HomeMy WebLinkAbout0103767-PlumbingOSHKOSH
ON THE WATER
,Job Address 600 N WESTHAVEN DR
Contractor JT SCHMIDT PLUMBING INC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner WESTHAVEN OFFICES LLC
Category 440- Industrial-Interior
Bathtub 0 Shower 2 Ejector/Grind 0 DipWell 0 F Prep Sink
Whirlpool 0 Floor Drain 8 Water Softner 0 Drink Ftn 1 Serv Sink
Lavatory 8 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink
Toilet 6 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink
Res. Sink 1 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 15 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 103767
Create Date 07/31/2003
Plan
0 Gar Drain
0 Soda Disp
0 Coffee Maker
0 Int Grease Trap
0 Ext Grease Trap
0 RPZ Valve
0 EyeWash Statn
0
1
0
0
0
0
0
0
0
Use/Nature OFFICE / Tenant space build out for 12492 sq ft 2nd floor office.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $40,000.00 Plan Approval $0.00 Permit Fees $240.00 ~ Permit Voided
Issued By
Date
08/27/2003
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.
Signature Date
Agent/Owner
Address 419 S WASHINGTON ST COMBINED LOC WI 54113 - 0000 Telephone Number 788-7314
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.
City of Oshkosh
Inspection Services Division
P O Box t 130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participatin~ in the Permit Fee Account System and have adequate funds~ check here
if you want this processed through your account
Job Address/~,t~.~ /C/'
Value ([ncludthglabor and materials) ~,! $~'~- Date
,r~//(. % (~ [.'n ,'e__- Contractor
Owner
l--]Single Family ]-~Daplex [--]Multi-Family [~Rental ~L~mmercial [~Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper.
Whirlpool Disposal Dip Well
/~ Dishwasher Drink Fm
Lavatory
Toilet ~t~ Sump Pump Wait. St.
Res. Sink / Ejector/Grind Ice Chest
Bar Sink Water Softner Exam Sink
Water Heater Local Wast~ Sculry Sink
[3 Gas 13 Elect [3 PwrVnt Clothes Wshr Hand Sink
Shower ~'~ Bidet F Prep Sink
Floor Drain J~Y Beer Tap Serv Sink
Lndry Tray Classrm Sink Int Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink ILP.Z. Valve
Sterilizer
Electric Contractor
Use / Nature of Work
OR
Sanitary Sewer
Storm Sewer
Water Service
Shamp Sink
FlrAVst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash Stn
[-']Electric Installation Verification form attached
(If Replacement)
Size Material Type if
Con .Typ* qo-V '
7/03