8224 E KINGSDALE LN (4)City of Anaheim
BUILDING DIVISION
INSPECTION RECORD
SWIMMING POOL
ADDRESS: 8224 E KINGSDALE LN
OWNER: DARYL GELINAS
PERMIT #: SW12021-00066
DATE ISSUED: 5/26/2021
DESCRIPTION: New Pool/Spa: 310 sq ft in -ground pool and 36 sq ft spa with
firepit
POST THIS CARD WITH THE APPROVED PLANS IN A
CONSPICUOUS PLACE ON THE JOB SITE
Inspection Code Date inspector
1. Main Outlet. 504
2. Electric Bonding. 506
3. Steel. 508
4. Approval to Gunite. 510
DO NOT GUNITE POOL/SPA
until all the above inspections have been signed.
5. Steel and bonding. 508
DO NOT GUNITE ROCKS RUCTURE
(water feature, rock slide, fountain, waterfall, grotto
etc.) until all the above inspections have been signed.
6. Underground elect.
512 PC
7. Gas piping test.
514
8. P -Trap Receptor.
516
9. Backflow Device.
518
10. Deck, Deck
Drains, & accessory
bonding.
520
DO NOT POUR FLATWORK
until the above inspections have been signed.
11. Rough electric. 522
12. Fencing. 524
13. Plaster approval. 526 ler
DO NOT PLASTER -J 56-
until the above insliections have bbarl si ned. P6 R
14. Final Electric. 528
Sub -Contractors list appro and
pool cover in place prior to final Ospection.
15. FINAL
599
MISC. INSPECTIONS DATE INSPECTOR
Inspectors can normally be reached between
7:30 - 8:00 A.M. and 3:30 - 4:30 P.M.
(714) 765-5153 +0
swimcard
1. All plumbing to be complete and the system
pressurized to 35 lbs. with water or house pressure.
2. All metal within 5 feet of pool water, and all pool
equipment, must be bonded tb pool reinforcing steel
with #8 solid copper wire. Niche light shell, deck
inserts, etc., shall be bonded to pool rebar.
3. Pool equipment is not required to be set at this time.
Inspections 6 -10:
1. Underground electric inspected prior to backfilling.
2 Gas line test at 10# for 15 minutes, with 15# gauge.
3. Whea,polyethylene gas piping is used, a certificate
from a ceRtified installer and a metal tag at the meter
shall be provided per CPC 1211.3 APPENDIX I.
Inspections 11 -13:
1. Rough electric inspection when all wiring is
completed and ready to run prior to the plastering
of pool/spa.
2. City ordinance 6.56.010 requires that any pool, spa
or water feature containing water 18 inches or more
in depth shall be enclosed by a barrier adequate to
prevent entry of small children. The barrier shall
comply with Section 421 of the current CBC and City
of Anaheim ordinance 15.02.060.180 specifying the
height of any fence provided as barrier to the pool
shall be 60" 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 -plaster inspection, streets, curbs and
city sidewalks will be inspected for any damage
due to construction of pool or spas.
5. Grading complete with positive drainage to street or
public way. All exposed plastic pipe painted to
protect from sunlight.
Inspections 14 -15:
1. After pool is operating and in working condition,
approved pool cover in place.
INSPECTION REQUESTS
Inspection requests made before 5:00 pm will be scheduled
on the following workday.
To schedule your building inspection online, please go to
hfp://www.anaheim.net/insr)ectionRequest.
You may also request your inspection by calling (714) 765.4626 and
continue with the following steps:
• Press 1 for inspection function.
• Press 1 to schedule inspection.
• Press 5 for Swimming Pool inspection.
• Enter your permit # 202100066.
• Enter the Code number for the inspection requested
(indicated in blue).
• Press 1 for next business day, or enter date preferred.
• Select time preference (Request is subject to
inspector's schedule.)
To -access your inspection timeframe, please go to
www.anaheim.netfbuilding after 7:30 am on the day of your
inspection. Under Online Services, click on the
"Inspection Timeframes" link or call (714) 765-5153 + 0.
BUILDING DIVISION
SWIMMING POOL PERMIT NO. SWI2021-00066 200 S. ANAHEIM BLVD.
` (714) 765 - 5153
TYPE OF PERMIT
New Pool and / or Spa
DATE: 5/26/2021
JOB ADDRESS: 8224 E KINGSDALE LN
LEGAL DESCRIPTION:
PERMIT APPLICANT: HUNTER ELLISON
OWNER INFORMATION:
DARYL GELINAS
8224 E KINGSDALE LN
ANAHEIM, CA 92807-2530
CITY Of- 'N�AHEIM
INSPECTION REQUEST LINE:
(714) 765 - 4626
QUARTER SECTION: 206
CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION:
DYLAN REGIMBAL CONSTRUCITON & ASSOC MATTHEW G THOMPSON
3796 ROSE DR 1201 N TUSTIN AVE
YORBA LINDA, 92886 0000 CA ANAHEIM, CA 92807
JOB DESCRIPTION: New Pool/Spa: 310 sq it in -ground pool and 36 sq ft spa with firepit
VALUATION: 25,000.00 PROCESSED BY: RJC
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason (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 such permit to file a signed
statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9)(commencing with Section 7000 of Division 3 of the Business and Professions
Code) or that he is exempt therefrom 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).
I, as owner of property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044 Business
and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or
through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold with one year of
completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale).
❑ 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
License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's
License Law).
❑ 1 am exempt under Sec. B & P.C. for this reason:
Date: Owner:
WORKER'S COMPENSATION DECLARATION LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury one of the following declarations: I hereby affirm under penalty of perjury that I am licensed
1 have and will maintain a certificate of consent to self -insure for worker's compensation, 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 worker's compensation insurance, as required by Section 3700 of the labor Code,
or the performance of the work for which this permit is issued. My worker's Compensation insurance carrier
and policy are:
Carrier: ACCREDITED SURETY & CASUALTY Policy Number: 1ATCA16000639
This section need not be completed If t he 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 it
any manner so as to become subject to the worker's compensation laws of Callomia, and agree that N I should
become subject to the worker's compensation provisions of Section 3700 of the labor Code, I shall forthwith
comply with those provisions.
Date: 5/26/2021 Applicant:
WARNING: FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS UNLAWFUL, AND!
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 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES.
I CONSTRUCTION LENDING AGENCY 1
1 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec.3097.Civ.C):
Lender's Information:
I certify that I have read this application and state that the above information is correct. I agree to comply with
all city ordinances and state laws relating to building construction, and hereby authorize representives of this
city to enter upon the above mentioned property for inspection purposes.
f/ (/(/jam J Date: 5/26/2021
gnature of Applicant or Agent
The permit shall expire by limitation and become null and void if the building or work has
not passed final inspectoin 365 days from the date of permit Issunace. A new permit is
required to commence or continue work.
under provisions of chapter 9 (commencing with Section 7000)
of Divsion 3 of the Business and Professions Code.
Date: 5/26/2021 Contractor:
NUMBER: EXPIRATION DATE:
BUS2012-01202 312412022
TYPE: C29 MAS
TYPE: C53
TYPE: BUS
Swimming Pool Size
346.00
Valuation
25,000.00
Census Code
329
Fees paid forPermit:
Total:
1,099.50