Overtime Inspections

BILLING AUTHORIZATION FORM

Date *

Address of Inspection *

Address Line 1

Address Line 2

City

State

Zip Code

Project Name/Description *

Permit Number

Type of Inspection *

Date(s) Work Requested *

Inspection Terms:

By submitting this form you authorize Renton Regional Fire Authority (RRFA) to bill the undersigned Owner/Authorized Agent for the inspection costs incurred at a rate of $175 per hour. The following conditions apply:

CONSTRUCTION INSPECTIONS:
Weekdays: A minimum two hours will be charged.
Weekends: A minimum two hours will be charged, portal-to-portal from the Plan Reviewer/Deputy Fire Marshal's residence. Partial hours will be prorated to the nearest quarter hour.
Holidays: A minimum four hours will be charged, portal-to-portal from the Plan Reviewer/Deputy Fire Marshal's residence. Partial hours will be prorated to the nearest quarter hour.

OTHER REQUESTED INSPECTIONS (HOME DAYCARES AND/OR ADULT FAMILY HOMES WHEN APPROVED BY THE FIRE MARSHAL):
A minimum of one hour will be charged. Partial hours will be prorated to the nearest quarter hour. "Other Requested Inspections" will not be scheduled after hours, weekends, or on holidays.

Billing will be sent to:

Name of Owner/Authorized Agent *

First

Last

Company Name *

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Billing Authorization: *

The Owner/Authorized Agent agrees to the Inspection Terms above and agrees to pay for the requested inspection.

Overtime Inspections – Special Billing Form

Overtime Inspections

BILLING AUTHORIZATION FORM

Inspection Terms:

Billing will be sent to:

Renton Regional Fire Authority

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