HomeMy WebLinkAbout0157152-Plumbing (laterals) � CITY OF OSHKOSH No 157152
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 414 W BENT AVE Owner SUSAN E BARLOW Create Date 08/12/2013
Contractor KEITH PETERSEN PLUMBING Category 401 -Residential-Exterior(laterals) Plan
Inspector Jon Mueller
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 0 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0
Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 FldWst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest p
Disposai 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0
Dishwasher 0 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0
Floor Drain 0 Bar Sink 0 Serv Sink 0 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature SFR/pipe burst sanitary sewer and replace water service
of Work
'"CAMERA EVIDENCE OF PROPER PITCH IS REQUIRED FOR PIPE BURSTING'�
:,ck#17121,*
Size Material Type # Conn.Type
Sanitary Sewer 4" Plastic Lateral 1 New
Storm Sewer
Water Service 3/4" Plastic Lateral 1 New
Parcel Id#
1209280000 '
Valuation $3,800.00 Plan Approval $0.00 Permit Fees $100.00 ❑ Permit Voided�
Issued By Date OS/12/2013
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
AgenUOwner :
Address 1600 HAMILTON CT LITTLE CHUTE WI 54140 -2534 Telephone Number
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 specifed 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 �
P O Box 1130 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050 � �� �
Fa�c:(920)236-5084
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and insta(I 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 wark without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which
ever is greater.
OR
If vou are a contractor participating in the Permit Fee Account Svstem and have adeguate funds check here
if vou want this processed through vour account n
**Advisory-For applicable pmjects, an Electrical Installation Verification(EI�form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be sabmitted
with the permit application. Applications sabmitted withont an EIV when sach is reqnired,will not be
processed for Permit Issnaztce and will be returned for completion.
Job Address � . VAIUB(Inciuding labor and materials)� �O Date � /
O ner 1 GJ Contractor G!.lhl % /?L '
Single Family Dupleg ❑MuIN-Family ORental ❑Commercial Industrial :
Number of Fiztures:
Bathtub Sump Pump Plaster Sink Roof Drain
Shower San.Sump/Pump Scullery Sink Soda Disp
Whirlpool Water Softener Service Sink Coffee Mla�
Lavatory Standpipe Rec Shamp Sink Site Ihain
Toilet Garage FD Surgeons Sink Waiirs Sfi
Kit Sink Local Waste Sterilizer Ice Chest
Disposal Bar Sink RPZ Valve Comm Ice Maker
Dishwasher Breakrm Sink Bidet Int Grease Trap
Floor Drain Classrm Sink Urinal F�ct Grease Trap
Hose Bibb Exam Sink Beer Tap Eye Wash SM
Water Heater F Prep Sink Dipper Well Deduct Meter
�'Gas 0 Elect 0 PwrVnt Fioor Sink Drink Fnfi Wtr Sewer Mtr
Clothes Wshr Hand Sink Wash Fnfi Wu Usage Mtr
Lndry Tray Lab Sink Catch Basin Misc Fia�tures
Electric Contractor(for projects not requiring an EIV Form)
Use/Nature of Work � � �u
Size Material Type # Conn.Type ��
Sanitary Sewer / ����� ���/��
� ��l�
Storm Sewer
Water Service
06/09
WATER CALCULATION WORKSHEET FOR � (� W . ,1�e� �ve,
wu�nooRess oF aao�cr
INFORMATION REQUIRED TO CALCULATE WATER SERVICE SIZE
� 1. Demand of building in gallons per minute. WSFU's�_ _ (GPM) �J� ��
2. Difference in elevation from main or extemal pressure tank to building control valve. (feet) �
3. Size of the water meter. (When applicable) 5/8" ►�,3/4"_, 1"_, 1-1/2"_,2"_, 3"_,4°_,6"_
4. Developed length from main or extemal pressure tank to building control valve. (fest) �O _
5. Low pressure at main in street or extemai pressure tank. (psig) ,�O
CALCULA7E WATER SERVICE PRESSURE LOSS
6. Low pressure at main in street or extemal pressure tank.(value of#5 above) �Q_
;�
7. Water service diameter is . Material is pc7�,�.� . Pressure loss
per 100 ft= 10�S psi.X�(decimal equivalent of service length, i.e.; 65ft= .65) R_�I
(Subtract line 7.from line 6.) subtotal , Lv
8. Determine pressure gain or loss due to elevation,
(multiply the value of#2 above by.434) value of'8' 1.7.� (p
9. Available pressure after the bidg. control valve. (Subtract or add line 8. Enter in"B".) subtotal y9 (,
CALCULATE THE PRESSURE AVAILABLE FOR UNIFORM LOSS(VALUE OF"A")
— B. Availabie pressure after the bidg. control valve.(from"9"above) Value of`B" �19, S�
C. Pressure loss of water meter(when meter is required or installed) Value of"C" CP,5
(Subtract line C.from line B.) subtotal �{.3,:3�o
D. Pressure at controlling fixture. Value of"D" �_
(Controlling focture is �i,�b���-,�.J� )
- (SubVact the value of D.) subtotal 23,3(0
E. Difference in elevation between the building control valve
and the controlling fixture in feet 1�_X .434 psi/ft. Value of"E° l°' S!
(Subtract the value of E.) subtotal I[���
F. Pressure loss due to water treatment devices,instantaneous
water heaters and backflow preventers which serve the :
controlling fi�ure. Value of"F"
(Pressure loss due to ���� )
(Subtract the value of F.) subtotal �_
G. Developed length from building control valve to controlling
fixture in feet�X 1.5 Value of"G" `�d
� (Divide by the value of G.) subtotal , ��
(Water distribution piping material is _)
Multiply by 100
A. Pressure avai�able for uniform loss "A" _ �2
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