2121 W CHANTICLEER RDCITY OF ANAHEIM
Pernfit Number: SWI202240136
Issued: 11/17/2022
www.anaheim.net/building
(714)765.4626
Quarter Section: 42
SIte'Address:2121 W CHANTICLEER RD, ANAHEIM, CA 92804
Legal bescriptlonc N TR 6091 BLK"LOT 14
APN': 12862432
BUILDING DMSION
200 S. ANAHEIM BLVD.
(714) 765-5153
Project Description: Demolition: 493 sq ft pool and spa with shell to remain and (3) 34 holes in pool and (1) 2x2 hole In spa.
People Associated with Project:
Permit Applicant Steve Espenschied
Owner KIEV PHONG CONG & ALEXANDRA QUYNH 202 W HARVEY AVE
OWNER - BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License State Law for the following reason(s) indicated below by the
checkmark(s) I have placed next to the applicable Item(s) (See. 7031.5 Business and Professions Code: any city or county which requires a permit to
construct, after. 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 1, as owner of property, or my employees with wages as their sole compensation, will do L__) all or U 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 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 workers compensation, issued by the Director of Industrial Relations as provided for by
STn 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 workers Compensation Insurance carrier and policy are:
Cartier. CALIFORNIA INSURANCE COMPANY Policy No.:604 56471 Expiration Date: 7/1/20
This section need not be completed 0 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
workers compensation laws of California, and agree that, If I should become subj
forthwith cemoly with those orovislons.
employ any person in any manner so as to become subject to the
workers compensation provisions of Section 3700 of the
Date Signature of Applicaff— 6o-/
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.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance
Lenders 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 shell 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
1 hereby affirm under penalty of perjury am
licensed under provisions of chapter 9 ( mm;
m sing with
Section 7000) of Division 3 of the Busin an
Professions Code. n
Date: 11117/2022
Contractor: KENNAH CONSTRUCTION INC
Number: SWI2022-00136 Expiration Date 71112023
TYPE: B, A
Fees paid for Permit:
$170.00
40 City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
SWIMMING POOL
ADDRESS:
2121 W CHANTICLEER RD, ANAHEIM, CA 92804
OWNER:
KIEV PHONG CONG 8 ALEXANDRA QUYNH
PERMIT #:
SWI2022-00136
DATE ISSUED:
11/17/2022
DESCRIPTION:
Demolition: 493 sq It pool and spa with shell to
DO NOT GUNITE ROCK STRUCTURE
(water feature, rock slide, fountain, waterfall, grotto etc.) until the above Inspection has
been sinned.
remain and (3) 3x3 holes in pool and (1) 2x2 hole in
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 510
DO NOT GUNITE POOUSPA
until at 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 sinned.
6. Underground Electric
512
7. Gas Piping Test
514
8. P -Trap Receptor
516
9. Backflow
518
10. Deck, Deck Drains,
Equipotential & Accessory
Bondina
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 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 2,16
16. Final . 599 -
MISC.INSPECTION Date Inspector
0
fbldjobards
Insoactions 14:
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 pod water, and NI pod equipment, must be bonMed
to pod reinforcing steel with 08 solid copper wire. Niche light shell, deck inserts,
etc. shall be bonded to pool rebar.
3. Pod equipment is not required to be set at this time.
InshactIWj 8.10:
1. Underground electric Inspected prior to baddditbhg.
2. Gas line lest at 100 for 15 minutes with 150 gauge.
3. When polyethylene gas piping Is used, a certificate from a cerif0ed Installer
and tracer wire shell 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 pod/spe. Potting compound in place at plastic light niche.
2. Current Code requires that any pod, spa or water feature
contacting water 181nches or more in depth shall be enclosed by a barrier
adequate to proved entry of small children. The bander shall comply with
Section 3109 of current CBC and CRC APPOENDIX V specifying the height of
any fence provided as bander to the pod Q- shall be 60' above grade on the
outside of the fence.
3. Dors from a garage shall meet the requirements for a gate. Glass
windows within F of pool water shall be tempered glass.
4. Prior to pre -plaster Inspection, streets, curbs and city 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. Ali
exposed plastic pipe shall be painted to protect from suNight.
Inswetons 14.18•
1. Gas and Electrical completely removed and 2x2 holes at bottom of pool
and/or Isolated elements.
2. Pod backfilled:
A.) With future build - self -compacting send 95% with receipt.
8.) No future build - any 911.
3. After pod is operating and In working condition with approved pod cover on
site.
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
htipsJlaca.anaheim.netlCitizenAccess
Inspection can normally be reached between
7:30.8:00 A.M.
(714)765.5153.0
12
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'Inspedion
.Tim a or all (714) 765.5153 r 0