PLUMBING PERMIT APPLICATION
1. Owner’s Information
2. Contractor’s Information
3. Plan Review Required
Name ______________________________ Address _________________________________________
City ________________________________MI, Zip Code _________ Phone #_____________________
Email _______________________________________________________________________________
**Provide e-mail address for expedited plan review results.
_
Name ______________________________ Address _________________________________________
City_______________________________ MI, Zip Code _________ Phone # ______________________
Builder’s License Number_________________ Federal Employer ID/Exemption____________________
Worker’s Compensation Insurance Carrier / reason for exemption ______________________________
MESC Employer Number / reason for exemptions ___________________________________________
Email _______________________________________________________________________________
_
Have plans been submitted?
(See below for plan review requirements before completing this section)
YES NO NOT REQUIRED
Plans are NOT required for the following:
1. One-and two-family dwelling containing not more than 3,500 square feet of building area.
2. Alterations and repair work determined by the Plumbing Official to be of a minor nature.
3. Assembly, Business, Mercantile, and Storage buildings with a required plumbing fixture count less
than 12.
4. Work completed by a governmental subdivision or state agency costing less than $15,000.00.
If the proposed work is described in #1-4 above, answer: “Not Required”
Plans are required for all other building types and shall be prepared by or under the direct supervision of an
architect or engineer licensed pursuant to Act No. 299 of the Public Acts of 1980, as amended, and shall bear
that architect’s or engineer’s signature and seal.
PLANS MUST BE SUBMITTED BEFORE A PERMIT CAN BE ISSUED.
DATE___________________ JOB ADDRESS___________________________________________________
Has a building permit been obtained for this project: Yes No
PLUMBING PERMIT APPLICATION
4. Proposed Project – Check All That Apply
i.
Please see worksheet (Page 3) for description of work and fee schedule.
I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by
the owner to make this application as his/her authorized agent, and we agree to conform to all applicable laws of
the Charter Township of Royal Oak and the State of Michigan. All information submitted on this application is
accurate to the best of my knowledge.
Section 23a of the State construction code act, P.A. 230 of 1972, as amended, MCL 125.1523A, prohibits a person
from conspiring to circumvent the licensing requirement of this State relating in persons who are to perform work
on a residential building or a residential structure. Violators of Section 23a are subject to civil fines.
Applicant’s Signature Date
Contractor Property Owner
Do not write below this line:
PERMIT IS GOOD FOR 6 MONTHS.
Per all Township Codes and Ordinances; the adopted Michigan Residential Code, and the adopted
Michigan Building Code.
Approved by ________________________________________ Date_______________________
Single Family Multi-Family Commercial Industrial
New Addition/Alter Sewer Only Water Service Only
Other School State Owned Special Inspection
Pre-manufactured Home Setup (State Approved)
Manufactured Home Setup (HUD Mobile Home)
If commercial, is there a Knox Box installed? Yes No
**Please note: NO commercial permits will be approved unless a Knox Box is present at the property.
PLUMBING PERMIT APPLICATION
RESIDENTIAL / COMMERCIAL CONSTRUCTION
Number
Total
Application Fee (non-refundable)
1
$30.00
Administration Fee (non-refundable)
1
$33.00
Fixtures
each
Bathtubs
each
Laundry Tubs
each
Sinks
each
Showers
each
Toilets / Urinals
each
Drinking Fountains
each
Vertical Stacks / Vents
each
Floor Drains
each
Backflow Preventer
each
Other
Water Distribution System
3/4 inch system
1 inch system
2 inch system
3 inch system
4 inch system
3/4 inch system
Water Service
1 inch
2 inch
3 inch
4 inch
Over 4 inch
Sewer Repair
Water Connected Appliances
each
Disposal / Dishwasher
each
Humidifiers
each
Sprinkler Heads (lawn only)
each
Water Heater
each
Pumps / Fire Jockey
each
Hose Bibs
each
Washing Machine
Inspection / Registration Fees
Inspections (2)
Additional Inspections
Re-Inspection
Annual Registration Fee
TOTAL COST: $
PLUMBING PERMIT APPLICATION
Permit Application Check List
(Includes: Building, Electrical, Mechanical, and Plumbing Permits)
Application:
Application must be completely filled out.
Scope of work must be clearly identified.
For Building Permit applications only:
If a residential project, three (3) sets of plans must be submitted.
If a commercial project, five (5) sets of Architecturally Sealed plans must be submitted.
*Note: Building projects for a roof, siding, door and window replacements do not require a set of
plans for application submittal.
All contractors doing work in the Township are required to submit a copy of their Michigan State
License, copy of their Driver’s License, and proof of insurance.
*Note: It is not a State requirement to have liability insurance, but if provided, we must have a copy.
*Note: State Law does not require a copy of the contractor’s license for a fence permit application.
Fees & Payment:
Upon submittal, the following must be paid:
1. Application Fee;
2. Plan Review Fee;
3. Contractor Registration Fee (if needed); and
4. Administration Fee.
After review, the permit fee will be assessed and paid prior to issuance of permit. Individual
Mechanical, Plumbing and Electrical permits must be paid in full at time of application.
If the project involves a Building Permit, no additional permits (plumbing, electrical,
mechanical) will be issued until the Building Permit has been reviewed, approved and issued.
Incomplete Application:
Upon submittal, if all required items above are not provided, the application will not be accepted.
The list below consists of the most common required inspections --- all may not be required for every project
and additional inspections not listed may be required. Please contact the Building Division with any questions
regarding a specific project.
REQUIRED BUILDING INSPECTIONS
Footing
Rough
Insulation
Final
Post Hole
Framing
Wall
Building
Trench Footing
Open Ceiling
Ceiling
Grade
Spread Footing
Open Wall
Fenestration
Certificate of Occupancy
Grounded Electrode
Flashing
Blower Door
Poured Wall
Back Fill
REQUIRED ELECTRICAL, MECHANICAL AND PLUMBING INSPECTIONS
Open Trench
Open Ceiling
Rough
Open Wall
Gas pressure Test
Final