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766 S LANGTREE LNCITY OF ANAHEIM Permit Number: SW12022-00065 Issued: 06/17/2022 www.anaheim.net/building (714)765-4626 Quarter Section: 193 Site-Addfess:�766 S LANGTREE LN, ANAHEIM, CA 92807 Legal Description: N+TR 10970 BLK LOT 52 APN: X36351;152 Project Description: New Pool/Spa: 350 sq ft pool with 50 sq It spa BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 -5153 People Associated with Project: Contractor JET AQUATICS 7056 ARCHIBALD STE #102-406 CORONA, CA 92880 Permit Applicant MARIO MARTINEZ 7056 E ARCHIBALD #102-106 EASTVALE, CA 92880 Owner WALLER BRENT S 8 SAMANTHA K 766 S LANGTREE LN OWNER - BUILDER DECLARATION 1 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, 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 then five hundred dollars ($500). 13 1, as owner of property, or my employees with wages as their sole compensation, will do U) all or U 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 Contractor's 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 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 Secd9p4M of the Labor Code, for the performance of the work for which this permit is issued. Er 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: STATE COMPENSATION INSURANCE FUND Policy No.: 9319043 Expiration Date: U 12)1 2,3 This section need not be completed H the permit Is for one hundred dollars ($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 Coded shall 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 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 state 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 mentioned property for Inspection purposes. Date Signature of Applicant or Agen The premdt 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. LICENSED CONTRACTORS DECLARATION 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: 06/17/2022 Contractor. Number. SW12022-00065 Expiration Date 6/3/2023 TYPE: D35, B, C53 Fees paid for Permit: $1,099.50 City of Anaheim BUILDING DIVISION INSPECTION RECORD SWIMMING POOL ADDRESS: 766 S LANGTREE LN, ANAHEIM, CA 92807 OWNER: WALLER BRENT S & SAMANTHA K PERMIT#: SWI2022-00065 DATE ISSUED: 06/17/2022 DESCRIPTION: New Pool/Spa: 350 sq ft pool with 50 sq ft spa POST THIS CARD WITH THE APPROVED PLANS IN A CONSPICUOUS PLACE ON THE JOB SITE Inspection Code Date Inspector 1. Main Drain 504 JA 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 -Trap Receptor 516 9. Backflow 518 10. Deck, Deck Drains, Equipotential & 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 .37 DO NOT PLASTER until all the above inspections have been signed. 14. Final Electric 1 528 Irdl (oi22 I✓vA:,- 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 16. Final 599 l7�IQZZ r)' K MISC. INSPECTIONS Date Inspector fbldjobcards Inseectlons 1s: 1. All plumbing to be completed and the system pressurized to 35 lbs. with water or house pressure. 2. Ali metal within 5 feet of pool water, and all pool equipment, must be bonnded to pool reinforcing steel with #8 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. Inspections 6.10• 1. Underground electric Inspected prior to backfilling. 2. Gas line test at 100 for 15 minutes with 15# gauge. 3. When polyethylene gas piping Is used, a certificate from a certified Installer and tracer wire shall be provided per CPC 1210.1.72 APPENDIX I. Inspections 11.13: 1. Rough electric Inspection when all wiring is completed and ready prior to the plastering of poollspa. Potting compound In place at plastic fight 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 bonier shall comply with Section 3109 of current CBC and CRC APPDENDIX V specifying the height of any fence provided as barrier to the pod &- 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 V 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. 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 removed and 2x2 holes at bottom of pool and/or Isolated elements. 2. Pool backfilled: A.) With future build - self -compacting sand 95% with receipt B.) No future build - any fill. 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 httpsJ/aca.anaheim.neUCitizenAccess Inspection can normally be reached between 7:30 - 8:00 A.M. (714)765.5153 + 0 To access your inspection timeframe: Please go to www.anaheim.net/building after 7:30am on the day of your Inspection. Under Online Services, click on the link -Inspection Timeframes' or call (714) 765.5153 + 0