responsible charge for implementing the Structural Special Inspections Program required by the City of Phoenix Building Construction Code Sections 110.3.10 and 1704. Special Test And Inspection Form . 510 494-4460 ph / www.fremont.gov. hޤ�[o�0�����[��BZ:��EM�VB�$�7��`��q���ć�zyQ�!�"���S�qr�y�/0&D}fV�h`�ggxZ�E��Z�R (G��h�/��e���eD�A��6�8f���������ב��XGJ/��|�c���E�I��x>�Nd�6��`\����-�J���87jt���p��W���b_�G#�;��*�(R��sU��. Submit proper resumes and/or certificates of the special inspectors. SPECIAL INSPECTION AND TESTING AGREEMENT. Special Inspection Form 2019 CBC Adopted Codes Effective January 1st, 2020 Prior to issuance of a permit, the applicant shall complete Part I of this form. The Special Inspector shall record their presence on the job site on the City’s Special Inspection Log . Registered Special Inspector Roster; Special Inspection Forms. I will notify the City of Miami Beach Building Department of any changes regarding authorized personnel performing inspection services. 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). The City of Henderson has an interlocal agreement with Clark County Building Department regarding Quality Assurance and Special Inspections. Before permit issuance, all parties must sign this agreement. This list is subject to change without notice. Select OTC Building Permits can be … 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: Main: (650) 780-7350 • Fax: (650) 780-7348. Part II and Part III shall be completed by the project registered design professional and the Community DevelopmentDepartment as a part of the plan review process. Special Inspections Program Final Compliance Form . Special Inspections Final Compliance Form – 2009 IBC PDF This form lists the final compliance of a special inspection under the 2009 Building Code. Forms and Applications. Form #170 Where an application is made for construction as described in ... addition to the City of Berkeley inspections identified in CBC Section 110. City of Redding Building Inspection Division Statement of Special Inspection 2. 1. 8-22 special inspector for reinforced masonry, fbc 2122.2.4 & cmdc sect. Click on the links below to download frequently used forms. The Statement Of Special Inspection (City of Gahanna) form is 3 pages long and contains: 2 signatures; 0 check-boxes; 96 other fields 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 … To easily locate any form on the main forms page, you can use a keyboard shortcut by pressing the "Ctrl" key and the letter "F" on your keyboard (Ctrl + F) while on the page and when one of the forms categories are expanded below. 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. ____ 2. The registered ... contractor’s signature on this Statement of Special Inspection constitutes the statement The signatories to this form certify that the Testing/Inspection Agency named below has been engaged Inspection Schedule to the City of Lodi Building Inspection staff for review and approval. %PDF-1.5 %���� Building 122 Special Inspection & Testing Agreement 10/18. SPECIAL INSPECTIONS City of Redding 777 Cypress Avenue Redding CA 96001 Telephone: (530) 225-4013 FAX: (530) 225-4360 N:\Permit Center Bldg Handouts\Special Inspection form.wpd Rev. Contractor is responsible for proper notification to the Inspection or Testing Agency for items listed. FORM FOR “SPECIAL BUILDING INSPECTOR” SECTION 110.10 – BROWARD COUNTY ADMINISTRATIVE CODE AND THE FLORIDA BUILDING CODE, 7. th. Address: _____ Special Inspection and Testing Agreement . 9-24-15 Page 1 of 23. Please contact the firms for a complete listing of inspection services provided. Access reports for permits issued, pending, and finaled. The form must be returned before the permit can be issued. ** Please mark “X” on all work items requiring special inspection and the required frequency of inspections for this project per requirements in section 1705 OBC. AS SPECIAL INSPECTOR UNDER THE FLORIDA BUILDING CODE 7th EDITION (2020) Building Department, 17050 NE 19 Avenue, North Miami Beach, FL 33162 . The form should be completed by the project owner or the architect or engineer acting as the owner's agent, not the contractor. One-Stop Permit Center at City Hall, 456 W. Olive Ave., 408- 730-7444 Building and Planning Division representatives are available 8 a.m. - 12:30 p.m. and 1 p.m. - 5 p.m. Purpose: This Special Inspection and Testing Agreement (SITA) is a tool to define aspects of the project that require special inspection 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. Forms & Handouts. Commercial Special Inspection and Testing Request form Building and Safety Division/Permit Application Center City Hall / 555 Liberty St. Fire Protection Equipment Plan Review and Inspections Fees (PDF) Roof - Attic Ventilation (PDF) Roof - Conversion from a Flat Roof to a Pitched Roof (PDF) Roof - Re-roof Handout (PDF) Roof - Re-roof Required Inspection (PDF) Special Inspection and Testing Agreement (PDF) Commonly used Forms. 23 0 obj <> endobj Inspection Instructions and Permission to Enter Property. PREFACE. BEFORE A PERMIT CAN BE ISSUED: Read on... Gov. I, (we) will notify the city of North Miami Beach Building Department of any changes regarding authorized personnel performing inspection services. Schedule an Inspection; Request a City Newsletter; Find Job Openings; Download Meeting Agendas and Reports; Request a Financial Statement ; Find a Budget Item; Report a Public Concern or Submit a Request. 8-22 special inspector for steel connections, cmdc sect. I have determined that the types of work checked below require Structural Special Inspection. 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 These special inspectors shall be employed by the owner or owner’s representative, other than contractor. The latest forms are available on this site in several formats and may be printed, saved or submitted by email or online. The signatories to this form certify that the testing/inspection agency named below has been engaged to perform structural tests and inspections during construction, as checked below, to satisfy all applicable portions of the building code. All requirements, guidelines, etc. Monthly Building Reports. City of Lodi’s Parks, Recreation and Cultural Services department is seeking public input and nominations for the naming of the City’s newest neighborhood park opening in spring 2021. 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. 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). Submit 2 copies to the City ’ s representative, other than contractor Philadelphia Page 1 of 4 Department Licenses. City with the permit can be issued: special Inspection and Testing Request Building. 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