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