2190 S TOWNE CENTRE PL (16)POST THIS CARD WITH THE APPROVED PLANS
IN A CONSPICUOUS PLACE
ON THE JOB SITE
Inspection
City of Anaheim
Date
BUILDING DIVISION
-
INSPECTION RECORD
SIGN PERMIT
ADDRESS:
2190 S TOWNE CENTRE PL; ANAHEIM, CA 92806
OWNER:
AXIS CAMPUS OWNER LLC
PERMITM
SGN2022-00103
DATE ISSUED:
08/19/2022
DESCRIPTION:
Sign: Install (1) illuminated wall 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 j1d44111
13. 14f
PARTIAL APPROVAL NOTES
INSPECTION DATE' INSPECTOR
Inspectors can normally be reached between
7:30 - 8:00 A.M.
(714) 765-5153 + 0
slgncard
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.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.
CITY OF ANAHEIM
Permit Number: SGN2022-00103
Issued: 08/19/2022
www.anaheim.net/building
(714)765-0626
Quarter Section: 119
Site Address: 2190 S TOWNE CENTRE PL, ANAHEIM, CA 92806
Legal Description: P BK 137 PG 18 PAR 3
APN:23201130
Project Description: Sign: Install (1) illuminated wall sign
People Associated with Project:
Permit Applicant ryan ybarra
Owner
AXIS CAMPUS OWNER LLC
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
200 W STREET FL 35
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
checkmark(s) I have placed next to the applicable Item(s) (Sec. 7031.5 Business and Professions Code: any city or county which requires a permit to
construct, after, 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 (__j all or U 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' ar 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 Law).
I am exempt from licensure under the Contractors. State License Law for the following reason:
Data 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 self -insure 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.
❑ 1 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 carder and policy are:
Carrier. INSURANCE COMPANY OF THE WEST Policy No.: WSA5060008 Expiration Date: 4
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, I shall not employ any person in any manner so as to become subject to the
workers compensation laws of California, and agree that, If 1 should become subject to the worker's compensation provisions of Section 3700 of the
Labor Code. I shall forthwith comoly with those orovisions.
Date Signature of Applicant
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.
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 affirm under penalty of perjury that I am
licensed under provisions of chapter 9 (commencing with .
Lender's Information: 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. l 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 Inspection purposes. Date: 08/19/2022
Contractor. THE SIGNS AND SERVICES CO
h// YL-- i 11 - 1 Z Number: SGN2022-00103 Expiration Date 4/1/2023
Da Signature of Applicant or Agen TYPE: C45
Th pr it shall expire' itation and became 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.
Fees paid for Permit: $591.00