8205 E SANTA ANA CANYON RD (7)City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
SIGN PERMIT
ADDRESS: 8205 E SANTA ANA CANYON RD
OWNER: DAS BROTHERS LIMITED PARTNERSHIP
PERMIT #: SGN2021-00139
DATE ISSUED: 11/15/2021
DESCRIPTION: Install (1) illuminated wall sign for "Advance Auto
Parts'
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 TRENCHES
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.anahelm.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.
Permit Number: SGN2021-00139
Issued: 11/15/2021
www.anaheim.net/building
(714)7654626
Quarter Section: 213
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765- 5153
Site Address: 8205 E SANTA ANA CANYON RD
Legal Description: P BK 323 PG 4 PAR 1 P.M. 323-4 PAR 1 POR OF PAR
APN:35408201
Project Description: Install (1) illuminated wall sign for "Advance Auto Parts."
People Associated with Project:
Contractor CS SIGNS LLC 4 TERRASTAR LANE LADERA RANCH, CA 92694
Permit Applicant Sarah Salinas
Owner DAS BROTHERS LIMITED PARTNERSHIP PO BOX 1207
OWNER - BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's License State Law for the following reason(s) indicated below by the
cheekmark(s) I have placed next to the applicable Item(s) (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 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).
❑ I, 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 oursuant to the Contractor's 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
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self4nsure for worker's compensation, issued by the Director of Industrial Relations as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
I have and will maintain worker's compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this
permit is Issued. My worker's Compensation insurance carrier and policy are:
Cartier. OAK RIVER INSURANCE COMPANY Policy No.: CSWC247773 Expiration Date: 5/21
This section need not be completed If 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, I shall not employ any person in any manner so as to become subject to the
worker's compensation laws of California, and agree that, if I shouldpAcomepubjpMlhe worker's compensation provisions of Section 3700 of the
Labor
with those provisions.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION doa(ERAGE S U WFUL, 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.
CTION LENDING
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance
Lender's Information:
I hereby certify that 1 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
of Applicant or Agen
The premit shall expire by limitation and become null and void if the build
final inspection 365 days from the date of permit issuance. A new permit
continue work.
work his.rfot passed
to commence or
LICENSED CONTRACTORS DECLARATION
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
Prnfescinns Cndk.
Date: 11/15/2021
Contractor:
Number: SGN2021-00139 Expiration Date 512/2022
TYPE: C10, C45
Fees paid for Permit: $592.00