950097562 Newcastle Drive
—/ Building Permit Confirmed ❑
/ Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION
FOR PLUMBING and/or GAS PIPING PERMIT
Date .------------"-L.N--- .�rnif No..-----.. (/ f.` ----------
The undersigned herapplication to the Plumbing Inspector of aha City of San Jose
for a permit to install plumbing fixtures and/ P' lista n h r r
Exemption from requirement for State of is r n is ereby claimed
by undersigned: as owner statement filed
Undersigned attests that his State of California Contractor's License .# �'
is in full force and effect and properly authfs_f/,�{Mlication.
San Jose City Business License # (/ O
I certify that in tha performance of the work for which this permit is issued 1 shall not employ
any person in any man. so as to violate the workmen's compensation laws of California.
OWNER /`7,4YG'DA
ADDRESS 7S6 ' 'i/ECUCAS' �F •72 Lot No.
USE OF BUILDING
I80-30
Signed.LGGz.Lrfc4f
7562 Newcastle Drive Ace Plumbing
water „eaters
( Floor Drains
Size
Material
Water Closets
Hoppers
To To Septic Tank
Bath TubsSand
Traps
RAIN WATER DRAINAGE
Showers
Urinals
Size
Material
'Lavatories
Area Drains
To Cur I To Main Sewer
Kitchen Sinks
Wafer Leaders
WATER SYSTEM
"Dish Washers
Trailer Space -
Size IMaterial
Waste Disposals
I Swim Pool
FEES
Wash Trays
Indirect Wastes
Fixture Fee /,00
Washing Machines'
Drywell
Main Drain Fee
Wafer Treat. Equip.
Backflow Preventer
Storm Drain Fee
Sinks
Survey
Water Sys. Fee
Dental Units
Gas Piping Fee
Drinking Fountains
Survey
Permit Fee
TOTAL
TOTAL FEE c+o
Partial INSPECTOR'S REPORT
HOUSE GAS PIPING
Rough
No. Lines Outlets Size
Finish /� fl:' -7/
Tested and Approved