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Beaverton
0 R E G O N
CITY OF BEAVERTON
Community Development Department
Building Division
12725 SW Millikan Way / PO Box 4755
Beaverton, OR 97076
(503) 526-2493
www.BeavertonOregon.gov/Building
BUILDING SERVICES DIVISION COMMERCIAL SPECIAL INSPECTION AGREEMENT
(Special inspection, testing and structural observation agreement) Revised 3/15
Permit Number:
Project Name:
Project
Address:
This agreement presents the requirements for special inspection, testing and
structural observation for commercial, industrial, and multi-family construction
designed following the 2014 Oregon Structural Specialty Code (the 2012 International
Building Code with 2014 Oregon amendments)
For a building permit to be issued, the owner or the owner’s authorized agent shall complete
and sign Sections C and D of this agreement acknowledging their understanding, and intent
to comply with, the requirements of the Special Inspections and Structural Observations
Program.
In accordance with Oregon Structural Specialty Code (OSSC) Sections 107.1, 1704.2,
1704.3, and 1704.5, the structural observations and on-site special inspections have been
identified in a program statement prepared by the registered design professional in
responsible charge for all work that falls within the categories specifically identified in OSSC
Chapter 17.
The program statement will be included within the approved construction documents, and the
special inspections and structural observations will be determined and administered from this
statement.
All special inspections identified within the statement presented in the approved construction
documents shall be inspected or tested in accordance with the provisions of OSSC Section
1705. The special inspector shall comply with the duties and responsibilities presented in
Sections II and V of the Oregon Building Officials Association (OBOA) Special Inspection
Program and shall observe and document the work for conformance with the approved plans
and specifications. All written results of these inspections or tests, including noncompliance
lists and final summary letters, shall be provided to the Building Official and the registered
design professional in responsible charge.
Special inspections are in addition to, and do not replace, inspections required to be
performed by City inspectors. Before proceeding with the project, City inspectors
must approve all work after a report by the special inspector has been provided.
Example: Prior to placing concrete in a footing/foundation, approval by BOTH the special
inspector and City inspector must be obtained.
Form B70-1012 Page 1 of 3
Clear Form
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Commercial Construction Special Inspection/Testing And Structural Observation Agreement
Page 2
The final special inspection and structural observation reports shall be submitted to the
Building Services Division a minimum of two days prior to requesting a final inspection.
A final inspection request will not be granted until the final special inspection and structural
observation reports have been deemed acceptable by the Building Services Division.
A. SPECIAL INSPECTION AND TESTING (To be completed by plans examiner)
The following inspections have been indicated within the program statement prepared by
the design professional in responsible charge:
Inspection of Fabricators (OSSC 1705.2)
Steel Construction (OSSC 1705.2)
Concrete Construction (OSSC 1705.3)
Masonry Construction (OSSC 1705.4)
Wood Construction (OSSC 1705.5)
Soils (OSSC 1705.6)
Radon Mitigation (OSSC 1705.18)
Post-Installed Anchors (OSSC 1705.1.1(3))
Cast-in-Place Deep Foundations [Pier Foundation] (OSSC 1705.8)
Helical Pile Foundations (OSSC 1705.9)
Sprayed Fire-Resistant Materials (OSSC 1705.13)
Mastic & Intumescent Fire-Resistant Coating (OSSC 1705.14)
EIFS (OSSC 1705.15)
Fire-Resistant Penetrations and Joints
(OSSC 1705.16)
Smoke Control (OSSC 1705.17)
Driven Deep Foundations [Pile Foundation] (OSSC 1705.7)
In accordance with OSSC Section 1705.1.1, the building official has determined that the
following Special Case inspections are required:
_____________________________
B. STRUCTURAL OBSERVATION / OSSC SECTION 1704.5 (To be completed by plans
examiner)
Structural Observation Program is not required for this project
Structural observation shall be provided following the program noted in the Structural
Drawings
The building official has determined that structural observation is required with the
following frequency and extent:
C. NAMES OF PARTIES INVOLVED (To be completed by applicant)
Please complete the following information by listing the general contractor responsible for
construction and the design professionals involved in the project. This information is
provided for identification only, signatures are not required.
Engineer of Record:
Architect of Record:
Geotechnical Engineer:
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Commercial Construction Special Inspection/Testing And Structural Observation Agreement
Page 3
A special inspection agency may be chosen from any of the approved inspector lists accepted by the
Building Services Division. The Building Services Division recognizes the agency lists published by
OBOA and the Washington Association of Building Officials (WABO). The OBOA-approved agency
list is provided for your convenience.
If multiple special inspection are required, and multiple agencies will be used, identify each agency
and the special inspections they will perform.
ACS Testing Inc. (503) 443-3799 Krazan & Associates, Inc. (425) 485-5519
Carlson Testing Inc. (503) 684-3460 Mayes Testing Engineers, Inc. (503) 281-7515
Clair Company, Inc. (800) 383-8855 Northwest Geotechnical Inc. (503) 682-1880
Kleinfelder, Inc. (503) 644-9447 Professional Service Industries, Inc. (503) 289-1778
FEI Testing and Inspections, Inc. (541) 757-4698 KPFF (503) 227-3251 Inspections Only
If the agency you desire to employ is not included within the approved lists, use the “Other” box to
indicate the agency or inspector you intend to use. A written request to use this agency or individual
shall be submitted to the Building Services Division for review and approval by the Building Official.
Include with this request qualifications and validations demonstrating the agency’s or individual’s
competence to perform inspections for the types of construction in question.
Other: __________________________________ Phone Number: ______________
D. SIGNATURE (To be completed by applicant)
The owner/authorized agent has read the requirements of the Special Inspection and
Structural Observation Program, as presented in the program statement prepared by the
designer in responsible charge, and Chapter 17 of the 2014 OSSC, and agrees to comply
with the terms and conditions of the program.
Owner/Authorized Agent: __________________________ Date: ______________
E. ACCEPTED FOR THE BUILDING SERVICES DIVISION
(To be completed by plans examiner)
Plans Examiner: _________________________________ Date: ______________
For any questions pertaining to this agreement, please call (503) 526-2409.