12417 7924 &Ebber t41y
g-• 1d'7e7 Tract No. - Lot No.
CITY OF -SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 6 1 '
Date 'A0-26 — 722 , 19 Permit No. `1' f
Ap lication is hereby mad 'for as permit �P43 Z A
a story,Typ �/ Buildin se Zone
at Occupancy
to b occupied only as 1 a4rvr, S /��0. Sq.feet
in accordance with Plans,Specif— Ica1 tiorYand Plot-planfiledherewith. Parking Space
Estimated Value of Improvements, S 17 2O�c Fire Sprinkler
/)W/V6mer..El'ect.
I certify that in the performance of the work for which this permit is issued 1 shall employ any person
ja anyt� t0 Sha 1 a If Talc • 'o•lame of Cauto"
Owner • wr n'L '� Address /'�7 6t
By Address �l�Z f-tufty/D.c �i• �'��
This permit shell 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
777
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�fromr requirement for State C
p eq of aliforni or Contractor's License is hereby claimed by applicant.
as owner ❑ I statement filed f
Applicant attests that his State of California Contractor's License No. —
is in full foreei and effect and properly authorizes this ap location. �7
San Jose Clity Business License No. �� d'L
ern
VVO� ^rnacrt Gov,-I p cey-li Flce..-Fran
1.LOCATION," 2. DATE RCD. 3.TIME RCD.
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'. 4,READY AM ( 1 ANYTIME 1 1 VPE OF 6.AREA 7. INSPT.MADE
PM •'a ' SPECIFY INSP E T. TIME .Jg
DAT
S.APPROVED ( 1 9.REMARKS:
• . DISAPPROVED '•1 1�4.:1 '
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INSPECTOR
280-671
WHITE
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1.LOCATIO / 1 2.DAGT,E O. `TIyIF�
4.READY AM ( 1 ANYTIME ( 1 5.T E OF I 6.AREA 7, INSPT.MADE
• - PM (, 1 SPECIFY " INS TIME'
DAT
® 8.APPROVED ( 9.REMARKS: -
DISAPPROVECr ( '1
INSPECTOR `�• C J[
P 280-671
I" ® W-INSPECTOR PINK-OFFICE
WHITE-,FILE YELLO ,
1.LOCATION'
2.'DATE^R/ 3.TIME RCD` -
4.R Y'. AM 1 H ANYTIME 1 - 1 5.TY OF, 6:A EA 7. INSPT.MADE
•� PM (, 1 'SPECIFY PELT.'. '� , .-TIME
DATE .
8.APPROVED 9.REMARK
DISAPPROVED 1. . .)
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INSPECTOR RC1
• - 280-671
WHITE FILE 'YELLOW-INSPECTOR' �� PINK-OFFICE - ,
7925 OCTOBER
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GASZ -T.PIPING PERMIT
Date ------'----/---------------. 14�-a Permit No._.....3 _Z..(...............
The undersigned herQbjjakfs applicatio�s�tp the P,lump'ng�IInspe�for of the City of Sen Jose
for a permit 4o install`pl� q`f lu s d �ip�s 11),r a reverse side.
Exemption from regys amens�ffpr State of California or Con ractor's License is hereby claimed
by undersigned: %s owner ❑ statement filed
Undersigned attests that his State of California Contractor's License
is in lull force and afFac} and properly euffs'or xa f"s ep i"a
San Jose City Business License # O —' Al''Y.�IP �
I certify that in the performance of thewore f�ich fhis permit is issuedri shall not employ
any person in any maLso as to violate the workmen's compensation laws of California.
OWNER S
ADDRESS �S O� d (fit Lot No.
USE OF BUILDING
a Signed -o.U.'.... .. ...... I ----------- --
280 40in 280-40in
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.�•4.READY AMI l ANVTIM/q �,,) 5.,TYPE OF,` . 6.A� EA '7.'INSPT.MADE
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DATE
6.,APPROVED. ( 19.,REMARKS:... _
DISAPPROVED- ('�.) ,
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INSPECTOR clic-
280-671
LL280-671
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.'WHITE:FILE - YELLOW-INSPECTOR• PINK-OFFICE