BMCH2019-0174T4ht
D 44/ Qum& VOICE (760) 777-7125
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/15/2019
Permit Type/Subtype: MECHANICAL/ Owner:
Application Number: BMCH2O19-0174 IOTA GRIFFIN
Property Address: 81181 MERV GRIFFIN WY 4675 MACARTHUR CT NO 1550
APN: 767780085 NEWPORT BEACH, CA 0
Application Description: GRIFFIN / HEAT PUMP AND AIR HANDLER
Property Zoning:
Application Valuation: $6,837.00 D
❑
Applicant: Contractor:
IE INC. MAY 15 2019U72232
DTIMO'S AIR CONDITIONING & HEATING INC
32115 LA BAYA CORPORATE WAY
WESTLAKE VILLAGE, CA 91362 CITY 0F !A QEIINTA THOUSAND PALMS, CA 92276
DESIGN & DEMOPMENTDEPARTMEN1760)770-4357
Llc. No.: 920062
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
{commencing with Section 7000) of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: C20 License No.: 920062
Date: t Contractor:�a—
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 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 Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he or she is exempt therefrom and the basis for the
alleged exemption. 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).:
(_) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
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
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 he
or she did not build or improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State
License Law does not apply to an owner of property who builds or improves thereon,
and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors' State License Law.).
(_) I am exempt under Sec. . B.&P.C. for this reason
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 Na
Lender's
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of [work for which this permit is issued.
7 1 have and w1lI 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. My workers' compensation insurance carrier and policy number are:
Carrier: NORGLIARD INSURANCE COMP
ANY Policy Number: TIWC98¢097
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 7j ) 9 Applicant:�"��
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.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is 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 ofthis permit.
2. Any permit issued as a result of this application becomes null and void if work is not
commenced within 180 days from date of issuance of such permit, or cessation of work
for 180 days will subject permit to cancellation.
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 property for inspection purposes.
Date: j5 ) Signature (Applicant or Agent):
Date: 5/15/2019
Application Number: BMCH2019-0174 Owner:
Property Address: 81181 MERV GRIFFIN WY IOTA GRIFFIN
APN: 767780085 4675 MACARTHUR CT NO 1550
Application Description: GRIFFIN / HEAT PUMP AND AIR HANDLER NEWPORT BEACH, CA 0
Property Zoning:
Application Valuation: $6,837.00
Applicant: Contractor:
IE INC. TIMO'S AIR CONDITIONING & HEATING INC
32115 LA BAYA 72232 CORPORATE WAY
WESTLAKE VILLAGE, CA 91362 -• "-' THOUSAND PALMS, CA 92276
(760)770-4357
LIc. No.:920062
--------- --- --------- ------ -- - - -- �-•--i{:�1-- ----------------------------------------
Detail: 2 -TON GROUND MOUNTED SPLIT SYSTEM AND HEAT PUMP CHANGE OUT - 14•SEER/80AFUE. CARBON MONOXIDE ALARM(S) TO BE INSTALLED
PRIOR TO FINAL INSPECTION. PER 2016 CALIFORNIA BUILDI�9,,',q,OpE57
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT- OTHER EQUIPMENT
101-0000-42402
0
$40.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT- OTHER EQUIPMENT PC
101-0000-42600
0
$40.02
Total Paid for CHANGEOUT: $80.04
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.40
Total Paid for PERMIT ISSUANCE: $101.40
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS: $187.44
PERMIT # 1�t*tc.44 2. .( 1 — ol 71
PLAN LOCATION:
Project Address: 81181 Mery Griffin Way
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Replace 2 ton heat pump and air handler - hNc� um
Applicant Name: Steven Schnierer
Address: 31225 La Baya Drive Suite 213
City, ST, Zip: Westlake Village, CA 91362
Telephone: 818-735-7876
Email: swschnierer@road runner corn
Valuation of Project $ 6,837 00
Contractor Name: Timo's A/C & Heating
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:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: Griffin Ranch
New Commercial / Tenant Improvements:
Address: 81181 Mery Griffin Way
Total Building —SF
City, ST, Zip La Quinta, CA 92253
Construction Type: Occupancy:
Telephone: 626-260-1022
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
Req'd
Plan Sets
Structural Calcs
Truss Cates
Title 24 Calcs
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
STATE OF CALIFORNIA
HVAC r' RY & WET SYSTEM REQUIREMENTS
CEC-NRCC-.ihGH-02-E (Revised 01/16) CAI IFORNIA FNFRrY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-MCH-02-E
HVAC Dry System Requirements (Page 1 of 3)
Project Name: 81181 Mery Griffin Way Date Prepared: May 8, 2019
A. Equipment Tags and System Description'- Dry Systems I 2 ton heat pump 124,000 BTU air handle
MANDATORY MEASURES
Heating Equipment Efficiency3
Cooling Equipment Efficiency3
HVAC or Heat Pump Thermostats
Furnace Standby Loss Control
Low Leakage AHUs
Ventilation'
Demand Control Ventilations
Occupant Sensor Ventilation Contro16
Shutoff and Reset Controls'
Outdoor Air and Exhaust Damper Control
Isolation Zones
Automatic Demand Shed Controls
Economizer FDD
Duct Insulation
PRESCRIPTIVE MEASURES
Equipment is sized in conformance with
140.4(a&b)
Supply Fan Pressure Control
Simultaneous Heat/Cool$
Economizer
Heat and Cool Air Supply Reset
Electric Resistance Heating9
Duct Leakage Sealing and Testing.10
T-24 Sections
Reference to the Requirements in the Contract Documentsz
110.1 or 110.2(a)
80%
110.1 or 110.2(a)
14
110.2(b), 110.2(c)
Standard
Standard
110.2(d)
N/A
N/A
110.2(f)
N/A
N/A
120.1(b)
N/A
N/A
120.1(c)4
N/A
N/A
120.1(c)5, 120.2(e)3
N/A
N/A
120.2(e)
N/A
N/A
120.2(f)
Yes
N/A
120.2(g)
N/A
N/A
120.2(h)
N/A
N/A
120.2(i)
Yes
Yes
120.4
Yes
Yes
140.4(a & b)
Q Yes Q No
Q. Yes O No
® Yes C) No
140.4(c)
Yes
Yes
140.4(d)
N/A
N/A
140.4(e)
Yes
Yes
140.4(f)
N/A
N/A
140.4(g)
N/A
N/A
140.4(I)
Yes
Yes
Notes:
1. Provide equipment tags (e.g. AHU 1 to 10) and system description (e.g. Single Duct VA 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 leakage 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)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE
HVAC Dry & Wet System Requirements
Project Name: 81181 Mery Griffin Way
NRCC-MCH-02-E
(Page 2 of 3)
Date Prepared: May 8, 2019
B. Equipment Tags and System Descriptions- 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 r
T-24 Sections
Reference to the Requirements in the Contract Documents1
110.1
110.1, 140.4(i)
110.2(e) 1
110.2(e) 2
110.2(e) 3
110.2(e) 4
110.2(e) 5
120.3
140.4(h)2, 140.4(h)5
O Yes o No
O Yes O No
O Yes O 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)
140.4ikl
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 Mevfwd 01116)
CERTIFICATE OF COMPLIANCE
HVAC Wet System Requirements
Project Name:81181 Mery Griffin Way
CALIFORNIA ENERGY COMMISSION
NRCC-MCH-02-E
(Page 3 of 3)
Date Prepared: May 8, 2019
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Steven Schnierer
Documentation Author Signature: Digitally srpned ny Si emn 90,N or
Steven Schnierer Dale: 2019.05 06137 4348 •0700'
Company:
Timo's A/C &Heating
Signature Date:
May 8, 2019
Address:72232 Corporate Way
CW HERS Certification Identification (if applkahfe):
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 Schnierer
Responsible Designer Signature: Steven Schnierer Digitally slpncdbrstevenSanlerer
Date: 2019.115.00 p144;07-pTN'
Company: Timo's A/C & Heating
Date Signed: May 8, 2019
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
STATE OF CALIFORNIA
MECHANICAL SYSTEMS
CEC-NRCC-MCH-01-E (Revised 01116)
CERTIFICATE OF COMPLIANCE
Mechanical Systems
Project Name: 81181 Mery Griffin Way
CAI IFr1RNIA FNFRPY r0UKA1sc1nni 0
Date Pmpared7 May 8, 2019
N RCC-MCH-01-E
Page 1 of 3
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
C0
C
NRCC-MCH-01-E (Part 1 of 3)
Certificate of Compliance, Declaration. Required on plans for all submittals.
(0
(�
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
(:
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.
G
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
G
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.
Mechanical Ventilation and Reheat is required for all submittals with multiple zone heating and cooling systems. It is
C
G
NRCC-MCH-03-E
optional on plans.
Power Consumption of Fans. Required on plans where applicable
C
NRCC-MCH-07-E (Part 1 of 2)
C
(:
NRCC-MCH-07-E (Part 2 of 2) JPower
Consumption of Fans, Declaration. Required on plans where applicable
B. MECHANICAL HVAC ACCEPTANCE FORMS (check box for required compliance documents)
Test Performed By: 81181 Mery Griffin Way
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
2 ton heat pump 1 0 Q ❑✓ ❑✓
24,000 BTU air handler 1 ❑✓ Q ❑ ❑ ❑ ❑ ❑
Add Row Remove last)
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016
STATE OF CALIFORNIA
MECHANICAL SYSTEMS
CEC-NRCC-MCH-01-E {Revisea 01/161
CERTIFICATE OF COMPLIANCE
Mechanical Systems
Pralrrn mane: 81181 Mery Griffin Way
ENERGY COMMISSION
N RCC-MCH-01-E
Page 2 of 3
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 DX AC Systems Systems Reset Controls Controls ECMS
2 ton heat pump 1
24,000 BTU air handler 1 ❑ El
El
Add Row I Remove last
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance
STATE OF CALIFORNIA
MECHANICAL SYSTEMS
�C)rt
GEC-NRCC-MCH-01-E (Revised 01116) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E
Mechanical Systems Page 3 of 3
Project Name: 81181 Mery Griffin Way Date Prepared: May 8, 2019
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
eSteven 5chnierer
Documentation Author Signature: Digitally
I.
Schnierer Digitally signed by Steven 5chnierer
Date: 2019.05.08 07:35:17 -07'00'
Compan,7,mo's Air Conditioning & Heating
Signature Date: May 8, 2019
Address.72232 Corporate Way
CEA% HURS 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: Responsible Designer Signature: Digitally signed by Steven 5chnierer
Steven Schnierer Steven Schnierer
Date: 2019.05.0807:35:34-07'00'
Company 7imo's Air Conditioning & Heating
Date Signed: May 8, 2019
Address:72232 Corporate Way
License:920062
rc7tyl—ltate/Zip'Thousand Palms, CA 92276
1hone:760-770-4357
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016
5/14/2019
Google Maps
uo gle Maps
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81181 MERV GRIFFIN WAY
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Imagery @2019 Google 5 ft
https://www.google.com/maps/@33.6514575,-116.2472186,18a,35y,39.65tldata=!3m 1 ! 1 e3?hl=en 1 /1