special inspection and testing agreement complete.pdfY� -•r t J, SPECIAL INSPECTION maD j T I N G AGREEMENT
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Prior to issrrrrtrce of rr permit, !Ills forum utast be completed in its etrtirett' trial renwiteri to the Qp foc-
rrpprovrrl. The completed form must hove sigtnrrtrrres of acknvtvletlgmerrt kv rril pal-fles.
DUTIES AND RESPONSIBILITIES
jec
jiecial l•S"
InSt)Cctibl' Firm all(] Special Tres l tG
`file- Special inspection firm of Ttrrt'aaon will Iterforttt special
inspection for tha foliowillg types of work (separate forms must be submitted if more than one firm is to be
employed):
v Structural Steel Welding d St•uCW1111 Steel Bolting
• Bolting it) Concrete i, Epoxy Embedded Anchorage
All individual inspectors to be employed o" this pr(iect will be WABO certified for the type of work the)= are to
inspect. If inspection is for• work that is not covered by the WABO categories, or the inspector is not WABO
certified, a detailed resume of the inspector and firm must be submitted. Tine resume mast show that the
inspector and the firm are qualified by education and expericnce to perform the work and testing; required by the
project desit-n and specification's.
Ti'e work shall be inspected for coilforntance will, the plans and specifications approved by the Cite. Revisions
and addenda sheets will not be used for inspection, uttiess they have been approved by the City. inspection
records shall include:
0 -A daily record to be maintained on site, iteruizing the inspections performed. Any ttonconforl" il'g work -
shall be brought to the immediate attention of the contractor for resolution.
6 A weekly report shall be submitted to fire City, detailing the inspections and testing performed, listing
auk' i,oitcoil forirling work and resolution of nonconforming items.
n A filial report shall be submitted to tine building department prior to the Ceril f►oate of Occupancy being
issued. This report will indicate that'inspeetion and testing was completed in canformarnce with tfne
fidatians anti approved revisions or addenda. Airy unresolved discrepancies must
approved pians, speci
be detailed in the final report.
Contractor:
The contractor sltal provide the special inspector or agency adequate notification of work requiring inspection.
The City approved pial, and specificatiou's "'list be mage available, at the jobsite for tine use of the special ,
inspector and the City inspector. file contractor shall !maintain all daily inspection' reports, on site, for review by
all parties.
UIQiISVIt-17[;I''I'{ S�i3tri din �iJ,itacic�tils laltnsttntiod ti}� Z'ituet.^.i m�lwfiunsNipecial iospccliml 11od testing 116-rconlem COO dkw,1; "P2til
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 t1rijil approval is given by the City inspector.
kaqftg-Det7aa tnnent:
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.
po!gn Professionals:
The architect and/or engineer will clearly indicate oil 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 in such a way as to ensure that all required City approvals are
obtained, prior to work shown on the revisions being performed in tile field,
Owner: gent, shall employ the special inspector or
The project owner, or tile architect or engineer acting as the owners a
agency.
ENFORCEMENT
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 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 perform in accordance with this agreement may result in a STOP WORK
notice being posted on the project until nonconforming items have been resolved.
ACKNOWLED M 1 NT'
I have read and agree to comply with the terms and conditio is o thii e
Owner: AU22—lz�d--SignatUre Date
Contractor: DR 21,C, Signature Date:
�9/
David Sansotta Signature Date: 47/15
....... . .... .
Special Inst). f-InatUrC Si
Date:
Special lisp. Agency
ACCEPTED FORTHE CITY OF EDMONDS BUILDING DEPT.
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By, --LI—f1v 71, t, — ate:
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