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Home My WebLink About2522 CORNERSTONE LN - Building Permits.. -: (714) 754-5273 • Fax (714) 754-4856 • www.c�.costa-mesa.��LDING PERMIT 77 FAIR DRIVE, COS7A MESA, CA 92626 ,lobAddress: 2522 CORNERSTONE LN Suite: Vicinity: _ - ' CORNERSTONE _ Primary Occ: R-3 Dwellingsl Cong Res <10 Type of Conslruction: V-N Parcel Number: TPN30040 Zoning: npplicant: GOODWYN, JIM Address: 16845 VON KARMAN IRVINE, CA Owner: Address Phone: 949-756-3310 Zip: 92606 Phone: Zip: Contractor: RICHMOND AMERICAN I-IOMES OF CALIFORNIA INC Address: 16845 VON KARMAN � � � � Phone: 949-756-7373 ISSUED BY: StaWs: ISSUED Applied: 06/12/2006 Issued: 06113/2006 IRVINE, CA , . , Zip: 92806 License: 487535 ; � nrch : KENNETH NIEMERSKI Eng: GARY A MCCLANAHAN Address: 2031 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'PERMI7 . PHASEICORNERSTONEHOMES PLAN 2CR CONSTRUCT NEW 1947SF 2-STORY SFD WITH ATTACHED 461SF ATTACHED GARAGE. 24SF ENTRY PORCH REF: BO6-00341 � Plan Check: Permit: SMIP Res: SMIP Com: Other: I nspection: Total: $1,006.30 $1,548.15 $19.83 $0.00 $0.00 $0.00 $2,574.28 SETBACKS MAINSTRUCTURE Front 200-0 ACCESSORY FroN 0-0 Rear 15-0 Rear 0-0 PARKING Existina: 0 Re uirecl: 1ae FEE SUMMARY PLANNING & ZONING Lek 10- 0 LeN 0- 0 Pr000sed: 148 Calc Valuation: Claim Valuation Right 45-0 Right 0-0 $198,306.48 so.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes.and•related regulations. (Ord. No. 92•28, § 1, 12-21-g2) �� EXPIRATION: This petmit shall automatically expire and become void if work Is not commenced within 180 days, or if work'is suspended or abandoned for a period of 180 days. �/ INSPECTIONS: In order lor the work authorized under this permit to be considered legal, such work mUst comply with all applicable codes, and all required Inspectlons and finel approval must be obtained. Failure to obtain inspections and (inal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545828 zawa (fl�ool WORKERS'COMPENSAnON DECLARAnON: . I hereby attirtn unCer penalry of perjury one ot the following declarations: ' ❑ I heve entl wlll maintain e certitiwte of conseN to selbinsure tor workers' compensatlon, es providetl tor by section 3700 of the LeDor Cotle, tor the peAormance ot the wOrk for which lhis permit is issued. ❑ I heva and will maintain workers' compensation Insurance, as requiretl by section 3700 of the Labor COCe, for the pertortnance of the work for which Nis peimit is issuetl. My wo ers' compensatlon Insuran rrler and po number are: Carrier: �e✓ilw�– �`11C N.✓d�4LP PolityNumber. �(Fi-6,�'p (This section n ed nat be completed i! fhe permif /s velued et one hundretl tlallars ($100J oi less.) T ❑ I cartity Ihat in Iha peAortnance ot t�e work for which ihis partnit is issuetl, 1 shall not employ eny person in eny manner so as to become subject to the workers' compensation laws ol Califomia, end egree that II I s�ould becoma sublect to the workere' compensation provisions ot Section 3700 of t�e Labor Code, I shall torthwith comply with these pmvisio . � � Applicant Signeture: Date: 6 �� /� � WAqNINO: FAILURE TO SECURE W;RI ERS' CAMP ION G RAGE IS UNUWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE LT1ES NJD GVIL FlNES UP TOONE HUNDRED TTIOUSAN� DOLIARE (5100,000�. IN /�DITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDE� FOR IN SECTION 31W OF THE LABOR CODE, INfEREST, PND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby alTirm ihat I am license under provisions hapter 9(commencing with Saction 7000) ot Division 3 of ihe Business nA Prpfessions Code, antl my license is in full torce and eHacL Lic. a Class p t� � Contrectors Signeture: Date: CONSTRUCTION LENDING AG ❑ I horeby eHirm t�at there is a construction lending egency for ihe performance ol ihe work for w�ich this pe�mit is issuetl. (Sec. 3097, Civil Code). Lenders Name: Lentler's Adtlress: Signeture: OWNER-BUILDER DECLARATIONS: Date: I hereby ettirtn thet under penalry of perjury that I am EXEMPT FROM THE CONTAACTORS LICENSE LAW tor the following reeson (Sec. 7031.5, Business and Professions Code: Any ciry or counry whic� raquires a pertnit to construct alter, improve, demolish, or repair any structure, prior to its issuance, elso requires the eppliwnt lor such permit to file e signetl stetemant that he or she Is Iicensed pursuent to the provislons of the Comrectors License Law (Ghepter B(commencing wilh Section 7000) of Dlvlsion 3 ot the Business and Pmfessions Code) or that he or she Is exempt theretrom and t�e basis for Ihe elleged ezemption. Any violatlon of Section 7031.5 by any applicant lor e pertnil suDjects Ihe epplicant to a civil penalry ol not more than live hundrad dollars (5500).): ❑ I, as owner of the property, or my employees wlth weges as Iheir sole compensation, WILL DO TNE WORK, antl the siruciure is not Iniended or offeretl tor sele (Sec. 7044, Business and Professions Code: The Contractors License Law tloes no� apply to an owner of property who builds or improves Ihereon, and who does such work himself or harselt or through his or her own employees, provitled that such improvemenis ere not intentletl or oHered for sale. If, however, the 6uilding or improvement is sold within one year ot completion, iha owner-bullder will have ihe burden of proving t�et he or she did not build or improve lor purpose of sale.). ❑ I, es owner of the property. am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to conslmct ihe pro�ect (Sac. 7044, Business and Protessions Code: The contractors Llcense Lew tloes not epply to an owner ot propeny w�o bullds or improves Ihereon, entl who conlrecis lor such pmject with a comrector(s) license pursuent to the Contractors License Laws.). ❑ I em exempt under sec. 8usiness and Prolessions Code for this reason: Signeture: Data: Owner ID venfied by drivers license. ❑ Yes ❑ No Dnvefs License No. Expires: Vedticetion of Ownership by (type of document, i.e. - pwperty lex bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I �ereDy certify Ihat no excavetion five (5) or more leet in deplh into which a person is required to descend, will be made in connectlon with work authorizetl by �his permit, and ihat no building siructura, scaHolding, lalsework, or demolition or dismantling thereof, will be more than ihirty-siz (36) feet �igh. (Chep. 3.2, Grp 2, Ar12, Sec. 341, Title 8, Celitomia Administrative Code). ❑ As owner�builder, I will not employ enyone to do work which would requlre a permit from Ihe Division of Intlustrial Selety, es noted ebove, unless such person has e permit to do such work from the division. SigneWre: Date: Division of Industrial Setety Permit Number: CERTIFlCA7E OF COMPLIANCE AND AUTHORIZATION OF EMRY: I cenity under penalry of perjury ihat I have read Ihis eppllcetion end state ihat ihe Infortnetion given is correct. I egree to compty with all stata laws and ciry ordinances relating to building conswction, and authonze representatives ot the Giry of Costa Mesa to enter upon Ihe ebove-descnbed property for insDection purpose5. I agree noi to acupy or allow occupancy ol any building authorized by Ihis permit until finel inspection. COOE 1. 7fi16 1266 200 201 202 203 204 Fized Sys�em Final Fire Preventlon Pool Spa Final Final Re-Roof Final BIaWRetaining Wall Final Fectory Fire Place Final Sfgn Final Demolition mt � � � Date Q�jf� f�jjjj7�¢ �QQ�( INSPECTIONTYPE � Qsj� �$� 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention � 220 Final Planning Approval 222 Final Site � - 250 � FinalBuiltling/Occupanry L � � � (714) 754-5273 • Fa�c (714) 754-485fi • www.ci.costa•mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 2522 CORNERSTONE LN ';. HOME AT CORNERSTONE TPN30040 Applicanc GOODWYN, JIM Address: 16845 VON KARMAN STE 100 IRVINE, CA ISSUED BY: Phone: 949-756-7373 Zip -92606 -� Owner: RICHMOND AMERICAN HOMES OF CALIFORNIA Address Phone: 949-756-7373 Zip: Status: ISSUED Applied: 06l13I2006 Issued: O6/13R006 Contractor: RICHMOND AMERICAN HOMES OF CALIFORNIA INC Address: 5171 CALIFORNIA AV � SUITE 120� Phone: 949-467-2600 � " IRVINE, CA 2ip: 92617 � License: 487535 SCOPE OF PERMIT PHASE 1 CORNERSTONE HOMES - � PLAN 2CR - � - - ' . • CONSTRUCT NEW 1947SF 2-STORY SFD WITH ATTACHED 461SF ATTACHED GARAGE. 24SF ENTRY PORCH REF: B06-00913 ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 7000a Service over 1000a Motors to 1hp Motors to tOhp Motoro to 50hp Molors l0 100hp Motors over t00hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole WORK TO INCLUDE: 3 LIGHT FIXTS, 4 RECEP.T OUTLETS, 1 SWITCH, 1 MOTOR TO 1 HP $23.50 $0.00 50.00 $109.03 $0.00 $0.00 53.30 $4.40 51.70 $0.00 $0.00 $0.00 $0.00 $0.00 $4.75 $0.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 1947 0 0 3 4 1 0 0 0 0 0 1 0 0 0 � 0 0 0 0 0 0 0 FEE SUMMARY _ � Temp Dist System LLighting ... Busway/100ft � - - Standing Sedion Misc Eleclrical Equipment Transformers up to 7 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up l0 100 kva/kw � ..........:.......over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit � � ' Misc. Conductor Cirws ( gen or ride) . Circus (mech nde or iights) Christmas Tree Stand Fireworks Stand - - ; Olher Electncal 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 $0.00 0 $0.00 0 $0.00 0 $0.00 , 0 50:00 0 $0.00 0 $0.00 0 $0.00 0 50.00 U - $0.00 ' 0� 50.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES E146.08 NOTICE: The work authorized by this permit shall compty with all appiicable handicap access requirements under Califomia statutes arW related regulations. (Ord. No. 92-28, § t, 12-2t-92) /� / � EXPIRATION: This permit shall automaticaliy expire and become void if work fs not commenced within 180 days, or if work is susperWeA 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�wit� licable codes, and all requlred Inspeetiona end final epproval must he obtainetl. Faiiure to obtain Inspeclions antl final approval will res'ult in Ihe expiration af this pertnit. FOR INSPECTIONS CALL: (714) 754-5628 zuo-ea �eroo> WORKERS'COMPENSAnON DECLARAnON: I hereby aHirm under penalry of perjury one of the tollowing declarations: ❑ I heve and will maintain a cetlificate oi consent to self-Insure for workers' crompensation, as providad for by section 3700 ot the Labor Cotle, foi the peAormance of the work tar which ihis permit is issued. ❑ I have and will maintain workers' compensation insurance, es requirad by section 3700 of tha Labor Code, for the pertortnance of t�e work for which Ihis pertnit is issued. � My worker/g�' compensation Insura,nGa carrier� d po�lic•y number are: �+ �p Cerrier: FhM.'e✓1 C/�.� ('}�N4� �/�I�N�NL'� Policy Number: b y�� l() (This section ne not be completed il the permit is veluetl at one hundred dollars ($100) or less.) ❑ I cenity that in the pedormance of Ihe work for which t�is permit is issued, I shall not employ eny person in any manner so as to becane subjea m the workers' compensation laws of Califomie, end agree ihat ii I should become subject to the workers' compensation provisions of Sectlon 3700 of the Labor Cotle, I shall forthwith comply with these Oro ions. q ApplicantSignature: ` � Date: ��l'� �l(lb WARNING FAILURE TO SECUFE RKERS' COM SATI01 C VERAGE IS UNLAWFUL AND SHALL SU6IECT AN EMPLOYEF TO CRIFAINAL PENALTIES AND CIVIL FMES UP TOONE HUNDRED TFqUSANDDOILARE(5100,000),II DITIONTOTHEfASTO GOMPENSATIIXJ,DAMAGESASPROVIDEDFORMSECTION3IWOFTHELABORCADE,IMEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensed under provisio f Chepter 9(commencing with Section 7000) of Division 3 oi ihe Busine�n� Professions Code, and my license is in full force entl eMect Lic. a Class a Con�rectorsSignature: � Date: CONSTRUC710N LENDING AG CV: ❑ I hereby attirm that ihere is a consiruction lending agency for Ihe peAormance of ihe work for which this permit is issued. (Sec. 3097, Civil Cotle). Lentler's Name: Londer's Address: Signeture: OWNER•BUILDER DECLARATIONS: Da�e: I hereby aMirm that under penelty of parjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sea 7031.5, Business end Pmtessions Code: Any ciry or counry which requires a permit to consWcL alter, improve, demolish, or repair eny strucWre, pnor �o its issuance, also requiras the appliwnt tor such pertnit to lile e signed statement that he or she is licensed pursuant to the Orovisions of the Contreaors Licensa Law (Chapter 9(commencing with Section 7000) of �ivision 3 of the Business and Profeuions Code) or ihat he or she is ezempt Ihereirom and the basis for the elle9ed exemption. Any violetion of Section 7031.5 by any epplicant tor a pertnit subjects the applicant to a civil penalry of not more ihan five hundred dotlars ($500).): ❑ I, as owner of the property, or my employees with wages as lheir sole compensation, WILL DO THE WORK, antl tha structure is not intended or otteretl for sale (Sec. 7044, Business and Professions Code: The Coniractors License Law does not apply to en owner of propeny who builtls or improves ihereon, and who tloes such work himselt or herself or ihrough his a her own employees, provided ihat such improvements are not intentled or oNeretl for sale. If, however, tha building or Improvement is sold within one year of completion, the owner-builder will hava the burden of proving that he or s�e tlid not 6uild or improve for puryose ot sale.). ❑ I, as owner of the property, em E%CLUSNELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct �he projec� (Sec. 7044, Business end Protessions Code: The conirectors License Lew does not apply m an owner ol property who bullds or Impmves thereon, antl who contracts tor such prolect with e comractor(s) license pursuant to ihe Coniractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by tlrivers license. ❑ Ves ❑ No Drivers License No. Expires: Verification of Ownership hy (type of tlocumem, i.e. - propeny tex bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity that no excavetion fiva (5) or more feet in depth into which a person Is required to descend, will he made in connedion with work euthorize0 by ihis permit, antl that no huilding stmcWre, scaHolding, falsework, or tlemolition or tlismantling thereof, will be more ihan thirty-si: (36) teet high. (COap. 32, Grp 2, Art 2, Sec. 341, T�le 8, Calitomia Adminisirative Gode). ❑ As owner-builder, I will not employ anyone to do work which would require a permit irom Ihe Division of Indusiriel Sefery, as notetl above, unless such pereon has a permit to do such work from ihe division. SignaNre: Date: Division ot Indusirial Safety Permit Number: CEF7IFlCATE OF COMPLIANCE AND AU7TfORIZATION OF EMRV: I cerlify under penalty ol periury that I have reatl ihis epplication and state ihat the information given is correct. I egrea to comply with all state laws and ciry ordinences relating to building consiruction, end authorize representatives of the Ciry ot Costa Mesa to enter upon Ihe ebova-described property for inspection purposes. I egree not to occupy or allow occupency of any building authorized by ihis permit until final inspection. cooe�. ir+svecnoNTrve 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRe�aining Wall 202 Final Factory Fire Plece 203 Final Sign 204 Final Demolition o"re �NTRIALS ' / Uate �/� i b Date CODE� INSPECTIONTYPE 206 Final Mechanical 20B � Final Plumbing 210 Final Electrical 212 Final Fire Preven�lon 220 Final Planning Approval 222 Final Site � 250 Final Building/Occupancy (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: 2522 CORNERSTONE LN NEW SFD ParcelNumber: TPN30040 npplicant GOODWYN, JIM Address: 16845 VON KARMAN STE 100 IRVINE, CA ; MECHANICAL PERMIT Phone: 949-756-7373� Zip: 92606 Owner: RICHMOND AMERICAN HOMES OF CALIFORNIA Address: Phone: 949-756-7373 Zip: ISSUED BY: Status: ISSUED Applied: O6/132006 Issued: 06/13/2006 Contractor. RICHMOND AMERICAN HOMES OF CALIFORNIA INC Address: 5171 CALIFORNIA AV � . , SUITE 120 Phone: �949-067-2600 � , IRVINE, CA Zip: 92617 , , � - License:487535 � SCOPE OF PERMIT PHASE 1 CORNERSTONE HOMES � - ' , PLAN 2CR . .. CONSTRUCT NEW �1947SF 2-STORY SFD WITH ATTACHED 461SF ATTACHED GARAGE. 24SF �� ENTRY PORCH � REF:BO6-00341 . , REF#:806-00913 WORKTO INCLUDE: 1�HOOD W/MECH EXHAUSTAND 1 INS2FAU a100 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 Insl FAU >700 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Retrig Sys <700 k BTU Re(rig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single DuIX Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > 10000cfm Floor Furnace Floor or Suspentl Heater FEE SUMMARY �� Quantity -; �' - $23.50 �- - � . .- - $14.80 1 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 ` $0.00 0 $10.65...1 .: ,. so.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 Repair/AIt�Absorbtion Unit � Repair/AltRefrigerationUnit Ventillation System Evaporative Cooler � Comme rcial I ncin e rator Domestic Incinerator . " Compressors / Absorption Svstems Upto3hp/100kBTU - 3 To 15 hp'/ 500 k BTU - 15 To 30 hp /p,000 k�BT,U. . � 30 To 50 hp /1,750 k BTU , Over 50 hp / Over 1,750 BTU . Boilers Up l0 3 hp . - , , � 3To15hp 15 to 30 hp- . � , � 30 t0 50 hp � � � -� . Over 50 hp - ' ,' , Other Mechanical Fee � Investigation Fee " " Plan Check Fee � Reinspedion-Fee � T/1T11 /��I /�I II ATCn CCCC � - 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 $0.00 0 $0.00 0 $0.00 0 / $0.00 0 $0.00 0 $0.00 $0.00 $0.00 !�/�C 1I� NOTICE: The work authorized by this permit Shall comply with all applicable handicap access requirements under Califomia statutes and. ted rogulations. (Ord. No. 92-28, § 1, 12-21•92) r EXPIRATtON: This pertnit shall eutomatically expire end become void if work Is not commenced within 180 days, or if work is suapended or abandoned for a padod of 180 days. /% INSPECTIONS: in order for the work authorized under this permit to be considered legal, such work must comply-with all appliceble codes, and all roqulred Inapectlona end tlnel epprovel must be obtained. Failure to obtain inspections end final approval wi��sult in the axpiralion of this permit. FOR INSPECTIONS CALL: (714) 7545828 zeae-ae �aoo) WORKERS' COMPENSATION DECLARATION: I here�y eflirm under penalty ol perjury one ol the following tleclere�ions: � ❑ I heve and will meinteln e cetlificate of consent m self-Insure lor workers' compensetlon, es pmvided for by section 3700 0l the Labor Code, for the pertormance of ihe wark tor which Ihis permit is Issued. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 ol the Lebor Cotla, for the peAortnance of Ihe work for which ihis pertnit is issuetl. My worke s' compensatlon Insurenc%� rder and p Ilcy numbar ere: / �/ �[r Cartier: '�N1'P!�[A� !/(I1NP ��✓QN[� PolicyNumber. !p i � �/] �/� (This secfion need nat be completed i! fhe permif is velued et one hundred dollers ($100) or /ess.J ❑ I teMify ihat in iha peAormenca of Ihe work for whith this permit Is issued, I shall not employ any per5on in eny manner so es Io become sublec� to ihe worker5' compensation laws o Calitomie, antl agrea thet it I shoultl become suD�ect ro the workers' compensation provisions ol SecNon 37 0 of the Labor Code, I shall forthwith comply with these pro isions. Applicant Signature: Date: �� % WARNING: FAILURE TO SECU E ORKEF$' PEN A IIXJ COVERAGE IS UNIAWFUL ANO SMALL $UBJECT AN EMPLOYER TO CRIMINPL PE TIES AN� CIVIL FINES UP TO ONE HUNDRED T!N)USANDDOUARE($100, I�IADDRIONTOTHE TOFCOMPENSFTIIXJ,DAMAGESASPROVI�EOWRINSECTION3]O60FTHELABORCOOE,IfJrEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm that I am licensed force entl effecl. Lic. k� Contrectors Signature: CONS7RUC710N LENDING af Chepter 9(commencing with Section 7000) ol Division 3 oi Ihe Bi cless a Date: _ Cade, and my license is in tull ❑ I hereby aflirm that ihere is e construction lending egency tor the pertortnanca of ihe work for which ihis permit is issued. (Sec. 3097, Civil Cotle). Lendefs Neme: Lenders Adtlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aRifm t�at under penelry ot perjury Ihet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Protessions Code: Any ciN or counry which raquires e permit to wnstruct, elter, Improve, demolish, or repeir eny structure, prior ta its issuance, also requires the epplicam for such permit to tile e signed statement that he or she is Ilcensed pursuent to the proWsions oi the Contrectors lJcense Law (Chepter 9(commencing with Saclion 7000) of Division 3 of [he Business end Professions Code) or that he or she Is e:empt iherelrom end tha besis for tha ellegatl eaemption. Any violatlon of Secpon 7031.5 by any applicant tor e pertnit subjects tha apP�icant to e clvil penalry of not more ihan five �undretl tlollers (3500).): ❑ I, as owner oi the Oroparty, or my amployees with wages es thelr sole compensation, WILL DO 7ME WORK, antl the slructure is not intended or ottere0 for sale (Sec. 7044, Business and Professions Cotla: The Conirectors License Lew does nol apply to en owner ot properry who builds or improves thereon, and w�o tloes such work himself or herselt or t�rough his or he� own employees, provided Ihat such improvemenis are not intendetl or oNeretl lor sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have ihe burden of proving that he or she did not builtl or impiove for purpose ot sale.). ❑ I, a5 owner of ihe property, em E%CLUSIVELY CONTRACTNG WITM LICENSED CONTRACTORS Io construcl tha projett (SBc. 7044, Business antl Profassion5 Cotle: The contractors Ucense Lew tloes not epply ta an awner at pmpeny w�o builCs or impmves thereon, and who contracts for such project with a comractor(s) license pursuant to t�e Contrectors License Lews.). ❑ I em ezempt under sec. Signe�ure: Owner ID venfied by dnvefs license. ❑ Ye5 � No Business end Prolessions Code lor this reason: Venfication af Ownership by (rype oi documenl, i.e. - property lex hlll or deed): DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICATION: DnvefS LiCen58 No. Date: Expires: ❑ I hereby certify thet no escavetion five (5) or more feet In depth Into which e person Is requlred to descend, will be matle in connection with work euthorized by ihis permit, antl that no building sirucWre, scattolding, lelsework, or tlemolition or tlismantling lhereol, will be more than thirty-si: (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, 71t1e B, Californle Administrelive Code). ❑ As owner-huilder, I will not employ enyone to tlo work whic� woultl require a permit Irom ihe Division ot Industriel Safery, as noted above, unleu such person has e permit to do such work Irom the division. Signature: Date: Division ol Indusirial Safery Permit Number: CER7IFlCATE OF COMPLIANCE AND AUfHORVATiON OF ENTRY: I certiy under penalry of perjury that I have read this epplication and state Ihat the Information given is correct. I egree lo comply wlih ell stete laws end ciry ortlinences relating to building consWciion, end authorize representatives ot Ihe Ciry oi Costa Mesa to enter upon the ebove-descnbetl property for inspection purposes. I egree not to occupy or allow occupancy ot any building authorized by ihis permit until final inspection. Signature Ot Legal Owner(s) Date And/OrAuthonzed Applicant Date COpE L INSPECTONTYPE QLiE 1616 Fizetl System Flnel Flre Prevention 1266 200 Pool Spe Final Final Re-Root 201 Final BIocWRetalning Well 202 Final Factory Fire Place 203 Finel Sign 204 Finel Demolition � �5� � �� INSPECTIONTYGE 206 Final Mechanical 200 Final Plumbing 210 Final Elecirical 212 220 222 Final Fire Preventlon Final Planning Approval Final Site 250 FinalBuilding/Occupancy za�aL �L �� ,lobnddress: 2522 CORNERSTONE LN Suite No Viciniry: Parcel Nunmber: TPN30040 Applicant: GOODWYN, JIM Address: 16845 VON KARMAN STE 100 IRVINE, CA rwiwoirvv r�Riwi i - Phone: -949-756-7373 � � , Zip: 92606 _ � Owner: RICHMOND AMERICAN HOMES OF CALIFORNIA Address ' Phone: 943756-7373 Zip: Contractor: RICHMOND AMERICAN HOMES OF CALIFORNIA INC Address: 5171 CALIFORNIAAV SUITE 120 Phone: 949-467-2600 IRVINE, CA Zip: 92617 � License: ' 487535 . Status: ISSUED Applied: 06/132006 Issued: O6/13I2006 ISSUED BY: i SCOPE OFPERMIT PLUMBING PERMIT FOR PHASE 1 CORNERSTONE HOMES � .'�� ' PLAN 2CR ' � � CONSTRUCT NEW 1947SF 2-STORY SFD WITH ATTACHED 461SF ATTACHED GARAGE. 24SF ENTRY PORCH REF#: BO6A0913 r . � , . - � . - - � � � � , �' . i WORK TO INCLUDE: t BACKFLOW IRRIGATION, 1 BATHTUB, 1 DISHWASHER, 1 GAS (1� OUTLETS), 1 GAS SERVICE, 1 LAUNDRY TUB/WAHSER, 1 LANDSCAPE IRRIGATION, 1 SEWER CONNECT, 1 SEWER PRIVATE LINE, 2 SHOWERS, 1 KITCHEN SINKS, 5 WASH BASINS, 3 WATER. CLOSET, 1 WATER HEATERNENTAND t WATER SERVICE., ' , ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drein, Roof Drinking Fountain Expansion Tank Gas EaAhquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Inlerceptors (Grease, Oil) Interceptor5 (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 $0.00 $9.80 $0.00 $0.00 � 0 1 1 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 0 FEE SUMMARY - AMT .�N LaundryTub/Washer - $9.80 , 1 SumpPump � Landswpe Irrigation $14.80 1 Swimming Poo� P-Trap $0.00 0 Trap Primer ". ' Pressure.Regulator � - . $0.00 0 Urinal Process Piping (per 10 fl) $0.00_ ,. 0 Vacuum Brkr Bkflow(1-4) Receptors .. - $0.00 �: 0 Vawum�Brkr Bkflow(5+) SepticTank ' '$0.00 �, 0 �""'--�'•='�� WashBasin ' , Sewer Cap for Demo $0.00 0 Wash Basin Set ' Sewer Conned ��- $24.65 1 Waste and Vent System Sewer Private Line $24.65 1 Water Closet (foileQ ' Shower $19.60 2 WaterHeaterlvent Sink,�bar 50.00 0- ,, Water Piping pnst or.Rep.) Sink, commercial �$0.00 0 . Water Re-pipe Sink, Floor $0.00 0 . Water Service �" / Sink,�kitchen � $9.80-- 1 WaterSoftener Sink,servicelmop $0.00 0 OTHER�� Spa (private) $0.00 0 "VIOLATION Spa (public) $0.00 0 - 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 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 � 0 0 0 0 0 0 5 0 0 3 1 0 0 0 0 0 NOTICE: The xrork authorized by ihis pertnit shall comply wRh all applicable handicap access requiremeMs under Califomia statutes and relat rogulations. (Ord. No. 92-28, § 7, 12-21-92) EXPIRATION: This permit shall automaqcaly expire arnl become void if work is rrot commenced within 180 days, or if work is suspended"or abandoned lor a pedod oi 180 days. ,.-- INSPECTIONS: In order for the work auttrortzed under this permit to be considered legal, such vrork must compty�vnth all applicable codes, and all roqulred Inspectlons end tinal approval must be obiained. Fatture to obtain Inspections arnllinal approval w�•result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754�5626 za&a818No1 WORKERS'COMPENSAnONDECLARATON: . � . I hereby aHirm untler penaly of perjury one ot t�e tollowing declarations: ' ❑ I have antl will meintein a certilicata of consenl Io sell-Insure tor workers' compensation, as provided for by saction 3700 0l Iha Labor Cotle, for t�e paAormanca of ihe work for which lhis permil is issuetl. ❑ I have and will maintaln workers' compensation insurence, as requireA 6y section 3700 oi ihe Lebor Cotle, for the peAormance of the work lor which this pertnit is lssued. My wor/p�ers' compensatlon Insur�a Lce carner en policy number are: �^ �, Cerrier: T1'�NtP%��Lw� fIUYNP ��1{�/j( PolicyNumber. �C2,�3��7\ 'Ip (This sectian ed nof be comp/eted i t e permit is velued af one hundred dollers ($100) or Iess.J � ❑ I certity Ihat in ihe peRortnanca of the work for which Ihis pertnit is issued, I shall not employ eny person in any manner so as lo become subject lo the workers' compensation laws of Celllomia, end gree tha� If I should become subject to t�e workers' crompensation provisions ot Sectlon 3700 of the Labor Cade, I s�all forihwith compty with Ihese p visio� s. Appllcant Signature: Date: �%r/��f WMNING:FAILUREiOSEC F WORKERS' PENS/ COVEMGEISUNIAWFULANDSHALLSUBJECTrWEMPLOYEPTOCRIMINPLPENALilESANDCMLFlNESUPTOONEHUNDRED THOUSAND DOILFRE (5100. IN ADDITION TO THE CO �F COMPENSATIIXJ, DMV�GES AS PROVIDED FOR IN SECiION 31060F THE IABOR CODE, INrEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm ihat I am force antl eflacL Lic. x_ ComraaoYs Signawre: of Chapter 9(commencing with Saciion 7000) of Division 3 of the Busine s and Prolessions Code, entl my license is in tull Class # ti � � Date: —/.� _ CONSTRUC710N LENDING AGEIi6Y: ❑ I hereby aHirtn Ihat there is a construction lending egency tor Ihe pertortnanca ot the work for which this permit is issued. (Sec. 3097, Civil Cotle). Lentler's Name: Lenders Address: Signeture: OWNER-BUILOER DECLARATIONS: Dete: I hereby aHirtn that under penelry oi per�ury t�at I am E%EMP7 FROM TME CONTRACTORS LICENSE LAW tor the following reason (Sec. 7037.5, Business and Professions Code: Any dry or counry which requires e permit to wnstruct, elter, Improve, demolish, or repair any strucWre, prior to iis issuance, also requires the eppliwnt for such permit to tile a signed slatement thet he or she Is Ilcensetl pursuent to the provisions of the Conirectors License Lew (Chapter 9(commenUng with Secllon 7000) at DlWslon 3 0l the Business end Professions Cotle) or thei he or she is eaempt theralrom and the basis tor Ihe ellegetl e:emption. Any violation ot Section 7031.5 by eny epplicant tor e Dermit subjects the epD�� a e civil penelty of nat more ihen live hundred dollers ($500).): ❑ I, es owner of t�e property, or my amployaes with wages es thelr sola compensation, WILL DO 7HE WORK, and Ihe structure is not intended or oXered for sale (Sec. 7044, Business and Protessions Coda: The Coniractors License Lew dces not apply lo an owner ot property who builds or improves ihereon, an0 who does such work himself or herselt or through his or her awn employees, providad that such impravements ere not Intended or oHered for sale. If, however, the bullding or improvement Is sold within one year o1 complelion, the owner-builder will have ihe burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner ot the property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct ihe prolect (Sac. 7044, Business and Prolessions Cotle: Tha comractors Llcense Law does not apply to en owner of property who bullds or Improves Ihereon, antl who contracts for such proiect with e contractor(s) license pursuan( to the ContreclOrs License LawsJ. ❑ I am exempt under sec. Business entl Pmfessions Code for ihis reason: Signatura: Date: Owner ID venfied by tlrivefs license. ❑ Yes ❑ No Drivars License No. Vedfication of Ownership by (type ot tlocument, i.e. - pmpeny tex blll ar deetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Ezpires: ❑ I hereby certify ihet no eacavatlon five (5) or more feet in tlepih imo which e person Is required to descend, will be meae In connec�lon wi�h work authodzetl by ihis permit, and that no builtling siructure, scattolding, lelsework, or demolition or dismantling �hereof, will be more Ihan ihirty-si: (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 3a1, Title B, Califomle Atlministretive Code). ❑ As owner-builder, I will not employ anyone lo do work which would require e pertnit Irom the Division of Industnal Sefety, as notad above, unless such person has e permit to do such work from fhe division. Signatura: Date: Division of Industrial Safety Permit Number: CERi1FlCATE OF COMPLIANCE AND AUTHORVATION OF ENTRY: I certity under penalry ol perjury that I have read this epplication antl state that the iniormatlon given is wrrect. I egree to wmply with ell staie laws end city ordlnences rela�ing to building consiruction, end authorize representatives of t�e Gry oi Costa Mesa to enter upon the ebove-descnbetl property tor inspection purposes. I agree not to occupy or allow occupency of eny building authorized by this permil until final inspection, CODE �. INSPEC NTYPE P� Itiffi969 1616 Fixed SyStem Final Fire Preveniion 1266 Paal Spa Finel 200 Flnel Re�Roof 201 Finel Block/Rateining Well 202 Final Factory Flre Place 203 Finel Sign 204 Finel Demolilion " � � ' COOE 1 INSPECTION TYPE 20fi Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final�Fire Pravention 220 Final Planning Appro'val 222 Final Site 250 Final Building/Occupancy � D�re 1HIID,1S' .J1� ,� ADAMS • STREETER CIVIL ENGINEERS INC. Novcmber 17, Z00G City Grading Inspeclor Cil�� of Costa A1esa Development Ser��ices Department 77 Pair Drivc Costa Mcsa, Culiforni.i 936?5-1300 p5-157� IRVINE • RIVERSIDE Jan A. Adams • Randal L. Streeter SubjecL• Ci�'il l:ngineer's Certification uf Precise Gradin� PrujecL• '1'ract No. 1G937 — Lots 6, 7 and 8- Ruildings 20 lhruugh 31 Cornerstonc at Flarbor Bh'd. Costa n4esa, California Kcl'crence: Rough Cradin� Permit \umber. CO(-OOOU3 Address: 2�0] Harbur 13uule��ard, Costa Alesa, Calitbrnia O�vner : Richmond American liomes Ceneral Cuntractor. Richmond American Homes ]n uccordancc with City of Cost�i �1cs� Grading :ind I�xc:n.ition Codc, and thc rcyuiremenls uf the F3uilding Code, 1 certify ;ippru�-al of this projecl as ouUined above, to precise ��rade. Precise grading has bcen completed in cunli�rnr,ince ��ith approved rrecisc grading plan for this projcct :md in full compliancc ��-ith said Codes. Ccrtifirition includes hori'r.onlal and vertical conuol fur elrain.ige devices, and positive buildin� pad drainagc. This approval docs not incluc��E�S 1rt�� comp.iction of soil, which is undcr thc purvic�voCthcsoilenginecr. ��e�``��pMOHqir��F7,� � 4o c , ,�; c r� r �. 'w ^ M1o.42615 n'�I .� 13 v: \9. Mohamnr.id:ib:idi, Project ��1 Enp.331�08 % * �F OF :�dxms S[recterCi�il Ln�inecrs Inc. 17 �4261 i (Lxp. 3/31/OS) 15 CORPORATE P��RK • IRVINC, U. 92G06 • Tel: (9�19j 474-2330 • Far: �949) 474-OZ51 2900 /�DAMS SThEET, SUITE A-400 • RIVERSIDE, CA. 92504 • TeL (951) 352-4100 • Fax: (951) 352-G200 � � °„ '; � STRUCTUR ' r RTCI -� �ption �� - �ne �o�s,,,,,�� r,�,�,�,�, ` �•" [ON REPORT FOP re nr`uri�Fc':.: PAGE I OF i _ r ; � � f �_: : � -�_� .._.___ �._., _� THIS REPORT MCLUDES ALL CONSTRUCTION WORK THROUGH THE: I 5'" Dav o(Scptembcr 2006. PROJECT: "Curnersmne"-SFD OPTION ONE1.N.: 0106-1253 LOCATION: Cnsta hfesa. L'alifornia BLDQ PERh1IT No.: OWNER: Richmond American Homes LOCATION/DIVISION: OrangzCounty ARCHITECT: Rassenian I.agoni Archirects ARCHITECT 1.N.: RI.A-5165 STRUCT. OBS. OF RECORD: Gary A McCl�nahan, P.E. LIC. or REGISTRATION Nos.: G42551 STRUCTUWIL OBSERVER: CIiCtJones, E.LT. GIT- I13962 OIfSF,R�'ED STkUCTURAL ELE�IF,\TS 3 THEIR CONNECI'IO�S: LOTfS) S PIIASF, OBSERVED: Inlcriur and Extcrior Gcncral Framing: i.e., mot tmsses, rwf shea�hing, Lot 26, Plan 2CR, 2522 Comearone Lane, s'hcar cicments, holclowns, floor sheathing, Flourjois[s/iwsses', be�uns', headers', Phue I, Tract N Iti937, and general hardware. Costa Mesa, Cali(ornia ORSF.RVEDDF,FICIE�CIES: (ai7ncHa0mrlonnevaGeSrFNECESSnRh Initial/ComoletionDate: 'fhe deficicncies nnd/or nun-confortning irems noted during oAserva[ion visi[ huve becn corrected CP,I/09-IS-06 tm� ins�alled by a collabora[ed effort of the pmjtct superintendent nnd the 6eming (oreman. Construction B—Bo��blo-Si�e6 O Plywd CI'g �Besk S�age: � HVAC � Electrical � Plumbing ��5 Lid(s) 9�tien Nofe: When box is checked, if indicates fhaf construction stage is in progress, and d has not yel been wmpleted af !he fime observation was conducfed. � STRUCTURqI, $YSTEFI WAS VISUALLY OBSERVED TO BE M GENERAL COMFORMANCE WITH THE APPROVED PLANS. ❑ STRUCTURq7, DEFICIENCIES ARE OF A h1L`JOR NATURE & hW Y BE REVILWED BY CITY BLDG MSPECTOR FOR CO.�LIN4CE. I UN;C1,.1RE THAT THE FOLLOWIA'G STATE�IE�TS ARE TRUE TO "PllE BF.Si OF MY KA'OiVLEDCF, & BF.LIEF: 1. I�Ui THE REGISTERED ENGINEER WIiO HAS RESPONSIBLE CHARGE FOR THE STRUCTURAL OBSERVATION. 2. 1, OR rVJOTHER QUALIFIED-CHARGE OBSERVER NHO 1 HAVE DESIGNATED ABOVE A?1D IS Wi DER MY" RESPONSIBLE CHeV2GE, HAS PERFOR,b1ED THE REQUIRED SITE VISITS AT EACH SIGNIFICA,�T CONSTRUCTION STAGE TO VERIFY IF THB STRUCTURE IS IN GENERAL CONFORMANCG WITH THE APPROVED PLI�uS AND SPECIFICATIONS. 3. ALL DEFICIENCIES, WH1CH I DOCUMENTED, HAVE BEEN CORRECTED Wi LESS OTHERWISE It�'DICATED ABOVE. 4. nLL OBSERVED DEFICIENCF.S SHALL BE CORRECTED P.PID APPROVEp BY THE OBSERVER PRIOR TO FINAL ACCEPTAA'CE OF Tt1E STRUCTURAL SYSTEbiS BY THE BUILDING DEPARTM1iHNT. 5. THIS REPORT IS PROVIDED TO THG OWNER AS A PART OF THG OWNGRS UVERALL CONSTRUCTION QUALITY CONTROL PROGRAM. 6. OPTION ONE HAS PROVIDED STRUCTURAL OBSERVATION IN ACCORDANCE WITH THL SEAOC RECOMh1ENDED GUIDELINES FOR THE PR:ICTICE OF STRUCTURAL ENGINEERMG IN CALIFORNIA. SIGNED BY: V I ' ' STAMP& WETSICNATUREOF STRUC7'UML OBSERVER OF RECORD I5'" Day oCSeptember 200G. S'lRUClURAL OBSCRVATION DOES NOT WAIVE THE REQUIREMENTS FOR MSPECTIONS BY CITY BUILDING INSPECTORS. ALL WORK MUST COM11PLY WITH THE APPROVED PLANS ,4ND APPLICAALE STATE & LOCAL CODES. G:11200'S1125310bservationlPhase_11SOR_F_Lot 27 P1AR.doc (Rev. 115105) Option One Tel 949.553.1916 Consulting Engineers 20311 Acacia St., Suite 240, Newport Beach, Ca. 92660 Fax 949.553.9720