eTRAKiT Permit

CITY OF OCEANSIDE
DEVELOPMENT SERVICES
300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925

Applied Date:	6/26/2019
Expiration Date:
Permit No:	WTR19-0102
Permit Type:	WATER COMMERCIAL

Site Address:

3306 SENIOR CENTER DRIVE OCEANSIDE, CA 92056

Site APN:

1620825100

Subdivision:

Site Block:

Site Lot:

Valuation:

Site Tract:

Permit Status:

FINALED

Description of Work:

NEW 3" WEST BUILDING - EL CORAZON AQUATICS CENTER


Contractor:
Address:
Phone:

Technical Information:

Caption	Value
FIRE SPRINKLER	YES
INSTALL DATE	7/28/2020
INSTALLER	JOSE PRECIADO
NOTES
ADDTL ADDRESSES
METER LOCATION COMMENT
METER/SERIAL #	0020801882
METER SIZE	0300
METER TYPE	POSITIVE DISPLACEMENT
METER MODEL	Octave
METER MAKER	Master Meter
RADIO ID
CUSTOMER ID	468779
LOCATION ID	191726
FIRE SERVICE	YES
UNIT COUNT	1
WET BAR	NO
SEWER RATE CLASS	CL- COMM LOW
READ CYCLE	15
READ ROUTE	01
READ SEQUENCE	355
RATE CLASS	CO-COMMERCIAL
ACCESSORY DWELLING UNIT	NO
SERVICE CODE	BO
LAST METER NUMBER
LAST REGISTER ID
LAST READ
LAST METER SIZE


Owner:	CITY OF OCEANSIDE
Address:	300 N COAST HWY OCEANSIDE CA 92054
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:

Description	Amount	Receipt #	Paid Date
METER ONLY FEE	$2,639.00	PR1718	06/30/2020
SDCWA CAPACITY CHARGE	$50,890.00	PR1718	06/30/2020
SDCWA WTR TREAT CAP CHRG	$1,411.00	PR1718	06/30/2020
WASTEWATER BUY-IN FEE	$116,914.00	PR1718	06/30/2020
WATER BUY-IN FEE	$85,200.00	PR1718	06/30/2020

TOTAL FEES:	$257,054.00
TOTAL FEES PAID:	$257,054.00
TOTAL FEES DUE:	$0.00

*WTR19-0102*