HomeMy WebLinkAbout2536 CORNERSTONE LN - Building PermitsSouth- st Inspection and T�ting, Inc.
441 Commercial Way, La Habra, CA 50631
(562) 941-2990 • (714) 526-8441 • Fax (562) 946-0026
CEflT1FICAT10N OF COMPLIANCE CONTINUED ON NEXT PAGE U PAGE .OF
I HEflEBV CEP7IFY THAT I HAVE OBSEHVED TO THE BEST OF MV KNOWLEOGE AlL OF THE ABOVE PEPOFTED
WOflR UN 5$ THEA�NISE NOTED. I HAVE FOUND THIS WOFK TO COMPIY WITH THE APPAOVED PLANS,
SPEC6IC 10 , ANtl APPUC4BlE SECTIONS OF THE GOV NING BUILDING IAWS.
SIGNANHE PEGISTEPEDINSPECTOP
SPECIAl1Y N0. AGENCY
TIME IN � T1ME OUT � REG. HOURS � O.T. HOURS I CYLINDEHS
All inspettions based an
minimum. In addifion�
hour minimum.
App�oved by
of 4 hours and over 4 hows - 8 hour
eztending past noon hour will be an 8
Superintendent
WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOLDENROD - JOB SITE COPY
(714) 754-5273 • Fax (714) 754-4856 • www.c�.costa-mesa.��LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2536 CORNERSTONE LN
Suite:
Vicinity: PLAN 3 CORNERSTONE .
Primary Occ: R-3 Dwellings/ COng Res �10 Type of Construction: V-N
Parcel Number: TPN30059 Zoning:
Applicant: GOODWYN, JIM
Address: '16845 VON KARMAN
Owner:
Address
IRVINE, CA
Phone: 949-7563310
Zip: 92606
RICHMOND AMERICAN HOMES OF CALIFORNIA
Phone: 949-756-7373
� ZIP .
Contractor. RICHMOND AMERICAN HOMES OF CALIFORNIA WC
Address: 16&45 VON KARMAN - .
Phone: 949-756-7373
ISSUED BY:
�
� �
Status: ISSUED
Applied: O6/12/2006
Issued: 06/13/2006
IRVINE, CA - � � . .
2ip: 92606 License: 487535 - . ,
Arch : KENNETH NIEMERSKI Eng: GARY A MCCLANAHAN
Address: 2037 ORCHARD DR Address: OPTION ONE CONSULTING ENGINEERS
SUITE 100 Phone: 949-553-9100 NEWPORT BEACH, CA Phone: 949-553-1916
NEWPORT BEACH CA 20311 ACACIA SUITE 240
Zip: 92660 License: 23971 " �. 92660 License: C042553
SCOPE OF PERMIT
PHASE 1 CORNERSTONE HOMES -
PLAN 1A
CONSTRUCT NEW 1991 SF 2-STORY SFD WITH ATTACHED 415SF ATTACHED GARAGE. 126SF ENTRY PORCH. REF: BO6-00342
0
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
$1,024.50
$1,576.15
$20.31
$0.00
$0.00
$0.00
Total: $2,620.96
SETBACKS
MAINSTRUCTURE Front 200.0 Rear "1S0
ACCESSORY
I]c1:7:U�[�l
Front 0- 0
Existin : 0
Rear 0- 0
Reauired: 148
FEE SUMMARY
PLANNING & ZONING
LeR 10- 0 .
LeR 0- 0
Pr000sed: � 148
Calc Valuation:
Claim Valuation:
Right 45-0 �
Right _ 0-0-
$203,052.52
so.00
NOTiCE: 1Te work authorized by this pertnft shall comply with all applicable handicap acceu requiremerrts u� Califomia statNes and related
regulaGons. (Ord. No. 92-28, § 1, 12-21-92)
EXGIRATION: This permit shall automaticalty erzpire aml bacome wid if work is not commenced withi� � or�rk is suspended or ebandone0
for a period o1 180 days.
tNSPECTIONS: In oider tor Me wark authorized under ttis pertnit to be cnnsidered (egal, such xrork must compy w�ih atl appficable codes, and all
requlred tnspocUona and tinel approral must he oCtainetl. Fallure to o0tain inspections arrcf final approval wi0 result in the expiration oi t�is pertn0.
FOR INSPECTIONS CALL: (714) 754S62b
zsoe-ae (eroo)
WORKERS' GOMPENSATION DECLARATION: -
I hereby aHirm under penalty oi perjury one of Ihe tollowing declarations: �
❑ I have end will maintain a certificata of consent to seN-Insure For workers' compensation, es providetl tor by section 3700 of the Labor Code, for the performance ot the
work for which this permit is issued. �
❑ I have and will maintain workers' compensation insurance, as requiretl by section 3700 of the Labor Cotle, tor the pertortnance of the work for which this pertnit is issuetl.
My work{�rs' compensation InsuranF� carner and p Icy number are: 4
Cerner. (��`'�1e J�!/� � 11��M1(� !A✓Atl �� Policy Num6er: �T�Ej �''�
(This section ne d not 6e comple(etl il f6� permit is valued et ane hundrea tlollars ($100) or less.) � �
❑ I certity that in the performance oi Ihe work for which this permit is issued, I shall not employ any person in any menner so as to become subject to the workers'
compensatlon laws ot Calitornie, end a ree that ii I should hecome sub�ect ro ihe workers' compensalion provisions of Section 3700 of lhe Labor Code, I shell torthwilh
comply with these pr isions` � � �
Appliwnt Signeture: Date: ��'/ ��+�� i7
WARNING:FAILURETOSEC E OPo(ERS'CO! NSATIC OVERAGEISUNIAWFULANO5HALL5UBIEC�ANEMPLOVEiiTOCRIMINALPENALTIESlWDCIVILFlNESUPTOONEHUN�RED
THOUSAND DOLLARE (5100. I ADDITION TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOF M SECTION 3]060F THE L4BOR CODE, IMEREST, AND ATTOPNEV'S FEES.
LICENSED CONTRACTORS OECLARATION:
I hereby aHirtn that I am
force and effect. Lic. x_
Coniractofs Signature:
ot Chapter 9(commencing with Section 7000) of Division 3 of ihe Bi
Class a
�. Date:
Code, and my license is in full
CONS7RUCTION LENDING AG�NCY: `�
❑ I hereby eHirm ihat there is a constmction lending agency tor ihe pedormence ot Ihe work tor which this permit is issuetl. (Sec. 3097, Civil Code).
Lenders Name:
Signature: _
OWNER-BUILDER DECLARATIONS:
Lentler'S AGdress:
Date:
I hereby aRirm tha� under penalty of per�ury thet I am E%EMPT FROM 7ME CONTRAC70RS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business end Professions
Code: Any ciry or couny which requires e permit m constmct, elter, improve, demolish, or repair eny simcture, pnor to its issuance, also raqulres the applicant for such pertnit
to file e signed stetemen� lhat he or she Is Ilcensetl pursuent lo Ihe provisions oi the Contrectors Llcense Lew (Chapter 9(commencing wlih Seclion 7000) ot Division 3 of ihe
Business and Pmfesslons Code) or thet he or she is e:empt lherefrom and the besis for Ihe alleged e:emption. Any violation ot Section 7031.5 by any applicant tor a pertnit
subjecis the appiicant to a civil penalry oi not more than five hundred dollars ($500).):
❑ I, as owner of t�e property, or my employees wiih wages es iheir sole compensation, WILL DO THE WORK, and the stmcNre is not inientletl or oNered (or sale (Sec.
7064, Business antl Professions Code: The Contractors License Law does nol epply to an owner ot property who builds or improves ihereon, antl who does such work
himself or herself or through his or her own employees, provided that such improvemenis ere not intended or oflered for sale. If, however, Ihe building or improvement is
sold within one year ot completion, the owner-builder wili heve ihe burden of proving ihat he or she did not build or improve for purpose of sale.).
❑ I, as owner ot Ihe property, am E%CLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to consfruct ihe prolect (Sec. 7D44, Business and Professions
Cotle: The contrec�ors License Lew tloes not apply to en owner of propeny who builds or Improves thereon, antl who contracts for such project with a contracmr(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business end Professions Code br this reason:
SignaNre: Date:
Owner ID veritietl by tlriver's license. ❑ Ves ❑ No Driver's License No.
Verification oi Ownership by (type ot tlocument, i.e. - property �a: bill or deed�:
DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICATION:
Expires:
❑ I hereby cehify ihat no excavation five (5) or more teet in depih into which e person is required to descend, will be made in connection with work authorized by ihis
permit, and ihat no building sWcture, scattolding, talsework, or demolition or dismantling ihereof, will be more then thirty-six (36) teet high. (Chap. 32, Gry 2, AA 2, Sec.
341, Title 8, California Atlminisirativa Code).
❑ As owner-builder, 1 will not employ enyone to do work which would require e permit from the Division ot Industrial Satery, as noted above, unlass such person has e
permit to do such work from ihe division.
Signature: Date:
Division of Intlustrial Safety Pertnit Number.
CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTAY: I certify under penalty ot perjury ihat I have read this applica�ion and state that the infortnation given is
correct. I agree to comply with all s�a�e laws and ciry ordinances relating to huilding constmction, antl authonze representatives ot the Ciry of Costa Mesa to enter upon the
ebove-descnbed proDerry for inspection purpwes. I agree not to acupy or ellow occupancy of any building authorized by this permit until tinal inspection.
CODE t.
1616
1266
200
201
202
203
204
Fized System Final Fire Prevention
Pool Spe Finel
Final Re-Root
Final BIocWRetaining Well
Final Factory Fire Place
Final Sign
Final Demolition
o�rE INTRIRLS
COOE 1 INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Finel Eleclrical
212 Final Fire Prevention
220 Final Planninq Approval
222 Final Site
250 � Final Buiiding/Occupancy
p� iMrtu�s
(774) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DFiIVE, COSTA MESA, CA 92626
PLUMBING PERMIT
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
Applicant:
Address:
Owner:
Address
Contractor:
Address:
2536 CORNERSTONE LN
GOODWYN, JIM
16845 VON KARMAN
STE 100
IRVINE, CA
Phone: 949-756-7373
Zip: 92606
RICHMOND AMERICAN HOMES OF CALIFORNIA
Phone: 949-756-7373
Zip:
RICHMOND AMERICAN HOMES OF CALIFORNIA INC
5171 CALIFORNIAAV
SUITE 120 Phone: 949-467-2600
IRVINE, CA Zip: 92617
License: 487535
ISSUED BY:
Stalus: ISSUED
Applied: 06/14/2006
Issued: 06/14I2006
SCOPE OF PERMIT
MECHANICAL PERMIT FOR PHASE 1 CORNERSTONE HOMES -
PLAN 1A
CONSTRUCT NEW 1991SF 2-STORY SFD WITH ATTACHED 415SF ATTACHED GARAGE. 126SF ENTRY
PORCH.REF:BO6-00342
REF:# BO6-00912
WORK TO INCLUDE: t BACKFLOW IRRIGATION, 1 BATHTUB, 1 DISHWASHER, 1 GAS (1-4
OUTLETS), 1 GAS SERVICE, 1 LAUNDRY TUBNJAHSER, 1 LANDSCAPE IRRIGATION, 1 SEWER
CONNECT, 1 SEWER PRIVATE LINE, 2 SHOWERS, 1 KITCHEN SINKS, 5 WASH BASINS, 3 WATER
CLOSET, 1 WATER HEATERNENT AND 1 WATER SERVICE. .
ISSUE FEE
BackOow irrigation
Backflow Preventer
Balhtub
Clarifier System
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-4 outlels)
Gas (Over 4 outlels)
Gas Repipe
Gas Servirz
Interceptors (Grease, Oil)
Interceptors (Sand Auto )
AMT
$23.50
$9.80
$0.00
$9.80
$0.00
50.00
50.00
59.80
$0.00
$0.00
$0.00
$0.00
50.00
50.00
$6.15
$0.00
$0.00
59.80
$0.00
$0.00
�
FEE SUMMARY
AMT
Laundry Tub I Washer $9.80
Landscape Irrigation $74.80
P-Trap $0.00
Pressure Regulator $0.00
Process Piping (per 10 ft) $0.00
Receptors $0.00
Septic Tank $0.00
Sewer Cap for Demo $0.00
Sewer Connect $24.65
Sewer Private Line $24.65
Shower $19.60
Sink, bar $0.00
Sink,-commercia� $0.00
Sink, Floor 50.00
Sink, kitchen $9.80
Sink, service/mop $0.00
Spa (private) $0.00
Spa (public) $0.00
Qrv
1
t
0
0
0
0
0
0
1
1
2
0
0
0
1
0
0
0
NOTICE: The work authorized by this permit shall compty vrith all appiicable handicap access
regulations. (Ord. No. 92-28, § 1, 1241-92)
EXPIRATION: This pertnit shall automatirally expire end become void if vrork is not commenced w
for a period of 180 days. �
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr Bkflow(1-0)
Vacuum Brkr BkOow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System ,
Water Closet (Toilet)
Water Heater / vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
Water Softener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
AMT
$0.00
$0.00
$0.00
50.00
$0.00
50.00
$49.00
$0.00
so.00
$29.40
$12.30
$0.00
50.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
an
0
0
0
0
0
0
5
0
0
3
1
0
0
0
0
slatutes and reiated
days, or if work is suspended or abandoned
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inapectlona and final approvel musl be obtained. Failure to obtain inspeclions and finat approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
zaaae �sroo�
WORKERS' COMPENSATION DECLARATION: � � . '
I hereby attirm untler Oenalty oi perjury one oF the tollowing declarations:
❑ I have antl will meintain a certificate of consent to self-Insure for workers' wmpensation, es providetl for by sec�ion 3700 of ihe Labor Code, for ihe pertormance of the
work tor which this permit is issued.
❑ I have antl will maintain workers' compensation insurence, as required by section 3700 ot ihe Labor Cotle, For the peAormance of the work for which this pertnit is issued.
My workers' ompensation Insurance wr'e and policy n mber are: /
/� / �j `i �
Cerner. /T vt��PV' . G.� ��lQ 55c1✓�'rt�r� Policy Number: YJ �7 ���� 7 �
(This section need�of be compleretl i/ the permit is veluetl et ane hundred dollers ($100) or less.) �
❑ I certify that in the pertormance ot Ihe work tor which Ihis pertnit is issuetl, I shell not employ eny person in eny manner so as to becwne subject to the workers'
compensatlon laws ai Califomia, entl egree that if I should becoma subject b Ihe workers' compensation provisions of Section 3700 of ihe Labor Coda, I shell torihwith
comply with these pr visions.
ApplicantSignature: Date: � ���d�
WARNING: FAILURE TO SE R WORKERS' G PEN IXJ COVERAGE IS UNIAWFUL AND SHALL SU8IELT AN EMPLOYER TO CRIMINAL PENALTIES M1D QVIL FINES UP TO ONE HIINORED
TFK)USANDDOLLARE�5100, %INADDITIONTOiHECOSTOFCOMPENSATION,DAMAGESASPROVIDEDFORINSECTION3)O60FTMEL4BORfADE,INrEFEST,ANOATTORNEV'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirtn that I em
force and eflecL Lia x
Gonirectofs SignaWre:
CONSTRUCTION LENDING
9(commencing with Section 7000) of Division 3 ot the ei
Class x
— Date: _
Code, and my license is in tull
❑ I hereby aHirm Ihat ihere is e constmction lending agency for ihe peAormance of the work tor which t�is permit is issued. (Sec. 3097, Civil Code).
Lentlers Name: Lentler'S Address:
Signa�ure:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby aflirm thet under penalty of perjury thet I am EXEMPT FflOM TNE CONTRACTORS LICENSE LAW for the following reason (Sec. 7W 1.5, 8usiness end Professions
Code: Any city or counry which requires e permit to constmct, alter, improve, demolish, or repair any stmcture, prior to its issuance, also requires tha applicant tor such permit
b tile a signad statement ihat he or she Is licansed Dursuent to ihe provislons of the Conirectors License Law (Chapter 9(commencing with Section 7000) of Division 3 oi the
8usineu and Protessions Code) or Ihat he or she is exempt iherefrom antl t�e basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pertnit
subjects the applicant to a civil penalry oi not more than five hundred dollars ($500).):
❑ I, as owner ol the property, or my employaes with wages as their sole compensation, WILL DO 7HE WORK, antl the sWcture is not intended or oHered tor sale (Sec.
7044, eusiness and Professions Code: The Conirectors License Law does not apply to an owner of property who 6uilds or improves Ihereon, and who does such work
himself o� herself or through his or her own employees, provided that such improvements ere not intended or oHeratl for sale. If, howaver, Ihe building or improvement is
sold within one year of completion, ihe owner-builtler will have ihe �urden of proving ihat he or she did not build or improve tor purywe oi sale.).
❑ I, as owner of the pmperty, am EXCLUSIVELV CONTRACTING WITH LICENSED LONTRACTORS to construc� the project (Sec. 7044, Business and Professions
Code: The coNrectors License Lew does not epply to en owner of propeny who builds or Improves ihareon, end who contracts for such project with a contrector(s)
license pursuant to the Contractors License Wws.).
❑ I am exempt under sec. Business and Professions Code for Ihis reason:
Signature: Date:
Owner ID verified by driver's licensa. ❑ Yes ❑ No Driver's License No.
Veritication of Ownership by (type ot tlocument, i.e. - property taz bill or daetl):
Expires:
OIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICA710N:
❑ I hereby cetlity Ihe� no excavation tive (5) or more faet in depth inro which e person is requiretl Io tlescentl, will be made in connection with work authorizetl by this
permit, and that no Ouiltling stmcture, scattolding, falsework, or demolition or dismantling ihareot, will 6e more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, California Administretive Code). '
❑ As owner-builder, I will not employ anyone to do work which would require e pertnit irom the Division of Indusirial Safery, as notad above, unless such person has e
pertnit to do such work irom tha division.
Signature: Date:
Division ot Indusirial Satety Permit Number:
CERTIFICATE OF COMPLIANCE AND AU7HORIZA710N OF ENTAY: I certify under penalty of perjury that I have reatl this application and state that the infortnation given is
correct I agree to comply with all state lews and city ordinences relating to building construction, and authonze representatives ot ihe pry of Costa Mesa Io en�er uDon the
ebove-descnbed pmperty for inspection purposes. I agree not to wcupy or allow occupancy of any building authonzed by this permit un�il iinal inspeclion.
cooe ".
1616
1266
200
201
202
203
204
Fixed Systam Final Fire Prevention
Pool Spa Final �
Final Re-Root
Final BIocWRetaining Well
Final Factory Fire Place
Final Sign
Final Demolition �
�a
, / � � Date
F�H
/ Date
IMRIALS �$1 INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
270 Final Electrical
2tt Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 �FinalBuilding/Occupancy
o� �
Z� �
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
2536 CORNERSTONE LN
NEW SFD
TPN30059
Applicant: GOODWYN, JIM
Address: 16845 VON KARMAN
STE 100
IRVINE, CA
tLtl. I KIGAL YtKIVII l
Phone: 949-756-7373
Zip 92606
Owner: RICHMOND AMERICAN HOMES OF CALIFORNIA
Address
Phone: 949-756•7373
Zip:
Contrador: RICHMOND AMERICAN HOMES OF CALIFORNIA INC
Address: 5171 CALIFORNIAAV
SUI7E 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 FiMs
Recept Outlets
Switches
Non Res Appl ,
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Molors to 1 hp
Motors to 10hp
Motors to SOhp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Status: ISSUED
Applied: O6/132006
Issued: 06/13I2006
ISSUED BY:
SCOPE OF PERMIT
ELECTRICAL PERMIT FOR PHASE 1 CORNERSTONE HOMES
�PLAN 1A '� . .
CONSTRUCT NEW 1991SF 2-STORY SFD WITH ATTACHED 415SF ATfACHED GARAGE. 126SF ENTRY
PORCH. REF: BO6-00342
REF:# BO6-00912 ' �
�� .
WORK TO INCLUDE: 2 LIGHT FIXTS, 6 RECEPT OUTLETS, 1 SWITCH, 1 MOTOR TO 1 HP �
FEE SUMMARY ".
$23.50
$0.00
$0.00
$111.50
$0.00
$0.00
$2.20
$6.60
$1.10
so.00
50.00
$0.00
$0.00
$0.00
$4.75
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
50.00
duantity
1991
0
0
2
6
7
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
Temp Dist Syslem / Lighling
Busway/100ft �
Standing Section
Misc Electrical Equipment
Transformers up to 1 kva/kw
................up to 10 kva/kw
...:.............up to 50 kvalkw
.................up to 100 kva/kw
.................:over 100 kva/kw
Low Voltage Equipment
Low Volt Wiring System / Ckt ��
Misa Conduit
Misc.�Conductor .�
Circus ( gen or ride)
Circus (mech ride or lights)
Christmas Tree Stand
Fireworks Stand �
Other Electrical Fee �
Investigation Fee
Plan Check Fee
Reinspection Fee
Quantity
$0.00 0
$0.00 0
50.00 0
$0.00 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 " 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
.$0.00 .' 0 �
50.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES E149.65
NOTICE: 7he work aulhorl2ed by ihis permit shall compty with all applicable handicap access requirem� n0er"Califomia statWes and related
regulations. (Ord. No. 92-28, § 1, 12-21-g2) �
EXPIRATION: This permit shall automatically expire and become void if work is not commenced wi�n180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for ihe work eulhorized urnler this permit to be considared legal, sucti work must comply with all applicable codes, arW all
requlred inspaellona and fi�al approval must be obtainad. Pallure to oblain inspections arn1 tina� approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (71q) 7545626
zasre �amo�
WORKERS'COMPENSATIONDECLARAnON:
I here0y aHirm under penalty ot perjury one ot lhe following declarations:
❑ I heve end wlll melntain a cenificete oi consent to seli-Insure for workers' compensetion, es providetl for by section 3700 of Ihe Lebor Code, br the pedormence of the
work for which this pertnit is issued.
❑ I have and will maintain workers' compensetion insurance, as reQuired by seMlon 3700 of the Labor Code, for the pedortnance ol Ihe work tor which this permit Is issued.
My wo rs' campensation Insuren wrner and pol'cy numbar are: �"�^ ���
Carrier. ��nA��/.�'i1.v� �° /A[2 C-l� PolicyNumber. Y
(This secfion n e�compleled i! f ermit is value ef one huntlre tla11�00) oNess.) ,
❑ I certify ihat in ihe peAortnanca of the work for which ihis permit is issuetl, I shall not employ eny person in eny manner so es to become subject to the workers'
compensatlon laws of Calitomie, entl egree that Il l should bacome sub�ect to the workers' compensation provislons oi Section 3700 of the Labor Cotle, I shall forihwith
compy with these pr visions. ' /
Applicant Siqnawre: .� Date: �C��r �i�/(�o
WARNINGFAIWRETOSEC R WORKERS' P SATI DVERAGEISUNLAWFULANDSHALLSUflIECTANEMPLOVERTOCRIMIWIIPENALTIESMIDCMLFlNESUPTOONEHUNORED
Ti%%ISPND OOLURE �5100, ). A�DRION TO C0.5 OMPENSATION, OAhNGES AS PqOVIDED FOR IN SEGTION 3)OB OF THE LABOR CODE, ItJrEREST, AND NTTORNEY'S FEES.
LICENSED CONTRACTORS DECIARATION:
1 hereby aNirtn that I em licensad under rovi�
force and efled. Lic. a�.$ %� \
i
Coniractors SigneNre: '
of Chepter 9(commencing with Section 7000) ol Division 3 oi Ihe Bi
C1355 M
Date: _
Code, and my license is in full
CONSTRUCTON LENDING AGE1�Y:
❑ I hereby aRirtn Ihai Ihere is a consiruction lending egency for the peAortnance ol iha work lor which ihis Dermit is issued. (Sec. 3097, Civil Cotle).
Lendefs Name: lenders Address:
Signature:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirtn that under penalty of perjury Ihat I em EXEMP7 FROM 7HE CONTRAC70R5 UCENSE LAW lor ihe tollowing reason (Sec. 7031.5, Business and Protessions
Cotle: Any ciry or counry which reQuires e pertnii ro conslrucl, alter, improve, tlemolis�, or repair any strucWre, pnor to its Issuanca, also requlres the appllceN tor such permit
ro tile a signed statement ihet he or she is Ilcensetl pursuant to t�e provislons at t�e Contractoro LJcense Lew (Chflpter 8(commencing with Sectlon 7000) of Dlvision 3 oi the
Business and Professions Code) or that he ar she is exempt Iherefram end Ihe 6a5is far the ellegetl ezemption. Any vlWetion of Sectlon 7031.5 by any epplicant far a pertnit
subjects the appliwnt to a civil penalry ot not more than Iive hundred dollars ($500).):
❑ I, as owner of the pwperry, or my employees with wages as their sole compensation, WILL DO TNE WORK, antl the strucWre is not Intended or otteretl for sale (Sec.
7044, Business and Professions Code: The Conlractors License lew does not apply to en owner of properry who builtls or improves Ihereon, and who does suc� work
himself or herself or ihrough his or her own employees, provided that such improvements are not intentled or oHered lor sale. If, however, ihe building or improvement is
sold within one year ot completion, the owner-builder will have the burden of proving that he or she did not builtl or improve for purpose ol sele.).
❑ I, as owner ot the property, am E%CLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to construct the prqect (Sec. 7044, Business antl Protessions
Code: The comraciors License Lew Coes not appty to an owner ol pmperty who builds or improves thereon, end who contrects lor such project with a wntracror(s)
license pursuant to the Contrectors Licensa Laws.).
❑ I am exempt under sea Business and Pmiessions Code for this reason:
Signature: Date:
Owner ID veriFietl by tlrivar's licensa. ❑ Yes � No Drlver s License No. Eapires:
Venfication of Ownership by (type of document, i.e. - pwpeny tez bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATON:
❑ I hereby certify i�at no excevetion fiva (5) or more feet In depth Into whlch e person is required to descend, will be made in connac�lon with work authodzed by Ihis
permit, and thaf no building simcture, scattoltling, felsework, or demolition or Cismantling t�ereol, wlll Oe more than ihirty-six (36) feet high. (Chap. 32, Gry 2, Ar12, Sac.
341, Ttle B, Calitornia Administretive Code).
❑ As owner-builder, I will nof employ enyone to do work which would reduire e Oermillrom ihe Division al Industriel Sefety, es notea ebove, unless such pereon hes e
permit m do such work from the tlivision.
Signature: Date:
Division ot Indusirial Setery Permit Number:
CER7IFlCATE OF COMPLIANCE AND AUTTIORIZATION OF ENTRY: I cenily unCer Denalry ol perJury Ihet I heve reed Ihis apDliwtion enA slate ihat the infortnelion given is
correct. I agree to wmply with all state laws and ciry ordinances relating to bullding consiructlon, end authorize represeniatives oi the Ciry of Casta Mesa to enter upon the
above-described property for inspection purpases. I agree not to occupy or ellow occupency o/ eny Duilding euthonzed by this pertnit until final inspection.
CODE t.
1676
1266
200
207
202
203
204
Fixetl System Final Fire Prevention
Pool Spa Final
Final Re-Rooi
Final BIocWFetaining Wall
Final Factory Fire Place
Final Sign
Final Demoli�ion
Qdg 'J(��j �Q�f,j INSPECTIONTYPE
206 Final Mec�anical
20B Finel Plumbing
210 Final Elecirical
212 Finel Fire Preventlon
220 Final Planning Approval
222 Final Site
� �� 250 Final Builtling/Occupancy
P� It�EL9
�m I �:�
(714) 754•5273 • Fax (714) 754-4856 • www.ci,costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2536 CORNERSTONE LN
Suite No
Vicinity: HOUSE
Parcel Number: TPN30059
npp�icant GOODWYN, JIM
Address: 16845 VON KARMAN
STE 100
IRVINE, CA
Owner:
Address:
MECHANICAL PERMIT
Phone: 949-756-7373�
Zip: 92606
RICHMOND AMERICAN HOMES OF CALIFORNIA
� Phone: 949-756-7373
� Zip:
Contracror: RICHMOND AMERICAN HOMES OF CALIFORNIA INC
Address: 5171 CALIFORNIA AV
SUITE 120 Phone: 949-467-2600
IRVINE, CA Zip: 92617
License: 487535
Status: ISSUED
Applied: O6/13/2006
Issued: O6/13l2006
ISSUED BY:
SCOPE OF PERMIT
MECHANICAL PERMIT FOR PHASE 1 CORNERSTONE HOMES
PLAN 1A
CONSTRUCT NEW 1991SF 2-STORY SFD WITH ATTACHED 415SF ATTACHED GARAGE. 126SF �
ENTRY PORCH. REF: B06-00342
REF:# BO6-00912
WORK TO INCLUDE: 1�HOOD W/MECH EXHAUST, 1 INST FAU < 100 K BTU�, 4 VENT
FAN/SINGLE DUCT AND 1 COMPRESSOR/ABSORPSION�SYST 3 TO 15 HPI500 K BTU.
ISSUE FEE
Insl FAU <700 k BTU
Inst FAU >100 k BTU
Repair/Alt Cooling/Heat
Inst / Rep. Recess Wall Htr
Refrig Sys <100 k BTU
Refrig Sys > 100 k BTU
Gas Piping
Factory Fireplace
Hood w/Mech Exhaust
VAV Box
Vent Fan / Single DuIX
Appliance
Fire Dampers
Smoke Dampers
Inst or Relowte Appl Vent
Air Handlers < 10000cfm
AirHandlers> t0000dm
Floor Furnace
Floor or Suspend Heater
823.50
$14.80
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
s�o.ss
$0.00
$29.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
�
Quantiry „
S
FEE SUMMARY
Repair / Alt Absorbtion Unit
Repair / Alt Refngeration Unit
Ventillation System
Evaporetive Cooler
Commercial I ncine ra�or
Domestic Incineretor
Comoressors I Absorotion Svstems
Up to 3 hp / 100 k BTU
3To15hp/500kBTU
15 To 30 hp�! 1,000 k BTU
30 To 50 hp / 1,750 k BTU
Over 50 hp / Over 1,750 BTU
Boilers
Upto3hp
3To15hp
75 to 30 hp � ", . -
30 to 50 hp
Over 50 hp
Other Mechanical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
Quantity
$0.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 0
$0.00 0
so.00 0
$27.15 1
$o.00 0
50.00 0
50.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 0
$0.00 0
$0.00
$0.00
$0.00
r....� �.�����.r�..«�� ..,.�,,.
NOTICE: The work authorized by this parmit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 72-21-92) �
EXPIRATION: This permit shall automatically expire and become void if work is not commenced vnthin 18� r-if �work� ended or abandoned
for a perl0d of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inepeetlona end finel epprovel must be obtained. Feilure to obtafn inspections and final approval will result In the axpiration of lhis pertnit.
FOR INSPECTIONS CALL: (714) 7545828
zaauae �aroo)
WORKERS'GOMPENSAnON DECLARAnON:
I hereby aNirm under penalry of perjury one of the tollowing deGaretions:
❑ I heve and will maintein e certifiwie ol consent to self-Insure lor workers' compenselion, es provideA tor 6y 5ettion 3700 of the LeDor Code, lar Ihe performance of the
work for which Ihis pertnit is issued.
❑ I hava and will maintain workers' compensation insurance, as requiretl by section 3700 of tha Lebor Cotle, tor I�a performance ol Ihe work lor which chis pertnit is issuetl.
My workRrs' compensation Insurence c r er antl palicy umber ara: /
Carrier: Ytun¢�/�lati.. �T'�1-0 �}�J(Av1fH�� PolicyNumber. ��� 1�����
(This secrion n tl not 6e completed i! (he pe it is velued at one hundred dollars ($100) or less.)
❑ I cenily that in Ihe peAormance of the work for which this permil is issued I shall noi employ any person in any manner so es to become subleci lo the workers'
compensation laws of Califomia, and egre that if I should become suDject to the workers' compensation provisions of Sectlon 3700 ot Ihe Lebor Code, I shell lonhwit�
comply with these provis' ns. y _11
ApplicaniSignature: ' Date: ��i'7 �v
WARNING: FAILURE TO SECUR W HKERS' COMP ATIOI ERAGE IS UNUW R1L AND SHAl1 SUBJECT AN EMPLOVER TO CRIMINPL PENALTIES AND CML FlNES UP TO ONE MUNDRED
hKK1SAND OOLURE (510D,000). N DITION TO THE COST OF COMPENSATION, DAMAGES AS PRONDED FOR IN SECTIIXJ 3]O60F THE IABOR LODE, INfEREST, ANO ATTORNEI"S FEES.
LICENSED CONTRACTORS DECLARATION:
I here�y aflirm that I am
force antl eflecL Lic. a_
Contrectors SlgnaNre:
(commencing wilh Section 7000) ol Divislon 3 0l Ihe Business an j Pmteuions Code, and my license is in full
Cless p iS(i
Date: / ) 2 h
CONSTRUCTION LENDING A(I�1CY:
❑ I hereby eHirm that there is a construction lentling agency for ihe pertormance ol the work lor which this permit is issued. (Sec. 3097, Civil Code).
Lenders Neme:
Signature: _
OWNER-BUILDER DECLARATIONS:
Lontler'S Adtlres9:
Da�e:
I hereby effirm ihat undei penalry of perjury that 1 am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Professions
Code: Any ciry or counry w�ic� requires e permit to constmct, alter, improve, demollsh, or repeir eny slmcWre, prior to its issuance, elso requires the epplicant tor such pertnit
to file e signed stetement t�ot he or she Is Iicensed pursuent to the pwvlslons ot iha Contrectore License Law (Cheptar 9(commencing with Sectlon 7000) at Divislon 3 of the
Business end Professions Code) or ihet he or she Is exempt theretrom and the basis lor the elleged ezemption. Any vloletion of Saction 7031.5 by eny appliwnt for e pertnit
subjecis ihe epplicant to e civil penaly of not more than flve hunOred tlollers ($500).):
❑ I, as owner of the property, or my employees with weges as iheir sole compensetion, WILL DO TME WORK, and Ihe structure Is not intentle0 or oNeretl tor sale (Sec.
7044, Business and Pmfessions Coda: The Coniractors License Law does not apply to an owner of property who buitds or Impmves ihereon, end who does such work
himself or herself or through his ar her own employees, providetl thet such improvements ere not Intended or oHered far sele. N, however, ihe building or improvement is
sold within ona year ot completion, the owner-builder will heve the burden of proving that ha or she did not build or improve for purpose of sele.).
❑ I, as owner oi tha property, am E%CLUSIVELV CONTRAGTING WITH LICENSED CONTRACTORS to construcl Ihe D�oject (Soc. 7044, Business and Prolessions
Cotle: The camractors Licensa Law does not eppty to an owner of pmperty who bullds or Improves Ihereon, entl w�o cantracts lor such prolect with a contractor(s)
license pursuant to the Contractors License Lews.).
❑ I am ezempt under sec. Business antl Protessions Code tor this reason:
SignaNre: Date:
Owner ID veniiea by dnvels license. ❑ Ves ❑ No Drivefs License No. Expires:
Venfication of Ov.•nership by (rype oi tlocumenC i.e. - property taz bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICA710N:
❑ I here6y cartity that no excavation five (5) or more teet in depih Into which e person is required to descend, wlll be made in wnnection with work euthonzed by Ihis
permit, and that no building siructure, swflolding, talsework, or demolilion or dismantling Ihereoi, will be more then thirty-sl: (36) teet high. (Chap. 32, Gry 2, An 2, Sec.
341, Title B, Calitornla AdminislreGve Code).
❑ As owner-huilder, 1 will not employ enyone �o do work which would require a permit Irom the Division ol Indusinal Safety, es noted above, unless such person has e
pertnit to do such work irom the division.
Signatura: Date:
Division of Indusirial Safery Permit Number:
CER7IFlCATE OF COMPLIANCE AND AUTHORZ1710N OF ENTAY: I certily under penelry of perjury ihat I have reatl t�is apDlicatlon antl stale Iha� the inlortnation given is
wrrecL I egree to comply with all state laws end city ordinances relaling to bullding cnnstruction, antl authorize reD�esentaiives oi the Ciry ot Costa Mesa to enter upon Ihe
ebove-descnbed property lor inspection purposes. I egree not to acupy or allow occupancy of eny building au�horizetl by this permit until finel inspaction.
CpDE �, INSPfC(10NTYPE
1616 Fixe� System Final Fire Preventian
1266 Pool Spe Finel
200 Final Re-Root
201 Flnel Blak/Reteining Wall
202 Final Factory Fire Place
203 Finel Sign
204 Finel Demolition
Applicant
Qdg 1N�ALS
� a /,, � Date
�� Date
COOEA INSVECTIONTYPE �
206 Final Mechanical
208 Final Plumbing
210 Finel Electricel
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site -
250 � Final Building/Occupancy �
ADAMS • STREETER
CIVIL ENGINEERS INC.
November 17, 2006
City Cruding Inspector
City of Costa A1esa
Dcvelopment Services Depnrtment
77 F.iir Drive
Cost�� Mesa. Qilifornia J362S-1200
OS-1573
IRVINE • RIVERSIDE
Jan A. Adams • Randal L. Streeter
Suhject: Ci�'il �ngineer's Certification of Yrecise Grading
Prc�ject: 'I'racl No. 16937 — Lots 6, 7 and 8- Buildings 20 through 31
Cornerstone at Ilarbor 131�d.
Costa n�lesa, California
Refcrence: Rough Grading Permit Number: GO(-00003
Address: 2501 Harbur Boule��ard, Costa A�Iesa, California
O��'ncr : Richmond Amcrican Homes
General Contractor: Richmond American Hnmes
In accordtmcc with Cit)� of Costa Mcsa Grading and Ext.n°ation Codc, and thc
reyuirements uf lhe Building Code, 1 certify app�u��al of this project as outlined above, to
precisc grade. Precise �rading has bcen completed in confornuince with appro��cd precisc
grading plan tor �his project and in full compliance �+-ith s�iid Codes. Certific�ition
includes horizontal and vertical control for drainaee de��ices, and positi��e buildin, pad
drainage. �
�----�
This ,ipprovul does not inclu��f�$Sl�,,� comp.iction ol soil, which is undcr the
purvie�v of the soil en�ineer. ��PF���ph��NAi„��F� -
/� Q �\ �'�.
I w r ho 426�5 b� �'il
i
Bv: _ ' �: ;i. "<
M. Mohamm:id.ihadi, Project
Ad�ims Strectcr Civil En�inecrs lnc.
Eep.3-3��� J
�c
OF ( p).
�o��embcr 17. -00G
_ 1?61i (Esp. 3/31/081
15 CORPORATE PARK • IRVWE, CA. 9260G • Tel: (9=49) 474-2330 • Faz: (949) 474-0251
2900 ADAMS STR[ET, SUITE A-400 • RIV[RSIDE, CA. 92504 • TeL (951) 352-4100 • Fax: (951) 352-6200
� 1 �ption
'-� �ne
en.�suirr.c e,vci.ceax PAGEIOFI
',..v �, i�.x '�STRUCTURAL OBSERVA�TION REPORT FQRM '� 4*�'
f "�'6r ; r �, . , x. ,, , . : _ ^ t . _. _ ; , .: r _
�;� �t_ � ,� �RiGHMOND AIVIERIG:4N HOMES �, , � ;_ s "
THIS REPORT RJCLUDES ALL CONSTRUCTION WORK THROUGH THE: I S`" Dav of Scp[cmbcr 2006.
PROJECT: "Cornersrone" - SPD OPTION ONE JN.: 0106-1253
LOCATION: Costa Mzsa. California BLDG. PERMIT No.:
OWNER: Richmond American Homes LOCATIONlDIVISION: Orange County
AACHITECT: Rasscnian l.agoni Architccts ARCHITECT ]N.: RI,A-5165
STRUCT. 065. OF RECORD: G�vv A. bfcCl.�naha�i, P.E. L[C. or REGfSTRATION Nos.: C-325S3
STRUCTURAL OBSERVER: Mike-Derhe. E:I.T. Lli-45i97
OBSERVED STRUCTURAL ELF,MF.V'fS & THF.IR CON�'EC7'IONS: LO'PfS) & PIUSF, OBSERVED:
6rtcriur and Exterior Genernl Framing: i.e, roof tmsses, roof sheathing, Lo[ 2Q Plan lA, 2i36 Comeatone Lane,
shear elements, holdowns, Floor sheathing. Flourjoists/kusses, bea�ns, headers. Phaze 1, Tract q 16937,
and general hardmare. Costa Mesa. California
OBSERVEDDEFICIENCIES: �nrrncHaoomoNuvpceSiFNeeessaah � InitiaUComoletionDate:
'fhe def ciencies anNor nomconformine i[ems rtn[ed during observa[ion visit have been corrected Sf/L09-/5-0C
and installcd 6v a collaborated eRort of the projut superintendent end [he framine foremnn.
Construction �Bee�le-Si6ed � Ptywd Cfg 6—Bee7�
,Stage: . �� HVAC �. � Electrical � Plumbing �k Lid(s) 9�tien
� Note; When box is checked, d ind�cates thaf cronstruction slage is in progress, and d has not yet been compleled at the time observation was cronduded.
� STRUCTURAL SYSTGM WAS ViSUALLY OBSERVED TO BE IN GENERAL COhQ�'ORMANCE WITH THE APPROVED PL`VJS.
❑ STRUCTURAL DEFIQENCIES ARE OF A MIhOR NATURE & b1AY BE REVIEWED BY CI"(Y BLDG I� ISPECTOR FOR C04(PLIANCE.
I DECLARE THAT THE FOLLOWING STATEMF,NTS ARE TRUE TO THE BEST OF h1Y KNOWLF,DCE & BF,LIF.F:
l. I Abi THE REGISTERED ENGfb`EER WHO HAS RESPONSIBLE CHARGE
FOR THE STRUCTURAL OBSERVATfON.
2. I, OR AIVOTHEA QUALIFIED-CHARGE OBSERVER WHO 1 HAVE
DESIGNATED ABOVE AND IS UNDER MY R6SPONSIBLE CHARGE,
HAS PERFORMED THE REQUIRED SITE VISITS AT EACH
SIGNIFICA]JT CONSTRUCTION STAGE TO VERIFY IF THE
STRUCTURE IS N GENERAL CONFOIL�IANCE WITH THE APPROVED
PLANS AND SPECIFICATIONS.
3. ALL DEFICIENCIES, WHICH 1 DOCUMENTEq FIAVG 6EEN CORRECTED
UNLESS OPHERWISE [IvDICATED ABOVE.
4. ALL OBSERVED DEFICIENCES SHALL BE CORRECTED AND
APPROVED BY THE OBSERVER PRIOR TO FMAL ACCEPT.�\CE OF
THE STRUCTURAL SYSTEMS BY THE BUILDMG DEPARTMENT.
5. THIS REPORT [S PROVIDED TO THE OWNER AS A PART OF 1'HE
OWNHRS OVERALL CONSTRUCTION QUALITY CONTROL PROGRAM.
6. OPTION ONE HAS PROVIDED STRUCTURAL OBSERVATION IN
ACCORD.WCE WITH THE SEAOC RECOMMENDED GUIDELINES POR
THE PRACTICE OF STRUCTURAL ENGRJEERMG RJ CALIFORNIA.
�" N° C 042553 "� F
� Exp.03/31/� *'
57'AMP & W ET SICNATORE OF
nIn� STRUCTURALOBSERVEROFRECORD
SIGNED 6Y: ' Y l5`" Dny uCSepiember 200(.
STRUCTURAL OBSERVAT[OY DOES NOT NAIVE THE REQUIREb1ENTS FOR MSPECTIONS BY CITY 6UILDMG
NSPECTORS. ALL WORK MUST COMPLY WITH THE APPROVED PLANS A1JD APPLICABLE STATE & LOCAL CODES.
G:11200's11253106servation\Phase_11SOR_f Lot 20_P1A,doc (Rev. 115I05)
Option One Tel 949.553.1916
Consulting Engineers 20311 Acacia St., Suite 240, Newport Beach, Ca. 92660 Fax 949.553.9720