SIGNED SPECIAL INSPECTION AGREEMENTSPECIAL INSPECTION AND TESTING AGREEMENT
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Permit #: Kahlo's Cantina - STRUCTURAL
Project: BLD2019-0397
Prior to issuance of a permit, Ili is form must he completed in its entirely and returned to the Citl' for
approval. The completed form must have signatures of acknowledgment hr all parties.
DUTIES AND RESPONSIBILITIES
Special Inspection Firm and Special InspecOtrs:
The Special Inspection firm of Krazan & Associates
will perform special inspection for the following types of work (separate forms must be submitted if more than
one firm is to be employed):
X Reinforced Concrete
X Bolting in Concrete
Prestressed Concrete
Shotcrete
Structural Masonry
X Structural Steel/Welding
High Strength Bolting
Spray applied Fireproofing
Smoke Control Systems
—Lateral Wood
X Structural Observation by design professional
--Grading/Soils/Shoring/Drainage
_Steel Floor and Roof Decks
Cold Formed Metal Framing
All individual inspectors to be employed on this projecl will be WABO certified for the type ofwork they 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, The resume must show that the
inspector and the firm are qualified by education and experience to perform the \Nork and testing required 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 been 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 be submitted to the City: detailing the inspections and testing performed, listing
any nonconforming work and resolution of nonconforming items.
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 completed in conformance with the
approved plans, specifications and approved revisions or addenda. Any unresolved discrepancies must
be detailed in the final report.
FD�ISVR-Dlit''I'r5'+.Plamm��1S1IARFMIAI DING DIVISION` I Ir.l Y.Spccial Inspccton0i,ccial Inspccuon RcportsLSl Kahlo's Cantina
Struadoc5ll 912019
FDMvND5WA. Gov
Contractor:
The contractor shall provide the special inspector or agency adequate notification of work requiring inspection.
The Citv approved plan and specifications must be made available. at the jobsite for the use of the special
inspector and the Cite inspector, The contractor shall maintain all daily inspection reports, on site. for revic" by
all 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 Cite inspector,
Building Deaartment:
The building department shall review am revisions and addenda. The City inspector will monitor the special
inspection functions for compliance with the agreement and the approved plans, ']'he 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 Neil I clearly indicate on the plans and specifications the specific types of special
inspection required and shall include a schedule for inspection and testine. 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 the field.
Owner:
The project owner. or the architect or engineer acting as the owners agent. shall employ the special inspector- or
agency.
ENFORCEMENT
A failure ofthe special inspector or firm to perform in keeping \Nith the requirements ofthe IBC, the approved
plans and this document, may void this agreement and the Building Official's approval ofthe 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 andlor construction parties to perform in accordance with this agreement may result in a STOP 'WORK
notice [icing posted on the project until nonconforming items have been resolved.
ACKNOWLEDGMENTS
I have read and agree to comply with the terms and conditions of this agreement.
Owner: George Sharawy Signature ` Date 09/09/2019
Contractor; _ George Sharawy Signature_ _ DateOg/19/2019
Alch./Eng: John Riley 9/20/2019
6 Signature Date:
Special Insp. -�Jlg M-eIs Signatur
Special Insp. Agency
ACCI:P'1'EDD I:0R'flll: CITY O EDMONDS BUILDING DIVISION
B}: Date:
1VGVIZ-1WIPTI S1PlanningtSIIARIS\BUILDING DIVISION F11T*S\Srccm1 Inspccuons`Srccial h-'rccaion ReportsN Kahlds Cantina
SUuc docvl Ni2019