HomeMy WebLinkAbout2528 CORNERSTONE LN - Building Permits(714) 754-5273 • Fau (714) 754-4856 • www.c�.costa-mesa.�.�LDING PERMIT 77 FAIR DFiIVE, COSTA MESA, CA 92626
JobAddress: 2528 CORNERSTONELN
Suile:
Vicinity: PLAN 3 CORNERSTONE .
Primary Occ: R3 Dwellings/ Cong Res <10 Type of Consiruction: V-N
Parcel Number: TPN30051 Zoning:
npp�icant: GOODWYN, JIM
Address: 16845 VON KARMAN
Phone: 949-756-3310
IRVINE, CA Zip: 92606
Owner: �`LVIY71E�Y1 �(/h.�r'LWJj �"Nt.S b�1.4��!!l�-� �
Address
� Phone:.��(lQ� �'1(v'%J�!�
Zip:.
Contractor RICHMOND AMERICAN HOMES OF CALIFORNIA INC
Address: 16845 VON KARMAN � - � �
Phone: 949-756-7373
ISSUED BY:
Slatus: ISSUED
Applied: 06/12/2006
Issued: O6l13/2006
IRVINE, CA - , � � _
Zip: 92606 " license: 487535 �
Arch : KENNETH NIEMERSKI eng: GARY A MCCLANAHAN
Address: 2031 ORCHARD DR Address: OPTION ONE CONSULTING ENGINEERS
SUITE �00 Phone: 949-553-9100 � NEWPORT BEACH, CA Phone: 949-553-1916
NEWPORT BEACH CA 20311 ACACIA SUITE 240
Zip: 92660 License: ��23971 '. 92660 � License: C042553
� SCOPE OF PERMIT . .
PHASE 7 CORNERSTONE HOMES ' �
PLAN 1C
CONSTRUCT NEW 1991SF 2-STORY SFD WITH ATTACHED 4155F ATTACHED GARAGE. 126SF ENTRY PORCH. REF: 806-00342
Plan Check: $1,024.50
Permit: $1,576.15
SMIP Res: $20.31
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
FEE SUMMARY
Calc Valuation:
Claim Valuation:
Total: $2,620.96
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 204 0
ACCESSORY Front 0-0
PARKING Existin : 0
Rear � "15-0
Rear 0-0
Left 10-0 .'._ ��Right 45-0
Lek 0-0 Right. -0-0�
Reauired: 148 Pr000sed: 148
$203,052.52
so.00
I NOTICE: The work aulhonzed by this permit shall comply with all applicable handicap access requirements under California statutes_aad�relate
� regulations. (Orcl. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall autometically expire and become void if work is not commenced within 1 BO days, or iLwo 'is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work euthorized under this permit to be considered legal, such work must-crom�th all epplicable codes, and all
requlred inapectlona and final approvel must be obtained. Fallure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2M&d8 (8�W)
WORKERS' COMPENSATION DECLARATION: -
I hereby aftirm under panelty of perjury one oi the tollowing tleclarations:
❑ I heve end will meinleln e certlticete of consent to sell-Insure for workers' compensation, es provitletl for by settion 3700 of lhe Lebor Cotle, far ihe pertormence ot the
work tor which this permit Is Issued. �
❑ I have antl will maintain workers compensation insurance, es requiretl by section 3700 of I�e Labor Code, lor the pertormance ot the work for which Ihis pertnit is Issued.
My worke ' compensatlon Insurence der end p�cy number are: ��' �+� �
Carrier: Q✓�W'^ p✓lH([� PolicyNumber. (7 S
(This section n no� be complefed i! fhe permif is ve/ued ef one hon�red dollars ($100) or less.) �
❑ I certiy Ihat in the performence of Ihe work for which Ihis pertnit is issued, I shell not employ any parson in any manner so as to become sublect to Ihe workers'
compensatlon laws oi Calilomia, entl egre that tl I shoultl 6ecome subject to tha workers' wmpensation pmvisions of Section 3700 0l the LeDor Cotle, I shell torthwit�
compy with t�ese provi3� ns. / /
ApplicentSigneWre: � Date: �O7�/'3 f� fJ
WARNING FAILURE TO SEGUR w�RKERS' COMP ATIXJ COV AGE IS UNIAWFUL AND SHALL SUflIECT AN EMPLOVER TO CPIMINPL PEt0ALT1E AND GVIL FlNES UP TOONE HUNDRED
THOUSAND DOLLARE (S10U.000), DDRION TO THE COST OF CO ENSATION, DMMGES AS PROVIDED FOR IN SECTION J1W OF THE IABOR CO�E, IMEREST, AND ATTORNE`fS FEES.
LICENSED CON7RACTORS DECLARATION:
I hereby attirm that I am
torce end eftecL Lic. x
Contractors Signature:
9(commencing with Sectian 7000) of Division 3 of the B
Class p
Catle, antl my license is in tull
CONS7RUC710N LENDING AGENCV:
❑ I hereby ettirtn that ihere is a wnsiruction lentling eqency lor the Oertormance of the work for which this pertnii is issuetl. (Sec. 3097, Civil Cotle).
Lender's Name:
SigneNre: _
OWNER-BUILDER DECLARATIONS:
LentleYs Adtlress:
Data:
I hereby aHirm t�a� under penalty of perjury ihat I em EXEMPT FROM TNE CONTRACTORS LICENSE LAW for the following reason (Sec.7031.5, Business antl Profeulons
Cotla: Any ciry or county which requires e Dermit to consiruct, alter, improve, demolish, or repair any structure, Pnor to its issuence, elso requires Ihe epplicant tor such permit
ro file a signed stalemeN Ihet he or she Is Ilcensatl pursuani to the provislons of the Contractors License Lew (Chepter 9(cammencing with Section 7000) 01 Dlvision 3 af the
Business end Professlons Cotle) or that he ar she Is exempl theretrom and t�e basis tor t�e ellegetl exemption. Any violation ot Section 7031,5 6y eny epplicant lar e permlt
sublecis the epplicant to e civil penelry of not more Ihen tive hundred dollars ($500).):
❑ I, es owner of ihe property, or my employees with weges es their sole compensation, WILL DO TME WORK, and �he siructure Is not in�entletl or oflered tor sele (Sec.
7044, Business antl Professions Code: The Contractors License Law does no� apply �o an owner of property who builds or improves �hereon, antl who does such work
himsetl or herseli or through his or her own employees, providetl thet such improvements are not intended or oHered for sala. If, however, the building or improvement is
sold within one yeer of complefion, the owner�builder will heve tha burden of proving that he or she tlitl no� huild or ImDrove tor purpose of saleJ.
❑ I, as owner of the property, em EXCLUSIVELV CONTRACTINC WITH LICENSED CON7RACTORS to construct the projact (Soc. 704G, Business end Prafessions
Code: The contrectors License Lew tloes nat apply to an owner oi property who �uilds or Improvas thereon, and who coniracis for such pro�ect with e coniractar(s)
license pursuant to the Contrectors License Laws�.
❑ I am axempt under sec. Business and Professions Cotle for ihis reason:
Signature: Date:
Owner ID verilietl �y tlriver's license. ❑ Ves ❑ No Driver5 LicenSe No.
Verificeiion of Owners�ip by (Iypa ai documenl, i.e. - property Iax bill or deed):
Expires:
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATON:
❑ I hereby certity �hat no ezcavation five (5) or more feei in depih into which a persan is raquired to descend, will be metle in connection with work euihonzed by ihis
pertnil, and Ihat no builtling structure, sceMolding, falsework, or demolilion or dismantling thereof, will be more Ihan �hirty-six (36) leet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Title e, Celilarnla Adminlsiretive Cotle).
❑ As owner-builder, I will not employ enyone to tlo work which would require e permit irom the Division ol Industnal Sefery, as noted ebove, unless such person has e
pertnit to tlo such work from the division.
Signature: Oate:
Division of Industnal Safery Permit Num6er:
CERTIFlCATE OF COMPLIANCE AND AUiHORVA710N OF ENTRY: I certify under penalry ot peryury that I have reatl this flp0�iwtlon end state that the intortnation given is
correct. I agree to comply wit� all state laws end city ordinances relating to builCing construction, antl euthorize representatives ol lhe Ciry oi Costa Mesa to enter upon ihe
above-descnbed property lor inspection purposes. I egree not �o occupy or allow occupancy of any building authonzed by Ihis pertni� until fnel inspection.
CODE I,
1676
7266
Fi:ed System Final Fire Preventlon
Pool Spe Finel
200 Finel Re-Rool
201 Finel BIaWReteining Well
202 Final Factory Fire Place
203 Final Sign
204 Finel Demolitlon
P� 1t�A45
'�/D� Date
�l��
/ Da�e
CODE� INSPECTONTYPE
206 Final Mec�anical
20B Final Plumbing
210 Flnel EIBdriWI
212 Final Fire Prevention
220
222
250
Final Planning Approval
Final Site
Final Building/Occupancy
9\I�I:YiiYr741
�A
�l6'i� •_
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.cPLUMBING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Viciniry:
ParcelNunmber:
Applicant:
Address
Owner:
Address
2528 CORNERSTONE LN
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:
Contraaor: 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: O6/14Y2006
Issued: O6/14/2006
SCOPE OF PERMIT
PLUMBING PERMIT FOR PHASE 1 CORNERSTONE HOMES
PLAN 1C
CONSTRUCT NEW 1991SF 2-STORY SFD WITH ATTACHED 415SF ATTACHED GARAGE. 126SF ENTRY
PORCH. REF: BO6-00342
REF:# BO6-00910
WORK TO INCLUDE: 1 BACKFLOW IRRIGATION, 1 BATHTUB, 1 DISHWASHER, 1 GAS (1-4
OUTLETS), 1 GAS SERVICE, 1 LAUNDRY TUB/WAHSER, 1 LANDSCAPE IRRIGATION, 1 SEWER
CONNECT, 1 SEWER PRIVATE LINE, 2 SHOWERS, 1 KITCHEN SINKS, 5 WASH BASINS, 3 WATER
CLOSET, 1 WATER HEATER/VENT AND 1 WATER SERVICE. '
ISSUE FEE
Backflow irrigation
BackOow Preventer
Bathtub
Clarifier System
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earihquake Valve
Gas (1-0 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oil)
AMT
$23.50
$9.80
so.00
ss.eo
$0.00
$0.00
$0.00
$9.80
$0.00
so.00
so.00
$0.00
50.00
$0.00
$6.15
So.Oo
$0.00
$9.80
$0.00
Qrv
0
�
t
0
0
0
1
0
a
0
0
0
0
1
0
0
1
0
FEE SUMMARY
AMT
Laundry Tub I Washer $9.80
Landscape Irrigation . $14.80
P-Trap $0.00
Pressure Regulator $0.00
Process Piping (per 10 ft) 50.00
Receptors $0.00
SepticTank $0.00
Sewer Cap for Demo $0.00
Sewer Connect $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
�
1
1
0
0
0
0
0
0
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 SoNener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
NOTICE: The work aulhorized by this permit shall compty with all applicable handicap access requirements under
regulations. (Ord. No. 9248, § 7, 1241-92)
AMT
50.00
$0.00
50.00
$0.00
50.00
$0.00
549.00
$0.00
$0.00
szs.ao
$12.30
$0.00
$0.00
so.00
$0.00
so.00
$0.00
50.00
$0.00
�
0
0
0
0
0
0
5
0
0
3
1
0
0
0
0
and related
EXPIRATION: This permit shall automatically e�ire and become void if work is not commenced within 180 days, or if�viork is 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�� ith all applicable codes, and all
required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR �NSPECTIONS CALL: (774) 7545626
zsae�ae �rvao�
WORKERS'COMPENSATION DECLARAnON:
1 here�y aHirm under penalry ot perjury ona of the following declarations:
❑ 1 heve end will melntein e certiFicete of consent to sall�lnsure tor workers' compensation, es provided tor by section 3700 of the Labor Cotle, for the pertortnance of the
work for which Ihis pertnit is issued.
❑ I have and will maintain workers' compensetion Insurence, as raquired by section 3700 of the Labor Cotle, tor Ihe peAormance of lhe work tor which this pertnit is issued.
My worke compensation Insurance� rrle"r"en�d poll number era: r /
Cerriar. P✓�lat E�r .� 1/vdrt.{ PolicyNumbar. (9y���(�
(This section ne not be complefed il (be p8rmlt !s velued af one hundretl dollers ($100) or less J � '
❑ I certily that in the peAormenca oi the work tor which Ihis permit Is Issuad, I shell not employ eny parson in any menner so as to becoma subject to the workers'
compensation laws of alllomia, and agree the� If I should become subject to t�e workers' compansation provisions ol Section 3700 oi the Labor Code, I shall forthwlth
comply with Ihese pro sions�. /
Applicant Signature: � Dete: _ 4N� �/f� b
WARNING: FAILURE TO SECU ORKERS' COM ATIO OVERAGE I$ UNLAWFUL PNO SHALL SUBJECT AN EMPLOVEP TO CRIMINA PENA ES AND CIVIL FINES UP TO ONE HUNORED
THOUSPNDDOILARE(5100.000 1 ADDRIONTOTMECOSTOFfAMPENSATION,DAMAGESASPFOVIpEDFOqINSECTION3]O60FiHElABORCOpE,IMEREST,ANDATTORNEY'$FEES.
LICENSED CONTRACTORS OECLARATION:
I hereby aMirm that I am
force and eXect. Lla k_
Contractor's Signature:
Chapter 9(commencing wiM Section 7000) of Division 3 oi Ihe B
� c�ess a
Cotle, and my license is in full
CONSTRUCTION LENDING AI�FJJCV:
❑ I hereby aHirtn that ihere is e wnsWction IenGing agency for Ihe pedormance ot the work tor which ihis pertnit is issued. (Sec. 3097, Civil Code).
Lentlefs Neme:
Signature: _
OWNER-BUILDER DECLARATIONS:
Lentler s Atltlress:
Date:
I hereby atfirtn that under penalry ot perjury thet I em EXEMPT FROM TME CONTfiACTORS LICENSE LAW lor the following reason (Sec. 7031.5, Busineu end Professions
Code: My ciry or counry which requires e pertnit to construct, alter, improva, demalish, or repair eny strucWre, pnor to its issuance, also requires the appliwnt for such permit
to file e signed statement that he or she is Ilcensed pursuant to Ihe provisions ot the Coniractors License Lew (Chapter 9(commencing with Section 7000) of Division 3 oi the
Business and Prolessions Code) or t�et he or she is axempt therefrom entl the Desis tor the alleqed e:emptlon. Any violatian of Section 7031.5 by any epplicant for a permit
su6jects the aOP�icant to e civil penaly oi nat more Ihan live hundred dollers (E500).):
❑ I, as owner of the property, or my employees with wages es their sole compensation, WILL DO THE WORK, and the structure Is not intendetl or ottered for sale (Sec.
7044, Business and Professions CoOe: The Contractors License Law does not aDPly to en owner ot properry who builds or improves thereon, and who does such work
himself or herself or Ihrough his or �er own employees, providetl that such improvements are not intended or ottered for sale. tl, however, the bullding or imp�ovement is
sold within ona year ot completion, the owner-builder will heve the 6urden of proving that he or she tlid not Duild or imprwe tor purpose of sale.j.
❑ I, as owner ol the properry, am EXCLUSIVELV LONTRACTING WITH LICENSED GONTRACTORS to consirucl the project (Sec. 70d4, Business end Professions
Code: The contractors Llcense Lew does not epply to an owner ol propeny wha builds ar improves thereon, an0 w�o contracts for such project wlth a comractor(s)
license pursuant to the Contractors License Lews.).
❑ I am exempt under sec. Business end Prolessions Code lor Ihis reason:
Signalure: Date:
Owner ID verilied by driver's license. ❑ Yes ❑ No Dnvefs Licanse No.
Veritication ol Owners�ip by (lype ot document, i.e. - pwpeny tax bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
Expires:
❑ I hereby certify thet no excevetion five (5) or more lee� in depth into which a person is requiretl to tlescend, will be made in connection with work euthonzed by ihis
pertnit, and that no builtling structure, swttoltling, lelsawork, or aemolition or dismamling thereof, will De more ihan thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, Califomla Administretive Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permil Irom ihe Division ol Indusirial Safery, es noted a6ove, unless such person hes e
pertnll Io tlo 5uch work irom the division.
SignaWre: Date:
Divislon oi Intlustrial Safaty Permit Number:
CERTIFlCA7E OF COMPLIANCE AND AIJTHOflRA710N OF ENTAY: I certity under penalry of perjury ihai I have reatl ihis application end state Iha� ihe infortnation given is
wrtecL I egree Io comply wit� atl state laws enC city ordinances releting to building construction, en0 euthonze representatives of ihe Ciry of Costa Mesa to en�er upon the
ebova-descn6ed property lor inspection purpases. I egree not to occupy or allow occupancy of eny building au�horized by this pertnit until final inspection.
COOE I,
1616
1266
200
207
202
203
204
Fixetl System Finel Fire Prevention
Pool SDe Finel
Finel Re-Roof
Finel BIaWRetelning Well
Final Fectory Fire Place
Finel Sign
Final Demolition
��]11tl
Date
��D �
oate
�� � �QQF! INSPECTIONTYPE '
206 Final Mechanical
208 Flnal Plumbing
210 Final Electncal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 FinelBuilding/Occupancy
� _ 1 .1111.
iA�, :. �
(714) 754-5273 • Fax (7/4) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address:
Suite No
Vicinity:
2528 CORNERSTONE LN
NEW SFD
Parcel Nunmber. TPN30051
qpp�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:
Status: ISSUED
Applied: O6/13/2006
Issued: O6/13/2006
ISSUED BY:
Contractor. RICHMOND AMERICAN HOMES OF CALIFORNIA INC �, �
Address: 5171 CALIFORNIAAV ' � � � �
SUITE 120 Phone: 949-067-2600 � � � �
IRVINE, CA Zip: �92617 � '
License: 487535
SCOPE OF PERMIT
PHASE 1 CORNERSTONE HOMES - ,
PLAN 1C - . . . , . .
CONSTRUCT NEW 1991SF 2-STORY SFD WITH ATTACHED 415SF ATTACHED�GARAGE. 126SF ENTRY
PORCH.REF:BO6-00342 �
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool / Spa
Lighting Fixts
Recept Outlets
Swilches
Non Res Appl �
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motors to thp
Motors to tOhp
Moiors to SOhp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
REF:# B06-00910
WORK TO INCLUDE: P LIGHT FIXTS, 6 RECEPT OUTLETS, 1 SWITCH, 1 MOTOR TO 1 HP
$23.50
$0.00
$0.00
$111.50
so.00
$0.00
$2.20
$6.60
$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
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 Syslem / Lighling ;
- - Busway/100ft . -
Standing Section
Misc Electrical Equipment
Transtormers upto 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 System / Ckt-, �
Misc. Conduit
Misa Condudor
Circus ( gen or ride)
Circus (mech ride or lights) �
' Christmas Tree Stand� . �
Fireworks Stand � , �
Other Electrical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
$0. W `/ 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"
50.00
$0.00
TOTAL CALCULATED FEES $149.65
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia`-slatules 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,-or if w/uspended or abandoned
for a penod of 180 days. /'�
INSPECTIONS: In order for the work authorizetl under this permit to be considered legal, such vro� must comply with all applicable codes, and all
requlred Inapeetlons and finel epprovel must be obtained. Failure to obtain inspeclions and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
24a6�a8�6U0)
WORKERS'COMPENSATION DECLARAnON:
I hereby eHirm under penalty of perjury one of the lollowing declaretions:
❑ I have antl wiil meintain e cenilicete of consenl to salf-Insure for workers' compensation, es provided for by section 3700 Of ihe Labor Code, tor ihe pertormance of Ihe
work tor which this permit is issued.
❑ I �ave and witl maintain workers' compensalion Insurence, as requi�ed by section 3700 of the labor Cotle, for the peAormance oi tha work lor which Ihis pertnit is issued.
My wor ers' compensatlon Insurance carrie end pollcy num6er era: � I� /�
Carner: ✓jGLr P �✓1!� PolicyNumber: � b
(This sectlon need nat be cromple ed I�elued ef one undre�00) or /ess.J �
❑ I certify thet in the performence ol ihe work for which this permit is issuad, I shell not employ eny person in eny manner so as to become sublect to the workers'
compensetlon laws of Calitomie, end e ree thet il I should becoma sub�ect to t�e workere' compensetion provisions ot Section 3700 of the Labor Code, I shall lorthwith
camply wilh ihese provi, on5.
Applicant Signature: Date: �'�/� b
WARNING: FAILURE TO SECUR W�RKEFS' COM SATION VEPAGE IS UNIAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND pVIL FINES UP TOONE HUNDFED
TTKKISANDDOLURE(S10D,000). D�ITIONTOTHEWSTOFCOMPENSATION,OAMAGESASPiiOVIOEDFORINSECTION3'1060FTHElABOiiCOOE,IMEREST,ANDATTORNEV'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aRirm that I am licensad n r pro y{�s hapter 9(commencing with Section 7000) of Division 3 of Ihe Busines anc�Protessions Cotle, end my licensa is in full
force antl eflect. Lic. a j Class a �
ConlractoYs Signature: Date:
CONS7RUCT10N LENDING AGE
� 1 hereby eHirm thet there is a conswction lending egency far the pedortnance of the work br which �his Dermi� is issued. (Sec. 3097, Civil Code).
Lenders Name: Lendefs Address:
Siqnature:
OWNER-BUILDER DECLARATIONS:
Oate:
I hereby attirtn Ihat under penalry oi perjury that I am EXEMPT FROM 7ME CON7RAC70RS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Buslness end Professions
Cotle: Any ciry or county which requires e pertnit to construct, alter, improve, tlemolis�, or repair eny structure, Dnor to its issuance, also requires t�e epplicant for such permit
to tile e signed statement t�et he or she is Iicensed pursuanl ta the provisions ot t�e Contreaore License Law (Chapter 9(wmmencing with Section 7000j of DiNslon 3 of the
Busineu entl Professians Code) or thet ha or she Is exempt Iherefrom and Ihe basis lor the elleged exemption. Any violation oi Section 7031.5 by eny appliwnt for e pertnit
subjects the epplicanl lo a civil penelry of not more Ihen ilve hunCretl tlollars ($500).):
❑ I, es ownar of ihe properry, or my employees with weges as their sole compensa�lon, WILL DO 7HE WORK, and Ihe structure is noi intentlad or oflered tor sale (Sac.
7044, Business end Professions Code: The Coniractors License Law tices not apply to an owner of properry who builds or improves thereon, antl who does such work
himself or herself or ihmugh his or her own employees, providetl Ihet such improvemeNs are not intentletl or offered for sale. It, however, the buildinq or improvement is
sold within one year ol completioq the owner-huilder will heve the burden of proving that he or she ditl not Euild or improve for purpose ot sale.).
❑ I, as owner ot Iha property, am E%CLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to wnstruct the project (Sec. 7044, Business and Professions
Code: The wntractors License Lew does not eppy to an ownar ol property who builds or Improves Ihereon, antl who contracis tor such pmlec� with a contractor(s)
license pursuant to the Comractars License Lews.).
� 1 am exempt untler sec. Business nnd Professions Code tor lhis reason:
Signature: Oate:
Owner ID veritiad by dnvers Iicense. ❑ Yes ❑ No Drivefs License No.
Venfcation ot Ownership by (rype ol daument, I.e. - pmpeny tax blll or tleetl):
Expires:
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N:
❑ I hereby cehify that no oxcavation tive (5) or more teet in depih Into which e person Is requlred to descend, will be made in connection with work authorized Dy ihis
pertnit, end ihat no huilding siructure, sceHoltling, talsework, or demolltion or dismantling thereoi, will be more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle 8, Califomia Adminisiretive Cotle).
❑ As owner-builtler, I will not employ enyone to do work w�ich woultl require e permlt irom ihe Oivision of Industrial Safery, as noted ebove, unless such person hes a
permit to do such work Irom the tlivision.
Siqnature: Date:
Division oi Induslrial Selety Permit Number:
CERTIFlCA7E OF COMPLIANCE AND AIJfHORVATON OF ENTRY: I cenify untler penalty of perjury that I have read ihis application antl state that the information given is
correct. I egree to comply wlih all steta laws end clry ordinances relating to buil0ing construction, and euthonze representatives ot Ihe Ciry oi Cosia Mesa lo enier upon the
ebove-descnhed property tor Inspection purposes. I egree nol to occupy or allow occupancy ot any building authorized by this permit until tinal inspection.
GOOE �. INSPEC110MA'YE
1616 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Final Ra-Root
201 Final BIocWRetaining Wall
202 Final Factory fire Plete
203 Finel Sign
204 Final Damolition
�. :
� %�I
�.:
pdg IM(fIALS � cooer msveenoNme
206 Final Mechanical
200 Final Plumbing
210 Finel Eletlrical
212' Finel Fire Preventian
220
222
250
Final Planning Approval
Final Sita
Final Building/Occupancy
�•T\I�Cii�il.IFi
ZZ 4 l��v'�
(714) 754-5273 • Fex (714) 754-4856 • www.ci.coste-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2528 CORNERSTONE LN
Suite No
Viciniry: HOUSE
Parcel Number: TPN30051
Applicant:
Address:
Owner:
Address:
MECHANICAL PERMIT
GOODWYN, JIM
16845 VON KARMAN � � � � -- �
STE 100 - � . - Phone: 949-756-7373�
IRVINE, CA , Zip: 92606 "
RICHMOND AMERICAN HOMES OF CALIFORNIA
� r
Phone: 949-756-7373 '-� ,
Zip:
Comractor: RICHMOND AMERICAN HOMES OF CALIFORNIA INC
Address: 5171 CALIFORNIAAV
SUITE 120 Phone: �949-467-2600
IRVINE, CA Zip: 92617
License: 487535
Status: ISSUED
Applied: O6/13/2006
Issued: 06/13/2006
ISSUED BY:
SCOPE OF PERMIT
PHASE 1 CORNERSTONE HOMES ' � �
' PLANIC . . -�� . . , .
CONSTRUCT NEW 1991SF 2-STORY SFD WITH ATTACHED 415SF ATTACHED GARAGE. 126SF ,
ENTRY PORCH. REF: BO6-00342
REF:# BO6-00910
WORK TO INCLUDE: 1 HOOD W/MECH EXHAUST, 1.INST FAU'< 100 K BTU, 4 VENT
FAN/SINGLE DUCT AND 1 COMPRESSOR/ABSORPTION SYST 3 TO 15 HP/500 K BTU.
ISSUE FEE
Inst FAU <100 k BTU
Inst FAU >100 k BTU
Repair/Alt Cooling/Heat
Inst / Rep. Recess Wall Htr
Retrig 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 < 10000cfm .
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,
$0.00 -
$29.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantity.
FEE SUMMARY
, � Repair/AltAtisorbtionUnit
Repair I Alt Refrigeration Unil
Ventillation System
Evaporative Cooler
Com me rcial.l nci nerator
„ Domestic Incineretor
' � �. Comoressors / Absorotion Svstems
Up to 3 hp / 100 k BTU
3To15hp/SOOkBTU
- 15 To 30 hp /'],000 k BTU - �,
30 To SO�hp / 1,750 k BTU "
Over 50 hp / Over 1,750 BTU -
Boilers
Up to 3 hp
3To15hp
: 15 to 30 hp .,
- 30 to 50 hp � � � �
Over 50 hp . '
Other Mechanical Fee
- Investigation Fee "
� Plan Check Fee , -
Reinspection Fee -
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$27.15 1
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
; � �' $0.00 0
�, ,' $0.00 0
$0.00 0
$0.00
$0.00
$0.00
T/�TA1 /��1/�11111TCnCCCC [�IflC�I�
NOTICE: The vrork aulhorized by this pertnit shall comply wilh ali applicable handicap access iequirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) �
EXPIRATION: This permit shall automaticalty expire and become void if work is not commenced within 180 days, or if work-'s'suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permN to be cronsidered legal, such vrork must�mply with ali applicable codes, and all
required Inspections and flnal approval must be obtained. Failure to oblain inspections and final apprwal w II �resuft in the expiration of Ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
a�ewe Ifl�m)
WORKERS' COMPENSATION DECLARATION:
I hereby aNirm untler penalty of perjury one of the tollowing tleclarations:
❑ I heve end will meintain e certiticate of consent to self-Insure for workers' compensation, as provided for by section 3700 ot ihe Lahor Code, for the peAormance of ihe
work for which this permit is issuetl.
❑ I have antl will maintain workers' compensation insurancye, as required by section 3700 of tha Labor Cotle, for the peAormance of the work tor which this pertnit is issued.
My work s' compan�e c� arner antl polic num6er are: �y ��� C/�
Carrier: v�12✓ �t�-- Y�^`^� �r��Ik�ILiCy Polic
{ � —' P�_,_1 f y Number:
(Tbis secf/on ne d not be complefed il fhe permif is veluetl at one hundred dollars ($f00) ar less.)
❑ I certity ihat in ihe peAormance of the work for which this permit is issued, I shall not employ any person in eny manner so as to become subject to the workers'
compansetion laws of Calitornia, and a ee that il I should become subject to the workers' compensetion provisions of Section 3700 of the Labor Code, I shall forthwith
complywiththesepro ions. � /�/��
Applicant Signature: Dete: �
WARNING: FAILURE TO SECU 'lORKERS' CO NSATI� OVERAGE I$ UNLAWFUL AND SHALL SUBJEGT AN EMPLOVER TO CRIMINAL PE TIES AND GVIL FlNES UP TOONE HUNDRED
THOUSANDDOl1ARE($100,000 I ADDITIqJTOTHECOSTOFCOMPENSATIIXJ,�AMAGESASPROVI�EDWRINSECTION7/O60FTHELABORCODE,IMFAEST,ANDATTORNEY'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm �hai I am
forca antl eHect. Lic. A_
Coniractor's SlgnaNre:
CONSTRUCTION LENDING
Chapter 9(commencing with Section 7000) of Division 3 of ihe Busin�ss ar� P=ofessions Cotle, antl my license is in full
Ciass a �!� I
Aa �/ Dete: ( • � /i b
❑ I hereby attirm that there is a consiruction lending agency for the pedormance of Ihe work for which this permit is issued. (Sec. 3097, Civil Code).
LendeYs Name: Lenders Address:
Signatura:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby atfirm Ihat under penalry of perjury Ihat I em E%EMPT FROM TME CONTAACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business end Professions
Code: Any city or county which requires e pertnit to con5lruct, elter, improve, demolish, or repeir eny siructure, prior to iIs issuance, also raquires Ihe applicent for such permit
to tile a signed stetement ihet he or she is licensed pursuem to ihe pravisions oi the Contreaars License Lew (C�epter 9(commencing with Section 7000) oi Division 3 of the
Business antl Prolessions Code) or ihat he or she is a:empt therefrom end the basis for the alleged eaemption. Any violation of Section 7031.5 by any applicent for a Oertnit
subjecis the a0�licant to a civil penalry ot not more than five huntlred tlollars ($500).):
❑ I, as owner ot the pmperry, or my employees with wages as t�eir sole compensation, WILL DO TME WORK, and t�e sWCNre is not intended or oflared for sala (Sec.
7044, Business and Protessions Code: The Coniractors License Law does not apply to an owner of property who 6uilds or improves ihereon, antl who does such work
himself or herselt or ihroug� his or her own employees, provided ihat such improvemenis ere not imended or oMeretl for sale. If, however, Ihe building or improvement is
sold within one year of completion, the owner-builder will have the burden of proving Ihat he or she did not build or improve for purpose of saleJ.
❑ I, as owner of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business antl Protassions
Coda: The contractors Licanse Law does not epply to en owner of property who builds or improves thereon, antl who contrects for such project with a coniractor(s)
license pursuant to ihe Conlractors License Laws.).
❑ I em exempt under sec. Business antl Pmfessions Code for this reeson:
Signature: Date:
Owner ID venfied by driver's license. ❑ Yes ❑ No Drivefs License No. Expires:
Venfication of Ov+nership hy (type of dwument, i.e. - property tez bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify ihat no excavation five (5) or more teet in depth into which a person is required to descend, will be made in connection with work authorized by Ihis
permit, and ihat no builtling siructure, scattolding, falsework, or demolition or dismantling ihereof, will be more Ihan ihirty-six (36) feet high. (Chap. 3.2, Grp 2, A� 2, Sec.
341, Title 8, Calitomia Administrative Code).
❑ As owner-Duilder, I will not employ anyone to tlo work which woultl require a permit irom the Division of Indusirial Safety, as notetl above, unless such person has a
permit to do such wark irom the division.
Signature: Date:
Division of Industrial Satety Permit Number:
CERTiFICATE OF COMPLIANCE AND AUTHORIZATON OF EHTRY: I cenity under penalry of perjury that I have reatl t�is application and state Ihat tha infortnation given is
correct I agree to comply with all state laws and city ortlinances releting to building conswction, end authorize representatives ot ihe Giry of Costa Mesa to emer upon the
ebove-described property tor inspection purposes. I agree not to occupy or allow occupancy of any building euthorized by t�is permit until final inspection.
GOUE �. INSPECTONTYPE
1616 Fi:etl System Final Fire Prevention
7266 Pool Spe Final
200 Finel Ra-Rooi
207 � Finel Blak/Retaining Wall
202 Final Factory Fire Place
203
204
Finel Sign
Final Demolition
p� IN7IiIRLS
�/�/r� Date
Date
CODE 1 INSPEC110N TYPE
20fi Finel Mechanical
20B Final Plumbing
210 Final Electrical
212 Final Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Final Builtling/Occupancy
111 _ ,
� � .:��
ADAMS • STREETER
CIVIL ENGINEERS INC.
November 17, 2006
Cit�� Grading lnspector
Cih of Costai Dlesa
Developmenl 5ervices Dcpat7ment
77 Fair Dri��c
Costa \qesa. C:+lifo�i�ia 93625-1200
IRVINE • RIVERSIDE
)an A. Adams • Randal L Streeter
Subject: Ci�'il Engineer's Cerlilication of Nrecise Grading
Project: 'fract No. 16937 — I.uls G 7 and S- Buildings 20 Uirough 31
Curnerstmie at Harbor 13hd.
Costa �lesa, California
Keference: Ruugh Grading Purmil Number. CO(-000113
Address: 2�01 Hurbor Boulecard, Costa ��les:�, California
U��ncr : Richmond"Amcrican Ilomes
General Cunlrac�or: Richmond American liomes
In accord�incc with City of Cost,i Mcs� Grading and Exca<�ution Codc, und thc
requiremcnls uf �he Building Codc, I certil)• appru�:il uf this prujcct as outlined above, tu
precise �r.ide. Precise grading has hecn completed in conformance ���ith appro��ed �rccisc
grading�plan tor Ihis pruject and in full compliance �vith stiid Codes. Certifiaition
includes horirontal and ��c�tic:il conuol for drain:i��c de��ices, «nd posili�'e buildin� ptid
drai nage.
"fhis approval does not indu� �Ff�S�ld�-�� compuclion of soil. which is uncier ihe
pun�ie�v of the soil en�ineer. /��P1, �OMOHq�r�� f•Fc,
(w c No.42615 �} 9'I
I3 v:
. -
�1. iVlohammudabadi, Project
Adams Strecler Civil Ln�inecrs Inc.
Exp.3�31�C8 `f
i *
OF ( pV�/
;r�:c:�� RCL#: �1Z61� (L.�p.3/31/03)
15 COKPOR�I7E PAItK • IRVIN[, Cn. 92G06 ' TeL (949) 474-2330 • Fax: (949) =l74-0251
2900 AD,1MS STR[ET, SUITE A-400 • RNERSIDE, CA. 9250�i • Tel: (951) 352-4100 • Fax: (951) 352-G200
�ption
�ne
�omev�.,�,•c e��.r,rcnxs PAGEIOFI
THIS REPORT RJCLUDES ALL CONSTRUCTION WORK THROUGH TFIE: I S`" Dav of Scp�cmhcr 2U06.
PROJECT: `Cumerstone"-SPD OPTION ONE1N.: O106-12�3
LOCATION: Costa Mzsa, Califomia BLDG. PERMIT No.:
OWNER: Richmond American Homes LOCATION/DIVISION: Orange Couory
ARCHITECT: Rasscnian I,agoni Architcc�s ARCHITECT 7.N.: RI.A-5165
STRUCT. OBS. OF RECORD: Gnry A. McClanaha�i, P.E. LIC. or REGISTRATION Nos.: G42553
STRUCTURAL OBSERVER: Mike 6erhe, GI.T. EIT-45397
ORSERVED STRUC7'URAL ELEM1IE\TS S THEIR WYYECTIONS: LOT(S) & PHASE OBSERVED:
Interior and Extcrior C,enerAl Framing; i.e., roof Imsses, roof sheathing, Lo[ 24, Plan IC, 2523 Comea[one L�me,
shear elements, holJowns, floor sheu[hing, floorjoists/Nesses', be�uns, headers, Pho-ue I, Trec� klti9J7,
and general hardwarc. � Cos[a Mes� Califomia
�BSERVEDDEFICIF,\CIE$: (ARACHAO�IiIONALPAGESIFNECESSARh - , Initial/COmDlelionDatP:
"f he deticiencies and/or nomconforming items noted during obsirvation visit have haen correctcd A1R/09-15-Ufi `
and installed by 1 collaborated effort of Ihe prqjec[ superin[endent and the framine foreman.
Construction p HVAC � Electrical � Plumbing �—�'���� � P�Y�'d CI'g 6--Besk
Stage: Sheao-lBatFs Lid(s) 9�Fien
Note: When box is checkeq il indicafes thaf consfruction stage is in progress, and d has nof yef been completed at the fime observalbn was cronducted.
0 STRUCTURAL SYSTEM WAS VISUALLY OBSERVED TO BE M GENERAL COHffORMANCE WITH THE APPROVED PLANS.
❑ STRUCTURAL DEF�C[ENCIES ARE OF A h1INOR NATURE & MAY BE REVIEWED BY CITY BLDG MSPECTOR POR COhfPLIANCE.
I DF,CLARE THAT THE FOLLON'INC STATEMENTS ARE TRUE TO THE BEST OF M1IY KNOWLEDGE & BEI,IF.F:
1. f AM THE REGISTERED ENGINEER WHO HAS RESPONSIBLE CHARGG
FOR THE STRUCTURAL OBSERVATIODI.
2. I, OR rWOTHER QUALff1ED-CHARGE OBSERVER WHO I HAVE
DESIGNATED ABOVE A:VD IS UNDER MY RESPONSIBLE CHAAGB,
HAS PERFORMED THE AEQUIRED SITE VISITS AT EACH
SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE
STRUCTURE IS W GENERAL CONFORMANCE WITH THE APPROVED
PLANS AND SPHCIFICATIONS.
7. ALL DEFICIENCIES, WHICH I DOCUMENTED, HAVG BEEN CORRECTED
Wi LESS OTHERWISE MDICATED ABOVE.
4. ALL OBSERVED DEFICIENCES SHALL BE CORRECTHD AND
APPROVED BY'fHE OBSERVER PRIOR TO FMAL ACCEPT.4NCE OF
THF. STRUCTURqL SYS7'EMS BY THE BUILDMG DEPARTMENT.
5. THIS REPORT IS PROV[DGD TO THE OWNER AS A PART OF TFIE
OWTIERS OVERALL CONSTRUCTION QUALITY CONTROL PROGRAM.
6. OPTION ONG HqS PROVIDED STRUCTURAL OBSERVATION M
ACCORDANCG lV1TH THE SEAOC RECO�iMENDED GUIDELINES FOR
THE PR.4CTICE OF STRUCTURAL ENGINEERING fN CALIFOR�IA.
" N° t�042553 � F
� Exp.03/31/Oa �'
STANP & WET SICNATURE OF
STRUCTUIiAL OUSERVER OF RECORD
SIGNED DY: 15"' Day of Septembet?00G.
STRUCTURAL OBS�RVATION DOES NOT WANE THE AEQUIREM1fENTS FOR INSPECTIONS BY CITY BUILDMG
MSPECTORS. ALL WORK MUST COMPLY WITH THE APPROVED PLANS AND APPLICABLE STATE & LOCAL CODES.
G:11200'S1125310bservationlPhase_11SOR_F_Lot 24_PiC.doc (Rev. 115105)
Option One Tel 949.553.1916
Consulting Engineers 20311 Acacia St., Suite 240, Newport Beach, Ca. 92660 Fax 949.553.9720