4008, MS 401
-4008
Development Services
Building Inspection Division
215 E. Buffalo St., Chandler Arizona 85225
Telephone: (480) 782-3000
Fax: (480) 782-3010
Form No: UDM-041/Building
www.chandleraz.gov
Rev: 05-04-20
Plan Review/Permit Extension
Request
Plan Review approvals and issued permits may be extended, prior to expiration, for up to 180 days
upon written request with justifiable cause demonstrated. An expired permit may be reinstated
within one year of expiration upon payment of a reinstatement fee equal to ½ of the original
permit fee.
E-Ma
il Request to: ROD@ChandlerAZ.gov
or
Deliver to: City of Chandler Mail to: City of Chandler
Development Services Department Permit Counter
215 East Buffalo Street P.O. Box 4008, MS 406
Chandler, AZ 85225 Chandler, AZ 85244
Da
te: ______________________________
Project #: ______________________________
Project Address: ___________________________________________________________________________________________
I r
equest my Plan Review/Permit be extended the allotted 180 days from date of expiration due to
the following circumstances:
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Ap
plicant Name: _________________________________________________________________________________________________
Co
mpany Name
(If Applicable): ___________________________________________________________________________________
Em
ail: _______________________________________________________________ Phone: ____________________________________
FOR STAFF USE ONLY
Pl
an Review or Permit Issue Date: ___________________________ Expiration Date: ___________________________
☐Approved Extended to: ________________________________ ☐Denied
Reason: ____________________________________________________________________________________________________________
Building Official: ________________________________________________________________ Date: __________________________
