01 45 35b - Statement of SI.pdf

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Z2DA--621-22-121 Renovate Bldg. 204 for Cath Lab II - Engineering
Solicitation number
36C24926R0057
Issued by

About this file

This is a Statement of Special Inspections document for a federal construction project. The project involves the renovation of Building 204 Cath Lab II located at Mt. Home in Johnson City, Tennessee, with project number 621-22-121 and a document date of July 24, 2026. The project is classified with a Seismic Design Category D, Risk Category IV, and a design wind speed of 118 mph. The project is not identified as having hazardous occupancy or attachment to Group H occupancies.

The document establishes inspection requirements for Designated Seismic Systems and Lateral Force Resisting Systems (LFRS) in accordance with UFC 03-301-01 and the 2015 IBC sections 1704.3.2 and 1704.3.3. A Special Inspector of Record (SIOR), a registered professional, is required per UFGS 01-45-35, Section 1.3.8, though the SIOR name and contact information are marked as "TBD." The critical systems requiring inspection include vertical LFRS elements (light gauge straps referenced to drawing 20/S501) and horizontal LFRS elements (metal roof deck and related fastening systems referenced to the roof plan). The final walk-down inspection must be performed by the Registered Design Professional in Responsible Charge and must document observations, compliance with the Schedule of Special Inspections, proper installation of Designated Seismic Systems according to construction and manufacturer requirements, and collection of all required Compliance Certificates.

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Text version

Project:

Location:

Project #:

Date:

D

IV

No

1. Record observations of Final Walk Down Inspection

2. Document that Inspections were performed in accordance with the Schedule of Special Inspections

3. Document that all Designated Seismic Systems are installed according to construction/manufacturer document requirements, and that Compliance Certificates have been collected (UFC 03 301 01, 2-13.2.2.1).

Statement of Special Inspections Page 1 of 1

Final Walk Down Inspection and Report

(UFC 3 301 01 SECTION 2-2.4.3)

Designated Seismic Systems shall receive a final walk-down inspection by the Registered Design Professional in

Responsible Charge

Final Walk Down Report, Prepared by the Registered Design Professional in Responsible Charge, Must Include:

Metal Roof Deck & Related Fastening System See Roof Plan

Horizontal LFRS Elements Notes

Lateral Force Resisting System (LFRS)

2015 IBC 1704.3.2 and 1704.3.3

Following is a listing of critical main wind/seismic force resisting systems for this structure. Carefully inspect these elements as part of the roles and responsiblities of the Special Inspector (reference the Schedule of Special Inspections for inspection checklists).

Vertical LFRS Elements Notes

Light Gage Straps See 20/S501

Professional Registration Number:

Consulting Firm Name (if any):

SIOR Office AND Mobile Phone Number:

Special Inspector of Record (SIOR)

A Special Inspector of Record (SIOR) IS required (per UFGS 01 45 35, Section 1.3.8)

SIOR Name (Registered Professional): TBD

Project Risk Category:

Project Design Wind Speed (mph):

Hazardous Occupancy or attached to such? Group H Occupancies (2015 IBC, Section 415)

RENOVATE BLDG 204 CATH LAB II

Mt Home, Johnson City, TN

621-22-121

7/24/2026

STATEMENT OF SPECIAL INSPECTIONS

Project Seismic Design Category:

File details come from the government source that posted it. Updated .