B24-0751 - 31971 CALLE WINONACITY OF SAN JUAN CAPISTRANO
BUILDING PERMIT
Permit No. 824-0751
Permit Number B24-0751 DESCRIPTION 800sf!NTERIOR DEMO ISSUED BY CJ5 SITE APN 649-213-44SITE LOT NO 39 SITE TRACT SITE SUBDIV ISION JOB VALUE $ 15,000 OCCUPANCY TYPE PERMIT TYPE. DEMOLITION ELELI RICAL PERMIT BUILDING SF 0 NO STORIES 1 NO UNITS 0
JOB ADDRESS: 31971 CALLE WINONAOWNER NAME CARDELLA, MICHAEL PHONE MAILING ADDRESS 31971 CALLE WINONA CITY,STATE,ZIP SAN JUAN CAPISTRANO, CA 92675 Total Electrical CONTRACTOR NAME TRICANA LLC PLUMBING PERMIT 1076044 ST. LIC EXPIRE 05/31/2025 PHONE (949)294-63 76ADDRESS 2913 EL CAMINO REAL 335CITY, ST, ZIP TUSTIN, CA 92782 TENANT NAME PHONE# MAILING ADDR Total Plumbing CITY, ST, ZIP . MECHANICAL PERMIT 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 Total Mechanical certify and agree if a permit is issued: to comply with all City, County, and State laws governing
ISSUED
10/07/2024
AMOUNT
AMOUNT
AMOUNT
building construction, whether specified herein or not. I also agree to save, indemnify and keep ,xpiration:: Every permit issued shall become invalid unless the work on the site authorized b)
hann less the City of San Juan Capistrano against all liabilities, judgments, costs and expenses uch permit is commenced within 12 months after its issuance, or if the work authorized on the
which may in any way accrue against said City in consequence of the granting of this pennit. ite by such permit is suspended or abandoned for a period of 12 mounths after the time the
vork commenced. Owner/Contractor I /-1/lt<t-tJf' $A-l16--�1.l'l-al Print Name L An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of
Applic;-nt's signatur(:J
structures over 3 stories in height.
,// �-l/--/ Contractor: I hereby affinn that I �m licensed under provisions of Chapter 9 of Division 3 of the Business and Professions Code, and my license is in full force and effect
-=-1--Owner/Builder: I, as 0\\11er of the property, or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec.7044, Business and Professions
Code:: the Contractor's License Laws does not apply to and owner of property who builds or improves thereon, who docs such work himself or thiough his employees, provided that such improvements arc not
intended or offc1 ed for sale. If however, the building or improvement is sold within one year of complelion, the O\'VTICr-buildcr will have the burden of proving that he did not build or improve for the purpose of sale)
Owner/Builder: 1, as O\'Vller of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law docs not
apply to an owner of property who builds or improves thereon and who contracts for such projccls with a contractor's) license pmsuant to the Contractor's License Law.
� Wo,rkers Comnem,i1iou-I hereby affinn under penalty of perjury one of the following declarations:! have and will maintain workers' compensation insurance, as required by Section 3700 of th
,<le, for the perfonnance of the work for which this pennit is issued. My workers' compensation insurance canier and policy number are: Canier STATE COMPENSATION INSURANCE
olicy#932 I 726 (This section needs to be completed if the pennit is for one hundred dollars($ I 00) or less)
Exemption: L ce1tify that in the performance of the work for which this pc1mit is issued, I shall not employ any pe1son in any manner so as to become subject to the workers' compensation laws of
Califomia 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.
Pate Applicant WARNlNG:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER Tl CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSDAND DOLLARS(S I 00,000) IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND AT TORNEY'S FEES FINALED12/02/25