HomeMy WebLinkAbout0133838-Electric (traffic signal controller)CITY OF OSHKOSH No 133838
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 906 OHIO ST Owner DONALD E BASLER REV TRUST Create Date 11/05/2008
Contractor BEACON ELECTRIC LLC Category 657 - MISC: OTHER THAN BUILDINGS Plan
Service New Q Change Q Temp Q N/A ~ Type Q Ovefiead ~ Underground
Volts 120/240 Circuits Luminaires
Amps 400 Switches Receptacles
Appliances
Use/Nature of
Work
Fees: Valuation
Issued By:
Plan Approval $0.00 Permit Fee Paid $0.00
^ Permit Voided)
Date 11 /05/2008
Parcelld # 1300020000
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 starling such activity.
Signature Date
Address 4988 COUNTY ROAD JJ
AgenUOwner
GREEN BAY WI 54311 -9463
Telephone Number (920) 371-8333
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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
GN HF W/~TFR
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to (nspection Services, PO Box 1 128,
Oshkosh WI 54903-1.I28. 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 want this processed through vour account
( ~ DATE / ~~9~c>l~
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PLICABLE ~r ~ ~ ~,
USE CATEGORY
^Single Family ODuplex ~Mu1ti~Family ^Rental ^Commereial ^Industrial
SERVICE New ^Temporary TYPE ^~ verhead ^Not Applicable
DChange ^Not Applicable l~Underground
FILL YN TIDE APPROPRIATE BLAND WITXI TFIF NU_
Volts /~ / ~~ Receptacles # Circuits #~
Phase
Amps ~ Switches # Fixtures #
CHECK d AL]<, APPLICAB>t,E
^Range 017ishwasher OGarbage bisposal ^Dryer ^Watar Heater
^Fan OR Blower l7Furnace DA/C Electric Sign
OMotors ^Cras Pumps Other ~gf~/G ~iC,y~r~~
DESCRIPT]lON OF ALL'UVORI~ BEING DONE ~~~/s~qL L ~,c~,vTi~o~ G ~/L
'VALUE (including labor and all materials Including light ti~ctares) $. ~ DO_ .~ d-
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Electric Permit Work Card
Job Address 906 OHIO ST Permit Number 0 Create Date 11/5/2008
Owner DONALD E BASLER REV TRUST Contractor BEACON ELECTRIC LLC
Service New Q ChangeQ Temp Q N/A Type Q Overhead ~ Underground Q N/AJ
Volts 120/2.4_0 Circuits Luminaires
Amps 400 Switches Receptacles Value $2,800.00
Use/Nature 57 -MISC.- OTHER THAN BUILDINGS Traffic Signal Controller
of Work
Date 10!31!2008 Type Underground Inspector Adam Krause _ approved
rounding -
Date/Time requested: 10!31/2008 00:00 00 Notice Type: Ready Date/Time: 10/31!2008 12:51 PM
Access:
Requested by: _ _ Phone Number:
Q Reinspect Fee Q Fee Wavied ^ Reinspect Fee Paid
--------------------------------------- ----------------------------------------------- -------------- ------------------------------------ --
Date 11/04/2008 Type Inspector Kevin Benner CN
Deeded to locate the service to issue the permit
Date/Time requested: 11/04/2008 12:52 PM Notice Type: Ready Date/Time: 11/04/2008 12:52 PM
Access:
Requested by: BEACON ELECTRIC LLC Phone Number:
Q Reinspect Fee Q Fee Wavied ^ Reinspect Fee Paid
Electric Permit Work Card
Job Address 906 OHIO ST Permit Number 133838 Create Date 1_1/5/2008
Owner DONALD E BASLER REV TRUST Contractor BEACON ELECTRIC LLC
Service New Q Change Q Temp Q N/A ~ Type Q Overhead ~ Underground Q N/A_
Volts 120!240 Circuits Luminaires
Value $2,800.00
Amps 400 Switches Receptacles - ---
Use/Nature 57 -MISC.- OTHER THAN BUILDINGS Traffic Signal Controller
of Work
mspeciwns:
Date 10/31/2008 _ Type Underground Inspector Adam Krause _ approved
Date/Time requested: 10/31/2008 00:00 00
Access:
Requested by:
Phone Number:
Q Reinspect Fee Q Fee Wavied ^ Reinspect Fee Paid
----------------------------------------------------------------------------------------------- ----------------
Date 11/04/2008 Type Inspector Kevin Benner _ CN
eeded to locate the service to issue the permit -
Date/Time requested: 11/04/2008 12:52 PM Notice Type: _ Ready Date/Time: 11/04/2008 12:52 PM
Access:
Requested by: BEACON ELECTRIC LLC
Phone Number:
__ -_.
Q Reinspect Fee Q Fee Wavied ^ Reinspect Fee Paid
----------------------------------------------------------------------------------------------------- -- ----- --- -----------------------------------
Date 11/10/2008 Type Service Inspector Kevin Benner approved
--- _ _.._
equest line /Inspect traffic signal
axed to WPS 11/10/8
Date/Time requested: 11 /06/2008 10:06 AM Notice Type: Ready DatelTime: 11/06/2_0_08.10:06 AM
Access:
_ - __ ---
Requested by: BEACON ELECTRIC LLC -Bill Phone Number:
Q Reinspect Fee Q Fee Wavied ^ Reinspect Fee Paid
Notice Type: Ready Date/Time: 10/31/2008 12:51 PM