HomeMy WebLinkAbout415 ENCLAVE CIR - Building PermitsCITY OF COSTA MESA
BIIILDING DIYISION
F � 77 FAIR DRNE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
�. , FOR INSPECTIONS CALL: (714) 754-5626 F07-00312 -
�Q'°^°"°``�� FIRE SUPRESSION PERMIT
JobAddress: 415 ENCLAVECI -
Suite: � " . ' � � � ' ' �
Viciniry: � � �- . - _
ParcelNunmber TPN007039;'..•' Zoniffg:
npp�icant: VICTOR BALANCIO [; '
Address: 17992COWAN N"i;��
���'t� � ':_�;e � Phone: '949-474-0555
IRVWE,�CA - `• � Zip: �92614 �
. 'i . . ' ; . � _
Owner THEIRVINE COMPANY,
Address 110�'INNOVATION' i �
., � �y� • ,� , Phone: 949-720-5536
IRVWE;CA � , , - � -.:Zip> 92612 � .
Contracror THE GREATER ALARM CO INC
Address: 17992 COWAN .- ' - _ - , _
� � Phone:. 949474-0555
IRVINE, CA - - � Zip: 92614 �
License: 469046 -
, ai.vr� vr r�
. FIRE ALARM SYSTEM FOR PHASE III: NEW 17,030 S.F. MF.
ATTACHED,GARAGES FOR "ENCLAVE APARTMENT HOMI
• ` FEE SUMMF
Plan Check: $0.00
Permit: . -
Other. $0.00
Total:
Status: ISSUED
Applied: 10/31/2007
Issued: 11/OS/2007
ni
YPE tA, 20 UNITS W/3,233 S.F.
REF#: BC07-00053
Calc Valuation: So.00
Claimed Valuation: $o.00'
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) . • �
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. ,
INSPECTIONS: In order for the work authorized under this pertnil to be considered legal, such work must wmply 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 ezpiration of this permit.
COOE t. INSiEC710N TYPE ORTE INTITIRLS O�E INSYECTION TYPE � DRTE INTRIILS
1816 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
Z00 Final Re-Roof 270 Final Electrical �
201 Final BIocWRetaining Wall � 212 Final Fire Prevention ' �
202 Final Faclory Fire Place 220 Final Planning Approval
203 Final Sign 222 FinalSite
204 Final Demolition ' 250 Final Building/Occupancy �
WORKERS' COMPENSATION DECLARATION:
I hereby aRrm under penalty o! perjury one of the following declaretions:
� I have and will maintain a certificate of consent to self-Insure for workers'
compensation, as provided for by section 3700 of the Labor Code, tor the
pertormance of the work for which this permit is issuetl.
I have antl will maintain workers' compensation insurance, as required by
tqn 3700 of the Labor Code, fa ihe performance of the vrork for which this
pertnit is issued. My vrorkers' compensation Insurance carrier and policy
number are: � � � �� !'
�Carrier �� 1 h1f-F� 1��� ��7 • C.O •
-�inisseeonneed �waecxovmcet NA� e�w�vrnnrtavalue0afonenuiWreddouars(S�OOJalessJ
Policy Number. ?-'�-�`+-•--"`^�' ��� �
❑ I certi(y tha[ in the performance of [he work for which this permit is
issued, I shall not employ any person in any manner so as to become subject
to Ihe vrorkers' compensalion lavrs of California, antl agree that if I should
become subject} vrorkers' compensation provisions of Section 3700 of
the Labor Cod (I I orthwith comply with these provisions.
a. . D
c h5ignatu � ate
J
WARNING: FAILU E WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL 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, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aff rm that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force antl effect. h
Lic.'# ' �Class # I G} �" C 1
' (�•�j'.b'l
�Cont 's a r'Date -
CONSTRUCTION LE G NCY:
❑ I hereby affirtn that [here is a construction lending agency for the
peAormance ot the v.ork for which this pertnit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
SignaWre
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalry of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW (or the following reason (Sec. 7031.5,
Business and Professions Code: Any city or county which requires a permit to
construct, alter, improve, demolish, or repair any stmcture, prior to its
issuance, also requires [he applicant for such permit lo fle a signed sta�emenl
that he or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of Ihe
Business and Professions Code) or that he or she is exempl therefrom and
the basis for the alleged exemp[ion. Any violation of Seclion 7031.5 by any
applicant for a pertnit subjects the applicant to a civil penalty of not more than
fve hundred dollars ($500).):
❑ I, as owner of the property, or my employees wi[h wages as their sole
compensation, WILL DO THE WORK, and the stmcture is not intended or
oftered 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 vrork himself or herself or through his or her ovm
employees, provided that such improvements are not intended or offered for
sale. I(, however, ihe building or improvement is sold within one year of
completion, the ovmer-builder will have the burden of provinq ihat he or she
did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business and
Professbns Code: The contrac[ors License Law dces not apply to an owner o(
property who builtls or improves thereon, and who cont2cts for such project vrith
a contractor(s) license pursuant tothe Contractors License Laws.).
❑ I am exempt under sec.
Business and P.rofessions Code for this reason:
SgnaWre . Dale
305]-46(3/0])
Ovmer ID venfietl by dnver's ,. .,e. ❑ Yes ❑ No
Driver's License No. Expires:
Venfication of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: .
❑ I hereby certify [hat no excavation (rve (5) or more feet in depth into v,hich a
person is required to tlescend, will be made in connectbn with wurk authonzed
by this pertnit, antl that no building strucWre, scaffdding, falsewvrk, a demolition
or dismantling thereof, will be more than thirty-six (36) teet high (Chap. 3.2, Gry
2, M 2, Sec. 347, Ti�le 8, Califomia Administrative Code).
� As ownerbuilder, I will not employ anyone to do work which would
require a permit (rom ihe Division of Industrial Safely, as noletl above, unless
such person has a permit to tlo such vrork from the division.
Appliwnfs SignaWre Date
Division of IndusVial Sa(ety Permi[ Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need to fle and
certify a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Yes � No
(Section 25505 0( [he California Health antl Safely Code requires, with some
exceptions, that a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater Ihan a weight of
500 pounds, or a volume o/ 55 gallons, or 200 cubic feet of compressed gas
at standard temperature and pressure).
2. Does or will the applicant or present or fuWre building occupant need b fle
a registration fortn for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of [he Califomia Health antl Safety Code, with some
exceptions, requires regis[retion with lhe Costa Mesa Fire Department by
each business which a[ any one [ime has on hand a quantiry o( acutely
hazardous materials equal to or greater lhan a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperawre and pressure).
3. Does or will the applican[ or present or future buildinq occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazartlous materials)? ❑ Yes ❑ No
(Sec[ion 25534 of the Califomia Healih antl Safery Code provides ihat the
Cos[a Mesa Fire Departmen[ may require [he preparation, ceRifica[ion and
fling with Ihe Fire Department of an RMPP by businesses which are requiretl
to register acutely hazartlous materials with the Fire Depahment.
4. If an RMPP is presently required, has Section 25534 of the California
Heal�h and Sa(ety Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require (or
the vrork which is the subject o( this application a permit (or such conslmction
or modifcation (rom [he Sou[h Coast Air Quality Management Dislrict or trom
any other air polWtion control district or agency? ❑ Yes ❑ No
(Section 658502 of [he Califomia Govemment Code requires that the requested
information be fumishetl on applications for non-resitlential builtling pertnits).
6. Will any part of the facility to be constructetl untler this permit be within
1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
Qf "yes", the facility must meet the requirement of Sections 25534 and 42303
ot ihe Califomia Health and Safety Code).
7. If a permi[ from [he Sou[h Coast Air �uali[y Management DisMcl or other
air pollution control district or aqency is required for Ihe vrork which is Ihe
subject of this application, have all of the tlisclosures prescribed by California
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No .,
8. Qf yes", attach certificate of compliance (rom Ihe appropnate air pollution
control officer). . . .
CERTIFICATE OF COMPLIANCE: I certify tha[ under penalty of perjury Ihe
information given above is cortect. I agree to comply with all state laws and
ciry ordinances regarding Hazardous Materials and Emissions. �
SignaWre Date
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 ro comply with all slate laws and city
ordinances relating to building construction, and authorize represeNatives 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
authorized by ihis p rri ntil final inspection.
Sig 4 � L al Owner�s) Dale'
Antl �AWM1 ` A Lw IDdI¢1�,0�
CITY OF COSTA MESA
o "' BYILDING DIVISION
F � 77 FAIR DRIVE, COSTq MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • v-nvw.ci.costa-mesa.ca.us
� FOR INSPECTIONS CALL: (714) 754•5626 F07-00216
�°'^�+�°"` FIRE SUPRESSION PERMIT
Job nddress: 415 ENCLAVE CI
Suite:
Vicinity: _ . -
TPN007039. :' ` . � . Zoning:
ParcelNunmber:
App�icant: KIRK HEMANS .
Address: . � �-
Owner. THE IRVINE COMPANY , . ,
Address 1101NNOVATION- - - �-
i � . �
Phone: 714-666-8450
Zip:
Phone: 949-720-5536
IRVINE, CA - - Zip: 92612
..i . . . .. . -. _
Contracror: RESIDENTIAL FIRE SYSTEMS INC
Address: 2971 E VIA MATRENS �
Plan Check:
Permit:
Other:
Total:
�. , - . - �Phone: 714•666-8450
ANAHEIM, CA � � � Zip: 92806. �
, �- � � . � � License: 786965�-
Status: ISSUED
Applied: 06/27/2007
Issued: 07/03/2007
SCOPE'OF PERMIT
PHASE 3, INSTAI,L 240 OVERHEAD SPRINKLERS FOR NEW 17,030 S.F. MFD, TYPE 1A, 20 UNITS,
"ENCLAVE APAR7MENT HOMES" -- - �
$0.00
$0.00
$0.00
$0.00
FEE SUMMARY
Calc Valuation: so.00
Claimed Valuation: so.00
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. -
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.
COOEt. INSPEC110NTYPE DATE IN1111AL5 CO�Ei INSPECTIONTYPE DRTE IN1171AL5
1616 Fixed System Final Fire Prevention 206 Final Mechanical
7266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electncal , /
201 Final8locWRetaining Wall 212 Final Fire Prevention �
202 Final Factory Fire Place 220 Final Planning Approval
203 ' FinalSign 222 Final Sile
204 Final Demolition � 250 FinalBuildinyOccupancy
WORKERS' COMPENSATION DECLARATION:
I hereby aKrm under penal[y o( perjury one of the following declarations:
❑ I have and will main[ain a certificate of consent to self-Insure !or vrorkers'
compensation, as providetl for by section 3700 of [he Labor Cotle, for the
performance of the work for which this permit is issued.
.�have antl vnll maintain vrorkers' compensation insurance, as required by
' rt'r3700 of [he Labor Code, for the perfortnance of the work (or which this
pertnit is issued. My workers' compensation Insurance carrier and policy
number are:
JCarrier....��—%��� ��
rThrs sectbn nee0 rw( be compleletl Athe permd u valuetl a! one hunOmtl dollaro ($100J orless )
-...T-�—�--��-- ;.
P6licyyNumber:� ��'��35� � �'�
�' ::�'..P.,.�, �
❑ I certify tha[ in [he per(ortnance of the vrork for which this permi[ is
issued, I shall not employ any person in any manner so as to become subject
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 0!
the L or ode, I sh F with comply with these provisions �
_��Y-�%C-.. . ce_�&^�v+r,�" L� C
:..... : �..
`_IufYb, :w�.w'-'°APPlicanPSSBnsWre.�,r�..'=7",.}�'.`.y�',;.-�;-: ';'_..Da�e "'a'F:;m^t
lw�{,"-'�e""t"_< <y'.'
WARNMG FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT 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, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chap�er 9(commencing
with Section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force and effect.
Owner ID verified by dnver's li. _e. ❑ Yes ❑ Na
Dnver s License No. Expires:
Veri(cation of Ownership by (rype o( document, i.e. - property [ax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation frve (5) or more feet in depth into vfiich a
person is requi2d to descend, will be made in connection wi[h work authonzed
by this pertnil, and Ihat no building stmcture, scaffdding, falsework, or demolition
or tlismantling thereo/, will be more than thirty-six (36) (eet high. (Chap. 3.2, Grp
2, M 2, Sec. 341, Ttle 8, Califomia Administra[ive Cotle).
❑ As owner-builder, I will not employ anyone to do work which would
require a permit from the Division of Industrial Safery, as noted above, unless
such person has a permit to do such work from Ihe division.
Applicanl's SignaWre Date
Division of Industrial Safety Permi[ Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
t. Will the applicant or presen[ or future building occupan[ need to fle and
certify a Business Plan for emeigency response [o release or threatened
release o( a hazardous material? ❑ Yes ❑ No
(Section 25505 0! Ihe Califomia Health and Safety Cotle requires, with some
exceptions, that a Business Plan be filed with the CosW Mesa Fire
Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature and pressure).
2. Does or will the applicant or present or (uture building occupant neetl to fle
a reqistration form for acutely hazardous materials? ❑ Yes ❑ No
[ion 25533 0( lhe Cali(omia Health and Safe[y Code, with some
ptions, requires registration with the Costa Mesa Fire Department by
business which at any one time has on hand a quanti[y o( acutely
rdous materials equal to or greater than a weight of 500 pounds, or a
vowme of 55 gallons, or 200 cubic feet of compressed gas at standard
[emperature and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for awtely
hazardous materials)? . ❑ Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Costa Mesa Fire Department may require the preparation, cerlifcation antl
filing with the Fire Department of an RMPP by businesses which are required
[o register awlely hazartlous materials with the Fire Departmen[.
4. I! an RMPP is presen[ly required, has Section 25534 of the Califomia
Health antl Safety Code been fully complied wi[h? ❑ Yes ❑ No
5. Does or will the applicant or present or fu[ure building occupant require for
Ihe vrork which i5 the Subjec[ of [his application a permi[ (or such con5[fuC[ion
or motli(cation from the South Coast Air Qualiry Management District or fmm
any other air polWtion control district or agency? ❑ Ves ❑ No
(Secfqn 658502 of the Califomia Govemment Code requires that the requested
infortnation be fumished on applications fa non-residential builtling pertni[s�.
6. Will any part of [he Faciliry to be constructed under this permit be within
1000 (eet from Ihe outer boundaries of a school? ❑ Yes ❑ No
(If "yes", the faciliry must meet the requirement of Sections 25534 and 42303
of the Califomia Health and Safety Code).
7. If a permil from the South Coast Air Quality Management Dis[rict or other
air pollution control dislrict or agency is required for the work which is the
subject of this application, have all of the disdosures prescribed by Califomia
Health and Safety Code Section 42303 been matle? ❑ Yes ❑ No
8. Qf'yes", attach certificate ot compliance from the appmpriate air pollution
control offcer).
CERTIFICATE OF COMPLIANCE I certify [hat under penalty of perjury [he
information given above is correct. I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
CONSTRUCTION LENDING AGENCY:
❑ I hereby aRrm that there is a construction lentling agency tor the
per(ormance of the work for which [his permi[ is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
SignaWre
Date
OWNER-BUILDER DECLARATIONS:
I hereby aKrm thal under penalty of perjury tha[ I am EXEMPT FROM THE
CON7RAC70RS LICENSE LAW tor the following reason (Sec. 7037.5,
eusiness and Pmfessions Cotle: Any city or county which requires a permil to
construct, alter, improve, demolish, or repair any structure, pnor to its
issuance, also requires Ihe applicant for such permi[ [o fle a signetl statemenl
that he or she is licensetl pursuanl to the provisions of the Contractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Professions Cotle) or [ha[ he or she is exempt Iherefrom and
[he basis for the alleged exemption. Any violation of Sec[ion 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty of not more than
five hundred dollars ($500).):
❑ I, as owner of the pmperty, or my employees wi[h wages as [heir sole
compensation, WILL DO THE WORK, and the stmclure is not intended or
offered for sale (Sec. 7044, Business and Professions Cotle: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himsel( or herself or through his or her own
employees, provided that such improvements are not intended or otfered for
sale. If, however, [he building or improvement is sold within one year of
completion, the ownervbuilder will have the burden of proving that he or she
did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construc[ the projec� (Sec. 7044, Business and
Professions Code: The contractors License Law dces not apply to an owner of
property who builds or impmves thereon, and who contracts for such project with
a contractor(s) license pursuant tothe Cont2ctors License Laws.).
❑ I am exempt under sec.
Business and Professions�Code for this reason:
SignaWre
305]-46�3I01�
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state that
[he information given is correct. I agree to comply with all s[ate laws and city
ordinances rela[ing to building construction, and authorize representatives of
the City o( Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit uMil fnal inspection.
� Sgna� f Legal Owner(s) D
- �
And �Au\honied'APPliran�"4-�:. ` i �e v
CITY OF COSTA MESA .
BYILDING DIV/SION
F � 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
���� F07-00216
FIRE SUPRESSION PERMIT
JobAddress: 41B ENCLAVECI . .� .
Suite: � � ' . �
Vicinity: ' , . ,
Parcel Nunmber:
Applicant:
Address:
Owner:
Address
TPN007039 ,''`. �
DOUG BROZOVICH' .
1202 EAST HUNTER AVE
SANTA'ANA, CA; t;��'� ,
THE IRVINE GOMPANY
7101NNOVATIONi .
IRVWE,CA ' '
Zoning:
Phone: 714-231-0139
Zip: 92705 �
.i
Phone: 949-720-5536
2ip: . 92672
Status: ISSUED
Applied: O6/27/2007
Issued: 07/03/2007
Contractor: BAKER COMPANY CONSTRUCTORS INC
Address: 1202 EAST HUNTER AVE � . � � � � '
.. .. ...�-��'Phone: 714-835-8572 � � . . ' ,
SANTA'ANA, CA�-,� •� Zip: 92705 �� - -
� - � ' License: 822444 ' � � �
SCOPE OF PERMIT
PHASE 3, INSTALL 240 OVERHEAD-SFRINKLERS FOR NEW 17,030 S.F. MFD, TYPE 1A; 20 UNITS,
"ENCLAVEAPARTMENTHOMES" � - � . �
�.
�'"PEE�SUMMARY � .
Plan Check: $0.00 ^ ' ' � Calc Valuation: so.00
Permit: $0.00 � " Claimed Valuation: 30.00
Other. $0.00 �
Total: $0.00
NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Cali(omia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-27-92)
EXPIRATION: PERMIT EXPIRES 780 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work musl comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
cooe�, iHsrecnoxttve onre iNtma�s 40oe� I_NSVECTIONTPE o� ixTma�s
1818 Fined System Final Fire Preventlon 208 Final Mechanical
1288 Pool Spa Final , � 208 Final Plumbing
200 Final Re-Root 210 Final Electncal , / — o.����
201 Final Block/Retaining Wa0 212 Final Fire Prevention G�^^
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 penally of perjury one of the (o���wing tlecla2tions:
❑ I have and will maintain a certifiwte of wnsent to selhlnsure for workers
compensation, as providetl (or by section 3700 of the Labor Code, for the
performance of Ihe wark for which this pertnit is issueC. "
� 1 have and vrill maintain workers' wmpensatbn insurance. as required by
�6Lctiw+-2700 0( Ihe Labor Code, for the peRortnance o( the work for which this
permit is issued. My vrorkers' co�P ensalion Insurance carrier and policy
numberare: ��t��
Carrier: _ .
(TN5 se[fion neetl not Ee mmIpneleAd ✓2the pGrm�rt 'is1 valuetl al one hurMretlOo.Nars (5100) w leu )
PolicyNumber.. ,�1�1Y(�J— l��y
❑ I certify lhat in the peAormance of the work for which this pertnit is
issued, I shall not employ any person in any manner so as to become subject
to the workers' compensation laws of California, and agree that if I should
become subject to the vrorkers' compensation provisions of Section 3700 of
the Labor Co , ,eHfe hwi c mply with these provisio s� �
� ppl¢a Ys Signalur� Dak
( �
WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL 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, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby a(frm Ihat I am licensed under provisions of Chapter 9(commencing
vnth Section 7000) of Division 3 of the Business and Professions Code, and
myJicense is_in full force and eflecL 1/1 �
CCc..#�--- t r lass# �v�
�`
- Convactor SignaWre �ate � j
i j____ .
CONSTRUCTION LENDING AGENCY:
❑ I hereby affrtn that there is a constructbn lentling agency for the
peAormance of Ihe work fa wfiich this permil is issued. (Sec. 3097, Civil Code).
Lentler's Name:
Lender's Address:
OWNER•Bl11LDER DECLARATIONS:
I hereby a�rm lhat under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW far Ihe following reason (Sec. 7031.5.
Business and Pmfessions Code: Any city or county which requires a permi[ to
construcl, alter, improve, demolish, or repair any stmcWre, prior to its
issuance, also requires the applicant for such permil lo Ne a signed s[atement
Ihat he or she is licensed pursuant to lhe provisions of [he Con[ractors
License Law (Chapter 9(commencing vrith Section 7000) of Division 3 of ihe
Business and Professions Code) or that he or she is exempt therefrom and
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects �he applicanl [o a civil penalry o( not more Ihan
five huntlred dollars ($500).):
❑ I, as owner of lhe propeAy, or my employees with vrages as their sole
compensation, WILL DO THE WORK, and the strucWre is not intendetl or
oBeretl for sale (Sec. 7044, Business antl Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who does such vrork himself or herself or through his or her ovm,
employees. provided that such'improvements are not intentletl or offered for
sale. It, however, the building or improvement is sold wilhin one year of
completion, the ovmer-builtler will have the burden of proving lhal he or she
did not builtl or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CON7RAC71NG WITH
UCENSED CONTRACTORS to construct the pmject (Sec. 7044, Business and
Professions Code: The contractors License Law dces not apply to an ovmer of
properly who builds or improves Ihereon, and who contracls for such project with
a cmt2ctor(s) license pursuant to Ihe Cont2ctors License Lav.s.�.
❑ I am exempt under sec.
Business and P,ro(essions�Code for this reason:
JOS]�a6(3/0))
Owner ID verified by drive ise. .❑ Ves ❑ No
Oriver's License No. Expires:
Veri(cation of Ovmership by (lype of document, i.e. - property tax bill or tleed):
�DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: �
❑ I hereby certrfy that no excavation frve (5) w more feet in depth into which a
person is required to descentl, will be made in wnnectbn with work auttronzed
by ihis pertnit, and that no building sWcture, scaffdtling, falsev.ork, or tlemolition
or dismantling thereof, will be more than thirty-si� (36) feet high. (Chap. 3.2, Grp
2. M 2, Sec. 311, Title 8, Calilomia Atlminist2Me Code�.
❑ As owner-builder, I will not employ anyone to tlo vrork which would
require a permit fmm the Division of Industrial Safety, as notetl above, unless
such person has a permit to do such work from the division.
Appl¢anfs SgnaWre Oale
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or (uture building occupant neetl to file and
certify a 8usiness Plan for emergency response to release or threatened
release o( a hazardous material7 ❑ Yes ❑ No
(Section 25505 of the Calilomia Health antl Safery Code requires, with some
exceptions, that a Business Plan be filed with lhe Costa Mesa Fire
Department by every business which has at any one time dunng a reported
year a quantily of hazardous materials equal to or greater Ihan a weight of
500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature antl pressure�.
2. Does or vrill the applicant or present or fuNre building occupant need to file
a registration (orm (or acutely hazartlous materials? ❑ Yes ❑ No
(Section 25533 of the Calilomia Health antl Safely Code, with some
exceptions, requires regislration with the Costa Mesa Fire DepaRment by
each business which at any one time has on hand a quantiry of acutely
hazartlous materials equal to or greater than a weight of 500 pountls, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperaWre and pressure�.
3. Does or will Ihe applicant or presenl or future building occupant need to
prepare an RMPP (Risk Management antl Prevention Program for acutely
hazartlous materials)? ❑ Yes ❑ No
(Section 25534 of the Califomia Health and Safery Code proviaes that the
Costa Mesa Fire Department may require the preparation, certifiwtion antl
filing with the Fire Department of an RMPP by businessas which are required
to regisler awtely hazardous malenals with ihe Fire Department.
4. I( an RMPP is presently require4 has Section 25534 of the Califomia
HeaIN anC Safery COtle been fully tomplied wilh7 ❑ Ves ❑ No
5. Does or will the applicant or present or (uture building occupant require for
the vrork which is Ihe subject of this appliwtion a permit for such conshuction
or modifcation from the South Coast Air Quality Management Distric[ or (rom
any other air polWtion control distdct or agency? ❑ Yes ❑ No
(Sectbn 658502 of the Califomia Govemment Code requires that the requested
infortnation be Wmishetl on aOPlications for noo-residential building permits).
6. Will any part of the faciliry to be conswcted under this permit be within
1000 teet from Ihe outer boundaries ot a school? ❑ Yes ❑ No
(If "yes", the facility must meet the requirement of Sections 25534 and 42303
of the Califomia Health and Safety Code).
7. It a permit from lhe Soulh Coast Air Quality Management Dislric[ or o[her
air polWtion convol district or agency is requiretl for the work which is the
subject of this application, have all of the disclosures prescribea by Califomia
Health and Satety Code Section 42303 been made? ❑ Yes ❑ No.
8. Qf yes', anach certificate o! compliance from Ihe appropriate air pollution
control officer). .
CER7IFICATE.OF COMPLIANCE: I certify that under penalty of perjury the
informalion given above is correct. I agree to comply with all state laws and
city ordinances regarding Hazardous Matenals and Emissions.
SignaWre Dale �
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this appliwtion antl state that
Ihe information given is correct. I agree to comply with all state laws and city
ortlinances relating to building construction, and authorize representatives of
the City of Costa Mesa to enrer upon the above-tlescnbed property tor
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permi� until final inspection.
� SignaWreol cr�s) t
- tAnG� r u1Mfix .AppLwnl..��J A'D�
. c •� ti
CITY OF COS7A MESA
� BI/ILDING DIVISION
i � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
r
� FOR INSPECTIONS CALL: (714) 754•5626 .
�ro'P
�(�� �,( , _� J PERMIT NUMBER: BC07-00173
(Y ��� �
PERMIT TYPE: BG�� � STATUS: ISSUED
Sub Type: COM_NEW DATE ISSUED: 08/14/2007
ISSUED BY: SOK
Jos noDRess: 415 A ENCLAVE CI CM Suite/Unit: A
APN: TPN008010 . Zoning: , ,
Vicinity: POOL EQUIPMENT/RESTROOMS, BLDG. G Primary Occ: B/S2
Const Type: V-N SQ. FT: 1056 Valuation: $100,320.00
SCOPE OF WORK: DESCRIPTION REVISED O6/i8/08 TO REFLECT ELECTRICAL HOUSE METER AND GAS METER FOR POOL
�QUIPMENT/RESTROOMS.AND`ADDRESS CHANGE FROM 400 G TO "415 A ENCLAVE".
PHASE 3, ENCLAVE APT HOMES, NEW 1,056 S.F. POOL EQUIPMENT/RESTROOMS, BLDG. G.
. Y ,.
4WNER: THE IRVINE'�COMPANY, e� -; . Address: 110 INNOVATION � '. .. Unit:
Phone: 949-720-5536 � ��1 � - - City/State/Zip: IRVWE, CA � � , '
APPLICANT: JERRY CROSBY �� � Address: 8 EXECUTIVE CIRCLE
Phone: 714-557-0244 - , City/State/z2ip:' 1RVINE, CA
CONTRACTOR: WESTERN NATIONAL CONTRACTORS License No. 840973
Phone: 714-557-0244 � Address: 8 EXECUTIVE CIRCLEUnit:
Cell: . - City/State: IRVINE, CA
ARCHITECT:
NGINEER:
License No.
License No.
COMBINATION PERMIT FEE SUMMARY
Building Plan Check: � " $162.40
Building Fees: - - $999.35
Electricat Fees: . ' $176.78 �-
Mechanical Fees: � � � $51.70
Plumbing Fees: . $184.20� ��
SMIP Residenlial: $10.03
SMIP Commercial: $21.07
70TAL FEES: $1,437.74
^Refer to fee receipts for all fees paltl tor prqect
Unit: :
_ ZipCode � 92614
PHONE:
PHONE:
NO710E: 7he work authorized by this permit shall comply wilh all applicable handicap access requirements under Califomia statutes and relaled
regulations. (Ord. No. 92•28, § 1, 12-27-82) �
EXPIRATION: PERMIT EXPIRES 780 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permil to be consitlered legal, such work must comply with all applicable codes, and all
required Inspettions and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
SODFt. INSPEGTIONTYPE Q/yff N L CODE� IXSFELTONTYPE `' � N �
1818 FizeC System Final Fira Prevention 208 Final Mechani�l D 4� Q�i � � /��,,
1288 Pool Spa Final 20B Final PlumCing ��^ �
200 Final Re-Roof 210 Final ElecUical S�w�
201 Final BIocWReUining Wall 212 Final Fire Prevenlion
202 Final Faclory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site �
206 Final DemW'rtion 250 Fina1 Building�pccupancy � !� �
WORKERS' COMPENSATION DECWRATION: �
I hereby aKrtn under penalty of perjury one ot the following declaretions: .
❑ I have and will maintain a certificate ot consent to self-Insure foi workeis'
compensation, as provitletl for by section 3700 of the Labor Cotle, for the
performance of the work for which this permit is issuetl.
❑ I have and will maintain v.orkers' compensation insurance, as required by
sectbn 3700 of the Labor Cotle, for the peAortnance of the v.ork for which this
permil is issued.. My workers' compensation Insurance carner and policy
numbe� are:
Carrie[
(Th¢ secl'qn neeE nol pe mnpleteCONe pem�� a rdhredat are �unMeO W9ars (St0p1 w leu )
Policy Number:
❑ I cenify thal in the peAorma�e o( the work for vfiich lhis pertnit is
issuetl, I shall not employ any person in any manner so as lo become su6ject
to the workers' compensation laws of Calitornia, antl agree that if I should
become subjec� to the workers' compensation provisions of Section 3700 of
the Labor Cotle, I shall forthwith comp�y with these provisions.
ppD�ifanCs SignaWre oale
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNIAWFUL AND SHALL SUBIECT 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 aHirm lhat I am licensed under pmvisions of Chapler 9(commencing
wilh Section 7000) of Division 3 0( tpe Business and Professions Cotle, and
my license is in WII force antl eNect.
Lic. # Class #
Conlraclor's SignaWre Da�e
CONSTRUCTION LENDING AGENCY:
❑ I hereby affvm [hat lhere is a constmctbn lending agency (w the
peAormance o( the xork for wfiich Ihis pertnit is ssued. (Sec. 3097, Civil Code).
lender's Name:
Lender's Address:
Date
OWNER-BUILDER DECLARATIONS:
I hereby aflirm that untler penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for Ihe followinq reason (Sec. 7031.5,
Business and Protessions Code: Any cily or county which requires a permit to
construcl, alter, improve, demolish, or repair any struclure, prior ro its
issuance, also requires me applicant (or such pertnit ro file a signed statemem
Nal he or she is licensed pursuant to the provisions o( lhe Contraclors
License Law (Chapter 9(commencing with Section 7000) o( Division 3 ot the
Business antl Professions Code) or lhat he or she is exempt therefrom antl
the basis for lhe alleged exemption. �+ny violation of Section 7031.5 by any
appliwnt for a pertnit subjects the apP�icant to a civil penally ol nol more than
five hundred dollars ($500).):
❑ I, as owner o( the proDertY. or my employees vrith wages as their sole
compensation, WILL DO THE WORK, and the struclure is nol intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an ovmer of property v+ho builds or improves
thereon, and who does such vrork himselt or herself or through his or her own
employees, provided that such impro�ements are nol intended or of(ered for
sale. If, however, the building or improvement is sold within one year of
completion, the owner-builder will have the burden of proving ihat he or she
did not build or improve for purpose oi sale.). , ,
❑ I, as ovmer of Ihe property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to consliuct �he projec[ (Sec. 7044, Business and
Pmfessbns Cotle: The wntractors license Law dces not apply to an owner of
property who builds or improves lhereon, and who contracts for such project with
a contractor(s) license pursuant to the Gontractors License taws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
Date
705]-a6�7lO1�
r���.
Owner ID verified by Anvei _..cense. ❑ Yes ❑ No
Driver's License No. Expires:
Verification ol Ownership by (rype of Gocument, i.e. - property tax 6ill or tleeG):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: .
❑ I hereby certRy Ihat no excavation frve (5) or more feet in Oepth into wfiich a
person is required to tlescend, will be made in connection wilh work aNMrizetl
by this permit, ana that no building sWcture, sc�(dding, false�wrk, a demolitbn
or dismantling Ihereo(, will be more than lhirty-sbc (36) feet high. (Chap. 3.2, Grp
2. /�fl 2, $EL. �i�, TI�Q $, (�.2�I�OTI2 iid1i11f115if2�IVE COd2�.
❑ As ovmer-builder, I will not employ anyone to do vrork which would
require a permil from the Division ot lntlustria{ Safeiy, as froted above, unless
such person has a permit to do such work (rom [he division.
Applicanfs SignaWre Date
Division o( Industnal Safely Pertnit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or presenl or fuNre building cecupant neetl lo file and
certify a Business Plan for emergency response to release or threatened
release o( a hazardous malenal? ❑ Yes ❑ No
(Section 25505 0( the Cali/omia Health and Safety Cotle requires, with some
exceptions, that a Business Plan be filed �vith the Costa Mesa Fire
Department by every business which has a� any one time tluring a reported
year a quantiry of hazardous malerials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet ot compressed gas
at slandard tempera�ure and pressure).
2. Does or will the applicant or present or (uture buildi�g occupanl need to file
a regislration form for acWely hazardous materials? ❑ Yes � No
(Section 25533 of the California Health antl Safe�y Code. wi�h some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which al any one time has on hand a quanliry of acutely
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic (ee[ of compressed gas at standartl
temperature and pressure�.
3. Does or will Ihe applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazartlous materials)? ❑ Yes ❑ No
(Section 25534 of the Califomia Health antl Safery Code provides that the
Costa Mesa Fire Department may require Ihe preparatioq certifiwtion and
filing vrith the Fire Department of an RMPP by businesses which are required
to register acutely hazartlous materials with the Fire Department.
4. If an RMPP is presently required, has Sec[ion 25534 of the Califomia
Health antl Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupanl require for
the vrork which is Ihe subject of Ihis application a permit for such construction
or modifcation from Ihe South Coast Air Qualiry Managemenl District or from
any other air pollution control di5tnct or agency? ❑ Yes ❑ No
(Sectbn 65850.2 0/ Ihe Califomia Govemment Code requires that the requested
informatbn be fumished on applications far rron-residential building permits).
6. Will any part of the facility to be constrocte0 under this permit be within
1000 feet from the outer boundanes of a school? ❑ Ves ❑ No
(If yes", the (acility must meel lhe requiremen[ of Sections 25534 and 42303
ot the California Health and Safery Code).
7. If a pertnil from Ihe South Coast Air Quality Managemenl Districl or other
air pollution control district or agency is required for the work which is the
subject of this application, have all of the disclosures prescribed by Califomia
Heallh and Salety Cotle Seclion 42303 been made? ❑ Ves � No
8. (If yes", atlach ceriificate of �compliance from the appropriate air pollution
control oKcep. - � � -
`CERTIFICATE OF COMPLIANCE: Pcertify'that under penalrybf peryury tfie
information given above is correcL I agree to comply with all 51ate laws antl
city ordinances regarding Hazardous Materials-and Emissions. �
SlgnaWre Dale ' �
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF' ENTRY: I
certify under penalry of perjury that I have read this appliwtion and state that
the information given is cortecl. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
the City of Costa Mesa to enter upon the abovetlescribed propeny for
inspection purposes. 1 agree not lo occupy or allow occupancy of any building
authorize0 by this permit until fnal inspeclion.
SignaWreofLeBalOwner(5� Dale
AnElor Autbwue0 AOGLt�anl
CITY OF COSTA MESA �
� F BUILDING DIVISION
F � 77 FAIR DRIVE, COSTA MESA, CA 92626 • Q14) 754-5273 • Fax (714) 754�4856 • www.ci.costa-mesa.ca.us
°•� � � FOR INSPECTIONS CALL: (714) 754-5626
.an=
PERMIT NUMBER: BC07-00173
PERMIT TYPE: B COMBO STATUS: ISSUED
Sub Type: SFD_NEW DATE ISSUED: 0 811 412 0 0 7
- ISSUED BY: SOK
�oe n��rtess: 400 G ENCLAVE CI CM SuitelUnit: G,
APN: TPN006085 `, . 'ZOning: , ,, - � . -
Vicinity: POOL EQUIPMENT/RESTROOMS, BLDG. G � "� Primary�Occ: ��
Const Type: V-N SQ. FT: 1056 Valuation: $100,320.00
SCOPE OF WORK: PHASE 3, ENCLAVE APT HOMES, NEW 1,056 S.F. POOI EQUIPMENT/RESTROOMS, BLDG. G.
OWNER: THE IRVINE COMPANY
Phone: 949-720-5536
APPLICANT: JERRY CROSBY
Phone: 714-557-0244
Add ress: 170 I NNOVATI ON
City/State/Zip: IRVINE, CA
Address: 8 EXECUTIVE CIRCLE
City/State/zZip: IRVINE, CA
CONTRnC70R: WESTERN NATIONAL CONTRACTORS License No. 840973
Phone: 714-557-0244 Address: 8 EXECUTIVE CIRCLEUnit:
Cell: City/State: IRVWE, CA
ARCHITECT:
ENGINEER:
License No.-
License No.
COMBINTATION PERMIT FEE SUMMARY
Building Plan Check: ' ,_ $162.40 �
Building Fees: . $999.35 �
Electrical Fees: $176.78
MechanicalFees: $51.70
Plumbing Fees: � $184.20
SMIP Residential: $10.03
SMIP Commercial: - � $0.00
TOTAL FEES: $1,422.06
^Refer to fee receipts for all fees paid tor projec[
Unit:
Unit :
ZipCode 92614
PHONE:
PHONE:
NOTICE: The work au[horized by this permit shall comply with all applicable handicap access requirements under California statules and relaled
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order 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 permil.
OEI. INSPELiIONTYPE �RTE INTRIRLS COOEt INSPECTIONTYPE DRTE INTIMLS
1816 Fixed System Final Fire Prevemion 206 Final Mechanical
1268 PoolSpa Final 208 Final Plumbing
200 Final Re-Roof 210 Final ElecMcal
201 Final BIocWRetaining Wall• 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 FinalBuilaing/Occupancy
M�ORKERS' COMPENSATION DECLARATION:
1 hereby aKrm under penalty of perjury one ot the following declarations:
❑ I have and will mainlain a certificate of consent to sel(-Insure for workers'
compensation, as provitletl for by section 3700 of the Labor Coae, for Ihe
eAormance of the work !or which this pertnit is issued.
I have and will maintain workers' compensation insurance, as required by
section 3700 of the Labor Code, for the peRortnance o/ Ihe work fw which this
permit is issued. My worker ' compensation Insur ce carrier and policy
number are:
Camer.
(T�isseamne rrotbewmpe�e dI epemtaisvaWedairnen�ndredeWlars(5)00)aless.)
Po�iCv �mbe�: G�IG2/ ' 6 760Z(�
L- -
[a I certify Ihat in the pedormance of Ihe work (or which Ihis pertnit is
isgued, I shall not employ any person in any manner so as lo become subject
to the vrorkers' compensation lavrs of CaliFomia, and agree that if I should
become subject ro the wo cers' compensation provisions of Section 3700 of
the Labor Code, I s II fo with comply with these provisi ns.
.� _ _ - �
pl:am'sSignaWr _ ale
NING: F RE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFU! AMD SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENqLTIES AND CIVIL FINES UP TO ONE HUNORED THOUSAND DOLLAF2S
($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAAMGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATfORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby atfrm that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of Ihe Business and Professions Code, antl
my license is in full orce and eflect.
Lic.#_� Class.# �
l_ nVacio' gnawre L e
CpNSTRUCTION LENDING AGENCY:
❑ I hereby aHtrm that Ihere is a consWcfqn lending agency for the
peAormance of the work for wfiich this pertnil is issued. (Sec. 3097, Civil Code).
Lender's Name:
L@nder's Adtlress:
OWNER-BUILDER DECWRATIONS:
I hereby affirtn thal under penalry of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for lhe (ollowing reason (Sec. 703L5,
BUsiness and Professions Code: Any ci�y or coun[y which requires a permit to
cpnsiruct, alter, improve, demolish, or repair any slrucWre, prior to its
issuance, also requires the applicant for such permit to file a signed statement
thal he or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9(commencing wilh Section 7000) of Division 3 of tbe
Business antl Professions Code) or that he or she is exempt Iheretrom antl
��e basis tor the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant lo a civil penalty of nol more than
five hunOred tlollars ($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
oftered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of propeny who builds or improves
�hereon, and who does such work bimsel( or herself or (hrough his or her own
employees, provided thal such improvements are not intended or offered for
sale. If, however, Ihe building or improvement is sold vnthin one year of
cbmpletion, the.owner-builder will have Ihe burden of proving that he or she
did not build or impmve for purpose of sale.).
[j I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRAC70RS to construct the project (Sec. 7044, Business and
Professions Cotle: The cOnt2ctors LiCense Law dces not apply to an ovmer of
property who builds or improves thereon, and who contracts (or such project with
a cont2cla(s) license pursuant fo ihe Cont2ctors �'cense Laws.).
[] I am exempt under sec.
Business and Professions Code for this reason:
�ignaiure
�a�e
Owner ID vedfied by dnvei �ise. ❑ Yes ❑ No
Driver's License No. Expires:
Venfcalion of Ownership by (type of tlocumenl, i.e. - property tax bill or tleetl):
DIVISION OF IN�USTRIA� SAFETV PERMIT CER7IFICATION:
❑ I hereby certi(y that no excavation (rve (5) or more teet in depth into w4ich a
person is required to tlescenQ will be made in connectbn with work authonzed
by this permil, and that no building sWcWre, scaHdding, falsewotic, a demolition
or tlismantling thereof, vrill be more than Ihirty-sia (36) teet high. (Chap. 3.2, Grp
2. Art 2. Sec. 341, Title 8, Califomia Administralive Code).
❑ As ovmer-builder. I will not employ anyone to do work which woUld
require a permit from the Division of Intlustnal Safery, as notetl above, unless
such person has a pertnit to do such work from the division.
Appli�'anfs Slgnalure
Division of Intlusirial Sa(ety Permit Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will Ihe appliwnt or present or tuture building occupant neetl ro fle antl
certify a Business Plan fOr emergency response lo release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 0( the Califomia Healt� and Safety Code requires. with some
exceptions. Ihat a Business Plan be fletl with the Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quantiry of hazardous materials equal ro or greater lhan a weighl o(
500 pounds, or a volume ot 55 gallons, or 200 cu6ic feet of compressed gas
at standard temperature antl pressure).
2. Does or will the applicant or present or fulure building occupant neetl to file
a regisfration (ortn for acutely hazardous matenats4 ❑ Yes ❑ No
(Section 25533 of the Califomia Heallh and Safery Cotle, with some
exceptions, requires registration with the Costa Mesa Fire Department Dy
each business vfiich at any one lime has on hand a quantiry Of acutely
hazardous 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 sWndard
temperaWre and pressure).
3. Does or will the appliwnt or present or (uture building occupant need to
prepare an RMPP (Risk Management and Prevemion Program for awtely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 0( the Califomia Health and Satety Code provides that the
Costa Mesa Fire Department may require the preparatioq certification and
filing with the Fire Department of an RMPP by businesses which are requiretl
to regisler awtely hazardous materials wiM the Fire Department.
4. If an RMPP is presently required, has Seclion 25534 of the Cali(omia
Health and Safety Code been fully complied wilh? ❑ Yes ❑ No
5. Does or will the applicant or present or tuture building occupant reavire tor
Ihe work which is the subject of this application a permit for such construction
or modification from the South Coasl Air Quality Management District or from
any other air pollution control district or agency? ❑ Yes ❑ No
(Seclan 658502 of the Califomia Govemment Cotle requires that the requestetl
informa�ion be fumishetl on applications for nomresitlential building pertnits�.
6. Will any part of the (acility to be consWctee under Ihis permit be within
1000 (eet from Ihe outer boundaries o( a school7 ❑ Yes ❑ No
(If 'yes", the lacility must meet the requirement of Sections 25534 and 42303
o( the Califomia Health antl Safety Cotle).
7. If a permit from the South Coast Air Quality Management District or other
air polWtion comrol district or agency is requiretl for the vrork which is the
subject of this application, have all of the disclosures prescnbed by California
Health antl Safery Code Section 42303 been made? ❑ Yes ❑ No
8. (If'yes", attach certifcate of compliance from the appropnate air pollution
control oRcer�.
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correcl. I agree to comply with all state laws and
city ordinances regarding Nazardous Malerials antl Emissions.
Signalure
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
cerlify under penalty of perjury that I have read this aDPliwtion and state that
the information given is correcL I agree to comply with all state laws and ciry
ortlinances relaling to building consWction, and authorize representatives of
the Ciry of Costa Mesa to enter upon the above-described property (or
inspection purposes_ I agree not to occupy or allow occupancy o( any building
authorized by this permit until final inspection.
SiB�aWre 1 mer(s) / Dat
� _ ___ Mtllor onzetlAp0li t �Ddle
i� . ��� . • � • � t `'
CITY OF COSTA MESA
�
BUILpING D/VISION
i � 77 FAIR DRIVE, COSTq MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • ww�v.ci.costa-mesa.ca.us
�.��� . � FOR INSPECTIONS CALL: (714) 754-5626 �
PERMIT NUMBER. BC07-00053
' PERMIT TYPE: B COMBO STATUS: ISSUED
Sub Type: MFD_NEW DATE ISSUED: 06125/2007
- ' - ISSUED BY: SOK
�oen�oRess: 415 ENCLAVE CI CM'�` = ,•. Suite/Unit:
Vicinity: _- � - _ . - �Primary�Occ: � -
ConstType: V-1H .,,�-•,�� SQ:;FT� �. 17030 Valuation:�1,940,185:00'.
. . . . -: �' ..
SCOPE OF WORK: PHASE III:�NEW 1�7,030"S.F. MFD, TYPE 1A, 20 UNITS W/3,233 S.F. ATTACHED.GARAGES FOR "ENCLAVE
APARTMENT HOMES" � . �. � . ' � �
,. r'
OWNER: � THE IRVINE�COMPANY �.- - � � . " �Atldress: 1101NNOVATION Unit
PHONE: 949-720-5536 � , _ . _. • City/State/Zip: IRVINE, CA �
�'
APPLICANT: PEGGY BLOCK � - . '� Address: 8 EXECUTIVE CIRCLE Unit .
PHONE: 714-557-0244 - � �' City/Slate/zZip: IRVINE, CA -.
CONTRACTOR: WESTERN NATIONqL CONTRACTORS �� -- - License No. 840973 �
Address: 8 EXECUTIVE CIRCL�Unit PHONE: -714-557-0244
City/State: IRVINE,�CA� .. 2ipCode: -92614 . " � . � ._ CELL: � �
ARCHITECT: . � - License No. � • �� PHONE:
ENGINEER: . License No. �- - PHONE:.
COMBINTATION PERMIT FEE SUMMARY'. '.
Building Plan Check: �1,469.55' -
Building Fees: 39,043.40
Electrical Fees: �-- � . - $875.00 -'. . -. , - � �
Mechanical Fees: . �-.�.�;. . �. $1,047.20: - .. .. . -� - . - -
- ,... _ ,... .. : ..
PlumbingFees: -.g1,91,3.30 � y'�
SMIP Residential: � $194.02 � " . � � �� '
SMIP Commercial: $0:00 � . . �- - ' ' �
.. � � . _ -.:_ - .
TOTAL FEES: $13,072:92 `:" -� _.
"Refer to fee receip[s for all fees paitl for proje�� �
NOTICE: The work authorized by this p�rmit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § t. 1241-92)
EXPIRATION: PERMIT EXPIRES 780 DqYS 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 obiained. Failure to obtain inspeclions and final approval will result in the expiration of this permit.
GOpE/. INSPECTIONTYPE QR�F IN1filA ' CQOEt INSGEL110MTVPE OATE IN7IML5
1616 Pixed System Final Fire Prevention 208 Final Mechanical
1266 . Pool Spa Final ' 208 Final Plum6ing
200 Final Re-Roof 210 Final Electncal
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign ' 222 FinalSite �p (�
204 Final Dertwlilion 250 Finai Building/OCtupancy P/A 7 �%L��� U
H"
�r. 'I ,
WORKERS' COMPENSATION DECLARATION:�
I hereby affrm untler penally of perjury one o( the foi ng tleclarations: '
❑ I hava and will maintain a certificate of consent lo self-InSure for workers'�,
compensation, as provitletl tor by section 3700 of ine Labor Cotle, for the
peAormance of the work for which ihis permit is issued.
I have and will maintain workers' compensation insu2nce. as required by
�s tbn 3700 of the Labor Code, (or the peRortnance of Ihe work lor which lhis
pertnil is issued. My workers' compensation Insurance carrier and policy
numberare:.��r'L. m�
�Cartier. l� �,�:� u�X
�— (fiis sttfion nee'd,n1ot be rompletetl /d IhLe pemM�k /vaNledi a5l ane��-u7Mietl doNars (E/f00) arless )
Pol�cyNumber: W�� �Ipl..1l.�C>�CJ C�6��0
❑ I ceAify that in the pertormance of the work for which this pertnil is
issued, I shall not employ any person in any manner so as to become subject
to the woAcers' compensation laws of Califomia, anC agree that if I shoultl
become subject to the workers' compensation provisions of Section 3700 of
the Labor , I shall forihwith comply with these provisipi�s. �� ��
li•.
�E-�
Applicanl'sSiB��ure (_Da�e
�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAF2S
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AN�
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm that I am licensetl un0er provisions of C�apter 9(commencing
with Section 7000) of Division 3 of the Business and Professions Code. and
my license is' full forc(e� and eHec1.
Lic. # -1.�� Class # �
i
r Conuactor's5ipnaWre LDaie
L—
CONSTRUCTION LENOING AGENCY:
❑ I hereby aRum Itiat there is a constructqn lending agency for the
pertormance of the v,ork fa which this pertnit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
SignaWre Da�e
OWNER-BUILDER DECLARATIONS:
I hereby aKrm ihat under penalry ot perjury thal I am EXEMPT FROM THE
CONTRAC70RS LICENSE LAW for ihe following reason (Sec. 7031.5.
Business antl Professions Code: Any city or wunty which requires a permit to
construct, alter, improve, demolish, or repair any strucWre. prior to its
issuance, also requires the applicaN for such permit to file a signed statement
[hat he or she is licensed pursuanl to the provisions o( the Contractors
License Law (Chaprer 9(commencing with Section 7000) of Division 3 of the
Business and Professions Code) or Ihat he or she is exempt therefrom antl
the basis for the alleged exemption. Any violation ol Section 7031.5 by any
applicant for a permit subjects Ihe applicant to a civil penalry of not more than
five hundred dollars ($500).):
❑ I, as ovmer of the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the structure is not intentled or
offered tor sale (Sec. 7044, Business antl Professions Code: The Contractors
License Law does not apply to an ovmer of property who builds or improves
thereon, and who does such vrork himself or herself or through his or her own
employees, provided that such improvements are not intended br offeretl for
sale. If, however, Ihe builtlinq or improvement is sold within one year of
wmpletion, the ovmer-builder will have the burtlen, ot proving that �e or she
did not 6uiltl or improve for purpose of sale.). �
❑ I, as owner of the property, am �EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS lo cons(ruct lhe project (Sec. 7044, Business antl
Professbns Cotle: The contractors License Law dces not apply to�an owner ol
property who builds or improves thereon, antl who contracts for such project with
a contractor(s) license pureuant to the Contractors License Lavrs.).
❑ I am exempt untler sec.
Business and Professions Code for lhis reason:
�
Owner ID venfed by driv se. ❑ Ves ❑ No
Driver's License No. Expires:
' Veri(icati0n bf Ovmership by (type o( tlocument, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: '
❑ I hereby certify thal no excavation fve (5) or more feet in depth into which a
person is required to descend, will be matle in connection with work authonzed
by this pertnit, and that no building sWcture, scaffdding, falsev.ork, or demolition
or dismantlinq thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp
2. Art 2, Sec. 341, Title 8, Califomia Adminisl2tive Cotle).
❑ As owner-builder, I will not employ anyone to do vrork which would
require a permit from the Division of Indushial Salety, as noted above, unless
such person has a pertnit to tlo such work from the division.
Appliwnfs SignaWre Date
Division of IndusMal Salety Pertnit Number. _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or fuWre builtling occupant neetl to file and
ceAi(y a Business Plan for emergency response lo release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Seclion 25505 of the California Health and Safety Cotle 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 reported
year a quantity of hazartlous matenals equal to or greater than a weight of
500 pountls, or a volume of 55 gallons, or 200 cubic teet of wmpressetl gas
at standartl lemperature and pressure).
2. Does or will the applicant or presenl or future builtling occupant need to file
a registration form for acutely hazartlous materials7 ❑ Yes ❑ No
(Section 25533 of the Califomia Health and Safety Code, with some
exceptions, requires registration with the CosW Mesa Fire DepaAmen[ by
each business which at any one time has on hanC a quantity of acutely
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperaWre antl pressure).
3. Does or will the applicant or present or future building occupant neetl to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the Califomia Health and Safery Code provides that the
Cosla Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutety hazardous materials with [he Fire Department.
4. If an RMPP is presently requiretl, has Section 25534 of the Califomia
Health antl Safery Code been (ully complied with? ❑ Yes ❑ No
5. Does or will the applicant or presenl or fuWre building occuDanl require for
the work which is the subject of this appliwtion a permit for such constnic[ion
or motlifiwtion from the South Coast Air Quality Management DiSMct or (rom
any other air pollution control distriU or agenq? ❑ Yes ❑ No
(Section 65850.2 of the Califomia Govemment Code repuires that the requesled
infortnation be fumishetl on applications for non-resi0ential building permits).
6. Will any part ot the lacility to be constructed untler this permit be within
1000 feet Irom Ihe outer boundaries of a school7 ❑ Yes ❑ No
Qf yes', Ihe lacility must meet lhe requirement of Sections 25534 and 42303
ot the California Health and Safety Code�.
7. If a permit from the South Coast Air �uality Management Distnct or other
air pollution control district or agency is required for the work which is the
subject o! this application, have all of the disclosures prescnbed by Califomia
Health and Safety Code Section 42303 been made'7 ❑ Yes ❑ No,
8. Q('yes", attach certificate of compliance from the appropriate air polWtion
contml oKcer�.
GERTIFICATE OF COMPLIANCE: I certi(y thaLunder penalty of peryury the
information given above is correcL I agree to comply vrith all state lavrs and
ciry ortlinances regarding Hazardous Materials antl Emissions. �
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalry of perjury that I have reatl this application and state that
the information given is correct I agree to comply with all state laws and city
ordinances relating to buildinq construction, and authorize representatives of
the Ciry of Cosla Mesa to enter upon the above-descnbed pmperty for
inspection purposes. 1 agree not to occupy or allow cecupancy of any building
authorizetl Dy this permit until final inspection.
S n I LeB�I Owneqs) p a�e �
Signawre Date , CJ �
305]-46�]I01) '
'AnClorAUU+orizMAOPlicanl . �Data ,
L—. -
NEWPORT-MESA UNIFIED SCHOOL DISTRICT
CER7IFlCATE OP COMPWINCE OF DEVELOPMENT FEES
PURSUANT TO AB 1600 AND AB 181
To: (`�Ciry o( Costa Mesa
( ) City of Newport Beach
( ) Counly of Orange
Applicant: � ` "' ' '
Address:
� P� �Y�t.�
i � �y7�
Telephone Number.� a�.� OI[)� � ��
TracUParceland Lot
Location of Project:
Number ot Square Feet of:
Residential Space
Commercial and
IndustrialSpace
CommerciaVlndustrial Projed is: (Check One)
_ Warehouse
_ R&D
_ Movie Theater
_ Mini-storage
_ Heavy IndusVial
_ Regional Shops
_ Light industrial
_ 7his projed is exempt because
)��D �i1.84
z S .30
_ Motel
_ Bank
_ Neighborhood Shops
_ RacqueUHeallh
_ Hotel
Medieal Office
Office Park
�J�'�7'.-1_'.7±i;"_;Yw .`.G1
� �'�_.'.':LCv+.
CI�3#.--'i11:�"�;�;�8 e �
�° 6646
District Receipt No.
Plan Check No.���
To�� 31 �3� �
Total
Preschool
Auto Repair
Hospital
Large Office
Ofice Bldg.
Restaurant
Fast Food
This certifies that the above-named DevelopedAppGcant has paid school Naakry fees in comp6ance with Govemment Code sections
53080 and 65995. The Building Pemiils for this square footage in this proposed devebpment may now be issued by your jurisdic8on.
Checks are to be made payable to NewpoA-Mesa Unified School District.
AWqrhad
The above represenqtion as W square footage is true. Appticant agrees that if it is later detertrined that such representations are not
true, then this certificate shall automaticaly terminate and th approp�te Cily/Counry shall be notlfied.
Dat : `�' � l.0 `i�U�''�I�JM ��'�
�
0
\
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: Bob Hernandez DATE: 8/2/07
FROM: Beat Arnet TIME:
PROJECT: Enclave / The Irvine Company
415 Enclave Building Permit No. BC07-00053
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 2, 2007 on the following portions of the Post-Tensioned Slab-on-Grade of the above referenced
project:
Building37 (Type lA)
The installations aze in general conformance to the plans.
Feel free to call me, if you should have any question.
Sincerely,
ARNET G ER1NG, INC.
Beat Arnet, P.E.
cc: Roberto Ortiz Fax 997-3857
Location: � u
. a
.,_,,1
1Qv To� AC r� � Ullll r��h HeV
�
f N� �U�uC
e Scn �-� ,� U(-► � I v�1 S(.i
oracl -k1 3� 1�1 �I�S �n�l�.�P
�
n�fZ, Date:� 2 S Iv,
Pro'ect No. O�iOG3'
Permit No. Pi� U 7—
�The footing excavations lisled 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 salisfactory 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°/a 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 backdrein 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:
� �r.e ��.h�e�r� C��rli. U�vC +) �
)t +1 � '1'/�.I.. -F2��/ 1 { 1 � /� �'PN�CG� A�,�
�'� `'` h,tcs\�
Notes: /
'�7� Ate The observations reported above do not constitute an approval of foundation location. footing size or depth.
��t, reinforcement or foundation design.
(2l Debns and slough should be removed prior to placement of reinforcement or concrete.
NMG
FIELD MEMORANDUM
NMG GEOTECHNICAL, INC.
NMG
N E f R i N G
August 3, 2007
InspecYion 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 Permit No
Building Site:
Buildings:
Job Address:
Owner:
VJork Completed:
G06-00029
Enclave
24, 25 & 37
450 Anton Blvd.
IAC
August 2, 2007
Ira�ne
sa,. ���go
Inlond Er+o�re
pai�*i Sp���gs
In accordance with the City of Costa Mesa Grading and Excavation Code and the
requuements of the Buiiding Code, I certify approval of this project as outlined above, to
top of bldg forms. Top of Forms has been completed substantially in conformance with
the approved grading plan for this project and in full compliance with said Codes.
Certification includes horizontal and vertical control and positive building pad drainage.
This certification does not include approval of the placement and compaction of
earthwork within the purview of others.
Sincerely,
FUSCOE ENGINEERING, INC.
Trevor ScoTt Dodson, P.E.
RCE 42029
Exp. 03/31 /08
�O POFESs���q
/h�Q, oPgCOTT� �c�
� �J �O 4
Q N .
� ~ NO, 42029 z 1
r
� �
s'�q�. C/VIl ��P
\�F CALIF��
� u� i r � r[ I c � h i n x� n g
16795 Von Karman, Suite 100, Irvine, California 92606 o tel 949.474.1960 o fax 949.474.5315 o www.fuscoe.com
DALE CHRIS7IAN/
STRLJCTUR/1L EfYGINEER, 1NC
COi�bUL17NG & DESIGN
1748 West X2ReIW /Werxie
Sufte 208
Ordnge, C� 92867 �
7I4 997 T 145 7I4 997 3857 FAX
<dalechristian.com>
DCSE, Inc. Job Name: T6e Enclave Phase III
DCSE,Inc. Job #: 06060
FIELD OBSERVATION LOG
(SEE NOTES 9ELOVY)
Bldg. Type & Lot#: __> 'gld 3� T lA
.4rtivel et neyartu,e m
� Date Engineer Items Obsmed and Locations
$(z�i- I iil�— I�:Tv'� I �I•I� IPr�Slab: �-E'SVs� ol3s. �•tOC-� 3i- `
j «�J
Floor Framing
Floor Framing
Roof Framing
I: A minimum of 3-12 hB. will be chwged fin eec6 end every visit m thejob sim.
2- 73u fmm is only (or edministlative pwposn md das'rot indicete sWUural appmval oteny building. lf building confortnance letla ia
iequired, euperinlendent ahould contact tl�e rngineer of rccord at Dale Christian's ot�ce.
Status
��J
'\ �
�
Project Narn : Project No: Date: Report No.
.S� � T1-� E�c c,� �Ts o � 9 3-G Z a Z � �
ition: � � Author: Day:
L�� ��fIAVC S U � M T W'VF S S
ClienJContrac or. Su UForeman: Weather:
-rat- �sT�zr NAT�� � C'_ 2 `�3 i�i3� r ��
Field Supervisor. � Geologisc Engineer:
Observation/I'esting of: � Tech
P�c P��� iNsPE�-n> S(3
!�J/i % / A ERN�+ T� B�-V %� G�yD S j Hours �, G
Equipment Working:
Summary of Operations:
or� Sir� Fvn 7)Ep., ,/ ���cr,.,.! ci 6�VE isrE� u.T�cT'
� (/d�kFr �,rcM�L Ti{�
C T�..��-'j'✓,...a( Q�s-'
APPRoVE� Pr.�r�s.
� a ,zc- �Ac�E+.�-r �P Ls�Srr+ ��C�E,.�e..>c�.
CN��kE'� �t va+�Tir� �lcccwr�NT SN�rr�Nc,
� i
ir,,Pnc�'u2 �xE'.� / S�R65Si+�5 �n/+) oB�CN��C S
T(,v�it oT Nnt<6� � Rnn �e-?J) , QE�nr{
,.� ,�„ ��..,,a.� /n15YnLL� Ar�4R�in+4 r
z� C s a7a �3 - ��
rEPr+�� , .a � /-�
��� G
. - `,
Page � of'
Received by:
FIELD REPORT � � '� � � MG
NMG GEOTECHNICAL, INC. I
1 White - File Cop}• t'ellow - Client Copy Pink - CliendAgency Copy Gold - Field Copy
AIPID Information
Activiry: B(
Const Type: V-
Owner: Th
Contractor. W
Other: T1
ArchitecC Th
Plan check: SF
Other: PI
Applicant: PF
Planner: MI
Developer: JC
Agent: EF
Tenant Ef
Dev coor: B,
Description: Ph
E
Notice: H(
P COX
Requested Inspect Date: Thursday, September 04, 2008
Site Address: 415 ENCLAVE CI CM
B COMBO Sub Type: MFD_NEW
— Use:
Phone: 949-720-5536
fORS Phone: 714-557-0244
Phone: 949-862-0270
StaWs: ISSUED
Insp Area:
BLOCK Phone: 714-557-0244
YDE Phone: 949.720.5536
%E APARTMENT HOMES Phone: 949-862-0270 X251
Phone: X5677
VE APARTM�NT HONIES' ' TMPE 1A, 20 UNITS W/3,233 S.F. ATTACHED GARAGES FOR
OR SPECIAL RE�. P, E., - SHIH_W
Reauestedlnspection(s)
Item: 206 FINAL MECHANICAL
Requestor:
Assigned To: •"••'•'•••
Action: • Time Exp:
Item: 208 FINAL PLUMBING
Requestor:
Assigned To: •"•'•'•`
Action: ••� Time Exp:
Item: 210 FINAL ELECTRICAL
Requestor:
Assigned To: •""'•'•'••
Action: Time Exp:
Inspection Historv
Item: 3 JOB SI7E CONSULT
Item: 4 FOOTINGS/UFER GROUND " Approved "
08/02/07 Inspector: HM
Comment:
Item: 6 SLAB Approved "
08/02/07 Inspector: HM
CommenC
Item: 8 STRUCTURAL FLOOR SYSTEM
11/02/07 Ins ector: BE
Requested Time: 08:00 AM
Phone:
Entered By: ZWART_B K
Requested Time: 08:00 AM
Phone:
Entered By: ZWART_B K
Requested Time: 08:00 AM
Phone:
Entered By: ZWART_B K
Action: AP APPROVED
Action: AP APPROVED
p Action: PA Partial approval
Comment: MF NAILING AND PLT SPLICES.
11/14/07 Inspector: HM Action: PA Partial approval
Comment: M.F. NAILING AT ADDED PLATE REVISION APPROVED.
11/16I07 Inspector: HM Action: PA Partial appr�oval
Comment: M.F. NAILING AND SPLICE PLATE REPAIRS COMPLETED.
11/16/07 Inspector: HM Action: PA Partial approval
Comment: M.F. NAILING AND SPLICE PLATE REPAIRS COMPLETED.
11/16/07 Inspector: HM Action: PA Partial approval
Comment: M.F. NAILING AND SPLICE PLATE REPAIRS COMPLETED.
11/16/07 Inspector: HM Action: PA Partial approval
Comment: M.F. NAILING AND SPLICE PLATE REPAIRS COMPLETED.
12/10/07 Inspector: HM Action: PA Partial approva�
Comment: 3RD FL SHEAT APPROVED FOR PLATING.
12/10/07 Inspector: HM Action: PA Partial approval
Comment: 3RD FL SHEAT APPROVED FOR PLATING.
12/10/07 Inspector: HM Action: PA Partial approval
Comment: 3RD FL SHEAT APPROVED FOR PLATING.
Item: 11 PRE-INSPECT ROOF
Item: 12 ROOF SHEATHING/BLDG HEIGHT "Approved"
01/14/08 Inspector: BE Action: APAPPROVED
REPT131 Run Id: 10328
� ..
Item: 16
Item: 18
Comment:
02/27/08
Comment:
03/12/OS
Commenk
03/13/08
Item: 20 LA
Item: 22
Item: 24
Item: 26
n Request
Inspector: BE
Inspector. BE
CO'RRIDORR/ EXTERIOR SHEAR,
Inspector: HM
CORRIDORR/ EXTERIOR SHEAR,
Inspector: HM
CORRIDORR/ EXTERIOR SHEAR,
Inspector: BE
OK TO 2ND SIDE DBLD SHEAR V�
Inspectar. HM
2 SIDED SHEAR AREAS NAIL/HAf
Inspeclor: BE
SHING "Approved"
Inspector: FIM
PRE-LIM TUB AREAS OK TO COV
Inspector: BE
2ND AND 3RD FLR CORRIDORS f
Ins ector: BE
PR�-LIM DROPS LESS 2HR WALt
Inspector: HM
ROUGHS IN STAIRWELL WALLS
Inspector: HM
M.E.P.S. INSPECTION GARAGES
Ins ector: HM
M.�.P.S. INSPECTION COMPLETE
Inspector: HM
M.E.P.S. INSPECTION COMPLETE
Insoector: BE
DING "Appro�ved"
Inspector. HM
" Approved "
Inspector: BE
Action: AP APPROVED
Action: AP APPROVED
Partial approval
r.
Partial approval
Partial approval
Action: AP APPROVED
Action: AP APPROVED
OK.
OK.
0 K.
COVER.
R CONCEALED AREAS.
LIST.
LIST.
��1S�TELAYER DROPS Action: PA Partial approval
� HM Action: PA Partial a�proval
1ST LAYER D.W. NAIL AT DROP CEILING AREAS ONLY.
� HM Action: PA Partial approval
ER NAIL AT 3RD FL. PRODUCTION CEILING.
: HM Action: AP APPROVED
;TION D.W. NAIL.
: HM Action: AP APPROVED
:TION D.W. NAIL.
HM Action: AP APPROVED
;TION D.W. NAIL.
'�T " Approved "
: HM Action: AP APPROVED
Item: 30 PRE-GROUT
Ilem: 31 NPDES/BMP
Ilem: 36 UFER GROUND "Approved "
OS/Q8/08 Inspector: HM Action: AP APPROVED
Comment: OK TO CABLE UP BY UTILITY AND LOCK OFF MAIN UNTIL METERS ARE RELEASED,
Item: 38 ELEC CONDUIT - UNDERGROUND
Ilem: 44 ROUGH ELECTRICAL - WIRING Approved "
02/27/08 Inspector: BE Action: PA Partial approval
Comment: PRE-LIM DROPS LESS 2HR WALLS. .
03/12/08 Inspector: HM Action: PA Partial approval
Comment: M.E.P.S. INSPECTION GARAGES AND CORRIDOORS C�NLY.
03/13/08 Inspector: HM Action: AP APPROVED
Comment: M.E.P.S. INSPECTION COMPLETED SEE SITE CORRECTION LIST.
03/13/OS Inspector: HM Action: AP APPROVED
Comment: M.E.P.S. INSPECTION COMPLETED SEE SITE CORRECTION LIST.
03/14/08 lnspector: BE Action: AP APPROVED
CommenC
Item: 50 ELEC. POWER FINAUMETER RELEAS "Approved "
05/23/08 Inspector: HM Action: PA Partial approval
Commenl: HOUSE METER ONLY.
05/28/08 Inspector: HM Action: PA Partial approval
Commenf: UN7TS ONLY.
05/28/08 Inspector: HM Action: PA Partial approval
Comment: UN1TS ONLY.
05/28/08 Inspector. HM Action: PA Partial approval
REPT131 Run Id: 10328
Item: 51
Item: 52
Item: 53
Item: 54
Item: 55
Item: 62
Item: 63
Ilem: 64
Item: 66
Item: 68
Item: 72
Item: 90
Item: 92
Item: t50
Item: 206
Item: 208
Item: 210
Item: 216
Item: 220
Item: 250
UNITS ONLY.
Inspector: HM Action: NR Not Ready
Inspector: HM Action: AP APPROVED
NDERGROUND " Approved "
Inspector. HM Action: CO Carrection(s) Required
NEEDS 2°/a AND BEDDING.
Inspector: HM Action: CO Correction(s) Required
SAME CORRECTION AS LAST.
Inspeclor: HM Aclion: AP APPROVED
V
-UNDERGROUND
�ND GAS
491NG " Approved "
Inspector: HM Action: PA Partial approval
DWV TOP OUT APPROVED.
Insoector: HM Action: PA Partial approval
� OUT APPROVED.
HM Action: PA Partial approval
' OUT APPROVED.
BE Action: PA Partial approval
DROPS LESS CORRIDORS.
BN Action: PA Partial approval
EST AND CRIMP FITTINGS/PEX PIPING OK
HM Action: PA Partial approval
INSPECTION GARAGES AND CORRIDOORS ONLY.
LIST.
LIST.
Approved "
••HM Action: PA Partial approval
NSPECTION GARAGES AND CORRIDOORS ONLY.
HM Aclion: AP APPROVED
iNSPECTION COMPLETED SEE SITE CORRECTION LIST.
HM Aclion: AP APPROVED
NSPECTION COMPLETED SEE SITE CORRECTION LIST.
BE Aclion: AP APPROVED
°PLACE
Approved "
HM � Action: AP APPROVED
NSPECTION COMPLETED SEE SITE CORRECTION LIST.
HM Action: AP APPROVED
NSPECTION COMPLETED SEE SITE CORRECTION LIST.
BE Action: AP APPROVED
>7 - FINAL " Approved "
Inspector: HM Action: NR Not Ready
Ins� pector: HM ACtion: CO Correction(s) Required
1 UNIT FAILED. MARKED IN FIELD. ALL OTHERS PASSE6.
Inspector: HM Action: AP APPROVED
10E - FINAL
�OUS INSPECTION "Approved "
Inspector: HM Action: NR Not Ready
GAS METER RELEASE NOT READY.
Inspector: HM Action: AP APPROVED
GAS METER RELEASE APPROVED.
/OCCUPANCY
Approved " Aclion: AP APPROVED
REPT131 Run Id: 10328
WESTERN NATIONAL CONTRAC� 'S
8 EXECUTIVE CIRCIE
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
17 Shop drawings
17 Copy of letter
Letter of CertificaGon
Lelter of Certification
Letter of Certification
Letter of Certification
Letter of CeRification
Letter of Certification
Letter of Certification
Letter of Certification
Letter of CeNfication
Letter of Certification
r Attached
G Prints
G Change order
Date
�/5 ���R�ECi
Transmittal #: 310
Date: 8/27/2008
Job: 10-193 THE ENCLAVE
G Under separate cover via None lhe following items :
r Plans r Samples
G SpecificaGons f7 Other
No. Descrtption
� Fuscoe Engineering - Original
� Amet Engineering - Original
� Dale Christian - Original
� NMG Geotechnical - Original
1 Ciry of Costa Mesa -
� DRI - Roofing
� Gateway Insulation
� AMPAM Parks - Plumbing
� Residential Electric
t LDI Mechanical
7HESE ARE TRAMSMITTED as checked below:
G For approval G Approved as submitted G Resubmit _, copies for approval
G Far your use r Approved as noted ❑ Submit _ copies for distribulion
G As requested G Retumed for corrections ri Retum _ corrected prints
❑ For review and comment G Other
G FOR 81DS DUE r PRINTS RETURNED AFTER LOAN TO US
Remarks; BUILDING #37
Received:
Henry Martinez
Copy To:
Date
If endosures are not as noted, kindly notlfy us at once .
Page 1 of 2
� °°°°�0
�u0000 e � � ��� �
E N G I N E E R 1 N G
August 26, 2008
Inspection Division
CITY OF COSTA MESA
Building & $afety
77 Fair Drive
Costa Mesa, CA 92628
Attention
$ubject:
City Grading Inspector
Civil Engineers Certification of Compliance for Precise Grading
Project: Grading Permit No
Building Site:
Building:
Job Address:
Owner:
Work Completed:
G06-00029
Enclave
37&38
450 Anton Blvd.
IAC
August 25, 2008
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 37 & 38 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 horizonial and vertical control.
Sincerely,
FUSCOE ENGINEERING, INC.
/ii.r.� (��
Trevor $cott Dodson, P.E.
RCE42029
Exp. 03/31 / 10
( u I I c i r c I e � h i n k i n g
16795 Von Karman, Suite 100, Irvine, California 92606 � tel 949.474.1960 � Fax 949.474.5315 � www.(ustoe.tom
ARNET ENGINEERING, INC.
1577 North Main Street, Suite A
Orange, CA 92867
(714)379-3789 Fax:(714)379-8024
FAX Tt2ANSMITTAL COVER SHFET
FAX TO: Western National FAX NO: Hand-Delivered
ATTN: Bob Hernandez
FROM: Beat Arnet
UATE: 8/2/07
TIME:
PROJECT: Enclave / The Irvine Company
41 � Enc(ave Building Permit No. BC07-00053
Total number of pages is l, including this cover sheet
(Please call if you do not receive all pages, or if transmission is illegible).
MESSAGES/COMMENTS:
Dear Bob:
The "Structural Observation" per UBC 1702 regarding strand and rebar layout was performed by me on
August 2; 2007 on the following portions of the Post-Tensioned Slab-on-Grade of the above referenced
project:
Building37 (Type lA)
The installations are in general conformance to the plans.
Peel free to call me, if you should have any question.
Sincerely,
ARNET GI :GRING, INC.
I3eat Amet, P.E.
cc: Roberto Ortiz Far 997-38�7
� C 040486 , �
Exp. 3/31/09 �
:a
:,
DALE CHRISMN/
STRUCTURAL ENGINEER INC.
CONSULTING 6 DFSIGN
1744 West Yatella Avrnue
Sutre I07
pange U 92867 �
PH 714 997 1145
FX 714 997 3857 . '
Mazch 26, 2008
Mi. Jerry Crasby
Westem National Construction
8 Exewtive Circle
Irvine, CA 92614
Re: T'he Enclave — Phase III —(Building 37 - concrete and framing)
Irvine Apartment Communifies (Our Job PTo. 06060)
Dear Mr. Crosby:
Pursuant to your request, this office has made several site visits to the above described project. The purpose of the
visit on August 2, 2007 was to observe the placement of the various holddown hardwaze prior to the concrete pow.
Bdilding 37 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 37 appeazed ro be in substantial
conformance with structunl drawings.
This office made a si[e visit on January 3, 2008, January 31, 2008 and February 5, 2008, to observe rough
fiaming for the above mentioned building for substantial wnformance to the struchual 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 tbe rough framing appeared to be iu substantial confoimance
with the struchual drawings by the time our visiu were complete.
1'hese observauoas are iutended only to assist the &aming contractor in conformance with the shuc[ural plans as they
relate to this residential aparmient project and are not to be construed as "Special Inspections". The responsibility
for such plan conformance, of course, remains with the contractor. Please do uot 6esitate to contact me at my office
should you have any further questions regarding the site observation, or with information included in this report.
Sincerely,
Dale A. Ctvistiaa, S.E. 270
President
cc: Tom Hilton'
John Hyde
G:\WORD_noc\06�06060�Phase IR1F0 LetterslBuilding 37.doc
�4�'�� P' cHp�s��
�j oe y
r� I No. 2705
G Exp.3-31-10 �
� � VnT9UC1Ve'�.,r �
\OF CP•�«%
�NMG
n �'��?:,�v�•,_r,ra=;�t
Geotechnical, Inc.
July 15, 2008
Project No. 04093-01
Precise Permit No.: G06-00029
7b: [rvine Apartment Communities
110 Innovation Drive
[rvine, California 92617
Attention: Mr. Tom Hilton
Subject: Summazy of Geotechnical Observation and "I'esting during Precise and Post
Grading Operations, and Special Inspection Services for Buildings 37 through 46
and Gazages G-]7 tivough G-22, The Enclave Apartment Community, City of
Costa Mesa, County of Orange, California
As requested, NMG Geotechnical, Inc. WMG) has prepared this document to present the
results of our geotechnical observation and testing during the precise and post grading
operations, and our special inspection services at the subject site. Our services during grading
activities induded 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 separate reports.
IF you have any questions regarding this report, please contact our office. We appreciate the
opporlunity to provide our services.
Respectfully submitted� OFESS/
NMG GEOTECHNICAL, INC. y,�.��``�,aooz�y<
L �
Shahrooz "Bob" Kazimi, RCE 54250
Principal Engineer
.SB�)C
No. C054250
EXP. 12/09
aF
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 (949) 442-2442 • FAX (949) 476-8322
(Doard nf Dirn,c(ors
Aiv ven,
�rlene Schufer
[tob Ooren
./nnv:.c l�r.rrvrntui
Garr A4onaluin
Stajf
RoLiri 6. Flnmars
Mnnager
IJia•h�rc� l�ugir�ec r
(949) (i.i1-173/
7'hc»nas A. Fau(h
A.rsisynrel Manager
J�cin Revak
B�unrl Secremrv
Pragrum Mnnnger
Clerk of the Distrrct
Alan R.l3urn.r
!_e,qnl Coun.rel
Marcu.+' D. Unris
7rr.n.surcrlDirector uf
f'inance
1'hone
(949)hv5-R400
Fnr
(J49)650-2253
Address
628 W. llth Strcel
Cu.�7n Mesa. CA
92627-27/6
9�
�� e; v,;,����� ,,,�
Hc�_rcl��d Pnpri�
����. �e�� �a�.���.-�� ���t-�i��
. . . an I�)epen�ent Specia� District
SEWER INSPECTIOIV LOG
FINAL SIGN-OFF
ENCLAVE
TRAC'f # 10950
BUILDING 37 415 (20 units)
20 kitchen sinks
ZO laundry tubs/washers
28 bathtubs
28 wash basins
28 water closets
BUILDING 38 414 (20 units)
20 ki[chen sinks
201aundry tubs/washers
28 bathmbs
28 wash basins
28 water closets
BUII,DING 42 409 (20 units)
20 ki[chen sinks
20 laundry wbs/washers
28 bathtubs
28 wash basins
28 water closets
BUILDING 43 410 (20 unifs)
20 kitchen sinks
201aundry tubs/washers
28 bathtubs
28 wash basins
28 water closets
BUILDING 44 413 (20 units)
20 kitchen sinks
201aundry tubs/washers
28 bathtubs
28 wash basins
28 water
�
Protecting our covnmunitr��s �jealtGj bv� proviainy soliD waste a�a sewer collection services.
www.crosdca.gov
Property Address
CITY O� COSTA MES�
BUILBING DBlIIS�ON
R��� C�V����� C��O�OC�a'�80�@
Permit No. gC07-00053
The Enclave; Bldg.3"],Type lA, 415 Enclave, Costa Mesa, CA 9262E
OwrtBr The Irvine Company, LLC. A Delaware Limited Partnership
Contractor DRI Residential Corporation
State Contractor license Number g 19960
Classitication C39
1 hereby ceAify that I have installed, or caused to be installed, a minimum Class C roof covering at the
abovo address in conformance with Chapter 15, end Appendix 15 of the latest adopted edition ot the Uniform
Buiiding Code. and the installaUon instructions of the manufacturer.
❑ 1 further certity that f am the owner of the property. (OwnerBuiider permittee any).
❑ I further ceRi1y that I am:
❑ Owner of sole proprietorship comparry
❑ Fu�I partrter of the company
❑ Limited partner of the company
❑ Officer of the corporation
! certify that as an aulhorized o8icer or agent of !he company or corporation, I am empow8red to make this
certificatlon, which shall be binding on all successors or assigns oi the company or corporation.
I shall deliver a copy of this Certificatio� to the above listed owner, after submittal of form to the Building
Division for aCCeptartCe.
Received by Building Division
By:
m�eei
093P<6 MW 600 Wroe- BuPdm Oa . GiwY � Lonsaca. vmx . Ownn
D1tI Residential Corporation
Campairy or Coryo�ele Neme
17182 Armstrong Avenue
naaress
Irvine, CA 92619
May 29, 2008
� Signalure Date
Patrick Kay; vice President Operations
o�y�md o� Typed Namo
i'; ,
, .�..
�ti. � . �- _ .
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN COMFORMANCE
WITH THE CURRENT ENERGY REGULATIONS, CALIPORNIA ADMINISTRATNE
CODE, TITLE 24, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
SITE ADDRESS: 415 ENCLAVE, IRVINE CA.
EXTERIOR WALLS
MANUFACTURER - CERTAINTEED THICKNESS/TYPE - 3.5" FIBERGLASS
RNALUE - R13
EXPOSED FLOOR
MANUFACTURER - CERTAINTEED THICKNLSS/TYPE - 6.25" FIBERGLASS
RNALUE - R19
CEILINGS
BLOW: MANUFACTURER-CERTAINTEED THICKNESS/TYP$-12" FIBERGLASS
RNALUE - R30
GENERAL CONTRACTOR: WNC
LICENSE #
INSULAT[ON CONTRACTOR: GATEWAY INSULATION, INC. LICENSE # 797001
BY: � � T1TLE: OPERATIONS MGR. DA7'E: 5/9/2008
BUTCH INGRAM OPERATIONS MANAGER.
INSTALLATION. CL.cTIFICATE
Si[e Address
1 of
v + _�
Permit Numher
CF-6R
An ins�allation certificate is required to be posted at the building site or made available for all appropriate inspections. (The
information provided on this form is required; however, use of this form to provide the information is optionaL) Afier
completion of final inspectioo, a copy mus[ be provided to the building department (upon request) and the building owoer at
occupancy, per Section 10-103(b).
HVAC SYSTEMS:
$eating Equipment
Equip. il of EfScirncy Duct Duct or Heating Heafing
Type (pkg. CEC Cettifie8 MfrName Identical (AFUE, tic.)' [,ocation Piping Load Capacity
hcat um 1 d M d I N b Sv t 2CF-lR� I� f ni t 1 R- I lHtu/h 1 BnJhA
Cooling Equipmenr
Equip. CEC Catified Compressur !t o( EfLcirncy Duct Couling Conling
Type (pkg. Unit Mfr Name and IdrnticaJ (SEER, ctc.)� Locadon Duci Laad Capaciry
h� } Mod 1 N be Svst ms RCF-1R val 1 ( m ct 1 R-valu BnJh 1 Btulh 1
]. > reads greater than or equal to. �
I, tk�e undersi�ed, verify that equipment lis[ed above is: 1) is [he actual equipment installed, 2) equivalent to or more
efficieot than that specified iu Ihe certi£cate of compliance (Form CF-1R) submitted for compliance with the Energy
E�ciency Smndards for residential buildings, and 3) equ'spment that mee[s or exceeds the appropriate requirements for
manufactured devices (from the Appliance E�"iciency Regulations or Part 6), where applicable.
Signature, Da[e Installing Subcontrector (Co. Name) �
OR General Contractor (Co. Name) OR Owner
WATER HEATING SYSTEMS: �
:':iR/tDi=ORt� I/��i/Y(� _ Dutrihution ICRecir #of Rattd� Tenk Effi- Extemal
Heater CEC Cerdficd Mfr Type (Std, culation, Idrntical Input (kW Volume ciencyt $tandby' Insulation
7We Name & Model Number Point-of-Use) Coatrol Type Svstems or BN/hrl (¢allonsl fEF. REl Loss !%1 R-valn2
�', "+ ,.��
���/ � a
2 Foo smatl gaz storegt (ated input uf La: than or equal m 75,OU0 Btu/hiJ, e4etric rc:ista¢ce eud kwt pump water heaters, list Encrgy Factor.
For large eaz srorage wahr heaters (retcd input of grcater than 75,000 Btu/hr), list Recovery Efficimcy, Stendby l.oss and Reted Input.
Eor inatnnNneous gas wntu heaters, Lut Aecovery Efficienry and Reted Input.
3. R-12 exte(oal insulatiou is mauda W ry for s[Orage water hwiers wiW an rnergy factor of less lhan 0.58.
Faucets & Shower Heads:
All faucets aod showerheads installed are certified to the Commissio�, pmsuant to Tide 24, Part 6, Sectioo I 11.
I, Ihe undersigned, verify that eqwpment listed above my signa[ure is: 1) Ihe ac[ual equipment installed; 2) equivalent to
or more effici t an at sptcified in the certificate of compliance (Form CF-IR) submitted for compliance with the
Ener dardr for residential buildings; and 3) equipment Ihaf ineets or exceeds the appropriate
re 'rem r actured devices (Irom Ihe Appliance E�ciency Regulafions or Part 6), whete applicable.
� 9 08 �M���-s N��a�,n�L,
Si ature, D t Installing Subcontractor (Co. Name) OR
General Convactor (Co. Name) OR Owrier ,
COPY'['U-�-B�f"ding Department
HERS Provider (if applicable)
Building 6wner at Occupancy
Compliance Forms
August 2001
A-23
REA/� �"
, IP'��'
U.�A
RESIDEf �AL ELECTRIC ASSOCi,
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. Westem?vational
Project: The Enclave
450 Anton Blvd.
Costa Mesa, CA
Building #37 Address 4 ] 5
Dear Randy,
ES, INC:
The electrical work on these buildings complies with the California Title 24
Requirements.
Sincerely,
��� '
Bob Tripp
General Manager
Corporate Address Santa Ana Division
123 Rose Drive, Fullerton. CA 92833 3240 S. Standard Ave., Santa Ana, CA 92705
Phone pl4) 278 0400 Fax (714) 278-0600 Phone pl4) 556-3813 Fax (714) 556-3929
ALLATION CERTIFICA'r —
Enclave Building #37
CF-6R
Pertnit p
An insmllation certificate is required to be posted at ffie building site or made available for ell appropriate inspations. (The information provided on ffiis form is
rcquired; however, use of this form W provide ihe infom�arion is optionl.) ARer comptetion of final inspectioq a wpy must be provided to Ihe building
department (upon fequest) and the building owner at occupancy, per section 10.103@). .
HVAC SYSTEMS:
Heating Equfpment
Fquip. Type
(pkg. hest CEC Certified Mfr, Make &
oump, etc.) Model Number
Hydronic Firs[ Company I8CDXQ-F-C
Hydronic First Company 25CDXQ-F-C
Cooling Equipment
Equip. Type
(pkg. heat CEC Cenified Compressor Unit
oump, etc.) Mfr. Name and Model Number
DX-Cooling York GCGDISS21S1
DX-Cooling Yotk CGCD24S21S1
1 2 rceds grea�tt than or equel to.
H of Efficiency Duct
identical (AFUE,etcJ' L.ocation
Systems (2CF• I R value] (attic, etc.
10 soffit
10 sofTit
N of Bffeciency Duct
Identical (SEER etc)' Location
Svstems [��-� R valuej (adic, etc.
Duct or Heating Heating
Piping Load Capacity
R•value (Btu/hr) (BTU/Hr)
R-02 18,000
R-0.2 25,000
Cooling Cooling
Duct Load Capacity
R-value (Btu/hr) B'N/Hr1
10 13 Seer soffit R-4.2
I, �he undersigned, verify that the equipment listcd above is: 1) is the actual equipment instelied, (2) equivalent to or more efticient �han that specified in Ihe
certificaro of compliance (Form CF-lR) submitted for compliance with the Energy Efficiency Standards for residential6uildin�ys, and (3) equipment that meets
or exceeds the appmpriate fequiroments Por manufacmred devims (from the Appliance EfTciency Regulations or Pan 6), where applicable.
�� I,Df Mechanical
Lorraine Aernaodez HVAC Subcontracror (Co. Name)
OR General Contraaor OR Owner
WATER HEATINC SYSTEMS:
Water CECCertified Distribution IfRecir- Ratedlnput Tenk Elficiency Stendby External
Heater MB Name �. Type (Std, culatlon, q of Identical (kW or Volume (EF, RE) Loss (°/s) Insulation R-
Type/k Model Number PoinFof-Use) Control Type Syslems 8fu/hr) (gallons) �e���
FAUCETS & SHOWER HEADS:
All faucets and showerheads installed ere lisced in the Commisions Directory of Certified Faucets and Showerheads,
pursuant ro Title24, Part 6, Subchapter 2, Secuon 1 I 1.
I, the undersigned vaiCy lhat the equipment listed in [he caregory above my signatme is the ectuel equipmene instalied and that the equipment mats or exceeds
the requiremen�s of the Appliance 8ficiency Standards. In addition, 1 have verified �hx� tbe equipment is equivalent to or more etTicient than the equipment
specified on the Cenificate of Compliance submitted io demonstrate compliance with �he Energy E�ciency Stendards for residential buildings.
Signamre, Date
COPY TO:
Building DepaNnrnt
HERS Provider (if applicable)
Building Owner at Occupancy
Piumbing Subcontractor (Co. Name)
OR General Contractor OR Owner