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Name
Address
City/State/Zip
TENANT NAME
Phone ( )
ACCESSORY DWELLING UNIT
QTY QTY QTY QTY
Light Fixtures/Fans
FAU < 100k BTU's
Fixtures/Hose Bibs
New/Setup
Outlets/Switches FAU > 100k BTU's
Water Heater
Carport
Meters/Main Panels
AC/Comp BTU=
Water Piping
Gas Systems
Awning
Signs
Exhaust Fans
Temp Power
Motors > than 1 HP
Motors < than 1 HP
Duct/Register/Grill
Pool/Spa
Pool/Spa
Extend Plumbing
APPLICANT SIGNATURE DATE
Porch
ISSUANCE
ELECTRICAL PLUMBINGMECHANICAL
ISSUANCEISSUANCE
Fireplace
ISSUANCE
Fire Sprinkler Heads
Miscellaneous
PROPERTY OWNER
Appliance Vent
CONSTRUCTION TYPE NO. OF STORIES
MOBILE HOME
PROJECT ADDRESS UNIT #:
Extend Electrical
Cabana
OCCUPANCY GROUP(S)
SPRINKLERS
PERMIT NUMBER
JOB VALUATION
Pool/Spa
Vent/Exhaust Hood
Miscellaneous
Grease Interceptor
Earthquake Bracing
Electrical Wiring
Gas Piping
Sewage Disposal
Water Piping
City of San Juan Capistrano
DeDevelopment Services Department
32400 Paseo Adelanto
SaSan Juan Capistrano, CA 92675
Phone: (949) 443-6347
Email:building@sanjuancapistrano.org
www.sanjuancapistrano.org/building
Building Sewer
ATTACHED DETACHED
NEW
CONSTRUCTION
CONVERSION OF
EXISTING STRUCTURE
JADU 1.
2.
OCCUPANCY CURRENT OCCUPANCY PROPOSED
INT. ALT.
ADDITION
PATIO
POOL/SPA
DEMOLITION
EXISTING BUILDING ____SQ.FT.____SQ.FT.____SQ.FT.____SQ.FT.____SQ.FT.
NEW BUILDING
____SQ.FT.____SQ.FT.____SQ.FT.____SQ.FT.
________________
OCC. GROUP
DESCRIPTION OF WORK
COMBINING OR SUBDIVIDING SUITES?
CHANGE OF OCCUPANCY USE?
YES NO
YES NO
YES NO
APPLICANT
CONTACT NAME
CONTACT PHONE ( )
EMAIL ADDRESS
$
PRINT NAME
As the applicant for this project, I am aware of the potential liabilities with undertaking construction within any private easement or use restriction area that may exist on this property. I acknowledge that I have or will review the Title Report for this property to ensure that this project does not impact any private easements or use restriction areas. By signing below, I CERTIFY THE ABOVE INFORMATION TO BE TRUE AND CORRECT.
CONTRACTOR State License #:
Name
Address
City/State/Zip
BUILDING PERMIT APPLICATION
LL 06/28/23
WARNING:
THIS PERMIT APPLICATION WILL EXPIRE 180 DAYS FROM
THE DATE SHOWN BELOW UNLESS THE PERMIT HAS BEEN
ISSUED OR AN EXTENSION IS APPROVED BY THE BUILDING
OFFICAL PRIOR TO APPLICATION EXPIRATION.
____/____/____
:
B23 1222
08 31 23
NO LONGER
DOING DERATE
NO BBU
225A MPU
1
1
INSTALL EV CHARGER
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GENERAL REQUIREMENTS
Y N
Y N
Y N
Y N
1.System size is 10 kW rating or less
2.Solar array is roof mounted on a one or two family dwelling OR accessory dwelling unit (ADU)
3.Solar panels/module arrays will not exceed the maximum legal building height
4.Solar system is utility interactive and without battery storage
5. New roofing material directly below the solar array may be installed by a separate roofing contractor
or the solar installation contractor. Any roofing outside of the array footprint will require a separate
permit from a licensed roofing contractor.
RESIDENTIAL PHOTOVOLTAIC
ELIGIBILITY CHECKLIST
Solar Photovoltaic (PV) Checklist for
Detached One- or Two- Family Dwellings
Instructions: The licensed contractor of record shall fill in the address of the project, contractor’s licensing
information and answer each statement with Y or N. Complete and sign the certification section.
** If any items are checked NO, plan check shall be required **
Project Address: ___________________________________________________
Contractor Company Name: ____________________________________________________
Contractor State License Number: ____________________________________________________
City of SJC Business License Number: _________________________________
City of San Juan Capistrano
DeDevelopment Services Department
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
Phone: (949) 443-6347
Email: building@sanjuancapistrano.org
www.sanjuancapistrano.org/building
07/03/23 LL
1.Permit Application (Completed & Attached)
2.Signed Contract or letter of intent with the homeowner is provided with submittal
3.Structural Roof Criteria and supporting documentation is attached and stamped by a licensed design
professional
4.Electrical load calculation is required for all installations. (MUST BE COMPLETED ON CITY STANDARD
TEMPLATE)
5.SDG&E Work Order is required for all Main Panel Upgrades
6.Clear photographs required of existing main service panel and subpanels showing ALL circuit breakers/
loads and panel board/bus ratings.
7.Manufacturers Specifications required for ALL electrical components that will be installed
Y N
Y N
Y N
Y N
Y N
Y N
Y N
STRUCTURAL REQUIREMENTS
1.A completed Structural Criteria and supporting documentation is attached and stamped by a licensed
design professional for solar array attachment and/or any separate structure or racking supporting array
or equipment.
Y N
Y N
CITY SPECIFIC REQUIREMENTS
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FIRE SAFETY REQUIREMENTS
1.Clear access pathways provided per OCFA and CRC guidelines
2.Fire classification solar system is provided (Class A)
3.All required markings and labels are provided
4.Diagram of the roof layout of all panels, modules, clear access pathways and approximate
locations of electrical disconnecting means and roof access points is completed and
attached
**Renewable Meter Adapter (RMA) installations must be approved by SDG&E and have a separate GEC. Any and all grounding work not performed by SDG&E, including but not limited to the RMA disconnect, will be performed by the Solar Contractor.
I certify under penalty of perjury under the laws of the State of California that the above is true and
correct. I understand that all approvals are subject to field inspection. Field corrections may
require a formal revision submitted for plan review. A re-inspection fee may be assessed when
work is not ready, inspection card and/or approved plans are not available, no access has been
provided or there is any deviation from the approved plans.:
Print Name: ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ Date: ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ
Signature: ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ
Phone Number:ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ
Email Address: ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ
ELECTRICAL REQUIREMENTS
1.The PV system is interconnected to a single-phase AC service panel of nominal 120/220 Vac with
a bus bar rating of 225A or greater
2.The PV system is connected to the load side of the utility distribution equipment**
3.A Solar PV Standard Plan and supporting documentation is completed and attached
Y N
Y N
Y N
Y N
Y N
Y N
Y N
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