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B20-0727 - 26260 PASEO SILLIN 22STREET ADDRESS: 26260 STREET NAME: PASEO SILLIN 22 PERMIT #: B20-0727 TRACT: 15687 LOT: 2 UNIT: 22 DESCRIPTION: coo DEVELOPER NAME: DATE OF FINAL INSPECTION: 4/13/2021 11111111, IIII III11111IIII H 32400 PASEO ADEIANI'0 SAN JUAN CAPISTRANO, CA 92675 (949) 493-1171 (949) 493-1053 FAX uva':v. sanjuancap lsfrano. Erg 6114/2021 Owner: TOLL BROTHERS INC 725 W TOWN & COUNTRY RD ORANGE, CA 92868 MErnERS Of THE CRY COUNCIL CERTIFICATE OF USE & OCCUPANCY TROY BOURNE SERGIO FARIAS HOWARD HART DEREK REEVE JOHN TAYLOR HAVING INSPECTED THE BUILDING HEREIN DESCRIBED AND HAVING FOUND IT TO COMPLY WITH 2016 CBC, CRC, CEC, CPC, CMC, CA ENERGY,CA GREEN AND APPLICABLE CITY CODE REQUIREMENTS FOR ITS INTENDED OCCUPANCY CLASSIFICATION AND USE, THE CITY OF SAN JUAN CAPISTRANO HEREBY CERTIFIES AND RELEASES FOR USE AND OCCUPANCY THE FOLLOWING: Permit Number: Building Address: Tract: Lot: Unit: Building Use: Plan: B20-0727 26260 PASEO SILLIN 15687 2 22 (2950sf) SINGLE FAMILY GARAGE HARBOR VIEW - 2B Occupancy Classification: R -31U Type of Construction: VB Fire Sprinkler: YES CITY OF SAN JUAN CAPISTRANO PAUL MELBY,CBO Building & Code Enforcement Manager DWELLING w/ (415sf) ATTACHED POST IN A CONSPICUOUS PLACE AND DO NOT REMOVE UNLESS APPROVED BY THE CHIEF BUILDING OFFICIAL THIS IS A LEGAL DOCUMENT AND MUST BE GIVEN TO THE LEGAL OWNER OR PURCHASER San .Fran Capistrano: Preservin( the Fast to Enhance the Future CITY OF SAN JUAN CAPISTRANO -- BUILDING PERMIT Permit No. B20-0727 ISSUED 08/12/2020 DESCRIPTION HARBOR VIEW PH 7. PLAN 2B. 2950 sf SFR w/415 SF ATT GARAGE ELECTRICAL PERMIT AMOUNT Permit Number B20-0727 NEW RES OCCUPANCY GROUP R-3 203,46 NEW RES OCCUPANCY GROUP U 12.45 SERVICES 600V OR LESS NOT OVER 200AMPS 33.78 ISSUED BY LLI ELECTRICAL ISSUANCE FEE 27.24 SITE_APN TR 15687 22 SITE_LOT_NO 2 SITE_TRACT 15687 p SITE SUHARBOR VIEW JOBVALUE $ 330,742 J 1V Total Electrical 276.93 OCCUPANCY TYPE PLUMBING PERMIT AMOUNT PERMIT TYPE. BUILDING BUILDING 2,950 PLUMBING ISSUANCE FEE 27.24 _SF FIXTURES AND VENTS 173.60 NO—STORIES 0 WATER HEATER INCLUDING VENT 13.62 NO UNITS 0 — WATER PIPING SYSTEMS 5.26 JOB ADDRESS: 26260 PASEO SILLIN 22 # GAS SYSTEMS 6.81 BACKFLOW PROTECTION NON ATM <21N 13.62 OWNER NAME TOLL BROTHERS INC, PHONE BUILDING SEWER 27.29 MAILINGADDRESS 725 WESTTOWN AND COUNTRY ROAD FIRE INSTALL I TO 50 66.44 CITY,STATE,ZIP ORANGE, CA 92868 Total Plumbing 333.88 CONTRACTORNAME TOLL BROS INC MECHANICAL PERMIT AMOUNT ST. LIC # 683543 VENTS AND EXHAUST HOOD/DUCTS 11.79 ST. LIC EXPIRE 12/31/2021 AC/BOILER/COMPR<3HP AND TOOK BTU 48.84 PHONE (480) 596-5827 EXHAUST FAN W/ SINGLE DUCT 42.00 ADDRESS 250 GIBRALTAR ROAD FURNACE FORCED AIR OR GRAVITY UP TO 100K 49.17 CITY, ST, ZIP HORSHAM, PA 19044 EXTEND DUCTWORK 144.54 MECHANICAL ISSUANCE FEES 2724 TENANT NAME PHONE# MAILING ADDR CITY, ST, ZIP Total Mechanical 323.58 ARCH/ENG/DESIGNER MOBILE HOME PERMIT AMOUNT PHONE# MAILING ADDRESS ST LICENSE # CITY, ST, ZIP , , I have carefully examined the completed permit application and do hereby certify under penalty of perjury that all information hereon including the declarations are true and correct and 1 further Total Mobile Home certify and agree if a permit is issued: to comply with all City, County, and State laws governing Expiration: Every permit issued by the Building Official under the provisions of this Code shall expire by building construction, whether specified herein or not. I also agree to save, indemnify and keep harmless the City of San Juan Capistrano against all liabilities, judgments, costs and expenses limitation and become null and void. If the building or work authorized by such permit is not commenced which may in any way accrue against said City in c equence of the granting of this peon it, within 180 days from the date of such permit, or if the building or work authorized by such permit Is r iod suspended or abandoned at any time after the work is commenced for a perof 180 days Owner/Contractor � J A Print Name An OSHA permit is required for excavations over ST" deep and demolition or construction of structures over 3 stories in height. Applicant's signature Contracror: I hereby affimu that I am licensed under provisions of Chapter 9 of Division 3 of the Business and Professions Code, and my license is in fall force and effect. Owner/Builder. 1, as owner of the property, or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale. (Sce.7044, Business and Professions Code: the Contractor's License Laws does not apply to and owner of property who builds or improves thereon, who does such work himself or through his employees, provided that such improvements are not intended or offered for sale. If however, the building or improvement is sold within one year of completion, the owner -builder will have the burden ofproving that he did not build or improve for the purpose of sale) Ow nerBailder: I, as owner of the property, am exclusively contracting with licensed comments to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply t n owner of property who builds or improves thereon and who contracts for such projects with a contractor's) license pursuant to the Contractor's License Law. Wmrkers Cnmoemotion-I hereby affirm under penalty of perjury one of the following declarations:I have and will maintain workers' compensation insurance, as required by Section 3700 of th L r Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are'. Carver OLD REPUBLIC INSURANCE COMPANY PolicyNMWC3026770 (This section needs to be completed if the parent is for one hundred dollars(S100) or less) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ate Applicant WARNING: FAILURE TO SECURE W ORKERSUOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TI CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($I 00,000) IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES CITY OF SAN JUAN CAPISTRANO > crf,�� BUILDING PERMIT FEES (480)596-5827 22 Account # Type Cost 01-44221 Building Permit $ 2,51131 01-44223 Mechanical $ 323.58 01-44224 Plumbing $ 333.88 01-44225 Electrical $ 276.93 01-44221 Mobile Home Permit $ 0.00 01144222 Grading Permit Fee $ 0.00 01-44231 Grading Plan Check $ 0.00 01-44222 On -Site Residential Permit $ 0.00 01-44231 Onsite Residential Plan Check $ 0.00 Subtotal $ 3,445.70 01-44230 Bond Processing $ 0.00 01-44230 Building Plan Check $ 0.00 01-44230 Additional Plan Check $ 0.00 01-44230 Digital Record Fee ($1.00 per sheet) $ 34.20 01144221 C & D Administrative Fee $ 92.74 01-44221 Special Inspection -Reinspection $ 0.00 01144222 On -Site Commercial/Tract Permit Fee $ 0.00 01144231 On -Site Commercial/Tract Plan Check Fee $ 0.00 01-44214 Geotechnical Soils Plan Review $ 0.00 10-44320 Ordinance 211 $ 50.00 10-42510 Ordinance 364 $ 3,307.42 0145354 Copies @ .20 Each $ 0.00 90-23331 SMIP Fee $ 43.00 33144370 H.O.P.E. Fee (Housing in Lieu) $ 0.00 Other Fees $ 515.00 TCA Fees Date Received pprova ate eceive Schooirees Date Received Engineering Fees Date Received Water Division Fees Date Received 0144221 Title 24 Energy Provision (20% Permit Subtotal & Bldg Plan Check)) $ 496.81 01-44221 Title 24 ADA Fee (10% Permit Subtotal & Bldg Plan Check) $ 0.00 0144240 NPDES Permit Fee (10% Permit Subtotal) $ 344.57 90-23000 Refundable Bond/Deposit Posted by Owner Contractor Type $ 3,307.42 90-23000 Refundable Bond/Deposit Posted by Owner Contractor Type TOTAL FEES PAYABLE TO CITY OF SAN JUAN CAPISTRANO $ 11,636.86 Receipt # 76439 Date: 8/12/2020 Cashier: 611412021 Permit Number B20-0727 Type BUILDING Subtype SFD DETACHED Status FINALED Owner TOLL BROTHERS INC, Site Address 26260 PASEO SILLIN 22 Subdivision HARBOR VIEW Zoning Page 1 Plan Review History Review Group: ALL REVIEW DATES Review Type Status Reviewer Sent Due Returned Days Elapsed BUILDING 1st Applied 7/24/2020 LL3 C & D RECYCLING Approved 7/24/2020 LL3 Issued 8/12/2020 LL1 PCAPPROVED ArtBashmakian Finaled 4/13/2021 WF1 Days Elapsed Expired 10/10/202 LL3 Applicant TOLL BROS INC 74 Heel lonnlev City State Zip SAN JUAN CAPISTRANO CA 92675 Tract Block Lot No Parcel No COO - BUS 15687 2 TR 15687 22 Construction Type Occupancy Type VB R -3/U Review Group: ALL REVIEW DATES Review Type Status Reviewer Sent Due Returned Days Elapsed BUILDING 1st PCAPPROVED CAA Remarks and Notes: C & D RECYCLING PC APPROVED <none> nnun REVIEW DATES Remarks and Notes: PLANNING 1st PCAPPROVED ArtBashmakian Sent Remarks and Notes: 2/8/19 5/15/19 2/20/19 12 7/24/20 7/29/20 5 1/14/19 5/10/19 2/14/19 31 PERMIT REVIEWS Report By: �, Review Group: COO REVIEWS REVIEW DATES Review Type Status Reviewer Sent Due Returned Days Elapsed CERTIFICATE OF COO APPROVED Lisa La 4/1/21 6/14/21 74 Heel lonnlev Remarks and Notes: COO - BUS COOAPPROVED Amy Massey 4/1/21 4/12/21 4/1/21 0 i ircNCG Remarks and Notes: COO - NPDES COO APPROVED Madison LaScalza 4/1/21 4/12/21 4/5/21 4 Remarks and Notes: COO - PLANNING - COO APPROVED Laura Stokes 4/1/21 4/12/21 4/1/21 0 unl Icinlr. Remarks and Notes: PERMIT REVIEWS Report By: �, COO -PLANNING- COO APPROVED Jeffrey Graham PRn I nnAnl Remarks and Notes: COO - PUB WRKS COO APPROVED James Prather nnn INCP Remarks and Notes: 4/l/21 4/12/21 4/12/21 11 4/1/21 4/12/21 4/5/21 4 COO - UTILITIES - COO APPROVED MaryamRamsey 4/1/21 4/12/21 4/8/21 7 WATPP Pr. Remarks and Notes: COO - UTILITIES COO APPROVED Tim O'Neal 4/1/21 4/12/21 4/6/21 5 RFP Remarks and Notes: COO - UTILITIES COO APPROVED Mike Smith 4/1/21 4/12/21 4/1/21 0 nnnl InICP Remarks and Notes: COO - UTILITIES COO APPROVED Lisa La 4/1/21 4/12/21 4/12/21 11 PFI FACFR Remarks and Notes: COO - WATER COO APPROVED Amy Massey 4/1/21 4/12/21 4/1/21 0 cGPVInFc Remarks and Notes: COO -BLDG COO APPROVED William Forsythe 4/1/21 4/13/21 12 r:PAnlAlr:/Rnnln Remarks and Notes: COO -OCFA- COOAPPROVED William Forsythe 4/1/21 4/13/21 12 cnnnnnnnlmm�l n Remarks and Notes: PERMIT REVIEWS HUN SAKE R &ASSOCIATES - I R V I N E, I N C. PLANNING Avenida California & Via La Jolla ENGINEERING March 29, 2021 SURVEYING I hereby approve the precise grading for the referenced project in accordance GOVERNMENT RELATIONS with my responsibilities as the engineer of record. The precise grading has PAUL HUDDLESTON City of San Juan Capistrano KAMAL KARAM IRVINE Building & Safety Division LOS ANGELES 32400 Paseo Adelanto PALM DESERT San Juan Capistrano, CA 92675 RIVERSIDE SAN DIEGO Attention: City Grading Inspector Subject: Civil Engineer's Verification of Precise Grading HUNSAKER&ASSOCIATES IRVINE, INC. Project: Tract 15687, Units 21-23 and 32-34 FOUNDING PARTNERS: Avenida California & Via La Jolla PRINCIPALS: - FRED GRAYLEE I hereby approve the precise grading for the referenced project in accordance BRADLEY HAY with my responsibilities as the engineer of record. The precise grading has PAUL HUDDLESTON been completed substantially in conformance with the approved grading plan KAMAL KARAM which includes: line and grade for all engineered drainage devices, staking of DOUGLAS STALER property corners for proper building location, location and inclination of all KRIS WEBER slopes, construction of earthen berms and positive building pad drainage. JOSEPH E. WIGHTMAN Sincerely, HUNSAKER&ASSOCIATES IRVINE, INC. Three Hughes Irvine, California 92618-2021 (949) 583-1010 PH W.0. 1443-1508 Project: PaOt2 (949) 583-0759 FX A.0veLsErnt w .hunsaket.com FOUNDING PARTNERS: -7 7� RICHARD HUNSAKER R.C.E.�� TOM R. McGANNON JOHN A. MICHLER DOUGLAS C. SNYDER Three Hughes Irvine, California 92618-2021 (949) 583-1010 PH W.0. 1443-1508 Project: PaOt2 (949) 583-0759 FX A.0veLsErnt w .hunsaket.com ENGINEERS a GEOLOGISTS + ENVIRONMENTAL SCIENTISTS April 7, 2021 J.N. 17-391 Grading Permit No: B18-1291 TOLL BROTHERS 725 West Town and Country, Suite 200 Orange, California 92868 Attention: Mr. James Smiggs Subject: Final Soils Certification Letter, Units 21 through 23 and 32 through 34 (Phase 7) of Lot 2, Tract 15687, Harbor View, Pacifica Development, City of San Juau Capistrano, California References: See Attached List Dear Mr. Smiggs: Petra Geosciences, Inc. (Petra) is submitting herewith a summary of our observations and testing of footing excavations for residences, and compaction of backfill within utility trenches and the reprocessing of slab subgrade soils within the subject lots. Reports verifying acceptable conditions were posted at the site during the various phases of construction. The site was graded in general conformance with the recommendations contained in the referenced reports and is considered suitable for its intended use. SUMMARY Foundation Observations Excavations of footing trenches for the residences were observed and found to be excavated into competent bearing soils. Utility Trench Backfill Placement 1. Interior trenches under floor slabs were backfilled with imported sand considered to have a sand equivalent of 30 or better as determined in accordance with CalTrans Test Method 217. The sand was wetted to consolidate it. 2. Backfill of exterior trenches consisted of onsite soils placed above select sand bedding. The depth of sand bedding placed above utility lines varied from approximately 6 to 12 inches. On-site backfill materials were moisture conditioned as necessary to achieve optimum or over optimum moisture conditions prior to and/or during placement, and then compacted in 6- to 8 -inch lifts with a pneumatic tamper to a minimum relative compaction of 90 percent. Offices Strategically Positioned Throughout Southern California ORANGE COUNTY OFFICE 3186 Airway Avenue, Suite K. Costa Mesa, Califomia 92626 T: 714.549.8921 F: 714.668-3770 For more information visit us online at www oelra.inc corn TOLL BROTHERS _ April 7, 2021 Harbor View /San Juan Capistrano J.N. 17-391 Page 2 i 3. Exterior trenches consist of sewer, water, and joint utilities (Edison, gas, telephone, TV). The approximate maximum depths of backfill for the various trenches are listed below: Sewer................................................3 feet Water.................................................2 feet Joint...................................................2 feet 4. Exterior trenches were probed and/or tested and found to be adequately compacted for the intended purpose. Field and Laboratory Testing 1. Field density and moisture content tests were performed by nuclear methods (ASTM D6938). Test results are summarized in Table 1, and approximate locations of the field density tests are shown on the enclosed site plans (Figure 1). 2. Field density tests were taken at approximate I -foot vertical intervals to ascertain adequate compaction. 3. Visual and tactile classification of earth materials in the field was the basis for determining if the maximum density values presented in Table II were applicable for each density test presented in Table I. 4. The laboratory maximum dry density and optimum moisture content for each major soil type encountered during grading were determined in accordance with Test Method ASTM D1557-07. Test results are summarized in Table ll. CONCLUSIONS The earthwork performed under the purview of this report has been completed in general compliance with our recommendations and the Grading Code of the City of San Juan Capistrano, California. The completed earthwork is considered geotechnically suitable for the planned construction. REPORT LIMITATIONS Representatives of Petra were present onsite on an on-call basis during the previously described post - grading operations for the purpose of providing the owner's representative with professional opinions and recommendations. These opinions and recommendations were developed based on field observation and selective testing of the contractor's work. Our scope of services during this project did not include supervision or direction of the contractor, his personnel or his subcontractors. As documented in this report, our observations and testing did not reveal any obvious deviations from the recommendations provided in the geotechnical report by our firm; however, Petra does not in any way guarantee the contractor's work, nor do our services relieve the contactor (or any subcontractors) of their liability should any defects subsequently be discovered in their work product. IP E T R A SOLID ASA ROCK TOLLBROTHERS Harbor View /San Juan Capistrano April 7, 2021 J.N. 17-391 Page 3 Based on our findings, this report was prepared in conformance with generally accepted professional engineering practices and no further warranty is implied nor made. This report is subject to review by the controlling authorities for the project. Should you have any questions, please do not hesitate to call. Respectfully submitted, PETRA GEOSCIENCES, INC. a/�/zozs Siamak Jafroudi, PhD Senior Principal Engineer GE 2024 EP/SJAv Attachments: References Evan Price Associate Geologist CEG 2589 Table I — Field Density Test Summary Table II — Maximum Dry Density and Optimum Moisture Content Figure I — Density Test Location Plan W�V014-2019QDI"=12d91 Toll Rsdhers (I4ad-GaNen, San him Capi9mo)U pm 173N 3WFi"Suls CWL<DulUuls 21-23, 12-14, Nw 46m No. 2589 CEat NED ENGINEERING GEOLOGIST 400 PETRA $ONO ASAROCK t dOU ST Inspection &. T'esting, Inc. March 26, 2021 Building Official City of San Juan Capistrano Department of Building & Safety 32400 Paseo Adelanto San Juan Capistrano, CA 92675 Conlinunn.c 111,yeclian S. 11*11"I iuLc'l wfing 441 Conuncrcial way, La Bahia, CA 90631-6168 (562) 941-2990 • (714) 526-3441 PA X (S62) 946-0026 SPECIAL INSPECTOR'S FINAL REPORT Project Name: Harbor View, Ph 7 Address: Tract #15687, San Juan Capistrano Owner: Toll Brothers Lot Address Permit# Lot Address Permit # 21 26266 Paseo Sillin B20-0726 32 26358 Paseo Sillin B19-0794 22 26280 Paseo Sillin B20-0727 33 26352 Paseo Sillin B19-0793 23 26254 Paseo Sillin B20-0721 34 26346 Paseo Sillin B19-0792 This is to certify that Southwest Inspection and Testing, Inc. was employed to perform special inspection on the above mentioned project at the above address, which required continuous inspection per section 1701 of The California Building Code Title 24 Part 2. Remon Gerges - Post Tensioned Concrete, Reinforced Concrete, ICC #9056323 Steve Skuljan - Post Tensioned Concrete, Reinforced Concrete, ICC #1140008 Lonnie Partch - Shear, Wood Framing, ICC# 5067914 Based upon special inspection and materials testing written reports of this work, It Is our judgment that the inspected work was perf to the best of our knowledge, in accordance with the approved plans, specifications d appy, able workmanship provision of the California Building Code. DOFF Sincerely, Steven . God Y President SLG/IRW: spg Ian R. Waddell/ ,f.1 Principal Engineer For inspection and testing only, no design responsibility expressed or implied I oil Brofhors Harbor View n Pacific Sam .Amn Phase 7 26384 Paseo L.Iuvia C e. n re U1w5 Sa MOW, , gS`a`yfaiv SOS-7[it73� ts`dL055 l0O/2020 1 1,9 1 0.19 1 0.19 ' T3h5f 1017NOZO 1 174 1 0342 1 0171 �,LD dk iON� ib5�.�i�foAB' :IDS`.4 ?dNS? 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DRYWALL 1INEM RESIDUALS pmp,eld Dr. L E C 0 S,e,f0;e& A.—t la., , Total Waste Diverted: 437.3759 4m Yowl Scoff 95% Scora INF URS I�I0 2321 S Willow Ave Bloomington, CA 92316 Customer: 001629 -Toll Brothers (Harbor View) Harbor View @ Pacifica San loan #4346 1140 Virginia Drive Fort Washington, PA 19034 GROSS WEIGHT 39160 Its INBOUND TARE WEIGHT 27640 lbs INVOICE NETWEIGHT 6510 IbS 1 3.26 TN QUA NTffY UNIT MATERIAL 1.00 LD C&D RESIDUAL Wood Phone: 909-820-5046 TICKET # 147264 Fax: 949-625-9565 Wotght 0.13 4.00% 3.13 96.00% IN: Mardi 09, 2021 9:42 am OUT: March 09, 2021 9:50 am Bloomington, CA 92316 CARRIER] Customer: VEHICLE: Harbor View @ Pacifi CONTAINER: REFERENCE: 92150 -Truck # 106 RATE SUBTOTAL TOTAL $0.00 $0.00 $0.00 Total Payable: $0.00 Payment: wEIGFI ASTPRCERTIKATE THIS IS TO CERTIFY Net thef.VoMN9 desc TedeamnatllMsvasvregheq Mastered, Of f Aaad M aralglndenero4,asesgnalve is antes Madfoate, v ois a rernVisoneulhodly of accuracy, as Monied by ChaplerT(coTMoaohltw Seam 12791).1 NWAMt5 a Me Cerfamk eusNess and ftionsiona Code, annnadateredh Ne Division of Meesurdmbnl SNMen15 o1lh. Car4.mN oerednleN of Food anUAgvoAua. 8491] Weighmaster: MARIA M. GONZALEZ AGO IN�7U5 RI _ 2321 S Willow Ave March 09, 2021 10:04 am Bloomington, CA 92316 CARRIER: Customer: VEHICLE: 001629 -Toll Brothers (Harbor View) CONTAINER: Harbor View @ Pacifica San Juan #4346 192149 - Truck # 106 1140 Virglnla Drive Fort Washington, PA 19034 INBOUND GROSS WEIGHT 35340 lbs TARE WEIGHT 27640 lbs INVOICE NET WEIGHT 77DO-1 lbs 3.85 TN OUANTIrY UNIT MATERIAL 1.00 LD C&D Phone: 909-820-5046 Fax: Weight Plastic 0.23 6.00% RESIDUAL 0.15 4.00% Woad 3.41 90.00% 949-625-9565 TICKET # 147267 INJ March 09, 2021 9:53 am OUT I March 09, 2021 10:04 am CARRIER: VEHICLE: Harbor View @ Pacifi CONTAINER: REFERENCE: 192149 - Truck # 106 RATE SUBTOTAL TOTAL $0.00 $0.00 $0.00 Total Payable: $0.00 Payment: VJEIGHIOASTER CERTIFKTE THIS IS TO CERTIFYtbal and Movant' deeMbedoesensayvaavmghed.measured, orwunkd by a ssei9hmaskewtessesignature Is on Nis�iozle,v Is remyiizatl euAodly of euureq, as prea Sad a Chapla](.osoln9ssdh SeUon 12700).(Divlslon5.f81e CalOnsi. 0.sinessadPmlessionsCade,admNWered by Ne gaiion el Measuremenl5kndaNadtlre Cal4omN DelvdneM d Food end Aysicuhum. 8491] Driver: Weighmaster: MARIA M. GONZALEZ sa�ow� Iwc�a�Tr�a��s 2321 S Willow Ave Bloomington, CA 92316 Bloomington, CA 92316 Customer: Customer: 001629 - Toll Brothers (Harbor View) 001629 -Toll Brothers (Harbor View) Harbor View @ Pacifica San Juan #4346 Harbor View @ Pacifica San Juan #4346 1140 Virginia Drive 1140 Virginia Drive Fort Washington, PA 19034 Fart Washington, PA 19034 INBOUND INBOUND GROSS WEIGHT 44080 lbs TARE WEIGHT 27400 lbs INVOICE NETWEIGHT 16680 lbs 8.34 TN UO ANTCfY UNIT MATERIAL 1.00 LD Inerts/Concrete Phone: 909-820-5046 Fax: Weight Inerts/Concrete 8.01 96.008 RESIDUAL 0.33 4.004 949-625-9565 TICKET # 145896 IN: January 20, 2021 3:30 pm OUT: I January 20 2021 3:40 pm CARRIER: VEHICLE: Harbor View @ Pacifi CONTAINER: REFERENCE: 191282 - Truck # 133 RATE SUBTOTAL TOTAL $0.00 $0.00 $0.00 Total Payable: $0.00 Payment: wEIGHWVER CERTIFICATE THIS IS TO CERTIFY Wel the fattervvq descr.0ed comnloddy eya v. fed, neasured,.1otealM by asveyhmastec whose sgna6ao lean lair aLYrgnlc, who iso rec 1rk.d auNoiily o1 a --Y.. as prescribed by Chapter] (wrmirenGp wIN SeRm I270C) of nlvhian 5 of he Cagamla euz'ress and Protessbns Code, atlMnlskred by IM amian d Maasuremenl5landartls of the Calilomia Cepanment of Food attd A9nw1tam. .4917 Driver: Weighmaster: MARIA M. GONZALEZ gem I�IDUS�TnII �S 2321 5 Willow Ave Bloomington, CA 92316 Customer: 001629 - Toll Brothers (Harbor View) Harbor View @ Pacifica San Juan #4346 1140 Virginia Drive Fort Washington, PA 19034 INBOUND GROSS WEIGHT F 47020 Ibs TARE WEIGHT 27400 Ibs INVOICE NET WEIGHT 19620 Ibs 9.81 TN OUAN UNITAM TERIAL 1.00 LD Inerts/Concrete Phone: 909-820-5046 TICKET # 145931 Fax: 949-625-9565 Weight Inerts/Concrete 9.42 96.004 RESIDUAL 0.39 4.00% IN: January 21, 20212:48 pm OUT: January 21, 2021 2:58 m CARRIER: VEHICLE: Harbor View @ Pacifl CONTAINER: REFERENCE: 191283 -Truck# 106 RAW SUBTOTAL TOTAL $0.00 $0.00 $0.00 Total Payable: $0.00 Payment: MIGHNIASTER CERTIFICATE THIS IS TO CERTIFY 0lallha foIMsMB descnbedcommOCdy Ona Mi*Ad, measured, mwenled by a weighmastes. whale shralom Is on Mae eadifoaO, who IS a reeog ped aref -eirr al eocureq. as prescribed by Chapter ](camrencvlgvAhS n12]00)Of U46bn5 ofMeC8Domu9usneae and Profess:om Code, edminHlered by the Uielon ofMeasummcnl SNrAaNs Of MO Cellfeada Capadeentof Food andAgdcu.um. .4917 Driver: Weighmaster: MARIA M. GONZALEZ corp fou T i 2321 S Willow Ave January 21, 2021 3:15 pm Bloomington, CA 92316 CARRIER: Customer: VEHICLE: 001629 - Toll Brothers (Harbor View) CONTAINER: Harbor View @ Pacifica San Juan #4346 91284 -Truck # 106 1190 Virginia Drive Fort Washington, PA 19034 INBOUND GROSS WEIGHT 32120 lbs TARE WEIGHT 27640 lbs INVOICE NETWEIGHT 4460 Ibs f 2.24 TN CLAN TiIY UNIT MATERIAL 1.00 LD C&D RESIDUAL Wood Phone: 909-820-5046 ,. TICKET #_ 145932 Fax: 949-625-9565 Weight 0.11 5.008 2.13 95.008 IN: ]anuary 21, 2021 3:05 pm OUT: January 21, 2021 3:15 pm Bloomington, CA 92316 CARRIER: Customer: VEHICLE: Harbor View @ Pacifi CONTAINER: REFERENCE: 91284 -Truck # 106 RATE SUBTOTA TOTAL $0.00 $0.00 $0.00 Total Payable: $0.00 Payment: WEICHMASTER CENTIFICATE IRIS IS TO CEITY"0wt to bhoW.rg described corrvmdAy ms w<ghad, measured, orwuated by a weghmnstea whose sigrMIM. is an Nis ttdMale, ww is a rxognizetl auNonly Of acwrxy, az pmsuibed by Chapter 7 irom rgvAN Section 42700)dOrvHion 5 o Ae CaliomN Buanau and ProN:ssbns Code, admNxbmtl by the Departmentd Foodand Agdwliure. 84917 Driver: Weighmaster: MARIA M. GONZALEZ e -17R NI7UsTRIES January22, 2021 10:00 am 2321 S Willow Ave January 22, 2021 10:10 am Bloomington, CA 92316 CARRIER: Customer: VEHICLE: 001629 - Toll Brothers (Harbor View) CONTAINER: Harbor View @ Pacifica San Juan 44346 91299 -Truck# 106 1140 Virginia Drive Fort Washington, PA 19034 INBOUND GROSS WEIGHT 43020 lbs TARE WEIGHT 27400 lb, INVOICE NET WEIGHT 15620 lbs 1 7.81 TN QUANTITY UNIT MATERIAL 1.00 LD Inerts/Concrete Phone: 909-820-5046 TICKET # 145950 Fax: 949-625-9565 Weight Inerts/Concrete 7.50 96.008 RESIDUAL 0.31 4.008 IN: January22, 2021 10:00 am OUT: I January 22, 2021 10:10 am CARRIER: VEHICLE: Harbor View @ Pacifi CONTAINER: REFERENCE: 91299 -Truck# 106 RATE SUBTOTAL TOTAL $0.00 $0.00 $0.00 Total Payable: $0.00 Payment: WEIGHWISTERCERTIFICATE THIS IS TO CERTIFYIhal Ne measured, or munled by a IwgMbadetvmesesgnatu:a Is on this wdlricete,vMO Is mwaaized aulbadry d ac aM*as prescribed by ChapbO7lcannencng SVN Sedbn 12700) Of O40sion 5 OfMe CalAemh HusO,eas and ProreseTere Code, admnish red by Na DiAswn o(AlxaSuremenl SNMaNz of Ne CdBamla OepaMiert aFoad and Agnwpure. 84917 Driver: Weighmaster: MARIA M. GONZALEZ IN17U:TRI018 2321 5 Willow Ave OUT. Bloomington, CA 92316 Customer: Customer: 001629 - Toll Brothers (Harbor View) 001629 - Toll Brothers (Harbor View) Harbor View @ Pacifi CONTAINER: Harbor View @ Pacifica San Juan #4346 REFERENCE: 91298 -Truck # 106 1140 Virginia Drive 5.00% ForWashington, PA 19034 Fort Washington, PA 19034 0.56 20.003 INBOUND INBOUND GROSS WEIGHT 38290 lbs TARE WEIGHT 27400 lbs INVOICE NET WEIGHT 10840 lbs 5.42 TN QUA NTIfY UNIT MATERIAL 1.00 LD Inerts/Concrete Phone: 909-820-5046 TICKET # 145.953 Fax: 949-625-9565 Weight Inerts/Concrete 5.20 96.003 RESIDUAL 0.22 4.003 IN: January 22, 2021 10:11 am OUT. 2, 2021 10:21 am ]anuary 22,- Customer: CARRIER: CARRIER 001629 - Toll Brothers (Harbor View) VEHICLE: Harbor View @ Pacifi CONTAINER: 20.003 REFERENCE: 91298 -Truck # 106 RATE SUBTOTAL TOTAL $0.00 $0.00 $0.00 Total Payable: $0.00 Payment: peesuib.d by Chepler7STIER lMATE THIS IS TO iwsErswn9 x SsEt=112700)l0 aDEAOOn5W Ne Callomlxe neazIy seEdPofesspns CEds 2,1 lndlewaounted eed by Ny a e"$WE omstft dI Measurewe aUm ment iSmndeNs a ba c.brdm!a Oapadmanl (Food nd AlksbEl. 04917 Driver: Welghmaster: MARIA M. GONZALEZ m SCOL INDUS 171EaS 2321 5 Willow Ave - Bloomington, CA 92316 Customer: 0.28 001629 - Toll Brothers (Harbor View) OCC -Cardboard Harbor View @ Pacifica San Juan #4346 20.003 1140 Virginia Drive 0.14 5.00% ForWashington, PA 19034 Plastic 0.56 20.003 INBOUND GROSS WEIGHT F 33340 Ibs TARE WEIGHT 27700 lbs INVOICE NET WEIGHT 5640 Ibs 2.62 TF1 - U� UNIT MATERIAL 1.00 LD C&D Phone: 909-820-5046 TICKET # 146046 Fax: 949-625-9565 IN: January 26, 2021 2:05 pm OUT. January 26 2021 2:15 pm CARRIER: VEHICLE: Harbor View @ Pacifi CONTAINER: REFERENCE: 91389- Truck # 133 ;ATE SUBTOTAL TOTAL $0.00 $0.00 $0.00 Total Payable: $0.00 Payment: WEUHMASTERCERTIFICATE THISIS TOCERTIFYNal Ne fcb,igdasMbsdco dihywaswal9had,measured, aswooled byawel9Mmsler, whose slyneWre is on Ihlsse ssbd.M-Iss oso Ek.d a uIM;ftYW.-u-q.ss ,nsc sdbychasW7 Icemmndn VANseclbn 12700)0Olu fl5Wthe Caeomu0usnazaand Poleasiona Code, adniaiskrcd by Ne DiiisunWMeawremnl SNndasda W9„Cehfonda fNpaMneds of Fond andA9dwlWM. 81917 Driver: Weighmaster: MARIA M. GONZALEZ Weight Metal 0.28 10.003 OCC -Cardboard 0.56 20.003 Paper 0.14 5.00% Plastic 0.56 20.003 RESIDUAL 0.15 5.00% Wood 1.13 40.003 IN: January 26, 2021 2:05 pm OUT. January 26 2021 2:15 pm CARRIER: VEHICLE: Harbor View @ Pacifi CONTAINER: REFERENCE: 91389- Truck # 133 ;ATE SUBTOTAL TOTAL $0.00 $0.00 $0.00 Total Payable: $0.00 Payment: WEUHMASTERCERTIFICATE THISIS TOCERTIFYNal Ne fcb,igdasMbsdco dihywaswal9had,measured, aswooled byawel9Mmsler, whose slyneWre is on Ihlsse ssbd.M-Iss oso Ek.d a uIM;ftYW.-u-q.ss ,nsc sdbychasW7 Icemmndn VANseclbn 12700)0Olu fl5Wthe Caeomu0usnazaand Poleasiona Code, adniaiskrcd by Ne DiiisunWMeawremnl SNndasda W9„Cehfonda fNpaMneds of Fond andA9dwlWM. 81917 Driver: Weighmaster: MARIA M. GONZALEZ S�1R INDUS IES 2321 5 Willow Ave Bloomington, CA 92316 Customer: 001629 - Toll Brothers (Harbor Yew) Harbor View @ Pacifica San Juan #4346 1140 Virginia Drive Fort Washington, PA 19034 GROSS WEIGHT 33760 lbs INBOUND TARE WEIGHT 27700 Its INVOICE NETWEIGHT 6060 lbs 3.03 TN QUANTITY UNITAM TERIAL 1.00 LD C&D RESIDUAL Wood Phone: 909-820-5046 Fax: 949-625-9565 Weight 0.12 4.00% 2.91 96.008 TICKET # 146048 IN: January 26, 2021 2:20 pm OUT: January 26 2021 2:30 pm CARRIER: VEHICLE: I Harbor View @ Pacifi CONTAINER: REFERENCE: 91390 - Truck 1133 RATE SUBTOTAL TOTAL $0.00 $0.00 $0.00 Total Payable: $0.00 Payment: WEIGHM STER CERTIFICATE THIS IS TO CERTIFY Uel lire folb smg descdbad wmnadity was vreIgh.d. measured. Orwunled by a eeghmaa:ag Mose agnatuse Isan TMs ceNneate, who Is a reco91rsed aathody dacwmcy, as pesubed by Chaplar7(rmmeenringvA Saqun 12700)of CMeine 5 doe Caltlomla Buaness and Pmfesaans Code, edrdniskred WAha DMsbn Of Measurement SOaN.O.OIUeC.Inneda DepmlreentafFwdand Ag6cfS... 04817 Driver: Weighmaster: MARIA M. GONZALEZ QUANTITY UNIT MATERIAL 1.00 LD C&D RESIDUAL Wood Phone: 909-820-5046 TICKET # 146191 Fax: 949-625-9565 Weight 0.24 7.008 3.10 93.008 IN: February 01, 202110:02 am GOR INDUSST�RIEBS 2321 S Willow Ave Bloomington, CA 92316 Customer: Harbor View @ Padfl 001629 - Toll Brothers (Harbor View) REFERENCE: Harbor View @ Pacifica San Juan 44346 1140 Virginia Drive Fort Washington, PA 19034 INBOUND GROSS WEIGHT 34540 lbs TARE WEIGHT 27700 lbs INVOICE NET WEIGHT 6840 lbs 1 3.42 TN QUANTITY UNIT MATERIAL 1.00 LD C&D RESIDUAL Wood Phone: 909-820-5046 TICKET # 146191 Fax: 949-625-9565 Weight 0.24 7.008 3.10 93.008 IN: February 01, 202110:02 am OUT: February 01 2021 10:12 am CARRIER: VEHICLE: Harbor View @ Padfl CONTAINER: REFERENCE: 191492 -TTuck # 133 RATE SUBTOTAL TOTAI- $0.00 $0.00 $e.00 Total Payable: $0.00 Payment: WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that Me kWawq dessMed mmmpolly wasyfaihed, measured, Or wonted by a MicMnanei, ehO80 si9naimo is on MIS w60eale,y O Is a neeplead eulhdNy dac rias ,as prtaWed by Cheptu7(wmmerangmlh Sedlan 12]00)d Diiisien5dUe Caldosnia BusinessarM Rdessrons Cede, adrave,ened by Me C aanofMeasurement Slandanis of Ue Ca4fan1e Cepadmenlof Food ardAgdculWm. 94917 Driver: Welghmaster: MARIA M, GONZALEZ AW NTITI' UNIT MATERIAL 1.00 LD C&D RESIDUAL Wood Phone: 909-820-5046 _ TICKET # 146192 Fax: 949-625-9565 Weight 0.13 4. OOt 3.03 96.008 INJ .. pillow 2321 S Willow Ave Fehruary OS, 2021 10:25 am Bloomington, CA 92316 CARRIER: Customer: Harbor View @ Pacifi 001629 - Toll Brothers (Harbor View) Harbor View @ Pacifica San Juan #4346 REFERENCE: Harbor View @ Pacifica San Juan #4346 1140 Virginia Drive 1140 Virginia Drive Fort Washington, PA 19034 Fort Washington, PA 19034 INBOUND GROSS WEIGHT 34140 lbs INBOUND GROSS WEIGHT 34020 ibs TARE WEIGHT 27700 lbs INVOICE NET WEIGHT 6320 lbs 3.16 TN AW NTITI' UNIT MATERIAL 1.00 LD C&D RESIDUAL Wood Phone: 909-820-5046 _ TICKET # 146192 Fax: 949-625-9565 Weight 0.13 4. OOt 3.03 96.008 INJ February 01, 2021 10:15 am OUT. Fehruary OS, 2021 10:25 am CARRIER: CARRIER: VEHICLE: Harbor View @ Pacifi CONTAINER: Harbor View @ Pacifica San Juan #4346 REFERENCE: 91493 -Truck # 133 RATE SUBTOTAL TOTAL $0.00 $0.00 $0.00 Total Payable: $0.00 Payment: WEIOHMASTER CERTIFICATE THIS IS TO CERTIFY Bal Ad lollon4p descdbedwmnpddy waayreghed, measured, orwuntad by a eRgluNslen wMse agnatum is on this saNfaxta, who Is a lawgdvd aulMlay of eswasy, as Mswbed by Cbaie,](wmmelltlnp wim SecBon 12]00)d Division5 of hs Catomla3.0nosand Pmlessions Cade, adinmial.nod by As Dvdsbn Alva ... Annan! SlandsN M. Depadmentul Fwd end Agdouftos. 0491] Driver: Weighmaster: MARIA M. GONZALEZ 11C~O� INDU T IES 2321 S Willow Ave February 05, 2021 10:10 am Bloomington, CA 92316 February O5, 2021 10:15 am Customer. CARRIER: 001629 - Toll Brothers (Harbor View) VEHICLE: Harbor View @ Padfi Harbor View @ Pacifica San Juan #4346 REFERENCE: 1140 Virginia Drive Fort Washington, PA 19034 INBOUND GROSS WEIGHT 34140 lbs TARE WEIGHT 27650 lbs INVOICE NET WEIGHT 6480 Ihs 1 3.24 TN OUANTITM UNIT MATERIAL 1.00 LD C&D RESIDUAL Wood Phone: 909-820-5046 TICKET # 146344 Fax: 949-625-9565 Weight 0.23 7.00% 3.01 93.00% IN: February 05, 2021 10:10 am OUT. February O5, 2021 10:15 am CARRIER: VEHICLE: Harbor View @ Padfi CONTAINER: REFERENCE: 191574 - Truck # 106 RATE SUBTOTAL TOTAL $0.00 $0.00 $0.00 Total Payable: $0.00 Payment: WEIOHMASTER CERTIFICATE THIS IS TO CERTIFY that the Wtomni, described wmmadity was yrtgbOd, measured, arawnled by a xalpbmasler, wbnse sgnalun is on this sate ale, who Is a recaprveed auprodtyofasnomsy, as Iaesmiced by Cllapla,] (wmmenving MIA Sedan 12]00) At Wskn 5 al t. CaiNsAin Boasts. end Pmfosslons Code, adoinislead M 16a Uvislon of Measu,emanl SlaMards M Ne Cxrdomia Oepadmentat Food and! Apdsudure. 0491] Driver: Weighmaster: MARIA M. GONZALEZ 23215 Willow Ave Bloomington, CA 92316 Customer: 001629 - Toll Brothers (Harbor View) Harbor View @ Pacifica San Juan #4346 1140 Virginia Drive Fort Washington, PA 19034 GROSS WEIGHT 35680 lbs INBOUND TARE WEIGHT 27660 lbs INVOICE NET WEIGHT 8020 lbs 4.01 TN QUANTITY UNIT MATERIAL 1.00 LD C&D RESIDUAL Wood Phone: 909-820-5046 TICKET # 146346 Fax: 949-625-9565 Weight 0.16 4.008 3.85 96.008 IN: February O5, 2021 10:15 am OUT February 05, 2021 10:29 am CARRIER: VEHICLE: Harbor View @ Pacifl CONTAINER: Harbor View @ Pacifica San Juan 44346 REFERENCE: 91573 - Truck #106 RATE SUBTOTAL TOTAL $0.00 $0.00 $0.00 Total Payable: $0.00 Payment: WEIOHMSSTER CERTIFICATE THIS *TO CERTIFY Net Ne fo to de, descdbod! wmmodlyvaerreghed, me.wred, or monied by a megherartar, whood signature is on this ardicate,mfio Is a nwydxd authority, of eooiaM as prescdbM by Chis,ei 7(wmrercirg wM Section 12700) of DNlsbn5 of Me GIBomM&ulnasa entl Prdessiona Code, adrnristared by dn: Oivlsiond Meavmmerd SmMaNs M the Carlordia Oepadrnenl N Food.ndA9datMre. 84917 Driver: Weighmaster: MARIA M. GONZALEZ SGA - INOU TIMI �S 2321 S Willow Ave " Bloomington, CA 92316 February 09, 2021 10:50 am Customer: 001629 - Toll Brothers (Harbor View) Harbor View @ Pacifi CONTAINER: Harbor View @ Pacifica San Juan 44346 REFERENCE: 91632 - Truck# 117 1140 Virginia Drive FortWashington, PA 19034 INBOUND GROSS WEIGHT 37000 lbs TARE WEIGHT 27400 lbs INVOICE NET WEIGHT 9600 lbs 4.80 TN UAO NTITY UNIT MATERIA 1.00 LD Inerts/Concrete Phone: 909-820-5046 TICKET # 146421 Fax: 949-625-9565 Weight Inerts/Concrete 4.61 96.008 RESIDUAL 0.19 4.00% 1N: February 09, 2021 10:42 am OUT. February 09, 2021 10:50 am CARRIER: VEHICLE:I Harbor View @ Pacifi CONTAINER: REFERENCE: 91632 - Truck# 117 RATE SUBTOTAL TOTAL $0.00 $0.00 $0.00 Total Payable: $0.00 Payment: WEI HM4STER CERIffICAIE 1 HIS IS TO CERTIFY that Ne laibw'up dezcdbed wnerroaymsvreghed, Mastered, warranted by a meghmastalwhosesgrature is an dia ceNf%ate, rfio Is a decogneed sumo*ofewaany, as prescribed by Chapter? (wmnwrtlng wiN Sa1Im 12700) cd Millen S of to CelB.ed. Buswss.nd Profeasi or.Cedo, aded.isbred bylhe on.he W M.aswwnont Standards of Ne CaiBpmia De{udment a Foad andrs dr Aur.. 84917 Driver; Welghmaster: MARIA M. GONZALEZ SL�Sl� INr u-6 0'I � 2321 S Willow Ave Bloomington, CA 92316 Customer: 1001629 - Toll Brothers (Harbor View) Harbor View @ Paclflca San Juan #4346 1140 Virginia Drive Fort Washington, PA 19034 GROSS WEIGHT 35520 jlbs INBOUND TARE WEIGHT 27660 lbs INVOICE NET WEIGHT 7860 lbs 3.93 TN OUANTITY UNIT MATERIAL 1.00 LD C&D RESIDUAL. Wood Phone: 909-820-5046 TICKET # 146484 Fax: 949-625-9565 Weight 0.12 3.00% 3.81 97.008 IN: February 10, 2021 3:43 pm OUT. February 10, 2021 3:50 Pm :j I VEHICLE: I Harbor View @ Pacifi CONTAINER: REFERENCE: 91654 -Truck#106 RATE SUBTOTAL TOTAL $0.00 $0.00 $0.00 Total Payable: $0.00 Payment: WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY def de folow;tp described m'sumddymsveghed, measured, or counted by yedgh re den chose agnaWre Is on mis ttNficale, w1u Is a recegnbed auhoriy of acwmry, as p senbed ry Chepler7 (commencgp WthSectioa 12)00)of 0ivislon5 of Me Catromfa Business and Professions Cedt, odn6nialered byte D"rvrsfan of Measurement ShMards of Me Calromla DepaMfefdol Rod aeIAgrc ft re. 84917 Driver: SCa-OI� INR Weighmaster: MARIA M. GONZALEZ 2321 S Willow Ave ' Bloomington, CA 92316 February 17, 2021 10:32 am Customer: 0.20 001629 - Toll Brothers (Harbor View) VEHICLE: OCC -Cardboard Harbor View @ Pacifica San Juan #4346 30.00% REFERENCE: 1140 Virginia Drive 0.08 4.00% Fort Washington, PA 19034 elastic 0.61 30.00% INBOUND GROSS WEIGHT 31780 lbs TARE WEIGHT 27700 lbs INVOICE NET WEIGHT 4080 lbs F 2.04 TN UANTI"IY UNIT MATERIAL 1.00 LD C&D Phone: 909-820-5046 TICKET # 146677 Fax: 949-625-9565 IN: I February 17, 2021 10:24 am Weight February 17, 2021 10:32 am Metal 0.20 10.00% VEHICLE: OCC -Cardboard 0.61 30.00% REFERENCE: Paper 0.08 4.00% elastic 0.61 30.00% RESIDUAL 0.13 6.001 Wood 0.41 20.00% IN: I February 17, 2021 10:24 am OUT: February 17, 2021 10:32 am CARRIER: VEHICLE: Harbor View @ PacifI CONTAINER: REFERENCE: 91777 - Truck # 133 RATE SUBTOTAL TOTAL $0.00 $0.00 $0.00 Total Payable: Payment: WEIGHId TERCERTIFICATE THIS IS TO CEmIFY 15af Me b9uvnng derenbadcemmoaywassvagMd, measured, uwunfed by a v Ighnecler,rhos¢spnatvefa an Niz udTpefa, whole a rewgoeed auMont, of aowrery, as psesorbed by Chapter 7lwnanerp,Ira +0s Section 12Na)of fN.ivan5 dthe CaDamia DusmassaM Pre(essions Catla,adm'viisferee bylM Oiuisirn dl MeazmemeofSbndshis of Me Calilomb Dapanmanlofrued am Agnwaure. 8499 Driver: Weighmaster: MARIA M. GONZALEZ City of San Juan Capistrano Development Services Department Building and Safety Division 32400 Paseo Adelanto San Juan Capistrano, CA 92675 Phone: (949) 443-6347 Website: www.sanjuancapistrano.org Structural Observation Report STRUCTURAL OBSERVATION is the visual observation of the structural system by a registered design professional for general conformance to the approved construction documents at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspection required by SCJMC Section 18.07.050, CBC Section 1704 or other sections of the SCJMC or CBC. This report includes all constructionworklhrough 19th dayof January 4021 . Report No.: 1603-84 Lot 22 Page No.: 1 of 1 Project Address: )urov c. Professional LIc.fReg. No.: Phone No. of SOR: Il �a`avji[a� r: DATE ❑ Fooling, Stem Wall Building Permit No: Structural Observer (SO), if not by SOR: Professlonal LICL/Reg. No.; Phone No. of SO: City of San Juan Capistrano Development Services Department Building and Safety Division 32400 Paseo Adelanto San Juan Capistrano, CA 92675 Phone: (949) 443-6347 Website: www.sanjuancapistrano.org Structural Observation Report STRUCTURAL OBSERVATION is the visual observation of the structural system by a registered design professional for general conformance to the approved construction documents at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspection required by SCJMC Section 18.07.050, CBC Section 1704 or other sections of the SCJMC or CBC. This report includes all constructionworklhrough 19th dayof January 4021 . Report No.: 1603-84 Lot 22 Page No.: 1 of 1 Project Address: Structural Observer of Record (SOR): Professional LIc.fReg. No.: Phone No. of SOR: 26260 Paseo Sillin Nelson Engineers DATE ❑ Fooling, Stem Wall Building Permit No: Structural Observer (SO), if not by SOR: Professlonal LICL/Reg. No.; Phone No. of SO: B20-0727 David Nelson 076318 951-695-7101 PLEASE INDICATE OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS (d=k.N kabla box) FOUNDATIONS WALLS FRAMES DIAPHRAGMS (FloadRooq IF PORTION OF BLDG WAS OBSERVED, INDICATE LOCATION DATE ❑ Fooling, Stem Wall ❑ Concrete ❑ Sleet Moment Frame ❑ Concrete ❑ Mat Foundation, El Masonry ❑ Steel Braced Frame ❑ Steel Deck Pre -stressed Conc. Slab ❑ Caisson, Pile, Grade 0 Wood Shear Wall ❑ Concrete Moment ❑ Wood Beam Panel Frame ❑ Foundation Pad, ❑ Other: ❑ MasonryWaIIFmnle ❑ Other: Anchor ❑ Other: ❑ Other: ❑ Other: ❑ Other. IN ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. FINAL STRUCTURAL OBSERVATION FOR THE PROJECT IS 100% COMPLETE WITHOUT ANY DEFICIENCIES. U OBSERVED DEFICIENCIESAND COMMENTS: ADDITIONAL DEFICIENCIES CONTINUED ON ATTACHED PAGES. I declare that the following statements are true to the best of my knowledge: 1. 1 am the Registered Design Professional retained by the Owner to be In responsible charge of Pie structural observation in accordance with the requirements of the City of San Juan Capistrano; 2. I, or another Registered Design Professional whom I have designated shove and Is under my responsible charge, has performed the required site visits at each significant construction stage to vedfy 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 and a new structural observation report must be Issued clearing these deficlencles; and 4. 1 understand that final acceptance of the structural systems by the Building and Safely DIVlsion cannot occurwithout the Correction of all observed deficiencles. 01/20/21 i SIGNATURE OF/STRUCTURAL OBSERVER OF RECORD DATE Form - Structural Observation Report V1.O.doc Updated: 06-28-17 STAMP OF STRUCTURAL OBSERVER OF RECORD Page 1 of 2 City of San Juan Capistrano Development Services Department Building and Safety Division 32400 Paseo Adelanto San Juan Capistrano, CA 92675 Phone: (949) 443-6347 Website: www.senjuancapistrano.org Structural Observation Report STRUCTURAL OBSERVATION is the visual observation of the structural system by a registered design professional for general conformance to the approved construction documents at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspection required by SCJMC Section 18.07.050, CBC Section 1704 or other sections of the SCJMC or CBC. This report Includes all Construction work through 29 day of October 20 20 . Report No.; 1603.79 Lot 22 page No.:_ of Project Address: Structural Observer of Record (SOR): Professional Llc.fReg. No.: Phone No. of SOR: 26260 Paseo Sillin Nelson Engineers DATE Building Permit No.: Structural Observer (SO), If not by SOR: Professional Lia./Reg. No.: Phone No. of SO: B20-0727 David Nelson C76318 951-695-7101 PLEASE INDICATE OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS feimck applicable Loa) FOUNDATIONS WALLS FRAMES DIAPHRAGMS IF PORTION OF BLDG WAS DATE (Floor/Rooq OBSERVED, INDICATE LOCATION Fooling, Stem Wall ❑ Concrete ❑ Steel Moment Frame Q Concrete ❑ Mal Foundation, Q Masonry ❑ Steel Braced Frame ❑ Steel Deck Pre -stressed Cone. Slab ❑ Caisson, Pile, Grade ❑ Wood Shear Wall ❑ Concrete Moment ❑ Wood Beam Panel Frame PL Foundation Pad, ❑ Other: ❑ Masonry Wall Frame ❑ Other. Anchor ❑ Other: ❑ Other: ❑ Other. ❑ Other: ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. ❑® FINAL STRUCTURAL OBSERVATION FOR THE PROJECT IS 100% COMPLETE WITHOUT ANY DEFICIENCIES. OBSERVED DEFICIENCIES AND COMMENTS: ADDITIONAL DEFICIENCIES CONTINUED ON ATTACHED PAGES. 1 declare that the following statements are true to the best of my knowledge: 1. 1 am the Registered Design Professional retained by the Owner to be in responsible charge of the structural observation In accordance with the requirements of the City of San Juan Capistrano; 2. I, or another Registered Design Professional whom I have designated above and Is under my responsible charge, has 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 and a new structural observation report must be Issued clearing these deficiencies; and 4. 1 understand that final acceptance of the structural systems by the Building and Safety Division cannot occurwllho e«ectionofailobserveddeficiencles. 77 10/19/2020 ONATUREOFSTRUCTURALOBSER OFRE ORD DATE Form - Structural Observation Report vl.0.doc Updated: 06-28-17 7 IL aJ FXR STAMP OF STRUCTURAL OBSERVER OF RECORD Pagel of 2 TOLL BROTHERS -HARBOR VIEW -LOT 22 -PLAN 2B City of San Juan Capistrano_ Development ServiCes:Departnient Building and Safety pivision 32400 Paseo Adelanto San Juan Capistrano, CA 92675 Phone: (949) 443-6347 . Website: www.sanjuancapistrano.org Structural Observation Report STRUCTURAL OBSERVATION is the visual observation of the structural system by a registered design professional for general conformance to the approved construction documents at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspection required by SCJMC Section 18.07.050, CBC Section 1704 or other sections of the SCJMC or CBC. This report Includes all construcgonwork through 19TH day of OCT 2p20 , ReportNo.: Page No.:_of_ Project Address: Structural Observer of Record(SOR): Professional UcJReg. No.: Phone.No. of SOR: 26260 PASEO SILLIN BEAT ARNET C040486 714-822-4915 Building Permit No,: Structural Observer (SO), If not by SOR: Professlonal LIOReg. No.: Phone No. ofSO: B20-0727 BEAT ARNET C040486 714-822-4915 PLEASE INDICATE OBSERVED STRUCTURAL ELEMENTSAND THEIR CONNECTIONS,(cbeck eppticable box) FOUNDATIONS WALLS FRAMES DIAPHRAGMS (Floor/Rant) IF PORTION OF BLDG WAS OBSERVED, INDICATE LOCATION DATE ❑ Footing, Stem Wall ❑ Concrete ❑ Steel Moment Forme 11 Concrete ❑ Mat Foundation, ❑ Masonry ❑ Steel BmceciForme ❑ Steel Deck Pre -stressed Conc. Slab ❑ Caisson, Pile, Grace ❑ Wood Shear Wall ❑ Concrete Moment ❑ Wood Beam Panel Frame ❑ Foundation Pad, ❑ Other. ❑ Masonry Wall Frame ❑ Other: Anchor O Other: ❑ Other. ❑ Other: ❑ Other: P.T. SOGIHOLDOWNS ITEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES. FINAL STRUCTURAL OBSERVATION FOR THE PROJECT IS OBSERVED DEFICIENCIES AND COMMENTS: I declare that the following statements are true to the best of my knowledge: COMPLETE WITHOUT ANY DEFICIENCIES, ADDITI ONAL DEFICIENCIES CONTINUED ON ATTACHED PAGES. 1. 1 am the Registered Design Professional retained by the Owner to be In responsible charge of the structural observation In accordance With the requirements of the City of San Juan Capistrano: 2. I, or another Registered Design Professional whom i have designated above and Is under my responsible charge, has performed the required site visits at each significant construction stage to verify that the structure is In general conformance Wih the approved construction documents: 3. 1 understand that all deficiencies which I ocumented must be corrected and a new structural observation report must be issued Cle o e deficiencies: and 4. I understand that final acceptance uctural systems by the Building and Safety Division cannot occur without the correction of ec1deficimcles. 10/19/2020 SIONATURE OF STRUCTURAL OBSERVER OF RECORD DATE O 1VA1 VY.I I... ..fl' V Htl.'UNU Form - Structural Observation Report v1.0.doc Page 1 of 2 Updated: 06-2847