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HomeMy WebLinkAbout50080 PIVI Pi CITY OF GLENDALE,ARIZONA BUILDING SAFETY DEPARTMENT-COMMUNITY DEVELOPMENT GROUP `� SPECIAL INSPECTION CERTIFICATE GI.ENDE Project Name Date(tilC.K.. Ni CLEA.-1 /0— /[o "C}q. Project Address P. N Orn Ave ✓�T' C,Permit Numberado DSC©Q 44 i J CERTIFICATE OF SPECIAL INSPECTION BY OWNER (To be flied in and signed by Owner before permit Is issued) In accordance with the 2006 International Striking g Codes,which requires that the execution of certain construction work be placed under the Inspection of the architect,engineer,or special inspector employed by me,I certify that the construction of the above•daccrated building project will receive special Inspection. Name of Architect Contractor Name of Structural Engineer Signature of Owner or Legal Agent • SPECIAL INSPECTION RESPONSIBILITY CERTIFICATE (To be filled in end sealed before building permit Is issued.) I certify that I am Familiar with file structural desIgn of the above-named project and,In accordance with the 2006 International Building Codes, h hereby assume lull responsibility for carrying out the required special inanectiene. Inspection reports will be filed with the Building Safety Oepartment, as required by the 2006 Inlernatlonal Building Codes. The following Individual(s)will be special field Inspector(e)under my direct supervision and are to be an the hod site to render WI,complete and competent Inapectlon. ll a special Neal inspector(s)are tube named below before work under their area of duty commences. /`s..=L` •�a7. . „Lei.i� I or Engineer Responsible for Special Inspection(type or print) iy "�F\CA itN g p� USP 37893 D h to 5. A ie • . JASOINC. •=.. Name of Inspector(Specify Type)Mldea.J I Name of Inspector Moe-Iy Type)h$. t Dla4C— • WELLS / ' -- ' • - /Stikrat� gourd - '''"•1 . _ r • Ronna pa S� t.` Name Oflhspecfor(Specify Typetpaalett Name of Inspector(spec!! •e)..,• kkat[.t462.5 r•Si9aed.....•yP- IFt_Y�11.1t1•t �.Sa' ...1,-.1 nos • ettra �.� _ --.1 _ •r q�'2ONA,10' Name of In •- . (S•- Type)'&xc.5 Name of -••,Mar(Speer,Type) FkPiPCa ARPA� -ice.- b • _ .^ V.-.. ,ev bit4 SPECIAL INSPECTOR QUALIFICATIONS[IBC 1703]ARE APPROVED. Ira 14 7/07 J*tflR!'ie l9l Date 0 CERTIFICATE OF COMPLIANCE AND APPLICATION FOR CERTIFICATE OF 0 CUPANCY (To be filled in and sealed before certificate of occupancy is issued.) The construction of the above named project Is substantiallycomplete and request is hereby made for Issuance of the certificate of occupancy per the 2006International Building Codes. I cenify that,to the Motel my knowldega,the requirements of the approved plans for which spatial inspection Is requited and the 2006 International Building Codes have been complied with A guarantee that the contractor has necessarily Mimed the obligations of his contract is neither intended or Implied. Architect or Engineer Responsible for Special Inspection(Type or Print) - -- RETURN TO THE BUILDING SAFETY DEPT.FOR APPROVAL AND DISTRIBUTION TO THE FOLLOWING: 0 0 BUILDING SAFETY DEPT. 0 BUILDING INSPECTOR 0 ARcHtTECT OR ENGINEER 408 COPY