58294 7639 Prospect
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR�BUILDING PERMIT
Date , 19Permi# No. 529¢ r
Applica# is hereby made for a permit #o /t�i�y�'10 _:P .
story, Tye i Use Zone�-E
a#_ - • Occupancy C
to be occupied only es �� �erek• Space
in accordance with Plans, Specifications an - a fed ere" wi#Fh� rinkler
-
Estimated Value of Improvements, $
i
I certify that in the performance of the work for which this permit in issued I shall not employ any parson '
in any man Wo as to vi late the worktnai's compensation laws of California l
i r, Address 763 9 s, (� �
By Address
RECORD OF INSPECTION '� �?0
Foundation Frame
Stucco 9- Z-01 Finish
• 7639 Prospect /p Steve Janovich
7639 Prospect p�
l V Building Permit Confirmed'. ❑
Not Required _ ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
// A
Date............e.--a----------- I -..O Permit No....7( 77 a-- ..... -
The undersigned her: n akes ap lice}ion _to the Plumbing Inspof the City of San Jose
for a permit to ins}all i'p e / f v so side.
Exemption from r e e nia a s License is hereby claimed
by undersigned: as owner statement filed ❑
Undersigned attests the} his State of Cali Arnie Contractor's License # -73zy Ke.. 7
is in full force and effect and properly author a h7pp is
San Jose City Business License # ��Jr� X
I certify that in the performance of the o�i rk or which�perr I 'sTall
any person in any mann o as to viola} the workmen's compensation laws of California.
OWNER
ADDRESS2
USE OF 9U DING
FORM 280-30 10M 1/68 Signed ...---------- --- - ---?..I. ---. .- -- - -...----- '
7639 Prosppect Psga�s
Exemption from requirement for State of California for Contractor's License is hereby claimed by applicant:
as owner Xstatement filed ❑
Applicant attats9 chat his State of California Contractor's License #
is in full force and effect and properly authorizes this application.
San Jose City Business License #
V
Farm 280-1 2/68 10M
•
FIX7URE5 FIXTURES MAIN DRAIN
Water Heaters Floor Drains Size
Materia
Water Closets
?i Hoppers To To Septic Tank
Bath Tubs Sand craps R WATER DRAINAGE
Showers Urinals Size Material
Lavatories 7i Area Drains
Kitchen Sinks To Curb To Main Sewer
Water Leaders WATER SYSTEM
Dish Washers Trailer Space Size Material '
Waste Disposals Swim Pool 1. FEES
Wash Trays Indirect Wastes Fixture Fee
Washing Machines Drywall Main Drain Fee -
Water Treat. Equip, Backflow Preventer Storm Drain Fee
Sinks- Survey Water Sys: Fee
Dental Units Gas Pig'
in Fee
p•
Drinking Fountains Survey
• 162 1 Permit Fee 0 t7
TOTAL TOTAL FEE A �)
INSPECTO 'S REPORT HOUSE GASP PING
Partial M � No. Lines Outlets Size
Rougn V—/d.*e Tested and Approved
Fmtsh By
r