CITY OF OCEANSIDE
DEVELOPMENT SERVICES

300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  4/20/2018
Expiration Date: 
Permit No:  BLDG18-1243
Permit Type:  BLD POOL SPA
Site Address:  1188 PLAYERS DR OCEANSIDE Site APN:  1225902100
Subdivision:  Site Block: 
Site Lot:  Valuation:  $50,000.00
Site Tract:  Permit Status:  FINALED

Description of Work:
POOL & BBQ [GAS LINE TO]
 
Contractor: WALTERHOUSE POOL AND SPA
Address: 6710 LUCIERNAGA PL
CARLSBAD CA 92009
Phone: (760) 594-7705
Technical Information:
CaptionValue
PLAN ID # 
PERMIT # 
BIN # 
SPRINKLER 
REDEV AREA 
HOT WATER CONSERVATION 
FLOOD ZONEX
COASTAL ZONE 
OCC GROUPR3
TYPE CONSTVB
USE CODE 
EXISTING BLDG SF 
OCC LOAD 
UNITS0
STATE CODE EDITION2016
BLDG SF0
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:  COBB PATTY A
Address:  P O BOX 5384
OCEANSIDE CA 92052
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 UNDERGROUNDPASS4/25/2018MICHAEL TROSTRUD
505 ELEC UNDERGROUNDPASS4/25/2018MICHAEL TROSTRUD
60 SETBACKSPASS4/25/2018MICHAEL TROSTRUD
820 POOL PLUMBINGPASS4/26/2018MICHAEL TROSTRUD
822 POOL ELECTRICNO INSPECTION5/31/2018MICHAEL TROSTRUD
824 POOL STEELCORRECTIONS4/25/2018MICHAEL TROSTRUD
826 STEEL BONDINGPASS4/25/2018MICHAEL TROSTRUD
828 PREPLASTERPASS5/31/2018MICHAEL TROSTRUD
**920F FINALPASS6/6/2018MICHAEL TROSTRUD
824 POOL STEELPASS4/26/2018MICHAEL TROSTRUD
826 STEEL BONDINGPASS5/22/2018MICHAEL TROSTRUD
Fees:
DescriptionAmountReceipt #Paid Date
PLAN IMAGING SURCHARGE$3.0077683404/20/2018
PERMIT IMAGING SURCHARGE$5.0077683404/20/2018
BLD-SB 1473 GREEN TAX$2.0077683404/20/2018
PERMIT TECHNOLOGY SURCHARGE$19.3977683404/20/2018
SWIMMING POOL/SPA PERMIT$969.7877683404/20/2018
SWIMMING POOL/SPA PLAN CHECK$85.2877683404/20/2018

TOTAL FEES: $1,084.45
TOTAL FEES PAID: $1,084.45
TOTAL FEES DUE: $0.00
*BLDG18-1243*