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Home My WebLink About0140621-Plumbing (interior) a ) CITY OF OSHKOSH No 140621 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 404 -412 S KOELLER ST Owner RIVER VALLEY ONE LLC Create Date 04/22/2010 Contractor WATTERS PLUMBING Category 442 - Commercial- Interior (New /Relocated Fixti Plan F9- 383 - 0310 -P Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters Shower Lndry Tray Exam Sink Sterilizer Soda Disp 1 Wtr Sewer Mtrs Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs Lavatory San Sump /Pump FIr/Wst Sink 2 Bidet Site Drain Misc. Toilet Water Softner Hand Sink 1 Urinal Wait. St. Fixtures Kit Sink Standp Rec Lab Sink Beer Tap Ice Chest Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker 1 Dishwasher Local Waste Sculry Sink 1 Drink Ftn Int Grease Trap 1 Floor Drain 4 Bar Sink Sery Sink 1 Wash Ftn Ext Grease Trap Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn Water Heater 1 Use /Nature Interior plumbing for "Jimmy Johns" per approved plan at space 404. of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 0611630100 Valuation $7,500.00 Plan Approval $0.00 Permit Fees $91.00 ❑ Permit Voided Issued By fr. Date 04/22/2010 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 PO BOX 118 MENASHA WI 54952 - 0118 Telephone Number 920 - 733 -8125 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. /21/2010 WED 9:16 FAX 920 733 2713 WATTERS PLUMBING -• -- • OSHKOSH PLB INSPECTION 001/001 City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 Fax: (920) 236 -5084 ! p d ,j i OJHKOIH ON THE WATF.R Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. • Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903 -1128. 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 vau are a contractor part /cipatlne in the Permit Fee Account System and have adequate funds, check here if you want this processed through your account ( // 7 77 .,' ** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. Job Address VA ..r f Jib l ( f v h Value Including lab an d mater•als) / / f °O Date j '� /0 Owner C.; 14 Contractor -_� f / t� f N [Single Family ['Duplex ❑Multi - Family ['Rental Ii6commerci al [Industrial Number of Fixtures: fq , 3d' 3 - Q 3 /0- P Bathtub Sump Pump Plaster Sink Roof Drain Shower San. Sump/Pump Scullery Sink Soda Disp 4 Whirlpool P Water Softener Service Sink J____ Coffee Mkr Lavatory Standpipe Re° Shamp Sink Site Drain Toilet Garage FD Surgeons Sink Wait!" Stn /j .4.e•p•p Kit Sink _L— Local Waste Sterilizer Ioe Chest 1 Disposal Bar Sink RPZ Valve Ice Maker Dishwasher Breskim Sink Bidet Int Grease Trap / Floor Drain 4/ Classrm Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Bear Tap Eye Wash Stn Water Beater / F Prep Sink Dipper Well Deduct Meter LI Gas VElect U PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr Clothes Wshr Hand Sink -- l L— Wash Fntn Wtr Usage Mtr Lndry Y rn y Lab Sink Catch Basin Mise Fixtures Electric Contractor (for projects not requiring an EIV Form) Use / Nature of Work ,1,,, 4 ,,(0y Ix am 7,74, f Size Material Type k Conn. Type Sanitary Sewer Storm Sewer Water Service 06/09 Received Time Apr. 21. 2010 9:07AM No. 0660