Commissioning Acceptance Form - Austin, Texas
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One Texas Center | 505 Barton Springs Road, Austin, Texas 78704 | Phone: 512.978.4000 Commissioning Acceptance Form The information requested in this form is required to be submitted to the inspector at the time of the mechanical rough-in inspection. To complete this form electronically: Open with Internet Explorer, then Click Here to Save and continue. Section 1: Project Description Project Name: _________________________________________________________ Project Address: _______________________________________________________ Mechanical/Building Permit Number: _______________________________________ Section 2: Commissioning Authority Statement I, _______________________________________ (Engineer of Record) certify that a Commissioning Authority meeting the qualification requirements of the City of Austin Energy Code (local ordinance 20130606-091, section C403.2.9) has been contracted to perform the mechanical systems commissioning scope of work for this project, and that all commissioning activities are current and on-going as of this date. __________________________________________________ ________________ Signature Date Commissioning Authority Contact Information Name: _______________________________________________________________ Certification: __________________________________________________________ Company: ____________________________________________________________ Address: _____________________________________________________________ Phone Number: ________________________________________________________ City of Austin | Commissioning Acceptance Form 7/6/2016
Transcript of Commissioning Acceptance Form - Austin, Texas
One Texas Center | 505 Barton Springs Road, Austin, Texas 78704 | Phone: 512.978.4000
Commissioning Acceptance Form The information requested in this form is required to be submitted to the inspector at the time of the mechanical rough-in inspection.
To complete this form electronically: Open with Internet Explorer, then Click Here to Save and continue.
Section 1: Project Description
Project Name: _________________________________________________________
Project Address: _______________________________________________________
Mechanical/Building Permit Number: _______________________________________
Section 2: Commissioning Authority Statement
I, _______________________________________ (Engineer of Record) certify that a Commissioning Authority meeting the qualification requirements of the City of Austin Energy Code (local ordinance 20130606-091, section C403.2.9) has been contracted to perform the mechanical systems commissioning scope of work for this project, and that all commissioning activities are current and on-going as of this date.
__________________________________________________ ________________ Signature Date
Commissioning Authority Contact Information
Name: _______________________________________________________________
Certification: __________________________________________________________
Company: ____________________________________________________________
Address: _____________________________________________________________
Phone Number: ________________________________________________________
City of Austin | Commissioning Acceptance Form 7/6/2016
