15221 (2) 15i5 Sarat6ga-SunhyvaI6 Road >`
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
F6 P.C.Date APPLICATION FOR BUILDING PERMIT S��✓�
Date — 3 ,19 7�1 Permit No.
Application is hereby mape for a permit to Rr//t-ID p G ,{�?SJ -X
a story Type Y� lildi g s Use Zone C— l
at Iitq — Occupancy _
to be occupied only as ( YNL SRA Com fypq.feet 9894
in accordance with Plans,Specifications and Plot-pfiled herew' . Pa kkii Sp
al
Estimated Value of Improvements,$ �r NO
f/78 Z—¢0 Emer.Elect.
he�� y�
I jq I a/aYA w 0 rmrANl'e-thGVO rte`this permitw b ksued/8%, LWj- any person
Owne�vrn C. Address Z ZWe - '��a.-�,.r D.--a-f-
By Address Gy",��.� ��
Th�� uofie 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. qC YR,}
FINAL INSPECTION 1 n� � Ay'p 'y R80-6 8"/78
Exemption from reciulrement for State of California for Contractor's.
{ Llcenseisherebycl I edbyapplicant:
as owner statement filed
Applicant at his State of California Contractor's License No.
Is in full force and effect and properly authorizes this application.
San lose City Business License No.
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• 9/a.. Ii�o
1. L'OC ,TIO� 2.DATE RCD. 3.TIME RCD.
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• 4,READY AM ( 1 AN TIME ( 1 5 TYPE OF 6.. A' 7. INSPT.MADE
►V M ( 1 SPECIFY NS1PE C•�1J TIME
DATE
• 6-APP ED 1 9.REMARKS:
DISAPPROVED ( �!1 7/ 20
• ! / s
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INSPECTOR
• I _ 280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
LOCATION ' 2. DATE RCD. 3.TIME RCD.
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4.READY AM ( 1 AN IME ( 1 5.T.YP OF 6.AREA 7. INSPT.MADE
SPECIFY PECT. TIME
DATE
8.APPROVED ( ') =S:
DISAPPROVED ) '
� Y
I '
INSPECTOR L
2BU-571
WHITE-FILE YELLOW INSPECTOR PINK;OFFICE
1. LOCATION_ 2.DATE RCD. � 3.TIME RCD.
• 4.READY ASM ( 1 ANYTIME ( 1 .TYPE OF 6.AREA 7. INSPT.MADE
PM (x 1 SPECIFY I S ECT. TIME
DATE � o
• 8.APPROVED ( 9.REMARKS:
DISAPPROVE " ( 1
ri
• INSPECTOR C
280 671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
CERTIFICATE OF COMPLIANCE REQUIRED BY CALIFORNIA ENERGY
CONSERVATION REGULATIONS CONTAINED IN TITLE 24, CALIFORNIA
ADMINISTRATIVE CODE, SECTION T-20-1457
The statement which follows pertains to construction
qW authorized at L515—ad�'� _ �'
by San Jose City Building Permit NO.
z and must be signed by one or more of the following: Owner,
off General Building Contractor, Design Architect, Design Engineer,
F or approved independent Inspector or Inspection. Agency:
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W
P, "Based on my personal knowledge, I hereby certify that the
z work performed and materials installed appear to comply in
H
o every material respect with the approved plans and specifi-
F cations for which thh ' Permit was issued. "
a Signed: !/
H 9 2 �•�,9
Title: Date
Lo
Retain this card at the ,job site until Final Inspection, when
the Building Inspector will ask for it as required by State
Law.
28o-696
1.LOCATION/ 2.DAC 3.TIME RCD.
4, READY AM ( 1 ANyiAE ( J;.WT'P 6.AREA 7. INSPT.MADE
PM ( SP IFY : TIME
DATE
.B.APPR VED 1 9.REMARKS /��� C C, /� A, �
DISAPPROVED ( 1 �I { .J wJ
-INSPECTOR G
°- 280-671
WHITE FILE YELLOW-INSPECTOR- PINK;OFFICE`.
1'I,Q TIOfy._ 12. DATE RCD. )TIME RCD.
4.READY SAM ( 1 YTIME ( 1 5.TV OF 6.AREA 7. INSPPT..MM/ADE
PM ( 1 SPECIFY -INSPECT. TIME
DATE ♦ -
8.APPROVED ( 1 - 9.REMARKS: -
DISAPPROVED (� 1
INSPECTOR
280 671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE.
1.LOCATION /• 2.DATE RCD. 3.TIME RCD.
4.READY AM I� 1 ANY ( 1 5.TYP OF 6.AREA 7. INSPT.MADE
M (�C-,) - SPE V ECT. TIME
DATE
S.APPRO ED 9.REMARK 'O�•jly/ / (�
DISAPPROVE ( 1
INSPECTOR
280 671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
1.LOCATION 2.DATE RC 3.TIME RCD.
�^
4.READY AM 11 ANV i ( 1 S.TYPE OF 6. EA 7. INSPT.MADE
PM 1 CIF I E TIME
DATE
B.APPROVED ( 1 9.REMARKS:
DISAPPROVED ( 1
INSPECTOR
260-671
WHITE-FILE YEINSPECTORPINK-OFFICE
1.LOCATION�5 �7 L� 2. DAT RCD. 3.TIME RCD
4.READY AM 1I.- ) ANYTIME ( 1 5.TYPE OF 6.AREA 7. INSPT.MADE
PM 1 1 SPECIFY I SPECT. 4 TIME
DATE
8.APPROVED ( 9.REMARKS: SLS
DISAPPROVED
INSPECTOR
280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
1.LOCATION �/ 2. DATE RCD. 3.TIME RCD.
4.READY AM ( 1 ANYTIME 1 1 5.TYPE OF 6.AREA 7. INSPT.MADE
PM ( 1SPECIFY SPECT. TIME
DATE
&APPROVED ( 1 9.REMARKS:
DISAPPROVED
INSPECTOR
280-671
WHITE'-FILE YELLOW-INSPECTOR PINK-OFFICE
1.LOCATION / - j2t2llc 3.TIME RCD.
i
4,READY AM ( 1 ANYTIME1 .TVP F -AREA 7. INSPT.MADE
PM 1x1 SPECIFY IN TIME
DATE
&APPROVED ( 1 9.REMAR -
DISAPPROVED ( �)
v
T72 D c<
INSPECTOR -c-
280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
1. LOCATI DATE RC '3.TIME RCD.
A
DV AM ( 1 ANVTI ( I 5.TVP F 6. A 7. INSPT.MADE
PM V_) SPECI I TIME
L
DATE
8.APPROVED (xl, 9.REMARKS:
DISAPPROVED ( 1
111 Irk
1 l�1Z S
INSPECTOR LL/
280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE