2255 W LINCOLN AVE (8)Permit NumbeO 15%1`1202340613
Issued: 02/21/2023
www.anaheim.net/building
(714)765.4626
Quarter Section: 32
Site Address:;2255 W LINCOLN AVE, ANAHEIM, CA 92801
Legt+I.Desuiption:: P BK 177 PG 34 PAR 1
APN: 07144124
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(71411765-5153
Project Description: Demolition: 300 sq it pool with shell to remain and (1) 2x2 hole.
People Associated with Project:
Contractor CASPERS DEMOLITION 2243 E SOUTH REDWOOD201704070857146860 ANAHEIM, CA 92806
Permit Applicant Dylan Casperson
Owner KAM & KART INC 2255 W LINCOLN AVE
OWNER - BUILDER DECLARATION
1 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 Itsm(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 than five hundred dollars (=500).
13 1, as owner of property, or my employees with wages as their sole compensation, will do (_) all or I I portions of the work, and the structure Is not
Intended or offered for sale (Sec. 7144 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 State License Lawl.
1 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
1 hereby affirm under penalty of perjury one of the following declarations:
1 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
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
Q 1 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 carder and policy are:
Cartier. Policy No.: Expiration Date:
This section need not be completed If the permit N for one hundred dollars ($100) or less.
I certify that in the performance of thrk for which this permWssued, I shall not employ any person in any manner so as to become subject to the
workers compensation laws of Ca ifomi , a at, If I soul become subject to the workers compensation provisions of Section 3700 of the
Labor Code. I shall forthwith comply o
WARNING: FAILURE TO SECURE VORKERS' 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 pedury that there is a construction lending agency for the performance 1 hereby afirm under Pena rjury that I am
Lenders Information: licensed under provisi sot ter 9 men ' with
Section 7000) of Div' ion 3 of sin d
1 hereby certify that I have read this application and state that the Information above is correct. I agree Professionde.
to comply with all city ordinances and state laws relating building construction, and hereby authorize Z `2
representives of this city to enter upon the above mentioned property for Inspection purposes. Date: 023
Contractor. I rSPIERS DEMOLITION
Date Signature of Applicant or Agen
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: SWI2023-00013 Expiration Date
TYPE: C21
Fees paid for Pemlt:
$170.00
City of Anaheim
BUILDING DIVISION .
INSPECTION RECORD
41 SWIMMING POOL
ADDRESS:
2255 W LINCOLN AVE, ANAHEIM, CA 92801
OWNER:
KAM 8 KART INC
PERMITM
SWI2023-00013
DATE ISSUED:
02/21/2023
DESCRIPTION:
Demolition: 300 sq It pool with shell to remain and (1)
DO NOT GUNITE ROCK STRUCTURE
(water feature, rock slide, fountain, waterfall, grotto etc.) until the above inspection has
been signed.
2x2 hole.
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 POOL/SPA
until all the above Inspections have been signed.
5. BLD -Steel and Electric bonding
(Rode Struetures,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
ndino
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 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 AL
16. Final 599 r i JSc
MISC. INSPECTIONS Date Inspector
fbldjobards
tes"dions 1.8:
1. At plumbing to be aonplsted and the system pressurized to 35 No. Mile water
or house pressure.
2. All metal within 5 fest of pool water, and M pool equipment, must be bonnded
to pod rekdNdng steel with 08 solkl copper wire. Niche light shell, deck inserts,
etc. shall be bonded to pod rebar.
3. Pod equipment Is not required to be set at this tkne.
Inspections 610:
1. Undergmund electric Inspected prior to backs ft.
2. Gas Iku test at 100 for 15 minutes with 150 gaups.
3. When polyethylene gas piping Is used, a certificate from a arWbd installer
and bear wire shall be provided per CPC 1210.1.7.2 APPENDIX I.
bupedlana 11-13:
1. Rough electric inspection when NI wiring Is conpleted and ready prior to the
plasterky of poolispa. Patting -pound in place at plastic light niche.
2. Current Code requires Out any pod, 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 barrier shall comply with
Section 3109 of current CBC and CRC APPDENDIX V specifying Our height of
any fence provided as barrier to the pod d- shall be 60' above grade on the
outside of the fence.
3. Doors from a garage shat meet the requkements for a gate. Glass
wkhdows within S of pod water shat be tempered pleas.
4. Prior to preplaMer Inspection, streets, curbs and city sidewalks will be
Inspected for any damage due to construction of pod 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 1416•
1. Gas and EloddeN completely removed and 2x2 holes at bottom of pool
and/or Isolated elements.
2. Pod baddilled:
A.) With future build - aOeompadkhg sand 95% with receipt
B.) No future build - any till.
3. Amer pod is operating and In working condition with approved pod cover on
ate.
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/aa.anaheim.neUC!UzenAccess
Inspection can normally be reached between
7:30.8:00 A.M.
(714)7855153 + 0
To access your Inspection timeframe:
Please go to www.anaheim.net/buikling after 7:30am on the day of your
Inspection. Under Online Services, dick on the link 'Inspection
Tkneframes' or all (714) 765-5153 + 0
A
�Ol. 02
Address: 2255 W LINCOLN AVE
Site Plan
Zone: C -G Planning Services Division
Required Proposed A p p R O V F n
Front
Setback
Side
Setback
Rear
Setback
Max. Lot
Max.
Bldg
Height
BY: GM JAY -WS C—i VkA ( { )
DATE: ),/24-Ao2,73
Description/Notes: k f&✓
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a 4s"CA o errs
Plans comply with Title 18 of the A.M.C. (Zoning).
Plan Review Fee Required $
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Building Division
APPROVED
BY:
DATE:
Case No.
Notes:
The issuance of this permit does not approve violation
of any of the Building Codes of the City. The Holder of
this permit proceeds at his own risk.