Form 4534 PDF Details

Form 4534 is an important document for small business owners and taxpayers. This form is used to request relief from tax debt. If you are struggling to pay your taxes, you may be able to get help using Form 4534. In this blog post, we will discuss what Form 4534 is and how you can use it to get relief from your tax debt. We will also provide a few tips on how to complete the form correctly. Let's get started!

QuestionAnswer
Form NameForm 4534
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesroof certification form, INSTALLATION, certify, Installer

Form Preview Example

DEPARTMENT OF PLANNING & BUILDING

BUILDING DIVISION

276 FOURTH AVENUE CHULA VISTA CA 91910

619-691-5272

619-585-5681 FAX

FORM 4534

ROOF COVERING – CERTIFICATION OF INSTALLATION

The roof covering applied to the structure located at the address indicated below must comply with the current Uniform Building Code standards or approved testing agency standards. This certification report must be completed by the contractor and posted with the inspection record card prior to final inspection.

Permit number:

Address:

City, State, Zip:

Roofing manufacturer:

Listing Agency:

Listing Agency approval number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Manufacturer’s specification of type:

 

 

 

 

 

 

 

 

Roofing type:

 

 

 

 

Roof Slope:

 

 

Fire retardant: Yes

 

 

No

 

 

 

Not req’d

 

 

 

 

 

 

 

 

Fire rating class:

 

 

 

 

 

 

 

 

 

 

INSTALLATION:

I hereby certify that the roof installed at the above listed address does comply with the approved plans, manufacturer’s installation standards and all listing requirements.

 

Contractor’s Signature

 

 

 

Date

 

 

 

 

 

 

 

 

Contractor’s Company Name

 

 

 

 

 

 

 

 

 

 

 

 

 

Contractor’s Company Address

 

 

 

 

 

 

 

 

 

 

 

 

 

Contractor’s Company Telephone Number

 

 

Contractor’s Calif. State License #

 

Original – Project

Copy – Contractor/Installer

 

Copy – Building Department