HomeMy WebLinkAbout0125998-Plumbing
e CITY OF OSHKOSH No 125998
OSHKOSR PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 33 W TENNESSEE AVE Owner ANN M SCHOEN Create Date 07/30/2007
Contractor FIELDS PLUMBING
Bathtub Shower Water Softner
Whirlpool Floor Drain Local Waste
Lavatory 1 Lndry Tray Clothes Wshr
-
Toilet 1 Disposal 1 Bidet
-- -
Res. Sink 1 Dishwasher 1 Beer Tap
-
Bar Sink Sump Pump 1 Lab Sink
Water Heater Classrm Sink Sterilizer
Site Drain Breakrm Sink Dip Well
Roof Drain Ejector/Grind Drink Ftn
Misc. silcock
Fixtures
Category 410 - Residential-Interior
Plan
Wait. St.
Ice Chest
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
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Interior addition and remodel.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1500580000
Use/Nature
of Work
Valuation
$5,271.00
$0.00
Plan Approval
Issued By
Permit Fees
$70.00 0 Permit Voided i
Date 07/30/2007
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) nd to secu ~n~_,.~. ry_:~ val efore.l>.lf![1:iog such activity.
Signature /1<-.'
Agent/Owner
Address 1939 SOUTHLAND LN
NEW LONDON
Date
r;-. ~ 20 r . 7
\.\u Y J
(
WI 54961 - 0000 Telephone Number 920-982-5813
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.
City of Oshkosh
Inspection Services Division
POBox 1130
Os~~osfi, VVI54903-1130
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 participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed throuf!h your account n
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EN when such is required, will not be
processed for Permit Issuance and will be returned for completion.
Job Address '3 "3 ~ T -e.'", ile5SC' Value (Including labor and materials)
Owner A V1 VI S c... hoe f\ Contractor t:' ^~
~ingle Family DDuplex DMulti-Family DRental
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas '0 Elect:] PwrVnt
Shower --1-
-L
--L-
-'-
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
S teri I izer
Misc.
Fixtures
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
DipWeII
Hose Bibs
I
-L-
-'--
---L-
1-
Drink Ftn 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
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec -L
R.P.Z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
Flr/Wst Sink Deduct Meters
Wtr Usage Mtrs
Electric Contractor (for projects not requiring an EIV Form)
Use / Nature ofWorkR..e f\c\"~e q S e d;OA D'1
i (\ A \ r: V
10 ~ ~ r 5<:: u..J(LF'
Sanitary Sewer
Storm Sewer
Water Service
Size
. ,.r
to
Material
PVC
Type
#
Conn. Type
'0
l' ),~IJ"
I 4."' J
) 07/07
. r-..,~,\ . 33 W leM€-SSe.-
os~s~af . .
ON THE WATER \.<R WATER CALCULATION WORKSHEET I \ f ~ a ~ V\ \ l" S
~ v> 5-fL
. lW>-/%. .'I'JfJ___ ~ ~ J - It I __","~IIl..a:no-t...ACl_""II"'Q_'_"'_"'=_'__'
, INFORMAinOH REQUIRED TO CALCdaU~WATEFf8EiWi& S.zE ~.~.. ;~.,r:"i~~. ,>,:'.;;, :.;;::: .:( .: '.' .,~~;,:~;. '.. :.. .1
~.. ~-~
. "-:.:., ,~.
~'!;{,CA1.CU. WATER SERVICE PRESSURE LOSS
''':6.
7.
8.
9.
Q.~termine pressure loss due to elevation,
(multiply the value of # 2 aboVe by .434)
Available pressure after the bldg. control valve. (enter in "B" below)
, ,(
-.----
Subtract vall.tEI Il1f "'ir- llf ( L(
"'.~~~'-lp
"'711>..... 'II'MI
. Stllbb'act vllillJlet of .. :1" _._~,~
.~~~
I!iW pressure at main in street or external pressure tank.(vaJue of.. 5 above)
itermine pressure loss due to' fricUon in r't . ~ ;;'lameter
fter service. d. 1.\. ~ "'.- l ()6 ( - .
subtotal
subtotal
,CALCU9TE THE PRESSURE AVAILABLE FOR UNIFORM LOSS CVALUE OF. !If A":.
a. ;!\Vailable pressure after the bldg. control valve. (from "9" aboVe)
't, C.
.':;'0.
':<:e.
Vtl:~W!l ,;';If "EI"_"'iL~
Subtract valuel of '"I~" .....3. { ::[
R~sure loss of water meter (when meter is required)
_'19 ~ --.~ .
Subtract vaIU'E' of"I:)" _.v~ 9._
_.~O\~
Subtract value' of "I::" _._1 ~_.? .
.p,JhL
subtotal
~ .... ;
fflK~ssure at controlU"g fixture.
sub~otal
;,;i,.:,
.:Y!.;~)::.,,:
:J!).'...........iffi...... erence in eI~vation between the b~ing controt valve
a,ttd the controllIng fixture In feet _":J. ~a. X .434 psUft
subtotal
F.
Pressure loss due to water treatment devices, instantaneous
W~ heaters and baCkflow preventem which serve the
!i'ntrolrlng fixture.
~
Subtract valUie~ of "'I::" ...___
subtcatal~ ,,.,,L!.:.._L
. oped lengttfrg,m building control valve to controUlng
re in feet .., ..:t-S X 1.5
Divide by valwa.of,'G" .. 6 '7 (~~':;::r,;,:
subtotal ~....J 1l,~.!f}:f
,j."~?f'
Mulltlpty by
ure available for uniform loss
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