950 N HARBOR BLVDCity of Anaheim
BUILDING DIVISION
INSPECTION RECORD
0 SIGN PERMIT
ADDRESS:
950 N HARBOR BLVD, ANAHEIM, CA 92801
OWNER:
LENNOX INVESTMENTS LP
PERMIT#:
SGN2022-00007
DATE ISSUED:
0111312022
DESCRIPTION:
Install (2) illuminated wall signs for 'TIRE CHOICE
AUTO SERVICE CENTER'
POST THIS CARD WITH THE APPROVED PLANS
IN A CONSPICUOUS PLACE
ON THE JOB SITE
Inspection
Code
Date
Inspector
SET BACK, FORMS,
TRENCHES
UNDERGROUND
604
HNSPE
CONDUIT
MASONRY:
REINFORCEMENT,
606
I
PRE -GROUT
DATE
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
signcard
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.
Tfggedule your building inspection online, please
i I: Wto https://aca.anaheim.net/CitizenAccess
:'LETED
tE
To access your Inspection timeframe, pleasr ih
P
www.anaheim.net/bui!qLURafter 7:30 am on Pic
your Inspection. Under Online Services, r
"Inspection Tlmeframes" link or call (714'
Oa7P
Cb �ai��s�a0i
�6p�e,00
Permit Number: SGN2022-00007
Issued: 01/13/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 71
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 .5153
Site Address: 950 N HARBOR BLVD, ANAHEIM, CA 92801
Legal Description: N TR 374 BLK A LOT 1 TR 374 LOT 1 ELK A ALL -EX ST
APN: 03423128
Project Description: Install (2) Illuminated wall signs for'TIRE CHOICE AUTO SERVICE CENTER"
People Associated with Project:
Contractor MACHAN SIGN COMPANY INC 1209 EUCLID AVENUE200211191005372760 LONG BEACH, CA 90804
Permit Applicant Ryan Ybana
Owner LENNOX INVESTMENTS LP 2820 N CHAUNCEY LN
OWNER - BUILDER DECLARATION
I 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
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 applicant for the permit to file a signed statement that he
or she is licensed pursuant to the provisions of the Contractors' Stale 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 Iicensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant 10 a civil penalty of not more than five hundred dollars ($500).
❑ 1, as owner of property, or my employees with wages as their sole compensation, will do U 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 rot Intended or offered for sale. If, however, the building or
❑ I, as the owner of the property, am exclusively contracting with licensed Contractors to consW ct the project (Sec. 7044 Business and Professions Code:
The Contractors' State License Lew 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 Lawl.
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
I hereby affiml under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -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 worker's 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:
Carder: MIDWEST EMPLOYERS CASUALTY COMPANY Policy No.: SNUWC0153201 Expire
This section need not be completed If the park Is for one hundred dollars ($100) or leas.
❑ 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, 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 crovisiops. _ . /
Date Signature of 1
9 W
WARNING: FAILURE" SECURE WORKERS' O ENSA COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00D). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES
AS PROVIDED FOR IN SECTION 3706 OR THE LABOR CODE. INTEREST. AND ATTORNEYS FEES.
1 CONSTRUCTION LENDING AGENCY
I
LICENSED CONTRACTORS DECLARATION
hereby affirm under penalty of perjury that there is a construction lending agency for the performance
I hereby affirm under penalty of perjury that I am
nders Information:
licensed under provisions of chapter 9 (commencing with
Section 7000) of Division 3 of the Business and
reby certify that I have read this application and state that the information above is cored. I agree
Professions Code.
mply with all city ordinances and state laws relating building construction, and hereby authorize
;entIves of this city to enter upon the above mentioned property for inspection puraoses.
Date: 01/13/2022
Contractor: MACHAN SIGN COMPANY INC
Number: SGN2022.00007 Expiration Date 2/1/2022
Signature of Ap nt orAden AV TYPE: C45
shall expire by limitation and become nufl and vo d if the buildIng or work has not passed
tlon 365 days from the date of permit Issuance. A new permit is required to commence or
Fees paid for Permit:
$687.00