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SPECIAL INSPECTION AND TESTING AGRF'11
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Project:
Prior to issuance of a permit, this form must be completed in its entirety and returned to the Cityfor
approval. The completed form must have signatures of acknowledgment by all parties.
DUTIES AND RESPONSIBILITIES
" IucemizaNl as a vl°;Ii4Li I I�)a aaa la MA—S4L(mi-'wI,p
The Special
p ciafor Inspection tion fir m types �o�f work�(separa�te furans must be submitted if more will perform special
inspection b yp an one firm is to be
employed):
4 Window Water Penetration Resistance `fest ■ Building I'Mclosure
per RCW 64.55,050(1)(a) per RCW 64.55
All ia�aa'Navidua] Iqa N1c"a"ta:aPs arr�e aaaal)N(�,yvd oia this tarajecl nru sl, ha vc Sw ta,sq atitrilt a�u1a1 ve ifiaable wiinalrN.� tmd
„ Naawp'i�clut;c in bua lding cIwlosurc ala sign and cow3roloi(AL The, tNMlNiliCd irlspocim sltaH be, frcc from aaraN;awper
iniwrf, :mwe or ulatltaence relliling, to dw inspectioau . Veu ficaatiora ihw the arr ,NraaclaNa° and the fir rat arc° qu Mified by
education and experience to perform the work and testing required by the design and .pec,atac:ati('ar s ataay
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
issued. The signed letter will certify that the building enclosure has been inspected during the course of
construction or 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 discrepancies must be detailed in the final report.
Contractor:
N Nac c�auuua,aa°tsurr shall provide the special inspector or agency adequate notrN ication of work requiring inspection.
The City approved Phan acid specifications must be made available, at the Na ot)sItc for the use of the special
inspector and the City anq)ector. The contractor shall maintain all daily inspection reports, on site, for review by
all parties.
The special iaasNactetion functions are coaasidcrcd to be in addition to the normal inspections performed by the City
and the caontrac°lor is responsible for coartacrting the City to schedule regular inspections. No concrete shall be
Poured or other work covered until approval is given by the City inspector.
\1 I7MSVRd)G.PTFS\Building\alnndouL%Information by Chuck\inspeciionslspecial inspection and testing agreementRCW64.55
COG doc 10/1912015
,4,1 Ng Jql'Oe IV rat AMU fca w,% dry tv)i4ioiv, mid idderida Thc CAI vi I i ine'n; m. r th-, 4p-crM
io,pws6,tfi ltiwli,"Ii i"m ct,rPivlialuc +rViO4 div .Igrvvlltmi on,I t)te ;tpjlr,i%td �Aavv, `Phe OR hispecEershali b,
rrbPoll,;bk rol, oppro% iov kwous wiF4w orcolsi"U601i to tie, cot, C#OJ Imf fi't It ork to vroceed.
ecljjlicVrwjjl xictrdmatc choir res inion and addrndea proacis in such a %,,m R-; to enlule that
all required ('ir� approvotis a,hinted.re ohted, prior w work shown Ursa the t vvi, qlans b, Ang perIbmied ill did lield
QaA&L
I liz i,t,Acct owner or the architect orenLincer ;wflng as tit., Lmucri my"d sItO emp1c, "le il-ecial ani(
aqvnc?
ENFORCEMENT
A Ntiihm, %fia insriR^tor os fmv; w vvri'ovin it% kequy wtlsh s1w roqui I cleeglu, Of ilwW 00 ", 3 IN I Oc
flw, apprvml and ilti:4 doelouni, mtn, �;old ifik Agrument and fliBudditig 0(66ai's 'Ipproul rx"thl",
"I'VOM iMytekor !P1 4uA a 'Ptvj.,,l njjtj,tjw, tjr=ji ttroj 1p hj prpj,o"—t tot qlwk"411 A
;rWmv °.Oha Irld �4 pdh'loc, to ir, o1vc,,"qAz1Fwe t ql,, IPu u,w rota rpc.Tucm rlwt f�:itai i,n i
S P)P WORK tl0liU J'Vil% 09t;lezi oto thr. twtd ltcpuiul%c rusois O.J
A CKNO WL ED G MENTS
I time read and agree w writok v
01wer:
ceatrazt;�r
.krc.11 Old.
YdSipature4
A CC E P I'M Y'17') THIF C IT )l O.r UON I i ''DS St -if -DIM' DEP 1
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Y4ra�9ndr+u,�ibt°�i;retutyr aqV.
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i Itc building dvpartrttent hall revie%% all,. revisions and addenda The Cin inspector wilt monitor the spectdt
insl,3eetian functions for complikince with Elie agreement and the approved plans_ The Cir, iuspectorshali 6c
responsible for appro� in_g various stages of construction to be Covered and for wool, to proceed.
6tµ^"M.a�aO �"d rf�r� tl ukN li •.,,.
I hu architect andiur engineer wiIt ;oordinate their revision and addenda_ process in such a v.ay as to err-;ure that
aii required C iry approvals are obtained. prior to wrvk shown un the revisions being perforated In the field
0$rner:
I he r roiect owner. or the arciiRect or enuineer acting as the utouers a-aettt. shall emplcv the special inspector or
agcncv -
ENFORCrM.ENT
A failure of rhe special inspector or tirni to ucri',)rm in keeping with the requirements of RCW 64 , 5 the iBC.
the appy»ed plans. and this document. ma+ void ?his agreement and the Building Oflficiai-s approval of the
5vvcial inspector. In such a c.t.e a ;few special mspeetor and:'ar final would need to he protln:ed for approval P.
to;litre %fthe design ander consvocuotl parties to perlorm in accardanee with this agreement mea, result It,a
fQp WORK notice beim,. pasted Int the pnOieet until aoncontcr-ning irenta have been resoii-ed.
ACICNOWLEDGn4>7'NTS
l hale read anyyd�� agree to comt>iy o/ajtfi the terms and conch . 6oi r8 all r mr n°
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Special tnsp� n Signature ".� _ ��„_hate:
9 Task 1 i tt' i” "� Y, i(a^i� sl", tJ";i S('ILDi Ci DEY!
:�4� Date' %