614 E ORANGEWOOD AVE (14)City of Anaheim
BUILDING DIVISION
TNSPFlrTIONRFCOT TT
SWIMMING POOL
ADDRESS: 614 E ORANGEWOOD AVE
OWNER:
PERMIT#: SW12021-00058
DATE ISSUED: 4/27/2021
Inspections 1 - 5:
1. All plumbing to be complete and the system
pressurized to 35 lbs. with water or house pressure.
2. All metal within 5 feet of pool water, and all pool
equipment, must he bonded to pool reinforcing steel
with #8 solid copper wire. Niche light shell, deck
inserts, etc., shall be bonded to pool rebar.
• 3. Pool equipment is not required to be set at this time.
Inspections 6 -10:
1. Underground electric inspected prior to backfilling.
2. Gas line test at 10# for 15 minutes, with 15# gauge.
DESCRIPTION: Demolition of 294 sf in ground pool with attached spa, shell to 3. When polyethylene gas piping is used, a certificate
remain - (2) holes. from a certified installer and a metal tag at the meter
POST THIS CARD WITH THE APPROVED PLANS IN A shall be provided per CPC 1211.3 APPENDIX I.
CONSPICUOUS PLACE ON THE fM SITE - Inspections 11 - 1 f2G� h I t' i f h II '
Inspection
Code
Date
Inspector
1. Main Outlet.
504
_
i �;;,;'L
2. Electric Bonding.
506
3. Steel.
508
4. Approval to Gunite.
510
—
DO NOT GUNITE POOL/SPA
until all the above inspections have been signed.
5. Steel and bonding.
508
DO NOT GUNITE ROCK STRUCTURE
(water feature, rock slide, fountain, waterfall, grotto
etc.) until all the above inspections have been signed.
6. Underground elect.
512
7. Gas piping test.
514
8. P-Trap Receptor.
516
9. Backflow Device.
518
10. Deck, Deck
Drains, & accessory
bonding.
520
DO NOT POUR FLATWORK
until the above inspections have been signed.
11. Rough electric.
522
12.Fencing.
524
13. Plaster approval.
52c,
DO NOT PLASTER
until the above ins ections have been si ned.
14. Final Electric. 52£
Sub -Contractors list approved and
pool cover in place prior to final inspection.
15. FINAL
5og
MISC. INSPECTIONS
DATE
INSPECTOR
Inspectors can normally be reached between
7:30 - 8:00 A.M. and 3:30 - 4:30 P.M.
(714) 765-5153 + 0
g e ec nc nspec ton w an a wrong is
Jr,of
and ready to run prior to the plastering
of pool/spa.
R (tt)j ordinance 6.56.010 requires that any pool, spa
or water feature containing water 18 inches or more
7In depth shall be enclosed by a barrier adequate to
prevent entry of small children. The barrier shall
comply with Section 421 of the current CBC and City
of Anaheim ordinance 15.02.060.180 specifying the
height of any fence provided as barrier to the pool
shall be 60" above grade on the outside of the fence.
3. Doors 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, curbs 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 painted to
protect from sunlight.
Inspections 14 - 15:
1. After pool is operating and in working condition,
approved pool cover in place.
INSPECTION REQUESTS
Inspection requests made before 5:00 pm will be scheduled
on the following workday.
To schedule your building inspection online, please go to
http://www.anahei m. neUlnspectionReguesl.
You may also request your inspection by calling (714) 765-4626 and
continue with the following steps:
• Press I for inspection function.
• Press 1 to schedule inspection.
• Press 5 for Swimming Pool inspection.
• Enter your permit #'u_iun, i5 �.
• Enter the t n,l, nunil for the inspection requested
(indicated in blue).
• Press 1 for next business day, or enter date preferred.
• Select time preference (Request is subject to
inspector's schedule.)
To access your inspection timeframe, please go to
www.anaheim.net/building after 7:30 am on the day of your
inspection. Under Online Services, click on the
"Inspection Timeframes" link or call (714) 765-5153 + 0.
swimcard
OUILDINU DIVISION
IG POOL PERMIT N0. 'SWI2021-00058 200 S. ANAHEIM BLVD.
(714) 765 - 5153
TYPE OF PERMIT Demolition CITY OF ANAHEIM INSPECTION REQUEST LINE:
(714) 765 - 4826
DATE: 4/27/2021 QUARTER SECTION: 99
JOB ADDRESS: 614 E ORANGEWOOD AVE
LEGAL DESCRIPTION:
PERMIT APPLICANT: KATIE G HATA
OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION:
KATIE G HATA
4732 PALM AVE
YORBA LINDA, CA 92886
JOB DESCRIPTION: Demolition of 294 sf in ground pool with attached spa, shell to remain - (2) holes.
VALUATION: 500.00 PROCESSED BY: MCE
i nereoy amrm unaer penany or perjury mat 1 am exempt rrom the Contractors License Law for the following reason (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 such pennit to file a signed
statement that he is licensed pursuant to the provisions of the Contractors License Law (Chapter 9)(commencing with Section 7000 of Division 3 of the Business and Professions
Code) or that he is exempt therefrom 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).
1, as owner of property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044 Business
n Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or
through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold with one year of
completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale).
U 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
License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors
License Law)."/�/1
❑ I am�/�/xe�j pptlu�fer Sec. ,y TAM , B ¢J7.Cr'foj tpis.reason: n
Date: 4-/O� l / �) Owner: PP" --TT /P-V V! /L.l /%i /
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 self -insure for workers compensation, 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 Labor Code,
or the performance of the work for which this permit is issued. My workers Compensation insurance carrier
and policy are:
Carder: Policy Number:
This section need not be completed If t he 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 it
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 workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 4/27/2021 Applicant
WARNING: FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS UNLAWFUL, AND 1
SUBJECT AN EMPLOYERTO 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 OF THE LABOR CODE, INTEREST AND ATTORNEYS FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec.W97.CIv.C):
Lenders Information:
I certify that I have read this application and state that the above information is correct. I agree to comply with
all city ordinances and state laws relating to building construction, and hereby authonze representives of this
city to enter upon the above mentioned property for inspection purposes.
Date: 4/27/2021
Signature of Applicant or Agent
The permit shall expire by limitation and become null and void if the building or work has
not passed final inspectoin 365 days from the date of permit issunace. A new permit is
required to commence or continue work.
LICENSED CONTRACTORS DECLARATION
under provisions of chapter 9 (commencing with Section 7000)
of Divsion 3 of the Business and Professions Code.
Date: 4/27/2021
Contractor.
NUMBER:
EXPIRATION DATE:
TYPE:
Swimming Pool Size 294.00
Valuation 500.00
Census Code 434
Total:
aea pal or emn t:
207.25