APPLICATION FOR BUILDING PERMIT CITY F PACIFIC GROV* DATE 49 -/ 7- 57 C PERMIT NO. 01794 4 ASSESSOR'S NO. G - /22- 11 TRAC,774 e,u b G - Location Of Work 10,7 2114, + 1( Lot 6 Block 444 Owner s. Fr 1 -ir fL Address Phone Contractor -le.f Address Phone Eng./Arch. Phone Artrirmqq Financed by RECEIPT NO. STORIES SET BACKS IN FRONT SIDE FIRE ZONE USE ZONE TYPE IMPROVEMENT O BUILD O REMODEL O MOVE Q DEMOLISH DESCRIPTid TYPE SITE DIMENSIONS & AREA FEET COVERAGE DATA 5IDE REAR ALLOWED EXISTING - BLDG. TYPE NEW TOTAL ADD TO 0 4geAIR O *4*ER OTHER 6,29= A--4 p -1 nc- e--4 F WORK AUTHORIZED IN VALUATION OWNER BUILDER SURCHARGE A SURCHARGE OF \ FEES 10% OR'$3.00 PERMIT WHICHEVER IS GREATERIS PLAN CK. REQUIRED BECAUSE SUB-TOTAL OF THE INCREASED SMIP NUMBER OF PENALTIES INSPECTIONS NECESSARY ON OWNER TOTAL p 4!2L BUILDER PERMITS EXPIRATION OF PERMIT DVWY. PERMIT NO. ELE CONTR. MECH. CONT. PLUMB. CONT. VARIANCE NO. ARCHITECTURAL APPROVAL NO. USE PERMIT NO. TREE PERMIT NO. CURB GUTTER & SIDEWALK PERMIT NO. THIS PERMIT EXPIRES IF THE BUILDING OR WORK AUTHORIZED HEREIN IS NOT COMMENCED WITHIN 60 DAYS FROM DATE OF APPROVAL, OR IF WORK IS SUSPENDED FOR A PERIOD OF 120 DAYS OR ABANDONDED AFTER EXPIRATION, THIS PERMIT MUST BE RENEWED BEFORE THE WORK MAY BE COMMENCED AGAIN. Warning:Trees on the streets of Paci fic Grove are public property and under City DATE control. Permission to remove trees may be obtained only from the City. DATE This permit does not include any signs or flood lighting. GRADE LINES AS SHOWN ON DRAWING ACCOMPANYING IHIS APPLICATION ARE DATE ASSUMED 10 BE CORRECT IF ACIUAL GRADE LINES ARE NOI THE SAME AS SHOWN, REVISED DRAWINGS SHOWING CORRECT GRADE LINES. CUTS AND FILLS. TOGETHER WITH COMPLETE DETAILS OF RETAINING WALLS AND WALL FOOTINGS REQUIRED MUST BE RESUBMITTED TO THIS DIVISION FOR APPROVAL IN CONFORMITY WITH THE PROUSIONS OF SECTION 3800 OF THE LABOR CODE OF THE STATE OF CALIFORNIA, APPLICANT SHALL FILE WITH THE BUILDING INSPECTOR THE CERll FICATES, DESIGNATED IN (11 AND (2) BELOW ARID/OR SHALL INDICATE ITEM (3). (•), OR (51 WHICHEVER IS APPLICABLE 11) CERTIFICATE OF CONSENT OF SELF·INSURED ISSUED BY THE DIRECTOR OF INDUSTRIAL RELATIONS 12) CERTIFICATE (OR EXACT DUPLICATE COPYI OF WORKMEN'S COMPENSATION INSUR ANCE ISSUED BY AN ADMITTED INSURER (Ji THE COST OF THE WORK TO BE PERFORMED IS 5100 OR LESS THIS APPLICATION BECOMES A BUILDING..PERWHEN PROPERLY FILLED OUT. SIGNED BY 0 (41 I CERTIFY IHAI IN IHE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT APPLICANT, AND APPROVED BY Bl899,461SPECTOR IS ISSUED THAI i SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS 10 BECOME SUBJECT tO THE WORKMEN'S COMPENSATION LAWS OF CAUFORNIA. Date (51 I CERTIFY THAT THE APPLICANT IS LICENSED UNDER THE PROVISIONS OF CHAPTER Application Apprn-412 142 -/5Z- 96 FESSIONS CODE, AND SAID APPLICANT·S CALIFORNIA STATE CONTRACTOR'S. 9 (COMMENCING AT SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PRO- BUILD*01NSIWTOR t HALF DAY NOTICE IS REQUIRED FOR ALL INSPECTIONS. THE ABOVE APPROVAL GRANTS PERMISSION TO DO THE WORK COVERED BY THIS APPLICATION IN ACCORDANCE WITH PlANS AS APPROVED AND ALL APPLICABLE COUNTY AND STATE ORDINANCES, REGULATIONS AND LAWS GOVERNING LOCA- nON, CONSTRUCTION AND OCCUPANCY OF BUILDING. LICENSE NO ri a, CIFICATION IS IN FULL FORCE AND EFFECT /7 -9 APPLICANT'S. SIGNATURE 61-41,-1»73 SL- I , OCR Text: APPLICATION FOR BUILDING PERMIT CITY F PACIFIC GROV* DATE 49 -/ 7- 57 C PERMIT NO. 01794 4 ASSESSOR'S NO. G - /22- 11 TRAC,774 e,u b G - Location Of Work 10,7 2114, 1( Lot 6 Block 444 Owner s. Fr 1 -ir fL Address Phone Contractor -le.f Address Phone Eng./Arch. Phone Artrirmqq Financed by RECEIPT NO. STORIES SET BACKS IN FRONT SIDE FIRE ZONE USE ZONE TYPE IMPROVEMENT O BUILD O REMODEL O MOVE Q DEMOLISH DESCRIPTid TYPE SITE DIMENSIONS & AREA FEET COVERAGE DATA 5IDE REAR ALLOWED EXISTING - BLDG. TYPE NEW TOTAL ADD TO 0 4geAIR O *4*ER OTHER 6,29= A--4 p -1 nc- e--4 F WORK AUTHORIZED IN VALUATION OWNER BUILDER SURCHARGE A SURCHARGE OF \ FEES 10% OR'$3.00 PERMIT WHICHEVER IS GREATERIS PLAN CK. REQUIRED BECAUSE SUB-TOTAL OF THE INCREASED SMIP NUMBER OF PENALTIES INSPECTIONS NECESSARY ON OWNER TOTAL p 4!2L BUILDER PERMITS EXPIRATION OF PERMIT DVWY. PERMIT NO. ELE CONTR. MECH. CONT. PLUMB. CONT. VARIANCE NO. ARCHITECTURAL APPROVAL NO. USE PERMIT NO. TREE PERMIT NO. CURB GUTTER & SIDEWALK PERMIT NO. THIS PERMIT EXPIRES IF THE BUILDING OR WORK AUTHORIZED HEREIN IS NOT COMMENCED WITHIN 60 DAYS FROM DATE OF APPROVAL, OR IF WORK IS SUSPENDED FOR A PERIOD OF 120 DAYS OR ABANDONDED AFTER EXPIRATION, THIS PERMIT MUST BE RENEWED BEFORE THE WORK MAY BE COMMENCED AGAIN. Warning:Trees on the streets of Paci fic Grove are public property and under City DATE control. Permission to remove trees may be obtained only from the City. DATE This permit does not include any signs or flood lighting. GRADE LINES AS SHOWN ON DRAWING ACCOMPANYING IHIS APPLICATION ARE DATE ASSUMED 10 BE CORRECT IF ACIUAL GRADE LINES ARE NOI THE SAME AS SHOWN, REVISED DRAWINGS SHOWING CORRECT GRADE LINES. CUTS AND FILLS. TOGETHER WITH COMPLETE DETAILS OF RETAINING WALLS AND WALL FOOTINGS REQUIRED MUST BE RESUBMITTED TO THIS DIVISION FOR APPROVAL IN CONFORMITY WITH THE PROUSIONS OF SECTION 3800 OF THE LABOR CODE OF THE STATE OF CALIFORNIA, APPLICANT SHALL FILE WITH THE BUILDING INSPECTOR THE CERll FICATES, DESIGNATED IN (11 AND (2) BELOW ARID/OR SHALL INDICATE ITEM (3). (•), OR (51 WHICHEVER IS APPLICABLE 11) CERTIFICATE OF CONSENT OF SELF·INSURED ISSUED BY THE DIRECTOR OF INDUSTRIAL RELATIONS 12) CERTIFICATE (OR EXACT DUPLICATE COPYI OF WORKMEN'S COMPENSATION INSUR ANCE ISSUED BY AN ADMITTED INSURER (Ji THE COST OF THE WORK TO BE PERFORMED IS 5100 OR LESS THIS APPLICATION BECOMES A BUILDING..PERWHEN PROPERLY FILLED OUT. SIGNED BY 0 (41 I CERTIFY IHAI IN IHE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT APPLICANT, AND APPROVED BY Bl899,461SPECTOR IS ISSUED THAI i SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS 10 BECOME SUBJECT tO THE WORKMEN'S COMPENSATION LAWS OF CAUFORNIA. Date (51 I CERTIFY THAT THE APPLICANT IS LICENSED UNDER THE PROVISIONS OF CHAPTER Application Apprn-412 142 -/5Z- 96 FESSIONS CODE, AND SAID APPLICANT·S CALIFORNIA STATE CONTRACTOR'S. 9 (COMMENCING AT SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PRO- BUILD*01NSIWTOR t HALF DAY NOTICE IS REQUIRED FOR ALL INSPECTIONS. THE ABOVE APPROVAL GRANTS PERMISSION TO DO THE WORK COVERED BY THIS APPLICATION IN ACCORDANCE WITH PlANS AS APPROVED AND ALL APPLICABLE COUNTY AND STATE ORDINANCES, REGULATIONS AND LAWS GOVERNING LOCA- nON, CONSTRUCTION AND OCCUPANCY OF BUILDING. LICENSE NO ri a, CIFICATION IS IN FULL FORCE AND EFFECT /7 -9 APPLICANT'S. SIGNATURE 61-41,-1»73 SL- I , Heritage Society of Pacific Grove,Historical Collections,Historic Properties of Pacific Grove,Jewell,1017 Jewell,1017 JEWELL - REST HOME BAYVIEW MANOR DEMOLISHED_006.pdf,1017 JEWELL - REST HOME BAYVIEW MANOR DEMOLISHED_006.pdf 1 Page 1, Tags: 1017 JEWELL - REST HOME BAYVIEW MANOR DEMOLISHED_006.PDF, 1017 JEWELL - REST HOME BAYVIEW MANOR DEMOLISHED_006.pdf 1 Page 1