HomeMy WebLinkAbout2008-Plumbing (water heater)CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1131 1133 W SOUTH PARK AVE Owner PHILLIP R RUEDINGER
Contractor J RASMUSSEN PLUMBING INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UselNature
of Work
Valuation
Issued By
Category 411 -Residential-Water Heaters
Shower Water Softner Wait. St. Shamp Sink
_
Floor Drain Local Waste Ice Chest FIrIVNst 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
No 132747
Create Date 09/09/2008
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Date 09/09/2008
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 pertormed within two business days from the time the project is ready.
$400.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
09/09/2008 06:15 2336747 J RASMUSSEN PAGE 01/02
City of Ostak:osh
lnspeCtion Servicu~ nivision
1' O Bvx 1130
Oshkosh, WI 64903-I I;iO
Phone: (920) 23(i-6050 ~~
r'ux: (~zo) z36-sosa ~~N -Hr' wAr~s
Plu ~bin~ Rermrt App{~c ation
l hr;refty apply for rx permit co du told install tl : {allowing plutnbin~ on the premise; hereinaifier described, the work to conform to the
Wisc:onsi.n State Plumbing C'ocie, in th performance of which all parties her to agree to and ate bound by said ~tatutcs.
w Application(sl and feels) t:an be brought t ~ City Flall, ~oom'?.US Ur mailed to Ir IptGti.on $erviccs. PU l3ox I ].ZR, O.hkosh WI
54903-'1128. Commencing work withuul rerrr~it(s) will result iif fens being dau pled or $t 0U.00 plus the normal permit t'ee, which
ever is greater,
OR
l1,you ore n CUnlrcrclur OurliC,i~7gliJ~r n /he .J'~rrnit F• e .4.cc,r~zrrrt S ~ e m.•rnd lrcn~e talc ite7J(: :,ntls. check here
if• ti'ou tvl)nf -hi.r ~-u<~e,~•~rd lhrou~~h y;-r~ rr ae•cvreni
*'~' .Advi.~ory -Fox applicable p*oject~s, ~ a Eyectrical Inst.allatioJn Ver~c ~tiosa (IEIV) forma, si~raed by the Electrical
Contxactox or Homegwner (for iststalla dons allowed to be perfcrrznled ~ y the tamnetuwner.) vtnst be submitted
vt~ttb. the perraitt application. ADplicati~ ~ sabmitted witktotat an ]EIV • +hen such is xegtii7red, will not be
processed fur Pertaai.t TQa~tance and will ~e returJaed fur cotn}aletion.
.iOb A(ldr~ws_ ! J ~ `' " , ~~ u ~ P ~ ~'d~11e (lnciu:iing htiwr o~,J ~,xtt~r .I~}. / ~b ~ ~ilt~ .
,.~_.__
Owner _ _~ .-~-, ~ ~ '~_,~ ~ ~~' c:, ,
R ~~A-r CotatraCtOr Pr.S ~ S.S L. - -
^Singk Family „~ ~'~IDwplex ~(11+lulti-I«umily [(J2enltal ~Cntttuacrciul lndu•atrastl
Nunoiber of Fixtures:
kathtub bispvatd I7rieA Ptn _ .. C:atCh liaain -• • • --
_„__
Whirtpvol _, .__ _
f)ishwutihnr _ __
Wttit. SL _ .. _,. w~b~ - --
Lavntorv --- .Stan~;i comp _ , --,-, Ice; f~licst _• _ l:rin~l . _.-_
F;utvr/C;ritxl ti~~~„ Sink Ci;>i Drain ._.._ ...
Res. Sink _ _ water SoRnor - _ Scul~y Sink _. ~ Snda lisp -._ .
Flur Sink •- __-• Loud W8x(C . _..- 1•lund Sink __ -• -• CulYce M~kcr _--..
tNal~r I-lgntyr
- ~... - Clnthcs Wsh~ -._ _ _, F' I~n:p Sink (:t,mm. lc~ Maker -.., -
LI Uas l~l~:, I I l'uTVnt (iidct Scrv Sink _ __ „ Site Drum
Shower --._...--... 33c~er'rap _., __ .. IhtCJrla~SCTrai, _, Rat~fJh¢in ...._. _
Flnor Train .........._ l.'lussrm Sink _ ({xt Cirt;usc'fn,p SWndP k~% ,_-.,---
(.n,hy Tiny ... . _ $urlSea,a SinA _ _ . _... R..N.Z. Valve •;ye tVrtsh Srn ..--
l.ab SIf7k __-.. -.. Litrakrtn 6irk. _ Shen,p tiink _ ._ , _ Wlr $rw.•4r ~Atrg ...., _....
Pluslt;r5ink .., ......- Dip bVell , , 1'IdN'sl Sink ,,, „- .,, Jxduct lvlutnr:
Starili~r _, ,,, I•loec Rihv
- -
-•-- Vl'tr tJgage MUs
Misc.
I'irtures .._. .
1G+ lectric Contractor (fur projects atoi requi 'i>o~ as F~v Forntt) ~,_ ,.,_ ~~ „ „- ,- _,,. _.
~~
-••_ ~ •Size Matcril I 'fypC # ~
Conn.'Type
Sanitary Sewer
Stone Sower
Water Sc.rvicu
4710?
09/09/2008 06:15 2336747 J RASMUSSEN
Sep 05 08 05:39p Joe Hlcks 920 779 ~`~9
cn~ oco~,~n„~
Divlelan eflnepeotian Sdroioes
215 Chwr4 Avcpue
DO Box 1170
Oahkoyh WI 54903.1110
OR~a 920-~-SQSa
,,,,,~y„ Pmc ye0-T36~SQ84
Electric Insta.ltatiion V~rificat ion.
PAGE 02/02
p.1
X (vlle) ~ ~ ~ ,
(Electrical Contzactor Name or HQm~own is I~Tanl.e)
(Address) (City) (State) tZip Code)
accept the responsibility to perform the electric work as grated belt w,)at the following address:
(Address where w wi be perfori red)
The x>uature of the work consists of: (Check.One ox Describe the N tiara of VTork)
~~ ~eConnection os new circuit for replacement Heating Plant andfor A/C Con~denser_
G Reconnection or new circuit fir replacement Electric Grater Seater or power ver~t~d
~+rater heater.
Reconnection of the Service Exttrance Gable, Meter f ox, alte=rations to r>rccptacles
and lighting fxtwres due to siding / soffit irlstallai .on.. Note: New Service
Entrance Cables will zoquirc a separate permit.
Recoalaection or new circuit for the lreplacement of o faer permaztesrtly 'wired
appliances ! fi~ctlaes.
New circuit for the addition of A!G to an i~dividucrl c welling urrir, including
required service electrical outlets. Nate: Homeo vners can only do them own
electric an a single family owner vecupied home. ~Yark on a eo~dominiunl,
duplex, re~lta~ or rrtuln~z~se baildrng would requi ~ a licensed Electrical
Contractor_
Ogler
TFae value of this work is $ ~ ~`~~ ~~
X hereby verify this work will be performed in complisace with tl` ~ License requirements of
5ectiam 11-22 of the Oshkosh Municipal cads end further verify t r<e reco~tectioD /installation
wiJ.l be done incompliance with manlzfaeturer and Electric ceder :quire>saents.
r •~
r~ `~
(Si~latet of ColApany Officer or Homoowncr~ (Friar ~'~°d'°~ { ~~
c~ta2.~~~Q`~ ~ao ~n9-~-~~9