77774 F (2) 1575 Jamestown Dr.
Tract No. 7P Lot No. �2
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date—,a ion f ' 19 _Permit
Applicon �z hereby made for a ermi# to
�/.
a story, Type Use Zone
a+—/_6=Zj=��.yE� _ _ _ ,p �A� occupancy
to be occupied only as_�U_ .� Fire Sre S Space_T�
l prinkler
in accordance with Plans, Specifica#iols-and•Plo#-plan filed herewith.
$ �/� A _ Emer. Elect.
Estimated Value of improvements,
I certify the+ in the performance of the work for which this permit is issued I shall not employ any parson
in any manner so as to violate the workmen's compensation laws of California
Owner i^;P,i Address /J 7J �ARlE T d
By_ Lis�/J� _C( Address X27 `rt'
RECORD OFF (INSPECTION
Founda �'� 0 " P ame
#ion
Stucco Finish
1575 Jamestown Dr. Frank. Lee
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.
/ <v
Sen Jose City Business License #
CCS
Farm 280-1