90174 (2) 7732 0B8*n AN
Tract No.y6'1 Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
,,�
APPLICATION FOR BUILDING PERMIT q
Date ! , 19 f `S —Permit No. `by
Application is hereby mi dee fpermit to�
—21—story, T pe Building Use Zone ���+�7
at �73 2 (67zid� Occupancy
Parking Space
to be occupied only as � ��- � J�
in accordance with Plans, Specifications en�Plo4 filed h rewiifi.r�prinkler
�.' Emer. Elect.
Estimated Value of Improvements, $_atDpO.'—� \'
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 workmen's compensation laws of California.
Owner ONDEROS HOM S Address 3080 Oloott St. S,CW
By Address 3080 Olcott
St-
RE D OF INSPECTIONF����z.,BpS-
Foundation !U ^ �9�7 Awe game 1-6;
Stucco
Finish el—" N 2'
7732 OBSIDIAN CT. POND. HOMES
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 #_a� b 7t7 0
is in full force and effect and properly qot o=i:e; fhis a pliceiion.
San Jose City Business Lieense # [�
/�%yw.�L L sr�iz�Q i-i3-7G
Form 280-1