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HomeMy WebLinkAbout406 ENCLAVE CIR - Building PermitsCITY OF COSTA MESA BIIILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • wvnv.ci.costa-mesa.Ca.us FOR INSPECTIONS CALL: (714) 754-5626 F07-00201 JobAddress: 406 ENCLAVECI Suite: Viciniry: Parce� Nunmber. TPN007030 appiicanc DOUG BROZOVICH Address: 7202 EAST HUNTER AVE SANTA ANA, CA owner. THE IRVINE COMPANY Address 1101NNOVATION. IRVINE,.CA FIRE SUPRESSION PERMIT Zoning: Phone: 714-231-0139 Zip: 92705 Phone: 949-720-5536 Zip: 92612 Status: ISSUED � , Applied: 06222007 � - ... � Issued: 07/022007 Contrauor: BAKER COMPANY CONSTRUCTORS INC Address: 1202 EAST HUNTER AVE . ' - - � � Phone: 714-835-8572 � SANTA ANA, CA Zip: 92705 - � � � , License: 822444 �' , . SCOPE OFPERMIT ' PHASE 2, INSTALL 247 OVERHEAD FIRE SPRINKLERS FOR TYPE 4A BLDGS, 21,489 S:F., 19 UNITS PER BLDG. FOR "ENCLAVE APARTMENT HOMES" � � Plan Check: $0.00 Permit: $0.00 Other: �0.00 Total: $0.00 �FP-CW'ylaql0�s FEE SUMMARY � Calc Valuation: so.00 Claimed Valuation: So.00 NOTICE: The work aulhorized by this permit shall comply with all applicable handicap access requiremenls under Cali(omia slatutes and related regulations. (Ord. No. 92-28, § 1, 12•21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPEC710NS: In order for the work authorized under this pertnit 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 and final approval will result in the expiration of this permit. COOE�. INSPECTONTYPE 0� N Rl CQOF,t INSPECTIONME Q(�g IN7fMLS 1616 Fized System Final Fire Prevention 206 Final Mechanical 1286 Pool Spa Final � 208 Final Plumbing 200 Final Re-Rool 270 Final Electncal 'f� 201 Final BIak/ReWining Wall 212 Final Fire Prevention 9'-..Z �/% Cv 202 Final Faclory Fire Place 220 Final Planning Approval 203 FinalSign 222 FinalSite 204 Final �emoli�ion 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATION: I hereDy aKrm unaer Denalty o( perjury one of the fu„,wing declarations: ' ❑ I have antl will mainiain a certifiCate of CAnsent to self-lnsure for worker5' compensation, as provided tor by section 3700 0( the Labor Code, for the pertormance of Ihe work tor which Ihis permil is issued. I'haye and will maintain workers' compensation insurance, as requiretl by. C3 3700 of the Labor Cotle, (a the pedortnance of the v.ork tw which this permit is issued. My v.orkers' cppp mpensation Insurance carcier and policy numhecare:. .. �1 ^ O� Carrier._ --- U (ThisseaionneetlirofOero'1m�v) eetl /�p�e2pem�4kvaAietlat lIIWIdRHW1dI3(EIWfpIp55./ Policy Number:_ .: w � r \ ) "—��� � ❑ I certify lhat in the peAortnance of the work for which Ihis permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensalion laws of Cali(omia, and agree Ihat il I should become suhje o t rkers' com ensation provisions of Section 3700 0l the Labo e, II fo with ply �th these provi i n� � � nppi�am's Sipiawre , Daie � `.,___._— WARNING:� URE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLIARS ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATI'ORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions o( Chapter 9(wmmencing with Section 7000) of Division 3 of the Business and Prolessions Code, and my license is in lull (orce an ef ect. � /� " Lic. #_. Class # l lV ,COmraclors Sipn2 ure �' ale �/ 1.�--- CONSTRUCTION LEN�ING AGENCY: ❑ I hereby affum that there is a constmctbn lending agency for the peAormance o! the v.ork ta wfiich tttis pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Sig�aWre Dale OWNER-BUILDER DECLARATIONS: I hereby affrm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Cotla: Any ciry or county which requires a permit to construct, alter, improve, demolish, or repair any swcture, prior to its issuance. also requires t�e apDlicant for such permit to file a signetl statement that he or s�e is licensed pursuant to the provisions of the Contracrors License Law (Chapter 9(commencing with SetliOn 7000) Of DiviSion 3 0l Ihe Business and Pro(essions Code) or that �e or sha is exempt lherefrom and ihe Dasis lor Ihe alleged exemption. Any vio�ation of Seclion 7031.5 by any applicanl (or a permit subjects Ihe applicant to a civii penalty o( not more Ihan fve hundred dollars ($500�.�: ❑ I, as ovmer of ihe property, or my employees vrilh wages as their sole compensation, WILL DO THE WORK, and the structure is not intenAed or ofleretl lor sale (Sec. 7044, Business antl Professions Code: The Contractors License Law does not apply to an ovmer of property who builds or improves lhereon, and who does such work himsel( or herself or through his or her ovm employees, provitled Ihal such improvements are not intended or offered for sale. I(, hovrever, lhe building or improvement is sold within one year of completion, the ovmer-huiltler will have the burden ol proving that ha or she did not build or improve for purpose o( sale.�. ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to wnslruct the project (Sec. 7044, Business antl Professbns Code: The contractors License Law dces not apply to an owner of propeny who builds or improves thereon, and who contracts for such project with a cmtractor(s) license pursuant ro the Cont2ctors License Laws.). ❑ I am exempt under sec. Business and Professions Cotle (or this reason: SignaWre . Oa�e 305]�46(3/Ol) Owner ID verified by tlriv� nse. ❑ Yes ❑ No Dnver's License No. Expires: Veri(cation of Ownership by (Iype of document, i.e. - property lax bill or Aeed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: . ❑ I hereby certi(y thal no excavation (rve (5) w mwe feet in depth into wfiich a person is requiretl lo tlescend, will be matle in connection with work authorizetl by this pertnit, antl that no builtling structure, scattdding, falsework, a demolition or dismantling Ihereof, will be more than thirty-sin (36) feet high. (Chap. 3.2, Grp 2, Arl 2, Sec. 341, TUe 8, Cali(omia Atlminis�2tive Cotle). ❑ As owner-builder, I will not employ anyono to tlo work which would require a permil from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from Ihe division. ApPliwnfs Signalure Dale Division of Industrial Safely Permit Number. _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will lhe applicant or present or lulure building occupaN need to file anE certify a Business Plan for emergency response to release or threateneC release of a hazardous matenal? ❑ Yes ❑ No (Section 25505 of the Calitornia Health antl Safety Cotle requires, with some exceptions, that a Business Plan be filed wiN the Costa Mesa Fire Departmenl by every business which has at any one time tluring a reported year a quantity of hazardous materials equal to or greater than a weight o( 500 pountls, or a volume ot 55 gallons, or 200 cubic feet ot compressed gas al standard temperature antl pressure). 2. Does or will Ihe applicant or present or Wture building occupan� need to file a registration lorm /or acutely hazardous materials9 ❑ Yes ❑ No (Section 25533 0( the Calilornia Health and Safery Code, with some exwptions, requires registration with the Costa Mesa Fire Departmenl by each business which at any one time has on hand a quanlity of aculely hazardous materials equal to or grealer lhan a vreight of 500 pounds, or a volume of 55 9allon5, or 200 cubic feet of compressed gas at stantlard temperature and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management antl Prevention Program for awtely hazardous matenals)? ❑ Ves ❑ No (Section 25534 of the Califomia Health antl Safery Code provitles lhat the Costa Mesa Fire Department may require the preparatlon, certification an0 filing with the Fire Department of an RMPP by businesses whic� are reQuiretl to register acutely hazardous materials with the Fire DepaM1meM. 4. If an RMPP is presently required, has Section 25534 of the Calilomia Health and Safery Code been lully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or Nture building occupant require for the vrork which is the subjec� ol this application a pertnit for such wnsWction or motlification (rom the South Coast Air �uali[y Management DisMct or from any other air polWtion coNrol disMct or agency7 ❑ Ves ❑ No (Section 658502 0l the Calilomia Govemmeni Cotle require5 Ihal the requesled infOrma�ion be fumished on applications for non-residential building permits). 6. Will any pa� o( the faciliry lo be consiructed under lhis permit be within 1000 feet from lhe outer boundaries ol a school? ❑ Yes ❑ No (If yes", Ihe facility must meet the requirement of Sections 25534 antl 42303 of the Califomia Health and Safety Code). 7. If a permit trom the South Coast Air Qualiry Management DisMct or other air pollution control disMcl or agency is required for the work which is the subject of this application, �ave all of Ihe disdosures prescribed by Calilomia Health and Safety Cotle Section 42303 been made? 0 Yes ❑ No 8. Qf yes", attach cortifcate of compliance from the appropnate air polluGon control oKcer). . CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the information given above is correcL I agree to comply with all state laws and ciry ordinances regarding Hazartlous Materials and Emissions. SgnaWre Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury thai I have read this application and state that ihe information given is correcL I agree to comply with all state laws and city ordinances relating to building conslruction, and authorize representatives of the City of Costa Mesa lo enter upon lhe abovedescriGetl propeny for inspection purposes. I agree nol to occupy or allow occupancy of any building authonzed by this permit until final inspeclion. g Wre Legal wner�� 1 �-.D. l AntllaAut� �IzeO�plifdnl ry_- _ l ` � � CITY OF COSTA MESA � BUIL`DIN�'s DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 F07-00201 FIRE SUPRESSION PERMIT � � JobAddress: 406 ENCLAVE CI Suite: Vicinity: Parcel Nunmber: TPN007030 App�iwnt: KIRK HEMAN.�i Address: Owner: THE IRVINE COMPANY Address 1101NNOVATION IRVINE, GA Zoning: Phone: 714-666-8450 Zip: Phone: 949-720-5536 Zip: 92672 Contractoc RESIDENTIAL PIRE SYSTEMS INC Address: 2871 E VIA MATRENS ANAHEIM,CA Phone: 714-666-8450 Zip: 92806 License: 786965 SCOPE OF PERMIT PHASE 2, INSTALL 247 OVERHEAD FIRE SPRINKLERS FOR TYPE 4A BLDGS, 21,489 S.F., 19 UNITS PER BLDG. FOR "ENCLAVE APARTMENT HOMES" FEE SUMMARY Plan Check: 50.00 Permit 50.00 Other: �0.00 Total: $0.00 1=C'P•c�,•,� - �� Iaa Io�6 Status: ISSUED Applied: O6/22/2007 Issued: 07/02/2007 Calc Valuation: so.00 Claimed Valuation: so.00 NOTICE: The vrork authorized by this Oelmit shall comply with all applicable handicap access requiiemenls under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPEC710NS: In order for the work authorized under Ihis permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will resull in the expiraUon of this permit. C� INSGELIIONTYPE U� INif11AL5 COOEI INSPECTIONTYPE �jF� IN PRL 1616 Fized System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing ' 200 Final Rt Roof 210 Final Electrical � 201 Final Block/Retaining Wall 212 Final Fire Prevemion •"�L" �'J "� C(�li 202 Final Factory Fire Place _ 220 Final Planning Appmval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATION:� I �ereby aKrm under penalty of peryury one ol [he following tleclarations: ❑ I have and will maintain a cenifcate of wnsent to self-Insure for workers' compensation, as providpd for by section 3700 of the Labor Cotle. for the peAormance ol the work �br v+hich this pertnit is issued. l have and will maintain workers' compensalan insurance, as required by �seGior} 3700 of the Labor Code, fa the peAortnance ot the v.urk fa which this pertnit is issued. My workers' compensation Insurance carrier and policy number are: ar'riei:�� .S%ir/� �Y/N� 1sYedo'n'neea �rot ne ro.npietee ame perma k�rued al ane nurieied donars (E�00) a less ) xohiy�Numbe[ �O/3$S'.3'��% ❑ I certify Ihat in the peAormance o( the work (or which this permit is issued, I shall not employ any person in any manner so as to become subject to the vrorkers' wmpensation laws of Calilornia, and agree that if I should become subject to the worke ' ompensation provisions of Seclion 3700 of the bOr"Cod I shall fo � comply vnth these provisio 5. �$���AOWiCdnf SdneW�G�_� - � Q - Wt� �I�a'p•"'-----� _ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUT AND SNALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDRION TO THE CAST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am Iicensed under provisions o( Chapier 9(commencing with Seclion 7000) of Division 3 0l the Business and Protessions CoCe. and my licens�e is ipn (ull force antl eflect. �'..r-" t �� f� CIVY`_- c �- -D� - g/2,� EonG'Fc76r'"s'SgrSyNre—�. �(':oa�� J �.�,,. �� CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn lhat there is a constructbn lending agency fw the perfortnance of the work fv v,fiich�this pertni[ is issued. (Sec. 3097, Civil Code). Lentler's Name: Lender's Address: OWNER-BUILDER DEClqRATIONS: I hereby aKrm thal untler penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW (or the tollowing reason (Sea 70J7.5. Business and Prolessiong Code: Any city or counry which requires a permit to constmct, alter, improv@, demolish, or repair any slructure, prior lo its issuance, also requires the applicaM for such pertnit to file a signetl s�atement thal he or 5h8 is licengetl pursuanl to th¢ proVi5ion5 O( ihe Cont2tlOf5 License law (ChaDter 9(commencing wil� Section 7000) of Division 3 of lhe Business and Professions Code) or Ihat he or she is exempt therefrom and the basis lor the allegetl exemption. Any violation of Seclion 7031.5 by any applicant for a permit suhjecls the applicant to a civil penally of not more Ihan Me hundretl dollars ($500).): ❑ I, as owner of Ihe property, or my employees with wages as Iheir sole compensalion, WILL Dp THE WORK, antl the strucWre is not intende0 or oflered lor sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an ovmer ol property who bui105 or improves Ihereon, and who does spch work himself or herself or lhrough his or'her own employees, provided Ihal such improvements are not intentled or oflered lor sale. If, hovrever, the builtling or improvement is sold within one year ol completion, the ovmer-builder will have the burden of proving that ha or she did not build or improve fbr Durpose of sale.). ❑ I, as owner of ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS Io con5truct ttie project (Sec. 7044, Busine55 arW Pmfessbns Code: The cpntractors License Law dces rwt apply to an ovmer of property who builds or imprpves thereon, and who coni2cts fw such project with a contracta(s) Gcense pursuant ro the Contractors license Laws.). ❑ I am exempt under sec. ' Business and Professions Code (or this reason: Signal4re Dale 305]-46�JI07) Owner ID verifed by tlriv�e. ❑ Yes ❑ No � Oriver's �icense No. F�cpires: Veri(cation of Ownership by (lype ot document, i.e. - property lax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity that no excavation frve (5) or more feet in tlepth into wfiich a person is required to descend, will be made in wnnection with work authonzetl by Ihis permit, and thal no building s�rucWre, scaffdtling, false�+ork, a Cemolition or dismantling fhereo(, will 6e more ihan thiAy-s� (36} feet high. (Chap. 32. Grp 2, Art 2, Sec. 341, Title 8, Cali(omia Administ2tive Cotle�. ❑ As owner-builtler, I will not employ anyone Io tlo work which woultl require a permit from the Division of IndusVial Safery, as noted above, unless such person has a permit to do such vrork Imm the division. Applifanl'S SignpWre DiviSion of Intlustrial Safe�y Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuWre building occupant neetl to file antl certify a Business Plan for emergency response to release or Ihreatened release of a hazar0ous material? � Yes ❑ No (Section 25505 of the California Health and Safery Code requires, with some exceptions, that a Business Plan be filetl with lhe CoSW Mesa Fire Departmant by every Dusiness v+hich has at any one time during a reporteC year a quantity of hazardous materials equal to or greater lhan a weig�t of 500 pountls, or a volume of 55 gallons, or 200 cu6ic feet of compressed gas al slandartl tempereture and pressure). 2. Does or will the applicant or present or future building occupant need to file a registration form for aculely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safey Code, with some eaceplions, requires registration with the Costa Mesa Fire Deparlmeni by each business which at any one time has on hand a quantity of acutely hazardous materials equal ro or greater than a weight o! 500 pounds, or a volume of 55 gatlons, or 200 cubic fee[ o( compressed gas at standard temperature and pressure). 3. Does or will Ihe applicant or present or (uNre building occupant neeC to prepare an RMPP (Risk Management antl Prevenlion Pmgram for acutely hazartlous materials)? ❑ Yes ❑ No (Section 25534 0( the Califomia Health and Safery Cotle provitles that the Cosla Mesa Fire Department may require the preparetion, certification and filing wilh the Fire Department o( an RMPP by businesses which are required to register acutely hazardous materials with the Fire Depanment. 4. If an RMPP is presently required, has Section 25534 ot the Calitomia Health and Safety Code been fully wmplied with? ❑ Yes ❑ No 5. DoeS or will the applicant or present or (uNre builCing occupaN require for Ihe wJB which i5 �he subjett of lhi5 applit2tion a peflllit faf SUCh fAnStNCliOn or motlification from the South Coast Air Quality Management District or from any other air pollution control dislrict or agency? ❑ Yes ❑ No (Section 658502 of Ihe Califomia Govemment Code requires that the requested information be fumishetl on applications for non-resitlenlial building pertnit5). 6. will any pan of the facility to be constructed under t�is pertnit be within 1000 feet from the outer boundaries o! a school7 ❑ Yes � No pf'j�es", the lacilily must meet the requirement o( Seclions 25534 antl 42303 ol the Calilornia Health and Safery Code). 7. If a permit from the South Coast Air Ouality Management DisMcl or other air pollution cOntrol dislricl or agency i5 required (or the vrork which is Ihe subjecl o( lhis application, have all o( the disclosures prescribetl by Calitomia Heallh and Safery Cotle Section 42303 been made? ❑ Yes ❑ No 8. Q('yes", attach certificate of compliance (rom the appropriate air pollution comrol oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penally ol perjury the infortnation given above is correcL I agree to wmpy with all state laws antl city ordinances �egarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry of perjury that I have read this application antl state thal ihe inlortnation given is covecL I agree to comply with all slate laws and city ordinances relaling to building construction, antl authorize representatives of the Ciry of Costa Mesa lo enter upon the above-0escribed property lor inspection purposes. � agree not to occupy or allow occupancy of any building authorizetl 6y this permit until final inspection. Si nawre egai e� Da e _'---� s� 'Z � An/ooAWMnEe Appiiranl'--"Ti '.7_.� le � . a Bake� Com ari ln Y Coristructors, I,nc. August 28, 2007 Ms. Slivla Kennerson Development Servtces City of Costa Mesa Bldg. Dept 77 Fair Drive Costa Mesa, CA. 92626 Vie Fax: 714-754-4856 Re: Fire SprinklerPerMils—EnclaveAparlment Homes. Dear Silvia: This ]etter shal] serve as confirmation that Baker Company has withdrawn as the fire sprinkler contractor far the Encleve project previously approved and permitted under ota license numba. Furihermvre we authorize permits F07-00174 through F07-00224 to be transferred to Residential Fire, the new fire sprinkler cantractor for the Enclave project. It is my understanding that Residential Fire will he�•e their own fire sprinkler plans approved and the permits �vill now be issued imder their contractor's ]icense and Baker Company will be completely removed from azry connection or liabiliry with ihis project. No work has been pre(ortned by Baker Company under these pernrits. Please contact me if you have any questions or require additional informatioa Sinc e Doug Bro ovich V.P. Baker Company ♦ 1202 E. Hunter Sve. 5anta Sna, California 92T05 Ph: T19-835-85T2 Fx: 714-835-1228 ♦ T•d p7.�i-SEB-bTL ��H L1dzE=lT L00� 82���d CITY OF COSTA MESA BlIILDING D/V/SION i` . � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.wsta-mesa.ca.us r ".�w � FOR INSPECTIONS CALL: (774) 754-5626 F07-00335 � FIRE SUPRESSION PERMIT Job Address: 4OG ENCLAVE CI Suite: Vicinity: Parcel Nunmber. TPN007030 Applicant: VICTOR BALANCIO, Address: 17992 COWAN� IRVINE, CA ' � ' Owner. THE IRVINE COMPANY. Address 7101NNOVATION , , IRVINE, CA - . Zoning: . Phone: 949-474-0555 Zip:. 92614 Phone: 949-720-5536 2ip: 92612 � . Contractor. THE GREATER ALARM CO INC . Address: 17992 COWAN � . � , - - _ � �- - . � - ��Phone: �949-474-0555-� ��-- - IRVINE, CA � � � Zip: 92614 '' . ' ' License: 469046 -" " Status: ISSUED Applied: 10/31/2007 Issued: 11/08/2007 _ . - --' r�.;� SCOPE OF PERMIT FIRE ALARM SYS'fEM FOR PHASE II: TYPE 4A; NEW 21,538 S.F. MULTI-FAMILY DWELLING, 19 APT UNITS AND 18 GARAGES"ENCLAVE APARTMENT HOMES".-807-00562. FEE SUMMARY. , Plan Check: $0.00 - ;,. Calc Valuation: So.00 Permit: ' : ` Claimed Valuation: 50.00 Othec $0.00 Total: i FFI�- Cw- y I►� IGc6 NOTICE: The work authorized by this permit shall comply with all applicable handirap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order (or the work authorized under this permit to be considered legal, such work must comply with all applicable codes, antl all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the ezpiration of this permit. DE INSPELTIONTYPE DRTE INTRIRLS LODE/ INSPECTIONTYPE ORTE INTR1115 1616 Fiaed System Final Fire Prevention 206 Pinal Mechanical 1268 Pool SOa Final 208 Finai Plumbing 200 Final Re-Roof 270 Final Electrical 201 Final Block/Retaining Wall 212 Final Fi�e Preveniion -�� o '� 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolilion - ' 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of peryury one of the following declarations: ❑ I have and will mainWin a certificate of consent to self-Insure forbiorkers' compensation, as provided for by section 3700 of [he Lahor Code, for the peAormanca of Ihe work for which this permit is issued. ��,y{{,�� I have and will maintain wurkers' compensation insurance, as requiretl by �kEction 3700 ot Me Labor Code, for the peAormance of the work for which this pertnit is issued. My vrorkers' compensation Insurance carner and policy number are: /camer.- �,4-flo%��A� � iJi � G{� (/--(ThBsecfan��y.wpe�terCs�l�-heY1 6vaphiedatmenurMme000ars(St00)o.less) Polity,Nuinber: JJt�cJr-�c+��� / I ❑ I certify that in the peAormance of the work for which this permit is issuetl, I shall not employ any person in any manner so as to become subject to Ihe workers' com ation laws of Cali(omia, antl agree that if I should become subject to rkers' compensation provisions of Section 3700 of Ihe Labor Code, I � rthwith comply vnM these provisions. / ' ! � I' Q Ap I'sSignnWre IOa�e-_.' � �- ) WARNING: FAILURE ECURE WORKERS' CAMPENSATION COVER4GE IS UNIAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS ($700,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Protessions Cotle, antl my license is in full torce and eflecL __ .- - .. (� ' G�j 0 G'] Lic. # �- - � `�Class # _I,�• �j •07 � r o sSignaWr fDale CONSTRUCTION L AGENCY: � I hereby aHum [hat there is a constructbn lending agency for the peRwmance of the v.ork !or v.fiich tNs pertnit is issued. (Sec. 3097. Civil Code). Lendei s Name: Lender's Atldress: OW NER-BUILDER DECLARATIONS: I hereby aKrm Ihal under penalty of perjury [hat I am EXEMPT FROM TME CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Profassions Co4e: Any city or counry which requires a permii lo ConstrUct, alter, improve, demolish, or repair any struclure, prior to its issuance, also requires the applicant tor such permit to file a signed statement thal he or sha is licensetl pursuant to the provisions ot the Contractors License Law (Chapter 9(commencing with Seclion 7000) of Division 3 ot the Business and Professions Code) or ihat he or she is exempt therefrom and the basis for the alleged axemption. Any violation ol Section 7031.5 by any applicant (or a permit subjecls the applicant lo a civil penalry of not more lhan fve hundred tlollars ($500).): ❑ I, as ownei of the property, or my employees with wages as tneir sole compensation, WILL DO THE WORK, antl the structure is nol intended or oHered for sale (Sec. 7044, Business and Professions CoCe: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such vrork himself or herself or thmugh his or her own employees, provided that such impmvements are not intended or oHered lor sale. If, however, the building or improvement is sold vrithin one year of completion, the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). � ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSEU CONTRACTORS to consWct the pmject (Sec. 7044, Business and Pm�essbns Code: The contractors License Law dces not apply to an ovmer of propeny who builds or impmves thereon, and who contracts fw such project with a cmtracla(s) license pursuaN to the ConVactors Liiense Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: SiqnaWre 305]-46(3101) Owner ID verifed by driver's . .ae. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (lype of documen[, i.e. - pmperty tax tiill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ' ❑ I hereby certRy that no excavation frve (5) or more feet in depth into vfiich a pereon is required to descend, will be matle in wnnection with work authorized by this permit, and lhat no building struUure. scaHdOing, falsev.ork, or demolition or tlismantling thereof, will be more than Ihirty-s�c (36) feet high. (Chap. 32, Grp 2, M 2, Sec. 341, T�le 8, Califomia Administ2live Cotle). ❑ As owneo-builder, I will not employ anyone lo tlo work which would require a permit from lhe Division of Induslrial Satery, as noted above, unless suth person has a permit to do such work from the division. ApP������s $ignaWre Da�e Division of Intlustrial Safery Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Win the applicam or present or future buildinq occupant need to file and certify a Business Plan for emergency response to release or Ihreatened release ot a hazartlous matenal? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperaWre and pressure). 2. Does or will the applicant or present or tuture building occupant need to file a registration form for acutely hazardous matenals? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safety CoCe, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one lime has on hand a quantity of acu[ely hazardous materials equal to or greater than a vreight o( 500 pounds, or a volume of 55 gallons, or 200 wbic feet ot compressed gas at stantlard temperature and pressure). 3. Does or will the applicanl or present or future building occupant need to prepare an RMPP (Risk Managemen[ and Prevention Progrem for acutely hazardous materials�? ❑ Yes ❑ No (Section 25534 of the California Health and Safery Code provitles that the Cos[a Mesa Pire Department may require lhe preparation, certificalion and (ling with ihe Fire Department o! an RMPP by businesses which are required to register awtely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safety Code baen fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or (uture building occupam require for the work which is tha subject of Ihis application a peRni� (or suCh GonstNction of modifcation !rom ��e South Coast Air �uali[y Management Dislrict or from any olher air polWtion control disMct or agency? ❑ Ves ❑ No (Section 658502 of the Califomia Govemment Cotle requires that the requested infortnation be fumished on applications for non-residential building pertnils). 6. Will any part of the (acility to be constructed under Ihis pertnii be within 1000 feet from !he outer boundaries of a school? � Yes ❑ No (If yes", the lacility must meet the requirement o( Sections 25534 and 42303 of the California Health antl Salery Code). 7. If a pertnit Irom the South Coast Air Qualiry Management District or other air pollution control district or agency is required for the vrork which is the subject of this application, have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been matle? � Yes ❑ No 8. (If'yes", aitach certificate of compliance from the appropriate air pollution control officer). . CERTIFICATE OF COMPIIANCE: I certiy.that untler.penalry of perjury t�e information given above is correcl I agree to comply vrith all state laws and city ordinances regarding Hazardous Materials and Emissions.- SignaWre Oate CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: 1 certify under penalty of perjury ihat I have read this application and state Ihat the information given is correcL I agree to comply with all state laws and ciry ordinances relating to building construction, and authonze representatives of the� City of Costa � Mesa m enter upon the above�described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by Ihis per � niil final inspeclion. Signatu I Owner Dat¢ • � � fAnE/o�, nzetlAppLta �Dale,. .lobAddress 406 ENCLAVE CI Suile. Viciniry: Primary Occ: R1/Ui Parce� Number: TPN007030 Applicanc PEGGY BLOCK Address: 8 EXECUTIVE CIRCLE IRVINE, CA Qwnec THE IRVINE COMPANY Atltlress 1701NNOVATION � IRVINE, CA Type of Construction: V-7H Zoning: Phone: 714-557-0244 Zip: 92614 Phone: 949-720-5536 Zip: 92612 Contractor: WESTERN NATIONAL CONTf2ACTORS Address: 8 EXECUTIVE CIRCLE IRVINE, CA Zip: 92614 Arch : THOMAS P COX Address: 19782 MACARTHUR BLVD SUITE 300 IRVWE, CA Zip: 92612 Phone: 949-862-0270 License: Phone: 949-862-8142 License: 840973 Eng: Address: SCOPE OF PERMIT ISSUED BY: Status: ISSUED Applied: 05IO2/2007 Issued: 05I03/2007 Phone: License: PHASE II: TYPE 4A NEW 21,538 S.F. MUI.TI-FAMILY DWELLING W/ATTACHED 4,938 S.F. GARAGE, 946 S.F. DECKS, 1,810 S.F. BREEZEWAYS, 2,004 S.F. STAIRICqTWALKS, AND 403 S.F. UTILITY ROOM. 19 APT UNITS AND 18 GARAGES. FEE SUMMARY ' Plan Check: $1,832.55 P�rmit: $11,277.20 SMIP Res: $255.21 SMIP Com: $0.00 Other: $0.00 Inspection: �0.00 Calc Valuation: 5z,ssz,oas,00 Claim Valuation: $2,ssz,oas.00 Total: • $13,364.96 PLANNING & ZONING SETBACKS ; . , . . ' . ' MAIN STRUCTURE Front 0- 0 Rear 0- 0 Lefl 0- 0 Right 0- 0, ACCESSORY , Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ,' : PARKING 'Eaistina:. ' 0 Reauired: 0 �Pr000sed: 0 . . - NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. INSPEC710N5: In order tor the work authorized under ihis permit to be considered le9al, such work must comply with all applicable codes, and all required inspeetions and final approval must be oblained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPEC710NS CALL: (714) 7545626 � zaae�aa��vao) .. WOpKERS'COMPENSATIONDECLARAnON: ' ♦ I hereby eflirtn under penalry of perjury one oi ihe following declarations: ❑ I heve end will maintain a certitiwte of consent to self-Insure for workers' compensation, es provided for by section 3700 of ihe Lebor Code, for iha performance of the work for which this permi� is issuetl. I F'� I heve and will maintain workere' compensation insurance, as requirad by section 3700 of the Labor Cotle, tor the pedortnence of the work for which this permit is issuetl. '*"""My.wo ce s' compensatlon In urance carrier antl policy number ere: c�t��'-5` ��� �-�u-F-�AG1� _ aaii�Y�e�:�l1.X"_�. l�o��-1S�i0�2.� (Thls sectlon needh plefed ll fhe permif is valu d et one hundred tlollars ($f00) or less.) ❑ I certify that in the pedormanca of ihe work for which ihis pertnit is issued, I shell not employ any person in eny manner so es to become subject to Ihe workers' compensation laws of Gelifomia, end agree that if I shoultl become sub�ect to ihe workers' compensetlon provislons of Saction�0 of ihe Labor Code, I shall fonhwith o l wRh,these.provisions. .-, �C b� Applican4Signauie:_ - "� Dale:,,�� ` 7 WARNIN�: FAILUfiE TO SECURE WORKERS' Q7IAPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJEGT AN EMPLOYER TO CRIMINqL PENALTIES AND CIVIL FINES UP TOONE HUNDRED T/IOUSAND DOl1ARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DMMGES AS PROVIDED WR IN SECTIIXJ 31O60F THE IABOR CODE, IMEFEST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: ot Chapter 9(commencing with Section 7000) oi Divislon 3 aBusiness,�tl Professions Code, end my license is in full � 61aesYd'`', i C� 0 I �GL Datei..3�� ;�' 4- CONSTRUCTION LENDING AGENCV: ❑ I �ereby eHirtn that there is e construction lending agency for the pertortnance oi lhe work tor which t�is permit is issued. (Sec. 3097, Civil Gode). Lendefs Neme: Lendefs Address: Signeture: OWNER-BUILDER DECLARATIONS: Date: I hereby eflirtn ihat under penelry ot Oerjury that I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Business antl ProFessions Coda: Any ciry or counry which requires a pertnil m construct, alter, impmve, tlemolish, or repeir eny stmcture, pnor to i�s issuance, elso requires the applicaN tor suc� permit to tile a slgnetl stetement thet he or she Is Ibensed pursuant to the provisions of the Coniractore License law (Chapter 9(commencing with Sectlon 7000) of Division 3 oi the Business and Professions Cotle) or that he or she is exempt IhereFrom and Ihe basis for ihe elleged examption. Any violatlon of Section 7031.5 by any epplicent tor a Oermit sublects the epplicant to e civil penelry of not mora than tive hundred dollers ($500).): ❑ I, es owner of the properry, or my employees with wages as their sola compensation, WILL DO 7HE WORK, end the structure is not intended or oHeretl for sale (Sec. 7044, Businass and Protessions Code: The Contractors License Law dces not apply to an owner of properry who builds or improves thereon, end who does such work himself or herself or ihrough his or her own employees, provided that such improvements are not intended or oflered tor sale. If, however, �he building or improvement is soltl within one year ot completion, ihe owner-builder will have ihe burdan of proving that he or she tlitl not build or improve for purpose ot sale.). ' ❑ I, es owner of ihe properry, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the pro�ect (Sec. 7044, Business end Professions Code: The contractors License Law does not appty to an owner ot propeny who builtls or Improves t�ereon, end who coNrects lor such project wl�h e coniractor(s) Ilcense pursuent to ihe Conirectors License Laws.). ❑ I am exempt under sec. Business end Profassions Code for ihis reason: SigneWre: Date: Owner I� verified by dnver's license. ❑ Ves ❑ No Drivor'S License No. VedfiCallon of Ownership by (type ot document, i.e. - property tae bill or deed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTFICATION: Expires: ❑ I hereby cenity thet no excavetlon five (5) or more teet in tlepth into which a person is required to dascend, will be mede In connection wi�� work euthodzed by this permit, end ihat no building stmcture, scaHoltling, talsework, or demolition or dismantling t�ereof, will be more ihen thirty-six (38) teet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Callfomla Adminisiretive Cotle). ❑ As owner-bulltler, I will not employ anyone to do work which would require a permit irom ihe Division of Industriel Setety, as noted ebova, unless such person has a permii Io do such work from ihe tlivision. Signatura: Date: Division ol Industnal Safety Pertnit Number: CER7IFICATE OP COMPLIANCE AND AUTHORIZA710N OF ENTRV: I certify under penalry of perjury that I have reed Ihis applicalion and sta�e �hat the information given is correc�. I egree to comply wlth ell sta�e laws end city ordinances relating to building consWction, end authorize representetives of Ihe Ciry ot Coste Mesa to ente� upon Ihe ebove-described propetly for inspection purposes. I egree not to occupy or aliow occupancy of any building euthorized 6y this permit until finel inspectlon. COOE I. INSPECTION TYPE 1616 Fixetl System Final Fire Prevention 1266 Paol Spe Finel 200 Finel Re-Rool 201 Final8lock/Retaining Wall 202 Final Factory Fire Place 203 Finel Sign 204 � Final Damolition QbjE IiQlj� �Q.Q�� INSVECTIONTYPE 206 Finel Mechanical 208 Final Plumbing 210 Final Electrical 212 Finel Fire Prevention 220 Finel Planning Approval 222 Final Site 250 Final Building/Occupency P� LNImd4S .. , ^ .. ;r4:��a... .. • ,� ` � / i NEWPORT-MESA UNIFIED SCHOOL DISTRICT CER7IFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AND AB 187 To: (�) City of Cqsta Mesa ( ) Cily of Newport Beach ( ) County of Orange Applicant: Address: Telephane !):?':,"r�_��I1:�7��Ss;-E': {;1 � _,�^.`-_�Y"_� . � QQi.='�%3� f'L�-LL � . �° 6599 District Receipt No. Plan Check No.�� TracUParcel and Lot "—`--'-` �ocation of Project: Number of Square Fe�t of: Residential Space Commercial and IndustrialSpace CommerciaVlndustrial Project is: (Check One) _ Warehouse _ R8D _ Movie Theater _ Mini-storage _ Heavy IndusVial _ Regional Shops _ Light Industrial _ This projed is exempt beceuse ol I ��� a,.ea x S .30 _ Motel Bank _ Neighborhood Shops _ RacqueVFleallh _ Hotel Medieal Office Office Park To�� �� 9 Z Total Preschool Auto Repair Hospital Large Olfice Office 81dg. Restaurant Fast Food This certifies that the above-named DevelopedAppAcant has paid school faaNty fees in comp6ance with Govemment Code sections 53080 and 65995. The Building Pemrls for this square footage in this proposed dev�lopment may ruRnr be issued by your jurisdictlon. Checks are to be made payable to Newport-Mesa Unified Sehool District. By: AWhoraed The above representation as to square footage is true. App6cant aprees that if it is later determined that such representations are not true, then Mis certificate shall automatically terminate and fhe appry� ate CilylCounty shall be notified. Date: !J �� � u� ' I�c�w`-'" � �PPk�� r. � 1 FAX TO ►�w� FROM '� ARNET ENGINEERING, INC. 1577 North Main Street, Suite A Orange, CA 92867 {714) 379-3789 Fax: (714) 379-8024 FAX TRANSMITTAL COVER SHEET Western National FAX NO: Hand-Delivered Bob Hernandez BeatArnet DATE TIME: 6/29/07 PROJECT: Enclave / The Irvine Company 406 Enclav_e Building Permit No. B07-00562 � 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: The "Structural Observation" per UBC 1702 regarding strand and rebar layout was performed by me on June 29, 2007 on the following portions of the Post- Tensioned Slab-on-Grade of the above referenced project: Building 17 (Type 4A) The installations are iri general conformance to the plans. Feel free to call me, if you should have any question. Sincerely, , , . ARNET T�IEERING, INC. � Beat Arnet, P.E. cc: Roberto Ortiz Fa�c 997-3857 G �'4C��8S Exp. 3;31/L'� ( DHLP CH�/ STRUCiURHt ENGINEER, lNC. � CpNSUL'RNG & DESIGN 1748 West KaOella A�eru�e Sui[e 2Q8 Oranye. C� 9�867 � 714 997 t 145 714 997 3657 FAX � <dalechristian.com> DCSE, Inc. Job Name: The Enclave Phase II DCSE,Inc. Job #:' 06060 Bldg. Type & Lot #: __> nt.;va� et Dem Enpneer Ih �.•� 19 � I �� ys" ( FIELD OBSERVATION LOG (SEE NOTES BEL01f� Items ObservW and Locations �,��t��;���-n.� � r��� GUi''�1�Iv1 �t"ZDuND PlDI`P%� ��`f�rJtS Floor Framing 3rd Floor Framing Framing 1: A minimum of 3•t Il 6n. will be cberged for eecA end every viait b thejob site. 2.- This fmm is only for edministrativc puryosu md dou �wt indicele struc4val epptoval oteny 6uilding. Ifbuilding wnfo'menu letter is , requiied,euperinWMmtshouldconincttLernginettofrxardetDeleClu'vuen'soffia. Status � ( �, , . �m._„ e,i�V� : �� � 9�ieoo �,• °° E N G I N � � . �;- ,�, �..: a "s, �. p T��' E E R 1 p G June 22, 2007 Inspection Division City of Costa Mesa Building & Safety 77 Fair Drive Costa Mesa, CA 92628 Attentioa Subject: City Grading Inspector Civil Engineer's Certification of Compliance for Top of Forms Pmject: Grading Permit No Building Site: BuIldings: Job Address: Owner: Work Completed: G06-00029 Enclave 17, 19, 20 & 21 450 Anton Blvd. IAC June 21, 2007 : rvi: �z Sn;� �7iego in¢ma EmpvA Palm Sarings In accordance with the City of Costa Mesa Crrading 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 of the placement and compaction of earthwork within the purview of others. Sincerely, FUSCOE ENGINEERING, INC. /n•-� O� Trevor Scott Dodson, P.E. RCE 42029 Exp. 03/31/08 �7 �SCOTT� \"` V \ � No.42029 Z CIV1� OFCA 16795 Von Karman, Suite 100, Irvine, California 92606 fel 949.474.7960 ' fax 949.474,5315 �w.�v.f�scoe.com 0 I�kTiiLal � � � � �, . 4 _ •� � _" � .�11�N 1�U�N � Dai 0 Prc � C�� S Pei �h � n�r l�tiv 6- �-o Na. o 0�3-� r,o. R n7-UoS(�2 The footing excavations listed above were observed and probed and found to bottom on firm competent bearing material. The above listed slab subgrades were observed and tested and found to have satisfactory moisture penetration to the recommended depth, and were found to be firm and dense. The above listed interior trenches were observed and. found to be backfilled with clean sand which were densified byjetting and flooding with water. ❑The curh and gutter / street subgrade listed above was observed, probed and tested and found to be firm and unyi�lding with a minimum of 90% relative compaction. ❑The aggregate base listed above was observed and tested and found to be firm and unyielding with a minimum of 95% relative compaction. ❑The retaining wall backdrain listed above was observed and found to be installed in compliance with our recommendations. ❑The subgrade listed above was observed, probed and tested, and found to be of firm bearing soils, adequately presaturated per our recommendations. Remarks: Notes: 1. he ohservations reported above do not wnstitute an approval of foundation location, footing size or depth, reinforcement or foundalion design. ' � 2 ebris and slough should be removed prior to placement of reinforcement or concrete. NMG FIELD MEMORANDUM �Received NIvIG (714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.��cCTRICAL PERMIT �� FAIR UHIVt, GU51 A MtSA, GA 9Z626 Job Atldress: Suite No Viciniry: Parcel Nunmber Applicant: Address: owner. Address 406 ENCLAVE CI TPN007030 PEGGY BLOCK 8 EXECUTNE CIRCLE IRVINE, CA TH� IRVINE COMPANY 110 INNOVATION IRVINE, CA' Phone: 714-557-0244 Zip 92614 Phone: 949-720-5536 Zlp: 92612 Contractor WESTERN NATIONAL CONTRACTORS Address� 8 EXECUTIVE CIRCLE . , Phone� 714-557-0244 IRVINE, CA Zip: � 92614 � license:840973 . ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+urtits) Pool / Spa Lighling Fixts , Recept Oullels Switches Non Res Appl Res Appl Service to 200a - Service to 1000a' Service over 1000a Motors to 1hp Motors to 10hp Molars to 50hp Motors to 100hp � � Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole Status: ISSUED Applied: 05I04/2007 Issued: 05I10/2007 ISSUED BY: ��ie� SCOPE OF PERMIT PHASE II, TYPE 4A ' ' � ELECTRICAL INCLUDES: 21,538 S.F. NEW MULTI-FAMILY BLDG W/ATTACHED GARAGE, 87 LIGHT FIXTURES, 47 OUTLETS, 22 SWITCHES AND 2 SUB PANELS TO 200 AMPS. REF.: B07-00562 $23.50 $0.00 $0.00 $0.00 ,076.90 $0.00 $70.91 $4171 523.46 $0.00 $0.00 $0.00 ��, $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 . $61'.00 $0.00 , $0.00 $0.00 $0.00 �uantiry 0 21538 - 0 87 47 22 0 0 0 0 0 i T: 0 . . 0' 0 0. 0 , 0 2 0 0 0 0 � FEE SUMMARY Temp Dist System / Lighting Busway /100 ft - Standing Section Misc Electrical Equipment Transformers up to,1 kva/kw ,, ..............up to 10 kvalkw . .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment .Low Volt Wiring System / Ckt Misa Conduit Misc. �Conductor Circus ( gen�or�ride) Circus (mech ride'or,lighls)� �� Christmas Tree Stand Fireworks Stand Other Electrical Fee � Investigation Pee Plan Check Fee Reinspeclion Fee Quan�ity $o.ao 0 $0.00 0 $0.00 0. $0.00 0 $O.OQ 0 $0.00 0 $0.00 0 30.00 0 $0.00 0 50.00 0 50 00 0 $0.00 - 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0:00 $0.00 50.00 TOTAL CALCULATED FEES $1,29T.48 COMMENTS / SPECIAL CONDITIONS NO710E: 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 for 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 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: (774) 7545626 2aasrs �s�w� WORKERS'COMPENSAnON DECLARAnON: I hereby aflirm under penalty of perjury one ot Ihe tollowing declaratlons: ❑ I have and will maintein a certifcate of consent to self-Insure for workers' compensation, es provided for by sectlon 3100 of the Labor Code, for Ihe pertormence of the work for which ihis permit is issuetl. ❑ I have and will mainWin workers' compensaqon insurance, as required by sectlon 3700 ot the Labor Cotle, tor the perfortnance of Ihe work for which ihis pertnit is issued. My workers' compensation Insurence cerrier entl policy number ere: ceme�: Liberty Mutual PolicyNumber: WC`�-1R(;-flfi47fl-f1�R (This section need not be completed i! the permit is veluetl et one hundred dollars ($100) or less.) ❑ I certity that in Ihe pertormance ol ihe work br which this pertnit Is issueq I shell not employ any person in any manner so as to becnme subjecl to ihe workers' compensation law o lifornia, end egr e that if I should become subJect to the workars' compensetion provislons of Sectlo 3700 t the Labor Code, I shall forthwith complywit�`_Ihese rovis ns. /'�� ^� �plicaritSignature: �, ,� n 1�-- � Date:�: �. �� �I� CO / WARNING FAILLIRE TO SECURE F� R COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CNIL FlNES UP TO ONE MUNDRED TFIOUSAND OOI.LARE (5100,000), IN ADDfrION TO THE COST OF COMPENSATIIXJ, AAMAGES AS PROVIDED F-0R IN SECiION 37060F THE L4BOF CODE, INTEREST, AND ATTORNE`fS FEES. LICENSED CONTAACTORS DECLARATION: I hereby aHirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of DlNsion 3 01 the Business and Profeuions Coda, and my license is in tull rorca antl eHect Lic. a 840J93 .� n Cless a .� R CONSTRUCTION LENDING AGENCY: . ❑ I hereby affrtn thet there is a consWdion lending egency for the peAormance oi lhe work for which Ihis pertnit is issued. (Sea 3097, Civil Code). Lendefs Name: Lender'S Adtlress: Signature: Date: OWNER-BUILDER DECLARAT10N5: I hereby attirm that untler penelry of perjury Ihat I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business antl Professions Cotle: Any ciry or counry which requires a permit to consiruct, elter, Improve, demolish, or repair eny structure, pnor to its issuance, also requires ihe applicant tor such permit to file e signed stetement lhat he or she Is Ilcensed pursuent to the provisions of the Contrectors License Law (Chapter 9(commencing with Sectian 7000) of Divisian 3 of Ihe Business end Professlons Gode) or t�et he or she Is exempt therefrom entl the Dasis for tha alleged exemption. Any violation oi Section 7031.5 by any applicant for e partnit subjects the epplicant to e civil panelty oi not more than tive hundred tlollers ($500).): ❑ I, as owner of the properry, or my employees with wages as their sole compensatlon, WILL DO THE WORK, and the structure Is not intended or offered for sale (Sac. 7044, Business end Pmfessions Code: The Contractors License Lew does not appty to en owner of pmperty who 6uilds or improves thereon, and who does such work himself or hereelf or ihrough his or her own employees, provided ihat such improvemenis are not intended or oHered for sale. If, howevar, the 6uilding or improvement is sold within ona yeer of completion, ihe owner-builder will have ihe burden ol proving that he or she did not build or improve for purpose ot sale.). ' ❑ I, as ownar of the proDerty, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTOflS to construct the project (Sec. 7044, Business antl Professions Cotle: The contreCtors Llcense Lew does not epply to en owner of property w�o bulltls or Improves thereoq end wh0 Coniracls for such prqect with e contractor(s) licensa pursuant to ihe Contractors License Lews.). ❑ I am exempt under sac. Signature: Owner ID verifietl by tlnver's licensa. ❑ Ves ❑ No eusiness end Professions Code tor this reason: Veritication of Ownership by (type oi tlocumem, I.e. - property taa bill or deed): DIVISION OF INOUS7RIAL SAFETY PERMIT CERTIFICATION: Driver's License No. Date: Expires: ❑ I hereby certify thet no excavation five (5) or more teet in depth Into which e person Is requlred to descend, will be made in connection with work authorizad by this permit, and �hat no building siructure, scaHolding, talsework, or demolition or dismantling thareot will be more lhen ihitly-six (36) fee� high. (Chap. 32, Grp 2, Atl 2, Sec. 341, Title B, Calitornie AOminisiretive Code). ❑ As owner-builder, I will not employ enyona to do work which would require e permit from ihe Division of Industrial Sataty, as notad a6ove, unless such person hes a permit to do such work from the tlivision. SignaNre: Data: Division of Industrial Safety Permit Number: CERT1flCATE OF COMPLIANCE AND AUTHORQATION OF ENTRY: I certify under penalry ot perjury ihet I have reatl �his application and state Ihat ihe intortnation given is cortect I agree to comply with ell stete laws and ciry ordinences relating to building construction, entl euthorize representatives of the Ciry of Costa Mesa ro enter upon the above-described property for inspection purposes. I egree not to occupy or allow occupancy oi eny building euthonzed by �his permit until final inspection. COOE t. 1616 1266 Signeture Fixed System Final Fire Prevention Pool Spa Finel 200 ��FinelRe-Rooi 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition PSIE CO�EI MSPECTIONTYPE 206 Final Mechanical 208 210 212 Final Plumbing Final Elecincal p/ �. Pinal Fire Prevention 220 final Planning Approval 222 Final Site 250 Finel Building/Occupancy pL51q 1 J /. ICIu�L� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT JobAddress: 406 ENCLAVE CI Suite No Viciniry: Parcel Number: TPN007030 App�icam: PEGGY BLOCK � Address: 8 EXECUTIVE CIRCLE-, : � � . Phone: 714-557-0244 IRVINE, CA � Zip: 92614 Owner: THE IRVINE COMPANY Adtlress: 1101NNOVATION . _ � i � �, Phone: 949-720-5536 �. � IRVINE, CA � � � , Zip: 92612 . , , • , .� c'. Contrector. WESTERN NATIONAL CONTRACTORS Address:- 8 EXECUTIVE CIRCLE Phone: 714-557-0244 IRVINE, CA Zip: 92614 . ' License:840973 Status: ISSUED Applied: 05/092007 Issued: 05/15/2007 ISSUED BY: SCOPE OF PERMIT �PHASEII,TYPE.4A-�� "�07-OC7S6�Z . MECHANICAL INCLUDES: 1 REPAIR/ALT COOLING/HEAT, 19 HOODS WIMECH EXHAUST, 64 VENT FANS, 19 AIR HANDLERS < 1000 CFM AND 19 COMPRESSORS/ABSORPTION SYSTEMS. ISSUE FEE Insl FAU <700 k BTU Inst FAU >100 k BTU Repair7Alt Cooling/Heat Insl / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent ,, Air Handlers < 70000cfm. AirHandlers> t0000cfm � Floor Fumace � Floor or Suspend Heater 523.50 50.00 50.00 513.70 $0.00 50.00 50.00 S0.00 $0.00 5202.35 50.00 $464.00 $0.00 50.00 50.00 50.00 8202.35 50.00 50.00 50.00 Quantity 0 0 1 0 ' 0 0 0 0 19 0 64 0 0 0 0 19 0 0 0 � FEE SUMMARY - % . ._. _,r � � Repair / AII Absorblion Unit _ Repair/AltRefrigerationUnit Ventillation System . , � �� Evaporalive Cooler, �- - �--'�" -' Commercial�lncinerator � �� � Domesliclncineralor Comuressors I Absorption Svstems Upio3hp/100kBTU - 3To15hp/SOOkBTU 15 To 30 hp / 7,000 k BTU ��� 30 To 50 hp / 7,750 k BTU . - Over 50 hp / Over 1,750 BTU .. Boilers� - ` Upto3hp �� - � 3To15hp �- ' -� � , i5to30hp , . , ,' 30 to 50 hp � , �, � �� - �Over 50 hp ' � � 'Other Mechanical Fee .� � � � � ' - � - Investigation Fee � ' . � �- Plan Check Fee , ' � , � ' _ Reinspection Pee , � TOTAL CALCUCATED FEES COMMENTS I SPECIAL CONDITIONS Quaniity 50.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 , 0 50.00 0 50.00 0 . 50.00 0 5279.30 19 $0.00 ,' 0 $0.00 " 0 $0.00 0 � - SO`.00 0 $0.00 50.00 S0.00 ,185.20 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 7, 72-27-92) �. EXPIRATION: This permit shall automatically expire and become voitl if work is not commenced wilhin 780 days, or if work is suspended or abandoned I for a pedod of 180 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 I' �' required inspeetlons and Iinal epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. I FOR INSPECTIONS CALL: (714) 7545626 i zaa�wa �aw� WORKERS' COMPENSATION DECLARATION: I hereby ettirm under penalry of perjury one of the following tleclaretions: ❑ I heve entl wlll maintain e certificate of consent to self-Insure tor workers' compensetlon, es provided for by section 3700 of the Lebor Code, for the peAormence ot the work for which Ihis pertnit is issued. � I heve anG ill ma ain worke compensat' n suranc es required by e on 3700 0l Ihe Labor Code, for Ihe perfortnance of Ihe work or Ic Ihis e7� s s ed Myworkers com s' I carn policy u aq : }�//�''���j�1�N� Carri`er. � !—POIiCy Number:l •�-1 �. � (7his"secfton ne no( be comp/eted 7! fhe ermit �s velued at one hundred tlollers (8 f00) or /essJ �— - ❑ I cetlify thet in the pedo mence of Iha work For which this pertnit is issued, I shall not employ eny person in any manner so es to become subject to the workers' compensetion laws of tomia, end egree tha it I should become sub�ect to t�e workers' compensation provisions of Section 3700 of the bor Code, I shell forthwith comply with lhe5e pr visi s. 1 / I 7/� ApPliceniSignaWre: n%/�/��A /_ -U�.IL �Dete:� - �` �� L V� WARNINO: FAILURE TO SECURE WO PENSATION COVEfiAOE IS UNUWFUL AND SMALlSUBJECT AN EMPLOYER TO CFllMINAL PENALTIES AND GVIL FINES UP TO ONE HUN�RED TTqUSAN� OOLURE (E100,000), IN AODRION TO THE W5T OF Q�MPENSATION, �AAMGES 0.S PROVIDED FOR IN SEGTION 3)O60F THE U80R ODDE.IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECIARATION: I hereby aHirm thel I em licensad u vis h ter ( enr.ing with Sectlon 7000) of Divisian 3 of the Business e lons Code, antl my license is in full torce and ettect. ua u �� � Cclass N- - � r , ContrectofsSignawre: �--�Dete: li � CONSTRUCTON LENDING AGENCY: ❑ I hereby aNirtn ihat there is e conslruction lentling agency br ihe DeAormence ot Ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lentlers Name: Lenaer's Atldress: Signature: Da�e: OWNER-BUILDER DECLAiiA710NS: I hereby aHirtn thet untler Denelry ot perjury that I am EXEMP7 FHOM THE CONTIiACTORS LICENSE LAW far the tollowing reason (Sec. 7031.5, Buslness end Professions Code: My ciry or counry whic� requires a pertnit to consiruct, alter, improve, demolish, or repair any sirucWre, pnor ro its issuance, also requires Iha eppllcaN for such pertnit to tile e Slgnetl slatement ihat he or she is licensed pursuant to the provisions of Ihe Contrectors Licensa Law (Chapter 9(commencing with Secllon 7000) oi Dhrision 3 oi the Busineu end Prolessions Coda) or that he or she is e:empt Iherefrom entl the basis for 1he ellegad exemption. Any violation of Section 7031.5 hy eny applicant for a pemiit subjects t�e applicant to a cNil penalry of not more than five huntlretl tlollars ($500)J: ❑ I, es owner of Ihe properry, or my employees with wages as their sole compensatlon, WILL DO TME WORK, and the structure Is not intendetl or oHered for sele (Sec. 7044, 8usiness and Professions Code: The Coniractors License Law tloes not apply to an owner oF properry who builds or improves thereon, end who does such work himseN or herself or through his or her own employees, pmvidnd that such improvements are not Intended or oHered for sale. Ii, however, the builtling or improvement is sold within one year oi completion, ihe owner-builder will have the 6urtlen of proving �het he or she ditl not builtl or improve lor purpose of sele.). ' ❑ I, es owner ot t�e property, am EXCWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the prqect (SecJ044, eusiness and Pmfessions Cotle: The contrectors LJcense Law does not appty to an owner of pmperty who �ulltls or Improves Iheraon, antl who contracis for such pmject wiih a wnirector(s) licensa pursuant to the Coniractors License LawsJ. ❑ I am exempt untler sec. Signature: Owner 1� venlied by dnvers license. ❑ Ves ❑ No Business entl Protessions Code for this reason: Verification o( Ownership by Qype ot dwument, i.e. - property ta: blll or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Driver'S Ucense No. Date: Expires: ❑ I hereby certify t�et no excava�ion live (5) or more teet in depth into which a person is required to descend, will be made in connectlon with work euthonzed by Ihis pertnit, entl thet no builtling siructure, scattolding, falsework, or demolition or dismantling t�ereof, will be more than ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle e, Califomia Atlministrative Cotle). ❑ As owner-builder, I will noi employ enyone �o do work which woul0 require a pertnit from the Division oi Industnal Sefary, as noted ebove, unless such person has a pertnit to do such wark irom the division. Signature: Date: Division ot InduStnel Sefe�y Permil Number: CERTIFICATE OF COMPLIANCE AND AUfHORVA710N OF ENfAY: I certity untler penalry of perjury that I have read this epplication antl state that the informetion given is correct I egree to comply wlth ell state laws and city ordinances relating to builtling construction, end euthorize representetives of the City ot Coste Mesa to enter upon ihe above-described properry for inspection purposes. I agree not to xcupy or ellow occupancy ot any building authonzed hy this permit unlil finel inspection. Signa re f Legal Owner(s) � a( � l LMtl/OrA orizedAppllcant r'�Date� -- COOE 1. INSPEGTION TYVE 1616 Fined System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-ROot 201 Finel BIocWRetaining Wall 202 203 204 Final Fectory Fire Place Finel Sign Flnel Demolltion PeL I[�ELS CODE I INSPECTION TYGE 206 Final Mechanical P/� 208 Final Plumbing 210 Final Electncal 212 Final Fire Preventlon 220 Final Planning Appravel 222 Final Site 250 Final Building/Oaupancy i ,i •I • pt4) 754-52�3 • Fax p14) 754-4856 • www.ci.costa-mesa.ca.us n rnin unrve, w� i R mesN, cN aeozo JobAddress: 40F> ENCLAVECI Suite No Vicinity: Parcel Nunmber: TPN007030 npp�icant: PEGGY BLOCK Address: 8 ERECUTIVE CIRCLE IRVINE, CA owner: THE IRVINE COMPANY PLUMBING PERMIT Phone: 714-557-0244 Zip: 92614 Address 7101NNOVATION Phone: 949-720-5536 IRVINE, CA � Zip: 92612 Contractor: WESTERN NATIONAL CONTRACTORS Address: 8 EXECUTIVE CIRCLE IRVINE, CA PHASE II: TYPE 4A Phone: 714-557-0244 Zip: 92674 License: 840973 SCOPE OF PERMIT ISSUED BY: Status: ISSUED Applied: 05/07/2007 Issuetl: 05/10/2007 PLUMBING INCLUDES: 36 BATHTUBS, 79 DISHWASHERS, 4 RAINWATER DRAINS, 4 ROOF DRAINS, 19 GAS (1-4 OUTLETS), 19 GAS LINES, 19 GAS SERVICES, 19 LAUNDRY TUBS/WASHERS, 2 PRESSURE REGULATORS, 3 SEWER CONNECTIONS, 19 KITCHEN SINKS, 2 VACUUM BRKR BACKFIOWS, 36 WASH BASINS, 3 WASTE AND VENT SYSTEMS, 36 WATER CLOSETS, 19 WATER HEATERS, 2 WATER PIPINGS AND 2 WATER SERVICES. /�07 - C� 5%- FEE SUMMARY AMT QTY AMT QTY AMT gTY ISSUE FEE 523.50 Laundry Tub / Washer $186.20 19 Sump Pump $0.00 0 Backflow irrigalion 50.00 0 Landscape Irrigalion 50.00 0 Swimming Pool $0.00 0 Backflow Preventer 50.00 0 P-Trap $0.00 -0 Trep Primer $0.00 0 Bathtub 5352.80 36 Pressure Regulator 519.60 2 Urinal 50.00 0 Clarifier System 50.00 0 Process Piping (per 10 fp 50.00 0 Vacuum Brkr BkBow(1-4) $24,60 2 Connecl pce,Soda,etc) 50.00 0 Receptors '� $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Unils 50.00 0 Sepiic Tank y0.00 0 Wash Basin 5352.80 36 Dishwasher §18620 19 Sewer Cap for Demo S0.00 0 Wash Basin Set $0.00 0 Drain, Floor $0.00 0 __ , Sewer Conned $73.95 3 �� Waste and Vent System $29.40 3 Drain, Rainwater 53920 4� Sewer Private Line 50.00 0 Water Closet (Toileq 8352.80 36 Drain, Roof 53920 4 Shower 50.00 0 Water Heater / vent 523370 19 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 Valve . 30.00 0 Sink, Floor 50.00 0 Water Service 519.60 2 Gas (7-4 outlets) 5116.85 19 Sink, ki�chen 5786.20 19 Water Soltener $0.00 0 Gas (Over 4 outlets) 50.00 0 Sink, service/mop $0.00 0 OTHER 50.00 Gas Repipe $186.20 19 Spa (private) $0.00 0 VIOLATION 50.00 Gas Service $18620 79 Spa (public) $0.00 0 PLAN CNECK 50.00 Interceptors (Grease, Oip $0.00 0� . REINSPECTION $0.00 0 Interceptors (Sand Auto ) $0.00 0 � TOTAL CALCULATED FEES: ,628.60 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Calilornia statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or it work is suspended or abandoned tor a period ot 180 days, INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes; and la I requlred Inspectio�s and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of th�permit. FOR INSPECTIONS CqLL: (714) 75Y5646 zaas�as �s�oo> WORKERS'COMPENSAnON DECLARAnON: I hereby ettirm under penalry ol perjury one ol iha tollowing declareilons: ❑ I have end will melnlein e certificete of consant to salbinsure tor workers' compensetion, es providad for by section 3700 ot ihe Lebor Code, for the pertortnence of the work for which this permit Is issuee. ❑ I have entl will maimein workers' compensetlon insurance, as requlretl by section 3700 of Ihe Labor Code, for the pertortnance of the work for which Ihis permit is issued. My workers' compensatlon Insurance carrier enC policy number are: ceme�: Liberty Mutual aonoyN�mee�: �n�c�_�Fr._nFa�n_mF (This section need not be compleretl iI fhe permif /s valued et one hundred dollero ($ I00) or less.) ❑ I certify ihat in the peAor a ce of ihe work for which this permi� is issued, I shall not employ any person in eny manner so as to become subject to tha workers' compensetlon laws of C Ito ila, end egree ihe I should become suD�act to ihe workers' compensetion provislons of Sec' n 3 00 of the Labor Code, I shall forthwlth comply with these provis on . ^7 AppGcant�Signature: —'�� � �%r�'U� �� �Date: ` � U � [ Sar T: � WAHNING'FAICURE TO SECURE WORKERS' COl,1PENSATION COVERA�E IS UNUWFUL FND SHALL SU&IECT AN EMPLOYERTO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED THOUSNND DOLLARE (5100.OD0),IN ADDITIIXJ TOTNE COST OF WMPENS4TION, DAMACaES PS PROVIDED FOF IN SECTION 31O80F THE LABOR CODE, IMEREST, FND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm ihat I am Iicensetl untler proNsions ol Chapter 9(commenGng with Sectlon 7000) of Division 3 oi Ihe Business antl Professions CoAe, and my license is in tull rorce and�ettearGc: e�--8k9973_ Class A ., R CONSTRUCTION LENDING AGENCY: ❑ I hereby eNirtn �het ihere is e construction lending agenq tor the OeAormanca ol ihe work for which this Dermit is issued. (Sec. 3097, Civil Code). Lentlers Nama: Lender's Atltlress: SignaNre: OWNER-BUILDER DECLAPATIONS: Date: I hereby aNirtn ihat untler penelry at perjury thal I em EXEMPT FROM THE CON7RACTORS LICENSE lAW tor che following reason (Sec. 7031.5, Business and Professions Code: My ciry or wunry which requires e pertnit to construct, elter, Improve, demolish, or repair any structure, prior to its issuance, also requires the appliwnt for such permit to File e signetl stetement thet he or she Is IlcenSeG Dursuant to the proNslons ot the Cantrectors License Lew (Chepter 9(commendng with Section 7000) ot Division 3 of the Business and Prolessions Cotle) or ihat he or she is e:empt t�erefrom and the besls for the ellaged exemption. Any violation of Section 7031.5 by any epP���nt tor e pertnit subjecis ihe aDP���nt to e civil penelry af not more Ihan five hundred tlollere ($500�.): ❑ I, as owner ot t�e property, or my employees wit� wages es their sole wmpensation, WI�L DO THE WORK, and Ihe structure Is not intended ar oNeretl for sele (Sac. 7044, Busineu entl Professlons Cotle: The Conlrectors License Lew does noI apply to en owner ot properry who builds or improves thereon, and who does such work himsell or herselt or through his or her own employees, provided ihat such imOrovements are not intendetl or oHeretl tor sale. Ii, howaver, the building or improvemant is sold wlthin one yeer ot comple�ion, ihe owner-builder will heve ihe burtlen ol proving that �e or s�e did not build or improve for purpose ot sale.). ' � 1, as owner of tha properry, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTiiACTORS Io construcl Ihe pro�ect (Sec. 7044, Business end Professions Code: The contrectors License Law tloes nol appty to an owner ol property who Ouiltls or improves thereon, end who comracts br such projett wlih e comractar(s) license pursuant ta the Cantrectors License Lews.). ❑ I am exempt untler sec. Business and Protessions Cade for this reason: Signature: Date: Owner ID veniied by drivers license. ❑ Yes � No Driver's License No. Eapires: VedBcation oi Ownership hy (type ol document, I.e. - pmpeny tax bill or tleetl): DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity ihat no ezcevetion tive (5) or more leet in depih into which e person is required to descend, will be mede in connection with work euthorized by ihis permi�, antl ihat no 6uilding structure, scaHolding, lelsowork, or demolilion or dismantling thereol, will be more ihan thirry-six (36) teet high. (ChaO� 32, Gry 2, Art 2, Sec. 341, Tlile e, Celllornla Adminisirative Code). ❑ As ownerbuilder, I will not employ enyone to do work which would require a partnit trom the Division of Intlustrial Sefery, as noted above, unless such person hes e pertnit to do such work from the tlivision. Signature: Date: Division of IndusMal Setety Permit Number. ICERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF EHTRY: I certity under penalry of perjury Ihat I have read this application and staie Ihat Iha infortnation given is I wrrect. I egree to comply with ell state laws end dry ortlinances reletlng to 6uilding consimctlon, end euthorize representatives of the Ciry ot Costa Mesa to enter upon the above-tlescribed propeny tor inspection purposes. I egree not to occupy or ellow accupancy of eny building euthorized by this pertnit until final inspection. COOE I. INSPECTON TYPE 1616 Fised System Flnal Fire Preventlon 1266 Pool Spe Flnal 200 niinel Re-Roof 207 Final BIacWReteining Well 202 finel Fectory Flre Place 203 Final Sign 204 Finel Demolltian �g �§ COOE� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing P/� 210 Final Electrical 212 Finel Fire PrevenHon 220 Finel Planning Approval 222 Final Site 250 Finel Builtling/Occupancy ICitiillFl �.,,.�.��.. � �c�i..o�s �� n Req �4--vt %, �.►�'��%. Requested Inspect Date: Wednesday, April 30, 2008 Site Address: 406 ENCLAVE CI CM AIP/p Information Activity: E07-00415 Type: ELE ConstType: Occupancy: Owner: THE IRVINE COMPANY Contractor: WESTERN NATIONAL CONTRACTORS Applicant: PEGGY BLOCK Tenant: ENCLAVE APARTMENT HOMES Description: PHASE II, TYPE 4A ELECTRICAL INCL GARAGE, 87 LIGHT FIXTURES, 47 OU B07-00562 Requestedlnspectionls) Item: 210 FINAL ELECTRICAL Requestor: Assigned To: '*"'****"" Action: Time Exp: Inspection Historv Item: 1 BLDG f Item: 34 TEMP Item: 36 UFER Item: 38 ELEC Item: 40 ELEC Item: 42 ROUG Item: 44 ROUC Item: 46 Ilem: 48 Item: 50 Item: 100 Item: 106 Item: 118 Item: 150 Item: 210 OR POLE C Sub Type: Status: ISSUED Use: Insp Area: Phone: 949-720-5536 Phone: 714-557-0244 ' Phone: 714-557-0244 UDES: 21 538 S.F. NEW MULTI-FAMILY BLDG W/ATTACHED TLETS, 22 §WITCHES AND 2 SUB PANELS TO 200 AMPS. REF.: Requested Time: 08:00 AM Phone: Entered By: WEIDE_MJ K " Approved " Action: AP APPROVED iD 1-23RC FL. Action: AP APPROVED :D t-23RD FL. Aciion: AP APPROVED :D 1-23RD FL. InspecCor: RHB �� Action: NR Not Ready � Inspector: RHB Action: CAN CANCELLED Inspector: RHB Action: NR Not Ready Inspector: HM Action: PA Partial approval UNIT METERS OK FOR RELEASE. Inspector: HM Action: PA Partial approval UN1T METERS OK FOR RELEASE. Inspector: HM Action: PA Partial approval UNIT METERS OK FOR RELEASE. Inspector: RHB Action: CO Correction(s) Required PROVIDE ACCURATE PLANS BONDING CONDUIT-UNDRGRND Action: CONT Continued INSPECTED AND APPROVED. REPT131 Run Id: 8837 � � � TNSTALLATION CER7 ICATE Site Address lofl. Permit Number CF-6R An inslallation certifica[e is required to be posled at the building site or made available for all appropriate inspections. (The information provided on [his fortn is required; however, use of [his fortn to provide the infonnatioq is optional J After comp(etion of final inspection, a copy mus[ be provided to the building depariment (upon request} and the building owner at occupancy, per Section 10.103(b). HVAC SYSTCMS: ' $ea[ing Eqnipmenf Equip. # of HRcirncy Duct Ducl or Heating Heating Type (pkg. CEC CertiEed Mfr Name Idrntical (AFUE, etc.)� Locntian Piping Loed Capaci�y h ntomm�l d MrHI IN h r S«ms 2CF-IRvaluel (attic etcl R-value (Btu/hrl fPWNrI Cooling Eqnipment Equip. CECCertiFiedComp¢ssar #oC E�eiency Duct Cooling Cooling Type (pkg. Uni[ Mfr Nacr.e and identical (SEEA, ele.)� Loca4on Duc[ I.oad Cepucity h l0 1 M d IN 6 5 st s RCF-lR�aluel (etpc etcl R-valut (Bwfirl (BN/lul 1. > reads greater �han or equa! to. � � I, lhe undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficirnt [han [ha[ specified in [he certifica[e of compliance (Fonn CF-]R) submitted for compliance with the Energy E�ciency Smndards for residential buildiugs, and 3) equipmenl lhat meets or exceeds [he appropriate requirements for manufactured devices (from the Appliance E.{j'iciency Regu/otions or Part 6), where applicable. Signature, Date WAT�R H�ATING SYSTLMS: �Rlil�! Dli/1 I.�ii/�/'%L DisFribution Heater CEC Certifmd Mfr Type (Std, Instaliing Subcontrac[or (Co. Name) OR General Con4ac[or (Co. Name) OR Owner ifRccir- #of Reted' Tenk E�- culelion, ldenlicel Inpul(kW Volumc cirnc� ���1'��7iI 2 far snmil gas starage (m/ed inpu[ of iess thm ar equal [0 75,000 BN/hr), dectric resistance ertd heat pump wahr heaeers, lisc Encrgy Focmr. For Ivrge gas smnge nnter hev[ers (rztcd input of grea4r then 75,000 BtuNr), list Recovery Efficiency, Stand6y Loss and Rated Input. For instuntnneous gas watet heateR, IistRecovery E�cienty md Relcd InpuL - 3. R-12 extemal insularion is mandamry for sloage water hm[as with en rnugy facmr of Iess t6m 0.58. Faucets & Shower Heads: AII faucets and showerheads instalfed am certified to the Commissioq pursuan[ to Title 24, Part 6, Sec[ion l ll. Ezlcmnl 1, the undecsigneQ veafy tha[ equipment listed above my signature is: 1) ihe actual equipmen[ insWlled; 2) equivalent to or moro effici t an at specified in [he ceRificate of wmpliance (Foan CF-1R) submitted for compliance with the Ener dardr for residen6al buildings; and 3) equipmen[ that meets or exceeds the appmpriate re irem r n ctured devices (frnm the Appliance E�eiency Regulations or Part 6), where applicable. a � o� ����-S 1��.��. L Si nature, D t Installing Subcontractor (Co. Name) OR Geneml Contractor (Co. Name) OR Ovmer , COPY'Ib^—B�1"ding Department HEltS Provider (if applicable) Building Ovmer at Occupancy Compliance Forms August 2001 A-23 TION CERTIFICAI,. CF-6R 7 -Dc�a�� ramun M Insm1!ffilon cuN�rah !s rcquired ro be posted at tho build'mg sito ormede aveilal+te for all appmpriete inspections. (The info[matioa provided on fhis focm is mquired; howwer, use of thia fo�m m provide tfie infoemetlon is opdanlJ Aftv emnpl�tion af 8na1 inspeclioq a copy must he provided m the boildiag dtper�eut (upon fequat) md tLo btilding owncr at oceupanry, per scctio¢ 10.103(b). �S'AC SYSTEM9: ���8 �4�D� e9�P• TYPe (pkB. hmt C�C CeRified bffi'. Make dt Pimmv, e[c.l Modal Numbv _ Hydronic F'vat Compam� 25CDXQ-F-C # ot Efflcie¢cy ldmtical (APIIE.eu 19 poct Wctm Hoating LocaUon Plping Load stuc, etc.) R•value (BtuM'i soffit R-4.2 CoaGn6 �4�P�� . Fquip.Type 1f of Effeciency Duct (pkg. haat CEC CartlBed Compressoe U¢it Identicel (SEER, ate)' Location Dua pump, Mc.) M&. Name and Model Number � Syst�s [2CF•IR velue] (attic, ete.) &-velu DXCoolinq Ymk OCGD24S27SI l9 13.00 cogit R-0.2 � x rcad� gra.x� tl�m a ayod ro. He�dng Capacity Coolin6 CoolinB Load Cepaciq (BN/hr) (BTUhL w.aoo I. tbe uadoroigied, vwlfy tMt the equipmrnt listed above la: 1) is ihe acWal equipment L�ataUed, (7) oquivelent tn m more e�cient ihan ihat apeci8ed in ihe cefiScate of complisua (Focm CP• 1R) submittad for complimce wilh the Eoergy FtTtclency Smad�de for reoidmrtiel buadin@e. end (3) equipmant that meete or m�oads t4c nppropriuk cequiremmq for meoufecW`ed devicw (fram fhe Apptienca 8ffltleacy Regiilatione or Pe[t 6), w4a'e epplicebla ��— LDI Meehanicel Lorrelne Hsemndea HVAC Subewtraetor (Co. Nama) OR Gmml C�huwr OR Owner WATER HEATIIVG SY9TEMS: � Wete C6CCortitied Distibulion IfRech- Ramdlnpul l'ank Efflciency Standby 8ztemel Heete[ MfrName Qc Type (S[d, wletion. tl of Idmficel QcW or Volume (EF. RE) Loso (46) Insulation R- _ Typd71 ModelNumbm Polnt�of•Use) Connol7yoe Svstam Bw/Lr) (Sellone) valuo Y+AUCBTS & SHOWER �ADB: AII �uceu aad eLoweehrrde inete➢od aze liyted in d� Commiaiwa Dlrarory of Ceriified Faueetv md S6ewerheadc, pucn�mt to Tide-24, Part 6, 6ubahapom 2, Section I I1. C. tme undotafgneQ vadfy tLat Ihe aquipmept liated in fhe cetegary a6ove mY a�K ia the e�al mpdpm�t iastalled ead tl�at t4e equipiae¢t meern or wmooda tlu (equiremenm ofthe ppppence E�aimuy Sfaoderda In addition, I Leve vui6ad tLet t6e equipmm[ ie equlvaloo[ to m mon e�cie¢t Ihon t6e equlpmmt epecNed on the Catlfloem of Compilanca eubmittod to demonspate mmplieace witd 8ie Euegy Efficiency Smoduds for residentiel build'mge, SIBnM�. DaOe . . COPY TO: Build'mg Ikpartment tffit9 Arovider (if applicabk) Bnildlag Owoer rt Occupaney Plumbiag Subwatraaor (Co. N�e) OR Omeml Contraaur OR Ownv rZ�:���3�" � �/-�L.. �e��� �i�l� ���a��..l � r�s, I��� REAI Contractor License #610435 www.reselectric.com March 31, 2008 City of Costa Mesa 77 Fair Dr. Costa Mesa, CA 92626 Attn: Randy Buck RE: Contractor: Western National Project: The Enclave 450 Anton Blvd. Costa Mesa, CA Building #17 Address 406 Dear Randy, The electrical work on these buildings complies with the California Title 24 Requirements. Sincerely, Bob Tripp General Manager Corporafe Address Santa Anp Division 123 Rose Drive, Fullerton, CA 92833 3240 S. Standard Ave., Santa Ana, CA 92705 Phone p14) 278-0400 Fau p14) 278-0600 Phone p14) 556-3813 Fax p14) 556-3929 ���� ai°�'Y:�v',�Fei'k'.V}IeA��iV`F Geotechnical; Inc. April 4, 2008 To: Irvine Apartment Communities 110 Innovation Irvine, California 92660 Attention: Mr. Tom Hilton Project No. 04093-01 Precise Permit No.: G06-00029 Subject: Summary of Geotechnical Observation and Testing during Precise and Post Grading Operations, and Special Inspection Services for Buildings 16 through 21 and Garage G-9, T'he Enclave Apartmen[ Community, City of Costa Mesa, County of Orange, Califomia As requested, NMG Geotechnical, Inc. (NMG) has prepared this document to present the results of our geotechnical observation and testing during the precise and post gcading 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 opetations at the site. Our services during grading activities included observation and testing during utility line trench backfill, footing excavations, and hardscape subgrade preparations. In addition, NMG has performed special inspection services, including structural concrete reinforcement; structural concrete 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 ]ocations will be provided in separate reports. 17991 Fitch • Iroine, California 92614 • PHONE (949) 442-2442 • FAX (949) 476-8322 04093-01 April 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. /// W � �/ ,� � No. C054250 � � l �' EXP. i2/09 � � . , / `t�'� ---.._ Y " ' --- * * " Shahrooz "Bob" Karimi, RCE 54250 Principal Engineer '�r9 croi� �. j ��F CAUF� SBK/JE Distribution: (2) Addressee (3) Mr. Bob Hernandez, Westem National Contractors (includes copies for submittal to the City of Costa Mesa) oawoa.eo� 2 NMG .4.Fsar �:<_ . Kp,�,,,� R h'j�Tj� M m�.`.x�i�y.•S tsjp ��ry=4'.�X". �.YI 1 ���� � � � �� M1p4 xua.a . itiiira.` � i: 6'8 " u �;�i i " � � ah '�� s � �'.�r �fl �;, } v': - !'<.> -y� tb3.� 'd',.ti�: Y C�, L$ !i tlti ., April 23, 2008 Inspection Division CIN OF COSTA MESA Building & Safeiy 77 Fair Drive Costa Meso, CA 92628 Attention Subject: City Grading Inspector Civil Engineer's Certification of Compliance for Precise Grading Project: Grading Permit No Building $ite: Building: Job Address: Owner: Work Completed: G06-00029 Enclave 17 450 Anton Blvd. IAC April 22, 2008 In accordonce with the City of Costo Mesa Grading Excavation Code and the requirements of the Building Code, I certify approval of this project as outlined above, for Precise Grading. Precise Grading for building 17 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, FUSCOE ENGINEERING, INC. ����� Trevar Scoit Dodson, P.E. RCE 42029 Exp. 03/31 / 10 ��'S 5��rrJ� �� � � 6�1�.5�"��?J � C'i i:il q.� �Ini} l(nrnsnn, t;uiPe It3;F; trvk���, i:s;lilornia �';.ci0b �� 'rr;� �?`.�.,i,"i�i.l b'b0 ;i�;, 9�g. e:Tf,<..ii.�75 w�; :v.�us::ne.Le;r,2 � DALE CHRISTIAN/ SfRUCTURAL ENGINEER, INC. CONSULTING & DESIGN 1744 West KateltaAvenue Suite 107 Orange CA 92867 PH 7I4 997 1145 FX 714 997 3857 January 31, 2008 Mi. Jerry Crosby Westem Nationa] Construction 8 Execu6ve Circle Irvine, CA 92614 Re: The Enclave — Phase II—(Building 17- concrete and fiatning) Irvine Apartment Commwaities (Our Job No. 06060) Dear Mr. G�osby: Pursuant ro yout request, this office has made several site visits to the above described project. The purpose of the visit on Jnne 29, 2007 was to observe the placement of the various holddown hazdware prior to the concrete pour. Buildiog 17 was observed during this visit. Minor items, such as holddowns without reinforcing within their sheaz cones and minimum rebar clearance, were brought to the attention of the coacrete foreman and were conected during the pre-slab visit After the visit an hme 29, 2007, Building 17 appeazed to be in substantial conformance with the cast-in-place holddown requ'vements of the Strucnual Plaas. 'ihis offica made site visiu on November 16, 2007 and November 21, 2007, to observe rougti fiaming for the above mentioned building for substantial conformance to the struct�sal plans. Deficient items, (some were quite minor), wcre discussed with either Tony Ramos with Western NeTional Conshuction or TWR's Fiaming Foreman. The rough freming, after our last visit on November 21, 2007, had these deficient items coirected, and appeazed to be in substantial conformance with the structural plsae. • These observations ate intended only to assist the framing contractor in conformance with the sfruchaa! plans as they relate to this residential apartment project and are not to be conshved as "Special Inspections". The responsibility for such plan conformance, of coucse, remains with the conuactor. Please do nat hesirate to contact me at my o8ice should you have any further questions regarding the site observation, or wiffi information included in tius report. Sincerely, `,2PU� ��.,���,9, r�v ;��0 �P. CHFjis�,`, Dale A. Christisq S.E. 2705 ��" ` President I%9 � No.27U5 � cc:Tom Hikon 7ohn Hyde G:\WORD_DOC�06\06060�Phase Il�FO Letters�Building 17.doc L\ Exp.9-v1-10 � T�9 JCT `a<'i Properry Address CiTY OP COST�4 MESA BUILDING DIVISION RQC�F �OVERIIVC CERT6FIC�T901� B07-00562 Permit No. The Enclave,Bldg.l7,Type:4-A 406 Enclave, Costa MeSa,CA 9262G ��� The Irvine Company, LLC. A Delaware Limited Partnership Contractor DRI Residential Corporation State Contractor License Number 8�9960 C39 Classification _ 1 hereby certity that I have installed, or caused to be installed, a minimum Class C roof covering at the above address in conformaxe with Chapter 15, and Appendix 15 of the latest adopted edition oi ihe Uniiorm 8ullding Code, and the instailation insVuaions oi the manufacturer. ❑ I further certity that 1 am the owner of the property. (Owner-Builder permittee ony). ❑ 1 turther certlfy that I am: � Oxma� of sole proprieto�ship company ❑ Futl partrter of the company ❑ Limited partner of the company ❑ Ofilcer af the corporation I certi(y that as an auihorized officer or agent of the company or corporation, I am empowered to make this certification, which shail be binding on an successors or assigns ot tha company or corpo�ation. I shall deliver a copy of this CeRification to the above listed owner, after submittal of form to the Buikling Division for acceptance. ReCeived by Buildir�g Division ey: iroum oa�e 0�9p<8 1.MJ 690 WNm . Bv4dM Orv. Cs+vY � Cmaxv�. P'ut � Cw.w DRZ Residential Corporation Company or Corpurete Name 1'I1$2 Armstrong Avenue Address Irvine, CA 92614 April 2, 2008 -- Slgnamre Da�e Patrick Kay; vice President Operatione WimeE ei Typetl Namo � m i, i�y. . � U „ THIS 1S TO CERTIFY THAT 1NSULATION HAS BEEN INSTALLED IN COMFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24, STATE OF CALIFORNIA, tN THE BUILDWG LOCATED AT: SITE ADDRESS: 406 ENCLAVE, IRVINE CA. EXTBRlOR WALLS MANUFACTURER-CERTAINTEED THICKNESS/TYPE-3.5"FIBERGLASS R/VALUE - R13 EXPOSED FLOOR MANUFACTURER - CERTAINTEED THICKNESS%I'YPE -6.25" FIBERGLASS R/V ALU E- R 19 CEILINGS BLOW:MANUFACTURER-CERTAINTEED THICKNESS/I'YPE-12FIBERGLASS R/VALUE - R30 GENERAL CONTRACTOR: WNC LICENSE # INSULATION CONTRACTOR: CATEWAY INSULATION, INC. LICENSE # 797001 BY: 0"6 TITLE: OPERAT[ONS MGR. DATE: 2/7/2008 BUTCH INGRAM OPERATIONS MANAGER.