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OSHKOSH
ON THE WATER
Job Address 365 LILAC ST
CITY OF OSHKOSH No 122871
PLUMBING PERMIT -APPLICATION AND RECORD
Owner DEWEY HOMES INC Create Date 11/10/2006
Plan
Contractor P&S PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
2 Shower
Floor Drain
2 Lndry Tray
2 Disposal
1 Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
2 hose bibb
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Category 410 - Residential.lnterior
Wait. St.
Ice Chest
1 Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
2 Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
NSFRI New single family* with 2 car attached garage. Interior plumbing with gas water heater.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0611630300
Valuation _ $5,49~.00 Plan Approval ____ $0.00 Permit Fees
Issued By
$119.00 0 F-'ermitVoided I
Date 12/13/2006
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature ~ ~ ,;-? ,0 -Z "2 2 <:: ~ '] Date ) 2. / / J / O.c
Agent/Owner
Address PO BOX 2153
APPLETON
WI 54912 - 2153 Telephone Number 920-722-5035,920-7
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
WATER CALCULATION WORKSHEET FOR
~ b S- L I '-A c...
NAME/ADDRESS OF PROJECT
INFORMATION REQUIRED TO CALCULATE WATER SERVICE SIZE
1.
WSFU's / 5', -;. =
(GPM)
(feet)
I "-/
.
~I
Demand of building in gallons per minute.
2.
Difference in elevation from main or external pressure tank to building control valve.
3.
5/8" 3/4" V 1" 1-1/2" 2" 3" 4" 6" .
-' -'-' -'-'-'-'-
Size of the water meter. (When applicable)
4.
I
ere;
L/ Js-
Developed length from main or external pressure tank to building control valve.
(feet)
(p$ig)
5.
Low pressure at main in street or external pressure tank.
CALCULATE WATER SERVICE PRESSURE LOSS
6.
LI ~
7.
Low pressure at main in street or external pressure tank. (value of # 5 above)
p "
Water service diameter is I '-I. Material is P L A So. '"t t c.. C'7 .;". Pressure loss
per 100 ft = .c;- psi. X . q a (decimal equivalent of service length, i.e.; 65ft = .65)
1.../,."'"
t.(~, 'S.
(Subtract line 7. from line 6.)
subtotal
8. Determine pressure gain or loss due to elevation,
(multiply the value of # 2 above by .434) value of "8" - C> ...-
9. Available pressure after the bldg. control valve. (Subtract or add line 8. Enter in "8".) subtotal 1.1 '3, -s
CALCULATE THE PRESSURE AVAILABLE FOR UNIFORM LOSS (VALUE OF "A")
8.
Value of "8" l. {'> j ~..
Available pressure after the bldg. control valve. (from "9" above)
C.
Pressure loss of water meter (when meter is required or installed)
Value of "c" ""3 , 0'
(Subtract line C. from line 8.) subtotal '-{ t7 r5
D.
Pressure at controlling fixture.
(Controlling fixture is ~ UP t..U LII"L
Value of "D" 2-"
)
(Subtract the value of D.) subtotal '2 () , '5
E.
Difference in elevation between the building control valve
and the controlling fixture in feet I (;I X .434 psi/ft.
Value of "E" L ( I ~ t.j
(Subtract the value of E.) subtotal I {;, / 1:,
F. Pressure loss due to water treatment devices, instantaneous
water heaters and backflow preventers which serve the
controlling fixture.
(Pressure loss due to )
(Subtract the value of F.)
G. Developed length from building control valve to controlling
fixture in feet G CJ X 1.5
Value of "F" -c.~.
subtotal Ib, /.k.
Value of "G" Cfo
subtotal c /7 1S-
Multiply by 100
"A" = 1'7,OfS;
(Water distribution piping material is
(Divide by the value of G.)
)
P G>)l.
..t-
A.
II H II
c C/O? (f7 a (I
Pressure available for uniform loss
SBD .6479 (R8/02)
r
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OfHKOfH
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
If yOU are a contractor participatinf! in the Permit Fee Account System and have adequate funds. check here
if yOU want this processed throuf!h your account n
. .f1~_. L". ~
Job Address .3 c;;~ L l L A c- Value (Includmglaborandmatenals) ~ ~ t tJ"',t:7
.
Owner D g-dri;T r l..f-6H ti' ~ Contractor p ,J.... .5:. P L fS C.
~ingle Family . DDuplex DMulti-Family DRental DCommercial
Number of Fixtures:
r\ Bathtub -.2...- Disposal
Whirlpool Dishwasher
Lavatory ~ Sump Pump
Toilet ~ Ejector/Grind
Res. Sink -L Water Softner
Bar Sink Local Waste
Water Heater I Clothes Wshr
~ Gas 0 Elect 0 PwrVnt Bidet
Shower Beer Tap
Floor Drain -1- Classnn Sink
Lndry Tray Surgeons Sink
Lab Sink Breakrrn Sink
Plaster Sink Dip Well
Sterilizer Hose Bibs
Misc. /1.13 ;
Fixtures e7--
-L
(l
-L-
Date 12/ r})!C7C
DIndustrial
DrinkFtn Catch Basin
Wait.St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. Ice Maker
Serv Sink Site Drain
lnt Grease Trap Roof Drain
Ext Grease Trap Standp Rec .t
R.P.Z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
Flr/Wst Sink Deduct Meters
Wtr Usage Mtrs
Electric Contractor
OR
DElectric Installation Verification form attached
(If Replacement)
Use / Nature of Work
Size
Material
Conn. Type
Sanitary Sewer
r
Storm Sewer
Water Service
Type
#
n/os