CITY OF OCEANSIDE
DEVELOPMENT SERVICES
300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  7/14/2023
Expiration Date:  8/8/2026
Permit No:  FIRE23-0200
Permit Type:  FIRE UNDRGRND LINES
Site Address:  1320 UNION PLAZA CT BLDG B OCEANSIDE, CA 92054-5659 Site APN:  1513103500
Subdivision:  PARCEL MAP NO 12319 Site Block: 
Site Lot:  Valuation: 
Site Tract:  Permit Status:  ISSUED
Description of Work:
THE CLASSICAL ACADEMIES BLDG B - T/I IN (E) BUILDING TO
 
Contractor: Sheldon Site Utilities
Address: 12125 PAINE STREET
POWAY CA 92064
Phone: (858) 486-8004
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
0 CERT FOR UG PIPINGPASS8/14/2024COLBY MANNING
1 UG PIPE INSP/PRE THRUST BLKPASS2/9/2024RANDY HILL
2 UG HYDRO/POST THRUST BLKPASS2/13/2024TIMOTHY HUERTA
3 UG FLUSHPASS2/13/2024TIMOTHY HUERTA
4 UG FINALPASS8/14/2024COLBY MANNING
Fees:
DescriptionAmountReceipt #Paid Date
No records to display.

TOTAL FEES: $0.00
TOTAL FEES PAID: $0.00
TOTAL FEES DUE: $0.00
*FIRE23-0200*