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B24-0469 - 32390 COMBINE DRCITY OF SAN JUAN CAPISTRANO BUILDING PERMIT Permit No.B24-0469 06/04/2024 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 121-522-33 145 19063 THE FARM - ANDALUSIA $0 ELECTRICAL 0 0 0 JOB ADDRESS: 32390 COMBINE DR HOOSHVAR, YASHAROWNER NAME 32390 COMBINE DRMAILING 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 RICHARD RIZZO ELECTRIC INC 13628 E WHITETHORN DR 12/31/2025 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 12 mounths 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__HARTFORD CASUALTY INSURANCE COMPANY Policy#76WEGAT9A6N (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. B24-0469 Total Electrical Total Plumbing Total Mechanical Total Mobile Home 1060951 , SCOTTSDALE, AZ 85262 SAN JUAN CAPISTRANO, CA 92675 (949) 300-6579 (949) 402-6954 PHONE PHONE Date _________________ Applicant _______________________________________ MOBILE HOME PERMIT AMOUNT INSTALL EV WALL CHARGER & 60a CIRCUIT IN GARAGE. CHARGEPOINT HOME FLEX. PLUMBING PERMIT 06/06/24 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 6/4/2024 $0.00 $0.00 $0.00 6/4/2024 B24-0469 RICHARD RIZZO ELECTRIC INC 32390 COMBINE DR (949) 402-6954 $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 () Emailbuilding#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 :