HomeMy WebLinkAbout0145943-Plumbing (interior) CITY OF OSHKOSH No 145943
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3508 W 20TH AVE Owner DOUG FRAKES Create Date 05/17/2011
Contractor JIM'S PLUMBING & HEATING INC Category 442 - Commercial- Interior (New /Relocated Fixti Plan H1 -418- 0411 -P
Inspector Rich Wood
Bathtub Clothes Wshr 2 Classrm Sink Surgeons Sink Roof Drain Deduct Meters
Shower 19 Lndry Tray 1 Exam Sink 1 Sterilizer Soda Disp Wtr Sewer Mtrs
Whirlpool 1 Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs
Lavatory 21 San Sump /Pump Flr/Wst Sink Bidet Site Drain 3 Misc.
Toilet 21 Water Softner Hand Sink 1 Urinal Wait. St. Fixtures
Kit Sink 3 Standp Rec Lab Sink Beer Tap Ice Chest
Disposal 2 Gar Drain Plaster Sink Dip Well Comm Ice Maker
Dishwasher 1 Local Waste Sculry Sink Drink Ftn Int Grease Trap
Floor Drain 6 Bar Sink Sery Sink 1 Wash Ftn Ext Grease Trap
Hose Bibb 4 Breakrm Sink 1 Shamp Sink 1 Catch Basin Eye Wash Statn
Water Heater 2
Use /Nature CBRF PHASE 2/ Interior plumbing per approved plan with power vented water heaters. The interior kitchen waste is to
of Work discharge to the grease interceptor at 3504 W 20th Ave per approved plan creating a PIMS per Comm. 82.30.
Size Material Type # Conn. Type
Sanitary Sewer 4" Plastic Lateral 1 New
Storm Sewer
Water Service
Parcel Id #
Valuation $9 ^ 5,00 .00 Plan Approval $0.00 Permit Fees $687.00 ❑ Permit Voided
Issued By )l v Date 05/17/2011
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 W6166 GREENVILLE DR GREENVILLE WI 54942 - 9676 Telephone Number 920 - 757 -5258
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 - Inspection Services Division - Plumbing Permit Application Page 1 of 1
R , , , g r
DlNtlal of Inspection SerNaf �'- `,, ' �
CITY OF 215 Chinch Avenue
�� P.O.SOx1130
!' Lariar {��" ;;oW� :1- MAY 1 6 2011
T)' F t(`•' ON THE WATER Phone (920) 236.5050
PLUMBING PERMIT APPLICATION INSPL A ' 1 r,
All Information with • next to It must be provided. Incomplete appikatlons will not be processed.
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 whkh ail
parties hereto agree to and are bound by saki 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, whkh ever Is greater.
ILYrlle are a contractor partiCiRating in the Permit Pc. Account System and have adequate fundfaERI YES (1 you want this groc through your account
applicable projects, I
*• Advisory - Fora
Pp an Electrical Installation Verification (!IV) 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. e
*JOB ADDRESS f n —
•OWN!R I.._ -► ... O rr L._. "i4 4^AI 0 4
*CONTRACTOR AI I:0 I4Q/
OR _..... _. ._. ... _.
L4 / a 1 0
*USE CATEGORY
r. Single Family f`, Duplex aMultl- Famil r Rental YCommerclal C Industrial
Bathtub Sump Pump l--
........' Plaster Slnk 1 - - Roof Drain
Shower rr r San. Sump /Pump r- Scullery Sink
f-- Soda
Whirlpool rT Water Softener r-- r—
I . _.. ,_.... _,.•, Service Slnk Fr Coffee Mk Mkr 1----
Lavatory 1 2 4 Standpipe Rec r- Shamp Slnk FT
Toilet I 7 i I Site Drain
O� Garage FD r— Surgeons Slnk
Kit Sink 3 -w Local Waste Ice Ch r
Stn 1 --
r Sterilizer r Ice Chest
Disposal r Bar Sink f'�
1 .. .....' RPZ Valve Comm Comm Ice Maker
Dishwasher Fri Breakrm Sink Bidet
� r-" Ent Grease Trap I-- Floor Drain I V- Classrm Slnk - ! Urinal r---- � r- Ext Grease Trap
Hose Bibb I '
Exam Slnk Beer Tap r- Eye Wash Stn I--
Water Heater r1 F Prep Slnk
r - Dipper Well r — Deduct Meter I---
I Gas r Electric 'Ow Vnt Floor Sink r ^^ Drink Fntn r- Wtr Sewer Mtr r—
Clothes Wshr 1 Hand Sink ('T
f { � Wash Fntn r Wtr Usage Mtr r-
Lndr Tray FT— Lab Slnk r- Catch Basin
I r- Misc Fixtures r-
*US! /NATURE OP WORK
ei A G 37
XI
*VALUE (Including labor and all materials Including Tight fixtures)
I
ELECTRIC CONTRACTOR (for projects not requiring an EIV Form)
i
1..44416-* .. Size Material / /' Type a •
5.....,. •- rsr I _P . ? G k... V J I p"ki---10"4/- Conn. Type `
L ! L
Aro
Storm Sewer I..... _
I
Water Semite I i_ _ I_.. . _.. 1 I
Inen Afill