Application Request for Deferred Submittal(s)
Building Permit Application Number: -
Project Name/Description: ___________________________________________________
Project Address:
This form is intended to assist the applicant in meeting the requirements for providing a complete
and comprehensive building construction plan set to Building Services Division for review and
approval during the permitting process. An applicant may utilize this form to identify portions of
submitted building construction plans that may be incomplete or have been provided for reference
purposes only; or to indicate specific areas of building project construction that are intended to be
submitted for review and approval at a later date (such as for bidder-design drawings, shop
drawings, etc.).
(Note: Submission and approval of this request may supplement, or be deemed to satisfy the provisions of
IBC Section 107 - requiring that a listing of deferred submittals must be provided on the building
construction documents that are submitted for review and approval.)
Documents and/or plans for the deferred elements identified below must be submitted to the
architect, engineer, or other project designee of record, who shall review them and forward them
to the Building Official with a notation or accompanying qualification that they have been
reviewed and found to be in basic conformance and compatibility with the building design.
No work associated with deferred submittals shall be commenced prior to specific City
approval (and permitting, as applies).
Please check all that apply:
Fire Suppression Plans and Info Plumbing Plans and Info
Fire Alarm Plans and Info Mechanical Plans and Info
Special Systems Other
By signing below I acknowledge that the deferred submittals listed above are subject to separate approval
at the time of submittal and are subject to additional fees, as may apply.
Signed: _____________________________________ ___________________ __________
Signature of Architect, Engineer, or other Responsible Party of Record Print Name Date
BUILDING SERVICES DIVISION
1700 Civic Drive DuPont, WA 98327
P: (253) 912-5217 F: (253) 964-1455
www.dupontwa.gov
