eTRAKiT Permit

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

Applied Date:	4/20/2016
Expiration Date:
Permit No:	BLDG16-1292
Permit Type:	BLD CELL SITE

Site Address:

5110 1/2 ALAMOSA PARK DR OCEANSIDE

Site APN:

1581310100

Subdivision:

LA COLINA FARMS UNIT # 1 POR REVERTED TO ACREAGE

Site Block:

Site Lot:

Valuation:

$175,000.00

Site Tract:

Permit Status:

FINALED

Description of Work:

VERIZON CELL SITE -


Contractor:	MOTIVE ENERGY TELECOMMUNICATIONS GROUP I
Address:	12320 ST PAUL CIRCLE CORONA CA 92883
Phone:	(714) 888-2525

Technical Information:

Caption	Value
PLAN ID #
PERMIT #
BIN #
SPRINKLER
REDEV AREA
HOT WATER CONSERVATION
FLOOD ZONE	X
COASTAL ZONE
OCC GROUP	U
TYPE CONST	V-B
USE CODE	025
EXISTING BLDG SF
OCC LOAD
UNITS	0
STATE CODE EDITION	2013
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:	CITY OF OCEANSIDE
Address:	PUBLIC AGENCY
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
505 ELEC UNDERGROUND	PASS	6/20/2017	MARC PROSI
120 FOOTINGS	PASS	6/22/2017	MARC PROSI
210 CMU REBAR	PASS	6/28/2017	DAVID STURGILL
505 ELEC UNDERGROUND	PARTIAL	6/16/2017	DAVID STURGILL
525 ELECT ROUGH
550 METER RELEASE	PASS	8/25/2017	BING COSBY
900 FIRE FINAL	PASS	9/6/2017	RON OWENS
**915 FINAL COMMER	PASS	9/6/2017	BING COSBY
210 CMU REBAR	PASS	6/27/2017	DAVID STURGILL
120 FOOTINGS	PASS	7/14/2017	DAVID STURGILL
505 ELEC UNDERGROUND	PASS	8/23/2017	MARC PROSI

Fees:

Description	Amount	Receipt #	Paid Date
FIRE - PLAN REVIEW	$119.00	420445	04/20/2016
FIRE- FINAL INSPECTION	$119.00	420445	04/20/2016
COMMERCIAL COMPLEX MPE PLAN CHECK	$937.98	420445	04/20/2016
PLN-REVIEW OF BUILDING PERMIT	$158.00	420445	04/20/2016
HOURLY PLAN REVIEW FEE	$427.58	538760	05/24/2017
COMMERCIAL COMPLEX MPE PERMIT	$584.75	538760	05/24/2017
PLAN IMAGING SURCHARGE	$126.00	538760	05/24/2017
PERMIT IMAGING SURCHARGE	$5.00	538760	05/24/2017
GENERAL PLAN SURCHARGE 10%	$58.48	538760	05/24/2017
PERMIT TECHNOLOGY SURCHARGE	$11.70	538760	05/24/2017

TOTAL FEES:	$2,547.49
TOTAL FEES PAID:	$2,547.49
TOTAL FEES DUE:	$0.00

*BLDG16-1292*