Special Inspection - Testing Agreement.pdfCITY OF EDMONDS — ENGINEERING DIVISION
SPECIAL INSPECTION AND TESTING AGREEMENT
PERMIT # PLN20130031 DATE: l o - IZ- 18
PROJECT SITE ADDRESS: 10723 235the PI SW
PROJECT NAME: Lindberg 3 Lot Short Plat
SPECIAL INSPECTION AGENCY Ir� 56lvri 6A5 N
*One form must be completed by each Special Inspection Agency or
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SPECIAL INSPECTIONS REQUIRED: Special inspections are required for this project, as applicable,
in accordance with Title 18 Edmonds Community Development Code (ECDC). When required, the project
must be installed/constructed per approved plans and specifications. The owner or the registered design
professional in charge shall employ an independent testing/inspection agency/special inspector to perform
required special inspections. The special inspector shall be a qualified person with competence for
inspecting the specific type of construction or operation requiring special inspection. The owner, registered
professional, contractor and special inspector/agency shall provide a special inspection report detailing
compliance with approved plans and specifications directly to the Engineering Division.
WORK REQURING SPECIAL INSPECTION: Special inspections will be required for the following
categories of work: FOR SPECIFIC INFORMATION REGARDING REQUIRED SPECIAL
INSPECTIONS SEE THE STORMWATER REPORT AND APPROVED PLANS
Infiltration Trenches
® Subgrade importcd/amended soils meet design infiltration rates
® Soil Amendments
BEFORE A PERMMIT CAN BE ISSUED: The owner and contractor and special inspector shall complete
this agreement and return to a Permit Coordinator prior to permit issuance.
APPROVAL OF SPECIAL INSPECTORS: Each special inspector shall be approved by the Engineering
Division prior to performing any duties or inspections. The credentials of the specific person performing
the inspection shall be submitted. When applicable, the company performing inspections must he
accredited by the American Association of State Highway and Transportation Officials (AASHTO) RI8.
A. Duties and Responsibilities of the Special Inspector
1. OBSERVE WORK
The special inspector shalt, observe the site work for conformance with the approved (stamped) plans
and specifications. Special inspections are to be performed as needed, to confirm that the work
being completed meets specifications and approved plans.
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2. REPORT NONCONFORMING ITEMS
Thu special inspector shalt oriiig non-con'(orming'iiems to the immediate attenlian of the contractor
and engineer of record. The special inspector -shall provide a report to the Engineering Division
notifying of any items not resolved and/or not installed per the approved plans and specifications.
Items not `constructed per the ,approved plans and specifications will result in a review .of the plans
to determine what requirements will be needed for the project to meet the necessary stormwater
requirements; such as removal and reconstruction, re -design of the stormwater management
system(s), etc,
Final approval for' cite project will not occur until instaiiaiion of an required improvements is
complete -and accepted by the Special Inspector and the• City.
J. FINAL CONSTRUCTION REPORT
The special inspector or inspection agency shall submit a final signed report or Certificate of
Compliance to the City stating that all items requiring special inspection and testing were fulfilled
and reported. The report shall also include a statement from the inspector stating to the best of
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approved plan revisions, if any. Itcras not in conformance, unresolved items or any :discrepancies
in .inspection coverage (i.e., :missed inspections, periodic inspection when continuous inspections
were required, etc.) -shall be specifically ,addressed in this report.
B. Contractor Responsibilities
1. NOTIFY THE SPECIAL INSPECTOR OF ALL REQUIRED SPECIAL INSPECTIONS
It isthe duty, of the, contractor to, tinaf_v the .special_ inspector whin work is, re,a y farr special
inspection. Note, the items listed ,;ruder the statement of special- inspection on the building, -permit
and as noted on the approved plans: and specifications are required to have special inspections..
Adequate notice shall be provided by the contractor so that the special inspector has time to, become
familiar with the -project. All work requiring special inspection must be approved prior to concealing
or covering said work.
2. PROVIDE ACCESS TO APPROVED PLANS
The contractor is responsible for providing the special inspector access to approved plans at the
jobsite.
3. RETAIN SPECIAL INSPECTION RECORDS
The contractor is respoonsible to retain at the }-obsite all special inspection records submitted by the
,special inspector. These .records.are to be provided to the City .Engineering inspector weekly or as
performed upon request and upon completion of work.
C. City of Edmonds Engineering Division Responsibilities
1. APPROVE SPECIAL INSPECTION
The Engineering Division shall approve all Special Inspectors and special inspection requirements,.
2. MONITOR" SPECIAL INSPECTIONS AND APPROVE REPORTS
Work requiring special inspection and performance of special inspectors shall be monitored by the
Engineering Division Inspector. Engineering Inspector approval must be obtained prior to
backfilling or other similar activities in addition to that of the special inspector.
3. F, IN AL AI'I IR VA
The. Engineering. Division may provide, final inspection approval after the special inspection
report(s) have been submitted and accepted by the City.
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D. (honer Responsibilities
1. The project owner or the engineer or architect of record acting as the owner's agent shall fund
special inspection services.
E. Enaineer or Architect of Record Responsibilities_
1. Prepare Statement of Special Inspections.
2. Review the special inspection reports and provide corrective action for work that may not conform
to the approved plans.
ACKNOWLEDGEMENTS
I have read and agree tocoisa* wilk the terms and conditions of this agreement
Owner name 2A "Ib /
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- (pleuae print or type)
Signattirc_ _ _ Date _ 0112,11
General Contractor Company/Owner name _ S� L �n/���^'s�J PLC She--
(ptcage prinl or type)
Signature _ Date &[J I -IS
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Special Inspector/Agency name
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Engineer of Record name
(ptrase print or type)
Signature r�� i `�/',� Date 23 q
Return the original signed agreement to:
City of Edmonds Development Services Department
121 5" Avenue North, City Hall Second Floor
Edmonds, WA 98020
ACCEPTED BY CITY OF EDMONDS ENGINEERING DIVISION:
City Official Signature Date
Title:
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