17638 "969 SUNDERLAND D�z-dl ( _" 1 ) Cj�r
Tract No. Lot'No. - —
TY OF SAN JOSE u 8111LDINfs D�PARTI T
�P.c.
Da APPLICATI N OR BUILDING PERMIT
h — c� ,19 Permit No.
Application is hereby made fo a permit to 'al 3'.v/Z' 11 � .
a _L story,Type_ � ' — Building Use Zone-
JW
one � a
at 79m9 Strn/DEeG pNo��.. Occupancy_
to be occupied only as_,La ; f�. Sq.feet
in accordance with Plans,Specifications andPlot-plan filed herewith. Parking Space
Estimated Value of Improvements,$ X12 Fire Sprinkler.
Emer.Elect.
❑I certify that In the performance of the work for which this permit is Issued 1 shell not employ any person
Owner d,N ByeT. y Address SA •��
6 i/.�r.c„;— C_±%.r • Com, Address - r C GC•.�c'7 1.��l4`<t,
By
This permit shall expire and become null and void If the work authorized by it Is not commenced within
720 days from the date issued or if the work is suspended or abandoned for a period of 120 days after
commencement.
FINAL INSPECTION ReveOt"/78
70/2. Bofa.�� - - '79G 9 5�,,�oEzt�.vo .v2• '
Exemption from requirement for State of California for Contractor's.
License is hereby claimed by applicant:
as owner❑ statement filed❑
Applicantattests that his State of California Contractor's License No.
Is In full force and effect and properly authorizes thi/s}ppplication.
San lose City Business License No. ¢"/ 00 2'30
i
2_1 2 v G3 Oma,- 9�S�jy 9'30
• 1. LOCATION 2. GATE RCD. 3.TIME RCD.
4,READY AM ( 1 ANYTIME ( 1 5.TYPE OF 6.AREA 7. INSPT.MADE
• �^ '- .i
PM 1 � . I , SPECIFY NSPECT TIME
K I DAT
• S.APPROVED Z>4 ) 9;REMARKS: / '
-DISAPPROVED ( 1
'• ` - INSPECTOR GC
280-671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
• 1.l CA ION - 2.D TE RCD. .TIME RCD.
si
• 4.READY. AM ( ) ANYTIME 1 1 5.TYPE OF 6.AREA 7. INSPT.MADE
PM 1 SPECIFY INSPECT. TIME
D -
AT
' 8:APPROVED . TSL 9.REMARKS: _
DISAPPROVED
• - INSPECTOR
I 280 671
WHITE FILE. YELLOW'-INSPECTOR PINK-OFFICE
2. DATE RCD, 3.TIME RCD.
4.READY AM ( 1 ANYTIME ( I 5.TYPE OF 6.AREA 7. INSPT.MADE
'- PM ( 1 SPECIFY SP CT. -'TIME
DAT
8.APPROVED. 9.REMARKS: Ce� '
DISAPPROVED 1 1 CSO - - -
e
INSPECTOR
280-671
WHITE-FILE . YELLOW-INSPECTOR: PINK-OFFICE