Form DIC-4329 "Request to Schedule Elevator Device Inspection" - Ohio

What Is Form DIC-4329?

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

Form Details:

  • Released on February 1, 2019;
  • The latest edition provided by the Ohio Department of Commerce;
  • 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 fillable version of Form DIC-4329 by clicking the link below or browse more documents and templates provided by the Ohio Department of Commerce.

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Download Form DIC-4329 "Request to Schedule Elevator Device Inspection" - Ohio

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Request to Schedule Elevator Device Inspection
Completed request can be mailed or
Sent electronically to: Email:
elevators@com.ohio.gov
Fax: 614-644-2428
Allow 48 hours for a response to your request. *Only permit holder can request an inspection.
All inspection and re-inspection requests will be scheduled based upon inspector availability.
Scheduling hours are from 7 a.m. to 4 p.m.
Inspector off-hour inspections (over time) require a separate written request. $60/hour with a minimum of four hours.
No Certificate of Operation will be issued until installation/alteration has been inspected, all fees and appropriate
forms submitted, and passed final inspection.
Permit #:
Owner ID#:
State ID#:
Location of Elevator
Building Name:
Address:
City:
Zip:
County:
Company Making Request
Contact:
Phone:
(must be the permit holder)
Company:
Email:
I hereby acknowledge that the elevator device has been reviewed for violations prior to requesting the inspection and a
punch list will not be provided.
Common Violation check list
is available on our website. It is understood that all fees, forms
and a state of Ohio inspection must be filed before a certificate of operation will be issued as outlined in O.R.C. section
4105. No Person may use the elevator device to haul materials, furniture or persons not directly related to the construction
of the lift until a certificate is issued. The permit holder will be held responsible to safeguard the elevator device from use
until a certificate of operation is issued.
Signature: ________________ Date: ___________
Request Date(s) and Time(s)
Scope of work:
Date:
Time:
Date:
Time:
Date:
Time:
Type Inspection requested
Yes No NA
(Check One)
Acceptance
Have life safety devices been pre-tested (Phase 1, Smokes, Heats, etc.)
Acceptance re-inspection
Will a temporary use Certificate of operation be requested
Alteration
List know violations items if your intentions is to apply for a temporary
Alteration re-inspection
certificate of operation (see below for temp requirements):
Escalator Annual (50% of steps removed)
Escalator Semi-Annual
Witnessed Safety test (With Weights)
Pre-inspection Walk thru (Supervisor only)
Other:
*Note Temp request can only be applied for after state inspection
Request for temporary certificate of operation for construction or public use on acceptance and alterations will not be approved with
unfinished work in the hoistway, pit or machine room, no exceptions. This does not mean it all has to function it just has to be all installed.
All electricians, pipefitters, fire alarm installers, HVAC, plumbers, general contractors, etc. work shall be 100% installed before a temp will
be considered. Temporary certificate of operation for public use is only available for alterations
FOR OFFICE USE ONLY
Date of Inspection:
Inspector:
Time:
Notes:
Bureau of Operations & Maintenance – Elevators
614-644-2223
6606 Tussing Road
Fax 614 -644-2428
Reynoldsburg, OH 43068-9009
TTY/TDD 800-750-0750
Form Name: DIC-4329
com.ohio.gov
An Equal Opportunity Employer and Service Provider
Date Updated: 2/2019
Request to Schedule Elevator Device Inspection
Completed request can be mailed or
Sent electronically to: Email:
elevators@com.ohio.gov
Fax: 614-644-2428
Allow 48 hours for a response to your request. *Only permit holder can request an inspection.
All inspection and re-inspection requests will be scheduled based upon inspector availability.
Scheduling hours are from 7 a.m. to 4 p.m.
Inspector off-hour inspections (over time) require a separate written request. $60/hour with a minimum of four hours.
No Certificate of Operation will be issued until installation/alteration has been inspected, all fees and appropriate
forms submitted, and passed final inspection.
Permit #:
Owner ID#:
State ID#:
Location of Elevator
Building Name:
Address:
City:
Zip:
County:
Company Making Request
Contact:
Phone:
(must be the permit holder)
Company:
Email:
I hereby acknowledge that the elevator device has been reviewed for violations prior to requesting the inspection and a
punch list will not be provided.
Common Violation check list
is available on our website. It is understood that all fees, forms
and a state of Ohio inspection must be filed before a certificate of operation will be issued as outlined in O.R.C. section
4105. No Person may use the elevator device to haul materials, furniture or persons not directly related to the construction
of the lift until a certificate is issued. The permit holder will be held responsible to safeguard the elevator device from use
until a certificate of operation is issued.
Signature: ________________ Date: ___________
Request Date(s) and Time(s)
Scope of work:
Date:
Time:
Date:
Time:
Date:
Time:
Type Inspection requested
Yes No NA
(Check One)
Acceptance
Have life safety devices been pre-tested (Phase 1, Smokes, Heats, etc.)
Acceptance re-inspection
Will a temporary use Certificate of operation be requested
Alteration
List know violations items if your intentions is to apply for a temporary
Alteration re-inspection
certificate of operation (see below for temp requirements):
Escalator Annual (50% of steps removed)
Escalator Semi-Annual
Witnessed Safety test (With Weights)
Pre-inspection Walk thru (Supervisor only)
Other:
*Note Temp request can only be applied for after state inspection
Request for temporary certificate of operation for construction or public use on acceptance and alterations will not be approved with
unfinished work in the hoistway, pit or machine room, no exceptions. This does not mean it all has to function it just has to be all installed.
All electricians, pipefitters, fire alarm installers, HVAC, plumbers, general contractors, etc. work shall be 100% installed before a temp will
be considered. Temporary certificate of operation for public use is only available for alterations
FOR OFFICE USE ONLY
Date of Inspection:
Inspector:
Time:
Notes:
Bureau of Operations & Maintenance – Elevators
614-644-2223
6606 Tussing Road
Fax 614 -644-2428
Reynoldsburg, OH 43068-9009
TTY/TDD 800-750-0750
Form Name: DIC-4329
com.ohio.gov
An Equal Opportunity Employer and Service Provider
Date Updated: 2/2019