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4.· af©X' VV APPLICATION FOR BUILDING PERMIT 4.€14. f / PHONE: €1171 OF PACIFIC GROVE ASSESSORS'S NO. 68 4 - 1+1 - 007 No. 04 -0 2,9 A Applicant to complete numbered spaces which apply 13 JOB ADDRESS / 22 e.102-1 Jr®,rell- A k-i¥\AL tnE.5. A»hke 13»(*Bvwd'rb)62;S Nt. 96. (13?30 379-39il 32 ' CONTRACTOR -,, MAn. ADDRESS PHONE LICENSE N 5 3 -J |40(2-;201\)S E>D- DERS -- y. UAL ARCHITECT OR DESIGNER ' 4 201WMNF 8'rkiAN -467 1kPe ·sr: Mertl•S; ot4 43940 3Tf-;964:· I{772 -5j; ENGINEER MAIL ADDRESS PHONE LICENSE NO. 3 1 5 42,1- 4. . .0 11 69 E, DIAG, rl Stbf'7 .-/ u ill 2.5 7 . Class of work: O NEW ADDITION ALTERATION O REPAIR · {] MOVE O REMOVE '0 Descdoe wone ADO got E (3An·H'o om ir ter•115• 13,143,ootA 130 -36, Apo 11 gd, 4, 9 : Change of use from U al. Sij/-5 • i 1 ' e re Change of use to 1-.1.:.. r·fl·E *,76 k • g a 10 Oaluation of work $ | bj O to --0.- '>561/gy/ PERMIT FEE /42.2. . t SPECIAL CONDmONS . 1.1 229- Occupancy Group Division APPLICATO, ACCEPTED BY PLANS CHECKED BY Sa /0-\4 -94 39 RAY Col-HAM 4 NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOTCOMMENCEDVTHIN 180DAYS,OR FCONSTRUCTION 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- TION AND KNOW THE SAMETO BEE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPEOF WORK WILL BE COMPLIED WITH WHETHERSPECIFIED HEREINOR NOT- THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE 3TATE OR LOCAL LAW ICEOFCONSTRUCnON /2-1-94 PAr·El No. of Max. Stories Occ. Load Use Fire Sprinklers Zone Required O Yes O No OFFSTREET PARKING SPACES: Covered luncover,1 Required - Received , Not Requirtd /5 lcD r}. a , ,/INL 024 -= V OR CANCEL THE PROVISIONS Of ANY MHER 1 86,;,m,Rs op CON™ACTOR AUT}ORIZ!ED AGENT Size of Bldg. frolall Sq. Ft Fire Zone Naof Dwelling Units Special Approvals ZONING HEALTH DEPT. FIRE DEPT. SOIL REPORT VARIANCE Na ARCHITECTURAL APPROVAL NO. USE PERMIT NO. „ COASTAL TREE SIGNATURE OF OWNER IF OWNER BULOER) (DAm UCENSED CONTRACTORS DECLARATION 1 hereby amrm thal l, " - ' ' -Chapter 9 (commenc4 with Section 7000) 01 Dvision 3 6 the Business and Prolessions Code, and my kensels h full torce and elect 42771 AL ©3€ 1 _/7 4..•-5897/2 OWNER-BUILDER DECLARAION I hereby amrm that I am exempt from the Contractor's Ucense Law for the following reason (Sec. 7031.5, Business and Professions Code: Any cay which requires a permit to construct, alter, improve, demolish, or repair.any structure, Biorto its issuance, also requireslhe applicant forsuch permit®fleasignedstatement that he is Imensed pursuant tothe provisions oflhe Contractors License Law{Ch®ter 9 - commencing with Section 7000) of Division 3 of #le Business and Professions Code) or that he is exempt therelrom and the basis for the alleged exempion. Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty Of not more than five hundred dollars ($500): Warning: Trees on the streets of Pacilc Grove are public property and under City control. Permission to remove trees may be obtained only from the City. ™80 "mit doll not Inct- :ny 'lgAI or.11ood 11,1•1•g GRADE UNES AS SHOWN ON DRAWING ACCOMPANYING THISAPPLICATIONARE ASSUMED TOBE CORRECT IF ACTUAL GRADE UNES ARE NOT THE SAME AS SHOWN. MEVISED DRAWINGS SHOWING CORRECT GRADE UNES, CUTS AND FIUS, TOGETHER WITH COMPLETE DETAILS OF RETAINING WALLS AND WALL FOOTINGS REQUIRED MUST BE RESUB- MITTED TO THIS DIVISION FOR APPROVAL ==st=21=29Em91&&*99*6gm@m®*=•-.i=,a£.m...-_,ONSIm-ON1ENDINaa€:ENCY V- f , OCR Text: 4.· af©X' VV APPLICATION FOR BUILDING PERMIT 4.€14. f / PHONE: €1171 OF PACIFIC GROVE ASSESSORS'S NO. 68 4 - 1 1 - 007 No. 04 -0 2,9 A Applicant to complete numbered spaces which apply 13 JOB ADDRESS / 22 e.102-1 Jr®,rell- A k-i¥\AL tnE.5. A»hke 13»(*Bvwd'rb)62;S Nt. 96. (13?30 379-39il 32 ' CONTRACTOR -,, MAn. ADDRESS PHONE LICENSE N 5 3 -J |40(2-;201\)S E>D- DERS -- y. UAL ARCHITECT OR DESIGNER ' 4 201WMNF 8'rkiAN -467 1kPe ·sr: Mertl•S; ot4 43940 3Tf-;964:· I{772 -5j; ENGINEER MAIL ADDRESS PHONE LICENSE NO. 3 1 5 42,1- 4. . .0 11 69 E, DIAG, rl Stbf'7 .-/ u ill 2.5 7 . Class of work: O NEW ADDITION ALTERATION O REPAIR · {] MOVE O REMOVE '0 Descdoe wone ADO got E (3An·H'o om ir ter•115• 13,143,ootA 130 -36, Apo 11 gd, 4, 9 : Change of use from U al. Sij/-5 • i 1 ' e re Change of use to 1-.1.:.. r·fl·E *,76 k • g a 10 Oaluation of work $ | bj O to --0.- '>561/gy/ PERMIT FEE /42.2. . t SPECIAL CONDmONS . 1.1 229- Occupancy Group Division APPLICATO, ACCEPTED BY PLANS CHECKED BY Sa /0-\4 -94 39 RAY Col-HAM 4 NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOTCOMMENCEDVTHIN 180DAYS,OR FCONSTRUCTION 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- TION AND KNOW THE SAMETO BEE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPEOF WORK WILL BE COMPLIED WITH WHETHERSPECIFIED HEREINOR NOT- THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE 3TATE OR LOCAL LAW ICEOFCONSTRUCnON /2-1-94 PAr·El No. of Max. Stories Occ. Load Use Fire Sprinklers Zone Required O Yes O No OFFSTREET PARKING SPACES: Covered luncover,1 Required - Received , Not Requirtd /5 lcD r}. a , ,/INL 024 -= V OR CANCEL THE PROVISIONS Of ANY MHER 1 86,;,m,Rs op CON™ACTOR AUT}ORIZ!ED AGENT Size of Bldg. frolall Sq. Ft Fire Zone Naof Dwelling Units Special Approvals ZONING HEALTH DEPT. FIRE DEPT. SOIL REPORT VARIANCE Na ARCHITECTURAL APPROVAL NO. USE PERMIT NO. „ COASTAL TREE SIGNATURE OF OWNER IF OWNER BULOER) (DAm UCENSED CONTRACTORS DECLARATION 1 hereby amrm thal l, " - ' ' -Chapter 9 (commenc4 with Section 7000) 01 Dvision 3 6 the Business and Prolessions Code, and my kensels h full torce and elect 42771 AL ©3€ 1 _/7 4..•-5897/2 OWNER-BUILDER DECLARAION I hereby amrm that I am exempt from the Contractor's Ucense Law for the following reason (Sec. 7031.5, Business and Professions Code: Any cay which requires a permit to construct, alter, improve, demolish, or repair.any structure, Biorto its issuance, also requireslhe applicant forsuch permit®fleasignedstatement that he is Imensed pursuant tothe provisions oflhe Contractors License Law{Ch®ter 9 - commencing with Section 7000) of Division 3 of #le Business and Professions Code) or that he is exempt therelrom and the basis for the alleged exempion. Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty Of not more than five hundred dollars ($500): Warning: Trees on the streets of Pacilc Grove are public property and under City control. Permission to remove trees may be obtained only from the City. ™80 "mit doll not Inct- :ny 'lgAI or.11ood 11,1•1•g GRADE UNES AS SHOWN ON DRAWING ACCOMPANYING THISAPPLICATIONARE ASSUMED TOBE CORRECT IF ACTUAL GRADE UNES ARE NOT THE SAME AS SHOWN. MEVISED DRAWINGS SHOWING CORRECT GRADE UNES, CUTS AND FIUS, TOGETHER WITH COMPLETE DETAILS OF RETAINING WALLS AND WALL FOOTINGS REQUIRED MUST BE RESUB- MITTED TO THIS DIVISION FOR APPROVAL ==st=21=29Em91&&*99*6gm@m®*=•-.i=,a£.m...-_,ONSIm-ON1ENDINaa€:ENCY V- f , Heritage Society of Pacific Grove,Historical Collections,Historic Properties of Pacific Grove,Jewell,747 Jewell,747 JEWELL_003_redacted.pdf,747 JEWELL_003_redacted.pdf 1 Page 1, Tags: 747 JEWELL_003_REDACTED.PDF, 747 JEWELL_003_redacted.pdf 1 Page 1

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