BLD2020-1418+SI FORM+1.31.2021_12.51.50_PM+2024737BLD2020-1418
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SPECIAL INSPECTION AND TESTING AGREEMENT
Permit #: BLD2020-1418 RESUBFeb 01 2021
'k g9° Project: Herzig, 224 Skyline Drive CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
Prior to issuance of a permit, this form must he completed in its entirety and returned to the City 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 Otto Rosenau & Associates, Inc. will perform special
inspection for the following types of work (separate forms must be submitted if more than one firm is to be
employed):
Reinforced Concrete
Bolting in Concrete
Prestressed Concrete
Shotcrete
Structural Masonry
X Structural Epoxy
High Strength Bolting
Spray applied Fireproofing
Smoke Control Systems
Lateral Wood
Structural Observation by design professional
X Structural Welding
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 must show 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 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.
Contractor•
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The contractor shall provide the special inspector or agency adequate notification of work requiring inspection.
The City approved plan and specifications must be made available, at the jobsitL for the use of the spacial
inspector and the City inspector. The e:ontmetor shall maintain all daily inspection reports, on site, for review by
all parties.
'the special inspection functions arc c:onssidcred to be in addition to the normal inspections perfonn d by the City
and the contractor is responsible for contacting the City to schedule regular inspections. No concrete shall hr
poured or other work covered until approval is given by the City inspector.
Building Awrtment:
The building department shall review any revisions and addenda. 'I he City inspector will monitor the special
inspection functions for compliance with the agreement and the: approved plans. 'Ihe City inspector shall he
responsible for appmving various stages of construction to he covered and fbr work to proceed.
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The architect and/or engineer will clearly indicate on the plans and specifications the specific types of spacial
inspection mquir►-d 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 reyuirod City approvals are
obtained, prior to work shown on the revisions being performed in the field.
The proimt owner, or the architect or engineer acting as the owners agent, shall employ the special inspector or
agmey.
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 parties to perfonn in accordance: with this agreement may result in a STOP WORK
notice brine posted on the project until nonconforming items have been resolved.
I have read and agree to comply with the terms and conditions of
C
Y
Signature
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Arch./I•:ng: P1 yr" �.Y � t JV signaiurc
Special Insp._Cariey Trammell Signature
Spccial Insp. AgencN Otto Rosenau & Associates, Inc.
ACCFPTED FOR THE C11-Y OF F.I)MONDS B111LINNG DIVISION
By: Vo7LowmL#L W. X v tree c ` I7atc: 2/01 /2021
Date l 2---m ?q
Date:
Date: 1 /22/2021
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