11514 1141 berby§hi.re Drive x
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date a— 7e) , 19 Permit No. 'T
Ap lication is hereby made for ,permit to 2�� %7l�
a __�__story,Type �_ Building Use Zone
at � ✓ TiSfiK" Ll�c G'�i�<.i°rN_O_ Occupancy. —
to be occupied only as'
—.���Q�_ Sq.feet
in accordance with Plans,Specifications and Plot-plan filed herewith. Parking Space
Estimated Value of Improvements, $ oe Fire Sprinkler 'I
Emer. Elect.
1 certify that in the performance of the work for which this permit is issued I shall not employ any person
Owner
/ / Address 11peAcecdi .5{Ll�%�
By Address
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 Il.ln` l/IN,O IM"I 280-601 N
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• ,1. CA I N 2. TE RCD. 3.TIME RCD.
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4.READY AM 1 1 ANYGME 1 1 5.TYPE OF 6.AREA 7. INSPT.MADE
PM ( 1 SPECIFY PECT. TIME
DATE
• 8.APPROVED 1 9.REMARKS: .
DISAPPROVED 1 I
y
t '
INSPECTOR _
® 280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
1.LM - =�PA31�D. 3C;".
pTIME RCD.
II, . 4.READY AM ( 1 'A14TIME ( ' 1 5.TYPE OF 6.AREA 7. INSPT.MADE
PM ( 1 SPEC IN ECT
TIME
DATE
• 8.APPROVED 9.REM KS:
DISAPPROVED ( 1
r
• - - •INSPECTOR
• 280 671
WHITE FILE - YELLOW-INSPECTOR PINK-OFFICE
1.LOCATION-
2. DAT RC 3.TIME RCD.
��/ . ��y✓`fries ' D.�
4•READY AM ( 1 ANYTI 5.TYPE OF 6.AREA 7. INSPT.MADE
/ M O SPEC V -f�ISPT. TIME
�v DATE
B.APPROVED 9:REMARKS:,fK•65 41 4A c-
DISAPPROVED
r
• INSPECTOR
280 671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
1.LOCATION - 2.DATE RCD. 3.TIME RC
4.READY AM ( 1 AYTIME 1 1 5.TYPE OF 6.'AREA 7. INSPT.MADE
PM ( 1 SPECIFY INSP T. TIME
F DATE R-•Q—_Pd
8.A OVED ( ✓1' 9.REMARKS: -
DISAPPROVED 1 1 -
IY • . / 1
INSPECTOR'
280-671
WHITE-FILE YELLOW-INSPECTOR . 'PINK-OFFICE -