APPLICATION FOR BUILDING PERMIT CITY PACIFIC GROV ASSESSOR'S NO. Mag—— 3 Location Of Work 61 I! ' v" "‘"-TI-."‘1‘WI'.'P."-"1MY-‘Pklo'll-Ur’u‘vmiuran’"If-Fetu- v yuwv I '1‘ I mum v I PERMIT NO. "I Eng/Arch. Addres SET BACKS IN FEET ALLOWED .il‘ I TYPE IMPROVEMENT [:1 BUILD [:1 REMODEL 1] ADD TO REPAIR [1 MOVE [:1 DEMOLISH [1 OTHER I DESCRIPTION OF WORK AUTHORIZED DVWY. PERMIT NO. [3 ALTER ELE CONTR. MECH. CONT. PLUMB. CONT. VARIANCE NO. DATE ARCHITECTURAL APPROVAL NO. DATE USE PERMIT NO. DATE TREE PERMIT NO. CURB GUTTER 8- SIDEWALK PERMIT NO. A _,_ ‘ THIS APPLICATION BECO ES A BUILDIN "7 II WHEN PROPERLY FILLED OUT, SIGNED BY APPLICANI‘ AND APPROVED I- INSPECTOR Date Application Appr 14.14;, - T /o- ‘ . //. a THE ABOVE APPROVAL GRANTS PERMISSION TO DO THE WORK COVERED BY THIS APPLICATION IN ACCORDANCE WITH PLANS AS APPROVED AND ALL APPLICABLE COUNTY AM) STATE ORDINANCES, REGULATIONS AND LAWS GOVERNING LOCA- TION, CONSTRUCTION AND OCCUPANCY OF BUILDING. “ Owner Address 3: Contractor MW Address Phone ’ Phone 2/ ii; Financed by M84“ RECEIPT NO. STORIES sITE DIMENSIONS a AREA COVERAGE DATA (,4 VALUATION -' ,' 1.1/ FE 8 OWNER BUILDER SURCHARGE A SURCHARGE OF 10% 0R'S3.00 WHICHEVER IS GREATER l5 PLAN CK. £9 REQUIRED BECAUSE SUB-TOTAL OF THE INCREASED SM”: NUMBER OF iNSPECTIONS PENN-“ES NECESSARY 0N OWNER TOTAL 6- BUILDER PERMITS EXPIRATION 0F PERMIT THIS PERMIT EXPIRES IF THE BUILDING OR WORK AUTHORIZED HEREIN IS NOT COMMENCED WITHIN 120 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 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 Ilood lighting GRADE LINES AS SHOWN ON DRAWING ACCOMPANYING THIS APPLICATION ARE ASSUMED TO BE CORRECT IF ACTUAL GRADE LINES ARE NOT 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 PROVISIONS OF SECTION 3800 OF THE LABOR CODE OF THE STATE OF CALIFORNIA. APPLICANT SHALL FILE WITH THE BUILDING INSPECTOR THE CERTIFICATES. DESIGN- ATED IN (I) AND (2) BELOW AND/0R SHALL INDICATE iTEM (3). (4). OR (5) WHICHEVER IS APPLICABLE. (1) CERTIFICATE OF CONSENT OF SELF-INSURED ISSUED BY THE DIRECTOR OF INDUSTRIAL RELATIONS (2) CERTIFICATE 0R EXACT DUPLICATE COPY) OF WORKMEN'S COMPENSATION INSURANCE ISSUED BY AN ADMI ED INSURER. D (3) THE COST OF THE WORK TO BE PERFORMED IS $100 OR LESS. [1(4) CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED THAT I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER 50 AS TO BECOME SUBJECT TO THE WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. D (5) I CERTIFY THAT THE APPLICANT IS LICENSED UNDER THE PROVISIONS OF CHAPTER 9 COMMENCING AT SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS ODE. AND SAID APPLICANT'S CALIFORNIA STATE CONTRACTORS. IIALF DAY NOTICE IS REUUIREII FOR ALL INSPECTIONS LICENSE N0. CLASSIFICATION IS IN FULL FORCE 8. EFFECT. APPLICANT' 4 SIGNATURE Sgt..- PERMIT I DATEW ', 3 TRACTW 5 Lot if £42 Block L— ' Phonei SAC v4. I .5» 1m “A E. i I I. .t‘ if. , OCR Text: APPLICATION FOR BUILDING PERMIT CITY PACIFIC GROV ASSESSOR'S NO. Mag—— 3 Location Of Work 61 I! ' v" "‘"-TI-."‘1‘WI'.'P."-"1MY-‘Pklo'll-Ur’u‘vmiuran’"If-Fetu- v yuwv I '1‘ I mum v I PERMIT NO. "I Eng/Arch. Addres SET BACKS IN FEET ALLOWED .il‘ I TYPE IMPROVEMENT [:1 BUILD [:1 REMODEL 1] ADD TO REPAIR [1 MOVE [:1 DEMOLISH [1 OTHER I DESCRIPTION OF WORK AUTHORIZED DVWY. PERMIT NO. [3 ALTER ELE CONTR. MECH. CONT. PLUMB. CONT. VARIANCE NO. DATE ARCHITECTURAL APPROVAL NO. DATE USE PERMIT NO. DATE TREE PERMIT NO. CURB GUTTER 8- SIDEWALK PERMIT NO. A _,_ ‘ THIS APPLICATION BECO ES A BUILDIN "7 II WHEN PROPERLY FILLED OUT, SIGNED BY APPLICANI‘ AND APPROVED I- INSPECTOR Date Application Appr 14.14;, - T /o- ‘ . //. a THE ABOVE APPROVAL GRANTS PERMISSION TO DO THE WORK COVERED BY THIS APPLICATION IN ACCORDANCE WITH PLANS AS APPROVED AND ALL APPLICABLE COUNTY AM) STATE ORDINANCES, REGULATIONS AND LAWS GOVERNING LOCA- TION, CONSTRUCTION AND OCCUPANCY OF BUILDING. “ Owner Address 3: Contractor MW Address Phone ’ Phone 2/ ii; Financed by M84“ RECEIPT NO. STORIES sITE DIMENSIONS a AREA COVERAGE DATA (,4 VALUATION -' ,' 1.1/ FE 8 OWNER BUILDER SURCHARGE A SURCHARGE OF 10% 0R'S3.00 WHICHEVER IS GREATER l5 PLAN CK. £9 REQUIRED BECAUSE SUB-TOTAL OF THE INCREASED SM”: NUMBER OF iNSPECTIONS PENN-“ES NECESSARY 0N OWNER TOTAL 6- BUILDER PERMITS EXPIRATION 0F PERMIT THIS PERMIT EXPIRES IF THE BUILDING OR WORK AUTHORIZED HEREIN IS NOT COMMENCED WITHIN 120 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 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 Ilood lighting GRADE LINES AS SHOWN ON DRAWING ACCOMPANYING THIS APPLICATION ARE ASSUMED TO BE CORRECT IF ACTUAL GRADE LINES ARE NOT 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 PROVISIONS OF SECTION 3800 OF THE LABOR CODE OF THE STATE OF CALIFORNIA. APPLICANT SHALL FILE WITH THE BUILDING INSPECTOR THE CERTIFICATES. DESIGN- ATED IN (I) AND (2) BELOW AND/0R SHALL INDICATE iTEM (3). (4). OR (5) WHICHEVER IS APPLICABLE. (1) CERTIFICATE OF CONSENT OF SELF-INSURED ISSUED BY THE DIRECTOR OF INDUSTRIAL RELATIONS (2) CERTIFICATE 0R EXACT DUPLICATE COPY) OF WORKMEN'S COMPENSATION INSURANCE ISSUED BY AN ADMI ED INSURER. D (3) THE COST OF THE WORK TO BE PERFORMED IS $100 OR LESS. [1(4) CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED THAT I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER 50 AS TO BECOME SUBJECT TO THE WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. D (5) I CERTIFY THAT THE APPLICANT IS LICENSED UNDER THE PROVISIONS OF CHAPTER 9 COMMENCING AT SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS ODE. AND SAID APPLICANT'S CALIFORNIA STATE CONTRACTORS. IIALF DAY NOTICE IS REUUIREII FOR ALL INSPECTIONS LICENSE N0. CLASSIFICATION IS IN FULL FORCE 8. EFFECT. APPLICANT' 4 SIGNATURE Sgt..- PERMIT I DATEW ', 3 TRACTW 5 Lot if £42 Block L— ' Phonei SAC v4. I .5» 1m “A E. i I I. .t‘ if. , Heritage Society of Pacific Grove,Historical Collections,Green Plaque Research,Green Plaque Research 500 to 1900 block,518 Congress,1980 Garage Repair.jpg,1980 Garage Repair.jpg, 1980 Garage Repair.jpg