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The Plumbing Permit Application form serves as a crucial document for anyone planning plumbing work in Michigan. It ensures that the process follows regulations and standards necessary for safety and compliance. The form requires detailed information about the job location, including the name of the owner or agent, whether a building permit has been obtained, and specific details about the site such as the street address and the local government jurisdiction. Key sections include information about the contractor or homeowner responsible for the project, and the types of plumbing work being undertaken, ranging from alterations to new installations. It's important to note that plans may need to be submitted, depending on the complexity and scope of the work. Furthermore, applicants must provide their signatures, confirming adherence to relevant laws and regulations. An understanding of the fee structure is also necessary, as it includes various categories that may apply to the specific plumbing tasks at hand. Finally, the application emphasizes the necessity of inspections, which cannot be ignored, ensuring that all work is done in accordance with the Michigan Plumbing Code.

Plumbing Permit Application Example

Plumbing Permit Application

I. Job Location

Authority:

1972 PA 230

Completion:

Mandatory to obtain permit

Penalty:

Permit cannot be issued

 

 

NAME OF OWNER/AGENT

 

 

 

 

 

HAS A BUILDING PERMIT BEEN OBTAINED FOR THIS PROJECT?

 

 

 

 

 

 

 

Yes

No

Not required

STREET ADDRESS AND JOB LOCATION (Street Number and Name)

NAME OF CITY, VILLAGE OR TOWNSHIP IN WHICH JOB IS LOCATED

COUNTY

 

 

 

City Village

Township OF:

 

 

 

II. Contractor / Homeowner Information

 

 

 

 

 

 

 

 

 

INDICATE WHO THE APPLICANT IS

NAME OF PLUMBING CONTRACTOR OR HOMEOWNER

CONTRACTOR LICENSE NUMBER EXPIRATION DATE

Contractor

Homeowner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Master

Water Treatment Installer

 

 

 

 

 

 

 

 

 

ADDRESS (Street Number and Name)

 

 

CITY

 

 

 

STATE

 

ZIP CODE

 

 

 

 

 

 

 

 

 

TELEPHONE NUMBER (Include Area Code)

 

 

 

 

FEDERAL EMPLOYER ID NUMBER (or reason for exemption)

 

 

 

 

 

 

 

 

 

WORKERS COMPENSATION INSURANCE CARRIER (or reason for exemption)

 

UIA NUMBER (or reason for exemption)

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF MASTER PLUMBER

 

 

 

 

 

 

MASTER LICENSE NUMBER

 

EXPIRATION DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BUSINESS / BRANCH ADDRESS

 

 

CITY

 

 

 

STATE

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

III. Type of Job

Single Family

 

New

Sewer Only

Water Service Premanufactured Home Setup (State Approved)

State Owned

 

Other

 

Alteration

Special Inspection

Only

Manufactured Home Setup (HUD Mobile Home)

School

 

 

IV. Plan Review Required

Plans must be submitted with an Application for Plan Examination and the appropriate deposit before a permit can be issued, except as listed

below.

 

Plans are not required for the following:

 

1.

One-and two-family dwelling containing not more than 3,500 square feet of building area.

2.

Alterations and repair work determined by the plumbing official to be of a minor nature.

3.

Buildings with a required plumbing fixture count less than 12.

 

4.

Work completed by a governmental subdivision or state agency costing less than $15,000.00.

If work being performed is described above, check box below “Plans Not Required.”

 

Plans are required for all other building types and shall be prepared by or under the direct supervision of an architect or engineer licensed pursuant to 1980 PA

299 and shall bear that architect’s or engineer’s seal and signature.

 

Plan Review Project No. _______________________________________

Plans Not Required

V. Applicant Signature

Section 23a of the state construction code act of 1972, 1972 PA 230, MCL 125.1523A, prohibits a person from conspiring to circumvent the licensing requirements of this state relating to persons who are to perform work on a residential building or a residential structure. Violators of Section 23a are subjected to civil fines.

SIGNATURE OF PLUMBING CONTRACTOR, MASTER PLUMBER, WATER TREATMENT INSTALLER OR HOMEOWNER (Homeowner’s signature indicates

DATE

compliance with Section VI. Homeowner Affidavit)

 

 

 

VI. Homeowner Affidavit

I hereby certify the plumbing work described on this permit application shall be installed by myself in my own home in which I am living or about to occupy. All work shall be installed in accordance with the Michigan Plumbing Code and shall not be enclosed, covered up, or put into operation until it has been inspected and approved by the Plumbing Inspector. I will cooperate with the Plumbing Inspector and assume the responsibility to arrange for necessary inspections.

Complete Application on Back Side

VIIa. Fee Clarification

Item #2, Mobile Home Unit Site: WHEN item is used for sewer excavations in a new park, the permit application should include the application fee plus the number of unit sites. WHEN setting a mobile home in a park, or a mobile or modular home on private property, a permit should include the application fee, a sewer or building drain, and a water service or water distribution pipe.

VIIb. Fee Clarification (continued)

Item #3, Fixtures, Floor Drains, Special Drains and Water Connected Appliances Include:

 

Water Closets

Sink (any description)

Slop Sink

Drinking Fountain

Floor Drain

Water Outlet or Connection to any Make-up Water Tank

Bathtub

Emergency Eye Wash

Bidet

Condensate Drain

Roof Drain

Water Outlet or Connection to Heating System

Lavatories

Emergency Shower

Cuspidor

Washing Machine

Grease Trap

Water Outlet or Connection to Filters

Shower Stall

Garbage Grinder

Dishwasher

Acid Waste Drain

Starch Trap

Connection to Sprinkler System (Irrigation)

Laundry Tray

Water Outlet Cooler

Refrigerator

Embalming Table

Plaster Trap

Water Connected Sterilizer

Urinal

Ice Making Machine

Water Heater

Bed Pan Washer

Water Softener

Water Connected Dental Chair

Autopsy

Water Connected Still

 

 

 

Water Connection to Carbonated Beverage Dispensers

Plus Any Other Fixture, Drain or Water Connected Appliance Not Specifically Listed

Item #25, Domestic Water Treatment and Filtering Equipment: A license is not required for the installation of domestic water treatment and filtering equipment that requires modification to an existing cold water distribution supply and associated water piping in buildings if a permit is secured, required inspections performed and the installation complies with the applicable code. If the enforcing agency determines a violation exists, it shall be corrected by the responsible installer. The permit application shall include the application fee, the number of water treatment devices recorded in item #25 for $5.00 each and the appropriate water distribution pipe (system) size fee.

VIII. Fee Chart - Enter the number of items being installed, multiply by the unit price for total fee.

Fee

# Items

Total

1.Application Fee (non-refundable)

2.Mobile Home Park Site*

3.Fixtures, floor drains, special drains, water connected appliances

4.Stacks (soil, waste, vent and conductor)

5.Sewage ejectors, sumps

6.Sub-soil drains

Water Service

7.Less than 2”

8.2” to 6”

9.Over 6”

10.Connection (bldg. drain-bldg. sewers)

Sewers (sanitary, storm or combined)

11.Less than 6”

12.6” and Over

13.Manholes, Catch Basins

* See VIIa. Fee Clarification Item #2 on front **See VIIb. Fee Clarification Item #25 above

IX. Instructions for Completing Application

Fee

# Items

Total

Water Distributing Pipe (system)

14.3/4” Water Distribution Pipe

15.1” Water Distribution Pipe

16.1-1/4” Water Distribution Pipe

17.1-1/2” Water Distribution Pipe

18.2” Water Distribution Pipe

19.Over 2” Water Distribution Pipe

20.Reduced pressure zone back-flow preventer

25.Domestic water treatment and filtering equipment only**

26.Medical Gas System Inspections

21.Special Insp. (pertaining to sale of building)

22.Additional Inspection

23.Final Inspection

24.Certification Fee

Total Fee

General: Plumbing work shall not be started until the application for permit has been filed. All installations shall be in conformance with the Michigan Plumbing Code. No work shall be concealed until it has been inspected. When ready for an inspection, call the inspector providing as much advance notice as possible. The inspector will need the job location and permit number.

Expiration of Permit: A permit remains valid as long as work is progressing and inspections are requested and conducted. A permit shall become invalid if the authorized work is not commenced within 180 days after issuance of the permit or if the authorized work is suspended or abandoned for a period of 180 days after the time of commencing the work. A PERMIT WILL BE CLOSED WHEN NO INSPECTIONS ARE REQUESTED AND CONDUCTED WITHIN 180 DAYS

OF THE DATE OF ISSUANCE OR THE DATE OF A PREVIOUS INSPECTION. CLOSED PERMITS CANNOT BE REFUNDED.

The Department will not discriminate against any individual or group because of race, sex, religion, age, national origin, color, marital status, disability or political beliefs. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you may make your needs known to this agency.

Form Characteristics

Fact Name Details
Governing Law This form is governed by the Michigan Plumbing Code and the State Construction Code Act of 1972, specifically 1972 PA 230.
Purpose The Plumbing Permit Application is necessary to obtain permission to begin plumbing work in Michigan.
Completion Requirement Completion of the application form is mandatory to receive the plumbing permit.
Job Location The application requires the street address and the name of the city, village, or township where the job will occur.
Contractor Information Applicants must provide the name and license number of the plumbing contractor or indicate if they are a homeowner.
Plan Review Plans must accompany the application unless the project meets specific exemptions such as minor repairs or residential buildings under 3,500 square feet.
Applicant Signature The application must be signed by the plumbing contractor, master plumber, or homeowner, signifying compliance with local regulations.
Expiration of Permit The permit remains valid as long as work progresses and inspections are conducted within a certain timeframe.
Non-Refundable Fee The application fee is non-refundable and must be submitted along with the application.

Guidelines on Utilizing Plumbing Permit Application

To move forward with your plumbing project, you'll need to complete the Plumbing Permit Application form. This application is essential for ensuring that your plumbing work complies with local codes and regulations. Take your time and fill out each section accurately. Below are the steps to help you complete the form.

  1. Job Location Authority: Start by entering the name of the owner or agent and indicate if a building permit has been obtained for the project by checking the appropriate box.
  2. Provide Address: Fill in the street address and job location, including the city, village, or township and county where the job is located.
  3. Applicant Information: Indicate who the applicant is by selecting either “Contractor” or “Homeowner.” Provide the name of the plumbing contractor or homeowner, including their license number and expiration date.
  4. Contact Information: Complete the address section with the street number and name, city, state, ZIP code, and the telephone number (including area code). You must also provide the federal employer ID number, workers compensation insurance carrier, and UIA number (or reason for exemption).
  5. Master Plumber Information: If applicable, fill in the name of the master plumber and their master license number and expiration date. Include the business or branch address as well.
  6. Job Type: Select the type of job being performed. Options include: single family, sewer only, water service, alterations, etc.
  7. Plan Review: Decide if plans are required for your project. If your project falls under the listed exceptions, check the “Plans Not Required” box. Otherwise, prepare to submit plans with the application.
  8. Signature: The applicant must sign and date the form. This confirms knowledge of and compliance with the relevant state regulations.
  9. Complete the Application Fee Section: Calculate the appropriate fees based on the items you're installing. Enter the number of items and total fees where indicated.

Once you have completed the form, make sure to review it for accuracy. After reviewing, submit the application as outlined by your local authority. This may involve providing additional documentation or fees as necessary. You'll be one step closer to starting your plumbing project!

What You Should Know About This Form

What is the purpose of the Plumbing Permit Application?

The Plumbing Permit Application serves as an official request for permission to perform plumbing work at a specific job location. Obtaining this permit is a legal requirement and helps ensure that all plumbing installations comply with local regulations and the Michigan Plumbing Code. The process aims to guarantee safety and quality in plumbing systems, ultimately protecting the health and welfare of the public.

Who can apply for a plumbing permit?

Applications can be submitted by licensed plumbing contractors, homeowners, or master plumbers. It is important to indicate the applicant's status clearly on the form. If a homeowner is applying for a permit to undertake plumbing work in their own residence, they should be aware that they must comply with the same regulations and inspections as licensed professionals.

When is a plan review required?

A plan review is typically necessary for plumbing projects except in specific circumstances. For instance, if the project involves a one or two-family dwelling that does not exceed 3,500 square feet, a plan review may not be required. Additionally, minor alterations or repairs, as judged by the plumbing official, could also bypass the need for detailed plans. For all other types of construction, plans must be prepared by a licensed architect or engineer, and a plan review should be conducted before a permit can be issued.

What happens if plumbing work begins without a permit?

Starting plumbing work without an appropriate permit can result in serious consequences. Not only can penalties include civil fines, but the work may also need to be uncovered and inspected before it can be approved. In some cases, unpermitted work may need to be redone if it does not meet code requirements, leading to additional costs and delays.

What is the validity period of a plumbing permit?

A plumbing permit remains valid as long as work is progressing and inspections are being requested and conducted. If no work is initiated within 180 days from the date of issuance, or if the work is suspended for 180 consecutive days, the permit becomes invalid. Furthermore, if no inspections are requested or performed within 180 days of issuance or following a previous inspection, the permit will be closed. It is essential to stay proactive in maintaining the permit’s validity to avoid any legal complications.

Common mistakes

Applying for a plumbing permit can be overwhelming, especially with the detailed Plumbing Permit Application form. Mistakes can lead to delays and complications, but with some awareness, you can navigate the process smoothly. Here are ten common errors that people make when completing this form:

1. Ignoring Job Location Details: One of the fundamental parts of the application is providing the exact job location. Skipping the street address or city can simply halt your application. Ensure this information is not just filled in but is precise.

2. Omitting the Owner/Agent Name: It might seem obvious, but some applicants forget to include the name of the owner or agent on the application. This critical detail helps authorities know who to contact and whom the permit is officially granted to.

3. Not Indicating If a Building Permit is Required: Every project is unique, and knowing whether a building permit is necessary is crucial. Answering this question inaccurately can lead to application rejection, so double-check your project’s requirements.

4. Misunderstanding Contractor vs. Homeowner Designation: Many applicants confuse their status. If you’re a homeowner performing your own work, you must select the homeowner option. Mislabelling this section can categorize the application incorrectly and complicate approval.

5. Failing to Provide Accurate Contractor License Information: If you’re hiring a contractor, you must list their license number and expiration date. Missing or incorrect information may raise red flags, causing delays in processing.

6. Forgetting to Attach Required Plans: While plans aren’t required for all projects, you must check the appropriate box if they are not needed. Failing to attach necessary documents or plans can lead to immediate rejection.

7. Not Signing the Application: It’s easy to forget this seemingly simple step, but an unsigned application cannot be processed. Ensure that the plumbing contractor, master plumber, or the homeowner has signed and dated the form.

8. Miscalculating Fees: This form includes a fee chart. Applicants often overlook multiplying the number of items installed by the unit price. A simple math mistake can result in incorrect total fees, affecting permit issuance.

9. Ignoring the Importance of the Homeowner Affidavit: Homeowners need to certify that they will perform the work themselves. Ignoring this section can lead to compliance issues and could invalidate the permit.

10. Not Keeping Track of Permit Expiration: After the permit is issued, it remains valid only if work progresses and inspections are timely scheduled. Failing to adhere to this could lead to a lapse in your permit's validity, resulting in additional complications and costs.

Being aware of these common pitfalls can save time and avoid headaches. Double-checking your application and ensuring all sections are complete and accurate promotes a smoother permit process. Remember, a bit of diligence upfront can pave the way for successful plumbing work in the future!

Documents used along the form

When applying for a plumbing permit, several additional forms and documents are often necessary to ensure compliance with local regulations and standards. Below is a list of some essential documents that accompany the Plumbing Permit Application form.

  • Building Permit: Required for most construction projects, this permit indicates approval from the local authority to begin construction or renovation. It ensures that the work adheres to safety codes and regulations.
  • Construction Plans: Detailed drawings outlining the plumbing system's layout can be necessary for projects. These plans must be produced by a licensed architect or engineer and should specify the materials and methods to be used.
  • Homeowner Affidavit: This document, required in certain circumstances, verifies that the homeowner will perform the plumbing work themselves. It emphasizes compliance with applicable plumbing codes and outlines inspection responsibilities.
  • Insurance Certificate: Proof of insurance is generally required from contractors. This document verifies that the contractor has liability coverage, protecting both the contractor and the property owner in the event of accidents or damages during the project.
  • Workers’ Compensation Documentation: If applicable, evidence of workers' compensation insurance must be submitted. This coverage protects workers in the event of job-related injuries and is a legal requirement for many contractors.

Submitting these documents alongside the Plumbing Permit Application helps streamline the approval process and assures compliance with regulations. Proper documentation reduces the likelihood of delays and complications, ensuring the project moves forward efficiently.

Similar forms

  • Building Permit Application: Similar to the Plumbing Permit Application, it requires specific project details, like job location and contractor information, to authorize construction or changes to a building.
  • Electrical Permit Application: This document also mandates that contractors or homeowners provide project specifics. Both forms ensure that work is completed according to applicable codes.
  • Mechanical Permit Application: Like the Plumbing Permit Application, this form is necessary for HVAC and mechanical work, focusing on compliance with safety and code requirements.
  • Occupancy Permit Application: This document is similar in that it requires proof of inspections and approvals before occupancy. It ensures that all necessary permits have been secured.
  • Fire Suppression System Permit: This application is similar in that it focuses on system safety standards. Both documents require project details and specifics on inspections before completion.
  • Demolition Permit Application: This document shares similarities as it also necessitates information related to safety, project type, and compliance with local regulations before work begins.
  • Sign Permit Application: Just like the Plumbing Permit Application, it requires information about the property and proposed sign details to ensure compliance with zoning and safety codes.

Dos and Don'ts

When filling out the Plumbing Permit Application form, it's important to follow some best practices to ensure a smooth process. Below are key things to do and avoid.

  • Do double-check that all required fields are filled out completely.
  • Do attach any necessary plans if your job type requires them.
  • Do confirm that your contractor or homeowner information is accurate.
  • Do keep a copy of the completed application for your records.
  • Don't leave any mandatory sections blank; this could delay your permit.
  • Don't submit inadequate plans if they are required for your job type.
  • Don't forge signatures; ensure the applicant signs the application.
  • Don't overlook checking the expiration dates of any licenses listed.

Misconceptions

Understanding the Plumbing Permit Application is essential for homeowners and contractors alike. Yet, several misconceptions cause confusion around this important document. Here are ten common misunderstandings and clarifications regarding the Plumbing Permit Application form.

  1. All plumbing work requires a permit. Many believe that any plumbing job, regardless of its size, needs a permit. However, this is not true. Minor repairs and some installations may exempt homeowners from needing a permit.
  2. Homeowners can always perform plumbing work without a permit. While homeowners may work on their own homes, they still need a permit for specific projects, especially if the work requires inspections or involves certain plumbing fixtures.
  3. Permits are only for new constructions. This idea overlooks that permits are also necessary for alterations or improvements to existing plumbing systems, including repairs or upgrades.
  4. A permit is a guarantee of workmanship. Obtaining a permit does not assure the quality of work. It simply confirms that the project adheres to code requirements and has been inspected properly.
  5. Filing for a permit is a one-time process. Once a permit is obtained, it can be easy to assume it will cover all future work. A new application must be filed for each distinct project or significant changes.
  6. Inspections can be skipped if the work seems minor. This common misbelief can lead to complications. All plumbing work, regardless of size, requires an inspection to ensure it meets safety codes.
  7. Permits expire immediately after completion of the work. In reality, permits remain valid as long as work is progressing and inspections are being requested. However, if work is suspended for 180 days, the permit will become invalid.
  8. Any licensed contractor can perform plumbing work anywhere. It’s crucial to realize that licenses can vary by state and locality. Contractors must have the right licenses specific to the project’s location.
  9. Paying the permit fee guarantees permit approval. While permits require a fee, approval also hinges on meeting specific code requirements and successful inspections.
  10. Permit application forms are all the same. This assumption neglects the possibility of differing requirements across municipalities. Each location may have its unique forms and regulations, making it essential to consult local authorities.

Clarifying these misconceptions helps facilitate a smoother plumbing permit application process. Homeowners and contractors can better navigate their projects while ensuring compliance with local laws.

Key takeaways

Filling out the Plumbing Permit Application form correctly is crucial for ensuring that your plumbing projects comply with regulations. Here are some key takeaways to consider:

  • Gather Necessary Information Beforehand: Collect all relevant details about the project, including the job location, owner or agent information, and contractor specifics. This preparedness will streamline the application process.
  • Understand Permit Requirements: Ensure that a building permit has been obtained if required for your project. Failure to secure the proper permits may delay your plumbing work.
  • Plan Submission Guidelines: Be aware that plans are generally required for projects not falling under specific exemptions, such as homes under 3,500 square feet. Be sure to submit plans with the application when needed.
  • Complete All Sections: Fill out each section of the application thoroughly. Incomplete applications may lead to processing delays. Pay close attention to contractor licenses and homeowner affidavits as they hold particular importance.
  • Review Fee Structure: Familiarize yourself with the fee chart and clarify any items that incur additional costs. Understanding the fees in advance will help in budgeting for the project.
  • Keep Track of Inspections: Schedule inspections in a timely manner. Inspections must be conducted after completing certain phases of work, and work should not be concealed until approved. This helps avoid potential fines or project delays.

Adhering to these takeaways ensures a smoother application process, granting you peace of mind as you proceed with your plumbing work.