259 7524 HOLLANDERRY PLACE
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTME
APPLICATION FOR BUILDING PERMIT 5x�--
Date /,2- l ., I q7 __ Permit
Application is hereby made for a permit to-
a-_-___story, Type Buildg/� Use Zone
at '7151�1�x _ ®(/ Occupancy
to be occupied only as 3rE ce�V Kern Parking Space
-
Fire
)/{J,/J, ,� �rtFire Sprinkler
in accordance with Plans, S ecif*a sand P _f a e ore Emer. Elect.
Estimated Value of Improvements, $ /3 _06 • cro-
I certify that in the performance of the work for which this permit is issued I shall not employ any parse
in any manner so as to violate the workmen's compensation laws of California.
Owner 01-11e�- fL9 Cy Address 2,5--7Z /•faLL:�.✓/�P�>,Y ��
By f,/ P19 I, .B/rP P9 7/1 f Address// r`? •fes.roL..r'v T C7
RECORD OF INSPECTION
Foundation Frame q. ,(�
Stucco Finish 3/5/70 /\c
/ L) L260-601
7524 Hollanderry Place
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner ❑ statement filed ❑ p
Applicant attests that his State of California Contractor's License # Z�/ 1y Z- ,
is in full force and effect and properly authorizes this application.
San Jose City Business License # U7 it
280-601 N
® -752A /, AL
1.LOCATION 2. DATE RCD. 3.TIME RCD.
4. READY AM ( 1 ANYTIME ( 1 5.TYPE OF 6.AREA 7. INSPT.MADE 30
PM ( 1 SPECIFY INSPECT. TIME
DATE 3.�
® 8.APPROVED ( 9.REMAR
DISAPPROVED ( 1 G!7
® INSPECTOR �P L
/ 280-671
WHITE-FILE VELLOW-INSPECTOR PINK-OFFICE v