Special Inspection FormCUPERTINO
STATEMENT'OF SPECK,. IMSPECTIONS, W16 -3C
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REVIEWED FOR CODE COMPLIANCE
Date: 04/01/19
VERIFICATION AND INSPECTION
C
P
REFERENCED
STANDARD
IBC
REFERENCE
INSPECTION OF WOOD
1. j7 Inspect prefabricated wood structural elements and
assemblies in accordance with Section 1704.2.
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1704.6
2. ❑ Inspect site built assemblies_
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3. Inspect high -load diaphragms:
❑ Verify grade and thickness of sheathing.
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❑ Verify nominal size of framing members at adjoining
panel edges.
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1704.6.1
❑ Verify nail or staple diameter and length,
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❑ Verify number of fastener lines,
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Verify spacing between fasteners in each line and at
edge margins.
4. ❑ Metal -plate -connected wood trusses spanning 60 feet
or greater: Verify temporary installation
restraint/bracing and the permanent individual truss
—
X
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1704.6.2
member bracing are installed in accordance with the
approved truss submittal package.
REQUIRED VERIFICATION AND INSPECTION OF SOIL
1. ❑ Verify materials below footings are adequate to
_
X
achieve the desired bearing capacity.
2. ❑ Verify excavations are extended to proper depth and
-_
X
have reached proper material.
3. ❑ Perform classification and testing of compacted fill
X
materials.
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Table 1704.7
4. ❑ Verify use of proper materials, densities and lift
thicknesses during placement and compaction of
X
--
compacted fill.
5. ❑ Prior to placement of compacted fill, observe subgrade
X
and verify that site has been prepared properly.
REQUIRED VERIFICATION AND INSPECTION OF DEEP DRIVEN FOUNDATION ELEMENTS
1. ❑ Verify element materials, sizes and lengths comply
X
with the requirements.
2. ❑ Determine capacities of test elements and conduct
X
additional load tests, as required.
3. ❑ Observe driving operations and maintain complete
X
and accurate records for each element.
4. ❑ Verify locations of piles and their plumbness, confirm
type and size of hammer, record number of blows per
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Table 1704.8
foot of penetration, determine required penetrations to
X
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achieve design capacity, record tip and butt elevations
and document any damage to foundation element.
5. ❑ For steel elements, perform additional inspections in
accordance with Section 1704.3.
6. ❑ For concrete elements and concrete filled elements,
perform additional inspections in accordance with
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Section 1704.4.
SpecialnspectionFo»n_2012.doc revised 09106112
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