HomeMy WebLinkAbout2012-Plumbing (water heater in pool room) CITY OF OSHKOSH No 153180
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2092 WITZELAVE Owner CRAIG J/BICKEY J KINDERMAN Create Date 10/25/2012
Contractor J RASMUSSEN PLUMBING INC Category 411 -Residential-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 _ 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 'SFR/REPLACE GAS WATER HEATER IN POOL ROOM **debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0614100000
Valuation $1,200.00 Plan Approval ___ $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By Date 10/25/2012
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 -8887 Telephone Number (920)233-6747(work
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
10/2.4/2012_1...90:0./.6;mon 9202311289
J RASMUSSEN PAGE @1/01
P 0 r.lay i Ho
(-)shkosh,Wr 54Q01..1 I 3 0
Phorlc:(920);?.36-.5350
lo'a71::(920)236.-5084
/ill)
\111111/r
(773fl717.1
Plumbing Permit Application r7,isii,..11-NenT F p
11C"retrY CIPP 1Y flr;7/Pt1t1/1 i 1 gn 1-10 RIld hISVki 1 Itic RtDowinA Plumbing on the pretnisils hereinata kieNcribev 9111 livork 1.c,con:fi77-171 lc the
WiSCOnSill StrII.C.Phinthing C.ocle. in the perfbryremce of which pi!,parties hemto agree i4,and are T-inort4 17 i.id gtatutes.
'4' APPlicali.01)(S.)arid fcei.$)can he brought do Cily I.1$01,It.aeom 205 or nial1ed to Inspection Services,Pc)Ro.N. 4 t 7.8.ClehlcosN WI.
5.19f0-1 12g, enmmenchg,inork withowl.perrni10)will resoh:ill.fee. being a:6111740d(..W$i 00.00 DIM thro num191 POIrrt)it fr,C,INIIii:717
e%,Ur is grcatt.t.
op.
,,,--
c21.,,giut_bsly 0....a.ki..vf lig„fp?,4,5'....,(1.1.ef_.=1 g.b_. ,..r..11
Adrigant-For applicable projects, aro.Elcctricall Jffitsteatim Veriticati.on(ETV)fowl, Azigned by ebe Eileen-ic."1
42mttractor OT FloilIF.:011r.litT(COT bligtallations idletwed 1:e. be performed by the hooneowner)mast hie slabirrinfinteff
with OK permit arpticaliiIntk. .Applioations sohm—itted.wit:boot az EllIT vrben snob.is regaired,will!not.lbe:
processed fin:Pentitit INFIA0fle.0 PUTIld will bc relturintid for com.-pletioo.,
• /a . , °
V2.11411e.(Inelnding Intwo.snd mitinviniAl
Janto Addrcs5 e2 0 q 2- IA)t.4-3,-'4
oliF tier tct r.Jut...we-, coirkot.acitor , .
- e-
h...),„ s ,e
- .
LIII3lApRev ONfullti-Fammilly rittetelteti L.:1(1.04mm ereial 1.. linage/et:ilia/.
ista5-. Angte Fstorail7,,
•
Nimird•Per•of Fixtures:
Rndr DTtein
Plaster Sink
Sump 'imp -----
TT:n.11136
Sunipll'inTip s'aincry Sinil .. ... s,d,, -Ii,s7)
irl.puul WW1.Si afir Snrvice Sink Caine Mkt' ..—...........-
1,51tl _.... .._
itc T.lnitn
Arnropirr Rce. - Shaun>Skink . . . S
,rumtnry
(inrnifr ITD ___. svirtrom sink ,.._ — Wq.itEl Stu
rilizen- ......-.... tee Cht..qt ..._. ....
_ iinr riink. 11.17,VnIne ._.._...._ Comm Jae Maker --------
bi.brunistun Drunknu Sink ....___ . Did,/ ------ to(irnn:r.'Trap ............
......, ....
Orgill elilu in k ....._...
;;IiInt
F.ye Wa.11,.!Thu ......,.., -,..
Dca Tall __...._.
Umun:Sink ... ...
limn Ftillb
I1i:10er •icas ______ Nil) ,ink Dtpper Ael __.-----
Deduct Mnur
11;1? Ali
tet n- _....,.... ...
I,i 1-.TIco.f 1 T'un-Vn Drink i Finn!.SU*.
nun
c.'Inftw W;:ii r , .. find ,3inIc ..,....--.. liArliAh Pain viin.*Jug,:MII.
I.n dry'Tun! ,_:„.... T..11)Sink ___.___ Cinch Dnnin _.______
Fie:ell-ie.(7.onfroctor(for proj tetr allot requiri.Ing an ICI
17 tAa..
fr.ise./ INgtourc of Woolt, 1-4:14--e--e (A-4-(-1- IN 4.1*4-e' ` '`' f''''') t I °
...._
[ si...e,c 1\4aieria! l'yrc fl 4.'onrk. Typc
Sail it.11;SciAll.
Stern/So,...wc.r
1,1v A.i.ui. .•;(w1,,ice
•
.. , .
".
(16
Received Time Oct. 24. 2012 7: 55PM No. 1391