83210 (2) 1345 Crestline Drive
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION YQR BUILDING PERMIT
Date / 6 JJT�'� l qUPermit No. Z-1 o
4herApplication ismade for a permit fo?5(�
a _story, Ty ild�—iOS4
Use Zone 2
at ccupancy
®DI) ng Space
to be occupied only as
Fire Sprinkler
in accordance with Plans, Specifics+ of- n it �he,� sG
Emer. Elect.
Estimated Value of Improvement
i
I certify that in the performance of the work for which this permit is s ed I shall not employ any person
in any manner so a to violets the w rkman's com pe nzefion laws of California.
Owner�r� ���" Address /7t
r
BY Address 7�
RECORD OF INSPECTION
Foundation Frame
Stucco Finish
1345 Crestline Drive R. M. Travis
I-OBL w.o�
ds (4T Aa �� aY
# OsuaOil asaulsng A}!:) esor ups
'uo!}pol!ddp s!y} sezlwuoy}nv Al dostl puv }Oa}}a pup 81111 II^} u! s!
# osuo;ll s io}Ow}uoo vio}!Iv� }o a}v}s siy }vy} s}sa}}v }uvallddy
El pall} }uewa}e}s �'` �d 4eumo sp
:yuvO!ldtiv Ay paw!plo A9auay s! esuaol� s so}ow}uop uo} alum}!Iv� }o a}v}s uO} }u-..,!Gnbeli/wOu} uo!}dwoz3