Correspondence (573) yS 61Jo2-60&
Site Address:
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Building Division
IciA :D Defe tal Transmittal Letter
SIS (-DaA ,Sviw5
TO: DATE RECEIVED:
DEPT: BUILDING I)IVISION
FROM:
COMPANY: fiC �,P,✓s`�<D�✓ Mi�Y 3 07 j
PHONE: �� ��S D/�� ," ��i —20 X1—,1 sl °y:
RE: •�l�'S� G4) "7 7'/ (Permit/des-�� 9t�
(Site Address} a um r)_ L
(Project or subdivision name���bS OFFICE COPY
Valuation of Deferred Submittal: S eta
ATTACHED IS THE FOLLOWING DEFERRED SUBMITTAL ITEM:
r
Copies. Description: /
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Remarks:
NOTE: Documents for deferred submittal items shall be submitted to the registered design professional in
responsible charge who shall review them and forward them to the building official with a notation indicating that
the deferred submittal documents have been reviewed and been found to be in general conformance to the design of
the building. The deferred submittal items shall not be installed until the design and submittal documents have been
approved by the building official. Oregon Structural Specialty Code Section 106.3.4.2
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: Initials:
Fees Due: n Yes No Fee Description: Amount Due:
:.s', sr ' t� Q�x�aY L�:C Deferred Submittal Fee: $ _
t.� ba‘tts. ,fit;' Additional fee based on valuation: $
AZ!
Other: $
Total Fees Due: $
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
The fee for processing and reviewing deferred plan submittal shall be an amount equal to 65%of the building based
on the valuation of the particular portion or portions of the project with a minimum $200.00 fee. This fee is in
addition to the project plan review fee based on the total project value.
t:BuildingtForms\Transmittal Lencr-DcfrdSubrtl,doc 04/04/07
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