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BCOM2019-001278-495 CALLE TAMPICO T4h0 / D "e f - CIJ LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: BUILDING COMMERCIAL/REMODEL Application Number: BCOM2019-0012 Property Address: 78377 HIGHWAY 111 APN: 604050059 Application Description: JADABUG / 3,918SF RETAIL TI/VB/M-OCC/56-OL/SPRINKLED Property Zoning: Application Valuation: $50,000.00 Applicant: SUTTON REMODELING SPECIALISTS DBA SRS -BU 41905 BOARDWALK STE I PALM DESERT, CA 92211 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B License No.: U7914 Date: - -t Contractor: 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: VOICE 7fiD 777-7125 709 INSPECP�7 71a Q ®e: Owner: N ; HARSCH INV REALTY ``i 1121 SALMON ST 4TH FL PORTLAND, OR 92253 f f,. CC- Contractor: SUTTON REMODELING SPECIALISTS DBA SRS -BU 41905 BOARDWALK STE I PALM DESERT, CA 92211 (760)674-9000 Llc. No.: 837914 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: EXEMPT_ Policy Number: _ J certify that in the performance of the work for which this permit is issued, 1 II 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. Date: C/ I / Applicant:—���r WARNING: FAILURE TO SECURE WOR!Wl S' 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. CONSTRUCTION LENDING AGENCY I agree to comply with all city and county ordinances and state laws relating to building I hereby affirm under penalty of perjury that there is a construction lending agency for construction, and herebyauthorize representatives of this city to enter upon the the performance of the work forwh€ch this permit is issued (Sec. 3097, Civ. C.). above-mentioned property For inspection purposes. Lender's Lender's Date: '� q ! Signature (Applicant or I); A0 Application Number: BCOM2019-0012 Property Address: 78377 HIGHWAY 111 APN: Application Description. 604050059 JADABLJG / 3,918SF RETAILTI/VB/M-OCC/56-OL/SPRINKLED Property Zoning: Application Valuation: $50,000.00 Applicant: SUTTON REMODELING SPECIALISTS DBA SRS -BU 41905 BOARDWALK STE I PALM DESERT, CA 92211 Date: 4/1 Owner: HARSCH INV REALTY 1121 SALMON ST 4TH FL PORTLAND, OR 92253 Contractor: SUTTON REMODELING SPECIALISTS DBA SRS -BU 41905 BOARDWALK STE I PALM DESERT, CA 92211 (760)674-9000 Llc. No.: 837914 DECREASE IN SIZE/VB/M-OCC/56- Detail: 3+9185F RETAIL TENANT IMPROVEMENT WITH MINOR REPAIR O ftDAOFA�P EQlNT SUITE 1 EQUIPMENT, ALTER)A7'IION TOO EXISTING LOAD BEARING OR LATERAL OL/SPRINKLED (JADABUGI THIS PERMIT DOES NOT INCLUDE ADDITIONAL RESISTING CONSTRUCTION, OR BUILDING SIGNAGE. NO EXTERIOR IMPROVEMENTS BASED ON EXISTING PATH OF TRAVEL BEING NOTED AS IN COMPLIANCE. NO TUMF IMPACT BASED ON 2018 UPDATE. 2016 CALIFORNIA BUILDING CODES. DESCRIPTION ACCOUNT QTY HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 0.5 Total Paid for BLDG CITY STAFF - PER HOUR: DESCRIPTION ACCOUNT QTY BSAS SB1473 FEE 101-0000-20306 p Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: DESCRIPTION ACCOUN NON-RESIDENTIAL, EA ADDITION 2,000SF DESCRIPTION NON-RESIDENTIAL, EA ADDITION 2,000SF, PC DESCRIPTION NON-RESIDENTIAL, FIRST 2,000SF DESCRIPTION NON-RESIDENTIAL, FIRST 2,000SF, PC 101-0000-42 ACCOUN 101-0000-42 ACCOUNT 101-0000-42 ACCOUNT 101-0000-42 AMOUNT $80.00 $80.00 AMOUNT $2.00 $2.00 T QTY AMOUNT 403 0 $40.02 T 600 CITY 0 AMOUNT $10.67 ACCOUNT QTY AMOUNT 403 600 0 QTY 0 $120.07 AMOUNT $92.86 DESCRIPTION CONDENSER/COMPRESSOR DESCRIPTION CONDENSER/COMPRESSOR PC Total Paid for FIRE FEES: ACCOUNT 1 QTY 101-0000-42402 p ACCOUNT QTY 101-0000-42600 p Total Paid for MECHANICAL: DESCRIPTION Total Paid for ELECTRICAL - NEW CONSTRUCTION: DESCRIPTION ACCOUNT QTY FIRE COMMERCIAL TI 101 0000-42421 p DESCRIPTION ACCOUNT QTY FIRE COMMERCIAL TI PC 101-0000-42420 p DESCRIPTION CONDENSER/COMPRESSOR DESCRIPTION CONDENSER/COMPRESSOR PC Total Paid for FIRE FEES: ACCOUNT 1 QTY 101-0000-42402 p ACCOUNT QTY 101-0000-42600 p Total Paid for MECHANICAL: DESCRIPTION ACCOUNT QTY PLAN CHECK DEPOSIT - ADDITION/REMODEL 101-0000-42600 1 Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: DESCRIPTION ACCOUNT QTY FIXTURE/TRAP 101-0000-42401 p DESCRIPTION ACCOUNT QTY FIXTURE/TRAP PC 101-0000-42600 p DESCRIPTION ACCOUNT QTY WATER SYSTEM INST/ALT/REP 101-0000-42401 p DESCRIPTION ACCOUNT QTY WATER SYSTEM INST/ALT/REP PC 101-0000-42600 p Total Paid for PLUMBING FEES: DESCRIPTION ACCOUNT QTY 101-0000-42600 DESCRIPTION ACCOUNT QTY $263.62 AMOUNT $160.00 AMOUNT $240.00 $400.00 AMOUNT $80.04 AMOUNT $53.36 $133.40 AMOUNT $125.00 $125.00 AMOUNT $13.34 AMOUNT $13.34 AMOUNT $13.34 AMOUNT $13.34 $53.36 AMOUNT ($21.00) AMOUNT RECORDS MANAGEMENT FEE - MAJOR DESCRIPTION DESCRIPTION REMODEL, EA ADDITIONAL 500 SF DESCRIPTION REMODEL, EA ADDITIONAL 500 SF PC DESCRIPTION REMODEL, FIRST 100 SF DESCRIPTION REMODEL, FIRST 500 SF PC DESCRIPTION REMODEL, FIRST 500 SF PC DESCRIPTION SMI - COMMERCIAL DESCRIPTION DESCRIPTION TECHNOLOGY ENHANCEMENT FEE Total Paid for REMODEL: 101 0000-42416 1 0 Total Paid for RECORDS MANAGEMENT FEE - MAJOR: ACCOUNT QTY 101-0000-42600 Total Paid for STRONG MOTION INSTRUMENTATION SMI: ACCOUNT QTY 101-0000-42400 0 ACCOUNT QT +OY 101-0000-42600 ACCOUNT QTY 101-0000-42400 0 ACCOUNT QTY 101-0000-42600 0 ACCOUNT QTY 101-0000-42600 0 Total Paid for REMODEL: Total Paid for TECHNOLOGY ENHANCEMENT FEE: $21.00 $0.00 AMOUNT ($99.00) AMOUNT $192.08 AMOUNT $153.68 AMOUNT $ 54.43 AMOUNT $99.00 AMOUNT $49.89 $450.08 AMOUNT $14.00 $14.00 AMOUNT ($5.00) AMOUNT $5.00 $0.00 ACCOUNT QTY 101-0000-20308 0 Total Paid for STRONG MOTION INSTRUMENTATION SMI: ACCOUNT QTY 101-0000-42600 ACCOUNT QTY 502-0000-43611 0 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $21.00 $0.00 AMOUNT ($99.00) AMOUNT $192.08 AMOUNT $153.68 AMOUNT $ 54.43 AMOUNT $99.00 AMOUNT $49.89 $450.08 AMOUNT $14.00 $14.00 AMOUNT ($5.00) AMOUNT $5.00 $0.00 i 0f La QuInta Building 8r Safety Division POKYr 'CS P.G ox 1504,78-495 Calle Tampico mlr # Mw 'r4 k alta(„ . La. Inta, CA 92253 - (760) 777-7012 ►�ng P mit Application and Tracking Sheet eetAddress:78383 Hwy 111, La Quinta, CA Owner'sName:Harsch Investment Property A. P. Number -050-059 Address: 78401 Hwy 111, Suite C Legal Description: Subdivision Name PM 19028 City, ST, zip: La Quinta, CA Contractor SRS -Builders Telephone: 760.771.4580 Address:41905 Boardwalk Suite i Project Description: Suite 383 Redemise & JadaBug TI City, sT, zip: Palm Desert, CA92211 Telephone: 760.674.9000 State Lic. # .837914 City Lic. #;104555 Arch., Engr., Designer: GLS INC. Address: 74991 Joni Dr city., sT, zip: Palm Desert, CA 92260 Telephone: 760.340:3528 Construction Type: T I Occupancy: State Lic. #: C 11991 Project type (circle one): New Add'n 4MIt"t Repair Demo Name of Contact Person: Billy Sutton Sq. Ft.:2390 #Stories: Units: Telephone # of Contact Person: 760.674.9000 Estimated Value of Project: 50, 000 APPLICANT- Dfl NAT WRITE RFI nW T14M t INF !I Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cities. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance. Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Giading plan 2" Review, ready for correctionslissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Pians picked up S.M.I. H.O A Approval Plans resubmitted Grading IN EIOUSE., '"' Review; ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees ls� CITY OF LA QUINTA SUB -CONTRACTOR LIST �! tp� JOB ADDRESS_ f'I �C1� PERMIT NUMBER S zo ��-M IV OWN , — - . I BUILDEI,_�S�&LAZI� This forn-i shall he posted on the�jah with the Building Inspection Card at all times in a conspiauaus dace. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed -by applicant. "On File" is not an acceptable response. Tra.d.e,I Cl..assi.fication Co.n.:tractor State Contract _UAL .-.-.. .. .... C sati.on. fnsura�icc City Business Lic.e.pse W.o..rkers ompen Company Name Classification License Number Exp. Date Carrier Name Policy Number Exp. Date License Number Exp. Date (xx/xx/xx) (xxxx) (xx/xx/xx) (e.g. A, B, C-8) (xxxxxx) (xx/xx/xx) (e.g. State Fund, CalComp) (Format Varies) EARTHWORK (C-72) —� CONCRETE (.C•8) - FRAMING (C-5)3777 STRUCT. STEEL (C=5'1.) MASONRY (C-29) - ftke�� n PLUMBING (C-36) JUS /(!/ �`�/ J Lit 0�. )" LATH, PLASTER (C-35) — DRYWALL (C-9) 1 I�.S Dr CnLu / n ] l !/ ' �� / l P,1 �G ISG �c HVAC (C-20) Vc3E'CY1C� CA Is ELECTRICAL (C-10) U 1,� C'k i , �11 Y}I q1fJ D l ROOFING (C-39.) r— SHEET METAL (C-43) '7 FLOORING (C-15) � S — CS u GLAZING: (C-47)1•— INSULATION (C-2) SEWAGE DISP: (C-423 PAINTING (G-33) � S rISS '- (o�e-r1 — CERAMIC TILE (.0=54:) �--, CABINETS (C-6). FENCING (C-1.3) LANDSCAPING (C-27) POOL (C;-53) 4-1 Y STATE OF CALIFORNIA INDOOR LIGHTING n" etc;-NF<G(:-L i 1-01-t IRevised LA/1€) CALIFORNIA ENERGY COMMISSION -"4W- CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 1 of 6) Project Name: JADABUG T. 1, Date Prepared: 04/14/2019 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 O COMP. DOC. NRCC-LTI-01-E Climate Zone: j Conditioned Floor Area: 3918 15 Q O NRCC-LTI-02-E Lighting Controls, Certificate of Compliance, and PAF Calculation. All Pages required on plans for all submittals. Unconditioned Floor Area: 0 S.F. O NRCC-LTI-03-E Indoor Lighting Power Allowance © Building Type: Q Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel ❑ Schools ❑ Relocatable Public Schools 0 Conditioned Spaces ❑ Unconditioned Spaces Phase of Construction: ❑ New Construction 0 Addition E] Alteration Method of Compliance: Complete Building ❑ Area Category g y ❑ Tailored Project Address: 78377 HWY 111 LA QUINTA, CA 92253 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 O COMP. DOC. NRCC-LTI-01-E TITLE Certificate of Compliance. All Pages required on plans for all submittals. Q O NRCC-LTI-02-E Lighting Controls, Certificate of Compliance, and PAF Calculation. All Pages required on plans for all submittals. O NRCC-LTI-03-E Indoor Lighting Power Allowance © Q NRCC-LTI-04-E Tailored Method Worksheets ® 0 NRCC-LTI-05-E Line Voltage Track Lighting Worksheets 0 O NRCC-LTI-06-E Indoor Lighting Existing Conditions CITY OF' . QUINTA BUILDING DIVISION REVIEWED FOR CODE COMPLIANCE twig L" z 'bc.orM.'oi ct . vo I Z- 3or-3 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance �E�PII�ED rR ; 6 2019 CITY OF LA QUINTA COMMdlN1TYDEI'ELO�MENT 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 2 of 6) Project Name: JADABUG T.I. Date Prepared: 04/14/2019 C. Summary of Allowed Lighting Power Declare by selecting yes for all of the Certificates that will be submitted. (Retain copies and verify forms are completed and signed.) YES Conditioned and Unconditioned space Lighting must not be combined for compliance Form/Title Indoor Lighting Power for Conditioned Spaces (F) Indoor Lighting Power for Unconditioned Spaces NRCI-LTI-01-E - Must be submitted for all buildings ❑ Field Inspector Watts NRCI-LTI-02-E - Must be submitted for a lighting control system, or for an Energy Management Control System (EMCS), Watts j Installed Lighting Installed Lighting © NRCI-LTI-03-E - Must be submitted for a line -voltage track lighting integral current limiter, or for a supplementary 01 NRCC-LTI-01-E, Table H, page 5 + 1949 NRCC-LTI-01-E, Table H, page 5 + NRCI-LTI-04-E - Must be submitted for two interlocked systems serving an auditorium, a convention center, a Portable Only for Offices conference room, a multipurpose room, or a theater to be recognized for compliance. 02 NRCC-LTI-01-E, Table G, page 4 + 0 —II � Minus Lighting Control Credits Inspector 0 Minus Lighting Control Credits 03 NRCC-LTI-02-E, page 2 compliance. NRCC-LTI-02-E, page 2 _ Adjusted Installed Lighting Power Adjusted Installed Lighting Power ' 0 04 (row 1 plus row 2 minus row 3) I Complies ONLY if Installed <_ Allowed (Box 04 < Box 05) 1949 (row 1 minus row 3) 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 3918 Alterations with replacement luminaires that have at least 50/35%lower power compared to the original existing luminaires, 50/35% lower power compared to the original existing luminaires, may instead use the allowed wattage from NRCC-LTI-06, page 2 may 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 Form/Title (F) ® NRCI-LTI-01-E - Must be submitted for all buildings ❑ Field Inspector o NRCI-LTI-02-E - Must be submitted for a lighting control system, or for an Energy Management Control System (EMCS), ❑Field Inspector 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. 0 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. 0 NRCI-LTI-05-E - Must be submitted for a Power Adjustment Factor (PAF) to be recognized for compliance. NRCI-LTI-06-E - Must be submitted for additional wattage installed in a video conferencing studio to be recognized for ❑ Field Inspector � � Inspector E] Field compliance. CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-01-E {Revised 04/16] CERTIFICATE OF COMPLIANCE Indoor Lighting Project Name:1ADABLIG T.I. Date Prepared: 04/14/2019 at LJFORNIA ENERGY COMMISSION ROEPF- NRCC-LTI-01-E (Page 3 of 6) E. Declaration of Required Certificates of Acceptance Declare by selecting yes for 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. E] Field Inspector 0 © NRCA-LTI-04-A - Must be submitted for demand responsive lighting controls. ❑ Field Inspector NRCA-LTI-05-A - Must be submitted for institutional tuning power adjustment factor (PAF). 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) when line -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 W16) CERTIFICATE OF COMPLIANCE Indoor Lighting Project Name: JADABUG T.I. Date Prepared: 04/14/2019 I& AISSION qopp- NRCC-LTI-01-E (Page 4 of 6) 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) maybe grouped together. This allowance shall not be traded between offices having different lighting systems. _.._ Office Portable Luminaire Schedule Office Installed Portable Luminaire W/ftz Office Location Field Inspector 01 02 03 04 05 1 06 07 08 09 10 Installed If G065 0.3, i Z portable ° s Watts enter Identify Office area in 3 3 luminaire s v per zero; (G05 x G07) which these portable Complete Luminaire Description watts in � square luminaires are installed (i.e., LED, under cabinet, furniture mounted Watts per ° this office i rrD foot If G06 > 0.3, direct/indirect) Luminaire ! (G02 x G03) fGOa / G05 (G06-0.3) 00 O O 0 0 p O 0 0 O O 0 0 0) O a 1 00 Enter sum total of all pages into NRCC-LTI- Total installed portable luminaire watts that are greater than 0.3 W/ftz per office: 01-E; Page 2 April 2016 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-01-E [Revised 04116] CERTIFICATE OF COMPLIANCE Indoor Lighting Project Name:JpDABUG T.I. Date Prepared: 04/14/2019 it AISSION 1111111111111111p- NRCC-LTI-01-E 1 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 (Page 5 of 6) H. Indoor Lighting Schedule and Field Inspection Energy Checklist .......... - Luminaire Schedule Installed Watts Location Field Inspector .r .............. 01 02 03 1 04 05 j 06 07 08 How wattage was `o m Complete Luminaire Description CU E E (Le, 3 lamp fluorescent troffer, M z F32T8, one dimmable electronic ballast) TROFFER 2X4 TROFFER 2X4 TROFFER 2X4 TROFFER 2X4 TROFFER 1X4 O tz (E) 2X4 TROOFER 60 WATTS CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 determined v Q: L W O tz n L N Q '- vi C 4J Z E C U -O O o o C E _ N X o Primary Function area in which U ° Cn a o 3 Z = these luminaires are installed 39 ❑ ❑✓ 14 546 @ DISPLAY ADD. 39 ❑ ❑ 3 117 @ INVENTORY 39 ❑ ❑ 3 117 @ OFFICE 1 39 ❑ ❑ 3 117 @ OFFICE 2 32 ❑ ❑ 1 32 @ RESTROOM 60 ❑ ❑ 17 1020 @ EXISTING DISPLAY ❑ ❑ 0 ❑ ❑ 0 ❑ ❑ 0 INSTALLED WATTS PAGE TOTAL: Enter sum total of all pages into 1949 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) CERTIFICATE OF COMPLIANCE Indoor Lighting Projel,�MUG T.I. DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Armando Chavez Company: TITLE 24 OF THE DESERT Address: 44890 SEELEY DR. P: LA QUINTA, CA 92253 Date Prepared: 04/14/2019 Documentation Author Signature: Signature Date: 04/14/2019 CEA Certification Identification (if applicable): Phone: 760 278.1840 N RCC-LTI-01-E (Page 6 of 6) 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: 1 RUBEN ROMERO Responsible Designer Signature: 1 Company: Date Signed: GLS ARCHITECTURE, INC r) r'�•~ License: Address: 74991 JONI DR #9 city/state/zip: Phone: 760 564.4707 PALM DESERT, CA 92260 April 2016 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance STATE OF CALIFORNIA INDOOR LIGHTING — LIGHTING CONTROLS CEC-NRCC-LTI-02-E (Revised W17) CALIFORNIA ENERGY COMMISSION is CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting - Lighting Controls (Page 1 of 3) Project Name:JADABUG T.I. Date Prepared: 04/14/2019 A. Mandatory Lighting Control Declaration Statements (Indicate if the measure applies by checking yes or no below.) YES NO Control Requirements i ® Lighting shall be controlled by self-contained lighting control devices which are certified to the Energy Commission according to the Title 20 Appliance 1 Efficiency Regulations in accordance with Section 110.9. 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 O §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 0 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. e 0 All luminaires shall be functionally controlled with manual 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, 0 ® 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 Q 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). 0 0 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. Q ® 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. ..... ..... April 2017 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance STATE OF CALIFORNIA INDOOR LIGHTING — LIGHTING CONTROLS CEC-NRCC-LTI-02-E (Revised 04/17) CERTIFICATE OF COMPLIANCE Indoor Lighting - Lighting Controls Project Name: JADABUG T.I Date Prepared: 04/14/2019 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 ` MISSION N RCC-LTI-02-E (Page 2 of 3) Enter Control Credit total into NRCC-LTI-01-E; Page 1. 1. §130.1(a) = Manual area controls; §130.1(b) = Multi Level; §130.1(c) = Auto Shut -Off; §130.1(d) = Automatic 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 PAF. 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 April 2017 \ rD -y rD T FD' Standards Complying With 1 n h D rD E Ln (✓ all that apply, or leave empty o XLA = �. CD Lighting Control Schedule if Exempted)CL o T v ° 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 Type/ Description of Lighting Control (i.e.: occupancy sensor, # W,4 `,� `4 N P. Location in Building automatic time switch, of o 0 0 CD 0 o Ln � dimmer, automatic daylight, Units °1 rn v ! �D N ! C L etc...) ALL AREAS I MANUAL SWITCH ON/OFF • 0 ❑ 0 0 DISPLAY f MOTION SENSOR 0 ❑ 0 0 INVENTORY MOTION SENSOR • 0 ❑ 0 0 0 ❑ 0 0 0 ❑ 0 0 0 ❑ 0 0 o 1 ❑ I O 10 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): Enter Control Credit total into NRCC-LTI-01-E; Page 1. 1. §130.1(a) = Manual area controls; §130.1(b) = Multi Level; §130.1(c) = Auto Shut -Off; §130.1(d) = Automatic 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 PAF. 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 April 2017 STATE OF CALIFORNIA INDOOR LIGHTING - LIGHTING CONTROLS I "r) CEC-NRCC-LTI-02-E (Revised 04/17) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCENRCC-LTI-02-E .......... _... Indoor Lighting - Lighting Controls (Page 3 of 3) Project Name: JADABUG T.I. Date Prepared: 04/14/2019 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Armando Chavez Documentation Author Signature: ■ Signature Date: 04/14/2019 CEA Certification Identification (if applicable): Company: TITLE 24 OF THE DESERT Address: 44890 SEELEY DR. City/State/Zip: LA QUINTA, CA 92253 hone: 760 278.1840 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 ire in ded with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: RUBEN ROMERO Responsible Designer Signature: Company: GLS ARCHITECTURE, INC Date Signed: Address: 74991 JON] DR #9 License: City/State/zip: PALM DESERT, CA 92260 Phone: 760 564.4707 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2017 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE :EC-NRCC-LT E -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: JADABUG T.I. Date Prepared: 04/14/2019 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 .......... 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) (b) 01 Complete Building Method Allowed Watts. Documented in section B of NRCC-LTI-03-E (below on this page) 3.918 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 0 ............. TOTAL ALLOWED BUILDING WATTS. Enter number into correct cell on NRCC-LTI-01, Page 2, Row 1 1 3918 0 ❑ Check here if building contains both conditioned and unconditioned areas. B. COMPLETE BUILDING METHOD LIGHTING POWER ALLOWANCE 01 TYPE OF BUILDING (From §140.6 Table 140.6-13 GENERAL COMMERCIAL BUILDING 02 03 WATTS X COMPLETE _ PER ftZ BLDG. AREA 1 3918 Total Areal 3918 Total Watts. Enter Total Watts into section A, row 1 (Above on this page) 04 ALLOWED WATTS 3918 3918 C -1 AREA CATEGORY METHOD TOTAL LIGHTING POWER ALLOWANCES Watts Total from section C-2. Total from section C-3. Total Watts. Enter Total Watts into section A, row 2 (Above on this page). 0 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 CEC-NRCC-LTI-03-E (Revised 041157 CERTIFICATE OF COMPLIANCE Certificate of Compliance - Indoor Lighting Power Allowance Project Name: JADABUG T.I. Date Prepared: 04/14/2019 191 AISSION NRCC-LTI-03-E (Page 2 of 4) A separate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for: ❑CONDITIONED spaces —1UNCONDITIONED 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 03 04 AREA CATEGORY (From §140.6 Table 140.6-C) WATTS ALLOWED Location in Building I Primary Function Area per Table 140.6-C PER ft X AREA (ft) = WATTS V 0 0 0 0 0 0 0 Q TOTALS l 0 ... Enter sum total Area Category allowed watts into section C-1 of NRCC-LTI-03-E (this compliance document) WATTS CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance /kprll LUlO STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE ".0. :EC-NRCC-LTI-03-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION �r CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E ............. Certificate of Compliance - Indoor Lighting Power Allowance (Page 3 of 4) project Name: JADABUG T.I. Date prepared: 04/14/2019 A separate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for: ❑ CONDITIONED spaces ❑ UNCONDITIONED spaces ----- .......... C-3 AREA CATEGORY METHOD ADDITIONAL LIGHTING WATTAGE ALLOWANCE (from Table 140.6-C Footnotes) --- .... _...... - 01 02 03 z11 1 04 05 Additional Wattage Primary Sq Ft or Watts Allowance Function Linear ft 1 Allowed (02 x 03) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .............. o Description(s) and Quantity of Special Luminaire Types in each Primary Function Area 06 07 ALLOWED WATTS Total Design Smaller of Watts 3 04 or 06 TOTALS —Enter into TOTAL AREA CATEGORY METHOD ADDITIONAL ALLOWANCES —Section C-1 .I 1 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 01116) CERTIFICATE OF COMPLIANCE Certificate of Compliance - Indoor Lighting Power Allowance Project Name: JADABUG T.I. DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and Documentation Author Name: Armando Chavez Company: TITLE 24 OF THE DESERT Address: 44890 SEELEY DR. City/state/zip: LA QUINTA, CA 92253 NRCC-LTI-03-E (Page 4 of 4) ""°" 04/14/2019 e. Documentation Author Signature: i Signature Date: 04/14/2019 _ J CEA Certification Identification (if applicable): Phone: 760 278.1840 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 require¢ to be included with the documentation the builder provides to the building owner at occupancy. _ Responsible Designer Name: Responsible Designer Signature: RUBEN ROMERO Company: Date Signed: GLS ARCHITECTURE, INC Address: License: 74991 JONI DR #9 p: PALM DESERT, CA 92260 1 Phone:760. 340.3528 April 2016 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance