5109 1520-Aster Ct p
/ Building Permit Confirmed .0�
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
QQ �Jg - - ' , Sieg
Q '..vC19.� Pe i+ No..
Th-e-undersigne or y a 'p ion to t rxi I or of the City of San Jose
(ore permit to - stall u i - s p' as t e verse side.
Exemption rom e r fo ate C for is or on ctor's Licen a hereby claimed
by undersigned. as owner ❑ ste}ement filed may. /
Undersigned attests th his State of California Contractor's License #:f '-236
is in full force and effect and properly autfhor' el this a plica ioy,
Sen Jose Cit Busine s License- 7 -
I certify that in the rf rmanca of }he h for w ich f ' p mit is issued I shall not employ
any person in any ma s s to violate w p laws of California.
OWNER
ADDRESS _ Lot No.
USE OF BUILDING ., —I Q
Si nod------ - - _...
28030 •'" — •._� -
e 'T l� a u ' Blue Champagne
FIXTURES FIXTURES MAIN DRAIN
Water Heaters / Floor Drains Size Material
Water Closets Hoppers To To Septic Tank
Bath Tubs Sand Traps . RAIN WATER DRAINAGE
Showers Urinals Size Material
Lavatories Area Drains To Curb To Main Sewer
Kitchen Sinks Water Leaders WATER SYSTEM
Dish Washers Trailer Space LFee
Material
Waste Disposals Swim Pool / FEES
Wash Trays Indirect Wastes Washing Machines Drywell FeeWafer Treat. Equip. I Backflow Prevenfer Feenks Survey eeDenfal Units ee
Drinking Fountains I Survey _
Permit Fee
TOTAL TOTAL FEE
INSPECTOR'S REPORT HOUSE GAS PIPING
Partial � � 3.��,;: No. Lines ♦• Outlets / Size
yes
Rough Tested qnd Approved ` �,)
i o lay ^