HomeMy WebLinkAbout2523 CORNERSTONE LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.�{�LDING PERMIT 77 FAIR DAIVE, COSTA MESA, CA 92626
JobAddress: 2523 CORNERSTONELN
Suite:
Vicinity: PLAN 2 CORNERSTONE _
Primary Occ: R3 Dwellings/ Cong Res <10 Type of Construclion: V-N
Parcel Number: TPN30041 Zoning:
Applicant: 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:
Contrector. RICHMOND AMERICAN HOMES OF CALIFORNIA INC
Address: 16845 VON KARMAN � �
Phone: 949-756-7373
Stalus: ISSUED
Applied: O6/79/2006
Issued: O6/20/2006
ISSUED BY: O�
IRVWE,CA . . � , �
Zip: 92606 License: 487535 � �
Arch : KENNETH NIEMERSKI Eng: GARYAMCCLANAHAN
Address: 2031 ORCHARD DR Address: OPTION ONE CONSULTING ENGINEERS
SUITE 100 Phone: 949-553-9100 NEWPORT BEACH, CA Phone: 94&553-t916
NEWPORT BEACH CA 20311 ACACIA SUITE 240
Zip: 92660 License: 23971 .� 92660 License: C042553
SCOPE OF PERMIT -
PHASE 2 CORNERSTONE HOMES -
PLAN 3CR
CONSTRUCT NEW 2074 SF 2-STORY SFD WITH ATTACHED 461SF ATTACHED GARAGE. 40SF ENTRY PORCH.
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total
$1,049.98
$1,615.35
$21.03
$0.00
$0.00
$0.00
$2,686.36
SETBACKS
MAINSTRUCTURE Front 200-0 _ Rear 15-0
ACCESSORY Front 0-0
PARKING Existino: o
Rear 0-0
Reauired: 148
FEE SUMMARY
Calc Valuation: 52io,zss2o
Claim Valuation: So.00
PLANNING & ZONING
Lefl 10- 0.- .. �- Right . 45- 0
LeR 0- 0 Right 0- 0
Pr000sed: 148 ,
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related I
regulations. (Ord. No. 9248, § 1, 12-21-92) '%�
EXPIRATION: This permit shall automa[ically expire and become void if work is not commenced within 180 days, or it-wwk�is pended 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 ail
required Inspections entl final approval must be obtained. Failure to obtain inspections and final approval will result in the expiretion of this permit.
FOR INSPECTIONS CALL: (714) 7545626 ��� 3�-,
zaarws �sioo�
WORKERS'COMPENSAnON DECLANAnON:
I hereDy eNirm under penelry of perjury one ot the I011owing declarations: '� '`�
❑ I have and will meintain e certificate ol wnsent to self-Insure lor workers' compensation, es pravidetl for hy section 3700 0l Ihe lebor Cotle, tor the pertortnance ot Ihe
work tor which t�is pertnit is issuetl.
❑ I have and will maintain workers' canpensetion insurance, as requiretl by section 3700 of the Labor Cotle, tor Ihe pedortnance ol the work for w�ich this pertnit Is issue0.
My worke compensation Insuren rner antl pollcy umber ere: O (` J�^
Carrier �V':KP`— G� ��y�4�{.1CT PolicyNum6er: L T�"F�J /�
(lhis secfion need not be comp/eted i! the permi( is va/uetl et one hund�ed dollars ($100J or IessJ �
❑ I certify that in the
compensalion law
comply with these
Applicent Signeture: _
WARNING: FAILURE TO SE
THOUSAND DOLLARE (Stq
ot Ne work lor which this pertnit is iuueQ I shall not employ any person in any manner so as to become subject to ihe workere'
i, entl ree that It I s�oultl become sublect to Ihe workars' compensation provisions oi Saction 3700 of the Lebor Code, I shell lorthwit�
/ Date: �/�� f9
RS' COM SATION G ERAGE IS UNIAW FUL M!D SHALL SUBIECT AN EMPLOVER TO GRIMINAL P TIES ANO CNI� FlNES UP TO ONE HUNDRED
'ION TO THE COST OF COMPENSATION, OAhNGES AS PROVIDED FOfl IN SECTION 3/O60F iHE LABOR WDE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby attirm that I am licensetl
foma antl eHacL Lic. N�
Contrectofs SlgnaWre: �
CONSTRUCTION LENOING
9(commencing with Section 7000) of Divisian 3 of the B
Class N
Date:
Code, and my license is in lull
❑ I hereby aflirm that ihere is a consimction lending egency tor fhe peAormance ot the work tor which this pertnit is issuetl. (Sec. 3097, Civil Cotle).
Lendefs Neme: Lenders Address:
SignaWre:
Date:
OWNER•BUILDER DECLARATIONS:
I hereby aHirm thet under penelty of perjury that I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. Business end Professions
Cotle: Any city or counry which reQuires e Dertnit to constmc6 alter, Improve, tlemolis�, or repair eny structure, prior to its issuance, also requires the applicant for such permit
to tile a signad stetement ihet he or s�e Is Ilcensetl pursuunt to lhe provisions of Ihe Contradors Ucense Law (Chapter 9(commancing with Secllon 7000) of Divislon 3 0l Ihe
Business end Protessions Cotla) or thet �e or she Is ezempt t�eretrom and ihe basis lor the elleged exemption. Any violation oi Sectlon 7031.5 by eny applicant for a permlt
su6jects the epplicant m e civil penalty ol not more then flva hundred aollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole compensa�lon, WILL DO THE WORK, and ihe strucWre is not intended or ofleretl for sale (Sec.
7044, Business antl Professions Code: The Contrectors License Law does not apply to an owner ot property who builtls or improves ihereon, and who Coes such work
himseli or hereelf or throug� his or her own employeas, providetl that such improvemenis are not intendatl or oHered for sale. If, however, ihe building or Improvement is
sold within one year of comple�ion, I�e owner-builder will have the burtlen oi proving ihat he or she did not 6uiltl or improve for purpose ot sale.).
❑ I, as owner of the properry, am EXCLUSIVELY CONTRAC7ING WI7H LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Prolessions
Code: The contrectors License Lew tloes not apply to en owner ol property who bullas or Improves thereon, and who conirecls tor suc� pro�ect wlth e contractor(s)
license pursuant to ihe Contractors License Laws.�.
❑ I am exempt undar sec.
Signature:
Owner ID venfietl by tlriver's license. ❑ Yes ❑ No
Business and Professions Cotle tor Ihis reason:
Verificatian of Ownership by (rype of daument, i.a. - property taz DIII or deed):
DIVISION OF INDUSTRIAL SAFETY VERMITCERTFICATION:
OrivelS LitenSe No.
Date:
Expires:
❑ I hereDy cehify that no excavation live (5) or more feet in depih into which a person is required to descentl, will be matle in connection with work euthonze0 by this
permit, end that no building structure, swttolding, falsework, or demolition or dismantling ihereof, vnll 6e more than thiny-six (36) feet high. (Chap. 32, Grp 2, Ar12, Sec.
341, Titla 8, Celilomia Adminlsiretive CoOe).
❑ As owneo-huiltler, I will not employ enyone to do work which would require e permit trom lhe Division of IndusMal Safary, as notetl ebove, unless such person hes e
pertnit ta do such work from �he Oivision.
SignaNra: Date:
Division of Intlustnal Salery Pertnit Number:
CERTIFlCA7E OF COMPLIANCE AND AUT}fORIZATION OF ENTTiV: I certity under penalry ot perjury that I have read this epplication and stete that the inlortnation given is
correct. I egree to comply wl�h ell state laws end ciry ortlinances releling to building construc�ion, and euthonze representatives ol the Ciry of Costa Mesa to enter upon the
above-tlescnbed property for inspeclion Durposes. I agree not to occupy or allow occupancy of eny building authonzed by this permit until final ins0ection.
COOEI, INSPECTIC�TYVE
7616 Fized System Final Fire Preventlan
1266 Pool Spe Final
200 Final Re-Raol
201 Final8lock/Retaining Wall
202 Final Factory Fire Place
I 203
/ 20a
Finel Slgn
Final Damolition
PdIE It�IALS
b� � Date
�^� Dale
LOpE I INSPECTION TYPE
206 Final Mec�anical
20B Final Plumbing
270 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Finel �Building/Occupancy
p7.Y1�C1�11/.IFj
(714) 754-5273 • Fau (714) 754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
Applicanl:
Address:
Owner:
Address
Contractor:
Address:
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool / Spa
Lighting Fi�As
Recept Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motors to 1 hp
Motors to 10hp
Motors to SOhp
Molors to 700hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
2523 CORNERSTONE LN
NEW SFD
TPN30041
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 CALIFORNIA AV
SUITE 120
IRVINE, CA
Phone: 949�67-2600
Zip: 92617
License: 487535
ISSUED BY:
Status: I SS U ED
Applied: 06/19/2006
Issued: 06202006
SCOPE OF PERMIT
ELECTRICAL PERMIT FOR PHASE 2 CORNERSTONE HOMES
PLAN 3CR
CONSTRUCT NEW 2074 SF 2-STORY SFD WITH ATTACHED 461SF ATTACHED GARAGE.40SF ENTRY
PORCH.
REF:# B06-00966
WORK TO INCLUDE: 2 LIGHT FIXTS, 8 RECEPT OUTLETS, 1. SWITCH, 1 MOTOR TO 1HP
$23.50
$0.00
$0.00
$116.14
$0.00
$0.00
5220
$8.80
$1.10
50.00
$0.00
$0.00
$0.00
$0.00
$4.75
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantity
2074
0
0
2
8
7
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
FEE SUMMARY
Temp Dist System / Lighting
Busway/100fl
Standing Seclion
Misc Eledrical 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 Volt Wiring Syslem ! Ck�
Misc. Conduit
Misc. Conduc�or
Cirws ( gen or ride)
Circus (mech ride or lights)
Christmas Tree Sland .
Fireworks Stand
�Olher Electriwl Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
$0.00
50.00
30.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES E156.49
NOTICE: The work authorized by this permit shall comply with all applicable handicap access
regulations. (Ord. No. 92-28, § 1, 12-21-92)
Quantity
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
statutes and related
EXPIRATION: This perm0 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 1 BO days. .
INSPECTIONS: In order for the work aulhorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspectlona and Ilnel approval must be obtained. Failure to obtain inspections and final approval will result in tha expiration of Ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
zue-ne laroo�
WORKERS' COMPENSATION DECLARATON:
I hereby eHirtn under penalry ol perjury one of Ihe following declaretions:
❑ I heve and will maintein e certificata at consent ro setl-Insure lor workers' compensation, es pmvided for by section 3700 ot the Labor Code, tor ihe pertormance of ihe
work tor which Ihis permit is issuetl.
❑ I have and will maintain workero' compensation insurance, as required by section 3700 of t�a La6or Code, for the perfortnance oi the work br which Ihis permit is luued.
My worker ' compensation Insuranc c rcier and olicy number ere: �I
Carner: �� �i�^� �'��yU�✓kN�.� PolicyNumber: � ���� � / �
(This sec0on nee nat be compleretl il the permif is velued et one hundred dollars ($100J or less.)
❑ I cenify ihat in Iha pertortnance ol the work for which t�is permit Is issued, I shall not employ any person in eny manner so as to become sublect lo Iha workers'
compensation lews ol alitomia, and e ree Ihet If I hould become sub�act to Ihe workers' compensation provisions of Section 37000ppp of the Labor Code, I s�ell forthwith
comply with these pro � ns. �/� /�
ApplicantSignaWre: � Date: �V
WARNING FAILUFE TO SECUR W RKERS' CA SATI OVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRI�PENALTIES AND CIVIL FMES UP TOONE HUNOFED
T}IOUSPNODOLURE(5100.000). DOITIIXJTOTHECOSTOFCOMPENSATION,DAMFGESASPROVIOEOFORINSECTION3lOfiOFTHELABORCODE,INiEREST,P.NOATTOFNEV'SFEES.
LICENSED CONTRAC70RS DECLARATION:
I hereby aHirtn Ihet I em
torce and ettect. Lic. N_
Camradofs Signeture:
CONS7RUC710N LENDING
ol Chepter 9(commencing with Section 7000) of Divislon 3 of the Busine 5 and Pmfessions Code, end my licensa is in full
class x _ � O /,
� oeca:_ /ib
❑ I here6y aNirm that Ihe�a is a constmction lending egency for ihe performance ot the work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name: Lender's Address:
Signature:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby eNirtn Ihat under penaly of perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business end Professions
Code: Any ciry or county whic� raquires e pertnit to construct, alter, improve, tlemolish, or repair any siructure, pnor to its issuance, also requires the epplicant lor such pertnil
to file a signetl stetement ihet he or she Is Iicensed pursuent to Ihe provisions ol tha Contrecbrs License lew (Chapter 9(commencing with Section 7000) oi Division 3 at Ihe
Business antl Professians Code) or ihet he or she is exempt therefrom and the basis tor tha ellagetl exemption. Any violation of Section 7031.5 by eny applicanl tor e permit
subjects the applicant to a civil penelty oi noI mora then Nve hundretl dollars ($500).):
❑ 1, es owner of Ihe properry, or my employees with weges es Iheir sole compansation, WILL DO THE WORK, antl the structure is nat intentletl or oNered for sale (Sec.
7044, Business and Professions Code: The Contractors License Law tloes not apply to en owner ot property who builds or improves thereon, an0 who does such work
himself or hersetl or through his or her own employees, providad that such improvements are not intended or oHered for sale. If, hawever, the building or improvament is
sold within one year oi wmpletion, the owner-builder will have ihe burdan of proving that he or she tlitl nol build or improve tor purpose of sale.).
❑ I, as owner af the properry, am EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRAC70R5 to consiruct the project (Sec. 7044, Business end Prolessions
Cotle: Tha contractors LicenSe Ww doe5 n0i Bpply t0 en owner ot property who builds or improves ihereon, end who wntracis tar such prolect wlth a contractor(s)
license pursuant to ihe Contractore License Laws.).
❑ I am exempt under 50t.
Signature:
Ownar ID verified by dnvers license. ❑ Ves ❑ No
Business entl Protessions Code for this reason:
Verificetion of Ownership by (cype ot documen�, i.e. - property tex blll or deed):
DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATION:
Driver's License No.
Date:
Expire5:
❑ I hereby certify thet no excavetion five (5) or more feel in tlepth into which a person is required to descend, will ba matle in connection with work authorized by Ihis
permiL antl ihat no building siructure, scattolding, talsework, or tlemolition or dismantling theraof, will be more Ihan ihiry-six (36) teet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Title e, Celifomie Administrative Code).
❑ As owner-builtler, I will not employ enyone to do work which would require a permit Irom ihe Division of Industnal Sefery, as noted a6ove, unless such person hes e
permit to tlo such work from Ihe division.
Signature: Date:
Division of Indusirial Safery Pertnii Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORVAiION OF EN7HY: I certily under penelry of perjury that I �ave read this apPlication and state Ihat the information given is
cortecc I egree to compty with ell state laws end ciry ortlinances relating Io bulldlnq construction, ana authorize representatives of ihe Ciry ol Costa Mesa to enter upon the
ebove-descnbed properry for inspection purpases. I egree not to occupy or allow occupancy of any building authorized by ihis permit until final inspection.
CODE I, ixsvecnomrrve
1616 Fixed System Final Fire Prevention
1266 Paal Spa Finel
200 Final Re-Root
201 Final Blak/Retelninp well
202 Final Fectory Fire Place
203 Final Sign
204 Final Demolition
PAIE ' 1L+[IDA4S
CODE I INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Final EleC�riwl
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
1 ale c�,n�
(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:
Parcel Number:
Applicant:
Address:
Owner:
Address:
Contractor:
Address:
2523 CORNERSTONE LN
NEW SFD
TPN30041
GOODWYN, JIM
16845 VON KARMAN
STE 700
IRVINE, CA
MECHANICAL PERMIT
Phone: 949-756-7373
Zip: 92606
RICHMOND AMERICAN HOMES OF CALIFORNIA
Phone: 949-756-7373
Zip:
RICHMOND AMERICAN HOMES OF CALIFORNIA INC
5171 CALIFORNIA AV
SUITE 120 Phone: 949-467-2600
IRVINE, CA Zip: 92617
License:487535 '
Status: ISSUED
� Applied: 06/19/2006
Issued: O6/20/2006
ISSUED BY:
SCOPE OF PERMIT
MECHANICAL PERMIT FOR PHASE 2 CORNERSTONE HOMES
PLAN 3CR
CONSTRUCT NEW 2074 SF 2-STORY SFD WITH ATTACHED 461SF ATTACHED GARAGE. 40SF
ENTRYPORCH. '
REF:# BO6-00966
WORK TO INCLUDE: 1 HOOD W/MECH EXHAUST, 1 INST FAU < 100 K BTU, 1 VENT
FAN/SINGLE DUCT AND 1 COMPRESSOR/ABSORPTION SYST 3 TO 15 HP/500 K BTU.
ISSUE FEE
Inst FAU <700 k BTU
Inst FAU >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 w/Mech Exhaust
VAV Box
Vent Fan / Single Duct
Appliance
Fire Dampers
Smoke Dampers
Inst or Relocate Appl Vent
Air Handlers < t0000cfm �
AirHandlers> 10000cfm
Floor Furnace
Floor or Suspend Heater
$23.50
$14.80
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$10.65
50.00
$29.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantity
1
0
0
0
0
0
0
0
1 ,
0
4
0
0 '
0 .
0
0 .
0
0
0
FEE SUMMARY
Repair / Alt Absorbtion Unit
Repair / Alt Refrigeration Unit
Venlillalion System
Evaporative Cooler
Commercial Inci nerator
Domeslic Incinerator
Comoressors / Absomtion SVstems
Up to,3 hp / 100 k BTU
3To15hp/SOOkBTU .
15 To 30 hp'/9,000 k BTU . .
30 To 50 hp / 1,750 k BTU
Over 50 hp / Over 1,750 BTU
Boilers
Upto3hp
3To15hp
15to30hp
30 to 50 hp � �
Over 50 hp
Other Mechanical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
Tl�T�1 /��Ih111l1TCl�CCCC
Quantity
$0.00 0
$0.00 0
$0.00 0
50.00 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
[�/1C �I1
NOTICE: The work authorized by this permit shall comply with all applirable 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 work Is not commenced within 180 days, a�i�is suspended or abandoned
for a period of 180 days.
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inepectione and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
26C6�C8 (6N0)
WOHKERS' COMPENSAnON DECLAIiAnON:
I hereby atfirtn under penalry of perjury one ot the following dedarations:
❑ I heve entl will maintein a c»rtificate of consent lo seltdnsure tor workers' compensation, es provitled for by section 3700 of the Labor Coda, lor Ihe peAortnence ot Ihe
wark tor which Ihis permit 15 is5uetl.
❑ I have and will maiMain workers' compensation insurance, as requiretl by section 3700 0l lhe Labor Coae, for the pedormance ot Ihe work for which Ihis pertnic is issuetl.
My wo rs' compen5atlon Insureu%� a,�rne�r and poli number ere: �/ �('� `
Carrier: �e ���k'� � 1 � "�Q �/Ll�%�:'viL� PolicyNumber. � L�l� J ^ `�
(This secrion need not be comp/ered il tlre permir is valued et one hunored tlollars ($100) or less.)
❑ I certity that in the peAortnence ol t�e work for which Ihis pertnit is issueQ I shall not employ eny person in any manner so a5 to become subject b lhe workers'
compensation laws of Celitomia, entl gree that ii I shoul0 becoma subject to the workers' wmpensation prodsions ot Section 00 oi Ne Labor Cotle, I shall forihwith
comply with thesa provi 'ons. /^ q
Applican� Slgneture: Daia: `�� // b
WARNING: FAIWRE TO SELURE RKERS' COM SATI OVERAGE IS UNIAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMI AL PE LTIES AND CIVIL FlNES UP TOONE MUNDRED
TFKKISANDDOLURE�E100,000),V DITIIXJTOTHECOST COMPENSAT10N,pAMAGESASPRWIDEDFORINSECTION3]O6pFTHEIABOFCODE,INrEREST,ANDFTTORNEY'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aflirm that I am licensed n er visiorys.eF Chapter 9(commancing with Saction 7000) ot Division 3 0l ihe Busine�and Professions Cotle, antl my license is in full
torce end eNect. Lic. H Class a Ll�
Contraaofs Signature: Date:
CONSTRUCTION LENDING ENCY:
❑ I hareby aflirtn thet there is a construction lending agency for the peAormance oi the work tor which this pertnit is issuetl. (Sea 3097, Civil Cotle).
Lendels Name: Lendels Address:
Signeture:
OWNER-BUILDER DECLARATIONS:
Date:
1 hereby eHirm that under penalry of perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Professions
Cotle: Any ciry or counry whic� requires a pertnii to construct, alter, impmve, tlemolish, or repair eny siructura, pnor to its issuance, also requires the applicant for such pertnit
to tile e signed stetement thet he or s�e is Iicensed pursuant to Ihe provisions of the Contrectors LJcense Law (Ghepter 9(commencing with Section 7000) ot DlWsion 3 of t�e
Business end Professions Coda) or thet he or she is exempt theretrom and Ihe basis for Iha elleged exemption. Any violation oi Section 7031.5 by eny epPlicant tor e pertnit
suhjecis the eDPlicant Io e clvil penalry of not more than Tive hundred dollars ($500).):
❑ I, es owner of the property, or my employees with wages es their sole compensation, WILL DO THE WORK, and Ihe siructure is not intendeC or oHered for sale (Sec.
7044, Business end Professions Cotle: The Contractors License Law does nol apply to en owner of propeny who builds or improves thereon, end who does such work
himself or hereeli or ihrough his or her own employees, provitled that such impmvemanis are not intendetl or aHeretl tor sele. If, however, ihe building or improvement is
sold within one year ol completion, the owner-builder will hava the hurden of proving ihat he or she did not build or improve for purpose of sele.�.
❑ 1, as ownar of the property, ein EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct ihe prolect (Sec. 7044, 6usiness end Protessions
Cotle: The conirectors License Law tloes not apply to en owner of propeny who builtls or Improves thereoq and who contrects lor such project wlth e coniractor(s)
license pursuant to ihe Contractors License Laws.).
❑ I em exempt under sec. Business ena Protessions Code for �his reason:
Signature: Date:
Owner ID verilied by drivBr's license. ❑ Yes ❑ No DnverS LitenSe No.
Venfication ol Ownership Dy (type ol document, i.e. - property te: bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Expires:
❑ I hereby ceriify that no excevntlon five (5) or more feet in depth into which a person Is requiretl to tlescend, will be mede in connaction with work authodzed by this
permi�, and that no building structure, scaHolding, falsework, or demolition or dismantling thereol, will 6e more Ihan Ihirty-six (36) feet high. (Chep. 3.2, Gry 2, Art 2, Sec.
341, Title 8, Celifomia Atlministrative Code).
❑ As ownar-builder, I will not employ anyone to do work which would requlre e pertnil lrom Ihe Division ol Industnal Sefery, as noted a6ove, unless such person has a
pertnit to do suc� work trom the division.
SignaWre: Date:
Division oi Intlustrial Sefety Permit NumDer:
CERTFICA7E OF COMPLIANCE AND AUTHORIZA'f10N OF ENTRV: I certify under penelty of perjury Ihet I have reaC this epplication and siate thal Ihe intorma�ion given is
correct. I egree to comply with ell stete laws entl ciry ordinances �eleting to Duilding conslruction, end euthodze represematives oi the City of Coste Mesa to enrer upon the
ebove-describetl property for inspection purposes. I agree not to occupy or ellow occupancy ot any building euthorized by ihis permit until tinal inspection.
cooe r.
1616
1266
Legal
FixeC System Finel Fire Prevention
Pool Spa Finel
200 Finel Re-Rooi
201 Flnel BIaWRetaining Well
202
203
204
Final Feciory Fira Place
Final Sign
Finel Demolition
PLTE Ir+rmALS
��hDate
�i–�-4�
% Date
CODE I INSPECPON TYPE
206 Final Mechanical Z. �J�
208 Final Plumbing
210 Final Elecirical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Builtling/Occupancy
(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.cPaLUMBING PERMIT �� FAIR ORIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Viciniry:
2523 CORNERSTONE LN
NEW SFD
Parcel Nunmber: TPN30041
Appliwnt:
Address:
Owner:
Address
GOODWYN, JIM
16845 VON KARMAN
IRVINE, CA
Phone: 949-75E7373
Zip: 92606
RICHMOND AMERICAN HOMSE OF CALIFORNIA
Phone: 949-756-7373
Zip:
Contractor: RICHMOND AMERICAN HOMES OF CALIFORNIA INC
Address: 5171 CALIFORNIAAV
SUITE 120
IRVINE, CA
Phone: 949-067-2600
Zip: 92617
License: 487535
ISSUED Y:
Status: ISSUED
Applied: 06119/2006
Issued: O6/20l2006
PLUMBING PERMIT FOR PHASE 2 CORNERSTONE HOMES
PLAN 3CR
CONSTRUCT NEW 2074 SF 2-STORY SFD WITH ATTACHED 461SF ATTACHED GARAGE.40SF ENTRY
PORCH.
REF:k BO6-00966
WORK TO INCLUDE: 1 BACKFLOW IRRIGATION, 1 DISFiWASHER, 1 GAS (1-4 OUTLETS), 1 GAS
SERVICE, 1 LAUNDRY TUBM/ASHER, 1 LANDSCAPE IRRIGATION, 1 SEWER CONNECT, 1 SEWER
CONNECT, 1 SEWER PRIVATE LINE, 2 SHOWERS, 1 KITCHEN SINK, 5 WASH BASINS, 3 WATER
CLOSET. 1 WATER HEATER/VENT, 1 WATER SERVICE. , .
ISSUE FEE
Backflow irrigation
Backflow Preventer
Balhtub
Clarifier System
Connect (Ice,Soda,etc)
Dental Unils
Dishwasher
Drein, Floor
Drain, Rainwaler
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-4 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceplors (Grease, Oip
Interceptors (Sand Auto )
AMT
323.50
59.80
$0.00
$9.80
$0.00
$0.00
$0.00
$9.80
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$6.75
$0.00
$9.80
$0.00
$0.00
$0.00
�
0
1
1
0
0
0
1
0
0
0
0
0
0
1
0
1
0
0
0
FEE SUMMARY
AMT
LaundryTub/Washer $9.80
Landswpe Irrigation $14.80
P-Trap _ 50.00
Pressure Regulator . $0.00
Process Piping (per 10 R) $0.00
Receptors $0.00
SepticTank $0.00
Sewer Cap (or Demo, $0.00
Sewer Connect $24.65
Sewer Private Line $24.65
Shower 519.60
Sink, bar $0.00
Sink, commercial $0.00
Sink, Floor $0.00
Sink, ki�chen $9.80
Sink, service/mop $0.00
Spa (private) $0.00
Spa (public) � $0.00
Qn
1
1
0
0
0
0
0
0
1
1
2
0
0
0
1
0
0
0
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr Bkflow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toileq
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
50.00
50.00
50.00
$0.00
$49.00
$0.00
$0.00
$29.40
512.30
$0.00
$0.00
$9.80
$0.00
$0.00
$0.00
$0.00
$0.00
�
0
0
0
0
0
0
5
0
0
3
1
0
0
1
0
NOTICE: The vrork authorized by this permfl shall compty with all applicable handicap access requirements under Califomia statutes and� related
regWations. (OrA. No. 92-28, § 1, 12-21-92) -"
EXPIRATION: This ermit shall automatical ex ire and become void if work is not commenced within 180 da �i
p ly p ys, or if w(o�Ac:is-suspended or abandoned
for a period of 180 days. �
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicaDle codes, antl all
requlred Inspedions end 11na1 approval must be obtained. Failure to obtain inspections and final approval will resutt in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
zaaec Iamo)
WORKERS' COMPENSATION DECLARATION:
I hereby eNirm under penalry o� Derlury one oi tha following declaretions: �
❑ I heve and will maintein e certificete of consent b selt-Insure tor workers' compensation, es provitlad for by section 3700 oi Ihe Lebor Code, tor the pertormance ol the
work tor which this permit Is issuatl.
❑ I have and will maintain workers' compensation insurence, as requiretl by section 3700 ot ihe Lebor Co�e, for the pedormance of the work tor which this pertnit is issuetl.
My work compensetion Insuran e arner end p licy number are: � �(
(I 7 (''�/ 7y
Certier: �✓hP✓.�� e�yya�,eK�P PaliryNumDer: � L 7� J (O'
(This sectlon nee nof be comp/eted il the permit is veluetl af one hundred dollars ($100J or less.)
❑ I certify t�at in Ihe peAormance ol the work for which this Oe�it is issueQ I shall not employ eny parson in eny menner so as to become subject to the workers'
compensation lews ol alifornia, and gree Ihet if I should become sub�ect Io ihe workers' compansation provislons ol SecUon 3700 of the Labor COUe, I shall forthwlih
complY with Ihese Orov 'ons.� n �
Applicant Signature: Dete: �9 //
WARNING: FAILURE TO SECURE W�RKERS' �NSAiI COVERAGE IS UNLAWFUL AND SHALL SUBIEGT AN EMPLOVER TO CRIMIWIL ENALTES AND CML FlNES UP TOONE HUN�RED
TFIOUSAND OOLLARE (5100.000�, I ODRIIXJ TO THE COST OF CQNPENSATION, OAMAGES AS PqOVIDED FOR IN SECTION 37080F THE LABOR CO�E, IMEREST, AND ATTOliNEV'S FEES.
LICENSED CONTRACTORS �ECLARATION:
I hereby eflirm the� I em licen ed nder provisioJr s.of Chapter 9(commencing with Section 7000) ol Division 3 oi the Busin s and Professions Code, and my licanse is in lull
force and eMect. Lic. M Class N
Contractor's SignaWra: Da�e:
CONS7RUC710N LENDING A CV:
❑ I hereby aHirm thef Ihere is a conslmction lending agency for ihe pedormance of �he wodc for which this permit is issuetl. (Sec. 3097, Civil Code).
Lenders Name:
Signemre: _
OWNER•BUILDER DECLARATIONS:
Lenders Address:
Date:
I hereby aNirm that under penelly of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Professions
Cotle: Any ciry or county which requires e permit to consimct, alter, improve, tlemolish, or repair any siructure, prior to its issuance, also requires Ihe applicant for such permit
ta flle e signed stetement thet he or she ISlicensed pursuant to the provisions ol the Contrectors License Lew (Chaptar 9(commencing with Sedion 7000) of Dlvision 3 oi ihe
Business end Professlons CoOe) or ihat he or she is exempt therehom and t�e besis for the elleged eaemption. Any violatlon of Section 7031.5 by eny eOPlicant for e permit
sub�ects the applicent co a civil penelry of not more than five hundred dollars ($500).):
❑ I, as owner of tha propeny, or my employees with weges es iheir sole compensatlon, WILL DO 7HE WORK, end ihe strucWre is not intended or otteretl for sale (Sec.
7044, Business and Professions Code: The Contractors Licensa taw does not apply to an owner of property who builds or improves thereon, and who does such work
himseN or herself or through his or her own employees, provided that such improvemenis are not Intended or oHered for sale. If, however, ihe building or improvement is
sold within one year of wmpletion, ihe owner�builder will have the burden ot proving Ihet he or she did not builtl or improve for purpose ot sale.�.
❑ I, as owner oi tho property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS ta construcl the project (Sec. 7044, Business end Prolessions
Code: The contractore License Lew tloes not apply to an owner of property who builtls ar impraves thereon, and who coniracts tor such project wlih a coniractor(s)
license pursuant to ihe Coniractore License Laws.).
❑ I am e:empt under sec. Business end Professions Code for this reason:
Signature: Date:
Owner ID venfied by tlrivers license. ❑ Ves ❑ No Driver's License No. Expires:
Vedliwtion oi Ownership by (type of documenL i.e. - pmperty tar bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICA710N:
❑ I hereby cerlity ihat no excavation five (5) or mora feet in depth into whlch e parson is required to descend, will be mede in connection with work authonze0 by ihis
permit, antl t�at no building swcture, scettolding, talsework, or demolition or dismantling thereot, will be more �han thirry-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Ttle B, California Administretive Code).
❑ �As owner-builtler, I will not employ anyone to do work which would require e pertnit Irom ihe Division al Intlusirial Safery, as noted e6ove. unless such person hes e
permit to do such work irom Me division.
SignaNre: Date:
Division of Indusirial Safery Permi� Number:
CER7IFlCATE OF COMPLJANCE AND AUTHORVATION OF EN7AY: I cenity under penalry of perjury thet I heve read this application and state that the information given is
wrrect. I egree to comply wlih ell siate laws end ciry ordinances releting to building consWction, end eu�hodze representatives of t�e Ciry ot Costa Mesa to en�er upon the
above-described properry tor inspection purposes. I agree not to wcuDY or allow occupency af any building authorized by this pertnit until finel inspaction.
� �ignature�Of Legal
eooe r. ixsvernoRrrve
1616 Fi:ed Syslem Finel Fira Pravention
1266� Paol Spe Finel
200 Final RB-Roof
201 Final Block/Retalning Well
202
203
204
Final Fectory Fira Place
Final Sign
Final Demolition
Applicant
DFTE IMRIpLS
COOE 1 INSPECTION TYGE
206 Final Mechanical
20B Final Plumhing
210 Final Electncal
212 Flnal Fira Prevemian
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
D� I[i�El,i`
��
ADAMS • STREETER
CIVIL ENGINEERS INC.
f�cccmber >. '_U06
City Gradin� Inspector
Cih'uf Cuslu A7esa
Development Sen�iccs Dcp:u'unent
77 f-air Dri�c
Ciist.i \9esa. C.il i furnia 9=G_S- I'00
Ui- I i73
IRVI�ti�E • RIVERSIDE
Jan A. Adams • Randal L Streeter
Sub,jech Civil I�ngineer's Certilicutiun of Precise Crading
Nrojecl: "1'ract h'o. 16937 — Lots 1, Z and 3- Ruildin};s l lhrou�h l 1
Cornerstone ut Ilurbor Bh�d.
Costa Nlesa, California
Keference: Nrecise Gr�ding Permit n'umber: GOG-OU003
Adclress: 2�111 Iiarbor l3uulerard. Costu llesa. C.ilit'urnia
Owner : Kichmond Americ:�n liumes
Ceneral Contractor: Richmond American Humes
In accord�mcc �+�ith City of Costa �4cs.i Gr.idin�� und Exc:i��ation Codc. �mJ ihe
rcquirctncnls of the Ruildin� Codz. 1 ccriif)' appro�.�l of ihis projcc[ as outlincd .iho�c. to
precise er.ide, Prccise gradine hus heen completed in ronformance �vith approved precisc
eradin � plan for this projcct and in full comrli�ince ���ith s;iid Cndes. Certification
includcs horizont:il and vcrtical control for dr:iinasc dc��ices. and positivc buildin� pud
drain.�ec.
This appro�•al docs ❑ot indude placement or compaction of soil. ��hich is under thc
purvic�v of ihc soil enginccr. :, �.��r,:� ,,,
/o�'"�,�Or�',,; .=� �••''•.
i �" �F� �y,`•'':'��
r�� � -\�"
��� . //� X ��: '�/t:n.425t5 i:1 �'�I
Q 1':
i;
�9. �9nhammad.ihadi.
�_ � C.
Adams Strcctcr Ci��il Gneinccrs
`� � c: Deccmbcr 5, 30p6
.� "� .��
=t361i IErp. 3/3l/OSI
15 CORPOhATE PARK • IKVINL CA. 9260(i • TeL (949) 474-2330 • Fa�: (9�+9) 474-0251
2900 AI�A�4S STREET. SUIT[ A-a00 • RIV[RSIDE. CA. 92504 • TeL (9511 352-�I1U0 • Fax: (951) 3�2-6200
�,� �ption
`� �ne
rn.�uiriyc evr.isccec
PAGE 1 OF I
= F.STRUCTURAL 9BSERVATION;REPORT,FORM: .
-� ` � :RiCE�IMOND AMERICAN HOMES '-.� . •
_._.�.: �a __�.v.,_....__,.,__.. . _ : _ . _ <' . :
THIS REPORT INCLUDES ALL CO�STRUCTION WORK THROUGH THE: 26'" Dav of Scplembcr 2006.
PROJECT: "Comerstunt' - SPD OPTION ONE JN.: 0106-12i3
LOCATION: Costn Mem, Califomia BLDG. PERMIT No.:
OWNER: Richinond �merican Homes LOCATION/DIVISION: Orange Counrv�
ARCHITECT: Ruscnian Lagoni Architccts ARCHITECT JN.: ALA-5165
STRUCT. OBS. OF RECORD: G�rv A McCl:mahan, P.E. LIC. or REGISTRATION Nos.: C-42553
STRUCTURALOBSERVER: Mike 6erhe, C.I.T. GIT-45397
OBSF,RVED STRUCCtiRAL ELE�tE�TS d THEIR CO\tiECT10\5: LOTfS) & PFi.�SF, OBSF,RVED:
Intcriur and Extrrior CenerAl Framing; i.e., roof vusses, roofsheathin�, Lot 2, Plan 7C, 2J23 Comerstone I,ane,
shear elements', hulJowns, [loor sheathing, Iluorjoisis/kus'sei, be�uns, heAJers, Phase 2, Tract H 169J7,
and genzral hardware. Costa Mesa, Califnrnia
�AAACH AO�ITIONAL PAGES IFNECESS4R5�
'I'he deficiencies and/or non-conformin� items noted during observa[ion visi[ have becn cnrrected
and inttalled by a collahora[ed effort of [he project superintenden[ and the framino foreman,
Initial / Completion Da[e:
;VR/OY-2G0(
Construction � HVAC O Elecvical � Plumbing ��� O Plywd CI'g 0 Deck
S(aga Shear--U'alks Lid(s) Optior
Nofe: Whm box is checked, A indicates thaf consWcfan slege is in progress, and A has nof yet been comple(ed af fhe lime observatbn was wnducted.
0 STRUCTURAL SYSTEM 0.'AS VISUALLY OBSERVED TO BE M GENERAL COAffORhL1NCE WITH THE APPROVED PLANS.
❑ STRUCTURAI. DEFICIENCIES ARE OF A MMOR NATURE & MAY BE REVIEWED BY CITY BLDG MSPECTOR FOR COMPLIeV4CE.
1 DF.CLARE TH.1'! THE FOLLOWINC S7'.\'I'F.JIE\!S ARF. TRUE 70 THE REST OF J1Y IGYO�YLEDGF, 8 BF.LIEF:
1. I AM THE REGISTERED ENGINEER WHO HAS RESPONSIBLE CHARGE
FOR THE STRUCTURAL 06SERVATION.
2. 1, OR ANOTHER QUALffIED-CHARGE OBSERVER WH01 HAVE
DESIGNATED ABOVE AND IS UNDER MY RESPONSI�LE CHARGE,
HAS PERFORMED THE REQUIRBD SITE VISITS AT EACH
SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE
STRUC7URE IS M GGNERAL CONPORMANCE WITH THE APPROVED
VLANS AND SPECIFICATIONS.
3. ALL DEFICIENC[ES, WHICH I DOCUMENTED, HAVE BEEN CORRECTED
UNLESS OTNERWISE INDICATED ABOVE.
d. ALLOBSERVEDDEFICIENCESSHALLBECORRECTEDAND
APPROVED BY THE OBSERVER PRIOR TO FMAL ACCEPTANCE OF
THE STRUCTURAL SYSTEbIS BY THE BUILDfNG DEPARTMENT.
5. THIS REPORT IS PROVIDED TO THE OWNER AS A PART OF THE
OWNERS OVERALt, CONSTRUCTION QUALITY CON'I'ROL PROGR�Lbt.
6. OPTION OD1E HAS PROVIDED STRUCTUR:IL ODSERVATION [Al
ACCORDANCE WITH THE SEAOC RECOb1MENDF,D GUIDHLMF,S FOR
THE PRACTICE OF STRUCTURAL ENGNLERMG IN Crll.IFORtiIA.
SIGNED 6Y:
��" N° C 042553 LI�
Exp. 03/31/_�
SL�MP& WETSICNATUREOF
SI'RUCNRAL 065ERVER OF RECORD
26`" Day o(Septcmber 200G.
STRUCI'UIL�L 06SERVATION DOES NOT WAIVE THE REQUIREh1ENTS FOR RJSPECTIONS BY CITY BUILDING
MSP[CTORS. ALL R'ORK MUST COMPLY WITH TI1E APPROVED PLANS AND MPLICADLE STATE & LOCAL CODES.
G:11200's1125710bservafionlPhase_21SOR_F_Lot 2_P3C.doc (Rev. 115105)
Option One Tel 949.553.1916
Consulting Engineers 20311 Acacia St., Suite 240, Newport Beach, Ca. 92660 Fax 949.553.9720