94968 8060 Park Villa Circle
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS /PIPING PERMIT
Date--------------Ia—If..._.......------ 19.7/-. Permit No..........7 7 7�O
The undersigned hereby makes Vplicafion to the Plumbing Inspector of the City of San Jose
for a permit to install plunibing�Mfures?and%Br-Pi pes liited dnlfhe reverse side.
�
Exemption from r �¢mtitafo 4e661iforeia or360'mt ector's License is hereby claimed
by undersigned: as owner ❑ stafemont filed El / �G
Undersigned attests that his State of California Contractor's License #
is in full force and effect and properly authorizes fh0applic�att-ion.
San Jose City Business License # �� � ,1�a' /�,(�./�
I cerfify that in the performance of the work for which this permit is issued Tissued l shall not employ
any person in an _ an nor so as to violate the workmen's compensation laws of California.
OWNER
ADDRESS -d,& Lot No.3�
USE OF BUILDING Q/
JOE AMARAL PLUMBING, INC.
280-3,�] Sigt ed...----------...._-------`-._---------------'-------.....
Antin Park Villa Circle Amaral Plumbina
FIXTURES FIXTURES MAIN DRAIN
Water Heaters Floor Drains Size -�� Materials
Wafer Closets Hoppers To To Sep 'c Tank
Bath Tubs Sand Traps RAIN WATER DRAINAGE
Showers Urinals Size Material
Lavatories Area Drains To Curb I To Main Sewer
Kitchen Sinks Water Leaders WATER SYSTEM
Dish Washers Trailer Space Size Materia
Waste Disposals i✓, Swim Pool FEES 61
Wash Trays Indirect Wastes Fixture Fee pQ
Washing Machines Drywell Main Drain Fee Q(J
Water Treat. Equip. Backflow Preventer Storm Drain Fee
Sinks Survey Water Sys. Fee
Dental Units Gas Piping Fee / SZ
Drinking Fountains Survey
Permit Fee
TOTAL TOTAL FEE
INSPECTOR'S REPORT HOUSE GAS PIPING
'artial _ '/- '// No. Lines / Outlets Size/"
tough -b 2- Tested andAp roved _ate. j L
°finish 7 L L-ep lly FI7ZTO