HomeMy WebLinkAbout2521 CORNERSTONE LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.cos�a-mesa.��LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
,lobAddress: 2521 CORNERSTONE LN
Suite:
Vicinity: PLAN 2 CORNERSTONE
Primary Occ: R3 Dwellings/ Cong Res <10 Type of Conslruction: V-N
Parcel Numbec TPN30039 Zoning:
App�icant: GOODWYN, JIM
Address: 16845 VON KARMAN
IRVINE, CA
Phone:� 949-756-3310
Zip: 92606
Owner: RICHMOND AMERICAN HOMES OF CALIFORNIA
Address
Phone: 949-756-7373
Zip:
Contracror: RICHMOND AMERICAN HOMES OF CALIFORNIA INC
Address: 16845 VON KARMAN �
Phone: 949-756-7373
ISSUED B :
Status: ISSUED
Applied: O6/19/2006
Issued: 06/20/2006
IRVINE, CA .� , �
Zip: 92606 License: 487535 ,
Arch : KENNETH NIEMERSKI eng: GARY A MCCL'ANAHAN
Address: 2037 ORCHARD DR Address: OPTION ONE CONSULTING ENGINEERS
SUI7E 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 2 CORNERSTONE HOMES � .
PLANSIBR
CONSTRUCT NEW 1991SF 2-STORY SFD WITH ATTACHED 415SF ATTACHED GARAGE. 126SF ENTRY PORCH.
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$1,024.50
$1,576.15
$20.31
$0.00
$0.00
$0.00
$2,620.96
SETBACKS
MAIN STRUCTURE Front 200- 0 Rear 15- 0
ACCESSORY Front 0-0
PARKING Existino: o
Rear 0- 0
Reauired: 148
FEE SUMMARY
PLANNING & ZONING
Left 10-0 -. .
Left 0- 0
Proposed: 148
Calc Valuation:
Claim Valuation:
Righ� 45- 0
Right 0-0
$203,052.52
so.00
NOTICE: The work authorized 6y this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related
� regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work�suspended or abandoned
for a period of 180 days. ;
INSPECTIONS: In order tor ihe work aWhorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inapeetlona and final approval must be obtained. Fallure to obtain inspections and tinal approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2d48d81H�00)
WORKERS' COMPENSATION DECLARATION: �
I �ereGy eNirm under penalry of peryury one of the tollowing declarations:
❑ I have and will meimain e certificate oi consent to sel4lnsure for workers' compensation, as provitletl for by section 3700 of the Lebor Code, lor the pertormence ol ihe
work lor whlCh �hi5 permlt is i55ued.
❑ I have and wiil maintain workers' compensation insurance, as required Dy section 3700 0l Ihe Labor Cotle, for ihe pertortnanca of the work lor which this permit is issued.
My work s' compensatlon Insu}Wy,� �c,a. c�arner e policy number are: ([ r
Cartier. Me%w�— � l�"IP r�9�14i.�K�� PolicyNumber. 6 i�^� ) I�
(This secfion n d not be completetl i! Ihe pertriit is valued ef one hundred dollers ($100) or /ess.)
❑ I certity that in tha peAormance ol ihe work for which Ihis permit is issued, I shell not employ any person in any manner so es to become suhject lo Ihe workers'
compensation la 5 of Calitomia, end egree ihat if I should become sub�ect to the workers' compensation provisions of Sectlon 3700 ot the Labor Code, I shall farthwith
comply with Ihes rovisions.
� ' /�
Applicant SignaNre: Date: �'!7y' �
WARNINCa: FAILURE TO CU E WO 5' C MP NSATION CAVERAGE IS UNIAWFUL AND SHALL SUBJECT AN EMPLOYER TO CFIMMAL P LTIES AND QVIL FWES UP TO ONE HUNDPED
TMOUSANDDOl1ARE(51 ),INADDITIONTO COSTOFGOMPENSATION,DAMAGESASPROVIDEDFORINSECTIIXJ3]OGOFTHELABORCODE,INTEREST,ANDATTORNEI^SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eRirm that I am
force and eHact. Lic. q_
Conirectors Signature:
CONSTRUCTION LENDING
ot Chapter 9(commencing wilh Section 7000) of Division 3 of t�e eusiness d Prpfessions Code, and my license Is in full
Class a �
K71 oate: !.� —, �� /IL,
❑ I hareby aNirm ihat there is a consiruction lentling aqency for ihe pertormance of fhe work for which ihis permit is issuetl. (Sec. 3097, Civil Cotla).
Lendefs Name: Lendars Address:
Signature:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby aHirtn chat under penalry ot perjury Ihat I am EXEMPT FROM THE COMRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professions
Cotle: Any ciry or counly which requires a pertnit to consiruct, altar, improve, tlemolish, or repair eny slructure, pnor to its issuance, also requires the applicant for such parmit
b tile a signed sletement Ihet he or she is Iicensed pursuent to Ihe provislons of the Contrectors Licensa Lew (Chapier 9(commencing wiN Sec6on 7000) of Divislon 3 ot the
Business end Professions Cotle) or that he or she is exempt therefrom anA Ihe basis for the ellepetl ezemption. Any violation oi Section 7031.5 by eny eppliwnt for e permit
sublects Iha applicant to a civil penelry af not more than five huntlretl tlollars ($500).):
❑ I, as owner ot the properry, or my amployees wlih wages as thelr sole compensation, WILL DO TME WORK, antl the structure is not intentletl or oRerad lor sale (Sec.
7044. Business and Professions Code: The Contractors License Law does no1 apply to an owner of property who builds or improves thereon, antl who does such work
himselt or hersetl or ihrough his or her own employees, provided that such improvemenis ere not imendetl or oNeretl for sele. If, however, the building or improvement is
soltl within one year oi completion, the owner-builder will have Ihe 6urden of proving ihat he or she did not 6uiltl or improve tor purpose of sale.).
❑ I, es Ownar of tho property, am EXCLUSIVELY CONTRAGTING WITH LICENSED CONTRACTORS to construct the project (Sec. 70d4, Business end Professions
Code: The comractors License Law does not appty to en owner of pmperty who bullds or Improves thereon, and who comrects lor such prolect wlth e contrector(s)
license pursuant to the Conireqors License Laws.).
❑ I em exempt under sec.
Signature:
Owner ID veniied by dnvefs licensa. ❑ Ves ❑ No
Business nnd Professions Coda tor this reason:
Venficatlon ot Ownership by (type al dwument, i.e. - praperty tax bill ar deod):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION:
Dnvefs Licanse No.
oate:
Expires:
❑ I hereby cenify Ihat no excavation five (5) or more feet in deplh into which e person is requiretl Io tlescen4 will be made in connectlon with work euthonzed hy t�is
pertnit, and that no building siructure, scaifoltling, falsework, or tlemolition or tlismantling theraof, will be more than ihirry-sla (38) faet high. (C�ep. 32, Grp 2, Art 2, Sec.
341, Title 8, Celifomia Adminisiretive Code).
❑ As ownarbuiltler, I will not amploy anyone to do work which would require e permit irom t�e Division ot Industnal Sefety, as notetl e6ove, unless such pereon has e
pertnit to do such work irom t�e Oivision.
Signature: Date:
Division ot Indusinal Safery Pertnit Number:
CER7IFlCATE OF COMPLIANCE AND AllTHORIZA110N OF ENfTiV: I Certity untler penalty of perjury lha� I have read lhis application end slele thet Ihe Informetion given is
correcL I egree to comply with all state laws and city ordinences releting to bulltling construction, end euthorize represematives of the Ciry of Coste Mesa to enter upon the
ebove-described propetly tor inspection purposes. I egree not to occupy ar ellow occupency of eny building euthorized by ihis permit until finel inspection.
� � Spnature Oi Legal
GooE r. wsceenonnve
1616 Fixed System Final Fire Prevention
1266 Pool Spa Finel
200 Finel Re-Roof
207 Finel Block/Reteining Wall �
202 Final Feciory Fire Place
203 Finel Sign
204 Finel Demolition
Applicant
D�TE INfIlULS
�. ,
� � %•
.. :
COOE� INSYELTIONTYVE
206 Final Mechanical
208 Final Plumbing
210 Final Eleclriwl
212 Final Fire Prevention
220 Final Planning Approval-
222 Final Site
250 Final Builtling/Occupancy
.d3i�I:1Wi.�Fj
��
(774) 754-5273 • Fax (714) 754-4856 • wvnv.ci,costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address:
Suite No
Viciniry:
Parcel Nunmber.
Applicant:
Address:
Owner:
Address
2521 CORNERSTONE LN
IJ��i�b9�7�.
TPN30039
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:
Contracmr. RICHMOND AMERICAN HOMES OF CALIFORNIA INC
Address: 5171 CALIFORNIAAV
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool / Spa
Lighting Fixts
Recept OuUets
Swilches
Non Res Appl
Res Appl
Service l0 200a
Service to 1000a
Service over t000a
MotorS to 1hp
Motors l0 10hp
Motors l0 50hp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
SUITE 720
IRVINE, CA
Phone: 949�67-2600
2ip: 92617
License: 487535
ISSUED BY:
Status: I SSU E D
Applied: O6/19f2006
Issued: O6/202006
SCOPE OF PERMIT
ELECTRICAL PERMIT FOR PHASE 2 CORNERSTONE HOMES
PLANSIBR
CONSTRUCT NEW 1991SF 2-STORY SFD WITH ATTACHED 415SF ATTACHED GARAGE. 126SF ENTRY
PORCH.
REF:# BO6-00963
WORK TO INCLUDE: 2 LIGHT FIXTS, 6 RECEPT OUTLETS, 1.SWITCH, 1 MOTOR TO 1 HP
523.50
$0.00
$0.00
$111.50
$0.00
$0.00
$2.20
$6.60
$1.10
$0.00
$0.00
$0.00
50.00
$0.00
$4.75
50.00
$0.00
$0.00
$0.00
50.00
5D.00
$0.00
$0.00
50.00
�uantity
1991
0
0
2
6
1
0
0
0
0
0
t
0
0
0
0
0
0
0
0
0
FEE SUMMARY
Temp Dist System ! Lighting
Busway /100 N
Standing Section
Misc Electrical Equipment
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 VOIt Wiring System / Ckt
Misc. Conduil
Misc. Conduclor
Circus ( gen or ride)
Circus (mech ride or lights)
Christmas Tree Sland
Fireworks Stand
Olher Eledrical Fee
Investigalion Fee
Plan Check Fee
Reinspeclion Fee
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES E149.65
Quanlily
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California.statules and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) �_- -
EXPIRATION: This permit shall automaticalty e�cpira and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 780 days. �
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetlona end final approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
zaaa+e �sroo)
WORKERS' COMPENSA710N DEGLARATION:
I hereby eftirm under panelty ot perjury one of the following declarations:
❑ I have end will maintain a certificate of consent to self-Insure tor workers' compensation, as provided tar by section 3700 ot t�e Lebor Code, for the peAormanca of Ihe
work for which Ihis permit is issued.
❑ I have antl will maintain workers' compensation insurence, as required by sectim 3700 ot ihe Labor Cotle, for ihe peAormance ol t�a work tor which Ihis pertnit is issued.
My wo rs' compensetion Insurance%� ner and poliry.} �umber are: ��� �� /�
Certier. ��e✓� �N+� �i/-iTN.�e �IS�fH.✓�fl�-1� PolicyNumber:
(This sectlon n etl nof be complefed il the permit is velued al one hundred dollers ($100) ar IessJ
❑ I cenity thet in the pertortnance of the work for w�ich ��is Dertnit is issuatl, I shell not employ any person in eny manner so es to become sublect b the workers'
compensation lews ol C� litornia, and e ree Ihal if I should become sub�ecl Io Ihe workers' compensation provisions of Sactlon 3700p1 Iha Labor Code, I shall lorthwith
comply with ihesa provi ons. �� •L1�
AppliCent Slgneture: ` Dete: �V
WARNING: FAILURE TO SECURE / RKERS' COM SATIO DVERAGE I$ UNLAWFUL AND SHALL SU9IECT AN EMPLOVER TO CRIMINA PENAL IES AND CIVIL FINES UP TOONE HUNDRED
THOUSAND OOLLARE (5100,000�.1 DITION TO THE COST OF COMPENSATION, OAMAGES AS PROVIOED WR IN SEGTIqJ 3]O60F THE LABOR COOE, IMEREST, AND ATTOFNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
1 �ere6y eHirtn that I em licensed u der rovi ' of �pter 9(commencing with Section 7000) of Division 3 ot the Busine�]� d%rofessions Code, and my license is in tull
lorce end ettect. Lic. M Class k �J•� ) /
Gontractor's Signature: � Date: t.fi
—� 1
CONSTRUCTION LENDIN ENCY:
❑ I hareby aMirm that there is a construction lenaing egency for the peAormance ol the work for which t�is permi� is issued. (Sec. 3097, Civil Code).
Lendefs Name: Lentler's Atltlress:
Signature:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby eHirm thet untler penelry of perjury that I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions
Code: Any city or county which requires e permit to constmct, elter, Improve, demolish, or repair eny stmcture, prior to its issuance, also requires the applicant tor such permit
to ille a signed stetemenl ihel he or she is Ilcensed pursueni to Ihe provisions oi the Contractors License Lew (Chapter 9(commencing with Sectlon 7000) of Division 3 oi the
Business entl Prolessions Code) or ihet ha or sha is eaempt therelrom enA the �esis tor the alleged e:emption. Any vloletlon o� Saction 7031.5 by any applicam for a permit
subjects ihe epplicent to a civil penalty oF not more ihan five hundred dollers ($500).):
❑ I, es owner of the property, or my emplayees wlth wages es thelr sole compensation, WILL DO THE WORK, end the structure is noc Intentled or oHered for sele (Sec.
7044, Business and Professions Cotle: The Contractore License Lew does not appty to an owner ot properry who builds or impmves Nereon, end who does such work
himself or hersetl or Ihrough his or her own employees, provitled ihat such improvemenis ere not intantled or oifered lor sele. If, however, ihe building or improvement is
sold within one year of completion, the owner-builtler will have the burden of proving that he or she ditl not Duild or improve for purpose of sale.).
❑ I, B5 Owner of Ihe Droperty. em EXCLUSIVELY LONTRACTING WITH LICENSED CONTRACTORS to consiruct Ihe prolect (Sec. 70M14, Business and Profeuions
CoOe: The contractors Licensa Law tloes not eOP�Y �o an owner ol property who builds or impmves thereon, entl w�o contrects tor such pmject with a contractor(s)
license pursuant to the Gontractors License Laws.).
� I am exempt under sec. Business antl Professions Code for ihis reason:
SignaWre: Data:
Owner ID verified Dy drivefs licen5e. ❑ Yes ❑ No DnverS Ucensa No. Expire5:
Verification ol Ownership by (type M document, i.e. - pwperry tex bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certify that no excavetion tive (5) or more feet in depth into which a person is required to descend, wlll be mede in connectlon with work euthonzed by this
permit, end thet no building siructure, scalloltling, talsework, or demolitlon or dismantling thereof, will he more Ihan �hirry-six (36) leet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Tl�le B, Celitomia Administrative Cotle).
❑ As owner-builder, I will nol employ enyone to do work whith would require a permit from Ihe Division of Intlus(riel Sefery, es noted above, uNess such person has e
permit to do such wark tram ihe division.
Signature: Date:
Division oi Intlustnal Safety Permit Number:
CER7IFICA7E OF COMPLIANCE AND AUTHORVATON OF ENfAY: I ceniy under penalty of perjury that I heve reatl this epplication antl state that the information given is
correct. I agree to comply wit� ell state laws end city ordinences relating to building consWction, and authodze reD�eseniatives of the Gry ot Costa Mesa to enter upon t�e
ebove-descnbad property br inspection purposes. I egree not to wcupy or allow occupency ot any building authonzed by Ihis permit until tinal inspection.
COOE �. INSPECTONTYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spa Finel
200 Finel Re-Roof
201 Finel BIocWReteining Wall
202 Final Feciory Fira Place
203 Finel Sign
204 Finel Demolilion
2�SF I[�Lfl
CODE� INSPECTIONTYPE
206 Finel Mechanical
20B Final Plumbing
210 Final Electnwl
212 Finel Fire Preventlon
220 Final Planning Approval
222 FinalSite
250 Final Builtling/Occupancy
Date
Date
BAIE ' 1tlIIDELfi
'J�..f�"-11ts�9- W�
(714) 754-5273 • Fax (7/4) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2521 CORNERSTONE LN
Suite No
Vciniry: NEW SFD
Parcel Number: TPN30039
MECHANICAL PERMIT
ISSUED BY:
npp�icant: GOODWYN, JIM
Address: 16845 VON KARMAN
STE 100
IRVINE, CA
Owner.
Address:
Phone: 949-756-7373
Zip: 92606
Phone:
Zip:
Contrador. RICHMOND AMERICAN HOMES OF CALIFORNIA INC
Address: 5171 CALIFORNIA AV
SUITE 120 Phone: 949-467-2600
IRVINE, CA Zip: 92617
License: 487535
Status: ISSUED
Applied: O6/19/2006
Issued: 06/20/2006
SCOPE OF PERMIT
MECHANICAL PERMIT FOR PHASE 2 CORNERSTONE HOMES
PLANSIBR
CONSTRUCT NEW 1991SF 2-STORY SFD WITH ATTACHED 415SF ATfACHED GARAGE. 126SF
ENTRY PORCH.
REF:# BO6-00963
WORK TO INCLUDE: 1 HOOD W/MECH EXHAUST, 1 INST FAU < 100 K BTU, 4 VENT
FAN/SINGLE DUCT AND 1 COMPRESSOR/ABSORPTION SYST 3 TO 15 HP/500 K BTU.
ISSUE FEE
Inst FAU <100 k BTU
Inst PAU >100 k BTU
Repair/Alt Cooling/Heat
Inst / Rep. Recess Wall Htr
Refrig Sys <100 k BTU
Refrig Sys >100 k BTU
Gas Piping
Factory Fireplace
Hood wlMech Exhaust
VAV Box
Venl Fan / Single Duct
Appliance
Fire Dampers �
Smoke Dampers
Inst or Relocate Appl Vent
Air Handlers < 10000cfm
AirHandlers> t0000c(m
Floor Furnace
Floor or Suspentl Heater
$23.50
$74.80
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$10.65
$0.00
$29.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantiry �
FEE SUMMARY
Repair I Alt Absorbtion Unit
Repair / Alt Refrigeretion Unit
Ventillalion System
Evaporative Cooler
Commercia l I nci nerator
Domestic Incinerator
Compressors /Absorotion Svstems
Upto3hp/100kBTU
3To15hp/SOOkBTU
15 To 30 hp / 1,000 k BTU .
30 To 50 hp /1,750 k BTU
Over 50 hp / Over 1,750 BTU
Boilers
Upto3hp
3To15hp
15 l0 30 hp � "
30 to 50 hp
Over 50 hp
Other Mechanical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
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
50.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
50.00
$0.00
..,..i r.i r�u ,rvn vvco ..ne,n
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if woAc is not commenced within 180 days, or if work.is'Suspended or abandoned
tor a period of 180 days. �
INSPECTIONS: In order (or the work authorized under ihis permit to be wns(dered legal, such work must comply with all applicable codes, and all
raquired Inepectlona and final approval must be obtained. Failure to obta(n inspections and final approval will result in ihe expiration of thls permit.
FOR INSPECTIONS CALL: (714) 7545628
zuws (erool
WORKERS' COMPENSATION DECLARATION: � �
I hereby aflirtn under.penalry ot Oerjury one of the following daclarations:
❑ I have end will maintein a certiticate ot consent lo self-InSure lor workers' compensation, es proNded for by section 3700 of Ihe Lebor Cale, lor the pertortnence oi Ihe
wark tor whith ihi5 permit is issued.
❑ I have and will maintain workers' compensation insurance, as raquiretl hy section 3700 of t�a labor Cotle, for the peAormance of Ihe wortc for which this permit I5 Issuetl.
My work rs' compensation Insuran��a1 c-arrler und ppp-lyicy- number are: (/ L(` 9
Carrier. ��P`� �a� E71l1MQ r1�5GC✓kK�.� PolicyNumDer. � i�'" ) /O
(This section need no( be complefed i/ the permit is velued a one hundr�dollars ($100) or less.)
❑ I certify Ihat in the peAormance ol ihe work for which this pertnit is issued, I shell no� employ eny person in any manner so as to hecome sublect lo Ihe workere'
compensallon laws of Calitomia, entl gree thal II I should become subjecl Io t�e workers' compensation provisions of Sactio 3700 pf the Labor Code, I shell lorthwith
compty with ihese p isions / 7/�_1 �
ApplicantSignaNre: Date: �%b��iy�/
WARNING: FAILURE TO SEC E ORKERS' CO� SATI 1 COVERAGE IS UNUWFUL M'D SHALL SUBIEGT M! EMPIOVER TO CRIMINAL PENAL 5 AND GVIL FlNES UP TOONE HUNDRED
T}IOUSP.NDDOLLARE($100, I DOIiIONTOTHECOSTOFCAMPENSATIpJ,DAMAGESASPROVIDEDFOPINSECTION3l060FTHELABORCODE,INiEREST,ANDATTORNEV'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aMirm ihat I am licensed n r'sions apter 9(commencing with Section 7000) of Division 3 oi the Busir�qss.an� Pmfessions Code, entl my license is in tull
torce and eHecL Lic. N 3 Cless a �� v
Coniractofs Signeture: Date:
CONSTRUCTION LENDING AGE V:
❑ I hereby aMirm that �here is a conslruction lending agency for the pedormance of the work tor which this pertnit is issued. (Sec. 3097, Civil Code).
Lendels Name: Lentler'S AOtlress:
SigneNre:
OWNER-BUILDER DECLARA710NS:
Date:
I hereby aHirm that under penelry ot perjury Ihat I em E%EMPT FROM TME CONTRACTORS LICENSE LAW for the tollowing reason (SecJ031.5, Business entl Professions
Code: Any ciry or couMy which requires e permit to constmct, elter, improve, demolish, or repair eny structure, pnor to its issuance, also requires the ap0�icant lor such permil
to tile e signed sletement Ihe� he or she Is Ilcensetl pursuent lo Ihe provislons oi the Contrectors llcense Law (Chapter 9(commencing wit� Section 7000) of Divislon 3 of the
Business and Professions Code) or ihet he or she is azempt therelrom end the besis for the alleged esemption. Any violation of Sectlon 7031.5 by eny epplicant for e pertnit
subjects Ihe eppliwnt to e ciWl penalry ol not more than live hundred dollers ($500).):
❑ I, as owner of the properry, or my employees with weges es Ihelr soie compensetion, WILL DO 7HE WORK, end the structure Is not intentled or oHeretl tor sele (Sec.
7044, Business and Professions Cotla: The Comractors License Law dces not epply m an owner of pmperty who builds or impmves Ihereon, end who does such work
himsetl or hereelf o� through his or her own employees, provitled that such impmvements are not intended or oBered for sale. If, howaver, t�e builtling or Improvament is
soltl within one year of completion, the owner-Guiltler will have the burtlen of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of ihe property, am EXCLUSIVELY GONTRALTING WITH LICENSED CONTFiACTORS to construct the project (Sec. 7044, Business and Professions
Cotle: The conirectors License Lew tloes not apply to en owner ot properry who builds or improves thereon, and who contracts for such pro�ect with a wntrector(s)
license pursuant to tha Coniractors Ucense Lews.).
❑ I am exempt untlar sec. Business entl Professions Code for this reason:
SignaWre: Date:
Owner ID venfied by drivers Iicense. ❑ Ves ❑ No Drivels License No. Expires:
Venfiwtion oi Ownership by (rype ol document, i.a. - proparty tav 6111 or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N:
❑ I hereby certify t�at no excavation tiva (5) or more Ieel in depih Into which e person is requiretl to descend, will be matle in connection with work authorizatl by t�is
pertnit, entl thai no building siructure, scaHolding, falsework, or tlemolition or dismantling thereot, will be more then ihirry-siz (36) fee� high. (C�ap. 3.2, Grp 2, ArI 2, Sec.
341, lltle B, Califomia Administrative Cotla).
❑ As owner-builder, I will not employ enyane ta do work which would require e permit from tha Division of Industnel Sefety, as noted above, unless such person has e
permit to tlo such wark trom ihe division.
SignaNre: Date:
Division of Indusirial Safety Permit Number:
CERTIFlCATE OF COMPUANCE AND AUTT10iiIZATION OF ENfAY: I certily under penalry of perjury that I have read fhis application and steta Ihet the infortnation given is
correct. I agree to comply with all stale lews antl ciry ordinances relating to building construc�ion, antl aNhorize representatives ol Ihe Ciry of Coste Mesa to emer upon Ihe
ebove-described property for inspection puryoses. I agree not to occupy or allow occupancy of any building authonzed by this permit until tinel inspection.
cooe �. INSPFC�
1616 Fixed System Final Fire Prevention
1266 Pool Spe Finel
200 Final Ra-Root
201 Final Block/Retaining Wall
202 Finel Fectory Fire Place
203 Final Sign
204 Finel Demolition
�
Pdg I�ALS
�. _
,�,i.
-.. :
CODEI INSPECTIONTYPE �
206 Final Mec�anital
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevenilon
220 Final Planning Approval
222 Final Site
250 Final Builtling/Occupency �
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.cPaLUMBING PERMIT �� FAIR DRIVE, COSTA MESA, GA 92626
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
Applicant:
Address:
Owner:
Address
2521 CORNERSTONE LN
NEW SFD
TPN30039
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:
Contractor: RICHMOND AMERICAN HOMES OF CALIFORNIA INC
Address: 5171 CALIFORNIAAV
SUITE 120
IRVINE, CA
Phone: 949�67-2600
Zip: 92617
License: 487535
ISSUED B .
Status: ISSUED
Applied: 06/19/2006
Issued: 06/20/2006
SCOPE OF PERMIT
PLUMBING PERMIT FOR PHASE 2 CORNERSTONE HOMES
PLANSIBR
CONSTRUCT NEW 1991SF 2-STORY SFD WITH ATTACHED 415SF ATTACHED GARAGE. 126SF ENTRY
PORCH.
REF:# BO6-00963
WORK TO INCLUDE: 1 BACKFLOW IRRIGATION, 1 BATHTUB, 1 DISIiWASHER, 1 GAS (1-0
OUTLETS), 1 GAS SERVICE, 1 LAUNDRY TUBNVAHSER, 1 LANDSCAPE IRRIGATION, 1 SEWER
CONNECT, 1 SEWER PRIVATE LINE, 2 SHOWERS, 1 KITCHEN SINKS, 5 WASH BASINS, 3 WATER
CLOSET, 1 WATER HEATERNENT AND 1 WATER SERVICE. ,� ..
ISSUE FEE
Backflow irrigation
Backflow Preventer
Bathtub
Clarifier System
Connect pce,Soda,etc)
Dental Unils
Dishwasher
Drain, Floor
Drein, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-4 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oip
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
$0.00
$0.00
$6.15
$0.00
$0.00
$9.80
$0.00
$0.00
aTY
FEE SUMMARY
AMT
LaundryTub/Washer $9.80
Landscape Irrigation $14.80
P-Trap ' . $0.00
Pressure Regulator $0.00
Process Piping (per 10 ft) � $0.00
Receptors . $0.00
SepticTank $0.00
SewerCapforDemo $0.00
SewerConnect $24.65
Sewer Private Line $24.65
Shower $19.60
Sink,�bar ,�$0.00
Sink, commercial $0.00
Sink, Floor $0.00
Sink, kitchen $9.80
Sink, service/mop $0.00
Spa (private) $0.00
Spa (public) $0.00
�
1
1
0
0
0
0
O.:i "
0
1
1
2
0
0
0
�
0
0
0
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacwm Brkr Bkflow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toilet)
Water Heater / vent
Water Piping (Inst or Rep.)
Water Re-pipe -
Water Service
Water Softener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
//
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$49.00
$0.00
$0.00
$29.40
$12.30
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
QTY
0
0
0
0
0
0
5
0
0
3
1
0
0
0
0
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under'California statutes and related
regulations. (Ord. No. 9248, § 1, 12-21-92) //
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 18 d ys, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspectiona end final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (774) 754-5626
2dd6481&00)
WORKERS' COMPENSATION DECLARATION: '
I here6y attirm under panalty of perjury one oi the following declarations:
❑ I have and will maintain e cetliticate of consent to seN-Insure for workers' compensation, as provided for by section 3700 of the Lebor Code, for the padormance of ihe
work tor which Ihis pertnit is issuetl.
❑ I have a d will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the pertortnance of ihe work tor which this pertnit is issued.
My wor rs' compensation Insuren e arrier and po'cy number are:
i �'`
Carrier. �e`^� �i�— �P SyU.✓�l✓L"P Policy Number: ��� G J /�
(This section ne d not be completed il the permit is�ne hundred dollars ($100) or less.) '
❑ I certify ihat in ihe performance of ihe work tor which Ihis pertnit is issued, 1 shall not employ any person in any manner so as to become subiect to the workers'
compensation laws of Califomia, and a ee ihat ii I should become sublect to �he workers' compensalion provisions ot Section 37 0 of �he Labor Cotle, I 5hall forthwith
compty with ihese provi 'ons. � , /
Applicant SignaNre: Date: � � � v �
WARNING FAILURE TO SECURE O KEPS' COMP TION ERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAI PENALTIES AND pVIL FWES UP TOONE HUNDRED
THOUSFND DOLLARE ($100,000), R�DITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 3]O6 OF THE LABOR CADE, INTEREST, AND ATTORNEV'S FEES.
LICENSEO CONTRACTORS DECLARATION:
I hereby affirm that I am
force and eHect. Lic. #
Coniractor's SignaWre:
Chapter 9(commencing with Section 7000) ot Division 3 of the B
Class #
Date: _
Code, and my license is in full
CONS7RUC710N LENDING AGENCV:
❑ I here6y aHirm ihat there is a consiruction lending agency for the pertormance ot ihe work for which this permit is issued. (Sec. 3097, Civil Code).
Lenders Name:
Signature: _
LantleYs Address:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby aNirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business antl Professions
Code: Any ciry or county which raquires a permit to consiruct, alter, improve, demolish, or rapair any structure, prior to its issuance, also requires ihe epplicant for such permit
to file a signetl statement that he or she is licensed pursuant b the provisions of the Comrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe
Business and Profeuions Code) or that he or she is exempt therefrom and the basis for Ihe alleged e:emption. Any violation of Section �031.5 by any applicant for a permit
subjects the applicant to a civil penalry of not more than five hundred dollars ($500).):
❑ I, as owner of Ihe properry, or my employees with wages as iheir sole compensation, WILL DO 7HE WORK, and the stmcwre is not intended or oHeretl tor sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to an owner of propetly who builds or improves Ihereon, and who does such work
himself or herself or ihrough his or her own employees, provided that such improvements are not intendad or oHered for sale. If, however, Ihe building or improvement is
sold within one year of completion, the owner-builder wili have ihe burden of proving that he or she did not build or improve tor purpose of saie.).
❑ I, as ownar of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: 7he conirecrors License Law does not appry ro an owner of propetly who builds or improves ihereon, antl who contracts for such project with a coniractor(s)
license pursuant to ihe CoNractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for ihis reason:
Signature: Date:
Owner ID verified 6y dnvar's ticense. ❑ Ves ❑ No Driver's License No.
Verification of Ownership by (type of document, i.e. - property taa 6ill or deetl):
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION:
Ezpires:
❑ I hereby certify Ihat no excavation five (5) or more feet in depih into which e person is required to tlescentl, will be made in connection with work authorized by ihis
permit, and Ihat no building stmcWre, scaflolding, talsework, or demolition or dismantling ihereof, wiil be more �han Ihirty-siz (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, Califomia Atlminisirative Code).
❑ As owner-builder, I will not employ anyone to tlo work which would require a permit from the Division of Industnal Safery, as noted above, unless such parson has a
permit to do such work from the division.
Signature: Date:
Division ot Indusirial Safery Permit Number:
CERTPICATE OF COMPLIANCE AND AU7HORIZA710N OF ENfRY: I certify untler penalry of perjury that I have read this application and state that the intormation given is
wrrect I agrae to comply with all sta�e laws antl city ordinances relating to building wnstmction, and authorize representatives oi the Ciry of Costa Mesa to enter upon Ihe
above-described property tor inspection purposes. I agree not to occupy or allow occupancy of any building authorized by ihis permit uNil final inspection.
COOE t.
1616
1266
Fixed System Final Fire Prevention
Pool Spe Final
200 Final Re-Roof
201 Finel Block/Retaining Wall
202 Final Factory Fire Placa
203 Final Sign
204 Final Demoli�ion
Q�1j� INTRIALS
�� � Date
Date
COOEN INSPECTIONTYPE '
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222
250
Final Site
Final Building/Occupancy
�:1 11'
n _R
�
�DAMS • STREETER
CIVIL ENGINEERS INC.
Dcccmbcr i, �006
City Gradin�� Inspector
Cih�uf Cusla �9esa
De��elopment Ser��ices Dcp:uvnent
77 Fair Drirc
Costu Me;a. California J-6_S-L'00
05- I i73
IRVINE • RI\%ERSIDE
)an A. Adams • Randal L. Streeter
Sub,ject: Civil Lngineer's Certiticatiun uf Pncise Gr�ding
Pro,jcct: "I'ract No. 16937 — Lots 1, 2 and 3- [3uildings 1 through 11
Cornerstonc ut Flarbor lih�d.
Custa Il9esa, California
Reference: Nrecise (,�rading Nermit Number: GU6-00003
Address: 2501 Flarbor Boulevard, Cosla Mesa, Cali1'ornia
Owner : Richmond American Homes
General Conlractor: Richmond American Homes
hi aiccordance �vith City of Costa Mesa Gradin�� and Exc.ivaiion Code, and the
rcquircmcnl� of th� Buildin� Code. I ccrtify appro�al of this projcct :is outlincd aho�c. to
precise grade. Precise ��rading has heen compleled in conformance �a-iih nppro��ed precise
�_radinR plan for this project and in full cnmpliance �vith s�iid Codec. Ceriification
includcs horizont.il .ind ��ertical conuol for draina�e devices, and positive buildin� pad
draiinaec.
This approval does not include placement or compaction of soil. �ahich is wider the
purvic��� of thc soil cn�inccr. : �_,'�:,>
- ,. . . �
/:��H.�; �:.�..
,: f�/�) i,4��_.`�_`1
C' ` .
/ _ �'�:.
��/ . ,
�:G.4�F1S �=;1 � ��
r. �
M. Moh:�mmadahadi, Project. ,_ ana�e
\� '
�dams Strcctcr Ci�•il En�inccrs Inc�
=1�61 i IExp. 3/31/OSl
1� CORPORAT[ PARK • IRVINE, CA. 9260G • TeL (9-}9) 474-2330 • Fax: (9d9) 474-0251
2900 Af�AMS STREET. SUIT[ A-400 • RNERSIDE. CA. 92504 • TeL (971) 352-4100 • Fax: (951) 352-6200
�°� ption
ne
�a��..�ii.o ...�cia�.ine PAGEIOFI
THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH THE: 26i6 Dav of Scptember 2006.
PROIECT: "Contenrone"-SPU OPTIONONEJ.N.: 0106-i257
LOCATION: Costa Mesa. California BLDG. PERMIT No.:
OWNER- Aichmond American Homes LOCATION/DN[SION: Orsnga County
ARCHITECT�. Rasscnian Lagoni Architcc[s ARCHITECT J.N.- RL,A-5165
STRUCT. OBS. OF RECORD: Gary A. McClnnaha�i, P.E. LIC. or REGISTRATION Nos.: G42553
STRUCTURAL OB$ERVER: Mike Derhe, B�I.T. LIT-45397
OBSERVED STROCTURAL ELEMEFTS & THEIR COM1'"ECTIONS: LOTfS) & PHASE OBSERVED:
[nterior and Extcrinr Genural Framing; i.e_, roof Vusses, roof sheathing, I.o[ J, Plan 1BR, 2521 Comars[one Lane,
shea� elemen(s, holdpwns, tlwr sheathing, floorjoists/knsses. bee�ns, headers. Ph�se 2,'I�ect N16937,
and gznzral hardwarh. Cos[� Mesa, Califomia
OBSERVEDDEFICIENCIES: (ATTACHA001➢ONALPAGESIFNECESSARh
"Phe deficiencies anNnr non-conforming items no[ed during observatimi visi[ have been corrected
and installed by a collabora[ed eftort of the pr�ject superin[endent and t6e framine foreman.
Initial / Comole[ion Date:
;t1R/09-2(-Oh
Conslruction � HVAC 0 Electrical PJ Plumbing ����e.�� � PlywdCl'g �Besk
Stage: o..�.� . Lid(s) 9�Fien
Note� When box is checked, tl indicates fhat construction sfage is in progress, and d has not yet been completed af the time obseroafion was cronducted.
0 STRUCTURAI, SYSTEbI WAS VISUALLY OBSERVED TO BE M GENERAL CO�IFORMANCE WITH THE APPROVED PLANS.
❑ STAUCiURAL bEFICIENCIES AAE OF A MINOR NATURE & MAY BE REVIEWED BY CITY BLDG MSPECTOR FOR COIvffLIAA7CE.
I DECLARE TIIA1' THE FOLLOWING STAI'EMENTS ARE TRUE TO TF(E BEST OF MY FGYOWLEDCE & BELIEF:
1. 1 AM THE RE JISTERED ENGRJEER WHO HAS RESPONSIBLE CHARGE
FOR THE STRUCTURAL OBSERVATION.
2. 1, OR ANOTHER QUA[,IFIED-CHARGE OBSERVER WHO I HAVE
DESIGNATEG ABOVE AND IS UNDER MY RESPONSIBLE CHARGE,
HAS PERFORMED THE REQUIRED SITE VISITS AT EACH
S[GNIF[CANT CONSTRUCTION STAGE TO VERIFY IF THE
STRUCTURE IS iN GENERAL CONFORMANCE WITH THE APPROVED
PLANS AND SPECIF[CATIONS.
3. ALL DE�ICIENC(ES, WHICH I DOCUMENTED, HAVE BGEN CORRECTED
UNLESS OTHERWISE INDICATED ABOVE.
4. ALLOBSERVEDDEFIC[ENCESSHALLBECORRECTED.4ND
APPROVED 8Y THE OBSERVER PR10R TO FINAI, ACCEPTANCE OF
THE STRUCTURAI. SYSTEMS BY THE BUfLDWG DEPARTMENT.
5. THIS REPORT IS PROVIDED TO THE OWNER AS A PART OF THE
OWNBRS OV�g,qLL CONSTRUCT10N QUALITY CONTROL PROGRAM.
6. OPTION ON8 HAS PROVIUEU STRUCTURAL OBSERVAT[ON IN
ACCORDANCE WITH THE SEAOC RECOMMFNDGD GUIDELINES FOR
THE PRACTICE OF STRUCTURAL ENGRJEERING IN CALIFORNIA.
��" N° C 042553 �-I a
Exp. 03/31 /_� �
STAMP & WET SIGNATURE OF
STRllCTURALOBSERVER OFRECORD
SIGNHD BY: 26tb Dxy oCSeptember 2006.
STROCTURAL OUSERVATION DOES NOT WANE THE RGQUIREMENTS FOR INSPECTIONS BY CITY BUILDMG
INSPECTORS. AL[, WORK MUST COMPLY �VITH THE APPROVED PI,ANS AD1D APPLICABLE STATE & LOCAL COD6S.
G:\1200's11253106servationlPhase_21SOR_F_Lot3_PiBR.doc(Rev. il5105)
Option One Tel 949.553.1916
Consulting Engineers 20311 Acacia St., Suite 240, Newport Beach, Ca. 92660 Fax 949.553.9720