ORANGE COUNTY
DIVISION OF BUILDING SAFETY
PLANS COORDINATION ROUTE SHEET
B____________
P
ermit Number:
Project name: _____________________________________________________________________________
Coordinating company:_______________________________________________________________________
Contact name:___________________________________ Phone #: (
) _________________________
Contact Address:____________________________________________________________________________
City:
State:
Zip: _________________
Is Notice of Commencement Recorded?
Yes
No
If there were comments on this project, how would you like to receive them?
Pick them up
E-Mail (Customer shall access Web Page)
Zoning of subject site: _____________ Water service:
Sewer
Septic
Is proposed work in response to a Notice of Code Violation written by an Orange County Inspector?
Yes
No
Is proposed work in response to an unsafe abatement notice?
Yes
No
Has project had a pre-review?
Yes
No
If Yes, Commercial Plans Examiner(s):______________________
None
Is building fire sprinklered?
Yes
No Required work:
Plumbing
Electrical
Mechanical
Gas
Alterations Only:
Is this a new tenant? Yes No
If yes, state previous use: __________________________________
Intended use of space: _______________________________________________________________________________
List use of adjoining tenant space(s):
Side ____________________ Above ____________________
Rear ___________________ Side ____________________ Below ____________________
Please mark the following (if applicable):
Page 2 (
O.H. Door Eng.
Win/Door Prod Approval (3 CPR)
Site Work Cost Estimate
1 File)
(3 CPR)
(2: PUD & ENG)
Notice of Comm. (1 File)
Threshold Insp. Plan (3 CPR)
Spec Books (2: 1 CPR & 1 Fire)
Fire Flow Calc’s (3; 1 Fire & 2 PUD)
Energy Calc’s (3 CPR)
Spec.Cool/Freez (3: CPR)
Soils Report (2: 1 CPR & 1 ENG)
Hydraulic Calc’s (3; 1 Fire & 2 PUD)
: ____________________
Structural Calc’s (3 CPR)
Truss Eng. (3 CPR)
Drainage/Stormwater Calc’s (2 ENG)
Other
___________________________________________________________________________________________________________________________________
Division of Building Safety Use Only:
New Construction
Alterations Site Work Only
1. # _____ plans routed to: Zon’g
Eng’g Fire PUD EPD Plan’g Health CPR
By: __________
Plans: Rolled In Folder Comments: ________________________________________
Date: ____________
2. # _____ plans routed to: Zon’g
Eng’g Fire PUD EPD Plan’g Health CPR
By: __________
Plans: Rolled In Folder Comments: ________________________________________
Date: ____________
3. # _____ plans routed to: Zon’g
Eng’g Fire PUD EPD Plan’g Health CPR
By: __________
Plans: Rolled In Folder Comments: ________________________________________
Date: ____________
Re-submittal fee: $_______________ Receipt number: __________________________________
4. # _____ plans routed to: Zon’g
Eng’g Fire PUD EPD Plan’g Health CPR
By: __________
Plans: Rolled In Folder Comments:________________________________________
Date: ____________
Minimum Contractor Required: _______________________________________________________________________
Examiner: ____________________________________
Customer contacted: _____________________________
_________ Accepted
Denied _______
Date: ________________________ By: _____________
_________ Accepted
Denied _______
______________________________________________
_________ Accepted
Denied _______
______________________________________________
_________ Accepted
Denied _______
Page 2: _____________ Notarized POA: ____________
Finaled by: _______
PUD Fees Due $________ Total Due $_______________
4/6/12 Rev.
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