59227-F 1641 Jamestown Dr.
Tract No.S 70 Lot No.�
CITY OF SAN JOSE BUILDING DEPARTMENT
/� APPLICATION FOR BUILDING PERMIT
Date a� 02c , Ig_�Permit No. > zz7_�
Application is hereby made for a permit to
a story, Type i Use Zone
at 6 _ Occupancy
to be occupie only as Parking Space
Fire Sprinkler
in accordance with Plans, pecificCf�oZS'3_nd�o I i ew'th.
Estimated Value of Improveme s, `C�'/ �!
I certify That in the performance of the work for which this permit is issued I shell not employ any person
m any s to iio ate the workmen's compensation laws of California.
,Owmanner so
ner Address
B Address
RECORD OF INSPECTION S
Foundation /D 2Ff—(y p //�e-4 ..a, Frame
Stucco Finish 11— Z5 —0119
1641 Jamestown Dr. H. A. Steward /�E
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 # c��M q.2020
is in full force and effect and properly aa/u//theorizes This a plica t'on.
San Jose City Business License # - 0 �cY
A)° .— ..-s.f`�C:c- /. •`ti.LA oe--Z�
Form 280-1 2/68 IOM