558 S PERLATA HILLS DRPermit Number: SW12023-00017
Issued: 03/07/2023
www.anaheim. net/bu i Iding
(714)7654626
Quarter Section: 168
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 558 S PERALTA HILLS DR, ANAHEIM, CA 92807
Legal Description: N TR 59 BLK LOT 28 TR 59 LOT 28 FOR OF LOT
APN: 36123104
Project Description: New Pool/Spa: 420 sq ft pool with baja shelf and 112 sq it spa.
People Associated with Project:
Permit Applicant Lane PaulCurtis 777 S Peralta Hills Dr Anaheim, CA 92807
Owner KARAM KAMAL & GRACE 4816 E SANTA ANA CANYON RD
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 Items) (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 licensure 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 L _) portions of the work, and the structure is not
intended or offered for sale (Sec. 7044 Business and Professions Code. The Contactors 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 am 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:
i 6e ontractom' 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 oursuant to the Contractor's State License wl.
I am exempt from lcensure under the Contractols, a License LA- /OIIowJDfj,(eason:
✓V WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to set -insure for workers oompensaton, 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
permit Is issued. My workers Compensation Insurance comer and policy are:
Carrier: Policy No.: Expiration Dale:
This section need not be completed lt the permit Is for one hundred dollan ($100) 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
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 comoly with those orovisions.
Date Signature of Applicant
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 afro under penalty of perjury that there is a construction lending agency for the performance hereby affirm under penalty of perjury that I am
th
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 conetmction, and hereby authorize
representives of this city to enter upon the above mentioned property for Inspection purposes.
Date Signature of Applicant or Again
The prrmit shall expire by limitation and become null and void 9 the building or work has not passed
final inspection 365 days from the dale of permit Issuance. A new permit is required to commence or
continue work.
licensed under provisions of chapter 8 (commencing wi
Section 7000) of Division 3 of the Business and
Professions Code.
Date: 03/072023
Contractor:
Number. SWI2023-00017 Expiration Date
TYPE:
Fees paid for Farina:
$1.447.64
City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
SWIMMING POOL
ADDRESS:
558 S PERALTA HILLS DR, ANAHEIM, CA 92807
OWNER:
KARAM KAMAL & GRACE
PERMIT#:
SW12023-00017
DATE ISSUED:
03/07/2023
DESCRIPTION:
New Pool/Spa: 420 sq 8 pool with Baja shelf and 112
sit 0 spa.
POST THIS CARD WITH THE APPROVED PLANS
IN A CONSPICUOUS PLACE ON THE JOR RITE
Inspection
Code
Date
Inspector
1. Main Drain
504
^1
2. Electric Bonding
506
3. Steel
508
4. Approval to Gunite
510
DO NOT GUNITE POOUSPA
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
n,?
7. Gas Piping Test
514�
8. P-Trap Receptor
516
tr..
9. BackOow
518
10. Deck, Deck Drains,
Equipotential 8 Accessory
Bon inq
520
DO NOT POUR FLATWORK
until all the above inspections have been signed.
11. Rough Electrical 1
522
1
'2>
12. Fencing/Door Alarms
I
524
XVj-
13. Plaster approval
1
526
DO NOT PLASTER
until all Me above Inspections have been signed
14. Final Electric 1 528
Sub -Contractors List MUST be approved and pool cover on site
- -,R to Pool Final Inspection request
FINAL INSPECTION
CODE
15. Rough Demo
927
JD;ATEINSPECTOR
16. Final
599
MISC. INSPECTIONS
Date
Inspector
Impactions 1.5'
1. NI plumbing to be completed and the system pressurized to 35 Itswith wale,
or house yrxsore.
2. All niiklal within 5 feet of pool water, antl all pool equipment, must he bonntled
to Pod reinforcing steel with 08 solid copper wire. Niche light shell, deck inserts.
etc. shall be bonded to pool ,.bar.
3. Pool equipment is not required to be set at this time.
Imoectbns 6.10
1. underground elacm, Impacted prior to backfi llrg.
2. Gas line teat at 10# for 15 minutes with 15# gauge.
3. When pdyemy" gm piping Is used, a omelets from. orsufietl inmi
and tracer wire shall the powli per CPC 1210.1 7.2 APPENDIX I.
Inseactions 11.13
1. Rough m the inspection when ell wrong is completed and ready Poor to the
Wandering of poollspa. Polbng compourM in Place at phi light niche.
2. Current Code requires that any pod, spa or water feature
contacting water 16 inches or more in depth shall he enclosetl by a barrier
adequate to prevent entry of was children. The banner shall comply with
Seclim 3109 of current CBC and CRC APPDENDIX V specifying the height of
any fen¢ provided as barrier to tlhe pool 6- shall be 60' above grade on the
outage of the fence.
7 3. Doom from a garage shall meet the requirements for a gale. Glass
windows within 5' of pool water shall be tempered goes.
4. Prior to pre -plaster inspection, streets, turns and city sklewall s will he
inspected for any damage due to construction of pool or spas.
5. Grading complete with posiWe drainage to street or pubik way. NI
exposed plastic pipe shall be tested to protect from sunlight.
Masi... 14-16
1. Gas and Electrical completely removed she 2x2 holes at bosom of pool
and/or Isolated elements.
2. Pod backnll d:
A.) With Mure bWW - sett -compacting mind 0% with receipt.
9.) No future build - any fill.
3. After pod Is operating and! In working wndi n with approved pool cover on
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INSPECTION REQUESTS
Inspection requests made prior to 5:00 pm Monday - Friday
will be scheduled on the fallowing workday.
To schetlula your building Inspection online, plasm go to
hops://aca.anaheim.net/OlvenAccess
Inspection an normally be reached between
7:30. 8:00 A.M.
f7iQ7853158+0
To access Your inspection timeframe:
Please yo to . ,h,,.. L ayaaer7:30amonthedayofywr
nspenlen. Under Odlm Servies.. dick on the link inspection
Timehames' cr pill piQ765-'15310
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