eTRAKiT Permit

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

Applied Date:	4/18/2017
Expiration Date:
Permit No:	WTR17-0097
Permit Type:	WATER COMMERCIAL

Site Address:

4140 VIA DEL REY OCEANSIDE, CA 92057

Site APN:

Subdivision:

Site Block:

Site Lot:

Valuation:

Site Tract:

Permit Status:

PAID

Description of Work:

NEW 3/4" MTR CL - PEPPER TREE POOL BLDG-VILLA STORIA PA 3


Contractor:	BEAZER HOMES HOLDINGS CORP
Address:	1731 E ROSEVILLE PKWY #140 ROSEVILLE CA
Phone:	(916) 773-3888

Technical Information:

Caption	Value
FIRE SPRINKLER	NO
INSTALL DATE	9/22/2017
INSTALLER	BRYAN BROOKS
NOTES
ADDTL ADDRESSES
METER LOCATION COMMENT
METER/SERIAL #	80983369
METER SIZE	0034
METER TYPE	POSITIVE DISPLACEMENT
METER MODEL	SRII
METER MAKER	Sensus
RADIO ID	74507609
CUSTOMER ID	339601
LOCATION ID	190166
FIRE SERVICE	NO
UNIT COUNT	1
WET BAR
SEWER RATE CLASS	CL- COMM LOW
READ CYCLE	15
READ ROUTE	06
READ SEQUENCE	12050
RATE CLASS	CO-COMMERCIAL
ACCESSORY DWELLING UNIT
SERVICE CODE	BO
LAST METER NUMBER
LAST REGISTER ID
LAST READ
LAST METER SIZE


Owner:
Address:
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:

Fees:

Description	Amount	Receipt #	Paid Date
METER ONLY FEE	$618.00	530334	04/26/2017
WATER BUY IN FEE	$8,520.00	530334	04/26/2017
SDCWA CAPACITY CHARGE	$5,029.00	530334	04/26/2017
SDCWA WTR TREAT CAP CHRG	$128.00	530334	04/26/2017
WASTEWATER BUY-IN FEE	$11,691.00	530334	04/26/2017

TOTAL FEES:	$25,986.00
TOTAL FEES PAID:	$25,986.00
TOTAL FEES DUE:	$0.00

*WTR17-0097*