Mi Plumbing Permit Form PDF Details

In the bustling city of Grand Rapids, Michigan, property owners and contractors undertaking any plumbing work must navigate the application process for the essential Mi Plumbing Permit. This document serves as a formal request for authorization from the city's Development Center, located at 1120 Monroe Ave NW, to commence plumbing activities. The form meticulously outlines various sections including jobsite information, installer credentials, a comprehensive description of the work to be done, and a detailed fee chart, providing a clear framework for both residential and commercial projects. Whether the task involves new installations, remodels, repairs, or replacements, this application ensures all work adheres to the stringent standards set forth by local regulations. Additionally, it emphasizes the importance of obtaining a building permit when required, and stresses that any concealed work must undergo inspection prior to being covered. Installer information necessitates disclosure of licensing and insurance details, underscoring the city's commitment to keeping its residents safe through the enforcement of high professional standards. The form also includes space for outlining the specific plumbing equipment and systems involved, along with associated fees, to guarantee comprehensive review and approval by the city’s administrative authority. The Mi Plumbing Permit form embodies a crucial step towards maintaining the public health and safety by ensuring that all plumbing works meet the current Michigan Plumbing Code.

QuestionAnswer
Form NameMi Plumbing Permit Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesgrand rapids plumbing permit, mi application plumbing permit, verbage needed for plumbing permit by homeowners, plumbing permit forms online

Form Preview Example

APPLICATION FOR

PLUMBING PERMIT

CITY OF GRAND RAPIDS - DEVELOPMENT CENTER 1120 MONROE AVE NW, GRAND RAPIDS, MI 49503 PHONE: (616) 456-4100 FAX: (616) 456-4199

Permit #

Application Date

I.

JOBSITE INFORMATION

 

 

PLEASE PRINT OR TYPE

 

 

 

 

 

 

Street Address including Suite #

 

 

 

Lot:

 

 

City

 

 

Use (check one)

 

 

 

 

 

 

 

 

 

GRAND RAPIDS

 

 

RESIDENTIAL

COMMERCIAL

 

 

 

 

 

 

 

 

 

 

 

Homeowner or Business Name where the work is being performed

 

Resident/Business Phone

Has a building permit been obtained

for this project? (check one)

 

 

 

 

 

 

 

 

 

YES

NO

 

 

NOT REQUIRED

 

 

 

 

 

 

 

 

 

 

 

Jobsite Contact Person

 

 

 

Jobsite Contact Phone

Scope (check one)

 

 

 

 

 

 

 

 

 

 

 

 

 

NEW

REMODEL

 

REPAIR

REPLACE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

II. INSTALLER INFORMATION

 

 

Installer is (check one)

CONTRACTOR

HOMEOWNER (See "Homeowner Affidavit" below)

Name

 

 

 

Phone #

 

State/Local Contractor Registration No.

 

Expiration Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address (Street # / Name / Direction)

 

 

 

 

 

 

 

Master Plumber License No.

 

 

Expiration Date

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

State

 

Zip

 

MESC. Employer ID (or exemption)

Federal Employer ID (or exemption)

 

 

 

 

 

 

 

 

 

 

 

 

Email

 

 

 

Driver's License No.

 

Workers Compensation Insurance Carrier (or exemption)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTE: Any concealed work shall be inspected before being covered

 

 

 

 

III. DESCRIPTION & COMMENTS Give a detailed description of the work to be performed under this permit. This section is mandatory for permit issuance.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IV. FEE CHART

 

FEE

# ITEMS

TOTAL

 

 

 

 

 

FEE

# ITEMS

TOTAL

1.

PLUMBING APPLICATION FEE

$

50.00

1

$

50.00

r.

Stacks: Soil, Waste, Vent, Re-Vent

$

5.00

 

 

(Non-refundable and includes 1 inspection)

s.

Urinal

 

 

$

5.00

 

 

 

 

 

 

 

 

 

 

 

 

 

a.

ADMINISTRATIVE FEE (work w/o permit)

$

80.00

 

 

 

t.

Water Heater

 

$

5.00

 

 

b.

EACH ADDITIONAL INSPECTION

$

40.00

 

 

 

u.

Water Closet

 

$

5.00

 

 

2.

SCHEDULE OF PLUMBING EQUIPMENT

 

 

 

 

 

3.

WATER DISTRIBUTION PIPE SYSTEM INTERIOR

 

 

a.

Backflow Preventer

$

5.00

 

 

 

a.

3/4" Water Distribution

 

$

6.00

 

 

b.

Backwater Valve

$

5.00

 

 

 

b.

1" Water Distribution

 

$

10.00

 

 

c.

Bath Tub / Shower

$

5.00

 

 

 

c.

1-1/4" Water Distribution

$

20.00

 

 

d.

Catch Basin, Sump, Roof Drain

$

5.00

 

 

 

d.

1-1/2" Water Distribution

$

25.00

 

 

e.

Dishwashing Machine

$

5.00

 

 

 

e.

2" Water Distribution

 

$

30.00

 

 

f.

Drinking Fountain

$

5.00

 

 

 

f.

Over 2" Water Distribution

$

35.00

 

 

g.

Floor Drain

$

5.00

 

 

 

4.

MEDICAL GAS - LICENSE REQUIRED

 

 

 

 

h.

Garbage Disposal

$

5.00

 

 

 

a.

Medical Gas Piping (per outlet)

$

5.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

i.

Grease Trap, Oil Separator

$

5.00

 

 

 

b.

Medical Gas Systems

 

$

50.00

 

 

j.

Laundry Tray, Stand Pipes

$

5.00

 

 

 

5.

EXTERIOR WORK ONLY

 

 

 

 

k.

Lavatory

$

5.00

 

 

 

a.

Storm Sewer

 

 

 

 

 

l.

Lawn Sprinkler

$

5.00

 

 

 

 

Water Service (check one)

 

 

 

 

m.

Refrigerator, Ice Machine, Water

$

5.00

 

 

 

b.

NEW

REPAIR

REPLACE

 

For Grand Rapids permit, contact

 

 

 

 

 

 

 

 

 

Connected Appliances

 

 

 

 

CAPPING

WELL

Water System at Development Center,

 

 

 

 

 

 

 

 

 

 

 

 

(616) 456-4100

n.

Sink, 3 Compartment Pot & Pan

$

5.00

 

 

 

 

Sanitary Sewer (check one)

 

 

 

 

 

 

 

 

 

o.

Sink, Kitchen

$

5.00

 

 

 

c.

NEW

REPAIR

REPLACE

 

 

 

 

p.

Sink, Other than for family use

$

5.00

 

 

 

 

CAPPING

SEPTIC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

q.

Sink, Slop/Service

$

5.00

 

 

 

 

 

 

 

 

 

 

 

This is your permit when approved by the City's Administrative Authority. Make checks payable to "CITY OF GRAND RAPIDS"

TOTAL FEE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

V.APPLICATION SIGNATURE (Homeowner signature indicates compliance with section VI. below)

Section 23a of the State Construction Act of 1972, Act No. 230 of the Public Acts of 1972, being section 125.1523a of the Michigan Compiled Laws, prohibits a person from conspiring to circumvent the licensing requirements of this state relating to persons who are to perform work on a residential structure. Violators of Section 23a are subject to civil fines.

Licensee or Homeowner Name (please print)

Licensee or Homeowner Signature

Date

VI. HOMEOWNER AFFIDAVIT

I hereby certify the plumbing work described on this permit application shall be installed by myself in my own house in which I am living or about to occupy. All work shall be installed in accordance with the current 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 responsibility to arrange inspections.