Page 44 - BuildingStandards

COMMITMENT FOR FIELD REVIEW

Note: This letter must be submitted BEFORE issuance of a Building Permit.

To: Construction Code Authority of Saskatchewan Date:
Att: Ryan Shepherd
PO Box 535, 872-103 Street
North Battleford, Saskatchewan
Canada S9A 2Y7

Name of Project
PROJECT Address Lot City Prov

Roll Number (Legal Description)
Plan
Block

The undersigned hereby undertakes to be responsible for field review of the following components during
construction: (Initial those items listed below that apply to this registered professional.)

Piles Bearing Wall Systems(s)
Foundations Floor System(s)
Pre-Engineered Building(s) Roof System(s)
Structural Steel Components Mezzanine(s)
Cast-In-Place Concrete Other (Please Specify)

The undersigned also undertakes to notify the authority having jurisdiction in writing as soon as possible
if the undersigned's contract for field review is terminated at any time during construction.

I certify that I am a registered professional as required by the Uniform Building and Accessibility Standards Act.

Full Name (Print) (Affix Professional Seal Below)

Signature Initials

City Postal Code

Phone Number Fax Number

E-mail Address Date:

If the registered professional is a member of a firm, complete the following:
I am a member of the firm: Name of Firm Address

City Postal Code

and I sign this letter on behalf of the firm and myself.