bld20140457-Prestige-Geotech Inspection Agreement.pdf'—w
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Y OF EDMONDS . EN( 1NEERIN(Y'DIVISION
SVEICIM, INSPECTION ANDTIESTING AGIUZMENT
11,"YjVvWJTk- BLD201 40457 -A, ",A
PR()JF,C`I'S1'TF, A1)1)11ES63�� 21010876"' Ave W
PROJEX..."T NAME, PRESTIGE CARE, INC
*0rke foym Inust be cunkpleteel by each Speehil Inspection Agency
SPECIA11l, INSPECTIONS FEQIUR.EDI Sp(,cial inspections are required for tl-ds project, as
applicable, in accordance with 1"ifle 18 Edmonds Corninunity Developrnew Code (ECDC), Whcm
reqtiired, the projoct jiiust be ir, stall (xi./con s tra tad per approved plans and specifications, ',Cho omier or
thc,,, registev.,,xi desiga pro fassional in charge shall employ an iridepcn(Iml test hig/i nspection agency/special
j,rispector to perforrn re,qi.,iired specia] irispec[ions. The spmial inspector shall be a qualified person, with
cornpetence for inspecting the specific type ofewistmetion or operatimi requiring special insp(ai;bon- The,
owner, registercd professional, cmitractor .m.d special inspector/agenoy shall provide a speci,,d ffisppc;tion
reporf detailing unnpl ia rice with approved plans and specirications directly to the Engineering Division.
WORK REQUPING SPECIAL IN'SPECT'1ill" 9-, Special inspactions will be required for the following
(sttc,gorjes of work: FOR, SPECIFIC INFORMATION REGARDING )`iEQUIRED SPECIAL
J.NS?h,'C1'I0NS SEE 'TITE STATEIVIENT OFSPECIAL fNSPECTION NOTED AS A CONDITION ON
'THE BUILDING Pilk, AIT AND/011 ON THE APPROVED PLANS,
['] Deterition Vault:
0 Cut in Place Concrete
0 Soils
BEFORE A YIERMIT CAN BE ISSUED: The owner and contractor and special inspoetor shall
complete this ag
�rcemcnt and retum to as Pomrit Coordinator, prior W pemlit issuaLICC,
AIPPROVAL OF SIPECIAL TNSPECTOJR.St Each special inspector shall be approved by the
FLmgineeiing Divisjon prior to performing any duties oTinspoctions. The credcntials of Mar; spcoific porsan
POrfOrMiTIfa. 016 inspection shall be subDliftd, WbeJl aj)pli-Cablo. the, company perfbriming inspections
must be accredited by the Americm Association of State I-fighm,,,)y and Transp()riation (Vfioials
(A AS FIT()) R 18 .
�,1l '/' 11
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.
2. REPORT 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 notifying of any items not resolved and/or not installed per the approved plans and
specifications.
Items not constructed per the approved plans and specifications will result in a review of the plans
to determine what requirements will be needed for the project to meet the necessary stonnwater
requirements; such as removal and reconstruction, re -design of the storrawater management
system(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.
The special inspector or inspection agency shall submit a final signed report or Certificate of
Compliance to the City stating that all items requiring special inspection and testing were fulfilled
and reported. The report shall also include a statement from the inspector stating to the best of
his/her knowledge the project is in conformance with the approved plans, specifications, and
approved plan revisions, if any. Items not in confomnance, unresolved 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
I, NOTIFY THE SPECIAL INSPECTOR OF ALL REQUIRED SPECIAL INSPECTIONTS
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 are required to have special inspections,
Adequate 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 PLANTS
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. Cly of Edortds E�Qinecrin �ivisioa�nsibilies
1, APPROVE SPECIAL INSPECTION
The Engineering Division shall approve all Special Inspectors and special ingpection requirements,
Prestige Care Inc — W20140457 -Page 2 Gf 3
z, hIONFIUR SPEX]JAL16,314D APPIU)VE REPORTS
Warts reguhing spebal inspecdon wid pe,;rforinance, of special insyx,,0ors,,,Jia]1 be rm.)niwred by the
Enginaming Wt An hqmw. Enginceing InVccMr appmvM mud be Whyd prhr to
MawmeM of amme or oler Madhr activides in addhion to that of the spedal inspetotor,
I FINAL APPROVAL
'rbe Eng6neming Wdmi nmy pw&do W inspeoaon apprm/,,d after the, spe"'6al inspec'fion
report(s) have been subm.itled arid accepk.,d by the City,
Sibift ties
l. The project owne, or the engivieer or exchhect of record o.caylg as 0'1(" owner tgenl. Shafl fund
S�pccjal jT11PCGd0D Sff-Vi(TS-
E, E jjg,Lyjtfj_q�u-.err elA tee t of RecgLtl.,L�L%Jjq
Propa-re .,..4aternent oftrarrr
t? eview the spcciad inspecdon repons mid provide COMMM aM 0 M HWW" nOt COTIMY1
to the approved p71s.
1have mad and agree to comj)o wirh Me terms and cowfido)u qffhis agreernent
Owntr name
Pau
Date
General Contractor Companjl%ner rnwawe_
. ........ .
s
Date iguwule_
Spedal Inspector/Agetkcy 11RInc_
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prim 01- type)
Signaturg 4�
ra eer of Vueordnanue, j
typ�6
Reful-D the orighml signed agreement to'
City ofEdmwids Development Servicas Department
123 5t" Avenue North, City Hall Second Floor
Edirionds, WA 98020
Date '4111"
ACCEPTED BY MYGJNEE 1114G RIVIMM
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