13345 8069 Hyanni5port Dr.
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATIONFOR
n ECHANICAL PERMIT
Date-----..........................L- I- Q-._... 19�../.. Permit No. ..C....�
for a he undiersigto ned htfie mtaehen calpwui4tl sled onh f^heli rbeise Inspector of the City of Sen Jose
/inn4 i L - C` lI� y
Exemption from requirement for Slate of Celiforma for Contra ctoh License is hereby claimed
by undersigned: d as owner ❑ statement file,dy�❑��7, '/
Undersigned attests that his State Of C-al'Yornie Conifatf f,$ 0nJ.2a 4�4 �'Y�
is in full force and effect and properly,Xuth�ies Ihis�ppl ice 100A" I
San Jose City Business License # /��(7 0(.
I certify that in the performance of The work for which thispermit is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER LTARY HUMPHRC-Y'S
Q
ADDRESS () E)9 H ye R) Lot No.
USE OF BUILDING RESI DE O E
Signed...
8069 Hyannisport Dr. Valley HeatiAO-404n
Type of B.T.U. Remarks (Check V)
Appliance No. Input New Replace Relocate
Gas Ranges
Wall Heaters
Boilers (Steam)
Boilers (Water)
Blower Furnaces r riots ✓
Suspended Units
Clothes Dryers
FEES
Appliance Fee
misc. Flues/Vents Fee
Flue/Vent Hood/Ducts Fee
Hood/Duct Gas Piping Fee
Condensate Drain Cond. Drain
Permit Fee 01 00
TOTAL FEE Oa
INSPECTION RECORD'
Ducts Underfloor
Ducts Complete
Flues in Wall
Flues Complete .
Appliances/Misc.
No. Gas Lines Outlets Size
Tested and Approved