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1801 KATELLA AVE (8)SIGN PERMIT NO. SGN2021-00016 TYPE OF PERMIT � New Attached to Structure Sign C I 1 Y DATE: 4/7/2021 JOB ADDRESS: LEGAL DESCRIPTION: 1801 E KATELLA AVE PERMIT APPLICANT: BARBARA COHEN OWNER INFORMATION: JOB DESCRIPTION VALUATION: 2,300.00 CONTRACTOR INFORMATION: ARCHITECTURAL DESIGN & SIGNS, 1160 RAILROAD ST CORONA, 92882 0000 CA Install (1) illuminated car park directional blade sign. BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 - 5153 E I M INSPECTION REQUEST LINE: (714) 765 - 4626 QUARTER SECTION: 107 ARCHITECT/ENGINEER INFORMATION: YOSIMAR RAMOS 1160 RAILROAD ST CORONA, CA 92882 PROCESSED BY: ASH I hereby affirm unser penalty of peryury that I am exempt from the Contractor's 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. I , 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 I hereby affirm under per7aitir dedury that I am licensed ❑ 1 have and will maintain a certificate of consent to self -insure for worker's compensation, as provided for under provisions of by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I of Divsion 3 of the I I have and will maintain worker's compensation insurance, as required by Section 3700 of the Labor Code, I or the performance of the work for which this permit is issued. My worker's Compensation insurance carrier Date: and policy are: Cartier: BERKSHIRE HATHAWAY HOMESTATE I Policy Number: ARWC135106 This section need not be completed if t he permit is for one hundred dollars ($100) or less. ❑ 1 certify 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 worker's co sation laws of California, and agree that if I should become subject to the workers compensation pro% ns of ection 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 4/7/2021 Applicant: WARNING: FAILURE TO SECURE WORKEkEMO—MPENSATION 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 ATTORNEYS FEES. I CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of peryury 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 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: 4/7/2021 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. with Section 7000) s Code. Contractor. NUMBER: EXPIRATION DATE: BUS2003-03906 41712022 TYPE: C45 TYPE: BUS Quanity: Electric Sign (Y/N): Fees pal or errrrit: Total: 759.75 City -of Anaheim BUILDING DIVISION INSPECTION RECORD SIGN PERMIT ADDRESS: 1801 E KATELLA AVE OWNER: PERMIT #: SGN2021-00016 DATE ISSUED: 4/7/2021 DESCRIPTION: Install (1) illuminated car park directional blade sign 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 MISCELLANEOUS INSPECTIONS 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 hfp://www.anaheim.net/InsaectionReouest. 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 # 202100016. • 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/buildin4 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. POST THIS CARD WITH THE APPROVED PLANS IN A CONSPICUOUS PLACE ON THE JOB SITE Inspection City of Anaheim Date BUILDING DIVISION SET BACK, FORMS, INSPECTION RECORD - SIGN PERMIT - ADDRESS: 1801 E KATELLA AVE, ANAHEIM, CA 92805 OWNER: PERMITM SGN2021.00016 DATE ISSUED: 04/07/2021 DESCRIPTION: Install (1) illuminated car park directional blade sign. 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 604 CONDUIT MASONRY: REINFORCEMENT, 606 PRE -GROUT FINAL 699 PARTIAL APPROVAL NOTES INSPECTION I DATE I INSPECTOR — — - - . — ` .I - - -. --— a —' - - Inspectors can normally be reached between 7:30 - 8:00 A.M. (714) 765-5153 + 0 signeard 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 haps://aca.anaheim.netICitizenAccess 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.