HomeMy WebLinkAbout2518 CORNERSTONE LN - Building Permits(714) 754-5273 • Fax (714) 7543856 • www.d.costa-mesa.�{g�LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2518 CORNERSTONELN
Suite:
Vicinity: PLAN 3 CORNERSTONE _
Primary Occ: R3 Dwellings/ Cong Res <10 Type of Construction: V-N
Parcel Number: TPN30036 Zoning:
App�icane GOODWYN, JIM
Address: 16845 VON KARMAN
Phone: 949-756-3310
IRVINE, CA Zip: 92606
Owner: RICHMOND AMERICAN HOMES OF CALIFORNIA
Address 16645 VON KARMAN -, . �
SUITE 100 - � Phone: 949-756-7373
IRVINE, CA Zip: 92606 "
Contractor: RICHMpND AMERICAN HOMES OF CALIFORNIA INC
Address: 16845 VON KARMAN � � . ,
� Phone: 949-756-7373� -
ISSUED BY:
Status: ISSUED
Applied: 06/022006
Issued: 06/13I2006
IRVINE, CA , , , � , �
Zip: 92606 License: 487535 " �
Arch : KENNETH NIEMERSKI Eng: GARY A MCCLANAHAN
Address: 2031 ORCHARq DR Address: OPTION ONE CONSULTING ENGINEERS
SUITE 100 Phone: 949-553-9100 - NEWPORT BEACH, CA Phone: 949-553-1916
NEWPORT BEACH CA 20311 ACACIA SUITE 240
Zip: 92660 License: 23971 92660 - License: C042553
SCOPE OF PERMIT
PHASE 1 CORNERSTONE HOMES
PLAN 3
CONSTRUCT NEW 2074SF 2-STORY SFD WITH ATTACHED 461SF GARAGE. NEW 40SF BALCONY AND 27SF ENTRY PORCH.
REF:BO6-00343
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$1,053.62
$1,620.95
$21.12
$0.00
$0.00
$0.00
$2,695,69
FEE SUMMARY
Calc Valuation:
Claim Valuation:
PLANNING S ZONWG
SETBACKS
MAINSTRUCTURE Front 200-0 Rear 15-0 Left 10-0 '��'Right �45-0 �
ACCESSORY Front 0-0 Rear 0-0 lefl 0-0 Right 0-0 -
PARKING Existinq: 0� Reauired: 148
Pr000sed: 148 ; ��� ! � i -
. . . ��=� /�'
5217.218.94
so.00
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statules and related
regulations. (Ord. No. 92-28, § 1, 12-21-g2) ���'�
EXPIRATION: Thls permit shall automatically expira and becoma void if work is not commenced within 180 days, or if work,is sus pe ded or abandoned .
for a pedod of 180 days. �"
INSPECTIONS: In order for the work authodzed under thls permit to be considered legal, such work must comply�all applicable codes, and all II
requlrad Inapectlons end final approval must be obtained. Failure to obtain Inspections and tinal approval will iesult in the expiration of thia permit. �
FOR INSPECTIONS CALL: (714) 7545828
zaae-ae (e'oo)
WORKERS' COMPENSAnON DECIAfiAnON: � • +
I hereby aflirtn under penalry of perjury one ot the following deUaretions:
❑ � heve and wlll maintain a certifiwte ol consent to seN-Insure lor workers' comDensatlon, es pmWded for by section 3700 ot the Lebor Code, for the pertortnance of the
WOAc for whiCh Ihis pertnii is iSSueO.
❑ I have and will mainWin workars' compensation Insurance, es required by section 3700 0l the Lebor Catle, tor tho peAortnance ol t�e work for which this pertnit is'Issued.
My work rs' wmpensallon Insuran carAar end policy number ara:
Cartier. 1�W�.L� f�(it.i. D�Np ,d=� Il RNLP Policy Number. ��—� � I p
(This section need wt be comp/efed i/ he permif is ve/ued ef one huntlred tlollnrs ($100) or less.) ' "
❑ I certiy that in the peAormance of the work for which this permit is iuuetl, I shall not employ eny person in eny manner so as to become sublect to the workers'
compansation laws ol Cqlitomia, entl egree Ihat II I s�oultl bewme suh�ect to Ihe workers' wmpensetlon provislons ot Sectlon 3700 of Ihe Labar COAe, I shell fort�wit�
comply with �he5e proWSi n5. �/ �/ �
Applicant Signature: � Date: T
WAqNING:FAILURETOSECURE RKERS'CO SATIOt ERAGEISUNLAWFULANDSHAl15UBJECTANEMPLOVERTOCRINJ PEWLTIESANDCMLFlNESUPTOONEHUNDRED
TFKKISAND DOLL4FE (5100,000). I DITION TO THE COST O COMPENSATION, DAMAGES AS PROVI�ED FOR IN SECTION 31090F THE LABOR CODE, IMEREST, PND FTTORNEI"5 FEES.
LICENSED CONTRACTOHS OECLARATION:
I hereby ettirm Iha� I em licensed under Dmvisio 1 Chapter 9(commencing with Section 7000) ot Division 3 of the Busin�s,pn� Pmfassions Code, antl my license is in tull
force antl eflecc Lic. A Cless a V
Contrectors Signeture: Date:
CONSTRUCTION LENDING AGE
❑ I hereby aRirm that there is a consiruction lending egency for the peAormance of tha work for which ihis permit is issuetl. (Sec. 3097, Givil Cotle).
Lender's Name: Lentler's AOtlress:
SignaNre:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby aHirtn thet under penalry of perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW lor ihe following reason (Sec. 7031.5, Business end Professions
Code: Any ciry or counry which requires e permit to construct, alter, Improve, demolish, or repair any strucWre, pdor lo its issuance, also requires ihe epplicant for such pertnit
to fila e signed stetemem thet he or she Is Ilcensetl pursuant to tha provislons of the Coniractors License Law (C�eptar B(commencing with Sectlon 7000) of Dlvislon 3 0l the
eusiness and Professians Cade) or thet he or she Is exompt theretram end the basis for I�e elleged ecemption. Any vialation oi Section 7031.5 by eny epplicant tor e permit
subjecis Ihe epplicent to a civll penelry of not more �hen tive hundred dollars ($500).):
❑ I, as owner oi tha property, or my employees with wages as their sole compensatlon, WILL DO TME WORK, end the sirucNre is not Intendetl or oNered lor sale (Sec.
7044, Business and Professions Code: The Conlractors Licanse Law does not apply �o an owner of property who 6uiltls or improves Ihereon, and w�o tloes such work
himself or herseN or thmugh his or her own employees, provided that such improvements are not Intended or oHered tor sele. If, however, the 6uiltling or improvement is
soltl within one year ol comUletion, the ownar-builder will heve the burden ot proving that he or she did not build or improve tor purpose of sale.).
❑ I, as owner of the property, am E%CLUSIVELY CONTRACTINC WITH LICENSED CONTRACTORS to consiruci ihe pro�ecl (Sec. 7044, Business antl Profe55ions
Code: The coniractors Licensa Law tloes not apply to en owner of propeny who Dullds or Improves ihereon, antl who coNrecls for such pmject with a coniraaor(s)
license pursuant to Me Contrectors License Lews.).
❑ I am exempt under seC. Bu5in855 Bnd Profes5ions Code lor this reeson:
Signature: Date:
Owner ID verified by dnvers license. ❑ Ves ❑ No Drivefs License No. Expires:
Veri�icetion of Ownership by (Iype ot document, i.e. � pmperty tez 6111 or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certify ihat no excavetion five (5) or more feet in dep�h Into whlch e person Is required to tlescenq will De matle In connactlon with work authonzed by this
permit, and that no building structure, scattolding, telsework, or demolltion or dismantlinp thereo�, will be more than ihirty�six (38) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Ttle 8, Celifomia Atlministrative Code).
❑ As owner-builtler, I will not employ anyone to do work whlch would require e pertnillrom iha Division of Intlustrial Sefety, as noted ebove, unless such person has e
permit to do such work trom the division.
Signature: Date:
Division oi Industrial Safaty Permit Num6er:
CERTIFlCATE OF COMPIJANCE AND AUTHORIZATION OF ENTRV: I certity under penelry oi perjury that I have read this applicetion end state ihat the information given is
correct. I egrae to compy with ell stale laws end ciry ortlinances relating to bullding wnstruction, and euthorize representatives oi the Ciry of Costa Mesa to enter upon the
ebove-descnbed pmperry for inspection puryases. I agree not to occupy or ellow occupancy of eny building euthorized by this permit until Mal inspection.
cooe �.
7616
1266
200
Fiaed System Final Fire Prevention
Pool Spe Final
Final Re-Roof
201 Final BIocWRetaining Well
202 Final Factory Fire Plece
203 Final Sign
204 Final Demolition
polE 1t�Qlek9
CODEA INSPECTIONTYPE
206 Final Mechanical
208 Flnal Plum�ing
210 Finel Elet�ricel
212 Final Fira Prevention
220 Final Planning Approval
222 Final Site
250 Finel BuIlCing/Occupency
�
�� �
INTITULs
(714) 754-5273 • Fax (774) 754-4856 • wvuw.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address:
Suite No
Viciniry:
Parcel Nunmber:
2518 CORNERSTONELN
NEW SFD
TPN30036
App�icant: GOODWYN, JIM
Address: 16845 VON KARMAN
STE 100
IRVINE, CA
Phone: 949-756-7373
Zip 92606
owner: RICHMOND AMERICAN HOMES OF CALIFORNIA
Address
. Phone: 949-756-7373 .
Zip: �.
Contractor. RICHMOND AMERICAN HOMES OF CALIFORNIA INC
Address: 5171 CALIFORNIAAV
SUITE 120 � Phone: 949�67-2600
IRVINE, CA Zip: " 92617
License: 487535
ISSUE FEE
�Temp service test
Res. a/c package
New Res (1-2 unils)
New Res (3+units)
Pool / Spa
Lighting Fixts
Recepl Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motors to 1hp
Motors to 10hp
Motors to 50hp
Molors to t00hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
Status: ISSUED
Applied: O6/132006
Issued: O6/13/2006
ISSUED BY:
SCOPE OF PERMIT � �
ELECTRICAL PERMIT FOR PHASE.1 CORNERSTONE HOMES - .
PLAN 3 � . . . �
CONSTRUCT NEW 2074SF 2-STORY SFD WITH ATTACHED 461SF GARAGE. NEW 40SF BALCOIJY AND
27SF ENTRY PORCH. .
REF: BO6-00859 �
WORK TO INCLUDE: 2 LIGHT FIXTS, 8 RECEP,T OUTLETS, 1
$23.50
$0.00
$0.00
$116.14
$0.00
$0.00
$2.20
$8.80
$1.10
$0.00
$D.00
$D.00
$0.00
so.00
$4.75
$0.00
$0.00
$0.00
$0.00'
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantity
2074
0
0
2
8
1
0
0 �
0
0
0
1
0
0
0
0
0
0
0
0
0
0
FEE SUMMARY
��.MOTOR TO 1 HP
Quantity
Temp Dist System / Lighting �. $0.00 0
Busway/100 ft - ' ` $0.00 0 -
Standing Section $0.00 0
Misc Electrical Equipment $0.00 0 �
Transformers up to 1 kva/kw $0.00 0:
......... :.....up to 10 kvalkw � $0.00 0
.................up�to 50 kva�Cw $0.00 0
...:.............up to 100 kvalkw $0.00 0�
.._.......'......over 100 kva/kw $0.00 ' 0
Low Voltage Equipment $0.00 � 0
Low Volt Wiring System / Ckt $0.00 0�
MisaConduit� ' ' � �� . �$0.00 0
Misc. Conductor $0.00 0
Circus ( gen or ride) ,$0.00 � 0
Cirws (mech ride or lights) � $0.00 0
Christmas Tree Stand . $0.00 0
Fireworks Stand . .. $0:00� 0 � �
Other Etectriral Fee , � -:$0.00 , - �
Investigation Fee � � $0.00 �
Plan Check Fee - $0.00
Reinspection Fee �� 30.00
TOTAL CALCULATED FEES 5156.49
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Calitornia statules and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work�is��susp� r abandoned
for a perlod of 180 days. /
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work mu �comply with all applicable codes, and all
requlred inapeetiona and final approval must be obtained. Failure to oblain inspections and final approvAl�will result in the expiration of this pertnit.
FOR INSPECTIONS CALL: (714) 7545626
2sa&e6 (8�00)
WORKERS'COMPENSAnON DECLAHATON:
I hereby altirm under penalty of perjury one oi ihe tollowing declarations:
❑ I have and will maintain a cenificate of consent to self-Insure for workers' compensation, as providetl for 6y section 3700 of �he Labor Code, for ihe pedormance of the
work tor which t�is permit is issuetl.
❑ I have antl will maintain workers' canpensation insurance, es required by seaion 3700 of the La6or Cotle, for ihe pedormance of ihe work Por which ihis pertnit is issued.
My work s' compensation Insure�nye� carrier end olicy number are: r�
Carrier. �H1rV�iClh 7'TOw�P ���ON(,P PolicyNumber. ii��'iY
(This section ne d not be complefod i! f e permit is valued af one hundred tlollars ($100) or IessJ
❑ I certity t�at in the pedortnance ot the work tor which this permit is issued, I shall not employ eny person in any manner so as to become subjea ro the workers'
compensation laws of Calitornia, end egree that if I shoultl becoma subject to the workers' compensation provisions ot Sectlon 3700 of Ihe La6or Code, I shall forthwith
comply wi�h these pr vi5i�ns.
ApplicaniSigneNre: Data: �LJ�? f7�
WARNING: FAILURE TO SEC WORKER5 C IPENSATIC CAVERAGE IS UNLAWFUT AND SHALL 5061ECT AN EM%.OVER TO CRIMINA�PE LTIES ANO CIVIL FlNES UP TOONE HUNORED
THOUSAND DOLLARE ($1 W, N ADDITION TO THE COST F CAMPENSATION, DAMAGES AS PROVIpED FOR IN SECTION 3108OF THE LABOR CADE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby attirm Ihat I am licen e und r' ions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Busine an Professions Code, and my licensa is in full
force and eHecL Lic. a Class x
Comractor's SignaNre: — Dete:
CONSTRUCTION LENDING A NCY:
❑ I hereby aHirtn that ihere is e consWction lending agency tor the pedormance ot the work for which this permit is issued. (Sec. 3097, Civil Code).
Lentlels Name:
SignaNre: _
OWNER•BUILDER DECLARA710NS:
Lenders Address:
Date:
I hereby attirm ihat untler penalty of perjury thet I am EXEMPT FROM THE CON7RAC70RS LICENSE lAW tor the following reeson (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requires e permit to construct, elter, impwve, demolish, or repair any strucNre, pnor to its issuance, also requires the applicant tor such pertnit
to file e signetl statement Ihet he or she i5 licensed pursuant to Ihe provisions of iha Conirectors License Lew (Chapter 9(commencing wiih Section 7000) oi Divisi0n 3 of Ihe
Business end Professions Code) or thel he or sha is exempt therefmm antl the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant tor a parmit
suhjecis iha applicant to a clvil penairy of not more Ihan five hundred dollars ($500).):
❑ I, as owner ot the property, or my employees with wages es iheir sole compensation, WILL DO THE WORK, antl the sirucNre is not intended or ofleretl tor sale (Sec.
7044, Business and Professions Cotle: The Coniractors License Law dces not apply to an owner of property who builtls or improves thereon, end who does such work
himself or herself or ihrough his or her own employees, provided ihat such improvemenis are not intended or oMered for sa�e. H, however, Ihe building or improvement is
soltl within one year of completion, ihe owner-builder will have ihe 6urden oi proving that he or she did not build or improve tor purpose of sala.).
❑ I, as owner of the properry, em E%C WSIVELV CONTRACTING WITH UCENSED CONTRACTORS to constmct the project (Sec. 7046, Businass and Professions
Cotle: The comractors License Law does not epply to an owner of propeM who builds or ImOroves Ihereon, antl who coniracts for such pmject with a contrector(s)
license pursuant to the Contrectors License Laws.).
❑ I am exempt under sec.
Signature:
Owner ID verified by dnvers licensa. ❑ Ves ❑ No
Business antl Protessions Cotle for this reason:
Veritiwtion of Owners�ip by (typa ot document, i.e. - property tax bill or deedg
Driver's License No.
Dale:
Expires:
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ 1 hareDy cenity that no excavetion tive (5) or more feet in depth into which a person is required to descend, will be mede in connection with work authorized by ihis
permit, and that no building siructure, scalloltling, falsework, or demolition or dismantling �hereof, will be more then ihirry-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, 7tle B, Califomia Administretive Cotla).
❑ A5 owner-builder, 1 will not employ anyone t0 do work which would roquire e permit fmm the DiviSion of IndusMal Satety, as noted ebove, unless such per5on hes a
permit to tlo such work from the divisian.
Siqnature: Date:
Division of Industrial Safery Permit Number:
CERTIFICATE OF COMPLJANCE AND AUTHORVA710N OF ENTRV: I cehify under penalty of perjury that I heve reatl this application and state that the information qiven is
correct I agree to compty with ell state laws antl city ordinances rela�ing to building consimction, and authorize representatives of Ihe Ciry ot Costa Mesa to enter upon the
above-descnbed property tor inspection purposes. I agree not to occupy or ellow occupency of any huilding authorized by this permit until final inspection.
CODE �,
1616
1266
Fixed System Final Fira Prevention
Pool Spa Final
200 Final Re-Rooi
201 FInaI Block/Retaining Well
202 Final Fectory Fire Place
203 Final Sign
204 Final Demolition
Applicam
pAjE IM
COpE� INSPECTIONTYPE
206 Final Mechanical
20B Final Plumbing
210 Finel Elecincal
212 Finel Fire Preventian � �
220 Final Planning Approval
222 Final Site �
250 Finel Buildin9/Occupency ��
o"re INTIIULS
� 1�
(714) 75a5273 • Fan (714) 7541&56 • www.ci.costa-mesa.��MBING PERMIT n FAIR DRIVE, CASTA MESA, CA 92626
JobAddress: 2518 CORNERSTONE LN
Suite No
Vicinity: SFD
Parcel Nunmber: TPN30036
nppliwnt: GOODWYN, JIM
Address: 16845 VON KARMAN
� Phone: ,949-756-7373
IRVINE, CA , � Zip: 92606 , `
Owner: RICHMOND AMERICAN HOMES OF CALIFORNIA
Address ' . �
Phone: 949-756-7373
. � " . Zip: _ ,
Contrador. RICHMOND"AMERICAN HOMES OF CALIFORNIA INC
Address: 5171 CALIFORNIAAV
SUITE 120 Phone: �949�67-2600
IRVINE, CA Zip: 92617
License: ' 487535 .
Status: ISSUED
Applied: O6I13l2006
Issued: O6/13I2006
ISSUED BY:
� _ , � � .. ��
�
SCOPE OF PERMIT _
PLUMBING PERMIT FOR PHASE 1 CORNERSTONE HOMES ' � �', �
PLAN 3
CONSTRUCT NEW 2074SF 2-STORY SFD WITH ATiACHED 461SF GARAGE. NEW 40SF BALCONY AND
27SF ENTRY PORCH.
REF:BO6-00859 � - . � . -- -� -
_ � „
WORK TO INCLUDE: t BACKFLOW IRRIGATION, 1� DISHWASHER, 1 GAS (1-4 OUTLETS), 1 GAS
SERVICE, 1 LAUNDRY TUBNVASHER, 1 LANDSCAPE IRRIGATION,-1 SEWER CONNECT, 1 SEWER
CONNECT, 1 SEWER PRIVATE LINE, 2 SHOWERS, 1 KITCHEN SINK, 5 WASH BASINS, 3 WATER ,
CLOSET, 1 WATER HEATERNENT, 1 WATER SERVICE. "', „
ISSUE FEE
Backflow irrigation
Backflow Preventer
Bathtub
Clarifer System
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (t-4 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oil)
Interceptors (Sand Auto )
AMT
$23.50
$9.80
$0.00
$9.80
$0.00
$0.00
$0.00
$9.80
$0.00
$0.00
$0.00
$0.00
50.00
` $0.00
$6.15
$0.00
$9.80
50.00
$0.00
$0.00
"�y
I '
FEE SUMMARY
AMT QTY
Laundry Tub / Washer -$9.80 1 Sump Pump
Landscape Irrigation $14.80 1 Swimming Pool �
P•Trap � , $0.00 0 Trap Primer ,
PressureRegulator �� � $0.00 0 Urinal - �
Process Piping (per 10 R) '$0.00 . 0 Vacuum Brkr Bkflow(1-0)
Receptors $0.00 �� 0 Vacuum Brkr Bkflow(5+)
SepticTank ' $0.00� �,0_•.",_�-�'-:` WashBasln �
Sewer Cap for Demo ' .$0.00 0 � Wash Basin Set �
Sewer Conned 524.65 1 � Waste and Vent System
Sewer Private Line 524.65 1 . '. Water Closet (Toilet)
Shower � 519.60 2 � � WaterHeaterlvent
Sink, bar � _ $0.00 . 0' ' Water Piping (Inst or Rep.)
Sink, commercial - 50.00 0 .'. Watei Re-pipe �
Sink, Floor $0.00 0�� �� Water Seivice�
Sink,kitchen � $9.80 1 WaterSoftener
Sink, SeNice/mop $0.00 0 OTHER
Spa (private) $0.00 0 VIOLATION
Spa (public) � $0.00 0 ; � PLAN CHECK
� � , � " REWSPECTION
AMT
$0.00
$0.00 '
$0.00
$0.00
$0.00
$0.00
$49.00
$�.��
$0.00
$29.40
$12.30
$0.00
$0.00
$9.80
$0.00
$0.00
50.00
$0.00
50.00
�
0
0
0
0
0
0
5
0
0
3
1
0
0
1
0
0
N0710E: The work aulhorizetl by this permit sRall corty�ly with all applicable handicap access requiremants under Celitomia stetutes and related
regulations. (Ord. No. 92•28, § 1, 72-21-92) ///�
EXPIRATION: This pertnit shall automaticalty e�ire and become wid if vrork is rwt commenced within 180 days, or if work i�pende9�or abandoned
for a period of 180 tlays.
INSPEC710N5: In order for Me work authorized under this permit to be consiEeretl legal, such work must compty with ell epplicable codes, and all
requlred Inepeetlona end Hnel approval must be obtained. Failure to obtafn inspections and final approval wiil result in the e�iration of this permit.
FOR INSPECTIONS CAIL: (714) 7545828
zaees(t✓mI
WORKERS' COMPENSATION DECLAHATION: � -
I hereby eHirm untler penelty of perjury one oi Ihe following declarations: . - ' �
❑ I heve antl will melntein a certificate oi consent to sall-Insure for workers' compensation, es provided for by section 3700 of the Labor Code, lor lhe pertormance ot Ihe
work for which ihis permit Is Issued. � '
❑ I have antl will maintain workers' compensation insurenca, as requiratl 6y soction 3700 0l Ihe Lebor Cotle, for the peAortnance of the work lor which ihis pertnit is issuetl.
My worker ' compensatlon Insuranca c rder and poll y number ere: (^ �ry
Cartier. �✓ � Cs�t1 � P �S7K✓�:N( '� Policy Numbar. �� 3 �! '���j
(This secrion neeJnof be comp/etotl il the permu Is veluetl et one huntlred tlollars ($100) or less.)
❑ I cenify Ihat in the peAormence ol Ihe work lor which ihis partnit is issued, I shall not employ any person in any mannar so as to Cewme suDject to ihe workere'
compensetlon lews oi Calllornla, entl egree that It 1 should become subject to the woAcers' compensatlon provisions of Sectlon 3700 of Ihe Lebor Coda, I shell lorihwith
cnmply wiih Ihesa pro ions. ��/v b
�
Applicant Signature: �ete: �
WARNING FAILURE TO SECU ORKERS' COM1 ENSA COVEMGE IS UNLAW FUL AND SHALL SUBJECi PN EMPLOYEFl TO CRIAIINAL NALTIES AND GVIL FlNES UP TO ONE HUNDRED
hKKISANDDOLURE�E100,000 I AD�RIONTOTHECOSTOFfAMPEN$ATION,DAMAGESPSPROVIDEDFORINSECTION3]O60FTHELABORCADE,INTEREST,ANDATTOfiNEY'SFEES.
LICENSED CON7RAC70RS DECLARATION:
I hereby ettirm t�at I em licensetl under provi�5j�
force antl eflect. Lic. a_--�y�yJl ���
Contrectors Signature: ��,_� Z
a—
ol C�npter 9(commencing with Section 7000) oi Division 3 of the B
Class a
�I Dete: _
CoOe, antl my license is in full
CONSTRUC710N LENDING AGkNCV:
❑ I hereby effirm ihat there is a construction lending agency tor the pedormance ot the work tor which Ihis pertnit is issued. (Sec. 3097, Civil Code).
Lenders Name:
Signatura: _
OWNER-BUILDER DECLARAT10N5:
Lendefs Address:
Date:
I heraby alfirm t�et untler penelry of perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the lollowing reason (Sec. 7031.5, 8usiness and Protessions
Cotle: Any city or counry which roquires e permit to wnsWct, elter, imprwe, demolish, or repair any structure, prior to its Issuance, also requires the appliwnt for such permit
to flle a signed statement ihat he or she Is Ilcensetl pursuent to Ihe provisions of the Contractors License Lew (Chapter 9(commencing with Sectlon 7000) of Division 3 0l the
8usiness end Pmfesslons Cotle) or thet ha or she is exempt therefrom anC the besis for Ihe alleged e:emption. Any violetlon ot Section 7031.5 by eny epPlicant tor e permit
subjects the appliwnt lo a civil penalry of nat more Ihan live hundred dollars ($500).):
❑ I, as owner of ihe property, or my employees wlth weges es ihelr sole compensation, WILI DO THE WORK, and the structure Is not intendetl or oftered for sale (Sec.
7044, Business end Professions Cotle; The Contractors License Law tloes noi apply to an owner ot properry who builds or improves ihereon, and who does such work
himself or herself or ihrough his or her own employeas, provitlad that such improvemenis are not Intended or ottered lor sale. tl, �owever, ihe building or Improvement is
soltl within one yeer ot completion, the owner�builder will have the burdon of proving that he or she did not builtl or improve for purpose of sele.).
❑ I, as ownor of Ihe propeny, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construtt the prolect (Sec. 7044, Business end Professions
Code: The cantrectors License Lew does not app1Y to en owner of propetly who builds or Impmves Ihereon, antl who contracts for such project with e conlrector(5)
license pursuant to the Con�rectors LicenSe Lews.).
❑ I am exempt under sec. Business and Professions Code for Ihis reeson:
SignaWre: Date:
Owner ID venfietl by EnveYs license. ❑ Yes ❑ No Drivefs License No.
Verification of Ownership by (type ot document, i.e. - pmperty tex bill ar deed):
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 hereby certity thet no excavetion five (5) or more feet in tlepih into w�lch e person is requiretl to descend, will be made in connectlon with work authodzed by this
pertnit, end thal no builCing siructure, scettolding, telsework, or tlemolition or dismantling thereot, will be more than ihirry-sia (36) faet high. (Chap. 32, Grp 2, Art 2, Sec.
341, 71t1e B, Californie Administretive Code).
❑ As owner-6uilder, I will not employ enyone to do work which would require a permit trom the Division oi Industnel Sefery, es noted ebove, unless such person hes a
permit to do such work irom the Civision.
Signature: Date:
Division ol Indusirial Sefery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUh10RVA710N OF ENTRY: I cahify under penalry of perjury ihet I have read this application end state that the intorma�ion given is
correct. I egree to comply wilh ell state laws an0 city ordinances relating to 6uilding construction, and eut�onze representatives of ihe Clry af Costa Mesa to enter upon the
above-described property lor inspection Durpases. I agree not to occupy or ellow occupancy ol eny building authonzed by Ihis permit until finel inspection.
COUE �,
1676
1266
C
Fi:etl System Final Fire Prevention
Paol Spa Final
200 Final Re-Roof
201 Final BIaWRetalning Well
202
203
204
Final Fectory Fire Place
Final Sign
Final Demolllion
(o��y �QG, oeie
� r oeia
COOE 1 INSPECfION TYPE
206 Final Mechanical
208 Final Plumbing
210 Finel ElBttntal
212 Final Fire Preventlon
220 Final Planning ApO�oval
222 Final Site
250 Final Building/Occupancy
(714) 754•5273 • Fex (714) 754�4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 251$ CORNERSTONE LN
Suite No
Vicinity: HOUSE
Parcel Number: TPN30036
npp�icant: GOODWYN, JIM
Address: 16845 VON KARMAN
STE 100
IRVINE, CA
MECHANICAL PERMIT
Phone: 949-756-7373
Zip: 92606
Ownec RICHMOND AMERICAN HOMES OF CALIFORNIA
Address: �� . � _ _ �
- Phone: 949-756-7373 ' �� � .
� Zip:
Contractor: RICHMOND AMERICAN HOMES OF CALIFORNIA INC
Address: 5171 CALIFORNIA AV
- SUITE 120 Phone: 949-467-2600
IRVINE, CA � 2ip: 92617
License:487535 �
Siatus: ISSUED
Applied: O6/13/2006
Issued: 06/13/2006
� ISSUED BY:
, SCOPE OF PERMIT
MECHANICAL PERMIT FOR PHASE 1 CORNERSTONE HOMES , �
PLAN 3 " " . ..
CONSTRUCT NEW 2074SF 2-STORY SFD WITH ATTACHED 461SF GARAGE. NEW 405F BALCONY
AND 27SF ENTRY PORCH.
REF; 806-00859
WORK TO INCLUDE: 1 HOOD W/MECH EXHAUST; 1 INST�FAU"< 100 K BTU, 1 VENT
FAN/SINGLE DUCT AND 1 COMPRESSOFUABSORP710N�SYST 3 TO 15 FiP/500 K BTU.
ISSUE FEE
Inst FAU <100 k BTU
Inst FAU >100 k BTU
Repair/Alt Cooling/Heat
Inst / Rep. Recess Wall Hlr
Refrig Sys <100 k BTU
Reirig Sys >100 k BTU
Gas Piping
Factory Fireplace
Hood w/Mech Exhaust
VAV Box
Vent Fan / Single Duct
Appliance
Fire Dampers
Smoke Dampers
Inst or Relocate Appl Vent
Air Handlers < 10000cfm
AirHandlers> t0000c(m
FloorFurnace
Floor or Suspend Heater
Quantiry_
$23.50
$14.80. 1
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$10.65,. 1
$0.00 0
$29.00 4
$0.00 0
$0.00 0
$0.00 0
$0.00 ' 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
�
r
FEE SUMMARY
Repair / Alt Absorbtion Unit
Repair / Alt Retrigeration Unit
Ventillation System
Evaporative Cooler
Commercial I ncinerator
Domestic Incinerator ,
'Compressors/AbsorotionSvstems �
Upto3hp/100kBTU .
3 To 15 hp ! 500 k BTU ,
15 To 30 hp�%;1,000 k BTU , .
30 To 50 hp / 1,750 k BTU ,-
Over 50 hp / Over 1,750 BTU ,- -
Boilers ' " � .
Up to 3 hp
3To15hp
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
�$0.00 0
$0.00 0
$0.00 0
� $27.15 1
$0.00 0
$0.00 0
$0.00 0
15to30hp � , -/
-30to50hp .-� � /i ,"�
Over 50 hp� � � , �. -
Other Mechanical Fee
Investigation Fee
Plan Check Fee
Reinspeclion Fee
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
r..r.� �.� ���� .r�� «« �,,.�,,.
NOTICE: The work authorized by ihls permit shall comply with all applicable handicap access requirements under Califamia statutes and-releted
regulations. (Ord. No. 92•28, $ 1, 12-21-92) �f
EXPIHATION: This permit shall autometically ezpire and become vaid if work is not commenced withln 180 days, or if work,ie�suspended or ebandoned
for a period of 180 days. ��
i
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must.cbmply with all epplicable codes, and all
requlred Inapactlona entl final approval must be obtained. Fellure to obtain inspaclions and final approvei�wlll result in the ezpiration of this pertnft.
FOR IMSPECTtONS CALL: (714) 7545818
F3':��t'r:9]
WORKERS' COMPENSATION DECLApATION: ' '
I hereby aHirtn under penalty of perjury one oi the tollowing tlederations:
❑ I have and will maintain a certificate ot consent to soH-Insure lor workers' compensation, es provitled for by section 3700 of the Labor Code, for the pertormance of ihe
work tor which ihis permit is issued.
❑ I have and will maintain workors' compensation insurance, as requiretl by section 3700 of ihe Labor Coae, for Ihe pedormance of the work for which this pertnil is issued.
My wor/k�ers' compe;sation Insurance carner end pol' num6er are: rI
Carrier. n�e✓� Gx1n WQ �5gu✓eKce PolicyNumber. _��{3�65���
(This section need nof be comp/etetl i/ fhe ertnit rs velued at one hundred dollers ($700) or less.)
❑ I certiry that in the peAormance of the work for which this permit is iuued, I shall not employ any Derson in any manner so as to become sublect to ihe workers'
compensation laws o Calitornia, and gree thei if I should become subjact to the workers' compensation provisions oi Section 3700 oF tha Labor Code, I shall forthwilh
comply with these pr isio�s. J
ApplicaniSignaWre: _ Date: �7i���
WARNING: FAILURE TO SEC E ORKEFS' C ENSA I COVERAGE IS UNLAWFUL AND SHALL SUBJEGT AN EMPLOYER TO CRIMI AL P TIES AND CNIL FlNES UP TOONE HUNDRED
THOl1SAND00LLARE($100, I ADOITIONTOTHECQS OFCOMPENSATION,DAMI�GESASPROVIDEOFORINSECTION3]O60FTHEL4BORCADE,IMEREST,ANDATTORNEV'SFEES.
LICENSED CONTRACTORS DECLAFiA710N:
I hereby aMirm that I am licensed under provisit
force antl eHect. Lic. a t
Goniractor's Signeture: �
Chapter 9(commencing with Sec�ion 7000) of Division 3 of the Bi
Class M
c7 Date: _
antl my license is in tull
CONSTRUCTION LENDING AGEtiJCV:
❑ I hareby attirm that there is a construction lendinq agency br ihe pertormance of the work for which this pertnit is issuetl. (Sec. 3097, Civil Cotle).
Lender's Name: Lender's Address:
Signature:
Date:
OWNER-eUILDER DECLARATIONS:
I hereby eHirtn that under penalry of perjury that I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW for t�e foilowing reason (Sec. 7031.5, Business and Professlons
Code: Any ciry or county which requires e permit to constmct, alter, Improve, demolish, or repair any siructure, prior to its Issuance, also requires Ihe eppllcant tor such permit
to file e signed statement thet he or she Is licensetl pursuant to Ihe provisions of tha Gontrectors License Law (Chaptar 9(commencing with Sectian 7000) of Divisian 3 oi the
Business and Prolessions Code) or thet he or she is exempt therefrom end the basis tor the allegetl esemption. Any violetion of Section 7031.5 by eny epplicant for a pertnit
subjects the applicant to e civil penalry oi not more than five hundred dollers ($500).):
❑ I, as owner ot the property, or my employees with wages es their sole compensation, WILL DO THE WORK, and ihe struc�ure is not in�entletl or otteretl tor sale (Sec.
7044, Business and Professions Code: The Conirectors License Law does not apply to an owner of properry who builds or improves ihereon, end who does such work
himself or herseif or through his or her awn employees, providetl ihat such improvements are not intended or oNeretl for sele. If, however, the building or improvement is
sold within one year ot completion, the owner-builder will have the burden of proving that he or she did not build or improve for purpose ot sale.).
❑ I, as owner of the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct ihe project (Sec. 7044, Business antl Professions
Cotle: The comracrors License Law does not apply to an owner of pmperty who builds or Improves t�ereon, and who coniracis for such projeci with e contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for �his reason:
Signature: Data:
Owner ID verilied by drivers license. ❑ Yes ❑ No Dnvers License No. Ezpires:
Veniication ol Ownership by (rype ol document, i.e. - properry tax bill or daed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICA710N:
❑ I hereby certity ihat no excavation tive (5) or more fee� in depih into which a person is required to descend, will be made in connection wit� work au�honzed by this
permit, and that no building stmcNre, scaHo�ding, taisework, or tlemolition or tlismantling thereot, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, TiOe e, Califomia Atlminisirative Code).
❑ As ownerbuilder, I will not employ anyone to tlo work w�ich woultl require a pertnit imm �he Oivision of Indusinal Safery, as notetl above, unless such person hes a
permi� to do such work irom the division.
Signature: Date:
Division of Industnal Safery Permit Number:
CER71flCATE OF COMPLIANCE AND AUTHORI2ATON OF ENTAY: I certify under penalry of perjury that I have read ihis application and state that ihe iniormation given is
correct I agree to comply with all sta�e laws end city ordinances releting to 6uilding consWction, end euthorize representatives of the Clry of Costa Mesa to enter upon t�e
above-descri6ed property for inspection purposes. I agree not to occupy or allow occupancy of any building authonzed by �his permi� until final inspection.
CODE �.
1616
1266
200
201
202
203
204
Fixed System Final Fire Prevention
Pool Spa Final �
Finel Re-Roof
Finel BIaWRetaining Wall
Final Factory Fire Place
Final Sign
Final Demolition
p�TE '. I IA
CODE� INSVECTIONTYPE
206 Finel Mechanical
20B Final Plumbing
210 Final Elecirical
212 Finel Fire Prevention
220 Final Planning Approval
222
250
Final Site
Finel Builtling/Occupency
�
ADAMS • STREETER
CIVIL ENGINEERS INC.
November 17, 200G
City Gradine Inspector
Cih� of Cosla Alcsa
Development Services Dcpa�tment
77 Fair Dri��e
Cos�a Mesa. Giliforni:i I263S-1300
OS-1573
IRVINE • RIVERSIDE
Jan A. Adams • Randal L. Streeter
Subjech Ci��il Engineer's Certilication of Precise Crading
Pro,jecl: "frcicl 10. 1(937 — Lots (, 7 and 8- Kuildings 20 thruugh 31
Corncrstone at Ilarbor [3h'd.
Costa A•lesa, Califbrnia
Kefcrence: Rough Cradin� Pcrmil l�umber: CO(-000113
Address: 25111 Harbor 13oule��arc1, Cosl.i A1esu, California
O�vncr : Kichmond �lmcrican llomes
General Cuntractur: Kichmond Americ:�n Humes
In accord.mcc with City of Costa 1�9csa Gruding and Exan�:ition Codc, :�nd thc
reyuirentenls uf the I3uilding Cu�le, 1 certify a��pru��al of this projecl as outlined ubove, to
precise grade. Precise grading has been completed in con�iirmance ti�iih ,ipprovecl precisc
grnding plan for this projcct and in full compliancc �vith s.�id Codcs. Certification
indudcs horizontal und �-crtic.il control (or drain.i��c dc�-iccs, ancl positi��c building pad
drai n age.
"�his approval docs not inclu�l g� �GL � 1��(;� com�r.ic�ion of soil, ��-hich is undcr Ihe
purvie�v of thc soil en�inecr. �eF'.�,pMOHAq,�F�^\
13 v:
1�1. �9ohamm�id:ibadi, Project M
Adams StrcctcrCi��il Lnginccrs Inc.
No.426t5
Eap.3-3t�OB `/
i ic
OF
�42G I i (Gxp. 3/31/08)
15 CORPOhATE PARK • IRVW[, CA. 9260G • TeL (949j d74-2330 • Fax: �949) =37d-0251
2900 ADAMS STR[ET, SUITE A-400 • RNERSID[, CA. 92504 • TeL (951) 352-d100 • Fax: (951) 352-6200
ption :
ne
cu.vs o� ri vc cxc r v[ cxs PAGE) OFI
" 'STRUCTURAL OBSERVATION REPORT FORM� _'' ' "S =4
"` �,.". ���� y,l. :; RICHMOND,AMERICANHOMES._�_� _�,F4.;' ,� .�.0 ;'
THIS REPORT WCLUDES ALL CONSTRUCTION WORK THROUGH THE: I S" Dav of Scptcmber 2006.
PROIECT: "Comerstone' - SPU � OPTION ONE JN.�. 0106-12�3
LOCATiON: Costa Mesa. California BLDG. PERMIT vo.:
OWNERt Richmond American Homzs LOCATIONIDNISION: Orange Coimty
ARCMTECT: Rasscnian I,agoni Archilccts ARCHITECT J.N.: RI,A-5165
STRUCT. OBS. OF RECORD�. Garv A. McClnnahan, P.E. LIC. or REGISTRATIOV Nos.: G4255;
STRUCTURALOBSERVER: CI(ffJonu,E.I.T. EIT-ll.7962
06SERVED STRUCTOR4L ELE�tENTS & THEIR COM1tiECTIONS: I.OTf51 & PHASE OBSERVED:
Intcrior �nd Estrrior Ccneral FraminG; i.e., roof tmsses, mof shea�hin�, Lot 29, Plan 3BR. 2i18 Comers[one Lane,
shear elemenrs, huiJu�rns, floor sheuthing, tluorjois[s/kusses, bza�ns, headers, Phase l, Tract it16937,
and general hudware. Cos[� Mesa California
OBSERVCDDEFICIENC[ES: (nrrnCr+aoomorruvaGeSiFNECEssnarry INfial/Comole(ionDace:
'fhe deticiencies aneVor nomconforming items noted during observatimi visit have been mrrected CPJ/09-IS-0h
and instalied by e colla6omted�effort nt'the pmject superintenden[ end the ftaming foreman.
Construclion � B-9eeble�SiAe9 - � Plywd CI'g 0—Bec#
Stnge: 0 HVAC 0 Eiectrical � Plumbing c�....,�ma,.,��.. �id(s) 9�Eier
Note: Wnen box is checked, d indicafes fhat conslruction stage is in progress, and if has not yef been compiefed af the 6me observation was conducted.
� STRUCTURALSYSTEMWASVISUALLYOBSERVEDTOBECIGENERALCOMFOILb1ANCEWITHTHEAPPROVEDPLANS.
� STRUCTURAL DEFICIEVCIES ARE OF A MINOR NATURE & MAY BE REV�EWED BY CI7'Y BLDG WSPEC'fOR FOR COM(PLIANCE.
I DECLARE THAT THE FOLLOWING ST.4TEhTF.NTS ARE TRUE TO THE 6EST OF MY IGYOW'LF,DGE & BELIF,F:
1. I,41N THE REGISTLRED ENGNEER WHO HAS RESPONSIBLE CHARGE
FOR THE STRUCTURAL OBSERVATION.
2. l, OR ANOTHER QUALIFIED-CHARGE OBSERVER WHO I HAVE
DESIGNATED .4BOVE ,4D1D IS UNDER MY RESVONSIBLE CHARGE,
HAS PERFORMED THE REQUIRED S1TE V[SITS AT EACH
SIGNIFICANT CONSTRUCT(ON STAGE TO VERIFY IF "fHE
STRUCTURE IS M GENERAL CONFORMANCE \41TH THE APPROVED
PLANS AND SPECIFICATIOh'S.
3. ALL DEFICIENCIES, WHICH 1 DOCUMENTED, HAVE BGEN CORRECTED
UNLESS OTHERR95E NDICATED ABOVE.
d. AI,L OBSERVGD DEFICIENCES SkIALL BG CORRECTED AND
APPROVED BY THE OBSERVER PR10R TO FINAL ACCEPTANCE OF
THE STRUCTURAL SYSTEhfS BY THE DUILDING DEPARTMENT.
5. THIS REPORT IS PROVIDED TO THE OWNGR AS A PART OF TF-IB
OWNERS OVERALL CONSTRUCTION QUALITY CONTROL PROGRAtvt.
fi. OPTION ONE HAS PROVIDED STRUCTURAL OBSERVATION M
ACCORDAKCE WITFf THE SEAOC RECOMMEDfDE� GUIDELIN6S FOR
THE PRACTICE OF STRUCTURAL ENG(NEERNG IN CALIFORNtA.
e �" N° G.b4:
E�cp. 03/3
�
STAMP & WCT SIGNATURE OF
STRUC7'URAL 06SERVER OF RECORD
SIGNED BY: IS'" Dny uCSeptember 200G.
STRUCTUR?.L OBSERVA7'ION DOES NOT WAIVE THE REQU[REMENTS FOR IiVSPECTiONS BY CITY BUILDING
MSPECTORS. ALL �VORK MUST COMPLY WITH THE APPROVED PLANS ADID APPLICABLE STATE & LOCAL COD6S.
G:V 200's1125310bservaGonlPhase_1\SOR_F_Lot 30_P2AR.doc (Rev. 115105)
Option One Tel 949.553.1916
Consulting Engineers 20311 Acacia Si., Suite 240, Newpoh Beach, Ca. 92660 Fax 949.553.9720