Special Insp And Agreement form Pipe piles.pdfFL)
SPECIAL INSPEcriONAND TESTING AGM'E.M N
Peralit #: &A 7
o Project: O(weK AzAeoes.,P A*bxnoo)
Prior toissumiceo
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DUTIES AND -RESPONSIBUATTES
ds' !(' C i a LIM,2('S t Tirm and Speeb I TDIST(I.Ctors:
The special 111spCetioll firm of �0' - d0N5t4114,T1r,:Y 1,)AI4
will pertForm special
inspection for thetotlowing types of'work (separate forn-is must be submil!ted.if more than one firm is to be
employed);
w4lipe piles El Welding
All individual inspcc.t.ors to be employed on this projecl, will be WABO certified for the type of work: they are to
inspect, If inspection is for work, that, is not. covered by the Wz1_130 categories, or the inspector is not WABO
a detailed resume of the inspector andfirrn must be, submitted. The resurne must show that the
inspector and the firm are qualified by educatiot] and experience to perform. the work and testing required by the
protect design and specifications.
The work shalt be inspected for conformance with the plans and specifications approved by the City, Revisions
,and addenda sheets will not be used 1`01' inspection, 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 nonconforiniiig work
shall be brought to the immediate 'Wentioll of 1.11te 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 ionmiforming iterns.
A final report shall be submitted to I -lie building departincait
prior to the Certificate of Occulp,,.mcy being
issued. This report will indicate that ilISI)CO6011 and testing was completed in conformance with the
approved plans, specifications and approved revisions or addenda. Any unresolved discrepancies must
be detailed in the final report.
The contractor shall provide the special iiispeotor or agency adequate notification of work requiring inspection,
The City approved phm and specifications must be made available, at thejobsite for the use of the sl)eci',Il
inspector and 110, City inspector, The oontractor shall tmainfain all daily iiispeotion reports, on site, for review ley
all parties.
'File special inspection. fum(ions are considered to be in addiGon to the normal inspectioris performed by the C'ity
,in([ the, contractor is responsible for contacting the City toschcdulo regular inspections, No coacrete, shall be
poured or other work, covered until approval is givoil by the City inspector,
Information by jil,pectioli and testing agrecmmt COY'Am8/5/2013
'5ie 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 to proceed.
PsAff-11-L of —es Is i Q112 Ls_.,
The architect and/or engineer will clearly indicate on the plans and specifications the specific t3j)es of special
inspection required and shall include a schedule for inspection and testing. The architect and/or engineer: will
C.Oordinate their revision and addenda process iii such a way as to CfMirc that all required City approvals are
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
ENFORCEIVIE, NT
A failure Of the special inspector or firin to perform in keeping with the requirements of the WC, theapproved
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/or firm would need to be proposed for approval, A failure of the
design and/or construction pat -ties to perfbi-m in accordance with this agreement may result in a STOP WORK
notice being posted on the I)rqjcct until nonconforming iterns have been resolved.
ACKNOWLEDGMENTE,
t have read and agree to comply with the lei -ins and conditions of this agreement.
Owner:
Date
actor,
�Ig tire
Date
Ccintr,: Z
Axch,/Eng:
Signature
Date:
Special
Date:
Special hisp. Agency
ACCEPT iMR THE CI
OF EDMOI',DS BUfJ-DTNG DEPT.
3
By;
Date:
\\[:DM,S V R -DF TITFS\D u i I(] itj L
,V 1,111douts Informatim byraecinlinspection and testing ngteemcn I COU'Aod/5/2013
R E G E 11
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'rhe building department shall review any revisions and addenda, The City inspeotor will lilonitor tile special
inspection functions for compliance with the agrecrilent and [be approved. plans. The City inspector shall be
responsible , for approving various stages of construction to be covered and tor work (o proceed.
jjLsigp Professionals:
The architect Tand/or engineer will elcarly indicate on the plans and specifications the specific types of special
inspection required and sliall include a schedule for inspection and testing. The architect and/or engineer will
coordinate their revision and addenda process ii'l such a way as to ensure that all required City approvals are
obtained, prior to work shown on the revision's being performed in the field,
Owner:
'Ffie project owner, or the architect or engineer acting as the owners agent, shall employ the special inspector or
agency.
;Nil ORCEMENI
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 care a newspecial inspector and/or firm would need to be proposed for approval, A failure of the
desijni and/or construction pat -ties to perform in accordance with this agreement may result in a STOP WORK
notice being posted on the project untillionconforining items have been resolved.
ACKNOWLEDGATENTS
I have read and agree to comply with the terms and conditions of this agreern lit.
Owner: AV .__11
"Signature. . . ...... ...
Contractor: �SigrliltutT.I
Aroh,/Eng:_ __.-__Signature_ Data;;
Special filsp, cq/pte-5 P s _�7
Wr
Special lnsp, Agency
F'ORTHIH, CITY 0.hE]-)MONI.)S,Iitjll,I)IN(-T I)PITY
Date:
BY: 14 1/
\\EIDMSVR-DEPTFS\B (I i I d i I) g\ H andouts information by ChuckAinspection,0s p cc i a I inspection and testing agrQement COE, d ocS/5/2013