DNS RESUB1 BLD2021-0812+COMPLETED SI AGREEMENT+3.9.2022_11.24.50_AM+2727241RESUB
Mar 09 2022
CITY OF EDMONDS L1>A,6
DEVELOPMENT SERVICES iPi'+C i "( IATCAI�T,+/^t+'�'+g/^�'{i�7 AND TESTING AGREEMENT
DEPARTMENT ro��,k, S i3 L+LrLt�.L INSPECTION iv 1 RiJd� 11 TESTING 5.3: �,JS �Gh!
Permit #: ALA202 12
: Project: Quantum Homes LLC 7909 240th St. SW Lay 4
PFMr to 49=9 rce Of 9lentil, this form must be COMPided in iN en&e y andr*trr and to the Cityfor
arpprova;l. ?ire complAed form must have skna&rn of acknowledgment by all parfim
DUTIES AND RESPONSIBi[ MES
Speew sus inn Irian and Special ecto
The Special Inspection ftms of _ _ _.__._... will perform special
inspection for the following types of work (separate fours must be submitted if more than one firm is to be
employed):
_____ Reintomed Concrete
_ Spray applied Fireproofing
Bolting in Concrete
— Smoke Control Systerns
Prestressed Concrete
Lateral Wood
_ Shotcrete
Structural Observation by design professional
X Soils to include:
Structural Masonry
1) -T moornury excavations
2) Back. fill and poir n ct gn Ja Pq d,Aoil
____Structural Epoxy
— thigh Strength Bolting
All individual inspectors to be employed on this project will be WAW certified for the type of work they ;rre to
inspect., if inspection is fbr work diet is not covered by the WA.BO dories, or text inspwor is not WABO
certified, a detailed resume of the inspector and fum must be submitted. The scsume must show that the inspector
and the firm are qualified by education and experience to perform the work and testing regtrired by the project
design and specifications,
The work, shad be inspected d for conformance with the plans and specifications approved by the City. Revisions
and addenda sheets will not be used for inspection unllarte they have been approved by the City. Inspection
records shall include.
.A daily record to be maintained on site, itetnirang the inspections performed. Any nonconforming work -
shall be brought to the immediate attention of the contrutor for resolution.
A weekly report shall be submitted to the City; detailing the inspections and trusting 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
issue. 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 tie
detailed in the final report.
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Q�mnium Flamed LLC t_OT4 due 12113T2431
The contractor aIhal I provide the special inspector or agency *dequate tif
no 'cation of work requiring inspection'
The City approvod plan and specifications must be made available, at the jobsire for the use ofthg special
inspector and the City inspector. The contractor shall maintain All daily inspection reports, on si% fbr review by
AD parties,
'lictions, ar-, considered to be in adil-itiou to n i I insPCetions performed by the City
n-' special inspection fiA tu 0 MR
and the contractor is raponsible for contacdng the City to schedule regular inspeetions. No concrete shall be
poured or other work covered until approval is given by the City inspector.
8UW—WLRVI)4d=M
1-he bui111iv&,4qmrjx=t shall review any revisions and addends, I'lle 0ty inspector will monitor the special
insPeCtidn f6ftflow 1br compliance with the agreement and the approved plans. The City insfw".or shall he
responsible for approving various stags -Is of construction to be coverW and for work to pry ",t
RO&A —Frqfe S 9 i —0a a 13 1
ne architect andior engineer will clearly indicate on the plans and specificw1dw 0, ci
the WC if ic "as I special
insNction required and shall inclu& a scbedukfor inspection and testing, 71w architect and/or Isigincer will
coordinate their revision and addenda procm in such a way as tc ensure
Obtai!114 that a 'required City apwvals are
-prior to work on dic rtyisiorn being pexformext in the field,
QMG
71W project owner, or the arehitcct or engineer acting as die owners agent, dial] employ the special inspector or
agency,
ENFORCEMENT
Afailure of the special inspector or firm to perform in keeping with the requirements of the IBC, the appmved
plans and this document, may void this agreement and the Building Official Is approval of the special inspector.
In such a case a new Special insPrxtor and/or firm would need to be proposed fear approval. A failure of the
design and/or constraction Parties to perform in accordance with this agreement M&Y result in a STOP WORK
notice being posted on the project until nonconforming items have been resolved.
ACKNOWLEDGMr.MmQ
I have read and sWee to compi
Y with the terms and conditions
Owner
Contr=tor. Signature
Sr=ial Insp, Agency__
ACCFPTED FOR THE CITY OF EDmONDS BUILDING DIVISION
By._ Date: 4/04/2022
Ltueri and Spacial hupection rQMN 2()194spetial lngpacu#n %rm$,�,Sj 202'i-oai�
Homan LLC 1ADT4AocI2/WM
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