Job Site Forms to be Completed During the Inspection Process

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SPECIAL INSPECTION DISCREPANCY NOTICECounty of Orangeburg Permit No:____________ Date:____________________Project Name/Address _________________________________________________________Inspection Type(s)/Coverage______________________________________________________( ) Continuous ( ) Periodic; Frequency: ___________________Notice delivered to:( ) Contractor ( )Engineer/Architect ( ) Building DepartmentThe following discrepancies require correction and inspection approval prior to proceeding withthis phase of the work:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Signed:___________________________Print full name:____________________Inspection Agency:_____________________ID Number____________________________DO NOT REMOVE THIS NOTICEPost with building permit inspection record card
SPECIAL INSPECTION FINAL REPORTCounty of Orangeburg Permit No:_____________ Date:______________Attention:___________________________Project Name/Address:_____________________________________________________________________________________________________________________In accordance with Section 1704 of the International Building Code, special inspection has beenprovided for the following items:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Based upon inspections performed and our (my) substantiating reports, it is our (my) professionaljudgment that, to the best of our (my) knowledge, the inspected work was performed inaccordance with the approved plans, specifications and applicable workmanship provisions of theInternational Building Code.Signed:______________________Print full name:________________Inspection Agency:_______________________ID Number______________________________Or Agency Responsible Engineer’s stamp:Cc: Client/Project OwnerEngineer/Architect

Job Site Forms to be Completed During the Inspection Process

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