5701 E LA PALMA AVE (26)SIGN PERMIT NO. SGN2021.00027 sasrsr i•`d BUILDING DIVISION
�gd�ie� 2DO S. ANAHEIM BLVD,
c k - 6153
(714) 786
TYPE OF PERMIT
New Attached to Structure Sign CITY
DATE: 6/11/2021
JOB ADDRESS:
LEGAL DESCRIPTION:
5701 E LA PALMA AVE
P SK 58 PG PAR
PERMIT APPLICANT: PATRICK FARANAL
EIM (714)7651-4626 QUEST LINE:
QUARTER SECTION: 184
OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION:
SPEHAR BUSINESS NATIONAL SIGN 8 MARKETING CORP
1200 N HARBOR BLVD PO BOX 4349 13580 FIFTH ST
ANAHEIM, CA 92803-4349 CHINO, 91710 0000 CA
JOB DESCRIPTION: (EPR) Installation of (5) illuminated well signs and (2) Illuminated double faced directional signs for "Cad's Jr'.
VALUATION: 11,500.00
PROCESSED BY: PAN
r mi ahem urwer penny or pslury that I am exempt trom me u0nhactors License Law for the following reason (Sec. 7031.5 Business and Professions e: anychy
county which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed
statement that he is licensed pursuant to the provisons of the Contractors License Law (Chapter 9)(commencing with Section 7DOO of Division 3 of the Business and Profs
Code) or that he Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit suaects the applicant to a civil
penalty of not more than two hundred dollars (SW).
❑ I, as owner of 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 Contractors License Law does not apply to an owner of property who twills or Improves thereon, and who does such work himself or herself or
through his or her own employees, provided that such improvements are not intended or offered for sale. a, however, the building or improvement is sold with one year of
completion, the owner -builder will have the burden of proving that he did clot build or improve for the purpose of sale).
LJ 1, as the owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044 Business and Professions Code: The Contractors
License low (Joss not apply to an Owner of property who builds or improves thereon, and who contracts for such pm)eats with a contractors) licensed pursuant to the Contractors
License Law).
❑ I am exempt under Sec. . B 8 P.C. for this reason:
Dote: Owner,
under penalty of pedury one at the
❑ 1 have and will maintain a cenl0cale of consent to self -Insure for workers compensation. as provided for
by Section 3700 of the labor Code, for the Performance of the work for which this permit is Issued.
"%Q] l have and will maintain workers compensation insurance, as required by Section 3700 of the tabor Coale,
FMe performance of the work for which this permit is issued. My workers Compensation Insurance canter
and policyare:
Carder: TRAVELERS PROPERTY CASUALTY CO Policy Number: U139M69819321
This section need not be completed If t he permit Is for one hundred dollars ($100) or less.
❑ 1 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, 8nd agree that If I should
become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply will those Provisions.,v„y„„,e,,,,,,,
Patrick Faranal�.m.�.d-, ..
Date: 6/11/2021 Appleara:
WARNING: FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBIECTAN 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 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES.
dsions of chapter (commencing with Section 7000)
3 of the Business and Professions Code.
Dale: 6/11/2021
Contractor
NUMBER:
EXPIRATION DATE:
B US2000.03589
11131112022
TYPE:
B
TYPE:
C10
TYPE:
C45
TYPE:
BUS
I CONSTRUCTION LENDING AGENCY 1
work for which this permit
Lenders Information:
is a construction lending agency
I certify that I have read this application and state that the above information is correct. I ogres to comply with
ell city ordinances and stele laws relating to building construction, and hereby auNonm representives of this
city to enter upon Ithe above mentioned property for inspection purposes.
Patrick Faranal „m
Date: 611112021
Signature of Applicant or Agent
The permit shall expire by limitation and become null and void if the building or work has
not passed final inspactoin 365 days from the date of permit issunace. A new permit Is
required to commence of continue work
DATE:-� __-
Total:
act
909.00