Fillable REQUEST TO EXTEND BUILDING PLAN CHECK (City of Fremont)

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REQUEST TO EXTEND BUILDING PLAN CHECK (City of Fremont)

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BSD-168 Form – Request to Extend Building Plan
Check Updated: 5/29/2020 (LT)
A plan check shall be invalid if work has not commenced after 180 days or if work is suspended or
abandoned for 180 days. Before the plan check expires one extension may be granted for good and
satisfactory reason by the Plan Check or Permit Center Manager. To request an extension,
completely fill out the information below and mail it back to the address above or email it to
bldinfo@fremont.gov.
Date: ____________________________
Job Address: ____________________________________________________________________
I hereby request an extension of Building Permit Application # BLD___________________ for the
following reasons (s):
I
anticipate that work will start/resume no later than ____________________________________
Name:
(Owner, Contractor)
Address:
Telephone No:
E-Mail Address:
OFFICE USE ONLY:
Approved ________ Disapproved ________ Permit Extended Until:
__________
____________________________ _________________________
Permit Center Manager or Plan Check Manager Date
Comme
nts:
Development Services Center
BUILDING & SAFETY DIVISION
39550 Liberty Street
Fremont, CA 94538
(510) 494-4460
REQUEST TO EXTEND BUILDING PLAN CHECK
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REQUEST TO EXTEND BUILDING PLAN CHECK (City of Fremont)

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Completed 3 August 2020

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