2100 E KATELLA AVE (4)Inspection
City of Anaheim
Date
BUILDING DIVISION
SET BACK, FORMS,
INSPECTION RECORD
SIGN PERMIT
ADDRESS:
2100 E KATELLA AVE 100
OWNER:
ADVANCED GROUP 18-116
PERMIT #:
SGN2021-00138
DATE ISSUED:
11/12/2021
DESCRIPTION:
Installation of (1) illuminated Ichannel letter wall sign
'The Trough Sandwich Kitchen' face change of (2)
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 I 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://aca.anaheim.netICitizenAccess
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: SGN2021-00138
Issued: 11/12/2021
www.anaheim.net/building
(714)765-4626
Quarter Section: 118
Site Address: 2100 E KATELLA AVE 100
Legal Description: N TR 16800 BLK LOT 1
APN:23202119
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 6153
Project Description: Installation of (1) illuminated channel letter wall sign "The Trough Sandwich Kitchen" face change of (2) monument
signs "Stadium House Apartments" and "The Trough Parking". Monument sign face change to use existing electrical
People Associated with Project:
Contractor SIGNAGE SOLUTIONS CORPORATION 2231 S DUPONT DR ANAHEIM, CA 92806
Permit Applicant Candi Gledhill
Owner ADVANCED GROUP 18-116
15320 BARRANCA PARK 100
OWNER - BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I 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, alter, Improve, demolish or repair any structure, prior to Its Issuance. atan ramdna" e.e-pplicant for the permit to file a signed statement that he
or she Is licensed pursuant to the provisions of the C
mencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she Is
leged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil
($500).
13 I, as owner of property, or my employees with wal
I or (_,) portions of the work, and the structure is not
Intended or offered for sale (Sec. 7044 Business and Pr -
Law does not apply to an owner of property who, through
employees' or personal efforts, builds or improves the pi
intended or offered for sale. If, however, the building or
13 1, as the owner of the property, am exclusively coi ' / I
is project (Sec. 7044 Business and Professions Code:
The Contractors' State License Law does not apply to ai
ron, and who contracts for the projects with a licensed
Contractor pursuant to the Contractor's State License U
I am exempt from licensure under the Contractors. State
Date Signature of Property Owner or Authorized Agent
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of pert'ury 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.
& 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 worker's Compensation insurance carrier and policy are:
Cartier. TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy No.: 11.1133123716
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 la, a d agree that, 41 should become subject to the workers compensation provisions of Section 3700 of the
Labor Code. I shall forthwith mol,visioAs./
WARNING: FAILURE TO SECURf W KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE H DRED 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.
I CONSTRUCTION LENDING AGENCY 1[_ LICENSED CONTRACTORS DECLARATION I
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 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.
1 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
Profaaalnna Cnde.
Date: 11/12/2021
Contractor:
Number: SGN2021-00138
TYPE: C45
Fees paid for Permit:
Expiration Date 1/1/2022
$705.00