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Home My WebLink About2520 CORNERSTONE LN - Building Permits(714) 754•5273 • Fau (714) 754d856 • www.ci.costa•mesa.�.�LDING PERMIT 77 FAIR DFIVE, COSTA MESA, CA 92626 JobAddress: ZSZO CORNERSTONE LN Suite: ViCinity: PLAN 3 CORNERSTONE . Primary Occ: R-3 Dwellings! Cong Res <10 Type of Construdion: V-N Parcel Number: TPN30038 Zoning: Applicant GOODWYN, JIM Address: 16845 VON KARMAN Phone: 949-756-3310 IRVINE, CA Zip: 92606 Owner��GNN�v'L^ i�,✓�i.LYI .�"b� � CC�J�I7NA�%✓' � . Address Phone: � (((�, 7�'�]3 /3 Zip: Contractor. RICHMOND AMERICAN HOMES OF CALIFORNIA INC Address: 16845 VON KARMAN ' Phone: 949-756-7373 ISSUED BY: Status: ISSUED Applied: 06/12I2006 Issued: O6/13rz006 IRVINE, CA , , - Zip: 92606 License: 487535 � � nrch : KENNETH NIEMERSKI Eng: GARY A MCCLANAHAN Address: 2031 ORCHARD DR Address: OPTION ONE CONSULTING ENGINEERS SUI7E 100 Phone: 949-553-9700 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 1C CONSTRUCT NEW 1991SF 2-STORY SFD WITH ATTACHED 415SF ATTACHED GARAGE. 126SF ENTRY PORCH. REF: BO6-00342 Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total 51, 024.50 $1,576.15 $20.31 $0.00 $0.00 $0.00 $2,620.96 SETBACKS MAINSTRUCTURE Front 200.0 Rear 75-0 ACCESSORY Front 0-0 PARKING Existina: 0 Rear 0-0 Reauired: 148 FEE SUMMARY PLANNING & ZONING Left 70-0 . LeN 0• 0 Pr000sed: 148 Calc Valuation: Claim Valuation: Right 4S 0 Right 0-0 5203,052.52 $0.00 NOTICE: The work authorized by this permit shall compty with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92•2B, § 1, 12•27-92) /,� EXVIRATION: Thls ertnit shall automaticall ex rte and become void if work is not commenced within 180 da � p y p' ys, or ii work�is suspended or abandoned for a peAod ol 180 days. � INSPECTIONS: In ordar tor ihe work authorized under this Dermit to be considered legal, auch work muat.co pm y with ail applicable codes, and all requlred Inape�tlona end finel epproval must be abtained. Fallure to oblain Inspections and flnal epprov8`I will result in the expiration of this permit. FOR IN8PECTION3 CALL: (714) 7645848 zae+e �eroo� WORKERS' COMPENSATION DECLARATION: � �, , I hereby aXirtn under penalry oi perjury one of the following deGarations: ❑ I heve enC will maintefn a cenificate ot consent to sell�lnsure lor workers' compensation, as provided lor by soctlon 3700 of the Lebor CoEe, tor ihe peAortnance ol ihe work for whith t�i9 pOrmit i5 i55uetl. ❑ I �avo entl will maintain workers' mmpen5a0on InsurancB, as required by section 3700 ot the LeDor Code, lor the peAortnance ol the work lor which Ihis pertnit is issue0. My work compensatlon Insuran e arAer end poli num6er era: � �� Certier. �'_ NL�(?J� La.�.. ��,Q �+'js t� Policy Number. Y�� (fhis sectlon need not be comp/e(ed II fhe permit ls vn/ued o( one huntlretl ollars ($100J oi lessJ ❑ I certity that in the partortnence ot the work tor which this pertnit Is issued, I shall not employ eny person In eny mnnner so as to become suD�ect to lhe workers' compensation laws ol Galitomia, end egree Ihet II I should become sub�ect to the workers' compensetlon provlslons ot Sectlon 3700 ot the Lebor Code, I shall lorthwlih compry wIN Nese proNsi ns.. ��/� L AppliceN Signature: Data: LJ WARNIN(3: Fr11LURE TO SECURE <ERS' COM SATION C RAGE IS UNUWFUL M1D SHALL SUBIECT AN EMPLOVER TO CRIMI PE TIES AND GVIL FlNES UP TOONE HUNDRED THOUSAND DOl1ARE (5100,000). I DITION TO iHE COST OF COMPENSATION, DMNC�ES f5 PROVIDE� FOR IN SECTION 3'!OB OF iHE UBOR CODE, INTEREST, AND ATfOHNEY'S FEES. LICENSED CONTRALTORS DECLARATION: I hereby eHirm ihat I am farce end eHect. Lic. a_ Contractofs Signature: CONSTRUCTION LENDING 9(commencing with Section 7000) ot Division 3 af Ihe Bi Cless p _ / Date: Code, end my license is in full ❑ I hereby eHirm Ihat Ihare is e construction lantling agoncy br the peAortnance of Ihe work lor which Ihis portnit is issued. (Sec. 3097, Civil Cade). Lontlors Neme: Lentler's Adtlress: Signeture: OWNER•BUILOER DECLARATIONS: Date: I hereby eHirtn that under penalty ol perlury Ihat I am E%EMPT FROM TME CONTRACTORS LICENSE LAW for Ihe lollowing reason (Sec. 7031.5, Business end Professions Cotle: Any ciy ar wunry whicti requires e partnit to construct, elter, Improve, tlemdish, or repair eny siructure, pdor to Its Issuance, alsa reqWres t�e eppliwnt tor such pertnit to Ille e signed stetemem thet he or she Is I�ensed pursuent to t�e prodsions of the Comractors llcense Lew (Chepter 9(commendng wil� Section 7000) ol Division 3 0l the Business end Profeuions Code) or that he or she is exempt Iherefrom entl the basis tor the allegeA e:emptlon. Any violatlon ot Secilon 7031.5 by any applicant for e pertnit sub�ects the eppliwnt to e dvil penfllry of not more Ihen live hunaretl tlollers (5500).): ❑ I, es awner ol the properry, or my employees with wages as t�eir sole compensation, WILL DO 7HE WORK, end the siruaura is not inten0ad or otteretl for sale (Sec. 7044, Business and Professions Code: Tha Conirectors License Law tices not appy to fln ownar of property who builds or improves thereon, and who does such work himsell or herself or through his or her own emplayees, provided that suc� improvements are not intende0 ar ottered lor ule. If, however, the building or improvemeni is soltl wit�in one year of comDletion, the owner-builder will have 1he burtlen of proving t�at he or she did not bullA or improve br purpose ot ule J. ❑ I, es ownor of the property, em E%CLUSIVELY CONTRACTNG WfTM LICENSED CONTRACTORS ta construct the project (Sec. 704a, Business entl Prolessions Cotle: The wntracrors License Law tloes not apply lo en owner ol property who builtls or Impmves thereon, and w�o contracis lor such pro�ec� wlih e contractor(s) license pursuent to the Coniractors License Lews.). ❑ I em e:empt untler sec. Signatura: Owner ID varlfied by drivers Ilcense. ❑ Yes ❑ No Business antl Professions Cotle for �his reason: Vedfication ol Ownership by (type at tlwumem, I.e. - property taz blll or tlaetl): DIVISION OF INDUS7RIAL SAFETY PERMIT CER7IFICATION: Oriveis Licensa No. Date: Explres: ❑ I hereby canity Ihat no excevetion five (5) or more feet in depth Into which e Oerson Is required to descand, wlll be matle In connectlon with work eulhorized by Ihis pertnil, end that no building structure, scattolding, falsework, or demolition or dismantling thereol, wlll be more then Ihiny-six (36) leet high. (Chep. 3.2, Grp 2, Art 2, Sec. 341, T10e B, Callfamia AtlministratNe CoOe). ❑ As owner-builtler, I wlll noi employ enyone to tlo work which would require e partnit from the DMslon of Intlusiriel Sefery, es noted ebove, unless suc� porson hes e permli to do such work trom the division. Signawre: Date: Division of Intlustrial Safery Permit Number. CERTIFlCATE OF COMPLIANCE AND AUTHOpIZA710N OF ENiAY: I certity under penalry ol per�ury thel I have read ihis ep0liwtlon end state thet Ihe Inlortnation given is wrrect. I egree to comply wiN ell state lews entl city ortlinences relating ro building consiruction, and authodze representatives of Ihe Clry ol Costa Mesa lo entar upon �he ebove-described properry tor inspection purposes. I egree not ta accupy or ellow oaupancy ol flny building eutharized by this permi� untll linel Inspection. Signature Ot Legal Owner(s) And/Or Authonzetl Applicent COpE 1, INSPECTIONTYPE pd¢, INTIilALS 1616 Fined System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Root 201 Final BlocklRetaining Wall 202 Final Factory Fire Place 203 Finel Sign 20a Finel Demolition CO�E I INSPECTION TYPE 206 Finel Mechanical 208 Final Plum�ing 210 Final Electncal 212 Final Fire Preventlon 220 Final Planning Approval 222 � Final Sita 250 Final Building/OicuOancy eeff. u�i (714) 754•5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 2520 CORNERSTONE LN NEW SFD TPN30038 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 2ip: Contractor: RICHMOND AMERICAN HOMES OF CALIFORNIA INC Address: 5171 CALIFORNIA AV SUITE 120 Phone: 949-467-2600 IRVINE, CA Zip: 92617 License: 487535 ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fi�As Recept OuNets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Molors to thp Motors to 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Status: ISSUED Applied: 0 6/1 32 006 Issued: O6l132006 ISSUED BY: SCOPE OF PERMIT PHASEICORNERSTONEHOMES - PLAN 1C CONSTRUCT NEW 1991SF 2-STORY SFD WITH ATTACHED 415SF ATTACHED GARAGE. 126SF ENTRY PORCH. REF: BO6-00342 REF:# BO6-00908 WORK TO INCLUDE: 2 LIGHT FIXTS, 6 RECEPT OUTLETS, 1 SWITCH, 1 MOTOR TO 1 HP 523.50 30.00 $0.00 $111.50 $0.00 ao.00 sz.zo $6.60 $1.10 $0.00 $0.00 $0.00 $0.00 $0.00 $4.75 $0.00 $0.00 50.00 $0.00 $0.00 50.00 $0.00 50.00 so.00 Quantiry 1991 0 0 z 6 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System I Ligliting Busway/100ft Standing Sedion Misc Electrical Equipmen� Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment. Low Volt Wiring System / Ckt Misc. Conduit Misc. Conductor Circus ( gen or ride) Cirws (mech ride or lights) Christmas Tree Stand . Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee �uantity so.00 0 $O.OD 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 30.00 50.00 TOTAL CALCULATED FEES E149.65 NOTICE: The work authorized by this permit shali compty with all applicabie handicap access requiremenis under Calilomia staMes'and relatad regulations. (Ord. No. 9248, § 7, 12-21-92) EXPIRATION: This pertnit shall automaticalry expire e�W become void if work Is rrot commenced within 180 days, or il�work is suspemfed or abandoned for a pedad of 780 days. �� INSPECTIONS: In order for the work aulhorized urxler this permit to be considered legal, suth work must comply wiih all applicable codes, arM all requlrad Inapectlona and flnel approval must be obtained. Failure to obtain inspections and final approval wiil result in the e�iration of this pertnit. FOR INSPECTIONS CALL: (714) 754-5826 2uaae(eml WORKERS' COMPENSATION DECLARATION: I hereby eMirtn under penalty of perjury one ol iha tollowing dedarations: ❑ I have antl will maintain e certific�ate ot consent to self-Insure for workars' compensation, es provided for by section 3700 0l the Lebor Cotle, lor lhe performence of Ihe wark br whlth ihi5 permit i5 i55uetl. ❑ I �avo enA wi0 maintain workers compen5a0on Insurance, as required by sectlon 3700 0l the LaDor Cotle, lor the peAormence oi Ihe work for which this pertnit is iuued. My wo rs' compensation Insu,r tn_c�e�carder nd poliry num6er are: ('� Carrior. h1Plt/A��'��I�,�e PolicyNumber.��js�l n1 (lhis sectiar need not be completetl �) 6�e peimrt rs ve/ued al one hunOretl dWlars ($100) or less.) ❑ I certity Ihel in Iha peAortnance af the work tor w�ich IhiS pertnil is issueq I 5hell not emplq any person in any manner so e5 to become subjact ro t�e workers' compensetlon laws of Calitomia, end agrea that If I should become sub�ecllo the workors' compensation provisions ol Seclion 3700 ot t�a Labor Cotle, I shall forthwit� compy wit� t�ese pron ions. / /�1 Applicant Signeture: _ � Date: �d, �i V 6 WAPNING:FAILIIRETOSECVR �RKER$'C PENSA ONCOVERAC�EISUNLAWFULANDSWLLLSUBJECTANEMPLOYERTOCRI ENALTIESANDGVILFlNESUPTOONEHUNDRED TVqU$ANOOOLLARE(5100.000), �IXiIONTOTHECQSTOF�MPENSATION,DAMAGE5A5PROVIDEDFORINSECTION3�O80FTHEU80RCO0E,INTERE5T,MIDATTORNEY5FEE5. LICENSED CONTRACTORS DECLARATION: I hereby aHlrm Ihnt I am torce and effect. Lic. a_ Conirec�oYs Slgneiure: CONSTRUCTION LENDING ol Chapter 9(commendng with Section 7000) ol Division 3 ot t�e Busin�s nn� Prolessions Cotle, end my liconsa Is in full Clau a 4dL � l Dete: ./_ / n /� 1. ❑ I hereby eMirtn thai Ihere is a wns�ruction IonCing egenty for the pertortnance ot t�e work lor which this pertnit is Issued. (Sec. 3097, Civil Goda). Lendels Name: Lentlers Address: Signeture: OWNER-BUILDER DECLARATIONS: oate: I �ereby eflirtn Ihat under penalry of perjury that I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for ihe lollowing reeson (Sec. 7031.5, Business and Professions Code: Any ciry or counry which repuires e pertnit to construci, alter, improve, tlemolish, or repair eny sirudure, pnor to its Issuance, elso requiras the appliwnt for such permit lo lile a 51gneA statement thet he or she I51lcensed pursuant to the provislons of Ihe Contrectors License Lew (C�epter B(cammenUng with SecUon 7000) of DlNsion 3 ot the Business antl ProfesSions Cotle) or Ihat he or she I5 exempt therefmm and the hasis lor Ihe ellegad exemption. Any violation of Saction 7031.5 hy any epplicant tor e pertnit subjects the applicam to a civil penalry of noI more than Tive hundred dollars (5500).): � ❑ I, es owner oi the O�aPerty, or my employees wlih weges as Iheir sde campensation, WILL DO THE WORK, antl t�e slructure Is not intentletl or oNered tor sale (Sec. 7044, Business and Professions CoOe: The Contractors License Law does not apPN �o an owner of property who builds or improves thereon, antl who does such work himself or herself or through �is or her own employees, provided that such improvements ere noi intentletl or oMered for sale. If, however, the builtling or improvement is sold within one year of completion, the owner-builder will have ihe burden ot proving �hat he or she did not build ar improve for purpose ot sale.). ❑ I, as ownei oi the property, am EXGLUSIVELY CONTRAC7ING WR/i LICENSED CONTRACTORS to construct the project (Sec. 704d, Business and Prolessions Cotle: The comractors License Lew daes not apply to en owner of property who Gullds or Improves thereon, end who contracis br such pmjec� with e comractoqs) licen9e DurSuent t0 the GoNretlor5 LlcenSe LewSJ. ❑ I em exempt under sec. Business anU Professions Code lor ihis reason: Signature: Date: Owner ID verlfiotl by tlrivefs license. ❑ VBS ❑ No Drivers License No. Venfiwtion ol Owners�ip by (type at tlocument, i.e. - property tac bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON: Expire5: ❑ I hereby certify t�at no exwvetlon tNe (5) or more faet in depth into w�ich e person is required to descend, will be mede In connectlon with work euthodzeC by this permit, end that no Duilding siructure, scafloltling, talsework, or tlemolition or dismantling t�ereof, will be more ihan Ihirry•six (36) leet high. (C�ap. 32, Grp 2, Art 2, Sec. 341, 71tle 8, Cellfomia Administre�ive Cotlej. ❑ As owner�builtler, I wlll not employ enyone to tla wark which woulC requlro e permil Irom the Divislon ol Industrlal Safety, es noted e6ove, unless such person �es e permlt to do such work trom ihe tlidslon. Signeturo: Deto: Divislon of Industrial Sefety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORQA710N OF EMRV: I certity under penelry ol perjury that I �eve read Ihi9 epplicetion and state that the informeiion given is correct. I egree to comply wit� all stete lews antl ciry ordinances relating to Duilding construction, and euthodze representetives ol the Ciry ol CoSte Mese to enter upon the ebove-desCribed properry tor inspection puryoses. I egree rwt to occupy or allow occupency oi eny builtling authonzetl by t�ls pertnit until final inspactlon. cooe "• 1BiB 7288 Fixetl System Flnal Flre Prevention Pool Spe Final 200 Finel RB-Rool 201 FIneI Block/Retainlnp Well 202 Final Fedory Fire Place 203 Finel Sign 204 Finel Demolili0n FdIE �; �1 INSVECTIONTYPE 206 Final Mechenical 208 Final Plumbing 210 Final Electrical 212 220 Finel Fire Prevention Finel Planning Approval 222 Finel Slle 250 Finel Bullaing/Occupancy (714) 754-5273 • Fax (714) 754-0856 • www.ci.costa-mesa.�uUsMBING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Viciniry: Parcel Nunmber: Applicant: Address: Owner: Address Contrector. Address: 2520 CORNERSTONE LN TPN30038 GOODWYN, JIM 16845 VON KARMAN STE 100 IRVINE, CA Phone: 949•756-7373 Zip: 92606 RICHMOND AMERICAN HOMES OF CALIFORNIA Phone: 949-756-7373 Zip: RICHMOND AMERICAN HOMES OF CALIFORNIA INC 5171 CALIFORNIAAV SUITE 120 IRVINE, CA Phone: 949-467-2600 Zip: 92617 License: 487535 ISSUED BY: Status: ISSUED Applied: O6I142006 Issued: O6I14/2006 SCOPE OF PERMIT PLUMBING PERMIT FOR PHASE 1 CORNERSTONE HOMES PLAN 1C CONSTRUCT NEW 1997SF 2-STORY SFD WITH ATTACHED 415SF ATTACHED GARAGE. 126SF ENTRY PORCH. REF: BO6-00908 WORK TO INCLUDE: 1 BACKFLOW IRRIGATION, 1 BATHTUB, 1 DISHWASHER, 1 GAS (1-0 OUTLETS), 1 GAS SERVICE, 1 LAUNDRY TUBM/AHSER, 1 LP,NDSCAPE IRRIGATION, 1 SEWER CONNECT, 1 SEWER PRIVATE LINE, 2 SHOWERS, t KITCHEN SINKS, S WASH BASINS, 3 WATER CLOSET. 1 WATER HEATER/VENT AND 1 WATER SERVICE. . ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drein, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 oullets) Gas (Over 4 ouUets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 59.80 50.00 59.80 50.00 50.00 50.00 59.80 $0.00 50.00 50.00 50.00 50.00 $0.00 $6.15 So.00 $0.00 59.80 50.00 50.00 � 0 1 1 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 0 FEE SUMMARY AMT LaundryTublWasher $9.80 Landscape Irrigation $14.80 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) 50.00 Receptors 50.00 Septic 7ank 50.00 Sewer Cap for Demo 50.00 Sewer Connect 324.65 Sewer Private Line $24.65 Shower 519.60 Sink, bar $0.00 Sink, commerciai $0.00 Sink, Floor $0.00 Sink, kitchen $9.80 Sink, service/mop $0.00 Spa (private) 50.00 Spa (public) $0.00 QTV 1 1 0 0 0 0 0 0 7 1 2 0 0 0 1 0 0 0 Sump Pump Swimming Pool Trap Primer Urinal Vacuum Brkr Bk(low(74) Vacuum Brkr Bktlow(5+) Wash Basin Wash Basin Set Wasie and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water SoRener OTHER VIOLATION PLAN CHECK REINSPECTION AMT 50.00 50.00 $0.00 50.00 50.00 50.00 549.00 50.00 50.00 529.40 512.30 $0.00 50.00 50.00 50.00 $0.00 50.00 50.00 50.00 Qn 0 0 0 0 0 0 5 0 0 3 1 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all epplicable handicap access requirements under California statutes'and related regulations. (Ord. No. 92•28, § 1, 12•21•92) /, �'" /= EXPIRATION: This permit shall automaticalty eupire end become void if work is not commenced within 180 days, or II work.is suspended or abandoned for a pedod of 180 days. �% INSPEC710NS: In ottfer for the work authorized under this permit to be considered legal, such work must comply wlth ell eppllcable codea, and ell requlred Inspectlone and finel epproval must be obtalned. Feilure to obtain Inspections and final approvel wfll�result in the expiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545828 zuaae �e�m� WORKERS'COMPENSAnON UEGLARATON: ' I hereby aflirm untler penalry ot perjury one of Ne IWlowing dadarations: ❑ I �eve entl wlll mainiain a certificate at consent to selFinsure for warkers' compensation, as providad for by section 3700 at t�e Lebor Code, br the pertormance ol the work for which this pertnit is issueU. ��I�heve'entl wlll mainlain workers' canpensation insurance, es required 6y 5ectim 3700 ot t�e Lebor Cotle, lor the peAortnance of Ihe work for whlM thi5 pertnit is Lssued. ` My w[ykexs compensation Insurenc� carder antl dlcy number ere: n�.� s`�s��.,�,.� �-ao�� N�mba��Y3—�S—�� permi( fs ve/uetl et one hundred dollars ($100) or less.) ❑ I cenify that in t�e pertortnance ol the work lor which Nis permit is Issued, I s�all nol employ eny person in any mennar so as to bocome subject to the workers' compansetian laws af Celifomia, entl egree t�et il I shoultl �ecome suD�ect Io t�e warkere' compensatlon provlsions ot Sectlon 3700 oi the Lebor Cotle, I shell forthwith co�� hese ovisions �_` Applicent SiplWre: �Oate: �'67�� —�i7�- h WARNINO.^FAILURE TO SE E WORI(EF MPEN TIIXJ COVERAGE IS UNLAW FUL AND SNPLL SUBIECT AN EMPLOYER TO CPIMINPL FENALtIES M!D CM� FlNES UP TO ONE HUNORED TVKKISANDDOLURE(5100, I.INFDORIONTOTMEWSiOFCOMPENSATION,DAMAGESASPROVIDEDFORINSECfI0N9lO80FTHELABORCO�E,IMEREST,ANDATTORNENSFEES. LICENSED CONTRACTORS DECLARATON: I hereby aHirm thal I am licensed untler provl3jpps ol ChaO�er 9(commencing with Section 7000) of Divisian Catle, entl my license i5 in lull CONSTRUCTION LENDING AdENCV: ❑ I hereby afllrtn ihat there is a construction Iending egency for Ihe pedortnance at t�e work tor which Ihis pertnit is Issued. (Sec. 3097, Civil Cotle). Lentlers Name: SlgneNre: _ OWNER•BUILDER DECLARATIONS: Lentlers Atldress: Date: I hereby aflirm t�at under penelry ot perjury thet I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW lor the tollowing reason (Sec. 7037.5, Buslness end Proteuions Code: Any ciry or counry which requlres e pertnit to conswct, alter, improve, demolish, or repair eny structure, pnor to its issuanca, elso requires ihe eppliwnt for such permit to tile e signetl statement t�at he or she is Ilcensed pursuent to the provislans ot the Contrectors License Lew (Chepter 8(commenGng with SeclWn 7000) 01 DlWsion 3 af Ihe Business end Prolessions Code) or that ha or she b exempt Nerehom end the basis for the elleged eaemption. Any vlalatlon ol Section 7037.5 by any eppllcent far e permit subjects the epplicant to a civil penelry of rat more than tive huntlretl tlollers ($500).): ❑ I, es owner ot the property, or my employees with wages as �helr sole compensetion, WILL DO TME WORK, end the siructure Is not intended or oHered lor sele (Sec. 7044, Businea and Professions Code: The Contractors License Law does not apply �o an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, proNded that such impmvements ere not intentled or oHeretl tor sale. If, however, ihe buildinp or impmvement is soltl wit�in one year of comple�ion. ihe owneabuilder will have ihe burden of proving that he or she did not 6uiltl or improve tor purpose of saleJ. ❑ I, es owner ot t�e property, am EXCWSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to wnstruct the prol�� (Sac. 7044, Business entl Pmtessiwu Cotle: The comrecrors License Lew does not eppty ta an owner ot pmperry who builas or improves thareon. and who coNracts lor such prolact wit� a contrecior(s) liten5e pursuanl tO lhe ConiraIXors liCenSe LawsJ. ❑ I em e:empt under sec. Businass antl Prole55ion5 Code lor I�is reason: Signature: Date: Owner ID verified by drivers license. ❑ Ves ❑ No Drivefs License No. Venliwtion of Ownership by (type oi tlaument, i.e. - properry tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATON: Eapires: ❑ I hereby certity ihat no excavetion tNe (5) or more leet in tlepth Into which a person Is required to descend, wlll be metle in connectlon with work euthodzed by this permit, end that no 6uildinq strucWre, sceHWding, falsework, or tlemolltlon or dlsmantling thereof, will be more then thlrty-six (36) teet high. (Chap. 3.2, Gry 2, An 2, Sec. 341, Tltle B, Calilamia Administretive Code). ❑ As owner-builtler, I will not employ enyone to Ao work which would reQuira o permit irom the Division ol Intlusiriol Selery, as noted eDove, unless such person has e permit to do such work Irom Ihe d'Mslon. Signature: Date: Divislon ol Indusiriel Salery Permit Number: CER7IFlCATE OF COMPLIANCE AND AIfTT10qVJ1T10N OF ENiAY: I cenify under penalry ot parjury Ihat I nave read Ihis ep0��ion and state thet ihe Intortnetlon given is correct. I egree to compty wi�h ell slate lews end ciry ortlinances reletinp to building cronsWclion, and euthodze represemetives oi the City ol Costa Mesa to enter upon tha ebwe-described properry for insDection Ourposes. I agrea not to accupy or ellow occupency ot eny building au�horized by this pertnit until final inspection. CO�E A. 161fi 1268 200 201 202 203 204 Fi:ed System Final Fire PreventlOn Pool Spe Final Final Re-Rool Flnal BIotWRetaining Well Final Fectory Fire Placo Finel Sign Finel Demolition P6g 1t�L@ CO�E 1 INSPECTION TYPE 206 Finel Mechanlcel 20B Finel Plumbing 210 Finel Eleclncel 212 Finel Fire Preventlon 220 Finel Planning Approvel 222 Final Site 250 FinalBuilding/Occuponcy �g �� L .a: (714) 754-5273 • Fan (714) 754-4856 • www.ci.coste-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 .lobAddress: 2520 CORNERSTONE LN Suite No Vicinity: HOUSE Parcel Number: TPN30038 MECHANICAL PERMIT ISSUED BY: ,4ppliwnt 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: 949467-2600 IRVINE, CA Zip: 92617 License: 487535 Stalus: ISSUED Applied: O6/13/2006 Issued: O6/132006 SCOPE OF PERMIT MECHANICAL PERMIT FOR PHASE 1 CORNERSTONE HOMES PLAN 1C CONSTRUCT NEW �991SF 2-STORY SFD WITH ATTACHED 415SF ATTACHED GARAGE. 126SF ENTRYPORCH. REF:BO6-00908 WORK TO INCLUDE: 1 HOOD W/MECH EXHAUST, 1 WST FAU"< 100 K BTU, 4NENT FAN/SINGLE DUCT AND 1 COMPRESSOFLABSORPTION�SYST 3 TO 15 HP/500 K BTU. ISSUE FEE Insl FAU <100 k BTU Inst FAU >100 k BTU Repair / Alt CoolingMeal Inst I Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >700 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relowte Appl Vent Air Handlers < 10000cfm AirHandlers> 70000cfm Floor Fumace Floor or Suspend Heater $23.50 $14.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $70.65 so.00 $29.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 Quan�iry FEE SUMMARY Repair / AIt Absorbtion Unit ' Repair/AltRefrigerationUnit Ventillation System Evaporative Cooler Commercia l I ncine reto r Domestic Incinerator � Comoressors / Absorotion SYstems � Upto3hp/t00kBTU 3 To 15 hp / 500 k BTU 15To30hpl:1,OOOkBTU . - 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU , Boilers Upto3hp 3To15hp 15 to 30 hp � • . � - 30 to 50 hp � , . , , Over 50 hp . , Other Mechanical Fee Inves�igation Fee Plan Check Fee . Reinspection Fee rnrw� r.i r�n .rrn eecc Quantity $0.00 0 $0.00 0 $0.00 0 50.00 0 so.00 0 $0.00 0 $0.00 0 527.15 7 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 e�nc �n NOTICE: The work authodzed by this permit shell camply with all applicable handicep access requlrements under Califomia-slatutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) �/ EXPIRATION: This permit shall automaticalty expire end became vold if work is not commenced wlthln 180 days,-or if work Is suspended or abandoned for a pariod of 180 days. /� INSPECTIONS: In order for the work euthorized under this permit to be consldered legal, such work must comply with all applicable codes, ana all requlred Inapectlons and 11ne1 approval must be obteined. Fallure to obtaln Inspections and final approval will result in the expiretlon of thls pertnit. FOR INSPECTIONS CALL: (714) 754-5828 xae-ea �voo) WORKERS' COMPENSATION DECLARATON: � � I hereby aHirm unCer penalty of perjury one ot the following tleclarations: � ❑ I heve end wiil malntain a cenififate of consent to self-Insure tor workers' compensation, es provided for by section 3700 ot the Lebor Code, tor Ihe peAarmance of the work tor which Ihis pertnit is issuetl. ❑ I have antl will maintain workers' compenselion Insurance, az requiretl by sectim 3700 oi Ne Lebor Coda, for the peAortnance of Ne work tor which ihis pertnit is iswetl. My warka compensetion Insuran{�y9��,�artier and poli y number are: Certier. P J' �� 11 �✓l� ��Ji.�VX l.t ii� Poliry Number: (e � j�� _ (This secr/an ne not be complefed il the permlNs velued el me huntlred tlol/ars (S 100J or less.) ❑ I cortity Ihat in the pertortnance of the work tor whldi this permit is issued, I shell not employ eny person in eny manner so as to becnme suD�ect to the workers' wmpensatlon laws o1 Calitomia, end eg ee tfial II shwlC become sub�ect to the workers' compensetion provislons of Section 3700 0l the lsbor Cotle, I shall torthwith comply with thesa pro 'sior�.q / / AppliceM SipnaNre: r Dete: �O� �l[i b WARNINO: FAILURE TO SECU �RKERS' COMP ATV ERAGE IS UNLAWFUL AND SHALL SUBIECf rW EMPLOVER TO CRIMINAL P T1E5 AND pVIL FlNES UP TOONE HUNDFED THWSAND DOLURE (5100,000). DDfiIIXJ TO TME COST OF COMPENSATION, DAM4GES AS PROVIUED F-0R IN SECiION 3]OB OF THE LABOR COOE, IMEREST, AND A170RNEY5 FEES. LICENSED CONTRACTORS DECWRATION: I hereby oXirm thet I em Iicensetl unCer rovisioys.pl Chapter 9(commencing wilh Section 7000) ol Dlvision 3 0l Ihe Busine}� an� Prolessions Cotle, end my Iicense is In tull force end eMec1. Lic. k Cless a 'IaCJ ContrectoYs Signeture: Date: CONSTRUCT70N LENDING AGE Y: ❑ I hereby aflirm t�at there is e construction IenCing egenty lor the pertortnance of the work for which Ihis permit is issueC. (Sec. 3097, Civil Code). LenAer's Name: Lentlers AdGress: Slgnaturo: OWNER•BUILDER DECLARATiONS: Date: I hereby eHirm that under penalry ol perjury lhat I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the lallowing reeson (Sec. 7031.5, Business entl Professions Cotle: Any ciry or counry whic� raQuires a pertnit to wnswct, elter, improve, demollsh, or repair any siructure, prior to its issuance, elso requires the applicant for such permit ro lile e signed stetement thet he or she is licensed pursuem m the proHsions ol the Contractors License Lew (Chepter 8(commencing wlth Section 7000) oi DMsion 3 of the Business end Pmfessions Code) or ihet he or she is e:empt Iherelrom end the basis tor Ihe elleged exempHon. Any violation of Section 7031.5 by eny applicant for a pertnit subjecis ihe epplicant to e civil penalry of not more ihan Ilve hundred dollers ($500).): ❑ I, es owner ol Ihe property, or my employees wit� wages as thelr sole compensatlon, WILL DO 7HE WORK, end the strucwra is not imended or oflereC br ule (Sec. 7044, Business and Professions Code: The ConVactors License law does nm appy to an owner oi properry who builds or improves thereon, and who Cces such work himselt or herself or through his or her own employees, provided Ihat suc� improvements are not intended or ottered for sale. II, however, tha huiltling or improvement is sold within one year of wmpletion, the owner-builder will heve the burden of proving that he or she did not build or imprwe for purpose ot sale.). ❑ i, as owner W the property, am EXCWSIVELY CONTAACTING WITH LICENSED CONTFiACTORS to construct tha pmject (Sec. 7044, Business end Professirns Code: The wntractors LJcensa Law tloes rwt appry to en owner ol propeny who builtls or improves Ihereon, and who contracts for such prqect wlih e canirectoqs) license pursuant to the Coniraciors Licensa Lews.). ❑ I am exempt untler sec. Business antl Pmfessions Code for Ihis reason: Signature: Date: Owner ID venfiea by tlrivel5license. ❑ Ve5 ❑ No DnverS License No. Veniication ot Ownership Dy (type ot tlocument, i.e. - property tax Dill or deed): DIVISION OF INOUSTRIAL SAFETY PERMR CERTIFICATION: Expires: ❑ I hereby cenify Ihat no excave�ion frve (5) or more faet in depih into which a person is requiretl to tlescend, wlll be mede In conneciion with work euthorizad by this permil, and that no bulltling strucNre, scaHoltlinp, lalsework, or tlemolition or tlismantling thereol, wlll be more than thirry-six (36) leet high. (Chap. 3.2, Grp 2, An 2, Sec. 341, Tille 8, Celifomia AtlmiNstralive CoAe). ❑ As ov.ner�builder, I will not employ enyone to do work whkh would requlre e partnit irom the OlWsion ol Indusirial Sefety, es natetl ebove, unless such person �as e pertnit to do such work from the tlivision. SignaNm: Date: Division ot Intlustnal Sefery Permit Number: CERTIFlCATE OF COMPLIANCE ANU AIfTHOR¢A710N OF EMRY: I cenity under penelry ol parjury thei I have reaC this appliwtlon end state that the inlortnafion given is correct I agree Io compy wit� ell slate laws end ciry oNinances relating to bullding construc0on, entl euthodze represenlatives ol the qry ol Costa Mesa to entar upon the ebove-tlescnhed pmperry tor inspec6on purposes. I egree not to acuOY or ellow occupancy al eny building euthonzed by Ihis pertnit until tinel Inspec0on. COOE I. INSFEC1bNTYPE 1618 Fiaetl System Finel Fire Preventlon 1268 Pool Spe Flnal 200 Finel Re-Root 201 Pinel BIacWRetaining Wall 202 Final Fectory Fira Place 203 Flnel Slgn 204 Finel Demolition Qdg �yj �F,( INSPECTIONTYiE 208 Final Mochanical � 20B Finel Plumbing 210 Finel Eleclrical 212 Final Fire Preventlon 220 Final Planning Approvel 222 Final Site 250 Final Building/Occupancy �� ADAMS • STREETER CIVIL ENGINEERS INC. November 17, 200G City Grading Inspcclor Cilv of Costa Alesa Dcvclopment Sen�ices Dcpartment 77 Fair Drivc Costa Mcs.�. California )2625-1300 0_5-1573 IRVINE • RIVERSIDE Jan A. Adams • Randal L. Streeter Subject: Ci� il I:ngineer's Cerlilir.Hion of Precise Cruding Pro,jecL• 'fract No. 16937 — Lots (, 7 and R- Kuildings 20 lhruugh 31 Corncrstone at liarbor Kl�d. Costa !1�Iesa, California Reference: Ruugh Cradin� Pcrmit I�'utnber: GO(r-OU0113 Address: 2�01 Ilarbor 13oule�arcl, Costa �9esa, California U��ncr : Richmond Amcrican liomes Ceneral Cuntraclor: Richmond American Homes In accordance with City of Costa 1�1csa Grading ❑nd Gxc:n�ation Codc, and thc rcyuirentents uf the I3uildin�� Cocle, I certify :ippru�-al uf this project :is outlined :tbo��e, tu precise �,rade. Precise �rading has hcen completed in con(orm:ince ��ith appro��ecl precisc gr.iding plan for this projcct and in full compliancc �aiih ,r,iid Codcs. Ccrtilir,uion includcs horizontal and vcrtic:il conu'ol fur dr.iinaec dcviccs, tuid posiiivc building pad drainagc. This appro�al docs not inclu� f�Fi, $ IS�(�� compaction of soil, ��hich is undcr ihc ur��ie�v of the soil en�inecr. QF �F bhOHq�r� F,.,\ � a 4 Q y C�\ � �` O. . �fw c ho.426t5 D} p'� I3 v: A1. Mohammadahadi. Project Ad�uns Suectcr Ciril Gn�inccrs Inc. Ew.3-3��C8 =/ i� OF ('A�. No��cmhcr 17. ?OOG G#: =1Z615 (Gxp. 3/31/08) 15 CORPOh�1T[ PARK • IRVING, Cn. 92606 • TeL (y49) 47d-2330 • Fax: (949) 474-0251 2900 ADAMS STR[ET, SUIT[ A-d00 • RN[RSIDE, CA. 92504 • TeL (951) 352-4100 • Fax: (951) 352-G200 ption ne <��,�,�,.,,�� t��„�, t,�, encE,oFi THIS REPORT [NCLUDES ALL CONSTRUCTION WORK THROUGH THE: I S`" Dav of Scp[emher 2U06. PROIECT: ''Comeamnz" - SPD OPTION ONE J.N.: O106-1253 LOCATION: CostaMesa.California BLDG.PERMITNo.: OWNEiZ: Richmond American Homes LOCATION/DNISION: Oranee Counry AACHITECT: Rasscnian I.agoni.Architects _ ARCHITECT )N.�. BLA-5165 STRUCT. OBS. OF RECORD: Guy A. McClanahan, P.P. LIC. or REGISTRATION Nos.: C-42553 STRUCTUILV, OBSERVER: Clid7anes', G.I T. � � BIT- I I3962 OBSERVED STRUCTOR4L ELEMENTS & THEIR COMVECTIONS: LOT(S) & PHASE OBSERVED: �nterior and Exterior GenerAl �raming; i.e., mof tmsses, mof sheathing, Lot 28, Plan 1C, 2520 Comersrone L�me, sliearelements; holdowns, floursheathi�g, floorjois[s/Husses, bemns, headers, Pliue l, Tract'�16937, and general he�dware. Cos[a Mesa, Califomia OBSERVED DEFICIENCIES: (ArracNaomnoNAtaacEsiFNeCeSsaRv� Initial / Comoletion Date: _ ...___..__ _____.__.. ______.._�_,�.__. _.____ . .�___..__._ _.._.._____,...__..__._—______.._ _ . . The deficiencies anNor non-conforming items rtoteA dunng obsarvation visi[ have been corrected CAJ/09•IS-0h and installed by a collabura[ed effort of [he project superin[enden[ and [he framino foreman. � . Construc[ion �Bee�le-S1&e6 � Plywd CI'g �Besk Stage: � �AC � Electtical � Plumbing �� Lid(s) 9AEien Note: Wben box is checked, if intlicates that construction stage is in p�ogress, and tt has not yet been completed at fhe time obseroafion was contlucted. LJl STRUCTURAL SYSTEM WAS VISUALLY OBSERVED TO BE M GENERAL CONffORMANCE W1TH THE APPROVED PLANS. Q STRUCTURAL DEFICIENCIES ARE OF A MMOR NATURE & MAY BE REVIEWED BY CI7Y BLDG INSPECTOR FOR WMPGANCE. 1 DECLARE THAT THE FOLLO�VING STATE�IENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE & 6ELIEF: 7. I rlM THE REGISTERED ENGMEER WHO HAS RESPONSBLE CHARGE FOR THE STRUCTURAL OBSERVATION. 2. I, OR ANOTHEA QUALIFIED-CHARGE OBSERVER WH01 HAVE DESIGNATED ABOVE AND IS UNDER MY AESPONSBLE CHARGE, H.4S PERFORMED THE REQUIRED SITE VISITS AT EACH SIGNIPICANT CO� ISTRUCTION STAGE TO VERIFY IF THE STAUCTURE IS M GENERAL CONFORMANCE WITH THE APPAOVED PLANS AND SPECIFICATIONS. 3, ALL DEFIC[ENCIBS, WHICH I DOCUMENTED, HAVE BEEN CORRECTED UNLESS OTHERR'ISE RJDICATED ABOVE. 4. ALL OBSERVED DBFICIENCES SHALL B8 CORRECTED AND APPAOVED BY THE OBSERVER PRIOR TO FRJAL ACCEPTANCE OF THE S?RUCTURAL SYSTEMS BY THE BUILDING DEP.4EiTMENT. 5, THIS REPORT IS PROVIDED TO THE OWNER AS A PART OF THE OWNERS OVERALL CONSTAUCTION QUALITY CONTROL PROGRAM 6, OPTIOD7 ONE HAS PROVIDED STRUCTURAL OBSERVATION M ACCORDANCE WITH THE SEAOC RECOMMENDED GUIDELMES FOR THE PRACTICE OF STRUCTURAL ENGINLERMG N CALIFORN[A. STAMP & W ET SIGNATURE OF STRUCTURALOBSERVEROFRECORD SIGNED BY: LS'" Day of Septembe� 200G. STRUCTGRAL OBSERVATION DOES NOT WANE THE REQUIREMENTS FOR [NSPECTIONS BY CITY BOILDING MSPECTORS. ALL WORK MUST CO`1PLY WITH THE APPROVED PLANS AIJD APPLICABLE STATE & LOCAL CODES. G�.11200'sV25310bservationlPhase_11SOR_F_Lot 29_P3BR.doc (Rev. 115105) Option One Tel 949.553.1916 Consulting Engineers 20311 Acacia St., Suite 240, Newport Beach, Ca. 92660 Fax 949.553.9720