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G CITY OF OSHKOSH No 125388
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3880 EDGEWOOD RD Owner RICHARD J/NANCY S CASEY Create Date OS/29/2007
Category 410 - Residential-I nterior
Contractor SBS PLUMBING LLC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc. 3
Fixtures
4
3
1
Shower 2 Water Softner Wait. St. Shamp Sink
-
Floor Drain 1 Local Waste Ice Chest FlrlWst Sink
-
Lndry Tray 1 Clothes Wshr Exam Sink Catch Basin
-
Disposal 1 Bidet Sculry Sink Wash Ftn
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
Hose bibs
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
NSFRI New single family* 1 story 3 car attached garage and 15' x 25' concrete patio.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1280150203
Use/Nature
of Work
Valuation
Issued By
$7,400.00 Plan Approval
~
$0.00
$161.00 D Permit Voided I
Date 06/18/2007
Permit Fees
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
Address 4635 RED FOX RD
AgenUOwner
OSHKOSH
WI 54904 - 7784 Telephone Number 920-410-5933
Date
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
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
I ou are a contractor artici atin in the Permit F
ou want this rocessed throu h our account
3'5'&0 E'd~~
Job Address Lof If BJ6c.kbhJ Acree:...
Owner LocJ,~"" I-Iol'1es LTD.
pingle Family DDuplex
Number of Fixtures:
Batlttub I
Whirlpool
Lavatory
Toilet
~
3
---L-
Res. Sink
Bar Sink
Water Heater
Oll Gas 0 Elect i!i PwrVnt
Shower ~
Floor Drain ~
Lndry Tray I
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Brealam Sink
Dip Well
Hose Bibs
e Account S stem and have ade uate unds check here
Value (Including labor and materials) 7, tt(b, aJ
Contractor
SiSS
DRental
1> 114Mb r-7
DCommercial
DMuIti-Family
I
I
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
ServSink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
RP .Z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
FIrIWst Sink Deduct Meters
Wtr Usage Mtrs
1
~
Electric Contractor
OR
DElectric Installation Verification form attached
(If Replacement)
Use I Nature of Work
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
~<6
1:>
o
\d-
#
I
L.Ji'SL. / .~ ~g-o-E.J~e~
NAMf./AO(1~E'SS Of r~I)JE;:-""
e r
~~----_._......._----_.
WATER CALCULATION WORKSHEET FOR
r:;';FO;~~ REQU1RED TO C/\LCULATE WATER SERVICE SIZE
I
I 1.
\ :
~. Developed length from maio or external pressure tank to building control valve.
5. Low pressure at main in street or extemal pressure lank.
-.---"" --... ...
Demand of building in oailons per minute.
WSFU''3 _Z~{L_ .-
((;f.iM)
Difference in elevation from main or external pressure tank-Lo building control valve.
(ieet)
.'1
I
j
J!i~.~.. i
I
I 1
-'---... I
I
Size of the water meter. (When applicable)
5/8- ._.314""6_.1" ._,1-112" _,2" __,3" __.4" __,68_.
(feet) ...'-.t1':......-.
(psig) . .'-tL.,."/F.
CALCULATE WATER SERVICE PRESSURE LOSS
6.
7.
low pressure at main in street or extemal pressure tank. (value of # 5 above)
Water service diarneter is } }lL, Material is t>6~ hlA'f.:j.'-.c. _______..' Pressure loss
per 100 ft:: -.-.2-- psi. X . '0 (decimal equiv lent of service length, i.e.; 65ft = .65)
__.6..CL__
~
(Subtract line 7. from ltne 6.)
subtotal G "7
8.
Determine pressure gain Qr loss due to elevation,
(multiply the value of # 2 above by .434) value of WS"
9.
Available pressure after the bldg. control valve. (Subtract or add iine B. Enter in "Bo.} subtotal
CALCULATE THE PRESSURE AVAILABLE FOR UNIFORM LOSS (VALUE OF ".A")
6.
Available pressure after the bldg. control valve. (from w9~ above)
Value of "8'"
c.
Pressure loss of water meter (when meter is required or installed)
Value of we"
(Subtract fine C. from line B.) subtotaJ
Z. '-6'(
Sf. 3'11
5'1. 3r~~.
4.'6
~r, 5'16 _
Value of wO" '"2 0
D.
Pressure at controlling fIXture.
(Controlling fixture is ('1e.~ fu. Be..l-h. S k.-..er
)
(Subtract the value of D.) subtotal .?J.59'.
E.
Difference in elevation between the building contIol valve
and the controlling fIXture in feet 1" X .434 psilfl
Value of "En '3~9'(!)6
(Subtract the value of E.) subtotal Z!:~ tL
F.
Pressure loss due to water treatment devices. instantaneous
water healers and backfJow pre venters which serve the
controlling fixture.
{Pressure loss due to
subtotal
Value of "F"
--:?
}
(Subtract the value of F,)
G.
Developed length from building control valve to controlting
fixture in feet 7$ I X 1.5
Value of -G~
(Water distribution piping material is r~ f1 ~ (
(Divide by the value of G.) subtotal
fJe-l )
RECEI"~:fi:
JUN 2 5 2007
P-.
Pressure available for uniform loss
~:>eo -~ f!J f~8tt)2}
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
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IIZIS
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