8705 1113 Stafford Dr. ISL, wR f er d0.w Qnv )
Tract No, Lot No.
CITY OF SAN JOSE v BUILDING DEPARTMENT
APPLICATION FOR BUILDING PER pT
Dale M�G� 13 , 19� Permit No.
O�t l ip's' Ci
Application is hereby made for a permit to ;!�_-
a / story Tye - Building Use Z ne L
at // /1ae Occupancy -�
to be occupied only aspq�'+ ' Sq.feet —"
in accordance with PlansS
, pecifictio
ans ad Plot-plan filed herewith. Parking Space �-
Estimated Value of Improvements, $ Fire Sprinkler
Emer. Elect.
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 to violate the workmen's compensation laws of California.
Owner Z404 ALL 1-77,4 Address J113 S7AfLnRO 9R
By A P 72417£ Address 00412 Cil uTaanp Avg
This permit shall 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
•ory ezueei-1 ssewsn8 Al
!0 Nor ueS
u
•uo�ieaydde$141 wzogyne Aliedoid pue 1�e;;e pue Gwo;lin;w sl
i
•ory asueaii s,ioieeiluo3 eiwo;ye3;o ele3S s!4 3943$lwe a iueayddy
Pon;luewelels l 0 se
[D ieuM
aueapdde Aq pewiep Agaey si esueni�s,ioieenuoyo}eruiopIep;oelelS io;lueweny
nbei woI uogtlwex3
1.LOCATION � � 3 S-fa�`Ff=o r"' �i 2.DAT RCD. 3.TIME RCD.
15 5
k READY AM 1 &/T 'ANYTIME ( -1 5.TYPE OF' 6:A EA 7. INSPT.MADE
PM ( 1 SPECIFY INSPECT. TIME
DATE
$,APPROVED9.REMAR KS: St.�
DISAPPROVE ( - 1
INSPECTOR
280-671
WHITE- FILE YELLOW-INSPECTOR- PINK-OFFICE
• • 1. LOCATION�� 2. DATE RCD. 3.TIME RCD.
_ . 0s-
4.READY AM ( 1- ANYTIME ( 1 5.TYPE OF 6.JEA 7. INSPT.MADE 9p
• PM ( 1 SPECIFY INSPECT.) / TIME
2� ,A.cc:B DATE
. &APPROVED EMARKS: 'f'
DISAPPROVED ( 1 ��
•
INSPECTOR
a � � 1
WHITE-FILE YELLOWINSPECTORPINK-OFFICE
1 l .;-o 63
1, OfAT2.D N TE CD. TIME RCD.
�- O
4 READY AM ( 1 A YTIME ( 1 5.TYPE OF 6. REA 7. INSPT.MADE``r,
tOISA�PROVED:((
PM ( 1 P CIFY SeECT. TIMEDATE
VED 1 9.REMARKS:1
Al
INSPECTOR L
z8Q-G71
WHITE FILE YELLOW-INSPECTOR PINK-OFFICE