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SPECIAL INSPECTION AND TESTING AGREEMENT
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mss[: 189
Permit#._. 09s;Y
DripJect: S r—K-
.Prior to issuance of a permit, thl9form mz�t he completed in Rs entirety and returned to the City for
approval. The completed foams must have signatures of acknowledgment by allparties.
DUTIES ANI) RESPONSIBILITM
Special-Insnection Firm and Special IRMftc6rs.-
'the Special Inspection firm of �os
C-41 QAA -S S
I J�tci — will perform special
inspection for ' the following types of work (seorate farms must be submitted if more than one firm is to be
employed):
,Qrading/Soils
All individual inspectors to be employed on thi.,
inspect. If inspection is for work that is not cov
certified, a detailed resume of the inspector and
,inspector and the firm are qualified by educatio:
project design and specifications,
The work shall be inspected for conformance w
and addenda sheets will not be used for inspect!
records shall include:
A daily record to be maintained on site,
-shall be brought to the immediate attemt
A weeklyreportshall be submitted to ff
any nonconforming work and resolutior
A final report shall be submitted to the I
issued. This report will indicate that in:
approved plans, specifications and appy
be detailed in the final report,
*Auger Cast Concrete. Piles
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project will be WABO certified for the -type of work they are to
'red by the WABO categories, or the inspector is not WABO
Firm must be submitted, The resume must show that the
and experience to perform the work and testing required by the
the plans and specifications approved by the City. Revisions
unless they have been approved by the City. Inspection
temizing the inspections performed. Any nonconforming work
:>n of the contractor for resolution.
� City; detailing the inspections and testing performed, listing
of nonconforming items,
uilding department prior to the Certificate of Occupancy being
lection and testing was completed in conformance with the
ved revisions or addenda, Any unresolved discrepancies must
Contractors
The contractor shall provide the special inspector or agency adequate notification of work requiring inspection.
The City approved plan and specifications must 6 made available, at the jobsite for the use of the special
inspector and the City inspector, The contractor, shall maintain all daily inspection reports, on site, for review by
611 parties,
The special inspection functions are considered to be in addition to the normal inspections performed by the City
and the contractor is responsible for contacting the City to schedule regular inspections. No concrete shall be
poured or other work covered until approval is given by the City inspector.
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Building Do Lar mm t: �
The 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.
Desien Professionals-.
The architect and/or engineer will clearly indicate on the plans and specifications the specific types of special
inspection required and shall include a schedule for inspection and testing. The architect and/or engineer will
coordinate their revision and addenda process iri such a way as to ensure that all required City approvals are
obtained, prior to work shown on the revisions being performed in the field.
Q&nert
The project owner, or the architect or.engineer acting as the owners agent, shall employ the special inspector or
agency.
ENIFORCEMYNT
A failure of the special inspector or firm to perform in keeping with the requirements of the 1130, the approved
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 parties -to perform in accordance with this agreement may result in a STOP WORK
notice being posted on the project until nonconforming items have been resolved.
AC�NOWLEDGMIENTS
1 have read and agree to comply with the terms and conditions of this agreement.
Owner: Signature Date
Contractor: (Signature Date:
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Arch./Eng: Q Signature ®_�___� Date:
Special Insp. 'i'I epi a Com Signature _ Date. X91113
Special Ilisp. Agency 0 to Koslenaa
ACCENTED WR THE CITY d EDMONDS B UELDiNG DEPT.
13y:G I Date:
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