BPOL2019-0052 Revision 1ta
Qaigra PERMIT# r o'j - OQSL Dr-jx
PLAN LOCATION:
Project Address: % S C 3 I C 4rl--A*j Z /� -� , Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN LA
Applicant Name:
Address:
City, ST, Zip:
Telephone:
Email:
Valuation of Project
Arch/Eng Name: Construction Type: Occupancy:
Address: Grading:
City, St, Zip
Telephone: Bedrooms: Stories: # Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: k,eq', , j J �� �� f ew Commercial / Tenant Improvements:
Address: Total Building SF
City, ST, Zip Construction Type: Occupancy:
Telephone:
Email: (<
784.95 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,
k
/ tic -�
Kevin Derrybe y r� Sheri Derryberry
l
Kevin and Sheri Derryberry
53531 Avenida Carranza
La Quinta, CA 92253
RECEIVED
JUL 01 2019
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
CITY OF LA QUINTA SUB -CONTRACTOR, LIST
JOB ADDRESS �3�3 CX21'<1&I 6 � _ PERMIT NUMBEReFOLIS-COUDWNER —K- l -tom -Aye ��� a BUILDEf� �d ����a �� ��S-7,-Oc 7"-r d i-
This form shall be _posted on the job with the BuildingInspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work C�
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 acceptable response.
Company Name
EARTHWORK (C-'i 2)
CONCRETE (C-8)
.FRAMING :(C
STRU.CT- STEEL (G-5.1:)::
MASONRY .(C-29:)
PLUMBING (C-3)6.)
s /
LATH, PLASTER {C=351
DRYWALL (C-9)�
HVAC iC-20)
ELECTRICAL (C<-! 0)
0<2 S
ROOFING (C-3:9
SHEET N(:FTAL iC-48:j . :..
FLOGRING fc-1:5)
GLAZIN:GIC47) .
INSUI_ATIDN (C-2}
SEWAGE D-42):
PAINTING: f.C3:3:)
03AM(C T[.LE: (:C=54:)
CABINETS (C-6);
FENC[NG (C-13)
LANDSCAPING (:C-27.):
POOL (C.-53)
Classification License Number Exp. Date
(e.g. A, B, C-8) I (Xxxx) I (xx/xx/xx)
C;
(e.g. Stat
rATE C
-
Workers Compensation Insurance
. .............. .
City .B.u^in:e.ss License
rrier Name
Policy Number
Exp. Date
License Number
Exp. Date
a Fund, CalComp)
(Format Varies)
(xx/xx/xx)
(xxxx)
(xx/xx/xx)
JUL 01
2019
I
OF LA (il
DESIGN AND DEVELOP
ITNTA
I:NT DEPARTM
VT