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Both SI agreements for bsmt revision and temp shoringDocuSign Envelope ID: DD6E657F-F43E-4DE7-BC5A-7CEE1AC2B1E1 ov EDA, Rp SPECIAL INSPECTION AND TESTING AGREEMENT Permit #: BLD2018-1101 ESt. ta9� Project: Sharma, 15712 72"d Avenue W. Temporary shoring for Basement Wall revision Prior to issuance of a permit, this form must be completed in its entirety and returned to the City for approval. The completed form inust have signatures of acknowledgment by all parties. DUTIES AND RESPONSIBILITIES Special Inspection Firm and Special Inspectors: The Special Inspection firm of l_it �,j�� (!� �tc/c� : IC�:,L[ C. & 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 steel/placement Placement of Concrete Verifying use of required Design mix. Testing of concrete For specified strength, air content and Slump. Shotcrete Structural Masonry `Structural Epoxy _ High Strength Bolting Spray applied Fireproofing Smoke Control Systems Lateral Wood Structural Observation by design professions X Soils/Installation/construction of temporary Site shoring plan for home foundation 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 firth 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. 1\edntsvr-userfs\userprof5\dakauMesktop\Cotntments Letters and Special Inspection fonns 2019\Special Inspection fonns\SI Report Sharma tentporaty shoring for Basement wall only- Copy.docS/12/2020 DocuSign Envelope ID: DD6E657F-F43E-4DE7-BC5A-7CEE1AC2B1E1 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' 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 jobsite 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 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 City inspector. Buildine Department: 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. Desien Professionals: The architect and/or engineer will clearly indicate on 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 the field. caner: The project owner, or the 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 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 perform in accordance with this agreement may result in a STOP WORK notice being posted on the project until nonconforming items have been resolved. ACKNOWLEDGMENTS 1 have read and agree to comply with the terms and conditions "agrawent. Owner: Amit Sharma May 15, 2020 Signature Date Contractor: L%r'iL G /l4j /7 Signature • 1 � Date. 11��",�_ Arch./Eng: Lj jd.Signature �� Date: i�v%t r� tl Yry kiedmsvr-userfsluserprof5ldakau\DesktoplComments Letters and Special inspection forms 2019\Special Inspection fonns\Sl Report Sharma temporary shoring for Basement wall only- Copy.doc5/12/2020 DocuSign Envelope ID: DD6E657F-F43E-4DE7-BC5A-7CEE1AC2B1E1 Special Insp. Signature Date: . Special Insp. Agency , r: Q," L ACCEPTED FOR THE CITY OF EDMONDS BUILDING DIVISION By: V07LOWMLOL W. W VfAULIL Date: i\edmsvr-userfs\userprof5\dakau\DcsktoplComnicnts Utters and Special Inspection fonus 2019\Special Inspection forms\SI Report Shanna temporary shoring for Basement wall only- Copy.doc5/I2/2020 DocuSign Envelope ID: DD6E657F-F43E-4DE7-BC5A-7CEE1AC2B1E1 U � Of ED�O�N SPECIAL INSPECTION AND TESTING AGREEMENT Permit #: BLD2018-1101 �St. I g90 Project: Sharma, � 15712 7211 Avenue W. Revision of Basement WaWToundation Prior to issuance of a permi4 this form must be 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 17 The Special Inspection firm of 4q 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 steel/placement X Placement of Concrete X Verifying use of required Design mix. Testing of concrete For specified strength, air content and Slump. _ Shotcrete — Structural Masonry Structural Epoxy High Strength Bolting Spray applied Fireproofing Smoke Control Systems Lateral Wood Structural Observation by design profession, 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 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. lledmsvr-userfsluserprof$ldakaulDesktoplComments Letters and Special Inspection forms 20191Special Inspection formslSI Report Sharma revision basment wall and foundation .doc5/12/2020 DocuSign Envelope ID: DD6E657F-F43E-4DE7-BC5A-7CEE1AC2B1E1 • 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: 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 jobsite 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 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 City inspector. Building -- partment: 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. Design Professionals: The architect and/or engineer will clearly indicate on 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 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 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 perform in accordance with this agreement may result in a STOP WORK notice being posted on the project until nonconforming items have been resolved. ACKNOWLEDGMENTS I have read and agree to comply with the terms and conditions of W&,a Owner: Amit Sharma Signature Contractor: Signature Dan Kosni k Signed by: Arch./Eng: Signature �Q May 15, 2020 Date Date: I Date: May 15, 2020 Special Ins ' p p Signatu _ ��"`__ Date: \\edmsvr-userfs\userprof$\dakau\Desktop\Comments Letters and Special Inspection forms 2019\Special Inspection forms\SI Report Sharma revision basment wall and foundation .doc5/12/2020 DocuSign Envelope ID: DD6E657F-F43E-4DE7-BC5A-7CEE1AC2B1E1 Special Insp. Agency^_! ACCEPTED FOR THE CITY OF EDMONDS BUILDING DIVISION By: w Date: \Wmsvr-userfs\userprof$Wakau\Desktop\Comments Letters and Special Inspection forms 2019\Special Inspection forts\SI Report Sharma revision basment wall and foundation .docS/12/2020