4.· af©X'
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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