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20180730132949.pdfI rlJ I SPECIALINSPECTI0NANDTESTINGAGRIIEMENT Permit #:ß LÐ 't-þtL' tZt"L Project:ß{¿1c4+v|+t-tL N¡rtr¡a9en prior to bsuønce o! a permil, thls fotm must be completed k ìls y.lítcty snd relarne.d to thc cþfor øppruva!, îhe coapteiifo'i^ ^íit haw signuurcs of acltnu*lcdgment by all portìts' DUTIES AND RESPONSIBILITI ETì SJgt cirl l nr¡ttÊt iorl l"i rn¡ ;tnrl Sl¡r:ti¡t l l¡¡snuelors: 1'hc speciat lnspccrion t¡rm of GloTgst services' lnc' -' will pcrlorm spccírl inspec:ion for the following typ€s of work (separatc forms nrt¡51{¡" submincd if morc than onc firm is to 5¿ cmploycd): . Soillgackfill ' StrÜctur¿l $tccl BoltíngÂMclding Allindividualinspcctorstobeemploycdonthisprojccrwill^bcTt"?'::l|.dfofth€lypÊofworhthtyrrcto inspcct. lfinspcctionisforwurkihetirnotcov"r.ibythe'W'Âlìç"calcgrxìcs'Ûrtllrinspccfof i¡nof WÂBO ccrrificd, a dcrqllcd ,rr"ni. ;;,ì;ì-td;and firm n'il'st bc sr¡bniirrcd' Thc r¡su¡nc must show tha¡ ¡he insoecror and the lim¡ ¿re qualificd by cducarion Ñ';;il;r;;c t' pcrl'rr* thc rvork and tcsting rcquircd by lhc project design rnd spccifìcutiorrs' Thc work sh¡ll bc inspcctcd for conforrnancc wirh thr pl¡ns and spccilìcationr approvcd þ rlre ciry' Rcr¡i¡íons and addcndo ¡hccts witl nol bc r¡s¿d for inspcclion.'t"f'"tiiftty havc bccn rpprovcd by rhc City' lnspcctíon records shafl include: . A dally rscord lo bc ntaintaincd on sítc, itcmizing the iüspections pCrformcd' Any nOnconforming work sh¡ll bc broughr ,"it "lrr"Ji¡¡c ¡ncntion of thc conl¡¡ctor for rasolution' r Â rvcckly ,çftn ,l,oiit " subrnincd '" tftt å-nyt ¿tt"¡ìing üt"¡ntpocriong and lesting psrformcd' lírting .ny no¡tíottlrrttning work an¡l rcsol¡¡lion of nonconforni0t' items' ry being.' Â frnrl re¡ron slrnií¡*îuUinillq{l lo th$ huilding dcpartnrent prlor torhe Ccrtifìcatc of0øUpnl issr¡cd. 'l'his report rrill indicntc rtrar i'spectioi nnd tcsting wrscompleted in conform¡noe with ths rpproved plans, spici{ìcations and ,pprn"ti'itutió"tãi'?¿*Uu' Ány unresolved dlicrepanclcs ntust be dct¡iled in the fïnal rePort' Coolr¡clor: aroa¡r¿h nnritic;rrirr¡r of work rcqr¡íríng insfrct¡on. t'tr( ,¡irntflrct.rr slrall ¡rror trlr lhc s¡t.'cr:tl llls¡r('{ldr (rl ;Ult.tlcy ndeqtratC nOliliClrtit'tl rtf WOfk rCqrrífínginSp 'hc ('iry uppnrred prnn *,i,i *ir**iîi.utiu,,., rt¡'.it bç ;t;;il;;i;ii;'ü* ar.rtrc:¡ot'"'rc ft¡ thc use of lhc rpecíal iüspr¡çr'r nr¡ir rr¡c c¡ry ¡u*pï"r'r'* ':rri,.'.ì,ii,,r.n,, -dil',;;;;; rìj'¿.¡rvìi+rciíon rcp'rts' on sire, for r*vipw by rft prtti.t. The speclal inspccrion func¡ions arc considcrcd to l¡c in ¿ddifion lo ltrc nornet insgectiuns pcrformed by thc city ¡nd rhe conrrûcror rs rcspoosiblc for conrrcring rr,. ä¡ry äö;it;þn¡ tnt¡.iio*' No conc¡ttc shrlt be ilil;;;;ii*t r.o* *".'"Juntii 'pp*"or iigivcn bv rhr city lrt¡peclor' \G,I}i{svR,DgPTr5\8uilôin¡\}tudo$rr hfant¡lhn by chÛr¡(uiltg4¡o|l¡\¡9*¡rr lôtpúdh'¡ |¡rd lctrln¡ r¡r¡arc¡r co6' d&llu?'0l? Bulldl$t l)c I L¡ r I r¡r.r¡! !. llt. tt-l"ttrt$,1.'l"r't-i.¡i¡rrhlt r,\ri'\ì tlryrr'\tlrrìtrSrd,trlJurrJrr, TTrCltl ¡rr'l,Ltl'tr .. , ¿:ll!'¡''l 1'rrl)ùùtlon fir,rctlrïtr tb :,riirplrrrnr:* r¡iÈ ùt o*,"r,,ol,i t¿ Urt uppt,,t..'f plr¡a ThC CltY Inal'cr:l 'r tht¡l bC ,crl¡cr,¡rblCftr ùpptùrrlq r,¡fi¡Ur .',rr'., OfçOÍtù.,,OtlOn fO bi r.rrcrr,'l ¡nd fOr rÉrk to pmefd' lL'¡isr ltrofclgiq ü{h ; Thc urchitccl â¡rd/or dnßilreet.uill clenrll, tnrlrc¡tt{i oil tltc lllå¡tls úüd rfl¿rilìcdlltrllr ll¡r sficcrlic typct üf t¡xcial inspcctio¡ requirctl nrrd slrrrll inclrulc s rilrrdrlc r,"'ir"lr.iinì" ontt r,rsrirrg, t lw ilrchitccr ttnd/.r cnginccr will c't-rrtlintre lheì¡ rer.i,riorr n¡rd ¡*lrlrn,ln lìr(i(er{ i,, r,,ri, oïri ns ro cnrrtßìhnl rll rcqrtirttl ('i¡y dppr(lvals ûrc ¡li{rrir¡r,|. gtOf U srüt ¡h.""r rt oñ th¡ nvl¡lorU blln¡ çu:rlornr*rl h ü¡ 6¡ld. (Ìrrncr, ftC ffin ççrOtt, of t¡r! ir¡ r tt¡(.,lr g¡ sn¡in*f tcting ar tho gr¡/$?fr ¡gcil' thsll tmûlı1 thc spccial inrpclOr or rl@cy, !:N r()f¡('nùt þ1¡'l'r I i¡rtu¡ e ûf ü' ",!,.'r,il rrr,ili" tor or tl¡rs ¡o o.rfo* ü'i*p¡ii'*t* ün æquiromcnt¡ of lho IBC' thc rppovrd ltlalr¡¡urJtlìt'!ilq!çu¡l,cil i¡{il \:,r ì l! t'1l'lìlti}ltttl'1ll'i:rlllr' ¡ ' trrl!1 r t tlhC '¡" r'! il¡¡ltf!{"11' lnitlËli¡ü¡láË.tlìi¡\!il)çrl.ì ,¡tlt\'\'I '" I 1!1¡r!r¡rîr¡l "' '¡r¡rri"''r{rll'rr !;r:'\r''ll''lçl¡'lrrt*'rl't'rc J¿irgn ¿rÌ¿rìf -r)rt{trudurill fl.i. f,,r.' ri ¡ì ,:¡ir r! l¡.! \rJ l;l1jL ''r;lil l-1 '} i 'rr'¡'|rr' ' 'r '" ' Èin ¡ \ i l'l.' ''l¡'i"' n¡.rticË þoing postet! urt tlt(: lrtqric{t r!üítì i¡, ; . !1i"lr!lr j rl!{ t¡ãlu h¡v¡ bom rorolrod' I h¡tt rüsd'lnd a!!¡tL' ttr {lttlll}l} ri r{h t! I -. .. .t( ¡i¡.(, ! l l f¡(;itf| .i t'S j.Ìa:!,. ! i ¡r,,r'¡¡ i'i ll'- 4lJit"'!lÌ"¡Ìl Wilcox Constructiofi þ$tçn,rrlr. .ølf çk¿-7/zq /slr:lte I ì$t{.lÐ,3, ]7 6uoT.>f fuiu,*1n.t)rt,'' 7/ Z?/ Kaô êç 7l tgl tr" i--:-.- ".r..i, .'-:i -* GeoTest Services, lnc.