HomeMy WebLinkAbout_2025-02-19-01 Statement of Special Inspectors Lot 24 - FTF signed_v1 (1)Project:
Location:
Owner:
RDP:
This Statement of Special Inspections is submitted as a condition for permit issuance in accordance with the Special
Inspection and Structural Testing requirements of the Building Code. Included in this document are:
•Schedule of Special Inspections applicable to this project:
•Schedule of the Testing Agencies and other special inspectors who will conduct the tests and inspections.
•Special Provisions for Seismic and Wind Resistance.
•Structural Observation Schedule
The Schedule of Special Inspections summarizes the testing and special inspections required by the Building Code.
Special Inspectors shall refer to the approved plans and specifications for detailed special inspection requirements. The
project inspectors shall also perform any additional tests and inspections required by the approved plans and
specifications and building code.
The Special Inspectors and Testing Agencies shall keep records of all inspections and tests, and furnish reports to the
Building Official and the Registered Design Professional in Responsible Charge (RDP). Discovered discrepancies shall
be brought to the immediate attention of the Contractor for correction. If such discrepancies are not corrected, the
discrepancies shall be brought to the attention of the Building Official and the RDP. Interim reports shall be submitted to
the Building Official and the Registered Design Professional in Responsible Charge:
Interim Report Frequency: Or per attached schedule.
A Final Report of Special Inspections documenting completion of all required Special Inspections, testing and
correction of any discrepancies noted in the inspections shall be submitted prior to issuance of a Certificate of Use and
Occupancy.
The Contractor is required to sign and submit a written Statement of Responsibility that complies with CBC Section
1706, to the Building Official, the RDP, and to the Owner prior to commencement of work subject to special inspection.
Job site safety and means and methods of construction are solely the responsibility of the Contractor. The Special
Inspection program does not relieve the Contractor of his or her responsibilities.
The Owner recognizes his obligation to ensure that the construction complies with the approved permit documents and to
implement this program of special inspections. In partial fulfillment of these obligations the Owner will retain and directly
pay for the Special Inspections as required in CBC Section 1704.1. Additionally, the owner shall designate a responsible
individual or firm, acceptable to the RDP, to oversee and coordinate the implementation of the Special Inspection
program. This individual shall monitor special inspection activities on the job site to assure that the special inspectors are
qualified and are performing their duties as called for in this Statement of Special Inspection.
This plan has been developed with the understanding that the Building Official will perform inspections as required by the
local building code and, in cooperation with the RDP, will:
•Review and approve the qualifications of the Special Inspectors who will perform the inspections.
•Review submitted inspection reports.
Prepared by:
(type or print name)
Signature Date Design Professional Seal
Owner’s Authorization: Building Official’s Acceptance:
Signature Date Signature Date
Statement of Special InspectionsCommunity DevelopmentBuilding and Safety Division
919 Palm Street, San Luis Obispo, CA 93401-3218
T 805.781.7180
F 805.781.7173
www.slocity.org
01/20/2022
02-04-2025
02-04-2025
Single-Family Residence
Enclave Lot 24 - 1424 Hansen Lane, San Luis Obispo, CA 93401
Paul Abbott, Vellum, Inc.
Jillian van Enckevort, FTF Engineering INC
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Jillian van Enkevort
Page of
Project:
Location:
Schedule of Inspection and Testing Agencies
This Statement of Special Inspections includes the following building systems:
Soils and Foundations Spray Fire Resistant Material
Cast-in-Place Concrete Wood Construction
Precast Concrete Exterior Insulation and Finish System
Masonry Mechanical & Electrical Systems
Structural Steel Architectural Systems
Cold-Formed Steel Framing Special Cases
Approved Agencies Name of Individual and Firm Address, Telephone, e-mail
1.Special Inspection
Coordinator
2. Inspector
3. Inspector
4. Testing Agency
5. Testing Agency
6. Other
Note: The inspectors and testing agencies 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, prior to commencing work.
01/20/2022
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220 High Street, San Luis Obispo, CA 93401
(805) 543-0539
info@geosolutions.com
GeoSolutions
Kraig Crozier
Page of
Project:
Location:
Special Provisions for Seismic & Wind Resistance
Quality Assurance for Seismic Resistance
Seismic Design Category
Seismic Requirements are Required Not Required
Structural Observation is Required Not Required
Description of seismic force resisting system and designated seismic systems:
See the Schedule of Inspections for special inspection & testing requirements for seismic resistance
Quality Assurance for Wind Requirements
Basic Wind Speed (3 second gust)
Wind Exposure Category
Wind Requirements are Required Not Required
Structural Observation is Required Not Required
Description of wind force resisting system and designated wind resisting components:
See the Schedule of Inspections for special inspection & testing requirements for wind resistance
Construction Observation
Structural Observation
Structural Observation of construction for Seismic and/or Wind Resistance is required when indicated in the Special Requirements for
Seismic and Wind Section above. The structural Observer will, as a minimum, perform Structural Observation at the following Scheduled
Intervals or Stages of Construction, and at the completion of the structural system.
Structural
Observer
name of individual & firm
address, phone number, & email address
Item Scheduled Interval or Stage of Construction
01/20/2022CLEAR FORM
Single-Family Residence
Enclave Lot 24 - 1424 Hansen Lane, San Luis Obispo, CA 93401
D
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Wood sheathed diaphragms, wood sheathed shear walls, and pre-engineered shear panels
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B
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Fndns Foundations prior to concrete placement.
Framing Structural Framing prior to closing in/application of finishes