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3110 E LA PALMA AVE (6)Permit Number: SGN2022-00032 Issued: 06/01/2022 www.anaheim.neUbuilding (714)765-4626 Quarter Section: 140 CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765.5153 Site Address: 3110 E LA PALMA AVE, ANAHEIM, CA 92806 :Liu^[�', •, Legal.Description: ATR KRAEMER TR BLK K LOT 20 KRAEMER TR LOT 20 BLK APN: 34511 117 Project Description: Installation of (1) order point canopy, (1) digital preview board and (1) digital menu board for "Carl's Jr.". People Associated with Project: Contractor NATIONAL SIGN & MARKETING CORPOR 13580 5TH STREET200009141114589050 CHINO, CA 91710 Permit Applicant PATRICK FARANAL Owner KWONG ALAN Y H TR A H 11565 COLUMBET AVE OWNER - BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractor's License State Law for the following reason(s) Indicated below by the eheekmark(s) I have placed next to the applicable Item(s) (See. 7031.5 Business and Professions Code: any city or county which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to Its Issuance, also requiresdhe applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 13 I, as owner of property, or my employees with wages as their sole compensation, will do"all or (_� por0ons of the work, and the structure is not Intended or offered for sale (Sec. 7044 Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal efforts, builds or Improves the properly, provided that the Improvements are not intended or offered for sale. If, however, the building or 0 I, as the owner of the property, am exclusively contracting with licensed Contractors to construct the project (Sec. 7044 Business and Professions Code: The Contractors' State License tow does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor Dursuant to the Contractor's State License Law). I am exempt from licensure under the Contractors, State License Law for the following reason: Date Signature of Property Owner or Authorized Agent WORKER'S COMPENSATION DECLARATION Vhereb ffirm under penalty of perjury one of the following declarations: e and will maintain a certificate of consent to selfansure for worker's compensation, Issued by the Director of Industrial Relations as provided for by 00 of the Labor Code, for the performance of the work for which this permit is issued. e and will maintain workers compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permitis ssued. My worker's Compensation insurance carder and policy are: Cartier. TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy No.: UB9M6981 This section need not be completed If the permit Is for one hundred dollars ($100) or less. ❑ I certify that In the performance of the work for which this permit is Issued, I shall not employ any person in any m ner so as to become subject to the worker's compensation laws of California, and agree that, Asld becomes jest to orker's compensation isions of Section 3700 of the LaLr�% /2?�forthwith comoly with those Drovisio IS WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OR THE LABOR CODE. INTEREST. AND ATTORNEY'S FEES. I CONSTRUCTION LENDING AGENCY 11 LICENSED CONTRACTORS DECLARATION I I hereby affirm under penalty of perjury that there is a construction lending agency for the performance Lender's Information: I hereby certify that 1 have read this application and state that the information above is correct. I agree to comply with all city ordinances and state laws relating building construction, and hereby authorize representives of this city to enter upon the above mentioned property for inspection purposes. Date Signature of Applicant or Agen The premit shall expire by limitation and become null and void if the building or work has not passed final inspection 365 days from the date of permit issuance. A new permit is required to commence or I hereby affirm under penalty of perjury that I am licensed under provisions of chapter 9 (commencing with SectiA7O0 visio 3 e B ass an Date: 06/01/2022 Contractor: NATIONAL SIGN & MARKETING Number: SGN2022-00032 Expiration Date 111/2023 TYPE: B, C10, C45 continue work. I Fees paid for Permit: $1,491.00 Inspection City of Anaheim 0 BUILDING DIVISION SET BACK, FORMS, INSPECTION RECORD SIGN PERMIT ADDRESS: 3110 E LA PALMA AVE, ANAHEIM, CA 92806 OWNER: KWONG ALAN Y H TR A H PERMITM SGN2022-00032 DATE ISSUED: 06/01/2022 DESCRIPTION: Installation of (1) order point canopy, (1) digital preview board and (1) digital menu board for 'Cads POST THIS CARD WITH THE APPROVED PLANS IN A CONSPICUOUS PLACE ON THE JOB SITE Inspection Code Date Inspector SET BACK, FORMS, 602 TRENCHES UNDERGROUND 604 NA A A CONDUIT MASONRY: REINFORCEMENT, 606 PRE -GROUT FINAL 699 12�(a tia PARTIAL APPROVAL NOTES INSPECTION DATE INSPECTOR Inspectors can normally be reached between 7:30 - 8:00 A.M. (714) 765-5153 + 0 signcafd INSPECTION REQUIREMENTS A representative is required to be on the site to expose any concealed wiring for final inspection. INSPECTION REQUESTS Inspection requests made prior to 5:00 pm Monday - Friday will be scheduled on the following workday. To schedule your building inspection online, please go to https://aca.anaheim.neVCitizenAccess To access your Inspection timeframe, please go to www.anaheim.net/building after 7:30 am on the day of your Inspection. Under Online Services, click on the "Inspection Timeframes" link or call (714) 765-5153 + 0.