98529 7411 Rainbow Dr . , Bidg. A
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE' BUILDING DEPARTMENT
APP CATION FOR PLUMBING and/or GAS QPIPING PERMIT
Dafe. ---�._..------- 19-7!J�Perm it No... .. -/ a /' ..`...
The dersigried hereb m c o t , nspacfor of the City of San Jose
for a permit to
install pl� she 'axe's- side.
Exemption from requi ment f r State of California for Contractor's License is hereby claimed
by undersigned: as owner ❑ �''� / sial- ant f
Undersigned attests that his Stat a of Calif/r rgcCpntr �,/sf+,l
is in full force end effect and proper ly authorix�Jz ap o%4�
San Jose City Business License # !�� a
.1 certify that in fhe performance of the work for which this permit is issued I shall not employ
any person in any manner so as fo elate the workmen's ansation laws of California.
OWNER Cp(yl cal (rtf
ADDRE S 7411
USE OF BUILDING
20030 r Signed ... - .... - _....... - :...
7411 Rainbow Dr. Central Service Co.
z
'FIXTURES FIXTURES MAIN DRAIN
Water Heaters Floor Drains Size " .
Material C•
Water Closets Hoppers To To Septic Tank
Bath Tubs (o Sand Traps RAIN WATER DRAINAGE
Showers Urinals- Size Material
Lavatories (r, Area Drains To CurbI To Main Sewer
Kitchen Sinks Water Leaders WATER SYSTEM
Dish Washers Trailer Space Size a. Material
Waste Disposals Swim Pool � FEES
Mi
Indirect Wastes Fixture Fee '
chines Drywell Main Drain Fee R.6.0
. Equip. Backflow Preventer Storm Drain Fee
Survey Water SysFee Gas Piping Feentains jr—/ B
rveyrmit Fee � 00
1�`�Z e TOTAL ' TOTAL FEE SO
INSPECTOR'S REPORT. HOUSE GAS PIPING
PaAial . Lines Outlets Size
Rough/ /-22 /S'rd13S5 '- ips.nL�J ted and Approved ]
Finish _ 2 1, r �i