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20070801122035.pdfu::cavx Y City of Edmonds Plan Review Corrections Plan Check # Z 00 7 —OZ? Date e e 7 Project Name/Address /c7(e91® Contact Person/Address 7 76 SjSk/ Department: Building d Engineering ❑ Planning ❑ Fire ❑ Public Works ❑ Reviewer -T 7 /� 501A &ALA -1W o c t.n,I o eCl- 4e- AeQu,e- , -0-j 5�� - �t.�c d ,� dw - 1.9.,EIJ-c d OA/ ill eX ceec(SWcYr?1 C 1(17-7 &W^n /V-Jd fie_ 0'44 dt4 e - s -A rnx1,A4It m -e W-4 41 // \ ef64 1 - Submit - Submit 2 sets of revised plans/documents to the Permit Coordinator. ❑ Corrections may be made by red lining plans/documents on file with the City. DATE FAXED (Attach fax transmittal) PAGE OF CITY OF EDMONDS SPECIAL INSPECTION AND TESTING AGREEMENT PERMIT 9 &1) 2_007 -0?,? -6 DATE: PROJECT SITE ADDRESS: 7S-11 l 774 37-S hl PROJECT NAME: .7'4)tr_-s ai.'L'eOfJ eyr SF9 SPECIAL INSPECTION AGENCY *One form must be completed by each Special Inspection Agency or Inspector. SPECIAL INSPECTIONS REQUIRED: Special inspections are required for this project in accordance with IBC Chapter 17 or in accordance with IRC R109.2 as applicable. TBC Section 1704.1 requires the owner or the registered design professional in charge to employ an independent testing/inspection agency/special inspector to perform required special inspections. The independent agency hired to perform the duties of special inspection is required to be a registered agency with WABO under the Special Inspection Registration Program (SIRP). The special inspector shall be a qualified person with competence for inspection of the particular type of construction or operation requiring special inspection (SOQ may be required by the Building Official). The owner, registered professional, contractor and special inspector/agency shall complete the attached form and submit directly to the Building Division. WORK REQURING SPECIAL INSPECTION: Special inspections will be required for the following categories of work in accordance with IBC Chapter 17 and IRC R109.2: FOR SPECIFIC INFORMATION REGARDING REQUIRED SPECIAL INSPECTIONS SEE THE STATEMENT OF SPECIAL INSPECTION ❑ATTACHED ❑APPROVED PLAN SHEET ❑ Fabrication (1704.2) ❑ Wood Construction (1704.6) ❑ Steel Construction (1704.3) $.Soils (1704.7) ❑ Concrete (1704.4) ❑ Bolts installed in Concrete (1704.13) ❑ Special Moment Resisting Concrete Frames (1704.4) © Reinforcing Steel, Prestressing Steel Tendons (1704.4) ❑ Structural Welding (1704.3. 1) ❑ High Strength Bolting (1704.3.3) ❑ Masonry(1704.5) ❑ Reinforced Gypsum Concrete (1704.4) ❑ Structural Masonry for Seismic Resistance (1708.1) ❑ Structural Observation (1709) ❑ Insulating Concrete Fill (1704.4) ❑ Spray Applied Fire -Resistive Materials (1704.10) ❑ Piling, Drilled Piers, and Caissons (1704.8, 1704.9) ❑ Shotcrete (1704.4) ❑ Pier Foundations (1707.5) ❑ Structural Steel (1707.2) Grading, Excavation, Fill, Proof Rollin (1704.7) ❑ Smoke -Control Systems (1704.14) ❑ Exterior Insulation and Finish Systems (1704.12) ❑ Designated Seismic Systems (1707.9) ❑ Mechanical Components (1707.8) ❑ Cold Formed Steel Framing (1707.4) ❑ Storage Racks (1707.6) ❑ Architectural Components (1707.7) ❑ Structural Wood (1707.3) ❑ Special Cases (1704.13) ❑ Seismic Isolation System (1707.10) a ❑ Mastic, Intumescent Fire Resistant Coatings (1704.11) ❑ ❑ High Load Dia hra s (1704.6. 1) ❑ BEFORE A PERMIT CAN BE ISSUED: The owner and contractor and special inspector shall complete this agreement and the attached Special Inspection Information Form, including the required acknowledgements and return to the Building Division for approval prior to permit issuance. W:1BuildinglHANDOUT ICODESIFORMSISPECIAL INSPECTION AGREEMENT FORM.doc7/07 APPROVAL OF SPECIAL INSPECTORS: Each special inspector shall be approved by the Building Official prior to performing any duties or inspections. The company performing inspections must be WABO certified as well as the individual completing inspections. When required by the Building Official, each special inspector shall submit Statement of Qualifications to the City for review. Special inspectors shall display identification when performing special inspections on the project site. Special inspection and testing shall meet the minimum requirements of IBC Chapter 17 and the following: A. Duties and Responsibilities of the Special Ins ector 1. OBSERVE WORK The special inspector shall observe the site work for conformance with the approved (stamped) plans and specifications and applicable workmanship provisions of the IBC. Architect or Engineer reviewed shop drawings may be used only as an aid to inspection. Special inspections are to be performed on a continuous basis—meaning that the special inspector is on site at all times observing the work requiring special inspection. Periodic inspections are permitted only as specifically noted in the approved project plans in accordance with IBC Chapter 17, and as approved by the Building Official. Continuous Inspection means the same inspector is on site day to day to observe the work requiring special inspection. Periodic Inspection means some inspections may be performed on a periodic basis to satisfy the requirements of continuous inspection, provided these periodic inspections are performed as outlined in the project plans and specifications, and approved by the Building Official. 2. REPORT NONCONFORMING ITEMS The special inspector shall bring non -conforming items to the immediate attention of the contractor and note all such items in the daily field report. Any item not resolved in a timely manner shall be immediate cause of the special inspector to notify the Building Official by telephone at (425-771-0220) or in person at City Hall, of the plan deviation, error, change or omission. It shall also be the duty of the special inspector to promptly notify the engineer or architect of record. 3. DAILY REPORTS KEPT ON SITE WITH CONTRACTOR Each special inspector shall complete and sign a daily report for each day's inspections. The daily reports shall remain at the jobsite with the contractor for review by the City Building Inspector. 4. WEEKLY REPORTS TO CITY The special inspector or inspection agency shall furnish the City with weekly reports of tests and inspections. The project engineer or architect, and others as designated shall also be copied on reports. Weekly reports must include the following. • Description and date of daily inspections and tests made with applicable locations • List of all non -conforming items and locations • Report on status of non -conforming items (how each was resolved or unresolved) • Field changes authorized by the Architect, Engineer or City Inspector if not included in non-conformance items. W:1Bui1dinglHAND0UT ICODESIFORMSISPECIAL INSPECTION AGREEMENT FORM.&&/07 5. FINAL CONSTRUCTION REPORT The special inspector or inspection agency shall subunit a final signed report or Certificate of Compliance to the City stating that all items requiring special inspection and testing were fulfilled and reported. And, to the best of his/her knowledge the project is in conformance with the approved plans and specifications, approved change orders and the applicable workmanship provisions of the IBC. Items not in conformance, unresolved items or any discrepancies in inspection coverage (i.e., missed inspections, periodic inspection when continuous inspections were required, etc.) shall be specifically addressed in this report. B. Contractor Responsibilities 1. NOTIFY THE SPECIAL INSPECTOR OF ALL REQUIRED SPECIAL INSPECTIONS It is the duty of the contractor to notify the special inspector when work is ready for special inspection. Note, the items listed on the attached Special Inspection Information Form and as noted on the approved plans and specifications arc required to have special inspections. Adequate notice shall be provided by the contractor so that the special inspector has time to become familiar with the project. All work requiring special inspection must be approved prior to concealing or covering said work. 2. PROVIDE ACCESS TO APPROVED PLANS The contractor is responsible for providing the special inspector access to approved plans at the jobsite. 3. RETAIN SPECIAL INSPECTION RECORDS The contractor is responsible to retain at the jobsite all special inspection records submitted by the special inspector. These records are to be provided to the City building inspector upon request. C. City of Edmonds Building Division Responsibilities 1. APPROVE SPECIAL INSPECTION The Building Division shall approve all Special Inspectors and special inspection requirements. 2. MONITOR SPECIAL INSPECTIONS AND APPROVE WEEKLY REPORTS Work requiring special inspection and the performance of special inspectors shall be monitored by the City Building Inspector. Building Inspector approval must be obtained prior to placement of concrete or other similar activities in addition to that of the special inspector. 3. ISSUE CERTIFICATE OF OCCUPANCY The Building Official may issue a Certificate of Occupancy after all weekly special inspection reports including the final report have been submitted and accepted by the City. D. Owner Responsibilities 1. The project owner or the engineer or architect of record acting as the owner's agent shall fund special inspection services. E. Engineer or Architect of Record Responsibilities 1. Prepare Statement of Special Inspections in accordance with IBC Section 1705. 2. Review the special inspection reports and provide corrective action for work that may not conform to the approved plans. W;1Boildingl14ANDOUT ICODESIFORMSISPECIAL INSPECTION AGREEMENT FORM.doc7/07 ACKNOWLEDGEMENTS I have read and agree to comply with the terms and conditions of this agreement. Owner name (please print or type) Signature Date General Contractor Company/Owner name Signature Special Inspector/Agency name Signature (please print or type) Date (please print or type) Date Architect/Engineer of Record nam (please print or type) Signature Date Return the original signed agreement to the Building Division City of Edmonds Building Division 121 Sfh Avenue North, City Hall Second Floor Edmonds, WA 98020 ACCEPTED BY CITY OF EDMONDS BUILDING DIVISION: City Official Signature Title: Date WABuiIdingIHANDOUT ICODESIFORMSISPECIAL INSPECTION AGREEMENT FORM.60/07 SPECIAL INSPECTION AND TESTING SCHEDULE -7—M-7 PROJECT NAME BUILDING PERMIT NO. PROJECT ADDRESS TESTING/INSPECTION AGENCY or SPECIAL INSPECTOR REINFORCED CONCRETE, GUNITE, GROUT AND MORTOR: Concrete Gunite Grout Mortar PRECASTIPRESTRESSED CONCRETE: Piles Post -Tens Pre -Tens Cladding Aggregate Tests Reinforcing Tests Tendon Tests Mix Designs Reinforcing Placement Insert Placement Concrete Batching Concrete Placement Installation Inspection Cast Samples Pick-up Samples Compression Tests MASONRY: Special Inspection Stresses Used Preliminary Acceptance Tests (Masonry Units, Wall Prisms) Subsequent Tests (Mortar, Grout, Field Wall Prisms) Placement Inspection of Units FOUNDATION WORK: Soil Bearing Verification Subsurface Drainage Installation Foundation Drainage Installation Temporary Erosion Control Installation STRUCTURAL STEELIWELDING: Sample and Test (list specific members below) Shop Material Identification Welding Inspection ❑ Shop ❑ Field Ultrasonic Inspection ❑ Shop ❑ Field High -Strength Bolting Cl Shop ❑ Field Inspection ❑ A325 ❑N ©X OF ❑ A4sa Metal Deck Welding Reinforcing Steel Welding inspection Metal Stud Welding Inspection Concrete Insert Welding Inspection FIREPROOFING: Placement Inspection _ Density Tests _ Thickness Tests Inspect Batching INSULATING CONCRETE: Sample and Test _ Placement Inspection Unit Weights FILL MATERIAL: Acceptance Tests Aggregate Tests Field Density (Compaction) Proof Rolling Reinforcing Tests Final Site Grading STRUCTURAL WOOD: Shear Wall Nailing Inspection Mix Designs Inspection of Glu -lam Fab. Inspection of Truss Joist Fab. Reinforcing Placement Batch Plant Inspection Inspect Placing Cast Samples Pick-up Samples Compression Tests PRECASTIPRESTRESSED CONCRETE: Piles Post -Tens Pre -Tens Cladding Aggregate Tests Reinforcing Tests Tendon Tests Mix Designs Reinforcing Placement Insert Placement Concrete Batching Concrete Placement Installation Inspection Cast Samples Pick-up Samples Compression Tests MASONRY: Special Inspection Stresses Used Preliminary Acceptance Tests (Masonry Units, Wall Prisms) Subsequent Tests (Mortar, Grout, Field Wall Prisms) Placement Inspection of Units FOUNDATION WORK: Soil Bearing Verification Subsurface Drainage Installation Foundation Drainage Installation Temporary Erosion Control Installation STRUCTURAL STEELIWELDING: Sample and Test (list specific members below) Shop Material Identification Welding Inspection ❑ Shop ❑ Field Ultrasonic Inspection ❑ Shop ❑ Field High -Strength Bolting Cl Shop ❑ Field Inspection ❑ A325 ❑N ©X OF ❑ A4sa Metal Deck Welding Reinforcing Steel Welding inspection Metal Stud Welding Inspection Concrete Insert Welding Inspection FIREPROOFING: Placement Inspection _ Density Tests _ Thickness Tests Inspect Batching INSULATING CONCRETE: Sample and Test _ Placement Inspection Unit Weights FILL MATERIAL: Acceptance Tests Placement Inspection Field Density (Compaction) Proof Rolling Final Site Grading STRUCTURAL WOOD: Shear Wall Nailing Inspection _ Inspection of Glu -lam Fab. Inspection of Truss Joist Fab. Sample and Test Components MISC: Final Geotechnical Report X Winterization Measures ' W:1BuildingWANDOUT ICODESIFORMSISPECLAL INSPECTION AGREEMENT FORM.doc7/07 Additional Instructions on Other Tests and Inspections: W:1BuildinglHANDOUT ICODESIFORMSISPECIAL INSPECTION AGREEMENT FORM.doc7/07