Form Osh-Fd-303s1 - California Building Standards Code - Oshpd 1 - 2013

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OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT

FACILITIES DEVELOPMENT DIVISION –

400 R Street, Suite 200 ~ Sacramento, California 95811

Phone (916) 440-8300

FAX (916) 324-9188

700 N. Alameda Street, Suite 2-500 ~ Los Angeles, California 90012 Phone (213) 897-0166

FAX (213) 897-0168

Testing, Inspection and Observation Program

2013 California Building Standards Code – OSHPD 1

This program is prepared and submitted for an OSHPD 1 project. OSHPD 1 projects include all construction and remodel projects for general acute-care

hospitals and acute psychiatric hospitals. OSHPD 1 projects also include construction and remodel of skilled nursing facilities and/or intermediate care

facilities except those of single-story, Type V, wood or light steel-frame construction.

Facility #:

Facility Name:

Project #:

Street Address:

Sub #:

City:

County:

Record Name (Scope of Project):

TESTS – DOCUMENTATION / CERTIFICATION REQUIRED

CONSTRUCTION

OFFICE USE ONLY

VERIFICATION

FDD

REQUIRED TESTS

RESPONSIBLE FIRM OR

*TBD

IOR

CONSTRUCTION

INDIVIDUAL

ACCEPTANCE

FDD

REQUIRED SPECIAL INSPECTIONS

RESPONSIBLE INDIVIDUAL

*TBD

IOR

CONSTRUCTION

ACCEPTANCE

* NOTE: To Be Determined (TBD) – The name of the firm or individual to perform this test or special inspection shall be submitted to and approved by the

Office, prior to proceeding with the work that requires this test or special inspection.

OSH-FD-303S1 (Rev 08/12/14)

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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