131 S LAND LN (2)City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
SWIMMING POOL
ADDRESS:
131 S LAND LN, ANAHEIM, CA 92804
OWNER:
TRUONG NAM
PERMIT#.
SW12022-00099
DATE ISSUED:
08/25/2022
DESCRIPTION:
Demolition: 540 Ill. gunite pool 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 (2) 2x2 holes.
POST THIS CARD WITH THE APPROVED PLANS
IN A CONSPICUOUS PLACE ON THE JOB SITE
Inspectlon Code Date Inspector
1. Main Drain 504
2. Electric Bonding 506
3. Steel 508
4. Approval to Gunite 510
DO NOT GUNITE POOLISPA
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 -Trap Receptor
516
9. Backflow
518
10. Deck, Deck Drains,
Equipotential 8 Accessory
Bonding
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 CODEDATE INSPECTOR
15. Rough Demo 527 ,.ZG • �� L
16. Final 599 ••%�
MISC. INSPECTIONS Date Inspector
fbldjobcards
Inspections 14:
1. All plumbing to be completed 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 be bonded
to pool reinforcing steel with #6 solid copper wire. Niche light shell, deck Inserts,
etc. shell be bonded to pool rebar.
3. Pool equipment is not required to be set at this time.
Inspections 8.10:
1. Underground electric Inspected prior to balling.
2. Gas line test at 100 for 15 minutes with 150 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.
Inspections 11.13:
1. Rough eleefric Inspection when all wiring Is completed and ready prior to the
plastering of pooyspa. Potting compound in place at plastic light niche.
2. Current Code requires that any pool, spa or water feature
contacting water 18 inches or more In depth shall be enclosed by a barrier
adequate to prevent entry of small children. The banter shall comply with
Section 3109 of current CBC and CRC APPOENDIX V specifying the height of
any fence provided as barrier to the pool 8- 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 F 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.
S. Grading complete with positive drainage to street or public way. All
exposed plastic pipe shag be painted to protect from sunlight.
Inspee0ons 14.18•
1. Gas and Electrical completely removed and 2x2 holes at bottom of pool
and/or Isolated elements.
2. Pool backfilled:
A.) With future build - set -compacting send 95'% with receipt.
B.) No future build - any fill.
3. After pool is operating and in working condition with approved pool cover on
site.
PERMI EXPIRED
INSPECTION
NOT COMPLETED
DATE: O �2- Z.2
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
https9laca.anaheim.net]CiUzenAccess
Inspection can normally be reached between
7:30 - 8:00 A.M.
(714)785.5153 + 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
Timeframes' or call (714) 765.5153 + 0
Permit Number: SW12022-00099
Issued: 08/25/2022
www.anaheim.neUbuilding
(714)765-4626
Quarter Section: 33
Site Address: 131 S LAND LN, ANAHEIM, CA 92804
Legal Description: N TR 2001 BLK LOT 33
APN:12705108
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141 765 -5153
Project Description: Demolition: 540 sf. gunite pool with shell to remain and (2) 2x2 holes.
People Associated with Project:
Permit Applicant KHANH HNGUYEN 8641 SALISH RD GARDEN GROVE, CA 92841
Owner
TRUONG NAM
131 S LAND LN
OWNER - BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors 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, after, 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).
0 1, as owner of property, or my employees with wages as their sole compensation, will do U 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
13 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 Dursuant to the Contractors State 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
COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following ifeciarations:.
Q 1 have and will maintains 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,v✓ork for which this permit Is Issued.
0 1 have and will maintain workers compensationinsurence, 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 kicjr are:
Cartier: Policy No.: Expiration Date:
This section need not be completed If the permit Is for one hundred dollars ($100) or lase.
WI certify that in the performance`of thework for v ich this permit is issued, I shall not employ any person in any manner so as to become subject to the
o so sea compensation laws of California, and agree )hat, if I should become subject to the workers compensation provisions of Section 3700 of the
LaboffaftAsball fjor rl0ncomoly with thEE=41bns.
Date It Signature 6f Applic"�ir t—
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.
I CONSTRUCTION LENDING AGENCY LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance I hereby affirm under penalty of perjury that I am
Lenders Information: licensed under provisions of chapter 9 (commencing with
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 m�itloned property for inspection purposes. Date: 08/25/2022
It / I Contractor.
zsl
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.
Number: SWI2022-00099
TYPE: B
Expiration Date
Fees paid for Permit: $170.00