Construction Project Permit

CONSTRUCTION PROJECT PERMIT

Applicant Name:    Company Name:

Contact Phone:    Contact Email:

WHEREAS

WHEREAS, Applicant desires to undertake construction, alteration or demolition work at the property described below and requests authorization to proceed under the terms and conditions of this Construction Project Permit; and

WHEREAS, the Issuing Authority has the legal jurisdiction to grant permits for construction activity, to impose conditions to protect public health and safety, and to require compliance with applicable building standards and inspection protocols.

PROJECT LOCATION AND IDENTIFICATION

Parcel / APN:    Permit No.:

PERMIT TYPE

Select applicable permit type(s) New construction    Renovation    Demolition
Electrical    Plumbing    Other:

SCOPE OF WORK

PERMIT PERIOD

Issuance Date:    Expiration Date:

PAYMENT TERMS

Permit Fee Amount:

Late Fee:    Payment Due Upon:

TERM AND TERMINATION

Project Start Date:    Estimated Completion Date:

This Permit shall remain in effect from the Issuance Date until the earlier of (i) final completion and final inspection sign-off, (ii) the Expiration Date set forth above, or (iii) revocation in accordance with the notice provisions herein. Either party may terminate for material breach after providing written notice and an opportunity to cure of days.

INSPECTIONS, INSURANCE, AND BONDS

Inspections required: Yes    Bond required: Yes    Compliance certificate required: Yes

CONFIDENTIALITY

The parties acknowledge that certain documents submitted in connection with this Permit may contain confidential technical or financial information. Except as required by law or by regulatory authority, neither party shall disclose such confidential information to third parties without the prior written consent of the other party. Confidential information shall not include information that is or becomes generally available to the public other than through breach of this obligation.

GOVERNING LAW

This Permit and any dispute arising under or related to it shall be governed by and construed in accordance with the laws of the State of without regard to conflict of law principles.

ENTIRE AGREEMENT

This Construction Project Permit, together with approved plans, attachments, and conditions expressly incorporated herein, constitutes the entire agreement between the Issuing Authority and Applicant respecting the subject matter and supersedes all prior oral or written agreements. No amendment shall be effective unless made in writing and signed by both parties.

PERMIT CONDITIONS AND CERTIFICATION

Permittee agrees to comply with all applicable codes, to obtain all required inspections, and to secure final sign-off prior to occupancy. Permittee will maintain required insurance and bonds until final acceptance of the work. Failure to comply may result in revocation of this Permit and assessment of fines or penalties as authorized by law.

Applicant hereby certifies under penalty of law that the information provided in this application and all attachments is true and correct to the best of Applicant's knowledge, and that work will be performed in accordance with the approved plans and applicable laws.

Applicant Certification: I certify the above statements and accept the terms and conditions of this Permit.

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