321 W KATELLA AVE (26)City of Anaheim
WELDING DIVISION .
INSPECTION RECORD
SIGN PERMIT
ADDRESS: 321 W KATELLA AVE 140
OWNER:
PERMIT #: SGN2019-00250
DATE ISSUED: 11/18/2019
DESCRIPTION: Installation of illuminated wall sign reads "Anaheim House of
Jerky"
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
CONDUIT
604
MASONRY:
REINFORCEMENT,
BOND BEAM,
606
PRE -GROUT
699
=7i
MISCELLANEOUS INSPECTIONS
DATE.— 1 _I A11A U
Inspectors can normally be reached between
7:30 - 8:00 A.M. and 3:30 - 4:30 P.M.
(714) 765-5153 + 0
I signcard
1r -V
INSPECTION REQUIREMENTS
Contractor shall verify with the City Inspector prior
to final inspection if a representative is required to
be on the site to expose any concealed wiring for
final inspection.
INSPECTION REQUESTS
Inspection requests made before 5:00 pm will
be scheduled on the following workday.
To schedule your building inspection online,
please go to
http://www.anaheim.net/inspectionRequest:
You may also request your inspection by calling
(714) 765-4626 and continue with the following
---- steps: _ - - -- - --- ---
• Press 1 for inspection function.
• Press 1 to schedule inspection: - --
• Press 6 for Sign inspection.
• Enter your permit # 201900250.
• Enter the Code number for the inspection
requested (indicated in blue.)
• Press 1 for next business day, or enter date
preferred.
• Select time preference (Request is subject to
inspector's schedule.)
• At the end of your request you will receive a
confirmation number.
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.
A
SIGN PERMIT NO. SGN2019-00250
' I
TYPE OF PERMIT CITY
Attached to Structure Sign
! L
OF ANAHEIM
DATE: 11/18/2019 ,
JOB ADDRESS: 321 W KATELLA AVE 140 -
LEGAL DESCRIPTION:
PERMIT APPLICANT:
OWNER INFORMATION: CONTRACTOR INFORMATION:
JOB DESCRIPTION: Installation of illuminated wall sign reads "Anaheim House of Jerky"
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
QUARTER SECTION: 87
ARCHITECT/ENGINEER INFORMATION:
VALUATION: 3,200.00 PROCESSED BY: CMN
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's License Law for the following reason(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 such permit to file a signed
statement that he is licensed pursuant to the provisions of the Contractor's License law (Chapter 9)(commencing with Section 7000 of Division 3 of the Business and Professions
Code) or that he is exempt therefrom 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 the work, and the structure is not intended or offered for sale (Sec. 7044 Business
and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or
through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold with one year of
completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale).
Kice
I, as the owner of the property, am exclusively contracting with lic contractors to construct the project (Sec. 7044 Business and Professions Code: The Contractor'snse Law does not apply to an owner of property who builds or i oves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's
License Law). -
❑ I am evempt udder Sec.
Date: // //7J//V' Owner:
WORKER'S
I hereby affirm under penalty of perjury one of tht'following declarations: --
❑ 1 have and will maintain a certificate of consent to self -insure for worker's compensation, 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,
or the performance of the work for which this permit is issued. My worker's Compensation insurance carrier
and policy are:
Carrier. Policy Number.
This section need not be completed if t he permit is for one hundred dollars ($100) or less. -
C] 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 should
become subject to the worker's compensation provisions of Sect�n 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 11/18/2019 Applicant:
WARNING: FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS UNLAWFUL, AND
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 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES.
I CONSTRUCTION LENDING AGENCY 1
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec.3097.Civ.C):
Lender's Information:
I certify that I have read this appli tion and state that the above information is correct. I agree to comply with
all city ordinancend state la relating to building construction, and hereby authorize representives of this
city to enter u the above tinned roperty for inspection purposes.
Date: 11/18/2019
Signature of Ap icant or Agent
The permit shall expire by limitation and become null and void if the building or work has
not passed final inspectoin 365 days from the date of permit issunace. A new permit is
required to commence or continue work.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed
under provisions of chapter 9 (commencing with Section 7000)
of Divsion 3 of the Business and Professions Code.
Date: 11/18/2019
NUMBER:
TYPE:
Contractor.
EXPIRATION DATE:
--Tees paid orPermit:
Total:
587.75