of this worksheet for each fan system with a total fan system horsepower greater than 25"hp of Variable Air Volume (VAV) Systems when using the Prescriptive Approach. See Power Consumption of fans §140.4(c). A B C I D E F FAN DESCRIPTION DESIGN BRAKE HP EFFICIENCY NUMBER OF FANS PEAK WATTS BxEx746/ (C x D) MOTOR DRIVE Totals and Adjustments FILTER PRESSURE ADJUSTMENT Equation 140.4-A 1) TOTAL FAN SYSTEM POWER (WATTS, SUM W in §140.4(c) of the Building Energy Efficiency COLUMN F) 2) SUPPLY DESIGN AIRFLOW CFM Standards. A) If filter pressure drop (SPa) is greater than 1 inch W. C. or 245 Pascal then enter SPa on line 4. Enter 1 3) TOTAL FAN SYSTEM POWER INDEX (Row 1 / Row 2) W/CFM Total Fan pressure drop across the fan (SPf) on Line 5. 4) SPa in W.0 or Pa 5) Spf in W.0 or Pa B) Calculate Fan Adjustment and enter on line 6. 6) Fan Adjustment =1-(SPa—1)/SPf C) Calculate Adjusted Fan Power Index and enter on Row 7 7) ADJUSTED FAN POWER INDEX (Line 3 x Line 6)1 W/CFM 1. TOTAL FAN SYSTEM POWER INDEX or ADJUSTED FAN POWER INDEX must not exceed 0.8 w/cfm for Constant Voume systems or 1.25 w/cfm for VAV systems. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance July 2014 STATE OF CALIFORNIA FAN POWER CONSUMPTION \t�V31f CEC-NRCC-MCH-07-E Revised 07/14 CALIFORNIA ENERGY COMMISSION ' CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E Power Consumption of Fans Requirements (Page 2 of 2) Project Name: SPROUTS LA QUINTA Date Prepared: 02/20/17 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: JOSEPH ANTOLIN Documentation Author Signature: Company: PLUMP ENGINEERING signature Date: 02/20/17 Address: 914 E. KATELLA AVE. CEA/ HERS Certification Identification (if applicable):- City/State/Zip: ANAHEIM, CA 92805 Phone: (714) 385-1835 RESPONSIBLE PERSON'S DECLARATION STATEMENT 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 cf 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 subm"Itted to the enforcement agency for approval with this building permit application. S. I will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides tot build- o upancy. Responsible Designer Name: JOSEPH ANTOLIN Responsible Designer Signature: Company: PLUMP ENGINEERING Date signed: 02/20/17 Address: 914 E. KATELLA AVE. License: M37240 City/State/Zip: ANAHEIM, CA 92805 Phone: (714) 385-1835 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance July 2014