2065_001.pdfA 0 SPECIAL INSPECTION AND TESTING AGRE ENINT
Permit BLD2019-0672
Project: 121 Sunset Ave N.
Prior to issuance of a permit, thisform mrist be completed in its entirety and retitrited to the Cityfor
approval. The completedforin must have signatures of acknowledgment by allparties.
DUTIES AND RESPONSFBILITEliS
$pecinl Inspegilign Firm and Special lnsptctors:
The Special Inspection firm of _Ma?"gb LLc
will perform special inspection for the following types of work (sep1irate forms must be submitted if more than
one firm is to be employed):
Reinforced Concrete
Bolting in Concrete
Prestressed Concrete
Shotcrete
Structural Masonry
Structural SteeVWelding
_ffigh Strength Bolting
—Spray applied Fireproofing
Smoke Control Systems
—Lateral Wood
Struchiral Observation by design professional
—X—Grading/sofls
_X_ Pin Pile Installation
—Other
All individual inspectors to be employed on this project will be WABO certified for the type of work they are to
Inspect. If inspection is for work that is not covered by the WABO categories, or the Inspector is nut WABD
certified, a detailed resume of the ipspector 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 specificatioris approved by the City. Revisions
and addenda sheets will not be used for inspectior� 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 buUding department prior to the Certificate of Occupancy being
issued. This report will indicate that inspection and testing was completed in conformance with the
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approved plans, specifications and approved revisions or addenda. Any unresolved discrepancies roust
ba detailed in the final reporL
Contractor:
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 the 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 are considered to be in addition to the normal inspections performed by the City
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and the contraCtOT iR re-sponsible for cont2n-t`-9 "IC Oft-Y" Schedlile fegitilar inspecdons. No concrete shail be
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poured or other work covered until approval is given by the City inspector.
B-aflding DevaijLnent:
The building department shall review any revisions and addenda. The City inspector will monitor the special
inspection functions for compliance with the agreement and the approved plans. The City inspector shall be
responsible for approving various stages of construction to be covered and for work la proceed.
Design J!rofmionals;
The architect and/or engineer will clearly indicate on the plans and specifications the specific types of special
inspection required and shall include a schedule for inspection and testing. The architect and/or engineer will
coordinate thefr revision and addenda process in such a way as to ensure that all required City approvals am
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.
ENFORCEMNT
A failure of the special inspector or firm 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&rtirvi 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.
ACKNOWLEDGMNTS
I have read and agree to comply with the terms and condi
Owner:lky 4 S��—O/kf- ((q/� Pt-efsIgnature
Contractor; SS:21E !JLC-L-f--L""� Signature
Date
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Special InsplAhAD 5— \NLLA-t Ma,
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Special Insp. Agenc
ACCEPTED FOR THE CITY OF EDMONDS BUILDING DIVISION
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