€14/.9..9 97-61'67'5?%UM·f·¥t..Ir.-r·----· / 1- ,•·=.·'.*•187rg„e„;1F4I|7.4-/7Y---.m.91/---/'·' 9 /.r.e· u.- c$ // ,0 rfONE: 375L4196 APPLICATION FOR BUILDING PERMIT CITY OF PACIFIC GROVE ASSESSOR'S NO. - 006 I58 09 No. 3 8 - 09-57 Applicant to complete numbered spices only. JOI ADDIESS 11 8 Fov 07/\ I J Av ENJUE- LOT .O. BLM TRACI' * 1 4 6;t•. SEE ATTACIED INEETI OWNER MAIL ADDIESS 11/4 P00"1 2 RIC•'ARP 4 '51-lilleM Riloko 20 ME,t.)7-0£)6- PR , ('Ae/nEL, CA, 439%3 CONTMACTOR MAIL ADDREBI ..0.1 -5 75-235/ .....0 3 h WA,JA Ago€IZE.Al( PA)10* 65-34 41/yn}FL (4. 4392.7 4+53 0 Z ANC•,TECT OR O,1,GNER .Al' ADO•E.1 1 ' LICENSE •O· ..0.E 4 4 61.··*1.-t,_ t•G1I[// .AIL •00•ESS ..O.. LICENDE NO. 5 LE•Ot' .AIL ADDIESB BRANCH 6 1"' 0, ,U'LOING . S FED J c.d 8 Class 01 work: [] NEW AfADDITION O ALTERATION O REPAIR O MOVE O REMOVE 9 Describe work: 1) 441 J28(,c 1309 t-n.en '4 1 Dec/e . % 10 Change of use from A./O.-7--- A Change of use to 11 Valuation of work: $ R /4 '000 2- -PLAN-HECK FEE 03,91 £00 PERMIT FEE 5104-. DO ag 44 $44, 020&& SPECIAL CONDITIONS SIAL O IX 48 4. #* riec t oN 1 A Type of Occupancy,O 23 4-5 * 11 i w 4: tz) A f C S vt-- U, d C . Const 4- M Group - N DIVI,lon G & CT- 1 (h - t 2 * O SIte of Bldg. No. 01 M/* (Tot.1,50 04 4, C. Sto,1.0 Occ Load N C Fie Use Fae Spi,nklen u...- , APPAILATION ACCiPTED BY PLANSCHECKEDBY APPROVED FOR ISSUANC.* B¥ Zone N. A. Zone Requ•,ed [ ]Ve, 1*No 3-- Opt ..27·'0'Ing un'" L covered EAIST, Jncovered LE OFFSTREET PARKING SPACES Special Approvals Required Rece Not Required NOTICE ZONING /fi /-2(4:pi>7. AD THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF HEALTH DEPT. / ' CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A FIRE DEPT. PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. SOIL REPORT CEL 0 Y U r 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. All PROVISIONS OF LAWS VARIANCE NO. F,ACIof- I C GlOVE AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED ARCHITECTURAL T# 06 8EP 08,1988 10:i€ :00 AM IN# 969 Ivekl WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT APPROVAL NO. A ,« , ,£#cj,3-, - 5591¤frf %7,@,0 DOES NOT' ;UME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISI€SNf F ANY OTHER STAP€)OR; LOCAL LAW REGULATING USE PERMIT NO. 1 CONS,flk'JCT OR THE PERFOR**ACUOF CONSTRUCTION COaSTAL NuALDING M.64*MiT ENGINEERING DANH HNNk:H'.AU ALAN Untl-K r t.th ' 1, ra IURE 014. ONTRACTOR OR AUTHORIZED AGENT (DATE, 113 rUUNIA.N HVENUt 69 r,All/kt OF OWNER ilF OWNER BUILDER i fDATE 01300£618868 $25.06 LICENSED CONTRACTORS DECLARATION I hereby oftirm ihol l am licenied under,he provilions of Chapier 9 (commencing with Section 7000) of Div,$,on 3 of the Busines and Prole&,lons Code, ond my license „,n hull force ond effect. ,1!ken.e Clos. rh (1> " n License Number 0405-3 0 L f 6 Iconlia„or UL#7 2_ 177-Utte€-C--/ OWNER-BUILbER DECLARATION I hereby 011'rm tho/ 1 am exempt from the Con,roclor i Licen,e law for the following reason (Sec- 7031.5, Business and Piofewon; Code Any city gh,ch requires o perm,1 to cons,rua. clter, improve, demolish, or repair any itructure, pr,0, to i,s ,$;uonce. also requires the oppli con, for %*ch permitto file a signed ;tatemen, Ihot he ,$ licensed pursuar,10 Ihe prors,on; 04 ie Contfacton License low IChap,er 9-=4 ·- rnrneoc,4 .A:,aA:,or, moo,-6 Division 3 of ihe Busine- 6-nd Prole$,ions, (ider.br·,4,h€il :iempf iherefrorrf;,nj ihe basis-or ihe alleged •*emption Any viotalion 01 Section 7031 5 by ony opplican, for a permit subjects *he opplicont to o civil penolly of not more than live hu·,dred dollor; 15300) Warning 111(PIAJ 'Rvt property addG){melciti&)162145@nisontotoveve be obtained e*ANWE the City. 10.00 This pormil does not Include any ilens or flood lighling GRADE LINES AS ;SHOWN ON DRAWING ACCOMPANYING THIS APPLICATION ARE AU.UK¥t#*1|1 EX*R}CT 1*v(434.DRADE LINES ARE NOT THE SAME»,SHOWN. REVISED DRAWINGS SHOWING CQR- ,RECT GRAD*LINES, IC-vIS jA ftit.5.- TOGETHER WITH COMPLAE ' DETAIL& OF RETAINIhic; R-Act57*NOWALL FOOTINGS REQUIRED MUST BE RESUBMITTED TO THIS;DIVISION FOR APPROVAL. [3 I. 0% owner of the properly. or my employees with wages m theiric>le compersation, will do the work, ond Ihe „ruclure i, not intended or oflered for tale ISec 7044. Bugnes, and Prolesion; Code. The Contracior'$ licer,e Low does not .pply to an owner .1 property who bu,41 or imp,ove, Il,ereon. and who doe, iuch work himself or through hus own employees, provided that such improvements ore not intended br offered for ;ale /1 however. ihe budding or •mprovement n sold wi/hin one yeof of completion, the owner-budder will have /he burden 01 proving ihol he did nol budd or,mprove lor the purpoie of sole). C 1, O, owner of 'he ProplAy. am e•clusively controcling wm, licen$ed cont,ocion lo constfud the proiect ISe< 7044 Busine„ and Pille'i,ons Code The Conlroctor'j licenie low does not apply to on owner 01 properly who build, or improves thefeon. and who contract$ fc, iuch pro,ch wi,h o con,racio,(33 licenied pwisuan, to the Controcton Licenie law) C 1 orn exemp' unde, Sec B.&PC for Ihit reanor CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Se3097, Civ.C.). Lender's Name Lender's Address Applicon' Dat. WORKERS' COMPENSATION DECLARATION I hereby at..rn thot I ho.e o cerlificate of con,ent to sell·Insuie or o certilicale of Worker'. Compeniation Inwrance. ora cerlified (opy thereol [Se, 3800. Lab C) P'licy No 2/9 ..·70mpony Certified Copy u hereby lutn,$hed O (,p,f,ePY „ f,led with the city building inipection deportrnen, 0, / pplicant ._- l€1.--,04¢41 -1 4.- / Eff/1.011 dtn.-- - 01- k. 4- -- - ./' ci6TIFICAT1 OP ixIMP,IdN 'ROM WORKERS' COMPiNSATION INSURANCE (Th,1 ieclion nood not be compleled if the permi 11 lor one hundied dollars /1 100) or less) I certify thol inth, performonce o# the work for which * permit h „sued. 1 :hall not employ any penorin any monne, 30 m to become tub- ied lo the Workeri' Comper,alion lowi of California. Owner Date NOTICE TO APPLICANT: Il. al,Ii making Ihis Cortificale of Exemption, 104 hoold b.corne *ublect to Ihi Worker; Comperiation provi,ions of the labor Code. you mull forthwi,h comply with ;uch provision, 0, thi, permit iholl be deemed revoked WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PERMIT VALIDATION INSPECTOR: THE ABOVE APPROVAL GRANTS PERMISSION TO DO THE WORK COVERED BY THtS APPLICATION IN AC· CORDANCE WITH PLANS AS APPROVED AND ALL AP· PLICA8LE COUNTY AND STATE ORDINANCES. REGU· LATIONS AND LAWS. GOVERNING LOCATION. CONSTRUCTION AND OC CUPANCY OF BUILDING. ¥f"-609 Li-16_9- (rd- _3 VALUATION 14,000.00 FEES PERMIT A 04- 00 | PLAN CHK. 139-,GO SMIP. .92 TOTAL 339.52 4 9 9.00 7 AAR- 3 12 . 58 , OCR Text: €14/.9..9 97-61'67'5?%UM·f·¥t..Ir.-r·----· / 1- ,•·=.·'.*•187rg„e„;1F4I|7.4-/7Y---.m.91/---/'·' 9 /.r.e· u.- c$ // ,0 rfONE: 375L4196 APPLICATION FOR BUILDING PERMIT CITY OF PACIFIC GROVE ASSESSOR'S NO. - 006 I58 09 No. 3 8 - 09-57 Applicant to complete numbered spices only. JOI ADDIESS 11 8 Fov 07/\ I J Av ENJUE- LOT .O. BLM TRACI' * 1 4 6;t•. SEE ATTACIED INEETI OWNER MAIL ADDIESS 11/4 P00"1 2 RIC•'ARP 4 '51-lilleM Riloko 20 ME,t.)7-0£)6- PR , ('Ae/nEL, CA, 439%3 CONTMACTOR MAIL ADDREBI ..0.1 -5 75-235/ .....0 3 h WA,JA Ago€IZE.Al( PA)10* 65-34 41/yn}FL (4. 4392.7 4 53 0 Z ANC•,TECT OR O,1,GNER .Al' ADO•E.1 1 ' LICENSE •O· ..0.E 4 4 61.··*1.-t,_ t•G1I[// .AIL •00•ESS ..O.. LICENDE NO. 5 LE•Ot' .AIL ADDIESB BRANCH 6 1"' 0, ,U'LOING . S FED J c.d 8 Class 01 work: [] NEW AfADDITION O ALTERATION O REPAIR O MOVE O REMOVE 9 Describe work: 1) 441 J28(,c 1309 t-n.en '4 1 Dec/e . % 10 Change of use from A./O.-7--- A Change of use to 11 Valuation of work: $ R /4 '000 2- -PLAN-HECK FEE 03,91 £00 PERMIT FEE 5104-. DO ag 44 $44, 020&& SPECIAL CONDITIONS SIAL O IX 48 4. #* riec t oN 1 A Type of Occupancy,O 23 4-5 * 11 i w 4: tz) A f C S vt-- U, d C . Const 4- M Group - N DIVI,lon G & CT- 1 (h - t 2 * O SIte of Bldg. No. 01 M/* (Tot.1,50 04 4, C. Sto,1.0 Occ Load N C Fie Use Fae Spi,nklen u...- , APPAILATION ACCiPTED BY PLANSCHECKEDBY APPROVED FOR ISSUANC.* B¥ Zone N. A. Zone Requ•,ed [ ]Ve, 1*No 3-- Opt ..27·'0'Ing un'" L covered EAIST, Jncovered LE OFFSTREET PARKING SPACES Special Approvals Required Rece Not Required NOTICE ZONING /fi /-2(4:pi>7. AD THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF HEALTH DEPT. / ' CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A FIRE DEPT. PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. SOIL REPORT CEL 0 Y U r 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. All PROVISIONS OF LAWS VARIANCE NO. F,ACIof- I C GlOVE AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED ARCHITECTURAL T# 06 8EP 08,1988 10:i€ :00 AM IN# 969 Ivekl WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT APPROVAL NO. A ,« , ,£#cj,3-, - 5591¤frf %7,@,0 DOES NOT' ;UME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISI€SNf F ANY OTHER STAP€)OR; LOCAL LAW REGULATING USE PERMIT NO. 1 CONS,flk'JCT OR THE PERFOR**ACUOF CONSTRUCTION COaSTAL NuALDING M.64*MiT ENGINEERING DANH HNNk:H'.AU ALAN Untl-K r t.th ' 1, ra IURE 014. ONTRACTOR OR AUTHORIZED AGENT (DATE, 113 rUUNIA.N HVENUt 69 r,All/kt OF OWNER ilF OWNER BUILDER i fDATE 01300£618868 $25.06 LICENSED CONTRACTORS DECLARATION I hereby oftirm ihol l am licenied under,he provilions of Chapier 9 (commencing with Section 7000) of Div,$,on 3 of the Busines and Prole&,lons Code, ond my license „,n hull force ond effect. ,1!ken.e Clos. rh (1> " n License Number 0405-3 0 L f 6 Iconlia„or UL#7 2_ 177-Utte€-C--/ OWNER-BUILbER DECLARATION I hereby 011'rm tho/ 1 am exempt from the Con,roclor i Licen,e law for the following reason (Sec- 7031.5, Business and Piofewon; Code Any city gh,ch requires o perm,1 to cons,rua. clter, improve, demolish, or repair any itructure, pr,0, to i,s ,$;uonce. also requires the oppli con, for %*ch permitto file a signed ;tatemen, Ihot he ,$ licensed pursuar,10 Ihe prors,on; 04 ie Contfacton License low IChap,er 9-=4 ·- rnrneoc,4 .A:,aA:,or, moo,-6 Division 3 of ihe Busine- 6-nd Prole$,ions, (ider.br·,4,h€il :iempf iherefrorrf;,nj ihe basis-or ihe alleged •*emption Any viotalion 01 Section 7031 5 by ony opplican, for a permit subjects *he opplicont to o civil penolly of not more than live hu·,dred dollor; 15300) Warning 111(PIAJ 'Rvt property addG){melciti&)162145@nisontotoveve be obtained e*ANWE the City. 10.00 This pormil does not Include any ilens or flood lighling GRADE LINES AS ;SHOWN ON DRAWING ACCOMPANYING THIS APPLICATION ARE AU.UK¥t#*1|1 EX*R}CT 1*v(434.DRADE LINES ARE NOT THE SAME»,SHOWN. REVISED DRAWINGS SHOWING CQR- ,RECT GRAD*LINES, IC-vIS jA ftit.5.- TOGETHER WITH COMPLAE ' DETAIL& OF RETAINIhic; R-Act57*NOWALL FOOTINGS REQUIRED MUST BE RESUBMITTED TO THIS;DIVISION FOR APPROVAL. [3 I. 0% owner of the properly. or my employees with wages m theiric>le compersation, will do the work, ond Ihe „ruclure i, not intended or oflered for tale ISec 7044. Bugnes, and Prolesion; Code. The Contracior'$ licer,e Low does not .pply to an owner .1 property who bu,41 or imp,ove, Il,ereon. and who doe, iuch work himself or through hus own employees, provided that such improvements ore not intended br offered for ;ale /1 however. ihe budding or •mprovement n sold wi/hin one yeof of completion, the owner-budder will have /he burden 01 proving ihol he did nol budd or,mprove lor the purpoie of sole). C 1, O, owner of 'he ProplAy. am e•clusively controcling wm, licen$ed cont,ocion lo constfud the proiect ISe< 7044 Busine„ and Pille'i,ons Code The Conlroctor'j licenie low does not apply to on owner 01 properly who build, or improves thefeon. and who contract$ fc, iuch pro,ch wi,h o con,racio,(33 licenied pwisuan, to the Controcton Licenie law) C 1 orn exemp' unde, Sec B.&PC for Ihit reanor CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Se3097, Civ.C.). Lender's Name Lender's Address Applicon' Dat. WORKERS' COMPENSATION DECLARATION I hereby at..rn thot I ho.e o cerlificate of con,ent to sell·Insuie or o certilicale of Worker'. Compeniation Inwrance. ora cerlified (opy thereol [Se, 3800. Lab C) P'licy No 2/9 ..·70mpony Certified Copy u hereby lutn,$hed O (,p,f,ePY „ f,led with the city building inipection deportrnen, 0, / pplicant ._- l€1.--,04¢41 -1 4.- / Eff/1.011 dtn.-- - 01- k. 4- -- - ./' ci6TIFICAT1 OP ixIMP,IdN 'ROM WORKERS' COMPiNSATION INSURANCE (Th,1 ieclion nood not be compleled if the permi 11 lor one hundied dollars /1 100) or less) I certify thol inth, performonce o# the work for which * permit h „sued. 1 :hall not employ any penorin any monne, 30 m to become tub- ied lo the Workeri' Comper,alion lowi of California. Owner Date NOTICE TO APPLICANT: Il. al,Ii making Ihis Cortificale of Exemption, 104 hoold b.corne *ublect to Ihi Worker; Comperiation provi,ions of the labor Code. you mull forthwi,h comply with ;uch provision, 0, thi, permit iholl be deemed revoked WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PERMIT VALIDATION INSPECTOR: THE ABOVE APPROVAL GRANTS PERMISSION TO DO THE WORK COVERED BY THtS APPLICATION IN AC· CORDANCE WITH PLANS AS APPROVED AND ALL AP· PLICA8LE COUNTY AND STATE ORDINANCES. REGU· LATIONS AND LAWS. GOVERNING LOCATION. CONSTRUCTION AND OC CUPANCY OF BUILDING. ¥f"-609 Li-16_9- (rd- _3 VALUATION 14,000.00 FEES PERMIT A 04- 00 | PLAN CHK. 139-,GO SMIP. .92 TOTAL 339.52 4 9 9.00 7 AAR- 3 12 . 58 , Heritage Society of Pacific Grove,Historical Collections,Historic Properties of Pacific Grove,Fountain,118 Fountain,100 BLOCK - FOUNTAIN AVE_070.pdf,100 BLOCK - FOUNTAIN AVE_070.pdf 1 Page 1, Tags: 100 BLOCK - FOUNTAIN AVE_070.PDF, 100 BLOCK - FOUNTAIN AVE_070.pdf 1 Page 1