87923 (2) 8074 PARK VILLA CIRCLE
UBC 1973-
Tract
973Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FO BUILDING PERMIT
Date 19 �� Permit No. Y7 c, 2 J
7 V
A plication is hereby mad fora a.-it to '�h JI1�r-t'��
a_ story, T p 'B ilding 4� Use Zone
Occupancy
to be occupied only az ////�� Parking Space
r� i Fire Sprinkler
in accordance with Plans, Specifications and Plot-plan filed herewith: Emer. Elect.
V Y
Estimated Value of Improvements, $
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in eny me er so to violate the wo�y�en's compensation laws of California.
Owner sC_FC/$'Pc L�v/_�'a�S_ Address
Y
B Address
RECORD OF INSPECTION
Foundation Frame
Stucco Z—2 '37r"VG✓Finish
Rn74 PARK VILLA CIRCLE PONDEROSA HOMES
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.
San Jose City Business License #
Di
7 'l�•f s' 2•�
Form 280-1