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Home My WebLink AboutBLD2017-00936 Special Inspection - BLD Inspections - 7/11/2018 T��eoN Cop�r Mason County Community Services SPECIAL INSPECTION & Building Division _ _= 615 W Alder Street 1854 TESTING AGREEMENT Shelton,427.9 0ext. 352 360.427.9670 ext. 352 www.co.mason.wa.us (All references are per the 2015 International Building Code) Project Name: :{�� . � Project Address: 9$qy 6 Building Permit Number: 3LDZo Z 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 buildingchangesg ent form shall be submitted and turned into theBuilding Permits&Inspections Division'forr approll perform the special inspections a new g p 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 location,such as the first page of the construction plans or the first page of hest uctl aan l shand eetsbe placed in a conspicuous SPECIAL INSPECTORS: All special inspectors shall be approved by the Building Division prior to performing any duties. special inspector shall provide proof of certification as a special inspector for each inspection item and be licensed b th State of Washington. The Y e 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 an p inspection coverage(i.e. missing inspections, periodic inspections when continuous was required, etc.)shall be s e itemized in the final report. Y discrepancies in p crflcally Areas requiring special inspection: ❑ Unapproved Fabricators(IBC 1704.2.5) Name of Agency: Address&Contact Information Other than Structural Steel(IBC Table 1705.2.2) ❑ Steel floor&roof decks ❑ Welding of reinforcement Cl Cold-formed steel Structural Steel ❑ Welding(Per N5.4 of AISC 360-10) ❑ Details(Per N5.7 of AISC 360-1o) ❑ Nigh-strength bolts(Per N5.6 of AISC 360-10) Concrete Construction(Per IBC Table 1705.3) Easley Design and Andrew Easley Reinforcement,embeds,anchors Engineering 1700 52nd Ave SE ❑ Formwork Tumwater, WA ❑ Materials ❑ Shotcrete 2064238907 ❑ Post-tensioned/Pre-stressed Concrete El Gtion of pr ncrete _ Page 1 of 3 1 f r 50,0 coU� Mason County Community Services Building Division 615 W Alder Street SPECIAL INSPECTION & Shelton, WA 98584 - —? 360.427.9670 ext. 352 iNs TESTING AGREEMENT www.co.moson.wo.us Arias requiring special inspection: Name of Agency: Address&Contact Information Masonry Construction(IBC 1705.4) ❑ Priorto 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) ❑ Wood Trusses>60ft(IBC 1705.5.2) ❑ Soils(IBC Table 1705.6) Easley Design and Andrew Easley ,,( �1 Driven Deep Foundations(IBC Table 1705.7) Engineering 2064238907 ❑ 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 Penetratiors(IBC 1705.16) ❑ Smoke Control(IBC 1705.17) ❑ Structural Steel(IBC 1705.11.1&AISC 341-10) ❑ Structural Wood(IBC 1705.11.2) Page 2 of 3 Mason County Community Services Building Division SPECIAL INSPECTION & 615 WA/derStreet _= Shelton, WA 98584 -- 1854 TESTING AGREEMENT 350.427.9670 ext.352 www.co.mason.wo.us ❑ Cold-formed Steel(IBC 1705.11.3) ❑ Mechanical&Electrical Components(1705.11.4) ❑ Architectural Components(IBC 1705.11.5) ❑ Storage Racks(IBC 1705.11.7) ❑ Other (IBC 1705.1.1) ❑ Other (18C 1705.1.1) Declaration by Architect/Engineer (SEAL) I, the design professional in responsible charge for this project, declare that the above listed special inspection and structural testing items are required for this ?p��cE AS, -Sr project in accordance with IBC Chapter 17. Q 1 � 6/21/2018 Signature / Date 53722 SS�4NALE 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 sg—dal inspections and structural testing for the roject pursuant to IBC 1704.2. Signature Date r J 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. 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 I, the General Contractor of the project, agree to comply with the "Contractor Responsibility" items noted above. Signature Date Page 3of3 i co Mason County Community Services Building Division SPECIAL INSPECTION & 515 W Alder Street Shelton, WA 98584 I854 TESTING AGREEMENT 360.427.9670 ext. 352 www.co.mason.wa.us ❑ Cold-formed Steel (IBC 1705.11.3) ❑ Mechanical&Electrical Components(1705.11.4) ❑ Architectural Components(IBC 1705.11.5) ❑ Storage Racks(IBC 1705.11.7) ❑ Other (IBC 1705.1.1) ❑ Other (IBC 1705.1.1) Declaration by Architect/Engineer (SEAL) I, 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. Signature Date 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. i nature 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 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 -the-Gerrerai-CorrtractQl-Qf-the-prorject,-agree-to--carnply-with-the"C- rrtr-aeter-Responsibility='-items-noted-- - above. Signature Date Page 3 of 3