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Rev. 01/01/2017 <br />810 Highway 6 S, Suite 111 <br />Otten Consulting Group, Inc. <br /> Houston, TX 77079 <br />www.statereview.com <br />Tele (713) 975-1029 <br />TAS Review/Inspection Order Form <br />Fax (713) 785-7769 <br />admin@statereview.com <br />Project Name: <br />Project ABNumber: (if registered with TDLR) <br />TDLR FilingFee may bepaiddirectly online or by combinedfee whensubmitting toOCG. <br />Fee Schedule <br />123 <br />Inspection <br />TDLR Filing Review Periodic <br />Construction CostTotal <br />Fee <br />FeeFeeInspection <br />Under $50,000$175$350$375$275 <br />300 <br />50,000-199,999175375400 <br />200,000-499,999175400425325 <br />500,000-999,999175450475350 <br />1,000,000-4,999,999175500600375 <br />5,000,000-9,999,999175650750425 <br />10,000,000-14,999,999175800800650 <br />15,000,000-and up175Contact OCG for fee <br />Pre-Project InspectionContact OCGfor fee <br />TDLR Late Project Filing Fee$300 <br />Application must be accompanied by payment in full.Total <br />1 <br />One-Time Filing Fee of $175 is required online with TDLR or with OCG submittal. RAS# 00000149 <br />2 <br />Planreview fee includes preliminary plan reviews (prior to registration) and technical assistance throughout the design phase. <br />3 <br />Periodic inspections serve to eliminate potential violations during construction. <br />Please include the following: <br />AB Project Registration form If project has been registered online include one copy of Registration Confirmation page. <br />One complete set of construction documents - submitted within (20) twenty days of issuing project along with proof of submission form (for <br />licensed design professionals only). <br />Payment in full for requested services. Please include TDLR filing Fee for projects not yet registered. Please make checks payable to: Otten <br />Consulting Group, Inc. <br />Reduce or eliminate costly TAS violations. Contact OCG for the following essential compliance services: <br />Pre-Project Inspection: OCG survey of existing facilities prior to finalizing intended scope of work. TAS requirements for <br />alterations typically increase scope of work. Identify these requirements and locations of accessibility compliance with a Pre- <br />Project Inspection. Contact OCG to schedule a Pre-Project Inspection. <br />Preliminary Reviews: Prior to final construction documents, email your project to techinfo@statereview.com for preliminary <br />reviews, or contact OCG for hardcopy pickup no charge. <br />Periodic Inspections: Elements such as noncompliant plumbing and surface slopes that are commonly overlooked during <br />the construction phase add unnecessary costs to a building or facility budget. With a periodic inspection, potential violations <br />may be identified and corrected before a final inspection. Avoid having to redo newly constructed areas for TAS violations <br />that could have been addressed before project completion. Periodic inspections offer peace of mind. <br />Responsibility for compliance with Texas Government Code Chapter 469 is placed upon the design professional with overall responsibility for <br />aproject, and/or the Owner of afacility. Plan Reviews shall not be construed as acceptance of responsibility for such compliance byOtten <br />Consulting Group, Inc., or anyof its accessibility specialists or employees. Otten financial liability is limited to fees paid for <br />Plan Reviews and Inspections. All fees are non-refundable. Reports cannot bereleased until all fees are paid in full. <br />I hereby Authorize Otten Consulting Group, Inc., to perform requested services for the referenced project. <br />Owner / Agent Design Professional <br />X <br />Authorized Signature Date Telephone Fax <br />TAS FORM A-1/17 <br /> <br />