|
Site Address:
|
4254 CORTE SOL BLDG A
|
Site APN:
|
|
|
Subdivision:
|
|
Site Block:
|
|
|
Site Lot:
|
|
Valuation:
|
|
|
Site Tract:
|
|
Permit Status:
|
READY TO BILL
|
|
|
Description of Work:
|
|
NEW 1.5" MF MTR, 24 UNITS, VILLA STORIA PH 2B APTS (EAST)
|
|
| |
|
Contractor:
|
EMMERSON CONSTRUCTION INC
|
|
Address:
|
5993 AVENIDA ENCINAS #101
CARLSBAD CA 92008
|
|
Phone:
|
760566020
|
|
|
Technical Information:
|
| FIRE SPRINKLER | YES |
| INSTALL DATE | 10/17/2017 |
| INSTALLER | KEVIN HOFFMAN |
| NOTES | AFFORDABLE HOUSING, 4" FIRE SERVICE WITH DCDA ATTACH BILLING TO THIS 1.5" MASTER METER. RP BACKFLOW ASSEMBLY AFTER WATER METER. |
| ADDTL ADDRESSES | UNITS 106 TO 113, 206 TO 213, 306 TO 313 |
| METER LOCATION COMMENT | |
| METER/SERIAL # | 83672288 |
| METER SIZE | 0112 |
| METER TYPE | POSITIVE DISPLACEMENT |
| METER MODEL | C2 |
| METER MAKER | Sensus |
| RADIO ID | 89613330 |
| CUSTOMER ID | 400840 |
| LOCATION ID | 190212 |
| FIRE SERVICE | YES, 4" DCDA |
| UNIT COUNT | 24 |
| WET BAR | |
| SEWER RATE CLASS | MI- MF W/IRR |
| READ CYCLE | 15 |
| READ ROUTE | 06 |
| READ SEQUENCE | 11160 |
| RATE CLASS | MF-MULTI FAMILY RESIDENTIAL |
| ACCESSORY DWELLING UNIT | |
| SERVICE CODE | BO |
| LAST METER NUMBER | |
| LAST REGISTER ID | |
| LAST READ | |
| LAST METER SIZE | |
|
|
| |
|
Owner:
|
OCEANSIDE PROJECT OWNER, LLC
|
|
Address:
|
c/o LANCE WAITE
ENCINITAS CA 92024
|
|
Phone:
|
(760) 944-7511
|
| |
|
| |
|
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:
|
|
|
|
|
|
Fees:
|
| METER ONLY FEE | $2,197.00 | 514325 | 03/03/2017 |
| WATER BUY-IN FEE | $28,400.00 | 514325 | 03/03/2017 |
| WASTEWATER BUY-IN FEE | $38,971.00 | 514325 | 03/03/2017 |
| SDCWA WTR TREAT CAP CHRG | $384.00 | 514325 | 03/03/2017 |
| SDCWA CAPACITY CHARGE | $15,087.00 | 514325 | 03/03/2017 |
|
|
|
|
TOTAL FEES:
|
$85,039.00
|
|
TOTAL FEES PAID:
|
$85,039.00
|
|
TOTAL FEES DUE:
|
$0.00
|
|
|
|