HomeMy WebLinkAboutB14-0274_B15-0274 Special Inspection_1445462040.pdf Job Name: 165
ij Job Address: i6.5 % tcs1 WoodTOWNOFYA L ' Permit No.: (3 15-40?71
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
iisted.(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 nt: /
Owner: ✓AN4 •fo6vlvht 09/11,57
Si attire Print Name Dale
Special Inspe
Agency: i ir 0 E.44 S'ii&J a'►i G- G3p//! --
Signature Print Name Oat
Project
Arch/Eng. r r� ‘. t 0.1N 14"24i1/4"-161 1/21#
Signature Print Name Dat
Contractor, • .d. �. crh e acct lrone 9-0-6
Signature Print Name Date
1
TOWN OF VAIL A SPECIAL INSPECTION AND TESTING SCHEDULE
I (IBC 1704)
Project Name: 165 ce57 gond Permit# 13'15-dilly
Owner's Name:
Testing Inspection Signature Print Name Date
Agency:
Testing Inspection Signature Print Name Date
Hereby certifies that the Testingllnspection 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 TemporaryiPermanent
inspection of Placement Inspection of Steel Fabrication
1 Inspection of Welding Inspection of Reinforcing&Forms
FOXY __ __ Inspection of Concrete Placement
inspection of Tiebacks
MASONRY:
Prelim.Acceptance Tests(Masonry Units,Wali Prisms) SOIL NAILS:
Subsequent Tests(Mortar,Grout,Field Wall Prisms) 1 Temporary Shoring
Inspection of Placement and Grouting 1 Permanent Wall
CONCRETE,SHOTCRETE,GROUT AND MORTAR: STRUCTURAL STEEL
Concrete Shot Grout Mortar Sample&Test(List specific members below)
Aggregate tests for design Shop Identification&Welding Inspection
Suitab€ty of aggregates Shop Ultrasonic Inspection
Mix Designs Shop Radiography
Test Panel Field Welding Inspection
Batch Plant Inspection x Field Bolting Inspection
Cement Grab Sample Field Ultrasonic Inspection
Field Pig Radiography
)t' k Compression Tests Metal Deck Welding Inspection
Cast Spe0mens FIREPROOFING:
Pick-up Samples Inspection&Placement
Shrinkage Bars
Yield Check SOILS:
Air Check Acceptance Tests
Dry Ung Weight Moisture-Density Determination
PRECAST CONCRETE: Field Density
Reinforcing Tests Drilled Piers
Inspection of Reinforcing Placement Deep Foundation
Tendon Tests
Inspection of Tendon Placement STRUCTURAL WOOD:
Inspection of Concrete Placement Inspection of Fabrication
Inspection of Concrete Batching Inspection of Truss Joint Fabrication
Inspection of Panel Attachment&Inserts Sample&Test Components
Compression Tests Inspection of Glu Lam Fabrication
Inspection of Stressingffransfer
SMOKE CONTROL:
PILING,CAISSONS,CAPS,TIES:
X Inspection of Reinforcing Placement SPECIAL CASES:
Inspection of Concrete Placement
Inspection of Concrete Batching SPECIAL INSPECTION:
Seismic Resistance
Specify other tests,Inspections or specie(instructions required. Wind Requirements