8706 (2) 1497 James Town Dr.
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
�J� /
Date-�'/�. --- --�`'3--------"--- 19 7�Permrt No. ... ...70.(o.-......----
The .nderti ned horeb mwowe;§
h e�bJ'/Pov�r(���fy�(v�pctor of the City of San Jose
for a permit to insfrom
r pli or Contractor's
si is License
side.
Exemption from req ' nCalifo nia for Con4rac}or's Liconsa is hereby claimed
by undersigned: "/� /�"' /statement filed.Undersigned attests the} his State oligsya Co�nrFergrsis in full force end effect and properly le
rifai this ti n.
San Jose City Business License # 6 yy 0 V&
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manner so as
ass to violate the workmen', compensation laws of California.
OWNER /_!_��T
Lot No.
ADDRESS /y9% «� iC � A`�tc.l� �
USE OF BUILDING r/��I�C�L <iJ/x•� �� G /J�P
280 10 t Signed--
1497 James Town Dr Vals
FIXTURES NO. FEE MAIN DRAIN
Water Heaters Size Imaterial
Water Closets To iFee
Bath Tubs RAIN WATER DRAINAGE
Showers Size Material
Lavatories To Fee
Kitchen Sinks WATER SYSTEM
D'sh Washer Size Material
Waste Disposals IWater Fixture Fee
Nash Trays HOUSE GAS PIPING
Noshing Machines No. Lines / Outlets
Nater Treat. Equip. / Size Fee
Sinks FEES
Dental Units Fixture Fees / ca
Drinking Fountains Main Drain Fees
Floor Drains Storm Drain Fees
Hoppers Water S s. Fee
Sand Traps Gas Piping Fee yo
Urinals Survey
Area Drains Permit Fee - w
Water Leaders TOTAL FEE
Trailer Space INSPECTOR'S REPORT
Swim Pool Gas PI In
Indirect Wastes Approved —
Jr well IBV
3ackflow Preventer / Partial
iurvey Approved
B
Rough
TOTAL Approved
B
Finish
A rove
B