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5928 (2) 11'18 Derbyshire Drive C .ta IChFtit/� Tract No. Lot No. CITY OF SAN JOSE BUILDING DEPART APPLICATION FOR BUILDING PERMIT��� Date '?-1,5 ' 19 77 Pgrrpit f{o. Application is hereby m for a permit to 5L X a /T_yp,,e i , V V Use Zone at CK6Y Occupancy to be occupied only as Co 7 Sq.feet in accordance with Plans,SpecifiEations an t•plan filed herewi arking Space Estimated Value of Improvemeny8 Sprinkler mer. 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 violate the workmen's compensation laws of California. Owner Koagy I-SH1.6SO . Address By 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. yn� / . FINAL INSPECTION ��7?r`� CU114.41 260601 N /1 O-,'Q—p_L7 •oN esuea,"sseuisng Alli esor ueg vo!looildde slyl soepo43ne Apedold pue loeye pule solo;lin;us sl y� Z�j'f.Q� oN 05uoDi�s�Ol�e�lu0J ei Wo;Iie�;o Blel$s!4 7e41 s4wlle lueollddy GG J p pep;luewelels auealldde Aq powlep Agejey sl esuaol-1 s,loloejiuoO Io;elwo;4e3;o elelg lo;luewollnbol wollE) Aewxo w l uoildwex3 1128 Derbyshire Drive Tract No. Lot No. CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR BUILDING PERMIT Date' 3 19_77 Permit No. Application is hereby ma��de for a permit fo a__ Z__story, T pe i_L�% Building _ se Zone / —/ at 0, _ ,^ Occupancy to be occupied only as ,/AV/w/ Parking Space in accordance with Plans, Speci ications and Plot-plan filed herewith. Fire Sprinkler Emer. Elect. Estimated Value of Impro ; I certify that in the parlor a e wor r i`- i} issued I shall not employ any person in any manner so'as to viol e t rkmen' e f ew elifor 'e. yp Owner 1116 DA Address By n (L C Address RECORD OF INSPECTION Foundation Frame Stucco Finish r260-601N-- 1128 260-601N-1128 Derbyshire Drive N 109-09z c , 9su0311 sseu!sng Age osof ues uo!4v0ilddp s!y4 sez!1044no Apedold pup 4aaffa pup a jof IInf u! s! esuea!l sJofopl4uoO plWol!103 kO •404$ s!4 4044 s4se449 4uvo!Iddy 0 Pell} 4Oewa4p4s I] leumo sv :4uoea4ddv Aq"pouu,jo Ayol04 si esuO"l s loyapl "O lo} v!wol!!vO fO 0404$ JO) 4uowonnbo4 wol) uaydwe13 LOCATION 2. DATE RCD. 3.TIME RCD. • • 4.READY AM ( 1 ANYTIME ( 1 5..TYPE OF 6.AREA 7. INSPT.MA PM It 1 SPECIFY INSPECT. TIME DATE_ • 8.APPROVED 1 1 9.REMARKS: DISAPPROVED •1 1 • INSPECTOR 280-671 WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE • 1, OCATION ` 2. DATE RCD. 3.TIME fiCD. 17 i 2. - Zi-7 3Old 4,READY A®1 1 ANYTIMEI 1 5.TYPE OF 6.AREA 7. INSPT.M/2E' PM ( 1 SPECIFY NSPEC TIME DATE • 8.APPROVED ( 1 / 9.REMARKS: DISAPPROVED ( v 1 ® - ,INSPECTOR7� WHITE-FILE YELLOW-INSPECTOR. PINK-OFFIC • 1.LOCAT ON 2. T CD 3.TIME RCD. • 4.READY Am ( k/) ANYTIME 1 1 5.TYPE OF 6.AREA 7. INSPT.MADE PM 1 1 SPECIFY _ IN CT. TIME1 U DATE 8.APPROVED ( `1 9.REMARKS: DISAPPROVED 1 1/ 1 tA69 t* Z2 44 of d^ f i • • - INSPECTOR r -✓ 280-671 WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE r1.LOCATION 2. DATE RCD. 3.TIME RCD. fd:�� 4j 77 III • ' 4-READY AM ( 1 AN TIME ( - 1 5.TYPE OF 6.AREA .7. INSPT. ADE PM ( 1 -SPECIFY N ECT. .TIMES 3 O. DATE • 6.APPROVED 1 I 9.R MARKS: ' DISAPPROVED I ✓) maO • INSPECTOR _ zso.s�T WHITE FILE YELLOW.-INSPECTOR PINK OFFICE • 1, LOCATION A -- �•' 2. DATE RCD. 3.TIME RCD. • 4,READY AM ( 1 ANYTIME 1' 1 5.TYPE OF 6.AREA^7. IN PT.MADE' PM ( 1 SPECIFY SPECT TIME DATE • 8.-APPROVED ( 1 / 9.REMARKS: , ` DISAPPROVED 1 ✓ 1 0 • INSPECTOR <_/. 280 571 WHITE-FILE YELLOW INSPECTOR PINK-OFFICE , • 1.LOCATION 2. DATE RCD. 3.TIME RCD. C� • 4.READY ,AM ( I ANV ME ( ) 5.TYPE OF .6.AREA 7. INSPT.MADE PM ( 1 SPECIFY INSPECT. q TIME / DATE • B.APPROVED 9.REMARKS: - . . DISAPPROVED I. 1 t II � • • INSPECTOR r 280-6 WHITE-FILE YELLOW INSPECTOR PINK-OFFICE ,t • 1. LOCATION 12'CATE RCD. 3.TIME RCD. • '4.READY AM ( 1 ANYTIME ( .) 5.TYPE 9F 6.AREA 7. INSPT.MADS PM ( 1 SPECIFY T. - TIME 4 DATE • 8.APPROVED ( 1 9.REMARKS: DISAPPROVED ( 1 INSPECTO / 280-671 WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE