CITY OF OCEANSIDE
DEVELOPMENT SERVICES
300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  5/15/2023
Expiration Date: 
Permit No:  BLDG23-0957
Permit Type:  BLD ACCESSORY DWELLING
Site Address:  440 N CLEVELAND ST OCEANSIDE, CA 92054-2523 Site APN:  1473601000
Subdivision:  CLEVELAND STREET HOUSING PROJECT Site Block: 
Site Lot:  Valuation:  $70,000.00
Site Tract:  Permit Status:  FINALED
Description of Work:
CONVERT 399 S.F. OF EX RESIDENCE TO JADU, REMODEL 100 S.F. O
 
Contractor:
Address:
Phone:
Technical Information:
CaptionValue
PLAN ID # 
PERMIT # 
BIN #ELECTRONIC
SPRINKLER 
REDEV AREA 
HOT WATER CONSERVATION 
FLOOD ZONEX
COASTAL ZONE 
OCC GROUPR3
TYPE CONSTVB
USE CODE021
EXISTING BLDG SF 
OCC LOAD 
UNITS0
STATE CODE EDITION2022
BLDG SF499
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:  STEVENS DAVID TRUST 01-27-22
Address:  440 N CLEVELAND ST
92054
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:
TypeResultDateInspector
**920F FINALPASS4/25/2024BING COSBY
110 FOOTINGS   
310 FRAME (W/M.P.E)PASS1/23/2024BING COSBY
340 SHEAR & DIAPHRAGM   
410 PLB UNDERGROUNDPASS10/19/2023BING COSBY
425 PLUMB ROUGHPASS11/14/2023BING COSBY
455 MECHANICAL ROUGH   
550 METER RELEASE   
620 INSULATION   
710 WALL BOARDPASS2/13/2024BING COSBY
315 FRAMEPASS1/10/2024BING COSBY
730 LATHPASS1/10/2024BING COSBY
SHOWER PANPASS3/11/2024BING COSBY
Fees:
DescriptionAmountReceipt #Paid Date
WTR RMDL PLAN CHECK NON-STRUCT$68.91213142905/19/2023
REMODEL PLAN CHECK NON-STRUCT$459.42213142905/19/2023
PLN-REVIEW OF BUILDING PERMIT$158.00213142905/19/2023
FIRE- PLANS INITIAL SUBMITTAL$272.00213142905/19/2023
BLD-SB 1473 GREEN TAX$3.00220310109/14/2023
PLAN CHECK TECHNOLOGY SURCHARGE$9.19220310109/14/2023
PERMIT TECHNOLOGY SURCHARGE$15.99220310109/14/2023
REMODEL INSPECTION NON-STRUCT$799.72220310109/14/2023
PLAN IMAGING SURCHARGE$12.00220310109/14/2023
PERMIT IMAGING SURCHARGE$5.00220310109/14/2023
GENERAL PLAN SURCHARGE 10%$79.97220310109/14/2023

TOTAL FEES: $1,883.20
TOTAL FEES PAID: $1,883.20
TOTAL FEES DUE: $0.00
*BLDG23-0957*