921 S HARBOR BLVD (6)City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
SIGN PERMIT
ADDRESS.
921 S HARBOR BLVD, ANAHEIM. CA 92805
OWNER:
DURLABH HOSPITALITY INC
PERMIT*
SGN2023-00004
DATE ISSUED:
01/10/2023
DESCRIPTION:
Install (1) illuminated wall sign for "Solam Inn 8
Suites'.
POST THIS CARD WITH THE APPROVED PLANS
IN A CONSPICUOUS PLACE
ON THE JOB SITE
Inspection
Code
Date
Inspector
SET BACK, FORMS,
TRENCHES
UNDERGROUND
CONDUIT
MASONRY:
REINFORCEMENT,
PRE -GROUT
FINAL
i
PARTIAL APPROVAL NOTES
INSPECTION DATE INSPECTOR
Inspectors can normally be reached between
7:30 - 8:00 A.M.
(714) 765-5153 + 0
s,g nca ra
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.net/CitizenAccess
To access your Inspection timeframe, please go to
wwwanaheim.net/buiIA!D_q_after 7:30 am on the day of
your Inspection. Under Online Services, click on the
"Inspection Tlmeframes" link or call (714) 765-5153 + 0.
Permit Number: SGN2023-00004
Issued: 01/10/2023
www.anaheim.net/building
(714)765<626
Quarter Section: 74
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141 765 - 5153
Site Address: 921 S HARBOR BLVD, ANAHEIM, CA 92805
Legal Description: A TR ANAHEIM EXT BLK LOT 28 ANAHEIM EXT LOT 28 POR
APN: 25104116
Project Description: Install (1) illuminated wall sign for "Solara Inn & Suites".
People Associated with Project:
Permit Applicant Michael Heffernan
Owner DURLABH HOSPITALITY INC 921 S HARBOR BLVD
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(s) 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 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 dollar, ($500).
❑ I, as owner of properly, or my employees with wages as their sole compensation, will do (_I all or L ) portions of the work, and the structure is not
intended or offered for sale (Sec. 7044 Business and Professions Code: The Contractors' State License Lew 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
❑ I, as the owner of the property, am exclusively contracting With licensed Contractors to construct the project (Sec. 7044 Business and Professions Cade:
The Contractors' State License Lew does not apply to an owner of property who builds or improves thereon, and who wntracts for the projects With a licensed
Contractor Dursuant to the Contractor's State License Lawt.
I am exempt from licensure under the Contractors, State License Law for the following 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:
❑ I have and will maintain a certificate of consent to self -insure for workers compensation, Issued by the Director of Industrial Relations as provided for by
SeyOon 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
pe it is issued. My workers Compensation insurance carrier and policy are:
Carder: TECHNOLOGY INSURANCE COMPANY INC Policy No.: TWC4069082 Expiration Da
This section need not be completed If the permit is for one hundred dollars f llial 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
workers compensation laws of California. and agree that, If I should beco/a subject to the workers compensation provisions of Section 3700 of the
� Labor Code. Ifshall forthwith wmDly with those nbns: i /
WARNING: FAILURE TO SECURE WO-y6ERS' 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 ATTORNEYS FEES.
LENDING AGENCY
I hereby afirn under penally 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
represenlives 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 9 the building or work has not passed
final Inspection 366 days from the sate of permit issuance. A new permit is required to commence or
continue work.
I hereby affirm under penalty of perjury that I am
licensed under provisions of chapter 9 (commencing with
Section 7000) of Division 3 f the Busln ,s n
Professions Code.
Date: 01 110013
Contractor: SUNSET SIGNS AND PRINTING
Number: SGN2023-00004 Expiration Date 2il/2023
TYPE: C45
Fees paid for Permit:
$590.00