CITY OF OCEANSIDE
DEVELOPMENT SERVICES

300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  12/16/2020
Expiration Date: 
Permit No:  BLDG20-4546
Permit Type:  BLD RETAINING WALL
Site Address:  1024 SANTA ANITA ST OCEANSIDE, CA 92058-1131 Site APN:  1440821100
Subdivision:  FRANCINE VILLAS Site Block: 
Site Lot:  Valuation:  $10,000.00
Site Tract:  Permit Status:  FINALED

Description of Work:
80'x6' H RETAINING WALL
 
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 SF100
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:  HERRERA PETER JR
Address:  1024 SANTA ANITA ST
OCEANSIDE CA 92058
Phone:  (949) 973-6485
 
 
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
**920F FINALFAILED10/20/2021BING COSBY
105 FOOTINGSFAILED10/5/2021MARK WILLIAMS
105 FOOTINGSPASS10/6/2021MARK WILLIAMS
**920F FINALNOT READY11/18/2021BING COSBY
**920F FINALPASS11/23/2021MARK WILLIAMS
**920F FINALNOT READY10/29/2021BING COSBY
Fees:
DescriptionAmountReceipt #Paid Date
PLN-REVIEW OF BUILDING PERMIT$158.00154797412/18/2020
STD RETAINING WALL PLAN CHECK <400LF$138.74154797412/18/2020
STD RETAINING WALL PERMIT <400LF$622.13173467309/10/2021
PERMIT IMAGING SURCHARGE$5.00173467309/10/2021
PLAN IMAGING SURCHARGE$12.00173467309/10/2021
BLD-SB 1473 GREEN TAX$1.00173467309/10/2021
PERMIT TECHNOLOGY SURCHARGE$12.44173467309/10/2021
GENERAL PLAN SURCHARGE 10%$62.21173467309/10/2021

TOTAL FEES: $1,011.52
TOTAL FEES PAID: $1,011.52
TOTAL FEES DUE: $0.00
*BLDG20-4546*