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Home My WebLink AboutB16-0267 Special Inspections.pdf'IVlfN~ SPECIAL INSPECTION AND TESTING SCHEDULE (IBC 1704) ~Name:~ji\~L'~±1.fk~'2, Permt# fJlll-of.:z Owner's Name~ .. ~:-~~ --Alk\i\J.J~il-0 C<MEtJi#'® -~.__- Testing Inspection · Signature · ' J Ptlnt Name Date Agency: 1>&/10 A;-'{Ollk}<:J <rz.l· t? ·Testing Inspection Slgnelure ft-~f/ I t:::vXf>tl.me Date Hereby certifies that the Testlngflnspectlon Agency named above ~s been engaged to perform structural tests and Inspections during conatructlon as checked below, to sali&fy an applicable portions of the Building Code. Prior lo final Inspection, the Inspection Agency shall submit a statement that all Items of designated work performed were reported. Any items checked but not teated or fnspected wiH be noted and explained. Whenever any designaled Items on the list are reedy for sampling, tesUng, or Inspection, II shall be the responslblHty of Ute contractor lo give timely notice to the Inspection agency so that the required services may be performed. REINFORCING STEEL: Tensile & Bend, one set per heat par __ tons __ Inspection of Placement _ lnspeetlon of Weldtng ~ Epoxy MASONRY: __ PreUm. A<:Geplanco Tesla (Masonry Units. Wal Prisms) __ Subsequent Tests (Mortar, Grout. Fleld Wall Prisms) __ ln~pectlon of Placement and Groulflg CONCRETE SHOTCRETE GROUT AND MORTAR· . Concrete Shol Grout Moflal' Aggregate tesls for deslon Sdlatlllly al aggregalea MIX Designs Test Panel 8aCGh Plant lnspeGUon Cemenl Grab Semple -·--Inspect Plllclng c:oi.easlon Tests cast Specimens Pick-up Samples Shrinkage Bara ---YleldCheck ,..Check Ory Unll Weigh! PRECAST CONCRETE: Reinforcing Tests Inspection of Reinforcing Placement Tendon Tests lnspecllon of Tendon Placement lnspecllon of Concrete Placement lnapedbn of Concrete Ba1chlng Inspection of Panel Atlaclvnent & Inserts Compresston Teats lnspecllon of Slresslngffransfer PILING, CAISSONS, CAPS, nes: __ lnspecUon of Relnforclng Placement __ lnspecllon of Concrete Placement __ Inspection of Concrete Batching Specify other tests. Inspections or spectaf lnstJtJcllons required. -4- UNDERPINNING: -2(_ Temporary/Permanent Inspection of Steel Fabrication Inspection of Reinforcing & Forms Inspection of Concrele Placement Inspection of Tiebacks SOIL NAILS; Temporary Shoring Permanent Wall STRUCTURAL STEEL: Sample & Test (list specific members below} Shop ldentlllcatlon & Welding Inspection Shop Ultrasonic lnspecllon ShOp Radiography :X: Field Welding lnspecllon =:K.. Flekl Bolling lnspecllon Fle~URrasonlclnspedlon Field Radiography Metal Deck Weldfng Inspection FIREPROOFING: _ Inspection & Placement SOILS: Acceptance Te&ts 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 Job• Name: 'tf '1 \Jld.v ~Q, Job Address: t.t't Jft\v R:Q. °'2 Permit No.: ~I(, -01,C, 1 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 Van 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 notlficatfon lo the Inspection or Testing agency for items llsted.(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 Vall by the Testing agency on a weekly basis. 4. Inspection agency to submit names and qualiHcatlons of on-site special inspectors lo the Town of Vail for review and approval.( Page 2) 5. The special Inspector Is responsible to Immediately notify the Town of Vall Building Official In writing of any concerns and/or problems encountered. 6. It is the responsiblUty of the contractor to review the Town of Vall 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 Vall approved drawings. 8. All special Inspection field reports must be left on site for review by the Town of Vall 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 fuffilled 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. Ackno?~o.t> ----__ ,.-. --· --.. ---. Owne~-sii~-_:_--AIEJ.Mno ~\Lt/\ Special Inspection Agency: _____________ --------------- Project -Arch/Eng: _:Wii•~ =--------~~t-11~~~.-.-irai~-.---...""'"'"""' -3- Job Name: '1 q \bti v \!.o Job Address: Lf''f '1fi\ \/ @-0 <iii) Permit No.: f>\lo -DUI} 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 end submit a copy of the Speclal Inspection Agreement and structural Tests Scheduled to the Town of Vall for review and approval. Signatures are required on both pages; photocopied or faxed slgnalures are acceptable. The owner and his/her general contractor, where applicable, shall also acknowledge the following conditions applicable to Special Inspection Testing: 1. Contractor fs responsible for proper notlficaUon to the Inspection or Testing agency for items Usted.(Page 1) (IBC 1704) 2. Only the testing laboratory should lake samples and transport them to their laboratory. 3. Coples of ell laboratory reporls and Inspections are to be sent directly to the Town of Vall by the Testing agency on a weekly basis. 4. Inspection agency to submit names and quallflcatfons of on-site special Inspectors to the Town of Vall for review and approval.( Page 2) 5. The special Inspector Is responsible to lmmedlatelY notify the Town of Vall Building Official In writing of any concerns and/or problems encountered. 6. It Is the responslblllly of the contractor to review the Town of Vall approved plans for additional Inspection or testing requirements that may be noted. A pre-construction conference at the job site ls recommended to review special Inspection procedures. 7. The special Inspector shall use only the Town of Vall approved drawings. 8. AD special fnspectJon field reports must be left on site for review by the Town of Vall staff prior to required Inspections or re-lnspeclions. BEFORE OCCUPANCY WILL BE GRANTED: The special Inspection agency shall submit a signed and sealed statement that ell Items requiring testing and Inspection were fulfHled 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 BUiiding Inspector's review prior to final Inspection. Acknowledgement Project Arch/Eng: -3- ".m.n Data (pk/11 Date