B23-0618 - 31322 VIA LAS PALMASCITY OF SAN JUAN CAPISTRANO
BUILDING PERMIT
ISSUED
04/25/2023
Permit No. 823-0618
Permit Number B23-0618 ISSUED BY DF4 SITE APN 664-191-24 DESCRIPTION CLOSEOUT PERMIT B20-0390.442sf ADDITION & REMODEL. l 76sfDECK 525sfSOLID DET PATIO. BBQ. FIRE TABLE. EXTERIOR FIREPLACE. D/W. EXT. COUNTER FRIDGES. REMODEL OF FULL HOUSE. ADDITION TO 1st & 2nd FLOORS. SITE LOT NO 30 SITE TRACT 13025 SITE SUBDIVISION JOB VA LUE $ 110,000 OCCUPANCY TYPE R3 PERMIT TYPE. BUILDING ELECTu •CAL PEu MIT A1vnJUJ'I I BUILDING SF 0 0 EXTEND ELECTRICAL 2.63 NO STORIES LIGHTING FIXTURES 24.35 NO UNITS I RECEPTACLE SWITCH AND LIGHT OUTLETS 35.29 JOB ADDRESS: 31322 VIA LAS PALMAS ELECTRICAL ISSUANCE FEE 27.24 OWNER NAME CASTRO, SUSANA PHONE MAILING ADDRESS 31322 VIA LAS PA LMAS CITY,STATE,ZIP SAN JUAN CAPISTRANO, CA 92675 Total Electrical 89.51 CONTRACTOR NAME OWNER / BUILDER PLUMBING PERMIT AMOUNT # GAS SYSTEMS 3.41 ST. LIC EXPIRE BUILDING SEWER 13.65 PHONE EXTEND PLUMBING 7.89 ADDRESS FIXTURES AND VENTS 32.55 CITY, ST, ZIP ' WATER PIPING SYSTEMS 2.63 TENANT NAME PLUMBING ISSUANCE FEE 27.24 PHONE# MAILING ADDR Total Plumbing 87.37 CITY, ST, ZIP MECHANICAL PERMIT AMOUNT MOBILE HOME PERMIT AMOUNT APPLIANCE VENTS 4.02 EXHAUST FAN W/ SINGLE DUCT 4.20 EXTEND DUCTWORK 4.02 FIREPLACE VENTS AND EXHAUST 5.90 Total Mobile Home MECHANICAL ISSUANCE FEES 27.24 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 Total Mechanical 45.38 building construction, whether specified herein or not. I also agree to save, indemnify and keep 1xpiration:: Every permit issued shall become invalid unless the work on the site authorized bJ harmless the City of San Juan Capistrano against all liabilities, judgments, costs and expenses uch permit is commenced within 12 months after its issuance, or if the work authorized on the
;:::;��:n;;::;:e agains� �y s;n;�ce or•as� permit. ite by such permit is suspended or abandoned for a period of 180 days after the time the work
ommenced.
Print Name s-�An OSHA permit is required for excavations over 5'0" deep and demolition or construction of -structures over 3 stories in height
Applicant's signature
--Contractor: I hereby affinn 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.
__ Ow,u-r/lluildtr: 1, 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) & Ow11u!Builrlcr-: Las owner of the pr.open 1s am exclusively corurn:ctin� ,vilh licensed contractors to c(HlS-U'Ilct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not
pp} o...11n owner of prcJ>erty who builds or irnprO\'CS thereon and who contrncl5 for,sui;h projects with n c.ontmctor's) license pursuant to the Contractor's License Law.
--Work.,,,. Contnensatino-1 hereby affirm under penalty of perjury one of the following declarations:! have and will maintain workers' compensation insurance, as required by Section 3700 of th, 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# (This section needs to be completed if the permit is for one hundred dollars($100) or less)
5".:, E ,cmncioo; 1 certify that in the perfonnance of the work for which this pennit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
bate y L 1.-�-z:� Applicant_ s c�
WA RNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJEC T AN EMPLOYER TI CRIMINAL PENALTIES AND CIVIL FINES UPTO ONE HUNDRED
THOUSDAND DOLLARS($ 100.000) IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND AT TORNEY'S FEES
FINAL
10/31/2023