CITY OF OCEANSIDE
DEVELOPMENT SERVICES
300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  3/4/2019
Expiration Date: 
Permit No:  BLDG19-0817
Permit Type:  BLD RES REMODEL
Site Address:  5174 MERTENSIA ST OCEANSIDE Site APN:  1695723700
Subdivision:  SOUTH RIDGE TRAILS UNIT#08 Site Block: 
Site Lot:  Valuation:  $40,000.00
Site Tract:  Permit Status:  FINALED
Description of Work:
REMODEL AND REPAIR DUE TO FIRE DAMAGE, SFR
 
Contractor: TOP NOTCH FLOOD INC
Address: 2920 NORMAN STRASSE RD# 101
SAN MARCOS CA 92069
Phone: (877) 253-5663
Technical Information:
CaptionValue
PLAN ID # 
PERMIT # 
BIN #H-3
SPRINKLER 
REDEV AREA 
HOT WATER CONSERVATION 
FLOOD ZONEX
COASTAL ZONE 
OCC GROUPR3
TYPE CONSTVB
USE CODE021
EXISTING BLDG SF 
OCC LOAD 
UNITS0
STATE CODE EDITION2016
BLDG SF800
NO STORIES0
ELECTRIC RELEASED BYJAMES BABCOCK
NOTIFIED SDGE BYiPAD
DATE ELECTRIC RELEASED2/12/2020
ELECTRIC RELEASE TYPEREW (REWIRE)
TYPE OF BUILDINGSFR (SINGLE FAMILY RESIDENTIAL)
GAS RELEASED BY 
NOTIFIED SDGE BY 
DATE GAS RELEASED12:00:00 AM
GAS RELEASE TYPE 
WDID # 
 
Owner:  NA ANDY S&SHANNON M
Address:  5174 MERTENSIA ST
OCEANSIDE CA 92056
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: 
Fees:
DescriptionAmountReceipt #Paid Date
PLN-REVIEW OF BUILDING PERMIT$158.00104869303/04/2019
REMODEL PLAN CHECK NON-STRUCT$459.42104869303/04/2019
FIRE- PLANS INITIAL SUBMITTAL$222.00114568706/27/2019
REMODEL INSPECTION STRUCTURAL$910.74114568706/27/2019
PERMIT TECHNOLOGY SURCHARGE$18.20114568706/27/2019
GENERAL PLAN SURCHARGE 10%$91.07114568706/27/2019
BLD-SB 1473 GREEN TAX$2.00114568706/27/2019
SMIP - RESIDENTIAL$5.20114568706/27/2019
PERMIT IMAGING SURCHARGE$5.00114568706/27/2019
PLAN IMAGING SURCHARGE$36.00114568706/27/2019

TOTAL FEES: $1,907.63
TOTAL FEES PAID: $1,907.63
TOTAL FEES DUE: $0.00
*BLDG19-0817*