CITY OF OCEANSIDE
DEVELOPMENT SERVICES

300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  5/12/2020
Expiration Date: 
Permit No:  BLDG20-1463
Permit Type:  BLD RES REMODEL
Site Address:  1124 TAIT ST OCEANSIDE, CA 92054-4916 Site APN:  1520731100
Subdivision:  MYERS ADD Site Block: 
Site Lot:  Valuation:  $45,000.00
Site Tract:  Permit Status:  FINALED

Description of Work:
REMODEL,ROOFING,ELECTRICAL,PLUMBING,INSULATION,ADD 1 BATH
 
Contractor:
Address:
Phone:
Technical Information:
CaptionValue
PLAN ID # 
PERMIT # 
BIN # 
SPRINKLER 
REDEV AREA 
HOT WATER CONSERVATION 
FLOOD ZONEX
COASTAL ZONE 
OCC GROUPR3
TYPE CONSTVB
USE CODE021
EXISTING BLDG SF 
OCC LOAD 
UNITS0
STATE CODE EDITION2019
BLDG SF450
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:  CASSISE JOHN&LISA
Address:  1124 TAIT ST
SAN GABRIEL CA 92054
Phone:  (760) 207-6908
 
 
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
495 PLB UNDERGROUNDFAILED10/23/2020CHRIS BABCOCK
305 FRAME (W/M,P&E)PASS W/CONDITIONS10/23/2020CHRIS BABCOCK
320 DIAPRAGM NAILINGPASS8/25/2020BING COSBY
605 INSULATIONPASS11/9/2020BING COSBY
705 WALL BOARDPASS11/16/2020BING COSBY
710 WALL BOARDPASS11/17/2020BING COSBY
550 METER RELEASEPASS1/26/2021BING COSBY
**905 FINAL SFRNOT READY5/25/2021BING COSBY
SHOWER PANPASS2/23/2021BING COSBY
485 GAS TESTPASS4/16/2021BING COSBY
**905 FINAL SFRPASS5/28/2021BING COSBY
Fees:
DescriptionAmountReceipt #Paid Date
REMODEL PLAN CHECK NON-STRUCT$459.42139402105/12/2020
PLN-REVIEW OF BUILDING PERMIT$158.00144297907/21/2020
REMODEL INSPECTION NON-STRUCT$799.72144297907/21/2020
PERMIT TECHNOLOGY SURCHARGE$16.00144297907/21/2020
GENERAL PLAN SURCHARGE 10%$79.97144297907/21/2020
BLD-SB 1473 GREEN TAX$2.00144297907/21/2020
SMIP - RESIDENTIAL$5.85144297907/21/2020
PERMIT IMAGING SURCHARGE$5.00144297907/21/2020
PLAN IMAGING SURCHARGE$21.00144297907/21/2020

TOTAL FEES: $1,546.96
TOTAL FEES PAID: $1,546.96
TOTAL FEES DUE: $0.00
*BLDG20-1463*