7434F 7589. Heatherwood
Tract No. 2S 39 Lot No. _7 7
CITY OF SAN JOSE BUILDING DEPARTMENT
Date
JNA / 2 APPLICATION FOR BUILDING PERMIT
_ . 119 7 A Permit No. C,G/c"
Application is hereby made for a permit to /34 b
a _story,Type V4,4_ i Use Zone
at B .E Occupancy '�-
to be occupied only as I•N _ Sq. fee[ �y���
in accordance with Plans,Specificat ml PI o I 1 I ed h with. Parking Space =�F-
Estimated Value of Improvements, O CFire Sprinkler
Emer. 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 0- f CD`,R--t7 Address 7 S F3 9 Mf F/21 ZzV iFCCycd 0
By YP-f-)a-- Address -5 EN C4�v/y� /
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. ^�G
FINAL INSPECTION Z /O O� 0
,_ 260-601 N
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner ❑ I statement filed ❑
Applicant attests that his State of California Contractors License No.C
is in full force and effect and properly authorizes this application.
San Jose City Business License No.
e �
�j1.L Q C X10 2.7/E O. 3.TIME RCD.
• 4-READY AM ( 1 ANYTIME ( 5.TYPE OF 6.AREA -7. INSPT.MADE.450
PM ( 1 SPECIFY "INSPECT. �/ TIME
/ DAT 2
• B.APPROVED ( 9.REMARKS:
DISAPPROVED 1 1
•
e
• INSPECTOR
280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFIC ��l
1. LOCATION - E RCL-
L
.
. 4.READY AM ( 1 ANYTIME ( 1� 5.TYPAREL
PM ( 1 SPECIFY[ INSP
e8.APPROVED IV 9.REMARKS:
DISAPPROVED ( 1
17, sit &iYa2zi
•
•
'INSPECTOR viC"VPi��
• 280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
• 1.LOC 2.2. DATE R 3.TIME RCD.
• 4,READY AM ( 1 ANYTIME 1 1 5.TYPE OF 6.A EA 7. INSPT.MADE /70
PM ( 1 SPECIFY IN ECT. TIME 3
DATE
• &APPROVED ( 1 1' 9.REMARKS' }
DISAPPROVED 1
•
• INSPECTOR
280-6]1
WHITE FILE YELLOW-INSPECTOR PINK-OFFICE