391 S SMOKERIDGE TERCITY OF ANAHEIM
Permit Number: SW12022-00005
Issued: 01/11/2022
www.anaheim.net/building
(714)7654626
Quarter Section: 180
Site Address: 391 S SMOKERIDGE TER, ANAHEIM, CA 92807
Legal Description: N TR 8783 BLK LOT 50
APN: 36323304
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Project Description: Alteration of Existing: Raise bonding at one side of pool and one side of spa. Re -plumb from pool equipment.
People Associated with Project:
Permit Applicant Patrick May
Owner MAY MICHELLE M 8 PATRICK T 391 5 SMOKERI DGE TER
OWNER - BUILDER DECLARATION
I hereby affirm under penalty of pert ury that I am exempt from the Contractor's License Slate Law for the following reasons) Indicated below by the
checkmark(s) I have placed next to the applicable hernia) (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 penalty of not more than Me hundred dollars ($500).
❑ I, 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
.eamlplloyees' or personal efforts, builds or improves the property, provided that Me Improvements are not intended or offered for sale. If, however, the building or
CI 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 Ucense Law does not apply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed
Contractor ousuant to the Contractor's
I am exempt from licensure under the
the following reason:
ngem
I WORKER'S COMPENSATION DECLARATION I
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to sett -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 tabor Code, for the performance of the work for which this
permit is Issued. My workers Compensation insurance carrier and policy are:
Carder: Policy No.: Expiration Date:
This 6cdon need not be completed lt the permft Is for one hundred dollars ($100) or lose.
I certify that in the performance of tit which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the
workers compensation laws of Collie and ag the I should become subject to the workers compensation provisions of Section 3700 of the
Labor Code. I shall forthwith com ns,
WARNING: FAILURE TO SECURE WORKERS' COMP SATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUS, DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES
AS PROVIDED FOR IN SECTION 3706 OR THE LABOR CODE. INTEREST. AND ATTORNEYS FEES.
I CONSTRUCTION LENDING AGENCY II LICENSED CONTRACTORS DECLARATION I
I hereby affirm under penally 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.
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 1 am
licensed under provisions of chapter 9 (commencing with
Section 7000) of Division 3 of the Business and
Professions Code.
Date: 01/11/2022
Contractor:
Number: SW12022-OD005 Expiration Date
TYPE:
Fees paid for Permit $387.00
City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
0 SWIMMING POOL
ADDRESS:
391 S SMOKERIDGE TER, ANAHEIM, CA 92807
OWNER:
MAY MICHELLE M 8 PATRICK T
PERMIT#:
SW12022-00005
DATE ISSUED:
01111I2022
DESCRIPTION:
Alteration of Existing: Raise bonding at one side of
pool and one side of spa. Re -plumb from pool
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 Gunter
510
DO NOT GUNITE POOLISPA
until all the above inspections have been signed.
5. BLD-Steel and Electric bonding
(Rock Structures,Slides Etc)
608
DO NOT GUNITE ROCK STRUCTURE
(water feature, rock slide, fountain, waterfall, grotto etc.) unal the above inspection has
been signed.
6. Underground Electric
512
7. Gas Piping Test
514
8. P-Trap Receptor
516
9. BackBow
518
10. Deck, Deck Drains,
Equipotential & Accessory
Bonding
520
DO NOT POUR FLATWORK
unfit 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
Sub -Contractors List MUST be approved and pool cover on site
Pr'OR to Pool Final inspection requesi
FINAL INSPECTION
CODE
DATE
INSPECTOR
15. Rough Demo
527
16. Final
599
MISC. INSPECTIONS
Date
Inspector
Insae.d., 14
1. All plumbing W be completed and the system Pressurized to 351bs. with water
or house pressure.
2. All metal within 5 feet of pool water, and all pool equipment, must be bounded
W pool reinforcing steel MM as salk copper wire. Niche light shell, deck inserts,
etc, shall he bonded to pool either.
3. Pool equipment is rat required W be set at this time.
1. Underground elecek Inspected prior to baddlllirp.
2. Gas line test at 10a for 15 minutes with 154 gauge.
3. When polyethylene gas piping is used, a certificate from a car eked Installer
and pacer wire shall lea provided per CPC 121ol.7.2 APPENDIX I.
Insoeotrona 11-13:
1. Rough NecMc inspection when all wiring is completed and ready prior to Me
plastering of pool/spa. Petting 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 he enclosed by a banner
adequate to prevent entry of small children. The banner shell comply with
Section 3109 of current CSC and CRC APPDENDIX V specifying Me height of
any fence provided as bagler to me pod 8- shall be 5W above gradle an the
outsde of Me fence.
3. Doors Iran a garage shall meet Me requirements for a gate. Glass
windows within 5' of pool water shall be tempered glass.
4. Prior 10 pre -plaster inspection, streets, wNs and city sidewalks will be
inspected for any damage due to cocetruNon of pool or spas.
5. Grading complete with positive drainage to street or public way. All
exposed plastic pipe shall he painted to protect from sunlight
Ins mictlons 14.16:
1. Gas and Electrical completely removed and W holes at bottom of pool
and/or isolated elements.
2. Peal backilled:
A.) With future build - sa6-compacgng sand 95%w th receipt.
B.) No future bald - any fill.
3. After pool a operating and a working condition wish approved pool cover on
site.
DATE -�
INSPECTION REQUESTS
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
hftpsWaca anaheim neUCilizenAccess
Inspection can normally be reached between
7:30 - 8:00 A.M.
(714)765-5153 + 0
To access your Inspection timeframe:
Please go to w vvn anaheim.netrhuilding after 7:30am on the day ofyour
Inspection. Under Online sonless. dick on Me link -Inspealan
1lmeftames- or call (714) 76s5153 * 0
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