2112 S STATE COLLEGE BLVD (4)City of Anaheim
BUILDING DIVISION
Inspection
INSPECTION RECORD
Date
SIGN PERMIT
ADDRESS:
2112 S STATE COLLEGE BLVD, ANAHEIM, CA 92806
OWNER:
SANGSTER FAMILY LIMITED PARTNERSHIP
PERMIT#:
SGN2022-00111
DATE ISSUED:
11/14/2022
DESCRIPTION:
Installation of (2) Illuminated channel letter wall signs
"Del Taco" and (1) freestanding clearance aim at
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
1 }
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.netICitizenAccess
To access your Inspection timeframe, please go to
www.anaheim.netlbuilding 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: SGN2022-00111
Issued: 11/14/2022
www.anaheim.net/building
(714)765.4626
Quarter Section: 119
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 -5153
Site Address: 2112 S STATE COLLEGE BLVD, ANAHEIM, CA 92806
Legal Description: P BK 3 PG 12 PAR 2 P.M. 3-12 PAR. 2 AND TR 71 LOT
APN:08327137
Project Description: Installation of (2) illuminated channel letter wall signs "Del Taco" and (1) freestanding clearance arm at drive-thru
entrance
People Associated with Project:
Permit Applicant Patrick Faranel
Owner SANGSTER FAMILY LIMITED PARTNERSHIP 714 QUAKING
Engineer - Civil Tony Jacob 33336 Ague Dulce Cyn Rd SANTA CLARITA, CA 91390
OWNER - BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License State Law for the following reason(s) indicated below by the
checkmark(s) I have placed next to the applicable Items) (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 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).
0 1, 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 State License Lew).
I am exempt from licensure under the Contractors, State License Law for the following reason:
Date Signature of Property Owner or Authorized Agent
COMPENSATION
1 hereby a irm under penalty of perjury one of the following declarations:
❑ Jx9ave and will maintain a certificate of consent to self -insure for worker's compensation, issued by the Director of Industrial Relations as provided for by
se on 3700 of the tabor 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
is issued. My workers Compensation insurance carrier and policy are:
Carder. TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy No.: UB910169811
This section need not be completed H the permit Is for one hundred dollars ($100) or less.
❑ I 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
cemoly with those provisions.
workers compengWn provisions of Section 3700 of the
Date ' ' Signature of Applicant I
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 ATTORNEY'S FEES.
LENDING AGENCY
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, and hereby authorize
representives of this city to enter upon the above mentioned property for inspection purposes.
Date Signature of Applicant or Agen
The premit shall expire by limitation and become null and void if the building or work has not passed
final inspection 365 days from the date of permit issuance. A new permit is required to commence or
continue work.
I 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: 11/14/2022
Contractor. NATIONAL SIGN & MARKETING
Number: SGN2022-00111 Expiration Date 1/1/2023
TYPE: B, C10, C45
Fees paid for Permit: $1,228.00