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Home My WebLink About0146862-Plumbing (water heater) CITY OF OSHKOSH No 146862 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 264 N CAMPBELL RD #D Owner JAMES F PURTELL Create Date 07/18/2011 Contractor J RASMUSSEN PLUMBING INC Category 411 - Residential -Water Heaters Plan Inspector Rich Wood Bathtub Clothes Wshr Class= 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 FIr/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 CONDO / REPLACE ELECTRIC WATER HEATER, EIV SIGNED BY DREXLER ELECTRIC * *debit acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 0608040234 Valuation $650. 0 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By Date 07/18/2011 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. 07/18/2011 10:24 9202311289 J RASMUSSEN PAGE 01/02 City of Oshkosh Impaction SetvicCS Uttlislon Tap Box 1130 Oshkosh, Wt 54903 -3.130 Phone! (920) 236 -505(1 Fax; (920) 236 -5084 (1 i - -( OJJH l�z'� r- N vil f. wA k I Plumbing Permit Application 1 hereby apply fora permit to do and install they following plumbing on the premixes hereinafter clscribed. the work to conform to the Wisconsin Shifts Plumbing Code, in the performance, 4f which all patties hereto agree to and arc mound by said statutes. • Applications) and feel's) can be brought to City Hall, Room 205 or mailed no Inspection Services, PO l3ox 11.28, Oshkosh W3 i4903 -I 128. Cotiunciiciiig work without permit(s) will result in fees being doubled or 5100.00 plus the normal permit fee, which ever is greater. OR 7- If 1'01/ drd a co »f roar isdpi r ng ' . �' rm 1 • _ cc u ' lsfcna and ham aggs,44. t .L. . .e& . iya. .if - 0 - Y - - i A W - f i l i s . p , r _ o S ssc4l tfrro il_KB rr accp_p_n 1 ** .Advisory - For applicable projects, an Electrical Installation. Verification (ETV) form, signed by the Electrical Contractor or Homeowner (for 'installations allowed to be performed by the homeowner) mast be submitted with the permit application, Applications submitted. without a<n ETV when such is regluired, will not be processed for Permit Issuance and. will be returned for completion. / ob Job Address ti C A . F Q f� Value a ( huJ»Alnn labor and materials) 6 l _ " Date 7-1 5 — ' f Owner 6, r #&1(. Contractor r R.,S ►M u s s .e e.; p I 1, --, c L Siugle 1• smily []Duplex PlYiniti- Family [Rental DCominertial ❑.Indnsttrital Number of Fixtures Bathtub Sump Pump Fleeter Oi _. Roof Drain ___ Shower - _— San. Sump/Pimp -- Sculler Sink ._ __• —_ Seine Thep Whirlpool .--- Watcr Sifcner Service Sink Cnffte Mkr .Lavatory _._ Standpipe Res __ 9harnp 5lnlc ..,., ..-* Slim D - -- Voila Garage Fri a�a Surgeons Sink Waits gin _ Kirf4 nk - -.-__• focal Waatc •-- Storilrlcr ...,_ Ica ('P t - - -• niaposal _. — , Bar Sink —_ °- RP7 Valve —._-_. Comm 1rr, Mrtkcr ^— Dishwx her T -- Bmakrm Sink - FDitint _ - w IntOrc�asr. T --- Floor Drain Ciampi Sink ,,,— Urinal _____ Fxi. Gnaw 'Trap - - -. 1-tnac Pihh - _ Exam Sink _,_. _, Fled' Tap --- Eye Wash gm Water Heater i __ F Prep Sink ---- Dipper Well Deduct l Acxer 1.1 rim Rem n Pwr4nt floor Sink - -__ Think Fnt - -- .,_.....,_ Wk Mkr - - -- Clouts wain _______ _ Hand Sink Wash Fnrn Lndry Ttrty Wu C)>tnitc Mu - -- Lab Sink —_._ Carch Basin c 1 ixturna - ---- E lolls Contractor (for project,; not regyaieing an ETV Form) — _____ _ Use / Nature of Work P. 4241,.. c-1-14/4 (%l, _ - — ---- - - -• -_ -- __.- -- -• - -, 1►�l atcriat Type - ..._. # Coim. Type. --, Sanitary Sewer Storm Scum! Water Service nF,/oq Received Time Jul. 18. 2011 11:07AM No.6368 • 07/18/2011 10:24 9202311289 J RASMUSSEN PAGE 02/02 • City of Oshkosh • Division of Inspoaion Servitors 2 L5 Church Amino PO Box 1130 Oahkoah WI 5903 -1130 Ottito 920- 236.505D on ,n Fax 920.236.50$14 Electric Installation Verification I (We) • le (Electrical Contractor Na e or omeowner's Name) 4 130 COLA � - C..g �a LAA Address ,..� (City) State (Zip ) ( ty) ( ) ( P Code) accept the responsibility to perform the electric work as stated below, at the following address: (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. /"• Reconnection or new circuit for replacement Electric Water Heater or power vented water heater. Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for the replacement of other permanently wired appliances / fixtures. New circuit for the addition of A/C to an individual dwelling unit, including required service electrical outlets. Note; Homeowners can only do their own electric on a single family owner occupied home. Work on a'condominium, duplex, rental, or multi -use building would require a licensed Electrical Contractor. Other • The value of this work is $ I' hereby verify this work will be performed in compliance with the License requirements of Section 11 -22 of the Oshkosh Municipal code and further verify the reconnection / installation will be done in, compliance with manufacturer and Electric code requirements_ • (Signature of Company Officer or Home.wner) (Print Name) (Date) 07/01 Received Time Jul. 18. 2011 11:07AM No.6368