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Permit No. 1058802633230A01 67pe #'4 105 SAN BERNARDINO COUNTY-EPWA/LAND )AGEMENT DEPT OFFICE OF BUILDING AND SAFETY P E RMI T APPLICATION PERMIT NBR 105 88 02633 230A 01 I STATUS: ACTIV THIS IS NOT A-PERMI? UNTIL ISSUED APP(. DATE 05/04/89 I ISSUE DATE 05/04/89 I PG 1 OF 1 PARCEL NUMBER 1000-271-01-0000 PROPOSED USE: RETAINING WALL CURRENT USE: VACANT 105567 1 BLK 000 1 LOT 018 I SE25 02S 09W PRCL 00AP I PRCL ACTIVITY 1820 0 - COMMUNITY PLAN ZONE/LAND USE DISTRICT GENERAL PLAN SUBDIVISION NAME ( SUBDIVISION PARCEL NO CHINO HILLS CH/PUD -• LOT DIMENSION IRREGULAR (CONST TYPE APPLICANT NAME, MAILING ADDRESS, AND PHONE NUMBER RBLOGS ON LOT GROUP TO, HA VAN AND MONICA 3002 S DEEGAN ST 1FPLANS RECD 0 LAND USE PLOT 0 (INDEX NBR 12-160 SANTA ANA CA 91789-0000 STD PLAN/ICBO FHA N (714) 531 - 3965 -- TYPE I SQ. FT. I FACTOR/P.S.F. I ADJSTED AREA/VALUATN 04'NER NAME, MAILING ADDRESS, AND PHONE NUMBER TO, HA VAN AND MONICA FENCE 171 .20 35.00 3002 S DEEGAN ST SANTA ANA CA 91789-0000 i CAIC. VALU 1,575.00 I ADJUSTED AREA 35 (714) 531 - 3965 - ITEM CNT DESCRIPTION DETAIL TOTALS JOB SITE ADDRESSRESIDENTIAL CONSTRU 35.45 16059 CANYON HILLS RD // ISSUANCE FEE 16.96 CHINO HILLS CA 91709-8000 TOTAL AMOUNT 52.41 CROSS STREET CARBON CANYON RD TNSPECTN ACCESS CONTRACTOR NAME, ADDRESS LICENSE NUMBER t+r•., 0r Tttn rkrrTv PEI?I!TT. MINIMUM SETBACK DISTANCES *:E* PER PLOT >•'I* MECHANICAL EQUIP NOT PERMITTED IN REQUIRED SIDE SETBACKS / NO. STORIES NO. DWELLING NO. BEDROOMS FLOOR , j v UNITS ( -,® t+. ;, •?k 3 ., ` D EXT. WALLS INT. WALLS CEILING C; :''''3g° DPit /....---7C...) '"1 p ' ROOF HEATING FIREPLACES y6 `; L METAL IMASRY PWAIER UBLIC I SEWER I MIN NODEPTHI s.r./l00l SIZE( NEW/REPAIR 000 0000 COMMENTS APPROVED GRADING AND RETAINING WALL PLANS ON FILE. AMT WAIVED .00 AMT PAID 52.41 PAYOR NAME: TO, HA VAN PAID 05/04/89 RECEIPT 2443 EMPL: RICHARDS, GARY PAID BY : CHECK NBR : 401 .ICENSED CONTRACTORS DECLARATION I HEREBY AFFIRM THAT I AM LICENSED UNDER THE PROVISIONS OF CHAPTER 9 (COMMENCING WITH SEC ON 7000) OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE, AND MY LICENSE IS IN FULL FORCE AND EFFECT. LICENSE CLASS LICENSE NUMBER CONTRACTOR DATE OWNER-BUILDER DECLARATION I HEREBY AFFIRM THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE LAW FOR THE FOLLOWING REASON(SECTION 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 OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW(CHAPTER 9(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE]OR THAT HE OR SHE 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 [$5001 l: ❑ I,AS OWNER OF THE PROPERTY,OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION,WILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SECTION 7044,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS 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 WITHIN ONE YEAR OF COMPLETION, THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE) I,AS OWNER OF THE PROPERTY,AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT(SEC 7044,BUSINESS AND tg 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 CONTRACTORIS) LICENSED PURSUANT TO THE CONTRACTORS LICENSE LAW). I AM EXEMPT DER SEC. " B. AND P. C. FOR THIS REASON OWNER . / / `� DATF WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM THAT I HAVE A CERTIFICATE OF CONSENT TO SELF-INSURE OR A CERTIFICATE OF WORKERS'COMPENSATION INSURANCE OR A CERTIFIED COPY THEREOF (SEC 3800, LAB C) POLICY NO COMPANY ❑ CERTIFIED COPY IS HEREBY FURNISHED ❑ CERTIFIED COPY IS FILED WITH THE COUNTY BUILDING INSPECTION DEPARTMENT APPLICANT DATF CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE(THIS SECTION 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 CALIFORNIA APPLICANT DATE NOTICE TO APPLICANT• IF,AFTER MAKING THIS CERTIFICATE OF EXEMPTION,YOU SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSATION PROVISIONS OF THE LABOR CODE, YOU MUST FORTHWITH COMPLY WITH SUCH PROVISIONS OR THIS PERMIT SHALL BE DEEMED REVOKED CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM THAT THERE ISA CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3097,CIV C.) LENDER'S NAMF LENDER'S ADDRESS DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION THE CALIFORNIA HEALTH AND SAFETY CODE REQUIRES A DIVISION OF INDUSTRIAL SAFETY PERMIT AS A PREREQUISITE TO PERMIT ISSUANCE UNLESS THE APPLICANT SIGNS ONE OF THE CERTIFICATES BELOW. ❑ I CERTIFY THAT NO EXCAVATION 5 FEET OR MORE FEET IN DEPTH, INTO WHICH A PERSON IS REQUIRED TO DESCEND,WILL BE MADE IN CONNECTION WITH WORK AUTHORIZED BY THIS PERMIT,AND THAT NO BUILDING,STRUCTURE,SCAFFOLDING,FALSEWORK,OR DEMOLITION OR DISMANTLING THEREOF,WILL BE MORE THAN 36 FEET HIGH. ❑ AS OWNER/BUILDER I WILL NOT EMPLOY ANYONE TO DO WORK WHICH WOULD REQUIRE A PERMIT FROM THE DIVISION OF INDUSTRIAL SAFETY,AS NOTED ABOVE UNLESS SUCH PERSON HAS A PERMIT FROM THAT DIVISION. DIVISION OF INDUSTRIAL SAFETY PERMIT NUMBER I C TIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT, I AGREE TO COMPLY WITH ALL CITY AND COUNTY 0 INANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE OVE-MENTIONED PROPERTY FOR INSPECTION PU POSES. z...: SIGNATURE OF APPLICANT OR AGENT . DATF / / EXPIRATION AND REFUND NOTICE APPLICATIONS FOR WHICH NO PERMIT IS ISSUED WITHIN 180 DAYS FROM THE DATE OF APPLICATION SHALL EXPIRE.PERMITS SHALL EXPIRE IF WORK DOES NOT , COMMENCE WITHIN 180 DAYS OF ISSUANCE OF SUCH PERMIT OR IF THE WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS.FEES PAID ARE NOT REFUNDABLE AFTER 180 DAYS FROM DATE OF PAYMENT, EXCEPT FOR ERRORS IN ACCEPTANCE WHICH MAY BE REFUNDABLE UP TO ONE YEAR FROM DATE OF PAYMENT. ALL FEES PAID MAY NOT BE REFUNDABLE. 12-17588-469 Rev. 10/88 Owner Name 1 Permit Num! /0 8O ,30l01-O / INSPECTION RECORD DATE INSPECTOR DATE INSPECTOR Setback I Rough Plumbing Temporary Power I n Shower Pan Test Foundation Reinforcing Steel ."6 1-. i ofit4L Stucco Mesh or Exterior Siding Excavation and Forms D d Insulation F.H.A. Foundation Req. Sewer I a u Slab Grade Interceptor 4I ',A n I' W Ground Plumbing Septic Tank f ) ' Underslab Ducts Leach Line or Seep Pit 1 ,0 Irl (i f Underslab Conduit Water Service n .._J J......./ Fireplace Foundation Lath or Drywall Nailing r i'. r�/- I Joists and Girders Gas Line Air Test -...) .,,L)/',-- Electrical Ground _ Final Energy X Mid-Height Bond Beam '17_g -Rjra t 07 Final Plumbing i� 8-Foot Bond Beam _ L„ w a Final Heating/A.C. F" I I _ Final Bond Beam I-4Fri 'r- 1v y-1-c;7t3 £ F}aL.Ceaea scion 7._�/ -6,,y7 1- n-' Fireplace Bond Beam I' ' Final On Site Improvements I Roof Sheathing Final Off Site Improvements Framing and Ventilation Final Dedication Roof Covering Final Zoning Rough Heating Final Electrical Electrical Service and Ground Final Gas Rough Electrical Developer Fees Paid WC (Y/NI Ind Saf (YIN) _ Certificate of Occupamy '?!b ( Yy eaf Cida,Q[ . 7 ,.Lf_q 0 V /.)-e 0 ,V /FD, k (,/¢.J / 0 i C I, )L r,rAcle• -'1 C. (A)#-// w-r .S 6#,04 '\ i s :.7 ---iii /0 7Z --,.1:e:..:-. I .) ..,t 4, 2.... I / SEPTIC TANK GALS. - SEEP. PIT • X ._ agh 4;n , 1. LEACH LINF WIDE /Ph ' tl la 1M'V..) X LONG X DEPTH OF ROCKU t1 ti s�*Vr n N. Inxttn tI Tki,t`f t u/kkr " " J ,��1J ' tom' ft T I,r�' v '7_10, r L • W. E. -411 I — - /- /; r4 S. Inspector's Signature and Initial,-#7 /A----"P to 12-17589-469 Rev.3/88 LI) "The GeolP0 ogic t" Consultants RAY A. EASTMAN ENGINEERING GEOLOGIST Project No. 346 2990 Miraloma Avenue (710 630-4442 Anaheim.California 92806 March 3, 1987 Mr. Bill. Payne 15094 Sierra Bonita Lane Chino, California 91710 Subject: Proposed Residence Lot 18 , Tract No. 10556 Oak Tree Dams, California Reference : Geotechnical Investigation •,* Dated February 10, 1987 Dear Mr. Payne, Pursuant to your request, we have made an engineering geologic review of the latest grading and building plan ( i.e. as prepared by Doug Dale and dated February 16 , 1987) . The proposed plan is considered to be suitable frau a geologic standpoint. Sincerely, Ray A. Eastman CEG 423 snn/145 tiek‘FI, .; •,; w MARX 2 1987 — to;Lbir.; l'ARTY t- SAN il.F.01A11111NO 17, Top 1111111111 Bottom -,105-SAN BERNARDINO COUNTY-•EPWA/IAND'1°IANAGEMENT DEPT • OFFICE OF BUILDING AND'SAFETY P E RMI T APPLICATION PERMIT NBR 105 88 02633 235A 01 I STATUS: ACTIV THIS IS NOT A PERMIT UNTIL ISSUED APPL DATE 05/04/89 I ISSUE DATE 05/04/89 I PG 1 OF 1 PARCEL NUMBER 1000-271-01-0000 PROPOSED USE: GRADING CURRENT USE: VACANT TRAC T SEC RNG P ACTIVITY : 10556T 1000 1018 I SE25 1025 109W I PRCL 00AP I nRCI COMMUNITY PLANL802 ZONE/LAND USE DISTRICT GENERAL PLAN SUBDIVISION NAME SUBDIVISION PARCEL NO CHINO HILLS CH/PUD LOT DIMENSION IRREGULAR CONST TYPE APPLICANT NAME, MAILING ADDRESS, AND PHONE NUMBER 1$BLDGS ON LOT (GROUP TO, HA VAN AND MONICA 3002 S DEEGAN ST #PLANS RECD 0 LAND USE PLOT 0 (INDEX NBR 12-160 SANTA ANA CA 91789-0000 STD PLAN/ICBG FHA (714) 531 - 3965 GRADING INITIAL ACTUAL OWNER NAME, MAILING ADDRESS, AND PHONE NUMBER CU.YDS. EXC. 1700 TO, HA VAN AND MONICA CU.YDS. FILL 1700 • 3002 S DEEGAN ST SANTA ANA CA 91789-0000 ITEM CNT DESCRIPTION DETAIL TOTALS (714) 531 - 3965 GRADING FEE 232.19 LAND SUB-TOTAL 232.19 JOB SITE ADDRESS TOTAL AMOUNT 232.19 16059 CANYON HILLS RD CHINO HILLS CA 91709-8000 CROSS STREET CARBON CANYON RD INSPECTN ACCESS CONTRACTOR NAME, ADDRESS LICENSE NUMBER DIV. OF IND. SAFETY PERMIT: MINIMUM SETBACK DISTANCES *** PER PLOT *** MECHANICAL EQUIP NOT PERMITTED IN REQUIRED SIDE SETBACKS NO. STORIES INOUNITS. WELLING NO. BEDROOMS FLOOR EXT. WALLS I INT. WALLS CEILING J ROOF 1 HEATING FIREPLACES !) METAL I MASRY +"� % IN , " OS? 1 -tel PUWATER BLIC I SEWER MI000EPTH! S. 000100I0000EI NEW/REPAIR �^ '/ DEPTH' COMMENTS Ir 7' AMT WAIVED .00 AMT PAID 232.19 PAYOR NAME: TO, HA VAN PAID 05/04/89 RECEIPT 2444 EMPL: RICHARDS, GARY PAID BY : CHECK NBR : 401 OCENSED CONTRACTORS DECLARATION • r__-_ - I HEREBY AFFIRM THAT I AM LICENSED UNDER THE PROVISIONS OF CHAPTER 9 (COMMENCING WITH SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND'" PROFESSIONS CODE, AND MY LICENSE IS IN FULL FORCE AND EFFECT. LICENSE CLASS LICENSE NUMBER CONTRACTOR DATF OWNER-BUILDER DECLARATION I HEREBY AFFIRM THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE LAW FOR THE FOLLOWING REASON(SECTION 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 OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW[CHAPTER 9(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE]OR THAT HE OR SHE 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 [55001.1. ❑ I,AS OWNER OF THE PROPERTY,OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION,WILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SECTION 7044,BUSINESS AND PROFESSIONS CODE.THE CONTRACTORS 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 WITHIN ONE YEAR OF COMPLETION, THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE). I,AS 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 CONTRACTORS LICENSE LAW). I AM EXEMP` UNDER SEC. B. AND P. C. FOR THIS REASON OWNER J/'--igIII/...4(:)-----) DATE / / -- WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM THAT I HAVE A CERTIFICATE OF CONSENT TO SELF-INSURE OR A CERTIFICATE OF WORKERS'COMPENSATION INSURANCE OR A CERTIFIED COPY THEREOF (SEC. 3800, LAB C I POLICY NO. COMPANY ❑ CERTIFIED COPY IS HEREBY FURNISHED ❑ CERTIFIED COPY IS FILED WITH THE COUNTY BUILDING INSPECTION DEPARTMENT APPLICANT DATE CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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 CALIFORNIA APPLICANT DATF NOTICE TO APPLICANT: IF, AFTER MAKING THIS CERTIFICATE OF EXEMPTION, YOU SHOULD BECOME SUBJECT TO THE WORKERS'COMPENSATION PROVISIONS OF THE LABOR CODE, YOU MUST FORTHWITH COMPLY WITH SUCH PROVISIONS OR THIS PERMIT SHALL BE DEEMED REVOKED. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM 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 NAME LENDER'S ADDRESS DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION THE CALIFORNIA HEALTH AND SAFETY CODE REQUIRES A DIVISION OF INDUSTRIAL SAFETY PERMIT AS A PREREQUISITE TO PERMIT ISSUANCE UNLESS THE APPLICANT SIGNS ONE OF THE CERTIFICATES BELOW. ❑ I CERTIFY THAT NO EXCAVATION 5 FEET OR MORE FEET IN DEPTH,INTO WHICH A PERSON IS REQUIRED TO DESCEND,WILL BE MADE IN CONNECTION WITH WORK AUTHORIZED BY THIS PERMIT,AND THAT NO BUILDING,STRUCTURE,SCAFFOLDING, FALSEWORK,OR DEMOLITION OR DISMANTLING THEREOF,WILL BE MORE THAN 36 FEET HIGH ❑ AS OWNER/BUILDER I WILL NOT EMPLOY ANYONE TO DO WORK WHICH WOULD REQUIRE A PERMIT FROM THE DIVISION OF INDUSTRIAL SAFETY,AS NOTED ABOVE UNLESS SUCH PERSON HAS A PERMIT FROM THAT DIVISION. DIVISION OF INDUSTRIAL SAFETY PERMIT NUMBER I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT, I AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE SBOVE-MENTIONED PROPERTY FOR INSPECTION PURPOSES. IGNATURE OF APPLICANT OR AGENT /�1'r'1/1 DATE // • I EXPIRATION AND REFUND NOTICE APPLICATIONS FOR WHICH NO PERMIT IS ISSUED WITHIN 180 DAYS FROM THE DATE OF APPLICATION SHALL EXPIRE.PERMITS SHALL EXPIRE IF WORK DOES NOT COMMENCE WITHIN 180 DAYS OF ISSUANCE OF SUCH PERMIT OR IF THE WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS.FEES PAID ARE NOT REFUNDABLE AFTER 180 DAYS FROM DATE OF PAYMENT, EXCEPT FOR ERRORS IN ACCEPTANCE WHICH MAY BE REFUNDABLE UP TO ONE YEAR FROM DATE OF PAYMENT. ALL FEES PAID MAY NOT BE REFUNDABLE. 12-17588-469 Rev 10/88 Owner Name I •__ Permit Numl,D/or-8'6v—d a55-nal)/ INSPECTION RECORD• DATE INSPECTOR DATE INSPECTOR Setback Rough Plumbing Temporary Power Shower Pan Test Foundation Reinforcing Steel Stucco Mesh or Exterior Siding Excavation and Forms Insulation F.H.A. Foundation Req. Sewer Slab Grade Interceptor Ground Plumbing Septic Tank Underslab Ducts Leach Line or Seep Pit Underslab Conduit Water Service Fireplace Foundation Lath or Drywall Nailing Joists and Girders Gas Line Air Test Electrical Ground Final Energy Mid-Height Bond Beam Final Plumbing 8-Foot Bond Beam Final Heating/A.C. Final Bond Beam Final Construction Fireplace Bond Beam Final On Site Improvements -+ -' A.s -4 Roof Sheathing Final Off Site Improvements Framing and Ventilation Final Dedication Roof Covering Final Zoning Rough Heating Final Electrical Electrical Service and Ground Final Gas Rough Electrical Developer Fees Paid WC (YIN) 49 Ind Saf (Y/N) Certificate of Occupancy s ,-*•> .,r c✓%t r'/ i 44,6,1/ x740' rd T-7O c •.� ��-l C c, 011 � -`--t �'c v-�z .(e c 0-7c - 4,24 I- ., rte.r•, SEPTIC TANK GALS. `� +\1Y� °t A'�r`/ SEEP. PIT X �a • re-v f?r, ',7, LEACH LINE WIDE V°i� i.`:: . n1 A'- " X LONG X DEPTH OF ROCK � { v l '/erJ/ —7 U N. tk? PJSk. 7 to U. W. E. .7,17/?( / T7'54 — S. Y 7.B �� 116.4/1°"'N., / Inspector's Signatur and Initials 12-17589-469 Rev.3/88