HomeMy WebLinkAbout132885 i 335n5 JOB SITE COPY
THESE PLANS SHALL SE KEPT AT THE
JOBSITE AND BE AVAILABLE TO CITY
OF GLENDALE INSPECTORS DURING
WORKING HOURS.PLANS SHALL NOT
WI• CIIYOFGLENDALE BE ALTERED
OFFICIALS APTHPROVAL.D!NG
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�r/,.�. PLANNING&DEVELOPMENfSEFIVICES
v� 5850W.GLENDALE AVE.,2NDFLOOR
(%':!`'t -'- 623930.280085301 SPECIAL INSPECTION CERTIFICATE
A A 12 O N A WF1V.GlendaleAZ.com STRUCTURAL
OWNER'S NOTIFICATION OF SPECIAL INSPECTION
To he completed and signed byte Ownor before a building permit Is Issued
In accordance meth Sections 1704 and 1705 of the 2018 International Building Code which rcqultes that certain construction vrarh be placed under inspection
of a registered design professloneL I,es owner/legal agent,do hereby certify that I have retailed Robert N.PocanD/PTI Jo be
responsible for the special Inspections onthl5prolect ,{�ya,lsgocdl•Rdeuw,rVrlm,-pass plat)wn
Oetsnomo: Louis Turner Owner'Signature: t/59,,.,,,;. Date: 10/22/2019_
PROJECT NAME REGISTERED DESIGN PROFESSIONAL/FIRM NAME:
Camelback Village-Plan Z100 L f0+ 4l Robert N.Pocono P.J:/Phoenix Testing&Inspection
PROJECT ADDRESS: 50I.+1 (grril 94441 Dr ie. REGISTERED DESIGN PROFESSIONAL/FIRM ADDRESS:
NEC 851h Avenue and t:arreinaca Noes
Glendale,AZ 85305 3635 S.43rd Avenue,Phoenix,AZ 85009
COG PROJECT NUMBER: 190811 COG PERAR NUMBER: 13 a 9a5
CERTIFICATE OF RESPONSIBILITY CERTIFICATE OF COMPLIANCE - -
7obaMod In end signed by the professional In charge of Special Inspections To he Riled In and signed by thepmkszlonal in
heidreebu(dingpermltItInSUed, � \ ri
before a ceNBcate of occupancy Is Issued. / / \F iCA.a.
As registered design professional hi •
061Ti0 e I certify that,to the best of my tv �" ` I.
charge of special Inspections of the 1 knowledge,the requirements of the '- Z Gil
above named protect,)cerlhfy that I i•, ,SMp RCA T� 2018 International Building Coda _h V 36671 Q �-.
ern famitlar with the design of me Q- 3Bt371end the e
and hereby assume MA foe- 4.0 ions have plee complied I . n
project 7 b P specifications been C) ROBERT N.
responsiblltly for carrying cut the c ROBERT N. with,insofar as the northon of the POCANO
required specal Inspection In tC PQC NFI a wotlr requiting special inspection
amordence with sections 1704 end o tp.,V/y/1 under Section 1704 end 1705 Is
` `mod L
1705 of 2018 International J�) �• ead1 concerned.A guarantee that the I 'S+/ i�,
Building Code. (r y contractor necesed cansttneled ✓ e
flt!!f) tc 0 U. t the bWI ding in full accordance with 441, red P,
'O!etS 5- / the plans and dncVlwUonsk I �1. ZONAU
i1/� neither Intended nor Implied. Air
Mimi.0tgaalure,aid Dolet v, I (Ganlsl(Tmw,a reseal
I �;�t_.��� Ir �.y,�
SPECIAL INSPECTOR QUALIFICATIONS APPROVAL BY BUILDING OFFICIAL/PLANS EXAMINER(1704.21): - - 7 OATE:eIl1 eAvb `
v c
WORK WHICH REQUIRES SPECIAL INSPECTION QUALIFIED SPECIAL INSPECTOR INDIVIDUAL OR FIRM
I CONCRETE CONSTRUCTION/REINFORCING STEEL/POST-TENSION(1705S) PTI
❑MASONRY CONSTRUCTION 11706.4)
❑WOOD CONSTRUCTION(1705.5)
❑STEEL CONSTRUCTION(1705.2&AISO360)
®SOILS(1705.6) PTI
❑FOUNDATIONS(1705.7,1705.8&1705.9)
®SPECIAL CASES:P05TINSTALLED(EPDXY/EXPANSION)ANCHORS(1705,12) PTI
❑SEISMIC RESISTANCE(170512) I
❑SPRAYED FIRE-RESISTANT MATERIALS(1705.14)
❑EXTERIOR INSULATION AND FINISH SYSTEMS(HF5)(1705.16)
0 STORAGE RACKS(1705.12.7)
4'c'ce^
❑OTHER:
. I
FORM EFFECTIVE 04/26/2019 POST AT JOB SITE VJITH PERM".: •