HomeMy WebLinkAbout2533 CORNERSTONE LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.�.�IDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2533 CORNERSTONE LN
Suite:
Viciniry: PLAN 2 CORNERSTONE
Primary Occ: R-3 Dwellings/ Cong Res <10 Type o( Conslruction: V-N
Parcel Number: TPN30056 Zoning:
App�icant: GOODWYN, JIM
Address: 16845 VON KARMAN
IRVINE, CA
Phone: 949-756-3310
Zip: 92606
owner: RICHMOND AMERICAN HOMES OF CALIFORNIA
Address
- Phone: 949-756-7373
Zip:
Contrador: RICHMOND AMERICAN HOMES OF CALIFORNIA INC
Address: 16845 VON KARMAN � � ,
Phone: 949-756-7373
ISSUED BY:
Status: ISSUED
Applied: 06/192006
Issued: O6R02006
IRVINE,CA . � �- �, -
Zip: 92606 License: 487535 � � .
nrch : KENNETH NIEMERSKI eng: GARY A MCCLANAHAN
Address: 2037 ORCHARD DR ; Address: OPTION ONE CONSULTING ENGINEERS
SUlTE 100 Phone: 949-553-9100 ` NEWPORT BEACH, CA Phone: 949-553-1916
NEWPORT BEACH CA 20311 ACACIA SUITE 240
2ip: 92660 License: 2397'I, _ 92660 License: C042553
SCOPE OF PERMIT
PHASE 2 CORNERSTONE HOMES
PLAN 1A
CONSTRUCT NEW 1997SF 2-STORY SFD WITH ATTACHED 415SF ATTACHED GARAGE. 126SF ENTRY PORCH.
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 8 ZONING
SETBACKS
MAIN STRUCTURE Front 200- 0 Rear 15- 0
ACCESSORY Front 0- 0 � Rear 0- 0
PARKING Ezis�ina: 0 R_ equired: 148
Lefl 10- 0 .
Lefl 0- 0
Pr000sed: 148
Right 45• 0
Right : 0- 0
- A �;,�
� � •
$203,052.52
so.00
N077CE: The vrork auttwrizetl by this permit shall comply with a0 appiicable handieap actess requiremerrts urMer Calitomia statutes and related
regulations. (Ord. No. 92•28. § 1. 12-2t-92)
EXPIRA770N: This pertrrit shail automaticalty expire and become void if xrork is rrot commenceA within 180 days, or if work is suspended or aharMoned
for a period of 180 Gays.
INSPECTIONS: In order for tha work authoriied under this pertnit to be considered legal, such work must comply with al�licable crodes, am1 all
��. requlred Inapeetiona flnd 11na1 approva� must be oblained. Failure to obtain inspectiore and final approval will resulfin the expiration of this permit.
' FOR INSPECTiONS CALL: (714) 7545626
zaae+e (doo)
WOHKERS' COMPENSATION DECLAHATION: � � . � �
I he�eby eHirtn under penalry oi perjury one of tha �ollowing declarations: , t • � ,
❑ I hava and will meintein a cenificate of consent to self-Insure for workers' compensation, es provitletl tor Dy saction 3700 of ihe Lebor Code, lor ihe pertormenca of Ihe
work tor whlch this permit is issued.
❑ I �eve end will maintain workers' compensetion insurence, es requiretl by section 3700 ot the Labor Code, for Ne peRortnance of Ihe work tor which this pertnit is issued.
My worke compensation Insurence rler end poli number are: �" f c�
Cerrier: �W�.PV� CA1n � ��!/ �jNL'� Policy Number. f/J Y�� (7 ]'� �
(This section nee. nof be completed i/ the rmit is veluetl e one hundred doqars (5100) or less.) -
❑ I cenity Ihat in t�e peAortnance oi t�e work for which lhis pertnit is iuued, I shall not emplq any person in any manner so as to become subject to Ihe workers'
compensetion laws af Calitomia, and a ae thet Ii I should bewme subject to the workers' campensation provisions oi Secllon 3700 of Ihe Labor Code, I shall Iart�with
comply wit� t�ese pro �sion�
Ap0licantSigneture: Date: /iA�7�
WARNING FAILURE TO SECU W RKERS' COM ATION ERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMI P�AND GVIL FlNES lIP TOONE HUNDRED
TMOUSANDDOLLAFE�510p,000). DDITIONTOTHECOSTO OMPENSAiION,DAMAGESASPROVIDEDFORINSECTION3']OSOFTHEIABORCADE,IMEREST,ANDATTORNEVSFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aMirm that I am licensed under rovision f Chapter 9(commencing wilh Saction 7000) oi Division 3 of the Busines end �rofesslons Code, and my license Is in tull
torca and effecL Lic. 8 Class k
Conirectors SignaWre: Date:
CONSTRUCTION LENDING ENCV:
❑ I hereby eftirm that ihere is a construction lending egancy for the peAormance ot ihe work lor which this pertnit is Issued. (Sec. 3097, Civil Code).
Lentlefs Name:
Siqne�uro: _
OWNER-BUILDER DECLARATIONS:
Lendefs Address:
Date:
I hereby eHlrm ihat under penalty oF perJury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Businass antl Professlons
Code: Any ciry or counry whiCh require5 e permit t0 conSWct, alter, improve, tlemolis�, or repair eny 5tructure, pnor to its issuante, 815o requires Ihe aDPlicant tor suCh permil
to Flle e signetl stetement Ihet ha or she Is Ilcensetl pursuant to lhe provisions ot ihe Contrectors License Ww (Chapter 8(cammenUng with Sedion 7000) of DlNslan 3 0l the
Business and Pmfessians Coda) or Ihet he or she Is eaempt theretrom and the basis br the elleged exemptian. Any Nolatlon of Section 7031.5 by any epplicant for a pertnit
subjects the applicant to a civil penfllry of not more than five hundred dollars ($500)J:
❑ I, as owner of Ihe properry, or my employees with wages as their sole componseilon, WILL DO TME WORK, an01�e siructure Is not intentled or oHerad for sale (Sec.
7044, Business and Professions Code: The Coniractors License Law tloes not apply to an owner of properry who builds or improves thereon, and who does such work
himself or herselt or through his or her own employees, providetl t�at such improvements ere not intentletl or oHered tor sale. If, howaver, Ihe building or improvemant is
soltl within one year of complelion, the owner�builder will have ihe burtlen ot OroWn9 that he or sha did not builtl or improve for purposa ot sale.).
❑ I, as owner af the O�oOerty, am EXC WSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to wnstruct tha prolect (SecJ044, Business and Professions
Code: The coniractors License Law does not epply to an owner oi property who builtls or Impmves thereon, and who contracts lor such pmject with e contractor(s)
license pursuaM to the Contractors License Laws.).
0 I am exempt untler sec. Business antl Professions Cotle for thi5 reason:
Signature: Date:
Owner ID verilietl Dy tlriver's license. ❑ Ves ❑ No Drivers Ucense No.
Verilicetion ol Ownership by (type of 4ocumeN, i.e. � pmperty tax 6ill or deed):
Expire5:
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTiFICATION:
❑ I hereby cenity Ihet no excava�lon tive (5) or more teet in dep�h into which e person is required to descen4 will De made in connection wit� work euthorized by this
pertnit, end ihat no building siructure, scaHolding, talsework, or demolition or dismantling thereot, will be more than thirry-slx (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
3a1, Ttle 8, Califomla Administrative Code).
❑ As awner-builder, I will not employ enyone to do work which woultl require e permit from iha Division ot Industrial Safery, as noted above, unless such person hes e
permit to tlo such work irom the division.
Siqnature: Date:
Divislon ol Industrial Safery Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF EMAY: I cenify under penalry ot perjury that I have reatl this application and state that the intortnetion given is
corract. I egree to compy with ell stete laws end ciry ortlinancas relating to bullding construction, antl authorize representetives of the Ciry of Casta Mesa to enter upon the
ebove-described properry tor inspection purposes. I agree not to occupy or allow occupanty of eny building authorized by t�is permit until fnal inspection.
GODE �. INSiECTONTYPE
1616 Fized System Final Fire Prevenlion
1266 Pool Spa Finel
200 Final Re-Roof
201 Final BIocWRetaining Wall
202 Final Factory Fire Place
203 Finel Sign
204 Final Demolition
Q� INiR1AL5
CO�Et INSPELTIONTYPE
206 Final Mechenical
208 Final Plumbing
210 Final Electrical
272 Final Fire Preven�lon '
220 Final Planning ADProval
222 Final Site '
250 Final Building/Occupenq
(714) 754-5273 • Fex (714) 754-4856 • www.cl.costa-mesaELECTRICAL PERMIT �� FAIR DRIVE, COSTA MESA, CA 92628
Job Address:
Suite No
Vicinily:
2533 CORNERSTONE LN
NEW SFD
Parcel Nunmber: TPN30056
npp�icant: GOODWYN, JIM
Address: 16845 VON KARMAN
STE iD0
IRVINE, CA
ISSUED BY:
Phone: 949-756-7373
Zip 92606
owner: RICHMOND AMERICAN HOMES OF CALIFORNIA
Address
Phone: 949-756-7373
Zip:
Contracror. RICHMOND AMERICAN HOMES OF CALIFORNIA INC
Address: 5171CALIFORNIAAV � ' '
SUITE 120 Phone: 949-467-2600
IRVINE, CA Zip: 92617
License: 487535
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool / Spa
Lighting Fixts
Recept Outlets
Swilches
Non Res Appl
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Molors l0 1hp
Molors to 10hp
Motors to 50hp
Motors to t00hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Status: ISSUED
Applied: O6/19/2006
Issued: 0620Y2006
SCOPE OF PERMIT
ELECTRICAL PERMIT FOR PHASE 2 CORNERSTONE HOMES
PIAN tA . - . ,
CONSTRUCT NEW 1991SF 2-STORY SFD WITH ATTACHED 415SF ATTACHED GARAGE. 126SF ENTRY
PORCH.
REF:# BO6-00965
WORK TO INCLUDE: 2 LIGHT FIXTS, 6 RECEPT OUTLETS, t SWITCFI, 1 MOTOR TO 1 HP
$23.50
$0.00
$0.00
$111.50
50.00
$0.00
5220
$6.60
$1.10
$0.00
$0.00
$0.00
$0.00
50.00
$4.75
50.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
50.00
�uantiry
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 / Lighting ,
Busway I100 k
Standing Section
Misc Electrical Equipment
Transformers up to 1 kva/kw
................up to 10 kvalkw
:................up l0 50 kva/kw
.......::........up to 100 kva/kw
..................over.100 kva/kw
Low Voltage Equipment
Low Volt Wiring S'ystem / Ckt ��
Misc. Conduit
Misc. Conductor
Circus ( gen or ride)
Circus (mech ride or lights) -
Christmas Tree Stand� �
Fireworks Stand � �
Other EleIXrical Fee � �
InveStigati0n Fee
Plan Check Fee
Reinspection Fee
Duantiry
$0.00 0
$0.00 0
$0.00 0
so.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 - 0
$0.00 0
$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
$0.00
TOTAL CALCULATED FEES E149.65
NOTICE: The work authorized by this permit shall compty with all applicable handicap access requirements under Califomia statutes and related
ragulations. (Ord. No. 92-28, § t, 12-21-92)
EXPIRATION: This permit sha0 autanatically expire and become void if work is rwt commenceG within 180 days, or if work Is suspended or abandone0
for a period o1 180 days.
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such xrork must compty with all appiicable codes, and all
required Inapeetlo�s and final approvat must be obtained. Failure to obtain inspections anA (inal approval wlll result in the expiration of this permit.
FOR INSPECTIONS CALL: (!14) 7545828
zus+e�em�
WORKERS' COMPENSAnON DECLAFiAnON:
I hereby ettirm under penalty ol perjury one of tne lollowing decleretlons: �
❑ I have and wlll melntein a certiticate of consent to self-Insure for workers' campensation, es providatl for by section 3700 of the Lebor Code, for the paAarmance ol ihe
work for whlch this permit Is issued.
❑ I have entl wlll maintain workers' compensation insurance, as requiretl by section 3700 of the Labo� Cotle, lor tha pedortnance of t�e work for which chis pertnit Is issued.
My wo rs' wmpensetion Insura wrtier end poli number are: ���—/�� 1
Certiec kP✓.lw,... e �yhNrp..�c2 PolicyNumher; 10 ��
(�hls sectlon n d no( De completed It ths pertriitls velued 1 one hundred Collers (3100) or less.)
❑ I certily t�at In t�o peAormance of the work lor which this portnll is issuetl, I shell not employ any person In any manner sa as to become subject to Ihe workers'
compensatlon law af Calllomia, antl gree thet II I should become su6�ect to Ihe workere' compensatlon provisions of Section 3700 0l the Labor Code, 1 shell tort�with
comPN wlih t�ese ovisions. � �vb
Applicent Signeture: Date:
WARNINO: FAILURE TO SE ' WORICERS' C ENSATI GOVEMGE I$ UNUWFUL AND SHML SUBIECi rW EMPLOYER TO CRIMI PENFLTIES rW 0 CML FlNES UP TOONE HUNDRED
hIOUSAND DOLIARE (5/00, IN ADIXTION TO THE OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECiION 3�080F THE IABOR CODE, INTERESi, PND ATTORNEVS FEES.
LICENSEO CONTRACTORS OECLARATON:
I hereby aMirm �hai l em Ilcensed under provisic
lorce end eHect. Lic. q�L
ConlrectofsSlgneWre: �
8(commenUng with Sectlan 7000) ol Dlvision 3 0l the B�
T Cless a
/ Data: _
Code, and my license is In lull
CONSTRULTION LENDINC AGLWCY:
❑ I hereby eHirm thel there is a wnsWction IenAing egency for �he peAormence oi the work for which Ihls permlt is Issuetl. (Sec. 3097, Civil CoOe).
Lentlers Neme:
Signature: _
OWNER-BUILDER OECLARATIONS:
Lentlers Address:
Date:
I hereby atlirtn Ihet under penalry of perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe lollowing reason (Sec. 7037.5, Business entl Professlons
Code: Any ciry or counry which requires a permit to constnxt, alter, imprwe, tlemolish, or reDair eny swcWre, prior to Its Issuance, elso requires ihe applicant tor suc� pertnit
to Ble e signetl statemem t�at �e ar she is Gcensed pureuant b the proNslans oi Ne Contractors Ucense Lew (Chapter 9(commencing with Sactlon 7000) of DMsion 3 of the
Business end Prolessions Code) ar thai he or she Is exempt t�erefrom and tha besis for Ihe allagetl azemptlon. Any violatlon ot Section 7031.5 by any appliwnt fw e permit
subjects Ihe ep0licant to e civil penalry of not more than tive hundred tlollars ($500).):
❑ I, as owner of the property, or my employees with wagas es thelr sole compensatlon, WILL DO 7HE WORK, end Iha slructure Is not intended or offeretl for sale (Sec.
7044, Business and Professions Code: The Contradors License Law does not apply to an owner of pmperry who builds or Improves thereon, and who does such work
himself or herself or throuqh his or her own employees, O�ovided thet such impmvements are not intended or ofleretl for sele. tl, however, the 6uiltling or improvement is
soltl wii�in one year ot completioq the ownerhuilder wlll have tha burden ot proving that he or s�a did nol build or improve for puryose of sala.).
❑ I, as owner ot the pmperty, am EXCLUSIVELV GONTRACTING WI7H LICENSED CONTRAC70RS to consiruct the proJect (Sec. 7044, 8usiness antl Professions
Code: The comrectors License Law does not epply to en owner of property who builds or Impmves thereon, entl w�o contracis lor such project with a contrecior(s)
license pursuant to the Contractors License WwsJ.
❑ I am ezempl under sec. Business end Professions Cotle tor IhlS r885on:
Signature: Date:
Owner ID venfied by tlrivals license. ❑ Yes ❑ No Drivers License No.
Vadlicatlon oi OwnersNp �y (rype ol tlocument, i.e. - property ta< blll or tlee0):
DIVISION OF INDUSTRIAL SAFETY PERMR CER7IFICATION:
Fxpires:
❑ I hereby certlty ihat no ezwvation Me (5) or more leet In tlepth Into which e person is required to tlescend, wlll be mede in wnnection with work eutharizetl by t�is
pertnil, end that no building strudure, scafloltling, lalsework, or demolition or dismantling thereoi. will be more then thirty-six (36) leet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Tltlo 8, Calilomla AOminisire�ive Catle).
❑ As ownor-bullder, I wlll not employ enyone to tlo work which woultl require e pertnit from Ihe Division of Intlustrlel Salaty, as noted above, unleu such person has e
permit to tlo such work irom the division.
Signaturo: Dele:
Dlvislon ol Indusirial Selery Permit Number:
CEHTIFlCATE OF COMPLIANCE AND AUfHOROATON OF EMAY: I certily under penalry of perjury thet I have read thls epplication end state that Ihe Inlortnation given is
correct. I egree to comply wlth ell stete lews entl ciry ortlinancos relatlng to 6uilding constructlon, entl euthorize reDresentetives of Ihe Ciry of Casta Mese to enter upon the
ebove-descnbed propeM �or inspection purposes. I egree not to occupy ar ellow occupency of any buil0ing au�horizetl by t�is Dermit until final ins0ection.
COUE I,
1618
1266
FIxeA System Final Fire Preventlon
Pool Spe Final
200 Final Ra-Roof
201 Final Block/Retaining Well
202 Final Factory Fire Place
203 Final Sign
20a FinalOemdition
COOE� INSPECTIONiYPE
206 Finel Mechenicel
20B Final Plumbing
210 Finel Electricel
212 Finel Fire Preventlon
220 Finel Planninp ApProval
222 Finel Slle
250 Finel Bulltling/Occupanry
��7.\I�I:1111/.16j
6� �
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.r��UMBING PERMIT �� FAIF ORIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
ParcelNunmber:
Applicank
Address:
Owner:
Address
2533 CORNERSTONE LN
NEW SFD
TPN30056
GOODWYN, JIM
16845 VON KARMAN
STE 100
IRVWE, CA
Phone: 949-75E7373
Zip: 92606
RICHMOND AMERICAN HOMES OF CALIFORNIA
Phone: 94&756-7373
Zip:
Contractor: 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: 06I192006
Issued: O6Y20/2006
SCOPE OF PERMIT
PLUMBING PERMIT FOR PHASE 2 CORNERSTONE HOMES ' '
PLAN 1A
CONSTRUCT NEW 1991SF 2-STORY SFD WITH ATTACHED 415SF ATTACHED GARAGE. 126SF ENTRY
PORCH.
REF:# 806-00965 ,
WORK TO INCLUDE: 1 BACKFLOW IRRIGATION,�1 BATHTUB, 1 DISHWASHER, 1 GAS (1-4
OUTLETS), 1 GAS SERVICE, 1 LAUNDRY TUBM/AHSER, 1 LANDSCAPE IRRIGATION, t 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
Backflow Preventer
Bathtub
Clarifer System
Connect pce,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (t-4 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oil)
Interceptors (Sand Auto )
AMT
$23.50
59.80
50.00
59.80
50.00
50.00
50.00
$9.80
50.00
$0.00
50.00
$0.00
50.00
$0.00
$6.15
$0.00
$0.00
$9.80
$0.00
$0.00
an
FEE SUMMARY
AMT
Laundry Tub / Washer 39.80
Landscape Irrigation $14.80
P-Trep � , $0.00
Pressure Regulator $0.00
Process Piping (per 10 fl) $0.00
Receptors $0.00
SepticTank $0.00
Sewer Cap for Demo $0.00
Sewer Conned $24.65
Sewer Private Line $24.65
Shower 519.60
Sink, bar � $0.00
Sink, wmmercial 50.00
Sink, Floor $0.00
Sink,kitchen 39.80
Sink, service/mop $0.00
Spa (private) 50.00
Spa (public) $0.00
�
1
1
0
0
0
0
0
0
1
1
2
0
0
0
1
0
0
0
Sump Pump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr Bkflow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
VJaste and Vent System
Water Closet (Toilet)
Water Heater / vent
Water Piping (Inst or Rep.)
, Water Re-pipe -
Water Service�
Water Soflener
OTHER
" VIOLATION
PLAN CHECK
REINSPECTION
AMT
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
549.00
$0.00
$0.00
$29.40
$12.30
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
�
0
0
0
0
0
0
5
0
0
3
1
0
0
0
0
NOTICE: The work authorized by this permit shall compty with all applicable handicap access requirements under Califomia statutes and related
regulations. (OM. No. 92-28, § 1, 72-21-92)
EXPIRATION: This pertnit shall automatically e�ire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a perlod o} 180 days. "��
INSPECTIONS: In order tor the work aulhorized under this permit to be considered legal, suc� work must comply with-al�p le codes, anA all
requfred Inapections and final approval must he o0lained. Failure to obtain inspections and final approval will result in the expiration of this pertnit.
FOR INSPECTIONS CALL: (714) 7545626
za+s�s�aoo�
WORKERS'COMPENSAnON DECLAHAnON: •
I here6y aHirtn under penalty of Derjury one ot lhe following declarations:
❑ I have and will meiniain a certifcate ot consent to 5elt-Insure for workere' compensation, es ptovitleC tor by section 3700 ot ihe Lebor Code, for the peAormanca ai Ihe
work tor which Ihis permit Is issuod.
❑ I have antl will maintain workers' compensatlon insurance, as requiretl by section 3700 0l Ihe Lebor Cotle, for lhe peAortnance ol the work for whkh Nis pertnit is issuetl.
My work s' compensatlon Insur�` ca�rner_ end licy numbar ere: )
Carrier: ��MB�/\CM• / IW1nY �L(I.W�IK<%/ PoliryNumber. ��7-6SyEp
(ihis section need nof be comp/efod i! t e permit is valu ef one hundred dollers ($100) or /essJ
❑ I certiy that in the peAormence of the work for which this partnit is issuetl, I shell not employ eny person in eny manner so as to become subject to tha workers'
compensatlon laws of Celllornia, antl egre that If I should become sub�ect to the workers' compensetlon provislons ot Sectlon 3700 oi the Lebor Code, I shall lorthwlt�
comply wlt� these provlsio s. /
AppllcamSignatura: , Deta: _� i0�'Le ��k]
WAFNING:FAILURETOSECURE O CERS'COMPE ON ERAGEISUNLAWFULANDSHALLSUBJECTANEMPLOVERTOCRIMINAL'PENALTESANDCIVILFlNESUPTOONEHUNDRED
THOUSAN�DdlARE(E100,000�,IN I�ITIONTOTHECOSTOF �MPENSATIQV,DAMAGESASFROV�DEDFORINSECTION3]OBOFiHELA00RCADE,IMEREST,ANDATfORNEV'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm Ihat I em licensed under YJ'si9
torce entl ettec�. Lic. a_--_5��
Contractafs Signeture:
CONSTRUCTION LENOING
of Chapter 9(commencing wi�h Seclion 7000) ot Division 3 of the Busine�j and pmlessions Code, and my license is in full
Class a FSO /
oaca: /� b
❑ I hereby aHirtn ihat there is a construction lentling egency lor the pertormance of ihe work for which this pertnit is issued. (Sec. 3097, Civil Cotle).
Lentlers Neme: Lendefs Address:
Signeture:
OWNER•BUILDER DECLARATIONS:
Date:
I hereDy aHirm thet untler penalry ot perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW lor ihe tollowing reason (Sec. 7031.5, Businass antl Proteulons
Cotle: Any ciry or counry which requires a permit to consiruct, alter, improve, demolish, or repair any structure, pnor to its issuanca, also requires the applicam for such pertnit
to fila e signetl statament that he or she is Ilcensed pursuent to ihe provisions al �he Contrectors lJcense Lew (Chapler 9(commencing with Section 7000) ot Division 3 of tha
Business end Protessions Code) or that he or she Is exempt therefrom and the basis br Ihe ellegad ezemption. Any violallon of Section 7031.5 hy eny epplicant for e pertnit
subjects t�e applicant to e civil penelry of not more then tive hundred dollars ($500).):
❑ I, as owner ol the property, or my employees with weges es their sole compensetlon, WILL DO TME WORK, antl tha structure is not intendad or oHeretl for sale (Sec.
7044, Business end Protessions Coda: The Contractors Licensa Lew does not apply to en owner of pmperty who builds or improves thereon, and who does such work
himself or herself or ihrough his or her own employees, provided that such improvements are not Intended or oHeretl for sale. If, however, Ihe building or improvement is
sold within one year of completion, Iha ownerbuilder will have iha bwden of proving ihal he or she did not build or improve for purpose of sale.).
❑ I, as owner ol ihe property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to Consiruct the project (Sec. 7044, Business end Prolesslons
Code: The wntrectors License Lew does not epply to an owner of property who builds or Improves Ihereon, end who contracis for such project with e contractor(s)
license pursuant to the Contrectors License Lews.).
❑ I am exempt unAer sec.
Signeture:
Owner ID venfied by drivers license. ❑ Yes ❑ No
Business anA Professions Code tor this reason:
Venfication of Ownership 6y (type ol tlocument, i.e. - property taz bill or tleed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Drivers License No.
Date:
Expires:
❑ I hereby cenity Ihat no axcavetion tive (5) or mora feet in depih into which e person is requireOlo tlescend, will be mada in connection with work authonzed by this
pertnit, and that no building structure, scattolding, talsework, or demolition or dismantling thereof, will be more t�an ihirry-six (36) faet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Ttle B, Califomla ACministrative Code).
❑ As owner-builtler, I will not employ anyone to do work which would requiro e pertnit trom t�e Division of Indusinal Safety, as noted above, unless suc� person hes e
permit to do such work from the tlivision.
Signature: Date:
Division ot Industrial Safety Pertnit Number.
CERTIFlCATE Of COMPIJANCE AND AUTHORVATION OF ENTRY: I cehify under penelty of perjury thet I have read Ihis application and state that the information given is
correct. I e9ree to comply with ell state laws entl ciry ordinances releting to builtling constructlon, end au�hodze representatives of ihe Ciry o� Cos�a Mesa to enter upon (he
above-described property lor inspection purposes. 1 agree not to occupy or allow occupency of eny building euthorized by Ihis permit until final inspection.
COOE I, iHsvPtnoxrvve
1616 Fisetl System Finel Fire Prevention
1266 Paol Spe Finel
200 Final Re-Roof
201 Final Block/Retaining Well
202 Final Factory Fire Place
203 Final Sign
204 Final Demolilion
Q� INTRIALS
Date
i�(� vb
Date
COOE 1 INSPECTION TYGE
206 Final Mechanical
208 Final Plumbing
210 Final Elacincal
212 Finel Fire Prevenlion
220 Final Planning Approval
222 Final Site
250 FlnalBuilding/Occupanry
2�1E II�LS
`7 iu�u
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suile No
Vicinity:
2533 CORNERSTONE LN
NEW SFD
Parcel Number: TPN30056
npp�icant: GOODWYN, JIM
Address: 16845 VON KARMAN
STE 100
IRVINE, CA
MECHANICAL PERMIT
Phone: 949-756-7373
Zip: 92606
Owner: RICHMOND AMERICAN HOMES OF CALIFORNIA
Address:
Phone: 949-756-7373
Zip:
Contractor: RICHMOND AMERICAN HOMES OF CALIFORNIA INC
Address: 5171 CALIFORNIAAV
SUITE 120
IRVINE, CA
Phone: 949-467-2600
Zip: 92617
License: 487535
ISSUED BY:
Status: ISSUED
Applied: 06It9/2006
Issued: 06/20/Z006
SCOPE OF PERMIT
MECHANICAL PERMIT FOR PHASE 2 CORNERSTONE HOMES
PLAN tA
CONSTRUCT NEW 1991SF 2-STORY SFD WITH ATfACHED 415SF ATTACHED GARP,GE. 126SF
ENTRYPORCH.
REF:# B06-00965
REF#:BO6-00342
WORK TO INCLUDE: 1 HOOD W/MECH EXHAUST, 1 INST FAU < 100 K BTU, 4 VENT
FANISINGLE DUCT AND 1 COMPRESSOR/ABSORPTION SYST 3 TO 15 HP/500 K BTU.
ISSUE FEE
Inst FAU <100 k BTU
Inst FAU >700 k BTU
Repair/Alt Cooling/Heat
Inst / Rep. Recess Wall Htr
Refrig Sys <100 k BTU
Refrig Sys >100 k BTU
Gas Piping
Faclory 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
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantity
1
0
0
0
0
0
0
0
t
0
4'
0
0
0
0
0
0
0
0'
FEE SUMMARY
Repair / Alt Absorbtion Unit
Repair I Alt Refngeration Unit
Ventillation System
Evaporative Cooler
Commercia l I ncineretor
Domestic Incinerator
Compressors / Absorption Svstems
Upto3hp/100kBTU.-. ��
3 To 15 hp / 500 k BTU � ,
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 . � � � ,
3Tot5hp . . ,
15 to 30 hp
30 ro 50 hp
Over 50 hp
Other Mechanical Fee
Investigation Fee
Plan Check Fee
D..inn....Mi..n C....
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 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
Q!1 l�It
NOTiCE: The work authorized by this permit shall comply with all applicable handicap access requirements under California slatutes and related
regWatlons. (Ord. No. 92-28, § 7, 1241-92)
EXPIRATION: This pertnit shall automaticaly expire and become voi011 work is not commenced within 180 days, or If vrork is suspended ocabarWoned
for a period of 180 dayc. '�
INSPECTIONS: In order tor ihe vrork auttrorized urMer this pertnit to be considered legal, sueh work must comply with all app�codes, arW all
required inspections and flnal approval must be obtained. Failure to obtain inspections and final approval will resutl in the expireUon of this permit.
POR INSPECTIONS CALL: (774) 754-5628
26a&ae(NDO)
WORKERS'COMPENSAnON OECLAHArON:
I hereby aXirtn underpenelty ofperjury one oithetollowing declereiions:
❑ I have and will melntain e certilicate of consent to self-Insure for workers' compensation, es provided for by section 3700 ot the Lebor Cotle, tor the pertormence of Ihe
work tor w�ich thi5 permi� I5155ue4.
❑ I have an will maintain workors' compensatlon insurance, as requiretl by section 3700 0l the Labor Cotle, for Ihe pertormance of Ihe work for which Ihis pertnit is issuetl.
My work compensation Insuren e carrier end olicy number ere: ta
CernBr. 'M�✓\� Q ��j�/�✓a�':G� PolicyNumhOr: �jio �OC ��
(This sectlon need nof be completed il the permrt is velued af one hundred dallers (S /00) or /ess.J
❑ I certiy thet in Ihe pedormance of the work for which this permit is Issued, I shell not employ eny person in eny manner so as to become subject ro the workers'
compensetlon laws of C� Ilornia, ana egree ihat If I should becoma subject to the workers' compensation provisions of Section 3700 oi the Lebor Code, I shall fort�wlth
Comply with these provisi s. — / /q
Applicant Signewra: ` Date: �O � U �i
WARNING FFILURE TO SECUPE W fl ERS' COM TION ERAGE IS UNUWFUL AN� SMALL SU&IEGT AN EMPLOVER TO CRIMINAL PE�NALTIES AND pVl� FlNES UP TOONE HUN�RED
TTKKISAND DOLLARE (5100,000), IN ITION TO TME COST O PENSATION, DAMNGES AS PROVIDED FOR IN SECTION 31O60F iHE UBOR ODDE, IMEPEST, ANO ATTORNEI"S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirtn that I am licen der ro '' ot Chapter 9(commencing with Section 7000) ot Division 3 ot the Busin s a�d Protessions Code, entl my license is in tull
force end eHect. Lic. q Class #
Contrectofs Slgnature: Date:
CONSTRUCTION LENDING GENCV:
❑ I hereby aHirm that there is e consiruction lending agency lor the peAormance ol the work for which ihis pertnit is issued. (Sec. 3097, Civil Code).
Lendafs Name: Lendars Adtlress:
Siqneture:
Date:
OWNER•BUILDEH DECLARATIONS:
I hereby aMlrm ihat under penelry ot perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Protessions
Code: Any ciry or counry which requires a permit to consiruct, alter, imprave, demolis�, or repair any structure, prior to its issuance, elso requires Ihe epplicant tor such pertnit
to Ille e signetl stetement that �e or she is licensed pursuant to the prodsions ot the Contrectors License Law (Chapter 9(commencing with SecUon 7000) ot Division 3 ot ihe
Business entl Protesslons Code) ar that he or she is exempt theretrom and the basis for the ellegetl eaamption. Any vloletlon of Sectlon 7031.5 by eny epplicant for e pertnit
sub�ects the epplicenl to a civil penalry ot nat more than tive hundred dollers ($500).):
❑ I, as owner of ihe property, or my employees wl�h waqes es Iheir sola compensation, WILL DO TME WORK, and iha structure is not intentle0 0� oHered for sale (Sec.
7044, Business an0 Professions CoOe: The Contractors License Law tloes not apply to an owner of property who builds or improves thereon, and who does such work
himseli or hersell or through his or her own employees, provided thet such Improvements era not intentlad or ofFered for sale. If, howave�, tha bulltling or improvament is
sold within one year of completion, ihe owner-builder will have ihe Ourden al proving that he or she did not 6uild or improve for purpose ol sale.).
❑ I, as owner oi the property, em EXCLUSIVELV CONTRAGTING WITH LICENSED CONTRACTORS to construct the project (Sec. 704G, Business and Professions
Code: The contreCtorS LicenSe Lew doe5 not epply Io en owner of praperty who Dulltls or Improv85lhereon, end who coniracls for such pm�act with B coniractor(s)
license pursuant to ihe Contracbrs License Laws.).
❑ I am exempt under sec. Business enA Pmfeuions Cotle tor Ihis reason:
SigneWre: Date:
Owner ID verifietl 6y tlriver's license. ❑ Yes ❑ No Driver's License No.
Vedlication af OwnersNp �y (type of tlocument, i.e. - pmperty tez bill ar aeetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Expires:
❑ I hereby certity thet no excavetion tive (5) or more feet in tlepth Into which e person is required to descend, will be metle in connectlon with work euthonzed by this
permit, end that no building structure, scattoltling, falsework, or tlemolitlon or tlismantling thereot, will be more than Ihiny-six (38) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title B, Calllornla Atlminlsirative Code).
❑ As owner-huilder, I will nat emplay anyone to do work which would require e pertnit tmm the Division of Intlustnel Safery, as notad ebove, unless such person has e
pertnit to do such work from ihe tlivision.
Signeture: Date:
Divisian at Industnal Sefety Permit Number:
CERTIFlCA7E OF COMPLJANCE AND AUTTiORIZATON OF EMRY: I cehify under penalty ol perjury ihat I have read this application end state ihat the inlortnation given is
correct. I egree to comply with ell state laws and ciry ordinances relating to bullding constructlon, end euthonze representatives oi tha Ciry of Casia Mesa to enter upon the
a6ove-described property for inspection puryoses. I agrea not to occupy or allow occupency of eny 6uilding authorized by ihis permit until finel inspection.
cooe r.
7616
1266
200
201
202
203
20A
Ot Legal Owner(s)
Fi:ed System Final Fire Prevention
Pool Spe Final
Final Ra-Roof
Flnal BIaWReteining Well
Final Factory Fire Place
Final Sign
Finel Demolition
�
n;��„c��.
40pE � INSPECTION TYPE .
206 Final Mechanical
20B Final PlumDing
210 Final Elecincal
212 Final Fire Pravention
220 Final Planning Approval
222
250
Final Site
Final Building/Occupancy
V2 c� �.,'.�
ADAMS • STREETER
CIVIL ENGINEERS INC.
��«�„�,�, ;. �oo�
City Gradin� Inspector
Citv' of Custa �9csa
Development Scrvices Department
77 Fair Dri��e
Custa �4c;u. Califurnia )=G2S-1=00
0i- I �73
IRVINE • RI\%ERSIDE
Jan A. Adams • Randal L Streeter
Sub,ject: Civil Gngineer's Cerfi�iculion of Precise Grading
Nroject: '1'ract Nu. 76937 — Lots l, 2 and 3- Buildings 1 through I1
Cornerstone ut Ilarbur [31vd.
Costa nlesa. California
Reference: Nrecise Grading Permit Number: G06-OOOU3
Address: 2501 I{arbor I3oule��ard, Costa i�lesa, California
Owner : Richmond Americun Homes
General Cuntractor: Richmond Americun Humes
In accord.mcc �vith City of Costa Mcsa Gradin� ❑nd Excavaiion Codc. and the
reyuirements of the Buildina Code. 1 ceilif7' �PP�'o�al of this project :is outlined nho�'e. to
precise _rade. Precise �,radino h.�s hecn completcd in conformance ���iih approved precise
�radin�_ plan for this pro.lect and in full compliance ���ilh said Codes. Certification
includes ha�izontal .ind �-ertic.il conuol for drainage de��ices. and positive building pad
draina��e.
This upproval does not indude pl.�cement or compaction of soil. �ahich is under the
pun�ie�a nf thc soil cn�inccr. �-�,,'': •;...
�/
/ : '� /
Bl': %!�" �ii.-
- -`..:`,,
'f 4� p}01^�i!.%: .�;t
�.. �'`s�_ � �'.; �
t' / \'� .
J'•� 425,5 x.� �
e;
--�.=zt�06 �1��
Decembcr �. �006
� �
M. Mnhammad�hadi, Projeet.�l3nu�x'� �:"`;RCE#: 4261i (Exp. 3J3�U081
\�,' ... �.A��� ;%
Adams Strcctcr Ci��il En�incers Inc�`'"�
15 CORPORAT[ PARK • IRVINE, CA. 9260h • Tel: 19d9) 47d-2330 • Fax: (949) 474-0�'S1
290(1 A(�A1.4S STREET. SUIT[ A-400 • RIVERSIDE. CA. 92504 • TeL (9511 352-4100 • Fax: 1957) 352-6200
�; �ption
` �ne
co.�sui��s�, evui..cens
PAGE 1 OF 1
_ . - .� . �_ ,: �:�. � ..; . . .
'STRUCTURAL OBSERVATION.REPORT-FORM ' �.Y
F � ' ` ;:RICFIIVIOND AMERICAN HOMES. . . ,
THIS REPORT MCLUDFS ALL CONSTRUCTION WORK THROUGH THE: 26'" Day of Scptcmber 2006.
PROIECT: "Comersronz" - SPU OPTION ONE 1N.: 0106-1253
LOCATION: Costa Mesa Cali(omia BLDG. PERMIT No.:
OWNER: Richmond American Homzs LOCATION/DIVISION: OranEe County
ARCHITECT: RazscnianlagoniArchi[ecn ARCHITECTI.N.: HI,A-Slbi
STRUCT. OBS. OF RECORD: Gvv A. McClanahan, P.E. GC. or REGISTRATION Nos.: C-42?53
STAUCTURAL OBSHRVER: �1ike Derhe, GCT. Gi-4539i
OBSERVED STRUClURAL ELE�IF,YI'S & THEIR CO\,'�'F,CTIONS: LOT(S) & PFL�SE OBSERVED:
Inlerior and Estcrior GcnerAl Framing: i.e., rcrof vusses, roo(sheathing, Lot 8, Plan IA, 2533 Cumerstone Lnne.
shear elements, holdu�rns, floor sheathing, fla�rjois�s/twsses', be:uns, headers. Ph:ue 2, Tracl #16937,
end general hudware. Costa tlesa. Califomia
(ATTACHMDI7IONAL PAGESIF NELESS4HYJ
'Ihe deficiencies and/or non-conforming items nored during obstrvaiion visit have bzen wrtectcd
and installcJ hy a coilnhurated eflon of [he project superintendent ;md the frunine fomman.
Inifial / Comnletion Date:
�I1R/09-ZG-06
Canslruciion @—Ba�bFe-SideJ � Ptywd CI'g O--Desk
Stage: � HVAC � Elec[rical 0 Plumbing ��µ,aNs Lid(s) 9ption
Nofe: When box is checked, d indicates that constructmn stage is in progress, and d has nol yef been completed af fhe fime o6senafion was conducfed.
� SiRUCTURAl SYSTEM WAS VISUN,LY OBSERVED TO BE IN GENERAL COMPORMANCE WITH THE APPROVED PLANS.
❑ STRUCTURAL DEFICIENQES ARE OF A MINOR NATURE & MAY BE REVIEWED BY CITY BLDG MSPECTOR FOR COMPLIANCE.
I DF.CLARF, THATTIIF, �OLLOR7NG STATE3IENTS ARF.9'RUE TO TII� REST O� MY KYOWLEDGE & BELIEF:
i. I AM THE REGISTERED ENGINEER WHO HAS RESPONSIBLE CHARGE
FOR THE STRUCTURAL OBSERVATION.
2. I, OR ANOTHER QUALtFIED-CHARGE OF3SERVER WHO 1 HAVE
DESIGNATED ABOVE AND IS UNDER MY RESPONSIBLE CHARGE,
HAS PERFORMED THE REQUIRED SITE VISITS AT EACH
SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE
STRUCTURE IS M GENERAL CONFORM.V�ICE WITH THE APPROVED
PLANS eWD SPECIFICATIONS.
3. ALL DEFICIGNCIES, WHICH 1 DOCUMENTED, HAVB 6GEN CORRECTGD
UNLESS OTHERWISE MDICATED ABOVE.
4. ALLOBSERVEDDEFIGENCESSHALLBECORRECTEDAND
APPROVED BY THE OBSERVER PRIOR TO FINAL ACCEPTANCE OF
THH STRUCTURAL SYSTEMS BY THE BUILDMG DEPARLb1ENT.
S. TFiiS REPORT IS PROVIDED TO THE OWNER AS A P.V2T OF THE
OWIJERS OVERALL CONSTRUCTfON QUALITY CONTROL PROGRAM.
G. OPl'ION ONE HAS PROVIDED STRUCTURAL OBSERVATION M
ACCORDANCE WITH THE SEAOC RECOMMENDED GUIDELMES POR
THF; PRACTfCE OF STRUCTURAL E,IGMGERMG IN CAI.IFORNIA.
SIGhED BY:
�I" N° C 042553 ZI �
\Exp. 03/31/_��
5'I)�MP& WE"1'SICNATURF.OI+
S'iRUCfURAL OBSERVEROFRECORD
26'" Dny oCSeptember 200G.
STRUCTU&1L ORSERVATION DOES NOT WANE THE REQUIRE�16NT5 FOR NSPECTIONS BY CITY BUILDIhG
MSPHCTORS. ALL WORK MUST C0�(PLY R9TH THE APPROVGD PLANS AND APPLICABLE STATE & LOCAL CODES.
G:11200'S112531065ervationlPhase_21SOR_F_Lot 8_P1A.doc (Rev. 115105)
Option One Tel 949.553.1916
Consulfing Engineers 20311 Acacia St., Suite 240, Newport Beach, Ca. 92660 Fax 949.553.9720