Blank Texas Ce 1020 PDF Template
Form Example
Department of Public Works & Engineering
Building Code Enforcement Branch
PLUMBING AND IRRIGATION SYSTEM
PERMIT APPLICATION
This is a permit application for Plumbing and Irrigation Systems within the city limits of Houston, Texas. Carefully complete all necessary information.
PROJECT NUMBER: _________________________________ |
|
|
DATE: ____________________________ |
||
CLASS OF WORK: |
Residence |
Apartments |
Commercial |
Industrial |
Other __________________________ |
CONTRACTOR: ___________________________________________________________ |
|
TELEPHONE: ______________________ |
|||
Company Name
JOB SITE ADDRESS: ______________________________________________________________________________________________________________
|
Please Print |
|
|
|
City |
State |
|
Zip Code |
PRESENT OCCUPANCY: ___________________________________ |
PROPOSED OCCUPANCY: _____________________________________ |
|||||||
|
|
|
|
|
TOTAL NUMBER OF FIXTURES: _________ |
|||
|
|
|
|
|
|
|
|
|
Manholes: |
__________ |
Sample Well: |
__________ |
|
Interceptors (Gallons):__________ |
COST $ |
_________ |
|
Water Heaters: __________ |
Water Service: |
__________ |
|
Vaccum Breaker: |
__________ |
COST $ |
_________ |
|
Miscellaneous: __________ |
Ground in for Shell Building: __________ |
Sprinkler Heads: |
__________ |
COST $ |
_________ |
|||
|
|
|
|
|
|
|
|
|
Special Fees: (Nonrefundable) |
Opening in Street: |
__________ |
|
Miscellaneous: |
__________ |
COST $ |
_________ |
|
|
|
Roadbore: |
__________ |
|
|
|
COST $ |
_________ |
|
|
|
|
|
|
|
||
Storm Water Drainage: |
Catch Basin/Junction Box: _________ |
|
Connection: |
__________ |
COST $ |
_________ |
||
Manholes: |
__________ |
Roofdrains: |
__________ |
|
Miscellaneous: |
__________ |
COST $ |
_________ |
|
|
|
|
|
|
|
|
|
Gas Meters: |
__________ |
Gas Appliances: |
__________ |
|
Med Gas (# of Openings):_______ |
COST $ |
_________ |
|
Gas Openings: |
__________ |
Miscellaneous: |
__________ |
|
Temp Gas: |
__________ |
COST $ |
_________ |
|
|
|
|
|
|
|
||
Sanitary Sewer Connection Charge: __________ |
|
|
|
|
COST $ |
_________ |
||
|
|
|
|
|
|
|
|
|
Fee for Issuing Each Permit or Receipt: |
|
|
|
|
COST $ |
27.52 |
||
NOTE: Minimum Fee on Any Permit $79.99 + Administration Fee $27.52 = Total Minimum Permit Fee $107.51
TOTAL $ ________
SEWER CONNECTION |
|
|
|
|
|
Sewer Assessment Fee: |
Paid: _____________ |
Due: __________________ |
Project Number: __________ |
||
|
|
|
|
||
WATER SUPPLY: |
City: _____________ |
Water District: ___________ |
Private Well: __________ Other: ___________ |
||
*To be located in ROADWAY, BETWEEN PROPERTY LINE AND CURB, ALLEY, EASEMENT, PRIVATE PROPERTY |
|||||
|
|
|
|||
Size of trench to be opened in street: |
Length: __________ft. |
Width ___________ft. Paved with: ____________________________________ |
|||
The undersigned binds _________________________________________to defend at _____________________________________own cost and expenses any suit or
suits, action or actions, claim or claims for damages which may be sustained against the City of Houston for any loss, cost, expense or damage charged or imposed upon it by reason or granting said permit and further agrees to keep in good repair for refilling and resurfacing necessitated by the excavation covered by this application for a period of one year.
NOTE: - It is also understood and agreed that the permit to be granted shall be granted subject to the right of the City of Houston, or of any person, firm or corporation entitled thereto to use that part of such street, alley, or other public place for any purpose for which said street, alley, or other public place may be lawfully used; and, provided, further. that the granting of said permit for the purpose of locating or placing any pipe, conduit, duct, tunnel or other structure shall not be construed to grant any person or corporation any fixed or vested right in such location, but all of same shall be taken subject to the right of the City of Houston, or any other person, firm or corporation entitled thereto to lay or place its pipe or pipes, conduits or other structures in or under such portion thereof over, under or across such pipe, conduits, ducts or other structures as may have been laid without cost or change being enacted by the prior location for such use; and it is also understood and agreed that all persons receiving permits to put pipes, conduits, ducts, or other structures, under the surface of any public street, alley or other public place in the City of Houston, thereby obligate and bind themselves to move or change the location of their said pipes, conduits, ducts or other structures whenever required or instructed to do so by the City of Houston, and failure to do so or interference with any person, firm, or corporation in the matter of moving their pipe, conduit, or other structures under any public street, alley or sidewalk, shall constitute an offense and be subject to the penalties provided by ordinance.
Materials used shall be of “approved” type. Plumbing work shall be installed in accordance with the City Ordinances regulating construction in the City of Houston. No alternates or additions shall be made in the Plumbing system without the required permits.
LICENSEE’S AGENT ________________________________________________________
(SIGNATURE)
ADVANCE PAY ACCOUNT NO. ____________________ |
_________________________________________________________________________ |
|
(IF APPLICABLE) |
(PLEASE PRINT LICENSEE’S NAME) |
(NUMBER) |
Form No: |
(832) |
Public Works & Engineering |
Page 1 of 2 |
MINIMUM FEES: |
(a) Following is a schedule of fees required for permits issued under Sec. 117 of the Building |
|
|
|
........................................................................................................................................................................................................................... |
$ |
27.52 |
|
Minimum Fee (Any Permit) |
$ |
79.99 |
|
$ |
77.06 |
|
FIXTURES: |
Plumbing Fixture, first three |
$ |
28.07 |
|
Each Additional to be installed under same permit |
$ |
9.35 |
|
Ground in plumbing for Shell Building, 3000 sq.ft. floor area or less |
$ |
38.53 |
|
Thereafter, per 1000 sq. ft |
$ |
17.61 |
GAS PERMIT: |
Gas Permit and Inspection Fee (1 to 4 openings) |
$ |
37.33 |
|
Additional Gas Openings (each) |
$ |
6.40 |
|
Temporary Gas Inspection |
$ |
74.65 |
MEDICAL GAS PERMIT: |
First 10 openings |
$ |
33.01 |
|
Each Gas Opening |
$ |
5.50 |
CENTRAL HEATING |
|
|
|
GAS APPLIANCES: |
Furnace (non duct type) |
$ |
28.07 |
|
Each additional furnace to be installed in same building under the same permit |
$ |
9.35 |
|
Floor Furnace (not duct type) |
$ |
38.53 |
|
Incinerators (gas fired) (complete with 3 burners or more) |
$ |
66.05 |
|
$ |
28.07 |
|
|
Each additional |
$ |
9.35 |
|
Yard lights or barbecue grills |
|
|
|
One (1) |
$ |
28.07 |
|
Each additional to be installed under same permit |
$ |
9.35 |
PERMANENT |
|
|
|
APPLIANCES |
Wall Heaters (bathroom heaters exempt) |
$ |
28.07 |
|
Each additional to be installed under same permit |
$ |
9.35 |
|
Gas Steam Radiators |
$ |
38.53 |
|
Each additional to be installed under same permit |
$ |
9.35 |
|
Commercial Ovens |
$ |
44.03 |
|
Commercial Dryers |
$ |
38.53 |
|
Warm Air Circulators, first three |
$ |
38.53 |
|
Each additional to be installed under same permit |
$ |
9.35 |
SANITARY SEWER |
Sewer Connection |
$ |
44.03 |
|
Investigation Fee |
$273.36 or |
|
MISCELLANEOUS |
|
double fee whichever is greater |
|
|
Inspections outside regular working hours |
|
|
|
Minimum four (4) hours |
$ |
264.22 |
|
Each hour exceeding four (4) hours |
$ |
68.80 |
DISCONNECT |
Sanitary Sewer (disconnect and plug main sewer connection) |
$ |
77.06 |
|
Septic System (disconnect and fill septic tank, grease trap) |
$ |
77.06 |
STORM SEWER |
Tie to curb |
$ |
71.55 |
|
Manholes |
$ |
71.55 |
|
Catch basin, outside area drain or junction box (first two) |
$ |
28.07 |
|
Each additional to be installed under same permit |
$ |
9.35 |
|
Roof drain or outside downspout connection to drainage system (first two) |
$ |
28.07 |
|
Each additional roof drain or downspout to be installed under same permit |
$ |
9.35 |
TANKS |
Tanks (not septic tanks) a permit separate from a permit for other plumbing work required |
|
|
|
Tanks through 1,000 gallon capacity (including mechanical interceptors) |
$ |
77.06 |
|
1,001 thru 6,000 gallons |
$ |
93.57 |
|
6,001 thru 15,000 gallons |
$ |
115.60 |
|
15,001 thru 30,000 gallons |
$ |
165.13 |
|
Over 30,000 gallons |
$ |
187.16 |
IRRIGATION SYSTEM |
1 to 200 heads, per head |
$ |
1.60 |
|
Each additional head |
$ |
1.07 |
Form No: |
(832) |
Public Works & Engineering |
Page 2 of 2 |
More PDF Templates
Texas Sales Tax Exemption - Additional information may be required to establish an organization's claimed exemption during the review process.
Txdmv Forms - It aids in maintaining transparency between buyers and sellers in the car market.
Texas 74 221 - The form is designed to protect taxpayer information in compliance with state regulations.
Common mistakes
-
Incomplete Information: Failing to fill out all required fields can delay the processing of your application. Ensure every section is complete, including project number, date, and contact information.
-
Incorrect Class of Work: Selecting the wrong class of work (residential, commercial, etc.) can lead to issues later. Double-check your choice to avoid complications.
-
Missing Costs: Not providing accurate cost estimates for each item listed can result in delays. Make sure to calculate and include all costs associated with your project.
-
Ignoring Minimum Fees: Underestimating the total fees required can lead to rejections. Be aware of the minimum fees and ensure your total meets the requirements.
-
Improper Signature: Not signing the application or having an unauthorized person sign can invalidate your submission. Ensure the correct individual signs the form.
-
Missing Occupancy Information: Failing to specify both present and proposed occupancy can cause confusion. Clearly indicate both to facilitate processing.
-
Neglecting Additional Permits: Not obtaining necessary additional permits for alternates or modifications can lead to fines. Always check if further permits are required.
-
Omitting Contact Information: Leaving out contact details for the contractor can hinder communication. Always provide accurate and complete contact information.
Key takeaways
When dealing with the Texas CE 1020 form, understanding its intricacies can significantly ease the process of applying for plumbing and irrigation system permits. Here are key takeaways to consider:
- Project Identification: Always start by clearly filling out the project number and date. This information is crucial for tracking and processing your application.
- Class of Work: Indicate the type of project—whether it's a residence, commercial building, or something else. This classification helps the city understand the scope of your project.
- Accurate Contact Information: Provide complete details for the contractor, including the company name and telephone number. This ensures that the city can reach you if there are any questions or issues.
- Occupancy Details: Clearly state both the present and proposed occupancy types. This information is vital for assessing compliance with local codes.
- Fixture Counts: Be meticulous when listing the total number of fixtures and their types. Accurate counts affect the permit fees and inspections required.
- Cost Breakdown: Detail the costs associated with each component of the project. This transparency is necessary for the city to calculate fees accurately.
- Understanding Fees: Familiarize yourself with the minimum fees and additional charges. Knowing these details helps in budgeting and avoiding surprises.
- Permitting Conditions: Be aware that the permit comes with conditions. The city retains the right to use public spaces for various purposes, which may affect your project.
- Repair Obligations: Acknowledge your responsibility to maintain and repair any disruptions caused by your project for one year after completion.
- Compliance with Regulations: Ensure that all plumbing work adheres to the City of Houston's construction ordinances. Non-compliance can lead to penalties or project delays.
By keeping these takeaways in mind, you can navigate the process of filling out and utilizing the Texas CE 1020 form with greater confidence and efficiency.
Steps to Using Texas Ce 1020
Completing the Texas CE 1020 form is an essential step in applying for a plumbing and irrigation system permit in Houston. This process requires careful attention to detail to ensure all necessary information is accurately provided. Below are the steps to guide you through filling out the form effectively.
- Obtain the Form: Download or print the Texas CE 1020 form from the official website or obtain a physical copy from the Department of Public Works & Engineering.
- Fill in the Project Number: Write the project number assigned to your application at the top of the form.
- Enter the Date: Write the date you are filling out the form.
- Select Class of Work: Check the appropriate box for the class of work you are applying for: Residence, Apartments, Commercial, Industrial, or Other. If selecting 'Other,' specify the type.
- Provide Contractor Information: Fill in the contractor's name and telephone number.
- Job Site Address: Clearly print the complete job site address, including city, state, and zip code.
- Present and Proposed Occupancy: Indicate the current occupancy type and the proposed occupancy type.
- List Total Number of Fixtures: Fill in the total number of fixtures and any additional items such as manholes, sample wells, and interceptors, along with their costs.
- Detail Costs: Provide the costs associated with water heaters, water service, vacuum breakers, and any miscellaneous items.
- Complete the Sewer Connection Section: Fill in the sewer assessment fee, indicating if it has been paid or is due.
- Water Supply Information: Specify the water supply source, including city, water district, private well, or other.
- Trench Size: Indicate the size of the trench to be opened in the street, including length and width.
- Sign the Form: The licensee’s agent must sign the form, confirming the information provided is accurate.
- Advance Pay Account Number: If applicable, include the advance pay account number and print the licensee’s name and number.
After completing these steps, review the form carefully to ensure all information is accurate and complete. Submitting the form along with any required fees will initiate the permit application process. Be sure to keep a copy of the filled-out form for your records.