20180720091108.pdfCITY OF EDMONDS - ENGINEERING DIVISION
SPECIAL INSPECTION A}[D TESTING AGREEMENT
PERMIT # BLD2O18O149 DATE
PROJECT SITE ADDRESS. 2320276th Ave W, Edmonds \MA,98026
PROJECT NAME: Locke Sinsle Familv Residence
SPECIAL INSPECTION AGENCY Geotechnical Ensineer
*One form must be completed by each Special Inspection Agency or Inspector.
SPECIAL INSPECTIONS REQUIRED: Special inspections are required for this project, as
applicable, in accordance with Title 18 Edmonds Community Development Code (ECDC). 'When
required, the project must be installed/constructed per approved plans and specifications. The owner or
the registered design professional in charge shall employ an independent testing/inspection agency/special
inspector to perform required special inspections. The special inspector shall be a qualified person with
competence for inspecting the specific type of construction or operation requiring special inspection. The
owner, registered professional, contractor and special inspector/agency shall provide a special inspection
report detailing compliance with approved plans and specifications directly to the Engineering Division.
WORK REQURING SPECIAL INSPECTION: Special inspections will be required for the following
categories of work: FOR SPECIFIC INFORMATION REGARDING REQUIRED SPECIAL
iNSPECTIONS SEE THE STATEMENT OF SPECIAL INSPECTION NOTED AS A CONDITION ON
TI]E BUILDING PERMIT AND/OR ON THE APPROVED PLANS.
X Infiltration System Depth
X Permeable Pavement Driveway
BEFORE A PERMIT CAN BE ISSUED: The owner and contractor and special inspector shall
complete this agreement and returr to a Permit Coordinator prior to permit issuance.
APPROVAL OF SPECIAL INSPECTORS: Each special inspector shall be approved by the
Engineering Division prior to performing any duties or inspections. The credentials of the specific person
petforming the inspection shall be submitted. When applicable, the company performing inspections
must be accredited by the American Association of State Highway and Transportation Officials
(AASHTO) Rl8.
A. Duties and Responsibilities of the Special Inspector
1. OBSERVE \ryORK
The special inspector shall observe the site work for conformance with the approved (stamped)
plans and specifications. Special inspections are to be performed as needed, to confirm that the
work being completed meets specifications and approved plans.
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2. RBPORT NONCONFORMING ITEMS
The special inspector shall bring non-conforming items to the immediate attention of the
contractor and engineer of record, The special inspector shall provide a report to the Engineering
Division notifuing of any items not resolved andlor not installed per the approved plans and
specifications.
Items not consûucted per the approved plans and specifications will result in a review of the plans
to determine what requirements will be needed fol the project to meet the uecessary stormwater
requiremcnts; such as remol'al and reconstruction, re-design of the stormwater management
systern(s), etc.
Final approval for the project will not occur until installation of all required improvements is
complete and accepted by the Special Inspector and the City.
3. FINAL CONSTRUCTION REPORT
The special inspector or inspection agency shall submit a final signed repoft or Ceftificate of
Compliance to the City stating that all items requiring special inspection and testing were fulñlled
and reported. The report shall also include a statement from the inspector stating to the best of
his/her knowledge the project is in confolmance with the approved plans, specifications, and
approved plan revisions, if any. Items not in conformance, umesolved items or any discrepancies
in inspection coverage (i.e., missed inspections, periodic inspection when continuous inspections
were required, etc.) shall be specifically addressed in this report.
B. Contractor Responsibilities
1. NOTIFY THE SPECIAL INSPECTOR OF ALL REQUIRED SPECIAL INSPECTIONS
It is the duty of the contractor to notify the special inspector when work is ready for special
inspection. Note, the items listed under the statement of special inspection on the building permit
and as noted on the approved plans and specifications ale required to have special inspections.
Adecluate notice shall be provided by the contractor so that the special inspector has time to
become familiar with the project. All work requiring special inspection must be approved prior to
concealing or covering said work.
2. PROVIDE ACCESS TO APPROVED PLANS
The contractor is responsible for providing the special inspector access to approved plans at the
. jobsite.
3. RETAIN SPECIAL INSPECTION RECORDS
The contractor is responsible to retain at the jobsite all special inspection records submitted by the
special inspector. These records are to be provided to the City Engineering inspector upon request
and upon completion of work.
C. Cifv of Edmonds Ensineeri ns Division ResDonsibilities
1. APPROVE SPECIAL INSPECTION
'Ihe }ingineering Division shall applove all Special Inspectors and special inspection requirements.
2. MONITOR SPECIAL INSPECTIONS AND APPROVA REPORTS
'Work requiring special inspection and performance of special inspectors shall be monitored by the
Engineering Division Inspector. Engineering Inspector approval must be obtained prior to
placement of conøete or other similar activities in addition to that of the special inspector.
3. FINAL APPROVAL
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The Engineeling Division may provide fìnal inspection approval after the special inspection
report(s) have been submitted and accepted by the City.
D. Owner Resnonsibilities
1. The project owner or the engineer or architect of record acting as the outner's agent shall fund
special inspection services.
E. Ensineer or Architect Record Resnonsibilities
1. Prepare Statement of Special Inspections.
2. Review the special inspection reports and provide corrective action for work that may not confom
to the approved plans.
ACKNOWLEDGEMENTS
I have retd and agree to contply tpitlt the lernrs stttl cottdíÍíons of thís agreement.
Owner namc LOCKEN DESIGNER HOMES INC
Ð"*¿/tftort'*)Dare z/tø//S
K,¿ b&/1General Contractor Company/Owner name
Signature ûøroz-r-
(please pr¡nt or type)
Special Inspector/Agency name DESIGN BUILD SERVICES, INC
+
(please print or type)
Engineer of Record name RICK HEIDE, PE
(please print or type)
Date z/tø/ tt
Date 7l9l1ï
Date 719118
Return the original signed agreement to:
City of Edmonds Development Seruices Department
l2líth Avenue North, City Hall Second Floor
Edmonds, \ryA 98020
ACCEPTED BY CITY OF G DIVISION:
ate dz¡ltsCity Oflìcial
Title:
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