B24-0935 - 28271 PASEO CORRALESPermit Number B24-0935
CITY OF SAN JUAN CAPISTRANO
BUILDING PERMIT
Permit No. 824-0935
DESCRIPTION
ISSUED
10/10/2024
CHANGE OUT AC CONDENSER w/ (14) DUCTS. LIKE FOR LIKE
ISSUED BY CJ55
SITE APN 666-171-05
SITE LOT NO 33
SITE TR ACT 9373
SITE SUBDIVISION
JOB VALUE $ 0
OCCUPANCY TYPE
PERMIT TYPE. MECHANICAL
BUILDING SF 0
NO STORIES 2
NO UNITS 1
JOB ADDRESS: 28271 PASEO CORRALES
OWNER NAME SITYAR FAMILY TR,
PHONE
MAILING ADDRESS 28271 PASEO CORRALES
CITY,STATE,ZIP SAN JUAN CAPISTRANO, CA 92675
CONTRACTOR NAME TRITON AIR INC
774877
ST. LIC EXPIRE 06/30/2026
PHONE (949)492-0290
ADDRESS 1221 PUERTA DEL SOL SUITE 300
CITY. ST, ZIP SAN CLEMENTE, CA 92673
TENANT NAME
PHONE#
MAILING ADDR
CITY, ST, ZIP
MOBILE HOME PERMIT AMOUNT
Total Mobile Home I have carefully examined the completed pennit application and do hereby certify under penalty of perjury that all infonnation hereon including the declarations are true and correct and I further certify and ab'Tee if a permit is issued: to comply with all City, County, and State laws governing building constrnction, whether specified herein or not I also agree to save, indemnify and keep hannless the City of San Juan Capis1ra�111S1 all linb' ities,judgments, costs and expenses which may in any way accrne against s • ty in con,�l'We, cc o�f I • _gnmtin� of this permit, Owner/Contractor J /\ ,,.. Print Name
�
I
Applicant's signature
ELECTRICAL PERMIT AMOUNT
Total Electrical
PLUMBING PERMIT AMOUNT
Total Plumbing
MECHANICAL PERMIT AMOUNT
MECHANICAL ISSUANCE FEE 27.24
DUCT INSTALL/REPLACE/RELOC 112.42
AC/BOILR/COMP: <=3HP & IOOK BTU 16.28
Total Mechanical 155.94 O: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 mounths after the time the vork commenced. An OSHA permit is required for excavations over 5'0" deep and demolition or constrnction of structures over 3 stories in height. � Contractor: I he�rm th�cnscd under provisions of Chapter 9 of Division 3 of the Business and Professions Code, and my license is in full force and effect. __ OwnerlBuitds;r; I, as ow1�p1opcrty, or my employees with wages as their sole compensation, will do the ''-'Ork and the structure is not intended or offered for sale, (Sec, 7044, Business and Professions Code: the Contractol"s License Laws docs not apply to and owner of prope1ty who builds or improves thereon, who does such work himself 01• through his employees, provided that such improvements are not intended or offe1ed for sale. If however, the building or improvement is sold within one yeaJ' of completion, the owner-builder wi1l have the burden of proving that he did not build OJ' improve for the pu111osc of sale) Owner/Builder: 1, as owner of the property, am exclusively conhacting with licensed contl'actors to construct the project (Sec. 7044, Business and P1ofcssions Code: The Contractor's License Law does not t1PJtlY fan 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� �Wgrk"r< (nTiJl)cnsalion-1 hereby affirm under penalty of perjury one of the following declarations:! have and will maintain workers' compensation insurance, as required by Section 3700 nflh< ode, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number arc: Carrier A I U INSURANCE COMPANY Policy#WC020396019 (This section needs to be completed if the pennit is for one hundred dollars($ I 00) or less) Exemption: 1 certify that in the perfmmancc of the work for \\'hich this permit is issued, I shall not employ any person in any mannc1 so as to become subject to the worke1s' compensation laws of California and agree that ifl should become subject to the workers' compensation pl'Ovisions of Section 3700 of the Labor Code, I shall fotthwith comply with those provisions. )ate Applicant WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER Tl CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS DA ND DOLLARS(S 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 FINAL10/01/25