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Home My WebLink AboutSigned Special Inspections Sheets.pdf TOWN q SPECIAL INSPECTION AND TESTING SCHEDULE (IBC 1704) Project Name: Johns n Residence Addition Permit# Owner's Nam • ,� ( yi P IY t-�t �L Li siz--, P 1 ,-7--1l,.0 5 is 7- /t Testing insp6Cti rrN signature v Print Name Date Agency: ✓ "`( j �u FI•P/Kumar-David A Young 10-07-16 Testing Inspection Ignalure Print Name Dale Hereby certifies that th 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: 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 d Epoxy Inspection of Concrete Placement Inspection of Tiebacks MASONRY: Prelim.Acceptance Tests(Masonry Units,Wall Prisms) SOIL.NAILS: Subsequent Tests(Mortar,Grout,Field Wall Prisms) Temporary Shoring Inspection of Placement and Grouting 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 Suitability of aggregates Shop Ultrasonic Inspection Mix Designs Shop Radiography Test Panel Field Welding Inspection Batch Plant InspectionField Bolting Inspection Cement Grab Sample Field Ultrasonic Inspection Inspect Placing Field Radiography Compression Tests Metal Deck Welding Inspection Cas!Specimens - FIREPROOFING: Pick-up Samples Shrinkage Bars Inspection&Placement _ Yield Check SOILS: Air Check Acceptance Tests Dry Unit 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 StressingfTransfer SMOKE CONTROL: PILING,CAISSONS,CAPS,TIES: Inspection of Reinforcing Placement SPECIAL CASES: Inspection of Concrete Placement Inspection of Concrete Batching SPECIAL INSPECTION: Seismic Resistance Specify other tests,inspections or special instructions required. Wind Requirements Job Name: nr 11 Job Address: TOWNO VAIL Permit No.: SPECIAL INSPECTION AND TESTING AGREEMENT (To applicants of projects requiring Special Inspection or Testing par 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 Tasting: 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 ail 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; /.0 �r P J tt Sa..� R ) 1 t J,)- -/ ,�• .15 lure L rr Plat Name Date He -.cI �G�1 eciallnspectlo Agency: t-FP4£4i . g�Yl4aC `_I /4 a, /0-7-/b Sig /Project Print Name D ate Arch/Eng: r AE-kife.„,r:RATr-- 11) •7' a I prtntContractor: V __ t go0V-1PE-- - !nature Print Name O r�`_tQa