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20140710152617451.pdfCITY OF EDMONDS SPECIAL INSPECTION AND TESTING AGREEMENT —L-1 PERMIT H—Q,.i z DATE.. J PROJECT SITE ADDRESS: PROJECT NAME:—L SPECIAL INSPECTION AGENCY --U'8L50,,2 6,IEZ2`1`L° � �,� *One form must be completed by each Special Inspection Agency or Inspector. SPECIAL INSPECTIONS REQUIRE D: Special inspections are required for this project in accordance with IBC Chapter 17 or in accordance with IRC R109.2 as applicable. XBC 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 (SI )> The special inspector shall be a qualified person with competence for inspection of the particular type of construction or operation requiring special inspection (SOQ way 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. '11111L — N WK1010Mfox 02 A Fabrication (1704.2) — o Wood Construciion 1704.6)— a Steel Construction (1704.3) a Soils (1704.7) o Concrete (1704-4) o Bolts installed in Concrete (1704,13) p Special Moment Re�sisti D, Concrete _Frames (1704.4) o Reinforcing Steel, Prestressing Steel Tendons (1704.4) o Structural Welding (1704.3.1) a High Strength Bolting (1704.3.3) n Masonry (1704.5) u Reinforced Gypsum Concrete (1704.4) o Structural Masomy for Seismic Resistance o Structural Observation (1709)__ o Insulating Concrete Fill (1704.4) )Piling, ing, Drilled Piers, 11 "AA , and Caissons —:8:,J �704-9 c) Spray Applied Fire -Resistive Materials�1794, 10) D Shoterete (1704.4) • Pier Foundations 1707.5 n Structural Steel (1707.2) • Grading, Excavation, Fill, Proof Rolling (1704.7) 0 Smoke -Control Systems (1704.14) • Exterior Insulation and Finish Systems (1201j2) n Desinated Seismic Systems (1707.9) • Mechanical CompoTilients �0 707..8) — o Cold Formed Steel Framing (1707-4),_., • Storage Racks (1707.6) y Architectural Components (1707.7) Ei Structural Wood (17073) a S ecial Cases (1704.13 • Seismic 1solation§stem .L17 -07-l6)-- . . .......... . ...... . . .. • Mastic, Inturnescent Fire Resistant Co�ati_C[704.1 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-\BtiildjBg\14ANDOUI'ICODFS\r,ORMS\SPUCJAL INSPECTION AGREEWNT 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 WAL3O 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 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 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 held 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 RE PORTS 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) e Field changes authorized by the Architect, Engineer or City Inspector if not included in non-conformance items. WN30dingWANDOUT ICODESWORMMSPECIAL INSPECTION AGREEMENT FORM.doc7/07 5. FINAL CONSTRUCTION REPORT The special inspector or inspection agency shall submit 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 wont 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 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. All wont 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 Divisi m Responsibilities 1. APPROVE SPECIAL INSPECTION TheBuilding Division shall approve all Special Inspectors and special inspection requirements. 2. MONITOR SPECIAL INSPECTIONS AND APPROVE WEEKLY REPORT'S 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 CER'TIFICAT'E OF OCCUPANCY The Building Oficial 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. WABuilding\HANDOUT ICODES\FORMSSPECIAL INSPECTION AGREEMENT FORM_doc7/07 I have read and agkw to COfiWIY WO the ferms 4w.d con diiotas of this agreemne. Date GOACM CoOrador C' MpfanyiOwner nm 74' ",7e) Dote Sped4i Inspedo cy name; �" X�� C:- '( "( C ! A, 14NIL bfeasi . . ... .... . ... . gineer of Itecord a me _Dp (please.paint or ty1j.,b). )Date Reft"a the MOW sigmed Weeident to the Building Division, My of Edmonds HW db g Div4joxi 1215" AWARe Worth, CKY ILTWU Secoiid Floor Edb.wnds, WA 98020 ACC MEDDY 0TV'OVEDIWOMOS, Ci Ky M.eig[Signotawe WABuIldixigNIIANDOUT KCOD&S\'FOJW.S%PECIAL]NSPPCrION,ACYRJ.7gWWf FORM,doc-7/07 ley ... . . ..... .