41654 �MOOF SAN JOSE Elmsford Drive BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. 34.28......... Lot No. ..z9
------------Plan6'/Z 7o
Date.......- ..
March 27_,.'l 19.63.... Permit.No.� _�4..�..f ...... .. ...
.............
Application is hereby made for a permit to ___.build
e_.....1...._story, Type.... V"//,r� Ldence with attached__garage-------------------- Building
1160 Elmsford�H. a: ... Use Zone �l! !1 6...
at ... ..-----.. Occupancy ------t----- ----
one f ly residence
to be occupied only as ........................... PParriin S ace ......_.Z..._.._...
in accordance with Plans, Specifications�end�Plof-pen r e /hereJrlfh
Estimated Value of Improvements, $----ASj OTO.................
If is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and�all other
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be
complied with.
I certify that in the perfcrmance of the work for which this permit is issued I shall not employ any par
son in any manner so as to violate the workmen's compensation laws of Califcrnia.
Owner AM- 0.,g
D HOMES Ad ress 24.60_Park-Blyd......Palo..Alto
Contractor -.- ddress --same as---above-------...-------
ByA°ant_..-- R.obert
Form 280-1
/ RECORD OF INSPECTION
Foundation / --b ------------------------ ----- FrameD —G
-7 =3 ......2_..L�).at nom... ------
Stucco ------ ------ -..........- ------- ........... ... -G...... Finish ---9. .Z.3..-.63. :R'—t ------------------