FIRE DEVELOPMENT SERVICES PLAN CHECK EXPEDITE REQUEST DATE:
__________________
TO:
Commander, Fire Development Services Unit Fire Prevention Bureau 201 N Figueroa Street, Suite 300 Los Angeles, CA 90012
FROM: _______________________________________________________________ (Name of person processing this request)
Telephone Number: ____________________________________________________ Office Address:
____________________________________________________ ____________________________________________________
SUBJECT:
EXPEDITE PLAN CHECK NO. ___________________
JOB ADDRESS: ________________________________________________________ Please expedite plan review for the above address. I hereby submit fees of $480 for the first 4-hours of plan review and agree to pay $120 per hour, or any portion thereof, for any additional time required by the plans examiner. The below listed person will be responsible for any additional cost. Please invoice for any additional costs to: Name/Title: _____________________________________________________ Company:
_____________________________________________________
Address:
_____________________________________________________ _____________________________________________________
Telephone No.: (
) ____________________________________________
Authorized Signature: _____________________________________________ Print Name: _____________________________________________________ ------------------------------------------------For office use only-----------------------------------------------LAFD Inspector’s Signature: _______________________________________________