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BCOM2019-0005
78-495 CALLE TAMPICO ' 0 D `� � VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/1/2019 Permit Type/Subtype: BUILDING COMMERCIAL/REMODEL Owner: Application Number: BCOM2019-0005 LA QUINTA RESORT Property Address: 49499 EISENHOWER DR 49499 EISENHOWER DR, APN: 658190012 LA QUINTA, CA 92253 Application Description: LA QUINTA RESORT / 1,177SF MARKETPLACE TI/VB/M-OCC/49-OL/SP Property Zoning: Application Valuation: $1,175,400.00 Applicant: Contractor: TSAKI DEMIRJIAN D ORR BUILDERS 4410 TEMECULA ST 39-301 BADGER STREET STE 300 SAN DIEGO, CA 92107 L 0 12019 PALM DESERT, CA 92211 0 (760)360-6632 CITY OF LA QUINTA Llc. No.: 693077 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 Class: B. A License No.: 77��Date: 2/11 � Contract 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 Addre: 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' comp sation, as provided for by Section 3700 of the Labor Code, for the performance of w I have for which this permit is issued. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: 51AILCOMPIENSATIQ14 INSURANCE FUND Policy Number: 9213286 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 wii�th those provisions. Date: ! 1L _ Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to 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 property for inspection purposes. Date: 9/rr/ terSignature (Applicant or Agent): Dame:. 7;l1/2019 Application Number: BCOM2019-0005 Owner: Property Address: 49499 EISENHOWER DR LA QUINTA RESORT APN: 658190012 49499 EISENHOWER DR. Application Description: LA QUINTA RESORT / 1,177SF MARKETPLACE TI/VB/M-OCC/49-OL/SP LA QUINTA, CA 92253 Property Zoning: Application Valuation: $1,175,400.00 Applicant: Contractor: TSAKI DEMIRJIAN ORR BUILDERS 4410 TEMECULA ST 39-301 BADGER STREET STE 300 SAN DIEGO, CA 92107 PALM DESERT, CA 92211 (760)360-6632 Llc. No. 693077 i Detail: LA QUINTA RESORT / 1,177SF MARKETPLACE TENANT IMPROVEMENT / VB/M/A-2-0CC/22-OL/SPRINKLED. REMODEL EXISTING MEETING ROOM SPACE TO RESTAURANT + NEW GREASE INTERCEPTOR + PATH 0q TRAVEL UPGRADES AT ACCESSIBLE PARKING AND ACCESSIBLE ROUTES TO BUILDING. TUMF FEE NOT ASSESSED DUE TO METHODOLOGY DESCRIBED IN"SECTION 4.6 OF THE 2018 TUMF HANDBOOK. 2016 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT ART IN PUBLIC PLACES - COMMERCIAL REMOD 270-0000-43201 0 $5,377.00 Total Paid for ART IN PUBLIC PLACES - AIPP: $5,377.00 DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($108.99) DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($16.01) DESCRIPTION ACCOUNT CITY AMOUNT AWNING/CANOPY 101-0000-42404 0 $16.01 DESCRIPTION ACCOUNT CITY AMOUNT AWNING/CANOPY PC 101-0000-42600 0 $108.99 DESCRIPTION ACCOUNT CITY AMOUNT AWNING/CANOPY PC 101-0000-42600 0 $118.35 Total Paid for AWNING/CANOPY: $118.35 DESCRIPTION ACCOUNT CITY AMOUNT HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 4 $640.00 DESCRIPTION ACCOUNT CITY AMOUNT HOURLY CHARGE - INTERWEST STRUCTURAL PLAN REVIEW 101-0000-42600 1 $125.00 DESCRIPTION ACCOUNT CITY AMOUNT HOURLY CHARGE - INTERWEST STRUCTURAL PLAN REVIEW 101-0000-42600 1 $125.00 Total Paid for BLDG CITY STAFF - PER HOUR: $890.00 DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $48.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $48.00 DESCRIPTION ACCOUNT CITY AMOUNT NON-RESIDENTIAL, FIRST 2,000SF 101-0000-42403 0 $120.07 DESCRIPTION ACCOUNT CITY AMOUNT NON-RESIDENTIAL, FIRST 2,000SF, PC 101-0000-42600 0 $92.86 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $212.93 DESCRIPTION ACCOUNT CITY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $80.04 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $53.36 DESCRIPTION ACCOUNT CITY AMOUNT EXHAUST HOOD 101-0000-42402 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $10.68 DESCRIPTION ACCOUNT CITY AMOUNT FURNACE 101-0000-42402 0 $80.04 I DESCRIPTION ACCOUNT CITY AMOUNT FURNACE PC 101-0000-42600 0 $53.36 , DESCRIPTION ACCOUNT QTY AMOUNT OTHER MECHANICAL EQUIPMENT 101-0000-42402 0 $80.04 DESCRIPTION ACCOUNT QTY AMOUNT OTHER MECHANICAL EQUIPMENT PC 101-0000-42600 0 $80.04 Total Paid for MECHANICAL: $464.24 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 BUILDING SEWER 101-0000-42401 0 $26.68 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $18.68 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $120.06 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $120.06 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 I DESCRIPTION ACCOUNT QTY AMOUNT GREASE INTERCEPTOR 101-0000-42401 0 $40.02 DESCRIPTION ACCOUNT QTY AMOUNT GREASE INTERCEPTOR PC 101-0000-42600 0 $13.34 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $13.34 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $8.00 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $13.34 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $13.34 Total Paid for PLUMBING FEES: $426.88 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 0 $21.00 Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $21.00 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $72.03 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $57.63 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 100 SF 101-0000-42400 0 $54.43 DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 0 $148.89 Total Paid for REMODEL: $332.98 DESCRIPTION ACCOUNT CITY AMOUNT SMI - COMMERCIAL 101-0000-20308 0 $329.11 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $329.11 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $S.00 4ta QaiKra Project Address: IN- _I � y ` APN #: r ['LAN LOCATION: ' f rojiett Aeskriptiow Pool, Remodel, Add'[, Elect, Plumb, Mcch •i.. �':h �� � �•� 31X's1Nv' 0 Applicant Name:��� Address; ello City, ST, Zip: cd 240 Telephone: g�� — 73-7— c>2 VG , , Email: Valuation of Project $ Arch/Eng Name: Construction Type: � c .-� `jI"W • YP : Occupancy: Address: r ma Grading: City, St, Zip��� Telephone: I .ST7 f'_ 3Y00 Bedrooms: Stories: # Units: Email: J State Lie: ' �S� City Bus Lie: Property Owner's Name: �+�,`� ` New Commercial / Tenant Improvements: Address: Y Total Building / 7 1_ SF City, ST, Zip ,]r Construction Type: Occupancy: Telephone: S-&I/ 3ZGg Email: V �� 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 Pa-tu.o ae: 3� �ib3 � ANT OQr�.S '. ►, I's b e $u�.*-► Lc;�D 2, toZq—j i �� Titif 4 4a" DESIGN & DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 (760) 777-7125 FAX (760) 777-7011 PATH OF TRAVEL UPGRADE DETERMINATION DATE: 05/14/2019 STATUS: THIRD REVIEW PENDING ADDRESS: 49-999 EISENHOWER DR DESCRIPTION: MARKETPLACE PLAN CHECKED BY: AJ ORTEGA / INTERWEST APPLICANT: TSAKI DEMIRDJIAN TELEPHONE NUMBER: (760)7 7-7018 PLAN CHECK #: BCOM2019-0005 In accordance with the 2016 California Building Code (CBC) Section 11B-202.4, exception 8, the cost of compliance with Section 11B-202.4 is allowed to be limited to 20% of the adjusted construction cost of the alterations, structural repairs or additions when the adjusted construction cost does not exceed the current valuation threshold. Construction cost for proposed project (not including costs of improvements to the path of travel to the area of alteration): $ 1,175,400 (A) Cost of alterations to areas on this path of travel undertaken during the preceding three-year period which did not provide an accessible path of travel to the area of alteration (as applicable): $ 0 (B) Adjusted construction cost (C) = (A) + (B) $1,175,400 (C) PATH OF TRAVEL CONSTRUCTION COSTS: Elements serving the area of Is element in If not, will element alteration based on priority compliance with be upgraded to current Chapter current Chapter _ 11B? (YIN)_ ! 11B? (YIN) 1. An accessible entrance _ Y 2. An accessible route (interior and exterior) to the N Y altered area 3. At least one accessible restroom for each gender or a single accessible Y unisex, single user or family restroom 4. Accessible public tele hones 5. Accessible drinking fountains Y 6. When possible, additional accessible elements such as: a. Parking N Y b. Storage N c. Signs N Y d. Alarms e. Other — Accessible tateri L-C Total cost of providing compliant path of travel elements: COST OF PATH OF TRAVEL UPGRADES AS PERCENTAGE OF ADA Compliance of path of travel upgrades as % of adjusted const cost: (E)% = (D) / (C) Note: This may not be less than 20% Page 1 of 1 Proposed cost of compliance with current Chapter 11B 5 $ 86,775 $ $ $ 5 000 $ work _ $ $235,990 (D) D CONSTRUCTION COST: on 7 20 % (E) Tldf 4 4a" DESIGN & DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 (760) 777-7125 FAX (760) 777-7011 PATH OF TRAVEL UPGRADE DETERMINATION DATE: 05/14/2019 STATUS: THIRD REVIEW PENDING ADDRESS: 49-999 EISENHOWER DR DESCRIPTION: MARKETPLACE PLAN CHECKED BY: AJ ORTEGA / INTERWEST APPLICANT: TSAKI DEMIRDJIAN TELEPHONE NUMBER: (760) 777-7018 PLAN CHECK #: BCOM2019-0005 In accordance with the 2016 California Building Code (CBC) Section 11B-202.4, exception 8, the cost of compliance with Section 11B-202.4 is allowed to be limited to 20% of the adjusted construction cost of the alterations, structural repairs or additions when the adjusted construction cost does not exceed the current valuation threshold. Construction cost for proposed project (not including costs of improvements to the path of travel to the area of alteration): $ 1,175,400 (A) Cost of alterations to areas on this path of travel undertaken during the preceding three-year period which did not provide an accessible path of travel to the area of alteration (as applicable): $ 0 (B) Adjusted construction cost (C) = (A) + (B) $1 175,400 (C) PATH OF TRAVEL CONSTRUCTION COSTS: Elements serving the area of Is element in alteration based on priority compliance with current Chapter 1113? (Y/N) If not, will element be upgraded to current Chapter 1113? (Y/N) Proposed cost of compliance with current 11B 1. An accessible entrance 2. An accessible route (interior and exterior) to the altered area _ 3. At least one accessible restroom for each gender or a single accessible unisex, single user or family restroom Y N Y Y Y $ $ 86,775 $ 4. Accessible public telephones $ 5. Accessible drinking fountains Y $ 6. When possible, additional accessible elements such as: a. Parking b. Storage N Y $39,215 N N $ c. Signs N Y $ 5 000 d. Alarms Y $ e. Other Total cost of providing compliant path of travel elements: Casewprk $ $235,990 COST OF PATH OF TRAVEL UPGRADES AS PERCENTAGE OF ADJUSTED CONSTRUCTION COST: (D) Compliance of path of travel upgrades as % of adjusted construction 20 % (E) cost: (E)% = (D) / (C) Note: This may not be less than 20% Page 1 of 1 3� T4t�l 4 4 " DESIGN & DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 (760) 777-7125 FAX (760) 777-7011 PATH OF TRAVEL UPGRADE DETERMINATION DATE: 05/14/2019 STATUS: THIRD REVIEW PENDING PLAN CHECKED BY: AJ ORTEGA / INTERWEST TELEPHONE NUMBER: (760) 777-7018 ADDRESS: 49-999 EISENHOWER DR DESCRIPTION: MARKETPLACE APPLICANT: TSAKI DEMIRDJIAN PLAN CHECK #: BCOM2019-0005 In accordance with the 2016 California Building Code (CBC) Section 11B-202.4, exception 8, the cost of compliance with Section 11B-202.4 is allowed to be limited to 20% of the adjusted construction cost of the alterations, structural repairs or additions when the adjusted construction cost does not exceed the current valuation threshold. Construction cost for proposed project (not including costs of improvements to the path of travel to the area of alteration): $ 1,175,400 (A) Cost of alterations to areas on this path of travel undertaken during the preceding three-year period which did not provide an accessible path of travel to the area of alteration (as applicable): $ 0 (B) Adjusted construction cost (C) = (A) + (B) $1.175,400 (C) PATH OF TRAVEL CONSTRUCTION COSTS: Elements serving the area of Is element in alteration based on priority compliance with current Chapter 11B? (Y/N) 1. An accessible entrance Y 2. An accessible route (interior and exterior) to the N altered area If not, will element Proposed cost of be upgraded to compliance with current Chapter current 1113? (Y/N) Chapter 11B Y $ 86,775 3. At least one accessible restroom $ for each gender or a single accessible Y unisex, single user or familyrestroom 4. Accessible public telephones Y $ 5. Accessible drinking fountains _ Y $ 6. When possible, additional �~ accessible elements such as: a. Parkin N Y $ b. Stora e N N $ c. Signs N Y $ 5 000 d. Alarms Y $ e.Other Accessble InterivCasework $ Total cost of providing compliant $235,990 (D) path of travel elements: COST OF PATH OF TRAVEL UPGRADES AS PERCENTAGE OF ADJUSTED CONSTRUCTION COST: Compliance of path of travel upgrades as % of adjusted construction 20 % (E) cost: (E)% = (D) / (C) Note: This may not be less than 20% Page 1 of 1 5d T4hf 4 4 a" DESIGN & DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 (760) 777-7125 FAX (760) 777-7011 PATH OF TRAVEL UPGRADE DETERMINATION DATE: 05/14/2019 STATUS: THIRD REVIEW PENDING ADDRESS: 49-999 EISENHOWER DR DESCRIPTION: MARKETPLACE PLAN CHECKED BY: AJ ORTEGA / INTERWEST APPLICANT: TSAKI DEMIRDJIAN TELEPHONE NUMBER: (760) 777-7018 PLAN CHECK #: BCOM2019-0005 In accordance with the 2016 California Building Code (CBC) Section 11B-202.4, exception 8, the cost of compliance with Section 11B-202.4 is allowed to be limited to 20% of the adjusted construction cost of the alterations, structural repairs or additions when the adjusted construction cost does not exceed the current valuation threshold. Construction cost for proposed project (not including costs of improvements to the path of travel to the area of alteration): $ 1,175,400 (A) Cost of alterations to areas on this path of travel undertaken during the preceding three-year period which did not provide an accessible path of travel to the area of alteration (as applicable): $ . (B) Adjusted construction cost (C) = (A) + (B) $1,175,400 (C) PATH OF TRAVEL CONSTRUCTION COSTS: Elements serving the area of Is element in If not, will element Proposed cost of alteration based on priority compliance with be upgraded to compliance with current Chapter current Chapter current 11B? (Y/N) 11B? (Y/N) Chapter 11B 1. An accessible entrance Y $ 2. An accessible route (interior and _ _ $ 86,775 exterior) to the N Y altered area $ 3. At least one accessible restroom for each gender or a single accessible Y unisex, single user or family restroom Y $ 4. Accessible public telephones 5. Accessible drinking fountains Y $ 6. When possible, additional accessible elements such as: Y _ 1 $39.215 a. Parking N b. Storage N $ c. Signs N Y $ 5 000 d. Alarms Y $ e.Other Accessible i rk $ Total cost of providing compliant $235,990 (D) path of travel elements: COST OF PATH OF TRAVEL UPGRADES AS PERCENTAGE OF ADJUSTED CONSTRUCTION COST: Compliance of path of travel upgrades as % of adjusted construction 20 % (E) cost: (E)% = (D) / (C) Note: This may not be less than 20% Page 1 of 1 rd STATE OF CALIFORNIA MECHANICAL SYSTEMS CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E Mechanical Systems (Page 1 of 4) Project Name: La Qulnta Resort & Club Date Prepared: 1/25/2011 9 A. MECHANICAL COMPLIANCE DOCUMENTS & WORKSHEETS (check box if worksheet is included) For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, refer to the 2016 Nonresidential Manual Note: The EnforcementAgency may require all forms to be incorporated onto the building plans. YES NO Comp. Doc./Worksheet # Title 0 ❑ NRCC-MCH-01-E (Part 1 of 3) Certificate of Compliance, Declaration. Required on plans for all submittals. 123 ❑ NRCC-MCH-01-E (Part 2 of 3) Certificate of Compliance, Required Acceptance Tests (MCH-02-A to 11-A). Required on plans for all submittals. F] © NRCC-MCH-01-E (Part 3 of 3) Certificate of Compliance, Required Acceptance Tests (MCH-12-A to 18-A). Required on plans where applicable. EI ❑ NRCC-MCH-02-E (Part 1 of 2) Mechanical Dry Equipment Summary is required for all submittals with Central Air Systems. It is optional on plans. ® ❑ NRCC-MCH-02-E (Part 2 of 2) Mechanical Wet Equipment Summary is required for all submittals with chilled water, hot water or condenser water systems. It is optional on plans. Mechanical Ventilation and Reheat is required for all submittals with multiple zone heating and cooling systems. It is optional on plans. Power Consumption of Fans. Required on plans where applicable Power Consumption of Fans, Declaration. Required on plans where applicable ❑ NRCC-MCH-03-E ❑ 0 NRCC-MCH-07-E (Part 1 of 2) ❑ 0 NRCC-MCH-07-E (Part 2 of 2) ITY OF LA QUINTA BUILDING DIVISION REVIEWED FOR CODE COMPLIANCE -JF RENIEWE D MAR 2 7 2019 INTERWEST CONSULTING GROUP RECEIVE`2 MAR 21 2019 INTERWEST CONSULTING GROUP MAR 2 0 20 stor CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance STATE OF CALIFORNIA MECHANICAL SYSTEMS CEC-NRCC-MCH-01-E Revised 01116 CERTIFICATE OF COMPLIANCE Mechanical Systems Project Name: La Quinta Resort & Club B. MECHANICAL HVAC ACCEPTANCE FORMS (check box for required compliance documents) Test Performed By- CALIFORNIA ENERGY COMMISSION 4S NRCC-MCH-01-E ('1 (Page 2 of 4) Date Prepared: 1 /25/201 9 Designer: This compliance document is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for HVAC systems. The designer is required to check the applicable boxes for all acceptance tests that apply and list all equipment that requires an acceptance test. All equipment of the same type that requires a test, list the equipment description and the number of systems. Installing Contractor: The contractor who installed the equipment is responsible to either conduct the acceptance test themselves or have a qualified entity run the test for them. If more than one person has responsibility for the acceptance testing, each person shall sign and submit the Certificate of Acceptance applicable to the portion of the construction or installation for which they are responsible. Enforcement Agency: Plancheck — The NRCC-MCH-01-E compliance document is not considered a completed document and is not to be accepted by the building department unless the correct boxes are checked. Inspector - Before occupanry permit is granted all newly installed process systems must be tested to ensure proper operations. Test Description MCH-02-A MCH-03-A MCH-04-A MCH-05-A MCH-06-A MCH-07-A MCH-08-A MCH-09-A MCH-10-A MCH-11-A Equipment Air Demand Hydronic # of Outdoor Single Zone Economizer Control Supply Fan Valve Leakage Supply Water System Automatic Requiring Testing Distribution Demand Shed Units Air Unitary Controls Ventilation VAV Test Temp. Reset Variable Flow or Verification Ducts DCV I Control LG LV480HV 2 p e ❑ ❑ ❑ ❑ - ❑ Control ❑ ; ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA MECHANICAL SYSTEMS f�\ CEC•NRCC-MCH-01-E Revised 01/16 CALIFORNIA ENERGY COMMISSION -q"F- CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E Mechanical Systems (Page 3 of 4) Project Name: La Quinta Resort & Club Date Prepared: 1/25/2019 C. MECHANICAL HVAC ACCEPTANCE FORMS (check box for required compliance docurnents) Test Performed By: Designer: This compliance document is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for HVAC systems. The designer is required to check the applicable boxes for all acceptance tests that apply and list all equipment that requires an acceptance test. All equipment of the same type that requires a test, list the equipment description and the number of systems. Installing Contractor: The contractor who installed the equipment is responsible to either conduct the acceptance test themselves or have a qualified entity run the test for them. If more than one person has responsibility for the acceptance testing, each person shall sign and submit the Certificate of Acceptance applicable to the portion of the construction or installation for which they are responsible. Enforcement Agency: Plancheck -The NRCC-MCH-01-E compliance document is not considered a completed document and is not to be accepted by the building department unless the correct boxes are checked. Inspector - Before occupancy permit is granted all newly installed process systems must be tested to ensure proper operations. Test Description MCH-12-A MCH-13-A MCH-14-A MCH-15-A MCH-16-A MCH-17-A MCH-18-A Automatic Fault Equipment Fault Detection & Detection & Distributed Energy Thermal Energy Supply Air Requiring TestingDiagnostics for DX FUnoi Diagnostics for Air & Storage DX AC Storage (TES) Temperature Reset Condenser Water Reset Controls ECMS or Verification Units Zone Systems Systems Controls LG LV480HV 2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA MECHANICAL SYSTEMS CEC-NRCC-MCH-01-E ReviSed 01/16 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E Mechanical Systems (Page 4 of 4) Project Name: La Quinta Resort $ Club Date Prepared: 1/25/2019 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Brett Langlois Documentation Author Signature: Company: exp U.S. Services Inc. Signature Date: 1/25/2019 Address: 5670 Oberlin Dr. CEA/ HERS Certification Identification (if applicable): City/State/Zip: San Diego, CA 92121 Phone` (858) 597-0555 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: _ , , — I Rpsnomihip np�ip pr Slw—t—p• ! L Company: Exp U Address: 56701 City/State/Zip: San D 0 )ervices Inc. 'lin Dr. , CA, 92121 Date Signed: License: Phone: 1/25/2019 23255 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA HVAC DRY & WET SYSTEM REQUIREMENTS CEC-NRCC-MCH-02-E (Revised 01116)_ CERTIFICATE OF COMPLIANCE COMMISSION NRCC-MCH-02-E HVAC Dry & Wet System Requirements Project Name: (Page 1 of 3) A. Equipment Tags and System Description' - Dry Systems CU-1 CU-2 MANDATORY MEASURES T-24 Sections Reference to the Requirements in the Contract DocumentS2 Heating Equipment Efficiency 110.1 or 110.2(a) Cooling Equipment Efficiency 110.1 or 110.2(a) HVAC or Heat Pump Thermostats 110.2(b), 110.2(c) Furnace Standby Loss Control 110.2(d) N/A N/A Low Leakage AHUs 110.2(f) N/A N/A Ventilation 120.1(b) M002.2 M002.2 Demand Control Ventilation 120.1(c)4 N/A N/A Occupant Sensor Ventilation Control 120.1(c)5, 120.2(e)3 N/A N/A Shutoff and Reset Controls' 120.2(e) N/A N/A Outdoor Air and Exhaust Damper Control 120.2(f) N/A N/A Isolation Zones 120.2(g) N/A N/A Automatic Demand Shed Controls 120.2(h) N A Economizer FDD 120.2(i) Duct Insulation 120.4 PRESCRIPTIVE MEASURES Equipment is sized in conformance with 140.4(a & b) Y Y/N Y Y/N Y/N 140.4(a & b) Supply Fan Pressure Control 140.4(c) Simultaneous Heat/Cool" 140.4(d) Economizer 140.4(e) Heat and Cool Air Supply Reset 140.4(f) Electric Resistance Heating 140.4(g) Duct Leakage Sealing and Testing 140.4(I) Notes: 1. Provide equipment tags (e.g. AHU 1 to 10) and system description (e.g. Single Duct VAV reheat) as appropriate. Multiple units with common requirements can be grouped together. 2. Provide references to plans (i.e. Drawing Sheet Numbers) and/or specifications (including Section name/number and relevant paragraphs) where each requirement is specified. Enter "N/A" if the requirement is not applicable to this system. 3. The referenced plans and specifications must include all of the following information: equipment tag, equipment nominal capacity, Title 24 minimum efficiency requirements, and actual rated equipment efficiencies. Where multiple efficiency requirements are applicable (e.g. full- and part -load) include all. Where appliance standards apply (110.1), identify where equipment is required to be listed per Title 20 1601 et seq. 4. Identify where the ventilation requirements are documented for each central HVAC system. Include references to both central unit schedules and sequences of operation. If one or more spaces is naturally ventilated identify where this is documented in the plans and specifications. Multiple zone central air systems must also provide a MCH-03-E compliance document. 5. If one or more spaces has demand controlled ventilation identify where it is specified including the sensor specifications and the sequence of operation. 6. If one or more space has occupant sensor ventilation control identify where it is specified including the sensor specifications and the sequence of operation 7. If the system is DDC identify the sequences for the system start/stop, optimal start, setback (if required) and setup (if required). For all systems identify the specification for the thermostats and time clocks (if applicable). 8. Identify where the heating, cooling and deadband airflows are scheduled for this system. Include a reference to the specification of the zone controls. Provide a MCH-03-E compliance document. 9. Enter N/A if there is no electric heating. If the system has electric heating indicate which exception to 140.4(g) applies. 10. If duct leakage sealing and testing is required, a MCH-04-A compliance document must be submitted. CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA HVAC DRY & WET SYSTEM REQUIREMENTS r 1 CEO-NRCC-MC -02-E Revised 01/18 CALIFORNIA ENERGY COMMISSION '411F' CERTIFICATE OF COMPLIANCE NRCC-MCH-02-E HVAC Dry & Wet System Requirements (Page 2 of 3) Project Name: La Quinta Resort & Club Date Prepared: 1/25/2019 B. Equipment Tags and System Description — Wet Systems MANDATORY MEASURES T-24 Sections Reference to the Requirements in the Contract Documents Heating Hot Water Equipment Efficiency 110.1 N/A N/A Cooling Chilled and Condenser Water Equipment Efficiency3 110.1, 140.4(i) N/A N/A Open and Closed Circuit Cooling Towers conductivity or flow -based controls 110.2(e) 1 N/A N/A Open and Closed Circuit Cooling Towers Maximum Achievable Cycles of 110.2(e) 2 Concentration (LSI)6 N/A N/A Open and Closed Circuit Cooling Towers Flow Meter with analog output 110.2(e) 3 N/A N/A Open and Closed Circuit Cooling Towers Overflow Alarm 110.2(e) 4 N/A N/A Open and Closed Circuit Cooling Towers Efficient Drift Eliminators 110.2(e) 5 N/A N/A Pipe Insulation 120.3 / N/A PRESCRIPTIVE MEASURES Cooling Tower Fan Controls 140.4(h)2, 140.4(h)5 Y/N Y/N Y/N Cooling Tower Flow Controls 140.4(h)3 A Centrifugal Fan Cooling Towers4 140.4(h)4 N/A Air -Cooled Chiller Limitation 140.4(j) Variable Flow System Design 140.4(k) NZA N Chiller and Boiler Isolation 140.4(k) _WA CHW and HHW Reset Controls 140.4(k) N/A WLHP Isolation Valves 140.4(k) NLA N/A VSD on CHW, CW & WLHP Pumps >5HP 140.4(k) N/A DP Sensor Location 140.4(k) N/A N/A Notes: 1. Provide equipment tags (e.g. CH 1 to 3) or system description (e.g. CHW loop) as appropriate. Multiple units with common requirements can be grouped together. 2. Provide references to plans (i.e. Drawing Sheet Numbers) and/or specifications (including Section name/number and relevant paragraphs) where each requirement is specified. Enter "N/A" if the requirement is not applicable to this system. 3. The referenced plans and specifications must include all of the following information: equipment tag, equipment nominal capacity, Title 24 minimum efficiency requirements, and actual rated equipment efficiencies. Where multiple efficiency requirements are applicable (e.g. full- and part -load) include all. For chillers operating at non-standard efficiencies provide the Kadj values. For chillers also note whether the efficiencies are Path A or Path B. 4. Identify if cooling towers have propeller fans. If towers use centrifugal fans document which exception is used. 5. If air-cooled chillers are used, document which exceptions have been used to comply with 140.4(j) and the total installed design capacity of the air-cooled chillers in the chilled water plant. 6. Identify the existence of a completed MCH-06-E when open or closed circuit cooling towers are specified to be installed, otherwise enter "N/A". CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA HVAC SYSTEM REQUIREMENTS CEC-NRCC-MCH-02-E Revised 06114 CERTIFICATE OF COMPLIANCE HVAC Wet System Requirements Project Name: La Qulnta Resort & Club Date Prepared: 1 /25/201 9 COMMISSION N RCC-MCH-02-E (Page 3 of 3) DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Brett Langlois Documentation Author Signature: Company: exp U.S. Services Inc. signature Date: 1/25/2019 Address: 5670 Oberlin Dr. CEA/ HERS Certification Identification (if applicable): City/State/Zip: San Diego, CA 92121 g Phone: (858) 597-0555 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1 Th ' f e In ormatlon 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 !Kbwiing owner at occupancy. Responsible Designer Name: .Todd SOrbO Responsible Designer Signature: ' Company: Address: City/State/Zip: Exp U.S. Services Inc. Date Signed: 5670 Oberlin Dr. License: San Diego, CA, 92121 Phone: /25/2019 23255 858) 597-0555 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA MECHANICAL VENTILATION AND REHEAT CEC-NRCC-MCH-03-E Revised 05/16 CERTIFICATE OF COMPLIANCE Mechanical Ventilation & Reheat Project Name: La Quinta Resort & Club Date Prepared: 1 /25/2019 ENERGY COMMISSIONha NRCC-MCH-03-E (Page 1 of 2) A. Mechanical Ventilation and Reheat ROOM VAV Reheated Primary VAV Deadband ACTUAL DESIGN INFO (FROM EQUIPMENT SCHEDULES, ETC) AREA BASIS OCCUPANCY BASIS BASIS MINIMUM Air CFM Primary Air CFM 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 < O < < O o O p w a Z } y F Z Z_w¢ V<Z Zwp E x mLD Z 0Z of Z Z ? 0 0 r 0 U p m �O waui > —V< Z 7 Z 7 w _vU Z c' VZ O w " U OO u 0 aj pLLu Z Upcc< w OwZ u .U... pZ< u O> ^p _ Z 20 2 U o. m0 m <2iJ0_ Qpo p U U F 2 Z u a < w 2 El ❑ Pass Marketplace p 1 050 � 0.15 158 2.6 60.0 158 158 Pass ❑Fail ❑Fail ❑ Fail X N/A N/A ❑ Pass ❑ Pass Total 158 ❑ Pass ❑ Fail ❑Fail ❑ Fail ❑ N/A ❑ N/A ❑ Pass ❑ Pass Pizza Oven 121 0.15 18 0.2 0.0 0 18 $ Pass ❑ Fail ❑Fail ❑ Fail X N/A aS] N/A ❑ Pass ❑ Pass El Pass Total 18 ❑ Fail ❑ Fail ❑ Fail ❑ N/A ❑ N/A ❑ Pass ❑ Pass ❑ Pass ❑ Fail ❑ Fail ❑ Fail ❑ N/A ❑ N/A ❑ Pass ❑ Pass ❑ Pass ❑ Fail ❑ Fail ❑ Fail ❑ N/A ❑ N/A ❑ Pass ❑ Pass ❑ Pass ❑ Fail ❑ Fail ❑ Fail ❑ N/A ❑ N/A CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance May 2016 STATE OF CALIFORNIA MECHANICAL VENTILATION AND REHEAT CEC-NRC-MCH-03-E Revised 0506 CALIFORNIA ENERGY COMMISSION "�'W CERTIFICATE OF COMPLIANCE NRCC-MCH-03-E Mechanical Ventilation & Reheat (Page 2 of 2) Project Name: La Qulnta Resort & Club Date Prepared: 1/25/2019 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Brett Langlois I Documentation Author Signature: Company: exp U.S. Services Inc. Address: 5670 Oberlin Dr. City/State/Zip: San Diego, CA 92121 RESPONSIBLE PERSON'S DECLARATION STATEMENT Signature Date: 1 /25/2019 CEA/ HERS Certification Identification (if applicable): Phone: (858) 597-0555 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: Todd SOrbO Responsible Designer Signature:' '/� Company : Ex Address: City/State/Zip: Inc. 5670 Oberlin Dr. San Diego, CA, 92121 Date Signed: License: Phone: ?3255 858 _597-0555 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance May 2016 STATE OF CALIFORNIA REQUIRED ACCEPTANCE TESTS CEC-NRCC-MCH-04-E Revised 01/18 CERTIFICATE OF COMPLIANCE Required Acceptance Tests Project Name: La Quinta Resort & Chub A. MECHANICAL COMPLIANCE FORMS & WORKSHEETS Date Prepared: 1 /25/,201 9 (indicate if worksheet is included) For detailed instructions on the use of this and all Energy Standards compliance documents, refer to the 2016 Nonresidential Manual H N RCC-MCH-04-E (Page 1 of 3) Note: The Enforcement Agency may require all compliance documents to be incorporated onto the building plans. The NRCC-MCH-04-E and NRCC-MECH-05-E are alternative compliance documents to NRCC-MCH-01-E, NRCC-MCH-02-E and NRCC-MCH-03-E for projects using only single zone packaged HVAC systems. YES NO Form r NRCC-MCH-04-E (1 of 2) r NRCC-MCH-04-E (2 of 2) NRCC-MCH-05-E (1 of 2) Title Certificate of Compliance. Required on plans when used. Mechanical Acceptance Tests. Required on plans when used. HVAC Prescriptive Requirements. It is required on plans when used. NRCC-MCH-05-E (2 of 2) Mechanical SWH Equipment Summary is required for all submittals with service water heating, pools or spas. It is required on plans where applicable. CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA REQUIRED ACCEPTANCE TESTS GEC-NRCC-MCH-04-E Revised 01/16 CERTIFICATE OF COMPLIANCE Required Acceptance Tests Project Name: La Quinta Resort & Club Date Prepared: 1 /25/2019 H N RCC-MCH-04-E (Page 2 of 3) Designer: This compliance document is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for mechanical systems. The designer is required to check the applicable boxes by all acceptance tests that apply and list all equipment that require an acceptance test. If all equipment of a certain type requires a test, list the equipment description and the number of systems. The NA number designates the Section in the Appendix of the Nonresidential Reference Appendices Manual that describes the test. Since this compliance document will be part of the plans, completion of this section will allow the responsible party to budget for the scope of work appropriately. ~Enforcement Agency: Systems Acceptance. Before occupancy permit is granted for a newly constructed building or space, or a new space -conditioning system serving a building or space is operated for normal use, all control devices serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance. Systems Acceptance. Before occupancy permit is granted. All newly installed HVAC equipment must be tested using the Acceptance Requirements. The NRCC-MCH-04-E compliance document is not considered a completed document and is not to be accepted by the building department unless the correct boxes are checked. The equipment requiring testing, person performing the test (Example: HVAC installer, TAB contractor, controls contractor, PE in charge of project) and what Acceptance test must be conducted. The following checked -off forms are required for ALL newly installed and replaced equipment. In addition a Certificate of Acceptance documents shall be submitted to the building department that certifies plans, specifications, installation certificates, and operating and maintenance information meet the requirements of Section 10-103(b) and Title 24 Part 6. The building inspector must receive the properly filled out and signed compliance documents before the building can receive final occupancy. Test Description MCH-02-A MCH-03-A MCH-04-A MCH-05-A MCH-06-A MCH-07-A MCH-11-A MCH-12-A MCH-14-A MCH-18-A Test Performed By: Equipment Demand Automatic Distributed Energy Requiring Single Air Control Demand FDD for Energy Management Testing or # of Outdoor Zone Distribution Economizer Ventilation Supply Shed Packaged Storage DX Control Verification Units Air Unitary Ducts Controls (DCV) Fan VAV Control DX Units AC Systems System LG LV480H` 2 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA REQUIRED ACCEPTANCE TESTS CERTIFICATE OF COMPLIANCE Required Acceptance Tests Project Name: La Quinta Resort 8t Chub DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and Documentation Author Name: Brett Langlols Company: exp U.S. Services Inc. Address: 5670 Oberlin Dr. City/State/Zip: San Diego, CA 92121 RESPONSIBLE PERSON'S DECLARATION STATEMENT Date Prepared: 1 /25/2019 Documentation Author Signature: Signature Date: 1 /25/2019 HERS Certification Identification (if applicable): Phone: (858) 597-0555 FORNIA 0 N RCC-MCH-04-E (Page 3 of 3) 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: Todd SOrbO �ResponsibleDesignerSignature: 411 A!W2ft Company: EX U.S. Services Inc. I Date Signed: 1/25/2019 Address: 5670 Oberlin Dr. License: 23255 c,ty�szasei,p: San Diego, CA 92121 Phone: 858 597-0555 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA — DEPARTMENT OF GENERAL SERVICES — BUILDING STANDARDS COMMISSION CALGreen Verification Guidelines — Mandatory Measures Checklist BSC CG-200 (Rev. 12/16) CALGreen VERIFICATION GUIDELINES MANDATORY MEASURES CHECKLIST_ _ Application: This checklist shall be used for nonresidential projects that meet one of the following building additions of 1,000 sq. ft. or greater or building alterations with a permit valuation of $200,000 or CALGreeen Section 301.3 AND do not trigger a Tier 1 or Tier 2 requirement: ¢r j-.1w4 2014 . rnVr� new construction, more pursuant to Y = Yes (section has been selected and/or included) ITY OF LA QUINTA N/A = Not Applicable (Code section does not apply to the project, mainly 4sed fool J��°[' iMPIOMSIO 01 O = Other (provide explanation) IN] = New construction pursuant to Section 301.3 REVIEWED FOR [A] = Additions and/or alterations pursuant to Section 301.3 CODE CHAPTER 5 DIVISIONS SECTION TITLE j TSEC DON Y� N/A Plan sh Sec AtLc et, r C@ DIVISION 5.1 Planning and Design Mandatory Storm Water Pollution Prevention w/ subsections 5.106.1 through 5.106.1.2 X Mandatory Short Term Bicycle Parking 5.106.4.1.1 X Mandatory Long Term Bicycle Parking 5.106.4.1.2 X Mandatory Designated Parking For Clean Air Vehicles 5.106.5.2 X Mandatory Parking stall marking 5.106.5.2.1 X Mandatory Single (EV) Charging space requirements [N] 5.106.5.3.1 X Mandatory Multiple (EV) Charging space requirements [N] 5.106.5.3.2 X Mandatory EV charging space calculation [N] w/exceptions 5.106.5.3.3 X Mandatory I [N] Identification 5.106.5.3.4 X Mandatory [N] Future charging spaces w/ notes 1-3 5.106.5.3.5 X Mandatory Light Pollution Reduction [N] w/ exceptions and note 5.106.8 X Mandatory Grading and Paving w/exception for Additions and Alterations not altering the drainage path 5.106.10 X AS101.2 DIVISION 5.2 Energy Efficiency Mandatory Meet the minimum Energy Efficiency Standard 5.201.1 X G003.2 DIVISION 5.3 Water Mandatory Separate Meters (new buildings or additions > 50,000 SF that consume more than 100 gal/day) 5.303.1.1 X Efficiency and Conservation Mandatory Separate Meters (for tenants in new buildings or additions that consume more than 1,000 gal/day) 5.303.1.2 X Mandatory Water closets shall not exceed 1.28 gallons per flush 5.303.3.1 X Mandatory Wall -mounted urinals shall not exceed 0.125 gpf 5.303.3.2.1 X Mandatory Floor -mounted urinals shall not exceed 0.5 gpf 5.303.3.2.2 X Mandatory Single showerhead shall have maximum flow rate of 2.0 gpm (gallons per minute) at 80 psi 5.303.3.3.1 X Mandatory Multiple showerheads serving one shower shall have a combined flow rate of 2.0 gpm at 80 psi 5.303.3.3.2 X Mandatory Nonresidential lavatory faucets 5.303.3.4.1 X P501.2 Mandatory Kitchen faucets 5.303.3.4.2. X .. • P501.2 Mandatory I Wash basins 5.3t3.3.4.3 X P501.2 Mandatory Metering faucets 5.303.3.4.4 X MAR 2 CHAPTER 5 DIVISIONS SECTION TITLE CODE SECTION Plan sheet, Y NIA O Sec or Attach Reference Mandatory Metering faucets for wash fountains 5.303.3.4.5 X Mandatory Food waste disposers w/note 5.303.4.1 X P501.2 Mandatory Areas of additions and alterations 5.303.5 X Mandatory Standards for plumbing fixtures and fittings 5.303.6 X Mandatory Outdoor water use in landscape areas equal to 5.304.2 or greater than 500 square feet X Mandatory Outdoor water use in rehabilitated landscape projects with areas equal to or greater than 2,500 square feet 5.304.3 X Mandatory Outdoor water use in landscape areas of 2,500 square feet or less 5.304.4 X Mandatory Graywater or rainwater use in landscaped areas 5.304.5 X DIVISION 5.4 Material Conservation and Resource Efficiency Mandatory Weather Protection 5.407.1 X G003.2 Mandatory Moisture Control: sprinklers 5.407.2.1 X Mandatory Moisture Control: Exterior door protection 5.407.2.2.1 X Mandatory Moisture Control: Flashing 5.407.2.2.2 X Mandatory Construction waste management -comply with either: sections 5.408.1.1, 5.408.1.2, 5.408.1.3 or more stringent local ordinance 5.408.1.1, 5.408.1.2, 5.408.1.3 X G007.2 Mandatory Construction waste management: Documentation w/notes 5.408.1.4 X G007.2 Mandatory Universal Waste [A] 5.408.2 X G007.2 Mandatory Excavated soil and land clearing debris w/ 5.408.3 exception and notes X Mandatory Recycling by Occupants w/ exception 5.410.1 X Mandatory Recycling by Occupants: Additions w/ exception 5.410.1.1 X lExcelotion Mandatory Recycling by Occupants: Sample ordinance 5.410.1.2 X Mandatory Commissioning new buildings (>_ 10,000 SF) [N] 5.410.2 w/exceptions and notes X Mandatory Owner's or Owner representative's Project 5.410.2.1 Requirements (OPR) [N] X Mandatory Basis of Design (BOD) [N] 5.410.2.2 X Mandatory Commissioning Plan [N] 5.410.2.3 X Mandatory Functional Performance Testing [N] 5.410.2.4 X Mandatory Documentation and Training [N] 5.410.2.5 X Mandator Systems Manual [N] 5.410.2.5.1 X Mandatory Systems Operation Training) [N] 5,410.2.5.2 X Mandatory Commissioning Report [N] 5.410.2.6 )( Mandatory Testing and adjusting for new buildings < 10,000 5.410.4 SF or new systems that serve additions or alterations. X Mandatory System Testing Plan for HVAC, Lighting, water heating, renewable energy, landscape irrigation and water reuse. 5.410.4.2 X Mandatory Procedures for testing and adjusting 5.410.4.3 X Mandatory HVAC balancing 5.410.4.3.1 X Mandatory Reporting for testing and adjusting 5.410.4.4 X Mandatory Operation and Maintenance (O&M) Manual 5.410.4.5 X Mandatory Inspection and reports 5.410.4.5.1 X CHAPTER 5 DIVISIONS SECTION TITLE CODE SECTION Y N/A O Plan sheet, Spec or Attach Reference DIVISION 5.5 Mandatory Fireplaces 5.503.1 X Environ- Quality Mandatory Woodstoves 5.503.1.1 Xmental Mandatory Temporary ventilation 5.504.1 X Mandatory Covering of ducts openings and protection of mechanical equipment during construction 5.504.3 X Mandatory Adhesives, sealants and caulks 5.504.4.1 X Mandatory Paints and coatings 5.504.4.3 X Mandatory Aerosol paints and coatings 5.504.4.3.1 X Mandatory Aerosol paints and coatings: Verification 5.504.4.3.2 X Mandatory Carpet systems 5.504.4.4 X Mandatory Carpet cushion 5.504.4.4.1 X Mandatory Carpet adhesive 5.504.4.4.2 X Mandatory Composite wood products 5.504.4.5 Mandatory Composite wood products: Documentation 5.504.4.5.3 X Mandatory Resilient flooring systems 5.504.4.6 X Mandatory Resilient flooring: Verification of compliance 5,504.4.6.1 X Mandatory Filters w/ exceptions 5.504.5.3 X Mandatory Filters: Labeling 5.504.5.3.1 X Mandatory Environmental tobacco smoke (ETS) control 5.504.7 X Mandatory Indoor moisture control 5.505.1 X Mandatory Outside air delivery 5,506.1 X Mandatory Carbon dioxide (CO2) monitoring 5.506.2 X Mandatory Acoustical control w/ exception 5.507.4 X Mandatory Exterior noise transmission, prescriptive method w/ exceptions 5.507.4.1 X Mandatory Noise exposure where noise contours are not readily available 5.507.4.1.1 X Mandatory Performance method 5.507.4.2 X Mandatory Site features 5.507.4.2.1 X Mandatory Documentation of compliance 5.507.4.2.2 X Mandatory Interior sound transmission w/ note 5.507.4.3 X Mandatory Ozone depletion and greenhouse gas reductions 5.508.1 X Mandatory Chlorofluorocarbons (CFCs) 5.508.1.1 X Mandatory Halons 5.508.1.2 X Mandatory Supermarket refrigerant leak reduction for retail food stores 8,000 square feet or more sections 5.508.2 through 5.508.2.6.3 5.508.2 through 5.508.2.6.3 X <$OOOsf END OF MANDATORY PROVISIONS Documentation Author's /Responsible Designer's Declaration Statement Mandatory: I attest that this mandatory provisions checklist is accurate and c mplete. Signature: Company: Date: Cuningham Group Architecture, Inc. 03/15/2019 Address: 201 Main St. SE License: Suite 325 City/State/Zip License Minneapolis, MN 55414 STATE OF CALIFORNIA OUTDOOR LIGHTING CEC-NRCC-LTO-Dl-E Revised 04116 CERTIFICATE OF COMPLIANCE Outdoor Lighting Project Name: La Quinta Resort & Club - Marketplace Date Prepared: 1/23/2019 iMMISSION NRCC-LTO-01-E (Page 1 of 4) B. Lighting Compliance Documents (check box for each document included) of - 004C For detailed instructions on the use of this and all Energy Efficiency Standards compliance- AdhAnil, rWF0 t n published by the California Energy Commission. BUILDING DIVISION ❑✓ NRCC-LTO-01-E Certificate of Compliance REVIEWED FOR ❑ NRCC-LTO-02-E Outdoor Lighting Controls Certificate of Compli, iince ❑✓ NRCC-LTO-03-E Outdoor Lighting Power Allowance Certificate if CompliancriOMPtIANCE ❑ NRCC-LTO-04-E Outdoor Lighting Existing Conditions Certificate of. Compliapft _/ .t , C. Summary of Allowed Outdoor Lighting Power Watts Sum Total ALLOWED Outdoor Lighting Wattage from NRCC-LTO-03-E, page 1 01 655.37 Alterations with NO increase of connected lighting load may instead use the allowed wattage from NRCC-LTO-04, a e 2. Complies ONLY if Installed (Box 02) <_ Allowed (Box 01) 02 Sum Total INSTALLED Outdoor Lighting Wattage from NRCC-LTO-01-E, page 3. 96.5 D. Declaration of Required Installation Certificates Declare by checking all Installation Certificates that will be submitted. (Retain copies and verify compliance documents are completed and signed.) ❑ NRCI-LTO-01-E - Must be submitted for all buildings ❑ Field Inspector ❑ NRCI-LTO-02-E - Must be submitted for a lighting control system, or for an Energy Management Control System (EMCS), to be recognized for compliance. Field Inspector E. Declaration of Required Certificates of Acceptance Declare by checking all of the Certificates of Acceptance that will be submitted. (Retain copies and verify compliance documents are completed and signed.) ❑ NRCA-LTO-02-A • Must be submitted for outdoor lighting controls. 1 ❑ Field -Inspector.. F. Schedule of Luminaires Exempt from the Outdoor Lighting Power Requirements in §140.7 01 02 Name or Symbol Description of exempt luminaire in accordance with the exemption_ _ ; CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April STATE OF CALIFORNIA OUTDOOR LIGHTING CEC-NRCC-LTO-01-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE Outdoor Lighting Project Name: La Quinta Resort & Club - Marketplace f Date Prepared:1/23/2019 NRCC-LTO-01-E (Page 2 of CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OUTDOOR OF CALIFORNIA LIGHTING CEC-NRCC-LTO.01-E (Revised 04116 CALIFORMA le ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTO-01-E Outdoor Lighting (Page 3 of 4) Project Name: La Quinta Resort & Club - Marketplace Date Prepared: 1/23/2019 I. Outdoor Lighting Schedule and Field Inspection Energy Checklist Field Luminaire Schedule Installed Watts Location Cutoff Inspector 01 02 03 04 05 06 07 08 09 How wattage was determined v Primary Function area in Name or Complete Luminaire Description v ° o o which these luminaires are Item Tag a, v a .� a .� N installed BUG Rating a LL E z o o E (Outdoor Lighting Zone) ra UE U m — ro m LU U Q w+ Z CF1 PEDESTRIAN UH: U L: 4.5 ❑✓ ❑ 9 40.5 FVH: O O BVH: FH: i BH: CW1 I PEDESTRIAN UH: U L: 3.5 ❑✓ ❑ 16 56 FVH: O BVH: FH: BH: UH: U L: 0 ❑ 0 FVH: O O BVH: FH: BH: Enter sum total of all pages (Sum Total INSTALLED WATTS PAGE TOTAL: 96.5 INSTALLED Outdoor lighting wattage) into 96.5 NRCC-LTO-01-E; Page 1 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA OUTDOOR LIGHTING F [i .1'�l CEC-NRCC-LTO.01-E Revised 04/16) CALIFORNIA ENERGY COMM(SSION-4410p" CERTIFICATE OF COMPLIANCE NRCC-LTO-01-E Outdoor Lighting (Page 4 of 4) Project Name: La Quinta Resort & Club - Marketplace Date Prepared: 1/23/2019 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Michael Culver Documentation Author Sign Company: Exp U.S. Services Inc. Signature Date: 1/ 23/2019 Address: 2601 Westhall Lane CEA Certification Identification (if applicable): City/State/Zip: Maitland, Florida 32751 Phone: 407-660-0088 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. I will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance Is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Michael Culver + Responsible Designer 5fgna[ure: Company: Exp U.S. Services Inc. Date Signed: / / 1 23 2019 Address: 2601 Westhall Lane License: E20802 City/State/Zip: Maitland, Florida 32751 Phone: 407-660-0088 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA OUTDOOR LIGHTING POWER ALLOWANCES CEC-NRCC-LTO-03-E (Revised 01/16) CERTIFICATE OF COMPLIANCE Outdoor Lighting Power Allowances Project Name: La Quinta Resort & Club - Marketplace Date Prepared: 1/23/2019 A. OUTDOOR LIGHTING POWER ALLOWANCE SUMMARY 1. General Hardscape Lighting Power Allowance (Site Total from Section B of NRCC-LTO-03-E) 2. Additional Specific "use it or lose it" Lighting Power Allowances listed in each of these cells shall be identical to total allowed watts determined in Section C-1 to C-4 of NRCC-LTO-03-E. PER APPLICATION PER UNIT LENGTH PER HARDSCAPE AREA PER SPECIFIC AREA from Section C-1 (SALES FRONTAGE) (ORNAMENTAL LIGHTING) from Section C-4. from Section C-2 from Section C-3 0 + 0 + 0 1 + 0 3. Sum Total ALLOWED Outdoor Lighting Wattage (add rows 1 and 2) B. GENERAL HARDSCAPE LIGHTING POWER ALLOWANCE FROM TABLE 140.7-A Area Wattage Allowance (AWA) Linear Wattage Allowance (LWA) 01 02 03 04 05 06 07 Name of Area Illuminated AWA Per AWA (1302 x 803) Perimeter Length of LPA per LWA Hardscape Area Square Foot General Hardscape Linear Foot (1305 x B06) PEDESTRIAN 1870.5 0.04 74.82 173 INTERWEST MISSION NRCC-LTO-03-E (Page 1 of 4) 2 s ?BAR 2010 T - T 11 ij p i i l�,ui i` i nNSULTIING G-kouP = 2. 0 3. 655.37 Initial Wattage Total General Hardscape Allowance (IWA) Lighting Allowance 08 09 IWA (Watts) B04 + 1307 + B08 520 655.37 0 0 0 0 0 0 0 0 0 0 am 0 0 0 1' 0 0 TOTAL 655.3 - if CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance STATE OF CALIFORNIA OUTDOOR LIGHTING POWER ALLOWANCES "a CEC-NRCC-LTO-03-E Revised OV16 CALIFORNIA ENERGY COMMISSION -4opr- CERTIFICATE OF COMPLIANCE NRCC-LTO-03-E Outdoor Lighting Power Allowances (Page 2 of 4) Project Name: La Quinta Resort & Club - Marketplace Date Prepared:1/23/2019 C. ADDITIONAL "USE IT OR LOSE IT" OUTDOOR LIGHTING POWER ALLOWANCES FOR SPECIFIC APPLICATIONS ❑ The additional specific outdoor lighting power allowance shall be the smaller of the allowed lighting power or the actual lighting power used. ❑ Use Outdoor Lighting Zone (OLZ) that is documented on page 1 of NRCC-LTO-01-E to calculate the specific wattage allowances. C-1. WATTAGE ALLOWANCE PER APPLICATION — Table 140.7-113 ❑ Available only for qualifying locations, which include Building Entrances or Exits; Primary Entrances to Senior Care Facilities, Police Stations, Hospitals, Fire Stations, and Emergency Vehicle Facilities; Drive Up Windows; Vehicle Service Station Uncovered Fuel Dispenser, ATM Machine Lighting ❑ If more than one luminaire type is used per location, use multiple rows for that location 01 02 03 04 05 06 07 08 09 10 ALLOTTED WATTS DESIGN WATTS Wattage Name of Location Number of Allowance per Allotted Luminaire Allowed Watts for Which Allowance Qualifying Qualifying Watts Code or Luminaire Watts per Design Watts (smaller of 04 or is Claimed Locations Location (02 x 03) Symbol Luminaire Description Quantity Luminaire (07 x 08) 09) 0 0 0 i J 0 0 0 0 0 Sum total allowance per application on this site: 0 C-2. WATTAGE ALLOWANCE PER UNIT LENGTH (Sales Frontage) from Table 140.7-B ❑ If more than one luminaire type is used per location, use multiple rows for that location 01 02 03 04 05 06 07 08 09 10 ALLOTTED WATTS DESIGN WATTS Name of Location for Which Allowance is Claimed Linear Feet of Sales Frontage Wattage Allowance per Linear Foot Allotted Watts (02 x 03) Luminaire Code or Symbol Luminaire Description Luminaire Quantity Watts per Luminaire Design Watts (07 x 08) Allowed Watts (smaller of 04 or 09} I [ 0 0 0 0 0 0 ! 0 1 0 Sum total allowance for sales frontage on the site:. 0 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA OUTDOOR LIGHTING POWER ALLOWANCES CEC-NRCC-LTO-03-E Revised Dili& CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTO-03-E Outdoor Lighting Power Allowances (Page 3 of 4) Project Name: La Quinta Resort & Club - Marketplace Date Prepared:1/23/2019 C-3. WATTAGE ALLOWANCE PER SQUARE FOOT OF HARDSCAPE AREA (Ornamental Lighting) — Table 140.7-B - Allowance for the total site illuminated hardscape area. Luminaires qualifying for this allowance shall be rated for 100 watts or less as determined in accordance with Section 130.0(c), and shall be post -top luminaires, lanterns, pendant luminaires, or chandeliers. - If more than one luminaire type is used per location, use multiple rows for that location 01 02 03 04 05 06 07 08 09 10 ALLOTTED WATTS DESIGN WATTS Name of area for which Wattage Allotted Luminaire ornamental allowance is Square Feet of Allowance per Watts Code or Luminaire Watts per Design Watts Allowed Watts claimed Hardscape Square Foot (02 x 03) Symbol Luminaire Description Quantity Luminaire (07 x 08) (smaller of 04 or 09) 0 0 0 0 0 I 0 0 0 Sum total allowance for ornamental lighting on the site% 0 C-4. WATTAGE ALLOWANCE PER SQUARE FOOT OF SPECIFIC AREA - Table 140.7-B - Allowances for Building Facades; Outdoor Sales Lots; Vehicle Service Station Hardscape; Vehicle Service Station Canopies; Sales Canopies; Non -sales Canopies; Tunnels; Guard Stations; Student Pick-up/Drop-off zone: Outdoor Dining; Special Security Lighting for Retail Parking and Pedestrian Hardscape. - If more than one luminaire type is used per location, use multiple rows for that location 01 02 03 04 05 06 07 08 09 10 ALLOTTED WATTS DESIGN WATTS Name of Location Wattage Allotted Luminaire for Which Allowance Illuminated Area Allowance per Watts Code or Allowed Watts P Luminaire Watts per Design Watts is Claimed of Application Square Foot ) (smaller of 04 or 09) pp q (02 x 03) Symbol Luminaire Description Quantity Luminaire (07 x 08 0 0 0 0 0 0 0 0 Sum total allowance for specific area on the site. 0 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA OUTDOOR LIGHTING POWER ALLOWANCES W; CEC-NRCC-LTO.03-E Revised 01/16) CALIFORNIA ENERGY COMMISSION -41=P- CERTIFICATE OF COMPLIANCE NRCC-LTO-03-E Outdoor Lighting Power Allowances (Page 4 of 4) Project Name` La Quinta Resort & Club - Marketplace Date Prepared` 1 /23/2019 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Michael Culver Documentation Author Sign Company: Exp U.S. Services Inc. Signature Date: — v `� � �/ 1/23/2019 Address: 2601 Westhall Lane CEA Certification Identification (if applicable): City/State/Zip: Maitland, Florida 32751 Phone:407-660-0088 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 Michael Culver Responsible Designer SigntrM Company Exp U.S. Services Inc. Date Signed:1/23/2019 Address:2601 Westhall Lane License: E20802 City/State/Zip: Maitland, Florida 32751 Phone: 407-660-0088 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA WATER HEATING SYSTEM GENERAL INFORMATION CEC-NRCC-PLB-01-E (Revised 01/16) CALIFORNIA ENERGY CO CERTIFICATE OF COMPLIANCE NRCC-PLB-01-E Water Heating System General Information rroJect Name: La Quinta Resort and Club Remodel Date Prepared: 01-28-20 1 9 (Page 1 of 2) A. GENERAL INFORMATION/SYSTEM INFORMATION 01 Water Heater System Name: Domestic Hot Water 02 Water Heater System Configuration: Central System 03 Water Heater System Type: Domestic Hot Water MAR 2 04 Building Type: Nonresidential LF,1 05 Total Number of Water Heaters in Systems: 1 ONSULI ING G 06 Central DHW Distribution Type: Demand Recirculation 07 Dwelling Unit DHW Distribution Type: Standard Distribution System (STD) B. WATER HEATER INFORMATION Each water heater type requires a separate compliance document. 01 Water Heater Type: Small Storage - Gas 02 Fuel Type: Gas 03 Manufacture Name: BRADFORD WHITE 04 Model Number: EF-60T-125E-3N BUILDING DIVIS ON 05 Number of Identical Water Heaters: 1 R .. 06 Installed Water Heater System Efficiency: 99.1% COD 07 Required Minimum Efficiency: 92% COMPLIANCE 08 Standby Loss Percent or Standby Loss Total: 1.2%/Hr 125,000 BTUH 09 Rated Input: 10 Pilot Energy: N/A 11 Water Heater Tank Storage Volume: 60 12 Exterior Insulation on Water Heater: Rigid Polyurethane Foam 13 Volume of Supplemental Storage: N/A 14 Internal Insulation on Supplemental Storage: N/A �'19 15 Exterior Insulation on Supplemental Storage: N/A 11C. PLUMBING COMPLIANCE FORMS $ WORKSHEETS sv\ Check box if worksheet is included. Go For detailed instructions on the use of this and all Energy Standards compliance documents, refer to the 2016 Nonresidential Manual Note: The Enforcement Agency may require all compliance documents to be incorporated onto the building plans. YES NO Doc/Worksheet # Title O O NRCC-PLB-01-E Certificate of Compliance, Declaration. Required on plans for all submittals. O (F) NRCI-PLB-01-E Certificate of Installation. Required on plans for all submittals. O NRCI-PLB-02-E Certificate of Installation, required on central systems in high-rise residential, hotel/motel application. NRCI-PLB-03-E Certificate of Installation, required on single dwelling unit systems in high-rise residential, hotel/motel application. NRCI-PLB-21-H Certificate of Installation, required on HERS verified central systems in high-rise residential, hotel/motel application. O NRCI-PLB-22-H Certificate of Installation, required on HERS verified single dwelling unit "systei'ns-In high- rise residential, hotel/motel application. O 1 NRCI-STH-01-E Certificate of Installation, required on any solar water heatin CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance Janua STATE OF CALIFORNIA WATER HEATING SYSTEM GENERAL INFORMATION CEC-NRCC-PLB-01-E (Revised 01/16) CERTIFICATE OF COMPLIANCE Z COMMISSION N RCC-PLB-01-E Water Heating System General Information Project Name: La Quinta Resort and Club Remodel Date Prepared: 01-28-2019 (Page 2 of 2) DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Todd Sorbo Documentation Author Signature: Company: exp U.S. Services Inc. Signature Date: 01-28-2019 Address: 5670 Oberlin Drive CEA/ HERS Certification Identification (if applicable): City/State/Zip: San Diego, CA 92121 Phone: 858-597-0555 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: Todd Sorbo Responsible Designer Signature: Company : exp U.S. Services Inc. Date Signed: 01-28-2019 Address:5670 Oberlin Drive License: city/state/zip: San Diego, CA 92121 Phone:858-597-0555 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE 0 CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E Certificate of Compliance - Indoor Lighting Power Allowance (Page 1 of 4) Project Name. La Quinta Resort & Club - Marketplace Date Prepared: 1/23/2019 A separate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for: UI ❑✓ CONDITIONED spaces ❑ UNCONDITIONED spaces BUILDING DIVISION A. SUMMARY TOTALS OF LIGHTING POWER ALLOWANCES III ill cnnF 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 allowed building watts COMPLIANCE only thp to al in column (b) as the total DDT— * BY �01 (a) (b) Complete Building Method Allowed Watts. Documented in section B of NRCC-LTI-03-E (below on this page) 0 02 Area Category Method Allowed Watts. Documented in section C-1 of NRCC-LTI-03-E (below on this page) 1416 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 0 1416 ❑ Check here if building contains both conditioned and unconditioned areas. B. COMPLETE BUILDING METHOD LIGHTING POWER ALLOWANCE 01 02 03 04 TYPE OF BUILDING (From §140.6 Table 140.6-B) WATTS PER ftz X COMPLETE BLDG. AREA _ ALLOWED WATTS 0 Total Area: Total Watts. Enter Total Watts into section A, row 1 (Above on this page) 0 C -1 AREA CATEGORY METHOD TOTAL LIGHTING POWER ALLOWANCES Watts Total from section C-2. 1416 Total from section C-3. Total Watts. Enter Total Watts into section A, row 2 (Above on this page)..-, 1416 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. VIL:: U MAR 2 7 2019 IMTERWECT RECEIVED101-Z MAR 21 2019 IINTERWEST MAR 2 0 2019 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance A ril 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 Project Name` La Quinta Resort & Club - Marketplace A separate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for: ❑✓ CONDITIONED spaces ❑ UNCONDITIONED spaces Date Prepared: 1/23/2019 AISSJON N RCC-LTI-03-E (Page 2 of 4) CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE CEC-NRCC-LTI-03-E (Revised 04116) CERTIFICATE OF COMPLIANCE Certificate of Compliance - Indoor Lighting Power Allowance Project Name. La Quinta Resort & Club - Marketplace Date Prepared: 1/23/2019 A separate page must be filled out for Conditioned and Unconditioned Spaces. This page is only for: ❑✓ CONDITIONED spaces ❑ UNCONDITIONED spaces AREA CATEGORY METHOD ADDITIONAL LIGHTING WATTAGE ALLOWANCE (from Table 140.6-C Footnotes) 01 11 02 11 031 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 0 Description(s) and Quantity of Special Luminaire Types in each Primary Function Area 0ISSION "dy�`" N RCC-LTI-03-E (Page 3 of 4) 06 07 ALLOWED WATTS Total Design Smaller of Watts 3 04 or 06 TOTALS —Enter into TOTAL AREA CATEGORY METHOD ADDITIONAL ALLOWANCES —Section C-1 .I 1. 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 no CEC-NRCC-LTI-03-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-03-E Certificate of Compliance - Indoor Lighting Power Allowance (Page 4 of 4) Project Name: La Quinta Resort & Club - Marketplace Date Prepared:1/23/2019 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Michael Culver Documentation Author Sign Company: exp U.S. Services Inc. Signature Date: / / 1 23 2019 Address: 2601 Westhall Lane CEA Certification Identification (if applicable): City/State/Zip: Maitland, Florida 32751 Phone: 407-660-0088 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: Michael Culver Responsible Designer Si r Company: exp U.S. Services Inc. r w Date Signed: 1/23/2019 Address:2601 Westhall Lane License: E20802 City/State/Zip: Maitland, Florida 32751 Phone: 407-660-0088 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: La Quinta Resort & Club - Marketplace Date Prepared:1/23/2019 H N RCC-LTI-01-E (Page 1 of 6) B. Lighting Compliance Documents (select yes for each document included) For detailed instructions on the use of this and all Energy Efficiency Standards compliance documents, refer to the Nonresidential Manual published by the California Energy Commission. YES NO COMP. DOC. TITLE B NRCC-LTI-01-E Certificate of Compliance. All Pages required on plans for all submittals. O 0 NRCC-LTI-02-E Lighting Controls, Certificate of Compliance, and PAF Calculation. All Pages required on plans for all submittals. 0 O NRCC-LTI-03-E Indoor Lighting Power Allowance O Q NRCC-LTI-04-E Tailored Method Worksheets Q NRCC-LTI-05-E Line Voltage Track Lighting Worksheets © 0 NRCC-LTI-06-E Indoor Lighting Existing Conditions RENEWED r F ! A QUINTA DING DIVISION VIEWED FOR CODE COMPLIANCE QATE 05�;BY MAR 2 7 2019 I N e E R;r�,r' S RECEIVED PC-t0NSULTi�vG GROUP MAR 2 12019 1NTERWEST MAR 2 Q 2019 CONSULTING GROUP - - CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA INDOOR LIGHTING 1it !! CEC-NRCC-LTI-01-E {Revised 04116) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 2 of 6) Project Name: La Quinta Resort & Club - Marketplace Date Prepared:1/23/2019 C. Summary of Allowed Lighting Power Conditioned and Unconditioned space Lighting must not be combined for compliance Indoor Lighting Power for Conditioned Spaces Indoor Lighting Power for Unconditioned Spaces Watts Watts Installed Lighting Installed Lighting 01 NRCC-LTI-01-E, Table H, page 5 + 400 NRCC-LTI-01-E. Table H, page 5 1 + 02 Portable Only for Offices NRCC-LTI-01-E, Table G, page 4 + 03 Minus Lighting Control Credits Minus Lighting Control Credits NRCC-LTI-02-E, page 2 NRCC-LTI-02-E, page 2 04 Adjusted Installed Lighting Power 400 Adjusted Installed Lighting Power (row 1 plus row 2 minus row 3) (row 1 minus row 3) _ 0 Complies ONLY if Installed <_ Allowed (Box 04 < Box 05) Complies ONLY if Installed <_ Allowed (Box 04 < Box 05) Allowed Lighting Power Allowed Lighting Power Conditioned NRCC-LTI-03-E, page 1 Unconditioned NRCC-LTI-03-E, page 1 05 Alterations with replacement luminaires that have at least 1416 Alterations with replacement luminaires that have at least 50/35%lower power compared to the original existing luminaires, 50/35% lower power compared to the original existing luminaires, may instead use the allowed wattage from NRCC-LTI-06, page 2 may instead use the allowed wattage from NRCC-LTI-06, page 2 D. Declaration of Required Certificates of Installation Declare by selecting yes for all of the Certificates that will be submitted. (Retain copies and verify forms are completed and signed.) YES NO Form/Title 0 O NRCI-LTI-01-E - Must be submitted for all buildings ❑ Field Inspector O O NRCI-LTI-02-E - Must be submitted for a lighting control system, or for an Energy Management Control System (EMCS), to be recognized for compliance. ❑Field Inspector O O NRCI-LTI-03-E - Must be submitted for a line -voltage track lighting integral current limiter, or for a supplementary overcurrent protection panel used to energize only line -voltage track lighting, to be recognized for compliance. ❑Field Inspector 0 NRCI-LTI-04-E - Must be submitted for two interlocked systems serving an auditorium, a convention center, a conference room, a multipurpose room, or a theater to be recognized for compliance. ❑Field Inspector O NRCI-LTI-05-E - Must be submitted for a Power Adjustment Factor (PAF) to be recognized for compliance. ❑ Field Inspector O O NRCI-LTI-06-E - Must be submitted for additional wattage installed in a video conferencing studio to be recognized for compliance. ❑ Field Inspector CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-01-E (Revised 04/16y CERTIFICATE OF COMPLIANCE Indoor Lighting Project Name: La Quinta Resort & Club - Marketplace Date Prepared:1/23/2019 A Separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces. Installed Lighting Power listed on this Lighting Schedule is only for: ❑ CONDITIONED SPACE ❑ UNCONDITIONED SPACE F. Indoor Lighting Schedule and Field Inspection Energy Checklist R N RCC-LTI-01-E (Page 3 of 6) ❑ The actual indoor lighting power listed on the next 2 pages includes all installed permanent and planned portable lighting systems. ❑ When Complete Building Method is used for compliance, list each different type of luminaire on separate lines. ❑ When Area Category Method or Tailored Method is used for compliance, list each different type of luminaire by each different function area on separate lines Also include track lighting in schedule, and submit the track lighting compliance document (NRCC-LTI-05-E) when line -voltage track lighting is installed. CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA INDOOR LIGHTING it 17 it CEC-NRCC-LTI-01-E (ReWsed 04/16) CALIFORNIA ENERGY COMMISSION -� CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 4 of 6) Project Name: La Quinta Resort & Club - Marketplace Date Prepared:1/23/2019 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 Installed If G06 5 0.3, Z portable o v+ Watts enter Identify Office area in Complete Luminaire Description 3 crCD °' � luminaire watts in ? a O per square zero; (G05 x G07) which these portable _ (i.e., LED, under cabinet, furniture mounted Watts per �• o T 0— this office ro ; foot If G06 > 0.3, luminaires are installed direct/indirect) Luminaire (G02 x G03) (G04 / G05 (G06-0.3) 0 0 O O 0 0 O O 0 0 O O 0 0 O O 0 0 ® 0 Enter sum total of all pages into NRCC-LTI- Total installed portable luminaire watts that are greater than 0.3 W/ftz per office: 01-E; Page 2 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA INDOOR LIGHTING (: 1. CEC-NRCC-LTI-01-E ;.11evised 04/16) CALIFORNIA ENERGY COMMISSION —400"' CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 5 of 6) Project Name: La Quinta Resort & Club - Marketplace Date Prepared:1/23/2019 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 Installed Watts Location Field Inspector 1 01 02 03 04 05 06 07 08 How wattage was determined fO v v `o c° Complete Luminaire Description a a o c ,, y i 111 _ _ v E E (i.e, 3 lamp fluorescent troffer, u c r 'E v z o E v o o m c E 'j — x o = Primary Function area in which Z " F32T8, one dimmable electronic ballast) J u -- a o, z J -- these luminaires are installed Pass Fail D11a 20 ❑✓ ❑ 11 220 Kitchen Q p D11b 20 ❑✓ ❑ 9 180 Kitchen Q p ❑ ❑ D O O ❑ ❑ 0 0 ❑ ❑ 0 O O ❑ ❑ 0 O O ❑ ❑ 0 O O ❑ ❑ 0 O O ❑ ❑ 0 O O INSTALLED WATTS PAGE TOTAL: Enter sum total of all pages into 400 400 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 04116) CALIFORNIA ENERGY COMMISSION -qIIPF' CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 6 of 6) Project Name: La Quinta Resort & Club - Marketplace Date Prepared:1/23/2019 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Compliance documentation is accurate and complete.10 Documentation Author Name: Michael Culver Documentation Author Sig :% VCompany: exp U.S. Services Inc. Signature Date: / / 1 23 2019 Address: 2601 Westhall Lane CEA Certification Identification (if applicable): City/state/zip: Maitland, Florida 32751 phone: 407-660-0088 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: Michael Culver Responsible Designer Sign u Company = exp U.S. Services Inc. Date Signed: / / 1 23 2019 Address:2601 Westhall Lane License: E20802 City/state/zip: Maitland, Florida 32751 Phone: 407-660-0088 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA ENVELOPE COMPONENT APPROACH CEC•NRCC-ENV-01-E Reyisred 01116 CERTIFICATE OF COMPLIANCE EiEVIEWED Envelope Component Approach prujeel Name: La Quinta Resort & Club - Marketplace MAR 2 7 2019 Date Prepared:03/15/2019 N RCC-ENV-01-E Page of A iNTEI;}•� u u �f ❑✓ 01 Project Location: La Quinta, CA 06 Compliance Method: Component _ ❑ Unconditioned (file Affidavit) 02 CA City and Zip Code: La Quinta 92253 ilding Front Orientation: East V I U New Construction 03 Climate Zone: 15 B:R&kEY1EWFn NG DIVIS Phase of Construction: ❑ Additions ODE o I"IIIiucIUa 04 Total Conditioned Floor Area: 1,343 sf LIQNCi 09 Building Occupancy: ❑ High Rise Residential i Hotel/Motel Guest Room 05 Building Type: ❑ Schools (Pub c�l) Relablable PuWi&School Iluilding ❑✓ Conditioned Spaces ❑ Unconditioned Spaces ❑ Skylight Area or rge E�a k d, include the NRCC-ENV-04-E with submittal) B. ENVELOPE DETAILS - FRAMED 01 02 1 03 04 05 06 07 08 09 10 11 Continuous Appendix JA4 Required Frame Frame Frame Cavity Insulation Reference Proposed U-Factor from Tables Field Inspection Tag/ID Assembly Type Material Depth Spacing R-value R-value Table U-Factor 140.3-13, C, or D Comments W-CP-1 Wall Wood 3.5" 16" R13 6 .053 .042 Existing Wall System I Add Row Remove Las# C. ENVELOPE DETAILS - NON -FRAMED 01 02 03 04 05 6 07 08 09 10 Interior or Core Continuous Appendix JA4 Assembly Thickness Insulation Insulation Reference Proposed Required U-Factor from Field Inspection Tag/ID Assembly Type Materials (inches) R-Value R-Value Table a .uVLecPrTables 140.3-13, C, or D Comments n/a e-A,- --.- -, - Add Raw Remove Last MAR RWEST MAR 2 0 2019 D. ENVELOPE DETAILS - MASS C.QNSULTING GF1 01 02 03 ' 04 05 06 07 08 09 10 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA ENVELOPE COMPONENT APPROACH CEC-NRCC-F-NV-01-E Revised 0111.E CERTIFICATE OF COMPLIANCE Envelope Component Approach Project Name` La Quinta Resort & Club - Marketplace Date wepared:03/15/2019 N RCC-ENV-01-E of Appendix JA4� Mass Furring Strip Interior Exterior Reference FRequired LI-Factor Mass Density Thickness Thickness Insulation Insulation Table Cell Proposed from Tables 140.3-B, Field Inspection Tag/ID Type (Ib/ft') (inches) (inches) R-Value R-Value LI-Factor C, or D Comments i Add Row Remove Last FE. ROOFING PRODUCTS (COOL ROOF) 01 02 03 04 05 06 07 08 1 09 10 11 Proposed Minimum Required Mass Roof 25 Ib/ft' CRRC Product Aged Solar Thermal SRI Z Aged Solar Thermal SRI or Greater Roof Pitch ID Number Product Type Reflectance, Emittance (Optional) Reflectance Emittance (Optional) Comments _ J. Add Row Remove La An aged solar reflectance less than 0.63 is allowed provided the maximum roof/ceiling Ll-factor in TABLE 140.3 is not exceeded - High-rise residential buildings and Hotels and Motels with low -sloped roofs in Climate Zones 1 through 8, 12, and 16 are exempted from aged S Reflectance and thermal emittance requirements - High-rise residential and Hotels/Motels with steep -sloped roofs in Climate Zones 1 and 16 are exempt from aged Solar Reflectance and thermal emittance requirements The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempt from aged Solar Refle nd thermal emittance requirements - To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in §110.8(i)4. Select the applicable coating: Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other Check the box if the aged Solar Reflectance was not available in the Cool Roof Council's Rated Product Directory, then use the equation in Section 110.8(i)2: paged= 0.2 + e(prni1ia1-01)..bt—n 1, 1.led.geds.I.r ,,,,,, .r- K,,_p1rijti 1 is the Initial Solar Reflectance found in the directory and 6 is either 0.65 for Field applied coatings or 0.70 for all other roofing products other than Field -Applied Coating. Calculate the SRI Value by using the SRI-Worksheet and enter the resulting value in the SRI column above and attach a copy of the SRI-Worksheet (NRCC-ENV-03-E) to this compliance document. CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA ENVELOPE COMPONENT APPROACH CEC-NRCC-ENV-01-E Revised 01116 CERTIFICATE OF COMPLIANCE Envelope Component Approach Project Name: La Quinta Resort & Club - Marketplace H. ENVELOPE MANDATORY MEASURES Indicate location on building plans of Mandatory Envelope Measures Note Block: INSTRUCTIONS TO APPLICANT ENVELOPE COMPLIANCE & WORKSHEETS (check box if worksheet are included) Date Prepared:03/15/2019 For detailed instructions on the use of this and all Energy Efficiency Standards compliance documents, please refer to the Energy Commission website. 0 NRCC-ENV-01-E Certificate of Compliance. Required on plans for all submittals. Q NRCC-ENV-04-E RGY Use when minimum skylight requirements for large enclosed spaces are required in climate zones 2 through 15. Optional on plans. NRCC-ENV-01-E of CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA ENVELOPE COMPONENT APPROACH CERTIFICATE OF COMPLIANCE Envelope Component Approach Project Name` La Quinta Resort & Club - Marketplace Date Prepared:03/15/2019 COMMISSION 'yam N RCC-ENV-01-E Page of DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Andrew Judd Documentation Author Signature: &—Yzo�� Company: Cuningham Group Architecture, Inc. Signature Date: 03/11/2019 Address:201 Main St SE, Suite 325 CEA/ HERS Certification Identification (if applicable): City/State/Zip: Phone: Minneapolis, MN 55414 612-379-3400 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 Signed: Address: License: City/State/Zip: Phone: CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016