eTRAKiT Permit

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

Applied Date:	6/6/2017
Expiration Date:	7/4/2020
Permit No:	BLDG17-1317
Permit Type:	BLD RESIDENTIAL PME

Site Address:

4142 VIA DEL REY OCEANSIDE

Site APN:

1580701700

Subdivision:

Site Block:

Site Lot:

Valuation:

$45,000.00

Site Tract:

Permit Status:

EXPIRED

Description of Work:

3 TRELLISES & GAS BBQ FOR POOL AREA


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

Technical Information:

Caption	Value
PLAN ID #
PERMIT #
BIN #	A-2
SPRINKLER
REDEV AREA
HOT WATER CONSERVATION
FLOOD ZONE	A99
COASTAL ZONE
OCC GROUP	R3
TYPE CONST	VB
USE CODE	021
EXISTING BLDG SF
OCC LOAD
UNITS	0
STATE CODE EDITION	2016
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:	SLV CA 1, LLC
Address:	310 COMMERCE, STE 150 NEWPORT BEACH CA 92602
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
**985 GAS TEST & FIN
410 PLB UNDERGROUND
110 FOOTINGS	PASS	7/14/2017	BING COSBY
350 FRAMING
805 PRE-ROOF
**905 FINAL SFR

Fees:

Description	Amount	Receipt #	Paid Date
CUSTOM PATIO COVER PLAN CHECK	$138.73	551784	07/05/2017
CUSTOM PATIO COVER PERMIT >500 SF	$367.26	551784	07/05/2017
BLD-SB 1473 GREEN TAX	$2.00	551784	07/05/2017
PERMIT IMAGING SURCHARGE	$5.00	551784	07/05/2017
PLAN IMAGING SURCHARGE	$15.00	551784	07/05/2017
PLN-REVIEW OF BUILDING PERMIT	$158.00	551784	07/05/2017
PERMIT TECHNOLOGY SURCHARGE	$11.02	551784	07/05/2017
GENERAL PLAN SURCHARGE 10%	$55.09	551784	07/05/2017
RESIDENTIAL SIMPLE MPE PERMIT	$183.61	551784	07/05/2017

TOTAL FEES:	$935.71
TOTAL FEES PAID:	$935.71
TOTAL FEES DUE:	$0.00

*BLDG17-1317*