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I SPECIAL INSPECTIONS AND TESTING SCHEDULE <br /> (To be u�ed in accordance with the"Guidelines for Special Inspection and Testing") <br /> PROJECT NAME Scott sidence PROJECT NO_ <br /> LOCATION 1905 H rita e Drive (1) <br /> C)rono PERMIT NO. <br /> i SPECIAL INSPECTION SCHEDULE <br /> S ification Type of Report Assigned <br /> Section Article Description(2) Firm(3) Frequency Firm(4) <br /> Reinfor maso SI FINAL <br /> Plrecast lank installatonzwoo SI FINAL <br /> TESTII�TG SCHEDULE <br /> Concret C linders,slum ,A/E TA <br /> Ver' s il bearin TA <br /> Maso rism tests TA <br /> , <br /> Notes: <br /> This schedule to be filled out an included in the project specification. Informarion unavailable at that tnne to be filled out when <br /> applying for a building permit. � <br /> (1) Permit No.to be provided b the Building Official. <br /> (2) Use Descriptions per IBC Sfction 1704. <br /> (3) Special Inspector,Testing A�gent,or Fabricator <br /> (4) Firm contracted to perform services. <br /> ACKNOWLEDGEMENTS <br /> Each appropriate representative must sign below: <br /> Owner: � Firm: Date: <br /> Contractor: Firm: Date: <br /> Architect• Firm: ate: � �� <br /> —.---- <br /> SER: Firm: Winkler Structural Engineers Date: 8.21.12 <br /> *SI: � Firm: Date: <br /> *SI: Firm: Date: <br /> TA: Firm• Date: <br /> TA: Firm• Date: <br /> F: Firm: Date• <br /> I <br /> * 7'he individual names of all p�ospective special inspectors and the work they intend to observ$must be identified on the reverse side of <br /> this form. <br /> Legend: SER=Engin r of Record SI=Special Inspector <br /> TA=Testing�gent F=Fabricator <br /> Accepted of the Building Depa�nent By Date <br /> � <br /> I <br />