BWFE2019-0007 Revision 1FDF�FRJ PERMIT # AW F E 10 GC07
PLAN LOCATION:
Project Address: 3 3 CA Fr A N z X Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Applicant blame:
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:
Address: �
City, ST, Zip -
ey,l iJ 21 �,2f .r.j b ear
Telephone: --
Email: (
Commercial / Tenant Improvements:
Total Building
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000
SF
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,
f �
Kevin Derrybe r Sheri Derryberry
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 SLAB -CONTRACTOR LIST
JOB ADDRESS (!�/ ek'JI 6- PERMIT NUMBER &)FEI.01, WNER- - t� �-Y, 7e_e _1- c)Ca i��u-
This form shall be posted opt the job with the Building Inspection Card at all times. in a conspicuous place. Only persons pearing 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.
Trade 1: Class ficatio.n. ... .. contractor State Cb�
Company Name
EART:H.WOR_; (C-1.4
CONCRETE (C-8)
FRAMING (C-5)cl/C��
T.R.UCT. STEEL
MASQNRY .[C 29:)
PWMIBING (C>36)
LATH, PLASTER (C-.35:1
:DRYWALL (C-9)-
� GL��
�� �` 5--
HVAC (:C-20)
ELECTRICAL (C-1 a).
_ —
GL2 S r
ROOFING (0=39:):::
Cow yi
SHEET METAL (:G-.43):
.. ........
FLQD:RING (C-'15.)
GLAZING (:C=97) ' ..
INSUL ATI.C)IIL (C=a.)
SEWAGE DISP. (C-42).
PAINTING (C-33:)��J
�o
CERAMIC TI.L.E: (C=54:)
CABINETS f C-6).
i
FENCING (.0 .3)
LANDSCAPING (,C•27)
� 7
POOL (C-53)
Classification L
(e.g. A, B, C-8)
01
Contractor's License.... Campensa.tivn Irisuran�e8u�i.ness License
icense Number Exp. Date Carrier Name Policy Number Exp. Date License Number Exp. Date
(xxxxxx) (xx/xx/xx) (e.g. State Fund, CalComp) (Format Varies) (xx/xx/xx) (xxxx) (xx/xx/xx)
/T [3la l
_EV�F.F)
+CITY OF LA QU NTA