HomeMy WebLinkAboutTPI2008-00013 STATEMENT OF SPECIAL INSPECTIONS.TIFJ'JL, 1. 2008 12:55PM ECKERT- WORDELL N0, 4121 P. 2
Appendix A: Forms for Special Inspections
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 CC13S0)
PROJECT: Graystone Eye Surgery Center NCSBC Edition: 2006
Address: 2424 Centin► Place SE Hickory , NC 28602 Occupancy: Business
Construction Type: F u it V --f-' rIN��I -�
Building Owner: Gra�rstone Opht halmology Assoc P A �iE eve � /�' �/��.s�.�
Name COHpa'9'
owner's Address: 2424 Century Place SE Hickory, NC 28602
Architect of Record: Richard War 68041 Ec ker t W ardell, I.It'
Name & License Company
Structural Engineer of Record: larry Hu PE15189 JDH Engin eer i ng, Inc.
Name &License Cornpary
Geotechnical Engineer of Record:
& License
GonWa V
Special Inspections Engineer of Record 1: Jim Hoskins GA
N & License Company
N Special Inspections Engineer of Record 2:
Name dk License C
Special Inspections Engineer of Record 3; N ame
Name & License Company
(O
General Contractor: DPJAN �/� �� •+r,
Name
Company
This Statement of Special Inspections is submitted as a condition for permit issuance in accordance with the North Carolina
Statewide Building Code. It includes a schedule of special inspections applicable to this project.
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 to the appropriate registered design professionals of record. A final report
of special inspections documenting completion of specified special inspections and correction of any discrepancies and observed
code violations noted 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:
Katie Jacobs AIA
(type or print) Nmne
Building Owners Authorization:
Building Official's Acceptance:
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