Attachment 2 - Historic Research and Permit Recordscflnne !B[oom{LE.[d
ARCHITECTURAL/CULTURAL SURVEY LOS GATOS RESEARCH
q 1 _ 1:,e,!lo File address f)II. -ff:. --'--....,__.......,. __________ _
ARCHITECTURAL HISTORY
(41 5) 922· 1 063
2229 WEBSTER STREET
SAN FRANCISCO. CA 941 1 5
PARCEL MAP INFORMATION
Parcel # ,.----z-9, -& ( - (!JC,� Lot size: ___ front ft. x ___ ft.deep
Lot shape: Rectangle_ L __ Rectangle with small rear jog__ Other __________ _
Location: N s E w side of St ----------Ave
distance to cross st: ft. N S E W from
Other ------
---- -------------------
at NE NW SE SW corner of -----------
HISTORIC INFORMATION ON PA�CEL MAP
Old tract or subdivision name Old Block# Old lot# --------------------
FIELD SURVEY INFORMATION (handwritten in red)
Preliminary rating_1f__ Estimated age ___ _ I # stories_l..
Alterations _____________________________________ _
�OUNTY ASSESSOR--PROPERTY CHARACTERISTICS (paste on copy) EFFective date
OWNERSHIP SHOWN ON MAPS Source Name
-----
Blk Book
Source Date
1891
1908
_S_ur_v_e_y __ 1944
Source Page Location of property, or Lot Old·tract/block/lot Size Owner Name
MISCELLANEOUS PHOTOS: Roll/ frame #Oc.:> / 3�National Register listed date ----------County Inventory 1979 -------------Town of Los Gatos: Designation __ Recognition __
District Name ----------------
Previous Survey
Gebhard: page# ___ illustration page# Butler/Junior League ----
----
Date 1 Al& 1 Ff 9
ATTACHMENT 2
oN o TOWN of LOS GATOS
Community Development
Building Permit
pS• G AZ S
Permit ID/Type: B10 -0846 BUILDING /BUILDING /COMMERCIAUREROOF Applied: 11116/2010
Work
OVERLAY WITH NEW 60 ML TPO MEMBRANE 2500 SF Approved:Description:
Status: ISSUED Issued: 11/1612010
Address: 9 MONTEBELLO WAY, LOS GATOS, CA 95030 Expires: 5/15/2011
Owner:
LOS GATOS INVESTMENTS LLC
Phone: 408 - 348 -5041
18841 BLYTHSWOOD DRLOS GATOS, CA 95030
Contractor:
LEGACY ROOFING AND WATERPROOFING
Phone: 408- 467 -0150
1698 ROGERS AVENUE #1 OSAN JOSE, CA 95112
License No.: 802656
Job Value: $15,500.00 Buildings: 1
Total Sq. Ft.: Houses: 0
Building Use: Stores Census #: 437
Occupancy Type: M Construction V B
Type:
Total Fees $471.19
Total Payments $0.00
Balance Due $471.19
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code, and my license is in full force and effect.
License Class -0. California Contractor License No. 80't-(oS
Expiration Date Contractor Signature t I
WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION
COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES
UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
4 eby affirm under penalty of perjury one of the following declarations:t I have and will maintain a certificate of consent to self- insure for workers' compensation, issued by the Director Of
Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. Policy No.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the
a tC ck^ performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy nu ber
fl,,„
are: Carrie .. .,o{- '5 Policy Number /-V - ` Expiration Date n7?, D -0\ y
Name of Agent d one #
Jr {/" I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any
manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become
subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisigps.,,
Signature of Applicant Date
1 of 2
TOWN OF LOS GATOS
COAMUNITY DEVELOPMENT DEPARTMENT CMC CWMR
BUILDING DIVISION 110 E. MAIN STRW
PHONE: (408) 354 -6876 FAX: (408) 354 -7593 P.O. Box 949
wwwAosentosca.eovfbuilding Los GAros,CA 95031
Application #
Ca
BUILDING DIVISION PERMIT APPLICATION 610 — 8yto
SITE ADDRESS Suite Today's Date II I IJ I O
TYPE OF WORK TO BE DONE New Addition Alteration Repair Reroof Deck Poo /Spa Ret Wall
DETAILED DESCRIPTION OF WO K TO BE DONE
w`. X-N-, V `l O vv I
PROJECT AREA New /Add Sg Ft, Remodel/Alter Sq. Ft
l Floor
2' Floor
Attic/Basement/Cellar/Porch
Attached/Detached Garage
Retoof/PcoUPorch/Deck SF Retaining Wall LF
CONSTRUCTION VALUATION (Required): ( S ! SC O Include costs of all labor and materials
BUILDING DETAILS: I- leated? Q Cooled? Cl # of Stories Pre 1941 /Historic District O Ilas A Fire Sprinkler System
Is there a Swimming Pool and /or Spa located at this address: O Yes 'El No
Proposed Use of Building:Construction Type Co N- LSO1 Occupancy Type
CONTACT NAME C —^ \ t -6-i Phonel- (ne_h - 1 S Fax l C) _A 'b (
Address loa V t ER:!5 ` t a City 5 0 -" ' Zip
Property Owner Name -'Q ft. -a'- , rw \ti S`tu A '+ Phone (Required) 'A&'''' ` "'Spy t
Address
p
City
Architect/Engineer /Designer \ License#
City
Contractor Name `— ° \.Ic3c
State License No. License
Commercial Tenant
Address City Zip
Please complete the Electrical, Mechanical & Plumbing details on reverse side
N -.Z 1rORM516oldM9BldgAppliwliod.w d
INCORPORATED AUGUST 10, 1887
Zip
Zip
Expires 3 Z 'DhJ Town Business Lic. No 3
Phone
R
IMi
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