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20081027135042.pdfF "'6 C. I 87 - City of Edmonds Development Services Department Build ing-Engineeri rig-Pianni ng 121 5th Avenue North •2"d Floor Edmonds, WA 98020 Phone: 425.771.0220 Fax: 425.771.0221 i�+rr`F 1rL, From: Date Transmitted: COVER PAGE Fax No:,1s; _ 3c7. No. of Pages: (including cover page.) If there are any problems during transmission or documents are received incomplete, please call 425. 771.0220 and ask for: L:Templ}ana/forms/DSFAX CITY OF EDMONDS SPECIAL INSPECTION AND TESTING AGREEMENT The project atliy A. J issued under building permit number —p. ?1 requires special inspection and/or testing per IBC Chapter 17. The complete list of special inspections is attached to this document. BEFORE A PERMIT CAN BE ISSUED: The owner and contractor and special inspector shall complete this agreement and the attached structural test(s) and inspections schedule including the required acknowledgements. APPROVAL OF SPECIAL INSPECTORS: Each special inspector shall be approved by the Building Official prior to performing any duties or inspections. Each special inspector shall submit Statement of Qualifications to the Building Official for review. Special inspectors shall display identification when performing special inspections on site. Special inspection and testing shall meet the minimum requirements of IBC Chapter 17 and the following. A. Duties and Responsibilities of the Special Inspector 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, if any, must have prior approval by the City based on a separate written plan reviewed and approved by the Building Official and the engineer or architect of record. 2. Report Non -conforming Items The special inspector shalt bring non -conforming items to the immediate attention of the contractor and note all such items in the daily field report. Any items not resolved in a timely manner shall be immediate cause of the special inspector to notify the Building Official 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. 3. Complete Daily Reports Each special inspector shall complete and sign both the special inspection record and the daily report form for each day's inspection. These records shall remain at the jobsite with the contractor for review by the City Building Inspector. 4. Furnish Weekly Reports 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 of daily inspections and tests made with applicable locations • List of all non -conforming items • Report on status of non -conforming items (resolved or unresolved) • Itemized changes authorized by the Architect, Engineer and City if not included in non- conformance items. 5. Furnish Final Construction Report The special inspector or inspection agency shall submit a final signed report to the City stating that all items requiring special inspection and testing were fulfilled and reported- And, to the best of L_VFEMP\BUILDINGISpeciallnspectionAgreementlBC_doe 7/44 his/icer 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 or unresolved items or any discrepancies in inspection coverage, (Le-, missed inspections, periodic inspection when continuous inspections were required, etc.) shall be specifically itemized in this report. B. Contractor Responsibilities 1. Notify the Special Inspector 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 schedule and as noted on the approved plans and specifications are 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. .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 Department Responsibilities 1. Approve special inspectors or inspection agencies The building department shall approve all special inspectors and special inspection requirements. 2. Monitor special inspection and approve weekly reports Work requiring special inspection and the performance of special inspectors shall be monitored by the City Building Inspector. His/Her 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. D. Owner Responsibilities The project owner or the engineer or architect of record acting as the owner's agent shall fund special inspection services. E. Enj�ineer_o_r_ Architect of Record Responsibilities The engineer or architect of record shall include special inspection requirements on the plans and specifications. ACKNOWLEDGEMENTS I have read and agree to comply with the terms and conditions of this agreement. Owner Date Special Inspector Date General Contractor Date City Building Official Date L_1TEMPIBUILDING1SpeciaiInspectionAgreementlBC_doe 7104 SPECIAL INSPECTION AND TESTING SCHEDULE ]'RQTLCrNAMf - tSt7tLDS'AGPEit►itt'Nt7 etttatECTADDRUs AGEPW-1r"SPEt,AC1NSPECWR REINFORCED CONCRETE, GUNITE, GROUT AND MORTAR: Contrite Granite Groot Mortar Tests R Tests Mix Designs Pcinforcing Placemcm Batch Plant LessMmon cast PRECAST/PRESTRESSED CONCRETE: IV Tats Aggrtgatc Tests Reinforcing Tests Tendon Tests Mix Dcsivns Reinforcing Placctrtcnt Insert Ptwcmcnt Concrete Placement Installation Inscpctii Cast S3MDIe5 Tests MASONRY: Special Inspection Sutsses Used — Preliminary Acceptance Tuts (Masonry Units. Wall Prisms) — Subsequent Tests (Mont. Grout. Fidd Wail Prismsf — Placement Inspection of Units STRUCTURAL STEELIWELDING: — Sample and lest (fist speeiftc members below) — Shop Material Identification Welding IFIV-san 0 Shap © Field _ Ultrasonic Inspeaton ❑ Sinop p Field — Iligb-sucugth Bolting inspcetion O Shop O Fwtd DA325 ON Ox pF D A490 _.._ Metal Duk Welding Inspection Reinforcing Steel Welding Inspection — Metal Stud Welding Inspection — Concrete Insert Welding Inspection FIREMWOFING: — PlaccsntntInspection — Density Tests — Thickness Tests — Inspect Batching INSULATING CONCRETE: — Sample and Tcw — Placement Inspection — Unit Weights FILL MATERIAL: Acceptance Tests — Placement Inspection — Field Density STRUCTURAL WOOD: — Sheat Wali Nailing Inspection — Inspection of Glu -lam Fab. — Inspection of Truss Joist Fab. ADDITIONAL INSTRUCTIONS OR OTHER TESTS — Sample and Test Components AND INSPECTIONS: Farm completed by_ Tckphonc No-: _„_ Titk: Date: NO- - -/,W� 62E?�)77E-C-- ate-- ��