Print Form
Permit Service Center
2120 Milvia Street, Berkeley, CA 94704
Main Tel: 510.981.7500 TDD: 510.981.7474 Fax: 510.981.7505
Clear Form
Scheduling Inspections: 510.981.7444 Building Inspectors: 510.981.7440
Email:
Planning@ci.berkeley.ca.us
Plumbing Permit Application
SHADED AREAS FOR STAFF USE ONLY
APPLICATION #
_____________________
STREET ADDRESS/ UNIT # (if applicable)
TENANT NAME
TOTAL PROJECT SQUARE FEET
VALUATION ($)
APPLICATION GROUP:
NEW
ADD
DEMO>DEM
REMODEL>REM
REPAIR>REP
Contractor Name
Phone#
Minimum Permit Fee $89 + Filing Fee $20 +
5% Technology Fee =
Address
State Lic#
MIMIMUM PLUMBING PERMIT FEE OF $113.45
Bus Lic#
Fees For Plumbing Permit (Indicate Quantities)
City, ST
ZIP Code
Fee Description
Fee/Units
Hourly Plan Check/Inspection Fee
$110.00/hr
Qty
Fee Description
Fee/Units
Property Owner Name
Phone#
Sewer (on private Property)
$30.75 ea
Address
Water Heater (with vent)
$11.00 ea
City, ST
ZIP Code
*Gas Pipe, Repair/Alter
$11.00 ea
*Gas Pipe, Service (with 1 meter)
$11.85 ea
Applicant/Contact Person
Phone#
*Gas Pipe, add’l meters
$8.15 ea
*Gas Pipe, outlets
$5.05 ea
Address
FAX#
Gas Pipe, Pressure Test Only
$12.75 ea
City, ST
ZIP Code
Res. New/Add per 100sf. (Includes
$10.00/ea 100sf
fixtures and interior water lines
Fixtures (with water and DWV)
$11.00 ea
Misc. Comments (Brief Job Description)
Water Main, ≤ 25 outlets
$22.50 ea
Water Main, each add’l outlet
$2.40 ea
Water Main Service (with meter)
$13.00 ea
Add’l Watermeter
$7.55 ea
Per Standpipe System
$117.10 ea
Water Line, ≤ 25 outlets
$22.50 ea
Water Line, each add’l outlet
$2.40 ea
Lawn Sprinkler, 1-2 Family Dwelling
$36.10 ea
Lawn Sprinkler, all other
$95.85 ea
Inside Rain Leader/System
$24.85 ea
Pool Filtration System
$117.10 ea
*Includes Pressure Test
Multi-Family Residential o Commercial
# of Stories_____
Single Family Residential
NOTE: If this is a fax-in permit, complete the Permit Application Information on the reverse side of this form.
Rev. 6/04