20130715094007910.pdfEM AT
SP CIAIJ INSPECT".10N ANDTESTINC'r A('"'RE., E
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ii Permit #:
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Prior to issuallee of as Permit, this firm must be completed in its endrety and rehirned to the City fir
approvaL The completedfirm must have signatures ofacknolviedgment by allpardes.
DUTIES AND RE, SPONSIBELITIES
The Special Inspection firm of
q_9 will perform special
iwipot:.Aionfor 1ho following, lylwii of work (iopnratc forins Irl
UNI bc, .1,"Ibmitted if more than one firm is to be
employed):
_..)(Reinforced Concrete
Bolting in Concrete
Prestressed Concrete
Shotcrete
—Structural Masonry
V
lj,, Structural Steel/Welding
Y_High Strength Bolting
--Spray applied Fireproofing
Smoke Control Systems
_%,.Lateral Wood
_%,.Struclural Observation by design professional
Grading/soils
J, Other. ;J I
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 that is not covered by the WADO categories, or the inspector is not WABO
certified, a detailed resume of the inspector and firm must be submitted, The resume must show that the
inspector 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 conforniance with the plans and specifications approved by the City. Revisions
and addenda sheets will not be used for inspection, unless they have been approved by the City. Inspection
records shall include:
A daily record to be maintained on site, itemizing the inspections perfornied. 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 conformatice witli the
approved plans, specifications and approved revisions or addenda. Any unresolved discrepancies must
be detailed in the final report,
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Contractor:
The contractor shall provide the special inspector or agency adequate notification of work- requiring inspection,
he City approved plan and specifications must be, made available, at the, jobsite for the use of the special
inspector and the City inspector. The contractor sha 11 maintain all daily inspection reports, on site, for review by
all parties.
The special inspection functions are considered to be in addition to the non-Ral inspections performed by the City
and the contractor is responsible for contacting the City to schedule regular inspections, No concrete shall be
poured or other work covered until approval is given by the City inspector,
The building department shall review any revisions and addenda, The City inspector will monitor the special
inspection functions for compliance 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.
Re. Aifl—p—r of 08 S —io n-111 —S.
The architect and/or engineer will clearly indicate on the plans and specifications the specific types of special
inspection required and shall include a schedule for inspection and testing. The architect and/or engineer will
coordinate their revision and addenda process in such a way as to ensure that all required City approvals are
obtained, prior to work shown on the revisions being performed in the field,
Owner:
The project owner, or the architect or engineer acting as the owners agent, shall employ the special inspectol. or
,agency,
ENFORCEMENT
A failure of the special inspector or firm to perform in keeping with the requireirionts of the IBC, the approved
plans and this document, may void this agreement and the Building Official's approval of Clio special inspector.
In such a case a new special inspector and/or firm would need to be proposed for approval. A failure of the
design and/or construction parties to perform in accordance with this agreement may result in a S'l'OP WORK,
notice being posted on the projecl, until nonconforming Iterns have been resolved,
ACICNOWLEDGMENTS
I have read and agree to comply with the terms and conditions of' this agreement,.
Owner: Oje S r kNSigiiatoc D,ate
Contractor: Wdiael Sloane Signature.
'S'pe,oiallimp.
Special Insp. Agency ( � "�(' t � � f , , , �
ACCEPTED FOR THE CITY OF EDMONDS BUILDMG DEVI'.
By: Date:
jntwwt ldlGs\colltvjl(,Otilloolc\1r.5s(ivliRspcciilI inspection
lbrm.doc5/3012013
Date: 06/18/13