HomeMy WebLinkAboutBLD2018-00477 Special Inspection Testing - BLD Inspections - 8/6/2018 ` FILE
Mason CountyQ Services
AL Building Division
SPECIAL INSPECTION �� 1 r Street
TESTING AGREEMENT
INW.Co-arson. o. s
(All references are per the 2015 international Building Code)
Project ame: fVii
Project Address, & f / � r' 6
Building Permit Number- *3/- /yes r +`11 fz Date Issued-
BEFORE A PERMIT CAN BE ISSUED: The registered design professional in responsible charge shall fill out the Agreement and
include the name of each inspector as well as their appropriate license/certification number. Two(2)copies of this fora.
:ire 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 CAP SPECIAL INSPECTIONS: In addition to this Agreement, a "Statement of Special Inspections" shall be
provided per IBC 1.7€4 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, he
spacial inspector shall provide proof of certification as a special inspector for each inspection item and be licensed by the
State of Washington,
SPECIAL INPSECTION REPORTS- Special inspection reports are to meet the requirements of ISC 1704.2.4. Gies of each
report are to be seat to the address listed in the letterhead noting the Project Address and Permit Number. A rural 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.
GE"I+ftRAL SPECIAL;INSPECTION ITEMS(per IBC Chapter 17
.._._ DIY checka8 items urn rutrl __
Areas requiring special Inspection, Name of encv- Name of Inspector; ta, y
I
1 Unapproved Fabricators(18C 1704.2.5)
Other than Structural Steel(IBC Table 17651.2)
i` Steel floor&roof decks
0 welding of reinforcement
LJ Cold-formed steel
Stn t;tural Steel
1.3 Welding(Per NSA of RISC 360-10)
U Retails(Per NS.7 of RISC 360-10)
a
Higfr-strength bolts(Per N5.6 of AISC 360-10)
I Concrete Construction(per IBC Table 1705.3)
I„ errt,eok4eels,anchors
Formwork ?X I
La Materials
�4.
k ElShotcrete
0 Post-tenoned/Pre-stressed Concrete
El Frtctiop of Precast concrete
i
Page 1 of 3
Mason County Community Services
Building hlision
SPECIAL INSPECTION 1 Alder Street
,wwwco.mason.wo.us
GENERAL SPECIAL INSPECTION ITEMS(per ISC Chapter 17)-continued
ued
jOnly checked Items are required]
Areas requiring special Inspections: dame of Agency: Name of Inspector; Llcen+se/Cerr%No.
s
Masonry Construction(IBC 1705.4)
1_3 Prior to Construction(particle 1.15,TM5.602)
As Construction Begins(particle 1.19.2,"fMS-402)
1
F3 Prior to Grouting(Table 1.19.2,TMS-402) )
l_ During Construction(PerTMS-402&TMS-602)
Wood Construction
)
U Nigh-Load Diaphragms(18C 170S.S.1)
(�l Wood Trusses>E0ft(18C 1705.5.2) s
s
g F€ Soils(18C Table 170S.6)
Driven Deep foundations(IBC Table 17£15.7)
11 Cast-in-place Creep Foundations(18C Table 1705.9)
(.J helical Pile Foundations(ISC 1705.9)
Sprayed Fire-Resistant Materials(1BC 170 ,13)
1
Mastic&ln'turnescent Coatings(18C 1705.14)
) E1FS(IBC 1705.1S)
11 fire-Resistant Penetrations(IBC 1705.16)
t '..,31 Smoke Control(IBC 1705.17)
Other. _ (ISC 1705.1.1) f
Other (IBC 1705 u)
SPECIAL I $ECTI0NS, 0R ttISWC RESISTANCE 118C.Section 1705.11)
tOnty checked ftems are required]
Areas requiring special inspection: Maine of A nry: Blame of Inspector, � U nse/Cert.No.
Structural Steel(I8C 1705.11.1&AISC-341-1.0) i
U Structural'Wood(18C 170511.2)
�. _ _........ ..w..
10 Cold-formed Steel(18C 1705.113)
E.j Mechanical.&Electrical Components(1705.11.4) ,
s..... Architectural Components(18C 1705.11.S)
l
3]L,.:
Of Storage Rags(I8C 1705.11,7)
Page 2 of 3
boson County Comrnunity Services
Building Division
a SPECIAL INSPECTION & 6.15Wkdpr. treet
Shelton, VIA, $. 41
TESTING AGREEMENT .427. 7 ���.352
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Declaration by Architect/Engineer
1, the design professional in responsible charge for this project,declare that the V pf H
above listed special inspection and structural testing items are required for this ' ' ,
project in accorda e with IBC C apter 17.
MIS
15)
n to r f3aY
li
s
Declaration by Owner
1, the Owner of the project, declare that the above listed firm(s) or individual(s) are hired by me to performs
special inspections and structural testing for the project pursuant to IBC 17 4.2.
Date
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 proviefln 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 General Contractor
1, the Gen I Contractor of the project, agree to comply with the 'Contractor Responsibility" items noted
above.
Date
Page 3 of 3