701 S DORCHESTER ST (2)Permit Number: SWI202240130
Issued: 11/18/2022
www.anaheim.netibuilding
(714)765-4626
Quarter Section: 104
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765-5153
Site. Address: 701 S DORCHESTER ST, ANAHEIM, CA 92805
:.;:... i... .
Legal DesoNption: N TR 1697 BLK LOT 16
APN: '08235517
Project Description: New Swimming Pool/Spa: 160 sq. ft. gunite pool with 40 sq. ft. spa.
People Associated with Project:
Permit Applicant Geir Foshaug 701 S Dorchester St Anaheim, CA 92805
Owner FOSHAUG GEIR 701 S DORCHESTER ST
Engineer - Civil Matthew G Thompson
OWNER - BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's License State Lew for the following reasons) Indicated below by the
checkmartr(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' Sate 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).
13 1, as owner of property, or my employees with wages as their sole compensation, will do "all or ( ) portions of the work, and the structure is not
Intended or offered for sale (Sec. 7044 Business and Professions Code: The Contractors' Sate 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
1 1, 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 oursuant to the Contractor's Sate Licens Lfwl.
I am exempt from licensure under the Contracto , t h ��reason:
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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 tabor Code, for the performance of the work for which this
permit is Issued. My worker's 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.
❑ 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
worker's compensation laws of California, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the
Labor Code. I shall forthwith comoly with those orovislons.
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.
I CONSTRUCTION LENDING AGENCY LICENSED CONTRACTORS DECLARATION
I hereby affirm 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 sate that the information above is correct. I agree
to comply with all city ordinances and sate 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.
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: 11/18/2022
Contractor.
Number. SWI2022-00130 Expiration Date
TYPE:
Fees paid for Permit:
$1,084.00
City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
i) SWIMMING POOL
ADDRESS:
701 S DORCHESTER ST, ANAHEIM, CA 92805
OWNER:
FOSHAUG GEIR
PERMIT 0:
SWI2022-00130
DATE ISSUED:
11/18/2022
DESCRIPTION:
New Swimming PooUSpa:160 sq. ft. gunite pool with
DO NOT GUNITE ROCK STRUCTURE
(water feature, rock slide, fountain, waterfall, grotto etc.) until the above inspection has
been signed.
40 sq. ft. spa.
POST THIS CARD WITH THE APPROVED PLANS
IN A CONSPICUOUS PLACE ON THE JOB SITE
spection Code Date Inspector
504 } / ► c.�, ,.
ding 506 ti. 13 1L �� L
508 1l ). L /j , �
FEn
Gunite 510 / / ,� � _
DO NOT GUNITE POOUSPA
until all the above Inspections have been signed.
nd Electric bonding
(Rock Strutxtlres,Slides Etc)
I
508
/�,/341
i
rAl — v
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
Bondin0
520
DO NOT POUR FLATWORK
until all the above Inspections have been signed.
11. Rough Electrical 522 r
12. FencingMoor Alarms 524
13. Plaster approval 52
DO NOT PLASTER
until all the above Inspections have been signed.
14. Final Electric 528 Z, r
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
MISC. INSPECTIONS Date Inspector
fbldjobcords
Msoeetlonsld:
1. All plumbing b be completed and the system pressurized to 35 lbs. with water
or house pressure.
2. M metal within 5 feet of pool water, and ar pool equipment, must be bonded
to pool reinforcing steel with 08 solid copper wire. Niche right shell, deck Inserts,
etc. shall be bonded to pool rebar.
3. Pool equipment is not required to be set at this time.
Inspections $As@
1. Underground sladric Inspected prior to baddYihp.
2. Gas Ilse test at 100 for 15 minutes with 150 gauge.
3. When poyethylem gas piping Is used, a certificate from a ari8lad Installer
and tracer wire shop be provided per CPC 1210.1.7.2 APPENDIX 1.
Inspections 11.13:
1. Rough electric Inspection when all wiring Is completed and ready prior to the
plastering of pcoysps. Patting ampotnd In place at plastic fight nichs.
2. Current Code requires thsl 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 smal children. The border shall comply with
Section 3109 of current CBC and CRC APPDENDIX V specif ft the height of
any (ens provided as barrier to the pod a- shall be 60- above grade on the
outside of Oro lanae.
3. Doors from a gwge shin meet Me requirements for a gate. Glass
windows within -';'of pool water shelf be tempered glass.
4. Prior to pre -plaster Inspection, streets, carobs and city sidewalks will be
Inspected for any damage due to comfruction of pod or spas.
5. Grading complete with positive drainage to street or public way. AN
exposed plastic pipe shelf be painted to ported from sunlight.
Inspections %18:
1. Gas and Electrical completely removed and 2x2 holes at bottom of pool
Zndlor isolated elements.
Pool backfilled:
A.) With inure build - self -compacting sand 95% with receipt
B.) No future build -any 811.
3. Agar pool Is operating and In working condition with approved pod cover on
Ike.
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://aa.anahaim.neVCitizenAccess
Inspection can normally be reached between
7:30 - 8:00 A.M.
1714)7655153 + 0
To access your Inspection timeframe:
Please go to www.anaheim.net/building after 7:30am on the day of your
Inspection. Under Online Sellas, dick on the Ilnk -lospec tion
Tkmirames- or call (714) 7655153 + 0