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

Clear
Journeyman License Number (after the "J"):
Date of test

MonthDayYear
Date
Permit number
Address of installation
Type of construction

Single FamilyMulti FamilyCommercial
Installation Location & Final Connection

Front LeftFront CenterFront RightRear LeftRear CenterRear RightOther
Final connection to a public sewer or private sewage disposal

PublicPrivate
Private sewage permit or city tap permit number:
Building has an independent sewer connection from additional building:

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

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

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

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

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

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

YesNo
Sewer minimum depth of eighteen (18) inches:

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

YesNoOther
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):

YesNo
Piping is covered to prevent direct contact with concrete:

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

YesNo
Type of Material Used:

Sch 40 PVCCell Core/Foam Core PVCPVC Sch 40/ABSABS Foam / Cellular CoreSDR 35Cast IronOther
Size of Building Drane (In Inches):
Size of Sewer Installed (In Inches):
Type of grillage used:

pea gravelsand#57 gravelOther
Proper grillage used under and/or top, bottom, and sides of sewer:

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

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

YesNo
Maximum distance between cleanouts:
Noncorrosive backwater valve utilized:

YesNo
If backwater valve was utilized, where was it placed?
What type of test did you use:

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

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

YesNo
Building not drained by Gravity (items below):
Minimum Depth (in inches)
Air Pressure Test (in PSI):
Office Contact
example@example.com
File Upload

Cancelof
Should be Empty: