255 N ANAHEIM BLVD D (17)SIGN PERMIT NO. SGN2021-00086 BUILDING DIVISION
200 S. ANAHEIM BLVD.
TYPE OF PERMIT (714) 765 - 5163
New Attached to Structure Sign CITY OF ANAHEIM INSPECTION REQUEST LINE:
(714) 765 - 4626
DATE: 8/30/2021
JOB ADDRESS:
LEGAL DESCRIPTION:
255 N ANAHEIM BLVD D
PERMIT APPLICANT: BYUNG SAM KIM
OWNER INFORMATION:
JOB DESCRIPTION:
VALUATION: 1,500.00
CONTRACTOR INFORMATION:
ACE SIGN AND DESIGN
QUARTER SECTION: 72
ARCHITECT/ENGINEER INFORMATION:
1726 W VENICE BLVD
LOS ANGELES. 900060D00 CA
(EPR) Install (1) illuminated channel letter wall sign for *Thank You Coi
PROCESSED BY: MSM
a,auy ahem under penny or Perjury tnat I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5 Business and roeasione ode: any cityor
county which requires a permit to construct, after, 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 provisions of the Contractor's License taw (Chapter 9)(commencing with Section 70DO of Division 3 of the Business and Profess
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 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 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 builds 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. 0, however, the building or improvement is sold with one year of
completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale).
❑ 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
License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's
License Law).
❑ I am exempt under Sec. B 8 P.C. for this reason:
Date: Owner:
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to se0-insure for worker's compensation, as provided for
by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
PI have and will maintain workers compensation insurance, as required by Section 3700 of the Labor Code
or the performance of the work for which this permit is issued. My worker's Compensation Insurance carrier
and policy are:
Carrier: STATE FUND Policy Number: 1772639
This section need not be completed if t he permit is for one hundred dollars ($100) or less.
❑ I certlfy that in the performance of the work for which this permit is issued, I shall not employ any person it
any manner so as to become subject to the workers compensation laws of Calffomia, and agree that 01 should
become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 8/30/2021 Applicant:
WARNING: FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS UNLAWFUL, AND SHAL
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 OF THE LABOR CODE, INTEREST AND ATTORNEYS FEES.
I hereby affirm under penaftl
work for which this permit is
Lenders Information:
agency for the performance
I certify that I have read this application and state that the above information is correct. I agree to comply with
all city ordinances and state laws relating to building construction, and hereby authorize represenfives of this
city to enter upon the above mentioned property for Inspection purposes.
Date: 8/30/2021
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 inspectoin 365 days from the date of permit issunace. A new permit Is
required to commence or continue work.
CONTRACTORS
under provisions of chapter 9 (commencing with Section 7000)
of Divsion 3 of the Business and Professions Code.
Date: 8/30=21
NUMBER:
BUS2008-02880
TYPE: C45
TYPE: BUS
Contractor:
EXPIRATION DATE:
3/2312022
Fees paid for Permit
Total:
588.75
City of Anaheim
G
BUILDING DIVISION
INSPECTION RECORD
D
SIGN PERMIT
ADDRESS:
255 N ANAHEIM BLVD D
OWNER:
PERMIT#:
SGN2021-00086
DATE ISSUED:
8/30/2021
DESCRIPTION:
(EPR) Install (1) illuminated channel letter wall sign for "Thank
You Coffee"
POST THIS CARD WITH THE APPROVED PLANS
IN A CONSPICUOUS PLACE
ON THE JOB SITE
Inspection
Code
Date
Inspector
SET BACK, FORMS,
TRENCHES
602
UNDERGROUND
'
CONDUIT
604
MASONRY:L1—
REINFORCEMENT,
BOND BEAM,
606
PRE -GROUT
FINAL
699
MISCELLANEOUS INSPECTIONS I
Inspectors can normally be reached between
7:30 - 8:00 A.M. and 3:30 - 4:30 P.M.
(714) 765-5153 + 0
INSPECTION REQUIREMENTS
Contractor shall verify with the City Inspector prio
to final inspection if a representative is required t(
be on the site to expose any concealed wiring for
final inspection.
INSPECTION REQUESTS
Inspection requests made before 5:00 pm wil
be scheduled on the following workday.
To schedule your building inspection online,
please go to
hftp://www.anaheim.net/Insl)ectionRequest.
You may also request your inspection by calling
(714) 765-4626 and continue with the following
steps:
• Press 1 for inspection function.
• Press 1 to schedule inspection.
• Press 6 for Sign inspection.
• Enter your permit # 202100086.
• Enter the Code number for the inspection
requested (indicated in blue.)
• Press 1 for next business day, or enter date
preferred.
• Select time preference (Request is subject to
inspector's schedule.)
• At the end of your request you will receive a
confirmation number.
To access your inspection timeframe, please go to
www.anaheim.net/buildinc after 7:30 am on the day of you
inspection. Under Online Services, click on the
"Inspection Timeframes" link or call (714) 765-5153 + 0.
signcard