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04-5040 (CSCS)s . Bt��C 150, CALLE APo �LJ C of tiA QU%T . crrr _ _.-,a river. Application Number . . Property Address . . . APN: Application description Property Zoning . . . . Application valuation . Owner WASHINGTON 111 LTD C/O JOHN ANDERHOLT P 0 BOX 1623 PALM DESERT, CA 92261 W BUILDING & SAFETY DEPARTMENT (760)777-7012 Plco FAX (760) 777-7011 7RNIA 92253 INSPECTION REQUESTS (760) 777-7153 I UILDING PERMIT 04-00005040 Date 4/19/05 46400 WASHINGTON ST 643-020-999-3 -30903 - NEW COMML - STORES & CUSTOMER SERVICE REGIONAL COMMERCIAL 583524 Contractor SPECTRUM CONSTRUCTION 6800 OWENSMOUTH AVENUE CANOGA PARK, CA 91303 (818) 999-4900 WCC: STATE FUND WC: 1806389 10/01/05 CSLB: 847960 10/31/06 CCC: B P.O. Box 1504 ■ aubtroull VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: V f = Sb �(y Applicant: Applicant's Mailing Address: Date: 4-17— -og— Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS 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 Professionals Code, an_drny_LLicen& is in full force and effect, 8�7 9 ■(p D License No ' 0 Contractor�� C OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 io 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 Contractors' 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).): U 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 or 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.). U 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.). U I am exempt under Sec, , BA P.C. for this reason Date Owner. WORKERS' 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 issW- workers' compensation insurance carver and polic number are: Carrier —5-t a F, -rub Policy Number I AQ I 1 - 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 Date - ( t Applicam J• Li y� _� 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, CONSTRUCTION LENDING AGENCY - I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C. ). Lender's Name Lender's Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permil subject to the. conditions and restrictions set forth on this application. 1. Each person upon whose behalf IN application Is made, each parson at whose raquest 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, tridemnify and hold harmless the City of La Quint a, its officers, agents and employees for any: act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above -mentioned property for inspection purposes. Date 4-0-05 Signature (Applicant or age 0,L4 Application Number . . . . . 04-00005040 ` Structure Information Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . MERCANTILE Flood Zone . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 FIRE SPRINKLERS YES OCCUPANT LOAD 312.00 PATIO SQ FTG 1300.00 1ST FLOOR SQUARE FOOTAGE 12083.00 2ND FLOOR SQUARE FOOTAGE 904.00 ----------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee 2291.50 Plan Check Fee 789.48 Issue Date Valuation 583524 Expiration Date 10/19/05 Qty Unit Charge Per Extension BASE FEE 2039.50 84.00 3.0000 THOU BLDG 500,001-1,000,000 252.00 ----------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date ELEC-NEW COMMERCIAL 274.74 11/19/05 Plan Check Fee Valuation . . Qty Unit Charge Per Extension BASE FEE 15.00 12987.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 259.74 Permit GRADING PERMIT Additional desc . . Permit Fee 15.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 10/19/05 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 Permit . . . . . . MECHANICAL Additional desc . . Permit Fee 129.50 Plan Check Fee 32.38 Issue Date Valuation 0 Expiration Date 10/19/05 Qty Unit Charge Per Extension BASE FEE 15.00 6.00 9.0000 EA MECH FURNACE <=100K 54.00 6.00 9.0000 EA MECH B/C <=3HP/100K BTU 54.00 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH VENT FAN 6.50 Permit PLUMBING _---------------------------- Application mber . . . . . 04-00005040 --------- ------------------------------------------------------------------------------ Permit . . . . . . PLUMBING Additional desc . . Permit Fee 190.50 Plan Check Fee 47.63 Issue Date Valuation . . . . 0 Expiration Date 10/19/05 Qty Unit Charge Per Extension BASE FEE 15.00 14.00 6.0000 EA PLB FIXTURE 84.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 5.00 6.0000 EA PLB ROOF DRAIN 30.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 1.00 7.5000 EA PLB OTHER BACKFLOW <=2 INCH 7.50 6.00 .7500 EA PLB GAS PIPE >=5 4.50 1.00 15.0000 EA PLB GAS METER 15.00 ----------------------------------------------------------------------------- Special Notes and Comments COMMERCIAL RETAIL - 12,987 SQ.FT. (INCL. 904 SF EQUIPT. MEZZANINE) M OCCUPANCY, TYPE VN CONSTRUCTION FIRE SPRINKLERED, 2001 CODES. ** PERMIT DOES NOT INCLUDE BLOCK WALLS, TEMP POWER, STORAGE RACKS/FIXTURES GREATER THAN 6 FT. HGT. AND SITE LIGHTING** Note: $700 RETAINER CREDITED TO BUILDING PERMIT PLANCHECK FEE. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW 148.95 ART IN PUBLIC PLACES-COM 2897.62 DIF CIVIC CENTER - COMM 1233.76 ENERGY REVIEW FEE 148.95 DIF FIRE PROTECTION-COMM 415.58 STRONG MOTION (SMI) - COM 122.54 DIF STREET MAINT FAC-COMM 298.70 DIF TRANSPORTATION - COMM 22389.58 Fee summary Charged Paid Credited Due Permit Fee Total 2901.24 .00 .00 2901.24 Plan Check Total 938.18 .00 .00 938.18 Other Fee Total 27655.68 .00 .00 27655.68 Grand Total 31495.10 .00 .00 31495.10 Date 4/13/05 No. 27072 Owner Washington 111, Ltd Address 30240 Rancho Viego Road City San Juan Cap Zip Tract # Type Commercial CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 APN # Jurisdiction Permit # Study Area No. of Units BERMUDA DUPFES r` V: RANCHO MIRAGE v INDIAN WELLS d. PALM DESERT LAQUINTA INGIO ❑ �.- 643-020-008, 009, 017 La Quinta 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 46400 Washington Street 12987 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments Trader Joe's Retail At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determined that the above -named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.36 X 12,987 S.F. or $4,675.32 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CC/Pacific Western Bank -Tom Bickle Check No. 232489 Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Sharon MCGllvrey Signature Telephone 818-974-9345 Funding Commercial Payment Reed 40.00 $4,675.32 over/Under NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90-day approval period in which you may protest the fees o r other payment identified above Will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District(s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy - Applicant/Receipt Copy -Accounting P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT (760) 777-7012 FAX (760) 777-7011 To: Greg Butler, Building & Safety Manager To CDD: 1=2[N�F` From: Oscar Orci, Planning Manager Due date: 18--29--ZOU2F Status:2ND Review Building Plans Approval (This is an approval to issue a Building Permit) The Community Development Department has reviewed the Building Plans for the following project: Description: Trader Joe's Address or general location: 46-400 Washington St Applicant Contact: Sohail Barsum 818-577-4844 The Community Development Department finds that: ❑ ...these BjiAding Plans do not require Community Development Department app al. ...these Building Plans are approved by the Community Development Department. ❑ ...these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant. When the corrections are made please return them to the Community Development Department for review. �"\�-O-S7 Date PUBLIC WORKS/ENGINEERING DEPARTMENT CLEARANCE SHEET FOR BUILDING PERMITS Please DO NOT submit Green Sheet Packet to the Public Works/Engineering Department until ALL requirements listed below, are complete. Thank you. Date: 4/13/05 Developer: Spectrum Construction —Tom Bickle _ 818-999-4900 or Cell 818-974-9345 Tract No: 30903 - Parcel 3 - Pad 5 Address(s):46-400 Washington Street —Trader Joe's The following are the requirements for Green Sheet clearance to issue a building permit for the subject building lot(s): CUSTOM HOMES: PROVIDE ITEMS #2 AND #3 BELOW. TRACT HOMES: PROVIDE ITEMS #1, #2, AND #3 BELOW. 'V COMMERCIAL BUILDINGS: PROVIDE ALL ITEMS BELOW (#1-#4) 6k- Attach or previously submitted (current within 6 months) Pad Elevation Certificates in compliance with the approved design elevation for building pad (deviations of ± 0.1 foot). 4 / 1,11 05- Proposed building locations are legal lots, final map recorded. C�-- Attach a complete Fugitive Dust Control (PM-10) Plan and packet. Precise grading plan approved. I have reviewed and confirmed the requirements listed above and find the improvements to be sufficiently complete, except as specially provided below, for construction of the proposed structure(s) on the subject Iot(s). Pursuant to my findings, I find that the above may be released for buOrt�mit "nc- Recommended by: V t Dated: If 1111 D SPECIAL PROVISIONS: Building & Safety has been advised that it is appropriate to issue the Building Permit; however, the Certificate of Occupancy should not be authorized until the following issues have been addressed: YOUNG ENGINEERING SERVICES • Engineering •Architecture•Surveying• Building & Safety Services Letter of Transmittal ■ -3 +n' t: _ i� ■ . t� �. Attn: PC#: Tel No.: Tract No.: We are forwarding: No. of Copies Z By Messenger By Mail Descrintion: Comments: smmgmwd— THANKYOU This Material Sent for: Your Files Per Your Request Your Review Approval Checking At the request of: Other By: M - m`' LA'a-( Phone # (760) 360-5770 EXT. Your Pickup 77-804 Wildcat Drive, Suite C, Palm Desert, CA 92211 (760) 360-5770 Bronz Young YOUNG ENGINEERING SERVICES •Engineering •Architecture•Surveying• Building & Safety Services Letter of Transmittal To: CITY OF LA QUINTA Date: 12/10/2004 Project: 46-400 WASHINGTON (TRADERS JOE) Attn: ED RANDALL PC#: 04-5040(3 CHECK) Tel No.: (760) 777-7012 Tract No.: We are forwarding: X By Messenger By Mail Your Pickup No. of Copies Description: 1 TRUSS 1 REDLINED PLANS 1 REVISED PLANS 1 REVISED STRUCT Comments: STRUCTURAL CONTENTS ARE APPROVABLE THANK YOU This Material Sent for: Your Files Per Your Request Your Review X Approval Checking At the request of: Other By: NALIN PACHUNURI Phone # (760) 360-5770 EXT. 108 77-804 Wildcat Drive, Suite C, Palm Desert, CA 92211 (760) 360-5770 Bronz Young 04-01-2005 08:39am From —CM PD SATELLITE +7603919638 T-151 P.002/002 F-109 COACHELLA VALLEY WATER DISTRICT ASSESSOR'S PARCEL NUMBER 85-995 Avenue 52 (_ ' Coachella, California 92236 (760) 39&2651 APPLICATION FOR WASTEWATER INTERCEPTOR/SEPARATOR APPROVAL APPLICANT: Submit this form with a copy of a SCALED plot plan (1 " = 20' to 1"= 40' SCALE) drawn to District specifications. A nonrtfundable Sling fee is rcquirtd when the application is submitted Check must be made payable to the Coachella Valley Water District. Approval of this application shall rtanain valid far a period not to execod one (1) year from date ofpaymeaL Plan Check No. Agent, Contrrctor, Contact Person Address City State Zip Telephone DA-Co 6H-[ RNA!S CoMD OWENSI UT4 A E -I*D IM wfo W115 CA IF-63 M) 721-6761 MIMC70N Address City State zip Telephone llI. L7D Da,4o RIM C ff 0 VIM M. 'i3 5&4JWa*KTIN U6 90T ")913-1234- Job Prope"Address L A DUI I`1 �%�i'zip A L - +O D UASP1 NC- iv lU S T . Legal Description IDBA PLEASE COMPLETE THIS SECTION FOR REVIEW OF FOOD ESTABLISHMENTS NOTE: PLANS WILL NOT BE ACCEPTED UNLESS THIS APPLICATION 1S COMPLETE AND THE PLAN CHECK FEE IS PAID. GENERAL CONSTRUCTION: Type of Construction: New Food Facility Remodel of Existing Food Establishment Hours of Operation Seating Capacity: Internal External Extc al Scating with Misters or Heatcts Bar with Food Service Bar Nonfood Service Water Sofic= YL, frz ICa7 Multiservice (reusable) Single Service (disposable) OWNER/REPRESENTATIVE DECLARATION: I certify that I have read the entire application and state that all information is correct. I undersmad that the amount of fee paid is based on my declaration of information on this form and that incorrect information is grounds for denial of the submitted plans. I also understand that plans will be discarded if not picked up within sixty (60) days rf apprvv :1 or denial and that no inspection of my establishment will be conducted, or approval granted to operate, until all proper information requested byes bm reccircd and plans have been approved and returned.Signature ! Date ::`i''':u ��.,, r..:.li&e�n i is sae •., r:: •';r::':i fi:,: r:• 'i•t:°....; � .�� rr•, , r•i6 Y� 'tl �. 1h.k;i5 e. t.r' yff,. ri.,:�'s•..,. �:v'a..-a�-'• r`.r�_ `".l ..:�ii. •;f,=!...-r.i-_:.:"::�'QR•Ii��'RIC �'�45�'}O�rY.,.-�?': •f•:: �.::i�,4 r'"'�=�' .a,,...,iKt�t�gi�.' ..kI::ATM i��.-i., ..t4S'A-�.i3'-. ., No. of Syncros TWC of System(s) No. Dwelling Units ❑ Sand/Oil Int=cytor Waived Fixture Unit ❑ Grease Interceptor ❑ New [3 ]Existing ❑ lint Trap Replacement ❑ Addition ❑ Clarifier ❑ Connect to Sewer Gal, REMARKS:, A l� �tJ is: ,�Thi_s�pplicaaan LIB Approved ❑ Denied ❑ Conditional Approval* Fee S �Q Check No. Q 167 /D750 •See Rcmarks bare 13 ❑_S Initfal Signs �+ CVWDA21 Area.# t IV COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH Plan Check # R04-050 DBA Trader Joe's Plans Submitted Owner Duane Brenneise Address PLAN CORRECTION Address Date 7/13/04 46400 Washington St, La Quinta Phone (818)577-4844 Phone The plans are now approved subject to the conditions listed below and the attached compliance sheet. 1. Use ceramic tile as the cove base in the locker room as opposed to rubber topset. See redline room 109 sheet A-701 2. Provide a total of 32 linear feet of back-up storage shelving for use by the produce and demo departments. A space set aside in room 105 will be appropriate. The shelves must be of a smooth cleanable style. 3. All floor, wall and ceiling finishes in food service and processing areas must be smooth and easily cleanable 4. All food and utensil sinks must be plumbed to floor sinks through approved air gaps. The mop sink must be of the floor basin style. Behind all three sinks in the splash zone the finish must be water proof to a height of 8' _(e g, FRP/tile) 5. The trash enclosure must meet current standards and be finished so that the interior floor and walls are smooth and easily cleanable. Seal interior surfaces with an approved two part epoxy, 6. All exterior and restroom doors must be self closing. Exterior doors must also be sealed against entry by vermin. The delivery door air curtain must deliver air at a velocity of 1600 fps at a height of 3' above the floor. Unless you will be substituting a Mars NHV series air curtain, the curtain you are installing must be velocity tested and certified by a licensed air conditioning or ventilation contractor. Typically the Mars CHS series air curtain specified does not meet the 1600 fps requirement without modification. 7. The number of lockers provided shall be equal, or greater than the number of workers assigned to a peak shift 8. The vacuum sheets have been incorporated into your plans. CONSTRUCTION INSPECTIONS: Contact the Plan Checker for a Preliminary Inspection when construction is approximately 80% complete, with plumbing, rough ventilation, and rough equipment installed. Request for inspection should be made at least five (5) working days in advance. A compliance guide is attached to this plan correction sheet. All construction not otherwise addressed on the plan correction must be performed in accordance with the guidelines set forth therein. A FINAL INSPECTION MUST be made upon completion of ALL work including finished details. APPROVAL to operate shall not be granted, or remodeled areas approved to operate, until the facility has passed the FINAL INSPECTION, and "APPLICATION TO OPERATE" has been completed and PERMIT FEES have been paid. Request for inspection should be made at leastjwe45) working days-"dvance. PLANS CHECKED BY David E. Day (��� Phone (760) 320-1048 acknowledge the corrections noted herein and as indicated on tt-6 plans and agree to incorporate them during construction: Signature Company >' Date 7/,2—.7-/`- COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH Thy p )posed construction/equipment it 3: i•3ii:"+ is approved.; correction sheet. A :;::riled T j-'-: _.pprcva1 does not authorize the violation of any 1av;, ordinance, or other regulation. Call for inspections. Inspections should be scheduled five (5) working days in advance. ►WNER: NASHINGTON 1 50240 RANCHO VIE SUITE B SAN JUAN CAPISTR0 (949) 443-1234 PLAN DESC THE USE OF THESE PLANS AND SP RESTRICTED To THE ORIGINAL SrrE PREPARED AND PUBuCATION THERE SUCH USE. REUSE, REPRODUM01 WETHOD, IN WHOLE OR IN PART. I! PLANS AND SPECIFICATIONS REMA11 PREJUDICE, VISUAL L014T ACT ' DTI SHALL cc)NSTITUTE ACCEPTANCENOF THESE RESFRICTIC PROJECT NO: CAD DWG FILE: DRAWN: CHECKED BY: OWNER APPROV) COPYRIGHT PRISM DESIGN SHEET TITLE: FIXTUR AND ACCESS MECHANICAL : ALL SPRINKLER E PROTECTION . ADDITIONAL FEES .S SHT M-1 M-2 DESCRIPTION HVAC NOTES, LEGENDS AND SCHEDULES HVAC FLOOR PLAN AND PENTHOUSE REFRIGERATION ROOM 435M-3 HVAC ROOF PLAN M-4 HVAC DETAILS M-5 HVAC TITLE T-24 COMPLIANCE FORMS PLUMBING SEQ. SHT DESCRIPTION 38 P-1 PLUMBING NOTES, LEGEND AND SCHEDULES 39 P-2 PLUMBING FLOOR PLAN 40 P-3 PLUMBING ROOF PLAN 3 OR REFRIGERATION SEQ. SHT DESCRIPTION 41 RS REFRIGERATION SCHEDULE 42 R-1 FIXTURE/PROBE PLAN 43 R-2 REFRIGERATION PLAN 44 R-3 PLUMBING PLAN 45 R-4 ELECTRICAL PLAN 46 R-5 ELECTRICAL REQUIREMENTS 47 R-7 MECHANICAL PLAN AND DETAILS D 30903 i CATION TI III A 'F' VAI_ GRANTS( BY THE ,,;`>,,_'NTY OF RIVERSIDE ENVIRONMENTAL_ HEALTH 3 iS VALID FO-,R ON(1) YEAR FROM DAi E OF APPROVAL NO.TIFY' HEI PLAN CHECKER 0- �f� V Cf-!ANGES OR ALTERATIONS TO PLANS AS ORIGINALLY APPROVED. THIS APpl7OVAL DOES NOT INCLUDE THE SLiuSI E :;; _ ;;;"; i ;. SYSTI=1.�, GREASE INTERCEPTOR, OF, EVASTE DISPOI AL SYSTEM- TA1N Cllrr R YOUR WASTOM E DISPOSAL SYSTEM- IPPROPRIATE AGENCY F� ❑ r ' `;-OI,3njy of Riverside �.� „A praval of ihr;se 1 .n.� not relieve the -._ I ;= ai n, does -:t of t jarr for the Engineering Engiijeer or k,I-:IIItect of tl12 responsibility or Architectural design." UNIV. AI'I IwL5CT-?Ic;A�, PILL:!>'artl81rqG; ib!"ANIGAL, AND S R,yCTUTAA REPPJR,c� AN-01. INSTALI TIQNS SHALL BE DONE UNDER PIWWI-t r FROM DEPT OF BUILDING AND SAFETY FOR PRELIMI-NARY AND FINAL INSPECTIONS NOTIFY DEPARTIVZNT OF ENVIRONMENTAL H Ep LTH OWNER: WASHINGTON I I I I U 30240 RANCHO VIEJO RO SUITE B SAN JUAN CAPISTRANO, CA (949) 443-1234 THE USE OF THESE PLANS AND SPECIFICATIONS RESTRICTED TO THE ORIGINAL SITE FOR WWCH Tl PREPARED AND "qLjCATjON THERESUCH USE. REUSE. REPROD CTIONDORSPUBLIEXPRCAI METHOD, IN WHOLE OR IN PART. IS PROHIBITED' PLANS AND SPECIFICATIONS REMAINS WITH THE i PREJUDICE. VISUAL CONTACT WITH TKSE PLAN: ACCCEPTANCIENOF THESES CRESTRICTIOONSTITUTE NS- FACIE PROJECT NO: CAD DWG FILE: DRAWN: CHECKED BY: OWNER APPROVAL: COPYRIGHT PRISM DESIGN GROUP SHEET TITLE: PROJECT D & D I RECTO I SHEET 1 T-1 OF Y NOV-15-2005 TUE 02:16 PM RIVERSIDE COUNTY FIRE FAX NO. 17608637072 P. 01/01 r.�.._..�.- _ Craig E. Anthony Fire Chief Pmudly serving the tmmeorporated areas of Riverside County and the Citics of: Banning tommont Calimesu Canyon Lake CoaoheUa Desert Plot Springs Indian Wells Indio Lake Elsinore La Quintta Morino Valley Palm Desert 4 Perris Rancho tdimge 41 San Jacinto 4 Teawenula Dowd of Supervisors Bob Bustor, DixWot 1 Mm Tawglione, DisWd 2 3Cff Stone, Dintriet 3 Ray Wilson, District 4 Marion Ashley, District 5 RIVERSIDE COUNTY FIRE DEPARTMENT 9 Y 0 01 * " Fax (7 Won November 16,2005 City of La Quinta Building Department Re: Trader Joes: The Riverside County Dept Department is granting a fire final For the following project located at 46400 Washington st. By Ferry DeSoucy Fire Systems Inspector EMERGENCY SERVICES DIVISION • PLANNING SECTION . INDIO OFFICE 82.675 Highway 111, 2nd FI., Indlo. CA 02201 • (760) a63-W86 • Fax (760) 863.7072 RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the F " California Department of Forestry and Fire Protection 't`544E C 210 Westan Jacinto Avenue • Perris, California 92570 • (909) 940-6900 • Fax (909) 940-6910 1" December 7, 2004 I Craig Anthony Fire Chief To: City of La Quinta Building Department Proudly serving the unincorporated Areas of Riverside Re: Release for Building Permits County and the LAQ-04-BP-012 / 46-400 Washington Street. Cities of Banning The Riverside County Fire Department hereby releases the above referenced project for ❖ issuance of a building permit at the discretion of the Building Department. Beaumont .;. Calimesa Respectfully, :. Canyon Lake Ca3chella Dale A. Evenson Desert Hot Springs Fire Safety Specialist ... Indian Wells 4- Indio Lake Elsinore NO. La Quinta .;. Moreno Valley .;. Palm Desert 4. Perris .;. Rancho Mirage .;. San Jacinto 4- Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, Disk[ 2 HAPEMENERALWORMSMg Pernik Rekii*e-LOAn Jim Venable, District 3 Roy Wilson, District 4 Marion Ashley, District 5 EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2"d F1., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 LA Qve'-�TA CITY OF LOSANGELES �DEPARTMENT OF BUILDING AND SAFETY STRUCTURAL OBSERVATION REPORT FORM Z a , 5 REPORT 140. THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH DAY OF r J� PAGE NO. _� OF _T PROJECT ADDRESS �I / (i 1 �_ ac y STRUCTURAL OBSERVER ^ STRUC. OBS- PHONE NO. `";r � a o V ` 51�) v� �} � �t S OWNER -4L t�_ LIC.ORREGISTRATIONNO, BUILDING PERMIT NO. OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS LOCATION AND PORTIONS OF BLDG. DATE FOUNDATION ❑ WALL o-FRAMES 0-FLOOR ¢ 1 } �N FOOTINGS, SLAB A STEM WALLS 0-CONCRETE ❑STEEL MOMENT -SPECIAL ❑-CONCRETE 0-PRESTRESSED CONCRETE SLABS 0-MASONRY ❑STEEL MOMENT -ORDINARY ❑STEEL DECK ❑-CAISSONS, PILES, GRADE BEAMS ❑-WOOD []-STEEL BRACED ❑ WOOD �` M c - ,- % •' 1 = 0-HILLSIDE BLDGS-SPECIAL FOUNDATION ANCHORS ❑- 0-CONCRETE -DUCTILE ❑- Ali, ❑- ❑- ❑-CONCRETE-NON-DUCTILE ❑-%� r. f� G o n r ❑- r-v 441 ❑- ❑- lt!f ­24, �"AJ,C OBSERVED DEFICIENCIES: ti'L j 111 I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF. I. 1 AM THE REGISTERED ENGINEER OR LICENSED ARCHITECT WHO HAS RESPONSIBLE CHARGE FOR THE STRUCTURAL OBSERVATION 2. I, OR ANOTHER REGISTERED ENGINEER OR LICENSED ARCHITECT WHO I HAVE DESIGNATED ABOVE AND 15 UNDER MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT EACH SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL CONFORMANCE WITH THE APPROVED PLANS AND SPECIFICATIONS; 3. ALL DEFICIENCIES WHICH I DOCUMENTED HAVE BEEN CORRECTED UNLESS OTHERWISE INDICATED ABOVE; 4. 1 UNDERSTAND THAT FINAL ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE DEPARTMENT OF BUILDING AND SAFETY CANNOT OCCUR WITHOUT THE CORRECTION OF ALL OBSERVED DEFICIENCIES; 5. I AM RESPONSIBLE FOR THE SUBMISSION OF THE ORIGINAL OF THIS REPORT TO THE DEPARTMENT OF BUILDING AND SAFETY, CITY OF LOS ANGELES . 6. 1 HAVE PROVIDED STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS OF THE CITY OF LOS ANGELES. SIGNED 0F___ I'9 V1, MA'i NIC,•'I}I-- --- YEAR -- --- ,,-TT.�- - --- - -- x wFT SIGNAIVPr 01-REUISI'Rkl'',DnV1L129 MUM) ENGM,FR OR LiCENSEAARCHM.CT ❑ DEFICIENCIES CONTINUED ON ATTACHED FORA fB&S 261 STAMP OF ENGINEER OR ARCHITECT STRUCTURAL OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT DISTRIBUTION: STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE, ATTACH THE FIRST COPYTO THE APPROVED PLANS, AND KEEP SECOND COPY FOR STRUCNRAL OBSERVER'S RECORD AND DISTRIBUTIONS. BdS 261 R.12/95 TANDY'S INSPECTION SERVICES, INC. PO BOX 13766 - PALM DESERT; CA 92255-3766 OFFICE / FAX - 951 .769.9717 PAGER 760,776.3339 SPECIAL INSPECTION DAILY I WEEKLY REPORT TYPE OF INSPECTION PERFORMED PERMIT NUMBER TYPE OF STRUCTURE DATE (Q W Aj PROJECT ADDRESS (INCLILDE STREET ADDRESS AND CITY OR COUNTY) PROJECT NAME QNCLUDE COUNTRY CLUNBUSINESS PARNICORPORATE CENTER ECT. NAME) ARCHITECT _ ENGINEERI T i i] ��l �, � . ■ _ .l V � [lam _� GENERAL CONTRACTOR SUB COS TRACTOR 1 (1 DESCRIPTION OF WORK INSPECTED 1k r A KAD i'\\\, r tl�n r! • I -* ir, nc�l ■ , J1 �1 r- � I WELDING INFORMATION WELDERS NAME CERTIFYING AGENCY NAME AND NUMBER PROCESS AND ELECTRODE SAMPLE INFORMATION TIME SUPPLIER TICKET NUMBER MIX NUMBER AIR TEMP SAMPLE SLUMP TEMP WATER ADDED TIME IN MIXER LOCATION TAKEN: LOCATION TAKEN: I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHERWISE NOTED, AND TO THE BEST OF MY ABILITY I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED.PIANS, SPECIFICATIONS a APPLICABLE BUILDING LAWS INSPECTORS SIGNATURE n(-. INSPECTORS CERTIFICATION AGENCY AND NUMBER Temporary Certificate of Occupancy TW�v 4 44P Qamz Building & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the tare of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 46-400 Washington Street Use classification: Commercial "Trader Joe's" Retail) Stare Occupancy Group; M Owner of Building: Washington 111,LTD Building Official Type of Construction: VN S rinklGd Building Permit No.: 04+5040 Address: P.Q, Box 1623 CONSPICUOUS pi CE Land Use Zone: CR Cily, ST, ZIP: Palm DesertCA 92261 By: Daniel R Crawford Jr. Date-- Expires 2128106 Third Extension a Q CD W Temporary Certificate of Occupancy U - f ti4'RCLAYcll ' r Building & Safety Department OF This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 46-400 Washington Street Use classification: Commercial "Trader Joe's" Retail Store Building Permit No.: 04-5040 Occupancy Group: M Type of Construction: VN Sprinkled Land Use Zone: CR Owner of Building: Washington 111. LTD Address: P.O. Box 1623 City, ST, ZIP: Palm Desert, CA 92261_ By: Greg M. Butler Date: Expires 4/30/2006 (,Fifth Extension) Building Official POST IN A CONSPICUOUS PLACE Temporary Certificate of Occupancy T'itf at 4 a" Building & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 46-400 Washington Street Use classification: Commercial "Trader Joe's" Retail Store Occupancy Group: M Owner of Building: Washington 111, LTD Building Official Type of Construction: VN Sprinkled Building Permit No.: 04-5040 Address: P.O. Box 1623 Land Use Zone: CR City, ST, ZIP: Palm Desert. CA 92261 By: Daniel P. Crawford Jr. Date: Expires 2128106 (Third Extension PLACE .-va '--y�. •�+:�`• rr�? . �•��..,.; : ..�c;:,�.. � ��'' - , ,�y tip'• -�r • r6. L7i.� ��?P'? yr r. �•�„ --- .°'Tbi -y _ - x ��''`.., �'�`-e`%"'C ``:*ir La t .3.0 ..D Y TEMPORA R IJ 0 �r1 Certificate. Of Occupanc . 'R �w EXPIRES DECEMBER 23 2005 W .: ` RM r_.rrifi x'QT=a f4 y _ l Building & Safety Department This Temporary Certificate, issued pursuant to the. requirements of Section 109 of the- Califomia I Building Code, and with the concurrence .of the -Public Works Department and Community Development Department, certifies that :The Hog's . Breath Inn, at .the time of issuance, was in compliance with the. provisions. of the Building Code and . the. various' ordinances of the City regulating building construction andlor use. BUILDING ADDRESS: 46-400 WASHINGTON STREET Use classification: COMMERCIAL RETAIL- TRADER JOE'S Building-Permit'No.:.04-5048 Occupancy Group: M Type of Construction: VN (Sprinklered) -'Land Use Zone: CR Owner of Building: WASHINGTON 111, LTD':, Address: PLO. BOX 1623 >,`;,}r_iGr,Y+,,._ 3 M1., .. �•..s. City, ST, ZIP: PALM DESERT CA. 92261 By: -KIRK KIRKLAND cYt _ Date: NOVEMBER_23, 2005 Building Official POST IN A CONSPICUOUS PLACE I T4ty� 4 4a" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 To: Greg Butler, Building & Safety Manager From: Doug Evans, Director-CDD BUILDING & SAFETY DEPARTMENT (760) 777-7012 FAX (760) 777-701 1 To CDD: 9-1 2005 Due Date Status Building flans Approval (This is an approval to issue a Building Permit) 9-8. 2005 1 ST Review The Community Development Department has reviewed the Building Plans for the following project: Description nal Trellis around outside of Trader Joe's Address or General Location: 46-400 Washinqon St Applicant Contact: T-.__ Yl.-I_1_ The Community Development Department finds that: ❑ ...these Building Plans do not require Community Development Department approval. 0, f ...these Building Plans are approved by the Community Development Department. ❑ ...these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant. When the corrections are made please return them to the Community Development Department for review. g Evans, D06tor-CDD Date PERFORMANCE CERTIFICATE OF COMPLIANCE Part 1 of 3 PELF-1 (PROJECT NAME Trader Joe's #171 (La Quinta) PROJECT ADDRESS Washington and Simon La Quinta (PRINCIPAL DESIGNER - ENVELOPE Prism Design Group DOCUMENTATION AUTHOR Consulting West DATE 6/8/2004 TELEPHONE Building Permit # (818)992-8800 °PHONE 818) 889-3383 Checked by/Date Enforcement Agenc, GENERAL INFORMATION DATE OF PLANS BUILDING CONDITIONED FLOOR AREA CLIMATE ZONE 12,000 Sg.Ft. 1 15 BUILDING TYPE ® NONRESIDENTIAL HIGH RISE RESIDENTIAL ❑ HOTEL/MOTEL GUEST ROOM PHASE OF CONSTRUCTION ® NEW CONSTRUCTION ADDITION 0 ALTERATION ❑ EXISTING + ADDITION STATEMENT OF COMPLIANCE This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6, of the State Building Code. This certificate applies only to a Buildin sing ttye performance compliance approach. DOCUMENTATION AUTHOR SIGNATUR DAT Rod Vasquez The Principal Designers hereby certify that the proposed b ' Injjrd sign r ented in the construction documents and ode d for this permit application are consistent with all other forms and wo eta, specifications, and other calculations submitted with this permit application. The proposed building as designed meets the en. gy efficiency requirements of the State Building Code, Title 24, Part 6. FRET r'S1sih'Af . ENV. LTG. MECH.cyb 1. 1 hereby affirm that I am eligible under the provisions of Divlt4ioFt7,3, of tlrkq)Pj.l&3ness and Professions Code to y T sign this document as the person responsible for its preparation, and that\lea �y7 grensed as .a civil engineer, mechanical engineer, electrical engineer or architect. I ;%j 22491F-1 El El I` 2. 1 affirm that I am eligible under the provisions of Division 3 of the Busirtess.and,Prgfesslans Code Section 5537.2 or 6737.3 to sign this document as the person responsible for its preparatioW..and that I am a licensed contractor preparing documents for work that I have contracted to per�or��•; OF 1] 3. 1 affirm that I am eligible under Division 3 of the Business and Professions Code to sign this document because it pertains to a structure or type of work described as exempt pusuant to Business and Professions Code Sections 5537, 5538, and 6737.1. (These sections of the Business and Professions Code ae printed in full in the Nonresidential Manual.) ENVELOPE COMPLIANCE Indicate location on plans of Note Block for Mandatory Measures Required Forms ENV-1 (PRINCIPAL ENVELOPE DESIGNER - NAME SIGN T R (LIC. NO. DATE Prism Design Grou LIGHTING COMPLIANCE Indicate location on plans of Note Block for Mandatory Measures Lighting Compliance Not In The Scope Of Required Forms Thtg-SubmittaI PRINCIPAL LIGHTING DESIGNER - NAME SIGNATURE ILIC. NO. DATE MECHANICAL COMPLIANCE Indicate location on plans of Note Block for Mandatory Measures I Required Forms MECH-1 MECH-2 MECH-3 PRINCIPAL MECHANICAL DESIGNER - NAME SIGNAT / �LIC. NO. DATE 1, yyY rE 0 3.1 ysoft user Number: 5881 _ Job Number: 2040512 1 of 11 � � rW7/.j".:2— PERFORMANCE CERTIFICATE OF COMPLIANCE Part 2 of 3 PERF-1 Trader Joe's #171 (La Quinta) DATE6/8/2004 ANNUAL SOURCE ENERGY USE SUMMARY kBtu/s ft- r Standard Proposed Compliance ENERGY COMPONENT Design Design Margin D Standard Space Heating 1.94 1.03 0.91[ Space Cooling 73.97 56.80 17.17 sec--6N Indoor Fans 39.17 48.95 -9.78 IrA=`"" Heat Rejection 0.00 0.00 0.00 Pumps & Misc. 0.00 0.00 0.00 `wr"&Kt" Domestic Hot Water 22.58 22.50 0.08 DhW Lighting 0.00 0.00 0.00 '""Un° Receptacle 16.95 16.95 0.00 "°`WacW Process 0.00 0.00 0.00 P- 0 10 20 30 40 50 60 70 TOTALS: 154.62 146.23 8.38 kBtu/sgft-yr Percent better than Standard: 5.4% ( 5.4% excluding process)( 6.1% excluding process & receptacle) BUILDING COMPLIES GENERAL INFORMATION Building Orientation East 90 deq Conditioned Floor Area 12,000 sqft, Number of Stories 1 Unconditioned Floor Area 0 sgft. Number of Systems 6 Conditioned Footprint Area 12,000 sgfL Number of Zones 1 Orientation Gross Area Glazing Area Glazing_Ratio Front Elevation East 1,416 sqft. 150 sqft. 10.6% Left Elevation South 1,320 sqft- 0 sgfL 0.0% Rear Elevation West 798 sqft. 0 sgfL 0.0% Right Elevation (North 1,506 sqft. 0 sgfL 0.0% Total 5,040 sqft. 150 sqft. 3.0% Roof 12,000 sqft. 0 sgfL Standard Proposed Lighting Power Density 0.000 W/sgft. 0.000 W/sgft. Prescriptive Env. Heat Loss 1,312 845 Prescriptive Env. Heat Gain 156,853 93,884 Remarks: Run Initiation Time: 06/08/04 11:35:39 Run Code: 1086719739 �EnergyPro 3.1 By EnergySoft User Number: 5881 Job Number: 2040512 Page:2 of 11 x PERFORMANCE CERTIFICATE OF COMPLIANCE Part 3 of 3 PERF-1 PROJECT NAME DATE Trader Joe's #171 (La Quinta) 6/8/2004 ZONE INFORMATION System Name Zone Name Occupancy Type Floor Area s ft. Inst. LPD (Wlsf)1 Port. LPD (W1sfjl Ctrl. Credits WIS 2 Tailored Proc. Loads (Wlsfj LPD (Wlsfj 3 HVAC System 1 st Floor Grocery Sales Area 12,000 0.000 0.000 U00 Notes: 1. See LTG-1 (items marked with asterisk, see LTG-2 by others) 2. See LTG-3 3. See LTG-4 Items above require special documentation. EXCEPTIONAL CONDITIONS COMPLIANCE CHECKLIST The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the aaequacy or the iustiTication, ana may rejeci a ouuDmg or oesign inaT oinerwise compnes Daseu on ine aaequacy oT ine special and documentation submitted. usuncauon Plan i Field The HVAC System "CARRIER 48HJD008: Premium Efr' 2.50 BHP Supply Fan Motor has been specified. _ The HVAC System "HVAC System" is using reduced duct leakage to comply and must have diagnostic site testing of duct leakage. A certified HERS Rater must re ort the results of diagnostic testing on a MECH-5 Form and list the duct leakage at 25 pascals. The exceptional features listed in this performance approach application have specifically been reviewed. Adequate written justification and documentation for their use have been provided by the applicant. Authorized Signature or Stamp 3.1 By EnergySoft User Number: 5881 Job Number: 2040512 Page:3 of 11 ENVELOPE COMPLIANCE SUMMARY Performance ENV-1 PROJECT NAME DATE Trader Joe's #171 (La Quinta) 6/8/2004 0 UE SURFACES # Surface Type Framing Type Area lU-Fac. Solar Act. Gains Azm. Tilt Y/N Form 3 Reference Location / Comments 1 Wall 'Wood 1 266 0.065 90 90 IX R-19 Wall W.19.2x6.16 1 st Floor 2 Wall 'Wood '1 320 0.065 180 90 X I R-19 Wall (W.19.2x6.16) 1st Floor 3 'Wall Wood 798 0.065 270 94 X I R-19 Wali W.19.2x6.16 1st Floor 4 'Wall 'Wood 1,506 0.065 0 90 1 X I I R-19 Wall (W.19.2x6.16) 1st Floor 5 Roof 'Wood 12,000 0.035 90 0 X1 I R-30 Roof(R.30.2x12.16) 1st Floor I I I I FENESTRATION SURFACES Site Assembled Glazing Check box if Building is— 100,000 sqft of CFA and— 10,000 sqft vertical glazing then NFRC Certification is required. Fniinw NFRC: 1f1f] SR PmrP.dllrPs and suhmit NFRC Label Certificate Farm - #I Type Area U-Fac. Act. Azm. SHGC Glazing Type Location / Comments 1 'Window 150 0.720 90 0.73 Double Metal Clear Default 1st Floor I EXTERIOR SHADING ## Exterior Shade Type None SHGC, 0.76 Window Hgt. Wd. Overhang Left Fin Right Fin Len. Hat. LExt.RExt, Dist. Len. H t, Di,Len. Hat. 1 _ I I Run Inijigtion Time: 4 11: R 1086719739 EnergyPro 3.1 8y Energy5oft User Number: 5881 Job Number: 2040512 Page:4 of 11 CERTIFICATE OF COMPLIANCE Performance MECH-1 PROJECT NAME DATE Trader Joe's #171 (La Quinta) _ 6/8/2004 SYSTEM FEATURES MECHANICAL SYSTEMS SYSTEM NAME DHW Heater HVAC System NOTE TO FIELD TIME CONTROL SETBACK CONTROL ISOLATION ZONES HEAT PUMP THERMOSTAT? ELECTRIC HEAT? FAN CONTROL VAV MINIMUM POSITION CONTROL? SIMULTANEOUS HEAT/COOL? HEATING SUPPLY RESET COOLING SUPPLY RESET HEAT REJECTION CONTROL VENTILATION OUTDOOR DAMPER CONTROL ECONOMIZER TYPE DESIGN O.A. CFM MECH-3, COLUMN I HEATING EQUIPMENT TYPE HEATING EQUIPMENT EFFICIENCY COOLING EQUIPMENT TYPE COOLING EQUIPMENT EFFICIENCY MAKE AND MODEL NUMBER PIPE INSULATION REQUIRED? PIPE/DUCT INSULATION PROTECTED? HEATING DUCT LOCATION R-VALUE COOLING DUCT LOCATION R-VALUE VERIFIED SEALED DUCTS IN CEILINGIROOF SPACE n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a Electric Res 98% n/a n/a A 0 SMITH OSE-40 Yes Yes n/a n/a n/a n/a n/a Switch n/a n/a n/a Constant Volume No Constant Temp n/a Air Balance Auto Diff. Temp (Integrated) 3000 cfm Gas Furnace 82% AFUE Packaged DX 11.0 EER CARRIER 48HJD008 Yes Yes Ducts in Attic 4.2 Ducts in Attic 4.2 No CODE TABLES: Enter code from table below into columns above. HEAT PUMP THERMOSTAT? Y: Yes N: No TIME CONTROL SETBACK CTRL. ISOLATION ZONES I FAN CONTROL ELECTRIC HEAT? S: Prog. Switch O: Occupancy Sensor M: Manual Timer H: Heating C: Cooling B: Both Enter Number of I: Inlet Vanes Isolation Zones. P: Variable Pitch V: VFD O: Other C: Curve VAV MINIMUM POSITION CONTROL? SIMULTANEOUS HEAT / COOL? HEAT AND COOL SUPPLY RESET? VENTILATION OUTDOOR DAMPER, ECONOMIZER O.A. CFM PIPE INSULATION REQUIRED? PIPE/DUCT INSULATION PROTECTED? SEALED DUCTS IN CEILING/ROOF SPA B: Air Balance A: Auto A: Air C: Outside Air Cei `.. G: Gravity IN: Water M: Out. Air Measure IN: Not Required D: Demand Control IEC: Economizer N: Natural Control See Section ote: This shall be no' ss than Col. H on ECH-3. 3.1 By EnergySoft User Number: 5881 Job Number: 2040512 Page:5 of 11 MECHANICAL EQUIPMENT SUMMARY Part 1 of 2 MECH-21 HEATING COOLING Aux. System Name System Type Qty. Output kW Eff. output Sensible Efficiency Economizer Type CARRIER 48HJD008 Packaged DX 6 74,000 0.0 82%AFUE 90,000 85,00 11.0 EER Diff. Temp (Integrated} CENTRAL SYSTEM FAN SUMMARY UPPLYFAN TURN FAN System Name Fan Type Motor Location CFM BHP Motor Eff. Drive Eff. CFM BHP Motor Eff. Drive Eff. CARRIER 48HJD008 Constant Volume Blow -Through 3,000 2.50 86.5% 97.0% none EnergyPro 3.1 By EnergySoft User Number: 5881 Job Number: 2040512 Page_6 of 11 MECHANICAL EQUIPMENT SUMMARY Part 2 of 2 MECH-2 PROJECT NAME Trader Joe's #171 La Quinta DATE 6/8/2004 ZONE TERMINAL SUMMARY Zone_Namg VAV TERMINAL BOX TERMINAL FAN BASEBOARD m !ng igly. Min. CFM Ratio Reheat Coll CFM BHP Motor Eff. Drive Eff. Type Output Type DeltaT EXHAUST FAN SUMMARY T FAN EXHAUST FA Room Name at . CFM BHP Motor Eff. Drive Eff. Room Name Qty. CFM BHP Motor Eff. Drive Eff. I n Initiation Time: 06/08/04 11:35:39 Run Code: 1086719739 EnergyPro 3.1 By Energysoft User Number: 5881 Job Number: 2040512 Pagel of 11 MECHANICAL VENTILATION MECH-3 PROJECT NAME Trader Joe's #171 (La Quinta DATE _ 6/8/2004 MECHANICAL VE o a© o o 0 0 0 0 0 C E I K AREA BASIS COND. AREA (SF) CFM PER SF MIN. CFM (B x C) 12,000 0.25 3,000 OCCUPANCY BASIS REQ DD DESIGN NO. CFM MIN. O.A. OUTDOOR VAV TRANS. OF PER CFM `"'"" — PEOPLE PERSON (EXF) Total AIR CFM 3,000 3,000 MIN. RATIO FER AIR 71 Minimum Ventilation Rate per Section 121, Table 1-F. Based on Expected Number of Occupants or at least 50% of Chapter 10 1997 UBC Occupant Density. Must be greater than or equal to H, or use Transfer Air. Design Outdoor Air includes ventilation from Supply Air System & Room Exhaust Fans. Must be greater than or equal to (H minus 1), and, for VAV, greater than or equal to (H-J). 3.1 By Fner(wSoft User Number: 5881 Job Number: 2040512 Page � of 11 ENVELOPE MANDATORY MEASURES ENV -MU PROJECT NAME Trader Joe's #171 (La Quhta DATE 6/8/2004 DESCRIPTION Designer Enforcement ❑X § 118(a) Installed Insulating Material shall have been certified by the manufacturer to comply with the California Quality Standards for insulating material, Title 20, Chapter 4, Article 3. X § 118(c) All Insulating Materials shall be installed in compliance with the flame spread rating and smoke density requirements of Sections 2602 and 707 of Title 24, Part 2. X] § 117(a) All Exterior Joints and openings in the building that are observable sources of air leakage shall be caulked, gasketed, weatherstripped or otherwise sealed. § 116(b) Site Constructed Doors, Windows and Skylights shall be •:aulked between the unit and the building, and shall be weatherstripped (except for unframed glass doors and fire doors). X § 116(a)1 Manufactured Doors and Windows installed shall have air infiltration rates not exceeding those shown in Table Number 1-E. of the Standards. Manufactured fenestration products must be labeled for U-value according to NFRC procedures. rXI § 118(e) Demising Walls in Nonresidential Buildings: The opaque portions of framed demising walls in nonresidential buildings shall have insulation with an Installed R-value of no less than R-11 between framing members. EnergyPro 3.1 By EnergySoft User Number: 5881 Job Number: 2040512 Page:9 of 11 1 MECHANICAL MANDATORY MEASURES Part 1 of 2 M ECH-MM PROJECT NAME Trader Joe's #171 (La Quinta) DESCRIPTION Equipment and Systems Efficiencies Ll § 111 Any appliance for which there is a California standard established in the Appliance Efficiency Regulations will comply with the applicable standard. § 115(a) Fan type central furnaces shall not have a pilot light. § 123 Piping, except that conveying fluids at temperatures between 60 and 105 degrees Fahrenheit, or within HVAC equipment, shall be insulated in accordance with Standards Section 123. § 124 Air handling duct systems shall be installed and insulated in compliance with Sections 601, 603 and 604 of the Uniform Mechanical Code. Controls § 122(e) Each space conditioning system shall be installed with one of the following: J § 122(e)1A Each space conditioning system serving building types such as offices and manufacturing facilities (and all others not explicitly exempt from the requirements of Section 112 (d)) shall be installed with an automatic time switch with an accessible manual override that allows operation of the system during off -hours for up to 4 hours. The time switch shall be capable of programming different schedules for weekdays and weekends and have program backup capabilities that prevent the loss of the device's program and time setting for at least 10 hours if power is interrupted; or § 122(e)1 B An occupancy sensor to control the operating period of the system; or 0 § 122(e)1C A 4-hour timer that can be manually operated to control the operating period of the system. 0 § 122(e)2 Each space conditioning system shall be installed with controls that temporarily restart and temporarily operate the system as required to maintain a setback heating and/or a setup cooling thermostat setpoint. § 122(g) Each space conditioning system serving multiple zones with a combined conditioned floor area more than 25,000 square feet shall be provided with isolation zones. Each zone: shall not exceed 25,000 square feet; shall be provided with isolation devices, such as valves or dampers, that allow the supply of heating or cooling to be setback or shut off independently of other isolation areas; and shall be controlled by a time control device as described above. ® § 122(a&b) Each space conditioning system shall be controlled by an individual thermostat that responds to temperature within the zone. Where used to control heating, the control shall be adjustable down to 55 degrees F or lower. For cooling, the control shall be adjustable up to 85 degrees F or higher. Where used for both heating and cooling, the control shall be capable of providing a deadband of at least 5 degrees F within which the supply of heating and cooling is shut off or reduced to a minimum. 0 § 122(c) Thermostats shall have numeric setpoints in degrees Fahrenheit (F) and adjustable setpoint stops accessible only to authorized personnel. a§ 112(b) Heat pumps shall be installed with controls to prevent electric resistance supplementary heater operation when the heating load can be met by the heat pump alone. EnergyPro 3.1 By Energy5oft User Number: 6881 Job Number: 2040512 DATE 6/8/2004 Desiqner I Enforcement Page:10 of 11 (MECHANICAL MANDATORY MEASURES Part 2 of 2 MECH-MM PROJECT NAME Trader Joe's #171 (La Quinta Description Ventilation § 121(e) Controls shall be provided to allow outside air dampers or devices to be operated at the ventilation rates as specified on these plans. u § 122(f) Gravity or automatic dampers interlocked and closed on fan shutdown shall be provided on the outside air intakes and discharges of all space conditioning and exhaust systems. X❑ § 122(f) All gravity ventilating systems shall be provided with automatic or readily accessible manually operated dampers in all openings to the outside, except for combustion air openings. 0 § 121(f)1 Air Balancing: The system shall be balanced in accordance with the National Environmental Balancing Bureau (NEBB) Procedural Standards (1983), or Associated Air Balance Council (AABC) National Standards (1989); or u § 121(f)2 Outside Air Certification: The system shall provide the minimum outside air as shown on the mechanical drawings, and shall be measured and certified by the installing licensed C-20 mechanical contractor and certified by (1) the design mechanical engineer, (2) the installing licenced C-20 mechanical contractor, or (3) the person with overall responsibility for the design of the ventilation system; or § 121(f)3 Outside Air Measurement: The system shall be equipped with a calibrated local or remote device capable of measuring the quantity of outside air on a continuous basis and displaying that quantity on a readily accessible display divice; or § 121(f)4 Another method approved by the Commission. Service Water Heating Systems § 113(b)2 If a circulating hot water system is installed, it shall have a control capable of automatically turning off the circulating pump(s) when hot water is not required. § 113(b)3B Lavatories in restrooms of public facilities shall be equipped with controls to limit the outlet temperature to 110 degrees F. § 113(b)3C Lavatories in restrooms of public facilities shall be equipped with one of the following: Outlet devices that limit the flow of hot water to a maximum of 0.5 gallons per minute. Foot actuated control valves, and outlet devices that limit the flow of hot water to a maximum of 0.75 gallons per minute. Proximity sensor actuated control valves, and outlet devices that limit the flow of hot water to a maximum of 0.75 gallons per minute. Self -closing valves, and outlet devices that limit the flow of hot water to a maximum of 2.5 gallons per minute, and 0.25 gallons/cycle (circulating system). Self -closing valves, and outlet devices that limit the flow of hot water to a maximum of 2.5 gallons per minute, and 0.50 gallons/cycle (non -circulating system). Self -closing valves, and outlet devices that limit the flow of hot water to a maximum of 2.5 gallons per minute, and 0.75 gallons/cycle (foot switches and proximity sensor controls). 3.1 By Ererq;Sor User Number: 5881 Job Number: 2040512 DATE 6/8/2004 Designer Enforcement I