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City of Palm Desert
Department of Building and Safety
Special Inspector Project Application
The following information needs to be obtained from special inspectors for City of Palm Desert projects.
Project Information
Project Information Form Fields Date City Project No. Project Address Project Name General Contractor Special Inspector Name Phone No. (work) Phone No. (cell)
Phone No. (home) Type of Special Inspection Being Provided for This Project Select each special inspection type that applies
inspection-of-fabricators Inspection of fabricators (1704.2.5)
special-cases Special Cases (1705.1.1)
steel-construction-welding-high-strength-bolting Steel construction / Welding / High-strength bolting (1705.2)
concrete-construction Concrete construction (1705.3)
masonry-construction Masonry construction (1705.4)
vertical-masonry-foundation-elements Vertical masonry foundation elements (1705.4.2)
wood-construction Wood Construction (1705.5)
soils Soils (1705.6)
driven-deep-foundation Driven deep foundation (1705.7)
cast-in-place-deep-foundation Cast-in-place deep foundation (1705.8)
helical-pile-foundations Helical pile foundations (1705.9)
wind-resistance Special inspection for wind resistance (1705.10)
seismic-resistance Special inspection for seismic resistance (1705.11)
testing-qualification-seismic-resistance Testing and qualification for seismic resistance (1705.12)
sprayed-fire-resistant-materials Sprayed fire-resistant materials (1705.13)
mastic-intumescent-fire-resistant-coatings Mastic and intumescent fire-resistant coatings (1705.14)
exterior-insulation-finish-systems Exterior insulation and finish systems (EIFS) (1705.15)
fire-resistant-penetrations-joints Fire-resistant penetrations and joints (1705.16)
smoke-control Special inspection for smoke control (1705.17)
Field Report Requirement
Requirement: All field reports shall be submitted to the Department of Building and Safety on a weekly basis.
Certification
This certifies that the above information is correct.
Special Inspector Signature Print Name Photocopies Required
Submit photocopies of the following items with this application.
Current drivers license ICC certification cards Other certifications Current resume (can be faxed if none available) For Office Use Only Approved Date
All of the above information will be reviewed and approved by the Department of Building and Safety prior to inspections.
City of Palm Desert Department of Building and Safety - Special Inspector Project Application.
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