B20-0373 - 31872 DEL OBISPO STCITY OF SAN JUAN CAPISTRANO
BUILDING PERMIT
Permit No. B20-0373
05/26/2020
ISSUED
JOBVALUE
NO_UNITS
Permit Number
ISSUED_BY
SITE_APN
SITE_LOT_NO
SITE_TRACT
SITE_SUBDIVISION
PERMIT TYPE.
OCCUPANCY_TYPE
BUILDING _SF
NO_STORIES
DB1
668-241-20
$ 65,000
SIGNS
0
0
0
JOB ADDRESS: 31872 DEL OBISPO ST
STROSCHER INVESTMENTS LLC,OWNER NAME
32101 COOK LNMAILING ADDRESS
CITY,STATE,ZIP
CONTRACTOR NAME
ST. LIC EXPIRE
ADDRESS
ST. LIC #
CITY, ST, ZIP
TENANT NAME
PHONE #
MAILING ADDR
CITY, ST, ZIP
PHONE #
CITY, ST, ZIP
MAILING ADDRESS
ST LICENSE #
ARCH/ENG/DESIGNER
I have carefully examined the completed permit application and do hereby certify under penalty of
perjury that all information hereon including the declarations are true and correct and I further
certify and agree if a permit is issued: to comply with all City, County, and State laws governing
building construction, whether specified herein or not. I also agree to save, indemnify and keep
harmless the City of San Juan Capistrano against all liabilities, judgments, costs and expenses
which may in any way accrue against said City in consequence of the granting of this permit.
Applicant's signature
Owner/Contractor
Print Name
NATIONAL SIGN & MARKETING CORPORATION
13580 5TH STREET
01/31/2022
PLUMBING PERMIT AMOUNT
MECHANICAL PERMIT AMOUNT
MOBILE HOME PERMIT AMOUNT
Expiration: Every permit issued by the Building Official under the provisions of this Code shall expire by
limitation and become null and void. If the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is
suspended or abandoned at any time after the work is commenced for a period of 180 days.
An OSHA permit is required for excavations over 5’0” deep and demolition or construction of
structures over 3 stories in height.
_____Contractor:I hereby affirm that I am licensed under provisions of Chapter 9 of Division 3 of the Business and Professions Code, and my license is in full force and effect.
_____Owner/Builder:I, as owner of the property, or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale. (Sec.7044, Business and Professions
Code: the Contractor’s License Laws does not apply to and owner of property who builds or improves thereon, who does such work himself or through his employees, provided that such improvements are not
intended or offered for sale. If however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale)
______Owner/Builder:I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor’s License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor’s) license pursuant to the Contractor’s License Law.
_______ Workers Compensation-I hereby affirm under penalty of perjury one of the following declarations: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__TRAVELERS PROPERTY CASUALTY
COMPANY OF AMERICA Policy#UB9M69819320(This section needs to be completed if the permit is for one hundred dollars($100) or less)
AMOUNTELECTRICAL PERMITDESCRIPTION
_______ 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.
WARNING:FAILURE TO SECURE WORKERS’COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TI CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSDAND 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.
B20-0373 ELECTRICAL ISSUANCE FEE 27.24
EXTEND ELECTRICAL 5.26
SIGNS OUTLINE LIGHTING AND MARQUEES 163.44
Total Electrical 195.94
Total Plumbing
Total Mechanical
Total Mobile Home
745030
,
CHINO, CA 91710
,
SAN JUAN CAPISTRANO, CA 92675
(909) 287-7366
(10) Chick-fil-A Signs, flagpole, menu sign and arm
PHONE
PHONE
Date _________________ Applicant _______________________________________
FINAL
12/18/2020
Date:
Permit No.
Applicant:
Phone/E-Mail
Job Location:
CITY OF SAN JUAN CAPISTRANO
BUILDING PERMIT FEES
Account # Type Cost
01-44221 Building Permit
01-44223 Mechanical
01-44224 Plumbing
01-44225 Electrical
01-44221 Mobile Home Permit
01-44222 Grading Permit Fee
01-44231 Grading Plan Check
01-44222 On-Site Residential Permit
01-44231 On-Site Residential Plan Check
Subtotal
01-44230 Bond Processing
01-44230 Building Plan Check
01-44230 Additional Plan Check
01-44230 Digital Record Fee ($1.00 per sheet)
01-44221 C & D Administrative Fee
01-44221 Special Inspection-Reinspection
01-44222 On-Site Commercial/Tract Permit Fee
01-44231 On-Site Commercial/Tract Plan Check Fee
01-44214 Geotechnical Soils Plan Review
10-44320 Ordinance 211
10-42510 Ordinance 364
01-45354 Copies @ .20 Each
90-23331 SMIP Fee
33-44370 H.O.P.E. Fee (Housing in Lieu)
Other Fees
TCA Fees Date Received
HOA Approval Date Received
School Fees Date Received
Engineering Fees Date Received
Water Division Fees Date Received
01-44221
01-44221
01-44240
90-23000
90-23000
TOTAL FEES PAYABLE TO CITY OF SAN JUAN CAPISTRANO
Receipt # _________ Date: ______________ Cashier: _____________________________
Refundable Bond/Deposit Posted by ______Owner_____Contractor ________Type
Title 24 Energy Provision (20% Permit Subtotal & Bldg Plan Check))
Title 24 ADA Fee (10% Permit Subtotal & Bldg Plan Check)
Refundable Bond/Deposit Posted by ______Owner_____Contractor ________Type
NPDES Permit Fee (10% Permit Subtotal)
$ 852.43
$ 195.94
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$ 18.20
$0.00
$0.00
$0.00
$0.00
$ 539.37
5/26/2020
$ 1,605.94
$0.00
$ 1,048.37
5/26/2020
B20-0373
NATIONAL SIGN & MARKETIN
31872 DEL OBISPO ST
(909) 287-7366
$0.00
B20 0373
Updated January 2013
Case File #:
SP
Related Case File(s):
Project Manager: Application received by:
Date Opened:
Amount of Deposit/Fee:
SIGN PERMIT
APPLICATION
Planning Division
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
(949) 443-6331
www.sanjuancapistrano.org
SIGN INFORMATION
Business Name:
Property Address/Location:
CITY OF SAN JUAN CAPISTRANO
PROPERTY OWNER INFORMATION APPLICANT INFORMATION
Name: Name:
Mailing Address: Mailing Address:
City/State/Zip: City/State/Zip:
Phone: Phone:
Fax No.: Fax No.:
E-Mail: E-Mail:
For City Staff Use Only
Sign Description (check one):
Free-standing monument Temporary subdivision
Building-mounted, projecting Permanent subdivision
Building-mounted, flush Major construction
Window Architectural Banners (commercial centers only)
Portable Sign Permit Convenience
Sign Dimensions: Length: Width: Sq. Footage: Height (from finished grade):
Lighting: Yes No
(If yes, please attach lighting information)
Materials:
Colors:
(Please attach proposed colors)
No. of Signs: Is proposed sign double-sided? Yes No
Existing Zoning
Designation:
Chick Fil A
20-010 SP19-008
PMG PMG
03/26/2020 118.98
31872 Del Obispo Street
✔
GC
✔
✔Plastic/metal
Chick Fil A Patrick Faranal
15635 Alton Parkway Ste 350 13580 Fifth Street
Irvine, Ca. 92618 Chino, Ca 91710
404/765-8000 909/287-7375
909/591-9792
pfaranal@nsmc.com
Updated January 2013
SIGN COMPANY INFORMATION ARCHITECT INFORMATION
Name:
Name:
Mailing Address:
Mailing Address:
City/State/Zip:
City/State/Zip:
Phone:
Phone:
Fax No.:
Fax No.:
SIGNATURE/ACKNOWLEDGEMENT
I hereby acknowledge that this application will not be considered complete until I have submitted all required
documentation and fees. I hereby certify that all information contained in this application, including all plans
and materials required to be submitted by the City, is, to the best of my knowledge, true and correct. I hereby
grant the City authority to enter onto the property to conduct site inspections.
Property Owner’s Signature Applicant’s Signature
SUBMISSION REQUIREMENTS
Sign Plan
Building Elevations
Color & Materials Board ((8.5” x 11”)
Illumination/electrical details
Sign Permit Application (Page 2)
For City Staff Use Only
Architectural Control No.
if applicable): Subject to Sign Program? Yes No
Sign permitted in
zone district? Yes No
Sign complies with
maximum size limits? Yes No
Sign complies with maximum
height restrictions? Yes No
Sign location complies
with approved site plan? Yes No N.A.
Sign complies with color/
material standards? Yes No N.A.
Sign complies with
illumination standards? Yes No N.A.
Project Planner
Signature
Approved
Denied Date:
National Sign & Marketing
13580 Fifth Street
Chino, California 91710
909/287-7375
909/591-9792
✔
See SP19-008
✔
✔✔
✔✔
✔✔
✔PMG 03/31/2020
Patrick Faranal Digitally signed by Patrick Faranal
DN: cn=Patrick Faranal, o=National Sign & Mrktg.,
ou=Permit Department, email=pfaranal@nsmc.com, c=US
Date: 2020.03.31 13:00:40 -07'00'