HomeMy WebLinkAbout0157341-Plumbing (acrylic shower) � CITY OF OSHKOSH No 157341
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1870 ORCHARD LN Owner WILLIAM J HOWER/JILL D WEBECKES Create Date 07/11/2013
Contractor REBATH OF CENTRAL WISCONSIN Category 413-Res-Interior(Replacement Fixtures) Plan
Inspector Jon Mueller
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 1 Lndry Tray _ 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0
Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0
Dishwasher 0 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0
Floor Drain 0 Bar Sink 0 Serv Sink _ 0 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature SFR/Removing the fibergalss showedtub unit and installing an acrylic shower base and surround. NOTE: Austin
of Work �Thomas Solutions is working as Rebath.
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1310380000
Valuation $500.00 Plan Approval _ $0.00 Permit Fees $30.00 ❑ Permit Voided'.
Issued By �� Date 08/21/2013
In the performance of this work, I agree to perform al�work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date :
AgenUOwner
Address 230 N KOELLER ST OSHKOSH WI 54902 -4104 Telephone Number (920)765-0068
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Aug�hne-�yuj2j6-osoMu , REBATH CENTRAL WI 9203035935 No 4473��2/3 � .
. Faie_{920)236-5084.. � � � � � : � . . C�IHK01H �
, ON TNE.WATER
. Plumbing !'ermit applicatio�n . �
T hereby apply for a permit to do and install the following plumbiaD on thc premises hereinafter described,the work to conform to the
� ,: Wisconsin Srate Plumbing Cocle,m the performance of which all panies hereto agree to and are bound by said statutes.
•. Application(s)and fee(s)ean be brought to City. Hall,Room?OS or mailed ro Inspection Services,PO$ox 1128,Oshkosh WI
54903-1128: Co�nmencing work without pernut(s)will resuh in fe�s being doubled or�100.00 plus the normal pernnit fee,which
ever is greater.
. OR ,
T ou are a conrractor ar[ier. atin in rhe Permil Fee Accoun[ S stem and have ade uatP und, check here
i u waizt th�s race sed throu h our account
**A.dvisozy-For a�plieable projects, an EIedrical InstaIladon Verification(EI�form, sign�ed by t�he Electrieal
Contractor o�Homeowz�er(for instaIYatio�as allowed to be performed by the honaeowner)mast be subm�tted �
with the permit application�. Applicatiorzs.subz�titted withoux a.n EIY vc�ben snch is reqnizcd, will not be
processed for pezmit lssuarice aad will be retwrned for compledon.
Job Address ��`I� O�' Y VaIUB(Including labor;md materials)`A 5OU Date�� -1
O�uner �11�� I-�Cl�,.en Contractor ��$}�n7h�rnC1� S�l��io�c .�C �i�W �QbnA��;
❑Single�'amily �Dup�ex ❑Multi-Family �Reatal ❑Commercial QZad���
Number of Fi�tnres:
Hatheub Suma�p Plaster Sin)c Roof Drain
Shawer �, 5�S�p/p,m,p Scullery Sink Sode Disp
Whirlpoal Wa�cr SoBener ' Service 5ink ' � ,�,nffoe i•�'xr
LavatorY Staodpipe Rec Shamp Sink Sile Drain
Toila Gzuage FD - Surgeoos Sink: Waitrs Sm
Kit Sink Local Wuste Steril»u • Ic.�Ches[
Disposa) Bar Siok RPZ Valve Comm]ce Msk�er '
Dishwashe,� � Breelam S�k 'Bidet irrt Gt�eese Trsp .
Floor Draia. Clagsrm 3mk Clrinal Ex[Gre�se Trap
Hoea Bib6 F,�cam 5ink . Bcer Tap Eye Wash$tn ' �
Waecr Hcaler F Prop Sink . DipPer Wcll DeduU Mcter
0 Gas 0 Blr.cc 0 PwrVnt Floor 5ink Drink Fam Wtr Sew�r Mtr ' --
. . .Clothes Wsiv FTand Siok � .. .. . ::. ...w.35�h.�nin .... Wtr Uxegc Mv... .
• __.....
LqdrY..TraY...... �.:--.:Lab.Sink.. . Cauh Bagin.__.. _.... • -.. .. ....Misc F.i�auces. . .
E�cctx�ic Contracto��(for proje,cts not�equiring an EY'V T'orrn) �
. . :.. ... . . ,. . . .. ..:.-----...._..: .. ...... .. ... .. .. ..: . .
. ... _..........:.. . . .. .
... ..- - /� .. .: . .�-�---.....
Use/Nature of Work ,, - � �
• Size Nlnterial Type # Conn:Typc •
. .SanitEry Sc,rwer , .
Storm Sewer • .
Water Service '
: 06/09