BCOM2022-0063BUILDING PERMIT
DESIGN & DEVELOPMENT
DEPARTMENT
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
PHONE (760) 777-7125
WWW.LAQUINTACA.GOV
APPLIED DATE: 11/13/2022
ISSUED DATE: 04/19/2023
Permit Type:
Permit Number:
Property Address:
APN:
Legal Description
Property Zoning:
Valuation:
Building Commercial
46660 WASHINGTON ST STE 6
BCOM2022-0063
643020063
$100,000.00
Owner:Ronald Indech
72225 Barbara Drive, Rancho Mirage, CA 92270
Applicant:Bob Sipovac
72651 THEODORA LANE, PALM DESERT, CA
92260
Contractor:Bob Sipovac / 581636
72651 THEODORA LANE, PALM DESERT, CA
92260
Declaration / Acknowledgement
PRIOR TO THE ISSUANCE OF THIS PERMIT FOR CONSTRUCTION, ALTERATION, IMPROVEMENT, DEMOLITION, OR REPAIR THE OWNER, APPLICANT AND/OR
CONTRACTOR UNDER PENALTY OF PERJURY HAVE AFFIRMED WHEN APPLICABLE, THROUGH THE SUBMITTAL OF FORMS OR BY OTHER ELECTRONIC MEANS, THE
FOLLOWING:
LICENSED CONTRACTOR OR OWNER-BUILDER DECLARATION (1 or 2)
1) They are licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professions Code, and the
referenced
License is in full force and effect, or;
2) That they are exempt from the Contractors’ State License Law for the
reason(s) indicated by either (2)(a) and/or (2)(b), or (2)(c) where he or
she is exempt from licensure by a valid exemption. [Section 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
Contractors’ State License Law (Chapter (commencing with Section 7000)
of Division 3 of the Business and Professions
Code] 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).)
a) As owner of the property, or my employees with wages as their sole
compensation, will do all of or portions of the work, and the structure is
not intended or offered for sale (Section 7044, Business and Professions
Code: The Contractors’ State License Law does not apply to an owner of
property who, through employees’ or personal effort, builds or improves
the property, 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 it was
not built or improved for the purpose of sale.).
b) As owner of the property, will be exclusively contracting with licensed
c) Are exempt from licensure under the Contractors’ State License Law.
As an Owner-Builder, they acknowledge that, except for their personal
residence in which they must have resided in for at least one year prior to
completion of the improvements covered by this permit, they cannot legally
sell a structure built as an owner-builder if it has not been constructed in
its entirety by licensed contractors. It is understood that a copy of the
applicable law, Section 7044 of the Business and Professions Code, is
available upon request when this application was submitted at the
following Web site:
http://www.leginfo.ca.gov/calaw.html.
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY (If
applicable)
A construction lender will be used for completion of the improvements
covered by this permit and the name and information of which is on file for
public inspection during the regular business hours of the public entity.
Failure of the applicant to indicate the construction lender on the
WORKERS’ COMPENSATION DECLARATION (1, 2 or 3)
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.
1) Has and will maintain a certificate of consent to self-insure for workers’
compensation, issued by the Director of Industrial Relations as provided for
by Section 3700 of the Labor Code, for the performance of the work for
which this permit is issued.
2) Has 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.
3) Certifies that, in the performance of the work for which this permit is
issued, shall not employ any person in any manner so as to become subject
to the workers’ compensation laws of California, and agree that, if should
become subject to the workers’ compensation provisions of Section 3700 of
the Labor Code, shall forthwith comply with those provisions.
NOTICE TO APPLICANT (1, 2 and 3)
1) Each person upon whose behalf this application was made, each person
at whose request and for whose benefit work is being performed under or
pursuant to any permit issued as a result of this application, the owner, and
the applicant, each agrees to, and shall defend, indemnify and hold harmless
the City of La Quinta, its officers, agents, and employees for any act or
omission related to the work being performed under or following issuance of
this permit.
2) Any permit issued as a result of this application becomes null and void if
work is not commenced within 360 days from date of issuance of such
permit, or if cessation of work for 180 days will subject permit to
cancellation. On or after January 1, 2019, every permit issued shall become
invalid unless the work on the site authorized by such permit is commenced
within 12 months after its issuance, or if the work authorized on the site by
such permit is suspended or abandoned for a period of 12 months after the
time the work is commenced.
3) Certified that they read the application and state that the information
provided is correct. Agree to comply with all city and county ordinances and
state laws relating to building construction, and hereby authorize
representatives of this city to enter upon the above-mentioned property for
inspection purposes.
IMPORTANT: An Application for Permit was made to the Building Official,
subject to the conditions and restrictions set forth at the time of application,
which is now hereby an Issued Permit. If any part of the information being
supplied on this permit is inaccurate or untrue, please contact the City of La
Quinta at (760) 777-7125 immediately for correction.
Printed: 11/18/24 2:14 pm Page 1 of 5
Permit Type:
Permit Number:
Property Address:
Building Commercial
BCOM2022-0063
46660 WASHINGTON ST STE 6
BUILDING PERMIT
application does not relieve that person of the requirement to give the
construction lender preliminary notice from that duty.
Printed: 11/18/24 2:14 pm Page 2 of 5
Permit Type:
Permit Number:
Property Address:
Building Commercial
BCOM2022-0063
46660 WASHINGTON ST STE 6
BUILDING PERMIT
MATHNASIUM / 1,404 OFFICE TENANT IMPROVEMENT *** MATHNASIUM / 1,404 SF TUTORING OFFICE TENANT IMPROVEMENT
[VB/B-OCC/34-OL/SPRINKLERED]. INTERIOR PATH OF TRAVEL UPGRADES TO BE PERFORMED AT BATHROOM, EXTERIOR
UPGRADES TO BE PERFORMED UNDER SEPARATE PERMIT PER AGREEMENT BETWEEN CITY ATTORNEY AND PROPERTY OWNER.
TUMF ASSESSMENT NOT TRIGGERED PER 2018 HANDBOOK. THIS PERMIT DOES NOT INCLUDE BUILDING SIGNAGE, STRUCTURAL
ALTERATIONS, OR HVAC EQUIPMENT REPLACEMENT. 2019 CALIFORNIA BUILDING CODES.
Use of Permit
Construction Details
RemodelCommercial Work Type B: Office, ProfessionalBuilding/Unit
Occupancy
Classification(s)
1404Gross Square Footage
0Conditioned Square
Footage
34Occupant Load V-BConstruction Type
2019Code Edition 1404Remodel Area Square
Footage
1404New Electrical Square
Footage
1Number of Ventilation
Fan(s)
1Miscellaneous
Mechanical
3Number of Plumbing
Fixtures/Traps
YesWater System Install
or Alteration?
NoTransportation Uniform
Mitigation Fee
Applicable
NoCity Development
Impact Fee Applicable
NoArt in Public Places
Fund Exempt
Valuation Details
Type Group Sq Ft Value
Printed: 11/18/24 2:14 pm Page 3 of 5
Permit Type:
Permit Number:
Property Address:
Building Commercial
BCOM2022-0063
46660 WASHINGTON ST STE 6
BUILDING PERMIT
Financial Information
Fee AmountFee Amount PaidInvoice No.
PERMIT-BCOM2022-006
3
$43.77 OTHER MECHANICAL EQUIPMENT $43.77
$43.77 OTHER MECHANICAL EQUIPMENT PC $43.77
$43.77 FIXTURE/TRAP PC $43.77
$263.00 FIRE COMMERCIAL TI PC $263.00
$14.59 VENT FAN $14.59
$175.00 FIRE COMMERCIAL TI $175.00
$175.00 HOURLY CHARGE - CITY BUILDING STAFF $175.00
$4.00 BSAS SB1473 FEE $4.00
$8.00 TECHNOLOGY ENHANCEMENT FEE $8.00
$101.54 NON-RESIDENTIAL, FIRST 2,000SF PC $101.54
$14.59 WATER SYSTEM INST/ALT/REP $14.59
$78.78 REMODEL, EA ADDITIONAL 500SF $78.78
$22.00 RECORDS MANAGEMENT FEE - MAJOR $22.00
$162.81 REMODEL, FIRST 100SF PC $162.81
$131.30 NON-RESIDENTIAL, FIRST 2,000SF $131.30
$63.03 REMODEL, EA ADDITIONAL 500SF PC $63.03
$59.52 REMODEL, FIRST 100SF $59.52
$14.59 WATER SYSTEM INST/ALT/REP PC $14.59
$5.84 VENT FAN PC $5.84
$28.00 SMI - COMMERCIAL $28.00
$43.77 FIXTURE/TRAP $43.77
$625.00 HOURLY CHARGE - INTERWEST STRUCTURAL PLAN REVIEW $625.00
$2,121.67 $2,121.67 Total for Invoice PERMIT-BCOM2022-0063
Grand Total for Permit $2,121.67 $2,121.67
Workflow / Inspections
Workflow Step / Action Name Action Type Start Date End Date
Inspections v.1 11/13/2022 0:00
FINAL** v.1 Inspection
FINAL INSPECTION v.1 Inspection
OVERHEAD ROUGH PIPING v.1 Inspection
T-BAR/OVERHEAD v.3 Inspection
T-BAR/OVERHEAD v.2 Inspection
DRYWALL NAIL v.1 Inspection
FRAMING v.2 Inspection
ROUGH PLBG v.1 Inspection
T-BAR/OVERHEAD v.1 Inspection
FRAMING v.1 Inspection
ROUGH ELEC v.1 Inspection
SLAB v.1 Inspection
UNDERGROUND PLBG v.2 Inspection
SEWER CONNECTION v.1 Inspection
UNDERGROUND PLBG v.1 Inspection
Printed: 11/18/24 2:14 pm Page 4 of 5
Permit Type:
Permit Number:
Property Address:
Building Commercial
BCOM2022-0063
46660 WASHINGTON ST STE 6
BUILDING PERMIT
Inspections - Final v.1 08/22/2023 15:48
Final Fire v.1 Inspection
Final Building v.1 Inspection 08/22/2023 15:48 08/23/2023 13:58
Final Building v.2 Inspection 08/25/2023 10:03 08/25/2023 10:04
Certificate of Occupancy v.1
Issue Certificate of Occupancy v.1 Create Report
Construction or work for which a permit is required shall be subject to inspection by the building official and such construction or work
shall remain visible and able to be accessed for inspection purposes until approved. Approval as a result of an inspection shall not be
construed to be an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Inspections
presuming to give authority to violate or cancel the provisions of the applicable code and other ordinances of the jurisdiction shall not be
valid. It shall be the duty of the owner or the owner's authorized agent to cause the work to remain visible and able to be accessed for
inspection purposes. Neither the building official nor the jurisdiction shall be liable for expense entailed in the removal or replacement of
any material required to allow inspection.
It shall be the duty of the holder of the building permit or their duly authorized agent to notify the building official when work is ready for
inspection. It shall be the duty of the permit holder to provide access to and means for inspections of such work that are required by this
code.
Inspections
A building or structure shall not be used or occupied in whole or in part, and a change of occupancy of a building or structure or portion
thereof shall not be made, until the building official has issued a certificate of occupancy therefor as provided herein. Issuance of a
certificate of occupancy shall not be construed as an approval of a violation of the provisions of the applicable code and other ordinances
of the jurisdiction. Certificates presuming to give authority to violate or cancel the provisions of this code or other ordinances of the
jurisdiction shall not be valid.
Certificate of Occupancy
A person shall not make connections from a utility, a source of energy, fuel, or power, or a water system or sewer system to any building
or system that is regulated by the applicable code and other ordinances of the jurisdiction for which a permit is required, until approved by
the building official.
Service Utilities
Printed: 11/18/24 2:14 pm Page 5 of 5
POST IN A CONSPICUOUS PLACE
Design and Development Department
This Certificate is issued pursuant to the requirements of Chapter 1 Section 111 of the
California Building Code, certifying that, at the time of issuance, this structure was in
compliance with the provisions of the Building Code and the various ordinances of the City
regulating building construction and/or use.
BUILDING ADDRESS: 46660 WASHINGTON ST STE 6
Use classification: BUSINESS - OFFICE Permit No.: BCOM2022-0063
Occupancy Group: B Type of Construction: VB Land Use Zone: CR
Code Edition: 2019 Sprinkler Installed: YES Occupant Load: 34
By: BUILDING BUCKET Owner of Building: WASHINGTON 111 LTD
Date: 8/25/2023 Address: 80618 DECLARATION AVE
Building Official: AJ ORTEGA City, ST, ZIP: INDIO
Certificate of Occupancy
This is page 1 of 11
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Lighting Control
Project Name: Mathnasium Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2022-0063
Project Address: 46660 Washington St #6 City: La Quinta Zip Code: 92253
LIGHTING CONTROL ACCEPTANCE DOCUMENT
Automatic Shut-off Controls: Automatic Time Switch Control and Occupant Sensor
Intent: Lights are turned off or set to a lower level when not needed per Section 110.9(a) & 130.1(c).
A. Construction Inspection
Fill out Section A to cover spaces 1 through 3 that are functionally tested under Section B.
Instruments needed to perform tests include, but are not limited to: hand-held amperage meter, p ower meter, or light meter
1: Automatic Time Switch Controls Construction Inspection—confirm for all listed in Section B
a. All automatic time switch controls are programmed for (check all):
Weekdays Weekend Holidays
b. Document for the owner automatic time switch programming (check all):
Weekday settings Weekend settings Holidays settings Set-up settings
Preference program setting Verify the correct time and date is properly set in the time switch
Verify the battery is installed and energized Override time limit is no more than 2 hours
Occupant Sensors and Automatic Time Sw itch Controls have been certified to the Energy Commission in accordance with
the applicable provision in Section 110.9 of the Standards, and model numbers for all such controls are listed on the Commission
database as Certified Appliance and Control Devices
2. Occupancy Sensor Construction Inspection—confirm for all listed in Section B
Occupancy sensors are not located within four feet of any HVAC diffuser
Ultrasonic occupancy sensors do not emit audible sound 5 feet from source
This is page 2 of 11
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Lighting Control
Project Name: Mathnasium Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2022-0063
Project Address: 46660 Washington St #6 City: La Quinta Zip Code: 92253
B. Functional Testing of Lighting Controls
For every space in the building, conduct functional tests 1 through 5 below if applicable. If there are several geometrically similar spaces
that use the same lighting controls, test only one space and list in the cells below which “untested spaces” are represented by that
tested space. EXCEPTION: For buildings with up to seven (7) occupancy sensors, all occupancy sensors shall be tested. (NA7.6.2.3)
Representative Spaces Selected
Tested/space/room name: Open Area
Space Type (office, corridor, etc) Open
Untested areas/rooms
1. Automatic Time Switch Controls
Step 1: Simulate occupied condition
Step 2: Simulate unoccupied condition
Step 3:
2. Occupancy Sensors
Step 1: Simulate an unoccupied condition
Step 2: Simulate unoccupied condition
Step 3:
a. All lights can be turned on and off by their respective area control switch
b. Verify the switch only operates lighting in the ceiling-height partitioned area in
which the switch is located.
a. All lighting, including emergency and egress lighting, turns off. Exempt lighting may
remain on per Section 130.1(c)1 and 130.1(a)1.
b. Manual override switch allows only the lights in the selected ceiling height
partitioned space where the override switch is located and remain on no longer than
2 hours (unless serving public areas and override swi tch is captive key type).
System returned to initial operating conditions
a. Lights controlled by occupancy sensors turn off within a maximum of 30 minutes
from start of an unoccupied condition per Standard Section 110.9(b)
b. The occupant sensor does not trigger a false 'on' from movement in an area
adjacent to the controlled space or from HVAC operation
a. Status indicator or annunciator operates correctly
b. Lights controlled by occupancy sensors turn on immediately upon an occupied
condition OR sensor indicates space is 'occupied' and lights may be turned on
manually
System returned to initial operating conditions
This is page 3 of 11
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Lighting Control
Project Name: Mathnasium Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2022-0063
Project Address: 46660 Washington St #6 City: La Quinta Zip Code: 92253
3. Partial Off Occupancy Sensor
Step 1: Simulate an unoccupied condition
Step 2: Simulate an occupied condition
4. Partial On Occupancy Sensors
Step 1. -Simulate an occupied condition. Verify partial on operation.
Step 2. Simulate an unoccupied condition
a. Lights go to partial off state within a maximum of 30 minutes from start of an
unoccupied condition per Standard Section 110.9(a)
b. The occupant sensor does not trigger a false 'on' from movement in an area
adjacent to the controlled space or from HVAC operation. For library book stacks or
warehouse aisle, activity beyond the stack or aisle shall not activate the lighting in
the aisle or stack.
c. In the partial off state, lighting shall consume no more than 50% of installed lighting
power, or: No more than 60% of installed lighting power for metal halide or high
pressure sodium lighting in warehouses. No more than 60% of installed lighting
power for corridors and stairwells in which the installed lighting power is 80 percent
or less of the value allowed under the Area Category Method. Light level may be
used as a proxy for lighting power when measurements are taken
The occupant sensing controls shall turn lights fully ON in each separately controlled
areas, Immediately upon an occupied condition
a. Immediately upon an occupied condition, the first stage activates between 30 to
70% of the lighting automatically.
b. After the first stage occurs, manual switches allow an occupant to activate the
alternate set of lights, activate 100% of the lighting power, and manually
deactivate all of the lights.
a. Both stages (automatic on and manual on) lights turn off within a maximum of 30
minutes from start of an unoccupied condition per Standard Section 110.9(a)
b. The occupant sensor does not trigger a false 'on' from movement in an area
adjacent to the controlled space or from HVAC operation
This is page 4 of 11
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Lighting Control
Project Name: Mathnasium Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2022-0063
Project Address: 46660 Washington St #6 City: La Quinta Zip Code: 92253
5. Additional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger than
250 Square Feet, to Qualify for a Power Adjustment Factor (PAF)
Step 0: First, complete Functional Test 2 (above ) for each controlled zone
Step 1: Verify area served and compare actual PAF with claimed PAF. Refer to Functional Test 2.
a. Area served by controlled lighting (square feet)
b. Enter PAF corresponding to controlled area from line (a) above (<125sf for PAF=0.4,
126-250sf for PAF=0.3, 251-500sf for PAF=0.2).
c. Enter PAF claimed for occupant sensor control in this space from the Certificate of
Compliance
d. The PAF corresponding to the controlled area (line b), is less than or e qual to the
PAF claimed in the compliance documentation (line c)
e. Sensors shall not trigger in response to movement in adjacent walkways or
workspaces
f. All steps are conducted in Functional Test 2 'Occupancy Sensor (On Off Control)'
and all answers are Yes (Y)
This is page 5 of 11
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Lighting Control
Project Name: Mathnasium Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2022-0063
Project Address: 46660 Washington St #6 City: La Quinta Zip Code: 92253
Representative Spaces Selected
Tested/space/room name: Office
Space Type (office, corridor, etc) Office
Untested areas/rooms
1. Automatic Time Switch Controls
Step 1: Simulate occupied condition
Step 2: Simulate unoccupied condition
Step 3:
2. Occupancy Sensors
Step 1: Simulate an unoccupied condition
C. Testing Results
1. Automatic Time Switch Controls (all answers must be Y).
2. Occupancy Sensor (On Off Control) (all answers must be Y).
3. Partial Off Occupancy Sensor (all answers must be Y). For warehouses, library book
stacks, corridors, stairwells in nonresidential buildings must also be accompanied by
passing Test 1 or Test 2.
4. Partial On Occupant Sensor for PAF (all answers must be Y).
5. Occupant Sensor serving small zones for PAF (all answers must be Y). Also must
pass Test 2
a. All lights can be turned on and off by their respective ar ea control switch
b. Verify the switch only operates lighting in the ceiling-height partitioned area in
which the switch is located.
a. All lighting, including emergency and egress lighting, turns off. Exempt lighting may
remain on per Section 130.1(c)1 and 130.1(a)1.
b. Manual override switch allows only the lights in the selected ceiling height
partitioned space where the override switch is located and remain on no longer than
2 hours (unless serving public areas and override switch is captive key type).
System returned to initial operating conditions
a. Lights controlled by occupancy sensors turn off wi thin a maximum of 30 minutes
from start of an unoccupied condition per Standard Section 110.9(b)
b. The occupant sensor does not trigger a false 'on ' from movement in an area
This is page 6 of 11
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Lighting Control
Project Name: Mathnasium Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2022-0063
Project Address: 46660 Washington St #6 City: La Quinta Zip Code: 92253
Step 2: Simulate unoccupied condition
Step 3:
3. Partial Off Occupancy Sensor
Step 1: Simulate an unoccupied condition
Step 2: Simulate an occupied condition
4. Partial On Occupancy Sensors
Step 1. -Simulate an occupied condition. Verify partial on operation.
Step 2. Simulate an unoccupied condition
adjacent to the controlled space or from HVAC operation
a. Status indicator or annunciator operates correctly
b. Lights controlled by occupancy sensors turn on immediately upon an occupied
condition OR sensor indicates space is 'occupied' and lights may be turned on
manually
System returned to initial operating conditions
a. Lights go to partial off state within a maximum of 30 minutes from start of an
unoccupied condition per Standard Section 110.9(a)
b. The occupant sensor does not trigger a false 'on' from movement in an area
adjacent to the controlled space or from HVAC operation. For library book stacks or
warehouse aisle, activity beyond the stack or aisle shall not activate the lighting in
the aisle or stack.
c. In the partial off state, lighting shall consume no more than 50% of installed lighting
power, or: No more than 60% of installed lighting power for metal halide or high
pressure sodium lighting in warehouses. No more than 60% of installed lighting
power for corridors and stairwells in which the installed lighting power is 80 percent
or less of the value allowed under the Area Category Method. Light level may be
used as a proxy for lighting power when measurements are taken
The occupant sensing controls shall turn lights fully ON in each separately controlled
areas, Immediately upon an occupied condition
a. Immediately upon an occupied condition, the first stage activates between 30 to
70% of the lighting automatically.
b. After the first stage occurs, manual switches allow an occupant to activate the
alternate set of lights, activate 100% of the lighting power, and manually
deactivate all of the lights.
a. Both stages (automatic on and manual on) lights turn off within a maximum of 30
minutes from start of an unoccupied condition per Standard Section 110.9(a)
b. The occupant sensor does not trigger a false 'on' from move ment in an area
adjacent to the controlled space or from HVAC operation
This is page 7 of 11
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Lighting Control
Project Name: Mathnasium Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2022-0063
Project Address: 46660 Washington St #6 City: La Quinta Zip Code: 92253
This is page 8 of 11
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Lighting Control
Project Name: Mathnasium Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2022-0063
Project Address: 46660 Washington St #6 City: La Quinta Zip Code: 92253
5. Additional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger than
250 Square Feet, to Qualify for a Power Adjustment Factor (PAF)
Step 0: First, complete Functional Test 2 (above ) for each controlled zone
Step 1: Verify area served and compare actual PAF with claimed PAF. Refer to Functional Test 2.
a. Area served by controlled lighting (square feet)
b. Enter PAF corresponding to controlled area from line (a) above (<125sf for PAF=0.4,
126-250sf for PAF=0.3, 251-500sf for PAF=0.2).
c. Enter PAF claimed for occupant sensor control in this space from the Certificate of
Compliance
d. The PAF corresponding to the controlled area (line b), is less than or equal to the
PAF claimed in the compliance documentation (line c)
e. Sensors shall not trigger in response to movement in adjacent walkways or
workspaces
f. All steps are conducted in Functional Test 2 'Occupancy Sen sor (On Off Control)'
and all answers are Yes (Y)
This is page 9 of 11
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Lighting Control
Project Name: Mathnasium Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2022-0063
Project Address: 46660 Washington St #6 City: La Quinta Zip Code: 92253
D. Evaluation :
PASS: All applicable Construction Inspection responses are complete and all applicable
Equipment Testing Requirements responses are positive (Y - yes)
C. Testing Results
1. Automatic Time Switch Controls (all answers must be Y).
2. Occupancy Sensor (On Off Control) (all answers must be Y).
3. Partial Off Occupancy Sensor (all answers must be Y). For warehouses, library book
stacks, corridors, stairwells in nonresidential buildings must also be accompanied by
passing Test 1 or Test 2.
4. Partial On Occupant Sensor for PAF (all answers must be Y).
5. Occupant Sensor serving small zones for PAF (all answers must be Y). Also must
pass Test 2
This is page 10 of 11
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Lighting Control
Project Name: Mathnasium Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2022-0063
Project Address: 46660 Washington St #6 City: La Quinta Zip Code: 92253
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
I certify that this Certificate of Acceptance documentation is accurate and complete.
Documentation Author Tristan Sears Company Name Accolade Electric, Inc. Name
Address 155 N. Lake Ave 8th Floor City Pasadena
Zip Code 91101 Phone (626)614-0000
CEA/ATT Certification ATE-0215 Author Signature
Identification (if
applicable)
Date of Signature: 0 8 /04/202 3
FIELD TECHNICIAN'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 Acceptance is true and correct.
2. I am the person who perf ormed the acceptance verification reported on this Certificate of Acceptance (Field Technician).
3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and
specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference
Nonresidential Appendix NA7.
4. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed
by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Field Technician Name Tristan Se ars Company Name Accolade Electric, Inc.
Address: 155 N. Lake Ave 8th Floor City Pasadena
Zip Code 91101 Phone (626)614-0000
ATT Certification TC-A813899 Position with Company President
Identification (Title)
Field Technician Signature
Date of Signature: 0 8 /04/202 3
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this
Certificate of Acceptance.
2. I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or
installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the
declarations in this statement (responsible acceptance person).
3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with
the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements
and procedures specified in Reference Nonresidential Appendix NA7.
4. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted
or made available with the building permit(s) issued for the building.
5. I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or 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 signed copy of this Certificate of Acceptance is required to be
included with the documentation the builder provides to the building owner at occupancy.
Responsible Accept ance Tristan Sears Company Name Accolade Electric, Inc. Person Name
Address: 155 N. Lake Ave 8th Floor City Pasadena
Zip Code 91101 Phone (626)614-0000
CSLB License 963036 Position with Company President (Title)
Responsible Acceptance Person Signature
Date of Signature: 0 8 /04/202 3
This is page 11 of 11
CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A
Lighting Control
Project Name: Mathnasium Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2022-0063
Project Address: 46660 Washington St #6 City: La Quinta Zip Code: 92253
This is page 1 of 5
CERTIFICATE OF ACCEPTANCE NRCA-LTI-03-A
Automatic Daylighting Control
Project Name: Mathnasium Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2022-0063
Project Address: 46660 Washington St #6 City: La Quinta Zip Code: 92253
1. Drawing of Daylit Zone(s) must be shown on plans or attached to this form. By checking this box, technician
certifies that plans have been attached to this webform
Document Name and Page #'s E Sheets
Add Control Systems below if sampling method is used in accordance with NA7.6.1.2. If adding, attach a page with names of other controls in sample (only for
buildings with > 5 daylight control systems, sample group glazing same orientation)
AUTOMATIC DAYLIGHTING CONTROL ACCEPTANCE DOCUMENT
1. NA7.6.1.1 Construction Inspection:
Primary Daylight Zone
2. System information
3. Sensors and Controls
4. Has documentation been provided by theinstaller:
Installation Manuals and Calibration Instructions Provided to Building Owner: (Y/N)
Primary Daylight
Zone
Location of Light Sensor on Plans: (Y/N)
Zone Type: Skylit (Sky), Primary Sidelit
(PS),
or Secondary
Sidelit
(SS)
PS
Control Type: Continuous Dimming with
more
than 10 light
levels
(C),
Stepped
Dimming
(SD),
Switching
(SW)
C
Design Footcandles: (enter number or leave blank):
Control Loop Type: Open Loop (OL), Closed Loop (CL) CL
Sensor Location: Outside (O), Inside Skylight (IS), Near Windows facing out (NW), In Controlled Zone (CZ) CZ
Sensor Location is Appropriate to Control Loop Type: (Y/N) If control loop type is Open Loop (OL): Enter yes (Y) if location = Yes
Outside (O), Inside Skylight (IS), or Near Windows facing out (NW); otherwise, enter no (N). If Control loop type is Closed Loop
(CL): Enter yes (Y) if location = In Controlled Zone (CZ); otherwise, enter no (N).
Control Adjustments are in Appropriate Location (Y/N): Yes, If Readily Accessible or Yes if in Ceiling less than or equal to 11 ft, No Yes
for all other.
Yes
Yes
This is page 2 of 5
CERTIFICATE OF ACCEPTANCE NRCA-LTI-03-A
Automatic Daylighting Control
Project Name: Mathnasium Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2022-0063
Project Address: 46660 Washington St #6 City: La Quinta Zip Code: 92253
Location of Light Sensor on Plans: (Page Number) E
5. Separate Controls of Luminaires in Daylit Zones:
Are luminaires controlled by automatic daylighting controls only in daylit zones: (Y/N) Yes
Separately circuited for daylit zones by windows and daylit zones under skylights: (Y/N) Yes
6. Daylighting control device certification
Daylighting control has been certified in accordance with §110.9: (Y/N) Yes
Construction Inspection PASS/FAIL. If all responses on Construction Inspection pages 1 & 2are complete and all Yes/No questions
have a Yes (Y) response, the tests PASS; If any responses on this page are incomplete OR there are any no (N) responses, the
tests FAIL
Pass
II. PASS/FAIL Evaluation (check one)::
PASS: If all responses on Construction Inspection pages 1 & 2 are complete and all Yes/No questions have a Yes (Y) response, the tests PASS
FAIL: Any applicable Construction Inspection responses are incomplete OR there is one or more negative (N no)responses in any applicable Functional
Performance Testing Requirements section. System does not pass and is NOT eligible for Certificate of Occupancy according to Section 10103(a)3B. Fix
problem(s) and retest until the system(s) passes all portions of this test before retesting and resubmitting NRCA-LTI-03-A with
PASSED test to the enforcement agency. Describe below the failure mode and corrective action needed.
This is page 3 of 5
CERTIFICATE OF ACCEPTANCE NRCA-LTI-03-A
Automatic Daylighting Control
Project Name: Mathnasium Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2022-0063
Project Address: 46660 Washington St #6 City: La Quinta Zip Code: 92253
2. NA7.6.1.2.1 Functional Performance Testing – Continuous Dimming Systems:
Power estimation using light meter measurement
Complete all tests on page 3 & 4 (No Daylight Test, Full Daylight Test, and Partial Daylight Test) and fill out Pass/Fail section on Page 4.
System Information
Primary Daylight
Zone
a. Control Loop Type: Open Loop or Closed Loop? (O or C)
C
b. Indicate if Mandatory control - M (required for skylit zone or primary sidelit zone with installed general lighting power > 120 W);
for Control Credit - CC; or Voluntary not for credit -V (M, CC, V)
M
c. If automatic daylighting controls are mandatory, are all general lighting luminaires in daylit zones controlled by automatic daylight
controls? (Y/N)
Yes
d. Documented general lighting design footcandles. If design footcandles not documented leave blank (enter fc)
e. Power estimation method. (see line o) Default ratio of power to light (Dfc), cut-sheet ratio of power to light (CSfc) If CSFc – attach
cut-sheet. Enter Dfc or CSfc
Dfc
Step 1: Identify Reference Location
(location where minimum daylight illuminance is measured in zone served by the controlled lighting.)
f. Method Used: Illuminance or Distance? (I or D) I
Override daylight control system and drive electric lights to highest light level for the following:
g. Highest light level fc – enter measured controlled electric lighting footcandles (fc) 53
h. Indicate whether this is Full Output (FO), or Task Tuned (Lumen Maintenance) (TT) FO
Step 2: No Daylight Test controls enabled & daylight less than 1 fc at reference location
i. Method Used: Night time manual measurement (Night), Night Time Illuminance Logging (Log), Cover Fenestration (CF), Cover Open Loop
Photosensor (COLP)
Night
j. Reference Illuminance (footcandles) as measured at Reference Location (see Step 1). Enter footcandles
53
k. Enter Y if either of the following statements are true: If line h = FO; [Reference Illuminance (line j)] / [Full Output fc (line g)] > 70%? or
[Reference Illuminance (line j)] / [design footcandles (line d)] > 80%? (Y/ N)
Yes
Step 3: Full Daylight Test conducted when daylight > reference illuminance (line j)
l. Daylight illuminance (light level with electric lighting
turned off) measured
at Reference
Location
(fc)
82
m. Daylight illuminance (line l) greater than Reference
Illuminance (line j)?
(Y/N)
Yes
n. Fraction controlled wattage turned off. Enter %.
0
o. Fraction of controlled wattage dimmed [1 – ( line n)]
Enter %.
100
Fill out lines p through s only if fraction of controlled wattage turned off (line n) < 100%.
p. Total (daylight + electric light) illuminance measured at the Reference Location (fc) 87
q. Electric lighting illuminance at the Reference Location (fc) [(line p) – (line l)] 5
r. Electric lighting illuminance (line q) divided by Highest Light Level fc (line g). Enter % 9.43396226
s. Dimmed luminaire fraction of rated power. Attach manufacturer’s cut-sheet or use default graph of rated power to light output. Label
applicable control system (column A, B or C) on cut-sheet or graph. Enter fraction of rated power in %.
t. System Power Reduction = [1 – (line o) * (line s)] 90
This is page 4 of 5
CERTIFICATE OF ACCEPTANCE NRCA-LTI-03-A
Automatic Daylighting Control
Project Name: Mathnasium Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2022-0063
Project Address: 46660 Washington St #6 City: La Quinta Zip Code: 92253
Step 4: Partial Daylight Test conducted when daylight between 60% and 95% of (line j)
u. Is System Power Reduction (line t) > 65% when line h = FO, or > 56% when line h = TT (Y/N) Yes
v. With uncontrolled lights also on, no lamps dimmed outside of daylit zone by control (Y/N) Yes
w. Dimmed lamps have stable output, no perceptible flicker (Y/N) Yes
x. Daylight illuminance (light level without electric light) measured at Reference Location (fc)
47
y. Daylight illuminance divided by the Reference Illuminance = (line x )/ (line j). Enter %.
88.6792452830
z. Is Ratio of Daylight illuminance to Ref. illuminance (line y) between 60% and 95%? (Y/N)
Yes
aa. Total (daylight + electric light) illuminance measured at the Reference Location (fc)
65
bb. Total illuminance divided by the Reference Illuminance = (line aa )/ (line j), Enter %
122.64150943
cc. Is Total illuminance divided by the Reference illuminance (line bb) between 100% and 150%?
(Y/N)
Yes
3. PASS/FAIL Evaluation (check one):
PASS: All applicable Construction Inspection responses are complete and all applicable Functional Performance Testing Requirements responses are positive (Y -
yes)
FAIL: Any applicable Construction Inspection responses are incomplete OR there is one or more negative (N no)responses in any applicable Functional
Performance Testing Requirements section. System does not pass and is NOT eligible for Certificate of Occupancy according to Section 10103(a)3B. Fix
problem(s) and retest until the system(s) passes all portions of this test before retesting and resubmitting NRCA-LTI-03-A with
PASSED test to the enforcement agency. Describe below the failure mode and corrective action needed.
This is page 5 of 5
CERTIFICATE OF ACCEPTANCE NRCA-LTI-03-A
Automatic Daylighting Control
Project Name: Mathnasium Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2022-0063
Project Address: 46660 Washington St #6 City: La Quinta Zip Code: 92253
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
I certify that this Certificate of Acceptance documentation is accurate and complete.
Documentation Author Name
Tristan Sears
Address
155 N. Lake Ave.
Zip Code
91101
Company Name Accolade Electric, Inc.
City Pasadena
Phone (626)614-0000
CEA/ATT Certification Identification (if
applicable)
Author Signature ATE-0215
Date of Signature: 08/04/2023
FIELD TECHNICIAN'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 Acceptance is true and correct.
2. I am the person who performed the acceptance verification reported on this Certificate of Acceptance ( Field Technician).
3. The construction or installation identified on this Certificate of Acceptance complies with the applicable a cceptance requirements indicated in the plans and specifications approved by the enforcement agency, and
conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7.
4. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been
posted or made available with the building permit(s) issued for the building.
Field Technician Name Tristan Sears Company Name Accolade Electric, Inc.
Address: City
155 N. Lake Ave. Pasadena
Zip Code 91101 Phone (626)614-0000
ATT Certification Identification Position with Company (Title)
TC-A813899 President
Field Technician Signature
Date of Signature: 08/04/2023
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance.
2. I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or
manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this stateme nt (responsible acceptance person).
3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans
and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7.
4. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s)
issued for the building.
5. I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the bui lding permit(s) issued for the building, and made available to the enforcement agency for all
applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Acceptance Person Name Tristan Sears Company Name Accolade Electric, Inc.
Address:
155 N. Lake Ave. City Pasadena
Zip Code
91101 Phone (626)614-0000
CSLB License
963036 Position with Company (Title) President
Responsible Acceptance Person Signature
Date of Signature: 08/04/2023
OFFICE OF THE FIRE MARSHAL – LA QUINTA
78495 Calle Tampico, La Quinta, CA 92253 • Phone (760) 777-7074
• www.rvcfire.org
December 6, 2022
Sipovac Construction
72651 Theodora Lane
Palm Desert, CA 92260
Re: Tenant Improvement Construction - Fire Plan Review – MATHNASIUM
BCOM2022-0063 / 46660 WASHINGTON ST #6, LA QUINTA, CA 92253
The building plans you submitted for the above referenced project have been reviewed by Riverside County
Fire Department - Office of the Fire Marshal personnel and are approved with the following conditions.
Fire Department approval is based upon the 2019 CBC requirements for B occupancies. It is prohibited to
use, process or store any materials in the occupancy that would classify it as a Group H occupancy, without
further review and approval.
DEFERRED SUBMITTALS REQUIRED
1) FIRE SPRINKLER SYSTEM - Tenant Improvement plans must be submitted and reference the
installing contractor performing the work. Permit fees will be required.
PRIOR TO FINAL
1) Minimum 6” tall suite addressing shall be provided to both the front and rear entrances. All addressing
must be legible and of a contrasting color with the background to be visible from the street at all hours.
2) Provide keys to the tenant space (all tenants), utility rooms and elevator services for inclusion in the
main building Knox Box. Key(s) shall have durable and legible tags affixed for identification of the
correlating tenant space.
3) Install portable fire extinguishers per Title 19, but not less than 2A10BC in rating. Contact a certified
extinguisher company for proper placement and spacing of equipment.
4) Applicable room door(s) shall be posted “ELECTRICAL”, “FACP”, “FIRE RISER” and “ROOF
ACCESS” on the outside of the door so it is visible and in a contrasting color.
5) Room occupancy load, as approved by the Building Official, shall be posted in a conspicuous place near
the main exit from the room(s). The location shall be approved by the Fire Department office. Posting
shall be by means of an approved durable sign having a contrasting color from the background to which
it is attached. The owner shall maintain signs in a legible manner. No person shall deface, remove or
change the occupant load on the sign except as authorized by the Building Official and/or Fire
Department office. (Prior to building final inspection)
6) A durable sign stating: "THIS DOOR TO REMAIN UNLOCKED WHEN THIS SPACE IS
OCCUPIED" shall be placed on or adjacent to the front exit doors. The sign shall be in letters not less
than one inch high on a contrasting background (A <300, B, F, M and S).
7) Illuminated Exit Signage and Egress Illumination placement and functional test will be witnessed by
OFM Fire Inspector at time of final inspection.
8) Fire rated assemblies shall be maintained in compliance with applicable codes and industry standards.
The Fire Department approved plans and conditions letter must be at the job site.
Applicant/installer shall be responsible to contact the Fire Department to schedule inspections. Requests for
inspections are to be made at least 48 hours in advance and may be arranged by calling (760)777-7131.
All questions regarding the meaning of these conditions should be referred to the Office of the Fire Marshal
staff at (760)777-7074.
Kohl Hetrick - Fire Safety Specialist
78495 CALLE TAMPICO, LA QUINTA, CA 92253 / 760-777-7000 / INSPECTION HOTLINE: 760-777-7131