CITY OF OCEANSIDE
DEVELOPMENT SERVICES
300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  5/16/2022
Expiration Date:  3/6/2028
Permit No:  BLDG22-1102
Permit Type:  BLD ACCESSORY DWELLING
Site Address:  1941 VALLEY RD OCEANSIDE, CA 92056-3114 Site APN:  1650740900
Subdivision:  HENIE HILLS ESTS Site Block: 
Site Lot:  Valuation:  $310,000.00
Site Tract:  Permit Status:  ISSUED
Description of Work:
820 SF ATTACHED ADU OVER THE EXISTING GARAGE WITH
 
Contractor: MICHAEL H SARKOZY CONSTRUCTION
Address: 126 TURNER AVENUE
ENCINITAS CA 92024
Phone: (619) 508-6826
Technical Information:
CaptionValue
PLAN ID # 
PERMIT #BLDG22-1102
BIN #ELECTRONIC
SPRINKLER 
REDEV AREA 
HOT WATER CONSERVATION 
FLOOD ZONEX
COASTAL ZONE 
OCC GROUPR3
TYPE CONSTVB
USE CODE021
EXISTING BLDG SF 
OCC LOAD 
UNITS0
STATE CODE EDITION2019
BLDG SF1225
NO STORIES2
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:  ELSNER JOHN&LAB-ELSNER JENNIFER LIVING TRUST 11-12-09
Address:  1941 VALLEY RD
OCEANSIDE CA 92056
Phone:  (858) 334-8512
 
 
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
350 FRAMING   
425 PLUMB ROUGH   
210 CMU REBARPASS4/13/2026WILLIAM YARBROUGH
105 FOOTINGSPASS3/5/2026MARC PROSI
50 PRECONPASS9/5/2025MARK WILLIAMS
495 PLB UNDERGROUND   
605 INSULATION   
705 WALL BOARD   
735 LATH   
485 GAS TEST   
555 METER RELEASE   
**905 FINAL SFR   
**900 FIRE FINAL   
321 DIAPRAGM FLOOR   
322 DIAPRAGM SHEAR   
323 DIAPRAGM ROOF   
105 FOOTINGS 4/29/2026 
Fees:
DescriptionAmountReceipt #Paid Date
ROOM ADDITION INSPECTION$1,574.33201401511/10/2022
BLD-SB 1473 GREEN TAX$13.00201401511/10/2022
GENERAL PLAN SURCHARGE 10%$157.43201401511/10/2022
PERMIT TECHNOLOGY SURCHARGE$31.49201401511/10/2022
SMIP - RESIDENTIAL$40.30201401511/10/2022
ROOM ADDITION PLAN CHECK$1,818.10190882606/02/2022
WTR PLAN CHECK ROOM ADDTN$272.72190882606/02/2022
PLN-REVIEW OF BUILDING PERMIT$158.00190882606/02/2022

TOTAL FEES: $4,065.37
TOTAL FEES PAID: $4,065.37
TOTAL FEES DUE: $0.00
*BLDG22-1102*