HomeMy WebLinkAbout2527 CORNERSTONE LN - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.�tJqLDING PERMIT 77 FAIF DRIVE, COSTA MESA, CA 92626
,IobAddress: 2527 CORNERSTONE LN
Suite:
Vicinity: PHASE 2 CORNERSTONE .
Primary Occ: R3 Dwellings/ Cong Res <10 Type of Construdion: V-N
Parcel Number: TPN30050 Zoning:
npplicant: GOObWYN, JIM
Address: 16845 VON KARMAN
IRVINE, CA
Phone: 949-756-3310
Zip: 92606
owner: RICHMOND AMER�CAN HOMES OF CALIFORNIA
Address
� Phone: 949-756-7373�
Zip:
Contrador: RICHMOND AMERICAN HOMES OF CALIFORNIA INC.
Address: 16845 VON KARMAN � �
� Phone: 949-756-7373
ISSUED BY:
Status: ISSUED
Applied: 06/19/2006
Issued: O6/20/2006
IRVIN�, CA , ' , ' � -
Zip: 92606 License: 487535 � �
nrch : KENNETH NIEMERSKI Eng: GARY A MCCLANAHAN
Address: 2031 ORCHqRD DR Address: OPTION ONE CONSULTING ENGINEERS ,
SUITE 100 Phone: 949-553-9100 � NEWPORT BEACH, CA � Phone: 949-553-1916
NEWPORT BEACH CA . 20311 ACACIA SUITE 240
2ip: 92660 License: 23971,- - 92660 License: C042553
SCOPE OF PERMIT
PHASE 2 CORNERSTON� HOMES �
PLAN 2B
CONSTRUCT NEW 1947SF 2-STORY SFD WITH ATTACHED 461SF ATTACHED GARAGE. 24SF ENTRY PORCH
Plan Check: $1,Oq6.30
Permit: $1,548.15
SMIP Res: $19.83
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
FEE SUMMARY
- Calc Valuation:
- Claim Valuation:
TotaL• $2,574.28 .
PLANNING & ZONING
SETBACKS
MAINSTRUCTURE Front 200-0
ACCESSORY Front 0- 0
PARKING Ezistiha: o
Rear 15-0
Rear 0-0
Reauired: 148
Left 10-0 ' .. � Right
Left 0- 0 Right
Pr000sed: 148 -
45-0
0- 0 '
�
$198,306.48
so.00
� NOTICE: The work authorizetl by ihis permit shall comply with all applicable handicap access requirements under Califortiia�statWes•and related
regulations. (Ord. No. 92-28, § 1, 12-21-g2)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, ooif�suspended or abandoned
tor a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 754-5626
zaasas �eioo�
WORKERS' COMPENSATION DECLARATION: - '
I hereby aHirm untler penalty ot perjury one oi the following declaretions:
❑ I heve and will maintain a ceriificate oi consent to self-Insure for workers' compensation, as provided for by section 3700 ot the Lebor Code, for ihe pertormance oi the
work tor which ihis permit is issued.
❑ I have and will maintain workers' compensation insurence, as required by section 3700 of the Labor Code, tor the perfortnance of the work for which ihis permit is issued.
My wor rs' compensa�ion Ins ce carrier gnd policy number are: I/ 7� �(^
Cartier: e✓�U� � 7J�71'M,.�L�(� PolicyNumber. b �77 �J���
(This section need no! be completed il the permit is valued at one hundred dollars ($100) or less.)
❑ I certity that in the pertortnance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to ihe workers'
compensation laws i CaliFornia, nd agree that iF I should become subject to Ihe workers' compensation provisions of Section 3700 of Ihe Labor Code, I shall forihwith
comply with these p visions. ��/�
Applicant SignaNre: � Date: �/'�
WARNING:FAILURETOSEC R WOFKER �MPENS fIONCAVERAGEI5UNL4WFULANDSHALLSUBJECTANEMPLOYERTOCPIMW LPA ENALTIESANDCIVILFWESUPTOONEHUNORED
THOUSANDDOLLARE($100, ADDITIONTOTHECOSTOFCAMPENSATIQ4,DANAGESASPFOVIDEDFORINSECTIQ431WOFTHELABORCADE,IMEREST,FNOATTORNEV'SFEES.
LICENSED CONTRACTORS DECLARATION:
I here6y aHirm that I am
force and ettect Lic. a_
Contrac�or's SignaNre:
9(commencing with Section 7000) of �ivision 3 ot the Busines andProfessions Code, and my license is in full
Class k � � i
� Date: !o _ _. ..
CONSTRUCTION LENDING A23ENCY:
❑ I hereby aflirm ihat there is a constmction lending agency Por the pertormanca of the work for which ihis permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Signature: _
Lender's Address:
Date:
OWNER-BUILDER DECLAHATIONS:
I hereby aNirm that under penalty oi perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or county which requires a permit m constmct, alter, improve, demolish, or repair any simcture, prior m its issuance, also requires iha applicant tor suc� permit
to file a signed stetement Ihat he or she is licensed pursuant to the pmvisions of the Contractors License Lew (Chepter 9(commencinq with Sedion 7000) of Division 3 ot the
Business end ProFessions Code) or that he or she is e:empt theretrom end ihe basis tor ihe alleged exemption. Any violation of Section 7031.5 by any epplican[ for a permit
subjects the epplicant to a civil penalty oi not more than five huntlretl tlollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the simcture is not intended or oHered tor sale (Sec.
7044, Business and Professions Code: The Conirectors License Law does not apply to an owner ot property who builds or improves ihereon, and who does such work
himsetl or herself or through his or her own employees, provided ihat such improvements are not intendetl or oHered for sale. If, however, the builtling or improvement is
sold within one year ot completion, ihe owner-builder will have Ihe burden of proving ihat ha or sha did not build or improve for puryosa of sale.).
❑ I, as owner ot ihe property, am EXC WSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct ihe project (Sec. 7044, Business antl Protessions
Code: The contracbrs License Law does not apply to an owner of property who builds or Improves ihereon, antl who contrecis tor such prolect with a coniracbr(s)
license pursuanllo the Contrectors License Laws.).
❑ I am eaempt under sec. Business antl Protessions Code for this reason:
SignaNre: Date:
Owner ID veritietl by driver's license. ❑ Yes ❑ No Driver's License No.
Verifica�ion ot Ownership by (type ot tlocument, i.e. - propehy �ax bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
Expires:
❑ I hereby certify ihat no eacavetion five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this
pertnit, and ihat no building siructure, scaHolding, falsawork, or demolition or dismantling thereof, will be more than Ihirty-sia (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, TiHe 8, Calitornia Adminislretive Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Sefety, as noted above, unless such person has a
permit to do such work irom the tlivision.
Signature: Date:
Division of Indusinal Safery Permit Number:
CERTIFICA7E OF COMPLIANCE AND AUTHORIZATON OF ENTRY: I certify under penalty of perjury that I have read this appiication and state that the intormation given is
correct I agree to comply with all state laws and city ordinances relating to 6uilding constmction, end euthorize representatives of Ihe City of Costa Mesa to enter upon Ihe
above-described property for inspection purposes. I ag�ee not to occupy or allow occupancy of any building authorized by ihis permit until final inspection.
Legal Owner(s)
CO�E �, INSPECfIOXTYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Root
201 Final Block/Retaining Wall
202
203
204
Final Factory Fire Place
Final Sign
Final Demoli�ion
0
INTRIALS
� b Date
Date
COUEM INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Elecirical
212 Final Fire Preventlon
220 Final P�anning Approval
222 FinalSita
250 FinelBuilding/Occupancy
4sSE II1ImAL@
(�14) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesaELECTRICAL PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
2527 CORNERSTONE LN
NEW SFD
TPN30050
npplicant: GOODWYN, JIM
Address: 16845 VON KARMAN
STE 100
IRVINE, CA
Phone: 949-756-7373
Zip 92606
owner: RICHMOND AMERICAN FiOMES OF CALIFORNIA
Address
Phone: 949-756-7373
Zip:
Contractor: RICHMOND.AMERICAN HOMES OF CALIFORNIA INC
Address: 5171 CALIFORNIAAV
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#s
Recept Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motors to 1hp
Motors to 10hp
Motors to 50hp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Status: ISSUED
Applied: 06/19/2006
Issued: O6/20/2006
ISSUED BY:
SCOPE OF PERMIT
ELECTRICAL PERMIT�FOR PHASE 2 CORNERSTONE HOMES
PLAN 28 . . . �
CONSTRUCT NEW 1947SF 2-STORY SFD WITH ATTACHED 461SF ATTACHED GARAGE. 24SF ENTRY
PORCH
REF:# BO6-00969
WORK TO INCLUDE: 2 LIGHT FIXTS, 5 RECEPT OUTLETS, 1,SWITCH, 1 MOTOR TO t HP
$23.50
$0.00
$0.00
$109.03
$0.00
$0.00
$2.20
$5.50
$1.10
$0.00
$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
1947
0
0
2
5
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 Electrical Equipment
Transformers up to 1 kva/kw
................up to 10 kva/kw
.................up to 50 kva/kw
.................up to 100 kva/kw
...............:..over 100 kvalkw
Low Voltage Equipment
Low Volt Wiring System / Ckt
Misc. Conduit
Misc. Condudor
Circus ( gen or ride)
Circus (mech ride or lights)
Christmas Tree Stand
Fireworks Stand
Other 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
$o.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
$0.00
TOTAL CALCULATED FEES b146.08
NOTICE: The work authorized by this permit shall comply with all applicable hantlicap access requirements under California atatutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) f�/
EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 780 day�,if�6 work is suspended or abandoned
for a period of 1 BO days.
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspectlona antl final approval must be obtaineC. Failure to obtain inspections antl final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
2666d8 (8/00)
WORKERS' COMPENSATION DECLARA710N: � �
I hereby aHirm under penalty of perjury one of the tollowing tleclarations: •
❑ I heve end will maintain a certificate of consent to seN-Insure for workers' compensation, as provitled tor by section 3700 of the Lebor Cotle, for the peAormance of the
work for which this permit is issuetl.
❑ I hava antl will maintain workers' compensation insurance, as requirad by section 3700 of the Labor Code, for the peRortnance of ihe wofR for which this partnit is issue0.
My worke compensation Insurance c r r and policy umbar are: ���'�� /�
Cartier. �e� ��'� �e � �iN.r�vl � Policy Number.
(This section need nat be complefed i! (he permit is veluetl et one hundred dollers ($100) or less.)
� I rsrtify ihat in the peAortnance ot the work for which this pertnit is issue4 I shall not employ any person in any manner so as to become subject to the workers'
compensetion laws of CaliSomia, and agr e that if should become subject to the workers' crompensation provisions ot Section 3700 of lhe Lebor Code, I shall totlhwith
compty with these provisio� s. � ,/��
ApplicantSlgneture: Date: �%�uy
WARNING: FAILURE TO SECURE O(ERS' W� ATION EMGE IS UNLAWFUL AND SMALL SUflIECT AN EMPLOVER TO CRI NAL NALTIES AND CIVIL FlNES UP TOONE HUNDRED
THOUSANDDOLLARE�5100,000),IN � ITIONTOTHECOSTO OMPENSATION,DAMAGESASPROVIDEDFORINSECTION3lO60FTHELABORCODE,IMEREST,AN�ATiORNEV'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aMirm that I am
force antl eHacL Lia a_
Contrector's Signature:
CONS7RUCTION LENDING
Chapter 9(commencing with Section 7000) of Division 3 af the Businey6 anQ Professions Code, and my license is in full
Class k � 1
i — Date: _ .. . . .
❑ I hereby affirm that there is a constmction lending agency For the pedormance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name: Lentler's Adtlress:
Signe�ure:
Date:
OWNER•BUILDER DECLARATIONS:
I hereby aHirtn that under penalry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reeson (Sec. 7031.5. Business and Professions
Code: Any ciry or county which reQuires a permit to constmct, elter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit
b file e signed statement that he or she is Iicensetl pursuant to the provislons of tha Contrectors License Lew (Chapter 9(wmmencing with Sectlon 7000) oi Division 3 of ihe
Business end Pmfessions Code) or that he or she is exempt therefrom and t�e basis for the alleged exemption. Any violation oi Section 7031.5 by any ap0�icenl for e permit
subjects the epplicant to a civil penalty of not more Ihan five hundred dollars ($500).):
❑ I, as owner of ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, and Ihe siruciure is not intendetl or offered for sale (Sec.
7044, Business and Protessions Code: The Contractors License Law does not apDly to an owner oi property who builds or improves thereon, antl who does such work
himseN or herseN or ihrough his or her own employees, provided Ihat such improvements ere not intended or oHeretl tor sale. If, however, the building or improvement is
sold within one year of completion, Ihe owner-�uilder will have ihe burden of proving that he or she did not build or improve tor purpose of sele.).
❑ I, as owner of ihe propBrTy, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS lo consirucl the projecl (Sec. 70A4, Bu5ine55 end Professions
Cotle: The coniracmrs License Law tloes not apply to an owner of propeny who �uiltls or improvas thereon, and who contracts for such project wit� a contrador(s)
license pursuant to the Coniractors license Laws.).
❑ I am exempt under sec.
Signature:
Owner 10 verified by drivers license. � Ves ❑ No
Business and Protessions Code tor this reason:
Venfication of Ownership by (lype of document, i.e. - properry tan bill or deed):
DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICATION:
Driver's License No.
Date:
Expires:
❑ I hereby certity Ihat no excavation five (5) or more teel in depih in�o which e person is required to descend, will be made in connection with work authotlzed by ihis
permit, and lhat no building sVucWre, scaflolding, talsework, or demolition or dismantling ihereot, will be more ihan ihirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title B, Califomia Administrative Code).
❑ As owner-builder, I will not employ enyone to tlo work which would require e permit from the Division ot Intlusirial Satery, es noted ebove, unless such person hes e
permit to tlo such work from the division.
Signeture: Dale:
Division ot Indusirial Safety Parmit Number:
CERTFICATE OF COMPLIANCE AND AUTHORIZATON OF ENTRY: I certify under penalry of perjury ihat I have read this application and state that tha information given is
correct. I egree to comply with all state laws and ciry ordinances relating to building consiruction, and authonze representatives of ihe Ciry of Costa Mesa to enter upon Ihe
ebove-descnbed property tor insDection purposes. I agree not to occupy or ellow occupency of any huilding authorized by this permit until tinal inspection.
cooe �.
1616
7266
200
201
202
203
Fixed System Final Fire Prevention
Pool Spe Final
Finel Re-Roof
Final Blak/Retaining Wall
Final Fectory Fire Place
Final Sign
204 Finel Demolition
PSTE UfIII119L9
t a�
/ /� /��ate
10
Date
COpE 1 INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Final Elactrical
212 Final Fire Prevention
220 Final Planning Approval
222
250
Final Site
Final Building/Occupancy
Qeff. Irrmu�.s
l l.a {--1 SCSO_ �\
Job Address:
Suite No
Vicinity:
2527 CORNERSTONE LN
NEW SFD
Parcel Number: TPN30050
App�icane GOODWYN, JIM
Address: 76845 VON KARMAN
STE 100
IRVINE, CA
Owner:
Address:
Contractor:
Address:
MECHANICAL PERMIT
Phone: 949-756-7373
Zip: 92606
RICHMOND AMERICAN HOMES OF CALIFORNIA
Phone: 949-756-�373
Zip:
RICHMOND AMERICAN HOMES OF CALIFORNIA INC
5171 CALIFORNIAAV
SUITE 120
IRVINE, CA
Phone: 949-467-2600
Zip: 92617
License: 487535
ISSUED BY:
SCOPE OF PERMIT
MECHANICAL PERMIT FOR PHASE 2 CORNERSTONE HOMES
PLAN 2B
CONSTRUCT NEW 1947SF 2-STORY SFD WITH ATTACHED 461SF ATTACHED GARAGE. 24SF
ENTRY PORCH
REF:# BO6-00969
WORK TO INCLUDE: 1 HOOD W/MECH EXHAUST AND 1 INST FAU < 100 K BTU, 4 VENT
FAN/SINGLE DUCT AND 1 COMPRESSOR/ABSORPTION SYST 3 TO 15 HP/500 K BTU.
ISSUE FEE
Inst FAU <700 k BTU
Inst FAU >100 k BTU
Repair/Alt CoolingMeat
Inst / Rep. Recess Wall Htr
Re(rig Sys <100 k BTU
Refrig Sys >100 k BTU
Gas Piping
Factory Fireplace
Hood w/Mech Exhaust
VAV Box
Vent Fan I Single Duct
Appliance
Fire Dampers
Smoke Dampers
Inst or Relocate Appl Vent
Air Handlers < 10000dm
AirHandlers> 10000cfm
Floor Furnace
Floor or Suspend Healer
$23.50
$14.80
$0.00
$0.00
$0.00
$0.00
$0.00
so.00
$0.00
510.65
$0.00
$29.00
$0.00
$0.00
50.00
$0.00
so.00
$0.00
$0.00
$0.00
Quantity ;
FEE SUMMARY
Repair / Alt Absorbtion Unit
Repair / Alt Refrigeration Unit
Ventillation System
Evaporetive Cooler
Commercia l I n ci neretor
Domestic Incinerator
Compressors / Absorption Svstems
Upto3hpl100kBTU
3 To 15 hp / 500 k BTU
75 To 30 hp I 1,000 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 to 50 hp
Over 50 hp
Other Mechaniwl Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
Slatus: ISSUED
Applied: 06/19/2006
Issued: O6/202006
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
$27.15 1
50.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
50.00 0
50.00 0
$0.00 0
$0.00
$0.00
$0.00
r.,r.� �.�����.r�..«« .+,.�,�
NOTICE: The work authorized by ihis permit shall compty with all applicable handicap access requiremenis under Calitomia-statules and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) /
EXPIRATION: This permit shall automatically expire and become void if vrork is not commenced within 780 days, or if work�is suspended or abandoned
for a period o( 180 days.
INSPECTIONS: In order for the vrork aNhorized under this permit to be considered legal, such work must comply with ail applicable codes, and all
required Inspeettons and final apprmal must be obtained. Failure to obtain inspections and final approval will result in �he expiration of this permit.
FOR INSPECTIONS CALL: (!14) 754-5626
2aWfi (N00)
WORKERS'COMPENSATION DECLARAnON:
I herehy aHirm under penalry of Oerjury one ot ihe following declarations:
❑ I have and will maintain a cenilicate ot consent to self-Insure br workers' compensation, as provitled for by sadion 3700 of the Lebor Cotle, for the pertormance of the
work tor which �his permit is issuetl.
❑ I have antl will mainlain workers' compensation insurance, as requiretl Oy section 3700 of tha Lebor Code, lor ihe pertortnance ot ihe work tor which this pertnil is issuetl.
My worke compensation Insurence carp�J and policy n ber are: (�� ]J
Cerner. �✓�18��(M• f"/li`ti1P '�S�j�✓��A�� PolicyNumber:�i/ IpS��
(This section nee�not be completed il the pe is valuetl et one huntlred tlollers ($700) or IessJ �
❑ I certify ihat in the performance of Ihe work for which this permit is issued, I shall not employ eny person in any manner so as to become subject to the workers'
compensatlon law of Califomia, antl grae tha if I should become subject to the workers' compensation provisions ot Section 3700 of the Lebor Code, I shall forthwith
complY with these ovisiens. /
Applicant Signeture: Date: �v/'?.�/��—�
WAfiNING FAILURE TO SE WORKEPS' CO NSATI COVEiiAGE IS UNL4WFUL PND SHALL SOBIECT rW EMPLOVER TO CRIMINAL PENPLilES FND GVIL FINES UP TO IXJE HUNDRED
THOUSAND OOLLARE (5100, IN ADDITIIXJ TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOF CODE, INiEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECIARATION:
I hereby affirm that I am licensed under r visiops.ef-Chapter 9(commencing with Section 7000) of Division 3 of Ihe Busines P ofessions Code, and my license is in full
force and eNacL Lic. q Class N
Contractors Signature:, — Date:
CONSTRUCTION LENDING A CV:
❑ I here6y aHirm that ihere is a consiruction lending agency for ihe performance of the work for which this permit is issuetl. (Sec. 3097, Civil Code).
Lender's Name: Lentler's Atltlress:
Signature:
Date:
OWNER•BUILDER DECLARATIONS:
I hereby atfirm thal under penelty of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Protessions
Code: Any ciry or county which requires a Dertnit to construct, alter, improve, demolish, or repair any simcture, prior to its issuance, also requires the applicant tor such permit
to tile e signetl stetement that he or she is licensed pursuant to the provisions of Ihe Contractors Llcense Lew (Chapter 9(commencing with Section 7000) ot Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom antl the basis for the alle9ed e:emption. Any violation of Section 7031.5 by any apP�icant for a permit
sublecis tha appticant to e civil penalry of not more than five hundred doltars ($500).):
❑ I, as owner of Ihe property, or my employees with wages as their sole compensation, WILI DO THE WORK, and the structure is not Intended or oftered lor sale (Sec.
7044. Business and Professions Code: The Contractors License Law tloes noi apply �o an owner of property who builds or improves �hereon, and who does such work
himseif or herself or ihrough his or her own employaes, provided that such improvements ere not intendad or oHered for sale. If, howaver, ihe building or improvement is
sold within one year of completion, ihe owner-builder will have the burden of proving ihat he or she did no� build or impmve for purpose of sele.).
❑ I, as owner ot ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct ihe project (SacJD44, eusiness end Pmlessions
Code: The coniractors License Lew does not apply to an owner of property who builds or improves thereon, antl who contracls lor such project with a contrector(s)
license pursuant to the Contrectors License Laws.).
❑ I am exempt under sec. Business and Prolessions Code lor this reason:
SignaNre: Date:
Owner ID veritied by driver's licensa. ❑ Ves ❑ No Driver's License No. Expires:
Venfication of Ownership by (type ot tlocument, i.e. - pmpeny tax bill or tleetl):
DIVISION OF INOUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby ceriify Iha� no excavation tive (5) or more tee� in depih into which e person is required to tlescend, will be made in connection with work au�honzed by ihis
permit, and Ihat no building simcNre, scaffolding, talsework, or demoiition or dismantling ihereof, will be more than t�irty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title e, Celifornia Administretive Code).
❑ As owner�builtler, I will not amploy anyone to do work which would require a permit from the Division ot Industriel Sefery, as noted ahove, unless such person has a
pertnit ta do such work irom �he tlivision.
Signature: Date:
Division of Indusirial Safety Permit Number:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTAY: I certify under penalry of perjury that I heve read this epplication and state ihat the information given is
correct. 1 agree to comply with all state laws and ciry ordinances relating to building consWction, end euthorize representatives ot Ihe qry of Costa Mesa to enter upon Ihe
above-descnbed property for inspection Duryoses. I agree not to occupy or allow occupancy ot any building authonzed by this permit until finel inspection.
COOE 1, 1NSfYCTONTYPE -
1616 Fixed System Finel Fire Prevention
1266
200
201
202
203
204
Pool Spa Final
Final Re-Root
Final BIocWRetaining Well'
Final Facmry Fira Place
Final Sign
Flnal Demolltlon
QejF IM
Da�e
�Zo�b
Date
40DE� INSPECTIONTYPE
206 Final Mechanical
20B Final Plumbing
210 Finel Elecirical
212 Final Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
4� �
(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.€y��MBING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Viciniry:
2527 CORNERSTONE LN
NEW SFD
Parcel Nunmber: TPN30050
App�icant GOODWYN, JIM
Address: 16845 VON KARMAN
STE 100
IRVINE, CA
Phone: 949-756-7373
Zip: 92606
Owner: RICHMOND AMERICAN HOMES OF CALIFORNIA
Address
Phone: 949-756-7373
Zip:
Contractor: RICHMOND AMERICAN HOMES OF CALIFORNIA INC
Address: 5171 CALIFORNIA AV
SUITE 120
IRVINE, CA
Phone: 949-067-2600
2ip: 92617
License: 487535
ISSUED BY�
Staius: ISSUED
Applied: O6/19/2006
Issued: O6/20/2006
SCOPE OF PERMIT
PLUMBING PERMITS FOR PHASE 2 CORNERSTONE HOMES
PLAN 28
CONSTRUCT NEW 1947SF 2-STORY SFD WITH ATTACHED 461SF ATTACHED GARAGE. 24SF ENTRY
PORCH
REF:# 806-00969
WORK TO INCLUDE: 1 BACKFLOW IRRIGATION, t BATHTU8,�1 DISHWASHER, 1 GAS (1-0
OUTLETS), 1 GAS SERVICE, 1 LAUNDRY TUBNVAHSER, 1 LANDSCAPE IRRIGATION, 1 SEWER
CONNECT, 1 SEWER PRIVATE LINE, 2 SHOWERS, 1 KITCHEN SINKS, 5 WASH BASINS, 3 WATER
CLOSET, 1 WATER HEATERNENT AND 1 WATER SERVICE.
ISSUE FEE
BackOow irrigation
BackOow Preventer
Bathtub
Clarifer System
Connec� (Ice,Soda,elc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-4 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oil)
Interceptors (Sand Auto )
AMT
$23.50
$9.80
$0.00
$9.60
$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
$0.00
Qrv
0
1
1
0
0
0
1
0
0
0
0
0
0
1
0
0
1
0
0
FEE SUMMARY
AMT
LaundryTub/Washer � $9.80
Landscape Irrigation $14.80
P-Trep - , $0.00
Pressure Regulator $0.00
Process Piping (per 10 ft) $0.00
Receptors $0.00
SepticTank 50.00
SewerCapforDemo $0.00
SewerConnect $24.65
Sewer Private Line $24.65
Shower $19.60
Sink,-bar � $0.00
Sink. commercial $0.00
Sink, Floor $0.00
Sink, kitchen � $9.80
Sink, service/mop $0.00
Spa (private) $0.00
Spa (public) $0.00
QTY
1
1
0
0
0
0
p..
0
1
1
2
0
0
0
t
0
0
0
SumpPump
Swimming Pool
Trap Primer ,
Urinal
Vacuum Brkr Bkflow(1-0)
Vacuum Brkr Bkflow(5+)
Wash Basin �
Wash Basin Set
Waste and Vent System
Water Closet (Toilet)
Water Heater / vent
Water Piping pnst or Rep.)
Water Re-pipe �
Water Seivice - �
Water Softener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia
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, or it work is s sj
for a period o( 180 days. v
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$49.00
$0.00
$0.00
$29.40
$12.30
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
QTY
0
0
0
0
0
0
5
0
0
3
1
0
0
0
0
and related
orabandoned
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained. Failure to obtain inspeclions and final approval will result in the expiration of this permit.
POR INSPECTIONS CALL: (714) 7545626
2d48�4818/00�
WORKERS' COMPENSATION DECLARATION:
I here6y aNirm under Denalry ot perjury one of ihe following tleclarations:
❑ I have and will meintein a certificate of consent to self-Insure for workers' tompen5ation, as provitlatl for �y section 3700 of the Labor Cotle, lor the peAormance oF the
wark tor whiCh ihis pertnit is issuetl.
❑ I �ave and wlll maintain workers' compensation insurence, as required by section 3700 oi the LeDor Code, br Ihe peAortnance of the work for which this pertnit is issued.
My worke compensa[ion Insuren e rrier and Ilry number ere: /
Camer.�✓��C��^ �P �S�jN,✓4Nc.e PU�qNumber: by'3"i��'��—
(This sectian neetl no( be campleted i! fhe permit /s velue ef one hundred dollers ($100) or IessJ
❑ I certiy Ihat in Ihe peAortnance of the work for which ihis permit is issued, I shell not employ eny person in any menner so es to become subject to tho workers'
compensation laws f Calitomie, end egree that If I should become sublect to lhe workers' compensation provisions ol Saction 3700 of the Labor Cotle, I shall forihwith
comply with these p visions. /� �y
Applicent Signature: Date: IU�� V b
WARNING: FAILUFE TO SEC R WOPo(ER MPENS ON COVEMGE IS UNLAW FUL M'D SHALL SUBJEGT AN EMPLOVER TO CRIMINAL PENALPES AND CNIL FlNES UP TO ONE HUNDRED
THOUSANO DOLURE (5100, . N AODfTIIXJ TO TME C T OF COMPENSAiION, DAAWGES AS PROVIDED F-0R IN SECTIqJ 3]O60F THE UBOR COOE, INrEREST, AND ATTOfiNEY'S FEES.
LICENSED CONTRACTORS DECIARATION:
1 hereby attirm Ihet I em licensed under provisionsp4Chapter 9(commencing with Sectlon 7000) ol Division 3 oi �he Businessp��Prpfesslons Code, antl my license is in tull
force end eHect. Lic. q Cless a C� /
Contractors Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirm that there is a constmction lending agency for the pedormence of the work Por which this permit is issued. (Sec. 3097, Civil Cotle).
Lentler's Neme: Lontlers Address:
Signature:
OWNER-BUILDER DECLARATIONS:
Data:
I hereby aHirtn Ihet under penalty of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business end Professions
Code: Any ciry or counry which raquires a permit to con5tmct, elter, improva, tlemolish, or repalr eny SWcture, pdor ro IIs Issuance, el90 raqulres the eppliCent lor such permit
to tile e signea statement Ihat he or she Is Iicensed pursuant to ihe provisions of the Contractors License Lew (Chepter B(cammencing wlih Secllon 7000) ot DlWsion 3 of the
Business and Profeulons Code) or thet he or sha is axempt therefrom en0 the �esis for ihe elleged exemption. Any violatlon of Section 7031.5 Dy eny epplicant tor e pertnit
subjects the applicant to a civil penelry ol not more Ihan live hundred dallers ($500).):
❑ I, as owner of ihe properry, or my employees with wages es their sole compensa�ion, WILL DO THE WORK, entl t�e siructure Is not Intentled or otteretl lor sale (Sec.
7044, Business and Protessions Cotle: The Comractors License Law tloas not apDly to an owner of propeny who 6uilds or improves thereon, and who does such work
himself or herseli or throu9h his or her own employees, provitlatl that such improvements are not Intended or ottered for sale. It, however, �he bullding or Improvement is
sold within one year of completion, the owner-builder will have the burtlen oi pmving iha� ha or she did not build or improve for purpose of sele.).
❑ I, as owner of lhe properry, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to wnslruct the project (SeC. 7D44, Business Bnd Prolession5
Cotle: The contrectors License Lew does not epply to en owner of property who builds or Improves thereon, and who comrects lar such prolect with e comrador(s)
license pursuant to ihe Conirac�ors license Laws.).
❑ I am e:emp� untler sec. Business end Prolessions Code for this reason:
Signature: Date:
Owner ID verified by drivefs license. ❑ Ves ❑ No Drivers LiCense No. Expires:
Ventication of Ownership by (type of daumen�, i.e. - property tez blll or deed):
DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICATON:
❑ I hereby cehify ihat no axcavation five (5) or more feet in depth into which a person is required to descend, wlll be made in connection with work euthonzetl by this
permi�, and Iha� no building siructure, scettolding, lelsework, or demolition or dismantling Ihereof, will De more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Ar12, Sec.
341, Tlle e, Celilarnia Adminlsirelive Code).
❑ As ownar�builder, I will not employ anyone to do work which would require a permit from tha Division of Intlusirial Safery, es noted ebove, unless such person hes e
pertnit to do such work irom Iha division. '
SignaNre: Date:
Division at Indusinal Safery Permi� Num6er:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I cehity untler penalry ot perjury that I have read this epplication and state that the inlortnation given is
correct I agree to compty with all state laws and ciry ordinences relating to building construction, end euthorize representatives of the Ciry ot Costa Mesa to enter upon the
above-descnbetl property for inspec�ion purposes. I agree noI to acuOY or allow occupancy of any building euthorized by this pertni� until linel inspection.
cooe �.
161fi
1266
200
Fixed Sntem Final Fire Prevention
Pool Spa Final
Final Re-Rool
201 Final BIocWRetaining Wall
202 Final Factory Fire Place
203
204
Final Slgn
Final Domolition
Pdg It�LS
�/� n / Date
_IT L�
Date
COUE� INSPECTIONTYPE
206 Final Mechaniwl
20B Finel Plumbing
210 Final Electrical
212 Flnel Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Finel BuilEing/Occupancy
PSIE 1�
�� ,
ADAMS • STREETER
CIVIL ENGINEERS INC.
�e���„n�,� s, ,00�
City Gradino Inspector
Cit�� of Custa �lesa
Development Sen�ices Department
77 Fair Dri�c
Cost.� ivlcsa. C�ilifomia 9_6=5-1^-00
Oi-Ii73
IRVINE • RIVERSIDE
)ar� A. Adams • �andal L. Streeter
Subjech Civil Engineer's Certificatiun uf Precise Grading
Pro,ject: "fract Nu. 16')37 — Lots l, 2 and 3- I3uildings 1 through 11
Cornerstone �l Ilarbur 13hd.
Costa Il�les�. Califurnia
Reference: Nrecise Grading 1'ermit Number. (:06-0OUO3
Address: ?�O1 Harbor Boulevard, Costa ilies.i, Culifurnia
O�cner : Richmond American Humes
Ceneral Conlractur: Richmond American Homes
In accordance with City of Costa Mesa Gradine and Exc:n�tui<m Code, un� ihe
requirements of the Building Code. I certify appro��al of this pr�jcct ,is ouilined above. to
precise �rade. Precise Rradin� has hecn completed in conformance ���ith appro�ed precisc
�radin� plan for thic pi'�ject and in full compli.mce �vith s;iid Ccidec Certifir:uion
includcs horizont�l and �-crtical conh�ol for drainage de��ices_ und positi�-e building pad
draina<*e.
This approcul docs not include placement or compaction of soil, which is .under thc
purvie��- of the soil engineer. :--' -- ?':•,.
�,�c;��,�.:..,
^�`����or�,,;:;�;; _;:'`,
/ �-- `,.
� :,r;
�!�/ /•/ - Ko.425t5 G:� �
,� �;
BY: .;�.'= �. ,. ' C ' . zt�06
_. � # `..
y.., . ��
M. Mohammadahadi. Projcst. „��a�t�'�� -:;`;R�
\. " . ,,. �F���� %
_-::�
,adams Strcctcr Civil En�inecrs Inc. `
Decembcr 5, ?pp6
=12615 (Exp. 3/31/08)
15 CORPORATE P,ARh • IRVIN[, CA. 92606 • TeL (949) 47d-2330 • Fax: (9�9) 474-0251
2900 ADA�4S STREET. SUIT[ A-400 • RNERSIDE. CA. 92504 • TeL (951) 352-4100 • Fax: (951) 352-6200
� �� �ption
�� �ne
�o..sv�.rr�o c,�cr.cnn, PpGEIOFI
. _ . s,� - �.r,.�_ _... . � . _ _._'_ . , , _ ,
. ". �
�- 'STRUCTURAL OBSERVATION• REPORT FORM : '
. . ,
- ;,;RICHiVIOND AMERICAN IiOMES �<,,,,. `_, .,„ ::;
THIS REPORT [NCL,UDES ALL CONSTRUCTION WORK THROUGH THE: 2G'" Dav oPScplcmbcr 2006.
PROJECT: `Cameawnz'-STD OP"fIONONEIN.: OI06-12i3
LOCATION: CostaMzsaCaliPomia BLDG.PERMITNo.:
OWNER: Richmond.4mericanHqmes LOCATION/DNISION: OranFeCounrv
ARCHITECT: Rasscnian I.agoni Arehi[ccts ARCHITECT 1.N.: RI,A-5165
STRUCT. OBS. OF RECOAD: Gnrv A. McClanaha�i, P.E. LIC, or REGISTRATION Nos.: G425S3
STRUCTURAL OBSERVER: Mike Ilerhe. G.I.T. EIT-45}g7
OBSERVED STRUCI'URAL ELEb1E�T5 & THE[R CONYECT10N5: LOT(S) & PHASE ORSERVED:
Inleriur and Es[crior General Framing; i.e., roof trusses, roof sheathin�, Lo[ i, Plan 26, 2527 Comerstone Lane,
sheur elemcnts, holdu���ns, floor shex[hing. Ouorjois[s/Ewsses, bemns, headers, Phase 2, Trac1 #Iti937, .
and genzral hudware, Costa Mesa. Califnmia
OBSERVEDDEFICIEHCIES: �anneeaooinonuaacesiFeeeessnev/
'I'he deficiencies and/nr non-confortning irems noted during observa[ion visit have bzen cortec[ed
and�installed by a collaborated effort of the projec[ superintendent and the framing foreman.
Ini�ial / Comotetion Da[e:
MS/ 09-2G-O(
Construction �Boukle-Si�a9 0 PlywdCl'g �Besk
S�age: � HVAC � Electriwl 0 Plumbing �k Lid(s) 9�tien
Nofe� When box is checked, d indicates Ihal conslrucfion slage is in progress, and d has not yet been completed at the time observation was conducfed
� STRUCTURAL SYSTEM WAS VISUAI,I.Y 065ERVED TO BE IN GENERAL COMFORMANCE WITH THE APPROVED PLANS.
❑ STRUCTURAL DEFICIENCIES ARE OF A MINOR NATURE Sc MAY BE REVIEWED BY CITY BLDG IPISPECTOR FOR COMPLIhYCE.
I DECLARE THAT TIIE FOLLOWING STATEJIENTS ARF, TRUE TO TIIE BEST OF SIY KNON'LEDGE & RELIEF:
1. I AM THE RECISTERED ENG[NEER WHO HAS RESPONSI6LE CHARGE
FOR THE STRUCTURAL 065GRVATION.
2. 1, OR ANOTH�R QUALIFIED-CHARGE OBSERVER WHO 1 HAVE
DESfGNATED ABOVE AND IS UNUER MY RESPONSIBLE CHARGE,
HAS PERFOR�fED THE REQUIRED SITE VISITS AT EACH
SIGNIFICANT CONSTRUCTION STAGE TO VERIPY IF THE
STRUCTURE IS M GLNERAL CONFORMANCE WITH THE APPROVGD
PLANS AND SPECIFICATIONS.
3. ALL DEFICIENCIES, WH[CH I DOCUMENTED, HAVG DEEN CORRGCTED
UNLESS OTHERWISE ND[CATED ADOVE.
4. AI,L OBSERVL'-D DEFICIENCES SHALL BE CORRECTFD AND
APPROVED BY THE OBSERVER PRIOR TO FINAL ACCEPTANCE OF
THE STRUCTURAL SYSTEMS BY THE BUILDMG DEPAR7MEN'P.
5. THIS REPORT IS PROVIDED TO THF. OWNER AS A PAAT OF 7HE
OWNERS OVEFLALL CONSTRUC'f10N QUALITY CONTROL PROGRAM.
6. OPTION ONE HAS PROVIDED STRUCTURAL OBSBRVATION M
ACCORDrWCE \4ITH "CHE SEAOC RECOMMENUED OU[DELIIVES FOR
THE PRACTICE OF STRUCTURAL B�GINEERNG IN CALIFORNIA.
SIGNED BY:
�" N° C 042553 Z F_
� Exp.03/31/_ �
STAMP & WET SIGNATURE OF
STRUCTURALOBSERVEROFRECORD
26ih Dny uf Sepcembec 2006.
STRUCTURAL 06SERVATION DOES NOT WAIVE THE REQUIREMENTS POR NSPECTIONS BY CITY BUILDING
NSPECTORS. ALL WORK MUST COMPLY WITH THG APPROVED PLANS AND MPLICABLG STATE & LOCAL CODES.
G�.\1200's11253106servationlPhase_21SOR_F_Lot 5_P2B.doc (Rev. 115105)
Option One Tel 949.553.1916
Consulting Engineers 20311 Acacia St., Suite 240, Newport Beach, Ca. 92660 Fax 949.553.9720