HomeMy WebLinkAboutBLD2020-01370 Special Testing - BLD Inspections - 6/10/2021 IF
Mase l County Community Services
Building Division
SPECIAL INSPECTION
515 W Alder Strut
Shelton, WA 98584
F TESTING AGREEMENT c�.47.9s7c� xt. z
www:co.moson;wa.us
(All references are per the 2015 International Building Cade)
Project Name:Richard Andersen
Project Address:30 Ne Anchor St,Belfair
Building Permit Number: BLD2020-01370. Date Issued:
BEFORE A PERMIT CAN BE ISSUED The registered Design Professional in responsible C��arge shall fill out the Agreement
and include the name and address of the company or inspector. Two (2) copies of thr�,.j form are to be submitted to the
County prior to the issuance of a building permit. If changes are made as to who will perf rrn the special inspections a new
form shall be submitted and turned into the.Building Permits&Inspections Division for ap roval.
l
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!7 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 requirement: of IBC 1704.2.4. Copies of each
report are to be sent to the address listed in the letterhead noting the Project Address aid 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
CI Unapproved Fabricators(18C 1704.2.5)
I
Other than Structural Steel(IBC Table 1705.2.2)
0 Steel floor&roof decks
El Welding of reinforcement
0 Cold-formed steel
Structural Steel
0 Welding(Per NSA of AISC 360-10) ;
IJ Details(Per N5.7 of AISC 360-10)
0 High-strength bolts(Per N5.6 of AISC 360-10)
Concrete Construction(per ISC Table 1705.3)
[]Reinforcement,embeds,anchors.{:post installed)
C Formwork I
E
Cl Materials
0 Shotcrete t
El Post-tensioned/Pre-stressed Concrete
0 Erection of precast concrete
>s
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Mass'1 County Community Services
Building Division
SPECIAL INSPECTION & 615 V1!AlclerStreet
Shelton, WA 985844
360,427.9670 ext.352
TESTING AGREEMENT www.co,mason.wa.us
ElCold-formed Steel(IBC 1705.12.3)
Cl Mechanical&Electrical components(1705.12.4)
I
O Architectural Components(IBC 1705.12.5)
0 Storage Racks(iBC 1705.12.7)
El.Other (IBC 1705.1,1)
❑ Other (IBC 1705.1.1)
I#
Declaration by Architect/Engineer
1, the design professional in responsible charge for this project, declare that the,
above listed special inspection and structural.testing items are required for this.;
project.in accordance with IBC Chapter 17.
05/29/21
Signature Date
Declaration by Owner
Is the Owner of the project,declare that the above listed firm(s)or individual(s)are hired by me to perform
special inspections and structural testing for the project pursuant to IBC 1704.2. .
Signature Oate
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. Atl special inspection records
shall be retained at the job site by the contractor and shall be made.available t the Building Department upon
request.
Cteclaration by General Contractor
t, the General Contractor of the project, agree to comply with the "Cuntractrr Responsibility" items noted
above.
Signature
Date
ti
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Mason County Community Services
Building Division
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SPECIAL INSPECTION & 615 wAlderStree#
Shelton, WA 98584
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TESTING AaREEi1/IENT1.42Z. 67l�exf. 352
VVlrvw.C0.mason.wa.us
Areas requiring special inspection: Name of Agency: Address&Contact Information
Masonry Construction(ISC 1105.44)
❑ Prior to Construction(Article 1.15,TMS-602)
❑ As Construction Begins(Article 1,19.2,TMS-402)
El Prior to Grouting(Table 1.19.2,TMS-402)
❑ During Construction(Per TMS-402&TM5-502)
Wood Construction
El High-Load Diaphragms(IBC 1705,5.1)
Woad Trusses>60ft(IBC 1705.5.2)
❑Soils(IBC Table 1705.6)
Driven Deep Foundations(IBC Table 1705.71 Envirotech Engineering PO Box 984
Belfalr,Washington 98528
Michael Staten(360-275-9374)
El Cast-in-place Deep Foundations(IBC Table 1705.8)
❑ Helical Pile Foundations(IBC 1705.9)
II
❑ Sprayed Fire-Resistant Materials(IBC 1705.1.3)
❑ Mastic&Inturnescent 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)
11 Structural Wood(IBC 1705.12.2)
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