Project Permit Plan

PROJECT PERMIT PLAN

Parties and Project Identification

Applicant Name:

Permit Authority:

Permit Plan Reference Number:

WHEREAS

WHEREAS, Applicant seeks approval from Permit Authority to undertake the construction, alteration, or other permitted activities described in the Scope of Work below for the Project Location identified above; and

WHEREAS, Permit Authority requires submission of a Project Permit Plan containing detailed plans, specifications, and compliance statements to evaluate conformity with applicable building, safety, and land-use requirements; and

WHEREAS, the parties desire to set forth the terms under which Permit Authority will accept, review, and authorize the Project Permit Plan, and under which Applicant will proceed with performance and payment obligations.

Scope of Work

Attachments and Plan Set

The following documents are submitted as part of this Project Permit Plan (check all that apply):

Site Plan / Survey

Floor Plans / Elevations

Structural Calculations / Plans

Mechanical / Electrical / Plumbing Plans

Soils / Geotechnical Report

Construction Specifications or Special Inspections Plan

Payment Terms

Permit Fee (Total Amount Due):

Late Payment Fee: — Fees assessed on any unpaid balance after the due date set forth in the invoice.

Term and Termination

Effective Date (Plan Submission Date):

Permit Expiration or Completion Date:

Termination for Convenience or Noncompliance: Either party may terminate this Project Permit Plan upon written notice delivered to the other party. Notice Period: . Termination for material noncompliance by Applicant may include suspension of review and revocation of permits in accordance with Permit Authority procedures.

Confidentiality

Applicant acknowledges that plans and supporting documentation submitted may contain proprietary design, business, or technical information. Permit Authority will handle submissions in accordance with applicable disclosure laws and regulations. Applicant warrants that any material marked confidential is properly labeled. Confidential information shall be maintained in confidence for a period of following final permit action, except as required by law or court order.

Representations, Warranties, and Compliance

Applicant represents and warrants that the information provided in this Project Permit Plan and all attached documents is true and correct to the best of Applicant's knowledge, that the submitted plans comply with applicable codes and standards at the time of submission, and that any changes to the scope will be submitted for review prior to implementation.

Governing Law

This Project Permit Plan, and any disputes arising out of or relating to it, shall be governed by the laws of the state of without regard to conflict of law principles.

Indemnity and Insurance

Applicant shall indemnify, defend, and hold harmless Permit Authority from any claims, liabilities, or damages arising from Applicant's negligent acts or omissions in the performance of work authorized by this plan. Applicant shall maintain insurance as required by Permit Authority and shall provide insurer name and policy number: Insurer: Policy #:

Entire Agreement

This Project Permit Plan constitutes the entire agreement between Applicant and Permit Authority with respect to the subject matter herein and supersedes all prior negotiations, understandings, and agreements, whether written or oral. Any amendments to this Plan must be in writing and signed by authorized representatives of both parties.

Certifications and Acknowledgements

By signing below, Applicant certifies that the person signing is authorized to submit this Project Permit Plan, that all information herein is accurate, and that Applicant will comply with any conditions imposed by Permit Authority as a condition of permit approval.

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