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Home My WebLink AboutX2019-3999 - Permits (2)X2001 - ?qol 01 123;- wiy-slow un CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING pO 100 Civic Center Drive I P.O. Bo 1768I NewportBeach, CA 926588915 www.newnortb_ ea_ c_ hc_ aoov 1 (949) 644-3200 SETBACKS AND TOP OF SLAB/FLOOR ELEVATION CERTIFICATE The purpose of this certificate is to insure that the structure is located properly on site per the approved drawings. This certificate also verifies the top of slab/floor elevation noted on the approved drawings. After the top of slab/floor elevation is verified to match the elevation specified on the approved drawings, the contractor and inspector can measure the height of the structure to the top of slab/floor to verify that it is equal or less than the dimension shown on building sections and elevations. This form must be filled out by a registered surveyor or civil engineer authorized to perform surveys. The survey must be done after the concrete forms are in place or preferable after the concrete slab is poured or raised floor is built, but prior to starting wall framing. Engineer/Surveyor's Name Dane P. McDougall License # 9297 Engineer/Surveyor's Address 6 Orchard Rd Suite 200 Lake Forest CA 92630 Job Address 1244 Irvine Avenue - TR 18135 - Units 1-9 Setbacks: Sketch a site plan and specify surveyed setbacks (use back page). * Top of slab/floor elevation: Va ries * If slab/floor elevation varies, sketch a plan or section through slab on the back page and specify the elevations. Use same datum used in the survey of record. I certify that the setbacks are 0, are not ❑, per City approved plans. Describe any deviations from plans: I certify that top of slab/floor elevation(s) is 0, is not ❑, per City approved drawings. Describe any deviations from plans: 11/05/2020 Date Engineer/Surveyor's stamp and signature Forms/SetbacksandTopofSlabElevationcert. L.S. 9297 P:\M\MELA-001\dwg\Xrefs\Z-CERT.dwg, 1115120204:02:59 PM, CKnight, FORM CERT, PH 1 1 L 7, J icy I =' 21622 — — — ---- _ I �j— — RM ro 87. FORM PP rt A,C' '1508 r 'FORM AP 21509 Imo— 8_7.90 FORM OOM7577-11, — C P r X0.96 M>n� m . _-IL 21611 ,—FORM M —21510 87.89 FORM 4P i1 lt� i L 8789 i✓1 R, 4Ewe aRm,.. FORM A - I 8].89 ?V L/ AP M-11525 1-1 RM PP L' 1 21528 iJ 87.98I� iFOR ] 9 COX (�A� /, f —T OA i 1 t 21521 FORM AP� ' 2152) r i -FORM AP 21524 LBB.01 L—_ ... -- -_ 21519 r88.01 r- FORM 88 M AP — — = FORM PP 1 L 7, J icy I =' 21622 — — — ---- _ I �j— — RM ro 87. FORM PP rt A,C' '1508 r 'FORM AP 21509 Imo— 8_7.90 FORM OOM7577-11, — C P r X0.96 M>n� m . _-IL 21611 ,—FORM M —21510 87.89 FORM 4P i1 lt� i L 8789 i✓1 R, 4Ewe aRm,.. FORM A - I 8].89 ?V L/ AP Sob Nt,..bcZi .. 6Y2 R t CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newoortbeachca.gov ( (949) 644-3200 Structural Observation Report Project Address: 12-24 WiWiLot./ AN. Repott Oate: II- -2aLt2 ��--- CNH Inspector Name (CNe Permit N: A2019_319 Building Owner Name; Owner's Mailing Address (N different repo site); Owner's Telephone N: CNB Plan Check M: Full Nene of Structural Observer (SO) SO E+nal Address- SO Telephone N-. SO License r Reg. e. ViHAI -RS KvSUAc &0VIUI(aQoVf:Corn 9l 9413503 Cc -(202 0 PLEASE INDICATE STRUCTURAL ELEMENTS AND CDNNPCTIANR nstRwavcn r.e . i---ig--ki- u----% FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS INDICATE LOCATION(S) _ DATE Floor/Roo OBSERVED OBSERVED 10 Converleonal ❑ Concrete ,�% ❑ Steel ❑ Concrete Fw s6Slab ❑ Mat Foundation, ❑ me s ❑ Cc e ❑ Steel eck Prestressed Concrete _ 3 ❑ .Caisson, PUes, ❑ W of Manuf. 0onry ❑ Grad Seams r Panels ❑ Other, 011ier: CT Other Other: O ITEMS CHECKED ABOVE, ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: D J 'Kari ryy )3UtLpreJG ) UNIT � I'� COLUMN AA1� �.Q,i v� -_� No A'" TH. M DFSc'kVAflaN N Olyt('n (i(-tr�r[Nc/-S O REPORT CONTINUED ON ATTACHED PAGES, C1 FINAL STRUCTURAL OBSERVATION REPORT: The structure giesetallyy compiles with the approved construction documents, and all observed deficiencies were corrected. ' I =re ttutt the fosawing statements are true to the best of my knowledge: 1., t am the Ikensed design professional retained by the owner to be in responsible CharQs ad the aWartral observation; 2.., 11, Or arloalir 80er4ed design professional whom I have designated above and is under :mlf,ibt6 Idterge, havepei{omred the required site visna St each s(gniticant �... +cooisw=donataga ta've* tlnt the structure .'t In ger—ml conformance with rhe r e documents, ,$. 1 �xtip$l defldentlse which I have documented must be corrected, prior to > fti, Pt the stns Systems by the City of Newport peach, Building WL r STAMP OF STRUCTURAL OBSERVER Wy fR911f110091 to FOR BUalla1G NISPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEMRORT BEACH. 3,5 NL -,bU 1, �5IG% 6W PO �� CITY OF NEWPORT BEACH u r COMMUNITY DEVELOPMENT DEPARTMENT 011 " P BUILDING DIVISION ��.`ORN 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: Report Date: CNB Inspector Name: CNB Permit #: L3-+ 4JIrjSLcw Lg^)E I -L-2-2,02,0 ❑ Conventional Fcotin s & ab X2fff-35ri0t Building Owner Name: Owner's Mailing Address (if different from site); Owner's Telephone #: CNB Plan Check #: Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #: BBS/L 1gmMART BAMMAk2PG0uV1SGJ?oe-Cory1 Q4.q:?S'2I&12 COS -2030 PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED (check aoolicable boxesl FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS (Floor/Roof) INDICATE LOCATION(S) OBSERVED DATE OBSERVED ❑ Conventional Fcotin s & ab ❑ Concrete ❑ Steel ❑ Concrete 9UI L01rJ(n 1 (2-2-Lojo ❑ Mat Fo dation, Prestres d Concrete ❑Mason❑ Concre El Steel Deck UNITS 1-3 11' C ons, Piles, ode Beams C1 dor Manuf. ear Panels ❑ M onry R Wood S CoN� FCa-JRJM(A1Ino Other: Other: ❑ ther: ❑Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: 10 S 1?V -D S Ecorib 1"L.7J2 S;1rPT0IV6 ON BUILD I IJN I TS 1- !va ❑ REPORT CONTINUED ON ATTACHED PAGES. ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected. I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. F)4.51,C4 Jzrrcirclgi s m No. C0527 * Exp. 12/31/20 N C V VFO< STAMP OF STRUCTURAL OI STRUCTURAL OBSERVATION DOES NOT WANE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CRY OF NEWPORT BEACH. Famultim¢wrWUhs,:nailonli.Pon3fw�tlons Protect Address: 12-3-4 n/SLO =rw Report Date: a- r CNsp toT'F�,p�nex FRAMES Building Owner Name: Owners Mailing Address (if drflerent fromxs(te) `per's Telep o ' v ` l'.la SHEAR Full Name of Structural Observer (SD):. SO E maiLAddress a 'i s`< _ ,` 8O: ("P.�tey (ope O�SR1lIp BASIL Amni kRy 90whif1GOuVii (Floor/Roof) F ,OBS g ,a °r"kY'xn- w"'t, PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONSiDR9ERVED !cheek A6-A6hoxe§)u."'vr FOUNDATIONS WALLS FRAMES DIAPHRAGMS 1IIDICATE LSX�A ON($) E w ,�,,TE SHEAR RYED ' a O�SR1lIp (Floor/Roof) F ,OBS g ,a ❑ Conventional ❑ Concrete ❑ Steel ❑ Concrete Footin s& ab w9,U1L�„_ 31 1 ., ❑Mat Fo anon, ❑Mason Con to ❑ SteePDeck r Prestros d Concrete/.I;M� �J7e•.fh " Nnt . n ❑ C `sons, Piles, OW dor Manul- sonry ;!a t7& Wood`AMR- adaBeams ear Panels ,.�,�.,.,,.a�. Other: Other. Other: ❑ Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: F t ' 09&GedGD ThIRD Lpr-R Sh rNfN c>ir4 JUjLD11v(,,UNITS 1-3 No bc-FICIC-ricte-S ❑ REPORT. CONTINUED ON ATTAOHED..P1GES=" ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies with the approved construction documents, and all observed deficiencies were corrected: I declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner to be in responsible charge of the structural observation; 2. 1, or another licensed design professional whom I have designated above and Is under my responsible charge, have performed the required site visits at each significant construction stage to verify that the structure is in general conformance with the approved construction documents; 3. 1 understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. 0"4.511ztd712M4.A/ STAMP Qp OFES&O QPWAZgEL No. 0052030 M Exp. 12/31/20 CIYItiOQ? rFOF CA��F rRUCTURAL OBSERVER HE CITY OF NEWPORT BEACH. STRUCTURAL OBSERVATION DOES NOT WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF PrzmdS�n au,aloi ur.ai „n0..rym51 ovu.in n, -yob rvu--�bu' 6529! CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 Structural Observation Report Project Address: Report Date: CNB Inspector Name: CNB Permit #c 113-1- w (,4A11=- 2 -10 -'Ll X2,01-3995 Building Owner Name: Owner's Mailing Address ('d different from site); Owner's Telephone #: CNB Pian Check #: Full Name of Structural Observer (SO): SO E-mail Address: SO Telephone #: SO License / Reg. #:. OL AIMM,4 Q T ROkip,C. al Lot C1 5 l6tZ Go52.0 O PLEASE INDICATE STRUCTURAL ELEMENTS AND CONNECTIONS OBSERVED !check annlirahfe hnna_cl' ` FOUNDATIONS SHEAR WALLS FRAMES DIAPHRAGMS INDICATE LOCATION(S) DATE (Floor/Roof) OBSERVED OBSERVED ❑ Conventional ❑ Concrete ❑ Steel ❑ Concrete Foofin s & V lrj1 1-gip—Lf ❑ Mat Fou at!on, ❑ Masonry ❑ Concr a ❑Steelck Prestress Concrete UN I i (— ❑ Ca ons, Piles, R Wood or Manuf. ❑ M Dory ❑ W od 11 ade Beams Shear Panels Other. ❑ Other: Other: Other: ❑ ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑ OBSERVED DEFICIENCIES AND COMMENTS: AA1s N—AR SAI ,t°TITIa wAiL.( A/VD AnV41; rJ LL fol TN Dje7w,4L.L 14T- Tnc OF O S iev-0710ty. 1yo o N=R DU-FlC/-w tC REPORT CONTINUED ON ATTACHED PAGES , ' ❑ FINAL STRUCTURAL OBSERVATION REPORT: The structure generally complies With the approved construction documents, and all observed deficiencies were corrected. 1 declare that the following statements are true to the best of my knowledge: 1. I am the licensed design professional retained by the owner. to be in responsible AOFESS/ Qp �p AZ charge of the structural observation; �Q FP q� FG 2. I, or another licensed design professional whom I have designated above and is under my responsible charge, have performed the required site visits at each significant co ¢ v m NC0520Cl0 A m construction stage to verity that the structure Is in general conformance with the w cc rn 0. approved construction documents; # Fxp. 12/31/22 3. I understand that all deficiencies which I have documented must be corrected, prior to final acceptance of the structural systems by the City of Newport Beach, Building Division. FC 6459C/ STAMP OF STRUCTURAL OBSERVER 2-10 2J SIGNATURE OF STRUCTURAL 08 OFRECORD DATE. STRUCTURAL OBSERVATION DOES NOT WANE ANY.REOUINEYENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH. FomultilmauNObmrvaOaMepon&Iwmclbm.:. CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 BUILDING HEIGHT CERTIFICATION Project Street Address: 1244 IRVINE AVE, NEWPORT BEACH Building Permit Number(s): 2750-2019 BLDG 1, UNITS 1-3 OF TR 18135 As the surveyor of record for the project at the above address, I hereby certify that I have reviewed the City of Newport Beach approved plan and original topographic survey and based the elevations listed below on those plans. Elevations shall include an allowance for roofing material thickness if not yet installed. Provide each critical ridge and flat roof, or roof deck railing elevations indicated on the approved plans. Use the format below on the back of this form if additional space is necessary or further explanation is needed. Provide original copy to the inspector before roof framing inspection. All elevation points are based on: XO NAVD88 O NGVD29 O Assumed Please provide the following elevation information for the highest roof ridges, flat roofs, or parapets/guardrails. Additional elevation points may be requested by the Building Inspector. RIDGES (3:12 slope or greater) 1. Approved elevation point of ridge is 120.07' and actual elevation point is 120.07' 2. Approved elevation point of ridge is and actual elevation point is 3. Approved elevation point of ridge is and actual elevation point is FLAT ROOFS, PARAPETS AND GUARDRAILS 1. Approved elevation point of flat roof or parapet is and actual elevation point is 2. Approved elevation point of flat roof or parapet is and actual elevation point is 3. Approved elevation point of flat roof or parapet is and actual elevation point is I certify that the above height measurements are correct and the above project: O IS in compliance with the City -approved plans. OIS NOT in compliance with the City -approved plans (Provide explanation). Please describe any deviation from the City -approved plans on the back of this form. Surveyor or Civil Engineer's* signature and seal (Wet stamp and signature required) * License number of 33965 or lower Fo=\Bwlding Height Certification 11/02/16 LAND 01/07/2021 MCD SG Date s L.S. 9297 CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive 1 P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 CIVIL ENGINEER'S CERTIFICATION FORM From: C&V Consulting, Inc. Dane P. McDougall 9830 Irvine Center Drive, Irvine, CA 92618 ATTENTION: GRADING ENGINEER, BUILDING DIVISION Date: 6/28/2021 GPC No.: 2750-2019 Tract/Subdivision/Lot No.: 1 Rough: _Final: X Project Names: The Isle at Mariner Shores Owner/Developer: Intracorp Homes Type of Project: Notes: X Tract: 18135 X Drainage Phase 1 Homes: Buildings 1 & 2, Units 1-9 _ Commercial _ Other Industrial Yardage for Project: Notes: _ Cut: Borrow: Fill: _ Export: I hereby approve the grading for this project in accordance with my responsibilities under the City Grading Code. I have inspected the project and hereby certify that all areas exhibit positive surface flow to public ways or City approved drainage devices. The grading has been completed: 6/28/2021 in conformance with, Precise Grading with the following changes to the approved grading pian. Plan #2750-2013 Description of Changes: Company: C&V Consulting, Inc. Name: Dane P. McDougall ttOf SS (print) (sign) WC License No.: C 80705 (RCE/LS) 02 W C Forms\Civil Engineers Certification Form 9-13 GeoTek, Inc. 1548 North Maple % t Ccmrx Cal lemia 42878 (9S4710-1160 Office (951)710-1167Fax v ,,&.oteku, ,e,,,.. June 21, 2021 Intracwp SW, LLC Project No. 2343 -CR 895 Dove Street Suite 400 Newport Beach, California 92660 Attention: Mr. Ride Puffer Bhegs I and 2 The Ide at Mariner Shores — Tract No. 18135 1244 Irvine Avenue City of Newport Beach, Orange County, California Reverencer See Appendnr A Dear Mr. Puffer _.._.. On-, earthil construction for the m4xx building pads has been completed in general accordance with City of Nmvport Beach &ddeknes and the rekrenced geotechinical reports by GeoTek, Inc. (GeoTek) The services .r• these eardr*Of-k OPerabor's for the subject i i pads, as requested by fin "as observed to be Placed as recommended. A report sumrTtarbEirlg the and observation s- - performed - . f thetesting Post grading , • o at the project sft can be The eject building pads are considered suitable for the intended construction from a geotechnical viewpoint Corhdusions and recommendations presented in the referenced reports remain valid and applicable. GEOTECHNICAL I ENVIRONMENTAL I MATERIALS INTRACORP SW, LLC Project No. 2343 -CR Final Geotechnical Services Letter, Tract No. 18135 June 21, 2021 City of Newport Beach. County of Orange. California Page 2 LIMITATIONS Our findings are based on site conditions observed and the stated sources. Thus, our comments are professional opinions that are limited to the extent of the available data. These opinions have been derived in accordance with current City/Courcy standards of practice and no warranty is expressed or implied. Standards of practice are subject to change with time. The opportunity to be of service is sincerely appreciated. If you should have any questions, please do not hesitate to call our office - Noek C. Toney PE 84700, Exp. 03/31/22 Project Engineer C64700 ExPMV2ZZ CVrajeaA2 i to 235N2343LR towoazrP SW A4wkw's Sw¢ Pmjea Troa Na 18 131 Newport BeadyVF d Service Lm!AZ 43Qt Feud Gestedcd Serriaa L&A*ng L aid 2 Traa No. 18135-&a GE®TEK PROJECT STATUS REPORT CaICERTS, Inc Effective 07/21/2021 13:04 (Pace 1 of 3) HERS Provider CaICERTS Inc. CA Building Energy Efficiency Standards 2016 Residential Compliance goo 2015 Energy Standards Code Year: 2016 Project Name: The Isle -Mariner Shore (Mariner Square) �. ■ Z Project Type: New Construction SFR Address: 1237 Winslow Lane City/State/Zip: Newport Beach / CA / 92660 L ■ � Enforcement Agency: City of Newport Beach ■ Permit Number: 2019_3999 Easy to Verify @ calcerts.com OVERALLSTATUS COMPLETE HERS VERIFIABLE MEASURES: COMPLETE .r ,;f f �� YIi N ri INFORMATION Certficatefof Comphaice Lists 1 (Document Required Enerrgy Features) „i X Certificate Type Compliance Registered Form CF1R-PRF-01, Registered Date 2020-05-22 1,0 :49:42 Registration 57 L 0"� f 1 �- �` 'r 219-P010253480D=--,000-000-00 00000-000 J ° Number ONAL CP Rs r, f 3 '�a 9 ti tem s.^..iYu<}nn s" n� r f f Fortny Regliftred Date 4 Re Number v i lshaiion t - .3t 'NOW, CF1R-SRA-01 2021-07-20 17:23:03 219-PO102534BOD-RO1001A CF1R-SRA-01 2021-07-20 17:23:03 219-PO1025348OD-RO1002A CF1R-SRA-01 2021-07-20 17:23:03 219-PO1025348OD-RO1003A CF1R-SRA-01 2021-07-20 17:23:03 219-PO1025348OD-RO1004A CF1R-SRA-02 2021-07-20 17:23:03 219-PO1025348OD-RO2001A CFIR-SRA-02 2021-07-20 17:23:03 219-PO1025348OD-RO2002A CF1R-SRA-02 2021-07-20 17:23:03 219-P01025348OD-RO2003A CF1R-SRA-02 2021-07-2017:23:03 219-PO1025348OD-RO2004A (1/) res HERS Provider CaICERTS Inc. CA Building Energy Efficiency Standards 2016 Residential Compliance goo 2015 CITY OF NEWPORT BEACH Phase 1 - Units 1-9 Community Development Department i Building Division 100 Civic Center Dr.1 P.O. Box 1768 1 Newport Beach, CA 92658 www.newportbeachca.gov 1 (949) 644-3200 cALGREEN DOCUMENTATION COMPLIANCE CERTIFICATION ADDRESS: 1237, 1239, 1241, 1233, 1231, 1229, 1223, 1225, 1227'ERMIT NO.: X2019-3996/3999 ins ow ane THIS FORM SHALL BE COMPLETED AND SIGNED PRIOR TO REQUEST FOR FINAL BUILDING INSPECTION. ONE COPY OF THIS FORM SHALL BE SUBMITTED TO THE BUILDING INSPECTOR AT FINAL INSPECTION AND ONE SHALL BE PROVIDED TO THE BUILDING OWNER AS PART OF THE CAL GREEN CERTIFICATION PACKAGE. The following section shall be completed by a person with overall responsibility for the planning and design portion of the project. REQUIRED DOCUMENTATIONS PROVIDED TO THE PROPERTY OWNER(S) 13 Franchise Hauler for Construction/Demolition Waste (65% min. reuse of nonhazardous waste) ® VOC Contents Limitation [3 Formaldehyde Emissions Limitation M T-24 Energy Certificate of Installations (Env., QII, Lighting, Photovoltaic, Ill Plumb.) M T-24 Energy Certificate of Verifications or Acceptance( Env., QII, Lighting, Photovoltaic, Mech., Plumb., HERS) 12 Operations and Maintenance Manual MOISTURE CONTENT OF BUILDING MATERIAL (RESIDENTIAL CONSTRUCTION ONLY) 01 1 certify that the moisture content of the wall and floor framing is less than 19 percent as determined in accordance with Section 4.505.3 of CAL Green prior to being enclosed. DECLARATION STATEMENT • 1 certify under penalty of perjury, under the laws of the State of California, the information provided is true and correct. • 1 certify that the installed measures, materials, components, or manufactured devices identified on this certificate conform to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcing agency. Name: i Responsible Person's Signature: Emilie Simard Date Signed: 5/2/22 Forms\CALGreen Documentation Compliance Cert Form 1-2017 Position/Title: Project Manager, Development