92896 7485 Prospect Road y
Building Permit Confirmed
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PEER/MIT
Date------. . -9. . ._ �...,5.........../.PP.. 19.7�. Permit No...P......-_. 7..�wl---""- _----
The u ersi ned her m$4es g �'caa"son f0. 0)lu�bin9Dlns ec{or of the Ci{ of Sen Jose .
For a permit i install p�iv�jf�ufa�enVor�pipes//Ij/fa Torvv�lie reverse side.
Exemption from requuemen�. for SfaV�oF•Celiforni for Contrac{or's License is hereby claimed
by undersigned: as owner 0 statement filed 0 L S
Undersigned attests that his State of California Contractor's License {
is in full force a� effect and properly aufhor';f4 application.
San Jose Cif Business License
I certify that in the
wh
performance of the work for it erm
a it is issued I shall not employ
any person in any manner so as to violet the workmen's omponsation laws of California.
OWNER ! l//'"a (��
ADDRESS 7f`�� ��k=�(— Lo{ No.
USE OF BUILDING /
28030 Signed-.C_---- -- - ---�--1 ----....-------....
' !T
7485 Prospect Road Wenger
FIXTURES'. FIXTURES MAIN DRAIN
'Wafer Heateri' . J. Floor Drains Size Material
Wafer 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 Wafer Leaders WATER SYSTEM
Dish Washers �- Trailer Space Size " Material
Waste Disposals Swim Pool FEES
Wash Trays Indirect Wastes Fixture Fee , O
Washing Machines J' Drywall Moin Drain Fee O b
Wafer Treat. Equip. Backflow Preventer Storm Drain Fee
Sinks Survey Water Sys: Fee Q p
Dental Units Gas Piping Fee ,
Drinking Fountains Survey
Permit Fee rs?1 G,D ._
TOTAL TOTAL FEE fis0
INSPECTOR'S REPORT HOUSE GAS PIPING
Partial _ Th No. Lines Outlets 2 Size 3
Rough _ 7 /1 Tested and Approve
Finish By