Sewer Installation Virtual Inspection Checklist

Public Protection Cabinet Department of
Housing Buildings and Construction
Division of Plumbing 500 Mero St, 1st FI
Frankfort, KY 40601

Sewer Installation Virtual Inspection Checklist

Email of the Journeyman Submitting:

example@example.com

Journeyman plumbers signature

Journeyman License Number (after the "J"):

Date of test

Date

Permit number

Address of installation

Type of construction

Installation Location & Final Connection

Final connection to a public sewer or private sewage disposal

Private sewage permit or city tap permit number:

Building has an independent sewer connection from additional building:

Building positioned behind another building on the property where reaching a sewer from an alley, etc. is not available:

Additional building used in conjunction with the primary building (garage, pool house, etc.)

Additional building contained within the same deed as the primary building:

Additional building restricted within the deed from being sold separately from the primary building:

If you answered "yes" above, did you connect to the front building sewer, and not the building drain?

Sewer grade between 1/8 inch and 1/4 inch per foot:

Sewer minimum depth of eighteen (18) inches:

Variance received if less than eighteen (18) inches of cover:

Other

Sewer installed under property subject to vehicular traffic with less than twenty-four (24) inches of cover: (ASTM F-891, F-1488 & 628 foam and cellular core are not approved):

Piping is covered to prevent direct contact with concrete:

Six (6) inches of concrete is placed on top, bottom and sides:

Type of Material Used:

Size of Building Drane (In Inches):

Size of Sewer Installed (In Inches):

Type of grillage used:

Other

Proper grillage used under and/or top, bottom, and sides of sewer:

Size of cleanout (in inches):

Two (2) directional clean-out within twenty-four (24) inches of foundation:

Two (2) directional clean-out brought to grade:

Maximum distance between cleanouts:

Noncorrosive backwater valve utilized:

If backwater valve was utilized, where was it placed?

What type of test did you use:

Smoke blown from tap through the roof vents/vents on replacement sewer

Test tee or wye connection provided at property line for testing:

Building not drained by Gravity (items below):

Minimum Depth (in inches)

Air Pressure Test (in PSI):

Office Contact

example@example.com

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