Attachment 09 Croatan Special Inspections (Filled Out).pdf

ACEC/SEAOG SI GL 01 –19 page A1

STATEMENT OF SPECIAL INSPECTIONS

PROJECT:

LOCATION:

PERMIT APPLICANT:

APPLICANT’S ADDRESS:

ARCHITECT OF RECORD:

STRUCTURAL ENGINEER OF RECORD: Davis & Church, LLC

MECHANICAL ENGINEER OF RECORD:

ELECTRICAL ENGINEER OF RECORD:

REGISTERED DESIGN PROFESSIONAL IN RESPONSIBLE CHARGE:

This Statement of Special Inspections is submitted in accordance with Section 1704.3 of the 2018 International Building Code. It includes a Schedule of Special Inspection Services applicable to the above-referenced Project as well as the identity of the individuals, agencies, or firms intended to be retained for conducting these inspections. If applicable, it includes Special Inspections for Seismic Resistance and/or Special Inspections for Wind Resistance.

Are Special Inspections for Seismic Resistance included in the Statement of Special Inspections?

Yes No

Are Special Inspections for Wind Resistance included in the Statement of Special Inspections?

Yes No

The Special Inspector(s) shall keep records of all inspections and shall furnish interim inspection reports to the Building Official and to the Registered Design Professional in Responsible Charge at a frequency agreed upon by the Design Professional and the Building Official prior to the start of work. Discrepancies shall be brought to the immediate attention of the Contractor for correction. If the discrepancies are not corrected, the discrepancies shall be brought to the attention of the Building Official and the Registered Design Professional in Responsible Charge prior to completion of that phase of work. A Final Report of Special Inspections documenting required special inspections and corrections of any discrepancies noted in the inspections shall be submitted to the Building Official and the Registered Design Professional in Responsible Charge at the conclusion of the project.

Frequency of interim report submittals to the Registered Design Professional in Responsible Charge:

Weekly Bi-Weekly Monthly Other; specify:

The Special Inspection program does not relieve the Contractor of the responsibility to comply with the Contract Documents. Jobsite safety and means and methods of construction are solely the responsibility of the Contractor.

Statement of Special Inspections Prepared by:

Matthew Church, P.E. -- Davis & Church, LLC Type or print name

7/31/2024 Signature Date

Frequency of interim report submittals to Building Official and/or Architect/Engineer of Record:

x Monthly Bi- Monthly Upon Completion Other; specify:

Croatan Ranger Station

241 E. Fisher Ave. New Bern, NC 28560 N/A

TSW

Heather Hubble

141 E. Fisher Ave. New Bern, NC 28560

ACEC/SEAOG SI GL 01 –19 page A2

Special Inspections for Seismic Resistance

See the Schedule of Special Inspections for inspection and testing requirements

Seismic Design Category: C

Special Inspections for Seismic Resistance Required (Yes/No): No

Description of seismic force-resisting system subject to special inspection and testing for seismic resistance:

(Where required per IBC Sections 1705.12.1, 1705.12.2, and 1705.12.3) (Special inspections for seismic resistance of structural steel, where required, shall be in accordance with AISC 341)

Description of designated seismic systems subject to special inspection and testing for seismic resistance:

(Required for architectural, electrical and mechanical systems and their components that require design in accordance with Chapter 13 of ASCE 7, have a component importance factor, Ip, greater than one and are in Seismic Design Categories C, D, E or F.)

Description of additional seismic systems and components requiring special inspections:

(Required for systems noted in IBC Section 1705.12.5, 1705.12.6, 1705.12.7, and 1705.12.8.)

Description of additional seismic systems and components requiring testing:

(Where required per IBC Section 1705.13)

Statement of Responsibility:

Each contractor responsible for the construction or fabrication of a system or component described above must submit a Statement of Responsibility.

ACEC/SEAOG SI GL 01 –19 page A3

Special Inspections for Wind Resistance

See the Schedule of Special Inspections for inspection and testing requirements

Allowable Stress Design Wind Speed, Vasd: 105 m.p.h.

Wind Exposure Category: D

Special Inspection for Wind Resistance Required (Yes/No): No (Required in wind exposure Category B, where the allowable stress design wind speed, Vasd, is 120 miles per hour or greater. Required in wind exposure Category C or D, where the allowable stress design wind speed, Vasd, is 110 miles per hour or greater).)

Description of structural wood and cold-formed steel light frame construction main windforce-resisting system subject to special inspections for wind resistance:

(Required for systems noted in IBC Section 1705.11.1 and 1705.11.2).

Description of windforce-resisting components subject to special inspections for wind resistance:

(Required for systems and components noted in IBC Section 1705.11.3)

Statement of Responsibility:

Each contractor responsible for the construction or fabrication of a system or component described above must submit a Statement of Responsibility.

2) Complete penetration groove welds

5/16" or greater in risk category II

Shop (3) or field ultrasonic testing -

10% of welds minimum N Periodic

3) Welded joints subject to fatigue when required by AISC 360, Appendix 3, Table A-3.1

Shop (3) or field radiographic or

Ultrasonic testing N Periodic

c. Inspection tasks After Welding

(Observe, or perform for each welded joint or member, the QA tasks listed in AISC

360, Table N5.4-

3)

Shop (3) and field inspection N Observe or Perform as noted (4)

d. Nondestructive testing (NDT) of welded joints: see Commentary N

1) Complete penetration groove welds

5/16" or greater in risk category III or IV

Shop (3) or field ultrasonic testing -

100% N Periodic

3. Structural steel welding: N

a. Inspection tasks Prior to Welding

(Observe, or perform for each welded joint or member, the QA tasks listed in AISC

360, Table N5.4-

1)

Shop (3) and field inspection N Observe or Perform as noted (4)

b. Inspection tasks During Welding

(Observe, or perform for each welded joint or member, the QA tasks listed in AISC

360, Table N5.4-

2)

Shop (3) and field inspection N Observe (4)

2. Aggregate Pier Inspection: The special inspector's responsibilities include, but are not limited to, review of the aggregate pier designer's use of soil parameters as presented in the project soils report, and during construction, verification of aggregate properties, type and number of lifts of aggregate, hole size and depths and top elevations of the pier elements, and applied energy. Additionally, results of qualitative tests on production aggregate pier elements such as modulus load testing, uplift pull-out testing, bottom stabilization tests and dynamic cone penetration tests, shall be reviewed to verify compliance with design specifications.

Field inspection N

Periodic or as required by the research report issued by an approved source

1705.2.1 Structural Steel Construction

1. Fabricator and erector documents (Verify reports and certificates as listed in AISC

360, Section N 3.2 for compliance with construction documents)

Submittal Review N Each submittal

2. Material verification of structural steel

Shop (3) and field inspection N

Periodic

SCHEDULE OF SPECIAL INSPECTIONS SERVICES

PROJECT

MATERIAL / ACTIVITY SERVICE

APPLICABLE TO THIS PROJECT

Y/N EXTENT AGENT* DATE COMPLETED

1705.1.1 Special Cases (work unusual

in nature, including but not limited to alternative materials and systems, unusual design applications, materials and systems with special manufacturer's requirements -add additional rows as needed.)

Submittal review, shop (3) and/or field inspection

1. Inspection of anchors post-installed in solid grouted masonry: Per research reports including verification of anchor type, anchor dimensions, hole dimensions, hole cleaning procedures, anchor spacing, edge distances, masonry unit, grout, masonry compressive strength, anchor embedment and tightening torque

Field inspection N

Periodic or as required by the research report issued by an approved source

N

SCHEDULE OF SPECIAL INSPECTIONS SERVICES

PROJECT

MATERIAL / ACTIVITY SERVICE

APPLICABLE TO THIS PROJECT

Y/N EXTENT AGENT* DATE COMPLETED

b. Inspection tasks During Welding

(Observe the QA tasks listed in SDI

QA/QC, Appendix 1 Table 1.4) N Observe (4)

c. Inspection tasks After Welding (Perform the QA tasks listed in SDI QA/QC, Appendix 1 Table 1.5) N Perform (4)

5. Cold-formed steel deck mechanical fastening:

Shop (3) and field inspection N

b. Inspection tasks After Deck Placement

(Perform the QA tasks listed in SDI

QA/QC, Appendix 1

Table 1.2)

N Perform (4)

4. Cold-formed steel deck welding: Shop (3) and field inspection N

a. Inspection tasks Prior to Welding

(Observe the QA tasks listed in SDI

QA/QC, Appendix 1 Table 1.3) N Observe (4)

2. Material verification of steel deck, mechanical fasteners and welding materials

Shop (3) and field inspection N Periodic

3. Cold-formed steel deck placement: Shop (3) and field inspection N

a. Inspection tasks Prior to Deck

Placement (Perform the QA tasks listed in

SDI QA/QC, Appendix 1

Table 1.1)

N Perform (4)

6. Embedments (Verify diameter, grade, type, length, embedment. See 1705.3 for anchors)

Field inspection N Periodic

7. Verify member locations, braces, stiffeners, and application of joint details at each connection comply with construction documents

Field inspection

N

Periodic

1705.2.2 Cold-Formed Steel Deck

1. Manufacturer documents (Verify reports and certificates as listed in SDI QA/QC, Section 2, Paragraphs 2.1 and

2.2 for compliance with construction documents)

Submittal Review N Each submittal

2) Snug-tight joints N Periodic

c. Inspection tasks After Bolting (Perform tasks for each bolted connection in accordance with QA tasks listed in AISC

360, Table N5.6-

3)

N Perform (4)

5. Visual inspection of exposed cut surfaces of galvanized structural steel main members and exposed corners of the rectangular HSS for cracks subsequent to galvanizing

Shop (3) or field inspection N Periodic

c) Twist-off type tension control bolt N

Periodic

d) Turn-of-nut without matching markings N

Continuous

e) Calibrated wrench N Continuous

1) Pre-tensioned and slip-critical joints N

a) Turn-of-nut with matching markings N

Periodic

b) Direct tension indicator N Periodic

4. Structural steel bolting: Shop (3) and field inspection N

a. Inspection tasks Prior to Bolting

(Observe, or perform tasks for each bolted connection, in accordance with QA tasks listed in AISC 360, Table N5.6-1)

N Observe or Perform as noted (4)

b. Inspection tasks During Bolting

(Observe the QA tasks listed in AISC 360, Table N5.6-2)

N Observe (4)

4) Fabricator's NDT reports when fabricator performs NDT

Verify reports

Each submittal (5)

MATERIAL / ACTIVITY SERVICE

APPLICABLE TO THIS PROJECT

Y/N EXTENT AGENT* DATE COMPLETED

Continuous

8. Verify maintenance of specified curing temperature and techniques

Shop (3) and field inspection Y

Periodic

7. Inspection of concrete and shotcrete placement for proper application techniques

Shop (3) and field inspection Y

3. Inspection of anchors cast in concrete.

Shop (3) and field inspection Y

Periodic

4. Inspection of anchors post-installed in hardened concrete members per research reports, or, if no specific requirements are provided, requirements shall be provided by the registered design professional and approved by the building official, including verification of anchor type, anchor dimensions, hole dimensions, hole cleaning procedures, anchor spacing, edge distances, concrete minimum thickness, anchor embedment and tightening torque

Field inspection Y

Periodic or as required by the research report issued by an approved source

a. Adhesive anchors installed in horizontal or upward-inclined orientation that resist sustained tension loads.

N Continuous

b. Mechanical and adhesive anchors not defined in 4a.

Y

Periodic

5. Verify use of approved design mix Shop (3) and field inspection Y Periodic

b. Inspection of single-pass fillet welds

5/16 or less in size.

N

Periodic

c. Inspection of all other welds. N Continuous

6. Prior to placement, fresh concrete sampling, perform slump and air content tests and determine temperature of concrete and perform any other tests as specified in construction documents.

Shop (3) and field inspection Y Continuous

1705.3 Concrete Construction

1. Inspection and placement verification of reinforcing steel and prestressing tendons.

Shop (3) and field inspection Y Periodic

2. Reinforcing bar welding:

a. Verification of weldability of bars other than ASTM A706.

N

Periodic

1) Standard bridging. per SJI CJ or SJI 100 N Periodic

2) Bridging that differs from the specifications listed in SJI CJ or

SJI 100.

N Periodic

1705.2.4. Cold-Formed Steel Trusses Spanning 60 feet or Greater

Verify temporary and permanent restraint/bracing are installed in accordance with the approved truss submittal package

Field inspection N Periodic

1705.2.3. Open-Web Steel Joists and Joist Girders

1. Installation of open-web steel joists and joist girders.

N

a. End connections - welding or bolted.

per SJI CJ or SJI 100 N

Periodic

b. Bridging - horizontal or diagonal.

N

a. Inspection tasks Prior to Mechanical

Fastening (Observe the QA tasks listed in

SDI QA/QC,

Appendix 1 Table 1.6)

N Observe (4)

b. Inspection tasks During Mechanical

Fastening (Observe the QA tasks listed in

SDI QA/QC,

Appendix 1 Table 1.7)

N Observe (4)

c. Inspection tasks After Mechanical

Fastening (Perform the QA tasks listed in

SDI QA/QC, Appendix 1

Table 1.8)

N Perform (4)

MATERIAL / ACTIVITY SERVICE

APPLICABLE TO THIS PROJECT

Y/N EXTENT AGENT* DATE COMPLETED

c. Placement of reinforcement, connectors, and anchor bolts

Field inspection Y Level 2 - Periodic

N Level 3 - Continuous

2. Prior to grouting, verify that the following are in compliance:

a. Grout space Field Inspection Y Level 2 - Periodic

N Level 3 - Continuous

b. Placement of prestressing tendons and anchorages

Field Inspection N

Periodic

d. Prestressing technique Field Inspection N Periodic

e. Properties of thin-bed mortar for AAC masonry

(b) Required for the first 5,000 square feet

(c) Required after the first 5,000 square feet Field Inspection

N Level 2 - Continuous

(b)

Level 2 - Periodic (c)

N Level 3 - Continuous

f. Sample panel construction Field Inspection N Level 2 - Periodic

N Level 3 - Continuous

1. As masonry construction begins, verify that the following are in

a. Proportions of the site-prepared mortar

Field inspection Y

Periodic

b. Grade and size of prestressing tendons and anchorages Field Inspection N Periodic

c. Grade, type, and size of reinforcement, anchor bolts, and prestressing tendons and anchorages

Field Inspection Y Periodic

(C) Level 3 Quality Assurance:

1. During construction, verification of f'm and f'AAC for every 5,000 SF

Testing by unit strength method or prism test method N Periodic

2. During construction, verification of proportions of materials as delivered to the project site for premixed or preblended mortar, prestressing grout, and grout other than self-consolidating grout.

Field inspection N Periodic

MINIMUM SPECIAL INSPECTION REQUIREMENTS

(D) Levels 2 and 3 Quality Assurance:

1. Prior to construction, verification of compliance of submittals Submittal Review Y Prior to Construction

(B) Level 2 & 3 Quality Assurance:

1. Prior to construction verification of f'm and f'AAC except where specifically required by the code

Testing by unit strength method or prism test method Y

Prior to Construction

2. During construction, verification of

Slump Flow and Visual Stability Index

(VSI) when self- consolidating grout is delivered to project site.

Testing by unit strength method or prism test method

Y Periodic

12. Inspection of formwork for shape, lines, location and dimensions Field inspection Y Periodic

13. Concrete strength testing and verification of compliance with construction documents

Field testing and review of laboratory reports Y Periodic

1705.4 Masonry Construction

MINIMUM VERIFICATION REQUIREMENTS

(A) Level 1, 2 and 3 Quality Assurance:

b. Grouting of bonded prestressing tendons N

Continuous

10. Inspect erection of precast concrete members N

Periodic

11. Verification of in-situ concrete strength, prior to stressing of tendons in post tensioned concrete and prior to removal of shores and forms from beams and structural slabs

Review field testing and laboratory reports N Periodic

9. Inspection of prestressed concrete: Shop (3) and field inspection N

a. Application of prestressing force

Continuous

MATERIAL / ACTIVITY SERVICE

APPLICABLE TO THIS PROJECT

Y/N EXTENT AGENT* DATE COMPLETED

a. Verification that permanent individual truss member restraint/bracing has been installed in accordance with the approved truss submittal package when the truss height is greater than or equal to 60".

Field inspection N Periodic

b. For trusses spanning 60 feet or greater:

verify temporary and permanent restraint/bracing are installed in accordance with the approved truss submittal package

Field inspection N Periodic

1705.6 Soils

1. Verify materials below shallow foundations are adequate to achieve the design bearing capacity.

Field inspection Y Periodic

2. For high-load diaphragms, verify grade and thickness of structural panel sheathing agree with approved building plans.

Field inspection N Periodic

3. For high-load diaphragms, verify nominal size of framing members at adjoining panel edges, nail or staple diameter and length, number of fastener lines, and that spacing between fasteners in each line and at edge margins agree with approved building plans

Field inspection N Periodic

4. Metal-plate-connected wood trusses:

4. Observe preparation of grout specimens, mortar specimens, and/or prisms Field inspection

Y Level 2 - Periodic

N Level 3 - Continuous

1705.5 Wood Construction

1. For prefabricated wood structural elements, inspection of the fabrication process and assemblies in accordance with

Section 1704.2.5.

In-plant review (3) Y Periodic

g. Application and measurement of prestressing force

Field testing N

Continuous

h. Placement of grout and prestressing grout for bonded tendons is in compliance

Field inspection N Continuous

i. Placement of AAC masonry units and construction of thin-bed mortar joints

(b) Required for the first 5,000 square feet

(c) Required after the first 5,000 square feet Field inspection

N

Level 2 - Continuous (b)

Level 2 - Periodic (c)

N Level 3 - Continuous

d. Type, size, location of anchors, including other details of anchorage of masonry to structural members, frames, or other construction

Field inspection

N Level 2 - Periodic

N

Level 3 - Continuous

e. Welding of reinforcement Field inspection N

Continuous

f. Preparation, construction, and protection of masonry during cold weather (temperature below 40 o F) or hot weather (temperature above 90 o F)

Field inspection Y Periodic

a. Materials and procedures with the approved submittals

Field inspection Y

Periodic

b. Placement of masonry units and mortar joint construction

Field Inspection Y

Periodic

c. Size and location of structural members

Field inspection Y

Periodic

d. Proportions of site-prepared grout and prestresssing grout for bonded tendons

Field Inspection Y Periodic

3. Verify compliance of the following during construction:

MATERIAL / ACTIVITY SERVICE

APPLICABLE TO THIS PROJECT

Y/N EXTENT AGENT* DATE COMPLETED

1705.10 Fabricated items

1. List of fabricated items requiring special inspection during fabrication: Shop inspection Y As noted in each applicable shop activity

Roof Trusses

2. Verify placement locations and plumbness, confirm element diameters, bell diameters (if applicable), lengths, embedment into bedrock (if applicable) and adequate end-bearing strata capacity.

Record concrete or grout volumes

Field inspection N Continuous

3. For concrete elements, perform tests and additional inspections in accordance with Section 1705.3

See Section 1705.3 N See Section 1705.3

1705.9 Helical Pile Foundations

Verify installation equipment, pile dimensions, tip elevations, final depth, final installation torque and other installation data as required by construction documents.

Field inspection N Continuous

6. For concrete elements and concrete- filled elements, perform tests and additional inspections per Section

1705.3

See Section 1705.3 N See Section 1705.3

7. For specialty elements, perform additional inspections as determined by the registered design professional in responsible charge Field inspection N

In accordance with construction documents

1705.8 Cast-in-Place Deep Foundations

1.Inspect drilling operations and maintain complete and accurate records for each element Field inspection N Continuous

3. Inspect driving operations and maintain complete and accurate records for each element

Field inspection N Continuous

4. Verify placement locations and plumbness, confirm type and size of hammer, record number of blows per foot of penetration, determine required penetrations to achieve design capacity, record tip and butt elevations and document any damage to foundation element

Field inspection N Continuous

5. For steel elements, perform additional inspections per Section

1705.2

See Section 1705.2 N See Section 1705.2

5. Prior to placement of controlled fill, inspect subgrade and verify that site has been prepared properly

Field inspection Y Periodic

1705.7 Driven Deep Foundations

1. Verify element materials, sizes and lengths comply with requirements Field inspection N Continuous

2. Determine capacities of test elements and conduct additional load tests, as required

Field inspection N Continuous

2. Verify excavations are extended to proper depth and have reached proper material. Field inspection Y Periodic

3. Perform classification and testing of compacted fill materials.

Field inspection Y

Periodic

4. Verify use of proper materials, densities, and lift thicknesses during placement and compaction of controlled fill

Field inspection Y Continuous

MATERIAL / ACTIVITY SERVICE

APPLICABLE TO THIS PROJECT

Y/N EXTENT AGENT* DATE COMPLETED

2. Screw attachment, bolting, anchoring and other fastening of components within the seismic-force- resisting system including shear walls, braces, diaphragms, collectors

(drag struts) and hold-downs for SDC C, D, E or F.

Shop (3) and field inspection N Periodic

1705.12.4 Designated Seismic Systems Verification Special Inspections for Seismic Resistance

For SDC C, D, E or F, inspect and verify that that the component label, anchorage or mounting conforms to the certificate of compliance in accordance with ASCE 7

Section

13.2.2.

Field inspection N Periodic

1705.12.2 Structural Wood Special Inspections for Seismic Resistance

1. Field gluing operations of elements of the seismic-force resisting system for SDC C, D, E or F.

Field inspection N Continuous

2. Nailing, bolting, anchoring and other fastening of components within the seismic-force-resisting system including wood shear walls, wood diaphragms, drag struts, shear panels and hold-downs for SDC C, D, E or F.

Shop (3) and field inspection N Periodic

1705.12.3 Cold-formed Steel Light-Frame Construction Special Inspections for Seismic Resistance

1. During welding operations of elements of the seismic-force-resisting system for SDC

C, D, E or F.

Shop (3) and field inspection N Periodic

2. Exterior wall covering and wall connections to roof and floor diaphragms.

Shop (3) and field inspection N Periodic

1705.12.1 Structural Steel Special Inspections for Seismic Resistance

1. Seismic force-resisting systems in

SDC B, C, D, E, or F.

Shop (3) and field inspection N

In accordance with

AISC 341

2. Structural steel elements in SDC B, C, D, E, or F other than those in Item

1. including struts, collectors, chords and foundation elements.

Shop (3) and field inspection N In accordance with AISC

1705.11.2 Cold-formed Steel Special Inspections For Wind Resistance

1.Inspection during welding operations of elements of the main windforce-resisting system

Shop (3) and field inspection N Periodic

2. Inspection of screw attachment, bolting, anchoring and other fastening of components within the main windforce-resisting system, including shear walls, braces, diaphragms, collectors (drag struts) and hold-downs.

Shop (3) and field inspection N Periodic

1705.11.3 Wind-resisting Components

1. Roof covering, roof deck and roof framing connections.

Shop (3) and field inspection N

Periodic

2. List of fabricated items to be fabricated on the premises of a fabricator approved to perform such work without special inspection

(including name of approved agency providing periodic auditing):

1705.11.1 Structural Wood Special Inspections For Wind Resistance

1. Inspection of field gluing operations of elements of the main windforce-resisting system

Field inspection N Continuous

2. Inspection of nailing, bolting, anchoring and other fastening of components within the main windforce- resisting system, including wood shear walls, wood diaphragms, drag struts, braces and hold-downs.

Shop (3) and field inspection N Periodic

MATERIAL / ACTIVITY SERVICE

APPLICABLE TO THIS PROJECT

Y/N EXTENT AGENT* DATE COMPLETED

1705.12.8 Seismic Isolation Systems

a. ASCE/SEI 7, Section 13.2.3 minimum required clearances have been provided.

Field inspection N Periodic

b. A three inch or greater nominal clearance has been provided between fire protection sprinkler system drops and sprigs and:

structural members not used collectively or independently to support the sprinklers;

equipment attached to the building structure;

and other systems' piping.

Field inspection N Periodic

1705.12.7 Storage Racks Special Inspections for Seismic Resistance

Inspection during the anchorage of storage racks 8 feet or greater in height in structures assigned to SDC

D, E or F.

Field inspection N Periodic

4. Inspection during the installation and anchorage of HVAC ductwork designed to contain hazardous materials in SDC C, D, E or F

Field inspection N Periodic

5. Inspection during the installation and anchorage of vibration isolation systems in

SDC C, D, E or F where nominal clearance of 1/4 inch or less is required by the approved construction documents

Field inspection N Periodic

6. Inspection during installation of mechanical and electrical equipment, including duct work, piping systems and their structural supports, where automatic fire sprinkler systems are installed in structures assigned to SDC C, D, E, or F to verify one of the following unless flexible sprinkler hose fittings are used:

N

1705.12.6 Plumbing, Mechanical and Electrical Components Special Inspections for Seismic Resistance

1. Inspection during the anchorage of electrical equipment for emergency or standby power systems in SDC C, D, E or F

Field inspection N Periodic

2. Inspection during the anchorage of other electrical equipment in SDC E or F Field inspection N Periodic

3. Inspection during installation and anchorage of piping systems designed to carry hazardous materials, and their associated mechanical units in SDC C, D, E or F

Field inspection N Periodic

2. For SDC D, E or F, inspection during the erection and fastening of interior nonbearing walls more than 30 feet above grade or walking surface and weighing more than 15 psf.

Field inspection N Periodic

3. For SDC D, E or F, inspection during the erection and fastening of exterior nonbearing walls more than 30 feet above grade or walking surface.

N

4. For SDC D, E or F, inspection during anchorage of access floors

Field inspection N

Periodic

1705.12.5 Architectural Components Special Inspections for Seismic Resistance

1. For SDC D, E or F, inspection during the erection and fastening of exterior cladding and interior or exterior veneer more than 30 feet above grade or walking surface and weighing more than 5 psf.

Field inspection N Periodic

MATERIAL / ACTIVITY SERVICE

APPLICABLE TO THIS PROJECT

Y/N EXTENT AGENT* DATE COMPLETED

2. Inspect fire-resistant joint systems Field testing N Per ASTM E2393

1705.18 Smoke Control Systems

1. Leakage testing and recording of device locations prior to concealment Field testing N Periodic

1705.15 Mastic and Intumescent Fire-Resistant Coatings

Inspect and test mastic and intumescent fire-resistant coatings applied to structural elements and decks per AWCI 12-B

Field inspection and testing N Periodic

1705.16 Exterior Insulation and Finish Systems (EIFS)

Inspection of water-resistive barrier over sheathing substrate

Field inspection N

Periodic

1705.17 Fire-Resistant Penetrations and Joints

1. Inspect penetration firestop systems Field testing N Per ASTM E2174

3. Verify density of the sprayed fire-resistant material complies with approved fire-resistant design

Field inspection and testing N

Per IBC Section

1705.14.5

4. Verify the cohesive/adhesive bond strength of the cured sprayed fire-resistant material

Field inspection and testing N

Per IBC Section

1705.14.6

5. Condition of finished application Field inspection N Periodic

1705.13.4 Seismic Isolation Systems

Test seismic isolation system in accordance with ASCE 7 Section 17.8 in structures assigned to SDC B, C, D, E or F.

Prototype testing N Per ASCE 7

1705.14 Sprayed Fire-resistant Materials

1. Verify surface condition preparation of structural members

Field inspection N

Periodic

2. Verify minimum thickness of sprayed fire-resistant materials applied to structural members

Field inspection N Periodic

2. Nondestructive testing of structural steel elements in the seismic force- resisting systems not covered in 1 above including struts, collectors, chords and foundation elements in accordance with AISC 341 in structures assigned to SDC B, C, D, E or F.

Field test N Periodic

1705.13.2 Seismic Certification of Nonstructural Components

Review certificate of compliance for designated seismic system components in structures assigned to

SDC B, C, D, E or F.

Certificate of compliance review N Each submittal

1705.13.3 Seismic Certification of Designated Seismic Systems

Review certificate of compliance for designated seismic system components in structures assigned to

SDC C, D, E or F

Certificate of compliance review N Each submittal

Inspection during the fabrication and installation of isolator units and energy dissipation devices used as part of the seismic isolation system in structures assigned to SDC B, C, D, E or F.

Shop and field inspection N Periodic

1705.12.9 Cold-formed Steel Special Bolted Moment Frames

Inspection of installation of cold- formed steel special bolted moment frames in the seismic force-resisting systems in structures assigned to SDC D, E or F.

Field inspection N Periodic

1705.13.1 Structural Steel Testing for Seismic Resistance

1. Nondestructive testing of structural steel in the seismic force-resisting systems in accordance with AISC 341 in structures assigned to SDC B, C, D, E or F.

Field test N Periodic

MATERIAL / ACTIVITY SERVICE

APPLICABLE TO THIS PROJECT

Y/N EXTENT AGENT* DATE COMPLETED

Notes:

1. The inspection and testing agent(s) shall be engaged by the Owner or the Owner's Agent, and not by the Contractor or Subcontractor whose work is to be inspected or tested. Any conflict of interest must be disclosed to the Building Official and/or Architect/Engineer of Record prior to commencing work. The qualifications of the Special Inspector(s) and/or testing agencies may be subject to the approval of the Building Official and/or the

Architect/Engineer of Record.

2. The list of Special Inspectors may be submitted as a separate document, if noted so above.

3. Shop Inspections of fabricated items are not required where the fabricator is approved in accordance with IBC Section 1704.2.5.1 and listed in activity 1709.2.

4. Observe: Observe on a random basis, operations need not be delayed pending these inspections. Perform: These tasks shall be performed for each welded joint, bolted connection, or steel element.

5. NDT of welds completed in an approved fabricator's shop may be performed by that fabricator when approved by the AHJ. Refer to AISC 360, N6.

2. Prior to occupancy and after sufficient completion, pressure difference testing, flow measurements, and detection and control verification

Field testing N Periodic

* INSPECTION AGENTS

FIRM ADDRESS TELEPHONE NO.

1.

2.

3.

4.

ACEC/SEAOG SI GL 01 –19 page C1

Contractor’s Statement of Responsibility

Each contractor responsible for the construction or fabrication of a main wind or seismic force-resisting system, designated seismic system or wind or seismic-resisting component listed in the Statement of Special Inspections, Special Inspections for Seismic or Wind Resistance, must submit a Statement of Responsibility.

Project:

Contractor’s Name:

Address:

License No.:

Description of building systems and components included in Statement of Responsibility:

Contractor’s Acknowledgement of Special Requirements

I hereby acknowledge that I have received, read, and understand the Statement of Special Inspections and Special Inspection program:

I hereby acknowledge that control will be exercised to obtain conformance with the approved construction documents.

Name and Title (type or print)

ACEC/SEAOG SI GL 01 –19 page C2

Fabricator’s Certificate of Compliance

Each approved fabricator that is exempt from Special Inspection of shop fabrication and implementation procedures per section 1704.2.5.1 of the International Building Code must submit Fabricator’s Certificate of Compliance at the completion of fabrication.

Project:

Fabricator’s Name:

Address:

Certification or Approval Agency:

Certification Number:

Date of Last Audit or Approval:

Description of structural members and assemblies that have been fabricated:

I hereby certify that items described above were fabricated in strict accordance with the approved construction documents.

Name and Title (type or print)

Attach copies of fabricator’s certification or building code evaluation service report and fabricator’s quality control manual.

ACEC/SEAOG SI GL 01 –19 page A4

FINAL REPORT OF SPECIAL INSPECTIONS

PROJECT:

LOCATION:

PERMIT APPLICANT:

APPLICANT’S ADDRESS:

ARCHITECT OF RECORD:

STRUCTURAL ENGINEER OF RECORD: Davis & Church, LLC

MECHANICAL ENGINEER OF RECORD:

ELECTRICAL ENGINEER OF RECORD:

REGISTERED DESIGN PROFESSIONAL IN RESPONSIBLE CHARGE:

To the best of my information, knowledge, and belief, which are based upon observations or diligent supervision of our inspection services for the above-referenced Project, I hereby state that the special inspections or testing required for this Project, and designated for this Agent in the Schedule of Special Inspection Services, have been completed in accordance with the Contract Documents.

The Special Inspection program does not relieve the Contractor of the responsibility to comply with the Contract Documents. Jobsite safety and means and methods of construction are solely the responsibility of the Contractor.

Interim reports submitted prior to this final report and numbered to form a basis for, and are to be considered an integral part of this final report. The following discrepancies that were outstanding since the last interim report dated have been corrected:

(Attach 8 ½”x11” continuation sheet(s) if required to complete the description of corrections)

Prepared By:

Special Inspection Agent/Firm

Type or print name

Croatan Ranger Station

241 E. Fisher Ave. New Bern, NC 28560 N/A

TSW

Heather Hubble

141 E. Fisher Ave. New Bern, NC 28560

PROJECT NAME / ADDRESS:

INSPECTION TYPE(S) COVERAGE

O CONTINUOUS O PERIODIC

TIME BEGINNING INSPECTION: TIME ENDING INSPECTION:

DESCRIBE INSPECTIONS MADE, INCLUDING LOCATIONS:

LIST TESTS MADE:

LIST ITEMS REQUIRING CORRECTIONS, CORRECTIONS OF PREVIOUSLY LISTED ITEMS AND

PREVIOUSLY LISTED UNCORRECTED ITEMS: PROVIDE COPIES OF DISCREPANCY NOTICES:

COMMENTS:

DESIGN DRAWINGS, AND SPECIFICATIONS, EXCEPT AS NOTED ABOVE.

CERTIFICATION: NUMBER:

One copy of this report to remain at job site with the contractor for review upon request.

SIGNED: DATE:

NOTE BY "SPECIAL INSPECTOR" OR

SPECIAL INSPECTION DAILY REPORT

TO THE BEST OF MY KNOWLEDGE, WORK INSPECTED WAS IN ACCORDANCE WITH THE APPROVED

PRINTED FULL NAME

ACED/SEAOG SI GL 01-12 p. D1

INSPECTION TYPE(S) COVERAGE

CONTINUOUS PERIODIC

TIME ENDING INSPECTION:

DESCRIBE INSPECTIONS MADE, INCLUDING LOCATIONS:

LIST TESTS MADE:

DATE

HOURS

LIST ITEMS REQUIRING CORRECTIONS, CORRECTIONS OF PREVIOUSLY LISTED ITEMS AND

PREVIOUSLY LISTED UNCORRECTED ITEMS: PROVIDE COPIES OF DISCREPANCY NOTICES:

COMMENTS:

DESIGN DRAWINGS, AND SPECIFICATIONS, EXCEPT AS NOTED ABOVE.

CERTIFICATION: NUMBER:

One copy of this report to remain at job site with the contractor for review upon request.

DATE:SIGNED:

PRINTED FULL NAME

NOTE BY "SPECIAL INSPECTOR" OR

PROVIDE NAME OF TESTING AGENCY

TO THE BEST OF MY KNOWLEDGE, WORK INSPECTED WAS IN ACCORDANCE WITH THE APPROVED

SPECIAL INSPECTION INTERIM REPORT

TOTAL

INSPECTION TIME

EACH DAY

TIME BEGINNING INSPECTION:

ACEC/SEAOG SI GL 01 – 19 page D2

SPECIAL INSPECTION DISCREPANCY NOTICE

INSPECTION TYPE(S) COVERAGE

CONTINUOUS PERIODIC

AREA INSPECTED

CERTIFICATION: NUMBER:

One copy of this report to remain at job site with the contractor for review upon request.

O ENGINEER/ARCHITECT

O CONTRACTOR

O OWNER

DATE:

DATE: TIME:

DISCREPANCY NOTICE No.

NOTE BY "SPECIAL INSPECTOR" OR

PROVIDE NAME OF TESTING AGENCY

PRINTED FULL NAME

MAKE THE FOLLOWING CORRECTIONS AND SECURE INSPECTION APPROVAL PRIOR TO

PROCEEDING WITH THIS PHASE OF THE WORK.

TYPE OF INSPECTION

NOTICE DELIVERED TO:

SIGNED:

ACEC/SEAOG SI GL 01 – 19 page D3

GA International Building Code Amendments 2014

*Add new Table 1704.2 ‘Minimum Special Inspector Qualifications’ as follows:

TABLE 1704.2 MINIMUM SPECIAL INSPECTOR QUALIFICATIONS

Category of Testing and Inspection

Minimum Qualifications (refer to key at end of Table)

Shop Testing or Inspection

Field Testing or Inspection

Review Testing, Certifica tion, &

Lab Reports

1704.2.5 Inspection of Fabricators

Pre-cast concrete A, C, E

Structural steel construction C, F, G Wood construction A

Cold formed metal construction A 1705.2, 1705.10, 1705.11& 1705.12 Steel Construction

Verification of welding comsumables, filler metals, procedure specifications, procedure qualification records and personnel performance qualification records

C, F

Nondestructive testing of welding G G Inspection of welding C, F C, F

Verification of fabricator and erector documents as listed in AISC 360, chapter N, paragraph 3.2

A, C

Material verification of weld filler materials C, F Inspection of high strength bolting and steel frame joint details A, C

Inspection of embedments A, C, F Inspection of steel elements of composite construction A, C, F

Verification of reinforcing steel, cold formed steel deck and truss materials

A, C, F

Inspection of reinforcing steel, cold formed steel deck and trusses

A, C

1705.3 & 1705.12 Concrete Construction Reinforcing placement, cast-in-place bolts, post installed anchors concrete and shotcrete placement and curing operations. Inspection of formwork for shape, location and dimensions

A, C, H

Pre-stressing steel installation A, C, D, E Erection of pre-cast concrete members A, C, H

Concrete field sampling and testing A, J Review certified mill reports A, C

Verify use of required design mix A, I, J, H, C Pre-stressed (pre-tensioned) concrete force application A, C, E

Category of Testing and Inspection

Minimum Qualifications (refer to key at end of Table)

Shop Testing or Inspection

Field Testing or Inspection

Review Testing, Certifica tion, &

Lab Reports

Post-tensioned concrete force application A, C, D Review of in-situ concrete strength, prior to stressing of tendons in post-tensioned concrete and prior to removal of shores and forms from beams and structural slabs

A, C, D,H

Reinforcing steel weldability, reinforcing welding, weld filler material

C, F

Testing of welding of reinforcing steel G

1705.4 Masonry

Verification of f’m and f’AAC A, C, L, M Mortar joint construction, grout protection and placement, materials proportion, type/size/location of reinforcement, structural elements, anchorage, and connectors

A, C, K

Sampling/testing of grout/mortar specimens A, C, L, M Observe preparation of masonry prisms for testing of compressive strength of masonry, f’m and f’AAC A, C, K, L, M

Inspection of welding of reinforcing steel C, F Testing of welding of reinforcing steel G

1705.6 & 1804 Soils Observe site preparation, fill placement testing of compaction for compliance with the construction documents for the project

A, C, I, N

Observe test bearing materials below shallow foundations for ability to achieve design bearing capacity

A, C, N, I (Level III)

Review compaction testing for compliance with the construction documents for the project

A

1705.5, 1705.10, 1705.11 & 1705.12 Wood Construction Observe structural panel sheathing, size of framing members, nail or staple diameter and length, number of fastener lines, and spacing of fastener lines and fasteners for compliance with construction documents for the project

A

Observe temporary and permanent truss member restraint/bracing, field gluing of elements. Observe bolting, anchoring or other fastening of: shear walls, diaphragms, drag struts, braces and hold-downs

A

1705.7, 1705.8, 1705.9 & 1810 Pile and Pier Foundations Observe installation A, N

Observe load tests A

1705.13 Sprayed Fire-Resistant Materials

Observe surface conditions, application, average thickness and density of applied material, and cohesive/adhesive bond

A, C

1705.14 Mastic and Intumescent Fire-Resistant Coatings

Observe application compliance with AWCI 12-B A, C

1705.15 Exterior Insulation and Finish Systems

Category of Testing and Inspection

Minimum Qualifications (refer to key at end of Table)

Shop Testing or Inspection

Field Testing or Inspection

Review Testing, Certifica tion, &

Lab Reports

Inspect EIFS systems A, B, C, O

1705.1 Special Cases

Work of unusual or special nature A, B, O

1705.16 Fire-Resistant Penetrations and Joints See Requirements of IBC Sections 1705.16.1 and 1705.16.2

1705.17 Smoke Control See Requirements of IBC Section 1705.17.2

1705.10, 1705.11 & 1705.12 Seismic and Wind Resistance

Periodic inspection of fabrication, installation and/or anchorage of building systems and components

A

KEY:

A. Georgia Professional Engineer (GA PE) competent in the specific task area or graduate of accredited engineering/engineering technology program under the direct supervision of a GA PE.

B. Georgia Registered Architect (GA RA) or graduate of accredited architecture/architecture technology program under the direction of a GA RA.

C. International Code Council (ICC) Special Inspector Certification specific to the particular material and testing methodology applicable to each Category of Testing and Inspection listed in the table.

D. Post-tensioning Institute (PTI) Certification, Level 2, bonded or unbonded as applicable.

E. Pre-stressed Concrete Institute (PCI) Certified Inspector.

F. American Welding Society (AWS) Certified Welding Inspector (CWI) or AWS Certified Associate Welding

Inspector working under the direct on-site supervision of a CWI.

G. American Society for Nondestructive Testing (ASNT) Level II certification, or a Level III certification if previously certified as a Level II in the particular material and testing methodology applicable to each Category of Testing and Inspection listed in the table.

H. American Concrete Institute (ACI) Concrete Construction Special Inspector.

I. National Institute for Certification in Engineering Technologies (NICET) Level II or higher certification specific to the particular material and testing methodology applicable to each Category of Testing and Inspection listed in the table.

J. ACI Concrete Field Testing Technician with Grade 1 certification.

K. Georgia Concrete and Products Association (GC&PA) – Masonry Association of Georgia (MAG) Masonry

Construction Inspector Certification.

L. National Concrete Masonry Association (NCMA) Concrete Masonry Testing Procedures certification.

M. GC&PA – MAG Masonry Testing Technician certification.

N. NICET Certified Engineering Technologist (CT).

O. Other Qualified Special Inspector as approved by the Building Official.

Notes:

1. The Special Inspector shall meet one of the minimum qualifications listed for the applicable

Category of Testing and Inspection.

2. Materials testing shall be done by an Approved Testing Agency meeting the requirements of

IBC Section 1703 and ASTM E 329.

(Effective January 1, 2014)

*Revise Section 1704.2.4 ‘Report requirement’ to read as follows:

A (PE)

PE.

A (RA)

RA.

"State" "State" **