Required Special Inspections and Frequencies Special Inspector Minimum Qualifications Contractor’s Statement of Responsibility Form Fabricator’s Certificate of Compliance Form (only needed if there are fabricated items) Special Inspector / Approved Agency Final Report I, (we) have been retained by: _____ to perform special inspector services under The Florida Building Code at the _____ project on the below listed structures as of (date). City of Philadelphia Page 1 of 4 Department of Licenses and Inspections Special Inspections Program DPRC-SI (Rev. Special Inspector for TRUSSES > 35’ LONG or 6’ HIGH, ... location on the site for reference by the City of Miami Building Department Inspector. Form #170 Where an application is made for construction as described in California Building Code Chapter 17, the owner or the registered design professional in responsible charge acting as the owner’s agent shall employ one or more approved agencies to perform inspections during construction on the types of work listed under CBC Section 1705. The “Special Inspection Daily Report” form BLD-1033 is a courtesy form and is not required to be used. PLAN REVIEW FEE: To be paid at time of application. What is the contractor’s main role prior to construction? %%EOF Inspection type b. 2. BEFORE A PERMIT CAN BE ISSUED: A special inspection form listing the special inspection items is generated and sent to the applicant during the plan review process. … Forms and Applications. Special inspections are to be performed on a continuous basis, meaning that the special inspector is on site in the general area at all times observing the work requiring special inspection. Special Inspection and are approved by the County to perform such services. Special Inspections Program Final Compliance Form . This form may be reproduced in the construction plans in lieu of submitting separate sheets. B. UILDING & S. AFETY . 20) N. OTICE TO PROPERTY OWNER: You are hereby directed in accordance with Section 110.10.1 or 110.10.2 of the Broward County Administrative Code and the Florida Building Code to retain a Special Structural Inspector (A Florida … Inspections performed by the Special inspector hired by the Owner … City of McKinney Building Inspection Department upon request. 1017 Middlefield Road, Redwood City, CA 94061 . 2. Commonly used Forms. 1. 1. These special inspectors shall be employed by the owner or owner’s representative, other than contractor. h�bbd``b`�$�� �l"悈� ٭ �r�D|�� �ԀW�������a�Fb���G 'R The City of Henderson has an interlocal agreement with Clark County Building Department regarding Quality Assurance and Special Inspections. The Building Division offers printable brochures and forms in PDF format to help customers with the permit process for most any project.. The City of Calabasas has established policies and procedures for the administration of these technical requirements, which are based upon the unified effort of many building officials and the ICC Los Angeles Basin Chapter and the ICC Ventura Region Chapter Model Special Inspection … Special Inspections Program Final Compliance Form (Rev. 2. FORM #344 11/05/20 SUBJECT TO CHANGE Special Inspection Existing Building Form Prior to issuance of a building permit, the building owner, on the advice of the Architect or Engineer, must sign this form and submit it to the City Building Official. This Applications, Handouts & Information. Footing/Foundation: For this inspection the trenches should be dug out and clean, with the concrete forms and reinforcing steel in place. The signatories to this form certify that the Testing/Inspection Agency named below has been engaged �T�w�),���p�2�f�N �f`��3J �� The Special Inspection program does not relieve the Contractor of his or her responsibilities. I, (we) understand that a Special Inspection Log for each building must be displayed in a convenient location on the site for reference by the City of North Miami Beach Building Inspector. documenting completion of all required Special Inspections and correction of any discrepancies ... Earthquake and Wind Design Data Form. Registered Special Inspector Roster; Special Inspection Forms. I have determined that the types of work checked below require Structural Special Inspection. This list is subject to change without notice. Special Inspection and Testing Agencies (PDF) Special Inspection and Testing Agreement C-10 (PDF) Sub-Contractor Verification (PDF) Submittals Required for Grease Duct and Grease Duct Enclosure (PDF) Sunroom and Patio Cover Requirements (PDF) Swimming Pool Removal (PDF) Temporary Certificate of Occupancy Application (PDF) Updated 08/19/2016 City of Austin – Statement of Special Inspection Page 1 of 10 Statement of Special Inspections This form is provided as a way to list aspects of the project that require special inspection and testing in accordance with IBC Sections 107.1, 1704, and 1705 and define duties and responsibilities of parties involved in the project. All requirements, guidelines, etc. BSD-138 Form - Special Inspection and Testing Agreement Updated: 3/3/17 (jhall) Community Development Department . D. IVISION / P. LANS & P. ERMITS . I am a professional engineer licensed in the State of Florida. Please contact our Building Inspector, Mike Fenley, before starting any construction or remodeling projects. All forms are printable and downloadable. 510 494-4460 ph / www.fremont.gov. Before permit issuance, all parties must sign this agreement. The form must be returned before the permit can be issued. For your convenience, we have supplied you with a list of commonly used forms for the building division. These forms are used in construction projects when the project architect and/or engineer of record has specified types(s) of work requiring to have special inspections, material testing and structural observations, in accordance with the requirements of Chapter 17 of the California Building Code. Address: _____ Special Inspection and Testing Agreement . Contractor is responsible for proper notification to the Inspection or Testing Agency for items listed. Read on... Gov. PERMIT APPLICATION FORM (attached): Completed and signed by the … SPECIAL INSPECTION FORMS Published: October 19, 2020 BUILDING & SAFETY DIVISION DEPARTMENT OF PLANNING & COMMUNITY DEVELOPMENT 831/420-5120 • FAX 831/420-5434 809 Center Street • Room 101 • Santa Cruz, CA 95060 • www.cityofsantacruz.com SPECIAL INSPECTION FORM and Special Inspection and Testing Agreement City of San Ramon Building and Safety Services 2401 Crow Canyon Rd., San Ramon, CA 94583 Office: (925) 973-2580 Fax: (925) 242-9312 www.sanramon.ca.gov Updated: December 2019 Applicant/Tenant Name: Permit Number: Job Site Address: This form is provided as a way to list aspects of the project that require special inspection and testing in accordance with International Building Code (IBC) Sections 107.1, 1704, and 1705 and define duties and responsibilities of parties involved in the project. PURPOSE: This Special Inspection … The Special Inspector shall record their presence on the job site on the City’s Special Inspection Log . SPECIAL INSPECTION AND TESTING FORM THESE REQUIREMENTS ARE FOR PERMITS ISSUED ON OR AFTER JANUARY 1, 2020 . Please … APPOINTMENT - At the time of appointment all candidates will be required to execute an oath of allegiance and complete Form I-9 - Employment Eligibility Verification in compliance with the Immigration and Naturalization Act. The Statement Of Special Inspection (City of Gahanna) form is 3 pages long and contains: 2 signatures; 0 check-boxes; 96 other fields City of Union. FORM #345 - Special Inspection New Building Form PAGE 6 OF 6 RECOGNIZED SPECIAL INSPECTION & TESTING AGENCIES - continued AGENCY NAME ADDRESS PHONE/FAX RC PC SM SW HSBNDT SWC FP EXPIRATION DATE Kleinfelder Inc. 2601 Barrington Ct, Hayward, CA 94545 (925) 484-1700 X X X X X X X 7/30/2022 Korbmacher Engineering Inc. 480 Preston Court, Suite … SPECIAL INSPECTION AND TESTING AGREEMENT To applicants of projects requiring Special Inspection or Testing per Section 1701.5 of the State of California Building Code, please acknowledge and return this form to the City of Folsom. required by Clark County Building Department are adopted and enforced in the City of Henderson. Americans with Disabilities Act. The 8-22 special inspector for reinforced masonry, fbc 2122.2.4 & cmdc sect. Building 122 Special Inspection & Testing Agreement 10/18. Permit # Project Address . Special Inspection, as utilized in the code, is a construction quality control measure, which determines that certain critical structural, fire, and life safety design features are properly incorporated in the building or structure and verifies that material and workmanship comply with the approved construction documents. I understand that all mandatory inspections, as required by the Florida Building Code, shall be requested by the permit holder and approved by the Building Department Inspectors. Application - Fire Protection Equipment Permit (PDF), Application - Master Building Permit (PDF), Application - Owner Builder Supplemental Form (PDF), Commercial - Tenant Improvement Tuesday Policy (PDF), Commercial - Unreasonable Hardship Determination Form (PDF), Commercial Seismic Upgrades for Unreinforced Masonry Buildings (PDF), Commercial Tenant Improvement - Plan Submittal (PDF), Commercial Tenant Improvement - Questions and Answers (PDF), Commercial - Authorization to Connect Utility Service Policy (PDF), Commercial - Certificate of Occupancy for Existing Space - No Changes (PDF), Residential - Conversion of Garage to Habitable Space (PDF), Residential - Conversion of Single Family Dwelling to Office or Commercial Use (PDF), Residential - Emergency Escape Rescue Windows (PDF), Residential - Foundation (Slab) Addendum per Geotechnical Engineer Report (PDF), Residential - Kitchen Remodel Checklist (PDF), Residential - Master Plans Submittal (PDF), Residential - Patio Cover - Attached (PDF), Residential - Photovoltaic Permit Checklist and Packet (PDF), Residential - Plan Review Checklist Additions and Remodels (PDF), Residential - Water Heater Installation (PDF), Residential - Demolition Swimming Pool (PDF), Alternate Materials or Methods of Construction or Design Request (PDF), Building Codes and Structural Design Criteria (PDF), Construction Allowed Without Permits - Commercial (PDF), Construction Allowed Without Permits - Residential (PDF), Construction Commenced Without Permits (PDF), Fire Protection Equipment Permit Checklist (PDF), Fire Protection Equipment Plan Review and Inspections Fees (PDF), Roof - Conversion from a Flat Roof to a Pitched Roof (PDF), Special Inspection and Testing Agreement (PDF). 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