1125 S ANAHEIM BLVD (12)City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
SIGN PERMIT
ADDRESS:
1125 S ANAHEIM BLVD A
OWNER:
HAE SIM LEE
PERMIT #: '
SGN2020-00052
DATE ISSUED:
5/20/2020
DESCRIPTION:
Install (1) illuminated wall sign to read "Metro by T -Mobile".
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:
REINFORCEMENT,
BOND BEAM,
606
PRE -GROUT
FINAL
699
MISCELLANEOUS INSPECTIONS
DATE:
Inspectors can normally be reached between
7:30 - 8:00 A.M. and 3:30.- 4:30 P.M.
(714) 765-5153 + 0
signcard
INSPECTION REQUIREMENTS
Contractor shall verify with the City Inspector prior
to final inspection if a representative is required to
be on the site to expose any concealed wiring for
final inspection.
INSPECTION REQUESTS
Inspection requests made before 5:00 pm will
be scheduled on the following workday.
To schedule your building inspection online,
please go to
hftp://www.anaheim.net/InspectionReauest.
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 # 202000052.
• 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/buildina 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.
SIGN PERMIT NO. SGN2020-00052
TYPE OF PERMIT CITY
Attached to Structure Sign
DATE: 5/20/2020
JOB ADDRESS:
LEGAL DESCRIPTION:
1125 S ANAHEIM BLVD A
PERMIT APPLICANT:
OWNER INFORMATION:
HAE SIM LEE
13867 LAGUNA STREET
LA MIRADA, CA 90638-6599
JOB DESCRIPTION:
VALUATION: 2,400.00
moi;: lr• e
OF ANAHEIM
ANAHEIM EXT LOT 26 POR OF LOT
CONTRACTOR INFORMATION:
METRO SIGNS INC
15225 S MAIN ST
GARDENA, 90248 CA
Install (1) illuminated wall sign to read "Metro by T -Mobile".
OWNER -BUILDER DECLARATION
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
QUARTER SECTION: 85
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: MAL
i nereoy anirm unser penairy or pequry that i am exempt from the contractors License Law for the following reason (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 such permit to file a signed
statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9)(commencing with Section 7000 of Division 3 of the Business and Professions
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).
F� 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 Contractor's 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. If, 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 Contractor's
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 & P.C. for this reason:
Date: Owner.
WORKER'S COMPENSATION DECLARATION LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury one of the following declarations: I hereby affirm under penalty of perjury that I am licensed
❑ I have and will maintain a certificate of consent to self -insure for worker's compensation, as provided for under provisions of chapter 9 (commencing with Section 7000)
by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. of Divsion 3 of the Business and Professions Code.
I have and will maintain worker's 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 Date: 5/20/2020
and policy are: Contractor.
Carrier: STATE COMP. INS. FUND Policy Number. 916782232016 NUMBER: EXPIRATION DATE:
This section need not be completed if t he permit is for one hundred dollars ($100) or less. BUS2015-04533 TYPE: C4C4 3131/2022
5
❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in TYPE: BUS
any manner so as to become subject to the worker's compensation laws of California, and agree that if I should
become subject to the worker's compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 5/20/2020 Applicant:
WARNING: FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS UNLAWFUL, AND;
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 ATTORNEY'S FEES.
I CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec.3097.Civ.C):
Lender's Information:
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 representives of this
city to enter upon the above mentioned property for inspection purposes.
Date: 5/20/2020
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.
PERMIT EXPIRED
INSPECTION
NOT COMPLETED
DATE:- 15%o&1
Pass paid or Permit:
Total:
588.75