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City of Arcadia, CA Permit No RALT-19-1321-
' Development Services Department ! ^ j 1,,---tPermitType:Residential'Addition/Alteration
240 West Huntington Drive,Post Office Box 60021 i ' ^- fr% • �' " F
i Arcadia,CA 91066-6021 ` t , I °Work Classification:Res-Window Change-Out ;
(626)574-5416 . *.i - _ Permit Status:Issued
ARCADIAissue Date'0 /11/2019I Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1866 Highland Oaks DR Arcadia,CA 5765014015
Contacts
WALT KEENLY Owner GREEN WORKS CONSTRUCTION& Contractor
1866 HIGHLAND OAKS RADL DESIGN INC*
(888)513-8444 936962
Description: 18 RETRO FIT WINDOWS WITH MARVIN Valuation: $ 5,000.00 Tenant
INTERGRITY WOOD ULTREX PER HOA APPROVAL A-23-2019. **
FIRE ZONE AREA ALL WINDOWS BOTH PANES TEMPERED** Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $349.35
Building Permit Fees $153.75 Cash/Receipt#REC-01794-19 $349.35
Building Plan Review Fee $99.94
Cal Green Plan Check $10.00 Amount Due: $0.00
Energy Plan Review Fee $30.75
Green Building Standard $1.00
Solid Waste Management Fee $6.25
Strong Motion Inst.Program Res $0.65
Total: $349.35
CALLS FOR INSPECTIONS
64/S 4 E>cr. LA-7W OP.6•/9 5 Request for inspection by telephone at 626-574-5450. Leave a message
requesting the address,timeframe and what inspection item is needed.
RNA"— (47.24.(9 'x— \
This permit/plan review expires by time limitation and becomes null and
void if the work authorized by the permit is not commenced within 180 days
from the date of issuance or if the permit is not obtained within 180 days
from the date of plan submittal.This permit expires and becomes null and
void if any work authorized by this permit is suspended or abandoned for 180
consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
C®.,
in
9.4)
July 11, 2019
Issued By: Date
July 11,2019 Page 1 of 1
4 ,mar 1* PERMIT/PLAN REVIEW APPLICATION
ora gl j, Development Services Department,240 West Huntington Drive,Post Office Box 60021
Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 I
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in fullforceand effect. 0 I have and will maintain a certificate of consent to self-insure for workers'
I
Signature of Contractor /License Class License No.CM 9 2.Exp. Date97Y/ 'I' compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My grker ' pensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, I Carrier r
a W65-fr.
demolish,or repair any structure,prior to its issuance,also required the applicant f7 cf -
•
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number ,a�U G C ) J
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
0 I, as owner of the property, or my employees with wages as their sole forthwith comply with hose provisions.
compensation,will do the work,and the structure is not intended or offered for
sale(Section 7044,Business and Professions Code:The Contractors License Date '7 - ) Signature �C
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage,is unlawful,
sale.If,however,the building or improvement is sold within one(I)year of and shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees.
❑I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Section 7044,Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures.
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909) 396-2000 for
further information. l{
ecin �— I
Name IAC 1 Title (IQ�Q n.
INT NAME
I certify that I haveread this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the a.. •-mentioned property for inspection purposes. '"'�
(Signature 1Date L / I
•
APPLIGATIDN FOR HOMEOWNER ASSOCIATION FILE NO A Z 3- 20?'1
asrFtlao. .
ARCH.TECTURAL DE§(GN Rt-14711v• •' toac - e
(SHORT REVIEWRO
PCEDURR) 4 .. Q�
PROJECTADDRESS: 1866 Highland Oaks Dr ve,Arcadfa CA 9100&;
PROPERaYOWNEA'SNAME': Joanne gimttay..2
' , `ADDRESS:(1 DIFF✓RENT) t ,,.,
T'IEel 8886134441? '), E-MAIL ADDRESS% Wo�greem{ct s.constnxdoncom
PNO. N
C crj; Groenworke construction=
APPLIyAtST NAf}riE(IF¢IFFERE • •
ADDRESS: 1036i Venture•Blvd guile 222 Woodlbi d miiitir CA 91384'1
TELEPHOfj NO-:•888-Sta44441 .
NIHIL'ADDP.E3t:tMocgraetswcdomrowrksconca
^f
•
r DESORii ioldo PRO4 OT (Check,all'that apply) , ,,. ';,r • t ?.
'I r et Window Ro laooment
n ((ticlude mgnUfacturer name end,style) re
Man,m'lnm h Wood URroi Oasamnnt
0 ,Singh--story remfode(and/o, additian(sa '
0: Detached'accessory satcture(s): neiht additions to andlor famodels�
t 'Lt Fences anu for walls in andlo,fstinp( a ti vtaible from)front and street:side'yards ,
' j Harascape,-Iandscapfng and atnfchtrai elements in front and street sido,yard inciudira vdfhnu:
rtmltaUon.swimmingpaols spas fountains arid`othenwater)eatures. '' f '
[] Fences, iighai, and other',features related,to tennis courts:,,port courts a otnec;afgnsicant
paved features
t' Palnting,(exterior only) , Manufa"cturer sname .. ;
Primary calor °( : ,Trim_ ;,Accent ,' '
C�, Mechenicahequipment •
Q' Roofing(incl'ude manufacturer name and style),
r4
t
ACTION 8•FINDINGS^
1'�' Approvdd The project:!'conalstent.with alt applicableguigelines
`
• U 'Conditionally,Approved.-!With fhe fotlowmg eopns
dtdo ,tho:,project'will be conoiotcnt with ail,
'- appllcableguidelines!- .y " ` i, ,
:/±0.'' < .:,i• 4 ' : , , i''''' iwlUtthe IcillOv;lok guidefine(at, ..
6t4Na Hoare': . �.^
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Initials of PR'° ,cope°`GDate and :CS Notes —
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NFRC VALUES
U Factor 0.27
Solar Heat Gain(SHGq 0.20
VisualTransmlance(V1) 0.46
Con densasion Resistance 5759
(CR)
Energy Star N,NC,SC,S
Energy Star Canada 1
UFactorCanada 153
Sound Transmission Class 28.31
(srq
OutdoorMtloor 24 27
Transmission Class(OR)
l
FILE NO. A - 72-- 201 8
DATE FILED
IltC 2 7 2618
APPLICATION FOR HOMEOWNER ASSOCIATION
ARCHITECTURAL DESIGN REVIEW
�} / (SHORT REVIEW PROCEDURE)
PROJECT ADDRESS: I rJ6 `O 'IA16444p. m OAKS , ARC ND/ A
PROPERTY OWNER'S NAME' V V AL't ^Et IJ I-Y
ADDRESS(IF DIFFERENT):
TELEPHONE NO . E-MAIL ADDRESS.
APPLICANT NAME(IF DIFFERENT).
ADDRESS:
TELEPHONE NO. E-MAIL ADDRESS:
DESCRIPTION OF PROJECT(Check applicable):
1g Single-story remodel(includes window replacement)and/or addition(s) CAI' PORT A 0 0 (T I Ohl
❑ Detached accessory structure(s)and/or Accessory Dwelling Units—new, additions to,and/or remodels
❑ Fences and/or walls in and/or facing(i.e., visible from)front and street side yards
❑ Hardscape,landscaping and structural elements in front and street side yards, including without limitation,
swimming pools, spas,fountains and other water features
❑ Fences,lights,and other features related to tennis courts,sports courts or other significant paved features
❑ Mechanical equipment
Roofing Naw ROOF To fyp,TCN E'tfo'IIoJG.
iAION&FINDINGS:
Approved—The project is consistent with all applicable guidelines
❑ Conditionally Approved—With the following conditions,the project will be consistent with all
applicable guidelines
0 Denied—The project is not consistent with the following guideline(s)
By ' r:. ARB Chairperson Date
i n. —{'b(y — [4t' vv.;
taaL''+PiLR!F2DS t!"
!!!4E OWNERS
/ .r 1
iiii._,
6/17
PROPERTY LINE 19P
R
MCN9C DRIVEWAY PROPOSED CARPORT
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EXIST SINGLE MAW I i in ' 3
DWELLWODRIT EMT°A'0.I ^• } ifQWVc 9gg1 gy 31 W
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(E)POOL "N 1
L._ f= ' a
WALL
_ _ PROPERTY PTE 190 1:I
GENERAL INFORMATION "' �`�' �` - cc
ON PROPERTY f r r'-'1E7) FLr'-.N S
&LEGAL DESCRIPTION • RS
��,. ,�„wE „` �a,�
OF PROPERTY _ _ E Oi` E --
au V -- ...., .4
~CiAYE
Owner. Walter Remy C. X71, ._ ...mew
HighlandOAb ��,
MNIIY S��S G
Arcadia,CA 91006 8Y /-�sr. ,
PLOT PLAN
SCALE 9/A IV' D.
MN: 3963-014413 • - - _` - F
G
TRACT N17853
LOT IIS I _ N_OT_ES_ SCO_P_E OF WORK SHEET INDEX VICINITY MAP R'
TUE casmocnoNPEEmM.YWrm — _ _ __-__ -
TRH eaWECITSTECTATmCTD@T1R r New 26'x24'-4"Cavort attached in to A0 PLOT PLAN the
LOT SIZE: 17.089 SF APPLICONNISACQPIPD. Al PLANS et P 'Uwe
EXISTING HOUSE 2,525 SF MI6CATORMA RLILEIN0uSm
E- LEPTTSGr2 I eciEtiD&&�Se AlA2 ELEVATIONS&PHOTO5 '.x,.1
' 16001:100CRON EL!t=i9100.1DARYSOSDF, y..R
EXISTING 2-CAR GARAGE 400 SF m95D,PARTII
'A16G.1)000MOWS0000111 IU.PAW 6
PROPOSED CARPORT 620 SF
X16�°m''A"LL' `TA6 -mxuvAnv
2014 CALOORNIMIECIPSAL COOP.7111221.0.11T
r
2416CAL5004 NCODE-TLILPAO
M16 010000.A inattIo WD9.TT11EUTn -2016MSpOILL1AThHIYnYpL°.TRIEHAWS
alarm "�%��'Ts �y.sto. I
•`•1t'. 1 'y 'yrs }yi' - ^ is itt, Ti
Cv�
. �-first 'q± i2} ' ! 'd qT Aa a 8
r VV e'' 9v 4 y'�. c _
a �"}' aro -_ 1, � �5
�> + k
isar � ,F ) . , 1113
' EXISTING FRONT ELEVATIONS
(NO CHANGES) F .u�iF'APPROVED ^ SyY
yyttiinyyal000 Nona qp8c
' _ ArWave'a �i 3 `jt 27 Zo
7
d IL c dr tl'h} /—:- e 4.i .:. -f ry j. rr 'n F iF. (. UI
�LY..;
\ „ f i
f'J
PROPOSED NORTH ELEVATIONS
scale 1/4"=1'-0”
� ti�Rt' ‘.:.:1 o f . c i
Rs
....... e aLY O
ttr
. l9
r ; ir.r.�.� w 0
t. I r A '; Jj Z. P 44 j
)
.j
"• wn 'G':° "` ) PROPOSED EAST ELEVATIONS
EXISTING GARAGE NORTH ELEVATION EXISTING GARAGE EAST/NORTH ELEVATION scale 3/4"=1'-0"
A2
•5'
Permit No. MEP-19-1216
ebo4 city of Arcadia, CA :;- •� 1 - -
1��/�j Development Services Department )� 1��✓�� }, L; Permit Type:MEP
`'ter f 240 West Huntington Drive,Post Office Box 60021 _ ; ) ,t 4 t i i [ r
W;! Arcadia,CA 91066-6021 ;_ I 1 ;_ It ( t Work Classifications MEP-Residential
(626)574-5416 Permit Status:Issued
ARCADIA _/ Issue Date:06/26/2019 ' Expiration:
Addr NO. Dir Prefix Street Namkr tOtLrJu Unit City,State,Zip Parcel Number
1866 Highland Oaks DR Arcadia,CA 5765014015
Contacts
WALT KEENLY Owner GREEN WORKS CONSTRUCTION& Contractor
1866 HIGHLAND OAKS RADL DESIGN INC'
(888)513-8444 936962
Description:REMODEL 1 BATHROOM.(EXISTING LAYOUT TO Valuation: $ 0.00 Tenant
REMAIN) Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Electrical Permit Issuance Fee $47.01 Total Fees $203.51
Lavatories $13.21 Cash/Receipt#REC-01650-19 $203.51
Light Fixtures $4.89
Amount Due: $0.00
Mechanical Permit Issuance Fee $47.01
Outlets-Receptacles&Switches ' $6.52
Plumbing Permit Issuance Fee $47.01
Shower $12.46
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00
Solid Waste Management Fee 2 $1.00
Ventilation Fan(Single Duct) $9.94 CALLS FOR INSPECTIONS
Water Closet $12.46 Request for inspection by telephone at 626-574-5450. Leave a message
requesting the address,timeframe and what inspection item is needed.
Total: $203.51
This permit/plan review expires by time limitation and becomes null and
l tNA (° 2 T'/9 void if the work authorized by the permit is not commenced within 180 days
from the date of issuance or if the permit is not obtained within 180 days
from the date of plan submittal.This permit expires and becomes null and
void if any work authorized by this permit is suspended or abandoned for 180
consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
June 26, 2019
Issued By: Date
June 26,2019 Page 1 of 1
%V AR
OU.'iur.t4•♦ ' I1.
-. k 1 PERMIT/PLAN REVIEW APPLICATION
o ill' Development Services Department,240 West Huntington Drive, Post Office Box 60021
Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
I License Class License No.A369E Z Exp. Date"'.3 4 compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
"e-----"
Signature of Contractor
OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
is issued.My workers'compensation insurance carrier and policy numbers are:
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, Carrier ,S
demolish,or repair any structure,prior to its issuance,also required the applicant I` Policy Number S NU W C.0 I y 3440s.
for such permit to file a signed statement that he or she is licensed pursuant to the (Chis section need not be completed if the permit is for one hundred dollars or less)
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 there from and the basis for the alleged exemption. Any violation of ❑II certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwith comply with hose provisions.
compensation,will do the work,and the structure is not intended or offered for
sale(Section 7044,Business and Professions Code:The Contractors License Date �'26 ' l Signature
Law does not apply to an owner of property who builds or improves thereon, .
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(I)year of and shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the labor Code, interest, and
attorney's fees.
❑I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Section 7044,Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that them is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures.
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for
further information.
Name Rchnn•t tL V ha41I a- I Title A q�.n*
J PRINT NAME I
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes. I
1 Signature )Date 2 6 ' i q •
Iwo #1 tf omis >2
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. I / r- 17-1 (0 Z IP
100. Setbacks 210. Under fir./bldg.drain T7,22.17 c--L-• - `
101. Rough grade 211. Copper underslab
102. Fos.&fors _ _ 212. Rough plumbing 1-220 °'
103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan 9.10.-t9
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service
109. Roof nailing 219. Final gas
110. Framing 220. Fixtures
111. GcciArea Sept.Wall 221. Final plumbing loi'f•l9
112. Sound walls 222. Sewer cap/demo.
113. T-bar grid --
114. Insulation-Fr. Pool Inspections Date I Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing
117. Drywall nailing b•1,•19 C- 242. LightshelUbonding
118. Interior lath •4. 19 2` 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test
121. Final building (o•11.19 246. Fence,gates&signs
122. Final demo/ot clear 247. Pool heater
248. Final electric
Electrical Inspections • Date Insp. 249. Anal•lumbint
150. Power pole 250. Pool cover -
151. Sales lot lighting 251. Pool final
152. Under.roundcondu0
153. Underslab conduit Bernd Inspections Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical 7.22•l9 272. Sheathing nailing
157. Fixtures 273. Anal retool
158. G.F.C.I.
159. E.O.bondin! Sign Inspections Date Insp.
160. Service panel 280. Setbackloverhang
161. Final electric )O.Zrf•19 281. Footing
282. Conduithvirin,
Mechanical Inspections Date Insp. 283. Disconnect -
180. Venting/flue _ 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC Miscellaneous Insp. Date Insp.
183. Fre dampers 290. Fre alar
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commerdal hood
190. Duct shaft Sewers&Offsite Insp. Date Insp.
191. Final mechanical - 300. Lateral(main to P/L)
301. SaddleN
Block Wall Inspections Date Insp. 302. Cess...l filled
200. Footings 303. Sidewalk
201. SteeVrebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Anal wall 306. Trash bin