915 E ORANGEWOOD AVE (17)City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
SIGN PERMIT
ADDRESS:
915 E ORANGEWOOD AVE, ANAHEIM, CA 92802
OWNER:
ANAHEIM HOUSING AUTHORITY
PERMIT #:
SGN2022-00064
DATE ISSUED:
08/16/2022
DESCRIPTION:
Installation of (2) non -illuminated monument signs for
-Finamore Place"
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
slgncard
INSPECTION REQUIREMENTS
A representative is required to be on the site to expose
any concealed wiring for final inspection.
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 hftps://aca.anaheim.net/CitizenAccess
PERMIT EXPIRED
INSPECITION
NOT COMPLETED
'SATE: go /(�(Z3
To access your Inspection timeframe, please go to
www.anaheim.net/building 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: SGN2022-00064
Issued: 08/1612022
www.anaheim.net/building
(714)7654626
Quarter Section: 108
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 915 E ORANGEWOOD AVE, ANAHEIM, CA 92802
Legal Description: P BK 368 PG 25 PAR 1 P.M. 368-25 PARCELS 1, 2 AND
APN:08329205
Project Description: Installation of (2) non -illuminated monument signs for "Finamore Place"
People Associated with Project:
Permit Applicant Stan ldeker
Owner ANAHEIM HOUSING AUTHORITY PO BOX 3222
OWNER - BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's License State Law for the following reason(&) 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 Ilcensure 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 dollare ($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 Conbaclore' State License Law does not apply to an owner of property who, through
employees' or personal efforts, builds or Improves the properly, 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 Lew 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).
1 am exempt from Ilcensure under the Contractors. State License Law for the followinq 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:
❑ 1 have and will maintain a certificate of consent to seff4nsure for workers compensation, issued by the Director of Industrial Relations as provided for by
Section 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
permit is issued. My workers Compensation Insurance carder and policy are:
Carrier: Policy No.: Expiration Date:
This section need not be completed If the permit Is for one hundred dollars ($100) or less.
❑' 1 certly 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 I should become subject to the workers compensation provisions of Section 3700 of the
Labor Code. I shell forthwith comob' with those Drovisions.
Lisle 6 Jy / /c / 2 O 2 z bgnature or 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,DDO). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES
AS PROVIDED FOR IN SECTION 3706 OR THE LABOR CODE. INTEREST. AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance
Lenders Information:
I hereby certgy that I have read this application and sate that the information above Is correct. I agree
to comply with all city ordinances and stale laws relating building construction, and hereby authorize
represenfives 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 1 am
licensed under provisions of chapter 9 (commencing with
Section 7000) of Division 3 of the Business and
Professions Code. _, . Il
Date: 08/16/2022
Contractor: PACIFIC NEON
Number: SGN2022-00064 Expiration Date
TYPE: C45
Fees paid for Permit:
$1,647.00