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APPROVED BLD RESUB1 BLD2021-0895+SPECIAL INSPECTION FORM+10.31.2021_10.56.47_AM+2492737RESUB BLD2021-0895 Nov 01 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Of ED4fU SPECIAL INSPECTION AND TESTING AGREEMENT Permit #: BLD2021-0895 est. 1s9° Project: Eastman and King, 131 Skyline Drive Prior to issuance of a permit, 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 Special Inspection Firm and Special Innspectors: - s The Special Inspection firm of C 2e) .S Gf�- rj -�- 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 _Structural Epoxy _ High Strength Bolting Spray applied Fireproofing _ Smoke Control Systems _ Lateral Wood Structural Observation by design professional X Soils X Installation and construction of the Block Wall 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 fine 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: \\edmsvr-userfsluserprolS\dakauOesktop\Comurents Letters and Special Inspection forms 2019\Special Inspection fbrms\SI 2021-0895 Eastman and King.doc9110/2021 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 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. 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 this agreement. Owner: Sue Eastman King Signature 0� lM�a" ' " Date 10/20/21 Contractor: L>A l( aL L $ (LCrt_— Signa ___--- Date: -ATeh./En : David Bradley, P.E. 10/21/2021 g Signature Date: Special Insp. � pt VW 'V Signature gx Date: (0 �t Special Insp. Agency �rllJ ' S J ACCEPTED FOR THE CITY OF EDMONDS BUILDING DIVISION By: W. W 47� Date: 12/7/2021 \ledmsvr-userfs%useiprofS\dakau\DesktoplCoimuents Letters and Special Inspection forms 2019\Special Inspection forms\SI 2021-0995 Eastman and King.doc9/1012021 COBALT G E 0 S C I E N C E S Phil Haberman, PE, LG, LEG Principal Mr. Haberman specializes in geotechnical engineering, geology, and engineering geology and has extensive experience with fluvial and hillslope geomorphology, geologic hazard analysis, subsurface investigations, and retaining system design. Mr. Haberman has over 20 years of experience throughout the Pacific Northwest conducting geotechnical investigations, geologic hazard evaluations, geologic mapping and reconnaissance, retaining wall design, and construction oversight. He has managed and led countless geotechnical projects involving roadways, industrial facilities, utility construction, military installations and bunkers, schools, fire stations, as well as residential, mixed use, and commercial developments; including mid to high rise buildings with multiple levels of below grade parking. Phil has been involved in all types of geologic hazard analysis and mitigation, including slope stability analyses, coal mine hazard/subsidence analyses, liquefaction and seismic hazards, and groundwater mitigation. He has provided expert witness testimony, forensic evaluations, as well as shoring, gravity wall, and reinforced retaining wall design and monitoring. Mr. Haberman is involved in coordinating and supervising subsurface explorations, landslide evaluations, forensic evaluations, infiltration analysis, construction monitoring and inspection, construction plan preparation, specifications and bid document preparation; seepage analyses, and earth dam/levee and embankment design. EDUCATION B.Sc. (Geological Sciences), University of Washington, Seattle, Washington, 1997 LICENSES & CERTIFICATIONS Profession Engineer — No. 54896 Licensed Geologist — No. 2513 Licensed Engineering Geologist — No. 2513 Certified Erosion and Sediment Control Lead (CESCL) Cobalt Geosciences, LLC P.O. Box 82243, Kenmore, WA 98028 cobaltgeo@gmail.com PROJECT EXPERIENCE Coal Creek Park, Bellevue, Washington Conducted numerous geotechnical investigations for the City of Bellevue and provided slope stability analyses, erosion evaluations, and engineering design parameters for use in the construction of numerous bridges and rail systems in Coal Creek Park. Determined setback requirements for bridge abutments in an actively incising fluvial environment. Provided coal mine subsidence analyses and slope stability analyses for multiple projects within the Bellevue Parks System. Phil Haberman PE, LG, LEG Principal Proposed Hotels, Snoqualmie & Marysville, Washington Prepared geotechnical investigations for new five story hotels in Snoqualmie and Marysville, Washington. Explored the subsurface soils using borings and test pits and conducted an analysis of potential geologic hazards and mitigation options. Provided foundation and pavement design parameters along with recommendations related to earthwork, grading, infiltration, and utility placement. Medical Office Building, Kent, Washington Conducted a geotechnical investigation in an area with high liquefaction potential for a new office building. Drilled and sampled five borings as part of the seismic analyses for use in foundation design consideration. Recommended the use of compacted rock columns to support the new building and reduce the potential effects of liquefaction on the development. Forensic Evaluation, Seattle, Washington Evaluated the soil and groundwater conditions of a three tier retaining wall system within a steep slope and landslide hazard area. Conducted detailed slope stability analyses to determine options to mitigate local instability within the wall systems constructed in the early 197o's. Frances Anderson Center, Edmonds, Washington Evaluated the soil conditions for a new open-air roof structure. Determined foundation parameters for the new stage and roof structure, as well as foundation setback requirements from an adjacent concrete retaining wall. Cobalt Geosciences, LLC P.O. Box 82243, Kenmore, WA 98028 cobaltgeo@gmail.com Proposed Hotels, Vantage, Washington Excavated numerous test pits within a 5 acre parcel to determine depth to bedrock and fill thickness in the area of an old fuel station. Provided a geotechnical report detailing foundation design recommendations and options for site grading to limit blasting of in situ basalt. Mercer Slough Boardwalk Trail, Bellevue, Washington Conducted Cone Penetrometer analysis of a portion of the Mercer Slough to determine depth to bearing soils for pile support of a new boardwalk trail system. Prepared a geotechnical analysis report for variable diameter piles to support new bridges placed over 6o to 8o feet of very soft peat deposits. Port of Poulsbo Seawall Mitigation, Poulsbo, Washington Provided construction monitoring during fill removal and dead -man anchor placement for updates to an existing seawall. Evaluated soil conditions during construction and provided recommendations to minimize soil loss through the seawall due to tidal fluctuations, groundwater, and surface water from pervious pavements and rain gardens.