CITY OF OCEANSIDE
DEVELOPMENT SERVICES

300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  6/10/2021
Expiration Date: 
Permit No:  BLDG21-2509
Permit Type:  BLD MASONRY WALL
Site Address:  PA 2 -OCEANSIDE BLVD & MELROSE OCEANSIDE Site APN:  1610301900
Subdivision:  PARCEL MAP NO 17266 Site Block: 
Site Lot:  Valuation:  $75,000.00
Site Tract:  Permit Status:  FINALED

Description of Work:
PA 2 - 625' BLOCK WALL, ENTRY MONUMENT, PILASTERS & FENCING
 
Contractor: TRUMARK CONSTRUCTION SERVICES INC
Address: 3001 BISHOP DR STE 100
SAN RAMON CA 94583
Phone: (925) 999-3950
Technical Information:
CaptionValue
PLAN ID # 
PERMIT # 
BIN #ELECTRONIC
SPRINKLER 
REDEV AREA 
HOT WATER CONSERVATION 
FLOOD ZONEX
COASTAL ZONE 
OCC GROUP 
TYPE CONSTV
USE CODE020
EXISTING BLDG SF 
OCC LOAD 
UNITS0
STATE CODE EDITION2019
BLDG SF625
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:  TH MELROSE OCEANSIDE, LLC
Address:  3001 BISHOP DRIVE #100
SAN RAMON CA 94583
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
105 FOOTINGSPARTIAL7/29/2021MICHAEL TROSTRUD
105 FOOTINGSPARTIAL9/10/2021MARC PROSI
210 CMU REBARPARTIAL10/22/2021ERIC WYNGAARDEN
105 FOOTINGSNO INSPECTION10/28/2021MICHAEL TROSTRUD
105 FOOTINGSPARTIAL11/9/2021ERIC WYNGAARDEN
**920F FINALPASS9/28/2022ERIC WYNGAARDEN
105 FOOTINGSNOT READY7/27/2021MICHAEL TROSTRUD
210 CMU REBARPASS10/15/2021ERIC WYNGAARDEN
105 FOOTINGS 9/8/2021 
110 FOOTINGSPARTIAL9/24/2021ERIC WYNGAARDEN
105 FOOTINGSPASS10/29/2021MICHAEL TROSTRUD
210 CMU REBARPASS11/15/2021MICHAEL TROSTRUD
105 FOOTINGSPASS8/2/2021MICHAEL TROSTRUD
Fees:
DescriptionAmountReceipt #Paid Date
MASONRY WALL PLAN CHECK$245.63167444606/17/2021
PLN-REVIEW OF BUILDING PERMIT$158.00168545407/02/2021
BLD-SB 1473 GREEN TAX$3.00168545407/02/2021
PERMIT IMAGING SURCHARGE$5.00168545407/02/2021
PLAN IMAGING SURCHARGE$24.00168545407/02/2021
CUSTOM MASONRY WALL 401-800$754.29168545407/02/2021
PERMIT TECHNOLOGY SURCHARGE$15.09168545407/02/2021
GENERAL PLAN SURCHARGE 10%$75.43168545407/02/2021

TOTAL FEES: $1,280.44
TOTAL FEES PAID: $1,280.44
TOTAL FEES DUE: $0.00
*BLDG21-2509*