HomeMy WebLinkAbout0154673 - Plumbing (interior Plumbing) CITY OF OSHKOSH No 154673
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 625 PEARL AVE Owner BOARD OF REGENTS UNIV OF WIS SYS Create Date 03/04/2013
Contractor HOOPER CORPORATION Category 442-Commercial-Interior(New/Relocated Fixti Plan State reviewed
Inspector Jerry Fabisch
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 11 Deduct Meters 0
Shower 0 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 1 Wtr Sewer Mtrs 0
Whirlpool 0 Sump Pump 2 F Prep Sink 1 RPZ Valve 1 Coffee Maker 1 Wtr Usage Mtrs _ 0
Lavatory 14 San Sump/Pump 0 Flr/Wst Sink 7 Bidet 0 Site Drain 4 Misc. 0
Toilet 14 Water Softner 0 Hand Sink 2 Urinal 4 Wait.St. 0 Fixtures
Kit Sink 0 Standp Rec -_ 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 1 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 1
Dishwasher 2 Local Waste - 0 Sculry Sink 1 Drink Ftn 2 Int Grease Trap 0
Floor Drain 12 Bar Sink 0 Sery Sink 2 Wash Ftn 0 Ext Grease Trap 1
Hose Bibb 5 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 2
Use/Nature COMM/interior plumbing associated with the new construction of a Welcome Center for the UW Oshkosh/not owned
of Work by the state so permit fee's will be required **check#207861
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0103670000
Valuation $268,000.00 Plan Approval _ $0.00 Permit Fees $819.00 ❑ Permit Voided
Issued By a- ❑ Date 03/08/2013
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 2030 PENNSYLVANIAAV MADISON WI 53707 -7455 Telephone Number 608-268-2185
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.
Mar, 4. 2013 10: 06AM Hooper Corporation No, 0071 P. 2
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh,WI 54903-1130
Phone;(920)236-5050 j�
Fax:(920)236-5084 `^ O./
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described,the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. •
• 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
I ou are a • tractor .artier' 'n� in the Fermi Fee Account S ste,i and have ade•uate . is check here
if you want this processed through voyr account El
+Advisory-For applicable projects, an Electrical installation Verification(EIV)form,signed by.the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion. /
Job Address 6�� P•✓a I /1-•C value(Including labor and materials),24 8 C OO Date 3/03
Owner UM of k k•i ii Contractor ,�"' c.r/ Rta.L $,,:i • z 2.SF 4 ?
❑Single Family ❑Duplex ❑Multi-Family ❑Rental Wont mercial ['Industrial
Number of Fixtures:
Bathtub Sump Pump 2— Plaster Sink Roof Drain IL
Shower San.Sump/Pump Scullery Sink Soda Disp
Whirlpool Water Softener Service Sink Z Coffee Mkr
s
Lavatory Z Standpipe Fee Shamp Sink Site Drain _
Toilet Lam— Garage FD Surgeons Sink '9Vaitrs Stn
Kit Sink Local Waste Sterilizer Ice Chest
Disposal _l__ Bar Sink 12.13.2 Valve I Comm Ice Maker 1
Dishwasher Z Breakrm Sink Bidet Int Grease Trap
Floor Drain 42,___. Classrm Sink Urinal Ext Grease Trap
Hose Bibb S. Exam Sink Beer Tap Eye Wash Stn
Water Heater F Prep Sink _I_ Dipper Well Deduct Meter
❑Gas C Elect APwrVnt Floor Sink Drink Fran 1 Wtr Sewer Mtr •
Clothes Wshr Hand Sink 7. WashFntn Wtr Usage Mtr
Lndry Tray Lab Sink Catch Basin Misc Fixtures
Electric Contractor(for projects not requiring an EIV Form)
•
Use/Nature of Work Z✓ t.• Plv.4).3 Mc 1✓a S4.4.11.R ...'- s •f 6.4.:w !' eL+1 ►l_6✓c.r11
isdi
Size Material Type # Conn.Type
•
Sanitary Sewer G P V 4 SCJI Yo
• I► YO
Storm Sewer 10 ��V4 Sc.
Water Service 8 0 L cis,t S'1.
Received Time Mar, 4. 2013 9: 59AM No, 2472 06/09