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BCOM2019-0045
Tw!t Olt 78-495 CALLE TAMPICO UfilJ LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: BUILDING COMMERCIAL/REMODEL Application Number: BCOM2019-0045 Property Address: 49499 EISENHOWER DR APN: 658190011 Application Description: LA QUINTA RESORT / 2,801SF RETAIL SPACE TENANT IMPROVEMENT Property Zoning: Application Valuation: $390,000.00 Applicant: TSAKI DEMIRDJIAN - WEST COAST PERMITS 4410 TEMECULA ST. # 5 SAN DIEGO, CA 92107 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License CEas ' S" A -_License No.: 7�y Date: �!`? ■/] 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 Lender's Addres VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/19/2019 Owner: BRIE ICONIC LQR OWNER LLC 49499 EISENHOWER DRIVE LA QUINTA, CA 92253 Contractor: ORR BUILDERS 39-301 BADGER STREET STE 300 PALM DESERT, CA 92211 (760)360-6632 Llc. No.: 693077 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the for which this permit is issued. 1 Ff5ve 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: STATE COMPLN5AM14Policy 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 complywith Pose provisions. .y Date: J l Applicarl 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 ofthis 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 rater upon the above - mentioned oppe+rry f�orr inspection purposes. Date: ` ! Signature (Applicant or n DESCRIPTION ACCOUNT QTY AMOUNT ART IN PUBLIC PLACES - COMMERCIAL REMOD 270-0000-43201 0 $1,450.00 Total Paid for ART IN PUBLIC PLACES - AIPP: $1,450.00 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $16.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $16.00 DESCRIPTION ACCOUNT QTY AMOUNT NON-RESIDENTIAL, EA ADDITION 2,000SF 101-0000-42403 0 $40.02 DESCRIPTION ACCOUNT QTY AMOUNT NON-RESIDENTIAL, EA ADDITION 2,000SF, PC 101-0000-42600 0 $10.67 DESCRIPTION ACCOUNT QTY AMOUNT NON-RESIDENTIAL, FIRST 2,000SF 101-0000-42403 0 $120.07 DESCRIPTION ACCOUNT QTY AMOUNT NON-RESIDENTIAL, FIRST 2,000SF, PC 101-0000-42600 0 $92.86 Total Paid for ELECTRICAL - NEW CONSTRUCTION 2018: $263.62 DESCRIPTION ACCOUNT QTY AMOUNT FIRE COMMERCIALTI 101-0000-42421 0 $160.00 DESCRIPTION ACCOUNT QTY AMOUNT FIRE COMMERCIAL TI PC 101-0000-42420 0 $240.00 Total Paid for FIRE FEES: $400.00 DESCRIPTION ACCOUNT QTY AMOUNT OTHER MECHANICAL EQUIPMENT 101-0000-42402 0 $40.02 DESCRIPTION ACCOUNT QTY AMOUNT OTHER MECHANICAL EQUIPMENT PC 101-0000-42600 0 $40.02 imai ra10 Tor IVICI.nANII.AL LU16: aaUX4 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 101-0000-42600 ($21.00) DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 0 $21.00 Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $0.00 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $144.06 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $115.26 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 100 SF 101-0000-42400 0 $54.43 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 1 0 $148.89 Total Paid for REMODEL 2018: $462.64 DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($99.00) DESCRIPTION ACCOUNT CITY AMOUNT SMI - COMMERCIAL 101-0000-20308 0 $99.00 DESCRIPTION ACCOUNT CITY AMOUNT SMI - COMMERCIAL 101-0000-20308 0 $55.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $55.00 DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($5.00) DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $0.00 TOTALS: t(V QWkt(V (..AI.IFOKINIA PERMIT # BCOM2019-045 PLAN LOCATION: 49-499 Eisenhower Dr. Project Address: La Quinta. CA 92253 Project Description: p RE-JMODEL EXISTING P.ETAIL VENUES ALTERATION: CITY REVIEW COMMENTS APN #: 658190011 Applicant Name: Andrew Judd Address: 201 Main St. Suite 325 City, ST, Zip: Minneapolis, MN 55414 Telephone: 952-367-6414 Email: ajudd@cuningham.com Valuation of Project $ 390.000 Contractor Name: Orr Builders l New SFD Construction: Address: 39-301 Badger Street, Suite 300 Conditioned Space SF City, St, Zip Palm Desert, CA 92211 Garage SF Telephone: (760) 360-6632 Patio/Porch SF Email: svance@orrbuilders.com Fire Sprinklers SF State Lic: City Bus Lic: Architect/Engineer Name: Cuningham Group Construction Occupancy: M Address: 201 Main St. Suite 325 Grading: City, St, zip Minneapolis, MN 55414 Telephone: 952-367-6414 Bedrooms: n/a Stories: 1 # Units: n/a Email: ajudd@cuningham.com State Lic; City Bus Lic: Property Owner's Name:La Quinta Resort & Clu )New Commercial / Tenant Improvements: Address: 49-499 Eisenhower Dr. Total Building 2.801 SF City, ST, Zip La Quinta, CA 92253 Construction Type: VA Occupancy: M Telephone: Email: 78495 CALLE TAM PICO LA QUINTA, CA 92253 760-777-7000 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE CEC-NRCC-LTI-03-E Revised 0d118 CERTIFICATE OF COMPLIANCE Certificate of Compliance - Indoor Lighting Power Allowance Project Name: La Quinta Resort & Club - Marketplace [As�eparate page must be filled out for Conditionedand Unconditioned Spaces. Thispage is only for: TIONED spaces ❑ UNCONDITIONED spaces ENERGY COMMISSION Is NRCC-LTI-03-E (Page 1 of 4) Date Prepared:7/30/2019 BUILDING DIVISION A. SUMMARY TOTALS OF LIGHTING POWER ALLOWANCES d CODE If using Complete Building Method for compliance, use only the total in column (a) as total allowed building watts. COMPLIANUt If using Area Category Method, Tailored Method, or a combination of Area Category and Tailored Method for complian e, use only t total in column b as the to allowed building wattsi7A i �Blr (a) (b) 01 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) 620 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 ❑ Check here if building contains both conditioned and unconditioned areas. B. COMPLETE BUILDING METHOD LIGHTING POWER ALLOWANCE 01 TYPE OF BUILDING (From §140.6 Table 140.6-13 C -1 AREA CATEGORY METHOD TOTAL LIGHTING POWER ALLOWANCES 02 03 WATTS X COMPLETE PER ftZ BLDG. AREA Total Area: Total Watts. Enter Total Watts into section A, row 1 (Above on this page) Total from section C-2. Total from section C-3. Total Watts. Enter Total Watts into section A, row 2 (Above on this page) For Alterations Only— Reduced lighting power option (Total Allowed Watts x 0.85). Enter this value into section A, r#mq 11.9 kWI CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance 620 04 = I ALLOWED WATTS Watts 620 620 AUG 0 5 2019 CITY OF LA QUINTA - Apri12016 14 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: m CONDITIONED spaces ❑ UNCONDITIONED spaces ON CALIFORNIA ENERGY COMMISSION N RCC-LTI-03-E (Page 2 of 4) Date Prepared: 7/30/2019 C -2 AREA CATEGORY METHOD GENERAL LIGHTING POWER ALLOWANCE Do not include portable lighting for offices. Portable lighting for offices shall be documented only in Section G of NRCC-LTI-01-E. Separately list lighting for each primary function area as defined in §100.1 of the Standards. 01 02 X 03 = 04 AREA CATEGORY (From §140.6 Table 140.E-C) WATTS PER ftz AREA (ft) ALLOWED WATTS Location in Building Primary Function Area per Table 140.6-C BUNGALOW All Other Areas 0.5 1240 620 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TOTALS 1240 Enter sum total Area Category allowed watts into section C-1 of NRCC-LTI-03-E (this compliance document) 620 WATTS ,� CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA INDOOR LIGHTING POWER ALLOWANCE CEC-NRCC-LTI-03-E(Revises! 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: m CONDITIONED spaces ❑ UNCONDITIONED spaces Date Prepared:?/30/2019 C-3 AREA CATEGORY METHOD ADDITIONAL LIGHTING WATTAGE ALLOWANCE (from Table 140.6-C Footnotes) 01 02 032 04 05 Primary Function i Additional Wattage Sq Ft or Watts Allowance 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 RGY COMMISSION NRCC-LTI-03-E I (Page 3 of 4) 06 07 ALLOWED WATTS Total Design Smaller of Watts 3 1 04 or 06 TOTALS — Enter into TOTAL AREA CATEGORY METHOD ADDITIONAL ALLOWANCES — Section C-1 1. Use linear feet only for additional allowance for white board or chalkboard. 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 w 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 K •. CEC-NRCC-LTI-03-E i Rev:sEd 04/1'.i; 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:7/30/2019 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 Signat Company: EXP U.S. Services Inc. Signature Date: 7/30/2019 Address:2601 Westhall Lane CEA Certification Identification (if applicablel: 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: Company:EXP U.S. Services Inc. Date Signed 7/30/2019 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 t..EC-NRCC-LTI-01-E �r'.esi9ecE 04/161 CERTIFICATE OF COMPLIANCE Indoor Lighting Project Name: La Quinta Resort & Club - Marketplace A. General Information Climate Zone: Conditioned Floor Area: 1240 15 Unconditioned Floor Area: Building Type: m Nonresidential ❑ Schools ❑ Relocatable Public Schools Phase of Construction: ❑ New Construction Method of Compliance: ❑ I Complete Building Project Address: 49499 Eisenhower Dr, La Quinta, CA 92253 CALIFORNIA ENERGY COMMISSION i& N RCC-LTI-01-E (Page 1 of 6) Date Prepared:/30/2019 ❑ High -Rise Residential ❑ Hotel/Motel m Conditioned Spaces ❑ Unconditioned Spaces ❑ Addition m Alteration Area Category ❑ Tailored 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 0 0 NRCC-LTI-01-E Certificate of Compliance. All Pages required on plans for all submittals. 0 0 NRCC-LTI-02-E Lighting Controls, Certificate of Compliance, and PAF Calculation. All Pages required on plans for all submittals. 0 0 NRCC-LTI-03-E Indoor Lighting Power Allowance 0 0 NRCC-LTI-04-E Tailored Method Worksheets 0 0 NRCC-LTI-05-E Line Voltage Track Lighting Worksheets 0 0 NRCC-LTI-06-E Indoor Lighting Existing Conditions rivy J1_ LA UINTA BUILDING DIVISION REVIEWED FOR CODE COMPLIANCE DATE4 I!�_ By CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance RECEIVED 0FOCE AUG 0 5 2019 CITY OF IA QUINTA DESIGN AND DEVELOPMENT DEPARTMENT April 2016 14 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-01-E (Revised 04116) CERTIFICATE OF COMPLIANCE Indoor Lighting Project Name: La Quinta Resort & Club - Marketplace CALIFORNIA ENERGY Date Prepared:/30/2019 VIISSION NRCC-LTI-01-E (Page 2 of 6) 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 N_RCC-LTI-01-E, Table H, page 5 + 508 NRCC-LTI-01-E, Table H, page 5 + Portable Only for Offices 02 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 508 Adjusted Installed Lighting Power = 0 (row 1 plus row 2 minus row 3) (row 1 minus row 3) 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 620 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 I Form/Title O NRCI-LTI-01-E - Must be submitted for all buildings ®® ❑ Field Inspector NRCI-LTI-02-E - Must be submitted for a lighting control system, or for an Energy Management Control System (EMCS), ❑ Field Inspector to be recognized for compliance. 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. O O 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 ❑ Field Inspector © (F) NRCI-LTI-05-E - Must be submitted for a Power Adjustment Factor (PAF) to be recognized for compliance. ❑ Field Inspector 1rmt9� NRCI-LTI-06-E - Must be submitted for additional wattage installed in a video conferencing studio to be recognized for ❑ Field Inspector compliance. CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 -STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCC-LTI-01-E (Revised 04/16) CERTIFICATE OF COMPLIANCE Indoor Lighting Project Name: La Quinta Resort & Club - Marketplace E. Declaration of Required Certificates of Acceptance Declare by selecting yes for all of the Certificates of Acceptance that will be submitted. (Retain copies and ve YES NO FORM/TITLE MOM MW MW ©W CALI Date Prepared:/30/2019 forms are completed and signed.) NRCA-LTI-02-A - Must be submitted for occupancy sensors and automatic time switch controls. NRCA-LTI-03-A - Must be submitted for automatic daylight controls. NRCA-LTI-04-A - Must be submitted for demand responsive lighting controls. NRCA-LTI-05-A - Must be submitted for institutional tuning power adjustment factor (PAF). COMMISSION N RCC-LTI-01-E (Page 3 of 6) ❑ Field Inspector ❑ Field Inspector ❑ Field Inspector A Separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces. Installed Lighting Power listed on this Lighting Schedule is only for: ❑ CONDITIONED SPACE ❑ UNCONDITIONED SPACE F, Indoor Lighting Schedule and Field Inspection Energy Checklist ❑ The actual indoor lighting power listed on the next 2 pages includes all installed permanent and planned portable lighting systems. ❑ When Complete Building Method is used for compliance, list each different type of luminaire on separate lines. ❑ When Area Category Method or Tailored Method is used for compliance, list each different type of luminaire by each different function area on separate lines ❑ Also include track lighting in schedule, and submit the track lighting compliance document (NRCC-LTI-05-E) when line -voltage track lighting is installed. CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA INDOOR LIGHTING ;EC-NRCC-LTI-01-E iReV1sed 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:7/30/2019 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 I - 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/ft2 Office Location Field Inspector 01 1 02 03 04 1 05 06 1 07 08 09 10 Complete Luminaire Description (i.e., LED, under cabinet, furniture mounted direct/indirect) Installed c Z portable o V, -0 Watts 3. 3 luminaire ? iv per v watts in ° 'D square Watts per ° this office u `° foot Luminaire (G02 x G03) (G04 / G05 0 0 0 0 0 If G06 :5 0.3, enter zero; (G05 x G07 ) If G06 > 0.3, (G06-0.3) Total installed portable luminaire watts that are greater than 0.3 W/ft2 per office: Identify Office area in which these portable luminaires are installed v 0 01 O 0 O O 0 O O 0 O O 0 O O Enter sum total of all pages into NRCC-LTI- 01-E; Page 2 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 -STATE OF CALIFORNIA INDOOR LIGHTING GEC-NRCC-LTI.01-E (Revised 04/16) CERTIFICATE OF COMPLIANCE Indoor Lighting Project Name: La Quinta Resort & Club - Marketplace CALIFORNIA ENERGY COMMISSION le NRCC-LTI-01-E (Page 5 of 6) Date Prepared:/30/2019 A Separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces. Installed Lighting Power listed on this Lighting Schedule is only for: m CONDITIONED SPACE ❑ UNCONDITIONED SPACE rl. Inaoor ugnting Schedule and Field Inspection Energy Checklist Luminaire Schedule 01 02 `0 0° Complete Luminaire Description UJ H E aE, (Le, 3 lamp fluorescent troffer, z J' F32T8, one dimmable electronic ballast) Al D10 D11 D11E Installed Watts Location Field Inspector 03 04 05 06 07 08 How wattage was determined O v v � a 0 Q } 00 Q o b0 v _ m y O C E a Z u E O ° o C E .E — of X ° M o Primary Function area in which � J w o " u .-t a `Oi z J 20 O = 1 F- these luminaires are installed BUNGALOW Pass Fail 13 0 ❑ 260 12 1 m ❑ 2 24 BUNGALOW Q 16 mH03 9 144 BUNGALOW O O 16 m ❑ 5 80 BUNGALOW © O ❑ ❑ 0 © B ❑ ❑ 0 © O ❑ ❑ 0 0 0 ❑ ❑ a O ❑ ❑ 0 O INSTALLED WATTS PAGE TOTAL: sum total of all pages into 5087Enter 508 CC-LTI-01-E; Page 2 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA INDOOR LIGHTING I M, CEC-NRCC-LTI-01-E (Revised 04116) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-01-E Indoor Lighting (Page 6 of 6) Project Name: La Quinta Resort & Club - Marketplace Date Prepared:7/30/2019 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 Signature: Company: EXP U.S. Services Inc. Signature Date: 7/30/2019 Address: 2601 Westhall Lane CEA Certification Identification (if applicablel: City/State/Zip: Phone: Maitland, Florida 32751 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 Responsiblc Designer Sig-1.CV Company: Date Signed: � EXP U.S. Services Inc. 7/30/2019 Address:2601 Westhall Lane License: E20802 city/state/Zip:Maitland, Florida 32751 phone407-660-0088 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2016 STATE OF CALIFORNIA INDOOR LIGHTING — LIGHTING CONTROLSw �-y�(� CEC-NRCC-LTI-02-E (Revised 04117) f�V I Y I52 CALIFORNIA ENERGY COMMISSICI CERTIFICATE OF COMPLIANCE - ' - NRCC-LTI-02-E Is MA Indoor Lighting - Lighting Controls ° U (Page 1 of 3) 1ILDINProjectName:La Quinta Resort & Club - Bungalow _ -- t� r — aceP+r{aa a:9/12/2019 A. Mandatory Lighting Control Declaration Statements (Indicate if the mealo 1LJ king yes or no below.) YES NO Control Requirements DAT 1 2�0$7 15u_} C >Ff � c,,-- ® © Lighting shall be controlled by self-contained lighting control devices which are certified to the Energy Commission according to the Title 20 Appliance Efficiency Regulations in accordance with Section 110.9. Lighting shall be controlled by a lighting control system or energy management control system in accordance with §110.9. An Installation Certificate 0 © shall be submitted in accordance with Section 130.4(b). One or more Track Lighting Integral Current Limiters shall be installed which have been certified to the Energy Commission in accordance with §110.9 and r. 0 §130.0. Additionally, an Installation Certificate shall be submitted in accordance with Section 130.4(b). A Track Lighting Supplementary Overcurrent Protection Panel shall be installed in accordance with Section 110.9 and Section 130.0. Additionally, an E) © Installation Certificate shall be installed in accordance with Section 130.4(b). 0 © All lighting controls and equipment shall comply with the applicable requirements in §110.9 and shall be installed in accordance with the manufacturer's instructions in accordance with Section 130.1. G ® All luminaires shall be functionally controlled with manual ON and OFF lighting controls in accordance with Section 130.1(a). General lighting shall be separately controlled from all other lighting systems in an area. Floor and wall display, window display, case display, ornamental, E) ® and special effects lighting shall each be separately controlled on circuits that are 20 amps or less. When track lighting is used, general, display, ornamental, and special effects lighting shall each be separately controlled; in accordance with Section 130.1(a)4. ® Q The general lighting of any enclosed area 100 square feet or larger, with a connected lighting load that exceeds 0.5 watts per square foot shall meet the multi -level lighting control requirements in accordance with Section 130.1(b). 0 All installed indoor lighting shall be equipped with controls that meet the applicable Shut -OFF control requirements in Section 130.1(c). C) e Lighting in all Daylit Zones shall be controlled in accordance with the requirements in Section 130.1(d) and daylit zones are shown on the plans. O Lighting power in buildings larger than 10,000 square feet shall be capable of being automatically reduced in response to a Demand Responsive Signal in accordance with Section 130.1(e). Before an occupancy permit is granted for a newly constructed building or area, or a new lighting system serving a building, area, or site is operated for ., (0 normal use, indoor lighting controls serving the building, area, or site shall be certified as meeting the Acceptance Requirements for Code Compliance in accordance with Section 130.4.(a). The controls required to meet the Acceptance Requirements include automatic daylight controls, automatic shut -OFF controls, and demand responsive controls. CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2017 STATE OF CALIFORNIA INDOOR LIGHTING — LIGHTING CONTROLS CEC-NRCC-LTI-02-E iRevised 04/17) CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting - Lighting Controls (Page 2 of 3) Project "arse: La Quinta Resort & Club - Bungalow Date Prepared: 9/12/2019 A separate document must be filled out for Conditioned and Unconditioned Spaces. This page is used only for the following: ❑✓ CONDITIONED SPACES ❑ UNCONDITIONED SPACES B. Mandatory and Prescriptive Indoor Lighting Control Schedule, PAF Calculation, and Field Inspection Checklist PAF Credit Calculation z t T_ (D D Q Standards Complying With 1 ° (-1all that apply, or leave empty = o h n '— Z3 c m Lighting Control Schedule if Exempted) rD un a- -n N o Q rD o 01 02 03 04 05 06 F07 08 09 10 11 12 13 14 15 Type/ Description of Lighting Control (i.e.: occupancy sensor, # -.01 Location in Building automatic time switch, of o 0 0 0 0 0 0 dimmer, automatic daylight, Units r W r 0- N ^ N N (u rn r^n etc... ) GIFT SHOP OCCUPANCY SENSOR, DIMMER • • • 0 ❑ Q BUNGALOW OCCUPANCY SENSOR, DIMMER 0 ❑ 0 ❑ o ❑ O O 0 ❑ O O o ❑ O O 0 ❑ 010 Control Credit PAGE TOTAL (Sum of Column 13): 0 IF MULTIPLE PAGES ARE USED, ENTER SUM TOTAL OF Control Credit for all pages HERE (Sum of all Column 13): Enter Control Credit total into NRCC-LTI-01-E; Page 1. 1. §130.1(a) = Manual area controls; §130.1(b) = Multi Level, • §130.1(c) = Auto Shut -Off, §130.1(d) = Automatic Daylight, • §130.1(e) = Demand Responsive; §140.6(d) = Additional lighting controls installed to earn a PAF; §140.6(d) = Prescriptive Secondary Sidelit Daylight Controls. 2. Check Table 140.6-A for correct PAF. PAFs shall not be traded between conditioned and unconditioned spaces. As a condition to earn a PAF, an Installation Certificate is ❑Iso required to be filled out, signed, and submitted. CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance April 2017 STATE OF CALIFORNIA INDOOR LIGHTING - LIGHTING CONTROLS a CEC-NRCC-LTI-02-E (Revised 04/17) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTI-02-E Indoor Lighting - Lighting Controls (Page 3 of 3) Project Name' La Quinta Resort & Club - Bungalow Date Prepared: 9/12/2019 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 s,gn Company: EXP U.S. Services Inc. Signature Date: 9/12/2019 Address: 2601 Westhall Lane CEA Certification Identification lit 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 Company - EXP U.S. Services Inc. Date Signed: 9/12/2019 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 2017