2000, 10-26 Permit: 01001712 Inspect •
SPECIAL AGREEMENT
FOR BASEMENT INSPECTION
Project Address yt/ i E / '�' ye S T R
Project Owner ce r
Building Permit Number ! 7 f e
Pursuant to Resolutions 0-0610 and 0-0558, as amended, the owner's Engineer or
Architect has submitted design measures that prevent the entry of surface and/or
subsurface waters (into a below grade basement, useable or habitable space). The
above-referenced project requires special inspection of those design measures, as
described below:
{Insert a brief description of the design and/or measures that will be utilized to prevent the entry of water,i.e.
construction technique,specified materials,etc, or attach a copy of the geotechnical investigation and design measures.
Describe when these measures are to be implemented in the building process.)
The purpose of this special inspection is to verify that the drainage measures are
constructed in substantial conformance with the accepted plans, and that the measures
will function as intended.
Spokane County Stormwater Utility Page 1 of 6 (509) 477-3604
1026 W. Broadway Avenue, 4th Floor
Spokane, WA. 99260-0430 Revision Date: 10/26/2000
Basement Inspection Agreement
I PART 1. OWNER REQUIREMENTS
1. Prior to construction of basement(s), the Owner agrees to employ an Architect or
CMI Engineer, currently licensed in the State of Washington, for the purpose of
being a Special Inspector of the construction activities for the design measures
accepted for construction.
2. For coordination purposes, the Owner shall provide the Contractor with the name
and phone number of the Special Inspector; and the Owner shall provide the Special
Inspector with the name and phone number of the Contractor.
3. The Owner shall aid the Special Inspector in being present on the site when
required. The Owner shall also aid the Special Inspector in submitting final reports,
testing data, and Record Drawings to the Spokane County Division of Building and
Code Enforcement.
4. The Owner shall help to facilitate the correction of any deficient aspects of the
design measures.
5. The Owner shall read and understand the Contractor's and Special Inspector's
portions of this Agreement
6. The Owner acknowledges that he/she will not receive a Certificate of Occupancy
until deficient aspects of the construction are corrected, and the Record Drawings
are accepted by the Spokane County Division of Building and Code Enforcement.
OWNER: MORT CONSTRUCTION
ADDRESS: . . r • • . POST FALLLS,- IDAHO 83854
PHONE NUMBER: 208 777-3000 DATE: Ada
= ;/C
BY: CLIFFORD E. MORT PRES. BY:
(Print Name) (Aut•6 ized Sigh-Aare)
Please retain a copy for your records
Page 2 of 6
Basement Inspection Agreement
PART 2. CONTRACTOR (BUILDER) REQUIREMENTS
1. The Contractor shall provide the Special Inspector two working days notice prior
to performing any construction activity that will require inspection by the Special
Inspector.
2. Activities that.will require inspection include, but will not be limited to:
a) Placement of the foundation; location, depth, materials used.
b) Placement of fill for drainage areas.
c) Finish grading; installation of sodding, seeding, landscaping, and
irrigation systems; final cleanup.
d) Other items, as listed in "Exhibit A."
3. The Contractor is responsible for reviewing the approved plans for additional
activities that require inspection by the Special Inspector.
4. The Contractor shall correct any deficiencies in the work, as noted by the Special
Inspector, in a timely fashion.
5. The Contractor shall notify the Owner, the Special Inspector,The Spokane
County Division of Building and Code Enforcement and the Design Engineer
immediately of any unexpected site conditions. Unexpected site conditions are
those that would prevent the construction of the improvements as designed, or
which would adversely affect the performance of the designed measures.
Spokane County Building Department can be reached at 477-3675.
6. The Contractor shall read and understand the Owner's and Special Inspector's
portions of this Agreement.
CONTRACTOR: MORT CONSTRUCTION
ADDRESS: 565 GREENFERRY ROAD, POST FALLS, IDAHO 83854
PHONE NUMBER: 208 777-3000 DAT-.
BY: CLIFFORD E. MORT PRES. C q,I % • /
_ r j /L�
(Print Name) (Au .rized Si. ature)
Please retain a copy for your records
Page 3 of 6
t '
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Basement Inspection Agreement
PART 3. SPECIAL INSPECTOR REQUIREMENTS
1. The Special Inspector shall perform job site inspection, materials testing and
quality control services to verify that construction meets the design criteria
specified to prevent the entry of surface and/or subsurface waters (into a below
grade basement, useable or habitable space). The Special Inspector shall also
verify that the construction is:
a) in accordance with the applicable Spokane County Codes and regulations,
b) as intended in the design, and
c) as shown on the Accepted Plans.
2. The Special Inspector must be an Architect or Civil Engineer, currently licensed in
the State of Washington.
3. The Special Inspector has the responsibility of being present on the site when
notified by the Contractor that work will be performed that requires inspection.
4. The Special Inspector shall initial and date the Inspection Record Card each time
that inspection work is performed at the site.
5. The Special Inspector shall use the Accepted Plans, as defined previously, for
overseeing the construction of the drainage facilities.
6. Examples of inspection duties include, but are not limited to:
a) Inspection during excavation and construction of the foundation.
b) Inspection of the placement of any waterproofing application.
c) Observation of the placement of sod, seed, landscaping, and irrigation
systems to verify that these items meet specifications, and that they do
not interfere with or harm the design measures or intended protection of
the below grade basement from water impacts.
d) Inspection during installation of roof drains to verify there is positive
drainage away from the area of concern.
e) Inspection of any sub-surface drainage system (e.g. French Drain).
f) Inspection of final grade to verify positive drainage away from the area of
concern.
g) Other items of concern as listed in Exhibit'A', which is attached.
7. The Special Inspector shall notify the Contractor, Owner, Design Engineer,
Spokane County Division of Building and Code Enforcement, and Spokane County
Stormwater Utility immediately, if unexpected conditions are encountered that
would prevent the proper construction of the improvements, or that would
negatively affect the operation of the drainage facilities.
Page4of6
Basement Inspection Agreement
8. Any field modifications to the Accepted Plans must be submitted to the Design
Engineer for approval prior to construction of the modifications.
9. Copies of all reports shall be submitted by the Special Inspector to the Division of
Building and Code Enforcement and to the Spokane County Stormwater Utility as
inspections are performed.
10. Prior to the issuance of a Certificate of Occupancy or Final Inspection, the Special
Inspector shall submit inspection reports, lab reports, and Record Drawings to
the Spokane County Division of Building and Code Enforcement. The Record
Drawings shall be stamped and signed by the Special Inspector, with the
following statement placed adjacent or near the Professionals stamp:
I of inspected the basement,
useable or habitable space, during its construction and find that the
construction conforms to the submitted design measures to prevent
the entry of surface and/or subsurface waters. I further find that
groundwater drains, if used, do not discharge to public road or right-
of-way, to sanitary sewer, or to surrounding properties.
I swear under penalty of perjury that the above statement is true.
Signature
11. The Special Inspector shall read and understand the Contractor's and Owner's
portions of this Agreement.
SPECIAL INSPECTION FIRM: CUMMINGS GEOTECHNOLOGY
ADDRESS: 2716 E. HILLCREST, COLBERT, WASH. 99005
PHONE NUMBER: 509 �466-4350 DATE:
SPECIAL INSPECTOR: ( . r4,11- R. Cu. e S l • �, P, Co .
/ (Print Names
SPECIAL INSPECTOR:
(Authorized Signature)
STATE OF WA. PROFESSIONAL ENGINEERS OR ARCHITECTS LICENSE NO. ?�
Please retain a copy for your records
Page 5 of 6
I PART 2. SPECIFIC REQUIREMENTS (Cont.)
Exhibit 'A'
Additional items, which require inspection for this project, are listed below:
The special inspector shall certify that this lot has been graded to route flows from the foundation
drain system to the appropriate drainage paths in a manner that will not impact adjacent lots. This
certification shall be made prior to the Spokane County Stormwater Utility's release of the final
inspection for this project.
Special Inspection Agreement page: 7
Spokane County Project No.
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After recording, mail original to Owner: II II III IIIII 1111 III I II03123/2001 11 1 of
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Monogram Homes PTONFFR. ITTI F (flMPdNV N 4R.M Snnkana Cn we
PO Box 602
Post Falls, ID 83877
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TITLE NOTICE.
Description of property:
Legal description:All lots in Woodland Terrace according to the plat filed in
Vol I of plats, page 16 in Spokane County, Washington
Parcel number(s):15:2J3—o2J00 Address of property: N/A
I hereby certify that I am the OWNER of the above-described property. As owner, I hereby request that the
following notice be placed on the Title of the above-described property, and that said notice shall run with the
land:
(1) This property is located in a potential high-groundwater area, and
(2) Measures have been taken to prevent water from entering this basement. Copies of said measures
have been provided for Spokane County Public Works Department file number
(Permit Center file number)
I hereby execute a release of liability running to Spokane County in conjunction with its issuance of a building
permit on the property, to include a basement, as designed under Section 5.D.3 (a) and (b) of the Stormwater
Control Ordinance. This release of liability shall constitute a covenant running with the land, and shall bind my
heirs, assigns, and successors ip i e est.
Property Owner Name • "g- E '°7C—o-----Owner Name
(Pleas- t (Please Print)
Property Owner's Signature - Co-Owner's Signature
IDate Date
Notary Public: 3�ZZ/ o
I certify tii tt*4 pq•ave satisfactory evidence that Ca{i oca E-frio(± is the person who appeared before me, and said person
ackngM�� I.� sft4isigned this instrument and acknowledged it to be(his/her)free and voluntary act for the uses and purposes
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acknowl dil71Whe)signed this instrument and acknowledged it to be(his/her) free and voluntary act for the uses and purposes
mentioned in the instrument.
Dated: _ Signature
Title
(Seal or Stamp)
My appointment expires
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