2144 S HARBOR BLVD (4)City of Anaheim
S.. BUILDING DIVISION
Inspection
INSPECTION RECORD
Date
SIGN PERMIT
ADDRESS:
2144 S HARBOR BLVD, ANAHEIM. CA 92802
OWNER:
ARMSTRONG RICHARD B TR
PERMIT S:
SGN2022.00129
DATE ISSUED:
02/21/2023
DESCRIPTION:
Install (4) illuminated wall signs, a clearance bar,
`
menu board and order point canopy.
POST THIS CARD WITH THE APPROVED PLANS
IN A CONSPICUOUS PLACE
ON THE JOB SITE
Inspection
Code
Date
Inspector
SET BACK, FORMS,
602
TRENCHES
UNDERGROUND
604
`
CONDUIT
MASONRY:
REINFORCEMENT,
606
PRE -GROUT
FINAL
699
J
PARTIAL APPROVAL NOTES
INSPECTION DATE INSPECTOR
Inspectors can normally be reached between
7:30 - 8:00 A.M.
(714) 765-5153 + 0
signeard
1.i'. •'f•+�i Y• c
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.neVCitizenAccess
To access your Inspection timeframe, please go to
www.anaheim.netlbuildin4 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: SGN202240129
Issued: 02/21/2023
www.anaheim.n tibuilding
(714)765.4626
Quarter Section: 89
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 -5153
Site Address: 2144 S HARBOR BLVD, ANAHEIM, CA 92802
Legal Description: N TR 5302 BLK LOT 1 TR 5302 LOT 1 POR OF LOT
APN:23303106
Project Description: Install (4) illuminated wall signs, a clearance bar, menu board and order point canopy.
People Associated with Project:
Contractor FLUORESCO SERVICES LLC 5505 S NOGALES HIGHWAY201508311530410835 TUCSON, AZ 85706
Owner ARMSTRONG RICHARD B TR 2610 W OCEAN FRONT
Engineer WRIGHT ENGINEERS 2 VENTURE STE 200201601151451015020 IRVINE, CA 92618
OWNER - BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's License Stab Law for the following reasons) Indicated below by the
checlmnark(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, altar, 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 Contrectore' 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 (6500).
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
E3 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 followin0 reason:
Date Signature of Property Owner or Authorized Agent
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following dederations:
❑ 1 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.
gr1 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 carrier and policy are:
Cartier. ZURICH AMERICAN INSURANCE COMPANY Policy No.: WC8196191 Expiration Dat
This section need not be completed if the permit Is for one hundred dollars ($100) or less.
❑ 1 certity 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
I shall forthwith comoly with those
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 (6100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES
AS PROVIDED FOR IN SECTION 3706 OR THE LABOR CODE. INTEREST. AND ATTORNEY'S FEES.
I CONSTRUCTION LENDING AGENCY 11 LICENSED CONTRACTORS DECLARATION
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
confinue 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.
Date: 02121/2023
Contractor. FLUORESCO SERVICES LLC
Number: SGN2022-00129 Expiration Date 311/2023
TYPE: C10, C45, D42
Fees paid for Permit:
$2,242.00