B24-0543 - 27762 GOLDEN RIDGE LN09/26/24
Permit Number B24-0543
CITY OF SAN JUAN CAPISTRANO
BUILDING PERMIT
Permit No. 824-0543
DESCRIPTION
ISSUED
07/08/2024
45 ROOF MOUNTED SOALR PANELS. I8.33kW AC SYSTEM. (2) BBU.
ISSUED BY DF5
SITE APN 650-561-07
SITE LOT NO 23
SITE TRACT
SITE SUBDIVISION
JOB VALUE $ 57,420
OCCUPANCY TYPE
PERMIT TYPE. SOLAR PANEL INSTALLA
BUILDING SF 0
NO STORIES 0
NO UNITS 0
JOB ADDRESS: 27762 GOLDEN RIDGE LN
OWNER NAME VILLA MICHAEL TR,
PHONE
MAILING ADDRESS 27762 GOLDEN RIDGE LN
CITY,STATE,ZIP SAN JUAN CAPISTRANO, CA 92675
CONTRACTOR NAME SOLAR TECH ENERGY SYSTEMS INC
1106777
ST. LIC EXPIRE 06/30/2025
PHONE (619)743-9193
ADDRESS 94I0 BONDAVE
CITY, ST, ZIP EL CAJON, CA 92021
TENANT NAME
PHONE#
MAILING ADDR
CITY, ST, ZIP .
MOBILE HOME PERMIT AMOUNT
Total Mobile Home
I have carefully examined the completed permit application and do hereby certify under penalty of perjury that all infonnation hereon including the declarations are trne and correct and I further certify and ab'!ee 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 accrne against said City in consequence of the granting of this permit.
Owner/Contractor
Print Name
Appficant's signature
!Wt:trt,/ Muene/a
�
ELECTRICAL PERMIT AMOUNT
MISCELLANEOUS APPRTUS/CNDUIT/CNDUCTR� 40.30
ELECTRJCAL ISSUANCE FEE 27.24
Total Electrical 67.54
PLUMBING PERMIT AMOUNT
Total Plumbing
MECHANICAL PERMIT AMOUNT
Total Mechanical ':xpiration:: Every permit issued shall become invalid unless the work on the site authorized b) ·uch permit is commenced within 12 months after its issuance, or if the work authorized on the ·ite by such permit is suspended or abandoned for a period of 12 rnounths after the time the vork commenced.
An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
C2ntraclor: 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.
__ Ow ncr/lluildcr-; I, as owner of the p1operty, or my employees with wages as their sole compensation, wilJ do the work and the shucture is not intended or offered for sale. (Sec.7044, Business and P,ofessions
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 imp1overnent 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, owner of the property, am exclusively conhacting with licensed contract01s to construct the project (Sec. 7044, Business and Professions Code: The Conhactor's License Law docs not
apply }O an owner of property who builds or improves thereon and who contracts for such projects with a contractor's) license pursuant to the Conhactor's License Law.
IJ!k\Vorkcr.< Conipcni-alion•f hereby affinn under penalty of perjury one of the following declarations:! have and will maintain workers' compensation insurance, as required by Section 3700 of 1h ode, for the performance of the work for which this pennit is issued. My workers' compensation insurance carrier and policy number are: Carrier GENERAL CASUALTY COMPANY OF WISCONSIN Policy#QWC7100036 (This section needs to be completed if the pem,it is for one hundred dollars($ I 00) or less)
Exemntion: 1 certify that in the perf01mance of the work fo1 which this pennit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of
California and ag1ee that ifl should become subject to the workc1s' compensation provisions of Section 3700 of the Labor Code, I shall fo11hwith comply ,vith those provisions J
bate Applicant
WARNlNG:FAlLURE TO SECURE WORKERS'COMPENSATlON COVERAGE JS UNLAWFUL, AND SHALL SUBJEC T AN EMPLOYER Tl CRJMlNAL PENALTIES AND ClYIL FINES UPTO ONE HUNDRED THOUSDAND DOLLARS(S100,000) IN ADDlTlON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND AT TORNEY'S FEES SEE REV 1