4196 8074 Park Villa Circle
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT,
_ APPLICATION FOR BUILDING PERMIT
Date 7- 'S _, 19.fZ__ Permit No.
Application is hereby made/for a permit d dinrqm�i,t/�to-/N 7 L 4 s, i ✓�
a_,t J-7- .�/Jd�story, Type � Use Zone
at_V"PXRk_VLLL 4 /eGLr Occupancy
ToweT/luvc�� Parking Spade
to be occupied only as — i� 9,-
% Fire Sprinkler
in accordance with Plans, Specifications and Plot plan filed herewith.
�c� Emer. Elect.
Estimated Value of Improvements, ; /4'0
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 11 D�/ �' /fh Y Address -54,1A &5-
Address
=Address
ECORD OF INSPECTION
Foundation Frame
Stucco Finish
260-601N
8074 Park Villa Circle
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner ❑ statement filed ❑
Applicant attests that his State of California Contractor's License #
is in full force and effect and properly authorizes this application.
San Jose City Business License #
280-601 N