CITY OF OCEANSIDE
DEVELOPMENT SERVICES

300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  12/14/2016
Expiration Date:  4/26/2021
Permit No:  BLDG16-3534
Permit Type:  BLD COMMERCIAL NEW
Site Address:  4140 VIA DEL REY OCEANSIDE, CA 92057 Site APN: 
Subdivision:  Site Block: 
Site Lot:  Valuation:  $100,300.00
Site Tract:  Permit Status:  EXPIRED

Description of Work:
PEPPER TREE - NEW 590 SQ. FT. POOL BLDG-VILLA STORIA PA 3
 
Contractor: BEAZER HOMES HOLDINGS LLC
Address: 2710 N GATEWAY OAKS DRIVE #190
SACRAMENTO CA 95833
Phone: (916) 773-3888
Technical Information:
CaptionValue
PLAN ID # 
PERMIT # 
BIN #P-1
FIRE SPRINKLER1
FLOOD ZONEX
REDEV AREA 
COASTAL ZONE 
OCC GROUPU
SAND OIL INTRCPTR 
TYPE CONSTVb
OCC LOAD 
UNITS0
EXISTING BLDG SF 
STATE CODE EDITION2016
GREASE INTRCPTR 
BLDG SF590
NO STORIES1
ELECTRIC RELEASED BY 
NOTIFIED SDGE BYEMAIL
DATE ELECTRIC RELEASED10/30/2017
ELECTRIC RELEASE TYPENEW (NEW SERVICE)
TYPE OF BUILDINGCOM (COMMERCIAL)
GAS RELEASED BY 
NOTIFIED SDGE BYEMAIL
DATE GAS RELEASED11/3/2017
GAS RELEASE TYPENEW (NEW SERVICE)
WDID # 
 
Owner:  SLV CA 1, LLC
Address:  310 COMMERCE, STE 150
IRVINE CA 92602
Phone:  (714) 782-4271
 
 
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
ENG WATER 7/19/2017 
120 FOOTINGSNOT READY5/26/2017CHRIS BABCOCK
120 FOOTINGSPASS6/22/2017BING COSBY
**915 FINAL COMMER   
321 DIAPRAGM FLOOR 7/14/2017 
323 DIAPRAGM ROOFPASS7/14/2017BING COSBY
410 PLB UNDERGROUNDPASS5/15/2017MARK WILLIAMS
991 LANDSCAPING   
993 ENGINEERING   
330 SHEAR & DIAPRAGMNOT READY7/14/2017BING COSBY
455 MECH ROUGHPASS7/27/2017BING COSBY
525 ELECT ROUGHPASS7/27/2017BING COSBY
620 INSULATION   
715 WALL BOARDNOT READY8/8/2017BING COSBY
740 LATHPASS8/16/2017BING COSBY
750 T BAR CEILING   
555 METER RELEASEPASS10/30/2017BING COSBY
900 FIRE FINAL   
50 PRECON   
120 FOOTINGSPARTIAL5/12/2017MARK WILLIAMS
505 ELEC UNDERGROUNDPASS5/23/2017BING COSBY
315 FRAMENOT READY7/14/2017BING COSBY
425 PLUMB ROUGHPASS7/27/2017BING COSBY
120 FOOTINGSNOT READY5/31/2017BING COSBY
322 DIAPRAGM SHEARPASS7/27/2017BING COSBY
Fees:
DescriptionAmountReceipt #Paid Date
PLN-REVIEW OF BUILDING PERMIT$158.0049976001/13/2017
BLD-SB 1473 GREEN TAX$5.0049976001/13/2017
RESIDENTIAL REMODEL STRUCTURAL PC >499$459.4249976001/13/2017
PLAN CHECK$119.0049976001/13/2017
FINAL INSPECTION$119.0049976001/13/2017
NEW COMMERCIAL BLDG PLAN CHECK$5,251.4352650204/13/2017
FIRE PLAN CHECK -COMM W/INT$1,023.1952650204/13/2017
FIRE INSPECT- COMM W/INT$1,006.1852650204/13/2017
NEW COMMERCIAL BLDG PERMIT$5,625.9052650204/13/2017
PERMIT IMAGING SURCHARGE$5.0052650204/13/2017
PLANS IMAGING SURCHARGE$57.0052650204/13/2017
GENERAL PLAN SURCHARGE$562.5952650204/13/2017
PLAN CHECK TECHNOLOGY SURCHARGE$114.2252650204/13/2017
PERMIT TECHNOLOGY SURCHARGE$112.5252650204/13/2017
COMMERCIAL SMIP$84.0052650204/13/2017
SB 1473 GREEN TAX$5.0052650204/13/2017
PUBLIC FACILITY NON-RESIDENTIAL$532.1852650204/13/2017
ENG- FEMA ELEVATION CERTIFCATE$255.0055486307/13/2017
HOURLY PLAN REVIEW FEE$106.9055486307/13/2017

TOTAL FEES: $15,601.53
TOTAL FEES PAID: $15,601.53
TOTAL FEES DUE: $0.00
*BLDG16-3534*