190 N AVENIDA CIENEGA (5)City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
0 SWIMMING POOL
ADDRESS:
190 N AVENIDA CIENEGAANAHEIM, CA 92807
OWNER:
VACALO NICK 8 MAROULA
PERMIT#:
SW12023-00016
DATE ISSUED:
06/28/2023
DESCRIPTION:
New Pool/Spa: 528 so It gunite pool with 72 sq ft
gene spa.
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 POOLISPA
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 ai I unlB #in above Inspection has
been signed.
6. Underground Electric
512
7. Gas Piping Test
514
8. P-Trap Receptor
516
L % 7d
9. Backilow
518
10. Deck, Deck Drains,
Equipotential B Accessory
ondina
520
DO NOT POUR FLATWORK
until all the above inspections have been signed.
11. Rough Electrical
522
0 fT r3
1 V-.1
12. Fencing/Door Alarms
If
524
11 l'dl
13. Plaster approval
526
IU '3
..
DO NOT PLASTER
unfit all the above inspections have been signed,
14. Final Electric 1 528 1 b 4 yy
Sub -Contractors List MUST be approved and pool cover on site
F'!^R to Pool Final inspection request
FINAL INSPECTION
CODE
15. Rough Demo
527
tDA;TEINSPECTOR
16. Final
599
MISC. INSPECTIONS
Date
Inspector
Inaction, 1.5-
1. All plumbing m be completed and the system pressurized to 3, kid with water
of Muse pressure.
2. NI metal vision 5 feet of pool water, and all pool equipment, most be boroded
M Pool reinfodng steel with #8 sold copper wire. Niche light shell, deck inserts,
etc, shall be Wd nded to porebar.
3. Pod equipment is not required to W set at this lime.
Inspection, 6.10,
1. Underground electric inspected prior b backfilling.
2. Gas lira lest at 100 for 15 minutes with 15# gauge.
3. When pdyathylene gas Piping I. used, a o nt"c8te hom a certified installer
and tracer sire shall ba provided per CPC 1210.1.7.2 APPENDIX I.
Inspections 11.13
1. Rough electric inspection when all wiring n completed and ready psi b tl1e
Plastering of poonspe. Potting compound d 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 M enclosed by a bamer
adequate to prevent entry of small cMldren. The blamer shall comply well
Section 3IN of current C8C and CRC APPDENDIX V specil the height of
any fence provided as blamer to the pool 6- shall M SW above goods on the
outside of the fence.
3. phone tram a garage shall meet the requirements for a gate. Glass
windows within 5' of pool water ban be tempered glass.
4. Prior to pre -plaster inspection, streets, curbs anti city sidewalks will be
inspected for any damage due to consWctbn of pool or spas.
5. Grading complete wdh positive drainage d street or Public way. All
exposed plastic pipe shall be painted to protect from sunlight
Inspectors 14.16
1. Gas and Electrical completely removed and 2x2 holes at Wnom of pool
and/or sishl elements.
2. Pool beckelled:
A.) WIM future Wild - sea-compad'mg sand 95%wets receipt,
e l No future Wild - any 011.
3. Amer pod Is opeleling and In working condition MM approved pool cover on
she.
INSPECTION REQUESTS
Inspection requests made prior to 5:00 pm Monday - Friday
will be scheduled on the following workday.
To Son$" yw butidkp 61sPodbn oriole, Please go to
hops//ace anahetm neUGbzenAcce=
Inspection can normally be reached between
7:30 - 8:00 A.M.
(714)765-5153 + 0
To access your inspection timeframe:
Please 90 to w.m a lahai, lb-Ing after 7:Mm on the day of your
msPectil UrMsr Online Services, disk on Me link 'Inspection
T!meftames' or call (714) 765-515310
fbldjobcards
CITY OF ANAHEIM
Permit Number: SW12023-00016
Issued: 06128/2023
www.anatheim.net/building
(714)765-4626
Quarter Section: 190
Site Address: 190 N AVENIDA CIENEGAANAHEIM, CA 92807
Legal Description: N TR 7785 BLK LOT 17
APN: 35813126
BUILDING DIVISION
200 S. ANAHEIM BLVD.
R14) 765 - 5153
Project Description: New Pool/Spa: 528 sq R gunite pool with 72 Sq R gunite spa.
People Associated with Project:
Contractor TECHNICK CONSTRUCTION 3198 E LA PALMA AVE201906271223506440 ANAHEIM, CA 92806
Permit Applicant Nick Vacalo 3198 E. La Palma Ave. Anaheim, CA 92806
Owner VACALO NICK & MAROULA 190 N AVE CIENEGA
OWNER - BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's License State Law for the following reason(s) Indicated below by the
checkmark(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, 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 la Saari from Ilcensure 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 (_) 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 ContractorsState 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 pursuant to the Contractor's 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 se0-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.
��]f��{j�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
patine is issued. My worker's Compensation insurance canner and policy are:
Cartier: CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No.: CWC000423009
This section need not be completed If the 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
worker's compensation laws of Califomia, and agree that, e 1 should become subject to the workers compensation provisions of Section 3700 of the
I aMr Cede. I shag forthwith coni with those-crovisipns:y \
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.
LENDING
1 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 dale 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. -
Dateb/"7,06726I2023
Contractor. TECHNICK CONSTRUCTION
Number: SWI2023-00016 Expiration Date 7/1012023
TYPE: B
Fees paid for Parsee:
$1,723.64