HomeMy WebLinkAbout0125517-Electric (Urology Procedure Room)
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OSHKOSH
ON THE WATER
Job Address 600 N WESTHAVEN DR
CITY OF OSHKOSH
No
125517
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner WESTHAVEN OFFICES LLC
Create Date 06/18/2007
Contractor EXCELLENCE ELECTRIC
Category 643 - Commercial-Addition/Remodels
Plan
Service
b New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of ~OMM (Theda Care) / Furnish and istall1 exhaust fan and all requisite duct to serve the Urology Procedure Room. Job #8828-J13
Work
$855.00
Plan Approval
$0.00
Permit Fee Paid
$53.00
Fees: Valuation
Issued By:
Date 06/26/2007
o Permit Voided I
Parcelld # 1621650100
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
PO BOX 78
LITTLE CHUTE WI 54140 - 78
Telephone Number (920) 687-2442
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.
City of Oshkosh
Division of Inspection Services
/-J? .0. Box 1130
I )shkosh, WI 54903-1130
.'hone (920) 236-5050
Fax (920) 236-5084
~
OfHKOjH
ON THE WATER
ELEOTRICAL PERMIT APPLICATION
All infonnation after bold categories must be provided.
Incomplete applications will not be processed.
. 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 participatinfin the Permit Fee Account System and have adeQuate funds. check here
if YOU want this processed through YQur account 0 .
DATE
tb/CJo!de:}(!)y
.
JOB ADDRESS c:,OCJ ,A)' aJCSTlI/1t/M DelVE:.
OWNER (???) 7E-Wfid I-S' ti~cta~.
CONTRACTOR ex~ ElJ::::.:G772-I e
CHECK ltI ALL APPLICABLE
r-',
(~ ,"JSECATEGORY
, "/..JSingle Family o Duplex DMulti-Family
DRental
l8ICommercial
OIndustrial
SERVICE DNew
DChange
DTemporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH TIlE NUMBER
I
Receptacles #
Circuits # /
Volts .
Phase
Amps
~witc.hes #
Fixtures #
CHECK ltI ALL APPLICABLE
ORange
DFan OR Blower
.$1otors
DDishwasher
DFurnace
DGas Pumps
DGarbage Disposal
DNC
. DOther
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORKBEIl'NGDONE /)./.5771~ (i) N'cV du/lrn/J {!?T
~ EX IbJu.sr 7i1 r/
r
TALUE (Including labor and all
. ~ r-r~e::J .
rials including light fixtures) $ ~-
. I~
0(1
;;0
\
MASTER ELECTRICIAN.
~06 4f C8:J6-...:J/3
~m(t FeE - 4i..~.~
3/02
Electric Permit Work Card
Job Address 600 N WESTHAVEN DR Permit Number 125517
Create Date 6/18/2007
Owner WESTHAVEN OFFICES LLC
Service b New 0 ChangeO Temp . N/A
Volts Circuits 1
Contractor EXCELLENCE ELECTRIC
I Type 0 Overhead 0 Underground . N/A
Luminaires
Amps
UselNature
of Work
Switches Receptacles
643 - Commercial-Addition/Remodels COMM (Theda Care) / Furnish and istall1 exhaust fan and all requisite duct to
serve the Urology Procedure Room. Job #8828-J13
$855.00
Value
Inspections:
Date 11/26/2007
Type Final
Inspector Kevin Benner
approved
DatelTime requested: 11/20/2007 12:15 PM
Access:
Requested by: EXCELLENCE ELECTRIC
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
Notice Type:
Ready DatelTime: 11/26/200700:00 AM
Phone Number: 450-6811 Jason