Shoreshire pavers road tesc special insp.pdf...... . . . ..........
CITY OF EDMONDS — ENGINEERING DIVISION
SPECIAL INSPECTION AND TESTING AGREEMENT
PERMIT 9 PLN20080046 DATE.
PROJECT SITE ADDRESS.__24223 76"' Aye WLEdmond;iWA,98026
PROJECT NAME: Shoreshire......
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SPECIAL INSPECTION AGENCY
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*One form must be completed by each Special InspectioAgency or Inspector.
SPECIAL INSPECTIONS REQUIRED: Special inspections are required for this project, as
applicable, in accordance with Title 18 Edmonds Community Development Code (ECDC), When
required, the project must be installed/constructed per approved plans and specifications. The owner or
the registered design professional in charge shall employ an independent testing/inspection agency/special
inspector to perform required special inspections. The special inspector shall be a qualified person with
competence for inspecting the specific type of construction or operation requiring special inspection. The
owner, registered professional, contractor and special inspector/agency shall provide a special inspection
report detailing compliance with approved plans and specifications directly to the Engineering Division.
N Grass road paver installation — subgrade inspections
Road subgrade placement and compaction
Erosion and Sediment Control
Detention Vault:
* Cast in Place Concrete
* Soils
BEFORE A PERMIT CAN BE ISSUED. The owner and contractor and special inspector shall
complete: this agreement and return to a Permit Coordinator prior to permit issuance.
APPROVAL OF SPECIAL INSPECTORS: Each special inspector shall be approved by the
Engineering Division prior to performing any duties or inspections. The credentials of the specific person
performing the inspection shall be submitted. When applicable, the company performing inspections
must be accredited by the American Association of State Highway and Transportation Offlicial�ss
(AASHTO) R18.
I. OBSERVE WORK
The special inspector shall observe the site work for con.formance with the approved (stamped)
plans and specifications. Special inspections are to be performed as needed, to confirm that the
work being completed meets specifications and approved plans.
The special inspector shall bring non-confon-ning items to the immediate attention of the
contractor and engineer of record. The special inspector shall provide a report to the Engineering
Division notifying of any items not resolved and/or not installed per the approved plans and
specifications.
Items not constructed per the approved plans and specifications will result in a review of the plans
to determine what requirements will be needed for the project to meet the necessary stormwater
requirements; such as removal and reconstruction, re -design of the stormwater management
system(s)" etc.
Final approval for the project will not occur until installation of all required improvements is
complete and accepted by the Special Inspector and the City.
The special inspector or inspection agency shall submit a final signed report or Certificate of
Compliance to the City stating that all items requiring special inspection and testing were fulfilled
and reported. The report shall also include a statement from the inspector stating to the best of
his/her knowledge the project is in conformance with the approved plans, specifications, and
approved plan revisions, if any. Items not in conformance, unresolved items or any discrepancies
in inspection coverage (i.e,, missed inspections, periodic inspection when continuous inspections
were required, etc.) shall be specifically addressed in this report.
1. NOTIFY THE SPECIAL INSPECTOR OF ALLREQUIRE, D SPECIAL INSPECTIONS
It is the duty of the contractor to; notify the special inspector when work is ready for special
inspection. Note, the iterns listed under the statement of special inspection on the building permit
and as noted on the approved plans and specifications are required to have special inspections.
Adequate notice shall be provided by the contractor so that the special inspector has time to
become familiar with the project. All work requiring special inspection must be approved prior to
concealing or covering said work.
2. PROVIDE ACCESS TO APPROVED PLANS
The contractor is responsible for providing the special inspector access to approved plans at the
jobsite.
3. ,"TAINT SPECIAL INSPECTION RE, CORDS
The contractor is responsible to retain at the jobsite all special inspection records submitted by the
special inspector. These records are to be provided to the City Engineering inspector upon request
and upon completion of work.
C.CUy monds Fp inec., ringkiLyision "� f� 'bilifies
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I. A i3PROV SPECIAL INS i'WCTION
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2. MONITOR SPECIAL INSPECTIONS AND APPROVE RE PORTS
Work requiring special inspection and performance of special inspectors shall be monitored by the
Engineering Division Inspector, Engineering Inspector approval must be obtained prior to
placement of concrete or other similar activities in addition to that of the special inspector.
3. FWAL APPROVAL
The Engineering Division may provide final inspection approval after the special inspection
reports) have been submitted and accepted by the City.
D. 0wner_Rg_qpq9,,sib�1ifies
I. The project owner or the engineer or architect of record acting as the owner's agent shall fund
special inspection services.
E. En ineer or Architect of Recoi-d RV Hi
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pon�jh' ies
1. Frepare Statement of Special hispections.
2. Review the special inspection reports and provide cometive action for work that may not conf-orl
to the approved plans.
ACKNOWLEDGEMIENTS
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Ge!neral Contractor `aux allylown U/V r name
(please print ®r itype)
Date 2L 1,
Special Inspectoi4Agcncy "a
print ur type),
W
Date
Engineer of Record name
(pigne print or type)
Signature
Date
Return the original signed agreement to;
121 51 ' Avenue North, City HaH Second Floor
Edmonds, WA 98020
2KCCE PTED BY CITY OF EIS ON ENGUWERING DIVISION:
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01.111 official signatw
Title: