2219 E VERMONT AVE (3)CITY OF ANAHEIM
Permit Number: SWI2023-00010 4a'
Issued: 02/08/2023
www.anaheim.net/building
(714)765-0626
Quarter Section: 114
Site Address: 2219 E VERMONT AVE, ANAHEIM, CA 92806
Legal,Descriptlon. N TR 6809 BLK LOT 100
APN: 25312217
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Project Description: Demolition: 512 sq It to demolish pool with shell to remain with 2 18" X 18" holes.
People Associated with Project:
Contractor CASPERS DEMOLITION 2243 E SOUTH REDWOOD201704070857146860 ANAHEIM, CA 92806
Permit Applicant DYLAN J CASPERSEN, OWNER
Permit Applicant DYLAN J CASPERSEN, OWNER
Owner LEE MING C TR
2243 E SOUTH REDWOOD ANAHEIM, CA 92806 0000
2243 E SOUTH REDWOOD ANAHEIM, CA 92806 0000
20421 VIA TROVADOR
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
eheckmark(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' 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 (_) 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 1, 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 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 1 have and will maintain a certificate of consent to self4nsure 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.
0 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:
Cartier. Policy No.: Expiration Date:
This section need not be completed It 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 becopgrsubject to the workers compensation provisions of Section 3700 of the
Labor Code. I shall forthwith comoly with those Drovisions.
—q—,Ij Signature of
WARNING: FAILURE TO SECURE WORKERS' COMPEN AVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND S ($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 II LICENSED CONTRACTORS DECLARATION I
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance 1hereby der pen of perjury that I am
licen under p 'ons of chapter 9 (commencing with
Lenders Information: Se 700 Dlvisin 3 of t Business and
I hereby certify that I have read this application and state that the Information above is correct. I agreeoo
P f�cn
s ode '�
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. rntrac�tor
2/08/2023
C CASPERS DEMOLITION
umber: SWI2023-00010 Expiration Date
Date Signature of Applicant or Agen TYPE: C21
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. -
Fees paid for Permit:
$170.00
City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
Go SWIMMING POOL
ADDRESS:
2219 E VERMONT AVE, ANAHEIM, CA 92806
OWNER:
LEE MING C TR
PERMITM
SWI2023-00010
DATE ISSUED:
02/08/2023
DESCRIPTION:
Demolition: 512 sq ft to demolish pool with shell to
DO NOT GUNITE ROCK STRUCTURE
(water feature, rock slide, fountain, waterfall, grotto etc.) until the above Inspection has
been signed.
remain with 218' X 18' holes.
POST THIS CARD WITH THE APPROVED PLANS
IN A CONSPICUOUS PLACE ON THE JOB SITE
pection Code Date Inspector
504
ing 506
FEIend
508
unite 510
DO NOT GUNITE POOLISPA
until all the above inspections have been signed.
.-eeanElectric 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
ondina
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 CODE DATE INSPECTOR
15. Rough Demo 527 Rzztz3s ,
16. Final 599
MISC. INSPECTIONS Date Inspector
fbldjobcerds
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 pod water, and all pool equipment, must be bounded
to pod reinforcing steel with 118 solid 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 time.
1. underground electric Inspected prior to baddlling.
2. Gas line test at 100 for 15 minutes with 1511 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 electric inspection when all wiring Is completed and ready prior to the
plastering of pool/spa. Potting compound in place at plastic tight niche.
2. Current Code requires that any pod, spa or water feature
contacting water 18 Inches or more in depth shall be enclosed by a bonier
adequate to prevent entry of small children. The barrier shall comply with
Section 3109 of current CBC and CRC APPDENDIX V specifying the height of
any fence provided as barrier to the pod 6- shell be 60' above grade on the
outside of the fence.
3. Doom from a garage shall most the requirements for a gate. Glass
windows within 5' of pod 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 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.
Insowttons 1418:
1. Gas and Electrical completely removed and 2s2 hobs at bottom of pod
Zndlor Isolated elements.
Pod baoldtiled:
A.) With future build - set -compacting send 95% with receipt.
B.) No future build - any fill.
3. After pod Is operating and In woddng condition with approved pod cover on
she.
PERN'11T EXPIRED
INSPECTION
NOT COMPLETED
DATE: I 1 A 8/22
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.andheim.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.netlbuikling after 7:30am on the day of your
Inspection. Under Online Services, dick on the link "Inspection
Timeframes' or cell (714) 7655153 + 0