HomeMy WebLinkAbout3078 MOLOKAI PL - Building Permits /99 e Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. .
. CITY OF.COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TR /'O5 LOT N . UNIT NO. ! 91�r..a�'�
3075- /fo/_.D6(7/ ' BE ,34; ate 5 "'Vt ` �
P'oiect Address /�j�� o ��.� r �
cant':�Mail'i nna Addressdd /_QtV62��'✓c`-�� C Lv/��'/ r�s�`�q'.U�,fy TYPE OF CONSTRUCTION NEW IJ ADD LI ALTERATION LI REPAIR
's Name �j�U£�TT/f.YI�N/� � pne V 79 ,ysk .,TYPE-OF
❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# '3 — t83 - 'J$ 'JUL 14 19$i3tne!P''I
y DESCRIPTION OF WORK/USE OF BLDG.
Address 30 �,76ZOn ,/ ` _ S Main Building: xi
Main m(5:U.LAccessory Building:. v Z
I
Arch/Eng. License No. - TYPE OF PERMIT H GRADING El FOUNDATION CD STRUCTURAL T Front K�tNkJ.. i Li: co. 0
Address ,.y�����7y) //��pp yj� ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BA Rear 7 5 / N
• Contractor's Name ; �i5 02.v7 nei`fati_S//Q.. g? ❑ OTHER 1� I
�J�c+-� PROJECT DESCRIPTION SQ. FT. OCCUPANCY K—^� C Right 1Cf ! N
Address(mailing/Name;
i?_v�ti€ RG1/D 7z/n7 { A , K
, 1 �•�O CONSTRUCTION TYPE v 1v VALUATION$ 7� ./ $ Left a Cl/ G
City License No. `••t ] ZONE GRADING CU.YDS. ACRESR
LICENSED CONTRACTOR DECLARATION • Ping. Ref. Parking Req./Provided E
I hereby affirm that I am licensed under-provisions of Charter 9 (commencing Remarks: j1^ ((t1 -•a1 �.- I /)_�#'/ fl planning Notes: rap I� .j ,� 12)) rJ� �M
with section 7000) of Division 3 of the Business and Professions Code, and - G{�.�XAT�'EI /AY.A.O `�sJ fOt 1- "P' �I
my license is in f I force a d effec ,. - ( Lc.if T
'-lA)ft_l �.O ' .4/YL!'a.Q.'1P_ �Vl(.� s
License Class % License _
Date Signature„��''-� PLUMBING I FEES
WORKERS'COMPENSATION bEC • R• ON Bar Sink . Showers ELECTRICAL FEES
I hereby affirm that I have a certificate q$consent to self-Insure or a certificate _
of Workers' Compensation Insurance,4r a'certified copy thereof (Section Backflow Preventer Service Sink
Automatic Washer Transformer ❑ 15-50 KW
380Q Lab. ) •i 0 50+KW
' 'licy No. )7 ysT7 -$7C gipany � frlrl�iQf�eI/�}�jj�LC�fQG Backflow Irrigation Sewer Cap - Construction Pole Sub. •
-Certified copy is hereby furnished. C
J Certs ped copy isprd with the city Div' - . Bathtubs Sewer Connection Cooking Unit Meter Cup to 100 amps
Date 7—/Y e `1 /Applicant G/
EXEMPTION FROM WORKERS'COMPENSA N ECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the perms is for one hundred($100)or
less). Dishwasher Solar Piping Dryers DGas ❑Electric Sub Panel -
I certify that in the performancerof the work for which this permit is issued, I •
�n shall not employ any person in'any manner so as to become subject to te Drinking Fountains Solar Tank Fan Motors 00-1 HP 011/2-8
t'.t y Workers' Compensation ,aws or California- caw, r_ _
` O Date Signature Floor Drains Swimming Pool w/Spa F.A,U. Inc.Solar 09-15 HP 016-15+
NOTICE:If,after making this declaration,you should become subject to the —
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures
�_ comply with such 'provisions or this permit shall be deemed revoked. Microwave
1 CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes . Pole Light '
1 hereby affirm that there Is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater - Outlets flange
/-
Lender's Name
Lender's Address Kitchen Sink Water Service. Switches Sign
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the - Lavatories Auto-Wash Garbage Disposal Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW Trash Compactor
any structure, prior to its issuance, also requires the applicant for such permit
to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains •
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of -
Division 3 of the Business and Professions Code) or that he/she is exempt -
therefrom and the basis for the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil
n=naltyof not more than five hundred dollars ($500).
as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 I\
• ,pensation, will do the work,and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee —$$
sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREM TS' 1QP-.V�.{"{�
employees, provided that Such improvements are not intended or offered for Boiler Hood or Type I 0
/ 8
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 • Zoning Approved By '"'^r” Date 1_( Z w8
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
prove for the purpose of sale). Building Approved By Date
LJ I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By S V Date-1-4-
cis
tractors to construct the project (Section 7044,Business and Professions code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU S ARV OF FEES o s3
builds or improves thereon, and who contracts for such projects with a con-
tractors) license pursuant to the Contractor's License Law). I am aware that BUILDING PERMIT $ SMIP $
f Exhaust System ❑ Multiple ❑ System Repair/Alteration
i proof o their Worker's Compensation insurance should be provided to me. _ PLAN CHECK $ t - PERMIT
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIL ICBG# Fire Dampers ISSUANCE $
PLUMBING $
' Date Owner Heating System&Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $.
I hereby certify that I have read this application and state that the above DO-100,000 BTU 0100,000BTL ELECTRICAL S i q 1 vi GRADING $
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building cons uction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of - t • -•ter upo/the above-mentioned property for
inspection rp. �•
Signature 'i a. Date/7710 O MECHANICAL $ TOTAL FEE $
Drivers' License or '� _`, Reinspection Fee $15 Issue Fee
•
$ 3 PLAN CHECK 25% $ 18 3
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
';CONSTRUCTION AND PLANNING • POOL&SPA
APPROVALS Permit# • Date Inspector APPROVALS Permit# Date Inspector
•
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location : '
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement r 1.,313. Electrical Conduit Utility-Undrgrnd. 54. Forms - :r ' a "�
4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding ,- i . . ,
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test •' C' ' -^
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITF' ; C.
7. Footings 58. Electrical Conduit-Undrgrrid.
8. Foundation• 59. Gas Pipe, 0 Undrgrnd., Test >.
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. ,
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final - , •
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring gbh$ 6.3,--/ 67: Fencing & Access Approval
17. Rough Wiring Sign gbh
68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT , •
`
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil •
23. Gas Pipe-Rough & Test 72. Underground Flush •
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical •
_
It
27. Frame and Flashing 8/gir/ 6, 76. Dry Standpipe
28. Lathing & Siding L` 00 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
•
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric 3.{C43Notes: kJ 0 - Oeync ( 1 I •q / i•
U/1 r
34. Final Heating & Air Conditioning '-r/
35. Final Gas Pipe-Test .e/
36. Hood or Canopy .
37. Final Factory Fireplace l* • �
38: Final Plumbing • •
39. Water Service-Final ,-� A .
40. Gas Service-Final - �: ,.
41. Solar Domestic-Final •
r ., ✓ . /
'42. Backflow Preventer -
Y
43. Backflow Irrigation • dor. 1 '
44:'Landscape Irrigation System -Crtr
45. Sound Attenuation - ' I' -/-
- .
46. Handicap Regulations z , . . .
47. FINAL STRUCTURE & BUILDING e� ,� . - -
48. Special Requirements Completed %••
49. Electric Release to Edison . .; '"
, n
50. Gas Release to Southern California Gas Co ' ' 1
51. CERTIFICATE OF OCCUPANC
s
No. Date
r� - _ _ --^ _ . / ' ,.
•
•
INSPECTION CARD DESCRIPTION OF WORK tc
PERMIT NO. This job is not released until final inspection is called for and
p`J,E 34SIDs approved. It is the duty of the owner or permittee to call this
DATE ISSUED office upon completion of work covered by the permit.
'1-t4 - B B
BUILDING DIVISION OWNER: Imo' IC[LtQ LJl .
COSTA MESA 7545627 a
• ADDRESS:_ 3of7B M A-Co A_
PLUMBING INIT. DATE HEATING INIT. DATE
U/G
Uu
1 y�
Plop. Rough Rough Final
Final _
ELECTRICAL INIT. DATE ❑WG Water_ rr��
UIG Elec. — STRUCTURAL INSP. DATE SMOKE 1747. AIL l-IT"NJ 7q
Rouyn ¶h1h • f-7 Trenches-Seel •
Final K Framing fp%
If�C Final en,
CMF 075146 U-22I Raw.6/80
• •
•
•
COSTA MESA BUI8 ING�DEPARTMENT DEC 9 1�6® fir
• COSTA MESA. CALIFORNIA FliV.rCE DEPT.
VT/ Cr ..n•.Tq aU.. 1i
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING 3078 Moloki Ave. BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
D-'
OWNER Mesa Verde Estates ??-D-' /
RECEIVED BY DATE RECEIVED DATE ISSUED
MAIL
ADDRESS 1701 Gisler St.
/ - -S:' 11- '-S
CITY
Costa Mesa TND. KI 5-1751 ADDRESS
ARCHITECT LIC.
COSTA MESA. CALIFORNIA
OR ENGINEER J. R. Shel Ie NO.O.0-2170
FIRE
ADD' Lon Beech GE 9-0908 ZONE
ZONE
CONTRACTOR L. G. Robinson CITY No: 1123 / PLANS� ��_
ADDRESS 1701 Gisler St. • TNO.KI 5-1751 BYPROVED DATE
LEGAL LOT CORRECTIONS
DESCRIPTION NO. 86 BLOCK TRACT 3115
A.P. NO. •
SIZE 7�.J.en / /x/e0f NOW OF BLOT,,
S.
OF LOT '6f) Y NOW ON LOT, None /-
USE OF
EXISTING BLDG.
SETBACK LINE FROM (� •
CENTER OF STREET 50+ REAR YARD ' 20+
SIDE YARD RIGHT St+ LEFT 51+ •
DESCRIPTION OF WORK •
NEW X ALTERATION "ADDITION
REPAI �y[.,j }...,MOVING , DEMOLISH
BUILDING 5`� O �•� ' NO.OF
SIZE 550 ROOMS 6 STORIES I
EXTERIOR ROOF
COVERING WALL StVuCCO COVERING Rock & Asphalt
USE OF NEW
BUILDING Residence & Attached Garage
•
I HEREBY ACKNOWLEDGE THAT H4VE READ THIS APPL ATION AND
STATE THAT THE ABOVE IS CO RR AND AGREE TO'CO LY WITH ALL
CITY ORDINANCES AND S ATE $ REGULATING BUIL NG CONSTRUC•
TION. / - _A �.../,/. VALUATION
PERMITTEE OF
�/ Arte- L2''✓_/- r4,14-•••13--,-
PERMITTEE PERMIT FEE $ f
$ /c y }^ a PLAN CHECK S /7.
AUTHORIZED AGENT TOTAL FEE $ Syr,. So ��'
. •`
5464 ` CITY OF C sS;A MESA
r COSTA MESA BUILDING-SAFETY DEPARTMENT MAR 2 2 1966
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92620 -
For Applicant to Fill In Completely pI & 4)• PE
TYPE OR PRINT DING
LFor Office Use Only
AUDDWG 1.)) L 7 R 1CA D L 1/!ni RECEIPT
NO. PERMIT NO. `/
�/
COSTA
�/M(�ESA. CALIFORNIA - ,.Q 6-Y6 7/
OWNER /V\fl, . /�Ifl 5 . 14G�! SR ARP RECpyED eT 5J14.0? -Gp 3IVED y n.2�E-66
[1
BUILDING
•f
ADORW O 7R M (�LO I l A I ADDRESS -
_ FIRE GROU /
CITY (°ARCHITECT 5 7'/-1 M I<S A CL BYNE () DAT �%
APPROVED ✓/[/I[.(\ •�`
OR ENONEER TEL.
Q BY NING
TRESS N NO.OF USE OF N /
CONTRACTOR a Urly g i? Au/LA/ FR r PLANS l I BUILDING
ADDRESS D SCRIPTION (lI ! p(� � 1--/e3//.S�
CITY A.P.NO. ( 3 "-- 1 A J
—NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL SO•TO SIDE a REAR p.L.
LIC.NO. l j NO.
SIZE 3a• 1( EAVES
�r P. HI3N{ NO.OP eLDSE. ALLOWED (U.B.C.REQUIREMENT)
OF LOT 1 V/I b f/� na u
. O` NOW ON IAT
1. / I YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. - - (FROM G/L RR
SETBACK LINE PROM FRONT /(/ (/ - / PT.
CENTER OP STREET REAR YARD f
SIDE YARD LEFT RIGHT R.SIDE 2inc PT.
DESCRIPTION OF WORK L.SIDE /( PT. /V — PT.
NEW ALTERATION ADDITION REAR 7 FT. 6 / FT.
DISTANCE BET. BET.MAIN a
R .1 MOVING DlMOL441.1 MAIN BUMS. ACCESS.SLOGS.
BUILDING NO.OF VAR.SC DATE
SIZEROOMS STORIES C.U.P.# APPROVED
EXTERIOR WALL ROOF APPROVED ', /L �J////�,.�}�I ""��.) -6 6
COVERING COVERING IT `�✓ `�✓' III//////✓ ATE 3—Ct
U OF BUILDING AND WORK TO BE P[ FORMED P.
1 ,1t ) a ADO- To RfSifFNt oil
ct
SQ.PT.
I HEREBY ACKNOWLEDGE THAT•I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CAN. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION / D
BUILDING CONSTRUCTION. ,M s /Y//
r IJV PERMIT FEE E
SIGNATURE OF _
PERMITTED 1 `y/I//A/'/q - D J � PLAN CHECK S w'
AUTHORIZED AGENT/' • 1 2 /
TOTAL.PEE $ to ----
OWNER SHARP, KEN LA'I'L'' j-GG-Ob
JOB ADDRESS 3078 Molokai Place BUILDING PERMIT NO. 25464
tilGENERAL CONTRACTOR Domer-Builder DESCRLPTION OF WORK
/ o. 139-183-18 LOT TRACT FIRE ZONE VALUE $868.00
Ib, ECTIONS Signature Date GROUP I&J TYPE V ZONE R-1
Soil PERMITS ISSUED
Gas SUBCONTRACTOR Date I Number I Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con.0
Sprinkling System I
Miscellaneous I
Rough Heating and Air Conditioning
Temporary Service or Pole I
Underground 0 Power 0 I
Rough Wiring Heating and Vent.
Trenches 0 Forms 0 Steel Reinf. 0 1
Floor System
Bond Beam 0 Steel Reinforce 0 �
•Sheathing �? ,1(3 -C37,7
sig'
Frame and Flashing
Lathing —In 0 Out 0
P_ir •, Brown Coat
St Aral, Final Electric
Heating, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final _
Building, Final As o`4//s
OWNER MESA VERDE ESTATES DATE 12-9-58
JOB ADDRESS 3078 Maier nee. Mr,I o k-c. I 471 a c e BUILDING PERMIT NO. 8221
GENERAL CONTRACTOR L. G.1 Robinson VALUE $ 15,L495.00
AP. No. LOT 86 - TRACT .0-15 FIRE ZONE DESCRIPTION OF WORK Res & Att/gar
C-"IIIP I & J Al TYPE _ ZONE PLAN NO. 8221
Ith0PECTI DNS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Trenches 1' Forms 4- Steel /14-/1 /-74/-...47 j •
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam 4/k%( 3 -/.L'-43 A
Frame and Flashing S----6.--t S / !:',/` '
Lathing, In Out 0./�. 3 ,-t7 ST
Plaster,
Plaster, brown coat -.001-.4 4- Qn`.49
Underground soil AN S WIG Pipe Test4ys'-"9-S7
Top Out Pg-tri riptie-i thehi//4 R-Q- de i..r. J. [s _ _2, I 75
Furnace /1415 39-4'9 '/ , 3 - -S9 /75/5cr-'-
Gas Vents
Rough Plumbing /✓H-5 3-r-S-9 P, ..;{)�rQ .,EI c-1 9.-7 A . .t-a-/0-5i /lc 73 4C/4 s s9G
Cesspool Septic^Tank', ill Prop. Swr.Itfne H2 4 Con. St. Swr. 7//f,/ ct Q-L.14...4— �.c.-� 3-1 -S"c/ I_5 clIf
Sprinkling System!leafing Final M�IIS S—' t sv Pl .4;ynq Fixtures, Final NF#SSn6-SD 4
Fi.-� ias Test/6' / S S lei-W •
Construction Pole bh
ConstUndergrounduction
Power / y
,141 i
Rough Wiring 311-C3—iJ lt)i7 -fr, „Ar 2.C_ 3-LE--s ,��Az-4t I
OCCUPANCYFixFinal 7 J ' • yy-* I„V/ �/l
�f=yam-by Y V
Form 210-5M-1-57