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OSHKOSH
ON THE WATER
Job Address 2796 MINERVA ST
CITY OF OSHKOSH No 123068
PLUMBING PERMIT - APPLICATION AND RECORD
Owner PAINE ART CENTER & ARBORETUM Create Date 11/10/2006
Category 410 - Residential-Interior
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 Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
2 Lndry Tray Clothes Wshr Exam Sink Catch Basin
-
2 Disposal 1 Bidet Sculry Sink Wash Ftn
-- -
1 Dishwasher 1 Beer Tap Hand Sink Urinal
-
Sump Pump 1 Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
2 SILCOCK
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 interior plumbing w/ gas water heater.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1230100000
$119.00 O_PermitVoided I
Valuation ___!~.~QQ.OO Plan Approval __u..__ $0.00 Permit Fees
Issued By
Date 01/04/2007
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 ~ece~sjFY approvals before starting such activity.
Signature ~ ~~ Ifl~ "Z 2Zt:::C'..3
Agent/Owner
Date
!/'lla/}
APPLETON
WI 54912 - 2153. Telephone Number 920-722-5035,920-7
Address PO BOX 2153
_.__.._n.... __ __"__
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.
WATER CALCULATION WORKSHEET FOR '2 'l Cj C. 17 ) )./. V rz v A
NAME/ADDRESS OF PROJECT
INFORMATION REQUIRED TO CALCULATE WATER SERVICE SIZE
1.
2.
Demand of building in gallons per minute.
WSFU's IE-, S- =
(GPM)
Difference in elevation from main or external pressure tank to building control valve.
(feet)
J Li
Is i
3. Size of the water meter. (When applicable) 5/8" _,3/4" v: 1" _, 1-1/2" _,2" _,3" _,4" _,6" -'
4.
Developed length from main or external pressure tank to building control valve.
(feet) ~ #
L..c-
(psig) ..::> J
5.
Low pressure at main in street or external pressure tank.
CALCULATE WATER SERVICE PRESSURE LOSS
6.
Low pressure at main in street or external pressure tank. (value of # 5 above)
~ "
Water serviceffiameter is I LJ . Material is rp L AS, 'if t::::- . Pressure loss
per 100 ft = ~ psi. X " '7 (decimal equivalent of service length, Le.; 65ft = .65)
3~
""3/~
(Subtract line 7. from line 6.)
subtotal S} J S;-
CALCULATE THE PRESSURE AVAILABLE FOR UNIFORM LOSS (VALUE OF "A")
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 "B".) subtotal "3 t f ~
7.
B.
Available pressure after the bldg. control valve. (from "9" above)
Value of "B" '"3 I, -S-
C.
Pressure loss of water meter (when meter is required or installed)
Value of "C"
(Subtract line C. from line B.) subtotal
3
2 fJ J '-S-
Value of "0" '8'
D.
Pressure at controlling fixture.
(Controlling fixture is l.U! C,
)
". /1,"'::-
(Subtract the value of D.) subtotal '- c..- J
E.
Difference in elevation between the building control valve
and the controlling fixture in feet 1 0' X .434 psi/ft.
Value of "E" L I I ~ LJ
(Subtract the value of E.) subtotal Ie. / t
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.)
subtotal
Value of "F"
G.
Developed length from building control valve to controlling
fixture in feet C. 0 X 1.5
Value of "G"
(Water distribution piping material is
(Divide by the value of G.)
)
subtotal
A.
'f' IS '~
d-
Pressure available for uniform loss /, /1" c.. c.--1'd?iS'fl
"A" =
Multiply by
SBD -6479 (R8/02)
._ C.,.--
/6,/C,
~ 0
, j I O;S-
100
1'7,1S
.~ . '. c""
-"
Table 82.40 - 6 ("M" Copper)
1" - 34.0 w.s.f.u.
3/4" - 18.0 w.s.f.u.
1/2" - 6.5 w.s.f.u.
Table 82.40-9 (PEX Pipe)
1" - 20.5 w.s.f.u.
3/4" - 11.0 w.s.f.u.
1/2" - 3.5 w.s.f.u.
Fixture #Fixtures w.s.f.u. total w.s.f.u.
Icemaker 1 0.5 0.5
1/2" Hose Bib 2 3.0 6.0
Kitchen Sink 1 1.5 1.5
Dishwasher 1 1.0 1.0
Automate Washer 1 1.5 1.5
Bathtub. Lav. Toilet 2- 4.0 8.0
18.5 w.s.f.u.
City of Oshkosh
- Inspe'ttion 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 pennit to do and install the following plumbing on the premises hereinafter descnbed, 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 participating in the Permit Fee Account System and have adequate funds, check here
ifvou want this processed through vour account n
~ -- <:>~.
Job Address 2 1 '1 j) 11 ) N t..YflJ/A Value (Including labor and materials) ~ ~ {;; 0 (J Date / / 3 J 0 '7
Owner DlfwiSi;- l-Jcnt.:rJ Contractor P t-~ Pl,&(;.
~Single Family DDuplex DMulti-Family DRental DCommercial Dlndustrial
Number of Fixtures:
,,",. Bathtub 2- Disposal
,
Whirlpool Dishwasher
Lavatory ~ Sump Pump
Toilet ---2- Ejector/Grind
Res. Sink ~ Water Softner
Bar Sink Local Waste
Water Heater ( Clothes Wshr
!&.Gas 0 Elect 0 PwrVnt Bidet
Shower Beer Tap
Floor Drain -L Classrm Sink
Lndry Tray Surgeons Sink
Lab Sink Breakrm Sink
Plaster Sink Dip Well
Sterilizer Hose Bibs
Misc.
Fixtures
Electric Contractor
-L DrinkFtn Catch Basin
f Wait.SI. Wash Ftn
-L Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
~ Hand Sink Coffee Maker
--1- F Prep Sink Comm. Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec ----L
RP.Z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
Flr/Wst Sink Deduct Meters
~ Wtr Usage Mtrs
OR DElectric Installation Verification form attached
(If Replacement)
Use / Nature of Work
Size
Material
#
Sanitary Sewer
r
Storm Sewer
Water Service
Type
Conn. Type
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