Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
BCOM2024-0011
BUILDING PERMIT DESIGN & DEVELOPMENT DEPARTMENT Qa�fra 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 ta CALIFORNIA Permit Type: Building Commercial Owner: Permit Number: BCOM2024-0011 Applicant: Property Address: 78730 HIGHWAY 111 APN: 643220024 Contractor: Legal Description Parcel 1 PM 239/75 PM 36921 Property Zoning: CR, 1 Valuation: $150,000.00 PHONE (760) 777-7125 WWW.LAQUINTACA.GOV APPLIED DATE: 02/26/2024 ISSUED DATE: 04/29/2024 Diane Scioli Steve Osdale 144 N Orange Street, Orange, CA 92866 Kelly Stevens / 775947 421 E CERRITOS AVENUE, ANAHEIM, CA 92805 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 construction lender preliminary notice from that duty. 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: 5/16/25 10:20 am Page 1 of 5 Permit Type Building Commercial BUILDING PERMIT Permit Number: Property Address BCOM2024-0011 78730 HIGHWAY 111 SHELL IMPROVEMENT - REMODEL MAIN BUILDING FACADE, NEW STOREFRONTS, NEW & INFILL OPENINGS AT REAR OF BUILDING DEMO INTERIOR WALLS AND REMOVE CEILINGS AND ELECTRICAL INSTALLATIONS, REMOVE HVAC EQUIPMENT AND CREATE NE\ OPENINGS FOR NEW ROOFTOP EQUIPMENT [VB/SPRINKLERED]. NO TUMF ASSESSMENT PER 2023 HANDOOK. THIS PERMIT DOEr NOT INCLUDE REVIEW FOR OCCUPANCY, SEE BCOM2024-0008 FOR "FIVE BELOW' TENANT IMPROVEMENTS TO BE CONSTRUCTE CONCURRENTLY. 2022 CALIFORNIA BUILDING CODES. ,instruction Dpt;:. Commercial Work Type Remodel Building/Unit M: Stores, Markets, Gas Gross Square Footage 10781 Occupancy Station Classification(s) Conditioned Square 10781 Fire Sprinkler Square 10781 Number of Floors 1 Footage Footage Construction Type V-B Code Edition 2022 Original Valuation 150000.00 Addition Area Square 0 Number of Carport(s) 0 Number of Balcony 0 Footage Addition(s) Number of Awning 1 Reroof Area Square 0 Number of 3 Canopy(s) Footage Door/Window Retrofit/Repair Number of 3 Number of 0 Number of Partition(s) 1 Door/Window Fireplace(s) New/Alteration Number of 29 Number of Residential 0 Electrical Service? No Receptacle/Switch/Lig Appliances ht(s) Temporary Power No Number of 0 Number of Air 5 Service? Condenser(s) Handling Unit(s) Number of Evaporative 0 Number of Ventilation 0 Miscellaneous 1 Cooler(s) Fan(s) Mechanical Number of Roof Drains 3 Number of Water 0 Water System Install Yes Heater(s) or Alteration? Back Flow Prevention No Sewer Connection? Yes Grease Interceptor or No Device? Sand/Oil Separator? Transportation Uniform No City Development No Art in Public Places No Mitigation Fee Impact Fee Applicable Fund Exempt Applicable Zoning CR General Plan CG City Limits Within La Quinta Limits Subdivision Name PM 36921 Lot Number 1 Lot Size 75954.8 Legal Description Parcel 1 PM 239/75 PM 36921 Type Group Sq Ft Value Printed: 5/16/25 10:20 am Page 2 of 5 Permit Type Building Commercial BUILDING PERMIT Permit Number: Property Address BCOM2024-0011 78730 HIGHWAY 111 Invoice No. Fee Fee Amount Amount Paid INV-00006222 Other Mechanical Equipment PC $45.77 $45.77 Art in Public Places - Commercial Remodel $750.00 $750.00 Zoning Clearance - Alt/Add - Non -Residential $183.00 $183.00 Water System Inst/AIURep $15.26 $15.26 Door/Window, Retro/Repair $76.89 $76.89 Roof Drain PC $45.78 $45.78 Other Mechanical Equipment $45.77 $45.77 Building Sewer $30.51 $30.51 Awning/Canopy PC $259.96 $259.96 Technology Enhancement Fee $8.00 $8.00 Partition $91.53 $91.53 Door/Window, New/Alt PC $168.43 $168.43 Building Sewer PC $21.36 $21.36 Air -handling unit, including attached ducts $228.85 $228.85 Receptacle, switch, lighting, or other outlets $57.96 $57.96 Door/Window, Retro/Repair PC $75.06 $75.06 Water System Inst/Alt/Rep PC $15.26 $15.26 Door/Window, New/Alt $147.67 $147.67 Roof Drain $45.78 $45.78 SMI - Commercial $42.00 $42.00 Partition PC $168.42 $168.42 Building Standards Administration $6.00 $6.00 Digital Archiving and Records Management Fee $23.00 $23.00 Awning/Canopy $18.31 $18.31 Air -handling unit, including attached ducts PC $76.30 $76.30 Credit Card Convenience Fee $67.11 $67.11 Receptacle, switch, lighting, or other outlets PC $37.35 $37.35 Total for Invoice lNV-00006222 $2,751.33 $2,751.33 INV-00009209 Re -Inspection Fee $91.53 $91.53 Total for Invoice lNV-00009209 $91.53 $91.53 Grand Total for Permit $2,842.86 $2,842.86 Workflow Step / Action Name Action Type Start Date End Date Application Completeness Check v.1 02/27/2024 8:15 02/27/2024 8:15 ---------------------------------------------------------------------------------------------------------------------------------------- Submittal Document Verification v.1 Generic Action 02/27/2024 8:15 Plan Check v.1 02/27/2024 0:00 04/23/2024 15:35 ---------------------------------------------------------------------------------------------------------------------------------------- Building Major Review v.1 Receive Submittal 02/27/2024 0:00 03/19/2024 9:13 ---------------------------------------------------------------------------------------------------------------------------------------- Building Major Review v.2 Receive Submittal 04/01/2024 0:00 04/23/2024 15:35 Permit Issuance v.1 04/23/2024 15:37 04/29/2024 8:28 ---------------------------------------------------------------------------------------------------------------------------------------- Contractor / Owner -Builder Information v.1 Generic Action 04/23/2024 15:37 ---------------------------------------------------------------------------------------------------------------------------------------- Verify & Invoice Fees v.1 Generic Action 04/29/2024 8:28 ----- ------------------------------------------------------ Read to Issue v.1 Generic Action 04/29/2024 8:28 ---------------------------------------------------------------------------------------------------------------------------------------- Verify Fee Payment & Issue Permit v.1 Generic Action 04/29/2024 8:28 Printed: 5/16/25 10:20 am Page 3 of 5 BUILDING PERMIT Permit Type: Building Commercial Permit Number: BCOM2024-0011 Property Address: 78730 HIGHWAY 111 Print, Attach, and Email Building Permit v.1 Create Report 04/29/2024 8:28 04/29/2024 8:28 Inspections - Do Not Pour Concrete Until Approved v.1 06/03/2024 14:58 --------------------------------------------------------------------------------------------------------------------------------------- Footing v.1 Inspection 06/03/2024 14:58 06/03/2024 15:00 -- ------------------------------------------------------------------- Footing v.2 - - -- -- -- -- -- -- Inspection -- -- -- -- -- -- -- -- 07/10/2024 0:00 -- -- -- -- ----- 07/11/2024 10:19 ------------------------------------------------------------------------ Setbacks v.1 --------------------- Inspection ------------------------ ----------------- - ---------------------------------------------------------------------------------------------------------------------------------------- Slab v.1 Inspection 07/10/2024 0:00 07/11/2024 10:19 ------------------------------------------------------------------------------------ Slab v.2 --------- Inspection ------------------------------------------- 07/11/2024 0:00 ------------------------------------------------------------------------------------ Underground Plumbing v.1 --------- Inspection ------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------- Water Line v.1 Inspection Inspections - Cover No Work Until Approved v.1 05/31/2024 0:00 --------------------------------------------------------------------------------- Roof Nail v.1 --------------- Inspection --------------------------- ------------- --------------------------------------------------------------------------------------------------------------------- Okay to Wrap v.1 Inspection ------------------- -------------------------- -------------------------------------------------------------------------------------- Framing v.1 Inspection 05/31/2024 0:00 06/03/2024 15:04 -------------------------- --------------------------------------------------------------------------------------- Framing v.2 Inspection 06/05/2024 0:00 06/06/2024 17:06 ------------------------- ------------------------------------------------------------------------------------------- Framing v.3 Inspection 06/11/2024 11:31 06/11/2024 12:23 ----------------------------- ------------------------------------------------------------------------------------------- Framing v.4 Inspection 06/20/2024 15:21 06/20/2024 15:22 --------------------------------------------------------------------------------------------------------------------------------------- Framing v.5 Inspection 06/20/2024 0:00 --------------------------------------------------------------------------------------------------------------------------------------- Rough Electrical v.1 Inspection 08/13/2024 0:00 08/14/2024 13:52 -------------------------------------------------------------------------------- Rough Mechanical v.1 Inspection -------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------- Rough Plumbing v.1 Inspection --------------------------------------------------------------------------------------------------------------------------------------- Rough Fire Clearance Bldg v.1 Inspection 08/15/2024 0:00 -------------------------------------------------------------------------------- Shower Pan v.1 Inspection -------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------- Insulation v.1 Inspection --------------------------------------------------------------------------------------------------------------------------------------- Drywall Nail v.1 Inspection --------------------------------------------------------------------------------------------------------------------------------------- T-Bar/Overhead v.1 Inspection -------------------------------------------------------------------------------- Exterior Lath v.1 Inspection --------------------------------------------------------------------------------------------------------------------------------------- Gas Test v.1 Inspection ------------------------------------------------------------------------------ Sewer Connection v.1 -- -- -- -- -- Inspection -- -- -- -- -- -- ------------------- -- Inspections - Masonry v.1 Inspections - Electrical for Meter Release v.1 ---------------------------------------------------------------------------------------------------------------------------------------- Temporary Power v.1 Inspection ---------------------------------------------------------------------------------------------------------------------------------------- Temp Use of Permanent Power v.1 Inspection Inspections - Final v.1 08/13/2024 0:00 09/20/2024 15:26 ---------------------------------------------------------------------------------------------------------------------------------------- Final Fire v.1 Inspection 08/13/2024 0:00 09/20/2024 15:26 ---------------------------------------------------------------------------------------------------------------------------------------- Final Planning/Zoning v.1 Inspection 08/15/2024 11:56 08/15/2024 12:01 ------------------------------------------------------------------------------ Final Planning/Zoning v.2 ----------------------------------------- Inspection 09/12/2024 0:00 -- ----------- 09/19/2024 9:07 --------------------------------------------------------------------------------------------------------------------------------------- Final Building v.1 Inspection 08/19/2024 0:00 08/20/2024 16:36 --------------------------------------------------------------------------------------------------------------------------------------- Final Building v.2 Inspection 08/21/2024 0:00 08/22/2024 13:16 --------------------------------------------------------------------------------------------------------------------------------------- Final Building v.3 Inspection 09/12/2024 0:00 09/13/2024 11:12 --------------------------------------------------------------------------------------------------------------------------------------- Final Building v.4 Inspection 09/19/2024 0:00 09/20/2024 15:14 Certificate of Occupancy v.1 --------------------------------------------------------------------------------------------------------------------------------------- Issue Certificate of Occupancy v.1 Create Report Printed: 5/16/25 10:20 am Page 4 of 5 BUILDING PERMIT Permit Type: Building Commercial Permit Number: BCOM2024-0011 Property Address: 78730 HIGHWAY 111 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. 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. 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 buildinq official. Printed: 5/16/25 10:20 am Page 5 of 5 CAL FIRE — RIVERSIDE UNIT RIVERSIDE COUNTY FIRE DEPARTMENT �Cci BILL WEISER -- FIRE CHIEF OFFICE OF THE FIRE MARSHAL — LA QUINTA-CALIFORNIA - 78495 Calle Tampico, La Quinta, CA 92253 • Phone (760) 777-7078 • www.rvcfire.org April 11, 2024 Steve Osdale, AO Architects Re: Tenant Improvement BCOM2024-0011 / 78730 Highway 111 The building plan you submitted for the above referenced project was reviewed and approved with the following conditions. PRIOR TO FINAL 1) Provide keys to the tenant space and utility rooms for inclusion in the Knox Box. Key(s) shall have durable and legible tags affixed for identification of the correlating space. 2) Install portable fire extinguishers with a rating not less than 2A10BC within 75 feet travel distance to all portions of the floor area. Fire extinguishers shall be serviced and tagged within one-year. 3) Applicable room door(s) shall be identified "ELECTRICAL", "FACP", "FIRE RISER" on the outside of the door. 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 by emailing FireBusinessMail@laquintaca.gov All questions regarding the meaning of these conditions should be referred to the Office of the Fire Marshal staff at (760)777-7078. Chris Cox — Supervising Fire Marshal Building Permit Number: oZD kol-0 c, Project Description: SFR Exempt - (Materials may contain hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan Plan Submittal Job Site Addressl 78 30 CA Hwy 111. La Quetta CA 92253 Owners NF Number, Street, or PO I City, State, Postal 0 Owner's Phone Num Owner's E-Mail Addr Project Manager's Project Manager's Phone N Project Manager's E-mail A, Milan Capital Management Inc 701 S. Parker Street. Suite 5200 Orange, CA 92868 M 949-230-1286 oraneOrnilancap.com Kelly Stevens 714-469-5246 k slsytin3�9ravwc com Builder/Contractor Gray West Construction Inc Number, Street or PO Box 421 E. Cerritos Avenue City, State, Postal Code Anaheim, CA 92805 Project Square Footage 10.700 Approval By Burrtec v/.O_� Date of City Approval Materials To Be Discarded: Product Trash Asphalt Brick/Block Cardboard Commingled Concrete Drywall Donated / Reuse' *Describe Items Tons Not recyclable Product Recyclable Masonry (broken) Recyclable Plaster Recyclable Scrap Metal Recyclable Tile (floor) Recyclable Tite (roofi Recyclable Wood Recyclable Landscape Debris Toms Recyclable Recyclable Recyclable Recyclable Recyclable' Recyclable Recyclable 96.30 88.27 0.00 58.85 94.16 0,00 0.00 0.00 4.92 88.28 80.25 0.00 10.70 0.00 1 Q.70 Totals: Recycle Trash Projected Diversion: 436.1 1 96.3 81.91% I understand it Is the property owner's responsibility to submit copies of weight tickets or receipts to the District Environmental Coordinator as these hauls occur. I hereby certify that completion, implementation and adherence of the Debris Management Plan (DMP) for the above named project shall guarantee that at least 65% of the jobsite waste is diverted from tandfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining materials generated from the first day of the project through the completion of the project in accordance with this plan. This DMP is issued in the name of the property owner(s) and shall remain their property throughout the construction and/or demolition project. A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP is still issued in the name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the DMP are adhered to. The property owner(s) and general contractor shall be kept informed of the diversion progress through bi-monthly reports. If self -hauling, all refuse material from this project site must be taken to an approved recycler or transfer station_ 1 r / Devel /Project Manage Superintendant Date ta Qal tra G I::M of the D 1:S E RT — DESIGN & DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 (760) 777-7125 NON-RESIDENTIAL PLAN CHECK CORRECTION LIST (ccR) DATE: 3/18/2024 STATUS: FIRST REVIEW PLAN CHECKED BY: JAKE FUSON / INTERWEST TELEPHONE NUMBER: (760) 777-7081 ADDRESS: 78-950 HIGHWAY 111 DESCRIPTION: SHELL IMPROVEMENT APPLICANT: STEVE OSDALE PLAN CHECK #: BCOM2024-0011 This submittal has been checked for compliance with the 2022 California Building, Electrical, Mechanical, Green Building and Energy Codes, and the City of La Quinta Municipal Code. APPLICANT: The following items are being returned to you for correction: THIS CORRECTION LIST BUILDING DEPARTMENT STAFF: DO NOT accept any resubmittal unless ALL of the following items are included: WRITTEN RESPONSES TO THIS CORRECTION LIST REVISED PLAN SET INSTRUCTIONS TO APPLICANT: 1) Provide a written response to each comment on the following pages, noting specifically where the correction can be found. Responses such as, "Sheet A-3," or, "Handrails shall be per CBC Section 1003," are not acceptable. Show or note specifically how compliance with a code requirement is achieved. Responses such as, "Added note 16 on sheet A-3" are appropriate and will help expedite your back check. 2) Corrections may not be made by handwriting on existing drawings. Revise originals and reprint Plans and/or Calculations as necessary. 3) Return all red -marked Plans and/or Calculations with your resubmittal. 4) Each sheet of resubmitted Plans and/or Calculations shall include the preparer's name and telephone number and shall be wet -signed by the preparer. If the preparer is a licensed architect or engineer, all documents prepared by that licensed individual shall also bear his/her stamp as prescribed by California Business and Professions Code Section 5536. Resubmittals will not be accepted with signatures missing. 5) Return this list, your written responses, and all documents listed above with your resubmittaI. Non -Residential Plan Check Correction List Page 1 of 3 SECTION A— GENERAL 1) Please add the La Quinta Municipal Code to the list of governing codes on the cover sheet of the plans. 2) Provide on each sheet of resubmitted plans and cover sheet of bound calculations the preparer's name and telephone number and signature. If the preparer is a licensed architect or engineer, all documents prepared by that licensed individual shall also bear his/her stamp as prescribed by California Business and Professions Code §5536. Resubmittals will not be accepted with signatures missing. 3) Provide Riverside County Office of the Fire Marshal approval of this project. Contact your Fire reviewer directly at (760) 777- 7078 with questions regarding the comments listed in the online portal. SECTION B — SITE PLAN / ACCESSIBILITY / ARCHITECTURAL 1) When alterations or additions are made to existing buildings or facilities, an accessible path of travel to the specific area of alteration or addition shall be provided. The primary accessible path of travel shall include a primary entrance to the building or facility, toilet and bathing facilities serving the area, drinking fountains serving the area, public telephones serving the area, signs and when possible, parking. Please complete the path of travel upgrade determination form at the end of this document and include any required upgrades on the plan set. If no upgrades are required, complete the form accordingly and provide a statement of full compliance on the plans. (CBC 11B-202.4) SECTION C — ENERGY EFFICIENCY 1) An "Exceptional Condition" is being claimed on the mechanical energy documents for this project which state that the ventilation rates and calculations are shown in another document, however the reviewer was unable to locate this document. Please revise energy documents accordingly and provide ventilation and outside air designs on the plans. (CEnC §140) 2) The outdoor lighting controls on the plans appear to differ from the controls shown in the NRCC-LTO-E form within the energy documents. Please clarify proposed lighting controls and reconcile any inconsistencies. (CEnC §130.1) 3) Provide NRCC-ENV-E documents for the storefront changes and other building envelope changes. (CEnC §140) SECTION D — STRUCTURAL 1) See separate correction list, attached. END CITY REVIEW CORRECTION LIST CORRECTION LIST CONTINUED BY INTERWEST CONSULTING GROUP ATTACHED As further information is provided and reviewed, additional corrections may be required. Non -Residential Plan Check Correction List Page 2 of 3 PATH OF TRAVEL UPGRADE DETERMINATION DATE: ADDRESS: STATUS: PLAN CHECKED BY: TELEPHONE NUMBER: DESCRIPTION: APPLICANT: PLAN CHECK #: In accordance with the 2022 California Building Code (CBC) Section 116-202.4, exception 8, the cost of compliance with Section 1113-202.4 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 Is element in If not, will element be Proposed cost of based on priority compliance with upgraded to current compliance with current Chapter Chapter 11B? (Y/N) current 11113? (Y/N) 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 $ (D) travel elements: COST OF PATH OF TRAVEL UPGRADES AS PERCENTAGE OF ADJUSTED CONSTRUCTION COST: Compliance of path of travel upgrades as % of adjusted construction cost: (E)% _ % (E) (D) / (C) Note: This may not be less than 20% Non -Residential Plan Check Correction List Page 3 of 3 rw INTERWEST A SAFEbuBP COMPANY Bill to: City of La Quinta Attn Danny Castro Design and Development Director 78-495 Calle Tampico La Quinta, CA 92253 Remit to: Interwest Consulting Group P.O. Box 301069 Los Angeles, CA 90030-1069 Invoice #360153 April 4, 2024 Direct questions to Erica Cuevas ecuevas@interwestgrp.com Professional services for the period April 3, 2024 through April 3, 2024 Commercial - BCOM2024-0011 - LAQ24-0038 - 78950 Highway III Employee Ho Jun Kon€ Title Invoice Total (Please pay this amount) Hours Rate Plan Check Engineer 2.00 $135.00 Labor 2.00 Ho Jun Kong LAQ24-0038 Commercial - BCOM2024-0011 - 78950 Highway 111 - LAQ24-0038 Day Description 4/3/2024 LAQ24-0038 $270.00 Total $270.00 $270.00 Hours 2.00 Total 2.00 Iof1 rw INTERWEST A SAFEbullf COMPANY Bill to: City of La Quinta Attn Danny Castro Design and Development Director 78-495 Calle Tampico La Quinta, CA 92253 Remit to: Interwest Consulting Group P.O. Box 301069 Los Angeles, CA 90030-1069 Invoice #311781 March 4, 2024 Direct questions to Erica Cuevas ecuevas@interwestgrp.com Professional services for the period March 3, 2024 through March 3, 2024 Commercial - BCOM2024-0011 - LAQ24-0038 - 78950 Highway 111 Employee Steve Ki Title Invoice Total (Please pay this amount) $337.50 Hours Rate Total m Plan Check Engineer 2.50 $135.00 $337.50 Labor 2.50 $337.50 Steve Kim LAQ24-0038 Commercial - BCOM2024-0011 - 78950 Highway 111 - LAQ24-0038 Day Description 3/3/2024 LAQ24-0038 Hours 2.50 Total 2.50 Iof1 Steve Kim LAQ24-0038 Commercial - BCOM2024-0011 - 78950 Highway 111 - LAQ24-0038 Day Description 3/3/2024 LAQ24-0038 Hours 2.50 Total 2.50 Iof1 March 3, 2024 CITY OF LA QUINTA - FIRST REVIEW Permit No: BCOM2024-0011 Interwest No.: LAQ24-0038 Non -Structural: XX-hours Structural: 2.5-hours City of La Quinta Building Department 78-495 Calle Tampico La Quinta, CA 92253 Plan Review: Front Facade Remodel Address: La Quinta Center, Suite 09 0 r"T I N T E R W E S T A SAFEbuIW COMPANY Interwest Consulting Group has completed a first code compliance review of the following documents on behalf of the City of La Quinta: 1. Drawings: Two copies of following: a. CS0.0 through A7.0 dated 2/23/24 by AO. b. S1 through S8 dated 2/23/24 by Mesri Enginereing. C. P0.0 through P8.0 NOT dated by Alpha MEP. d. M0.0 through M9.1 NOT dated by Alpha MEP. e. E0.0 through M9.0 NOT dated by Alpha MEP. 2. Structural Calculations: PDF copies 2/5/24 by Mesri Enginereing. The applicable provisions of the 2022 California Building Standards Code were used as the basis of this review. Plan review comments follow on the attached list. Please submit an itemized response letter and complete and revised documents with directly to city of La Quinta Building and Safety Department. Sincerely, INTERWEST CONSULTING GROUP Steve Kim Plan Checker 1500 S. Haven Ave I Suite 220 Ontario, CA 91761 909.295-3142 INTERWESTGRP.COM Front Facade Remodel La Quinta Center Suite 09 313124 PROJECT DATA: City of La Quints - First Review Interwest Project No. LAQ24-0038 PermitApp: BCOM2024-0011 Page 2 of 3 Occupancy Group: Area (sq. ft.): M 10732 Total Area: 10732 Building Height: 22 Building Stories: 1 Type of Construction: VB Occupant Load: Not provided Sprinklered: Y Valuation: Not provided Wildland Urban Interface N (WUI) Fire Area? Flood Zone: I AE Risk Category: II Site Class (seismic): D-default Seismic Design Category: D Special Wind Region: Y Snow Loads: N GENERAL COMMENTS: G1. The following plan review documents are based on the City of La Quinta Building Regulations. The following comments reference the 2022 California Building Standards Code as amended by the authority having jurisdiction unless otherwise noted. G2. Please respond in writing to each plan review comment by marking this comment list or creating a response letter. Indicate which detail, specification, or calculation shows the requested information. At minimum, the following should be included with each plan review response: • Page / sheet number(s), detail / specification number(s), etc., and include all applicable code section(s). Briefly explain in writing how the design is intended to comply with the applicable code sections. Please provide a narrative of revisions made outside the plan review comments. Complete and clear responses will expedite the re -check of this project. G3. Please be sure to include on the re -submittal the architect's and /or engineer's stamp, signature, date of signature, and registration number on all sheets of plans depicting structural designed elements and cover sheets of calculations. CBPC 5536.1 and 6735. Front Facade Remodel City of La Quints - First Review La Quinta Center Suite 09 Interwest Project No. LAQ24-0038 313124 PermitApp: BCOM2024-0011 Page 3 of 3 PLAN REVIEW COMMENTS: STRUCTURAL: [Steve Kim; skim@interwestgrp.com; 909.738.0960] S1. In accordance with the provisions of the California Business and Professions Code, the plans for all buildings and structures shall be prepared and each sheet thereof shall be signed by a person registered/licensed by the State of California as a civil engineer or architect. Sheet S1 S2. Please provide a copy of the referenced geotechnical report for verification of design parameters and recommendations. S3. Please consider Fa=1.2 unless otherwise specified in the project geotechnical report. S4. This project is in a Special Wind Region. Please clarify/explain how 3-sec gust wind speed was determined for this project. S5. Please provide the C&C design wind pressures in accordance with CBC 1603.1.4. S6. Please provide the complete seismic design data including the seismic coefficient and base shear. [CBC 1603.1.5] Please contact the listed reviewers between 9:00 A.M. and 4:00 P.M., M-F, with any questions. [END] Inland Engineering Technologies Inc. 41655 Reagan Way Suite E, Murrieta, CA 92562 Phone: (951) 894-6464 Fax: (951) 894-6491 Project Name: Client General Contractor: �-; 11'' (�IV-,l/ZL 1/(V Location Date: Project No.: Superrntend t: /M/ Contractor: J'/)01f' �jiL�- Cgi�y�. ' Building Permit #: Report No. ❑ Field Report ❑ _ Notice to Comply Type of Inspection Performgd: ❑ ❑ Concrete ❑ ❑ AC Tech ❑ ❑ Batch Plant ❑ Reinforcing Steel ❑ Welding Inspector' >(_ Pre -Post Tensioned Tendon ❑ Metal Decking Codety Masonry ❑ Bolting Hours �� a Fireproofing ❑ Other ' /A� x �, t i t ! +- a t �. r ✓ ' 1 .��; f 1- ILi it Ik__L14 r CERTIFICATION OF COMPLIANCE: To the best of my know edge, all of the observed work, unless otherwise stated, is in Conformance with the approved plans and saecifications and the workmanship provisions of the Applicable codes. Page — of Inspector's ,` f Inspector's name: �Ins ector'�rtW6tion�:7 � � �ISignature:�✓� INSPECTION REPORT Received by: Print: Signature; White File Copy Pink - Field Copy Yellow Client Copy Inland Engineering Technologies Inc. 41655 Reagan Way Suite E, Murrieta, CA 92562 Phone: (951) 894-6464 Fax: (951) 894-6491 Project Name: Date: Project No.: _ Ll Client General Contractor: Superintendent: Contractor: 0>=1 cv k' ti Location Building Permit #: Report No. TK- / `:c11 ! .1_ h G i. rN?A Q r:?z(3 r c q - ❑ Field Report ❑ Notice to Comply Type of Inspection Performed: ❑ Reinforcing Steel ❑ Welding Inspector ❑ Concrete ❑ Pre -Post Tensioned Tendon ❑ Metal Decking Code ❑ AC Tech ❑ Masonry ❑ Bolting Hours 44 ❑ Batch Plant ❑ Fireproofing Ci`] Other 4 �` .tom• "� (� i� �� e 7'/r'i7 7"/� k' / ��'I 1 r` / x� �' .t� ��� 1 �{J � L.• � }�/ ' %!� , - ",, R f�= ti!c►r �.r��' _,cr: Ut(5»h` /(% All :i, 10 AV /;�'r.�`lY�'r, -! to/( F :4 44 r_` u 01: /1 ff F & / 'AL /Ni5 - CERTIFICATION OF COMPLIANCE: To the best of my knowledge, all of the observed work, unless otherwise staled, is in Page of Conformance with the approved plans and specifications and the workrpanship provisions of the Applicable codes ^ Inspector's — + Ir Inspectors Name: `� j�'! rr`j v� ), '/!IV, Signature: Inspectors Certifications: INSPECTION REPORT Received by. Print: Signature: White - File Copy Pink - Field Copy Yellow Client Copy Inland Engineering Technologies Inc. 41655 Reagan Way Suite E, Murrieta, CA 92562 Phone: (951) 894-6464 Fax: (951) 894-6491 Project Name: Date: LA Client General Contractor: Superintendent: 7!/r Location �' > Building Permit #: LJ' C E9 Field Report ❑ Notice to Comply Project No.: Contractor:,WAYtI (1, Report No. Type of Inspection Performed: © Reinforcing Steel ❑ Welding ❑ Concrete ❑ Pre -Post Tensioned Tendon ❑ Metal Decking ❑ ACI Tech ❑ Masonry ❑ Bolting ❑ Batch Plant ❑ Fireproofing ❑ Other' `J Inspector fit: Code Hours X. (.f <l ��. +i �! CA4 Z- t l ! . l 1 6C 7 U < ll- r C( 4d t i_ Cf C U � ..� `-) A C f t r'(/1F'e�f' �.�f�� ? & t- TA tz- t f r 0/ i 4 &6 d` O'jam,tru`�> .. ` 14f - .-r '56 �= 6 r 714-e? stir 41sclu j'�'� 'I ; r- U C f A 1 Il /(fA Z OU/1 u ) C f !.L, 7 -j i`► l l.: i" l � t i�i�.tl - L S`/ A UC. 1X7) LUC .. V ��!!f I k) CERTIFICATION OF COMPLIANCE: To the best of my knowledge, all of the observed work, unless otherwise stated, is in Conformance with the -approved plans and specifications and the workmanship provisions of the Applicable codes. Page _ Of f Inspector's Inspector's i ; Inspectors Certifications: Name: Signature: AA INSPECTION REPORT JReceived by: Print: , Signature: White - File Copy Pink Field Copy Yellow Client Copy Inland Engineering Technologies Inc. 41655 Reagan Way Ste. E, Murrieta, CA 92562 Phone: (951) 894-6464 Fax: (951) 894-6491 Project Name: Project No.: D e: Report No,: Client C.IJ Location: - 3 v �. Day: (circle one) T W T F S S Autho : f cc Superintendent: - Contractor: oreman: Soil Engineer: Geologist: Weathe : (circle one) n Overcast Rainy Other: Observation/Testing of: (circle one) Rough Grading Precise Grading Post -grading Other: PIUM , / Equipment Working: Dozer Scraper Backhoe/Track-hoe Rubber Tire Tractor Excavator Water Truck Water Hose Loader Sheeps Foot Roller Vibratory Compactor Trench Compactor Hand-held Compactor Technician jo�l Code 3S Hours Source of Fill: Today's Estimated Yardage: Note: Yardage estimate based upon information by others. Equipment working based upon limited observation. Information not to be used for payment purposes. Summary: t t r-,1 in a 1 0 �S n u✓ {� r✓' �, t, bad< 4?l r-� L Ce, 1 �t U N L 1401 *Note: All footings shall be cleaned of loose soil prior to pouring concrete. Non -Compliance reported to: I Page �_ of DAILY FIELD REPORT Received by: Pri nt: Signature: While — File Copy Pink -- Field Copy Yellow — Client Copy Inland Engineering Technologies Inc. 41655 Reagan Way Suite E, Murrieta, CA 92562 Phone: (951 ) 894-6464 Fax: (951) 894-6491 Project Name: Date: Project No.: Client General Contractor: Superintendent: rl/ Contractor: j VV-A 4 AJA r �' U•%lilt Location Ilej,z .3 Building Permit #: Report No. p Field Report ' ❑ Notice to Comply Type of Inspection Performed: ❑ Reinforcing Steel ❑ Welding Inspector aX{ ❑ Concrete ❑ Pre -Post Tensioned Tendon ❑ Metal Decking Code f r� ❑ ACI Tech ❑ Masonry ❑ Bolting Hours ! ❑ Batch Plant ❑ Fireproofing ❑ Other t 111`+ fit: �.�ff >�-o� !. ,.. 1�,��a ( �,r r 1>` r� tri_,I� rr` / _rz .. 41 -V vrf 1 r I� t ���1L '`. �{ .•�r 1' t. u� �'JI'~It;} il� i.,jh1 -fir:;E v� 1,+,!'Y / (A. I 4�3. t i r ` ft li✓ r C. { (! -�'� { ` ' ,� f �� f L-� �.t,J 1t� ~ i l i // tI� �r�:..J-!i % I� �,��f !.JL' L.�C�' f r / ' .(/f 4 J lL� CERTIFICATION OF COMPLIANCE: To the best of my knowledge, all of the observed work, unless otherwise stated, is in Conformance with the approved plans and specifications and the workmanship provisions of the Applicable codes. Page — Of Inspector's -•'� Inspector's / — � ^" Name:((� �; Inspectors Certifications: `�� a Signature: INSPECTION REPORT Received by: Print: Signature: White File Copy Pink Field Copy Yellow Client Copy STATE OF CALIFORNIA FENESTRATION ACCEPTANCE CEC-NRCA-ENV-02-F (Revised 01/20) CALIFORNIA ENERGY COMMISSION is CERTIFICATE OF ACCEPTANCE NRCA-ENV-02-F Fenestration Acceptance (Page 1 of 2) Project Name: La Qulnta Center -Shell Enforcement Agency: City Permit Number: BCOM2024-0 Project Address: 78_730 Highway 111 city. La Quinta Zip Code: 92253 Note: The Enforcement Agency may optionally verify any Fenestration being installed for authenticity by accessing http://www.nfrc.org/CMA/default.aspx for NFRC CMA Certificate Labels or NFRC Certificate Labels http://search.nfrc.org/search/searchDefault.aspx See Reference Nonresidential Appendix NA7 for additional information. A. BUILDING INFORMATION BUILDING TYPE: ❑✓ Low-rise Nonresidential ❑ Low-rise Schools ❑ High Rise Residential ❑ Hotel/Motel Guest Room PHASE OF FV_1 New Building Construction ❑Addition ❑Alteration CONSTRUCTION: TYPE OF LABEL ❑ Rated NFRC Component Modeling Approach ❑✓ NRCC-ENV-E - for Nonrated ❑ NRCC-ENV-E - for Nonrated CERTIFICATE: (CMA) Label Certificate or NFRC Certified Label Fenestration Values < 200 ftZ Fenestration Values >_ 200 ftz TYPE OF INSTALLED ❑✓ Vertical ❑ Tubular Daylighting ❑Skylight ❑Dynamic Glazing []Window Film ❑Block Glass FENESTRATION: Fenestration Device (TDD) B. STATEMENT OF ACCEPTANCE This Certificate of Acceptance summarizes the results of the Acceptance test as specified in the Reference Nonresidential Appendix, NA7.4. Additional related references are in Sections §10-103(a)4, §10-111, §110.6(a)5 of the Energy Standards. SUMMARY OF FENESTRATION VERIFICATION AND INSPECTION BY RESPONSIBLE PARTY Individuals who perform the field testing and verification work, and provide the information required for completion of the Certificate of Acceptance documentation are not required to be licensed professionals. However, the person who signs the Certificate of Acceptance document to certify compliance with the acceptance requirements shall be licensed as specified in Standards Section 10-103(a)4 and NA7.3.1. The Responsible Person or Party shall verify the thermal performance (U factor, SHGC and VT) of each specified fenestration product being installed matches the NFRC Label Certificate, the CEC energy compliance documentation and building plans. For NFRC Rated Product (If more than 8 fenestration products use additional sheets) 01 02 03 04 If Product is rated by NFRC NFRC Label NFRC Label NFRC Label NFRC Label then enter the ID # in each Certificate ID # Certificate ID # Certificate ID # Certificate ID # U-1.25 SHGC-.80 VT-.53 column. This includes any of 05 06 07 08 the types of installed NFRC Label NFRC Label NFRC Label NFRC Label fenestration listed above. Certificate ID # Certificate ID # Certificate ID # Certificate ID # For Nonrated Fenestration Attach a Copy of the NRCC-ENV-E For All Fenestration Verify and Cross Reference: 01 02 03 04 If receipts or orders are available and it identifies Delivery Receipt(s) Elthe ❑ Receipt(s) El Delivery Receipt(s) Delivery Receipt(s) NFRC ID# then cross ❑ Purchase Order ❑ Purchase Order ❑ Purchase Order ❑ Purchase Order reference against the NFRC ❑ Detailed Receipt ❑ Detailed Receipt ❑ Detailed Receipt ❑ Detailed Receipt Label Certificate to match ID#s, or Cross reference the efficiencies listed on the NFRC Label Certificate of ❑ Cross Reference and ❑ Cross Reference and ❑ Cross Reference and ❑ Cross Reference and NRCC-ENV-E - matches the Matches Building Plans Matches Building Plans Matches Building Plans Matches Building Plans building plans window schedule of efficiencies. CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA FENESTRATION ACCEPTANCE CEC-NRCA-ENV-02-F (Revised 01/20) CALIFORNIA ENERGY COMMISSION is CERTIFICATE OF ACCEPTANCE NRCA-ENV-02-F Fenestration Acceptance (Page 2 of 2) Project Name: La Qulnta Center -Shell Enforcement Agency: City l Permit Number: BCOM2024-0 Project Address: 78-730 Highway 111 city. La Quinta Zip Code: 92253 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: David Korneff Documentation Author Signature: Documentation Author Company Name:AdVanCed Compliance Date Signed: Address: PO BOX 5755 CEA/HERS/ATT Certification Identification (If applicable): city/state/zip:Whittier Ca. 90607 Phone:562-254-5250 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. 1 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 Nonresidential Appendix NA7. 4. 1 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: David Korneff Field Technician Signature: Q Field Technician Company Name Advanced Compliance Position with Company (Title ):Owner Address: PO BOX 5755 CEA/HERS/ATT Certification Identification (If applicable): city/state/zi'Whittier, CA. 90607 Phone:562-254-5250 Date Signed: 9/18/24 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 my 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 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. 1 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. 1 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 Person Name: David Korneff Responsible Acceptance Person Signature: Q Responsible Acceptance Person Company Name Advanced Compliance Position with Company (Title):Owner Address: PO Box 5755 CSLB License:967828 city/state/Zip:Whlttler, CA. 90607 Phone:562-254-5250 Date Signed:9/18/24 CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA MECHANICAL CEC-NRCI-MCH-01-E (Revised 01/20) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION NRCI-MCH-01-E Mechanical (Page 1 of 2) Project Name: La Quinta Center Enforcement Agency: City Permit Number: BCOM2024-0011 Project Address: City: La Quinta Zip Code: A. GENERAL INFORMATION DATE OF BUILDING PERMIT: 4/22/24 BUILDING TYPE ® Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel PHASE OF ❑ ❑ New Construction Addition ® Alteration CONSTRUCTION If more than one person has responsibility for building construction, each person shall prepare and sign an Installation Certificate document applicable to the portion of construction for which they are responsible, alternatively, the person with chief responsibility for construction shall prepare and sign the Installation Certificate document(s) for the entire construction. B. SCOPE OF RESPONSIBILITY Date of approval by the enforcement agency of the Certificate of Compliance that provides the Date: 4/22/24 specifications for this Installation Certificate. In the table below identify all applicable construction documents that specify the features, materials, components, manufactured devices, or system performance diagnostic results required for the scope of responsibility for this Installation Certificate. Document Title or Description Applicable Sheets or Pages, Tables, Schedules, etc. Date Approved By the Enforcement Agency Mechanical Details M-Sheets 4/22/24 CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA MECHANICAL CEC-NRCI-MCH-01-E (Revised 01/20) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION NRCI-MCH-01-E Mechanical (Page 2 of 2) Project Name: La Quinta Center Enforcement Agency: Cit Permit Number: BCOM2024-0011 ProjectA dre s: 7 Highway 111 City: La Quinta Zip Code: 92253 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: David KOrneff Documentation Author Signature: oc—� Documentation Author Company Name: Date Signed: Advanced Com liance 9 18 24 Address: CEA/ HERS Certification Identification (If applicable): PO Box 5755 City/State/Zip: Phone: Whittier, CA, 90607 5622545250 RESPONSIBLE PERSON'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 Installation is true and correct. 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 Installation and attest to the declarations in this statement (responsible builder/installer), otherwise I am an authorized representative of the responsible builder/installer. 3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements given on the plans and specifications approved by the enforcement agency. 4. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of Installation, and I have ensured that the requirements that apply to the construction or installation have been met. 5. 1 will ensure that a completed signed copy of this Certificate of Installation 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 completed signed copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Builder/Installer Name: Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Position With Company (Title): Address: CSLB License: City/State/Zip: Phone: Date Signed: CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 CERTIFICATE OF INSTALLATION —USER INSTRUCTIONS NRCI-MCH-01-E Mechanical (Page 1 of 1) NRCI-MCH-01 User Instructions Section A. General Information 01. Enter the date on the building permit. 02. Indicate the appropriate building type. 03. Indicate the appropriate phase of construction. Section B. Scope of Responsibility 01. Enter the date the enforcement agency approved the Certificate of Compliance (NRCC-MCH-XX) that is used as the basis of the specifications used to demonstrate compliance. 02. Enter the construction document that specifies the installed feature, material, component, manufactured device or system performance diagnostic results required for compliance as specified on the certificate of compliance. 03. As needed, this row shall be filled according to the instructions for row B.02 04. As needed, this row shall be filled according to the instructions for row 6.02 05. As needed, this row shall be filled according to the instructions for row 6.02 CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA ENVELOPE CEC-NRCI-ENV-01-E (Revised 01/20) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION NRCI-ENV-01-E Envelope (Page 1 of 2) Project Name: La Quinta Center -Shell Enforcement Agency: City PefgeJt i"M2024-0011 Project Address: 78-730 Highway 111 City: La Quinta ZipCode: 92253 GENERAL INFORMATION DATE OF BUILDING PERMIT: PERMIT# 4/22/24 BCOM2024-0011 BUILDING TYPE ® Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room PHASE OF ❑ New Construction ❑ Addition ® Alteration ❑ Unconditioned CONSTRUCTION If more than one person has responsibility for building construction, each person shall prepare and sign an Installation Certificate applicable to the portion of construction for which they are responsible, alternatively, the person with chief responsibility for construction shall prepare and sign the Installation Certificate document(s) for the entire construction. SCOPE OF RESPONSIBILITY Enter the date of approval by enforcement agency of the Certificate of Compliance that provides Date: the specifications for the energy efficiency measures for the scope of responsibility for this Installation Certificate. 4/22/24 In the table below identify all applicable construction documents that specify the requirements for the scope of responsibility for this Installation Certificate. Document Title or Description Applicable Sheets or Pages, Tables, Schedules, etc. Date Approved By the Enforcement Agency Code Standards T1.0 4/22/24 Site Plan AS1.0 4/22/24 Reflected Ceiling A2.2 4/22/24 CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA ENVELOPE CEC-NRCI-ENV-01-E (Revised 01/20) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION NRCI-ENV-01-E Envelope (Page 2 of 2) Project Name: La Quinta Center -Shell Enforcement Agency: CityBCOM2024-0011 Permit Number: Project Address: 78-730 Highway 111 City: La Quinta Zip Code: 92253 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: David Korneff Documentation Author Company Name: Date Signed: Advanced Com liance 9 18 24 Address: CEA/HERS Certification Identification (If applicable): PO Box 5755 City/State/Zip: Phone: Whittier CA. 90607 5622545250 RESPONSIBLE PERSON'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 Installation is true and correct. 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 Installation and attest to the declarations in this statement (responsible builder/installer), otherwise I am an authorized representative of the responsible builder/installer. 3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements given on the plans and specifications approved by the enforcement agency. 4. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of Installation, and I have ensured that the requirements that apply to the construction or installation have been met. 5. 1 will ensure that a completed signed copy of this Certificate of Installation 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 completed signed copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Builder/Installer Name: Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) GrqV Position With Company (Title): Address: 2070 N. Tustin Ave CSLB License: 775947 City/State/Zip: Santa Ana, CA. 92705 Phone 7144911317 Date Signed: CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 CERTIFICATE OF INSTALLATION —USER INSTRUCTIONS NRCI-ENV-01-E Envelope (Page 1 of 1) CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA AUTOMATIC FAULT DETECTION AND DIAGNOSTICS FOR AIR HANDLING UNITS AND ZONE TERMINAL UNITS ACCEPTANCE CEC-NRCA-MCH-13-A (Revised 01/20) CALIFORNIA ENERGY COMMISSION 4Z CERTIFICATE OF ACCEPTANCE NRCA-MCH-13-A Automatic Fault Detection and Diagnostics (FDD) for Air Handling Units and Zone Terminal Units Acceptance (Page 1 of 6) Project Name: La Qulnta Center -Shell Enforcement Agency: City Permit Number: BCOM2024-0011 Project Address: 78-730 Highway 111 City: La Quinta Zip Code: 92253 System Name or Identification/Tag: RTU System Location or Area Served: Retail Compliance Result: Enforcement Agency Use: Checked by/Date E)Complies ® Does NOT Comply Verify that the system detects common faults in air handling units and zone terminal units. Intent: Submit one Certificate of Acceptance for each system that must demonstrate compliance. (120.2 i , NA7.5.12) A. Construction Inspection Building: Floor: Room/Area/Zone: Control/Systems: 1 1 Retail RTU Mechanical 1 Required Documentation (check all of the following): ❑✓ a. NRCC-MCH-E, designs, schematics, and schedules as approved by the authority having jurisdiction. b Manufacturer specification or tear -sheets for the installed economizer, air handling unit(s), zonal terminal units and fault detection diagnostic system (FDD) as available. Prior to Functional Testing, verify and document the following: 2. Installation (check all of the following): ❑✓ a. Verify that the FDD hardware is installed on HVAC unit. (NA7.5.11.1(a)) ❑✓ b. Verify that the FDD system matches the make and model reported on the required documentation (1a). (NA7.5.11.1(b)) 3. IF the manufacturer HAS certified the FDD to the Energy Commission (check the following): (120.2 i 8) ❑✓ a. Verify that the FDD is currently listed with the Energy Commission approved list: (120.2 i 8, JA6.3) httpjjwww.energy.ca.gov/title24/equipment cert/fdd/index.html 4' IF the manufacturer HAS NOT certified the FDD to the Energy Commission, reference the Required Documentation 1a. and 1b (check all the following): (Exception to §120.2(i)8) a' Verify that the following temperature sensors are permanently installed: outside air, supply air, and when required for differential economizer operation, a return air sensor. (NA7.5.12.1(a), §120.2(i)1) ❑✓ b. Verify that the temperature sensors have an accuracy of ±2°F over the range of 40°F to 80°F. (NA7.5.12.1(a), §120.2(i)2) ❑✓ c. Verify that the controller has the capability of displaying the value of each sensor. (120.2 i 3) Verify that the controller provides a system status by indicating the following conditions: • Free cooling available; • Economizer enabled; ❑✓ d. • Compressor enabled; • Heating enabled, if the system is capable of heating; and • Mixed air low limit cycle active. (§120.2 i 4) e. Verify that the unit controller allows manual initiation of each operating mode so that the operation of cooling systems, economizers, fans, and heating systems can be independently tested and verified. (i 1 2 i 5) CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA AUTOMATIC FAULT DETECTION AND DIAGNOSTICS FOR AIR HANDLING UNITS AND ZONE TERMINAL UNITS ACCEPTANCE CEC-NRCA-MCH-13-A (Revised 01/20) CALIFORNIA ENERGY COMMISSION 4Z CERTIFICATE OF ACCEPTANCE NRCA-MCH-13-A Automatic Fault Detection and Diagnostics (FDD) for Air Handling Units and Zone Terminal Units Acceptance (Page 2 of 6) Project Name: La Quinta Center -Shell Enforcement Agency: City Permit Number: BCOM2024-0011 Project Address: 78-730 Highway 111 City: La Quinta Zip Code: 92253 System Name or Identification/Tag: RTU System Location or Area Served: Retail A. Construction Inspection Building: Floor: Room/Area/Zone: Control/Systems: 1 1 Retail RTU Mechanical Verify that the faults are reported in one of the following ways: • Reported to an Energy Management Control System regularly monitored by facility personnel. • Annunciated locally on one or more zone thermostats, or a device within five (5) feet of zone thermostat(s), clearly visible, at eye level, and meeting the following requirements: o On the thermostat, device, or an adjacent written sign, display instructions to contact appropriate ❑✓ f. o building personnel or an HVAC technician; and o In buildings with multiple tenants, the annunciation shall either be within property management offices or in a common space accessible by the property or building manager. • Reported to a fault management application which automatically provides notification of the fault to remote HVAC service provider. (§120.2 i 6) Construction Inspection Compliance Result: e) Complies ® Does NOT Comply CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA AUTOMATIC FAULT DETECTION AND DIAGNOSTICS FOR AIR HANDLING UNITS AND ZONE TERMINAL UNITS ACCEPTANCE CEC-NRCA-MCH-13-A (Revised 01/20) CALIFORNIA ENERGY COMMISSION 4Z CERTIFICATE OF ACCEPTANCE NRCA-MCH-13-A Automatic Fault Detection and Diagnostics (FDD) for Air Handling Units and Zone Terminal Units Acceptance (Page 3 of 6) Project Name: La Qulnta Center —Shell Enforcement Agency: City Permit Number: BCOM2024-0011 Project Address: 78-730 Highway 111 City: La Quinta Zip Code: 92253 System Name or Identification/Tag: RTU System Location or Area Served: Retail B1. Functional Testing for Air Handling Unit Economizers Building: Floor: Room/Area/Zone: Control/Systems: 1 1 Retail RTU Mechanical Steps Perform the following test for each AHU with FDD controls. (§120.2(i)7) Results 1 If applicable, bypass alarm delays to ensure that faults generate alarms immediately. (NA7.5.12.2(a) Step1) 2 Sensor Failure (NA7.5.12.2(b)) a' Disconnect local supply air temperature sensor from unit controller and verify that the FDD system reports a fault. P/F (NA7.5.12.2(b) Step 1, Step 2) b' Connect SAT sensor to the unit controller and verify that FDD indicates normal system operation and clears all faults P F O � and alarms. (NA7.5.12.2(b) Step 3, Step 4) C. IF the outside air temperature sensor (OAT) is local, THEN disconnect the local OAT from the unit controller and verify 0 P/F that the FDD system reports a fault. (NA7.5.12.2(b) Step 5, Step 6) d IF Step 2c performed, THEN connect the local OAT sensor to the unit controller and verify that FDD indicates normal © P/F Q system operation and clear all faults and alarms. (NA7.5.12.2(b) Step 7, Step 8) 3 Inappropriate economizing (NA7.5.12.2(c)) Override the operating state to occupied heating mode by overriding zone thermostat(s) to create a heating demand a' and overriding the OAT sensor below the low limit lockout. (NA7.5.12.2(c) Step 1) b' From the control system workstation, override the economizer dampers to 100 percent outdoor air and verify that a O P F fault is reported at the control workstation. (NA7.5.12.2(c) Step 2, Step 3) C. Remove the economizer damper override and verify that the control system indicates normal system operation. P/F (NA7.5.12.2(c) Step 4) d. Remove all overrides and clear all faults and alarms. (NA7.5.12.2(c) Step 5) Override the operating stat to economizer -only cooling mode by overriding zone thermostat(s) to create a cooling e' demand and overriding the OAT sensor so that free cooling is available. (NA7.5.12.2(c) Step 6) f From the control system workstation, override the economizer dampers to 0 percent outdoor air and verify that a P/F fault is reported at the control workstation. (NA7.5.12.2(c) Step 7. Step 8) Remove the economizer damper override and verify that the control system indicates normal system operation. 9. Remove all overrides and clear all faults and alarms. (NA7.5.12.2(c) Step 9, Step 10) 4 IF Step 1 performed, THEN reinstate alarm delays. (NA7.5.12.2(d) Step 1) B1 Functional Testing Compliance Results: E) Complies © Does NOT Comply CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA AUTOMATIC FAULT DETECTION AND DIAGNOSTICS FOR AIR HANDLING UNITS AND ZONE TERMINAL UNITS ACCEPTANCE CEC-NRCA-MCH-13-A (Revised 01/20) CALIFORNIA ENERGY COMMISSION 4Z CERTIFICATE OF ACCEPTANCE NRCA-MCH-13-A Automatic Fault Detection and Diagnostics (FDD) for Air Handling Units and Zone Terminal Units Acceptance (Page 4 of 6) Project Name: La Quinta Center -Shell Enforcement Agency: City Permit Number: ecoM2024-0011 Project Address. 78-730 Highway 111 City: La Quinta Zip Code. 92253 System Name or Identification/Tag: RTU System Location or Area Served: Retail 62. Functional Testing for Air Handling Unit Valves Building: Floor: Room/Area/Zone: Control/Systems: 1 1 Retail RTU Mechanical Steps Perform the following test for each Value on each AHU with FDD controls. (§120.2(i)7) Results 1 If applicable, bypass alarm delays to ensure that faults generate alarms immediately. (NA7.5.12.3(a) Step1) 2 Valve/actuator fault: (NA7.5.12.3(b)) Cooling Demand: Override the operating state to occupied cooling mode by overriding zone thermostat(s) to create a a. cooling demand and overriding the OAT sensor to 902F. (NA7.5.12.3(b) Step 1) b. From the control system workstation, override the heating coil valves to the full open position (100% heating mode). (NA7.5.12.3(b) Step 2) c. Verify flow through the valve by differential temperature or differential pressure method. (NA7.5.12.3(b) Step 3) Q P/F Q d. Verify that a fault is reported at the control workstation. (NA7.5.12.3(b) Step 4) Q P/F Q e Remove the heating coil valve override and verify that the control system indicates normal system operation. P/F Q (NA7.5.12.3(b) Step 5) f. Remove all overrides and clear all faults and alarms. (NA7.5.12.3(b) Step 6) Heating Demand: Override the operating state to occupied heating mode by overriding zone thermostat(s) to create a g heating demand and overriding the OAT sensor to 40°F. (NA7.5.12.3(b) Step 7) h From the control system workstation, override the cooling coil valve to the full open position (100% cooling mode). (NA7.5.12.3(b) Step 8) i. Verify flow through the valve by differential temperature or differential pressure method. (NA7.5.12.3(b) Step 9) P/F Q ). Verify that a fault is reported at the control workstation. (NA7.5.12.3(b) Step 10) P/F k. Remove the cooling coil valve override and verify that the control system indicates normal system operation. P/F (NA7.5.12.3(b) Step 11) I. Remove all overrides and clear all faults and alarms. (NA7.5.12.3(b) Step 12) 3 IF Step 1 performed, THEN reinstate alarm delays. (NA7.5.12.3(c) Step 1) B2 Functional Testing Compliance Results: E) Complies ® Does Not Comply CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA AUTOMATIC FAULT DETECTION AND DIAGNOSTICS FOR AIR HANDLING UNITS AND ZONE TERMINAL UNITS ACCEPTANCE CEC-NRCA-MCH-13-A (Revised 01/20) CALIFORNIA ENERGY COMMISSION 4Z CERTIFICATE OF ACCEPTANCE NRCA-MCH-13-A Automatic Fault Detection and Diagnostics (FDD) for Air Handling Units and Zone Terminal Units Acceptance (Page 5 of 6) Project Name: La Quinta Center -Shell Enforcement Agency: City Permit Number: ecoM2024-0011 Project Address. 78-730 Highway 111 City: La Quinta Zip Code. 92253 System Name or Identification/Tag: RTU System Location or Area Served: Retail B3. Functional Testing for Zone Terminal Units Building: Floor: Room/Area/Zone: Control/Systems: 1 1 Retail RTU Mechanical Steps Test one of each type of terminal unit (VAV box) in the project. Results A minimum of 5 percent of all terminal boxes (all types together) must be tested. (§120.2(i)7) 1 Sensor drift/failure (NA7.5.12.4(a)) a. Disconnect the tubing to the differential pressure sensor of the VAV box. (NA7.5.12.4(a) Step 1) b. Verify that control system detects and reports the fault. (NA7.5.12.4(a) Step 2) P/F 0 c. Reconnect the sensor and verify proper sensor operation. (NA7.5.12.4(a) Step 3) d. Verify that the control system does not report a fault. (NA7.5.12.4(a) Step 4) P/F 2 Damper/actuator fault (NA7.5.12.4(b)) Damper stuck open: Command the damper to be fully open (room temperature above setpoint). (NA7.5.12.4(b)1 Step a. 1) b. Disconnect the actuator to the damper. (NA7.5.12.4(b)1 Step 2) C. Adjust the cooling setpoint so that the room temperature is below the cooling setpoint to command the damper to Q P/F O the minimum position. Verify that the control system reports a fault. (NA7.5.12.4(b)1 Step 3) d. Reconnect the actuator and restore to normal operation. (NA7.5.12.4(b)1 Step 4) e. Damper stuck closed: Set the damper to the minimum position. (NA7.5.12.4(b)2 Step 1) f. Disconnect the actuator to the damper. (NA7.5.12.4(b)2 Step 2) Set the cooling setpoint below the room temperature to simulate a call for cooling. Verify that the control system P/F / g reports a fault. (NA7.5.12.4(b)2 Step 3) h. Reconnect the actuator and restore to normal operation. (NA7.5.12.4(b)2 Step 3) 3 Valve/actuator fault (For systems with hydronic reheat) (NA7.5.12A c)) a. Command the reheat coil valve to (full) open. (NA7.5.12.4(c) Step 1) Disconnect power to the actuator. Set the heating setpoint temperature to be lower than the current space b. temperature, to command the valve closed. Verify that the fault is reported at the control workstation. Q P/F Q (NA7.5.12.4(c) Step 2) c. Reconnect the actuator and restore normal operation. (NA7.5.12.4(c) Step 3) 4 Feedback loop tuning fault (unstable airflow) (NA7.5.12A d)) a. Set the integral coefficient of the box controller to a value 50 times the current value. (NA7.5.12.4(d) Step 1) b The damper cycles continuously and airflow is unstable. Verify that the control system detects and reports the fault. O P/F O (NA7.5.12.4(d) Step 2) Reset the integral coefficient of the controller to the original value to restore normal operation. (NA7.5.12.4(d) Step C. 3) 5 Disconnected inlet duct: From the control system workstation, commands the damper to full closed, then disconnect P (j) /F O power to the actuator and verify that a fault is reported at the control workstation. (NA7.5.12.4(e) Step 1) 6 Discharge air temperature sensor: Adjust zone setpoints to drive the box from dead band to full heating. (NA7.5.12.4(f) Step 1) a Verify that in heating, the supply air temperature resets up to the maximum setpoint while the airflow is maintained O P/F O at the dead band flow rate. (NA7.5.12.4(f) Step 2) b Verify that after the supply air temperature is reset up to the maximum setpoint, the airflow rate then increases up to O P/F O the heating maximum flow rate in order to meet the heating load. (NA7.5.12.4(f) Step 3) 7 Remove all overrides, clear all faults and alarms, and return the system to normal operation. B3 Functional Testing Compliance Results: O Complies Q Does Not Comply CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA AUTOMATIC FAULT DETECTION AND DIAGNOSTICS FOR AIR HANDLING UNITS AND ZONE TERMINAL UNITS ACCEPTANCE CEC-NRCA-MCH-13-A (Revised 01/20) CALIFORNIA ENERGY COMMISSION 4Z CERTIFICATE OF ACCEPTANCE NRCA-MCH-13-A Automatic Fault Detection and Diagnostics (FDD) for Air Handling Units and Zone Terminal Units Acceptance (Page 6 of 6) Project Name: La Quinta Center -Shell Enforcement Agency: City Permit Number: ecoM2024-0011 Project Address. 78-730 Highway 111 City: La Quinta Zip Code. 92253 System Name or Identification/Tag: RTU System Location or Area Served: Retail DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. k Documentation Author Name: David Korneff Documentation Author Signature: It Documentation Author Company Name: Advanced Compliance Date Signed:9/18/24 Address :PO Box 5755 ATT Certification Identification (If applicable): City/State/Zip:Whittier, CA. 90607 Phone:5622545250 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. 1 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 Nonresidential Appendix NA7. 4. 1 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: Field Technician Signature: Field Technician Company Name: Position with Company (Title): Address: ATT Certification Identification (if applicable): City/State/Zip: Phone: Date Signed: 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 my 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 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. 1 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. 1 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 Person Name:Shelly Responsible Acceptance Person Signature: Responsible Acceptance Person Company Name: Position with Company (Title):PrO :Project Manager g Gray1 Address:2070 N. Tustin Ave CSLB License:775947 city/state/Zip:Santa Ana, CA. 92705 Phone:7144911317 Date Signed: CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA FENESTRATION ACCEPTANCE CEC-NRCA-ENV-02-F (Revised 01/20) CALIFORNIA ENERGY COMMISSION is CERTIFICATE OF ACCEPTANCE NRCA-ENV-02-F Fenestration Acceptance (Page 1 of 2) Project Name: La Qulnta Center -Shell Enforcement Agency: City Permit Number: BCOM2024-0 Project Address: 78_730 Highway 111 city. La Quinta Zip Code: 92253 Note: The Enforcement Agency may optionally verify any Fenestration being installed for authenticity by accessing http://www.nfrc.org/CMA/default.aspx for NFRC CMA Certificate Labels or NFRC Certificate Labels http://search.nfrc.org/search/searchDefault.aspx See Reference Nonresidential Appendix NA7 for additional information. A. BUILDING INFORMATION BUILDING TYPE: ❑✓ Low-rise Nonresidential ❑ Low-rise Schools ❑ High Rise Residential ❑ Hotel/Motel Guest Room PHASE OF FV_1 New Building Construction ❑Addition ❑Alteration CONSTRUCTION: TYPE OF LABEL ❑ Rated NFRC Component Modeling Approach ❑✓ NRCC-ENV-E - for Nonrated ❑ NRCC-ENV-E - for Nonrated CERTIFICATE: (CMA) Label Certificate or NFRC Certified Label Fenestration Values < 200 ftZ Fenestration Values >_ 200 ftz TYPE OF INSTALLED ❑✓ Vertical ❑ Tubular Daylighting ❑Skylight ❑Dynamic Glazing []Window Film ❑Block Glass FENESTRATION: Fenestration Device (TDD) B. STATEMENT OF ACCEPTANCE This Certificate of Acceptance summarizes the results of the Acceptance test as specified in the Reference Nonresidential Appendix, NA7.4. Additional related references are in Sections §10-103(a)4, §10-111, §110.6(a)5 of the Energy Standards. SUMMARY OF FENESTRATION VERIFICATION AND INSPECTION BY RESPONSIBLE PARTY Individuals who perform the field testing and verification work, and provide the information required for completion of the Certificate of Acceptance documentation are not required to be licensed professionals. However, the person who signs the Certificate of Acceptance document to certify compliance with the acceptance requirements shall be licensed as specified in Standards Section 10-103(a)4 and NA7.3.1. The Responsible Person or Party shall verify the thermal performance (U factor, SHGC and VT) of each specified fenestration product being installed matches the NFRC Label Certificate, the CEC energy compliance documentation and building plans. For NFRC Rated Product (If more than 8 fenestration products use additional sheets) 01 02 03 04 If Product is rated by NFRC NFRC Label NFRC Label NFRC Label NFRC Label then enter the ID # in each Certificate ID # Certificate ID # Certificate ID # Certificate ID # U-1.25 SHGC-.80 VT-.53 column. This includes any of 05 06 07 08 the types of installed NFRC Label NFRC Label NFRC Label NFRC Label fenestration listed above. Certificate ID # Certificate ID # Certificate ID # Certificate ID # For Nonrated Fenestration Attach a Copy of the NRCC-ENV-E For All Fenestration Verify and Cross Reference: 01 02 03 04 If receipts or orders are available and it identifies Delivery Receipt(s) Elthe ❑ Receipt(s) El Delivery Receipt(s) Delivery Receipt(s) NFRC ID# then cross ❑ Purchase Order ❑ Purchase Order ❑ Purchase Order ❑ Purchase Order reference against the NFRC ❑ Detailed Receipt ❑ Detailed Receipt ❑ Detailed Receipt ❑ Detailed Receipt Label Certificate to match ID#s, or Cross reference the efficiencies listed on the NFRC Label Certificate of ❑ Cross Reference and ❑ Cross Reference and ❑ Cross Reference and ❑ Cross Reference and NRCC-ENV-E - matches the Matches Building Plans Matches Building Plans Matches Building Plans Matches Building Plans building plans window schedule of efficiencies. CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA FENESTRATION ACCEPTANCE CEC-NRCA-ENV-02-F (Revised 01/20) CALIFORNIA ENERGY COMMISSION is CERTIFICATE OF ACCEPTANCE NRCA-ENV-02-F Fenestration Acceptance (Page 2 of 2) Project Name: La Qulnta Center -Shell Enforcement Agency: City l Permit Number: BCOM2024-0 Project Address: 78-730 Highway 111 city. La Quinta Zip Code: 92253 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: David Korneff Documentation Author Signature: Documentation Author Company Name:AdVanCed Compliance Date Signed: Address: PO BOX 5755 CEA/HERS/ATT Certification Identification (If applicable): city/state/zip:Whittier Ca. 90607 Phone:562-254-5250 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. 1 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 Nonresidential Appendix NA7. 4. 1 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: David Korneff Field Technician Signature: Q Field Technician Company Name Advanced Compliance Position with Company (Title ):Owner Address: PO BOX 5755 CEA/HERS/ATT Certification Identification (If applicable): city/state/zi'Whittier, CA. 90607 Phone:562-254-5250 Date Signed: 9/18/24 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 my 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 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. 1 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. 1 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 Person Name: David Korneff Responsible Acceptance Person Signature: Q Responsible Acceptance Person Company Name Advanced Compliance Position with Company (Title):Owner Address: PO Box 5755 CSLB License:967828 city/state/Zip:Whlttler, CA. 90607 Phone:562-254-5250 Date Signed:9/18/24 CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A (Revised 01/20) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 1 of 3) Project Name: La QUlnta Center ' Shell Enforcement Agency: City Permit Number: BC OM2024-0011 Project Address: 78-730 Highway 111 City: La Quinta Zip Code: 92253 System Name or Identification/Tag: HP 1-2 System Location or Area Served: Retail Compliance Results: Enforcement Agency Use:Initial/Date Complies () Does NOT Comply Verify measured outside airflow sensor reading is within 10% of the total required outside airflow. Required for all newly installed HVAC units. Reference NRCC-MCH-E. Intent: Submit one Certificate of Acceptance for each system that must demonstrate compliance. NRCA-MCH-02-A can be performed in conjunction with NRCA-MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. A. Construction Inspection Building: 1 Floor: 1 Room/Area/Zone: Retail L+ Control/System Air Sy stem Prior to Functional Testing, verify and document all of the following 1. Required Documentation (all must be checked). R1 a. I NRCC-MCH-E as approved by the authority having jurisdiction. (§10-103(a)2A) 2. System type —Select either Constant Air Volume (CAV) or Variable Air Volume (VAV) below: a. VAV only: i. I Outside airflow is either factory calibrated or field calibrated (check one of the following). E) A factory calibrated. (NA 7.5.1.1.1 (a)) ® B field calibrated. (NA 7.5.1.1.1(b)) ii. Damper Control (check all of the following): ❑ A Dynamic damper control is being used to control outside air. (NA 7.5.1.1.1 (c)) ❑ B Dynamic damper is NOT a fixed minimum damper. (NA 7.5.1.1.1, §120.1(f12) iii. Identify the dynamic control being utilized to control outside air. (NA 7.5.1.1.1 (d)) ❑ Describe control: Q b. CAV only (check all of the following): ❑ i. System is designed to provide a fixed minimum outside air when the unit is on. (NA 7.5.1.2.1 (a)) ❑ ii. Minimum position is marked on the outside air damper. (NA 7.5.1.2.1 (d)) ❑ iii. The system has means of maintaining the minimum outdoor air damper position. (NA 7.5.1.2.1 (e)) 3. Method of delivering outside air to the heating or cooling unit (select one of the following): (NA 7.5.1.1.1 (e), NA 7.5.1.2.1 (b)) a. Return Plenum Ducted: Confirm that outside air is ducted to within 5 or 15 ft. (with direction and velocity requirement) of the heating or cooling unit as specified by NRCC-MCH-E, Section H. (§120.1(e)1 &2) ® b. Direct Unit Ducted. Return air plenum is NOT used to distribute outside air to the heating or cooling unit. (i.e. outside air is ducted directly to the unit, outside air is provided independent of the unit, or economizer). 4. Pre -occupancy Purge El a' Verify that the pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide ventilation as indicated on NRCC-MCH-E. (VAV - NA 7.5.1.1.1 (f) , CAV - NA 7.5.1.2.1 (c), §120.1(c1 2) Construction Inspection Compliance Results: G Complies © Does NOT Comply CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A (Revised 01/20) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 2 of 3) Project Name: La QUlnta Center ' Shell Enforcement Agency: City Permit Number: BC OM2024-0011 Project Address: 78-730 Highway 111 city: La Quinta Zip Code: 92253 System Name or Identification/Tag: HP 1-2 System Location or Area Served: Retail B. Functional Testing Building: Floor: Room/Area/Zone: control/System: 1 1 Retail Mechanical Air System Steps: CAV VAV 1 Disable demand control ventilation (if applicable) ❑ Check if NA ❑ ❑✓ Verify unit is not in economizer mode during test 2 (economizer disabled) ❑ Check if NA ❑ ❑✓ (VAV - NA 7.5.1.1.2 Step 1, CAV — NA 7.5.1.2.2 Step 1) 3 CAV and VAV testing at full supply airflow a Adjust supply air to achieve design airflow or maximum airflow at full cooling. ❑✓ (NA 7.5.1.1.2 Step 21 Measured outdoor airflow reading (cfm) b (VAV - NA 7.5.1.1.2 Step 2a, CAV — NA 7.5.1.2.2 Step 2a) cfm cfm Required outdoor airflow (cfm) c (refer to NRCC-MCH-E, Section J). cfm cfm Time for outside air damper to stabilize after full supply airflow is achieved (minutes): d (NA 7.5.1.1.2 Step 2b) min 4 VAV testing at reduced supply airflow a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the total design airflow. (NA 7.5.1.1.2 Step 3) b. Measured outdoor airflow reading (cfm). [NA 7.5.1.1.2 Step 3a] cfm Required outdoor airflow (cfm) c (refer to NRCC-MCH-E, Section J). cfm Time for outside air damper to stabilize after reduced supply airflow is achieved d. (minutes): (NA 7.5.1.1.2 Step 3b) min 5 Return to initial conditions (NA 7.5.1.1.2 Step 4) ❑ ❑✓ 6 Calculations Determine Percent Outside Air at full supply airflow (%OAFA) for Step 3. (§120.1(f L11 %OAFA = Measured outdoor airflow reading /Required outdoor airflow. a' 100 x (Step3b/Step3c) ° ° �° b. %OAFA is within 10% of design Outside Air. (90% <_ %OAFA <_ 110%) Q P / F Q Q P / F Q C. Outside air damper position stabilizes within 5 minutes. (Step 3d < 5 minutes) O P / F O VAV only: Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 4. (§120.1(fl21 %OARA = Measured outdoor airflow reading /Required outdoor airflow reading. a 100 x (Step4b/Step4c) % b. %OARA is within 10% of design Outside Air. (90% <_ %OARA <_ 110%) (D P / F C) C. Outside air damper position stabilizes within 5 minutes. (Step 4d < 5 minutes) P / F Functional Testing Compliance Results: Q Complies () Does NOT Comply CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A (Revised 01/20) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 3 of 3) Project Name: La QUlnta Center ' Shell Enforcement Agency: City Permit Number: BC OM2024-0011 Project Address: 78-730 Highway 111 City: La Quinta Zip Code: 92253 System Name or Identification/Tag: HP 1-2 System Location or Area Served: Retail DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: David KOrneff Documentation Author Signature: JC--J Documentation Author Company Name. Compliance Date Date Signed: 9/18/24 Address: PO BOX 5755 ATT Certification Identification (If applicable): city/state/Zip:Whittier, CA. 90607 Phone:5622545250 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. 1 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 Nonresidential Appendix NAT 4. 1 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: Field Technician Signature: Field Technician Company Name: Position with Company (Title): Address: ATT Certification Identification (if applicable): City/State/Zip: Phone: Date Signed: 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 my 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 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 NAT 4. 1 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. 1 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 Person Name: Kelly Stevens Responsible Acceptance Person Signature: Responsible Acceptance Person Company Name: Gray West Position with Company (Title): Project Manager Address:2070 N Tustin Ave CSLB License:775947 city/state/Zip:Santa Ana, CA. 92705 Phone 7144911317 Date Signed: CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA AIR ECONOMIZER CONTROLS ACCEPTANCE CEC-NRCA-MCH-05-A (Revised 01/16) CALIFORNIA ENERGY COMMISSION 4S CERTIFICATE OF ACCEPTANCE NRCA-MCH-05-A Air Economizer Controls Acceptance (Page 1 of 3) Project Name: La Quinta Center Shell Enforcement Agency: City Permit Number: BCOM2024-0011 Project Address: 78-730 Highway 111 City: La Quinta Zip Code: 92253 System Name or Identification/Tag: RTU System Location or Area Served: Retail Note: Submit one Certificate of Acceptance for each system that must Enforcement Agency Use: Checked by/Date demonstrate compliance. A. Construction Inspection 1. Supporting documentation needed to perform test includes: a. 2016 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.4 Air Economizer Controls Acceptance At -A - Glance). b. 2016 Building Energy Efficiency Standards. 2. Instrumentation to perform test includes: a. Hand-held temperature probe Calibration Date: 1/4/24 (must be within last year) b. Device capable of calculating enthalpy (i.e. psychrometer) Calibration Date: (must be within last year) c. 1.2 k Ohm Resistor ( when specified by the manufacturer) 3. Installation: (all of the following boxes should be checked) ❑✓ Economizer high limit shutoff control complies with Table 140.4-B found in the 2016 Building Energy Efficiency Standards Section 140.4(e)3. ❑✓ Economizer reliability features are present per 2016 Building Energy Efficiency Standards Section 140.4(e)4: a. 5-year manufacturer warranty of economizer assembly b. Provide a product specification sheet proving capability of at least 60,000 actuations c. Provide a product specification sheet proving compliance with AMCA Standard 500-D damper leakage at 10 cfm/ftz at 250 Pascals (1.0 in w.g). A product specification sheet showing the manufacturer's results after following the testing procedures of AMCA Standard 500-D. A product specification sheet showing the economizer outside air and return air damper leakage rates have been certified to the Energy Commission in accordance with Section 110. d. If the high limit setpoint is fixed dry-bulb or fixed enthalpy + fixed dry-bulb then the control shall have an adjustable setpoint. e. Outdoor air, return air, mixed air, and supply air sensors shall be calibrated as follows: i. Dry-bulb and wet -bulb temperatures accurate to ±2°F over the range of 40oF to 80oF ii. Enthalpy accurate to ±3 Btu/Ib over the range of 20 Btu/Ib to 36 Btu/Ib iii. Relative humidity (RH) accurate to ±5% over the range of 20% to 80% RH f. Check that the sensor performance curve(s) is provided by the factory and sensor output values measured during sensor calibration are plotted on the performance curve(s). g. Sensors used for high limit control shall be located to prevent false readings, including but not limited to being properly shielded from direct sunlight. �✓ Unitary systems with an economizer have control systems, including two -stage or electronic thermostats, that cycle compressors off when economizers can provide partial cooling. ❑✓ System has return fan speed control, relief dampers, or dedicated relief fans to prevent building over pressurization in full economizer mode. ❑✓ For systems with DDC controls, sensor used for economizer lockout has been factory or field calibrated. ❑✓ For systems with non-DDC controls, manufacturer's startup and testing procedures have been applied. CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA AIR ECONOMIZER CONTROLS ACCEPTANCE CEC-NRCA-MCH-05-A (Revised 01/16) CALIFORNIA ENERGY COMMISSION 4S CERTIFICATE OF ACCEPTANCE NRCA-MCH-05-A Air Economizer Controls Acceptance (Page 2 of 3) Project Name: La Quinta Center Shell Enforcement Agency: City Permit Number: BCOM2024-0011 Project Address: 78-730 Highway 111 City: La Quinta Zip Code: 92253 System Name or Identification/Tag: RTU System Location or Area Served: Retail B. Functional Testing 61 Results Is the economizer listed in the CEC equipment certification directory? (if yes, proceed to Section D.) Yes (F) No Step 1: Disable demand control ventilation systems (if applicable) Step 2: Enable the economizer and simulate a cooling demand large enough to drive the economizer fully open. Verify the following: a. Economizer damper modulates 100% open. Yes (F) No b. Return air damper modulates 100% closed. Yes O No C. For systems that meet the criteria of 2016 Building Energy Efficiency Standards Section 140.4(e)1, verify that the economizer remains 100% open with the use of mechanical cooling. This occurs when the cooling demand can no longer be met by the economizer alone. Yes No d• All applicable fans and dampers operate as intended to maintain building pressure. Yes Q No e• The unit heating is disabled (if applicable). Yes ® No ® NA Step 3: Disable the economizer and simulate a cooling demand. Verify the following: a. Economizer damper closes to its minimum position. Yes Q No Q b. All applicable fans and dampers operate as intended to maintain building pressure. Yes Q No C. The unit heating is disabled (if applicable). Yes ® No O NA Step 4: If the unit is equipped with heating, simulate a heating demand and enable the economizer. Verify the following: a. Economizer damper closes to its minimum position. Yes () No() NA(F) b. Return air damper opens. Yes Q No O NA Q Step 5: Turn off the unit and verify the following: a. Economizer damper closes completely. Yes Q No Q Step 6: System returned to initial operating conditions Yes Q No C. Testing Results PASS / FAIL Step 2: Simulate cooling load and enable the economizer (all answers are Y and/or NA). Step 3: Simulate cooling load and disable the economizer (all answers are Y and/or NA). O Step 4: Simulate heating demand and enable the economizer (all answers are Y and/or NA). Step 5: Turn off the unit (all answers are Y). 0 D. Evaluation ❑✓ PASS: All Construction Inspection responses are complete and all Testing Results responses are "Pass" or the economizer is listed in the CEC equipment cerification directory. Notes: CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA AIR ECONOMIZER CONTROLS ACCEPTANCE CEC-NRCA-MCH-05-A (Revised 01/16) CALIFORNIA ENERGY COMMISSION 4S CERTIFICATE OF ACCEPTANCE NRCA-MCH-05-A Air Economizer Controls Acceptance (Page 3 of 3) Project Name: La Quinta Center Shell Enforcement Agency: City Permit Number: BCOM2024-0011 Project Address: 78-730 Highway 111 City: La Quinta Zip Code: 92253 System Name or Identification/Tag: RTU System Location or Area Served: Retail DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: David Korneff Documentation Author Signature: Documentation Author Company Name: Advanced Compliance Date Signed: 9/18/24 Address: PO BOX 5755 ATT Certification Identification (If applicable): city/state/Zip:Whlttler, CA. 90607 Phone:5622545520 FIELD TECHNICIAN'S DECLARATION STATEMENT !J 1 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. 1 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 Nonresidential Appendix NA7. 4. 1 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: Field Technician Signature: Field Technician Company Name: Position with Company (Title): Address: ATT Certification Identification (if applicable): City/State/Zip: Phone: Date Signed: RESPONSIBLE PERSON'S DECLARATION STATEMENT U 1 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 my 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 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. 1 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. 1 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 Person Name: Kelly Responsible Acceptance Person Signature: Responsible Acceptance Person Company Name: Gray Const. Position with Company (Title): Project Manager Address: 2070 N. Tustin Ave CSLB License:775947 city/state/Zip:Santa Ana, CA. 92705 Phone7144911317 Date Signed: CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016