HomeMy WebLinkAbout0126545-Plumbing (laterals)
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OSHKOSH
ON THE WATER
Job Address 1120 PHEASANT CREEK DR
CITY OF OSHKOSH
PLUMalNG PERMIT - APPLICATION AND RECORD
Owner CYPRESS HOMES
Contractor FREDERICKSON, GENE TRUCKING & EXCAVATI Category 401 - Residential-Exterior (laterals)
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet Disposal Bidet Sculry Sink Wash Ftn
Res. Sink Dishwasher Beer Tap Hand Sink Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature INSFRI Laterals with tracer wire.
of Work
No
126545
Create Date
08/30/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Material
Plastic
#
Conn. Type
New
Sanitary Sewer
4"
Type
Lateral
Storm Sewer
Plastic
Lateral
New
4"
Water Service
1-1/4"
Plastic
Lateral
New
Valuation
$1,000.00
$0.00
$150.00 D Permit Voided I
Parcelld #
Plan Approval
Permit Fees
Issued By
Date 08/30/2007
In the performance of this work, I agree to perform all work pursuant to rules goveming 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 hOlde~~) and to secure any necessary approvals before starting such activity.
Signature tlJ~~ Date
Agent/Owner
B' ~ .30. ~7
Address W1732 CTY RD KK
KAUKAUNA
WI 54130 - 0000 Telephone Number 920-766-1100
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
Inspep'tion Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
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
Ifvou are a contractor participating in the Permit Fee Account Svstem and have adequate funds, check here
if vou want this processed through vour 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 EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
Job Address // J--d P heo J c-Y1f C"r-tVafue (Including labor and materials) {( ~ Data:)' - -.1 0 .. 07
Owner ~.,..O--<-!( #C/\A.eJ Contractor e-l'e.;I ~::::T;:xc::~.-vc,-t~.
OSingle Farn" y/ ODuplex OMulti-Farnily ORental OCornrnercial 01 ustrial
Number of Fixtures:
Bathtub Disposal Drink Ftn Catch Basin
Whirlpool Dishwasher Wait. St. Wash Ftn
Lavatory Sump Pump Ice Chest Urinal
Toilet Ejector/Grind Exam Sink Gar Drain
Res. Sink Water Softner Sculry Sink Soda Disp
Bar Sink Local Waste Hand Sink Coffee Maker
Water Heater Clothes Wshr F Prep Sink Comm. Ice Maker
o Gas 0 Elect;] PwrVnt Bidet Serv Sink Site Drain
Shower Beer Tap Int Grease Trap Roof Drain
Floor Drain Classrm Sink Ext Grease Trap Standp Rec
Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Stn
Lab Sink Breakrm Sink Shamp Sink Wtr Sewer Mtrs
Plaster Sink Dip Well FlrlWst Sink Deduct Meters
Sterilizer Hose Bibs Wtr Usage Mtrs
Misc.
Fixtures
Electric Contractor (for projects not requiring an EIV Form)
Use I Nature of Work ~ f r::-/~ Lr-.< l-rv~lJ
Size Material Type # Conn. Type
Sanitary Sewer C;11 /1u5!j ( jfl/~€</ J /evJ
9'1/7 1 , / '1
Storm Sewer I ,
Water Service /~ j/I I \ ) '\ J ) ,
/ '1
07/07
Qu~ ~ l~-sv~
WATER CALCULATION WORKSHEET FOR i I~O '~,J: FR:'tE IVE9-
iNFORMATION REQUIREO TO CALCULATE WATER SeRVlCESIZE SEP 11 2007 .
1, Demand pf building in gallons per minute, WSFU's J.~EP~T(G1MtPF /.5. ~
. COMMUNITY DEVELOPMI;Al~
2. Difference in elevation from main or external pressure tank to buikling contniN8ifi€.rION SER'(4lffi}$ DI~ION
3. Size of the water meter. (When appftcable) 5J8'" ---J 3/4:" 't... 1" -' 1-1/T -' 2" -' 3" --,4" _'6" _'
(feet) ~
(psis) 5'1
4.
Developed length from main or external pressul"i!:umk to building control valve.
5.
Low pressure at main in street or external pressure tank.
CALCULATE WATER SERVICE PRESSURE LOSS
6.
7.
Low pressure at main in street or exle~ pressure tank, (value of # 5 above)
Waterservice~teris 11f't . Material is POh(L,,\.,'\.eiAi. Pressure loss
per 100ft::: ..2!.Jz.... psi. X ,'b.:l. (decimal ~j.e.; 65ft = .65)
.
(Subtract line 7. from flOe 6.) subtotal
8.
Determine pressure gain or loss due to elevation,
(multiply the value of # 2 above by .434) value of "8"
Available pressure after the bldg. control valve. (Subtract or add line 8. Enter in "8".) subtotal
9.
CALCULATE THE PRESSURE AVAll-ABLE FOR UNIFORM LOSS (VALUe OF uA")
B.
C.
Available pressure after the bldg. control valve. (from -g" above)
Pressure loss of water meter (when meter is required or installed)
Value of "'C"
Value of "S"
o.
Pressure at controlling fixture.~
(ControIDng fixture is Mtl
(Subtract lineC. from line S.) subtotal
Value of "0"
lV'-b
)
(Subtract the value of D.) . subtotal
E.
Difference in elevation between the building control valve
and the controlling fixture in feet ~ .. X .434 psi/ft. Value .of "E"
(Subtract the value of E.) subtotal
Pressure loss due to water treatment devices. instantaneous
water heaters and backflow preventers which serve the
controlling fixture. Value of "P'
(Pressure loss due t() )
(Subtract the valUe of F.) subtotal
F.
G.
Developed JengtJl ~m building control valve to controHing
fixture in feet i1 X 1.5
Value of"G"
(DMde by the value of G.) subtotal
rNaterdistribution piping material is ~
Multiply by
A.
Pressure available for urlIfonn loss
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