Structural Observation Agreement - City Of Tukwila Building Division Page 9

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City of Tukwila
Building Division
Building Permit Number: __________________
STRUCTURAL STEEL / WELDING:
FIREPROOFING:
_____ Sample & Test (list specific members below)
_____ Placement Inspections
_____ Shop Material Identification
_____ Density Tests
_____ Welding Inspection
[ ] Shop [ ] Field
_____ Thickness Tests
_____ Ultrasonic Inspection
[ ] Shop [ ] Field
_____ Inspection Batching
_____ High-Strength Bolting Inspection
[ ] Shop [ ] Field
INSULATING CONCRETE:
[ ] A325
[ ] A490
[ ] N [ ] X [ ] F
_____ Sample & Test
_____ Placement Inspections
_____ Metal Deck Welding Inspection
_____ Unit Weights
_____ Reinforcing Steel Welding
FILL MATERIAL
_____ Metal Stud Welding Inspection
_____ Concrete Insert Welding Inspection
_____ Acceptance Tests
_____ Placement Inspections
_____ Field Density
MASONRY:
STRUCTURAL WOOD:
_____ Special Inspection Stresses Used
_____ Shear Wall Nailing Inspection
_____ Preliminary Acceptance Tents
_____ Inspection of Glu-lam Fab.
(Masonry Units, Wall Prisms)
_____ Inspection of Truss Joist Fab.
_____ Subsequent Tests
_____ Sample and Test Components
(Mortar, Grout, Field wall Prisms)
_____ Placement Inspection of Units
List all other additional of required inspections, conditions, tests, or special inspections here:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Form completed by: _________________________________
Title: _________________________
Telephone No: ______________________________________
Date: _________________________
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