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Home My WebLink About2543 CORNERSTONE LN - Building Permitspia� �sa-s2�s • Fax (�ia� �sa-aees • www.ci.cosca-mesa.cg�ILDING PERMIT Job Address: Suite: Vicinity: Primary Occ: Parcel Number: 2543 CORNERSTONE LN PLAN 1A R3 TPN006139 Applicant: GOODWYN, JIM Address: 16845 VON KARMAN STE 100 IRVINE, CA Owner: KIC;FiMVNL Address �6845 VON�KF / ji % IRVINE CA � ��'/j � � �ntractor' ;: �RICHMONC i,�:i� . Address:,/ 5171 CAGFOF '�� SUITE 120�-� 1^`�� IRVINE�C� ✓i � �` Zip: 92617�, i i � �/�� J KENNETH�NIEM os:�'-� 2037 ORCHARD OR !' _. �Z�P<, ' � � Type of Consirudion: V-N Zoning: Phone: 949-756-7373 ,----- - . .. Zip: --92606 ' �'" � _ _ - - _ �- AN'HOMES � � ' ` 77 hA1H UMNt, I:VJ I A MtAA, l:H'JGti2ti ISSUED BY: Status: ISSUED Applied: 08/02/2006 Issued: 08/042006 IAN.i �� i i ; �- \ � �� ' Phone:: �949�q756-7373��:� ,� � �_ ; � � � � � � ' ZI �92606;� � . � _ ��._ � � \ / �." - - - P - - � ' � �� /�- :� � i � MERICAN HOMES OF CALIF�ORNIA INC � � �\ � . � �i '��A i �i� .. ;.,- -_�.� �� , ' �� \\\ V A j-u�:' � � -�_' _ � , . �Phone: 949-467-2600 �2 ;'e - � i ' �� \\\ � � ` �� / � .��\ \' \ ' i �`��\ License: 487535 � �'� , � _, � . '.� �." _� �,�A ORT BEACH CA ji r, � , - f , y: � � Eng: GARY A MCCLQNAHAN/ ; �A A`�� `, �� Addresg: OPTION ONE CONSULTING ENGINEERS �`. �, Phone: 949c553-9100-',� - NEWPORT�BEACH;CA;,';Phone 949-55319]6 �j,� ,�- :� . _ 20311 ACACIA SUITE-240 � � � '?� �. .icense. �239Z1!`�_ �� 92660�� , � License:.�-0042553��', ��J�„�. - ' - - �� .. .' � � . , . � ... ` � ` r� ' _ — "` SCOPE OF PERMIT - �' \ , \../ �PHASE3-PLANIA'- � ��,.- .� � � � � � : ` . : � '' \ � ( � " \ /��, �� "\ \\ '' , ;�, CONSTRUCT NEW..1991SF 2-STORY SF.D WITH ATTACHED 415SF ATTACHED GARAGE AND,126SF ENTRY PORCH �,� i�� 1 ST FLOOR 869SF AND 2ND FLOOR 1;722SF. = <x- � _ - _ _ -- - . :_ - - - = -- - � � , E� � � �,1� ;;! �fq�;rr^vT's �, -r-s v�r.'J�,_,�. ..,�<.�.,^i '�� :. ��, . �,.-" =- :: :-�':_ �FEE�SUMMARY'-.,' =. ��; - � '� ,_ PlanCheck ', '$256.13 � � �CalcValuation ` ; � '� ' �� Permif �� $1,576.15 � r'� ,- ; I' •Claim Valuation ' � j�;! ` SMIP Res ' ^�' $20.31 '_ �'',,�. °-: /i n � ,. ' C� - "'�. f �� ' � „ �,.__ _ ____ ,_ � c � /- � � � d .- ---s / �� ,,.. . `SMIP Com . _: $0.00 : � -- -, - � • � 'Other: �. :� $0.00 ' , . _ � i, . � � , ` J �'\. ' - $203;052�52 i — � �$o.00; �� _ , (• f � �� Inspection � �� $0.00 � ' �' . � � � � � � � , `,� , `,' ,.. � � A �\\' i , �. ,', / ;�� TotaL��. �'$,1,852.59 ', . , i� � 1 � �� _. �� , `��:�• .:��.,'� „ ,, _,;� '. r-` ��. : •'s�"�PLANNING& ' a r BACKS �� , A �� —�' `` � ,. _ � � A� �� S'�-- �s ,,� � �� ; ' , STRUCTURE Front, 0 0� � Rear 0 0 �CeN . VVA`. �� ;�� '� � r v�v��v� j%j ._i' , , � a.: - � ';'% r , , ,� , 0 0 � � Right-;�p0-0 ; � �'-'. . ACCESSORY��\ Front �0-0 \�oRear�,'c 0-0 ': �� Left 0-0 �' , r � V '\ � � � � � ' � r � . PARKING �'E�istinn:�0�� Reauier tl ��0�-_� � � Pr000sed -Oi� �"�� j�J �% ��J V� v �l ` - I .J � � LS�f'. � �`\\ \` \ < �` `'„'= .� •� � 1 \ \.' ,v /� ,� � ./, Right= � 0-'0 � /� � � "i' -' = '� \'i '; '�i ��..� �/ /� i , (/�� / �� /i' � �� ' � �. ,i _/.'��/ NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis undar Califomia statutes and related regulations. (Ord. 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 is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepeetlone and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiratlon of lhis permit. FOR INSPECTIONS CALL: (714) 7545626 zaas�ae (doo) WORKERS' COMPENSATION DECLARATION: I �ereby aHirm under penalry oi perjury one oi the following declarations: '� " � ❑ I heve and will maintain a certificate ot Consent b self-Insure tor workers' compensation, as provided tor by section 3700 of Ihe Lebor Code, for ihe pertortnance of the work for which this permit is issued. ❑ 1 have anC will main[ain workers' compensation insurance, as requiretl hy sec�ion 3700 of Ne Labor Cotle, for Ihe pertortnence of the work for which Ihis permit Is Issued. My worker�j' compensation Insurance cardar antlI�po,licy number are: �,�( / �p Carrier. I'\1Mov��l�� Nn! SW.�iur�t,�/ PolicyNumber: �JLFid��^.�r�0 (This section need nof be comp/eted il permit is vel ed af one hun red d�0) ar less.) ' ❑ I certity that in the pertormance of the work for which this permit is issued, I shall not employ any person in any manner so es to become subject to fhe workers' compensation laws of Celifomia, antl agrea that if I shoultl bacome subJect to the workere' compensation provislons of Section 3700 of the Labor Code, I shall forthwith comply with ihese provi ' ns� � `n Applicent Signeture: �� Date: � ��// 6 WAFNINO: FAILURE TO SECUR W RKERS' COMp TION JERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVEfi TO CRIMINAL PENAL IES AND CIVIL FINES UP TOONE HUNDRED TNOUSANDDOILARE(§100,000), DDITIONTOTryE STOF OMPENSATION,DAMAGESASPROVIDEDFORINSECTION3)O60FTHELABORCODE,INTEPEST,ANOATTORNEI"SFEES. LICENSED CONTRACTORS DECLARATION; I hereby aHirtn that I am licensed under provigic force and eHect. Lic. # _==-�y� Contractofs Signature: � � of Chapter 9(commencin9 with Section 7000) ot Division 3 of the B Class # 'cF7. � , Date: _ Code, and my license is in full CONSTRUCTION LENDINGA6IENCV: V ❑ I �ereby aHirtn that there is e cons�ructibn lentling agency for �he performance ot the work for which this permit is issued. (Sec. 3097, Civil Cotle). Lentlefs Name: Lenders Address: Signature: OWNEH-BUILDER DECLARATIONS: Date: I hereby aflirm Ihat untler penalry of perjury Ihat I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business antl Professlons Code: Any ciry or counry which requires a permit to consWct alter, improve, tlemolish, or repair any structure, pnor to its issuance, also requires lhe applicant for such permit to tile a signed statement ihet he or she is Ilcensetl pursuant ta the provisions af the Contractors License Lew (Chepter 9(commencing with Section 7000) oi Division 3 ot ihe Business and Profeuions Code) or that he or she is exempt the�etrom and the basis for the elleged exemptlon. Any violatlon of Section 7031.5 by eny applicent for e pertnit subjeds ihe applicent to e civil penalry of not more ihan five hundred dollars ($500).): ❑ 1, as owner ot Ihe property, or my emplDyees witb wages as their sole compensatia�, WILL DO 7HE WORK, an0 ihe sWciwe is no� intentletl or ofleretl ta sale (Sec. 7044, Business antl Professions Code: The Contrectors License Law does not appry to an owner of pmperty who builds or improves thereon, end who does such work himself or herself ar Ihrough his or her own employeas, provided ihat such improvemenis are not intended or affered for sele. If, however, ihe building or improvement is sold within one year of completion, ihe owner-builder will have ihe burden ot proving that he or she did not build or improve for purpose of sale.). ' ❑ I, es owner oi iha property, em E%CLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Busineas antl Professions Code: The contrac�ors License Lew do�s not epply to en owner ot propeny w�o builds or Improves thereon, end who contracis tor such project wHh e contractor(s) license pursuant to iha CoNradors Lic�nse Laws.). ❑ I am ezempt under sec. Business and Professions Code tor this reason: Signature: Date: Owner ID verifietl 6y tlrivers license. ❑ Yes ❑ No Drivers License No. Verification of Ownership by (type of dwument, i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICA710N: Expires: ❑ I hereby certify ihat no excavation tive (5) or more feat in depth into which a peroon is requiretl �o descend, will be mada in connection with work eu�honzed by ihis permit, and that no building sirucWre, scaffolding, felsework, or demolition or dismantling thereof, will be mora than ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, California Administrative Code). ❑ As owner-bulltler, I will not employ anyone to tlo work which would require a permit irom ihe Division ot Intlustrial Setery, as noted above, unless such person has e permit to do Such work irom ihe division. Signeture: Date: Divislon ot Indusirial Safety Permit Number. CERTFICATE OF COMPLIANCE AND AUTHORVJ1T10N OF EMRY: I certify under penalry of perjury lhat I have read this application and state that the infortnation given is correct. I agree to comply with ell s�ate lawg entl city ordinances relating to building consiruction, and authorize representatives of the Giry of Cwta Mesa to enter upon ihe above-described property for inspection purposes. I agree not to occupy or aliow occupancy of any building authorized by this permit until finel inspection. COpE t, N 7616 Fixed System inal Fire Prevenlion 1266 Pool Spa Final 200 Final Re-Roof 201 Final Blxk/Retaining Wall 202 Final Factory Fire Place 203 204 Finel Sign Final Demolition QpZF� �NTIfIALS Date 8�� r9b � Dale COOE� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final BuildingiOccupency I�},11q I�ii11r7S�1 '�"�' (7�a) 754-52�3 • Fax (77a) 75a-ae56 • www.ci.costa-mesa.ca.us i i rAin unrve, wa i n mwh, �� am�o Job Address: 2543 CORNERSTONE LN Suite No Vicinity: PHASE 3 CORNERSTONE ParcelNumber: TPN006139 Applicant Address: Owner Address / � � i/ / ' : � ; > r' , � '� . MECHANICAL PERMIT Status: ISSUED Applied: OB/04/2006 Issued: OS/04/2006 ISSUED BY: � GOODWYN, JIM _ �f� ,-„ 16645 VON KARM/AN j j%.� �� r- • t. . - ,, �` STE 100 /(�y �� Phone 949-756 7373. _=, � / 1�.. , i `�,. IRVINE CA��- � Zip: ' -' 92606 + = �� f`�� \ � � ��_ ' \., '\ . � ' - l , : A RICWMOND AMERICAN HOM�ES�� - ' � �� ' �`•� '� `,� � 16845 VON'KARMAN{,,- j � -"_.... �=- . _-`� .,, � -.�. �' : .,�� /� � A% �r� � -= ' � Phone 949-756 7373 � .`� � � .. � /`` � � / r � ��%rr � � Zip 92606 � ^� . �� f � ��' � IRVWE CA) ` � � ��/ //.�� ` ,�� ' ✓ �� RICHMOND�AMERICAN HOMES OF CALIFORNIA INC �� :.� l% � �� 5171 CtALIF.ORNIAAV � �� '., .. .�, �A �" SUITE 120� Phone'�949-467-2600 �' �"1' � \ i i ,ii; .� �.� \�V � ,, �r \� t� IRVME;`CA Zip: r92617 _ _' ',.� _,,---r t,� ; � '�f�f __ ,.License:487535„n•„_ , _ . ..�V ��A,� ,, ;;yj - , �` .%,� �°,, � � ` _ ? � ,f�!, ;�� ", `SCOPE OF PERMIT ,-� � � ' ;'rMECHANICAL PERMIT FOR PHASE 3"= PLAN 7A � � - ' � ` . .. __ � t-c;`_�-.�. � � --- ` � .;�' �.. /J� . . ,� ' CONSTRUCT NEW 1997SF 2-STORY SFD WITH ATTACHED 4155F ATTACHED GARAOE AND 1265F�t � � � � j ENTRY PORCH. ,i��.,,. � , �� -. ' 1ST FLOOR 869SF AND 2ND fLOOR 1,122SF. � � ��. ' -' r� . �` i :=... .. — . �� '` f 1`f�` REF#:BO6-01370 �,,.,,^rzf> �•., 1�r r' ' v` �. ir'��' V� �'i I i _, '. � _ , , �� WORK TO INCLUDE 1'HOOD�N//MECH'EXHAUST; 1.INST FAU'< 100�.K BTO, 4 VENT , , �� ;�, FAN/SINGLE DUCT AND 1 COMPRESSOR/ABSORPTION-SYST 350:15 HP/500 K BTU. i ., � � � �l. t ' �' ' � '_` �. �- ISSUE FEE ' $23.50 Inst FAU <100 k BTU��°��, $14.80 Inst FAU >100 k BTU ��,'1`.� $0;00 Repair,-'%Alt',CoolinglHeah; ; $0.00 Inst / Rep. R'ecess Waii Htr ' $0'.00 Refrig Sys <100 k BTU ` � $0.00 Refrig Sys,>100 k BTU '� `� $0 00 Gas Piping?�`� ,,�' ; ��b, $0 00 Factory Fireplace � ` \� Hood w/Mech'Exhausl � /'� � $ VAV Box VA�` � `^ � i , Vent Fan / Single Duct t��, �/` $ Appliance � �'� - - FireDampers �`�'� `l�! Smoke Dampers \�;�`�.� '^,, j Inst or Relocate Appl Vent ��'_��,, Air Handlers < t0000cfm � y` � A AirHandlers> t0000cfm RoorFurnace � Floor or Suspend Heater " �-trt-"FE Tantity . , , 1 0 0 0 0 0 0 0 1' 0 4RY.,.,�� r,r, � r *. . ... Rep'air%AltAbsorbtion Unit Repair / Alt Re(rigeration Unit Veotillalion System � Evapoiative Cooler � Commercia l I n ci n e rator Domestic Incinerator - , � � j �,) ; 1� �" � � �Quantity ) � $0.00_ -� 0 ; „ : $0.00...�_.�t ` ,$0,00 "; O/� ��,:,( , $0.00...,- p",'. f, - : % $0.00 0 � �'��" . $0.00 .' 0 I : ,j ; „� ' . Upto3hp'/,100k81U i � , $OOOj,�O ' '' 3 To 15 hp��`500 k BTU;,_..�-�. - �i�/ `7 �"� $27.15 ' ' 1 �� " �` �15To30hp/�1000kBTU; �' � - $0.00�� 0 '' � � t - - `,. ' �30 To 50 hp / 1,750 k BTU�� ',-` ,$0.00 0 0 ;Over"50 hp / Over 1,750.BTU �^ i�� .$0.00 0 � � - �- � � : BOI�Ef3 . � � !� :., � �. , �' 0 �^ ' ..Up to 3 hp ; % ��, �, / �, / $0.00 0 `0�.., � � - �3To15hp� `��,-�V �' $0.00 0 i, 110 `' - - � 9 5 to 30 hp -�-- , � �, �% �� $0.00 0 �, � S��' �� , 'ti - -� . 30 to-50 hp �. � �� =� �,�� i $0.00 0 0_,.: ,�- � � � � Oven50h`p� � �'- '- � ; $0.00 0 - 0 " �,`�� _ Other Mechanical Fee-�.� / � � / =0= ��- -- ' � -' `Investigation Fee" � � ; = $0.00 ��.;,�� - . .RlanGheck-Fee=' -�`' $0.00 - _ ` ��- �� . �"Reinspection Fee $0.00 TOTALCALCULATEDFEES §105.10 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California regulations. (Ord. No. 92-28, § 1, 1241-92) � EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is susF for a period of 180 days. � "l ,�� es and related i or abandoned INSPECTIONS: In order tor ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapectlona and tinal approval must be obtained. Failure to obtain inspections antl final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 �,: zaae-0s (s�oo� WORKERS'COMPENSAnON DECLARAnON: I hereby attirm under penelty of pehury one of ihe following tleclarations: � ❑ I heve end will meintein e caniiicete ot consent to salf-Insure for warkers' compensetlon, es providetl for by sectlon 3700 ot the Lebor Code, for the pertortnence of the wark for which t�is Dermit is issued. ❑ I have entl wlll meintain workers' compensation insurenca, as required by seccion 3700 ot Ne Lebor Code, for t�e pertortnance ot tha wo�1c for which this pertnit is issued. My worke� compensetian Insurence r'er and poli number are: �/ / �� 7 Cartier. jT.MP✓1 inf+� �YL(� �G(✓� �� POIicyNumber: �!!N(GY��i/ (This secNon neetAnat be completed i! the It is velued et one hundred dollars ($f 00) or less.) ❑ I cenity that in ihe peAormance of Ihe work for which this permit is issued, I shall not employ any person in eny manner so es to become subject to Ihe workers' compensation laws of C Ilfomia, entl e ree t�at if I should become suh�ect to ihe workers' compensation provislons of Sectlon 3700 of the Lebor Cotle, I shall forthwith comply with ihese provis ns. �p `, Applicant Signature: Dete: n,/�� b WFRNINO:FAILURETOSECUR W RKERS'CqM SAT10 C VEMGEISUNLAWFULANDSHALLSlIB1ECrANEMPLOVERTOCRiMINALPENALTIESANDCIVILFlNESUPTOONEHUNDRED TFKKISAND DOLURE (5100.000), DRION TO THE COST O PENSATION, DAMAGES AS PROVIDED FOR IN SECTION 9080F TNE IABOF CODE, INTEREST, ANO ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn that I am force and eflect. Lic. N_ ConiradoYs SignaWre: CONSTRUCTION LENDING 9(commencing with Section 7000) af Dlvislon 3 oi lhe Busines(5y,9n�d Prolessions Code, and my license is in full i�i1859 N �/CA / / li oaie: :P ❑ I hereby aflirm thet there Is a construction lending egency for the peAormance of the work for whic� this permit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lender's Adtlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eftirm that untler penalry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or counry whic� requires e pertnit to construct, alter, improve, tlemolish, or repair any structure, prlor to its issuance, elso requires the applicant tor such permit to file e signetl stetement ihet he or ahe Is Iicensed pursuant ta the pmvisions ot the Contredore License Lew (Chepter 8(commencing with Section 7000) of Dlvision 3 af Ne Busineu antl Professions Cotle) or that he or she is exempt therefram antl ihe basis for ihe elleged exemption. Any violation oi Section 7031.5 by eny applicant for a pertnit subjects the applicant to e civil penalty of not more Ihan five hundred dollare ($500).): ❑ I, as owner of �he properry, or my employees with weges as their sole compensatlon, WILL DO THE WORK, antl ihe structure is not intentled or offered tor sele (Sec. 7044, Business and Professions Cotle: The Contradors License Law does not apply to an owner oi proparry who builds or improves thereon, end who does such work �imself or herself or through his or her own employees, proNded that such improvements ere not Intended ar oXeretl for sale. If, howaver, the building or improvement Is sold within one year oi completion, the owner-builder will have iha burden of proving ihat he or she tlid not build or Improve tor purpose ot sale.). ' ❑ I, es owner of thB D�aOerty, am E%CLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to construct the pro�ect (Sec. 7044, 8usiness and Protesslon9 Cotle: The wmredors Llcense Lew tloes not epply to en owner of properry who builds ar Improves thereon, end who comrects for such project with a contractor(s) Ilcense pursuem to the CoNreciors License Laws.). ❑ I am exempt under sec. Business and Professions Code lor this reason: Signamre: Date: Owner ID veniietl by tlnvers Ilcense. ❑ Yes ❑ No DnveYs License No. Ezpires: Vedficelion of Ownership by (type of document, i.e. - property tau bill or daed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihat no ezcavetion tive (5) or more feet in tlepth Into which e person is required to Cescentl, will be mede in connection wi�h work euthorized by this permit and �he� no builtling siructure, scaHolding, falsework, or tlemolitlon or tlismantling thereoi, will be more ihen thlrty-six (36) fee� high. (Chap. 32, Grp 2, Art 2, Sec. 347, Title B, Cellfornle Administrative Code). ❑ As owner-bullder, I wlll not employ enyone ro do wark which woula require a permit irom the DiNslan ot Industrial Satery, as noted ebove, unless such person hes e permit to do such work from the division. Signeture: Dele: Division of Indusirlal Sefery Permit Number; CEPTIFlCATE OF COMPLIANCE AND AUTHORVATION OF EMRY: I certity untler penalry oi perjury that I have read this epplication and state that the informetion given Is correct I egree �o comply with all stete laws and ciry ordinances rela�ing to builtling construction, end euthodze representetives ot Ihe Ciry of Coste Mesa to enter upon Ihe above-descnbed property for inspedion purposes. I agree not to occupy or allow occupancy ot eny building authonzed by this pertnit until finel inspection. COOE I, 1616 1268 200 201 202 203 Fi:ed System Final Fire P�avention Pool Spa Finel Final Ra-Roof Final BIocWRelaining Well Final Factory Fire Place Finel Slgn 204 Final Demoli�ion Q�, INfIIlALS �/�E/�h ate �—T Date COOEt INSiECTIONTYPE 206 Finel Mechanical 208 Finel Plumbing 210 Final Electdcal 272 Final Fire Prevention 220 Finel Planning Approval 222 Finel Site 250 Finel Building/Occupancy � _ 1 1.1111. : L 1 !1 , ..-v� p�a) �Sa-52�3 • Fau (7�a) �5a-4ese • www.ci.costa-mese.ca.us 77 FAIF OHIVE, GOSIA MESA, GA 92626 PLUMBING PERMIT JobAddress: 2543 CORNERSTONE LN Suite No Vicinity: PHASE 3 CORNERSTONE Parcel Nunmber: TPN006139 Applicant: GOODWYN, JIM ISSUEDBY: Address: 16845 VON KARMAN " - � - ', ' _ STE 100 '" , � %�_: � - Phone:- 949-756-7373 - ._ _ IRVINE. CA � �-s��i, ,� � - � _ , i Zip:', 92606 � � � - Owner: - � ,Contra i . �'Addr ii;� %/IRVINE, �� RICH� � 5171 CF _. ; 4.i � � \ Status: ISSUED Applied: OB/04/2006 Issued: OB/04/2006 / �v�. � - r . ) - , \ ' / % ,% " ' , � i � � ,'" �"� - _ � �i ; .� � ' . � '� ��,..._A 10ND AMERICAN HOMES - � . � ' �� < � � - � � �"� �`.��, \ 'K`P,�R>MAN( j � : Phone 949-756 7373 �"� \ :'� �\� � / �� \� CA � i � � Zip: 92606 \��; C�` ��,� �,� � � \\ �� %�'/� �: �� / �' � i , : :. � .% �� 40ND AMERICAN HOMES OF CALIFORNIA INC ��_`�� '�� _ �V . ,CIFORNIA AV . �, �A i ��. �'� � � IRyINE, CA �' � � , Phone: �- 949-467-2600 � � '��'� � ` `' � � , . �� . _ Zip: �92617 . . . - _� . , , A�, � ,-� 'License:� .487535�, . � .. , ' � � �� . �. . o �. � � �i _ . � � / ��-. °` ` - " SCOPE OF PERMIT � _ � .',' � � �� P�UMBING PERMIT FOR PHASE 3- PLAN 1A %� �. � �� - . / V /� ' � A\ , � ; CQNSTRUCT NEW,1991SF 2-STORY SFD WITH ATTACHED 415Sf ATTACHED�GARAGE AND 126SF ENTRY % PORCH. _ � - � - ,� � - 1ST FLOOR 869SF AND 2ND FLOOR 1;722SP.' _ ' � " / �� ` � � ��_. � -- '- '-- '. . . -' . f'.....:- - ' � � REF#: B06-01310 - ' - � � �%� WORK TO INCLUDE: 1 BACKFLOW IRRIGATION, 1 BATHTUB, 1 DISHWASHER, 1 GAS (7-0 r�' � . �' OUTLETS), 1 GAS SERVICE, 1�LAUNDRY TUB/WAHSER; 1' LANDSCAPE IRRIGATION, 1 SEWER �� " �� i,�' � .. �.';CONNECT, 1 SEWER'PRIVATE L'INE,-2�SHOWERS, 1-KITCHEN�SINKS,'S WASH BASINS, 3 WATER��,` ; �`� '' i � ,- �-� ' �: .C�OSET, 1 WATER HEATERNENT AND 1 WATER SERVICEI' . " - - i ' . . �. . - �. . � . % � _ _ . , . '�� `, �`,, ' FEE SUMMARY =_-��- . � � . , ��. � AMT QTY AMT QTY ISSUE FEE '�' �� `�523,50 LaundryTub�6Washer'-i � 59.80 1 Backflowiriigation'� �.y9.80 0: Landscapelriigation �� 514.80 1 BackFlow Prgventer $0.00 . 1� P-Trap`"' � $0:00�� - 0 Bathtub��,�� ti ' $9:80�' � 1�. ,BressureRegulator'� s $0.00�;:,0. ClariferSystem� ' $0.00��A0�1�^�-'�:'3 Pro'cessPlping(per10N) $0.00 ��'0'= Connect (Ice,Soda,eic) � 50.00 :�0;> � Receptors" . '$0.00 0 Dental UNte �- �, A �; 50.00.. �0V��A � -Septic Tank � - '"" $0.00 0 Dishwasher ' _ - ';�39.80,/ 1 ' ��=� ;.SewerCapforDemo 50.00 0�. Drein, Floor \ 50.00 i��0,.� �- ��Sewer,Connect` � � 524.65 . 1 J � `: Drain, Rainwater �� 50.00 � 0 r��, � Sewer Private Line-_> 524:65 `1 -' Drain,Roof \'(SO.00�J(0� ��7� Shower--- �- _.� � - -519.60 2 DrinkingFountain \30;00 0._i/ .Si'nk;bar $0.00- ',"0 � ExpansionTank $0.00-�0 <i��, C'Sink,'commercial `� � 50.00 - 0 Gas EaAhquake Valve $0.00�-, '0��, ��;Sink, Floor $0.00 0 Gas(i-4outlets) $6.15 �1 ' �-��_ Sink,kitchen ` �., . , $9.80� ��1 Gas (Over 4 outlets) $0.00 0 \ � - - Sink;;service/mop $0.00 - -0 : Gas Repipe 50.00 0 ,--Spa (private) , - , .30.00�- � 0 Gas Serv+ce $9.80 7 Spa (public) � 30.00 0 Interceptors (Grease, Oil) $0.00 0 Interceptors (Sand Auto ) 50.00 0 %� i ,� j;:, , SumpPump;�;' � . Swimming-Pool , Trap Bnmer _ Urinal%�% -�. � " � Vacuurri Brkr Bkflow(1-0; Vacuum Brkr BkFlow(5+) .r-'Wash Basin-��, , � � Wash Basin$et %'. ,- . Waste and Vent System � ' Water Closet (Toileq �� WaterHeater'/vent ,. �AMT� $0.00 � 50:00 $0.00 i �$0.00 �, ,50.00 i , $0.00 $49.00 50.00 50.00 529.40 512.30 ,� Water Fiping pnst or Rep.) $0.00 � � Water Re-pipe $0.00 Water Service $0.00 Water SoRener $0.00 - � OTHER $0.0�0 C, " VIOLATION $Q�,,�0� PLAN CHECK 56:00 REINSPECTION $0.00 TOTAL CALCULATED FEES: ,5262.85 COMMENTS / SPECIAL CONDITIONS 4N 0 0 0 0 0 0 5 0 0 3 1 0 0 0 C NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements unde�:Califomia statutes and related regulations. (OM. No. 92-29, § 1. 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced wlthin 180 days, or ii � k is suspandatl or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all appliceble codes, and all raquired inepeetiona end finel epproval must be obtained. Failure to obtain inspections and final approval will result in the�xpiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 �� zua+s �eroo� WORKERS'COMPENSAnON DECLARAnON: I hereby eflirtn underpenelty ofDerjury one ofthetollowing declereilons: ' ❑ I have and will melntain e certiflcate of consent to setl-Insure lor warkers' compenseHon, es provided br by sedlon 3700 01 Ihe Lebor Cade, lar tha peAormance af ihe work for which this permit is issued. ❑ I have end will maintain workers' compensation Insurance, as requiretl by sectlon 3700 of the Labor Cotle, fo� the pertortnance of the work for which this pertnll Is Issued. My wo rs' compensation Insure e carrler anA olicy num6er ere: /1 1 .�{ / cama�: y� ,r �[a— �,.v�.� A-�,s� ✓nr-1c�P Policy Number: "�/.0 tY (�Y'� ��/ � (Thls section n�ed not be complered! t e permit /s ve/u d a o�e hundred dollers ($100) or less.) ❑ I carlity that in ihe peAormance of the work for which this pertnit is Issued, I shell not employ eny person in eny menner so es to become sublect to iha workers' compensation laws o1 Cellfomia, end egree that it I s�oultl become sub�ect to the workere' compensatlon provislons of Sectlon 3700 of the Lebor Code, I shall forthwith comply with ihese p vislons. �/�/� Appllcant Signature: � �ete: WARNINO: FAILURE TO SECU WORKERS' CO� ENSA N C1�VERAOE IS UNLAWFUL M1D SIULL SU&IECf PN EMPLOVER TO CRIMINAL ENAL ES PND GVIL FINES UP TOONE HUNDRED TFIOUSAN�DOLJ.ARE(5100, AODITIpJTOTHEC OFCOIAPENSATION,DAMAGESPSPROVIDEDWRINSECTION9080FTHElABOROODE,INTEFEST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am force and ettect Lic. A_ ContrectaYs Signature: (commencing with Sectlon 7000) ot Dlvlsion 3 ot the Buslness eRll�ro(essions Code, end my Ilcense is In full Cless x ,r�u i �_ Date: � CONS7RUC710N LENDING AGENCIt ❑ I �ereby aflirtn that ihere is a construction lending egency lor Ihe peAortnance of t�e work tor which this pertnit is Issued. (Sec. 3097, Civil Code). Lenders Neme: Lenders Adtlress: Signawre: OWNER-BUILDER DECLARATONS: Date: I hereby eNlrtn �hat under penelry of perjury Ihei l em EXEMP7 FROM THE CONTRACTORS LICENSE LAW tor t�e followlnp reason (Sec. 7037.5, Business en0 Protesslons CoOe: Any ciry or wunry which requires e pertnit to construct, elter, improve, tlemolish, or repair eny strucWre, prior to its luuance, also requlres Ihe epplicant for suc� pertnit to file a slgnetl stetemem that he or she is Iicensed pursuant lo Ihe provisions of tha Contrectora Ucense Lew (C�apter 9(commencing with SecUon 7000) ot Divislon 3 of the Business end Professlons Gode) or Net he or she is e:emp� therefrom end the besls tor the ellepetl exemptlon. Any Wolatlon of Sectlon 7031.5 by eny eppllcant tor e pertnit subjecis ihe epplicant ta e civil penalry oi nat more than five �untlretl tlollers ($500).): ❑ I, es owner ot the property, or my employees wit� wages es t�elr sole compensatlon, WILL DO THE WORK, and the sirucNre Is not Intended or ottereC far sale (Sec. 7044, Business end Professions Cotle: The Contrectors License Lew does not appty to en owner of property who builds or Improves thereon, end who tloes such work hlmself or hereelt or through his or her awn emplayees, provided that such improvemenis ere not Intended or ottered far sale. If, however, the bullAing or Improvement Is soltl within one yeer at completlon, the owner-builder will heve Ihe burden of proving t�et �e or she did not bulld or Improve for purpose of sele.). • � I, as owner ot the property, em EICCLUSIVELV CONTRACTING WITH LICENSED CONTBACTORS to consWct Ihe pro�ect (Sec. 7044, euslneea end Profeaslona Code: The contrectors LJcense Lew tloes not epply ta en owner ot properry who hullds or improves thereon, entl who conirects for such pro�ect wlih e wntractor(s) Ilcense pureuent to the Contrectors License Lews.). ❑ 1 am exempt under sec. Business entl Protessions Code for this reason: Slgnature: Date: Owner ID verified by drivafs Ilcensa. ❑ Ves ❑ No Dnvers License No. Ezpires: Vedficellon of Ownerehip by (type af document, i.e. - pmperry tex blll ar deetl): DIVISION OF INOUSTRIAL SAFETY PERMR CERTFICATON: ❑ I hereby certity that no e:cavetlon five (5) or more feet in tlepih into which e parson is requlred to descend, will be mede in connectlon wlth work eutho�ized by this permit, and ihat no building structure, scattolding, falsework, or tlemolition or dlsmantling ihereol, will be more than t�lrry-slx (3B) feet high. (Chep. 32, Gry 2, An 2, Sec. 341, Title B, CalNomla Atlministretive Code). ❑ As owner-Cuilder, I will not employ enyone to do work which would require e pertnil Irom the Divisian ol Intlustriel Setery, es notetl above, unless such pereon has e permit to tlo such work trom the division. Signeture: Date: Division of Intlustrial Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTAV: 1 certity untler penelry of perjury ihat I have read thls epplicatlon and slate t�at Ihe Iniortnetlon given is correct I egrea lo comply with all state laws end ciry ardlnances relaling ro building construction, entl aut�odze representetives ot Ihe Ciry o1 Coste Mesa to enter upon the above-descnbetl pioparty tor inspection purposes. I egree no� to acupy or ellow occupancy oi eny builtling authorized by thls pertnit until final inspection. COpE I. INSPECTIONTI�PC PAIE I�ID�S 7616 Fixetl System Flnal Fire Prevention 1266 200 201 202 203 206 Pool Spa Final Finel Re-Roat Final Blwk/Reteining Well Final Factory Fire Place Final Sign Final Demolition � COOE I INSVECTION TYPE 208 Final Mechanical 208 Finel Plumbing 210 Finel Electdcal 212 Finel Flre Preventlon 220 Final Plenning Appravel 222 Finel Site 250 Final Building/Occupenq �.I I.Illll.l� �n - - ... (714) 754-5273 • Fax (714) 754•4856 • www.ci.costa-mesa.�i?LECTRICAL PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No �c(nity: 2543 CORNERSTONE LN NEW SF� Parcel Nunmber: TPN006139 Applicant: Atldress: Owner: Address �l i� �, Contracto� i ; Atldress: i , �. � �.�� ,'i� i � \ i .. , �. Status: ISSUED Applied: 08/04/2006 Issued: OB/04/2006 GOODWYN, JIM 16845 VON KARMAN ISSUED BY: STE 100 Phone: 949-756-7373 IRVINE,CA ' �ij_�Zip:'' 92606"�_ �-�- � � � - ��i=:_� . . � - - ;._ , �� - :� �� ' � � � RICHMOND�-AMERICAN HOMES ��/ � ,� � �_ � 16845,VON.KARMAN • � ` � � � - � , � � � � � � � `• ��, ��% �'\ t � . i - Phone. �949-756 7373 - _ � �� `� : ;�� `� �IRVINE; CA � � � �'. - Zi 9260fi �� ' � � . ��) � � %� � � �� / _ P .,�� _ . � � A� /� /� �„� �'�/� � \ / /�\��\� �RICHM,OND;AMERICAN HOMES OF CALIFORNIA INC , � � � � � �� 517�1 CALIFORNIA AV � - � �� SUITE,120 j Phone�f 949-467-2600 � � / � � �� , IRVINE;CA Zip: �92617 ��'.�..A /� �� \ � - � �� %� . License:487535 • _ _ �� , � `= � � � ,,.� � � � . - . .. _ . - , � ` , '- "SCOPE OF PERMIT. " �. - �,`� �r �. � � ELECTRICAL PERMIT FOR PHASE 3 - PLAN 1A � - - - " -� . - � ' � �. ' ` , � �J\ � � !�CONSTRUCT NEN/�1991SF 2-STORY SFD WITH ATTACHED 415SF ATTACHED GARAGE AND 126SF ENTRY _ �� , J PORCH. � %�� ,� �; � � �_ � � �� ', �� 1ST FLOOR 869SF AND 2ND FLOOR 1,122SF. �� ,,. '� 1 � � i ., _ : _ _ . _. ., �,' i- '� -REF:# BO6-01310 �"'� "'�'Ti �J ! - � '' -'' ' , ` ' � % � "1 - � � � , � �� A .-S� � �\i � _ ._ �...". � ' � �'. WORK TO INCLUDE: 1 NEW SFD, 2 LIGHT FIXTS, 6��RECEPT OUTIETS, 1 SWITCH, 1 MOTOR TO 1^ �, ' �� ; . H�P � .n-� � , ; J ' ' �I � '�. � �� ____�-` _FEESUMMARY � " � `_ ' � . -� �' ,:�,%; . � . . ' - � - Quantiry ..' . - -. ;, .� "--- ' Quantiry � . . , ISSUE FEE-� � 523.50 , Temp DisFSyslem I Lighting 50.00 0� i -. . ' Temp service tesi, �� $0.00 i Busway/900 R. 50.00 0" '- 'Res. a/c_pack@ge `• �'� , 50.00 i Standing Sectlon ' � $0.00 0 ; � � � _ , % " New Res (1-2 units) A'��„ 5171.50 1991 Misc Electrical Equipment $0.00 j0 .� .�- New Res (3+units) � � `'� . 50.00 0 . '":.Trensformers up to 1 kva/kw $0.00 -"j0 �� - / :_ PoollSpa A, � � �50.00 0 �=�'"' ....�-..:.....uptol0kvalkw $0.00'�%�.0 � � � i, i Lighting-Fixts � �' � ��5220 � 2 . �.: �� ' .._ .............up to 50 kva/kw $0.00 :,', � 0 " ' ' ' Recept Outlets - ' ��56.60 �. , 6 -: - � • .................up to A00 kva/kw _ 50.00 / 0 �` %�, �` Switches \ ��. " 57.10 ! --^�-"' _7'j '<, �,� " � , .... ..............over 100 kvalkw" � -' S0.00� 0 . ' /!, ,' Non Res Appl �� , � �$0.00� � � 0 . � � , - � � Low Voltage Equipmenl ,50.00� � 0 � / i� Res Appl � ,; ,� � :, $0.00� ��, �� 0 � : � Low Volt Wiring System / Ckt� �%i$0.00�,� - 0 Service to 200a� 50.00 A`,� 0 ` � .Misc. Conduit � ' - � $0.00'- -i 0 ; : Service to 1000a ` �� , � $0.00_> � -OTc; ; _ �., Misa Condudor - ;$0.00 �� ' 0,� Service over 1000e �� 50.00 i ,-��, 0 �� -��` '� � � -Circus ( gen or ride) ' � ,' " $0.00% :0 %� � Motors to thp �� ,, 54:75' �� ,� /;1� � - �-�Circus(mech ride or lights) �� - �,50.00 � 10/ Motors to tOhp �, ��50.00��, , i �`0� �,-� Christmas Tree Stand'. �' ��-50.00�' �0 Morors to SOhp �� 50.00, -. '�0.' � � ` � ' ; Fireworks Stand. , � ,50.00' ! 0 Motors to 100hp �$Q00. �� 0 � . ,- � Other Eleclrical Fee , � �$0.00� Motors over 100hp 50.00 '- � ��: .; 0 - . . � � � � , - Communication drops 30.00 �, � 0 ,," - Investigation Fee _- , ' � $0.00 Sub panel to 200a 50.00 �0 � � � . , �PIan.Check Fee �� 50.00 Pole Light Pkg 50.00 0 ' �� Reinspection Fee $0.00 �i Sign Circuits $0.00 0 Temp Pwr Pole 50.00 0 TOTAL CALCULATED FEES 5149.65 � lntermed Pole $0.00 0 � � . �� ?/ NOTICE: The work aulhorized by this permit shall comply with all applicable handicap access requirements under Calitomia statNes and related regulations. (Ord. No. 9248, § 1, 12-21•92) d EXpIRpTION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work Is suspended or abandoned for a period of 180 days. INSpECTIONS: In order for the work authorized under this permit to be consideretl legal, such work must comply with all applicable codes, and ell required Inepeetlons and finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 xsae�nelaoo� WORKERS' COMPENSATION DECLARATION: I hereby ettirm untler penalry of perJury ane oi lhe fallowing declarations: ❑ I heve end wlll meintein e cenilicate oi consent to self-Insure for workers' compensation, es provided for by sectlon 3700 of the Lebor Code, for the pertortnence of the work for which Ihis permit Is Issued. ❑ I have entl wlll meintain workeB' compensation insurence, es required by sec0on 3700 of the Lebor Cotle, for t�e peRormance of the worlc for whlch Nls pertnit is issuetl. My worke wmpen5allon Insurance r er entl policy umber are: •I' ��) / Cerrler. ��e✓. Cd^ Wlp �iLlA/YNAl.� PolityNum�er. �NL�hYJ �CJs_�_ (i'Afs secflon n�d nat be completed ll the permit is velued et ane hundretl dWlars ($100) or less.) ❑ I certify that In ihe periortnence oi Ihe work tor which ��Is pertnit is issued, I s�all not employ eny person In eny manner so as �o become subjed to Ihe workers' compensetlon laws of Celifornle, end egr e ihet I1 I shoultl 6ecome sub�ect to the workers' compensation provislons ol Section 3700 of the Lebor Cotle, I s�all farthwlth comply with thesa pra ian�. p '/ ApDllcanlSlpneture: Date: LL/Y (ib WARNINf3: FAILURE TO SEW ORKERS' COMP TION VERA�E IS UNLAW FUL AND SMALL SUBJECT AN EMPLOYER TO CRIMI PE TIES AND CML FlNES UP TO ONE HUNDRE� T110USAND OOl1ARE (5100,000). DrtiON TO THE W5T ENSATION, OAMAGES AS PROVIDEO FOR IN SECiION 3'1O80F THE IABOR CODE, INfEREST, AND ATTORNEV'S fEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm ihet I em Ilcensad u de provisions� hepter 9(commencing with Section 7000) of Division 3 ot ihe Busines d P oteuions Coda, and my Ilcense Is in full force end ettect. Lia # Clau R CoNrectoYs Signeture: Date: CONSTRUCTON LENOING AGE ❑ I hereby ettlrtn that Ihere is e construction lending egency lor ihe pertormence oi the work for which this pertnit is issuetl. (Sec. 3097, CIWI Cotle). Lentler's Name: LenGers Address: Signature: OWNER-BUILDER OECLARATIONS: Date: I hereby ettlrtn Ihat under penalry of per�ury ihel I em EXEMP7 FROM TME CONTRACTORS LICENSE LAW far the tollowing reason (Sec. 7031.5, Business end Professions CaCe: Any ciry or counry which requlres e permit to conslruct, elter, improve, tlemolish, or repair eny slrucWre, prior to its issuance, also requlres ihe eppllceN for such permit to flle e slgneG slatement Ihat he or she lv Ilcensed pursuant to Ihe provisions of the Contrectors Llcense Lew (Chepter 9(commendng with Section 7000) of Dlvision 3 of Ihe Business entl Professions Cotle) or t�a� he or sha is eaempt therefrom antl the Desis for Ne elleged esemplion. Any Wolellon of Section 7031.5 by eny applicent for e pertnit suC�ects 1he epplicent to e civil penalty of not more than IWe hundred dallars ($500).): ❑ I, as owner ot t�e property, or my emplqrees with wages as their sole compensation, WILL DO THE WORK, antl the struclure is not intentled or oflered tor sele (Sec. 7044, Business enC Professions Cotle: The Contrectors License Law does no� appty to fln owner of properry who Duilds or improves t�ereon, flnd who tloes such work hlmself or herselt or through his or �er own employees, providad that such improvements ere not intendetl or oHered for sale. It, however, t�e building or Improvement Is soltl within one yeer ot completlon, �he owner-builtler will have ihe burden oi proving Ihat he or she did not 6uild or improve for purpose ot sale.). ' ❑ I, as owner ot the D�oDerry, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to wnsiruct Ihe project (Sec. 704d, Businesa end Professlons Cotle: The contrectors License Lew tloes not aDPN �o an owner of properry w�o build.s or Improves thereon, antl who coniracis tor such pro�ect wlth a contractor(s) Iicense Dursuent to the Contrettor5 Liten58 LewS.). ❑ I em exempt untler sec. Business and Professions Code tor this reason: Signelure: Date: Owner ID verifled by drivers license. ❑ Ves ❑ No Drivers License No. Vedlicatlon of Ownership by (type ol document, i.e. - properry tax blll or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTFICATION: Expires: ❑ I hereby cenity that no excavetion five (5) or more teet In depih into whlch a person is reqWretl to descend, will be made In connectlon with work euthodzetl by this partnit, end ihat no building structure, scaMolding, telsework, or demolltion or dismantling thereof, will be more than t�irty-si: (3G) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Tltle 8, Celifomia Atlministretive Code). ❑ As ownar�bullder, I wlll not employ anyone to do work which woultl repuire e permit from iha Division of Intlustrial Safety, es nated ebove, unless such person hea e pertnit to tlo such work from the tlivislon. Signeture: Date: DIvlSion ot Intlusirlal Selery Permit Number; CEHTIFlCATE OF COMPW�NCE AND AUTHORVA710N OF ENTAY: I certity untler penalry of peryury that I have reatl this epplication antl stete that the infarmation given Is correct I egree lo compty with ell slate lews end ciry ordinances relating ro Dullding consirucUon, entl euthorize representatives of the Ciry of Costa Mesa to enter upon Ne ebove-tlescnbed property tor inspection purposes. I egree not to occupy or allow occupancy of any builtling authorized by this permit until final inspecUon. COOE �. INSPELTIONTT� 1676 Fixed System Final Fire Preventlon 1266 Pool Spe Flnel 200 Finel Re�Roof 201 Finel BIocWRetaining Wall 202 203 204 Final Factory Fire Place Finel Sign Final Demolitlon Q� 1t1�dLS COUE 1 INSPECf10N TYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electncal 212 Final Flre Preventlon 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy PAff. �L: ��Ld��C .mu,� r � •ption •ne CON51/L]'I.VG ENGIVEERS PAGE I OF 1 �;;. T': STRUGTURAL OBSERVATION REPORT FORM �; � ,,.. .. � � -'' `� � �RICHMOND AMERIC�AN�HOMES� :.' � � � = f --. �...--,m_, .-_, . . . . . ._...,,._ �_..._"'.'.._'..'_.. :I THIS REPORT INCLUDES ALL CONSTRUCTION WORK THROUGH THE: 5" Day of Oc[ober 2006. PROJECT: "Comerstone" - SFD OPTION ONE J.N.: 0106-1253 LOCATION: Costa Mesa, Califomia BLDG. PERMIT No.: OWNER: - Richmond American Homes 60CATtON/DNISION: Orange Counry ARCHITECT: BazSenianLagoniP.rchitecLs ARCHITECTI.N.: 'BLA-5165 STRUCT. OBS. OF RECORD: Gary A. McClanahan .P.E. L[C. or REGISTRATION Nos.: C-425S3, STRUCTURAL OBSERVER: Mike Berhe, E.I.T. EIT-45397 06SERVED SiRUCI'URAL ELEMENCS & THEIR CONNECI'IONS: LOTfSI & PHASE OBSERVED: Interior and-Exterior General Framing; i.e., roof trusses, roof shea�hing, I.ot 12, Plan IA, 254) Comers[one Lane, shear elemen[s, holdowns, Floor sheathing, �oorjoists/basses, beams, headers, Phase 3, Tract N16937, and general hardware. Costa Mesa, California (AiTACHADpi/OWJ. PAGES IFNECESSMYf The deficiencies anNor non-confortning irems noted during observation�visi4have been cortected end ins[alled by a collaborated effort of [he pmject superintendent and �he frarning foreman. Initial / Comoletion Da�e: MB/!O-OS-06 Construclion 6—Beukle-Si6eA � Plywd CI'g B—Beck Stega 0 HVAC 9—Electrical 0 Plumbing ��_,y��s Lid(s) 9�Fien NWe: Whm box is checked, d indicates that constn�d'an sfage k in prog2ss, arMil has rrof yef been completed af fhe lime obserrafion xas corMuded. � STRUCTURAL SYSTEM WAS VISUALLY OBSERVED TO BE M GENERAL COhffORMANCE WITH TH� pPPROVED PLANS. ❑ STRUCTURAL DEFICIENCIES ARE OF A MMOR NATURE & MAY BE REVIEWED BY CITY BLDG MSPECTOR FOR COh1PLIANCE. 1 DECLARE THAT THE FOLLOWI\C STATE�fE�TS ARE TRUE TO THE BEST OF �fY K,�OW LEDGE & BELIEF: I. 1 AM THE REGISTERED ENGMEER WHO HAS RESPONSIBLE CHARGE FOR THE STRUCTURAL OBSERVATION. 2. 1, OR ANOTHER QUALff1ED-CHARGE OBSERVER WHO 1 HAVE DESIGNATED ABOVE AD1D IS UNDER MY RESPONSIBLE CHARGE, HAS PERPORMED THE REQUIRED SITE VISITS AT EACH SIGNIFIC.WT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS M GENERAL CONFORMANCE W ITH THE APPROVED PLANS AND SPECIFICATIONS. 3. ALL DEFICIENCIES, WHICH I DOCUMEN'['ED, HAVE BEEN CORRECTED UNLESS OTHERWISE MDICATED ABOVE. 4. ALL OBSERVED DEFICIENCES SHALL BE CORRECTED AND APPROVED BY THE OBSERVER PRIOR TO FINAL ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE BUILDMG DEPARTMENT. 5. THIS REPORT IS PROVIDED TO THE ONTIER AS A PART OP THE OWNERS OVERALL CONSTRUCTION QUALfI'Y CONTROL PROGRAM. 6. OPTION ONE HAS PROVIDED STRUCTURAL OBSERVATION [N ACCORDANCE WITH THE SEAOC RECOMMENDED GUIDELINES FOR THE PRACTICE OF STRUCTURAL ENG[NEERMG IN CALIFOIL^11A. STAMP & WETSICNATURE OF STRUCfURALOBSERVEROFRECORD SIGNED BY: � 5'" Day of October 2006. STRUCTURAL OBSERVATION DOES NOT WA1VE THE REQUIREMENTS FOR MSPECTIONS BY CITY BUILDMG MSPECTORS. ALL WORK MUST COMPLY W1TH THE APPROVED PLANS AND APPLICABLE STATE & LOCAL CODES. Documen@ (Rev. 115105) Option One Tel 949.553.1916 Consulting Engineers 20311 Acacia St., Suite 240, Newporf Beach, Ca. 92660 Fax 949.553.9720 ;�neMc • �TRFFTFR CIVIL ENGINEERS INC. Dccember 12. 2006 Ciry Gradin� Inspector City of Gusta 117esa Develapment Scrvices Dep:utment 77 Fair Drivc Costa Mesa, California 92628-1200 OS-1573 IRVINE • RIVERSIDE Jan A. Adams • Randal L. Streeter Subject: Civil N ngineer's Certification of Yrecise Cr:iding Projech Tract No. 1G937 — Lots 4 und 5- l3uildings 12 through 19 Cornerstone at Harbor Qlvd. Costa A1esa, C�lifurnia Reference: Precise Crading i ermit Number: G06-00003 Address: 2501 Harbor Boulevard, Cosla Alesa, California Owner : Richmond American Homes General Contractor. Kichmond American Homes In accordance with City of Costa Mesa Grading antl Lxcavation Code, and the , requirements of the BuildinQ Code, I certify approval of this pro,ject as outlined above, to precise ;rade. Precise grading has been completed in conformunce �vith approved precisc �radins plan for this proiect and in full compliancc u�ith said Codes. Cenification includes honzontal and vertical control for drainaoe deviccs, and positive buildin� pad drainaoe. This approval does not include/,``, ��e�t,o`compuction of soil, �+�hich is under the pur�-iew of the soil en�ineer. ; Fc '\ � �r `j� AaUh,;, � \!, .\ o' �. •;S,C . �•.1 _ _ _ .. ��;��; �.0 4zF,5 �l y�:l I: — `��.,. M. Mohammadabadi, Projcct MBr�;i Adams StreeterCivil Enaineers Inc. Exp. 3-37-D$ �a�,�F`:'�tCE#: _ 42615 (F.xp. 3/31/08) 15 CORPORATE PARK • IRVW[, CA. 92606 • Tel: (949) 474-2330 • Fax: (949) 474-0251 �on� �nnn�c CTPCCT CI IITF n_ann • RIVFRSII�F. CA. 92504 • TeL (951) 352-4100 • Fax: (951) 352-6200