PROJECT CERTIFICATION
PROPERTY OWNER OF RECORD
PERMIT NO.
PROJECT TITLE
DATE:
ADDRESS
PLAT
CITY
Providence, Rhode Island
LOT
SCOPE OF PROJECT
SCOPE OF CERTIFICATION
ENTIRE PROJECT
ARCHITECTURAL
STRUCTURAL
FIRE PROTECTION
MECHANICAL
ELECTRICAL
CIVIL / SITE
OTHER (Specify)
PLUMBING
In accordance with Rhode Island General Law 23-27.3 Section 128.0 of the Rhode Island Building Code
I ___________________________________________________RI Registration No _____________________ being a registered professional Architect /
Engineer hereby certify that: I have prepared or directly supervised the preparation of drawings, computation, and specifications concerning the above
described project and that to the best of my knowledge such drawings, computation, and specifications meet all applicable provisions of the Rhode Island
State Building Codes, all acceptable engineering practices and laws for the proposed project. I further certify that I shall perform the necessary
professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with
the documents approved for the building permit and shall be responsible for the following as specified in section 128.2.2
§ 23-27.3-128.2.2 Responsibilities. A professional engineer or registered architect on behalf of the owner shall be responsible for the following:
(1) Review of the shop drawings, samples, and other submittals of the contractor as required by the construction contract documents submitted for
permit and approval for conformance to the design concept.
(2) All change orders to the contract documents shall be submitted to the building official after approval by the professional engineer or registered
architect.
(3) Review and approval of the testing procedures listed in § 23-27.3-128.4 and chapter 35 (reference standards). The engineer or architect shall
notify the owner, building official, and contractor of the results of all tests and the required corrective measures which need to be taken.
(4) Insure special engineering or architectural inspection of critical construction components requiring controlled materials, or construction specified
in the accepted engineering practice standards as listed in Chapter 35.
(5) The professional engineer or registered architect or his or her representative shall provide the necessary professional services and be present on
the construction site on a regular and periodic basis to determine that, generally, the work is proceeding in accordance with the documents
approved for the permit.
I _____________________________________ the design professional, further certify that I will coordinate, supervise, and keep records of all special
inspections and tests as per § 23-27.3-128.4 Testing required listed below:
§ 23-27.3-128.4 Testing required. (a) The reference standards listed in the appendices or the text of this code contain many field or agency tests which
are required for the proper installation or erection of any building or structure and its component structural, electrical, mechanical, and plumbing
assemblies. It shall be the responsibility of the engineer or architect to specify the tests as required § 23-27.3-128.2.2 of this code and listed in this code,
and its standards. The owner or the contractor shall then secure the necessary professional services to perform the tests. The engineer or architect shall
file the periodic test reports, any deviations, or any corrective measures to be taken as required in §23-27.3-128.2(3).
(b) A list of building components to be tested, and the tests to be performed, shall be on file prior to the phase of the construction beginning. The building
official may require additional testing in order to assure compliance with the requirements of this code.
Pursuant to Section 128.2.3, I shall submit
Weekly
Bi-weekly
Monthly
A progress report together with pertinent comments to the state building official. Upon completion of the work I shall submit a final project report as to the
satisfactory completion and readiness of the project for occupancy.
Seal
Firm Name:
Address:
Phone:
Signature of Architect / Engineer
Owners Statement:
I hereby acknowledge the above and agree to notify the Building Official of any
changes to this agreement
Signature of Owner
Notary Signature__________________________________________
Commision # ____________________________________________
Seal
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