CITY OF OCEANSIDE
DEVELOPMENT SERVICES
300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  6/2/2023
Expiration Date: 
Permit No:  BLDG23-1079
Permit Type:  BLD RES REMODEL
Site Address:  3621 VISTA CAMPANA S 88 OCEANSIDE, CA 92057-8214 Site APN:  1602412000
Subdivision:  OCEANA UNIT#08 Site Block: 
Site Lot:  Valuation:  $50,000.00
Site Tract:  Permit Status:  FINALED
Description of Work:
REWIRE, R/R W.H. & FAU, NEW AC, R/R DRYWALL & INSULATION
 
Contractor:
Address:
Phone:
Technical Information:
CaptionValue
PLAN ID # 
PERMIT # 
BIN # 
SPRINKLER 
REDEV AREA 
HOT WATER CONSERVATION 
FLOOD ZONE 
COASTAL ZONE 
OCC GROUP 
TYPE CONST 
USE CODE 
EXISTING BLDG SF 
OCC LOAD 
UNITS0
STATE CODE EDITION 
BLDG SF1400
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:  MEAD-GOYETTE JACQUELINE A 2018 TRUST 03-06-18
Address:  3621 VISTA CAMPANA S #88
92057
Phone:  (209) 603-0627
 
 
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
**920F FINALCORRECTIONS1/17/2024MARK WILLIAMS
530 ELECT ROUGHFAILED7/24/2023BING COSBY
605 INSULATIONPASS8/11/2023CHRIS BABCOCK
705 WALL BOARDPASS8/18/2023DUSTIN STOTLER
305 FRAME (W/M,P&E)PASS8/9/2023BING COSBY
**920F FINALPASS5/23/2024CHRIS BABCOCK
**920F FINALNO ENTRY2/1/2024ERIC WYNGAARDEN
OTHERPASS2/9/2024MICHAEL TROSTRUD
**920F FINALNOT READY2/21/2024CHRIS BABCOCK
Fees:
DescriptionAmountReceipt #Paid Date
MPE GEN PLAN UPDATE-SIMPLE$18.36213810406/02/2023
PERMIT IMAGING SURCHARGE$5.00213810406/02/2023
RESIDENTIAL SIMPLE MPE PERMIT$183.61213810406/02/2023
PERMIT TECHNOLOGY SURCHARGE- SIMPLE$3.67213810406/02/2023
BLD-SB 1473 GREEN TAX$2.00213810406/02/2023
HOURLY INSPECTION FEE$528.66214734906/15/2023

TOTAL FEES: $741.30
TOTAL FEES PAID: $741.30
TOTAL FEES DUE: $0.00
*BLDG23-1079*