Walgreens Sp Insp. Agreement Sturctural.pdfCUL INSPE CTION AND TE STING AG RE BEE' NT
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Project-. _WALGRE E, NS
Mor to Issuance of aperialt, osis form mast be completed in its entirety and retarned to ifie a0 fora
approvat Tile coinpletedform imist have Nignotires of acknowledgnient by all liaraes,
DUTM AND ItESPONSIBILITIES
Special 11's I
,---LIQRSTRUCTURAY;
Tho Special inspection firm of Otto Rosenau & Assydates,jnc, will perform special
inspection for Ole following typo of work (separate forms must be submitted if more than one firm is to be
employed):
• Reinforced Concrete
• Bolting in Concrete
El Prestressed Concrete
1:1 Shoterete
X Structural Masonry
A Structural Steel/Welding
X High Strpnglh Bolting
0 Spray applied Fireproofing
El Smoke Control Systems
IJ Lateral Wood
11 Structural Obsenration by design professloflal
0 Grading/soils
M Other
11 Other
All Individual inspectors to be employed on this project will be WABO certified for the type of work they are to
inspect. If inspection is for work that is not covered by the WA130 categories, Or the inspector is not WABO
certified, a detailed resume of the inspector and firm must be submitted. Thu ivsurne, mustshow that the
inspector and the firm are qualified by education and experience to perform the work and testing required by the
project design and specifications,
The work shall be inspected for conforumnco with the Plans and speelfications approved by the City, Revisions
and addenda sheets will not be used for inspection, unles's they have been approved by the City. bsprcdon
records shall include:
A daily record to be maintained on site, itemizing the inspections performed. Any nonconforn-Ling work
shall be brought to the immediate attention of the contractor for resolution.
A weekly report sball be submitted to the City; detailing the inspections and testing performed, listing
any nonconforiOng work and resolution of nonconforming items.
A :final report shall be submitted to the building departniont prior to tiro Certificate, of Occupancy being
issued. This report will indicate that inspectlon 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,
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The contractor shall provide the special inspector oragoiley adequate notification of work requirlug inspection,
The City uppmved plan mid spQcIficadons must be made available, at thojobsite for the use of the special
inspector and the City inspector, The contractor shall maintain all daily Inspection reports, on site, for review by
all parties.
The special Inspection functions are considered to be in addition to die normal inspections performed by the City
and die 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,
Building Deriartment:
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 ftpprovcd plans. The City inspector shall be
responsible for approving various stages of construction to be covered and for work to pmeeed,
The architect anLVor 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 arid/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 oil the revisions being performed in the field,
P-2—ner.,
'File project owner, or tllr architect or engineer acting as the owners agent, shall employ the special inspector or
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 acid 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 (allure 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 noriconforn-drig items have been resolved.
ACKNOWLEIDGMENTS
I have road and agree to comply with the, terms and conditions of this agreement.
Owner:Signature Date.!
Contractor:
Date:
Date:
'Date:
Spe -IR /
Special Tw8p, Agency
ACCEPUD FOR TIM, CITY OF EDMONDS BUILDING DEPT,
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