30484 1168 GARDENSIDE LN
Building Permit Confirmed 4D�
Not Required ❑
CITY OF SAN JOSE W BUILDING DEPARTMENT
APPLICATION FOR PLUMBING land/or GAS PIPING PERMIT
Date.....
---------------------------- 1999._ Permit No.---- -y----------------
The undersigned here9���byTakes plicvthe Plu 'ng Inspector of }ha Ci}Y of Sen Jose
for a permit to ins}all 6 i cc / s e on the reverse side.
Exemption from r or e a o is r Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed C1�D 106 k 1
Undersigned attests that his States California Contractor's License
is in full force and effect and properly J�3Jxes thi ap tic Qon._
San Jose City Business License # rI/ ^ a $�O1
I certify that in the performance of the work for which this permit fsr issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER - LQ
ADDRESS n-(' C)r Lot No.
USE OF BUILDING 4-oor'-P/c,r
Signed .0 .�...vrCl ....
1168 GARDENSIDE W E.G. 'S HANDYMAN SER80�, O1n
FIXTURES NO. FEE MAIN DRAIN
Water Heaters oo Size Moteri of
Water Closets To Fee
Bath Tubs RAIN WATER DRAINAGE
Showers Size Material
Lavatories To IFee
Itchen Sinks WATER SYSTEM
Dish Washer Size IMaterial
Waste Disposals lWater Fixture Fee
Nash Trays HOUSE GASP IPING
Noshing Machines No. Lines Outlets
Nater Treat. Equip. Size IFee
Sinks FEES
Dental Units Fixture Fees 1,00
Drinking Fountains Main Drain Fees
Floor Drains Storm Drain Fees
Hoppers Water Sys. Fee
Sand Traps I Gas Piping Fee
Urinals Survey
Area Drains - Permit Fee ]:--
Water Leaders TOTAL FEE 1 3--
Trailer Space INSPECTOR'S REPORT
Swim Pool Gas Pi in
Indirect Wastes Approved
Dr well B
Backflow Preventer Partial
iurvey Approved
B
Rough
TOTAL Approved
B
Finish
Approved — 7
B