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Site Address:
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1751 LAURELWOOD WAY OCEANSIDE
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Site APN:
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1610301900
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Subdivision:
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PARCEL MAP NO 17266
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Site Block:
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Site Lot:
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Valuation:
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Site Tract:
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Permit Status:
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PAID
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Description of Work:
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NEW 2" MFR WM - MELROSE HEIGHTS PA3 BLDG16&17
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Contractor:
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TRUMARK CONSTRUCTION SERVICES INC
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Address:
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3001 BISHOP DR STE 100
SAN RAMON CA 94583
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Phone:
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(925) 999-3950
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Technical Information:
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| FIRE SPRINKLER | YES |
| INSTALL DATE | 6/29/2023 |
| INSTALLER | IVAN SOSA |
| NOTES | 1751 Laurelwood Way (Water Meter)
1753,1755,1757,1759,1761,1763,1749,1747,1745,1743,1741 Laurelwood Way |
| ADDTL ADDRESSES | 1751 Laurelwood Way (Water Meter)
1753,1755,1757,1759,1761,1763,1749,1747,1745,1743,1741 Laurelwood Way |
| METER LOCATION COMMENT | |
| METER/SERIAL # | 61259387 |
| METER SIZE | 0200 |
| METER TYPE | POSITIVE DISPLACEMENT |
| METER MODEL | Mach 10 |
| METER MAKER | Neptune |
| RADIO ID | 701322642 |
| CUSTOMER ID | |
| LOCATION ID | |
| FIRE SERVICE | NO |
| UNIT COUNT | 12 |
| WET BAR | NO |
| SEWER RATE CLASS | MF- W/IRR MTR |
| READ CYCLE | 11 |
| READ ROUTE | 06 |
| READ SEQUENCE | 25495 |
| RATE CLASS | MF-MULTI FAMILY RESIDENTIAL |
| ACCESSORY DWELLING UNIT | NO |
| SERVICE CODE | BO |
| LAST METER NUMBER | |
| LAST REGISTER ID | |
| LAST READ | |
| LAST METER SIZE | |
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Owner:
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TH MELROSE OCEANSIDE LLC
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Address:
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3001 BISHOP DR STE 100
SAN RAMON CA 94583
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Phone:
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(925) 999-3950
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WORKERS COMPENSATION DECLARATION
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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.
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LICENSED CONTRACTOR'S DECLARATION
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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:
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Fees:
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| METER ONLY FEE | $2,546.00 | 2143921 | 06/09/2023 |
| SDCWA CAPACITY CHARGE | $29,640.00 | 2143921 | 06/09/2023 |
| SDCWA WTR TREAT CAP CHRG | $827.00 | 2143921 | 06/09/2023 |
| WASTEWATER BUY-IN FEE | $62,354.00 | 2143921 | 06/09/2023 |
| WATER BUY-IN FEE | $45,440.00 | 2143921 | 06/09/2023 |
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TOTAL FEES:
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$140,807.00
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TOTAL FEES PAID:
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$140,807.00
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TOTAL FEES DUE:
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$0.00
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