eTRAKiT Permit

CITY OF OCEANSIDE
DEVELOPMENT SERVICES
300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925

Applied Date:	2/16/2017
Expiration Date:	4/12/2021
Permit No:	BLDG17-0362
Permit Type:	BLD POOL SPA

Site Address:

ACADEMY RD

Site APN:

1580706300

Subdivision:

Site Block:

Site Lot:

Valuation:

$185,000.00

Site Tract:

Permit Status:

EXPIRED

Description of Work:

CONSTRUCT 1,487 SF COMMUNITY POOL & 68 SF SPA FOR PA-3


Contractor:	BEAZER HOMES HOLDINGS CORP
Address:	1731 E ROSEVILLE PKWY #140 ROSEVILLE CA
Phone:

Technical Information:

Caption	Value
PLAN ID #
PERMIT #
BIN #	Q-1
SPRINKLER
REDEV AREA
HOT WATER CONSERVATION
FLOOD ZONE
COASTAL ZONE
OCC GROUP
TYPE CONST
USE CODE
EXISTING BLDG SF
OCC LOAD
UNITS	0
STATE CODE EDITION
BLDG SF	0
NO STORIES	0
ELECTRIC RELEASED BY
NOTIFIED SDGE BY
DATE ELECTRIC RELEASED	12:00:00 AM
ELECTRIC RELEASE TYPE
TYPE OF BUILDING
GAS RELEASED BY
NOTIFIED SDGE BY
DATE GAS RELEASED	12:00:00 AM
GAS RELEASE TYPE
WDID #


Owner:	MISSION LANE OWNERS ASSN
Address:	30212 TOMAS #355 92688
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:

Type	Result	Date	Inspector
820 POOL PLUMBING	PASS	5/15/2017	MARK WILLIAMS
824 POOL STEEL	PASS	5/15/2017	MARK WILLIAMS
828 PREPLASTER	NOT READY	9/20/2017	BING COSBY
828 PREPLASTER	PASS	10/30/2017	BING COSBY
820 POOL PLUMBING
822 POOL ELECTRIC	PARTIAL	5/15/2017	MARK WILLIAMS
826 STEEL BONDING
822 POOL ELECTRIC
820 POOL PLUMBING
822 POOL ELECTRIC	PASS	6/8/2017	MARK WILLIAMS
60 SETBACKS	PASS	5/15/2017	MARK WILLIAMS
820 POOL PLUMBING	NOT READY	5/5/2017	BING COSBY
828 PREPLASTER	PASS	9/7/2017	BING COSBY
824 POOL STEEL	NOT READY	5/12/2017	MARK WILLIAMS
826 STEEL BONDING	PARTIAL	5/15/2017	MARK WILLIAMS
828 PREPLASTER
**920F FINAL
820 POOL PLUMBING	PASS	6/8/2017	MARK WILLIAMS

Fees:

Description	Amount	Receipt #	Paid Date
SWIMMING POOL/SPA PLAN CHECK	$85.28	513657	03/01/2017
PLN-REVIEW OF BUILDING PERMIT	$158.00	513657	03/01/2017
PERMIT IMAGING SURCHARGE	$5.00	526479	04/13/2017
PLAN IMAGING SURCHARGE	$33.00	526479	04/13/2017
BLD-SB 1473 GREEN TAX	$8.00	526479	04/13/2017
SWIMMING POOL/SPA PERMIT	$969.78	526479	04/13/2017
PERMIT TECHNOLOGY SURCHARGE	$19.39	526479	04/13/2017
GENERAL PLAN SURCHARGE 10%	$113.38	526479	04/13/2017

TOTAL FEES:	$1,391.83
TOTAL FEES PAID:	$1,391.83
TOTAL FEES DUE:	$0.00

*BLDG17-0362*