HomeMy WebLinkAboutFIR Inspections - 1/17/2018 TO BE KEPT IN THE
" PARCEL FILE
Mason County Community Services
Building Division
SPECIAL INSPECTION & 615 WAtderStreet
Shelton, WA 98S84
TESTING AGREEMENT 360•427,s67o ext. 35z
www.Co.Mason.wa..us
(All references are per the 2015 International Building Code)
Project Name: _Phil Pugh Stadium Concessions Building
Project Address: _200 East Campus Drive, Beifair, VVA 98528
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 i8C 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. Materials Testing &Consultants, Inc. (MTC)
Areas requiring special inspection: Name of Agency: Address&Contact information
IN Unapproved Fabricators(IBC 1704,151
MTC 601-651-312
Other than Structural Steel(IBC Table 1705.2.2)
El Steel floor&roof decks
❑ Welding of reinforcement
❑ Coid-formed steel MTC 601-651-312
Structural Steel
it welding(Per N5.4 of AiSC 360.10)
0 Details(Per N5.7 of AISC 360-10)
❑ High-strength bolts(Per N5,6 of AISC 360-10) MTC 601-651-312
Concrete Construction (per IBC Table 1705.3)
it Reinforcement,embeds,anchors
6 Formwork
IN Materials
❑ shotcrete
❑ Post-tensioned/Pre-stressed Concrete
Erection of precast concrete
MTC 601-651-312
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Mason County Community Services
Building Division
615 W Alder Street
SPECIAL INSPECTION & Shelton, WA 98584
TESTING AGREEMENT 360.427.9670 ext. 352
www.co.mason.wa.us
Areas requiring spe ial inspection: Name of Agency: Address$Contact Information
Masonry Construction(IBC 1705.4)
El Prior to Construction(Article 1.15,TMS-602)
As Construction Begins(Article 1.19.2,TMS-402)
LS Prior to Grouting(Table 1.19.2,TMS-402)
During Construction(Per TMS-402&TMS-602) MTC 601-651-312
Wood Construction
❑ High-load Diaphragms(IBC 1705.5.1)
❑ Wood Trusses>60ft(IBC 1705.5.2)
It Soils(IBC Table 1705.6)
MTC 601-651-312
❑ Driven Deep Foundations(IBC Table 1705.7)
❑ Cast-in-place Deep Foundations(IBC Table 1705.8)
Helical Pne Foundations(IBC 1705.9)
❑ Sprayed Fire-Resistant Materials(IBC 1705.13)
❑ Mastic&Intumescent Coatings(IBC 1705.14)
D EIFS 118C 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) v
Page 2 of 3
Moson County Community Services
Building Division
SPECIAL INSPECTION & 615 WAlder Street
Shelton, WA 98584
TESTING AGREEMENT 360.427.9670 ext. 352
WWW.co.moson.wa.us
❑ Cold-formed Steel(IBC 1705.12.3)
Mechanical&Electrical Components(170S.12.4)
MTC 601-651-312
❑ Architectural Components(IBC 1705.12.5)
❑ Storage Racks(19C 1705.12.7)
❑ other (18C 1705.1.1)
Structural Observations % S�`R t� r<2'ro P/tG�i�rC_k�tt�
S�.> rot-, 1_1
Declaration by Architect/Engineer
1, the design professional in responsible charge for this project, declare that the above listed special
inspection and strul3oral Wsting items are required for this project in accordance with IBC Chapter 17.
1h:415
Signature(Engt er) Date
Signature!'"(Architect)
Date
d f/�
f{.....•
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
inspections and s ct 1 testing the project pursuant to ISC 1704.2.
i 7 ",
Signature +
Date
CONTRACTOR RESPONSIBILITY: Each contractor involved with the construction of wind or seismic force-resisting systems
shall comply with the requirements of IBC 1704A. 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
1,the General Contractor of the project,agree to comply with the"Contractor Responsibility"items noted above.
Signature Date
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