8344 78 1 BELKNAP DR1V'E
Tract No. ` r Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING ERr
Date :2- — I `V-� , 19 -7 a Permit No.
Application is hereby made for a permit to /� L—TG—dI
2ftPl�C� Building Q 'L( c—mac_( N (1-se Zone
a Of�1G— story,Type '�� F= B T-
at 00- -7 B 21 6 S i_ A'P lit 'e&wDGC Occupancy
to be occupied only as g rNG A,v\, Sq.feet
in accordance with Plans,Specifications and Plo San filed herewith. Parking Space _
Estimated Value of Improvements, $ Fire Sprinkler
i p �q i Enter. Elect.
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 violate the workmen's compensation laws of California,
owner EZ(V\I L- 5-T(2r1 1�- - Address -7 6151 B e(-KNC/\-P R G UP T,
Sy P(TT`, 0_0w 5-T,. TIZ-EM\o0 Address 66:.5 5•'A1 /tNSc�/ nU
This permit shall expire and become null and void if the work authorized by it 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 260-601 N I
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• 1.LOCATION h ` � � 2. DATE RCD.' .3.TIME RCDI
• 4.READY .AM kNYTIME 1 1 1.5.TYPE OF
1'6.AREA 7. .INSPT.MADE
PM ( I. S ECIFV INSPEFT. - TIME
DATE —Z .7
8.APPROVED. 1 9 MARKS:
• ' DISAPPROVED
dy
40
•
it
• INSPECTOR ¢ Z:. -
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WHITE-FILE' YELLOW—INSPECTOR PINK-OFFICE �•/
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1.LOCATION 7 Z. DATE RCD. 3.TIME RCD.
30
4:READY. 'AM ( I ANYTIME ( ✓1' 5.TYPE OF 6.AREA 7. INSPT.MADE
PM (' I SPE IFV I SPECT. TIME-
. DATE'
S.APPROVED ' ( 9.REMARKS: .
DISAPPROVED-
74r ,
I
I
INP19CTOR
2H0 671
WHITE-FILEYELLOW-INSPECTOR PINK-OFFICE ,
i. L CATIDN 2. DATE RCD. 3.TIME RCD.!
ANYTIME ( 1 5.TYPE OF 6. EA 7. INSPT.MADE
SPECIFYI S ECT. ' TIME
DATE .'
. S.APPROVED 9.REMARKS:
DISAPPROVE
i
i
i
• - - INSPECTOR
280. 671
WHITE-FILE ',YELLOW-INSPECTOR ,. PINK-.OFFICE
LOCATION - 2.DA E R D 3.TIME RCD.
' I
4.READY 1 ANVT 1 5.TYPE Oj, 6.jEAj 7. INSPT.MADE
PM O - SPECIE I SP TIME
DATE
8.APPROVED 9.REMARKS:
DISAPPROVED ( 1 •I•
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INSPECTOR Ci
280-671
WHITE-FILE YELLOW;INSPECTOR PINK-OFFICE