PLUMBING
PERMIT APPLICATION
Grove City Building Division
4035 Broadway
Grove City, OH 43123
614-277-3075 (Phone)
614-277-3090 (Fax)
GroveCityOhio.gov
24-Hour Inspection Line: 614-277-1815
For next business day inspections, requests must be called in before noon or contractors may use the online inspection service as late as 8 p.m., seven days a week.
PROPERTY INFORMATION
Address____________________________________________________ Grove City, OH 43123 Subdivision ___________________________
Parcel I.D.______________________ Lot/Unit/Suite/Building _____________________________________________ Zoning ______________
OWNER INFORMATION
Name _______________________________________________________________ Phone ____________________________________________
Address _____________________________________________________________ Email _____________________________________________
Permit No. ______________________________________________________________________
Method by which you would like your permit returned: o Fax o Email o Pickup
PROJECT TYPE
o Commercial o Residential o New o Remodel
NUMBER AND TYPE OF FIXTURES
AAV Interceptor Sump Pump
Backflow Preventors Outside Faucet Total Number of Traps
Backwater Valve Roof Drains Trap Primer
Dilution Sump Rough-in Openings
(Future)
Water Lines
Dishwashers Gas Outlets
Garbage Disposal Sterilizers Other
Hot Water Heater* TOTAL OF FIXTURES
FINAL AIR TEST REQUIRED AT FINAL INSPECTION
FOR ALL RESIDENTIAL PROJECTS.
PLUMBING APPLICATION MUST BE ON SITE
FOR INSPECTION.
Re-Inspection fee
for disapproved inspection:
Residential:
$50
Commercial: $100
FEES
Plan Review $ ____________
Base Fee $ ____________
____ Fixtures x ______ $ ____________
Subtotal $ ____________
State Fee $ ____________
1% Residential; 3% Commercial
Total Fees Due $ ___________________
CONTRACTOR INFORMATION Registration No. ______________________________________________
Contractor ______________________________________________________________ Contact ________________________________________
Address ________________________________________________________________ City/State/Zip___________________________________
Phone
________________________ Fax __________________________ Email ______________________________________________________
Signature
___________________________________________________________________________________________ o Owner o Agent
OFFICE USE
Receipt # __________________________
o Cash o Card o Check
Ref. #
______________________________
Date Entered ______________________
Date Issued ________________________
Approved ________ Date ___________
FEE SCHEDULE
COMMERCIAL
(3% state fee on subtotal)
Base Fee + First Fixture: $60
Additional Fixtures: $12 each
Plan Review: 1-25 Fixtures $50,
26-50 Fixtures $75
51-75 Fixtures $100,
>76 Fixtures $150
RESIDENTIAL
(1% state fee on subtotal)
Base Fee + First Fixture: $50
Additional Fixtures: $10 each
* Effective June 1, 2016, residential hot water tank
replacement only $25.00
Revised 12/2019