CITY OF OCEANSIDE
DEVELOPMENT SERVICES
300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  7/14/2021
Expiration Date: 
Permit No:  BLDG21-3015
Permit Type:  BLD MISC STRUCTURE
Site Address:  OCEANSIDE BLVD OCEANSIDE, CA 92056 Site APN:  1610302000
Subdivision:  PARCEL MAP NO 17266 Site Block: 
Site Lot:  Valuation:  $42,870.00
Site Tract:  Permit Status:  FINALED
Description of Work:
1,300SF FREESTANDING TRELLIS SHADE STRUCTURE
 
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 # 
SPRINKLER 
REDEV AREA 
HOT WATER CONSERVATION 
FLOOD ZONEX
COASTAL ZONE 
OCC GROUPU
TYPE CONSTVB
USE CODE 
EXISTING BLDG SF 
OCC LOAD 
UNITS0
STATE CODE EDITION2019
BLDG SF0
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 DR, #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
60 SETBACKS   
110 FOOTINGSPASS11/5/2021ERIC WYNGAARDEN
495 PLB UNDERGROUND   
305 FRAME (W/M,P&E)   
320 DIAPRAGM NAILING   
605 INSULATION   
705 WALL BOARD   
730 LATH   
485 GAS TEST   
550 METER RELEASE   
**905 FINAL SFRPASS9/28/2022ERIC WYNGAARDEN
Fees:
DescriptionAmountReceipt #Paid Date
HOURLY PLAN REVIEW FEE$427.58169407507/14/2021
FIRE- PLANS INITIAL SUBMITTAL$222.00169407507/14/2021
PLN-REVIEW OF BUILDING PERMIT$158.00169407507/14/2021
HOURLY INSPECTION FEE$704.88174550809/29/2021
PERMIT IMAGING SURCHARGE$5.00174550809/29/2021
PLAN IMAGING SURCHARGE$12.00174550809/29/2021
BLD-SB 1473 GREEN TAX$2.00174550809/29/2021
PERMIT TECHNOLOGY SURCHARGE$14.10174550809/29/2021
GENERAL PLAN SURCHARGE 10%$70.45174550809/29/2021
FIRE- INSPECTION -BLD MISC$176.00174550809/29/2021
SMIP - COMMERCIAL$12.00174550809/29/2021

TOTAL FEES: $1,804.01
TOTAL FEES PAID: $1,804.01
TOTAL FEES DUE: $0.00
*BLDG21-3015*