13-0331 (RC) Ste. 100 Title 24BUILDING ENERGY ANALYSIS REPORT
PROJECT:
Dr. Karimyan Dental
78-138 Calli Tampico
La Quinta, CA 92253
off- i c�
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
Y _.' r — 1
0
Project Designer:
AA Design
81-692 Rancho Santana Dr.
La Quinta, CA 92253
760-272-4285
Report Prepared by:
Gina Rose -Starkey
EQS, Inc.
42335 Washington St. #F-330
Palm Desert, CA 92211
760-218-3350
INC..
QED
RECEI
Job Number:
MAR 2 0 2013
UINTA
Date: � CIV OF LA Q
COMMUNITY DEVELOPMENT
3/2/2013
The EnergyPro computer program has been used to perform the calcula=ions summarized in this compliance report. This program has approval and is
authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards.
This program developed by EnergySoft, LLC — www.energysoft.com.
EnergyPro 5.1 by EnergySoft User Number: 5862 RunCode: 2013-03-02710:19:58 /D:
{
TABLE OF CONTENTS
Cover Page 1
Table of Contents 2
Nonresidential Performance Title 24 Forms 3'.
Form ENV -MM Envelope Mandatory Measures 1.8
Form MECH-MM Mechanical Mandatory Measures 19
HVAC System Heating and Cooling Loads Summary 20
PERFORMANCE CERTIFICATE OF COMPLIANCE (Part 1 of 3) PERF-1 C
Project Name
Date
Dr. Karimyan Dental
3/2/2013
Project Address
Climate Zone
Total Cond. Floor Area
Addition Floor Area
78-138 Calli Tampico La Quinta
CA Climate Zone 15
3,135
n/a
GENERAL INFORMATION
Building Type: ® Nonresidential ❑ High-Rise Residential ❑ Hotel/Motel Guest Room
❑ Relocatable - indicate ❑ specific climate zone ❑ all climates
Phase of Construction: ❑ New Construction ❑ Addition ❑ Alteration
STATEMENT OF COMPLIANCE
This certificate of compliance lists the building features and specifications needed to
comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This
certificate applies only to a Building using the performance compliance approach.
The documentation author hereby certifies that the documentation is accurate and complete.
Documentation Author
Name Signature
Gina Rose-Starkey
Company EQS, Inc.
Date 3/212013
Address 42335 Washington St. #F-330
Phone 760-218-3350
City/State/Zip Palm Desert, CA 92211
The Principal Designer hereby certifies that the proposed building design represented in this set of
construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with
any other calculations submitted with this permit application. The proposed building has been designed to meet the energy
efficiency requirements contained in sections 110, 116 through 118, and 140 through 149 of Title 24, Part 6. Please
check one:
ENV. LTG. MECH.
e 1 hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to
❑ ❑ ❑ sign this document as the person responsible for its preparation; and that 1 am licensed in the State of
California as a civil engineer, mechanical engineer, electrical engineer, or I am a licensed architect.
I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code by section
❑ ❑ ❑ 5537.2 or 6737.3 to sign this document as the person responsible for its preparation; and that I am a licensed
contractor performing this work.
I affirm that I am eligible under Division 3 of the Business and Professions Code to sign this document
❑ ❑ ❑ because it pertains to a structure or type of work described as exempt pursuant to Business and Professions
Code Sections 5537, 5538 and 6737.1.
Principal Envelope Designer
Name
[Signature
Company AA Design Date 3 —S- 13
Address 81-692 Rancho Santana Dr. License #
City/State/Zip La Quinta, CA 92253 Phone 760-272-4285
Principal Mechanical Designer
Name
Signature
Company Date
Address License #
City/State/Zip Phone
Principal Lighting Designer
Name
Signature
Company Date
Address License #
City/State/Zip Phone
INSTRUCTIONS TO APPLICANT COMPLIANCE & WORKSHEETS (check box if worksheets are included)
m ENV-1C Certificate of Compliance. Required on plans. m MECH-1C Certificate of Compliance. Required on plans.
G3 LTG-1C Certificate of Compliance. Required on plans. m MECH-2C Air/Water Side/Service Hot Water & Pool Requirements.
m LTG-2C Lighting Controls Credit Worksheet. m MECH-3C Mechanical Ventilation and Reheat.
❑ LTG-3C Indoor Lighting Power Allowance. m MECH-5C Mechanical Equipment Details.
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PERFORMANCE CERTIFICATE OF COMPLIANCE (Part 2 of 3) PERF -1C
Project Name Date -
Dr. Karim an Dental r 3/2/2013
ANNUAL TDV ENERGY USE SUMMARY kBtu/s ft- r
Standard Proposed Compliance
Energy Component Design Design Margin -.-- -
Space Heating Heating'
Space Cooling Cooling
"Indoor Fans -
Fans t.
Heat Rejection Heat Rej •b -• _ �.
Pumps & Misc. Pumps
Domestic Hot Water DHW i
rt
Lighting Lighting }
Receptacle Receptacle
Process Process_ •`_ "
,. " i
Process Lighting Process Ltg
TOTALS
Percent better than Standard 3.6% 3.6 % excludingprocess)
BUILDING COMPLIES ,
GENERAL INFORMATION
Building Orientation' (N) 0deg Conditioned Floor Area 3,135 sqft.
Number of Stories 1 Unconditioned Floor Area 0 sqft.
Number of Systems 4 Conditioned Footprint Area 3,135 sqft.
Number of Zones 1 Natural Gas Available On Site Yes
Orientation Gross Area GlazingArea GlazingRatio
Front Elevation sqft. 285 sqft. 57.1 %
Left Elevation sqft. o sqft. ` 0.0
Rear Elevation sgft. - 284 sqft. 56.7
Right Elevation sqft. 269 sqft. 41.4
Total *sqft. 838 sqft. 36.4
Roof sqft. o sqft. 0.0
Standard Proposed Prescriptive Values for
Prescriptive Lighting Power Density 1.100 W/sgft. 0.963 W/sgft. Comparison only. See
Prescriptive Envelope TDV Energy 188,329 392,081 LTG -1C for allowed LPD.
'Remarks:
Ener Pro 5.1 b Ener Soft User Number: 5862 RunCode: 2013-03-02710:19:58 ID: Page 4 of 20
o.ss �
o.s2
o.os
176.02
173.77
2.25
o.00
o.00 �
•o.00
o.00
• o.00
o.00
' o.00
o.00
o.00
' o.00
o.00
o.00
76.96
' 67.37
9.58
75.64
75.64
0.00
o.00
o.00
o.00
o.00
o.00
o.00
329.31
317.41
11.90
(N)
500
(E)
650
(S)
500
(vt7
sso
2, 300
3,135
PERFORMANCE CERTIFICATE OF COMPLIANCE (Part 3 of 3) PERF -1 C
Project Name
Dr. Karimyan Dental
Date
3/2/2013
ZONE INFORMATION
System Name
Zone Name
Occu anc T e
Floor
Area
s ft.
Inst.
LPD
W/sf'
Ctrl.
Credits
W/Sf 2
Allowed LPD
Proc.
Loads
W/sf
Area Tailored
W/Sf s W/Sf a
Dental
Dental
Comp Bldg Medical and Clin
3,135
1.203
0.241
Notes: 1. See LTG -1C 2. See LTG -2C 3. See LTG -3C 4. See LTG -4C
items marked with asterisk, see LTG -1-C by others) (by others
Items above require special documentation
EXCEPTIONAL CONDITIONS COMPLIANCE CHECKLIST
The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written
justification and documentation, and special verification to be used with the performance approach. The local enforcement agency
determines the adequacy of the justifications, and may reject a building or design that otherwise complies based on the adequacy of the
s ecial iustification and documentation submitted.
The exceptional features listed in this performance approach application have specifically been reviewed. Adequate written justification and
documentation for their use have been provided by the applicant.
Authorized Signature or Stamp
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CERTIFICATE OF COMPLIANCE (Part 1 of 3) ENV -1 C
AND FIELD INSPECTION ENERGY CHECKLIST
Project Name
Dr. Karimyan Dental
Date
3/2/2013
Project Address
78-138 Calli Tampico La Quinta
Climate Zone
15
Total Cond. Floor Area
3,135
Addition Floor Area
n/a
GENERAL INFORMATION
Building Type: ® Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room
❑ Schools (Public School) ❑ Bledlocatable g. Public School m Conditioned Spaces ❑ Unconditioned Spaces
❑ Skylight Area for Large Enclosed Space >_ 8000 ft2 (If checked include the ENV -4C with submittal)
Phase of Construction: ❑ New Construction ❑ Addition ❑ Alteration
Approach of Compliance: ❑ Component m Overall Envelope ❑ Unconditioned (file affidavit)
Front Orientation: N, E, S, W or in Degrees:
0 deg
FIELD INSPECTION ENERGY CHECKLIST
OPAQUE SURFACE DETAILS
INSULATION
Ta /ID'
AssemblyT ez
d
a
C Cn
N W4
O z
(;
r
'> i
m
v M
y
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w LL
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e
x
C
N
C a
'o a
� Q
c
O N
7
c
U y
y
a
w
1
Wall
215
(N)
0.074
R-19
4.3.1-A5
Existing
❑
❑
2
Wall
650
(E)
0.074
R-19
4.3.1-A5
Existing
❑
❑
3
Wall
217
(S)
0.074
R-19
4.3.1-A5
Existing
❑
❑
4
Wall
381
(W)
0.074
R-19
4.3.1-A5
Existing
❑
❑
5
Slab
672
(N)
0.730
None
4.4.7-A1
Existing
❑
❑
6
Slab
2,463
(N)
0.730
None
4.4.7-A1
Existing
❑
❑
7
Roof
3,135
(N)
0.031
R-30
4.2.1-A20
Existing
❑
❑
❑
❑
❑
❑
❑
❑
1. See Instructions in the Nonresidential Compliance Manual, page 3-96.
2. If Fail, then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. A fail does not meet compliance.
FENESTRATION SURFACE DETAILS
Tag/ID'
Fenestration
Tez
2!
a
c
c3:
;a uS
cW
O
°
2>
; `'
i
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2¢
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't
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rn N
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1
Window
285
(N)
0.790
NFRC
0.700
NFRCJ
❑
Existing
❑
❑
2
Window
284
(S)
0.790
NFRC
0.700
NFRC
❑
Existing
❑
❑
3
Window
269
(W)
0.790
NFRC
0.700
NFRC
❑
Existing
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
1. See Instructions in the Nonresidential Compliance Manual, page 3-96.
2. If Fail then describe on Page.2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary.
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CERTIFICATE OF COMPLIANCE (Part 2 of 3)
AND FIELD INSPECTION ENERGY CHECKLIST
ENV -1 C
Project Name
Dr. Karimyan Dental
Date
3/2/2013
ROOFING PRODUCT COOL ROOFS
(Note if the roofing product is not CRRC certified, this compliance approach cannot be used). Go to Overall Envelope Approach or
Performance Approach.
CHECK APPLICABLE BOX BELOW IF EXEMPT FROM THE ROOFING PRODUCT "COOL ROOF" REQUIREMENTS:
Pass
Fail'
N/A
❑ Roofing compliance not required in Climate Zones 1 and16 with a Low -Sloped. 2:12 pitch or less.
❑
❑
❑
❑ Roofing compliance not required in Climate Zone 1 with a Steep -Sloped with less than 5 Ib/ftz. Greater than 2:12 pitch.
❑
❑
❑
Wood framed roofs in Climate Zones 3 and 5 are exempted, solar reflectance and thermal emittance or
13SRIthat have a U -factor of 0.039 or lower. See Opaque Surface Details roof assembly, Column H of ENV -2C.
13
13
13SRI
Metal building roofs in Climate Zone 3 and 5 are exempted, solar relectance and thermal emittance or SRI
13thathave a U -factor of 0.048 or lower. See Opaque Surface Details roof assemblybelow, Column H of ENV -2C.
❑
11
11that
❑ The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are
exempted. Solar reflectance and thermal emittance or SRI, seespreadsheet calculator at www.ener .ca. ov/title24/
❑
❑
❑
constructions that have thermal mass over the roof membrane with a weight of at least 25 Ib/ft are exempt from
13 the Cool Roof criteria below.
13
11
13the
❑ High-rise residential buildings and hotels and motels with low -sloped roofs in Climate Zones 1 through 9, 12 and 16 are
exempted from the low -sloped roofing criteria.
❑
❑
❑
1. If Fail then describe on this page of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary.
CRRC Product ID
Number'
Roof Slope
s 2:12 > 2:12
Product Weight
< 5lb/ft2 z 5lb/ft2
Product
T peZ
Aged Solar
Reflectance}
Thermal
Emmitance
SR 15
Pass
Fail6
❑ ❑
❑ ❑
❑ 4
❑
❑
❑ ❑
❑ ❑
❑ 4
❑
❑
❑ ❑
1 ❑ ❑
❑ 4
❑ 1
❑
❑ ❑
❑ ❑
❑4 1
1❑
❑
❑1 ❑
❑ ❑
❑ 4
❑
❑
❑ 1 ❑
❑ ❑
❑ 4
❑
❑
1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at
www.coolroofs.org/r)roducts/search.php
2. Indicate the type of product is being used for the roof top, i.e. single -ply roof, asphalt roof, metal roof, etc.
3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the
same directory and use the equation (0.2+0.7(p;,,;tial — 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance from the Cool
Roof Rating Council's Rated Product Directory.
4. Check box if the Aged Reflectance is a calculated value using the equation above.
5. The SRI value needs to be calculated from a spreadsheet calculator at httr)://www.eneray.ca.clov/title24/
6. If Fail then describe on this page of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary.
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 §118(i)4. Select the applicable coating:
❑ Aluminum -Pigmented Asphalt Roof Coating
❑ Cement -Based Roof Coating
❑ Other
Discrepancies:
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Page 7 of 20
CERTIFICATE OF COMPLIANCE (Part 3 of 3) ENV -1 C
AND FIELD INSPECTION ENERGY CHECKLIST
Project Name
Dr. Karimyan Dental
Date
3/2/2013
Required Acceptance Tests
Designer:
This form is to be used by the designer and attached to the plans. Listed below is the acceptance test for Envelope
Fenestrations system. The designer is required to check the acceptance tests and list all the fenestration products that
require an acceptance test. If all the site -built fenestration of a certain type requires a test, list the different fenestration
products and the number of systems. The NA7 Section in the Appendix of the Nonresidential Reference Appendices
Manual describes the test. Since this form 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 whenever new
fenestration is installed in the building or space shall be certified as meeting the Acceptance Requirements.
The ENV -2A form is not considered a complete form and is not to be accepted by the enforcement agency unless the
boxes are checked and/or filled and signed. In addition, a Certificate of Acceptance forms shall be submitted to the
enforcement agency that certifies plans, specifications, installation certificates, and operating and maintenance
information meet the requirements of §10-103(b) of Title 24 Part 6. The field inspector must receive the properly filled
out and signed forms before the building can receive final occupancy. A copy of the ENV -2A for each different
fenestration product line must be provided to the owner of the building for their records.
'Test Description ENV -2A Test Performed By:
Fenestration Products Name or ID Area of like Building Envelope
Requiring Testing or Verification Products Acceptance Test
13
13
13
13
13
13
13
13
13
13
13
13
13
13
13
13
El
13
❑
13
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CERTIFICATE OF COMPLIANCE (Part 1 oP3) LTG -1 C
Project Name
Dr. Karimyan Dental
Date
3/2/2013
INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST
Installation Certificate, LTG -1- INST Retain a copy and verify form is completed and signed.
Field Inspector ❑
Certificate of Acceptance, LTG -2A (Retain a copy and verify form is completed and signed.) d
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:
m CONDITIONED SPACE ❑ UNCONDITIONED SPACE
m The actual indoor lighting power listed below includes all installed permanent and portable lighting systems in accordance
with §146(a).
Only for offices: Up to the first 0.2 watts per square foot of portable lighting shall not be required to be included in the
.0 calculation of actual indoor lighting power density in accordance with the Exception to §146(a). All portable lighting in excess of
0.2 watts per square foot is totaled below.
Luminaire (Type, Lamps, Ballasts
Installed Watts
A
B
C
D
E
F
G_
H
None
or
Item
Ta
Complete Luminaire Description'
(i.e, 3 lamp fluorescent troffer,
F32T8, one dimmable electronic ballasts
LL
aa.a
.5
a
U)�'
N
.0.5
f: �
J
How wattage
Was determined.
N
O N
E ;E
> >
Z J
X
(nm
Field
Ins ector2
a
OI
CEC .m
Default o �
From L) o
NA8 Q ~
N
m m
a LL
(1) 20W Fluorescent
❑
20.0
® ❑
3
60
❑ ❑
(2) 2 ft Fluorescent T8 Elec
❑
64.0
® ❑
58
3,712
❑ ❑
❑
❑ ❑
❑ ❑
❑
❑ ❑
❑ ❑.
❑
❑ ❑
❑ ❑.
❑
❑ ❑
❑ El:
❑
❑ ❑
❑
❑
❑ ❑
❑
❑ ❑
❑ ❑
❑
❑ ❑
❑ ;❑.
❑
❑ ❑
❑, ❑ .
❑
❑ ❑
01 ❑'
❑
❑ ❑
❑' ❑:
❑
❑
10 ❑
❑
❑ ❑
0- El
Installed Watts Page Total:
3,772
Building total number`of pages:
-
Installed Watts Building Total
Sum of all pages)
3,772
Enter into LTG -1 C Pa e 4 of 4
1. Wattage shall be determined according to Section 130 (d and e). Wattage shall be rating of light fixture, not rating of bulb.
2 . If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary.
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CERTIFICATE OF COMPLIANCE (Part 2 of 3)
LTG -1 C
Project Name
Dr. Karimyan Dental
Date
1 3/2/2013
INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST
Fill in controls for all spaces: a) area controls, b) multi-level controls, c) manual daylighting controls for daylit areas > 250 ft2,
automatic daylighting controls for daylit areas > 2,500 ft2, d) shut-off controls, e) display lighting controls, f) tailored lighting controls —
general lighting controlled separately from display, ornamental and display case lighting and g) demand responsive automatic
controls for retail stores > 50,000 ft2, in accordance with Section 131.
MANDATORY LIGHTING CONTROLS - FIELD INSPECTION ENERGY CHECKLIST
Field
Inspector
Number Special
Type/ Description of Units Location in Building Features f Pass
Fail
❑
❑
1
❑
❑.
❑.
❑ I
❑
❑
❑
❑
❑'
❑
❑
❑1
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑'.
❑
❑
❑
❑
❑;
11
❑
❑
❑
❑
❑
❑
❑.
❑
F❑
❑
❑r
❑
❑
❑
o
❑
❑
El
❑
o.
❑
❑
❑.
❑
❑
❑
❑ I
❑
❑.
❑ !
❑t 1
'❑
SPECIAL FEATURES INSPECTION CHECKLIST See Page 2 of 4 of LTG -1 C
The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written
justification and documentation, and special verification. The local enforcement agency determines the adequacy of the justification,
and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation
submitted.
_ r
Field Inspector's Notes or Discrepancies:
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Pae 10 of 20
CERTIFICATE OF COMPLIANCE Part 3 of 3 LTG -1 C
Project Name
Date
Dr. Karimyan Dental
3/2/2013
CONDITIONED AND UNCONDITIONED SPACE LIGHTING MUST
NOT BE COMBINED FOR COMPLIANCE
Indoor Lighting Power for Conditioned S aces
Indoor Lighting Power for Unconditioned Spaces
Watts
Watts
Installed Lighting
3,772
Installed Lighting
0
from Conditioned LTG -1 C, Page 2
from Unconditioned LTG -1 C, Page 2
Lighting Control Credit
754
Lighting Control Credit
0
Conditioned Spaces from LTG -2C
Unconditioned Spaces from LTG -2C
Adjusted Installed —
3,018
Adjusted Installed =
0
Li htin Power
Lighting Power
Complies if Installed:5 Allowed
Complies if Installed:5 Allowed
Allowed Lighting PowerAllowed
Lighting Power
Conditioned Spaces from LTG -3C or PERF -1
3,018
Unconditioned Spaces from LTG -3C
0
Required Acceptance Tests
Designer:
This form is to be used by the designer and attached to the plans. Listed below is the acceptance test for the Lighting system,
LTG -2A. The designer is required to check the acceptance tests and list all control devices serving the building or space shall be
certified as meeting the Acceptance Requirements for Code Compliance. If all the lighting system or control of a certain type requires
a test, list the different lighting and the number of systems. The NA7 Section in the Appendix of the Nonresidential Reference
Appendices Manual describes the test. Since this form will be part of the plans, completion of this section will allow the responsible
party to budget for the scope of work appropriately. Forms can be grouped by type of Luminaire controlled.
Enforcement Agency:
Systems Acceptance. Before Occupancy Permit is granted for a newly constructed building or space or when ever new lighting
system with controls is installed in the building or space shall be certified as meeting the Acceptance Requirements.
The LTG -2A form is not considered a complete form and is not to be accepted by the enforcement agency unless the boxes are
checked and/or filled and signed. In addition, a Certificate of Acceptance forms shall be submitted to the enforcement agency that
certifies plans, specifications, installation certificates, and operating and maintenance information meet the requirements of
§10-103(b) of Title 24 Part 6. The field inspector must receive the properly filled out and signed forms before the building can receive
final occupancy. A copy of the LTG -2A for each different lighting luminaire control(s) must be provided to the owner of the building
for their records.
Controls for Credits
LTG -2A
Controls and
Sensors and
Automatic
Number of
Daylighting
Luminaire
Controls
Equipment Re uirin Testing
Descri tion
controls
Location
Acceptance
Occ Sensor - Multi -Level
(2) 2 ft Fluorescent T8 Elec
58
dental
m
Occ Sensor - Multi -Level
(1) 20W Fluorescent
3
dental
m
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ID: Pae 11 of 20
CERTIFICATE OF COMPLIANCE and (Part 1 of 4) MECH-1 C
FIELD INSPECTION ENERGY CHECKLIST
Project Name
Dr. Karimyan Dental
Date
3/2/2013
Project Address
78-138 Calli Tampico La Quinta
Climate Zone
15
Total Cond. Floor Area
3,135
Addition Floor Area
n/a
GENERAL INFORMATION
Building Type: ® Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room
❑ Schools (Public School) ❑ Relocatable Public School Bldg. m Conditioned Spaces ❑ Unconditioned Spaces
affidavit
Phase of Construction: ❑ New Construction ❑ Addition ❑ Alteration
Approach of Compliance: ❑ Component ❑ Overall Envelope TDV ❑ Unconditioned (file affidavit)
Energy
Front Orientation: N, E, S, W or in Degrees:
0 deg
HVAC SYSTEM DETAILS
FIELD INSPECTION ENERGY CHECKLIST
Equipment?
Ins ection Criteria
Meets Criteria
or Requirements
Pass
Fail — Describe Reason
Item or System Tags
AC -1, RTU -1, HP -1
Dental
❑
[3i.e.
Equipment T e3:
Packaged DX
❑
❑
Number of Systems
4
❑
❑
Max Allowed Heating Capacity'
55,000 Btu/hr
❑
❑
Minimum Heating Efficiency'
7.70 HSPF
❑
❑
Max Allowed Cooling Capacity'
5 7, 000 Btu/hr
❑
❑
Coolinq Efficiency'
13.0 SEER / 10.0 EER
❑
❑
Duct Location/ R -Value
R-4.2
❑
❑
When duct testing is required, submit
MECH-4A & MECH-4-HERS
No
❑
❑
Economizer
Fixed Temp (Non-Integ)
❑
❑
Thermostat
Setback Required
❑
❑
Fan Control
Constant Volume
❑
❑
E ui ment2
Inspection Criteria
FIELD INSPECTION ENERGY CHECKLIST
Pass
Fail — Describe Reason
Item or System Tags
i.e. AC -1, RTU -1, HP -1
❑
❑
Equipment T e3:
❑
❑
Number of Systems
❑
❑
Max Allowed Heating Capacity'
❑
❑
Minimum Heating Efficiency'
❑
❑
Max Allowed Cooling Capacity'
❑
❑
Cooling Efficiency'
❑
❑
Duct Location/ R -Value
❑
❑
When duct testing is required, submit
MECH-4A & MECH-4-HERS
❑
❑
Economizer
❑
❑
Thermostat
❑
❑
Fan Control
❑
❑
1. If the Actual installed equipment performance efficiency and capacity is less than the Proposed (from the energy compliance submittal or from
the building plans) the responsible party shall resubmit energy compliance to include the new changes.
2. For additional detailed discrepancy use Page 2 of the Inspection Checklist Form. Compliance fails if a Fail box is checked.
3. Indicate Equipment Type: Gas (Pkg or, Split), VAV, HP (Pkg or split), Hydronic, PTAC, or other.
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CERTIFICATE OF COMPLIANCE and (Part 2 of 4) MECH-1 C
FIELD INSPECTION ENERGY CHECKLIST
Project Name E
ate
Dr. Karimyan Dental 3/2/2013
Discrepancies:
EnergyPro 5.1 by EnergySoft User Number 5862 RunCode: 2013-03-02710:19:58 /D: Page 13 of 20
LIGHTING CONTROLS CREDIT WORKSHEET (Part 1 of 2) LTG-2C
Project Name
Dr. Karimyan Dental
Date
3/2/2013
POWER ADJUSTMENT FACTORS PAF FOR NON-DAYLIGHT CONTROLS
A Separate PAF Worksheet Must Be Filled Out for Conditioned and Unconditioned Spaces. Control Credits listed on this
schedule are only for:
m CONDITIONED SPACES ❑ UNCONDITIONED SPACES
A B C D E F
G
Watts of Power
Room # Zone ID Plan Room Area Control Adjustments
Areas Lighting Control Description' Reference(ft) Lighting Factorz
Control
Credit Watts
E x F
dental Occ Sensor - Multi-Level 3,135 3,712 0.20
742
dental Occ Sensor - Multi-Level 3,135 60 0.20
12
PAGE TOTAL
754
Note:
Conditioned and
Unconditioned
Building total of non-daylight control credit watts for all pages of LTG-2C Pae 1 of 2
Enter building total of all daylight controls credit watts from LTG-2C Page 2 of 2
0
Space shall be
separately
totaled
BUILDING TOTAL OF ALL CONTROL CREDIT WATTS
(FOR BOTH NON-DAYLIGHT AND DAYLIGHT CONTROL CREDITS)
Enter in LTG-1C; Page 4: Lighting Control Credit as appropriate for CONDITIONED
or UNCONDITIONED Spaces
754
1. Description shall be consistent with Type of Control defined in Table 146-C
2. Power Adjustment Factor taken from Table 146-C
.EnergyPro5.1byEnergySoft User Number: 5862 RunCode: 2013-03-02710:19:58 ID: Pae 14 of 20
AIR SYSTEM REQUIREMENTS
Part 1 of2 MECH-2C
Project Name
Date .
Dr. Karimyan Dental
3/2/2013
Indicate
Air Systems Type Central, Single
Zone, Package, VAV, or etc...
Item or System Tags
i.e. AC -1, RTU -1, HP -1
Dental
Number of Systems
4
Indicate Page Reference on Plans or Schedule and indicate the applicable exception(s)
MANDATORY MEASURES
T-24 Sections
Heating Equipment Efficiency
112(a)
7.70 HSPF
Cooling Equipment Efficiency
112(a)
13.0 SEER / 10.0 EER
HVAC Heat Pump Thermostat
112(b), 112(c)
Yes
Furnace Controls/Thermostat
112(c), 115(a)
n/a
Natural Ventilation
121 b
No
Mechanical Ventilation
121 b
470 cfm
VAV Minimum Position Control
121 c
No
Demand Control Ventilation
121 c
No
Time Control
122(e)
Programmable Switch
Setback and Setup Control
122(e)
Setback Required
Outdoor Damper Control
122(f)
Auto
Isolation Zones
122
n/a
Pipe Insulation
123
Duct Insulation
124
R-4.2
PRESCRIPTIVE MEASURES
Calculated Design Heating Load
144(a & b
n/a
Proposed Heating Capacity
144(a & b
137,406 Btu/hr
Calculated Design Cooling Load
144(a & b
n/a
Proposed Cooling Capacity
144(a & b
145,130 Btu/hr
Fan Control
144(c)
Constant Volume
DP Sensor Location
1 44 c
Supply Pressure Reset (DDC only)
144(c)
Yes
Simultaneous Heat/Cool
144(d)
No
Economizer
144(e)
Fixed Temp (Non-Integ)
Heat Air Supply Reset
144(f)
Constant Temp
Cool Air Supply Reset
144(f)
Constant Temp
Electric Resistance Heating'
144
Air Cooled Chiller Limitation
144(i)
Duct Leakage Sealing. If Yes, a
MECH-4-A must be submitted
144(k)
No
1. Total installed capacity (MBtu/hr) of all electric heat on
this project exclusive of electric auxiliary heat for heat pumps. If electric heat is used
explain which exception(s) to §144(g) apply.
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MECHANICAL VENTILATION AND REHEAT MECH-3C
Project Name
Dr. Karimyan Dental
Date
3/2/2013
MECHANICAL VENTILATION 121 b 2
REHEAT LIMITATION (§144(d))
AREA BASIS
OCCUPANCY BASIS
VAV MINIMUM
A
B
C
D
F
G
H
I
J
K
L
M
N
Zone/S stem
Condition
Area
ft2
CFM
per
ft2
Min CFM
By Area
BXC
fNumber
CFM
per
Person
Min CFM
by
Occupant
E X F
REQ'D
V.A.
Max of
D or G
Design
Ventilation
Air
CFM
50% of
Design Zone
Supply
CFM
B X 0.4
CFM /ft2
Max. of
Columns
H, J, K,
300 CFM
Design
Minimum
Air
Setpoint
Transfer
Air
Dental
3,135
0.15
470
470
470
Dental
Total
470
470
Totals Column I Total Design Ventilation Air
C Minimum ventilation rate per Section 121, Table 121-A.
E Based on fixed seat or the greater of the expected number of occupants and 50% of the CBC occupant load foregress purposes fors aces without fixed setting.
H Required Ventilation Air REQ'D V.A. is the larger of the ventilation rates calculated on an AREA BASIS or OCCUPANCY BASIS Column D or G).
I Must be greater than orequal to H, or use Transfer Air column N to make u the difference.
J Design fan supply CFM Fan CFM x 50%; or the design zone outdoor airflow rate per 121.
K Condition area(ft) x 0.4 CFM / ft2; or
L Maximum of Columns H, J, K, or 300 CFM
M This must be less than orequal to Column L and greater than orequal to the sum of Columns H plus N.
N Transfer Air must be provided where the Required Ventilation Air (Column H) is greater than the Design Minimum Air (Column M). Where required, transfer air must be greater than or
equal to the difference between the Required Ventilation Air Column H and the Design Minimum Air Column M), Column H minus M.
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MECHANICAL EQUIPMENT DETAILS
Part 1 of 2
MECH-5C
Project Name
Dr. Karimyan Dental
Date
3/2/2013
CHILLER AND TOWER SUMMARY
PUMPS
Equipment Name Type
Ot . Eff iciency
Tons Ot . GPM
Premium
BHP Eff. Motor
Pump
Control
DHW / BOILER SUMMARY
System Name Type
Distribution of .
Vol. Energy Factor
Rated Input (Gals). or RE
Standby Loss Tank Ext.
or Pilot R -Value
Status
MULTI -FAMILY CENTRAL WATER HEATING DETAILS
Hot Water Pump
Hot Water iping Length ft
Control aty. HP
Type
In Plenum
Outside I Buried Add 1/2" Insulation
CENTRAL SYSTEM RATINGS
HEATING
COOLING
System Name Type
Ot . Out ut
Aux. kW Eff iciency Output
Eff iciency
Status
Existing Day and Night Packaged DX
4 55,000
0.0 7.70 HSPF 57,000 13.0 SEER/ 10.0 EER
Existing
CENTRAL SYSTEM FAN SUMMARY
SUPPLY FAN
RETURN FAN
System Name Fan Type
Economizer Type
Premium
CFM BHP Eff. Motor CFM BHP
Premium
Eff. Motor
Existing Day and Night Constant Volume
Fixed Temp (Non-Integ)
2,000 0.00 m
none
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
Ener Pro 5.1 by Ener Soft User Number: 5862
RunCode: 2013-03-02T10:19:58 ID:
Pae 17 of 20
ENVELOPE MANDATORY MEASURES: NONRESIDENTIAL ENV -MM
Project Name
Dr. Karimyan Dental
Date
3/2/2013
DESCRIPTION
Building Envelope Measures:
§118(a): Installed insulating material shall have been certified by the manufacturer to comply with the California Quality
Standards for insulating material, Title 20 Chapter 4, Article 3.
§118(c): All Insulating Materials shall be installed incompliance with the flame spread rating and smoke density requirements of
Sections 2602 and 707 of Title 24, Part 2.
18 f The opaque portions of framed demising walls in nonresidential buildings shall have insulation with an installed R -value
§1 ()' of no less than R-13 between framing members.
§117(a): All Exterior Joints and openings in the building that are observable sources of air leakage shall be caulked, gasketed,
weatherstripped or otherwise sealed.
Manufactured fenestration products and exterior doors shall have air infiltration rates not exceeding 0.3 cfm/ft.2 of
§116(a) 1: , window area, 0.3 cfm/ft.2 of door area for residential doors, 0.3 cfm/ft.2 of door area for nonresidential single doors
(swinging and sliding), and 1.0 cfm/ft.z for nonresidential double doors (swinging).
§116(a) 2: Fenestration U -factor shall be rated in accordance with NFRC 100, or the applicable default U -factor.
§116(a) 3: Fenestration SHGC shall be rated in accordance with NFRC 200, or--NFRC 100 for site -built fenestration, or the
applicable default SHGC.
§116(b): Site Constructed Doors, Windows and Skylights shall be caulked between the unit and the building, and shall be
weatherstripped (except for unframed glass doors and fire doors).
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MECHANICAL MANDATORY MEASURES: NONRESIDENTIAL MECH-MM
Project Name
Date
Dr. Karimyan Dental
3/2/2013
Equipment and System Efficiencies
§111:
Any appliance for which there is a California standard established in the Appliance Efficiency Regulations will comply
with the applicable standard.
§115(a):
Fan type central furnaces shall not have a pilot light.
§123:
Piping, except that conveying fluids at temperatures between 60 and 105 degrees Fahrenheit, or within HVAC
equipment, shall be insulated in accordance with Standards Section 123.
§124:
Air handling duct systems shall be installed and insulated in compliance with Sections 601, 602, 603, 604, and 605 of
the CMC Standards.
Controls
§122(e):
Each space conditioning system shall be installed with one of the following:
1A.
Each space conditioning system serving building types such as offices and manufacturing facilities (and all others not
explicitly exempt from the requirements of Section 112 (d)) shall be installed with an automatic time switch with an
accessible manual override that allows operation of the system during off -hours for up to 4 hours. The time switch
shall be capable of programming different schedules for weekdays and weekends and have program backup
capabilities that prevent the loss of the device's program and time setting for at least 10 hours if power is interrupted; or
1 B.
An occupancy sensor to control the operating period of the system; or
1 C.
A 4 -hour timer that can be manually operated to control the operating period of the system.
2
Each space conditioning system shall be installed with controls that temporarily restart and temporarily operate the
system as required to maintain a setback heating and/or a setup cooling thermostat setpoint.
Each space conditioning system serving multiple zones with a combined conditioned floor area more than 25,000
§122(8)'
square feet shall be provided with isolation zones. Each zone: shall not exceed 25,000 square feet; shall be provided
with isolation devices, such as valves or dampers that allow the supply of heating or cooling to be setback or shut off
independently of other isolation areas; and shall be controlled by a time control device as described above.
§122(c):
Thermostats shall have numeric setpoints in degrees Fahrenheit (F) and adjustable setpoint stops accessible only to
authorized personnel.
§122(b):
Heat pumps shall be installed with controls to prevent electric resistance supplementary heater operation when the
heating load can be met by the heat pump alone
Each space conditioning system shall be controlled by an individual thermostat that responds to temperature within the
zone. Where used to control heating, the control shall be adjustable down to 55 degrees F or lower. For cooling, the
§122(a&b):
control shall be adjustable up to 85 degrees F or higher. Where used for both heating and cooling, the control shall be
capable of providing a deadband of at least 5 degrees F within which the supply of heating and cooling is shut off or
reduced to a minimum.
Ventilation
§121(e):
Controls shall be provided to allow outside air dampers or devices to be operated at the ventilation rates as specified
on these plans.
22 f
§1 ()'
All gravity ventilating systems shall be provided with automatic or readily accessible manually operated dampers in all
openings to the outside, except for combustion air openings.
Ventilation System Acceptance. Before an occupancy permit is granted for a newly constructed building or space, or a
§121(f):
new ventilating system serving a building or space is operated for normal use, all ventilation systems serving the
building ors ace shall be certified as meeting the Acceptance Requirements for Code Compliance
Service Water Heating Systems
§113(c)
Installation
3.
Temperature controls for public lavatories. The controls shall limit the outlet Temperature to 110° F.
2
Circulating service water -heating systems shall have a control capable of automatically turning off the circulating pump
when hot water is not required.
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HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
Project Name
Dr. Karimyan Dental
Date
3/2/2013
System Name
Dental
Floor Area
3,135
ENGINEERING CHECKS
SYSTEM LOAD
Number of Systems
4
COIL
CFM
Total Room Loads 7,004
Return Vented Lighting
Return Air Ducts
Return Fan
Ventilation 470
Supply Fan
Supply Air Ducts
TOTAL SYSTEM LOAD
COOLING
PEAK COIL HTG.
PEAK
Heating System
Sensible
Latent CFM
Sensible
Output per System 55,000
107,119
6,458 614
45,556
Total Output Btuh 220,000
0
Output Btuh/s ft 70.2
5,356
2,278
Cooling System
0
0
Output per System 57,0001
18,192
6,016 470
21,886
Total Output Btuh 228,000
0
12,474
0
Total Output Tons 19.0
5,356
2,278
Total Output Btuh/s ft 72.7
Total Output s ft/Ton 165.01
136,023
F 71,998
Air System
CFM per System
2,000
HVAC EQUIPMENT SELECTION
Airflow cfm
8,000
Existing Day and Night
145,130
57,709
137,406
Airflow cfm/s ft
2.55
Airflow cfm/Ton
421.1
Outside Air %
5.9%
Total Adjusted System Output
(Adjusted for Peak Design conditions)
I TIME OF SYSTEM PEAK
145,130
57,709
Sep 3 PM
137,406
Jan 1 AM
Outside Air cfm/s ft 0,15
Note: values above given at ARI conditions
HEATING SYSTEM PSYCHROMETRICS
Airstream Temperatures at Time of Heating
Peak)
26 OF
Outside Air
470 cfm
70 OF
67 OF 140 OF 140 OF
Heating Coil Supply Fan
8,000 cfm
o
140 F
ROOM
70 OF
COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak
111/78°F
Outside Air
470 cfm
75/64°F
77/65°F 59/58°F 59/58°F
c �O�
A
c
Cooling Coil Supply Fan
8,000 cfm
60 / 58 OF
--
56.8% � ROOM
74/64°F
EnergyPro 5.1 by EnergySoft
User Number: 5862 RunCode: 2013-03-02710:19:58
/D:
Page 20 of 20
PERFORMANCE CERTIFICATE OF COMPLIANCE (Part 1 of 3) PERF-1 C
Project Name
Date
Dr. Karimyan Dental
9/3/2013
Project Address
Climate Zone
Total Cond. Floor Area
Addition Floor Area
78-138 Calli Tampico La Quinta
CA Climate Zone 15
3,135
n/a
GENERAL INFORMATION
Building-Type: m Nonresidential ❑ High-Rise Residential ❑est Room
❑ Relocatable - indicate [3specific climate zone ❑ a tes
Phase of Construction: ❑ New Construction ❑ Addition ❑ Alteratio VJ-
STATEMENT OF COMPLIANCE
.This certificate of compliance lists the building features and specifications needed to
SEP
comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This
15.2013
certificate applies only to a Building using the performance compliance approach.
CIT-' O
The documentation author hereby certifies that the documentation is accurate and com et . Np Iry461V41
EVE,
Documentation Author
Name Gina Rose-Starkey Signature �� % .
Company EQS, Inc. Date 9/3/2013
Address P.O. Box 170 Phone 760-218-3350
City/State/Zip Gold Hill, OR 97525
The Principal Designer hereby certifies that the proposed building design represented in this set of
construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with
any other calculations submitted with this permit application. The proposed building has been designed to meet the energy
efficiency requirements contained in sections 110, 116 through 118, and 140 through 149 of Title 24, Part 6. Please
check one:
ENV. LTG. MECH.
I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to
❑ ❑ ❑ sign this document as the person responsible for its preparation; and that I am -licensed in the State of
California as a civil engineer, mechanical engineer, electrical engineer, or I am a licensed architect.
I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code by section
❑ ❑ ❑ 5537.2 or 6737.3 to sign this document as the person responsible for its preparation; and that I am a licensed
contractor performing this work.
I affirm that I am eligible under Division 3 of the Business and Professions Code to sign this document
❑ ❑ ❑ . because it pertains to a structure or type of work described as exempt pursuant to Business and Professions
Code Sections 5537, 5538 and 6737.1.
Principal Envelope Designer
Name
Signature
Company AA Design Date
Address 81-692 Rancho Santana Dr. License #
City/State/Zip La Quinta, CA 92253 Phone 760-272-4285
'Principal Mechanical Designer
Name
Signature
Company Date
Address License #
City/State/Zip Phone
Principal Lighting Designer
Name C
------_
fSig �atu�f F LA Of I
D
Company aif_ilvr;&
.e
g
Address t. , LJ cense
�"-, Yr
{ `� ; ry
Enh
�PtaTe
City/State/Zip j FOR C
RIFT
INSTRUCTIONS TO APPLICANT COMPLIANCE & WORKSHEETS (check box if workshe are in I ded)
m ENV-1C Certificate of Compliance. Required on plans. m MECH-I-C rti to of mpliance. Required on plans.
m LTG-1C Certificate of Compliance. Required on plans. m MECH-2C--- i tl / erv' of Water Pool Requirements.
m LTG-2C Lighting Controls Credit Worksheet. m M'ECH3C""'Mechani a tion and Re eat
❑ LTG-3C Indoor Lighting Power Allowance. m MECH-5C Mechan Equipment Details.
EnergyPro 5.1 by EnergySoft User Number: 5862 RunCode: 2013-09-03710:43:20 ID: Page 3 of 20
PERFORMANCE CERTIFICATE OF COMPLIANCE (Part 2 of 3) PERF-1,C
Project Name Date
Dr. Karim an Dental 9/3/2013
ANNUAL TDV ENERGY USE SUMMARY kBtu/s ft- r
Standard, Proposed Compliance
.Energy Component Design Design Margin -- - - -_- - - ----
Space Heating Heating
Space Cooling Cooling
Indoor Fans Fans
Heat Rejection Heat Rej
t
Pumps & Misc. , Pumps -j k
Domestic Hot Water DHW :
Lighting . Lighting
Receptacle Receptacle t
. t
Process Process .a
Process Lighting Process Ltg
TOTALS
Percent better than Standard 5.0% 5.0 % excludingprocess)
BUILDING COMPLIES
GENERAL INFORMATION
Building Orientation (N) 0 deg Conditioned Floor Area 3,135 sqft.
Number of Stories f Unconditioned Floor Area, ,0 sqft.
Number of Systems 4 Conditioned Footprint Area 3,135 sqft.
Number of Zones 1 Natural Gas Available On Site yes
Orientation Gross Area GlazingArea GlazingRatio
Front Elevation sqft. 285 sqft. 57.1% .
Left Elevation sqft. ; o sqft.' 0.0% '
Rear Elevation sqft. _ 284 sqft. 56.7%
Right'Elevation sqft. 288 •sqft. 44.4 %
Total sqft. 857 ,Sgft. 37.3 % •,
Roof sqft. o sqft- an
Standard Proposed
Prescriptive Values for
Prescriptive Lighting Power Density 1.100 W/sqft. 0.879 W/sqft. Comparison only. See
Prescriptive Envelope TDV Energy 188,329 402,606 y LTG-1C for allowed LPD.
Remarks:
E"�''� 4..A C�UIN7' .
3UILD-NSG SAFETY DEP/Tq,
AP
. � �-o�' coNs���i� .. -
r C� •
N
DATE By F, _
Ener Pro 5.1 b� Ener Soft User Number: 5862 RunCode: 2013-09-03710:43:20 ID: Page 4 of 20
0.62 �
0.68
-0.07
175.50
174.55
0.95
• o.00
. • o.00
o.00
• -o.00
o.00
o.00
o.00 _
o.00
o.00
� o.00
' o.00
- . o.00
76.96
61.50
15.46
75.64
75.64
0.00
o.00 �
o.00
� o.00
o.00
o.00
o.00
' 328.71
312.37
16.34
(N)
500
' (E)
• •650
- •' (S)
500
(lM
650
'
w 2, 300
3,135
PERFORMANCE CERTIFICATE OF COMPLIANCE (Part 3 of 3) PERF -1 C
Project Name
Dr. Karimyan Dental
Date
9/3/2013
ZONE INFORMATION
System Name
Zone Name
Occupancy Type
Floor
Area
s ft.
Inst.
LPD
W/sf t
Ctrl.
Credits
W/sf 2
Allowed LPD
Proc.
Loads
W/sf
Area Tailored
W/sf s W/sf a
Dental
Dental
Comp Bldg Medical and Clin
3,135
1.018
0.139
Notes:. 1. See LTG -1C 2. See LTG -2C 3. See LTG -3C 4. See LTG -4C
items marked with asterisk, see LTG -1-C by others) (by others
Items above require special documentation
EXCEPTIONAL CONDITIONS COMPLIANCE CHECKLIST
The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written
justification and documentation, and special verification to be used with the performance approach. The local enforcement agency .
determines the adequacy of the justifications, and may reject a building or design that otherwise complies based on the adequacy of the
special justification and documentation submitted.
.--
v�.it t�llh� SAF FTV
SPR �-
The exceptional features listed in this performance approach application have spe"citlj�hlly'be�e��r v�ewgii.rAdeq ate writt justification and
documentation for their use have been provided by the applicant. !! �U( TION
Authorized Signature or Stamp 9 06TE ,
Energ Pro 5.1 by EnergySoft User Number: 5862 RunCode: 2013-09-03Tf0.43:20_l Page 5 of 20
CERTIFICATE OF COMPLIANCE (Part 1 of 3) ENV -1 C
AND FIELD INSPECTION ENERGY CHECKLIST
Project Name
Dr. Karimyan Dental
Date
9/3/2013
Project AddressClimate
78-138 Calli Tampico La Quinta
Zone
15
Total Cond. Floor Area
3,135
Addition Floor Area
n/a•
GENERAL INFORMATION
Building Type: ® Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room
❑ Schools (Public School) ❑ Bledlocatable g. Public School m .Conditioned Spaces ❑ Unconditioned Spaces
❑ Skylight Area for Large Enclosed Space a 8000 ft2 (If checked include the ENV -4C with submittal)
Phase of Construction: ❑ New Construction ❑ Addition ❑ Alteration
Approach of Compliance: ❑ Component m Overall Envelope ❑ Unconditioned (file affidavit)
Front Orientation: N, E, S, W or in Degrees:
0 deg
FIELD INSPECTION ENERGY CHECKLIST
OPAQUE SURFACE DETAILS
INSULATION
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Wall
215
(N)
0.074
R-19
4.3.1-A5
Existing
❑
❑
2
Wall
650
(E)
0.074
R-19
4.3.1-A5
Existing
1 ❑
❑
3
Wall
217
(S)
0.074
R-19
4.3.1-A5
Existing
❑
❑
4
Wall
362
(W)
0.074
R-19
4.3.1-A5
Existing
❑
❑
5
Slab
672
(N)
0.730.
None
4.4.7-A 1
Existing
❑
❑
6
Slab
2,463
(N)
0.730
None
4.4.7-A1
Existing
❑
❑
7
Roof
3,135
(N)
0.031
R-30
4.2.1-A20
Existing
❑
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❑
1. See Instructions in the Nonresidential Compliance Manual, page 3-96.
2. If Fail, then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. A fail does not meet compliance.
FENESTRATION SURFACE DETAILS
Fenestration
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Window
285
(N)
0.790
NFRC
0.700
NFRC ❑
Existing
❑
❑
2
Window
284
(S)
0.790
NFRC
0.700
NFRC ❑
Existing
❑
❑
3
Window
248
(W)
0.790
NFRC
0.700
NFRC ❑
Existing
❑
❑
4
Window
40
(W)
0.710
Default
0.730
Default ❑
New
❑
❑
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❑
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jr, 1!!
DING'
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1. See Instructions in the Nonresidential Compliance Manual, page 3-96.
2. If Fail then describe on Page 2 of the Inspection Checklist Form and tak
if necessary.
Ener Pro 5.1 6 Ene Soft User Number: 5862 RunCode: 20-3-09-03y 1�d3:2�� Page 6 of 20
e
a�n�rr..
ropriate-action.to-corre`��%a/�rify_buildiag-plan
•
t`
LTG -1 C '
Date • - •
.CERTIFICATE OF COMPLIANCE (Part 1 of 3)
Project Name
Dr. Karimyan Dental
9/3/2013
INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST
Installation Certificate, LTG -1- INST Retain a co and verify form is completed and signed.
Field Inspector ❑
Certificate of Acceptance, LTG -2A (Retain a copy and verify form.is completed and signed.)
Field Inspector ❑
A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces Installed Lighting Power listed on
this Lighting Schedule is onlyfor:
m CONDITIONED SPACE ❑ UNCONDITIONED SPACE
0, The. actual indoor lighting power listed below includes all installed permanent and portable lighting systems in accordance
with §1.46(a).
Only for offices: Up to the first 0.2 watts per square foot of portable lighting shall not be required to be included in the
m calculation of actual indoor lighting power density in accordance with the Exception to §146(a). All portable lighting in excess of
0.2 watts per square foot is totaled below. ,.
Luminaire (Type, Lamps, Ballasts
Installed Watts
A
B
C
D
I E F
G
H
How wattage
Field I
Was determined
Ins ector2
``r
� •w •
.None -
a
CEC �,
�?
j
t
or
Complete Luminaire Description '
c�
m
._ �
Default o �,
�
Item
Ta
(Le, 3 lamp fluorescent troffer,,
F32T8, one dimmable electronic ballasts
n
� '
m = `
3 J
From L o 3
NA8 Q ~ Z J
`�
m
a
m
t1
24" Undercounter Fluorescent
❑'•
16.0
®
❑ 7
112
❑ `r
•. ❑ a
48" Undercounter Fluorescent
❑
32.0
®
❑ 12
384
i Ell
Ely
(2) 2 It Fluorescent T8 Elec
❑
64.0
®
❑ 34
2,176
` ❑t
D j
(1) 20W Fluorescent /`
❑
20.0
0
❑ 26
520
E-
❑s
El
❑
❑
❑
f ❑.
Or
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led Of a Antal
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• f Inst a
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tlil� tJll�dC1'n ale ca s I+r�jfgt
Building total number of pages:)
rn �t all pages
e4of
31192
v i n 1
1. Wattage shall be determined according to Section 130 (d and e). Wattage Sall be rating of light fixture, not 'rating of bulb.
2 . If Fail then describe on Page 2 of the Inspection Checklist Form and take 4pprrop is a action to correct. Verify building plans if ecessary.
BY
Ene Pro 5.1 6 Ene Soft . " User Number: 5862 Run Code: 2d13 -099-03X%0. d3r20 Jo" Pae 9 of 20
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r
CERTIFICATE OF COMPLIANCE Part 3 of 3 LTG -1 C
Project Name
Date
Dr. Karimyan Dental
9/3/2013
CONDITIONED AND UNCONDITIONED SPACE LIGHTING MUST
NOT BE COMBINED FOR COMPLIANCE
Indoor Lighting Power for Conditioned S aces
Indoor Lighting Power for Unconditioned Spaces
Watts .
Watts
Installed Lighting
3192
Installed Lighting
0
from Conditioned LTG -1 C, Page 2
from Unconditioned LTG -1 C, Page 2
Lighting Control Credit
435
Lighting Control Credit
0
Conditioned Spaces from LTG -2C
Unconditioned Spaces from LTG -2C
Adjusted Installed
2,757
Adjusted Installed =
0
Lighting Power
Lighting Power
Complies if Installed:5 Allowed
Complies if Installed <_ Allowed
Allowed Lighting PowerAllowed
Lighting Power
Conditioned Spaces from LTG -3C or PERF -1
2'757
Unconditioned Spaces from LTG -3C
Required Acceptance Tests
Designer:
This form is to be used by the designer and attached to the plans. Listed below is the acceptance test for the Lighting system,
LTG -2A. The designer is required to check the acceptance tests and list all control devices serving the building or space shall be
certified as meeting the Acceptance Requirements for Code Compliance. If all the lighting system or control of a certain type requires
a test, list the different lighting and the number of systems. The NA7 Section in the Appendix of the Nonresidential Reference
Appendices Manual describes the test. Since this form will be part of the plans, completion of this section will allow the responsible
party to budget for the scope of work appropriately. Forms can be grouped by type of Luminaire controlled.
Enforcement Agency:
Systems Acceptance. Before Occupancy Permit is granted for a newly constructed building or space or when ever new lighting
system with controls is installed in the building or space shall be certified as meeting the Acceptance Requirements.
The LTG -2A form is not considered a complete form and is not to be accepted by the enforcement agency unless the boxes are
checked and/or filled and signed. In addition, a Certificate of Acceptance forms shall be submitted to the enforcement agency that
certifies plans, specifications, installation certificates, and operating and maintenance information meet the requirements of
§10-103(b) of Title 24 Part 6. The field inspector must receive the properly filled out and signed forms before the building can receive
final occupancy. A copy of the LTG -2A for each different lighting luminaire control(s) must be provided to the owner of the building
for their records.
Controls for Credits
LTG -2A
Controls and
Sensors and
Automatic
Number of
Daylighting
Luminaire
Controls
Equipment Re uirin Testing
Descri tion
controls Location
Acceptance
Occ Sensor - Multi -Level
(2) 2 It Fluorescent T8 Elec
341 dental
m
1 CITY OF LA U
❑
BUILDING & SAFETY DEP
❑
A .310 n
❑
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❑
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EnergyPro 5.1 by EnerqySoA User Number: 5862 RunCode: 2013-09-03T10:43:20
ID: Pae 11 of 20
CERTIFICATE OF COMPLIANCE and ' (Part 1 of 4) MECH-1 C
FIELD INSPECTION ENERGY CHECKLIST
Project Name
Dr. Karimyan Dental
Date
9/3/2013
Project Address
78-138 Calli Tampico La Quinta
Climate Zone
15
Total Cond. Floor Area
3,135
Addition Floor Area
n/a
GENERAL INFORMATION
Building Type: ® Nonresidential ❑ High-Rise Residential ❑ Hotel/Motel Guest Room
❑ Schools (Public School) ❑ Relocatable Public School Bldg. m Conditioned Spaces . ❑ Unconditioned Spaces
affidavit
Phase of Construction: ❑ New Construction ❑ Addition ❑ Alteration
Approach of Compliance: ❑ Component ❑ Overall Envelope TDV ❑ Unconditioned (file affidavit)
Energy
Front Orientation: N, E, S, W or in Degrees:
10 deg
HVAC SYSTEM DETAILS
FIELD INSPECTION ENERGY CHECKLIST
E ui ment2
Inspection Criteria
Meets Criteria
or Requirements
Pass
Fail — Describe Reason
Item or System Tags
i.e. AC-1, RTU-1, HP-1
Dental
❑
❑
Equipment T e3:
Packaged DX
❑
❑
Number of Systems
4
❑
❑
Max Allowed Heating Capacity'
55,000 Btu/hr
❑
❑
Minimum Heating Efficiency'
7.70 HSPF
❑
❑
Max Allowed Cooling Ca acit '
57,000 Btu/hr
❑
❑
Cooling Efficiency'
13.0 SEER/ 10.0 EER
❑
❑
Duct Location/ R-Value
R-4.2
❑
❑
When duct testing is required, submit
& MECH-4-HERS
NO
❑
13MECH-4A
Economizer
Fixed Temp (Non-Integ)
❑
❑
Thermostat
Setback Required
❑
❑
Fan Control
Constant Volume
❑
❑
E ui ment2
Inspection Criteria
FIELD INSPECTION ENERGY CHECKLIST
Pass Fail — Describe Reason
Item or System Tags
i.e. AC-1, RTU-1, HP-1
❑ ❑
Equipment T e3
❑ ❑
Number of Systems
❑ ❑
Max Allowed Heating Capacity'
❑ ❑
Minimum Heating Efficiency'
❑ ❑
Max Allowed Cooling Capacity,
1
❑ ❑
Cooling Efficiency'
❑ ❑
Duct Location/ R-Value
❑ ❑
When duct testing is required, submit
MECH-4A & MECH-4-HERS
❑ ❑
Economizer
❑
Thermostat
�,: 1 t
a 6❑y
❑
Fan Control
j
���
❑
LJ
1. If the Actual installed equipment performance efficient and capacity is less than the Proposed fro yt�e-eke o� ff subm
the building plans),the responsible party shall resubmienergy compliance to include the' ne�iV dhaf b& 0 I ����
2. For additional detailed discrepancy use Page 2 of the Inspection Checklist Form! Compliance fails if a Fail box is checked.
3. Indicate Equipment Type: Gas (Pkg or, Split), VAV, HP (Pkg or split), Hydronic, PTAC�rOr other. BY
e u tt
al or from
Ener Pro 5.1 by Ener Soft User Number- 5862 RunCode: 2013-09zWT10:43:20----119.
Pae 12 of 20
AIR SYSTEM REQUIREMENTS Part 1 of 2 MECH-2C
Project Name Date
Dr. Karimyan Dental 9/3/2013
Item or System Tags Indicate Air Systems Type Central, Single Zone, Packa e, VAV, or etc...
i.e. AC -1, RTU -1, HP -1
144(a &
Dental
144(a &
144(a &
Number of Systems
144(c)
4
144(d)
144(e)
MANDATORY MEASURES
Heating Equipment Efficiency
Cooling Equipment Efficiency
HVAC Heat Pump Thermostat
Furnace Controls/Thermostat
Natural Ventilation
Mechanical Ventilation
VAV Minimum Position Control
Demand Control Ventilation
Time Control
Setback and Setup Control
Outdoor Damper Control
Isolation Zones
Pipe Insulation
Duct Insulation
Indicate Pa
a Reference on Plans or Schedule
and indicate the
applicable exception(s)
T-24 Sections
112(a)
7.70 HSPF
112(a)
13.0 SEER 110.0 EER
112(b), 112(c)
Yes
112(c), 115(a)
n/a
121 b
No
121 b
470 cfm
121 c
No
121 c
No
122(e
Programmable Switch
122(e)
Setback Required
122(f)
Auto
122
n/a
123
124
R-4.2
PRESCRIPTIVE MEASURES
Calculated Design Heating Load
Proposed Heating Capacity
Calculated Design Cooling Load
Proposed Cooling Capacity
Fan Control
DP Sensor Location
Supply Pressure Reset (DDC only)
Simultaneous Heat/Cool
Economizer
Heat Air Supply Reset
Cool Air Supply Reset
Electric Resistance Heating'
Air Cooled Chiller Limitation
Duct Leakage Sealing. If Yes, a
MECH-4-A must be submitted
144(a &
144(a &
144(a &
144(a &
144(c)
144(c)
144(c)
144(d)
144(e)
144(f)
144(f)
144
144(i)
144(k)
n/a
137,406 Btu/hr
n/a
145,122 Btu/hr
Constant Volume
Yes
No
Fixed Temp (Non-Integ)
Constant Temp
Constant Temp
1. Total installed capacity (MBtu/hr) of all electric heat on this project er
explain which exceptions) to §144(g) apply.
(311712Y 9-4'x, r.
UrL•r n n
o�- it 6�
A r l.-.
FOR CONSTRUCTION
^lusive of electric auxiliary heat for heat pumps. If e
DATE BY
I
ctric heat is used
Page 15 of 20
1
-ENVELOPE -MANDATORY MEASURES: NONRESIDENTIAL. .; ENV -MM
Project Name
Date
Dr. Karimyan Dental.
9/3/2013
DESCRIPTION "
Building Envelope Measures:
§118(a): Installed insulating material shall have been certified by the manufacturer to comply with the California Quality
Standards for insulating material, Title 20 Chapter.4, Article 3.
§118(c): All Insulating Materials shall be installed in compliance with the flame spread rating and smoke density requirements of
Sections 2602 and 707 of Title 24, Part 2.
§118(f): The opaque portions of framed demising walls in nonresidential buildings shall have insulation with an installed R -value
of no less than R-13 between framing members.
All Exterior Joints and openings in the building that are observable sources of air leakage shall be caulked' gasketed,
§117(a):
weatherstrippedbr{otherwise sealed.
Manufactured fenestration products and'exterior'doors shall have air infiltration rates not exceeding,0.3 cfm/ft.2 of
§116(a) 1: window area, 0.3 cfm/ft.z of door area for residential doors, 0:3 cfm/ft.2 of door area for nonresidential single doors
(swingingand sliding), and, 1.0 cfm/ft.2 for nonresidential double doors (swinging).
§116(a) 2: Fenestration U -factor shall be in accordance with NFRC 100, or the applicable default U -factor.
§116(a) 3: Fenestration SHGC shall be rated in accordance with NFRC 200, or NFRC 100 for site -built fenestration, or the
applicable default,SHGC.
§116(b): Site Constructed Doors, Windows and Skylights shall be caulked between the unit and the building', and shall be
weatherstripped (except for unframed glass doors and.fire doors).
1
, r
\ CIT' OF � QUINTA .
' BUILDING ','G & SAFETY DEPT.
Pe'VED .
FOR CONSTRUCTION
'DATE BY
Ene Pro5.1 6 Ener Soft , User Number: 5862 RunCode: 2013-09-03T10:43:20 ID: Pae 18 of 20
MECHANICAL MANDATORY MEASURES: NONRESIDENTIAL MECH-MM
Project Name
Date
Dr. Karimyan Dental
9/3/2013
Equipment and System Efficiencies
§111:
Any appliance for which there is a California standard -established in the Appliance Efficiency Regulations will comply
with the applicable standard.
§115(a):
Fan type central furnaces shall not have a pilot light.
§123:
Piping, except that conveying fluids at temperatures between 60 and 105 degrees Fahrenheit, or within HVAC
equipment, shall be insulated in accordance with Standards Section 123.
§124:
Air handling duct systems shall be installed and insulated in compliance with Sections 601, 602, 603, 604, and 605 of
the CMC Standards.
Controls
§122(e):
Each space conditioning system shall be installed with one of the following:
1A.
Each space conditioning system serving building types such as offices and manufacturing facilities (and all others not
explicitly exempt from the requirements of Section 112 (d)) shall be installed with an automatic time switch with an
accessible manual override that allows operation of the system during off -hours for up to 4 hours. The time switch
shall be capable of programming different schedules for weekdays and weekends and have program backup
capabilities that prevent the loss of the device's program and time setting for at least 10 hours if power is interrupted; or
1 B.
An occupancy sensor to control the operating period of the system; or
1 C.
A 4 -hour timer that can be manually operated to control the operating period of the system.
2
Each space conditioning system shall be installed with controls that temporarily restart and temporarily operate the
system as required to maintain a setback heating and/or a setup cooling thermostat setpoint.
Each space conditioning system serving multiple zones with a combined conditioned floor area more than 25,000
§122(g).
square feet shall be provided with isolation zones: Each zone: shall not exceed 25,000 square feet; shall be provided
with isolation devices, such as valves or dampers that allow the supply of heating or cooling to be setback or shut off
independently of other isolation areas; and shall be controlled by a time control device as described above.
§122(c):
Thermostats shall have numeric -setpoints in degrees Fahrenheit (F) and adjustable setpoint stops accessible only to
authorized personnel.
22 b
§1 ()'
Heat pumps shall be installed with controls to prevent electric resistance supplementary heater operation when the
heating load can be met by the heat pump alone
Each space conditioning system shall be controlled by an individual thermostat that responds to temperature within the
zone. Where used to control heating, the control shall be. adjustable down to 55 degrees F or lower. For cooling, the
§122(a&b):
control shall be adjustable up to 85 degrees F or higher. here used for both heating and cooling, the control shall be
capable of providing a deadband of at least 5 degrees F within which the supply of heating and cooling is shut off or
reduced to a minimum.
Ventilation
§121(e):
Controls shall be provided to allow outside air dampers or devices to be operated at the ventilation rates as specified
on these plans.
§122(f):
All gravity ventilating systems shall be provided with automatic or readily accessible manually operated dampers in all
openings to the outside, except for combustion air openings.
Ventilation System Acceptance. Before an occupancy permit is granted for a newly constructed building or space, or a
§121(f):
new ventilating system serving a building or space is operated for normal use, all ventilation systems serving the
building ors ace shall be certified as meeting the Acceptance Requirements for Code Compliance
Service Water Heating Systems
§113(c)
Installation
3.
Temperature controls for public lavatories. The controls shall limit the outlet Temperature to 110° F.
2'
service systems shall have a c n r�� ab.(e a ofnatcayd+xtu��itl T t e irculating pump
�v
UY
when hot waer not requeedng
BUILDING & t DEPT.
APPROVED
FOR CONSTRUCTION
DATE BY
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