HomeMy WebLinkAbout0151708 - Plumbing (water heater) CITY OF OSHKOSH No 151708
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1110 1114 W 20TH AVE Owner PLANEVIEW APARTMENTS LLC Create Date 08/15/2012
Contractor J RASMUSSEN PLUMBING INC Category 446-Commercial-Water Heaters Plan
Inspector Jerry Fabisch
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 FINWst 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 Scully 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 COMM(12 UNIT)/REPLACE ELECTRIC WATER HEATER AT 1110 W 20TH AVE FOR THE CLOTHES WASHER,
of Work EIV SIGNED BY WITZKE ELECTRIC **debit acct
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1307120100
Valuation U 600. 0 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By 5--Y1 1(�I Date 08/15/2012
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)233-6747(work
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.
08/14/2012 18: 55 9202311289 J RASMUSSEN PAGE 01/02
inereetion Services Pivision
pO)3ox113()
Oshkosh,yhkosh.WI 54903-1130 4
Phone: (9.20)2•.36 5050
Fax; (92())2.+6-S084
Orr—iK�f I -e
Plumbing Permit Application on cm TIM:M'Asrr —
1 hereby apply kt a permit to do and install the following plumbing on the premises hereinafter de '1. the work to conform to the.
Wisconsin State Plumbing Code,in the performance of which all parties hereto agree.to.
and are bound by Auer H1Rin.)teK-
@ Application(s)and fee(9)can be brought to City Hall,Room 205 or mailed to.Inspection Services,PO Box 1128,03111coah wr
54903-1128. Commencing work without permit(e)wilt result,in fees being doubled or 5100.00 plats the norm
a.1 permit fee,which
ever is greater.
OR.
149_k_, �_rr�c 1.t(•acJnr AA►'(CC arfng 2 the a tta l ' -._,r,9cc.Qunt ..C.xtLEm and Have qdt:gvez fe-. s,eheck,fzv
ff_V2 h'_0!44._441..rF„P lecG.f.S 1#2*,_n h—E21Lf acfL tia--
**.A,dviso ry-For applicable projects, an Electrical Installation Vcrificattion.(FIST)form,signed by the,Elecf-k Jl
CordinCTiDT or Homeowner(for installations allowed to be performed by the hon eownex)must be submitttr-d.
with the penxnllt application. ,Applications submitted without an ETV when such is required,will not be
processed for Permit Issuance and will. be ret:atu red for completion.
Job Add lrt�,48 (� I, 1,412..041‘
A►►'C Value(Including Inhar and matcrinls) _ ._.
,!_�.��/ Contractor ..-SL 0.S ►K u s S .P r� �,__4_!__„ /`' -
Owner -_
[isingie Vomily OThapllex DMulti-Fam61,y DReutall f Comtancrcial fllndustriial
Number of FINtures:
Bathtub -___ Sump romp __.••_. Plaster Sink —_,—_ RnnfDrain _. —_
Shown _ Sal+.Snmp/Purnp _ Scullery Sink —,,._,., Soria Disp —.u...
Whirlpool Water Soften[ ..__--.._ Service Sink Coffee Mkr
raillery _____ Standpipe Rcr. ______ Shrimp Sink _.--- Site Drain --
Toilet ...,..--
Ciaragc FD ----- Surgeen9 Sink ,___-_ Waltts Cm .. —
$Mrill= ire Cheat, —_„ _.
'Kit,Sink _-- „-. Local Waste —.-- --
- RPZ Volvo Comm Tee Maker -__�.
i?i,apoaal ------
liar Sink __ —
Brcsrkrm Sink ---__Y Bidet Int Growl Trap
Diannmahcr
ClaE&rnSink _-_ Urinal __ _, Ern.Grease Trap ___—_
Floor Drain
i3xam Sink Eteer Tap _„--- F,ye Wash Stn A
Water gear= _.,./.._.. F Prep Rink __,•_._ Dipper'Well — -•.,, Drdttct Meer ___.----
I.)Gris rS acct Ct Pwr11'nr Flom Sink .,--_ - Drink Fain --. Wtr Sewer Mir _______
(.'lathes Wshr __. . ._ Hand Sink , __.. Wtrrh Finn _„____. Wit Usage Mir ____
Lridw Tray -_.__._. i.nh Sink — _ Catch auxin -„•,T_ Micc Fixtures _._._.._.
Electric Contractor(for projects not requiring an ETV Form)_ ____..___T__..._-__...... ..-____,_
Use f Nature of Work______12:4-1-1-41-4
.�.-- �' LC
6-1-6(.4-44..,e. f(. G fdL rix*sLu'
Sine Material Type #: Coma,Type
Sanitary SCUMS'
Storm Sewer
Water Service:
,0F/U9
Received Time Aug, 14. 2012 7: 43PM No. 0442
08/14/2012 18:55 9202311289 J RASMUSSEN PAGE 02/02
—.._ .. — NO.059 l'.1. ---.---_., .._
AUG.14.2012 10131AM WITZKE ELECTRIC
dq of OAkoeh
Division Servile+
215 at m*Axon
po 140Y 1130
OA1Oco6h WI 54903.1130
Offpx i t►�• -22Fax NO-236.5034 OSo
wk 4
Electric Installation Verification
I(We) ,) 1
(Electrical Contractor Name)
155 E
• (Address) (City) (State) ('Zip'Code)
have been contracted to perform electric installation work for r°44-strt/S514 610m b/v�t
(Name of party contracted tl
at the following address: Zl O 10 v/.� . i
(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 replanement seating 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 fbr the addition of A/C to an individual dwelling unit(house or the
individual systems in a duplex or condominium), including required service
electrical outlets. •
Other •
•
•
The value of this work is$ e/J % QQ
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection/installation will be done in compliance with manufacturer and Electric code
' requirements. * ,
(Signature of Company Of eer) • (Print Acme of Ot lcer) (Date)'
5102
Received Time' Aug. 14. 2012 7: 43PM No, 0442