Form 154 "Application for Trainee Certification of Building Department Personnel" - Ohio

What Is Form 154?

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 June 10, 2021;
  • 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 printable version of Form 154 by clicking the link below or browse more documents and templates provided by the Ohio Department of Commerce.

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Download Form 154 "Application for Trainee Certification of Building Department Personnel" - Ohio

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Page background image
B
B
S
OARD OF
UILDING
TANDARDS
A
T
C
B
D
P
PPLICATION FOR
RAINEE
ERTIFICATION OF
UILDING
EPARTMENT
ERSONNEL
This application is submitted to the Board of Building Standards as specified in the provisions of Section 3781.10
of the Ohio Revised Code and 4101:7-3-01 of the Ohio Administrative Code.
Applicant Information
BBS Certification ID:
Name:
Home Address:
City:
County, State:
ZIP:
E-Mail:
Phone:
Department/Firm:
I am applying for:
Traditional Trainee Program OAC 4101:7-3-01(F)(5)(e)
Alternative Trainee Program OAC 4101:7-3-01(F)(5)(d)
To apply for trainee certification:
__
Complete this application and sign in front of a notary.
__
Include all Trainee forms, signed by Building Official and Supervisor
__
Include one set of supervisor/sponsor forms per trainee certification
__
Include proposed Alternative Trainee Program Plan if applicable
__
Include non-refundable application fee of $50.00 per certification
payable to Treasurer, State of Ohio/BBS (Check or Money Order ONLY)
__
Submit this complete application with fee at least 10 days before next Board meeting
Approval process:
__
Certification
Committee
considers
each
individual
application
and
make
recommendations to the Board of Building Standards
__
You will receive notice of the Board’s action within 7-10 business days of the meeting
by US mail
If Trainee certification is granted:
__
You must complete required examinations and conditions of your trainee certification
including requirements for education, supervision and training. See attached Matrix of
Experience and Examinations
__
You must complete the Ohio Building Code Academy (OBCA)
If you fail to complete the OBCA, required examinations and conditions of either the Traditional
or Alternative Trainee Program by the expiration of the trainee certification, you will not be able
to work as a certified code enforcement professional under this trainee certification.
No
extensions of trainee certifications will be granted. The Ohio Board of Building Standards is a public
entity and any information provided to BBS may constitute a public record, available to anyone who
requests it. Please do not include any personally identifiable information beyond this page
Ohio Board of Building Standards
Timothy Galvin, Chairman
614-644-2613
6606 Tussing Road
Fax 614 -644-3147
Reynoldsburg, OH 43068-9009
TTY/TDD 800-750-0750
Date Updated 6/10/2021
com.ohio.gov/dico/bbs
An Equal Opportunity Employer and Service Provider
Form Number 154
B
B
S
OARD OF
UILDING
TANDARDS
A
T
C
B
D
P
PPLICATION FOR
RAINEE
ERTIFICATION OF
UILDING
EPARTMENT
ERSONNEL
This application is submitted to the Board of Building Standards as specified in the provisions of Section 3781.10
of the Ohio Revised Code and 4101:7-3-01 of the Ohio Administrative Code.
Applicant Information
BBS Certification ID:
Name:
Home Address:
City:
County, State:
ZIP:
E-Mail:
Phone:
Department/Firm:
I am applying for:
Traditional Trainee Program OAC 4101:7-3-01(F)(5)(e)
Alternative Trainee Program OAC 4101:7-3-01(F)(5)(d)
To apply for trainee certification:
__
Complete this application and sign in front of a notary.
__
Include all Trainee forms, signed by Building Official and Supervisor
__
Include one set of supervisor/sponsor forms per trainee certification
__
Include proposed Alternative Trainee Program Plan if applicable
__
Include non-refundable application fee of $50.00 per certification
payable to Treasurer, State of Ohio/BBS (Check or Money Order ONLY)
__
Submit this complete application with fee at least 10 days before next Board meeting
Approval process:
__
Certification
Committee
considers
each
individual
application
and
make
recommendations to the Board of Building Standards
__
You will receive notice of the Board’s action within 7-10 business days of the meeting
by US mail
If Trainee certification is granted:
__
You must complete required examinations and conditions of your trainee certification
including requirements for education, supervision and training. See attached Matrix of
Experience and Examinations
__
You must complete the Ohio Building Code Academy (OBCA)
If you fail to complete the OBCA, required examinations and conditions of either the Traditional
or Alternative Trainee Program by the expiration of the trainee certification, you will not be able
to work as a certified code enforcement professional under this trainee certification.
No
extensions of trainee certifications will be granted. The Ohio Board of Building Standards is a public
entity and any information provided to BBS may constitute a public record, available to anyone who
requests it. Please do not include any personally identifiable information beyond this page
Ohio Board of Building Standards
Timothy Galvin, Chairman
614-644-2613
6606 Tussing Road
Fax 614 -644-3147
Reynoldsburg, OH 43068-9009
TTY/TDD 800-750-0750
Date Updated 6/10/2021
com.ohio.gov/dico/bbs
An Equal Opportunity Employer and Service Provider
Form Number 154
Board of Building Standards
Application for Trainee Certification, Building Department Personnel
Last Name
First Name
BBS Certification ID
S
1: C
T
C
(
) B
R
ECTION
HECK
RAINEE
ERTIFICATION
S
EING
EQUESTED
Master
Plans
Building Plans
Electrical Plans
Fire Protection
Mechanical Plans
Examiner
Examiner
Examiner
Plans Examiner
Examiner
Plumbing Plans
Building
Electrical Safety
Fire Protection
Mechanical
Examiner
Inspector
Inspector
Inspector
Inspector
Plumbing
Non-Residential
Inspector
Industrial Unit
Inspector
Res. Plans Examiner
Res. Building Inspector
Res. Industrial Unit Inspector
Res. Mechanical Inspector
S
2: L
A
O
L
, C
,
R
H
ECTION
IST
NY
HIO
ICENSE
ERTIFICATE
OR
EGISTRATION
ELD
(Mark “T” If Trainee)
Description
Certificate Number
Date Received
Architectural Registration
P.E. Registration
Res
Non-Res
Building Official Certification
Plans Examiner Certification
Building Inspector Certification
Mechanical Inspector
Certification
Building Plans Examiner Certification
Mechanical Plans Examiner Certification
Fire Protection Plans Examiner Certification
Electrical Plans Examiner Certification
Plumbing Plans Examiner Certification
Fire Protection Inspector Certification
Electrical Safety Inspector Certification
Plumbing Inspector Certification
Fire Safety Inspector Certification
Fire Protection System Designer Certification
Medical Gas Piping Inspector Certification
Section 3: Employment/Education
a. Formal Education
Date Graduated
Ohio Board of Building Standards
Effective August 30, 2021
Form Number 154 – Trainee Application
Board of Building Standards
Application for Trainee Certification, Building Department Personnel
Last Name
First Name
BBS Certification ID
b. Related Vocational or Technical Training
Years’ Experience
c. U.S. Military construction experience (
):
Years’ Experience
MOS or other designation
d. Place of Employment:
Years’ Employed
S
4: OBC/RCO B
I
E
P
BBS C
B
D
ECTION
UILDING
NSPECTION
XPERIENCE
ERFORMED FOR A
ERTIFIED
UILDING
EPARTMENT
BBS Certified Building
BBS Certified
Date of Service,
Duties
Department
Position/Title
Length of Time
(MM/DD/YY)
S
5: E
N
S
O
R
(D
).
O
OT
UBSTITUTE WITH
THER
ESUMES
ECTION
XPERIENCE
Refer to Experience Requirements Listed in O.A.C. 4101:7-3-01 and O.R.C. 3783
Below, list the specific projects you worked on, and the specific work you performed, your
typical duties for each project, and dates of this work. You must demonstrate that you have
the required number of months (years) of actual, practical experience for the certification
requested (see matrix).
Provide letters from certified inspectors, employers, or contractors verifying your experience.
Submit copies of any certificates, diplomas, or licenses. Remove all personal information.
List Each Construction Project AND
Name of Employer, Contact, Address,
Project Time: From_ To _
Specific Type of Work Performed
Telephone Number
(MM/YY)
Example:
Homer Steel and Trade
July 2013-May 2014
Children’s Hospital, Toledo
125 Anytown Street
(10 months)
Structural steel work on addition
My City, OH, 45454
(419)555-1212
Total Experience on This Page (In Months):
Ohio Board of Building Standards
Effective August 30, 2021
Form Number 154 – Trainee Application
Board of Building Standards
Application for Trainee Certification, Building Department Personnel
Last Name
First Name
BBS Certification ID
S
5
.: E
ECTION
CONT
XPERIENCE
List Each Construction Project AND
Name of Employer, Contact, Address,
Project Time: From_ To _
Specific Type of Work Performed
Telephone Number
(MM/YY)
Total Experience on This Page (In Months):
Ohio Board of Building Standards
Effective August 30, 2021
Form Number 154 – Trainee Application
Board of Building Standards
Application for Trainee Certification, Building Department Personnel
Last Name
First Name
BBS Certification ID
S
6: P
H
ECTION
ERSONAL
ISTORY
1. Have you ever been convicted of any felony, or any crime involving moral turpitude?
If you answered “Yes” please explain below:
Yes
No
2. Have you served in the U.S. armed services? (If No, skip question 3)
Yes
No
3. If YES, were you discharged under honorable conditions?
Yes
No
If you answered “No” please explain below:
S
7: C
ECTION
ERTIFICATION
I certify the information contained in this application is true and complete, and I
understand that providing false information may be grounds for not granting
certification or for immediate termination of certification at any point in the future,
if granted. I authorize the investigation of all statements contained herein and release
all parties from all liability for any damage that may result from furnishing the same
to Ohio Board of Building Standards. Falsification is a violation of section 2921.13 of
the Ohio Revised Code and is punishable as a misdemeanor of the first degree.
Signature of Applicant: ________________________________________
Subscribed and duly sworn before me according to law, by the above named applicant this day _____
of ___________ in the year 20____ at ____________________, County of _______________ and State
of _____________.
Notary Public: ________________________________________
SEAL
Ohio Board of Building Standards
Effective August 30, 2021
Form Number 154 – Trainee Application
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