DRVA2019-0003 Revision 1tom! Q"(ra
PERMIT # 2.0
PLAN LOCATION;
Project Address-
p
C 4( rIt NL /4- �i�-V
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN#:
W ty Y,h C SS' I -C N E"v
Applicant Name:
Address:
City, ST, Zip:
Telephone:
Email:
Valuation of Project S
Contractor Name: /
r _/p n 0_'�
Cj
New SFD Construction:
Address: C Z X. s
Conditioned Space SF
City, St, Zip .�,U �l^ CA
c?2-z- O Z
Garage SF
Telephone: (76cj 57 9_ 7 7 C F
Patio/Porch SF
Email: 6:_ _
Fire Sprinklers SF
State Lic: ZV City Bus Lic:
010 G -7 7 C-?
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Email:
Bedrooms; Stories: # Units:
State Lic: City Bus Lic:
Property Owner's Name: k,e\l 1 t\J 21 �Qf � `) �
ew Commercial / Tenant Improvements:
Address: '�3
Building SF
City, ST, Zip - -, . •— -7
Type: Occupancy:
Telephone: - L
u CALLE TAMPICO
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,
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 QUANTA SUB -CONTRACTOR �beRp
LIST
JOB ADDRESS 5 � JI 6, PERMIT NUMBERrJRUAXOIC(-Ccc3OWNER > - 1�1 Va BUILDER �� ���na �'o i�S%f v.� 7`r` d u-
i leis forr7� s(�all be_posted on the job with the 6uilding_Inspection Card at all times in a consoicuousplace. Only persons appearing on this list or their employees are authorized to work Cc
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 competed by applicant. "On File" is not an acceptable response.
Tiade-.L._Classification:.
C:aFIT r...actar,
State,Cvr�tractor`s-.L.icens.�..
Nloricers;Campeslsation. lnsuran:qe -::-
...
Cit-y $usir§ess L4r;ense.
Exp. Date
License Number Exp. Date
Company Name Classification License Number Exp. Date Carrier Name Policy Number
(e.g. A, B, C-8) (xxxxxx)
(xx/hx/xx)
(e.g. State Fund, CalComp) (Format Varies)
(xxlxx/xx)
(xxxx) (xx/xx/xx)
EART-HWORK (:C-12)
Ga d'.
CONCRETE t:C-8)
PRAMLNG::(:C=5)
�E,�r U%�r Cp.? -5
STRUCT- STEEL (G-511>
MASONRY .(C.29:)
PLUMBING (C-3:6:)
LATH:, PLASTER
DRYWALL (C-9).�
HVAC (C-20)
ELECTRI GAL (.G 0)
c�2 S
ROOFING EQ-3- ::
•' Cow 5' r�
,SHEET MRTAL .(C-43): -
FLOORING (.C451
GLAZI:N:G: (G.-17) '
:INSULATIOII(.(C-2)
:SEWAGE. DISP::.(C-42)
��— G'Cc j
�•
PAIINTING: {:C=33:).
CEF3Ai11l.IC TILE. (C=54)
�� Cog � —
CITY OF LA
JINTA
CABIiNETS {:C-6)
Cow
DEPARTM
FENCING (C-13)
LANDSCAPING (C-27.)
P:O D L (C-53 )