147 N CIRCULO ROBEL (4)City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
SWIMMING POOL
ADDRESS:
147 N CIRCULO ROBELANAHEIM, CA 92807
OWNER:
SIMMS AMANDA TR THE 2018
PERMIT all:
SW12023-00020
DATE ISSUED:
03130/2023
DESCRIPTION:
New PwVSpa: 480 sq 8 pool and 49 sq It spa with
bbq and fire pit
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
b
3. Steel
508
4. Approval to Gunite
510
DO NOT GUNITE POOLISPA
until all the above inspections have been agned.
5. BLD-Steel and Electric bonding
(Rock Structures,Slides Etc)
508
DO NOT GUNITE ROCK STRUCTURE
(water forefoot, rock slide, fountain, waterfall, grotto etc.) until the above inspection has
been signed.
6. Underground Electric
512
-J4-L4
7. Gas Piping Test
514
8. P-Trap Receptor
516
9. Backilow
518
Ll 40-
10. Deck, Deck Drains,
Equipotential B Accessory
Bonding
520
(yr
1rs
DO NOT POUR FLATWORK
until all the above inspections have been signed.
11. Rough Electrical
522
12. Fencing/Door Alarms
524
1 c;-II124
13. Plaster approval
526
i
DO NOT PLASTER
until all the above inspections trey bee signed.
14. Final Electric 528
Sub -Contractors List MUST be approved and pool cover on site
' ^R to Pool Final Inspection request
FINAL INSPECTION
CODE JDATE
INSPECTOR
15, Rough Demo
527
16. Final
599-
MISC. INSPECTIONS
Date
Inspector
Malediction, 14:
1. All plumbing to Me completed and the system pressurized o 35 Ms. w4h water
Or house pressure.
2. All metal whin 5 feet of pool water, and all pool equipment, must be bounded
to pool rel-kao ng steel mh N8 wild copper wire. Niche light shell, deck inserts,
etc. shall bo handed to pool vote,
3. Pod equipment is not required to be set at Ms time.
1. Underground deetrle Inspeged poor to beodillrg.
2. Gas line lest at IN for 15 minutes with 1511 gauge.
3. When polyethylene gas piping is used, a cMM.11 from a certified interior
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 computed and ready poor to Me
platerirg of Poollspe. PoMrg compound In place at plastic light niche.
2. Current Code requires Met any pool, spa or water feature
contacting water 18 inches or more in depth shall be endosed 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 the Might of
any fence provided as barrier to the pod 4- shall M 60' above grade on the
outside of the fence.
3. Doors from a garage shall meal tit requirements for a gate. Guss
windows within 5' of pool weer shall be tempered glass.
4. Prior to pre-puaur inspection, Shoals, orbs min city sidewalks will M
inspected for any damage due to colnWdbn of pod or spas.
5. Grading complete wllh positive drainage to street or public way. All
exposed plastic pipe shall be pointed to protect from son fight.
In rboolkns 14.16
1. Gas and Electrical completely removed and 2x2 holes at bottom of pool
and/or Isolated elements.
2. Pool la ckmled:
A.) With future build - sef-compedirg wntl 95%with receipt.
B.) No future Wild - any fill.
3. After pool Is operating and In working condition won approved pool a
ale. z
INSPECTION REQUESTS
Inspection requests made prior to 5:00 pm Monday - Friday
will be scheduled on the following workday.
To schedule your Wilding Inspection Doane, please go to
Naps:Vacsanahelm neVCdizenAccess
Inspection can normally be reached between
7:30 - 8:00 A.M.
(714)765-5153 + 0
To access your inspection timeframe'
Please go to .I .: -.inn neutwildmg after 730am on the day of your
Inspection. Under Online Services, dick an Me link 9nspeetion
Tines ames' or call (714) 7656153+ 0
Ibld,bcaios
CITY OF ANAHEIM
Permit Number: SW12023-00020
Issued: 03/30/2023
www.anaheim.net(buiid i ng
(714)7654626
Quarter Section: 196
Site Address: 147 N CIRCULO ROBELANAHEIM, CA 92807
Legal Description: N TR 8423 BLK LOT 31
APN: 35824505
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Project Description: New Pool/Spa: 480 sq ft pool and 49 sq ft spa with bbq and fire pit
People Associated with Project:
Contractor SUNSET OUTDOOR REMODELS 4042 WILD DUNES CIR CORONA, CA
Permit Applicant Melba Vega
Owner SIMMS AMANDA TR THE 2018 147 N CIRCULO ROBEL
OWNER - BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's License State Law for the following reason(s) Indicated below by the
checkmark(s) I have placed next to the applicable Items) (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 whh Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt from Ilcensure 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 ($5001.
❑ I, 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
ampioyela' or personal efforts, builds or improves the property, provided that the Improvements am not Intended or offered for sale. If, however. the building or
❑ 1, as the o!a \'he property, am exclusively contracting with licensed Contractors to construct the project (Sec. 70" Business and Professions Code:
The Contractors' 30_ - sense 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 Lawl.
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 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.
aI 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 canner and policy are:
Carder: Policy No.: EIG513004100 Expirabon Date: 1112IJ2023
This section need act be completed If the permit Is for am hundred dollars (f100) 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, 91 should become subject to the workers compensation provisions of Section 3700 of the
Labor Code. I shall fprthwith wmgN with 4 ljjbvisions.
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 ATTORNEYS FEES.
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 mad this application and state that the information above is wrect. I agree
to comply with all city ordinances and state laws relafin9 building construction, and hereby authorize
representives of this city to enter upon the above mentioned property for inspection purposes.
Date Signature of Applicant or Again
The premit shall expire by limitation and became null and void if the building or work has not passed
final inspection 365 days from the dale of permit issuance. A new Permit is required to commence or
continue work.
LICENSED
I hereby affirm under penalty of perjury that I am
licensed under provisions of chapter 9 (commencing with
Section 7000) of Di em U Business and
Professions Code.
Date: oarMo2ll
Contractor:
Number: SW12023-00020
TYPE: C53
Fees paid for Permit:
Expiration Date 1IM12023
$1,446.64