HomeMy WebLinkAboutSpecial Inspection Miscellaneous 2010-6-3
<-~, SPRINGFIELD
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City of Springfield
Community Services Division
225 Fifth Street
Springfield, OR 97477
Telephone: (541) 726-3759
Fax: (541) 726-3689
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Building Permit # Date
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Project Title
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Project Address
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Special Inspection and Testing
To applicants of projects requiring special inspection or testing as per Section 1704 or the Oregon Structural Specialty Code. Please review the information below. Whenyoll have
finished, acknowledge an understanding ofllle information by signing below, and return this form to the City. .
BEFORE A PERMIT CAN BE ISSUED: The owner or owner's representative, on the advice or the responsible Project Engineer or Architect, shall complete, sign, and submit to the
City for review and approval this form completed on both the front and back. '
The owner and Genei'al Contractor, where applicable, shall also acknowledge the following conditions applicable to Special Inspection and/or Testing.
I. Contractor is responsible for proper notification for the Inspection or Testing of items listed.
2. Testing laboratory shall take appropriate samples and transport them to their laboratory for proper evaluation or testing.
. Copies of all laboratory reports and inspections are to be sent to the City by the Testing-Agency.
3. Special Inspection Agency is to submit names and qualifications of on-site Special Inspectors to the City for approval.
4. Special Inspector shall provide inspection reports to the building official of all inspection activities.
5. Contractor is responsible to review the City approved plans for additional inspection or testing requirements that Illay be noted.
BEFORE A CERTIFICATE OF OCCUPANCY WILL BE ISSUED: The Special Inspection Agency shall submit to the Building Omcial u statement that all items requiring
inspection haye been fulfilled and reported and were to the best of the inspector's knowledge, in conformance with the approved plans, specifications and applicable workmanship
provisions. Those items not tested and/or inspected 'shall be noted in the statement: The report is to bc..submitted to the City prior to a request for final inspections.
ACKNOWLEDGEMENTS
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Engineer or Archilec Firm (Printed).
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Testing Laboratory Name (Printed)
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Building Of ,cial Name (Printed)
Signatur~
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Bui! IIlg fficial Signatl
SPECIAL INSPECTION AND TESTING SCHEDULE
Reinforced Concrete, Gunite Grout and Mortar:
Concrete Gunite Grout Mortar
Aggregate Test of Mix Desip'11 -
Reil1forcin~ Test
Mix Desi2:n- Weil!hmaster Ccrt. *
Reinforcing Placement
Continuous Batch Plant Insnect.
InsDect Placinl!
Cast Samples
Samples (Pickun/Deliveredl
Comoression Test*
Precast/Pre-stressed Concrete:
Piles Post-Tens Pre-Tens Cladding
Af':e:reeate Tests
Reinforcing Tests
Tendon Test
Mix Desi2l1s*
Reintol-cing Placement
I nsert Placement
Concrete Salehin!!
, Concrete Placement
Installation Insnectioll ,
Cast Samples
Pick-up Samples
Compression Tests
SMOKE CONTROL:
FIREPROOFING:
Leakage testing
Control Verification
Placement inspection
Density tests
Thickness tests
Inspect batching
ROOFING:
Insulation installation/R-Value*
Test strips/seams
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A~IONAL INSRUCTlONS, OTHER TEST, & INSPECTIONS:
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.9RADlNG, EXCA V A TlON, AND FILL
Acceptance tests '" PSF
Establish final grade
Fill placement inspection/continuous
Soil Density
STRUCTURALSTEELAVELDING: , "
Sample and test (list specific menibers below)
Shop material identification (mill cert)
Weld inspection ---,--Shop ~Field
Ultrasonic inspection _Shop _Field
High Strength Bolting_Shop_ Field
A325 _N X - F
A490 _N - X - F
Metal deck welding inspection
Reinforcing Steel welding inspection
Reinforcing steel mill certificate
Metal stud welding inspection
Concrete insert welding inspection
Moment resisting steel frames
STRUCTURAL WOOD:
Shear wall nailing inspection.
Shear wall anchors
Inspection ofGlu-lam fab. '" TIC psi
Inspection of truss joist fab.
Sample and test components
Fabricat!on welding of steel accessories
MASONRV
Special inspection stresses used'" fm l'g
Preliminary acceptance tests (masonry units, wall prisms)
v' / Subsequent tests (mortar, grout, field wall prisms)
Placement inspection ofullilS, and reinforcement
Masonry, mortar, grout, and reinforcing steel certificates
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Form Completed by:
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Date a/l//li)
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'PROVIDE STRENGTH REQUIRED BY ARCHITECT OR ENGINEER OR CONTRACT DOCUMENT LOCATION OF VALUES
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