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APPROVED SPECIAL INSPECTION AGREEMENTSPECIAL INSPECTION AND TESTING AGREEMENT Permit #: BLD2020-0750 Project: Foster, 16211 70h_Place West Prior to issuance of a permit. this form must he completed in its en rety and returned to the 04, for approval The Completed form must have signatures of acknowledgment by all parties. DUTIES AND RESPONSIBILITIES Special Inspection Firm and Special inspectors: The Special Inspection firm of _ KILA-Z-4' 0C-lf-TL will perform special inspection for the following types of work (separate forms must be submitted if more than one fine is to he employed): Reinforced Concrete Bolting in Concrete Prestressed Concrete Shotcrete Structural Marv' Structural Epoxy High Strength Bolting Spray applied Fireproofing Smoke Control Systems Lateral Woad X Structural Observation by design professional Installation of Helical Pile X Soils Expansion Bolts/Threaded Expansion inserts 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 WABO categories, or the inspector is not WABO certified, a detailed resume of the inspector and firm must be submitted. The resume trust show that the inspector and the firth are qualified by education and experience to perfonn the worn and testing required by the project design and specifications, The work shall be inspecled tar conformance with the plans and specifications approved by the City. Revisions and addenda sheets will not he used for inspection, unless they have been approved by the City. Inspection records shall include: A daily record to he maiptained 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 ahe 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 reporl. -+cdmsvr•uurfi usapofiAAAU0Chkt.1p {'nmirtents Irlsers and `+pcciel fnKpemon forms 201 Q'Sivooi 4ns�n%in fonns sl 2020.0M I--nSter, Sails. Augm cam Pttinit dncd*2026 Conte The contractor shall provide the %pecial Inspector or agency adequa le notification of work requiring inspection. The City approved plan and Spec iftcatlons must be Inade available, at the johsite for the use oFthe special inspector and fate City inspector. The contractor shall maintain all daily inspection reports, can site, for review by all parties. The special IlicPei; tion Functions arc considered I be in addition to the normal inspec:inns performed by the 0 t y and the contractor is responsible For comact in the C i I y to schedule reguiar Inspections. No €:ancrete !shall be poured or other work covered uniiI approval IS given by the City Inspector. Building De rtm n : The buiiding department shall revtcu, any revisions and addenda. 'f he City inspecinr will monitor the special inspection Functions for c om p i a rice. with the agreemerrl and the approved plans. The City ittspeetor shall be responsible for approving varinu% stages of constmetion to be covered and for work to proceed. 17est � _P ro fn s91a n alS: The architect and/or engineer will clearly sndicate on the plans and specifications the specific Types of special mspecllon required and shall include a schedule 10T inspection and resting. The architect and/or engineer will coordinate iliew rlevtsion and addenda process 1n such a way as to ensure that all required City approvals are obta1ncd, prior to work shown on the revisions being performed in the field. Owner: The project owner, or the architecI. or engineer acting as the owners agent, shall employ the special inspector or agency, ENFORCEMENT A failure of the special insprat:tor ar thin to perform in keeping wish the requirements of the ISC, the approvrd plans and this document, miry void this agreement and the Building O is#al's approval of the spee:ial ir1specTOT in such a case a new special inspeclor and/or Firm would steed to be proposed for approval. A 1kilure al'the design andrar construction parties to perform in accordance with this agreement may result in a STOP WORK notice being posted on the project until rxrmconfonning items have been resolved_ ACKNOWLEDGMENTS I have read and ag7ree o c ply %viIh the iemt5 aPid rotuiitions of this agmement. Owner' �� ' • _ � _ Signature �� Date i_ owractor= a-- — 1�7lat urrCL3 D ,at •- a ArchdEn g: MPAU4LT +&-11•,r,(_ 4ignaturc C]ate: special in5p___T—JFU krtl �+ �Yi �Sigttature Date: r � r Special Insp. Agency Z ti, T- AMEPTED FOR rHE, CITY OF l:DMi)NDS BUILDING DIVISI0N [7 W. 7f 0"9lu"L 9/30/2020 c,dimyr-u,,crl, o,oprnN4akitu.l)L-1'<1cop, riIII r,ICI,,.% I Kt14.1%&fA 4FWL;1a1Ihp" IItFri WPM _VIL) tipciPPI ie%VIN11on lixnlrh•til2p'_fP{1750 It I&;I hits- AuSc-r agal Prune dDGM, IF, 2ilJfl