HomeMy WebLinkAbout0139353-Plumbing (interior remodel) te CITY OF OSHKOSH No 139353
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2008 OREGON ST Owner RIDGEVIEW INVESTMENTS LLC Create Date 12/29/2009
Contractor J RASMUSSEN PLUMBING INC Category 412 - Res - Interior (New /Relocated Fixtures) Plan
Bathtub Clothes Wshr 1 Classrm Sink Surgeons Sink Roof Drain Deduct Meters
Shower 1 Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs
Whirlpool 0 Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs
Lavatory 1 San Sump /Pump Flr/Wst Sink Bidet Site Drain Misc.
Toilet 1 Water Softner Hand Sink Urinal Wait. St Fixtures
.
Kit Sink Standp Rec 1 Lab Sink Beer Tap Ice Chest
Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker
Dishwasher Local Waste Sculry Sink Drink Ftn Int Grease Trap
Floor Drain Bar Sink Sery Sink Wash Ftn Ext Grease Trap
Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater
Use /Nature SFR/ Interior Remodeling " Create a 1st floor laundry and master bath. Water Calcs received 12/30/09. * *Debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1401290000
Valuation $3,000.00 Plan Approval $0.00 Permit Fees $35.00 ❑ Permit Voided
Issued By a)
Date 12/30/2009
In the performance of this work, I agree to perform all work pursuant to rules goveming 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.
12/30/2009 07:29 2336747 J RASMUSSEN PAGE 01/05
City of Oshkosh lt, cl ectiOn Servtcev OIVlsion
P 0 Box 1 130 ® .
Oshkosh, WI 54903-1130 � \�
Phone: (920) 236 -5050
Fax: (920) 236x5084 CM rH WAT
plumbing Permit Application .
t to do and install the i llowing plumbing on the premises hereinafter described, the work to conform to the
I hereby apply for S ate P 1
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes- .
• A. . lication(%) and fee(s) can be brought to City Hall, Room 205 or mailed too insp ect i 5100.00 Sorvica, PO Box
normal . O m &h WI
549034128. Commencing work without Penn K) which
1 'l' i will remit in
s
ever is greater.
OR a aJ . s h r �lre
,il LrP corea�Rcftrr �arlte� r i A . ou r ste, nt aid hauP ad otr� -�--.
if you rl�ls lbrhrou¢lt_Y_ ur ccount
** Advisory - For applicable projects, an Electrical Installation Vocation. (ETV) form, signed by the Electrical
Contractor or Homeowner (for m dO etal all to be perforated by the homeowner) nmst be snbinittrd not be
with tic permit application. Applications submitted without an ETV when snch is requhxe o will
processed for Pemait Issuance and will be returned for completion. 3 O00 • °22 Date 2 -3 D+ d
Job Address a OD 8 ork / S Value (Including labor and meterals).--__ — ._ _ _ _. 1 � S l K u t _ P , ' , ma c
Owner �r 1+ .__ _ Contractor TndnstlCial
• OSiaegie - Family ❑�Ph* OMnl6- Family
C]Rental []Commercial ❑
Number of Fixtures: floor -._ -.
_ Sump Pump Plante' Sink -r
Bathtub . __. - _ Soda Diep -- • —....
$eoikxy Sink
Shower _. San. Stm+pn'om Ces vice Sink Ceffcc Mkt
VJhiTlDaol __ ( water SoReoat Site Drain -----
_ Standpipe 9hatnp Sink t.�varory ( i Rcc - - Snrgconn Sink �- Way -�- .._
Toiler. -_ ;ruses PI) - Ice Chest _
Loa J West SterDiaer ,
K 1t Sink _— _ _ Gomm Ica Make
Bu' Sink gp7, Valve . -_--.-
1?iapmat ... -..- .—'..- lrtt Cxcavc Trap ..- -.�
Broil= Sink Bidet - M
fluor rain Urinal - --.,_ End. Cirt6e Trap
fluor Drain .„-- -_-... Claesrm Sink Wash Stn -..-
Bum Sink ties Tap —.
War Bibb Maur
F ?re* Sink _. Dipper well
Water Ticsrcr - -- Drink # nm wu S mu
l J Gas 1.1 Elect f.' pWrVnt Floor Sink WU Unite MIT
H and Sink Wash Finn ('.
Clinton W 311r .—
Catch Basin -- Mid -..-_ __
Ledr9 Tray _-. -- Lab Sink - ,--
Electric Contractor (for projects not requiting an WV Vor>su) _
Use / Nature of Work ' R ¢, tab
Sizc Material Type IS Conn. Type
Sanitary Sewer
Storm Sewer
Water Service r _— __, —. — r— - -- - -- -_ -- —.--
06/09