840 S DUNE STCity of Anaheim
BUILDING DIVISION
INSPECTION RECORD
10 SWIMMING POOL
ADDRESS:
640 S DUNE ST, ANAHEIM, CA 92806
OWNER:
GUSTAFSON DRAKE E & ELIZABETH
PERMIT 9:
SW12022-00128
DATE ISSUED:
11/02/2022
DESCRIPTION:
New Pool/Spa: Install new baja shelf and 45 sq ft spa
DO NOT GUNITE ROCK STRUCTURE
(water feature, rock slide, fountain, waterfall, grotto etc.) until the above Inspection has
been signed.
for existing pool.
POST THIS CARD WITH THE APPROVED PLANS
IN A CONSPICUOUS PLACE ON THE JOB SITE
nspection Code Date Inspector
I ( - -
504 'IR(/JL-
2.riing 506
508 . 11 111. � .-
FEI
Gunite 510 it i i , e ,
DO NOT GUNITE POOLISPA
unlit all the above inspections have been signed.
nd Electric bonding
(Rack Struetures,SlidesEtc)
508
DO NOT GUNITE ROCK STRUCTURE
(water feature, rock slide, fountain, waterfall, grotto etc.) until the above Inspection has
been signed.
6: Underground Electric
5112--
111i l j
7. Gas Piping Test
514
l 1.1
8. P -Trap Receptor
516
9. Backflow
518
10. Deck, Deck Drains,
Equipotential & Accessory
Bondino
520
1�3
DO NOT POUR FLATWORK
until all the above inspections have been signed.
11. Rough Electrical 522
12. Fencing/Door Alarms 524 3 221 14
13. Plaster approval 526
DO NOT PLASTER
until all the above Inspections have been signed.
14. Final Electric 5281-2110231 �>•
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
V
16. Final 599.2)11-12-3
MISC. INSPECTIONS Date Inspector
fbldjobcords
Inseectlons 1 s:
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 pool water, end all pool equipment, must be bonded
to pool reinforcing steel with 118 solid copper wire. Niche tight shag, deck Inserts,
etc. shall be bonded to pool rebar.
3. Pool equipment is not required to be set at this time.
Insosctions 0.10:
1. Underground electric Inspected prior to baciddling.
2. Gas line test at 108 for 15 minutes with 1511 gauge.
& When polyethylene gas piping Is used, a certificate Dom 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 poollspa. Potting compound In place at plastic fight niche.
2. Current Code requires that any pool, spa or water feature
contacting water 18 inches or more In depth shag be enclosed by a bonier
adequate to prevent entry of small children. The bonier shag comply with
Section 3109 of current CBC and CRC APPDENDIX V specifying the height of
any fence provided as border to the pad &- shag be 60' above grade on the
outside of the fence.
& Doors from a garage shag meet the requirements for a gate. Glass
windows within War 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 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 %18:
1. Gas and Electrical completely removed and 2x2 holes at bottom of pool
and/or Isolated elements.
2. Pod backfilled:
A.) With future build - self -compacting sand 95% with receipt.
B.) No future build - any fill.
3. After pod is operating and In working condition with approved pod cover on
sge.
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
https://aca.anahaim.neVCiUzonAccess
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.anahaim.net/building atter P30am on the day of your
Inspection. Under Online Services. dick an the link -Inspection
Timeframes- or call (714) 7655153 + 0
Permit Number: SW12022-00128
Issued: 11/02/2022
www.anaheim.net/building
(714)76511626
Quarter Section: 124
Site Address: 840 S DUNE ST, ANAHEIM, CA 92806
Legal Description: N TR 4057 BLK LOT 4
APN:25332504
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765-5153
Project Description: New Pool/Spa: Install new baja shelf and 45 sq ft spa for existing pool.
People Associated with Project:
Permit Applicant PATRICK G GALLIGAR
Owner GUSTAFSON DRAKE E & ELIZABETH 840 S DUNE ST
OWNER - BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License State Law for the following reason(s) 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, atter, Improve, demolish or repair any structure, prior to IM 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 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 Lew 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
0 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 pursuant to the Contractors State License Law).
I am exempt from licensure under the Contractors, State License Law for the following reason:
Data Signature of Property Owner or Authorized Agent
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penally of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -Insure for workers 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 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 alien need not be completed If 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 CadMahend qWe that, if I should begome subject to the workers compensation provisions of Section 3700 of the
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 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
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 constructionU,and hereby authorize
representives of this city to enter up above rjpntjoned property for Inspection purposes.
Date - signature oT Apgypent 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 date of permit Issuance. A new permit is required to commence or
continue work.
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: 11/02/2022
Contractor: PATICK GALLIGAR
Number: SW12022-00128 Expiration Date
TYPE: C53
Fees paid for Permit: $915.00