1233 N HINSDALE PL (3)City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
SWIMMING POOL
ADDRESS:
1233 N HINSDALE PL, ANAHEIM, CA 92807
OWNER:
HUBER STEPHEN HOWARD JR & STEPHANIE WATANABE
PERMIT O:
SWI2022-00115
DATE ISSUED:
10/0412022
DESCRIPTION:
Demolition: 25 sq. ft. gunite spa with shell to remain
DO NOT GUNITE ROCK STRUCTURE
(water feature, rock slide, fountain, waterfall, grotto etc.) until the above Inspection has
been signed.
and (1) 2x2 hole.
512
POST THIS CARD WITH THE APPROVED PLANS
-'
IN A CONSPICUOUS PLACE ON THE JOB SITE
Inspection Code 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.
5. 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-Trep Receptor
516
9. Backflow
518
10. Deck, Deck Drains,
Equipotential 8 Accessory
o din
520
DO NOT POUR FLATWORK
until all the above Inspections have been signed.
11. Rough Electrical 522
12. Fencing/Door Alerms 524
13. Plaster approval 526
DO NOT PLASTER
until ail 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 10fli/2t I;wP-
16. Final 599 1412122- 118.7
MISC. INSPECTIONS Date Inspector
fbldjobcards
Inspections 14:
1. All plumbing to be completed and One system pressurized to 35 lbs. with water
or house pressure.
2. Ag metal within 5 het of pool water, and all pool equipment, must be banded
to pool reinforcing steel with 06 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.
Inswpeom 0.10:
1. Underground electric Inspected prior to becidgling.
2. Gas line test at 100 for 15 minutes with 150 gouge.
3. When polyethylene gas piping Is used, a ceN9cate from a certified Installer
and tracer wire shall be provided per CPC 1210.1.7.2 APPENDIX 1.
Inspections 11.13:
1. Rough electric inspection when all wiring Is completed and ready prior to the
Plastering of podkpa. Patting compound In piece at plastic light niche.
2. Current Code requires Out any pool, spa or water festure
contacting water 19 Inches or more in depth shell be enclosed by a banter
adequate to prevent entry of small children. The bonier shall comply with
Section 3109 of parent C6C and CRC APPDENDIX V specifying One height of
any fence provided as bonier to the pool a- shall be 6(- above grede on Ou
outside of the fence.
3. Doom from a garage shall meet the requirements for a gate. Glass
windows within F of pool water shall be tempered glass.
4. Prior to pre0aster Inspection, streets, curbs and city sidewalks will he
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 shag be painted to protect from sunlight.
Inspections 14.16,
1. Gas and Electrical completely removed and 2x2 holes at bottom of pool
aWar Isolated elements.
2. Pool baddilled:
A.) With future build - self -compacting sand 95% with recelpt.
B.) No future build - any 1111.
3. After pool Is operating and In working condition with approved pool cover on
site.
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, please go to
httpsJlaca.anaheim.neUCifzenAccess
Inspection can normally be reached between
7:30.8:00 A.M.
(714)7654153 ♦ 0
To access your Inspection timeframe:
Please go to www.anaheim.netlbuilding after 7.30am on the day of your
Inspection. Under Online Services, dick on the link 'Inspection
. , Thnefromes' or cell (714) 765.5153 . 0
Permit Number: S11VI2022-00115
Issued: 10/04/2022
www.anaheim.neUbuilding
(714)765.4626
Quarter Section: 190
Site Address: 1233 N HINSDALE PL, ANAHEIM, CA 92807
Legal Description: N TR 7449 BLK LOT 57
APN:34942206
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
11711411765-5153
Project Description: Demolition: 25 sq. ft. gunite spa with shell to remain and (1) 2x2 hole.
People Associated with Project:
Permit Applicant Robert Frisch
Owner HUBER STEPHEN HOWARD JR & STEPHANIE 1233 N HINSDALE PL
OWNER - BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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(s) (See. 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' Sate License Law Chapter 0 (commencing with Section 7000) of Division 3 of the
Business and Professions Coda) 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).
13 I, as owner of property, or my employees with wages as their sole compensation, will do (_) all or L J 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
0 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 oursuant to the Contractors Sate 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:
Q 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
!!Mn 3700 of the Labor Code, for the performance of the work for which this permit is Issued.
�r"J( 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:
Carder.
Policy No.: 9040338 Expiration Date:
This section need not be completed lithe permit Is for ons hundred dollars ($100) or ass.
Q 1 car* that in the performance of the work for which this permit is issued, l shall not employ any person in any manner so as to become subject to the
workers compensation laws of California, and agree et jf I should become subject to the workers compensation provisions of Section 3700 of the
forthwith comoly with those
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 ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY I LICENSED CONTRACTORS DECLARATION
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 sate that the information above is correct. I agree
to comply with all city ordinances and state laws relating building construction, and hereby authorize
representives of this city to enter upon the above mentiggWproperty for inspection purposes.
ZZ
The premit shall expire by limitation 44 become null and vold 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: 10!04/2022
Contractor: FRISCH AND SONS CONSTRUCT
Number: SWI2022-00115 Expiration Date 1/1/2023
TYPE: A, B
Fees paid for Permit: $366.00