1313 S HARBOR BLVD (364)City of Anaheim
BUILDING DIVISION
POST THIS CARD WITH THE APPROVED PLANS
IN A CONSPICUOUS PLACE
ON THE JOB SITE
Inspection
INSPECTION RECORD
Date
SIGN PERMIT
ADDRESS:
1313 S HARBOR BLVD 6205, ANAHEIM, CA 92802
OWNER:
WALT DISNEY WORLD CO
PERMIT #.
SGN2022-00108
DATE ISSUED:
10/04/2022
DESCRIPTION:
DLR - BLDG 6205 - Installation of (2) illuminated wall
mounted light boxes.
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 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:Haca:anaheim.netICitizenAccess
To access your inspection timeframe, please go to
www.anaheim.netibuilding 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: SGN202240108
Issued: 10/04/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 75
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 1313 S HARBOR BLVD 6205, ANAHEIM, CA 92802
Legal Description: S TWP 4 RGE 10 SEC 22 T 4 R 10 SEC 22 POR OF SEC A
APN: 08211074
Project Description: DLR - BLDG,6205 - Installation of (2) illuminated wall mounted light boxes.
People Associated with Project:
Permit Applicant Ryan Ybarra
•'�'^uT17
WALT DISNEY WORLD CO
PO BOX 5046
OWNER - BUILDER DECLARATION
I hereby affirm under penalty of pedury that I am exempt from the Contractors License State Law for the following reason(s) Indicated below by the
eheelonerk(s) I have placed next to the applicable Item(e) (See. 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 the permit to file a signed statement that he
or she is licensed pursuant to the provisions of the Contractors' State License Law Chapter 8 (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 7091.5 by any
applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
E3 I, as owner of property, or my employees with wages as their sole compensation, will do (__J all or I 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
0 1, 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 oursuant to the Contractors State License Law).
I am exempt from licensure under the Contractors, State License Law for the following reason:
Date Signature of Property Owner or Authorized Agent
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
Ihave and will maintain a certificate of consent to self4nsure for workers compensation, Issued by the Director of Industrial Relations as provided for by
n 3700 of the Labor Code, for the performance of the work for which this permit is issued.
I have and will maintain workers compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this
rmit is issued. My workers Compensation Insurance carder and policy are:
Cartier. ACE AMERICAN INSURANCE COMPANY Policy No.: C5126292A Expiration Date: 8
This section need not be completed If the permit Is for one hundred dollars ($100) or less.
❑ 1 certify that in the performance of the work for which this permit is Issued, l 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 be me bject to the workers compensation provisions of Section 3700 of the
Labor Code. i shall forthwith comoN with those orovislons. , MIN ---
WARNING: FAILURE TO SECURE WORKERS' CVMIPNSATIOVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR $100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES
AS PROVIDED FOR IN SECTION 3706 OR THE LABOR CODE. TEREST. AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance I hereby afire under penalty of perjury that I am
Lenders Information: licensed under provisions of chapter 9 (commencing with
Section 7000) of Division 3 of the Business and
I hereby certify that i have read this application and state that the information above is correct. I agree Professions Code.
to comply with all city ordinances and state laws relating building construction, and hereby authorize
representives of this city to enter upon the above mentioned property for pection purposes. Date: 10/04/2022
Contractor STELLAR INSTALLATIONS INC
16-1-2t, Number: SGN2022-00108 Expiration Date 8/1/2023
Date Sig lure o plicent or Age TYPE: C45
The premit shall expire by limitation end acorn null and void fi bull g or work has not passed
final Inspection 365 days from the date f permit Issuance. An.
ennit is required to commence or
continue work.
Fees paid for Permit: $888.00