CITY OF OCEANSIDE
DEVELOPMENT SERVICES

300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  3/9/2020
Expiration Date: 
Permit No:  BLDG20-0853
Permit Type:  BLD TI GENERAL
Site Address:  4055 CALLE PLATINO STE A OCEANSIDE, CA 92056-5861 Site APN:  1625033000
Subdivision:  PARCEL MAP NO 13489 Site Block: 
Site Lot:  Valuation:  $745,000.00
Site Tract:  Permit Status:  FINALED

Description of Work:
T.I. FOR MANUF. LINE COMPANY IN (E) VACANT SPACE. MINOR DEMO
 
Contractor: TRIVISTA INC
Address: 116 MARKET PLACE
ESCONDIDO CA 92029
Phone: (760) 294-0277
Technical Information:
CaptionValue
PLAN ID # 
PERMIT # 
BIN # 
FIRE SPRINKLER 
REDEV AREA 
FLOOD ZONEX
COASTAL ZONE 
OCC GROUPI
SAND OIL INTRCPTR 
TYPE CONSTVB
OCC LOAD022
EXISTING BLDG SF 
UNITS0
STATE CODE EDITION2019
GREASE INTRCPTR 
BLDG SF13400
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:  4055 CALLE PLATINO L L C
Address:  4055 CALLE PLATINO #B
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: 
Inspections:
TypeResultDateInspector
**915 FINAL COMMERPASS1/22/2021MARC PROSI
50 PRECON   
120 FOOTINGSPASS1/22/2021MARC PROSI
415 PLB UNDERGROUNDPARTIAL6/23/2020MARC PROSI
505 ELEC UNDERGROUND   
315 FRAMEPARTIAL6/23/2020MARC PROSI
340 SHEAR & DIAPRAGM   
425 PLUMB ROUGHPASS7/30/2020MARC PROSI
455 MECH ROUGHPASS1/22/2021MARC PROSI
525 ELECT ROUGHPASS7/1/2020MARC PROSI
620 INSULATIONPASS1/22/2021MARC PROSI
715 WALL BOARDPASS8/10/2020CHRIS BABCOCK
750 T BAR CEILINGPASS8/21/2020MARC PROSI
490 GAS TESTPASS1/22/2021MARC PROSI
555 METER RELEASEPASS1/22/2021MARC PROSI
900 FIRE FINALPASS1/21/2021RON OWENS
991 LANDSCAPING   
992 STREET LIGHTING   
993 ENGINEERING   
995 FIRE   
996 WATER UTILITIES   
750 T BAR CEILINGPASS1/12/2021MARC PROSI
315 FRAMEPASS7/30/2020MARC PROSI
Fees:
DescriptionAmountReceipt #Paid Date
HOURLY PLAN REVIEW FEE$213.79149743810/06/2020
FIRE TI NON-STRUCT GEN PC$747.42135000403/09/2020
TI NON STRUCT GENERAL PLAN CHECK$3,737.08135000403/09/2020
WTR PLAN CHECK TI NON-STRUCT$560.56135000403/09/2020
PLN-REVIEW OF BUILDING PERMIT$158.00135000403/09/2020
COMMERCIAL SMIP$252.00141964006/19/2020
FIRE TI NON-STRUCT GEN INSP$1,851.23141964006/19/2020
PERMIT IMAGING SURCHARGE$5.00141964006/19/2020
PLAN CHECK TECHNOLOGY SURCHARGE$74.74141964006/19/2020
PLAN IMAGING SURCHARGE$60.00141964006/19/2020
SB 1473 GREEN TAX$30.00141964006/19/2020
TI NON STRUCT GENERAL PERMIT$9,256.14141964006/19/2020
PERMIT TECHNOLOGY SURCHARGE$185.12141964006/19/2020
GENERAL PLAN SURCHARGE 10%$925.61141964006/19/2020
RESUBMITTAL$222.00155092012/22/2020
RESUBMITTAL$222.00155092012/22/2020
RESUBMITTAL$222.00155092012/22/2020

TOTAL FEES: $18,722.69
TOTAL FEES PAID: $18,722.69
TOTAL FEES DUE: $0.00
*BLDG20-0853*