9912-142 (BLCK)LICENSED CONTRACTOR 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
1 Professionals Code,"and my License is in full force and effect.
License # Lia. Class 1 Exp. Date
�
/ +.>i�ty;la`r`ts'J�ii
DA -L c Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason: '
( ) . 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 & Professionals Code).
( ) I, as owner of the property, am exclusively contracting With licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
() I am exempf under Section B&P.C. for this reason
Date Sianature of Owner
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 the work for which this permit is issued.
( ) I have 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. My .workers' compensation insurance carrier & policy no. are:
Carrier Policy No.
• .aLl:�titr�r - . • .
(This section need not be completed if the permit valuation is for $100.00 or less).
()C) 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
subct to the workers' compensation provisioris of Section 3700 of the Labor
Code, I shall forthwith comply with those provisions
Oate: —IL ! C Applicant' - _ .. , ./ ) , _•^•` . .
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $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.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject,to the conditions' and restrictions set forth on his
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 applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
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 State laws relating to the building
construction, and hereby 'authorize representatives of this City -to enter upon
the above-mentioned property for inspection,purposes.
vSignature (Owner/Agent) :D at)
BUILDING PERMIT PERMIT#
6) 174-14 k
DATE VALUATION LOT TRACT
12/171 �af,,:�9F3.ilt�
JOB SITE
APN
}C
ADDRESS t. 10 AIN .kd,�
-
OWNER
CONTRACTORDESIGNER / ENGINEER
A 1 y Ki �..It A
•I II'SON-11 A—AI i
y/
p a I.J It. iZ:es
7M0 RWY f 3f
444--V "L't')WN CENTIN, Wtt.'Y an t9,1
r7C;J0�1r•�'�tZ't CT -511 "04,
t
USE OF PERMIT
GENERAL RUJIFAWY,
LN5.1,411 FIVE t1Mh3EN01i"', N)`dl'i86L..F.. 391' STEEL. LUM.7,, x 1 Kt.N43 PRIt
P.1 11 Y,b-kf5
UHTION 6;000.04 i.. S''
\rALUil.9TON, 31(3 tV i5
' .y�'inU 'i5,{i},'.�.,?•i�e 6� �i.. V'i4 011, OIZI-•ST U k 6 UN
6151., 00
PERMIT FEE -SUMM ARY
i U?tS'Cte:zJt't'ts�N l i t 101 C�3fr d,it34)W
C1 R(_) r4 tuff r ii IE eTS FF Fr, - r'0+Eapa $) 6
R
fwi
LESS t"}L~:-[rola tQlE
x,().0411
's
4.r
RECEIPT
DATE
BY !
DATE FINALED
INSPECTOR
f -
,INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING, APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor -
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
r
_
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Vottage Wiring
Fixtures -
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
r'
d
American Awning Co.
COMMERCIAL • RESIDENTIAL
44489 TOWN CENTER WAY
PALM DESERT, CALIFORNIA 92260
(619) 322-7433
City of La Quinta
Building and Safety Dept.
P.O. Box 1504
La Quinta, Ca. 92253
c/o Mr. Tom Hardung
Director, -Building and Safety.
Dear Mr. Hardung,
CITY Gp ►-A n$ P'iA
JUL -3 RECD
6/27/00
This letter is to inform you of our customer's request for
an extension of time to complete ,project beyond limits allowed on
current permit. Permit No. 9912-142 dated--1:2./.1,7/99-for Mr.
Thomas Chan (Shangra La Restaurant):,,
Currently, canopies are all up'_and"secured. -Mr.- Chan -i's -
requesting that we not install railing until Septmber/October
2000. Mr. Chan has stated that the off season slow down has
created a hardship at -this time, but.will be -able to commence
with project this coming fall. I would like to apologize for the
delay in informing your office of the situation, but until just
recently, customer was -undecided as to what'he wanted to do. We
hope you will be able to approve the extension.
Thank you for your consideration.
Sincerely. -
Jim Sadler
American Awning Company
CANOPIES • AWNINGS • ALUMINUM' • CANVAS • BACK -LIT
'j4r F _ lye p• f4P. r- �. •~ . � , il. , ,*. . 1i'Y
k 1 �wl. dpi 16 ¢ P .0 i, If1 I �f ..
i',a �r t1 0 `�,� 0- ,, t -
_ .+. rr•tta4 �i,s;,- - -F ;r ��`,lr-' .t f 1 -.
bav 1. ! %��b .�I y}
s r i t ° �D •qq �`o lyti11
a iv r• w i .y t5 k \1. r., Vii•` V. - i 6. " �. �i
i.
t I '.rLL N �4' . _
• s �;
. t. re 0vI 11
I =s z- ;: i. �P. q .f
n
• ..• �, �'
,i •'
- f .
. ..
• ,.'. -
'�.� I - - _
••f 1. .,
:: Y .�.
•I.
fi i
F ! P u
't ,.� " r n�a °•a +nil.%'
�-
Iv, f ; r''` `Std}7YT i � 'u. •�•�" �v ,O' .'. -
- _ tri
+ .
.. `,t
- - ,
... : ,. r
. .."
• i ,. f , >,
c { ��sr tip h�tyx•I� •f. - : -
"r1; 2 •s :. 1`
1.r \'$. 1 - -
R�r�1. ,
® 4ri as, .I 1, i `.
�' nr !. - .
I - rI,-'i,. .. -.1-1-6, - - ..
r _1. ?' e � 11a
a NI., ��: �k I j '1, - --
I e 4 y
I
I1�1 1 tZ q d�Yt i±
• , - ,:
a
, .. ,
1.
11
it
ram
^" ,x X _ - - f4'1is• iF-X."`a'.r •..#..°y'°„':- -;sx '6 y-•'r. l„ T - 4}�T•-i3+'��-^.*-v-r_--+.+.'yfl,-,z.+.'+.,
. 3
,
.•..
. .
• a
ria •
I
` _ i r .� � R p.1 - _I ri _
I I I t Y^fs I 7 ;I• r
' td xr
" 11
t F* ` i
.` 7 ,I 1. •i
• _ ,, Vim% •-� : .� '.• • . lid - _ -
J Y
I,1 t{ �X I O •• . e -
_ ,,.
y
v--1.7 Sa3 M }j
1 er i, , I•rl 9r-r.
`11
K
+ t ."tl�
- —
i y1"
\ j
�'•'• ♦ i
KjF ,: 5
t� " r s ..-
"1.
° r r , t _ ..L,N'� a � °Z. , { • ;y :
E .f • V {
a t ', 111
" M1 � ~ it :I' I — ,—C.wt. I �t ,�1. 11 r .t-�
11
• J� a X� 1
.; " �4.�
' .: f Y,
• _ - .t 5' _
(t
.�' • +.i1.+ r - 5.
,.I• _ . " _ 1 �y.3 'x �' i N "1•I� .- sG i 1 {' i'f{. a - 1.7C" f'`1
,. .\ .. " A'�•� w!,,.I 0 t ' �^' "� : a f �,�ti- �� - - i.
• • �l�,{' � icy,'N. , \*�I } +l _ _e i
J s' �,`IF.�. t kn A Y \t yN �t �i xF 1�
,A i. i.' .-'wi b� rya i tq f .�, ,• ,a Ik -
�,.
+� .i 1 - +•llai 1 �5y 1Z `ta �1 ,� a ;i ,
1. 11 : 1
I ,. - Vi e.'. / - ° " S4 •�
s ' I •:s1"I iQ�y'�S,;iXg1.af jk'.r 1 _ ' ..ilt
K`tF 3 t`t , t,%;.i� 1
y' ;' T ,, A' tF k \ .
.. ., ; � 'y j" k „} 4 ��"itl yF A7'. .: \ O tis it
tf Agf r i:i J +
J'I► _ter 4 I 11
,_ I .. ti�bF r?�.' t.. .b ,+ '' a tr /fN <F :{ , all 1 t '.
,
SCALE: .NT S
I" D.D. GAL. S1
TUBIN.16
I" O.D. GAL. I
STL. TUB IN C
SPREAD -ER BAR .
AS NEEbEC�
ACTUAL. SIZE
SI L. TU131Mb —�
(BACK 2AR3
SID X Yz" DRILL SC RE . y,,, lam,
rr� > »r_ BACK BAR 1 C MIN. C2� PLCS. )
`XIST. EATS P..
Sb" C.C. Wilk).
<T AN D/UR WELT] , 3/I6"x I" x'i Z- BRK T
NGTPRS .
3R1<T SHOWlJ
I
(ullR
y''X 5./I6".MIN. ANCHOR BOLT WILL BE
SED DEPEMDINIG OI`1 ACTUAL FIELD RES
3/Ib' WELD ON MOUMT=
INb TAB. WELDED
TO UNDER SIDE
- - I DF C'�ACK BAR
3/B D TY P. SIZE 5µ0`0J
Z"
ACTUAL S 1 Z E
IN1/ -\Y VARY
1= RA M E : UJEL_DED L-ALUAN I-LED STUCT. ST EL
TUBING. PRFR'D AND PAIUTED -
APPROVED BY COMMUNITY DEVEL PMENT DEPT
BYa �A DATE I f
EXHIBIT
CASE N0. �� 5+6
o(�42D
AMERICAN AWNING CO.
CA Lic. 451978
44489 Town Center, Way
PALM DESERT, CA 92260
(619) 322-7433
J
CLAG SNOW ND
IUT8 WALL STLIL
-� CITY OF LA QUINT.
-' BUILDING & SAFETY DEF
Q
j APPROVED
FOR CONSTRUCTION
11 $0111 0-5 FRAF 091
ULKOWWWAPPRIM
1EAA MMI M AIS tN ON
JOe S94U&PA LA LA &XJINTA, CA.
SHEET NO. Of
CALCULATED BY DATE
CHECKED BY DATE
SCALE AS MOTE D
. .. •. .. t . - , .. , 1 + S fi -. .1 .. 1 , e _ t .1 - ! 1 , t % _ ! a t � 2 J . s 6 ) e
.... ... .. .. ...: ... ...... ........... .... .. .. .............,... .... ....... .... ..... ................ ............ ......... ....... .... ... .. . ........: ............. .. ...........................................................................i............................. ........... .................... ........... ..
(' D.0 . +i -
PROW -mss. 01471. To Oma PHONE TOIL EPEE I4M225-M