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400 W DISNEY WAY (27)SIGN PERMIT NO. SGN2019-00221 TYPE OF PERMIT CITY New Attached to Structure Sign DATE: 9/26/2019 JOB ADDRESS: LEGAL DESCRIPTION: 400 W DISNEY WAY 159 PERMIT APPLICANT: ALEXIS ESTRADA BUILDING DIVISION 200 S. ANAHEIM BLVD. (714).765 - 5153 E I M INSP CTION65 -626EQUEST LINE: QUARTER SECTION: 87 OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION: MARTINEZ ELECTRIC 1928 TYLER AVE UNIT F SO EL MONTE, 91733 0000 CA JOB DESCRIPTION: Installation of illuminated channel letter read "Chatoie French Paissede & Cafe" VALUATION: 15,000.00 PROCESSED BY: CMN OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury 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). ❑ 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). ❑ 1 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 by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. pI have and will maintain worker's compensation insurance, as required by Section 3700 of the Labor Code, the performance of the work for which this permit is issued. My worker's Compensation insurance carrier and policy are: Jaanner EXEMPT Policy Number: EXEMPT ction need not be completed if t he permit is for one hundred dollars ($100) or less. ertify that in the performance of the work for which this permit is issued, I shall not employ any person it so as to become subject to the wor compensation laws of C ia,and agree that if I should subject to the workers compensatio p isions f Section of e r Code, I shall forthwith comply with those provisions. r. f\ Date: 9/26/2019 Applicant:' WARNING: FAILURE TO SECURE WORKER'S COMPENSATION'60VERAGE IS UNLAWFUL, AND 1 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): Lenders Information: I certify that I have read this application and state that the above information is correct. I agree to comply with allc' ordinances and state laws rel ting to building c traction, and hereby authorize representives of this cityto gtgf upon the alcove mentiq re p(operty foyir ction purposes. -,/ �,J - Date: 9/26/2019 Signature o Applicant or Age The permit shall expire by li 'tation 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. under provisions of chapter 9 (commencing with Section 7000) of Divsion 3 of the Business and Professions Code. Date: 9/26/2019 NUMBER: BUS2000-02369 TYPE: C10 TYPE: BUS Contractor: EXPIRATION DATE: 12/31/2020 PERMIT EXPIRED IREp INSPECTION NOT COMPLETED DATE: l2 Z Fees paid forPermit: Total: 585.75 El),(Pl fla-11'AR, -I