Underground Installation Virtual Inspection Checklist

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

Underground 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

Type of Material Used:

Building Drain Size:

Four (4) inch grillage on top, bottom and both sides:

Confirmed no piping installed horizontally within the concrete pour:

Proper fittings and materials installed: (Ex: Directional flow, etc.):

Pitch on pipe no less that 1/8" per foot

Confirmed water closets with flush rate less than 1.6 gallons are not on a cross/double tee.

Type of test used:

If air test was used, what pressure (in psi):

Type of Materials Used for Water Supply?

Other

Main water pipe size (in inch size):

Type of Testing For Water Supply:

If Air used to test water, what was the pressure (in PSI):

Are water pipes properly protected:

Protective material made of proper material:

What type of material was used to protect water piping:

Trap primers installed properly to fit floor drains where required:

Office Contact

example@example.com

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