70463-V (2) 8117-1P�Park Vila Circle j-3
6. Trac+ No. D`>/D Lot No.
% 100 �3r—
CITY OF SAN JOSE BUILDING DEPARTMENT
A/ APPLICATION FOR BUILDING PERMIT
Date /vyw^�g�� 19--2/ Permit No_r� '70463- �/
Application is hereby made for a permit to J�
a TG✓O story, Type ewlding Use Zone'P
at 8//Jar V17 HiN.s( &GI9 L ' Occupancy N
G Par ng-Space tLA
o be occupied only as L Jµ—,,rr
in accordance with Plans, Spens an Pl4an'hed herewi}h�FiraSApnmkler
. Elect.
Estimated Value of Improvements, $ .34,0/W E4Em7/-3-10
1 certify the+ in the performance of the work for which this permit is issued 1 shall nno+ employ any person
in any mann so as to viola}° +he woN compensation laws
s493� a Wrll/ 4)'r- z1J A,
Ownea� ��i/f4s/jlEs / 7 /K7HAddres
eyh luS.i Address/g3DC'6 QT/s /7JE�lLO %/� ?- 1i
2RECORD OF INSPECTION
Founda+ion �0'�L�o)/)r- -,w"�/� Frame 3-3 212- "��->-r
Stucco Finish ' 2-0, 7
efC>Wt4 55/S
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner ❑ s+a+emen+ filed ❑
Applicant attests +hat his State of California Contractor's License # /1' ty
is in full force and effect and properly authorizes this application.
San J auCiM Business License .{#
C-r6a)4�I
Form 280-1