CITY OF OCEANSIDE
DEVELOPMENT SERVICES

300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  10/19/2017
Expiration Date: 
Permit No:  WTR17-0239
Permit Type:  WATER MULTIFAMILY
Site Address:  355 N CLEVELAND ST A OCEANSIDE, CA 92054 Site APN:  1471611100
Subdivision:  Site Block: 
Site Lot:  Valuation: 
Site Tract:  Permit Status:  FINALED

Description of Work:
NEW 2" MFR WM & 2" SRV (SOUTH) NORTH BEACH PROM 19 OF52UNIT
 
Contractor:
Address:
Phone:
Technical Information:
CaptionValue
FIRE SPRINKLERYES
INSTALL DATE5/31/2019
INSTALLERKEVIN HOFFMAN
NOTESNORTH BEACH PROMENDAE 19 OF 52 UNITS ONE 6" FIRE SERVICE CONNECTION WITH DCDA TO SERVE ENTIRE BLDG OF 52 RESIDENTIAL WITH 4 COMMERCIAL UNITS. ONE OF THE COMMERCIAL UNITS IS THE LEASING OFFICE (371 N CLEVELAND ST)
ADDTL ADDRESSESRESIDENTIAL METER NUMBERING IS OUT OF ORDER RELATIVE TO OTHER METERS. 355 N CLEVELAND ST, A IS SOUTHERN MOST RESIDENTIAL METER ON CLEVELAND ST.
METER LOCATION COMMENT 
METER/SERIAL #0082010806
METER SIZE0200
METER TYPEPOSITIVE DISPLACEMENT
METER MODELC-2
METER MAKERSensus
RADIO ID74872764
CUSTOMER ID409898
LOCATION ID 
FIRE SERVICEYES, 6" DCDA
UNIT COUNT19
WET BARNO
SEWER RATE CLASSMI- MF W/IRR
READ CYCLE01
READ ROUTE02
READ SEQUENCE31580
RATE CLASSMF-MULTI FAMILY RESIDENTIAL
ACCESSORY DWELLING UNITNO
SERVICE CODEBO
LAST METER NUMBER 
LAST REGISTER ID 
LAST READ 
LAST METER SIZE 
 
Owner:  CITY OF OCEANSIDE
Address:  PUBLIC AGENCY
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: 
Fees:
DescriptionAmountReceipt #Paid Date
SDCWA WTR TREAT CAP CHRG$733.0071464902/09/2018
SDCWA CAPACITY CHARGE$26,515.0071464902/09/2018
METER ONLY FEE$2,546.0071464902/09/2018
WATER BUY-IN FEE$45,440.0071464902/09/2018
WASTEWATER BUY-IN FEE$62,354.0071464902/09/2018

TOTAL FEES: $137,588.00
TOTAL FEES PAID: $137,588.00
TOTAL FEES DUE: $0.00
*WTR17-0239*