375 S BRIDGE VIEW RDCITY OF ANAHEIM
Permit Number: SW12022-00063
Issued: 06/08/2022
www.anaheim.net/building
(714)765-0626
Quarter Section: 203
Site Address: x375 S BRIDGE VIEW DR, ANAHEIM, CA 92808
Legal Description: N'TR 8560.BLK.LOT-75
APN:35635406
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141 765 - 5153
Project Description: Demolition: 630 sq ft pool and 50 sq ft spa with complete shell to be removed.
People Associated with Project:
Contractor TRU LANDSCAPE SERVICES 850 E CHAPMAN AVE SUITE E201111011344216910 ORANGE, CA 92705
Permit Applicant Tobi RUlemek
Owner BEVERLY MARK W TR
850 E. Chapman Avenue, Suite E Orange, CA 92866
375 S BRIDGE VIEW DR
OWNER - BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's License State Law for the following reasons) 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, 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 dollars ($500).
0 I, as owner of property, or my employees with wages as their sole compensation, will do U 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 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
0 1, as the owner of the property, am exclusivety contracting with licensed Contractors to construct the project (Sec. 7044 Business and Professions Code:
T#r2 Co tre tate Lic@nse does no apply to an er of�prgperly who builds or improves thereon, and who contracts for the projects with a licensed
��%fMrf� .ee pi is •r. i "e+..;.•� a.F."'+e•.`
dontractof iiursuant to theContractor's State tib nse Law1.
I am exempt from licena9 underJh tradotStateLi ns%Law for the followift reason:
Agent
WbRIMR'S'(:OMPENSATION DECLARATION
I hereby affirm undt cQer lilt of psrleiii, f t ie followink•deelWist111ns: 1 c0,e'Y
❑ 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.
aI have and will maintain worker's 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:
Carrier: NATIONAL LIABILITY AND FIRE INSURANCE COMPANY Policy No.: VOWC366851
This section need not be completed If the permit Is for one hundred dollars ($100) or less.
❑ 1 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
workees compensation laws of California, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the
Lal�Cst Is hall forthwith comDIv with ose o%isions
Date Signature of 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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES
AS PROVIDED FOR IN SECTION 3706 OR THE LABOR CODE. INTEREST. AND ATTORNEY'S FEES. .y'L .
CONSTRUCTION LENDING AGENCY
I hereby afire under penalty of perjury that there is a construction lending agency for the performance
Lender's 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
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 Division 3 of the Business and
Professions Code— ,
Date: 06/08/2022
Contractor: TRU LANDSCAPE SERVICES
Number: SW12022-00063 Expiration Date 5/4/2023
TYPE: C27, B
Fees paid for Permit: $213.00
City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
Go SWIMMING POOL
ADDRESS:
375 S BRIDGE VIEW DR, ANAHEIM, CA 92808
OWNER:
BEVERLY MARK W TR
PERMIT #:
SWI2022-00063
DATE ISSUED:
06/08/2022
DESCRIPTION:
Demolition: 630 sq it pool and 50 sq ft spa with
DO NOT GUNITE ROCK STRUCTURE
(water feature, rock slide, fountain, waterfall, grotto etc.) until the above inspection has
been signed.
complete shell to be removed.
POST THIS CARD WITH THE APPROVED PLANS
IN A CONSPICUOUS PLACE ON THE JOB SITE
Inspection Code Date Inspector
1. Main Drain 504
2. Electric Bonding 506
3. Steel 508
4. Approval to Gunite j 510
DO NOT GUNITE POOUSPA
until all the above inspections have been signed.
5. BLD -Steel and Electric bonding
(Rock Structures,Slides Etc)
508
DO NOT GUNITE ROCK STRUCTURE
(water feature, rock slide, fountain, waterfall, grotto etc.) until the above inspection has
been signed.
6. Underground Electric
512
7. Gas Piping Test
514
8. P -Trap Receptor
516
9. Backflow
518
10. Deck, Deck Drains,
Equipotential & Accessory
Bonding
520
DO NOT POUR FLATWORK
until all the above inspections have been signed.
11. Rough Electrical 522
12. Fencing/Door Alarms 524
13. Plaster approval 526
DO NOT PLASTER
until all the above inspections have been signed.
14. Final Electric 1 528
Sub -Contractors List MUST be approved and pool cover on site
PRIOR to Pool Final Inspection request
FINAL INSPECTION CODE DATE INSPECTOR
15. Rough Demo S27 1 M
16. Final 599
MISC. INSPECTIONS Date Inspector
fbldjobcards
Inswetions 1.5: `'
1. All plumbing to be completed and the system pressurized to 35 lbs. with water
or house pressure.
2. All metal within 5 feet of pool water, and all pool equipment, must be bounded
to pod reinforcing steel with 08 solid copper wire. Niche light shell, deck Inserts,
etc. shall be bonded to pod rebar.
3. Pod equipment is not required to be set at this time.
Inspections 640:
1. Underground electric inspected prior to backfilling.
2. Gas line test at 100 for 15 minutes with 150 gauge.
3. When polyethylene gas piping Is used, a certificate from a certified installer
and tracer wire shall be provided per CPC 1210.1.7.2 APPENDIX I.
Inspections 11.13:
1. Rough electric Inspection when all wiring is completed and ready prior to the
plastering of poollspe. Potting compound in place at plastic light niche.
2. Current Code requires that any pod, spa or water feature
contacting water 18 Inches or more in depth shall be enclosed by a barrier
adequate to prevent entry of small children. The bonier shall comply with
Sermon 3109 of current CBC and CRC APPDENDIX V specifying the height of
any fence provided as bonier to the pod 8- shall be 60- above grade on the
outside of gra fence.
3. Doors from a garage shall meet the requirements for a gate. Glass
windows within Y of pod water shag be tempered glass.
4. Prior to pro -plaster Inspection, streets, curbs and city sidewalks will be
inspected for any damage due to construction of pool or spas.
5. Grading complete with positive drainage to street or public way. All
exposed plastic pipe shall be painted to protect from sunlight.
Inspections 1446:
1. Gas and Electrical completely removed and 2x2 holes at bottom of pod
and/or Isolated elements.
2. Pod Mckfilled:
A.) With future burd - self -compacting sand 95% with receipt.
B.) No future build - any fill.
3. After pod Is operating and In working condition with approved pod cover on
site.
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peoI ptrMl-t ISS Il d - T4PA
INSPECTION REQUESTS
Inspection requests made prior to 5:00 i m Monday - Friday
will be scheduled on the following workday.
To schedule your building inspection online, please go to
https://aca.anaheim.neUCifizenAccess
Inspection can normally be reached between
7:30 - 8:00 A.M.
(714)765.5153 + 0
To access your inspection timeframe:
Please go to www.anaheim.netlbuikting after 7:30am on the day of your
Inspection. Under Online Services, dick on the link "Inspection
Timeframes' or call (714) 766.5153 + 0
,(,001
vel®
(Address: 375 5 BRIDGE VIEW DR
Zone: RH-2
Required I Proposed
Front
Setback
Side
Setback
Rear
Setback
Max. Lot
Max.
Bldg
(VL
Residential Site Plan
Planning Services Division
APPROVED
BY: ("h4 )
Description/Notes: OK for pool demo
Plans comply with Title 18 of the A.M.C. (Zoning).
Plan Review Fee Required $ &2i
BY:
l
Building Division
APPROVED
DATE:
Case No. _
Notes:
The issuance of this permit does not approve violation
of any of the Building Codes of the City. The Holder of
this permit proceeds at his own risk.