ࡱ> tvs5@ 4bjbj22 oXX8ltx>Z$^!!!Q:S:S:S:S:S:S:$@R$C>-W(\!"~!W(W(U=2>***W(^Q:*W(Q: +$*r1+6||67 `SC (j97e8H>0x>K7ZC)fC$7C7!,"*#0$'!!!U=w:dL*LTEXAS DEPARTMENT OF LICENSING AND REGULATION P.O. Box 12157 Austin, Texas 78711 (512) 463-3211 (877) 278-0999 FAX (512) 475-2886 architectural.barriers@license.state.tx.us  HYPERLINK http://www.license.state.tx.us www.license.state.tx.us ARCHITECTURAL BARRIERS INSPECTION RESPONSE FORM Building or facility owners or the owners designated agent may use this form to indicate the status of outstanding violations associated with the referenced construction project that were identified during the inspection performed by a Registered Accessibility Specialist (RAS) or TDLR Investigator to verify compliance with the Texas Accessibility Standards (TAS). STEP 1 PROJECT INFORMATION PRINT OR TYPE Name: EABPRJ #: Address: City: Zip:  STEP 2 INSPECTION STATUS INFORMATION A.(All violations cited on the inspection report relating to the above referenced project have been corrected. B.(All violations cited on the inspection report relating to the above referenced project will be corrected by: _____________(completion date). Note: Projects inspected by a RAS, have 270 calendar days from the date of the inspection report to correct inspection violations. Completion dates after 270 calendar days of the inspection report must be approved by TDLR. C.(The following violations cited on the inspection report relating to the above referenced project will not be corrected: TAS violation reference(s) __________________________________________________ A Variance Application has been submitted and/or approved for: ______________________  STEP 3  OWNER/AGENT INFORMATION Owner/Agent Name: Company/Firm: Address: City: State: Zip: Telephone #: Fax #: **E-mail Address:  FORMTEXT      I am the owner of this building/facility or an agent designated by the owner to act on their behalf (check one): ( Owner ( Owners Designated Agent I certify by my signature below that the information provided is true and accurate. I also understand that failure to correct the violations(s) may result in this project being forwarded to the Enforcement Division of TDLR for action. Signature: Date: STEP 4 SUBMITTAL INFORMATION: FOR RAS AND/OR TDLR USE ONLYName:  FORMDROPDOWN RAS # (if applicable):  FORMDROPDOWN  American Construction Investigations, Ltd.Address: 602 Sawyer St., Houston, TX 77007-7510City: HoustonState: TXZip: 77007-7510Telephone #: (713) 864-8494Fax #: (713) 864-8495**E-mail Address:  FORMDROPDOWN  TDLR FORM AB029 03-07  NOTE: An individual who completes and files this form with the Texas Department of Licensing and Regulation (the Dept.) is entitled to the following: to be informed about the information that the Dept. collects about the individual, upon their request and subject to a few exceptions; to receive and review the information, under Sections 552.021 and 552.023 of the Texas Govt. Code; and have the Department correct information about the Individual that is incorrect, under Section 559.004 of the Texas Govt. Code. **The Department will add your address to the Architectural Barriers email notification list, which automatically provides information from the Department on matters affecting Architectural Barriers. Your email address is confidential pursuant to the Texas Public Information Act and the Department will not share it with the public. 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C$}_T+Wތ"PJ/Yd?B n{cZ2[۩/!7%0}[HĐ2+;K<"Ҽߗse;|N>epXMmV7}B]_Owz(m?^o!lBVn_-x[`xʭ R-q|YdGVn^!*oD,co/raܢwQ>+.|z-66{o|#ck{<'GIENDB`DyK yK Xhttp://www.license.state.tx.us/yX;H,]ą'chb$$If!vh55F#v#vF:V'l t")655Fax$$If!vh5t5 5+ #vt#v #v+ :V'l t")65t5 5+ a$$If!vh5J5$#vJ#v$:V'l t06,5J5$a$$If!vh5J5$#vJ#v$:V'l t06,5J5$a$$If!vh5d5$#vd#v$:V'l t06,5J5$ab$$If!vh55`#v#v`:V'l t655`a$$If!vh55~ 585#v#v~ #v8#v:V'l t655~ 585afDEnter the name of the arch., eng., interior designer, landscape arch., or building designer having overall responsibility for the design of the project and whose seal is affixed to the dwgs. Include type of license, number, and date sealed if applicable.j$$If!vh5 5 5`#v #v`:V'l t65 5`aP$$If!vh5")#v"):V'l t65")aP$$If!vh5")#v"):V'l t65")a$$If!vh5")#v"):V'l  t 6,5")/ ` ap 6Df Jeromy G. MurphyHenry R. Hermis, Jr.Michael L. 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