34446 (3) 1464 JAMESTOWN DR
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING` PERMIT
Date--------------- -_ .-/T:.L..__..._."'-_- 19..7.0 Permit No...... .-T :E'---------------
The undersigned here a �Za r 1�'}f�e�Ply Inspector of stheide.City of Sen Jose
for a permit to install g� s on the reverse side.
Esemption from req��uiirremen or Stale of California for Contractor's License is hereby claimed
by undersigned: as nar statement filed � ?3 7
Undersigned attests that his Sof elifo c is a # .
is in full force and effect and pro rly Ih ri s1 is�4 jt cet
San Jose City Business License # t /�� c ,
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 `�- 1AADDRESS )-7 (p �� n fYI P `�t�r� t A _ 1/� Lot No.
USE OF BUILDING b4�-S.
Signed . ✓-`-----
V
280-401n
14Fi4 .IAMPCTOWN I)R ACE
FIXTURES NO. FEE MAIN DRAIN
Vater Heaters od Size Material
Vater Closets To Fee
lath Tu6s RAIN WATER DRAINAGE
ihowers SizeMaterial
.ovotories To Fee
Citchen Sinks WATER SYSTEM
)i5h Washer Size Material
Vaste Disposals lWater Fixture Fee
lash Trays HOUSE GAS PIPING
lashing Machines No. Lines Outlets
later Treat. Equip. Size IFee
Sinks FEES
)ental Units Fixture Fees
)rinking Fountains Main Drain Fees
:Ioor Drains Storm Drain Fees
toppers Water Sys. Fee
iond Traps Gas Piping Fee
Jrinals I Survey -
Area Drains Permit Fee .7a
Nater Leaders TOTAL FEE I L)6
frailer Space INSPECTOR'S REPORT
iwim Pool Gas Piping
ndirect Wastes Approved
)r well B
Sackflow Preventer Partial
urvey I Approved
B
Rough
TOTAL Approved
8
Finish
Approved
B