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540 N EUCLID ST (2)City of Anaheim BUILDING DIVISION INSPECTION RECORD 0 SIGN PERMIT ADDRESS: 540 N EUCLID ST, ANAHEIM, CA 92801 OWNER: PK 11 ANAHEIM PLAZA LP PERMIT#: SGN2024-OW81 DATE ISSUED: 09/26/2024 DESCRIPTION: Install (4) illuminated wall signs, (1) illuminated monument sign, (2) Illuminated directional signs and 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 CONDUIT MASONRY: REINFORCEMENT, 606 PRE -GROUT FINAL 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. To schedule your building inspection online, please go to https://aca.anaheim.net/CitizenAccess To access your inspection timeframe, please go to www.anaheim.neUbuiiding 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. Permit Number: SGN2024-00081 Issued: 09/26/2024 www.anaheim.net/building (714)765-4626 Quarter Section: 53 CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765. 5153 Site Address: 540 N EUCLID ST, ANAHEIM, CA 92801 Legal Description: P BK 283 PG 7 PAR 1 PM 283-7 FOR OF PAR 1 & 3 APN: 07211052 Project Description: Install (4) illuminated wall signs, (1) illuminated monument sign, (2) illuminated directional signs and (1) illuminated menu board for "IN N OUT." People Associated with Project: Contractor SIGNTECH ELECTRICAL ADVERTISING INC 4444 FEDERAL BLVDABCDE11165630 SAN DIEGO, CA 92102 Owner PK II ANAHEIM PLAZA LP SOON BROADWAY 201 OWNER - BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Slate Law for the following resson(s) indicated below by the checkmark(s) I have placed next to the applicable Item(s) (Sec. 7031.5 Business and Professions Code: any city or county which requires a permit to construct, otter, 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' 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). ❑ 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' State 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 Contractor's Stale License Law). I am exempt from licensors under the Contractors. State License Law for the following reason: Date Signature of Property Owner or Authorized Agent WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations. ❑ 1 have and will maintain a certificate of consent to sett -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. XXI have and will maintain worker's compensation insurance, as required by Section 3700 of Me Labor Code, for the performance of the work for which this rmit is issued. My workers Compensation Insurance comer and policy are: Carrier. ZURICH AMERICAN INSURANCE COMPANY Policy No.: WC551379007 Expiration D This section need not be completed if the permit is for ono 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, if I should become subje the wdrkers y�pensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those orovisions. r - . / � 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. 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 state that the information above is correct. I agree to comply with all city ordinances and state laws relating building construction nd hereby authorize representives of this city to enter upon the above mentionPdpfoperty for insp, ligt purposes. �= Date The peemit shall expire by limitation and become null and void if the building or work has not passed final inspection 365 days from the dale of permit issuance. A new permit is required to commence or LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. Date: 09/26/2024 Contractor: SIGNTECH ELECTRICAL ADVER Number: SGN2024-00081 Expiration Date 10/1/2024 TYPE: C45 continue work. Fees paid for Permit: $2,078.56