eTRAKiT Permit

CITY OF OCEANSIDE
DEVELOPMENT SERVICES
300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925

Applied Date:	5/18/2023
Expiration Date:	7/12/2026
Permit No:	BLDG23-0983
Permit Type:	BLD SIGN

Site Address:

OLD GROVE RD & FRAZEE RD OCEANSIDE, CA 92057

Site APN:

1581031700

Subdivision:

Site Block:

Site Lot:

Valuation:

$20,000.00

Site Tract:

Permit Status:

ISSUED

Description of Work:

RIO ROCKWELL: (2) MONUMENT SIGNS AT THE WESTERN ENTRANCE


Contractor:	KB HOME COASTAL INC
Address:	10990 WILSHIRE BLVD SUITE 700 LOS ANGELES CA 90024
Phone:	(310) 231-4000

Technical Information:

Caption	Value
PLAN ID #
PERMIT #
BIN #	ELECTRONIC
SPRINKLER
REDEV AREA
HOT WATER CONSERVATION
FLOOD ZONE	A99
COASTAL ZONE
OCC GROUP	R
TYPE CONST	VB
USE CODE	026
EXISTING BLDG SF
OCC LOAD
UNITS	0
STATE CODE EDITION	2022
BLDG SF	0
NO STORIES	0
ELECTRIC RELEASED BY
NOTIFIED SDGE BY
DATE ELECTRIC RELEASED	12:00:00 AM
ELECTRIC RELEASE TYPE
TYPE OF BUILDING
GAS RELEASED BY
NOTIFIED SDGE BY
DATE GAS RELEASED	12:00:00 AM
GAS RELEASE TYPE
WDID #


Owner:	K B HOME COASTAL INC
Address:	36310 INLAND VALLEY DR #300 92595
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:

Type	Result	Date	Inspector
105 FOOTINGS	PASS	10/5/2023	ERIC WYNGAARDEN
**920F FINAL

Fees:

Description	Amount	Receipt #	Paid Date
SIGN PLAN CHECK	$138.73	2131282	05/19/2023
PLN-REVIEW OF BUILDING PERMIT	$158.00	2131282	05/19/2023
PERMIT IMAGING SURCHARGE	$5.00	2164381	07/13/2023
PLAN IMAGING SURCHARGE	$24.00	2164381	07/13/2023
BLD-SB 1473 GREEN TAX	$1.00	2164381	07/13/2023
SIGN PERMIT	$251.83	2164381	07/13/2023
PERMIT TECHNOLOGY SURCHARGE	$5.03	2164381	07/13/2023
GENERAL PLAN SURCHARGE 10%	$25.18	2164381	07/13/2023

TOTAL FEES:	$608.77
TOTAL FEES PAID:	$608.77
TOTAL FEES DUE:	$0.00

*BLDG23-0983*