HomeMy WebLinkAbout2547 CORNERSTONE LN - Building Permits(714) 754-5273 • Fex (714) 754-48$6 • www.c�.cnsta-mesa.c�tLDING PERMIT 77 FAIM UAIVE, GOS IA MhSA, GR 9"L61ti
JobAddress: 2547 CORNERSTONE LN
Suite:
Vicinity: PHASE 3 CORNERSTONE HOMES
Primary Occ: R3 Type of Construction: V-N
Parcel Number: TPN006141 Zoning:
App�icant: GOODWYN, JIM
Address: 16845 VON KARMAN
STE 100 Phone: 949-756-7373
IRVINE, CA . - � , , ,;ZIp: 92606 �
. , '.. - - � .: ,
ISSUED BY:
StaWs: ISSUED
Applied: 08/042006
Issued: 08/042006
owner: RICHMOND AMERICAN HOMES `
Address 16845 VON�KARMAN � ".' • � - � � -
. _ �
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IRVINE. CA' � � - A � . . , : Zip. - 92806� � � ��
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Contractor�RICHMOND f+MERICAN,HOMES OF CALIFORNIA ING �\ .� � � �` % �;\
�.� � i� � _ � : .: � ��.�A
Address �r .5171 CALIFORNIA AV � -� � � � . AA ' �� �
� ^ �i���SUITE 120� �� ���� Phone: 949-487-2600.�i�� �� / i ` ��� �
� i ��.IRVINE, CA�/i � � ��'V �� � � � � , � ��-��
� 1 Zip: 92617%�///� License: 487535 : �� AA, � ". �
i , , . �."�/ � `� ,A� � _ . ,�
�'Arcfi : '' KENNETH.NIEMERSKI '" Eng: GARY A MGGLANAHAN� � ., , �
�
Address:�� 2031 ORCHARD DR � Address: OPTION ONE CONSULTING ENGINEERS;� �
' � � _ SUI7E,100 � _ _ Phone: 949r553-9100 � - NEWPORT-BEACH; CA � Phone: 94$553,1916
� � �NEWPORT BEACH CA i, , . � � . � ` 20311 ACACIA SUITE 240 � � �
'Zip: 92660!' License: ,23971—.��� � . 92660� , License:-0042553.
i %'� � "/ .j , . � _ ��. . - . .
�� �� � � ' � �- SCOPE OF PERMIT \, !' . • �
PHASE 3 - PLAN 3CR � ' V� � "� � � .. . � � �
� i i/ ": %
� CONSTRUCT A NEW 2 074 SF 2-STORY SFD WITH ATTACHED 461SF ATTACHED GARAGE AND 40SF BALCONY AND 27SF ENTRY PORCH.
' FIRS�FLOOR965SF AND 2ND FLOOR 1,109SF.. _ - -� i �
j�."�; . �+__ . l .-l;v.�'•�. `.,A
•�- .�' FEE SUMMARY ' - -
_ �
; Plan Check: $263.40 � Calc Valuation: Szii,zie.ea'
' Permit: $1,620.95 ,., ; ' • , - Claim Valuation: so.00
� SMIP Res: $21.12 � �: - , �� �
SMIP Com: ' $0.00 ---_- _ - - - � , - . = . � �
Other: $0.00 � � � ,;'� � �� " �
� Inspection: ��':�` ., $0.00 - � �
\ \` ' . _ . � , , �
, � ��. ; , � . ,
,�� �SotaL•� ��.$1,905.47 '�� �
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�- .:,_� :,� , , .
`� � �� � , �� PLANNING & ZONING � ;; � � �
SETBACKS `� � �V� - '- , � '-,. . ' ' , % � i
MAINSTRUCTURE Front 0.0�� ��, �-Rear 0.0. Lefl 0 0 . Right %6�0 ,
/
�,��� �"�%� V� V � '.,,- :i�' �j�.� i
ACCESSORY�` �'Fiont �0- 0����Rear' 0- 0 Left 0- 0 � _ Right� 0 0�", "- � -
. . „ � - ; . � . %, � ;
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PARKING A� Existinq.. �0� �� Reauired �0��� . �Pr000sed:-�� 0 - i � /' ���
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NOTICE: The work aUthorized by this permit shall comply with all applicable handicap access requlrements under Califomla s(atutes and reiated
regulations. (Ord. No. 92-28, § 1, 12-21-92)
E%PIAATION: This permil shall aufomatically expire and become void II work is not commenced wlthin 180 days, or If »rork is s spended or abandoned
for a pedod of 180 days. i
INSPEC710NS: In order for the work aulhorized under this pertnit to be considered legal, such work must compty with all applicable codes, antl all
requlred Inepectlona gnd flnel approvel must be obtained. Failure to obtain Inspections and final approvai will result in (�� expiratlon of this permit.
FOR INSPECTIONS CALL: (714) 7545626
,
zasae �e�m>
WORKERS' COMPENSA710N DECIARATION:
1 hereby affirtn under penalry of per�ury one of ihe Iollowing tlecleretions:
❑ I heve enA will malntain a certilicate o1 consent to selt-Insure tor workere' compensetlon, es provided tor by sectlon 3700 of the Lebor Code, for the pertormence ot Ne
work fo� which this pertnit is Issuetl.
❑ I heve antl will main Wn workeB' compensatlon insurance. as required by SecUm 3700 ot tha Lebor Cotle, for I�e peAortnence oi Ne wwk fa which Nls paimit is issuetl.
My worke canpensatlon Insurence r r and poli number are: �j/�� /�
Cartier. �✓I L f�-- ��✓�N,C'P PoIlcyNumber: �i✓C�Clrj p�—��
(7h/5 secHon neetl not be completed ll(he permlNs veNetl ef one hundre0 dollars ($700) or less.)
❑ I cehtly t�et in Ihe peAortnance ol t�e work for which this pertnit Is issue4 I s�all not employ eny person in eny manner ao es to hecome suD�ed to the workers'
compensation lews ol Calltomia, enC egrae ihet II I should Eecwne sub�ect to Ihe workers' compensetlon provisions of Sectlon 3700 of the Lebor Cotle, I shflll foMwlN
crompy wlth Ihese O��sio s. .p /1
Applicam Slgnature: ` Date: O/'f//l 'b
WARNINO: FNLURE TO SECURE O(ERS' COI� ATION ERAGE IS UNUWFLIL AND SHN.L SUBJECT AN EMPLOYER TO CRIMIWLL E TIES AND CML FlNES VP TOONE HUNDREO
T/10USANDDOLLARE(f100,000�,IN .D fiIIXJTOTHECOSTOFOOMPENSrlT10N,DAAIAGESASPROVIDEDFORIN5ECf10N31080FTHEUBORWDE,INTEREST,ANDATTORNEY'SFEES.
LICENSED CONTAACTORS DECLARATON:
I hereEy eNirtn t�al I em
force end eMect. Lic. p_
GONrectof'S Sipneture:
CONSTRUCTION LENDING
oi Chepter 9(oommendrg wiN Sectlan 7000j ol DNLslon 3 at the 6usineu and Professions Cotle, fl�M my Iicense Is in full
oia� «_ Ba � .
_ _ oece: _ R '-F D b
❑ I hero6y aHirtn that there is e consiructlon lentling e8ency for the Oertormance ol lhe work for w�ich I�Is pormit is issued. (Sec. 3097, Civil Cotle).
Lendels Neme: Lendefs Atldress:
SignaWre:
Date:
OWNER•BUILOER OECLARA710NS:
I �ereby efllrtn that under penalry of per�ury that I am EICEMPT FROM THE CONTRACTORS LICENSE LAW to� the follawing reason (Sec. 7031.5, Busineu entl Professlons
Catle: Any clry or counry which requlres e pertnit to consWct, elter, impmve, demWis�, or repair any sWctwe, pdor ta its Issuence, also requlres ihe applicam for suc� pertnil
ta tlle a sipned stetement t�et he or she I� Iicensed pursuent to Ihe provlsions af the Contrectore IJcense Lew (Chapter 9(commenGng with SecUon 7000) ai D'Mslon 3 of ihe
Busineu antl Professions Code) or Ihet he or she Is exempt Neretrwn antl Ne basls for the elleged exemptlon. Any Woletlon of Sectlon 7031.5 by eny appllcant lor e pertnit
sublects the eppllcant to e dNl penelry of rrot more than five hundred ddlers (E500).):
❑ I, es owner oi Ihe properry, or my employees with wages es Iheir sole compensetion, WILL DO THE WORK, end the structure is not intended or oflereC for sale (Sec.
7044, Business and Profeuions Cotle: The Contractors License Law does not epD�Y �o an owner of properry who builds or improves thereon, and who doea such work
himself ar herseN or throuph his or her ov.•n emDlqrees, providetl that such improvements ere not Intended or otteretl lor sale. If, however, the building or improvement Is
sold within one yeer of completlon, the owner-Guilder will have ihe burtlen ot proNng ihet he or she did nol builtl or improve tor Durpose ol sele.). •
❑ I, es owner of the property, em E%CLUSIVELY CONTRACTNG WRY1 LICENSED CONTRACTORS to construct the pro�ect (Sec. 70a4, Business aiW Professlons
Code: The contrectors Ucense Lew tloes not epply to an owner oi praperty who �ullds or Improves thereon, end who cantracts for suU pro�ect wlth e contractor(s)
Ilcense pursuant to fhe Cantrectore License LewsJ.
❑ I em eaempt untler sec.
Signature:
Business anA Professions Cotle lor this reeson:
Owner ID veniied by dr(vefs Iicense. ❑ Ves ❑ No Drivers Licsnse No.
Veriticetlon oi Ownership by (type of tlocument, i.e. - property tex bill ar tleed):
DIVISION OF INDUSTRIAL SAFETY PERMR CER7IFICATION:
Date:
F�cpires:
❑ I hereby canity ihat no axcavatlon live (5) or more feet in tlepih into which e person is requlretl to descend, wlll be mede in connection wIN work euthodzed by Ihb
permll, entl Ihet no builtllnp siruIXure, scattoltling, talsework, ar demolition or tlismanlling ��ereof, will be more than ihlrry-six (38) leet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, Calllornle Atlminlstrative Code).
❑ Ae owner�bulltler, I will not employ enyone to do work which would require e permil Irom the Divislon ol Intlustrial Selery, es noted ebove, unless suc� peraon �es e
pormlt to tlo auch work Irom the division.
Siqneture: Date:
Dlvislon of Induslrlal Selery Pertnit Number:
CEHfIFlCATE OF COMPLIANCE AND AUfHORQA710N OF ENTAY: I certity untler penalty of per�ury Ihet I heve reatl �his apP���a�ion entl state t�et ihe inlormation given Is
correct. I egree to wmply wilh ell state laws enA dty ordinances releting to OuilCing construction, end euthorize representatNes of the Clry ot Coste Mesa to enter upon Ihe
eDove-descdbetl O�operry tor inspection purpases. I egree not to occupy or ellow occupancy ot eny building euthodzed by this pertnit unGl (nal inspecMion.
CODE I,
7616
1268
200
201
202
203
FIxeO System Final Fire Prevention
Pool Spe Final
Flnal Re-Roof
Flnel BIocWRelalning Weli
Final Factory Fire Place
Final Sign
206 Finel Demolltlan
uaw
�i�-r�Ol,
i'T oaie
p� �$ CODEI INSPEC710NTYPE
208 Finel Mechanical
20B Finel Plumbing
210 Final Eloddcel
2tt Finel Flre Prevemlan
220 Flnal Planning Approval
222 Final Slie
250 Final Builtling�Occupflncy
eeg u�eta
�� �
(714) 754-5273 • Fvc (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2547 CORNERSTONELN
Suite No
Viciniry: PHASE 3 CORNERSTONE
ParcelNumber: TPN006141
Applicant:
Address:
MECHANICAL PERMIT
GOODWYN, JIM -
16845 VON KARMAN-'',-,- .�� � - - �
r
STE 100 j li "�- ; � Phonef 949-756-7373
IRVINE;CA %!i�:�^' , Zip: 92606 �
,,
/i�/�-V'•. "�� � , �
Owner RICHMOND AMERICAN HOMES
Address/' /,,16845VONKARMAN� `��-� - � "� -�
i / j�� \�i i,, %;'� _ Phone: 949-756 7373
�,�/IRVINE. CAA.���,�/ Zip: 92606
j ''%/ `� ���%/,��
ContrActor: RICHMOND`A
,,, , ,
,'� Ailiiress: 5171 CALIF,ORNIA
�,' i i i...,/
„ j � � � SUITE�120
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� . 1 IRVINE; CA
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Status: ISSUED
Applied: OBl04/2006
Issued: 08/04/2006
ISSUED BY:
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MERICAN HOMES OF CALIFORNIA INC
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Phone:` 949-467-2600 � \ � `� � - ,�,�'�
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Zip: =�926V -- , A:� � . :� \
. . Llcense:487535 „�, - _ ' �.' � - `,AA �
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� '� -� � � ; . SCOPEOFPERMIT -� ' � � ' :��'
' � ' ' M�ECHANICAI PERMIT FOR PHASE 3 = PLAN 3CR � . - � � , � �'
. . ,_ . , , � ' _ � � . �',
,� ,/CONSTRUCT A NEW 2,074 SF 2-STORY SFD WITH ATTACHED 481SF ATTACHED GARAGE AND �
"�� j 40SF BALCONY AND27SF ENTRY PORCH. � � �� �
� �� �- . s FIRST FLOOR965SF,AND 2ND FLOOR 1,109SF. �� . ���- ". ' � � ', ��
� .
' � � � � REF#:806-01326' ,�•,rrTr -. ._ , -� '.� ��: ; . - . . - � , :
, �
� WORK TO INCLUDE "1'HOOD W/MECH`EXHAUST, 1�INST FAU < 100�K BTU, 1 VENT � i; �:
�� , ;; � FAN/SINGIE DUCT AND 1 COMPRESSOR/ABSORPTION SYST 350,15 HP/500 K BTU. �' '� - �'
� 1 � ` r _' �`' "PEE SUMMARY � �., ,
� .. .. � .. . Quantiry -, --_ — - - - - _ ; ' ,. , . . , - � �Quantity �
ISSUE FEE � ' S23.50 � � �Repair%All�Absorbtion Unit ' $0.00- 0 � , , �
Inst FAU <100 k BTU �� $14.80 1 Repair / All Refrigeration Uni� � $0.00 ,0 �,
;
Inst FAU >100 k BTU �� `� � $0,00 0 Ventillation System i $0.00 � 0�� �
Repair/Alt �Cooling7Heat:,�' 30:00 0 Evapdrative Cooler - ��50.00-� 0' ��,
Inst / Rep. Recess Wall Htr. � 50.00 0 Commercial Incineretor .},�i -� $0.00� 0'�
Refrig Sys <700 k B7U �� ��: 50.00 0 -' �'"-�Domestic Incineralor ' y, � � 50.00 '0
Refrig Sys >700 k BTU � �> $0.00 0 � Comoressors / Absomtion Svstems-. �<' ' . �
Gas Piping , � �-��,_�t�.� 50.00 0 K_, °�� Up to 3-hp / 100 k BTU ;=� - $0.00' �0
Fadory Fireplace �, - ,` §0.00..-,0 „� -- - , ` 3 To 15 hp ( 500 k BTU_ , , � : : � 327.75 � ii
Hood w/Mech Ezhausl /� � � �-$70.65� 1 �• � � � . � � 15 To 30 hp / 1,000 k BTU . �'!�-� � - $0.00 �� 0
VAV Box ` � � �� �`$0.00� _ 0 � ' .. � '-�30 To 50 hp / 1,750 k BTU �"/' , /, � ,$0.00� 0
Vent Fan / Single Du�� ! � ^ 52g.00�� : 4 - � � , � �Over 50 hp / Over 1,750-BTU i- .' : ! $0.00 0
Appliance - V ' � $0.00� _0 ���� �- - - Boilers ' ' � � � ' '
Fire Dampers � ' . , � i $0.00 � 0 �; - , � Up to 3 hp ; .' �A / %i, `/50.00 0
nst oeRel cale Appl Vent �~ \v $0:00�/0\,� � "- - - 15 to 30 hp . _- � �� � � �/ ✓. � �j $0.00 0
Air Handlers < 10000cfm � �� , �. $0:00 � ,0 ,J� � ` . 3040 50 hp `-- �, / � $0.00 0
Air Handlers > 10000cfm � �-� �$0.00 0� ' -� � - � � Over 50 hp . _ � � ' ' � ' S0.00 0
Ploor Fumace ' -$Q00'--0 `� � � Other Mechanical�Fee = - � �� �
Floor or Suspend Heater 50.00� .0� ,�-. , � � � � � - invesligation Fee �-� �� $0.00
� � Plan Check.Fee�' � � " $0.00
� ' - " -- - Reinspection Fee $0.00
TOTAL CALCULATED FEES 5105.10
COMMENTS I SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia
regulations. (Ord. No. g2-28, § t, 12-21-92)
EXPIRATION: This permit shall automatically expire and become vold it work is not commenced within 1B0 days, or if work is sus�
for a period of 180 days. /�
INSPECTIONS: In oWer for the work authorized under this permit to be considerad legal, such work must comply with all�spp
requlrad inspectlone entl Iinel approval must be abtained. Fallure to obtaln inspactions and final approval will result In the expva�
FOR INSPECTIONS CALL: (714) 7545626
2aaaes (a�oo)
and related
orabandoned
�le codes, and all
of this permit.
WORKERS'COMPENSAnON DECLARATON: �
I hereby efllrtn untler penalry ol peQury one ol the tollowlnp dedaretlons:
❑ I have entl will melntain e certlficate oi consent lo self-Insure for workers' wmponsatlon, es proNded Por by sectlon 3700 oi the Lebor Cotle, for Ihe peAormance of the
work lor whlc� this permit is Issuetl.
❑ I have end will mainteln workers' compensatlon Insurence, as requiretl Dy sectlon 3700 0l Ihe Labor Coda, for t�e pertormance ot the vroAc for w��h t�is pertnit Is Issuetl.
My work ' compenseUon Insure'nF e cerrler en policy number are:
Certler.��P✓'Cati .ih�✓�lP fLiQy� PollcyNumber. �✓t�tr�.a�r���
(Tnls secf/m nee0 nor be canplefed r ne permlr Is ve ued ef one nw red�00) or reu.J
❑ I cenlly that In t�e peAormence of the work br whic� this pertnit is issued, I shall not employ any pereon In eny menner so es to become sub�ecl to the workers'
wmpensetlon laws oi Celll mia, end eprae that If I s�oultl hecome sub�ect to I�e workers' compensetion provlslons ol Sectlon 3700 of t�e Lebor Code, I shell torihwlth
compty witn inese proNsion �
Appllcant Signature: f Dete: /1�/� � 6
W ARNINO: FAILURE TO SECURE W RS' CO�MENS ON COV OE IS UNUW FUL M1D SHA�L SUBIECT Ml EMPIAVER TO CRIMIWIL PENAL ES ANO pVIL FlNES UP TO ONE HUNDRED
hKK15AND OOILARE (f100,OD0�.IN A ION TO THE COST OF COM ENSATION, �AAIAGES AS PROVIDED FOR IN SECTION 3108OF THE UBOR COOE, INTEFEST. AND ATTORNEI"S FEES.
LICENSED CONTAACTORS DECLARATION:
I hereby eHirm Ihat I am
force antl eflect. llc. q_
Contrectofs Slgnature:
CONSTRUCTON LENDING
9(commencing with Section 7000) of Division 3 of the Bi
Cless q
_ _ . Date:
Cotle, and my license is in full
❑ I heroby aflirtn that thure Is e consiructlon lentling epency for Ihe peAortnence of the work tor wNch t�is permit is issued. (Sec. 3097, Civil Code).
Lendefs Neme: Lentlefa AOtlress:
Signeture:
OWNER-BUILDER DECLARA710NS:
Date:
I hereby etllrm Ihat under penalry ot per�ury that I em E%EMPT FROM TNE CONTRACTORS LICENSE LAW for Ihe follawing reesan (Sec. 7031.5, Business end Profeuions
Cotle: Any dty or counry which requires e pertnit to construct, alter, improve, demdlsh, or repelr eny siructure, pdor to Its issuence, elso requires �he epplicflnt lor such pertnil
to file e signed sietement Ihet he or she Is Iicensed pursuant to the praNsions oi Iha Conirectaro Llcense lew (CheD�er 9(commendng vrit� Sectlon 7000) ol DlNsion 3 0l the
Business end Pratessions Cotle) or Ihet he or s�e is e:empt Ihorefrom end Ihe �asis tor the elleped exemption. Any Woletlon of Section 7031.5 by eny eppllcant for e pertnit
sublec�s the epplicent lo e Gvll penelry ot not more Ihen live hunAretl tlollare ($500).):
❑ I, es owner ol the properry, or my emplqrees with weges as their sde compensatlon, WILL DO THE WORK, and t�e strudure is not Iniended or oXered for aele (Sec.
70a4, 8uslneu entl Professions Code: The Contrectors License Lew does not aDP�'to en owner of property who bullds or improves iherean, and who doea auch work
himsetl or hersetl or through his or her own employees, proNded that such imprwemenls are not Intended or oHered for sale. It, �owevar, ihe buildinp or improvement fs
9old wit7iln one year ot wmplaqon, �he owner-builtler will heve ihe 6urden oi proving Ihat he or she did not build or improve for purpose of sele J. '
❑ I, es awner of the properry, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTFiACTORS to conswct the pmject (Sec. 76M14, eusiness end Pmfessiona
COEe: 7he coniractors Licanse Lew tloes not appty lo an rnvner ot pwperry wha builds ar impraves therean, enC w�o cnntracis for such proJect with e conirector(s)
Ilcense purauam lo Ihe Contractors License LewS.).
❑ I am e:empt under sec. Business and Prolessions Code far this reason:
sipnamre: oete:
Owner ID ver111eC by tlriver'e Ilcense. ❑ Yes ❑ Na DrNers License Na. Eapires:
Vedficatlon ol Ownershlp by (type ol daument, I.e. - property tac blll or tleed):
OIVISION OF INDUS7RIAL SAFE7Y PERMIT CERTIFICA710N:
❑ I hereby certily that no excavetlon Ilve (5) ar more leet In depth into which e person is requlred to descend, will be matle In connection wlth work euthorized by Ihis
pertnit, flntl that no bullding structure, scafloltling, lalsework, or tlemolitlon or Oismantling thereol, wiil 6e more Ihen thirry-six (38) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle 8, Cellfomia Adminlstretive Cotle).
❑ As owner-builder, I wlll noI employ enyone to da wark which would require e pertnit from ihe Divislon ol Industrial Selery, es noted ehove, unless such person hes e
pertnit ro tlo such work trom the diNslon.
Signature: Date:
Division ot Industrlal Safery Permit Number:
CERTIFlCATE OF COMPIJANCE AND AUfHORIZATON OF E1fIAV: I certity urWer penalry ot perjury ihet I have reaa Ihis applicetlon arM state �hat the intortnation gNen Is I
conect I egree to wmpty with eA s�ete lews end clry orOlnences relating to CuilCing construnion, end authodze representeWes ot Ne Ciry of Costa Mese lo enter upon the
e6ovadescriDed praperry �or Inspection puryoses. I egree not to occupy or elbw accupenty of eny building euthorized by ihis pefmit unGl finel inspection.
cooe r. � — Pdg )t�64
7676 Fizetl System Final Fire Prevention
1266 Pod Spe Final
200
201
202
203
204
Finel Re-Root
Finel Block/Reteining Well
Finel Fectory Fire Plece
Finel Sipn
Finel Demdltlon
Date
�/� .v
I Date
COOE� INSPECTIONTYPE
206 Final Mechenical
208 Final Plumhing
210 Final Electncal
212 Flnal Flre PrevenGon
220 Flnal Plenninp Approvel
222 Flnel Slte
250 Final Bullding/Occupency
1L� 1�
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa•mese.�LECTRICAL PERMIT » FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
2547 CORNERSTONE LN
NEW SFD
TPN006141
npp�icant: GOODWYN, JIM
Address: 16845 VON KARMAN
STE 100 Phone: 949-756-7373
IRVINE, CA � � Zip" " 92606 � .
� �� � � �
/�->v.
Owner. RICHMOND-AMERICAN NOMES
Address 16845 VON;FCARMAN � � � �
� j ���� �• � ��. � � �- � Phone: 949-756-7373
� IRVINE;.CA� � � � �� .� � - Zip: 92606 �� ' �
. �� / � �/� . �
�
�_
� j . , �_. j i .�.
Conlractor: ���RICHMOND'fjMERICAN HOMES OF CALIFORNIA INC
Atld�ess:. 5177. CALIFORNIA AV
�. ,- j ; -� SUITE 120� Phone:�949-467-2600
, _ i,
i,i�
� i %���/
,�
�\
i
Zip: 92617
License:487535 �
Status: ISSUED
Applied: 08/04/2006
Issued: 08/O4I2006
ISSUED BY:
� . �. , . ' . � . .
� i. , ':. SCOPE OF PERMIT � �
- ELECTRICAL PERMIT-FOR _PHASE 3 - PLAN 3CR = - " � � �
. . . �- .j�� .
n ' i
,' CONSTRUCT A NEW 2,074 SF 2•STORY SFD WITH ATTACHED 461SF ATTACHED GAR.4GE AND 40SF
� BALCONY AND 27SF�ENTRY PORCH. � � `, '
, FIRST FLOOR965SF'AND 2ND FLOOR 1,109SF. � � ,
� REF:# BO6-07326 ��� . �'"` � / , ,-' ''"-'�: , � . ` - :
. - " .,r _ - .A , - �
. ._ ,... ,.'s
WORK TO INCLUDE: 1 NEWBFD, 2 LIGHT FIXTS, 8 RECEPT OUTLETS, 1 SWITCH, 1 MOTOR TO 1HP
�
� . FE
�Quantiry-- ---
�ISSUE FEE �� ' S23.50 " ' � -
Temp service fest � � $0.00 �
�. Res. afc package'� " $0.00 ,
New Res (1-2 units)�, A�' $118.14 � 2074
New Res (3+dnits)` `-, ' ��,� 50.00 0
pool / Spa ' � $0.00 . 0
lighting Fixts �- � ��� � �,82.20 2
Recept Outlets , �,.�38.80 8 .
Switches � _� , ��57'.10 . 1
NonResAppl,��. $0.00�, �'.-�"'-0" �� � -
Res Appl � ` /j, ,$0.00��\ 0 ,� "
Service to 200a �� . " 50.00 ��� � � 0 � - �
Service to 7000a S0.00 �"� 0�
Serviceover1000a.� � . - �50,00�, � -0�"� � -
Motors lo thp A ��� � � ya75�r� �. 7� �- �-
Motors to 10hp �� � �$0 00 ����0� � -
Motors to SOhp 50 00 � i! 0-� � �A �
��_.
Motors to t00hp � 50.00_ � ��0,�. _
Motors ove� 100hp �50.00,����_ 0 _... �
Communication drops $0.00 �. ' . � �0 _ �
Sub panel to 200a $0.00 � � �0
PoleLightPkg 50.00 �-0 --.. � -�.
Sign Circuits 50.00 0 �
7emp Pwr Pole 50.00 0
Intermed Pole 30.00 0
E SUMMARY �- ;� �: ,
- - -- / - �= V �uantity � r , -_
� -. %
�" Temp Dist System / Lighting 50.00 0; ,
Buswaylt00fl $0.00 0; .
Standing Section � $0.00 0 ' ' - _
Misc Electrical Equipment $0.00 0 ; ,� � - - _ �
Transformers up to 1 kva/kw $0.00 i0 _�
-�- - r ` .:..:.:.........up to 10 kva/kw , 50.00 %'0 � �� � -�'
,
� .......:::.......up to 50 kva/kw 30.00 �� �, 0
............c...up to,100 kva/kw SO.W �%, � 0 ; �
....:.............over 100 kva/kw $0.00 j 0 - , � ,
� Low Vollage Equipment - - ,50.00� 0 , i � �
� Low VOIf Winng System /Ckl � 50.00.- 0 ,
/ .
Misc: Conduil .�'i50.00, � � 0 !
�Misa Conductor � � 50.00 � 0 -
� �Circus ( gen or ride) � - 50.00 � � 0, � ,�'
� - ��-Circus (mech-ride or lights), � ; , 30:00. �0 ; ��
_ _-- �Christrnas Tree Stand V` � �50.00� A�
FireworksSland'' .�� V� �-$O.00i, �i0
' � Oiher Electrical Fee �• ' 50;00',,'
�,� InvestigatlomFee - " $0.00
- Plan Check Fee � - . - � $0.00
, Reinspection Fee � - 50.00
TOTAL CALCULA7ED FEES 5156.49
COMMENTS I SPECIAL CONDITIONS
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requlrements under Califomia
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expira and become void if work is not commenced wlthin 180 days, or it work is susF
for a period of 180 days.
INSPEC710NS: In order for the work authorized under this pertnit to be wnsideretl legal, such work mUst comply with all appl
requlred Inspeettona end itnal epproval must be obta(ned. Fatlure to obtain fnspect(ons and f(nal approval wilf result In the expirat
FOR INSPEC710NS CALL: (714) 754-5628
za+e�e lam)
�;
i
is and related
orebandoned
�le code9, and all
of lhts permit.
WORKERS' COMPENSA710N DECLARATION: �
I hereby alfifm under penalry ot perjury one ot the following tleclaretlons:
❑ I have entl will melntain e certllicate of consent to seli�lnsure lor workers' componsetion, es provlded tor by sectlon 3700 ot t�e Lebor Cade, for the pertormence of the
work ror wnich Inis permlt Is Iuued.
❑ I �ave flnd wlll maintaln workers' compensetlon Insurance, es requirotl by aecUm 3700 of Ne Lebor Cotle, for �he pertortnance of Iho work lor which Ihis pertnit is Isaued.
My work,e��1a ' compensetlon Insuren rrler �enjd pollc umber ere: � �� �( /-
Cerrier /T .��rN-�� C g51�,✓1LLf� POIIcyNumber: (�/[_� �� �� `�'��(�
(fhis section ne d nof be comp/eted I/ the permlf Is velued et ne huntlretl ollers ($100) or /eSgJ
❑ I ceNfy Ihat in ihe peAormance oi the work for whlch thls pertnit is IssueQ I shall not employ any peroon In eny manner eo es to Decome sub�eet to the woAcers'
compensatlon lews ot C Illomla, enA egree that Ii I shoul0 become sub�ect to t�e workars' campensetlon pmdsions of Sect� 37p0 0� Labor COEe, I shell lohhwlt�
comD�Y'�'��h �hese DrONS ns. / 6
Applicant Sipnature: Dete:
WARNINa: FAILURE TO SEWR W RKERS' OD ATIO OVERAAE IS UNUWFUL AND SHr1LL SUBJECT AN EMPLOVEP TO CRIMINAL P TI M!D GVIL FlNES UP TOONE HUNDRED
THOUSAND DOILAFE (S10D,000), DRION TO THE COST �F COMPENSATION, DMMOES FS PROVIDED WR IN SECfIIXJ 37080F THE UBOR CODE, IMERESi, AlJD ATTORNEY'S FEE3.
LICENSED CONTAACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Seaian 7000) ol Divislon 3 ot the Buslness d Pratesslons Code, en0 my Ilcense Is In full
force end eflecL Lla A Class A
Gontreqots Slgnature: � Date:
CONSTRUCTION LENDING AGENC
❑ I hereby atfirtn Ihat there is a canstructlon lantllnp egency lor tha pertormence ol �he work lor which this pertnli Is issued. (Sec. 3097, Clvil Code).
Lentlels Name: Lendefs Address:
Signeture:
OWNER-BUILDER DECLARAT10N5:
Dete:
I here6y eHirm thet untler penelry of perjury Ihet I em EICEMPT FROM THE CONTRACTORS LICENSE LAW lor tha tollowing reason (Sec. 7031.5, Business en0 Professlons
Cotle: My Gry or counry which requlres e pertnit to consWct, elter, Impmve, tlemdish, or repeir eny strucWre, pdor lo Its issuance, elso requlres ihe apD���ent for auch pertnit
to file e slgned statement thet he or she Is Iicensed pureuen� to Ne provlsbns o� the Contrecton LJcense Lew (Chapter 9(commendng wlth Senlon 7000) ot Divislon 3 of ihe
Business end Protessions Code) or that he or she Is exem0� �heretran erW the Eesis lar Ihe elleged oxemptlon. My Nalation of Section 7031.5 Dy eny applicent for e pertnit
sub�ects �he applicant to a civil penalry of not more then Ove hunEretl Oollars (SSW)J:
❑ I, es owner of tha property, or my employees wlih wepes es thelr sale campensatlon, WILL DO THE WORK, anC the siructure b not IntendeC or otteretl lor eele (Sec,
7044, Business antl Professions Cade: The Coniraclors License Lew doe5 not appty to an owner ol property who Dulltls or improves Ihereon, end who doea auch work
himself or hersetl or through hLs or her own employees, D��detl that suU Imprwements are not Intended or oHered tor sal9. II, hawever, the building or Improvement Is
sold within one year of completlon, Ne owner�builtler will have the burtlen ot provinp that he or she did not build or imprave tor purpose oi sale.). '
❑ I, es owner of the property, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Buslnese end Profesalona
Cotle: The coniractors Llcense Lew does not eppty to en owner of property who bulltls or Improves t�ereon, entl who contrecta tor such pro�ect wlt� e wntrector(s)
licensa pursuant to the Contrecbrs License LewsJ.
❑ 1 em esempt under 5ec. Business and Professions CoOe tor Ihis reeson:
Slpnature: Date:
Owner ID verilled by drivefs Iicense. ❑ Ves ❑ No Orivels LJcense No. Expires:
Vedlicetlon of Owners�lp by (rype of documem, I.e. - properry taa blll or deed):
DIVISION OF INDUS7RIAL SAFETY PERMIT CERTFICATON:
❑ 1 hereby cenity that no e:cavatlon tive (5) or mora leet In tlepth into which e person Is requlred to descend, will be made In connection wlth work eulhoAzeA Dy this
pertnit, end that n0 builCing simIXure, scaHoltling, felsework, or demdlUon or dismentling thereoi, wlll he more Ihan Ihirty-six (38) feet high. (Chap. 32, Orp 2, Art 2, Sec.
341, TIUe 8, Calltomle Atlminlstrative Catla).
❑ As owner-builder, I will not employ enyone to tlo work which woultl require e pertnit Iram the DiWsion oi Indusiriel Sefery, es noted e�ove, unlesa auc� Dereon has e
permit ro do such work from Ihe tliWslon.
Signeture: Date:
Division of Intlustrlal Selery Pertnit Number:
CERTIFlCATE OF CAMPLIANCE /WD AUfHORVATON OF E11IAV: I certity untler penalry oi per�ury Ihel I have reatl t�lv eppllcati0n an0 state Net t�e informatlon glven is I
cortect. I agree to compty wlth ell stete laws end dty or0lnances relallnp to Duiltling constructlon, entl euthorize representetives ot Ne Ciry of Coste Mese to enler upon iha
ebovatlescnhed properry far inspection purposes. I egree not to occupy or ellow accupency of eny building eulhodze0 by lhb pertnit untJ flnel inspectlon.
CODE �.
1876
1266
200
201
202
203
Fixed Sysiem Final Fire Prevention
Pod Spa Finel .
Finel Re-Raot
Final Block/Retaining W ell
Final Fectory Fire Place
Finel Sign
204 Final DemdWon
Pdg I[�L$
i i Dete
COQEI n+sveenoxnve
208 Final Mechanicel
208 Fnal Plumbing
210 Final Elec�ncel
212 Finel Fire Prevendon
220 Flnel Planninp Approvel
222
250
Flnel Site
Flnal Bullding�Ocapenq
PAg Q�EL$
�:i., �...4
(714) 754-5273 • Fex (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2547 CORNERSTONE LN
Suitp No
ViCinity: PHASE 3 CORNERSTONE
Parcel Nunmber: TPN006147
npp�icant: GOODWYN, JIM
Address: 16845 VON KARMAN
PLUMBING PERMIT
Phone: 949-756-7373 " - �
Status: ISSUED
Applied: OBI042006
Issued: 08I04R006
ISSUED BY: �
IRVINE, CA /�. %' � Zip: 92606 �
� ' i
. %/�'
� �.�/��� ✓ A� __ . /�� �.
Owner. RICHMOND AMERICAN HOMES� -- �. � � � � �
Adtlres�j16845 VON'KARMAN� ' � _ - _ ' �, ' � , -. _ � � -� � ,��� �
,�/� \ � � / �! � � � Phone 949-756 7373 � �� � ' �\ �
/ _ _ .�� _ , � A.�_. �
/ ,i� /IR NE, CA� /�/ �: Zip: 92606 . � _ ; ,� , ' ,-� ��� �- A
�;'� �� �� �„��.��� / `VA�,
���� - �� "�' % �.
�' � -
Contractor RICHMOND AMERICAN HOMES OF CALIFORNIA INC ���. ;� ' �
, �, . � ,,.� ,,, _ �,. � � �� �.
, ,�-Adtlress:,' 5171"CALIFORNIAAV , ,,� i .
� �> SUITE 120 Phone: =949�67-2600 � � � � '
�, � �
, . , � ' IRVINE, CA , .. . Zip: �92617 , _ ' . .
� ` i , �, - - - � �License: 487535� ` , .
, .� , . �i� � � , �� � � . _ _ _ . � . .
,\
" . ` SCOPE OF PERMIT `
' PLUMBING�PERMIT FOR PHASE 3- PLAN 3CR - '
! �./ � �� ; , �,
�- CONSTRUCT A NEW 2,074 SF 2-STORY SFD WITH ATfACHED 461SF ATTACHED GARAGE AND 405F
- BALCONY AND 27SF ENTRY PORCH. . �
FIRST FLOOR965SF AND 2ND FLOOR 1,109SFi -'-' ;; , �
. � . ..,.. . . • .
REF#: BO6-01326 ' - � �
WORK TO INCIUDE: 1 BACKFLOW IRRIGATION, 1 DISHWASHER; 1 GAS (1-0 OUTLETS), 1 GAS "
SERVICE, 1 LAUNDRY TUBNJASHER, 1:LANDSCAPE IRRIGATION,�1 SEWER CONNECT, i SEWER
"CONNECT, 1 SEWER PRIVATE LINE, 2'SHOWERS, T KITCHENSWK, 5 WASH BASINS, 3 WATER�
CLOSET, 1 WATER HEATERNENT, 1 WATER SERVICE.'• ' - ' '
� �, �� �, �' FEE SUMMARY : �
� � � � �� � '� � AMT QTY � AMT � �
ISSUE FEE = ��523.50 Laundry Tub�l-Washer. -. 59.80 1
Backflow irtigatiom � �.59.80 0 Landscape lirig"ation � ��$14.80 1
BackflowPreventer 50.00, 1 P-Trap'� � �30.00�,- 0
Bathtub ' � � � 59.80 � . 1 Pressure Regulator � $0.00 , .0 .
� r.
Clarifer System�, � $0.00 �`; �0 � ' =_ � �%' Process Piping (per 10 N) - $0.00 �� 0'•
Connect(Ice,Soda,etc) .�50.00 ���-0�� ' Receptors ` . _ $0.00 0
Dental Units � �' � � r ; 50.00 �0 � =� ; Seplic Tank � ' "" $0.00 0
Dishwasher ' r�59.80 � 1�� �� ; Sewer Cap (or Demo. 50.00 0
Drain, Floor � ` $0.00� . �0 , � -�Sewer,Connect � ,. $24.65 1
Drain, Rainwater \� ��` 50.00 = 0 �\ �\` -Sewer Private Line- �� c�-$24:65 - 7- �
Drain, Roof ��;50.00�� i0- ����Shower --- _- ----- �_$19.80 2
DrinkingFountain �50.00� �0�'J!„ - Sink;bar $0.00 �'0-��
ExpansionTank 50.00� _�0 � �, ��Sink;commercial '� _ �,- 50.00 0 �
Gas Eanhquake Valve 50.00� �<0�'�, �� -Sink, Floor �50.00 " 0
Gas (1-4 oullef5) 56.15 ' 1 Sink, kitchen- \ , $9.80 7
i, � , " AMT '
Sump Pump' " � , 50.00
Swimming Pool $0.00
Trap Primer � � , 50.00
_ Urinal-, ; � �- � ' -50.00
- - '. Vacuum Brkr BkBow(1-4)� ' $0.00
� Vacuum.Brkr Bkflow(5+) � � $0.00
%�WashBasin �, �' ." $49.00
: � Wash Basin Set " , 50.00
� Waste-and Vent System 50.00
,( WaterClose4(Toilet) $29.40
�'�� Watei"Heaterlyent 512.30
� � �Water Piping{Ins1 or Rep.) 50.00
�� WaterRe-pipe 50.00
. WaterService 59.80
, ' Water Soflener 50.00
` OTHER 50.00
VIOLATION 30.00
PLAN CHECK 50.00
REINSPECTION 50.00
Gas (Over 4 oUtlets) 50.00 0 _-' Sink, service/mop 50.00 -- 0;'
Gas Repipe 59.80 1 `�-� Spa (private) -„ _: 30.00' � 0 "
Gas Service 50.00 0 Spa (public) 30.00 0
Interceptors (Grease, Oil) 50.00 0
Interceptors (Sand Auto ) 50.00 0
COMMENTS / SPECIAL CONDITIONS
TOTAL CALCULATED FEES: E272.65
gTM
0
0
0
0
0
0
5
0
0
3
1
D
0
1
0
.�7
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes,and related
regulalions. (Ortl. No. 92-28, § 7, 12-21-92) /� �
i
EXPIRATION: This permit shall automatically expire and become vald if work is not commenced wlthin 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 consldered legal, such work must comply with ell appliceble codes, antl all
requlred Inepeetlons end finel app�oval must be obtained. Failure to obtaln inspections and (inal approval will result In the explratlon of this permlt.
FOR INSPECTIONS CALL: (714) 7545828
2aee�e �aroo)
WORKERS' COMPENSATION DECLARATION:
I hereby ettlrm under penalry ot perjury one of Ihe following tleclaratlons:
❑ I have end wlll maintain �e certiticate of consent to setl-Insure for workers' compensation, es provided tor by sectian 3700 ot the La6or Code, for the pertortnflnce of t�e
work for which this permit is issuetl.
❑ I have and will maintein workers' compensation insurance, es required by saction 3700 of the Labor Code, for Ihe pertortnance of Ne work for which this permit is Issuetl.
My workera' compensation Insuranc�rrier entl poli number ere: �C� J�� '� �/�
Cerrier: �.MP✓�`(s�..-� )✓NP ��i�ir/.11NGP PoIlcyNumber: ID
(Thls section need ot be completed il th rtnlf /s velued t on'e huntlred eWlero ($100) or less.)
❑ I certity ihet in ihe perfortnanca af t�e work for whic� ihis permlt Is issued, I shnll not employ eny person in eny menner so as to become subJed to the warkers'
compenselion lews Gallfomia, end egree lhat if I s�aultl become su6Ject to the workers' compensation pmdslons o1 Sectlon 3700 of lhe LeUor Code, I shell toRhwith
comply wit� ��ese pr isions� �/�/� h
Applicant Slgneture: Dete: �
WARNINO:FAILURETOSECU WORKERS'CO SATI OVERAGEISUNUWFULlWOSHFLLSUBIECTrWEM%.OVERTOCRIMINALPENALTIESANDqVILFlNESUPTOONEHUNDRED
THOUSAND Oq1ARE (5100, . N ADDfTION TO THE COST COMPENSATION, OAMAGES AS PROVI�ED WR IN SECTION 3]OB OF THE UBOR CODE, IMEFEST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eHirtn that I em
force end eNect. Lic. p_
Comrectors Slgneture:
CONSTRUCTION LENDING
8(commencinp with Sectlon 7000) of DlWslon 3 ot the 8
CIa55 p
__. _. _ . Dete:
Code, and my Ilcense Is In tull
❑ I hereby aBirtn that there is e wnstruction lentling egenq tor t�e peAormance ol Ihe work lor which ihis permit is issued. (Sec. 3097, Civil Code).
Lendefs Name: Lender's Adtlress:
SipnaNra:
Date:
OWNER•BUILDER DECLARATIONS:
I hereby aNirm that under penalry oi perjury Ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business end Protesslons
Cotle: Any ciry or counry which requires e permit to consWcL alter, improve, tlemolish, or repair any structure, prior to its issuance, also requires the sp0liceN tor such permit
to fle e signed statemem that he ar she is Iicensetl pursuant to the provisions ot !ha Contrectors License Lew (C�epter 9(commencing with Section 7000) of Division 3 ai Me
Business and Profeuions Code) ar Ihet he or she is exempt theretrom and Ihe basis for ��e elleged eaemption. Any violetlon of Section 7031.5 by any epplicant for e pertnit
sublecis the epplicant to e civil penelry of not more Ihan five hundred dollars ($500).):
� I, as owner o1 the property, or my employees with weges es Iheir sole compensation, WILL DO THE WORK, end the slmcWre is not Intended or oHered tor sale (Sec.
7044, Buslness and Professions Code: The Contractors License Law does not apply to an owner of property who builds or Improves thereon, end who doea such work
himsalt or herself or Ihrough his or her own employees, provided that such impravements ere not Intended ar ottered for sale. It, however, Iha building or Improvement is
soltl within one yeer of completlon, the owner-builder will have the burden ot proving ihat he or she tlid not build or improve tor purpose of sele.). '
❑ I, as owner oi the properry, em EXCLUSIVELV CONTBACTNG WI7H LICENSED CON7RACTORS to construct the project (Sec. 7044, Business and Professions
Code: Tha contractors License Lew does not appty to an owner of pmperry who builds or improves thereon, and who contracis for such project with a conirector(s)
IlcenSe pursuan� �o �he Contraclors LicenSe Lews.).
❑ I em exempt untler sec. Business end Protessions Cotle for this reeson:
Signature: Date:
Owner ID veritied by drivefs Ilcense. ❑ Yes ❑ No �riveYs License No. Expires:
Vetllication ot Ownership by (type of daument, i.e. - property ta< bill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFlCATION:
❑ I hereby ceriHy ihat no excavetion flve (5) or more feet In depth inta which a pereon is requlred to tlescentl, wlll be mflde In connectlon wl�h work euthorized by thls
pertnit, end ihet no bullding structure, scafloltling, telsework, or tlemolltion or dismantling thereol, wiil be more Ihen ihirty-six (38) feet high. (Chep. 3.2, Grp 2, Art 2, Sec.
341, 77tle B, Callfomle Atlminisirative Cotle).
❑ As owner-bullder, I wlll not employ enyone to do work which would require e pertnit from the Divislon of Industnel Sefery, es noted ebove, unless such person hes e
permlt to tlo such work Irom ihe tlMsion.
Signetura: Dete:
Oivislon ol Indusirial Safery Permit Number:
CERTFICATE OF COMPLIANCE AND AUiHORVATON OF ENfRY: I certify under penalry ot per�ury thet I have read this applicetion and state ihet ihe informatlon given is
corcect. I egree to comply wlth ell-state laws and Gry ortlinances relating to building conshuction, entl authorize represantetives of the Clry ot Casta Mesa to enter upon the
ebova-descnbed proparty far inspection purposes. I egree no� to occupy or allow occupency ot eny building euthanzed by Ihls permlt until tinal inspectlon.
GODE t INSVECTIONTYPE"'
1618 Fixed System Final Fire PrevenUon
1268 Pool Spa Final
200 Final Re-Root
201 Finel8locWRetaining Well
202 Final Fectory Fire Place
203 FinelSign '
204 Finel Demolition
� I�
���/� Date
� �ate
COOE 1 INSPECTIONTYVE
206 Final Mechanical
20B Final Plumbing
210 Finel Elecidcal
212 Finel Fira Preventlon
220 Flnel Plenning Appravel
222 FIneI5lte
250 Finel Building/Occupancy
ItIIIDlL$
�
��ption
•ne
COMSVLIINL fNLINfERS
~ ? STRUCTURAL OBSERVATION REPORT FORM
_u ___: __ : � _^RTCHMOND AMERICAN HOMES_.:. ,_. _ :
PAGE I OF I
THIS REPORT MCLUDES ALL CONSTRUC'f10N WORK THROUGH THE: 5'" Day of Ocrober 2006.
PROJECI': "Comersronc" - SFD OPTION ONE 1.N.: O106•1253
LOCpTION: CosteMesa,California BLDG.PERMITNo.:
OWNER: RichmondAmcricanHomcs LOCATION/DIVISION: OrangeCounty
ARCHITECT: Bassenisn Lagoni Architects ARCHITECT 1.N.: BLA-5165
S7RUCI'. OBS. OF RECORD: Gary A. McClanahen, P.E. LIC. or REGISTRATION Nos.: C-42553
STRUC7'URAL OBSERVER: Mike Berhe, E.I.T. EtT45397
OBSF_RVED STRUCTURAI, F.LE\fE\TS R THEIR CON�ECI'IO\5: LOTfSI & PIIASF.OBSERVED:
Interior and Exicrior General Froming; i.e., roof ws5es, wof shcathing, Lot 13, Plan 3CR, 2547 Comerstone Lane,
shear elemenLs, holdowns, iloor sheathing, floorjoiscOwisses, beams, headers, Phasc 3, Tract N16937,
end grneral hardwara Costa Mesa, Califomia
OBSERVEDDEFICIE\CIES: prrncnnowiw.vncvacESiFr+ECEsswr�
The deficiencia enNor non-conforming items notcd during obscrvation visit have been wrtatcd
and installed by a wllaborated eBort of the pmject sup<rintendent and Ihe Gaming foreman.
Initial / Comoletion Dntt:
MB//0-05-06
Construc�ion 0 HVAC 9—Elestasai 0 Plumbing d—�b�°�Si6eA O Plywd CI'g � Deck
Stage: SheaF-Wa+k Lid(s) Option
�Nae: Whm box k checked, d iiM'xates Ihaf constn�d:on stage B in prog2ss, a�Md has raf yet been campkfed af fhe tirtie o6servafion nas conduded.
0 SiRUCtURAl SYSTEM WAS VISUALLY OBSERVED TO BE M GENERAL COhffORMANCE WITH THE APPRO`1ED PLANS.
❑ STRUCTURAL DEFlCIENCIES ARE OF A MMOR NATURE & MAY BE REVIEWED BY CITY BLDG MSPECTOR FOR COMPLIANCE.
1 DECLARE THAT TH E FOLLO�VI\ G STATE�IE�TS ARE TRUE TO TIIE 6EST O� MY IINOW LEDGE & BELIF,F:
L I A�Vt THE REGISTERED E�i'GNEER WHO HAS RESPONSIBLE CHARGE
FOR THE STRUCTURAL OHSERVATION.
2. I, OR ANOTHER QUALIFIED-CHARGE OBSERVER WHO I HAVE
DESIGNATED ABOVE AND IS Wi DER MY RESPONSIBLE CHARGE,
HAS PERFORMEDTHE REQUIRED SITE VISITS AT EACH
SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE
STRUCTURE IS M GENERAL CONFORMANCE W ITH THE APPROVED
PLANS AND SPECIFICATIONS.
3. ALL DEFICIENCIES, VlF11CH I DOCUMEMED, HAVE BEEN CORRECTED
UNLESS OTHERWISE MDICATEDABOVE.
4. ALL OBSERVED DEFICIENCE$ SHALL BE CORRECTED AND
APPROVED BY THE OBSERVER PRIOR TO FINAL ACCEPTANCE OF
THE STRUCTURAL SYSTEMS BY THE BUILDMG DEPARTMEM.
5. THIS REPORT IS PROVIDED TO THE OWNER AS A PART OF THE
OWNERS OVERALL CONSTRUCTION QUALITY CONTROL PROGRAM.
6. ppTION ONE HAS PROVIDED STRUCTURALOBSERVATIO�1 M
ACCORDANCE WITH THE SEAOC RECOMMENDED GUIDELMES FOR
THE PRACTICE OF STRUCTURAL ENGMEERMG M CALIFORNIA.
SIGNED BY:
� N° C0425;
Exp. 03/31/
STAh7P& WF.TSICYATUREOF
STRUCI'URALO�SERVEROF'RECORD
5'" Day of October 2006.
STRUCI'URAL 06SERVATION DOES NOT WAIVE THE REQUIREMENTS FOR MSPECTIONS BY CITY BUILDMG
MSPECTORS. ALL WORK MUST COMPLY W ITH THE APPROVED PLANS AND APPLICABLE STATE & LOCAL CODES.
Dowmentl (Rev. 1/5A5)
Option One Tel 949.553.1916
Consulting Engineers 20311 Acacia St., SuiTe 240, Newporf Beach, Co. 92660 Fax 949.553.9720
Ar1eMc . 1TRFFTFR
CIVIL ENGINEERS INC.
Dccember 12, 2006
City Grading Inspector
City of Costa �9esa
Development Scrvices Department
77 Fair Dri��c
Costa Mesa, C�liforniu 926?fi-l200
OS-IS73
IRVINE • RIVERSIDE
Jan A. Adams • Randal L. Streeter
Subject: Civil Engineers Certi(ication of Precise Grading
Project: Tract No. 16937 — Lots 4 and �- [3uildings 12 through l9
Cornerstone at Harbor Bl��d.
Costa ��lesa, California
Reference: Precise Crading i�`ermit Number: G06-00003
Address: 2501 Harbor Boulevard, Costa 19esa, California
O���ner : Richmond American F[umes
Ceneral Contractor: Richmond American Homes
In accordance «�ith City of Costa Mes❑ Grading ;md Excavation Code, and the
reyuirements of the Buildin� Code, I ccrtify approval of this project as ouUined above, to
precise grade. Precise �rading has Ueen completed in conformunce with appro��ed prccise
2radin� plan for this project and in full complianee �+�ith said Codes. Ceitification
includes horizontal and vertical conuol for drain:�ge devices, .ind positive buildin� pad
dr.�ina=e. �
This appro��al does not include ��� tt�or compaction of soil, which is under the
/oFG �,S!;^,-\
purvicwo(thcsoilcn�>ine�r. :�rFO� ��Gh-,��'��
/f� , `'j�' %: � l
, v, w (� lil'.
L I , O 1
� L= C'
v iY0.Q2(+i�J G1T.��
� � I �-:Ifdl n �'JI.
:
M. Mohammadabadi, Projcct
Adams Streeter Civil Eneineers Inc.
15 CORPORnTE PARK
rienec cT
Exp. 3� 3t �D$
I:'Il�_,.A*!
�,a,_�FC'j2 E#: d?615 (Exp. 3/31/OS)
IRVWE, CA. 92606 • TeL (949) 474-2330 • Fax: (949) 47d-0251
L (9511 352