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SPECIAL, INSPECTION AND TESTING AGREEMENT
P -lilit #: BLD2013®0329
Project: MCDONALDS a SOILS
Prior to issuance of a permit, this form must he completed in its entirety and returned to the Cily for•
approlurl. The compleleel form must have signatures of acknowledgment h.y all parties,
DUTIES AND RESPONSIBILITIES
Special Inspection hirm and Speci.all Inspectors:
The Special Inspection firm ofWill perform Special
inspection for the following types of work (separate forms Hurst be submitted if more. than one firm is to be.
employed):
❑ reinforced CollcretC ❑ Spray applied 1'ireprool'ing
❑ Bolting in Conercte ❑ Smoke Control Systems
❑ Prestressed Concrete ❑ Lateral Wood
❑ Shoterete ❑ Structural Observation by design professional
❑ Su1ucltu•al Masonry X Grnding/soils
❑ Structural Steel/Welding„Othe1,ZZ
❑ High Strength Bolting ❑ Other
All individual inspectors to be employed on this project will he WABO certified for the type of work they are to
inspect. If inspection is for work that is not covered by the WABO categories, or the inspector is not WABO
certified, it detailed restune of the inspector and firm Hurst be submitted. The resume must show that the
inspector and the firm itre qualified by education and experience to perform the work and testing rewired by the
project design and specifications.
The work shall be inspected for conformance with the plans and specifications approved by the City, revisions
and addenda sheets will not be used for inspection, unless they have bean approved by the City. Inspection
records shall include,
® A daily record to be maintained on site, itemizing the inspections performed. Any nonconforming work
shall be brought to the immediate attention of the contractor for resolution,
® A weekly report shall he submitted to the City; detailing the inspections and testing performed, listing
any nonconforming work and resolution ol' nonconforming items.
o A final report shall be submitted to the building department prior to the Certificate of Occupancy being
issued, This report will indicate that inspection and testing was cornpleled in conformance with the
approved plans, specifications and approved revisions or addenda. Any unresolved discrepancies must
be detailed in the final report.
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Cmi nctor:
The contractor shall provide the special inspector or agency adequate muifiemion MAW requiring inspection,
The City approved plan and slrccil' wimm must he WC tnAlable, at the jobsite for Be use of the special
inspector and the City inspector. The contractor shall maintain all daily inspection reports, oo site, for review by
all parties.
The special inspection funWmB nrc, considered to be in addition to the normal inspections performed by the City
and the contractor is responsible Aw contacting the City to schedule regular inspections. No concrete shall he
poured of other work covered until approval is given bythe City inspector,
I3rtildina Denm•finent,
The building department shall review any revisions and addenda, The City inspcetor will mount the special
inspection I'unclions for compliance with the agreement and the npproved plans, The City inspector shall be
responsible for approving various stages of construction to be covered and for work to proceed.
Design Professionals:
Tlu, architect and/or engineer will clearly indicate an to plans and specifications the specific types of special
inspection required and shall include a schedule for inspection and tasting, The architect and/or engineer will
coordinaw their revision and addenda process in 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.
Owuor:
The project owner, or the architect or engineer acting as the owners agent, shall employ the special inspector or
agency,
ENFORCEMENT
EMENT
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 \,laid this agreement and the Building Official's approval or we special inspector,
In such a case a new special inspector and/or firm would need to be proposed rk approval. A failure of the
design and/or consn•uction parties to perform in accordance with I& agreement may result in a STOP WORK
notice being posted on the project until nonconforming items have been resolved,
ACKNOWLEDGMENTS
1 have read and agree to comply with the terms and conditions of this agreement,
Owner:Date
Sibna(yrc�.
Contractor: _ _'� (` C' S -Y v, c--.----------Signaltuc__ _ °`___" —_ Date:
Arch./Eng:__------_`igt1attr` date:
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Date:Special Imp._ `----_Signature_( 1 -
Special Insp. Agency'_ ---
ACCT? QED FOR Tf M. CITY OF EDMONDS BUILDING DEPTBy: Date:
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