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20160407110831.pdf0.0�:Y)n,1yrCJ SPECIAL INSPECTION AND TESTING AGREEMENT Permit #: awe 7-0/9-- 0/77 --01 j$ q17 I" 1 911 Project: flym L 1p i+-4+ 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 re t o r ntl S eel Ins a tors. The Special Inspection firm of _a' �tl! will perform special inspection for the following types of work (separate forms must be submitted if more than one firm is to be employed): M Window Water Penetration Resistance Test n per RCW` 64.55.050(l)(a) per RCW 64.55 All individual inspectors to be employed on this project must have substantial and verifiable training and experience in building enclosure design and construction. The qualified inspector shall be free from improper interference or influence relating to the inspection . Verification 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 may be requested. 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 final report shall be submitted to the building department prior to the Certificate of Occupancy being issued. The signed letter will certify that the building enclosure has been inspected during the course of construction or rehabilitative construction and that it has been constructed or reconstructed in substantial compliance with the building enclosure design documents, as update pursuant to RCW 64.55.020. Any unresolved discrepancies must be detailed in the final report. Cftnt tctt ,e, 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. 1\EDMSVR-DEPTPS\13uilding\i-[audouls Information by Chuck\in9peu1ons\spec1h1 idspection and testing agreement RCW64.55 COE.docg/6/2015 l I I I d I I I le'1i rttncntµ 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. Veda' I'r l" ssl nls" 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 fitmm to perform in keeping with the requirements of RCW 64.55, the WC, 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 stew special inspector and/or firm would need to be ,proposed for approval. A failure of 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 rnenc Owner-JQ YMNX —IIILGL Signature , Date 6 Contractor. _ _ _ __.___..... a .W SiSetatiti°e,, _ Date: Arch./ling: Signature _ Date 21Y Special Inap• � K „y._ igitaturr� Date: 3 "t,11 Speciallnsp.Agency, _�.. . ti�, a4�(� T6T77/V4 µ e_ Date ACCEPT" Opt THE CITY 0 EDMONDS BUILDING DEFT. 7��� WiDMSVR-DUffFS0ui1dinsV1sndout9 Informslion by ChucMinspeciionsUpcoial inspection and tcsling aUvcmcnt RCW64.55 WrAwV612015 SPECIAL INSPECTION AND TESTING AGREEMENT z. ,. Permit #: SLN �19� 0/77 --0179 --'Ol7 . V „ Project: HYDF PACK fM�E 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 sAnd Special Ins aeetoa: •., The Special Inspection firm of ".. _ will perform special inspection for the following types of work (separate forms must be submitted if more than one firm is to be employed): I 1 ,11 M-rre—sr a Building Enclosure per RCW 64.55.050(1)(a) per RCW 64.55 All individual inspectors to be employed on this project must have substantial and verifiable training and experience in building enclosure design and construction. The qualified inspector shall be free from improper interference or influence relating to the inspection . Verification 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 may be requested. 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 final report shall be submitted to the building department prior to the Certificate of Occupancy being issued. The signed letter will certify that the building enclosure has been inspected during the course of construction or rehabilitative construction and that it has been constructed or reconstructed in substantial compliance with the building enclosure design documents, as update pursuant to RCW 64.55.020. 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. 11EDMSVR•DEPTTS1Ruilding\Handouts Information by ChucMinspectionslspecial inspection and testing agreement RCW64.55 COE.doc8/6/2015 IluiI -dim Phu); I r I -%,", " I - 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. Ita�si n I'"l°atd"��a;sa:ar�atis 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 r ject 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 RCW 64.55, 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 ofthis. j,.;;on nt Owner 4-/ /yoq/l 12 LLC_ Signature �� "�� Date -3 IP-2016 ..p Contractor: Arch./Eng: 41�„°Vno�QRl6 h` Date: a Date, Special l f p Zach Pritchett _ na°omsuuuut� � -� �'u-t-�� Date: 3/16116 Special Insp. Agency�� ACCLI�r` I ta'E 'f IIE 4 I"I t' OF EDMONDS BUILDING DEPT 4 r 1-16 By: � Date: .............w._u.—_.... UrDMSVR-DEPTFSOuildingVlandouts lnfmmalion by Chuck\inspeclionslspecial inspection and tesling agreement RCW64.55 COEAoc8/6l2015 a SPECIAL INSPECTION AND TESTING AGREEMENT � Permit #: ��s Zfli� o� 7 —or7g --or7 t:` I IV�il Project: �YDF � F 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 S moill Ins wcolotw III wo s wwNeial Itts mew cta�rs: 5O 4r paclo f.G C— The Special Inspection firm will perform special inspection for the following types of work (separate forms must be sobmittt:d if m , e than one firm is to be employed): ■ Window Water Penetration Resistance Test a Building Enclosure per RCW 64.55.050(1)(a) per RCW 64.55 All individual inspectors to be employed on this project must have substantial and verifiable training and experience in building enclosure design and construction. The qualified inspector shall be free from improper interference or influence relating to the inspection . Verification 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 may be requested. 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 final report shall be submitted to the building department prior to the Certificate of Occupancy being issued. The signed letter will certify that the building enclosure has been inspected during the course of construction or rehabilitative construction and that it has been constructed or reconstructed in substantial compliance with the building enclosure design documents, as update pursuant to RCW 64.55.020. 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. \\EDMSVR-DEPTPS\Building\Handouts Information by ChucMinspections\special inspection and testing agreement RCW64.55 COE.doc8/6/2015 litlildin s lIc r;'lrfulent: 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. llc!I:Ott Proressiollals:. 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 RCW 64.55, 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 anew special inspector and/ter f irin would need to be proposed for approval. A failure of the design and/or construction parties to perform arm in accordance with tl: is ,agreement: may result in a STOP WORK notice being posted on the project until nonconlbrmi:ng items have been resolved. ACKNOWLEDGMENTS I have read and agree to comply with the terms and conditions of this a g •eemeiit. Owner: ... 2 . _. ............ Signature .. � .Y I: ate _ .. � � Contractor: _ OGT..m _.: a�igt t�nre.._ m_ . _ .... Da e .. Arch./Eng: Special Insp. Special Insp. Agency Signature Date: AC C l JYJ 1'l, 'C l THE CITY "" EDMONDS BUILDING DEPT. Date: Date: \\I;DMSVR-DEPTFS\Building\Handouts Information by Chuck\inspections\special inspection and testing agreement RCW64.55 COE.doc8/6/2015