DNS RESUB 1 BLD2021-0811+COMPLETED SI AGREEMENT+3.9.2022_11.23.57_AM+2727239RESUB
Mar 09 2022
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT .SPECIAL INSPECTION AND TESTING AG"EMENT
ff Permit #:
PrOject: Quantum Rtimes LLC, 7"5 240111
— St. SW L01 3
Prior to issuance of aperatit this form maw be completed in in entirety and rgImmedlo he Cioftr
approvaL The completed form m&m hes,,e s4watures of acAno%4edgmenj by aftparde&
DUTIES AND RESPONSIBILITIES
eiud lastiedWo Firm and Special Iasp$&n:
The Special Inspection firm of . .... .... will perforinsTxciall
inspection for the following types of work (separate forms must be submitted if more than one firm is to be,
employed):
— Reinforced Concrete
Spray applied Fireproofing
Bolting in Concrete
Smoke Contmi Systems
— Prestressed Concrete
Lateral Wood
— Shotcrete
Structural Obwrvatimi by design professional
X Soils to include:
— Structural Masonry
1) lumpsma gao-ywtions
—Structural Epoxy
— Hight Strerigth Bolting
All individual inspectors to be employed an this project will be WABO certified for the type of woex they are to
inspect. If inqvction 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 resurne must show that the inspector
and the firm are qualified by education and experience to petform the work and testing required by the project
design and specifications.
The work shall be inspected for conformance with the plate 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
recor& shall include:
A daily record to be maintained on site, itemizing the inspections perfoTmed. Any nonconforining 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 tile Cellificate 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,
2021-0811 Quantim 14r,"A LIX.'LOT 2A;x12/M021
9—MMw2c,
The COMMUor shall provide the special inspector or agency adequate notifIcation ofwork requiring inspection,
nt City approved plan and specifications must be made available, at thcjObSite for the use of the special
inspector and the City inspector, The contractor shall Maintain all daily Inspeofion reports, on site, Ibr review by
The SPOCial inspecUon functions are considered to be in addition to the no aj ins ons P orm by the C1
tin pecfi arf cd its
and d)e contractor is responsible for contacting the City to schedule regul inspe
Poured Or other work covered unfit approval Is given by the City , Jay ctions. No concrete shall be
Inspector,
Timxrsent shall review any revisions and addenda.
lnSP0000 f4DCWM for com,pliance with the agreement and the The City lans, ,iTIVectarbe Cifwill Inonitor the special
The
responsible for approving various stages of construction to be covered and pfor work to proceeyd. inspector Shall be
specific
insPWion required and shall include a schedule for inspection and testing. The architect and/or engineer will
ThcatchiteCt and/or engineer will clearly indicate on the plane and specifications the sp fie types of special
coordinate their revision and addenda process M such A Way as to ensure that in required City appr als
obtained,Ptim to work shown on the revisions being performed in the field. v ov am
QUM
The project owner, or the architect or engineer acting as the owners agent, shall employ the special inspector or
a9ftcY
ENFORCEMENT
A failure of the special Inspector
of finalto Pm form in keeping with the ne-quirtments of the IBC, the approved
Plan and this document may
void this ar=nent and the Building Official's approval of the special inspector,
It' such 3 cam a now special inspector and/or firrn would need to be proposed failure th design and/or constructioT, parties to perform i sed for approval. A fafl of e
notice being Posted on the project until n accordance with this agreement may result in a s'rop wopK
nonconforming items have been resolved. �
I .have read and agree to I ACKNOWLEDGMEMS
nmp y wtth the lenns and condi ions o
Owner;
gnatureDxteC >' 9,24
C011tractor
Signature _
MIX,'
Arch./Ern g:�
Date.
°/z�
pecial IM-P-
Date:
Special.1nap. Agency -,ZIA/Q- '72E
ACCEPTED poR THE C)Ty OF FMM0Nj>S BLMMING'DIVISION
Ry: W- W '114ka-EL
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