HomeMy WebLinkAboutSpecial Inspector Application Form 2013CITY 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.
Date: City Project No.
Project Address:
Project Name: General Contractor:
Special Inspector Name:
Phone No: (work) (cell) (home)
Type of Special Inspection being provided for this project:
Inspection of fabricators (1704.2.5)
Special Cases (1705.1.1)
Steel construction / Welding / High-strength bolting (1705.2)
Concrete construction (1705.3)
Masonry construction (1705.4)
Vertical masonry foundation elements (1705.4.2)
Wood Construction (1705.5)
Soils (1705.6)
Driven deep foundation (1705.7)
Cast-in-place deep foundation (1705.8)
Helical pile foundations (1705.9)
Special inspection for wind resistance (1705.10)
Special inspection for seismic resistance (1705.11)
Testing and qualification for seismic resistance (1705.12)
Sprayed fire-resistant materials (1705.13)
Mastic and intumescent fire-resistant coatings (1705.14)
Exterior insulation and finish systems (EIFS) (1705.15)
Fire-resistant penetrations and joints (1705.16)
Special inspection for smoke control (1705.17)
* All field reports shall be submitted to the Department of Building and Safety on a weekly basis.
This certifies that the above information is correct.
Special Inspector Signature Print Name
PHOTOCOPIES:
___ Current drivers license
___ ICC certification cards
___ Other certifications
___ Current resume (can be faxed if none available)
ALL OF THE ABOVE INFORMATION WILL BE REVIEWED AND APPROVED BY
THE DEPARTMENT OF BUILDING AND SAFETY PRIOR TO INSPECTIONS
FOR OFFICE USE ONLY
Approved Date