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OSHKOSH
ON THE WATER
Job Address 3115 BAI LEY CT
CITY OF OSHKOSH
No
125713
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
2 Hose Bibs
2
1
Owner RUSCH HOMES LLC Create Date 06/14/2007
Category 410 - Residential-Interior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Contractor SBS PLUMBING LLC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
4
3
1
NSFR /INTERIOR PLUMBING FOR NEW HOME ""debt acct
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1342951100
Plan Approval
$0.00
$140.00 D Permit Voided I
Permit Fees
Valuation $6,750.00
Issued By ~
v
Date 07/10/2007
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 necessary approvals before starting such activity.
Signature
Date
Agent/Owner
OSHKOSH
WI 54904 - 7784 Telephone Number 920-410-5933
Address 4635 RED FOX RD
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
~
OJHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a pennit to do and install the following plumbing on the premises hereinafter descn1>ed, 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
Job Address 31 t S""B~; k" C+-.
Owner 1(l.\.sc.k /Ic"",es
~ingle Family ODuplex
Number of Fixtures:
t
Bathtub
Whirlpool
Lavatory
-
4
~
,
Toilet
Res. Sink
Bar Sink
Water Heater ---,-
proas 0 Elect 0 PwrVnt
Shower ~
Floor Drain I
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Value (Including labor and materials) 6,1St!J.(X>
Contractor S Bs PJ~b~~ I..LC.
[]Multi-Family []Rental DCommercial
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes. Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
BrealamSink
Dip Well
Hose Bibs
-
j
-
I
I'
z
Date '7/& lorr
Dlndustrial
DrinkFtn
Wait. St.
Ice Chest
Exam Sink
Scuhy Sink
Hand Sink
F Prep Sink
ServSink
int Grease Trap
Ext Grease Trap
RP.Z. Valve
Shamp Sink
F1r1Wst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Comm. Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash Stn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
I
Electric Contractor
OR
[]Electric Installation Verification form attached
(IfRep1acement)
Use I Nature of Work
#
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
Conn. Type
WATER CALCULATION WORKSHEET FOR Ru..Sc.k J1~_L_~{ I~
N,.~MEfAD[;HcSS or- ~('lJf,(:
r;~~O;MA~ION R~'QUiR~; TO CALCULATE WATER SERVICE SJZE
i
i
-1/l~ I () ,
at;\. \ll_ c ~t,-..__._.
1.
DI;~rnand of bUIlding irr fj;,::lIh;)ns per minute.
WSFU's _.?:Z.~~. .~
..,
.....
Difference in elevation from main or external pressure tank to building control valve.
.~._--....------..-
-I
1
(GFM',r j $. S-
.--.-...---. i
1
\!eet)_~._.._ i
,
I
(feet)' SO r I
(psig) 56-- j
. ...___.._u J
3.
Size of the water meter. (When applicable)
5/8- _,3/4-1-.1- _, 1-112" __,2"_.3- ___,4" __' 6~_.
~. Developed le.Ogth from maio or external pressure tank to b'Jifding control val'.J'e.
5. Low pressure at main in street or external pressure tank.
------...----
---....... ,
CALCULATE WATER SERVlCE PRESSURE lOSS
6.
Low pressure at main in street or external pressure tank. (value of # 5 above)
Water service diameter is _!..'.!L__. Material is ~o:.\y b....~_.___~_.. Pressure loss
per 100 ft =: 3,6. psi. X So (decimal equivalent of service leogth,J.e.; 65ft == .65)
7.
(Subtract line 7. from line 6.)
subtotal
8.
Determine pressure gain or Joss due to elevation,
(muitiPly U'ie value of # 2 above by .434) value of "e-
9.
!'\vailable pressure after the bldg. control valve. (Subtract or add lin", 8. Enter in ~8..) subtotal
CALCULATE THE PRESSURE AVAILABLE FOR UNIFORM LOSS (VALUE OF "A")
_~9_..__
I. '6
'1~,L
z. . <;'6Lf
.!t?:.~6 .
8.
Available pressure after the bldg. control valve. (from ~9"' above)
Value of"B" '-15.5.
._._2~_
c.
Pressure loss of water meter (when meter is required Of installed)
(Subtract line C. from line B.) subtotal
Value of~C" 3. i.-{
o.
Pressure at controlling fixture.
(ControJJiog fIXture is t16."i>1c:r $lu.~
)
(Subtract the value of D.) subtotal
Value of "0"
E.
Difference in elevation between the building control valve
and the controlling fIXture in feet if j X.434 psilft
Value of "E"
(Subtract the value of E.) subtotal
F.
Pressure loss due to water treatment devices, instantaneous
water heaters and backtlow preventers which serve thE:
controlling fixture. Value of MF"
(Pressure loss due to )
(Subtract the value of F.) subtotal
G.
Developed length frpm building control valve to controlling
fixture 10 feet 60 X 1.5 Value of ~G"
(Divide by the value of G.)
(Water distribution piping material is "Yfe~ I fk)t )
subtotal
Multiply by
P-.
Pressure available fOf uniform loss
..cAJJ ::;;
S80 -64 ffl tRiit02'~
'fl. If,,_
~~---
_~~~ !.J!..
"3/11> t.
,g,Zf
-,
(~ ,lof
~()~-
. U3 2-
_ _.....1 00 _.._
~Q-~-_.-