16291 03 3 Astec tan
Tract No. Lot No. /
CI F SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date ,19 Permit Nf.
Application is hereby made for ermit to �' +� m— d 3�
a story,Type
Building �_ Use Zone
at Occupancy
to be occupied only as /� Sq.feet
In accordance with Plans, ecifications and Plot plan ile erewith. Parking Space
Estimated Value of Improvements,$ '� Fire Sprinkler
Emer.Elect.
❑1 certify that iin't rhs'e performance of the work for which this permit Is I uad 1 shall not employ any person
M ;0
Owner AP ti1�P (?&X Ad" � .
gy .`F 1 Address��mayrk a ori:
This permit shall expire and become null and void if tilSwoad bV is not commenced within
120 days from the date issued or if the work is suspended or abandoned for a period of 120 days after
. commencement.
FINAL INSPECTION 280.60�f/fyy
7$
_ yt
Fxemptlonfrom requirementfor State of California forContractors. �
Ucense is hereby claimed by applicant: ;
as Owner statement filed
Applicant attests that his State of California Contractor's License No. b '
Is In full force and effect and properly authorizes thlsa Iiratlogn. '
San lose City Business License No.
1.LOCATION 2.DAT % 3.TIME RCD.
4.READY AM ( 1 'ANYTIME ( 1 5.TYPE OF 6.A A 7. -INSPT.MADE
• PM (- I SPECIFY INSPE T.' TIME e!77 1
DAT /
•
S.APPROVED . ( 9.-REMARKS;
DISAPPROVED (
• J ' INSPECTOR
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WHITE FILE ` YELLOW INSPECTOR PINK-OFFICE
• 1. LOCATION:1.333 3 ME RCD
('+(\1 /FjIEADV AMI 1 ANYTIME (. •- ) 5r��71jV, PE OF
167A ZINSPT.MADE•
' lPM ' `" SPECIFY �' ..}i{vpPE TIME '
O ' 1 �'1 IYY { DAT
8.APPROVED •1 -1 - 9.REMARKS:
" DISAPPROVED 1kv 1
1 280-671
:WHITE-FILE _ YELLOW INSPECTOR, - 'PINK-OFFICE • ,
• 1.LOCATION, /3 3.3 //,S7G r �,¢yG 2.DATE RCD. 3.TIME RCD.
• 4•READY AM ( _.'1 - ANYTIME 1 ' 1 5.TYPE OF 6.AREA 7. INSPT.MADE
PM ( 1 SPECIFY ZngM INSPECT.
•
B.APPROVED ' ( 1 '9.REMARKS:
DISAPPROVED O
• / GF-
- - INSPECTOR L 1
• 280 671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE ."
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1. LOCATION '2. DATE RCD. 3:TIME RCD.
33
4. READY AM (• 1 ANVTIMEy' ) 5.TYPE OF 6.AREA 7. INSPT.MADE
SPECIFY - NPECT. r TIME
DATE
&APPROVED ,l� � 9.REMARKS:
DISAPPROVED ( 1
a -
INSPECTOR.
. 28U-671
WHITE-FILE . YELLOW-INSPECTOR PINK-OFFICE '
I�
-`1.LOCATION '.L 1 'Z 1 (P Z. -2 DATE R 3 IE RCO.
.4'READY AI 1 ANYTIME (- '. 1 -5.TYPE OF 6: EA 7. INS
PT.M
T PM 1 SPECIFY INSPE TIME
IJ DATE _
B.APPROVED :(>44, '9.REMARKS: ^
-DISAPPROVED
' INSPECTOR
280 671
WHITE
FILE
YELLOW '�,, •PINK-OFFICE .