BPLB2019-0088 Revision 1PERMIT #
PLAN LOCATION:
Project Address: 3 3 c 4f r-A-,�j L A- �7f Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #: 1e Olr-( -t✓G�` N
Applicant Name:
Address:
City, ST, Zip:
Telephone:
Email: Valuation of Project S
Property Owner's Name: '�� b-jZf f . Tew Commercial / Tenant Improvements:
Address: j '� ` } Building SF
City, ST, Zip — 4) Type: Occupancy:
Telephone: �� r
Ks�—
CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
7/01/2019
City of LaQuinta, Building Officials
La Quinta,
As of the date of this letter, I am turning over all control of existing permits and future permits and all
construction/Remodeling to our new General Contractor Alex Cardenas, Lic # 886924.
Thank you,
III
Sheri Derryberry
Kevin and Sheri Derryberry
53531 Avenida Carranza
La Quinta, CA 92253
CITY OF LA QUANTA SUB -CONTRACTOR LIST
JOB ADDRESS PERMIT NUMBER Qp(&%1-GCB?OWNER�k�ilr 1 0eyd�] Q�� 'BUILDER «�42�c'►ta Cp0151v'oc7`i This form shall be posted ❑n the jab with the Building Inspection Card at all times in a conspicuous glace. Only persons appearing on this list or their employees are authorized to work Cam'
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an accer}table r(-snnnse.
Trade.I..Cl.assificaiion......
Cvrittactar.
State.C¢ii�iiCtpf`S
License
Company Name
Classification
License Number
E)
(e.g. A, B, C-8)
(xxxxxx)
(x
EARTHWORK (0-12)
692�
L�
CONCRETE :(:Q.:8)
6o
F..AN(1 N G: (C-5;)
: STRU.CT. STEEL f G16, 1:
MASONRY .(C-2-0)
PLUMBING (C-3E)
LATH; PLASTER (:C=39:):
DRYWALL (C=9;}
HVAC :(C:-20)
ELECTRICAL (C-10)
ROOFING (C=39)
i COS y/
S:IEETMETAL (C-.431
FLO0.RiN0 (:C-t5)
�5 r
GLAZING- (.C-171
INSU LATION.:(C>2)
SEWAGE DISP. (C-42)
Cove J
PAINTING X-33)
CERAMIC "f1LE (C-54)
C.AI3l.NETS (C-6).
FENCING (C13)
LAND-SCAP.ING (:C-27)
POOL (C.-53)
Workers Compensation Insurance
City 8u-iness-L.icens.e ...-.
p. Date Carrier Name
Policy Number
Exp. Date
License Number
Exp. Date
(/xx/xx) (e.g. State Fund, CalComp)
(Format Varies)
(xx/xx/xx)
(xxxx)
(xx/xx/xx)
T i(Q/07
DESIGN AND
DEVELOPM
VtU
9019
ANT DEMENT