CITY OF OCEANSIDE
DEVELOPMENT SERVICES
300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  6/19/2019
Expiration Date: 
Permit No:  BLDG19-2454
Permit Type:  BLD ACCESSORY DWELLING
Site Address:  4852 LUNA DR OCEANSIDE, CA 92057 Site APN:  1571820700
Subdivision:  MISSION VALLEY ESTS Site Block: 
Site Lot:  Valuation:  $8,000.00
Site Tract:  Permit Status:  FINALED
Description of Work:
ADU /CONVERT 299 SQ FT GARAGE TO ADU: KITCHEN /
 
Contractor:
Address:
Phone:
Technical Information:
CaptionValue
PLAN ID # 
PERMIT # 
BIN #I--2
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 SF299
NO STORIES1
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:  LANDEROS AUDELIO
Address:  4852 LUNA DR
OCEANSIDE CA 92057
Phone:  (949) 378-0096
 
 
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
105 FOOTINGSPASS6/16/2020ERIC WYNGAARDEN
495 PLB UNDERGROUNDPASS6/16/2020ERIC WYNGAARDEN
505 ELEC UNDERGROUNDPASS8/26/2020ERIC WYNGAARDEN
735 LATHNO INSPECTION9/25/2020MARK WILLIAMS
485 GAS TESTPASS8/17/2020ERIC WYNGAARDEN
605 INSULATIONPASS9/28/2020ERIC WYNGAARDEN
735 LATHPASS9/28/2020ERIC WYNGAARDEN
60 SETBACKSPASS1/22/2021MARC PROSI
105 FOOTINGSNOT READY6/12/2020ERIC WYNGAARDEN
495 PLB UNDERGROUNDNOT READY6/12/2020ERIC WYNGAARDEN
605 INSULATIONNO INSPECTION9/25/2020MARK WILLIAMS
705 WALL BOARDPASS10/19/2020ERIC WYNGAARDEN
485 GAS TESTNOT READY8/7/2020ERIC WYNGAARDEN
555 METER RELEASEPASS1/22/2021MARC PROSI
321 DIAPRAGM FLOORPASS1/22/2021MARC PROSI
322 DIAPRAGM SHEARPASS10/19/2020ERIC WYNGAARDEN
305 FRAME (W/M,P&E)PASS9/21/2020MARK WILLIAMS
**905 FINAL SFRPASS1/22/2021MARC PROSI
900 FIRE FINAL   
425 PLUMB ROUGHNOT READY8/7/2020ERIC WYNGAARDEN
Fees:
DescriptionAmountReceipt #Paid Date
REMODEL INSPECTION NON-STRUCT$799.72125354011/05/2019
PERMIT IMAGING SURCHARGE$5.00125354011/05/2019
PLAN IMAGING SURCHARGE$24.00125354011/05/2019
GENERAL PLAN SURCHARGE 10%$16.00125354011/05/2019
PERMIT TECHNOLOGY SURCHARGE$79.97125354011/05/2019
SMIP - RESIDENTIAL$1.04125354011/05/2019
BLD-SB 1473 GREEN TAX$1.00125354011/05/2019
PERMIT TECHNOLOGY SURCHARGE$0.00113920706/19/2019
PLAN CHECK TECHNOLOGY SURCHARGE$0.00113920706/19/2019
REMODEL PLAN CHECK NON-STRUCT$459.42113920706/19/2019
WTR RMDL PLAN CHECK NON-STRUCT$68.91113920706/19/2019
PLN-REVIEW OF BUILDING PERMIT$158.00113920706/19/2019

TOTAL FEES: $1,613.06
TOTAL FEES PAID: $1,613.06
TOTAL FEES DUE: $0.00
*BLDG19-2454*