CITY OF OCEANSIDE
DEVELOPMENT SERVICES

300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  1/22/2021
Expiration Date:  6/30/2024
Permit No:  BLDG21-0283
Permit Type:  BLD COMMERCIAL ADDITION
Site Address:  3770 MISSION AVE OCEANSIDE, CA 92058-1416 Site APN:  1583901500
Subdivision:  PARCEL MAP NO 10773 Site Block: 
Site Lot:  Valuation:  $2,500,000.00
Site Tract:  Permit Status:  ISSUED

Description of Work:
STATER BROS EXPANSION AND T.I.
 
Contractor: STATER BROS
Address: PO BOX 150
SAN BERNARDINO CA 92408
Phone: (951) 377-5688
Technical Information:
CaptionValue
PLAN ID # 
PERMIT # 
BIN # 
SPRINKLER1
REDEV AREA 
HOT WATER CONSERVATION 
FLOOD ZONEX
COASTAL ZONE 
OCC GROUPB, M
TYPE CONSTIIIB
USE CODE022
EXISTING BLDG SF 
OCC LOAD529
UNITS0
STATE CODE EDITION2019
BLDG SF10135
NO STORIES0
ELECTRIC RELEASED BY 
NOTIFIED SDGE BY 
DATE ELECTRIC RELEASED12:00:00 AM
ELECTRIC RELEASE TYPE 
TYPE OF BUILDING 
GAS RELEASED BY 
NOTIFIED SDGE BY 
DATE GAS RELEASED12:00:00 AM
GAS RELEASE TYPE 
WDID # 
 
Owner:  R O I C CALIFORNIA L L C
Address:  P O BOX 130339
SAN DIEGO CA 92013
Phone:  
 
 
WORKERS COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
____ I have and will maintain a certificate of consent to self-insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
Policy No. 
____ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are:
Carrier:       Policy Number:       Expiration Date: 
____ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.
License No:    Expiration Date:    Contractor:    Class: 
Inspections:
TypeResultDateInspector
**915 FINAL COMMER   
322 DIAPRAGM SHEARPARTIAL4/20/2022CHRIS BABCOCK
455 MECHANICAL ROUGH   
490 GAS TESTPARTIAL8/8/2022ERIC WYNGAARDEN
900 FIRE FINALPASS2/21/2023RON OWENS
996 WATER UTILITIES   
997 PLANNING   
992 STREET LIGHTING   
FIRE KNOX BOXPASS3/8/2023RON OWENS
750 T BAR CEILINGPARTIAL10/26/2022ERIC WYNGAARDEN
350 FRAMINGPASS10/28/2022ERIC WYNGAARDEN
705 WALL BOARDPASS10/28/2022ERIC WYNGAARDEN
410 PLB UNDERGROUNDPASS11/9/2022ERIC WYNGAARDEN
455 MECHANICAL ROUGHPASS1/6/2023CHRIS BABCOCK
315 FRAMEPARTIAL1/9/2023ERIC WYNGAARDEN
455 MECHANICAL ROUGH   
415 PLB UNDERGROUNDPARTIAL3/23/2022CHRIS BABCOCK
415 PLB UNDERGROUNDNOT READY3/30/2022CHRIS BABCOCK
495 PLB UNDERGROUNDPARTIAL4/14/2022CHRIS BABCOCK
415 PLB UNDERGROUNDPASS4/15/2022CHRIS BABCOCK
415 PLB UNDERGROUNDPASS4/18/2022CHRIS BABCOCK
250 CONCRETE SLABPASS6/8/2022ERIC WYNGAARDEN
120 FOOTINGSPASS6/28/2022ERIC WYNGAARDEN
315 FRAMEPASS7/11/2022ERIC WYNGAARDEN
425 PLUMB ROUGHPARTIAL7/28/2022ERIC WYNGAARDEN
750 T BAR CEILINGPARTIAL7/28/2022ERIC WYNGAARDEN
322 DIAPRAGM SHEARPASS7/28/2022ERIC WYNGAARDEN
310 FRAME (W/M.P.E)PASS8/25/2022ERIC WYNGAARDEN
120 FOOTINGSPASS9/2/2022ERIC WYNGAARDEN
315 FRAMEPASS9/16/2022ERIC WYNGAARDEN
425 PLUMB ROUGHPASS9/16/2022ERIC WYNGAARDEN
525 ELECT ROUGHPASS9/16/2022ERIC WYNGAARDEN
490 GAS TESTPASS9/16/2022ERIC WYNGAARDEN
120 FOOTINGSPASS11/10/2022ERIC WYNGAARDEN
425 PLUMB ROUGHPASS12/1/2022ERIC WYNGAARDEN
530 ELECT ROUGHNOT READY12/1/2022ERIC WYNGAARDEN
425 PLUMB ROUGHPASS12/2/2022ERIC WYNGAARDEN
530 ELECT ROUGHPASS12/2/2022ERIC WYNGAARDEN
750 T BAR CEILINGPASS12/5/2022ERIC WYNGAARDEN
110 FOOTINGSPASS12/29/2022ERIC WYNGAARDEN
210 CMU REBARPASS1/9/2023ERIC WYNGAARDEN
455 MECHANICAL ROUGHPASS1/9/2023ERIC WYNGAARDEN
322 DIAPHRAGM SHEARPASS1/13/2023ERIC WYNGAARDEN
323 DIAPHRAGM ROOFPASS1/13/2023ERIC WYNGAARDEN
555 METER RELEASEPASS1/29/2024ERIC WYNGAARDEN
430 PLUMB MISCPASS5/12/2022CHRIS BABCOCK
210 CMU REBARPASS6/2/2022ERIC WYNGAARDEN
323 DIAPRAGM ROOFPASS6/28/2022ERIC WYNGAARDEN
250 CONCRETE SLABNOT READY9/1/2022BING COSBY
110 FOOTINGSPASS9/27/2022ERIC WYNGAARDEN
305 FRAME (W/M,P&E)PASS10/6/2022ERIC WYNGAARDEN
710 WALL BOARDPASS10/12/2022ERIC WYNGAARDEN
ASPHALT 10/12/2022 
705 WALL BOARDPASS1/6/2023BING COSBY
120 FOOTINGSPASS2/28/2022CHRIS BABCOCK
340 SHEAR & DIAPRAGMPASS3/8/2022CHRIS BABCOCK
350 FRAMINGPASS7/26/2022MARK WILLIAMS
425 PLUMB ROUGHPARTIAL7/26/2022MARK WILLIAMS
735 LATHPASS1/24/2023ERIC WYNGAARDEN
50 PRECONPASS1/4/2024ERIC WYNGAARDEN
455 MECH ROUGH 3/3/2022 
490 GAS TEST 3/3/2022 
**915 FINAL COMM 3/3/2022 
350 FRAMINGPASS3/3/2022CHRIS BABCOCK
992 STREET LIGHTING 3/3/2022 
997 PLANNING 3/3/2022 
250 CONCRETE SLABPASS11/21/2022CHRIS BABCOCK
110 FOOTINGSPASS12/20/2022ERIC WYNGAARDEN
315 FRAMEPASS1/13/2023ERIC WYNGAARDEN
415 PLB UNDERGROUNDPASS3/21/2022BING COSBY
415 PLB UNDERGROUNDPASS3/25/2022MARK WILLIAMS
415 PLB UNDERGROUNDPASS3/29/2022CHRIS BABCOCK
250 CONCRETE SLABPASS5/3/2022CHRIS BABCOCK
322 DIAPRAGM SHEARPASS5/3/2022CHRIS BABCOCK
315 FRAMEFAILED5/10/2022CHRIS BABCOCK
210 CMU REBARPASS5/23/2022ERIC WYNGAARDEN
250 CONCRETE SLABPASS7/14/2022ERIC WYNGAARDEN
620 INSULATIONPARTIAL7/14/2022ERIC WYNGAARDEN
750 T BAR CEILINGPARTIAL8/4/2022ERIC WYNGAARDEN
455 MECHANICAL ROUGHPASS12/22/2022ERIC WYNGAARDEN
415 PLB UNDERGROUNDPASS8/10/2022ERIC WYNGAARDEN
410 PLB UNDERGROUNDPASS8/25/2022ERIC WYNGAARDEN
415 PLB UNDERGROUNDPASS9/22/2022ERIC WYNGAARDEN
715 WALL BOARDPASS9/22/2022ERIC WYNGAARDEN
415 PLB UNDERGROUNDPASS11/16/2022ERIC WYNGAARDEN
705 WALL BOARDPASS12/6/2022ERIC WYNGAARDEN
425 PLUMB ROUGHPASS12/22/2022ERIC WYNGAARDEN
340 SHEAR & DIAPRAGMPARTIAL6/21/2022CHRIS BABCOCK
350 FRAMINGPASS8/24/2022ERIC WYNGAARDEN
425 PLUMB ROUGHNOT READY8/24/2022ERIC WYNGAARDEN
455 MECHANICAL ROUGHPASS1/4/2023DUSTIN STOTLER
315 FRAMEPASS1/4/2023DUSTIN STOTLER
425 PLUMB ROUGHPASS1/4/2023DUSTIN STOTLER
50 PRECONPASS2/24/2022CHRIS BABCOCK
250 CONCRETE SLABPASS5/19/2022ERIC WYNGAARDEN
**915 FINAL COMMERNOT READY3/21/2023ERIC WYNGAARDEN
50 PRECONPASS12/21/2023ERIC WYNGAARDEN
**915 FINAL COMMER   
Fees:
DescriptionAmountReceipt #Paid Date
PLN-REVIEW OF BUILDING PERMIT$158.00157160001/22/2021
FIRE PLAN CHECK -COMM W/INT$1,229.21157160001/22/2021
NEW COMMERCIAL BLDG PLAN CHECK$6,146.05157160001/22/2021
WTR- PLAN CHECK COMM W/INT$921.91157160001/22/2021
PUBLIC FACILITY NON-RESIDENTIAL$9,141.77182082601/21/2022
HOURLY PLAN REVIEW FEE$213.79182082601/21/2022
COMMERCIAL SMIP$728.00182082601/21/2022
FIRE INSPECT- COMM W/INT$1,435.55182082601/21/2022
GENERAL PLAN SURCHARGE$717.78182082601/21/2022
NEW COMMERCIAL BLDG PERMIT$7,177.77182082601/21/2022
PERMIT IMAGING SURCHARGE$5.00182082601/21/2022
PERMIT TECHNOLOGY SURCHARGE$143.56182082601/21/2022
PLAN CHECK TECHNOLOGY SURCHARGE$122.92182082601/21/2022
PLANS IMAGING SURCHARGE$240.00182082601/21/2022
SB 1473 GREEN TAX$100.00182082601/21/2022
HOURLY PLAN REVIEW FEE$213.79182361801/27/2022
RESUBMITTAL$222.00182082601/21/2022
RESUBMITTAL$222.00182082601/21/2022
RESUBMITTAL$222.00182082601/21/2022

TOTAL FEES: $29,361.10
TOTAL FEES PAID: $29,361.10
TOTAL FEES DUE: $0.00
*BLDG21-0283*