20160407110831 (2).pdfI
SPECIAL INSPECTION AND TESTING AGREEMENT
Permit #:ßø, Tott* o -01 8-o
Project:YW
Pñor to íssutnce of n permít, this þrm must be compleled Ín íts entirety and returned lo the City þr
approvnl. The completed form musl luve sìgnatares of acknowletlgment by øll parties.
DIJTIES A¡ID RESPONSIBILITIES
Sneclal lnsueclion Flrrn rnd Snccial In¡nccto$:
The Special Inspe&ion firm of will perforn special
irupection for thc following types
ernployed):
forms must submitted ifmore one firm is to be
' Wi¡rdow \Vater Penetration Resista¡lce Test . .Quttt!fr@m{Uc*lO-'
per RCW 64.55.050(lXa) per RCril 64.55
All individual inspectors to be employed on this projcct must have substantiol and verifiable training and
experience in br:iÍding enclosqre desþn and co¡rstructiou. The qualified inspector shall be fiee from improper
intertbrence or influeirce relating to the inspection . Verification that thc inspector and the firm are qualilied by
edncation and experience to perform the wor{< and testing required by the project design and specifications may
be requosted.
Tbe work shall be inspected for conformance with the plans and specifications approved by the C,ity' Revisions
and addenda sheets will not be used for inspection, unless they have been approved by the City- Inspection
records shall include:
r  daily record to be maintained on site, itemizing the inspections performed. Any nonconforming work.
shall be brought to the immadiate attÊnt¡on of the contractor for resolution.
¡ A final report shall bo submitted to the building department prior to the Certificate of Occupancy being
issued. Tire signed letter will cortify that the building enclosurè has been inspected during the course of
construction oirehabilitative construction and that it has been construstcd or reconslructed in substantial
compliance with the building enclosure design dooumonts, as update pursuant to RCW 64.55-020. Any
unresolved discrepaneies must be dctailed in the final report'
ContraslgrífËıffii"r shall provide tho special inspector or agency adequate notification of work requiring inspection'
Thc Cþ approved piau and speciircations rnust be made availabte, et the jobsita for the use of the spocial
inspectór
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tt
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City inspector. The contractor shall maintain all daily inspection reports, on site, for review by
all parties.
T[e special inspe*tion functions are considered to be in addition to the normal inspections performed by the City
and tlie contractor is responsible for contacting the City to schedule regular inspections. No concrete shall be
poured or other work t)overed until approval is given by the City inspector.
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llüilq¡!¡&l)qUårt mcnr :iffiã;p*r*"^r shall review ory rcvisions and ¡ddenda. The City inspector will monitor tho special
¡".p*ri"" ñnctìons for cornpliance vith thc agreoment aod the approred¡lans. T" Ctty inspector shall be
resþsiblc for approving vaiious stages of conshuction to bc covered and fo¡ work to proceeJ-
l)c¡ipn Profcssionnls:
îñffi;ãgineerwillcoordin¡tctheirrevisiona¡daddendap'oc€ss¡nsuchawayastoery1r-cthat
.fi*qu¡r"¿ C¡ty "pproiult
are obtained, prior to wo¡k showr on lÀe rcvisions boing pcrfonned in tho field.
0wnerl
iffi¡u"t o*ner, or the architcct or cnginecr acting as tho ouers agont, sball employ the spcoial inspector or
agcncy.
ENFORCEMENT
A failu¡e of the special inspector or ftno to gorform in keopiag withtre ryn1iremcl1lf RCW 64'55' lhe IBC'
thc approv.ed plons, and this document, nay void this agrcãarent a¡d rhs Buitding Official's approval ofthe
-
;p*ffi;-p*:t*. in such a casp a nos, spocial inspcctor and/or firm would ncod to bc proposed for app.roral' A
f¡i¡ure oftil¿ design and/or consrructioo parties o'pcrforn in accordance wilh this agrcoment msy r€sult ¡n t
ifuf WOnf ooii"" being postcd on rhJ projcct unril nonconforming itêEs hsve been msolved.
ACKNO\ryLEDGMNNTS
I havo read and agree to comPlY with the ærms and conditions ofthis
OumotËtùyaqutY2tZ 1t. -.,.Signatuo
Contractor:
Speoial
THECITY EDMONDS BUILDING DBPT"
D¿te:
,* s/ta/-zet5,
Datc; -_-
Dale::&r¿^â
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Spæiollnsp. *ern"yN AiU Têîn/6
*zt(By:
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0
SPECIAL INSPECTION AND TESTING AGREEMENT
Permit #, ßL¡,?atç* o /77 -0 t7 6 -o t7?
Project:TiYÞF-?^k ES
Prior to íssuance of a permít, thisform must be completed in íß entirety and returned lo the Cílyfor
approval The completedform musl lnve signotures of acknowledgment by all partics.
DUTIES AND RESPONSIBILITIES
Snecialllsncction f'lrn¡ nnd Sncci¡rl-lnsficctors:
TlreSpeciallnspeótiorrrlrnof5oLoVEÞtll¿L'C''-willperformspecial
i,rspection for tlie following types oÑork (separate fortns tnust be submitted if more tlran one firm is to be
ernployed):
. ' Building Enclosure
per RCW 6a.55.050(lXa) per RCÌW 64'55
All individual inspectors to be employed on this project must have substantial and verifiable tlaining and
experience in buiÍding enclosqre design and construction. The qualilied inspector shall be free fiom irnproper
interference or influence relating to the inspection . Verifîcation that thc inspector and the fitm are qualified by
education and exporience to perform the work and testing required by the project clesign and specificatiotrs may
be requestecl.
The wor.k shall be inspected for conformance with the plans and specificatious approved by the City. Revisions
a¡d addenda sheets will ¡ot be used for inspection, unless they have been approved by the City. Inspection
records shall include:
¡ ¿\ daily record to be maintained on site, itemizing the inspections performed. Any nonconforming work
shall be brought to the imrnediate attention of the contractor for resolution.
r A final report shall be submitted to the building department prior to the Certificate of Occupanoy being
issued. The signed letter will ccrtif, that the building enclosure has been inspected during the course of
co¡rstruction oi rehabilitative constiuction and that it has been construsted or reconstructed in substantial
compliance with the building enclosure design documents, as update pursuant to RCIW 64.55.020' Any
unresolved disorepancies nrust be detailed in the final report'
Contractor:
Th" *"tr"t"r shall provide the special inspector or agency adequate notification of work requiring inspection.
The City approved pian and specihcations rnust be made available, at the jobsite for the use of the special
inspectór *i ttr" City inspector. The contractor shall maintain all daily inspectiott reports, on site, for review by
all parties.
The special inspeotion functions are considered to be in addition to the normal inspections performed by the City
and t¡e çontractor is respo¡sible for contacting the City to schedule tegular inspeotions. No concrete shall be
poured or other work covered until approval is given by the City inspector.
\\EDMSVR.DEPTFS\Building\Handouts ¡nfonnal¡or by Chuck\i[spections\special inspeclion and testing agreement RCW64,55
COE.docS/6/201 5
llr¡iklins l)cp¡rrlntcnt:
Th" bt l¡dtrg dãpaãment shall review ariy revisions and addenda. The City inspector will monitor the special
inspection fgnctions for compliance with the agreement and the approved plans. The City inspector shall be
responsible for approving various stages ofconsbuction to be covered and for work to proceed.
Dc.qip n Professionals :
ltre ãrchit""t and/or engineer will coordinate lheir revision and addenda prooess in such a way as to ensurc that
all rcquired City approvals are obtained, prior to work shown on the revisions being pcrformed in the field.
Orvnerl
T1¡" pro¡u"t o*ner, or the a¡chitect or enginecr acting as the owners âgettt, shall employ the special inspector or
sgeucy.
ENFORCEMENT
A failure of the special inspector or firm to perform in keeping with the requirements of RCW 64.55, the IBC'
thc approved ptarìs, and this document, may void this agreement and the Building Official's approval of the
rp""íui intp".tor. In such a cåse a ncw special ínsp€ctor and/or firm would need to bc proposed for approval. rl
faiturc of t|e design and/or construction parties to perform in accordance with this agreement may result in a
STOP V/ORK not¡ce be¡ng posted on the project until nonconformíng items have becn resolved'
ÄCKNOWLEDGMENTS
I have ¡ead and agree to comply with the terms and conditions of this (ailì'ilìi
Owner: iÞ ' V./tZ ¿¿r .. . Signature /n^t" s//a/ee/g
Con{ractor:,L;i:lltitttl¡ L Date:
-
Arch./Eng: t&8'e7 #Ð -Sitrttirtttte -. -,-¡
/,
:_,#,' r)arr. J 1¡¡1 l{',
FMtt Date: 3116t16
tl'7¿ 6
Special lrr'¡, Zach Pritchett Si'¡t¡tlrn e
special Insp. Agency 5p 1.0 U A Þ,+ / LLC'
OT EDMONDS BUILDING DEPT
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By:Date:
.,V]DMSVR-DEP f t'S\ßuilding\llandouts ìnfomstion by Chuck\¡nspc¡¡ions\pccial itu(p€cl¡on ond rsst¡ng egrærnent RCW64.55
COE.docå/6¡20 I 5
E
SPECIAL INSPECTION AND TESTING AGREEMENT
Permit #:ßro, Zotç* o /77 -0 17 g -0 t7?
Project:tlyw-
Príor to íssusnce of a permít, thís form must he completed ìn iß entirety and teturned to the Cíty for
approval. The completettform must have signatures of acknowledgment by all parties.
DUTIES AI\D RESPONSIBILITIES
S¡¡ecial Ins¡lcction lrirm nntl Snecial l¡tsnectors: 9e /e/Q LLc/
The Special Inspection firm
inspection for the following
ernployed):
/"will perform speçial
types of work (separate forms must be than one firm is to be
. Window Water Penetration Resistance Test . Building Enclosure
per RCW 6a.55.050(1Xa) per RCW 64.55
All individual inspectors to be employed on this project must have substantial and verifiable training and
experience in buiiding enclosure design and construction. The qualified inspector shall be free from improper
inierference or i¡fluence relating to the inspection . Verification that the inspector and the fìrm are qualified by
eclucation and experience to perform the work and testing required by the project design and specifications may
be requested.
The work shall be inspected for conformance 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 performed. Any nonconforming work
shall be brought to the immediate attention of the contractor for resolution.
A final report shall be submitted to the building department prior to the Certificate of Occupancy being
issuecl. The signed letter will certif, that the building enclosure has been inspeoted during the course of
consiruction oi rehabilitative construction and that it has been constructed or reconstructed in substantial
compliance with the building enclosure design documents, as update pursuant to RCW 64.55'020. Any
unresolved disorepancies must be detailed in the final report.
Contractor:
Th" """tr""t"r shall provide the special inspector or agency adequate notification ofwork requiring inspection.
The City approved plan and specifications must be made available, at the jobsite for the usc of the special
inspector an¿ ttre City inspector. The contractor shall maintain all daily inspection repotts, on site, for review by
all parties.
The special inspection functions are considered to be in addition to the normal 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.
a
\\EDMSVR-DEPTFS\Building\Handouts Information by Chuck\inspections\special inspection and test¡ng ag¡eement RCW64.55
COE.docS/6/2015
lìuiltli¡rs Dc¡l¡rrlnlc¡tl:
Tt* b,rttdt"g d"p".t**t shall review ariy 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
respo¡sible for approving various stages ofconstruction to be covered and for work to proceed'
Desisn Profcssþnills:
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 ths field'
Owner:
ttt. p-¡""t owner, or the architect or engineer acting as the owners ageut, shall employ the special inspector or
agency.
ENFORCEMENT
A failure of the special inspector or firm to perform in keeping with the requirements of RCW 64'55, the IBC,
the approved plaÃs, and this document, may void this agreement and the Building Official's approval of the
*p*"ùi inspecìor. In such â case a new special inspector and/or firm would need to be proposed for approval. A
fàiture of tire design and/or construction parties to perform in accordance with this agreement may result in a
STOp WORK notice being posted on the project until nonconforming items have been resolved.
ÀCKNOWLEDGMENTS
I have read and agree to comply with the terms and conditions of this
Owner;212- ¿Lr-Signature
Contractor:0a
Arch./Eng:Sisnature Date:
Special Insp.
Special Insp. Agency
THE CII'Y EDMONDS BUILDING DEPT.
Date:By:
o^t" s//ëþ""16
ox", 9*11-lto
Date:
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COE.docS/6/2015