BRES2019-0085 Revision 1PERMIT# kPES'QJq, W&S
PLAN LOCATION:
p
Project Address: , 3 3 f c q z v
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
I1+T PACT,-r—pj
Applicant Name:
Address:
City, ST, Zip:
Telephone:
Email:
Valuation of Project.S
Contractor Name:
New SFD Construction:
Address: S 3
Conditioned Space
SF
City, St, Zip CA q2.Z C7 ,Z
Garage
SF
Telephone: + f 57 cq- 7 7 C F
Patio/Porch
SF
Email: D ��'�� CQ
l itc�S _ Gt vo . CG�
Fire Sprinklers
SF
State Lic: geG 72V City Bus Lic: 01 0 G -7 7 0
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: ke\l , tJ ew Commercial / Tenant Improvements:
Address: Total Building SF
City, ST, Zip Construction Type: Occupancy:
Telephone:
Email: ( *
78495 CALLS TAM Picn
LA QU I NTA, 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,
Kevin and Sheri Derryberry
53531 Avenida Carranza
La Quinta, CA 92253
Sheri Derryberry
RECEIVED
JUL 01 2019
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
CITY OF LA QUINTA SUB -CONTRACTOR LIST
JOB ADDRESS _-J'�� � I C➢i�, �LZA 6 s 0 PERMIT NUMBERftf Q^ OWNER CSIid T�t�� �7P ��� a BUILDER �� 2��►ta o ��S'f� c 7`r d
This form_ shall be pas#ed on the_ab with the Building Inspection Card at all tunes in a conso�cuausplace. Only persons appearing on this list or their employees are authorized to work CO
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.
............
Trade / ClasssAlc,ation Cantr,'a�tar: Contractors License
— - ......... ... ....... 5:tate
Company Name
Classification
License Number
Exp. D
(e.g. A, B, C-8)
(xxxxxx)
(xx/xx/
EA:RT'H:WO:RK :(0421.
CONCRETE (C-8)
F.R:AN()NG::(C=51 ::
mac v(�� C,"'- 5' �
STRU:CT. STEEL ((C64:):
MASONRY (:C 29J.
PLUMBING (G-3.Q)
LATH, PLASTER (C-3:5)
? s
DRYWALL (G-9:}.
S
:HVAC (C-20)
ELECTRICAL (C-10)
c<2 S
FiO.OF1NG (C-39)
S:NEET 11/IETReL (C-.43j: `:
FLOORING' (C-16.)
GLAZING (C.17)
INS.UL.ATION fC=2} '
J _
PA:INTING::(:C 33:1
-CERANIX TILL (C-54)
CAB.IN.ETS (C:=6); i
FENCING (.C-1:3)
LANDSCAPING (,C-21)
/ •mow r.L.�7 �G G' �—�
Wpricers Camp.ensatio.n lnsuran�e
City BuZi.ness License
ite
Carrier Name
Policy Number
Exp. Date
License Number
Exp. Date
(x)
(e.g. State Fund, CalComp)
(Format Varies)
(xx/xx/xx)
(xxxx)
(xx/xx/xx)
ZG
SPATE GoAk". _
i
A.
01 2019
CM
IESIGN AND DE
OF a-QWNTA.
fELOPMENT DEPARTME
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