327 S MAGNOLIA AVE (4)Permit Number: SGN2021-00130
Issued: 11/03/2021
www.anaheim.net/building
(714)765-4626
Ouarter Section: 20
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 327 S MAGNOLIA AVE, ANAHEIM, CA 92804
Legal Description: S TWP 4 RGE 11 SEC 13 SEC 13 T 4 R 11 E 200 FT S 3
APN: 12604218
Project Description: Install (1) illuminated wall sign "Clouds Hookah 8 Smoke"
People Associated with Project:
Contractor MARTINEZ ELECTRIC 1928 TYLER AVE UNIT F SO EL MONTE, CA 91733
Permit Applicant Alexis Conde
Owner YOU JUNG HUI TR ROMA 9811 GARRETT CIR
OWNER - BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from me Contractor's License State Law for the following reasons) indicated below by the
checkmark(s) I have placed next to the applicable Items) (Sec. 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 requires the applicanlfor 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 ficensure 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).
❑ I, as owner of property, or my employees with wages as their sole compensation, will do (_) all or (_) portions 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 property, provided that the Improvements are not intended or offered for sale. If, however, the building or
❑ 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' Stale License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed
Contractor pursuant to the Contractors State License Law).
I am exempt from ficensure under the Contractors, State License Law for the following reason:
Date Signature of Property Owner or Authorized Agent
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to sell -insure for workers compensation, issued by the Director of Industrial Relations as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
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 are:
Carrier: Policy No.: Expiration Date:
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 manner so as to become subject to the
workers compensation laws of California, and agree that, 91 should become subject to the workers compensation provisions of Section 3700 of the
Labor Code. I shall forthwith comply with those orovisions.
Data Signature of Applicant
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 ATTORNEYS FEES.
r^mayor rr+Trnu t cunlaln ernoatcv IF LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance
Lenders Information:
I hereby certify that i have read this application and stale that the Information above is correct. I agree
to comply with all city ordinances and stale laws relating building construction, and hereby authorize
represenlives 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
continue work.
I hereby affirm under penalty of perjury that I am
licensed under provisicns of chapter 9 (commencing with
Section 7000) of Division 3 of the Business and
Pmfassinns Cnd r
Date: 11/03/2021
Contractor:
Number: SGN2021-00130
TYPE: C10
Fees paid for Permit:
Expiration Date
$589.00
City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
0 SIGN PERMIT
ADDRESS:
327 S MAGNOLIA AVE, ANAHEIM, CA 92804
OWNER:
YOU JUNG HUI TR ROMA
PERMIT#:
SGN2021-00130
DATE ISSUED:
11/03/2021
DESCRIPTION:
Install (1) illuminated wall sign "Clouds Hookah &
Smoke'
POST THIS CARD WITH THE APPROVED PLANS
IN A CONSPICUOUS PLACE
ON THE JOB SITE
Inspection
Code
Date
Inspector
SET BACK, FORMS,
TRENCHES
6021
UNDERGROUND
604
CONDUIT
MASONRY:
REINFORCEMENT,
606
PRE -GROUT
FINAL TRENCHES
699
PARTIAL APPROVAL NOTES
INSPECTION DATE INSPECTOR
Inspectors can normally be reached between
7:30 - 8:00 A.M.
(714) 765-5153 + 0
.....card
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.net/CitizenAccess
PERMIT EXPIRED
INSPECTION
NOT COMPLETED
DATE: \,`' 3 l ��
To access your inspection timeframe, please go to
www.anaheim.netlbuilding 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.