Contractor Payment Application (AIA G702-style)
Standard pay-application form for periodic progress billing - AIA G702-G703 inspired format.
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APPLICATION FOR PAYMENT
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PROJECT
Project name: Taylor Kitchen Remodel
Project address: 482 Elm Street, Apt 3B, Portland, OR 97214
Owner: Jordan Alex Taylor
Contract number: PHR-2026-04481
Pay app number: PA-003
Period covered: April 1, 2026 to April 30, 2026
CONTRACTOR
Name: Pacific Home Renovations LLC
Address: 880 SE Hawthorne Blvd, Portland, OR 97214
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CONTRACT SUMMARY
Original contract value: $38,500.00
+ Approved change orders: $1,280.00
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Current contract value: $39,780.00
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WORK SUMMARY
Work completed to date: $33,800.00
+ Stored materials (not yet incorporated): $0.00
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Total completed and stored: $33,800.00
Less retainage at 5.0%: ($1,690.00)
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Less retainage subtotal: $32,110.00
Less previous payments: ($19,250.00)
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AMOUNT DUE THIS REQUEST: $12,860.00
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LINE-ITEM BREAKDOWN
Line item Schedule Completed Stored This pay
Demolition $1,800 $1,800 $0 $0
Rough-in (electrical, plumbing) $4,500 $4,500 $0 $0
Framing and drywall $3,200 $3,200 $0 $0
Cabinet installation $9,800 $9,800 $0 $9,800
Countertop installation $5,200 $4,500 $0 $4,500
Flooring $4,000 $3,500 $0 $3,500
Lighting and electrical $3,200 $2,500 $0 $2,500
Painting $2,800 $1,800 $0 $1,800
Punch list and final clean $4,000 $2,200 $0 $0
TOTAL (subject to retainage) $38,500 $33,800 $0 $22,100
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CONTRACTOR CERTIFICATION
The contractor certifies that:
- All amounts requested are for work actually performed or materials actually delivered.
- All previous progress payments have been used to pay for labor, materials, equipment, and services applied to the project.
- The work is in compliance with the contract documents.
- All taxes, premiums, and obligations to subcontractors and material suppliers for work covered by previous progress payments have been paid.
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SIGNATURES
Contractor:
_______________________________ Date: August 4, 2026
Pacific Home Renovations LLC (by authorised representative)
Architect / Owner Approval:
_______________________________ Date: ____________________
Reviewer (Architect / Owner / Project Manager)
About this template
A construction pay application is the standard document by which a contractor requests progress payment from the owner. The American Institute of Architects (AIA) G702 (Application and Certificate for Payment) and G703 (Continuation Sheet) are the dominant industry-standard forms; private contractors often use G702-style applications without the AIA copyrighted forms. The pay application includes: (1) Contract Summary - original contract value plus approved change orders equals current contract value; (2) Work Summary - work completed to date plus stored materials minus retainage minus previous payments equals amount due; (3) Line-item breakdown showing percentage complete of each scheduled value; (4) Contractor certification of accuracy. Retainage is the percentage withheld from each progress payment to ensure final completion - typically 5-10% on residential, 10% on commercial, with state laws often imposing maximum retainage rates (California: 5% on private projects, 5% public; Oregon: typically 5-10%; varies). Retainage is released at substantial completion. The schedule of values (the line-item budget) is established at contract signing and forms the basis for percentage-complete billing. Owners review pay applications carefully: verify percentage complete is accurate (visit the site, check against scope); verify change orders cited are signed; verify retainage is being held; verify previous payments are correct. Disputed pay applications are common - the architect or owner's rep can certify a different amount than the contractor requests. State prompt-payment laws (California Civil Code §8800; Oregon ORS 701.620; Texas Property Code §28; etc.) typically require owner to pay within 30 days of certified pay application or face statutory interest and attorney's fees on amounts wrongly withheld.
When to use it
- Periodic progress billing on construction project.
- Standard pay application replacing informal invoices.
- Project requiring detailed work-completion documentation.
- Public-works projects (typically required).
- Lender-financed projects (lender often requires AIA-style apps).
What to include
- Contractor and project identification.
- Pay application number and period.
- Contract summary (original + change orders).
- Work summary (completed + stored).
- Retainage calculation.
- Previous payments.
- Amount due this request.
- Line-item breakdown.
- Contractor certification.
Frequently asked
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