433 N SYRACUSE ST (6)Permit Nsmber: SW12022.00085
Issued: 07/21/2022
www.anaheim.net/building
(714)765-4626
Quarter Section: 19
Site Address::433 N SYRACUSE ST, ANAHEIM, CA 92801
Legal Destzrlption: N -TR 3045 BLK LOT 42.
APN: 07063104-.
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Project Description: Demolition: 100 sci it pool with shell to remain and (2) 2x2 holes.
People Associated with Project:
Contractor GREEN WORLD CONSTRUCTION 12351 HARVEY LANE GARDEN GROVE, CA
Permit Applicant ALEX DUONG
Owner PHAN HOA
12351 HARVEY LANE GARDEN GROVE, CA 92841
433 N SYRACUSE ST
OWNER - BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 Item(s) (Sec. 7031.5 Business and Professions Code: any city or county which requires a permit to
construct, atter, 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).
1, as owner of property, or my employees with wages as their sole compensation, will do U 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 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 Law).
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 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 worker's Compensation Insurance carrier and policy are:
Cartier. /Polic-y No.: Expiration Date:
Thle se 6'n need not be completed If the permit Is for one hundred dollars $1t
certify that In the performance of the work for which this permits issw
worker's compensation laws of California, and agree that, if I should be
Labor Cods IhilgtiQolthwiftomoly withdho a orovis o
or less.
I shall not employ any person in any manner so as to become subject to the
bject to the workers compensation provisions of Section 3700 of the
WARNING: FAILURE TO SECURE WORKERS' 648 �ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED T�XSZ 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance
Lender's 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 dale of permit issuance. A new permit is required to commence or
continue work.
LICENSED CONTRACTORS DECLARATION I
I hereby affirm under penalty of perjury that I am
licensed under provisions of chapter 9 (commen'with
Section 7000) of Division 3 of the Business n
Professions Code.
Date: 07/21/2022
Contractor:
Number: SWI2022-00085[/ Expiration Date
TYPE: B
Fees paid for Permit: $170.00
City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
do SWIMMING POOL
ADDRESS:
433 N SYRACUSE ST, ANAHEIM, CA 92801
OWNER:
PHAN HOA
PERMIT #:
SW12022-00085
DATE ISSUED:
07/21/2022
DESCRIPTION:
Demolition:100 sq It pool with shell to remain and (2)
DO NOT GUNITE ROCK STRUCTURE
(water feature, rock slide, fountain, waterfall, grotto etc.) until the above Inspection has
been signed.
2x2 holes.
POST THIS CARD WITH THE APPROVED PLANS
IN A CONSPICUOUS PLACE ON THE JOB SITE
spection Code Date Inspector
504
ding 506
508
EBLD-Steel
Gunite 510
DO NOT GUNITE POOIJSPA
until all the above Inspections have been signed.
nd 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
8. P -Trap Receptor
516
9. Backflow
518
10. Deck, Deck Drains,
Equipotential & Accessory
Bondino
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
16. Final 599 �ec SC
MISC. INSPECTIONS Date Inspector
fbldjobcards
Inspections 1.6:
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 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. Pod equipment is not required to be set at this time.
Invoctions 8.10:
1. Underground electric inspected prior to boddliing.
2. Gas line test at 10B for 15 minutes with 158 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/spe. Potting compound In place at plastic light 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 baffler
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- shop be BO' above grade on the
outside of the fence.
3. Doors from a garage shall meet the requirements for a gate. Glass
windows within S of pool water shag 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 shag be painted to protect from sunlight.
Inspections 14.16:
1. Gas and Electrical completely removed and 2x2 holes at bottom of pool
and/or isolated elements.
2. Pool backfilled:
A.) With future build - self -compacting sand 95% with receipt.
B.) No future !wild - any 611.
3. After pool Is operating and In working condition with approved pod cover on
ale.
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
htps://aca.anahaim.neUCiOzenAccess
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.netbuilding after 7:30am on the day of your
Inspection. Under Online Services, dick on the link 'Inspection
Tkmetrames' or call (714) 765.5153 ♦ 0
SW 12022 - Obo 5 S
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Address: 433 N SYRACUSE ST
Residential Site Plan
Zone: RS -2 Planning Services Division Building Division
Required I Proposed
Front
Setback
Side
Setback
Rear
Setback
Max. Lot
Max.
Bldg
BY:
DATE: _
Description/Notes:
Plans comply with Title 18 of the A.M.C. (Zoning).
Plan Review Fee Required $
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.