Form IHB056 "Request and Payment for Alteration Decals" - Texas

What Is Form IHB056?

This is a legal form that was released by the Texas Department of Licensing and Regulation - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2019;
  • The latest edition provided by the Texas Department of Licensing and Regulation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form IHB056 by clicking the link below or browse more documents and templates provided by the Texas Department of Licensing and Regulation.

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Download Form IHB056 "Request and Payment for Alteration Decals" - Texas

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TEXAS DEPARTMENT OF LICENSING AND REGULATION
Regulatory Program Management/Industrialized Housing & Buildings Program
P. O. Box 12157 • Austin, Texas 78711 • (512) 539-5735 • (800) 803-9202
Fax: (512) 539-5736 • Email:
• Web site:
IHBtech@tdlr.texas.gov
www.tdlr.texas.gov
Request and Payment for Alteration Decals
Please print or type all information
Industrialized Builder Name:
Reg. #IHB-
________
Location address of
units to be altered:
Builder’s Representative:
Phone #:
*Email address
(optional):
If you want decals shipped overnight, please include a COMPLETED return air bill with your order. The return air bill
shall be completed with your account number and the name and address of the TPIA or TPI to receive the decals. Your
order will be shipped overnight at your expense.
Alteration and recertification of the units to which these decals are to be affixed must be in compliance with the requirements of
the mandatory building codes and standards in effect at the time the alterations are completed. Only registered industrialized
builders may purchase alteration decals. Decals will be released only to the third party inspection agency/third party inspector
responsible for inspecting the alteration construction. The third party inspector is responsible for placing the assigned decal on
each module upon completion of the construction and successful completion of all required inspections.
Please indicate the name and registration # of the TPIA responsible for completing the alteration inspections. The decals will be
released only to the TPIA or to a TPI employed by the TPIA. The decals will be released only to the mailing address of the TPIA
or TPI on file with the Department.
Name of TPIA Responsible for
Reg. #IHIA-
Inspections:
_____
Please enter name, registration #, phone number, and email address (optional) of TPI if decals are to be released
directly to the inspector responsible for performing the alteration inspections.
Name of
Reg. #IHI-
TPI:
______
Email address
Phone #:
(optional):
Enter the manufacturer’s name and registration number, the Texas decal number, and the serial number for each unit to be
altered. Alteration decals will not be issued if verification of original Texas decal number and manufacturer’s serial number
cannot be found in TDLR’s decal databases or if records show that unit was not inspected during construction in the
manufacturing facility. Please check with the Department to verify prior to ordering decals.
Manufacturer’s Name and
Texas Decal
Unit Serial # or Identification #
Decal Fee
Alteration Decal Number
Registration #
Number
(as assigned by manufacturer)
$50/decal
(for Department use only)
$50.00
$50.00
$50.00
$50.00
$50.00
=
Total # of decals
Total Fee
Page 1
Page 1 =
(total # of decals X $50.00)
$
=
Total Fee
Total # of decals
Page 2 =
Page 2
(total # of decals X $50.00)
$
Total Fee
=
Total # of decals both pages =
[Sum of total from all Pages]
$
TDLR 056ihb 09/19
Page 1 of 2
TEXAS DEPARTMENT OF LICENSING AND REGULATION
Regulatory Program Management/Industrialized Housing & Buildings Program
P. O. Box 12157 • Austin, Texas 78711 • (512) 539-5735 • (800) 803-9202
Fax: (512) 539-5736 • Email:
• Web site:
IHBtech@tdlr.texas.gov
www.tdlr.texas.gov
Request and Payment for Alteration Decals
Please print or type all information
Industrialized Builder Name:
Reg. #IHB-
________
Location address of
units to be altered:
Builder’s Representative:
Phone #:
*Email address
(optional):
If you want decals shipped overnight, please include a COMPLETED return air bill with your order. The return air bill
shall be completed with your account number and the name and address of the TPIA or TPI to receive the decals. Your
order will be shipped overnight at your expense.
Alteration and recertification of the units to which these decals are to be affixed must be in compliance with the requirements of
the mandatory building codes and standards in effect at the time the alterations are completed. Only registered industrialized
builders may purchase alteration decals. Decals will be released only to the third party inspection agency/third party inspector
responsible for inspecting the alteration construction. The third party inspector is responsible for placing the assigned decal on
each module upon completion of the construction and successful completion of all required inspections.
Please indicate the name and registration # of the TPIA responsible for completing the alteration inspections. The decals will be
released only to the TPIA or to a TPI employed by the TPIA. The decals will be released only to the mailing address of the TPIA
or TPI on file with the Department.
Name of TPIA Responsible for
Reg. #IHIA-
Inspections:
_____
Please enter name, registration #, phone number, and email address (optional) of TPI if decals are to be released
directly to the inspector responsible for performing the alteration inspections.
Name of
Reg. #IHI-
TPI:
______
Email address
Phone #:
(optional):
Enter the manufacturer’s name and registration number, the Texas decal number, and the serial number for each unit to be
altered. Alteration decals will not be issued if verification of original Texas decal number and manufacturer’s serial number
cannot be found in TDLR’s decal databases or if records show that unit was not inspected during construction in the
manufacturing facility. Please check with the Department to verify prior to ordering decals.
Manufacturer’s Name and
Texas Decal
Unit Serial # or Identification #
Decal Fee
Alteration Decal Number
Registration #
Number
(as assigned by manufacturer)
$50/decal
(for Department use only)
$50.00
$50.00
$50.00
$50.00
$50.00
=
Total # of decals
Total Fee
Page 1
Page 1 =
(total # of decals X $50.00)
$
=
Total Fee
Total # of decals
Page 2 =
Page 2
(total # of decals X $50.00)
$
Total Fee
=
Total # of decals both pages =
[Sum of total from all Pages]
$
TDLR 056ihb 09/19
Page 1 of 2
TEXAS DEPARTMENT OF LICENSING AND REGULATION
Compliance Division/Industrialized Housing & BuildingsProgram
P. O. Box 12157 • Austin, Texas 78711 • (512) 539-5735 • (800) 803-9202
Fax: (512) 539-5736 • Email:
• Web site:
IHBtech@tdlr.texas.gov
www.tdlr.texas.gov
- Continued on back –
* The Department will add your address to the Industrialized Housing and Buildings (IHB) email notification list, which automatically provides
information from the Department on matters affecting IHB. Your email address is confidential pursuant to the Texas Public Information Act and
the Department will not share it with the public. See additional information at the following link:
http://www.license.state.tx.us/newsletters/TDLRnotificationLists.asp
Manufacturer’s Name and
Texas Decal
Unit Serial # or Identification #
Decal Fee
Alteration Decal Number
Registration #
Number
(as assigned by manufacturer)
$50/decal
(for Department use only)
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
= $
Total Fee
Total # of decals
Page 2 =
Page 2
(total # of decals X $50.00)
We hereby request____________(total #) decals to be affixed to units altered by the industrialized builder.
Enclosed is check #______________, dated _______________ in the amount of $_________________.
MAKE CHECKS PAYABLE TO: Texas Department of Licensing and Regulation.
Failure to provide all information could delay processing of your order.
TDLR 056ihb 09/19
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