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BCOM2021-0030BUILDING PERMIT DESIGN & DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 PHONE (760) 777-7125 WWW.LAQUINTACA.GOV APPLIED DATE: 06/22/2021 ISSUED DATE: 08/09/2021 Permit Type: Permit Number: Property Address: APN: Legal Description Property Zoning: Valuation: Building Commercial 46660 WASHINGTON ST STE 4 BCOM2021-0030 643020063 $100,000.00 Owner:WASHINGTON 111 LTD 80618 DECLARATION AVE, INDIO, CA 92253 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 2:24 pm Page 1 of 5 Permit Type: Permit Number: Property Address: Building Commercial BCOM2021-0030 46660 WASHINGTON ST STE 4 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 2:24 pm Page 2 of 5 Permit Type: Permit Number: Property Address: Building Commercial BCOM2021-0030 46660 WASHINGTON ST STE 4 BUILDING PERMIT LIFESTREAM / 2,858SF BLOOD BANK TENANT IMRPOVEMENT *** LIFESTREAM / 2,858 SF BLOOD BANK OFFICE TENANT IMPROVEMENT [VB/B-OCC/20-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. #|||# LIFESTREAM / 2,858SF BLOOD BANK TENANT IMRPOVEMENT *** REVISION 1 - REVISED ELECTRICAL EQUIPMENT PANEL SCHEDULES. 2019 CALIFORNIA BUILDING CODES. Use of Permit Construction Details RemodelCommercial Work Type B: Office, ProfessionalBuilding/Unit Occupancy Classification(s) 2858Conditioned Square Footage 2858Fire Sprinkler Square Footage 1Number of Floors 20Occupant Load V-BConstruction Type 2019Code Edition 2858Remodel Area Square Footage 2858New Electrical Square Footage 2Number of Ventilation Fan(s) 1Miscellaneous Mechanical 9Number of Plumbing Fixtures/Traps 4Number of Water Heater(s) 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 2:24 pm Page 3 of 5 Permit Type: Permit Number: Property Address: Building Commercial BCOM2021-0030 46660 WASHINGTON ST STE 4 BUILDING PERMIT Financial Information Fee AmountFee Amount PaidInvoice No. PERMIT-BCOM2021-003 0 $161.00 FIRE COMMERCIAL TI $161.00 $242.00 FIRE COMMERCIAL TI PC $242.00 $28.00 SMI - COMMERCIAL $28.00 $120.75 NON-RESIDENTIAL, FIRST 2,000SF $120.75 $54.74 REMODEL, FIRST 100SF $54.74 $161.00 ALTERATIONS/ADDITIONS - NON-RESIDENTIAL $161.00 $10.74 VENT FAN PC $10.74 $10.73 NON-RESIDENTIAL, EA ADDITIONAL 2,000SF PC $10.73 $40.25 OTHER MECHANICAL EQUIPMENT PC $40.25 $120.78 FIXTURE/TRAP $120.78 $32.20 WATER HEATER/VENT PC $32.20 $13.42 WATER SYSTEM INST/ALT/REP PC $13.42 $53.68 WATER HEATER/VENT $53.68 $26.84 VENT FAN $26.84 $4.00 BSAS SB1473 FEE $4.00 $13.42 WATER SYSTEM INST/ALT/REP $13.42 $149.73 REMODEL, FIRST 100SF PC $149.73 $93.38 NON-RESIDENTIAL, FIRST 2,000SF PC $93.38 $40.25 OTHER MECHANICAL EQUIPMENT $40.25 $40.25 NON-RESIDENTIAL, EA ADDITIONAL 2,000SF $40.25 $144.90 REMODEL, EA ADDITIONAL 500SF $144.90 $120.78 FIXTURE/TRAP PC $120.78 $5.00 TECHNOLOGY ENHANCEMENT FEE $5.00 $21.00 RECORDS MANAGEMENT FEE - MAJOR $21.00 $115.92 REMODEL, EA ADDITIONAL 500SF PC $115.92 $1,824.76 $1,824.76 Total for Invoice PERMIT-BCOM2021-0030 Grand Total for Permit $1,824.76 $1,824.76 Workflow / Inspections Workflow Step / Action Name Action Type Start Date End Date Inspections v.1 06/22/2021 0:00 ROUGH ELEC v.4 Inspection FINAL INSPECTION v.1 Inspection FINAL** v.2 Inspection FINAL** v.1 Inspection OVERHEAD ROUGH PIPING v.2 Inspection OVERHEAD ROUGH PIPING v.1 Inspection DRYWALL NAIL v.2 Inspection DRYWALL NAIL v.1 Inspection UNDERGROUND PLBG v.2 Inspection ROUGH MECH v.2 Inspection FRAMING v.2 Inspection ROUGH PLBG v.2 Inspection ROUGH ELEC v.3 Inspection Printed: 11/18/24 2:24 pm Page 4 of 5 Permit Type: Permit Number: Property Address: Building Commercial BCOM2021-0030 46660 WASHINGTON ST STE 4 BUILDING PERMIT FRAMING v.1 Inspection ROUGH ELEC v.2 Inspection ROUGH MECH v.1 Inspection ROUGH PLBG v.1 Inspection T-BAR/OVERHEAD v.1 Inspection ROUGH ELEC v.1 Inspection UNDERGROUND PLBG v.1 Inspection FOOTINGS v.1 Inspection SEWER CONNECTION v.1 Inspection TEMP USE OF PERM PWR v.1 Inspection 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 2:24 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 4 Use classification: BUSINESS Permit No.: BCOM2021-0030 Occupancy Group: B Type of Construction: VB Land Use Zone: CR Code Edition: 2019 Sprinkler Installed: YES Occupant Load: 20 By: DUANE CLAYTON Owner of Building: WASHINGTON 111 LTD Date: 12/1/2021 Address: 80618 DECLARATION AVE Building Official: AJ ORTEGA City, ST, ZIP: INDIO, CA Certificate of Occupancy This is page 1 of 15 1 CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A Lighting Control Project Name: Life Stream Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2021-0030 Project Address: 46660 Washington St Suite 4&5 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, power 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 Switch 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 4 feet of any HVAC diffuser Ultrasonic occupancy sensors do not emit audible sound 5 feet from source Enforcement Agency Use: Checked by/Date This is page 2 of 15 1 CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A Lighting Control Project Name: Life Stream Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2021-0030 Project Address: 46660 Washington St Suite 4&5 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 Confirm compliance for all control system types (1-5) present in each space: 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 an occupied condition 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 controls only the lights in the selected ceiling height partitioned space where the override switch is located and the lights 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 within a maximum of 20 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 This is page 3 of 15 1 CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A Lighting Control Project Name: Life Stream Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2021-0030 Project Address: 46660 Washington St Suite 4&5 City: La Quinta Zip Code: 92253 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 System returned to initial operating conditions a. Lights go to partial off state within a maximum of 20 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, activit y 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% 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 50 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 20 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 15 1 CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A Lighting Control Project Name: Life Stream Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2021-0030 Project Address: 46660 Washington St Suite 4&5 City: La Quinta Zip Code: 92253 2 5. Additional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger than 250 ft , 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 ft2 b. Enter PAF corresponding to controlled area from line (a) above (<125 ft2 for PAF=0.4, 126-250 ft2 for PAF=0.3, 251-500 ft 2 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 greater 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 Sensor (On Off Control)' and all answers are Yes. This is page 5 of 15 1 CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A Lighting Control Project Name: Life Stream Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2021-0030 Project Address: 46660 Washington St Suite 4&5 City: La Quinta Zip Code: 92253 Representative Spaces Selected Tested space/room name: Office Space Type (office, corridor, etc) Office Untested areas/rooms Confirm compliance for all control system types (1-5) present in each space: 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 Yes). 2. Occupancy Sensor (On Off Control) (all answers must be Yes). 3. Partial Off Occupancy Sensor (all answers must be Yes). 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 Yes). 5. Occupant Sensor serving small zones for PAF (all answers must be Yes). Also must pass Test 2. 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 controls only the lights in the selected ceiling height partitioned space where the override switch is located and the lights 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 withi n a maximum of 20 minutes This is page 6 of 15 1 CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A Lighting Control Project Name: Life Stream Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2021-0030 Project Address: 46660 Washington St Suite 4&5 City: La Quinta Zip Code: 92253 Step 2: Simulate an occupied 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 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 a. Lights go to partial off state within a maximum of 20 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% 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 50 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 manual ly deactivate all of the lights. This is page 7 of 15 1 CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A Lighting Control Project Name: Life Stream Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2021-0030 Project Address: 46660 Washington St Suite 4&5 City: La Quinta Zip Code: 92253 a. Both stages (automatic on and manual on) lights turn off within a maximum of 20 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 8 of 15 1 CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A Lighting Control Project Name: Life Stream Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2021-0030 Project Address: 46660 Washington St Suite 4&5 City: La Quinta Zip Code: 92253 2 5. Additional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger than 250 ft , 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 ft2 b. Enter PAF corresponding to controlled area from line (a) above (<125 ft 2 for PAF=0.4, 126-250 ft2 for PAF=0.3, 251-500 ft 2 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 greater 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 Sensor (On Off Control)' and all answers are Yes. This is page 9 of 15 1 CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A Lighting Control Project Name: Life Stream Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2021-0030 Project Address: 46660 Washington St Suite 4&5 City: La Quinta Zip Code: 92253 Representative Spaces Selected Tested space/room name: Restroom Space Type (office, corridor, etc) Restroom Untested areas/rooms Confirm compliance for all control system types (1-5) present in each space: 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 Yes). 2. Occupancy Sensor (On Off Control) (all answers must be Yes). 3. Partial Off Occupancy Sensor (all answers must be Yes). 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 Yes). 5. Occupant Sensor serving small zones for PAF (all answers must be Yes). Also must pass Test 2. 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 controls only the lights in the selected ceiling height partitioned space where the override switch is located and the lights remain on no longer than 2 hours (unless serving public areas and override switch is c aptive key type). System returned to initial operating conditions a. Lights controlled by occupancy sensors turn off within a maximum of 20 minutes This is page 10 of 15 1 CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A Lighting Control Project Name: Life Stream Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2021-0030 Project Address: 46660 Washington St Suite 4&5 City: La Quinta Zip Code: 92253 Step 2: Simulate an occupied 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 from start of an unoccupied condition per Standard Section 110.9(b) b. The occupant sensor does not tri gger 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 a. Lights go to partial off state within a maximum of 20 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% 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 50 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. This is page 11 of 15 1 CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A Lighting Control Project Name: Life Stream Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2021-0030 Project Address: 46660 Washington St Suite 4&5 City: La Quinta Zip Code: 92253 a. Both stages (automatic on and manual on) lights turn off within a maximum of 20 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 12 of 15 1 CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A Lighting Control Project Name: Life Stream Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2021-0030 Project Address: 46660 Washington St Suite 4&5 City: La Quinta Zip Code: 92253 2 5. Additional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger than 250 ft , 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 ft2 b. Enter PAF corresponding to controlled area from line (a) above (<125 ft2 for PAF=0.4, 126-250 ft2 for PAF=0.3, 251-500 ft2 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 greater 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 Sensor (On Off Control)' and all answers are Yes. This is page 13 of 15 1 CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A Lighting Control Project Name: Life Stream Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2021-0030 Project Address: 46660 Washington St Suite 4&5 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. C. Testing Results 1. Automatic Time Switch Controls (all answers must be Yes). 2. Occupancy Sensor (On Off Control) (all answers must be Yes). 3. Partial Off Occupancy Sensor (all answers must be Yes). 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 Yes). 5. Occupant Sensor serving small zones for PAF (all a nswers must be Yes). Also must pass Test 2. This is page 14 of 15 1 CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A Lighting Control Project Name: Life Stream Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2021-0030 Project Address: 46660 Washington St Suite 4&5 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 City PASADENA Zip Code 91101 Phone (626)614-0000 CEA/ATT Certification ATE-0215 Author Signature Identification (if applicable) Date of Signature: 1 1 /24 /202 1 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 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 Nonresidenti al 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: 155 N LAKE AVE City PASADENA Zip Code 91101 Phone (626)614-0000 ATT Certification TC-813899 Positi on with Company PRESIDENT Identification (Title) Field Technician Signature Date of Signature: 1 1 /24 /202 1 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 decla rations 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 requirement s 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 Acceptance Tristan Sears Company Name Accolade Electric, Inc. Person Name Address: 155 N LAKE AVE City PASADENA Zip Code 91101 Phone (626)614-0000 CSLB License 963036 Position with Company PRESIDENT (Title) Responsible Acceptance Person Signature Date of Signature: 1 1 /24 /202 1 This is page 15 of 15 1 CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A Lighting Control Project Name: Life Stream Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2021-0030 Project Address: 46660 Washington St Suite 4&5 City: La Quinta Zip Code: 92253 This is page 1 of 5 CERTIFICATE OF ACCEPTANCE NRCA-LTI-03-A Automatic Daylighting Control Project Name: Life Stream Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2021-0030 Project Address: 46660 Washington St Suite 4&5 City: La Quinta Zip Code: 92253 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 the installer: Installation Manuals and Calibration Instructions Provided to Building Owner: (Y/N) Primary Daylight Zone Location of Light Sensor on Plans: (Y/N) 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 oth er controls in sample (only for buildings with > 5 daylight control systems, sample group glazing same orientation) 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: Life Stream Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2021-0030 Project Address: 46660 Washington St Suite 4&5 City: La Quinta Zip Code: 92253 5. Separate Controls of Luminaires in Daylit Zones: 6. Daylighting control device certification 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 Daylighting control has been certified in accordance with §110.9: (Y/N) 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. Pass Yes Location of Light Sensor on Plans: (Page Number) E 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 This is page 3 of 5 CERTIFICATE OF ACCEPTANCE NRCA-LTI-03-A Automatic Daylighting Control Project Name: Life Stream Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2021-0030 Project Address: 46660 Washington St Suite 4&5 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 sec tion 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 automat ic 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 C SFc – 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 L oop 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 cutsheet 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: Life Stream Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2021-0030 Project Address: 46660 Washington St Suite 4&5 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: Life Stream Enforcement Agency: CITY OF LA QUINTA Permit Number: BCOM2021-0030 Project Address: 46660 Washington St Suite 4&5 City: La Quinta Zip Code: 92253 Accolade Electric, Inc. Company Name Responsible Acceptance Person Name Tristan Sears Address: 155 N. Lake Ave. Zip Code 91101 CSLB License 963036 Responsible Acceptance Person Signature Field Technician Signature (626)614-0000 Phone 91101 Zip Code Accolade Electric, Inc. Company Name Tristan Sears Field Technician Name Accolade Electric, Inc. Company Name 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 President Position with Company (Title) (626)614-0000 Phone Pasadena City (626)614-0000 Phone Pasadena City ATE-0215 CEA/ATT Certification Identification (if applicable) Author Signature Date of Signature: 11/24/2021 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 acceptance requirements indicated in the plans and specifications appr oved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonres idential 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. Address: 155 N. Lake Ave. City Pasadena ATT Certification Identification TC-A813899 Position with Company (Title) President Date of Signature: 11/24/2021 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 statemen t (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the constructio n or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the pla ns 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 build ing 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. Date of Signature: 11/24/2021 Non-Residential Plan Check Correction List Page 3 of 3 PATH OF TRAVEL UPGRADE DETERMINATION DATE: STATUS: PLAN CHECKED BY: TELEPHONE NUMBER: ADDRESS: DESCRIPTION: APPLICANT: PLAN CHECK #: In accordance with the 2019 California Building Code (CBC) Section 11B-202.4, exception 8, the cost of compliance with Section 11B-202.4 is allowed to be limited to 20% of the adjusted construction cost of the alterations, structural repairs or additions when the adjusted construction cost does not exceed the current valuation threshold. Construction cost for proposed project (not including costs of improvements to the path of travel to the area of alteration): $ __________________ (A) Cost of alterations to areas on this path of travel undertaken during the preceding three-year period which did not provide an accessible path of travel to the area of alteration (as applicable): $ ________________ (B) Adjusted construction cost (C) = (A) + (B) $ ____________________ (C) PATH OF TRAVEL CONSTRUCTION COSTS: Elements serving the area of alteration based on priority Is element in compliance with current Chapter 11B? (Y/N) If not, will element be upgraded to current Chapter 11B? (Y/N) Proposed cost of compliance with current Chapter 11B 1. An accessible entrance $ 2. An accessible route (interior and exterior) to the altered area $ 3. At least one accessible restroom for each gender or a single accessible unisex, single user or family restroom $ 4. Accessible public telephones $ 5. Accessible drinking fountains $ 6. When possible, additional accessible elements such as: a. Parking $ b. Storage $ c. Signs $ d. Alarms $ e. Other $ Total cost of providing compliant path of travel elements: $ (D) COST OF PATH OF TRAVEL UPGRADES AS PERCENTAGE OF ADJUSTED CONSTRUCTION COST: Compliance of path of travel upgrades as % of adjusted construction cost: (E)% = (D) / (C) Note: This may not be less than 20% % (E) OFFICE OF THE FIRE MARSHAL – LA QUINTA 78495 Calle Tampico, La Quinta, CA 92253 • Phone (760) 777-7074 • www.rvcfire.org July 6, 2021 Sipovac Construction INC 72651 Theodora Lane Palm Desert, CA 92260 Re: Tenant Improvement Construction - Fire Plan Review – LIFESTREAM BLOOD BANK BCOM2021-0030 / 46630 WASHINGTON ST #4 & #5, 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. 2) FIRE ALARM/MONITORING SYSTEM - If building has existing notification appliances - Tenanat Improvement plans must be submitted per NFPA 72 as required by the California Building Code, California Fire Code and designed in accordance with adopted standards. A C-10 licensed contractor must submit plans to the Office of the Fire Marshal for review and approval prior to installation. 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) Occupancies storing or using significant volumes of hazardous materials shall appropriately display the required NFPA 704 Hazard Placard on the exterior access to the yards, buildings and rooms where the hazardous materials is located. 5) 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. 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. 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