DATE: PERMIT APPLICATION (OFFICE USE ONLY) · As required by Texas Local Government Code Section...

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SUSTAINABLE DEVELOPMENT AND CONSTRUCTION DEPARTMENT w BUILDING INSPECTION DIVISION OAK CLIFF MUNICIPAL CENTER, 320 E. JEFFERSON BLVD., ROOM 118, DALLAS, TX 75203 w TEL. NO. (214) 948-4480 REV 10-26-2020 CURRENT HOME REPAIR LICENSE ON FILE? The following is applicable to all applications for building permits that are accepted and routed for any reviews. As required by Texas Local Government Code Section 214.904, the City of Dallas will grant (Approve) or deny your building permit application to erect or improve a building or other structure no later than the 45 th day after the application is submitted. Denial of a permit application in review that requires revisions or corrections may be avoided by agreeing to allow the City the following additional time to review the application: I hereby agree to a deadline of 14 days to grant or deny the permit after the date of the approval of all of the following reviews, as applicable, where the applicant has provided the plans examiners the requested corrections, plans and actions; and, the contractor has been named on the permit: Zoning, Building Code, Residential Code, Electrical Code, Plumbing/Mechanical Code, Fuel Gas Code, Energy Code, Green Building Code, Health, Historical/ Conservation District, Engineering/Flood Plain, Water Utilities, Fire Code, Landscaping and Aviation. If the permit is granted (Approved) within this deadline the City will retain and/or assess all fees. If the permit is denied within this deadline, the City will retain all plan review fees and 20 percent of the permit fees. If the permit application is not granted or denied within the agreed additional time of review, the City will refund any permit fees that have been collected and the City may not collect any permit fees associated with the application. I UNDERSTAND THAT THIS PERMIT APPLICATION WILL EXPIRE IN 180 DAYS FROM THE APPLICATION DATE. I MAY REQUEST IN WRITING AN ADDITIONAL 180 DAY EXTENSION OF THE PERMIT APPLICATION PRIOR TO THE APPLICATION EXPIRATION. IF THE APPLICATION IS ALLOWED TO EXPIRE, IT MAY ONLY BE REACTIVATED BY THE FILING OF A NEW APPLICATION INCLUDING APPLICABLE PLANS AND FEES I HAVE CAREFULLY READ THE COMPLETED APPLICATION AND KNOW THE SAME IS TRUE AND CORRECT AND HEREBY AGREE THAT IF A PERMIT IS ISSUED ALL PROVISIONS OF THE CITY ORDINANCES AND STATE LAWS WILL BE COMPLIED WITH WHETHER HEREIN SPECIFIED OR NOT. I AM THE OWNER OF THE PROPERTY OR THE DULY AUTHORIZED AGENT. PERMISSION IS HEREBY GRANTED TO ENTER PREMISES AND MAKE ALL INSPECTIONS. I ALSO AFFIRM THAT THE EMAIL ADDRESS GIVEN ABOVE MAY BE USED FOR OFFICIAL COMMUNICATION CONCERNING THIS APPLICATION AND PERMIT. PERMIT APPLICATION PLEASE TYPE OR PRINT CLEARLY STREET ADDRESS OF PROPOSED PROJECT USE OF PROPERTY SUITE/BLDG/FLOOR NO DBA (IF APPLICABLE) DESCRIPTION OF PROPOSED PROJECT CONST AREA (sq ft) NEW CONST REMODEL TOTAL AREA BUILDING ELECTRICAL MECHANICAL PLUMBING FIRE SPRKLR FIRE ALARM FENCE SIGN LANDSCAPE DRIVE APPROACH SWIMMING POOL LAWN SPRINKLER BACKFLOW CUSTOMER SVC FLAMMABLE LIQUID GREEN PLEASE INDICATE ALL TYPES OF WORK THAT WILL BE PART OF THIS PROJECT BY CHECKING THE APPROPRIATE BOX OTHER: APPLICANT ADDRESS CITY STATE ZIP CODE BARRICADE VALUATION ($) Commercial Only NEW CONST REMODEL TOTAL VALUATION CONTRACTOR-INDIVIDUAL CONTRACTOR NUMBER COMPANY NAME JOB NO: (OFFICE USE ONLY) PERMIT NO: (OFFICE USE ONLY) PHONE NO YES NO E-MAIL ADDRESS (MAY BE USED FOR OFFICIAL COMMUNICATION) E-MAIL ADDRESS (MAY BE USED FOR OFFICIAL COMMUNICATION) DATE: APPLICATION TYPE EXPRESS REGULAR ENERGY PAVING/GRADING PROPERTY OWNER (COMPANY NAME) PROPERTY OWNER (INDIVIDUAL CONTACT) ADDRESS CITY STATE ZIP CODE PHONE NO E-MAIL ADDRESS (MAY BE USED FOR OFFICIAL COMMUNICATION) IF YES, LIST NUMBER PHONE NO DATE OF APPLICATION SUBMISSION APPLICANT'S SIGNATURE YES NO All food service establishments require a grease interceptor to be installed on site. Is there a grease interceptor on site? MFD OTHER MFD OTHER PIN I DO NOT AGREE. I AGREE.

Transcript of DATE: PERMIT APPLICATION (OFFICE USE ONLY) · As required by Texas Local Government Code Section...

Page 1: DATE: PERMIT APPLICATION (OFFICE USE ONLY) · As required by Texas Local Government Code Section 214.904, the City of Dallas will grant (Approve) or deny your building permit application

SUSTAINABLE DEVELOPMENT AND CONSTRUCTION DEPARTMENT w BUILDING INSPECTION DIVISION OAK CLIFF MUNICIPAL CENTER, 320 E. JEFFERSON BLVD., ROOM 118, DALLAS, TX 75203 w TEL. NO. (214) 948-4480 REV 10-26-2020

CURRENT HOME REPAIR LICENSE ON FILE?

The following is applicable to all applications for building permits that are accepted and routed for any reviews. As required by Texas Local Government Code Section 214.904, the City of Dallas will grant (Approve) or deny your building permit application to erect or improve a building or other structure no later than the 45th day after the application is submitted. Denial of a permit application in review that requires revisions or corrections may be avoided by agreeing to allow the City the following additional time to review the application: I hereby agree to a deadline of 14 days to grant or deny the permit after the date of the approval of all of the following reviews, as applicable, where the applicant has provided the plans examiners the requested corrections, plans and actions; and, the contractor has been named on the permit: Zoning, Building Code, Residential Code, Electrical Code, Plumbing/Mechanical Code, Fuel Gas Code, Energy Code, Green Building Code, Health, Historical/Conservation District, Engineering/Flood Plain, Water Utilities, Fire Code, Landscaping and Aviation.  If the permit is granted (Approved) within this deadline the City will retain and/or assess all fees. If the permit is denied within this deadline, the City will retain all plan review fees and 20 percent of the permit fees. If the permit application is not granted or denied within the agreed additional time of review, the City will refund any permit fees that have been collected and the City may not collect any permit fees associated with the application. I UNDERSTAND THAT THIS PERMIT APPLICATION WILL EXPIRE IN 180 DAYS FROM THE APPLICATION DATE. I MAY REQUEST IN WRITING AN ADDITIONAL 180 DAY EXTENSION OF THE PERMIT APPLICATION PRIOR TO THE APPLICATION EXPIRATION.  IF THE APPLICATION IS ALLOWED TO EXPIRE, IT MAY ONLY BE REACTIVATED BY THE FILING OF A NEW APPLICATION INCLUDING APPLICABLE PLANS AND FEES I HAVE CAREFULLY READ THE COMPLETED APPLICATION AND KNOW THE SAME IS TRUE AND CORRECT AND HEREBY AGREE THAT IF A PERMIT IS ISSUED ALL PROVISIONS OF THE CITY ORDINANCES AND STATE LAWS WILL BE COMPLIED WITH WHETHER HEREIN SPECIFIED OR NOT. I AM THE OWNER OF THE PROPERTY OR THE DULY AUTHORIZED AGENT. PERMISSION IS HEREBY GRANTED TO ENTER PREMISES AND MAKE ALL INSPECTIONS. I ALSO AFFIRM THAT THE EMAIL ADDRESS GIVEN ABOVE MAY BE USED FOR OFFICIAL COMMUNICATION CONCERNING THIS APPLICATION AND PERMIT.

PERMIT APPLICATION PLEASE TYPE OR PRINT CLEARLY

STREET ADDRESS OF PROPOSED PROJECT USE OF PROPERTYSUITE/BLDG/FLOOR NO

DBA (IF APPLICABLE)

DESCRIPTION OF PROPOSED PROJECT

CO

NS

T A

RE

A

(sq

ft)

NEW CONST

REMODEL

TOTAL AREA

BUILDING

ELECTRICAL

MECHANICAL

PLUMBING

FIRE SPRKLR

FIRE ALARM

FENCE

SIGN

LANDSCAPE

DRIVE APPROACH

SWIMMING POOL

LAWN SPRINKLER

BACKFLOW

CUSTOMER SVC

FLAMMABLE LIQUID

GREEN

PLEASE INDICATE ALL TYPES OF WORK THAT WILL BE PART OF THIS PROJECT BY CHECKING THE APPROPRIATE BOX

OTHER:

APPLICANT ADDRESS CITY STATE ZIP CODE

BARRICADE

VA

LUA

TIO

N ($

) C

omm

erci

al O

nly

NEW CONST

REMODEL

TOTAL VALUATION

CONTRACTOR-INDIVIDUAL CONTRACTOR NUMBER COMPANY NAME

JOB NO: (OFFICE USE ONLY)

PERMIT NO: (OFFICE USE ONLY)

PHONE NO

YES NOE-MAIL ADDRESS (MAY BE USED FOR OFFICIAL COMMUNICATION)

E-MAIL ADDRESS (MAY BE USED FOR OFFICIAL COMMUNICATION)

DATE:

APPLICATION TYPE

EXPRESSREGULAR

ENERGYPAVING/GRADING

PROPERTY OWNER (COMPANY NAME)

PROPERTY OWNER (INDIVIDUAL CONTACT) ADDRESS CITY STATE ZIP CODE

PHONE NO E-MAIL ADDRESS (MAY BE USED FOR OFFICIAL COMMUNICATION)

IF YES, LIST NUMBER PHONE NO

DATE OF APPLICATION SUBMISSIONAPPLICANT'S SIGNATURE

YES NOAll food service establishments require a grease interceptor to be installed on site. Is there a grease interceptor on site?

MFD OTHER MFD OTHER

PIN

I DO NOT AGREE.I AGREE.

Page 2: DATE: PERMIT APPLICATION (OFFICE USE ONLY) · As required by Texas Local Government Code Section 214.904, the City of Dallas will grant (Approve) or deny your building permit application

SUSTAINABLE DEVELOPMENT AND CONSTRUCTION DEPARTMENT w BUILDING INSPECTION DIVISION OAK CLIFF MUNICIPAL CENTER, 320 E. JEFFERSON BLVD., ROOM 118, DALLAS, TX 75203 w TEL. NO. (214) 948-4480 REV 10-26-2020

FOR OFFICE USE ONLY

ROUTE TO REVIEWER DATE

ZONING

BUILDING

ELECTRICAL

PLUMBING/MECHANICAL

LANDSCAPING

HEALTH

GREEN BUILDING

FIRE

WATER

HISTORICAL/CONS DIST

ZONINGLAND USE TYPE OF WORK BASE ZONING PD

LOT BLOCK REQUIRED PARKING PROPOSED PARKING

LOT AREA BDA SUP RAR

DIR EARLY RELEASE PARKING AGREEMENT

BUILDING MISCELLANEOUSCONSTRUCTION TYPE OCCUPANCY

SPRINKLER OCCUPANT LOAD

STORIES DWELLING UNITS

NUMBER BEDROOMS NUMBER BATHROOMS

ACTIVITY OWN

FLOOD PLAIN AIRPORT

SPECIAL INSPECTIONS HISTORICAL

DRY

FEE CALCULATIONS ($)PERMIT FEE

PLAN REVIEW FEE

EXPRESS PLAN REVIEW HOURLY FEE TOTAL

HEALTH PERMIT APPLICATION FEE

SURCHARGE

HEALTH PLAN REVIEW FEES

OTHER FEES

OTHER FEES

TOTAL FEES

$

LL

PRE-SCREEN

ENGINEERING

PREQUALIFICATION REVIEW FEE

AVIATION

OTHER:______________

APPLICATION REMARKS

DEED RESTRICTION

STREET ADDRESS OF PROPOSED PROJECT SUITE/BLDG/FLOOR NO PROJECT/PERMIT NUMBER

PLAN REVIEW NOTES