PRINCE WILLIAM COUNTY

Department of Development Services – Building Development Division

STATEMENT OF SPECIAL INSPECTIONS
(Building/Other Structures other than Retaining Walls)
Version 2020_0623

Building Permit Number: BLD20 - VUSBC Edition:

Project Name: JPMC Heathcote Marketpalce Group: B Construction Type: V-B

Project Address: 14990 Heathcote Blvd. Haymarket, VA 20169

Building Owner’s Name: JP MORGAN CHASE BANK, N.A. Contact: DON REED

Owner’s Address: 10 S DEARBORN ST 15TH FLOOR CHICAGO, IL 60603

Architect of Record: Christopher Kirschner / 0401019662 / BDG ARCHITECTS

Name & License Company
Structural Engineer of Record: Jennifer Zabik / 0402058234 / HEES & ASSOCIATES + BENNETT & PLESS, INC.
Name & License Company
Geotechnical Engineer of Record:
Name & License Company
Mechanical Engineer of Record: Bruce Branscum / 0402052105 / INTERTECH DESIGN SERVICES INC.
(Smoke Control Systems Only) Name & License Company
Special Inspections Engineer of Record:
Name & License Company
Inspection and testing Agency:
Company Address
General Contractor:
Name & License Company
Others:
Responsible Party Name & License Company

This Statement of Special Inspections is submitted as a condition for permit issuance in accordance with the Virginia Uniform Statewide Building
Code. The Special Inspections Schedule is an integral part of the Statement of Special Inspections.

The Special Inspections Engineer of Record shall keep records of specified special inspections and testing and shall furnish copies of inspection and
testing reports to the Prince William County Special Inspections Section (PWCSIS) and to the appropriate Registered Design Professional(s) of
Record (RDPR), (e.g. the SER for building structural elements, MER for smoke control system, AR for EIFS and SFRM). Discrepancies from the
approved plans and specifications and code violations observed during the conduct of special inspections services shall be brought to the immediate
attention of the Contractor for correction, to the attention of PWCSIS, and to the RDPR. A Final Report of Special Inspections, documenting
completion of specified special inspections, correction of any discrepancies and observed code violations shall be submitted to and approved by
PWCSIS prior to the building concealment inspection by the Building Construction Inspections Branch.

Prepared by:
Signature & Date By checking this box, I agree to electronically signing this form.
Reviewed and Approved by:
Structural Engineer of Record: Jennifer Zabik 11/04/24
Signature & Date By checking this box, I agree to electronically signing this form.

Architect of Record (EIFS, SFRM, Mastic & Intumescent applications Only)

Signature & Date By checking this box, I agree to electronically signing this form.

Mechanical Engineer of Record (Smoke Control Systems Only) Bruce C. Branscum 10/24/24
Signature & Date ✔ By checking this box, I agree to electronically signing this form.

Building Owner’s Authorization:

Signature & Date By checking this box, I agree to electronically signing this form.

Building Official’s Acceptance:

Building Plan Reviewer Special Inspections Reviewer

Statement of Special Inspections Page 1 of 10 Version 2020_0623
Building Development Division. 5 County Complex Court, Prince William, VA, 22192. 703-792-6930. www.pwcgov.org/BDD
 SPECIAL INSPECTIONS SCHEDULE Building Permit Number: BLD20_____- __________
REQUIRED VERIFICATION AND INSPECTION Inspections Start Date Completion
Task, Verification and Inspection Frequency Of Inspections Reference Criteria By of Date of
Continuous Periodic Ref. Std. IBC Ref. Inspection Inspection
A. ✔ SOILS 1705.6 SIER
1. ✔ Controlled fill placed under Site Permit
(Submit Building Pad Certification in
accordance with Building Development — —
Division’s Policy 1.4, Building Pad
Certification)
2. ✔ Controlled fill placed under this Building
X —
Permit
3. ✔ Verify materials below shallow
foundations are adequate to achieve the — X
design bearing capacity.
4. ✔ Verify excavations are extended to proper
— X
depth and have reached proper material.
5. ✔ Perform classification and testing of
— X
compacted fill materials.
6. ✔ Verify use of proper materials, densities
and lift thicknesses during placement and X —
compaction of compacted fill.
7. ✔ Prior to placement of compacted fill,
observe subgrade and verify that site has — X
been prepared properly.
8. Verify installation of Drain tile (Gravity/
— X
Mechanical)
B. ✔ CONCRETE CONSTRUCTION 1705.3 SIER
1. ✔ Inspection of reinforcing steel and
ACI 318:
placement, including prestressing — X 1910.4
3.5, 7.1-7.7
tendons.
2. Inspection of reinforcing steel welding in AWS D1.4
accordance with Table 1705.2.2, Item 2b of — — ACI 318:
this schedule of inspections. 3.5.2
3. ✔ Inspection of anchors cast in concrete
ACI 318: 1908.5
where allowable loads have been increased X
8.1.3, 21.2.8 1909.1
or where strength design is used.
4. ✔ Inspection of anchors post-installed in ACI 318:
hardened concrete members. — X 3.8.6, 8.1.3, 1909.1
21.2.8
5. ✔ Verifying use of required design mix. ACI 318: 1904.2,
— X Ch. 4, 5.2- 1910.2,
5.4 1910.3

Statement of Special Inspections Page 2 of 10 Version 2020_0623

Building Development Division. 5 County Complex Court, Prince William, VA, 22192. 703-792-6930. www.pwcgov.org/BDD
 SPECIAL INSPECTIONS SCHEDULE Building Permit Number: BLD20______- __________
REQUIRED VERIFICATION AND INSPECTION Inspections Start Date Completion
Task, Verification and Inspection Frequency Of Inspections Reference Criteria By of Date of
Continuous Periodic Ref. Std. IBC Ref. Inspection Inspection
B. ✔ CONCRETE CONSTRUCTION
Continued. SIER
6. ✔ At the time fresh concrete is sampled to ASTM C
fabricate specimens for strength tests, 172
perform slump, air content tests, and X — ASTM C 31 1910.10
determine the temperature of the concrete. ACI 318:
5.6, 5.8
7. ✔ Inspection of concrete and shotcrete 1910.6,
ACI 318:
placement for proper application X — 1910.7,
5.9, 5.10
techniques. 1910.8
8. ✔ Inspection for maintenance of specified ACI 318:
— X 1910.9
curing temperature and techniques. 5.11-5.13
9. Inspection of prestressed concrete:
9a. Application of prestressing forces. X ACI 318:
— 18.20 —

9b. Grouting of bonded prestressing tendons ACI 318:

— —
in the seismic-force-resisting system. X 18.18.4
10. Verification of in-situ concrete strength,
prior to stressing of tendons in post-
ACI 318:
tensioned concrete and prior to removal of — X —
6.2
shores and forms from beams and
structural slabs.
11. ✔ Inspect formwork for shape, location and
ACI 318:
dimensions of the concrete member being — X
6.1.1
formed, shoring and reshoring.
12. Precast/Tilt-Up Concrete Panel elements
12a. Erection of precast concrete members ACI 318:
— X
Chap. 16
12b. Verify that manufacturer of precast
structural elements is under the
ACI 318:
supervision of a registered design — X
Chap. 16
professional and plant maintains detailed
quality control procedures.
12c. Manufacturer is PCI/NPCA Certified. X
12d. Fabrication of Tilt-Up Concrete Panel
— X
members
12e. Erection of Tilt-Up Concrete Panel
— X
members
Others
13.
14.
15.
Statement of Special Inspections Page 3 of 10 Version 2020_0623
Building Development Division. 5 County Complex Court, Prince William, VA, 22192. 703-792-6930. www.pwcgov.org/BDD
 SPECIAL INSPECTIONS SCHEDULE Building Permit Number: BLD20______- __________
REQUIRED VERIFICATION AND INSPECTION Inspections Start Date Completion
Task, Verification and Inspection Frequency Of Inspections Reference Criteria By of Date of
Continuous Periodic IBC TMS 402/ACI TMS 602/ACI Inspection Inspection
Ref 530/ASCE 5 530.1/ASCE 6
C. ✔ MASONRY CONSTRUCTION -
LEVEL 1 1705.4 SIER
1. ✔ Verify compliance with the approved
— X — — Art. 1.5
submittals
2. ✔ Verification of f'm and f'AAC prior to
construction except where specifically — X — — Art. 1.4B
exempted by the code.
3. ✔ Verification of slump flow and VSI as
delivered to the site for self-consolidating X — — — Art. 1.5B.1.b.3
grout.
4. ✔ As masonry construction begins, verify
that the following are in compliance:
4a. ✔ Proportions of site-prepared mortar. — X — — Art. 2.6A
4b. ✔ Location of reinforcement, connectors, and
— X — — Art. 3.4, 3.6A
prestressing tendons and anchorages.
4c. Prestressing technique. — X — — Art. 3.6B
4d. Grade and size of prestressing tendons and Art. 2.4B,
— X — —
anchorages. 2.4H
5. ✔ Verify during construction:
5a. ✔ Size and location of structural elements. — X — — Art. 3.3F
5b. ✔ Type, size and location of anchors,
including other details of anchorage of Sec. 1.16.4.3,
— X — —
masonry to structural members, frames or 1.17.1
other construction.
5c. Welding of reinforcing bars. Sec. 2.1.7.7.2,
X — — 3.3.3.4(c), —
8.3.3
5d. ✔ Preparation, construction and protection of
masonry during cold weather (temperature Art. 1.8C,
— X 2104.4 —
below 40°F) or hot weather (temperature 1.8D
above 90°F).
5e. Application and measurement of
X — — — Art. 3.6B
prestressing force.
5f. ✔ Placement of grout, and
Art. 3.5, Art.
Prestressing grout for bonded tendons X — — —
3.6C
is in compliance.

Statement of Special Inspections Page 4 of 10 Version 2020_0623

Building Development Division. 5 County Complex Court, Prince William, VA, 22192. 703-792-6930. www.pwcgov.org/BDD
SPECIAL INSPECTIONS SCHEDULE Building Permit Number: BLD20______- __________
REQUIRED VERIFICATION AND INSPECTION Inspections Start Date Completion
Task, Verification and Inspection Frequency Of Inspection Reference Criteria By of Date of
Inspection Inspection
Continuous Periodic IBC TMS 402/ACI TMS 602/ACI
Ref. 530/ASCE 5 530.1/ASCE 6
C. ✔ MASONRY CONSTRUCTION -
LEVEL 1 Continued. 1705.4 SIER
6. ✔ Prior to grouting, verify the following
are in compliance:
6a. ✔ Grout space is clean.
— X — — Art. 3.2D, 3.2F
6b. ✔ Grade, Type and size of reinforcement
and anchor bolts, and, prestressing — X — Sec. 1.16 Art. 2.4, 3.4
tendons and anchorages.
6c. ✔ Placement of reinforcement and
Art. 3.4E, 3.4,
connectors, and prestressing tendons — X — Sec. 1.16
3.6A
and anchorages.
6d. ✔ Proportions of site-prepared grout and
— X — — Art. 2.6B
Prestressing grout for bonded tendons.
6e. ✔ Construction of mortar joints. — X — — Art. 3.3B

7. ✔ Observe preparation of grout specimens, Sec. Art. 1.4B.2a.3,

mortar specimens and/or prisms. 2105.2. 1.4B.2.b.3,
— X —
2, 1.4B.2.c.3,
2105.3 1.4B.3, 1.4B.4
8.

D. MASONRY CONSTRUCTION -
LEVEL 2 1705.4 SIER
1. Verify compliance with the approved
— X — — Art. 1.5
submittals.
2. Verification of f'm and f'AAC prior to
construction and for every 5,000 square — X — — Art. 1.4B
feet during construction.
3. Verification of proportions of materials in
premixed or pre-blended mortar and grout — X — — Art. 1.5B
as delivered to the site.
4. Verification of slump flow and VSI as
delivered to the site for self-consolidating X — — — Art. 1.5B.1.b.3
grout.

Statement of Special Inspections Page 5 of 10 Version 2020_0623

Building Development Division. 5 County Complex Court, Prince William, VA, 22192. 703-792-6930. www.pwcgov.org/BDD
 SPECIAL INSPECTIONS SCHEDULE Building Permit Number: BLD20______- _________
REQUIRED VERIFICATION AND INSPECTION Inspections Start Date Completion
Task, Verification and Inspection Frequency Of Inspection Reference Criteria By of Date of
Verification And Inspection Continuous Periodic IBC TMS 402/ACI TMS 602/ACI Inspection Inspection
Section 530/ASCE 5 530.1/ASCE 6
D. MASONRY CONSTRUCTION -
LEVEL 2 – Continued. 1705.4 SIER
5. Verify that the following are in
compliance:
5a. Proportions of site-prepared mortar, grout
Art. 2.1, 2.6A-
and prestressing grout for bonded — X — —
C, 2.4G.1.b
tendons.
5b. Grade, Type and size of reinforcement
and anchor bolts, and, prestressing — X — Sec. 1.16 Art. 2.4, 3.4
tendons and anchorages.
5c. Placement of masonry units and
— X — — Art. 3.3B
construction of mortar joints.
5d. Placement of reinforcement, connectors
Art. 3.2E,3.4,
and, prestressing tendons and — X — Sec. 1.16
3.6A
anchorages.
5e. Grout space prior to grouting.
X — — — Art. 3.2D, 3.2F
5f. Placement of grout and prestressing
Art. 3.5, Art.
grout for bonded tendons. X — — —
3.6C
5g. Size and location of structural elements.
— X — — Art. 3.3F
5h. Type, size and location of anchors,
including other details of anchorage of Sec., 1.16.4.3,
X — — —
masonry to structural members, frames or 1.17.1
other construction.
5i. Specified size, grade and type of
reinforcement, anchor bolts and — X — Sec. 1.15 Art. 2.4, 3.4
Prestressing tendons and anchorages.
5j. Welding of reinforcing bars. Sec. 2.17.7.2,
X — — —
3.3.3.4 (b), (c).
5k. Preparation, construction and protection
of masonry during cold weather Art. 1.8C,
— X —
(temperature below 40°F) or hot weather 1.8D
(temperature above 90°F).
5l. Application and measurement of
X — — — Art. 3.6B
prestressing force.
6. Observe preparation of grout specimens, Art. 1.4B.2a.3,
and/or prism. 1.4B.2.b.3,
X — —
1.4B.2.c.3,
1.4B.3, 1.4B.4
Statement of Special Inspections Page 6 of 10 Version 2020_0623
Building Development Division. 5 County Complex Court, Prince William, VA, 22192. 703-792-6930. www.pwcgov.org/BDD
 SPECIAL INSPECTIONS SCHEDULE Building Permit Number: BLD20______- _________
REQUIRED VERIFICATION AND INSPECTION Inspections Start Date Completion
Task, Verification and Inspection Frequency Of Inspections Reference Criteria By of Date of
Continuous Periodic Ref. Std. IBC Ref. Inspection Inspection
E. ✔ STRUCTURAL STEEL 1705.2.1 SIER
1. ✔ Structural Steel AISC 360,
Structural steel inspections shall be in Chapter N
accordance with the quality assurance
inspection requirements of AISC 360
2a. ✔ Verify that fabricator AISC Certified 1704.2
2b. ✔ Verify that fabricator maintains detailed
1704.2
fabrication and quality control procedures
3. Fabricator is certified with International
Accreditation Service for Pre-engineered 1704.2
metal Buildings.
4. ✔ Material verification of cold-formed steel
1705.2.2
deck:
4a. ✔ Identification markings to conform to Applicable
ASTM standards specified in the approved ASTM
— X
construction documents. material
standards
4b. ✔ Manufacturer’s certified test reports.
— X
5. ✔ Inspection of welding: 1705.2.2.1
5a. ✔ Cold-formed steel deck: 1705.2.2.1.2
5b. ✔ Floor and roof deck welds. — X AWS D1.3
6. ✔ Reinforcing steel: 1705.2.2.1.2
6a. ✔ Verification of weldability of reinforcing
— X
steel other than ASTM A 706.
6b ✔ Reinforcing steel resisting flexural and
AWS D1.4
axial forces in intermediate and special
ACI 318:
moment frames, and boundary elements of X — —
Section
special structural walls of concrete and
3.5.2
shear reinforcement.
6c. ✔ Shear reinforcement. X —
6d. ✔ Other reinforcing steel. — X
7. Cold-formed steel trusses spanning 60ft 1705.2.2.2 SIER
or greater
7a. Verify that temporary installation
restraint/bracing is installed in accordance
with the approved truss submittal package.
7b. Verify that permanent installation of
individual truss member restraint/bracing
is installed in accordance with the
approved truss submittal package.
Statement of Special Inspections Page 7 of 10 Version 2020_0623
Building Development Division. 5 County Complex Court, Prince William, VA, 22192. 703-792-6930. www.pwcgov.org/BDD
 SPECIAL INSPECTIONS SCHEDULE Building Permit Number: BLD20_____- ________
REQUIRED VERIFICATION AND INSPECTION Inspections Start Date Completion
Task, Verification and Inspection Frequency Of Inspections Reference Criteria By of Date of
Continuous Periodic Ref. Std. IBC Ref. Inspection Inspection
F. DRIVEN DEEP FOUNDATION ELEMENTS 1705.7 SIER
1. Verify element materials, sizes and lengths
X —
comply with the requirements.
2. Determine capacities of test elements and
X —
conduct additional load tests, as required.
3. Observe driving operations and maintain
X —
complete and accurate records for each element.
4. Verify placement locations and plumbness,
confirm type and size of hammer, record number
of blows per foot of penetration, determine
X —
required penetrations to 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 IBC Section on — — 1705.2
steel construction.
6. For concrete elements and concrete-filled
elements, perform additional inspections in
— — 1705.3
accordance with IBC section on concrete
construction.
7. For specialty elements, perform additional
inspections as determined by the registered — —
design professional of record.
G. CAST-IN-PLACE DEEP FOUNDATION 1705.8 SIER
ELEMENTS
1. Observe drilling operations and maintain
complete and accurate records for each element. X —
Specify element :_____________
2. Verify placement locations and plumbness;
confirm element diameters, bell diameters (if
applicable), lengths, embedment into bedrock (if X —
applicable) and adequate end-bearing strata
capacity. Record concrete or grout volumes.
3. For concrete elements, perform additional
inspections in accordance with IBC section on — — 1705.3
concrete construction.
4. For steel elements, perform additional 1705.2
inspections in accordance with IBC section on
steel construction.

Statement of Special Inspections Page 8 of 10 Version 2020_0623

Building Development Division. 5 County Complex Court, Prince William, VA, 22192. 703-792-6930. www.pwcgov.org/BDD
 SPECIAL INSPECTIONS SCHEDULE Building Permit Number: BLD20____- _________
REQUIRED VERIFICATION AND INSPECTION Inspections Start Date Completion
Task, Verification and Inspection Frequency Of Inspections Reference Criteria By of Date of
Continuous Periodic Ref. Std. IBC Ref Inspection Inspection
H. HELICAL PILE FOUNDATIONS 1705.9 SIER
X
(Helical Piers)
I. VERTICAL MASONRY FOUNDATION 1705.2, SIER
ELEMENTS (Defined as Foundation X 1704.5,
piers – Chap 21) Chap. 21
J. SPRAYED FIRE-RESISTANT 1705.13 SIER
MATERIALS – Special Inspections shall
be performed after the rough installation of
electrical, automatic sprinkler, mechanical
and plumbing systems and suspended
systems for ceilings, where applicable.
1. Verify structural member surface conditions — X 1705.13.2
2. Verify application of materials per X X 1705.13.3
manufacturer’s instructions
3. Verify thicknesses and density of applied — X 1705.13.4
materials 1705.13.5
4. Verify the bond strength of applied — X 1705.13.6
materials
5. Verify Condition of finished application. 1705.13
K. MASTIC AND INTUMESCENT FIRE- AWCI 12-B 1705.14 SIER
RESISTANT COATINGS
1. Verify structural elements/deck surface — X
conditions
2. Verify application of materials per X X
manufacturer’s instructions
L. EXTERIOR INSULATION AND 1705.15 SIER
FINISH SYSTEMS (EIFS)
1. Installed per County approved construction — —
documents
2. Water-resistive Barrier Coating
complying with ASTM E 2570 installed
over a sheathing substrate
M. SMOKE CONTROL SYSTEMS 1705.17 SIER
1. Compliance with required inspection
provisions of the construction documents — —
and the approved submittals shall be
verified.
2. Please submit a detailed scope of services,
including a protocol of inspections to
comply with 1705.17

Statement of Special Inspections Page 9 of 10 Version 2020_0623

Building Development Division. 5 County Complex Court, Prince William, VA, 22192. 703-792-6930. www.pwcgov.org/BDD
SPECIAL INSPECTIONS SCHEDULE Building Permit Number: BLD20____- _________
REQUIRED VERIFICATION AND INSPECTION Inspections Start Date Completion
Task, Verification and Inspection Frequency Of Inspections Reference Criteria By of Date of
Continuous Periodic Ref. Std. IBC Ref Inspection Inspection
N. WOOD CONSTRUCTION 1705.5 SIER
1. Verify fabrication of wood structural elements 1704.2.5
and assembly
1a. Verify fabrication of wood structural element. X
Specify element: ________________________
1b. Verify the assembly of structural elements X
1c. Verify fabrication of site-built assemblies. X X
2. High-Load Diaphragms designed in 1705.5.1, SIER
accordance with Table 2306.2.1(2) 2306.2.1(2)
2a. Verify grade and thickness of wood structural X
panel sheathing as shown on the approved
building plans.
2b. Verify the nominal size of framing members at X
adjoining panel edges, the nail or staple diameter
and length, the number of fastener lines and the
spacing between fasteners in each line and edge
margins per approved building plans.
3. Metal-plate-connected wood trusses spanning 1705.5.2 SIER
60ft or greater
3a. Verify that temporary installation X
restraint/bracing is installed in accordance
with the approved truss submittal package.
3b. Verify that permanent installation of X
individual truss member restraint/bracing is
installed in accordance with the approved
truss submittal package.
O. SPECIAL CASES AS REQUIRED BY SIER
THE BUILDING OFFICIAL
1.

2.

3.

4.

5.

At the time of these inspection, all items inspected were in accordance with the County approved building plans and the Virginia Uniform Statewide
Building Code; a copy of the required building permit was posted on the construction site. Additionally, the erosion control devices were properly installed
and maintained; or the department of Public Works was notified within one business day of the erosion control deficiency in accordance with Policy 1.16
Third Party Inspection Certification Program.

Statement of Special Inspections Page 10 of 10 Version 2020_0623

Building Development Division. 5 County Complex Court, Prince William, VA, 22192. 703-792-6930. www.pwcgov.org/BDD