HomeMy WebLinkAboutBLD2018-01027 Special Inspection - BLD Inspections - 10/25/2018 E TO BE KEPT iNTHE RECE1111. :
PA FILE OCT 2 5 2018
615 W. Mason County Community Services
Building Division
SPECIAL INSPECTION & 615 WAlder Street
Shelton, WA 98584
TESTING AGREEMENT 360.427.9670 ext. 352
www.co.mason.wa.us
(All references are per the 2015 International Building Code)
Project Name: Union Washington Residences Site Imorovement•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
Unapproved Fabricators(IBC 1704.2.5) Krazan&Assoc's. Inc. 1230 NW Finn Hill Rd,Suite A
for all special Poulsbo,WA 98370
If applicable inspections marked
Other than Structural Steel(IBC Table 1705.2.2) Contact:Wes Mahan
❑Steel floor&roof decks Tel:(36)598-2126
❑Welding of reinforcement Email:WesMahan@krazan.com
❑ Cold-formed steel
Structural Steel
®Welding(Per NSA of AISC 360-10) u
❑ Details(Per N5.7 of AISC 360-10)
❑ High-strength bolts(Per N5.6 of AISC 360-10)
Concrete Construction(per 18C Table 1705.3)
Reinforcement,embeds,anchors
(�formwork
Materials
Shotcrete
❑ Post-tensioned/Pre-stressed Concrete
❑ Erection of precast concrete
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Mason County Community Services
Building Division
SPECIAL INSPECTION & 615 W Alder Street
Shelton, WA 98584
TESTING AGREEMENT 360.42Z9670 ext. 352
www.co.mason.wa.us
Areas requiring special inspection: Name of Agency: Address&Contact Information
Masonry Construction(IBC 1705.4)
❑ Prior to Construction(Article 1.15,TMS-602)
❑ As Construction Begins(Article 1.29.2,TMS-402)
❑ Prior to Grouting(Table 1.19.2,TMS-402)
i ❑ During Construction(Per TMS-402&TMS-602)
IIII Wood Construction
❑ High-Load Diaphragms(IBC 1705.5.1)
❑ Wood Trusses>60ft(IBC 17DS.5.2)
® Soils(IBC Table 1705.6)
❑ Driven Deep Foundations(IBC Table 1705.7)
❑ Cast-in-place Deep Foundations(IBC Table 1705.8)
❑ Helical Pile Foundations(IBC 1705.9)
❑ Sprayed Fire-Resistant Materials(IBC 1705.13)
❑ Mastic&Intumescent Coatings(IBC 1705.14)
❑ EIFS(IBC 1705.15)
❑ Fire-Resistant Penetrations(IBC 1705.16)
❑ Smoke Control(IBC 1705.17)
❑ Structural Steel(IBC 1705.12.1&AISC 341-10)
® Structural Wood(IBC 1705.12.2)
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i
Mason County Community Services
Building Division
SPECIAL INSPECTION & 615 WAIderStreet
Shelton, WA 98584
TESTING AGREEMENT 360.42Z 9670 ext.3S2
www.co.moson.wo.us
❑ Cold-formed Steel(IBC 1705.12.3) w
❑ Mechanical&Electrical Components(1705.12.4)
Architectural Components(IBC 1705.12.S)
If applicable
❑ Storage Racks(IBC 1705.12.7)
❑ other (IBC 170S.1.1)
❑Structural Observations
Dedaratkon by Architect/Englneer
I, 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.
o
8
Signet V
Engineer) Date
Signature (A►chtted) Date
Slputu►e O Date
Declaration by Owner
I,the OwnerAthe project,declare that the above listed firms)or Indivldual(s)are hired by me to perform special
Inspections an¢stru �Z�lrestlng for the project pursuant to IBC 1704.2,
SI re Daq
CONTRACTOR RESPONSIBILITY: Each contractor Involved with the construction of wind or seismic force-resisting systems
shall comply with the requirements of IBC 1704.4. 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.
Declaration by 1 C ntra r
I,the Gen er 0 ctor of ej;roject,agree to comply with the"Contractor Responsibility"Items noted above.
Signature Date
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