HomeMy WebLinkAbout0146776-Plumbing (shower & 2 toilets) 0I CITY OF OSHKOSH No 146776
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1010 N WESTFIELD ST Owner EVERGREEN RETIREMENT COMM INC Create Date 07/12/2011
Contractor J RASMUSSEN PLUMBING INC Category 443 - Commercial- Interior (Replacement Fixtun Plan
Inspector Rich Wood
Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters
Shower 1 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 2 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
Use /Nature APT #517 / REPLACE SHOWER STALL AND 2 TOILETS * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1608650000
Valuation $4,000.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued ByannY Date 07/12/2011
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 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.
07/08/2011 14:29 9202311289 J RASMUSSEN PAGE 01/01
City of Oshkosh
lntlTe!r,:ticll15tyr►,r1C�:R PD1vISian
Ta( Box WO
Oshkosh, Wi 54903 - 1130
Phone: (920) 236 -5050 L
}; (920) 236 -5084 . Q/I -K
OI
fire TriF WATFr
Plumbing Permit ,Application
1 hereby apply for a pertnit to do rind install the following plumbing on the premises hereinafter described, the work to conform to the
W iscoii n State Plumbing Code, in the performance of which sill parries hereto ogres to and are bound by said stttutcs.
a Application(s) and •fcc(s) can he brought to City hail. Room 205 or mailed to Inspection Services, PO 'fox 11.28, Oshkosh WI
s4903-1128. Commencing work without permit(s) will result in :tees being doubled or 5100.00 plus the normrial permit fee, which
ever is greater.
OR
turgy p ar con aCL �arl, R iPIE IAA 7 "cCM . _ _gg nt Sure_ o-21rd ..9 degt ,�ga!i.r...fK n ds., rJ►rA. E.g_
110,o3l.st!ant 01y roc. &i!a a 1hr k'9.REr accQktd__
A A .Advisory - For appl<i.cablle projects, oat Electrical Installation Verification (EJV) foam, signed by the Electrical
Contractor of Homeowner (for instillations ;allowed to be perfalm te& by the bontcownetr) 'most be submitted.
with tlac permit application. Applications submitted without an ENV when such is regnircd, will not be
processed for Penult Issuance tni.d will be returned for completion..
Job A4dres,4 I 0 /U V. -i f f Vii,itue (1nchutlhg inkier and materials) q000 oo - - . .... M _ / D � Date 7- �_
Owner V ,/' f I:2 •� ~ Contractor . 1 t o.. s hA Li .i S •c Rv P_1 '� ± 2/ 4 ,
nuttily cattily Dftaplex FS []Rental DCon alttercfnl t
�]1(rttdtosLT-ial
. Nombetr.of Fixtures:
Bathtub _ Sump Pump — Plaster Sink R nnf Drain
Shower _ l Snn. Stunp/Pnmp _ —
W seamy Sink. _ _ Soda Disp - _ �
h irlpool Water Softener Service Sink -- __.�. Coffee Mkr __
t:reatoy Standpipe !tee SharnpSink Site Drain ___
___
1 nrlcx Garage FCt .�. Surgeons Sink _._ WaitTS Stn
Kit .ir1k ____ T. ocal 'Waste .... _ ._. Sterilizer ... �._ Tee l )leer
r)iapoml — � Aar Sink RF.Z. VAli e —___ Comm , Ice Maker _ - --
p;cMur�llcr l~rral rm Sink _.—__ Bidet __ Tnt dTrea a Trop --- Floor Drain y Cla ern Sink --- T nwtl _ Ex Qrcanc Tn p
}lnae i i _ _ Exam Sink _. —. ` gee Tap _.,._ Tilr WASh Sin _
VParer Tisttcr F Re p Sink _ Dipper Well _ Deduct Mau I One (.l l :geet [.1 r wrV_ nt Fl Sink
Drink Fnrn _ _. _ . Wtr Sewer hitt
Clothes Wahr _.. _,._- Hand Cink Wash Finn —.—..— Wu thine hdtt r ,
L1dr. Tray Lab Rink — ,_ Catch Basin — ._,.�,,. Mine Fixtures _„-.. „
Electric Contractor (for projects not requiring an ETV Fo m)
Use / Nature of Work , P--t. (a u S 4,...., ... /- S t-,.-al Tb 1 1- r
Size Material 11" Conn. ryne
Sanitary Sewer
Storm Scwcr
Water Service,
(1 is
Received Time Jul. 8. 2011 3:12PM No. 6296