17894 14b4 .LAMES TOWN DR
Building Permit Confirmed ❑
9 Not Required
CITY OF SAN JOSE BUILDING DEPARTM NT
APPLICATION FOR MECHANICAL PERMIT
relay 23 787� j¢
Date...._......_ 19........ Permit No............ ....._..._ _
.... ... ......_..---
The undersigned hereby makes a U �ien,jo th Plumbing Inspector of the City of San Jose
for a permit to install i�ea;,.hisric.l fr �isf6d1 ria side.
Exemption from ra uir n,#/for Ite of�Celifornia or Contractor's License is hereby claimed
by undersigned: Pas owner ❑ s}a}amen} filed ❑ 258540
Undersigned attests that his S}attt��tssrs+ssssss ?f aliforn, C�ntr cto s y,ifer(sa
is in full force and effect and progEr y uthoritgM}FiLloa, ,lic on. V r
San Jose City Business License ##
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 to violate the workmen's compensation laws of California.
OWNER James Kane
ADDRESS 1464 James Town Drive Lot No.
USE OF BUILDING Residence
Signed. . . _._. ----...-
-... ...
1464 JAMES TOWN DR VALLEY HTG 280-�kn
Type of B.T.U. Remarks (Check V)
Appliance No. Input New Replace Relocate
Gas Ranges
Wall Heaters
Boilers ISteaml
Bcllers (Water)
Blower Furnaces
Suspended Units
Clothes Dryers
FEES
Appliance Fee O
Flues/Vents Fee
Flue/Vent Hood/Ducts Fee
Hood/Ducf Gas Piping Fee
Condensafe Drain _ Cond. Drain D
Permif Fee ,O
TOTAL FEE
INSPECTION RECORD
Ducts Underfloor
Ducts Complete
Flues in Wall
Flues Complete
Appliances/Misc.
No. Gas Lines Outlets Size
Tested and Approved