CHC-Special Inspect Test Agree.pdfRECEIVED
DDELOPMEN l atERfPiGE S OTI°f
Co TY OF 1:i°firiitfNDS
t" IT tmir1T fa,DM — ENCUNElia ING DIVISION
SPECIAL INS91,ouEC"10114 ANDDI us . G, AG.ETl ENT
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SPECIAL, INSPECTION ION A EN;Y_v � ��ew it tEqgw
Special �_..�
ne Iarro muste ceaaaleted b each Ias�actiaa Agency or Iaspecaa. _...�....�
SPECIAL INSPECTIONS I.:Ir QUI]ILEDI 1SpacGiafl inspeotionw are required for this, project, as
applicable, ill accordance with Tide, lis Edmonds C:cr:nrarunity Devc bparaacrat Code (E -CDC), When
required, the project rust he instaalled/ccnstrareted per approved plans alud specifications, 'f'he owner or
the registered design professionarl ill charge shall e.nap:rlcay an ir:adepaendent: testinghnspaecticn as elleyfspec:aarl
insp ectal° tc perlcarrra recperired special inspections, The special inspector shall be a cparaalified person with
competence for inspecting the, spaecific type cl"construction or operation requiring special inspection, The
owner, registered parr Cossicana1, contractor and Special insp ec for/aagency shall provide Baa special inspection
report detailing compliance with approved plans and specifications directly to file Engineering Division.
WORK IMQLpllING SPECIAL INSPECTION: Special inspections will be, required for the following
categories of work: FOR. SPECIFIC INFORMATION REGARDUNG REQUIUD SPECIAL
WSPECsTIONS SEETHE STATEMENT OF SPECIAL INSPECTION No'I"lliD AS A (.30N DITION ON
THE BUILMNG iP'EI mrr AN9XGi R ON THE, APPROVED PLANS,
( Road subp rade placement and compaction
Pervious Pavement and Pervious Concrete histallaation
?X Erosion and Sediment Control
Rain Garden Soil Mix and pPlantinp,s
G ]
Detention Vaar.rlt;
Cast ill Place Concrete
Soils.
BEFORE A PERMIT CAN BE' ISSIJIJM: The owner and conwaactor and special inspector shall
complete this agreement and return to a Permit Coordinator prior to pae'r�raait iso i aaace,
APPROVAL OF SPECIAL INSPECTORS: S: Eaach special inspector shall be approved by the
Engineering Division prior to performingany ditties or iraspaectiotis, 1"Ite credentials of the specific poison
performing the inspection shall be submitted. When applicable, the company perrol"ming inspections
must be accredited by die American Association of State Highway and Transportation Officials
(AASI- TO) R1 S.
C' oaaaubaaaaa�rY H e a;aRtpa a awra�e� farm 2 0 1, 3 0 460 -fIngc t �rar3
A. Duties and R.espousibilities of the Spechd Inspector
1. OBSERVE WORD
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 stormwater
requirements; such as removal 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 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 fi•orn the inspector stating to the best of
his/her knowledge the project is in conforrnanee with the approved plans, specifications, and
approved plan revisions, if any. Items not in conformance, 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 Res ousibilities
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 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 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. City of Edmonds Rngineee•ing Division Responsibilities
1. APPROVE SPECIAL INSPECTION
The Engineering Division shall approve all Special Inspectors and special inspection requirements.
2. MONITOR SPECIAL INSPECTIONS AND APPROVE REPORTS
Community Hestth Center — btd20130460 -Page 2 of 3
Work,rcquiring special and porforinance ofspecial irispectors shL11 be, na.m-koted by the
F.'ngincerki.g E)ivision Inspector. r"lighleerilig 111s1aox.tor approvarl raust be obtained prior to
placemont of concrete or otlwx similm- 8ofivities in addition to flial of the qpecial illspectov,
3. FINAI, APPROVAL
"l: he Engincering Division n)ay provide firial ill"Im'don approval after the Special illspectiol
report(s) have been, suk'nittedand accepted by tile (,ity.
D. ()w-neg- &.9 io Lu�fl�ififlies
1. '"I'lle pro !Oct owner 01, the erigineer orardlitect (A record actingas the ownew's agentshall hind..
,special inspmfiori.services,
E. E
.tjgpeer or.Ardifted of Recoi,A Res onsibilities
2. Roviow the special. insp(,(,,,do:o repoos and provide corrective adion fbi, work that may not (,-,onform
to the approw-Aplans,
A(W.114OWLEDGEMEr�us
I h(we read und (igmee to compy willi the teiwu and conefitions qf thk agreement.
Owner 11,11,110
) It 4
I . . .... (VICIL p'l* 01, type)
Signature
Date
General Contractor Company/Owner name Abbott Constmetion
4/ PcIisepslhlt oil type)
e-1 I 1, 0,711012013
Signature Date
fheRfle. Groan
(Pkasp, print Or
Siguature
Engineer of Record nange ("j k his topher 11. l(ovile P.E. for
Sin a
gture
... .............. 2L
...... .............
Return the original signed agmemenrto:
City of Ednionds Development Services Department
1215"' Avenue North, Cit-
y Hall Second Fiooi°
Edmonds, WA 93020
ACCEPTED BY
City offichil signalm,
Title.
ENGINEERUNG DIVISION:
Dq te
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Coinniumity Hetihb Ccmlcr- IM20130460 -PagO or"