APPROVED BLD2021-1482+SI FORMS+1.13.2022_9.47.27_AM+2618956SPECIAL INSPECTION AND TESTING AGREEMENT
Permit #: BLD2021-1482
Project: CB Hotel I LLC, 332 Sunset Avenue North
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 Inspectors:
The Special Inspection firm of AAR Testing and Inspection, 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):
■ Monitor and test structural fill placement and soil compaction
■ Observe bearing capacity at foundation locations
■ Observe slab -on -grade preparation
■ Monitor foundation drainage placement
■ Observe excavation stability
NOTE:
AAR Testing and Inspection, Inc. will be contracted to perform special inspections of
the CONCRETE related work. Another special inspections company will be contracted
to perform special inspections of the STEEL related work.
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3
t)ecial Inspections, Testing & Structural Observation Schedule
IMPECUM ITEMS I CCINI"Q'#JO+tIS I PERIL IC I TF5nM
Concrete Construction (IBC 1705.3)
Concrete strength
Reirrforcing placement
Anchor bolts & holdowns
Embedded items
x
Preparation of test specimens
Concrete placement
x
X
x
x
Steel Constructlon U C 1705.2 & AISC 3fi0
Fabrication
x
Erection
x
Nigh -Strength Bolts (IBC 1704.3.3)
x
Weldin MC 1705.2 AISC 360 & AWS D1,1
Single -pass fillet ,~ 5f16"
x
Welded headed studs
Stair & railing
x
Light gage metal
Embedded plate
Anchoring Systems (MC 1705.3)
Powder -actuated fasteners x
Wood Construction (MC 1705.51
Sill plate anchor bolts
x
Floor diaphragm nailing
x
Shearwall nailing
x
Drag strut installation
Holdown installation
x
Concrete construction x
Woad construction x
U SPEC?IM SCHEDULE N)M:
'1. Items marked with an "x" shall be inspected In acoordarrce wlth IBC 1704 by a certlFled special Inspector
from an agency approved by the jurisdiction,
'2. Special inspection shall not be required for work clone In an approved farricator's shop per 1 1704.2.5.
verify approval with jurisdiction prior to fabrication.
�3. Continuous special inspection requires the inspector shall be on site at all limes that work requiring special
inspection is performed, periodic special inspection} shall allow inspection at the intervals necessary to
confirm that work requiring special inspection is in compliance with the requirements,
'. All welds shall be visually inspected.
All complete penen don welds shall be tested ultrasonically,
16, Periodic special inspection shall be allowed.
'7. All complete penellahon welds shall be tested Atrasonlrally,
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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:
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.
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ACKNOWLEDGMENTS
I have read and agree to comply with the terms and conditions of this agreement.
Owner: Chris Burdett
Signature 64cccc 'zWe t Date
01 /07/2022
Ron Colwill 01/13/2022
Contractor: Signature Date:
Arch./Eng:
Ron Skinner
Special Insp. TJ Gounden
Special Insp. Agency
Signaturqq0,zQ,Qag,�,,, 6De Date: 01/07/2022
Signature T��d n Date:
AAR Testing and Inspection, Inc.
ACCEPTED FOR THE CITY OF EDMONDS BUILDING DIVISION
Date:
01 /07/2022
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Envelope Data
Subject:
Burdett Sunset House - Edmonds, WA Special Inspection
Documents:
BLD2021-1482_SPECIAL_INSPECTION_AGREEMENT - AAR Testing.pdf
Document Hash:
62815045
Envelope ID:
ENV47983601-9702-CCEC-0493-EEDB
Sender:
Blake Fisher
Sent:
01/07/2022 12:21 PM PST
Status:
Completed
Status Date:
01/13/2022 09:25 AM PST
Recipient(s) / Roles
Name / Role
Blake Fisher
Ron Skinner
TJ Gounden
Ron Colwill
Chris Burdett
Address
blake@blakefisherarchitecture.com
r.skinner@ssseng.com
dispatch@aartesting.com
ronwcotwitt@gmaii.com
CHRIS.BURDETT@cbre.com
Document Events
Name / Roles Email
I
Blake Fisher blake@blakefisherarchitecture.com
Ron Skinner r.skinnerCssseng.com
TJ Gounden
Chris Burdett
Ron Colwill
dispatch@aartesting.com
CHRIS. BURDETT@cbre.com
ronwcotwitt@gmail.com
Ron Colwill ronwcolwillCgmail.com
Type
Sender
Signer
Signer
Signer
Signer
IP Address I Date Event
67.160.0.233 01/07/2022 12 (Created
:21 PM PST
50.34.85.234 01/07/2022 12 Signed
:43 PM PST
23.25.130.194 01 /07/2022 13 Signed
34 PM PST
50.46.195.153 01 /07/2022 14 Signed
:41 PM PST
67.160.0.233 01/13/2022 09 Resent
:08 AM PST
73.239.218.98 01/13/2022 09 Signed J
:25 AM PST
01/13/2022 09 Status - Completed
:25 AM PST
Signer Signatures
Signer Name / Roles Signature
Ron Skinner,�j
TJ Gounden
ei�t� Foorcear
Chris Burdett
doh 21/ cofcs�P2
FSOTII WeiM, II