2929 E BELVEDERE RD (4)Permit Number: SWI202340031
Issued: 04/21/2023
www.anaheim.neYbuilding
(714)765-4626
Quarter Section: 133
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141 765 - 5153
Site Address:,.2929E BELVEDERE RD, ANAHEIM, CA 92806
Legal D 6scription: N -TR 4321 BLK; LOT 59
APNf268066327
5-�
Project Description: Demolition: 312 sq. ft. pool and 11 sq. ft. spa with shell to remain.
People Associated with Project:
Contractor CASPERS DEMOLITION 2243 E SOUTH REDWOOD201704070857146860 ANAHEIM, CA 92806
Permit Applicant DYLAN J CASPERSEN, OWNER 2243 E SOUTH REDWOOD ANAHEIM, CA 92806 0000
Owner PULIDO FRANCISCO A 2929 E BELVEDERED RD
OWNER - BUILDER DECLARATION
1 hereby affirm under penalty of perjury that 1 am exempt from the Contractor's License State Law for the following reason(,) 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, atter, 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 to 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).
I, as owner of property, or my employees with wages as their sole compensation, will do U 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
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 pursuant to the Contractor's State License law).
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 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.
❑ 1 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. Policy No.: Expiration Date:
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 rk for wh this permit Is issued, I shall not employ any person in any manner so as to become subject to the
workers compensation laws of Califoi
Labor Code. I shall forthwith cwmoly v
If 1 should become subject to the workers compensation provisions of Section 3700 of the
WARNING: FAILURE TO SECURERKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HU RED 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 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 t the informati° Bove is correct. I agree
to comply with all city ordinances and state la elating ng const 'coon, and hereby authorize
representives of this city to enter upon the ove men props for Inspection purposes.
L�-
Date
I -'2 ?
The premit shall expire by limi
final inspection 365 days from
continue work.
or Agen
and void If the building or work has not passed
of permit Issuance. A new permit is required to commence or
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: 04/21/2023
Contractor: CASPERS DEMOLITION
Number: SW12023-00031 Expiration Date
TYPE: C21
Fees paid for Permit: $171.00
City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
41 SWIMMING POOL
ADDRESS:
2929 E BELVEDERE RD, ANAHEIM, CA 92806
OWNER:
PULIDO FRANCISCO A
PERMIT #.
SWI2023-00031
DATE ISSUED:
04/21/2023
DESCRIPTION:
Demolition: 312 sq. ft. pool and 11 sq. ft. spa with
DO NOT GUNITE ROCK STRUCTURE
(water feature, rock slide, fountain, waterfall, grotto etc.) until the above Inspection has
been signed.
shell to remain.
POST THIS CARD WITH THE APPROVED PLANS
IN A CONSPICUOUS PLACE ON THE JOB SITE
spection Code Date Inspector
504
ding 506
508
F
Gunite 510
DO NOT GUNITE POOUSPA
unfit all the above inspections have been signed.
nd 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
Bondino
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 ell 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 527
16. Final 599 3 /L
MISC. INSPECTIONS Date Inspector
ibldjobcords
Inspec""s 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 bonded
to pool reinforcing steel with 98 solid copper who. Niche light shell, deck inserts,
etc. shall be bonded to pod reber.
3. Pool equipment Is not required to be set at this time.
Inspections 04- M
1. Underground electric Inspected prlor to backfilling.
2. Gas line test at 109 for 15 minutes with 150 gauge.
3. When polyethylene gas piping Is used, a certificete 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 pool/spa. Potting compound in place at plastic light niche.
2. Current Code requires that any pod, spa or water feature
contacting water 16 Inches or more in depth shell be enclosed by a border
adequate to prevent entry of small children. The barrier shall comply with
Section 3109 of current CBC and CRC APPDENDIX V specifying the height of
any fence provided as barrier to the pod It. shall be 60- above grade on the
outside of the fence.
3. Doors from a garage shaft meet the requirements for a gate. Glass
windows within T of pool water shall be tempered glass.
4. Prior to pre -plaster Inspection, streets, curbs and dry sidewalks will be
Inspected for any damage due to construction of pool or spas.
S. Grading complete with positive drainage to street or public way. All
exposed plastic pipe shell be painted to protect from sunlight.
Insnnctlons tilde:
1. Gas and Electrical completely removed and 2x2 holes at bottom of pod
and/or Isolated elamenle.
2. Pod backfilled:
A.) With future build - self -compacting send 95% with receipt
B.) No future build - any fill.
3. After pod is operating and In working condition with approved pod cover on
site.
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.neUCigzenAccess
Inspection can normally be reached between
7:30 - 8:00 A.M.
(714)785.5153 + 0
To access your inspection timeframe:
Please go to www.anaheim.netlbuilding after 7:30am on the day of your
inspection. Under Online Services, dick on the link -Inspection
7lmeframes- or cell (714) 765.5153 + 0