54226 1138 DerbTvsire
rac o
Lot No.
CITY' OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMITK�
Date7 2� 19 (07 Permit No. -1 yZ 2-6
Application is hereby^made for a permit to.Arp 7—r-i ALTS
-moi(' �J \k �
a stor , Type t > / BuildingCONvE T TT Use Zone
at l 4%S/a�C�� / GIrQ• TU`/1 M- P00A9Occupancy Z
to be occupied only as s�r� / E. pZParking Space 2
P y ,joh�•a q�X/ Fire Sprinkler
in accordance with Plans, Specifications and Plot-plan filed'herewitF7Pv6 iUE FAM-/eDO/b�
Estimated Value of Improvements, $ �r ///J�
I certify that in the performance of the work this i i Wel l o employ any p rson
in any manner so as to violate the workmen's ompensation laws of California.
Owner 77/3,91- Address Fk -
614
By_ Address > > , 6,)
r3 7 Jy COnRD'/OF INSPECTION
�sY G_, /"r/''rF
Foundation
ra e^p���
Stucco ^nicht rte''
1138 Derbyshire Fred Tibbs �E
��zhs /
�i c�ll/ W01 L9/b '-a21 I08Z w,oj
,# esueolp sseuleng A;Io asop ups
•uol;voilddv sly; sezno4;no Aliedoid pue ;aa}}a pup avo} Iln} ul n
# asuoa� tjoyays;uoz) alwo}!lo0 }o o;v;S sly ;vy; s;saµv yuvollddy
❑ pap} ;uewayv;s 0 jeu.0 se
:;uvailddo Ag pawloll Aywey sl esuaoll s so;oe1;uo0 io}plwo}llvp }o a;v;S so} ;uewejlnbei wou} uol;dwex3
1138 DerbTvsire
rac o
Lot No.
CITY' OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMITK�
Date7 2� 19 (07 Permit No. -1 yZ 2-6
Application is hereby^made for a permit to.Arp 7—r-i ALTS
-moi(' �J \k �
a stor , Type t > / BuildingCONvE T TT Use Zone
at l 4%S/a�C�� / GIrQ• TU`/1 M- P00A9Occupancy Z
to be occupied only as s�r� / E. pZParking Space 2
P y ,joh�•a q�X/ Fire Sprinkler
in accordance with Plans, Specifications and Plot-plan filed'herewitF7Pv6 iUE FAM-/eDO/b�
Estimated Value of Improvements, $ �r ///J�
I certify that in the performance of the work this i i Wel l o employ any p rson
in any manner so as to violate the workmen's ompensation laws of California.
Owner 77/3,91- Address Fk -
614
By_ Address > > , 6,)
r3 7 Jy COnRD'/OF INSPECTION
�sY G_, /"r/''rF
Foundation
ra e^p���
Stucco ^nicht rte''
1138 Derbyshire Fred Tibbs �E
��zhs /
�i c�ll/ W01 L9/b '-a21 I08Z w,oj
,# esueolp sseuleng A;Io asop ups
•uol;voilddv sly; sezno4;no Aliedoid pue ;aa}}a pup avo} Iln} ul n
# asuoa� tjoyays;uoz) alwo}!lo0 }o o;v;S sly ;vy; s;saµv yuvollddy
❑ pap} ;uewayv;s 0 jeu.0 se
:;uvailddo Ag pawloll Aywey sl esuaoll s so;oe1;uo0 io}plwo}llvp }o a;v;S so} ;uewejlnbei wou} uol;dwex3