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Home My WebLink AboutX2018-1217 - Misc (2)Appendix E LANDSCAPE INSTALLATION CERTIFICATE OF COMPLETION I hereby certify that: (1) 1 am a professional appropriately licensed in the State of California to provide professional landscape design services. (2) The landscape project for the pproperty located at 2338 Arbutus St. Newport Beach CA 92660 (provide address or parcel number(s)) was installed by me or under my supervision. street (3) The landscaping for the identified property has been installed in substantial conformance with the approved Landscape Documentation Package and complies with the requirements of the City of Newport Beach Water Efficient Landscape Ordinance (Municipal Code Section 14.17) and the City of Newport Beach Standards for Implementation of the City of Newport Beach Water Efficient Landscape Ordinance for the efficient use of water in the landscape. (4) The following elements are attached hereto: a. Irrigation scheduling parameters used to set the controller; b. Landscape and irrigation maintenance schedule; c. Irrigation audit report; and d. Soil analysis report, if not submitted with Landscape Documentation Package, and documentation verifying implementation of the soil report recommendations. (5) The site installation complies with the following: a. The required irrigation system has been installed according to approved plans and specifications and if applicable, any prior approved irrigation system alternatives. X Yes No b. Sprinklers comply with ASABE/ICC 802-2014 Landscape Irrigation Sprinkler & Emitter Standard. X Yes No (6) The information I have provided in this Landscape Installation Certificate of Completion is true and correct and is hereby submitted in compliance with the City of Newport Beach Design Standards for Implementation of the City of Newport Beach Water Efficient Landscape Ordinance. - ----_. 33 Ryan Wagner Print 4 � 1494 Steamboat Circle, San Bernardino, CA 92407 Address 909-949-6159 Telephone Landscape Design Professional's Stamp (If Appropriate) 34 06/29/2022 Date RIB:i�I�l License Number ryan@professionaldesign.org E-mail Address FLC FLOREZ Landscaping Consultant LANDSCAPE IRRIGATION AUDIT REPORT for Pilla & Julia Residence 2338 Arbutus Street Newport Beach, California 92660 Prepared By: Robert L. Florez FLOREZ LANDSCAPING CONSULTANT License # 938611 404 Goodrich Rock Beaumont, CA 92223 619.750.1398 (cell) bobflorezagmail.com Certified Landscape Irrigation Auditor IA-CLIA Cert. No. 59267 Landscape Irrigation Audit Report Site: Pilla & Julia Residence 2338 Arbutus Street Newport Beach, California 92660 Executive Summary The field audit was performed on June 28, 2022 on the landscape area surrounding the Pilla and Julia Residence. The total landscape area is approximately 6,300 square feet. This irrigation system utilizes potable water. At the time of the audit, the temperature was around 70 degrees Fahrenheit at approximately 10:00 a.m. with a wind speed of 0.0 to 1.2 mph. A soil probe was used to a depth of approximately 6" to 8". The soil was consistent with clay loam soil which has an Allowable Water (AW) of 0.18, and will potentially provide a root zone approximately 6" to 12" deep. The water meter is located on Arbutus Street at latitude 33.6360700 N, longitude 117.8745600 W. There are two Rain Bird ESP-TM2 controllers with Wifi. Controller A is in a locked box attached to the northside of the residence; it is utilizing a total of five (5) stations. Controller B is in a locked box attached to the southside of the residence; it is utilizing a total of four (4) stations. See attached equipment photos. The landscape and irrigation maintenance shall be maintained a minimum of once a week. Fertilizing should occur four times a year; three times a year with inorganic and one time a year with organic. When using fertilizers, always follow the label instructions. Surface level in -line drip is used for the planters, which will have mixed vegetation (shrubs, and trees). The drip lines circle around the trees to increase the water application. Each drip irrigation station valve has a filter and pressure reducer. The in - line drip for the planters has a KL of 25%, with an ETA of 1.62, a precipitation rate of 1.44 inches per hour, and the Distribution Uniformity (DU) rate is at 90% with a 30 PSI. The in -line drip for the trees has a KL of 40%, with an ETA of 2.59, a precipitation rate of 1.08 inches per hour, and the Distribution Uniformity (DU) rate is at 85% with a 58 PSI. The sprays for the turfgrass have a KL of 60%, with an ETA of 3.89, a precipitation rate of 2.67 inches per hour, and the Distribution Uniformity (DU) rate is at 78% with a 55 PSI. The stream rotors for the slopes have a KL of 20%, with an ETA of 1.30, a precipitation rate of 0.94 inches per hour, and the Distribution Uniformity (DU) rate is at 82% with a 57 PSI. (Please note that pressures can fluctuate at different times of the day/night by as much as 10 psi). Landscape Irrigation Audit Report Pilla & Julia Residence Page 2 Recommendations The water purveyor for this facility is the Newport Beach Water Services, 100 Civic Center Drive, Newport Beach, California 92660, phone (949) 644-3309. California is in a drought, and all irrigation must be consistent with the local water purveyor's current recommended guidelines. Best Management Practices should always be followed when operating an irrigation system. For establishment of newly planted materials, watering should be scheduled in accordance with the initial plant establishment period as per Plan in accordance with the architect and/or owner (per contract). If there isn't a schedule from the architect, the Contractor is to monitor plant material until the establishment period is over. Please follow the water purveyor's guidelines after the establishment period. In accordance with the architect, the Estimated Annual Water Use (EAWU) is 87,743, and the Maximum Annual Water Allowance (MAWA) is 97,533. In the future, as the hydro -zones mature, the settings will need to be adjusted at the irrigation controller. Always check pressures and see if the density of the plants and/or soil has changed from the original installation and audit. Follow-up audits should be conducted every 3-5 years. Irrigation systems should be leached twice during the Summer to reduce the salt level in the soil. If there is no rain prior to winterizing, leach the soil one additional time to flush out salts. Additional adjustments may be necessary throughout the year. This audit was conducted after the time of planting and provided a performance test of the irrigation system. Auditors Summa An excellent irrigation system was installed, and the audit meets the "excellent" to "good" rating standard and will achieve a pass rating for its audit. This Audit was compiled with/using All Due Diligence. Sincerely, Robert L. Florez Florez Landscaping Consultant License No. 938611 Certified Landscape Irrigation Auditor IA-CLIA Cert. No. 59267 U rim k CL E ^ \ \ \ \r �$>! a k|�Z*w== \CL !. �� TtI\\ �\ ` /(§ AL 0 \\\\\ 0 //\\\ CR J77„ cocoa r fmm@m -CL ° §& § °tm kk /7^®r 10 CL co CL m C9A a. Gk . MIN CL E � :.. CL 0 2§a\� � a� 46 z +A%« 0 75 �J® /� \\\\ /LU \\\\ 006 GSg@ CL `A »;!; k! „;0 CL }\/j C CL a7 ITEM SOURCE UNIT of FUNCTION A. PLANT MATERIAL Audit or Planting Plan classification fln-Line B. REFERENCE PERIOD Judgment days C. REFERENCE ET (ETo) Various Sources inches of water D. LANDSCAPE COEFFICIENT (KL) Ks 0.25 x Kd 1.00 x Kmc 1.1plant specific multiplier (TRESS KL x Kaa site specific multiplier E. PLANT WATER REQUIREMENT (ET) ETo x KL C x D 1.62 inches F. PRECIPITATION RATE (PR) Audit or Calculation 1.44 inches per hour G. DISTRIBUTION UNIFORMITY (DU) Audit or Estimate 0.90 E/G 1.80 efficiency adjustment H. IRRIGATION WATER REQUIREMENT ET requirement inches I. TOTAL RUN TIME PER PERIOD Irrigation Water Req't./PR x 60 (wF)x60 75 minutes J. ROOT ZONE SOIL TYPE Audit or Estimate Clay Loam classification K. AVAILABLE WATER (AW) Table 0.18 inches per inch of soil L. ACTIVE ROOT ZONE DEPTH Audit or Estimate 8.00 inches M. PLANT AVAILABLE WATER (PAW). AW x active root zone K x L 1.44 inches N. ALLOWABLE DEPLETION (AD) PAW x MAD (see table) I MAD 0.50 0.72 budget multiplier 0. IRRIGATION DAYS PER PERIOD Plant ET/AD E/N d 2 1 days in a period P. TOTAL RUN TIME per DAY Total run-penod irriation days per periad 1/0 33 Iminutes Q. RUN TIME per CYCLE Calculation (IRIPRx 60) or IR= 0.10 Visual observation = 4.2 minutes R. CYCLES per DAY Total run-day/run time -cycle P/Q 8.00 1 repeats to avoid runoff Species Factor VEGETATION HIGH MEDIUM LOW Trees 0.90 0.50 0.20 Shrubs 0.70 0.50 0.20 Ground Cover 0.90 0.50 0.20 Mixed 0.90 0.50 0.20 Turgrass 0.80 0.70 0.60 Basic Intake Rate Management Allowed Depletion ZLoam.18 in) 7 (inl 0.10 NO 30 17 0.15 40 18 0.20 40 17 0.35 50 Sandy Loam 0.12 0.40 50 Loamy Sand 1 0.08 0.50 50 Sand 0.06 0.60 60 ITEM SOURCE VALUE UNITOf FUNCTION A. PLANT MATERIAL Audit or Planting Plan In -Line Drip - Trees classification - B. REFERENCE PERIOD Judgment 31 days C. REFERENCE ET (ETo) Various Sources 5.89 inches of water D. LANDSCAPE COEFFICIENT (KL) Ks 0.40 x Kd 1.00 x Kmc 1.10 0.44 plant specific multiplier (optional) ALLOWABLE STRESS KL x Kas am site specific multiplier E. PLANT WATER REQUIREMENT (ET) I ETo x KL C x D 1 2.59 linches F. PRECIPITATION RATE (PR) lAudit or Calculation 11 1.08 inches per hour G. DISTRIBUTION UNIFORMITY (DU) Audit or Estimate 0.85 efficiency adjustment H. IRRIGATION WATER REQUIREMENT ET requirement E/G 3.05 inches I. TOTAL RUN TIME PER PERIOD Irrigation Water Req't./PR x 60 (HIF) x60 169 minutes J. ROOT ZONE SOIL TYPE teTEIN classification K. AVAILABLE WATER (AW) 7Estimate inches per inch of soil L. ACTIVE ROOT ZONE DEPTH einches M. PLANT AVAILABLE WATER (PAW). t zoneinches N. ALLOWABLE DEPLETION (AD) e table) budget multiplier O. IRRIGATION DAYS PER PERIOD Plant ET/ADdays in a period P. TOTAL RUN TIME per DAY Total mmperiodliniation days per period 1/0 71 minutes Q. RUN TIME per CYCLE Calculation(IRIPR x 6D) or IR= 0.10 Visual observation 5.6 minutes R. CYCLES per DAY Total run-day/run time -cycle P/Q 12.71 1 repeats to avoid runoff Species Factor VEGETATION HIGH MEDIUM LOW Trees 0.90 0.50 0.20 Shrubs 0.70 0.50 0.20 Ground Cover 0.90 0.50 0.20 Mixed 0.90 0.50 0.20 Turfgrass 0.80 0.70 0.60 Soil Texture Class AW Basic Intake Rate Management Allowed Depletion Clay (in/in) 0.17 (in/hr) 0.10 (%) 30 Silty Clay 0.17 0.15 40 Clay Loam 0.18 0.20 40 Loam 0.17 0.35 50 Sandy Loam 0.12 0.40 50 Loamy Sand 0.08 0.50 50 Sand 0.06 0.60 60 ITEM SOURCE UNIT of FUNCTION A. PLANT MATERIAL Audit or Planting Plan prays classification B. REFERENCE PERIOD Judgment rVA days C. REFERENCE ET (ETo) Various Sources inches of water D. LANDSCAPE COEFFICIENT (KL) Ks 0.60 x Kd 1.00 x Kmc 1.10plant specific multiplier (optional) ALLOWABLE STRESS KL x Kae site specific multiplier E. PLANT WATER REQUIREMENT (ET) ETo x KL inches F. PRECIPITATION RATE (PR) lAudit or Calculation 2.67 inches per hour G. DISTRIBUTION UNIFORMITY (DU) lAudit or Estimate 0.78 efficiency adjustment H. IRRIGATION WATER REQUIREMENT I ET requirement I�EEFIGI 4.98 inches I, TOTAL RUN TIME PER PERIOD Irrigation Water Req't./PR x 60 (H/F) x60 112 minutes J. ROOT ZONE SOIL TYPE Audit or Estimate Clay Loam classification K. AVAILABLE WATER (AW) Table Is 0.18 inches per inch of soil L. ACTIVE ROOT ZONE DEPTH Audit or Estimate 6.00 inches M. PLANT AVAILABLE WATER (PAW). AW x active root zone K x L 1.08 inches N. ALLOWABLE DEPLETION (AD) PAW xMAD (see table) MAD 0.50 0.54 budget multiplier O. IRRIGATION DAYS PER PERIOD Plant ET/AD E/N 7 days in a period P. TOTAL RUN TIME per DAY Total mn-pedodholation days per penod 1 1/0 16 minutes Q. RUN TIME per CYCLE Calculation(IRIPR x 60) or IR= 0.10M Usual observation 2.2 minutes R. CYCLES per DAY Total run-day/run time -cycle P/Q 1 6.92 repeats to avoid runoff Species Factor VEGETATION HIGH MEDIUM LOW Trees 0.90 0.50 0.20 Shrubs 0.70 0.50 0.20 Ground Cover 0.90 0.50 0.20 Mixed 0.90 0.50 0.20 Turfgrass 0.80 0.70 0.60 Soil Texture Class AW Basic Intake Rate Management Allowed Depletion Clay (in/in) 0.17 (in/hr) 0.10 (%) 30 Silty Clay 0.17 0.15 40 Clay Loam 0.18 0.20 40 Loam 0.17 0.35 50 Sandy Loam 0.12 0.40 50 Loamy Sand 0.08 0.50 50 Sand 0.06 0.60 60 ITEM SOURCET1.10O.2a2 UNIT of FUNCTION A. PLANT MATERIAL Audit or Planting Planclassification B. REFERENCE PERIOD Judgmentdays C. REFERENCE ET (ETo) Various Sourcesinches of water D. LANDSCAPE COEFFICIENT (KL) Ks 0.20 x Kd 1.00 x Kplant specific multiplier (optional) ALLOWABLE STRESS KLx Keasite specific multiplier E. PLANT WATER REQUIREMENT (ET) ETo x KL I C x D 1 1.30 linches F. PRECIPITATION RATE (PR) Audit or Calculation 0.94 1inches per hour G. DISTRIBUTION UNIFORMITY (DU) Audit or Estimate ow 0.82 efficiency adjustment H. IRRIGATION WATER REQUIREMENT ET requirement E/G 1.58 inches I, TOTAL RUN TIME PER PERIOD Irrigation Water Req't./PR x 60 (H/F) x 60 101 Immutes J. ROOT ZONE SOIL TYPE e Clay Loam classification K. AVAILABLE WATER (AW) 7Estimate 0.18 inches per inch of soil L. ACTIVE ROOT ZONE DEPTH te 8.00 inches M. PLANT AVAILABLE WATER (PAW). t zone KxL 1.44 inchesN. ALLOWABLE DEPLETION (AD) e table) MAD 6.50 0.72 budget multiplier O. IRRIGATION DAYS PER PERIOD Plant ET/AD E/N 2 days in a period P. TOTAL RUN TIME per DAY Total run-periodlrriation days per period 1/0 1 56 Iminutes _ Q. RUN TIME per CYCLE Calculation (IRIRR x60) or IR= 0.10 Visual observation 6.4 minutes R. CYCLES per DAY Total run-day/run time -cycle P/Q 1 8.78 1 repeats to avoid runoff Species Factor VEGETATION HIGH MEDIUM LOW Trees 0.90 0.50 0.20 Shrubs 0.70 0.50 0.20 Ground Cover 0.90 0.50 0.20 Mixed 0.90 0.50 0.20 Turrgrass 0.80 0.70 0.60 Soil Texture Class AW Basic Intake Rate Management Allowed Depletion Clay (in/in) 0.17 (in/hr) 0.10 (%) 30 Silty Clay 0.17 0.15 40 Clay Loam 0.18 0.20 40 Loam 0.17 0.35 50 Sandy Loam 0.12 0.40 50 Loamy Sand 0.08 0.50 50 an Sand 0.06 0.60 60 E kh om Zt= Design Maps Detailed Report ASCE 7-10 Standard (33,63611°N, 117.87465°W) Site Class D - "Stiff Soil", Risk Category I/II/III Section 11.4.1 — Mapped Acceleration Parameters Note: Ground motion values provided below are for the direction of maximum horizontal spectral response acceleration. They have been converted from corresponding geometric mean ground motions computed by the USGS by applying factors of 1.1 (to obtain Ss) and 1.3 (to obtain S,). Maps in the 2010 ASCE-7 Standard are provided for Site Class B. Adjustments for other Site Classes are made, as needed, in Section 11.4.3. From Figure 22-1 "' From Figure 22-2121 Section 11.4.2 — Site Class Ss = 1.639 g S,=0.599g The authority having jurisdiction (not the USGS), site -specific geotechnical data, and/or the default has classified the site as Site Class D, based on the site soil properties in accordance with Chapter 20. Table 20.3-1 Site Classification Site Class y N or k, s• A. Hard Rock >5,000 ft/s N/A N/A B. Rock 2,500 to 5,000 ft/s N/A N/A C. Very dense soil and soft rock 1,200 to 2,500 ft/s >50 >2,000 psf D. Stiff Soil 600 to 1,200 ft/s 15 to 50 1,000 to 2,000 psf E. Soft clay soil <600 ft/s <15 <1,000 psf Any profile with more than 10 ft of soil having the characteristics: • Plasticity index PI > 20, • Moisture content w > 40%, and • Undrained shear strength s < 500 psf F. Soils requiring site response analysis in See Section 20.3.1 accordance with Section 21.1 For SI: lft/s = 0.3048 m/s llb/ft2 = 0.0479 kN/m2 Section 11.4.3 - Site Coefficients and Risk -Targeted Maximum Considered Earthquake (MCER) Spectral Response Acceleration Parameters .............. Table 11.4-1: Site Coefficient F, Site Class Mapped MCE R Spectral Response Acceleration Parameter at Short Period Ss <- 0.25 S, = 0.50 Ss = 0.75 S, = 1.00 Ss >- 1.25 A 0.8 0.8 0.8 0.8 0.8 B 1.0 1.0 1.0 1.0 1.0 C 1.2 1.2 1.1 1.0 1.0 D 1.6 1.4 1.2 1.1 1.0 E 2.5 1.7 1.2 0.9 0.9 F See Section 11.4.7 of ASCE 7 Note: Use straight-line interpolation for intermediate values of Ss For Site Class = D and Ss = 1.639 g, F, = 1.000 Table 11.4-2: Site Coefficient F, Site Class Mapped MCE a Spectral Response Acceleration Parameter at 1-s Period S,<_0.10 S,=0.20 S,=0.30 S,=0.40 S,?0.50 A 0.8 0.8 0.8 0.8 0.8 B 1.0 1.0 1.0 1.0 1.0 C 1.7 1.6 1.5 1.4 1.3 D 2.4 2.0 1.8 1.6 1.5 E 3.5 3.2 2.8 2.4 2.4 F See Section 11.4.7 of ASCE 7 Note: Use straight-line interpolation for intermediate values of S, For Site Class = D and S, = 0.599 g, F, = 1.500 Equation (11.4-1): Equation (11.4-2): Sms = Ua = 1.000 x 1.639 = 1.639 g Sm, = F„Si = 1.500 x 0.599 = 0.899 g Section 11.4.4 — Design Spectral Acceleration Parameters Equation (11.4-3): Equation (11.4-4): Section 11.4.5 — Design Response Spectrum From Figure 22-12`3' Sos=%S„s=%x1.639=1.093g SM = % Smi = % x 0.899 = 0.599 9 T, = 8 seconds Figure 11.4-1: Design Response Spectrum T<Tc: 5, w So (OA+O.6T/Ta ) So = 1.093 TQSTST&:S,=S� °M1 Ty<TST,:$.=%/T H I I TsTL.S. -%,T41T3 I I I M I I W I I L I I w I I w ' IL I i � I , I I , I I , I I I I � I I , I I Tq=0. 110 T5=0. 546 1.000 Period, T (sec) Section 11.4.6 — Risk -Targeted Maximum Considered Earthquake (MCER) Response Spectrum The MCER Response Spectrum is determined by multiplying the design response spectrum above by 1.5. to 8 0 OPEZUE TO Period. i (sec! Section 11.8.3 - Additional Geotechnical Investigation Report Requirements for Seismic Design Categories D through F From Figure 22-7 [41 Equation (11.8-1): PGA = 0.656 PGA, = F,GgPGA = 1.000 x 0.656 = 0.656 g Table 11.8-1: Site Coefficient F,,, Site Mapped MCE Geometric Mean Peak Ground Acceleration, PGA Class PGA < PGA = PGA = PGA = PGA >_ 0.10 0.20 0.30 0.40 0.50 A 0.8 0.8 0.8 0.8 0.8 B 1.0 1.0 1.0 1.0 1.0 C 1.2 1.2 1.1 1.0 1.0 D 1.6 1.4 1.2 1.1 1.0 E 2.5 1.7 1.2 0.9 0.9 F See Section 11.4.7 of ASCE 7 Note: Use straight-line interpolation for intermediate values of PGA For Site Class = D and PGA = 0.656 g, F,ea = 1.000 Section 21.2.1.1 - Method 1 (from Chapter 21 - Site -Specific Ground Motion Procedures for Seismic Design) From Figure 22-17' From Figure 22-1816' Cas = 0.929 Ca, = 0.957 Section 11.6 — Seismic Design Category Table 11.6-1 Seismic Desiqn Category Based on Short Period Resoonse Acceleration Parameter VALUE OF So: RISK CATEGORY I or II III IV SDs < 0.167g A A A 0.167g 5 Sos < 0.331g B B C 0.33g <_ Sos < O.50g C C D 0.50g 5 SD' D D D For Risk Category = I and Sos = 1.093 g, Seismic Design Category = D Table 11.6-2 Seismic Desion Cateonry Baserl nn 1-S Derinrl Recnnnc AfrelerGHnn aaramcfar VALUE OF SDI RISK CATEGORY I or II III IV SDI < 0.067g A A A 0.067g <_ SDI < 0.133g B B C 0.133g 5 SDI < 0.209 C C D 0.209 5 SDI D D D For Risk Category = I and SDI = 0.599 g, Seismic Design Category = D Note: When S, is greater than or equal to 0.75g, the Seismic Design Category is E for buildings in Risk Categories I, II, and III, and F for those in Risk Category IV, irrespective of the above. Seismic Design Category - "the more severe design category in accordance with Table 11.6-1 or 11.6-2" = D Note: See Section 11.6 for alternative approaches to calculating Seismic Design Category. References 1. Figure 22-1: http://earthquake.usgs.gov/hazards/designmaps/downloads/pdfs/2010_ASCE-7_Figure_22-1. pdf 2. Figure 22-2: http://earthquake.usgs.gov/hazards/designmaps/downloads/pdfs/2010_ASCE-7_Figure_22-2. pdf 3. Figure 22-12: http://earthquake.usgs.gov/hazards/designmaps/downloads/pdfs/2010_ASCE-7_Figure_22- 12.pdf 4. Figure 22-7: http://earthquake. usgs.gov/hazards/designmaps/down loads/pdfs/20I0_ASCE-7_Figu re_22-7. pdf S. Figure 22-17: http://earthquake.usgs.gov/hazards/designmaps/downloads/pdfs/2010_ASCE-7_Figure_22- 17. pdf 6. Figure 22-I8: http://earthquake.usgs.gov/hazards/designmaps/downloads/pdfs/2010_ASCE-7_Figure_22- 18.pdf UNCONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT NOTICE TO CLAIMANT: THIS DOCUMENT WAIVES AND RELEASES LIEN, STOP PAYMENT NOTICE, AND PAYMENT BOND RIGHTS UNCONDITIONALLY AND STATES THAT YOU HAVE BEEN PAID FOR GIVING UP THOSE RIGHTS. THIS DOCUMENT IS ENFORCEABLE AGAINST YOU IF YOU SIGN IT, EVEN IF YOU HAVE NOT BEEN PAID. IF YOU HAVE NOT BEEN PAID, USE A CONDITIONAL WAIVER AND RELEASE FORM. Identifying Information Name of Claimant: Florez Landscaping Consultant Name of Customer: Donato Pilla Job Location: 2338 Arbutus Street, Newport Beach, CA 92660 Owner: Unconditional Waiver and Release This document waives and releases lien, stop payment notice, and payment bond rights the claimant has for all labor and service provided, and equipment and material delivered, to the customer on this job. Rights based upon labor or service provided, or equipment or material delivered, pursuant to a written change order that has been fully executed by the parties prior to the date that this document is signed by the claimant, are waived and released by this document, unless listed as an Exception below. The claimant has been paid in full. Exceptions This document does not affect any of the following: Disputed claims for extras in the amount of: $ 0.00 Signature Claimant's Signature: Claimant's Title: Owner Date of Signature: 06/29/2022 7/1/12