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

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

MonthDayYear
Date
Permit number
Address of installation
Type of construction

Single FamilyMulti FamilyCommercial
Type of Material Used:

Cell Core PVCSch 40 PVCABSABS Foam / Cellular CoreCast Iron (No Hub)Cast Iron (Hub)Copper L or KOther
Building Drain Size:
Four (4) inch grillage on top, bottom and both sides:

YesNo
Confirmed no piping installed horizontally within the concrete pour:

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

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

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

YesNo
Type of test used:

AirWater
If air test was used, what pressure (in psi):
Type of Materials Used for Water Supply?

CopperCPVCPexOther
Main water pipe size (in inch size):
Type of Testing For Water Supply:

AirWater
If Air used to test water, what was the pressure (in PSI):
Are water pipes properly protected:

YesNo
Protective material made of proper material:

YesNo
What type of material was used to protect water piping:
Trap primers installed properly to fit floor drains where required:

YesNo
Office Contact
example@example.com
Choose Photos and Videos

Cancelof
Should be Empty: