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929 N SUMMER ST (6)Permit Number: SW12022.00111 Issued: 09/29/2022 www.anaheim.nef/building (714)765.4626 Quarter Section: 61 CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. (7141 765 - 5153 Project Description: Demolition: 220 sq ft pool with shell to be removed. People Associated with Project: Permit Applicant Long Huynh Owner HUYNH LONG N 929 N SUMMER ST OWNER - BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's License State Law for the following reason($) 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 .irap Ibant for a permit subjects the applicant to a civil penalty of not more than five hundred I is ($500). I, as owner of property, or my employees with wages as their sole compensation, will do Gall 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 Lew 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 w). I am exempt from licensure under the Contractors. Stafe License Law for the following reason: Date Signature of Property Owner or Authorized Agent WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 worker's compensation insurance, as required by Section 3700 of the Labor 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 H the permit Is for one hundred dollars ($100) or lass. ❑ 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 comDly with those Drovisions. 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 II LICENSED CONTRACTORS DECLARATION I 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 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: 09n912022 Contractor: Number: SW12022-00111 TYPE: Fees paid for Permit: Expiration Date $170.00 City of Anaheim BUILDING DIVISION INSPECTION RECORD 41 SWIMMING POOL ADDRESS: 929 N SUMMER ST, ANAHEIM, CA 92805 OWNER: HUYNH LONG N PERMIT #: SWI2022-00111 DATE ISSUED: 09/29/2022 DESCRIPTION: Demolition: 220 sq ft pool with shell to be removed. 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 all the above inspections have been signed. 5. BLD -Steel and Electric bonding (Rock Structures,Slides Etc) 7 508 DO NOT GUNITE ROCK STRUCTURE (water feature, rock slide, fountain, waterfall, grotto eta) 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 ondi a 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. j 14. Final Electric 1 528 1 1 Sub -Contractors List MUST be approved and pool cover on site PRIOR to Pool Final Inspection request FINAL INSPECTION CODE DATE 1 INSPECTOR 15. Rough Demo 527 16. Final 599 --226 MISC. INSPECTIONS Dae Inspector fbidjobards Inspections 1.5: • 1. All plumbing to be completed and the system pressurised to 35 lbs. with water or house pressure. 2. All metal within 5 feet of pool water, and ON pod equipment, must be bounded to pod reinforcing steel with p8 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. Inspections 0.10: 1. Underground electric Inspected prior to baddilling. 2. Gas IIne test at 108 for 15 minutes with 150 gauge. 3. When polyethylepe gas piping Is used, a aatifiate from a certified Installer and bear wire shall be provided per CPC 1210.1.7.2 APPENDIX 1. Inspections 11-13: 1. Rough electric Inspection when all wiring Is completed and ready prim to the PlestdMg of pooWe• Potting compound in place at plastic light niche. 2. Current Code requires that any pod, spa or water feature conteeling water 16 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 asrord CBC and CRC APPDENDIX V specifying the height of any fence provided as baffler to the pool a- shall be Sir above grade on the outside of the fence. 3. Doors from a garage shall meet the requironronts for a gate. Glass windows within T of pool water shall be tempered pass. 4. Prior to pre -piaster 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 sunrrght Inapedlons 14.16• I. Gas and Electrical completely removed and 2x2 holes at bottom of pool and/or Isolated elements. 2. Pod backfilled: A.) with future build - sell -compacting sand 95% with receipt B.) No future build - any M. 3. After pool Is operating and In waking 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 httpsJ/aca.anaheim.neUCitizenAccess Inspection can normally be reached between 7:30 - 8:00 A.M. (714)7655153 + 0 To access your Inspection timeframe: Please go to www.anaheim.netlbullding after 7:30am on the day of your Inspection. Under ONlne Services, dick on the link -Inspection Timeframes- or all (714) 765-5153 + 0 0 SW120-2-2 - 00111 il�t p � OL I"f 1 F Poop. - COM PA <<,,,� IZ61O -Z Fend 0 �UtJM6K IT Address: 929 N SUMMER ST Residential Site Plan Zone: RS -1 Planning Services Division Building Division Required I Proposed Front BY:. Setback ( Side DOE: _ Setback Description/Notes Rear Setback .. Max. Lot —_ Coverage Max.I I I Plans comply with Title 18 of the A.M.C. (Zoning) Bldg Plan Review Fee Required $ .. 2- BY: DATE: Case No. Notes: The issuance of this permit does not approve violation of any of the Building Codes of the City. The Holder of this permit. proceeds at his own risk. Sw 12o'Z2 v v 111 • � � N � svM��. S -t. C�-s•l21 IIS DEH01_111 o F POOL ftse* Fu-cJn-E 601 - LOM PA[,Z w ,6% feseurZi U l ���d c�� �Fent� SUr1MeK IT Address: 929 N SUMMER ST Residential Site Plan Zone: Rs -1 Planning Services Division Building Division Required I Proposed Front BY:'- ( ) BY: ( ) Setback Side DAVE: _ DATE: Setback Description/Notes _ Case No. Rear Notes: Setback Max. Lot _ The issuance of this permit does not approve violation Coverage of any of the Building Codes of the City. The Holder of Max. Plans comply with Title 18 of the A.M.C. (Zoning). this permit proceeds at his own risk. Bldg Plan Review Fee Required $