175 S HEALTH TERCity of Anaheim
0
BUILDING DIVISION
INSPECTION RECORD
SWIMMING POOL
ADDRESS:
175 S HEATH TER, ANAHEIM, CA 92807
OWNER:
PERMIT#:
SWI202D-00117
DATE ISSUED:
12/19/2022
DESCRIPTION:
New Swimming Pool and Spa 474 sq.fl with
equipment.
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
unfit all the above inspections have been signed
5. BUD -Steel and Electric bonding
(Rock Sbuctures,Slides Etc)
508
DO NOT GUNITE ROCK STRU�7 `TT
(water feature, rock slide, fountain, waterfall, grotto etc)Vff /rl`pe�tlOry ''
been signed.
6. Underground Electric
512
7. Gas Piping Test
514
NJ
8. P-Trap Receptor
516
9. Back9ow
518
10. Deck, Deck Drains,
Equipotential & Accessory ,
Bondino
520
DO NOT POUR FLATWORK
until all the above inspections have been signed.
11. Rough Electrical
N
12. Fencing/Door Alarms
524
13, Plaster approval
526
DO NOT PLASTER
unfit all the above inspections have been signed.
14. Final Electric 1 528
Sub -Contractors List MUST be approved and pool cover on s O
PRIOR to Pool Final Inspection request
FINAL INSPECTION
CODE
DATE
INSPECTOR
15. Rough Demo
527
16. Final
599
MISC. INSPECTIONS
Date
Inspector
1. All plumbing to be completed and tlro system pressurized to 36 Me, with water
or house pressure.
2. All metal within 5 feet of pod water, and all pool equipment, must be bonded
W pod reinforcing steel with #e Wild copper wire. Niche light shell, deck inserts,
etc. shall be bonded to pod radar.
3. Pool equipment ie not required to be set el this time.
Insscaons 6-10:
J. Underground electric Inspected prior to baM511ing.
2. Gas Ithe test at 10# for 15 minutes wan 15# gauge.
3. When polyethylene gas piping Is used, a cornices from a carolled Installer
and tracer wire shall be provided per CPC 1210.1.7.2 APPENDIX I.
Insoceons 11-13:
1. Rough elechk inspection when all wirng is completed and reedy prior to me
plastering of poogapa. Fibre compound In place at plastic light niche.
2. Current Code requires that any pod. spa or water feature
contacting water 18 unites or more in depth shall be enclosed by a bander
adequate to prevent entry of small children. The barrier shall comply with
section 3109 of current CI and CRC APPDENDIX V specifying the height of
any fence provided as bamer W fine pod 3- shall be 60' above grade on me
outside of me fence.
3. Doom from a garage shall meet the requirements for a gate. Glass
windows within Vol pool water shall be tempered glees.
4. Prior to pre -plaster inspection, streets, curbs end city sidewalks will b r
inspected for any damage due to construction of said or apse.
5. Grading complete with paudive drainage Is street or public way. All
exposed plastic pipe shall W painted to protect from sunlight.
Inspections 14.16:
1. Gas and Electrical completely removed and 2# hobs st bottom of Pool
and/or isolated elements.
2. Pool baokNbd'.
A.) with future Wild - sell -compacting sand 95% with recalPt
B.1 No future Wild - any el.
3. Amer pod Is operating and In working condition with approved Pool cover on
she
Inspection requests made prior to 5:00 pm Monday - Friday
will be scheduled on the following workday.
To schedule your Wilding inspection mine, please go to
https:l/aca anaheim.net/Citc enActese
Inspection can normally be reached between
7:30 - 8:00 A.M.
(714)765-5153 + 0
To access your inspection timeframe:
Please go www anaheim netlbullding after 7:30am on the day of your
Inspection. Under Online services, dick on the link'Inspecfion
Timeframes' or call (714) 765-5153 + 0
:ITY OF ANAHEIM
/ BUILDING DIVISION
.rmk Number: SW12020-00117 200 S. ANAHEIM BLVD.
Issued: 12/19/2022 (714) 765 - 5153
www.anaheim.netibuilding
(714)765.4626
Quarter Section: 197
Site Address: 175 S HEATH TER, ANAHEIM, CA 92807
Legal Description: R BK 76 PG 28 PAR 3
APN: 35627102
Project Description: New Swimming Pool and Spa 474 sq.ft with equipment
People Associated with Project:
Permit Applicant SUSAN VODONICK
OWNER - BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's License State Law for the following reasonjs) indicated below by the
checkmark(s) I have placed next to the applicable hernia) (Sec. 7031.5 Business and Professions Code: any city or county which requires a permit to
construct, otter, 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 (_I portions of the work, and the structure is not
intend) 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
gimps' or personal efforts, builds or improves the property, provided that the Improvements are not intended or offered for sale. If, however, the building or
as the owner of the property, am exclusively contracting with licensed Contractors to construct the project (Sec. 7044 Business and Professions Code:
he 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 Contractor's Stale License Law).
I am exempt from licensure under the Contractors, State License Law for the following reason:
Date Signature of Property 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 seti-insure for worker's 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
permit is issued. My worker's Compensation insurance comer and policy are:
Carrier: Policy No.: Expiration Date:
This section need not be completed It the permit is for one hundred dollars ($100) or less.
❑ 1 oertity 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
worker's compensation laws of California, and agree that, ti I should become subject to the workers compensation provisions of Section 3700 of the
Labor Code. I shall forthwith comDly with those provisions.
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.
I CONSTRUCTION LENDING AGENCY II LICENSED CONTRACTORS DECLARATION I
I hereby of nn under penalty of perjury that there is a construction lending agency for the performance
Lender's 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
representhres of this city to enter upon the above mentioned property for inspection purposes.
Late 1 5 atu of Applicant or Agen
The premit shall expire by limitation en me 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.
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: 12/19/2022
Contractor:
Number: SW12020-00117
TYPE:
Fees paid for Permit:
Expiration Dale
$877 75