SIGNED SPECIAL INSP GREEMENT SOILS.pdfSPE(]AAL INSPECTIONANDUSTING AGREEMENT
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Perrnit th BLD20110520
NIGP SViELL, BUILDING SC)H3
Prior to issuanre opipermit, thisprin must be conipleted in its enfirefy and rerurned to the Ciiyfor
alqiruvaL The coinpfeted f6rin Inust have sigwaturu tafackuowledgnneat ky allpartles,
t)j.Yj'jE',S AND RESPONSIBILITIES
"rho 141actal InSP000" N D) C4 wilil petfotrn qw(J"d
inspecdon Q Ow Hap uwmg jpn cd WON WpwMe folrn,`Is rroist H'Ie' subwz�,wd H, rvwp ,e tharl oww111-In is to he
employed):
_XWnhmed QmMe
-.11-51olfing in ConcreAc
Pr egressed Conrc,.rate
-S tr 11.1 c: vma I Swic"U'A"01fing
11--fligh Strength Bolling
apphe(l 1`4re �.-jrt)o fin g
---Smwke Unuu! Symtms
--L,,o,nkfl wood
_ uunumi C%sermlon by Wign Iwofesdanal
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All MOW inspectas to he MUPRIed 011) fhi�, project wiH be VVABO cexfifrjeNj for the ttylpe of work tthey are to
jjjspt,ac�,, if is fbr work IWO not cnv,,rtc1 by dw W,kB0 or dw insrmxlur is ool WABO
crw6ficd, a detailed re"LIII)e sotspccw and hrm rmBi 'I ho resurne must show ffiat1w,
inspechm, and the Bnn me qmhhed by eduntkn and experwMe fo Ptrfcwrn Ole work and wsinky rquixed by the
I,xrcN�ccl dcsi,,,nj and ,poc,,fficafioils,
'Me wok dwU be impectud for U(ndwmarwc with be phim and specificaflons approved by tthe Cal p. Revisions
and a.ddenda shects wiH am be used fol, inspecdon, ludess u h-ey ji.ave been approved by We Oty. Inspecdon
records shall hic,,,Iudc�
A &Q teawd to hc w,Jwainod w she, alwamg IV hnpcGons, perfixlru(d, Any wwk
sju ffl be bn)uglo ur.p the hwnwdww� atwouon c-4, tthe conlractof for res,,'flution,
A weekly report KH be wbMhWd to Te Up dowhng Me hwpulmn and teging perAmned, Wing
any nonconNinning wo& and wsolutiodof nanconfonrung BMS,
A Ifinal wpov shell be suNnitted to thc btafldiiqz ldk-
, partnienl prior to jfw Cenificate of Occupancy heing
issued. This report V011 indiewe th tt inspecimn arkd testing w�.aa completed in confor mance with tile
approved jAans, specincuthus ind J-J)provc(� revisions or ad&nds Any unresc)Ived discrepancies must
Hae'. dctaile.A in the fina) report,
hmo&T mm FMO Nw%MwQww wNwo. w" GOWNW,
ET1";nJWWr AN PMVWC be spdal ilispecwt of agency adequate, ncWHcatkin of work req uidag inspocdon
'm,c ('il,,y approved plan and specaficatk-ws nium tie Tru"'de availnible, m rhe jobsite for the "se, ref the special
inspecmn mid the City it specuir IN contwor AM maintAn Of dAy inspecdon mporm = aim, for revAmi by
aU paWes.
Thu spmial impeenon Wwrions arc conmdexed to be in adlHon to the normal inr:PeCtions, pexfoiiried by fl -iv, City
and be connictor is responsib10 IN contacUng the Chy to sdwdule regular Nnspeaiom. No coriveteshall be
poumd or odear m4d; anewd unW aloptovai is Way r City inspeekw.
Br ddill
Ila buUng depaorneia WR review wy revikom" "'ad '�dklenda' I'lle (,.iay will, inrxliagur the ""fum.;ial
ffl"'wec[ I 4on Jrriar'd.')ns bw conTlWo we, Me agemwin and to upproved phni Ila 01 imWector AwU be
vahous Rog, of VMNwAhn to hi, COV OW amd NX =1 to pnVeed,
INN�Y;a :.
'Nw wh1wo We: engineer wdl Quo Whow on IV phm"Wd mvmhudms Ow qWhC ypn of *M01
Mld 'SIU'M iM1110dC ,1 OAKS Jcq WnpucHon nnd Unnn, The nrchkm andlor enonsw ;Ah
umx'duia6c diloh, rcvi�"iou md "mAIR."nida pinush A W a vmY wyo mume W all ispAwd CAq ap(tlrnovak are
uWawwL phm in vgwk Nova on Te rvvkhms 6,6ng rarknW & It f0d
The pnjml 6awnur3a Me aw=w or engincer uimg as dw owuas agna, Aa H Gunplay the Npcchd Nspentw of
agwwy'
ENFORCEMEN
A hWure of We slag ain! inspwa or funi in perform in kouping Mili the requirernonkof Hie IBC, the appoved
plans and Lhk d(WW11'kMN' U'My void 0'is C'11",'rowmom and the BaMling WEAW's approval ot thespeciM impector
In swh as coat as now speuiad ixisp,,-xvw omkir An sw0d need a) tie proposed for ajTroyaL A Wure of the
thsign WAn umistruction punks to paRirm h, amoMmwe nth W agmemew may wsuR in a STOP ANORK
m6ce behig pmwd on be pnjmi umH have been nw%d.
MAN0% UIDUNIENT'S
I We wad and apne 141 L0, lyw� hy n Oh [e'rms and c"'mdiiiows of dw"'
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ACVRPTED FOR 1 1 1E CITY OF L-,',1.
V10�,N EjS B UILDEN�'(-a DEP I'
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