CITY OF OCEANSIDE
DEVELOPMENT SERVICES

300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  4/5/2017
Expiration Date:  5/18/2021
Permit No:  BLDG17-0767
Permit Type:  BLD SFD OR DUPLEX
Site Address:  4124 VIA DEL REY 8 OCEANSIDE Site APN:  1580701700
Subdivision:  Site Block: 
Site Lot:  Valuation:  $153,147.00
Site Tract:  Permit Status:  ISSUED

Description of Work:
PH 1 PEPPER TREE PLAN 1C NEW SFD - UNIT 8
 
Contractor: BEAZER HOMES HOLDINGS CORP
Address: 1731 E ROSEVILLE PKWY #140
ROSEVILLE CA
Phone:
Technical Information:
CaptionValue
PLAN ID # 
PERMIT # 
BIN # 
SPRINKLER1
REDEV AREA 
HOT WATER CONSERVATION 
FLOOD ZONEA99
COASTAL ZONE 
OCC GROUPR-2
TYPE CONSTVB
USE CODE001
EXISTING BLDG SF 
OCC LOAD 
UNITS0
STATE CODE EDITION2016
BLDG SF2193
NO STORIES2
ELECTRIC RELEASED BY 
NOTIFIED SDGE BYEMAIL
DATE ELECTRIC RELEASED9/13/2017
ELECTRIC RELEASE TYPE 
TYPE OF BUILDING 
GAS RELEASED BY 
NOTIFIED SDGE BYEMAIL
DATE GAS RELEASED9/13/2017
GAS RELEASE TYPENEW (NEW SERVICE)
WDID # 
 
Owner:  SLV CA 1, LLC
Address:  310 COMMERCE, SUITE 150
NEWPORT BEACH CA 92602
Phone:  (714) 782-4271
 
 
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
495 PLB UNDERGROUNDPASS5/26/2017CHRIS BABCOCK
322 DIAPRAGM SHEARNOT READY7/12/2017BING COSBY
323 DIAPRAGM ROOFPASS7/12/2017BING COSBY
322 DIAPRAGM SHEARPASS7/13/2017BING COSBY
310 FRAME (W/M.P.E)PASS7/28/2017BING COSBY
605 INSULATION 8/1/2017 
705 WALL BOARDPASS8/4/2017BING COSBY
730 LATHNOT READY8/4/2017BING COSBY
730 LATHPASS8/8/2017BING COSBY
485 GAS TESTPASS9/5/2017CHRIS BABCOCK
550 METER RELEASENOT READY9/11/2017BING COSBY
552 METER RELEASE   
550 METER RELEASEPASS9/12/2017BING COSBY
552 METER RELEASEPASS9/12/2017BING COSBY
**905 FINAL SFRPASS10/26/2017BING COSBY
60 SETBACKSPASS6/7/2017STEVE JONES
110 FOOTINGSPASS6/7/2017BING COSBY
495 PLB UNDERGROUND   
305 FRAME (W/M,P&E)   
605 INSULATIONPASS7/31/2017STEVE JONES
705 WALL BOARD   
730 LATH   
485 GAS TEST   
550 METER RELEASE   
991 LANDSCAPINGPASS10/26/2017 
992 STREET LIGHTINGPASS10/26/2017STEVE KEMP
993 ENGINEERINGPASS10/26/2017STEVE KEMP
996 WATER UTILITIESPASS10/26/2017JOSE PRECIADO
997 PLANNING   
**905 FINAL SFR   
900 FIRE FINALPASS10/26/2017RON OWENS
Fees:
DescriptionAmountReceipt #Paid Date
BLD-CERTIFICATE OF OCCUPANCY$40.0061633610/26/2017
PLN-REVIEW OF BUILDING PERMIT$158.0052446604/06/2017
SFD/DUPLEX PRODUCTION PLAN CHECK$629.8652446604/06/2017
FIRE SFD/DUP TRACT PC$125.9752446604/06/2017
ENG- FEMA ELEVATION CERTIFCATE$255.0053594205/15/2017
PUBLIC FACILITY RESIDENTIAL$2,621.0053594205/15/2017
PARK - RESIDENTIAL ONLY$4,431.0053594205/15/2017
SFD/DUPLEX PRODUCTION PERMIT$3,175.7253594205/15/2017
PERMIT IMAGING SURCHARGE$5.0053594205/15/2017
GENERAL PLAN SURCHARGE$317.5753594205/15/2017
PLAN CHECK TECHNOLOGY SURCHARGE$12.6053594205/15/2017
PERMIT TECHNOLOGY SURCHARGE$63.5153594205/15/2017
RESIDENTIAL SMIP$39.0053594205/15/2017
SB 1473 GREEN TAX$7.0053594205/15/2017
FIRE SFD/DUP TRACT INSP$635.1453594205/15/2017

TOTAL FEES: $12,516.37
TOTAL FEES PAID: $12,516.37
TOTAL FEES DUE: $0.00
*BLDG17-0767*