B23-1393 - 28131 LAS BRISAS DEL MARCITY OF SAN JUAN CAPISTRANO
BUILDING PERMIT
Permit No. B23-1393
11/21/2023
ISSUED
JOB VALUE
NO UNITS
Permit Number
ISSUED BY
SITE APN
SITE LOT NO
SITE TRACT
SITE SUBDIVISION
PERMIT TYPE.
OCCUPANCY TYPE
BUILDING SF
NO STORIES
DF4
675-391-02
78
$0
ELECTRICAL
0
0
0
JOB ADDRESS: 28131 LAS BRISAS DEL MAR
McCLELLAND, KEVIN & NICOLEOWNER NAME
28131 LAS BRISAS DEL MARMAILING ADDRESS
CITY,STATE,ZIP
CONTRACTOR NAME
ST. LIC EXPIRE
ADDRESS
CITY, ST, ZIP
TENANT NAME
PHONE #
MAILING ADDR
CITY, ST, ZIP
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
ADVANCE ELECTRIC INC
24000 ALICIA PARKWAY #17-241
10/31/2024
AMOUNT
MECHANICAL PERMIT AMOUNT
Expiration:: Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 12 months after its issuance, or if the work authorized on the
site by such permit is suspended or abandoned for a period of 180 days after the time the work
commenced.
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__NORGUARD INSURANCE COMPANY
Policy#ADWC488061 (This section needs to be completed if the permit is for one hundred dollars($100) or less)
AMOUNTELECTRICAL PERMIT
DESCRIPTION
_______Exemption: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.
B23-1393
Total Electrical
Total Plumbing
Total Mechanical
Total Mobile Home
729017
,
MISSION VIEJO, CA 92691
SAN JUAN CAPISTRANO, CA 92675
(949) 254-7024
(949) 462-9200
PHONE
PHONE
Date _________________ Applicant _______________________________________
MOBILE HOME PERMIT AMOUNT
INSTALL 240V 50A EV OUTLET
PLUMBING PERMIT
FINAL
12/08/2023
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)
$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
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
11/21/2023
$0.00
$0.00
$0.00
11/21/2023
B23-1393
ADVANCE ELECTRIC INC
28131 LAS BRISAS DEL MAR
(949) 306-6312
$0.00
-
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 *ROUP(S)
SPRINKLERS
PERMIT NUMBER
JOB VALUATION
Pool/Spa
Vent/Exhaust Hood
Miscellaneous
Grease Interceptor
Earthquake Bracing
Electrical Wiring
Gas Piping
Sewage Disposal
Water Piping
Cit\ RI San JXan CaSistUanR
DeDeYelopment SerYices Department
00 Paseo Adelanto
SaSan -uan Capistrano CA
Phone ( )
Email building#sanMuancapistranoorg
www.sanMuancapistranoorg/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
BBBBSQ.FT.
BBBBSQ.FT.
BBBBSQ.FT.
BBBBSQ.FT.
BBBBSQ.FT.
NEW BUILDING
BBBBSQ.FT.
BBBBSQ.FT.
BBBBSQ.FT.
BBBBSQ.FT.
BBBB
BBBB
BBBB
BBBB
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 appOicant Ior this proMect , am aZare oI the potentiaO OiabiOities Zith unGertaNinJ construction Zithin an\ private easement or use restriction area that
ma\ exist on this propert\ , acNnoZOeGJe that , have or ZiOO revieZ the TitOe 5eport Ior this propert\ to ensure that this proMect Goes not impact an\ private
easements or use restriction areas B\ siJninJ beOoZ , CE5T,)< T+E AB2VE ,1)25MAT,21 T2 BE T5UE A1' C255ECT
CONTRACTOR
State License #:
Name
Address
City/State/Zip
// 10093
%UI/'IN*
PER0IT $PP/IC$TION
:$51,1*:
7+,6 3(50,7 $33/,&$7,21 :,// (;3,5( 1 YEAR )520
7+( '$7( 6+2:1 %(/2: 81/(66 7+( 3(50,7 +$6 %((1
,668(' 25 $1 (;7(16,21 ,6 $33529(' %< 7+( %8,/',1*
2)),&$/ 35,25 72 $33/,&$7,21 (;3,5$7,21
BBBBBBBBBBBB
:
B23 1393
10 17 23
Details
• Connector uses industry standard/universal SAEJ1772 connector. Compatible with electric vehicles onthe market today (that are compliant with SAE J1772)
• Up to 7.36 kW/30 amp output for SAE
• Dynamic color LED lights show power andcharging status
• Usage: Capable for both indoor and outdoor use.IP-66 rated when connected
• Lightweight cable; length is 20 ft.
• Input Voltage: 120V or 230V/240V
• Input Frequency: 50Hz – 60Hz
• Weight: 9.5 lbs.
• In the Mobile Power Cord carrying case:
• Ford Mobile Power Cord
• 20 ft. Cord and Charge Coupler
• Low-Voltage Connector
• High-Voltage Connector
• Wall Bracket
While the cord is 20', we recommend leaving some slack to account for outlet height 35"-60" and vehicle charge port height.
12'Approximately Mobile Power CordVehicle Charge Port
Mobile Power Cord
• The Mobile Power Cord provides level 1 and level 2 chargingcapability at home
• Backed by Ford Motor Company three-year limited warranty(See your dealer for limited-warranty details)
• Designed specifically for your Ford electric vehicle and workswith all J1772 plugs (EV industry standard)
• The Mobile Power Cord offers up to 30 amps to increase yourhome charging speed for your Ford EV
• When paired with an adapter and plugged into the F-150 Lightningwith 9.6 kW Pro Power Onboard capability, the Mobile Power Cordcan send level 2 power from the truck to another vehicle
Check All Applicable Descrip on of Load Volt-Amps on Nameplate
Ra ng
(Wa s) V olt-Amps
Used
General Ligh ng/Power Load
Required Total Square footage of building mes 3 sf x 3 volt-amp
Required Kitchen Small Appliance Branch Circuits (min. 2) 1,500 volt-amps/circuit
Required Laundry Circuit (min. 1) 1,500 Volt-Amps
Appliances and Equipment Except Air Condi oner(s)
▢ Microwave 1,400 wa s
▢ Trash Compactor 1,000 wa s
▢ Dishwasher 1,500 wa s
▢ Disposal 1,000 wa s
▢ Electric Oven 2,000 wa s
▢ Electric Range 5,000 wa s
▢ Induc on Range 10,000 wa s
▢ Electric Clothes Dryer 4,000 wa s
▢ Electric Clothes Washer 500 wa s
▢ Electric Tankless Water Heater 15,000 wa s
▢ Electric Water Heater 4,000 wa s
▢ Electric Heat Pump Water Heater 550 wa s
Required on new homes Electric Vehicle Supply Equipment (EVSE) 7,000 wa s
▢ Evapora ve Cooler 500 wa s
▢ Pool or Spa 2,000 wa s
▢ Other: wa s
▢ Other: wa s
▢ Other: wa s
Sub-Total Volt-Amps Used (add up V-A used for everything checked)
- 10,000 V-A
Subtotal (A)
x .40
Subtotal (B)
+ 10,000 V-A
Subtotal (C)
Hea ng and Air-Condi oning (Add the largest of the following): +
1. Air condi oning and cooling (100% of nameplate (NP) ra ng) =
2. Heat pump without supplemental hea ng (100% NP Ra ng) =
3. Heat pump with supplemental electric heat (100% NP plus 65%) =
4. Electrical space hea ng , 4 separate units (65% NP ra ng) =
5. Electrical space hea ng > 4 separate units (40% NP ra ng) =
6. Electrical thermal storage and other 100% NP ra ng =
Total Current Demand (Volt-Amps) =
Divided by 240 Volts = Amps
Total Amps Required for Service Conductors and Panel =
Ra ng of Exis ng Electrical Service or Subpanel (Amps)=
Panel Upgrade Required? (YES OR NO)
Ra ng of Proposed Electrical Service or Subpanel (IF YES ABOVE)=
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