11-0671 (RC) Title 24BUILDING ENERGY ANALYSIS REPORT
PROJECT:
Pathology Lab La Quinta Medical Center
47-647 Caleo Bay Suite 230
La Quinta, Ca 92253
Project Designer:
Sipovac Construction Inc
72651 Theodora Ln
Palm Desert, Ca 92260
760-567-2347
Report Prepared by:
Bob Sipovac
Sipovac Construction
72-651 Theodora Lane
Palm Desert, CA 92260
760-567-2347
CITY OF LA QUINTA
BUILDING & SAFETY DEPT,
APPROVED Job Number: I-ECEIVED
FOR C NSTRUCTION
102011
DA 2 l sY JUN 20 2011
Date:
IF (a7l 5/31/2011
The EnergyPro computer program has been used to perform the calculations 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: 5289 RunCode: 2011-05-31710:04:33 ID: 102011
I TABLE OF CONTENTS I
Cover Page
Table of Contents
Nonresidential Performance Title 24 Forms
Form ENV -MM Envelope MandatoryMeasures
2
3
17
EnergyPro 5.1 by EnergySoft Job Number: ID: 102011 User Number: 5289 1
PERFORMANCE CERTIFICATE OF COMPLIANCE Part 1 of 3 PERF -1 C
Project Name
Date
Pathology Lab La Quinta Medical Center
1 5/31/2011
Project Address
Climate Zone
Total Cond. Floor Area
Addition Floor Area
47-647 Caleo Bay Suite 230 La Quinta
CA Climate Zone 15
1,553
n/a
GENERAL INFORMATION
Building Type: 0 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 Bob Sipovac
Signature
Company Sipovac Construction
Date 5/31/2011
Address 72-651 Theodora Lane
Phone 760-567-2347
City/State/Zip Palm Desert, CA 92260
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 Bob Sipovac
Signature
Company Sipovac Construction Inc Date
Address 72651 Theodora Ln License #
City/State/Zip Palm Desert, Ca 92260 Phone 760-567-2347
Principal Mechanical Designer
Name Bob Sipovac
Signature
Company Sipovac Construction Inc Date
Address 72651 Theodora Ln License #
City/State/Zip palm Desert, Ca 92260 Phone 760-567-2347
Principal Lighting Designer
Name
Signature
Company Lighting Compliance Not In The Scope Of This Submittal Date
Address License #
City/State/Zip Phone
INSTRUCTIONS TO APPLICANT COMPLIANCE & WORKSHEETS (check box if worksheets are included)
0 ENV -11C Certificate of Compliance. Required on plans. 0 MECH-1 C Certificate of Compliance. Required on plans.
❑ LTG -1C Certificate of Compliance. Required on plans. 0 MECH-2C Air/Water Side/Service Hot Water & Pool Requirements.
❑ LTG -2C Lighting Controls Credit Worksheet. 0 MECH-3C Mechanical Ventilation and Reheat.
❑ LTG -3C Indoor Lighting Power Allowance. 0 MECH-5C Mechanical Equipment Details.
EnergyPro 5.1 by Energ Soft User Number: 5289 RunCode: 2011-05-31T10:04:33 ID: 102011 Page 3 of 17
PERFORMANCE CERTIFICATE OF COMPLIANCE
Project Name
Pathology Lab La Quinta Medical Center
ANNUAL TDV ENERGY USE SUMMARY (kBtu/sgft-yr)
Standard Proposed Compliance
Energy Component Design Design Margin
Space Heating
Space Cooling
Indoor Fans
Heat Rejection
Pumps & Misc.
Domestic Hot Water
Lighting
Receptacle
Process
Process Lighting
TOTALS
1.29
1.67
-0.38
240.57
236.39
4.19
106.35
109.42
-3.08
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
76.96
76.96
0.00
75.64
75.64
0.00
0.00
0.00
0.00
0.00
0.00
0.00
500.81
500.08
0.73
Part 2 of 3
Heating
Cooling
Fans
Heat Rej
Pumps
DHW
Lighting
Receptacle
Process
Process Ltg
Percent better than Standard 0.1%1 0.1 % excluding process)
BUILDING COMPLIES
PERF -1 C
Date
5/31/2011
Building Orientation (K9 270 deg Conditioned Floor Area 1,553 sqft.
Number of Stories 2 Unconditioned Floor Area 0 sqft.
Number of Systems 2 Conditioned Footprint Area 1,553 sqft.
Number of Zones 2 Natural Gas Available On Site Yes
Front Elevation
Left Elevation
Rear Elevation
Right Elevation
Total
Roof
Orientation Gross Area
(lM
477
(N)
444
(E)
477
(S)
444
1842
1,553
Prescriptive Lighting Power Density
Prescriptive Envelope TDV Energy
Remarks:
Standard
1.100 W/sqft.
89,273
sqft.
sqft.
sqft.
sqft.
sgft.
sqft.
Glazino Area
148
148
0
0
296
0
Proposed
1.100W/sgft.
147, 656
ID: 102011
sgft.
sqft.
sgft.
sqft.
sgft.
sgft.
kiiazing rtauo
31.1%
33.4%
0.0%
0.0%
16.1%
0.0%
Prescriptive Values for
Comparison only. See
LTG -1 C for allowed LPD.
PERFORMANCE CERTIFICATE OF COMPLIANCE Part 3 of 3 PERF -1 C
Project Name
Pathology Lab La Quinta Medical Center
Date
5/31/2011
ZONE INFORMATION
st. Ctrl. Allowed LPD Proc.
FloorFLPD
Area Credits Area Tailored Loads
System Name Zone Name Occupancy Type s ft.sf' /Sf z W/Sf 3 W/sf 4 W/SfNew
System Pathology Lab Comp Bldg Medical and Clin 138.100
Existing System Suite 230 Comp Bldg Medical and Clin 1,415.100
��J
Notes: 1. See LTG -1 C 2. See LTG -2C 3. See LTG -3C 4. See LTG -4C nems above require special documentation
items marked with asterisk, see LTG -1 -C by others) (by others
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.
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
Pathology Lab La Quinta Medical Center
Date
1 5/31/2011
Project Address
47-647 Caleo Bay Suite 230 La Quinta
Climate Zone
15
Total Cond. Floor Area
1,553
Addition Floor Area
n/a
GENERAL INFORMATION
Building Type: 0 Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room
❑ Schools (Public School) ❑ RBlellocatable 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: 270 deg
FIELD INSPECTION ENERGY CHECKLIST
OPAQUE SURFACE DETAILS
INSULATION
Ta /ID
AssemblyType
N
Q
C
r N
y W
O Z
V
li
7
7
j
U 2
C
:: 7
W�
G C
:: `
W I-
O
N 3
C�
O C
N i
LL
_ C
5 G
� Q
"' y
C
0
U N
a
U.CL
1
Wall
59
(W)
0.102
R-131
4.3.1-A3
Existing
❑
❑
2
Wall
104
(S)
0.102
R-13
4.3.1-A3
Existing
❑
❑
3
Wall
108
(E)
0.102
R-13
4.3.1-A3
Existing
❑
❑
4
Wall
54
(N)
0.102
R-13
4.3.1-A3
Existing
❑
❑
5
Roof
138
(E)
0.031
R-30
4.2.1-A20
Existing
❑
❑
6
Slab
138
(N)
0.730
None
4.4.7-A1
Existing
1 ❑
❑
7
Wall
270
(W
0.102
R-13
4.3.1-A3
Existing
❑
❑
8
Wall
341
(S)
0.102
R-13
4.3.1-A3
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/1D
Fenestration
T
�
a10i
Q
C3
2 co
d W
O Z
o
v
x li
2>
0
v �
ti
> N
U
=
x N
2-
N N
e
c
O
o
U N
a
ti
1
Window
148
(W)
0.710
Default
0.600
Default
❑
Existing
❑
❑
2
Window
148
(N)
0.710
Default
0.600
Default
❑
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.
Ener Pro 5.1 by Energ Soft User Number: 5289 RunCode: 2011-05-31710:04:33 ID: 102011 Page 6 of 17
CERTIFICATE OF COMPLIANCE (Part 1 of 3) ENV -1 C
AND FIELD INSPECTION ENERGY CHECKLIST
Project Name
Pathology Lab La Quinta Medical Center
Date
5/31/2011
Project Address I
47-647 Caleo Bay Suite 230 La Quinta
ate Zone
15
Total Cond. Floor Area
1,553
Addition Floor Area
n/a
GENERAL INFORMATION
Building Type: 10 Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room
❑ Schools (Public School) ❑ Bledlocatable g. Public School m Conditioned Spaces [3 Unconditioned Spaces
❑ Skylight Area for Large Enclosed Space >_ 8000 ftZ (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:
270 deg
FIELD INSPECTION ENERGY CHECKLIST
OPAQUE SURFACE DETAILS
INSULATION
Ta /ID
AssemblyType
d
Q
� Cn
41 W
02
v
lL
�
4)
UD:
C
r 7
W>
o I
N`
W IL
O
N
�>
O 4
d i
Ali
_ c
C d
�Q
" N
C
UN
N
a
LL
9
Wall
369
(E)
0.102
R-13
4.3.1-A3
Existing
❑
❑
10
Wall
242
(N)
0.102
R-13
4.3.1-A3
Existing
❑
❑
11
Roof
1,415
(E)
0.031
R-30
4.2.1-A20
Existing
❑
❑
12
Slab
1,415
(N)
0.730
None
4.4.7-A1
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
Te
d
a`
C
«co
N W
O Z
O
B
X 4
>
C N
n
lL
> N
x
X U)
°C
U
7
N N
c
t
d
O
o
N
v
C
Vin
y
H
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑ 1
❑
❑
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
Pathology Lab La Quinta Medical Center
Date
5/31/2011
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/ft2. Greater than 2:12 pitch.
❑
❑
❑
❑ Low-sloped Wood framed roofs in Climate Zones 3 and 5 are exempted, solar reflectance and thermal emittance or
SRI that have a U-factor of 0.039 or lower. See Opaque Surface Details roof assembly, Column H of ENV-2C.
❑
❑
❑
Low-sloped Metal building roofs in Climate Zone 3 and 5 are exempted, solar relectance and thermal emittance or SRI
11 that have a U-factor of 0.048 or lower. See Opaque Surface Details roof assemblybelow, Column H of ENV-2C.
11
El
❑
❑ 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.energy.ca.gov/title24/
❑
❑
❑
constructions that have thermal mass over the roof membrane with a weight of at least 25 Ib/ft are exempt from
11 the Cool Roof criteria below.
El
El
[3the
residential buildings and hotels and motels with low-sloped roofs in Climate Zones 1 through 9, 12 and 16 are
11exempted
exem ted from the low-sloped roofingcriteria.
❑
❑
❑
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 Roof Slope Product Weight Product Aged Solar Thermal
Number' s 2:12 > 2:12 < 51b/fe >_ 5lb/ffz Type 2 Reflectance Emmitance SRI5 Pass Fai16
❑ ❑ ❑ ❑ ❑ 4
❑ ❑
❑ ❑ ❑ ❑ ❑ 4
❑ ❑
❑ ❑ ❑ ❑ ❑ 4
❑ 1 ❑
❑ ❑ ❑ ❑ ❑ 4
❑ ❑
❑ ❑ ❑ 1 ❑ 1❑ 4
❑ ❑
❑ ❑ ❑ 1 ❑ I ❑ 4
❑ ❑
1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at
www.coolroofs.org/i)roducts/search.r)hg)
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;,;tla — 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 http://www.energy.ca.gov/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.
Ene Pro 5.1 by EnerqySoft User Number: 5289 RunCode: 2011-05-31 T10:04:33 ID: 102011
Page 8 of 17
CERTIFICATE OF COMPLIANCE (Part 3 of 3) ENV -1C
AND FIELD INSPECTION ENERGY CHECKLIST
Project Name
Pathology Lab La Quinta Medical Center
Date
5/31/2011
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
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CERTIFICATE OF COMPLIANCE and (Part 1 of 4) MECH-1 C
FIELD INSPECTION ENERGY CHECKLIST
Project Name
Pathology Lab La Quinta Medical Center
Date
5/31/2011
Project Address
47-647 Caleo Bay Suite 230 La Quinta
Climate Zone
15
Total Cond. Floor Area
1,553
Addition Floor Area
n/a
GENERAL INFORMATION
Building Type: ® Nonresidential ❑ High-Rise Residential ❑ Hotel/Motel Guest Room
❑ Schools (Public School) ❑ Relocatable Public School Bldg. O 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: 270 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
New System
❑ ❑
Equipment T e3:
Packaged DX
❑ ❑
Number of Systems
1
❑ ❑
Max Allowed Heating Capacity'
39,400 Btu/hr
❑ ❑
Minimum Heating Efficiency'
8.00 HSPF
❑ ❑
Max Allowed Cooling Capacity'
24,900 Btu/hr
❑ ❑
Cooling Efficiency'
14.0 SEER / 11.4 EER
❑ ❑
Duct Location/ R-Value
Attic, Ceiling Ins, vented/8.0
❑ ❑
When duct testing is required, submit
MECH-4A & MECH-4-HERS
No
❑ ❑
Economizer
No Economizer
❑ ❑
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
Existing System
❑ ❑
Equipment T e3:
Packaged DX
❑ ❑
Number of Systems
1
❑ ❑
Max Allowed Heating Capacity'
50, 000 Btu/hr
❑ ❑
Minimum Heating Efficiency'
8.00 HSPF
❑ ❑
Max Allowed Cooling Capacity'
62,500 Btu/hr
❑ ❑
Cooling Efficiency'
13.0 SEER / 11.0 EER
❑ ❑
Duct Location/ R-Value
Attic, Ceiling Ins, vented/ 8.0
❑ ❑
When duct testing is required, submit
MECH-4A & MECH-4-HERS
No
❑ ❑
Economizer
No Economizer
❑ ❑
Thermostat
Setback Required
❑ ❑
Fan Control
Constant Volume
❑ ❑
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.
LEnergyPro 5.1 by Ener Soft User Number: 5289 Run Code: 2011-05-31710:04:33 ID: 102011 Pae 10 of 17
CERTIFICATE OF COMPLIANCE and I(Part 2 of 4) MECH-1 C
FIELD INSPECTION ENERGY CHECKLIST
Pathology Lab La Quinta Medical Center 5/31/2011
Discrepancies:
ID: 102011
CERTIFICATE OF COMPLIANCE and FIELD INSPECTION ENERGY CHECKLIST (Part 3 of 4) MECH-1 C
Project Name
Date
Pathology Lab La Quinta Medical Center
5/31/2011
Required Acceptance Tests
Designer:
This form is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for mechanical systems. The designer is required to check the applicable
boxes by all acceptance tests that apply and listed all equipment that requires an acceptance test. If all equipment of a certain type requires a test, list the equipment description and
the number of systems. The NA number designates the Section in the Appendix of the Nonresidential Reference Appendices Manual that describes the test. Since this form will be
part of the plans, completion of this section will allow the responsible party to budget for the scope of work appropriately.
Building Departments:
Systems Acceptance: Before occupancy permit is granted for a newly constructed building or space, or a new space -conditioning system serving a building or space is operated for
normal use, all control devices serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance.
Systems Acceptance: Before occupancy permit is granted. All newly installed HVAC equipment must be tested using the Acceptance Requirements.
The MECH-1 C form is not considered a completed form and is not to be accepted by the building department unless the correct boxes are checked. The equipment requiring testing,
person performing the test (Example: HVAC installer, TAB contractor, controls contractor, PE in charge of project) and what Acceptance test must be conducted. The following
checked -off forms are required for ALL newly installed equipment. In addition a Certificate of Acceptance forms shall be submitted to the building department that certifies plans,
specifications, installation, certificates, and operating and maintenance information meet the requirements of §10-103(b) and Title -24 Part 6. The building inspector must receive the
properly filled out and signed forms before the building can receive final occupancy.
TEST DESCRIPTION
MECH-2A
MECH-3A
MECH-4A MECH-5A
MECH-6A
MECH-7A
MECH-8A
MECH-9A
MECH-10A
MECH-11A
Hydronic
Outdoor
Constant
Demand
Supply
System
Automatic
Ventilation
Volume &
Air
Control
Supply
Valve
Water
Variable
Demand
For
Single -Zone
Distribution Economizer
Ventilation
Fan
Leakage
Temp.
Flow
Shed
Equipment Re uirin Testing or Verification Ot .
VAV & CAV
Unitary
Ducts Controls
DCV
VAV
Test
Reset
Control
Control
Carrier 48PGN-03-3 1
0
El
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EnerQvPro 5.1 by EnemySoft User Number: 5289 RunCode: 2011-05-31710:04:33 ID: 102011 Pae 12 of 17
CERTIFICATE OF COMPLIANCE and FIELD INSPECTION ENERGY CHECKLIST
(Part 4 of 4) MECH-1 C
Project Name
Pathology Lab La Quinta Medical Center
Date
5/31/2011
TEST DESCRIPTION MECH-12A
MECH-13A
MECH-14A
MECH-15A
Fault
Detection &
Diagnostics
Equipment Re uirin Testing Qty. for DX Units
Automatic Fault
Detection &
Diagnostics for
Air & Zone
Distributed
Energy Storage
DX AC
Systems
Thermal Energy
Storage (TES)
Systems
Test Performed By:
Carrier 48PGN-03-3 1 ❑
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Ener Pro 5.1 by EnergySoft User Number.- 5289
Run Code: 2011-05-31710:04:33 /D: 102011
Pae 13 of 17
AIR SYSTEM REQUIREMENTS
Project Name
Pathology Lab La Quinta Medical Center
Indicate Air Systems T
Item or System Tags
i.e. AC -1, RTU-I,HP-1 ,N._...,.`:.,.:;,:,. New System
r= 1
Number of Systems
MANDATORY MEASURES
Heating Equipment Efficiency
Cooling Equipment Efficiency
HVAC Heat Pump Thermostat
Furnace Controlslfhermostat
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 Location/ R -value
Indicate P;
T-24 Sections
112(a)
112(a)
112(b), 112(c)
112(c), 115(a)
121 b
121 b
121 c
121 c
122(e)
122(e)
122(f)
122
123
124
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 &
1
Part 1 of 2
Existing System
1
or Schedule and indicate the a
8.00 HSPF
14.0 SEER 111.4 EER
Yes
n/a
No
21 cfm
No
No
Programmable Switch
Setback Required
Auto
n/a
8.00 HSPF
13.0 SEER/ 11.0 EER
Yes
n/a
No
0 cfm
No
No
Programmable Switch
Setback Required
Auto
n/a
Attic, Ceiling Ins, vented / 8.0 1 Attic, Ceiling Ins, vented / 8.0
n/a
24,608 Btu/hr
n/a
16,202 Btu/hr
Constant Volume
Yes
No
No Economizer
Constant Temp
Constant Temp
No
n/a
31,229 Btu/hr
n/a
42,345 Btu/hr
Constant Volume
Yes
No
No Economizer
Constant Temp
Constant Temp
No
VAV
MECH-2C
9
5/31/2011
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.
EnergyPro 5.1 by EnergySoft User Number. 5289 RunCode: 2011-05-31710:04:33 ID: 102011 Pae 14 of 17
MECHANICAL VENTILATION AND REHEAT MECH-3C
Project Name
Pathology Lab La Quinta Medical Center
Date
5/31/2011
MECHANICAL VENTILATION §121 b 2 REHEAT LIMITATION (§144(d))
AREA BASIS
OCCUPANCY BASIS VAV MINIMUM
A
B
C
D
E
F
G H
I J
K
L
M N
Zone/System
Condition
Area
ft2
CFM
per
ft2
Min CFM
By Area
B X C
Number
Of
People
CFM
per
Person
Min CFM REQ'D
by V.A.
Occupant Max of
E X F D or G
Design 50% of
Ventilation Design Zone
Air Supply
CFM CFM
B X 0.4
CFM / ft2
Max. of
Columns
H, J, K,
300 CFM
Design
Minimum
Air Transfer
Setpoint Air
Pathology Lab
138
0.15
21
1
21
21
New System
Total 21
21
Suite 230
1,415
0.15
212
212
0
212
Existing System
Total 2121
0
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 seating.
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 up the difference.
J Design fan supply CFM Fan CFM x 50%; or the design zone outdoor airflow rate per 121.
K Condition area ft2 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.
EnergyPro 5.1 by EnergySoft User Number 5289 RunCode: 2011-05-31T10:04:33 ID: 102011 Pae 15 of 17
MECHANICAL EQUIPMENT DETAILS
Part1 of 2 MECH-5C
Project Name
Pathology Lab La Quinta Medical Center
Date
5/31/2011
CHILLER AND TOWER SUMMARY
PUMPS
Equipment Name Type
Ot . Eff iciency
Pump
Tons Ot . GPM BHP Control
DHW / BOILER SUMMARY
System Name Type
Distribution Ot . Rated Input
Vol. Energy Factor Standby Loss Tank Ext.
(Gals). or RE or Pilot R -Value Status
MULTI -FAMILY CENTRAL WATER HEATING DETAILS
Hot Water Pump
Hot Water Piping Length ft
Control Ot . HP
Type
In Plenum Outside Buried Add 1/2" Insulation
CENTRAL SYSTEM RATINGS
HEATING
COOLING
System Name Type
aty. Output Aux. kW
Eff iciency Output Efficiency Status
Carrier 48PGN-03-3 Packaged DX
1 39,400 0.0
8.00 HSPF 24,900 14.0 SEER/ 11.4 EER New
Carrier 48HJL006-3 Packaged DX
1 50,000 0.0
8.00 HSPF 62,500 13.0 SEER / 11.0 EER Existing
CENTRAL SYSTEM FAN SUMMARY
SUPPLY FAN RETURN FAN
System Name Fan Type
Economizer Type
CFM BHP CFM BHP
Carrier 48PGN-03-3 Constant Volume
No Economizer
800 0.17 none
Carrier 48HJL006-3 Constant Volume
No Economizer
2,000 1.11 none
rEn7ergypro 5.1 by EnergySoft User Number: 5289
RunCode: 2011-05-31T10:04:33 ID: 102011 Pae 16 of 17
ENVELOPE MANDATORY MEASURES: NONRESIDENTIAL ENV -MM
Project Name
Date
Pathology Lab La Quinta Medical Center
5/31/2011
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.
§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? 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.2 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).
Ener Pro 5.1 by EnergySoft User Number: 5289 RunCode: 2011-05-31710:04:33 ID: 102011 Pae 17 of 17