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Architectural Barriers - Inspection Response (Texas Department Of Licensing And Regulation)

TEXAS DEPARTMENT OF LICENSING AND REGULATION

ARCHITECTURAL BARRIERS - INSPECTION RESPONSE

PLEASE READ THESE IMPORTANT INSTRUCTIONS

Building/facility owners or their agents may use this form to indicate the status of outstanding violations cited as a result of

a Texas Accessibility Standards (TAS) inspection required by the Texas Architectural Barriers Act. To ensure proper

processing, follow each STEP making sure to return the completed form (fax, mail, or hand-deliver) to the Registered

Accessibility Specialist (RAS) or TDLR inspector that inspected the building/facility.

STEP 1: PRINT OR TYPE

Project Name:

EABPRJ#:

Project Address:

Suite No.

City:

Zip:

STEP 2: COMPLETE A OR B AS APPROPRIATE

All of the ________ (# of violations) violations cited on the inspection report relating to the

above referenced project have been corrected as of ______________________(date).

Only __________ (# of violations) cited on the inspection report relating to the above referenced

project have been corrected as of ___________________________________(date). The

remaining ___________________(# of violations) will be addressed as noted below.

The following violations_____________________________________________________

(TAS section#) will not be corrected.

An extension is requested until______________________________(date).

Variance(s) for the following violation(s)_________________________________________

(TAS section #) will be submitted.

STEP 3: PRINT OR TYPE

Owner/Agent Name:

Company Firm:

Address:

City:

State:

Zip:

Telephone:

Fax #:

E-mail Address:

I am the owner of this building/facility or an agent designated by the owner to act on their behalf:

Owner

Owner’s Agent

I certify by my signature below that the information provided is true and accurate. I also understand that

Failure to correct the violation(s) may result in this project being forwarded to the Enforcement Division

of TDLR for action.

Signature:

Date:

STEP 4: RETURN THIS FORM TO THE INSPECTOR

FOR INSPECTORS ONLY

Name of inspector and/or Company/Firm:

Leonard G. Lane, Jr./Chelsea Design Investigations

Address:

City:

State:

Zip:

3200 Southwest Freeway, Suite 2121

Houston

Texas

77027

Fax #:

E-mail address:

Telephone #:

713-621-5599

713-621-58

lane@cpdhouston,com

TDLR AB 029 07-03

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. Cod

Architectural Barriers - Inspection Response (Texas Department Of Licensing And Regulation)

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