20170630094257.pdfE D'i
SPECIAL INSPECTION AND TESTING AG
1.11 REEMENT
1P
Permit#: BLD2016-1468
Project: Nichols/Wong SFR
Prior to h suance of a permit, thisform must be completed in its entirety and returned to the Cityfor
approval, The completedform must have signatures of acknowledgment by allparties.
DUTIEES AND RESPONSEBILITIES
al 111�-])Cdion Firm and Special Inspectors:
T he ' -ci I inspection firm of perform special
i sp I irm. is to be
n ection for the following types of work (separate forms must be submitted if more than one fi
emplc)�e(i)
p<_Gradi ig/soils
Othel
All indivi,
inspect. I
certified,
inspector
project de
RESU13
JUN'3 u 2ei/
SU'LDING, I)EPARTMFNT
C17 Y OF EDMONDS
ual inspectors to be employed on this project will be WABO certified for the type of work they are to
inspection is for work that is not covered by the WABO categories, or the inspector is not WABO
detailed resume of the inspector and firm must be submitted. The resume must show that the
nd the fim are qualified by education and experience to perfon-n the work and testing required by the
ign and specifications.
The work a be inspected for conformance with the plans and specifications approved by the City. Revisions
and adden a sheets will not be used for inspection, unless they have been approved by the City. Inspection
records sh I I include: I
• A daily record to be maintained on site, itemizing the inspections performed. Any nonconforming work
sh il I 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 ronconforming work arid resolution of nonconforming items.
• A final report shall be submitted to the building department prior to the Certificate of Occupancy being
is, ued. 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.
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inspeciion- form. doc6/29/2017
Contl'acto':
The contractor sliall provide tile special inspector oi- agency adequate notification of wor requiring inspeFIMIM'
I
The City approvec plian and specifications must be made available, at the jobsite for the use of tile special
inspector aid the C16 inspect6r. Tile contractor shall maintain all daily inspection repo
--I M—M =_ _—mm 2
all parties.
The specia inspection functions are considered to be in addition to the normal inspections -performed by the City
and the coi tractor is responsible for contacting 'tile City to schedule regular inspections. No concrete shall be
POUred or ( ther work covered until approval is givcn by tile City inspector.
Building- Department:
The building department shal review any revisions and addenda. The City inspector will.-monito--he=RPeeW—
inspection functions for compliance with the agreement and the approved plans. Tile City inspector shall be
responsible for approving varlious stages of construction to be covered and for work to proceed.
Design PrAessionals:
The architi �ct and,'or engineeil will clearly indicate oil the plans and specifications tile specific types of special
inspection requircd and shall !include a schedule for inspection and testing. The arcliftect and/or engineer will
coordinate their nwision and kiddenda process ill such a way as to ensure that all required Git'"tnwayals, ai-e-—
obtained, 1 rior to work showb oil the revisions being performed in the field.
Owner:
The prqj1eq owner, or tile arc ! bitect or engineeracting as tile owners agent, shall employ the special inspector or
agency.
ENFORCEMENT
A failure (if the special inspe: tor or Finn to perform in keeping with the requirements of thq IBC. the approved
plans and his document, rna�void this agreement and the Building Official's approval of tile special inspector.
In such a (ase a new special fnspector and/or firm would need to be proposed for approval. A failure of the
design an /or construction p#rties to perforni in accordance with this agreement may result in a STOP WORK
notice beiTg post.-d on the p0ject until nonconforming items have been resolved.
ACKNOWLEDGMEPJTS
I have�?qaklnd agee to corn�)ly with the terms and conditiorif qf Illis agreement.
Owner: T___I —Signature
)y"' - C -
I Ir'V1'I 40'_j -_Signature
Date 61,0
�- /Z'C7 11-7
Arch./Eng" Signature 'LL- HW*ate:0 0'qllft
...............
Special Irsp. .1/7 V? t1% ignature Date:
VLM Y/
S)ecial )nsp. Agenc�Z,0)07_
ACCEPT OR H Cd.Y OF EDMONDS BUILDING DEPT.
By:lm i Date:
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