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Permit #: 1O11OO223
Pin #: 70433
Project Address: 2254 N Lyon St
Lot
UnI
Historic NoBlock A
Building Use
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Swimming Pool/Spa
Swimming pool
New SFD w/att garage
R.3, U
V B, SPK
cBc 2016
x-0602320163J
2
Misc. Receipl
Misc. Receipt
Misc Receipl
1 st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation:
Occupancy:
Constr Type
Code:
Flood Zone:
# of Storiesl
Ray's Pool & Spa
6924 Bassrvood Place
Rancho Cucamonga, CA 9l
(909) 899-2328
492991
c-53
3730'19
Lic Type:
Bus. Lic #
Workers' Compensalion lnsurance:
Canier EXEMPT
Policy:
Date: OSl24l2O19
Dale: 05/2412019
Date: 05/05/2019
Subject to Field
$30,000.00
0
o t,l- cl,t. DFt!^i
r^F
Planning Conditions:
,
Owner:
Address
Phone:
Tenant:
Contractor
Address
Phone.
Slate Lic #
-r^-.,--t i^6 T^I^r
r!^r, r. 0^^r r c--
/:^-^-^l Ol i^ ll-,1-l^
.,tl I I anrlt- tl aili1rl,l.1-
l.li I i afln't- ql arlln.ln-
Gary Heath
2254 N Lyon Street
Santa Ana, CA 92705
(949) 290.129s
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone
Plan Checked By
Permit lssued 8y
NPDES lnsp. Req'd No
PWA lnsp. Req'd No
Planning lnsp. Req'd. No
Guevara, Jerry
So, Anson
Amsden, Julie
07776002
07775002
0 8907007
07776002
07776002
57607
5 3600
2400 0
57672
57600
Permit Fee
Plan Check Fee
SMIP - Category '1
Bldg. Stds. Revolving
General Plan Updale
Expires: Lrcense#: "l'1"'1'-'ll1 1i"""" "
01776002 51601 lssuance
$167.75
$151.25
$3.90
$2.00
$22.08
$55.04Fire lnsp. Req'd:
Police lnsp. Req'd
NoNo Account#Total
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Ewry ponnl rslsuecl shall become invahd unless lho work on the stto autho zed by
such pefinit is commenced wilhn 360 days aftet ls issuance.ot tl the work authoized
on the s e by such peml ts suspended or abandoned bt a penod of360 days allet
lho lime the work B commenced
01116002
011 16002
01 1 16002
01 1 16002
08901001
$22.08
$222.79
$2 00
$151 2s
$3.90
s402.o2
$0 00
s402.02
lnspector MID#: 2019-15'1715
51600
51601
51612
53600
24000
Fee Total:
Paid lo Datel
Balance Due:
Assessor's Parcel 396-052-14
Bldg Address Rangel
TTact: A,B. CHAPMAN
Suite Range:
Zoning:
Description of Work: New in{round fiberglass swimming pool. ICC-ES-2014
Planning Approval By
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNET BUILDE1R DEI,('ARATION
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S.5L
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
SubllooriVenVlnsulalion
Roof Sheathino
Shear Wall
Framing
lnsulalion/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence 1\to\1 )il.4@
T-Bar
Handicap Req.
Deputy Final Report
Enoineer Final Report
Flood Zone Certif .
FINAL 9\ro\rq t)4il\)
Certificate ot Occupancy
Notes, Remarks, Etc
L: €3
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