HomeMy WebLinkAbout422 ENCLAVE CIR - Building PermitsCITY OF COSTA MESA
� � "' , BUILDING DIVISION
F . � 77 FqIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us
°. � FOR INSPECTIONS CALL: (714) 754-5626 FO%-00224
�'"'^°^°"°� FIRE SUPRESSION PERMIT
JobAddress: 422 ENCLAVE CI
Suite:
Vicinity:
Parcel Nunmber: TPN007046
App�icant: KIRK HEMANS
Address:
Owner. THE IRVINE COMPANY..
Address 1101NNOVATION �
IRVINE, CA
Zoning:
Phone: 714-666-8450
Zip:
Phone: 949-720-5536
Zip: 92612
Contractor: RESIDENTIAL FIRE SYSTEMS INC
Address: 2871 E VIA MATRENS
ANAHEIM,CA�
Phone: 714-666-8450
Zip: 92806 � .
License: 786965
Slatus: ISSUED
Applied: O6/27/2007
Issued: 07/03Y2007
SCOPE OF PERMIT
PHASE 3, INSTALL 353 OVERHEAD SPRINKLERS FOR NEW 24,867 S.F. MFD, TYPE 3A, 28 UNITS
FOR "ENCLAVE APARTMENT HOMES" �
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: So.00
Permit: $0.00 Claimed Valuation: So.00
Other: $0.00
Total: $0.00
F�n- cw- e �y �o�,
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulalions. (Ord. No. 92-28, § 1. 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In ortler for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permil.
COOE1. INSPECTIONIYPE DATE IN7111RL5 COUE/ INSGECTIONTYGE DRTE INTina�s
7816 Fized System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Rool 210 Final Elecirical
201 Final BIocWRetaiqing Wall 272 Final Fire Prevention r"��6 �
202 Final Faclory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition ' 250 Final Building/Occupanty
WORKERS' COMPENSATION DECLARATION:
I hereby aKrm under penalty of perjury one of the following declaralions:
❑ I have and will maintain a certifcate o( wnsent to self-Insure for workers'
compensa�ion, as provided for Dy section 3700 of the Labor Code, (or Ihe
e cmance ot the work for vfiich this permit is issued.
r, �
1eYphave and will maintain wvrkers' compensation insurance, as reQuired by
section 3700 of Ne Labor Code, fw Ihe peAormance of Ihe v.ork !or which this
permit is issued. My vrorkers' compensation Insurance carrier and policy
number are: " ^
,�Gamer. i S i%�'C �l�J
in'ssequnnee0iror canry�ctertl/-�hce—pe7�miava�ueda�mahurMreOdaaars(SiOulakssJ
,Policy;Nu��D�W -� \ — ?���
,❑ I certify that in the pertormance of lhe work tor which Ihis permit is
issued, I shall not employ any person in any manner so as to become subject
to the vrorkers' compensation laws of Califomia, antl agree that if I shoultl
become subject to Ihe workers' compensation provisions of Section 3700 0!
the Labpr�otle, I sha hwith comply with these provisions
,J���� i//SF- h . a'^1 � !
} P�pllranfsBignature'—" - �,a` � �D�a .^ ' . �:
lr`�_�� ., �
WARNING: FAILURE TO SECURE 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 affrm [hat I am licensed under provisions of Chapter 9(commencing
with Seclion 7000) of Division 3 of the Business and Prolessions Code, and
my license is Qin full torce and effect.
Lic.# �u� � CWss�#�y- CC
�..- -'="� �
C '-Ici:c'�5'�y�aWre--n�.:.:�++ ' `Oa
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirtn that there is a constructbn lentling agency for the
performance of the work fa which this pertnit is issued. (Sec. 3097. Civil Code�.
Lender's Name:
Lender's Adtlress:
OWNER-BUILDER DECLARATIONS:
1 hereby affirm that untler penalty of perjury that I am ExEMP7 FROM THE
CONTRACTORS LICENSE LAW (or the (ollowing reason (Sec. 7031.5,
Business and Professions Code: Any city or county which requires a permit lo
consiruct, alter, improve, demolish, or repair any stmcture, prior to its
issuance, also requires the applirant for such permit to file a signed slatement
that he or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9(wmmencing with Section 7000) of Division 3 of the
Business and Professions Code) or l�at he or she is exempt there(rom antl
the basis for the alleged exemption. Any violation o! Settion 7031.5 by any
applicaN for a permit subjects the applicant to a civil penally ol not more Ihan
Lve huntlretl tlollars ($500).):
❑ I, as owner of the property, or my employees with wages as Iheir sole
compensation, WILL DO THE WORK, antl the structure is not intended or
oftered for sale (Sec. 7044, Business and Protessions Cotle: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who dces such vrork himself or hersel( or through his or her own
employees, provided lhat such improvements are not intended or oftered for
sale. If, however, the building or improvement is sold vrithin one year of
completion, the owner-builder will have the burtlen of proving Ihat he or she
did not build or improve for purpose of sale.).
❑ I, as owner o( the property, am EXCWSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construcl lhe pmject (Sec. 7044, Business and
Professions Code: The contrectas License Law dces not apply to an owner of
property who builds or improves thereon, and who contracts for such project with
a contractor(s) license pursuant to the Contrectas License Laws.�.
❑ I am exempt under sec.
Business�and Professions Code for this reason:
SignaWre
309-a6 �JIOI)
Owner ID verified by dnver s li, .e. ❑ Yes ❑ No
Driver's License No. Expires:
Verifcation of Ovmership by (type of document, i.e. - property tax bill or Ceed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certAy that no excavation frve (5) w mwe (eet in depth into which a
person is required to descend, will be made in connection with work authorized
by this permit, and Ihat n0 building slrucWre, 5caffdding, false�wrk, a Oemolition
or dismantling thereof, will be more than thirty-sa (36) feet high. (Chap. 32. Grp
2, M 2, Sec. 347, Title 8, Califomia AdministraWe Code�.
� As ovmer-builder, 1 will not employ anyone to do work which woultl
require a pertnit from the Division of InOustrial Sa(ery, as noted above, unless
such person has a permit to do such vrork from �he division.
Appli�a^I's Signalure
Division ot Industrial Safety Permit Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will Ihe applicant or presenl or fuNre 6uilding occupant need lo file and
certify a Business Plan for emergency response to release or threarened
release of a hazardous material? ❑ Ves ❑ No
(SeCtiOn 25505 of the Califomia HeaIN antl Sa(ety Cotle requires, with 5ome
exceptions, that a Business Plan be filed with Ihe Costa Mesa Fire
Department by every business which has at any one time tluring a reported
year a quantiry of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic (eet ol compressed gas
at standartl temperature and pressure�.
2. Does or will the applicant or present or future Duilding occupant need to file
a registration form for acutely hazardous materials7 0 Yes ❑ No
(Section 25533 of lhe Califomia Health and Salety Code, with some
exceptions, requires regis[ration vrith the Costa Mesa Fire Department by
each business which al any one tima has on hand a quantily of acutely
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic teel of compressetl 9as at standard
temperature antl pressure).
3. Does or will the applicant or present or NWre building occupant need ro
prepare an RMPP (Risk Management and Prevention Pmgram for acutely
haurtlous matenals)? ❑ Yes ❑ No
(Section 25534 0( the California Health and Safery Cotle provides that Ihe
Costa Mesa Fire Department may require the preparatioq certification and
(ling with ihe Fire Depariment of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Depariment.
4. If an RMPP is presently required, has Section 25534 of the California
Health and Safety Code been fully complied with? ❑ Ves ❑ No
5. Does or vnll the applicant or present or fulure building occupanl require (or
the vrork vfiich is the subject of this applicalion a permit for such construction
or modifwtion trom the South Coasl Air Qualiry Management DisMcl or from
any olher air p011ution conlrol distnct or agency7 ❑ Yes ❑ No
(Sectbn 658502 0( the Califomia Govemment Cade requires tha� the reque5ted
infortnation be fumished on applications fa ran-resitlential building pertnits).
6. Will any part of [he taciliry to be constructed under this permit be vnthin
1000 fee[ from the outer bountlaries of a school? ❑ Yes ❑ No
(If yes", the facility musl meet the requirement of Sections 25534 ana 42303
o( the Cali(omia Health and Safety CoOe).
7. If a permit fmm the South Coast Air Qualiry Management District or other
air pollution contml district or agency is requiretl for the work which is the
subjecl of this application, have all of the disclosures prescribed by Califomia
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. (If'yes", attach certificate of wmpliance from the appropriate air pollution
contml officer�.
CERTIFICATE OF COMPLIANCE: I certiFy that under penalty of perjury the
information given above is correcL I agree to comply wilh all SWte laws and
city 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
Ihe information given is correcL 1 agree to comply wilh all s�ate laws and city
ortlinances relating to building construction, and authonze representatives of
Ihe Ciry oF Costa Mesa to enter upon the above-tlescribed propeRy for
inspection purposes. I agree not to occupy or allow occupancy o� any building
au[horized by Ihis pertnit until final inspection.
Signal LegaiOwner(s) ate
� /i
'Mtl rAul�onxe�Ppplicanl��Y��'-�� '.D e � �
CITY OF COSTA MESA
BI/ILDING DIVIS/ON
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 F07-00305
�A"°*^`°� FIRE SUPRESSION PERMIT
JobAddress: 422 ENCLAVECI .
Suite:
Vicinity: y � ,
Parce� Nunmber. TPN007046 ", Zoning:
Applicant VICTOR'BALANCIO
Address: 17992 COWAN � -
IRVINE, CA
Owner. THE IRVINE COMPANY.
Address 1101NNOVATION ,
IRVINE, CA
Phone: 949-074-0555 '
Zip: 92614
Phone: 949-720-5536
- Zip: 92612
Contracior: THE GREATER ALARM CO INC
Address: 17992 COWAN
IRVINE, CA
Phone: 949-074-0555
Zip: 92674 -
License: 469046
SCOPE OF PERMIT
FIRE ALARM SYSTEM FOR PHASE III: NEW 24,867 S.F. MFD, TYPE 3A, 28 UNITS "ENCLAVE
APARTMENT HOMES". REF#: BC07-00063.
FEE SUMMARY
Plan Check: $0.00 ' -
Permit: ' ' �
Other: $0.00
Total:
r� e'- C' - C�,.:s -�, ;�� I C� `�
Status: ISSUED
Applied: 10/31/2007
Issued: 1 VOB/2007
Calc Valuation: 50.00
� Claimed Valuation: So.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) � �
EXPIRATION: PERMIT EXPIRES 180 DAVS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this pertnit to be considered legal, such work must comply with all applirable codes, and all
required inspedions and final approval must be obtained. Failure to obtain inspections and fnal approval will resWt in the expiration of this permit.
COOE1, INSPECTIONTYPE DRTE INTIi1�LS CODEI I_N$DECl10NTYPE DATE IN7171AL5
1616 Faed System Final Fire Prevention 206 Final Mechanical
1288 Pool Spa Final 208 Final Plumbing
200 Final Ra-Rool 210 Final Electncal
201 Final Block/Retaining Wall 212 Final Fire Prevention -�,-�(i , ii/�7
202 Final Factory Fire Place 220 Final Planning Approval
203 FinalSign 222 Fina15ite
204 Final Demolition � 250 Final Building/Occupancy
WORKERS' COMPENSATION DECLARATION:
I hereby aHirm untler penally of perjury one of the following tleclaralions:
❑ I have and will maintain a certifcate o( consent to selhlnsure for workers'
compensation, as provided for by section 3700 0l Ihe Labor Cotle. for the
eAormance of the work for which this permit is issued.
I have and vnll maintain v.orkers' compensation insurance, as requiretl by
ion 3700 of the LaDor Cotle, for the perfortnance of the v.ork (w which this
pertnit is issued. My workers' compensalion Insurance carrier and policy
number are:
Camer:>�7 r j�/�TIOh1Ai- �l-15� GO -
��Tnbsedqnnea�rplcem�npleteCAlne rtur5val�ue,0balmanuntliedtlotlars(f100)aleuJ
Poi, icy Number: �-�,�1ii�iL��lv / �
❑ I certify ihat in the peAortnance of the vrork for which this permit is
issued, I shall not employ any person in any manner so as to become subject
to the vrorkers' com ensation laws ot Calitomia. and agree that if I should
be ubjecl lo t�ie vrorkers' compensation provisions of Section 3700 of
t L I Code, I s all forthvrith wmply with lhese provisions.
��' �•��
SipnaWrc �Dzte 1
WARNI UR TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNL4WFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOILARS
($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.
LICENSE� CONTRACTORS DECLARATION:
I hereby aKrm that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 ot the Business and Professions Code, and
my license is in full force and effect. �1-�
Cic.—# �� ��� Class #� G �� �/
._ — � •q.07
� /Date
i - �.-- �
CONSTRUCTION LEN81dGJ18ENCY:
� I hereby aKrm that lhere isl a constructbn lending agency for the
pertwmance o( Ihe work for wfiich Ihis pertnit is issued. (Sec. 3097, Civil Code).
Lenders Name:
Lenders Address:
SignaWre Date
OWNER•BUILDER DECLARATIONS:
I hereby affirm that untler penalcy of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5.
Business and Pmfessions Code: Any ciry or county which requires a permit ro
construct, alter, improve, demolish, or repair any sWCNre, prior to i�s
issuance, also requires the apDliwnt for such permit to file a signed slatement
that he or she is licensed pursuant to ihe provisions ot the Contractors
License Law (Chapter 9(wmmencinq wilh Section 7000) of Division 3 ot me
Business anC Pro(essions Code) or Ihat he or she is exempt therefrom and
the basis for the alleged exemption. Any violation of Seclion 7031.5 by any
applicant for a pertnit subjects lhe applicant to a civil penalry of not more than
fve hundred dollars ($500).�:
❑ I, as owner of ihe property, or my employees with wages as their sole
compensation, WILI DO 7HE WORK, and Ihe structure is not intentled or
offered for sale (Sec. 7044, Business and Professions Cotle: The Contractors
License Law tloes not apply lo an owner of properly who builds or improves
thereon, and �who does such work himself or herself or Ihrough his or her own
employees, provided that such improvements are no1 intended or oRered for
sale. If, however, Ihe building or improvement is soltl within one year of
completion, the ovmer-builder vnll have the burden of proving Ihat he or she
did not 6uild or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to wnstruct the project (Sec. 7044, Business and
Professbns Cotle: The cont2ctors License Law dces not apply lo an ovmer of
property who builds or improves thereon, and who contractslor such projecl with
a contracia(s) license pursuant to the Contractors Ucense Laws.).
❑ I am exempt under sec.
Business antl Protessions Code for this reason:
Owner ID venfied by driver's . ,e. ❑ Yes ❑ No
Driver's License No. Expires:
Verifcation of Ownership by (rype of document, i.e. - propeny taa bill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certAy that no excavation frve (5) or more feet in depth into wfiich a
person is requiretl to descentl, will be made in connectbn with work authonzed
by this pertnit, antl that no building strucNre, sc�fdding, false�wrk,�a demolition
or tlismantling thereof. will be more than thirty-su (36) feet high. (Chap. 3.2, Grp
2, Art 2, Sec. 341, TiHe 8, Califomia Atlminist2Me Code).
❑ As owner-builder, I v+ill not employ anyone ro do work which wvuld
require a permit from the Division of Industrial Safety, as noted above, unless
such person has a pertnit to do such vrork from the tlivision.
Applit3nfs Siqnalure
Division of Industrial Safety Permit Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or fuNre building occupant need to fle and
certify a Business Plan for emergency response lo release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the California Heal[h and Safe[y Cotle requires, with some
exceptions, that a Business Plan be �led with the Costa Mesa Fire
Department by every business which has at any one time Ouring a reportetl
year a quantity of hazartlous materials equal to or greater than a weight ot
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperalure and pressure).
2. Does or will Ihe applicant or present or future building occupant need to file
a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the Califomia Health and Safe[y Code, wilh some
exceptions, requires registration wi[h the Costa Mesa Fire Department by
each business which at any one lime has on hand a quanlity o( acutely
hazardous matenals equal to or greater than a weight of 500 pountls, or a
volume of 55 gallons, oi 200 cubic feet of compressetl gas at standartl
IemperaNre and pressure).
3. Does or will the applicant or present or fuWre building occupanl need to
prepare an RMPP (Risk Management antl Prevenlion Program for acutely
hazardous malerials)? ❑ Yes ❑ No
(Section 25534 of the California Health and Safery Code provitles that the
Costa Mesa Fire Department may require Ihe preparation, certification and
filing with Ihe Fire Department ot an RMPP 6y businesses which are required
to register awtely hazardous materials vrith the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the Cali(omia
Health antl Sa(ery CoCe been fully wmplied with? ❑ Yes ❑ No
5. �oes or will the appliwnt or present or fuNre building occupant require (Or
the work which is �he subject of thi5 application a permit (or such constmction
or modification fmm Ihe South Coast Air Quality Management District or from
any other air polWtion control district or agency? ❑ Yes ❑ No
(Sectbn 658502 of the Calitomia Govemment Code requires that Ihe requested
infortnation be fumished on applications ta non-residential builCing pertnits).
6. Will any part of Ihe (acility to be constructed under this permit be within
1000 feet !mm !he outer boundaries of a school? ❑ Ves ❑ No
Q( "yes", the facility must mee� the requirement of Sections 25534 and 42303
of the California Health and Safety Cotle).
7. If a permit from the South Coast Air Quality Management Districl or other
air polWtion contml district or agency is required for Ihe vrork which is the
subject of this appliwtion, have all of Ihe diSclOsureS pre5cribed by California
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. Qf'yes", attach certificate of compliance from tha appropdate air polWtion
conirol oKcer).
CERTIFICATE OF COMPLIANCE: I ceAify Ihat under penalty of perjury Ihe
intormation given above is correct I agree to comply wilh all state laws and
city ordinances regarding Hazardous Matenals antl Emissions. �
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury thal I have read this application and state that
the infortnation given is correct. I agree to comply with all state laws and city
ordinances relating to building construclion, and aulhorize representatives of
the City of Costa Mesa to enter upon Ihe above-described property for
inspection�purposes. I agree not lo occupy or allow occupancy of any buildinq
authorized by this permit until (nal inspection.
re of Legal ner(s) Da�e
5,9�,�,� oa,� , 11 • �i � 67
305]�a6 (3/0]) " �
' �` orrzeG Irmm Date
CITY OF COSTA MESA
BYILDING DIV/SION
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754d856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
F07-00224
FIRE SUPRESSION PERMIT
�obnddress: 422 ENCLAVECI '
Suite:
Vicinity: =- „ , � .
i/(= 'i
Parcel Nunmber TpN007046 ' ' � Zoning: '
'_- y;
App�icant DOUG.BROZOVICH -;'
Address: 1202 EAST HUNTER�AVE
' "� Phone:. 774-237-0739
SqNTA ANA, CA � `� _ Zip: �92705
�,y' . � � � � � . .' - �
Ownec THE IRVINE GOMPANY..
Address 1101NNOVATION� . � -
Contractor.
Address:
Plan Check:
Permit:
Other.
Total:
IRVINE, CA
Phone: 949-720-5536
.Zip:- 92612
r
Status: ISSUED
Applied: 06/27/2007
Issued: 07I03/2007
BAKER COMPANY'CONSTRUCTORS INC ,
1202 EAST HUNTER AVE . � - -- � � . � ,
- � � Phone: 714-835-8572 ,
SANTAANA.CA�. . .' Zip: 92705-.. � . . � : i
- .. � , . .. License: 822444'� -� �.. .".
, � '.� �� . � � ' � -
' SCOPE OF PERMIT ,
PHASE 3yINSTACL 353�OVERHEAO'SPRINKLERS FOR NEW 24,867 S.F, MFD, TYPE 3A, 28 UNITS
FOR "ENCLAVE APAR7MENT HOMES" � � - � � . � � '
':-�_." , � . � ,� , :'�. . .
'• , _ � ` FEE"SUMMARY
$0.00 � "' "� ' ` � . � . ' Calc Valuation: so.00
$0.00 Claimed Valuation: So.00
$0.00 " „
$0.00
r-Ft�-�w- ��tiio�
NOTICE: 7he vrork authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulalions. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order tor the work aulhorized under this permil to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obhained. Failure to obtain inspecGons and final approval will result in the expiration of this pertnit.
COpE1, INSPECTIONTIPE D� INTffIRL �Q$� INSPEGTIONTYPE � NI 1i71AL5
1818 Fixed System Final Fire Pre�ention 208 Pinal Mechanical
1268 Pool Spa Final - 208 Final Plumbinq
200 Final Re-Roof 2t0 Final Electri�al
9 � ��� ��n
201 Final BIocWReWinin Wall 212 Final Fire Prevention
202 Final Factory Fire PIaCe � 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
WORKERS' COMPENSATION DECLARATION: .
I hereby aKrm under penalry of perjury one of l�e (o���wing tleclaralionsr
❑ I have antl will maintain a certifcate of consent to self-Insure for workers'
compensation, as provided for by section 3700 of t�e Labor Cotle, for the
peAormance of the woAc for which this permit is issuetl.
�have and will maintain workers' compensation insurance, as required by
� e tbn 3700 ot the Labor Code. fw Ihe pedormance of the vrork tor which this
pertnit is issuetl. My workers' com ensation Insurance cartier and policy
number are: (� �
c m�� I�� IA )�f�
(TnusectwneetlrrolDecnmdetMemepemr46valuedatanen�ridr Oonars(Stoo�wless)
'' �ll io 3= loy�
Poiity N�—`umber��
❑ 1 certify lhat in ihe pedormance of Ihe work for which this permit is
issued, I shall not employ any person in any manner so as to bewme subject
b the workers' compensation laws of California, and agree thal if I should
bewme subject to the workers' compensation provisionwwws of Section 3700 of
the Labor CodC� th compl vnth these P��. � O�
�Ap'�IpicanYsSignaNr� �I�Oate
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL
PEWILTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS
($700,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE IABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing
wilh Seclion 7000) ol Division 3 of lhe Business and Professions Code, and
my licens�eJ[.� in fu I lorce and ftect.
Li A�` u t' C�a'S5 #`�. —
V^
Cbnlra2lor-SfBna� �Da� �
L"F � _ _ 1 - ,.�
CONS7RUCTION LENDING AGENCY:
❑ I hereby aKrm that there is a constructbn lending agency for Ihe
pedortnance of the aork for wfiich this permit is issuetl. (Sea 3097, Civil Code).
Lender's Name:
lender's Address:
Signawre
OWNER-BUILDER DECLARATIONS:
I hereby affrm that under penalty o( perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5.
Business and Professions Code: Any cily or county which requires a permit to
conSWct, aller, improve, demolish, or repair any slructure, pdor to its
issuance, also requires tha applicant !or such permit to file a signed sta[emen[
that he or she is licensed pursuant to the provisions of Ihe Contrac[ors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business antl Professions Code) or Ihat he or she is exempt therefrom antl
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permil subjecis the applicant to a civil penalry ot not more than
(ve hundred dollars ($500).):
❑ I, as owner ot the property, or my employees with wages as Iheir sole
compensation, WILL DO THE WORK, and the structure is nol intended or
offered for sale (Sec. 7044, Business and Professions Cotle: The Contractors
License Law does not appty to an ovmer o! property who builds or impmves
thereon, and who does such work himself or herselt or through his or her own
employees, provided that such improvements aie not intended or oRered for
sale. If, however, ihe building or improvement is sold wilhin one year of
completion, the owner-builder will have the burden of proving that he or she
Citl not build or improve for purpose ot sale.). �
❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WI7H.
UCENSED CONTRACTORS to consWct the pmject (Sec. 7044. Business and
Professions Code: The cont2ctas License Law does not apply to an owner o!
propeAy who builds or improves thereon, and who contracts for such project with
a contractor(s) license pureuant tothe Contractors License Laws.).
0 I am exempt untler sec.
Business and Professions Code for Ihis reason:
SiBnaWre ' Daie
JOS]-4fi(3I0])
Owner ID verifed 6y tlrive ise. ❑ Yes ❑ No
Driver's License No. Expires:
Verifcalion of Ovmership by (type of document, i.e. - property lax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMI7 CER7IFICATION:
❑ I hereby cetldy that no excavation frve (5) or more feet in tlepth inio which a
person is required to descentl, will be matle in connectbn with work authorizetl
by this permit, and that no building sWcture, scaffdding, falsework, ar tlemolition
or tlismantling thereo(, will be more ihan thitly-six (36) feet high. (Chap. 32. Grp
2. Art 2. Sec. 341, Trtle 8, Califomia Administrative Code).
❑ As owner-builtler, I will not employ anyone to do vrork which would
require a permit from the Division of Industrial Safery, as noted above, unless
such person has a pertnit to do such work from the division.
Ap0lican(s SignaWre
Division of Intlustrial Safety Permit Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
7. Will the applicant or present or future builtling occupaM neetl to file and
ceAify a Business Plan for emergency response to release or Ihreatenetl
release of a hazardous malerial7 ❑ Yes ❑ No
(Section 25505 of the Califomia Health and Safety Code requires, with some
exceptions, that a Business Plan be (led with the Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quantiry o( hazardous matenals equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standartl lemperature and pressure).
2. Does or will the applicant or present or WWre 6uilding occupant need to file
a registration form !or awtely hazardous matenals? ❑ Ves ❑ No
(Sec[ion 25533 of the California Heaflh and Satety Code, with some
exceptions, requires registration with the Cosla Mesa Fire Depariment by
each business which at any one time has on hand a quantity of awtely
hazartlous materials equal to or greater than a weight of 500 pountls, or a
volume of 55 gallons, or 200 cubic feet o( compressed gas at standard
tempera[ure and pressure).
3. Does or will the applicant or present or fuWre building occupant neetl to
prepare an RMPP (Risk Management and Prevention Program (or acutely
hazardous materials)? ❑ Yes ❑ No
(SeClion 25534 of lhe Califomia Health and Safety Code provide5 I�at Ihe
Costa Mesa Fire Department may require Ihe preparation, certiflcation antl
fling with Ihe Fire Department of an RMPP by businesses which are required
to register atutely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 of ihe Califomia
Health antl Safety Cotle been fully Complietl wilh? ❑ Ves ❑ No
5. Does or will the appliwnt or present or fulure building occupanl require for
the work which is the subjecl of this application a permit for such construction
or motlification from the South Coast Air Qualiry Managoment DisMct or Irom
any other air pollution control distncl or agency? ❑ Yes ❑ No
(Section 658502 ot ihe Califomia Govemment Code requires �liat tlie requested
infortnation be fumishetl on applications lor rwn-residential building permits).
6. Will any pah of the tacility to be consUucted untler Ihis permit be wilhin
1000 feet from the outer bountlanes of a school7 ❑ Yes ❑ No
Qf yes', the facility must meet the requirement of Sections 25534 and 42303
o( the California Health anG Safety Cotle).
7. If a permit fmm the South Coasl Air Quality Management DisMcl or other
air pollution coNrol tlisMct or agency is required for Ihe vrork which is the
subject of this application, have all o( the disclosures prescribetl by California
Health and Safety Code Section 42303 been made7 ❑ Yes ❑ No.
8. Qf yes", attach certifcate of compliance from the appropriate air polNtion
control officer�. . �
CERTIFICATE OF COMPLIANCE: I cenify Ihat.under penalty of perjury the
infortnation given above is correcL I a9ree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions. ��
, SignaWre Dale
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalry of perjury that I have read this applicalion and state Ihat
the in(ormation given is correcL I agree to comply with all state laws and city
ordinances relating to building conswction, and authonze.representatives of
lhe Ciry 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 permi� until f nal inspeclion.
ign u L alOvmer�s) �
� �' '
`An0 Aut onze iwnl�` e._f
L
CITY OF COSTA MESA
B{/ILD/NG DIVIS/ON
77 FAIR DRIVE, COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856
PERMIT TYPE: B COMBO
Sub Type: MFD_NEW
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT
• www.ci.cosW-mesa.ca.us
NUMBER:�BC07-00063
STATUS: ISSUED
DATE ISSUED: 06125/2007 ` �
ISSUED BY: SOK . , � .,
�os a,�ortEss: 422 ENCLAVE CI CM Suite/Unit::�`��, `, : -``' ,
APN: TPN007046 Zoning: , , r.^'�`+�- j""w;J'`A.r ; •��. •' . � '
�.-. � S '. ; i a. • . _ r
Vicinity: Primary0cc: R,1�;•�^�� , -
ConstType: V-1H � SQ.FT: 24867 i:'. ,... .-.�..:Valuation: 2,896,015.00,�,. ,.
. . -��y.', ,..:�.: .
t• �`; t�i^:>'� "_ .
SCOPE OF WORK: PHASE III: NEW 24,867 S.F. MFD, TYPE 3A, 28 UNITS W/6,172 S.F. A�TPACH�D GARAGES, 2,154�S.F
2,383 S.F. BREEZEWAY, 3,387 S.F. CATWALK ANDr128 S:F.. UTILITY FOR "�ENCLAVE APA�tTM�NT HOMES" �-`. .
OWNER: � THE IRVINE COMPANY
Phone: 949-720-5536
APPLICANT: PEGGY BLOCK
Phone: 714-557-0244
CONTR4CTORy .`N/ES��,ERN NA
Phone: -714-557•02
Cell: �� � � - ' ���- `�`1
` �� �• i.
ARCHITECT: - � � -"-'�'��'",•'
ENGINEER:-" `� \' � ��j�" �
, • �' ` .
Mechanical Fees: �='
Flumbing.Fees: r.'�'� � �"�'_ % �• '
SMIFResidential: �'"' �'''� ���°"�t�*�,
ti,r r
SMIP�Coriimercial: � r � � '"y'
T,OTAL FEES:�„.' �, .;t �'�-$9
"Re(er to tee�receipts tor,all fees �paid for project
_ ' y�
`} � •FJ'�, '�i__� �'.'��J
tt ". F +.+�ya '•'� � 4
�:.
' ^ �
w�
� � � � � ,�..'��',.."� .
/�;.,�; : - . .-a.�� .. . i ft,�„x,JPr y; , .
Address.�;-:1�401NNOVATION�� . f'u,'1 `i�`v Unit:
..City/Stat��;-rIRyINE, CA�x+...+� � s,:,;;�; Y � .y'f . .
. i . LY Iti+, ��; . .
.., . .. �.17 ,..:ar�*ir,'r
` "Address: ��B�EXECUTNE�CIRGLE, 1;�';'''�� Unit:.:: : ,
:e:Ci1y/State/zZ^p: ^IRVINE, CA-,-' . . � �i� . i . ,
ip ,' . .� .:. }� �';.�'_.�% .
fRACTORS' �� �" 4 _'i`License No. 840973 , _
Address: BEXECUTIVE.CIRCLEUnit: � .
Ciry/State: _IRVINE, CAr,+' .j�, ..4 ZipCode 92614
� '.... . Vt:'F�.. �. i . :�`� ,
Litense No. � �. � , �. , PHONE:
License No: :_ '. � - � PHONE:
, , .., . ,.� .
VIMARY ' �� '� ,
.Fy',.�+�•. ,' .
KSI
52,036.58.,.;�,i. 'i;,-�n..Y,
12,532:80 p+.
, � �%l
25
DECK,
NOTICE: The work authorizetl by this permit shall comply with all ap0���ble handicap access requirements under Califomia staNtes and related
regulalions. (Ord. No. 92-28, § Y, 12-21•92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPEC710NS:� In order for the work authorized under this permit to be considered legal, such work musl comply with all applirable codes, and all
�equired inspections and flnal approval must be oblained. Failure to obUin inspecfions and final approval will result in the expiralion of this permit.
i
18�186, � flxed�S�yste�m Finel Fira Prevenlion !/ � � � ' �� �
,l � �
:N�12B8 t;PoolSpaFfnal .. = j_. ,'�
'`200-���'FinalRe-Roof�' ,� a= �� � �
. i �'�•�,'. - -� .
r 207 "'i Final Block/Re�aining Wall �.; .� �• �'
� 202 ; ? Final Factory Fire Place � ' ' � � �
-T - .• i _ . ���.,.�. . . : i . �
2031,^-.`:FinalSign j•; ' —..�1 '� ` . -'� ..
` � t: ... . . �,' � ....
�` ZO4' - Fine1 DemoLOon � � ` ' '
. , . -4 . � ,��
COOEI ��Iii� . ` —
200 'Final MecAanical �' . .
208 FinalPlumbing. ',
�
210 : .Final Electrical, � .
212 ' . Final Fire Prevention
� . . .
220.. •,. Fnel Plannin8 ApProval
712 FInalSite
< = P��
250 Final Building/Octupancy
,
. .� Q�i [ INTIMLS
�.: .:� ��
WORKERS' COMPENSATION DECLARATIOI
I hereby aKrm under penalty o( perjury one o( th. .�owing tleclarelions:
❑ I have and will maintain a certificale of tonsent lo sell-Insure for workers'
compensation, as provided for by section 3700 0� Ihe Labor Cotle, for the
peAormance of Ihe work for which this permit is issueG.
❑ I have and v.ill maintain �+orkers' canpensatan insurance, as requiretl by
section 3700 of the Labor Code, fa the peRamance of the work fw which this
permit is issued. My vrorkers' compensation Insurance carrier and policy
number are: �
Carrier.
(Thu sMun need nd Ee cnmpeted 4tne pemrrt is valuetl al one nunOreOWtlars (S �00) a less )
Policy Number:
❑ I certify lhat in ihe pedormance of the work lor which Ihis permit is
issue0, I shall not employ any person in any manner so as to become su�jecl
to the workers' compensation laws o( California, and agree that if I should
become subject to the workers' wmpensalion provisions of Section J700 0l
Ihe Labor Code, I shall forthwit� comply vnth these provisions.
p�picanCs S�gnawre . ��e
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL
PENALTIES AND CNIL FINES UP TO ONE HUNDRED 7HOUSAND DOLLARS
(5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSEU CONTRACTORS DECLARATION:
I hereby aKrtn that I am licensed under provisions o( Chapter 9(commencing
with Section 7000) o( Division 3 0( the Business and Professions Code, and
my license is in full (orce and eHect.
Lic. # Class #
Convac�or's Signawre
CONSTRUCTION LENDING AGENCY:
❑ I hereby aKrtn that there is a consiructbn lending agency fa the
pertormance of Ihe work la which ihis pertnit is issued. (Sec: 3097, Civil Code).
Lender's Name:
Lender's Adtlress�.
Oale
OWNER•BUILDER DECLARATIONS:
I hereby affrm Ihal under penalty of perjury Ihal I am EXEMP7 FROM THE
CONTRACTORS LICENSE LAW for Ihe follo�ving reason (Sec. 7031.5,
8usiness and Professions Code: Any tity or county which requires a permit �o
conslruct, alter, improve, demolish, or �epair any strucNre, pnor lo ils
issuance. also requires ihe applirant for such permit to file a signed statement
that he or she is licensed purSuaN lo lhe provisions ol Ihe Contraclors
License Law (Chapter 9(commencing with Section 7000) o! Division 3 0l the
Business and Pro(essions Code) or lhat he or she is exempt Iherelrom and
Ihe basis for the alleged exemption. Any violation o� Section 7031.5 by any
applicant (or a permil subjects the applicant lo a civil penally of not more than
fve huntlred dollars (5500).�:
❑ I, as owner o/ the p�operty, or my employees with wages as Iheir sole
compensation, WILL DO THE WORK, and the swcNre is nol intended or
of(ered for sale (Sec. 7044, Business and Professions Code: 7he Contractors
License �aw dces not apply to an owner of property who builds or improves
thereon, and wlio does such work himsell or herself or Nrough �is or her own
employees, provided Nat such improvements are not intenCeE or offered tor
sale. If, however, Ihe building or improvemenl is soltl vrilhin one year of
completion, the owner-builder will have Ihe burden of proving that he or she
tlid not build or improve for purpose o( sale.).
❑ I, as owner of the property, am El(CLUSIVELY CONTRACTING WITH
LICENSED CON7RACTORS to construct the project (Sec. 7044, Business anC
Professions Code: 7he coniractors License Law dces not apply to an rnmer o/
property who builds or improves thereon, antl who contracts for such pmject with
a cantractor(s) ticense pursuant to Ihe Cont2ctors License Laws.).
❑ I am exempt under sec.
Business an0 Professions Code lor this reason:
S�gnawre
JOSI<6 �]tt11�
Ov+ner ID veriled by dri� nse. � Yes ❑ Na
Driver's License No. Expires:
Verification of Ownership by (type of documenl, i.e. - pmperty Wx bill or tlee0):
DIVISION OF INOUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby ceAAy Iliat no ezcavalion (rve (5) or more (eet in depth into wfiich a
persm is required lo descend, will be made in connection with Hork authorized
by this permit, antl Ihat no buildinq structure, sc�tdding, false�wrk, v demolitbn
or tlismantling Ihereo(, will be more Ihan thirty-six (36) (eet high. (Chap. 3.2, Grp
2. Ari 2. Sec. 341, Title 8, Califomia Administ2tive Code�.
❑ As owner-builaer, I vrill not employ anyone lo do work which would
require a permit from the Division of Industrial Satety, as noted above, unless
such person has a permit to do such work (rom the division.
appi�ynfs SignaWre Da�e
Division o11n0ustrial Safety Pertnit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will Ihe applicant or present or future builtling occupanl need lo file and
certify a Business Plan for emergency response [o release or threatenetl
release ol a hazardous materia�? ❑ Yes ❑ No
(Section 25505 0( l�e Calilomia Health and Safety Cotle requires, with some
exceplions, Ihal a Business Plan be filed wilh the Cosla Mesa Fire
Department by every Dusiness which �as at any one time Aunng a reportetl
year a quantily o( hazartlous materials equal lo or greater Ihan.a weight of
500 pounds, or a volume of 55 9allons, or 200 cubic (eet ot wmpressetl gas
al stanCard temperature and pressure).
2. Does or will Ihe appliwnt or present o� lulure building occupant need to file
a registration fortn tor acu[ey hazarCous matenals? ❑ Yes �❑ No
(Section 255J3 of the California Health and Safely Code, with some
exceptions, requires registration with tha Cosla Mesa Fire Department by
each Dusiness which at any one time has on hand a quantity ol acutely
hazardous malerials equal lo or greater Ihan a weight ot 500�pounds. or a
volume ol 55 gallons, or 200 cubic (eel oi compressed gas at stantlard
lemperaNra and pressure). , . -
3. Does or will the applicant or presem or fWure building occupant need to
prepare an RMPP (Risk Managemen! and Prevention Progrem for acutely
hazardous malenals)? ❑ Yes ❑ No
(Section 25534 of the Califomia Health and Safery Code provides that Ihe
Costa Mesa Fire Departmem may require the preparalion, certification an0
fling with the Fire DeOariment ol an RMPP hy businesses which are required
lo register aculely hazartlous materials with the Fire Department.
4. II an RMPP is presently required, has Seclion 25534 ot lhe Califomia
Health and Safery Code heen fully complietl with? � Yes - � No
5. Dces or vnll I�e appliwnt or present or fuWre 6uilding occupant require for
the work wliich is the subject of ihis applicalion a permit for such construction
or modifcation Irom Ihe South Coast Air Ouality Management District or from
any other air pollulion conlrol tlistnct or agency7 � Yes ❑ No
(Section 65850.2 0� the Califomia Govemment Code requires Ihat the requestetl
inlortnation be lumished on applications fa non-residential buildirg pertnits).
6. Will any patl o! the lacility to be consWcteC unGer Ihis permit be vrithin
1000 feet Irom t�e outer bountlaries of a school? ❑ Yes ❑ No
(If yes', the laciliry musl meet the requirement of Sections 25534 and 42303
o( Ihe Calilomia Health and Safely Code).
7. If a pertnil Irom the South Goasl Air Qualily Management Disifict or other
air pollution control district or agency is required (or the work which is Ne
subject of this application, have all ol the disclosures prescribetl by California
Health antl Safety Code Seclion 42303 heen maCe? ❑ Yes � � No
8. (If yes', attach certificate of compliance from the appropriate air pollution
control oKcer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty o( perjury the
infortnation given a�ove is corcect. I agree to comply with all state laws and
city ordinances regarding Hazardous Matenals and Emissions.
5�5^awre Dale .
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION���OF ENTRY: I
certily unCer penatly o! perjury that I have reaE this application and state that
Ihe in(ormation given is correct. I agree to comply with all state laws and city
ordinances relating to building construclion, and auNorize represenlatives of
the City of Costa Mesa to enter upon the above-descnbed property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authonzed by this permit until final inspection.
Signawre ol Legai Owner(s) oate
An01or Aul�onieE ApPLC3nl
;
A/PID Information
Activity: BC
Const Type: V-
Owner: TF
Contractor: W
Other: TY
Architect TF
Plan check: SF
Other: PF
Applicant: PE
Planner: ME
Developer: JC
Agent: EF
Tenant: E�
Dev coor: BJ
Description: PF
l '
� ���� ��
�r� ��� I
Ins�ection Request Re�orting
„�•� nne�� re _ r.� nf
Requested Inspect Date: Friday, June 27 2008
Site Address: 422 ENCLAVE �I CM
-00063 Type: B_COMBO
Occupancy:
RVINE COMPANY
f�RN NATIONALCONTRACTORS
AAS P COX
HOMES
Requestedlnspectionfsl
Item: 206 FINAL MECHANICAL
Requestor:
Assigned To: ""*•*"*"'
Action: Time Exp:
Comment �—
Comment: 1-2-3RD FL.
Comment: 1-2-3RD FL.
Item: 208 FINAL PLUMBING
Requestor:
Assigned To: ""„•,••'•
Action: Time Exp:
Comment: T�3Rp-FC—
Comment: 1-2-3RD FL.
Comment: 1-2-3RD FL.
Item: 210 FINAL ELECTRICAL
Requestor:
Assigned To: "` """•"
Action: Time Exp:
Comment:
Comment: 1-2-3RD FL.
Comment: 1-2-3RD FL.
Comment: 1-2-3RD FL.
Inspection Historv
Item: 3 JOB SITE CONSULT
Item: 4
Sub Type: MFD_NEW
Use:
Phone: 949-720-5536
Phone: 714-557-0244
Phone: 949-862-0270
e19
Status: ISSUED
Insp Area:
Phone: 714-557-0244
Phone: 949-720-5536
Phone: 949-862-0270 X251
Phone: X5677
3A 28 UNITS W/6,172 S.F. ATTACHED GARAGES 2,154 S.F.
F. CATWALK AND 128 S.F. UTILITY FOR "ENCLA�%E
Requested Time: 08:00 AM
Phone:
Entered By: TEMPEMP K
Requested Time: 08:00 AM
Phone:
Entered By: TEMPEMP K
Requested Time: OS:00 AM
Phone:
Entered By: TEMPEMP K
01/02/08 Inspector: HM Action: CONT Continued
Comment: NEEDS TO MAINTAIN 1 HR. CONSTRUCTION AT ALL DEAD SPACES. FLOOR/CEILING AND
ROOF/CEILING.
NEEDS TO DRAFT STOP ALL DEAD SPACES 10FT. INTERVALS.
Ot/02/08 Inspector: HM Action: CONT Continued
Comment: NEEDS TO MAINTAIN 1 HR. CONSTRUCTION AT ALL DEAD SPACES. FLOOR/CEILING AND
ROOF/CEILING.
NEEDS TO DRAFT STOP ALL DEAD SPACES 10FT. INTERVALS.
01/02/08 Inspector: HM Action: CONT Cantinued
Comment: NEEDS TO MAINTAIN t HR. CONSTRUCTION AT ALL DEAD SPACES. FLOOR/CEILING AND
ROOF/CEILING.
NEEDS TO DRAFT STOP ALL DEAD SPACES 10FT. INTERVALS.
01/02/08 Inspector: HM Action: CONTContinued
Comment: NEEDS TO MAINTAIN 1 HR. CONSTRUCTION AT ALL DEAD SPACES. FLOOR/CEILING AND
ROOF/CEILING.
NEEDS TO DRAFT STOP ALL DEAD SPACES 10FT. INTERVALS.
)TINGS/UFER GROUND Approved "
07/30/07 Inspector: HM Action: AP APPROVED
REPT131 Run Id: 9660
=
06-26-2008 Inspection Request Reporting Page 20
4:18 Dm Gocta M�ca, CA - ifv Of
Item: 8
Item: 11
Item: 12
Ilem: 16
CommenC
10/09/07
Comment
10/09/07
Comment
10l23/07
Comment:
10/23/07
Comment:
10/23/07
Comment:
10/23/07
Comment
11 /28/07
Comment:
12/03/07
Comment:
12/03/07
Comment:
12/03/07
Comment:
12/03/07
Comment:
12/03/07
Comment:
01/08/08
Comment:
SH
Inspector:
Item: 18 FRqME�BFLASHING "
11/30/07 Ins ector:
Comment: OKPTO CO
� 11/30/07 Inspector:
Comment OKTO CO
01/02/08 Inspector:
Comment: OI<TO CO
MIDDLE S
ALL DEAD
FRAMER�
01/07/08 InsPeclor:
Comment 3RD FLR P
01/08/08 Inspector:
Comment: 2ND FL. M
I�
Action: AP APPROVED
" Approved "
ERIFIED MF NAILI
APPROVEDFOR
APPROVEDFOR
APPROVEDFOR
APPROVEDFOR
APPROVEDFOR
APPROVEDFOR�.
APPROVEDFOR�
APPROVEDFOR�
AREAS OK TO C(
CONT Continued
PA Partial approval
PP, Partial approval
PA Partial approval
G.
PA Partial approval
PA Partial approval
FA Partial approval
PA Partial approval
PA Partial approval
PA Partial approval
AP APPROVED
" Approved '"
Action: PA Partial approval
REVISION FOR TRUSS TIES ACGROSS RIDGE.
Action: AP APPROVED
�..
M Action: CO Correction(s) Required
JMPLETE SOLE PLATE NAILING.
M Action: CO Correction(s) Required
�MPLETE SOLE PLATE NAILING.
M Action: PA Partial appro�
1EAR NAILING AND HARDWARE INC�UDINC
M Action: PA Partial a pro�
1EAR NAILING AND HARDWARE INCLU�INC
M Action: PA Partial a ro�
�EAR NAILING AND HARDWARE INCLUgpPpNC
iEAR NAILING AND HARDWARE INCLUDINC
M Action: PA Partial appro�
�EAR NAILING AND HARDWARE INCLUDINC
M Action: PA Partial app ro�
'.S. APPROVED NEEDS TO COMPLETE GOF
'.S. NOT COMPLETED PARTIAL INSP. ONLY.
M Action: AP APPROVED
AT 1 ST
AT 1 ST
RRIDOORS APPROVED.
RRIDOORS APPROVED.
RRIDOORS APPROVED.
RRIDOORS APPROVED.
RRIDOORS APPROVED.
;TIONS PRIOR TO
ONLY. FOR DROPS TO COME.
ONLY. FOR DROPS TO COME.
IES.
STOPS.
R CONDITIONS.
Action: PA Partial approval
. APPROVED NEEDS TO COMPLETE CORRECTIONS PRIOR TO
. NOT COMPLETED PARTIAL INSP. ONLY.
01/14/08 Ins Lector: BE Action: PA Partial ap�roval
Comment: GAKAGE MEPS AND WALKED CORRECTIONS.NEED FIRESTOPPING AT GARAGE AREAS.
02/01/08 Inspector: HM Action: PA Partial approval
Comment: RAFTER REVISION AT CENTER STAIR FOR BEAM TIE IN OK.
06/04/OS Inspector: HM Action: AP APPROVED
Comment
Item: 20 LA7HING & SIDING "Approved "
01/19/08 Inspector: HM Action: APAPPROVED
Comment: NEEDS TO LEAVE CENTER STAIRS OPEN FOR FRAMING REVISION.
01/19/OS Inspector: HM Action: APAPPROVED
Comment: NEEDS TO LEAVE CENTER STAIRS OPEN FOR FRAMING REVISION.
01/19/08 Insp�ector: HM Action: APAPPROVED
Item: 22 INSULATION NEA DS VO�LEAVE CENTER STAIRS OPEN FOR FRAMING REVISION.
REPT131 Run Id: 9660
06-26-2008 Inspection Request Reporting Page 21
BEHIND
BEHIND
BEHIND
Item: 24 DRYWALL NAILING '• Approved "
12/14/07 InspectOr: HM
Comment: 1ST LAYER D.W. NAIL 3R
01/16/08 Inspector. HM
Comment: 1ST LAYER D.W. NAILING
01/16/08 Inspector: HM
Comment: 1ST LAYER D.W. NAILING
01/22/OB Inspector: BE
Comment:
Item: 26 PLASTER BROWN COAT "Approved "
02/O6/08 Inspectbr HM
Item: 30
Item: 31
Item: 36
Item: 38
Item: 44
Item: 50
Item: 51
Item: 52
Item: 53
Item: 54
Item: 55
Item: 62
EP
VISIT.
Action: PA PaRial approval
D FL. CEILING APPROVED.
Action: PA Partial approval
APPROVED AT 3RD FL. CEILINGS.
Action: PA Partial approval
APPROVED AT 3RD FL. CEILINGS.
Action: AP APPROVED
Action: AP APPROVED
Action: CONT Continued
FL.
FL.
FL.
- UIVLJCRVRVUIV V
tICA�-WIRING Approved"
>pector: BE Action: PA Partial approval
tD FLER MEPS.
spector: HM Action: PA Partial approval
JD FL. M.E.P.S. APPROVED NEEDS TO COMPLETE GORRECTIONS PRIOR TO
SULATION.
iT FL, M.E.P.S. NOT COMPLETED PARTIAL INSP. ONLY.
spector: HM Action: AP APPROVED
FINAVMETER RELEAS "
ispectoc HM
NIT METERS ONLY, OK F
ispector. HM
�KTO CABLE UP. MAIN TO
ispectoc HM
N7pT METERS ONLY
NIT METERS ONLY
i�spector: HM
NIT METERS ONLY
nspector:
Approved ^
Action: PA Partial approval
OR RELEASE.
Action: PA PaAial approval
BE LOCKED OFF UNTIL METER RELEASE.
Action: PA Partial approval
Action: PA Partial approval
Action: PA Partial approval
Action: AP APPROVED
" Approved "
Action: AP APPROVED
Approved "
HM Action: PA Partial approval
' OUT APPROVED.
HM Action: PA Partial approval
� OUT APPROVED.
HM Action: PA Partial approval
� OUT APPROVED.
HM Action: PA Partial approval
� OUT APPROVED.
HM Action: PA Partial approval
� OUT APPROVED.
BE Action: PA Partial approval
MEPS.
BE Action: PA Partial approval
HM Action: PA Partial app roval
u1.E.P.S. APPROVED NEEDS TO COMPLETE GORRECTIONS PRIOR TO
ION.
_4.E.P.S. NOT COMPLETED PARTIAL INSP. ONLY.
06/04/08 Inspector: HM Action: AP APPROVED
Comment:
Item: 63 PREWRAP
Item: 64 ROUGHMECHANICAL Approved"
01/07/08 Inspector: �•BE
Comment: 3RD FLR MEPS.
01/07/OS Inspector: BE
Comment: HYDRQ
Ot/OS/08 Inspector: HM
Action: PA Partial approval
Action: PA Partial approval
Action: PA Partial approval
REPT131 Run Id: 9660
Item: 66
Item: 68
Item: 72
Item: 90
Item: 92
Item: 150
Item: 206
Continued:
Comment:
Comment: INSULATIONP'S. APPROVED NEEDS TO COMPLETE CORRECTIONS PRIOR TO
1ST FL. M.E.P.S. NOT COMPLETED PARTIAL INSP. ONLY.
�06/04/08 Inspector: HM Action: AP APPROVED
T - FINAL " Approved "
nspector: HM
CE-FINAL "Approved"
nspector: BE
OUS INSPECTION
nsp ector: HM
1.S.W. TRUSS WRAP FOR
05/06/08 Inspector:
Comment
_ 05/07/08 InsQecto_r.
Comment
Item: 208 FINAL PLUM
06/04/08
Item: 210
Item: 216
Item: 220
HM
FL.
HM
FL.
APPHM ed ..
FL.
HM
FL.
HM
Action: AP APPROVED
Action: AP APPROVED
Aclion: AP APPROVED
Continued
rreclion(s) Required
)T CHECK REPAIRS ARE COMPLETED AND
Action: CO Correction(s) Required
FITTINGS FOR LIGHT PIPING.
Action: CONT Continued
JVED FOR RELEASE.
Action: AP APPROVED
Action: AP APPROVED
Action: AP APPROVED
Action: AP APPROVED
Action: AP APPROVED
Action: AP APPROVED
�pproved `*
PT Action: AP APPROVED
HM Action: AP APPROVED
HM Aclion: AP APPROVED
HM Action: AP APPROVED
VINGAPPROVAL "Approved"
Inspector: MEL Action: AP APPROVED
Comment:
Item: 250 FINAL BUILDING / OCCUPANCY
06/04/08 Inspector: HM Aclion: CONT Continued
Comment: NEEDS TO INSTALL CANE DETECTION RAILS AT STAIRS WITHIN ACCESSIBLE ROUTES.
06/26/08 Inspector: HM Action: NR Not Ready
Comment:
Item: 56 SEWER LINE CONNECTION "Approved **
08/06/07 Inspector: BE Action: AP APPROVED
Comment:
Item: 102 ROUGH PLUMBING & PRESSURE TEST "Approved"
12/06/07 Inspector. HM Action: AP APPROVED
Comment: 200LB HYDRO TEST APPROVED.
12/06/07 Inspector: HM Action: AP APPROVED
Comment: 200L6 HYDRO TEST APPROVED.
12/O6/07 Inspector: HM Action: AP APPROVED
Comment: 200LB HYDRO TEST APPROVED.
Item: 46 ROUGH ELECTRIC CONDUIT
REPT131 Run Id: 9660
� ���O�Q
��DAoo o � � c'/ \'nO LS
E N G I N E E R I N G
May 30, 2008
Inspection Division
CIN OF COSTA MESA
Building & Safety
77 Fair Drive
Costa Mesa, CA 92628
Attention
Subject:
City Grading Inspector
Civil Engineers Certification of Compliance for Precise Grading
Project: Grading Permit No
Building Site:
Building:
Job Address:
Owner:
Work Completed:
GOb-00029
Endave
23
450 Anton Blvd.
IAC
May 27, 2008
i����e
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 outiined above,
for Precise Grading. Precise Grading for building 23 has been completed substantially
in conformance with the approved grading plan for this project ond in full compliance
with said Codes, pending any revisions that may come later. Certification includes
horizontal and vertical control.
Sincerely,
FUSCOE ENGINEERING, INC.
/i�-- �/�
Trevor Scott Dodson, P.E.
RCE42029
Exp. 03/31 / 10
iull circle fb�nking
16795 Von Karman, Suite 100, Irvine, California 92606 � tel 949.474.1960 � fax 949.474.5315 o www.fuscoe.com
ARNET ENGINEERING, INC.
1577 North Main SCreet, Suite A
Orange, CA 92867
(714) 379-3789 F�: (714) 379-8024
FAX TRANSMTTTAL COVER SHEET
FAX TO: Western National FAX NO: Hand-Delivered
ATTN: $ob Hernandez
FROM: Beat Arnet
DATE: 7/30/07
TIME:
PROJECT: $nclave / The Irvine Company
422 Enclave Building Permit No. BC07-00063
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 30, 2007 on the following portions of the Post-Tensioned Slab-on-Grade of the above referenced
project:
Building 23 (Type 3A)
The installations are in general conformance to the plans.
Feel free to call me, if you should have any question.
Sincerely,
ARNLT G ERING, INC.
Bq�it Arnet, P.E.
cc: Roberto Ortiz Fa�c 997-3857
r W C 040466 ,
� Exp.3731109
,�
,:
Y
DALE CHRISTL4N/
STRUCTURHI.ENGINEER,INC.
CQNSUITING & DESIGN
1744 West Katella Avenue
Suite 107
Orange CA 92B6]
PH 7I4 997 1 I45
FX 714 997 3857
March 26, 2008
Mr. Jecry Crosby
Westem National Construction
8 Execurive Circle
Irvine, CA 92614
Re: The Enclave — Phase III —(Building 23 - concrete and framing)
Irvine Apartment Commimities (Our Job No. 06060)
Deaz Mr. Crosby:,
Pursuant to yo�¢ request, this office has made sevenl site visiu to the above described project T'he purpose of the
visit on July 30, 2007 was to observe the placement of the various holddown hazdware prior to the concrete pour.
Building 23 was obser4ed dising this visit. Deficient items, some quite minor; were brought to the attenUon of the
conaete foreman and were cortected during the pre-slab visit and Building 23 appeazed to be in substanUal
conformance with structural drawings.
This office made a site visit on Navember 26, 2007, November 29, 2007 and December 13, 2007, to observe
rough framing for the above menaoned building for substanrial confoimance to the strucnsal plans. Deficient items,
some were quite minor, were discussed with either Tony Ramos with Western National Construction or TWR's
Fremmg Foreman. Observed deficient items were corrected and the rough framing appeared to be in substantial
confoimance wit6lhe structural drawings by the time our visits were complete.
T'hese observations are intended only to assist the framing contractor in conformance with the structural plaos as they
relate to this residential apartment project and aze. not to be construed as "Special Inspecrions". The responsibility
for such plan conformance, of coucse, remains with the contractor. Please do not hesitate to contact me at my office
shou[d you havc any further questions regazding the site observation, or with information included in ttris report.
S� cerely,
ale A Christian, S.E. 2705
President
cc: Tom Hilton
John Hyde
G:\WORD_�oc\06�06060�Phase QI�FO LetterslBuildiag 23.doc
/P' cHR�s��
o� 9�.
No. 2705
t Exp.3-3t-10 �
� �
\sT„�TRUCT `���n�T%
NMG
r xn, v's•x�•
�u�i i� �?i�v.-�ts,i:..t
Geotechnical, Inc.
May l6, 2008
Project No. 04093-01
Pcecise Permit No.: G06-00029
To: Irvine Apartment Communities
110 Innovation Drive
Irvine, California 92617
Attention: Mr. Tom Hilton
Subject: Sum�nary of Geotechnical Observation and Testing during Precise and Post
Grading Operations, and Special Inspection Services for Buildings 22 through 36
and Garages G-1, G-10 through G-12 and G-14 throu� G-16, The Enclave
Apartment Community, City of Costa Mesa, County of Orange, Califomia
As requested, NMG Geotechnical, Inc. (NMG) has prepared this document to present the
results of our geotechnical observation and testing during the precise and post 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.
If you have any questions regarding this report, please contact our office. We appreciate the
opportunity to provide our services.
Respectfully submitted,
NMG GEOTECHNICAL, INC.
� .Yi�L�
� Shahrooz "Bob" Karimi, RCE 54250
Principal Engineer
.SB�)e
No. C054250 !
EXP. 12/09
*
c CIVIL O���P
' �F CAL1F
Distribution: (2) Addressee
(23) Mr. Bob Hernandez, Western Nationai Contractors (includes copies for
submittal to the City of Costa Mesa)
17991 Ficch •[n-ine, California 92614 • PHONE (949) 442-2442 • FAX (949) 476-8322
Board of'Directors
.an P�,���r
Arlene Schnfr.r
I3ob oo�en
Janie,c Ferrymrm
GnrV �onuhcua
Stqff
Robiu B. Hmrmr.v
Munc�ger
Di,vtrirt Fiagineer
(949) 63]-1731
Thomas A. Fu�d6t
Assrslanl Mmtctger
Jaa�i Revak
8nnrd Secret�rr��
Program M�a�ager
Clerk qf�rhe Diayrict
�llnn R. 6ttrn.c
Le�c�f Counsel
N(arcus D. Uari.s
7rerr.rurerlDircc�or qf
/'7ncuicc
Phone
(9<F9) 645-�R400
Fa.r
(949)650-225;
Addresa
h2S W. 191h Smeei
Cnsla Me.sa, CA
9?627-2716
st�. .I�.�s�. ��.�.�t�.�r� ��s�rict
. . . an Inbepen�ent Specia� District
SEWER INSPECTION LOG
FINAL SIGN-OFF
ENCLAVE
TRACT # 10950
BUILDING 22 423 (20 units)
20 kitchen sinks
201aundry tubs/washers
28 bathtubs
28 wash basins
30 wnter closets
BUILDING 23 422 (28 units)
28 kitchen sinks
28 laundry tubs/washers
38 bathtutis
38 wash basins
28 water closets
BUILDING 24 420 (28 units)
28 ki[chen sinks
28 laundry tubs/washers
38 bathmbs
38 wash basins
28 water closets
BUILDING 25 421 (18 units)
18 kitchen sinks
18 laundry mbs/washers
25 bathtubs
25 wash basins
18 water closets
$UILDING 26 419 (28 units)
28 ki[chens
28 laundry mbs/washers
38 bathmbs
38 wash basins
18 water closets
Date Finaled
IYLJL
0�1 `�"
� ��
�"Q � Prinrrd ou PYOT.CCCIM9 O4tY COri1{M1'lAVqt1J' �S GJCQ�u'/ �1J' �1Y0'U1d1N9 SO�IC� WASLC (ANa SCWBY CO��CCL70ri SBYZJIC2S.
a� �.,, i�,� n,�,,,•� n,ww.crosDca.gov
�
Property Address
CITY OF COSTA MESA
BUILWNG DIVIS{ON
ROOF COVERING CERTIFICATION
BC07-00063
Permft No.
The Enclave,Bldg.23,1j�pe:3-A, 422 Enclave, Costa Mesa,CA 92626
�e� The Irvine Company, LLC. A Delaware Limited Partnership
Contractor DRI Residential Corporation
State Contractor License Number $19960
C39
Classification
I hereby certity that I have installed, or caused to be instat�d, a minimum Class C rooi covering et the
above address in Conformar�Ce with Chapter 15, and Appendix 15 of the latest adopted edition of the Uniiorm
Building Code, and the Installatlon instructions of the manutacturer.
❑ I further certity that I am the owner oi the property. (Owner-Builder permittee ony).
❑ I turther certify that I am:
❑ Owner of sole proprietorship company
❑ Full partnet of the comparry
❑ Limited partner of the company
❑ Officer of the c�rpwation
I certify that as an authorized o�cer or agent of the compary or corporation, I am empowe►ed to make Mis
certification, which shall be binding on a0 successors or assigns of the company or corporetion.
I shall deliver a Copy of this Certification to the above fisted ovmer, after submittal of form to the Building
Division tor acceptance.
Received by Buildirg Division
By:
i�vum oau
098P�e6 Mw aaD WMe' Bvd6q Ow.. Cwr' CmaYa: Vuw . O.+w
DRI Residential Corporation
Compairy or Corporete Name
17182 Armstrong Avenue
Addreas
Irvine, CA 92614
�� April 2, 2008
Sqneare Dete
Patrick Kay; Vice President Operations
PrintoO a Typetl Nama
g «� 2�
�L6�-��3
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED [N COMFORMANCE
WTI'H THE CURRENT ENERGY REGULATIONS, CAL[FORNIA ADMINISTRATIVE
CODE, TITLE 24, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
SITE ADDRESS: 422 ENCLAVE, IRVINE CA.
EXTERIOR WALLS
MANUFACTURER - CERTAINTF,ED THICKNESS/TYPE - 3.5" FIBERGLASS
RNALUE - R13
EXPOSED FLOOR
MANUFACTURER - CERTAINTEED THICKNESS/TYPE - 615" F[BERGLASS
R/VALUE - R19
CEILINGS
BLOW:MANUFACTURER-CERTAINTEED THICKNESS/CYPE-12"FIBERGLASS
R/VALUE - R30
GENERAL CONTRACTOR: W1VC
LICENSE #
INSULATION CONTRACTOR: GATEWAY INSULATION, INC. LICENSE # 797001
BY: � � 7ITLE: OPERA"CIONS MGR. DATE: 5/9/2008
BUTCH 1\GRAM OPERATIONS MANAGER.
��`�� �INSTALLATION.C� _TIFICATE (Pageiot'�3) CF-6R
Z3
Site Add�ess
� Rro�-000.
Permit Number
M installation ceRifica[e is requ'ved to be posted at [he building si[e or made available for all appropriate inspections. (Tkie
information provided on this form is required; however, use of this form to provide the information is optionat.) After
completiou of final inspection, a copy must be provided to Ihe building departrneut (upon request) and the building owner at
occupaocy, per Section 30-] 03(b).
HVAC SYSTEMS: - "
$eating Equipment
Equip. tl oC Eficicncy Duc[ Duct or Hratiug yw[ing
Type (pkg. CEC Ccr4C�cd MGNamt lden[ical (AFU£, «J� I.ocation Piping Load Capaciry
h t 1 d Mod 1 N bc Sv t s 2CF-IA I 1 ( tri a 1 R- I c (Htu/h 1 (Btu/h )
Coo[ing Equipment
Equip. CEC Cectified Comp�usoc H of Etitcicncy Duct Cooling Cooling
Type (pkg. Uuit MG Nazne and Identicul (SEER, c�c.)� Locatlaa Ducc Load Capacity
p t 1 M d 1 N 6 Sv t ms 2CF-1R val 1 ( tri t 1 R- I fBtuJh 1 Btufi 1
1. > reads greater than or equal m. �
I, [he undersigoed, verify tha[ equipment lis[ed above iS: 1) is tl�e actual equipment ins[alled, 2) equivalent to or more
efficient than that specified in the certificate of compliance (Form CF-1R) submitted for compliance with tNe Energy
E�ciency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for
manufactured devices (from the Appliance Ejj'iciency Regu(ations or Part 6), where applicable.
Signature, Date Installing SubcouhacWr (Co. Name) �
OR General Contractor (Co. Name) OR Owner
W ATER IiEATING SYSTEMS:
�R/tDi%pR0 VL(l//YL Distribution ICRtcir- pof Rztrd' Tauk EfL- Extemal
Htater CEC Ccrtified MG Typc (Std, cula[iop, Identical lnpu[ (kW Volume eienry' S�audby' Insulation
7�roe Neme & Modcl Number PoiuPaf-Use) ConVol Type Sys[cros or Bnilhd 1¢allons) fEF. REl Loss (°lel R-valuc°
Z For small gas s[orage (ntcd input of lus Ihan or equal to 75,000 BnJbr), elecMc resistance aud 6cat pump wnhr heaters, tist Hnergy Facror.
Far iarge gu starage water hwhrs (mted inpu[ of grea[cr [han 75,000 B[u/hr), list Recovery Efficimcy, Standby Loss and Rated Input
Foc iustautaneous gas wahr heaters, list Recovery Efficiency and Rattd InpuC
3. R-12 extemal insulation is maudatory for smage watsr healers with an rnergy factor of less Wan 0.58.
Paucets & Shower Heads:
All faucets and showerheads installed are certified to ihe Commission, pu[suant to Title 24, Part 6, Section i 11.
I, the undersigned, verify [hat equipment listed above my signa[ure is: ]) the acNal equipment installed; 2) equivalent to
or more effici ( an at specified in the certifieate of compliance (Form CF-lR) submitted for compliance with the
Ener dardr for residential buildings; and 3) equipment that meets or exceeds the appropriate
re �rem r clured devices (from the Appliance E�ciency Regulations or Part 6), where applicable.
5 .9 DS N�t-t �r..���ae.ks ���L_
Si ature, D t Installing Subcontractor (Co. Name) OR
General Contractot (Co. Nazne) OR Owner ,.
COPY 1'b--BGilding Deparhnent
HERS Provider (if applicable)
Bu(Iding Owner at Occupancy
Compiiance Forms
August 2001
A-23
REA/' ��
L.J
RESIDEn _,AL ELECTRIC ASSOCI. .� ES, INC.
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: Westerr� .Vational
Project: The Encl.ve
450 Anton Blvd.
Costa Mesa, CA
Building #23 Address 422 '
Dear Randy,
The electrical work on these buildings complies with the Califomia Title 24
Requirements.
Sincerely,
�G��iO " \
Bob Tripp
General Manager
Corporafe Addreu Sanfa Ana Division
123 Rose Drive, Fullerton, CA 92833 3240 S. Standard Ave., Santa Ana, CA 92705
Phone p 14) 278-0400 Fax p 14) 27&0600 Phone p 14) 556-3813 Fax p 14) 556-3929
ALLATION CERTIFICAT�
Enclave Bailding #23
CF-6R
Pertnit #
An installation cerrificate is rcqui`ed W be posttd at the building site or made evailable for alI appropriate inspections. (The infortnalion provideA on this fortn is
requircd; however, uu ofihis fom� W provide the infom�ation is optionl.) Afta wmpletion o(final inspection, a copy must be provided w the building
department (upon request) end ihe building owner at occupancy, per sec[ion 10.103(b).
HVAC SVSTEMS:
Heatlng Equlpmenl
Equip. Type p of E�ciency
(pkg. heat CEC Certified MR, Make �. Idrntical (AFUE,a<
pump, etc.) Madel Number Systems (2CF•IR v
Hydmnic First Company I BCDXQ-F-C 14
Hydro¢ic Fiist Company 25CDXQ-F•C 14
Coo!!ng Equipmenr
Equip.Type
(pkg. heat CEC Certified Comp�eswr Unit
pump, etc.) Mfr. Name md Model Number
DX-Caoling York GCGDI8S21S1
DX-Cooling Yot1c GCGD24S21S1
I 2 reads grater tl� or equel to.
Duct Duct or
Location Piping
ettic, ete.) R-value
soffit R-0.2
so�t R-4.2
k oC Efleciency Duct
Identical (SEER, etc)' Location Duct
Svstems RCF-I R value] (attic, ac.l R-value
14 I3.00 soffit R-4.2
Hpting
Load
Cooling
Load
Heating
Capecity
Cooling
Capaciry
24,000
I, the undersig�red, verify thW ihe equipment listed above is: I) is tho ectual equipment installed, (2) equivelont to or more ofticient than that specified in the
certificate of compliance (Fortn CF-I R) submitted for compliana with the Energy Efficirncy Standazds tor raidential buiidings, azid (3) equipment that meea
or exceeds the eppropriate requiremenu (or manufactured devias (from the Applianco Efficiency Regulations or Pert 6), where applicable.
����— LDI Mechanicai
Lorraioe Hernaoda H VAC Subconuacror (Co. Name)
OR General Conhactor OR Owntt
WATER HEATING SYSTEMS:
Weta CECCatified Disuibution ICRecir- Ratedlnput Tank EfTiciency Slandby Fxtemal
Heater M& Name & Type (Std, culation, H of Identical (kW or Volume (EF, RE) Loss (%) Insutation R-
Type1N Model Number pointof-Ust) Coutrol TYpe SYslems Btu/hr) (gallons) value
FAUCETS & SHOWER HEADS:
All faucets end showefieads installed we I'tsted in the Commisions Dircaory of Cenified Faucets and Showerheads,
pursuant to Ti�lr24, Part 6, Su6chapter 2, Settion �I I l.
1, ihe undersig�d, veti(y �hat tlre equipmrnt listed in �he category above my signature is the aUual equipment inslelled and ihat Ihe equipmrnt meets or exceeds
Ihe rcqui2ments of �he Appliance E�ciency Standards. In addition, 1 have verified �hat the equipment is equivalent to or more efficient than Ihe equipmrnt
specified on [he Certificete oCComplience submitted [a demonstrete compliance with the Hnergy Efliciency Standards for residenual buildings.
Signeture, Date
COPY T0:
Building Department
FIEItS Provider(ifapplicable)
Building Owna at Occupanq
PWmbing Subcontrector (Co. Neme)
OR Grneral Contrnctor OR Owner
� CITY OF COSTA MESA •
B!/ILDING DIVISION
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754•4856 • w.vw.ci.costa-mesa.ca.us
�i y
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: C07-00063
PERMIT TYPE: B COMBO STATUS: ISSUED
Sub Type: MFD_NEW DATE ISSUED: 06/25/2007
-- ISSUED BY: SOK
�
�oe nooRess: 422 ENCLAVE CI CM '��. `, ' , Suite/Unit;
Vicinity: . Prima'ry.Occ . - "
ConstType: V-1H � S��:�FT , 24867 �Veluation::2;896,015.00 �,.
SCOPE OF WORK: PHASE III:,NEW 24;86Z S.F. MFD, TYPE 3A, 28 UNITS W/6,172 S:F, ATTACHED GARAGES, 2,154 S.F.
DECK,-2,383 S.F. BREEZEWAY, 3;387 S.F :CATWALK AND 128 . � -� ,
S.F. UTILITY FOR "ENCLAVE APARTMENT HOMES" �� -
;.i�.. , .. � � - � - .. �. ... .
OWNER: THEIRVWECOMPANY-?'. � �- . Address:�' .1101NNOVATION�Unit: �
PHONE: 949-720-5536' � � , ' � � City/State/Zip: IRVINE, CA': -� � �
APPLICANT: PEGGY BLOCK. � � Address: 8 EXECUTNE CIRCLE Unit
PHONE: 714-557-0244 -:� - : . , � � `�� �Cify/State/zZip: -. �-IRVINE, CA �.; - �
. . . . ����. .,
CONTRACTOR: WESTERN NATIONA� CONTRACTORS ��� License No. 840973
Address: SEXECUTNE�CIRCLEUnit �- � . �" - . � .PHONE: 714-557-0244
City/State: IRVINE, CA � ZipCode�� 92614�� � �_ � � � . � . �CELL: �- �
�'�.
ARCHITECT: , , , License No. � - . . , , , , . �PHONE: „-
ENGINEER: , „ , ,, ', License No.,.. . . � � + PHONE: �
COMBINTATION PERMIT FEE SIJMMARY. : , ,
Building Plan Check ' 52,036:58 - ' , � � . �
Building Fees: � "- �. ,$12,532.80.�,�, . � - _ - -- �. - �
ElectricalFees:. ���.$1,266.85��:�u. , , ._, . .
MechanicalFees '6,:$1,465.70 - � �� � � `" �
Plumbing Fees: '! $2;609.30 ��- `� � - � � � �
SMIP Residential: $289:60. �� . , � -� -�•
SMIP Commercial: $0.00 '.: � . . . . -" ' `
TOTAL FEES: $18,164.25
""ReFer to fee receipts for all fees paitl for project � ' .
l
NOTICE: The work auNonzed by this permit shall comply with all applicable handicap access requirements under Califomia slatutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) . � � . �.
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OP ISSUE OR DATE OF LAST INSPECTION. �
INSPECTIONS: In order for the work authorized untler this permit to be considered legal, such work must comply with all applicable codes, and all
required inspectlons and final approval musl be obtained. Failure to obtain inspections and final approval will resWt in the expiretion of this permit.
CODE /. INSPECTIDN TYGE
1816 Fiaed System Pinal Fire Prevention
12fi6 Pool Spa Final �
200 Final Re-Roof
201 Final Block/Retaining Wall
202 Final Factory Fire Place
203 FinalSign
204 Final Demoli�ion
o�re ixim��s oe� INSPECTIONTYPE
208 Final Mechanical '
208 Final Plumbing
210 Final ElecMwl
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Builtling/OccuOancy
DAT
�
IN7I71AL5
�/�
/ �
W01�KERS' COMPENSA710N DECLARA710N:
I hereby affirm under penalty of perjury one of the ng dedaratians: �
❑ I have antl will maintain a certifcate of consenl to selt-Insure for workers'
wmpensation, as provided for by section 3700 of lhe Labor Cotle. for the
p ormance of the work for which this permit is issued. .
� ,1 have antl will maintain workers' compensatbn insurance, as required by
tbn 3700 of t�e Labor Code, fw ihe peRormance of Ihe work for which this
permil is issued. My workers' compensa�ion Insurance carrier and policy
number are: � �� ����
Carrier:_ .
/This seUion neetl 1iro�t \Ee Camp�e1leE hIe pe��me a hvaluetl al me hu�rW.1Ctl tl011ars (E I00 wleu )
Policy Number: U/C r�. I ICJC_I \ 16� �( � ��
G❑ I certify that in the peAormance of the work for which this permit is
issued, I shall not employ any person in any manner so as lo become subject
[o lhe vrorkers' compensation lav5 of Califomia, and a9ree that if I should
become u ject to Ihe vrorkers' compensalion provisions o! Section 3700 of
the Lab r C de, I shall forth lh mply Ih these provisipn
_G �� �0
! � b nYs Sigww.e � Oaie
l� -
WARNING: FAILURE TO SECURE 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
ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm 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 i tull torc `a�—nd7 ef(ect. �
�_Lic. # `� (— Class #
� Canva or's Signawre / at �
l
CONSTRUC710N LENDING AGENCY:
❑ I hereby aKrtn that there is a constructbn lending agency for the
peAormance of the v.oM fp wfiich this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Adtlress:
SipnaWre Date
OWNER-BUILDER DECLARATIONS:
I hereby aKrm that under penally of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5,
Business antl Professions Code: Any city or county which requires a pertnit to
conslruct, alter, improve, tlemolish, or repair any slmcture, prior ro its
issuance, also requires the appliwnt for such permit to file a signed stalemenl
that he or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9(commencing with Section 7000) o( Division 3 of the
Business antl Protessions Code) or that �e or she is exampt therefrom and
the basis for lhe alleged exemption. Any violalion o( Section 7031.5 by any
applicant for a permit subjects lhe appliwm to a civil penalty ot not more than
five hundretl donars ($500).):
❑ I, as ovmer of the properry, or my employees with vrages as Iheir sole
compensation, WILL DO THE WORK, antl the structure is not intendetl or
oHered for sale (Sec. 7044, Business anC Professions Code: 7he Contraclors
License Law does not apply to an ovmer of propeny who Duilds or improves
[hereon, and who does such vrork himsel( or herself or through his or her ovm
employees, provided ihat�such improvements are not intended or offered tor
sale. I�, however, Ihe building or improvement is sold within one year of
wmpletion, the owner-builder will have the burden of pmving ibal he or she
did not huild or improve for purpose of sale.). '
❑ I, as owner of Ihe Droperty, am EXCWSIVELY CONTRAC7ING WITH
LICENSED CONTRACTORS ro construct the project (Sec.�7044. Business and
Professbns Code: The coniractors License Law dces not appry to an ovmer ol
property who builds or improves thereon, and who cont2cts for such project with
a cmtractw�s) license pursuant tothe Contractors License Laws.).
❑ I am exempt under sec.
Business antl Professions Code for ihis reason:
Sgnmure Dale
305"l-46(3I0]�
J►
Owner ID verifed by tlriv e. ❑ Yes ❑ No �
Driver's License No. Expires:
Verification of Ownership by (type of Oocument, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: .
❑ I hereby certAy that no exwvation Me (5) or more feet in depth into which a
person is required ro descend, will be matle in connecfan with work authorized
by Ihis pertnit, and that no building structure, scaffdding, falsevmrk, a tlemolition
or dismantling thereof, will be more than Ihirty-s� �36) feet high. (Chap. 32, Grp
2. M 2, Sec. 341, Title 8, Califomia Administrative Code).
❑ As ovmer-builder, I will nol employ anyone to tlo work which would
require a permit from the Division of Intlustnal Safety, as noted above, unless
such person has a permit [o do such work from lhe division.
AOPliranfs $IgnaWre Date
Division of Industrial Safery Pertnit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or (uture building occupant need to file and
certify a Business Plan for emergency response to release or threatenetl
release of a hazardous ma[erial? ❑ Yes ❑ No
(Section 25505 of lhe California Health and Satery Cotle requires, with some
exceptions, that a Business Plan be filetl with the Costa Mesa Fire
Department by every business which has at any one time tluring a reported
year a quantily of hazardous materials equal to or grealer than a weight of
500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard lemperature and pressure).
2. Does or will the applicant or present o� future building occupant need to file
a registration form for awtely hazardous materials7 ❑ Yes ❑ No
(Section 25533 of Ihe California Healih antl Safety Code, with some
ezceptions, 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 o( 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressetl gas at standartl
temperaWre and pressure).
3. Does or will ihe applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program tor acutely
hazardous matenals)? ❑ Yes ❑ No
(Section 25534 of the California Heal[h and Safery Code provitles that the
Costa Mesa Fire Department may require the preparation, certification antl
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous ma[erials wi[h [he Fire Department.
4. I( an RMPP is presently required, has Section 25534 of the Califomia
Health anE Safery Code been fully complied with't ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupanl require for
ihe work which is the subject of this ap0liwtion a permit for such construction
or modifwtion from the South Coast Air �uality Management District or from
any other air polWtion control dislrict or agency? ❑ Yes ❑ No
(Section 65850.2 of tha Calitomia Govemment Code requires that the requested
in(ortnation be fumished on applicatans fa ran-residential building pertnits).
6. Will any part of ihe faciliry ro be constmcted under ihis permit be within
1000 feet from Ihe outer boundanes of a school? ❑ Yes ❑ No
(If yes", the taciliry must meet the requirement of Sections 25534 and 42303
o( Ihe California Healih and Safety Code�.
7. I( a permit from the South Coast Air �uality Management District or other
air pollution control tlisMct or agency is required for the work which is the
subject of this application, have all of the disclosures prescnbed by Califomia
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No,
8. Q( yes", attach certificate of compliance from lhe appropriate air pollution
control oKcer). �. � .
CERTIFICATE OF COMPLIANCE.I certify Ihat under penalty of perjury the
infortnation given above is wrrect. I agree to wmply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
Signature �Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: •I
certify under penalry of perjury Ihat I have read this application and state that
t�e infortnation given is wrrecL I agree ro comply with all state laws and city
ordinances relating to �uilding construction, and authonze representatives of
the City o� Costa Mesa ro enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
S na r o1 Legal Owner(s) ` Date
� �J
�An`_IorAutbonietlAppl¢ant � Dale �
j�
.Cv,,. ,. k' .rctiiC:C..�Sr .
NEWPORT-MESA UNIFIED SCHOOL' DISTRICT
CERTIFICATE OF COMPIiANCE OF DEVELOPMENT FEES
PURSUANT TO AB 1600 AIYD AB 181
To: (� City of Costa Mesa
( ) City of Newport Beach
( ) County of Orange
Applicant:
Address:
Telephone
TracUparcel and Lot
Location of Project:
Number of Square Feet of:
Residential Space
Commercial and
IndustrialSpace
CommerciaUlndustrial Projed is: (Check One)
�a�.—��'.�v'^:l:�2'�J°f:5'.lr . _
I �Vw-, w�y.i �tt
�F� � 'l'.:�., eNJ + _
^Ji?'g�"vT'�i 3F S£�a:�'�1 s a
�Q 6%%� „
DisUict Receipt No.
�
Plan Check No. ��,
Warehouse
R8D
Movie Theater
Mini-storage
Heavy Industrial
Regional Shops
Light industrial
^ This project is exempt because
x S .30
_ Motel
_ Bank
_ Neighbofiood Shops
^ RacqueUHeallh
_ Hotel
Medical Oifice
Office Park
Total
Preschoo!
Auto Repair
Hospital
Large Otfice
OftSce Bldg.
RestauraM
Fast Food
This certifies that the above-named Developer/Appqcant has paid school facikty fees in compGance with Government Code sections
53080 and 65995. The BuikJing Pemii� for this square footage in this proposed devebpment may now be issued by your jurisdic6on.
Checks are to be made payable to NewpoA-Mesa Unified School Dishict.
Autlariiad
The above representatlon as to square footage is true. Appticant agrees that if k is later determined fhat such representations are not
true, the is certificate shall automa0cally terminate and the appropri te Cil�r/Counly shall be notified.
Date: `.' � W ' � � �. �""" " �
m
�
ARNET ENGINEERING, INC.
1577 North Main Street, Suite A
Orange, CA 92867
(714) 379-3789 Fa�c: (714) 379-8024
FAX 1'RANSMITTAL COVER SHEET
FAX TO: Western National FAX NO: Hand-Delivered
ATTN: Bob Hernandez
FROM: Beat Arnet
DATE: 7/30/07
TIME:
PROJECT: Enclave / The Irvine Company
' 422 Enclave Building Permit No. �BC07-00063
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 "Structurai Observation" per UBC i 702 regazding strand and rebar layout was performed by me on
August 30, 2007 on the following portions of the Post-Tensioned Slab-on-Grade of the above referenced
project:
Building 23 (Type 3A)
The installations aze in general conformance to the plans,
Feel free to call me, if you should have any question.
Sincerely,
ARNET ERING, INC.
BqE�t Arnet, P.E.
cc: Roberto Ortiz Faac 997-3857
' G Jp,0;8� , t�'
�x�, 3fsi!3� �-
s
� N;S
Date: li � � �_ v�
No. d �I o��-v I
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.
�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 I street subgrade listed above was observed, probed and tested and found to be firm
and unyielding with a minimum of 90% relative compaction.
❑The aggregate base listed above was observed and tested and found to be firm and unyielding with a
minimum of 95°/a relative compaction.
❑The retaining wali backdrain listed above was observed and found to be installed in compliance with our
recommendations.
❑The subgrade listed above was observed, probed and tested, and found to
be of firm bearing soils, adequately presaturated per our recommendations.
Remarks � ��
oi eU�v.; ��,.\�
J
t. , S
Notes:
The observations reported above do not constitute an approval of foundation location, footing size or depth,
reinforcement or foundation design.
� ebris and slough should be removed prior to placement of reinforcement or wncrete.
S
,.,.,�,.��,�,�,,.a.,.�. , .� � NMG
FIELD MEMORANDUM Receivedbv: S7i�/� 0%/Ai�
OYYQ��
� c'
�BOaoa "�
E N G I
.. � I ! `t fs«� �. � `.
^�` \ i . � � ° !t
N E E R I X G
July 26, 2007
Inspection Division
City of Costa Mesa
BuIlding & Safety
77 Fair Drive
Costa Mesa, CA 92628
Attention:
Subject:
City Cnading Inspector
Civil Engineer's Certification of Compliance for Top of Forms
Project: Crrading Permit No
Building Site:
Buildings:
Job Address:
Owner:
Work Completed:
G06-00029
Enclave
22, 23 & GIO
450 Anton Blvd.
IAC
July 25, 2007
l^c
�� ^J
ir�cn:; en���rz.
a^_!m Sorir.gs
In accordance with the City of Costa Mesa Grading and Excavation Code and the
requirements of the Building Code, I certify approval of this project as outlined above, to
top of bldg forms. Top of Forms has been completed substantially in conformance with
the approved grading plan for this project and in full compliance with said Codes.
Certification includes horizontal and vertical control and positive building pad drainage.
This cert�cation 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
G3
ooQscor raoQ�F2\
�+ � m
¢ No.42029 Z m
�
CIV\�.
��
OFCA�
16795 Von Karman, Suite 100, Irvine, California 92606 tel 949.474.1960 fcx 949.474.53 i 5 v.u�-.iu<co= cnm
DALE CHR157TAN/
SlRUCTURAL ENGINEER !NC
COnSUL77NG 8 DESIGN
1748 West KaEeiW /Wenle
Suitc 208
Orange. Gl 9286J
714 997 I 145 714 997 3&S7 FAX
<datechristian.com>
DCSE; Inc. Job Name: The Eucleve Phase III
DCSE,Inc. Job #: 06060
FIELD OBSERVATION LOG
�BEE NOiFB BELOIM1�
1: A minimum of 3-121vs, wi0 be Wtged for m� md evay visit lo chejob six -
2: Thu fmm is ooly (m edministretiw pwposes md doa oot indimtc aWccuml eppmvnl ofmy building If6uiiding confortoenco IeHer is
rtquirtd, cupoin4udmt shoWd wnmct t6e agiqec of rtcmd u Daie CLrisuml of5ca
Projec[ Name: Project No: Date� Report No.
�z eT�E G.�«a�� ,��Ts ��G93 -�Z �r3� ��
Location: Author: Day:
y�I Z � r.l�C aV� S✓�i'U§/� M T W T F S S
ClienVContractor Su dForeman: Weather:
/��- Lt.�'S 1'�xa /V,a r t � an n.�E � �"� �N...
Field Supervisor: Geologist: I Engineer: �
Observation/I'es[ing of. Tech
Q IP�. .PJ�2 /�SPEf-T. a �
Hours
,� �Dq a3 P�e,�.�� r.# G.,�G v7 � coo6 3 /� a
Fquipment Working:
Summary of Operations:
UN 5,�� �t � c�.vvr� .,.�s��.r,.,,a � vE Ls-r6� .5��,rr�r.
,
Z3 3� r�as6 3� � c�.bs Cia�.�c� � S� zrc
l,�c��E.�7� L�r�-� ,s C��e-�c� ,� r 7"c-�aa f�se� c��«.�
,
a1L � � �v�dNs �•6t6�yc.nT�' 3.1�,�•> �• � NCFIvR.� �,
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��t. �a�a�/��• y�
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� / � Page / of /
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Received by: /� /�
�Y �-� L I % (
FIELD REPORT y �
NMG GEOTECH�NICAL, INC. I MG
,, �
: i
White - File Copy Yellow - Client Copy � Pink - ClicndAgency Copy Gold - Field Copy