CITY OF OCEANSIDE
DEVELOPMENT SERVICES

300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  3/2/2017
Expiration Date: 
Permit No:  BLDG17-0456
Permit Type:  BLD SFD OR DUPLEX
Site Address:  4138 VIA DEL REY OCEANSIDE Site APN:  1580701700
Subdivision:  Site Block: 
Site Lot:  Valuation:  $124,250.00
Site Tract:  Permit Status:  FINALED

Description of Work:
MODEL PHASE -PEPPER TREE - NEW SFD
 
Contractor: BEAZER HOMES HOLDINGS CORP
Address: 1731 E ROSEVILLE PKWY #140
ROSEVILLE CA
Phone:
Technical Information:
CaptionValue
PLAN ID # 
PERMIT # 
BIN #ZZ-2
SPRINKLER1
REDEV AREA 
HOT WATER CONSERVATION 
FLOOD ZONEA99
COASTAL ZONE 
OCC GROUPR3/U
TYPE CONSTVB
USE CODE001
EXISTING BLDG SF 
OCC LOAD 
UNITS0
STATE CODE EDITION2016
BLDG SF2383
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:  SLV CA 1, LLC
Address:  310 COMMERCE, STE 150
NEWPORT BEACH CA 92602
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
410 PLB UNDERGROUNDPASS4/13/2017BING COSBY
110 FOOTINGSPASS4/18/2017BING COSBY
321 DIAPRAGM FLOORPASS4/27/2017BING COSBY
323 DIAPRAGM ROOFPASS5/5/2017BING COSBY
310 FRAME (W/M.P.E)NOT READY5/19/2017BING COSBY
605 INSULATIONPASS5/23/2017BING COSBY
730 LATHPASS5/26/2017CHRIS BABCOCK
705 WALL BOARDPASS5/26/2017CHRIS BABCOCK
485 GAS TESTPASS6/2/2017BING COSBY
550 METER RELEASEFAILED6/22/2017BING COSBY
550 METER RELEASEPASS6/28/2017BING COSBY
**920E FINALPASS W/CONDITIONS7/27/2017BING COSBY
**905 FINAL SFRPASS6/19/2020ERIC WYNGAARDEN
995 FIREPASS7/14/2017GREG VAN VOORHEES
60 SETBACKS   
110 FOOTINGS   
495 PLB UNDERGROUND   
305 FRAME (W/M,P&E)   
605 INSULATION   
705 WALL BOARD   
730 LATH   
485 GAS TEST   
550 METER RELEASE   
991 LANDSCAPING   
992 STREET LIGHTING   
993 ENGINEERING   
996 WATER UTILITIES   
997 PLANNING   
**905 FINAL SFRCONDITIONAL7/26/2017BING COSBY
900 FIRE FINALPASS6/16/2020RON OWENS
996 WATER UTILITIESPASS7/26/2017JOSE PRECIADO
322 DIAPRAGM SHEARPASS5/8/2017BING COSBY
Fees:
DescriptionAmountReceipt #Paid Date
FIRE- INSPECTION -BLD$176.0055900307/26/2017
PLN-REVIEW OF BUILDING PERMIT$158.0051860903/17/2017
SFD/DUPLEX MODEL PLAN CHECK$1,944.6651860903/17/2017
FIRE SFD/DUPLEX PLAN CHECK$388.9351860903/17/2017
ENG- FEMA ELEVATION CERTIFCATE$255.0052118803/27/2017
PUBLIC FACILITY RESIDENTIAL$2,621.0052118803/27/2017
PARK - RESIDENTIAL ONLY$4,431.0052118803/27/2017
RESIDENTIAL SMIP$39.0052118803/27/2017
SFD/DUPLEX MODEL PERMIT$3,700.7452118803/27/2017
PERMIT IMAGING SURCHARGE$5.0052118803/27/2017
GENERAL PLAN SURCHARGE$370.0752118803/27/2017
PLAN CHECK TECHNOLOGY SURCHARGE$38.8952118803/27/2017
PERMIT TECHNOLOGY SURCHARGE$74.0152118803/27/2017
SB 1473 GREEN TAX$5.0052118803/27/2017
FIRE SFD/DUPLEX INSPECT$740.1552118803/27/2017
TEMP CERT OF OCCUPANCY$399.8555873307/25/2017
TEMP CERT OF OCCUPANCY$31.8455873307/25/2017
TEMP CERT OF OCCUPANCY$399.8555952107/27/2017
TEMP CERT OF OCCUPANCY$31.8455952107/27/2017
TEMPORARY METER RELEASE INSPECTION$267.6972404202/21/2018
TEMP METER RELEASE PLAN REVIEW$31.8472404202/21/2018
BLD-CERTIFICATE OF OCCUPANCY$40.00142271406/24/2020

TOTAL FEES: $16,150.36
TOTAL FEES PAID: $16,150.36
TOTAL FEES DUE: $0.00
*BLDG17-0456*