CITY OF OCEANSIDE
DEVELOPMENT SERVICES
300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  3/31/2022
Expiration Date:  7/27/2025
Permit No:  BLDG22-0773
Permit Type:  BLD CELL SITE
Site Address:  4700 MESA DR OCEANSIDE, CA 92056-6567 Site APN:  1615111900
Subdivision:  RANCHO DEL ORO-MASTER SUB MAP EAST Site Block: 
Site Lot:  Valuation:  $50,000.00
Site Tract:  Permit Status:  ISSUED
Description of Work:
ATT MODIFY EXISTING TELECOM SITE.
 
Contractor: X3 MANAGEMENT SERVICES INC
Address: 2215 AUTO PARKWAY
ESCONDIDO CA 92029
Phone: (760) 658-6455
Technical Information:
CaptionValue
PLAN ID # 
PERMIT #BLDG22-0773
BIN #ELEC
SPRINKLER 
REDEV AREA 
HOT WATER CONSERVATION 
FLOOD ZONEX
COASTAL ZONE 
OCC GROUPU
TYPE CONST 
USE CODE025
EXISTING BLDG SF 
OCC LOAD 
UNITS0
STATE CODE EDITION2019
BLDG SF300
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:  LIGHTHOUSE CHRISTIAN CHURCH
Address:  4700 MESA DR
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
315 FRAMENOT READY3/3/2025ERIC WYNGAARDEN
505 ELEC UNDERGROUND   
525 ELECT ROUGH   
550 METER RELEASE   
995 FIRE   
**915 FINAL COMMER   
Fees:
DescriptionAmountReceipt #Paid Date
PLN-REVIEW OF BUILDING PERMIT$158.00186773304/01/2022
COMMERCIAL COMPLEX MPE PLAN CHECK$937.98186773304/01/2022
FIRE- PLANS INITIAL SUBMITTAL$251.00186773304/01/2022
PERMIT TECHNOLOGY SURCHARGE$11.70192889507/05/2022
GENERAL PLAN SURCHARGE 10%$58.48192889507/05/2022
COMMERCIAL COMPLEX MPE PERMIT$584.75192889507/05/2022
PERMIT IMAGING SURCHARGE$5.00192889507/05/2022
PLAN IMAGING SURCHARGE$0.00192889507/05/2022
BLD-SB 1473 GREEN TAX$2.00192889507/05/2022
PERMIT RE-ISSUANCE FEE/CHANGE OF CNTRCTR$31.84238327807/25/2024

TOTAL FEES: $2,040.75
TOTAL FEES PAID: $2,040.75
TOTAL FEES DUE: $0.00
*BLDG22-0773*