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13793F 1i6� S: ftdiiing k611j Tract No. Lot No. CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATI FOR BUILDING PERMIT Date IN/4' / ( 19� Permit No. /5 9z Application is hereby made for a permit to J 4_ /1j/� a 7 a story,Type Building Use Zone at/L[(. S S S11 / Occupancy to be occupied only as,rS9• feet I in accordance with Plans,Specifications and Plot-p d her with Pa ,�$$-- pace Estimated Value of Improvements, $ � '!�y r�& lnkler Emer. Elect. I certify that in the Performa of the work for which this permit is issued I shall not employ any person in any manner so as viol to tl orkmen vs compensation laws of California. Owner Address 5 ^.-�. / X%6� By Address This permit shall ex 1,1,4nd 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 260-601 N 1 I 'ON wuea!-1 sseulsne Al!o nor ueg - •u013e31ldde sly3 sezpoylne Apedo3d pus ioelle pae euro)11%w s! ON OSueol1 s iolaeiluo3 eluWul4eo to 61e3$sly 7943 slsellle lusollddy pB1il 3UeWe193s ✓� O)AGUMO se /au/eallJe Aq pewlep Agwey n esueal�s,�oiaenuoyol e!wo+!le�;o elelg lol 3uewelmnl ei tuOAj'uolidwex3 L167 S. Stelling Rd . Building Permit Confirmed ❑ Not Required ❑ CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT Date-----------....---....-`-.-.`................ 19U/fPermif No.------- D973 The undersigned hereb ekes a lication to the Plumbing Inspector of the City of San Jose for a permit to install p0 '..'7'""' on the reverse side. &empfion from req ' n r t o r Contractor's License is hereby claimed by undersigned: as owner ❑ statement filed ❑ Undersigned attests that his State of C8liforni Contractor's License # is in full force and effect and properly authorixes �plice ' San Jose City Business License # 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 viol the workmen's compensation laws of California. OWNER ADDRESS USE OF BUILDING LU I —00 leo-ae le-ae Signe .�!10. '-f�/� / ---' ✓------- 1167 S. Stelling Rd./// / Marjorie V. Simonds FIXTURES FIXTURES MAIN DRAIN Water Heaters Floor Drains Size ial Wafer Closets Hoppers To ' To Septic Tank Bath Tubs Sand Traps RAIN WATER DRAINAGE Showers Urinals Size Material lavatories Area Drains To Curb To Main Sewer Kitchen Sinks Water Leaders WATER SYSTEM Dish WashersTrailer Space Size Material Waste Disposals Swim Pool &MainDrain FEES jW'shing Indirect Wastese - achines Drywell in Feet. Equip. Backflow Preventerin Fee Survey . Fees g Feeuntains - — TOTALTAL FEE INSPECTOR'S REPORT HOUSE GAS PIPING� Partial. No. Lines Outlets Size Rough Tested and Approved Finish By y..�1 U1LLL11V1i 1SVHL CPF�Fi� Tract No. ' " Loi No. CITY OF SAN JOSE BUILDING DEPART SENT APPLICATION FOR BUILDING PERMIT `y�UZ� Dat g , 19 7 11 Permit o _ Applicafion is hereby ma for a permit to .._t i e a_L story, Type �uildi se foyne at // — Occupancy to be occupied only a mg Space in accordance with Plans, Specifications and fan fi rife Sprinkler Estimated Value of Improvements, _ / mer. Elect. - I certify that in The performance of the work for which this permit is issued I shall naT employ any person in any manner so s To viola+p;}ha workmen's compensation laws of California. Owner'? 'f� n)filJ� s d C Address Address RECORD OF INSPECTION Foundation Frame Stucco Finish MOM 1171 STEELING ROAD B�Bl�SylIMONS ,`(� 26 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 1. LOCATION 2. DATE RCD. 3.TIME RCD. -7 / SB .57-e ZZI.,vS—AIs-�.po, 9130 4.READY AM ( 1 ANYTIME ( )1 5.TYIWOF 6.AREA 7. INSPT.MADE PM ( 1 SPECIFY-[rINSPECT. TIME r7/YO✓'✓'O a� T,41✓AVA DATE 8.APPROVED ( 9.REMARKS: DISAPPROVED ( "BHYAK RE7-Add-) l i INSPECTOR ' 280-671 WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE 6 'CI11"OF SAN JOSE INSPECTION NOTICE 1.LOCATION , 2.DATE RCD. 3.TIME RCD. 4.READY AM ( 1 ANYTIME ( )1 5.TOE OF 6.AREA 7..INSPT.MADE PM 1, 1 SPECIFY INSPECT. TIME DATE_9— 8.APPROVED ( 1 9.REMARKS: DISAPPROVED 1 I/ 1 " 4. 0 ot:7-lny /9q de il" n is a E -444 ✓✓ ioN I S N e bT b P.4.M'007,6s D ✓ x.71+ �-�— ce 11 wEZ,,t C,rL, 3t1 RI of .SaAke p.(.4 4fT ST7o1r GSC O✓ STILL Aiee- 1 u " dtr FL I VDPL// eCTOR WRITE-FILE YELLOW-INSPECTOR PINK-OFFICE 280-871 Y CITY-OF SAN--JOSE-INSPECTION NOTICE' 1.LOCATION So _ 2.DATE RCD. 3.TIME RCD. 4.READY 'AM ( - 1 ANYTIME( 1 115.TV OF, '6.AREA 7. INSPT.MADE • {' - PM 1 P SPECIFY INSPECT. TIME ,r,• - —y DATE �. 8..APPROVED ( 1 9.REMARKS: '.DISAPPROVEDf -1' - ' .�_ . . _ - c F - ,vs e�7" a ori �O '�-1^Gil G ri v 5� FFicv' h, n i .D _ /e _� arQ a etiT Ne ed iwe- A r _w. .4 S Q v Th w7- Q. C - /NMI P� P o�TPn wEr 14 0 l{ u ert A F ' G S I - - INSPECTOR .•• vu r nw_rucoccTna PINK-OFFICE 260-671 —• "I: O. ATI N -- - " 'D _-" — -2. DATE RCD.- '3 TI E RCDf.J -- 4.RE'A Y M 1 ANYTI .TYPE OF" 6.AREA 7. INSPT.MADE de PM 1 .) SPECIFY NSPECT. TIME. r DATE • S.APPROVED C 1 9.REMARKS- - DISAPPROVED ( 1 Q IY1 2 t •. ppa INSPECTOR " • - 280-67,1 WHITE-FILE YELLOW-"INSPECTOR PINK-OFFICE ,. , .� � ... �.. � .. .:� ` i