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001552 (SOL)Building Address Owner Address City La Quita Contractor Address sth Zip Tel. 92253 P.O. BOX 1504 No. U3.t)-tNef 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC: GRP.• A.P. Number Legal Description Project Description 777 tfw Tahimlitz City .. Zip _ . Tela Fri � 92262 State Lic. City & Classif. 467M • Lic. # Sq. Ft. Size. No. No. Dw. Stories- "- Units ' .. ,_. ... .. , . Arch., Engr:,- Designer New Add ❑ Alter ❑ Repair ❑ Demolition ❑ - Address Tel. City Zip State Lic: # _ LICENSED CONTRACTOR'S DECLARATION . • I hereby'affirm that lam'licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of-the,Busiiine�'ssi and=Prooffessionnss.Code'„and•my license is in full force and effect. - .. .. .. .. ,. .. .. .. - DATE ' 'OWNER;BUILDER DECLARATION�9 I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec.. 7031.5,Susiness and Professions Code: Any city or county. which requires a- • permit to construct, alter, improve, demolish, or repair any structure, prior'to its issuance also requires the applicant for. such permit to file a signed statement that -he is licensed pursuant to the provisions o/ the Contractor's License Law, Chapter 9 (commencing with Section 7000) of . Division 3 o/ (tie Business Arid Professions Code, or that. he is ezerhot therefrom, and the basis for -the alleged exemption. Any violation o/ Section 7031.5• by 'any applicant for a permit subjects the applicant to'a civil'penafty of'not more than live' hundred:dollars($500).. _• O I, as, owner of the property, or my employees with, wages as their sole compensation, will Estimated Valuation .9950.010 - 'PERMIT AMOUNT,r - Plan. Chk. Dep. - - - Plan Chk. Bal., - Const. - do the work, and the structure is not intended or'offered for sale. (Sec. '7044, 'Buisness and. Professions Code: The Contractor's License Law does not apply -to an owner of.property'who builds or improves thereon and who does such work himself or through his own employees,' provided that such Improvements are not intended or offered for sale. If;. however, the building or improvement is sold within one year of completion, the owner -builder will have the burden .' of proving that he did not build or improve for the purpose o/.sale.) Mech. - •-Electrical Plumbing' ” p/y .00 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- • slruct the project. -(Sec. 7044, Business and Professions Code: -The Contractor's License Law does not apply to an owner o/ property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - .❑ 1 am exempt under Sec. B. & P.C. for. this reason . S.M.I:, -.-• Grading Driveway Enc. Date Owner Infrastructure WORKERS' COMPENSATION DECLARATION ' I hereby 'affirm that I have a certificate'of conaentao self -insure, 'or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.). P0llicy� No. Company ., p/Copy is filed with the city. 0 Certified copy is hereby furnished. TOTAL �f3aCi�i CERTIFICATE OF EXEMPTION FROM • WORKERS' COMPENSATION. INSU RANCE REMARK$ ' (This section need not be completed i/ the permit is for one hundred dollars ($100) valuation . .or less.) :. ... __. _. I certify that in the performance of•th—owork for which this permit is issued, I shall not employ any person in any mannei'so-as to,becom'e'subject to the Workers' Compensation Laws of California. Date .Owner NOTICE TO APPLICANT: Il, aRe §this �C_prtflicate of eExem bon ou .s uh. A.T r ' subject to: the Workers' Compensafion'provfsions of: the Labor Code, you must`/orfhwith comply with such provisions or this permit shall be deemed revoked. ` ZONE: BY: - Minimum Setback Distances: Front Setback from Center..Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending.agency for the performance of the • work for which this permit•is issued. (Sec. 3097, Civil Code.).—Side Side Street Setback from Center Line ` Setback from Property Line Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. FINAL.DATE INSPECTOR I certify that I have read this application and. state -that the above information is'correct. I agree to comply with all i; jty°and..county-ordinances and state laws relating.to building construction,. and hereby authorize representatives -of . this city to enter- the above-. - mentioned property for inspection purposes: Signature of appli'cant' pplican < r .� A �. _ Date _Mailing Address_ xr! i -�" GF / Issued by:, r Validated by: Validation: A 1 4 9 U Date Permit ' 6 7 20.00 Sl City, State, Zip lr V HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SO. FT. ® SQ. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET ' YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE'PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation ROUGH PLUMB. FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAS (ROUGH) LAUNDRYTRAY AIR HANDLING UNIT CFM HEATING (FINAL) KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB BOND BEAM SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR ® 3/ac HOUSE SEWER FRAMING FINAL INSP. GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE 7 PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING CU. yd. -Plus-X$-=$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING of 19 7 REMARKS: 7 VENTILATION rs - FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. 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R Factor: R12 • OA Diameter: 29"" • OA Height: 60" • WARRANTY: 3 Years Note: Equivalent tanks maybe substituted according to availability. Other manufacturers' warranties may vary. DIFFERENTIAL CONTROLLER • Model: CM30 • AC In (50160 Hz) 105-13OV, 7AA Max • Differential Output Power .115V, 1/7 HP, 7.2A. • Adjustable "ON" Differential 8°-24° F • Differential 4° F • Warranty 1'Year Full - Additional 4 Year Limited CIRCULATOR • Model: UP15-18SU • Operation 115VAC, 65 W, 60 Hz, .56A, '/,S HP, 2865 RPM Capacitor: 8.Omf/180V • Maximum System Pressure 142 PSI • Maximum Fluid Temperature 2300 F • Warranty Full 18 Months Solar SUNBURST*.0iVisio'n., ACRO Energy Corporation -p' 0 am4W-E:G,N ...CA9SU4.016168&4"0.M A uootow.YOGI SUNBURST RECIRCULATING SYSTEM The SUNBURST Recirculating System. provides excellent protection in areas where freezing conditions seldom occur. During solar efficient periods, the differential temperature controller adtivates the circulator causing cold water to be drawn from the bottom of the storage tank and circulated through the collectors. At night the system stops circulating. When freezing conditions occur, however, the controller' automatically "recirculates" warm water from the storage tank through the collectors. COLLECTORS 4' x 8' or 4' x 10' All -Copper Absorber All Aluminum Enclosure STORAGE TANK Model MS80RF3 80 Gallon Capacity WARRANTIES Collectors: Full 5 Years + Limited 5 Years Tank: Full 3 Years Solar RSTUNBUoivision ACRO Energy Corporation po.�o.ao.eada. u+•ma�+w•�c�►wvaat•rr+ Ti4F- EMPIRE CoLLE E J CTO R .SERIES . GLASS GLAZED SOLAR COLLECTORS \SPECIFtCAT10N SHEET Models EMC and EMB r � APPLICATIONS Pool and Spa Heating •' Domestic Water Heating • Space. Heating and Cooling •...Industrial Process Pre -Heating FEATURES i SUNBURST REPUTATION: A major solar manufacturer since 1974. SUNBURST collectors provide the contractor j total design freedom, easy installation and excellent performance. . LOW COST: Efficient production methods provide top quality, low cost and maximum heat collected per dollar invested. SUNBURST WARRANTY: SUNBURST's extended warranty fully qualifies for solar tax credits. SUNBUAST's net- work of Authorized Service Centers guarantees a quick, professional solution to any possible warranty situation. METAL ABSORBER PLATE: High thermal conductivity. Invulnerable to ultraviolet• degradation: COPPER WATERWAYS: Perfectly compatible with pool .spa and domestic water =Identical to copper waterways in natural gas heaters. GLAZED BOX: Patented, fully insulated -aluminum box with -attractive dark bronze finish. DURABLE GLAZING: SUNBORST's standard -line collectors are equipped with a strong, tempered, high transmit- tance solar glass. The glazing*is impervious to ultraviolet degradation, and brings the beauty and permanence of glass to your project. d by the City of Los Angeles. Listed by I.A.P.M.O.. T.I.P.S.E. CERTIFICATION: Tested to ASHRAE 93-77. Approve (Califomia Energy Commission), Arizona Energy Commission, State of New MeCertified by ARI. xico, HUD and F.H.A. -SUNBURST solar Division ACRO Energy Corporation In CA: (600) 852-766t P. O. Boot 490. Elk Grove, CA 95624 9(916) 685-8943 • ; - --I