98527 7411 Rainbow. Dr. Bldg. B
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APP ATION FOR PLUMBING-- //and/or GAS[[PIPING PERMIT
Date: ------Y ....... ......... 19./1n.!�Pernnif No..........f... =� 7-------------
The u ersigned hereby s p et' r'1 1 iha bin In r of the City of Sen Jose
For a permit to install plu in ipe ist d .r verse side.
Exemption from requi f r ale a r a oll r t ors License is hereby claimed
by undersigned: as wrier ❑ statement filed ❑ 53
Undersigned attests that his`Stafe-of elifisrnie Contracto s Li nse #
is in full force and effect and properly au o x —Thi Ciplicf10
San Jose City Business Licensee#y� A"Ta ��/ .Y,
I certify that in the performance of the worFfor which thi permit is i,,".d I shall not employ
any person in an manner so as violate the workmen's co nsation laws of California.
OWNERIV
Q
ADDRE S
USE OF BUILDING
280.30 Signed... ................................_....--.....}...--....
7411 Rainbow Dr. Central Service
FIXTURES FIXTURES MAIN DRAIN
Water Heaters Floor Drains Size Material h,83
Water Closets 2,, Hoppers To To Septic Tank
Bath Tubs Sand Traps RAIN WATER DRAINAGE
Showers - Urinals Size Material
iLavatories Area Drains To Curb I To Main Sewer
,Kitchen Sinks oX. Water Leaders WATER SYSTEM
Dish Washers Trailer Space Size I Material(io7TQ.
Waste Disposals Swim Pool FEES
jbDental
ays Indirect Wastes Fixture Fee $'. do
Machines• Drywell Main Drain Fee 2 ,0 0
eat. Equip. Backflow Preventar Storm Drairi Fee
' Survey Water Sys.•Fee` 00
nits Gas Piping Fee
Fountains SurveyPermit FeeS 11- 1-7L TOTAL TOTAL FEE .0 0
INSPECTOR'S REPORT HOUSE GAS PIPING
Partial No. Lines Outlets — Sizes
Rough/ _3�], - 5 !'vBs- STpem5,6NIP Tested and Approved
Finish z- a W,t eLi f By