CITY OF OCEANSIDE
DEVELOPMENT SERVICES
300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  10/10/2019
Expiration Date: 
Permit No:  BLDG19-4301
Permit Type:  BLD ROOM ADDITION
Site Address:  4488 ESTADA DR OCEANSIDE, CA 92057 Site APN:  1582415200
Subdivision:  MISSION HERMOSA #4 Site Block: 
Site Lot:  Valuation:  $20,000.00
Site Tract:  Permit Status:  FINALED
Description of Work:
306 SF ROOM ADDITION / DEMO (E) ALUM PATIO COVER
 
Contractor:
Address:
Phone:
Technical Information:
CaptionValue
PLAN ID # 
PERMIT # 
BIN #E-2
SPRINKLER 
REDEV AREA 
HOT WATER CONSERVATION 
FLOOD ZONE.2 PCT
COASTAL ZONE 
OCC GROUPR3
TYPE CONSTVB
USE CODE021
EXISTING BLDG SF 
OCC LOAD 
UNITS0
STATE CODE EDITION2016
BLDG SF306
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:  CASAS JOSE P
Address:  4488 ESTADA DR
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
60 SETBACKSPASS12/16/2020ERIC WYNGAARDEN
110 FOOTINGSNO INSPECTION12/16/2020ERIC WYNGAARDEN
495 PLB UNDERGROUNDNO INSPECTION12/16/2020ERIC WYNGAARDEN
315 FRAMEPASS12/16/2020ERIC WYNGAARDEN
320 DIAPRAGM NAILINGNO INSPECTION12/16/2020ERIC WYNGAARDEN
605 INSULATIONPASS12/16/2020ERIC WYNGAARDEN
705 WALL BOARDNOT READY12/16/2020ERIC WYNGAARDEN
730 LATHNOT READY12/16/2020ERIC WYNGAARDEN
485 GAS TESTNO INSPECTION12/16/2020ERIC WYNGAARDEN
550 METER RELEASENO INSPECTION12/16/2020ERIC WYNGAARDEN
**905 FINAL SFRCORRECTIONS10/21/2020ERIC WYNGAARDEN
**920F FINALNO INSPECTION10/22/2020ERIC WYNGAARDEN
**905 FINAL SFRNOT READY12/8/2020ERIC WYNGAARDEN
**905 FINAL SFRPASS1/22/2021MARC PROSI
**905 FINAL SFRNOT READY12/16/2020ERIC WYNGAARDEN
Fees:
DescriptionAmountReceipt #Paid Date
ROOM ADDITION PLAN CHECK$872.69123424310/10/2019
PLN-REVIEW OF BUILDING PERMIT$158.00123424310/10/2019
BLD-SB 1473 GREEN TAX$1.00149848610/07/2020
ROOM ADDITION INSPECTION$771.15149848610/07/2020
SMIP - RESIDENTIAL$2.60149848610/07/2020
PLAN IMAGING SURCHARGE$33.00149848610/07/2020
PERMIT IMAGING SURCHARGE$5.00149848610/07/2020
GENERAL PLAN SURCHARGE 10%$77.11149848610/07/2020
PERMIT TECHNOLOGY SURCHARGE$15.42149848610/07/2020

TOTAL FEES: $1,935.97
TOTAL FEES PAID: $1,935.97
TOTAL FEES DUE: $0.00
*BLDG19-4301*