Issue Certificate of Occupancy. The Building Division may issue a Certificate of Occupancy after all special inspection reports and the final report have been submitted and accepted. ACKNOWLEDGEMENTS I have read and agree to comply with the terms and conditions of this agreement Owner’s name: Owner’s signature Date: Contractor’s name: Contractor’s Signature Date: Special Inspector or Inspection Agency’s name: Special Inspector’s signature: Date: Project Engineer/Architect’ name: Project Engineer/Architect’s signature: Date: ACCEPTED FOR THE BUILDING DIVISION Print Name: Accepted and signed by: Date: CITY OF BURLINGAME INSPECTION AND TESTING SCHEDULE TESTING/INSPECTION AGENCY or SPECIAL INSPECTOR: Concrete Gunite Grout Mortar Aggregate Tests Reinforcing Tests Mix Designs Reinforcing Placement Batch Plant inspection Inspect Placing Cast Samples Pick-up Samples Compression Tests REINFORCED CONCRETE, GUNITE, GROUT AND MORTAR: STRUCTURAL STEEL WELDING Sample and Test (list specific members below) Shop Material Identification Welding Inspection 🞏Shop 🞏Field Ultrasonic inspection 🞏Shop 🞏Field High-strength Bolting Inspection 🞏Shop 🞏Field A325 A490 N X F Metal Deck Welding Inspection Concrete insert Welding Inspection INSTALLATION OF EPOXY EMB.ANCHORS Placement Inspection Density Tests Thickness Tests Inspect Batching FIREPROOFING: Piles Post-Tens Pre-Tens Cladding Aggregate Tests Reinforcing Tests Tendon Tests Mix Designs Reinforcing Placement Insert Placement Concrete Batching Concrete Placement Installation Inspection CAST INPLACE/PRECAST/PRESTRESSED CONCRETE INSULATING CONCRETE: Sample and Test Placement Inspection Unit Weights Observation of subgrade preparation and inspection Of foundation by the geotechnical engineer Placement inspection Field Density FILL MATERIAL: Special Inspection Stresses used Preliminary Acceptance Tests (Masonry Units, Wall Prisms) Subsequent Tests (Mortar, Grout, Field Wall Prisms) Placement Inspection of Units MASONRY: Shear Wall Nailing Inspection Inspection of Glu-xxx Fab. Inspection of Tress Joist Fab Sample and Test Components STRUCTURAL WOOD:
Appears in 2 contracts
Samples: cms6.revize.com, cms6.revize.com
Issue Certificate of Occupancy. The Building Division may issue a Certificate of Occupancy after all special inspection reports and the final report have been submitted and accepted. ACKNOWLEDGEMENTS I have read and agree to comply with the terms and conditions of this agreement Owner’s name: Owner’s signature Date: Contractor’s name: Contractor’s Signature Date: Special Inspector or Inspection Agency’s name: Special Inspector’s signature: Date: Project Engineer/Architect’ name: Project Engineer/Architect’s signature: Date: ACCEPTED FOR THE BUILDING DIVISION DIVISION Print Name: Accepted and signed by: Date: CITY OF BURLINGAME INSPECTION AND TESTING SCHEDULE TESTING/INSPECTION AGENCY or SPECIAL INSPECTOR: Concrete Gunite Grout Mortar Aggregate Tests Reinforcing Tests Mix Designs Reinforcing Placement Batch Plant inspection Inspect Placing Cast Samples Pick-up Samples Compression Tests REINFORCED CONCRETE, GUNITE, GROUT AND MORTAR: STRUCTURAL STEEL WELDING Sample and Test (list specific members below) Shop Material Identification Welding Inspection 🞏Shop 🞏FielShop Field d Ultrasonic inspection 🞏Shop 🞏FiShop Field eld High-strength Bolting Inspection 🞏Shop 🞏Shop Field Field A325 A490 N X F Metal Deck Welding Inspection Concrete insert Welding Inspection INSTALLATION OF EPOXY EMB.ANCHORS Placement Inspection Density Tests Thickness Tests Inspect Batching FIREPROOCAST INPLACE/PRECAST/PRESTRESSED CONCRETE FING: Piles Post-Tens Pre-Tens Cladding Aggregate Tests Reinforcing Tests Tendon Tests Mix Designs Reinforcing Placement Insert Placement Concrete Batching Concrete Placement Installation Inspection CAST INPLACE/PRECAST/PRESTRESSED CONCRETE INSULATING CONCRETE: Sample and Test Placement Inspection Unit Weights Observation of subgrade preparation and inspection Of foundation by the geotechnical engineer Placement inspection Field Density FILL MATERIAL: Special Inspection Stresses used Preliminary Acceptance Tests (Masonry Units, Wall Prisms) Subsequent Tests (Mortar, Grout, Field Wall Prisms) Placement Inspection of Units MASFIREPROOFING: Placement Inspection Density Tests Thickness Tests Inspect Batching INSULATING CONCRETE: Sample and Test Placement Inspection Unit Weights FILL MATERIAL: Observation of subgrade preparation and inspection Of foundation by the geotechnical engineer Placement inspection Field Density STRUCTURAL WOOD: ONRY: Shear Wall Nailing Inspection Inspection of Glu-xxx Fab. Inspection of Tress Joist Fab Sample and Test Components STRUCTURALADDITIONAL INSTRUCTIONS OR OTHER TESTS AND INSPECTIONS: Date: Telephone No: (000) 000-0000 City of Burlingame 000 Xxxxxxxx Xxxx, Xxxxxxxxxx, Xxxxxxxxxx 00000 Building Division: 000-000-0000 RECOGNIZED SPECIAL INSPECTION & TESTING AGENCIES The following testing agencies are accepted until the expiration date listed in the right column Key: RC=Reinforced Concrete PC=Prestressed/Post-tensioned Concrete SM=Structural Masonry SS=Structural Steel Welding/Bolting FP=Spray-Applied Fireproofing URM=Unreinforced Masonry Push/Torque Tests Only Agency Name HQ Address Phone/Fax RC PC SM SS FP EXPIRATION DATE Achèvement Engineering Corp. 0000 Xxxxxxxxxx Xxxxx, Xxxx X Xxx Xxxx, XX 00000 (408) 217-9174 (000) 000-0000 X X X X X 0/22/2021 Applied Materials & Engineering, Inc. 000 00xx Xxxxxx Xxxxxxx, XX 00000 (510)420-8190 (000)000-0000 X X X X X 0/20/2020 Apex Testing Laboratoires, Inc. 0000 Xxxxx Xx, Xxx 0X Xxx Xxxxxxxxx, XX 00000 (415) 550-9800 (415) 550-9880 X X X X X 11/7/2020 BAGG Engineers 000 Xxxxxxx Xxx Xxx Xxxx, XX 00000 (650852-9133) (000) 000-0000 X X X X X 0/23/2021 Xxxxxxxx Xxxxxxx & Associates 0000 Xxxxx Xxxx Xxxxxxxxxx, XX 00000 (925) 484-0220 (000) 000-0000 X X X X 1/20/2020 Xxxxx Xxxxxxx 000 Xxx Xxxxxxx Xxx Xxxx, XX 00000 (408) 296-5515 (000) 000-0000 X X X X 2/08/2021 CAPEX Engineering Inc 000 Xxxxxxx Xxxxx Xxxxxxx, XX 00000 (510) 668-1815 (000) 000-0000 X X X X X 0/2/2018 Consolidated Engineering Labs 0000 Xxxx Xxxxxx Xx, Xxx 000 Xxx Xxxxx, XX 00000 (925) 314-7100 (000) 000-0000 X X X X X 0/26/2020 Construction Testing Services 0000 Xxxxx Xx Xxxxxxxxxx, CA 94588 (925) 462-5151 (000) 000-0000 X X X X X 0/6/2020 HP Inspections, Inc 000 Xxxxx Xx., Xxxxxxxx X Xxx Xxxx, XX 00000 (408) 288-8460 (000) 000-0000 X X X X X 0/19/2020 Krazan and Associates Inc 0000 Xxxxxxxxxx Xxxx,Xxx. F Pleasanton, CA 00000 (000) 000-0000 (000) 000-0000 X X X X X 0/4/2021 MPE 000 Xxxxxxxxxxx Xxxxx, Xxx 00 Xxxx Xxxxxxxxxx, XX 00000 (916) 927-7000 (916) 372-9900 X X X X X 12/2/2018 Korbmacher Engineering, Inc 000 Xxxxxxx Xx., Xxx. B Livermore, CA 00000 (000) 000-0000 X X X X X 0/1/2019 Signet Testing Labs, Inc 0000 Xxxxxxxxxx Xxxxx Xxxxxxx, XX 00000 (510) 887-8484 (000) 000-0000 X X X X X 0/13/2021 Xxxxx-Xxxxx Company 0000 Xxxxxxx Xxx. San Francisco, CA 00000 (000) 000-0000 (000) 000-0000 X X X X X 0/27/2018 Testing Engineers Inc 0000 Xxxxxxxxx Xxxxxx San Leandro, CA 94577 (510) 835-3142 (000) 000-0000 X X X X X 0/11/2021 Agencies have not been evaluated for geotechnical special inspection or nondestructive testing. Agencies may not be qualified to perform all aspects of special inspection. Agencies may have offices in more than one location. Building Officials may add and/or remove agencies from this list. *Agency Subcontracts Laboratory Services Rev. 10/15/2018 WOOD:
Appears in 1 contract
Samples: www.burlingame.org
Issue Certificate of Occupancy. The Building Division building division may issue a Certificate of Occupancy after all special inspection reports and the final report have been submitted and accepted. ACKNOWLEDGEMENTS I have read and agree to comply with the terms and conditions of this agreement agreement. Owner’s name: Owner’s signature By: Date: Contractor’s name: Contractor’s Signature By: Date: Special Inspector or Or Inspection Agency’s name: Special Inspector’s signatureBy: Date: Project Engineer/Architect’ name: Project Engineer/Architect’s signatureBy: Date: ACCEPTED FOR THE SOUTH SAN FRANCISCO BUILDING DIVISION Print Name: Accepted and signed byDIVISION By: Date: CITY OF BURLINGAME SPECIAL INSPECTION AND TESTING SCHEDULE TESTINGProject Name Building Permit # Project Address Testing/INSPECTION AGENCY Inspection Agency or SPECIAL INSPECTOR: Special Inspector Concrete Gunite Grout Mortar Aggregate Tests Reinforcing Tests Mix Designs Reinforcing Placement Batch Plant inspection Inspection Inspect Placing Cast Samples Sample Pick-up Samples Compression Tests REINFORCED CONCRETEReinforced Concrete, GUNITEGunite, GROUT AND MORTARGrout and Mortar: STRUCTURAL STEEL WELDING Masonry: Sample and Test (list specific members below) Shop Material Identification Welding Inspection ��Shop 🞏Field Ultrasonic inspectionInspection 🞏Shop 🞏Field High-strength Bolting InspectioInspection n 🞏Shop 🞏Field A325 A490 N X F Metal Deck Welding Inspection Concrete insert Welding Inspection INSTALLATION OF EPOXY EMB.ANCHORS Placement Inspection Density Tests Thickness Tests Inspect Batching FIREPRA325 N X A490 N X F F Precast/Prestressed ConcreteOOFING: Piles Post-Tens Pre-Tens Cladding Aggregate Tests Reinforcing Tests Tendon Tests Mix Designs Reinforcing Placement Insert Placement Concrete Batching Concrete Placement Installation Inspection CAST INPLACE/PRECAST/PRESTRESSED CONCRETE INSULATING CONCCast RETE: Sample and Test Placement Inspection Unit Weights Observation of subgrade preparation and inspection Of foundation by the geotechnical engineer Placement inspection Field Density FILL MAPick-up Samples Compression Tests MasonryTERIAL: Special Inspection StressesUsed used Preliminary Acceptance Tests (Masonry Units, Wall Prisms) Subsequent Tests (Mortar, Grout, Field Wall Prisms) Placement Inspection of Units MAdditional Instructions or Other Tests and Inspections: Form completed by: Metal Deck Welding Inspection Reinforcing Steel Welding Inspection Metal Stud Welding Inspection Concrete Insert Welding Inspection Fireproofing: Placement Inspection Density Tests Thickness Tests Inspect Batching Insulating Concrete: Sample and Test Placement Inspection Unit Weights Fill Material: Acceptance Tests Placement Inspection Field Density Structural WoodASONRY: Shear Wall Nailing Inspection Inspection of Glu-xxxFabrication Fab. Inspection of Truss Tress JoisFabrication t Fab Sample and Test Components STRUCTURALTitle: _ Date: _ WOOD:
Appears in 1 contract
Issue Certificate of Occupancy. The Building Division may issue a Certificate of Occupancy after all special inspection reports and the final report have been submitted and accepted. ACKNOWLEDGEMENTS I have read and agree to comply with the terms and conditions of this agreement Owner’s name: Owner’s signature Date: Contractor’s name: Contractor’s Signature Date: Special Inspector or Inspection Agency’s name: Special Inspector’s signature: Date: Project Engineer/Architect’ name: Project Engineer/Architect’s signature: Date: ACCEPTED FOR THE BUILDING DIVISION DIVISION Print Name: Accepted and signed by: Date: CITY OF BURLINGAME INSPECTION AND TESTING SCHEDULE TESTING/INSPECTION AGENCY or SPECIAL INSPECTOR: Concrete Gunite Grout Mortar Aggregate 0BAggregate Tests Reinforcing Tests Mix 1BMix Designs Reinforcing 2BReinforcing Placement Batch Plant inspection Inspect Placing Cast Samples Pick-up Samples Compression Tests REINFORCED CONCRETE, GUNITE, GROUT AND MORTAR: STRUCTURAL STEEL WELDING Sample and Test (list specific members below) Shop Material Identification Welding Inspection 🞏Shop 🞏Field Ultrasonic inspection 🞏Shop 🞏Field High-strength Bolting InspectiInspection on 🞏Shop 🞏Field A325 A490 N X F Metal Deck Welding Inspection Concrete insert Welding Inspection INSTALLATION OF EPOXY EMB.ANCHORS Placement Inspection Density Tests Thickness Tests Inspect Batching FIREPROO3BCAST INPLACE/PRECAST/PRESTRESSED CONCRETE FING: Piles Post-Tens Pre-Tens Cladding Aggregate Tests Reinforcing Tests Tendon Tests Mix Designs Reinforcing Placement Insert Placement Concrete Batching Concrete Placement Installation Inspection CAST INPLACE/PRECAST/PRESTRESSED CONCRETE INSULATING CONCRETE: Sample and Test Placement Inspection Unit Weights Observation of subgrade preparation and inspection Of foundation by the geotechnical engineer Placement inspection Field Density FILL MATERIAL: Special Inspection Stresses used Preliminary Acceptance Tests (Masonry Units, Wall Prisms) Subsequent Tests (Mortar, Grout, Field Wall Prisms) Placement Inspection of Units MASFIREPROOFING: Placement Inspection Density Tests Thickness Tests Inspect Batching INSULATING CONCRETE: Sample and Test Placement Inspection Unit Weights FILL MATERIAL: Observation of subgrade preparation and inspection Of foundation by the geotechnical engineer Placement inspection Field Density STRUCTURAL WOOD: ONRY: Shear Wall Nailing Inspection Inspection of Glu-xxx Fab. Inspection of Tress Joist Fab Sample and Test Components STRUCTURALADDITIONAL INSTRUCTIONS OR OTHER TESTS AND INSPECTIONS: Date: Telephone No: (000) 000-0000 City of Burlingame 000 Xxxxxxxx Xxxx, Xxxxxxxxxx, Xxxxxxxxxx 00000 Building Division: 000-000-0000 RECOGNIZED SPECIAL INSPECTION & TESTING AGENCIES The following testing agencies are accepted until the expiration date listed in the right column Key: RC=Reinforced Concrete PC=Prestressed/Post-tensioned Concrete SM=Structural Masonry SS=Structural Steel Welding/Bolting FP=Spray-Applied Fireproofing URM=Unreinforced Masonry Push/Torque Tests Only Agency Name HQ Address Phone/Fax RC PC SM SS FP EXPIRATION DATE ACE Quality Control 0000 Xxxxxxx Xxx, Ste 1000, Pleasant Hill, CA 94523 (916)742-5096 X X X X X 10/22/2022 Achèvement Engineering Corp. 0000 Xxxxxxxxxx Xxxxx, Xxxx X Xxx Xxxx, XX 00000 (408) 217-9174 (000) 000-0000 X X X X X 0/22/2021 Applied Materials & Engineering, Inc. 000 00xx Xxxxxx Xxxxxxx, XX 00000 (510)420-8190 (000)000-0000 X X X X X 0/20/2020 Apex Testing Laboratoires, Inc. 0000 Xxxxx Xx, Xxx 0X Xxx Xxxxxxxxx, XX 00000 (415) 550-9800 (415) 550-9880 X X X X X 11/7/2020 BAGG Engineers 000 Xxxxxxx Xxx Xxx Xxxx, XX 00000 (650852-9133) (000) 000-0000 X X X X X 0/23/2021 Xxxxxxxx Xxxxxxx & Associates 0000 Xxxxx Xxxx Xxxxxxxxxx, XX 00000 (925) 484-0220 (000) 000-0000 X X X X 1/20/2020 Xxxxx Xxxxxxx 000 Xxx Xxxxxxx Xxx Xxxx, XX 00000 (408) 296-5515 (000) 000-0000 X X X X 2/08/2021 CAPEX Engineering Inc 000 Xxxxxxx Xxxxx Xxxxxxx, XX 00000 (510) 668-1815 (000) 000-0000 X X X X X 0/2/2018 Consolidated Engineering Labs 0000 Xxxx Xxxxxx Xx, Xxx 000 Xxx Xxxxx, XX 00000 (925) 314-7100 (000) 000-0000 X X X X X 0/26/2020 Construction Testing Services 0000 Xxxxx Xx Xxxxxxxxxx, CA 94588 (925) 462-5151 (000) 000-0000 X X X X X 0/6/2020 CTE CAL, Inc. 00000 Xxxxxxx Xxxx Xxxxxxx, XX 00000 (510) 573-6362 (000) 000-0000 X X X X X 0/5/2023 HP Inspections, Inc 000 Xxxxx Xx., Xxxxxxxx X Xxx Xxxx, XX 00000 (408) 288-8460 (000) 000-0000 X X X X X 0/19/2020 Krazan and Associates Inc 0000 Xxxxxxxxxx Xxxx,Xxx. F Pleasanton, CA 00000 (000) 000-0000 (000) 000-0000 X X X X X 0/4/2021 MPE 000 Xxxxxxxxxxx Xxxxx, Xxx 00 Xxxx Xxxxxxxxxx, XX 00000 (916) 927-7000 (916) 372-9900 X X X X X 12/2/2018 Korbmacher Engineering, Inc 000 Xxxxxxx Xx., Xxx. B Livermore, CA 00000 (000) 000-0000 X X X X X 0/1/2019 Signet Testing Labs, Inc 0000 Xxxxxxxxxx Xxxxx Xxxxxxx, XX 00000 (510) 887-8484 (000) 000-0000 X X X X X 0/13/2021 Xxxxx-Xxxxx Company 0000 Xxxxxxx Xxx. San Francisco, CA 00000 (000) 000-0000 (000) 000-0000 X X X X X 0/27/2024 Xxxxxxx, Xxxxxxx & Xxxxxx 0000 Xxxxxx Xxxx Xxxxx Xxxxxxx, XX 00000 (925) 688-1001 (000) 000-0000 X X X X X 0/11/2015 Testing Engineers Inc 0000 Xxxxxxxxx Xxxxxx San Leandro, CA 94577 (510) 835-3142 (000) 000-0000 X X X X X 0/11/2021 Norcon, LLC 000 0xx Xx, Xxxxx 000 Xxx Xxxxxxxxx, XX 00000 (415) 692-0519 X X X X X 5/21/2025 Intertek-PSI 000 Xxxxxxx Xxx., Suite 3 Morgan Hill, CA 95037 (408) 669-5500 X X X 12/23/2024 Aries Engineering, Inc. 0000 Xxxxxxxxx Xxxxx Xx. San Jose, CA 00000 (000) 000-0000 X X 12/21/2022 Abstraction Engineering, Inc. 00000 Xxxxxx Xxxxxx Morgan Hill, CA 95037 (669) 888-3100 9/30/2021 Agencies have not been evaluated for geotechnical special inspection or nondestructive testing. Agencies may not be qualified to perform all aspects of special inspection. Agencies may have offices in more than one location. Building Officials may add and/or remove agencies from this list. WOOD:
Appears in 1 contract
Samples: cms6.revize.com
Issue Certificate of Occupancy. The Building Division building department may issue a Certificate of Occupancy after all special inspection reports and the final report have has been submitted and accepted. ACKNOWLEDGEMENTS I have read Approved Fabricators: Salt Lake City is using the qualifications set forth by the State of Utah Department of Facilities Construction and Management as criteria to qualify as an Approved Fabricator to perform work on projects permitted in Salt Lake City. The link to the DFCM website is: dfcm.utah. gov/downloads/bldg_official/approved_fabricator_requirements.pdf Upon being listed on the State’s Approved Fabricator Roster: dfcm. xxxx.xxx/xxxxxxxxx/xxxx_xxxxxxxx/xxxxxxxx_xxxxxxxxxx_xxxx_00.xxx, fabricators will likewise be considered certified for Salt Lake City. Only checked items are required General Special Inspection Items Areas requiring special inspection Name of Agency Name of Inspector License / Certificate # Fabricators Steel construction Welding Details High-strength bolts Concrete / shotcrete Materials Empirical masonry – Cat. IV Engineered masonry – Cat. I-III Engineered masonry – Cat. IV High-load diaphragms Soils Pile foundations Pier foundations Sprayed fire-resistant materials Fire-resistant coatings EIFS Smoke control Other Other Special Inspections For Seismic Resistance Areas requiring special inspection Name of Agency equired Structural steel Structural wood Cold-formed steel framing Pier foundations Storage racks & access floors Architectural components Mechanical & electrical items Designated system verification Seismic isolation systems Inspections for seismic resistance are not r Name of Inspector License / Certificate # Name of Inspector Name of Agency Testing For Seismic Resistance Areas requiring testing Empirical masonry – Cat. I-III Empirical masonry – Cat. IV Engineered masonry – Cat. I-III Engineered masonry – Cat. IV Reinforcing & prestressing steel Structural steel Qualification of mechanical & electrical equipment Seismically isolated structures Testing for seismic resistance is not required License / Certificate # Seal Declaration by Architect / Engineer I, the design professional in responsible charge for this project, declare that the above checked items are the limit to which special inspections are to be performed. Signature Date Declaration by Owner I, the Owner of the project, declare that the above listed firm(s) or individual(s) are hired by me to perform special inspections and testing for the project pursuant to IBC 1704.1. The listed firm(s) or individual(s) are designated by me to be responsible for the special inspection and testing of this project. Signature Date Declaration by General Contractor I, the General Contractor of the project, agree to comply with the terms and conditions of this agreement Owner’s name: Owner’s signature Date: Contractor’s name: Contractor’s Signature Date: Special Inspector or Inspection Agency’s name: Special Inspector’s signature: Date: Project Engineer/Architect’ name: Project Engineer/Architect’s signature: Date: ACCEPTED FOR THE BUILDING DIVISION Print Name: Accepted and signed by: Date: CITY OF BURLINGAME INSPECTION AND TESTING SCHEDULE TESTING/INSPECTION AGENCY or SPECIAL INSPECTOR: Concrete Gunite Grout Mortar Aggregate Tests Reinforcing Tests Mix Designs Reinforcing Placement Batch Plant inspection Inspect Placing Cast Samples Pick-up Samples Compression Tests REINFORCED CONCRETE, GUNITE, GROUT AND MORTAR: STRUCTURAL STEEL WELDING Sample and Test (list specific members below) Shop Material Identification Welding Inspection 🞏Shop 🞏Field Ultrasonic inspection 🞏Shop 🞏Field High-strength Bolting Inspection 🞏Shop 🞏Field A325 A490 N X F Metal Deck Welding Inspection Concrete insert Welding Inspection INSTALLATION OF EPOXY EMB.ANCHORS Placement Inspection Density Tests Thickness Tests Inspect Batching FIREPROOFING: Piles Post-Tens Pre-Tens Cladding Aggregate Tests Reinforcing Tests Tendon Tests Mix Designs Reinforcing Placement Insert Placement Concrete Batching Concrete Placement Installation Inspection CAST INPLACE/PRECAST/PRESTRESSED CONCRETE INSULATING CONCRETE: Sample and Test Placement Inspection Unit Weights Observation of subgrade preparation and inspection Of foundation by the geotechnical engineer Placement inspection Field Density FILL MATERIAL: Special Inspection Stresses used Preliminary Acceptance Tests (Masonry Units, Wall Prisms) Subsequent Tests (Mortar, Grout, Field Wall Prisms) Placement Inspection of Units MASONRY: Shear Wall Nailing Inspection Inspection of Glu-x“Contractor Responsibility” items noted abovexx Fab. Inspection of Tress Joist Fab Sample and Test Components STRUCTURALSignature WOOD:
Appears in 1 contract
Samples: www.slcdocs.com
Issue Certificate of Occupancy. The Building Division building department may issue a Certificate of Occupancy after all special inspection reports and the final report have been submitted and accepted. FINAL SIGN-OFF WILL NOT BE GIVEN UNTIL ALL FINAL INSPECTION LETTERS ARE RECEIVED. ACKNOWLEDGEMENTS I have read and agree to comply with the terms and conditions of this agreement agreement; Owner’s name: Owner’s signature By: Date: Contractor’s name: Contractor’s Signature By: Date: Special Inspector or Inspection Agency’s name: Special Inspector’s signatureBy: Date: Project Engineer/Engineer/ Architect’ name: Project Engineer/Architect’s signatureBy: Date: ACCEPTED FOR THE BUILDING DIVISION Print Name: Accepted and signed byDEPARTMENT By: Date: CITY OF BURLINGAME SPECIAL INSPECTION AND TESTING SCHEDULE Inspection Request Line 000-000-0000 PROJECT NAME BUILDING PERMIT NO. PROJECT ADDRESS TESTING/INSPECTION AGENCY or SPECIAL INSPECTOR: INSPECTOR Concrete Gunite Grout Mortar Aggregate Tests Reinforcing Tests Mix Designs Reinforcing Placement Batch Plant inspection Inspection Inspect Placing Cast Samples Pick-up Samples Compression Tests REINFORCED CONCRETE, GUNITE, GROUT AND MORTAR: STRUCTURAL STEEL WELDING Sample and Test (list specific members below) Shop Material Identification Welding Inspection 🞏Shop 🞏Field Ultrasonic inspection 🞏Shop 🞏Field High-strength Bolting Inspection 🞏Shop 🞏Field A325 A490 N X F Metal Deck Welding Inspection Concrete insert Welding Inspection INSTALLATION OF EPOXY EMB.ANCHORS Placement Inspection Density Tests Thickness Tests Inspect Batching FIREPROOFING: Piles Post-Tens Pretens -Tens Cladding Aggregate Tests Reinforcing Tests Tendon Tests Mix Designs Reinforcing Placement Insert Placement Concrete Batching Concrete Placement Installation Inspection CAST INCast Samples Pick-up Samples Compression Tests PLACE/PRECAST/PRESTRESSED CONCRETE INSULATING CONCRETE: Sample and Test Placement Inspection Unit Weights Observation of subgrade preparation and inspection Of foundation by the geotechnical engineer Placement inspection Field Density FILL MAMASONRYTERIAL: Special Inspection StressesUsed used Preliminary Acceptance Tests (Masonry Units, Wall Prisms) Subsequent Tests (Mortar, Grout, Field Wall Prisms) Placement Inspection of Units MADDITIONAL INSTRUCTIONS OR OTHER TESTS AND INSPECTIONS: Epoxy Set Bolts Other: STRUCTURAL STEEL/WELDING: Sample and Test (list specific members below) Shop Material Identification Welding Inspection Shop Field Ultrasonic Inspection Shop Field High-strength Bolting Inspection Shop Field A325 N X F A490 N X F Metal Deck Welding Inspection Reinforcing Steel Welding Inspection Metal Stud Welding Inspection Concrete Insert Welding Inspection FIREPROOFING: Placement Inspection Density Tests Thickness Tests Inspect Batching INSULATING CONCRETE: Sample and Test Placement Inspection Unit Weights FILL MATERIAL: Acceptance Tests Placement Inspection Field Density STRUCTURAL WOODASONRY: Shear Wall Nailing Inspection Inspection of Glu-xxxFab Fab. Inspection of Truss Tress Joist Fab Sample and Test Components STRUCTURALFab WOOD:
Appears in 1 contract
Samples: storage.googleapis.com
Issue Certificate of Occupancy. The Building Division may issue a Certificate of Occupancy after all special inspection reports and the final report have been submitted and accepted. ACKNOWLEDGEMENTS I have read and agree to comply with the terms and conditions of this agreement Owner’s name: Owner’s signature Date: Contractor’s name: Contractor’s Signature Date: Special Inspector or Inspection Agency’s name: Special Inspector’s signature: Date: Project Engineer/Architect’ name: Project Engineer/Architect’s signature: Date: ACCEPTED FOR THE BUILDING DIVISION DIVISION Print Name: Accepted and signed by: Date: CITY OF BURLINGAME INSPECTION AND TESTING SCHEDULE TESTING/INSPECTION AGENCY or SPECIAL INSPECTOR: Concrete Gunite Grout Mortar Aggregate Tests Reinforcing Tests Mix Designs Reinforcing Placement Batch Plant inspection Inspect Placing Cast Samples Pick-up Samples Compression Tests REINFORCED CONCRETE, GUNITE, GROUT AND MORTAR: STRUCTURAL STEEL WELDING Sample and Test (list specific members below) Shop Material Identification Welding Inspection 🞏Shop 🞏Field Ultrasonic inspection 🞏Shop 🞏Field High-strength Bolting Inspection 🞏Shop 🞏Field A325 A490 N X F Metal Deck Welding Inspection Concrete insert Welding Inspection INSTALLATION OF EPOXY EMB.ANCHORS Placement Inspection Density Tests Thickness Tests Inspect Batching FIREPROOCAST INPLACE/PRECAST/PRESTRESSED CONCRETE FING: Piles Post-Tens Pre-Tens Cladding Aggregate Tests Reinforcing Tests Tendon Tests Mix Designs Reinforcing Placement Insert Placement Concrete Batching Concrete Placement Installation Inspection CAST INPLACE/PRECAST/PRESTRESSED CONCRETE INSULATING CONCRETE: Sample and Test Placement Inspection Unit Weights Observation of subgrade preparation and inspection Of foundation by the geotechnical engineer Placement inspection Field Density FILL MATERIAL: Special Inspection Stresses used Preliminary Acceptance Tests (Masonry Units, Wall Prisms) Subsequent Tests (Mortar, Grout, Field Wall Prisms) Placement Inspection of Units MASFIREPROOFING: Placement Inspection Density Tests Thickness Tests Inspect Batching INSULATING CONCRETE: Sample and Test Placement Inspection Unit Weights FILL MATERIAL: Observation of subgrade preparation and inspection Of foundation by the geotechnical engineer Placement inspection Field Density STRUCTURAL WOOD: ONRY: Shear Wall Nailing Inspection Inspection of Glu-xxx Fab. Inspection of Tress Joist Fab Sample and Test Components STRUCTURALADDITIONAL INSTRUCTIONS OR OTHER TESTS AND INSPECTIONS: Date: Telephone No: (000) 000-0000 City of Burlingame 000 Xxxxxxxx Xxxx, Xxxxxxxxxx, Xxxxxxxxxx 00000 Building Division: 000-000-0000 RECOGNIZED SPECIAL INSPECTION & TESTING AGENCIES The following testing agencies are accepted until the expiration date listed in the right column Key: RC=Reinforced Concrete PC=Prestressed/Post-tensioned Concrete SM=Structural Masonry SS=Structural Steel Welding/Bolting FP=Spray-Applied Fireproofing URM=Unreinforced Masonry Push/Torque Tests Only SW=Structural Wood Agency Name HQ Address Phone/Fax RC PC SM SS FP SW EXPIRATION DATE ACE Quality Control 0000 Xxxxxx Xx, Xxx. 000 Xxxxxxxxx, XX 00000 (916)742-5096 X X X X X X 10/22/2023 Achievement Engineering Corp. 0000 Xxxxxxxxxx Xxxxx, Xxxx X Xxx Xxxx, XX 00000 (408) 217-9174 (408) 217-9632 X X X X X X 10/18/2024 Applied Materials & Engineering, Inc. 000 00xx Xxxxxx Xxxxxxx, XX 00000 (510)420-8190 (000)000-0000 X X X X X X 0/27/2027 Apex Testing Laboratoires, Inc. 0000 Xxxxx Xx, Xxx 0X Xxx Xxxxxxxxx, XX 00000 (415) 550-9800 (415) 550-9880 X X X X X X 11/7/2020 BAGG Engineers 000 Xxxxxxx Xxx Xxx Xxxx, XX 00000 (650852-9133) (000) 000-0000 X X X X X X 0/31/2025 Xxxxxxxx Xxxxxxx & Associates 0000 Xxxxx Xxxx Xxxxxxxxxx, XX 00000 (925) 484-0220 (000) 000-0000 X X X X 1/20/2020 Xxxxx Xxxxxxx 000 Xxx Xxxxxxx Xxx Xxxx, XX 00000 (408) 296-5515 (000) 000-0000 X X X X X 2/08/2021 CAPEX Engineering Inc 000 Xxxxxxx Xxxxx Xxxxxxx, XX 00000 (510) 668-1815 (000) 000-0000 X X X X X 4/2/2018 Consolidated Engineering Labs 0000 Xxxx Xxxxxx Xx, Xxx 000 Xxx Xxxxx, XX 00000 (925) 314-7100 (000) 000-0000 X X X X X 5/26/2020 Construction Testing Services 0000 Xxxxx Xx Xxxxxxxxxx, CA 94588 (925) 462-5151 (000) 000-0000 X X X X X X 0/6/2020 CTE CAL, Inc. 00000 Xxxxxxx Xxxx Xxxxxxx, XX 00000 (510) 573-6362 (000) 000-0000 X X X X X X 0/5/2023 HP Inspections, Inc 000 Xxxxx Xx., Xxxxxxxx X Xxx Xxxx, XX 00000 (408) 288-8460 (000) 000-0000 X X X X X X 0/19/2020 Krazan and Associates Inc 0000 Xxxxxxxxxx Xxxx,Xxx. F Pleasanton, CA 00000 (000) 000-0000 (000) 000-0000 X X X X X X 0/4/2021 MPE 000 Xxxxxxxxxxx Xxxxx, Xxx 00 Xxxx Xxxxxxxxxx, XX 00000 (916) 927-7000 (000) 000-0000 X X X X X 12/2/2018 Korbmacher Engineering, Inc 000 Xxxxxxx Xx., Xxx. B Livermore, CA 00000 (000) 000-0000 X X X X X X 2/1/2019 Signet Testing Labs, Inc 0000 Xxxxxxxxxx Xxxxx Xxxxxxx, XX 00000 (510) 887-8484 (000) 000-0000 X X X X X 2/13/2021 Xxxxx-Xxxxx Company 0000 Xxxxxxx Xxx. San Francisco, CA 00000 (000) 000-0000 (000) 000-0000 X X X X X X 0/27/2024 Xxxxxxx, Xxxxxxx & Xxxxxx 0000 Xxxxxx Xxxx Xxxxx Xxxxxxx, XX 00000 (925) 688-1001 (000) 000-0000 X X X X X 5/11/2015 Testing Engineers Inc 0000 Xxxxxxxxx Xxxxxx San Leandro, CA 94577 (510) 835-3142 (000) 000-0000 X X X X X X 0/11/2021 Norcon, LLC 000 0xx Xx, Xxxxx 000 Xxx Xxxxxxxxx, XX 00000 (415) 692-0519 X X X X X X 5/21/2025 Intertek-PSI 000 Xxxxxxx Xxx., Suite 3 Morgan Hill, CA 95037 (408) 669-5500 X X X X 12/23/2024 Aries Engineering, Inc. 0000 Xxxxxxxxx Xxxxx Xx. San Jose, CA 00000 (000) 000-0000 X X 12/21/2022 BSK Associates 000 Xxxxxxxxx Xxx Xxxxxxxxx, XX 00000 (925) 315-3151 X X X X X X 12/31/2022 Valley Inspection, Inc. 000 Xxxxxxx Xxx Vallejo, CA 94591 (707) 853-2791 X X X 5/1/2024 Abstraction Engineering, Inc. 00000 Xxxxxx Xxxxxx Morgan Hill, CA 95037 (669) 888-3100 9/30/2021 Agencies have not been evaluated for geotechnical special inspection or nondestructive testing. Agencies may not be qualified to perform all aspects of special inspection. Agencies may have offices in more than one location. Building Officials may add and/or remove agencies from this list. *Agency Subcontracts Laboratory Services *Expiration dates may not be updated. Please check directly with agency. WOOD:
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Issue Certificate of Occupancy. The Building Division building department may issue a Certificate of Occupancy after all special inspection reports and the final report have has been submitted and accepted. ACKNOWLEDGEMENTS I have read Approved Fabricators: Salt Lake City is using the qualifications set forth by the State of Utah Department of Facilities Construction and Management as criteria to qualify as an Approved Fabricator to perform work on projects permitted in Salt Lake City. The link to the DFCM website is: dfcm.utah. gov/downloads/bldg_official/approved_fabricator_requirements.pdf Upon being listed on the State’s Approved Fabricator Roster: http:// xxxx.xxxx.xxx/xxxxxxxxx/xxxx_xxxxxxxx/xxxxxxxx_xxxxxxxxxx_xxxx.xxx fabricators will likewise be considered certified for Salt Lake City. Only checked items are required General Special Inspection Items Areas requiring special inspection Fabricators Steel construction Welding Details High-strength bolts Concrete / shotcrete Materials Empirical masonry – Cat. IV Engineered masonry – Cat. I-III Engineered masonry – Cat. IV High-load diaphragms Soils Pile foundations Pier foundations Sprayed fire-resistant materials Fire-resistant coatings EIFS Smoke control Other Other Name of Agency Name of Inspector License / Certificate # Special Inspections For Seismic Resistance Areas requiring special inspection Name of Agency equired Structural steel Structural wood Cold-formed steel framing Pier foundations Storage racks & access floors Architectural components Mechanical & electrical items Designated system verification Seismic isolation systems Name of Inspector Name of Agency Inspections for seismic resistance are not r Name of Inspector License / Certificate # Testing For Seismic Resistance Areas requiring testing Empirical masonry – Cat. I-III Empirical masonry – Cat. IV Engineered masonry – Cat. I-III Engineered masonry – Cat. IV Reinforcing & prestressing steel Structural steel ed Qualification of mechanical & electrical equipment Seismically isolated structures Testing for seismic resistance is not requir License / Certificate # Seal Declaration by Architect / Engineer I, the design professional in responsible charge for this project, declare that the above checked items are the limit to which special inspections are to be performed. Signature Date Declaration by Owner I, the Owner of the project, declare that the above listed firm(s) or individual(s) are hired by me to perform special inspections and testing for the project pursuant to IBC 1704.1. The listed firm(s) or individual(s) are designated by me to be responsible for the special inspection and testing of this project. Signature Date Declaration by General Contractor I, the General Contractor of the project, agree to comply with the terms and conditions of this agreement Owner’s name: Owner’s signature Date: Contractor’s name: Contractor’s Signature Date: Special Inspector or Inspection Agency’s name: Special Inspector’s signature: Date: Project Engineer/Architect’ name: Project Engineer/Architect’s signature: Date: ACCEPTED FOR THE BUILDING DIVISION Print Name: Accepted and signed by: Date: CITY OF BURLINGAME INSPECTION AND TESTING SCHEDULE TESTING/INSPECTION AGENCY or SPECIAL INSPECTOR: Concrete Gunite Grout Mortar Aggregate Tests Reinforcing Tests Mix Designs Reinforcing Placement Batch Plant inspection Inspect Placing Cast Samples Pick-up Samples Compression Tests REINFORCED CONCRETE, GUNITE, GROUT AND MORTAR: STRUCTURAL STEEL WELDING Sample and Test (list specific members below) Shop Material Identification Welding Inspection 🞏Shop 🞏Field Ultrasonic inspection 🞏Shop 🞏Field High-strength Bolting Inspection 🞏Shop 🞏Field A325 A490 N X F Metal Deck Welding Inspection Concrete insert Welding Inspection INSTALLATION OF EPOXY EMB.ANCHORS Placement Inspection Density Tests Thickness Tests Inspect Batching FIREPROOFING: Piles Post-Tens Pre-Tens Cladding Aggregate Tests Reinforcing Tests Tendon Tests Mix Designs Reinforcing Placement Insert Placement Concrete Batching Concrete Placement Installation Inspection CAST INPLACE/PRECAST/PRESTRESSED CONCRETE INSULATING CONCRETE: Sample and Test Placement Inspection Unit Weights Observation of subgrade preparation and inspection Of foundation by the geotechnical engineer Placement inspection Field Density FILL MATERIAL: Special Inspection Stresses used Preliminary Acceptance Tests (Masonry Units, Wall Prisms) Subsequent Tests (Mortar, Grout, Field Wall Prisms) Placement Inspection of Units MASONRY: Shear Wall Nailing Inspection Inspection of Glu-x“Contractor Responsibility” items noted abovexx Fab. Inspection of Tress Joist Fab Sample and Test Components STRUCTURALSignature WOOD:
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Issue Certificate of Occupancy. The Building Division may issue a Certificate of Occupancy after all special inspection reports and the final report have been submitted and accepted. ACKNOWLEDGEMENTS I have read and agree to comply with the terms and conditions of this agreement Owner’s name: Owner’s signature Date: Contractor’s name: Contractor’s Signature Date: Special Inspector or Inspection Agency’s name: Special Inspector’s signature: Date: Project Engineer/Architect’ name: Project Engineer/Architect’s signature: Date: ACCEPTED FOR THE BUILDING DIVISION DIVISION Print Name: Accepted and signed by: Date: CITY OF BURLINGAME INSPECTION AND TESTING SCHEDULE TESTING/INSPECTION AGENCY or SPECIAL INSPECTOR: Concrete Gunite Grout Mortar Aggregate 0BAggregate Tests Reinforcing Tests Mix 1BMix Designs Reinforcing 2BReinforcing Placement Batch Plant inspection Inspect Placing Cast Samples Pick-up Samples Compression Tests REINFORCED CONCRETE, GUNITE, GROUT AND MORTAR: STRUCTURAL STEEL WELDING Sample and Test (list specific members below) Shop Material Identification Welding Inspection 🞏Shop 🞏Field Ultrasonic inspection 🞏Shop 🞏Field High-strength Bolting InspectiInspection on 🞏Shop 🞏Field A325 A490 N □A325 □A490 □N □X □F X F Metal Deck Welding Inspection Concrete insert Welding Inspection INSTALLATION OF EPOXY EMB.ANCHORS Placement Inspection Density Tests Thickness Tests Inspect Batching FIREPROOFING: Piles Post-Tens Pre-Tens Cladding Aggregate Tests Reinforcing Tests Tendon Tests Mix Designs Reinforcing Placement Insert Placement Concrete Batching Concrete Placement Installation Inspection3BCAST CAST INPLACE/PRECAST/PRESTRESSED CONCRETE INSULATING CONCRETE: Sample and Test Placement Inspection Unit WeFILL MATERIAL: ights Observation of subgrade preparation and inspection Of foundation by the geotechnical engineer Placement inspection Field Density FILL MATERIAL: Special Inspection Stresses used Preliminary Acceptance Tests (Masonry Units, Wall Prisms) Subsequent Tests (Mortar, Grout, Field Wall Prisms) Placement Inspection of Units MASSTRUCTURAL WOOD: ONRY: Shear Wall Nailing Inspection Inspection of Glu-xxx Fab. Inspection of Tress Joist Fab Sample and Test Components STRUCTURALADDITIONAL INSTRUCTIONS OR OTHER TESTS AND INSPECTIONS: Date: Telephone No: (000) 000-0000 City of Burlingame 000 Xxxxxxxx Xxxx, Xxxxxxxxxx, Xxxxxxxxxx 00000 Building Division: 000-000-0000 RECOGNIZED SPECIAL INSPECTION & TESTING AGENCIES The following testing agencies are accepted until the expiration date listed in the right column Key: RC=Reinforced Concrete PC=Prestressed/Post-tensioned Concrete SM=Structural Masonry Agency Name HQ Address 0000 Xxxxxx Xx, Xxx. 000 Phone/Fax (000)000-0000 RC PC SM SS FP SW ACE Quality Control X X X X X EXPIRATION DATE 10/22/2023 X X X X X X 1/22/2023 X X X X X X 1/27/2027 X X X X X X 11/7/2020 X X X X X X 4/23/2021 X X X X 1/20/2020 X X X X X 2/08/2021 X X X X X 4/2/2018 X X X X X 5/26/2020 CTE CAL, Inc. 00000 Xxxxxxx Xxxx Fremont, CA 94538 000 Xxxxx Xx., Building H (000) 000-0000 (000) 000-0000 (000) 000-0000 X X X X X 6/5/2023 HP Inspections, Inc X X X X X X 4/19/2020 X X X X X X 1/4/2021 SS=Structural Steel Welding/Bolting FP=Spray-Applied Fireproofing URM=Unreinforced Masonry Push/Torque Tests Only SW=Structural Wood X X X X X 6/6/2020 Roseville, CA 95678 Achèvement Engineering 0000 Xxxxxxxxxx Xxxxx, Xxxx X (000) 000-0000 Corp. San Jose, CA 00000 (000) 000-0000 Applied Materials & 000 00xx Xxxxxx (000)000-0000 Engineering, Inc. Oakland, CA 00000 (000)000-0000 Apex Testing Laboratoires, 0000 Xxxxx Xx, Xxx 0X Xxx Xxxxxxxxx, (000) 000-0000 Inc. CA 00000 (000) 000-0000 BAGG Engineers 000 Xxxxxxx Xxx Xxx Xxxx, XX 00000 (650852-9133) (000) 000-0000 Berlogar Stevens & 0000 Xxxxx Xxxx (000) 000-0000 Associates Pleasanton, CA 00000 (000) 000-0000 Xxxxx Xxxxxxx 000 Xxx Xxxxxxx Xxx Xxxx, XX 00000 (408) 296-5515 (000) 000-0000 CAPEX 571 Seville Place (510) 668-1815 Engineering Inc Fremont, CA 00000 (000) 000-0000 Consolidated 0000 Xxxx Xxxxxx Xx, Xxx 000 (000) 000-0000 Engineering Labs San Ramon, CA 00000 (000) 000-0000 Construction Testing 0000 Xxxxx Xx (000) 000-0000 Services Pleasanton, CA 00000 (000) 000-0000 West Sacramento, CA 00000 (000) 000-0000 Korbmacher Engineering, 000 Xxxxxxx Xx., Xxx. B Livermore, (000) 000-0000 Inc CA 94551 Signet Testing Labs, Inc 0000 Xxxxxxxxxx Xxxxx Xxxxxxx, XX 00000 (510) 887-8484 (000) 000-0000 Xxxxx-Xxxxx 0000 Xxxxxxx Xxx. (000) 000-0000 Company San Francisco, CA 00000 (000) 000-0000 0000 Xxxxxx Xxxx Xxxxx (000) 000-0000 Concord, CA 00000 (000) 000-0000 0000 Xxxxxxxxx Xxxxxx (000) 000-0000 San Leandro, CA 00000 (000) 000-0000 000 0xx Xx, Xxxxx 000 Xxx Xxxxxxxxx, XX 00000 (415) 692-0519 000 Xxxxxxx Xxx., Suite 3 Morgan Hill, CA 95037 (408) 669-5500 0000 Xxxxxxxxx Xxxxx Xx. San Jose, CA 00000 (000) 000-0000 000 Xxxxxxxxx Xxx (000) 000-0000 Abstraction Engineering, Inc. 00000 Xxxxxx Xxxxxx Morgan Hill, CA 95037 (000) 000-0000 9/30/2021 X X X X X X 2/1/2019 X X X X X 2/13/2021 Xxxxxxx, Xxxxxxx & Xxxxxx X X X X 5/11/2015 Testing Engineers Inc X X X X X 4/11/2021 Norcon, LLC X X X X X X 5/21/2025 Intertek-PSI X X X X 12/23/2024 Aries Engineering, Inc. X X 12/21/2022 X X X X X 12/2/2018 X X X X X X 3/27/2024 BSK Associates Livermore, CA 94551 X X X X X 12/31/2022 San Jose, CA 00000 (000) 000-0000 Krazan and 0000 Xxxxxxxxxx Xxxx,Xxx. F (000) 000-0000 Associates Inc Pleasanton, CA 00000 (000) 000-0000 MPE 000 Xxxxxxxxxxx Xxxxx, Xxx 00 (000) 000-0000 Agencies have not been evaluated for geotechnical special inspection or nondestructive testing. Agencies may not be qualified to perform all aspects of special inspection. Agencies may have offices in more than one location. Building Officials may add and/or remove agencies from this list. *Agency Subcontracts Laboratory Services WOOD:
Appears in 1 contract
Samples: cms6.revize.com
Issue Certificate of Occupancy. The Building Division may issue a Certificate of Occupancy after all special inspection reports and the final report have been submitted and accepted. ACKNOWLEDGEMENTS I have read and agree to comply with the terms and conditions of this agreement Owner’s name: Owner’s signature Date: Contractor’s name: Contractor’s Signature Date: Special Inspector or Inspection Agency’s name: Special Inspector’s signature: Date: Project Engineer/Architect’ name: Project Engineer/Architect’s signature: Date: ACCEPTED FOR THE BUILDING DIVISION DIVISION Print Name: Accepted and signed by: Date: CITY OF BURLINGAME INSPECTION AND TESTING SCHEDULE TESTING/INSPECTION AGENCY or SPECIAL INSPECTOR: Concrete Gunite Grout Mortar Aggregate Tests Reinforcing Tests Mix Designs Reinforcing Placement Batch Plant inspection Inspect Placing Cast Samples Pick-up Samples Compression Tests REINFORCED CONCRETE, GUNITE, GROUT AND MORTAR: STRUCTURAL STEEL WELDING Sample and Test (list specific members below) Shop Material Identification Welding Inspection 🞏Shop 🞏Field Ultrasonic inspection 🞏Shop 🞏Field High-strength Bolting Inspection 🞏Shop 🞏Field A325 A490 N X F Metal Deck Welding Inspection Concrete insert Welding Inspection INSTALLATION OF EPOXY EMB.ANCHORS Placement Inspection Density Tests Thickness Tests Inspect Batching FIREPROOCAST INPLACE/PRECAST/PRESTRESSED CONCRETE FING: Piles Post-Tens Pre-Tens Cladding Aggregate Tests Reinforcing Tests Tendon Tests Mix Designs Reinforcing Placement Insert Placement Concrete Batching Concrete Placement Installation Inspection CAST INPLACE/PRECAST/PRESTRESSED CONCRETE INSULATING CONCRETE: Sample and Test Placement Inspection Unit Weights Observation of subgrade preparation and inspection Of foundation by the geotechnical engineer Placement inspection Field Density FILL MATERIAL: Special Inspection Stresses used Preliminary Acceptance Tests (Masonry Units, Wall Prisms) Subsequent Tests (Mortar, Grout, Field Wall Prisms) Placement Inspection of Units MASFIREPROOFING: Placement Inspection Density Tests Thickness Tests Inspect Batching INSULATING CONCRETE: Sample and Test Placement Inspection Unit Weights FILL MATERIAL: Observation of subgrade preparation and inspection Of foundation by the geotechnical engineer Placement inspection Field Density STRUCTURAL WOOD: ONRY: Shear Wall Nailing Inspection Inspection of Glu-xxx Fab. Inspection of Tress Joist Fab Sample and Test Components STRUCTURALADDITIONAL INSTRUCTIONS OR OTHER TESTS AND INSPECTIONS: Date: Telephone No: (000) 000-0000 City of Burlingame 000 Xxxxxxxx Xxxx, Xxxxxxxxxx, Xxxxxxxxxx 00000 Building Division: 000-000-0000 RECOGNIZED SPECIAL INSPECTION & TESTING AGENCIES The following testing agencies are accepted until the expiration date listed in the right column Key: RC=Reinforced Concrete PC=Prestressed/Post-tensioned Concrete SM=Structural Masonry SS=Structural Steel Welding/Bolting FP=Spray-Applied Fireproofing URM=Unreinforced Masonry Push/Torque Tests Only Agency Name HQ Address Phone/Fax RC PC SM SS FP EXPIRATION DATE Achèvement Engineering Corp. 0000 Xxxxxxxxxx Xxxxx, Xxxx X Xxx Xxxx, XX 00000 (408) 217-9174 (000) 000-0000 X X X X X 0/22/2021 Applied Materials & Engineering, Inc. 000 00xx Xxxxxx Xxxxxxx, XX 00000 (510)420-8190 (000)000-0000 X X X X X 0/20/2020 Apex Testing Laboratoires, Inc. 0000 Xxxxx Xx, Xxx 0X Xxx Xxxxxxxxx, XX 00000 (415) 550-9800 (415) 550-9880 X X X X X 11/7/2020 BAGG Engineers 000 Xxxxxxx Xxx Xxx Xxxx, XX 00000 (650852-9133) (000) 000-0000 X X X X X 0/23/2021 Xxxxxxxx Xxxxxxx & Associates 0000 Xxxxx Xxxx Xxxxxxxxxx, XX 00000 (925) 484-0220 (000) 000-0000 X X X X 1/20/2020 Xxxxx Xxxxxxx 000 Xxx Xxxxxxx Xxx Xxxx, XX 00000 (408) 296-5515 (000) 000-0000 X X X X 2/08/2021 CAPEX Engineering Inc 000 Xxxxxxx Xxxxx Xxxxxxx, XX 00000 (510) 668-1815 (000) 000-0000 X X X X X 0/2/2018 Consolidated Engineering Labs 0000 Xxxx Xxxxxx Xx, Xxx 000 Xxx Xxxxx, XX 00000 (925) 314-7100 (000) 000-0000 X X X X X 0/26/2020 Construction Testing Services 0000 Xxxxx Xx Xxxxxxxxxx, XX 00000 (925) 462-5151 (000) 000-0000 X X X X X 0/6/2020 HP Inspections, Inc 000 Xxxxx Xx., Xxxxxxxx X Xxx Xxxx, XX 00000 (408) 288-8460 (000) 000-0000 X X X X X 0/19/2020 Krazan and Associates Inc 0000 Xxxxxxxxxx Xxxx,Xxx. F Pleasanton, CA 00000 (000) 000-0000 (000) 000-0000 X X X X X 0/4/2021 MPE 000 Xxxxxxxxxxx Xxxxx, Xxx 00 Xxxx Xxxxxxxxxx, XX 00000 (916) 927-7000 (916) 372-9900 X X X X X 12/2/2018 Korbmacher Engineering, Inc 000 Xxxxxxx Xx., Xxx. B Livermore, CA 00000 (000) 000-0000 X X X X X 0/1/2019 Signet Testing Labs, Inc 0000 Xxxxxxxxxx Xxxxx Xxxxxxx, XX 00000 (510) 887-8484 (000) 000-0000 X X X X X 0/13/2021 Xxxxx-Xxxxx Company 0000 Xxxxxxx Xxx. San Francisco, CA 00000 (000) 000-0000 (000) 000-0000 X X X X X 0/27/2018 Testing Engineers Inc 0000 Xxxxxxxxx Xxxxxx San Leandro, CA 94577 (510) 835-3142 (000) 000-0000 X X X X X 0/11/2021 Agencies have not been evaluated for geotechnical special inspection or nondestructive testing. Agencies may not be qualified to perform all aspects of special inspection. Agencies may have offices in more than one location. Building Officials may add and/or remove agencies from this list. *Agency Subcontracts Laboratory Services Rev. 10/15/2018 WOOD:
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Samples: cms6.revize.com
