001365 (SOL)PERMIT APPLICATION
City of La Duinta
Department of Building and Safety
This permit becomes void if work not commenced within 180 days from date of issuance, OR, if work has been suspended or abandoned for a period of 180 days.
LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under .provisions of Chapter 9
(commencing with Section 7000) of Division Sof the Business and Professions Code, and my license is in full force
and effect.
i License Class LicNumber --4
Dale Contractor
OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the
following reason (Sec. 7031.5. Business 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 of the Contractor's License Law
(Chapter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code) or that he 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.):
0 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 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
i building orimprovemntissold within one year ofcompletion, the owner -builder will have the burden of proving that
he did not build or improve for the purpose of sale.).
0 I, as owner of the property, am exculsively contracting with licensed contractors to construct the project (Sec.
7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to.the
Contractor's License Law.).
0 1 am exempt under Sec. B. 8 P.C. (Attached Certificate).
Date w Owner
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a
certificate of Workers' Compensation Insurance , or a,certified copy thereof (Sec. 3800. Lab. C.).
Policy No. Company
0 Certified copy is hereby furnished.
jO Certified copy is filed with the City Building Inspection Department or City Department. -
Date Applicant
APPLICANT NAME (L. F. MI) icantEnergy
p�l,,,j�a�
ADDRESS 2770 S. md Blvd. QA
i7
CITY/COMMUNITY/STATE/ZIPSanta Ana, CA 92704
JOB SITE ADDRESS/SPACE
53-745 Eisenhower
CITY/COMMUNITY/STATE/ZIP- Quinta, CA 92253
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TRACT NAME
OWNER NAME (L. F. MI) )o f
CONTRACTOR -FIRM NAME -
Applicant
ADDRESS
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CITY/COMMUNITY/STATE/ZIP -
above
PHONE .
714 966-2128
LICNC 1
ARC/ENG FIRM NAME -
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE • I
LICNC .
USE OF PERMIT
Solar Water Heating System
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CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed if
the permit is for one hundred ($100) or less. 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.
Date Applicant
NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers'
Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall
be deemed revoked.
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
0 I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be
made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or
demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2. Grp 2, Art 2, Sec 341, Title 8.
C.A.C.)
0 As owner -builder, I will not employ anyone to do work which would require a•permit,from the Division of
Industrial Safety, as noted above, unless such person has a permit to do such work from that division.-
0
ivision-0 Division of Industrial Safety Permit No.
Date Applicant
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, 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 county to enter upon the above-mentioned property for inspection purposes.
Signature of Applicant or Agent Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state that
the information given is correct. I agree to comply with all state laws and county ordinances relating to buidling
construction, and authorize a'representative of the City of La Ouinta Department of Building and Safety to enter
upon the property for which I have applied for this permit for the purpose of making inspections.
r ` Signature of Applicant or Agent r% Date
i/Print Applicant/Agent Name
APPL/PRMT■ ■ 7 `
5=2-85 r11J rb—im
Permit to install a solar twt w Mw -r watm
Ag P= 21 fXll� "f`
Plumbing 20.00
TFEE
20.00
A 0 9 0 2 5 2
BLDG. DEPT. VALUATION 5,200.00
I
ELECTRIC APPROVALS
26
Power Pole
27
Conduit
. 1
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION DATE INSPECTOR'
29B
Bonding
BUILDING APPROVALS
Fixtures
31
MECHAN I CA L APPR OVA LS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
.1
Plenums & Ducts . .
2A
Slab Grade
35
Furnace Compart.
n 3
Steel
36
Inlets & Outlets
4
Grout Blocks
37;
.Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40.
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood.
10
Fireplace P.L.
❑
43
Final •�
10A
fireplace T.O.
❑
OP'N
NO..
ADDITIONAL INFORMATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13, Finish Grade
INSULATION Thick Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17' Rough Plumb.
18.. Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25 Final'
I
ELECTRIC APPROVALS
26
Power Pole
27
Conduit
28 .
Service Entrance
29,
Wiring
29A
Grounding'Wire
29B
Bonding
30
Fixtures
31
Service
32'
Final
Tank
P
STREET NAME
Pit L. Line
REAR OF PROPERTY LINE
P/L
ATS A -40,A THERMOSYPHONIC
%, JLAR HEATING SYSTEM SPECIFICATIONS
The ATS A -40-A can be used in two different installation methods.
The first is as a preheater, integrating the device into your current
system. The second is as a primary source for your hot water supply,
in which case you'll need the optional bypass valve system.
-The solar energy system described by this manual when properly installed and maintained, meets the minimum *,
dards established by the SACC. This certification does not m1pty, endorsement or warranty of this product by the SACC'
ATS — American Solar, Inc.
35105 Appleseed Lane
Hemet, CA 92343
(714) 652-2891
Insulation
Cast polyurethane 2.5" thick
All specifications are subject to change without notrce
due -to constant product improvements.
°Copyright 1989 — U.S. Patent appbed for.
CEATq:
RCC
1�
to a ',
714cc
, SE"r
SOLAR COLLECTOR
'Width: 49"
GrossArea: 25.5 sq. ft.
b=
Net Aperature Area: 23.8 sq. ft
Absorbing Plate Coating: Black Chrome
• ;:=_____- ---
Grid Construction
Risers: (11) 5/8" O.D. Copper Pipes
MLS
(1) 1-1/8" O.D. Feeding Pipe
.J_At
Headers: (2) 1-1/8" O.D.
� r
Absorber Insulation
or/,
1.5 inch Isocyanurate Foam
�r i��aZr#yy�o ,'� AT
Enclosure
r• LAS
k14
Aluminum with Baked Enamel Finish
Glass: Low iron tempered
Heliolite glass
Thickness: 5/32" (4mm)
eight: Empty 87 lbs.
Full — 99.4 lbs.
Pressure
y U
Test: 12 atm (176 PSI)
Working: 10 atm (150 PSI)
�.' X X `C, D
o `�rrZIz
STORAGE TANK
Length: 60"
v �'`) �'�"�
Diameter: 20.5"
Volume: 40 gallons
Weight: Empty — 74 lbs.
MOUNTING
Full — 414 lbs.
The ATS A -40-A can be installed on any flat or pitched surface.
Pressure
Racks are available in pitched or flat roof models and custom racks
Test: 12 atm (176 PSI)
can be fabricated for unique installation sites.
Working: 10 atm (150 PSI)
Corrosion Protection
INSTALLATION METHODS
stainless Steel — Passivated
The ATS A -40-A can be used in two different installation methods.
The first is as a preheater, integrating the device into your current
system. The second is as a primary source for your hot water supply,
in which case you'll need the optional bypass valve system.
-The solar energy system described by this manual when properly installed and maintained, meets the minimum *,
dards established by the SACC. This certification does not m1pty, endorsement or warranty of this product by the SACC'
ATS — American Solar, Inc.
35105 Appleseed Lane
Hemet, CA 92343
(714) 652-2891
Insulation
Cast polyurethane 2.5" thick
All specifications are subject to change without notrce
due -to constant product improvements.
°Copyright 1989 — U.S. Patent appbed for.
CEATq:
RCC
1�
to a ',
714cc
, SE"r
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