14169 1191 STAFFORD DRIVE
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICA ION FOR BUILDING PERMIT IR-
I Date �_ems' , 19 Permit No. 4' _
Application is hereby ma a for permit to _ iS_
a �_stor Type rv�.Yx- 0 Bu (ding Use Zone
at � _r Occupancy
to be occupied only as y✓'+ Sq.feet
in accordance with Plans,Spec (cations and Plot-plan filed herewith. Parking,Space
Estimated Value of Improvements, $ 97)r�Q�j_— Fire•Spr,'nkleri
Enter. Elect.
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 vi Ilpto the workmen's compensation laws of California,
l v1
Owner v ` I Address '5>'�t—e -
By Address gZA12 4Z!�ilj nh_�
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 w rk is suspended or abandoned for a period of 120 days after
commencement.
FINAL INSPECTION 280.601 N
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1.LOCATIO / 2. A C 3.TIME RCD.
4.READY AM ( 1 AN T / ( 1 5.TYPE OF 6. REA 7. INSPT.MADE
PM ( 1 SPECIE I SPECT TIME
DATE
&APPROVED 9.REMARKS:
DISAPPROVED 1 '- 1
INSPECTOR
]80-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
2f 2-
1.
1.LOCATIONI 2.DATE RCD. 3.TIME RCD.
4.READY AM ( 1 ANYTIME 1 1 5.TYPE OF 6. A 7. INSPT.MADE
PM ( 1 SPECIFY INSPECT. TIME
DATE
8.APPROVED (�) 9.REMARKS:
DISAPPROVEDK)
1
i
INSPECTOR
280-671
WHITE FILE YELLOW-INSPECTOR PINK-OFFICE
11.91 -,TAFF0RD DRIVE
Tract No. Lot No. _
CITY OF SAH JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PMEMIT J-V.-a-
Date vc , 19_ '
Permit}N.u. I >�__ I
Application is hereby mac`e for permit to [}-� _l.c C 0 0-, _
a _t story Type�l_3� Lw1 Bulldin _ Use Zone
at _����� `• _f snr-�- ��-�" 1 Occupancy --- fi
to be occupied only as -�-c w, f-P/J Sy, feet I
in accordance with plans,Speations and Plot-plan filed herewith. Parking Space
�c
Estimated Value of Improvements, $ ��� Fire Sprinkler
Emer. Elect. _
certify that in the performance of the work for which this permit is issued I shall not employ any person
inany mannePr—so as to vi II([e the workmen's compensation laws of California.
Owner �YT11'vl` 1 Address
13Y Address
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
1.LOCATION i 2.DATE RCD. 3.TIME RCD.
r7
4,READY AM ( 1 ANYTI1 5.TYPE F 6.ARE 7. INSPT.MADE
PM (,�) SPECIF E TIME
DATE
&APPROVED IY�_1 9.REMARKS:
DISAPPROVED 1 1
:'INSPECTOR'
280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE