CITY OF OCEANSIDE
DEVELOPMENT SERVICES
300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  1/24/2023
Expiration Date: 
Permit No:  BLDG23-0138
Permit Type:  BLD TI GENERAL
Site Address:  3093 INDUSTRY ST OCEANSIDE, CA 92054-4864 Site APN:  1620313400
Subdivision:  PARCEL MAP NO 13973 Site Block: 
Site Lot:  Valuation:  $89,123.00
Site Tract:  Permit Status:  RECEIVED
Description of Work:
PERMIT BREAKROOM AND GAS LINE INSTALLED WITHOUT PERMIT.
 
Contractor:
Address:
Phone:
Technical Information:
CaptionValue
PLAN ID # 
PERMIT # 
BIN #CORRECTIONS CUB
FIRE SPRINKLER1
FLOOD ZONEAE
REDEV AREA 
COASTAL ZONE 
OCC GROUPB
SAND OIL INTRCPTR 
TYPE CONSTVB
OCC LOAD 
EXISTING BLDG SF41,000
UNITS0
STATE CODE EDITION2022
GREASE INTRCPTR 
BLDG SF1117
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:  CHAPARRAL PROPERTY IV L P
Address:  32565 GOLDEN LANTERN ST #B509
PLACENTIA CA 92629
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 COMMER   
50 PRECON   
120 FOOTINGS   
415 PLB UNDERGROUND   
505 ELEC UNDERGROUND   
315 FRAME   
340 SHEAR & DIAPRAGM   
425 PLUMB ROUGH   
455 MECH ROUGH   
525 ELECT ROUGH   
620 INSULATION   
715 WALL BOARD   
750 T BAR CEILING   
490 GAS TEST   
555 METER RELEASE   
900 FIRE FINAL   
991 LANDSCAPING   
992 STREET LIGHTING   
993 ENGINEERING   
996 WATER UTILITIES   
Fees:
DescriptionAmountReceipt #Paid Date
FIRE TI NON-STRUCT GEN PC$339.05205817901/24/2023
TI NON STRUCT GENERAL PLAN CHECK$1,695.27205817901/24/2023
WTR PLAN CHECK TI NON-STRUCT$254.29205817901/24/2023
PLN-REVIEW OF BUILDING PERMIT$158.00205817901/24/2023
FIRE TI NON-STRUCT GEN INSP$444.13  
COMMERCIAL SMIP$56.00  
GENERAL PLAN SURCHARGE$222.07  
PERMIT IMAGING SURCHARGE$5.00  
PERMIT TECHNOLOGY SURCHARGE$44.41  
PLAN IMAGING SURCHARGE$87.00  
SB 1473 GREEN TAX$4.00  
TI NON STRUCT GENERAL PERMIT$2,220.67  

TOTAL FEES: $5,529.89
TOTAL FEES PAID: $2,446.61
TOTAL FEES DUE: $3,083.28
*BLDG23-0138*