87087 (2) 1464 Jamestown Drive
Tract No. 3701 Lot No. 6
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT C, Jam' '�-)
Date —Z_-�_ 19 _5 _ Permit No. D
Applicatiorl is hereby me for a per it Ao
a story, Type i Use Zone.
at I`4_I0 SAF _ j� IA1 Occupancy
Parking
to be occupied only as_-^{T / /� rS Space
Fire
Sprinkler-
in accordance with Plans, Specifications and Plot plan filed herewith. Fire Sprinkler
Emer. Elect.
Estimated Value .of Improvements, $ Gimps
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any ma��nnyy'�s0 as to violate the workmen's compensation laws of California.
Owne 1`1/�ciJE
Address �0_7�I_aL�l� � a r• •
Address /`t 5- !Ab /ICS7L -
�{
RECORD OF INSPECTION
Foundation �• 23' 7✓ nw Frame ^7 q
Stucco Finish /' /' 75
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 # Z-a5?3f-7 �S 3
is in full force and effect and properlyauthorizes this application.//
San Jose City Business License # 7 4;
Form 9Bf1-1