HomeMy WebLinkAbout2534 CORNERSTONE LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.�.�LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2534 CORNERSTONE LN
Suite:
Vicinity: CORNERSTONE ,
Primary Occ: R3 Dwellings! COng Res <10 Type of Construclion: V-N
Parcel Number: TPN30057 Zoning:
npplicant: GOODWYN, JIM
Address: 16845 VON KARMAN
Phone: 949-7563310 ISSUED BY:
IRVINE, CA Zip: 92606
Owner: RICHMOND AMERICAN"HOMES OF CALIFORNIA
Address �. , ,
� - � , Phone: 949-756-7373 � -
, Zip: .. .. .
Contractor: RICHMOND AMERICAN HOMES OF CALIFOF2NIA INC
Address: 16845 VON KARMAN �
: Phone: 949-756-7373
Slatus: ISSUED
Applied: 06/12/2006
Issued: O6/13/2006
IRVINE, CA _ � � - �
Zip: 92606 , � � License: 487535 � . . � �
Arch : KENNETH NIEMERSKI ; Eng: GARY A MCCLANAHAN
Address: 2031 ORCHARD DR �- Address: OPTION ONE CONSULTING ENGWEERS �
SUITE'100 Phone: 949-553-9100- NEWPORTBEACH,CA Phone: 949-553-1916
NEWPORT BEACH CA �� 20311 ACACIA SUITE 240
Zip: 92660 License: 23971 - 92660� " License: C042553
SCOPE OF PERMIT . ,
PHASEICORNERSTONEHOMES � � .
PLAN 3C
CONSTRUCT NEW 2074 SF 2-STORY SFD WITH ATTACHED 461SF ATTACHED GARAGE. 40SF ENTRY PORCH. .
FEESUMMARY - .
Plan Check: $1,049.98 _. .: . - _ Calc Valuation: $zio,2ss.2o
Permit: $1,615.35 Claim Valuation: so:oo
SMIP Res: $21.03
SMIP Com: $0.00
Other: $0.00 F -
Inspection: $0.00 '
Total: $2,686.36 �
SETBACKS
MAINSTRUCTURE Front 200-0
ACCESSORY
PARKING
Front 0- 0
Existina: 0
BLANNING & ZONING
Rear 15- 0 Left 10- 0.. ... Right ., 45- Q�
Rear 0- 0 Left 0- 0 � Right , 0- 0:
�Reauired: 148
0
Pr000sed: 148 -
NOTICE: The xrork authorized by this permit shail comply with all applicable handicap axess requiremenis under Califomia statu[es and related
regulations. (Ortl. No. 92-28, § 1, 72-27-92)
EXPIRATION: Tt�is pertnit shall automatically expire and become void if �wrk is not commenced within 180 days, or if work is su nded ro`�abandoned
fw a period of 1 BO days.
iNSPECTIONS: In orcfer tor the woric authorized untler this permR to be wnsidered iegal, such work must comply, 'Ih ali applicable codes, and atl
requlred Inspeetlons and final epproval must be obtainetl. Failure to obtain inspections and (inal approval will result_,in the erzpiration of this permit.
FOR INSPEC710NS CALL: (714) 7545626
r<•+a.�:ic�.�.r
WORKERS' COMPENSATION DECLARATION: . .
I hereby aHirm untler penalry ot perjury one ot ihe tollowing declarations:
❑ I have and will maintain a certificate of consent to self�lnsure for workers' compensatlon, es provitled for by section 3700 oi tha Labor Code, for the pertormance of the
work for which this pertnit is issuetl.
❑ I have and will maintain workers' compensation insurance, as required by saction 3700 of the Labor Code, for the pedortnance of t�e work for which Ihis pertnit is issued.
My worker ' compans�ation Insur nca carne� ntl policy number are: /�
Carrier. +�'\P��CA�.." tNG �yd✓��i� PolicyNumber. ���^ %S'i➢
(TAis section nee nof be completed i/ the permit is valued at one hund�ed dollars ($100) or less:) �
❑ I certity ihat in the peRormance oi the work for which Ihis permit is issued, I shell not employ any person in any manner so as to 6ecome subject to tha workers'
compensation lews of Califomie, end agree that ii I should become subjacl Io lhe workers' compensation provisions of Section 3700 0l the Labor Code, I 5hall forthwith
complY with these pro sions. /
Applicant Signature: � Date: v/� 3/� �
WARNMG FAILUFE TO SECURE RKERS' ENSATION VERAGE IS UNLAWFUL AN� SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED
THOUSANDDOLURE($100,000),I DDITIONTOTHECOSTOFCAMPENSATION,DAMAGESASPROVIDEDFORINSECTION3]OBOPTHEIABORCqDE,IMEREST,ANDATTORNEY'SFEES.
LICENSED CONTRACTORS DECLARATION:
I heraby aNirm that I em license under provisio�ni ,of Chapter 9(commencing with Section 7000) ot Division 3 of ihe Busin�c� n Professions Code, and my license is in full
brce entl ettect. Lic. k �� ��i Class W `w � �
Contrectofs SignaNre: �./ Oate: � ! � ��s
CONSTRUCTION LENDING ADENCV:
❑ I hereby aHirm that ihere is a construction lending egency for ihe pedormance of Ihe work tor which this pertnit is issued. (Sec. 3097, Civil Code).
Lenders Name:
Siqnature: _
Lenders Addre55:
Da�e:
OWNER-BUILDER DECLARATIONS:
1 hereby attirm that under penalry of perjury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the tollowing reason (SecJ031.5, Business and Protessions
Code: Any ciry or counry which requires e permit to consiruct, altar, improve, demolish, or repair any strucmre, prior to its issuance, also requires Ihe epplicant tor such permit
to file e signed statement that he or she Is licensed pursuant to the provisions ol ihe Comrectors License Law (Chepter 9(commencing with Section 7000) of Division 3 01 the
Business and Professions Code) or that he or she is exempt therefrom and ihe besis tor Ihe alleged exemption. Any violation of Section 7037.5 by any applicant for e permit
suDjects Ihe appliwnt to e civil penelty of not more than tive hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, antl the stmcwra is not intentled or ottered tor sale (Sec.
7044, Business and Protessions Code: The Contractors License Law does not apO�Y �o an owner of property who builds or improves thereon, antl who does such work
himself or herself or Ihrough his or her own emO�oYees, provided that such improvements ere not intended or oRered for sale. If, however, the building or improvement is
sold within one year oi completion, the owner-builtler wiil have the burtlen ot proving ihat he or she ditl not build or Improve for purposa of sale.).
❑ 1, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS ro constmct tha project (SecJ044, Business and Professions
Code: The comractors License Law does not apply to an owner ol property who builtls or Improves thereon, antl who contracts for such pmlect with e comractor(s)
license pursuant to the Coniracbrs License Laws.).
❑ I am ezempt under sac.
Signature:
Owner ID verified by drivefs license. ❑ Yes ❑ No
Business and Professions Code for this reason:
Venfiwtion of Ownership by (type of documem, i.e. - propeny tax bill or deed):
DIVISION OF INDUS7RIAL SAFETV PERMI7 CERTIFICA710N:
Oriver'S License No.
Date:
Ezpires:
❑ I hereby certify that no ezcavetion five (5) or more fee� in depth into which a person is required to dascend, will be mede in connection with work euthonzetl 6y this
permit, antl that no building siructura, scettolding, falsework, or demolition or tlismantling thereof, will be more than ihirty-six (36) leet high. (C�ap. 32, Grp 2, Art 2, Sec.
341, Title 8, Califomla Atlminisirative Code).
❑ As owner-builder, I will not employ anyone to do work which woultl require e permit irom ihe Division af Indusiriel Safery, es noted ebove, unless such parson has a
permi� to do such work from Ihe division.
Signature: Date:
Division ot Industrial Safery Permit Number:
CERTFICATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRY: I certiy under penalry ot perjury �hat I have read ihis epplication and state �ha� the information given is
correct I egree to comply with all state laws end ciry ordinances relating to building construction, and authonze representatives of Ihe Ciry ot Costa Mesa to enter upon Ihe
ebove-descnbed propetly tor inspection puryoses. I agree not to occupy or ellow occupancy oi eny 6uilding aufhorized by ihis permit until finel inspection.
COOE �,
1616
1266
200
Fixed System Final Fire Prevention
Pool Spa Final
Final Re-Root
201 Final Block/Retaining Wall
202 Final Factory Fire Place
203
2 4
Final Sign
Final Demolition
¢7Ji�
INTRIALS �� INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
270 Final Elecirical
212
220
222
250
Final Fire Prevention
Final Planning Approval
Final Site
Final Building/Occupancy
OATE INTRI�LS
z aC� �.�.
(714) 754-5273 • Fex (714) 754-4856 • www.ci.coste-mesa.PLUMBING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2534 CORNERSTONELN
Suite No
Viciniry: SFD
Parcel Nunmber: TpN30057
npplicant: GOODWYN, JIM
Address: 16845 VON KARMAN
IRVWE, CA , �
Phone: 949-7567373
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: 06/13/2006
Issued: O6/13/2006
SCOPE OF PERMIT
PIUMBING PERMIT FOR PHASE 1 CORNERSTONE HOMES ,
PLAN 3C
CONSTRUCT NEW 2074 SF 2-STORY SFD WITH ATTACHED 461 SF ATTACHED GARAGE. 40SF ENTRY
PORCH.
REF#: BO6-00916 >
WORK TO INCLUDE: 1 BACKFLOW IRRIGATION, 1 DISHWASHER, 1 GAS (1-4 OUTLETS), 1 GAS
SERVICE, 1 LAUNDRY TUBNJASHER, 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 HEATER/VENT,�t WATER SERVICE. � , . , ..
AMT (
ISSUE FEE $23.50
Backflow irrigation $9.80
Backflow Preventer g0.00
Bathtub $9.80
Clarifier System $0.00
. �1 Connect (Ice,Soda,etc) $0.00
� Dental Units 50.00
Dishwasher $9.80
Drain, Floor $0.00
Drain, Rainwater $0.00
Drain, Roof $0.00 �
Drinking Fountain $0.00 �
Expansion Tank 50.00
Gas Earthquake Valve $0.00 �
Gas (1-4 outlets) 56.15
Gas (Over 4 outlets) g0.00 �
Gas Repipe $9.80
Gas Service $0.00 �
Interceptors (Grease, Oil) $0.00 �
Inlerceptors (Sand Auto ) $0.00 i
FEE SUMMARY ,
IN AMT 2 AMT C�N
Laundry Tub / Washer �. � 59.80 1 Sump Pump " $0.00 0
I Landscape Irriqation $14.80 1 Swimming Pool $0.00 0
I P-Trap �, 50.00 0 Trap Primer , $0.00 0
Pressure Regulator � $0.00 0 Urinal � $0.00 0
) Process Piping (per 10 N) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0
I Receptors $0.00 . 0 Vacuum Brkr BkFlow(5+) $0.00 0
I Septic Tank $0.00 '0 �� Wash Basin . �$49.00 5
Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0
) Sewer Connect . $24.65 1 Waste and Vent System $0.00 0
1 � Sewer Private Line $24.65 1 Water Closet (Toilet) $29.40 3
1 . Shower � $19.60 2 � WaterHeaterlvent $12.30 1
1 Sink, bar $0.00 0 � " Water Piping Qnst or Rep.) $0.00 0
1 ." Sink, commercial 50.00 " 0 ,� Water Re-pipe ,' $0.00 0
1 Sink, Floor $0.00 0� �. VJater Service� $9.80 1
' Sink, kitchen 59.80 1 Water SoRener $0.00 0
� Sink, service/mop $0.00 0 OTHER $0.00
'��, Spa (private) 30.00 0 VIOLATION So.00
I Spa (publiy $0.00 0 - PLAN CHECK $0.00
i REINSPECTION $0.00 0
NOTICE: The work auttrorized by ihis permit shall comply with all applicable handlcap access requirements under Califomia
regulations. (Ord. No. 92•28, § 1, 12-21-92)
E%PIRATION: This pertnit sha11 automaticalty expire and become vold if work Is not cammenced within 180 days, or Ii work�BusperWed or abandonad
br a period ol 180 days. %
INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must compty with all eppllcebie Codes, and all
requlred Inapeetlone end (Inel approval must be obtalned. Failure to ohtaln InsDeo��ons end final approval will resutl in the explration ot this permlt.
FOR INSPECTIONS CALL; (714) 7545828
zusrs (amol
WORKERS' COMPENSA710N DECLARATION:
I hereby attirm untler penalry ot perjury one of the following declarations:
❑ 1 have antl will meinieln e certificate ol consent to setl-Insure for workers' crompensation, as provitled for 6y section 3700 0l t�e Lebor Cotle, tor the pertortnance of the
work for which �hi5 permii is issuetl.
❑ I have and will maintain workers' compensation Insurance, as requiretl by sectlon 3700 of Ne Labor Code, for the perfortnance ol Ihe work for which Ihis pertnit is issuetl.
My worke compensation Insurence ca ri r entl policy nymber ere:
Carrier: ��p✓�lw�.. vV1G 1rS�U✓QH/� PoliryNumber: ������r�
(This section nee not be complefed i! the permit Is velued ef o e hundred tlollars ($100) or less.)
❑ I certity that in the peAortnence of Ihe worke for which ihis pertnit is issued, I shall not employ any person in eny menner so as to become sub�ect to the woMers'
compensatlon lews ol Californie, and egre Ihel il I should 6etome subject Io the worker5' compensation provislons ol Sactlan 3700 of ihe Lebor Code, I shall forthwith
comply with these pm ions. _ ti
Applicant Signature: � Dete: -6/�- ?i �� b
WARNING FAILURE TO SECUR W RKERS' CAMPE ION C ERnGE IS UNIAWFUL AN� SHALL SUBJECT AN EMPLOVER TO GRIMINAL PENALilES NND CNIL FlNES UP TOONE HUNDRED
THOUSANDDOLI.ARE(5100,000�, DDITIONTOTHECOSTOFfAMPENSATIPV,DAMAGESASPROVIDEDFOFINSECTION3�O80FTHELABORCAOE,IMEREST,AN�ATTORNEV'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aNirm that I am
farce and eflect. Lic. p_
Contrectors Signeture:
Chapter 9(commencing with Section 7000) of Division 3 of the Busines�n� � fessions Coda, antl my license is in full
C18s5 M
C"'�ii�i n � Da�e: /� / a n�h
CONSTRUCTION LENDING AGENBV:
❑ I hereby aHirtn thel fhere is a conswction lentling egency for ihe pertormance ot Ihe work for which Ihis pertnit is issued. (Sec. 3097, Civil Cotle).
Lentlers Name: Lenders Address:
Signeture:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby affirtn thet under panelry at perjury thet I em EXEMP7 FROM TME CONTFiACTORS LICENSE LAW lar ihe tollowing reason (Sec. 7031.5, Business end Professions
Code: Any ciry or wunry which requires e pertnit to consiruct, alter, improve, demolish, or repair any sWcture, pnor to its issuance, also raquires lhe epplicaN for such pertnit
to file a signed statemen� ihat he or she is licensetl pursuant to the provislons af �he Contractors License Lew (Ghapter 9(commencing with Sectlon 7000) of Division 3 at the
Business entl Professlons Cade) or thet he or s�e Is e:empt therefrom end ihe basis for the elleged exemptian. Any violation of Section 7031.5 by eny applicent for e pertnit
sub�ecis the applicant to e cMl penelry of not more than five hunAretl Aollars (5500)J:
❑ I. as owner of t�e property, or my employees with wages es their sole compensation, WILL DO THE WORK, an0 the siructure is not Intentletl or otferetl for sala (Sec.
7044, Business end Professions Code: The Coniractors License Law does not apply to an owner of property who builds or imprwes thereon, end who does such work
himself or �ereell or through his or her own employees, provided Ihat such improvements are not Infended or oHeretl for sale. I(, however, the building or improvement is
sold wiihin one year ol completion, Ihe owner-builtler will have the burden ol proving that ha or s�e did not build or improve tor purpose oi sale.).
❑ I, as owner of the property, em EJ(CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to Construct ihe project (Sec. 7044, Busines9 end Prolessions
Code: The con(rectors License Lew does not apply to en owner oi property who bullds or Improves iheraon, antl w�o contwcis lar suc� project with e contractor(s)
licensa pursuam b the Camrectors License Lews.).
❑ 1 am evempt under sec. Business and Protessions Cotle for this reeson:
Signeture: Date:
Owner ID venfied by drivefs license. ❑ Ves ❑ No Drivefs License No. Eapires:
Verilicetion ot Ownership by (type of tlocument, i.e. � property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N:
❑ I hereby cenify that no ezcavetion flve (5) or more feet in tlepth into which e parson is required to tlescend, wiil be made in connectlon with work euthorized by ihis
permit, and lhat no building structura, scaHolding, falsework, or tlemolition or dismantling thereol, will be more ihan ihitly-six (36) leet high. (Chap. 3.2, Gry 2, Art 2, Sec.
341, Title B, Californla Administrative Code).
❑ As owner-builder, I will not employ enyone to do work which woultl require a permit imm ihe Division ol Industrial Sefery, es notetl above, unless such person has e
permit to do such work from iha tlivision.
SignaWre: Date:
Division ol Industnal Setery Permit Number:
CER7IFICATE OF COMPLIANCE AND AUTHORVA710N OF ENTAY: I certity unUer penalry of perjury t�et I heve reed this epplication end state that ihe iniormation given is
wrrect I egree to comply with all stata lews end city ordinances relating to builtling consiruction, end au�horize representa�ives of Ihe Ciry of Coste Mesa to enter upon t�e
abova-described property for inspection puryases. I egree not to occupy or ellow occupency of eny 6uilding emhorized hy this Dermit until finel inspectian.
cooe r.
1616
1266
Fixetl System Finel Fire Preventian
Pool Spe Final
200 Final RB-Root
201 Final8lock/Retaining Well
202 Final Factory Fire Place
203
204
Final Sign
Final Demolitlon
PAiE ' wmuLS
40DE� •INSPECTIONTYPE
206 Finel MethaniCel
208 Final Plumbing
270 Finel Electrical
212 Finel Fire Prevention
220 Finel Planning Approval
222 Final Site �
250 Finel Builtling/Occupancy
O�IE �4
� �`
(714) 754-5273 • Fa�c (714) 754-0856 • vnvw.cl.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Jobnddress: 2534 CORNERSTONELN
Suite No
Vicinity: HOUSE
Parcel Number: TPN30057
Applicant: GOODWYN, JIM
Address: 16845 VON KARMAN -
STE 100 ,
IRVINE, CA �
MECHANICAL PERMIT
ISSUED BY:
Phone: 949-756-7373
Zip: 92606
Owner: RICHMOND AMERICAN HOMES OF CALIFORNIA
Address: � � �
Phone: 949-756-7373 �
Zip:
Status: ISSUED
Applied: 06/13/2Q06
Issued: O6/13/2006
Contrector: RICHMONp AMERICAN HOMES OF CALIFORNIA INC
Address: 5171 CALIFORNIAAV � -
SUITE 120 Phone: 949-467-2600 � �
IRVINE, CA Zip: �.92617 •
Licensa:487535 '
SCOPE OF PERMIT
MECHANICAI pERM1T FOR PHASE 1 CORNERSTONE HOMES
PL4N 3C
CONSTRUCT NEW 2074 SF 2-STORY SFD WITH ATTACHED 461SF ATTACHED GARAGE. 40SF
ENTRY PORCH.
REF#:BO6-00916
WORK TO INCLUDE[ 1 HOOD WIMECH EXHAUST; 1 INST'FAU < 100 K BTU, 1 VENT
FAN/SIIJGLE pUCT AND 1 COMPRESSOR/ABSORPTION SYST 3 TO 15 HP/500 K BTU.
ISSUE FEE
Inst FAU <100 k BTU
Inst FAU >100 k BTU
Repair/AN CoolingMeat
Inst / Rep. Recess Wall Htr
Retrig Sys <100 k BTU
Refrig Sys >100 k BTU
Gas Piping
Factory Fireplace
Hood w/Mech Exhaust
VAV Box
Vent Fan I Single Duct
Appliance
Fire Dampers
Smoke Dampers
Inst or Relowte Appl Vent
Air Handlers < 10000cfm
AirHandlers> 10000cfm
Floor Fumace
Floor or Suspend Heater
$23.50
$14.80
$0.00
$0.00
so.00
so.00
$0.00
$0.00
$0.00
$10.65
ao.00
529.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
FEE SUMMARY
� Quantiry � � � . . � � �- Quantiry
t
0
0
0
0
0
0
0
1
0
4
0
0
0
0
0
0
0
0
Repair / Alt Absorbtion Unit
Repair / AIt Refrigeration Unit
Ventillation System
Evaporetive Cooler ,
Commercia l I ncinerator
Domestic Incineretor
Comoressors I Absorotion Svstems ,
Uplo3hp/t00kBTU
3 To 15 hp I 500 k BTU
15 To 30 hp I 1,OOO.k BTU '
30 To 50 hp I 1,750 k BTU - "
Over 50 hp / Over 1,750 BTU .
Boilers
Up to 3 hp , , .
3To15hp
15 to 30 hp , � ` ,
30to50hp - "- i �- ,
Over 50 hp � �
Other Mechanical Fee �
Investigation Fee �
Plan Check Fee .
Reinspection Fee
rnr�� r�� rn� .ren reee
$0.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
527.15 1
$0.00 0
so.ao 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
so.00
$0.00
$0.00
r�nc �n
N077CE: The work authorized by this permit shall comply with all applicable hantlicap access �equlrements under Califomia s 8s antl related
regulations. (Ord. No. 92-28, § 1, 1241�92)
El(PIRATION: This permit shall automgtically e�ire arW become void il work is not commenced within 180 days, or rk is suspended or abandoned
for a period of 180 days. �
INSPECTIONS: In order for the work authorized under this permit to be consfdered legal, such work must comply with all eppllcable codes, and all
required Inspectlona and final approval must be obtained. Failure to obtetn Inspections and final approval will result in the ezpiration ot thia permit.
FOR INSPECTIONS CALL: (714) 7546628
rr..:�,:,fil)]
WORKERS' COMPENSA710N DECLAIiA710N: '
I hereby aflirm under penelry of perjury one ot Ihe following declarations: ,
❑ I heve entl will melntein e certificata of cansent to self-Insure /or workers' compensatlon, es provided for by section 3700 of the Lebor Catle, lor the pertormence of the
work tOr whiCh thi5 OBrtnli is i5sue0.
❑ I have anO will maintain workers' compensatlon insurance, as requlred by section 3700 af the Lebor Cotle, tor the pertortnance ol the work tor which Ihis permit is issuetl.
My wo ers' compensatlon Insuranc wrner antl $olicy number ere: �! -y
Cartier. ��NPJ�ld v. Y�n� / IShu �Q'u4� PolicyNumber _� T�"6� / O
(This sec(ion n ed wt be cromp/e(etl i! he permif /s va/ued at one hunUred tlallars ($100) or less.)
� I cehity thet in tha OeAortnence of the work for whic� this pertnit is issuetl, I shall not employ any person in eny manner so as to become subject to ihe workers'
compensation laws ol Califomia, antl aqree ihat if I shoultl �ecome sub�ect to t�e workers' compensation provisions ot Sectlon 3700,oi the Lebor Cotle, I shell lonhwit�
camply with ihese provision . � / � b
ApplicanlSignaWre: Date: fiJ/13 � �
WARNING: FAILURE TO SECVflE W RS' COMPENSA �N OWE GE IS UNLAWFUL rWD SHAl1 SUBIECf AN EMPLOYER TO CRIMI�NA� PENALTIES AND CML FlNES UP TO ONE HUNDRED
T/qUSPND00LLARE(E100,000),INA D ONTOTMECOSTOFWMPENSATIIXJ,UAMAGESASPROVIDEDFORINSECilON3]O60FTHELABOFCODE,IMEREST,ANDATTORNEI^SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aNirm thel I em licensetl untler pmvisia
force and eflect. Lic. a�
Contraaor's SigneNre: �
CONSTRUCTION LENDING
9(commencing wlt� Sectlon 7000) af Division 3 of ihe B
Cless a
Catle, end my licensa Is in full
❑ I hereby eHlrm thei thera is a construction lending egency for tha pertormance of ��e work for which this permi� is issued. (Sec. 3097, Civil Code).
Lenders Name: Lendels Aadress:
Signawre:
OWNER•BUILDER DECLARATIONS:
Date:
I herehy aillrtn Ihat under penalry of parjury thet I am EXEMPT FROM THE CONTRACTOHS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business antl Protessions
Code: Any ciry or counry which requires a pertnit to construc6 alter, improve, tlemolish, or repair eny structure, prior to its issuance, also reduires iha epplicant tor such pertnit
to tile a signed sletement t�et he or she I5 licensed pursuant ro the pmWsions oi the Contractors License Lew (Chapter 9(commencing wit� SecUon 7000) of Division 3 01 [he
Business antl Prolessions Cotle) or Ihat he or she is e:empt iherelrom end Iha besis tor the ellegetl exemption. Any Nolation of Section 7031.5 6y any epplicent for a permit
sublects ihe ep0���nt to e civil penelry of not more than five hundred dollers (5500).):
❑ I, as owner oi Iha property, or my employees wit� wages as their sole compensation, WILL DO THE WOPK, and the strucWre is not intentletl or oHered for sale (Sec.
7044, Business antl Professions Cotle: The Contracmro License Lew does not apply to an ownar of property who builds or improves ihereon, end who tloes such work
himsetl or hersell or through his or her own employees, provitletl ihat such Improvements are not intended or oHered for sele. It, however, tha builtling or improvement is
sold within one year ol complation, the owner-builder will have t�e burden ol proving that he or she tlitl not builtl or improve for purpose of sele.).
❑ I, es owner of ihe property, am E%CLUSIVELV CONTRAC7ING WITH LICENSEO CONTRACTORS to construct the project (Sec. 7044, Business antl Profeuions
Cotla: The comrectors License Lew does no� apply Io an owner ol propeny who builCs or impmves Ihereon, anA w�o comrac�s for such project wit� a contrector(s)
license pursuant to the Contracbrs License Laws.).
❑ I am exempt under sec. Business end Prolessions Coda tor �his reason:
SignaWre: Date:
Owner ID verified by tlriver's Ilcanse. ❑ Ves ❑ No Odver's License No. Expires:
Veniication ol Ownership by (type of documem, i.e. - propeny tax Dill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CEfiTIFICATION:
❑ I hereby certify tha� no excavation five (5) or more fee� In depih In�o which e person Is requiretl to tlescen4 will be mede in connectlon with work euthonzed by Ihis
permit, antl Ihat no huiltling swqure, scaHoltling, talsework, or tlemolition or tlismantling ihereot, will 6e more than thirry-six (36) ieet high. (Chap. 32, Gry 2, Atl 2, Sec.
341, Tltle 8, Calilornia Administrativa Cade).
❑ As owner-6uilder, I will not employ anyone to do work which would require e permit from the Division of Industriel Salary, as notetl ebove, unless suc� pereon hes e
pertnil to do such work irom ihe tlivision.
Signature: Date:
Division of Indusirial Safery Permit Num6er:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATON OF ENTRY: I certity under penel�y of perjury Ihat I have reatl Ihis epplication and state that the information given is
correct. I agree to comply with all state laws and ciry ordinances relating lo bullding constructlon, entl aulhorize representatives of Ihe qry ot Costa Mesa to enter upon the
above-descdbed propetly tor inspection purposes. I agree not to occupy or ellow xcupancy of eny building authorizetl by this permit until finel inspection.
cooe �.
1616
1266
200
201
202
203
204
Fixed System Final Fire Prevention
Pool Spa Final
Final Re-Roat
Final BIocWReteining Wall
Final Fectory Fire Place
Finel Sign
Finel Demolilion '
P�ff ItiL�LS
L�
COOE� INSPECTIONTYPE �
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Builtling/Occupency
� � w.
�. �1- ..�
(714) 754-5273 • Fex (714) 754-4856 • www.ci.costa-mesaELECTRICAL PERMIT n FAIR DRIVE, COSTA MESA, CA 92828
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
Applicant:
Address:
Owner:
Address
ContraUor:
Address:
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 unils)
New Res (3+units)
Pool / Spa
Lighting FiMs
Recept Outlets
Swilches
Non Res Appl
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motore to ihp
Motors to 10hp
Molors to SOhp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign CirCuils
Temp Pwr Pole
2534 CORNERSTONE LN
NEW SFD
TPN30057
GOODWYN, JIM
16845 VON KARMAN
STE 100
IRVINE, CA
Phone: 949-756-7373
Zip 92606
RICHMOND AMERICAN HOMES OF CALIFORNIA
Phone: 949•756-7373
Zip:
RICHMOND AMERICAN HOMES OF CALIFORNIA INC
5171 CALIFORNIA AV
SUITE 120
IRVINE, CA
Phone: 949-467-2600
Zip: 92617
License:487535
ISSUED BY:
Status: ISSUED
Applied: O6/13Y2006
Issued: 06/132006
SCOPE OF PERMIT
ELECTRICAL PHASE 1 CORNERSTONE HOMES --
PLAN 3C
CONSTRUCT NEW 2074 SF 2-STORY SFD WITH ATTACHED 461SF ATTACHED GARAGE. 40SF ENTRY
PORCH.
REF#: BO6-00916
WORK TO INCLUDE: 2 LIGHT FIXTS, 8 RECEPT OUTLETS, 1 SWITCH, 1 MOTOR TO 1HP
523.50
$0.00
$0.00
$116.14
$0.00
$0.00
$2.20
$8.80
$1.70
$0.00
$0.00
$0.00
$0.00
$0.00
$4.75
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
50.00
Quantiry
2074
0
0
2
8
1
0
'0
0
0
0
1
0
ip
0
0
0
0
0
0
0
FEE SUMMARY
Temp Dist System I Lighting
Busway/100k
Slanding Seclion
Misc Eledrical Equipment
Transformers up to 1 kva/kw
................up to 10 kvalkw
.................up l0 50 kva/kw
..........:......up to 100 kva/kw
..................over 100 kvalkw
Low Voltage Equipment
Low Volt Wiring System / Ckt -
Misc. Conduit
Misa Conductor
Cirws ( gen or ride)
Circus (mech ride or lights)
Christmas Tree Stand
Fireworks Sland ' �
Other Eledrical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$O.OU
$0.00
50.00
$0.00
$0.00
$0.00
50.00
$0.00
TOTAL CALCULATED FEES 5156.49
�uantity
0
0
0
0
0
0
0'
0
0
0
0
0
0
0
0
0
0
NOTICE: The work authorized by ihis permit shall comply with all applicable harMicap eccess requirements under
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This pertnit shall automaticaity a�ire and become wid II work Is not commenced within 180 days, or if y
tor a period of 18o days. /�
arW related
Is suspended or abandoned
INSPECTIONS: In order for the woAc authorizetl under Ws pertnit to De considered legal, sueh work must compty wtth all applicable codes, antl all
requlred Inapeetiona end tinal approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of Ws permit.
FOR INSPECTIONS CALL: (710) 75M5828
zusae (aaol
WORKERS'COMPENSAnON DECLARATON: '
I hereby ettirm untler penalry oi perjury one ot the following declarations:
❑ I have end wlll maintein a cenificate of consent to self-Insure for workers' compensation, as providetl tor by section 3700 oi tha Lebor Code, tor the peAormance ol the
work tor which this pertnit Is issued.
❑ I have entl will maintain workers' canpensatian insurance, as required by soction 3700 of t�e Lebor Cotle, for ihe pedortnance ot the work lor which this pertnit is issuetl.
My work s' compensation Insuren rrier end Icy number ere:
Cerrbr. VNP✓�CA�. �vt�P �.!✓Gv�IP POIIcyNumber: ���^i0� �p
(This section ne d wf be comp/e(etl i! the permif I5 velu e( one huntlred dollars (5100) or less.)
❑ I certiy that in tha peAormence ol Ihe work lar which thls permit is issueQ I shall not employ any person in any manner so es to become su�ject to Ihe workers'
compensatlon laws ol Celitomia, entl egrae thet II I shoultl bacome sub�ect to the workers' compensetlon provisions ol Sectlon 3700 of lhe Lebor CoOe, I shall torthwlth
comply with Ihese pr visions.
Applicent Signeture: Date: �1r �1�6
WARNINO; FAIW fiE TO SE RE OHKERS' ENSA � COVEMGE IS UMAWFUL AND SHALL SU&IECT M! EMPLOYER TO CRIMINAL P TIES rWD CNIL FlNE$ UP TO ONE HUNORED
THOUSIWDDOLLARE(5100, .I�IADOfTIONTOTHECQS OFCOAIPENSATION,DAMAGE50.5PROVI�EDfORIN5ECi1qJ3lOBOFTHEUBORCOOE,INiEREST,ANDATTORNEV5FEE5.
LICENSED CONTRACTORS DECLARATION:
I hereby eMirm that I am
force ena eHect. Lic. q_
Comiactor's Signeture:
CONSTRUCTION LENDING
ol C�aO�er 9(commenGng wit� Section 7000) at Dlvision 3 ot the Busine end Protessians Cotle, and my license Is in tull
Cless k � � .
oete: d,
❑ I hereby eNirm thet there is a wnsiructlon IenCing agency for Iha perfortnance ol �he work lor which this permit is issued. (Sac. 3097, Civll Godaj.
Lendefs Name: Lenders Address:
Signeture:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby aflirm t�et under penalry of perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Buslness end Professions
Code: Any ciry or counry whfch raquires e pertnit ro mnsiruct, alter, improve, tlemdish, or repair any atrucWra, pnor to its issuance, elso requiras �he epplicaN tor such permit
to lile e signetl stetement that he or s�e I5 licensad pursuant ro the provi5ion5 of ihe Contrectors License Lew (Chepter 9(cammendng wlih Sectlon 7000) ol Division 3 0l t�e
Business entl Professions Code) or t�at he or she is e:empt therefrom end t�e besis for the elleged exemption. Any violation of Section 7031.5 Ey any flpplicant for a pertnit
subJects t�e epplicant ta e civil penalry oi rwt more than five hunCred dollars (5500).):
❑ I, es owner ol the property, or my employees with wages es their sole compensation, WILL DO 7HE WORK, entl the siructure Is not intended or oHered tor sale (Sec.
7044, Busineu antl Professions Cotle: The Contracbrs License Law does not apply to en owner of property who builds or improves thereon, and who does such woM
himself or herself or through his or her own employees, providetl that such improvemanis are not imentletl or oNered for sale. If, however, ihe building or improvement is
sold within one yeer of mmpletion, �he owner-builder will heve the burtlen ot proving that he or she did not builtl or improve lor purpose oi saleJ.
❑ I, as owner ot the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to ton5truct Ihe O�oject (Sac. 7044, Business and Pmfeuions
Code: The coniractors License Ww Ooes not epply to an owner oi property w�o builCs or improves Ihereon, antl who contracts lor such project with a coniractor(s)
license pursuant to the Contractoro License Lews.).
❑ I am exempt under sec. Business end Prolessions Cotle for �his reason:
Signeture: Date:
Owner ID verilied Cy drivets licensa. ❑ Yes ❑ No Drivefs Licensa No. Expires:
Vedilcation ol Ownership by (rype ot tlocument, i.e. - property tax bill ar tleetl):
OIVISION OF INDUSTiiIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certlly thet no excavetion five (5) or more leet in Cepth into w�ich e person Is required to descen4 will ba matle In connection with work euthorized by this
pertnit, end that no building siructure, scaHolding, lelsework, or demolition or tlismantling ihereoi, will he more Ihen thirty-six (38) leet high. (Chep. 32, Gry 2, Ar12, Sec.
341, Tltle 8, Celifornia Adminisiretive Code).
❑ As ownar�hullder, I wiil not emplay enyone lo do work which woultl require a pormit Irom �ho Division ol Industriel Sefery, es notod ebove, unless such person hes e
pertnit to do such work trom the tlivision.
Signaturo: Data:
Division ot Intlustrial Safery Permit Number.
CERi1FlCATE OF COMPLIANCE AND AIlT}fOROA710N OF ENfAY: I certily under penalry of perjury that I have read this appliwtion antl state ihat Ue Iniormation 9Wen is
correct. I egree to wmpy with ell slate laws and dry ortlinences relatlng to building consWctlon, antl authodze representetives ot �he City of Coste Mesa to enter upon Ihe
ebove-tlescribed propeM for inspection purposes. I egree not to occupy ar ellow accupenty ol eny building authorized by this pertnit until linel Inspection.
LOpE �. INSGECTIOR.1YVE Qd¢, �$
7616 Fixatl System Final Fire Prevention
1266
200
201
202
203
Pool Spe Final
Final Re-Root
Final BIocWRetaining Well
Final Factory Fire Place
Finel Sign
204 Finel Demolition
Date
l��anb
� oa,a
CO�E I INSYELTION TYVE
206 Final Mechanical
20B Final Plumbing
210 Final Elearical
212 Finel Flre Preventlon
220 Finel Planning Apprwel
222
250
Final Site
Finel Bulltling�Occup�anry
PAIE II�L:
z� C.. 1A
ADAMS • STREETER
CIVIL ENGINEERS INC.
November 17. 200(
City Gradine Inspector
City of Costa D�lesa
DcvcloPment Senices DcQaRment
77 F.iir Drive
Costn Mesa. Gnlifomia J362S-1?00
OS-1573
IRVINE • RIVERSIDE
Jan A. Adams • Randal L. Streeter
Subject: Civil Lngineer's Certitication of Precise Gracling
Pro,ject: 'I�ract No. ]6937 — Lots (, 7 and 8- Auildings 20 through 31
Corncrstone at Harbor I3hd.
Costa �4esa, California
Keference: Kough Grading Permit Nwnber: GO(r-00003
Address: 2501 Harbor Koule�•ard, Cost�i ��lesai, California
Owocr : Richntond Amcrican Homes
General Contractor: Richmmid American Homes
In accordance with City of Costa Mcsa Grading and F_xcavation Codc, .�nd thc
reyuirements of the Buildin_ Code, I certify approval of this project ,is outlined .ibo��e, to
precise �rade. Precise grading has been completed in confornr.mce ���ith appro��ed precise
grading plan for Ihis project ❑nd in full compliance �vith said Codes. Certification
includes horizontal und vertical conuol (or drainage devices, und positive buildin� pad
drai n ttgc.
�--�
This approv,il docs not includ �F�S�f���� compaction of soil, �a�hich is under the
pun�ie�v of the soil en�ineer. e`` ph���ir, <`q,\,
, � ��P 44. C �
` ,U � o��.,
. IT ^ No. 42615 n� � �I
.�
[3 y:
n9. Mohammadubadi, Project M
Eap.3-3��C8 %
�
�f OF CA�_
.Adams Strecter Ci��il Ln�inecrs Inc.
Novembcr 17. ZOOC
�1261i (Gxn.3/31/OS)
15 CORPORATE PAKK • IRVWE, CA. 92G06 • TeL (9=19) 474_2330 • Fax: j949) 474-0251
2900 ADAM$ STREET, SUITE A-400 • RIV[RSIDE, CA. 9250d • TeL (951) 352-4100 • Fax: (951) 352-6200
� ption �
�- �ne
c�� ,v a u i. i i n e n.v u i a u e m s PAGE 1 OF 1
.,� .. , � . . ... .. ,�. :.,
"� � ��STRUCTURAI;�'OBSERVATION REPORT F,ORM � ' � �
` :r �` � ` � �`'{' RIGHIVIOND AMERICAN HOMES ' �" � '' '
�k
..... a.e • �.,.. .a4«. e...�d.a n...m�.�_ ..�.....w..... � � r. . , n r r �. � .. �
THIS REPORT NCLUDBS ALL CONSTRUCTION WORK THROUGH THE: I S'" Dav of Scptembcr 2006.
PROIECT� `Camerstone" - SPD OPTION ONE J.N.: . 0106-12�3
LOCATION: CnstaMesa.Califomia BLDG.PERMITNo.:
OWNER: Richmond.4mericanHomzs LOCATION/DIVISION: OrangeCounty
ARCHIT$CT: ftuscnian I.agoni Archirects AACHITECT J.N.: BLA-516?
STRUCT. OBS. OF RECORD: G�vv A McCinnahan, P.E. LIC. or REGISTRATION Nos.: C-J25S3
STRUCTbRAL OBSERVER: Mike �erhe. E.I.T. � LIT-4?}97
OBSERVED STRUCTUR4L ELEb1ENT5 d THEIR CONYECTIONS: LOTfSI & PHASE OBSERVED:
Interiur And Estcrior Ccnernl Framing: i.e, roof trusses, rwt sheaihing, Lo[ 21, Plan 3CR. 25J4 Comerstone Lane,
shear elements, huldowns, floor sheathing, floorjoisLc/Fwsses, beams, henders. Phue L Tract H 16937,
and general hardware. Cos[a Mes� Califomia
(AITACHA001➢ONALPA6ESIFNECESSARh
'I�he deficiencies anNor non-contorming i[ems noted during observation visit have bzen correcred
and inst:ilied by a collaborated effort of the project superinrendent ;uid [he framino fineman.
Initial / Comoletion Date:
—"'__'_`_"—_—_—'_ ___"'"__
li/(i//i%-/S-�f(i
Construcfion � HVAC � Electrical � Plumbing B—CBea6le�Side� � PlywdCi'g �—Besle
S[age: . , - �-..-o..� Lid(s) 9�Fier
.Note: Whery box is checked, d indicates fhat consWcfion slage is in progress, and it has nof yet been compleled at Ihe fime observation was conduded.
0 STRUCTURAL SYSTLM WAS VISUALI,Y OBSGRVED TO BE M GENERAL COMFORMANCE WITH THE APPROVED PLANS.
❑ STRUCTURAL DEFICIENCIES .4RE OF A MMOR NATURE & MP.Y BE REVIEWED BY CITY BLDG MSPECTOR FOR COMPLIrWCE.
1 DECLARE THAT THE FOLLOW [NG STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE & BEL[EF:
L I AM THE REGISTERED ENGMEER WHO HAS RESPONSIL3LE CHARGE
FOk THE STAUCTURAL OBSERVATION.
2. t, OR ANOTHER QUALIFIED-CHARGE OBSBRVER WH01 HAVE
DESIGNATED ABOVE AND IS UNDER MY RESPONSIBLE CHARGE,
HAS PERFORMED THE REQUIRED SITE VISITS AT EACH
SIGNIFICANT CONSTRUCTION STAGE TO VERfFY fP THE
STROCTURE IS M GENERAL CONFORMANCE WITFI THE APPROVED
PLqNS AND SPECIFICATIONS.
3. ALI, DEFICIENCIES, WHICH 1 DOCUMENTED, HAVE BEEN CORRECTED
U1`1�ESS OTHERWISE INDICATED ABOVE.
4. ALL OBSERVED DEFICIENCES SHALL BE CORRECTED AND
APPROVED BY THE 06SERVER PRIOR TO FINAL ACCEPTANCE OF
THF; STRUCTURAL SYSTEMS BY 7'HE BUILDMG DEPARTMENT.
5. THIS REPORT 15 PROVIDED TO THE OWNER AS A PART OF THE
OWNERS OVERALL CONSTRUCTION QUALITY CONTROL PROGRAM.
6. OPTION ONE HAS PROVIDED STRUCTURAL 06SERVATION M
ACCORD,4DICE WITH THE SEAOC RECOMM1tENDED GUIDELINGS FOR
TH[ pRqCTICE OF STRUCTURAL ENGINEERING M CALIFORNIA.
SIGNED BY:
e�" N°C04'
� Exp.03/3
STA\iP & W ET SIG VATURE OF
STRUCTUR.�L OBSERVER OF RECORD
I S" Dny o(September 2006.
STRUCTUILIL OBSERVATION DOES NOT WAIVG THE REQUIREMGNTS FOR INSPECTIONS BY CITY BUILDMG
NSPECT'ORS. ALL WORK MUST COMPLY WITH THE APPROVED PLANS AD1D APPWCABLE STATE & LOCAL CODES.
G:\1200's1125310bservationlPhase_11SOR_F Lot21 P3CR.doc(Rev.115105)
Option One Te1949.553,1916
Consulting Engineers 20311 Acacia St., Suite 240, Newport Beach, Ca. 92660 Fax 949.553.9720