903 S VERONA STin
Permit Nurifder: SV..1024-00078
Issued: 09/19/2024
www.anaheim.neVbuilding
(714)765-4626
Quarter Section: 21
Site Address: 903 S VERONA ST, Anaheim, CA 92604
Legal Description: N TR 1951 BLK LOT 92
APN:12621309
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5163
Project Description: Demolition: 510 sq. ft. gunite pool with shell to remain and (3) 3x3 holes.
People Associated with Project:
Permit Applicant Donny Than
Owner MACH, NHATTHUAN 903 S VERONA ST
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 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 licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any
ap cant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($900).
I, as owner of property, or my employees with wages as their sole compensation, will do O all or (_) portions of the work, and the structure is not
ml nded 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 Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed
Contractor Dursuant to the Contractors State License Law).
I am exempt from licensture under the Contractors, State License Law for the following reason:
Owner or Authorized Agent
WORKER'S COMPE
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.
❑ 1 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
permit is Issued. My workers Compensation insurance carder and policy are:
Camer Policy No.: Expiration Date:
This section mad not be completed If the permit is for one hundred dollars ($100) or lass.
❑ 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 Calffomis, and agree that, if I should become subject to the workers compensation provisions of Section 3700 of the
Labor Code. I shall forthwith cemDiv with those provisions.
Date Signature of Applicant
WARNING: FAILURE TO SECURE WORKERSCOMPENSATION 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,
I CONSTRUCTION LENDING AGENCY 11 LICENSED CONTRACTORS DECLARATION I
I hereby affirm under penalty 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.
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: 09/19/2024
Contractor.
Number: SWI2024-00078 Expiration Date
Date Signature of Applicant or Aged TYPE;
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.
Fee. paid for Permit:
$181,00
City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
0 SWIMMING POOL
ADDRESS:
903 S VERONA ST, Anaheim, CA 92804
OWNER
MACH,NHATTHUAN
PERMIT#:
SW12024-00078
DATE ISSUED:
09/1912024
DESCRIPTION.
Demolition: 510 sq. ft. gunite pool with shell to remain
and 13) 3x3 holes.
POST THIS CARD WITH THE APPROVED PLANS
IN A CONSPICUOUS PLACE ON THE JOB SITE
Inspection
Code
I Date
Inspector
1. Main Drain
504
2. Electric Bonding
506
3. Steel
508
4. Approval to Gunite
510
DO NOT GUNITE POOLISPA
until all roe 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
7. Gas Piping Test
514
8. P-Trap Receptor
516
9. Backtlow,
518
10. Deck, Deck Drains,
Equipotential & Accessory
Bonding
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 1 528
Sub -Contractors List MUST be approved and pool cover on site
PRIOR to Pool Final inspection request
FINAL INSPECTION
CODE
JDATE
INSPECTOR
15. Rough Demo
527 e
16. Final
599
l-2
MISC. INSPECTIONS
Date
Inspector
Inspal:tlona 1d:
1. All plumbing to be completed and the system pressurized i with water
or house pressure. M
2. All metal within 5 feel of pool water, and all pool equipment, ,far be bormde,
to pool reinforcing steel with #8 solld copper wire. Niche light shell, tlaok inserts,
etc. shall be bonded to pool rebar.
3. Pool equipment Is hot required to be set at this time
Inapsction. 6.10:
1. Underground electric inspected prior to backfilling.
2. Gas line lest at 10# for 15 minutes with 15# gauge.
3. When polyethylene gas piping Is used, a ventilate from a cerli8ed installer
and tracer wire shall be provided per CPC 1210.1 7.2 APPENDIX I.
Inspections 11-13:
1. Rough electric inspection when all wiring is completed and ready prior to the
plastering of pool/spa. Pomng 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 be enclosed by a barrier
adequate to prevent envy of small children. The banner shall comply with
Section 3109 of current CBC and CRC APPDENDIX V specifying the height of
any fence provided as banner to me pool a- shell be 60' above grade on the
outside of in. fence.
3. Does 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 -plaster inspection, streets, coma 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 sunlight.
Inspections 14-16:
1. Gas and Electrical completely removed and 2x2 holes at boftarn of pool
and/or ;aerated elements.
2. Pool backnlled:
A ) With future build - se8-compacting send 95%with receipt.
B.I No future build - any fill.
3. After pool is operating and In working condition with approved pool cover an
aide
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
hflps:l aca.anahemnelf0 izenAccess
Inspection can normally be reached between
7:30 - 8:00 A.M.
(714)765-5153 + 0
To access your inspection timefrome:
Please go to www.anaheim netibudding after 7:30am on the day of your
Inspection. Under Online Services, dick on the link 'Inspection
Timeframes' or call (714) 765-5153 + 0
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