1805 W RANDOM DR (3)POST THIS CARD WITH THE APPROVED PLANS
IN A CONSPICUOUS PLACE ON THE JOB SITE
Inspection Code Date Inspector
City of Anaheim
2. Electric Bonding 506
BUILDING DIVISION
4! Approval to_GOnitel 510
-
INSPECTION RECORD
5. BLD -Steel and Electric bonding
(Rock Structures,Slides Etc)
SWIMMING POOL
ADDRESS:
1805 W RANDOM DR, ANAHEIM, CA 92804
OWNER:
LAWRENCE BRANDON RYAN & TARA ANNE
PERMITM
SWI2022-00032
DATE ISSUED:
03/29/2022
DESCRIPTION:
New Pool/Spa: 252 sq ft inground pool and 42 sq It
Spa.
POST THIS CARD WITH THE APPROVED PLANS
IN A CONSPICUOUS PLACE ON THE JOB SITE
Inspection Code Date Inspector
1j !Mairi DrainT 504
2. Electric Bonding 506
3. Steel 508
4! Approval to_GOnitel 510
-
DO NOT GUNITE POOUSPA
until all 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 signed.
6. Underground Electric
512
r
7. Gas Piping Test
514
8. P -Trap Receptor
516
9. Backflow
51 B
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 coverIsitePRIOR to Pool Final Inspection request
FINAL INSPECTION . CODE DATE INSPEC15.
Rough Demo _ _ _� . -.527_
16. Final 599 "f .,
za-
MISC. INSPECTIONS Date 46spector
fbldjobeards
Inspections 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 bounded
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 8.10:
1. Underground electric Inspected prior to balling.
2. Gas line test at 109 for 15 minutes with 15# gauge.
3. When polyethylene gas piping is used, a certificate from a certified Installer
and tracer wire shall be provided per CPC 1210.1.7.2 APPENDIX 1.
Inspections 1143:
1. Rough electric Inspection when all wiling 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 18 Inches or more in depth shall be enclosed by a barrier
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 border to the pod &- shall be 60- above grade on the
outside of the fence.
3. Doors from a garage shall most 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 ror 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 14.16•
1. Gas and Electrical completely removed and 2x2 holes at bottom of pool
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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
htips://aca.anahelm.neVCigzenAccess
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.anaheim.net/building after 7:30am on the day of your
Inspection. Under Online Services, dick on the link -Inspection
Timeframes- or call (714) 7654153 + 0
Permit Number: SW12022-00032
Issued: 03/29/2022
www.anaheim.net/building
(714)765-0626
Quarter Section: 48
Site Address: 1805 W RANDOM DR, ANAHEIM, CA 92804
Legal Description: N TR 2425 BLK LOT 33
APN:12822120
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714)765-5153
Project Description: New Pool/Spa: 252 sq ft inground pool and 42 sq ft spa.
People Associated with Project:
Contractor CALIFORNIA SMARTSCAPE - PACIFIC PARAD 1612 S LYON ST SANTA ANA, CA
Permit Applicant Hunter Ellison
Owner LAWRENCE BRANDON RYAN 8 TARA ANNE 1805 W RANDOM DR
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License State Low 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, 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).
❑ I, as owner of property, or my employees with wages as their sole compensation, will do U all or C-_) 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 taw 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:
❑ 1 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.
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
Ypermit is issued. My workers Compensation Insurance carrier and policy are:
Carrier. INSURANCE COMPANY OF THE WEST Policy No.: WSD506457600 Expiration Date
This section need not be completed tithe permit Is for one hundred dollars ($100) or less.
❑ I 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
Labo).Gode. ) shall forthwith comDly with ItipiIii 9pryris s�
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
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. l 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 miWtioned property for inspection purposes.
ZAI iZ
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: 03/29/2022
Contractor:
Number: SW12022-00032
TYPE: C27, C53, D35
Fees paid for Permit:
Expiration Date 3/7/2023
$1,091.25