HomeMy WebLinkAbout2541 CORNERSTONE LN - Building Permits(714) 754•5273 • Fax (714) 754-4856 • YAVw.Ci.005�e-InOSe.C�Ff�LDING PERMIT 77 FAIR DRIVE, COSTA MESA, GA 92626
Jobnddress: 2541 CORNERSTONE LN
Suite:
Vicinity: PHASE 3 CORNERSTONE HOMES
Primary Occ: R3 � Type of Construction: V-N
Parcel Number: TPN006138 Zoning:
Status: ISSUED
Applied: 08/04I2006
Issued: 08I04/2006
npp�ican�: GOODWYN, JIM
Address: 16845 VON KARMAN
STE 100 Phone: 949-756-7373 ISSUED BY:
IRVINE,CA _ - - - "" ,-Zip: -- 92606 '
,�..�.. . �
�� . ,,
Owner: RICHMOND AMERICAN HOMES �
Address 16845 VON KARMAN;�� _ � , , , , ' � '�
� � ���� ( � � � � � Phone: 949 75&7373 � � ����
i
IRVIN �A� ���� �✓-" � .. . .. , . Zip: . 92606 ; � �, .�" A
. � = . i � ., _'�
� � A , i � �_ :
Comractor � %RICHMOND,AMERICAN.HOMES OF CALIFORNIA INC � � � � � � � ��
Addrese �5177 CACIFORNIAAV �"�' " �� ` � �- - ; � �� ��
�� %' BUITE � 20��� j Phone: 849-467-2600 � � ;� �� � � j� i ; ��; ` ��
�"% �IRVINE,6A �� %: _-.���`.: � ' i �A� �
� �. � ; / �`
" %�Zip: 92617'��� License: 487535 �� ,��;
J� �j� j �,
! �
�Arch:.'�"KENNETH;NIEMERSKI '" eng: GARYAMCCLANAHAN'
Address: �, 2031 ORCHARD DR Address: OPTION ONE CONSULTING ENGINEERS `: �,
� �
SUITE�100 � Phone: 949,-553-9100% �� NEWPORT BEP,CH; CA �. Phone: 949-553-1916
. �NEWFORT BEACH CA � i�. �!�, � �-"- " 20311 ACACIA SUITE 240 � - '
� - ,
Zip: ; �92660" . - ' � License: . 2397.Y,-�•. , ' �. 92660' ' _ , License: C042553�
, ' . ,. , , � �. , :�i . . _ - . - � � � _ .
` SCOPE OF PERMIT � � \ � , �
PHASE3-PLAN;iBR %�- V�� _ � _��" , V � .
� ' I \ i i � �' � � / `�. � � " ' V�
CONSTRUCT A NEW 1,991SP 2-STORXSFD WITH AN ATTACHED 415SF ATTACHED GARAGE AND A 126SF ENTRY PORCH.
' � 1ST FLOOR 8fi9SF AND 2ND FLOOR 1,122. - - - - - �� , ,
y
/ % �-,•-,- r �r• -�-� - � �,:�; :� '
-- ... � _ . . �_., - � � FEE SUIIhMARY �� - - � � � � ' � �
Plan Check" $256.13 .-. Calc Valuation: szo3,osz.sz'
� � ' Permit'. �. $1,576.15 � `` - � Claim Valuation: so.od
. SMIP Res: � $20.31 __ . ' .. . � . . ' _ � � • , -
--_ - -- � '
, SMIP Com: , $0.00 _ . ' _
Other. , $0.00
� `��Inspection:. . $0.00 - �
, ��., ,
�•
�'���` �Total�. � '�51,852.59 - � . �" ' �� � _ � �
�'. '� /
� :, � �� � � �PCANNING &��ZONING ; ;:��'
. ,' � :
SETBACKS'.� �, A� ,' ; _ ,�
MAINSTRUCTURE Front�0�0�;q� ��Rear 0-0 - � � Left . 0 0� RigM �0-'0 � ���
� VA : -, �\__ V . . i � � �I ; . � /� �
i
ACCESSORY �A �Front �0-0 � �� Rear 0-0 � � . Left 0-0 � Right �0=0� :, /' � ���
• � � �„ , ,. �</ - i
PARKING ��,Existinai � 0��� Re uired =�-0 �� ��-�Pmoosed:- 0_ ��� ,-' .�;/,"
�`'� v �� _ ' ; --_ __ .. , .�'� � /�
� � ���, ' � ���
\\:�� JC�." , -,�,/ l ' ` , . �/ �
..'�'�. _ J � � ' ` � l.% ,
�'� _'`�.> � ` _ ' \. \. • : ,
� - _ . i
�•• _ . ",'/�, ,.
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Ca
regulations. (Orcf. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work
lor a period of 180 days. �
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with�i
requlred Inapectione and final approval must be obtained. Fallure to obtain inspections and tinal approval will result In tha
FOR INSPECTIONS CALL: (714) 7545826 ar
zmaae �eroo�
and related
orabandoned
tll applicable codes, and all
expiralion of this permit.
WORKERS' COMPENSATION DECLARATION:
� hereby ettirtn under penalry ol perjury one ot Ihe tollowing tleclarations: �� • •
❑ I have end will malntain e centlicete of consent to sell-Insure for workers' compensetion, es provided for by seclion 3700 01 Ihe LaUor Code, for Ihe pertortnence ot the
work for which Ihis permit Is issued.
❑ I have end will maintein workers' wmpensetlon Insurence, es required by section 3700 of the Lehor CoOe, for Ne peAortnence of the work for wh�h this peimit is iswed.
My wo rs' compensatlon Insure e carrier endA poliry number are: � /�./�/���...�^ /�
Certiar. WtC� �l�r � P riF��l� � PolicyNumber: W�—'�IOTI vS/
(Thls sectlon neetl nof be canpleted I!he peim/t ls �d'ef wre hundretl dol/ars (5700) or less.)
❑ I certiy ihat in the peAormance of the work for which this pertnit Is issued, I shall not employ any person in eny manner so es to bewme suD�ect to the workers'
compensation lews of Celtlomla, end agree Ihet II I should become subjecl lo the warkere' compensation provisions o1 Section 3700 oi ihe Lahor Code, I shell fort�with
compty with ihese proV', ians.
Applicant Signeture: Date: ��L� /� i7
WARNING: FNLURE TO SECUF �RKEqS' COMP ATId OVEMOE IS UNUWFUL AND SHP11 SUBJECT AN EMPLOYER TO CRIMINAL PENALTI S M1D CML FlNES UP TO ONE HUNORED
TiLLJUSANDDOl1ME(S1W,000), OrtlplTOTNECOST COMPENSr1T10N,0AAMGESASPROVIDEDWRINSEGTON3lOeOFTMEU80RCODE,INrEREST,MIDATTORNEY'SFEES.
LICENSED CONTRACTORS DECLARATON:
I hereby aRirtn ihat I em Iicensetl under provision t Chepter B(commencing with Section 7000) oi Oivislon 3 ot the Business A rqtessions Code, end my Iicense Is In tull
torce an0 eHecL Lic. N Class # I
Contrectofs SlgnaWre: � �ate:
CONSTRUCTION LENDING AGEN
❑ I hereby attirm Ihat ihere is e construdlon lending egency for the perfortnanca of ihe work tor which this pertnil is issued. (Sec. 3097, Civil Coda).
Lenders Name: Lendefs Address:
Signeture:
OWNER-BUILDER DECLARATIONS:
Date:
I heraby attirtn ihat under penelry ot per�ury ihet I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for Ihe fallowing reason (Sec. 7031.5, Business entl Professlons
Code: Any ciry or counry which requlros e permit to consWM, alter, impmve, demolis�, or repair any stmcture, prior to its issuance, also repuires Ihe epplicant tor such pertnit
to file e signed statement that �e or she Is Ikensetl pureuent to the provlsians at the Contracrors License Lew (Chepter 9(commencing wit� Section 7000) of Dlvision 3 01 t�e
Business enA Prafasslons Code) ar ihet he ar she Is exempt t�erefrom and ihe besis ior ihe alleged exemption. Any violetlon of Section 7031.5 by eny epplicent for e pertnit
sub�ects the epplicent la e civil penalty o1 nat more then fiva hundred tlollers ($500).):
❑ I, as owner of the property, or my employees with weges as thelr sole compensetion, WILL DO TXE WORK, and t�e siructure Is not intended or oHeretl for sele (Sec.
7044, Buslness entl Protesslons Cotle: The Contractors License Lew does not apply lo an owner of properry who builtls or Improves thereon, end who tloes such work
himself or herself or through his or her own employees, provided that such improvements ere not Intended or oHered for sele. If, however, the builtllnp or Improvement Is
sold within one year of wmpletion, the owner-builder will have the burden at proving ihat he or she tlitl not builtl or im0�ove lor purpose at sale.). '
❑ I, es owner of the praperty, em EXCLUSIVELV CONTRAGTING WITH LICENSED CON7RACTORS to construct the project (Sec. 7044, Busineas end Professians
Cade: The coniractora Ucense Lew does not apply to an owner oi pm0erty who bullds or Improves ihereon, entl who contracts for such pmjecl wlth a contrector(s)
licen9e pur5uen� to the COntractors License LawS.).
❑ I em exempt under sec. Business and Prolessions Code lor this reeson:
Signeture: Date:
Owner ID veritied by drivefs Iicensa. ❑ Ves ❑ No Drivefs License No. Expires:
Vedficatlon ot Ownerahip by (type af tlwument, I.e. - property tes hill or tleetl):
OIVISION OF INDUSTRIAL SAFETV PERMR CERTFICATION:
❑ I hereby certily thet no e:cevation five (5) or more feet in depih into which e person is required to descend, will be made in connection wlth wark authorized Dy Ihls
pertni6 end that no building siructure, scaHolding, falsework, or demolition or dismantling ihereof, will be mora than thirty-si: (38) teet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Tltle 8, Celitomla Adminlstrative Cotle).
❑ As owner-builder, I will not employ enyone to do work which would requlre e pertnit from Ihe Division of Industrial Setery, es noted ebove, unless such person �es e
permit to tlo suc� work irom the division.
Signeture: Date:
Divislon o1 Indusirial Satety Permit Num6er:
CERTIFlCATE OF COMPLIANCE AND AUfHORVA710N OF ENTRV: I certity under penalry ot perjury that I have reaC Nls epplicatlon antl slete thel t�e information given is
conect. I egree to comply with ell state laws end city ordlnences relating to 6uilding conshuqion, entl euthorize represen�alives ot the City ot Coste Mese to entar upon ihe
ebove-describetl D�oDerty for inspection Durposes. I agree not lo occupy or allow accupanty of any builtling euihorized by Ihis permit until final inspection.
CODE �•
1616
1268
200
201
202
203
204
Fixetl System Flnel Fire Preven�ion
Pool Spa Flnal
Final Re-Rooi
Finel BIocWRetalning Well
Finel Factory Fire Place
Final Sign
Finel Demolitlon '
PAg 1t�lS
y���nb Date
/� 1
� Date
CODE� INSPECTIONTYPE
206 Finel Mechanical
200 Finfll Plumbing
270 Finel Electrical
212 Finel Fire Preveniion
220 Final Planning Approval
222 Final Site
250 Final Building/Occupency
p14) 754-5273 • Fax (714) 754•4856 • wwv+.ci.costa-mesa.c��sECTRICAL PERMIT �� YAIFI UFIIVC� GV31H MCJN� ldi `JLOLO
Job Address:
Suite No
Vicinity:
Parcel Nunmber.
2541 CORNERSTONE LN
NEW SFD
TPN006138
Applicant: GOODWYN, JIM
Address: 16845 VON KARMAN
STE 100
Phone: 949-756-7373
IRVINE, CA �, , -' Zip "'. ��92606 -
Owner: RICHMOND AMERICAN HOMES ' �' �
Address 16845 VON KARMAN � � , � - � . � . ' �
� . � . � �
��. ' <"` - - . � Phone:-949-756-7373 ` �
�� �
� %dRVINE, CA`, � � - _ Zip: - 92606 � , � ' �
./'! . � � " � .
-%. . . � ., ��'
� �. � ��:_,A
Coniractor ` ,RICHNIOND AfV1ERICAN HOMES OF CALIFORNIA INC � ' � � �' �`,
�, � �
=�Address: 5171AALIFORNIAAV ., - A`�.�=,
- :��, SUITE,120/ Phone:.,949-067-2600 � -- � '. �` ,
� �� � IRVINE,.CA Zip: ,-92617 � ' � ��� �
� - � � License: 487535 � _ � ' � � - � . ' �
, � �. . - . . - . . . ,
ISSUED BY:
Status: ISS U E D
Applied: 08/04l2006
Issued: 08/04/2006
• SCOPE OF PERMIT
� - - - ELECTRICAL PERMIT FOR PHASE 3 - PLAN 1 BR � � � . � `
.� CONSTRUCT A NEW 1,991SF 2-STORY SFD WITH AN ATTACHED 415SF ATTACHED GARAGE AND A
� 126SF ENTRY PORCH. . " � � ` � �
�- 1ST FLOOR 869SF AND 2ND FLOOR 1,122. � �
- REF:# BO6-001329 � , �.' � i' , ^ -. �- -� . . . _ . . ; , r . _
. . � , - � � 1 - � i
'�' WORK TO INCLODE: 1 NEW SFD, 2 LIGHT FIXTS, 6 RECEPT OUTLETS,�1 SWITCH, 1 MOTOR TO 1- �
HP = ,
__ > __ FEE SUMMARY
Quantity - � � � "
ISSUE FEE ' $23.50
� Temp'service tesY,�`� �� $0.00 .
'Res.a/cpackage ,��. $0.00 �
New Res (1-2 units) `�, �, $111.50 199t
New Res (3+uriits) , $0.00 . 0
Pool / Spa � . � ' � � $0.00 � 0
Lighting Fix1s - ,$2.20 2
Recept Outlets, � , � $6.60 - 6 .
Swilches `. � ` ., .� �$1:10. -.- _ ' 1-.
NonResAppl,�� �. $0.00'-�>� '0
Res Appl . � $0.00 , ���, 0
Service to 200a � � � - $0.00- - c0
Service to t000a � � � .,� $0.00 �, � '0 -
Service over 1000a � -. � �� �� $0.00 = . -�'� 0
Motors to'I hp ��, ��A $q:75� �/ j �A�;
Motors to 10hp �,,$0.00 `- � ' �0 ,
Motorsto50hp ��$0.00�- -� 0
Motors to 100hp $0.00 � : ` 0
Motoroover100hp $0.00--�� ' �0�
Communicationdrops $0.00 --„0�-
Sub panel to 200a $0.00 0
Pole Light Pkg $0.00 0
Temp Dist System / Lighting
Busway /100 ft .
Standing Section �
Misc Eledrical Equipment
-„ �`Transformers up to t kva/kw
. ..........:.:. :up to 10 kva/kw
. .....�....up fo�50 kva/kw
....:............up to 100 kva/kw, _ .
.� ..................over100�kva/kvi `�
- � ��� 'Low Voltage Equipment
� Low Volt Wiring System / Ckt ��
�� �Misc. Conduit �
� Misa ConduIXor �
_ ' " �Circus ( gen or ride) �
- - Circus (mech ride or lights) � `
Christmas Tree Stand `
� � Fireworks Stand .
� Other Elecirical Fee
�� \
Investigation Fee. . "
: , Plan Check Fee
Reinspedion Fee
,
�uantity t
$0.00 0:t'
$0.00 0 , -
$0.00 ,0�' � !
$0.00 ��0 � �
_ � ;
_
_ , �,
$0.00 r 0
$0.00: � , p ... �` .
�$0.00.",' 0 �
l,
,$0.00;' 0� �
$0.00 0 �
'$0.00� �� 0 '- � '
�$0.00 �� , 0 ' '
$0.00�� �,0 / "'
; $0.00- � 0- �, ; �
� $0.00' '0'�
.%$0.00�% 0�
�50.00 ; � ; ' 0
� $0.00. ' 0
� - $0:00
so.00
$0.00
$0.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia
regulations. (Ord. No. 92-28, § 1, 12-27-92)
EXPIRATION: Thls permit shall automatically ezpire and become void if work is not commenced wilhin 180 days, or if work is sus�
for a penod of 180 days. �
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all app
requlred inapectlona and tlnal approvel must be obtained. Failure to ob�ain inspections and final approval will result in the expira
FOR INSPECTIONS CALL: (714) 7545626
cm�.:.(ii�:91
�`
and related
orabandoned
�le codes, and all
of lhis permit.
WORKERS' COMPENSATION OECLARATION:
I hereby ettirm under penalry of perjury one ol Ihe �ollowing declarations:
❑ I heve erM wlll malntein e certilicate ot consent to selt-Insure tor workers' compenutlon, es provitletl for by section 3700 of the Lebor Code, for ihe pedortnence of ibe
work for which Ihis pertnit is luued.
❑ I have entl wlll melntain workers' compensetlon insurance, es required by section 3700 of ihe Labor Cotle, tor Ihe perfortnance of Ihe work lor which thls pertnit Is Issued.
My wor rs' compensatlon Insurence caf r�l r en�d pollcy n bar ere: .-�/� 1'
Cartier: _ vV�(�✓� /�_ /ILM'l� �SSUf�I✓1�� POIItyNumber. u'�71�r��� /�_
((his section n not be campleted l/ the pemiif �s ve/ued et o�i e h ndred�00) or /eSsJ
❑ I cerlity ihet in the paAormence of iha work for whic� this parmit is issuad, I shell not emplay eny person in any menner sa es to become sub�ect lo Iha workers'
compensatlon lews of Celltomia, entl egree that If I should Decome subject m the workers' compensatlon proNsions ol Semion 3700 o11 the Labai Code, I shall fonhwith
comply with these provi 'ons. _ � �/� /
Applicent Signature: Date: �� �
WARNINQ: FAILURE TO SECUR W KERS' COM A7�ON ERA�E IS UNLAWFUL AND SHALL SUflIECT AN EMPLOVER TO CRIMINAL PENAL �TIES AND CIVIL FlNES UP TOONE HUNDRED
T/K%15ANDOOLLARE(5100,000), �OfiIONTOTHEC�TO OMPENSATIIXJ,�AAMGESASPPOVIOEDFORINSECfION3'1080FTHElABORCODE,IMEREST,ANDATTORNEV'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ettirtn t�el I em license nd r rovisions of Ch pter 9(cammencing with Seclion 7000) oi Divislon 3 af the Business gaj1. Professions Code, entl my Iicense Is In full
force end eMect. Lia R Cless p /' �( i
ComredoYs Signeture: Dete: R� f? (—�
�
CONSTRUCTON LENOING AGEN :
❑ 1 hereby ettirtn Ihat there is e wnsirudlon lending agency br Ihe perfortnance ot the work for which this pertnit is issued. (Sec. 3097, Civil CoOe).
Lentler's Neme: Lentler's Address:
Signature:
OWNEH-BUILDER DECLARATIONS:
Deta:
I hereby elfirtn t�at untler penelry ot per�ury ihat I em E7(EMP7 FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions
Cade: Any ciry or wunry which requires e permit lo construct, alter, improve, demolish, or repair any sirudure, pdar to Its issuance, elso requires t�e flpplicant for such pertnit
to file e signed stetement that he ar she Is Iicensed Pursuant to the provislons of the Contractors License Law (Chepter 9(commendnp with Sectim 7000) of DMsion 3 af 1he
Buslness enO Profeulons Code) or that he or sha Is exempt t�erefrom and Ihe basis for ihe alleged exemption. Any Woletlon af Sedlon 7031.5 by eny epplicant for e pe��t
sub�ects ihe epplicent to a civll penalry oi nat more than five huntlred tlollare ($500).):
❑ I, es owner ol ihe property, or my employeeS wlih weges es Nelr sole compensation, WILL DO THE WOHK, and Ne structure is no� Inlended or ofleretl tor eale (Sec.
7064, Business end Prolessions Code: The Contradors License Law does not apply to an owner of property who builOs or imprwes thereon, and who does such work
hlmseN or herself or through his or her own employees, provlded that such improvemenis are nat intendetl or oNered lor sele. It, however, the buildlnp or improvement Is
sold within one year of complation, iha owne�-bullder will heve the burden of pmving that he or she did not build or improve lor purpose of seleJ. �
❑ I, es owner of the property, em EXCLUSIVELY CON7RACTNG WITH LICENSEO CONTRACTORS to construct Ihe pro�ect (Sec. 7044, Businesa entl Protesslona
Code: The conirectora License Lew daes no� epply ta en owner ot properry who builas or impmves ihereon, and who conirecis tor such pro�ect wlt� e contractor(5)
Iicense purauent to the Contrectors License Laws.).
❑ I em exempt under sec. Business end Professions Cotle for �his reason:
Signeture: Date:
Owner ID veritied Dy tlnver's Ilcense. ❑ Ves ❑ No Onver's License No. F�cpires:
Vedllcetlon of Ownershlp by (type of document, i.e. - p�aperry tex blll or tleed):
DIVISION OF INDUSTRIAL SAFE7Y VERMIT CEArFiCAT10N:
❑ I hereby certlty t�ei no excevatlon flve (5) or more leet in depih Into whic� e person is required to descend, will De mede In connectlon with work euthorized by t�is
permit, end ihat no buildinp structure, scaXo�tling, talsework, or demolilion or dismantling ihereof, will ba more than Ihlrty-slx (38) feet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Tltle 8, Calltomia Adminlstrellve Catle).
❑ Ae owner-builder, I will nol employ enyone �a Oo work which would raquire e pertnil trom the Division ot Indusirial Sefery, es notetl ebove, unless such person hes e
pertnit to do such work Irom the division.
Signeture: Dafe:
Division of Industrlel Safery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUfHOR171�TON OF EHTRY: I certify untler penalry ot perjury Ihat I heve reatl this epplication end stata thet the information given is
cortect. I agrea to comply wlth all stete laws end ciry ordinances relating to building consWction, end authodze represenlatives of t�e Ciry of Coste Mesa to enter upon the
ebove-descdbed properry tor inspection purposes. � egree not to acupy or allow omupancy at eny building euthonzed by this permi� unGl Onal Inspectlon.
COOE �.
1616
1266
200
2U1
202
203
204
Fi:ed System Flnel Fire Preventlon
Paol Spe Flnal
Final Re-Roof
Flnal BIxWRetaining Wall
Flnel Fectory Fire Place
Flnal Sign
Final DemoliUon .
�::
�
i �i•
�a INSPEC710NTYFE
206 Final Mechenical
208 Final Plumbing
210 Finel Electrical
212 Finel Fire Prevention
220. . Finel Plannlnp Approval
222 Finel Site
250 Final BuildindOccuoenc
PA� It�Li
1L1W1fL�L �
�
(714) 754-5273 � Fe% (714) 754-4856 • WWw.CI.CoSIe-me38.Ga.us i/ rn�n univ�, wa i n mw�+. �.� ����.+
MECHANICAL PERMIT
JobAddress: 2541 CORNERSTONE LN
Suite No
Vicinity: HOUSE
ParcelNumber: TPN006138
Applicanc GOODWYN, JIM
Address: 16845 VON KARMAN " " , � � � . -
STE 100 , � Phone: 949-756-7373 -
IRVINE,AA ,� , ' Zip: 92606 � , �
Owner: RICHMOND AMERICAN HOMES
Address:i -16845 VON KARMAN � - � � �
' ;�'.� � ' � , - Phone: 949-756-7373 -
�' . � i IRVINE, CA , � i "-,� ; Zip: 92606 ,
� /%i i
Contrector. RICHMOND �AMERICAN HOMES OF CALIFORNIA INC
� Address: 5171 CAI:IFORNIAAV
-' � - SUITE 120 Phone: 949-467-2600
. IRVINE; CA Zip: � 92617
� � - License:487535
-- 4 .
��
Status: ISSUED
Applied: OB/04/2006
Issued: OS/04/2006
ISSUED BY:
.\
. SCOPE OF PERMIT
,��, MECHANICAL PERMIT FOR PHASE 3- PLAN 1BR � � _
CONSTRUCT A.NEW 1,991SF 2-STORY SFD WITH AN ATTACHED 415SF ATTACHED�GARAGE AND
� �A 126SF ENTRY PORCH. � � �� ,
, � - 1ST FLOOR 869SF AND 2ND FLOOR 1,122. � ' .
��
' REF#:B06-01329 -, . . - - . , -.. . . .. � . .
WORK TO INCLUDE: 1 HOOD W/MECH EXHAUST, 1 INST FAU < t00�K B7U, 4 VENT
FANISINGLE DUCT AND 1 COMPRESSOR/ABSORPTION SYST 3 TO 15 HPI500 K BTU.
_ � FEE SUMMARY � �
Quantiry _ . _ •- .
ISSUE FEE $23.50
Inst FAU <100 k BTU � $14.80 1
Inst FAU >100 k BTU � $0.00 0
RepairlAlt CoolinglHeat� . $0.00 0
Inst / Rep., Recess Wall Htr . $0.00 0
Refrig Sys <100 k BTU $0.00 0 _
Refrig Sys >700 k BTU � . $0.00 0 � . -
Gas Piping ��, , � � . $0.00 0 .
Factory Fireplace , , $0.00-: 0 �-�" -
Hood w/Mech Exhaust� � $10.8$ - 1 � -
VAV Boz ` �" " � $0.00, 0 --
Vent Fan / Single Duct � � � $29.00 �_ 4� � �
Appliance � " $0.00 � -� 0_ �
Fire Dampers � �' $0.00-�, 0 � �
SmokeDampers �����`. �-,�$0.00 �0�,
Inst or Relocate Appl Vent�`�� 50.00; 10 '�� -
Air Handlers < 10000cfm � ' � �� $0.00 �_ 0 � '
AirHandlers> 10000dm � . � $0.00 0 � � '
Floor Fumace $0.00 0.
Floor or Suspend Heater $0.00-. � 0
�
Quantiry
Repair / Alt Absorbtion Unit � $0.00 0 �
Repair I Alt Refrigeration Unit � $0.00 � 0 �
Ventillation System -$0.00 0 �
Evaporative Cooler , , � � $0.00� � 0 ,
- Commercial Incinerator � $0.00 0 � , �
" Domestic Incinerator - $0.00 0 '
Comoressors / Absorotion Svstems `,� ' . �
. Up to 3 hp / 100 k BTU �, $0.00 0
3 To 75 hp / 500 k�BTU" '' -�i/ ,'$27A5 � 1
15 To 30 hp I 1,000 k BTU �„�, � $O.00i 0
"-30 To 50 hp / 1,750 k BTU�- i ; ;$0.00 0
� Over 50 hp I Over 1,750 BTU ,�. �-� '$0.00 0
, Boilers � '
Upto3hp � .�: � /: �'$0.00 0
3To15hp -: � - �% �� $0.00 0
15 to 30 hp � .. � ' /- � � $0.00 0
30 to 50 hp , - " . � , � � $0.00 0
�Over 50 hp , $0.00 0
Other Mechanical Fee ,
Investigation Fee � $0.00
Plan Check Fee $0.00 ^
Reinspection Fee $0.00 / )
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia slatules and related
regulations. (Ord. No. 92-28, § 1, 1241-92) - �:
i
EXPIRATION: This pertnit shall automatically expire and become void if work is not commenced wlthin 180 days, or if work is suspended or ebandoned
for a period 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 Inspeetlona end flnel epprovel must be obtained. Failure to obtain inspectlons and final approval will result in the expi2tion of this pertnit.
FOR INSPECTIONS CALL: (714) 754-5628
zaasrs�aroo�
WORKERS'COMPENSAnON DECLARAnON:
I hereby eftirtn undar Denfllry of parjury one of Ihe following tleclaratlons:
❑ I heve end will malntein a certificate oi consent to sell-Insure for workers' campensetlon, es proNdeA for by sectlon 3700 of Ihe Lebor Gode, tor the petlortnence ot Ihe
work for which this pertnit Is Issuetl.
❑ I have enA wlll meintaln workers' cronpensation insurence, es requiretl by sectlon 3700 of Ne Lebor Cotle, for Ne pertortnence of the work tw whkh Ihls pertnit is issuetl.
My wo rs' compensation Insurencer��r./d-�e,�r a�ntl policy nJ}mber ere: p �// / r/ )'/
Cartier. Plr�`Gc�.� //I/�✓�Q /T�f7C(✓A-Y�-T PdiqNumber. ��fJ�C9r7 tlS���
(Thls section neetl nof be completed I/ the pemtit /s velued et e hunCrerl dW/ers ($100) or less.)
❑. . I certify that In ihe peAormance of Ihe work for which Ihis pertnit is issuetl, I shell not employ eny person in eny menner sa as to become suDject to the workers'
compensetlan lews ai alHomla, entl egre that it I s�oultl become subJect to the workers' compensation provisions ot Section 3700 qqq�f Ihe Labor Code, 1 shell forthwith
comply wlth thesa pro ons. � `�//� /^ b
Applicent Signeture: Date: n �v
WARNING: FAILURE TO SECU W RKERS' COMP 10 C ERAGE IS UNUWFUL M1D SMALL SUBIECf AN EMPLOYER TO CRIAUNAL PENALT ES AND CML FlNES UP TOONE HUNORED
T/IOUSANDOOLLARE(Et00,OW), DORIONTOTNECOSTO PENSATION,OAMAOESASPROVIOEDWRINSECTIdJ3]080FTHELABORCODE,IMERESi,ANDATTORNEV'$FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm t�el I em
fo�ca end eHect. Lic. !1 _
Contrectofs SlgnaWre:
CONSTRUCTION LENDING
(commencing with Section 7000) ol Olvislon 3 of Ihe Bi
Clau x
� Dete: _
Code, end my Ilcense Is in full
❑ I hereby eflirm Ihet ihere is e construction lending egency for the Dertormence of Ihe work for which this pertnit is issued. (Sec. 3097, Civil Coda).
Lentler's Name: Lendefs Adtlreu:
Signature:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirm �het under penalry of per�ury Ihet I am EXEMPT FROM THE CONTfiACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business entl Protesslons
Cotle: Any ciry or counry w�ic� requires e permit to construcL alter, imprave, tlemolish, or repair eny slrucWre, pnor to its issuance, elso reQWres ihe epplicent for such permit
b tlle e signetl stetement Ihet he or she Is ticensea pursuent to Ihe DroNslans af ihe Contredora LJcense Lew (Chepter 9(commenGng wit� Section 7000) of DlNsion 3 of Ne
Buslneu entl Professlons Code) or Ihet he or she is eaempt Iherefrom and Ue basis lor Ihe ellegetl exemption. My violation af SecUon 7031.5 by any epplicent tor e pertnit
subjects the epplicent to e cMl penalry ot not more than live hundrad dollars (5500).):
❑ I, es owner of t�e properry, or my employees with wages as their sole compensetlon, WILL DO 7HE WORK, end ihe structure Is not Intentletl or afleratl lor sele (SeC.
7044, Business end Professlons Code: The Contrecroro License Lew does not apply to an owner of pmperry who builds or impmves thereon, antl who does suc� work
himself or hereelf or through �Is or her own employees, provided thet such Improvements ere not Intendetl or oflered for sale. If, howaver, t�e building or Improvement is
sold wit�in one year of completion, ihe owner-builder wiil heve the burden of Drovinq that he or sha did not build or Imp�ove far purpose of sele.). •
❑ I, es owner ol the property, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the pro�ect (Sec. 7044, Business end Pmfessions
Code: The coMractors License Lew does not apply ro en owner oi property who bullds ar Improves thereon, end who camracts for such pro�ed with a contrector(s)
license Oursuent to the Contrector5 Litense Lews.).
❑ I em exempt under sec. Business antl Professions Code lor this reason:
SlgnaNre: Date:
Owner ID verilletl by tldvefs licensa. ❑ Ves ❑ No Driver's License No. Expires:
Veriticetion oi Ownershlp by (type at document, i.e. - propery les 6ill or tleetl):
DIVISION OF INDUSTRIAL SAFETV PERMR CER7IFICATION:
❑ I hereby cenity that no excavetion five (5) or more teet in depth into w�lch a person is required to descend, wlll be mede In connectlon wlth woAc eut�oAzed by this
permit, and ihal no building siructure, scaftoldinp, falsework, or tlemolition or dismantling thereol, will be more then thirty-six (36) feet hip�. (Chap. 3.2, Grp 2, Art 2, Sec.
347, Tllle B, Celltomia Administretive Cotle).
❑ As owner-bullder, I will not employ enyone to tlo work which woultl requlre e permit Irom the Division of Intlusinel Sefery, es noted ebove, unleas such person has e
pertnit to do such work from the diNsion.
Signeture: Date:
Division of IndustAal Satery Permit Number:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF EMRY: I cenity under penelty of perjury ihet I have read Ihls epplicallon and stete Ihet the Information given is
correct. I agree to comply with ell stete lews end ciry ordlnences relating to hulltling conslructlon, end euthonza represantatives ot Ihe Clry of Costa Mese lo en�er upon �ha
ebove-descnbed prapetly lor inspection purposes. I egrae not to occupy or allaw occupancy oi eny building authorized by Ihis pertnit until linel Inspection.
COOE I. INSPECTONTYXE
7616 Fixetl System Final Fire Prevention
1266 Pool Spe Final
200 Finel RB-Roa�
201 Finel BIocWRetaining Well
202 Final Factory Flre Place
203
204
Finel Sign
Final Demolition
PAIE Uii�lE15
Q/��� Dete
Date
CO�E I INSPECTION TYPE
208 Final Mechanical
20B Final Plumbing
210 Finel Eledrical
212 Finel Fire Preventlon
220 Finfll Planning Approvel
222 FInelSite
250 Finel Building/Occupency
�. r �uu. :
�
(714)754-5273 • Fe%(714)754-4856 • www.cl.costa•mesa.c�sUMBING PERMIT ��rAinvniv�,wairmwr.,�..a�v�o
Jobnddress: 2541 CORNERSTONELN
Suite No
Vicinity: PHASE 3 CORNERSTONE
ParcelNunmber: TPN006138
Appliwnt: GOODWYN, JIM
Address: 16845 VON KARMAN
STE 100
IRVINE, CA . "
�Phone:"949-7567373
- Zip: 92606
owner. RIGHMOND�AMERICAN HOMES . � �
Address , 16845 VON KARMAN" � - .
ISSUED BY:
� '/,,� � � '� •_ Phone: 949-756-7373, . '- _ . �
' , .'IRVINE CA�' � � � - Zip: 92606 _ . �. -
,
�/ `� Ai './'��%�
Contiactor: RICNMOND AMERICAN HOMES OF CALIFORNIA INC
i Address:, 5171.CALIF.ORNIAAV
� - ". � � � SUITE 120 Phone: - 949467-2600
- , IRVINE, CA . Zip: � 92617 �
�� . � -' _ ���License:. 487535� �
Status: ISSUED
Applied: 08/042006
Issued: 08I04I2006
iV������
`� `� ; �,,, \
� �
��
< � ,��
� � � �. � .
� SCOPE OF PERMIT � �
PLUMBING �PERMIT FOR �PHASE 3- PLAN 1 BR ��
Vi,
; CONSTRUCT'A NEW 1,991 SF 2-STORY SFD WITH AN ATTACHED 415SF ATTACHED GARAGE AND A �
126SF ENTRY PORCH. �
, 1ST FLOOR 869SF AND 2ND FLOOR 1,122. . .
;�- � - �� . - �_- �--. : - : � - , .
REF#: 806-01329 - � - � - - � - � - � � - -
� WORK TO INCLUDE: 1 BACKFLOW IRRIGATION, t BATHTUB, 1 DISHWASHER, 1 GAS (1-4 .
OUTLETS), 1 GAS SERVICE, 1 LAUNDRY TUBNVAHSER, t LANDSCAPE IRRIGATION, 1 SEWER
� CONNECT, 1 SEWER PRIVATE 61NE, 2 SHOWERS, 1 KITCHEN SINKS, S WASH BASINS, 3 WATER ' -
� CLOSET, 1 WATER HEATER/VENTAND 1-WATER SERVICE. ' "- - '; �
FEE SUMMARY
� �� , , � � � AMT � _; . AMT - - QTY
ISSUEFEE,' � �, �.°$23.50 LaundryTub/Washer $9.80 1
Backflow irrigation � ,�`$9.80 0' Landscape Irngation ?• ; $14.80 1
BackflowPreventer" `,$0.00 1 P-Trap •' '� $0.00 0
BatMub ,�� $9.80, 1 Pressure Regulator 30.00 �� 0
Clarifier System % $0.00� . 0 . . Process Piping (per �10 ft) $0.00 -, :0 .
Connect (Ice,Soda,etc)" $0.00-; -„ -0 ' `�� � 'ij, Receptors � $0.00 0''
Dental Units , �� ,-$0.00 �, 0? Septic Tank � ' � $0.00 0
Dishwasher � , $9.80 �7� _� _ - SewerCapforDemo" � $0.00 0
Drain, Floor ' - �$0.00 0 � � � ' : Sewer Connecl . � $24.65 1
Drain, Rainwater �� . $0.00 � 0 ` Sewer Private Line �� $24.65 1
Drain,Roof � ;_$0.00 � 0�, ���. � Shower � - � $19.60 2 �
Drinking Fountain �' :.50.00 � � '0� !�/ �` �Sink, bar � -� - � � - - $0.00 0 .
Expansion Tank � �$0.00� �0 ,�" � ' -- � Sink, commercial $0.00 � 0 '
GasEarthquakeValve $0.00 -� 0 - , � Sink,�F,loor � ' � $0.00 0
Gas (1-4 outlets) $6.15 -1 , . • Sink, kitchen . $9.80 1
Gas (Over 4 ounets) $0.00 0 .. Sink, service/mop �, ��. $0.00 0
Gas Repipe $0.00 0 .. = Spa (pmate) $0.00 0
Gas Service $9.80 1 ' Spa (public) , 50.00 0
Interceptors (Grease, Oip $0.00 0
'�
�
� . . iAMT� ,� QTY
Sump Pump'� �. _ � $0.00 � 0
Swimming-Pool� � � ' $0.00 0
TrapPrimer; � ;�$0.00 0
Urinal;- : %� �� �' $0.00 0
Vacuum.Brkr BkOow(1-4) ,'i �$0.00 0
� Vacuum Brkr Bkflow(5+) � . ,-$0.00 0
.. WashBasin � :,��$49.00 5
�' � Wash Basin Set � $0.00 0
Waste and Vent System� $0.00 0
, Water.Closet (ToileQ' $29.40 3
� WatecHeaterlvent $12.30 1
\ �� ��:Water Piping (Inst or Rep.) $0.00 0
�. Water Re-pipe $0.00 0
Water Service $0.00 0
Water Softener $0.00 0
- OTHER $0.00
VIOLATION 50.00
PLAN CHECK $0.00
REINSPECTION $0.00 0
NOTICE: The work authorizad by this permit shall comply with all applicable handicap access requlrements under Ca
regulations. (Ord. No. 92•28, § 1, 12-21•92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced wlthin 180 days, or if work
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with�
requlred Inepectlons end final epprovel must be obtained. FaiWre to obtain inspections and final approvai will result In the�
FOR INSPECTIONS CALL: (714) 7545828 j�
'F�.F�:IF:d"1);
��
i statutes and related
pended orebandoned
�licable codes, and all
itlon of this permlt.
WORKERS' COMPENSATION DECLARATION:
I hereby ettirtn untler penelty of perjury one of ihe Iallowing declere�ions:
❑ I heve end will'malntein e certiticate ot consent to self-Insure tor workers' compensetion, es provided for by section 3700 of the Lebor Cotle,lor Ihe peAortnence of the
wOrk fOr which Ihis pertnit i5 issued.
❑ 1 have enG will meintain workers' campensetlon in5urance, as requiretl by sectlon 3700 of the Labor Code, for Ihe perfortnance of Ne work for wMU� this pertnit Is Issued.
My wa ers' compensatlon Insuranc r�ler and po Icy numDer ere: ��,�y / �/ J
Camer ����,`/�� ��vLI� �W✓Lt'�PiP POIItyNumber. �K/Y'l�Y� �%'��
(rn�s sea�on n. �or be compierea u me rmit is veluetl at one hundred tlol/ars ($700J or /ess.)
❑' I ceNiy ihat in Ne
wmpensetion law
comply vrith these
Ap0licent Sipneture: _
WARNING: FAILURE TO SE
TFKKISAND DOl1ARE (510
�t Ihe work tor w�ich
end epre� thet tl I sl
AOIXTIIXJ
UCENSED CONTRACTORS DECLARATON:
I hareby eHirtn ihat I em Ilcensed under rovisic
force antl eflect. Lic. x_--�
Contrectors Signature:
CONSTRUCTION LENDING
ermil Is issued, I shall not employ any person in eny manner so es to becane subfect to the workere'
become suD�ect to the workers' compensation pravislons ot Sectlon 3700 t the Lebor Code, I shell forthwlth
� Date: /i/�� �
GE IS UNLAW FUL AND SHP11 SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNL FlNES UP TO ONE HUNDRED
NSATION, DMNGES A$ PROVIDED PoR IN SECiION 3)OB OF THE UBOR CODE, INfEAEST, AND ATTORNEY'S FEES.
9(commenUng with Seclion 7000) of Division 3 0l Ihe Business�iqd Proi9sslons Cada, entl my Iicense is in full
Glass p L i0 /�
� _ .. Date: �6 ��1.
❑ I �ereby eHirtn t�et Ihere Is e consiruction lending egenq br Ihe pedortnance ot the work for which Ihis pertnii is issued. (Sec. 3097, Civil Cotle).
LentleYs Neme: �endefs Address:
Signeture:
Date:
OWNEH-BUILDER DECLARATONS:
I hereby eMirtn ihat under penelry of per�ury ihat I am EXEMPT FROM THE CONTHAC70RS LICENSE LAW for Ihe following reeson (Sec. 7031.5, Business entl Professions
Code: Any ciry or counry which requlres e permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuence, also requlres ihe epplicant for such pertni�
to flle e sipned atetement that he ar she Is Iicensetl pursuent to ihe provislons af the Cantrectors License Lew (Chapter 9(commencing with Sectlon 7000) ol Divlslon 3 ot ihe
Business end Protesslons Code) or ihet he or she Is exempt t�eretrom end ihe besls for the allegeG exemptlon. Any vloletion of Seclion 7031.5 6y eny eppllcent for e pertnit
subjecLa the epplicent to e civil penelry oi not more ihen tive hundred tlollere ($500).):
❑ I, as owner of ihe propeM1y, or my employees wlth weges es Ihelr sole compensatlon, WILL DO THE WORK, and the structure Is not Intentled or oflered for eale (SeC.
7044, Business antl Professions Code: The Contractors License Lew does not epply to an owner of property who bullds or improves Ihereon, entl who does such work
himsalf ar herselt or through his or her own employees, provitled that such Improvements ere nat intendetl or ottered for sele. If, however, the building or Improvement Is
sold within one yeer ol completlon, iha awner-huilder will have the burden of proving that he or she ditl not build or improve tor purpose ol sele.). •
❑ I, es owner of the property, em EXCLUSIVELY CONttiACTING WITH LICENSED CONTRACTORS to construcl the prolect (Sec. 704d, Business entl Professiona
Code: The contrectore License Lew does not epply to an awner at proDerty who bullds or Impraves thereon, en0 who coNrects tor such pro�ect wiih a comredor(5J
license pursuant b Ihe Contractors LJcense lawsJ.
❑ I em exempt unCer sec.
Signature:
Owner ID ventied by drivers Ilcense. ❑ Yes ❑ No
Business end Pmfassions Code tor this reason:
Vedflcatlon of Ownershlp Dy (rype ol tlocument, i.e. - property te�c bill or deetl):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
DnvefS License No.
Date:
Expires:
❑ I hereby certify ihet no excevation tive (5) or more feet in depth Into which e person is requiretl to descend, will be made in connectlon with work eu[horizetl by Ihis
pertni�, end ihat no building slruMura, sceflolding, lelsawork, or demolilion or dismantling Ihereoi, vnll be more Ihan thirry-sl: (36) fee� hiph. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, Calllomle Atlminlstretive Catle).
❑ As ownervbuilder, I will not employ enyone to do work which woultl require e parmit from Ihe Division of Industnal Satery, es notetl eDove, unless such person hes e
permit lo tlo such woflt Irom Ihe tllvislon.
Signature: � Date:
Division ot Indusirial Sefety Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHOROJITION OF EMAY: I certity untler penalry of perjury Ihai I have read this epplication and slete Ihet the inlormation given Is
cortect. I egree to comply with ell stete laws end dry ordlnances releling to 6uilding construction, end euthorize representatives of the Ciry of Costa Mese to enter upon the
ebove-descnbed properry br insDedian purposes. I agree not ro occupy or allow occupancy of eny building authonzed by Ihis permit until fnel inspectlon.
CODE I. INSPECTIONTYPE �
1616 Fixetl System Final Fire Prevenlion
7266 Pool Spe Finel
200 Final Re-Root
201 Flnal BIocWRetaining Well
202 Final Fectory Fire Plece
203 Finel Sign
204 Final Demolltion
PAg II�dL4
��
te
$�Cf !i/_
� Da
fAOEt INSPELTIONTYPE
206 Final Mechanlcal
20B Final PlumOinp
210 Finel Electrical
212 Finel Fire Preventlon
220 Flnal Plenninp Approvel
222 Flnal Site
250 . Final Bullding�Occupency
�.1 JIII.:
�:� • � �
LtiU
��ption
•ne
coxsu�rrxe c.ve�xeses
F--.��..._._'..___' '__.__"___'.___'_ -"__'_r___"_'___'___ v.___..—._,�--�.____"_
: � STRUCTURAL OBSERVATION REPORT FORM
� " RICHMOND AMERICAN HO,M,ES :� _ .
PAGE I OF 1
THIS REPORT MCLUDES ALL CONSTRUCfION WORK THROUGH THE: 5" Day of October 2006.
PROJECC: "Comcrstone" • SFD OPTION ONE J.N.: 0106-12i3
LOCATION: CostaMeSa,Califomie BLDG.PERMITNo.:
OWNER: Richmond American Homes LOCATION/DIVISION: Orangc County
AFtCHITECT: Bsssenian Legoni Architects ARCHITECf J.N.: BLA-5165
S7RUCP. OBS. OF RECORD: Gery A. McClanahen, P.E. LIC. or REGISTRi1T70N Nos.: C-42553
STRUCTURAI.OBSERVER: Mikc Bcrhe, E.I.T. EIT-45397
OBSERVED STRUCTURAL F.LE�IE\TS d'PIIF.IR CON�'ECfI0N5: LOT(Sl & PHASE OBSF,RVED:
Int<rior ond Extcrior General Framing; i:e., roof WSseS, roof Sheathing Lot I5, Plan IBR2541-GomeKtonrl:yne,
shear elements, holdowns, �oor sheathing, iloorj0ists/trussas, beatns, header5, Phase 7, Trac[ NI6937,
and general hardwara Costa Mua, Califomia
OBSERVEDDF,FICIEVCIF,S: (qRACNM017I0NALPAGE51fNECESS<Rh
The deficiencies anNor non-conforming items nored during observation visit have been corrected
and installed by a collaborated cBon of the projat superintendrnt and the @eming fomman.
Initial /Comolelion Date:
MB/lO-OS-06
�Construction 0 HVAC �—Elestrisal � Plumbing �—�����S�6ed � P�Y`"dCl'g 6—Besk
Stage: SkearaYalk I.id(s) O�Fier
Nofe: 4Vlten box is checked, il indicates fhaf consfrucfion stege is in prog25s, and d has rrof yet been cnmplefed af the fime observetion was wnducted.
0 STRUCTURALSYSTEMWASVISUALLYOBSERVED70BE1NGENERALCOMFOAMANCEWITHTHEAPPROVEDPLANS.
❑ SiRUCTURAL DEFICIENCIF$ q7� pF A MMOR NATURE k MAY BE REVIEWED BY CITY BLDG MSPECTOA FOR COI.�LIANCE.
I DECLARE TIIATTHE FOLI,ONINC STATEI1F,NTS ARE TRUE TO THE BEST OF MY FG�'OWLEDCE & 6ELIEF:
1. I AM THE REGISTERED ENGMEER WHO HAS RESPONSIBLE CHARGE
FOR THE STRUCTURAL OBSERVATION.
2. I, OR ANOTHER QUALIFIED-CHARGE OBSERVER WHO I HAVE
DESIGNATED ABOVE AND I$ UNDER MY RESPONSIBLE CHARGE,
HAS PERFORMED THE REQUIRED SITE VISIT$ AT EACH
SIGNIFICANTCONSTRUCTION STAGE TO VERIFY IF THE
STRUCTURE IS M GENERpL CONFORMANCE WITH THE APPROVED
PLANS AND SPECIFICATIONS.
3. ALL DEFICIENCIES, WHICH I DOCUMENTED, HAVE BEEN CORRECTED
UNLESSOTHERWISEfNbICATED ABOVE.
4. ALL06SERVEDDEFICI[NCESSHALLBECORRECTEDAND
APPROVED BY THE OBSERVER PRIOR TO FINAL ACCEPTANCE OF
THE STRUCTURAL SYSTEMS BY THE BUILDMG DEPARTMENT.
5. THISREPORTISPROVIpEDTOTHEOWNERASAPARTOFTHE
OWNERS OVERALL CONSTRUCTION QUALITY CONTROL PROGRAM.
6. OPTION ONE HAS PROV�DED STRUCTURAL OBSERVATION M
ACCORDANCE WITH THE SEAOC RECOMMENDED GUIDELMES FOR
THE PRACTICE OF STRUCTURAL ENGMEERRJG M CALIFORNIA.
SIGNED BY:
�
SfAMP & WET SIGNATURE OF
$TRUCTUIWLOBSERVEROFRECORD
51° Day of October 2006.
STRUCI'URAL OUSERVATIUN DOES NOT WAIVE THE REQUIREMENTS FOR MSPECTIONS BY CITY BUILDMG
MSPECTORS. ALL WORK MUST COMPLY WITH THE APPROVED PLANS AND APPLICABLE STATE & LOCALCODES.
Dacument4 (Rev. 715A5)
Option One Tel 949.553.1916
Consulting Engineers 20311 Acacia St., SulTe 240, Newport Beach, Ca. 92660 Fax 949.553.9720
�nennc • �TRFFi'FR
CIVIL ENGINEERS INC.
Dccember 12. 2006
City Grading Inspector
City uf Costa 17esa
Dcvelopment Scrvices Depailment
77 Fair Drivc
Costa Mesa, C:ilifarnia 92625-1200
OS-1573
IRVINE • RNERSIDE
Jan A. Adams •�andal L. Streeter
SubjecL• Civil Engineer's Certification of Precise Crading
Projech Tract No. 1G937 — Lots 4 and 5- 6uildings 12 through 19
Cornerstone at Harbor I3h�d.
Costa Alesa, California
Reference: Precise Crading i=ermit Number. C06-OOOU3
Address: 2�01 Harbor Boulevard, Costa 19esa, California
Owner : Richmond American Homes
General Contractor: Richmond American 1{omes
In accordance with City of Costa Mesa Gradino and Excavation Code, und the
requirements of the Buildin� Code. 1 certify approval of this pro_ject as outlined above, to
precise grade. Precise �radin� h.is been completed in conformance with approved prccise
eradin� plan for this projcct �md in full compliancc with said Codcs. Ceitification
includes horizontal and ��ertical conuol for dr.iina�c devices, and positive buildin� pad
drain.tge.
This approval docs not includc _-��� S t-o` compaction ol soil, �� hich is undcr thc
purview of the soil engineer. /�FF" ,��
��rF; r��1Uh,;,•� �;`�
� . `•�"� �
I _ � „-��� 140.42675 nl � il
gY:
M. Mohammadabadi, Projcct
Adams Streeter Civil En�ineers Inc.
Ero�3�3��08
I:/"/ :`�
C..i�F�';�t E#: _ 42615 (Exp. 3/31/081
1 S CORPORATE PARK • IRVING, CA. 92606 • TeL (949) 474-2330 • Fax: (949) 474-025I
�onn nner,nc CTDCGT UIITF A_d!1(1 • RIVFRSIf�F. CA. 9250<1 • TeL (951) 352-4100 • Fax: (951) 352-6200