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20161101141625.pdfSPECIAL INSPECTION AND TESTING AGREEMENT Permit #: BLD2016-0146 Project: COL BAND SHELL -STRUCTURAL Prior to issuance of a per»tit, this form must be completed in its entirety and returned to the Cityfor approval. The completed form Hurst have signatures of acknowledgment by all partles. DUTIES AND RESPONSIBILITIES clnt Ins lcctig g Firm andS Icei l Ins Lectors- p p C-1 allo 5 C I t,Lt � � . _... will perform special The Special Inspection firm of _..... �� ►' 1 _ , inspection for the following types of work (separate forms must be submitted if more than one firm is to be employed): X Reinforced Concrete _Bolting in Concrete _Prestressed Concrete _Shotcrete _Structural Masonry Structural Steel/Welding _High Strength Bolting _Spray applied Fireproofing _Smoke Control Systems —Lateral Wood _Structural Observation by design professional —Grading/soils Other „µOther ResevNslalLi-rY Or 'Ml•: GANI) 5t4W— supPctt`rZ, � �1� � ' `ijaw All individual inspectors to be employed on this project will be WABO certified for the type of work they are t inspect. if inspection is for work that is not covered by the WABO categories, or the inspector is not WABO certified, a detailed resume 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 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 weekly report shall be submitted to the City; 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. CAUserslThomquistWpl)Dai"oco[NicrosoalWlndows\Temporary Inlemal Files\Content,Outlook\DRID6Q3QNS1 form Band Shell Strucle7/6/2016 ,Z'5- 0 Y♦. Contnetor. The contractor shall provide the special inspector or agency adequate notification of work requiring Inspection. The City approved plan and specifications must be made available, at the jobsite for this use of the special inspector and the City inspector. The contractor shall maintain all daily inspection reports, on site, for review by all parties. The special inspection functions we 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. Iluildine )enarUncnl: The building department shell review any revisions and addends. The City inspector will monitor the special inspection Amcdons for compliance with the agreement and the approved plan. The City inspector shall be responsible for approving various stages of construction to be covered and for work to proceed. I)+ The architect and/or engineer will clearly indicate on the plans and specifications the specific types of special inspection required and shell include a schedule for inspection and testing, 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 the field. Owner., The project owner, or the architect or engineer acting as the owners agent, shall employ the special inspector or agency. ENFORCEMENT A failure of the special inspector or rum to perform in keeping with the requirements of the IBC, the approved plans and this document, may void this agreement and the Building Official's approval of the special, inspector. in such a case a new special inspector and/or firm would need to be proposed for approval. A failure of the 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. ACKNOWLEDGMENTS 1 have read and agree to comply with the terms and conditions of this agreement: Cory or j50►ti►on.oS ], Owner.. ^!2 SCNILOOL- 4, , IgnatursW4110 yy rt�l � .. `�, Contra Sig: rc Dow. 7 /lrcltdEis : 44 10 Special Itnsl►, �`Q,/1 '���Sihrnmtrlua.._._ ,.. ..._.. Date: .. Special Insp. Agonu;y ACCEPTED FOR THE CITY OF EDMONDS BUILDING DEPT. By' Date: c.luwjAThum isMppDt@UA#W MiamrAWkmkwMTnepem lowmet Files 3WJ faro Bad SWI smw doo7MW16