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.PLEASE CHECK WITH AR LOCAL JIISDICTION TO DETERItE REQUIRED SIGNATURES <br /> A. Owner Responsibilities <br /> The owner or the design professional in responsible charge acting as the owner's agent,shall fund special <br /> inspection services.The owner is responsible for seeing that these requirements are met. <br /> I have read and understand my responsibilities regarding special inspections. <br /> Owner/ <br /> Agent: Vummins/tveren By: mark vvatcner <br /> Y Date:Sri 4/zuz4 <br /> B. Registered Design Professional Responsibilities <br /> 1. The registered design professional in responsible charge(engineer,or architect),shall include special inspection <br /> requirements and specifications on the plans. <br /> 2. Provide structural observation where required per IBC Section 1704.6. <br /> 3. Prepare the Statement of Special Inspections in accordance with IBC section 1704.3 and identify Structural Testing for <br /> Seismic Resistance per IBC section 1704.3.2(When required).The statement of special inspections shall identify <br /> items fabricated on the premises of an approved fabricator where special inspections are not required by section <br /> 1704.2.5. <br /> 4. Review the special inspection reports and provide corrective action for work that may not conform to the approved <br /> plans. <br /> I have read and understand my responsibilities regarding special inspections. <br /> Registered Design • <br /> Professional in <br /> Resp.Charge: By: Date: <br /> Structural <br /> Engineer <br /> of Record: By: basil Katuia LbbU Date:0/14/4UZ4 <br /> C. Contractor's Responsibilities <br /> 1. Notify the agency: <br /> The contractor is responsible for notifying the inspection agency in sufficient time for scheduling personnel to <br /> perform required inspections. <br /> 2. Written statement of responsibility: <br /> Contractor shall complete this form to satisfy IBC 1704.4 Contractor responsibility for construction of designated <br /> main-wind or seismic force resisting system.Additional information shall be provided where requested by the <br /> jurisdiction. <br /> 3. Provide access to Jurisdiction approved plans: <br /> The approved plans shall be readily accessible at the job site. <br /> 4. Provide access to work: <br /> The contractor shall provide reasonable access to all work requiring special inspection. <br /> 5. Retaining special inspection reports at the job site: <br /> The contractor is also responsible for retaining at the job site all special inspection records submitted by the special <br /> inspector and providing these records for review by the Building Departments inspector upon request. <br /> 6. Notify Jurisdiction of special inspections prior to scheduled inspection time. <br /> 7. Provide a copy of special inspector's credentials when requested by thejurisdiction. <br /> I have read and understand my responsibilities regarding special inspections. <br /> Contractor:mr raacks t_w By: man rrevost mr racks Lt_(r Date:5/14/LUL4 <br /> D. Duties of the Special Inspector <br /> 1. Inspect and/or test the work: <br /> The inspector shall inspect and/or test the work for compliance with the Jurisdiction approved plans, <br /> specifications, and applicable provisions of the IBC.The architect/engineer's reviewed shop drawings,and/or <br /> placement drawings, may be used only as an aid to inspections. <br /> • Continuous Special Inspection—The full-time observation of work requiring special inspection by an approved <br /> special inspector who is present in the area where the work is being performed. <br /> • Periodic Special Inspection—The part-time or intermittent observation of work requiring special inspection by an <br /> approved special inspector who is present in the area where the work is being performed and at the completion of <br /> the work report non-conforming items: <br /> GENERAL INFORMATION: Page 4 of. <br /> • Obtain a building permit before starting construction. Form created by. <br /> • This construction bulletin is intended to provide guidelines and a checklist of some special inspections that <br /> may be required per 2018 IBC.Additional information can be found at your local building department. '{eCityGov.net <br />