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hadfieldspecinsp.pdfMAY -09-2006 17:19 P.08/10 CITY Op )EDMONDS SpyCIAL INSPECTION AND TESTING AGREEMENT The project at p '0lwlt- —,- issued Murder building permit number Al+�requires special inspection andlor testing per IBC Chapter 17. '.rhe complete list of special inspections is attached to this document. BEFORE A PEFMff CAN BE ISSUED: The owner and contractor e al ng the inspector shallled mplete this agreement and the attached structural test(s) and inspectschedulec qu acknowledgements. APPROVAL aF SPECIAL INSPECTORS: Each special inspector shall be approved by the Building (Nficial prior to performing any duties or inspections. Each special inspector shall submit Statement of Qualifications to tide l;uildaltig Officialfor SpecialinspectionSand testing secial inspectors hall halldisplay meet the min munon When � irements performing special inspections on site. S p of IBC Chapter 17 and the following: A. Duties and Res onsibllities of the S ecial Ins ector I, Observe Work Tlxe special inspector shall observe the site work for conformance with the approved. (stamped) plans and specifications and applicable workmanship provisions of the IBC. Architect or Engineer reviewed shop drawings may be used only as an aid to inspection. Special 'Inspections are to be performed on a continuous basis--nneaning that the special inspector is on site at all times observing the work rewiring special inspection. y the City based on a separate writtenPlan reviewed end approved by the Building Uffia-i;di and the engineer or architect of record. 2. Iteport Non-conforXMI19 Items The special inspector shall bring non -conforming items to the immediate attention of the cotractor and note all such items a the daily held report. Any item not resolved in a timely manner shall be immediate cause of the special inspector to notify the Building Official of the plan deviation, error, change or omission. It shall also be the duty of the special inspector to promptly notify the engineer or architect. 3. Complete Daily Reports Each special inspector shall complete and sign both the special'inspection record and the daily report form for each day's inspection. These records shall remains at the jobsite with the contractor for review by the City Building' Inspector. 4. 'Furnish Weekly Reports The special inspector or inspection agency shall furnish the City with weekly reports of tests and inspections. The project engineer or architect, and others as designated shall also be copied on reporis. Weekly reports must iucluEde the fallowing: • Description of daily Mspecti011s and tests made with applicable locations • List of all non -conforming; items • Report on statins of non -conforming items (resolved or unresolved) • Itemized changes authorized by the Architect, Engineer and City if not included in non- conformance items. S. Furnish Final Construction Report The special inspector or inspection agency shall submit a rnal signed report to the City a suing that elfilled and reported. And, to the best of all items requiring special inspection and testing were fi .,:1'l`IJ1V11'IBUILDING15peciallnspectionAgt'eenwnt113C.doc 7104 P. 10/10 mny-09-2086 17:19 �� � fatrlwo+c t�nrar r+a TESYMANSFiCTM /�' Tf Y� �i Gil'/�I�//F�f i f • r i1CQtEGi ADt7itFr^1 rsiV4CY d st"ECi/►1. Int3iE�iott REINI''ORCED CONCRETE,, GUNITE, GROUT AN') MORTAR: PRECASIYPRE5TRESSED CONCRETE: 1U Pwa.Tena FmTew Claddit Tcadoa Tats Mix IJesi ns R+:into,ciit plxcment Insert Placement Co=cv- $awbin Ccmett:w Placement Ltsaall�tion jtistpttion Cast Sam les Pick -Up 5arttpICS MASONRY: Speeial Inspection Suessts Used Preliminary Acepume Tests tMasow y Units. Wall Prisms) _ Sttbsegntni Tests imon= Gtovt. Field Wall Pris.=s Placement Inspaclias of Unin ADDITIONAL INSTRUCTIONS OR OTHER TESTS AND INSPECTIONS: ExcavaSrxiy Soil Beating vert 1°aA 4lln42of fill ftd Compaction Rockcty� e -- WAMbWkfill = gwall �ciica iaciu►If09 . Sits a10?Ill" during weg weathm e T�Pa atzyd erosion CWllltal Form'complcmd br Telepiyortc No.: SI RUCTURAL SrEELN ELDING. Sample and Tea ()ist 9 -CW- M—bqS below) Sbop MaMrW idenafuseioe Wdw.g WWCMIM 13 Shop D FZW Uiirasunie Inspoeriort 0 Sbvp 0 Field Wgh-au=gdi Bolting (nspoeaciu D slop Q Field OA32$ pri 071: OF ❑ Ad9D Metal Dak Welding WP=dvn 4 _ . Pwafo.cing Steel Wmmr- bvmli + Mtul Stud Welding btspaction Conerdc Inset Welding inspedian FIRETROONNG: placemw Inspection Densiry Tests Thi4m ssTesis W 11upou Vaiching INSULA17NG CONCRETE Sarnpk and Teti Pla�etncail Inspection Unit Weigh% FILL MATERIAL: Aceeptnnce Tests _ placcmnr! Inspection .^ Fmid Dcauity STRUCTURAL. WOOD_ . Shm Watt Nailing Inspeuioa im?eakm of Glularn Fab_ Y Inspection ot-Truss Join Fab. sample sndTt:st Cornponcnrs i1V Date. Yn-rni o 4 ra' hislher lmowledge the projectis in conformance•tiyith the approved plazas and specifications, approved ch;wge orders aiid the appiicvblc -workmanship prov!Aoirs of the IBC. Items not to eeoforrnance or unresolved items or any d1sereparxcles io inspection coverage, Cie., missed inspetfioi s, periodic inspection when cantinuousinspec€ions were requkod, ete.) shall be specifically itemized i'n this report, D, Contractor ousibilities 1. Mifythef pecialInspector 'It is the duty of the contractor to Notify The special inspecttirr when work is ready for special inspection. Note, the items listed on the attached schedule ari,d as noted an the approved plans axed specifications an required to have special inspections. Adequate ttQtice $ball be provided bythe contractor so that the special inspector has time to beromefamiliar with the project. 2. Provide Access to Approved ]Plans The contractor is responsible for pi'ovUling the special inspector access to :approved plans st,the 3. Retain Spec)al Inspection Records The eontractor is responsible to retain at the jobsite ail spCcfal inspectfon records slnbrnYtted by the special inspector. These records are to be pro'videtf to the City buildhig inspector upon request. C. Csiy of Edmg ds Building Deuartment Responsibilities 1. Approve special taspectors or inspection agencies The building department shalt approve all special Inspectors aInd special inspoc#iou requirements. 2. Monitor special inspection and approve weekly reporiS Work requiring special inspection and the performance of Special inspectors slmil be monitored by the- City Building bispector. H1sIHer approval must be obtained prior to placement of concrete or other ,similar activities in addition -to that of the speetal )ilspeefor. 3.. Ince Certificate of.0eeuponey The Building OJT%dA may issixe a Certificate of Occupancy after all'weekly special inspection reports including the flnal report bane been subnutted and accepted. . Owner Res ousibilities The project owmei- or the engineor or architect of record acting as the owner's agent shall feud special inspection services. �, h'?+�t'�ccr uxr rchitect afltecurri IieFno»sibiiz#ie� • The e>agiuQer or architect of record shall include special inspection requiretarmts opt the plans and specit'Ecations. W i7i,�DGIi;M NTS / lir e day a roe r l ilx terms aftd eon-ditlorrs of this rerr . Owner Date �� ;ipeci 1lnspe �►C • bate ! D 7d 2AD6 General Contractor City Building ficial Date 7104i lT£MP-MIFDINGSPo rctioAgG=ndBC,d" �n Z8 �Jtid 'GNI `Q3 NVc1 17LCOZ9C98Z 89:LL 9003/OC/OT MRY-09-2006 17:19 P.08/10 CITY OF EDMON DS SPECIAL INSPECTION AND TESTING AGREEMENT ( The project at 6 - 4- r: 1j74/Ylvi �' - issued under building permit number -� 4 ro requires special inspection andlor testing per 111C Chapter 17. The complete list of special inspections is attached to this document. BEFORE A PERMIT CAN BE ISSITED: The owner and contractor and special inspector shall complete this agreement and the attached structural test(s) and inspections schedule including the required acknowledgements. APPROVAL OF SPECUL INSPECTORS: Each special inspector shall be approved by the Building Official prior to performing any duties or inspections. Each special inspector shall submit Statement of Qualifications to the Building Official for review. Special inspectors shall display identification when performing special inspections on site. Special inspection and testing shall meet the minimum requirements of IBC Chapter 17 and the following; A. Dirties and Responsibilities of the Special Ins en c -tor 7. Observe Work The special inspector shall observe the site work for conformance with the approved (stamped) plans and specifications and applicable workmanship provisions of the IBC. Architect or kngineer reviewed shop drawings may be used only as an aid to inspection. Special Impections are to be performed on a continuous basis—meaning that the special inspector is on site at all times observing, the work requiring special inspection. Periodic inspections, if any, must have prior approval by the City based on a separate written plan reviewed and approved by the Building Official and the engineer or architect of record. 2. Report Non -conforming Items The special inspector shall bring noln-conforming items to the immediate attention of the contractor and note all such items in the daily field report. Any item not resolved in a timely manner shall be immediate cause of the special inspector to notify the Building Official of the plan deviation, error, change or omission. It shall also be the duty of the special inspector to promptly notify the engineer or architect. 3. Complete Dally Reports Each special inspector shall complete and sign both the Special inspection record and the daily report form for each day's inspection. These records shall remain at the jobsite with the contractor for review by the City Building Inspector. 4. Furnish Weekly Reports The special inspector or inspection agency shall furnish the City with weekly reports of tests and inspections. The project engineer or architect, and others as designated. shall also be copied on reports. Weekly reports must include the following: Description of daily inspections and tests made with applicable locations • List of all non -conforming items + Report on statics of non -conforming items (resolved or unresolved) • Itemized changes authorised by the Architect, Engineer and City if not include() in non- conformance items. 5. Furnish Final Construction Report The special inspector or inspection agency shall submit a fmal signed report to the City stating that all items requiring special inspection and testing were fulfilled and reported. And, to the best of i...CreMI'1BUILDING15peciallnspcetionAgreemeot]BC_doc 7104 P. 10/10 MAY -09--2006 17:19 yw . °�� N� - 8t1>ui>NGCk�Mfii'►ia ttt4sECT AUMM REINFORCED CONCRETE, GONFM, GROUT AND MORTAR: PRECASTIPRFSTRFSSED CONCRETE: ' rn_s�r� • A Trsts Swpfaroup Tests Tendoa Tests Mix Des"s tis RcWorcim Placcmrnl how Placement Coocrcte BaTrhin Conewe Placement Insia b6oa Ittsepction Cast Sam les Pick-up Sarnplas Compression Tests MASONRY: _-__ Special lnspcction Suesses fJsed Ptdin ivpry Acecpweee Tess fmzwwy Units. Wal! Prisms) ' Subsegtraat Tesu iMonmt Gtoot. FIEW Wall prisms) placemen) Ipspeetioe+of 11nttS ADDITIONAL INSTRUCTIONS OR OTHER TESTS AND INSPECTIONS: STRUC-MAL ST 3jWELDING. — Sample and Tma (list steric mombers bckm) ..� Shop Mam4w ldmdFtetuioe Welftg hupmm 17 Shop 0 Field _ .. UWWoo a Insp C6M d SbDp U Field High-sttmgds soiling myon ' OShop JDreld OA325 ©N DX OF D Aa9D — WW Deck Welding lnspccdc* 1 Reinforcing Sled w4d'mg ls+spccti m Mall Stud We)ding imwnion Corxtac lnsen Welding Inspo¢lion FIROOFING. placemm Inspection Density Tesu �.. Thle1�SSTeiTS Inspect Batching INSULATING CONCRETE: Samek and Tea Placepacnllnspcedon Unit Wciots FILL MATERIAL-- Acceptw= Tests �.r Placement InspecTion Ficid Dzwky MUCTURAL WOOD-- _ Sbew Waft Nail►rfg Inspection inspection of Glo-1am Fab_. laspwrwa of Trust Joist Fab. _ Sampleand Test Commmu (inch *9 high slrenglli ba�� — CCM=tc c)sslst' wtjwm B Md field W61ftg} ���'' EatpansioA"boil a>,Id �►sios* imQrta. ' °ad_*W system as Hated aJt sh Tale: Form co nplt:tcd br Date: Teleyiose TOTAL P.10 .. ..... ..... L;HSr-;HIJL ES I ING 4P -b 8;-!j -2±�!u a r f Ljv=J.'�.. P. I&Iba W..Wlefte the prq&ct is in twdqVwsnC*vft the approved ph= and *04009*106 aPOVwtdbCC orders and *, Ppbud* Imbomkip, PrOWAOMS-9thesc 'ftwoat 1D tonformMA* or waresdVea Remy or Bay 1ffwffq"*da$ jb jzopectim anw*gr. (&e, n&mgd wac rftqmb�* Cte) Shen be specitkoft Ituntad Im this "Port - B I- .1460Y 06 Special Tupwor 'Itimthe dalyof the amtradarta no* cbewcfal w"Ciar wbmwDxki. VeP* for WaAd Kms lined an We nMdwd scheduk MI =anted OD ON NWOvtd plans and ' mgpecdm WM94 the ,p,dMtxdmprereqmartdtolkiLvsqmWhLqmcdmx. Admqmtemofte shall be provNed by R. Praose Atcom to Appmwed PUM Od {Mans at tine IMe caukaettr is vesp� for Pad" Off RwdA 204PM*y *OEM to gkPMV jobute- PjAmin SP@d211ftVCd1" Records 376da1 kmptaftr- These retards mm tp be p",daed to the Chy buRdiag hmpmtw RPM "POL 1. Approve spWHdftspedDwT or buPDVUM ftwides dePUtmPM SWR SPPY*ve an q*dd Mq)ect m andspedd "$Mblk "ft=030L spc" baspec"On sad swava wmiq re""s afspegfW ingwders shah be woulkw" by Work "PkIng sped! fa pew =4 the perftnmauct the CWSwfldftg1Ospmtftr. gager sppromd, $., Ime CeCWCXW GMCca�►ao97 The sus"s Oww1d XW Imet a camm" Ofo"Mmy &fur an weekly q*" hopecamirepam 1Rckdft;bt fi)W wepn have bed mb",*" 70d xcmPtO& amp-ALI; as the Owaer*s aO AMR h" The projW 6w1mr or the gz�dww or oythftcci of wwcor4 *Lcftg gm 'The em6uew or swerb"ett Efrecant sbon Ipchdo spa" hmpeadva rogew"Emb on the P)MO and speciftation& I - / pvatr LA CanerM C"tm Csty Eva Omb" aw J-'%TMd"UjW]NM* OngfCOMNOW -- Dtft. I- Doe �tG12&410(0 DAM I I