HomeMy WebLinkAboutB17004569 Special Inspection
AUTHORIZATION FOR SPECIAL INSPECTION ACTIVITIES
Development Services Division
1055 S Grady Way – Renton, WA 98057
Phone: (425) 430-7200 | Fax: (425) 430-7231
Project Permit/Name: B17004569 ARCO GAS STATION CANOPY
Address: 2900 NE 3RD ST
Responsibility under Section 109 of the International Building Code (IBC) for selection of a testing laboratory or agency lies with the owner or his agent (architect or structural engineer
of record).
The following have been or will be contracted with to perform all SPECIAL INSPECTIONS required per Chapter 17, IBC and the Renton Building Department.
Special Inspection item: WELDING AND HIGH STRENGTH BOLTING
Testing Agency:
Telephone:
Address: City/State/Zip:
Special Inspection item:
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 returned to the City of Renton Plans Examiner prior to issuance of the building permit.
__________________________________________
Print Name
__________________________________________ _________________
Signature of Owner/Authorized Agent Date