HomeMy WebLinkAbout428 ENCLAVE CIR - Building Permits�� -, . .
; ,
Job Address: 428 ENCLAVE CI StaWs: ISSUED
Suite: . Applied: 05/04/2007
Vicinity: Issued: OS/10I2007
Primary Occ: R1/U1 Type of Construction: V-1H
Parcel Number: TPN007052 Zoning:
Appiicant PEGGY BLOCK
Address: 8 EXECUTN� CIRCLE �
Phone: 714-557-0244 ISSUED BY:
IRVWE,CA . " � -. ..Zip: 92614e._
Owner THE IRVINE COMPANY " � ,
� _
Address 110 INNOVATION'-� � - � � � � - , �,.
- -: '. ` �. . -�l 1 : Phone� ��'949-720.5536� - � ��
IRVWE�CA . , , �� . Zip:-" 92612 .. J ' �
'� . .. .-. . . _ _ . , . .
Contractor: WESTERN NATIONAL CONTRACTORS - - �
Address: 8 EXECUTIV� CIRCLE � `- � � . � ,
. . Phone: 949-862-8142 - .
IRVWE,CA%�� � ' ' ,� �- - -
� Zip: 92614 ' License: 840973 � � �'
r� ., _,� �
Arch : THOMA&P,.COX Eng: ��•,:�`_ .� � ,, ,�
Address: 19782 MACARTHUR BLVD Address: .. � � � �
SUITE 300 _ Phone: 949-�862-0270 �� � ' ' " � '�� • Phone: � " � ���
IRVWE, CA _ - . . � � �
�� , Zip: 92612 , � License:'>� �- ��� ' - - � License: ��
, . , . . -' . _. ; , . . ,
� . • SCOPE OF PERMIT' : .
PHASE II: TYPE 3A � ' � � � � ' " �
, ,
� NEW 76,196 S.F. MULTI-FAMILY DWELLING W/ATTACHED 6,241 S.F. GARAGE, 851 S.F. DECK, 1,530 S.F. BREEZEWAYS, 2,208 S.F. .
STAIRWAYS/CATWALKS, AND 376 S.F. UTILITY ROOM�. 20 APT UNITS AND 21 GARAGES.' �
' � ' . , - ` _ . .. _ . . ' i
- ' FEE SUMMARY- ' ' .— �
Plan Check: . $1,569.79 Calc Valuation: $z,�os,zoa.00
Permit: $9,660.25 Claim Valuation: �z,ios,zod.00
SMIP Res:.: $210.92 ' - - . =�a --- '
SMIP Com; ' � $OAO � .:�. _ ' —" %:.- —, „�'"— - � ` � ' '
H :.
� Other � $0.00 � , , �
Inspection: �, . $0.00 . . � _
: , Total: �� $11,440.96 � ' �-' � , � -
. �, .� � �
� ' ��; � r�; , �'.PLANNING &ZONING �- j i , . �
SETBACKS , , ; � ,
�� • s,?.`, C_ �, �'.; �- , i,� �
MAIN STRUCTURE Front�, 0-0 � - ��Rear�' � 0-0- � Lefl 0-0 �" � Right ; : 0-0; � ,
. . F/ ` =i�. -
ACCESSORY � � Front '0-0 ����Rear 0-0 Lefl 0-0 � "" -"Right , 0-0.- ,' . - .
PARKING �Ezistina:., � o � � Reauired' � 0� _ � � `� Pr000s"ed:� 0 " � -
� , - _ . , r:.
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
' requlred Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2446d6 I6/00)
WORKERS'COMPENSAnON DECLARAnON: �
I hereby eflirm under penalry oi perjury one of the following daclarations:
❑ I have entl will meintaln e ceNtiwte oi cansent to setl-Insure tor workers' compensation, es provided for by section 3700 ot t�e Lebor Code, for the peAormance of the
work tor which this permit is issue0.
❑ I have and will maintain workers' compensetion Insurance, as reqWred by section 3700 ot the Labor Code, for ihe pertortnance ot the work for which this pertnit is issuetl.
My workers' compensatlon Insurence wMer entl policy number ere:
Camer: Liberty Mutual PoiicyNumber: WC:�-'IR(�_�F47(1-(l�fi
(Th/s section neetl not be comp/etetl i! the permit is velued ef one huntlretl dollars ($100) or IeuJ
❑ I certity that in Ihe pertortnance of ihe work for which this pertnit is issued, I shall not employ eny parson in eny mannar so as to 6ecome subled to the workers'
wmpensetlon laws of Iifomla, entl agree t t If I should become sublect to Ihe workars' compensation provisions of Se tlo 3700 of t�e Lebor Code, I shell Iorthwith
comDly with these pr I ns. /) 7I
cant Signeaure: �- p ��h/Xvl �`--� fMte:--., y �� i ��
YVARNINQ!FAILORE'TO SECURE WORKERSCOMPENSATION COVERAGE IS UMAWFUL AND SHALL SUBJECT AN EMPL�YE�R•iETCR11NIdAL'PENALTIES AND pVIL FlNES UP TOONE HUNDRED
T710USAND DOUARE (5100.000). IN ADDIT1qJ TO TME COST OF COMPENSATION, DAMAGES AS PPOVIDED FOR IN SECTION 31O60F THE LABOR CODE, IfJrEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATON:
1 hereby eHirm thet I em Iicensed under provisions oi Chapier 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code, end my license is in full
torce enC ettact. uaJ!_ 8409'73 n Class s R _
CONSTRUCTION LENDING AGENCY:
❑ I hereby eNirm thet there is e consiruction lending agency for the pertormance of Ihe work for which this pertnit is iuued. (Sec. 3097, Civil Code).
Lendefs Neme: Lendefs Address:
Signature:
OWNER-BUILDER DECLARAT10N5:
Date:
I hereby eftirtn ihat untler penalty ot per�ury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions
Cotle: Any ciry or counry which requires e permit to construct, elter, improve, demolish, or repair any strucWre, prior ro its issuance, also reduires ihe epplicam for such permit
to flle a sipnetl atatement lhet he ar she Is Iicensed pureuent to the provisions ol the Contractors License Law (Chapter 9(commencing wit� Sadlon 7000) of DivLslon 3 of the
Business end Professions Code) or ihet �e or sha Is axempt therefrom antl the 6asis tor the allegad exemption. Any violalion ot Sectlon 7031.5 by eny applicent tor e pertnit
subjects �he applicant 10 a clvil penelry af not more Ihan fWe huntlred Collers ($500)J:
❑ I, as owner oi the property, or my amployees with weges es thelr sole compensation, WILL DO THE WORK, end the siructure Is not inlandetl or oHeratl tor sele (Sec.
7044, Business antl Professions Code: The Contractors License Law tices not aOPh �o an owner of properry who builds or improves ihereon, and who tloes such work
himself or hereett or through his or her own employees, providad that such impmvements are not Intended or oNered for sale. If, however, the building or improvement is
solO within one year of completion, the owner-builder will have the burden of proving ihat he or she did not builtl or improve for purpose ot sale.). '
❑ I, as owner of the pwpetly, em E%CLUSIVELV CONTRACTING WITH UCENSED CONTRACTORS to consiruct the projact (Sec. 7044, Business entl Professions
Code: 7he comrectors Ucense Law does not epply to an owner of propeny who builtls or Improves thereon, antl who wntrecis tor such prolect wlth a contracbqs)
Ilcense pursuant to the Conirectors License Laws.).
❑ I am eaempt under sec.
SignaNre:
Owner ID veritied by drivers license. ❑ Ves ❑ No
Business and Professions Cotle for this reason:
Vedflcetion oi Ownership by (rype ot OocumenL i.a. � pmparty taz bill or deed):
Drivers LicenSe No.
Data:
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICA710N:
❑ I hereby certity that no eacevation five (5) or more feet in depth into which a person is required to descen4 will be matle in connection with work euthorized Dy ihls
pertnit, and ihat no building structure, scaHolding, falsework, or demolition or dismantling thereof, will be more than thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
3d1, Title 8, Celifomla AOministrative Code).
❑ As owner-buildar, I will not employ anyone to tlo work which would require a permit irom the Division of Industnel Safery, es notetl above, unless such person has e
permit to do such work trom the tlivision.
Signature: Date:
Division ol Industnal Sefary Pertnit Number:
CEHTIFlCATE OF COMPLIANCE AND AUTMORVJITON OF ENTRY: I certify under penalry of Oeryury ihat I have read this applicetion end stete that the infortne�ion given is
correcL I agree Io comply with all stete laws end ciry orCinances relating to building consiruction, and authorize representatives ot the qry of Casta Mesa to enter upon Ihe
eDova-described property lor inspection purposes. I agree not to acupy or allow occupancy of any building euthorized by this pertnit until final inspectlon.
COOE I. INSPECTIONTYPE
1616 Fixetl System Flnal Fire Prevention
1286 Pool Spa Final
200 Final Re-Roof
201 Finel BIocWReteining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
QLij� �$ S.QQf.j INSPECTIONTYPE
206 Final Mechenical
20B
210
212
220
222
Final Plumbing
Final Electrical
Finel Flre Prevention
Final Planning Approval
Final Site
250 Final Building/Occupancy
�
� `.'� iv� ll��
' ; . . o / „J�f,' ;_ri.:t"n
.�-.�� ... . - .. , f �'v
NEWPORT-MESA UNIFIED SCHOOL DISTRI p!° E62 ]
�MAY11
CER7IFICA7E OF COMPLIANCE OF DEVELOPMENT FEES 2OOJ
PURSUANT TO AB 7600 AND AB 181
To: (!y City of Costa Mesa
( ) City o( Newport Beach
( ) County of Orange
Applicant:
Address:
Telephone
��
CITY OF COSTA MESA
�
Disbiet Receipt No.
Plan Check No�7 r�
TracUParcel and Lot Number(s):
Location of Project:
Number of Square Feet of:
Residential Space
Commercial and
Industrial Space
CommerciaVlndustrial Projed is: (Check O�e)
Warehouse
R&D
Movie Theater
Mini-storage
Heavy Industrial
Regional Shops
Light Industrial
_ This project is exempt because
l �"Y�'�"' x E1.84
zS.30
_ Motel
8ank
_ Neighbofiood Shops
_ RacqueVHealth
_ Hotel
Medieal Offiee
Office Park
l�/
Tofal � � ` � �W ~
Total
Preschool
Auto Repair
Hospital
Large Office
O1fice Bldg.
Restaurant
Fast Food
This certifies that the above-named Developer/Appficant has paid school faakty (ees in compNance with Government Code sec6ons
53080 and 65995. The Building Pemils for this square footage in this proposed devebpment may now be issued by your jurisdie6on.
Checks are to be made payable to Newport-Mesa Unified
The above represenfation as W square footage is true. Appticant aprees that ii k is later determined that such representations are not
true, th Mis certificate shall automatically terrrinate and the appropriate Cily/County shall be noti6ed.
Date: v`<<�� /\ 1T�u Y/1✓I �Cl-^���
/ AooGuM
ARNET ENGINEERING, INC.
1577 Nortlz Main Street, Suite A
Orange, CA 92867
(714) 379-3789 Fax: (714) 379-8024
FAX TRANSMITTAL COVER SHEET
FAX TO: Western National FAX NO: Hand-Delivered
ATTN: Bob Hernandez
DATE: 6/ 15/07
FROM: Beat Arnet TIME: 1:00 pm
PROJECT: Enclave / The Irvine Company
428 Enclave�Building Permit No. B.OZ00595.7
Total number of pages is 1, including this cover sheet
(Please call if you do not receive all pages, or if transmission is illegible).
MESSAGES/COMMENTS:
Dear Bob:
The "Structural Observation" per UBC 1702 regarding strand and rebar layout
was performed by me on June 15, 2007 on the following portions of the Post-
Tensioned Slab-on-Grade of the above referenced project:
Building 12 (Type 3A)
The installations are in general conformance to the plans.
Feel free to call me, if you should have any question.
Sincerely,
ARNE NGINEERING, INC.
B�t Arnet, P.E.
cc: Roberto Ortiz Fax 997-3857
q�„ C�40�r�; : `�L':;'r
�p ��t�.313i;�i� a ,�;.
Hard copy is NOT being sent: X Hard copy IS being sent:
DALE CHRlSTIAN/
STRUClUW�L ENGINEER, 11VC
CONSULI7NG & DESIGN
1748 Wes[ Ka[ella nv�ln�e
Suite 2Q8
Orange, G'. 42867
714 997 I) 45 714 997 3657 FAX
Gdalechristian.corn>
DCSE, lnc. Job Name: The Enclave Phas¢��—'�
DCSE,Inc. Job #: 060G0
FIELD OBSERVATION LOG
(SEE NOTES BELOW)
Arrival at Deparlurc from Bldg. Type & INIiaM of
Date Enginecr Irems Obsmed end Locatione Status
Jab Site Jab Site Btd .# Su ariMeiMent
❑,ok
�� S�A�
�(U �/ `f �. b� / :.� p #/z
i 1 I`�� O,Needs
��/t �i-N�EET�NG W( C�/kn1C� ��33 .
eEd'R Wo�lc
❑, ok
O,Needs
atlEIL WOAc
❑,ok
❑,Neads
addiC Work
❑,ok
❑,Neetls
addl. Wak
NotRs:
I: p minimum of 3-I2 hrs. will be chnBed tor each end every visi� to the job site.
2: Th�s fortn is anty (or edministrative purposes and do�s not indicete struoturel eppmvel ofanybuilding. Ifbuildingcantortnance IeUer is
iequired, supednicndmt should coneecl fhe enAnea of reco'd et Dale Christian'e office. •
.
Jun,18 07 11:08a
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...., ..6..�� e
Working:
Author.
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V�.6 r 1 v� c.CCU 2�G nc� W7 �� aAA �
�ev� .��-�-� %M e0 c�rl 5. �--C �a
e��otc�•�tP�✓-�- i'S r�ow ir� a
1 n�l_ a� �S, �.�,5�"i u� fra -� n�py
/� C;� �f�Sf4 �
l.�C�I���Qf� i��P. ��A! �
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Day.
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Hours �
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C�o�- oo�� i 13�� l� Yoy E..�ru
FIELD REPORT
W�ite - Filo Copy Ydlow - Clienl Copy
Pege � of �
��_
Reeeived by: �
NMG
NMG GEOTECHNICAL, INC.
iws
Pink - ClirndAgency Copy Gold - Fidd Copy
��.��� �
.�, � � -�. � ..�
N E E R 1 N G
June 13, 2007
Inspection Division
City of Costa Mesa
Building & Safety
77 Fair Drive
Costa Mesa, CA 92628
Attention:
Subject:
City Grading Inspector
Civil Engineer's Certification of Compliance for Top of Forms
Project: Grading Pemut No
Building Site:
Buildings:
Job Address:
Owner:
Work Completed:
G06-00029
Enclave
12 & 13
450 Anton Blvd.
IAC
June12,2007
:;,•;.._.
��:: ;5;�.,«
:nie��d `����7i:.,
°cin� Sprir:gs
In accordance with the City of Costa Mesa Grading and Excavation Code and the
requirements of the Building Code, I certify approval of this project as outlined above, to
top of bldg forms. Top of Forms has been completed substantially in conformance with
the approved grading plan for this project and in full compliance with said Codes.
Certification includes horizontal and vertical control and positive building pad drainage.
This certification does not include approval.ofthe placement and compaction of
earthwork within the purview of others.
Sincetely,
FUSCOE ENGINEERING, INC.
/�,._• ��
Trevor Scott Dodson, P.E.
RCE 42029
Exp. 03/31/08
dPOFESS/Q�
'y�oPgCOTT��NI
� No.42029 z
*
`��9�, CIV11.
�OF CA�
*
16795 Von Karman, Suife 100, Irvine, Califomia 9260h = tel 949.474.1960 tax 949.474.537 5- www.tuscoe.com
Name:
�(
.., �
. �� (�o�,� - �-
r i � Date:
D...{onf 1.Ir. V� O
�;� � � v Gj �Q I Permit No. i') fl%- 0
2
7he footing excavations listed above were observed and probed and found to bottom on f rm competent
• bearing material.
�` � 7he above listed slab subgredes were observed and tested and found to have satisfactory moisture
penetration to the recommended depth, and were found to be firm and dense.
�i7he above listed interior trenches were observed and found to be backfilled with clean sand which were
densified by jetting and flooding with water.
❑7he curb and gutter I street subgrade listed above was observed, probed and tested and found to be firm
and unyielding with a minimum of 90% relative compaction.
❑7he aggregate base listed above was observed and tested and found to be firm and unyielding with a
minimum of 95% relative compaction.
❑7he retaining wall backdrain listed above was observed and fiound to be installed in compliance with our .
recommendations.
❑7he subgrade listed above was observed, probed and tested, and found to
be of firm bearing soils, adequately presaturated per our recommendations.
Remarks:
m
Notes:
iC/.�he observations reported above do not constitute an approval of foundation locatioq footing size or depth,
reinforcement or foundation design.
. Debris and slough should be removed prior to placement of reinforcement or concrete.
NMG
FIELD MEMORANDUM
NMG
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa��TRICAL PERMIT �� FAIFi DRIVE, GOSTA MESA, GA 92626
Job Address: 42H ENCLAVE CI
Suite No
Vicinity:
Parcel Nunmber: TPN007052
,4pp�icant: PEGGY BLOCK
Address: 8 EXECUTIVE CIRCLE
Phone:� 714-557-0244
IRVINE, CA . � " Zip � -` 92614� " - , -
., • . - . _, . , ,i . ' ._ ,_
`
ownec THE IRVINE COMPANY � ' '
, `�
Address 1101NNOVATION , � . . ' . �
� � � � � � �Phonei 949-720-5536 ' -
IRVINE, CA ' � . _ � Zip: 92612 � �
Contractor WESTERN NATIONAL CONTRACTORS '
Address: 8 EXECUTIVE CIRCLE
_ -� , � -� �- � Phone:,' 714-557-0244
.. IRVINE, CA Zip: '_ 92614
� ' License:840973 �
Stams: ISSUED
Applied: OSI07/2007
Issued: 05/10/2007
ISSUED BV: / �
. . , . � ,-. , - _ ' . ' � - �` i , - � -
, SCOPE OF PERMIT ;. ` '.
.. " PHASE II. TYPE�3A` ' .. . - . • , . . ., .
� , ELECTRICAL INCLUDES: 16,196 S.F. NEW MULTI-FAMILY BLDG, 78 LIGHT FIXTURES, 51 '� � ,
� OUTLETS, 26 SWITCHES AND 2 SUB PANELS UP TO 200 AMPS. REF.: 807-00595 � '
_ . � , �. . .. � � ' , � , �� � .
• - - FEE SUMMARY-
, _�
_ . . �Quantity . .. . ., � . - .. , � . . Quan�ity, '
ISSUE FEE � 523.50 _�� - ' '� ' Teinp DisLSystem I Lighjting 50.00 0
Temp service test 30.00 Busway /100 ft . $0.00 0 �
Res. a/c package'. 50.00 Standing Seclion a $0.00 0.
New Res (1-2 units) � $0.00 • 0 - , - � Misc Electrical Equipment_ � 30.00 0 � � -
New Res'(3+units)-��� ��. $809.80 16196_ ._--> �� _'_ l_- iTransformers up to 1 kJa/kw � 50.00 0-�
Pool/Spa -. ,'-.� $0.00 �'�--�0 � �-'��-- ��' ....:.............up�totOkva/kw� �.. 50.00 0:�;�,
_:
Lighting Fi�cts ; , • � $64.34 78 ......... �..._.up 10-50 kva/kw . $0.00 0 ; , �
Recept Outlets � ' 344.63 51 ...............:.up to 100 kva/kw � 50.00 0-
Switches • � 326.38 26 ..................over�100 kva/kw ' $0.00 , 0 . ,
Non Res Appl � � $0.00 � 0 Low Voltage Equipment $0.00 - 0
Res Appl� � $0.00 0 .., .Low Volt Wiring System / Ckt $0.00 -';:0' r
\`�;
Service to 200a - � `_ $0.00 . 0 .. �-_,�, � � Misa Conduit $0.00 � ���0 '
Service�to't000a" \Z�'50.00 ' 0 ��'"s-�"����t:'' ,' Misa Conductor ' 90.00�<�� 0
Service over 1000a � � $0.00 ` 0 � � ' - Ciras (-gen"or�iide) � $0.00 `' 0 �
Motors to 1 hp � "' ��$O.OQ � � -, 0 �P �' � , Circus (mech ritle or lights): � -;._-• , $0;00 � 0
Motors to 10hp << � 50.00,�. , ._ 0 �, �= - Christmas Tree Stand ; � , '$0.00 0 `
Motors to 50hp ,��$0.00 �� 0 � Fireworks Stand. - 50.00 ,�; . 0
Motors to 100hp � � ' SQ00 � „� •0 . � �� Other Eleotrical Fee> > � : � $D.00 % , , , '
i
Motors over 700hp ' � 50:00�• - 0 " ' � . � � � � '. -" '
Communication drops �;�\ - $0.00� � 0 � �' - , � Invesligation�Fee '�- � , ��$0�.00
Sub panel l0 200a � � $61.00' ' . 2 - Plan Check Fee " ' . $0.00 . �
Pole Light Pkg �' �$0.00�; - � ,` 0 � -" �Reinspection Fee � - � , '�30.00 ; -,� �, �
SignCircuits �$0.00 � ' 0�-� _, ; � - , ,�� � "
Temp Pwr Pole ��-50:00'� _ 0'. '. TOTAL CALCUL'ATED-FEES $1,029.65��
Intermed Pale 50:00: . 0 " . � � ' , � �
- COMMENTS I SP.ECIAL CONDITIONS
NOTICE: The work aulhorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-27-92)
EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 1 BO days, or if work is suspended or abandoned
for a pariod of 780 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained. Failure to obtain inspections antl final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2dd646 (N00)
WORKERS'COMPENSAnON DECLA(iA�ON:
I here6y ettirm under penalry of perjury one Of Ihe following declarations:
❑ t have end will maintain e certificete o1 consent ta sell-Insure tor workers' compensation, es proNded tor by section 3700 of ihe Lebor Code, tor ihe pertormance at tha
work tor which this permit is issued.
❑ I heve and will maintain workers' comp@nsapon insurance, as required by secUon 3700 ot the Lebw Code, tw the pertormanca of Ne woflc for which this pertnit Is issued,
My warkers' compensatlon Insurence �aMer antl policy number ere:
ca�de�: Liberty Mutual aoroyN�mna�: �ni��_�ar,_nga�n_ma
(lhls section need nof be complefed l/ the pprmit 75 velued et one hundred dallers ($100) or IessJ
❑ I certity that In the peAortnence ol the Work for which this pertnit Is issueq I shall not employ eny person in eny manner so as to become su6ject to the workers'
compensetlon laws o Iltomla, end �gree that II I should Decome sub�ect to t�e workers' compensatlon provislons of Section 3700 of ihe Lebor Cotle, 1 shall torthwith
wmDly with these Pr vl ns. ��� . �
ApDircen�'SignaNre• �{ �j� �'Date: T 1 � ��
�r,..
WAfiMN[i:FAN.UREiO6EW E Wbr�dsl PENSAiION COVERAGE IS UNLAWFUT AND SHALlSUBJECT AN EMPL9YER TOCPoMINAL PENALTIES AND GVIL FINES UP TOONE HUNDRED
TFKKISAND DOLLARE (5100,000�. IN ADDRION TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVIDED fOR IN SECTION 3]O60F THE LABOR CODE, INTEREST, AND ATTp{WEy'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby effirm ihat I em licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 of the Business and Profeuions Code, antl my license is in full
brce entl enect. uc. a 8409�3 _„ qass a . R
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirtn that Ihere is e wnstruqion lending agency for the peAormence of tha woAc for which ihis pertnit Is issued. (Sec. 3097, Civil Code).
Lenders Neme: Lenders Adtlress:
Sipnature: Date:
OWNER-BUILDER DECLARATIONS:.
I hereby eHirm ihat under penalry ot perjury Ihat I em EXEMPT FROM THE CONTFiACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Buslneu and Profeuions
Code: Any ciry or counry which requires e permii to construct, elter, Improve, demolish, or repair any structure, prior to iis issuence, elso requires iha epplicant tor such pertnit
to tile e signed atetement Ihat he or ahe is Iicensetl pursuant to the provislons oi the Contrectors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of the
Business end Professions Code) or that ha or she Is exempt theretrom end the basls for the allegetl exemption. Any violation of Sedion 7031.5 by eny applicent tor a pertnit
subjects the eppllcant to a ciNl penalry of not more than frve hu�dred dollars ($500).):
❑ I, es owner ot the properry, or my employees with wages as their sole compensation, WILL DO TME WORK, and Ihe structure Is not intentletl or oHered tor sale (Sec.
7044, Business and Protessions Code: The Contractoro License Law does not epply to an owner of property who builtls or improves thereon, and who does such work
hlmself or herself or through his ar her own emplayees, provitled ihat such improvements ere not intended or oHeretl for sale. If, however, iha building or improvement is
soltl within one year of wmpletion, ihe owner-builder will �eve t�e burtlen ot proving that he or she did not build or improve for purpose ol sale.). '
❑ I, as owner oi the property. em EXCLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to wnstruct the project (Sec. 7044, Business antl Professions
Code: The con�rec�ore License Law dpes not apply to an owner ot property who builtls or Improves thereon, and who coNrects for such project with a cnmractor(s)
licensa pursuant to the Conlractors LiCensa Laws.).
❑ I am exempt untler sec. Business and Professions Cotle for this reason:
Signature: Date:
Owner ID verifletl by tlrivefs license. ❑ Yes ❑ No Drivers License No.
Verificetlan ol Owners�ip by (type ol document, I.e. - property tax bill or deetl):
OIVISION OF INDUSTRIAL SAFETV PERMR CER7IFICATION:
Eapires:
❑ I hereby certity thet no exwvation tive (5) or more feef in depth into whic� a Derson is raquired to descend, wlll be made In connectlon with work euthonzed by Ihis
permit, and that no builtling siructure, scaHolding, falsework, or demolition or dismantling thareof, will be more than thirry-six (36) feet high. (Chap. 3,2, Grp 2, Art 2, Sec.
341, Title B, Calitomie Atlministrative Code).
❑ Ps owner-builder, I will not employ eryyone to do work which would require e pertnit irom the Division of Industnal Safery, as noted ebove, unleu such person has e
pertnit ta do such work trom the divisi0n.
SignaWre: Date:
DHision of IndusMal Safery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUIMORRATON OF ENTAV: I cenity untler penalry of perjury that I have read this application end state thet the Information given Is
correct. I egree to comply with all state laws entl ciry ordinances relating to builCing construction, end euthonze representetives of the Ciry of Costa Mese to enter upon ihe
ebove-descnbed properry tor inspection purposes. I agree not to acupy or allow occupancy of any building authonzetl by Ihis permit until final ins0ection.
COpE 1• INSPECTIONTYPE Qejf, �
1618 Fixed System Final Fire Prevention
1286 Pool Spe Final
200 Finel Re-Root
201 Flnel BIocWReteining Wall
202 Final Factory Fire Place
203 Finel Sign
204 FinelOemolition
CppE 1 INSPECiION TVPE
20fi Final Mechanicel
20B Final Plumbing
270 Finel Eleciriwl
212 Final Fire Preveniion
220 Final Planning Approval
222 Final Site
250 Final Builtling/Occupancy
1t�L5
(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
MECHANICAL PERMIT
JobAddress: 428 ENCLAVE CI
Suite No
StaWs: ISSUED
Applied: 05I09/2007
Issued: OS/15I2007
Vicinity:
Parcel Number: TPN007052
Applicanc PEGGY BLOCK - - �-,i �� '�-' =: —:` � �_� � ISSUED BY:
�� - .-,,, � - � � " -
Address: BEXECUTNECIRCLE%-!'"--, -����� "-� - -
. �,.:�;� ,:- ;( - `� Fhone: 714-557-0244 � % � ', �.` � \,
� IRVINE,�CA!.'�'�' �. �. Zlp: r92614 �� j �` ��
- � 'i 1 i i i'� �. /' ! � �`�` � � �
f%/ � ,' ♦ V ' . � 1 ) `— �' - _ i � ' � � i `` .A\A
owner: �THE--IRVINE COMPANY " -- _ �/� '��.i � �.� � ���
` \
Address .110�INNOVATION . ,J .� � � � �- �� � --,>,� � ��
� �'��/ � � / �" �� Phone: 949-720-5536 �� � -� � �/ �� �`\�
�':
��� �� IRVINE CA ' : ������ Zip: 92612 � � A�� �" .• % : j A��A
i., �� / , �
' � > �?, =
, : ���: �� � ��
Con_tractor: WESTERMNATIONAL CONTRACTORS ��..�� � .� ,, ,
/ , Address��- 8 EXECUTIVE CIRCLE �r � � ��� -� � ���
,' "l � `�� �{%!�j Phone�%�714-557-0244 ������ ��'V� ��`.�
' � i -� IRVINE; CA 3 Zip . y92614 �_ ' - �;?��`\` �L' �l ��\�
t".
" � . '��.. - -�., ; 'Llcense� 840973";, ;, � ,� , �+ �A
' n . � . � : t � � - , ,� ! ` � . i . . _ _ _ . ��
., �
" � � � i `,�SCOPE OF PERMIT � `--. � \ ��, < < .� ' � ��
� - . iPHASEIi TYPE.3A ' - �/�� "�� !' ��`.` --� - �� �
�' r.,"'� �..��, `.--� fgo�-ooSqs �' '� �;'�1�>�,�i� L__'-. c`,
. .' MECHANICALiNCLUDES: 1 REPAIR/ALT COOLING/HEAT, 20 HOODS W/MECH EXHAUST, 35� ° � _ ', ��
- VENT FANS, 20 AIR HANDLERS < 10000 CFM AND 20 COMPRESSORS/ABSORPTION SYSTEMS UP' -
' '`. . - -TO 3 HP. � � � • ' �
' C _ - ' _ _ _ _ _ _ _ ' _ ._� � � 11'.1 /_ _� � \i '
� . � _ .. "___ _ " '- - __ "_" ' __'_1_ 1 �14.v'� '.�..
� � - " t� ,- , f '�FEE SUMMARY ,/�' i `�1 � ,tii '� ��
;;
` - � � � � �Quantiry -- --. . _ _.. . - - . � - . ,
ISSUEFEE - � � � � $23.50 Repair/AltAbsorblionUnit
Insl FAU <100 k BTU �� �.,� $0 00 0 � Repart;/ Afl Refngeration Unit
InstFAU>100k8TU ��� - $000 0`�--�u'������Ventillahon:System; ��
Repair l Alt CoolinglHeat 813 70 . 1"- - __ �-, 'Evaporative Cooler �""�.
Inst / Rep. Recess Wall Htr $0.00 ' 0 � �� " � ` - -Comme'rcial Incinerator .
Refrig Sys <100 k BTU $0.00 0 Domestic Incineralor
RefrigSys>100kBTU : $0.00 0 Compressors/Absorptiod�SVsten
Gas Piping ,. �,� 50:00 0 Up�.to�3 hp /�700 k BTU ,
Faclory,Fireplace . ,•� S0.00 0 3 To 15�hp / 500 k BTU �
Hood w/Mech Exhaust "�� � 5213.00 20 �� a-3`�`_`�;_:���15 To 30 hp I 1,000 k BTU �
VAV Boz��`, �-�' ��� � $0.00 0 ,��TY'��'�° `` 30_To 50 hp I 1,750 k BTU �
. � t�.: �,.� > c �
Venl Fan / Single Duct-, A� �,' ,525375 35 .-�� _ -- - �� � Over`50 hp,/.Over 1,750 BTU �
Appliance� �; � � ;�$0.00 0 � �� � Boilers ;�. .4� ,��,a�,
Fire Dampers.�� " � �:.5000'�' 0 �` � " �' -' �a Up l0 3 hp� . � �_�-' ��/
�� � � �� .��,
� ii!I�t � i . \ �
; � . _ _Quantity,�; ,
! % �SOAO 0 . � �i
��/��5000 0 ��'� �
Jl, $000'�.p! ��
�'f %�/�50�00 ` .0 �\' �
;lo� � $0:00.,� 0 � . � �
j; �
� ri' !
�/ J50.00_/ 0�." �
� i.
� ,`
Smoke Dampe�s �� �. � ��$0 00 0, � ' �� � � ���3 To 15 hp ; ���� /' � 50:00
InstorRelocateApplyent,� ,� $000 c0 -. � � �, , 15to30yhp` :.;y� v j-'� �80.00
Air Handlers > t0000cfm�, ~ � ; % l$0 00 0�����,�-�_ ` �, ���Ove� 50 hp% � ��/w /-�� ��' � j50(00
FloorFurnace ``.�� � 5000�0 ' _� � `��=0ther_MechamcalFee{�l�"� j�j%`�
Ploor or Suspend Heater-- - �-'S0 00. .� 0 ��� � - - - Investigation Fee A� � � / / �� $OAO
_ � �" �-��, -' t , __ Plan Check-Fee, � � ' �; �� $0.00
� ���!��� r ._.. _,. : � � : `r!�-,Reinspection�Fee ��� $0.00
"
�. r , . � 1 - , � �I �� j
� � � � � � ; . � 1"70TAL CACCUCATED FEES ,010.95
�.�-' , ._� , . .- ,,� /
_ "�.__. '" _ _ '" .':,. .%/>' �
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void i( work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such woik must comply with all applicable codes, and all
required Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
eaeo-ao �aw)
WORKERS'COMPENSAnON DECLARAnON:
I hereby aHirtn under penalry of perjury one ot t�e following deUarations:
❑ I heve ana wlll malniain a cerlificate of consent to self-Insure for workers'
work far which �his pertnit is issuetl.
❑ I have anb will rt�intain wwkerd' compensatior�insy,rance, asyreQuiretl by s
not
as provitle0lor by section 3�00 of the Labar Cotle, tor the peAortnance of the
3700 of Ne Labor Code, for tha peAortnance of
Policy Number:
or /ess.J
❑ I certity that In Ihe pertorma ce ol lhe work for which this permit is iuued, I shall not employ any person in any manner so as to become subject to the workers'
compensetlon laws ot Ca om , entl agree that il I sh Itl become subject to the workers' compensation provisions ot Section 37 of 1h�j Lebor Code, I shall forthwith
wmply with these provisi ns. �'` / /��
Applksnt5igneture: �l�/%Cl/1 `(�CN�` Date:-- - ' �� l
(WARNING�FAILURE TO SECURE WOFKER ' NS TION COVERAGE IS UNLAWFUL AND SIW�L SUBJECT AN EMPLOVER TO CRIMINAL PENALTES AND GVIL FINES UP TO IXJE MUNDRED
THOUSAND DIXIAFE (S10D,OW), IN ADDITION TO THE COST OF fAMPENSATION, DPMAGES AS PROVIDED FOR IN SECTIIXJ 3/060F THE LABOR fADE, IfJrEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I h_ ereby affirtn that I am licensed u�pravis� s pter com ncing with Seciion 7000) ot Division 3 ot.�he Business and Pro ' e, and my license is in full
( force,endeHecL.Uc_a L�� CCless«----' n
Contrectors�Slgnature: ' Date_ � I% ��
CONS7RUCTON LENDING AGENCY:
❑ I hareby attirtn thet there is a construction lending agency for the pertormance ot the work tor which this pertnit is iuued. (Sec. 3097, Civil Code).
Lender's Name: Lenders Adtlress:
SlpnaWre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby ettirtn thet under penalry ot perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business entl Professions
Coda: Any ciry or counry which raquires a permit to consiruct, alier, improve, demolish, or repair any stmcture, prior to its issuance, also requires the applicant br such pertni�
lo file e signed statement lhat he or ahe is licensed pursuent to the provisions oi the Contractors License Lew (Chepter 9(commencing with Section 7000) of Division 3 of ihe
8usiness antl Professions Cotle) or Ihat he or she is ezempt therefrom and the basis tor the allegetl ezemption. Any violetion of Section 7037.5 by any eppliwnt for e pertnit
sub�ects the applicant to a civil penalry of not more ihan tive hundred dollars (5500).):
� I, as owner of Ihe properry, or my employaes with wages as their sole wmpensallon, WILL DO TME WORK, antl the structure is not Intended or oHered tor sale (Sec.
7044, Business and Protessions Code: The Coniractors License Law dces not apply to an owner ot property who builds or improves ihereon, end who does such work
himsetl or herself or ihrough his or her own employees, provided Ihat such improvemenis are not intended or oHeretl for sala. If, �owever, Ihe building or improvement is
sold within one year ot comple�ion, ihe owner-builder will have ihe burden of proving that he or she did not build or improve tor purpose of sale.). '
❑ I, as owner oi the property, am EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to wnswci ihe projed (SecJ04d, Business end Protessions
Code: The wNrectors LJcense Lew does not epply �o an owner ol pmperty who builtls or improves thereon, and who coniracis for such project wlth e coniractor(s)
license pur5uan� Io the Contractors License Laws.).
❑ I am e:empt untler sec. Busineu antl Profeuions Code for this reason:
SignaWre: Date:
Owner ID verified by dnvers license. ❑ Ves ❑ No Drivers License No. E:pires:
Vedfication of Ownership by (type of document, i.e. - property �az Dill or tleed):
DIVISION OF INDUSTRIAL SAFETY VERMR CER7IFICATION:
❑ I hereby certity �hat no exwvation tive (5) or more feet in depth into which a person is required to descend, will be made in connection with work euthorized by this
permit, anG thet no builtling sWcture, scallolding, talsework, or demolition or dismantling thereof, will be more than ihirry-six (36) teet high. (Chap. 32, Gry 2, An 2, Sec.
341, Title 8, Calilomia Aaministrative Cotle).
❑ As owner-builder, I will not employ enyone lo tlo work which would require a permit trom the Division oi Industnal Setery, es noted above, unless suc� person hes e
permit to do such work irom Ihe division.
SignaWre: Dale:
Division oi Indusirial Satery Pertnit Number.
CERTIFlCATE OF COMPLJANCE AND AIlTHORIZATON OF ENTAV: I certify under penalty of perjury that I have read Ihis application and state tha� ihe information given is
correct. I agree to compty with ell siate laws and ciry ordinances relating to building construction, anC euthorize representatives of the Clry of Costa Mesa to enter upon tha
above-tlescnbed property for inspection purposes. I agree noi to occupY or allow occupancy of any building authonzed by this pertnit until final ins0ection.
��G INSPECTIONTYYE QIL INiIiIpLS
1616 Fixetl System Final Fire Prevention
1266 Pool SDe Final
200 Final Re-Roof
201 Finel BIocWRetaining well
202 Final Fectory Fira Place
203 Final Sign '
204 Final Demolition
CODE� IHSiECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Finel Fira Prevention
220 Final Planning Approval
222 Final Site
250 FinalBuilding/Oaupancy
W 3 0 ,�
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
PLUMBING PERMIT
JobAddress: 428 ENCLAVE CI
Suite No
Vicinity:
ParcelNunmber: TPN007052
Applicane PEGGY BLOCK
Address�, 8 EXECUTIVE CIRCLE . , , ..�� ' - �� _
- Phone: 714-557-0244
IRVINE, CA � � Zip: 92614
. _ . . ' . , . '.' , '
Owner THE IRVINE COMRANY . .
Address 710�INNOVATION - � - �
. - Phone: 949-720-5536
IRVINE, CA Zip: 92612
Contractor. WESTERN NATIONAL CONTRACTORS
Address: 8 EXECUTNE CIRCLE �
� � Phone: �f 714-557-0244
f
IRVWE,.CA '" " Zipi �92614 �
"' _ �License��"840973
. . . .i_� -� � .
Status: ISSUED
Applied: OS/07/2007
Issued: OSI10I2007
ISSUEDBY: !�v/_
� SCOPE OF PERMIT '
� PHnse u, rvPe sn . /3d7 r Od 59S '
� PLUMBING WCLUDES: 25 BATHTUBS, 20 DISHWASHERS, 2 RAINWATER DRAINS, 2 ROOF DRAINS,
20 GAS (1-4 OUTLETS), 20 GAS LINES, 20 GAS SERVICES, 20 LAUNDRY TUBM/ASHERS, 2
PRESSURE REGULATORS,�2 SEWER CONNECTIONS, 20 KITCHEN SINKS�, 2 VACUUM BRKR BACKFLOW,
' . '. 25 WASH BASINS, 2 WASTE AND VENT SYSTEMS, 25 WATER CLOSETS�, 20 WATER HEATERS, 2
' WATER PIPINGS AND 2 WATER SERVICES. � � � - � � - .. � '
,
, FEE SUMMARY . �
. . . � � � AMT QTY - � . _ _ - ; � �' AMT , .QTYi. , . , � .._AMT . QTY
ISSUE FEE . ' � � $23.50 � . .. � � Laundry Tub / Washer_ - $196.00 .`20 --�� y � Sump Pump � $0.00 r ;0
Backflow irrigation , $0.00 0', Landscape Irrigation $0.00 .; 0 � Swimming Pool ;� � 50.00 ,� 0
Backflow Preventer � $0.00 0 P-Trap �$0.00�� 0 Trap Primer - - $0.00 0
BathWb � 'S245.00 25 - Pressure Regulator ,$19.60 - 2 Urinal - 50.00 0
Clarifier System �^50.00 0' Process Piping (per 70 ft) $0.00 ��0 Vacuum Brkr Bkflow(1-4) : 524.60 , 2
Connec4Qce,Soda,etc) ��50.00 0 Receptors �_ 50.00 0 Vacuum Brkr Bkflow(5+� �$0.00 0
Dental Units '. . � � $0.00 0 Septic Tank�'. �; ' ' � � 50.00 0 N/ash Basin �. ' � 5245.00 25
Dishwaslier $196;00„ 20 Sewer CaP�for Demo "`�•$0`00 :_ 0 Wash Basin Set �� .' $0.00 0
Draiq Floor � � $0.00, 0� Sewer Connecl` . �$49.30� -., 2 Wasle and Venl System .%S79.60 2
Drain,Rainwater � $19.60� • 2 4�, ..�,- SewerPrivateLine $0.00 �„0._ ;-._- �,-WaterCloset(Toilet) ,� $245.00 25
Drain,Roof 519.60-�� 2 _ ��- Shower . , . 50.00 � �0"'�" � WaterHeater/venl '�9246A0 20
Drinking Fountain . -"$0.00 0--.�;, , `. Sink, bar "' . $0.00 - 0 _, Water Piping (Inst or Rep.)' $19.60 2
Expansion Tank � - 50.00 � 0 ,� , Sink, commercial . $0.00 � . 0 �� . Water Re-pipe , $0.00 0
Gas Earthquake VaIJe � �$0.00"-��0 � � `z ? Sink, Floor . . _ $0.00 0 ��' � Water Service ` � . $19.60 2
Gas (1-4 outlets) �� 5123:00 20 ', �' , Sink, kitchen 5196.00 � 20 � WatecSoflener: � $0.00 0
Gas (Over 4 outlets) � `���50.00 . 0 , Sink, service/mbp � � 50.00 0 , , .OTHER , , ' 50.00
GasRepipe 5796.00. 20-� � Spa(private) 50.00 , 0 ,.VIOLATION . $0.00
Gas Service 5196.00 ; 20 . - Spa,(public) � , , ; $0.00 0 �� - PLAN�CHECK $0.00
Interceptors (Grease, Oiq $0.00.. 0 � ' � � -� ', � REINSPECTION 50.00 0
Interceptors (Sand Auto ) $0.00 _0 '� ' . .' , - � - �� � / �-`�
� � _ " . .� TOTAL CALCULATED FEES: ,299.00
COMMENTS / SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28. § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
tor a period of 180 days.
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all �
required Inepections and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. �
FOR INSPECTIONS CALL: (714) 7545626
zaas�as(woo)
WORKERS'COMPENSATON DECLAHAnON:
I hereby aflirtn under penalry oi peryury one ot Ne following declarations:
❑ I heva entl will mainiein e certiflcale of �nsenl lo self-InSure for warkers' compensation, es provided for by section 3700 of ihe Lebor Code, for the pertortnance ot Ihe
work lar w�ich �his pertnit Is Issued.
❑ I have end will maintaln workers' compery�g�on insurance, as requiretl 6y sectlon 3700 ot Ne Lebor Cotle, for ihe pertortnance of Ihe work for whic� this pertnit I5 issuetl.
My workers' com0ensatlon Insurance Wrrier end policy number are:
camar. Libert^.Mutual aa��N�me��: wro_�ar_nFa�n_mF
(This section neeC not be comp/eted i/ Ne pe�it Is velued et ane huntlred tlallars (E700) or Iess.J
❑ I certity that in the pertortnence of tha work for which t�is pertnit is issued, I shall not employ eny person in any manner so as to hecome subject to tha workers'
compensetlon laws ot fornla, and aqree t�ei H I shoultl become sub�ect to the workars' compensation provislons oi Section 3700 oi Ihe Labor Code, I shall forthwlth
comply wlth Ihese pr islo s. ,.,��-{n;,�,,,/ �,�--�{p ^'�
;Appican�SianeNre� ._r��(��1WUL �O�a19!'—�+./J1 �-� � /
VIARNINO: FAILUHE TO SEIXIRE W COMPEIJSATION COVEFiAGE IS UNLAWFUL M!D SFULL SUBIECT AN EF�DYERSOCRIIANAL` PENALTIES AND CNIL FlNES UP TO ONE NUNORED
T/qUSAND OOLIFFiE (5100.000�. IN ADOITION TO 7HE CCST OF COMPENSATION, DAMAGES AS PflWIDED f-0R IN SEGTION 3]Ofi OF THE IABOR CODE, INTEREST, AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby attirtn that I am licensed under provislons oi Chapter 9(commencing with Sadion 7000) of Division 3 oi iha Business and Professions Coda, end my license is in full
lorce and eHect. ua a 846973 __ �_p Class a e i R
CONSTRUCTION LENDING AGENCY: .
❑ I hereby eHirm �hat there is a wnsiruction lending agency for Ihe pedortnance oi the work for which ihis pertnil is issuad. (Sec. 3097, Civil Code).
LenCefs Neme:
SignaWre: _
OWNER-BUILDER DECLARATIONS:
Lenders Address:
Date:
I hereby ettirm thet under penalry ot perjury that I em EXEMPT FROM THE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professlons
Code: Any ciry or county which requires e p4rmit to construct, elter, improve, tlemolish, or repair any structure, prior to its issuance, also requires the applicant tor such pertnit
to file a signetl stetemant thet he or she is Iicensetl pursuant to the provisions oi the Cantractors License Lew (Chepter 9(commencing wiih Seclion 7000) ot Division 3 of the
Business end Protessions Code) or ihat he br she is exempt lheretrom and the besis tor ihe alleged exemption. Any Nolation of Sectlon 7031.5 by flny epplicant far e permit
subjects the eppllwnt to e clvll penelry of not more ihan five hundred dollars ($500).);
❑ I, es owner ol the property, or my amployees wlih wages es thair sole compensation, WILL DO 7ME WORK, and the structura Is not intendeC or oXered tor sale (Sec.
7044, Business and Professlons Code: The Contractore License Law does not apply to an owner of property who builds or improves thereon, antl who does such work
himself or �ersetl or through his or har own employees, provided that such Improvements ere not Intended or oHeretl for sale. If, however, the building or improvement is
sdd wlt�in one year of completion, the owner-builder will heve ihe burden ot proving that he or s�e did not build or improve tor purpase oF sale.). '
❑ I, es owner oi the properry, em E7(CLUSIVEIY CONTRAC7ING WfTH UCENSED CON7RACTORS m construa the projed (Sec. 7044, Business and Professions
Cotle: The comractors License Lew does not appry to an owner of property who builds or impmves Ihereon, end who coNracis tor such project wlth e contractor(s)
license pursuant to the Coniractors License Lews.).
❑ I am axempt under sec. Business antl Protessions Code for this reason:
Signatura: Date:
Owner ID venfletl by drivers license. ❑ Yes � No Driver's License No.
Verlfiwilon oi Ownership by (type of document, I.e. - property Iax bill or tleed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
Expires:
❑ I hereby cenify that no excavation five (5) or more teet In Gepth into which e person is requirad to descen4 will be matle in connectlon with work euthorizad by this
pertnit, an0 ihat no builtling siruciure, gcaryolding, falsework, or demolition or dismantling t�ereot, will be more than ihirry-six (36) feet high. (Chap. 3.2, Gry 2, Art 2, Sec.
341, Title 8, Califomia Adminisiretive Coda).
❑ As owner-builder, I will not employ anyone to do work which would require e permit from Ihe Division of Industnal Safery, as notetl above, unless such person hes e
permit to tlo such work from the division,
SignaWra: Date:
Division ol Industnal Safety Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTMORVA710N OF ENTHY: I certify unCer penalry of perjury Ihat I have read this application end stata thet the infortnation given is
correct. I egree to compty wlth ell state laws ena ciry ordinances relating to bulltling construction, and authorize representatives of the Ciry oF Casta Mesa to enter upon the
above-described property for inspection Ourppses. I agree not to occupy or ellow accupancy oi eny huilding authorized by this permit until tinal insDection.
COOE 1, INSPECTIONTYGE
1616 Fisetl System Finel Fire Prevention
1266 Pool Spa Final
200 Finel Re-Roof
201 Flnel BIocWRetelning Well
202 Final Faclory Fire Plece
203 Finel Sign
204 Finel Demolition
PeIF.
CODE 1 INSPECTION TYPE
206 Final Mechanical
208 Final Plumhing
210 Final Electncel
212 Final Fire Preventian
220 Final Planning Approval
222 Final Site
250 Final Bulltling/Occupancy
,�w _
°.� Q lAs�^"\
B_#►Z
INSxALLATION CER'�. iCATE
Site Address
i os
Permit Number
CF-6R
An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The
information provided on this form is required; however, use of this fortn lo provide the information is optional.) Afier
complation of final inspection, a copy must be provided to lhe building department (upon request) and [he building owner at
occupancy, per Section 10-103(b).
kIVAC SYSTEMS: '
Hea�ing Eqnipmen[
Fquip, !1 of E�ciency Duct Duc� or Hrating Heating
Type (pkg. CEC Ccrtifed Mfr Name Identical (AFUE, etc.)� Location Piping Load Capacity
h t imsl d M dclN h S st s 2CF-IR 1 1 f n' t 1 R- I BN/hr) fRt /l 1
Coo[ing Eqvipment
Hquip. CECCertifiedCompressor NoC E�ciency Duct Cooling Cooling
Type (p�g, Unit MG Name end ]dentical (SEER, elc.)� Location Duc[ IAad Capacity
h t 1 M d 1 N b S atems 2CF-]R valuel le�ric cic 1 R-value BmPor) fBN/hr)
1. > teads g'eater Ihan or equal to. �
I, the undersigned, verify that equipmen[ lis[ed above is: 1) is the ac[ual equipme�[ instalied, 2) equivalent to or more
efficient than that speeified in the ceriificate of compliance (Form CF-IR) submitted for compliance with the Energy
E�ciency S(andm�ds fw residential buildings, and 3) equipment thal meels or exceeds Ihe appropria[e requirements for
manufactured devices (from the Applionce Efficiency Regulations or Part 6), where applicable.
SignaNre, Date
WATER HEATING SYSTEMS:
��.ii��( f�/�/� L�ii�i/i/L _ Distribution IfRecir-
Healer CEC CertiCied Mfr Type (Std, culation,
Tvne Name & Model Number Poinlbf-Usel ConVol Tr
Installing Subcontractor (Co. Name)
OR General Contrac[or (Co. Name) OR Owner
k of Rated� Tank Eff�-
Idrn[ical Ivout(kW Volume cirnc�
Stendby'
2 Por small gas staroge (mted inpul of Icss than or equal l0 75,000 BN/hr), electric resis[ance and Aent pump wa/er heaters, lisl Energy Foc[or.
For �arge gas storage water hwters (alcd inp�l of greetcr than 75,000 BN/hr), lisl Recovery EfficirnCy, Slandby Loas and Ra1ed Inpuf.
For �nstaolnncaus gas wa�er 6mters, list Recovcry EfTicienry end Rated Input.
3. R-12 eztemal iusulation is mandatory Cor storege wahr hra[ers with an energy factor of Icss than 0.58.
i'auce[s & Shower I�eads:
Ail faucets and showerheads instaifed are certified to [he Commission, pursuant to Tide 24, Part 6, Section 111.
Exlemal
I, the undersigned, verify that equipment listed above my signature is: 1) the actual equipment installed; 2) equivalent to
or more effici t an �at specified in [he certifica[e of compliance (Form CF-1R) submit[ed for compliance with the
Ener dards for residential buildings; and 3) equipment [hat mee[s or exceeds [he appropriate
re irem r nt ac[ured devices (from the Applionce E�ciency Regula(ions or Part 6), where applicable.
a �� o� �M��S N�.�,� �
Si nature, D te Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owe�er .
COAY'IO'�-B�i(�ding Department
HEItS Provider (if applicable)
Building Owner at Occupancy
Compliance Forms August 2001 A-23
Mar 03 2008 11:52RM LDI Mechanical 951-81,7-0208 p.13
i �
CERTIFICATE
/�107-1,D� 7�
Ao uistallsalon cerdfu�te is required to be posted u tl�e buildiag site or made available fa ell sPP�P� ��P�mB. ('f6e infwmetioo provided m Nis Pofm is
required; 6owever, use of this form 6o provide ihe iafarmetlon is optionl J A9er compleUon of fmal inspatioo, a copy must be provided w the bwldiog
depatmmt (upon mqu0at) and the building ownc at occupancy, pa secHon 10.109(b). �
BVAC 6YSTEMS•
AenfJnB B9riPsu+u
E9WP• TYPe A of
(Qkg. heet CEC Certified Mfr, Meke & Idontical
numa etcJ Model Numbc Sys[ems
Hydronic Fust Comc�x 18CDX�F-C . 13
Hydronic F'us[ Company � 25CDXQ�F-C 7
E�cim�cy Duct Duct or Hwting Hea4¢g
(AFUE,etcJ' Locelioa AP�B �� ��Pe�uY
[2CF-IR valuol (attic. etc.) R-valoe BtuPor) BN/Hr'.
- sofiit R-4.2
Con(tn8 E4�P^�+
pq��p• Typ� _ k of Effccienry , iluct
(pkg. hmt CEC CertiSed Compreswr Ueil ` IdeAfi�l (SEER, am)' Locarion Duet
ovmp, dc.) Mfr. Neme and Madel Numba Systems �2CF-I& value] (attiq etc,) R-velu
DXLoolioa York ' GCpD18S2151 IS 1;,00 soffit R-4.7
DX-Coolin� Ymk 6CaD2452151 S- 13.00 soffit R-4.7
12 reads �eater th� or equel to.
Cooling Cooling
Loed Cayxiq'
(Ba✓6r) (9TUIHr)
18,000
24,000
I, the undeaigted, verlfy that Ihe equipment lisad ebove is: I) is tde aeNel eqoipmeot insmlled, (2J equivalent to m more efficient thm that speci6ed 'm tho
emtif ca6e of rnmpllanta (Form CF-1R) submitted fa complience with the Eoergy EH'icirncy Stlndards tor recidentlal bailding, and (3J equipmeut that meeta or
esceeda tha �iato nqnQewwts fm manufectuted devices (6om tlu Applimue EfBciency Regulatioas ac Put �. whae applicable. .
7enyffer
AMPAM LDI Mechenicel
HVAC SubconerecWr (Co. N�e)
OR Gmaal Contractor OR Owner
WA7'ER HEATIIVC 6YS7EM9:
Water CEC Carti6ed D�n'hut(on lf Recu- Retod L�pul Tenk Et6cieocY St�bY Extcinal
--.-- -. Hwoer MfrNeme&----- TYPe (Std,_. . . culaaoq - --N of ]deatical (kW or - Vol�une -_. -(EP� RE) - Loss (%) WsWatioa R-
7ype/H ModelNamba pohttbf-Use) Control7We Sntoma BtWLr) ons) ��
FAUCEIS & SHOWER F�ADS: �
All faucets aad showerheade iasfallod are liated in tlx Commisiaas DirecWry of Ccni}ied Fauce[s and Showerheads,
purauent W Tiqo-24, Part 6, Subchepter 2, Seqion l I I.
I, the wdaeigned, vatity thst tlro aquipmedt liskd in tha category above my signatwe is Nie achml equipmeW insfalled and that the equ(pmmt meeis or dcceeds
the taquiremenb of ttie ApPllence EfTiciency Sfanderda Iu eddkion, I heve ve�i&ad that the equipmeot is eqoivaleot m or m�e etGeirnt then the equipment
epacifled aa the CerNfiGeue af C�plimce su6�ittad to dm�ooatrate compli�ce with th� Enagy EfHciancy Standerde for reside�tiel buildiaga.
Si�atnee, Date
COPY TO: Build'di6 ���
HI'RS P[ovider (if applieable)
Building 0 at Occu .y
Pl�bmg Su6eonheata (Co. Name)
OR Gmael Conhactor OR Owner
REA/L_.1
RESIDEf AL ELECTRIC ASSOCL �S, INC.
Contractor License #670435
www.reselectric.com
February 26, 2008
City of Costa Mesa
77 Fair Dr.
Costa Mesa, CA 92626
Attn: Randy Buck
RE: Contractor: Westem National
Project: The Enclave
450 Anton Blvd.
Costa Mesa, CA
Building #12 Address 428
Dear Randy,
The electrical work on these buildings complies with the California Title 24
Requirements. .
Sincerely,
���ob Tripp J !
General Manager
Corporate Address Santa Ana Division
123 Rose Drive, Fullerfon, CA 92833 3240 S. Standard Ave., Santa Ana, CA 92705
Phone (714) 278-0400 Fax (714) 278 0600 Phone (714) 556-3813 Fax p 14) 556-3929
02/12/2008 17:23
DALE CHRISTIANi
STRU[TURAL ENGINEER.INC.
LONSUUtNG 6 DESIGN
r�ac west icarena nvrnue
Sulce 107
02ng! CA 92067
PFI 714 997 1 I45
FX 714 997 3857
January 31, 2008
714997�"'7
Mr.Jeny Crosby
Wesrcm Nationai Consauction
8 Executive Circle
Irvine, CA 92614
DALE CHRISTIC' '.E.
Re: 'Che Enclave—Phese ll —(Building 12 - concrete and framing)
Irvine Apaztrnent Communities (Our Job Pio. 06060)
Dear Mr. C�osby:
PAGE 12/17
Pursuant to your request, this office has made several site visity to the above described project. The purpose of th;s
visit on June 14, 2007 was to observe the placement oPthe various holddown hardwaro prior to the concrete pour.
Building 12 was observed during this visit. Minos ftems, such as holddowns without reinforcing within their shear
cones and minimum rebar cleannce, were brouglrt to the attention of the concrete foreman and, were corrected during
the pro-slab visit
After the visit on June 14, 2007, Building 12 appeered ro be in substantial conformance with the cast-in•place
holddown requiremems ofthe S�uctural Plans.
'fhis office made several site visits on Octobex 31, 2007, November 2, 2007, November 6, 2007, and November S,
2007, to observe rough framing for the above mentioned bu;ld'ms for confortnance to the struetural plans. Deficiem
items, (some were quite minor), were discussed with eiffier Tcmy Ramos with Western National Constructian or
'fWR's Framing Foreman..
Tbe rough framing, after our la.�t visit on Novemba S. 2007, had these deficien[ i[ems corrected, and appeared to be
in substamial conformancc wieh �he strvetural plans.
These observations are imended only to assist the framing contractor in wnformence with the svucturai plans as they
relau m this residrntial epartment project and are not to be wnsrrued as "Spec;al Insyecrions". The responsibiliry
for such plan eonformanec, of eourse, retnains with the contracwr. Please do not h.esitate to conaa me at my affice
sbould you have any further quescions regarding the site observation, or wirh ;nformation included in tbis report.
Sincenly,
��
Dale A. Chcistian, S.E. 2705
Prosident
cc: Tom Hilton
John Hyde
G-\WOatl_qOC19a\pa77TPhasefRFOLeRers�Building 12.doc
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Mazch 24, 2008
Inspection Division
City of Costa Mesa
Building & Safety
77 Fair Drive
Costa Mesa, CA 92628
Attention:
Subject:
City Grading Inspector
Civil Engineer's Certification of Compliance for Precise Grading
Project: Grading Permit No
Building Site:
Buildings:
Job Address:
Owner:
Work Completed:
G06-00029
Enclave
10 Thru 13
450 Anton Blvd.
IAC
Mazch 21, 2008
.�t1
e. � ' .,
_u� �_i Gn�4:n'i�`_
+'�(�e: `:nr;:<<f'.
In accordance with the City of Costa Mesa Grading ExcavaUon Code and the
requirements of the Building Code, I certify approval of this project as outlined above,
for Precise Grading. Precise Grading for buildings 10 thru 13 has been completed
substantially in conformance with the approved grading plan for this project and in full
compliance with said Codes, pending any revisions that may come later. Certification
includes horizontal and vertical control.
Sincerely,
F�CO�,�INEERING, INC.
J
Trevor Scott Dodson, P.E.
RCE 42029
Exp. 03/31/08
,s'� �-��;;:.,��:i;'a:
l'.-� C> '-� �, ,
y,.v ��
r���oPgCOTr�oYl�� �
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CIVII �,?
��� C:A�S� �` `
! .. , c i � .. . . . .. . .. .. . o n
16795 Von Karman, SuiTe 100, Irvine, California 92506 " fel 949.474.1960 •�' fax 949.474.5315 �% www.fuscoe.r.om
m
��/Y\�
r,'!�bH�';`.�i3`'R}r�xr,''";"t :�
Geotechnical, Inc.
March 4, 2008
Project No. 04093-01
Precise Permit No.: G06-00029
To: Irvine Apartment Communities
1 I 0 Innovation
Irvine, Califomia 92660
Attention: Mr. Tom Hilton
Subjecr Summary of Geotechnical Observation and Testing during Precise and Post
Grading Operations, and Special Inspection Services for Buildings 1 through 15,
Recreation Building, Leasing Building, Pool Equipment Building, and Garages
G-2 through G-8, The Enclave Apartment Community, City of Costa Mesa,
County of Orange, Califomia
As requested, NMG Gwtechnical, Inc. WMG) has prepared this document to present the
results of our geotechnical observation and testing during the precise and post grading
operations, and our special inspection services at the subject site. Representatives of NMG
provided geotechnical observation and/or testing during the precise and post grading operations
at the site. Our services during grading activities included observation and testing during utility
line trenches backfill, footing excavations, and hazdscape subgrade preparations. In addition,
NMG has performed special inspection services including structural concrete. reinforcement;
structural wncrete placement; stressing of post-tension cables; welding; hardwaze epoxy fix; and
concrete compressive strength testing. Based on our observation and testing, the above
- improvements were performed in compliance with our recommendation, project specification,
and the requirements of the City of Costa Mesa. Details of our observation and testing,
including field density test results and locations will be provided in separate repoets.
17991 Ficch • Irvine, California 92614 • PHONE (949) 442-2442 • FAX (949) 476-8322
N
m
04093-01
March 4, 2008
If you have any questions regarding this report, please contact our office. We appreciate the
opportunity to provide our services.
Respectfully submitted,
NMG GEOTECHNICAL, INC.
✓�6�� � .—
Shahrooz "Bob" Karimi, RCE 54250
Principal Engineer
SBK/grd
QROFESSlp\
.�n�o7�'4f
No. C054250
EXP. 12109
IVIL �\Q'
CAUF��
Distribution: (2) Addressee
(3) 1VIr. Bob Hemandez, Western National Contractors, includes two copies for
� sabmittal to the City of Costa Mesa •
000�aa
2
NMG
�
�
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN COMFORMANCE
WITH THE CURRENT ENERGY REGULATIONS, CALTFORNIA ADMINISTRATIVE
CODE, TITLE 24, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
SITE ADDRESS: 428 ENCLAVE, IRVINE CA.
EXTERIOR WALLS
MANUFACTURER-CERTAINTEED THICKNESS/TYPE-3.5"FIBERCLASS
R/VALUE - R13
EXPOSED FLOOR
MANUFACTURER - CERTAINTEED THICKNESS/TYPE fi15" FIBERGLASS
R/VALUE - Rl9
CEILINGS
BLOW: MANUFACTURER - CERTAINTEED THICKNESS/TYPE =12 FIBERGLASS
R/VALUE - R30
GENERAL CON'CRACTOR: W�IC
L[CENSE #
INSULATION CONTRACTOR: GATEWAY INSULATION. TNC. LICENSE # 797001
BY: ^`� TITLE: OPERATIONS MGR. DATE: 2/7/2008 '
BUTCH INGRAM OPERATIONS MANAGER.