FarrSpecInsp.pdfCIS O70EuMONOS
SPECIAL INSPECTION A" NTNG AGREENIEN T
The project at �„�" _ issued under building permit
number .M&— I-) _. requires qwW inspection and/or testing per IBC Chapter 17. The
complete Ust of special inspections is attached to this document.
BEFORE APERIMT CAN BE ISSUED: The owner and contractor and special inspector shall complete
this agreement and the attached structural test(s) and Inspections schedule including the required
aeknowledgements.
APPROVAL OF SPECIAL INSPECTORS: Each special inspector shall be approved by the Budding
Official prior to performing any duties or inspections. Each special inspector shall submit Statement of
Qualifications to the Building Official for review. Special inspectors shall display identification when
performing special inspections on site- Special imispection and testing shall meet the minimum requirements
-of IRC Chapter 17 and the following:
A. Duties and Res
uonsibilities of the Special inslrecior
1_ Observe Work
The special inspector shall observe the site work for c:onfermaumwith the approved (stamped) plans
and specifications and applicable workmanship provisions of the IBC. Architect or Engineer
reviewed shop drawings may be used only as an aid to inspectiiom Special Inspections are to be
performed on a continuous basis—asneaning that the special Inspector is on site at all times observing
the work requiring special inspection. Periodic inspections, if any, must have prior approval by the.
City based on a separate written plan reviewed and approved by the Building Official and the
engineer or architect of record..
2. Report Non-muforming Item
The special inspector shall bring none -conforming items to the immediate attention of the contractor
and note all such items in the daily field report. Any hexon not resolved in a timely manner shall be
immediate cause of the special inspector to notify the Biding Official of the plan deviation, error,
change or emission. It shall also be the duty of the special inspector to promptly notify the engineer
or architect.
3. 'Complete Daily Reports
Each special inspector shall complete and sign both the special hispeetion record and the daily report
form for each day's inspection. These records shall remain at the jobsite with the coubmaor for
review by the City Building bmspector.
4. Furnish Weekly Reports
The special inspector or inspection agency shall furnish the City with weekly reports of tests and
Inspections. The project engineer or architect, and others as designated shall also be copied on
reports. 'Weekly reports must include the Mowing:
Description of daily inspections and tests made with applicable locations
• List of an Bea -conforming items .
+ Report on status of non-eoui'ormiung hennas (resolved or unresolved)
Itemized changes authorized by the Architect, Engineer and City if not included in non-
conformance items_
S. Furnish Final Construction Report
The special inspector or inspections agency shall submit a fivai signed report to the City stating that
all items requiring special3nspection and testing were ful lied and reported_ Aj4 to the best of
L -\TE RABUILDINGISpecialb,WpectionAgre mcntIBC.doe 7/04 E S
AUG 18 2006
BUIE.DIW DEPARTMEMI
CITY OF EDMONDS
98/1812006 09: 39 4258277791 FAX VIAUk UYI tZe
1 Joker knowledge the pm7ed is in confW=aace with the approved phm and ap"McSations,
approved ehauge ordears and the appl%aabWworlcmansWP Pravillous of the W— items Rot iu
coxfornumce or unresdved itms or any diKvepaneles for ingw4on coverage, (Le., mused
t"peetions, perioft imspeciioa when continuaprs inspections were req�adred, etc.) s>� be sisediicaliy
iced in this report.
I. CARtra
1. NetKy the Special "eclat
1t is the duty of the costar to notify the special inspector rrhCen Bark fa ready ferar1a1
�>a. mote, tba ltmx iistedoatha.attsched ScHedtale axd as noted on the approved Pfaas and
spscifiraaiiotss an rey+mired to horn special bapections. Adsxlnate ava" adta:ll be provided bY the
coutraeWr so that the special inspector has time to become four With the project.
2. Provide Access to App mvved FURS sasxAss oPP3C° plans at e
The contractor is resposadiile for � the �r
jobdts"
3. Retain Special lnspecdOn Records
• The oostractur � reeponsfble to reisaim at the jabeite an sPec"l bSpsxtios records WbuNted by the
spedal htspector. These records are to be provided to the City bn$dit InSpedOr WArMR65L
G City of Etla»onds Buil D rtntent B
1. Approve Special bLver.to" Or inspection and �n
The building d� abs approve an spec spectors
2. Monitor sped inspection and approve weeldy reports
Work requiring Special itlsperlion and the peri'axmaum of spedal iutspecturs shall be monitored by
the City Btildbig lospeetor. HWVw appasovaal must be obtained prior to plaaeeateat of 00mtte or
other similar activities its addition to that of tate sge W inspector.
3. lssne Curate of t>cettpancy esxisi>a rgtorts
The Batiiding OWMW many Issste a Ceitit#estt of O =psamcy after all weekly RMW hsP .
indudingibe final report have been smxnitted and accepted.
�. er
The projed owner or the engineer or aydaect sat rseord acting as the O"Ws agent shalt fund
special inspection scryle s.
fEMM—Ames
.The engineer or architect of record shad inO ade specM lttspeetiog regniraonents on the pians stall
airecffiicatloaa.
ACKN
l h read andegret Campo with the terms acrd COMMO s VOW ogre
Owner Date
dpec�nsPectox
Date,-
General Csrnttae#or Date
c� lading Oftel
* .�AmnIm mur>t. .,xBC.doa 7loa