CITY OF OCEANSIDE
DEVELOPMENT SERVICES
300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  11/22/2022
Expiration Date:  11/21/2027
Permit No:  BLDG22-2397
Permit Type:  BLD RES REMODEL
Site Address:  1466 BURROUGHS ST OCEANSIDE, CA 92054-5431 Site APN:  1523010700
Subdivision:  PARCEL MAP NO 11865 Site Block: 
Site Lot:  Valuation:  $100,000.00
Site Tract:  Permit Status:  ISSUED
Description of Work:
KITCHEN REMODEL. REMOVE EXISTING BAY WINDOW,
 
Contractor: B A WORTHING INC.
Address: 5145 AVENIDA ENCINAS STE I
CARLSBAD CA 92018
Phone: (760) 729-3965
Technical Information:
CaptionValue
PLAN ID # 
PERMIT #BLDG22-2397
BIN #ELEC
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 SF140
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:  NEMETH THOMAS J III&SUSAN M
Address:  1466 BURROUGHS ST
OCEANSIDE CA 92054
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
505 ELEC UNDERGROUNDPASS10/7/2025BING COSBY
315 FRAMEPASS11/3/2025BING COSBY
425 PLUMB ROUGHPASS11/3/2025BING COSBY
525 ELECT ROUGHPASS11/3/2025BING COSBY
455 MECHANICAL ROUGHPASS11/3/2025BING COSBY
605 INSULATIONPASS11/6/2025MARK WILLIAMS
485 GAS TESTPASS11/13/2025BING COSBY
730 LATHPASS11/12/2025BING COSBY
705 WALL BOARDPASS11/12/2025BING COSBY
**905 FINAL SFRCORRECTIONS3/10/2026BING COSBY
**905 FINAL SFR 3/11/2026 
495 PLB UNDERGROUNDPASS10/7/2025BING COSBY
305 FRAME (W/M,P&E)   
320 DIAPRAGM NAILING   
605 INSULATION   
705 WALL BOARD   
485 GAS TEST   
550 METER RELEASE   
**905 FINAL SFR   
Fees:
DescriptionAmountReceipt #Paid Date
PERMIT RE-ISSUANCE FEE/CHANGE OF CNTRCTR$31.84262432710/09/2025
REMODEL PLAN CHECK STRUCTURAL$225.75201997211/22/2022
REMODEL INSPECTION STRUCTURAL$409.50207257602/14/2023
BLD-SB 1473 GREEN TAX$4.00207257602/14/2023
SMIP - RESIDENTIAL$13.00207257602/14/2023
PERMIT TECHNOLOGY SURCHARGE$8.19207257602/14/2023
GENERAL PLAN SURCHARGE 10%$40.95207257602/14/2023
PERMIT IMAGING SURCHARGE$5.00207257602/14/2023
PLAN IMAGING SURCHARGE$21.00207257602/14/2023

TOTAL FEES: $759.23
TOTAL FEES PAID: $759.23
TOTAL FEES DUE: $0.00
*BLDG22-2397*