HomeMy WebLinkAbout0130125-Plumbing (water heater)CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1137 W SOUTH PARK AVE
No 130125
Create Date 05/23/2008
Contractor J RASMUSSEN PLUMBING INC Category 411 -Residential-Water Heaters Plan
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FIrIWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
_ Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
1 Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Date 05/23/2008
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 1914 GREENBRIAR TRL OSHKOSH
WI 54904 - 8887 Telephone Number 920-231-1289
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.
Owner PHILLIP R RUEDINGER
$500.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
05/23/2008 06:16 2336747
lnapectyon Scrvicc.4 Division
P O Rox 1130
Oshkosh, Wl ,54903_1130
Phone:(920)236-5050
Pa'x: (920) z36-50tt4
J RASMUSSEN
PAGE 01/02
Plumbing Permit Application ~'" r~'F W^ Fly -~-
1 hereby apply for a permit to do and instx0 the frllowing plt,tnbing o» the premises hcreittaRer described, the work to conform to the
Vl'isoonsin State Phlmbing Code, in the r-erformatice of which all parties hereto ogree pu and are bound by said slstutes,
• Almlicatiott(s) rutd feC(s) can be brought bo City Hall, Room 205 or mailed to Inspectiop Sorviets, PO (3ox 1128, O.rhkoth WC
549Q3-1128" Commcncins work withotri permit(s) will result in fc~ being doubled or 8100.00 plus the normA( permit fee, which
ever is grextcr.
OR ~
-•~~=•~•~_~.+~,rn Inc /'Rrlni/ F e Accnif,l~,ilam and hcrvc add yalc
1 ~oL ti•QnJ Ihir nrncesred !hroregl~our.nec~aunJ --- -.-~ ~_r~,~dc. cherk,•i'rere
-- f
~'~' Advisory -Fox app)icabic In'oJ~s, att Flectricrsi Insrallarion VextScation
Contractor or homeowner (far ynstallatia»s silawed to be ~~ ' ~~ ~ the Electrical
witlu the permit >YCation. l1erformed by the homEOwnez) mast be sabrmitted
a1'.P Applications submitted w,itFto>At an E)lV when such is repaired, wili not be .
processed Por Permit Isslusnce and wt`u be aretnrxted .for compieteon.
.Tub Addr, ess ~ / 3,~7_~ 1,~. S P ~~ k ~•-6 ,~ 6~.
VRlue (InCludm~ lahnr and mptcrials) J Date ~ ~ ~ ~ ' ° p
UWner ~id.{~'• Contractor ~^~
~Cingle Famfl ~`^ M SS ~~ `~ ~ ~ .~i~+C. ,
Y ^Daple:t ~Mnki-p'amily ^Reretal •
^Cnell>tmcrcial industrial
Narnber oti Fixtares:
Bathrub ..-._ Uiapn~l
whirl I -• ••-- think Tm
lx~ -~- Oixhwashcr - •- Catch 9ssin
Lavatory - •-- Wa~c St• -._ Wash Fns • ~.-
-..- Sump Pomp Icc Chcst ^-
Teilec _-•-- laoctnr/Grind - Urins!
Rc~. Rink -,.- exam Sink ciar chain -
- ,_ WatCr 5oilnbr
Bar Sink - _._•. SarlrySink 5[xlxT)i, -^`
Wster Hc,~r -•- Hs„cl Sink _ Coffee Msker _~_-•
- L ClAthcs whhr F Pttp Sink
I.I (+a~iccr I..I PwrVnt -•--' Coirnn. loc Mnker --
Shnwer liidet .__, ~~ ~_ ._
_ _ Serv Sink Site Drain
Flux thnin - Eiccr 7'ap -_... Irn G+~.tar Trap -
C.Ia,4Fmt$ink -• Rnnf~rAin
Lmlry T'my _ _ -- .. Fy:t Grcn„c Trap 9tandp RkK' -- .
lab Sink Sur~cnn4S'rrik _ R,P.Z, Vnlvc ~ -"'~
• Li~ekrm Sink -••_ F,.ye W~ygh Stn
Plaster Sink -... _- _ •- Shemp Cink Wtr Sc:Wror M!n •
- Dip Wcll Flr/Wyt Sink --
Slerilizr;r ~. r.)edgcc MelCta
'- HnscAilrg - ••
Wit Ueap.,c Mfrs
FlXturec _ -.~..-
Electric Contractor (for projects sot requiring an FIV Forlrit)
LJse / Natsre of Work ~~ (tJQt„f,~ ~}~~
Size Material ~ T~ ~
Conn. 7~pc
Sattitary ~,~
Stem! Sewcr
Water Ccrvice
0~/4~
05/23/2008 06:16
~~.
1H
2336747
f:i1V of Oshkosh
4iwM711 of 14q~:Unn Servirrz
1 S Chlneh /~~„~
PO Boll t );lo
Oshkosh w1 se9pz-1 un
Olr+.a; 92a23~.sllsn
t:~x Qzo..zau-snw~
J RASMUSSEN
Electric Znstallatxor~ Verifcataon
(~We)
(Electrical Cr-ntractor Name)
PAGE 02/02
(.Ad~~) ~ ~~ ~--- ~~ - -,.-.hoc.---• S Y9~
(Cit ~-•
Y) (State) ('Lip Cede)
have been contracted to perform electric installation. work for
.. ..~
(Name of patty corttrac ed to) ---...._.
at the following address: -~L3~^~.
-~~..-.~.,~t,~-.-.
(.Address wlxere work will be penf rr~no~' cd~ -•` ~---- --~~_
The ztature of. the work cora~istti~ of : (C'.heck One or Describe the Natuxc of Wc-rk)
_ Reconnectioza or new circuit for replacement. ~ieating Plant and/or A,/C C~oncicnser.
...~ Reconnection ar new ci.rcuat far replacement Electric Water Heater.
Reconnection of the Senricc Entrance Cable, Meter Box, alterations to receptacles and
ltghting fixtures due to siding / sofflr, installation. Note: New Service E)~trancc
C:abies will require a separate pecmjt.
_, = Reconnection or new circuit for other pezrnanently aired appliances / fixrures.
Other
'i'bc value of this work is $~~ p_~ ... _--
.l hereby verify this work will be performed by an employee of this company and fi~rthcr verif the
reconneetioz~ /installation will be done in c:ornpliance with mattufaeturer and Clec#ric code Y
requirements.
~~~~ __ j~
(Signature o Cornpan Of~c - --"`"~~r S~(N.:fr~ -_..---.-.
Y er) (Pant Name afOfficerl ~..-f~,•30.-. OY„ , ..
1(7atel