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Site Address:
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724-3 N PACIFIC ST OCEANSIDE, CA 92054
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Site APN:
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1432251200
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Subdivision:
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A J MYERS ADD
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Site Block:
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Site Lot:
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Valuation:
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Site Tract:
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Permit Status:
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READY TO BILL
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Description of Work:
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NEW 5/8" SFR MTR, UNIT #3, 4-UNIT CONDO, MTR PER UNIT
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Contractor:
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RICHARD & RICHARD CONSTRUCTION
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Address:
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234 VENTURE STREET, SUITE 100
SAN MARCOS CA 92078
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Phone:
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(760) 759-2260
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Technical Information:
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| FIRE SPRINKLER | YES |
| INSTALL DATE | 2/23/2018 |
| INSTALLER | KEVIN HOFFMAN |
| NOTES | 4 SEPARATE WATER METERS; ONE TO EACH UNIT, NO BACKFLOW AFTER DOMESTIC METER.
SEPARATE IRRIGATION METER WITH RPPA, BECAUSE 3 OR MORE RESIDENTIAL UNIT ON PARCEL.
SEPARATE FIRE SERVICE WITH DCDA.
SUGGEST BILLING FIRE SERVICE ON IRRIGATION METER ACCOUNT.
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| ADDTL ADDRESSES | |
| METER LOCATION COMMENT | |
| METER/SERIAL # | 0084000803 |
| METER SIZE | 0058 |
| METER TYPE | POSITIVE DISPLACEMENT |
| METER MODEL | SRII |
| METER MAKER | SENSUS |
| RADIO ID | 84000803 |
| CUSTOMER ID | 402326 |
| LOCATION ID | 190502 |
| FIRE SERVICE | SEE IRR METER WTR17- |
| UNIT COUNT | 1 |
| WET BAR | NO |
| SEWER RATE CLASS | |
| READ CYCLE | 01 |
| READ ROUTE | 02 |
| READ SEQUENCE | 24320 |
| RATE CLASS | RE-SINGLE FAMILY RESIDENTIAL |
| ACCESSORY DWELLING UNIT | NO |
| SERVICE CODE | BO |
| LAST METER NUMBER | |
| LAST REGISTER ID | |
| LAST READ | |
| LAST METER SIZE | |
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Owner:
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KELSO FAMILY TRUST 07-30-85
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Address:
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3350 RIDGECREST DR
CARLSBAD CA 92008
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Phone:
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WORKERS COMPENSATION DECLARATION
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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.
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LICENSED CONTRACTOR'S DECLARATION
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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:
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Fees:
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| SDCWA WTR TREAT CAP CHRG | $128.00 | 518009 | 03/16/2017 |
| WASTEWATER BUY-IN FEE | $7,794.00 | 518009 | 03/16/2017 |
| WATER BUY-IN FEE | $5,680.00 | 518009 | 03/16/2017 |
| METER ONLY FEE | $508.00 | 518009 | 03/16/2017 |
| SDCWA CAPACITY CHARGE | $5,029.00 | 518009 | 03/16/2017 |
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TOTAL FEES:
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$19,139.00
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TOTAL FEES PAID:
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$19,139.00
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TOTAL FEES DUE:
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$0.00
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