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HomeMy WebLinkAboutB12-0278 Special Inspection AgreementJob Name: _ Job Address: _ 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 Tesfinq 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: -=-:-~~_:__-----_ . Signature Print Name Date Special Inspection/) -....r. Agency: PL~ ! Signatut ~J\d.lt-lJ()uv::CJ b~ZZ-I2---Print Name I ...j Date Project Arch/Eng: ---:::=-:::--:--r-1-------_ 0, .",""10=. Print Name Contractor: --=""--""::::-:...;;~-,L••,•~,,,'--""'--~=";'-'--__ DOLl VaJ.[ Q AI Signature" Print Name Date -3-B12-0278 Schultz 5056 Main Gore Dr WWN~ SPECIAL INSPECTION AND TESTING SCHEDULE (IBC F04) Project Name: _---=r::.....;.(...:..h~i,I\.,;..}t...tl....J=?.::_...~R..:...:;/;:::3..::-'~,' 0{/}).,' (, F Permit # _ Date fa -2-2 -(2-Date Hereby certifies that the Testingllnspection \6.gency 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 Inspection of Welding Epoxy MASONRY: Prelim. Acceptance Tests (Masonry Units. Wall Prisms) Subsequent Tests (Mortar, Grout. Field Wall Prisms) Inspection of Placement and Grouting CONCRETE ,SHOTCRETE ,GROUT AND MORTAR' Concrete Shot Grout Mortar Aggregatetests for design Suitabilityof aggregates ...,.". Mix Deiigns Test Panel BatchPlant Inspection CementGrab Sample InspectPlacing X CompressionTests Cast Specimens Pick-upsamples ShrinkageBars Yield Check Air Check Dry UnitWeight PRECAST CONCRETE: Reinforcing Tests Inspection of Reinforcing Placement Tendon Tests Inspection of Tendon Placement Inspection of Concrete Placement Inspection 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 Betching Specify other tests, inspections or special instructions required. UNDERPINNING: Temporary/Permanent Inspection 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 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 Inspection of Glu Lam Fabrication SMOKE CONTROL; SPECIAL CASES: SPECIAL INSPECTION: == Seismic Resistance Wind Requirements -4-