HomeMy WebLinkAbout2545 CORNERSTONE LN - Building Permits(714) 754-5273 • F�c (714) 754•4856 • www.ci.costa-mesa.cg�ILDING PERMIT 77 FAIq DRIVE, GOSTA MESA, GA 92626
JobAddress: 2545 CORNERSTONE LN
Suite:
Vicinity: PHAS� 3 CORNERSTONE HOMES .
Primary Occ: R3 � Type of Construdion: V-N
Parcel Number: TPN006140 Zoning:
Stalus: ISSUED
Applied: 08/042006
Issued: 08/04/2006
Applicant: GOODWYN, JIM
Address: 16845 VON KARMAN
STE 100 Phone: 949-756-7373 ISSUED BY:
IRVIN�,CA .,., - " � ""Zip:-_-92606
_- , .-i-., _ ,
- �i:-�i-•- _.___ _ ; . -
Owner: RICHMONDAMERICAN.HOMES � - �\
Address 16845VONKARMAN�- �-- . � . � ,� ' �
� i ,�� • - r � , � - Phone: 949-756-7373 �� � �.� � �
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IRVI E'CA � ��, A � � Zip 92606�' � � � � /-:�. , '.
�i� /�1� � �% / _ = _ - _ -._ � �„ � A��=��
Contreaor:��/�ICHMOND�AMERICAN HOMES OF CALIFORNIA.INC'� ���� ��� i�����,
Address> / 5171 CALIFORNIA�AV: � , ' � � ���� � � � � �' � � ��
!� '��SUITE 120����� Phone: 949-467-2600 ��;. � - % � '� ��
j !� �IRVINF 0���� �V���,; � / ��
/ / -' Zip; 92617��!;- License; 487535 . '-=�,A � � �' `�
� ;�� �'. ..A� ����
Arch �/ �KENNETH.NIEMERSKI ' Eng: GARY A MCCL'ANAHAN ' , '. ��
Address'. ��..2031 ORCHqRD DR - ' Address: OPTION ONE CONSULTING ENGINEERS .�
\
-� �, SUITE'100i Phone: 949-553-9100 __,� NENPORT BEACH, CA �,Phone: 949-553=1918
�NEWPORT-BEACH CA;�, i, �- � �-. �\ ' 20311 ACACIA SUITE 240 �• - � '
�' 1�.. . �� - ,' �� :
". Zip:': 92660G' License: ,2397.1�.,"�� 92660�� ', �. License:-, C042553� �
, � i 1��;�' �' � ��, j��� � -�
� � - �/ ''� � ` `� ' — SCOPE OF PERMIT- ' � . � ; ;/ ` , � ',
�, PHASE 3 - PLAN 2AR � ' � � - - ;
% � ���
,
, �� � i'i �i/� � /�V ' 1 � �\ � 4 � ,
� CONSTRUCT A NEW�1,947SF 2-STORY,SFD WITH ATTACHED 461SF ATTACHED GARAGE AND24SF ENTRY PORCH. '� '� ,�'.
�� 1 ST FLOOR 921ST AND 2ND FIOOR.1�,026SF: - - — - - - � " ` � � , � , � �� ,,
, � '. .' fJl i/V•rr'r i ,'r� -ra � " '7s;�ti � . v'�vZ,: �,A 'i
. �_, .. .. ..z`.. FEE�SUMMARY-'.'::: . . . �
i
Plan Check: ', ;$251.58 .: <r Calc Valuation: Siea;3os.4a �
� � � Permd ^ ` $1 548.15 �, � ^ � � � Claim Valuation: � i � ' So.00 �
� ��,�� SMIP Res.- � $19.83 _ � � � , `' ",� � � `
'� �� �i.' `�� , ,.,
SMIP Com;� � $0.00 _-- - --- � � -- - / _ ' ', � ' ;
� "Other. ' $0.00 �, � � - ''� �, . ,
;�Inspection: ����'., $p.00 � � . �
_
� ��,�t •• �A V��, ; », - •- ' /�' '
� ATotal�� �\'$1,$19.56 ;,ti,� ,'�� � � �
. . �� '�� a ; 'i t'a � ` ,�, i
\;� � '�r �-P6ANNING 8`ZONING � ,''/"/
,.
SETBACKS <� � \V� � 1'�. � �, ' ' _ - ��� /� ��
MAIN STRUCTURE Front� 0�,0� ��� _ Rear 0 0, ' `Left _ 0. 0 � � Right �0. 0 . � -� " �
VA��, �l^� ,����\ °� � ' �y, - , .�� / � ,
ACCESSORY��� 'Front -0-0 ��� �Rear � 0-0 � Left , 0-0 , � -�RigtiP 0 0 !/ � '' �' '
�A:A � :: �� '�: �� ' . 1 . _ . �i � �� /.i .
PARKING ���Existina.�( 0 / A Requiied �.,0� �� �- Pr000sed 0`� ' > � �!-' �� �
�` ����/�., — . — _ ��V� ���%
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NOTICE: The work authorized by this permit shall compty with all applicable handicap access requirements under Califomia
regulations. (Ord. No. 92-28, § 1, 1241•92) �
s�
EXPIRATION: This permit shall automatically expire and become void if work is not commenced wilhin 1B0 days, or ii work is sus�
for a period of 180 days. � �
INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all eppl
required Inapectlons and tinal epproval must be oblained. Failure to obtein inspections and final approval will result in the expirai
FOR INSPECTIONS CALL: (71q) 7545626
zaae�as 15�00)
codes, and ali I
this pertnit.
�
WORKERS'COMPENSAnON DECLARAnON: � -
I hereby eHirtn under penalry oi perjury one of the tollowing tleclarations:
❑ I have antl will maintain a certificate of consent to setl-Insure tor workers' compensation, es pmvided for by section 3700 of the Lebor Code, for the pertormance of the
work tor which this pertnit is issued.
❑ I have and will maintain workers' compensatlon Insurance, as reQuiretl Dy secGon 3700 of ihe Lebor Cotle, for Ne pedortnance of tha work for whic� this pertnit Is issuetl.
My work rs' wmpensatlon Insuren carner antl policy number are: ����,/� /�, /�7
cama�: ��nno� ; c�. r w�2 lts�zrlr.� Policy Numher. '^""�T ��I ��h '—' E�--
(This section n d nof be completed ll the permif is val tl af wre hun ed dollers ($100) or less.)
❑ I certify ihat in ihe pertormance of ihe work for which ihis pertnit is issued, I shell not employ any person in any manner so as to become sub�ect to Ihe workers'
compensatlon lews oi Celifomle, end egree thet If I should Decome subJect to the workers' compensation provislons oi Section 3700 ot iha Labor Code, I shell forthwi[h
comply with ihese ovisions. /�f
Applicant SignaNre: ` Date: il/�-f' !/ b
WMNING:fAILURETOSE WORKERS PE SA ONG�VERAGEISUNIAWFULANOSMALLSUBIECTANEMP(AYERTOCRIMI PENNLTIESANDqVILFlNESUPTOONEHUNDRED
T}KK15ANDDOLURE(5100, INADDRIONTOTHE OFCOMPENSATION,DAMAGESASPROVIOEDWRINSEC�IIXJ3'1O60FTHELA00qCODE,IMEREST,ANDATTORNEI^SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby attirm thel I em Iicense der p visiopaet Chap�er 9(commencing with Section 7000) of Division 3 of the Busines nd Professions Cotle, antl my license is in full
force and BHBCt. LiC. # qass p I
Coniractor's SlgneWre: Date:
CONSTRUCTION LENDING A NCV:
❑ I hereby aflirm ihat there is e consimction lending agency for the peAormance of the work for which ihis permit is issuetl. (Sec. 3097, Civil Cotle).
Lender'S Nama:
Signeture: _
OWNER•BUILDER DECLARATIONS:
Lendefs Address:
Date:
I hereby alfirm Ihet under penelry of perjury Ihat I em E%EMPT FROM THE CON7RACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, eusiness end Professions
Code: Any ciry or counry which reduires e permit to construct, alter, improve, tlemolish, or repair any structure, pnor to its issuance, also requires the applicant for such pertnit
to tile e signetl statement that he or she Is Ilcensed pursuant to Ihe provislons oi ihe Contractore License Lew (Chepter 9(commencing with Sec6on 7000) of Division 3 of the
Business and Protessions Code) or that he or she is esempt Iherefrom antl the basis For ihe flllegad exemption. Any Noletion of Section 7031.5 Dy any epplicent for a permit
sublects the epplicent to e civil penalry of not more than five hundred dollars ($500).):
❑ I, es owner ot iha property, or my employees wlth wages as thair sole compensation, WILL DO THE WORK, end Ihe structure is not Intentled or oHered for sale (Sec.
7044, Business and ProFessions Code: The Contrectors License Law does not apply to an owner ot property who builds or improves thereon, and who does such work
himself or herselt or ihrough his or her own employaes, provided ihat such Improvements are not intended or oMeretl for sele. N, howaver, ihe building or Improvement Is
sold within one year ot completion, the owner-builder will heve Ihe burtlen of Oroving that he or she did not builtl or improve for puryosa of sale.). •
❑ I, es owner ot t�e proparty, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business antl Professians
Code: The contractors License Law tloes not apply �o en owner ol property who builtls or Improves thereon, and who contracts for suc� project wlih e comrector(s)
license pursuent to ihe Comractors License Laws.).
❑ I em e:empt untler sec. Business end Professions Code for this reason:
Slgneture: Date:
Owner ID verified by tlriver's license. ❑ Ves ❑ No Drivers License No. Expires:
Verificetion of Ownership by (type of tlocument, I.e. - proparly ta: bill or deed):
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CER7IFICATiON:
❑ I hereby certiy Ihat no excevetion five (5) or more feet in depih into which e person is requiretl to descend, wiil be made in connec�ion with work euthorized by this
permit, and �hei no building strutture, scaHolding, talsework, or demolition or disman�ling ihereo�, will be more ihan thirty-six (38) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, Calitornle AdminlsVetive Gode).
❑ Aa owner-bulltler, I will not employ enyone ro do work which woultl require e permit trom the Division ot Indusidal Safery, es notetl ebove, unless such person hes e
permit to tlo such work from ihe tlivision.
Signature: Date:
Division o� IndusMel Safery Pertnit Number.
CERTflCATE OF COMPLIANCE AND AUfHORVATON OF ENTAY: I certify under penalry of perjury thal I have read this epplicetion end stete that the informetion given is
correct. 1 egree b comply with ell ste�e laws end city ortllnances relating to 6uIlCing consWctlon, end euihodze representatives ot 1he Ciry ot Costa Mese to enter upon the
above-tlescnbed properry tor inspection purpwes. I agree not to occupy or allow occupency of eny huildinq authorized by this pertnit until finel inspection.
COpE 1, INSPECTI �ONPYPE U
1676 Fixed System Final Fire PreveNion
1268 Poal Spa Finel
200 Finel Re-Roof
201 FInaI BIocWRetaining Well
202 Final Fectory Fire Place
203 Pinal Sign
204 FinalOemolition
Q�¢ INTIilALS
��/^` Dete
JI 1
Dete
COUE 1 INSPECTION TYVE
206� Final Mechanical
208 Final Plumbing
210 Final EleClnCel
212 Finel Fire Preventlon
220 Final Planning Approvfll
222 Final Site
250 Final Building/Occupency
I'731�CiiliLlF1
�
(714) 754-5273 • Fau (714) 754-4856 • www.ci.coste-mese.ra.us 77 FAIR DRIVE, COSTA MESA, CA 92626
i
3
C� '
MECHANICAL PERMIT
JobAddress: 2545 CORNERSTONE LN
Suite No
Vicinity: PHASE 3
Parcel Number: TPN006140
ISSUED BY:
npplicant: GOODWYN, JIM - —" , . . '
Address: 16845 VON KAIZMAN �� �- �� � -� � � �- - - �
STE 100 �, � � � -' ' Phone. 949-756 7373 , —
Owner:
1�/J�
� ���'%IRVINE,
;i
��,�;� � �
Contractoc RICHA
.Address: 5171 CP
1��' /' ���� SUITEI
,. ,.
I �
� i � IRVINE;
��/ /�,
_ i/ i�
� . i,i�,
SlaWs: ISSUED
Applied: OB/04/2006
Issued: OB/04l2006
�� � , .�- , , Zip: - 92606 � : ' �� � ���.
�,�/ � .� ��: , � �. - �� �
�i��A �`� �� '�, � ; . .. � 1-, , � .-� ��
ND AMERICAN HOMES — ` � '
I'KARMAN��`� ' - _. ___'_ � �, �,�,� �. � � � '�\. \ �\
�% /� /'� ��Phone: 949-756-7373�-- `� � �� �` �� / � A
� ��
; /// . Zip: 92606 �, =\ :..' ' ,'/ � �� ...
�
i%/.-;� � ,��Al� •i iA�A\
CA
�MERICAN HOMES OF CALIFORNIA INC �-`_ �� � � ���=�
IAAV ,� � V�� ;�A" � • �\�.
Phone: "�949-067-2600 � � �, � � ��'.
. Zip: %92617 _ � � ,
, �- License ;487535„ ,•,. � : - -- " , ,.`, �
� ' , SCOPE OF PERMIT. �. - � . � .
` ` � `%, MECHANICAL PERMIT PyASE�3 -�PLAN 2AR -� � � - � - � _ � • ,
., ; . . _ -. '" �.� � - /, ,
'� 4:CONSTRUCT A NEW 1,947SF 2-STORY SFD WITH ATTACHED 4615F ATTACHED GARAGEAND �
,� j 24SF�ENTRYPORCH. � �� � � �
����-. --'�: 1STFLOOR921STAND2NDFLOOR1,026SF. �� �V� �� ,_ . ' ' - � �
� ��` - - - �
- � �
/ � ' REF#:806-01328 /r, rr �+ , - „�.� '�.\ %
��.� i i� � � a `���r- ,� 'r ;
� � ,\� ;_ �- y
- WORK TO INCLUDE�1 �HOOD W/MECH'EXHAUST�"AND'1 INST FAU <�.100'K.BTU, 4 VENT �
_ i � ,., �: ., . �. �
____, �`,,; FqN/SINGLE DUCT AND 1 COMPRESSOR/ABSORPTION SYST 3 70;15 HP/500 K BTU. ��,
. , : �, . - , t i
�
7 r�_ " :3" FEE SUMMARY ,'' �;�y � _
� ` � _ _ � -' � ;
_ � -, , �, � „QuanlitY . , . . - , _ ` � , � ` � � ! � . - �uantity'
ISSOEFEE . ��`.,, $23.50 Repair/AltAbsorbtionUnit " $0.00 0 . ,
Inst FAU <100 k BTU ����, $14.80 1 Repair / Alt Refrigeration Unit - � ' � $0.00 , -0 -., ,
inst FAU >100 k BTU � ��' $0.00 0 VentillaliomSystem � ii'/ , $0.00 -� 0 � �` �
Repair'hAlt�Cooling%Heat�: $0.00 0 Evaporative�Cooler ' ��"� ; $0:00� 0 -� /
�
Insl%:Rep,Recess-WaIIHt�\' $0:00 0 , Commerciallncinerator �i-�� -'$0.00� .0 �,
Refrig Sys <100 k BTU ' `� '� $0.00 0 . � ,1���. �+ ' � Domestic Incinerator i ,- :' . $0.00 ,� 0 '
Refng Sys >100 k BTU � � �� $0.00 0 � -" �� CorrioYessors / Absorotion Svstems-��' % �, � � -� ,-
Gas Piping= A � �' : � �� � $0 00 0 - Up to 3�hp /400 k BTU %i; � $0.00 �. 0
Factory Fireplace , � S � �� $0.00 _ 0 ti( �,; � �, ' 3 To 15 hp�% 500 k.BTU:.;-- -- j / - - $27 �15 � % 7
Hood w/Mech�Ezhaust .� ��510 65 1"' - 15 To 30 hp / 1;000 �k BTU /�� - $0.00 -� 0
VAVBox �V`\ ��/�^ �50.00� �0 � , %� - %�30To50hp/1,750kBTU/ / %, � .$0.00 0
Vent Fan / Single Duct �'/ ��� 829.00� �4.� — � � � ,Over 50 hp / Over 1,750�BTU ^��� � � ! $0.00 0
Appliance `� </ � �. $0.00 � 0 a �.. � ' " . � Boilers . : � ., � j /, - .
FireDampers �`\� � ��/ $0:00� 0�� � `�� � �� � Upto3-hp; �' /. ��� � %$0.00 0
Smoke Dampers V���� g0.00� 0� �� _ ; ; .= 3?0 �15 hp "����j � ✓ � $0.00 0
Inst or Relocate Appl Verit, �� $0:00 1�0� � � _ �-- 15 to 30 hp, � � �, ; � � $0.00 0
Air Handlers < t0000cfm ��; A$0.00 �; 0 �� - - �._ � � . � � = 30 to 50 hp � � �, � � ij /.' $0.00 0
Air Handlers > 10000cfm � ��.� 80.00 0.,., ' - � � � ' � Over 50 h'p � � � �= � � $0.00 0
FloorFurnace --�$0:00'��-.0 �' � �" OtherMectianicalFee --
Floor or Suspend Heater j0.00,� -�0` �— � � � �� � � �Investigation Fee � , $0.00
� , � � �- - _ - Plan Check Fee�. � $0.00
- ` " �� -- = Reinspection Fee $0.00
TOTAL CALCULATED FEES E105.70
COMMENTS I SPECIAL CONDITIONS
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes
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���
for a penod of 180 days. ,�J`
related
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 Inspectlone and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe ezpire�on ot this permit.
FOR iNSPECTIONS CALL; (714) 7545628 ���
2a48d8(6tlU)
WORKERS'COMPENSATON DECLARAnON:
I here6y aHirtn untler penalry of perjury one of ihe following tleclarations:
❑ 1 heve end will maintain e cenificate of consent to salf-Insure tor workers' compensatlon, es provitletl for �y sedion 3700 of ihe La6or Code, tor the pertormance of Ihe
work for which ihis pertnit is issued.
❑ I have anA wlll maintain workere' compensatlon insurence, as required by section 3700 of the Lehor Code, for the pertortnance of the woAc for which this permit is issued.
My workar ' compensation Insurance rrler end policy umber are: ,/ /
Carner. .,/� �.(f .e L,i/�//J[J� i Policy Number: � ��/ ���7� /�
(Tri/s secNon nee not be comp/eted illbe permit is veluetl et h nd� rs ($100) or less.)
❑ I cerlify that in the perfortnance oi the work for whlch this pertnit is issuaq I shell not employ any person in any manner so es to become sublect to ihe workere'
compensetian lews of Calitomia, end agre ihet If I should become subjed to the warkers' compensation provisians of Sectlon 3700 oi ihe Labor Cotle, I shall fanhwith
comply with these provisi s. � �q
Applicent SlgneWre: Date: O/�" /� �
WARNINO: FAILURE TO SECURE (ERS' LOMP ATION VEFiFOE IS UNLAWFUL AND SHAl1 SU&IEGT AN EMPLOVER TO CRIMINAL P NAL S AND GVIL FlNES UP TOIXJE HUNDRED
T110USANDDOLURE(5100,0OO�,IN PTIONTOTHEWSTOFGUMPENSFTION,DAMAGES/SPROVIUEDFORINSECfI0N3]OBOFTHEIJ�BORWDE,IMEREST,ANDATTORNEY'SFEES.
LICENSED CONTRACTORS DECLAHA710N:
I hereby efllrtn ihat I am licensed under provisic
force antl eflect. Lic. p_---- �j�
Contrector's Signature:
CONSTRUCTON LENDINO
at-2hapter 9(commencing with Section 7000) af Divislon 3 oi ihe
� Class
li% � � Date:
Code, and my license Is In full
❑ I hereby eRirm Ihat there is a cons�ruc�ion lending agency for the pedormance of the work for which ihis permit is issued. (Sec. 3097, Clvil Code).
Lendels Neme: Lendefs Address:
Signatura:
Dale:
OWNER-BUILDER DECLARATIONS:
I hereby eXirtn Ihet under penalry of perjury ihet I am EXEMPT FROM THE CON7RAC70RS LICENSE LAW tor the following reason (Sec. 7031.5, Business anU Professlons
Code: Any ciry or counry which requires e permit to construct, elter, improve, demolish, or repair any structure, pnor to its issuance, also requlres the applicant for such pertnit
to file e signed stetement Ihat he or she Is Iicensed pursuent ta Ihe provisions at ihe Contreqors License Lew (Chapter 9(cammencing wlth Sectlon 7000) ot Division 3 of t�e
Business entl Profeuions Code) or ihat he or she I5 exempl iherefrom and the basis for ihe ellegetl exemption. My violation of Seclion 7031.5 by eny eDP���� �or a pertnit
sub�ects the epplicent to e civil penalty of not more ihen five hundred Oollars ($500).):
❑ I, es owner of the property, or my employees with wages as their sole compensetion, WILL DO TME WORK, ana the structure Is not intendetl or oHeretl for eele (SeC.
7044, Buslness entl Professions Code: The Contrectors License Law does not apply to an owner of properry who builds or Improves thereon, and who tloes auch work
himself o� herself or through his or her own employees, provided ihet such improvaments era not IntenOetl or oHeretl for sale. If, however, ihe bulltling or Improvement Is
sold within one yeer of completlon, ihe owner-bulltlei will �eve Ihe burtlen of proving ihat he ar she did not build o� improve for purpose of sale.). '
❑ I, es owner of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Buslness antl Professlona
Code: The coniredors License Law Coes not eppy �o en owner of pmperty who bullds or Improves t�ereon, end who conirects for such pro�ect with e contractor(s)
license pursuant to the Con�ractors License Lews.).
❑ I am e:empt under sec. Business and Professions Code tor this reason:
Signature: Date:
Owner ID vanfied by drivefs license. ❑ Yes ❑ No Drivefs License No. Expires:
VedflcaAon o1 Ownership by (type of dwumenL I.e. - propeny tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certity Ihat no excavation five (5) or more teet in depth into which e person Is required to descend, will be made In wnnectlon with work authodzed by this
permit, and �het no building strucWre, scaHoltling, talsework, or tlemolition or tlismantling ihereof, will be more than ihirry-siz (38) feet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Tltle B, CalNornia Administretive Code). .
❑ As owner-builder, I wlll not employ enyone to do work which would require e permit trom the Divislon oi Industrial Sefety, es noted abave, unless such pereon hae e
permit to do such work from ihe division.
Signeture: Date:
DiviSion oi Intlusirial Satety Pertni� Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENfAY: I certify under penalty ot perjury that I have read this epplicatlon end stete that the infortnation given is
correct. I egree b comply with all state laws and ciry ordinances relating to building construdlon, entl euthorize representatives af Ihe Ciry oi Costa Mesa to enter upon ihe
above-descnbetl property for inspection purposes. I agree not to occupy ar allow accupenty of any building euthonzed by this permit un�il Mal inspection.
COpE �, INSVECTIONTYPL��
1616 Fizetl System Final Fire Preventlon
1266 Pool Spe Final
200 Finel Re-Roof
201 Flnel Block/Retaining Well
202 Finel Fectory Fire Plece
203 Finel Sign
204 Finel Demoli�ion
�/ r/� Date
Date
Qejf, irnrtia�s �QQ[d INSPECTIONTYPE
� 206 Final Mechanlcal
20B Finel Plumbing
210 Finel Eledncal
212 Finel Fire Prevention
220 Finel Planning Approval
222 Finel Site
250 . Final Builtling/Oaupancy
�73I I5hiL1S�
C
(714) 754-5273 • Fax (714) 754-4856 • www.ci.coste-mesa. ELECTRICAL PERMIT n FAIR DRIVE, COSTA MESA, GA 92626
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
2545 CORNERSTONE LN
PHASE3CORNERSTONEHOMES
TPN006140
Applicane GOODWYN, JIM
Address: 16845 VON KARMAN ISSUED BY:
STE 100 _Phone:- 949-756-7373
IRVINE,CA r!�����>�'Zip''=�'92606'-�
Owner: RI
Address 16
i
� � ` � r-�� SURE,
IRVINE
`? i,
�: � � J/; %
r;
/_ ��
� .% : �
Status: I SS U E D
Applied: 08/04/2006
Issued: 08/04/2006
' ��:,- . - , - .. _ - = . .
!�, '
j-j�- ; " � . , r� �
i.; ���-
�ND�AMERICAN HOMES � ' ��� '� ; �,''�,
i � �.
l.KARMAN �.� `� � . � /. .� I - _, � \\���
� � . / : Phone 949-756 7373 � � \ ���
� j � � �.Zip - 92606: � . � ��,�� ����� ��
� i � _ � � `� � _ � . / � �
� ��� �� ��A.�� � i� ���-�\
iND;AMERICAN HOMES OF CALIFORNIA INC A°����� �.`� /�� �
��,�
_ , � �:. � .�.
-ORNIAAV ��.:,�V`- ! � �
� Phone,; 949-467-2600 �: ��' � � / � �: .� �.
\ Zip: .926V -��� - . � � ��
� � , \
• License:"487535 � - �, ' � ` �` �
- . �. � . � . .' . .
� { . . .. .�' _ ,o , , ' .
' � " � , x, .� �✓ '" 'SCOPE OP PERMIT .� . �
� �, ELECTRICAL PERMIT FOR PHASE 3 - PLAN 2AR � --- - - �_ � �, � �
_ ��,�.
�'�'CONSTRUCT A NEW 1,947SF 2-STORY SFD WITH ATTACHED 461SF ATTACHED"GARAGE'AND 24SF �,_ �
� `✓., ENTRY PORCH. ��, C �� � � -
' -'; -1ST FLOOR 921ST AND 2ND FLOOR 1,026SF. � � � � �
- — - — i
/ r-
'REF:#BO6-07328 ''V "�' .../ rr' .. i r•• ;,,. ."'. �
. . �.. I � v' �_ ;1 a �� .
'� WORK TO INCLUDE: 1 NEW SFD, 3 CIGHT FIXTS, 4 RECEPT OUTLETS,'I SWITCH, 1 MOTOR TO 1' .
�HP `� , i
�;'
��� � � � � � —FEESUMMARY !'.c_,%= = r -
. � - � . Quanlity ' ' - - • - � _ ' ! � -, ' � - � Quanlily : � �
. ISSUE FEE-' ` $23.50 Temp Dist�System / Lighting � $0.00 0 - . ,
Temp'service tesP� �, �, 50.00 J Busway /100 ft $0.00 0` '- '
� Res. a/c package � �� � §0.00 i Standing-Section'. '' $0.00 0,; . � - ; ,_ � �
New�Res.(1-2�units)A ���� $109.03 � 1947 MlscElectricalEquipmenl SOAO j0," � ��
New Res,(3+units) � $0.00 � 0 —''4=Transfortners up to 1 kva/kw ,$Q00 i.y0' -.� . �
.\, ti.'�., :
Pool / Spa �- '� .: ' �. �; �50.00 � 0 �" „` � ` ........:.. p to 10 kva/kw $0.00 � � 0 ' . .
u
LigMing Fi�1s, ,, A �'$3.30 � 3 :',� � � �..up to�50 kva/kw $Q00'.l� � 0 � � � .
............... ,
Recept Outlets� <' ; �� $4.40 4 . � � ',^ . ::.............up to,100 kva/kw _ $0.00 ; 0--` ,' � ��
Switches '. �.-�� `' $1-10� 1"r -��1i; � � . - � ....over'100 k'valkw ;' '. $0:00 0' .: � :
Non Res Appl� � �, �)� $0.00��A - 0 . - �, � Low Voltage Eqwpment � y$0.00, - 0 �' �
i
Res Appl �;�. ;/� $0,00� ���� 0- �' - Low Volt Wiring System / Ckt r_ i$0.00/, 0 i
Serviceto200a' � �"��. $0.00 � �:�0�; � � ,MlsaConduit ' , -- i� $0.00' �! 0
� i
Service to 1000a �- _\\ � �$0.00�, . � 0� � � . � "Misa Conductor � - �$0:00 t� ' 0 - , �
Service over 1000a � � $0.00� �� 0�� ��. -� Circus ( gen or_ride) �, $0.00% �0 7/
Motors to 1hp ���_�$4:75 ( � /� �t�� — � �- � Circus�(mech�ride or IigMs) `��i� �$0.00�.0�
Motors l0 10hp � �. .$OAO��i �0� �� Christmas Tree-Stand. V���.-$0.00 ; �i0
Motors l0 50hp ��. �$0.00� �.n�Os �� ;J f � - ` ' " � Pirewo'rks Stantl-� �, � �- ,$0:00 ;, �� 0
Motors to 100hp �$O.OQ� ���, 0 �,.: � '- , Other Electrical Fee �- � � � :$0.00
Motors over 100hp $O.00ti''�= �„0� ._ ; ,�\ ; � � � �
Communication drops $0.00 ti` �0_ �� - Investigation Fee-:',- ,i"�' � $0.00
Subpanello200a $0.00 �b•-���_ -'-.�--� -, . -PlanCheckFee �' � $0.00
Pole Ligh� Pkg $0.00 0 �. �� Reinspection Fee $0.00
Sign Circuits 50.00 0
Temp Pwr Pole 50.00 0 TOTAL CALCULATED FEES E146.08
Intermed Pole �0.00 0
COMMENTS / SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California
regulations. (Ord. No. 92-28, � 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become vold if work is not commenced within 180 days, or if work is susF
for a period of 180 days.
INSPECTIONS: In order foi the work authorized under this permit to be considered legal, such work must comply with ell appl
required Inapectlone and final epproval must be obtainad. Failure to obtain inspectlons and final approval will result in the ezpi�
FOR INSPECTIONS CALL: (71q) 754-5626
2a48d8 (fl�00)
related
orabantloned I \
>le codes, end all
of lhis permit.
WORKERS' COMPENSATION DECLARATION:
I heraby affirtn under penalry of perjury ona ot the followinq declarations: . .
❑ I heve entl will�maintain e certificete of consent to self-Insure for workers' compensetion, as pravided for by sectlon 3700 of the Lebor Code, far �he perfortnance of ihe
work tor which ihis permit is issuad.
❑ I heve end will maintain workers' compensetion insurance, as required by sectlon 3700 of the Labor Cotle, for the perfortnance oi Ne work tor which ihls pertnit is issuetl.
My worke s' compensation Insurence rtler end policy umbar era: �,�j /
Cerrier. �✓L�l�✓\`U— �P �SL,�.t�M•—�f PolityNumber. �fi�`f��(����
(!h!s section need not be completetl i/ the permif Is vel— ued�ef ne huntlred dollers ($100) or /eu.)
❑ I certify Ihat in Ihe pertormance oi Ihe work for which Ihis pertnit is issued, I ahell not employ eny pereon in any manner so as to become sublecl to the workers'
compensetlon laws oi Califomla, end e ree Ihat if I shauld Cecome subJect to t�e workers' compensatlon provlslons of Saclian 3700 o the Lebor Cotle, I shall fanhwith
comply with thesa pr isions_ ��b
Applicent Signeture: Dete:
WFRNINO: FNLUPE TO SE E ORKERS' CO NSATION lf ERAGE IS UNUWFUL AND SHALL SUBJEGT AN EMPLOVER TO CHIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED
TFi0U5AND DOLLAHE ($100, I I ADDRION TO T1E COST OF COMPENSATIIXJ, OAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE, INTEREST, AND ATTORNENS FEES.
LICENSED CONTBACTOBS DECLARA710N:
I hereby eXirm that I am licensed under provisic
force antl eflecL Lia p �
ContredoYs Signature:
CONSTRUCTION LENDING
ot Chaptec9 (commencing wit� Section 7000) of Division 3 oi ihe
�� Class
�➢�7C—'"�1' Deta:
Code, antl my license is in tull
❑ I hereby aflirm that Ihere is e construction lending agency for the peRormance of the work for w�ich thls permit is issued. (Sec. 3097, Civil Code).
Lendefs Name: � Lender's AtlCress:
SignaWre:
Date:
OWNER-BUILDER DECLARATONS:
I hereby ettirtn that under penelry of per�ury Ihet I em E7(EMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7037.5, Buslness end Professions
Code: Any clry or counry which requires e permit to construct, alter, improve, demolish, or repair any slrucNre, prior to its issuance, also requires ihe applicant for such permit
ro file a slgnetl stetemeM that he or she Is Ilcensed pursuent to the proWsions of Ihe Contrectors License Lew (ChaD�er 9(commencing with Sedion 7000) of Divislon 3 of ihe
Business end Professions Code) or that he or she Is exempt Iherefrom end ihe besis for the alleged eaemption. Any violetion of Section 7037.5 6y eny epplicent for e permit
subjacis iha applicant to a civil penalty of not more than five hundred dollers ($500).):
❑ I, es owner of the property, or my employees with wages es thelr sole compensation, WILL DO THE WORK, and the structure is not Intendad or oHeretl for sele (Sec.
7044, Business and Professions Coda: The Contraclors Licensa Lew doas nol apply to an owner of property who builds or improves thereon, and who tloes such work
himself or herself or ihrough hls or her own employees, provided that such improvemenis are nat Intendetl or oNered for sala. It, however, the bullding or improvement Is
soltl wllhin one year of completlon, the owner-builder will have the turden of proving Ihat �e or she did not builtl or improve tor purpose of sale.). '
❑ I, es owner of tha property, em E%CLUSIVELV CONTRACTNG WITH LICENSED CONTFiACTORS to construct the project (Sec. 7044, Business end Professione
Cade: The cantractors License Law tlaes not apply ta en owner ot property who builds or impraves ihereon, antl who contrects tor such pro�ed with a contrectar(s)
license pursuant to ihe Contractors License Laws.). .
❑ I em exempt under sec. Business end Professions Code for Ihis reason:
Signeture: Date:
Owne� ID verifled by tlnver's license. ❑ Ves ❑ No DrlveYs License No.
Vedficetlon of Ownership by (type ol document, I.e. - properry tex bill or tlead):
DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICA710N:
Expires:
❑ I hereby ceriity that no excavetion five (5) or more feet in tlepth Into which a person is required to descenQ wlll be mede in connection with work authorized by ihis
permit, and that no building structure, sceNolding, falsework, or tlemolition or dismanHing thereot, will be more than thirry-six (38) feet high, (Chep. 32, Gry 2, Art 2, Sec.
341, Title 8, Celifomia Administretive Cotle).
❑ As owner-bulltler, I will not employ enyone to do work which would require e pertnit tmm the Division oi IntlusMal SafeTy, es noted above, unless such person hes a
pertnh �o do such work from �he division.
Signeture: Date:
Divislon of Indusirial Safery Pertnit Number:
CERTiFlCATE OF COMPLIANCE AND AIJfHORQATION OF ENTRY: I certity under penalry of perjury that I have read this application and stale that ihe intortnation qiven is
corcec�. I agree to comply wlth ell stete laws end ciry ordinances releting to Oulltling construction, end euthoriza represantatives of tha Ciry of Costa Mesa to enter upon ihe
ebove-described properry for inspection purposes. I agree not to occupy or allow occupancy of any builtling euihonzed by �his permit until flnel inspection.
Owner(s)
CODE �. '�ECTIONTYPE
1616 Fixetl System�Final Fire Preventlon
1266 Pool Spa Final
200 Finel RB-Root
201 FInaI BIocWRetaining Well
202 Final Factory Fire Place
203 Flnel Sign
204 Final Demolitian
�� Date
� � Date
�@ �Qp�( INSVEGTIONTYVE
206 Final Mechanical
20B Finel Plumbing
210 Finel Eledncal
212 Finel Fire Prevention
220 Finel Plenning Approval
222 Finel Slte
250 Finel Bulltling/Occupenc
�9H�Ii1111U!+I
�� I . .•:a�
��ia) �sa-52�s • Fex (»a) �sa�aess • www.ci.costa-mesa.ca.us 77 FAIR OFiIVE, COSTA MESA, GA 92626
PLUMBING PERMIT
JobAddress: 2545 CORNERSTONE LN
Suite No
Vicinity: pHASE 3 CORNERSTONE
Parcel Nunmber. TPN006140
Applicam: GOODWYN, JIM
Address: 16845 VON KARMAN ' . - - � - '
STE 100 - " � - � Phone: 949-756-7373
IRVWE, CA !�i��i ��'� - � - Zip: 92608
.i�/. - " � ' � '' ' .
%�j! � . �
/ ,
Owner. RICHMOND AMERICAN HOMES `
Address � 16845 VON'KARMAN' - - - �
Status: ISSUED
Applied: OBl042006
Issued: OB/O4R006
ISSUED BY:
;\ ..\
,�; ,_ ,��
, / ��/ j � A � , �.%.�.- _ -Phone: 949-756-7373=_:`� ` `.�.'� �.,/V��A
i� �-�IRVINE,CA��-'i `," Zip: 92606 �� � A
� �
',// � � '�
��/. o�%-%
"i A ; ,� �' ��
Contractoc RICHMOND AMERICAN HOMES OF CALIFORNIA INC
. : Addre4s ;' S171 CALIFORNIA AV '
� � ` �> SUITE 120 Phone: "949-467-2600
� � , � IRVINE, CA 2ip: �-92617 ,
. �` � � - - � � , License: �487535
� � i � / �.i � _
` � � i AA1�
�?�c."; j ��A
/ \
` .�` � A�\
� / .
; ,
_ . �� . .'�,�
' ' � - - �� - SCOPE OF PERMIT � _�� � ' �
� � �� PLUMBING�PERMITS FOR PHASE 3 - PLAN 2AR !� " �' .
: .�� � i�'� • ` �" �� .
'- CONSTRUCT A NEW 1,947SP 2-STORY SFD WITH ATTACHEO 4615F ATTACHED GARAGE AND 24SF
ENTRY PORCH. , _ - �
� �. iST FLOOR 921ST AND 2ND'FLOOR 1,026SF'� � � - � - , . " '� � ',
. . . ' _ / . ''�• - �-
. REF#: BO6-01328 „_. . � .. .�. . . � , . .. _ � . � � , _ -
WORK TO INCLUDE: 1 BACKFLOW IRRIGATION, 1 BATHTUB, 1 DISHWASHER, 1 GAS (1-4
�� OUTLETS), 1 GAS SERVICE, t�LAUNDRYTUBM/AHSERf1 LANDSCABE IRRIGATION, 1 SEWER� :
- CONNECT, 1 SEWER PRIVATE LINE,�2SHOWERS, 1 KITCHEN SINKS,�5 WASH BASINS, 3 WATER �� i
' CLOSET, 1 WATER HEATERNENT AND 1 WATERSERVICE." �� .
�'� � '� FEE SUMMARY � �
• _ � `'�
, . . - ` \ \ • �� AMT ( ��T .�AMT 'aN
ISSUE�FEE �� �� � � 523.50 LaundryTub/,Washer �,: $9.80 1
BackFlow irrigation�� �,$9.80 0� Landscape Irrigation �� $14.80 1
BackFlow Preventer $0.00. 1 P-Trap' " , �$0.00�.- 0
Bathtub ,:, � 59.80: � 1,. Pressure Regulator �, $0.00� �':0 .
Clarifier Sysle,ni � -' � $0.00 A�CO � �'•% ��' Process Piping (per 10 ft) � $0.00 ' � Oc" '
Connect (Ice,Soda,etc) . 50.00 ��: 0�; ' Receptors' $0.00 0
DentalUnils � ��A ,30.00. �0���.,� -SepticTank�� �- � $0.00 0
Dishwasher �.� � �gg.80-. 1��` ..A SewerCapforDemo � � $0.00 0
Drain, Floor ��� SO 00'� �0 :.; --Sewer Connect � $24.65 1 -
Drain, Rainwater �. 50 00 �. 0 � � . "Sewer Private'Lme � - -�$24.65 -;1 - -�
� ��� l i
Drain, Roof �50.00� � 0` � '�� Shower -- - - ` $19�60 � �2
DrinkingFountain \�50.00 �0��/_�- Smk;bar � � $000 ��0.�
Expansion Tank 50.00�-0 �= � � � Sink, coinmerciaf- � � - -- $0.00 � 0 � -
Gas Eadhquake Valve 50.00���., '.0:�..,, ��`�.:Sink, Floor $0.00 � 0
Gas (1-4 outlets) 56.15 �' 1�- �. Sink, kitchen ��,',,� ,. 59.80 � 1�
Gas (Over 4 outlets) 50.00 0� - - Sink, service/mop $0.00.. 0,
Gas Repipe 50.00 0 �-� Spa (private) . �,, , . , $0.00 - �0 -
Gas Service $9.80 1 Spa (publiy .. $0.00 � 0
Interceptors (Grease, Oil) 50.00 0
Interceptors (Sand Auto ) $0.00 0
��; , � � � �
%; ;' /��� '."� AMT .�
Sump Pump- � � - ., , ,� $0.00`
Swimming Pool ' .$0.00
Trap P,rimer� � �� ,-' $0.00
_ UrinaL j �-/, �-j$0.00
. . - Vacuum Brkr Bkflowi(1-4)� � $0.00
Vacuum Brkr Bkflow(5+),� ; � $0.00
v Wash Basin � " " j $49.00
' - Wash Basin Set , � $0.00
- - Waste-and-Vent System $0.00
' Watei Closet (Toiletj $29.40
�����-WaterHeaterlyent $12.30
� � Water.Piping�Qnst or Rep.) $0.00
� Water Re-pipe $0.00
. Water Service $0.00
� WaterSoflener $0.00
, OTHER $0.00
VIOLATION $0.00
PLAN CHECK $0.00
REINSPECTION $0.00
TOTAL CALCULATED FEES: E262.85
COMMENTS / SPECIAL CONDITIONS �
QTY
0
0
0
0
0
0
5
0
0
3
1
0
0
0
0
0
NOTICE: The work authorized by this permit shall comply wlth all applicable handicep access requirements under Califomia etatules and related
regulations. (Ord. No. 92•28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire antl become void if work Is not commenced withln 180 days, or if work is suspended or abandoned
for a period of 180 days. //
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inapeetlons and final epproval must be obtained. Failure to obtaln inspectfons and final approval will result in the expiration of this permit.
FOR INSPECTIONS CA�L; (!14) 754-5628 �
2m�+e �doo)
WORKERS' COMPENSATION DECLARATION:
1 hereGy ettirm under penelry oi perjury one of Ihe following tleclarations: .
❑ I have entl wlll malnteln e cenificete of cansent to sell-Insure tor warkers' compensatlon, es proviaed for �y section 3700 oi Ihe Labor Code, tor Ihe perfortnence af ihe
work for whlch Ihis permit Is issued.
❑ I �ave erM wlll malntain workers' cwnpensatlon Inwrance, as requiretl �y secUon 3700 of the Labor Cotle, for Ne perfortnance of Ihe xrork for whltli Nis pertnit is issuetl.
My warke,%��wmpensetion Insurence rrier ana policy mber ere: ,/
Carner. /'fNnO✓�CN.- � ��iU.�'k-d PolicyNumber: ����/� ���_
(Th/s sec0on nee not be completed P fhe permitls ve/ued et ane hontlretl tlollers ($100J or less.)
❑ 1 ceNty that in the peAormence of the work tor w�ich this permi� is Issued, 1 shall not amploy any person in eny manner so es to became su��ect to Ihe workers'
compensallon lew of Calllomla, entl egree ihet If I should become suD�ec� to the workers' compensation provlsions of Sectlon 3700 ot the Lebor Cotle, I shall fonhwith
comply with these ovisiQns. ���D`
Applicant Slgneture: Date: V
WARNINO: FAILURE TO SE WOHI(ERS' MPE A ION COVERAGE IS UNUWFUL AND SHPLL SU6IECT AN EMPLOYER TO CRIMINAL P ES AND CIVIL FlNES UP TOONE HUNORED
TIIIXISANDDOLLARE(f100, )INAODfTIONTOTHE OFCqAPENSITION,DAMFGESASPROVIDEDWRINSEGTON3]OBOFTHELABORCODE,INTERE5i,ANDATTORNEV'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby attirm that I em Ilcensed under provisiaps.ef Chepter 9(commencing with Sectlon 7000) oi Division 3 at Ihe Busine n0 Professians Cade, entl my license is in tull
force anO eNecL Uc. M Clau a
Contredors Signature: Date:
CONSTRUCTON LENDING AG Y:
❑ I hereDy e8irtn that Ihere is a construction lending egenry for Iha peAortnance ol the work for which Ihis pertnit is issuetl. (Sec. 3097, Civil CoAe).
Lenders Neme: Lendafs Address:
Signature:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby afllrtn Ihet under penalry of perjury Ihet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reeson (Sec. 7031.5, eusiness and Professions
CoCe: Any clry ar county w�ich requires a pemmt to consirucL elter, improve, demolis�, or repair eny stiudure, pnor to Its issuance, also requires ihe epplicant tor such pertnit
to file e signed statemant thet he or she is Ilcensad pursuent to the provislons of the Cantrectors License Lew (CheD�er 9(commencing with Section 7000) of Dlvision 3 of Ihe
Business entl Professlons Code) or that he or she is exempl therefrom entl t�e besls for the allegad exemption. Any vloletlon of Sactlon 7031.5 by any applicent for a permll
subjecis ihe eppllcant to a ciNl penalry of not more than flve hundred dollere ($500).):
❑ I, as owner of Ihe property, or my emplayees with weges es thelr sole wmpensatlon, WILL DO T}1E WOHK, end the siructure Is not Intended or atteretl lor aele (Sec.
7044, Business and Professions COEe: The Contractors Licensa Lew does not epDly lo an owner of property who builds or Improves thereon, end who does such work
himself ar herself or through his or her own employees, provided that such improvements ere not Intended or oNeretl for sele. If, however, the buliding or Improvement ia
sold within one yeer oi wmpletlon, ihe owner-huiltler will have ihe Durden of proving ihet he or she did not bui10 or improve lor purposa ot sele.). '
❑ I, es owner oi iha property, am EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTAACTORS to wnstruct the pro�ect (Set. 7044, 8usiness flnC Professions
Code: The contractors Llcense Lew does not eppty to en owner af pmperty who 6ulltls ar Improves ihereon, end who cantracts lar such pm�ect wlih a comrector(s)
license pursuent to the Coniractors License Lews.).
❑ I em exempt under sec. Business end Profeuions Code br this reason:
SignaWre: Date:
Owner ID veAfietl by driver's Iicense. ❑ Yes ❑ No Drivefs License No. Expires:
Vedficetlon of Ownership by (rype ot documeM, i.e. - property ta�c bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATON:
❑ I hereby cerlity ihet no excava�ion five (5) o� more feet in depth into which e person Is requirad to descend, wlll be mede in wnnection wlih work euthorized by this
pertnil, end �hat no building structwe, scaHolding, felsework, or demolition or dlsmantling Ihereof, will be more Ihen thirty-six (38) leet high. (Chap. 32, Grp 2, Art 2, Sec.
341, TIOe 8, Calllomis Administrative Code).
❑ As owner-bulltler, I will no� employ enyone to tlo work which woultl requlro e permit from ihe Divislon of Industrlal Sefery, es noted ebove, unless such person hes e
permit lo da suCh work irom the division.
Signeture: Data:
Division ol lndusirial Sefery Permit Number:
CEHTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF EMAY: I certify under penalry ot perjury that I have reaA t�is epplicatlon enC state t�at the infortnation given is
correct. I egree to comply with ell state laws and ciry ortlinances releting to building const�uctlon, entl authonze representatives of Ihe Ciry of Coste Mesa to enter upon the
ebove-tlescnbed properry for inspection puryoses. I egree not to occupy ar ellow occupency of any building authonzed 6y this pertnit un�il tinel inspection.
COQE �. INSPECTIONTYOE\
7616 Fizetl System Finel Fire Prevention
1266 Pool Spe Final
200 Final Re-Roof
201 Finel Black/Retelning Wall
202 Final Facrory Flre Place
203 Finel Sign
204 Final Dem
PAg II�9L9
�, � ,/ h oace
��< <-(
e,7 � Dete
COUE 1 INSPEC770N TYVE
206 Final Mechanical
208 Finel Plumbing
210 ' Final Electrical
212 Flnal Fire Preventlon
220 Finel Planning Approval
222 Flnal Slte
250 Final Building/OCwpency
� _ 1 .u1L '
,C� ! -:..
•ption �
•ne
CO��SVLIINL E��GINEERS PAGEIOFI
y STRUCTURAL�OBSERVATION REPORT FORM ,, �' „' s
_ �Y '��.._.a.<,. _ . ,,rx;..:RICHMON.-D;AMERICAN HOMES,,:,,., r£ . ';�;�, 1 . ,,*;
THIS REPORT MCLUDES ALL CONSTRUCTION WORK THROUGH THE: 5'" Day of Ocrober 2006.
PROJECT: "Comerstone"-SFD OPT[ONONEJ.N.: 0106-1253
LOCATION: Costa Mesa, Califomia BLDG. PERMIT No.:
OWNEA: Richmond American Homes LOCATION/DN(SION: Orange County
ARCHITECT: BaSsenian Lagoni Architects P.RCHITECT J.N.: BLA-5165
S7RUCT. OBS. OF RECORD: Gary A. McClanahan, P.E. LIC. or REGISTRATION Nos.: C-42553
STRUCTURAL OBSERVER: Mike Berhe, H.l'.'C. EIT-45397
OBSERVED STRUCTURAL ELEb1ENTS & THEIR COiYNECTIONS: LOT(S) & PHASE OBSERVED:
Interior, and.Exhrior GeneraPFraming; i.e., roof Wsses, roof sheaUting Lot (4, Plan 2� 2545-Come [rs eno�^bane,
shear elemen[s, fioldowns, Floor shealhing, FloorjoisLs/kusses, bearns, headers, Phase 3�, Trac[ p 16937, �—
and general hardware. Costa Mesa, Califomia
(ARACHADOITIONAL PAGES IFNECESSFRh
The deficiencies anNor non-confortning i[ems no[ed during observa[ion visit have been cOrtected
and installed by a collaboraced effort of the project superinrendent and the 6aming foreman.
Initial FComole�ion Da[e:
MB/ 10-OS-06
Gonstruction H HVAC �Eaeetrica4 0 Plumbing ����eA 0 P�Y`"d CI'g B—Besle
--S[age: � � � � 51�31�aFls �� � Lid(s) 9�tien
Nofe: When box is checked, d indicafes fhaf cronstmcGon stage is in progress, and d has irof yet been rnmpkted at fhe fime observafion was cronducted.
� 57RUCTURAL SYSTEM WAS VISUALLY OBSERVED TO BE M GENERAL COIvffORMANCE WITH THE APPROVED PLANS.
❑ S7RUCTURAL DEFIC1ENCiES ARE OF A MINOR NATURE & MAY BE REVIEWED BY CITY BLDG MSPECTOR FOR COMPLIANCE.
I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE & BELIE�:
1. I AM THE REGISTERED ENGINEER WHO HAS RESPONSIBLE CHARGE
FORTHESTRUCTURALOBSERVATION.
2. I, OR ANOTHER QUALIFIED-CHARGE OBSERVER WH01 HAVE
DEStGNATED ABOVE AND IS UNDER MY RESPONSIBLE CHARGE,
HAS PEAFORMED THE REQUIRED SITE VISITS AT EACH
SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE
STRUCTURE IS IN GENERAL CONFORMANCE WITH THE APPROVED
PLANS AND SPECIFICATIONS.
3. ALL DEFICIENCIES, WHICH I DOCUMENTED, HAVE BEEN CORRECTED
UNLESS OTHERWISE MDICATED ABOVE.
4. ALL OBSERVED DEFICIENCES SHALL BE CORRECTED AND
APPROVED BY THE OBSERVER PRIOR TO FMAL ACCEPTANCE OF
THE STRUCTURAL SYSTEMS BY THE BUILDMG DEPAATMENT.
5. THIS REPORT IS PROVIDED?0 THE OWNER AS A PAAT OF THE
OWNERS OVERALL CONST2UCTION QUALITY CONTROL PROGRAM.
6. OPTION ONE HAS PROVIDED STRUCTURAL OBSERVATION M
ACCORDANCE WITH THE SEAOC RECOMMENDED GUIDELMES FOR
THE PRACTICE OF STRUCTURAL ENGMEERMG RJ CALIFORNIA.
�" N° C 042553 �- �
Exp.03/31/� �
STAMP& WETSIGNATUREOF
�,/���"y�� STRUCTURALOBSERVEROFRECORD
SfGNED BY: �/� 1 r 5" Day of Ocrober 2006.
STRUCTURAL OBSERVATION DOES NOT WAIVE THE REQUIREMENTS FOR MSPECT[ONS BY CITY BUILDMG
INSPECTORS. ALL WORK MUST COMPLY WITH THE APPROVED PLANS AND APPLICABLE STATE & LOCAL CODES.
Dacument3 (Rev. 1/SPo5)
Option One Tel 949.553.7916
Consulfing Engineers 20311 Acacia St., Suite 240, Newport Beach, Ca. 92660 fax 949.553.9720
AfIAMC . 1TRFFTFR
CIVIL ENGINEERS INC.
December 12. 2006
City Gradin� Inspector
City of Costa Mesa
Dcveloptnent Services Depaitment
77 Fair Dri��c
Cost�i Mesa, California 93628-1200
OS-1573
IRVINE • RIVERSIDE
Jan A. Adams • Randal L. Streeter
Subject: Civil Engineers Certification of Precise Grading
Project: Tract No. 16937 — Lots 4 �nd 5- Buildings 12 through 19
Cornerstone at Harbor Blvd.
Costa Mesa, Califurnia
RePerence: Precise Crading i`ermit Number: G06-00003
Address: 2501 Ilarbor 6oulevard, Costa A9esu, California
Owner : Richmond American Homes
Ceneral Contractor: Kichmond American Homes
In accordance wi[h City of Costa Mesa Gradin� and Lxcavation Code, and the
reyuirements of the Building Code, [ cerlify approval of this project as outlined above, to
precise grade. Precise grading has �een completed in conformance with �pproved precise
eradin� plan for this project and in full compliance ���ith said Codcs. Ceilification
includes horizontal and vertical control for drainaae devices, and positive buildin� pad
draina�=e.
This upproval does not include������i� tt,;o� coinpuction of soil, which is under the
r ..� i
pur��icw of the soil engineer. ,,rFc•' n1U�..�-� �
ti , ,p�,.%• -
(i` � '}� V��
C �C =' f. �
� _ i '�,1'oi r�a. a25�5 n� s I�
:
_ - .. f.,�
M. Mohammadubadi, Project M�nJ
Adams Su�eeter Civil Engineers Inc.
Exp. 3-31 �08
C„��<<?:12L'E#: _ 42615 (Exp. 3/31/08)
15 CORPORATE PARK • IRVINE, CA. 92606 • Tel: (949) 474-2330 • Fax: (949) 474-0251
,onn nner.�c cTvrrr CIIITF n_ann • RIVFRSII�F. CA. 92504 • TeL (951) 352-4100 • Fax: (951) 352-6200