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Sheet1
| Project: | USCG OPC Pier Project | USER NOTES (Not intended to print) |
| Location: | NAVSTA Newport, RI | |
| Project #: | 1826479 | |
| Date: | | |
STATEMENT OF SPECIAL INSPECTIONS < Edit Blue text/cells only
| Seismic Design Category: | E | | | SPECIAL INSPECTOR OF RECORD (SIOR) DETERMINATION | A | I | Yes |
| Risk Category: | III | | | | B | II | No |
| Number of Stories above Grade: | 1 | | | < The Special Inspector of Record (SIOR) is a DOD mandate. Enter the requested data to determine whether an SIOR is required or is not required. | C | III | |
| Structure Height Above Grade (ft): | 40 | | | | D | IV | |
| Hazardous Occupancy or attached to such? | No | Group H Occupancies | | | E | V | |
| | | | | F | | |
| Special Inspector of Record (SIOR) | | | | | | | |
| A Special Inspector of Record (SIOR) | IS | | required (per UFGS 01 45 35, Section 1.3.7) | | | | |
| SIOR Name (Registered Professional): | Contractor to provide prior to construction start. | |
| Professional Registration Number: | | < For DB contracts insert the SIOR contact information. For DBB contracts enter, "Contractor to provide prior to construction start". |
| Consulting Firm Name (if any): | | |
| SIOR Office AND Mobile Phone Number: | | < The SIOR must be a registered professional engineer, and must not be an employee of the General Contractor or sub-contractor, but may be the project structural engineer of record if desired. Where did this come from? |
| Lateral Force Resisting System (LFRS) | |
| 2024 IBC 1704.3.2 and 1704.3.3 | LATERAL FORCE RESISTING SYSTEM IDENTIFICATION |
| Following is a listing of critical elements of the main wind/seismic force-resisting system 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 |
| ASCE 61 Pile to Cap Connections | Pier Piles to Piles Caps |
| Horizontal LFRS Elements | Notes |
| Concrete Topping slab to pre-cast planks | Pier deck system |
| Statement of Special Inspections Page 1 of 2 | | |
| Project: | USCG OPC Pier Project | |
| Location: | NAVSTA Newport, RI | DESIGNATED SEISMIC SYSTEMS (DSS) |
| Project #: | 1826479 | This section identifies whether Designated Seismic Systems apply to this project or do not apply. Additionally, and where DSS apply, some explanation is provided below for what a Designated Seismic System is for this specific project. |
| Date: | 12/31/99 | |
| Designated Seismic Systems (DSS) |
| (2024 IBC 1705.13.4) (ASCE 7-22, 13.2.3, C13.2.2) (UFC 3-301-1, 2-5.3) |
| 'Designated Seismic Systems' (DSS) must remain operable and continue to contain hazardous substances following a design earthquake. Accordingly, all Designated Seismic Systems must be listed below and must be certified by the manufacturer to remain both operable and/or to contain hazardous substances after a design earthquake per UFC 3-301-01, Section 3-5.2. Submit said Certificates of Compliance to the Contracting Officer for each DSS after they have been reviewed and accepted by the EOR/DOR. Additionally, the below listed Designated Seismic Systems must be carefully inspected by the Special Inspector according to the requirements noted in the Schedule of Special Inspections, Section BB. | | | |
| ELECTRICAL Components that are part of the Designated Seismic System (DSS) , which require a Certificate of Compliance | | < Designated Seismic Systems APPLY to this project. List all Designated Seismic Systems in the blue tables below. Some DSS suggestions are already populated, delete or keep as necessary. | |
| | | DSS for this project are nonstructural components with an importance factor of 1.5 AND with the following project conditions (UFC 3-301-01 SECTION 3-3.3) (ASCE 7-22, 13.2.3): |
| 1. | N/A | | |
| 2. | | | |
| 3. | | | |
| 4. | | | 1. The component is required to function for life-safety purposes after an earthquake, including fire sprinkler systems and egress stairways (RC I thru V + SDC C thru F). |
| 5. | | | |
| If additional space is required, append an additional sheet listing the remaining DSS | | | |
| MECHANICAL/PLUMBING Components that are part of the Designated Seismic System (DSS), which require a Certificate of Compliance | | | 2. The component conveys, supports, or otherwise contains toxic, highly toxic, or explosive substances where the quantity of the material exceeds a threshold quantity established by the Authority Having Jurisdiction and is sufficient to pose a threat to the public if released (RC I thru V + SDC C thru F). |
| 1. | N/A | |
| 2. | | |
| 3. | | |
| 4. | | |
| 5. | | 3. The component conveys, supports, or otherwise contains hazardous substances and is attached to a structure, or portion thereof, classified by the authority having jurisdiction as a hazardous occupancy (RC I thru V + SDC C thru F). |
| 6. | | |
| If additional space is required, append an additional sheet listing the remaining DSS | | |
| OTHER Designated Seismic Systems (DSS) requiring a Certificate of Compliance | | |
| 1. | N/A | |
| 2. | | |
| 3. | | |
| 4. | | |
| 5. | | |
| 6. | | |
| Final Walk-Down Inspection and Report | |
| (UFC 3 301 01 SECTION 2-5.4) | FINAL WALK DOWN INSPECTION AND REPORT FOR DSS |
| Designated Seismic Systems shall receive a final walk-down inspection by the Registered Design Professional in Responsible Charge | |
| < A DSS final walk down inspection applies to this project |
| Final Walk-Down Report, Prepared by the Registered Design Professional in Responsible Charge, must Include: | |
| 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, 3-5.2, 13.2.3.2). | < …Certificates of compliance documenting that the requirements are met shall be maintained in a file identified as "Equipment Certification Documentation". This file shall be part of the final project O&M Manual |
Statement of Special Inspections Page 2 of 2
| NEXT: COMPLETE THE SCHEDULE OF SPECIAL INSPECTIONS TEMPLATE. |
| Edit, print, and append the Schedule of Special Inspections Template to this Statement of Special Inspections and insert both at the back of the Special Inspections Specification. SI schedule template: https://www.wbdg.org/ffc/dod/unified-facilities-criteria-ufc/ufc-3-301-01 |
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