7242 (2) 1463 Sarat6ga-Sunnyva1e Road C �Pc-_
Tract No. Lot No. 6
CITY OF SAN JOSE BUILDINGDEPARTMENT
APPLICATION FOR BUILDING PERMIT t '�IN �O1
Dale y� 19� ermit No. / 2
'Application is h reby made for as permit to I7�G� f «�(�
astory,Type Building Use Zone _
at� _ ra A .i!(/V Occupancy
to be occupied only as � Sq.feet
in accordance with Plans,Specifications a'.. PI�Ared e e it Parking Space
Estimated Value of Improvements, $ JA C, e�prinkler
Enter. 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 workmenyTs�c/ompensation laws of California.qpo Aa 4&
Owner ' " �. Address
By Address
This permit 11 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..
FINAL INSPECTION�,-�_ 260-601 N
1
Exemption 1 rom requirement for State of California for Contractor's License is hereby claimed bl
as owner F) I statement filed Elyapplicant:
Applicant attests that his State of California Contractor's License No.
is in full force and effect and properly authorizes this application.
San Jose City Business License No.
• 1. AT /-,/ 2.DAT RCD. 3.TIME RSD`.
4.READV� 1 ANVTI 1 5.TYPE OF 6.A EA 7. INSPT.MAD Eo
• PM ( 1 SPECIFY INSPECT. �' TIME Gi
DATE
• 6.APPROVED ( - 1 9.REMARKS:
DISAPPROVED ( 1
INSPECTOR
�J 20U-671
WHITE-FILE YELLOW INSPECTOR PINK-OFFICE
• 1.LOCATION . DATE RCD. 3.TIME RCD.
• 4.READY AM ( 1 VTIME ( 1 5.TYPE OF 6.AREA 7. INSPT.MAD6�Y
PM ( 1 SPECIFY INSPECT. TIME Z T
DATE
• 8.APPROVED ( 9.RE ARKS:
DISAPPROVED
•
•
INSPECTOR
C� 280 671
WHITE-FILE YELLOW-INSPECTOR PINK-OFFICE
• 1.LOCATION706 ��/ 2.DATE RCD. 3.TIME RCD.
• , 4,READY AM ( 1 ANYTIME ( 1 5.TYPE OF 6.AREA 7. INSPT.MADE4 --
PM ( 1 SPECIFY INSPECT,. TIME 77
2Y DATE
• 8.APPROVED ( 9.REMARKS: Q1
DISAPPROVED ( 1
•
• - INSPECTOR 280-671Z
WHITE-FILE YELLOW INSPECTOR PINK-OFFICE