20130531131010854.pdfNo. 2194 -F�
Mar 21 2013 J JAM t DeLap ConstructiOn 4253570763 2/ 3
No, A 1. a um.j A '" Pm Scot
TESTING AGREEMENT
SPECIAL INSPE (VIONANX
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Permit 11. __BLD20134142
Project: S A — IN G S 0i
_ _LISH.!�jg;.QSS�
Prior to laimmee of a Permit, thisfiorm itlylst be coyt?plefed it; its or arety and remmad to the CUYfor
appl-ov(I.J. T f acknospledgment Py all parties.,/to conspietedform must have signatures
DUTIES AND RESPONSIBILITIES
tN A A
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d�) ft sap"M Rom: m Ad m4m-'�' tL&J%,NViJl J)eVf01'M hPeCiftl
The Speck! Trimpactiondurm of' ------ M
inspection for we RA Kwirig typeg"ilf \�bt-k (separate forms must b 4 UlrnrittCil if more than ono fitra is to bo
XReinforwd COI'crett)
Ll Bolting in colloreto
0 Presto' Coricfete
n High Strength Bolting
.6 F-04 C% *P1690tA 9)1 spray applied Fireproofing
[J Smoko Control SY&toins
11- Lateral Wood
Ej Struetural 0J)seyv(qi0n by design profMiollld
X GradilifflSoili
X othor
0 Other
All Individual to be emphqd oar X111,1 prqiect will be WABO certified for till) type of work they are 10
inspect. If juspp,(:tion is Cot, work dial Is not covered by the WABO catego"ieS, or 1110 illsPOCtOt is not WADO
octiffied, a domiled resume of the inspector nu(I Chin must be submitted. The re!a.11116 MUN(ShOW that tile
Inspoetail and the firm aro qualified by cduodoa and axpolionou to pefeym to work and to-9dog IVNIVed by tile
projov,t (lipign and peci f! catil oils -
The wo& sWU be inweeted for W)'fQlrrlun0j', with tll(,, pkus and specifictttiomapproved by the (;ky. Revisions
and addenda sheen will not he used for Inspection, unjesg Choy have been approved by the City. J."VecdOn
reoor& shall Include.
0 A tinily rowXd to be nmImMned on site, henihing the InApecclong performed. Any rionconfOrINAT) WOO,,
shall be brought to the iftlawdiate attention of tile. contractor for rumolution.
m A weekly report shall bo submitted to the City, dmalUng the inspections arld testing PoTOr0m), fi-Ming
11,1y 11011confoymirig work (u,<i regoltition of nonconforming items,
0 A fbIal report shall be submitted to (110 building, dopartimat prior to tile CeTtifi6aW Of 000UIX11110Y being
issued. TO repM i will indlente that 111!,.Pectioll arae, teEqing wars cj)rnpJctcd In conformance with the
all(I Approved revj,�Iojj,� or Mdotldo, Any
opprovml olvpd di5or6panole.q rritsA
be detailed W the final report,
LwoumnolLs and
Ma May. 20. 2013 _8:.25AMPm Scott DeLap Constivation 4253570763 No. 2194 3/ 3
fLoa-traetov:
The cojl(r;jotor,Jiall provide the special imglector OtAgf"ACY adequate, notification of work requiring impectiol),
The City approved plan and speclCiutatiUtay jjjU% bt njadb tividl6lo, 0 tho jobilto fat' the UNO Of thusPt-401
111,gpector and the City inspector, Tile, contractorqhall maintain all (laRY hi.spection reports, onsite, for revie,%v by
all parties.
TfiospeuiAf iiMPecti011 f(Ific,0011,5 W -C C011,6(lefcil to be in addition to the normal iIjspe0jiOjjs perforl.1jed by the, City
and the contractor Ill, 1VTO"Allilo for contacting the City to,90,11C:dU16 rej,(QhIr IIISPU(100, N1)ooj)cj-cto4hal1b6
poured or other work covered mlitil, Approval i5 givell by tho City inspector,
Tho btilldhig daparlmont shall review (10Y Nvk10rIS and addenda, Tile City inspector will monitor the special
inspection functions for compliallee with the ageerijetit atltl th(: approved plans, Tho City inspector 001 I)b
m4pom1ble, for approving various qtjgo� of oongraction to be rovere(l ?jjj(l fQr Work to proceed.
'file Ardlteot tuld/or 011gineor will clourly indicate. on the plaim and speoifiootiolvs the specific type of ,Peoial
inspection required and shall loclude a ' Miedule for inspection and [esting. The amhitmtand/or mglneer will
v proom -0 C approval, Itro
cool-dinge the[,, riwNlon and addenda q III mb it catty n to ousum that ,III I -�qujlv'd City pproval,
obLailled, prior to work shown on the fa.Vislolm being Performed in the field,
TY—nmeall ::penial hl-�Pcetov or
rhe projcct owner, or the architect or 0j)glI)r0j, ilc(ijjg,�I.s the owners agem, Shemploy tho. sagency. '
L,'N rt 0 It C LP M 8 N'r
A fillhli'o of (1104POW'Itt ifiVOCtOr or fivill to Perform in keepilig with the j,eqjjirG)ll0Ilh
of the TBC, tbf,- approved
C II's r.
plans and this document, may vol(I this ggreemen(and the Building Offichil's tIl)t)f('VAI Of (be, sPe iIll II Put 0
In such'a cilm" a now 4pcohtl hjgpootop ajjj/()p firm would neud to N propoWd for approvad. A fiffloro, of the
des(Livi and/or uonstro0ti011 partle.q to perform in acoordanc, with this agreement 1)1,,Iy ret)jt hi a STOP WORK
notice being posted oil tho 1)"Plect t"Itill nonconfon"ing jtenvhave baon vosolved.
ACKNOWLED6MENTS
I have read mid. agree 10 cc)mply with tho toj,jw,'., and coudition4 is 0
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Owtl("r:
comactollh) acoj-e t ")Ak Si
spe6111 1114.
special fil's
Date
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ACCEffED FOk THE CITY Or, P -MON DS WADING DEPT.
By
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CM)(minwilum mid illspeoo, soim,dmim mm
Date: