16260 A4 iietlin Atve.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
P. .Date APPLICATION FOR BUILDING PERMIT
Date — �,3 ,19 ermit No. ��
Applicat240
ion is hereby ade for a permit to a �`r� &e_t
lo eA,,91-
a / story,Type Building Use Zone
at r ,' Occupancy _
to be occupied only as Sq.feet
In accordance with Plans,Specifications and Plot-plan filed herewith.Parking Space
Estimated Value of Improvements,$ Fire Sprinkler
,.,( W416AEmer.Elect.
ACI I certify that in the performance of the work for which this permit is Issued n I_sh'�allll not employ any parson
TOwwner CZ:W O A` �
&JA a Address 13q L rt �' a-c`
By Address ei
This permit shall expire end 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. �' y µ
//
FINAL INSPECTION'
��//' R8
"T78
Bcemption from nquirement for State of California forComractoes.
License isereby claimed by applicant
M ownerR gC, statement filed
Applicant attests that his State of CalifomiaContractoes License No.
Is In full force and effect and properly authorizes this application.
SanloseCity Business License No.
1. LO T 2SDAT 3.TIME RCD.
AM ( 1 ANYTIME,( ' 1 5.TYPE OF � 6.AREA 7. INSPT.MADE
SPECIFY SPECT TIME
DATE
.APPROVED ( 9.REMAR KS
DISAPPROVED I, 1
i
INSPECTOR
280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
1. LOCATION _ 2. DAT R D.- 3,TIME RCD.
7�' 1,130 '
4.READY AM ( 1 ANYTIME 1 �) 5.TV PE OF _ 6.AREA 7. INSPT.MADE
PM ( 1 SPECI V lb§VECT. .TIME
DAT /
8.APPROVED (. 9.REMARKS:
DISAPPROVED 1
J
1
Y
�J
INSPECTOR G
280 671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE