252 N CAMINO ARROYOCITY OF ANAHEIM
Permit Number: SW12022-00021
Issued: 03/08/2022
www.anahaim.net/building
(714)765.4626
Quarter Section: 190
Site Address: 252 N CAMINO ARROYOANAHEIM, CA 92807
Legal Description: N TR 8080 HLK LOT 70
APN: 35814303
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714)765 .5153
Project Description: Demolition: 400 sq.ft Pool and spa with shell to be demoed.
People Associated with Project:
Contractor
MORAL BUILDERS 19841 HENSHAW ST WOODLAND HILLS, CA
Permit Applicant
Yarden Erez
Owner
CHEN KEN YUNKUAN 252 N CAMINO ARROYO
OWNER - BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's License Slate Law 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 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 (_) portions of the work, and the stmcture is not
Intended or offered for sale (Sec. 7044 Business and Professions Code: The Contractors' Stale 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:
Tire 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 Dumuant 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 penally of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to sett -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.
I 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:
Carder: STATE COMPENSATION INSURANCE FUND Policy No.: 9242123 Expiration Date:
This section need not be completed it the permit is for one hundred dollars (f100) 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 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 comoly with those provisions.
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 ATTORNEYS FEES.
CONSTRUCTION LENDING AGENCY LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance
Lender's Information:
I hereby comfy 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
ropresentives 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: 03M/2022
Contractor:
Number: SWI2022-00021 Expiration Date 11/30/2022
TYPE: B. C21
Foes paid for Permit:
$171.00
City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
0 SWIMMING POOL
ADDRESS:
252 N CAMINO ARROYOANAHEIM, CA 92807
OWNER:
CHEN KEN YUNKUAN
PERMIT#:
SW12022.ON21
DATE ISSUED:
03/08/2022
DESCRIPTION:
Demolition: 400 sq.ft Pool and spa with shell to be
damped.
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 signetl.
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
7. Gas Piping Test
514
8. P-Trap Receptor
516
9. Backflow
518
10. Deck, Deck Drains,
Equipotential & Accessory
Bondino
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 signetl.
14. Final Electric 1 528
Sub -Contractors List MUST be approved and pool cover on site
'PIOR to Pool Final inspection request
FINAL INSPECTION
CODE
D T5
INSPECTOR
15. Rough Demo
527
a
16. Final
599
.'1a
V 17rk
1
J
MISC. INSPECTIONS
Date
Inspector
harassers 1.5:
1. All plumbing to be completed and he system pressurized to 351bs. with water
or house pressure.
2. All metal within 5 feat of pool water, and all pool equipment, must be bonded
to pool reinforcing steel with as wild copper wire. Niche light shell, deck inserts,
etc. shall be bonded to pool labor.
3. Pool equipment is not requiretl to be set at his time.
Insoactlons 6.10,
L Underground electrb Inspeded prior to Wools n.
2. Gas line lest at 10a for 15 minutes with 154 gauge.
3. When polyethylene gas piping Is used, a mrXfi®te from a cert)fied Installer
and tracer were shall be pmvlded par CPC 1210.1 ].2 APPENDIX I.
Inspirations 11-13,
1. Rough electric inspac6on when all wiring Is completed and ready prior to the
plastering of pooi leading compound in *w at plastic light niche.
2. current Code requires Mal any pod, spa or water feature
contacting water 18 Inches or more in depth shall he enclosed by a bonier
adequate to prevent entry of smell children, The tamer shall comply with
Section 3109 of cunent CIIC and CRC APPDENDIX V specifying he height of
any fierce provided as banner to the pool 4- shall be 60' above grade on the
outs'rJe of the fence.
3. Doore from a garage shall meet the requirements for a gate. Glass
windows within 5' of pool water shall be tempered glass.
4. Prior to pre-piader Inspection, streets, curbs and city sidewalks will be
inspected for any damage due le construction of pool or spas.
5, Golding complete with positive drainage to street or public way. All
exposed plastic pipe shall be painted to protect from sunlight.
Institutions 1416:
1. Gas and Electrical completely removed and 2x2 hobo at bottom of pool
and/or kolated elements.
2. Pool backfilled:
A.) With future bulb - self-compac9ng sand 95%with hoi
3.) No future build - any fill.
3. After pool is operating and In working condition w0h appmwd pool cover on
one.
INSPECTION REQUESTS
Inspection requests made prior to 5:00 pm Monday - Friday
will be scheduled on the following workday.
To schedule your building Inspection colors, please go to
'+IpSa/ace. anaheim. neVCitizenAccess
Inspection can normally be reached between
7:30 - 8:00 A.M.
(714)765-5153 + 0
To access Your Inspection tlmeframe:
Please go to wwv, anolhei,, nephuilalna after 7:30am on the day of your
Inspection. Under Online Services. dick on the link 1ropectlon
Tlmefiames' or call (714) 765-5153 + 0
fbldn',cards