HomeMy WebLinkAbout2010-Plumbing (water heater) g CITY OF OSHKOSH No 144481
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1400 -1414 W 2ND AVE Owner LJ2BROS LLC Create Date 12/28/2010
Contractor J RASMUSSEN PLUMBING INC Category 446 - Commercial -Water Heaters Plan
Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters
Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs
Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs
Lavatory San Sump /Pump Flr/Wst Sink Bidet Site Drain Misc.
Toilet Water Softner Hand Sink Urinal Wait. St. Fixtures
Kit Sink Standp Rec 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 1
Use /Nature MULTI - FAMILY (131 LARK ST) / REPLACE GAS WATER HEATER * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0610582500
Valuation $650.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By 4 Date 12/28/2010
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number 920 - 231 -1289
To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
12/22/2010 18:27 9202311289 J RASMUSSEN PAGE 01/01
... ..A ,....lR.hul
Inepectinn Nervices Division
P fl l Box 1130
Oshkosh, Wi 54903 -1130
Phote: (920) 236-5050
4)
Pax:: (920) 236-5084
Plumbing Permit Application
wA —(
1 hec'eby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to confnrm to the
Wisconsin State Plumbing Code, in the performance of which ail parties hereto agree to and are bound by said statutes.
* iApplication(s) and fog's) can be brought to City Hall, Room 205 or mailed to .inspection Services, PO Box 1128, Oshkosh W1
.54903- 112$. Commencing work without permits) will result in few being doubled or $100.00 plus the normal permit fee, which
; ever is greater.
OR
it vbv._are a confrac /or narlkC1, ►i7f2 Err th e • e I • c Ni mail and have de rratg
of v au want this protested Throy$h v Ur acCgr(rxl 9 _. n4'f, check re
** .Advisory • For applicable . pro*ects s an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitited
with the permit application. Applictitiotis submitted without an EIV when such is required., will !tot be
processed for Pei mit / ice and will be for conviction.
Job Address J3 / Lr y Value (inCJtrdin / S� t:
g Mho, and materials) 6 .- »ate A--/ y- (J
Owner Z.-'i q p/N1> 0 � t 0.S h.t � S t av
P 1 � .� Contractor �'� R , P i 1 # 1 C ,
DSinglcFamily ❑l)huplei 121Moit..Famlily DRental
dCntttlnet-cltal ❑Industrial
Number of Mtn yes:
rloeharh - - - -- Sump
RoorDrain
Plaster Sink
Shower r Can 8mup/Pump �. ��
-- - — Sanitary Sink Soda i.)isp
W hi r lpool _- . -...,. WM Softener —._ - —
Service Sick Co!#oe Mr
Lavatory . , . ` CrFndpjpe lieu
Toilet .., Slump Sink Site Dram
(image ED .�.�
Kir Sink 3uRgcon +Sink _y_, Waitrs Sin
—._ Local Wane 5tcrlliarr -
f �9pron1 _, . Bar Sink
RPZ Valve Comm
- -- - _ ice Cheer
Toe Maim
I.>inhwraher Areakrtn Sink _ 13ickt
Floor Drain _ Cln4 r Sink ___ t rril 1 Grew Trap r - -- -
- ru —
Mow Rihh Exam Sink _ M _ ►3ctr Tap EVc Wash Su _
T
Water Hever ( .. F Prep Sink Dipper Weil
F Kilos r:l Elect PwrVnr Floor Sink — _ Deduct Meter _ —�
Clothes Wu* _ ._.
Drink �nr"
WIT Sewer Mrr
•• Hand Sink Wash Finn - - -.
Lucky Tr — "'
"�' Leh Oink __ . _ Earth Basin Milli: tJaa Mir - -�
-- T.tier pixntnev
Electric Contractor (for projects not requiring an EIV Form)
Use / Nature of Work Lei i P. - t- kl.K. r
— - �'y c_.�_. Material —
T -� # C'.onn. Type
Sataitar Sewer
Storm Sewer
Water Service
06/09
Received Time Dec. 22. 2010 6:08PM No. 4163