87923 8103 PARK VILLA CIRCLE
Tract No. Lot No. UBC 1973
CITY OF S JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT G
Date 7/ 19— Per N 0 7 Z l`
Application is hereb m e of a per
#t
ey storywild _Use Zone
Occupancy
to be occupied only as Parking Space
���/ Fire Sprinkler
Sprinkler-
in accordance with Plans, Specifications a�ndrP^lomf•plan filed'herewi#h. Emer. Elect.
-
I
Value of Improvements, $ n v V v
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any man so as viola}e the work s compensation law` of California.
Owner d J�lj.Q.5— Address _/�.DQ�d�f `/YT
By Vrl Address
RECORD OF INSPECTION
Foundation Frame Frame
Stucco r7 • f q S Finish
8103 PARK VILLA CIRCLE 0 PONDEROSA 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 #
is in full force and effect and properly authorizes this application.
San Jose City Business License #
Form 280-1