APPLICATION FOR BUILDING PERMIT PHONE: CITY OF PACIFIC GROVE No. 03 -(3344 ASSESSORS'S NO. (330- 159-00., Applicant to complete numbered spaces which apply JOB ADDRESS 1 78* /6 4 /1 5-4- OWNER 2/11/ke /lor(MAA) ONTRACTOR 3Ue ARCHITECT OR DESIGNER MAIL ADDRESS PHONE 11. % 49 690 3.,tfc«€ 1 3750 654< 2,93 z; MAIL ADDRESS PHONE UQSE NO. 3: prcs+6,0 3+ 94 CA«:, 04 12905 ' AfD€400B189 MAIL ADDRESS PHONE UCENSE NO. 4 ENGINEER MAIL ADDRESS PHONE UCENSE NO. 5 USE OF 6 j 7 Class of work: Cl NEW C ADDITION 1 ALTERATION 1 REPAIR U MOVE ,0 REMOVE 03,2 re 8 Describe work: GrAL (wk+49(·) 10 £• O-4 ttip < 4 c. AL t<)2 4,«- St-¢, -f No,0 1*(AC6 AUT're#67 9 1»0 Pe'FOWP, LAft{04 89#t Aer«1*ll,4 4\¢460 9 Change of use from it) VVFWALAA IC) Change of use to 10 Valuation of work: $ C SPECIAL CONDITIONS A. .0 i PTED BY PLANS CHECKED BY APPR0VEQ60|FSSUANCE BY Lj fl col 4 ll.u NOTICE'5/ THIS PERMIT BE¢OMES NULL AND VOID IF WORK O¥CONSTRUCTION AUTHORIZED IS NOT COMMENCED W )AYS,91 IF CONSTRUCTION OR WORK IS SUSPENDED OR AE D.mA A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK I: NCED. 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCpN OR THE PERFORMANCEOF CONSTRUCTION. 3 7-/*Lv- 'p- (* / ('c/6% j SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) HEC APPLpATION ACCE PLAN C Type of Const Size of Bldg. (Total) Sq. Ft Fire Zone No. of Dwelling Units Special Approvals ZONING HEALTH DEPT. FIRE DEPT. SOIL REPORT VARIANCE NO. ARCHITECTURAL APPROVAL NO. USE PERMIT NO. COASTAL TREE TREE PERMIT - TRFE PROTECT. F.NCROACH PFRMIT 199.75 0/ 5 PERMIT FEE Occupancy Group Division No. of Max. Stories Occ. Load Use Fire Sprinklers Zone Requifed m Yes No OFFSTREET PARKING SPACES: Covered ., uRvere - ck Required 1 UCENSEDCONTRACTORS DECLARATION I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and r,Micense-i101 force and eflect 1 i..... Cl... , L.- 0 f License Nlirnhpr 71 14 8 7 Contractor <71 1,/, 1, OWNER-BUILDER 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 permitto file, signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 - commencing with Section 7000) of Division 3 of the Business and Professidns Code) or that he 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 penalty of not more than five hundred dollars ($500): 01, as ownerof the property, or my employees with wagesas theirsole compensation, will dothe work, and the structure is not intended oroffered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply b an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). O I am exempt under Sec. B. & P.C. for this reason Apt.ran, D.t' O You will be contacted by MRWPCA Source Control Division Warning: Trees on the streets of Pacific Grove are public property and under City control. Permission to remove trees may be obtained only from the City. This permit does not Include any signs or flood lighting - GRADE LINES AS SHOWN ON DRAWING ACCOMPANYING THIS APPLICATION ARE ASSUMED TO BE CORRECT IF ACTUAL GRADE 1.INES ARE NOT THE SAME AS SHOWN. AEVISED DRAWINGS SHOWING CORRECT GRADE LINES, CUTS AND FILLS, TOGETHER WITH COMPLETE DETAILS OF RETAINING WALLS AND WALL FOOTINGS REQUIRED MUST BE RESUB- MITTED TO THIS DIVISION FOR APPROVAL. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address -- VALUATION 1 (f)0- - FEES PERMIT 1 27 -91 THE ABOVE APPROVAL GRANTS PERMISSION TO DO THE WORK COVERED PLAN CHK. BY THIS APPLICATION IN ACCORDANCEWITHPLANS SMIP. : 29 j -, AS APPROVED AND ALL APPLICABLE COUNTY SEWER AND STATE ORDINANCES, REGULArIONS AND LAWS GOVERNING LOCATION, DEPOSIT CONSTRUCTION AND OC- CUPANCY OF BUILDING. TOTAL- /Rk 4 q roDING ITHIN 180[ IANDONE S COMME , OCR Text: APPLICATION FOR BUILDING PERMIT PHONE: CITY OF PACIFIC GROVE No. 03 -(3344 ASSESSORS'S NO. (330- 159-00., Applicant to complete numbered spaces which apply JOB ADDRESS 1 78* /6 4 /1 5-4- OWNER 2/11/ke /lor(MAA) ONTRACTOR 3Ue ARCHITECT OR DESIGNER MAIL ADDRESS PHONE 11. % 49 690 3.,tfc«€ 1 3750 654< 2,93 z; MAIL ADDRESS PHONE UQSE NO. 3: prcs 6,0 3 94 CA«:, 04 12905 ' AfD€400B189 MAIL ADDRESS PHONE UCENSE NO. 4 ENGINEER MAIL ADDRESS PHONE UCENSE NO. 5 USE OF 6 j 7 Class of work: Cl NEW C ADDITION 1 ALTERATION 1 REPAIR U MOVE ,0 REMOVE 03,2 re 8 Describe work: GrAL (wk 49(·) 10 £• O-4 ttip < 4 c. AL t<)2 4,«- St-¢, -f No,0 1*(AC6 AUT're#67 9 1»0 Pe'FOWP, LAft{04 89#t Aer«1*ll,4 4\¢460 9 Change of use from it) VVFWALAA IC) Change of use to 10 Valuation of work: $ C SPECIAL CONDITIONS A. .0 i PTED BY PLANS CHECKED BY APPR0VEQ60|FSSUANCE BY Lj fl col 4 ll.u NOTICE'5/ THIS PERMIT BE¢OMES NULL AND VOID IF WORK O¥CONSTRUCTION AUTHORIZED IS NOT COMMENCED W )AYS,91 IF CONSTRUCTION OR WORK IS SUSPENDED OR AE D.mA A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK I: NCED. 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCpN OR THE PERFORMANCEOF CONSTRUCTION. 3 7-/*Lv- 'p- (* / ('c/6% j SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) HEC APPLpATION ACCE PLAN C Type of Const Size of Bldg. (Total) Sq. Ft Fire Zone No. of Dwelling Units Special Approvals ZONING HEALTH DEPT. FIRE DEPT. SOIL REPORT VARIANCE NO. ARCHITECTURAL APPROVAL NO. USE PERMIT NO. COASTAL TREE TREE PERMIT - TRFE PROTECT. F.NCROACH PFRMIT 199.75 0/ 5 PERMIT FEE Occupancy Group Division No. of Max. Stories Occ. Load Use Fire Sprinklers Zone Requifed m Yes No OFFSTREET PARKING SPACES: Covered ., uRvere - ck Required 1 UCENSEDCONTRACTORS DECLARATION I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and r,Micense-i101 force and eflect 1 i..... Cl... , L.- 0 f License Nlirnhpr 71 14 8 7 Contractor <71 1,/, 1, OWNER-BUILDER 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 permitto file, signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 - commencing with Section 7000) of Division 3 of the Business and Professidns Code) or that he 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 penalty of not more than five hundred dollars ($500): 01, as ownerof the property, or my employees with wagesas theirsole compensation, will dothe work, and the structure is not intended oroffered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply b an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). O I am exempt under Sec. B. & P.C. for this reason Apt.ran, D.t' O You will be contacted by MRWPCA Source Control Division Warning: Trees on the streets of Pacific Grove are public property and under City control. Permission to remove trees may be obtained only from the City. This permit does not Include any signs or flood lighting - GRADE LINES AS SHOWN ON DRAWING ACCOMPANYING THIS APPLICATION ARE ASSUMED TO BE CORRECT IF ACTUAL GRADE 1.INES ARE NOT THE SAME AS SHOWN. AEVISED DRAWINGS SHOWING CORRECT GRADE LINES, CUTS AND FILLS, TOGETHER WITH COMPLETE DETAILS OF RETAINING WALLS AND WALL FOOTINGS REQUIRED MUST BE RESUB- MITTED TO THIS DIVISION FOR APPROVAL. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address -- VALUATION 1 (f)0- - FEES PERMIT 1 27 -91 THE ABOVE APPROVAL GRANTS PERMISSION TO DO THE WORK COVERED PLAN CHK. BY THIS APPLICATION IN ACCORDANCEWITHPLANS SMIP. : 29 j -, AS APPROVED AND ALL APPLICABLE COUNTY SEWER AND STATE ORDINANCES, REGULArIONS AND LAWS GOVERNING LOCATION, DEPOSIT CONSTRUCTION AND OC- CUPANCY OF BUILDING. TOTAL- /Rk 4 q roDING ITHIN 180[ IANDONE S COMME , Heritage Society of Pacific Grove,Historical Collections,Historic Properties of Pacific Grove,16th st,128 16th,100 - 300 16TH ST_172_redacted.pdf,100 - 300 16TH ST_172_redacted.pdf 1 Page 1, Tags: 100 - 300 16TH ST_172_REDACTED.PDF, 100 - 300 16TH ST_172_redacted.pdf 1 Page 1