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Home My WebLink AboutCBPR--09-10-7494 Statement of Special Inspections pages 1-3.tif 4-94 SICC 2009 - Appendix A Blank Forms Page 1 of 3 CATAWBA COUNTY, NORTH CAROLINA SPECIAL INSPECTIONS PROGRAM Statement of Special Inspections TPI Permit #1: - TPI Permit #2: TPI Permit #3 (TPI Permit Numbers to be furnished by CCBSD) PROJECT Bandys Volunteer Fire Department #3 NCBC Edition: 2009 Address: 4849 S NC 16 HWY Occupancy: Storage S- 2/Fire Station Maiden, NC 28650 Construction Type: III -B Building Owner: Bandys Crossroads Volunteer Fire Department Name Company Owner's Address 1611 Buffalo Shoals Road, Catawba, NC 28609 Architect of Record: J. Stan Winstead NC Registered Architect 6908 Winstead Architecture, PLLC. Name & License Company Structural Engineer of Record J. Kirk Viola NC Engineer 12658 Taylor & Viola Structural Engineers Name & License Company Geotechnical Engineer of Record : James D. Hoskins III PE #18493 ECS LP of the Carolinas Name & License Company Special Inspections Engineer of Record 1 : James D. Hoskins III PE #18493 ECS LP of the Carolinas Name & License Company Special Inspections Engineer of Record 2: Name & License Company Special Inspections Engineer of Record 3: Name & License Company General Contractor: David Workman NC #52022 Denver Construction Company Name & License Company This Statement of Special Inspections is submitted as a condition for permit issuance in accordance with the North Carolina Statewide Building Code. The Special Inspections Engineer of Record shall keep records of specified special inspections and testing and shall furnish copies of inspection and testing reports to the Catawba County Building Services Division and to the appropriate registered design professionals of record. Discrepancies from the approved plans and specifications and code violations observed during the conduct of special inspections services shall be brought to the immediate attention of the contractor for correction, to the attention of the Catawba County Building Services Division., and)o the appropriate registr red design professionals of Afinal rep-r' of dial insp °^N^rs documenting completion of specified special inspections and correcfwl of any discrepancies and observed code violations r,uted in the inspection and testing reports shall be submitted to the Catawba County Building Services Division prior to the request for final building inspection and building inspection approval by County staff. Prepared by Registered Design Professional in Responsible Charge: J. Stan Winstead, ALA �• ('Type or print) Name Signature & Date Building Owner's Authorization: Signature & Date Building Official's Acceptance: Catawba County Building Services Signature & Date Page 1 SICC 2009 - Appendix A Blank Forms Page 2 of 3 STATEMENT OF SPECIAL INSPECTIONS Date: PROJECT: Prepared By: ACTIVITY /SYSTEMS Y/N I AGENT* I Continuous or Periodic Ins ection ref. below Steel Construction, Fabrication & Yes #1 NC Building Code 1704.2, 1704.3, 1707, Seismic Resistance 1708.4 & SICC Chapter 6 Concrete Construction, Fabrication & Yes #1 NC Building Code 1704.2, 1704.4, 1708.3 Seismic Resistance SICC Chapter 7 & 8 Masonry Construction, Fabrication & Yes #1 NC Building Code 1704.2, 1704.5, 1708.1 & Seismic Resistance SICC Chapter 9 Wood Construction, Fabrication & No NC Building Code 1704.2, 1704.6, 1707.3 Seismic Resistance & SICC Chapter 10 Soils Yes #1 NC Building Code 1704.7 & SICC Ch. 11 Pile Foundations & Fabricators No NC Building Code 1704.2, 1704.8, 1808, 1809, 1810, 1811 & SICC Section 1104.2 Pier Foundations No NC Building Code 1704.9, 1808, 1812 & SICC Section 1104.2 Earth Retention Systems No NC Building Code 1806.2 & SICC Ch. 12 Sprayed Fire Resistance Materials No NC Building Code 1704.10 & SICC Ch. 13 Mastic & Intumescent fire- resistant coatings No NC Building Code 1704.11 & SICC Ch. 13 EIFS No NC Building Code 1704.12 & SICC Ch. 14 Smoke Control No NC Building Code 1704.14 & SICC Ch. 15 Seismic Resistance Architectural, Yes #1 NC Building Code 1705.3 para 4.2, 4.3, 4.4, Components 4.5, &1707.7 & SICC Ch. 16 Seismic Resistance Mechanical Yes #1 NC Building Code 1705.3 para 2- 5, 1707.8, Components 1707.9, 1707.10, & 1708.5 & SICC Ch. 16 Seismic Resistance Electrical No NC Building Code 1705.3 para 2- 5, 1707.8, Components 1707.9, 1707.10, & 1708. 5 & SICC Ch. 16 Structural Observations required in Yes SER NC Building Code 1702 & 1709 To be Occupancy Category III or IV per Table conducted by the Structural Engineer of 1604.5 Record Special Cases No NC Building Code 1704.13 * INSPECTION AGENTS Name, Company, Address 1. Special Inspections Engineer of Record 1: James D. Hoskins III PE ECS of the Carolinas 4811 Kozer Blvd. Greensboro, NC 2. Inspection and Testing Agency 1A: James D. Hoskins III PE ECS of the Carolinas 4811 Koeer Blvd. Greensboro, NC 3. Special Inspections Engineer of Record 2: 4. Inspection and Testing Agency "2 A: 5. Special Inspections Engineer of Record 3: 6. Inspection and Testing Agency 3 A: Note: The inspectors and testing agencies shall be engaged by the Owner or the Owner's Agent, and not by the Contractor or Subcontractor whose F work is to be inspected or tested. Any conflict of interest must be disclosed to the Building Official, prior to commencing work. t Page 2 cceP2 -01- In -��w SICC 2009 - Appendix A Blank Forms Page 3 of 3 CATAWBA COUNTY, NORTH CAROLINA STATEMENT OF SPECIAL INSPECTIONS Identification of Seismic Systems NCBC 1705.3 Seismic Design Category D Identification of Seismic Systems Required Y NCBC 1705.3 para 1 & 1705.3.1 Description of seismic force resisting system requiring special inspections (Review Section 1705.3, 1707 and 1708 of the NCBC to prepare this section): Special reinforced Masonry Shear Walls in each Direction NCBC 1705.3 para 2 & 1705.3.1 Description of designated seismic systems requiring special inspections (Review Section 1705, 1707 and 1708 of the NCBC and ASCE 7 to prepare this section): Special reinforced Masonry Shear Walls in each Direction NCBC 1705.3 para 3, 4, 5 & 1705.3.1 Description of additional seismic systems requiring special inspections (Review Section 1705, 1707 and 1708 of the NCBC and ASCE 7 to prepare this section): Special Masonry Shear Walls in each Direction Identification of Wind Force Resisting System 1705.4 Basic Wind Sp 3 second gust) 90m ph Wind Exposure Category C Identification of MWFR Syst ems Required (Y /N) N Description of wind force resisting system and designated wind resisting components requiring special inspections (Review Section 1705.4 of the NCBC to prepare this section): Masonry Shear Walls in each Direction E Statement of Responsibility List each contractor responsible for the construction or fabrication of a system or component designated above. Each contractor listed must submit a Statement of Responsibility. Name Company System or Compo F E p t' X i" f f E 'r i 4 t Page 3 1