1426_001.pdfSPECIAL INSPECTION AND TESTING AGRAEMENT
Permit #:
P ect:Potter Retai Wall
lr'/ cLt
Príor ro issuance of ø permít, thislbrm must be completed in its entírety ønd returned to the Cíty¡br
approvøL The completedform must have signatures of acknowledgment by all parlies.
DUTIES AND RESPONSIBILITItrS
Snecial Insnection Sirm and Soecial Insnectors¡
The Special Inspeotion firm of
will perform special inspection
one firm is to be employed):
/lc,
for the following types of work (separate forms must be submitted if than
_Reinforced Concrete
_Bolting in Concrete
Prestressed Concrete
Shotcrete
_Structural Masonry
Structural Stoel/Welding
_High Strength Bolting
_Spray applied Fireproofi ng
Smoke Control Systems
Lateral Wood
*X_Structural Observation by design professional
*X_Grading/SoilsÆrosion Control
_X_Other Retaining Wall Construction_
Other
All individual inspectors to be employed on this project will be WABO certified for the type of work they are to
inspect. If inspection is for work thdt is not covered by the WABO categories, or the inspector is not rilABO
certified, a detailed resume of the inspector and firm must be submitted. The resume must show that the
inspeotor and the firm are qualified by education and experience to perform the work and testing required by the
project design and specifications.
The work shall be inspected for conformance with the plans and specifications approved by the Cþ. Revisions
and addenda sheets will not be used for inspection, unless they have been approved by the Cþ. Inspection
records shall include:
A daily record to be maintained on site, itemizing the inspections performed. Any nonconforming work
shall be brought to the immediate attention of the contractor for resolution.
A weekly report shall be submitted to the City; detailing the inspections and testing performed, listing
any nonconforming work and resolution of nonconforming items.
A final report shall be submitted to the building department prior to the Certificate of Occupancy being
issued. This report will indicate that inspection and testing was completed in conformance with the
approved plans, specifications and approved revisions or addenda. Ày unresolvea diSlS{${tts
be detailed in the final report.
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Contracton
The contractor shall provide the special inspector or agency adequate notifrcation ofw'ork requiring inspection,
The City approved plan and specitTcations must be made available, at the jobsite for the use of the special
inspector and the City inspector. The conhactor shall ¡naintain all daily inspection repons, on site, for review b1,
all parties.
The special inspection functions are conside¡ed to be in addition lo tl¡e normal inspections performed by the City
and the cotrhactor is responsible for contacting the City to schedule regular inspections. No concrete shalt be
poured or other rvork covered until approval is given by the City inspector.
Builfling De¡r¿rturellt:
The building deparnnent shall review any revisions and addenda. The Citv inspector will monitor the special
inspection functions for cornpliance with the agreement and the approved plans. The City inspector shall be
responsible for approving various stages of construction to be covered and for work to proceed.
Dtrsign llrof'cssio¡lals :
The architect and/or cngineer will clearly indicate on the plans and specifications the specific types of special
inspcction rcquired and shall include a schedule for inspection and testing. The architect andlor engi¡eer rvill
coordinate their revision and addenda process in such a way as to ensule that all rcquired City apprÀvals are
obtained, prior to rvork shown on the revisions being performed in the fîeld.
Owper:
The project owner! or the architect or engineer acting as the olvners agent, shall employ the special inspector or
4öur rry.
ENFORCEMENT
A fäilure of the special inspector or firm to perform in keeping with the requiremenrs of the tBC, the approved
plans and this document, may void this agreement and the Building Offìcial's approval of thc special inspector
In such a case a nerv special inspector ancUor firm woL¡ld need to be proposed for approval. A failure of ihe
design and/or construction parties to perfbrm in accordance with this agreement may result in a STOF WORK-
notice being posted on the project until nonconforming items have been resolyecl,
ACKNOWLEDGMENTS
I havc read and agree to comply with the terrns and ct'r¡lcl it itrns+¡ I'this âgreement.
owner: CY¡{Ti* r Ä S igrrtl
-..Si.unarrlre _,
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Date: 6/13/19.. ",Ff"?tq4*Fo S,fJ'gF{ & c o n st
Arch /Eng:,!q* t{'&1l:æJf<l*,1
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Sigrr*turr":Special Insp
ACCEPTED
Special Insp. 4gcnc¡fru" '
CITY OF ËDMONDS BUII,DING DIVISIOì\
Bvl Date