HomeMy WebLinkAboutA_Special_Inspection_Form_221216_v2
Renton,WA980572)oevsopnentservessouson A LSTHORIZATION FOR SPECIAL
‘ane INSPECTION ACTIVITIES
Project Name:RENTON HIGH SCHOOL SCIENCE CLASSROOMS MODERNIZATION
Address:400 SOUTH 2ND STREET,RENTON,WA 98057
Responsibility under Section 109 of the International Building Code (IBC)for selection of a testing
laboratory lies with the owner or his agent (architect or structural engineer ofrecord).
The following have beenor will be contracted with to perform all SPECIAL INSPECTIONS required
per Chapter 17,IBC and the Renton Building Department.
Sf Structural Considerations
Testing Agency:Intertek PSI
Telephone:(425)409-2504
16750 NE Woodinville-Redmond RD aeAddress:BidgC-102 eee City/State/Zip:Woodinville
o Geotechnical Considerations Per Soils Report
Geotechnical Engineer of Record:
Testing Agency:
Telephone:
Address:City/State/Zip:
We understand that these assignments cannot be changed(transferred)once the building permit
has been issued without the approval of the Building Official.
The completed form must be returnedto the City of Renton Plans Examinerprior to issuanceof
the Building Permit.
LADD STEJSKAL
int Name
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Signature of Owner/Authorized Agent Date "
H:\CED\Data\Forms-Templates\Self-Help Handouts\Building\Special Inspection Form.docx Rev.07/31/2020
RECEIVED
12/19/2022 striplett
BUILDING DIVISION
B22005400