HomeMy WebLinkAbout417 ENCLAVE CIR - Building Permits• CITY OF COSTA MESA �
BIIILpING p/V/S/0N
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754•5273 • Fax p14) 754-4856 • vrv+w.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
F07-00213
JobAddress: 417 ENCLAVECI
Suite:
Vicinity:
Parcel Nunmber: TPN007041
npp�icane DOUG BROZOVICH.
Address: 1202 EAST HUNTER AVE
SANTA ANA, CA
Owner: THE IRVINE COMPANY'
Address 7101NNOVATION
IRVINE, CA
FIRE SUPRESSION PERMIT
Zoning:
Phone: 714-231-0739
Zip: 92705
Phone: 949-720-5536
Zip: 92612 .
Contrector BAKER COMPANY CONSTRUCTORS INC
Address: 1202 EAST HUNTER AVE � � �-
. Phone: 714-835-8572�
SANTA ANA, CA , Zip: 92705
� License: 822444
Status: ISSUED
Applied: O6/27/2007
Issued: 07/032007
SCOPE OF PERMIT
PHASE 3, INSTALL 240 OVERHEAD SPRINKLERS FOR NEW 17,030 S.F. MFD, TYPE 1A, 20 UNITS,
"ENCLAVE APARTMENT HOMES"
. FEE SUMMARY
Plan Check: $0.00 � Calc Valuation: So.00
Permit 30.00 "' Claimed Valuation: So.00
Other. 50.00
Total: $0.00
Ff l� - cW-�I 1-I l0`'G
NOTICE: The work authonzed by this permit shall comply wiN all applicable handicap access requirements under California statutes and related
regulatlons. (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 inspeetions and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit.
OC DE/, INSPEC7IONTYPE D� N R fQQ€j INSVECTIONTYPE D1Ij,E INT171�15
1616 Fixed System Final Fire Prevention 208 Final Mechanical
1266 Pool SOa Final � 208 Final Plumbing
200 Final Re-Roof 210 Final Electncal .
207 Final Block/Reuining Wall 212 Final Fire Prevention G'�% � LC(1`�
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Sila
204 Final Demolition 250 Final Building/Occupancy
WORKERS' COMPENSATION DECLARATION: . _
I hereby affirm under penalry of perjury one of the (ouwring dedara�ions:
❑ I have and will maintain a certifica[e of consent to self-Insure for vrorkers'
compensation, as provided for by section 3700 of Ihe Labor Code, for the
p,,,111erformance of the work for which this pertnit is issued.
C���ave and v.ill maintain v.9rkers' compensatbn insurance, as required by
tbn 3700 of the Labor Code, for the pertortnance of the wnrk fw which this
pertnit is issued. My vrorkers' ompensation Insurance carrier and policy
number�are:����
Larrier!'�
(ThissMbnnee0irol0emmde((�Jp-A"/,((�epertnnisvrp�,uttl onenunpreOWllars(E100)aless.)
Policy Number� ��� I � ,1 — �V��I
❑ I certify that in the peAormance o( lhe v+ork for which this permit is
issued, I shall not employ any person in any manner so as to become subject
to the workers' compensation laws of Califomia, and agree Ihat it I should
become subjecl to the workers' compensation provisions of Section 3700 of
the Labor I hvri ly with these pmvis� .
�� � ��� -- 0-.
/ y npoi�naiure � � Jc �-�"
1�-
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 TNOUSAND DOLLAF2S
($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 ihat I am licensed under provisions o( Chapter 9(commencing
vnth Section 7000) of Division 3 of the Business and Professions Code, and
my license is in fu0 force and e fect. (/��� In
�Lic. # 2 r CI� `� � I U'
'SSConiractors ignaWre � � a�
CONSTRUCTION LENDING AGENCY:
❑ I hereDy aKrtn that there is a construction lending agency for t�e
per(ortnance of Ihe v.ofk for wfiich INs pertnit is issued. (Sec. 3097, Civil Cotle).
Lender's Name:
Lender's Address:
Da1e
OWNER-BUILDER DECLARATIONS:
I hereby aRirm that under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW (or the (ollowing reason (Sec. 7031.5,
Business and Professions Cotle: Any city or couniy which requires a permit to
construct, alter, improve, tlemolish, or repair any structure, prior to i�s
issuance, also requires Ihe appliwnt for suc� pertnit to file a signed statement
that he or she is licensed pursuaN to lhe provisions of the Contractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Professions Code� or that he or she is exempt therefrom antl
the basis for the allegetl exemption. Any violation of Section 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 pmperty, or my employees with wages as their sole
compensation, WILL DO 7HE WORK, and the sWcture is not intended or
oRered for sale (Sec. 7044, Business and Professions Code: 7he Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himself or herself or through his or her ovm
employees, provided Ihat such improvements are not intendetl or oflered for
sale. If, however, the 6uilding or improvement is sold within one year of
completion, the owner-builder vnll have the burden o[ proving thal he or she
did nol build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVEIY� CONTRACTING WITH
LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and
Professbns Code: The contractors License Law dces not appry lo an ovmer of
property who builds or improves thereon, and who contracis (or such project with
a contractor(s) license pursuant tothe Contractors License Laws.).
❑ I am exempl under sec.
Business and Professions Code for this reason:
Signalure Date �
305]-a6 (3/0])
Owner ID veri(ed by drive ,ise. ❑ Ves ❑ No
Driver's License No. Ezpires:
Verifcation of �Ovmership by (rype of document, i.e. - property tax bill or deed):
DIVISION OF INOUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certAy that no excavation frve (5) a more (eet in depth into wfiich a
person is required to descend, will be made in connection with wnrk authorized
by this pertnit, and that no building structure, scaFfdding, false�wrk, p tlemolilion
or dismanlling thereof, vrill be more than Ihirty-su (36) fee[ high. (Chap. 32, Grp
2. AA 2, Sec. 341, Ttle 8, Califomia Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which wnuld
require a permit from the Division o( Industrial Safety, as noted above, unless
such person has a permit to do such work from I�e division.
Appliconl's Signalure
Division o! Induslrial Sa(ety Permi� Number. _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future 6uilding occupant need to file and
certify a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the Califomia Health and Safety Cotle requires, with some
exceptions, that a Business Plan �e filed with lhe Costa Mesa Fire
Department by every business which has at any one time during a reporteG
year a quantiry of hazardous materials equal ro or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of wmpressed gas
at standard temperelure and pressure).
2. Does or will the applicanl or present or future building occupant need to file
a regislration fortn for acutely hazardous matenals? ❑ Yes ❑ No
(Section 25533 of ihe Califomia Health and Sa(ety Code, vrith some
exceptions, requires regisiretion with the Costa Mesa Fire Department by
each business which at any one time has on hand a quanlity of acu[ely
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
tempereture 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 awtety
hazartlous ma[erials)? � Yes ❑ No
(Section 25534 of Ihe Califomia Health and Safery Code provides that the
Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Depariment 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 Section 25534 of the Califomia
Health and Safety Code been fully complied with7 ❑ Yes ❑ No
5. Does or will the applicant or present or fuNre building occupant require for
the vrork which is the subjecl of this application a pertni[ for such construction
or modifica�ion from lhe South Coast Air Quality Management Districl or Irom
any other air pollulion control districl or agency7 ❑ Ves � No
(Section 65850.2 of �he Cali(omia Govemment Code requires that the requested
infortnalion be lumishe0 on applications for non-residential building permits).
6. Will any part of Ihe (acility to be constmcted under this permit be within
1000 feet from Ihe outer boundane5 0( a sch0ol'! ❑ Yes ❑ No
(If'yes", the facility must meet the requirement of Sections 25534 and 42303
of the Calilornia Health and Safety Code).
7. If a permit (rom the South Coast Air Qualiry Management Districl or other
air pollution control district or agency is required for I�e vrork which is the
subject of this application, have all of 1he disclosures prescribed by Califomia
Health and Safery Code Section 42303 been made? ❑ Yes ❑ No.
8. Qf "yes", attach certifcate of compliance fmm the appmpnate air pollution
controlOffcer). �
CERTIFICATE OF COMPLIANCE:,1 certiry thai under penalty of perjury the
information givan above �is correcL I agree to comply with all state laws and
city ordinances regarding Hazardous Matenals and Emissioris.
Si9naWre � �a�e
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalry of perjury that I have read this application and state that
the information given is correcL I agree to comply vrith all state laws and city
ordinances relating to building conSWction, and authonze representatives of
the Ciry of Costa Mesa to enter upon the above-descnbed property for
inspection purposes. I agree not lo occupy or allow occupancy of any building
authorized by this permit until final inspection.
- �µ�€ oT���ie� � Dal
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��ACilFion -E'Pppli[ant` -y ( — �
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CITY OF COSTA MESA
o ° BYILDING DIVISION
r ' � 77 FqIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
� FOR INSPECTIONS CALL: (714) 754-5626 F07-00213
�"°� FIRE SUPRESSION PERMIT
JobAddress: 417 ENCLAVECI
Suite:
Viciniry:
Parcel Nunmber: TPN007041
Applicant: KIRK HEMANS
Address:
Owner: THE IRVINE COMPANY
Address 1101NNOVATION
IRVINE, CA
Zoning:
Phone: 714-666-8450
Zip:
Phone: 949-720-5536
Zip: 92612
Contrectoc RESIDENTIAL FIRE SYSTEMS INC
Address: 2871 E VIA MATRENS .
ANAHEIM,CA
Phone: 714-666-8450
Zip: 92806
License: 786965
Status: ISSUED
Applied: 0627R007
Issued: 07/032007
SCOPE OF PERMIT
PHASE 3, INSTALL 240 OVERHEAD SPRINKLERS FOR NEW 17,030 S.F. MFD, TYPE 1A, 20 UNITS,
"ENCLAVE APARTMENT HOMES"
FEE SUMMARY
Plan Check: $0.00
Permit: $0.00
Other: $0.00
Total: $0.00
Fri'-cw-��i, �0`3
Calc Valuation: so.00
Claimed Valuation: So.00
NO710E: The work authorized by Nis 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 vrork 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 obuin inspections and final approval will result in the expira6on of this permit.
CODE/. INSPECPONTYPE D�TE IN RL CODE! INSPEL7IONTYPE D�TE IN�
1576 Fued Sys�em Fioal Fire Preventi0n 206 Final Mechani[al
1268 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical �7
201 Final BIocWRetaining Wall 212 Final Fire Prevention -._�' y� Q� �
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolilion 250 Final Building�Occupancy
WORKERS' COMPENSATION DECLARATION:
I hereby aKrm untler penalty of perjury one ot the lollovring declarations:
❑ I have and will maintain a cenificate of consent to self-Insure for workers'
compensation, as proviCed br by section 3700 of lhe Labor Code, for the
peAortnance ot the work for which Ihis permit is issued.
r I�bave and will mainfain �wrkers' compensation insurance, as required by
.� s ioi5 3700 of the LaDor Cotle, la the peKwmance o( lhe work for which this
pertnit is issued. My vrorkers' compensation Insurance cartier antl policy
nu becare:
Ca e��r�� ���
_r.�.
(This secfnrr nec0 nol0a wn�pefetl /Na pcvm! is vahxd al ma �urMrM cbf.irs (f f 001 a ieu )
�or�Y�N��''" mne � C�D ! 3 ss3 - 7�0 �
�� i�-='"-`�"
�..
� I cerli(y Ihal in the peAormance of lhe work (or which Ihis pertnit is
issued, I shall not employ any person in any manner so as to Dewme subject
lo the workers' compensation laws of Calitomia, and agree t�at if I shoultl
become subject to the workers' wmpensation provisions of Seclion 3700 ot
Ihe La or otle, I � I lorthvrith comply vrith Nese provisio .
%
� ApplimN's9gnaWre' "' .._ '" ' ` ale , ""
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION CAVERAGE
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, IMEREST, AND
All"ORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby atfrm ihat I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business antl Professions Cotle, anC
my license is in full force and effect.
�;�_,� �5 '$6 �/ S ei�5`a �_C�'�o
C _
'( {. ""-sGan eclaYs5i9^.aWre�+�.S_;-.. r"-" X'.'Date�;�_}`;
�.�. �• — _
CONSTRUCTION LENDING AGENCY:
❑ I hereby aRmn that lhere is a cons[nictbn lending agency tw the
peAwmance of the v.ork tar wfiich tlus pertnit is asued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Adtlress:
Sipnature Da�e
OWNER-BUILDER DECLARATIONS:
I hereby aKrm mat untler penalry of Deryury that I am EXEMPT FROM THE
CON7RACTORS LICENSE LAW lor the following reason (Sec. 7031.5,
Business and Professions Cotle: Any ci�y or wunty which requires a permit to
wnslruct, alter, improve. tlemolish, or reDair any structure. prior lo ils
issuance, also requires the applicant for such pertnit to file a signea statement
that he or she is licensetl pursuant lo lhe provisions of lhe CoNractors
License Law (Chaplar 9(commencing with Section >000) of DiviSion 3 of the
Business and Professions Code) or that he or she is exempt lherefrom antl
the basis for the alle9e4 ezemplion. Any violation ol Section 7031.5 by any
applicant for a pertnit subjects Ihe applicaN to a civil penalty ol not more than
fve hundred dollars ($500�.):
❑ I, as owner ol the propeAy, or my employees with wages as Iheir sole
compensation, WILL DO THE WORK, and lhe structure is not intendetl or
offered for sale (Sec. 7044. Business antl Professions Code: The Contrectors
License Law does not apDly lo an ovmer of property who builds or improves
thereon, and who does such wark himself or hersalf or through his or her own
employees, provided thal such improvements are not intended or offered for
sale. It, however, lhe builGing or improvement is sold vrithin one year of
completion, the ovmer-builtler vrill have the burden of proving thal he or she
did not 6uild or improve for purpose of sale.).
❑ I, as ovmer of ihe property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to conslruct the project (Sec. 7044, Business and
Professbns Code: The contractors license Law dces not apply to an ov+ner of
properry who builds or improves thereon, and who conlracts fw such project v+ith
a contractor(s) license pursuant to the Contractors License Laws.).
� I am exempl under sec.
Business and Protessions CoOe for this reason:
305]-A6 (3IW)
Owner ID venfiea by dnver's 6. .a. ❑ Yes ❑ No
Driver's License No. F�pires:
Venficalion of Ownership by (lype o( tlocument, i.e. - pmperty lax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby cerlRy that no excavation frve (5) a more feet m depth inro wfiich a
person is required lo descend, will be made in connection with wnrk authorized
by this pertnit, and Ihat no building struclure, scaffdding, false�+ork, v tlemolition
or dismanlling �hereof, will be more Ihan [hirty-siz (36) feel hig�. (Chap. 3.2, Grp
2, M 2, Sec. 347, Ttle 8, Cali(omia Administralive Code).
❑ As owner-builtler, I will nol employ anyone to tlo wnrk which would
require a permit (rom Ihe Division of Induslrial Safery, as notetl above, unless
such person has a permil ro tlo such vrork from the division.
Applinm's Sipnawre Date
Division of IndusMal Safety Permil Number.
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicaN or present or tuWre building occupant need to file anC
certify a Business Plan for emerqency response to release or threatened
release of a hazardous malerial? ❑ Yes ❑ No
(Section 25505 0! the Calilornia Health and Safery Cotla requires, with some
exceptions, that a Business Plan be filed vrith the Costa Mesa Fire
Department by every business which has at any one time tlurinq a reported
year a quantity of hazardous materials equal ro or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet ol compressed gas
at standard temperelure and pressure).
2. Does or will the applicant or present or future builtling occupant need to file
a registration fortn for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the Califomia Health antl Safery Code, with some
exceptions, requires registration wim the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazartlous materials equal to or greater [han a weight o( 500 pountls, or a
volume ot 55 gallons, or 200 cubic feet ot compressetl gas at standard
temperalure and pressure).
3. Does or will the applicant or present or future building occupant neeC to
prepare an RMPP (Risk Management and Prevention Program !or acutely
hazartlous matenals)? ❑ Yes ❑ No
(Section 25534 of lhe Califomia Health and Safety Cotle provides Nat the
Costa Mesa Fire Departmenl may require lhe preparation, certifcation and
filing vrith Ihe Fire Department ol an RMPP by businesses which are requiretl
to register acutely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the Califomia
Health and Safety Code been lully complied vrith? � Yes ❑ No
5. Does or will Ihe applicant or present or future building occupant require for
the work which is tha subjec� o( this application a pertnil for such cans[ruCtion
or modifcation from Ihe South Coast Air �uality Management Dislrict or Irom
any other air pollution control districl or agency? ❑ Yes ❑ No
(Section 658502 0l lhe Califomia Govemment Code requires lhat lha requesteC
inlortnation be fumishetl on applications for ron-residential building pertnit5).
6. Will any part of tha facility Io be construcled under this pertnit be wilhin
1000 feet from Ihe outer boundaries of a school? ❑ Yes ❑ No
Qf "yes", the faciliry must meet Ihe requirement of Seclions 25534 antl 42303
o( the California Health and Safety Code).
7. If a permit /rom the South Coast Air Qualiry Management District or other
air polWtion control disMct or agency is required for the work vfiich is the
subject of this application, have all ot the disclosures prescribed by Calitomia
Health and Safety Code Section 42303 been mada? � Yes ❑ No
B. (If'j�es", attach certif�cata of wmpliance from the appropriate air pollution
wntrol oRicer�.
CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the
infortnation given above is wrcecL I agree [o comply with all state lav5 and
city ortlinances regarding Hazardous Materials antl Emissions.
SiqnaWre Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I
certify under penalty of perjury that I have read this application antl state that
lhe intormation given is correcL I agree to comply with all state laws and city
ordinances relaling to building construction, and authonze representatives o(
the City of Costa Mesa to enter upon the above-0escnbetl property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorizetl by lhis permit until final inspection.
�
Sign of Legal Owner(s) .e
_ u-- -
�— F„a« w�� ���� - - � � •
� _ .______....___ .,..,:,..�;�f:�;--- -
CITY OF COSTA MESA
BUILDING DIVISION
> � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • w.vw.ci.wsta-mesa.ca.us
F
�.4�o fi� FOR INSPECTIONS CALL: (714) 754-5626 F07-00310 �
FIRE SUPRESSION PERMIT
JobAddress: 417 ENCLAVECI
Suite: �
Vicinity: . . -
Parcel Nunmber TPN007041 .-'. .
Applicanc VICTOR BALANCIO,
Address: 17992 COWAN
IRVINE, CA - - � ,
Owner: THE IRVINE COMPANY.
Address 110�INNOVATION ,
IRVINE; CA ' � ' � -
Contractor. THE GREATER ALARM CO INC
Address: 17992 COWAN � '
IRVINE, CA ' �
Zoning:
Phone: 949-474-0555
2ip: 92614
Phone: 949-720-5536
Zip: 92612 -
Phone: 949-474-0555
Zip: 92614
License: 469046 -
0
SCOPE OF PERMIT
� FIRE ALARM SYSTEM FOR PHASE III: NEW 17,030 S.f. MFD, TYPE 1A, 20 UNITS, "ENCLAVE
APARTMENT HOMES". REF#: BC07-00055.�
FEE SUMMARY
Plan Check: $0.00
Permit: � ;
Other: $0.00
Totdl:
�`rP-C�- b�11 IGcG
Status: ISSUED
Applied: 10/31/2007
Issued: 71/082007
Calc Valuation: So.00
Claimed Valuation: So.00
NOTICE: The work authorized by this permit shall comply vrith all applicable handicap access requirements under Cali(ornia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-27-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order (or [he work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of lhis permit.
COUE/. INSPEC710NTYPE UATE IN7111AL5 COUER INSGELIIONTYPE ORT IN7ITIRL
1616 Fized System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 ' Final Block/Retaining Wall � 272 Final Fire Prevention '— 7�%� �
202 Final Factory Fire Place 220 Final Planning Approval
203 FinalSign 222 FinalSite
204 Final Demoli�ion ' 250 Final Building/Occupancy
WORKERS' COMPENSATION DECLARATION:
1 hereby aKrm under penalry o1 perjury one of the (ollowing declaralions:
❑ I have and will maintain a certificate o( consent to self-Insure for workers'
compensation, as provided tor by section 3700 of the Labor Cotle, for t�e
peRortnance of the vrork for which lhis permit is issued.
I have antl will maintain workers' compensation insurance, as required by
ion 3700 of the Labor Code, fw the peAortnance o( the v.ork (a which this
pertnit is issued. My workers' compensation Insurance carrier and policy
number are:
(Came� �/E1z�Si 1���(lOV—�+�� � � •S GO •
(Tltissecfbnneetl bemm teEAlhepemWkvdlueEalmehurMretltlWars(El00Ja/esx.)
� _..
Policy Number: J3 ���d] �
❑ I certify ihat in the performance of ihe work for which this pertnit is
issued, I shall not employ any person in any manner so as to become subjecl
to [he vrorkers' com alion laws ot California, and agree that if I shoultl
become subject t he rkers' compensation provisions of Section 3700 of
the Labor Code, s hwith com " these provisions.
r Ap I C S�gnaW �le'� �7
L� �
WARNING: FAILUR TO SECURE ORKERS' COMPENSATION COVERAGE
IS UNL4WFUL AND &IECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affrm 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 and eRect. /�� r�
Lic: #– - -�O � Class # -, �I � � L /
� - --11• �i - 6'1
GCo t _ 1Slgnamre '�Da�e-�
CONSTRUCTION L NCY:
❑ I hereby aHirtn thal Ihere is a construction lentling agency (w the
performance of the work fv which this permit is issued. (Sec. 3097, Civil Code).
lender's Name:
Lender'S Adtlress:
Signalure Date
OWNER-BUILDER DECLARA710NS:
I hereby affirm iha[ under penalty of perjury lhat I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7Wt5.
eusiness and Protessions Code: Any city or counry which requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its
i55uanCe, also requires the appliwnt for such permit lo file a signed statement
that he or she is licensed pursuaM to the provisions of the Con[ractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and
the basis (or Ne alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty of not more than
fve hundred dollars ($500).):
❑ I, as ovmer of Ihe property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the stmcture is not intended or
oRered for sale (Sec. 7044, Business and Professions Code: The Contrectors
License Law does not apply to an ovmer of property vfio builCs 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 or offered for
sale. If, however, the building or improvement is sold within one year of
completion, the owner-builder vnll have the burden of proving that he or she
did not builtl or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WI7H
LICENSED CONTRAC70RS to construct the project (Sec. 7044, Business and
Professbns Cotle: The contrac�ors License Law dces not apply to an ovmer of
property who builds or impmves thereon, and v.fio contraas for such projecl vrith
a contractw(s) license pursuant to the Contractas License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
sie�awre oa�e
aos�-as�aro��
Owner ID verified by driver's . ,e. ❑ Yes ❑ Na
Dnver's License No. Expires:
Verification o! Ovmership by (rype of document, i.e. - property lax bill or Ceed):
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION:
❑ I hereby certHy that no excavation frve (5) or more feet in depth into which a
person is required to descend, vnll be made in connection v.ith v.ork au[horizetl
by lhis pertnit, antl that no building structure, scaffdding, falsework, ar tlemolition
or dismaniling thereof, will be more [han lhirty-sa (36) (eet high. (Chap. 32, Grp
2, M 2, Sec. 341, Title 8, Califomia Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which woultl
require a permit from the Division of Intlustrial Sa(ery, as notetl above, unless
such person has a permit to do such vrork from the division.
ApplitanCs SgnaWre
Division of Industrial Sa(ety Permi� Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
7. Will the applicant or present or future building occupant need to fle and
certify a Business Plan for emergency response to release or threatenetl
release of a hazaidous matenal? ❑ Yes ❑ No
(Section 25505 of the Califomia Healih and Sa(ety Code requires, with some
exceplions, that a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one time during a reportetl
year a quantity of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
a[ slandard lempera[ure and pressure).
2. Does or will the applicant or present or (uture building cecupant need b fle
a registration form for acutely hazardous matenals? ❑ Yes � No
(Section 25533 of the California Heallh and Safety Code, wilh some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quanti[y o( acutely
hazardous matenals equal to or greater than a weigM of 500 pountls, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperature antl pressure).
3. Ooes or will Ihe applicant or present or future builtling occupant need to
prepare an RMPP (Risk Management and Prevention Pmgram for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the Califomia Health antl Safety Code pmvides that the
Costa Mesa Fire Depanment may require the preparation, certifiwtion antl
filing wi[h the Fire Department of an RMPP by busine5ses which are required
to register acutety hazartlous matenals with the Fire Department.
4. I/ an RMPP is presently required, has Sec�ion 25534 of the Cali(omia
Health and Satery Code been (ully complied vrith? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require for
ihe vroB which is �he subject of this applicalion a permit !or such constmction
or modification from the South Coast Air Quality Management District or 6om
any other air polWtion control tlisMct or agency? ❑ Yes ❑ No
(Section 658502 of Ihe Califomia Govemment Code requires that the requesled
intortnation be fumished on applications fa non-re5idential building permits).
6. Will any part of the facility to be wnstructed under [his pertnit Ce within
1000 teel from the ouler boun0aries of a school? ❑ Yes ❑ No
(If'yes", the faciliry must meel the requirement o( Sections 25534 and 42303
o( lhe Califomia HeaIN and Safery Code).
7. If a permit from Ihe South Coasl Air Quali[y Management Dis[rict or other
air pollution control dislnct or agency is requiretl for the work which is the
subject of this application, have all of ihe tlisclosures prescribetl by California
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. (If'yes", attach ceAiftate of compliance from Ihe appropnate air pollution
control offcer).
CERTIFICATE OF COMPLIANCE: I certify Ihat under penalty of,perjury the
information given ahove is correct I agree to comply vnth all state laws and
city ortlinances regarding Hazartlous Matenals and Emissions.
Si9naWre �ale
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read Ihis application and state Ihat
the in(ortnation given is correcL I agree [o comply with all state laws and ciry
ordinances relatinq to building constmction, and authonze represeNatives of
lhe City of Costa Mesa to enter upon Ihe above-tlescnbetl pmperty for
inspection purposes. I agree not to occupy or allow occupancy of any building
authOrized by �his permit until fnal inspection.
Signawr o! Owner(s� Dale
�,�,mA e�o����, , ;!,�' q� °�
' '_
PERMIT TYPE
Sub Type:
� CITY.OF COSTA MESA �
B{IILDING DIV/SION .
77 FqIR DRIVE. COSTA MESA, CA g2626 •(714) 754-5273 • Fax (714) 754d856 • www.ci.costa-mesa.ca.us
� FOR INSPECTIONS CALL: (714) 754-5626
B COMBO
MFD NEW
Joe aooResS: 417 ENCLAVE CI CM
PERMiT NUMBER: BC07-00055
STATUS: ISSUED
DATE ISSUED: 06/25/2007
ISSUED BY: SOK
Suite/Unit:
Vicinity: . . Primary Occ:
ConstType: V-1H SQ..FT . 17030 Valuation:1,940,185.00
SCOPE OF WORK: PHASE III; NEW 17,030 S.F. MFD, TYPE tA, 20 UNITS W/3,233 S.F. ATTACHED GARAGES FOR "ENCLAVE
APARTMENT HOM�S" � � . �
OWNER: THE IRVINE COMPANY
PHONE: 949-720-5536
Address: 1101NNOVATION ,Unih
City/St@te/Zip: IRVINE, CA .
APPLICANT: PEGGY BLOCK Address: 8 EXECUTIVE CIRCLE Unit:
PHONE: 714-557-0244 CitylState/zZip: IRVINE, CA
CONTRACTOR: WESTERN NATIONAL CONTRACTORS - License No. 840973
Address: � 8 EXECUTNE CIRCLEUnit: PHONE: 714-557-0244
City/State: IRVINE, CA ZipCode:. 92614 . CELL: , .
ARCHI7ECT: .. . � , � . License No. � � � �PHONE:
ENGINEER: ' . . License No. � ' PHONE:
COMBINTATION PERMIT FEE SUMMARY
Building Plan Check; � -$1,469.55
Building Fees: � � . $9,043.40 ..
Electrical Fees: � � $875.00
Mechanical Fees: . 51,04720
Plumbing Fees: $1,913.30
SMIP Residential: � $194.02 _.�
SMIP Commercial: $0.00
TOTAL FEES: $13,072.92'
^Refm to fee receipts for all fees paitl for project
a
NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. g2•28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In ortler for the work auNonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be oblained. Failure lo obtain inspections and final approval will result in the expiretion of this permit.
L0� INSVECTIONTYPE Ri� IN R �F�j INSPECTIONTYFE Qy/jE INT171RL5
1616. Fized System Final Fire Preven6on 208 Final Mechanical
1266 Pool Spa Final � � 208 Fina! Plum6inp
200 Final Re-Roof 270 Final Electncal �
201 Final Block/ReWining Wall 212 Final F'ire Prevention
202 final Fatlory Pire place ' 220 Final Planning Approval
203 Final Sign 222 Final Site �'
204 Final Demolition 250 Final Building/Occupancy P/A �[��y�/�vN�i1u'
/r Y" � "
,
WORNERS' COMPENSATION DEGLARA710N
I hereL� aFfirm under penalry of perjury one of th�g tleclarations.' _
❑ I have antl will maintain a certifcate of tOnsent to self-Insure (or.workers�
compensation, as provided tor by section 3700 of the Labor Code. for the
pe rmante of the work (or which this pertnit is issued. �
I have and vrill maintain workers' compensatbn insu2�e, as requiretl by
� ection 3700 of the Labor Code, fw the peAormance of Ihe v.ork fa which this
permil is issued. My workers' compensation Insurance wrrier and policy
number ar : , _ ^ _ `��
�Camer. �j1�1
—(Tnissectvnneedfro�t�0/e� petetl✓�n/epermrtk/v�alu/e�OafareCnunmatlauBars(Stoo/Jwless)
lPolicyNumber Wl. ��0�� �XJ���7�� ���0
L—
❑ I certi(y Ihat in the peAortnance of the waB for which this permit is
issued, I shall not employ any person in any manner so as to become subject
ro the vrorkers' compensation laws of Califomia, and agree Ihat if I should
hecome subject o the vrorkers' wmpensation provisions of Sectiop 3700 of
the Labor Cod , 1 all forihvrith comply with these provjsio � 1
�f L
L A q¢am'S S9��urc L Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CAVERAGE
IS UNIAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE CAST OF CAMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE 1A80R CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aff rm Ihat I am licensed under provisions of Chap�er 9(commencing
with Section 7000) ol Division 3 of the Business antl Professions Cotle, antl
my license is i full lorce�nd �Hect. y�
r i�3 ��
Lic. # K, 1 � class #
` �.
I Conva w's Spnawm �_ �e '
`
CONSTRUCTION LENDING AGENCY:
❑ I hereby affum that there is a construction lending a9ency la the
peAormance of Ilie xork fa v+hich tltis pertnit is 55uetl. (Sec. 3097, Civil Code).
Lentler's Name:
Lender's Atldress:
Signature �a�e
OWNER-BUILDER DECLARATIONS:
I hereby aKrm that under penalty of perjury that I am El(EMPT FROM THE
CONTRAC70RS LICENSE LAW for Ihe following reason (Sec. 7031.5,
Business and Prolessions Code: Any ciry or counry which requires a permit lo
construct, alter, imp�ove, tlemolish, or repair any strucNre, prior to ils
issuance, also requires the applicant tor such pertnit lo fle a signed sUtement
that he or she is licensed pursuant to the provisions of lhe Cantractors
License Law (Chapter 9(commencing wiN Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt Iherefrom and
the basis !or the alleged ezemption. Any violation o( Section 7031.5 by any
applicant for a permil subjects the applicaN to a civil penally of not more Ihan
five huntlretl tlollare (5500�.�:
❑ �I, as ovmer ol tha property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and Ihe structure is not intendetl or
oflered lor sale (Sec. 7044, Business and Pro(essions Code: The Contrectors
License Law does not apply to an owner of propeny xro builds or improves
thereon, an0 who does such vrork himsel( or herself or through his or her own
employees. provided that such improvements are not intentled or oKered for
sale. If, however, Ihe building or improvement is sold within one year of
completion, the ovmer-builder will have the Gurden of proving thal he or she
did not build or improve for purpose of sale.).
❑ I, as owner of the property, am E%CWSIVELY CON7RACTING WITH
LICENSED CONTRACTORS ro consWct the project (SecJ044, Business and
Prolessions Code: The cornractas license Law dces not appty lo an owner of
property v.ho builtls or improves thereon, and who contraclslor such project with
a contractar(s) license pursuant to the Contractors Ucense Laws.�.
❑ I am exempt under sec.
Business anC Pro(es5ions Cotle for this reason:
� . � .
Owner ID venfetl by tlri se. ❑ Ves ❑ No
Driver's License No. Expires:
Verificalion o( Ovmership by pype of tlocument, i.e. - pmperty tax bill or deed):
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION:
❑ I hereby certify that no exwvation frve (5) w more feet n depth into �+A�ich a
person is required to descen4 will be made in connection with w�rk authorized
by this pertnit, antl that no building stnuture, scaffdding, falsev.ark, or demolition
or dismantling thereol, vrill be more than thirty-5& (36) feat high. (Chap. 3.2. Grp
2, M 2, Sec. 341, Title B, Cali(omia Atlmini5l2tive Code�.
❑ As owneabuilder, I will not employ anyone to do work which would
require a permit (rom the Division of IndusMal Saley, as notetl above, unless
such person has a pormit to do such work from the tlivision.
ApPlitanl'S SB���ure Da�e
Division ol Industrial Safety Permit Number:
MAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future builtling occupant need to fle and
certify a Business Plan lor emergency response to release or threatened
release of a hazartlous material? ❑ Yes ❑ No
(Section 25505 0( the Califomia Health and Safety CoOe requires, with some
exceptions, that a Business Plan be fileE with the CosU Mesa Fire
Department by every business which has at any one time during a reported
year a quantiry of hazardous matenals equal to or grearer than a weight ot
500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressetl gas
at standard temperalure and pressure).
2. Does or will Ihe applicant or present or !u[ure building occupant need to Ne
a registretion form for aculely hazardous materials? ❑ Yes ❑ No
(Seclion 25533 of lhe Califomia Health and Safety Code, with some
exceplions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity o( acutely
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of wmpressed gas at stantlartl
temperature and pressure).
3. Does or will the applicant or present or Wture Duilding occupant need to
prepare an RMPP (Risk Management antl Prevention Prog2m lor acutely
haurdous materials)? ❑ Ves ❑ No
(Section 25534 of the Cali(omia Heallh and Safery Cotle provides lhal the
Costa Mesa Fire Department may require t�e preparation, certifiwtion and
filing wiN the Fire Department of an RMPP by businesses which are requiretl
ro register acutely hazar0ous materials with the Fire Depanment.
4. If an RMPP is presently required, has Section 25534 of the Calilomia
Health antl Satery Code been lully complied with7 ❑ Yes ❑ No
5. Does or will the applicant or present or tuture building occupant require !or
the work which is the subject of this applicatlon a permit for such wnsWction
or motlification from the South Coast Air Quality Management DisMct or (rom
any other air pollution coMrol districl or agency? ❑ Ves ❑ No
(Section 658502 of the Calilomia Govemment Cotle requires that the requested
information be (umished on applications (a rron-residential building pertnits).
6. Will any parl of Ihe lacility lo be conslructed under this pertnit be within
t0001eet from the ouler boundaries o! a school? ❑ Ves 0 No
(If yes", the facility must meet l�e requirement ol Sections 25534 anC 42303
of the Califomia Health and Safery Cotle).
7. If a permit (rom the South Coast Air �uality Management Districl or other
air polWtion control dislrict or agency is requiretl for the vrork v+hich is the
subject of this application, have all of tha disclosures prescn�e0 Dy Calilomia
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No.
8. (If'yes", attach certifcate of compliance from the appropriate air polWtion
control oKcer�. � .,
CERTIFICATE OF COMPLIANCE:,I certify that unCer penalty of perjury the
information given above is comecL I agree to comply with all slate lav+s and
city ordinances regarding Hazartlous�Matenals and Emissions.
Signalure Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state Ihat
Ihe infortnation qiven is correcL I agree ro comply with all state laws and city
ordinances relating to building construction, and authorize represeniatives of
the City of Costa Mesa to eNer upon the above-descnbed property for
inspection purposes..l agree nol to occupy or allow occupancy of any 6uilding
authorized by this permit uNil final inspection.
Sign ure IOvmeqs)
Signamre � Oate �..1
305]d6�310]) � -AnQlorAuthonze4A0PLwn1 L_ Oale
To:
Applicant:
Address:
Telephone
' ��
b . :. e;�p � ;.r
NEWPORT-MESA UNIFIED SCHOOL DISTRICT
CERTIFICATE OF COMPLIANCE OF DEVELOPMENT FEES
PURSUANT TO AB 1600 AND AB 181
D6.-27-=0D7/t0:7� ^'.;
�ticc,�':L•� '—
�a�-oai����s e�.
�° 6648
(� City o( Costa Mesa District Receipt No.
( ) City of NewpoR Beach
( ) County of Orange Plan Check No. '�-Q(��
TracUParcel and Lot Number(s):
Locada� of Project:
Number af Square Feet of:
Residential Space
Commercial and
IndustrialSpace
CommerciaVlndustrial Project is: (Check One)
_ Warehouse
R8D
_ Movie Theater
_ Mini-storage
_ Heavy Industriai
_ Regional Shops
_ Light lndustrial
_ This project is exempt because
� !.C_J�i x E1.84
z S .30
, Motel
Bank
_ Neighborhood Shops
_ RacqueUHealth
_ Hotel
Medical Otfice
� Ol6ce Par1c
To�� 31 �
Total
Preschoo�
Auto Repair
Hospital
Large Office
Office Bldg.
Restaurant
Fast Food
This certifies that the above-named Developer/AppBcant has paid school hadYty fees i� comp6ance with Govemment Code sections
53080 and 65995. The Birilding Pemiits for this square footage in this proposed development may now be issued by your jurisdiceon.
Checks are to be made payaWe to Newport-Mesa Unified Sehool District.
Autlqriiad
The above represenlation as to square (ootage is true. Appmcant agrees fhat if R is late� determined that such representations are not
true, then this certificate shall automatically terminate and the ppropriate Cily/Couny shall be notlfied.
Date "` ��� l,� '--Q y �
�Pv�'�^�
/
L
ARNET ENGINEERING, INC.
15�7 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 Hemandez
FROM: Beat Arnet
DATE: 8/ 15/07
Yllful�il
PROJECT: Enclave / The Irvine Company
417 Enclave / Building Pemut No. BC07-00055
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:
I�Z:�f'i:T.]:�
The "Structural Observation" per UBC 1702 regarding strand and rebaz layout was performed by me on
August 15, 2007 on the following portions of the Post-Tensioned Slab-on-Grade of the above referenced
project:
Building #28 (1 A)
The installations aze in general conformance to the plans.
Feel free to call me, if you should have any question.
Sincerely,
ARNET INEERING, INC.
Be A et, P.E.
cc: Roberto Orti2 Fax 997-3857
'coao�e� :�.,
�,;�
E7.p.'i:?110:' �_ '
f'Y. :
:, f;�t1i �t�. �` �
�^> °..,.,..::
,` ,�'� : , -
DALE CHRISTUW/
S7RUCTURAL ENGINfFR, !NG
� COf�bUL7TNG & DFSIGN
1748 WesY Kat�lla A�iUe
Sui[e ZOB
Cn 92867
714 ) f 145 719 997 3857 FAX
<dalechrislian.com>
DCSE, Inc. Job Name: The Euclave Phase III
DCSE,Inc. Job #: 06060
FIELD OBSERVATION LOG
(SEE NOTES BELONI)
Bldg. Type & Lot #: __> '��d a T
n�;��t at n�arn„�
�Dnte Engineer IWnsOburvWandI.ocations Stadu
�,�iS1o`� (�-� �,.�0 8•,`{S Pre-Slab: i`�,�- SIJ�(� Q�S. �.9(� 2�
. � � � t��-<<�� �'��
Floor Framing
Floor Framing
Framing
]: Aminimumof3-l2tua.willbechsrgcdfweuheadevayvisitbtlujobsite.
1-7Lis fmm u only fin edministletive puryoscs md dacc not indicetc structwnl appmvel of eny building. It building confotmance Icttu is
� required,superintendmta6ouldconteclWeenginaroframdetDaleCluistim'sot5ce,
�
Project Name: ' Project No:
?,e-c� Yr�/E �+�c�� � � r5, o 09 3
Location: Auth
�i/� �-e.GCn� �
�__nt/Contracror: � SupdForeman:
+�L Fs rsR N PL a.� r. �vE�
Field Supervisor. Geologist
Observation/I'esting oE
PL�6Pu✓!C. /�,Af/6[.To+�:
��..�5 �� P�..H,T 3«�. u,�sS
Equipment Working:
Date:i Report No.
-� z- �/�y/ J
U4� Ioey: '
MiT)W T F S S
Engineer:
Hours I /
U
v� o,J �,r ��l '�6.f.�y ,,.,rpc�r,�..� � iOR�vTc. �'srE
,I/� �'�{`1KE') �'� .�'� ZG. P1•1!�/y:_r�T, L�P ��L �x.R.4 e-��c,
�(i�n M�rJuf< (lt.sl(•;�CC� /%SV� ,,.1 G'.PADo /ZEd.+1.
r�
FIELD REPORT
Whire - File Copy Yellow - Client Copy
���
:
!1
� Yl�l,�
Received by:\ � r�� ��y��
]
NMG GEOTECHNICAL, INC.
Pink - ClienVAgency Copy
:cr
t Tw�
Page � of �
; NMG
�
Gold - Field Copy
Y
. �A��!
4
E. 'm �`
��rlei �� •
E N 6 1 N
e . `, .�,;.�
E E R 1 M G
August 13, 2007
Iospection Division
City of Costa Mesa
Building & Safety
77 Fair Drive
Costa Mesa, CA 92628
Attention:
Subject:
City Grading Inspector
Civil Engineer's Certification of Compliance for Top of Forms
Pmject: Crrading Permit No
Building Site:
Buildings:
Job Address:
Owner:
Work Completed:
G06-00029
Enclave
2'7, 28, Gl l
450 Anton Blvd.
IAC
August 9, 2007
fiv;ne
C_:.,r, ili?;;G
if11G!l�1 i ffpiC@
F;Im Springs
In accordance with the City of Costa Mesa Crrading and Excavation Code and the
requirements of the Building Code, I certify approval of this project as outlined above, to
top of bldg forms. Top of Forms has been completed substantially in conformance with
the appmved grading plan for this project and in full compliance with said Codes.
Certification includes horizo�al 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
Q,�iY PSCOTlpO ��`�
y iu � �
O �
w � No.42029 Z n
Q. a
* *
s�9T CIVII P���'
F�FCAI.IF�
16795 Von Karman, Suite 100, Irvine, talifornia 92606 " fel 949.474.1960 ' fcx 949.4?4.5315 ' v�wv�fu=_cce._cT
4
r� 1
ect Name:� A�
Location:
_� ' . .
To:1T� < <�
_... .,.
;.
- •,�;,.i..
_3_�
ICg��LJI.��
Permit No.
�
�The footing excavations listed above were observed and probed and found to bottom on firm competent
bearing material.
�The above listed slab subgrades were observed and tested and found to have satisfactory moisture
penetration to the recommended depth, and were found to be firm and dense.
aThe above listed interior trenches were observed and found to be backflled with clean sand which were
densified by jetting and flooding with water.
❑The curb and gutter I street subgrade listed above was observed, probed and tested and found to be frm
and unyielding with a minimum of 90% relative compaction.
❑The aggregate base listed above was observed and tested and found to be firm and unyielding with a
minimum of 95% relative compaction.
❑The retaining wall 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:
Notes:
1 The observations reported above do not constitute an approval of foundation location, fooling size or depth,
reinforcement or foundation design.
Debris and slough should be removed prior to placement of reinforcement or concrete.
NMG
::, I FIELD MEMORANDUM Received by: �j�,�—
NMG GEOTECHNICAL, INC.
NMG
, .,
� � � �� �� � �
�
06-30-2008 Inspection Request Reporting Page 24
4.11 �m CostapdesaYCA _ Cifv p.f
✓
}� �'(�Q,Z
A/P/D Information
Activity: B(
Const Type: V-
Owner: Th
Contractor: W
Other: Tl
ArchitecC Th
Plan check: SF
Other: PF
Applicant: PE
Planner: MI
Developer: JC
Agent: EF
Tenant: EP
Dev coor: B.
Description: Pf
!� O Requested Inspect Date: Tuesday, July 01, 2008
�' V� Site Address: 417 ENGLAVE CI CM
i�)�O� �"'`
�00055 Type: B_COMBO Sub Type: MFD_NEW
Occupancy: Use:
RVINE COMPANY Phone: 949-720-5536
fERN NATIONAL CONTRACTORS Phone: 714-557-0244
1A
7AS P COX Phone: 949-862•0270
Status: ISSUED
Insp Area:
3
BLOCK Phone: 714-557-0244
YDE Phone: 949.720.5536
JDERSON Phone: 949-862-0270 X251
/E APARTMENT HOMES
Phone: X5677
III: NEW 17,030 S.F. MFD, IYPE 1A, 20 UNITS, "ENCLAVE APARTMENT HOMES"
Requested Inspectionlsl
Item: 206 FINAL MECHANICAL
Requeslor:
Assigned To:
Action: Time Exp:
Comment:
Item: 208 FINAL PLUMBING
Requestor:
Assigned To: """""'
Action: Time Exp:
Comment
Item: 210 FINAL ELECTRICAL
Requestor:
Assigned To: """""'
Action: Time Exp:
Comment:
Inspection Historv
Item: 3 JOB SI"
Item: 4 FOOTIP
Item: 6
Comment:
Item: 8 S
Item: 11
Item: 12
"Approved "
Inspector: BE
oved "
Inspeclor: HM
Inspector: BE
Requested Time: 08:00 AM
Phone:
Entered By: WEIDE_MJ K
Requested Time: 08:00 AM
Phone:
Entered By: WEIDE_MJ K
Requested Time: 08:00 AM
Phone:
Entered By: WEIDE_MJ K
Action: AP APPROVED
Action: AP APPROVED
Action: AP APPROVED
Action: AP APPROVED
' Approved " �
Action: PA PaAial app roval
SPLICE PLATE HARDWARE OK FOR JOIST.
Action: PA Partial a Broval
SPLICE PLATE HARDWARE OK F�H JOIST.
Action: PA Partial app roval
;REMOVE SHINNERS AND PROCEED)
Action: PA Partial approval
Action: AP APPROVED
T " Approved "
Action: AP APPROVED
Action: AP APPROVED
REPT131 Run Id: 9697
, -t
Item: 16
�tem: 18
Req
Inspector: HM
•� .� �J •
7
Action: AP APPROVED
FIM Action: PA Partial approval
SHEAR AREAS OK TO COVER FRAMING.
� HM Action: PA Partial approval
)R AND CORRIDOOR, SHEAR NAILING AND HARDWARE APPROVED.
� HM Action: PA Partlal approval
iR AND CORRIDOOR, SHEAR NAILING AND HARDWARE APPROVED.
� HM Action: PA Partial approval
IR AND CORRIDOOR, SHEAR NAILING AND HARDWARE APPROVED.
. HM Action: AP APPROVED
r' Appr�oved "
HM Action: PA Partial approva�
:OVER TUB AREAS.
r: BE Action: PA Partial approval
f FRO DROP AREAS LESS 2HR CONDITtONS.
r. HM Action: CONT Continued
CORRECTIONS COMPLETED.
r: HM Action: AP APPROVED
Item: 20 LATHING 8 SIDING "Appraved "
02It4/08 Inspector: HM Action: AP APPROVED
Comment
02/14/08 Inspector: HM Aclion: AP APPROVED
Comment:
Item: 22 INSULATION '• Approved "
02/08/08 Ihsp ector: HM Action: PA Partial approval
Comment: INSULATION APPROVED LESS ATTIC.
02I08/08 Ihspector: HM Action: PA Partial approva�
Comment: INSULATION APPROVED LESS ATTIC.
02/08/08 Inspector: HM Action: PA Partial approva�
Comment: INSULATION APPROVED LESS ATTIC.
O6/19/08 Inspector: HM Action: AP APPROVED
Comment:
Item: 24 DRYWALL NAIIING " Approved "
02/11/08 Inspector: HM Action: PA Partial approval
Comment: 1ST LAYER D.W. NAIL AT 3RD FL. CEILING.
06/19/OS Inspedor: HM Action: AP APPROVED
Comment
Item: 26 PLASTER BROWN COAT " Approved "
03/03/08 Insoector: BE Action: AP APPROVED
Item: 30 PRE-GROUT
Item: 31 NPDES/BMP
Item: 36 UFERGROUND "Aooroved"
Item: 38 ELEC CONDU17 - UNDE
Item: 44 ROUGH ELECTRICAL -
02/08/OB Inspector
Comment: M.E.P.S <
Item: 50 ELEC. POWER FINAUh
OS/09l08 Inspector
Commen�: HOUSE �
05/16/08 Ihspector
Comment: QKTO RI
OS/16/08 Ihspector
CommenC OKTORI
OS/16/08 Inspector
CommenC OK TO RI
OS/22/08 Ihspector
CommenC
Item: 51 TEMP POWER FINAL
Item: 52 SOIL PIPE- UNDERGR�
Item: 53 SHOWER PAN
Item: 54 WATER PIPE - UNDER(
Item: 55 UNDERGROUND GAS
Item: 62 ROUGH PLUM8ING ••
Comment
12/27/D7
Comment:
02/OBIDB
Comment:
Item: 63 PREWRAP :
Aclion: AP APPROVED
UNDY UTILITY AND LOCK OFF MAIN UNTII METERS ARE RELEASED.
3 "Approved" A�tion: APAPPROVED
CTIONS COMPLETED.
RELEAS
Action: PA Partial approval
ONLY.
Action: PA Partial approval
= ALL UNIT METERS 1-2-3RD FL..
Action: PA Partial approval
= ALL UNIT METERS 1-23RD FL..
Action: PA Partial approval
_ ALL UNIT METERS 1-2-3RD FL..
Action: NR Not Ready
�ed "
Action: PA Parliai approval
APPROVED.
Aclion: PA Partial approval
APPROVED.
Action: PA Partial approval
APPROVED.
Aclion: PA Partial approval
APPROVED.
Action: AP APPROVED
CTIONS COMPLETED.
REPT131 Run Id: 9697
Y" �
Item: 66
Item: 68
Ilem: 72
Item: 90
Item: 92
Item: 150
Item: 206
Item: 208
Item: 21�
Item: 216
Item: 220
Ilem: 250
Item: 102
inspection rtequest KePorting
G o siaJVles a rGA—C.ity�.�—
�L ' Approved "
tor. •HM Action: AP APPROVED
S CORRECTIONS COMPLETED.
IREPLACE
Approved ^
lor: HM Action: AP APPROVED
•• Approved "
tor: HM Action: AP APPROVED
�ALORRECTIONS COMPLETED.
�INAL "Approved"
tor: BE Action: AP APPROVED
NSPECTION " Approved "
tor: HM Aclion: AP APPROVED
IETER RELEASE ALL UNITS.
L Approved "
tor: HM Action: AP APPROVED
" Approved "
tor. HM Aclion: AP APPROVED
" ApProved "
tor: HM Action: AP APPROVED
i APPROVAL " Approved "
ector: MEL Aclion: AP APPROVED
/OCCUPANCY
ector. HM Actiorr CO Correction(s) Required
DS CANE DETECTION DEVICE AT STAIRS AND ELECTRONIC BALLAST AT
EXTERIOR LIGHTS.
VG 8 PRESSURE TEST " Approyed "
ector. HM Actwn: AP APPROVED
L8. HYORO PEX TEST.
ector: HM Action: AP APPROVED
LB. HYDRO PEX TEST.
ector: HM Action: AP APPROVED
LB. HYDRO PEX TEST.
REPT131 Run Id: 9697
WESTERN NATIONAL CONTRAC �S
8 EXECUTIV� CIRCLE
IRVINE, CA 82614-6746
Ph:(949)862�6200
Letter of Transmittal
To: HENRY MARTINEZ
CITY OF COSTA MESA
77 FAIR DRIVE
COSTA MESA, CA 92628
Ph: (�14) 754-5652 Fax: 714 754-4856
Subject: ENCLAVE BUILDING CERTIFICATIONS
WE ARE 3ENDING YOU
C" Shop drawings
t'" Copy of letter
Letter of CeRification
Letter of Certification
Letter of Certification
Letter of Certification
Letter of Certification
Letter of Certification
Letter of Certification
Letter of Certification
Letter of Certification
Letter of Certification
t7 Attached
t'" Prints
C" Change order
Date
THESE ARE TRANSMITTED as checked below:
Transmittal #: 293
Date: 6/19/2008
Job: 10-193 THE ENCLAVE
�'" Under separete cover via None the following items:
� Plans C'" Samples
i'" Specifications (� Other
No. Descri tion
1 Fuscoe Engineering - c
� Arnet Engineering -
1 Dale Christian -
� NMG Geotechnical - �
1 City of Costa Mesa -
1 DRI - Roofinq
1
1
1
1
Gateway Insulation
AMPAM Parks - PI�
Residential Electric
LDI Mechanical
inal
� For approval C'" Approved as submitted C" Resubmit _ copies for approval
C" For your use f" Approved as noted f"' Submit _ copies for distribution
� As r0quested � Returned for corrections � Retum _ corrected prints
f"' For review and comment f'" Other
f"! FOR BtDS DUE f"" PRINTS RETURNED AFTER LOAN 70 US
Remarks: BUILDING 28
Copy To:
Received:
/
Henry Martinez Date
If enclosures are not as noted, kindly notify us at once.
Page 1 of 2
� °°°°�0
•���oou o ����0�
F N G 1 X E E R I N G
June 9, 2008
Inspection Division
CIN OF COSTA MESA
Building & Safety
77 Fair Drive
Costa Mesa, CA 92628
Attention:
Subject:
City Grading Inspector
Civi) Engineers Certification of Compliance for Precise Grading
Project: Grading Permit No
Building Site:
Building:
Job Address:
Owner:
Work Completed:
G06-00029
Enclave
28
450 Anton Blvd.
IAC
June b, 2008
Irvine
San Diego
inland Empire
Palm Springs
In accordance with the City of Costa Mesa Grading Excavation Code and the
requirements of the Building Code, I certify approval of this project as outlined above,
for Precise Grading. Precise Grading for building 28 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 loter. Certification includes
horizontal and vertica� control.
Sincerely,
FUSCOE ENGINEERING, INC.
� ��
Trevor $cott Dodson, P.E.
RCE42029
Exp. 03/31 /10
( u I I c i r c I e f h i n k i n g
16795 Von Karman, Suite 100, Irvine, California 92606 � tel 949.474.1960 � fax 949.474.5315 � www.fuscoe.com
ARNET ENGINEERING, INC.
� 1577 North Main Street, Suite A
Orange, CA 92867
(714) 379-3789 Fax: (714) 379-8024
FAX'I'RANSMITTAL COVER SHEET
FAX TO: Western National FAX NO: Hand-Delivered
ATTN: Bob Hernandez
FROM: Beat Arnet
DATE:
TIME:
PROJECT: Enclave / The Irvine Company
417 Enclave / Building Permit No. BC07-00055
8/ 15/07
Total number of pages is 1, including this cover sheet
(Please call if you do not receive all pages, or if transmission is illegible).
MESSAGES/COMMENTS:
Dear Bob:
The "Structural Observation" per UBC 1702 regarding strand and rebar layout was performed by me on
August 15, 2007 on the following portions of the Post-Tensioned Slab-on-Grade of the above referenced
project
I3uilding #28 (lA)
The installations are in generai conformance to the plans.
Feel free to call me, if you should have any question.
Sincerely,
ARNET INEERING, INC.
Be t A net, P.E.
cc: Roberto Ortiz Fax 997-3857
' C 04Q486 . .-t".a
Exp.3131109 ,t
y
�'
DALE CHRISTIAN/
STRUCTURAL ENGINEER, INC.
CONSULTING & DESIGN
1744 West Katella Avmue
Suite 107
Orange CA 92867
PH 714 997 I 145
FX 714 997 3857
March 26, 2008
Mr. Jerry Crosby
Westem National Consmiction
8 Execurive Circle
Irvine, CA 92614
Re: The Enclave — Phase III —(Building 28 - concrete and framing)
Irvine Aparhment Communities (Our Job No. 06060)
Deaz Mr. Crosby:
Pursuant to your request, this office has made several site visits to the above described projeck The purpose of the
visit on August 15, 2007 was to observe the placement of the various holddown hazdwaze prior to the concrete pois.
Buildiug 28 was observed d�sing this visit. Deficient items, some quite minor, were brought to the attenrion of the
concrete foreman and were coaected during the pre-slab visit and Building 28 appeazed to be in substanrial
conformance with structural drawings.
T1ils office made a site visit on December 21, 2007 and December 27, 2007, to observe mugh framing for the
above mentioned building fot substanrial conformance to the structural plaos, Deficient items, some wece quite
minor, we;e discussed with either Tony Ramos with Westem National Construcrion or TWR's Franting Foreman.
Observed deficient items were cocrected and the rough framing appeazed to be in substantial conformance with the
sh�uctural drawings by the time ow visits were complete.
These observations aze intended only to assist the framing contractor in conformance with the struct�al plans as they
relate to this residential apaztment project and aze not to be coustrued as "Special Inspections". The responsibiliry
�for such plan conformance, of course, remains with the conuactor. Please do not hesitate to contact me at my office
should you have any further questions regazding the site observation, or with information included in this report.
Sin erely,
D�e�A. C�hristian, S.E. 2705
President
cc: Tom Hilton
John Hyde
G:\WORD_noc\06\06060�Phace ID�FO Letters�Building 28.doc
v�Ov P,CHFf/ST�
, a 2
No.2i05 .
! Exp.3-31-10
*s,.srR�cj�`�'PQ
\F OF C A��F%
:��
NMG
F�-���°r�;r���v=,��
� Geotechnical, Inc.
May 16, 2008
Project No. 04093-01
Precise Pennit No.: G06-00029
To: Irvine Apartment Communities
1 10 Innovation Drive
Irvine, Galifornia 92617
Attention: Mc Tom Hilton
Subject: Summary of Geotechnical Observation and Testing during Precise and Post
Grading Operations, and Special [nspection Services for Buildings 22 through 36
and Gazages G-1, G-10 through G-12 and G-14 through G-16, The Enclave
Apartment Community, City of Costa Mesa, County of Orange, Califomia
As requested, NMG Geotechnical, Inc. (NMG) has prepared this doeument to present the
results of our geotechnical observation and testing during the precise and post grading
operations, and our special inspection services at the subject site. Our services during grading
activities included observation and testing during utility line trench backfill, footing excavations,
and hardscape subgrade preparations. In addition, NMG has performed special inspection
services, including structural concrete reinforcement; structural concrete placement; stressing of
post-tension cables; welding; hardware 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.
[f you have any questions regarding this report, please contact our office. We appreciate the
opportunity to provide our services.
Respectfully submitted� OFESS/
�°Qaooz �N4<
NMG GEOTECHNICAL, INC. y'��` � �'�,, `�yc
_ // �jJ�/� � No. C054250
i xi ii i
I�/ � l EXP.12/09
� Shahrooz "Bob" Karimi, RCE 54250 *
Principal Engineer srq ciw� a�P
�OF CALIEO�
SBK/jC
Distribution: (2) Addressee
(23) Mr. Bob Hernandez, Western National Contractors (includes copies for
submittal to the City of Costa Mesa)
17991 Ficch • Irvine, California 92614 •�PHONE (949) 442-2442 • FAX (949) 476-8322
ltoard nf'Di�ectors
Art Pcrr y
a,�<<��,� s�:i��t�,�
l3nh Ooten
,lama.c l�erryman
Garp Mnnnhon
sraf(
/tohi�r 6. Hruirc�:r
Mtm�ige�
Distr'ict G�r,qra«cr
(J49) 637-173/
77raruas A. E'nttth
Ae�sislant Maqager
Jnari Re��ak
13um-d Secreturv
Progrum Mmrn�er
Clerk � f'lftc Di,sh�ict
nr�,�, �z. e«,�,,.,
[.egcd Co�ense(
� � Mnrcue' D. Ouvis
'I'recisu�zrlDi�rctor of.
Fiq�uue
Phorie
(949)645-8400
Fru
(Jd9)650-2253
Addi�ess
628 W. 19t1i Stree�
Cn.rta Mr.sn, CA
92G27-27/6
O�
p�� P�;�,�.•.r,»,
rt�-�.,�<�i��r, r�<<i����
��. �$� ��.�.�t�.�� ���t-����
. . . an In�e�enc�eKt Specia� District
SEWER INSPECTION LOG
FINAL SIGN-OFF
ENCLAVE
TRACT # 10950
BUILDING 27 418 (20 units)
20 kitchen sinks
201aundry wbs/washers
28 bathmbs
28 wash basins
20 water closets
BUILDING 28 417 (20 units)
20 kitchen sinks
201aundry mbs/washers
28 bathtubs
28 wash basins
20 wafer closets
BUII,DING 29 416 (20 units)
?A kitchen sinks
20 laundry [ubs/washers
28 bathwbs
28 wash basins
20 water close[s
Joe
� �
�
�� s -a �- ��
Da[e Finaled
Protecting our commHhitv�'s �jealtlj I�v� prm�iDing soli� waste a�D sewer callectio� services.
www.crosacra.qnv
Property Address
` CIiY. OF COST,Q MESA
BUILDtPdG DIVOSfOA�
�'�► i�� i� �: -� �. � C.- r. i ' - i `'' ' ; f -' � -, (� I �' Ir .�I
PermitNo. BC07-00055
The Enclave; B1dg.28,Type lA, 417 Enclave, Costa Mesa, CA 9262c
Owner The Irvine Company, LLC. A Delaware Limited Partnership
Contractor DRI Residential Cozporation
State Contractor License Number $19960
Classification C3 9
I ttereby ceAity that I have instaiisci, or caused to be instaltetl, a minimum Class C roof covering at the .
above address in conformance with Chapter 15, and Appendix 15 of the iatest adopted edition of the Uniiorm
Building Code, and the installaSion instructions of the manufacturer.
❑ 1 further certity that I am the owner of the property. {Owner-8uilder permiriee oniy).
❑ I fuAher certify that I am:
❑ Owner oi sote proprietorship company
❑ Full partner of the tomparry
❑ Limited partner of the company
❑ Olticer of the carporation
I certify ihat as an authorized officer or agent of the comparry or corporation, I am empowered to make this
certification, which s�all be bfnding on au successors or assigns of the company or corporation.
I shaii deliver a copy of this Certification to the above listed owner, after submittal of form to the Building
Divi�ion tor acceptance.
Received by Buildirn,� Division
By:
�nitini oate
w�o-as Mw a90 wNu. e�te.q Dn. taw � tmaxw vm.. C+,Y.
DRI Residential Corporation
Compeny or Corpor¢te Name
17182 Armstrong Avenue
Aetlress
Irvine, CA 92614
G
May 29, 2008
Siq'mture pste
Patrick Kay; Vice President Operations
Prinlad a� Typad Nama
i , -
.
, ,
�,�. �' r .
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN COMFORMANCE
WITH THE CLJRRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATNE
CODE, TITLE 24, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
SITE ADDRESS
EXTERIOR WALLS
417 ENCLAVE, IRVINE CA.
MANUFACTURER - CERTAINTEED THICKNESS/CYPE - 3.5" FIBERGLASS
RNALUE - R13
EXPOSED FLOOR
MANLTFACTURER - CERTAINTEED THICKNESS/TYPE - 615" FIBERGLASS
RNALUE - R19
CEILINGS
BLOW:MANIJFACTURER-CERTAINTEED THICKNESS/TYPE-12"FIBERGLASS
RNALUE - R30
GENERAL CONTRACTOR: WNC
[NSULATION CONTRACTOR: GATEWAY INSULATION, INC.
LICENSE #
LICENSE # 797001
+I�
BY: TITLE: OPERATIONS MGR. DATE: 5/9/2008
BUTCH INGRAM OPERATIONS MANAGER.
INSTALLATION C .TIFICATE
_ of
=00� S:
Site Address Permit Number
CF-6R
An ins�allation certificate is required [o be posted at the building site or made available for all appropriate inspections. (The
information provided ou this form is requ'ved; however, use of this form to pmvide the information is optional.) ARer
completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at
occupancy, per Section ] 0-103(b).
HVAC SYSTEMS:
$eating Equipmen[
Equip. A of E55cirncy buct Duct or Htating Neating
Type (pkg. CEC Certified Mfr Name Identical (AFUE, o�c.)� Location Piping Load Capacity
h t 1 d M d � N b S st 2CF-1R v 1 1 � f ni t 1 R- I fBh✓h 1 BnJh 1
Cooting Equipment
Equip. CEC CertiSed Comprusor q of Efficiency Duct Cooling Coaling
7ype (pkg. Unit Mfr Nzme md Identical (SEER, ete.)' Locadav Duct [,oad Capecity
1. > reads greafe> than or egua! [o. �
I, the undasi�ed, verify that equipmeot listed above is: 1) is [he acival equipment i�stalled, 2) equivalent to or more
efficieut than [hat specified in the certificate of compliance (Form CF-1R) submitted for compliance with the Energy
E�ciency Stondards for residential buildings, and 3} equipment that meets or exceeds the appropnate requirement� for
manufactured devices (from [he Appliance Ejficiency Regulations or Part 6), where applicable.
Signature, Date Installing SubconhactAr (Ca Name) -
OR General Contractor (Co. Name) OR Owner
WATER HEATTNG SYSTEMS:
s��Dl�DR/� Il�CN/YC Disaibution IfRec'v- #of Rated° 7auk Effi- Extcmal
Heater CEC CectiSed Mfr Type (Std culatio¢, Identiwl Input (kW VOlume cirncy' Sta�d6y' Insularion
Twe Neme & Model Number Point-0f-Ustl Conhol TYoe Svstcrtss or Btu/hrl (eallonsl !FF RFl I n.z f^/.1 R_�,6�2
�
2 For small gas storage (24d input of less than or equal to 75,000 BhJhr), electric rtsistauce and 6eat pump wahr heaters, list Energy Factor.
For large gas starage water 6eatera (ated i¢put of grea4r t6an 75,000 BnilhrJ, li5t Recovery Efficimcy, Stmd6y LasS and Rated Input.
For instantaneous gae Wahr heaters, list Recovery Efficienry and Ra[ed input.
9. R-l2 exteenal insu{aeion is mandatory foc storage watec ixa�ers with an rnetgy facmr of less ihan 0.58.
Faucets & Shower Heads:
A11 faucets aod sbowerheads iustalled are certified to the Commission, pursuaot to Title 24, Part 6, Section 111.
I, the uudersigned, verify Ihat equipment listed above my signature is: 1) Ihe actual equipmen[ installed; 2) equivalent to
or more effici t an a[ specified in [he certificate of complia[ice (For[n CF-1R) submitted foc compliance with the
Ener dards for residential buildings; and 3) equipmen[ that meets or exceeds [he apptopriate
re 'rem r actured devices (from Ihe AppJfance E�ciency Regula6ons or Part 6), where applicable.
`' `� 08 � nr..,��-�e.k.s N�-�a��, L.
Si aNre, D t Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner <
COPY t ding Department
HERS Provider (if applicable)
Building Owner at Occupancy
Compliance Forms
August 200'I
A-23
//^` �- RESIDE' 1AL ELECTR'IC ASSOC: '�ES, INC.
REA' I Ili� Contracior I_icense �f610435
L� www. reselectric.com
May 9, 2008
City of Costa Mesa
77 Fair Dr.
Costa Mesa, CA 92626
Attn: Randy Buck
RE: Contractor: Westem National
Project The Endave
450 Anton Blvd.
Costa Mesa, CA
Euilding #28 Address 417
Dear Randy,
The electrical work on these buildings complies with the California Title 24
Requirements.
Sincerely,
���-� �
$ob Tripp
General Manag r �
Corporate Address Santa Ana Division
123 Rose Drlve, Fullerton, CA 92833 3240 S STandard Ave., Santa Ana, CA 92705
Phone pl4) 278-0400 Fax p14) 278-0600 Phone p14) 556-3813 Fax pl4) 556-3929
ALLATION CERTIFICATE
CF-6R
Pamit #
An installarion certificate is required W be posted at the buildirtg site or r�de availablc for all appropria[e itupectioas. (The infomietion pro»ded on I}tis fomt
is requ'ued: however, use of this form to provide the information is optioril J After complaion of final inspation, e copy must be plovided to the building
depemnent (upon requat) anl the building owner at occupancy, per section 10.103(b).
AVACSYSTEMS: �
Heating Equipmeni
Equip.'I'ype
(pkg. heat CEC Catifed Mfr, Meke &
P�P, etc.) Modet Number
Hydmnic FirstCompany IBCDXQ-F-C
Hydmnic Firrt Co�any 25CDXQ-F-C
k of Efficiency Duct Duct or Hmting
Idenacal (AFVE,ett.)' Location Piping Load
$ystems j2CF-IR valuej (attiy acJ R-vafue (Bro/6r;
10 soffit R-4.2
10 soffit R-4.2
Cooling Eqwipmcnt
Equip. Type # of
(pkg. heat CEC Cercified Compressor Uni� ldmtical
pum�ac.) Mfr. Name and Model Number Systems
DX•Cooling York GCGDISS21Sl 10
DX•Cooting York CGCD24S2ISt 10
1>_ reads greater than or equal w.
Effaiency Duct Cooling
(SEER, em)' Location Dua Load
[2CF•IRvalue] (attic,etc.) R-velue (Btu/hr)
13 Seer so�t R-41
i3 Seer soffi2 R-4.2
Heating
Cepacity
18,000
25,000
Ccwling
Capaciry
I, the undersigned, verify that the equipmmt listed above is: 1) is the ectuai equipmmt instalitd, (2) equivelmt to or moro efficient than that specified in the
certificate of complience (Form CF-1R) submitted for compliance wi[6 the Ene� Efficiency Sta�vlards for residentiel buildings, a� (3) equipment that mcea
or execeds the appropriate requimneuts for menufacNred devices (finm the Applience Efficirncy Regulations or Part 6), where applicable.
' IAI Mahanical
Lorra(ne Hemand� � HVAC Subconuacwr (Co. Neme)
OR Gmeral Contractor OI�'Owncr
WATER HEATINC SYSTEMS: .
Waea CEC Certified Distribudon If Rxir- Ra�ed Input Tank Efficiency Smndby Erztemsl
Heater MB Neme �$. Type (Std, culatioq # ofldmutical (kW or Volume (EF, RE) Loss (°�j (nsvlation R-
Typet# Model Number Point,of-Use) Conhol Typc Systems Btulhr) (gallons) value
FALCETS & SHOWER 9EADS:
All faucets and showttheads insenited ere listed in thc Cortvnisioac Directory ofCertified Faucets and Showenc�ads,
pu*suant w Tiqe-24, Pan 6, Subchapter 2, Sec[ion 1 I 1.
1, the u�ersigned, vuify tha[ the equipmrn� iis[ed in the categary above my signn[ure is the actual equipmen[ ins[allyd nnd tha[ [hc cquipmen[ meeu or exceeds
t6e requirements of the Appliance EtFciency Stendards, In edditiott, I have verified thetthe equipmrnt ia eqwvalrnt to or more ef}icient than the equipment
specified on ihe Cenificete of Compliauce submitted to demonsvat� complience with dre Eoergy E�ciency Standerds for rcsidential buildings.
Sigianve, Date
COPY TO:
Building Depanmeot
HEAS Pmvider (if spplicable)
Building Owna at Occupancy �
Plumbing Subcontracror (Co. Name)
OR Gene'ai ConhacWr OR Ownv
CITY OF COSTA MESA
� BYILDING D/VIS/ON
i . � 77 FAIR DRIVE, CpSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • vnvw.ci.costa-mesa.ca s
F
�.�p � FOR INSPECTIONS CALL: (714) 754-5626
� PERMIT NUMBER E07-00848
PERMIT TYPE ELEC
JOB ADDRESS: 417 A ENCLAVE CI CM' ''
vicinity
STATUS: ISSUED
DATE ISSUED: 10/11I2007
ISSUED BY: SOK
Suite/Unit: A
SCOPE OF WORK: INSTALL 1 T�MPORARY POWER POLE FOR "ENCLAVE APARTMENT HOMES", ;' '
OWNER: THE IRVINE COMPANY�, . - ' Address: Unit: - . , � �
PHONE: . . , CitylState/Zip: � .
APPLICANT: CARLOS ZAMORA � � - ' -.-Addresa ,'��
PHONE: 800•863-2525" "" , ' ' ,` ��t ' City/StatehZip:��
CONTRACTOR: SR BRAY CORP DBA POWER PLUS TEMP UTILITY SERVICE
523596 - , - � -
Address: 1005 N EDWARD CTUnit: � � � �
Ciry/State: ANAHEIM, CA� � ZipCode: 92806
ELECTRICAL PERMIT FEES
Electrical Plan Check Fee: $0.00
Electrical Permit Fee: $47.00
Reinspection Fee $0.00
TOTAL FEES $47.00
1005 N EDWARD �CT Unit: ��'
-ANAHEIM; CA " , •
License No.
PHONE: 800-863-2525
CELL:
0
NO710E: The work authorized by lhis permit shall comply with all applicable handicap access requirements under California staNtes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES �80 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPEC710NS: In order (or the work authonzed under this permit to be considered legal, such work must comply vnth all applicahle codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of lhis permit.
C �E/. INSPECTIONTYGE D�TF INTITIRI LOOEp INSPELTIONTYPE DAT INTI71RL5
1816 Fixed System Final Fire Prevention 208 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical �Q �i % J�
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 Oemolition � 25p Final Building�OccuOancy
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalty of peryury one of the following declaretions:
❑ I have and will maintain a ceAificate of consent lo self-Insure (or workers'
wmpensation, as provided for by section 3700 of the labor Cotle, for the
eAormance of the work tor which this permit is issuetl.
r I.have and will mainlain workers' compensalion insu2nce, as required by
1 s� pn 3700 of the Labor Code, for the pertortnance of the woB for which this
permit is issued. My workers' compensation Insurence carrier antl policy
number are: �
Cartier_ �
ihisSeIXiunneedrrofD mmple(etlN(h paim,lisvaluedafonenundreddollars(5f0o)wless)
CPoIicyNumber:� � ��.V - 6 Q
�—I certify that in the peAormance of the work (or which this permit is
issued, I shall nol employ any person in any manner so as to become subject
to the vrorkers' compensation laws of California, and agree that it I should
become subject to Ihe workers' compensation provisions of Seclion 3700 of
the L orCode, I shall torthwith comply with these provisions.
�� 1(L( I - �;
Appiwm's5ignaNre ' �- Date�
W�ING FAI� ECURE WORKERS' COMPENg.4T10N"COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($700,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEVSFEES.
LICENSED CONTRACTORS DECLARATION:
1 hereby affirm lhat I am licensetl under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Protessions Code, and
my license is in (ull force a�n—d pettecl.
Lic'#'— :�� � f �iJ �Class # � � �
r—� / o - i I-O�
� imnor's Si8^awrc - _ — --.. —r e"�� �
_ �__
CONSTRUCTION LENDING AGENCY:
❑ I hereby aKrm that there is a consWctbn lending agency fa the
peAwmance of the v.ork far v.fiich this pertnit is'ssued. (Sec. 3097, Civil Code).
Lender s Name:
Lender's Address:
Date
OWNER-BUILDER DECLARATIONS:
I hereby aKrm that under penalty ol perjury that I am EXEMPT FROM 7HE
CONTRACTORS LICENSE LAW for the following reason (Sea 703L5,
Business and Professions Code: Any ciry or counry which requires a permit to
construct, alter, improve, demolish, or repair any strucNre, prior to its
issuance, also requires the applicant for such permit to f le a signed statement
that he or she is licensed pursuant lo lhe provisions o( the ConVactors
License Law (Chapter 9(commencing with Sec[ion 7000) ot Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and
Ihe basis for lhe alleged exemption. Any violalion of Section 7031.5 by any
applicant for a permit subjec[s the applicant lo a civil penally of not more than
five hundred dollars ($500).):
❑ I, as ovmer of the property, or my employees vrith vlages as their sole
compensation, WILL DO THE WORK, and the sWcture is not intended or
oRered tor sale (Sec. 7044, Business an0 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 Ihat such improvements are not intended or ofteretl tor
sale. I(, however, 1he building or impmvement is sold within one year of
completion, the ovmer-builder will have the burden of proving that he or s�e
did not builtl or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construct the projecl (Sec. 7044, Business and�
Pro(essions Code: The contractors License Law dces not apply to an owner of
property who builds or improves thereon, and who contracts for such project with
a contracta(s) license pursuant m the Contractors Ucense Laws.).
❑ I am exempt under sec.
Business antl Professions Code for this reason:
SignaWre Date
JOS��a6(3/07)
O�mer ID verified by dnver's . e. ❑ Yes ❑ No
Driver's License No. Expires:
�Venfication of Ovmership by (rype of document, i.e. - property lax bill or deed):
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: �
❑ I hereby certrfy that no excavation frve (5) or more (eet in depth into wfiich a
person is required to tlescend, will be made in connection vrith vrork authorized
by this pertnit, and that no building structure, scaffdding, falsework, v demolition
or dismantling thereof, will be more than thitly-six (36) feet high. (Chap. 32, Grp
2, Art 2, Sec. 341, Title 8, Califomia Administ2tive Code).
❑ As owner-builtler, I will not employ anyone to do vrork which wnultl
require a permit from the Division o( Industrial Safety, as noted above, unless
such person has a permit to do such work from the division.
ApPhcanl's Signalore
Division of Industrial Safety Permit Number. _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant neetl to file and
certify a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Seclion 25505 of the Califomia Health and Safery Code requires, with some
exceptions, that a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quantity oF hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet ot wmpressed gas
at s[antlard temperaNre and pressure).
2. Does or will the applicant or present or future builtling occupant neetl to fle
a registration fortn for acutely hazardous malerials? ❑ Yes ❑ No
(Seclion 25533 of the Califomia Health anC Safety Code, with some
eaceptions, requires registration vrith Ihe Costa Mesa Fire Department by
each business which at any one time has on hand a quantiry of acutely
hazardous matenals equal lo or greater than a weight of 500 pounds, or a
volume o! 55 gallons, or 200 cubic feel of compressed gas al standard
temperaNre and pressure).
3. Does or will the applicant or present or IuWre building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acu[ely
hazardous matenals)? ❑ Yes ❑ No
(Section 25534 of the Califomia Health and Safery Code Drovides that the
Costa Mesa Fire Deparimenl may require the preparation, certifica[ion and
fling with the Fire Department of an RMPP by businesses whic� are required
to register acutely hazardous materials with the Fire DepartmeN.
4. If an RMPP is presenlly required, has Seclion 25534 of lhe California
Health antl Sa(ety Cotle been fully complied with7 ❑ Yes ❑ No
5. Dces or will [he applicant or present or fuNre builtling occupant require for
the work which is the suDjacl of this ap0licalion a permil for such constmction
or modifcation from the South Coast Air �ualiry Management District or from
any other air polWtion control distric[ or agency? ❑ Ves ❑ No
(Sectbn 658502 of the Califomia Govemment Code 2quires Ihat the requested
infortnation be fumishetl on appliwtions for nornresidential building pertnits).
6. Will any part of the lacility to be constructed under this permit be within
1000 feet from lhe outer bountlaries of a school7 ❑ Yes ❑ No
(If yes", the faciliry must meet the requirement of Sections 25534 and 42303
of lhe Cali(omia Health and Safely Code).
7. If a pertnit from the South Coast Air �ualily Management District or o[her
air pollution control disMcl or agency is required for Ihe work which is lhe
subject of this applitation, have all of the disclosures prescribed by Califomia
Health and Safety Cotle Section 42303 been made7 ❑ Yes ❑ No
8. Qf yes", attach cedificate of compliance fmm the appropdate air polWtion
control oKcer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of peryury the
information qiven ahove is wrrect. I agree to wmply v,ith all slate laws and
city ortlinances re9arding HazarCous Materials and Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty ot perjury Ihat I have read this application and state Ihat
the infortnation given is conecl. I agree lo comply vrith all state laws and city
ordinances relatinq to builtling construction, and authonze representatives of
the Cily of Cos[a Mesa to enter upon the above-descnbetl property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until Mal inspection.
ignawreolLeBal6wneqs) Da�e
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