843 (2) 1132 KnmOOD T)PM
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPART NT
APPLICATION FOR BUILDING PERMIT
t/ y
Date � 19n�! Permit
Ap lication is hereb made for a permit to th e
a sfory, ype = B i Use Zona
atm s-�3 i g Occupancy
to be occupied only as al.�&Ot-44,
,� Parking Space
in accordance with Plans, Specifiicatio 4&4 �I E Sprinkler
��*� `� Emer. Elect.
Estimated Value of Improvements, $ X00
I certify that in the performance of The work for which this permit is issued I shall not employ any person
in any mann so
as to violate the a kmen's compensation laws of Califfqrr ie.
OWW L —Ge Address//, / !L& :e !�
AAy f Address�H�
� Y ORD OF INSPECTION
Foun ation _Frame a27�
Stucco Finish -�-'
1112 KFNTWOOD DRIVE JOYCE TFF
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 # Q f �1�PCJD
is in full force and effect and properly authorizes this application.
San Jose City Business License # 7' d / 27j
280-601 N
//3 z /<�xn�walcv De
1.LOCATION .2.DATE RCD. 3.'TIME RCD.
4.READY" AM ( 1 ,ANYTIME ( 1 5.TYPE OF 6.AREA 7. INSPT.MADE^ �5
PM ( 1 SPECIFY INSPECT. TIME !`
DATE
' • S.APPROVED (' 1 9.REMAI)KS: / •.
DISAPPROVED --
• INSPECTOR 7toy
r <� -671280
• WHITE-FILE YELLOW-INSPECTOR � PINK-OFFICE,