APPROVED BLD RESUB 2-SI Agreementtoe t?oMo
„� . _�;:..''d SPECIAL INSPECTION AND 'TESTING AGREEMENT
Permit #: BLU2t}22-0094
�y` 9� Project: Vaisvila, 17123 69t'' Place West
Fsior try iasuar:ce oju pe�»zit, tt:is fi�rnr Rrrr�st be completed in Its entirety and returner! t+� the Ct'ty for
apprnual. 7'he completed furor must have signatures �f cuknowlerlgrner�t by all parties.
nu�ri�s a�r,� RFsI'�k�S�IBILITIES
Snrcis►1 Inspection Firm and Special [nsttictors:
The Special Inspection firm of ` Ci OPAL? ��� S��G ���� wilt perform special
inspecion for the following types of work (separate forms must be submitted if more than one firm is to be
employed):
_ Reinforced Concrete
Bolting in Concret+r
_._._ 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
All individual inspectors to be employed on this project will be WABO certified for the type of work they are to
inspect. If inspectioa is for work that is not covered by the WABO categories. or the inspector is not WABO
rectified, 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 trod experience to perform the work and testint; required by the
project design and specifications.
The work shaft be inspected for conformance ��=irh the. plans �rnd 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 deity record to be maintained on site, itemizing the inspections performed. Any noneanforming work
shall be brought to the immediate attention ofthe contractor for resolution,
A weekly report shall be submiued to the C'it}•; detailin; the inspections and testing; performed, listing
spy nonronFornaing wft�rk anei resolution of not�confarming items.
A final report shall be submitted to the building department prior to the Certificate of Occupancy being
issued. This report will indicate that inspor:tion 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.
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voisvtl�.doo3/t 6I2022
£rantrnetor:
The Contractor shaft provide the slucial inspector or t►gcncy adequate notification of wa'k requiring inr;peetion.
Thi~ City approved pilot and sped f icatians must be made available, at the jobsitr for the use of the 5pt#ciat
inspector ttrtd rite C its irupcctor, Tttc contractor strati maintain ali daily inspection reports, on site, for revic�v by
al] parties.
The special inspection fieneticros are considered to he in addition to the nonna! inspections per{orrned by the City
and tits eantraclur is resgorwible fps anntaetinr the City to sehrduie regular inspeetian5. No coneretr shall be
poured of other work t:ov�red until approval is given by the City inspector.
t3ui�ilns` itrpa rtmgntt
Tht; building tiepttrtm�nt abali review any rcvisirnts and addenda. 'fhc City inspector will monitor the special
inspection fLnctions far eamptfanoe with rite agrcement and the approved ptxna. Titc Ciiy 'tnspetZtor shall be
responsible far approving various stages of construction to btr covered and for 4vnrk to prnceed.
airtn Professionals:
The architect andlctr engincx:r will clearly indicate on the plans and specifications the specific types of special
inspection required. and shall include a schedule for inspecton end tc5ting. 'the arc:hhce:t andfor cngipeer tti ill
coardinatc their revision and addentla pracDstt in wch a way as to ensure that aU required Ciry approvals are
obminett, prior tq wt)rk shown un tilt rc�isions txing pttrfot�+ried in thr field.
Uwuvr:
Tha projact owner, ur file architect or ensinerr acting as the awncn agent, shall employ the Special inspector or
a8ertcy.
t! facture o{ the special inspector or f ism to perform in kcepiiti; with the royuiremenl5 of'the lf3C, ttx approver!
plans and this document, may void this agrrenitnt and the Building C3tiieial's approvut of the special inspector.
In st)eh a cane a nts4v apccial inspector andlr>r firm would need to be proposed for approval, A falltrre of the
design and�or conslruc:tiun ponies to pert'ctntt in accordance with this upreerttgnt may result in a STOP WORK
notfex befog posted on the project until noncanfixming itQmts have beon resolved.
ACKNOWLEDGMENTS
i have read and abreC to comply with rite terntg and conditions o{this
Owner: RlG�i��1�5,� U�ISIJJCA Signature..._.,
C;antractor: __ �(C��, '�rr� _ G'A�`��L�
ArchJF,n}l:
Signature
Special (nsp.
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fiti
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Special coop. Agency Co hk �'( c�jr2.t1SC.� �"� � r�50 � T S�
RCCEPT)cfl FOR THE CITY OF EDMONU5 DtJIl.pING C)1VISION
�Y� _ ._...._ . _ _.._ Uate: ___
pate � /� �2
Date: � � � 5 ��' 2
[)ate; 3�'�����
flare: 7 �`� �Z-
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