70463-V (2) 80`72-74, Park Villa Circle- ,p
# o � /7h oc
b' Tract No.,52 7 Lof
CITY OF SAN JOSE BUILDING DEPARTMENT
,��J���-�� APPLICATION FOR BUILDING PERMIT
Da+e� Li 7 19 Permit No. 7b�(✓' 3- y
Application is hereby made for a permit to. U/LQ
c_
/ t
a QS4 story, Type � a��' eBwe[lding �� Use Zone[
r"
2elr Occupancy
to be occupied only as G Pa'r'inglspace�
® � vegSprinkler
in accordance with Plans, Sp�ci ica ons!and P of-p Sn ilQ heo�with.
3D DOO &-7/-3 i0
Estimated Value of Improvements, $ R�3 3903v
1 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,Aethemen's companse4ion laws of CaOwner _. JIJ_ 5 ompe Aation l gyAddress
RECORD OF INSPECTION
Foundafion// /`,-- 7/���`/`"�5Frame /.2477.2
Stucco Finish 9t 2?0 7 ` "
CoxiPss23
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner ❑ statement filed ❑ y//f
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 #
<>L)
- 5')4S
Form 280-1