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Home My WebLink About2952 MAUI PL - Building Permits(714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mes��u�TRICAL PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 ,lobnddress; 2952 MAUI PL Suite Na Vicinity; REAR YARD SFD Parcel Nunmber: 4 Applicant; Address: Owner; Address Contractor: Address: 13925216 ERIC WELLENCAMP 26722ASHFORD MISSION VIEJO, CA LYONS, DENNIS SHANE 2952 MAUI PL COSTA MESA, CA � OWNER-BUILDER Phone: 714-504-5758 Zip 92692 Phone: Zip: 92626 Phone:" Zip: License: D00000 ISSUED BY: SCOPE OF PERMIT PERMIT FOR ABOVE-GROUND SPA, BAR-B-Q AND FIRE PIT AT AN EXISTING SFD. Status: I SS U ED Applied: 05/30/2007 Issued: OS/30I2007 1 RES APPL, 3 OUTLETS - - NO OTHER WORK AUTHORIZED WITH THIS PERMIT. FEE SUMMARY '` . . _ ISSUE FEE Temp service t�st Res. a/c package New Res (1-2 unils) New Res (3+units) Pool / Spa Lighting Fixts Recepl Outlefs Switches Non Res Appl � _ Res Appl Service l0 200a Service to 1000a Service over 1000a Motors to 1 hp � , Motors to 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Siqn Circuits Temp Pwr Pole Intermed Pole $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $3.30 $0.00 $0.00 $0.00 $475 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity � - Temp Dist System / Lighting �Busway/100ft - - - � � - - , Sianding Section ' - -. - � � 0 - Misc Electrical Equipment 0 Transformers up to 1 kva/kw 0 ................up to 10 kva/kw 3 .................up to 50 kva/kw 0 .................up to'I00 kva/kw p Y.-...� ...:............over 100 kva/kw 0 , , Low Voltage Equipment 1 �• � Low Volt Wiring System /Ckt 0 - �- ' Misc Conduit i--�-.0 . Misc.Conductor."., .-' , 0� � . Circus ( gen or ride) � 0 . Circus (mech ride or lights) � � � 0 Christmas Tree Stand - .0 � Fireworks Stand 0 - Other Electrical Fee. Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 -- " 0 $0.00 0 $0.00 , 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 , 0 �. � InvestigationFee . � $0.00�� . 0 � - , Plan Check Fee . - � � $0.00 , 0. � Reinspeclion Fee � $0.00 � � 0-_ � TOTAL CALCULATED FEES $31.55 0 n��vurc � cnon�w� nnunrr�r�uc NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized undar this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspectlOns end finel epproval must be obtained. Failure to obiain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 33��tY(1J] WORKERS' COMPENSATION DECLARATION: I hereby aflirm under penaHy ot perjury one of ihe following declaretions: ❑ I have and will mainteln a cerlificete of consent to selt-Insure tor workers' compensation, as provided for by section 3700 of ihe Labor Coda, for the perfortnance of ihe work for which this permit is issuetl. ❑ I have and will maintain workars' compensation insurance, as required by section 3700 of ihe Lebor Code, for the pertortnance of the work br which this pertnit is issued. My workere' compensation Insurence carner and policy number are: Cartiec policy Number. (Tpis section need not be complefed il the permit is valued at one hundred dollare ($100) or Iess.J �U\ I cenity that in the pertormance oi the work for which this permit is issued, I shatl not amploy any person in any manner so as to become sublect to the workers' compensation laws of Califomia, entl egree that if I should become subject m the workars' compensation provisions of Saction 3700 of Ihe Labor Code, I shall fonhwith comply with these pro sion Apph'��ISignatme: �—�l� r B» �'—.�O—�r% WAqNING: FAILURE TO SECURE WORKERS' CAMPENSATION W VERAGE IS UNLAW FUL AND SHALL SUBJECi AN EMPLOVER TO CRIMINAL PENALTIES AND pVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAFE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]Ofi OF THE LABOR CADE, IMEREST, AND ATTORNEV'$ FEES. LICENSED CONTRACTORS DECLARATION: I hereby aflirm ihat I am licensed under provisions of C�apter 9(commancing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force antl eHect. Lic. M Class # Coniracto/s Signeture: Date: CONSTRUCTION LENDING AGENCY: ❑ I hareby attirm that thera is a constmction lending agency tor the peAormance of the work tor which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirm Ihet untler penelty of perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business antl Professions Code: Any ciry or county which requires a permit to construct, alter, improve, demolish, or repair any simcture, prior to its issuance, also requires the applicant tor such permit to flle a signed statement that he or she is Ilcensed pursuent to ihe provisions of the Contrectors License Law (Chapter 9(commencing with Section 7000) of Divisian 3 of the Business and Protessions Code) or ihat he or she is exempt therefrom and the basis for tha allaged exemption. Any violation of Section 7031.5 by eny applicant for a permit subjects Ihe applicent to a civil penalty of not more then five hundrad tlollars ($500).): ❑ I, es owner of the properry, or my employees with weges as their sole compensation, WILL DO THE WORK, antl the stmcNre is not intentle0 or oHered tor sale (Sec. � I 7044, Business and Professions Code: The Contractors License Law does not apply to en owner of property who builds or improves thereon, antl who does such work himsel� or hersetl or ihrough his or her own employees, provided ihat such improvaments are not intendetl or oHeretl for saie. N, however, �he builtling or improvement is sold within one year of completion, ihe owner-builder will have the burden oi proving ihat he or she did not build or impiove for purpose of sale.). � I, es owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business and Professions Code: The coniractors License Law does not apply to an owner of property who builds or improves thereon, and who contracis tor such project with a coniractor(s) license pursuant to the Coniractors License Lews.). ❑ I am exempt under sec� SlDnatuie:>� Owner ID ventied by driver's licen e. Verificatlon o� Ownership by (type of �_ Business and Professions Coda for this reason: oare? _y�^30-0 s ❑ IJo onveKs.Lice�se Mo. ExpUes: �-�� i.e. - properry tax blll or deed): _ DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihat no excavation five (5) or more feet in depih into which e person is required to descend, will be mede in connection with work authonzed by this permit, and that no building simcture, scaHolding, falsework, or tlemolition or dismantling ihereof, will be more than thirty-six (38) teet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title e, Califomia Atlminisirative Code). ❑ As owner-builder, I will not employ anyone to tlo work which would require a permit from ihe Division of Industrial SateN, es noted ebove, unless such person has a permit to da such work from ihe tlivision. Signature: Date: Division of Industrial Safary Permit Number: CERTIFlCA7E OF COMPLIANCE AND AUTHORIZATON OF ENTRY: I cenity under penalry ot perjury ihat I have read ihis application and state that ihe iniormation given is correct. I agree to comply with all state laws and ciry ordinances relating to building constmction, and aNhonze representativas oi the Ciry of Costa Mesa to en[er upon the ebove-described propeRy for inspection purposes. I agree not to occupy or allow occupancy of any buiiding authorized by ihis permit until final inspection. CO�E N, MSPECTIONTYPE �I€ INTITIqLS 1676 Fixed System Final Fire Prevention 1266 Pool Spa Finel 200 Final Re-Rooi 201 Flnel BIocWRetaining Wall 202 Final Fectory Fire Place 203 Finel Sign 204 Final Demolition C 0 1 INSPECTIONTYPE 206 Final Mechanical 208 Finel Plumbing 210 Final Electricel 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy OATE ixrrtu�s : ir r�1C�i May 29 07 03:29p FR01'1 :C:T'r OF C65TA hESfa S �e Lyons FFtX N0. :714 i�4 99:�0 t i 444 3594 p.2 Mey_c9 200i 10�0�'aM PI ��_ �'�.�,�, ��- 7� y- �� / FS �� OWNER�BUlLDER '"� VERIFICATION ��-7_ � S Z Z � � Annr�:s: "�`� �`i �-- ' L�' 1'`�� Pcrmlt s: /P L� %' i� D�� - — A ciry ur county, whicl� is rcyuircd tu givc notice punuant to �cction 19tl3U, shall unach ro sud� nnlico: nnd, as a cuudition preccden� to i.esufng a bidld;oq �xnnii, rcqui�r dic complc�ion and rey��c d�e ietum uf, �n owitcr' huildcr venficalion. Ancution Property Uwner: An bumer-bud�kr' bai2dmg pemut hns hccn apptitd fix in yrour nnniu ;wd bearinp your sigm�ure. Plcux crnnplek and rehun tAis infi�m�ation in [he.envelopt pruvided nt ynur carliest oppnrti�niiy to avo;d uanccessa�y dclay i�i praeccing anJ issuing your bui(ding permit. No builJin � c i'yt a•ill hc.i..sue tultil. Il,iis veritiealion is ceceived. 1 persoeally plsn co pmvide tht mal�r labor m�d msterials Wr con+irucNun of ihe pru}�u�cA propeiTy unprovcme�it �] Yce ❑ �o T. I�IW VG�IIJVC IlVI� �"1��- d�= 5igncA �n applirnlion far a buildiug permit f�r the prnpnsed work. 1. Imve contrxtcd witli Ne f'ullnwin� persun (tinn) to pmvide Uie proposcd co�utn�c�iun, �dtnc_��11�4.(� I.ti�p.S'i' - �,r1G .�?��.�E.i1Cl�u:�---- Adiheus�..��jt�`t'C�^� C� .... �'��v..�1.L�i`Ll.�� l�.�l. PilOilc(�I Y_��-1. _.��... ._ Con�rJcior'SLtC.�lu. Iy�LL=�_�...� 4, I plan to provide purtions nf thc wvrk, but 7linvc I,ir«I t1K following p��un to enonlinaie. xu�7Crvinc and providt Ihc ma,jor work: Name... _ C � G �1:L��Cj,��l..L�-� Address��k>�--, _ City --. . _^ Phimc( }__. . .._-- Couuactnr'vLic.No... ._ ..--- 5. 1 will pmvidc somc of the wurk br.t 1 havc cuntncteA (Ivnd) the fnlinwing persnna ro provide 16c u•ork mdicated: vamc Addrevc Phnne Typc of Work S�i;��r� _. P .�. P>_c�� ._�L1-5�4L� �S 'La� � L�� C�. __ . C.0'i'�t� t'1'� _-fn I YY1f t-: Ft�r- �j�,��.� --- —...—.._� i�i�c�r�rz- ,,.;.. ��. „K,,, May 29 07 03:29p FRCM :f1:`Y C1F CDSTFI MESR Shan_ Lyons FRX MO. :'.'14 754 48% 714 i4 3594 ,-., � M3y. 29 Z007 10_�F7RM P� 1 I�ercby atlitro that I ha�e rcccived a copy of ihc informniion sct I'orth in Stction ]9X1p ol the Stacc o,` Calitbmi¢ NeaIW and Safcty CuAe and have completed thc alove infnnnntimi ro U�c best of oiy Ficrs.+�aal knowkYfge, in complianec wirh this S�ate law. i Signed: J��'�'��. �.____. Namc- ��!1 ��tl �.l_`'Y�_ 5 _ --. — .— �r�nrcn n Tyrcn) � � �— � . �' —7 Date: � � L / . Fnr more intonrution call Ciry o( ('ostn Mna Duild6ig Uivision ot (710) 750-527,3. ld]ie tAer, nryl p.3 May 29 07 '03: 2Jp Sh_.�e L�ons 05l29r2097 9"t:13 9a936725a9 ��t.LL�FM1WWEST OECLARATION OF AUTHORITY FOR AGENTS OF PROPERTY OWNEft TO APPLY FOR PERMITS 714' 444 3594 PL1�iE C7? BIOp. PermA p ____ T�i6 Peimil � ',c� � �„�..,: � � � , �.� � � � , � � � �� , n�l AP Num6er 1. I(ws), �! ` �1�� I L-.l�i'�i� � _, eeclare thal i am Ue Owner of Tdie ol ihe aDova rsferei+ced roa1 p�opeM. snd tha� i( ) horeby auMorize: NNne: U� {' �.3�QC,1�+�i�� Li'C�I�I��C/�Aa4pnon Numeer: _ SlroolAQCre�e: �v I �� l7�1��/il Clry: I 1�i:�/]�/ � �,�,tT' Sute' ��_ _ 2ip: �" _ (� . b OOtiin perrNm h my D�hall, 7a ownerlDullder, Wr 01 Q�6 �pOVP f�fSRCbd p/Operty_ I. ShouM �ny p�non �ewme an �mpby�� enpeped in the improvemant ol lhe prope.ry, i(ws) s�ell Immedialaiy prov�de WorAors Compennation Ineureace covereqe a�e wwe a certlflwte ol thai caverage ro oe fiieE wilh Ne Building Divisron of Ine Ciry of Cocte Mete, » rputrgE py Smte ol Caltlemle Is.va. J. As ornn/Dulldsr in fatl. I und�rtland enE accept Ihal mv roaponsiDllities Ao noi ransle� lo eny olher person, comDany w mrponlbn. �. I epros b trdemnily an0 Iaq Me pry ol Co�u Mesa and As •rtryiioyees or oHicen narmle¢c hom any claim resulllnp in tlamage or ppsonBl ln�ury lo mywM or any ot�er D�nisa aa a reeult o1 worh aulMrized bY tM pa�mila Irom tt+e Cliy of Gwla M95a. S. ( tledole unAer IAa p�nally pl per�ury Met IM brepolnp b true snd wrroct. �aan.e ini� �� oay oi _�(� zo �. e� 1 � 1��` (1� , c�iaomie. Flm Neme:/ \ ��'�( L �`�'� Z _ i Sqnawre: � �� _ ✓ �/ �Dele: � � i NoOs: tTw rRQv�n� ao�s ro( pTt aunoAraeon b{�nlmn tl�e � ais o.yne�r. N�oYy p�v.�idps b 6+Y40 Da►a' ot Olbmey b advro Inis pertnd h eny beliaN en�alp, vum p.l (7/4) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mes��.�BING PERMIT n FAIR DRIVE, COSTA MESA, CA g2626 JobAddress: 2952 MAUI PL Suite No Vicinity: REAR YARD SFD Parcel Nunmber: 13925216 Applicant: ERIC WELLENCAMP Address: 26722 ASHFORD MISSION VIEJO, CA Owner: LYQNS, DENNIS SHANE Address 2952 MAUI PL COSTA MESA, CA Contractor: O W N E R-BU I LD ER Address: Phone: 714-504-5758 Zip: 92692 Phone: Zip: 92626 Phone: Zip: License: 000000 ISSUED BY: SCOPE OF PERMIT PERMIT FOR ABOVE-GROUND SPA, BAR-B-Q AND FIRE PIT AT AN EXISTING SFD. 1 GAS OUTLET (1-4) NO OTHER WORK AUTHORIZED WITH THIS PERMIT. ISSUE FEE Backflow ircigation Backflow Preventer Bathiub Clarifier System Connect pce,Soda,etc) Denlal Units Dishwasher Drain, Floor Drain, Rainwaler Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 oullets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT 523.50 $0.00 $0.00 50.00 50.00 50.00 50.00 50.00 $0.00 50.00 50.00 50.00 50.00 50.00 $6.75 $0.00 $0.00 50.00 50.00 50.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 FEESUMMARY AMT LaundryTub/Washer $0.00 Landscape Irngation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 k) 50.00 Receptors 50.00 Septic Tank 50.00 SewerCapforDemo 50.00 SewerConnect � $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar 50.00 Sink, commercial 50.00 Sink, Floor 50.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS Status: ISSUED Applied: OSI302007 Issued: 05/30/2007 SumpPump Swimming Pooi Trap Primer Urinal Vacuum Brkr BkFlow(1-4) Vacuum Brkr BkFlow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater I vent Water Piping pnst or Rep.) Water Re-pipe Water Service Water Sottener OTHER VIOLATION PLAN CHECK REINSPECTION AMT 50.00 SO.OQ $0.00 $0.00 50.00 $0.00 $0.00 §0.00 $0.00 50.00 50.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 TOTAL CALCULATED FEES: $29.65 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § t, 1241-92) EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced within 180 days, or il work is suspended or abandoned for a period of 1 BO days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapections end finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permil. FOR INSPECTIONS CALL: (714) 7545626 . 2d48d8 (fl�W � WORKERS' COMPENSATON DECLARATION: I hereby ettirtn under penalry oi perjury one ot t�e following declarations: ❑ I heva and wlll meintain a certificate of consent to self-Insure for workers' compensation, es provlded for by sectlon 3700 of Ihe Labor Code, lor Ihe pertormence of the work tor which ihis permit is issuetl. ❑ I have and wlll maintain workers' compensation insurance, as required by sectlon 3700 of the Lebor Code, for the peAormance of the work for whic� this permit is issued. My workers' compensation Insurence carrier entl policy numbar ere: Cartier: Policy Number: (7Tis section need not be completetl i/ fhe permit is veluetl af one hundred dWlers (S100J oNess.) � I cetlity Ihat in the peRormance ol ihe work tor which this pertnit is Issue4 I shall not employ eny person in any menner so as ro become subject to the workers' compensation laws of Califamle, anA agree thel If I shoultl become sub�ect to ihe workers' compensatlon provislons of Saction 3700 of Ihe Lebor Cotle, I shell torthwith comply with Ihese rovi ipce—) Ap�plicant:5lgnat e: � L oe�a:_ S-3 O— a 7 WARNINO: FAILURE TO SECURE WORK S' COMPENSATION COVEPAGE IS UNUWFUL PN� SHALL SU&lECT AN EMPLOVER TO CRIMINAL PENALTIES AND CML FlNES UP TOONE HUNDRED T1qUSAND DOUARE (5100,000), IN ADDRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED WR IN SEGTION 3]OB OF THE LABOF COOE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm thet I em licensed under provislons of Chapter 9(commencing wlth Section 7000) ot Dlvlsion 3 0l ihe Buslness antl Prolessions Cotle, and my license Is in full lorcre entl eHeci. Lia % Cless p Contrectors Signeture: Date: CONSTRUC710N LENDING AGENCY: ❑ I hereby aNirm that thare is e consimction lending egency for ihe peAormance of the work for which this permit is issued. (Sec. 3097, Civil Cotle). Lenders Neme: Lentler's Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: 1 hereby eftirtn Ihet under penalry of perlury Ihat I em E%EMPT FHOM 7HE CONTRACTORS LICENSE LAW Por the tolloWing reasan (Sec. 7037.5, Business and Protesslons Code: Any ciry or counry which requires e permit to construd, elter, improve, tlemolish, or repair eny siructure, pnor to its issuance, also requlres the applicant for such permit to lile B 5lgned 5tatement ihat he or sha is Ilcensed pureuant to lhe pranslon9 0l the Cantrectars LlcenSe Lew (Chepier 9(commendng wlth Secllon 7000) of Dlvision 3 oi the Business and Professions Cotle) or thet �e or she is exempt t�eretrom and the besis for the allepad exemp�ion. Any vlolation oi Sectlon 7031.5 by any applicant for a pertnit suE�ects tha eppliwnt to a cMl penalry of not more than flve huntlred dWlars ($500)J: I� I, es owner of the properry, or my employees with weges es their sole compensation, WILL DO TME WORK, end the sirucNre Is not InterMetl or aHeretl for sale (Sec. I I 70a4, Business and Professions Cotle: The Coniractors License Law tloes not apply to an owner of pmperty who builtls or improves ihereon, flntl who does such work � hlmself or herself or ihrough his or her own employees, provided ihet such improvements ere no� Intended or offerad for sale. If, however, the building or improvement is r sold within one year ot completion, the owner-builder will heve the burden of proving ihat he or she did not build or Improve tor purpose ol sale.). � I, as owner of Ihe property, am EXCLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 70A4, Business and Professlons "`Code: The contredors Llcense Lew does nm epply to en owner ol property who builds or Improves Ihereon, and who contracts for such project with e coniradar(s) license Dursuant to the CONrectors License Lews.). ❑ I em exempt under Owner ID vediietl by tlnver's"license. Vedficetlon af Ownership by (type ol Business antl Professions Code for Ihis reason: s ❑ No Orivers [icense i.e. - property �a�c blll or deetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hareby cenity thet no excavation live (5) or more �eet in tlepth into which e person is requlred �o descend, will be matle in connection wit� work euthonzed by this permit, entl ihat no building siructure, scattolding, falsework, or demolitlon or tlismantling thereoi, will be more then ihirry-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Celifomia Atlminlstrative Code). ❑ As owner-bullder, I will not employ enyone to do wark which would require e pertnit trom tne Divislon of Indusirial Safery, es noted ebove, unless such pereon hes e permit to do such work trom the tlivision. Signature: Date: Division of Industnal Satery Permit Number. CERTIFICATE OF COMPLIANCE AND AUTMORIZATION OF EMRY: I cenify under penalry ot perjury that I have read this application entl state ihat the iniormetion given Is correct. I egree b comply with all state lews antl ciry ortlinences relating ro bullding construction, end euthodze representatives of ihe Clry ol Costa Mesa to enter upon Ihe above-dascribad pmperty for inspedion purposas. I agrae not to occupy rn ellow occupancy ot eny builtling authorized by this permii until tinal inspection. �natur galOwner(s) C ��- .�-3 0 -o �N�cAUNahzetl:Applicant.. �C GOpE I, INSPECTIONTYGE QdIE III�ELS 1676 Fixetl System Final Fire Preventlon 1268 200 201 202 203 Pool Spa Final Finel Re-Roof Flnel Block/Retaining Wall Final Factory Fire Place Finel Sign 204 Finel Demolition yQUE� INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Finel Fire Preventian 220 Final Planning Approval 222 Final Site 250 Final Buildinq/Occupancy PAg It�Lfl May 29 07 03�.29P FrTCX'I : C: T'r OF I;OSTR hESH SI AdArcss: e lyons 7 44A.3554 P-2 �jyK Fq. :71a r..a a35o Mey_=S 2�307 10:O��H Pl Y� �'�„�,��r�-��y-�� a��.�.� OWNER�BUfLDER VER�F��CATION ro7- oo � z � V L�� PcrmN q: �c/7 �% �� A cily nr counry, which is rcyuired tu givc notice punnani [o �cqion 14M3U. shall �ilach ro sud� nnlice, nnd, as � Cuucliif911 pfcccdent TO iuswng a b�iildinq �xnni�, *rquirc Ihc complcuon and rcyuhc thc ietum uf, nn owne'' huildct venticalimi. Attcntion Property f )wner: An'uwner-bwkkr' buildmg pemut hns hccn :��,plied fix in yonr naaic;md DearinE your siPimwre 1'Icux cnmpltle anJ rchnu iLis iidum�atinn in i�h<.cn�elOpr �rovided ot ynur earliat opponuniiy to avoid uanncessa�y delay i�l prucec�ing and issuins yuur buildi�g pcenit. ,tio builJiu • e�'yl wiil hc,is_,.ped tuttil tlirs veriliCaliUn is rceeird. I personnlly plan to pmviAe �he majnr labor and m�terials tbr con.trucNun of ihe propuscA pro�xnynnprn��ment. �] Yca ❑ �io . ` i. I IIIOVC/I19VC IlUI� �1G.1,� 1°�= signcA an applirnlion for � M�ilding pennn G�r Ihe pmpnsctl wotk. ;, Iti7ve contracted will� tht lollnwing persun (tinn) to pmvide U�e propuccA cmutnicuon: �a,,,� _1,�/ - l �i��ti(�—L�!L.�-t- - �nC- _1,N�'.�.C;:1C1Lu� . n�i�kru �(r-l..�h-�d _ �'+:r _ 5� �^. ^�� e��, P�Itllll'I�I_Q�L�...��... __(:nnlrBCfOf�SL:C.�Iu._�j�_�l_, / 4, 1 pl�n to pnwiJc portioaa nf thc wurk, but I hnvc hireel t1�e tollowing penon to cnonfinaie. pnpervi.r and providt Il�c major wa�k: Nama... , G '1 G 11:'l'.��-C1:111{.f� -- — _ 1 . Aldrees--- ' �p�,�,�__.. City --, . Phunc( )_�� . .._-- Couu�ctor'zLiaKo... ._ ., 5. 1 will pmvi�ic some of the wwk hv.i 1 hsvc contracceA {�d) ehe fnll�wiog peRe+ns w provide thc u�ork indm�lrJ: Namc Addreac Phnn< T}pc nf Work 5��f-F _. �. D. P,.9l�� 3 �Li- 5�4 L� �•`� 'L��- L��SC - V� C.G',5�t� �'1� �-{n I �'YiCc-�i�r ��. �. . �� ,L� — _�—_ � .— ._� I'Ai�C�,y¢- ,oe... �n.. �;.,n �.. May 29 07 03:29p FPCM :f_!'Y OF COSTA MESR �har. Lyons FaY: PIO. :?l4 ?SJ 48�6 714 44 3594 �� • M3y. 29 2�417 10:�F7Po1 P2 l lieieby ailirm that { ba�e rcc�ived � aopy of �hc uifurmniion sct foM in Scetion 19X}0 of the Sra�e of Califomiu NeaW� nnA Safety Cude artd have completed tlx alove infonnation ro U,c bcst. of ary }xrsonal knowlcJge, in complianee. wilh Ihis State law. � 'l � � -7 Sibmed: ' ' ��. ---, Dale: � �. ._. Yamc:�___L"1�� I��L`�'�-'�, _�.�.____ �rintU a Tyrcr�) r.,.n.t. C��._ �— .� . Fnr more in►ortn�rion eall City �� Custa Maa Duildiug Uivision o� (710j 7$i-527.i. 1p10.1M1 lAer. nNq p.3 May 29 0? Oy:��9p SV. .ie Lyons 7,� 444'3594 p-1 05129i2007 �2:13 9a936725a9 WELLYenIPbiEST DECLARATION OF AUTHORITY FOR AGENTS OF PROPERTY OWNER TO APPLY FOR PERMITS P4iiE 0? BIAp. PermA A _____ Tni6 Permit � .• c �, �e,,: � ��n � � ; � (' I �'�;� �, I� ; L AP Number 1. 1(w!), �� 1� � L.l�i'%� � , eecla.e Ihal 1 am Ne Owner of Tipe ol lhe aDOve �sfereaced reM properry, end Na� 1( � hareby euMari:e: �: r�c- r,,�e��i�,n� � cu��i-��'��oh�` N�t,. suo•lneere.a: o��✓ 1 �� A-`�'1`-t"GY`� ��,,: (1n,L.�„��l/� �. rr� S�,a. �'� ___ =�P: �_ b o0min permlfa N my D�half, ae ownedDul�der. tor a Il+e �Eevr rd�rsncoC properry. 2. Should �ny W►tOn betame sn �mpby�� enpeped in t�a improvement ol �t+e propcny, i(ws) chell immedialaty provbs WorAefs C,pmpgnagtian Imurentt Covxaqe and cau6e a ceAlflcate ol that opverage to De filed wi1� the Building Divisan ot tne City ot Gosta A1eas, a� rsqulred by Smte ol CalHomle Isws. J. As ornn/DUIWer in f9c1. I imd�nland enE aecspl Ihal my reaponsiDllilios ao noi transler lo eny othor parson, company a mlporal'qn. �. 1 pree Io Mdamn'Ay an01roM tA9 Cfry oi Coe1a MeSB and'�b �m(flOy9e6 of ohken �armlgea hOT 0ny Gaim r06ull�np in damege or p�aonel Inp�ry lo mywff or any other paniss as a result O1 wod authoriZetl by tAe parmils Irom Itie Gry of Coota Mesa. S. 1 derbe un�fer �ns p�+aky d perJury tl+e� Me bregolep le �rue �ne wrrxt. Eoa�a tni. �� aar oe _ za �. e� (� Il5 I.li . c�iaomia. �tnc tvame./� �1'll'1 �"T : `? � �.` Sqnamro: � ��'}'��( ��h��) _ o.�: ,'�� • 7 r�: ny. .n,A�, a�.. �a w�� w�n� �, �w�.,� nb �� o�. h�oWy proNdps br IirtlbO po�rar d albma�r b aen�ro eis pemdt h eny 6d�aN anaM{w. �tum (714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.c��LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 2952 MqUI PL Suite: Vicinity: 2ND FLOOR Parcel Number: 13925216 Applicant: WEILENKAMP, ERIC Address: Owner: LYONS, DENNIS SHANE Address 2952 MAUI PL COSTA MESA, CA Contractor: WELL KAMP-WEST Address: 26722 ASHFORD Zoning: R1 R1 Phone: 774-504-5758 Zip: Phone: 714-662-7342 Zip: 92626 Phone: 714-504-5758 Status: ISSUED Applied: 10/01/2003 Issued: Ot/06/2004 /1 � ' I��J MISSION VIEJO, CA Zip: 92692 ' License: 634817 i nrch : Eng: CHARLES A JOHNSON JR Address: ' Address: P O BOX 6284 Zip: Phone: License: GARDEN GROVE, CA 92846 Phone: 714-898•6180 License: 2537 SCOPE OF PERMIT 535 SQ. FT. SECOND STORY ADDITION ABOVE THE EXISTING GARAGE: SCOPE OF WORK TO INCLUDE: NEW MASTER BEDROOM AND MASTER BATH. A NEW FIR�pLACE WILL BE ADDED TO MASTER BEDROOM. EXISTING 4 BEDROOM/2.5 BATH DWELLING TO BECOME A 4 BEDROOM/3.5 BATH DWELLING. ONE EXISTING BEDROOM IS BEING CONVERTED TO AN OFFICE ALTHOUGH THE CLOSET IS GOING TO REMAIN. REF: ZA-03-067. Plan Check: $418.76 Permit: $644.25 SMIP Res: $4.94 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $1,067.95 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY PARKING Front 0- 0 Existin : p Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY Calc Valuation: gas,a3a.00 Claim Valuation: 50.00 PLANNING 8 ZONING Left 0- 0 Right Left 0-0 Right Proposed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandone0= , tor a period of 180 days. INSPECTIONS: In order for the work aulhorized under this permit to be considered legal, such work must comply with all applicaWe Codes,�l requlred Inepectlona end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration�of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaaaae ldoo� WORKERS' COMpEMaASIONDECLARATION: f � I hereby eHirm untle� penalty ol perjury one of the followinq deGarations: ❑ I have antl will maintain a certlticata of consent to selt-Insure for workers' compensation, es provided for �y saction 3700 of the Labor Code, lor Ihe peAortnence ot Ihe work for whic� ihis pertnic is issued. �I:�ave end vnll maintain workers' campenutbn insurence, es requiretl by section 3700 of the Lebor Code, for Ne peAortnance ot Ihe work Fw which Ihis pertnil is issued. My workers' cg�ppnsatiop Insurencq�grner end pol�y number ere: LPortcyNumCer:� or /ess.) ❑ 1 certily Ihet in the peAormance of the work br which this ermit is issued, I shall not employ any pereon in eny mannar so as to bewme subject to ihe workers' compensatlon law'o�rnla, and egree IM1a u ecome sub�ect to Ihe workars' compensetion provislons of Section 3700 of ihe Lebor Code, I shall fotlhwlth complywithtl+ese visio / � / ?PPIIcanl�SigneNre�- ��^ �Dete__'"�+- �— /, ' � 7 WAM'ING.TFAILURE YO SECURE wOfiKERS' PENSATIdJ COVERAGE IS UNLAW FUL AND SHALL SUBJECT AN EMPLOYER TO CFIMINAL PENALTIES AND GVIL FlNES UP TO ONE HUNDFE� TTKKISAND OOLIARE (4100.000), IN ADDITION TO TME COST OF COMPENSATION, DMNGES AS PROVIDED FOR IN SECTIqJ 3106 OF THE IABOR ODDE, IPREREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eflirtn Ihat I am licensed uar peCp�o�s�p�a �C�ter 9(rnmmencing with Section 7000) ot Division 3 of �he Business� Pr�e�sioP�Code, anG my license is in tull CONSTRUC710N LENDING AGENCV: ❑ I hereby affirm that �here is a consirucilon lending agency for Ihe performence of Ihe work tor which ihis parmit is issued. (Sec. 3097, Civil Code). Lendels Neme: Lentlers Addreu: Si9neture: Date: OWNER•BUILDER DECLARATIONS: I hereby eflirm that Under penelry of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reasan (Sec. 7031.5, Business and Pratessions Code: Any ciry or wunry which requires a permit to consiruct, alter, improve, tlemollsh, or repair any structure, pnor to Its issuance, also requires the eDP��ent for such pertnit to lile e signetl sietement that he or sha Is Iicensed pursuent to Ihe pmNsions oi the Contractors License Law (Chapter 9(cammencing with Sectlon 7000) of Divislon 3 of Ihe Business entl Professions Code) or thet ha or she is exempt therefrom end the besis for the elleged exemption. Any violation o� Section 7037.5 by any epplicent for a permit su�jects the eppllcant to e civil penalry of not more than five hundred dollars ($500).): ❑ I, es owner of the property, or my employees with weges as their sole compensetion, WILL DO THE WORK, and the stmcwre is not intendetl or oflered for sele (Sec. 7044, Business end Professions Code: The Contractors License Lew does not epply to an owner of propeny who builds or improves thereon, entl who does such work himself or herself or through his or her own employaes, pmvided Ihet such improvemems ere not Intendad or oflereE br sele. II, however, the building or impmvament is sold within ono year of completion, the owner�builder will have iho Durden of proving that he or she tlitl not build or impmve for purpose oi saleJ. ' ❑ I, as owner oi the properry, am EXCLUSIVELY CONTRALTING WI7N LICENSED CONTRACTORS to conswct the projecf (Sec. 7044, Business end Professions CoGe: The contractore License Lew tloes not apply to an owner of propeny who builds or improves Ihereon, and who contracts for such pro�ect wlih e contractor(s) liceose purwa�t to the Contractors license laws.). ❑ I em exempt under sac. Business and Professions Code for this reason: SigneWre: Date: Owner ID venlied by driveYs license. ❑ Ves ❑ No Dnvels Licanse No. Expires: Verllication at Ownership by (type ot document, i.e. • p�operry tax bill or tleed): DIVISION OF INDUS7RIAL SAFETY PERMI7 CER7IFICATION: ❑ I hereby certify that no excevetion live (5) or more fee� in depth into whlch e person is requlred to descen4 wlll be made in connectlon wlih work authodzed by this pertnit, end ihe� no building siructure, scaMoltling, talsework, or demolition or dismantling thereof, will be more then ihirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Tltle 8, C�Iifomla Atlministwtive Code). � As owner-builder, I will not employ an}rone to tlo work which wauld requlre e pertnit trom the Division ot Industrial Sefery, es noted above, unless such person hes e pertnil lo tlo sUch work trom the division. Signature: �ate: Division of Industnal Safey Permit Number. CERTIFlCATE OF COMPLIANCE ANO AUTHORVA710N OF ENTAV: I certify under penalry of perjury t�et I heve raed this application and state that ihe informatlon given Is correct. I agree to cOmply with ell siete laws enC dry ordinances releting to building conswction, end authorize representatives of the Ciry of Costa Mesa to enter upon ihe ebove-described property tor inspection purposes. I agree not to occupy or ellow occupency of any 6uilding euthorizetl 6y this permit until tinal inspection. COOE �. INSPECTIONNPE 1618 Fi:ed System Final Fire Prevention 7268 Pool Spe Final 200 Finel R8-Roa� 201 FIneI BIocWFetaining Well 202 Final Factory Fire Place PAiE IH7IIlA4S CODE 1 INSPEC710N iYVE 206 Final Mec�anical 208 210 212 220 Flnal Plumhing Finel Eletidta� Finel Fire Prevencion Finel Planning Approval 203 Final Sign 222 Finel Site 204 Final Demolition � 250 Final Building/Oaupancy BAIE II�dL$ To: NEWPORT-MESA UNIFIED SCHOOL DISTRICT CERTIFlCATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AND AB 181 N° � 4945 (� City of Costa Mesa DisUict Receipt No. ( ) Ciry of Newport Beach ,�/ ( ) Counry af Orange Plan Check No "c.l (0 Applicant: Address Telephone NumberX �7/ y� SG y� S/�6 TracUParcel and Lot Number(s): Location of Project: Number of Square Feet of: Residential Space Commercial and Industrial Space CommerciaUlndustrial Projed is: (Check One) _ Warehouse _ R8D Movie Theater Mini-storage Heavy Industrial Regional Shops Light Industrial _ This projed is exempt because y� x 5, .84 z E .30 To�, �a��i �0 Total � "� J��g'l� Motel �sjA �� Preschool Bank , , QE. — Neighbortiood Shops _ RacqueUHealth Hotel Medical O(fice O(�ce Park � � � Auto Repair Hospital Large Office Office Bldg. Restaurant Fast Food This certifies that the above-named Developer/Applicant has paid school hadlity fees in comptiance with Government Code sections 53080 and 65995. The Building Pemits for this square footage in Mis proposed development may now be issued by your jurisdic8on. Checks are to be made payable to Newport-Mesa Unified School District. AWwr¢ad RepreseMaWe The above representation as to square footage is true. Appticant agrees that If it is later determined that such representations are not true, then this certificate shall automatically terminate and the appropriate City/County shall be notifled. Date: � / u ^ � �'/ D�PUTY 1 INSPEC~':'�:�N SERVICE INC. 25121 DE SALLE ST, LAGUNA HILLS, CA 92653 1 -800-DEPUTYI =1 -800-337-8891 SPECIAL INSPECTION REPORT DEPT. OF BLDG. & SAFETY CITY OF 4ys�q�� COUNTY OF Building Permit No. �J�l' ��Pg Job. No. Date 2-�� "�`i Job Indentification / Address L`�6� (Z�h'� 2� Z_ lMJ1-u 1 �• �-✓Yt � GeneralContractor/Address ..�l�,�c,4�P �v£ri Sub-Contractor/Address —� Structural Engineer 1 Address Arch. f�iE��wt*F t�k �_ �. REINFORCED CONCRETE MASONRY HI-TENSILE BOLTING CHEMICAL ANCHORS PRESTRESSED CONCRETE WELDING GYPSUM CONCRETE OTHER DATE I Reg. I OT I Time In I Time Out I I Grout I Mortar I Concrete I Block I Density �� a —� � Prisms All inspections based on e minimum ol 4 hours 8 over 4 hours • 8 hours minimum. Any inspection extending past ihu noon hour will be billotl as 8 hour minimum. In addition, any inspection extending post an 8 hour pe- riod, or Solurday inspottion will bo billad at timn and o hall. ATTORNEY'S FEES - If any action at law or in equity is brought to enforce or interupt the terms of this Contract, the prevailing party shall be entitled to reasonable aitorney's fees, costs and necessary disbursements in addition to any other relief to which such party maybe entitled. SPECIAL INSPECTION REPORT Inspector's Name: �i-�'�-`% ��t�' Inspector's Signature: _ I.D. No. �� ` has bee an � rt states that the above work to the be provisions of the Unitorm ��ild' � Code and�meets approved plans and speci(icatio� Approved by: ,p �� G `"� � S complies with the Respectfully Submitted (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Viciniry: Parcel Nunmber: Applicant Address: Owner: 2952 MAUI PL 2ND FLOOR 13925216 ERIC WELLENKAMP LYONS, DENNIS SHANE Address 2952 MAUI PL COSTA MESA. CA Contractor: Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixls Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 7000a Motors to 1hp Motors to tOhp Motors to 50hp Motors to 100hp WELL KAMP-WEST 26722ASHFORD MISSION VIEJO, CA Phone: 714-504-5758 Zip: Phone: 714-662-7342 Zip: 92626 Phone: 714-504-5758 Zip: 92692 License: 634817 ISSUED BY: Status: ISSUED Applied: 10/01/2003 Issued: 01/06/2004 SCOPE OF PERMIT 535 SQ. FT. SECOND STORY ADDITION ABOVE THE EXISTING GARAGE: SCOPE OF WORK TO INCLUDE: NEW MASTER BEDROOM AND MASTER BATH. EXISTING 4 BEDROOM/2.5 BATH DWELLING TO BECOME A 5 BEDROOM/3.5 BATH DWELLING. REF: B03-01668 ELECTRICAL TO INCLUDE: BIIGHT FIXTURES, 10 OUTLETS, 6 SWITCHES AND 1 SERVICE TO 200 AMPS. $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $8.80 $11.00 $6.60 $0.00 $0.00 $30.50 50.00 $0.00 $0.00 $0.00 S0.00 $0.00 Quantity 0 0 0 8 10 6 0 0 1 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up l0 50 kva/kw .................up to 700 kva/kw ..................over 700 kva/kw Low Voltage Equipment Low Volt Wiring Syslem / Ckf Misc. Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride ar lighls) Chnstmas Tree Stand Fireworks Stand Other Electnral Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 so.00 0 $0.00 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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 1B0 days, or if work Is suspended or for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply wilh all applicable ca required inspeetlons a�d final approval must be obtained. Failure to oblain inspections and final approval will result in ihe expiration of this FOR INSPECTIONS CALL: (714) 754-5626 24a8d8 (NW) all WORKERS'COMPENSAnON DECLARA710N: I hereby eHirm under penal�y of perjury one ot Ihe followinq declarations: ❑ I have end will maint0in a cenifiwte ol consent to sell-Insure tor workers' compensetion, es proWded for by section 3700 of iha Lebor Gode, tor the pertormence of the work tor which this pB�l� is issued. � I have antl will maintain workers' canpensetion Insurance, es required by sectlon 3700 of the Labor Coda, for the pedortnence of the work for which Ihis pertnit is issued. Myworkers�o en8et nlnsurenGp.carrier�oliGJnumberere: Carrier. \ � �Cn� [i; Policy Num�er. (7M1is section need not be c�p/eted i/ t e permit Is ve/ued a! ona hundred dollaro ($700) or Iess.) ❑ I certify ihat in the peRormance oi Ihe work for which �his permit is iuued, I shall not employ eny person in eny manner so as to become sublect to the workere' compensa4on laws af Califomla, e�d agree Ihat tl I shoulA hecome sub�ect to the woAcers' cqmpensfltion proWsions ot Sectlon 3700 ot the Lebor Cafa, I shalf foMwith comply with Uese prahsio / �/ Applicant Signeture: �� Dete: , C) � G 7 WARNINO: FAILURE TO SECUflE WORKERS' COMPENSATION CpVEMOE IS UNIAWfUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENNLTIES AND GVIL FlNES UP TOONE HUNDRED TFKKISAND DOLLARE (5100,000). IN ADDRION TO THE COST OF WMPENSATIIXJ, DAMAGES AS PqOVIDEO FOR IN SECTION 31080F iHE LABOR CODE, IMEREST, AND ATiORNEY'S FEES. LICENSED CONTRACTOFS DECLARATON: I hereby aMirtn Ihat I am lic6nse� �dal pmvis� rysqf Chapter 9(commencing with Sectlon 7000) of DlWslon 3 oi Ihe Business�d Prot�s� on�ps Code, end my license is in full force entl eeed. Lla a Ca S�� / Class s /O Y7 CantractoYs Signature: L� Dete: a— i— G� CONSTRUC710N LENDING AGENCY: ❑ I hereby attirtn Ihat IhOre is e construction lending egenq br ihe peAortnance ot the work tor whic� this partnit is issued. (Sec. 3097, Civil Code). Lentlels Name: Lentlels Address: Signature: Dete: OWNER-BUILDER DECLARATIONS: I hereby aHirm t�el under penelry of perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW far the following reasan (Sec. 7037.5. Business end Professions Cotle: Any ciry or counry wPich requires e permit to construct, elter, improve, tlemolish, or repair any structure, pnor to its issuance, also raquires the applicant for such pertnit to file a signetl stetement thet he or she b Ilcensed pursuent to the provisions of Ihe Contrectors LJcense Lew (Chapter 9(cammendng with Section 7000) of DMslon 3 of t�e Business antl Professlons Cade) or that he or she is ezempt therelrom entl the basis lor the ellegetl oxemption. Any violation oi Section 7031.5 by eny applicant for a pertnit sublects the applicant m a civil penetly of not more then (ive huntlretl tlollers ($500).): ❑ I, as awner at t�e properry, ar my employees wlih weges es their sole compensation, WILL DO TXE WORK, entl Ihe structure is not fntendetl ar ottered tor sele (Sec. 7044, Busineu and Professions Code: The Contractors License Ww tloes not appy to en owner of property who builds or improves thereon, and who tloes such work himself or hereelf or tl+rough his or her own employaes, providetl that such impravemenis ere not Intendetl or oNered lar sele. It, however, [he building or improvement Is sWd wiIDin one year o1 completion, the owner-bnilder will have the burdan of prrnring that he or sfie did not Duiitl or improve for purpose of sa1e.). � ❑ I, as owner oi ihe propetly, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractore License Law does not apply to an owner of proparty who bullds or Improves thareon, and who contracts tor such project with a wntrector(s) license pursuent to th� Contractors License Lews.). ❑ I am exempt under se�. Business and Professions Cotle for ihis reeson: Signature: De�e: Owner ID verified by drivars license. ❑ Ves ❑ No DnveYs LJcense No. Venfication of Ownership 6y (rype of document, i.e. - property tax bill or tleadJ: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATION: Expires: ❑ I hereby certity ihat no axcevation Ilve (5) or more teet in depth into whlch e person is requiretl to descentl, will �e made In connection with work euthorizetl by this permit, and t�a� no building siructure, scafloltling, falsework, or demolltlon or dismantling �hereof, will be more ihan thirty-six (36) leet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, Celifomla Adminlstrative Cotle�. ❑ As ownerbuilder, I wi�l not employ enyone to do work which would require e permit irom t�e Division of Industnal Sefery, as noted above, unless such pereon �es e permit ta do such worN ��om the dlvislon. Signature: Date: Division oi Indusirial Safey Pertnit Number. CER7IFlCATE OF COMPLIANCE AND AUfHORIZATION OF ENTRY: I certity under penalry ot perjury Ihei I have read ihis epplication and state that the information given is correct. I agree to comply w�t� all stete laws en0 city ortlinances releting to 6uiltling consWction, entl authodze represeniatives of Ihe qry of Costa Mesa to enter upon �he ebove-described properry fo! inspection purposes. I egree not ta accupy ar ellow accupancy at any building authonzad by this pertnit until final inspection. ��iqn e rn �eqa� owner(s) � G, y �� AnNOr Auihodzed Applicant Date CODE I. INSPECTONTYPE 1616 Fixetl Syslem Final Fire Prevention 1266 Paol Spe Final 200 Finel Re-Raof 201 Final BIocWRetaining Well 202 203 �ii Final Facmry Fire Place Finel Sign FinaV DemWition ceie u�$ CODE� INSPECTIONTYVE 206 Finel Mechaniwl 20B Final Plumbing 210 Final Electrical 212 Final Fire Preventian 220 Final Planning Approval 222 Final Site 250 Final BuildincyOccupa�cy PIlg Q�L$ r°l .> : /_�;J (��a) 75a-52�3 • Fau (774) 754-4656 • www.ci.costa-mesa.ca.us 77 tAIM VHIVt, I:VJ IA MCSA, GA tlZbLO Job Address: 2952 MAUI PL Suite No Vicinity: 2ND FLOOR Parcel Nunmber: 13925216 Applicant: ERIC WELLENKAMP Address: Owner: LYONS, DENNIS SHANE Address 2952 MAUI PL COSTA MESA, CA Contractor: WELL KAMP-WEST Address: � 26722 ASHFORD Arch / Eng : Address: ISSUE FEE BackFlow irngation Backflow Preventer Bathtub Clarifer System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor MISSION VIEJO, CA PLUMBING PERMIT Phone: 714-504-5758 Zip: Phone: 714-662-7342 Zip: 92626 Phone: 714-504-5758 Zip: 92692 License: 634817 Phone: Zip: License: ISSUED BY: StaWs: ISSUED Applied: 10I01/2003 Issued: 01/O6/2004 SCOPE OF PERMIT 535 S�. Ff. SECOND STORY ADDITION ABOVE THE EXISTING GARAGE: SCOPE OF WORK TO INCLUDE: NEW MASTER BEDROOM AND MASTER BATH. EXISTING 4 BEDROOM/2.5 BATH DWELLING TO BECOME A 5 BEDROOM/3.5 BATH OWELLING. REF: B03-01668 PLUMBING TO INCLUDE: 1 BATHTUB, 2 P-TRAPS, 1 SHOWER, 2 FLOOR SINKS, 1 WATER CLOSET, AND 1 WATER HEATER. AMT $23.50 ao.00 50.00 59.80 50.00 $0.00 $0.00 $0.00 $0.00 FEE SUMMARY QTY AMT Laundry Tub / Washer 50.00 0 Landscape Irrigation $0.00 0 P-Trap $19.60 7 Pressure Regulator $0.00 0 Process Piping (per 10 ft) $0.00 0 Receptors $0.00 0 Septic Tank $0.00 0 Sewer Cap for Demo $0.00 0 Sewer Connect $0.00 QTY 0 0 2 0 0 0 0 0 0 SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkFlow(1-4) Vacuum Brkr Bkflow(5+) wash Basin Wash Basin Set Waste and Vent System AMT 30.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements undar California statutes and related regulations. (Oid. No. 92-28, § 1, 12-21•92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or�ebandoned for a period of 780 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all epplicable codes, and all requlred Inspeetions end final epproval must be obtained. Failure to obtain inspections and tinal approval will result in the expiratlon of this permit. FOR INSPECTIONS CALL: (714) 7545626 244&a8lNW) WORKERS'COMPENSATON DECLARATON: I hereby aXipn untler penalty oi perjury one of Ihe follawinq declarations: \ ❑ I hava and wlll mainteln e cerl��i�a�e ol cronsent to selFlnsure for workers' compensetlon, es proviaetl for by sectian 3700 of Ihe Lebor Code, tor the peAormence at the work tor which Ihis permit Is i5sued. ,urence, es required by sectlon 3700 0l the Lebor Code, for Ne pertortnance of the work for whiU this permit is issuetl. policy number ere: P,dwy� orless.) ❑ I certily t�et In the pertortnance of the work for which this pertnit is issued, I shall not employ eny person in any manner so as to become subject to ihe workeB' compensatlon laws oi Celllorhle, antl agree t�at it I shoultl become sub�ect to I�e workers' compensation provisions of Saction 3700 oi Ihe Lehor Cotle, I shall lorthwith comO�Y w��h these visio . ' / � AppI�5lgneWre:—�� Date:---� �— C� — � WARNINO: FAILUREQO SECUFE WORK S' CAMPENSATION COVEAAGE IS UNIAWFUL AND SHALL SUBJECT AN EMRAYER TO CFIMINAL PENALTIES AND GVIL FlNES UP TO ONE HUNDRED i110U5AND DOLURE ($100,000), IN ADtlITION TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVIOED FOR IN SECTION 31060F THE LABOR CADE, INTEFEST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm thet I am licensed er� pIQ �ision Chepter 9(wmmencing with Section 7000) at Divislon 3.ot.Ne.Business 10fra�entl'BfleCI Cia k—' '' - 7" ii�� L-Eles9�k-7 anA my license is in tull CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm ihet ihere is a Conslruction lending agency for the pedormence ot the work tor which this parmit is issuetl. (Sec. 3097, Civil Gode). Lendefs Name: Lendefs Atldress: Signemre: Date: OWNER•BUILDER DECLARATIONS: I hereby eMirtn that untler penalry oi perjury ihat I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business antl ProFeulons Code: Any ciry or county which reqUires a pertnit m consWct, alter, improva, demolish, or repair eny structure, pnor to its issuance, also requires the epplicant for such permit to file e signed statement thet he ar she Is licensetl pursuant to Ihe praNsions of 1he Contrectors License Lew (Chapter 9(commendng with Sectlon 7000) ot Divislon 3 of ihe Business and Professions Code) or that he or she is exempt therefrom end the basis far the alleged exemptlon. Any violation of Section 7031.5 by eny epplicent for e pertnit su6�ects Ihe applicent to e civll pena�ry o� not more than five hundred dollars ($500).): ❑ I, as owner ol the property, or my employees with wa9es as their sole compensetlon, WILL DO THE WORK, antl the s�ructure Is nol intende0 or oHeratl tor sale (Sec. 7044, Business and Professio�s Code: The Contractors License Lew tloes not eOPly to an owner oi property who builds or imOroves Ihareon, and who does such work himselt or herseN or Ihrough his or har own employees, pmvided thet suc� improvements ere not intended or oHered for sale. If, however, the builtling or improvement is soltl within one year oi comple�ion, the owner-builder will �ave iho burden of proving Ihet he or she tlitl not build or improve for purpose of sale.). ' ❑ I, as owner of the pro0erty, arri E%CLUSIVELV CONTRACTING WITH �ICENSED CONTRACTORS to wnsiruct Ihe prolect (Sec. 7044, Business end Prolessions Code: The contraqors LlcensB Lew tloes not epply to an owner ol propeny who bulltls or Impmves thereon, entl who contracts for such project with e contractor(s) license pursuant to ihe Contractors License Laws.). ' ❑ 1 em exempl under sec. Business antl Protessions Code lor this reeson: Signature: Date: Owner ID verifiad by driveYs Iicense. ❑ Yes ❑ No Dnver'S LitenSe No. Expires: Vedticetion ol Owners�ip by (type ot documenL i.e. - property tar blll or deed): OIVISION OF INDUS7RIAL SAFETY FERMIT CERTIFICA710N: ❑ I hereby cetlily Ihal no excevahon fiva (5) or more fee� in depih in�o which a person Is required to descend, will be made in wnnection with work euthodzetl by this permit, end ihat no builtling struc�ure, scaflolding, talsework, or tlemolition or dismantling Ihereot, will be more than Ihirty-six (36) leet high. (ChaD� 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Adminis��etive Cotle). ❑ As owner-6uilder, I will not employ enyone to do work which would require e permlt from the Division of Industnal Sefery, es noted above, unless suc� pereon hes e pertnit to do such work irom the tlivision. Signature: Date: Divislon ol Indusinal Safely Permit Num�er: CERTIFlCATE OF COMPLIANCE AND Al7THORIZA710N OF EMRY: I certity under penelty of perjury that I have read this epplication and stete Mat the Informetlon given is correct. 1 agree to comply with ell stete lews and ciry oMinences relating to builtling consiruction, end auihodze represantetives ol the Clty ol Cos�a Mesa �o enier upon Ihe ebove-described property for inspection purposes. I agree not to occupy or allow occupancy oi eny building authonzed by this permit until tinal inspection. COOEI. INSPECTIONTYPE �� PAIE 1[{IIDELS 1676 Fl:ed System Flnal Fire Pre�ention 7268 200 201 202 203 Pool Spa Flnel Final Re-Rooi Final BIocWRetalning Well Final Fectory Fire Place Finel Sign 204 Finel Demolition CODE 1 INSPEC710N TYPE 206 Final Mechanical 208 Final Plumbing 270 Final Electrical 212 Finel Fire Preven�ion 220 Finel Planning ApProval 222 Final Site 250 Finel BuildinglOccupancy Qdff II�AL4 „ ., , �-.-��, � - , �.. ,. _, . n,�� - .......�..___._ ...___ _ -- JobAddress: 2952 MAUI PL Suite No Vicinity: 2ND FLOOR Parcel Number: Applicant: Address: Owner: 13925216 ERIG WELLENKAMP LYONS, DENNIS SHANE Address: 2952 MAUI PL COSTq MESA, CA Contractor: WELL KAMP-WEST Address: 26722 ASHFORD MISSION VIEJO, CA MECHANICAL PERMIT Phone: 714-504-5758 Zip: Phone: 714-662-7342 Zip: 92626 Phone: 714-504-5758 Zip: 92692 License:634817 Status: ISSUED Applied: 10/01/2003 Issued: Ot/06/2004 � ' ��./.� SCOPE OF PERMIT 535 Sp. FT. SECOND STORY ADDITION ABOVE THE EXISTING GARAGE: SCOPE OF WORK TO INCLUDE: NEW MASTER BEDROOM AND MASTER BATH. EXISTING 4 BEDROOM/2,5 BATH DWELLING TO BECOME A 5 BEDROOM/3.5 BATH DWELLING. REF: 803-01668 MECHANICAL TO INCLUDE: 1 REPAIR/ALT COOLING/HEATING, 1 GAS PIPING, 1 FACTORY FIREPLACE (UL #307B-1985), AND 1 VENT FAN/SINGLE DUCT. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Ezhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000c�m AirHandlers> 70000cfm Floor Furnace Floor or Suspend Heater $23.50 $0.00 $0.00 $13.70 $0.00 $0.00 $0.00 $6.15 $10.65 $0.00 $0.00 $725 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 Quantity 0 0 1 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Commercial I nci n erator Domestic Incinerator . Compressors / Absorption Svstems Up to 3 hp N 00 k BTU 3To15hp/SOOkBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To15hp 15 to 30 hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Quantity $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 S0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 NO710E: The work authorizeq by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This parmit shall automatically expire and become voitl if work Is not commenced within 780 days, or if work is suspended or abandoned tor a period of 180 days. / INSPECTIONS: In ordar for the work authorized under this permit to be considered legal, such work must comply with all applicable cod se and all requlred inspeetlone and final approvel must be obtained. Failure to obtain inspections and final approval will result in the eCxpirat/ion of�this permit. FOR INSPECTIONS CALL: (714) 7545626 v , 2446d6 (8�00) WORKERS'COMPENSAnON DECLARATON: I �ereby eMirm un0er penalry of perjury one of Ihe following declaratlons: ❑ I have end will mainteln e cenitiwte ot consent to sell-Insure for workers' compensatlon, es provided for by section 3700 0l ihe LaDor Code, tor the peAormence oi the wark tor w��ch Ihis permit Is Issuad. � I heve an0 will maimain workers' compenution insurance, as required by section 3700 0l the Labor Code, for Ihe pedortnanca of �he work for which Ihis permit is Issued. My worke� �'1� ensa' n Insurenc ner and po{urv• num6er ere: Carrier. �2.� � �W✓l�rlr PolityNumOer. (Thls secfion n�ed not be complefed i! fhe permit is valued ef one huntlred dollers ($700) or less.) ❑ I certiy ihat in Ihe pertormance of the work for which Ihis Dertnit Is issued, I shall not employ any person in any manner so es to �ecome subject to the workers' compensa�lon laws f Califomla, end egree Ihat if I shoultl 6ecome suC�ect to Ihe workers' wmpensation provisions ot SOctlon 3700 ot the Labor Code, I s�ell forthwith comply with these p " ' . ,y� �/' ApDlicantSignaWre: � � Date: /— "m'�� 7 WAFNINO: FAILURE TO SECURE WORKERS' PENSATION COVEMGE IS UNL4WFUL AN� SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TOONE HUNORED THOUSAND DOLIARE ($100,000�, IN ADDITION TO THE COST OF COMPENSATIQY, DAMAGES A$ PFOVIDED FOR IN SECTION 3]O60F THE LABOR CODE, IMEREST, AND ATfORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am IorCB end eHecL �c. a_ Contrectofs SignaNre: 9(commencing with Section 7000) of �Ivislon 3 at the Business d Pra essions Code, antl my license is in tull Class q � ��% � Date: � ^ � —G �-/ CONSTRUCTION LENDING AGENCY: ❑ I hereby anirtn Ihat t�ere is e construction lending agency tor fhe pedormance ol �he work lor w�lch Ihis permit is issued. (Sec. 3W7, Civil Coda). Lentlefs Name: Lentlefs Adtlress: Signaturo: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirtn �het undar penalty ol perjury that I am EXEMPT FROM THE CONTHACTORS LICENSE LAW tor the following reason (Sec. 7037.5, Business end Professions Code: Any ciry Or counry which requires a pertnii b consiruct, alter, improve, demolish, or repair eny simcture, prior to Its issuenca, also requires the applicent for such permit to flle e signed Stetement that he or she Is Ilcensetl pursuent lo the provisions of ihe Conirectors License Ww (Chapter 9(commencing wlih Section 7000) af Divlslon 3 ot ihe Business end P�ofessions Code) or thet he or she is exempt therelrom entl tha �asis for the alleped exemption. Any violation of Section 7031.5 Dy flny epplicant tor e permit subjects Ihe epp�iwnt to a civil penelry of not more than five hundretl tlollars ($500).): ❑ 1, es owne� ot the proparty, or my amployees wNh wages as ihefr sole companseUon, WILL DO THE WORK, en0 the slmcWre Is nol lnientletl or oHeretl tor sele (5ec. 7044, Business and Professions Code: The Contractors License Lew does not epply to an owner of property who builds o� ImO�oves thereon, end who does such work himself or hereelf or ihrough his or her own employees, O�ovided Ihat such improvements ere not Intentletl or ottered lor sele. If, howaver, ihe buildinp or improvement is sold within one year of completion, Ihe owner-builder will have iha burtlen of proving that he o� she did not build or improve lor purpose of sale.). � ❑ I, es owner oi the propetly, am EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to consiruct the pro�ect (Sec. 7044, Business end Prolessions Cotle: The �ntractors License Law tloes not epp1Y to an owner ot pmperty who bullds or Impmves thereon, and who contrects for such pro�ect with e contractor(s) license pureuant to the Contractors License Lews.). ❑ I em exempt under sec. Busineu and Professions Code lor ihis reason: Signature: Date: Owner ID verifietl by tlnvers license. � Ves ❑ No Dnvers License No. Expires: Vedlicetlon of Ownership by (rype ot document, i.e. - properry tex bill or Oeed): _ _ DIVISION OF INDUSTRIAL SAFE7Y VERMIT CER7IFICATION: ❑ I hereDy c9hify ihat no excevation five (5) or more teet In dep�h into which a person is requlred Ia descentl, will be mede in connectlon wi�h work euthOnzeG by Ihis permi�, and that no building siructure, scaffolding, falsework, or demoli�ion or dismentling ihereof, will be more Ihen Ihir�y-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8. Califomie Adminisirative Code). ❑ As owner-builtler, I will not employ enyone to tlo work which would require a permit from iha Division ot Indusiriel Sefety, es noted above, unless such person hes e pertnit to tlo SUCh work tmm thB tlivision. Signeture: Dete: Division of Intlus�rial Safery Pertnit Number. CERTIFlCATE OF COMPLIANCE AND AUiHORIZA710N OF ENTRY: I cenity under penalry ot perjury Uat I have read ihis epplicetion and state �hat the Inlortnatlon given is correct. I egrae to comply wlih ell stele laws end city ortlinances releting to builtling consiructlon, end euthonze represeniatives of the Gty of Caste Mese to enter upon �he ebove-described P�operty for insDection purposes. I egree not to occupy or ellow occupency of eny building euthorized by Ihis permit until final inspecfion. COOE I. 1616 1266 ign e Owner s Data � /- 6 -� c-� nd/Or Authorized Applicant Date Fl:etl Sys�em Finel Fira Prevention Pool Spe Final 200 Finel Re-Roof 201 Finel BIo�WRetaining Wall 202 Final Factary Fire Plece 203 204 Final Sign Final Demolilion QAg Itl�dLfl COOE� INSPECTIONTYPE 208 Final Mechenical 208 Flnal Plumbing 210 Flnal Elecirical 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy s21Au..0 � CITY OF COSTA MESA P.O. BO% 1200 • 77 FAIR DRIVE • CALIFORNIA D282B-1200 DEVELOPMENTSERVICES DEPARTMENT BUILDING DIVISION COURTESY NOTICE OF PERMIT EXPIRATION August 17, 2006 Dennis & Ann �yons 2952 Maui PI Costa Mesa CA 92626-3612 PERM{T NUMBERS: B03-01668 FOR: Addition PROJECT ADDRESS: 2952 Maui PI., Costa Mesa Our records indicate the above listed permits were obtained for property improvements or alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4 Expiration, permits are valid for 180 days'from the date of such permit, or the date of your last inspection for the projed and additional fees will be required to finalize expired pertnits. According to our records, the permits listed above have not had an inspection for a period exceeding 180 days. If you have a signed inspection card indicaling an inspection was conducted within 180 days from the date of this letter, please contact this office so we may corred our records. If you need to request an inspection please call our Inspection Request Line at 714-754-5626. If you wish to request an extension, requests must be made in writing addressed to Ed Petros, Chief of Inspection, at the above address, detailing circumstances and listing an estimated date of completion. If you do not have an approved final inspection, your permits will expire on August 31, 2006. If you have �any questions, please contact the Building Division at 714-754-5273, between 8:00 a.m. and 4:30 p.m., and a staff member will be happy to assist you. The accuracy of records affecting your property is our goal and we appreciate your working with us to resolve this matter. Sincerely, �� Mary Jane Weidenkeller Office Specialist II cc: Well Kamp-West 26722 Ashford Mission Vejo CA 92692 BuiOing Division (711) 75t-5273 • Coee Enlorcement (714) 75a-5823 • Planninp Division (711) 754-5245 FAX (714) 75/-4858 • TDD (774) )Sa5246 • www.tl.costa-mesa.w.us CITY OF COSTA MESA PA. 80% 1200 • 77 FAIR ORIVE • CALIFORNIA 92628-12�0 DEVELOPMENTSERVICES DEPARTMENT September 18, 2003 Dennis Shane Lyons 2952 Maui Place Costa Mesa, CA 92626 RE: MINOR DESIGN REVIEW ZA-03-67 2952 MAUI PLACE, COSTA MESA Dear Mr. and Mrs. Lyons: The minor design review for the above-referenced project has been completed. The application has been approved, based on the following project description and findings, subject to the conditions set forth below: PROJECT DESCRIPTION The existing two-story, single-family residence consists of a living room, family room, dining room, kitchen, 1 bedroom, 1 bathroom and a 2-car garage on the first floor and 3 bedrooms and 1 bathroom upstairs. The applicant requests a minor design review for a new master bedroom suite over ihe garage. ANALYSIS A minor design review is required for any 2n° floor addition in the R1 (Single Family Residence) zone to ensure proper design consideration and compatibility with surrounding properties. The proposal conforms to all development standards and the residential design guidelines. The second story floor area is approximately 67% of the first floor area (1,420 sq.ft./2,108 sq.ft.) and is well integrated with the existing house configuration. The proposed constructio� also incorporates projections and architectural interest for an interesting b�ilding mass. Staff has conducted a site inspection and determined that the addition would not negatively impact the surrounding properties or aesthetics of the neighborhood. It BuilOmg Divislon p 14) 756-5273 • Code Eniorcemem (7t4) 754-5623 • Planning Division (774) 75G-5245 e 2A-03-67 September 18, 2003 Page 2 provides greater front, rear and left side setbacks than required so as to reduce building mass as viewed from the street and adjoining properties. The property to the right will be unaffected by the addition. The proposed 2"tl floor addition will not create privacy impacts on the adjoining properties since there is no window alignment and all second floor setbacks are greater than allowed by code. FINDINGS 1. The information presented substantially complies with Section 13-291e) and 13-291g1114) of the Costa Mesa Municipal Code in that: a. The proposed development and use is compatible and harmonious with uses on-site as well as those on the surrounding properties. The project meets or exceeds all residential development standards and design guidelines. b. Safety and compatibility of ihe design of the buildings, parking areas, landscaping, luminaries, and other site features including functional aspects of the site development such as automobile and pedestrian circulation have been considered. c. The project is consistent with the General Plan. d. The planning application is for a project-specific case and does not establish a precedent for future development. e. The proposed development is substantially compatible and harmonious with existing and/or anticipated development on surrounding properties. This includes site planning, landscaping, appearance, scale of structures, location of windows, and any other applicable features relative to a compatible and attractive development. The second floor addition is well integrated with the existing floor plan and consideration is also given to the effect of proposed development on the light, air, and privacy of adjacent properties. 2. The project has been reviewed for compliance with the California Environmental Quality Act ICEQA), the CEQA Guidelines, and the City environmental procedures, and has been found to be exempt from CEQA. 3. The project is exempt from Chapter XII, Article 3 Transportation System Management, of Title 13 of the Costa Mesa Municipal Code. 2A-03-67 September 18, 2003 Page 3 CONDITIONS OF APPROVAL Ping. 1. 2. 3. 4. Eng. 5. Street address shall be displayed on the fascia adjacent to the main entrance or front door in a manner visible from the public street. Numerals shall be a minimum 6" in height with not less than Yz" stroke and shail contrast sharply with the background. All new and existing construction shall be architecturally compatible with regard to building materials, style, colors, etc. Plans submitted for plan check shall indicate how this will be accomplished. The conditions of approval and ordinance or code provisions of minor design review ZA-03-67 shall be blueprinted on the face of the site plan as part of the plan check submittal package. The applicant shall contact the Planning Division to arrange for a Planning inspection of the site prior to the release of occupancy/utilities. This inspection is to confirm that the conditions of approval and code requirements have been satisfied. Maintain the public right-of-way in a"wet-down" condition to prevent excessive dust and promptly remove any spillage from the public right-of- way by sweeping or sprinkling. COpE REQUIREMENTS The following list of federal, state and local laws applicable to the project has been compiled by staff for the applicant's reference. Any reference to "City" pertains to the City of Costa Mesa. Ping. 1 2 Bldg. 3 Fire 4 Eng. 5 Approval of the Zoning Action is valid for one (1 ) year and wiil expire at the end of that period unless building permits are obtained or the applicant applies for and is granted an extension of time. All contractors and subcontractors must have valid business licenses to do business in the City of Costa Mesa. Final inspections will not be granted until all such licenses have been obtained. Comply with the requirements of the California Code of Regulations, Title 24, also known as the California Building Standards Code, as amended by the City of Costa Mesa. Provide approved smoke detectors to be installed in accordance with the 1997 Edition of the Uniform Fire Code. At the time of development submit for approval an off-site plan to the Engineering Division and grading plan to the Building Division that shows sewer, water, existing parkway improvements and the limits of work on the site, both prepared by a civil engineer or architect. Construction access approval must be obtained prior to building or engineering permits being issued by the City of Costa Mesa. Pay offsite plan check fee to the Engineering Division. An approved offsite plan and fee shall be ZA-03-67 September 1 B, 2003 Page 4 required prior to engineering/utility permits being issued by the City. 6. A site access permit and deposit of 5350 for street sweeping will be required by the Engineering Division prior to the start of any on- or off- site work. SPECIAL DISTRICT REQUIREMENTS The requirements of the following special districts are hereby forwarded to the applicant: Sani. 1. Applicant shall pay all applicable Sanitary District fixture fee changes. �714) 754-5307 School 2. Pay applicable Newport Mesa Unified School District fees to the Building Division prior to issuance of building permits. Upon receipt of this letter, your project has been approved, subject to the above- listed conditions. A copy of the conceptually-approved site plan is enclosed. The decision will become final at 5 p.m. on September 25, 2003, �nless appealed by an affected party or a member of the Planning Commission or City Council, including filing of the necessary application and payment of the appropriate fee. If you have any questions regarding this letter, please feel free to contact the project planner, Wendy Shih at 714-754-5136 between the hours of 1 p.m. and 5 p.m., Monday through Friday. Sincerely, R. MICHAEL ROBINSON Acting Zoning Administrator Enclosure: Conceptually-approved plans cc: Engineering/Development Services Leonard Bekemeyer Fire Protection Analyst 2970 Harbor Blvd., Ste. 201 Water District Costa Mesa, CA 92626 Building Division (��a) 75a-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIH UMNt, GUJ I A MhJH, GA BZtlZti BUILDING PERMIT Job Address: 2952 MAUI PL Suite: Vicinity: Parcel Number: 13925216 Applicant: TIM MC CARL Address: Owner: LYONS, DENNIS SHANE Address 2952 MAUI PL 2oning: R1 R1 Phone: 949-548-5569 Zip: Phone: COSTA MESA, CA Zip: 92626 Contractor: GARY REES DBA CRANK BROTHERS ROOFING Address: 126 COMMERCIAL WAY COSTA MESA, CA Zip: 92627 Arch : Address: Phone: 949-548-5569 License: 736549 Eng: Address: ISSUED BY: Status: ISSUED Applied: 02/23/2004 Issued: 02/23/2004 Phone: Phone: Zip: License: � License: SCOPE OF PERMIT T/OFF AND REROOF 3100SF RESIDENCE W/COMP SHINGLES. Plan Check: Permit: SMIP Res: SMIP Cam: Other: Inspection: Total $0.00 $125.25 $0.60 $0.00 $0.00 $0.00 $125.85 SETBACKS MAIN STRUCTURE Frant 0- 0 ACCESSORY Front 0-0 PARKING Existin : 0 NOTES: Rear 0-0 Rear 0- 0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Lek 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0-0 55,963.00 $5,963.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 1 BO days. INSPECTIONS: In order for the work authorized under �his permit to be considerad legal, such work must comply with all epplicable codes, end all requlred Inspectlons end flnal approval must be obtained. Failure to obtain inspections and finel approval will result in the expiratlon of this permit. FOR INSPECTIONS CALL: (714) 7545626 �aa�ae (yoo� WORKERS' COMPENSATION DEC�qqp7�ON: I hereby aHirtn under penalry oi perjuy one of the following declaretions: ❑ I have and will maintain a certificate of consent to self-Insure for woBers' compensation, as proNded for by section 3700 oi �he Labor Code, Por the pertortnance oi the work tor which lhis pertnit is issuetl. ❑ I have antl vnll maintain workers' �p¢nsation insurance, as requiretl by sectlon 3700 oi lhe Labor Code, for the pertormance of the work br which this pertnit is issued. My workers Com ensatlon InSUrante rriar and policy number ere: Carner: H h Policy Number: �1 z(� �{ q.Z -�� 3 (Thls secfion need nof e comple ed i! fhe Oermif Is valued et one hundred dollers ($ ) or less.) ❑ I cenity that in the pe rtnence of lhe work lor which Ihis parmit I5 issuad, I shell not employ eny person in any manner sa as to become sub�ect to the workers' compensatlon laws o I' or I end e re that It I ioultl bacome subject to the workars' compensatlon provislons ol Section 3700 0l the Lebor Code, I shall forthwith comply with Ihese pr '' n9� / / � / Applicant SigneNre: Dete: � 2,3 O WARNING FAILURE TO SE WORKEqS' COMPENSAT1dJ COVEMGE IS UNLAWFUL AND SHA�L SU&IECi AN EMPLOYER TO CRIMINAL PENALTIE AND CIVIL FINES UP TOONE HUNDRED THOUSANO DOLIARE (510D,000). IN ADDITIp(J TO THE WST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOii IN SECTION 3708OF THE IABOR CpDE, IMEREST, AND ATiORNEY'S FEES. LICENSED CONTRACTORS DECLqpqTION: I horeby aNirm that I am brce entl eHect. lic. N � Contractor's Signeture: al Cheptar 9(commencing with Seclion 7000) of Division 3 of ihe Business end Professians Code, and my license is In full / Cless a C' - 3 `1 / Dete: CONSTRUCTION LENDING AGENGy: ❑ I herehy aNirtn thet there is e construction lending agency tor the performance oi Ne work tor which this Dermit is issuetl. (Sec. 3097, Civil Cotle). Lentlef5 Name: Lendef5 Atlaress: Signewre: _ Dete: OWNER-BUILDER DECIARATONS: I hereby eHitm Ihet under penelty of perjury that 1 em EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW for ihe following reeson (Sec. 7031.5, Business and Professions Coee: Any ciry or counry whic� requires a permi� to construct, alter, improve, demolis�, or repair eny swctura, pnor lo its issuance, elso reduires ihe applicant for such permit lo tile a signetl statemeni ihat he or ghe is Ilcensed pursuant to the provisions ot the Contractors Llcense Lew (Chepler 9(commencing with Sectlon 7000) ot Division 3 of the Business entl Professions Code) or that he or she is eaempt Iherelrom end ihe basis br the alle9ed exemption. Any violation of Section 7037.5 by any applicant for e pertnit subjecis ihe applicant to a civil penalty of not more ihan five hundred dollars ($500).): ❑ I, as owner of Ihe pmperty, or my employees with wages es their sole compensa�ion, WILL DO TME WORK, antl Ihe structure is not intended or offeretl tor sale (Sec. 7044, Business and Professions Code: The Contractors License Law dces not apply to an owner of property who builds or improves thereon, antl who tloes such work himselt or herseif or through his or her own employees, providad that such improvements are not imended or oflered for sale. If, however, the builtling or improvement is sold within one year oi completion, ihe owner-builder will have �he burden of proving that he or she did not 6uild or improve tor purpose of sale.). ' ❑ I, as owner of tha property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Professions Gode: Tha comractors License Law does not apply to en owner ot propeny who builds or impmves thereon, and who comracts for such project with a contracror(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reeson: Siqnature: Owner ID verified by dnvers license. ❑ Yes ❑ No Venficetian of Ownership by (rype oi tlocument, i.a. - property ta: bill or dead): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: DriveYs License No. Date: Expires: ❑ I hareby certify thet no excavation five (5) or more fee� in depih Into which a person is required to descend, will be matle in conneciion with work amhorized by Ihis permit, and Ihet no building strucWre, scaflolding, falsework, or demolition or dismamling ihereof, will be more than ihirty-six (36) feet high. (Chep. 3.2, Grp 2, Ari 2, Sec. 341, Ttle B, Califomie AdminislraUve Cotle). ❑ As owner-builder, I will not ampioy enyane to do work which woultl require e permit from Ihe Divislon of Industriel Sefety, es noted above, unless such person hes a permit Io da such work trom ihe division. Signature: Data: Division of Indusirial Safery Pertnit Numbar: CERTIFICA7E OF COMPLIANCE AND AIJTHORIZATON OF ENTRY: I cetlify under penatry ot perjury that I have read this application antl state that the intortnation given is correct I agree to comply with ell state laws entl ciry ordinances releting to builtling consWction, end euthonze represematives of the Ciry ot Coste Mesa to enter upon ihe ebove-descnhed property for inspection purposes. I agree not to occupy or allow occupancy of eny building authorized by this permit until finel insDection. CDDE �" INSPECTIONTYPE 1616 Fixetl System Final Fire Prevention 1266 200 201 202 203 204 Paol Spa Final Finel Re-Roof Flnel Block/Retalning Well Final Fectory Fire Place Final Sign Final Oemalition L�AIE INTRULS � ��/U� �Vf `.� l� CODE� INSPECTIONTVPE 206 Finel Mechanical 20B Final Plumbing 210 Finel Electrical 212 Flnal Fire Prevention 220 Finel Planning Approval 222 Final Sl�e 250 Final Building/Occupency QAIE It�lS NEWPORT-MESA UNIFIED SCHOOL DISTRICT CERTIFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 ANO AB 181 To: (� Cily of Costa Mesa ( ) City of Newport Beach ( j County o(Oran�e Applicant: N° 4928 District Receipt No. /��"'Y' Plan Check No. �QJ � v��(�cY Address: r� 9 �r� � /,�.1.! � 'P 1 u/ �� !Y�s�t Telephone Number: �� – L(�.(X � � ��7 `7 �'— TracVParcel and Lot Number(s): Location of Project: Number of Square Feet oi: Residential Space Commercial and Industrial Space CommerciaVlndustrial Project is: (Check One) Warehouse R8D Movie Theater Mini-storage Heavy IndusVial Regional Shops Light Industrial _ This projed is exempt because �� ?� S� x a,.ee z E .30 _ Motel _ Bank _ Neighborhood Shops _ RacqueUHeaMh _ Hotel _ Medica101fice _ Office Park Total ! () � • / O Totai Preschool Auto Repair Hospital Large Office Office Bldg. Restaurant Fast Food this certifies that the above-named DevelopedApplicant has paid school faatity fees in comp6ance with Government Code sections 53080 and 65995. The Building Perrrits for this square footage in this proposed development may now be issued by your jurisdic9on. Checks are to be made payable to NewpoR-Mesa Unified School Dishict. By: Aulhoraad The above representation as W square footage is We. Appticant agrees that if it is later determined that such representations are not true, then this certificate shall automatically terminate and Me appropriate Cily/County shall be n t�d12 2B03/9•21 pM/f 984.4b RCDTk:01-812JG67 125426 Date: nooticem JOB ADDRESS 0'fiARE� MH. & MRS. W. S. DATE 7�11�63 I»I:d�➢IYI UP I$o,J TYPE y ZONE SUBCONTRACTOR PERMITSISSUED DATE � NUMBER . 3 � .. • I 9953 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BO1C 917 COSTA MBBA� CALIFORNIA For Applicant fo Fill In Completely TYPE OR PRINT BUILDIN6 AD�RE53 U COSTA MESA. CALIFORNIA oWNER rs + � � � AD RE83 '��•CNN�'V VL�� cITY �O� �TNCT `+LC_'ti> �NO.OI�VO- ARCHITECT 'f7 i 1 i TEC. i.. FEE RECEIVE� dUN i 4 �yb3 FINANCE DEPT. �bY OF COSTA MESA APPLICA N FOR PERMR � BUILDING For Offtce Use Only fl6CHIP� NO. PE IT O. BY �A A8C81VED O� 89Y�� 3-G �%i - TYPE GROUP ` � - r�aTF � �� CITV Q � A. P. NO. � J "' NOTE: NO EAVE OVERHANG BNALL BE LESS THAN STATE /�F NEL. 90' TO 91DE 8 REAR P. L. LIC. NO. SIZE /. EAVES No.oneLOoe. ALLOWED (U.B.C.REOUIREMENT) OF LOT O I I O � NOW ON LAT YARD3APPROVEO YARDSAPPROVED USE OF � MAIN BUILDIN6 ACCESSORY BUILDIN6 EXISTING BLDG. (FROM C/LSTREET7 SETB.�CK L�N6 FNOM 1 � u FRONT Ff. FT. c[rvica Ov etaEeT S 2 REAR YARD 2� t, %� . SIDEYARDI LEFT ' p�pHT 'p�!' R•S�DE Ff. FI'. DESCRIPTION OF WORK �.sios Fr. FT. NEW � ALTERATI N ADDITION REAR "� �: OISTANCE BFT. � BET. MAIN Q REPAIR M VIN6 DEMOLISH MAIN BLDGS. ACCESS.BLDGS. BUILDINO (}1 NO.OF VAR'# OATE SIZE .Z ROOMS ST RIE C. U. P. APPROVED EXTERIOR WALL ROOF APP Vg / COVERING G COVERINO BV �� DATE G� 3'(D USE OF BUILDINC AND WORKTO Bfi PERFORMED � � in Iz %� es E r , a i4 « Q. FT. � i MEREBY ACKNOWL¢DG¢ TXAT 1 MAVB pEAD TXIB �PPLICATION THE AMOUNT BH UNDEq V�LU�TION IB FOR THH = ANO STAT6 TXAT TH8 ABOVE �8 CORHECT ANO AOPEE TO COM. PURPOSE OP ES ABLIBHINO ♦ PERMIT FEE ONLY. 0 >�v wirn w�� cmv owornw cee wrvo eTATe uWe neouuTiHa ypLUATION ,�D.So � BUILOINO CONSTRUCT N. q SIGNATURE OF p PERMIT FEE $ j PERMI'ITE $ /� /�'O C C �v� � 5 ¢ O'' �a�� o AUTHORIZED NT TOTALFEE S/��`� LL