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BCOM2018-004478-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: MALEK ENGINEERING, INC 1080 PARK AVE BLVD # 714 SAN DIEGO, CA 92101 Titivl of.fwQu&rw DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT BUILDING COMMERCIAL/REMODEL BCOM2018-0044 78998 HIGHWAY 111 643080006 SHELL / 2,422SF RETAIL TI/VB/M-OCC/48-OL/SPRINKLED $166,000.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/31/2019 Owner: VINTNERS DISTRIBUTORS INC 41805 ALBRAE ST 2ND FL FREMONT, CA 92253 Contractor: K C PARTNERS CORP DBA B & T SERVICE STAT 630 SOUTH FRONTAGE RD JUL 3 12019 NIPOMO, CA 93444 0(805)929-8944 CITY OF LA QUINTA Llc. No.: 902034 DESIGN & DEVELOPMENT DEPARTMENT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License s5 I i c' License No.: Date: Date: \ Contracto • /�//�� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale.. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. . B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of th ark for which this permit is issued. e and will maintain workers' compensation insurance, as required by Sec ion 3700 of the tabor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: STATE COMPENSATION IN5QR6UCE FUND Policy Number: 9068528 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. 00 Date: '7 I Applicant: WARNING: FAILURE TO SECURE WORKERS' CO PFNSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above - mentioned properl for inspection purposes. Date: 3 1 I"A Signature (Applicant or Agent . Date: 7/31/2019 Application Number: BCOM2018-0044 Property Address: 78998 HIGHWAY 111 APN: 643080006 Application Description: SHELL/2,422SF RETAILTI/VB/M-OCC/48-OL/SPRINKLED Property Zoning: Application Valuation: $166,000.00 Applicant: MALEK ENGINEERING, INC 1080 PARK AVE BLVD # 714 SAN DIEGO, CA 92101 Owner: VINTNERS DISTRIBUTORS INC 41805 ALBRAE ST 2ND FL FREMONT, CA 92253 Contractor: K C PARTNERS CORP DBA B & T SERVICE STAT 630 SOUTH FRONTAGE RD NIPOMO, CA 93444 (805)929-8944 Llc. No.: 902034 Detail: 2,422SF CONVENIENCE STORE TI/VB/M-OCC/48-OL/SPRINKLED [SHELL FOOD MART] THIS PERMIT DOES NOT INCLUDE ALTERATION TO EXISTING LOAD BEARING OR LATERAL RESISTING CONTRUCTION, MECHANICAL EQUIPMENT, OR BUILDING SIGNAGE. EXTERIOR PATH OF TRAVEL UPGRADES REQUIRED PRIOR TO FINAL OCCUPANCY. NO TUMF IMPACT BASED ON 2018 UPDATE. 2016 CALIFORNIA BUILDING CODES. DESCRIPTION ACCOUNT QTY AMOUNT ART IN PUBLIC PLACES - COMMERCIAL REMOD 270-0000-43201 0 $330.00 Total Paid for ART IN PUBLIC PLACES - AIPP: $330.00 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $7.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $7.00 DESCRIPTION ACCOUNT CITY AMOUNT NON-RESIDENTIAL, EA ADDITION 2,000SF 101-0000-42403 0 $40.02 DESCRIPTION ACCOUNT QTY AMOUNT NON-RESIDENTIAL, EA ADDITION 2,000SF, PC 101-0000-42600 0 $10.67 DESCRIPTION ACCOUNT QTY AMOUNT NON-RESIDENTIAL, FIRST 2,000SF 101-0000-42403 0 $120.07 DESCRIPTION ACCOUNT QTY AMOUNT NON-RESIDENTIAL, FIRST2,000SF, PC 101-0000-42600 0 $92.86 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $263.62 DESCRIPTION ACCOUNT QTY AMOUNT FIRE COMMERCIALTI 101-0000-42421 0 $160.00 DESCRIPTION ACCOUNT QTY AMOUNT FIRE COMMERCIAL TI PC 101-0000-42420 0 j $240.00 Total Paid for FIRE FEES: $400.00 DESCRIPTION ACCOUNT QTY AMOUNT OTHER MECHANICAL EQUIPMENT 101-0000-42402 0 $40.02 DESCRIPTION ACCOUNT QTY AMOUNT OTHER MECHANICAL EQUIPMENT PC 101-0000-42600 0 $40.02 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $13.34 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $5.34 Total Paid for MECHANICAL: $98.72 DESCRIPTION ACCOUNT QTY AMOUNT PLAN CHECK DEPOSIT - ADDITION/REMODEL 101-0000-42600 1 $125.00 Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: $125.00 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $253.46 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $253.46 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $13.34 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $13.34 DESCRIPTION ACCOUNT CITY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $8.00 DESCRIPTION ACCOUNT CITY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $13.34 DESCRIPTION ACCOUNT CITY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $13.34 Total Paid for PLUMBING FEES: $594.96 DESCRIPTION ACCOUNT CITY AMOUNT RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 0 $21.00 Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $21.00 DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($125.00) DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $120.05 DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $96.05 DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, FIRST 100 SF 101-0000-42400 0 $54.43 DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 0 $125.00 DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 0 $23.89E��J Total Paid for REMODEL: $294.42 DESCRIPTION ACCOUNT CITY AMOUNT SMI - COMMERCIAL 101-0000-20308 0 $46.48 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $46.48 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS:• 'l�"w t PERMIT # PLAN LOCATIO COYC Project Address. q {, 9.9 a tf1&W WAi 11 ( 9Z Z�c 3 Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: b Q 3 log D O0 6 — 3 I ►�1�E(L (o(� R�HOD�1- ib ��I,I 1 �r✓� �o�OM (lr, j3 UlG o 1 �G n ame: �r9M E �1 Address: City, ST, Zip: Telephone: Email: Valuation of Project $ e2 l0 l0, cc) Contractor Name: New SFD Construction: Address: Conditioned Space SF City, St, Zip Garage SF Telephone: Patio/Porch SF Email: Fire Sprinklers SF State Lie: City Bus Lic: Arch/Eng Name: M AC1G C Construction Type: 6 Occupancy: M Address: 1,0 Grading: City, St, Zip S'Ar) h 01- 9 2 �� Telephone: U S 4 S3 - -233 9 Bedrooms: Stories: I # Units: AL M14WK-6:46 J L--fOJ.Co1, �� ff 1Q City Bus Lie: E Property Owner's Name: q (% 6WO2 G L LL New Commercial / Tenant Improvements: Address: Ida s S-T. Total Building SF City, ST, Zip rPCMO�E QE 9AS3 3 Construction Type: Occupancy: Telephone: J �/� 6 S�_ 9jso Email: SU r/rj @ V(,✓r h/'>E2( 5PuT. cots 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 F.B&T Service Station Contractors Construction/Compliance/Maintenance CSLB # 902034 A, B, C-61/D-40, Hazmat Certification www btssc.com RECEIVED IM)OWT JUL 3 1 2019 CITY OF LA QUINTA DESIGN AND DEVELOPMENT DEPARTMENT Construction Contract This Construction Contract (the "Contract") is made as of June 10, 2019 (the "Effective Date") by and between Mr. John Ellis of AU Energy, LLC located at 41805 Albrae Street, Freemont, CA 94538 and B&T Service Station Contractors ("B&T SSC") of 630 S. Frontage Rd. Nipomo California 93444. B&T SSC desires to provide Construction services to Mr. John Ellis of AU Energy, LLC located at 41805 Albrae Street, Freemont, CA 94538 hereinafter referred to as "Owner" and owner desires to obtain such services from B&T SSC. THEREFORE, in consideration of the mutual promises set forth below, the parties agree as follows: DESCRIPTION OF SERVICES. B&T SSC will provide to Owner the services of remodel current site as described on Exhibit A (collectively, the "service"). All work and bids were based on the set of plans by Malek Engineering, Inc dated 01-22-2019 for City Submittal, with specification pages date 09-09-18, Civil, Plumbing & Electrical plans were supplied at a later date, and have been accounted for in this contract. Mechanical & Structural Plans were not provided. Soil and Asbestos reports were not provided. WORK START DATE: TBD CONTRACT TIME: TBD COMPLETION DATE: TBD 2. SCOPE OF WORK. B&T SSC will provide all services, materials and labor for the remodel of current site as described on "Exhibit A" (collectively, the "services") at the property located at: 998 Highway 111, La Quinta, CA 92253, hereinafter referred to as ("Worksite"). This includes building and construction materials, necessary labor and site security, and all required tools and machinery needed for completion of construction. 3. PLANS, SPECIFICATIONS AND CONSTRUCTION DOCUMENTS. AU Energy, LLC will make available all plans, specifications, drawings, blueprints, and similar construction documents necessary for B&T SSC to provide the Services described herein. Any such materials shall remain the property of Owner. B&T SSC will promptly return all such materials to Owner upon completion of the Services. 4. COMPLIANCE WITH LAWS. B&T SSC shall provide the Services in a workmanlike manner, and in compliance with all applicable federal, state and local laws and regulations, including, but not limited to all provisions of the Fair Labor Standards Act, the Americans with Disabilities Act, the federal Family and Medical Leave Act, the 630 So Frontage Road Nipomo, CA 93444 (805) 929 - 8944 Fax (805) 929 - 8948 Santa Barbara San Luis Obispo Ventura Monterey Initials /Date Toll Free 1-888-862-2552 * Contractors are required be lava to be licensed and regulated by the Contractors' State License Board. Any questions concerning a contractor may be referred to the Registrar, Contractors' State License Board P.O. Box 26000, Sacramento, California 95818. MEMBER Service Station Contractors Construction/Compliance/Maintenance CSLB # 902034 A, B, C-610-40, Hazmat Certification www.btssc,com California Labor Code, the California Fair Employment and housing Act, and the California Family Rights Act. WORK SITE. Owner warrants that they Lease the property herein described free and clear of any liens and encumbrances. Prior to the start of construction, owner shall provide an easily accessible building site, which meets all zoning requirements for Structure, and in which the boundaries of owner's property will be clearly identified by stakes at all corners of the property. Owner shall maintain theses stakes in proper position throughout construction. 6. MATERIALS AND/OR LABOR PROVIDED. B&T SSC shall provide to owner a List of each and every party furnishing materials and/or labor to B&T SSC as part of the Services, and the dollar amounts due or expected to be due with regards to provision of the Services herein described. This List of materials and/or labor shall be provided upon request. B&T SSC declares, under the laws of the State of California, that this List is a true and correct statement of each and every party providing materials and/or labor as part of the Services herein described. 7. PAYMENT. Payment shall be made to B&T Service Station Contractors, Nipomo California 93444. Owner agrees to pay B&T SSC as follows: a. The sum of $612,621.00 (Six Hundred and Twelve Thousand, Six Hundred and Twenty One Dollars ) under the terms to follow: Terms: Are monthly payments based on the schedule of values and the completion of each project task. In addition to any other right or remedy provided by law, if owner fails to pay for the Services when due, B&T SSC has the option to treat such failure to pay as a material breach of this Contract, and may cancel this Contract and/or seek legal remedies. TERM. B&T SSC shall commence the work to be performed within 30 days Permit issuance. 9. CHANGE ORDER. Owner may make changes to the scope of the work from time to time during the term of this Contract. However, any such change or modification shall only be made in a written `.`Change Order" which is signed and dated by both parties. 630 So Frontage Road Niporno, CA 93444 (805)929— 8944 Fax (805) 929 — 8948 Santa Barbara San Luis Obispo Ventura Monterey Initials 'D&LC Toll Free 1-888-862-2552 * Contractors are ecquired be law to be licensed and regulated be the Contractors' State License Board. Anc questions concerning a contractor mad' be referred to the Registrar, Contractors' State License Board P.O. Box 26000, Sacramento, Califomia 95818 MEMBER Service Station Contractors Construction/Compliance/Maintenance CSLB # 902034 A, B, C-61/D-40, Hazmat Certification www,btssc.com Such Change Orders shall become part of this Contract. Owner agrees to pay any Increase in the cost of the Construction work as a result of any written, dated and signed Change Order. In the event the cost of the Change Order is not known at the time a Change Order is executed, B&T SSC shall estimate the cost thereof and owner shall pay the actual cost whether or not this cost is in excess of the estimated cost. 10. PERMITS. Owner shall obtain all necessary building permits. B&T SSC shall assist with permitting with local agencies, any fees required to be paid by B&T shall be charged as T&M with a 15% mark up on top of original contract amount, licenses required by the local municipal/county government to do the work, the cost thereof shall be included as part of the Payment to B&T SSC under this Contract. 11. INSURANCE. Before work begins under this Contract, B&T SSC shall furnish certificates of insurance substantiating that B&T SSC has placed in force valid insurance covering its full liability under the Workers' Compensation laws of the State of California and shall furnish and maintain general liability insurance, and builder's risk insurance for injury to or death of a person or persons, and for personal injury or death suffered in any construction related accident and property damage incurred in rendering the Services. 12. INDEMNIFICATION. With the exception that this Section shall not to be construed to require indemnification by B&T SSC to a greater extent than permitted under the public policy of the State of California, B&T SSC shall indemnify owner against, hold it harmless from and defend owner from all claims, loss, liability, and expense, including action attorneys' fees, arising out of or in connection with B&T SSC's Services performed under this Contract. This indemnity shall be provided even if owner is partly responsible for the claim, damage, injury or loss, but B&T SSC shall not provide indemnity against claims or losses deemed to be caused by the sole negligence or willful misconduct of owner or owner's agents or employees. 13. WARRANTY. B&T SSC shall provide its services and meet its obligations under this Contract in a timely and workmanlike manner, using knowledge and recommendations for performing the services which meet generally acceptable standards in B&T SSC's community and region, and will provide a standard of care equal to, or superior to, care used by service providers similar to B&T SSC on similar projects. B&T SSC shall construct the structure in conformance with the plans, specifications, and any breakdown and binder receipt signed by B&T SSC and Owner. 630 So. Frontage Road Nipomo, CA 93444 (805) 929 — 8944 Fax (805) 929 — 8948 Santa Barbara San Luis Obispo Ventura Monterey Initials /Date Toll Free 1-888-862-2552 * Contractors are required by law to be licensed and regulated by the Contractors' State License Board. Any questions concerning a contractor mad be referred to the Registrar, Contractors' State License Board P.O. Box 26000, Sacramento, California 95818. MEMBER Service Station Contractors Construction/Compliance/Maintenance CSLB # 902034 A, B, C-610-40, Hazmat Certification wnwv btssc.com 14. FREE ACCESS TO WORKSITE. Owner will allow free access to work areas for workers and vehicles and will allow areas for the storage of materials and debris. Driveways will be kept clear for the movement of vehicles during work hours. B&T SSC will make reasonable efforts to protect driveways, lawns, shrubs, and other vegetation. B&T SSC also agrees to keep the Worksite clean and orderly and to remove all debris as needed during the hours of work in order to maintain work conditions which do not cause health or safety hazards. 15. UTILITIES. Owner shall provide and maintain water and electrical service, connect permanent electrical service, gas service or oil service, whichever is applicable, and tanks and lines to the building constructed under this Contract after acceptable cover inspection has been completed, and prior to the installation of any inside wall cover. Owner shall, at owner's expense, connect sewage disposal and water lines to said building prior to the start of construction and at all times maintain sewage disposal and water lines during construction as applicable. Owner shall permit B&T SSC to use, at no cost, any electrical power and water use necessary to carry out and complete work. 16. INSPECTION. Owner shall have the right to inspect all work performed under this Contract. All work that needs to be inspected or tested and certified by an engineer as a condition of any government departments or other state agency, or inspected and certified by the local health officer, shall be done at each necessary stage of construction and before further construction can continue. All inspection and certification will be done at owner's expense. 17. DEFAULT. The occurrence of any of the following shall constitute a material default under this Contract: a. The failure of owner to make a required payment when due. b. The insolvency of either party or if either party shall, either voluntarily or involuntarily, become a debtor of or seek protection under Title 11 of the United States Bankruptcy Code, c. A lawsuit is brought on any claim, seizure, lien or levy for labor performed or materials used on or furnished to the project by either party, or there is a general assignment for the benefit of creditors, application or sale for or by any creditor or government agency brought against either party. 630 So Frontage Road Nipomo. CA 93444 (805) 929 — 8944 Fax (805) 929 — 8948 Santa Barbara San Luis Obispo Ventura Monterey Initials . /Date Toll Free 1-888-862-2552 * Contractors are required by law to be licensed and regulated be the Contractors' State License Board. And- questions concerning a contractor may- be referred to the Registrar, Contractors' State License Board P.O. Box 26000, Sacramento, California 95818. -)MY MEMBER Service Station Contractors Construction/Cornpliance/Maintenance CSLB # 902034 A, B, C-610-40, Hazmat Certification www btssc.com d. The failure of owner to make the building site available or the failure of B&T SSC to deliver the Services in the time and manner provided for in this Contract. 18. REMEDIES. In addition to any and all other rights a party may have available according to law of the State of California, if a party defaults by failing to substantially perform any Provision, term or condition of this Contract (including without limitation the failure to make a monetary payment when due), the other party may terminate the Contract by providing written notice to the defaulting party. This notice shall describe with sufficient detail the nature of the default. The party receiving said notice shall have 10 days from the effective date of said notice to cure the default(s). Unless waived by a party providing notice, the failure to cure the default(s) within such time period shall result in the automatic termination of this Contract. 19. FORCE MAJEURE. If performance of this Contract or any obligation under this Contract is prevented, restricted, or interfered with by causes beyond either party's reasonable control ("Force Majeure"), and if the party unable to carry out its obligations give the other party prompt written notice of such event, then the obligations of the party invoking this provision shall be suspended to the extent necessary by such event. The term Force Majeure shall include, without limitation, acts of God, fire explosion, vandalism, storm, casualty, illness, injury, general unavailability of materials or other similar occurrence, orders or acts of military or civil authority, or by national emergencies, insurrections, riots, or wars or strikes, lock -outs, work stoppages, or supplier failures. The excused party shall use reasonable efforts under the circumstances to avoid or remove such causes of non-performance and shall proceed to perform with reasonable dispatch whenever such causes are removed or ceased. An act or omission shall be deemed within the reasonable control of a party if committed, omitted, or caused by such party, or its employees, officers, agents, or affiliates. 20. ENTIRE CONTRACT. This Contract contains the entire Contract of the parties, and there are no other promises or conditions in any other contract whether oral or written concerning the subject matter of this Contract. This Contract supersedes any prior written or oral agreements between the parties. This Contract is a complete and exclusive statement of the terms of the Contract between the Parties, as provided for under section 1856, subdivision (b), of the California Code of Civil Procedure, except in so far as documents are required to be completed to give effect to the terms of this Contract. 630 So Frontage Road Nipomo, CA 93444 (805) 929 — 8944 Fax (805) 929 — 8948 Santa Barbara San Luis Obispo Ventura Monterey Irnttal$ Date Toll Free 1-888-862-2552 * Contractors are required by to be licensed and regulated by the Contractors' State License Board. Any questions concerning a contractor ma) be referred to the Registrar, Contractors' State License Board P.O. Box 26000, Sacramento, California 95818, Mint MEMBER Service Station Contractors Construction/Compliance/Maintenance CSLB # 902034 A, B, C-610-40, Hazmat Certification www.btssc.com 21. SEVERABILITY. If any provision of this Contract will be held to be invalid or unenforceable for any reason, the remaining provisions will continue to be valid and enforceable. If a court finds that any provision of this Contract is invalid or unenforceable, but that by limiting such provision it would become valid and enforceable, then such provision will be deemed to be written, construed, and enforced as so limited. 22. AMENDMENT. This Contract may be modified or amended in writing, if the writing is signed by the party obligated under the amendment. 23. GOVERNING LAW. This Contract shall be construed in accordance with, and governed by the laws of the State of California, regardless of the choice of law provisions of California or any other jurisdiction. 24. NOTICE. Any notice or communication required or permitted under this Contract shall be sufficiently given if delivered in person or by certified mail, return receipt requested, to the address set forth in the opening paragraph or to such other address as one party may have furnished to the other in writing. 25. ATTORNEY FEES. If either party becomes involved in litigation arising out of this contract or the performance thereof, the court in such litigation, or in a separate suit, shall award reasonable costs and expenses, including attorneys fees, to the party justly entitled thereto. In awarding attorneys fees, the court will not be bound in any court fee schedule; but shall, if it is in the interest of justice to do so, award the full amount of costs, expenses and attorneys fees paid or incurred in good faith. 26. WAIVER OF CONTRACTUAL RIGHT. The failure of either party to enforce any provision of this Contract shall not be construed as a waiver or limitation of that party's right to subsequently enforce and compel strict compliance with every provision of this Contract. Contractors are required by laws of the State of California to be licensed and regulated by the Contractions State License Board which has jurisdiction to investigate complaints against contractors. Any questions concerning a contractor may be referred to the California Department of Consumer Affairs, Contractors State License Board. 630 So Frontage Road Nipomo, CA 93444 (805) 929 - 8944 Fax (805) 929 - 8948 Santa Barbara San Luis Obispo Ventufa Monterey Initials. Il3ate Toll Free 1-888-862-2552 * Contractors are requited by laic to be licensed and regulated bN the Contractors' State License Board. Any questions concerning a contractor mad be referred to the Registrar, Contractors' State License Board P.O. Box 26000, Sacramento, California 95818 F.:B&T Service Station Contractors Construction/Compliance/Maintenance CSLB # 902034 A, B, C-610-40, Hazmat Certification www.btssc com Owner / Representative: John Ellis AU Energy, LLC IN John Ellis Owner / Representative Contractor: B&T Service Station Contractors Contractor's License: 902034 By: Christopher G_ Fasse Owner Initials Date MEMBER * Contractors are required by law to be licensed and regulated by the Contractors' State License Board. Any questions concerning a contractor may be referred to the Registrar, Contractors' State License Board P.O. Box 26000, Sacramento, California 95818, 630 So Frontage Road Nipomo, CA 93444 (805) 929 — 8944 Fax (805) 929 — 8948 Santa Barbara San Luis Obispo Ventura Monterey Toll Free 1-888-862-2552 F:B&T Service Station Contractors Construction/Compliance/Maintenance CSLB # 902034 A, B, C-61/D-40. Hazmat Certification www.btssc.com MEMBER " EXHIBIT A 1`9 630 So Frontage Road Nipomo, CA 93444 (805) 929 — 8944 Fax (805) 929 — 8948 Santa Barbara San Luis Obispo Ventura Monterey Toll Free 1-888-862-2552 * Contractors are required br law- to be licensed and regulated by the Contractors' State License Board. Any questions concerning a contractor mac be referred to the Registrar, Contractors' State License Board P.O. Box 26000, Sacramento, California 95818 MEMBER Service Station Contractors PAaintenance and C 011SIRIC1lOn License No. 902034 A, B C-610-40, I-lazmal Cerliticalion vwvwblssc_corn 2. Pour a new concrete ADA path of travel through corner planter as shown on plans. Handrails are excluded and at this time are not required. 3. Striping existing surfaces from new ADA sidewalk to ADA parking stall, 4. Plan shows to grind existing store front sidewalk. I plan on demo and removal to pour new sidewalk at that section. New Sidewalk to have 5'x5' ADA landing and tie into existing grades at ADA path of travel. S. Make necessary repairs to landscaping irrigation. Existing plants to be protected in place. 6. It is assumed that ADA parking stall, path of travel cross the site meet current ADA standards, therefore demo, concrete, and/or AC paving is not included in those sections. Should any of the above scope be required, B&T will notify engineer and owner ASAP. 03 FUEL 1, Keep Veeder Root operational during construction. NOTE: Veeder to remain in its original location. 2. No work to existing dispensers with exception of assisting owner's representative with the start up at end of project. 3. Work to fuel islands is not included. NOTE: B&T can provide any/and all upgrades to fuel islands, if required. 4. Assist owner's representatives with the start up and programming of existing fueling equipment such as Veeder Root, POS, and Dispensers. 5. AQMD testing is not included, nor anticipated to be required. If needed, pricing is available upon request. 04 MISCELLANEOUS EQUIPMENT 1. Walk in Cooler, Gondolas, Shelving, Cabinets, Counter Tops, and Food Equipment is to be supplied and installed by others. 2. Air Water to be supplied an installed by others. 3. Proposal excluded all work to Car Wash Equipment. 4. Roof Hatch and Ladder are already in place. 5. Supply and install transaction drawer. 6. Supply and install new bike rack as required. 7. B&T will provide interior conduits for security at building. Security conduits for canopy are not included. B&T to assist owners with video installation on building. Owner to supply equipment. 8. All signage is by others. 05 SPECIALTY 1. Provide electrical for remodeled building. NOTE: fueling conduits and conductors are to remain. 2. Install owner supplied fly fan at exit door adjacent to restroom. 3. Install owner supplied lights on exterior and interior of building. ti::�-Sn. I' fan!9g0 Rn6r1 ien,� s,2s - as,a F taus; 929 — a`-',45 %inrte enenat a Lail r W:OC i �nlnr d `.tlr11S1Tr-Y foll Free 1-M-862-2552 'M Conrr.irlurs an• rcquinvl lie IAW to ht• licensUd .tnd regllhrrd bt-rhe C "wrrctctrs' Stutr License 13nard Auv quc'Wtns volwi-nunt! .i cmkUactor nmv he referred m the ki-gi�tr,rr, Cnurractor;' Starr Licrusr 13-mrd P.O. BI)N 26000. jncr.nurtr[n, Cnlifnrni.t E15813 (n)Pll MEMBER Service Station Contractors Malnlenance and Conslruclion License No. 902034 A, B, C-611D-40, Hazrnal Cerlificalion wWw.bt9&C, coin 4. Install owner supplied light to existing area light poles. 5. Canopy lights to remain, they are already LED. 06 BUILDING SHELL 1. Provide wood stick framing as per plan, including the entry way arch scope as discussed. 2. Provide and install 2-Hollow Metal Doors as shown on plans, to included sight window and keypad per owner's request. 3. Provide and install Rest Room Accessories as shown on plans. NOTE: Lighted mirror not included. We have included an anti graffiti mirror as a replacement. 4. Interior Plumbing per plans. NOTE: Sand Oil, Clarifier, Catch Basin, Trench Drain, and Grease Interceptor are listed in equipment schedule but not shown on plans. The above items have not been accounted for in this proposal. 5. HVAC plans have not been provided. We have included design build based on reusing the existing AC units. All new ducting to be installed and Air Balance done upon completion. Perform minor repairs and maintenance on existing units. Should units need major attention, then B&T will notify owner immediately. 07 BUILDING FINISH 1. Provide and install Ceramic Tile as shown on plans. 2. Provide and install Ceilings as shown on plans. 3. Provide and install drywall as shown on plans. 4. Provide and install insulation as shown on plans. S. Provide stucco repair at entry way as discussed in phone conversations. 6. Provide interior and exterior building painting. 7, Provide and install stainless steel paneling at fountain machine location. 8. Provide and install FRP as shown on plans. NOTE: all graphics and wall paper to be supplied and installed by others. 9. Provide a deep clean of construction debris prior to stocking the store with product, then a quick wipe down of the entire store prior to opening. 08 LABOR, TEMPORARY SERVICES, GENERAL CONDITIONS 1. Includes Office Trailer, Storage Containers, Facilities, Power, Phone, Temp Fencing, and Barricades, 2, Includes B&T Equipment and rental equipment. 3, Includes Labor, Profit, Overhead, and insurance as required by the State of California. 09 EXCLUSIONS 1. Asbestos Reporting, and/or Demo/Removal. 53USo Fronr,qe Road Ngiomo, CA 9:W,l (805) 929 — 8sad Fae 18055 P29-9948 Santa Barbara San Lws Ouispo ✓ jMuta Munlcrev roll Free 1-888-862-2552 Cuiurtclors are required b� Lan- a he hceus.d :nil rvgolated be the Contractors' State License Board. An,, cluumions eunceniiog .t tmwractor nntx be referred to the Regi-trar. Coturartor,;' Stale Liceu;c 114mrd 11.6, Box 24000, Sacrament,, Califonti.t 93818 Service Station Contractors Mainlenance and Construclion License No. 902034 A. 6, C-61M-40. Hazmat Cerlificalion www.btsse.com Total Cost MEMBER 2. All Fuel Equipment, Fuel Management, POS, Computers, Monitoring Equipment, to be supplied by Owner. 3. Start up and testing of any fuel equipment. 4. Excludes off haul and disposal of any contaminated soils. 5. Excludes import of clean and engineered soils unless specified above. 6. All Graphics, Signage, and Equipment to be supplied and installed by others. 7. Permit fees and applications to be done and paid for by others. B&T will assist in any permitting Issues. 8. Video and Surveillance equipment is not included. 9. Any work on Canopy. 10. All signage and graphics to be supplied and installed by others. 11. Any work not specifically mentioned above. 12. Relocating and/or upgrading utilities unless otherwise stated above. $612,621.00 This proposal is good for 60 days from today's date of 05-22-19. Proposals excepted after 07-22-19 are subject to review. Should you have any questions or concerns and/or need any clarifications please feel free to contact me at 916-417-4983. Thank you, 6L Jeff Scott*k— B&T--- �� Service Station Contractors - -89office 916-417-4983 cell C�5rcT rV I L Cc: Chris Fasse, B&T Jon Kaplan, B&T 830 So F-ronlage Road Nipomo, CA 534.44 (805) J29 — 8944 Fax (805) 929 — 8W, Sanla Barbara San Luis Obispo venture hdortlerey Toll Free 1-888-862.2552 ,. Cnturnctnr4 are required bt last to he licensed :utd r"plaod br the Contractor.' State License Board, Am qucslion; c(1ncentint; J contractor nl3C bn referwil to lire Registr3r, Contractor.;' Swc Licen;c Board PA), Box 36000, Sacramento, C3Grornia 9581S I'B&T Service Station Contractors Construction/Com pliance/Maintenance CSLB # 902034 A, B, C-61/D-40, Hazmat Certification www.btsso.com To: Business License Department RE: Authorized Agent Letter MEMBER This letter authorizes Jon Kaplan and Glenn Paredes to act as agents for Christopher Fasse owner of KC Partners Corp DBA B&T Service Station Contractors, located 630 South Frontage Road Npomo, CA 93444. Both agents are authorized to submit, sign for and pick up the business license being applied for. Agents may issue and sign checks or anything else related to KC Partners Corp DBA B&T Service Station Contractors in regards to this business license. Clu-istopher Fasse Owner of KC Partner Corp DBA B&T Service Station Contractors License # 902034 Tax ID # 20- 8873 803 630 So, Frontage Road Nipomo, CA 93444 (805) 929 — 8944 Fax (805) 929 — 8948 Santa Barbara San Luis Obispo Ventura Monterey Toll Free 1-888-862.2552 r Contractors are required by lays, to be. licensed and regulated by the Contractors' State License Board. Any questions concerting a contractor may be referred to the Registrar, Contractors' Slue License Board P.O. Box 26000, Sacramento, California 95818. STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-01-E (Revised 04116) CAS 1FN M A F71> R� v rnnn u[cc[ns [ CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 1 of 6) Project Name: SHELL LA QUINTA Date Prepared: p 10-10-2018 rtfJ .C;SCif'{ 0g LA q`nNTA £p,M T%M,)EVF,0gM'ENt BUILDING DIVISION REVIEWED FOR CODE COMPLIANCE DATE _'° I i`�., i i3Y. ltz%o ?,a9 . eo CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-01-E !Revised 04J C. Summary of Allowed Lighting Power Conditioned and Unconditioned space Lighting must not be combined for compliance Indoor Lighting Power for Conditioned Spaces Watts 01 02 03 04 Installed Lighting NRCC-LTI-01-E, Table H, page 5 + Portable Only for Offices NRCC-LTI-01-E, Table G, page 4 + Minus Lighting Control Credits NRCC-LTI-02-E, page 2 Adjusted Installed Lighting Power (row 1 plus row 2 minus row 3) Complies ONLY if Installed <_ Allowed (Box 04 < Box 05) Allowed Lighting Power Conditioned NRCC-LTI-03-E, page 1 05 Alterations with replacement luminaires that have at least 50/35%lower power compared to the original existing luminaires, may instead use the allowed wattage from NRCC-LTI-06, page 2 2365 Indoor Lighting Power for Unconditioned Spaces Watts Installed Lighting NRCC-LTI-01-E, Table H, page 5 + Minus Lighting Control Credits N RCC-LTI-02-E, page 2 2365 Adjusted Installed Lighting Power (row 1 minus row 3) Complies ONLY if Installed <_ Allowed (Box 04 < Box 05) Allowed Lighting Power Unconditioned NRCC-LTI-03-E, page 1 3633 Alterations with replacement luminaires that have at least 50/35% lower power compared to the original existing luminaires, 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 O ® NRCI-LTI-01-E - Must be submitted for all buildings © ® NRCI-LTI-02-E - Must be submitted for a lighting control system, or for an Energy Management Control System (EMCS), to be recognized for compliance. O 0 NRCI-LTI-03-E - Must be submitted for a line -voltage track lighting integral current limiter, or for a supplementary overcurrent protection panel used to energize only line -voltage track lighting, to be recognized for compliance. © ® NRCI-LTI-04-E - Must be submitted for two interlocked systems serving an auditorium, a convention center, a conference room, a multipurpose room, or a theater to be recognized for compliance. O Q NRCI-LTI-05-E - Must be submitted for a Power Adjustment Factor (PAF) to be recognized for compliance. O ® NRCI-LTI-06-E - Must be submitted for additional wattage installed in a video conferencing studio to be recognized for compliance. ❑ Field Inspector ❑ Field Inspector ❑ Field Inspector ❑ Field Inspector ❑ Field Inspector ❑ Field Inspector n CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-o1-E (Revised 04116) CERTIFICATE OF COMPLIANCE Indoor Lighting Project Name: SHELL LA QUINTA Date Prepared:10-10-2018 MISSION 0 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 0 NRCA-LTI-02-A - Must be submitted for occupancy sensors and automatic time switch controls. ❑ Field Inspector Q © NRCA-LTI-03-A - Must be submitted for automatic daylight controls. ❑ Field Inspector Q) 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 r. indoor Lignting 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 iuminaire 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 04/16) CERTIFICATE OF COMPLIANCE Indoor Lighting Project Name: SHELL LA QUINTA CALIFORNIA ENERGY COMMISSION 0 N RCC-LTI-01-E (Page 4 of 6) Date Prepared:10-10-2018 G. Installed Portable Luminaires in Offices — Exception to Section 140.6(a) - This section shall be filled out ONLY for portable luminaires in offices (As defined in §100.1). All other planned portable luminaires shall be documented on next page of this compliance document. - This section is used to determine if greater than 0.3 watts of portable lighting is planned for any office - Fill out a separate line for each different office. Small offices that are typical (having the same general and portable lighting) may be grouped together. This allowance shall not be traded between offices having different lighting systems. Office Portable Luminaire Schedule Office Installed Portable Luminaire W/ftz Office Location Field Inspector 01 02 03 04 05 06 07 08 09 10 Complete Luminaire Description (i.e., LED, under cabinet, furniture mounted Watts per direct/indirect) Luminaire NONE USED Installed z portable o L Watts . B luminaire N v per m watts in 0 (D square this office o `.° foot (G02 x G03) (G04 / GUS 0 0 0 0 0 If G06:5 0.3, enter zero; (G05 x G07 ) If G06 > 0.3, (G06-0.3) Total installed portable luminaire watts that are greater than 0.3 W/ftz per office: Identify Office area in which these portable luminaires are installed 0 0 O 0 O 0 © o 0 0 0 Enter sum total of all pages into 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 rroject Name: SHELL LA QUINTA Date Prepared: , d1SSION N RCC-LTI-01-E (Page 5 of 6) 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 H. Indoor Lighting Schedule and Field Inspection Energy Checklist Luminaire Schedule 01 j 02 o M Complete Luminaire Description v � E E (Le, 3 lamp fluorescent troffer, Z ±' F32T8, one dimmable electronic ballast) F1 2' X 4' RECESSED LED LIGHT F2 4' LED PENDANT F3 5' LED PENDANT F4 8' LED PENDANT F5 4" ROUND CAN LIGHT F6 PENDANT LED F7 4' SURFACE LED COVE LTG. F8 WALL MOUNT VANITY 03 Installed Watts 04 05 How wattage was determined � h pJ i� 3 m c T < E o E ° C) E E ro U U w Q Z 32 ❑ ❑ 5 16 ❑ ❑ 5 19 ❑ ❑ 6 30 ❑ ❑ 6 25 ❑ ❑ 32 24 ❑ ❑ 12 13 ❑ ❑ 55 28 ❑ ❑ 1 ❑ ❑ INSTALLED WATTS PAGE TOTAL: 06 v a CD v � _ y Ln en c � 2 +� M O 10— 3: 2 160 80 114 180 800 288 715 28 0 2365 07 Primary Function area in which these luminaires are installed BACK ROOM MAIN MERCHANDISE FLOOR AREA MAIN MERCHANDISE FLOOR AREA MAIN MERCHANDISE FLOOR AREA MAIN MERCHANDISE FLOOR AREA MAIN MERCHANDISE FLOOR AREA MAIN MERCHANDISE FLOOR AREA BATHROOM Enter sum total of all pages into NRCC-LTI-01-E; Page 2 Field Inspector 08 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-01-E (Revised 04/16) CAUFORWA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 6 of 6) Projec�NfLYLA QUINTA Date Prepared: • P 10-10-2018 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature Company: Signature Date: Address: CEA Certification Identification lit 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: Responsible Designer Signature: Company; Date License: Phone: CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE CEG-NRCC-LTI-03-E Reused 04116 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E _ Certificate of Compliance - Indoor Lighting Power Allowance (Page 1 of 4) Project Name: SHELL LA QUINTA Pared: Date Pre 12-06-2018 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 01 Complete Building Method Allowed Watts. Documented in section B of NRCC-LTI-03-E (below on this page) 3633 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 TOTAL ALLOWED BUILDING WATTS. Enter number into correct cell on NRCC-LTI-01, Page 2, Row 1 l 3633 ❑ Check here if building contains both conditioned and unconditioned areas. 0 B. COMPLETE BUILDING METHOD LIGHTING POWER ALLOWANCE 01 02 j 03 04 WATTS X COMPLETE _ ALLOWED TYPE OF BUILDING (From §140.6 Table 140.6-B) PER ft2 BLDG. AREA WATTS GROCERY STORE 1.5 2422 3633 Total Area: 2422 Total Watts. Enter Total Watts into section A, row 1 (Above on this page) 3633 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 04/16) CERTIFICATE OF COMPLIANCE Certificate of Compliance - Indoor Lighting Power Allowance vrojea Name: SHELL LA QUINTA A separate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for: ✓❑ CONDITIONED spaces ❑ UNCONDITIONED spaces Date Prepared: 12-06-2018 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 AREA CATEGORY (From §140.6 Table 140.6-C) WATTS Location in Building Primary Function Area per Table 140.6-C PER ftz X AREA (ft') TOTALS _ 0 1 Enter sum total Area Category allowed watts into section C-1 of NRCC-LTI-03-E (this compliance document) AISSION (Page 2 of 4) 04 ALLOWED WATTS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 WATTS CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE F", '� :EO-NRCC-LTI-03-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE _ NRCC-LTI-03-E Certificate of Compliance - Indoor Lighting Power Allowance (Page 3 of 4) Project Name: SHELL LA QUINTA Date Prepared: 12-06-2018 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 11 02 11 03 ` 11 04 11 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 I o 06 Description(s) and Quantity of Special Total Design LuminaireTypes in each Primary Function Area Watts 3 07 ALLOWED WATTS Smaller of 04 or 06 TOTALS —Enter into TOTAL AREA CATEGORY METHOD ADDITIONAL ALLOWANCES —Section C-1 .I 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 MA. CEC-NRCC-LTI-03-E (Revised 04116) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E Certificate of Compliance - Indoor Lighting Power Allowance (Page 4 of 4) Pfoject Name: SHELL LA QUINTA Date Prepa,ed: 12-06-2018 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: I Documentation Author Signature: Company: I Signature Date: CEA certification Identification (if applicable): Phone: 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 occuparicv. Responsible Designer Name: Responsible Designer Signature: Company : Date Signed: Address: License: Phone: CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA INDOOR LIGHTING — LIGHTING CONTROLS CEC-NRCC-LTI-02-E (Revised 04/17) CERTIFICATE OF COMPLIANCE Indoor Lighting - Lighting Controls Project Name: SHELL LA QUINTA Date Prepared:12-06-2018 NIA ENERGY CONIVISSM N RCC-LTI-02-E 1of3) A. Mandatory Lighting Control Declaration Statements (Indicate if the measure applies by checking yes or no below.) YES NO Control Requirements Lighting shall be controlled by self-contained lighting control devices which are certified to the Energy Commission according to the Title 20 Appliance Efficiency Regulations in accordance with Section 110.9. ® Lighting shall be controlled by a lighting control system or energy management control system in accordance with §110.9. An Installation Certificate shall be submitted in accordance with Section 130.4(b). ® One or more Track Lighting Integral Current Limiters shall be installed which have been certified to the Energy Commission in accordance with §110.9 and §130.0. Additionally, an Installation Certificate shall be submitted in accordance with Section 130.4(b). ® A Track Lighting Supplementary Overcurrent Protection Panel shall be installed in accordance with Section 110.9 and Section 130.0. Additionally, an Installation Certificate shall be installed in accordance with Section 130.4(b). ® All lighting controls and equipment shall comply with the applicable requirements in §110.9 and shall be installed in accordance with the manufacturer's instructions in accordance with Section 130.1. © All luminaires shall be functionally controlled with 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, ® and special effects lighting shall each be separately controlled on circuits that are 20 amps or less. When track lighting is used, general, display, ornamental, and special effects lighting shall each be separately controlled; in accordance with Section 130.1(a)4. © The general lighting of any enclosed area 100 square feet or larger, with a connected lighting load that exceeds 0.5 watts per square foot shall meet the multi -level lighting control requirements in accordance with Section 130.1(b). Q ® All installed indoor lighting shall be equipped with controls that meet the applicable Shut -OFF control requirements in Section 130.1(c). ® Lighting in all Daylit Zones shall be controlled in accordance with the requirements in Section 130.1(d) and daylit zones are shown on the plans. ® ® Lighting power in buildings larger than 10,000 square feet shall be capable of being automatically reduced in response to a Demand Responsive Signal in accordance with Section 130.1(e). Before an occupancy permit is granted for a newly constructed building or area, or a new lighting system serving a building, area, or site is operated for a © normal use, indoor lighting controls serving the building, area, or site shall be certified as meeting the Acceptance Requirements for Code Compliance in accordance with Section 130.4.(a). The controls required to meet the Acceptance Requirements include automatic daylight controls, automatic shut -OFF controls, and demand responsive controls. CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2017 STATE OF CALIFORNIA INDOOR LIGHTING — LIGHTING CONTROLS CEC-NRGGLI 1-02-E (Revised DWIT) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting - Lighting Controls (Page 2 of 3) Prelco Hamv SHELL LA QUINTA Date Prepared: P 12-06-2018 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 (D _T D iz Standards Complying With 1 5 m (✓ all that apply, or leave empty Hr o o fD Lighting Control Schedule if Exempted) to Q o T X (D rt ,�; o v rt a o 01 ~ 02 03 04 05 06 1 07 08 09 10 11 12 13 14 15 Type/ Description of Lighting Control (i.e.: occupancy sensor, # ,a N N N N N Location in Building automatic time switch, of o 0 0 0 0 0 0 dimmer, automatic daylight, Units va ro Q etc... ) MERCHANDISING AREA OCCUP. SENSORS, AUTO DAYLIGHT 3 • • • ♦ ♦ 0 ❑ O 1 O PREP ROOMS OC. SENSORS, LCP, DIM. Sw, 8 • • • 0 I ❑ Q 0 BATHROOM VACANCYSENSOR 1 0 ❑ O 0 ❑ D ❑ O O 0 ❑ 0 ❑ 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.E-A for correct PAF. PAFs shall not be traded between conditioned and unconditioned spaces. As a condition to earn a PAF, on 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 CEC-NRCC-LTI-02-E (Revised 04/171 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting - Lighting Controls (Page 3 of 3) aroien Name: SHELL LA QUINTA DatePrepaivd: 12-06-2018 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: I Documentation Author Signature Company: Signature Date: Address: CEA Certification IdentiflcaVon (11 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: I. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance Conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. i understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Company: Signed: License: Phone: CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2017