HomeMy WebLinkAbout2524 CORNERSTONE LN - Building Permits(714) 754-5273 • Fau (714) 754-4856 • www.d.casta•mesa.cBl'ALDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2524 CORNERSTONE LN
Suite:
Vicinily: PLAN 3 CORNERSTONE ,
Primary Occ: R3 Dwellings/ Cong Res <10 Type of Construction: V-N
Parcel Number: TPN30042 Zoning:
Status: ISSUED
Applied: O6/122006
Issued: O6/13/2006
app�icanc GOODWYN, JIM
Address: 16845 VON KARMAN
Phone: 949-756-3310 ISSUED BY:
IRVINE, CA 2ip: 92606
Owner K�iW1WlaY�� i�✓L1.Pr(�LU✓l '�/1^.E.Sj C �'4�i'�ISyA(�
Address 1
Phone:���l.�() 7`�b—�7� •
Zip:
Contractor: RICHMOND AMERICAN HOMES OF CALIFOF2NIA INC
Address: 16845 VON KARMAN . � �
Phone: 949-756-7373
IRVINE, CA � � , � �
Zip: 92606 License: 487535 �
Arch : KENNETH NIEMERSKI Eng: GARY A MCCLANAHAN
Address: 2031 ORCHARD DR Address: OPTION ONE CONSULTING ENGINEERS
SUITE 100 Phone: 949-553-9100 NEWPORTBEACH, CA .Phone: 949-553-1916
NEWPORT BEACH CA 20311 ACACIA SUITE 240
Zip: 92660 License: 23971 92660 License: C042553
SCOPE OF'PERMIT
PHASE 1 CORNERSTONE HOMES " '
PLAN 1AR
CONSTRUCT NEW 1991SF 2-STORY SFD WITH ATTACHED 415SF ATTACHED GARAGE. 126SF ENTRY PORCH. REF: BO6-00342
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$1, 024.50
$1,576.15
$20.31
$0.00
$0.00
$0.00
$2,620.96
SETBACKS
MAINSTRUCTURE FroN 200-0 Rear '15-0
ACCESSORY Front 0-0
PARKING Existinq: o
Rear 0-0
Reauired: 148
FEE SUMMARY
PLANNING & ZONING
LBft 10- 0 "
Le(t 0- 0
Pr000sed: 148
Calc Valuation: S2o3,os2.52
Claim Valuation: So.00
.. .Right 45-0
Right 0- 0
NOTICE: The work authorized by �his permit Shall compty with all applicable handicap access requiremenis under Califomia statNes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically explre and become void if work Is not commencetl within 180 days, or if,work is suspended or abandoned
for a period of 180 days. �/
INSPECTIONS: In order for the work euthorized under this pertnit to be considered legal, such work must comply with all applicable codes, and all
requlred inspeetlons end final epprovel must be obtained. Fallure ta obtain Inspectlons and final approval will result in the expiration ol this permlt.
FOR INSPECTIONS CALL: (714) 7545828
sue-�e �e�m�
WORKERS' COMPENSATION DECLARATION: . � � � ' z �
I hereby eftirm under penalry of perjury one ot tne lollowing declaretlans: �
❑ I have entl wiil melntain e certilicele of consant to self�lnsure lor workers' compensation, as provitled for Dy section 3700 ai the Labor Cotla, for the peAormance ot Ihe
work for which Ihis permi� is I9suatl. .
❑ I have antl will maintain workers' compensetion insurance, as raquired by section 3700 ot the Lebor Code, for the pertortnance of ihe work for w�ich this pertnit is Issuetl.
My worker ' compensallon Insurance rner antl pollcY� number are: ,/) /^
Carner. �PwI l 1b4� �IiVNC /�j�(( ✓/�{� (,P Policy Number: �� I 7 �.t�l `� �
(7his sec(ion need nof be completed il the permit !s valued el one hundred dollars ($100J or less.)
❑ I certity that in the peAortnance of the work for which t�is pertnil is issueQ I shall nol employ any person in any menner so es ta becoma subject lo the workers'
compensetion laws ot Califomie, and egree thet il I should become subjecl to the workers' crompensation provisions of Section 3700 0l Ihe Labor Code, I she0 fort�with
comply with these provi 'ans. �/ �`) b
Appliwnt Signature: � Date:
WARNING: FAILURE TO SECURE RKERS' COMP AT10N �RAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMI PEW�LTIES AND dVIL FINES UP TO ONE HUNDRED
TMOUSANDDOLLARE(5100,000�.1 DITIONTOTHECOSTOF MPEN54TION,OAIMGESASPROVIDEOFOFINSECTIIXJ3]WOFTHELABORCODE,IMEREST,PNOATiORNE1"SFEES.
LICENSED CONTRACTORS DECLARATON:
I hareby aMirtn Ihat I am
foma antl eHact. Lic. a_
Coniracmrs Signature:
9(commencing with Section 7000) oi Division 3 of Ihe Business apd P�fessions Cotle, and my license Is in full
Class M 1��
� Date: . h / � r�
CONSTRUCTION LENDINGIOPENCY:
❑ I hereby eflirm thel lhere is a construction lentling agency tor the pedormance ot the work for which ihis pertnit is issued. (Sec. 3097, Civil Cotle).
Lendefs Name: Lender's Atldress:
Signafure:
OWNER-BUILDER DECLARATIONS:
Date:
I here6y ettirtn Ihat untler penaly ol per�ury that I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the following raeson (Sec. 7031.5, Business entl Protessions
Code: Any city or county which raquires e permil to construct alter, improve, demolish, or repair eny stmcWre, pnor to its issuence, also requlres ihe epplicam for auch pertnit
to file a signed statement thet he or she Is Iicensed pursuent to the provislans ot the Contractors License Law (Chapter 9(commencing with Sedlan 7000) ot DiWsion 3 0l the
Business end Protessions Code) or Ihet he ar she Is exempt t�erefrom end ihe basis lor Ihe allegad exemption. Any violetion of Sectian 7031.5 by any epplicant for a permit
subjects the applicant to e civil penelty of not more thnn five hundred dollars ($500).):
❑ I, as owner of ihe propeny, or my employees with weges as iheir sola compensation, WILL DO 7ME WORK, and Ihe struciure is not Inlanded or oHeretl for sale (Sec.
7044, Business entl Profossions Cotle: The Contractors License Law does not apply to an owner of property who builds or improves iheraon, end who Ooes such work
hlmseH or herself or ihrough his or he� own employeas, provided thet such improvements are not intended or oHered tor sele. If, however, the building or improvement Is
sold within one year of completion, ihe owner�bullder wlll have iha burden ol proving ihat he or she did not build or improve tor purpose of sale.).
❑ I, as owner of the pmperty, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS lo constmct the pro�ect (Set. 7044, Business entl Professions
Cotle: The comreclors License Law does not epply to en awner ot pmperty who huilds ar Improves ihereon, and who wnirects tor such project with e comraaar(s)
licen5e purSuaM to the Contratlor5 LitenSe LewS.).
❑ I em exempt under sec. Business entl Pmfessions Code for this reeson:
Signature: Date:
Owner ID venfied by anver's license. ❑ Ves ❑ No Drivars License No. Eapires:
Veriticetion ol Ownership by (type of document, i.e. - properry tex blll or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby cetlity Ihet no excavetion five (5) or more feet in deplh imo which a person is required to descend, wlll be made In connection wlih work euthonzetl by this
permit, end ihat no building structura, scettoltling, felsawork, or demolition or dismantling �hereof, will be more ihan Ihirry-six (3fi) feet high. (Chep. 3.2, Grp 2, Art 2, Sec.
341, Title B, Calltomia Atlmini5tratNe Cotle).
❑ As owner-builder, I will nol employ enyone to tlo work whic� would require a permil from the Division ot Industnel Safety, as noted ebove, unless such person hes e
pertnit to do such wark tmm ihe division.
Signature: Date:
Division of IndusMal Setety Pertnit Number.
CERTIFlCATE OF COMPLIANCE AND AUTHOR¢ATON OF ENTRV: I certily under penalry ot perjury t�at I have reatl this flpplication antl stete Ihal Ihe informaiion given is
conect. I egree Io comply with ell stete laws end city ortlinences relating to building consWction, antl euthorize representatives ot the Ciry ol Coste Mesa to enter upon the
above-descnbed property lor inspection purposes. I agree not to occupy or allow occupancy ot any building authorized by this pertnit unlil finel inspection.
COOE I. INSPEGTIOIITYGE
1616 Fixetl System Final Fire Prevention
1266
200
201
202
203
204
Pool Spa Final
Final RB-Rool
Finel Block/Reteining Well
Final Fec�ory Fire Place
Finel Sign
Final �emolition
P6IE IN1171AL5
CODE� INSPECTIONTYPE
206 Finel Mechanical
20B Finel Plumbing
270 Finel Electrical
212 Finel Fire Preventlan
220 Final Planning Approval
222 Final Site
250 FinelBuilding/Occupency
R�•l �1- • . _.
(714) 754-5273 • Faz (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:
2524 CORNERSTONE LN
NEW SFD
TPN30042
App�icant: GOODWYN, JIM
Address: 76845 VON KARMAN
STE 100
IRVINE, CA
Phone: 949-756-7373
Zip 92606
Owner: RICHMOND AMERICAN HOMES OF CALIFORNIA
Address
Phone: 949-756-7373
2ip:
Comracror: RICHMOND AMERICAN HOMES OF CALIFORNIA INC
Address: 5171 CALIFORNIA AV
SUITE 120 Phone: 949-467-2600
IRVINE, CA Zip: 92617
License: 487535
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool / Spa
Lighting Fi�As
Recept Outlels
Switches
Non Res Appl
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motoro l0 1 hp
Motors to 10hp
Motors �o SOhp
Motors to 100hp
Motors over 700hp
Gommunication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Status: I SS U E D
Applied: 06/13l2006
Issued: O6/132006
ISSUED BY:
SCOPE OF PERMIT
PHASE 1 CORNERSTONE HOMES - �
PLAN 1AR
CONSTRUCT NEW 1991SF 2-STORY SFD WITH ATTACHED 415SF ATTACHED GARAGE. 126SF ENTRY
PORCH. REF: 806-00342 '
REF:# BO6-00909
WORK TO INCLUDE: 2 LIGHT FIXTS, 6 RECEPT OUTLETS, 1 SWITCH, 1 MOTOR TO 1 HP
$23.50
$0.00
$0.00
$111.50
$0.00
$0.00
$2.20
$6.60
$1.10
$0.00
$0.00
$0.00
$0.00
$0.00
54.75
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
Quantity •
1991
0
0
2
6
1
0
'0
0
0
0
1
0
0
0
0
0
0
0
0
0
FEE SUMMARY
Temp Dist System / Lighting
Busway/100fl
Standing Section
Misc Eleclrical Equipment
Transformers up to 1 kva/kw
................up l0 10 kva/kw
.:...............up to 50 kva/kw
'� ........:..:.....up to 100 kva/kw
..................over 100 kva/kw
Low Voltage Equipment
Low Volt W iring System ! Ckf
Misc. Conduil
Misa Condudor .
Circus ( gen or ride)
Circus (mech ride or lights)
Christmas Tree Stand
FireworksStand ',
Olher Electrical Fee ��
Investigation Fee
Plan Check Fee
Reinspeclion Fee
Quantiry
$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�
$0.00 , 0
$0.00 ' 0
$0.00 0
$0.00 0
� 50.00 � 0
- 50.00 � , 0 ;
$0.00 �
$0.00
30.00
$0.00
TOTAL CALCULATED FEES E149.65
NOTICE: The work authorized by thls pertnit shall compty with all applicable harWicap access requirements under
regulatlons. (Ord. No. 92-28, § 1, 12-21-92)
El(PIRATION: This permit shall allomatica�iy explre and become void if work is not commenced within 180 days, or if�w
for e pedod ot 180 days. /'r/
arW related
is suspended or abandoned
INSPECTIONS: In order for the xrork authorized under this permit to be cnnsidered legal, such xrork mus[Lcomply with all applicable codes, arW ail
requlred Inapectlone and flnel approval must be obtalne0. Failure to obtain Inspedions and (inal approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545828
xuo-�e (eroo)
WORKERS' COMPENSATION DECLARATION:
I hereby ettirm untler penalty ot perjury one of the following declarations:
❑ I heve and wiil mainteln e cartificate ol consent to sel�-Insure for workers' compensation, es provitletl for by seclion 3700 ot the Labar Code, lor Ih0 pedortnence of t�e
work for which this permil is Issuetl.
❑ I have and wlil maintein woMers' compensetion Insurance, as reQuiretl by section 3100 of Ihe labor Cotle, for the peAormance ol Ihe work for which Ihis pertnit is issuetl.
My woJ�ers' compensetion Insyr�nce carner a �tl po•licy number ere: �•
Carrier: Ftv1nP_✓ � G/l r iTdh�L /17'Jk✓d'NG� Policy Number. 'K£S ��� ��� /�
(This secflon eed not be comp/efed i fhe Oermif is velued et one hundred tlollers ($100) or Iess.J
❑ I certity that in the peAormance of the work lor which this permit is issued, 1 shall not employ any person in eny manner so es lo become sublect to tha workers'
compensation lews of Califomie, and egree ihat if I should become sub�ect to the workers' compensation provisions oi Sectlon 3700 of t�e Lebor Code, I shell iorthwith
comply with these rovisions.
Applicant Signature: / Date: �P� %j/i% �
WARNING: FAILURE TO S U E WORKERS' CO PENSATI �COVERAGE IS UNLAWFUL AND SHALL SUflIECT AN EMPLOVER TO CRIMINAL PENA TIES AND CIVIL FINES UP TOONE NUNDRED
TFKKISAND OOLLARE (5100, , IN ADDITION TO THE COST F COMPENSATION, OAMAGES AS PPOVIDED FOR IN SECTIIXJ 3]O6 OF THE IABOR CODE, IMEREST, FND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm that I am Ilcens nd rovi " s of Chapter 9(commencing with Seaion 7000) ot Division 3 ot Ihe Business ntl Prpiessions Code, entl my license is in full
force end eNecL Lla N � Cleu # �
Contractofs Signature: — Dete:
CONSTAUCTION LENDING AG CY:
❑ I hereby aNirtn that chero is a construction lending agency br iha perfortnance oi the work for which Ihis pertnit is issued. (Sec. 3097, CiNI Code).
Lendefs Name:
Signature: _
OWNER-BUILDER OECLARA710NS:
Lendefs Address:
Date:
I hereby eHirm Ihat under penelry ot perjury thet I am EXEMPT FROM THE CONTTiACTORS LICENSE LAW for Ihe tollawing reason (Sec. 7031.5, Busineu and Professions
Cotle: Any ciry or couny which requires e permit to consirua, elter, improve, demolish, or repair any strucWre, pdor to its issuance, also requires Ihe epplicant tor such pertnit
ro file a signed slatement thet he or s�e Is Iicensed pursuant to the proNsions of ihe Comractors License Lew (Chapter 9(commencing wit� Sectlon 7000) ol Division 3 of Ihe
Business and Prolessions Code) ar thet he or sha Is exempt therefmm antl the basis for the alleged eaemption. Any violetian of Section 7031.5 by any applicant for a pertnit
subjecis ihe epplicant to e civil penelty ol nol more than five hundred dollars ($500).):
❑ I, es owner oi the properry, ar my employees wlth weges es Iheir sole compensatlon, WILL DO 7HE WORK, end the structure Is noi Intentle0 or ottered for sale (Sec.
70d4, Business and Protessions Code: The Contractors Licensa Lew does not apply to an owner oi Droperry who builds or improves thereon, and who does such work
himselt or herselt or t�rough his ar her own employees, provided that such improvemems ere not Intended or ottered for sale. If, however, ihe building or improvement is
sold within one year oi completion, the owner-builder will have ihe burden ol pmving that he or she tlid not Duiltl or improve lor puryose oi sale.).
❑ I, es owner ot the property, am EXCLUSIVELV CONTRAC7ING WITH LICENSED CONTRACT08S to construct the Droject (Sec. 70d4, eusiness end Pwfesslons
Cotle: Tha comractors License Lew does not epply to en owner of propeny who bullds or improves �hereon, end w�o comracts for such pro�ect with e contractor(s)
license pursuent to Ihe Con(ractors License Lews.).
❑ I am ezempt under sec. Business and Professions Code for ihis reason:
Signature: Date:
Owner ID veniietl by dnver's license. ❑ V05 ❑ No DnverS LiCenSe No.
Verificetion oi Ownership by (type of tlocument, i.e. - pmperty tea bill or deed):
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certity that no exwva�lon five (5) or more feet in dep�h into which e person is required to descend, wlll be made in connection with work euthoAzed by this
pertnit, and thet no builtling siructure, sceMolding, talsework, or demolition or dismantling Ihereof, will be more ihan thirty-six (38) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Tltle B, Celifomla Atlministretive Code).
❑ As owner-builder, I will not employ anyone to do work which would require a pertnit from ihe Division ol Industriel Safety, es noted ebove, unless such person hes a
pertnit to tlo such work from tha division.
Signature: Date:
Division ot Intlustrial Safery Pertnit Number:
CERTFICATE OF COMPLIANCE ANU AUTHORIZATON OF EMAY: I cehify under penalty of perjury thet I have read Ihis epplication end state that the infortnation given is
correct. I egree to wmply wlth ell state laws end city ordinances relating to building consiruction, and euthorize representatives ot ihe Ciry of Coste Mesa to enter upon ihe
abova-described property for insDection purposes. I agree noI to acupy or allow occupency ol eny building au�horized by this permit until tinal inspection.
COOEI' INSPELTMHT'YE "
1616 FIxeE Sys�em Final Fire Prevention
1266 Pool Spe Final
200 Finel Re�Raol
201 Fina181ocWRetaining Well
202 Final Fec�ory Fire Placa
203 Finel Sign
204 Final Demolition
D�TE �
CODE 1 INSPECTION TYPE
206 Finel Mechanical
20B Finel Plumbing
210 Flnel Eletlncal
212 Finel Fire Prevention
220 Finel Planning Approval
222 FinelSite
250 Flnal Builtling/Occupanq
PSTF L�IS
�J..L�LLS1�D �'�1
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
,lobAddress: 2524 CORNERSTONE LN
Suite No
Vicinity: HOUSE
Parcel Number: TPN30042
Applicant: 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:
Contredor: RICHMOND AMERICAN HOMES OF CALIFORNIA INC
Address: 5171 CALIFORNIAAV
SUITE 120 Phone: 949-067-2600
IRVINE, CA Zip: 92617
License: 487535
Status: ISSUED
Applied: O6/13/2006
Issued: O6/13/2006
ISSUED BY:
SCOPE OF PERMIT
MECHANICAL PERMIT FOR PHASE 1 CORNERSTONE HOMES
PLAN 1AR
CONSTRUCT NEW 1991SF 2-STORY SFD WITH ATTACHED 415SF ATTACHED GARAGE. 126SF
ENTRY PORCH.REF:BO6-00342 .
REF:# BO6-00909
WORK TO INCLUDE: 1 HOOD W/MECH EXHAUST, ] 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 FAU >100 k BTU
Repair/Alt Cooling/Heat
Inst / Rep. Recess Wall Htr
Refrig Sys �100 k BTU
Retrig 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 < 10000c(m
AirHandlers> 10000dm
Floor Furnace
Floor or Suspend Heater
$23.50
$14.80
80.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$10.65
$0.00
$29.00
$0.00
so.ao
so.00
50.00
$0.00
$0.00
$0.00
$0.00
Quantity.
t
0
0
0
0
0
0
0
1
0
4
0
0
0
0
0
D
0
0
e
FEE SUMMARY
Repair / Afl Absorbtion Unit
Repair / Alt Refrigeration Unit
Ventillation System
Evaporetive Cooler -
Comme rcial I ncine rato r
Domestic Incinerator
� Comoressors / Absomtion Svstems
Up to 3.hp / 100 k BTU
3To15hp/500kBTU
15 To 30 hp /:1,OOO�k BTU _ -
30 To 50 hp / 1,750 k BTU .
Over 50 hp / Over 1,750 BTU
Boilers
Up to 3 hp
3To15hp
15to30hp ' ' �
30 l0 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
$27.75 1
$0.00 0
$0.00 0
� $0.00 0
so.00 0
$0.00 0
, $0.00 0
, $0.00 0
$0.00 0
$0.00
$0.00
$0.00
rnr�i r�� rn� �rvn ocvic e�nc ,n
NOTICE: The work authoAzad by this permit shall compty with all applicable handicap access requirements under Califomie statutes and retated
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATiON: This ermit shall automatical ex Ire and become vold if work is not commenced within 160 da ��
p ry P ys„ocif vrork is suspended or ebandoned
for a perlod of 180 days.
INSPECTIONS: In order for the work euthorizetl under this permlt to be considered legal, such work mus�mply with ell eppllcable codes, and all
requlred Inepeetlone end 1lnal approval must be oblelned. Failure to obtain inspections and final approval wlll result fn the ezpirallon of thls permit.
FOR INSPECTIONS CALL: (714) 7545828
2dd&68 (8�W)
WORKERS' LOMPENSATION DECLARATION: ' � '
I hereby aMirtn under panelry of perjury one ol the tollowing tleclerations: .
❑ I heve entl will maintein a certiilcete oi consent to self-Insure for workers' compensation, as provitletl lor by section 3700 of the Lebor Code, lor Ihe pertormance of the
work for whiCh thi5 p8rmi115155ued. `
❑ I have and will maintein workers' compensation insurence, as required by section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued.
My work compensatlon Insurence carder and olicy number ere: �
Carrier. P�[j�py liYVlp �S�jNr,�y�p PolicyNumber. 6Y'�'�.��IA
(This section ne not be cromp/efed 1! fhe permif Is valued et one hunared dollars ($f 00) or less.)
❑ I certity t�at in the peAormenca of Ihe work for which this pormit is issued, I shall not employ any person in any menner so as to 6ecome sublect lo Ihe workers'
campensatlon laws of Califomia, and grea thal it I shoulC become suD�ect to Ihe workers' compensation pmvisions ol Section 3700 oi Ihe Labor Cotle, I shall torthwit�
compty with these pr visians. �1
Applicent Signeture: Date: � a(V 6
WARNING: FNILURE TO SEC WORKEAS' C NSATIO COVERAGE IS UNIAWFUL AND SHALl SUBJEGT AN EMPLOYER TO CRIMIWII. PENALTIES AND CIVIL FlNES UP TOONE MUNDRED
THOUSAND DOLLARE (5100, N ADDITIIXJ TO THE COST OF CAMPENSAiION, OAh41GES AS PROVIDED FOR IN SECTION 3IOfi OF THE LABOR CO�E, IMEREST, ANO ATTOFNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirtn lhat I am
torca end eflect. Lic. M_
Contraaors Signature:
CONSTRUCTION LENDING
9(commencing with Section 7000) of Division 3 ot t�e eusine and Professions Cotle, end my license is in full
Class a i� �
� Date: �. i� .1L
❑ I hereby attirtn ihat there is e wnstruction IenCing agency for the pertortnance of the work for which Ihis pertnit is issued. (Sec. 3097, Civil Code).
Lenders Neme: Lenders Address:
Signawre:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby atfirtn thet under penelry ot per�ury t�et I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business entl Professlons
Code: Any ciry or counry which requires e permit m canstruct, alter, improve, tlemolish, or re0air any sWcture, prior to its issuance, elso requires the applicant br such pertnit
to file a signetl statement Ihat he or she Is licensed pureuent to ihe provisions of the Contrectors License Lew (Chapter 9(cammencing wllh Sectlon 7000) ot DlNslon 3 0l the
Business and Proteuions Code) or that he or she is e:empt iherelrom and the basis tor the alleged exemption. Any violatlon ot Saction 7037.5 Dy any eppllcaN tor e permit
suhjacts the applicant to e civil penalry oi not more than five hundred dollers ($500).):
❑ I, as owner ol the propeny, or my employees with wagas as their sole compensation, WILL DO THE WORK, and the structure Is not Intentle0 or ottered lor sale (Sec.
7044, Business and Prolessions Coda: Tha Coniractors License Lew does no1 apply to an owner ot property who builds or impmves thareon, antl w�o tloes such work
himsell or he�sell or ihrough his or her own employees, provided ihat such improvemenis are not intendetl or oRered for sale. If, however, ihe building or improvement is
sold within one year of completion, the owne�-builder will have ihe burden of proving t�at he or she did not Cuiid or improve for purpose ol sele.).
❑ I, as owner ol the properry, am E%CLUSIVELV CONTqACTING WITH LICENSED CONTRACTORS to constmct tha prolect (Sec. 7044, eusiness end Professions
Cotle: The contractors License Law does not epply to an owner of property who builds or improves ihereon, entl who contrects lor such proJect with a contrector(5)
license pursuant to ihe Contractors Licensa Lews.).
❑ I am exempt under sac.
Signature:
Owner ID verified by driver's Ilcense. ❑ Ves ❑ No
Business and Professions Code for this reeson:
Vedfication ol Ownership by (cype ol document, i.e. - properry tez bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Driver'S LicanSe No.
Dete:
Expires:
❑ I hereby certify that no excavailon five (5) or more feet in depth into which a parson is required to descend, will be made In connectlon with work euihorizeC by this
permit, end that no building structure, scefloltling, lalsework, or demolition or dismantling ihereot, will ba more than ihirly-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Ttle 8, Celitomla Adminlsiretive Code).
❑ As owner-builder, I will nol employ anyone to do work which would require e Dermi� trom the Division of Industnal Sefery, as notetl ebove, unless such person hes a
permit to tlo suc� wark trom the division.
SigneWre: Dete:
Division oi Industrial Sefery Permit Number:
CER7IFlCATE OF COMPLJANCE ANo AUTHORPATON OF EMRY: I certify untler penalry of perjury thet I have read this application antl state that the infortnation given is
correct. I egree to comply wlth ell stete laws end city ordlnences relating to building construction, end eutho�ize representatives of t�e Clty ot Costa Mesa to enter upon ihe
above-descri6etl property tor inspection purposes. I egrea not to occupy or allow occupancy of any building authonzed by ihis permil until finel inspection.
CQ�E I.
1616
1266
200
201
202
203
Legal
Fixed System Final Pire Prevention
Pool SDa Final
Finel Re-Rool
Finel BIocWRateining Wall
Final Factory Fira Place
Final Sign
204 FinelDemolition'
�_piI�I:1u1L\.4'J
COpE I .INSPECTION TYPE
206 Final Mechanical
20B Finel Plumbing
210 Flnal Elecirical
212 Finel Fire Prevention
220 Finel Planning Approval
222 FinalSite
250 Final Builtling/Occupancy
11..1T�1U..{z s. ^']
(714) 754•5273 • Fau (714) 754-4856 • www.ci.costa-mesa.PLUMBING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
Appliwnt
Address:
Owner:
Address
2524 CORNERSTONE LN
GOODWYN, JIM
16845 VON KARMAN
STE 100
IRV W E, 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: 949-467-2600
Zip: 92617
License: 487535
ISSUED BY:
Status: ISSUED
Applied: O6/14/2006
Issued: O6/142006
SCOPE OF PERMIT
PCUMBING PERMIT FOR PHASE 1 CORNERSTONE HOMES � "
PLAN tAR
CONSTRUCT NEW 1991SF 2-STORY SFD WITH ATTACHED 415SF ATTACHED GARAGE. 126SF ENTRY
PORCH. REF: BO6-00342
REF:# BO6-00909
WORK TO INCLUDE: 1 BACKFLOW IRRIGATION, 1 BATHTUB, 1 DISHWASHER, 1 GAS (1-4
OUTLETS), 1 GAS SERVICE, 1 LAUNDRY TUBNJAHSER, 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 irrigalion
Backilow Preventer
Bathtub
Clarifier System
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Root
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (7-0 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oiq
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
50.00
50.00
orv
0
1
1
0
0
0
t
0
0
0
0
0
0
1
0
0
1
0
0
FEE SUMMARY
AMT
Laundry Tub / Washer $9.80
Landscape Irrigation $14.80
P-Trap . 50.00
Pressure Regulator $0.00
Process Piping (per 10 ft) � $0.00
Receptors 50.00
SepticTank , $0.00-
Sewer Cap tor Demo $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) 50.00
arv
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 (Toilet)
Water Heater! vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
Water Softener
OTHER
VIOL4TION
-PLAN CHECK
REINSPECTION
AMT
30.00
$0.00
$0.00
50.00
$0.00
$0.00
$49.00
$0.00
$0.00
$29.40
$12.30
$0.00
$0.00
50.00
$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 Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92).
EXPIRATION: This permit shall automatically expire and becwne void if work is not commenced within 180 days; or'i�rk is suspended or abandoned
for a period of 180 days. U
INSPECTIONS: In order for ihe vrork authorized under this pertnit to be considered legal, such work must comply with all applicable codes, and all
requlred inepectlona end 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
zasJe�am)
WORKERS'COMPENSAnON DECLARAnON:
I hereby aflirm under penelty of perjury one ol the following Ueclarations:
❑ 1 heve enC will maintain e cehiTicate oi consent to selt-Insure for workers' compensation, as provided tor by section 3700 0l the Labor Cotle, tor the pertormance of Ihe
work for wNth IhiS Dermit is issued.
❑ I have and will maintain workers' compensation Insurence, es requiretl Dy section 3700 of Ihe Le6or Catle, lor ihe peAortnanca of the work tor whkh this pertnit Is Issuetl.
My worker ' compensation Insurance wrder end poli number are:
� / ,` /��{'` �j
Cerner. '1��1 �A II� f'�'S�C �K�NI L� Policy Number: 1� l. ��GJ 7 d
(This section need no1 be comp/eted i/ Me permit is velued ef one hundred dollers ($100) ar less.)
❑ I certify t�at in the pedormance of ihe work Por which this pertnit Is issued, I shall not employ eny person in eny manner so as to become subject ro Iha workers'
compensation laws ot Celitornia, and egree thet If I should become sub�ect to the workers' compensation provisions of Section 3700 oi the Lebor Code, I shall fort�with
camply with �he5e provi ons. /� /D
�
Applicam Slgnature: ��+ III Dete: �! � b
WARNING FAILURE TO SEGURE RKERS' C6AAPEN�ON COVERAGE IS UNL4WFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PEN TIES AND CIVIL FINES UP TO IXJE HUNDRED
THOUSANOOOLLARE�S100,000),I DITIONTOTME TOFCOMPENSATION,DAAMGESASPROVIDEDFORINSECTION3]O60FTHELA00RCOOE,It�REREST,ANDATTORNEY'SFEES.
LICENSED CONTRACTORS DECLARATION:
I �ereby aHirtn thal I am licensed under provisi<
torce entl eNect. Lic. N_
Contraaors Signature:
CONSTRUCTON LENDING
Chapter 9(commencing with Section 7000) ol Division 3 0l the Busin s a�Q Professions Code, and my license is in full
cless a � 1
7 Date: f i.1 !J L.
❑ I hereby affirm �hat thare is a construction lending agency for ihe pertormance of the work for w�ich this Oertnit is issuetl. (Sec. 3097, Civil Cotle).
Lendefs Neme: Lentler's Address:
Signatura:
OWNER-BUILDER DECLARATIONS:
Data:
I hereby afllrtn Ihet untler penelry of perjury Ihet I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business entl Professions
Code: Any ciry or wunry whic� requires a permit to construct, elter, Improve, demolish, or repair eny structure, pdor to ifs issuance, also requires the applicant for such permit
to file a signed sietement Ihat he or she is Ilcensed pursuant ro ihe provisions oi ihe Contractors License Lew (C�epter 9(commencing with Sectlon 7000) oi DlWsion 3 ot Ihe
Business end Pmtessions Code) or that he or she is e:empt therelrom antl the basis tor the allegeG axemption. Any violation oi Section 7031.5 by eny applicant lor e permit
subjects the epplicent to a clvil penalry ot not more ihen five hundred dallers (5500).):
❑ I, es ownar ol Iha properry, or my employees wlth wages as thelr sole compensation, WILL DO T1E WORK, entl the siructure is not intentletl or oflered tor sele (Sec.
7044, Business and Pmfessions Code: Tha Cantrectors License Lew does not apPty to en owner of property who builds or impmves thereon, anC who does such work
himsetl or heroeN or Ihrough his or her own employees, provitled ihat such improvemenis are not Intentletl or oNered for sale. If, however, the building or improvement is
so10 within one year oi completion, the owner-builder will heve t�e burtlen of proving that he or she did not builtl or improve for purpose of salaJ.
❑ I, es owner ol tha properry, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS Io Construct the project (Sec. 7044, BuSiness antl Professions
Code: The contractors License Lew does not apply to an owner ol property who builds or Improves Ihereon, entl who coniracis lor such pra�ect wit� e coniractor(s)
license pursuant to Ihe Conirectors License Lews.).
❑ I am eaemp� under 5e[.
Signeture:
Owner ID vonfietl by tlriveYs license. ❑ Ves ❑ No
Business and Professions Code br this reeson:
Venficetian of Ownership by (rype ot dxument, i.e. - propeny tax bill or tlaetl):
OIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Oriver's License No.
Date:
Expires:
❑ I hereby certily thai no excavation five (5) or more teet in depth into which e pereon is requiretl to descend, will be made in wnnec�ion wi�h work authoAzed by this
permit, and that no building structure, scaHolding, talsework, or demolition or dismantling thereoi, will be more than thirty-six (36) teet high. (C�ep. 32, Grp 2, An 2, Sec.
341, Ttle B, Celifomie Adminisirative Cale).
❑ As owner-builder, I will not employ anyone �o tlo work which would require a permit Irom the Division of Industrial Safery, as noted above, unless such pereon has e
permit to tlo such work iram the division.
SignaWre: Date:
Division oi Intlusirial Satery Pertnit Number:
CERTIFICATE OF COMPLIANCE AND AllTHORIZA710N OF ENTRV: I certity untler penalry oi perjury ihat I have read this application and state Ihat the information given is
correcL I egree to comply wilh all state laws end city ordinances relating to Guilding construction, and euthodze representatives of the Clry ot Cosle Mesa lo enier upon Ihe
ebova-descnbed D�aPerty for inspection Duryoses. I egree nat to occupy or allow occupancy of eny building authorized by Ihis pertnit until final inspection.
COOE �.
1616
1266
200
Fixetl System Final Fire Prevention
Pool Spe Final
Final Re-Root
201 Final8locWRetaining Wall
202 Final Fectory Fire Place
203 Final Sign
204 Finel Demolitian
� � Date
(!y/ �
� Date
COOE1 INSYECTIONTYVE QAjg j[�$
206 Finel MOthenical �
208 Final Plumbing �
210 Final Electrical
212 Finel Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Finel Building/Occupancy
No�, 13. 2006 2:O1PM _.
_ No.3232 P. 6
:L� 31 2006 10:40Rh RICHMOfY� .�tiERiCRfI CORNERS 7146414719� P.1
INSUI.ATION CERTIFICATE IC-1
Site Addrcn
Penoll Number
2524 CORNERStONE LANE CQSTA MESA
Number �n Stroel i.iry
27
Counb Subdivislen � LatNum6c�
bescriptlon of Lttstallation
1. -vA�, GARAGE CEILING
Materiel Batts BrendName Certalnteed
Thicknesa (inches) 9_ 11Z T6ermel Resismnce (R-Valuo) R.13
2• ��Q ATTIC AR6A
Ban or Blanke� Type ennd Name
'lhicime9e (inches) Thermal Resistance (R-Ve�ue)
LoosePillType ' B�d Certainteed
ContraMnr's min Inctetled weighl/ft �Ib Minimum thiclmess _ R" inches
Meau@eture�s installed weight per cquare foot W echieve Therrnal Aasieience (R-Value) R-19
3. 87QERI0[� WALI,
Frema Type
A. Cavity lusuletion
Matulal Unfaced Batts
Thicknesc (inche�) 3 1/�"
S . ExteriorFoem Sheat6ing
Ma�erial
7Eicknesa (inche9)
4, RA7SBD PLOOft
MatesiBl
Thicknese (inchea)
BrendName Certalnteed
TheimalRais�nce(R-Velue) a_13 __
flrand Naz�1e
Themul Resietence (R•Value)
Brend Nsma
Thermal Resietence (R-
S. SLAB FLOOR/PERIt�7'ER
Meurial Bru�d Nume
Thicicness (lnehes) Themtal Resietanee (R•Value)
Pecimeter Insulation Dep�lt (inche9) _,
6. FOUNDATION WALL
Meteriel Brand Nflme
Tlticimess (inrhes) Thermel Resislance (R-Value)
Declaration
f hereby certity that thee ve � lenon wu inatalled in the Uuilding a[ Itic above locatioo {n wnfom�ente wii6 �l+e cucrenl
E�� EJj)cleney S�and to reaidential 6uildings (Tille 2A, Pat16, Califomia Cade ofReguletione) �a lediceted on IAe
CertificateofComnit , eteappjic�6le, , ,
�_a
I �em tis
Ilom Ns
11am!!n
3ign.turo, Da�c
Sign�Wrs, D7t0
1/2006
OJ I SULATION, INC
Inemlli�g Su6contracmr(Co. Nemc).OR
Grneml Conhecto� (Co. Name) OR Owntt
lnetallingSu6coofracm�(Co.�Nome OR �
Genefel Conueeror (Co. Name) OR Owner
]nem ling Subcontncmr (Co. Name) OR
Generel Contreclor (Co, Neme) OR OWntt
Gompliance Forms August 2001 A-38
ADAMS • STREETER
CIVIL ENGINEERS INC.
No��ember 17, 2006
City Grading lnspector
Cih�of Costa A1esa
Development Scrvices Department
77 Fair Drivc
Costa Mesa. C:�lilbmia 92638-1300
p5-1573
IRVINE • RIVERSIDE
Jan A. Adams • Randal L. Streeter
Subjech Cicil Engineer's Certiticalion of Precise Grading
Yroject: '1'ract No. 1(937 — Lots C, 7 and S- 13uildings 20 thruugh 31
Cornerstone at Harbor Bh'd.
Costa !14esa, Cali1'ornia
Reference: Rough Grading PermiL Number: COG-00003
Address: 2501 Harbor 13oulecard, Costa ]1�lesa, Calitbrnia
O��ner : IZichmond American Ilumes
Ceneral Contractor: Richmond American Homes
In accordancc �+�iUi Cit}' of Costa Mcsa Grading and Excavcuion Codc, and thc
rcyuiremenls of thc I3uilding Code, I ca�tify approv,il of this project as oullined above, lo
precise grade. Precise grading has becn compleled in con�ormance with appro��ed precise
grading plan for this project and in full compliance with s�id Codes. Cerlification
includes horiaontal and vertical control for draina�e derices, and positi�e buildin� pad
drainage.
"fhis appro�al docs not includ���11i;� compaction of soil, which is under thc
purvie��- uf the soil en��ineer. �N�e-`O`��pti�OHq�r�\Fc�
. �T. c ho.42615 �1 ��'I
f3v:
�1. Mohammad;ibadi, Project
Adams Strect�r Civil Ln�inecrs Inc.
Ew-3-3t-Og =/ .
/�
OF CA'-
Novembcr 17. ?00G
1261 i (Esp. 3/3 UOS)
15 CORPORAT[ pARK • IRVIN[, CA. 9260G • TeL (949) 474-2330 • Faa: j949) 474-0251
2900 ADAMS STREET, SUITE A-400 • RIVERSIDE, CA. 92504 • TeL (951) 352-4100 • Fax: (951) 352-6200
�� � � ption
� ne
co.vsoi_ri,vc crcc�vecxs PAGEIOFl
`� ` t p' STRUCTURAL OBSERVATIONEREPORT FORM `` `
'� ` . �, Y,` : ,;RICHMOND�AMERICAN.HOMES�,, HT � �; `_ 3� �
THIS REPORT NCLUDES ALL CONSTRUCTION WORK THROCIGH THE: I 5'" Dav of Scp[cmbcr 2006,
PROIECT: "Comersronz' - SPD OPTION ONE IN.: 0106-1253
LOCATION: Cos[e Mesa, California BLDG. PERMIT No.:
ONRJER: Richmond American Homes LOCATION/DIVISION�. Or;uige Coimty
ARCHITECT Basseman I.agoni Archirects ARCHITECT 1.N.�. RLA-516?
STRUCi. OBS. OF RECORD: Garv A. R1cClanahvi, P.E. LIC. or REGISTRATION Nos.: G42553
S'CAUCTURAL OBSBRVER: Mike Be�he, G:I.T. BIT-45397
OBSERVF,D STRUCTUR.IL ELE�tEM1TS & THEIR CO�'NECTIONS: COT(Sl & PHASE OBSERVED:
Inferior and Extcrior Cenerai Framing: i e, roof tmssts, roof sheafhing, Lo[ 27, Ptan IAR, 2524 Cornersrone L:�ie,
shear eleinents, hol�tlowns, tloor sheathing, floor�joists/Ewsses, bea�ns, headers; Phase l, Tram #16937, _
and genzral hardware. . � Cost1 Mesa. Califomia
OBSERVEDDEFICIENC[ES: (AnaCHaoo�zionuPqGeSrFNECessaav) [nitia!/ComoletionDate:
'I�he deficiencies and/or non-confortning i[eins no[ed during ohszrva[ion visi[ have been coaecteA d9tf/09-15-06
and installed by a collaborated effort of the projec[ superinrendent and the framino foreman.
Construction 0 HVAC Q Electricai H Plumbing �—�� � P�Y�'dCl'g �Besk
Stage: - -- � - SAear-�1�aF4s Lid(s) 9�tien
Note: When box is checked, R indicates fhaf constmction stage is in pmgress, and it has not yet been compleled at the time observalion was conducted.
� STRUCTl7RAL SYSTEM WAS V�SUALLY OBSERVED TO BE IN GENERAL WbffORMANCE WITH THE APPROVED PLANS.
❑ STRUCTURrll. DEFICIENCIES ARE OF A MNOR NATURE & MAY BE REVIEWED BY CITY BLDG MSPECTOR FOR COMPL[ANCE.
I DECLARE THAT THE FOLLOW ING STATE�tENTS ARE TRUE TO THE BEST OF MY &�'OWLEDCE & BEL[EF:
1. 1 Fv�t THE REGISTERED ENGINEER WHO HAS RESPONS[BLE CHARGE
FOR THE STRUCTURAL OBSERVATION.
2. I, OR ANOTHER QUALIFIED-CHARGE OBSERVER WH01 HAVE
DESIGNATED ABOVE AND IS UNDER MY RESPONSIBLE CHARGE,
HAS PERFORMED THE REQUIRED SITE VISITS AT EACH
SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE
STRUCTURE [S IN GENERAL CONFORMANCE WITH THE APPROVED
PLANS AND SPECIF(CATIONS.
3. ALL DEFIC[ENCIES, WHICH I DOCUMENTED, HAVE BEEN COAAECTED
UNLBSS OTHERWISE IND[CATED ABOVE.
4. ALL OBSERVED DEFICIENCES SHALL 6G CORRECTED AND
APPROVED BY THE OBSERVER PRIOR TO FMAL ACCEPTANCE OF
THE STRUCTURAL SYSTEMS BY THE BUILDING DEPARTMENT.
5. THIS REPORT IS PROVIDHD TO THE OWNER AS A PART OP THL
OWNERS OVERAI,L CONSTRUCTION QUALITY CONTROL PROGRAI"1.
6. OPTION ONE HAS PROV[DED STRUCTURAL OBSERVATION IN
ACCORDrWCE W[TH THE SEAOC RECOMMENDED GUIDELINES FOR
THE PRACTICE OF STRUCTURAL ENGINEERING IN CALIFORNIA.
" N' C042553 Z F
� E�rp.03/37/O� �
STAMP & WET SIGNATURE OF
STRUCTURALOBSERVEROFRECORD
SIGNED BY: 15ib Day of September 200G.
STROCTURAL OBSERVATION DOES NOT WAIVE THE REQUIREMENTS FOR MSPECTIONS BY CITY BUILDING
MSP2CTOR5. ALL WORK MUST COMPLY WITH THE APPAOVED PLANS AND APPLICABLE STATE � LOCAL CODES.
G:11200's1125310bservationlPhase_1150R_F_Lot 27_P1AR.tloc (Rev. 115105)
OpYion One Te1949.553.i916
Consulting Engineers 20311 Acacia St., Suite 240, Newport Beach, Ca. 92660 Fax 949.553,9720