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HomeMy WebLinkAboutCOM2019-00049 Special Inspection Testing see TPN 419240000010 Alta Facitily - COM Inspections - 9/17/2019 �5 Mason County Community Services Building Division et SPECIAL INSPECTION & he WAlderStre ��• Shelton, WA 98584 ext.352 TESTING AGREEMENT www.co. us www.co.mason.wa.us (All references are per the 2015 International Building Code) Project Name: ALTA FOREST PRODUCT—WATER STAIN Project Address: 780 WEST STATE ROUTE 108 SHELTON WAp98584 Building Permit Number: '� DAB ©YYl�al 1- 0 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. Name of Agency: Address&Contact Information Areas requiring special inspection: ❑ Unapproved Fabricators(IBC 1704.2.5) t ' Other than Structural Steel(IBC Table 1705.2.2) �-c,�f ❑ Steel floor&roof decks "('�s—�� ✓� 12"sG fc*)p L O►—F-I C,L" ❑ Welding of reinforcement Co u Cold-formed steel Structural Steel Welding(Per N5.4 of AISC 360-10) / G/ Details(Per N5.7 of AISC 360-10) !f t High-strength bolts(Rer NS.6 of AISC 360-10) Concrete Construction(per IBC Table 1705.3) Reinforcement,embeds, nc ors ❑ Formwork ❑ Materials C( r ❑ Shotcrete ❑ Post-tensioned/Pre-stressed Concrete ❑ Erection of precast concrete Page 1 of 3 Mason County Community Services Building Division - 615 W Alder Street SPECIAL INSPECTION & Shelton, WA98584 350.427.9670 ext. 352 TESTING AGREEMENT 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 1.19.2,TMS-402) ❑ Prior to Grouting(Table 1.19.2,TMS-402) ❑ During Construction(Per TMS-402&TMS-602) Wood Construction High-Load Diaphragms(IBC 1705.5.1) t ❑ Wood Trusses>60ft(IBC 1705.5.2) ❑ Soils(IBCTable 1705.6) ❑ Driven Deep Foundations(IBCTable 1705.7) ❑ Cast-in-place Deep Foundations(IBCTable 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) j Page 2 of 3 Mason County Community Services Building Division K 615 W Alder Street SPECIAL INSPECTION & Shelton, WA98584 350.427.9670 ext. 352 TESTING AGREEMENT www.co.mason.wa.us Cold-formed Steel(IBC 1705.12.3) Mechanical&Electrical Components(1705.12.4) Architectural Components(IBC 1705.12.5) ❑ Storage Racks(IBC 1705.12.7) ❑ other (IBC 1705.1.1) xStructural Observations I�a� lk0cPiE-c-r10 Declaration by Architect/Engineer 1, the design professional in responsible charge for this project, declare that the above listed special inspection and structur testing items are.required for this project in actor nce with IBC Chapter 17. Dat Signature(Engineer) Date signatu chitect) Date Signatu ologist) Declaration by Owner I,the Owner of the project,declare that e heoae°t p�rstuant'to IBC 1704i2dual(s)are hired by me to perform special inspections and structural testing for p 1 Date Signature ind or seismic force-resisting stems CONTRACTOR RESPONSIBILITY: Each contractor involved with the onstruction of responsible for the special inspectoryaccess shall comply with the requirements of IBC 1704.4. The contractor s to approved plans and contract documents at thejobse. All special inspection upon request records shall be retained at the job site by the contractor and shall be made available to the Building Declaration by General Contractor ree to comply with the"Contractor Responsibility"items noted above. 1,the General Contractor of the project,ag Date Signature Page 3 of 3