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HomeMy WebLinkAboutCOM2020-00012 Special Inspection - COM Inspections - 1/22/2020 Mason County Community Services Building Division SPECIAL INSPECTION & 615 WA1derStreet Shelton, WA 98584 • 360.427.9670 ext. 352 TESTING AGREEMENT www.co.moson.wa.us (All references are per the 2015 International Building Code) Project Name: V eFl j � / Q fin / ], el WA �l Project Address: • 00 V_V. 0(�b I'�' V y _ � �"�� �" Building Permit Number: _ � � � 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 D Unapproved Fabricators(IBC 1704.2.5) Other than Structural Steel(IBC Table 1705.2.2) ❑ Steel floor&roof decks ❑ Welding of reinforcement ❑ Cold-formed steel _ Structural Steel ❑ Welding(Per N5.4 of AISC 360-10) �/ J ❑ 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) `Reinforcement,embeds,anchors ❑ Formwork $,Materials I ❑ Shotcrete i ❑ Post-tensioned/Pre-stressed Concrete ❑ Erection of precast concrete Page 1 of 3 s Mason County Community Services Building Division SPECIAL INSPECTION & 615 W Alder Street Shelton, WA 98584 TESTING AGREEMENT 360,427,9670 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 1.19.2,TMS-402) ❑ Prior to Grouting(Table 1.19.2,TMS-402) ❑ During Construction(PerTMS-402&TMS-602) Wood Construction ❑ High-Load Diaphragms(IBC 1705.5.1) ❑ Wood Trusses>60ft(IBC 1705.5.2) ❑ 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) Page 2 of 3 s Mason County Community Services Building Division SPECIAL INSPECTION W Alder Street Shhee lton, WA 98584 TESTING AGREEMENT 36o.4z7.9670 ext. 352 www.co.mason,wo.us © Cold-formed Steel(IBC 1705.12.3) Xmechanical&Electrical Components(1.705.12.4) ❑ Architectural Components(IBC 1705.12.E ) ❑ Storage Racks(IBC 1705.12.7) ) ❑ other (ieC 1705.1.1) Structural Observations for Declaration by Architect/Engineer I, the design yonal in responsible charge for this project, declare that the above listed special inspecti nd structural testing items are required for this project in a cordance7with IBC Chapter 17. Si ature(Engineer) 0 ate Signature (Architect) Date Signature (Geologist) Date Declaration by Owner ,, 1,the Owner of the project,declare that the above listed firm(s)or individual(s)are hired by me to perform special i Inspections and structural testing for the roject pursuant to IBC 1704.2. f Signature Date _ f CONTRACTOR RESPONSIBILITY: Each contractor involved with the cD struction of wind or seismic force-resisting systems i 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 availabi to the Building Department upon request. Declaration by General Contractor 3 1,the General Contractor of the project,agree to comply with the"Contractor Responsibility"items noted above. f Signature Date € s ) Page 3 of 3 q