CITY OF OCEANSIDE
DEVELOPMENT SERVICES

300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  12/28/2018
Expiration Date: 
Permit No:  BLDG18-4568
Permit Type:  BLD COMMERCIAL PME
Site Address:  2983 VIA LAS ROSAS OCEANSIDE, CA 92054 Site APN:  1650130200
Subdivision:  PARCEL MAP NO 04110 Site Block: 
Site Lot:  Valuation:  $500.00
Site Tract:  Permit Status:  FINALED

Description of Work:
TONYS /WALK IN COOOLER
 
Contractor: VA ELECTRIC
Address: 750 MY WAY
SAN DIEGO CA 92154
Phone: (619) 274-1326
Technical Information:
CaptionValue
PLAN ID # 
PERMIT # 
BIN #H-3
FIRE SPRINKLER 
REDEV AREA 
FLOOD ZONEX
COASTAL ZONE 
OCC GROUPB
SAND OIL INTRCPTR 
TYPE CONSTVB
OCC LOAD 
EXISTING BLDG SF 
UNITS0
STATE CODE EDITION2016
GREASE INTRCPTR 
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:  MILAN REAL ESTATE INVESTMENTS LLC
Address:  888 S DISNEYLAND DR #101
ANAHEIM CA 92802
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
**915 FINAL COMMERNOT READY3/28/2019CHRIS BABCOCK
**915 FINAL COMMERNOT READY8/30/2019CHRIS BABCOCK
**915 FINAL COMMERNOT READY12/9/2019CHRIS BABCOCK
**915 FINAL COMMERPASS12/13/2019CHRIS BABCOCK
**915 FINAL COMMERCORRECTIONS11/12/2019CHRIS BABCOCK
**915 FINAL COMMERNOT READY3/15/2019CHRIS BABCOCK
**915 FINAL COMMERCORRECTIONS9/17/2019CHRIS BABCOCK
**915 FINAL COMMER 12/10/2019 
Fees:
DescriptionAmountReceipt #Paid Date
COMMERCIAL SIMPLE MPE PERMIT$552.91104754103/01/2019
PERMIT IMAGING SURCHARGE$5.00104754103/01/2019
PLAN IMAGING SURCHARGE$36.00104754103/01/2019
PERMIT TECHNOLOGY SURCHARGE$11.06104754103/01/2019
GENERAL PLAN SURCHARGE 10%$55.29104754103/01/2019
COMMERCIAL SIMPLE MPE PLAN CHECK$105.0799419512/28/2018

TOTAL FEES: $765.33
TOTAL FEES PAID: $765.33
TOTAL FEES DUE: $0.00
*BLDG18-4568*