Building Division Letter Of Transmittal

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Building Division Letter of Transmittal
Complete this form and submit it OVER THE COUNTER with any new or adjusted pages. You must
also fill out section (G), below summarizing your changes. We DO NOT accept transmittals by fax
or mail.
Type or print. Please use
blue
or black ink
.
pick up
Only Contractors or Agents may
Transmittals.
**Is this an (ACTIVE) permit**? __________ ** Is this a (PENDING) Permit**? ___________
PERMIT NUMBER______________________
Date Submitted:__________________Site Address:
____
Submitted by:
_____________________
Phone: _______________Fax:________________________
ALL LINES MUST BE COMPLETED PRIOR TO PRESENTING YOUR TRANSMITTAL AT THE COUNTER
Did a City Reviewer or Inspector request these changes? Yes ( ) No ( ) Name: __________________________________
Who should receive this transmittal? [ ] Plans Review [ ] Zoning [ ] Planning [ ] Engineering, [ ] Utilities/Eng.
a) Check which this transmittal includes: [ ] Blueprints and/or drawings only [ ] Documents only [ ] Both
I
N
: All blueprints/drawings must be the same size as those in the original submission, all changes
MPORTANT
OTE
must be clouded, and summarized. Transmittals not meeting these requirements will be rejected.
b) Number of pages per set: Residential
3 sets ___ (for new homes and additions)
c)
Number of Pages per set: Residential 2 sets ___ (all other permits )
d)
Number of Pages per set: Commercial 4
sets ____
(Civil revisions) 5 Sets ____
e)
Do the alterations change the const. value? [ ] Yes or [ ]
No.
Additional construction value: ____________
(Please be sure that full summaries
f)
Briefly describe all items you are submitting and the changes they represent.
appear on each changed blueprint and drawing, and that changes are clouded):
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
Please make sure to include a summary of all changes that are clouded on all plans.
F
S
EE
CHEDULE
Zoning
_____________________
Approved: _______
Rejected: ______ Date: ______________
Building + $1.00 per page _____________________
Name of Reviewer: __________________________________
Electrical
_____________________
R
: ____________________________
EVIEWER COMMENTS OR CONDITIONS
Plumbing
_____________________
__________________________________________________________
AC / Mechanical
_____________________
__________________________________________________________
Roofing
_____________________
__________________________________________________________
Signs
_____________________
__________________________________________________________
Trees
_____________________
__________________________________________________________
Fire (AL, Sup, Spr & F)
_____________________
__________________________________________________________
Cert of Occupancy
_____________________
__________________________________________________________
Scan Fee
_____________________
__________________________________________________________
Cert & Training Fee
__________________________________________________________
Radon Fee
__________________________________________________________
Total Fees
_____________________
__________________________________________________________
L
T
B024.13-09
ETTER OF
RANSMITTAL

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