HomeMy WebLinkAboutSpecial Inspections (fillable)County of Hawai’i is an Equal Opportunity Provider and Employer (Rev. 1/2/2025 based on 2018 IBC).
PROJECT IDENTIFICATION:
APPLICATION/PERMIT NO: TAX MAP KEY NO: # # ### ### ####
DEPARTMENT OF PUBLIC WORKS • BUILDING DIVISION
101 Pauahi Street, Suite 7, Hilo, Hawai‘i 96720 (808)961-8331, Fax (808) 961-841074-5044 Ane Keohokālole Highway, Building E, Kailua-Kona, Hawai‘i 96740 (808)323-4720, Fax (808) 327-3509
STATEMENT OF SPECIAL INSPECTIONS
This is to inform you that Chapter 17 of the International Building Code requires that the Owner employ Special Inspectors, independent of the contractors performing the work, for the following types of work (only circled numbered inspections required for this project):
(1)Special Cases (Specify).(12)Seismic Resistance.(2)Steel Construction.(13)Testing for Seismic Resistance.(3)Concrete Construction.(14)Sprayed fire-resistant materials.(4)Masonry Construction.(15)Mastic and intumescent fire-resistant coatings.(5)Wood Construction.(16)Exterior insulation and finish systems (EIFS).(6)Soils.(17)Fire-resistant penetrations and joints.(7)Driven Deep Foundations.(18)Testing for smoke control.(8)CIP Deep Foundations.(19)Storage Racks (§1705.12.7).(9)Helical Pile Foundations.(20)Hawaii Residential Safe Room (HCC 5A §422.9).(10) Fabricated Items.(21)State & County Owned High Occupancy Building(11) Wind Resistance.Hurricane Shelters (HCC 5A §423.8.2).
(Clarifications of the above items are listed in the International Building Code.) Complete the information in the following Table according to the Special Inspections required per Section 1705 of the 2018 International Building Code. Provide additional pages if necessary to list all Special inspections.
Item No. Special Inspector Name (Print) License Number License Agency Telephone Email
Duties and Responsibilities of the Special Inspector and Registered Design Professional in Responsible Charge: 1.Observe work assigned for conformance with applicable codes, approved design drawings, and specifications.
2.Furnish inspection reports to the owner, the engineer or architect of record and other owner-designated persons. Alldiscrepancies shall be brought to the immediate attention of the contractor for correction; then, if uncorrected, to the proper design authority and to the building official.
3.Prior to the final inspection, the registered design professional in responsible charge shall submit a written statementverifying receipt of the final special inspection reports and documenting that there are no known unresolved coderequirements that create significant public safety deficiencies.
PRINT NAME OF REGISTERED DESIGN PROFESSIONAL IN RESPONSIBLE CHARGE TELEPHONE NO.
SIGNATURE OF REGISTERED DESIGN PROFESSIONAL IN RESPONSIBLE CHARGE DATE
For CoH Use Only
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