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SPECIAL INSPECTION
ND TESTING AGREEMENT
�APermit M.
Prix r to inuance of a pffmk this fmm mum be compkUd by itr e"" amd reftuw d to d`e (ky jar
apprord ZU comp4ledfonn m W have signatura of acknowk4pnext by all partes.
no Special inspection firm of /' - 1 will perform special
ins,Wtion for the following types of work (separate fiorns must be submitted if moire than one farm is to be
employed:
l ief to Spray applied improofing
in Concrate Smoke Control Systems
Concrete a S Atvral Wood
Shotcrete Structural Observation by design professional
-__„Structural Misonxy. soils
_SMwtuW Steel/Welding �Other l�h
High Streceo Bolting
All individud 63pectont to be employed on this project will be WABO ' ied for the type of work they are to
iflspeot. If kspection is for wont that is not covered by the WABO categories, or flue impoctor is not WABO
osr04 a detailed resurne of the inspector and firm must be submitted. The resume must show that the
inspector and the firm am qualified by education and experience to perform the work and testing required by the
,project design and specifications.
11W work shall be impected for oonformance with the plaw and specifications ap ed by the City. Revisions
and addenda sham, will not be used for inspectim unless they have bow appmved by dw City. Inspection
shell incl
# A daily record to be maintained on site„ itemizing the inspections perfmmed. Any nonconlortning work
shall be brought to the immediate aftation of the eonowtor for molution.
e A weekly report "be submitted to the City; dat$iiing the itis 'ons and tesft perf=4 l" .' g
any nonconforming work and resolution ofnoncoaforming itwns.
• A final report shall be submitted to the building dep a prioi to the Catificave of Occupancy being
issued. This report will f ndk4rte that inspection and i was completed in conf"o ra with the
approved p specifications and approved . " or addowlia. Any umwotvtd discrepancies must
be detailed in the final r
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Tba COnbUtor shall provide the spacial inspector or agency adequate tifac"on of work requiring inspection.
The City ed plan and "ifications must be made available, at the: jobsite for the um of the special
inspector and the City inspector. The contractor shall maintain all daily in;spection reports, on site, for review by
Bit parties.
Tine special inspection functions are considered to be in addition to the normal inspections perfarmeed by the City
and the oontrt<ctor is responsible for contadng the City to schedule regular inspections. No concrete shell be
poured or other work covered until approval is given by the City .
1 Thane ant;
The building department shall review any revisions and addenda. The City inspector will monitor the special
impoction functions for compliance wiltb the agmenient and the approved plans, The City iitspector shall be
responsible for wing various egos of construction to be oov=W and for vo to
The architect and/or engineer will clearly indicate on the plans and s ifrcations the specific types of special
inspection required and shall inchsde a wAedude for inspection and testing. Ilse architect and/or engineer will
coordinate their revision and addenda process in such it way as to ensure that all required City approvals are
obtslned, prior to worst ahown an the revisBons being performed in the field.
The project owner, or the architect or engineer acting as the owners agent, shall employ the special inspector or
agency.
weir .K OWNi
A failure of the special inspector or firm to perform in heaping with the requirements of 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 arm would need to be proposed for approval. A failure of the
design and/or construction parties to perform in accordance with oris agreement may result in a STOP WORK
notice being postedon the project until noncaaforzo gg items have been resolved.
ACIKNOVA"GMZNTS
I have read and agree to comply with the terms and conditicna of this agreement
Owner:... �. 6
Sa Ante'
Special In.P• Ag=cy
ACCBPTEU FOR THE CITY OF EDMONDS BUILDING DEPT.
W. Date;
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Date:..
Date