CITY OF OCEANSIDE
DEVELOPMENT SERVICES

300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  10/26/2020
Expiration Date: 
Permit No:  BLDG20-3793
Permit Type:  BLD SOLAR PV RES
Site Address:  4597 DOGWOOD CT OCEANSIDE, CA 92056-2923 Site APN:  1614130700
Subdivision:  GUAJOME MESA #2 Site Block: 
Site Lot:  Valuation:  $12,000.00
Site Tract:  Permit Status:  FINALED

Description of Work:
7.28 KW ROOFMOUNT PV, 24 MODS/OPTIMIZERS, 1 INVERTER,
 
Contractor: GREEN DAY POWER
Address: 9745 BUSINESS PARK DR
SACRAMENTO CA 95827
Phone: (916) 758-8030
Technical Information:
CaptionValue
PLAN ID # 
PERMIT # 
BIN #ELECTRONIC
SPRINKLER 
REDEV AREA 
HOT WATER CONSERVATION 
FLOOD ZONEX
COASTAL ZONE 
OCC GROUPR3
TYPE CONSTVB
USE CODES21
EXISTING BLDG SF 
OCC LOAD 
UNITS0
STATE CODE EDITION2019
BLDG SF0
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:  FULTON CORLISS A
Address:  4597 DOGWOOD CT
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
550 METER RELEASENOT READY1/12/2021BING COSBY
350 FRAMINGNOT READY1/12/2021BING COSBY
530 ELECT ROUGHNOT READY1/12/2021BING COSBY
**920F FINALNOT READY1/12/2021BING COSBY
**920F FINALFAILED1/22/2021BING COSBY
350 FRAMINGPASS4/13/2021BING COSBY
530 ELECT ROUGHPASS4/13/2021BING COSBY
**920F FINALPASS4/13/2021BING COSBY
**920F FINALNO ENTRY1/13/2021BING COSBY
Fees:
DescriptionAmountReceipt #Paid Date
HOURLY PLAN REVIEW FEE$106.90157155001/22/2021
FIRE - PLAN REVIEW$119.00151031510/26/2020
BLD-SB 1473 GREEN TAX$1.00151031510/26/2020
RESIDENTIAL PV PERMIT$280.00151031510/26/2020
PERMIT IMAGING SURCHARGE$5.00151031510/26/2020
PLAN IMAGING SURCHARGE$3.00151031510/26/2020
RES PV GEN PLAN UPDATE$30.00151031510/26/2020
RES PV TECH SURCH$6.00151031510/26/2020

TOTAL FEES: $550.90
TOTAL FEES PAID: $550.90
TOTAL FEES DUE: $0.00
*BLDG20-3793*