eTRAKiT Permit

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

Applied Date:	9/12/2022
Expiration Date:
Permit No:	WTR22-0167
Permit Type:	WATER COMMERCIAL

Site Address:

3528 VILLAGE COMMERCIAL DR OCEANSIDE, CA 92056

Site APN:

1620825100

Subdivision:

Site Block:

Site Lot:

Valuation:

Site Tract:

Permit Status:

READY TO BILL

Description of Work:

NEW 3/4" COMM WM - EL CORAZON MIXED USE - N/O MAIN DRIVEWAY


Contractor:
Address:
Phone:

Technical Information:

Caption	Value
FIRE SPRINKLER	NO
INSTALL DATE	4/19/2024
INSTALLER	VICTOR BECERRA
NOTES
ADDTL ADDRESSES
METER LOCATION COMMENT	METER LOCATED JUST NORTH OF MAIN DRIVEWAY OF DEVELOPMENT PER IMPROVEMENT PLAN R20-00001
METER/SERIAL #	16412504
METER SIZE	0034
METER TYPE	POSITIVE DISPLACEMENT
METER MODEL	T-10
METER MAKER	Neptune
RADIO ID	703271368
CUSTOMER ID	489131
LOCATION ID	193776
FIRE SERVICE	NO
UNIT COUNT	2
WET BAR
SEWER RATE CLASS	CL- COMM LOW
READ CYCLE	15
READ ROUTE	01
READ SEQUENCE	305
RATE CLASS	CO-COMMERCIAL
ACCESSORY DWELLING UNIT
SERVICE CODE	BO
LAST METER NUMBER
LAST REGISTER ID
LAST READ
LAST METER SIZE


Owner:	SHARON ROSAS
Address:	3546 VILLAGE COMMERCIAL DR OCEANSIDE CA 92056
Phone:	(760) 650-3546

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	$618.00	1983845	09/27/2022
SDCWA CAPACITY CHARGE	$5,328.00	1983845	09/27/2022
SDCWA WTR TREAT CAP CHRG	$149.00	1983845	09/27/2022
WASTEWATER BUY-IN FEE	$11,691.00	1983845	09/27/2022
WATER BUY IN FEE	$8,520.00	1983845	09/27/2022

TOTAL FEES:	$26,306.00
TOTAL FEES PAID:	$26,306.00
TOTAL FEES DUE:	$0.00

*WTR22-0167*