00020896 (RER)EN291Mw14L'F 14 ALP11
#TU%5. CE DROS CIRCLE
CITY, 1CD�y�J�lf (STALEIZIP
CA 922530000
f'�i: DROS .d CIRCLE
44 ��««.. 44/J 1It�ll��
�,4EVIff45RESS/SPACE
T`.7YYfODD��77 TrTAZIP p �t n, p �y
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VIT 48JVTO20
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se
TRACT NAME
OW E'fYNpMEttN�RALPH
HONE#
ONTACTVGtatFArEINCa
830
DRP%LM CANYON
VATRIWAVICITY CA 922340000
AyQJJEep-•y2Cj,,;,,22.* 9,
�«P 7
BLDG. INSPECTOR
FINAL DATE
_
ARCIENG FIRM NAME
LICNC M
ADDRESS
CITYICOM MUNITY/STATE/ZIP
PLAN # -
PIANS EXAMINER
APPROVE DATE
RINUMEL LVING RM/QA�Dx�yD$-PATIO COVER,
IP �.
Z�OI�6
FSB
0 U V
0 3 t�
out
�6F7�A�
• ZONEORDWLL
LOT SZ
END'
pr q�$Ip£j
"l APPLICATION .fOR STRUCTURAL PC"ViMIT
s
T H a I a A W A P' 'P L .I C A T 10 .N 0 N' L Y
9t lVF e� hy.
��Alb`
t
9t lVF e� hy.
��Alb`
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
-r '
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 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
Smdke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T.O.
NO
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
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
Tank Pit L.Line
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P)
.26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service''•..
32 Final
STREET NAME
y
APPLICANT NAME (L, F, MI)
ADDRESS
49045 CEDR S CIRCLE:
CITY/COM M U N ITY/STATEIZI P
LA QUINT.A CA 922` 30000
JOB SITE ADDRESSISPACE
490451 CEDROS CIRCLE
CITY/COMMUNITY/STATE/ZIP
LA QUINTA CA 922530000
BOKPAG
PRC
C
TWN
RNG
SE
S
61"Ib0
010
0
CA
t000
NC
I 00
COUNTER L.U.T.
TRACT LOT
MOD
SB.
00;34135 0020
0$l
TRACT NAME 4,
OWNER NAME (L,F,MI)
PHONE #
LAZARUS RALPH,
CONTRACTOR -FIRM NAME -
W X COLCLAZIER INC
LICNC #
282C3li0
ADDRESSSp y� pip V p�
VT '
HEDRAL CITY CA ?22340000
%PHONE# I I BLDG.
INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC #
ADDRESS
CITYICOMMUNITY/STATE/ZIP
PLAN # PLANS
EXAMINER
APPROVE DATE
USE OF PERMIT
R
-REMODEL LVING IRM/ADD PATIO COVER
BL �y ZONq FSB
00 R_
SSB
000
SSS
000 'ti00
RSB
OFC
IND
ZONE ORD#
LOT SZ
ENDppy�``;;SnnIDE
V V V.0
APPUPRMT # PSDATE 35365
11 102 89 ti f5 i��S ��ih 1
1
j '`
TOTAL .
FEE
CA
'CK
NC
I COUNTER B.I.
COUNTER L.U.T.
1 __.5
APPLICATI.C.JfZ! FQR STRUCTURAL PLAiV' REVIEW
{, T M I8 I ra.• AN. AP'P L I! AT ION GNLY
FORM 284.208(11.81) INSPECTi7R
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
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. C]
43
Final
10A
Fireplace T.O.
N N
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
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
Tank Pit L.Line
REAR OF PROPERTY LINE
P/L P)
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
PEflMiT1T APPLICATION -
COU 12 Of Riverside
— Department Building and Safety
4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. Slate Street 227 North "0" Street 46.209 Oasis St. Rm. 310 160 N. Broadway
Riverside. CA 92501 Banning. CA 92220 Hemel. CA 92343 Perris. CA 92370 Indio. CA 92201 Blythe, CA 92225
Ph: 787.6146 Ph: 8497312 Ph. 658.4464 d Ph: 657.3898 Ph. 342-8271 Ph: 922.2670
This permit becomes void if work not commenced within 160 days from dale o1 issuance. OR. it work has beer suspended or abandoned for a period of 180 days.
❑ s -CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com-
LICENSED CONTRACTORS DECLARATION: I hereby altirm that I am licensed under provisions of Chapter 9 (commenc-
ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.
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 con-
struct, alter, improve. demolish, or repair any structu(e. 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 ex-
empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per-
mit subjects the applicant to a civil penalty of not more than live hunderd dollars ($500).):
❑ I, as owner of the property, or my employees with wages as Iheir sole compensation, will do the work. and the
structure is not intended or offered lot 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 himsell 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 prov-
ing that he did not build or improve for the purpose of sale.)
❑l, as owner of the property, am exclusively 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 contractor(s) licensed pursuant to the Con-
tractor's License Law.)
I❑I am exempt under Sec. . BA P.C. (Attach Certificate).
Date Owner
WORKERS' COMPENSATION DECLARATION: I hereby allirm that I have a certificate of consent to self -insure, or a
I certificale of Workers' Compensation Insurance. or a certified copy thereof (Sec. 3800, Lab. C.).
t ❑Certified copy is hereby furnished.
I, ❑Cerlified copy is tiled with the County Building Inspection Department or County Department.
APPLICANT NAME (L, F, MI)
r RALPH
ADDRESS
49045 CEDROS CIRCLE
CITY/COM MUN ITYISTATE/ZIP
LA QUINTA CA 922530000
JOB SITE ADDRESSISPACE
49045 C:EDROS CIRCLE
CITY/COM MUNITY/STATEIZI P
LA QUXNTA CA 922530000
BOK
PAG
PRC
C
329 M V_N
TWN
RNG
SE
S
617
I 360
010
0
NC
COUNTER B.I.
f: /_" ,
000
00
TRACT L1
SB
00'5485 0020
011
1 J
TRACT NAME
OWNER NAME (L,F,MI)PHONE
LAZARUS> RALPH
N
CONTRACTOR -FIRM NAME
W E COLG;LAZIER INC
LICNC N
282 830
ADDRESS
E PALM CANYON
CITYICOM MUN ITY/STATE/ZIP
CATHEDRAL CITY CA 922340000
PHONEM BLDG. INSPECTOR
FINAL DATE
714--328-2659
ARCIENG FIRM NAME
LICNC N
ADDRESS
CITYICOM M UNITY/STATE/ZIP
PLAN N LJt S A NER A71OVE j^�""�.
/' V �IV
USE OF PERMIT
RF1jnr&;._G RM/ADD PATIO COVER
BLZON FSB
00 R-01
SSB
000
SSB RSB
O 0 X00
OFC
IND
ZONE ORD N
LOT SZ
END
SIDE
0000
plete:it the permit is for one hundred ($100) or less. I certify that in the perlormance 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' Compensa-
tion Laws of California.
Date _ Applicant _
NOTICE TO APPLICANT: It, after makingthis 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:
01 hereby certify that no excavation live (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, lalsework,
or demolition or dismantling thereof. will be more than thirty-six (36) feel high. (Chap. 3.2. Grp 2. Art 2. Sec 341,
Title 8. C.A.C.).
❑As owner -builder. I will not employ anyone to do work which would require a permit from the Division of In-
dustrial Safety. as noted above. unless such person has a permit to do such work from the division.
❑ Division of Industrial Safely Permit No.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the perfor-
mance of the work lot which this permit is issued (Sec. 3097. Civ. C.).
Lender's Name _
Lender's Address
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
building construction, and authorize a representative of the County of Riverside. Department of Building and Safety
to enter upon the property for which I have applied for this permit for the purpose of making inspections.
X
Signature of Applicant or Agent Date
Print Applicant/Agent Name
APPL/PRMT N PSI DATE ,� 6 6
00020896 CD 0b/29/8a
ESTIMATED PIAN REV FEE $36.72
$36.72
CONSTRUCTION ESTIMATE
Description
(NOTE: Not to be used as
FCC Group Type
property
8q Ft
valuari.on)
Rate Valuation
PRIMARY MISC
434 M M
436
$10,00 $4360
SECNDRY PATXO
329 M V_N
243
94.90 $1190
Est Plan Rev Fee based
on 'Total Esti:Maled Val'
TOTAL
FEE
36 +
CA
CKVy
A
NC
COUNTER B.I.
f: /_" ,
COUNTER L.U.T.
PERMIT FOR STRUCTURAL FLAN REVIEW
TOTAL. PERMIT COST IS
$36.72
CONSTRUCTION ESTIMATE
Description
(NOTE: Not to be used as
FCC Group Type
property
8q Ft
valuari.on)
Rate Valuation
PRIMARY MISC
434 M M
436
$10,00 $4360
SECNDRY PATXO
329 M V_N
243
94.90 $1190
Est Plan Rev Fee based
on 'Total Esti:Maled Val'
to of
95550 Ist $36,72
INSPECTOR
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34 Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
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
M
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L. C]
43
Final
10A
Fireplace T. 0.
FI
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
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
Tank Pit L. Line
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
Fj
PERMIT APPLICATION
County of Riverside
Department ai Building and Safety
4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. Slate Street
227 North ' 0" Street 46.209 Oasis St. Rm. 310 160 N. Broadway
Riverside, CA 92501 Banning, CA 92220 Hemet. CA 92343
Perris. CA 92370 Indio. CA 92201 Blythe. CA 92225
Ph: 787.6146 Ph: 849.7312 Ph. 6584464
Ph* 657.3898 Ph, 342.8271 Ph- 922.2670
This permit becomes void if work nol commenced within 180 days Irom date of issuance, OR, it work has beer suspended
or abandoned for a penoo of 180 days.
PAGPRC
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com-
LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter (comment-
pleted it the permit is for one hundred ($100) or less. I certify that in the performance of the work for, which this
is issued.
ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.
permit I Shall not employ any person in any manner so as to become subject to the WorkersI'mpensa-
SE
lion Laws of California.
❑
Date __Applicant _
010
NOTICE TO APPLICANT: If, alter making this Certificate of Exemption, you should become subject to the Workers'
OWNER -BUILDER DECLARATION: 1 hereby affirm that I am exempt from the Contractor's License Law for the
Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be
following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to con-
deemed revoked.
struct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such
TRACT LOT
permit to file a signed statement that he is licensed pursuant to the provisions of the Contractors License Law
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex-
01 hereby certify that no excavation live (5) or more feet in depth into which a person is required to descend. will
empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per-
be made in connection with work authorized by this permit. and that no building structure. scaffolding, lalsework.
mit subjects the applicant to a civil penalty of not more than live hunderd dollars ($500).):
or demolition or dismantling thereof, will be more than thirty - six (36) feet high. (Chap. 3.2. Grp 2, Art 2. Sec 341.
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the
Title 8. C.A.C.).
structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License
OAS owner -builder, I will not employ anyone to do work which would require a permit from the Division of In -
Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or
dusiriat Safety. as noted above, unless such person has a permit to do such work from the division.
through his own employees, provided that such improvements are not intended or offered for sale. It, however,
the building or improvement is sold within one year of completion, the owner -builder will have the burden of prov-
❑Otvision of Industrial Safety Permit No. -
Ing that he did not build or improve for the purpose of sale.)
CITY/COM M U N ITYISTATEIZ I P
CATHEDRAL CITY CA 922340000
❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the pertor-
7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who
mance of the work for which this permit is issued (Sec. 3097. Civ. C.).
builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con-
Lender's Name
tractor's License Law.)
Lender's Address
01 am exempt under Sec. B & P.C. (Attach Certificate).
APPROVE DATE
Date Owner
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and slate
that the information given is correct. I agree to comply with all state laws and county ordinances relating to
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure. or a
certificate of Workers' Compensation Insurance. or a certified copy thereof (Sec. 3800. Lab. C.).
❑Certified copy is hereby furnished.
❑Certified copy is filed with the County Building Inspection Department or County Department.
APPLICANT NAME (L, F, MI)
I A-YARIIct, RAI PW
ADDRESS
490451 CEDROS CIRCLE
CITY/COMMON ITYISTATE/ZI P
LA QUINTA CA 922530000
JOB SITE ADDRESSISPACE
49045 CEDROS CIRCLE
DZIP
LACA 922530000
QUINTA
BOK
PAGPRC
C
TWN
RNG
SE
S
617
3%Q
010
Q
000
00
TRACT LOT
MOD
SB
003485 0020
011
TRACT NAME
OWNER NAME (L,F,MI)
PHONE N
LAZARUS3 RALPH
CONTRACTOR -FIRM NAME
W E COLGLAZIER INC
LICNC N
1202830
ADDRESS
E PALM CANYON
CITY/COM M U N ITYISTATEIZ I P
CATHEDRAL CITY CA 922340000
PHONEE#
714—:3.28-2659
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC N
ADDRESS
CITYICOM M UNITY/STATEIZIP
PLAN N
PLANS EXAMINER
APPROVE DATE
USE OF PERMIT
REMODEL LVING RM/ADA PATIO COVER
BLZON
00
R_1
FSB
SSB
000
SSB
000
RSB
000
OFC
IND
ZONEORDN
LOT SZ
END
SIDE
0000
building construction, and authorize a representative of the County of Riverside. Department of Building and Safety
to enter upon the property for which I have applied for this permit for the purpose of making inspections.
X
Signature of Applicant or Agent Date
Print Applicant/Agent Name
APPLIPRMT N PS DATE /'�
FS 1 9r. J(5365
TOTAL .
FEE
CA CK NC COUNTER B.I. COUNTER L.U.T.
APPLICATION FOR STRUCTURAL, FLAN REVIEW
T H I S 18 A N A P P L I C: A T I O N h N L Y
r
ASSESSOR