CITY OF OCEANSIDE
DEVELOPMENT SERVICES

300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  2/8/2023
Expiration Date: 
Permit No:  FIRE23-0034
Permit Type:  FIRE ERCC
Site Address:  4000 MISSION AVE OCEANSIDE, CA 92058 Site APN:  1580651100
Subdivision:  MISSION LANDS OF SAN LUIS REY Site Block: 
Site Lot:  Valuation: 
Site Tract:  Permit Status:  FINALED

Description of Work:
WATERMARK-EMERGENCY RESPONDER COMMUNICATION ENHANCEMENT SYST
 
Contractor: WIRELESS EVERYWHERE, LLC
Address: 80 M ST SE
WASHINGTON DC 20003
Phone:
Technical Information:
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Address:
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
FIRE ERCC PREWIREPASS4/17/2023RON OWENS
FIRE ERRCS FINALPASS W/CONDITIONS7/6/2023RANDY HILL
FIRE ERCC FINALPASS7/10/2023RANDY HILL
Fees:
DescriptionAmountReceipt #Paid Date
FIRE ERRCS PLAN REVIEW$272.00207042502/10/2023
FIRE ERRCS FINAL INSP$223.00207042502/10/2023

TOTAL FEES: $495.00
TOTAL FEES PAID: $495.00
TOTAL FEES DUE: $0.00
*FIRE23-0034*