HomeMy WebLinkAboutBLD2018-01027 Special Inspection - BLD Inspections - 10/25/2018 (2) RECEI tr r
OCT 2 5 2018
Mason CountyCommunity
S rvic s
615 W. Alou, 6,1 tit, tY
Building Divisi n
SPECIAL INSPECTION & 615 WAIder Street
Shelton, WA 98584
TESTING AGREEMENT 360.42Z9670 ext.352
wwwxo.mason.wa.us
(All references are per the 2015 International Bullofng Code)
Project Name: Union Washington Residences Site Improvement:Kitchen Building
Project Address: 51 E Waterwheel Place
Building Permit Number. BLD2018-01027 Date Issued:
BEFORE A PERMIT CAN BE ISSUED: The registered Design Professional in responsible charge shall fill out the Agreement
and include the name and address of the company or inspector. Two(2)copies of this form are to be submitted to the
County prior to the issuance of a building permit. If changes are made as to who will perform the special inspections a new
form shall be submitted and turned into the Building Permits&Inspections Division for approval.
STATEMENT OF SPECIAL INSPECTIONS: In addition to this Agreement, a "Statement of Special Inspections" shall be
provided per IBC 1704.3. This Statement shall be made as part of the approved plans, and be placed in a conspicuous
location,such as the first page of the construction plans or the first page of the structural sheets.
SPECIAL INSPECTORS: All special inspectors shall be approved by the Building Division prior to performing any duties. The
special Inspector shall provide proof of certification as a special inspector for each inspection item and be licensed by the
State of Washington.
SPECIAL INSPECTION REPORTS: Special inspection reports are to meet the requirements of IBC 1704.2.4. Copies of each
report are to be sent to the address listed in the letterhead noting the Project Address and Permit Number. A final report
shall be submitted stating that all special inspection and structural testing Items were completed and are In conformance
with the approved design drawings and specifications. Items not in conformance,unresolved Items,or any discrepancies in
Inspection coverage(i.e. missing inspections,periodic inspections when continuous was required,etc.)shall be specifically
Itemized in the final report.
Areas requiring special Inspection: _ Name of Agency: Address&Contact Information
l$I Unapproved Fabricators(IBC 1704.2.5) Krazan&Assoc's.Inc. 1230 NW Finn Hill Rd,Suite A
for all special Pouisbo,WA 98370
If applicable inspections marked
Other than Structural Steel(IBC Table 170U.2) Contact:Wes Mahan
_ tee oor roo ec
-- = --
❑Welding of reinforcement Email:WesMahan@krazan.com
❑Cold-formed steel
Structural Steel
19 Welding(Per NSA of AISC 360-10)
❑Details(Per N5.7 of AISC 360-10)
❑ High-strength bolts(Per N5.6 of AISC 360-10)
Concrete Construction(per IBC Table 1705.3)
N Reinforcement,embeds,anchors
19 Formwork
00 Materials
0 Shotcrete
❑ Post-tensioned/Pre-stressed Concrete
❑ Erection of precast concrete
Page 1 of 3
Mason County Community Services
Building Division
SPECIAL INSPECTION & 61S WAIderStmet
Shelton, WA NS84
TESTING AGREEMENT 360.42Z9670ext 3S2
WINW.Co.mason.wa.us
❑Cold-formed Steel(IBC 170S.12.3)
❑ Mechanical h Electric)Components(1705.12.4)
Architectural Components(111C 1705.12.5)
If applicable
❑ Storage Racks(IBC 1705.12.7)
❑ other (IBC 1705.1.1)
❑Structurel 0Wwvatlons
Declaration by ArchkWEnginear
1, the design professional in responsible charge for this project, declare that the above listed special
Inspection and structural sting items are required for this project in accordance with IBC Chapter 17.
Ar,� 0 a f
Slinat rr Enjlneer) Data
Slputere(Arddtn4 new
slputure ( ) rite
Declaration bitOwner
1,the Owner the project,declare that the above listed firm(s)or individual(s)are hired by me to perform special
inspectiol!"an3f stru� I sting for the project pursuant to IBC 1704.2.
G' o /.5 vl
n Dow
CONTRACTOR RESPONSIBILITY: Each contractor Involved with the construction of wind or seismic fora-resisting systems
shall comply with the requirements of IBC 1704A. The contractor Is responsible for providing the special Inspector access
to approved plans and contract documents at the job site. All special inspection records shall be retained at the job site by
the contractor and shall be made available to the Building Department upon request.
Declerotlon by I ntra
1,the Gener o ctor of roject,agree to comply with the"Contractor Responsiblllty"Items noted above.
Av
Signature Date
Page 3 of 3