120 N TIANA LN (4)Permit Number: SVA2022.00118
Issued: 11/09/2022
www.anaheim.net/building
(714)7654626
Quarter Section: 179
Site Address: 120 N TIANA LN, ANAHEIM, CA 92807
Legal Description: N TR 5230 BLK LOT 24
APN: 35803224
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Project Description: New Pool/Spa: 394 sq 1t in -ground pool with 38 sq it in -ground spa. Gas line and electrical to outdoor kitchen and
fire pit.
People Associated with Project:
Permit Applicant Jason Dlmaggio
Owner DIMAGGIO JASON 8 KIMBERLEY MAE 120 N TIANA LN
OWNER - BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's License Slate Law for the following reasonts) 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 fie 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
Busin s 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
ittighcant for a permit subjects the applicant to a civil penalty of not more than eve hundred dollars ($500).
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
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
❑ 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' Stale 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 pursuant to the Contractors Stijs License Law).
I am exempt Jrom Ilcensure under the Colftators. State License Law for the Wlcnwlna reason:
I hereby afOmn 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.
❑ 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 .*ad not be completed if the permit is for one hundred dollars ($100) or lees.
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 Code. 1 shall forthwith mmoly with those provisions.
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 (1100,000j. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES
AS PROVIDED FOR IN SECTION 3706 OR THE LABOR CODE. INTEREST. AND ATTORNEYS FEES.
I CONSTRUCTION LENDING AGENCY 11 LICENSED CONTRACTORS DECLARATION I
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.
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: 11/092022
Contractor:
Numbe, SW12022-00118 Expiration Date
Date Signature of Applicant or Agen TYPE:
The peemit shall expire by limitation and become null and void K 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:
$1,117.75
City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
0 SWIMMING POOL
ADDRESS:
120 N TIANA LN, ANAHEIM, CA 92807
OWNER:
DIMAGGIO JASON 8 KIMBERLEY MAE
PERMIT e:
SWI2022-00118
DATE ISSUED:
11/09/2022
DESCRIPTION:
New PWVSpa: 394 sq 8 fir -ground pool with 38 act 8
In -ground spa. Gas line and electrical to outdoor
POST THIS CARD WITH THE APPROVED PLANS
IN A CONSPICUOUS PLACE ON THE JOB SITE
Inspection
Code
Datai
Inspector
1. Main Drain
504
2. Electric Bonding
506
3. Steel
508
4. Approval to Gunite
510
DO NOT GUNITE POOLISPA
unstl all the above inspections hove been signed.
5. BUD -Steal 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
3
S. P-Trap Receptor
516
9. Backilow
518
3113 I -PA
10. Deck, Deck Drains,
Equipotential 8 Accessory
Bonding
520
3
-/•
DO NOT POUR FLATWORK
until all the above inspections have been signed.
11. Rough Electrical
522
j 3
d
12. Fencing/DoorAlarms
524
j
1
13. Plaster approval
526
3
3
DO NOT PLASTER
until all the above inspections been signed.
14. Final Electric 528
k f6
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
16. Final
599
MISC. INSPECTIONS
Date
Inspector
Ln¢oacllons 1-5'
1. All plumbing a be completed and the system Pressurized to 351be. Met wale,
or house pressure.
2. At mail wt1i 5 feet of pool water, and all pool equipma i. must be bonnded
to pool reinforcing steel with Nit solid Copper wire. Niche light shell, deck last
etcshall be bonded to pool tabor.
3. Pool equipment is not required to be at at this gene.
Inspections 6.10
1. Underground elected inspeced prior to lordalrg.
2. Gas line test at 104 for 15 minutes with 150 pause.
3. When po wthylew gas piping Is used, a will fate from a drifed krotater
and a.., wire shall be provided per CPC 1210.1.7.2 APPENDIX I.
Inspections 11-13:
1. Rough ebctric Inspection when all wiring Is Completed and ready prior to the
plastering of pasVil Posting compound M plase at plastic light niche.
2. Currant Code requires that any pod, ape or water feel..
Contacting water 18 root eta or more in depth shall be enclosed by a banter
adequate to prevent entry of small Children. The banner shall comply with
Section 3109 of current CSC end CRC APPDENDIX V specdymi; the height of
any lease provided as barrier to the pod s- shall W 60' above grade on the
outside of the lend.
3. DCm from a genesis shall meet the requirements for a gate. Glass
windows wdhin 5 of pool water shall be tempered glass.
4. Prior to pre -plaster Inspection, streets, verbs and city sidewalks will be
inspected for any damage due to Construction of pod or spas.
5. Grading complete with positive drainage 1. all or public way. All
exposed plassc pipe shell be painted to protect from sunlight
Ieoectlons 14-15:
1. Gas and Electrical Completely removed and W hobs at W,m of pool
and/or Isolated elements.
2. Pool becknlled:
A.) Wllh four. Wed - self -Compacting sand 95% will receipt.
SJ No tubes Wild - any fill.
3. After peal 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, pease go to
Ltipsllace anaheintneVChlzer-Access
Inspection can normally be reached between
7:30 - 8:00 A.M.
(714)765.5153 * 0
To access your Inspection tifeefreme:
Please go to www,anaheimnevbmlding alter 7:30am an the day of your
Inspection. Under online Services dick on fits link "Inspection
Tlmehames' ar Call (714) 7855153 s 0
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