HomeMy WebLinkAboutB10-0105 special inspection agreement5(60
Job Name:
*VA1 Job Address:
mn `OWN Permit No.:
SPECIAL INSPECTION AND TESTING AGREEMENT
(To applicants of projects requiring Special Inspection or Testing per Section 1701 of the IBC)
The owner or his/her representative, on the advice of the design professional In responsible charge, shall
complete, seal, sign and submit a copy of the Special Inspection Agreement and Structural Tests
Scheduled to the Town of Vail for review and approval. Signatures are required on both pages;
photocopied or faxed signatures are acceptable.
The owner and his/her general contractor, where applicable, shall also acknowledge the following
conditions applicable to Special Inspection Testing:
1. Contractor is responsible for proper notification to the Inspection or Testing agency for items
listed.(Page 1) (IBC 1704)
2. Only the testing laboratory should take samples and transport them to their laboratory.
3. Copies of all laboratory reports and inspections are to be sent directly to the Town of Vail by the Testing
agency on a weekly basis.
4. Inspection agency to submit names and qualifications of on -site special Inspectors to the Town of Vail
for review and approval.( Page 2)
5. The special inspector is responsible to Immediately notify the Town of Vail Building Official in writing of
any concerns and/or problems encountered.
6. It is the responsibility of the contractor to review the Town of Vail approved plans for additional
inspection or testing requirements that may be noted. A pre- construction conference at the job site is
recommended to review special Inspection procedures.
7. The special inspector shall use only the Town of Vail approved drawings.
8. All special inspection field reports must be left on site for review by the Town of Vail staff prior to
required inspections or re- inspections.
BEFORE OCCUPANCY WILL BE GRANTED: The special inspection agency shall submit a signed and
sealed statement that all items requiring testing and inspection were fulfilled and reported. Those items not
tested and /or inspected shall be noted In this statement. A copy of the statement shall be maintained at the
job site for the Building inspector's review prior to final inspection.
Acknowledgem l
Owner:
ur Print Name Da
Special ect V
Agency:
$19naturd Print Name D to
Project
Arch/Eng: ' C
Signature kni Winis to
Contractor: ��104 S Waf r G�a�tU
Signature Print Name Date
-3-
*VNL TOWN SPECIAL INSPECTION AND TESTING SCHEDULE
(BC 1704)
Project Name: Pe it #
Owner's Name: -- 5 , c 2 7 tv— ,
Testing insp g Pant e
Agency: �' Z
Testing Inspection signature Print home Date
Hereby certifies that the TestingAnspection Agency named above has been engaged to perform structural tests and
Inspections during construction as checked below, to satisfy all applicable portions of the Building Code.
Prior to final inspection, the Inspection Agency shall submit a statement that all items of designated work performed
were reported. Any items checked but not tested or inspected will be noted and explained. Whenever any designated
Items on the list are ready for sampling, testing, or inspection, It shall be the responsibility of the contractor to give
timely notice to the Inspection agency so that the required services may be performed.
REINFORCING STEEL: UNDERPINNING:
Tensile & Bend, one set per heat per tons Temporary/Permanent
Inspection of Placement Inspection of Steel Fabrication
Inspection of Welding Inspection of Reinforcing & Forms
Epoxy Inspection of Concrete Placement
Inspection of Tiebacks
MASONRY:
Prelim. Acceptance Tests (Masonry Units, Wall Prisms) SOIL NAILS:
If Subsequent Tests (Mortar, Grout, Field Wall Prisms) Temporary Shoring
—Inspection of Placement and Grouting Permanent Wall
CONCRETE SHOTCRETE_ GROt1T AND unRTAR-
Coroxste
Shot
Grout
Mortar
Field Density
Drilled Piers
Aggregate teats for design
SultabIlity
Mix Designs
Test Panel
Batch Plant Inspection
Cement Grab Sarn
Inspect, Placi
Compresslon Teats
Cast Spec
Pick - up Samp
Shrinkage Bars
Yield Check
Ak Check
Dry Unk Weight
PR =AST CONCRETE:
Reinforcing Tests
Inspection of Reinforcing Placement
Tendon Tests
Inspection of Tendon Placement
Inspection of Concrete Placement
Inspection of Concrete Botching
Inspection of Panel Attachment & Inserts
Compression Tests
Inspection of StressinglTransfer
PILING, CAISSONS, CAPS, TIES:
Inspection of Reinforcing Placement
Inspection of Concrete Placement
Inspection of Concrete Belching
Specify other tests, inspections or special instructions required.
STRUCTURAL STEEL:
Sample & Test (List specific members below)
—Shop Identification & Welding Inspection
Shop Ultrasonic inspection
Shop Radiography
Fleld Welding Inspection
Field Bolting Inspection c
Field Ultrasonic Inspection ]` ' Refur`rt.
Field Radiography
Metal Deck Welding Inspection
FIREPROOFING:
Inspection & Placement
S01 :
Acceptance Tests
Moisture- Densty Determination
Field Density
Drilled Piers
Deep Foundation
STRUCTURAL WOOD:
Inspection of Fabrication
Inspection of Truss Joint Fabrication
Sample & Test Components
Inspection of Glu Lam Fabrication
SMOKE CONTROL:
SPECIAL CASES:
SPECIAL INSPECTION:
Seismic Resistance
Wind Requirements
i:.5ai