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Design Review Commissioning: 1 General Project Information

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Chapter 1

Design Review Commissioning


Project Name: _________________________________________________________________________________
Project Address: _______________________________________________________________________________
Permit Number: ________________________________________________________________________________
Commissioning Provider #: _______________________________________________________________________

Chapter 2
Item No. Design Review Commissioning Items Included? Y/N
1 General Project Information
The CxP must provide a design review commissioning report with comments, questions, and
observations to the Owner and Design Teams for compliance with the OPR. This design review
commissioning should not be considered a design review, design review code, or regulatory
document.

Chapter 3
2 Design Review Response
The Design Team, Owner, and/or other responsible party should respond to the CxP design
review commissioning report with necessary answers and document modifications for the project.
3 Documentation
A copy of the design review commissioning report(s) and response will be included in the final

Chapter 4
commissioning report.

Commissioning Provider Acknowledgment


I have reviewed the documents and verified that they meet the Owner’s Project Requirements:
Name: _______________________________________________________________________________________
Company Name: _______________________________________________________________________________

Chapter 5
Signature: ______________________________________________________________ Date: _________________

Owner/Owner’s Representative Acknowledgment


The project documents include the items listed on this form and have been approved by the Owner or Owner’s
representative:
Name: _______________________________________________________________________________________

Appendix A
 Owner  Owner’s Representative
Company Name: _______________________________________________________________________________
Signature: ______________________________________________________________ Date: _________________

Appendix B
Appendix B

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