HomeMy WebLinkAbout2012-Plumbing (upper bathroom) CITY OF OSHKOSH No 153732
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1210 MARICOPA DR Owner RONALD H CARDO Create Date 11/27/2012
Contractor J RASMUSSEN PLUMBING INC Category 410-Residential-Interior Plan
Inspector Jerry Fabisch
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 2 San Sump/Pump Flr/Wst Sink Bidet Site Drain Misc.
Toilet 1 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 SFR/REMODEL UPPER BATHROOM **debt acct
of Work -Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1313000000
Valuation $4,000.00 Plan Approval $0.00 Permit Fees $28.00 ❑ Permit Voided
Issued By a} i( J Date 11/27/2012
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.
11/27/2012 06:32 9202311289 J RASMUSSEN
PAGE 01/01
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irlinne:t.920)236-5111 .
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Plumbing Permit Application :I�. i ,,t F,
l hereby apply km s.permit to(l(1 mid install the following O¢.tmbirtg on the premises hcreinallt.er described,the work an cnn irrna 1 the
Wisconsin State Plumbing Cot-le,in the Dvfonj Eirom of which all panics hereto agree t:,end are bound by said attiitt..x.
40 AppIicrx).ior:{4)and.1'cct,0 can he brought In City Hall, Room 2U s or mailed to?inspection i`ciirices, PO Box 1 12.R,Oshkosh WT
;4,401-I i 2g, CtultimenciiN work without pox-mitts)will result in fees being doubled or fi!01}_OO plus the normal permit fee,phi*.-1t
Ie.vcr is grezun.r.
OR ---
.J.:12a•pr4r._q c_o xr,;Ail dt..!?atit.C.1.22.t?l rs the-f"er1i/Lifir 4.c.c.nur{ti SYste 13.04 Ito,e.f{n►eg,!L' V , 50ds.._.c,ke4:�Y )er_N
I.f r'4ts...iep'.1...t/Qi.r prT►Fe&,aeA2 n1 Y.0 Y n v r ,,Ft ktPl. -E
" Advisory For applicable proj e:lts. an:Electrical Installation Verification(ETV)fnmrrn.,signed by the ed:da all
i,'Ir nlara cto r or.1ioniaonilelr(for installations allowed to be performed by the homeowner)vonasit l*,e armArhnniitltxr.t
with ghee permit Application. Applications stpbinitted without an 1ElY when sat. is trie iln.ired,,will not be
trrrarr..TSFir_e!for Permit Issuance anrnr8 willd be returned for onmlilceia>Kii..
ou J.foh .Ad�lrerst5 R /1ll< ce.t3lf ft 1Ts,hact 1nlnitin Inlarimrlrnnrariniri U°°r----
� -07�-"/L
�'.r iup�cn L' A rot o __....-- _ Contra c+t�lr ---I, 1Z.N:5,h0.i,:,i.."._e t�-...._ f'i et �r •_,� e_..
K'SAvtgli Family [l)nplex Diklioniti-1Famgly (__1R.cnlrtal f1Co m,;tllnerelal 'ElInr.0easkn.'i1a1
Number of Fixtures;
'4.1£htuh — Sump I'nrnp _..-.__._ rtisti r Sinlr Rind Drain _.— -.
:;holvnr ,--. •--• Snit.,Cmmp/himp _,. _--- Scullery Sink -_.---- .�,'nrinhirin .__._,.
_..
Wrt(T'nRentg .en c Sink Coffrin Min- ....,_....>ircnnn!
!ncauin/ .)••• . ndpipe R . _.. .._....
Shrimp Sink _ Site Drain .'..._...
.... ) %'; Surhennri Sink ._._. Minitrs Sin ..
W.,ii Sipk' —...---- e.nr.ilt Rain. ....__.. Seerili7r.. ......--- ins r'hr_� .
..... ... Valve Cumin ter.Mak4K Ftm @lint l;rt+nan[ ... —.
I:;N1+navhcr nrenk ctn Sink ....,......._ Bider lnr i`irrggc T'rarr
IOW, ,`i•+,+ _• �aarl^ml Sink __.,. 1JF'in�ll _-.. ari cirease Trmp ___. --,
1lnaa i'.i111
E NIn Sick ?aexr Tap _--
i;pr .1)1:.,;;:a
1'Prep Sink _.. Dipper Welt .....
t.oitnrt Mr iL•r ,,,_....._._.
.,.VNIC.r tl ttor __•_„ i
't ins I.IFeel.I1r`14,0'nt i'InnrSill trmi<1'ran _„....
, Wtr�yRvrrhrh
C le)thct Whir -,--• -•„ ilnnd,Sulk Wheb Pilo Wh't Nage Mir
.nrky T:nry ....__. e,nh Sink Cnrch lirnain T?ire P+Tnrrr"
rn1..nc..4... f-'/n„02-9ert iir(1cr prefects not regnirneng an ETV Forum) _.__. ._.._..___ •-- ._—,...._.,
IT:sa/ Nataiire of Work„ . lam-LAA:-°ri-'t'k D F igAr t./1 'o”" =�..�
.-. . ....,..._ ..... .. ........_-5'.�r T a... .......... . . i.'ypc_ _...._.If __—... _. Conn. TLI)C ..__..-., ....._...
S'anit;try 7e1h.K',9'
Sl.crrnl Sewcr
Watcr i,ter vier
--....._.....__.. ........__..._..._- -- .- _...._._.... ._.l
•
Received Time Nov. 27. 2012 6: 21AM No. 1754