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.
OSHKOSH
ON"THE WATER
Job Address 1050 JOHN MOORE DR
CITY OF OSHKOSH
No
127314
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
4 Lndry Tray
3 Disposal
1 Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
2 silcock
2
1
Owner RUSCH HOMES LLC Create Date 10/02/2007
Category 410 - Residential-I nterior 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 2 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
Valuation
Issued By
NSFRllnterior plumbing with gas water heater, "A" value is 51.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1342951800
$6,750.00 Plan Approval
$0.00 Permit Fees
$147.00 0 Permit Voided I
Date 10/17/2007
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
Address 4635 RED FOX RD
OSHKOSH
WI 54904 - 7784 Telephone Number 920-410-5933
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
Oshkosh. WI 54903-1130
phone: (920) 236-5050
Fax: (920) 236-5084
RE
I
\I)
OfH(OJH
ON THE WATER
OCT 16 2007
DEPARTMENT OF
COM~JlUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
Plumbing Permit Application
I hereby apply ror a pennit to do and install the ibUowing plumbing on the !'1~ hereinafter descn1led, the worlt to confonn to the
Wisconsin State Plumbing Code, in tOe pedOrmance of which aU 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. Cormnencingwork withoutpermit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I ou are a contractor aTtici atin in the Permit Fee Account Sl1stem and have ade uate unds check here
i ou want this roces ed throu h OUT account
Value (1nc:l1ldingJabOnodlDllll:rials~ b 750. GO
Contractor s~S ~lvlfl/\'o~
[]MuJti...FamiIy []Reatal DColDlJ1ereial
Job Address \050 3o\w\ N\oore \>r-
Owner ~~ ~
~Single Family OouPIex
+
-L
~
Electric Contractor
Disposal
Dishwasher
Sump Pump
F;jectorIGrind
Water Softner
Local Waste
Clotbes Wsbr
Bidet
BcerTap
CIasmn SiDk
Surgeons Sink
Breaknn Sink
Dip Well
Hose Bibs
s~
Material
Number of Fixtnres:
\
Bathtub
Whirlpool
Lavatory
Toilet
Re$. Sink
Bar Sink
-q-
~
...l-
Water Heater \
l( Gas DEleet~t
Shower ~
Floor Drain ---L-
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
FixtW'es
~
DateJO-I.5-07
QIndustrial
Drink An CateR Basin
Wait. St. Wash Ftn
ke01est Urinal
Exam Sink Gar Drain
Scuhy Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. Ice Mlllcer
SeI'Y Sink Sill: Drain
Tnt Orease T1lIp Roof Drain
&t Grease Tr.sp Standp Rec ~
R.P.z. Valve Eye Wash Sin
Sha.Jq) Sink Wtr Sewer Mtts
FlrIWst Sink Deduct Meters
Wtr Usage Mus
OR 0E1ectric: InstaDation Verification form attached
(If~ut.ot)
Use I Nature of Work
4#
Sanitary Sewer
StotmSewer
Water Service
Type
Conn. Type
'_'-"':";';;':'~-'-";'1--"'__"""__.A"""+--""" ~_1I:1"'a u:!ln~ ~ D'" "'~1T;; n~t
c--" - '-' -
"
~
~JS0,^ :::.. \ 050
WATER CALCULATION WORKSHEET FOR
NN>4EfADORESS OF
INFORMATION REQUIRED TO CALCULATE WATER SERVICE SIZE
. 1.
2.
3.
4.
5.
",,,,,\ .-DEPARTfVlENT o~}.
Demand of building in gallons per minute. WSFU's ~NIiiY (If#MP:::.r$.J.O
. INSPECTION SERVICES DI\tlSION
Difference in elevation from main or external pressure tank to building control valve., (feet) b.
Size of the water meter. (When applicable) 518" _, 314"1:.,1" ........ 1-112" --' Z' _,3" _,4" _'6" -'
Developed length from main OT external pressure tank to building control valve.
(feet) ..5 ~
(psig) 5 7
Low pressure at main in street or external pressure tank.
CALCULATE WATCR SERVICE PRESSURE LOSS
6.
7.
Low pressure at main in street or external pressure tank. (value of if 5 above)
Water service diaj11eter is \ '/f..( . Material is. ~\\ibv\--" \e-J\P j . Pressure loss
per100ft= 3.'6 psi,X ,~ (decimal~j,e.;65ft=.65)
(Subtract line 7. from fine 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 "S",) subtotal
9.
CALCULATE THE PRESSURE AVAILABLE FOR UNIFORM LOSS (VALUE OF "A")
B.
C.
Available pressure after the bldg. control valve. (from "9" above)
Pressure loss of water meter (when meter is required or installed)
Value of "B"
Value of "C"
(Subtract line C. from line 5.) subtotal
D.
Pressure at controlling fixture. All . { _ r~' ." r
{Controlling fixture is . (,\I\S~ ~
VaJ,Je of "[)"
)
{Subtract the value of D.) . sulJtotal
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
F.
Pressure loss due to water treatment devi~s, instantaneous
water heaters and backflow preventers which serve the
controlfmg fixture.
(Pressure 10$$ due to
subtotal
Value of "F"
----
)
(SubtJact the value of F.)
G.
Developed lengt!l from building cont;rol valve to controRing
fixture in feet '-0 X 1.5
Value of -G"
(Water distribution piping material is \yMt rl\ ~ l ~o~e by the value of G.) subtotal
Multiply by
A.
Pressure available for uniform Joss
"An =
Sf![) -6479 iR8Ill2J
s7
~.~a~
~b
~, ~(j~
s:0..\1~
5~. \'l
3
Y91 \1;A
~C)
~ 9 ' I '1.2
3,,90b
.:L5j )JSb
--
~5, ?-C(;6
CJ()
,503
100
50.3