Doc0007.pdfov ED)
RESUIS
AUG 1AS 2016
101LAUNNO, DWARF f,
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S'PECILAL INSPECTION ANDTESTING AGREEMENT
Permit#: 4 - /&07-
Project- ��oe�r*ot!, 6WA66
twor to asuance Of
approvaL The compktodforns musikave signalures of ac*najvIedg)wnt by allparfies.
DUTIES AND RESPONSIBILITM8
�X.
The Special In"otion firm, of
will parform special
inspection for the following types of work (separate- fornis must be sulmitted if more than one rat is to be
employed):
Site Grading/Frosion Control
a Auger Cast Piles
Mill
projimt design and specifications.
a Permanent Erosion Control
The work shall be! inspected for conformance with the plans and specifications approved by the City, Revisions
and addenda pproved by the City. inspection
rtvorda shall incluide"
A, daily record to be maintained on site, itcrnizing the inspections, p*rformed. Any nonconforining work
shall be brought to dic, irnmediate attention of the contractor for resolution,
,A weekly report shall be submitted to the City,, detailing the inspections and testing ptiformed, listing
any nonconforming work and resolution of no fterns,
A final report shall be submitted to the Wilding department prior to die Clertificate of Occupancy being
issued. This report will indicate that, inspection and testing was completed in conformance with the
approved plans,, specifications and approved revisions or addenda. Any unresolved discrepancicq must
ba detailed in time final report,
Qffftlsim
The contractor shall pro vide tit e speeiai inspector or agency adequate norification of work requiring inspection,
The City approved plan and spec ,ifications must be made available, or the jobsite for the use of the special
inspector and the City inspector. Thtractor shall, maintain all daily in"cticrn report&, on site, for review by
all parties�
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The building depeftnten shall revielwanY revisions and addenda. The City jnspe�etori will monitor the special
inspeotion functions for compliance with. the agreement and the apiproved plans. nw City inspector shalt be
responsible forapproving various stages of construction to o proceed ,
1 I ty�t,
0i, d3as and gmcirications th"rxcific tYPes Of SPecip
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The project owner, or the architect or engineer acting as the owners agent, shall employ the special inspector or
agency.
ENFORCEMEXI*
approved
ACKNOWD' GWNTS
I have read and agree to comply with the t m a and conditions of agreement,
Owner: ---Signature Date
Cntractor_Signature Date,
0/4
A reh. /E na re Date:
Special Insp. gnaturc_� Date: YUIL
Special hisp.
ACCEPTED FOR THE CITY OF EDMONDS BUMI)ING DUT,
tate
By:
NWDMS'YR-DP.M'ItSWmidi nskliatidou,tI lace wmation byChurMospevianNspWiAl in ism mid Mains agreommi COrAOC81412M