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824 N GENEVA STCity of Anaheim BUILDING DIVISION INSPECTION RECORD 0 SWIMMING POOL ADDRESS: 824 N GENEVA ST, ANAHEIM, CA 92801 OWNER: NGUYEN. NGHIA HIEU PERMITM SWI2024-00088 DATE ISSUED: 11/04/2024 DESCRIPTION: Demolition: 310 S.F. fiberglass pool. 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 POOUSPA until all the above inspections have been signed. S. 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 616 9. Backnow, 518 10. Deck, Deck Drains, Equipotential 8 Accessory Bondi q 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 -Al 16. Final 599 MISC. INSPECTIONS Date Inspector Inspections 1.5: 1. All plumbing to be completed and the system pressurized to 351Ws. with water or house pressure. 2. All metal within 5 feet of pool water, and all pool equipment, must We bonded to pod reinforcing steel with "solid copper wire. Niche light shell, deck insects, etc shall be Worded to pool reban 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 10k for 15 minutes with 15N gauge. 3. When polyethylene gas piping Is used, a certificate from a certified Installer and tracer wire shall be provided Per CPC 1210.1.7,2 APPENDIX I. Inspection, 11-13: 1. Rough electric inspection when all wiring is completed and ready prior to the plastenng of pool/spa. Forms compound In place at plastic light niche. 2. Current Code requires that any pool, spa or water feature contacting water 16 inches or more in depth shall be enclosed by a barrier adequate to prevent entry of small children. The banner shall comply with Section 3109 of current CBC and CRC APPOENDIX V specifying the height of any fence provided as barrier to the pool &- shell be 60' above grade on the outside e1 the fence. 3. Doors from a garage shall meet me 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 w 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 rammed and 2x2 holes at bosom of pool andlor belated elements. 2. Pool backfilled: A.) With future build sell -compacting send 95% with becept. B.) No future Wild - any till. 3. After pool Is operating and in working condition with approved pool cover on site. Inspection requests made prior to 5:00 pm Monday - Friday will be scheduled on the following workday. To schedule your building inspection aline, please go to hhps:/lactanaheim, nel/CittzenAccess Inspection can normally be reached between 7:30. 8:00 A.M. (714)7655153 + 0 To access your inspection timeframe: Please go to www.anaheim. neVbullding after 7:30am on Pe day of your Inspection. Under Online Services, dick on the Ilnk "Inspection Tonelrsmes" or call (714) 766.5153 + 0 fbldjobcards Permit Number: SW12024-00088 Issued: 11/04/2024 www.anaheim. net/building (714)765-4626 Quarter Section: 25 Site Address: 824 N GENEVA ST, ANAHEIM, CA 92801 Legal Description: N TR 2390 BLK LOT 31 APN: 07140401 Project Description: Demolition: 310 S.F. fiberglass pool CITY OF ANAHEIM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 -5153 People Associated with Project: Permit Applicant Nghia Nguyen Owner NGUYEN, NGHIA HIEU 824 N GENEVA 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 Ilcensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any N applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dolk $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 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 pursuant to the Contractors State License Law). I am exempt from Ilcensure under the Contractors, State License Law for the followinq reason: Date' Slgnelerenifirroperly Owner or Authorized Agent 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, 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 worker's compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this peril is issued. My workers Compensation insurance carrier and policy are: Cartier: Policy No.: Expiration Date: This section need not be completed H the permit Is for one hundred dollars ($100) or leas. ❑ 1 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 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 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. CONSTRUCTION LENDING AGENCY LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that there is a construction lending agency for the pedorance I hereby affirm under penalty of perjury that I an licensed under provisions of chapter 9 (commencing with Lenders Information: Section 7000) of Division 3 of the Business and I hereby certify that I have read this application and state that the information above is correct. I agree Professions Code. 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: 11/04/2024 Contractor; Number: SW12024-00088 Expiration Date Date Signature of Applicant or Agen 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. Fees paid for Perk: $177.00