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c&rm <br />CONSULT]NG, INC, <br />C IVIL ENG IN EERIN G <br />LAND PL.ANNINO & SURVENNG <br />FORM CERTIFICATION <br />cvEN-004 <br />September 10,2014 <br />City of Santa Ana <br />Building & Safety <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />Altention: Mr. Everett Tomlinson <br />Subject Civil Enginee/s/Surveyo/s Certitication of Compliance for Building <br />Foundation Forms <br />Reference 620 E. Fifth Street, Santa Ana, California <br />Tracl 17 406 <br />Permit #5O100884. <br />Proiect: Buildings/Units Units 1-8 <br />Job Address <br />Owner <br />Work Began <br />620 E. Fifth Street, Santa Ana, California <br />Citv Ventures <br />Auqust 2014 Work Completed September 2014 <br />I certify approval of this proiect as outlined above, to line and grade of the forms for foundation <br />of the above referenced buildings and state the work was done in substantial conformance with <br />the approved Precise Grading plan. This certification does not include approval of the <br />placement and compaction of earthwork within the purview of others. <br />Date:9.-s- <br />R.C.E.33520 <br />C&V Consulting, lnc. <br />27156 Burbank, Foothill Ranch, California 92610r.949.916.3800 F.949.916.3805 <br />cvc-ti{c. ET <br />ExP.qIL <br />c,vtL <br />3 520 <br />By: