HomeMy WebLinkAboutBLD Inspections - 2/16/2018 ti
TO BE KEPT IN THE
PARCELF Lifson County Community Services
Building Division
1 SPECIAL INSPECTION & 615 w Alder Street
Shelton, WA 98584
360.427.9670 ext. 352
TESTING AGREEMENT l
www.Co,mason.wa,us
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(All references are per the 2015 international Building Code)
Project Name: Mason County Eells Hiii Transfer Station Improvements I
Project Address: 501 W Eells Hill Road, Shelton, WA 98584
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Building Permit Number; Date Issued: i
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.
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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 g
location,such as the first page of the construction plans or the first page of the structural sheets.
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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.
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SPECIAL INSPECTION REPORTS: Special inspection reports are to meet the requirements of IBC 1704.2.4, Copies of each p
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
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Itemized in the final report.
Areas requiring special Inspection; Name of Agency: Address&Contact Information )
Mazan&Associates
® Unapproved Fabricators(IBC 1704.2.5)
1230 Finn Hill Rd NW STE A Poulsbo,
WA 98370 Wes Mahan 360-598-2126
Other than Structural Steel(IBC Table 1705.2.2)
❑ Steel floor&roof decks
❑ Welding of reinforcement
❑ Cold-formed steel
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Structural Steel Same as above i
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® Welding(Per NSA of AISC 360-10)
10 Details(Per N5.7 of AISC 360-10)
® High-strength bolts(Per NS.6 of AISC 360-10)
Same as above
Concrete Construction(per IBC Table 1705.3)
® Reinforcement,embeds,anchors
® Formwork
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® Materials i
❑ Shotcrete
❑ Post-tensloned/Pre-stressed Concrete
❑ Erection of precast concrete G
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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)
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❑ Dining Construction(Per TMS-402&TMS-602)
Wood Construction
)
❑ High-Load Diaphragms(IBC 1705.5.1) 1
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❑ Wood Trusses>60ft(IBC 1705.5.2)
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❑ Soils(IBC Table 1705.6) s
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❑ Driven Deep Foundations(IBC Table 1705.7) p
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❑ Cast-in-place Deep Foundations(IBC Table 1705.8)
❑ Helical Pile Foundations(IBC 1705.9)
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)
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❑ Sprayed Fire-Resistant Materials(IBC 1705,13)
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❑ Mastic&Intumescent Coatings(IBC 1705.14)
❑ EIFS(IBC 1705.15)
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❑ Fire-Resistant Penetrations(IBC 1705.16)
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❑ Smoke Control(IBC 1705.17)
IN Structural Steel(IBC 1705.12.1&AISC 341-10) Same as above
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❑ Structural Wood(18C 1705.12.2)
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/f Mason County Community Services "
i Building Division
l SPECIAL INSPECTION & 615 W Alder Street
Shelton, WA 98584 i
TESTING AGREEMENT 360.427.9670 ext. 352
www.co.mason.wa,us i
❑ Cold-formed Steel(IBC 1705.12.3)
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❑ Mechanical&Electrical Components(1705.12.4)
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❑ Architectural Components(IBC 1705.12.5)
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❑ Storage Racks(IBC 1705.12.7)
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❑ other (IBC 1705.1.1)
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❑ Structural Observations
Not req'd per IBC 1704 . 5
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Declaration by Architect/Engineer
I, the de in professional in responsible charge for this project, declare that the above listed special
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inspect) an tru ral t ing items are required far this project in accordance with IBC Chapter 17.
signat re(E sneer) Date a
Signature (Architect) Date g
e.
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Signature (Geologist) Date rk
Declaration by Owner
I,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. The ontractor hired to complete the work is responsible
tom,__ for ying the special inspector per the contract. i
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Signature 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 providing the special inspector access t
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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.
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D laration by General Contractor
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I,t e General Contractor of the project,agree to comply with the"Contractor Responsibility"items noted above.
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Sign ure Date
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