-Fr APPLICATION FOI#BUiEM''- €554*Flilp ' 2*Mb NE#8-3183 CITY O• pAcIFIC GROVE ASSESSORS'S NO. adm,-46,6 -(375 No. qq - 0431 i 4>Flailly'P- 4**4*ant to colhplete numbered spaces which apply ' ' ' 26 -IJ 110,206 Ct,VI;'te'sh 1220 \3£,1 IM#6-#v. L)/17''J>4 1,4, 7 -30/ MAIL ADDRESS 2 2kd 1, H up..12 1220 DA 114...12.- /"4- . 09 C MAIL ADDRESS PHONE LICENSE NO. 7 2 3 9,\\ 11014·LL (11·14· 90.$hi.54 FlinJu. 64 721- Ili<.0, 20*7 0* .. ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. - 8 m 4 17 WWM (rf -- j-0 ... -4:.Arr: ENGINEER MAIL ADDRESS PHONE UCENSE NO. - . .. . r' » -I 5 -0 USE OF BUILDING 6 /l frD-*1 2-- 920 »:--- - 7 Class olwork: O NEW ADDITION *·*ALTEFIA'FIONt 08PAIR IMOVE. O REMOVE A.f. 8 Describe wofk: f 477/c,-) 9 Change of use from h.4 A A 1 A +- Change of use to 7 1 4.10 Valuation of work: $ SPECIAL CONDITIONS a ,-•,rr-r.------··C,1,. Cf'_1'LAN kHECK FEE , Type of Const PERMIT FEE Occupancy Group Division ION ACCEPTED BY 11 -'377-9 NOTICE 1 - 19-99 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOTCOMMENCEDWITHIN 180 DAYS, OR IF CONSTRUCTION ; OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TIONANDKNOWTHESAMETOBETRUEANDCORRECT. ALLPROVISIONS ' ORLAWS AND ORDINANCES GOVERNING THIS TYPEOF WORK WILL BE ''.'. COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING f J, OFA PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE 0' OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUGMOVOR THEPERFORMANCEOFCONSTRUCTION. . , 9 / 40< /39/417.- '0/149 SIGNATUREOFCONTIOR°e'10RIZED AGENT SIGNATURE OF OWNER (IF OWNER BUILDER) (DATEI Size of Bldg. No. 01 Max. (Total) Sq. Ft Stories Occ. Load Use Fire Sprinklers Zone Required O Yes O No OFFSTREET PARKING SPACES: Covered | Uncovered Special Approvals Required Received Not Required ZONING HEALTH DEPT. FIRE DEPT. SOIL REPORT VARIANCE NO. ARCHITECTURAL APPROVAL NO. USE PERMIT NO. COASTAL TREE ; ./ 1 / h Fire PLANS *CKED SY- AtED FOR ISSUANCE BY ZOne j No. ot LICENSED CONTRACTORS DECLARATION i . I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and h Professions Code, and my license is m full force and ellect , A men. m. 4 4 /2 - 0-/ License Ni,mher 20399 4 .ki- 1204 / 7 OWNER-BUILDE#DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city which requires a permit to,construct alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement thathe is licensed pursuant to the provisions of the Contractor's Ucense Law (Chapter 9 - commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempttherefrom and the basis for the alleged exempion. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500): 1 01,asowneroftheproperty,ormyemployeeswithwagesastheirsolecomp*!sation,willdothework,and the structure is not intended oroffered for sale (Sec. 7044, Business and Profess,ens Code: The Contractor's Ucense Law does not apply to an owner of property who builds or improves th*reon, and who does such work himsellor through his own employees, providedthatsuchimprovements are notintended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will L have the burden of proving that he did not build or improve for the purpose of sale). 0 1 am exempt under Sec. 8. & P.C. b this reason Arrirs'. r.'A 23 ..,4,/ : '£-- 9 You will be contacted by MRWPCA Source Control Divit E*3404*401 1 . · h . MOn Warning: Trees on the streets of Pacific Grove are public proper and under City control. Permission to remove trees may b obtained only from the City. This permit does not Include any signs or flood lighting GRADE LINES AS SHOWN ON DRAWING ACCOMPANYIN THIS APPLICATION ARE ASSUMED TO BE CORRECT IF ACTUA GRADE LINES ARE NOT THE SAME AS SHOWN. REVISE DRAWINGS SHOWING CORRECT GRADE UNES, CUTS AN FILLS, TOGETHER WITH COMPLETE DETAILS OF RETAININ WALLS AND WALL FOOTINGS REQUIRED MUST BE RESUE MITTED TO THIS DIVISION FOR APPROVAL CONSTRUCTION LENDING AGENCY I hereby aflirm that there is a construction lending agenc for the performanc issued (Sec. 3097, Lender's Name Lender's Address -VALUATION 4.00 . FEES PERMIT THE ABOVE APPROV PLAN CHK GRANTS PERMISSION 1 DOTHEWORKCOVERE COMD BY THIS APPUCATION 1 ...... ACCORDANCEVWTHPLAA AS APPROVED AND Al SEWER APPLICABLE,0ONE AND,§DirrOMDINANCEI 0 REGULATIONS AND LAW 1 | '-'GOVERNING LOCATIO! 1 1 CONSTRUCTION AND OC i t- ·· , OCR Text: ,-Fr APPLICATION FOI#BUiEM''- €554*Flilp ' 2*Mb NE#8-3183 CITY O• pAcIFIC GROVE ASSESSORS'S NO. adm,-46,6 -(375 No. qq - 0431 i 4>Flailly'P- 4**4*ant to colhplete numbered spaces which apply ' ' ' 26 -IJ 110,206 Ct,VI;'te'sh 1220 \3£,1 IM#6-#v. L)/17''J>4 1,4, 7 -30/ MAIL ADDRESS 2 2kd 1, H up..12 1220 DA 114...12.- /"4- . 09 C MAIL ADDRESS PHONE LICENSE NO. 7 2 3 9,\\ 11014·LL (11·14· 90.$hi.54 FlinJu. 64 721- Ili<.0, 20*7 0* .. ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. - 8 m 4 17 WWM (rf -- j-0 ... -4:.Arr: ENGINEER MAIL ADDRESS PHONE UCENSE NO. - . .. . r' » -I 5 -0 USE OF BUILDING 6 /l frD-*1 2-- 920 »:--- - 7 Class olwork: O NEW ADDITION *·*ALTEFIA'FIONt 08PAIR IMOVE. O REMOVE A.f. 8 Describe wofk: f 477/c,-) 9 Change of use from h.4 A A 1 A - Change of use to 7 1 4.10 Valuation of work: $ SPECIAL CONDITIONS a ,-•,rr-r.------··C,1,. Cf'_1'LAN kHECK FEE , Type of Const PERMIT FEE Occupancy Group Division ION ACCEPTED BY 11 -'377-9 NOTICE 1 - 19-99 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOTCOMMENCEDWITHIN 180 DAYS, OR IF CONSTRUCTION ; OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TIONANDKNOWTHESAMETOBETRUEANDCORRECT. ALLPROVISIONS ' ORLAWS AND ORDINANCES GOVERNING THIS TYPEOF WORK WILL BE ''.'. COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING f J, OFA PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE 0' OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUGMOVOR THEPERFORMANCEOFCONSTRUCTION. . , 9 / 40< /39/417.- '0/149 SIGNATUREOFCONTIOR°e'10RIZED AGENT SIGNATURE OF OWNER (IF OWNER BUILDER) (DATEI Size of Bldg. No. 01 Max. (Total) Sq. Ft Stories Occ. Load Use Fire Sprinklers Zone Required O Yes O No OFFSTREET PARKING SPACES: Covered | Uncovered Special Approvals Required Received Not Required ZONING HEALTH DEPT. FIRE DEPT. SOIL REPORT VARIANCE NO. ARCHITECTURAL APPROVAL NO. USE PERMIT NO. COASTAL TREE ; ./ 1 / h Fire PLANS *CKED SY- AtED FOR ISSUANCE BY ZOne j No. ot LICENSED CONTRACTORS DECLARATION i . I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and h Professions Code, and my license is m full force and ellect , A men. m. 4 4 /2 - 0-/ License Ni,mher 20399 4 .ki- 1204 / 7 OWNER-BUILDE#DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city which requires a permit to,construct alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement thathe is licensed pursuant to the provisions of the Contractor's Ucense Law (Chapter 9 - commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempttherefrom and the basis for the alleged exempion. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500): 1 01,asowneroftheproperty,ormyemployeeswithwagesastheirsolecomp*!sation,willdothework,and the structure is not intended oroffered for sale (Sec. 7044, Business and Profess,ens Code: The Contractor's Ucense Law does not apply to an owner of property who builds or improves th*reon, and who does such work himsellor through his own employees, providedthatsuchimprovements are notintended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will L have the burden of proving that he did not build or improve for the purpose of sale). 0 1 am exempt under Sec. 8. & P.C. b this reason Arrirs'. r.'A 23 ..,4,/ : '£-- 9 You will be contacted by MRWPCA Source Control Divit E*3404*401 1 . · h . MOn Warning: Trees on the streets of Pacific Grove are public proper and under City control. Permission to remove trees may b obtained only from the City. This permit does not Include any signs or flood lighting GRADE LINES AS SHOWN ON DRAWING ACCOMPANYIN THIS APPLICATION ARE ASSUMED TO BE CORRECT IF ACTUA GRADE LINES ARE NOT THE SAME AS SHOWN. REVISE DRAWINGS SHOWING CORRECT GRADE UNES, CUTS AN FILLS, TOGETHER WITH COMPLETE DETAILS OF RETAININ WALLS AND WALL FOOTINGS REQUIRED MUST BE RESUE MITTED TO THIS DIVISION FOR APPROVAL CONSTRUCTION LENDING AGENCY I hereby aflirm that there is a construction lending agenc for the performanc issued (Sec. 3097, Lender's Name Lender's Address -VALUATION 4.00 . FEES PERMIT THE ABOVE APPROV PLAN CHK GRANTS PERMISSION 1 DOTHEWORKCOVERE COMD BY THIS APPUCATION 1 ...... ACCORDANCEVWTHPLAA AS APPROVED AND Al SEWER APPLICABLE,0ONE AND,§DirrOMDINANCEI 0 REGULATIONS AND LAW 1 | '-'GOVERNING LOCATIO! 1 1 CONSTRUCTION AND OC i t- ·· , Heritage Society of Pacific Grove,Historical Collections,Historic Properties of Pacific Grove,Congress,506 Congress,CONGRESS AVE_260.pdf,CONGRESS AVE_260.pdf 1 Page 1, Tags: CONGRESS AVE_260.PDF, CONGRESS AVE_260.pdf 1 Page 1