HomeMy WebLinkAbout2013-Electric (install fire alarm, security) CITY OF OSHKOSH No 154434
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1210-1226 S KOELLER ST Owner 1200 SOUTH KOELLER STREET IV LLC Create Date 02/12/2013
Contractor JSM SECURE, INC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service O New 0 Change 0 Temp • N/A Type O Overhead O Underground 1
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances FIRE ALARM,MOTION,SECURITY
Use/Nature of COMM(1226-JOANN FABRICS)/INSTALLATION OF FIRE DETECTION AND NOTIFICATION SYSTEM,ALSO INSTALL MOTION
Work SENSORS AND DOOR CONTACTS `*check#44064
Fees: Valuat n —V $6,800.00 Plan Approval $0.00 Permit Fee Paid $172.00
Issued By: Date 02/12/2013
❑ Permit Voided Parcel Id# 1308480403
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of s no a,thority to enforce easement restrictions of which it is not a party,if you perform the work
describe this permit ap " ion ithin an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and t re any necessary app -• before starting such activity.
Signature - A Date / 7 L-2c./
Agent/Owner
Address PO BOX 118 SHEBOYGAN F WI 53085 - 118 Telephone Number (920)467-7550_EXT 1117
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.
City of Oshkosh
Division of Inspection Services WI 5 eClit
P.O.Box
Oshkosh, WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 0/HKKJ) I
ON THE WATFR
LOW VOLTAGE ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s)and fee(s)can be brought to City Hall, Room 205 or mailed to Inspection Services,PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
DATE Fca 8 2 o f 3
JOB ADDRESS )ZZG, KoCLLER Sr
OWNER Jo ANN l`Agai c5
CONTRACTOR J 5 i1 S•Ec v RE /FE E M O RAni
ELECTRICAL CONTRACTOR PJ K Ain p v Ec%c Tk I C
(Locally Licensed Electrical Contractor conducting the associated power wiring)
CHECK 8 ALL APPLICABLE
USE CATEGORY
❑Multi-Family(number of units ) •Commercial ❑Industrial
CHECK®ALL APPLICABLE
❑Cameras 'Motion Telephone ❑Video ❑White Noise Systems
❑Data 'Security ❑Television ❑Voice
!Fire Alarm ❑Sound ❑Other
DESCRIPTION OF ALL WORK BEING DONE ). rat , -ro o f F i P E D E re c T l e Al
f NO NOr!(=1CATION Si'$T,y¢-t1 . ! ifs rAL(-4Tr P k4?o7O4J SENSAQS
AA)p Ca- C o&-re Cr"S.
VALUE (Including labor and all materials for cable installation(s) $C(7). 00
APPLICANT SIGNATURE
08/0;