The URL can be used to link to this page

Home My WebLink About411 ENCLAVE CIR - Building Permits� CITY OF COSTA MESA V�� ,: BI/ILDING DIVISION i` � 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 F07-00317 �`"°"""°� FIRE SUPRESSION PERMIT JobAddress: 411 ENCLAVECI -. Slatus: ISSUED Suite: � - � � � . Applied: 10/31/2007 Vicinity: - " . : Issued: 11/08/2007 ParcelNunmber. TPN007035:'.=.'- _ . Zoning: Applicant: VICTOR�BAL7aNCl0`.; ;�� ' � � � �� Address: 17992 COWAN -� , , - , � - . Phone: 949-474-0555 � � � � - IRVINE, CA ' - ZiP: 92614 , " � - - � '-�. � . " ' : , . . - � Owner THE�IRVINE GOMPANY: Address 1101NNOVATION � � � " ' � - � � � � � . . •� � � Phone: 949-720-5536 . ' , IRVINE,`CA .. , � � ' .. . .Zip:� 92612 . ... � Contractor. THE GREATER RLARM CO INC � Address: 17992 COWAN � . _ _ ' , - ' - � Phone: 949-474-0555 . ' � � IRVINE, CA ' , . ! Zip: 92614 . � - , ` � . _ ,� License: 469046" ", , - SCOPE OF PERMIT FIRE ALARM SYSTEM FOR PHASE III: NEW 24,867 S.F. MFD, TYPE.3A, 28 UNITS FOR "ENCLAVE APARTMENT HOMES". REF#: BC07-00059 - � , FEE SUMMARY Plan Check: $0.00 " Calc Valuation: So.00 Permit: ' ' Claimed Valuation: So.00 Other: $0.00 - Total: NOTICE: The work authorized by lhis permil shall comply with all applicable handicap access requiremenls under California statutes and related re9ulations. (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 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 and final approval will result in the expiration of this permit. CODE/. INSPEC710NTYPE DATE INTIPFLS CODEt INSPEG710NTYPE DRTE IN7171AL5 1616 Fizetl S}5tem final Fire Prevention 206 Final Mechanical 1266 POoI Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electncal •/ '• " �M� 201 Finat Block/Retaining Wall 212 Final Fire Prevention ' �CJLl� ) 202 Pinal Factory Fire Place . 220 Final Planning Approvai 203 Final Sign 222 Final Site 204 Final Demolition ' 250 Final Building�Occupancy WORKERS' COMPENSATION DECLARATION: I hereby aKrm under penalry of perjury one ot the following declarations: ❑ I have and will maintain a certifca[e ot consent to self-Insure for vrorkers' compensation, as provided (or by sec[ion 3700 0( the Labor Code, for Ihe p ormance of the work for which [his permit is issued. I have and will maintain wvrkers' compensation insurance, as required by s tbn 3700 of the Labor Code, for the peAortnance of lhe v+�rk for which this pertnit is issued. My workers' compensation Insurance carrier and policy number are: �ier,��z� t�h-�to�Al- � �15 • �o . (Thissecfionne enoI�f0emmpleteddthepeimdu�valtu�etlalonenvntlredtlollars(8f00)wless) Policy Number: hs 7C� cv'! � �� __ -_ ❑ I certify that in Ihe performance of the work for which this permit is issued, I shall no[ employ any person in any manner so as to become subject to Ihe workers' compensation laws of California, and agree that if I should become subject b th orkers' compensation provisions of Section 3700 of the Laboi Code,� f rthwith com I with these provisions. �- ► I •�j •07 9 i an s Sign re Date WARNING: FAIL E TO SEC RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL A SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm Ihat I am licensed under provisions of Chapler 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. � ` GI O -G7 Lic: #— �� Class # ; �� -+ �' � .p'� Conlr . r's Wm � �ale , CONSTRUCTION LE AGENCY: ❑ I hereby affrtn that [here is a constmctbn lending agency for the perfortnance of [he work fa wfiich this pertnit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lender's Atltlress: OWNER-BUILDER DECLARATIONS: I hereby aKrm Ihat under penalry ot perjury tha[ I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW (or ihe follovnng reason (Sec. 7037.5, Business and Professions Cotle: Any city or county which requires a permit to constmct, alter, improve, demolish, or repair any structure, prior ro its issuance, also requires the applicantfor such permit to fle a signed statement that he or she is licensed pursuant to the provisions of the Contrecbrs License Law (Chapter 9(commencinq with Section 7000) o( Division 3 of the Business antl Professions Cotle) or thal he or she is exempt lherefrom antl the basis for lhe alleged exemption. Any violation of Section 7031.5 by any applicant �or a permit 5ubjects Ihe applicant to a civil penalty of not more than fve huntlred dollars ($500).): , ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or oHered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an ovmer of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, pmvided ihal such improvements are not intendetl or oflered for sale. If, however, Ihe building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he or she did not build or improve (or purpose ot sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to cons[ruct the prqect (Sec. 7044, Business and Professions Code: The contractors License Law dces not apply to an owner of property who builds or improves Ihereon, and who contracts for such project vnih a contracta(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions.Code for lhis reason: ,� . ,.� �.^\ Owner ID verified by driver's . ..e. ❑ Yes ❑ No Driver's License No. Expires: Verifcation of Ownership by (rype of documen[, i.e. - propeAy tax bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation frve (5) or more feet in depth into vfiich a person is required [o descend, will be matle in connection with work autMnzed by ihis pertnit, and that no building struc[ure, scaffdding, falsewvrk, or demolition or dismantling thereo(, will be more ihan thiAy-six (36) (eet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Califomia Administrative Code). ❑ As owner-builder, I will not employ anyone [o do work which would require a permit from the Division of IndusMal Safety, as noted above, unless such person has a permit to do such work from the division. Appliwnt'S SignaWre Division of Industrial Safety Permi[ Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future builtling occupant need to file and certi(y a Business Plan (or emergency response to release or threatene0 release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Heal[h and Sa(ely Cotle requires, with some exceptions, lhat a Business Plan be filed with the Costa Mesa Fire Departmenl by every business which has at any one time during a reported year a quantity o( hazartlous materials equal [o or greater Ihan a weight of 500 pounds, or a volume of 55 qallons, or 200 cubic feet ot compressed gas at standard [emperaNre and pressure). 2. Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Cotle, wi[h some exceptions, requires registration with [he Cosla Mesa Fire Deparlment by each business which at any one time has on hand a quan[ity of acutely hazartlous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas at standard tempereWre and pressure). 3. Does or will the applicant or present or future building occupant neetl to prepare an RMPP (Risk Managemen[ and Prevention Program for acutely hazardous ma[erials)? ❑ Yes ❑ No . (Section 25534 0( the California Health and Safery Code provides lhat ihe Costa Mesa Fire Depanment may require the preparation, certifcation and filing with �he Fire Department o( an RMPP by businesses which are requiretl to reqis[er aw[ely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the Califomia Health and Safery Code been fully complied with? ❑ Yes ❑ No 5. Does or will the apPlicant or present or future building occupant require !or the work which is the subject of this applicalion a permit for such construclion or modifcation from the South Coast Air Quality Management Districl or from any other air polWtion control district or agency? ❑ Yes ❑ No (Section 658502 of the Califomia GovemmeN Code requires that the requestetl information be fumished on applica[ions for nornresiden[ial building permits). 6. Will any part of [he facility to be constructed under this permit be vri�hin 1000 (eet from Ihe ouler bountlaries of a school? ❑ Yes ❑ No Qf "yes", the faciliry must meet [he requirement of Sections 25534 and 42303 of the Cali(omia Heal[h and Safety Code). 7. If a permit fmm the South Coast Air �uality 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 ihe disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", ariach certifcate ot compliance from ihe appmpriate air pollution coNrol officer). CERTIFICATE OF COMPLIANCE: I certify Ihat under penalty of perjury [he information given above is correcL I agree'to comply with all state lavrs and city ordinances regarding Hazardous Materials and�Emissions. � ' SignaWre CERTIFICATE OF COMPLIANCE AND AUTHORIZATION.OF ENTRY: I certify untler penalty of perjury [hat I have read Ihis application and state that the information given is correcL I agree to comply with all state laws and city ordinances relating to building cons[ruction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authoriied by this permit until fnal inspection. Signa r IOwner(s) Dale 99naWre . Da�e �-- , _'I`�'O�7 ]059-06 �3I0]) ' � ✓ Antl/p rzetl'ApW am ✓Date ' � � A CITY OF COSTA MESA BUILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(774) 754-5273 • Fax (714) 754-4856 • w.v.v.ci.wsta-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: BC07-00059 PERMIT TYPE: B COMBO STATUS: ISSUED Sub Type: MFD_NEW . DATE ISSUED: 06125/2007 , — ISSUED BY: SOK , . _, � r - �os aooRess: 411 ENCLAVE CI CM. ;,I: ; �_;;� Sutte/Unit;, Vicinify: ^` �� PrimaryOcc; � ConstType: V-1H -SQ�:FT ,.�-'24867 Valuation:-�2,696,0]500��. ti � _ -, _,- �:"+ _ . SCOPE OF WORK: PHASE•III'�NEW°24;867.S.F. MFD, TYPE 3A, 28 UNITS W/6,172S:F,. ATTACHED GARAGES, 2,154 S.F. DECK, 2,383 S.F. BREEZEWAY, 3,387-SF:-CATWALK AND 128. � , S.F. UTILITY FOR "ENCLAVE APARTMENT HOMES" ' . • . . i.. . ' _ . , . � . . � � �.� . . . , _ . , � OWNER: THEIRVINE�COMPANY.�'� ".�� , , ., ��qddress:.,� .' 110.INNOVATION�'Unit: PHONE: 949-720-5536 �� na � ' � CitylStatelZip�. IRVWE, CA , ., �� '" APPLICANT: PEGGY BLOCK � � . , � - � � Address: �8 EXECUTIVE CIRCLE � Unit:. � PHONE: 714-557-0244 � � , . .-� -� . �� ,�, -�� City/State/zZip: � IRVINE,'CA �, � � � CONTRACTOR: WESTERN NATIONA� CONTRACTORS �� License No. . 640973 � Address: 8 EXECUTIVE CIRCLEUnit ,- - _ . _. '- � PHONE: � 714-557-0244 City/State: IRVINE,.CA , -.-2ipCode: 92674 . _ � � , CELL: -- , � � . - . - . � . - � ., ARCHITECT: ��. ��!, ". �� License No. '- �� . . . � �. � � ,� �� .', PHONE: �' ENGINEER: . � License No. .,--� COMBINTATION PERMIT FEE�SUMMARY� �� Building.Plan Check: � �-'',$2�,036.58 �, � Building Fees: ' ' �., -` $12,532.80�' � ' - ' _ � . Electrical Fees: . � $1,266.85 Mechanical Fees: - =,;,$1,465:70 " " - Plumbing Fees: `$2,609.30 � `-'. � SMIP Residential: �$289:60. � . .. ''��" �` SMIP Commercial: $0.00 TOTAL FEES: $18,164.25 "' "Re(er to (ee receipts for all fees paid for project � .'"�'PHONE: 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPEC710NS: In order for the work authorized under this permit to be wnsidered legal, such work must comply with all applicable codes, and all required inspections and final approval must be oblained. Failure to obtain inspections and final approval will result in the expiration ot this permit. GODE t. INSPECTION TYVE 1616 Fixed System Final Fire Preveniion 1268 � Pool Spa Final ' 200 Pinal Re-Roof 201 Final BIocWRetaining Wall 202 203 Final Faclory Fire Place Final Sign 204 Final Demolition o�re ix� cooe� iNsvecnoxrvre 206 Final Mechanical 208 Final Plumbing 210 Final Elecincal 212 Final Fire Prevention 220 Final Planning ApDroval 222 Final Site 250 Final Building/Occupancy oa� ix� -�. WORKERS' COMPENSATION DECLARATION:+ , I hereby aKrm under penalty of perjury one of the following declarations: � ❑ I have and will maintain a certificate of consen[ [o self=lnsure for workers' compensation, as provitletl for by section 3700 of the Labor Code, for the pe ormance of the vrork (or which this permil is issuetl. I have and will maintain vrorkers' compensation insurance, as required by Cs t'an 3700 0( ihe Labor Cotle, for the pedortnance of the work (or which this permit is issued. My workers' compensation Insurance carrier and policy Cumberare: ��`^ „ r �� Carner:- � D��lcc��"t (This section neetl' n.ot`b/e�m^mplef dthe permR qis valuetl a(t oGne hundretl tlolla1rs (51/00) orless.) FolicyNumber: Wl,�h � �� lJ6�FJ��0C.7-10 C❑` I certify that in [he performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the vrorkers' compensation laws of California, and agree that if I should become subject to the workers' compensation pmvisions of Section 3700 of the Labor Cotle, I�vn[h comply with lhese provisionb. �� /O � �-� tl% � ApptanYsSignaWre Dale .� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. IICENSED CONTRACTORS DECLARATION: I hereby affirtn thal I am licensed under provisions of Chapter 9(commencing wilh Section 7000) of Division 3 of lhe Business and Professions Code, and my license i'n full force antl effect. Lic..# �Class # ' Comrect r' 5 Wre " �Dat . r '_ �� CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm that there is a construction lending agency for the perfortnance of the v,ork (a wfiich this pertnit is issued. (Sec. 3097, Civil CoCe). Lender'S Name: Lender's Atltlress: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit lo constmct, alter, improve, Cemolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to fle a signetl statement lhat he or she is licensetl pursuant to the provisions of t�e Contrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Pro(essions Code) or lhat he or she is exempt therefrom and the basis (or the alleged exemption. Any violation of Section 7037.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five huntlretl tlollars ($500).): ❑ I, as owner of the property, or my employees with wages as iheir sole compensation, WILI DO THE WORK, and the structure is not intended or oflered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees. pmvided that such improvements are' not intended or oHeretl for sale. If, however, the building or improvemenl is sold v+ithin one year of complelion, the owner-builder vnll have the burden of proving that he or she did not build or impmve for purpose of sale.). � 1, as ovmer of the property, am EXCLUSIVELY CON7RACTING WITH LICENSED CONTRACTORS to construcl the project (Sec. 7044, Business and Pmfessions Code: The cont2clors License Law dces not apply to an owner of property who builds or improves Ihereon, and who contracts for such project vnth a contractor�s) license pursuant to lhe Conlractas License Laws.). ❑ I am exempt under sec. Business and Professions Code for ihis reason: . SignaWre . Oale ]OS]-4fi(3/01) , ,, �- � Owner ID verified by driv�se. ❑ Yes ❑ No Driver's License No. Expires: Veriication o( Ownership by ([ype of document, i.e. - property tax bill or deetl)' � DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: � ❑ I hereby ceriHy that no excavation frve (5) or more feet in tlepth into wfiic� a person is required to descend, will be made in connection wilh work authorizetl by [his pertnit, and thal no building strucNre, scaffdding, falsexork, a demolition or tlismantling thereof, will be more than thirty-sia (36) feet high. (Chap. 3.2. Grp 2, Art 2, Sec. 341, Ttle 8, Califomia Administ2tive Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of IndusVial Safety, as noted above, unless such person has a permit to do such work from Ihe division. AOPlicanfs Signalure Dyte Division of IndusMal Safety Permit Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future builtling occupant neetl to file antl certity a Business Plan for emergency response to release-or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safery Code requires, with some exceptions, that a Business Plan be fled with the Costa Mesa Fire Department by every business which has at any one time during a reportetl year a quantity of hazartlous materials equal to or greater lhan a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standarG temperature and pressure). 2. Does or will Ihe applicant or present or (uture building occupant neetl [o file a regis[ralion (orm for acutely hazardous matenals7 ❑ Yes ❑ No (Sec[ion 25533 of the Califomia Heal[h and Safery Code, with some exceplions, requires regis[ration with the Costa Mesa Fire Department by each business which at any one [ime has on hand a quantity of acutely hazardous materials equal to or greater ihan a weight o( 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Preven[ion Program for acutely hazardous matenals)? ❑ Yes ❑ No (Section 25534 of the Califomia Heal[h and Safery Code provides lhat ihe Costa Mesa Fire Department may require the preparalion, certification and filing wiM the Fire Depariment of an RMPP by businesses which are required to regisier acutely �azardous materials with [he Fire Department. 4. I( an RMPP is presently required, has Seclion 25534 of the California Health and Sa(ety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or fuNre building occupaM require for the work which is the subject of this application a permit for such constmction or modifcation from the Sou[h Coast Air Quality Management District or from any other air pollution conirol dis[rict or agency7 ❑ Ves ❑ No (Sectbn 658502 0( the Califomia Govemment Code requires that the requested infortnation be fumished on applications for non-residential building pertnits). 6. Will any part of the facility to be constmcted under this pertnit be vnthin 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No Qf'yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Cotle). 7. If a permit from the SoWh Coast Air �uality Management DisMct or other air polWtion control district or agency is required for lhe vrork which is the subject of this applicalion, have all of [he disclosures prescribetl by California Health and Safety Code Section 42303 been matle't ❑ Yes ❑ No. 8. Qf "yes", aflach certifcate of compliance from the appropnate air pollution control oKcer). . CERTIFICATE.OF COMPLIANCE: I certify that under penalty oG perjury the information given above is correci I agree to comply with all state laws and city ordinances regarding Hazartlous Matenals and Emissions. � Signature CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry o( perjury that I have reatl this applica[ion and state that ihe information given is correct I agree to comply with all state laws and city ordinances relating to building construction, antl authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorizetl by this permit until fnal inspection. Sig tu t Legal Owner(s) / al� � ' lC% Antl/olNull101R¢GAppliWnt ' L� Dale � To: Applicant: Address: Telephone i ;�;;,,•,, ,:: �::::,;.': , �F,-z�-�:,n?��...:s��.;� , _ , tw�.;�`� � . 001-�lDl�t49=� > ,. NEWPORT-MESA UNIFIED SCHOOL DISTRICT �l° 6766 CER7IFICATE OF COMPLIANCE OP,DEVELOPMENT FEES PURSUANT TO AB 1600 AND AB 181 (�City of Costa Mesa District Receipt No. (� ) City o( Newport Beach �(�� ( ) County of Orange Plan Check No.��1`=�� I TracVParcei and Lot Number(s): Location of Project: Number of Square Feet oi: Residential Space Cammercial and Industrial Space CommerciaUlndustrial Project is: (Check One) Warehouse R8D Movie Theater Mini-storage Heavy IndusVial Regional Shops Light Industrial _ This projed is exempt because z S .30 _ Motel Bank _ Neighborhood Shops _ RecqueUHealth _ Hotel Medical Office Oifice Park Total .ii • ii �� Preschool Auto Repair Hospital La►ge Offiee OtBce Bldg. Restaurant Fast Food This certifies Mat the above-named Developer/AppAcant has paid school taatiry fees in comp6ance with Government Code sections 53080 and 65995. The Building PemiTs for this square footage in lhis proposed development may now be issued by your jurisdic6on. Checks are to be made payable to Newport-Mesa Unifled School District. By: The above represenlation as to square footage is We. Appticant agrees Mat H it is later detemiined that such representations are not true, the is certificate shall automatically terminate and appro ' Cily/County shall be notified. Date: `✓ � �� `�" � �DD�� ' i ARNET ENGINEERING, INC. 1577 North Main Street, Suite A Orange, CA 92867 (714)379-3789 Fax:(714)379-8024 FAX TRANSMITTAL COVER S�iEET FAX TO: Western National FAX NO: Hand-Delivered ATTN: Bob Hemandez FROM: Beat Arnet DAT'E: 8/8/07 TIME: PROJECT: Enclave / The Irvine Company �___ __.___ +4� 1 I Enclaue ;/ Building Permit No. BC07�00059 � 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: f��S'i�7:� The "Structural Observation" per UBC 1702 regazding strand and rebar layout was performed by me on August 8, 2007 on the following portions of the Post-Tensioned Slab-on-Grade of the above referenced project: Building #45 (3A) The installations are in general conformance to the plans. Feel ftee to call me, if you should have any question. Sincerely, ARN NEERING, INC. Be�t Arnet, P.E. cc: Roberto Ortiz Fas 997-3857 ; G� ,< �Ac ��.�JN ��3 n 1� , �� t��l'�pL Date: —I"� I ' U� Pro'ect No. ��{ O 3 Permit Na�;( )'] - U e. �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 by jetting and flooding with water. ❑The curb and gutter / street subgrade listed above was observed, probed and tested and found to be firm and unyielding 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: L7 The observations reported above do not constitute an approval of toundation location, footing size or depth, reinforcement or foundation design. 2. Debris and slough should be removed prior to placement of reinforcement or concrete. ivr�� ncNicoci�muvc. �T n � NMG FIELD MEMORANDUM Receivedbv: i�i— ��A_ � �We��. , � � e z �_�� ,� ��6�ne `� " E N G 1 N ¢ ��. � s ,. E E R I N G August 9, 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 44 & 45 450 Anton Blvd. IAC August 8, 2007 :��•, �:e��o r�iti��c� t:7ip�i:e ?c:lm Sp:ings 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 wilh said Codes. Certification includes horizontal and vertical controt 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. /it..— �� Trevor Scott Dodson, P.E. RCE 42029 Exp. 03/31/08 �S�OTTpQ\ tcr O � No.42029 2 * CiV�� OFCP� 16795 Von Karman, Suite 100, Irvine, California 92606 " tel 949.474.7960 ^ fnx. 949.474.5315 � vov.n+r.4�st�e.com � a, � DALE QiR1571AN/ SrRUCfUWLL ENGINEER, ING C0f�6ULTtNG & DFSIGN 1748 West JGatc4la Avarnie Suile ZOB Orange. U. 92867 714 997 f I45 714 997 3857 FAX <dalechristian.com> DCSE, Inc. Job Name: The Enclave Phase III DCSE,Inc. Job #: 06060 FtELD OBSERVATION LOG � (8EE NOTEB BEtOYYj l: A minimum of 3-1/2 hrs. will be c6arged (or mch end every visit tu thejob sile. 2: This fmm is only for edminisualive pwposa eud dces not indimm sVucmml eppmVal aEany building, If building confo�meuce letter is tequirtd, superintmdept shoWd oon�ect ihe enginea of RcoN at Dele Christlan's o%m. - . � Proj�� e. TNG �niCLAV� A�!S Pro� t No: _ G Z �� G"1 Report No. � Location: Author: / Day: � �// GNGtnLG S AV /i M W T F S S ClienUContractor. ` Sap Foreman: Weather. .L,nc u E r�,e -r� /c��fC 3/ � s,c r �vrN Field Supervisor. . � Geologist: I Engineer: � Observa[ion/I�esting oE Tech �RG /�� 2 �n13PGc r, ., s--� ,� '/�LD �$� -RM� P G G % - !/w'.5 Hours �,U Equipment Working: Summary of Operations: oN r� �� - �� sP�cr�+� � �: v� L�s-rE� . �t�- G��rc �,�6c�� zc cQ�c-w��..�r. LA� s rcF.a��..3cE . e i cu�u�'S C�1 ccK�') 2 c r � 4�C- �N'r. Sl,l��Yr'rh +v t r . , , , Cr,�BR S. Sr � s M✓ cP� ��o •� TN� T'NE E,�� r 1-c��-r' E �ACEv�? LfGJ��i+.Y T� �PPRo�vE+j ldd.+S. �5a� 1/ -5� i�F NF^-� ��/-� / . v / Page � of,� Received by: �( r � � n , . FIELD REPORT . s�� _ NMG NMG GEOTECHNICAL, INC. white - r�ie Copy t'euow - Luent eopy NmK - Ciienungency Copy aoia - riem eopy ,� ZWART,BARBARA From: ZWART, BARBARA Sent: Tuesday, December 30, 2008 2:58 PM To: DIAZ, REGINA Subject: BC07-00059 - 411 Enclave Ci Plan check has not signed off on this permit Thank you! Barbara J. Zwart Office Specialist II Building & Safety 12/30/2008 �f Page 1 of 1 i WESTERN NATIONAL CONTRACTG� .., 8 EXECUTIVE CIRCLE IRVINE, CA 92614-6746 Ph:(949)862-6200 Letter of Transmittal To: HENRY MARTINEZ CITY OF COSTA MESA 77 FAIR DRIVE COSTA MESA, CA 92628 Ph: (714) 754-5652 Fax: 714 754-4856 Subject: ENCLAVE BUILDING CERTIFICATIONS WE ARE SENDING YOU (7 Attached G Shop drewings O Pnnts r Copy of letter D Change order Transmittal #: 310 Date: 11 /11 /2008 Job: 10-193 THE ENCLAVE G Under separate cover via None the following items: r Plans r Samples G Specifications G Other Document T e Copies Date No. Description Letter of Certification 1 1 Fuscoe Engineering - Original Letter of Certification 1 1 Arnet Engineering - Original Letter of CeRifcation 1 1 Dale Christian - Original Letter of Certifcation 1 1 NMG Geotechnical - Original Letter of Certifcation 1 1 Ciry of Costa Mesa - Letter of Certification 1 1 DRI - Roofng Letter of Certification 1 1 Gateway Insulation Letter of Certification 1 1 AMPAM Parks - Plumbing Lerier of Certification 1 1 Residential Electric Letter of CeRification 1 1 LDI Mechanical 0 THESE ARE TRANSMITTED as checked below: G For approval r Approved as submitted r Resubmit _ copies for approval f; For your use f i Approved as noted f i Submit _ copies for distribution r As requested r' Relurned for corrections r ReWm _ corrected prints G For review and commenl G Other 1= FOR BIDS DUE G PRINTS RETURNED AFTER LOAN TO US Remarks: BUILDING #45 Received: Henry Martinez Copy To: Date It enclosures are not as noted, kindty notify us at once. Page 1 of 2 � °°°°a0 .�00000 e �l�J��O� E N G I N E E R 1 N G October 15, 2008 Inspection Division CITY OF COSTA MESA Building & Safety 77 Fair Drive Costa Mesa, CA 92628 Attention: Subject: City Grading Inspector Civi! Engineers Certification of Compliance for Precise Grading Project: Grading Permit No Building Site: Building: Job Address: Owner: Work Completed: GO6-00029 Enclave 45 450 Anton Blvd. IAC October 13, 2008 Irvine San Diego Inland Empire Palm Springs In accordance with the City of Costa 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 45 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 conirol. $incerely, FUSCOE ENGINEERING, INC. ��,...� �� Trevor Scott Dodson, P.E. RCE42029 Exp. 03/31 / 10 'w' p29 � N�, A2 ic * CM O �TA 7E OF GP��`/ full circle thinking 16795 Von Karman, Suite 100, Irvine, California 92606 � tel 949.474.1960 � fax 949.474.5315 � www.Fuscoe.com ARNET ENGINEERING, INC. 1577 North Main Street, Suite A Orange, CA 92867 (714) 379-3789 Far: (714) 379-8024 FAX TRANSMITTAL COVER SHEET FAX TO: Western National FAX NO: Hand-Delivered ATTN: Bob Hernandez DATE: 8/8/07 FROM: Beat Arnet TIME: PROJECT: Enclave / The Irvine Company 411 Enclave / Building Pcrmit No. BC07-00059 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 regazding strand and rebar layout was performed by me on August 8; 2007 on the following portions of the Post-Tensioned Slab-on-Grade of the above referenced project: Building #45 (3A) The installations are in general confonnance to the plans. Feel free to call me, if you should have any question. Sincerely, ARN NEERING, INC. B�t Arnet, P.G. cc: Roberto Ortiz Fa� 997-3857 DALE CHRISTUW/ STRUCTURN-ENGINEERINC. CONSULTING & DFSIGN 1744 West KaR41a Avenue Suite 107 Orange U 92867 PH 714 997 1145 FX 714 997 3957 March 26, 2008 Mr. Jerry Crosby Westem National Constructioa 8 Executive Circle Irvine, CA 92614 Re: The Enclave — Phase III —(Bnilding 45 - concrete and framing) . Irvine Apazm�ent Communities (Our Job No. 06060) Dear Mr. Cmsby: Pursuant to your request, this office has made several site visits to the above described project. The purpose of the visit on August 8, 2007 was to observe the placement of the vatious holddown hazdware prior to the concrete pour. Building 45 was observed during this visit. Deficient items, some quite minor; were brought to the attenfiou of the concrete foreman aud were corrected during the pre-slab visit and Building 45 appeared to be in subsiantial confoimance with structwal drawings. This office made a site visit on February 21, 20(IS and February 26, 2008, to observe rough framing. for the above mentioned building for substantial conformance to tLe structival plans. Deficient items, some were quite minor, were discussed.witb either Tony Ramos with Westem Narional Construction or TWR's Framing Foreman. Observed deficieut items were corrected and the rough framing appeared to be in substanual conformance with the shuctu�al drawiags by the time our visits were complete.. These observations are intended only to assist the framing conhaaor in conformauce with the structural plans as they relate to this residen6al apartment project and are not to be conshved as "Special 7nspections". T'he responsibiGty for such plan conformance, of coti�se, *p^��nc with ihe contiactor. Please do not hesitate ro conWct me at my office should you have any fmther questions regarding the site observation, or with information included in this report. �mcerely, —'i Dale A. Chrisfian, S.E. 2705 President cc: Tom Hilton lohn Hyde G:IWORD_ooc\06\06060�Phase III�FO Letters\Building 45.doc �Q'�c'�v P�CHq�ST� � p� y � No.27Q5 G Exp.3-31-10 -� � � \�'r sTRUCTUQF : �>4% �NMG `.`(�tt`r,!U,',F�+',.<�±`� S+,'.'� Geotechnical, Inc. July 15, 2008 Project No. 04093-0] Precise Permit No.: G06-00029 To: [rvine ApaRment Communities 110 Innovation Drive [rvine, California 92617 Attention: Mr. Tom Hilton Subject: Summary of Geotechnical Observation and Testing during Precise and Post Grading Operations, and Special [nspection Services for Buildings 37 through 46 and Gazages G-17 through G-22, The Enclave Apartment Community, City of Costa Mesa, County of Orange, California As requested, NMG Georechnical, Inc. (NMG) 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. Our services during grading activities included observation and testing during utility line trench backfill, footing excavations, and hardscape subgrade prepazations. 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 substantial 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 sepazate reports. If you have any questions regazding this report, please contact our office. We appreciate the opportunity to provide our services. Respectfully submitted, NMG GEpTECHNICAL, INC. .� � ' Shahrooz "Bob" Karimi, RCE 54250 Principal Engineer SBK/JC No.0054250 1�7:iP7Gk] IVIL a\Q' CAL1F�� Distribution: (2) Addressee (l7) Mr. Bob Hernandez, Westem National Contractors (includes copies for submittal to the City of Costa Mesa) 17991 Fitdi • Irvine, California 92614 • PHONG (94)) 442-2442 • FAX (949) 476-8322 Lianrd nf'Uirectors Art Ferr�� Arlene Schy(irr Bob o�m„ Jraue,c Ferrcm�ui Garr Monuhnn Staff Rabin H. Huuicr.s Mannger Di.sn�icl Enginecr (949) 63/-773/ ThamasA. Finah Assisvant Munqqer Junn Rernk (3nu��d Sccrelary Progrrnn Mannger C[erk q/'the Disu�icl Al�iri K. Rw�n.s Lcgnl Counse( Mcuz�ir.r D. Dcrvrs Treu.sw'er�GDireclnr u/. Finance Pltone (949) 645-3400 Fax (949) 650-2253 Address C2NW. l9th Sh��ct Cnsrn Me.ca. CA I2(27-2716 Ob P�� r,r,��<•d,�� Rrc_crlyd Paprr ��t�. .�.es�. �� -��c� . . . an T�lepenclent Specia� District SEWER INSPECTION LOG FINAL SIGN-OFF ENCLAVE TRAC'f # 10950 BUILDING 45 411(28 units) 28 ki[chen sinks 281aundry tubs/washers 38 bathtubs 38 wash basins 38 water closets BUILDING 46 412(28 units) 28 kitchen sinks 281aundry mbs/washers 38 bathmbs 38 wash basins 38 water closets Inspec[or Y/ �v� Finaled �.�J �/�S! 0�' 11 Protecting our communitv�'s 6 ea[tbj bv� proviaing solia waste an� sewer co[[ection services. w�vw.crosaca.gov 1,' J L � ! % �-j i �2_ � �_�i�, ` / J '^ �. r�l._. D " �'�j�r � THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN COMFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATNE CODE, TTTLE 24, STATE OF CALIFORNIA, IN THE BUII,DING LOCATED AT: SITE ADDRESS: 411 ENCLAVE, IRVINE CA. EXTERIOR WALLS MANUFACTURER - CERTAINTEED THICKNESS/TYPE - 3.5" FIBERGLASS RNALUE - R13 EXPOSED FLOOR MANUFACTURER - CERTAINTEED THICKNESS/TYPE - 6.25" FIBERGLASS RNALUE - R19 CE LINGS BLOW: MANUFACTURER - CERTAINTEED THICKNESS/TYPE -12" FIBERGLASS RNALUE - R30 GENERAL CONTRACTOR: WNC LICENSE # INSULATION CONTRACTOR: GATEWAY INSULATION. INC. LICENSE # 797001 � BY: TITLE: OPERATIONS MGR. DATE: 5/9/2008 BUTCH INGRAM OPERATIONS MANAGER. RESIDE' �TIAL ELECTRIC ASSOC, REA/I �� LJ May 9, 2008 City of Costa Mesa 77 Fair Dr. Costa Mesa, CA 92626 Attn: Randy Buck Contractor License #610435 www.reselectric.com RE: Contractor: Western National Project: The Enclave 450 Anton Blvd. Costa Mesa, CA Building #45 Address 411 Dear Randy, .fES, INC. � The electrical work on these buildings complies with the California Title 24 Requirements. Sincerely, � � ob Tripp � General Manager Corporafe Address Sanfa Ana Division 123 Rose Drive, Fullerton, CA 92833 3240 S. Standard Ave., Santa Ana. CA 92705 Phone p14) 278-0400 Fax p14) 278-0600 Phone p14) 556-3813 Fax p14) 556-3929 INSTALLATION. C Site Address :TIFICATE age 1 ot 13) -OD� S 9,_ '. Permit Number CF-6R An installation certificate is required to be posted at Ihe building site or made available for all appropriate iospections. ('Che information pmvided on this form is requ'ved; however, Use of [his form to provide the inforrnation is optional.) Afrer compleiion of final inspeciion, a copy must be pmvided to the building department (upon request) and the building owner at occupancya per Section ]0-103(b). HVAC SYSTEMS: $ea[ing Equipmertt Equip. # of Ef6ciency Duct Ducl or Heating Hea[ing Type(pkg. CECCenifiedMfrName {drotical (AF[JE,ctcJ' Location Piping Load CapaciTy ho � �m 1 nd Mod I Nu he Svstems 2CF-1R valucl fattic ctc 1 R-value lHtu/hr) Bt�ih 1 Cooling Equipmen! Fquip. CEC Ceni6rd Compressor # of E�cirncy Duct Cooling Coaling Type (pkg. UuiC M& Name and Idrntical (SEE$ etc.)' Lofatioo Duct [.oad Capaciry 1. > reads greoter than or equal to. � I, the undersigned, verify Ihat equipment lisled above is: 1) is Ihe actual equipmen[ installed, 2) equivaleut [o or more efficieut than that specified in the certifica[e of compliance (Form CF-1R) submitted for compliance wi[h the Energy E�ciency Standards for residential buildi¢gs, aad 3) equipment that meets or exceeds Ihe appropriate requirements for manufactured devices (from Ihe Appliance Efficiency Regulations or Part 6), where applicable. Signature, Date InstalGng Subcontcactor (Co. Name) OR General Contractor (Co. Name) OR Owner WATER HEATING SYSTEMS: ��4'�/z!� I(i.LN/YL Distriburion IfRec'v- kof Rsted° Tank EfCi- Extemal Hca[er CEC Certified Mfr Type (StQ culation, Identical Input (kW Volume cicnc� Staodby' Insula4on T e Name & Model Numbcr PoinPof-Use) ConVol T e S stem5 orBtu/hr allons (EF, RE Loss Ye R-valu<° S -4a fi D. n = t a � — .5� � 2 For small gas sWrage (nted input of less thao or equal to 75,000 Btu/hr), e7ectric resistunee end hea[ pump woter heaters, list Energy Factor. For Inrge gas s[orage water heaters (m[ed input ofgreatcr [han 75,000 BN/6r), lisl Recovery ER'icirncy, Steudby Loss and Rated Input. For iostao[nneous gas warer heahrs, list Reco�ery E�cirncy aud Reted Input. J. R-12 eztemal insulation is mandatory far 5tomge water heaters wil6 en rnergy factOr of less �han 0.58. Faucets & Shower Heads: All faucets and showerheads installed are certified to the Commission, pursuant [o Title 24, Part 6, Section 1 I1. !, ihe undersi�ed, verify that equipment listed above my signature is: 1) the actual equipment instslled; 2) equivalent to or more effici t an a[ specified in the certifca[e of compliance (Form CF-IR) submitted for compliance with the Ener dardr for rosidentia] buildings; and 3) equipment [bat meets or exceed5 [he appropriate re'rem r actured devices (from the Appliance E�ciency Regulations or PaR 6), where applicable. 5 q n� �M��.s 1��,��.1_ Si amre, D t Installing Subcontractor (Co. Name) OR Generaf Contractor (Co. Name) OR Owner : COPY . i ding Department HERS Provider (if applicable) Building Owner at Occupancy Compliance Forms August 2001 A-23 PropeRy Address CtTY OF•COSTJI MESA BUILQING �VISION ROOF COVERf IVG CERTIFICATtON Permit No. BC07-00059 The Enclave; Bldg_45,Type 3A, 411 Enclave, Costa Mesa, CA 92626 �� The Irvine Company, LLC. A Delaware Limited Partnership Corrtractor DRI Residential Corporation State Contractor License Number $19 960 Classification C3 9 I F�reby ceAity that I have installed. or caused to be installed, a minimum Class C roof Covering et the above address in canformar�ce with Chapter 15. end Appendix 15 of the �atest adopted ediiion ot the Uniform Building Code, and the installa6on instructions oi the manutacturer. ❑ I further certity that I am the owner of ihe properiy. (Owner-Builder permiriee only). ❑ 1 further certi(y that I am: ❑ Ovmer of sole proprietorship comparry ❑ Full partner of the comparry ❑ I.imited partner of tl�e company ❑ Officer of ihe corporation I certify that as an authorized o�cer or agent of the company or corporation, I am empowared to make this certiflcatlon, whlch shall be binqing on a0 suCCessors or assigns of the company or corporation. I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Div'wion tor acoepTence. Received by Building Division By: Ir1iC81 Date �'iA181AW&90 WM1ib.BuddrqOrv.GnaY�ConbaCM:ViM.O.*w DRI Residential Corporation Cort�a�ry or Corpo�eto Neme 17182 Armstrong Avenue Aatlress Ixvine, CA 92614 May 29, 2008 Signnture Daie Patrick Kay; Vice President Operations Prmted ac Typad Nama IIINSTALLATION CERTIFICATF, , , , CF-6R � Permit # An installation certificate is required ro be posted at the building sitc or made availabk for all appropriate inspections. (The information provided on this form is required; however, use of this form to provide the information is optionl.) Afler compietion of final inspection, a copy must be providod to the building depMment (upon requesQ and the building owner at cecupancy, per uction 10-103(b). HeaRng Equrpmene Equip. Type !I of (pk�. heat CEC CertifieA MB, Make & Identical pumo, eccJ Model Number Sysrems ' H_ droy nic iirst ComDany ffiCDXQ-F-C l4 Hydronic First Company 25CDXQ-F-C 14 Efficiency IR Duct Ducl or Location Piping ettic,eteJ R-value sotiit R-4.2 soffit R-4.2 Heating Heating Load Capacity Cooling Equipment Equip. Type # of Effeciency Duct Cooling Cooling (pkg. heat CEC CeRified Compreswr Unit Identical (SEER, ete)' Location Duct Load Capacity oumP, etc.) Mfr. Name and Model Number Systems [>_CF-IR valueJ (attic, etc.) R-value (Bdilhr) (BTU/Hr) DX-Coolinq York GCGDt8S21S1 14 13 Seer wfiit R-0.2 I8,000 DXLooling York CGCD24S21S1 14 13 Seer soffit R-4.2 24,000 I 2 reads greater than or equal to. l, the undersigned, verify that the equipment listed above is: 1) is the acmal equipment instelled, (2) equivalent [o or more eflicient than that specified in the cerfificate of compliance (Form CF-1R) suhmitted Por compliance with [he Energy Efficiency Stendards for resideMial buildin�s, end (3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance E(ticiency Regulations or Part 6), where applicable. �� M�— LDI MechanicaV Lorrafoe Hernaodez HVpC Subcontrac[or (Co. Name) OR General Contractor OR Owner WATER tIF.ATING SYSTEMS: Wa�er � CEC Certified Distribution If Recirv Rated Input Tank Efficiency Standby Extemal Heater Mfr Name & Type (Std, culation, # of Identical (kW or Volume (EF, RE) Loss (°h) Insuls$on R- TypeM7 Model Number Point-of-Use) ConWl Type Sysrems Btu/hr1 (galbns) value FAUCETS & SHOWER HEADS: All fi�ucets and showefieads installeA aro listed in the Commisions Direcrory of Certified Fauceis and Showerheads, pureuant to Titlr24, Pen 6, Subehapcer 2, Section I 11. I, the undersigned, verify ihat the equipment listed in �he category above my signature is the actual equipment installed and that the equipment mats or exceeds the rtquirements of the Appliance E�ciency Standards. In additioq t have verified that the equipment is equivalent to or more efficient than the equipment specified on �he Certificate of Compliance submitted ro demonstrate compli'ance with Uie E�rgy E�cienry Standards for residemial buildings. Signature, Daze COPY T0: Building Department HBRS Provider (if applicable) Building Owner at Occupancy Plumbing SobconVactor (Co. Name) OR General Contracror OR Owner