CITY OF OCEANSIDE
DEVELOPMENT SERVICES
300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  2/27/2019
Expiration Date: 
Permit No:  BLDG19-0761
Permit Type:  BLD RETAINING WALL
Site Address:  3621 VISTA CAMPANA S 107 OCEANSIDE, CA 92057 Site APN:  1602401900
Subdivision:  OCEANA UNIT#08 Site Block: 
Site Lot:  Valuation:  $3,500.00
Site Tract:  Permit Status:  FINALED
Description of Work:
18 LF RETAINING WALL - REMOVE EXISTING
 
Contractor: PRESTIGE CONSTRUCTION AND RENOVATION SER
Address: 12798 CANYONWIND ROAD
RIVERSIDE CA 92503
Phone: (951) 687-0007
Technical Information:
CaptionValue
PLAN ID # 
PERMIT # 
BIN #G-7
SPRINKLER 
REDEV AREA 
HOT WATER CONSERVATION 
FLOOD ZONEX
COASTAL ZONE 
OCC GROUPU
TYPE CONSTVB
USE CODE021
EXISTING BLDG SF 
OCC LOAD 
UNITS0
STATE CODE EDITION2016
BLDG SF18
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:  ROCKE JAMES D/ROCKE DOROTHY A
Address:  3621 VISTA CAMPANA S #107
OCEANSIDE CA 92057
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
**920F FINALNOT READY5/20/2019BING COSBY
105 FOOTINGSPASS5/20/2019BING COSBY
210 CMU REBARPASS5/20/2019BING COSBY
210 CMU REBARCORRECTIONS5/30/2019MICHAEL TROSTRUD
210 CMU REBARPASS6/18/2019BING COSBY
**920F FINALPASS7/12/2019BING COSBY
Fees:
DescriptionAmountReceipt #Paid Date
PLN-REVIEW OF BUILDING PERMIT$158.00104493902/27/2019
CUSTOM RETAINING WALLL PLAN CHECK$245.63104493902/27/2019
CUSTOM RETAINING WALL <400LF$622.13108921004/19/2019
PERMIT IMAGING SURCHARGE$5.00108921004/19/2019
PLAN IMAGING SURCHARGE$18.00108921004/19/2019
BLD-SB 1473 GREEN TAX$1.00108921004/19/2019
PERMIT TECHNOLOGY SURCHARGE$12.44108921004/19/2019
GENERAL PLAN SURCHARGE 10%$62.21108921004/19/2019
HOURLY PLAN REVIEW FEE$213.79113704206/17/2019

TOTAL FEES: $1,338.20
TOTAL FEES PAID: $1,338.20
TOTAL FEES DUE: $0.00
*BLDG19-0761*