Special Insp Agreement Form Structural.pdfRECEIV
S 1: .T` 15 2014
DEVELOPMj��jVj- SERVICES
oli (,,0UA1TER
'N./s,ND "t"ESTING A.G1UTE,,A,1F-,NT
0
ate !0`4
Pdor 10 is, �Vlmnce (?fUPMW1j ihhjWwt must be voigWed In Av entirePp ond relurnedio the 6741ifir
upprowl(.
DUTWS AND REWONSIBEUTMS
�,vocbllmi-aa, "IS
The Speelal hispootion firm of.. 69"CO.- will porfonuspeoint
hupeodon fair tho following tyj)W&ewbi-k (sej;arido fbrms must be subunlUed if jnmv thou one I% is to be
employed):
�Rolnfoi-cbd Coucmto
in Con"S,
-jrcsttv;qed com"'rote
--mmiumo
---sivootural Masonry
lli ,la Strc of M Dolting
—.1.—SprAy applied Vireproofing
_jmoko confrol SAWS
$jawml mod
X�Stvuctural Obsorvation by design profle.Womd
......... .
All Individual impootorn to be eniploycd on thYs pjact will be WABO cm-tMed Ir Me type of woo thy am to
inspeot, Ititiqlvotion is IN work: Id Is not oovomd by Ov, WATIO uMqmk% m Ow Jn*cAw 1 not WABO
plOccl, n debiled inswrto of M14ppe6tor and firm mustim mOrn ed, IN rmaw MUM show WM the,
o"
prcijoct de'sit),J) and
Tho workslinil be inspco!cd for c.onfonnnnen with IS pians wo WadfionHwm app oved by IS City, RmSons,
and addenda sboofs,will not tw used 1b), inspection, unless fl1ey have been approved by the City, Inspe(3tion
records shall hioludo:
A. dally rowni M be nmWMhwd an situ, Umnizing Me inspootions perform icd, Any noneonforming, ww'l(
sholl be bmught to the immedWo ountiou of the conknotor Or rcso!Wion.
A weekly report sball besubluitted to the, City; detailing the inqoetions and tosthil')" podoutle'd, listing
mW notmotiforming Nvork and vo4olullon of nonewilkenilng items.
A final repast shMl be submitted to Me bulkl5g detmommd prior to the Cmitiewe ofowqxtney king
Issued. This rqort Will Indicate NMI 111'spo'('6011 and testing was cotuplotod it) oonfornifaloc wilh the
apIvoyodplans, spoo,111cmdons and NIprond mvidws modch"& hw mumolad Nwropmuln must
bo detollud In the .final yqoA.
1AWS, Now FoIdu20JW1omnVpo(fli0 111spoollon
k"Lmin.0nn
The conhactar shall 1wavide, 41w, speoial insilector cw agency aduquato nodUmdon of WK roph'19 impaction,
Ilm Clity aplumod plan and speolNeadomm aunt he mnde avaiJable, tit tltojobsif(� for Gru uso of the special
hmiskm mid Mu MY hapoeMr. Ito contrMor AnH rnahadr, all MQ impmthn rqodq on AN, Wr mview by
all Pardus,
Ito SPodal MeMon RUMImm are corisidmod M be hr nddition to the normal inspection's por.1binwd by the City
and the contractor In mullonsilAo for ooricaoting tho City tosotledule rogulfir inspCotiolls. Nownwrofashall bo,
m
pmd m other` work emmad M approval hr gNm b , y Me MW AqmMm,
Ito NdIdIng dgamnont, shdl review any revisions mW aUnda, rhG C'icy impootor will 1110111tor the. spel"lal
hispootion furlotions IbrommAkwo with rite n9mmmultand the aPProved Plans. 310 Mv limpoularshall be
rosponstlo for approving various magm of colMMion to he covered and friar w
r orproceed,
h to proed,
Tho arobitec"t and/ol. oughloor will ole arty itutioato oil the plans and Specifications the Spooillo types ofspoolal
impoodon r9quired and sARH Include a subothhe fbr hupootion and te")tIng. 'fill) arobitect and/or oughreor will
coordhlowtimir rovidon and adderida pawn ill such n way wl to wvsuro that all roquirod City approvals tit(,
obtalmC p&r N work shown on die ralskms king peribmwd M Ole Add,
Thu procat owno; CHAm Mlitmt or m9bur ading as the owners agent, shall employ the special inspemor or
agelloy,
ER'FORCEMER11
A Aribire of the silmiAl inspoctor or firpi to perform in keeping with the roquiromonts oftho We, the approved
plam, vuld tilk, docunlellt, may Void flik, acneernout and the Efullding Official'aa fipproval of (tit) special jnspoo(()r.
I'll such a one a new spnoiat inspector andkr firm would ikoad to Im.) propmod for approval. A failure, oftho
doign and/or consbaction Pm des to PWAMM in amonkmo with this 091'000"Ont MAY '(suit it, a STOP WORK
110HOO being posted Oil the, project until nonoonforninip, (terns larva bann rembed,
AX"KNOWLE 1)(3MEM'S
I have raw! and agree to comply with to terms mW emstims 0% aVmmmd
Sit,
Owner Dato
—11 -b/
fsp 'Sigruall
I K,
Spocial 261 .0v 11.wig!lvall,f,;
Spcoiul fmsp. Agortoy
. . .... . ...
AC,CEPTtil. FOR'1111-!', C11'Y OF EXP311%
BY:
L
IMMY MW mhoommmmmw mwwu bmAmmol'i