HomeMy WebLinkAbout0106103- Electric (Wire New house)CITY OF OSHKOSH
106103
No
OSHKOSHELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job AddressOwnerCreate Date12/08/2003
938 N LARK STHERMAN B LEITZ
ContractorHEATLEY ELECTRICCategory611 - Residential-New Single Family WiringPlan
ServiceTypeOverheadUnderground
NewChangeTemp
Volts120/240Circuits15Fixtures16
Amps100Switches20Receptacles30
Range, Gas Water Heater, Garbage Disposal, Dryer, Dishwasher, Fan or Blower, Furnace, A/C.
Appliances
Use/Nature of NSFR/ Bi-level home with an off street parking area. Wire new house.
Work
Plan Approval$0.00
Fees: Valuation$4,880.00Permit Fee Paid$114.00
Issued By:Date01/19/2004
Permit Voided
Parcel Id #1601820000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
SignatureDate
Agent/Owner
P.O. BOX 507RIPONWI549710920-748-7786
Address-Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
'Ef;)
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
011--KOJH Faxkos(920) 2360508430
ON THE WATER Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE /-147-C)41-
JOB ADDRESS c,"."(-5Y Al( L4-6;
OWNER / f /.417
CONTRACTOR (
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE 490 CHANGE TEMPORARY NOT APPLICABLE
TYPE OVERHEAD -n UNDERGROUND NOT APPLICABLE� �
NO. OF FIXTURES /W SWITCHES c2V RECEPTACLES 30 CIR ITS /J
AMPS /0 C/ VOLTS ( / u PHASE
CHECK ALLAPPLICABLE
RANGE ✓ WATER HEATER 64 S GARBAGE DISPOSAL ✓ DRYER (/
DISHWASHERL FAN OR BLOWER//-----
FURNACE �j A/C
ELECTRIC SIGN MOTORS / GAS PUMPS / OTHER
DESCRIPTION OF ALL WORK BEING DONE (AA /0. l-1f
• Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100 .00 plus the normal permit fee, which ever is
greater.
� Q
/ - � materi- 2 D
VALUE (Including abor � including light ht fixtures) $4
;AL-0!
MASTER ELECTRICIAN'�,�//�/, L (
Electric Permit Work Card
Job Address 938 N LARK ST Permit Number 106103 Create Date 12/08/2003
Owner IIERMAN B LEITZ Contractor HEATLEY ELECTRIC
Category 611 -Residential-New Single Family Wiring
Service 0 New 0 Change 0 Temp O N/A Type • Overhead 0 Underground ❑ N/A
Volts 120/240 Circuits 15 Fixtures 16
Amps 100 Switches 20 Receptacles 30
Fee $114.00 ❑ Value $4,880.00
Appliances Range,Gas Water Heater,Garbage Disposal,Dryer, Dishwasher, Fan or Blower, Furnace,NC.
Use/Nature NSFR/Bi-level home with an off street parking area. Wire new house.
of Work
Inspections:
Date 05/13/2004 Type Re Final Inspector Jon Fischer not approved
5/13/04 kitchen recp spacing,bath light fixture notinstalled correctley,secure all grounds,de-ox,gfis in
basement,water heater romex,bond hot,bond metal boxes,inuse covers,recp by a-c unit,
Date/Time requested:05/14/2004 06:34 AM Notice Type: Phone Number:
Access:
Ready Date/Time: 05/14/2004 06:34 AM Requested by:
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date 05/27/2004 Type Re Final Inspector Jon Fischer approved
COUNTER REQUEST
Date/Time requested:05/25/2004 01:14 PM Notice Type: Phone Number: JOHN 748-7786 299-0686
Access:
KEY BOX(ALL 4 CORNERS)
Ready Date/Time: 05/25/2004 01:14 PM Requested by: HEATLEY ELECTRIC
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Electric Permit Work Card
Job Address 938 N LARK ST Permit Number 106103 Create Date 12/08/2003
Owner +IERMAN B LEITZ Contractor HEATLEY ELECTRIC
Category 611 -Residential-New Single Family Wiring
Service 0 New 0 Change° Temp 0 N/A Type • Overhead 0 Underground 0 N/A
Volts 120/240 Circuits 15 Fixtures 16
Amps 100 Switches 20 Receptacles 30
Fee $114.00 ❑ Value $4,880.00
Appliances Range,Gas Water Heater,Garbage Disposal,Dryer, Dishwasher, Fan or Blower,Furnace,A/C.
Use/Nature NSFR/Bi-level home with an off street parking area. Wire new house.
of Work
Inspections:
Date 01/21/2004 Type Re Rough In Inspector Jon Fischer approved
Date/Time requested:01/20/2004 07:51 AM Notice Type: Phone Number:
Access:
Ready Date/Time: 01/20/2004 07:51 AM Requested by:
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date 05/11/2004 Type Final Inspector Jon Fischer not approved
FORWARDED FROM KEVIN
5/11/04 could not get in I called the owner and left message to get me the code to get in
Date/Time requested:05/05/2004 11:31 AM Notice Type: Phone Number: JOHN 748-7786
Access:
GARAGE IS OPEN OR KEY IS ABOVE FRONT DOOR
Ready Date/Time: 05/05/2004 11:31 AM Requested by: HEATLEY ELECTRIC
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Electric Permit Work Card
Job Address 938 N LARK ST Permit Number 106103 Create Date 12/08/2003
Owner 'MERMAN B LEITZ Contractor HEATLEY ELECTRIC
Category 611 -Residential-New Single Family Wiring
Service O New O Change 0 Temp 0 N/A Type • Overhead O Underground 0 N/A
Volts 120/240 Circuits 15 Fixtures 16
Amps 100 '` Switches 20 Receptacles 30
Fee $114.00 ❑ Value $4,880.00
Appliances Range,Gas Water Heater,Garbage Disposal,Dryer,Dishwasher,Fan or Blower, Furnace,NC.
Use/Nature NSFR/Bi-level home with an off street parking area. Wire new house.
of Work
Inspections:
Date 01/19/2004 Type Rough In Inspector Jon Fischer not approved
REQUEST DROPPED OFF
1/19/04 secure romex every 4.5ft.secure grounds.wire insulation must be in box at least 1/4 in.
Date/Time requested:01/19/2004 11:56 AM Notice Type: Phone Number: 920-748-7786
Access:
Ready Date/Time: 01/20/2004 08:30 AM Requested by: HEATLEY ELECTRIC
O Reinspect Fee O Fee Wavied ❑ Reinspect Fee Paid
Date 01/19/2004 Type Service Inspector Jon Fischer approved
REQUEST DROPPED OFF
1/19/04 called in
1/26/04 mailed in
Re-Faxed to WPS 2/20/04
Date/Time requested:01/19/2004 11:59 AM Notice Type: Phone Number: 920-748-7786
Access:
Ready Date/Time: 01/20/2004 08:30 AM Requested by: HEATLEY ELECTRIC
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid