HomeMy WebLinkAbout0124699-Plumbing (interior)
No 124699
CITY OF OSHKOSH
G
OSHKOSH
ON THE WATER
Job Acldress 500-550 S KOELLER ST
Contractor JIM'S PLUMBING & HEATING INC
PLUMBING PERMIT - APPLICATION AND RECORD
Create Date 05/08/2007
Owner RIVER VALLEY ONE LLC
Plan Y1-244-0407-P
Category 440 - Industrial-Interior
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Bathtub Shower Water Softner
Whirlpool Floor Drain 3 Local Waste
Lavatory 2 Lndry Tray Clothes Wshr
Toilet 2 Disposal Bidet
Res. Sink Dishwasher Beer Tap
Bar Sink Sump Pump Lab Sink
Water Heater Classrm Sink Sterilizer
Site Drain Breakrm Sink Dip Well
Roof Drain Ejector/Grind Drink Ftn
Misc.
Fixtures
\
\
Use/Nature 'COMM (530 S KOELLER ST _ FedEx Kinko's) /INTERIOR PLUMBING FOR TENANT SPACE with an electric water heater "debt acct
of Work
Conn. Type
#
Type
Material
Size
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0611620000
$70.00 0 Permit Voided 1
$0.00 Permit Fees
Valuation $8,000.00 Plan Approval
Issued By ~ U-J
Date 05/09/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Date
Signature
Agent/Owner
GREENVILLE
WI 54942 - 0000 Telephone Number 920-757-5258
Address W6166 GREENVILLE DR
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~05/09/2007 08,28 FAX 920 757 6482
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236.5050
Fax: (920) 236-5084
JIM'S PLUMBING
141 001/001
~.
OJRkOfH
ON THE WATER
Plumbing 'Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the'work to conform to the
Wisconsin State Plumbing .Code,in the performance of which all 'parties hereto agree te and are bouIid by said statutes.
JobAdd~ess'5J 0 s: kd~
Owner ~J t$y:;/ k, ~kG.I
DSingle Family" . D:ou.plex.
. 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
au :are'a contractor artici atin in the Permit F..e Account S stem and:have:.ade
au want t is rocessed throu h our account
f/v alue (InCllJdi~g lab~r and materials) 1/80 (} 0. " :' ..... ..,:, Date ~ /7/0 7
. Contractor $,....'5 P/bi l>' ,....
DMulti~Family URental ~comm~i.tbil:, 'QIntJustriM>',.:::"
Number of FixtUres:
>~ ~:i ;.;:.1. ,..:' ;)[ F~.~ :'"i.: \' ~.:~;:
Bathtub
Whir!pOOl
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater --L-
o Gas 01 Elect 0 PwrVnt
~
...k-
Disposal DrinkFtn
Dishwasher - Wait. St
Sump l'utnp lee Chest
Ejector/Grind Exam Sink
Water Soflner Sculry Sink
Local Waste Hand Sink
Clothes Wshr F Prep Sink
Bidet Serv Sink
Beer Tap Int Grease Trap
Classnn Sink Ext Grease Trap
Surgeons Sink R.P.Z. Valve
Breakrm Sink Shamp Sink
Dip Well Flr/Wst Sink
Hose Bibs
-L
-L-
'. Catch B.asir)
.Wash Fin
lJrinal
Gar Drain
,Soda Disp
Coffee Maker
Corom. Ice Maker
Site Drain
Roof Drain
Standp Rec
.Eye Wash Sin
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Shower
Floor Omin -3-
lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc,
Fixtures
Electric Contractor
OR
DElectric Installation Verification' form attached,
(If Replacement)
Use / Nature of Work
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
n/05