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20160104112330.pdfSPECIAL INSPECTION AND TESTING AGREEMENT C� Permit #: 2015-0032 r. rdt Project: CEDARVIEW MEMORY CARE Prior to issuance of a permit, this form must be completed in its entiretJ, and returned to the City for approval. The completed form must have signatures of acknowledgment by all parties. DUTIES AND RESPONSIBILITIES The Special Inspection firm of ..... ................will perform special inspection fo r tyre toIIowing types of work (separate forms rn ust be submitted i f more re t han one firm i s to be employed): Reinforced Concrete Bolting in Concrete Structural Steel/Welding Firestopping Lateral Wood Lateral Connections/Holdowns Grading/Soils a Structural Steel/Welding 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 WABO categories, or the inspector is not WABO certified, a detailed reSUrne 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 conformance N% ith 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 performed. Any nonconforming work shall be brought to the immediate attention of the contractor for resolution. A weekly report shall be submitted to the Cite: 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, Any unresolved discrepancies must be detailed in the final report, Contractor: %aii Udeiis Oh g51rqq8Ili5 7b.q iqii1736n5WH)00giv1 �,orn urs cirosoft Outlook Oufloolk ! Qnip 2011 5-W02 pecibd iinspeci[ions.dov LVM-M 5 The contractor shall provide the special inspector oragency adequate notification of work requiring inspection. The City approved plan and specifications Must be made available, at the jobsite for the use ofthe special inspector and the City inspector. The contractor shall maintain ol| daily inspection reports, on site, for review by all parties. Tbe ypco(u\ inspection functions are considered to be in addition to the nunnu| inspections performed by the City and the contractor is responsible for contacting the City to schedule regular inspections. hJoconcrete shall he poured or other work covered until approval is given by the City inspector. The building depurtmcpt shallm:vicr% any revisions and addenda. ThcCit7 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 ofconstruction to be covered and for work to proceed. Design Professionalls. The architect and/or engineer will clearly indicate on the plans and specifications the specific types of special inspection required and shall include aschedule for inspection and testing. The architect and/or engineer will coordinate their revision and addenda process H1. Such avvuy as toensure that all required City approvals are obtained, prior to work dhmvvn on the revisions being performed in the field. Tbc �� o*ncorthe orchi�c orengineer ownersacting us the owners agent, shall employ the special inspcctornr ENFORCEMENT AfbUunofdhespcoiu|inspccLororfinmboperfbrminkcupingwithdherequircmen$nf\hc|BC,iheupproved plans and this document, may void this agreement and the Building Official's approval oFthc special inspector. In such acuuo u new special inspector and/or finn would need to be proposed for approval. & failure of the design and/or construction parties to perform in accordance with this agreement may ncau|t in aSTDP WORK notice being posted onthe project until nonconforming items have been resolved. ACKNOWLEDGMENTS | have read and agree iocomply with the terms and conditions o[1hisa�r��mmen6. Owner: 5; A"Pa"d —Signature Contractor: 4+ A rch,/Eng: 14 Signature Special IrispRy- 'SignatUre, Special Insp. Agency_ I ACCEPTED FOR IJJE CITY OF £ MON08BQlL0INO0GPT EM am wxpmmcm7bg|zq�|rsuu5mxmnmnxurn nxmnsonoumn Omu*° Timp zo/;onzspcomu/ux*"/iomN,uc|2//7onn 'I lie contractor shall provide the special inspector or agenct, adequate notification of work requiring inspection. 'File Ch\ approved plait and specifications must be inade available. at the Jobs ire for the use Oft the Special inspectorand the Cn\ inspector. The contractor shall maintain all dail\ inspection reports, on site. for revim by all Parties, The special inspection functions are considered to he in addition to the nort-nal inspections performed b} the Cit and the contractor is responsible for contacting the Cit\ to schedule rel2LIlar inspections, No concrete shall be poured or other %%ork covered until approval is 11cJ\ en by the City inspecior. L3ttilciitn Cie nttrttmffatt: The building department shall re% ie%\ an\ re% islons and addenda. The ('it\ inspector %%-ill monitor the special inspection functions for compliance \N lih the a,_,reenient and tile apprmM plans, The Uit\ inspector shall be responsible: for a p pro � ing variCILIS Slai!eS 01'COnstruction to he cm ered and for a\ ork to proceed. I)eSiLall ProfessiOnalSl The architect and/or engineer x% ill clearly indicate on the plans and specifications the specific 1C 1\ PCs of Special inspection required and shall include a schedule lor inspection and tesiling. The architect and/or engineer "ill coordinate iheir revision and addenda process it,, such a %%a\ as to ensure that all required Cit% approvals are obtained, prior to %\ork sho%%n can the re%islons being performed in the field. Owner: he project o\% ner, or the architect or et`12ineer acting as the o\,, riers auTent. sh',All eniplO% the special inspector or agenc\, ENFORCEMENT A failure: offlie special inspector or firm to Perform ill keeping %\iith tile requirements ol'lhe MC the approved plans and this dOCLIMent. 1113% vold thi,,, agreement and tile Building Official's apprwal of the special inspector ill such a carie a nevv special inspector an&or firn"I %%otu. d need to be proposed fOr approval. A failure ofthe design and/or conStRtCdOrl parties to Perform In accordance ®% ith this algreernent niav result in a STOP WORK r1c6ce being Posted on the project Until noncoritorming iterns ha%e been resoixed. ACKNOWLEDGMENTS I lia% e read and agree to compl\ %w idi the terms and conditions ofthi,, agreement. lx% Spectai Insp. Agenc.N. ..... 1 , __ . - , _ . ...... .®. ...... A4'(T-111111) FOR F IF CITY OF FDMONDS KJILDING INITT m EM Date! 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