12.23.19 signed special inspectionCITY OF EDMONDS - ENGINEERING DIVISION
SPECIAL INSPECTION AND TESTING: AGREEMENT
.RXITT # RL.D20181098 DATE: 111271/2019
:O.IECT SITE ADDRESS: 721 Edmonds Way. Edmonds, WA 98020
.0.1F.CT NAME: Chum T.ot 1
ECIAL INSPECTION AGENCY
Inc form must be completed by each Special Inspection Agency or Inspector.
ECIAL INSPECTIONS REQUIRED: Special inspections are required for this project, as applicable.
iccordance with Title 18 Edmonds Community Development Code (ECD0. 'W'hen required, the project
ist be installed; constructed per approved plans and specifications. The ovimcr or the registered design
d'essional in charge shall employ an independent testing'inspection agency/special inspector to perform
wired special inspections. The special inspector shall be a qualified person with competence for
petting [lie specific type of construction or operation requiring special inspection. The o\\iier. registered
4'essional. contractor and special inspector.'agency shall provide a special inspection report detailing
-npliance with approved plans and specifications directly to the Engineering Division.
ORK REQL'RING SPECIAL INSPECTION: Special inspections will be required for the following
egories of work: FOR SPECIFIC INFORMATION REGARDING REQUIRED SPECIAL
SPEC I IONS Sl I: THE STATEMENT OF SPE(71AE INSPECTION NOTED AS A CONDITION ON
IF. BUIHANG PFRWT AND�'OR ON THE APPROVED PLANS.
] Road subgrade placement and compaction
] Pere ious Pavement and Pervious Concrete Installation
] Erosion and Sediment Control and Slope Protection
Infiltratioii'biorctention subgrade preparation (prior to placing rock)
] Detention Vault
] I=inal FSC:
:FORE A PERMIT CAN BEISSUED: The owner and contractor and special inspector shall complete
m s agreeent and return to a Permit Coordinator prior to permit issuance.
111110VAL OF SPECIAL II\NSPEC:TORS: Each special inspector shall be approved by the Engineering
vision prior to performing any duties or inspections. The credentials of' the specific person performing
inspection shall he submitted. «lien applicable, the company perlorniing inspections moist be
;redited bN the American Association of State HigliNvay and Transportation Officials (AASTiTO j R 18,
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1. OBSERVE WORK
The special inspector shall observe the site ,,vork for conformance «with the approved (stamped) plan
and specifications. Special inspections are to be performed as needed. to confirm that the work
being completed meets specifications and approved plans.
2. REPORT NONCONFORMING iTEMS
The special inspector shall firing non -conforming items to the immediate attention of the contractor
and engineer of record. 'the special inspector shall provide a report to the Engineering Division
iiotiA,ing of any items not resolved andlor not installed per the approved plans and specifications.
Items not constructed per the approved plans and specifications Hill result in a review of the plans
to determine what requirements will he needed for the project to meet the necessary storntwater
requirements: such as removal and reconstruction. re -design of' the stormwater management
systetn(s), etc.
Final approval for the project will not occur until installation of all required imprcn�ements is
complete and accepted by the Special inspector and the Cih .
3. FiNAL CONSTRUCTION REPORT
The special inspector or inspection agency shall submit a final signed report or Certificate of
Compliance to the City stating that all items requiring special inspection and testing -,vere fulfilled
and reported. The report shall also include a statement from the inspector stating to the best of
his/her knowledge the pr(iject is in contiormance with the approved plans. specifications, and
approved plan revisions, if any. items not in conformance. unresolved items or any discrepancies
in inspection coverage (i.e.. missed inspections. periodic inspection when continuous inspections
�%ere required, etc.) shall be specifically addressed in this report.
Contractor )Responsibilities
II. NOTiFV TIIE SPECIAL INSPECTOR OF ALL REQUIRED SPECIAL INSPECTIONS
it is the duty of the contractor to notify the special inspector when work is ready for special
inspection. Note, the items listed under the statement of special inspection on the building permil
and as noted on the approved plans and specifications are required to have special inspections.
Adequate notice shall be provided by the contractor so that the special inspector has time to become
familiar with the project. All ti;ork requiring special inspection must be approved prior to concealing
or covering said Nvork.
2. PROVIDE ACCESS TO APPROVED PLANS
The contractor is responsible liar providing the special inspector access to approved plans at the
jobsile.
3. RETAIN SPECIAL INSPECTION RECORDS
The contractor is responsible to retain at the.jobsite all special inspection records submitted by the
special inspector. These records are to be provided to the City Engineering inspector upon request
and upon completion of work.
City of Edmonds Enzincering Division Responsibilities
1. APPROVE SPECIAL iNSPECTiON
The Engineering Division shall approve all Special Inspectors and special inspection reyuirernents.
2. lv1ONITOR SPECIAL INSPECTIONS AND APPROVE. REPORTS
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The Engineering Division shall approve all Special Inspectors and special inspection requirements
2. MONITOR SPECIAL INSPECTIONS AND APPROVE REPORTS
Work requiring special inspection and performance of special inspectors shall be monitored by the
L:ngineering Division Inspector. Engineering Inspector approval must be obtained prior to
placement of concrete or other similar activities in addition to that of the special inspector.
3. FINAL APPROVAL
1`he Engineering Division may provide final inspection approval after the special inspectior
report(s) have been submitted and accepted by the City.
i. 0-svner Responsibilities
l . The project owner or the engineer or architect of record acting as the owner's agent shall find
special inspection services,
. Enaincer or :architect of Record Responsibilities
1. Prepare Statement of Special Inspections,
2. Review the special inspection reports and provide corrective action for work that may not conli)rni
to the approved plans,
ACKNOWLEDGEMENTS
I ka►v read and agree to comply with tllte trrm and conditions of this agreement.
caner name <� "*&, d41 rl�
V (phase 11m of Ix)
Signature
0
Date (Z z l
eneral Contractor Company/Owner name cc-.►
(pleax print type)
Signature Date
iecial Inspector/Agency name _ South Sound Geotechnical Consulting
(pkaae print or type)
Signature'�� .( Date _ 12-20-19
igineer of Record name BeyAr Consulting, LLC, Mark Keller, PE
4pkm prim or type)
Signature
turn the original signed agreement to:
ty of Edmonds Development Services Department
15tn Avenue North, Cih, Hall Second Floor
.monde, WA 98020
'CEPTED BV CITY OF EDMONDS ENGINEERING DIVISION:
Date 12/23/19
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