BCOM2019-0032BUILDING PERMIT
DESIGN & DEVELOPMENT
DEPARTMENT
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
PHONE (760) 777-7125
WWW.LAQUINTACA.GOV
APPLIED DATE: 07/02/2019
ISSUED DATE: 08/26/2019
Permit Type:
Permit Number:
Property Address:
APN:
Legal Description
Property Zoning:
Valuation:
Building Commercial
46600 WASHINGTON ST STE 4
BCOM2019-0032
643020069
$127,000.00
Owner:WASHINGTON 111 LTD
80618 DECLARATION AVE, INDIO, CA 92253
Applicant:Tim Benson
3823 Creekside Lane, Holmen, WI 54636
Contractor:AGOURA HILLS INVESTMENT GROUP INC DBA
TH
43036 MADISON ST STE B, INDIO, CA 92201
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
application does not relieve that person of the requirement to give 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: 11/27/24 5:11 pm Page 1 of 5
Permit Type:
Permit Number:
Property Address:
Building Commercial
BCOM2019-0032
46600 WASHINGTON ST STE 4
BUILDING PERMIT
construction lender preliminary notice from that duty.
Printed: 11/27/24 5:11 pm Page 2 of 5
Permit Type:
Permit Number:
Property Address:
Building Commercial
BCOM2019-0032
46600 WASHINGTON ST STE 4
BUILDING PERMIT
APRICOT LANE BOUTIQUE / 1,901SF RETAIL TENANT IMRPOVEMENT *** APRICOT LANE BOUTIQUE / 1,901SF TENANT
IMPROVEMENT + PATH OF TRAVEL UPGRADES AT RESTROOM. VB/M-OCC/29-OL/SPRINKLED. THIS PERMIT DOES NOT INCLUDE
BUILDING SIGNAGE OR HVAC EQUIPMENT REPLACEMENT. TUMF ASSESSMENT NOT TRIGGERED PER 2018 HANDBOOK. 2016
CALIFORNIA BUILDING CODES.
Use of Permit
Construction Details
RemodelCommercial Work Type M: Stores, Markets, Gas
Station
Building/Unit
Occupancy
Classification(s)
1901Conditioned Square
Footage
1901Fire Sprinkler Square
Footage
29Occupant Load V-BConstruction Type
2016Code Edition 1901Remodel Area Square
Footage
1901New Electrical Square
Footage
1Miscellaneous
Mechanical
2Number of Plumbing
Fixtures/Traps
1Number 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: 11/27/24 5:11 pm Page 3 of 5
Permit Type:
Permit Number:
Property Address:
Building Commercial
BCOM2019-0032
46600 WASHINGTON ST STE 4
BUILDING PERMIT
Financial Information
Fee AmountFee Amount PaidInvoice No.
PERMIT-BCOM2019-003
2
$54.43 REMODEL, FIRST 100 SF $54.43
$5.00 TECHNOLOGY ENHANCEMENT FEE $5.00
$101.20 REMODEL, FIRST 500 SF PC $101.20
$26.68 FIXTURE/TRAP $26.68
$13.34 WATER SYSTEM INST/ALT/REP $13.34
$13.34 WATER HEATER/VENT $13.34
$120.07 NON-RESIDENTIAL, FIRST 2,000SF $120.07
$96.04 REMODEL, EA ADDITIONAL 500 SF $96.04
$125.00 PLAN CHECK DEPOSIT - ADDITION/REMODEL $125.00
$47.69 REMODEL, FIRST 500 SF PC $47.69
$6.00 BSAS SB1473 FEE $6.00
$13.34 WATER SYSTEM INST/ALT/REP PC $13.34
$2.72 Credit Card Fee $2.72
$40.02 OTHER MECHANICAL EQUIPMENT PC $40.02
$21.00 RECORDS MANAGEMENT FEE - MAJOR $21.00
$40.02 OTHER MECHANICAL EQUIPMENT $40.02
$92.86 NON-RESIDENTIAL, FIRST 2,000SF, PC $92.86
$8.00 WATER HEATER/VENT PC $8.00
$23.80 SMI - COMMERCIAL $23.80
$76.84 REMODEL, EA ADDITIONAL 500 SF PC $76.84
$26.68 FIXTURE/TRAP PC $26.68
$135.00 ART IN PUBLIC PLACES - COMMERCIAL REMOD $135.00
$1,089.07 $1,089.07 Total for Invoice PERMIT-BCOM2019-0032
Grand Total for Permit $1,089.07 $1,089.07
Workflow / Inspections
Workflow Step / Action Name Action Type Start Date End Date
Inspections v.1 07/02/2019 0:00
FINAL** v.2 Inspection
T/I FINAL v.2 Inspection
FINAL** v.1 Inspection
T/I FINAL v.1 Inspection
T-BAR/OVERHEAD v.1 Inspection
OVERHEAD ROUGH PIPING v.1 Inspection
DRYWALL NAIL v.1 Inspection
ROUGH ELEC v.1 Inspection
FRAMING v.1 Inspection
ROUGH MECH v.1 Inspection
ROUGH PLBG v.1 Inspection
UNDERGROUND PLBG v.1 Inspection
Printed: 11/27/24 5:11 pm Page 4 of 5
Permit Type:
Permit Number:
Property Address:
Building Commercial
BCOM2019-0032
46600 WASHINGTON ST STE 4
BUILDING PERMIT
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: 11/27/24 5:11 pm Page 5 of 5
LCr.'CTWICATE OF INSTALLATION NRC1-LTl-0I-E
:nuwr l.kghring
,14ojexr Name: Apricoi Lane Burihque Warcvrnmt Agency MY OF LA QUNTA I�ermrt Nd bcr. BCOM 2019-0032
projnx Addrw •16600 Wmhi118101k SI W lCay La Quints Zip Cade. 92253
General Information
Building Type:
Nonresidential Nigh -Rise Res (Common Area)
Hotel/Motel (Common Area)
Phase of Construction:
New Construction Addition Alteration
Unconditioned
Scope of Responsibility
Enter the date of approval by enforcement agency of the Certificate of Compliance that provides the specifications for the energy
efficiency measures for the scope of responsibility for this Installation Certificate.
Date: 8/26/2019 12:00:00 AM
Lighting Plan
E Sheets
8/26/2019 12:00:00 AM
This is page 1 of 2
lC: i{7 �FICA7 E OF ACCEPTANCE. NRCA•LTI.02•A
.�Gghun� Control .
S skp art Name: Apricot Lanr Boutique
1 P 9 En rureenen! Agency CTI•Y OF LF. QUIN'1'A Rermil Number: HCQtIi 2019-0032
"rein Addrexx dWIG Washington St 44 J10ty. Lek Qui qtn Code 92253
Enforcement Agency Use: Checked by/bate
LIGHTING CONTROL ACCEPTANCE: DOCUMENT
Automatic Shut-off Controls: Auto- matic Time!OWitch Coptrol and Occupant Sensor
Intent: Lights are turned off or s"et to a lower level wkten not needed per ectlon 710.9(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 Inspect! n.—corrfirm for ail listed in Section B
a. All automatic time switch -controls are programmed for (check all): _
Pr Weekdays 1 Weekend i►x' Holidays
b. Document for the owner automatic time switch programming Ccheck all):
Weekday settings VIeekend settings F7 Holidays settings Set --up settings
F7 Preference program setting ( Verify the correct time and date is properly set in the time switch
Verify the battery is installed and energized 9 Override time limit is no more than 2 Fours
Occupant Sensors and Automatic Time Switch Controls have been certified to the Energy Commission in accordance with
the applicable provision ir. Section 110.9 of the Standards, and mod if nur.r"bers for all such controls are listed on the Commission
database as Certified Appliance and Control beviC45
2. Occupancy Sensor Construction Inspection --confirm for all.listed in Section U
Occupancy sensors are not located within 4 feet o- any HVAC diffuser
F7 Ultrasonic occupancy sensors do not emit audible sound 5 feet from source
.
This is page 1 of 19
OF ACCEPTANCE
Name Apricot Louie Emniqut Cnrorcemenf A
Address: 46600 Washington St. Nd eye,. Qninta
Step 3:
System returned to initial operating conditions
Steep 1: Simulate an unoccupied condition
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 fighting 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 50% of installed lighting power for corridors and stairwells in which
the installed fighting power is 80% or less of the value allowed under the Area
Category Method.
Light level may be used as� proxy for lighting power when measurements are taken
Step 2: Simulate an occupied condition
The occupant sensing controls shall turn lights fully ON in each separately controlled
areas, Immediately upon an occupied condition
4. Partial On Occupancy Sensors
Step I. -Simulate an occupied condition. Verify partial an operation.
a. Immediately upon an occupied condition, the first stage activates between 50 to
70°46 of the lighting automatically.
b. After the first stage occurs, manual switches allow an occupant to activate the
alternate set of lights, activate 100%6 of the lighting power, and manually
deactivate all of the lights.
Step 2. Simulate an unoccupied condition
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,
rnf Number: BCOM 2019.0032
Code: 92253
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This is page 3 of 19
�CrItT1F1CATE OF ACCEPTANCE 3dRCA-LTT02
,i1.` io�uy CibiWl
` rigect Ndmc: Apricot i me Eiouliquc l4�1fnrarniml Agency CITY OF LA QL9WA r-n111r Kumrxv
f ujwl Address 46600 Washington St NA 110TY. La Qwnta 1Tap Code: 92253
C. Testing Results
1. Automatic Time Switch Controls (ail answers must be Yes).
2019-p032
r
2. Occupancy Sensor (On Off Control) (all answers must be Yes), r
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, r
4. Partial On Occupant Sensor for PAF (all answers must be Yes). r
S. Occupant Sensor serving small zones for PAF (all answers must be Yes). Also must
pass Test 2. 1 r
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
a. All lights can be turned on and off by their respective area control switch r
b. Verify the switch only operates lighting in. the ceiling -height partitioned area in
which the switch is located. r
Step 2: Simulate unoccupied condition
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 sMtch is located and the lights remain on no
longer than 2 hours (unless serving public areas and override switch is captive key
type). r
Step 3:
Systern returned to initial operating conditions r
2. Occupancy Sensors
Step 1, Simulate an unoccupied condition
This is page 5 of 19
TE OFACCEPTANCE
Numn Apricot Law Bmiquc FArmcmcni Agency CrrY OF LA QUTN rA Permit Nunsbe, BCOAI 2019-0032
AdIlMw 4WD Wmhmgtun Si 04 NCitv La Quinta ZioCodc 42BI
Step 2. Simulate an unoccupied condition _
a. Both stages (automatic on and manual on) lights turn off within a maximum of 20
IJ minutes from start of an unoccupied condition per Standard 5ection_110.9(a) I OF
b. The occupant sensor does not trigger a false 'on' from movement in an area
adjacent to the controlled space or from HVAC operation. 11
This is page 7 of 19
[:i?W iFiCATE OF ACCEPTANCE
_+1�iting Control
' f Pa i"t Name: Apricot 1.mre Boutique kniowenrcaI Agency CITY
kotcct Address 46600 Washington St #4 C+ty LaQmnta
G. Testing Results
1. Automatic Time Switch Controls (all answers must be Yes).
2. Occupancy Sensor (On Off Control) (all answers must be Yes).
A
nu Number. BCOM 2019-0032
Code:92253
r
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, i
4. Partial On Occupant Sensor for PAF (ail answers must be Yes). I r
5. Occupant Sensor serving small zones for PAF (all answers roust be Yes). Also must
pass Test 2, r-
ep Spaces Selected
Tested space/room name: Open Area
Space Type (office, corridor, etc)
Open Area .
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
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. 17
Step 2: Simulate unoccupied condition
a. All fighting, including ernergency and egress lighting, turns off. Exempt lighting may
remain on per Section 130.1(c)1 and 130.1(a)1. r
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). 117
Step 3:
5ystern returned to initial operating conditions
2. Occupancy Sensors
Step 1: Simulate an unoccupied condition
This is page 9 of 19
OF ACCEPTANCE
Name. Apricot Ta Boutique F1163fCL' IMI Agency- MY OF LA Qlirr rrA i'crtsiit Nwnhrr BCOM 2019-IXI32
Addtw- 46W WzWum gion St. 04 C'uy• 1 a Qwnlu lap L'odc: 92253
Step 2. Simulate an unoccupied condition
a. Both stages (automatic on and manual on) lights turn off within a maximum of 20
rninutes from start of an unoccupied condition per Standard Section 110.9(a)
b. the occupant sensor does riot trigger a false `on' from movement in an area
adjacent to the controlled space or from HVAC operation.
J
El
This is page 11 of 19
I'i> ICAT . OF ACCEPTANCE
Numc: Apricot ianc Boutique F.n fotrernent Agncy. CI FY OF TA QUjf f A —
Address: 46600 Washington St 94 City- I- 1111;k
Number: BCOM 2019.0032
C. Testing Results
I. Automatic Time Switch Controls (all answers Must be Yes).
2. Occupancy Sensor (On Leff 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 (ail anJ-veers roust be Yes).
5. Occupant Sensor serving small zones for PAF (all answers roust be Yes). Also must
pass Test 2.
Representative Spaces Selected —
Tested space/room name: BoH
)ace Type (office, corridor, etc)
BoH
F
r
r
r
Untested areas/rooms
r-»_
Confirm compliance for all control .system types (1-5) present in each space:
1. Automatic Time Switch Controls
Step 1: Simulate occupied condition
a. All lights can be turned on and off by their respectivF� area control switch i
b. Verify the switch only operates lighting in the ceiling-h6ght partitioned area in
which the switch is located. i
Step 2: Simulate unoccupied condition
a. All lighting, including emergency and egress ligtitiw^, turns off. Exempt lighting may
remain on per Section 130.1(c)1 and 130.1(a)1. r
b. Manual override switch controls only the lights in thc• seleeted ceiiing height
partitioned space Where the override sw'itch•rs located and the'lights remain on no
longer than 2 hours (unless serving public areas and overrid-• switch is captive key
type). r
Step 3:
System returned to initial operating conditions
2. Occupancy Sensors.. :F
Step 1: Simulate an unoccupied condition► -
r
This is page 13 of 19
TE OF ACCEPTANCE
; Control
Name Avnca[ Lone Dmni qua f•.nromemcnI Agency. CITY OF LA QU]NTA P;7;n Nwnber. BCOA12019-0032
Addicss -06600 WWIIiT"t St Na `Ciry: LaQ'.nnto J71pC'ode 92253
Step 2. Sirrrulate an unoccupied condition
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 -Fm
adjacent to the controlled space or from HVAC operation.
This is page 15 of 19
C}'RTIFICATE OF ACCEPTANCE
' �a}lhtmgCurWal
llraject Nlene. Apncat Lane Boulicim [inforccntent A
Prulml Address 46W Washmglon St tk Ciry. is Quirun
C. Vesting Results
1. Automatic Time Switch Controls (all answers must be Yes).
2. Occupancy Sensor (On Off Control) (all answers must be Yes),
A
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.
nil Number:13CONI 2019.0032
Code: 92253
A
4, Partial On Occupant Sensor for PAF (all answers must be Yes). I IF
S. Occupant Sensor serving small zones for PAF (all answers must be Yes). Also must
pass Test 2.
D. Evaluation
PASS: All applicable Construction Inspection responses are complete and all applicable
Equipment Testing Requirements responses are positive.
This is page 17 of 19
IC,ERT1F1CATk OF ACCEFFANCF I N3tCA-LTI.02-n
Prop" Ng t- rlpimot Lane Boutique IlEnfarcanent Agrney: MY OF LA QUINTA 1Pcnnit Numhu 8['17\12019AM2
ProjcLz Addieas 44rAD Wastrmgton Se Ma Cuy: [A Qamts 117g, C'nrk 92253
This is page 19 of 19
PIFICATE OF INSTALLATION vRCI-LTI-Q2 E
or Lighting Control System
Nance Apneot lame Boaquc Fml'on:ammt Agc"y: CITY OF 1A QSANTA F'ennir Number: BCOM
Addrexa 44W Wash mgton Si. 44 HCay LaQuinta •r�r•nt. o11cx
INDOOR LIGHTING
i i-
General Information
Building Type:
Phase of Construction:
F Nonresidential r High -Rise Res (Common Area)
r Hotel/Motel (Common Area)
r New Construction i Addition Pr Alteration
r Unconditioned
lr R i' s. '•1 R t
Enter the date of approval by enforcement agency of the Certificate of Compliance that provides the specifications for the energy
efficiency measures for the scope of responsibility for this Installation Certificate.
Date-. 8/26/2019 12:00:00 AM
§130.4(b) Before an Energy Management Control System (EMCS), or Lighting Control System can be recognized for compliance with
the lighting control requirements in Part 6 of Title 24, the person who is eligible under Division 3 of the Business and Professions Code
to accept responsibility for the construction or installation of features, materials, components, or manufactured devices shall sign and
submit this Installation Certificate.
If any of the requirements in this Installation Certificate fail the Energy Management Control System or Lighting Control System
installation requirements, these options for controlling lighting shall not be recognized for compliance with the Building Energy
Efficiency Standards.
PART 1 What type of Lighting Control System has been installed?
!— A. Energy Management Control System (EMCS) - Is a computerized control system designed to regulate the energy
consumption of a building by controlling the operation of energy consuming systems, such as the heating,
ventilation and air conditioning (HVAC), lighting, and water heating systems, and is capable of monitoring
environmental and system loads, and adjusting HVAC operations in order to optimize energy usage and respond to
demand response signals.
The Energy Management Control System has been installed to function as a lighting control required by Part
6 and functionally meets all applicable requirements for each application for which it is installed, in
accordance with Sections 110.9, 130.0 through 130.5, 140.6 through 150.0, and 150.2; and complies with
Reference Nonresidential Appendix NA7.7.2.
i The EMCS has been separately tested for each respective lighting control system for which it is installed to
function as.
Fr B. Lighting Control Systern - Requires two or more components to be installed in the building to provide all of the
functionality required to make up a fully functional and compliant lighting control.
-- -- This is page 1 of 5
TE OF INSTALLATION
or Lighting Cartrol yyseem
Name: Apriwt 1. Bowigtle 11DIforcemmi. Ageney CITY OF U1 Q[.I[NTA Permit Nu tky BCOM 2019-0032
Address 46600 WnAlrogtwt St 44 Ctty La Quints Lip Cud. 92253
r 1. Automatic Daylight Controls meet all requirements for Automatic Daylight Control devices in the Title 20
Appliance Efficiency Regulations, including the following:
a. Is capable of reducing the power consumption in response to measured daylight either directly or by
sending and receiving signals;
b. If the system Includes a dimmer, complies with the Dimmer Control device requirements in the Title 20
Appliance Efficiency Regulations.
c. Automatically return to its most recent time delay settings within 60 minutes when put in calibration
mode;
d. Has a set point control that easily distinguishes settings to within 10 percent of full scale adjustment;
e. Has a light sensor that has a linear response within 5 percent accuracy over the range of illuminance
measured by the light sensor;
f. Has a light sensor that is physically separated from where the calibration adjustments are made, or is
capable of being calibrated in a manner that the person initiating the calibration is remote from the sensor
during calibration to avoid influencing calibration accuracy; and
g. Complies with the Title 20 requirements for photo controls if the system contains a photo control
component.
r 2. Photo Controls meet all requirements for Photo Control devices in the Title 20 Appliance Efficiency
Regulations, including the following that it does not have a mechanical device that permits disabling of the
control.
G. The FMCS or Lighting Control System functions as a Dimmer and meets all requirements for a Dimmer Control
device in the Title 20 Appliance Efficiency Regulations, including the following:
1. Is capable of reducing power consumption by a minimum of 65 percent when the dimmer is at its lowest level;
2. Includes an off position which produces a zero lumen output; and
3. Does not consume more than 1 watt per lighting dimmer switch leg when in the off position.
4. Dimmer controls that can directly control lamps provide electrical outputs to lamps for reduced flicker operation
through the dimming range so that the light output has an amplitude modulation of less than 30 percent for
frequencies less than 200 Hz without causing prernature lamp failure.
5. If designed for use in three way circuits is capable of turning lights off, and to the level set by the dimmer if the
lights are off.
FW H. The EMCS or Lighting Control System meets the following requirements:
I. Is capable of automatically turning off controlled lights in the area no more than 30 minutes after the area has
been vacated;
2. Allows all lights to be manually turned off regardless of the status of occupancy; and
3. Has a visible status signal that indicates that the device is operating properly, or that it has failed or
malfunctioned. The visible status signal may have an override switch that turns off the signal.
4. All occupant sensing devices that utilize ultrasonic radiation for detection of occupants meet the Ultrasound
Maximum Decibel Values in the Title 20 Appliance Efficiency Regulations
5. All occupant sensing devices that utilize microwave radiation for detection of occupants meet the radiation
requirements in the Title 20 Appliance Efficiency Regulations
6. Occupant sensing devices incorporating dimming comply with the requirements for dimmer controls in the Title 20
Appliance Efficiency Regulations
7. The EMCS or Lighting Control System functions as one or more of the Occupant Sensing Controls Checked Below:
a. Occupant Sensors meeting all applicable requirements for Occupant Sensor Control devices in the Title 20
Appliance Efficiency Regulations
r b. Motion Sensors meeting all applicable requirements for Motion Sensor Controls devices in the Title 20
Appliance Efficiency Regulations, including that motion sensors are rated for outdoor use.
c. Vacancy Sensors meeting all applicable requirements for Vacancy Sensor Controls devices in the Title 20
Appliance Efficiency Regulations, including the fallowing:
i. Does not turn on lighting automatically and does not incorporate DIP switches, or other manual means, for
conversion between manual and automatic functionality;
ii. Has a grace period of no more than 30 seconds and no less than 15 seconds to turn on lighting
automatically after the sensor has timed out; and
iii. Does not have an override switch that disables the sensor.
This is page 3 of 5
C:tRTfF1CATE OF INSTALLATION KRCI•1.T1-02-E
°MCS or Lighting Control System
(Project Name: Apricot Lane Boutique 71JEnforcement Agency: CITY OF LA QUINTA Permit Number: BCOM 2019-0032
IProjectAddrem:4t,W Washington St. #4 � City: La Quints JJZip Code:92253
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
I certify that this Certificate of Acceptance document is accurate and complete.
Documentation Author
Name David Karneff
Company Name
Advanced Compliance
Address
City
PO Box 5755
Whittier
Zip Code
Phone
90E07
(562)254-5250
CEA/ATT Certification
Author Signature
Identification (if
applicable)
Date of Signature., 10/10,12019
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or rrry agent and I have reviewed the information provided on this
Certificate of Acceptance.
2. 1 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 to this statement (respnnslble acceptance person).
3. The information provided on this Certificate of Acceptance substantiates that the construction or installation Identified on this Certificate of Acceptance
cornplies with the acceptance requirements Indicated In the plans and specifications approved by the enforcement agency, and conforrns to the applicable
acceptance requirements and procedures specified in Reference Nonresidential Appendix 107,
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 perrnit(s) Issued for the building.
5. 1 will ensure that a completed, sighed 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 d oc ttmen tattoo the builder provides to the building owner at occupancy.
Responsible Acceptance Company Name
PeeSon Name David Korneff Advanced Compliance
Address: City
PO Box 5755 Whittier
Zip Code Phone
90607 (562)254-5250
CSLB License Position with Company
('Title) Owner
Responsible Acceptance Person Signature
Date of Signature: 1U/10/2019
This is page 5 of 5
Certificate of Occupancy
Design & Development Department
This Certificate is issued pursuant to the requirements of Chapter 1 Section I I I 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: 46600 WASHINGTON ST STE 4
Use classification: MERCANTILE - RETAIL STORE
Occupancy Group: M Type of Construction: VB
Code Edition: 2016
Date:
Building Official:
Sprinkler Installed: YES
Building Permit No.: BCOM2019-0032
Land Use Zone: CR
Occupant Load: 29
AJ ORTEGA Owner of Building: WASHINGTON 111 LTD
10/18/2019 Address: 30240 RANCHO VIEJO RD
AJ ORTEGA, INTERIM City, ST, ZIP: SAN JUAN CAPISTRANO CA 92675
POST IN A CONSPICUOUS PLACE