BMCH2018-0412D � QuiKs
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers'
and my License is In full force.and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C20 License No.: 920062 of the rk forwhich this permit is issued.
�� r .� I have and will maintain workers' compensation insurance, as required by
Date. Contractor: Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
OWNER -BUILDER DECLARATION Carrier: NORGUARD INSURANCE COMPANY Policy Number: TIWC986097
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Profession Code: Any shall not employ any person in any manner so as to become subject to the workers'
city or county that requiresa permit to construct, atter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its Issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the comply with tho pro isions.
Cant ractor's State License Law (Chapter 9 (commencing with Section 7000) of Dlvisian
3 of the Business and Professions Code) or that he or she is exempt therefrom and the Date] /0 Appii a t:
basis for the alleged exemption. Any viatation of Section 7031.5 by any applicant for a
permit subjects the applicant to a civil penalty of not mare than five hundred dollars WARNING: FAILURETO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL,
($5�)" AND SHALL SUBJECTAN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEYS FEES.
apply to an owner of property who builds or improves thereon, and who does the work
himselF or herself through his or her own employees, provided that the improvements APPLICANT ACKNOWLEDGEMENT
are not Intended or offered for sale, If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose
(_) I, as owner of the property, am exclusively contracting with licensed contractors request and far whose benefit work is performed under or pursuant to any permlt
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or
the Contractors' State License Law.). following Issuance of this permit,
(_) I am exempt under Sec. B.&P.C. for this reason 2. Any permit issued as a result of this application becomes null and void if work is
tot commenced within 180 days from date of issuance of such permit, or cessation of
vork for 180 days will subject permit to cancellation.
78 495 CALLE TAMPICO
VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011
DESIGN &DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/4/2018
Permit Type/Subtype:
MECHANICAL/
Owner:
Application Number:
BMCH2O18-0412
51370 LLC
Property Address:
51370 AVENIDA BERMUDAS
51370 AVENIDA BERMUDAS
APN:
770152011
LA QUINTA, CA 92253
Application Description
51370 LLC COMMERCIAL / (2) HVAC CHANGE OUTS
Property Zoning:
Application Valuation:
$30,000
Applicant:
Contractor:
IE INC
31225 LA BAYA
OCT O 2O1S
TIMO'S AIR CONDITIONING & HEATING INC
WESTLAKE VILLAGE, CA 91362
72232 CORPORATE WAY
I —I
CITY OF LAQUINTA
THOUSAND PALMS, CA 92276
DESIGN &DEVELOPMENT DEPARTMENT
(760)770-4357
Llc. No.: 920062
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name.
Lender's Address-
I certify that I have read this application and state that the above information is correct.
I 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 operty for inspection purposes.
Data: /0r 4 �� Signature (Applicant or Agent);��
Date: 10/4/2018
Application Number:
BMCH2O18-0412
Property Address:
51370 AVENIDA BERMUDAS
APN:
770152011
Application Description:
51370 LLC COMMERCIAL / (2) HVAC CHANGE OUTS
Property Zoning:
Application Valuation:
$30,000.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Owner:
51370 LLC
51370 AVENIDA BERMUDAS
LA QUINTA, CA 92253
Contractor:
TIMO'S AIR CONDITIONING & HEATING INC
72232 CORPORATE WAY
THOUSAND PALMS, CA 92276
(760)770-4357
' Llc. No.: 920062
----------------------------------------------- -n--;- ------------------------------------
Detail: HVAC CHANGE OUT - [3) 16SEER/ 80 AFUE SPLIT SYSTEMS CHANGEOUT LIKE FOR LIKE NO OTHER MODIFICATIONS. CARBON MONOXIDE ALARM(S) TO
BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. -
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$78.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$156.04
Total Paid for CHANGEOUT: $234.06
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83
Total Paid for PERMIT ISSUANCE: $98.83
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
STATE OF CALIFORNIA
MECHANICAL SYSTEMS
F116%
CEC-NRCC-MCH-01-E (Rev,sed 01/18) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E
Mechanical Systems Page 1 of 3
Project Name: 51370 Avenida Bermudas Date Prepared: October 2, 2018
A. MECHANICAL COMPLIANCE DOCUMENTS & WORKSHEETS (check box if worksheet is included)
For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, refer to the 2016 Nonresidential Manual
Note: The Enforcement Agency may require all forms to be incorporated onto the building plans.
YES
NO
Comp. Doc./Worksheet #
Title
C�
(1
NRCC-MCH-01-E (Part 1 of 3)
Certificate of Compliance, Declaration. Required on plans for all submittals.
(:
(�
NRCC-MCH-01-E (Part 2 of 3)
Certificate of Compliance, Required Acceptance Tests (MCH-02-A to 11-A). Required on plans for all submittals.
C�
G
NRCC-MCH-01-E (Part 3 of 3)
Certificate of Compliance, Required Acceptance Tests (MCH-12-A to 18-A). Required on plans where applicable.
C�
(�
NRCC-MCH-02-E (Part 1 of 2)
Mechanical Dry Equipment Summary is required for all submittals with Central Air Systems. It is optional on plans.
C'
t:
NRCC-MCH-02-E (Part 2 of 2)
Mechanical Wet Equipment Summary is required for all submittals with chilled water, hot water or condenser water
systems. It is optional on plans.
(•'
(:
NRCC-MCH-03-E
Mechanical Ventilation and Reheat is required for all submittals with multiple zone heating and cooling systems. It is
optional on plans.
(:
NRCC-MCH-07-E (Part 1 of 2)
Power Consumption of Fans. Required on plans where applicable
('
G
NRCC-MCH-07-E (Part 2 of 2)
Power Consumption of Fans, Declaration. Required on plans where applicable
B. MECHANICAL HVAC ACCEPTANCE FORMS (check box for required compliance documents)
Test Performed By:
Designer:
This compliance document is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for HVAC systems. The designer is required to check the applicable boxes
for all acceptance tests that apply and list all equipment that requires an acceptance test. All equipment of the same type that requires a test, list the equipment description and the number of
systems.
Installing Contractor:
The contractor who installed the equipment is responsible to either conduct the acceptance test themselves or have a qualified entity run the test for them. If more than one person has responsibility
for the acceptance testing, each person shall sign and submit the Certificate of Acceptance applicable to the portion of the construction or installation for which they are responsible.
Enforcement Agency:
Plancheck - The NRCC-MCH-01-E compliance document is not considered a completed document and is not to be accepted by the building department unless the correct boxes are checked.
Inspector - Before occupancy permit is granted all newly installed process systems must be tested to ensure proper operations.
Test Description
MCH-02-A
MCH-03-A
MCH-04-A
MCH-05-A
MCH-06-A
MCH-07-A
MCH-08-A
MCH-09-A
MCH-10-A
MCH-11-A
Demand
Hydronic
Air
Controlled
Supply
System
Automatic
Equipment Requiring Testing or
# of
Single Zone
Distribution
Economizer
Ventilation
Supply Fan
Valve
Water
Variable
Demand
Verification
Units
Outdoor Air
Unitary
Ducts
Controls
(DCV)
VAV
Leakage Test
Temp. Reset
Flow Control
Shed Control
3 ton condenser
1
❑✓
❑✓
✓❑ ❑✓ ❑
❑
❑
❑
❑
❑
5 ton condenser
2
❑✓
❑✓
❑✓ ❑✓ ❑
❑
❑
❑
❑
❑
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016
STATE OF CALIFORNIA
MECHANICAL SYSTEMS
:EC-NRCC-MCH-01-E (Revised 01116) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E
Mechanical Systems Page 2 of 3
P,Cgw Name' 51370 Avenida Bermudas Date Neaven- October 2, 2018
60,000 BTU furnace
1
17
❑✓
❑
❑
❑
❑
❑
❑
❑
100,000 BTU furnace
2
❑
❑✓
❑
❑
❑
❑
❑
❑
❑
Add Row
C. MECHANICAL HVAC ACCEPTANCE FORMS (check box for required compliance documents)
Test Performed By:
Designer:
This compliance document is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for HVAC systems. The designer is required to check the applicable boxes
for all acceptance tests that apply and list all equipment that requires an acceptance test. All equipment of the same type that requires a test, list the equipment description and the number of
systems.
installing Contractor:
The contractor who installed the equipment is responsible to either conduct the acceptance test themselves or have a qualified entity run the test for them. If more than one person has responsibility
for the acceptance testing, each person shall sign and submit the Certificate of Acceptance applicable to the portion of the construction or installation for which they are responsible.
Enforcement Agency:
Plancheck - The NRCC-MCH-01-E compliance document is not considered a completed document and is not to be accepted by the building department unless the correct boxes are checked.
Inspector - Before occupancy permit is granted all newly installed process systems must be tested to ensure proper operations.
Test Description MCH-12-A MCH-13-A MCH-14-A MCH-15-A MCH-16-A MCH-17-A MCH-18-A
Automatic Fault
Fault Detection Detection & Distributed Thermal Energy Supply Air Condenser
Equipment Requiring Testing or & Diagnostics Diagnostics for Energy Storage Storage (TES) Temperature Water Reset
Verification # of Units for DX Units Air & Zone I DX AC Systems Systems Reset Controls Controls ECMS
3 ton condenser 1 ❑ ❑ ❑ ❑ [ ❑ ❑
5 ton condenser 2 0 ❑ ❑ ❑ ❑ ❑ ❑
60,000 BTU furnace 1 ❑ ❑ ❑ ❑ ❑ ❑ ❑
100,000 BTU furnace 2 ❑ ❑ ❑ ❑ ❑ ❑ ❑
Add Row
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016
STATE OF CALIFORNIA
MECHANICAL SYSTEMS
CERTIFICATE OF COMPLIANCE
Mechanical Systems
Prajec: Name: 51370 Avenida Bermudas
October 2, 2018
0
N RCC-MCH-01-E
Page 3 of 3
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. DCCumentation Author signature: Digitally signed by Steven Schnierer
Documentation Author Name Steven Schnierer Steven Schnierer Date: 2018.10.0208:21:09-07'00'
Signature Date:10/2/18
CompanyYimo's A/C & Heating
CEA/ HERS CertiScatiun Identifltation jkFapplicahkey:
Address'72232 Corporate Way
Phnne,760-770-4357
Cril5tate/zipousand Palms, CA 92276
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 Compliance is true and correct.
ility for the building design or system design identified on this Certificate of Compliance (responsible
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsib
designer).
3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance
conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to the enforcement agency for approval'. with this building permit application.
5. I will ensure that a completed signed copy of this Certificate of Compliance shall be 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 Compliance is required to be included with the documentation the builder provides to the
building owner at occupancy. ReSponskhle Designer Signature: Digitally signed by Steven Schnierer
Responsible Designer Name: Steven Schnierer Steven Schnierer Date: 2018100208:21:24-07'00'
Date Signed:10/2/18
company 7imo's A/C & Heating
license:,20062
Address=72232 Corporate Way
Phone'
760 770-4357
city/State/zip:Thousand Palms, CA 92276
January 2016
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance
STATE OF CALIFORNIA
HVAC DRY & WET SYSTEM REQUIREMENTS
CEC-NRCC-MCH-02-E (Revised 01/16) CALIFORNIA ENERGY COMMISSION �
CERTIFICATE OF COMPLIANCE NRCC-MCH-02-E
HVAC Dry System Requirements (Page 1 of 3)
Project Name: Date 18 10 Prepared: 2
51370 Avenida Bermudas / /
A. Equipment Tags and System Description'- Dry Systems 3 ton & (2) 5ton Cond. 60K BTU Furnace 100,000 BTU Furnace
MANDATORY MEASURES T-24 Sections Reference to the Requirements in the Contract Documents2
Heating Equipment Efficiency3 110.1 or 110.2(a) 80% 80%
Cooling Equipment Efficiency3 110.1 or 110.2(a) 16
HVAC or Heat Pump Thermostats 110.2(b), 110.2(c) Standard Standard Standard
Furnace Standby Loss Control 110.2(d) N/A N/A N/A
Low Leakage AHUs 110.2(f) N/A N/A N/A
Ventilation 120.1(b) N/A N/A N/A
Demand Control Ventilations 120.1(c)4 N/A N/A N/A
Occupant Sensor Ventilation Contro16 120.1(c)5, 120.2(e)3 N/A N/A N/A
Shutoff and Reset Controls' 120.2(e) N/A N/A N/A
Outdoor Air and Exhaust Damper Control 120.2(f) Yes N/A N/A
Isolation Zones 120.2(g) N/A N/A N/A
Automatic Demand Shed Controls 120.2(h) N/A N/A N/A
Economizer FDD 120.2(i) Yes Yes Yes
Duct Insulation 120.4 Yes Yes Yes
PRESCRIPTIVE MEASURES
Equipment is sized in conformance with 140.4(a & b) Q Yes p No Q Yes p No Q Yes Q No
140.4(a&b)
Supply Fan Pressure Control 140.4(c) Yes Yes Yes
Simultaneous Heat/Cool$ 140.4(d) N/A N/A N/A
Economizer 140.4(e) Yes Yes Yes
Heat and Cool Air Supply Reset 140.4(f) N/A N/A N/A
Electric Resistance Heating9 140.4(g) N/A N/A N/A
Duct Leakage Sealing and Testing.10 140.4(I) Yes Yes Yes
Notes:
1. Provide equipment tags (e.g. AHU 1 to 10) and system description (e.g. Single Duct VAV reheat) as appropriate. Multiple units
with common requirements can be grouped together.
2. Provide references to plans (i.e. Drawing Sheet Numbers) and/or specifications (including Section name/number and relevant
paragraphs) where each requirement is specified. Enter "N/A" if the requirement is not applicable to this system.
3. The referenced plans and specifications must include all of the following information: equipment tag, equipment nominal
capacity, Title 24 minimum efficiency requirements, and actual rated equipment efficiencies. Where multiple efficiency
requirements are applicable (e.g. full- and part -load) include all. Where appliance standards apply (110.1), identify where
equipment is required to be listed per Title 201601 et seq.
4. Identify where the ventilation requirements are documented for each central HVAC system. Include references to both central
unit schedules and sequences of operation. If one or more spaces is naturally ventilated identify where this is documented in
the plans and specifications. Multiple zone central air systems must also provide a MCH-03-E compliance document.
5. If one or more spaces has demand controlled ventilation identify where it is specified including the sensor specifications and the
sequence of operation.
6. If one or more space has occupant sensor ventilation control identify where it is specified including the sensor specifications and
the sequence of operation
7. If the system is DDC identify the sequences for the system start/stop, optimal start, setback (if required) and setup (if required).
For all systems identify the specification for the thermostats and time clocks (if applicable).
8. Identify where the heating, cooling and deadband airflows are scheduled for this system. Include a reference to the
specification of the zone controls. Provide a MCH-03-E compliance document.
9. Enter N/A if there is no electric heating. If the system has electric heating indicate which exception to 140.4(g) applies.
10. If duct leakoge sealing and testing is required, a MCH-04-A compliance document must be submitted.
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance
January 2016
STATE OF CALIFORNIA
HVAC DRY & WET SYSTEM REQUIREMENTS
CEC-NRCC-MCH-02-E (Revised 01)16)
CERTIFICATE OF COMPLIANCE
HVAC Dry & Wet System Requirements
Project Name:51370 Avenida Bermudas
CALIFORNIA ENERGY COMMISSION 0
N RCC-MCH-02-E
(Page 2 of 3)
Date Prepared: 10/2/18
B. Equipment Tags and System Description'- Wet Systems
MANDATORY MEASURES
Heating Hot Water Equipment Efficiency3
Cooling Chilled and Condenser Water
Equipment Efficiency3
Open and Closed Circuit Cooling Towers
conductivity or flow -based controls
Open and Closed Circuit Cooling Towers
Maximum Achievable Cycles of
Concentration (LSI)6
Open and Closed Circuit Cooling Towers
Flow Meter with analog output
Open and Closed Circuit Cooling Towers
Overflow Alarm
Open and Closed Circuit Cooling Towers
Efficient Drift Eliminators
Pipe Insulation
PRESCRIPTIVE MEASURES
Cooling Tower Fan Controls
Cooling Tower Flow Controls
Centrifugal Fan Cooling Towers4
Air -Cooled Chiller Limitations
Variable Flow System Design
Chiller and Boiler Isolation
CHW and HHW Reset Controls
WLHP Isolation Valves
VSD on CHW, CW & WLHP Pumps>5HP
DP Sensor Location
T-24 Sections
Reference to the Requirements in the contract DocumentS2
110.1
110.1, 140.4(i)
110.2(e) 1
110.2(e) 2
110.2(e) 3
110.2(e) 4
I
110.2(e) 5
120.3
140.4(h)2, 140.4(h)5
O Yes O No
p Yes p No
Q Yes Q No
140.4(h)3
140.4(h)4
140.4(j)
140.4(k)
140.4(k)
140.4(k)
140.4(k)
140.4(k)
140.4(k)
Notes:
1. Provide equipment tags (e.g. CH 1 to 3) or system description (e.g. CHW loop) as appropriate. Multiple units with common
requirements can be grouped together.
2. Provide references to plans (i.e. Drawing Sheet Numbers) and/or specifications (including Section name/number and relevant
paragraphs) where each requirement is specified. Enter "N/A"if the requirement is not applicable to this system.
3. The referenced plans and specifications must include all of the following information: equipment tag, equipment nominal
capacity, Title 24 minimum efficiency requirements, and actual rated equipment efficiencies. Where multiple efficiency
requirements are applicable (e.g. full- and part -load) include all. For chillers operating at non-standard efficiencies provide
the Kadj values. For chillers also note whether the efficiencies are Path A or Path B.
4. Identify if cooling towers have propeller fans. If towers use centrifugal fans document which exception is used.
5. If air-cooled chillers are used, document which exceptions have been used to comply with 140.4(j) and the total installed design
capacity of the air-cooled chillers in the chilled water plant.
6. Identify the existence of a completed MCH-06-E when open or closed circuit cooling towers are specified to be installed,
otherwise enter 'NIA".
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance
January 2016
STATE OF CALIFORNIA
HVAC SYSTEM REQUIREMENTS
CEC-NRCC-MCH-02-E
CALIFORNIA ENERGY
CERTIFICATE OF COMPLIANCE NRCC-MCH-02-E
HVAC Wet System Requirements (Page 3 of 3)
Project Name: 18 10 Date Prepared: 2
51370 Avenida Bermudas 10/2/18
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: Steven SChnlerer
Documentation Author Signature: Steven SCi1 C11erer Digitally signed by 51won 5chmerer
Date: 2018.1000t130 Sa 0700
Company: Timo's A/C & Heating
Signature Date: 10/2/18
Address:72232 Corporate Way
CEA/ HERS Certification Identification (if applicable):
City/State/Zip: Thousand Palms, CA 92276 Phone:760-770-4357
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 Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design
identified on this Certificate of Compliance (responsible designer).
3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system
design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of
Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information
provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building permit application.
5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be 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 Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: Steven SChnlerer Responsible Designer Signature: Steven SChtllefel Digitally signed W Stevan Schtumer
Date: 2018.10.0208:311s 07'00'
Company: Timo's A/C & Heating Date Signed: 10/2/18
Address: 72232 Corporate Way
License: 920062
City/State/zip: Thousand Palms, CA 92276
Phone:760-770-4357
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance
January 2016
ta Qua
— GEM n01/ DF_5F W[' —
Project Address: 51370 Avenida Bermudas
APN #:
Applicant Name: Steven Schnierer
Address: 31225 La Baya Drive Suite 213
City, ST, Zip: Westlake Village, CA 91362
Telephone: 818-7 3 5-78 76
Email:
swschnierer@roadrunner.com
PERMIT # Vv6
PLAN LOCATION:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
Replace 3 ton / 60,000 BTU complete HVAC system
Replace 5 ton / 100,000 BTUcompleteHVAC system
—G tfii� �. [fie:— �c1rA- �_•�
10
Valuation of Projects 30.020.00
Contractor Name: Timo's Air Conditioning New SFD Construction:
Address: 72232 Corporate Way Conditioned Space SF
City, St, Zip Thousand Palms, CA 92276 Garage SF
Telephone: 760-770-4357 Patio/Porch SF
Email: Fire Sprinklers SF
State Lic:920062 City Bus Lic:
Arch/Eng Name: Construction Type: Occupancy:
Address: Grading:
City, St, Zip
Telephone: �
p Bedrooms: Stories: #Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: Justin Steubs WjLJ 0Sk,)JG '-" New Commercial / Tenant Improvements:
Address: 51370 Avenida Bermudas Total Building SF
City, ST, Zip La Quinta, CA 92253 Construction Type: Occupancy:
Telephone: 760-
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
# — Submittal Rec'd Rec'd
Plan Sets
Structural Cates
Truss Cates
Title 24 Cates
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License