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HomeMy WebLinkAbout2531 CORNERSTONE LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Jobnddress: 2531 CORNERSTONE LN Suite: Viciniry: PLAN 2 CORNERSTONE Primary Occ: R-3 Dwellingsl Cong Res <70 Parcel Number: TPN30054 nppliwnt: GOODWYN, JIM Address: 16845 VON KARMAN IRVINE, CA Type of ConstruIXion: V-N Zoning: Phone: 949-7563310 Zip: 92606 Owner: RICHMOND AMERICAN HOMES OF CALIFORNIA Address Phone: 949-75&7373 Zip: Contractor: RICHMOND AMERICAN HOMES OF CALIFORNIA INC Address: 76845 VON KARMAN Phone: 949-756-7373 IRVINE, CA Zip: 92606 License: 487535 ISSUED BY: Status: ISSUED Applied: 06/19/2006 Issued: O6/20I2006 nrch : KENNETH NIEMERSKI Eng: GARY A MCCLANAHAN Address: 2031 ORCHARq DR Address: OPTION ONE CONSULTING ENGINEERS SUITE 100 Phone: 949-5539100 NEWPORT BEACH, CA Phone: 949-553-1916 NEWPORT BEqCH CA 20311 ACACIA SUITE 240 Zip: 92660 License: 23971 92660 License: C042553 SCOPE OF PERMIT PHASE 2 CORNERSTONE HOMES PLAN 3AR CONSTRUCT NEW 2074SF 2-STORY SFD WITH ATTACHED 461SF GARAGE. NEW 40SF BALCONY AND 27SF ENTRY PORCH. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: �1, 053.62 $1,620.95 $21.12 $0.00 $0.00 $0.00 $2,695.69 FEE SUMMARY Calc Valuation: szi�,zta.ea Claim Vatuation: $o.00 PLANNING 8 ZONING SETBACKS MAINSTRUCTURE Front 200-0 Rear 15-0 Lefl 70•0 . Right 45-0 ACCESSORY Front 0- 0 Rear 0- 0 LeN 0- 0 Right 0- 0 PARKING Existin : 0 Reauired: ta8 Pr000sed: 148 NOTICE: The work authorized by this permit shall compty with all applicab�e handicap access requirements under Califomia statules and related regulations. (Ord. No. 92-28, § 1, 12-21-g2) ',� EXPIRATION: This pertnit shali automatically expire and become void if work is not commenced within 180 days, or it work i� pended or abandoned tor a period of 1 BO days. INSPEC710NS: In orcler for tha Work authorized under this permit to be considered legal, such work must compy with all applicable codes, and all requlred Inspeetlone antl final approval must be obtained. Failure to obtain InsDections and tinal approval will rasutt in ihe expiration of lhis permit. FOR INSPECTIONS CALL: (714) 7545626 zese-.s �e�ool WORKERS'LOMPENSArON DECLARAnON: I hereby eXlrtn untler ponally oi perjury one of ihe lollowing declarations: ❑ I heve end will maintein a certilicaie of consent to sell-Insure for workers' compensation, es providetl lor by soction 3700 of the Lebor Cotle, lor the pertormence oi Ihe work tor wniU this pertnil is issuoa. ❑ I have antl will meintain woAcers' compensatlon I surence, es r uiretl by section 3700 ot Iha Labor CoAe, tor I�o paRormance af the work tor which this permit is issued. My work%�- compensation Insurence carri poliry numb are: / Certier. /�✓�'\� � l. �"'- P 9u/a c'e Poliry Number: ��'�� v��l � (This section nee no( be complefed 1! fhe permi( is velued ef one hundred dallers ($ f00) or /ess.) � I certify that in the peAortnance oi �he work lor whic� this partnit is issueQ I shall not employ eny person in eny menner so es to become subjecl to the workers' compensatlon laws ol Celijomia, entl agree that II I s�ould become subJect to Ihe workers' compansetion provlslons ot Sec on 37 ot the Lebor Cade, I shall torthwl�h compN wit� Ihese pmvisioi s. / 10 06 Applicant Signature: ' Dete: WARNWG: FNLURE TO SECURE V lEFS' CO� SA 1 COVERAGE IS UNUW FUL AND SHALL SOBIECT AN EMPLOVER TO CRIMI PE ilES rW D CIVIL FlNES UP TO ONE HUNDRED TFIIXASAND DOLURE (5100,0OO�.IN � ITION TO THE CO F COMPENSATION, DAlMGES AS PROVIDED FOH IN SECTION 3IOBOF TME IABOR COOE.IMEREST, nND ATTORNE`f5 FEES. LICENSEO CONTRACTORS DECLARATION: I hereby eHirtn Ihat I am license u r provisionvorChapter 9(commencing with Section 7000) of Division 3 of ihe Business �P lessions Code, and my license is in tull force and eflect. Lic. x �I Class a Contreciols Signature: Date: CONS7RUG710N LENDING AG ❑ I hereby eHirm thet ihero is e construction londing agency for fhe peAormence of the work tor which this permit is Issued. (Sec. 3097, Civil Code). Londels Name: Lentlers AAdress: Signaturo: OWNER-BUILDER DECLARA710NS: Date: I hereby eHirtn Ihat untler penalry of perjury Ihet I am EXEMPT FROM TME CONTRACTORS LICENSE lAW lor t�e lollowing reason (Sec. 7031.5, Business entl Professlons Cotle: Any dry or counry whlch requlres e pertnit to consiruct, elter, Imprrne, Oemdish, or repalr eny sWcture, pdor to Its issuenca, also raquires the applicaN for such permit ro ille a signed sietement that he or she Is Iicensod pursuant to the provisions ol the Contrectors tJcense Lew (Chapter 9(commendnp vrith Seclion 7000) oi Divislon 3 of tha Business entl Pmfesslons Code) or Ihet he or she is ezempt t�erefmm and the basls tor the elleged exemptlon. Any Nolatlon of Sectlon 7031.5 by eny applicam for e permit subjects the applicem to e Uvil Oonaly oi not mora then tive hundred dollars (5500).): ❑ I, es owner ot 1he property, or my employees with wages es Iheir sole compensation, WILL DO THE WORK, entl the structure is noi intendad or oHered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not epON �o an owner ot property who builds or improves thereon, anC who does such work �imself or hersetl or through his or her own employaes, provided ihat such improvements are not imended or oflered lor sele. If, however, the building or improvement is sold within one year of campletion, the owner-Duilder will have iha burden ot proving that he or she did nol build or improve for purpose of sale.). ❑ I, as owner of the properry, em E%CWSIVELY CON7RAG71NG WRH LICENSED CONTRACTORS to conswct the project (Sec. 7044, Business and Pmteuions Code: The cantraaors LJcense Law tloes nat epply to en owner of property who DuIIEs or Improves thereon, and who contracis br such projeci wit� a contractor(s) licensa pursuant to �he Contrenors License Lews.). ❑ 1 em ezempt under sa. Business antl Professions CaAe lor this reeson: Signawre: Date: Owner ID venfied by Crivor's Ilcense. ❑ Yes ❑ No Drivets License No. VedllcaUon ol Ownership Dy (type of tlacumen6 I.e. - property tax blll or daed�: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Ezpires: ❑ I hereby certify Ihat no excavetlon tive (5) or mare feel in depih into which a Derson is requiretl lo descend, wlll De metle in connection wilh work euthorizetl 6y Ihis permlL entl Ihat no building sWcture, scaHolding, ialsework, or demollUon or dismantling thereof, wlll be more than Ihirty-sia (38) leet �igh. (Chflp. 3.2, Grp 2, An 2, Sec. 341, Title 8, Celllarnia Atlminis�retive Code). ❑ As owneo-builder, I will nol employ anyona to do work which would roquire a permit Irom t�e Division of Industnel Sefery, es noted above, unless such person hes e pertnit to do such work from the divlslon. SignaWre: Date: Divislon oi Industrial Sefery Pertnit Number: CER7IFICATE OF COMPLIANCE AND AUTHORIZATON OF ENTRY: I certity untler penelry ol porjury that I heve reatl Ihis epplica�ion end state Ihel �he Informaiion given is I cortect. I egree to comply wlih ell stete lews end ciry ordinences relating Io builtling consimctlon, end eulhorize represenlailves of Ihe Ciry ol Coste Mesa to enter upon ihe ebove-described property lar inspectlon purposes. I agree not to occuDY or ellow occupency ol eny building authorizatl by this permit until final Inspection. CO�E I, INSPECTIOHTYPE 7616 Fixetl Sysiem Final Fire Preveniion 1266 Pool SDa Final 200 Finel RaRooi 201 Flnal BIOCWRetalning well 202 203 204 Flnal Faciory Fire Place Flnel Slpn Final DomollUon Applicam �TB U�ALS � ^, Date f/�D �' Dare CODE I INSPECTION TYPE 206 200 210 272 220 Final Mechanical Final Plumbing Final Eletlrital Finel Fire Prevantlan Final Plenning Approval 222 Final Site 250 FinelBuilding/Occupancy I'Idl�l:llltl.lbj ll �c (714) 754-5273 • Fex (714) 75a-4856 • www.ci.coste-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job AddresS; Suite No Viciniry: Parcel Nunmber: Appliwnl: Addres5: Owner; Address 2531 CORNERSTONE LN NEW SFD TPN30054 GOODWYN, JIM 16845 VON KARMAN STE 100 IRVINE, CA Phone: 949-75&7373 Zip 92606 RICHMOND AMERICAN HOMES OF CALIFORNIA Phone: 949-756-7373 Zip: Contraaor: RICHMOND AMERICAN HOMES OF CALIFORNIA INC Addres5: 5171 CALIFORNIAAV ISSUE FEE Temp service test Res. a/c package New Res (1-2 unit8) 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 t000a Motors l0 1 hp Motors to 10hp Motore to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel l0 200a Pole Light Pkg Sign Circuits Temp Pwr Pole SUITE 120 IRVINE, CA Phone: 949467-2600 Zip: 92617 License: 487535 Staws: ISSUED Applied: 06/192006 Issued: O6Y20/2006 ISSUED BY: J/ �/ SCOPE OF PERMIT ELECTRICAL PERMIT FOR PHASE 2 CORNERSTONE HOMES - PLAN 3AR CONSTRUCT NEW 2074SF 2-STORY SFD WITH ATTACHED 461SF GARAGE. NEW 40SF BALCONY AND 27SF ENTRY PORCH. REF:# BO6-00970 WORK TO INCLUDE: 2 LIGH7 FIXTS, 8 RECEPTOUTLETS, 7 SWI7CH, 1 MOTOR TO 1HP $23.50 $0.00 $0.00 $116.14 30.00 50.00 52.20 58.80 51.10 50.00 50.00 50.00 50.00 50.00 54.75 $0.00 $0.00 SD.00 $0.00 50.00 50.Oo 50.00 50.00 $0.00 Quantiry 2074 0 0 2 8 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System I Lighting Busway/100k Standing Section Misc Electrical Equipmen� Transformers up to 1 kva/kw ................uP to 10 kvalkw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kvalkw Low Voltage Equipment Low Volt Wirin9 System ! Ckt Misc. Conduit Misa Conductor Circus�( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Eledrical Fee InveStigation Fee Plan Check Fee Reinspedion Fee �uantity $0.00 0 so.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 S0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 50.00 0 so.00 0 $0.00 50.00 $0.00 $0.00 TOTAL CALCULATED FEES E156.49 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes antl related regulations. (Ord. No. 92-28, § 1, 72-27-92) EXPIRATION: This permit shall automatically expire and become vold if work is not commenced within iB0 days, or it work is suspended or abandoned for a period of 180 tlays. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply wlt�� le eodea, end ail requlred Inapaetiona and flnal approval must be obtained. Feilure lo obtain InsDectfons and final approval will result in the expiration ot this pertnit. FOR INSPECTIONS CALL: (714) 754-5626 zaasae (arool WORKERS' COMPENSATION DEGLARATION: I hereby eHirm under penalry of perjury one of ihe lollowing dedaratlons: ❑ I have and will malntein e certiticata ot consem ro self-Insure lor workers' compensatlon, es proNded br by section 3700 ot Ihe Lebor Code, lor ihe peAormance of the work for which Ihis pertnit is is5ued. ❑ I have and will maintain workers compensatlon insurence, as required by section 3700 of t�e Lebor Coao, tor iha pedortnance of Ne work for whicti Nis pertnit is issued. My w ers' compensation Insur e cardereL�yd� policy number ere: / 1�/ �', Certier. �eJ � �.v�. / \�J�lµ✓d�1 Gi POIIcyNumber. (p � l—!n ��_ (This sectlw eatl naf be completed U the pemtitls ve/ued el one hundred dWlars (S I00) or less.) ❑ I certify that in Iha OeAortnance ol �he work lor w�ich this permil L9 Issued, I shell not employ any parson in eny manner so as to become subject to t�e workers' compensatlon laws ol elilomie, en egree Ihet II I s�ould become sub�ec� Io Ihe workers' Compensatlon provislons of Section 3700 Of Ihe Lebar Catle, I shell torthwi�h comply with Ihese pro sions. Applican� SlBnature: Dete: 7�� �"�� WARNING: FAILURE TO SECU E'ORKERS' COMP ON OOVERAGE I$ UNLAWFUL M'D SNAIL SU6IECT Ml EMPLOVER TO CFIMI�ENAITES AND CML FlNES UP TO ONE HUNORED TMWSANDDOLURE(5100,000 N UOfiIONTOTHECOSTOFCOf.1PEN5�TION,OPMNGESASPROVIDEOWRINSECfI0N3]OBOFTHEIABORCO�E,INiERE5T,ANDATTORNEI"SfEES. IICENSED CONTAACTORS DECLARA710N: I hereby aHirtn thal I am force end ettecL Lic. M_ Cantraaors Signature: of Chapter 8(commendng with Section 7000) ol DlWslon 3 of Ihe Business eyf Pr�tessions Cotla, and my license is in full . Cless a (X� CONSTRUCTION LENDING A{�NCY: ❑ I hereby eHirtn t�at t�ere is e construdion lending egenty tor lhe peAortnanca of Iha work lor whic� ihis permit Is issuetl. (Sec. 3097, Civil Ccde). Lentlers Name: _ __ . Lentler's Atltlress: _ _ .. _ Signature: OWNER•BUILDER DECLARATONS: �ate: I hereby aNirtn that under penalry of perjury t�al l em EXEMP7 FROM THE CONTRACTORS IICENSE LAW for the lollowing reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires e parmit m cansirud, elter, improve, tlemolish, or ropair eny strudure, pnor lo its issuance, elso requires ihe applicam tor suc� permit lo lile e signed statement tha� he or she is licensed pursuent to the proWsions oi the Contradors IJcense Lew (Chepter 9(commencing wiih Section 7000) ol Division 3 of the Business and Professions Gode) or that he or she is e:empt therelrom end Iha besis lor the elleged exemption. Any vialation oi Sectlon 7037.5 by any appliwnt Far e permit subjects Ihe applicant to e civil penalry at not more than live hunCreA Collars ($500).): ❑ I, es owner oi the property, or my employees wit� wages es t�eir sole wmpensatlon, WILL DO TME WORK, end the struciure Is not intenae0 or ottered tor sale (Sec. 7044, Business and Professions Code: The Contrectors License Law does not apply to en owner ol property who builds or improves thereon, and who does such work himsalf or herself or t�rough his or her own employees, proviAetl thai such improvemeMs are not intended or offered for sale. If, however, the building or improvement is sold within one year ot completion, the owneo-huiltler will heve the burden of proving that �e or s�e ditl not build or improve tor purpose ot sale.). ❑ I, as owner oi tha property, am EXLLUSIVELV CONTRACTNG WITH LICENSED GONTRACTORS to consiruct Ihe projeU (Sec. 7044, Business and Professions Cotle: The contraaors LJcense Lew tloes not eppty to an owner ol property who bullds or Impmves Ihereon, end who contracts lor such prcject with e contradoqs) license pursuant to the Contractors License Laws.). ❑ I em ezempt under sec. Business end Pmlessions Code for Ihis reason: SignaWre: Date: Owner ID venfied by drivefs license. ❑ Yes ❑ No Dnvals License No. Venfication of Ownership by (rype ot documeni, i.e. � pmperty tax bill ar tleetl): DIVISION OF INOUSTRIAL SAPETY PERMIT CERTIFICATON: Expires: ❑ I hereby certify that no escavetlon INe (5) or more leet in depth Into which a person Is requlretl to tlescentl, wlll be metle In connectlon wlth work authoAzed by this parmit, and Ihat no building siructure, scaHoltling, lelsework, or tlemolitlon or dlsmaniling Ihereol, wiil be more �han �hirty-siz (36) leet high. (Chep. 32, Grp 2, Ah 2, Sec. 341, TiOe B, Calllarnie Adminls�rative Cotle). ❑ As owner-builtler, I wlll not employ enyone to do work which would require e permil Irom ihe Divislon ol Industrial Selery, es noted ebove, unleu such pereon �es e permi� �o do such work Irom Ne dlNsian. SlgneNre: Date: Divislan ot Intlustnal Safety Pertnit NumDer. CERTIFlCATE OF COMPLIANCE AND AUTHORIIATION OF ENTRY: I cenity unAer penelry of perjury that I have reatl t�is epplication and state ihat Ne information given is cortect. I egree to compty wl�h ell state laws and ciry ortlinences relating to bulltlinp construction, entl euthonze representetives ot Ihe Ciry of Cosla Mese to enter upon Ihe ebove-descnbe0 property lor Inspectlon purposes. I egrea not to accupy or ellow accuDancy ol any builtling authorized by lhis pertnit until final inspection. CODE I. 1616 1266 200 201 202 203 Fi:etl System Final Fire PrevenHon Pool Spa Final Final Re-Roof Flnel BIxWRetelning Well Final Factory Fire Plece Finel Sign 204 Finel �amolition PLIE 1NIQIEL: Date —r%�/1' `� oa�e COUE 1 INSPECTION TYPE 206 Final Mechanical 20B Final Plumbing - 210 Finel Elactricel 212 Finel Fire Prevention 220 Finel Planning Approval 222 Finel Slle 250 Finel Builtling/Occupency P� L�LS A� (714) 754-5273 • Fax (714) 754-4856 • w.vw.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA. CA 92626 MECHANICAL PERMIT Job Address: Suite No Viciniry: 2531 CORNERSTONE LN NEW SFQ Parcel Number: TPN3005q o,pp�icant: GOODWYN, JIM Address: 16845 VON KARMAN STE 100 Phone: 949-756-7373 IRVINE, GA Zip: 92606 owner: RICHMqND AMERICAN HOMES OF CALIFORNIA Address: Phone: 949-756-7373 Zip: CoMrador. RICHMOND AMERICAN HOMES OF CALIFORNIA INC Address: 5177 CALIFORNIA AV SUITE 720 IRVINE, Cq Phone: 949-467-2600 Zip: 92617 License: 487535 ISSUED BY: Status: ISSUED Applied: O6I192006 Issued: 06R02006 SCOPE OF PERMIT MECHANICAL PERMIT FOR PHASE 2 CORNERSTONE HOMES PLAN 3AR CONSTRUCT NEW 2074SF 2-STORY SFD WITH ATTACHED 461SF GARAGE. NEW 40SF BALCONY AND 27SF ENTRY PORCH. REF:# BO6-00970 WORK TO INCLUDE: 1 HOOD WIMECH EXHAUST, 1 INST FAU < 100 K BTU, 1 VENT FAN/SINGLE DUCT AND 1 COMPRESSORIABSORPTION SYST 3 TO 15 HP/500 K BTU. ISSUE FEE Inst FAU <700 k BTU Inst FAU >700 k BTU Repair/Alt CoolinglHeat Inst / Rep. Recess Wall Htr Refrig Sys <700 k BTU Refrig Sys>700 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Dud Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> 10000dm FloorFurnace Floor or Suspend Heater 523.50 514.80 50.00 50.00 50.00 $0.00 50.00 50.00 50.00 510.65 $0.00 $29.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 Quantity 1 7? 7? 7? ?? 7? 91 7? 1? 77 7? 7? 7? 7? ?? 77 ?? 77 9? FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Comme rcial I ncinerator Domestic Incinerator Comoressors / Absorotion Svslems Upto3hp/100kBTU 3To15hp/SOOkBTU 15 To 30 hp! 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 15�030hp 30 to 50 hp � Over 50 hp Olher Mechanical Fee , Investigation Fee . Plan Check Fee Reinspedion Fee T/�T�I /��I/�11111TCI�CCCC Quantity $0.00 77 50.00 77 $0.00 7? $0.00 79 50.00 ?7 50.00 ?? 50.00 0 $27.15 1 50.00 0 $0.00 0 $0.00 ?? $0.00 ?? $0.00 ?7 $0.00 ?? $0.00 ?7 $0.00 ?? 50.00 $0.00 50.00 f�/�C �/� NO710E: The work authorized by this permit shall wmpty with all applicable handicap access requirements under Califomia statutes and related regulations. (Ortl. No. 92-28, § 1, 72-21-92) // EXPIRATION: This pertnit shall automaticaily ezpire and become void it work is not commenced within 180 days, or iLworkis suspended or abandoned tor a period of 180 days. �/ INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and ell required Inepeetlona end final approvel must be obtained. FaiNre to obtain inspections and final approval will result in the expiraUon ot ihls permil. FOR INSPECTIONS CALL: (714) 754-5626 2448�8 (BI00) WORKERS'COMPENSAnON OEGLARATON: I �ereby eflirm under penalry ot perjury me ot Ihe tWlowing dedarations: . ❑ I have and will maintain e certifirate of consent ro self-Insure lar workers' compensatlon, es provitled lor by section 3700 of the Lebor Code, for the pertormance ot the work lor which t�is pertnit is issuetl. ❑ I have entl will maintain workers' compersetian insurarxe, es required by sectlon 3700 ot the Labor Cotle, lor Ihe pertortnance ot ihe work tor which this permit is i55ue0. My wo rs' compen5ation InSuran 8 carder erM iry number ere: / Cartiar. lMC✓�lw�— TM.e ��(./b�.�L� PolicyNumber. �������(� (7his secfion ne d not be oanplefed i! permif�et one �u� dd/ais (5700) or /ess.) � ❑ I certify ihat in the peAortnance ol t�e work tor w�ich Ihis permil is Iuueq I Shell nol employ eny person in eny mnnner so as to becnme su�jecl to t�e workers' compensetion laws o Califomia, e d egree that II I shoula becwne sub�ect ro t�e workers' wmpensation provlsions ol Sactlan 3700 of the Lebor Code, I shall ton�wit� comply wlth these pm �sions. q Applicant Signeture: Dete: �pn�� o�/V �7 WARNINO: FAILURE TO SE E VORI@R iNFE SA ON COVERAGE IS UMAWFUL AND SHAl1 SUBJECf rW EMPLOVER TO CRIMINPL PE TIES M1D CML FlNES UP TOONE MUNDRED TFKK/SrWD00LLARE�5f00. ,II�IADDfTIONTOTHE STOFCOMPENSATION,DhNA0E5ASPROVIDEDWRINSECTION9]OBOFTHEIABORCODE,INrEREST,MIDATTORNEVSFEES. LICENSED CONTRACTORS DECLARATION: I horeby eNirm I�aI I em lorce end BHetL LiC. u_ Contrectors Signe�ure: 9(commencing wilh Soction 7000) al Division 3 0l the Busines�u�d erolessions Codo, and my license is in full _. _ _. _ ciass a ( S � CONSTRUCTION LENDINQAGENCY: ❑ I hereby aMirm Ihat there is a construclion lentling egenty for the peAortnance ol Ihe wark lar whic� Ihis permit is Issuetl. (Sec. 3097, Civil Cotle). Lentlers Name: Signawre: _ OWNER-BUILDER DECLARATIONS: Lenders Adtlress: oate: I hereby atfirtn thet untler penalty ot perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW lor iha tollowing reeson (Sec. 7031.5, Business and Professions Code: Any city or counry which requires e permit to wnstruct, alter, improve, demolish, or repeir eny strucWre, prior to Its Issuence, elso requires the epplicant tor such pertnit to file e signetl statement that he or ahe Is Iicensetl puBuant to the proWslons of Ihe Contrectors License Law (Chepter 8(commendng with Sectlon 7000) 01 Dlvlsion 3 of the Business and Professlons Cotle) or that he or she is eaempt therefram end the �esis lar the elleged examptlon. Any Nolation ol Section 7037.5 hy any epplicant for a permit subjeds the epplicant to e cMl penalry ol wt more then flve hundred dollars ($500) J: ❑ I, as owner ot the property, or my employees wlih wages as thelr sole wmpensatlon, WILL DO TT1E WORK, antl the structure is not Imended ar atteretl for sale (Sec. 7044, Business antl Professions Code: The Contrectors License Lew does not apply to an owner ot propetly who builds or impwves ihereon, end who does such work himseN or herseli or ihrough his or her own employees, provided Ihat such improvements are not Intentled or oHered for sale. II, however, the builtling or improvement is soltl within one year of completion, the owner-builder will heve Ihe burden ol proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner ol ihe property, am E%CLUSIVELY CONTRALTiNG WITH LICENSED CONTRACTORS Io construct the projecl (Sec. 7044, Business entl Profeuions Cotle: The contrectore License Lew does not appy ro an owner ol propeny who bullds or Improves thereon, ena who contracts for such prolect with a wntrector(s) license pursuant to the Contracbrs License Laws.�. ❑ I am exempt untler sec. SignaWre: Owner ID verified by drivers license. ❑ Ves ❑ No Bu5ine55 8nd Prol85si0n5 COde lor Ihis reason: Venfication of Ownership by (type of document, i.e. - properry tex bill or tleed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATON: Dnvets License No. Date: Expires: ❑ I hereby certity that no excaveUon tive (5) or mare leet in depth Imo which e person Is requlred to descend, wlll be mede In wnnection with work authodzed by Ihis permit, end that no bullding sirucWra, scaHolding, lalsework, or Uemolition or Cismaniling thereol, wlll be more ihan thirty-si: (36) teet high. (Chap. 3.2, Grp 2, Atl 2, Sec. 347, Tltle B, Callbmie Atlministretive Code). ❑ As owner-builder, I wlll no� emplay enyone lo do work whic� wou10 require a permil Irom the Divislon ol Industrial Sefery, es noted ebove, unless such person has a pertnit to tlo such work fmm the didsion. Signeture: Date: Division of Intlustrial Safery Permit Num6er: CERTIFlCATE OF COMPLIANCE AND AUTHORVATION OF EMRY: I canity under penelry oi perjury Iha� I have reatl INs epplication antl siate that the infortnation given is correct. I egree to compy with ell stete lews entl ciry ardlnences relating to bullding consiruction, entl euthotlza representatives ot the Clry oi Costa Mesa ta enter upon the eDove-descriDed properry tor inspec6on purposes. I egree not to occupy or ellow oaupancy of eny building au�horized by lhis permit until tinel inspection. cooe.. ixsrecnoxrrve 1616 Fixetl System Finel Fire Preventlon 1266 Pool Spa Finel 200 Finel RB-Rool 207 FIneI8locWReteining Well 202 Final Fectory Fire Placa 203 204 Finel Sign Final Demolition PlIE It�ALS �n �!� Da1e � o�,�b Date COUE 1 INSPEC710N TVVE 206 Finel Mechanical 20B Flnal PlumDing 210 Flnel Electdcal 212 Flnal Pire Preventlon 220 Flnal Planning Approval 222 250 Finel Site Finel Building/Occupancy �:--�-�--� � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c��UMBING PERMIT �� FAIR �RIVE, GOSiA MESA, (:A 92626 Job Address: Suite No Vicinity: 2531 CORNERSTONE LN NEW SFD Parcel Nunmber: TPN30054 Applicant: Address: Owner: Address GOODWYN, JIM 16845 VON KARMAN IRVINE, CA Phone: 949-756-7373 Zip: 92606 RICHMOND AMERICAN HOMES OF CALIFORNIA Phone: 949-756-7373 Zip: Contrador: RICHMOND AMERICAN HOMES OF CALIFORNIA INC Address: 5171 CALIFORNIA AV SUITE 120 IRVINE, CA Phone: 949-467-2600 Zip: 92617 License: 487535 ISSUED BY: Status: ISSUED Applied: O6/19/2006 Issued: O6/20/2006 SCOPE OF PERMIT PLUMBING PERMIT FOR PHASE 2 CORNERSTONE HOMES PLAN 3AR CONSTRUCT NEW 2074SF 2-STORY SFD WITH ATTACHED 461SF GARAGE. NEW 40SF BALCONY AND 27SF ENTRY PORCH. REF:# BO6-00970 WORK TO INCLUDE: 1 BACKFLOW IRRIGATION, 1 DISHWASHER. 1 GAS-(1-4 OUTLETS), 1 GAS SERVICE, 1 LAUNDRY TUBNVASHER, 1 LANDSCAPE IRRIGATION, t SEWER CONNECT, 1 SEWER CONNECT, 1 SEWER PRIVATE LINE, 2 SHOWERS, 1 KITCHEN SINK, 5 WASH BASINS, 3 WATER CLOSET, 1 WATER HEATERNENT, 1 WATER SERVICE. .. , ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor � Drain, Rainwater Drain, Roof 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 $o.00 $0.00 $0.00 $9.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $6.15 $0.00 $9.80 $0.00 $0.00 $0.00 Qn 0 1 1 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 FEE SUMMARY AMT Laundry Tub / Washer $9.80 Landscape Irrigation $14.80 P-Trap -, , $0.00 Pressure Regulator . $0.00 Process Piping (per 10 k) � $0.00 Receptors . $0.00 Septic Tank $0.00 Sewer Cap for Demo � $0.00 SewerConnect $24.65 Sewer Private Line 524.65 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 t 0 0 0 0 0 0 1 1 2 0 0 0 1 0 0 0 SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) � Wash Basin Wash Basin Set Waste and Vent System Water Closet (ToileQ � WaterHeater/vent Water Piping (Insi or Rep.) WaterRe-plpe � Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $49.00 $0.00 $0.00 $29.40 $12.30 $0.00 $0.00 $9.80 $0.00 $0.00 $0.00 $0.00 $0.00 QN 0 0 0 0 0 0 5 0 0 3 1 0 0 1 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire arM become void if work is not wmmenced within 180 days, or if work is suspeMed or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must compty�with all applicable codes, and all required Inspactions and final epproval must be obtained. Failure to obtain inspeclions and final approval will resul� in �he expiralion of this permit. POR INSPECTIONS CALL: (774) 7545626 zansee �sroo� WORKERS'COMPENSAnONDECLARAnON: I hereby aflirtn under penalty ot perjury one of the tollowing declarations: ❑ I heve end will meintain e certifice�e of consent �o self-Insure lor workers' compensalion, es provitled for by section 3700 oi Ihe Lehor Cotle, lor Iha performence of �he work tor which this permit is issuetl. ❑ I have and witl maintain workers' compensation insurence, as requiretl by sectlon 3700 of Ihe Lebor Coae, Por the podormance of Ihe work for w�ic� this pertnit is issued. My worke compensation Insuran wrder end olicy number are: /�[ ✓� Carrier. 81�� �Q �1��1��'iL'P Policy Number. �10 L 3'� �� (This section nee0 not be comple(ed i! permit is valued af one hundred dollars (S I00) or less.) ❑ I cenity that in the pedormance of the work for which this permit is issued, I shall not employ any person in any manner sa as to 6ecoma subject to tha workers' compensation laws of Califomia, entl e ree that Ii I should become subject ro the workers' compensation provisions ol Section 3700 0l the Labor Coda, I shall tort�with comply with these pro isions. / Applicanl5ignature: � �ji.(�/(�b Date: WAfiNING FAI�URE TO SE E ORKER$' COM NSATI COVEPAGE IS UNIAWFUL AND SHALL SUBIECT Ml EMPLOYER TO CPIMINAL P NALTIES AND CIVIL FlNES UP TOONE HIINDPED THOUSANDOOLLARE(5100, I ADDITIONTOTHECOSTOFCOMPENSATION,DAMAGESASPROVIDEDf-0RINSECTIqJ3/O60FTHELABORCAOE,INiEREST,ANDATTORNEY'$FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am license u r rovisions of�pepter 9(commencing with Section 7000) oi Division 3 of Ihe 8usines P,rofesslons Code, end my license Is in full force and effed. Lic. a 5 Class a / Con�ractor's SignaWre: � Data: � CONSTRUCTION LENDING A NCY: ❑ I hereby eHirm that �here is a conslruction lentling egency for ihe performance of �he work br which this permit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Londer's Atldress: SignaWre: OWNER-BUILDER DECLARATIONS: Date: I hereby aHirtn Ihet under penelry ol perjury Iha� I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, eusiness end Professlons Cotle: Any city or counry which requires e permit to construct, elter, Improve, demolish, or repair any structure, prior to its issuence, also requires the epplicant for such permit to file e siqneC statement that he or she Is licensetl pursuant to the provisions ol the Gontrectors License Lew (Chapter 9(commencing wlth Sectlon 7000) of Division 3 at the Business antl Professions Code) or thet he or she is exempt Iherefrom and Ihe besis fa the allegetl exemption. Any violetion of Section 7037.5 by any epplicent tor e permit suhjects the applicent to e civil penelry of not mora Ihan five hunEretl dollars ($500).): ❑ I, es owner af the propeny, or my employees with wages es iheir sola compensetion, WILL DO THE WORK, end the structure Is nol intentletl or oHered tor sale (Sec. 7044, Business end Professions Cotle: The Contrac�ors License Law does not epply to an owner of property who builds or improves thereon, antl who does such work himself or herself or Ihrough his or her own employees, Orovided thet such improvemenis ere not intentle0 or oNered lor sele. If, however, the building or improvement is soltl wit�in ona year ol comple�ion, ihe owner�builder will have ihe Ourden ol proving lhat he or she did no1 build or improve for purpose of sele.). ❑ I, as owner of lhe property, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the proJect (Sec. 7044, Business end Professions Cotle: The contractors License Lew tloes not epply to en owner of propeny who �ulltls or improves ihereon, and who comracts br such pro�ecl with e contractor(s) license pursuant to the Contractors License Lews.). ❑ I am e:empt untler sec. Signature: Owner ID verified by drivefs license. ❑ Ves ❑ No Business antl Professions Cotle for this reeson: Veriticatlon of Ownership �y (type ol dxument, i.e. - property taz bill or deed): DIVISION OF INDUSTRIAL SAFEN VERMIT CERTFICATION: DriveYs LicenSe No. Da�e: Expires: ❑ I hereby cetlify thet no exwvation Ilve (5) or more feet in tlepth into which e person is requiretl to descend, will be made in conneciion with work euthonzed by this permit, end that no builtling structure, scaHolding, talsework, or demolition or dismentling Ihereot, will be more ihan thirty-siz (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Ttle B, Celitomia Atlministrative Code). ❑ As owner-builder, I will nat employ anyane ta do work which would require e permit trom the Division ot Industrial Satery, es noted above, unless such person hes e permit to do such work from iha tlivision. Signature: Date: Division oi Intlustrial Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENTAY: I certify under penalry ol perjury that I have read ihis epplicalion and state ihat the infortnation given is correct. I agree to comply with ell state laws entl ciry ordlnances relating �o building consiructlon, end euthorize representatives of the City of Costa Mesa to enter upon the above-tlescribed properry tor inspection purposes. I egree not to acupy or allow occupenty ot eny Duilding authorized by this permit until finel ins0ection. CODE �. 1616 1266 Fized System Final Fire Preventian Pool Spe Final 200 Final Re-Roo� 201 Finel BIocWRetelning Well 202 Finel Fectory Fire Place 203 204 Finel Sign Final Demolition COOE I INSPECTION r'/PE 206 Finel Mechanical 20B Final Plum�ing 210 Finel Eleclncal 212 Flnel Fire Prevention 220 Finel Planning Approval 222 Finel Site 250 Final Building/Occupancy Q�f. � ADAMS • STREETER CIVIL ENGINEERS INC. Deccmbcr �, '_006 Cit�� Grading Inspcctor Cit�� uf Custa \Icsa De��elopment Scn�ices Dep.u7ment 77 I�air Dri�e Cust.i �9esa. Califomia J'G3S-I'00 Oi-IS73 IR�'I�tiE • RIVERSIDE Jan A. Adams • Randal L S[reeter 5ubjech Ci�'il I'sngineer's Certitication ul' Precise Crading Project: "I'ract 1'0. 16937 — Lots 1, 2 and 3- l3uildings I lhruu�h 11 Cornerstunc .�t liarbor [3h�d. Custa �9esa. California Kel'erence: Nrecise Grading Permit \umber. G06-ODUU3 Address: 2�01 Harbur [3oule��ard. Cuslu llesa, Calil'ornia O�vner : Richmond American liumes Ceneral Cuntractur: Richmund American liumes !n accordancc with City of Costa ��lcsa Grading an�l Lxcavniicm Codc. ,uiJ thc requiremems of �he Building Cocle. 1 cc�7ify ap�ro�al af this rroject as otdlincd aho�c. to precise ��rade. Precise _�radin_ h:is been complcted in conformance with approved precisc sradin�� pl:m for this projcct und in full compli:uicc ��iih sai�l Cndes. Ccriification includcs horizontal :�nd vcrtical control for dr:iina��c dcvices. ❑nd positi�-c building pad drainaec. This approval docs noi indude placement or compaction o( soil. ���hich is under the purvicw af thc soil cn�inccr. <<,•,;:' :,. Q)'�� ��' � M. M�hammadahadi, o` ���oFui,j �' ��, �..F .{�r< ",•. � �� I,�.42575 �� ,�•os l � �ftlk1� .:` , cC' . _ : �.r.��. % Adams Strcc(cr Ci�•il En_inecrs Inc: e: Decembcr �. ?006 E#: 4=615 IExt�. 3/31/OS1 15 CORPORATE PARK • IRVIf�'E, CA. 92G0G • TeL (9�19) 47d-2330 • Fa�: (9�l9) �i74-0251 2900 Af�AMS STRE[T. SUIT[ A-400 • RIVERS�DE. CA. 92504 • TeL Oil) 352-4100 • Faz: (951) 352-G200 , � �ption � � �ne �. n.� u i. i i a�. e,v �. �. e c x� PAGE 1 OF i : [ . .� . . ; .. . _.. ._: .....� _. _ , - r-- .,,.-. .. ... - � _STRUCTURAL OBSERVATION REPORT F.ORM � "! ., _ . , : . '" ' �rRICHMOND AMERiGAN HOMES_.,_= ., h, ' � . _. _ .__ "� _ . _ __ THIS REPORT 1NCLUDES ALL CONSTRUCTION WORK THROUGH THE: 26'" Dav of Scptem6cr 2006. PROIECT: '�Comerstone" - SPD OPTION ONE l.N.: 0106-1253 LOCATION: CostaMesa.Cali(omia Bf.DG.PERMITNo.: OWNER: Richmond American Hnmes LOCATION/DIVISION: Or:ui�e Counh� ARCHITECT' Busenian I.agoni Archicects ARCHITECT 1N.: RI.A-5165 STRUCT. OBS. OF RECORD'. Gary A. McClanaha�i, P.E. LIC. or REGISTRATION Nos.: G42553 STRUCTURAL OBSERVER: Mike 6erhe, Gf.T. EIT-45}97 ORSF.RVF,D STRUCTURAL ELEb1ENT5 & THEIR COMVF.CTIONS: LOTfS) & PHASE OBSERVED: Intcrior and Er[crior Gcneral FraminF; i.e, roof [russes, roof sheathing, Lot 7, Plan lBR, 2529 Cornerstone Lane, >hear elemenn, holdo�ms, flppr shea[hing, t7oorjoislslFwsses', be.uns, headers, Phue 2, Trnct #16937, and general hardware. Cosca Mesa, Caiifornia OBSERVEDDEFICIENC�ES: (arracNaoomoNa.PnGESicNECEssaRh 'fhe deticiencies anNor non-conforming irems noced during observntion visit have bzen corrected and installed by a collaburated effort nf the projict superintendent:md the frmnino fireman. Initial / Comoktion Date: bfR/09-2G-0(, Construction � HVqC � Electrical � Plumbing �—�� � P�Yw'd CI'g 6—Beck Slage: SkeaF-WaFk Lid(s) 9pEien Nole' When box is checked, if intlicafes fhat construc(an sfage is in progress, antl Ahas not yet been complefed at Ihe time observation was conducled. � STRUCTURAL SYSTEM Wp5 VISUALLY O�SERV[D TO BE M GENERAL COMFORMA4CE W1TH THE APPROVED PLANS. ❑ STRUCTURAL DEFICIE,JCIES ARE OF A MINOR NATURE & MAY BE REVIEWED BY CITY BLDG MSPECTOR FOR COMPLIANCE. 1 DECLARE THAT THE FpLLOWING STATE�ll�;�TS ARF. TRUE'!O'lHF. I3F.ST OF �tY KNOWLEDGE & BELIEF: 1. I AM THE REGISTERED ENGINHHR WHO HAS RESPONSIBLE CHARGE FORTHESTRUCTUkALOBSERVATION. 2. I, OR A]JOTHER QUALIFIED-CHARGH 06SGRVER WH01 HAVE• DESIGNATED ABOVE AND IS UNDER MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT EACFI S(GNIFfCANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTUAE IS IN GENERAL CONFORMANCE W ITH THE APPROVED PLANS AND SPECIFICATIONS. 3. ALL DEPIC[ENCIES, WHICH I DOCUMENTED, HAVE BEEN CORRLCTtD UNLESS OTHERWISE INDICATED A➢OVG. 4. Af.L OBSERVED DEFICIENCES SHALL BE CORRECTED:WD APPROVED BY THE OBSERVER PRIOR TO FINAL ACCEPTANCE OF THE STRUCTURAL SYSTEbfS BY THE 6UILDMG DBPARTMENT. 5. THIS REPORT IS PROVIDED TO THE OWNER AS A PART OF THE OWDIERS OVERALL CONSTRUCTION QUALITY CONTROL PROGRAhf. 6. OPTION ONE H.4S PROVIDED STRUCTURAL OBSERVATION IN ACCORD.4NCE WITH THE SEAOC RECODIMENUE•D GUIDELME$ FOR THE PR.4CTlCE OF STRUCTURAL ENGINEERING M CALIFORNIA. SIGNED BY: �" N° C 042553 Z � � Exp.03/31/ �' STAMP & N'ET SIGNATURE OF STRUCTURALOBSERV6R OFRECORD 26" Dny oLSepteinber 200C,. STRUCTURAL OBSERVATION DOES NOT WAIVL TH8 REQUIREMENTS FOR MSPECTIONS BY CITY BUILDMG RJSPECTORS. ALL WORK MUST COMPLY W ITH THE APPROV6D PLANS ANU APPLICABLE STATE & LOCAL CODES. G:11200's1125310bservationlPhase_21SOR_F_Lot7 P1BR.tloc(Rev.1I5105) Opfion One Tel 949.553.1916 Co�sulting Engineers 20311 Acacia St., Suite 240, Newporf Beach, Ca. 92660 Fax 949.553.9720