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R.7/26/2024 Page 1 of 3
Scheduling Plumbing Plan Review and
Checklist for General Plumbing Plan Review
Summary Sheet
Section 1. GENERAL PLAN REVIEW APPLICATION INFORMATION
Electronic plumbing plan reviews shall be submitted online at: https://esla.wi.gov/PortalCommunityLogin. Paper plan submittals are no longer
accepted by the Department. A complete set of plans and full payment are required at the time of application submittal.
A tutorial aid for the application can be accessed at: https://dsps.wi.gov/Documents/HowToSubmitforaPlumbingPlanReview.pdf
1. Building or Project Name:
2. DIS Application #:
Check all that are applicable.
New Revision to a previously approved plan review
Addition/Alteration Extension to a previously approved plan review
Permission to start (Fill out Section 3)
4. Health Care and Health Care Related Facilities: Check all that are applicable to the type of building submitted. If not applicable, then proceed
to Item No. 5.
Health care facility [SPS 381.01(116)] Health care related facility [SPS 381.01(117m)]
See the Plumbing Plan Review Recap & Inspection Checklist for Health Care Facilities and Health Care Related Facilities for more
information required for these types of occupancies. Note: the checklist provided above is used by the Department and delegated
municipalities conducting plan review and inspection for these types of occupancies.
5. Types of Installation Components (Equipment Types): Check all that are applicable.
Link to eSLA equipment definitions can be found by visiting: eSLA Plumbing Equipment Definitions
Building Drain & Vent, Sanitary* IAPMO Water Demand Calculator** Regulated Contaminant Water
Building Drain & Vent, Storm* Interior Containment Tank Treatment – Other
Building Sewer, Sanitary* Interior Cross Connection Control Regulated Contaminant Water
Building Sewer, Storm* Assembly, Health Care Treatment – Radium
Campground/Recreational Vehicle Park Interior Grease Interceptor Sanitary Dump Station
Drainage System, Sanitary Interior Mixed Wastewater Treatment Siphonic Roof Drain Engineered
Campground/Recreational Vehicle Park Device System
Drainage System, Storm Interior Non-Potable Water System Sovent Engineered System
Campground/Recreational Vehicle Park Interior Oil Interceptor Storm Detention System
Water Supply System Interior Potable Water Tank Storm Subsurface Infiltration Plumbing
Car Wash Interceptor Interior Wastewater Treatment Device Water Distribution System*
Chemical Waste System Manufactured Home Community Water Water Reuse - Blackwater
Controlled Roof Drain Engineered System Supply System Water Reuse - Clearwater
Drainage System, Storm Multipurpose Piping System Water Reuse – Graywater
Exterior Containment Tank Private Interceptor Main Sewer, Water Reuse – Stormwater
Exterior Cross Connection Control Sanitary* Water Service*
Assembly, Health Care Private Interceptor Main Sewer, Storm* Water Treatment – .5 Chlorine
Exterior Grease Interceptor Private Water Main* Water Treatment – Chloramine
Exterior Mixed Wastewater Treatment Provent Engineered System Water Treatment – Chlorine Dioxide
Device Pure Water System Water Treatment – Silver/Copper
Exterior Non-Potable Water System Regulated Contaminant Water Water Treatment – Thermal
Exterior Oil Interceptor Treatment – Arsenic Water Treatment – Ultrafiltration
Exterior Potable Water Tank Regulated Contaminant Water Water Treatment – Ultraviolet System
Exterior Wastewater Treatment Device, Treatment – Bacteria Water Treatment – Ultrafiltration
Storm Regulated Contaminant Water Water Treatment – Ultraviolet System
Garage Catch Basin Treatment – Nitrate Alternate Vacuum Waste System
* Permission to Start is acceptable for this plumbing equipment. See Section 3 for more information.
** See Section 4 for more information.
*** Note *** Interior Cross Connection Control Assembly, Non-Health Care and Exterior Cross Connection Control Assembly, Non-Health Care
Devices and Assemblies are no longer included in plumbing plan review submittals. These Devices and Assemblies are required to be
registered and tested and submitted to the Department per SPS 382.22(8).
R.7/26/2024 Page 2 of 3
Section 2. PLUMBING PLAN SUBMITTAL DOCUMENTS
Plumbing plan submittal documents have two categories. Subsection 1 is the plumbing plan requirements. Subsection 2 is all other documents to be
submitted in the application. Check all that are applicable.
1.PLUMBING PLAN REQUIREMENTS: Check all that are applicable.
Plan Index
Site-Specific Plan
■Plan must show the locations, sizes, and slopes of all sanitary
sewers, storm sewers (including the roof drain system), and
water service piping within the property lines.
■Site grade run off plans and contour lines showing what is
drained to the plumbing system
■GPM flow rates and maximum capacity are labeled next to each
pipe size and slope. Include all pipe sizes and discharge rates.
■Geotechnical reports must not be included in the Site-Specific
Plan.
Floor Plan
■Plan must include complete plumbing floor plans for each floor,■Remodeling or additions shall include existing loads.
distribution lines, fixtures, and equipment to be installed.
■
applicable.
Isometric Diagrams
■30°/60° isometric diagrams of the drain, vent, water distribution,
and interior storm systems.
■Indicate water supply, drainage fixture units, and storm area
drainage with gpm loads with each change in pipe diameter.
Roof Plan
■
General Requirements for All Plans
■All plans must be properly signed per SPS 382.20(4)(c).■List fixture and appliance manufacturers and model numbers.
■Fixtures, appliances, or equipment may need product approval.■Complete sizing calculations for all grease interceptors.
■Cut sheets, shop drawings or specifications of plumbing fixtures ■Identify specific materials for installations as listed in SPS 384
■Provide product approval letters for each health care appliance -
https://esla.wi.gov/publiclookup
■Plumbing specifications and other pertinent documents (can
be submitted under Subsection 2)
Stormwater and Clearwater Plumbing Systems Specific Requirements per SPS 382.36
■Calculations showing all systems upstream of detention are designed, at a minimum to pass the 10-year, 24-hour storm event.
■Calculations conforming to the requirements of SPS 382.36(5) included showing all plumbing systems downstream of detention
features are designed to pass the design discharge flow from detention and all additional flows.
■Volume calculations for the 2-year, 24-hour storm and the 100-year, 24-hour storm included showing not damage to property.
■An Operation and Maintenance Plan is included that contains all the required information outlined in SPS 382.36(13).
■Calculations showing 72-hour drain down time for dry detention systems for the design storm event per SPS 382.36(6)(g)1.
■Calculations showing maximum 6-inch stormwater depth for the design storm event on paved surfaces per SPS 382.36(6)(g)2.
■Calculations showing surface ponding will drain within 24 hours after the design storm event per SPS 382.36(6)(g)3.
Stormwater and Clearwater Subsurface Infiltration Plumbing Systems Requirements per SPS 382.365
■A site and soil evaluation must be included in accordance with the requirements in SPS 385.40(3)(a) and 385.30 (1)(c).
■Soil Evaluation - Storm (SBD-10793) form signed by the CST/PSS have been completed for all proposed subsurface infiltration areas
and are included with a signed site map. Form available at: https://dsps.wi.gov/Documents/Programs/Plumbing/SBD10793.pdf
■
■Soil profile evaluations used to determine or identify soil horizon depths, soil color, soil texture, redoximorphic feature colors or depth to
groundwater or bedrock shall be conducted using either soil pits or soil borings per SPS 385.20(2)(c)2.
■Soil pits elevations reported on form SBD-10793 correspond with the elevations shown on the “Site Specific Plan.”
■Calculations demonstrating groundwater mounding will not impact system performance when the width of the system exceeds 15 feet.
■Calculations showing subsurface drainage system will drain down within 72 hours after a storm event and surface ponding will drain
down within 24 hours after a storm event.
■Details with section views of infiltration systems included showing elevations of all critical components.
■Documentation showing the influent quality complies with the requirements in Table 382.70-1 for subsurface infiltration and irrigation.
■Laboratory test results or other documentation included that demonstrates that stormwater collected on-site for use in an on-site
plumbing system meets or will be treated to the minimum requirements listed in Table 382.70-1 for its intended use.
2.ADDITIONAL SUBMITTAL REQUIREMENTS: Check all that are applicable.
Complete water calculations per SPS 382.40(7). Indicate the plan page number(s) water calculations are located:
Submit water calculations separately if not located on the plans. Links below for instructions and form.
https://dsps.wi.gov/Documents/Programs/Plumbing/SBD6479Instructions.pdf
https://dsps.wi.gov/Documents/Programs/Plumbing/SBD6479.pdf
R.7/26/2024 Page 3 of 3
Section 3. OPTIONAL SERVICE-PERMISSION TO START
Alternate Approval at: https://dsps.my.salesforce.com/sfc/p/#t0000000LAz5/a/8y000002Ct0n/aMClO5babl0ysuhGm0P3mRktlza4RB5xZjV_qYlj6N0
As specified within the Alternate Approval, a submittal of a complete
set of plans is required to utilize the permission to start.
Scope of installations are limited to below grade only and a
maximum of 18-inches above floor.
Plumbing equipment requested to the right must also be
checked in Section 1.
Request is for the following specific plumbing equipment installations:
Building Sewer, Sanitary;
Private Interceptor Main Sewer, Sanitary;
Private Interceptor Main Sewer, Storm;
Building Sewer, Storm;
Water Service;
Private Water Main;
Building Drain & Vent, Sanitary;
Building Drain & Vent, Storm;
Water Distribution System
As the building owner, I request to begin plumbing installations prior to plan review approval I agree to make any changes required after plans have
been reviewed, and to remove or replace any non-code complying construction and make revisions to plans on any changes. I will not permit any
installation to exceed 18 inches above the unexcavated floor.
_________________________________________________
Building Owner’s Signature
_______________
Date
Section 4. OPTIONAL SIZING OF WATER SUPPLY PIPING USING THE IAPMO WATER DEMAND CALCULATOR (WDC)
Alternate Approval at:
https://dsps.my.salesforce.com/sfc/p/#t0000000LAz5/a/8y000004t1kG/h62oQttBGrkNbyAB2wU1XneBnVcRwHSmw0_TTTASPGY
As the applicant, I am requesting to use the IAMPO Water Demand Calculator v. 2.2 for sizing the water supply piping in accordance with SPS
382.40(7) outlined in the alternate approval. I understand this alternate standard provides a method for estimating the demand load for the building
water supply and principal branches for one- and two-family dwellings as specified in s. SPS 320.02(1)(a), (ce), (cm), or (cs) Wis. Adm. Code and
nonpublic multiple dwellings, as defined by s. SPS 381.01(155) and (162) Wis. Adm. Code, with water conserving plumbing fixtures, fixture fittings
and appliances.
The applicant acknowledges the following items:
1. Review and include a copy of the DSPS approval PP-031603529-PTOAA letter with the IAPMO WDC submittal.
2. Provide verbiage for a sign or posting with permanent tagging at the building control valve and water heater control valve to identify the
specific IAPMO Water Demand Calculator Sizing system.
3. Provide IAPMO WDC calculations for each piece of distribution piping using the IAPMO WDC sizing method.
4. All piping sized using the IAPMO WDC alternative shall display bold, underlined and italicized GPM loads on the isometric plan sheets.
5. WSFUs shall not be combined with WDC GPM’s (mains or vertical risers); therefore, provide actual fixture GPMs loads for each non WDC
fixture, if adding to the WDC method distribution system. Separate water distribution piping systems may use Wis Code SPS 382.40(7)
WSFU’s provided they are connected upstream of the beginning of any IAMPO WDC system method sizing piping.
6. Water distribution piping ½” or ¾” in diameter serving plumbing fixtures shall not have a load greater than those assessed per pressure
available for uniform loss (“A” value) in Tables SPS 382.40 4-11 Wis. Adm. Code and tables for ASTM D1785 and ASTM F441 in the
appendix.
7. All fixtures and replacement fixtures shall be at or below the designed fixture flow rates and shall be Energy Star rated for the IAPMO
Water Demand Calculator Sizing system. Provide fixture cut sheets with low flow & energy star certification with the IAPMO submittal.
8. Water supply piping shall be sized and installed in strict accordance with IAMPO Water Demand Calculator v. 2.2, Chapters 381-386 Wis.
Adm. Code and the alternate approval.
_________________________________________________
Applicant’s Signature
_______________
Date
Section 5. ATTESTATION
Applicant acknowledges that any additional application or submittal information requested must be received by the Department within five (5)
business days or the plan is subject to denial. Applicant further acknowledges that any additional plan review information requested must be received
by the Department within fifteen (15) business days or the plan is subject to denial.
Include this form with the plan review application separately from the plan documents.
_________________________________________________
Applicant’s Signature
_______________
Date