10500 7595 EEATHIMWOOD D���� 5
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMEN
l / APPLICATION FOR BUILDING PERMIT
Date
i9 Permit No. SOS DO
Application is.hereby made for a permit toy Use Zone
_a stay-yps
at . � � - a I Occupancy
to be occupied only as Sq.feet
in accordance with Plans,Specificati sand to - Ian filed herewith:Parking Space
Estimated Value of Improvements, $ Fire Sprinkler
_Elect.
I certify that in the performance of the wo f hick is per t i s 11 not employ any person
in any mann so as to violate the workman's compensation laws of California/ // n
/��J� Address -75vi`>- lel oYAe^�—arc+
Owner r�/u �-
r. Z ., [) Address W6 � 0 H �i_T
By � I.
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 280-601 N
& 4 -79 S rdt- , -
E%emPtio�from requirement for State of California for Contractor's License is hereby
claimed by applicant.
as owner 0I statement filed
Applicant attests that his State of California Contractor's License No.
is in full force and effect and'properly authorizes thi`s'application.
San Jose City Business License No. "'! �� '����G Cr
1. LOCATION 2. DATE RCD. 3.TIME RCD.
-5, 'S -7
4.READY AM ( 1 ANYTIME/1 ,�1� 5.TYPE OF 6.AREA 7. INSPT.MADE
PM ( 1 SPEC]FYlA'/I NSPE T. ` TIME
/ DATE
• 8.APPROVED i 9.REMARKS:
DISAPPROVED ( 1
•
•
• - INSPECTOR (' _
T�
260.671
WHITE-FILE YELLOW-'INSPECTOR PINK-OFFICE
CP L.1 .
• 1. LOCATION /- 2. DATE RCD. 3.TIME RCD.
4.READY AM ( 1 ANYTIME ( 1 5.TYPE OF6.AREA 7. INSPT.MADE
PM ( 1 SPECIFY-, INSPECT. TIME
DATE
S.APPROV ED ( 1 9.REMARKS:
DISAPPROVED (�)
•
•
• INSPECTOR _
� 280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE