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gQinm PROJECT SIGN OFF FORM SURPRISE PUBLIC WORKS - ENGINEERING SERVICES, INSPECTIONS ARIZONA Date Submitted: June 30, 2021 Commercial Commercial w/Offsite **_ Residential XX COMPLETION ACCEPTANCE (End of Construction) FINAL ACCEPTANCE (End of Warranty) 10/20/2020 Date of Punch-List Walk 4/28/2021 Date Punch-List Completed FS Number: FS18-093 Permit Number(s): E18P-0748,£18P-0749,E18P-0751,E18P-0752,E18P-0753,E18P-0754 Project Name: Rancho Mercado Parcel A19 Project Developer/Builder: (Name, Address, and Phone #) William Lyon Homes, 8840 E Chaparral Rd, Suite 200, Scottsdale, Arizona 85250 480-850-3724 Sheet 1 of 3 MAG TIP Reporting: Street Name Classification Begin Limits End Limits # Lanes Length to Features nearest % mi. Crabapple Dr Local 142nd Ave 140th Dr 2 1/4 Buckskin Trl Local Cul De Sac 140th Dr 2 1/4 Hackamore Dr Local Cul De Sac 140th Dr 2 1/4 Desert Hollow Dr Local 140th Ln 140th Dr 2 1/4 Bronco Trl Local 140th Ln Cul De Sac 2 1/4 MATERIALS: Asphalt: MR Tanner Supplier §5 Total Lane Miles 24192 Total Square Yards Water: 8"C-900 size/Type 7776 Total Linear Feet 12"DIP__Size/Type 747 Total Linear Feet S'DIP__ Size/Type _18° Total Linear Feet 16"DIP_ size/Type 772 Total Linear Feet Sewer: 8"PVC_ Size/Type 5359 Total Linear Feet o"PVC Size/Type 1-794 Total Linear Feet 1s"PVC Size/Type 179 Total Linear Feet 18" PVC Size/Type 580 Total Linear Feet Storm: ‘@FSRCP Size/Type 418 Total Linear Feet Size/Type Total Linear Feet 2a RGRCP Size/Type 391 Total Linear Feet Size/Type Total Linear Feet FireLn: NA Size/Type Total Linear Feet Size/Type Total Linear Feet Additional Comments: SUPPORTING DOCUMENTATION REQUIRED: XX ___ Copy of Punch List NA_ Final Certification Letter from Engineer of Record XX AOC XX Complete Geotechnical Testing Packet XX__ Asphalt Concrete Ticket w/ Name of Contractor XX Sewer Pressure Testing Results Way Rtreetlight Energize Letter XX Sewer Manhole Vacuum Testing Certification 2X__ As built Documents (PDF copy on CD) XX Sewer Manhole Insecticide Certification 2X __ As Built Documents in PDF format (copy on CD) — oy ; : XX Sewer Videos with Operators Notes (inc. re-videos) MA Updated asbuilt CAD base files (copy on CD) (Specify) Other | L APPROVAL: | alt Civil Inspector: William Valdez Civil Engineering Supervisor: Arist bles Date: _ 6/30/2021 Date: June 30, 2021 aS SURPRISE ARIZONA Date Submitted: June 30, 2021 PROJECT SIGN OFF FORM PUBLIC WORKS - ENGINEERING SERVICES, INSPECTIONS XX COMPLETION ACCEPTANCE (End of Construction) See Sheet 1 Date of Punch-List Walk Commercial Commercial w/Offsite **_ Residential FINAL ACCEPTANCE (End of Warranty) Date Punch-List Completed FS Number: FS18-093 Project Name: See Sheet! Permit Number(s): See Sheet 1 Project Developer/Builder: (Name, Address, and Phone #) Sheet 2 of 3 MAG TIP Reporting: Street Name Classification Begin Limits End Limits # Lanes Length to Features nearest % mi. Crabapple Dr Local 142nd Ave 140th Dr 2 1/4 Buckskin Trl Local Cul De Sac 140th Dr 2 1/4 Hackamore Dr Local Cul De Sac 140th Dr 2 1/4 Desert Hollow Dr Local 140th Ln 140th Dr 2 1/4 Bronco Trl Local 140th Ln Cul De Sac 2 1/4 MATERIALS: Asphalt: See Sheet 1 Supplier Total Lane Miles Total Square Yards Water: Size/Type Total Linear Feet Size/Type Total Linear Feet Size/Type Total Linear Feet Size/Type Total Linear Feet Sewer Size/Type Total Linear Feet Size/Type Total Linear Feet Size/Type Total Linear Feet Size/Type Total Linear Feet Storm Size/Type Total Linear Feet Size/Type Total Linear Feet Size/Type Total Linear Feet Size/Type Total Linear Feet Fire Ln: Size/Type Total Linear Feet Size/Type Total Linear Feet Additional Comments: SUPPORTING DOCUMENTATION REQUIRED: Copy of Punch List Final Certification Letter from Engineer of Record AOC Complete Geotechnical Testing Packet Sewer Pressure Testing Results Sewer Manhole Vacuum Testing Certification Sewer Manhole Insecticide Certification Sewer Videos with Operators Notes (inc. re-videos) Other ____ Asphalt Concrete Ticket w/ Name of Contractor ____ Streetlight Energize Letter ____ As built Documents (PDF copy on CD) _____ As Built Documents in PDF format (copy on CD) ____ Updated asbuilt CAD base files (copy on CD) (Specify) APPROVAL: Civil Inspector: William Valdez lw Civil Engineering Supervisor: Date; June 30, 2021 Date: ginm SURPRISE ARIZONA Date Submitted: June 90. 2021 PROJECT SIGN OFF FORM PUBLIC WORKS - ENGINEERING SERVICES, INSPECTIONS XX COMPLETION ACCEPTANCE (End of Construction) See Sheet 1 Date of Punch-List Walk Commercial Commercial w/Offsite **_ Residential FINAL ACCEPTANCE (End of Warranty) Date Punch-List Completed FS Number: FS18-093 Permit Number(s): See Sheet 1 Project Name: See Sheet t Project Developer/Builder: (Name, Address, and Phone #) Sheet 3 of 3 MAG TIP Reporting: Street Name Classification Begin Limits End Limits # Lanes Length to Features nearest % mi. Gray Fox Trl Local Sta 31+60.95 140th Dr 2 1/4 Cottontail Ln Local 140th Ln 140th Dr 2 1/4 Honeysuckle Dr Local 140th Ln 140th Dr 2 1/4 MATERIALS: Asphalt: See Sheet 1 Supplier Total Lane Miles Total Square Yards Water: Size/Type Total Linear Feet Size/Type Total Linear Feet Size/Type Total Linear Feet Size/Type Total Linear Feet Sewer: Size/Type Total Linear Feet Size/Type Total Linear Feet Size/Type Total Linear Feet Size/Type Total Linear Feet Storm: Size/Type Total Linear Feet Size/Type Total Linear Feet Size/Type Total Linear Feet Size/Type Total Linear Feet Fire Ln: Size/Type Total Linear Feet Size/Type Total Linear Feet Additional Comments: SUPPORTING DOCUMENTATION REQUIRED: Copy of Punch List Final Certification Letter from Engineer of Record AOC Complete Geotechnical Testing Packet Sewer Pressure Testing Results Sewer Manhole Vacuum Testing Certification Sewer Manhole Insecticide Certification Sewer Videos with Operators Notes (inc. re-videos) Other See Sheet 1 ____ Asphalt Concrete Ticket w/ Name of Contractor ___ Streetlight Energize Letter ____ As built Documents (PDF copy on CD) _____ As Built Documents in PDF format (copy on CD) _____ Updated asbuilt CAD base files (copy on CD) (Specify) APPROVAL: Civil Inspector: William Valdez nt Civil Engineering Supervisor: Date: June 30, 2021 Date: