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APPROVED SI AGREEMENT BLD2023-0043+sigspecial inspection form+2.11.2023_5.14.47_PM+3364871SPECIAL INSPECTION AND TESTING AGREEMENT Permit Number: BLD2023-0043 Project: Moll, 16121 North Meadowdale Road 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 Brian E. Moll PE,SE [SCBC Engineering, PLLC] 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 Steel/Welding ❑ High Strength Bolting N Epoxy N Hold down Placement N Lateral Wood/ Horizontal Diaphragm Nailing N Vertical Plywood Shear Wall Nailing N Grading/soils N Connection for wood construction ❑ Retaining Wall Footings 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. \\edmsvr-userfs\userprof$\dakau\Desktop\DONOVANS Comments Letters and Special Inspection forms 2019\BLD2023-0043 Moll.doex 2/6/2023 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. ACKNOWLEDGMENTS I have read and agree to comply with the terms and conditions of this agreement. Owner: Brian E. Moll PE,SE Signature %i Azel -)Z i-.,se Date 11 Feb 2023 Contractor: Same as Above Signature Date Arch/Engr: Same as Above Signature Date Special Insp: Same as Above Signature Date Special Inspection Same as Above Signature Date Agency: ACCEPTED FOR THE CITY OF EDMONDS BUILDING DIVISION By: Date \\edmsvr-userfs\userprof$\dakau\Desktop\DONOVANS Comments Letters and Special Inspection forms 2019\BLD2023-0043 Moll.doex 2/6/2023 desi n2 � = = CBC Enr�gineerin((�] PLLC nST inc. c. Siiucf„id RopomF7�no0omenl Education MSE Structural Engineering/Arizona State University BS Architecture/Cum Laude, Arizona State University BS Civil Engineering/Cum Laude, State University of New York at Buffalo Employment History SCBC Engineering PLLC (2008-present) Coffman Engineering WJA Design Collaborative DMJM - AECOM Registrations Civil & Structural Engineer in Washington Structural Engineer in Alaska Structural Engineer in Florida Professional Engineer in Arizona Architect -in -Training in Arizona Professional Affiliations Structural Engineers Association of Washington American Institute of Steel Construction American Society of Civil Engineers City of Edmonds Deputy Building Inspector Following Seismic Event Awards 2007 SAME Design Excellence Award Winner FY04 Barracks, Fort Lewis, WA BRIAN E. MOLL, P.E., S.E. Principal — Structural Engineering Brian Moll has a unique multi -disciplinary background in Engineering and Architecture. He has over 30 years of experience in all aspects of structural design, lateral analysis, foundation systems and special structures for civic, medical, military, multi -family residential and correctional facilities. He has been responsible for structural analysis, design and detailing in a variety of structural systems involving reinforced concrete, structural steel, reinforced masonry, cold formed steel, wood/timber and structural fiberglass. Brian is well -versed in design requirements for secured facilities, as well as anti-terrorism/force protection and progressive collapse requirements for Department of Defense facilities. In addition to his recent DOD experience he has been the Senior Structural Engineer on large retail structures and recently a shark aquarium for Coney Island, NY. Government — Regional • City of Edmonds WA on call Civil I Structural Engineering • King County North District Multiservice Center • Marin County Correctional Facility • Maricopa County Southeast Juvenile Facility Administration Building • California State Prisons Wasco/Delano • Arizona State University Sun Devil Stadium Annual Structural Inspection • Estrella Community College Centerpiece Building • Yavapai County Juvenile Courts Facility • Multiple Washington State Schools Value Analysis Studies • Multiple Washington State Schools Constructability Studies • Government - Federal • US Dept of Veterans Affairs: Replace Aged Boilers -White City, OR • Airfield Operations Complex Value Engineering Studies- JBLM, WA • Federal Aviation Administration — Lind Avenue SW • WAATS -Combat Mission Simulator Facility • 300 Man Barracks — JBLM, WA • Flight Simulator Facility — Fairchild, AFB • Squadron Operations Buildings I, II, III and IV — Fairchild, AFB • Squadron Operations Buildings I, Il, III and IV — JBLM, WA • C-17 Maintenance Training Facility — JBLM, WA • Physical Fitness Center P-277 — PSNS Bremerton • Bachelor Enlisted Quarters I & II, PSNS Bremerton • Golf Maintenance Facility, JBLM, WA • Gymnasium for Naval Post Graduate School — Monterey, CA • Child Development Center — Malmstrom, AFB • Family Housing Phases 6A, 3 & IV — Malmstrom, AFB • Battalion Headquarters — JBLM, WA • Barracks/Battalion Headquarters FY04/FY05 Whole Barracks Renewal - JBLM, WA Industrial I Manufacturing • Bank of America Western Washington Data Processing Center • Bank of America: Industrial Sorting Center • Boeing Tooling Facility • Boeing Boiler Plant and Hangar Plant Buildings • Costco (Australia) • Phoenix Newspapers Inc — Deer Valley Plant, AZ • SEWRP Recker Transfer Station- Mesa, AZ • Pacific Marine Management Hangar Sun Valley (Hailey), ID Predesign I Design -Build Bridging Docs Resistance Training Facility — Survival School Fairchild, AFB Information Warfare Aggressor Squadron — JBLM, WA Helicopter Operations/Simulator Facility — Malmstrom, AFB Ft. Lewis Command Headquarters — JBLM, WA Red Horse Medical Training Facility — JBLM, WA 9 Professional Architectural, Engineering And Planning Services For Design Of North Road Maintenance Shop Facility Kitsap County, WA ON