906 S NUTWOOD ST (4)City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
SWIMMING POOL
ADDRESS:
906 S NUTWOOD ST, ANAHEIM, CA 92804
OWNER:
MILLS, MARION R TR
PERMITM
SWI2023-00052
DATE ISSUED:
06/08/2023
DESCRIPTION:
Demolition: 420 sq R pool shell to remain with (3) 3x3
DO NOT GUNITE ROCK STRUCTURE
(water feature, rock slide, fountain, waterfall, grotto etc.) until the above Inspection has
been signed.
holes
POST THIS CARD WITH THE APPROVED PLANS
IN A CONSPICUOUS PLACE ON THE JOB SITE
nspection Code Date Inspector
504
ding 506
508
F
Gunite 510
DO NOT GUNITE POOUSPA
until all the above inspections have been signed.
nd Electric bonding
(Rock Structures,Slides Etc)
506
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
B. P -Trap Receptor
516
9. Backflow
518
10. Deck, Deck Drains,
Equipotential dk Accessory
Bondina
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 F 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 6 23 'tap
16. Final 599
MISC. INSPECTIONS Date Inspector
fbldjobcards
Inspections 141:
1. All plumbing to be completed and the system prescurtzed to 35 lbs. with water
or house pressure.
2. Ali metal within 5 feet of pool water, and all pod equipment, must be bonnded
to pod reinforcing steel with #8 solid copper wire. Niche light shell, deck inserts,
etc. shall be bonded to pod rebar.
3. Pool equipment is not required to be set at this dim.
Insoectlons $40:
1. Underground electric Inspected prior to boddiling.
2. Gas fins test at 10# for 15 minutes with 150 gauge.
3. When polyethylene gas piping Is used, a attiBate from a arif8ed Installer
and tracer wire shall be provided per CPC 1210.1.7.2 APPENDIX I.
Inspections 11.13:
1. Rough electric Inspection when all wiring Is completed and ready prior to the
plasterky of poollsps. Potting compound In plea at plastic light nkihe.
2. Current Code requires that any pool, spa or water feature
contaclIng water 18 Inches or mora in depth shall be enclosed by a barrier
adequate to prevent entry of small children. The border shall comply, with
Sedan 3109 of wmnt CBC and CRC APPDENDIX V specifying the height o1
any fence provided ea barrier to the pool d- shag be 601 above grade on the
outside of the fence.
3. Doors from a garage shall meet the requirements for a gate. Glass
windows within 5' of pool water shall be tempered glass.
4. Prior to pre-plastei inspection, streets, curbs and city sidewafika 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.
Insoedbna 14.16:
1. Gas and Electrical completely removed and 2x2 holes at bottom of pool
andlor Isolated elements.
2. Pod baddiled:
A.) With future build - safPcompacting sand 95% with receipt
S.) No hdure build - any 01.
3. After pod Is operating and In working condition with approved pod cover on
elite.
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
httpsllaca.anaheim.neUCifizenAccess
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.netlbuilding after 7:30am on the day of your
Inspection. Under Online Services, dick on the link "Inspection
Tlmelmmes' or all (714) 765.5153 + 0 '
Permit Number: SW12023-00052
Issued: 0610812023
www.anaheim.neUbuilding
(714)765-4626
Quarter Section: 48
Site Address: 906 S NUTWOOD ST, ANAHEIM, CA 92804
Legal Description: N TR 3149 BLK LOT 19
APN:12828302
CITY OF ANAHEIM
BUILDING DMSION
200 S. ANAHEIM BLVD.
(714) 765-5153
Project Description: Demolition: 420 sq ft pool shell to remain with (3) 34 holes
People Associated with Project:
Permit Applicant Huyen ThIPham
Owner
MILLS, MARION R TR
906 S NUTWOOD ST
OWNER - BUILDER DECLARATION
1 hereby affirm under penalty of perjury that 1 am exempt from the Contractors License State Law for the following mason(s) indicated below by the
eheekmark(s) I have placed next to the applicable Items) (See. 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 Contmetom' 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 licansure and the basis for the alleged exemption. Any violation of Section 7031.5 by any
ap cant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
dI, as owner of property, or my employees with wages as their sole compensation, will do U all or L_) portions of the work, and the structure is not
me dad or offered for sale (Sec. 7044 Business and Professions Code: The Contractors' State License low 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 oursuant to the Contractor's State License Law).
1 ameremotfrom licensure under the Contractors, State License for
Agent
DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -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 workers Compensation Insurance carrier and policy are:
Cartier: Policy No.: Expiration Date:
This section need not be completed H the permit Is for one hundred dollars ($100) or lass.
❑ 1 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
worker's compensation laws of California, and agree that, if I should become subject to the workers compensation provisions of Section 3700 of the
Labor Code. I shall forthwith cemDly with those Drovisions.
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 ATTORNEY'S FEES.
I CONSTRUCTION LENDING AGENCY 11 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 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 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.
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: 06/08/2023
Contractor:
Number: SWI2023-00052
TYPE:
Expiration Date
Fees paid for Permit: $171.00