Cal. Civ. Code § 110-11-1-.17

When, as provided for in, and in accordance with, paragraphs
(12)(B) and (15) of subsection (g) of Code Section
8-2-26 of Part 2 of Article 1 of
Chapter 2 of Title 8 of the Official Code of Georgia Annotated (O.C.G.A.), a
decision by a local building official is appealed to the Department of
Community Affairs, a Plan Review Appeals Subcommittee, as established herein,
shall be convened to review and rule upon the appeal.

Each such subcommittee is to be comprised of six (6) members
of the Department's State Codes Advisory Committee (SCAC): four (4) county and
municipal building officials, all of whom will serve on every such
subcommittee, and two (2) members appointed by the chairman of the SCAC whose
experience uniquely qualifies them in the subject area of, or whose individual
fields of expertise are closely related to, the subject matter being
appealed.

In order for a Plan Review Appeals Subcommittee to be
convened to review and rule upon an appeal, the appeal must be properly filed
with the Department. 'Proper filing' shall mean forwarding the following
information via certified mail to the Construction Codes and Industrialized
Buildings Section of the Department:

A notarized affidavit filed by the appellant containing
thorough descriptions of (a) the decision by the local building official and
(b) the nature of the dispute; (c) specific code citations (e.g. code(s),
edition(s), section(s), subsection(s), state/local amendment(s), etc.)
applicable to the subject matter in dispute.

A filing fee in the amount of one-hundred dollars, in the
form of a cashier's check, made payable to the "Georgia Department of Community
Affairs," paid by the party appealing the decision by the local building
official; and

Any and all documentation from either of the disputing
parties which may assist the subcommittee in its review (none will be accepted
by the subcommittee after the receipt of a properly filed appeal).

The subcommittee shall consider the materials submitted,
review the applicable construction codes and shall have a maximum of sixty (60)
days from the date of receipt of a properly filed appeal to convene, review and
rule upon the appeal. Upon the Plan Review Appeals Subcommittee making its
finding, the Department shall forward copies of the subcommittee's ruling to
each of the disputing parties. The ruling of the Plan Review Appeals
Subcommittee shall be binding.

AFFIDAVIT OF PLAN REVIEW BY PRIVATE PROFESSIONAL
PROVIDER

I, ____________________, the undersigned, have
reviewed the construction plans submitted by

AFFIANT'S NAME (PRINT)

______________, dated _________________, for work
proposed to be completed at

COMPANY NAME (PRINT) DATE ON PLANS

the construction site address below, and hereby
certify under oath that the following is true and correct to the best of my

knowledge and belief and in accordance with the
applicable professional standard of care:

A) The plans were reviewed by me, the affiant, who
is duly authorized to perform plan review pursuant to subsection (g) of Code
Section 8-2-26 of Part 2 of Article 1 of
Chapter 2 of Title 8 of the Official Code of Georgia Annotated (O.C.G.A.), and
who holds the appropriate license or certifications and insurance coverage
stipulated in subsection (g) of Code Section
8-2-26;

B) The plans comply with the Georgia State Minimum
Standard Codes for construction most recently adopted by the Department of
Community Affairs, with Georgia State Amendments, and any locally adopted
ordinances and amendments to such codes; and

C) The plans submitted for plan review are in
conformity with plans previously submitted to obtain governmental approvals
required in the plan submittal process and do not make a change to the project
reviewed for such approvals.

____________________________________

___________

___________

AFFIANT'S SIGNATURE

DATE

_______________

AFFIANT'S LICENSE/CERTIFICATION TYPE

_______________________________

___________

___________

___________

AFFIANT'S LICENSE/CERTIFICATION NUMBER

COUNTY/MUNICIPALITY TO RECEIVE/MAINTAIN THIS
AFFIDAVIT

AFFIANT'S ADDRESS

COUNTY/MUNICIPALITY ADDRESS

___

______________________

AFFIANT'S TELEPHONE NUMBER

COUNTY/MUNICIPALITY TELEPHONE NUMBER

Sworn to and subscribed before me this__________ day
of, 20. ___________________

Notary Public

My commission expires:________

____________

____________

____________

____________

____________

____________

SUBMITTING COMPANY'S ADDRESS

____________

____________

SUBMITTING COMPANY'S TELEPHONE NUMBER

Notary Seal

________

________

_______________

_______________

_______________

_______________

CONSTRUCTION SITE ADDRESS

_______________

_______________

CONSTRUCTION SITE TELEPHONE NUMBER

Georgia Department of Community Affairs

60 Executive Park South, N.E.

Atlanta, GA 30329-2231