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Home My WebLink About412 ENCLAVE CIR - Building Permits� CITY OF COSTA MESA � Development Services, Division of Building and Safety CERTIFICATE OF OCCUPANCY This certificate is issued pursuant to the requvements of the 2007 Catifornia Building Code, Section ri0 adopted by the City of Costa Mesa cerHfies that at the time of its issuanrn the building structure herein below described was inspected and approved foroccupancy as follows: BuildingAddress 412 Enclave Circle Use Apart.ment Buildin�_(24�R67 S_�_) Bldg. Permit NumberBC07-00060 Group R_ 1_• Type of Construction V-1 H� Fire Zonexxxxxxx Use Zone � � OwnerofBuilding The Irvine Company Tenant Enclave Apartment Homes Address � 1 0 Innovation, Irvine, CA 9261 2 By sUtL�itvc oFFic�a�-Khanh Q. Nguyen, C.B.O. o z/ 2 3/� o Date REQUIRED TO BE POSTED IN A CONSPICUOUS PLACE 1 ■ � r.___� � CITY OF COSTA MESA � BUILDING 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 � ��- �O*�aviw `�` . PERMIT NUMBER: BC07-00060 PERMIT TYPE: B COMBO STATUS: ISSUED Sub Type: MFD_NEW DATE ISSUED: 06125I2007 - ISSUED BY: SOK �oe ao�Ress: 412 ENCLAVE CI CM `�° r�SurtelUnit: Vicinity . Pnmary Occ . �' � Const Type: V-1 H . SQ.:�FT �`� 24867 Valuation:2,896,015:00. SCOPE OF WORK: PHASE III � NEW-24,86T-S.F. MFD, TYPE 3A, 28 UNITS W/6,172 S F ATTACHED GARAGES, 2,154 S.F. DECK, 2,383 S.F. BREEZEWAY��3,387.S�.F-: CATWALK AND 128, - -;��-��:�' " S.F. UTILITY FOR"'ENCLAVE APARTMENT HOMES" � �� ' OWNER: THE IRVINE COMPANY.�� Add�ess `=`�-,1101NNOVATION �Uniti` f PHONE: 949-720-5536 •.��f� f � " City/State/Zip: � IRVINE �CA �. - - , - APPLICANT: PEGGY BLOCK ��' ,'' Address: 8 EXECUTIVE CIRCLE .Unitr. PHONE: 714-557=0244�� . �� .-City/StatehZipi�. - IRVINE;CA� - CONTRACTOR: WESTERN NATIONAL GONTRACTORS� - -"�'License No: �: 840973;: ., Address�. 8 EXECUTIVE CIRCLEUmt„ .��; _ .. PHONE;' .- 714-557-0244 - City/State: IRVWE,.CA ZipCode 92614��`- . �.CELL: . � � ARCHITECT: License No. - . ". �- PHONEi ENGINEER: - ! � i.i License No. ... - , �. PHONE: M` "� Building Fees: Electrical Fees: Mechanical Fees: Plumbing Fees:� - SMIP Residential: SMIP Commerciai: MIT'FEE SUMMARY r" a`` $2 036.58;f. r-�:�r$12,53280 -.;;:': � .- $1,266.85��, � -;,, $,1 465.70 " � ' ` TOTAL' FEES: ^Refer to fee receipts (or all fees paid for project � $2,609 30 u �','' � ='� � $289.60 r $0 00 � $18,164.25 NOTICE: � The work authorized by this permit shall comply with all applicable handirap access requiremenls under California statutes and related regulations. (Ord. No. 92•28, § t, 12-21-92) � � � � EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. . INSPECTIONS: In order for the work authonzed under this permit to be wnsidered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit. GODEI', INSPECTIONTYPE OATE INIITIAlS COUEp INSPEC110N1YPE ' . . D� INilnais 1616 ' Fized System Final Fire Prevention . 208 Final Mechanical '1268 Pool SDa Final - 208 Final P�umbing 200� Finzl Re-Roof 210 Final Electriwl (� 201 202 203 �Final BIocWRetaining Wall Final Factory Fire Place Final Sign 204 Final Demolition 212 Final Fire Prevention 220 Final Planning Approval � 222 Final Site 250 FinalBuiiding/Occupancy fl��lY1% "i�� WORKERS' COMPENSATION DECLARATION: I hereby aKrm under penalty of perjury one of the fo�.�..�ng declarations: � ❑ I have and will maintain a ceAificate of consen[ to sel4lnsure for workers' compensa[ion, as provitled (or by section 3700 ot [he Labor Code, (or the pert rmance of [he vrork.tor which lhis permit is issued. G.I.have and vnll maintain workers' compensation insurance, as required by s tron 3700 0( the Labor Code, (or the peAormance of the vrork for which this pertnit is issued. My workers' compensation Insurance carrier and policy n�arel` ��M n �� Carriec- --�%1 � �� (This sedpn neetl not be mm^pl etl il`fhe p!ermd is /v�al/ue'd �at{ one hurne—re7d doll/a�rs 8100 or less ) Policy Number.: �C G� � v�--�1 11b�t'� `�v ❑ I certi(y that in the performance of the work for which this permi[ is issued, I shall not employ any person in any manne� so as to become subject to the workers' compensation laws of California, and agree that i! I should becom n ject to the workers' compensation provisions of Sectio 3700 of the La6 or C d, I s II torthwit comply with these provi io . ' � 0� - Appliwnfs S�gnature � Dale � WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALI 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 affrm that I am licensetl under pmvisions of Chapter 9(commencing with Section 7000) of Division 3 0( the Business and Professions Code, and my license is fu I force d eftect. � �Lic. # � ��Class # CConlracbrs..ignaWfe I ae_ . � __ __ L- CONSTRUCTION LENDING AGENCY: ❑ I hereby affirtn ihat there is a consiructbn lending agency for the peAortnance ot the v.ork fa which this permi[ is issued. (Sec. 3097, Civil Code�. Lender's Name: Lender's Address: SignaWre Da�e OWNER-BUILDER DECLARATIONS: I hereby affrm [hat under penal[y of perjury that I am EXEMPT FROM THE CON7RACTORS LICENSE LAW for tfie following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, aiter, impmve, demolish, or repair any struclure, prior to its issuance, also requires the applicant for such permit b fle a signed statement tha[ he or she is licensed pursuant to lhe pmvisions of the Contraclors License Law (Chap[er 9(commencing with Section 7000) of Division 3 ot Ihe Business and Professions Code) or that he or she is exemp[ therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than fve hundred dollars ($500).): ❑ I, as owner o( the property, or my employees wi[h wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner ot property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided Ihat such improvements are not intended or offered for sale. If, however, the building or improvemenl is sold within one year of completion, Ihe owner-builder will have the burden of proving that,he or she did not build or improve for purpose ot sale.). � ' ❑ I, as owner of the property, am EXCLUSIVELY CON7RACTING WITH - LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Protessions Code: The contractas License Law does not apply to an owner of property wfio builds or improves thereon, and who cont2cts for such project with a con[racta(s) license pursuant tothe Con[2ctors License Laws.). ❑ I am exempt under sec. Business and Professions Code for Ihis reason: � e Owner ID veri(ied by drive ,e. ❑ Yes ❑ No Dnver's License No. Expires: , Verifcation of Ownership by (rype of document, i.e. - pmperty tax bill or deed): � DIVISION OF�IN�USTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify [hat no excavation fve (5) or more feet in depth into which a person is required to descend, will be made in connection vnth vrork authonzed 6y [his pertnit, and that no building s[mcture, scaffdding, falsework, or demolition or dismaniling thereof, will be more than ihirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Califomia Administrative Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require a permit fmm the Division of Industrial Safety, as noted above, unless such person has a permit to do such work trom [he division. Apphcant's SgnaWre Division of Industrial Safety Permit Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future builtling occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 0( the California Health and Safety Code requires, with some exceptions, that a Business Plan be fled with the Costa Mesa Fire Department by every business which has a[ any one time during a reported year a quantity of hazardous ma[erials 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 temperature antl pressure). 2. Does or will the applicant or present or future building occupant need to fle a registration form �or acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, wi[h some exceptions, requires registration wi[h [he Cos[a Mesa Fire Department by each business which at any one time has on hand a quantily of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, oi 200 cubic feet of compressed gas at stantlard temperature antl pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Pmgram for acutety hazardous materials)? ❑ Yes ❑ No (Section 25534 0( the California Health antl Safery Code provides tha[ the Costa Mesa Fire Department may require the preparation, certification antl fling wi[h [he Fire Department of an RMPP by businesses which are required to register aately hazardous materials with the Fire DepaAment. 4. If an RMPP is presently requiretl, has Section 25534 of the California Health and Safety Code been fully complied wi[h? ❑ Yes ❑ No 5. Does or will the applicant or present or tuture building occupant require for the vrork which is the subject of this applicalion a permit for such construction or modification trom the South Coast Air Qualiry Management DisMct or from any other air polWtion contml district or agency? ❑ Ves ❑ No (Section 658502 of the Califomia Govemment Code requires that the requested in(ortnation be fumished on applications far non-residential building pertnits). 6. Will any part ot the faciliry to be constructed under this permit be within 1000 tee[ from the ou[er boundaries of a school? ❑ Yes ❑ No Qf "yes", the facility mus[ meet the requiremen[ of Sections 25534 and 42303 o! the California Health and Safety Code). 7. If a permit from the South Coas[ Air Quality Management District or other air pollution wntrol dishict or agency is required for the work which is [he subject of this application, have all of the discbsures prescribetl by Califomia Heal[h and Sa/e[y Code Sec[ion 42303 been made? ❑ Yes ❑ No 8. Qf "yes", attach certifcate of compliance lrom the appropnate air pollution control officer). . � . CERTIFICATE OF COMPLIANCE: I certify that under.penalty of perjury Jhe information given above is correci. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa lo enter upon the above-described property (or inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until fnal inspection. . SignaWr o( = IOwner(s) /� 3te Signalure � Da�e C% �, 305]-46 (3/0]) Antl/o AutM1onzetl Ap0lican� � Dale �r NEWPORT-MESA UNIFIED SCHOOL DISTRICT CERIIFlCATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AND AB 781 To: (�City of Costa Mesa ( ) City of Newport Beach ( ) Counry of Orange Applicant Address: . � 1 - -•�. - �I� ��;� TracUParcel and Lot Number(s): Location of Project: Number of Square Feet of: Residential Space Commercial and IndustrialSpace CommerciaUlndustrial Projed is: (Check One) _ Warehouse _ R8D _ Movie Theater _ Mini-storage _ Heavy Industrial _ Regional Shops _ �ight Industrial _ This project is exempt because .0 �\ r: /!� zS.30 _ Motel Bank _ Neighbofiood Shops _ RacqueUHeaMh _ Hotel Medical Office Office Park - _ , -;3;;-� .,,.,: ;•.>, .� _ _._ . ,�-. _. t _k�=�'°=— �s�;;.—�__+�`_ .;.��. �° 6767 � District Receipt No. Plan Check No.�� n Total Preschooi Auto Repair Hospital Large Office Office Bldg. Restaurant Fast Food This certifies that the above-named Developer/AppGcant has paid school fadBty fees in comp6ance with Government Code sections 53080 and 65995. The Building PemrFs for this square footage in this proposed d�velopment rt� now be issued by your jurisdicfion. Checks are to be made payable to NewpoA-Mesa Unified School Dishict. Autliwised The above representation as to square footage is We. Appticant agrees fhat if ft is later detemtined that such representations are not true, then this cer66cate shall automatically terminale and fhe appropriate City/County shall be notified. Date: � `�� ARNET ENGINEERING, INC. 1577 North Main Street, Suite A Orange, CA 92867 (714) 379-3789 Fax: (714) 379-8024 FAX TRANSMITTAL COVER SHEET FAX TO: Western National FAX NO: Hand-Delivered ATTN: FROM: Bob Hernandez Beat Amet DATE: 8/16/07 �tul PROJECT: Enclave / The Irvine Company _ , 412 Enclave �'/ Building Permit No. BC07-00060_ Total number of pages is 1, including this cover sheet (Please call if you do not receive all pages, or if transmission is illegible). MESSAGES/COMMENTS: Dear Bob: The "Structural Observation" per UBC 1702 regarding strand and rebaz layout was performed by me on August 16, 2007 on the following portions of the Post-Tensioned Slab-on-Grade of the above referenced project: Building #46 (3A) The installations aze in general conformance to the plans. Feel free to call me, if you should have any question. Sincerely, ARN�GINEERING, INC. Be/at Arnet, P.E. cc: Roberto Ortiz Fax 997-3857 � C 040486 � * Exp.3/39109 .,. ' • . r. .. . . . ., i . . • . .,��. , . ^�; :� Author: �.�.��TIQ� To� AC �U. �I �, �iect Name:� AC\ � N(.IUVQ Location: �v� ��. �� Date: [')' 3' U Pro'ect No. � y �� Permit No.��. �7- �The footing excavations listed above were observed and probed and found to bottom on frm 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 frm 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: L/��The observations reported above do not constitute an approval of foundation location, footing size or depth, reinforcement or foundation design. Debris and slough should be removed prior to placement of reinforcement or concrete. NMG FIELD MEMORANDUM Received bvy NMG NMG aeeg�� .:; : m i � ��leor�' `°@`; E N G 1 £" ,',� „� N F E R 1 M G August 16, aoa� 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 Pmject: Grading Permit No Building Site: Buildings: Job Address: Owner: Work Completed: G06-00029 Enclave 29, 46, Pool Equipment Bldg & G13 450 Anton Blvd. IAC August I5, 2007 S vi::e �c,. C3is�c� in?�izd Err�pire nGi7l7, S�ff�:lj5 In accordance with the City of Costa Mesa Crrading and Excavation Code and the requirements ofthe Bailding Code, I certify approval of this pmject as outlined above, to top of bldg forms. Top of Forms has been compteted substantially in conformance with the approved grading plan for this project and in full compliance with said Codes. Certification ineludes horizontal and vertical control and positive building pad drainage. This certification does not include approval of tha placement and compaction of earthwork within the purview of others. Sincerely, FUSCOE ENGINEERING, INC. � Trevor Scott Dodson, P.E. RCE 42029 Exp. 03/31/08 * 'y�gGOTTQoo�� o '` No.42029 z � �� OF C Al �'i DAtE GHRISTWV/ STRUCTIJRAL EfYGINE�R, ING COASlA77NG & DES1Gl�1 1748 UVest Katella Avrsu�e Suioe 20B .. G4ange, C� 92867 714 997 1 145 714 997 3857 FAX <dalechristian.com> bCSE, 7nc. Job Name: The Enclave Phase III bCSE,Inc. Job #: 06060 Btdg. Type & Lot #: __> $� � Date I Enginecr FIELD OBSERVATION LOG (SEE NOTES BELONI) Items ObservW and Locations ilab: 'faR- {�ff.LL�E+S �ti�7►JS � y� � . rrM¢, Ptl� C FRDi+�T DF6� . Floor Framing Floor Framing Framing t: A minimum of 3-12 M. will be cLuged for eech end evay visit to the job sim. . 2: 1Lis Cmm is onty for edmittistretive purposes eud does nM indicate structural epproval of eny building. If building confmmance lener is requimd, superiotendeat s6ould comtnu t6e mgioea of iecord et Dele ChlistimY of6ce. � Stams ; � ' � � � Proiect� ---�la c-,�.,cL>v� ClientlConhactor:. / i Z /(,�6��r,a ,cr�. / C.��l. _ Field Supervisor. Geologist Observation/Cesting of: �nG �U� /C /r�,5�62.f�o� c95 'f� P��, � 3C� -coo6v Equipmen[ Working: � s� /fi..YN Arc «R b� Projec[ No: G 1/G93 —GZ Author. S ,3,a�r,/�l S Forem �` lJb��U{� �C r IEngineer: Tech � Hours ��vr/ i�s�cG;,..� .F .a8�v6 L�srE� S�Ks=c; � .d':�C� -Tvti Si26i /�[oCG-n�t�N'j" s �'Gv,efLa.NcG . �PG- C'r/�cK�� "vn C�vA�+r��r/ . PtdtGs^7Eti+(; .S/✓E� / p . / N M'/ CJPi N�o.i•� 9[�Bd� '! i.s.vDo,J3 /J12C O/ AC� . � � vP.P.,��En OL a,.�S , �t :JJ %�'� 73 ' Sr=oNE� 3��: �� a� FIELD REPORT White - File Copy Yellow - Client Copy Report No. F S S Page � of NMG I � GEOTECHNICAL, INC. fi95 Pink - ClientlAgency Copy Gold - Field Copy �'. ,� �, t , z�. � PC,�,w� � , w�a sv'h. . �'� 10-15-2008 Inspection Request Re orting 4' 11 �m Gocta Mesa CA - Ci Of Requested Inspect Date: Thursday, October 76, 2008 Site Address: 412 ENCLAVE G CM A/PID Infarmation Activity: B( Consl Type: V- Owner. TF Contractor. W Other: 11 Architect: TF Plan check: SF Other: PI A IicanC PE ��anner: MI Developer: JC AgenC EF Tenant EP Dev coor: B„ bescription: PF Notice: SPCOX 3 BLOCK HOMES B COMBO Sub Type: MFD_NEW — Use: Phone: 949-720-5536 fORS Phone: 714-557-0244 Phone: 949-862-0270 Reauestedlnspectionls) Item: 206 FINAL MECHANICAL Requestor: Assigned To: '***"""" Action: Time Exp: Item: 208 FINAL PLUMBING Requestor: -Assigned, �Ta: .,,•»••• . . . Action: Time Exp: Comment: Item: 210 FINAL ELECTRICAL Requestor: Assigned To: """***"" Action: Time Exp: Inspection History Item: 3 JOB SITE CONSU�T Item: 4 FOOTINGS/UFER GROUND "Approved "' 08/15/07 Inspector: HM Comment Item: 6 SLAB App roved'* 08/15/07 Inspector: HM Comment Item: 8 STRUCTURAL FLOOR SYSTEM Slatus: ISSUED Insp Area: Phone: 714-557-0244 Phone: 949-720-5536 Phone: 949-862-0270 X251 Phone: X5677 AND�128 S.F. UT LITY FOR ENCLAS\/E '�54 S.F. ING IS TO BE HELD UNTIL ALL PROJECT IMPROVEMENTS -LEE M Requested Time: 06:00 AM Phone: Entered By: ZWART_B K Requested Time: 08:00 AM Phone: - Entered By: ZVVART_S K Requested Time: 08;00 AM Phone: Entered By: ZWART_B K Action: AP APPROVED Action: AP APPROVED 11/28/07 Insp ector: HM Action: PA Partial approval Comment: M.F. NAILING REVISION APPROVED. 12/10/07 Inspector: HM Action: PA Partial approval Comment: 2ND FL SHEAT. APPROVED FOR PLATING. 12/10/07 Inspector: HM Action: PA Partial approval Comment: 2ND FL SHEAT. APPROVED FOR PLATING. 12/10/07 Inspector: HM Action: PA Partial approval Comment: 2ND FL SHEAT. APPROVED FOR PLATING. 01/08/08 Inspector: HM Action: PA Partial approval Comment: 01/08/08 Inspector: HM Action: PA Partial approval Comment: Ot/08/08 Inspector: HM Action: PA Partial approval Comment: Ot/08/08 Inspector: HM Action: PA Partial approval Comment: 3RD FL. SHEAT. APPROVED FOR PLATING. Item: 11 PRE-INSPECT ROOF Item: 12 ROOFSHEATHING/BLDGHEIGHT "Approved" �•. REPT131 Run Id: 10791 10-15-2008 Item: 16 Item: 18 Item: 20 LA Item: 22 Item: 24 Item: 26 Item: 30 Item: 31 Item: 36 Item: 38 Item: 44 Item: 50 ELEC. POWI 07/18/08 Comment: Item: 51 TEMP POWE Item: 52 SOILPIPE- 07/26/07 Comment: 07/27/07 Comment: Item: 53 SHOWER PF Item: 54 WATER PIPE Item: 55 UNDERGRO Item: 62 ROUGH PLU 02/27/OS Comment 04/21/OS Comment 04/21 /OS REPT131 Inspection Request Reporting Inspector: HM Action� AP APPROVED Inspector: HM Action: AP APPROVED Inspector: HM Aclion: AP APPROVED L * Approved *' Inspector: BE Action: AP APPROVED EXTERIOR. Inspector: HM Action: PA Partial approval 2 SspIDED SHEAR HARDWARE IN PLACE OK TO COVEapRp. 2-SIDEDr�SHEAR AREAS NAIL AND HARDWARE APIPROVED. Inspector: HM Action: AP APPROVED MEPS INSPECTION COMPLETED SEE SITE CORRECTIONS LIST. SHIpNG pp PREeLIM YUB AREAS. OK TO COVER� FRAM NG AND SET TUBS. Inspector: HM Action: CONT Continued 2HR PRE-LIM OK TO CONTINUE AND COVER FRAMING. Inspectar: HM Action: CONT Continued Inspector: HM Action: CONT Continued MEPS INSPECTION 2ND 3RD FL ONLY SEE SITE CORRECTION. Ins ector: HM Action: CONT Continued M�PS INSPECTION COMPLETED SEE SITE CORRECTIONS LIST. DING Appr�oved ** Inspector: HM Action: AP APPROVED «. n.....,...,.a .. Action: PA Partial approval 1-2ND FL AND ATTIC TO COME. Action: PA Partial approvai I ST FL TO COME. Action: AP APPROVED Action: AP APPROVED V. NAIL AT 3RD FL. DROP CEILING AREAS. Action: PA Partial approval 3RD FL. NAILING APPROVED. Action: AP APPROVED " Approved " BE Action: AP APPROVED Action: CONT Continued Page 10 ID ** Approved `* Inspector: HM Action: AP APPROVED OK TO CABLE UP BY UTILITY AND LOCK OFF MAIN UNTIL METERS ARE RELEASED. IT-UNDERGROUND TRICAL - WIRING Approved " Inspector: HM Action: CONT Continued MEPS INSPECTION 2ND 3RD FL ONLY SEE SITE CORRECTION. Inspector: HM Action: CONT Continued MEPS INSPECTION 2ND 3RD FL ONLY SEE SITE CORRECTION. Inspector: HM Action: AP APPROVED MEPS INSPECTION COMPLETED SEE SITE CORRECTIONS LIST. Inspector: HM Action: AP APPROVED MEPS INSPECTION COMPLETED SEE SfTE CORRECTIONS LIST. 2 FINAUMETER RELEAS Inspector: HM Action: PA Partial approval HOUSE METER ONLY APPROVED. ; FINAL VDERGROUND `* Approved "' Inspector: HM Action: NR Not Ready Inspector: HM Action: AP APPROVED 3ROUND Approved ** BN Action: PA Partial approval HM Action: CONT Continued 3PECTION 2ND 3RD FL ONLY SEE SITE CORRECTION. HM Action: CONT Continued Run Id: 10791 Item: 63 Item: 64 Item: 66 Item: 68 Item: 72 Item: 90 Item: 92 Item: 150 Item: 206 Item: 208 Item: 210 Item: 216 Item: 220 Item: 250 Item: 102 MEPS INSPECTION 2ND 3RD FL ONLY SEE SITE CORRECTION. Inspector: HM Action: AP APPROVED MEPS INSPECTION COMPLETED SEE SITE CORRECTIONS LIST. Inspector: HM Aciion: AP APPROVED MEPS INSPECTION COMPLETED SEE SITE CORRECTIONS LIST. �...��„� .. ,,__,_. ,.,, . Inspector: HM �ICF - FINAL OS/11/OS Inspector: HM Action: CONT Continued 2ND 3RD FL ONLY SEE SITE CORRECTION. Action: CONT Continued 2ND 3RD FL ONLY SEE SITE CORRECT(ON. Action: AP APPROVED COMPLETED SEE SITE CORRECTIONS LIST. Action: AP APPROVED COMPLETED SEE SITE CORRECTIONS LIST. Action: AP APPROVED d" Action: CONT Continued )N 2ND 3RD FL ONLY SEE SI7E CORRECTION. Action: CONT Continued )N 2ND 3RD FL ONLY SEE SITE CORRECTfON. Action: AP APPROVED )N COMPLETED SEE SITE CORRECTIONS LIST. Action: AP APPROVED )N COMPLETED SEE SITE CORRECTIONS LIST. roved "" Action: CONT Continued 1 PASSED. GAS TEST FOR FAILED UNIT TO COME. Action: NR Not Ready Action: AP APPROVED )N "Approved" Action: CO Correction(s) Required �T READY FOR RELEASE. Action: NR Not Ready E NOT READY Aclion: AP APPROVED _EASE APPROVED. Action: NR Not Ready TEST *" Approved *" Action: AP APPROVED RIMP RING AND HYDRO TEST. Action: AP APPROVED RIMP RING AND HYDRO TEST. Action: AP APPROVED RIMP RING AND HYDRO TEST. REPT131 Run Id: 10791 WESTERN NATIONAL CONTR,4CTORS 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 r� Shop drawings ❑ Copy of letter (J Attached [l Prints G Change order Transmittal !�: 310 Date: 11l11 /2008 Job: 10-193 THE ENCLAVE G Under separate cover via None the following items: r Plans r Samples C Specifications ❑ Other Document T e Copies Date No. Description letter of Certification 1 � Fuscoe Engineering - Original Letter of Cerlification 1 � Arnet Engineering - Original Letter of Certification 1 � Dale Christian - Original Letter of Certification 1 � NMG Geotechnical - Original Letter of Certifcation 1 � City of Costa Mesa - Leiter of Certifcation 1 1 DRI - Roofing Letter of Certifcation 1 � Gateway Insulation Letter of Certifcation 1 � AMPAM Parks - Plumbing LetterofCeRifcation 1 � ResidentialElectric Letter of CeRifcation 1 � LDI Mechanical 0 THESE ARE TRANSMITTED as checked below: C For approval r Approved as submitted C Resubmit _ copies for approval r For your use G Approved as noted r Submit _ copies for distribution r As requested Ca Returned for corrections r Return _ corrected prints fl For review and comment r Other r� FOR BIDS DUE r PRINTS RETURNED AFTER LOAN TO US Remarks: BUILDING #46 Received: Henry Martinez Copy To: Dale If enclosures are not as noted, kindly notify us at once. Page 1 of 2 � °°°°a0 • �oo�uo � ll � rJ�� LS E N G I N E E R I N G October 15, 2008 Inspection Division GTY OF COSTA MESA Building & $afety 77 Fair Drive Costa Mesa, CA 92628 Attention Subject: City Grading Inspector Civil Engineers Certification of Compliance for Precise Grading Project: Grading Permit No Building $ite: Building: Job Address: Owner: Work Completed: G06-00029 Enclave 46 450 Anton Bivd. IAC October 13, 200$ Irvine San Diego Inland Empire Palm Springs In accordance with the City of Costa Mesa GradincLExcavation Code and the requirements of the Building Code, I certify approval of this project as outlined above, for Precise Grading. Precise Grading for building 46 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. /ii.._.. {�� Trevor Scott Dodson, P.E. RCE42029 Exp.03/31/10 (ull circle thinking 16795 Von Karman, Suite 100, Irvine, California 92606 o tel 949.474.1960 � fax 949.474.5315 � www.fuscoe.com ARNET ENGINF.ERING, INC. 1577 North Main Street, Suite A Orange, CA 92867 (714) 379-3789 Fa�c: (714) 379-8024 FAX 1'RANSMITTAL COVER SHEET FAX TO: Western National FAX NO: Hand-Delivered ATTN: FROM: Bob Hernandez Beat Arnet DATE: 8/16/07 TIME: PROJECT: Enclave / The Irvine Company 412 Enclave / Building Permit No. BC07-00060 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 16, 2007 on the following portions of the Post-Tensioned Slab-on-Grade of the above referenced project: Buildin� #46 (3A) The installations are in general conformance to the plans. Feel free to call me, if you should have any question. Sincerely, ARNE�GINEERING, INC. ,/� Be/t Arnet, P.E. cc: Roberto Ortiz Fax 997-3857 `j�� C 040486 Oj� Exp.3/31/09 DALE CHRISTIAN/ STRUCTURAL ENGINEER, INC. CONSULTING & DESIGN 1744 WeA Katella Avenue Sui[e 107 Orange CA 92867 PH 714 997 1145 FX 714 997 3857 April 15, 2008 Mr. Jerry Crosby Westem National Construction 8 Exewtive Circle Irvine, CA 92614 Re: The Enclave — Phase 111 —(Building 46 - concrete and framing) Irvine Apartment Communi[ies (Our Job No. 06060) Dear Mc Crosby: Pursuant to your request, this office has made several site visiu to the above described project. The purpose of the visit on March 4, 2008 was to observe [he placement of the various holddown hardware prior to the concrete pour. Building 46 was observed during this visit. Deficient items, some quite minor, were brought to the attention of the concrete foreman and were corrected during the pre-slab visit and Building 45 appeared to be in substantial conformance with structural drawings. This office made a site visit on March 10, 2008 and April 3, 2008, to observe rough framing for the above mentioned building for substantial conformance to the structural plans. Deficient items, some were quite minor, were discussed with either Tony Ramos with Westem National Conshuction or TWR's Framing Foreman. Observed deficient items were corrected and the rough framing appeared to be in substantial conformance with the structural drawings by the time our visits were complete. These observations aze intended onty to assist the framing contractor in conformance with the struchval plans as they rela[e to this residential aparhnent project and are no[ to be construed as "Special Inspections". The responsibility for such plan conformance, of course, remaias with the con[ractor. Please do not hesitate to contact me at my office should you have any fwther questions regarding the site observation, or with information included in this report. Si erety, D��stian, S.E. 2705 President cc: Tom Hilton John Hyde G:\WORD_ooc\O6\0606(pPhase I11�F0 Le[ters�Building 46.doc %4F.P CH��'.T<��\ i q 9Z z No.2705 m Exp.3-3i-10 T� � �/ T sTAUCT��,�`�' � �F C%�v�� 2,�,,,� ,� t��.� NMG Geotechnical, Inc. July 15, 2008 Project No. 04093-01 Precise Permit No.: G06-00029 To: Irvine Apartment Communities I 10 Innovation Drive [rvine, California 92617 Attention: Mr. Tom Hilton Subject: Summary of Geotechnical Observation and Testing during Precise and Post Grading Operations, and Special Inspection Services for Buildings 37 through 46 and Garages G-17 through G-22, The Enclave Apartment Community, City of Costa Mesa, County of Orange, California As requested, NMG Geotechnical, Inc. (NMG) has prepazed 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 h�ench Uackfill, footing excavations, and hazdscape subgrade prepazations. In addition, NMG has performed special inspection services, includiag 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 separate reports. If you have any questions regarding this report, please contact our office. We appreciate the opportunity to provide our services. Respectfully submitted, 6�Op�o�S��` NMG GCOTCCHNICAL, INC. ��l�/ X// � Shahrooz "Bob" Karimi, RCE 54250 Principal Engineer SBK/je No.0054250 EXP. 12/09 * Distribution: (2) Addressee (17) Mr. Bob Hernandez, Westem National Contractors (includes copies for submittal to the City of Costa Mesa) 17991 Fitch • Irvine, CaliFornia 92614 • PHONE (94)) 442-2442 • FAX (94)) 476-8322 r��,u��r op�P�ro�,� nrr t�<<�� nrt�r,� sc�,a��r R�r� o�r�R ,lantes Feer��nuni Guep Monrdinn ,S(af/ Rnbin 8. f,*unrers Mtuia,,ee Dis�tiict Ersrneer 1949) 6.i1-1737 Thornas EL Fauth Assistan! tl�ctna,�er Joaa Rei�nlc Soard Serretary Pr'oyram Manager Clerk qf the District Alurr N. Biu'a.s L,e,a( Cb<<nsel iYlareu.r D. Davis Ti�ecisw'crlT�irector qf Finnnce Phorte (949)645-8400 I%ax (949) 650-2253 Arldress C28 W. l9th Street Casta Mesu, C/1 92627-2716 ��. ��. ��.�� t�� . . . ayi In�e�renaent Sper,ir�i Dist�ict SEWER INSPECTION LOG FINAL SIGN-OFF ENCLAVE TRACT # 10950 BUILDING 45 411(28 units) 28 kitchen sinks 281aundry wbs/washers 38 battitubs 38 wash basins 38 water closets BUILDING 46 412(28 units) 28 kitchen sinks 28 laundry mbs/washers 38 bathtubs 38 wash basins 38 water closets Inspector Y� Finaled 4 � d�/�S! �� CJ �� v�;,�,�-�i „�� Protecting our communitv�'s hea[tG� 6v� proviaing sofia rvaste, an� sewer co[[ection services. Rrrc<�l rA Papar W 4VW.CY11SaCA.90'U Property Address CITY OF COSTA MESA � BUILDING DIVISION ROOF COVERING CERTIFICATtON Permit No. BC07-00060 The Enclave; B1dg.46,Type 3A, 412 Enclave, Costa Mesa, CA 92626 �� The Irvine Company,'LLC. A Delaware Limited Partnership ContraCMr DRI Residential Corporation State Contractor License Number 819960 Classiticatlon C39 I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the above address in conformanCe with Chapter 15, and Appendix 15 of the latest adopted edition of the Uniform Building Cods, and the installadon instruciior�s af the manuiacturer. ❑ I further certify that I am the owner of the properiy. (Owner-Builder permipee ony). ❑ I further certify that I am: ❑ Owner of sole proprietorship compaoy ❑ Futl partner of the company ❑ Limited partrter of fhe company ❑ Officer d the corporaGon I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certiflcatbn, which shall be binding on atl suceessors or assigns ot the campany or corpwation. I shap defiver a copy of this Certification to the abave Gsted owner, aRer submittal of form to the Building Division tor acceptence. RBoeNed by Building Division er: Initiel Oete oPJ6�8 11w e,v0 Write- Bute.q Da. GMv- Cmtrxbr. o�ry� . p.h,e, DRI Residential Corporation Compeny or Ccrporete Namg 17182 Armstrong Avenue aaaress Irvine, CP, 92614 . G May 29, 2008 sig�owre Dat. Patrick Kay; Vice President Operations vrintod o� Typad Nemo i,� ��. �- �7 - " i, �� , y� � , ; � I . . r� l. �s� ..� (�(�,} ��%� / THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN COMFORMANCE WTI'H THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATNE CODE, TITLE 24, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: SITE ADDRESS: 412 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 CEILINGS 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 UTCH INGRAM OPERATIONS MANAGER. INSTALLATION. CERTIFICATE Site Address i or i3) CF-6R � �- o 00 �o Pe�mit Numbe� An installation certificate is required to be posted at the building Site or made available for all appropriate inspec[ions. (7'he information provided on [his fortn is requ'ued; however, use of this focm to provide the information is optional.) Afier comptetion of final inspection, a copy must be provided to [he building department (upon request) aod the building owner at occupancy, per Section 1 D-] 03(b). HVAC SYSTEMS: $eating Equipment Equip. N of Efficirncy Duc[ Duct or Heating Heating Type (pkg. CEC Certified Mfr Name Identical (AFUE, e4.)f Location Piping Load Capacity fi st u 1 d Mod 1 N m6 r Sv m PCF-IR � Iu 1 ! ttic t 1 R- al Bwlh 1 Btufi 1 Coo[ing Eqaipment Equip. CEC Certified Comp�essor p o( Efficiency Duct Cooling Caoling Type (pkg. Uuit MGName and identical (SEER, ctc.)' Lowtion Duct Load Capaciry h t 1 Mod 1 N b S a f2CF-IR �alu 1 ( tric tc 1 R-value (Hnilh 1 (Btu/h 1 1. > reads greater than or equol to. � I, [he undersigned, verify that equipment listed above is: 1) is the actua] equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Fortn CF-1R) submitted for compliance with the Energy E�ciency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Apptionce Efficienry Regulations or Paz16), where applicable. Signature, Date instalfing Subwntractor (Co. Name) ' OR Genera( Contractor (Co. Name) OR Owner WATER HEA1'TNG SYSTEMS: �Rl4Di=DRQ ✓�/�/YL Distributioa IfRec'v- #of Rated' Tank Effi- Extemai Heamr CEC Ccrtificd MG 7ype (Std, culation, Idrn4cal lnput (kW Volume ciency� Staadby° [nsulation Tvoe Neme & Modd Numbcr PointbC-Usc) Coutrol Type SYstcros or Btu/hd (¢allonsl (EF. REl Loss !%1 A-val�ie� �� '.�� 2 For small gaz atorage (micd input of {est than or equa] l0 75,000 Btu7hr), electric resutsncc and heat pump water heaters, list Energy Fac[or. For large gu storage water heaters (mted input ofgreamr [hen 75,000 BN/hr), ]ist Recovcry Efficieary, Standby Loss and Rated Input. For iustau[aneous gu water heahrs, IistRecovery Efficiency and Rated Inpu[. 3. R-12 extemal insulation is mandatory Eor storage water htaters with an rnergy Factor of less than 0.58. Faurefs & Shower Heads: All faucets a�d showerheads instal(ed are certified to the Commissio�, pursuan[ to Tifle 24, Part 6, Section 1] 1. I, the undelsigned, venfy that equipment listed above my signanue is: 1) the actual equipment installed; 2) equivalent m or more effici t an at specified in tlte certificate of compliance (Form CF-IR) submitted for wmpliance with the Ener dardr for residential huildings; and 3) equipment [hat mee[s or exceeds the appmpriate re �rem r ❑ actured devices (from Ihe Appliance E�ciency Reguladons or Part 6), where applicable. 5' 9� g Nr�r nM -t�-Ae.ks �`�� 1.._. Si a[ure, D t Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner , WPY'1�lding Department HERS Piovidei (if applicable) Building Owner at Occupancy Compliance Forms August 200'I A-23 /^�---� RESIDENTIAL ELECTRIC ASSOCIATES, INC. REA'' I�' Contractor License #610435 �—� www.reselectric.com May 9, 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 #46 Address 412 Dear Randy, The electrical work on these buildings complies with the California Title 24 Requirements. Sincerely, �� 1 Bob Tripp �,� General Manager Corporate Address Santa Ana Division 123 Rose Drive, Fullerfon, CA 92833 3240 S. Standard Ave., Sqnta Ana, CA 92705 Phone p14) 278-0400 Fax (714) 278-0600 Phone (714) 556-3813 Fax p14) 556-3929 TION CERTIFCCATE ,:�,r,, Site Addresa: CF-6R An instellation artificate is required to be posted at the buildins site or made availeble tor all appropriah inspections. (The informafion provided on ihis fomi is mquireA; however, use of ihis form to provide [he inCortnation is optionl.) After completion of final inspection, a copy must be provided to the building departrnent (upon request) end the building owner at accupancy, per section 10.103(b). HVACSYSTEMS: Heatin8 F9�Pment Fquip. Type (pkg. heat CEC Cenified Mfr, Make & aump, etc.) Model Number Hydronic FintCompany 18CDXQ-F-C Hydronic PirstCompany 25CDXQ-FC Coolittg Equipmenl Fquip. Type (pkg. heat CHC Certified Compressor Uni[ pump, etcJ MG. Name and Model Number DX-Cooling Yodc GCGD]SS2ISI DX-Caoling York CGCD2452151 1 2 reads greater than or equal ro. p of Efficiency Duct Identical (APUE,etcJ` Location ft oC Effeciency Duct Identical (SEER, etc)' Lceation Systems [ZCF-i R valaej (atlic, etc. 14 13 Seer soffit 14 !3 Seer soffrt Duct or Piping R-value R•4.2 R-4.2 Heeting Heating Load Capacity Cooling Cooling Duct Load Capaciry R-value (Btu/hr) (BTU/FIr) R-02 I8,000 R-0.2 24,000 I, [he undersigned, veri[y that the equipmtn[ listed above is l) is the acnial equipment instulled, (2) equivalent to or moro efficieM than thnt specified in the certificete of compliance (Form CF•1 R) submitted for complience with the Energy Efficiency Standards for rosidential buildings, and (3) equipment that meets or exceeds the appropriate requirements for menufactumd dtvices (from the Appliance CiTiciency Regulations or Part 6), where applicable. LDI Mxhanical Lorrnioe fternartdez HVAC Subcontractor (Co. Name) OR General Contractor OR Owner WATER HEATINC SYSTEMS: Water CEC Cenifitd Disfribu[ion If Recir- Rated Input Tank Efliciency Sfendby Ex[ernal Hearer Mfr Name & 'Iype (Std, culation, p of Identical (kW or Volume (EF, RE) Loss (Y.) Insulatioo R- 'lype/q Model Number Point-af-Use) Control'lYpe Systems Bh✓hr) (gallons) � value FAUCE'CS & SdOWER HEADS: All faucets and showerheeds instailW ert listed in the Commisions Directory of Ceitified Faucets and Showerheads, pursuant ro Titla24. Pan 6, Subchapta 2, Section I 11. l, the undersigned, verify ihat the equipment IistM in the category above my signature is the ecNal equipment installed and that the equipment meets or excceds ihe requirements of the Appliance Efficiency Standards. In addition. I have verified that the equipment is equivalent to or more efficient ihan tho equipmrnt specified on the Ce=ti6ca[e of Complience submitted ro demonsuate compliance with the Encrgy Efficiency Standards for reside`ttial buildings. Signature. Date COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Plumbing Subcontractor (Co. Name) OR General Contractor OR Owner CITY OF COSTA MESA BlIILDING DIYISION i` � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 : �. FOR INSPECTIONS CALL: (774) 754•5626 t� * FIRE SUPRESSION PERMIT Jobnddress: 412 ENCLAVECI Suite: „ Vicinity: " � ; . - , . . , Parce�Nunmber. TPN007036.;;.: . " Zoning: npp�icant: VICTOR BALANEIO`.;"; `'� Address: 17992 COWAN - . ' Phone: 949-074-0555 � � IRVINE; CA ' - Zip:. 92614 � ; - ownec THE IRVINE�COMPANY_ � . � ` . � � Address 1101NNOVATION�' � . � � � � � � � ` � � � Phone: 949-720-5536 IRVINE; CA �' � � � - � - Zip: 92612 Contrector. THE GREATER ALARM CO INC Address: 17992 COWAN �� . . . . � � , - - � Phone: 949-474-0555 .. . . - �� IRVINE, CA- � , Zip: 92614 � " , � �. . � - License: 469046 �� # �6 �wvw. ci. cos ta-m e s a. ca. u s F07-00318 Status: ISSUED Applied: 10/31/2007 Issued: 11/08/2007 ' .. :. • ;',`' ` SCOPE OF PERMIT FIRE ALARM SYSTEM POR�PHASE III: NEW-24,867 S.F. MFD,.TYFE 3A, 28 UNITS FOR "ENCLAVE APARTMENT HOMES". REF#: BC07'00060' . � Plan Check: $0.00 Permit: ,. Other: $0.00 Total: . ��UMMHKY � . -. � Calc Valuation: " Claimed Valuation: $o.00 $o.00 NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Oid. 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 authonzed 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 pertnit. CpDE�. INSPECTIONTYPE DATE IN701AL5 COOEO INSPECTIONTYPE DATE IN701RL5 1616 FizeC System Final Fire Prevention 206 Final Mechanical 1288 Pool Spa Final 20B Final Plumbing 200 Final Re-Roof 210 Final Electriwl �., ' 207 Final8lotk/Retaining Wall 212 Final Fire Prevention � "�� 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition ' 250 Final Builtling/Occupancy WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one o( the following declarations: ❑ I have and will maintain a certifcate of consent lo self-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the peAormance ot the vrork for which this permit is issued. I have and will maintain workers' compensation insu2nce, as requiretl by lion 3700 of the Labor Code, for lhe pertormance of the woAc for which this pertnit is issued. My wnrkers' compensation Insurance carrier and policy number are: . 1 , 1 � { Ca`r_n'er�� h-Ff�71�1-- �FFS- G� - (Tnis secfron ne rwt be mmpleted illhe per d is valuetl Yat one hundred dollaa (3100) orlessJ Pol`cy Number: .�-J��1 ❑ I certify that in the peAormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to [he vrorkers' compensation laws of Califomia, and agree lhat if I should become subject to t prorkers' compensation provisions of Section 3700 of the Labor Code, � I� Srthwith compty with these provisions. /� �� ,-'.I "�1 `�� Ap w sSignaWr Da�e. 1 WARNING: FAILUR RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER 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 affirm that I am licensed under provisions O( Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Lic'# • -> � Class`#\ `� � �� 1Cont� _ 's lure L.Date__ - tr- CONSTRUCTION L GENCY: ❑ I hereby affirtn that there is a construction lending agency for ihe peAormance ot the v.ork tor wfiich this pertnit is issued. (Sea 3097, Civil Code). Lender's Name: Lender's Address: Signawre �ale OWNER-BUILDER DECLARATIONS: I hereby aKrm lhat under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the (ollowing reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires a permit to construct, alter, improve, tlemolish, or repair any slrucWre, prior to its issuance, also requires the applicaN for such permit to file a signed statement tha[ he or she is licensed pursuant to the provisions of the Contraclors License Law (Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Protessions Code) or that he or she is exempt [herefrom antl the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant ro a civil penalty ot not more Nan fve huntlretl tlollars �$500).): ❑ I, as owner of ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Pro(essions Code: The Coniractors License Law does not apply to an owner of property who builds or improves thereon, and who doas such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of wmpletion, the ovmer-builder will have the burden of proving that he or she did not builC or improve for purpose of sale.). ❑ I, as owner of lhe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct lhe project (Sec. 7044. Business and Professbns Code: The cont2ctors License Law dces not apply lo an owner o( property who builtls or improves ihereon, and who wntracts for such project with a cont2ctor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt untler sec. Business and Professions Code for this reason: SignaWre - Date 305]-66(3/Ol) Owner ID verifed by tlriver's .. .,e. ❑ Yes ❑ No Driver's License No. Expires: Verifcation of Ovmership by (type of document, i.e. - pmperty tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cert"rfy that no excavation frve (5) or more feet in depth into v.hich a person is required to tlescend, vrill be made in conneclion with vrork authonzed by this permit, and that no building sWcture, scaffWding, falsework, or demolition or dismantling thereo(, will be more ihan Ihirty-six (36) feet high. (Chap. 3.2, Gry 2. Art 2, Sec. 341, Ttle 8, California Adminis[2[ive Code). ❑ As owner-builder, I will no[ employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from ihe division. Appliwnl's SignaWre Dale Division of Indusirial Sa(ety Permit Numbec HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuNre building occupant neetl b Lle antl ceAify a Business Plan for emergency response to release or threatened release of a hazartlous matenal? ❑ Yes ❑ No (Section 25505 0( [he Califomia Heal[h and Safety Code requires, wi[h some exceptions, tha[ a Business Plan be filed with [he Costa Mesa Fire Departmenl by every business which has at any one time dunng a reponed year a quantiry of hazardous matenals equal ro or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2. Does or will the applican[ or present or future building ocwpant need to fle a registration form for awtely hazartlous materials? ❑ Ves ❑ No (Section 25533 of the California Health and Safery Code, wi[h some exceptions, requires regis[ra[ion with [he Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acu[ely hazardous materials equal [o or greater than a weight of 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 luture builtling occupan[ neetl to prepare an RMPP (Risk Management and Prevention Program (or acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of lhe California Health and Safery Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are requireC to register acu[ely hazardous materials with the Fire Department. 4. If an RMPP is presenlly required, has Section 25534 0( lhe Califomia Healih and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for lhe work which is [he subjec� of [his application a permi� for such conslmction or modifcation from ihe South Coast Air Qualiry Manaqement District or fmm any olher air pollution wntml disMct or agency? ❑ Yes ❑ No (Sectbn 658502 of the Califomia Govemment Code requires thal lhe requested in(ormation be tumished on applications fa non-residential builtling permits). 6. Will any part of Ihe (acility to be constructed under this permit be within 1000 feet from ihe outer boundaries of a school? ❑ Yes ❑ No Qf "yes". Ihe facility must meet the requiremen[ of Seclions 25534 and 42303 of Ihe California Health and Sa�ety Code). 7. I( a permit from the Sou[h Coast Air Qualiry Management Dislrict or other air pollution control district or agency is required for the work 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 B. Qf'yes", attach certifwte of compliance from the appropriate air polWtion control oKcer). . � CERTIFICATE OF COMPLIANCE I certi(y [hat under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ortlinances regarding Hazardous Materials and Emissions. ' CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read Ihis application and sWte that the intortna[ion given is correct. I agree to comply with all state laws and ciry ordinances relating to building consWction, and authonze representatives of the Ciry of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not [o occupy or allow occupancy o( any building authorized by this pertnit until Lnal inspection. Signa Le al Ovmeqs) � Date — - ll�q�a'1 AnE/ � nzeE Ap I nl Data \ \, ��