HomeMy WebLinkAboutB12-0169 SPECIAL INSPECTION PAPERWORKJob Name: 1 A A
i Job Address: S,;ucc
?VW0py� •
Permit No.: J3/ 7 - °4q y
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.
Acknowledgement-
Owner:
��e � �, 1
/ c's�S N'/ f'��Ienri�
S Z Zo
nature
Print Name
ate
Evan Kuhn
Speciallnspectio
Ground Engineering
5/29/2012
Agency:
Consultants, Inc
gnaturo
Print Name
Date
Project �
Sean Molloy
Arch /Eng: �"
Martin /Martin
5 %2g/2o12
5 0M
Print Name
Date
Contracto
J� rJ IY 'k, 245AD
s ISD l z_
Signature
Print Name
Date
-3-
s
IVWNOF VA
IL SPECIAL INSPECTION AND TESTING SCHEDULE
l /�, (IBC 1704)
Project Name: 'r9 l r Z04 e� r/�°`� �� Permit #
Owner's Name: v
Testing lnsp l0 Ignat re Evan KuhnPrintName Date
Ground En ineerin
Agency: _ConsultanVS, Tnc 5 5/29/2012
Testing Inspection nature Print Name Date
Hereby certifies that the Testing/inspection 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:
Tensile & Bend, one set per heat per tons
Inspection of Placement
InspecU of Welding},
Epoxy / tic r 19e H, j a
\ ? re �t
MASONRY:
Prelim. Acceptance Tests (Masonry Units, Wall Prisms)
Subsequent Tests (Mortar, Grout, Feld Wall Prisms)
Inspection of Placement and Grouting
CONCRETE. SHOTCRETE. GROUT AND MORTAR-
Concrete
Shot
Grout
Mortar
Aggregate tests for design
Suitability of aggregates
Mix Designs
Test Panel
Batch Plant Inspection
Cement Grab Sample
Inspect Placing
Compression Tests
Cast Specimens
Pick -up Samples
Shrinkage Bars -
Yield Check
Air Check
Dry Unit Weight
PRECAST GUNCRETE:
Reinforcing Tests
Inspection of Reinforcing Placement
Tendon Tests
Inspection of Tendon Placement
Inspection of Concrete Placement
InspecUon of Concrete Batching
Inspection of Panel Attachment & Inserts
Compression Tests
Inspection of Stressing/Transfer
PILING, CAISSONS, CAPS, TIES:
Inspection of Reinforcing Placement
Inspection of Concrete Placement
Inspection of Concrete Batching
Specify other tests, inspections or special instructions required.
UNDERPINNING:
Temporary/Permanent
InspecUon of Steel Fabrication
Inspection of Reinforcing & Forms
Inspection of Concrete Placement
Inspection of Tiebacks
SOIL NAILS:
Temporary Shoring
Permanent Wall
STRUCTURAL STEEL:
Sample & Test (List specific members below)
Shop Identification & Welding Inspection
Shop Ultrasonic Inspection
Shop Radiography
Field Welding Inspection
Field Bolting Inspection �G
Field Ultrasonic Inspection
Field Radiography
Metal Deck Welding Inspection
FIREPROOFING:
Inspection & Placement
SOILS:
Acceptance Tests
Moisture - Density Determination
Field Density
Drilled Piers
Deep Foundation
STRUCTURAL WOOD:
Inspection of Fabrication
Inspection of Truss Joint Fabrication
Sample & Test Components
InspecUon of Glu Lam Fabrication
SMOKE CONTROL:
SPECIAL CASES:
SPECIAL INSPECTION:
Seismic Resistance
Wind Requirements
I"