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212 N KENNEBEC DRCity of Anaheim BUILDING DIVISION INSPECTION RECORD SWIMMING POOL ADDRESS: 212 N KENNEBEC DR, ANAHEIM, CA 92807 OWNER: LENNEY JEFFREY D 8 CHANMONY E PERMIT #: SW12022-00059 DATE ISSUED: 05/27/2022 DESCRIPTION: New Pool/Spa: 360 sq It pool with 38 sq ft spa POST THIS CARD WITH THE APPROVED PLANS IN A CONSPICUOUS PLACE ON THE JOB SITE nspection Code Date Inspector 504 Vk ding 506 508 PBLD-Steel Gunite 510 DO NOT GUNITE POOLISPA until 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.) unfit 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 Bondina 520 I/ ;�j l 1P "`999 DO NOT POUR FLATWORK until all the above Inspections have been signed. 11. Rough Electrical 522 12. Fencing/Door Alarms 524 13. Plaster approval 5261Z I DO NOT PLASTER until all the above inspections frLvj bee igned. 14. Final Electric 528 Sub -Contractors List MUST be appro d and pool cover on PRIOR to Pool Final inspection request FINAL INSPECTION CODE DATE INSPECTOR 15. Rough Demo 527 16. Final 599 MISC. INSPECTIONS Date Inspector fbldjobcards 7 Insoectlons 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 pool water, and all pool equipment, must be bonded to pool reinforcing steel with #8 solid copper wire. Niche light shell, deck inserts, etc. shall be bonded to pool rebar. 3. Pool equipment is not required to be set at this time. Inspections 6.10: 1. Underground electric inspected prior to backfilling. 2. Gas line test at 10# for 15 minutes with 150 gauge. 3. When polyethylene gas piping is used, a cer00cate from a certifted 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 poolfspe. Polling compound in place at plastic light niche. 2. Current Code requires that any pool, spa or water feature contacting water 18 Inches or more in depth shall be enclosed by a bonier adequate to prevent entry of smell children. The bonier shall comply with Section 3109 of anent CBC and CRC APPDENDIX V specifying the height of any fence provided as bonier to the pool 8- shall be Or above grade on the outside of the fence. 3. Doors from a garage shag meet the requirements for a gate. Glass windows within T of pool water shag 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. 5. Grading complete with positive drainage to street or public way. All exposed plastic pipe shall be painted to protect from sunlight. Inspections %16: 1. Gas and Electrical completely removed and 2x2 holes at bottom of pool and/or isolated elements. 2. Pool backfilled: A.) With future build - self -compacting send 95% with receipt. B.) No future build - any fill. 3. After pool Is operating and in working condition with approved pool 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 https://aca.anaheim.neUCibzenAccess Inspection can normally be reached between 7:30 - 8:00 A.M. (71411785.5153 + 0 To access your inspection timeframe: Please go to www.anahelm.net/bullding after 7:30am on the day of your Inspection. Under Online Services, dick on the link -Inspection Timeframes' or call (714) 765.5153 + 0 CITY OF ANAHEIM Permit Number: SW12022.00059 Issued: 05/27/2022 www.anaheim.net/building (714)765-4626 Quarter Section: 156 Site Address: 212 N KENNEBEC DR, ANAHEIM, CA 92807 Legal Description: N TR 4644 BLK LOT 26 APN:36019142 Project Description: New Pool/Spa: 360 sq ft pool with 38 sq ft spa BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 - 5153 People Associated with Project: Contractor MASTERPIECE POOLS &AMP; SPAS INC 22343 LA PALMA STE 104 YORBA LINDA, CA 92887 Permit Applicant Maricela Escareno Owner LENNEY JEFFREY D & CHANMONY E 212 N KENNEBEC DR OWNER - BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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) (Sec. 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 penally of not more then five hundred dollars ($500). 13 I, 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 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 Dursuant to the Contractors State License Lew). 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 Section 3 00 of the Labor Code, for the performance of the work for which this permit is issued. 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: , Carrier. STATE COMPENSATION INSURANCE FUND Policy No.: 9042868 Expiration Date: This section need not be completed Ifthe 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 workers compensation laws of California, and agree that, if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code. I shall forthwith comolv.wi"ose Drovisions.— Date I offlgnature 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 11 LICENSED CONTRACTORS DECLARATION J 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 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: 05/27/2022 Contractor: Number: SW12022-00059 TYPE: C53 Fees paid for Permit: Expiration Date 10/1/2022 $1,184.50