HomeMy WebLinkAbout0130772-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 522 CENTRAL ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner JACK Y CHANG/KHOU XIONG
No 130772
Create Date 06/20/2008
Category 411 -Residential-Water Heaters Plan
Contractor J RASMUSSEN PLUMBING INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued
_ Shower Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste Ice Chest FlrlVllst 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 06/20/2008
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
~ v scneauie inspections please call the Inspection Request lime at 238-5128 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.
'___$6~ 0 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
06/18/2008 19:22 2336747 J RASMUSSEN
City o:f Oshkosh
Inspection Services Divicipn
P O 13~ox 1130
Oshkosh, W7 54003-1130
Phone: (920) 236-5050
Fit:{920)2.3-so~4 JUN 19 2008
PAGE 01/01
Plumbing Pernnit ACQM~~II~~~NT 01=
VELOPMENTTn~
1 herehy apply for a permit to do and install the following plumbing oo th~~ls~.~~~rd~i~~c~tPfe work to conform to the
Wisconsin State Plumbing Code, in the perforRiance of which all parties hereto agree to and are bound by Said sttmltes.
** ,Fl~dviisory - For applicable pmjecca, an Electrical Tnst$ll,atiionVarification (EIV) fermi,, xigrred by tixe Electrical
Contractor or Homeowner (for i>sstallati4ns allowed to be performed Iry the homeowner) mast be aubnliRted
with the permit application. Applications trnb~nllitted without an EiIV when such is ~goitred, Will. not be
processed fofi Petnal~t Jss/n~an~lcea~nd, WDial be retwtted for compl~tionl.
dolt .A,(l(lre3S ~ ~~ ~-'`~v`rl ""~ Va~uC (Including labortnd maturials) ~ ~ ~ r~ DatE ~..•~,~ •~~
Owner C ~'~-~'"'$ Contractor 5~ _ R,~°t5 M k S S ~ N ~ 1 q , ~r L ,
~Sin~le Family ^Duplex []Maki-Family ^Rental ~Comnucrcisl ir-tl`astlFial
Namber of Fixtures:
9Athtub •-- Disposal _... think Fm t;atch Basin
~~_.
whirlpool .~,_ ni.haashcr wait St Wes, ~
I.avatnry Ramp T'rrmF ........_ Icc C'hcsr. ~_ M..~ Urinal
Tnilot Ejaetor/Grind L'xum Sink tzar f)rejn
Rora. Slnk Warex $aflner _.. _. Sculry Cink ,,,....r.. Soda 1)i~
Bar Sink l:t~l Waste ,,,~, _ li,~nd Cink Coffee MskKr
Water Hearee ~ Clothes Wshr r• Prep Sink Comm
Tee Makcr
~a L' Elecl ~~ FwrVpt
8i4ct
S .
_
Shower ay Sink g
me Drain
--
Floor Drain Bccr Ta
P _. Int Grcaae Trsp _
~ ' R~nf Drain
--•
- Cla9srm Sink ....-...-...., Fytt Greoe Trap 5ritndp Re.:
I.nclry Trsy
,
4ab Sinlc
S~~om' Sink
R.P.7,. Valve _._ •,• •
Eyc Wrtah Ctn
-- Dnakrm Cipk ~,,,_._ Sharttp Cink Wt Sowcr Mfrs
Planter Sink _. Ui Well
P _
Flr/W!rt Sink
Deduct Meters
SteriH7.cr ...---• -.....
,.. F7oscliilxa
-"_~ Wtr Usago Mtn
Misc.
Fixtures
Electric Contractor (for proje~ctsn
ot
r
e
q
uiri~ag an EIY Form)
Use /Nature of Work ~
Q
~
~
~
~~'"l"~'"`-c ~~.
Size Material Type # Conn. Type
Sanitary Sewer
Storrs. Sewer
Waller Service
n~/~~
• ApplicAxicm(s) and fec(s) can be brought to City Fiall, Room 205 or mailed to Inspection Services, p(? I3~x l 12R, Oshkosh Wf
54903- 112A. Commencing work without pexmit{s) will rtrsult in fees being doubled or 5100.00 plus the normal permit feo, which
ever is grcatcr.