137 W SIMMONS AVEPermit Number: SW12023-00060
Issued: 07/12/2023
www.anaheim.net(building
(714)765-4626
Quarter Section: 89
Site Address: 137 W SIMMONS AVE, ANAHEIM, CA 92802
Legal Description: N TR 6184 BLK LOT 16
APN: 23310419
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Project Description: Demolition: 335 sci it pool demolition with shell to be removed
People Associated with Project:
Contractor FRISCH & SONS CONSTRUCTION INC 18505 E. VIA DE PALMAS200011270849314790 QUEEN CREEK, AZ 92867
Permit Applicant Robert Frisch
Owner LUU, JENNIFER PO BOX 8722
OWNER - BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's License State Law for the following reasons) indicated below by the
checkmark(s) I have placed next to the applicable Item a) (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 applicantfor 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 Iicensure 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 1$500).
❑ 1, 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
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' Stale 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 Iicensure under the Contractors, State License Law for the followinq reason:
Date Signature of Property Owner or Authodzed Agent
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarabons:
❑ 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.
'[3_ 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
permit is issued. My workers Compensation Insurance carrier and policy are:
Carrier: STATE COMPENSATION INSURANCE FUND Policy No.: 9040336 Expiration Date:
This section need not be completed N the permit is for one hundred dollars ($100) or Is".
❑ I certify that in the performance of the work for 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 California, and agree that, If I should come subject to the workers compensation provisions of Section 3700 of the
Labor Codar,l shall fgrthwitb comoly with those Drovisjyns.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TOONE 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 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 stale that the information above is correct. I agree
to comply with all city ordinances and state laws relating building construction, and hereby authorize
represenlives 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.
LICENSED
I hereby affirm under penalty of perjury that I am
licensed under provisions of chapter 9 (commencing with
Section 7000) of Division 3 of as and
Professions Code.
Date: /12/2023
Contractor: FRISCH AND SONS CONSTRUCT
Number: SWI2023-00060 Expiration Date 1/1/2024
TYPE: A. B
Fees paid for Perms:
$170.00
City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
SWIMMING POOL
ADDRESS:
137 W SIMMONS AVE, ANAHEIM, CA 92802
OWNER:
LUU, JENNIFER
PERMIT#:
SWI2023-00080
DATE ISSUED:
07/12/2023
DESCRIPTION:
Demolition: 336 act ft pod demolition with shell to be
removed
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 POOLJSPA
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 eta) until the above inspection has
been signed.
6. Underground Electric
512
7. Gas Piping Test
514
8.P-Trap Receptor
516
9. Backilow,
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
DATE
INSPECTOR
15. Rough Demo
527
-. -'�, ,
16. Final
599
MISC. INSPECTIONS
Its
nspector
Impactions 1-5,
1. All plumbing to be completed and Me system pressurized! to 351bs. with water
dr house pressure.
2. All metal within 5(set of pool water, and all pool equipment, must be bonded
to pool reinforcing steel with #6 wild copper wire. Niche light shell, deck Insane.
etc, shall be bonded to pool other.
3. Pool equipment is not required to be set at this time.
Inspections 6-10:
1. Underground electric Inspected prior to backglling.
2. Gas line test at 10# for 15 minutes with 15# gauge.
3. When polyethylene gas piping is used a certificate from a certifed Installer
and tracer wire shall be provided per CPC 1210.1.7.2 APPENDIX I.
Inspection, 11-13,
1. Rough electric inspection when all weirs Is completed and ready prior to the
plastering of pooleim. Potties compound in place at plastic light niche.
2. Current Code requires Nat any pool, spa or water feature
contacting water 18 inches or more In depth shall be enclosed by a barrier
adequate to prevent an" of small children. The barrier shall comply with
section 3109 of current CBC and CRC APPDENDIX V specifying the height of
any fence provided as banner to the pool a - shall be 60' above grade on the
outside of the fence.
3. Doom: from a garage shell meet Me requirements for a gate. Glass
windows within For pool water shall be tempered glean.
4. Prior to pre -plaster inspection, streets, curbs and city sidewalks will be
Inspected for any damage due to construction of pool or spas.
S. Grading complete with positive drainage to street or public way. All
exposed plastic pipe shall ba painted to protect from sunlight.
lowest.", 14.16:
1. Gas and Electrical completely removed and 2a hobs at bottom of pool
andfor isolated elements.
2. Pool backflled:
A.) With future bulb - seti<ompecting send 95%with receipt.
s.) No future build - any fill.
3. After pool Is operating and N working conddion with approved pool cover on
site.
PERI1441T EXPIRED
INSPECTION
NOT COMPLETED
DATE: - " I I Z 1Z3
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, plateaus go to
https:ffacasnaheim. neOCitizenAccess
Inspection can normally be reached between
7:30 -8:00 A.M.
(714)765-5153 + 0
To access your inspection timeframe:
posts go to wev,srahei mneVbullding after 7:30am on the day of your
Inspection. Under Online Services, dick on the link'Inspectlon
Tensfisrue or call (714) 76&5153 . 0
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