1727 N RUTHERFORD ST (2)Permit Number: SWI2022-00012
Issued: 02/07/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 138
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765.5163
44
Site Address: 1727 N RUTHERFORD ST, ANAHEIM, CA 92806
Legal Description: N TR 5389 BLK LOT 73 '
APN:34018105
Project Description: New Pool: Construct 240 sq ft gunite pool.
People Associated with Project:
Contractor PATRICK GALLIGAR 1757 N TYMPANI CIRCLE ANAHEIM, CA 92807
Permit Applicant Patrick Gelligar
Owner POLING KARLA J 8 RYAN M
1727 N RUTHERFORD ST
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
checkmerk(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 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' 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
13 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 oursuant to the Contractors 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
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:
Th/I.-Iler.
n need not be completed H the permit Is for one hundred dollars ($100) or less.
tify that in the performance of the work for which this permit is issued, l shall not employ any person in any manner so as to become subject to the
workers compensation laws of California, anfi.agrae that, if I should becomg subject to the workers compensation provisions of Section 3700 of the
Date L/ I— `,' SlgnatLWe—cT Cpplicant
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.
CONSTRUCTION LENDING AGENCY 1ELICENSED 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 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.
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: 02/07/2022
Contractor.
Number: SWI2022-00012 Expiration Date
TYPE: C53
Fees paid for Permit:
$1,092.25
City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
SWIMMING POOL
ADDRESS:
1727 N RUTHERFORD ST, ANAHEIM, CA 92806
OWNER:
POLING KARLA J 8 RYAN M
PERMIT #:
SWI2022-00012
DATE ISSUED:
02/07/2022
DESCRIPTION:
New Pool: Construct 240 sq It gunite pool.
POST THIS CARD WITH THE APPROVED PLANS
IN A CONSPICUOUS PLACE ON THE JOB SITE
spection Code Date Inspector
504ding
506
508
F
Gunite 510
DO NOT GUNITE POOLISPAuntil all the alcove inspections have been signed.
.nd Electric bonding
(Rock Struetums,Slides Etc)
508
2
C
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 '7-- 'x
7. Gas Piping Test
514
8. P -Trap Receptor
516
9. Backflow
518
X ft
10. Deck, Deck Drains,
Equipotential 8h 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 1 528 1•2-3 -Yr
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
fbldjobards
Insosceons 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 bconded
to pod reinforcing steel with $8 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 L
1. Underground electric Inspected prior to baddlling.
2. Gas line lest at 1011 for 15 minutes with 1511 gauge.
3. When polyethylene gas piping Is used, a certificate from a certNbd Installer
and tracer wire shall be provided per CPC 1210.1.7.2 APPENDIX I.
Inspections 11.13:
1. Rough electric inspection when all widng Is completed and ready prior to the
plastering of pooysps. 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 bonier
adequate to prevent entry of small children. The barrier shall comply with
Section 3109 of current CBC and CRC APPDENDIX V specifying tine height of
any fence provided as barrier to the pod d- shall be 60' above grade on the
outside of the fence.
3. Doors from a garage shah meet the requirements for a gate. Glass
windows within F of pool water shall be tempered pleas.
4. Prior to pr&plaster inspection, streets, curbs and city sidewalks will be
Inspected for any damage due to construction of pod or spas.
5. Grading complete with positive drainage to street or public way. All
exposed plastic pipe shat be painted to protect from sunlight.
Inspections 1416:
1. Gas and Electrical completely removed and 2x2 tales at bottom of pod
and/or isolated elements.
2. Pod baddtled:
A.) With future build - seg -compacting send 95% with receipt.
B.) No future build - any 011.
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.anahaim.neUCitizenAccess
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.anahelm.net/butding atter 7:30am on the day of your
Inspection. Under Online SeMces, dick on the link 'Inspection
Timeframes' or all (714) 765.5153 + 0