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B22-1630 - 29331 PASEO ARAGONFINAL 01/25/2024 SEE REV2 Pennit Number B22-1630 CITY OF SAN JUAN CAPISTRANO BUILDING PERMIT Permit No. 822-1630 DESCRIPTION ISSUED 01/09/2023 36 ROOF MOUNTED SOLAR PANELS. 13.273kW AC. ADDON TO EXST SYS CODE YEAR 2019 ISSUED BY CJ5 SITE AP N 664-253-35SITE LOT NO 62 SITE TRACT 16634 SITE SUBDIVISION RANCHO SAN JUAN JOB VA LUE $49,882 OCCUPANCY TYPE PERMIT TYPE. SOLAR PANEL INSTALLA ELEC TRICAL PERMIT AMOUNT BUILDING SF 0 NO STORIES 0 NO UNITS 0 JOB ADDRESS: 29331 PASEO ARAGON OWNER NAME MEYER, TY PHONE MAILING ADDRESS 29331 PASEO ARAGON CITY,STATE,ZIP SAN JUAN CAPISTRANO, CA 92675 Total Electrical CONTRACTOR NAME GUYOU CONSTRUCTION INC PLUMBING PERMIT AMOUNT 997054 ST. LIC EXPIRE 09/30/2024 PHONE (866)464-8968ADDRESS 9880 INDIANA AV ENUE STE 2CITY, ST, ZIP RIVERSIDE, CA 92503 TENANT NAME PHONE# MAILING ADDR Total Plumbing CITY, ST, ZIP MECHANICAL PERMIT AMOUNT MOBILE HOME PERMIT AMOUNT Total Mobile Home I have carefully examined the completed pem1it application and do hereby certify under penalty of perjury that all infom,ation hereon including the declarations are true and correct and I further Total Mechanical certify and agree if a pem,it is issued: to comply with all City, County, and State laws governing building construction, whether specified herein or not. I also ab>ree to save, indemnify and keep ixpiration:: Every permit issued shall become invalid unless the work on the site authorized bJ ham,Jess the City of San Juan Capistr.mo against all liabilities, judgments, costs and expenses uch permit is commenced within l2 mon ths after its issuance, or if the work authorized on the which may in any way accrue against said City in consequence of the granting of this pem,it. ite by such permit is suspended or abandoned for a period of 180 days after the time the work '\<.c,,..'1" 5. ommcnced. Owner/Contractor ll "-VV\ Print Name /J(_ �R An OSHA pennit is required for excavations over 5'0" deep and demolition or construction rf /\ structures over 3 stories in height Applicant's signature .. _.G,_� !:;2ntract2r I hereby affim, �•I i)m lic-enscf ,jidcrprovisions ofChapter9 of Division 3 of the Business and Professions Code, and my license is in full force and effect. Owncr/Bllildcr: I. as owner of the property, or my employees with wages as their so]e compensation, will do the work and the structure is not intended or offered for sa]e. (Sec.7044, Business and Professions Code: the Contractor's License Laws docs 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 bu,den of proving that he did not build or improve for the purpose of sale) __ Owner/Builder: 1, 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 owne1 of property who builds or improves thereon and who contracts for such projects with a contrac1or's) license pursuant to the Contracto, 's License Law. I� Worke,-s Com nensnrion-1 hereby affinn under penalty of perjury one of the following declarations:! have and will maintain workers' compensation insurance, as required by Section 3700 of �1 Lnoo, Code, for the perfom,ance of the work for which this pennit is issued. My workers' compensation insurance carrier and policy number are: Carrier CYPRESS INSURANCE COMPANY Policy#G].lW!:;323613 (This section needs to be completed if the pennit is for one hundred dollars($ I 00) or less) Exemption: I certify that in the performance of the work for which this pem1it is issued, I shall not employ any person in any manne1 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 fo11hwith comply with those provisions. )ate Applicant WARNTNG:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAW FUL, AND SHALL SUBJECT AN EMPLOYER Tl CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSDAND DOLLARS(Sl 00,000) IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES SEE REV 1