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CONSTRUCTION INSPECTION & TESTING CO. kTi-
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2137 WEST 7TH STREET
TEMPE,ARIZONA 85281-7227
(480)446-9876 FAX(480)446-7580
May 6, 2004
C.H.D.A. Construction Company
6565 West Cactus Road
Glendale,Arizona 85304
Re: Special Inspection Certificates
Project: Desert Vista Apartments
6565 W. Cactus Road_
Glendale, Arizona
Due to Clint L. Mueller no longer being with our company, I have completed the
final stamp on the special inspection certificates for the above referenced project.
If you have any questions,please call.
Respectfully submitted,
Construction Inspection&Testing Co.
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a 35917
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tDELBERT A.
RAPIER
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Delbert A. Rapier,M.S.E.,P.E.
Enclosures
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P icilli CITY OF GLENDALE, ARIZONA
BUILDING SAFETY DEPARTMENT- COMMUNITY DEVELOPMENT GROUP '-
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GLEN E SPECIAL INSPECTION CERTIFICATE
4.ea t Nume APA4 Datei J A i 5 6i-u, 2 -��
Project Address Pern it N ther nh
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CERTIFICATE OF SPECIAL INSPECTION BY OWNER •
(To be filled in and signed by owner before permit is issued.)
In accordance with Section 306 of the Uniform Administrative Code of the City of Glendale, edition, 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-described building project will receive special inspection.
• d Name iArchitec9 i Contractor
Name of Structural Engineer Signatur, ' wrier or Le Agent
SPECIAL INSPECTION RESPONSIBILITY CERTIFICATE
(To be filled in and sealed before building permit is issued.)
I certify that I am familiar with the structural design of the above-named project and,in accordance with
Section 306 of the Uniform Administrative Code of the City of Glendale, edition,I hereby assume full
responsibility for carrying out the required special inspection. Inspection reports will be filed with the Building
Safety Department,as required-by Section 306(c).The following individual(s)will be special field inspector(s)
under my direct supervision and are to be on the job site to render full,complete and competent inspection.
��IOi;.I,t c! ,_.
ej; '-'-0. }cf?, The special field inspector(s) are to be named below before work under their area of duty commences.
'1.4` .,r Architect or Engineer Responsible for peciul Inspection (Type or Print)
_ 35917
�. i DELBERT A. a LeL)�r i l�, QixPrer, /r , S, F( f'- E..-RAPERe
Name of Inspector(Structure!Mason ) 'Name of Inspector(Steel)
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Sg 22. , / Name of Inspector(Concrete) Name of Inspector(Welding)
• '4.
�' - Name of Inspector(SpecrA Tlpe) Name of Inspector(Specify Type)
Place Registration Seal and
Signature Date t0.( I S ) in,\ P t rN,IL
SPECIAL INSPECTOR QUALIFICATIONS [UAC SEC 306(B)] ARE.APPROVED. 41 •yf/
- - - • --- Rai fin);_ iclitl__�_` _�-G r ciln=-�
f CER 111~1CATE OF COMPLIANCE AND APPLICATION FOR CERTIFIC 1•h OF OCCUPANCY
(To be filled in and sealed before certificate of occupancy is issued.)
The construction of the above-named project is substantially complete and request is hereby made for
issuance of the certificate of occupancy per Section 308 of the Uniform Administrative Code of the
City of Glendale, edition.
I certify that, to the best of my knowledge,the requirements of the approved plans for which special inspection
• is required and Section 306 of the Uniform Administrative Code have been complied with. A guarantee that
the contractor has necessarily fulfilled the obligations of his contract is neigher intended nor implied.
Architect or Engineer Responsible for Special Inspection (Type or Print)
Place Registration Seal and
Signature Date
RETURN TO BUILDING SA}•�I Y DEPT.FOR APPROVAL AND DISTRIBUTION TO THE FOLLOWING:
D •BUILDING SAFETY DEPARTMENT
Q --BUILDING INSPECTOR
O •ARCHITECT OR ENGINEER -
O.-JOB COPY(TO BE RETURNED TO THE BUILDING OFFICIAL WHEN YOUR INSPECTION IS COMPLETE AND BEFORE A CERTIFICATE OF OCCUPANCY IS REQUESTED,
1 1 1--0719i
RsJ i
dillCITE'OF GLENDALE,ARIZONA '
iril BUILDING SAFETY DEPARTMENT- COMMUNITY DEVELOPMENT GROUP
GLENS •
SPECIAL INSP.F_ CTION CERTIFICATE . -
•
Project Name Jl
�efi{/� V ( QQ � Dote /�
Project Address
J � � 3-2 /- 3
Pr it Number DSC Number
&�is �, (7,�. C 14 1�71 j0-r 55K
_____.
CERTIFICATE OF SPECIAL LNSPECTION BY OWNER
(To be filled in and signed by owner before permit is issued.)
In accordance with Section 306 of the Uniform Administrative Code of the City of Glendale, 1997 edition,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-described building project will receive special inspection.
' Name of Architect
Contractor
. L. R_ -/fir C-4i /'P:__ /`rr.,z/t •T -G%1 C
Name of Structural Eaj,firer ; v� f ,-//e7/�0 A-)_- '
En _--•- - ---Stgnat ofp i,inerorLegal gen
, )(s P/4.1,'—* S'/f--I f _
...-e--`-2,----)
• 1 1 SPECIAL INSPECTION RESPONSIBILITY CERTIFICATE
(To be filled in and sealed before building permit is issued.),
I certify that I am familiar with the structural design of the above-named project and,in accordance with
Section 306 of the Uniform Administrative Code of the City of Glendale, 1997. edition,I hereby assume full
responsibility for carrying out the required special inspection.Inspection reports will be filed with the Building
Safety Department,as required by Section 306.3.The following individual(s)will be special field inspector(s)under my direct supervision and are to be on the job site to render full,complete and competent inspection.
Q`oessional Fn
`tea (s�QS�F[cATE ti 9y�1�� The special field inspector(s)are to be named below before work under their area of duty commences.
- G•p 1 O Architect or Engineer Responsible fur Special Inspection-(Type or Print)' _- -
ta CLINT L. /cc 0 .LI E L L S (i/h T L• Al1t e//GK /W
d�a Name of Inspector(Structural Masons•) I- Nameof Inspector(Steel)
\ 4 1'11:•.P Tint ,,9-y CnL TiN1 ee"-
sea ...•••
,�AI/ Name of Inspector(Concrete) • Name of Inspector(Welding)
��.�i�1�1 R 1--
/4 • -r/ At -P °"AA--
e Regis a ion Seal and nr(Sprcijy Typr) �70}(U v p s; N'amr uJlnspectur(Skelly Type)
Sig 'sure Date Tim n��L F! Br�{� %� erne,C
Ir111fr4it1 'Till fR7Lif7f7
•
SPECIAL INSPECTOR QUALIFICATIONS [U:AC'SEC 302.5] ARE APPROVED. '/ i:i7
;: -- --_ - - -.- ;Eu rdin fciai `__-fete a
. - 1—eERTIFICAT OF COMPLIANCE— - PLIANCE AND APPLICATION FOR CERTIFI ATE OF OCCUPANCY
`I I (To be filled in and sealed before certificate of occ
upancy is issued.)
••
The construction of the above'-named project is substantially complete and request is hereby made for
issuance of the certificate of occupancy per Section 309 of the Uniform Administrative Code of the
City of Glendale, 1997 edition.
I certify that,to the best of my knowledge,the requirements of the approved plans for which special inspection
is required and Section 306 of the Uniform Administrative Code have been complied with.A guarantee that
• the contractor has necessarily fulfilled the obligations of his contract is neiaher intended nor implied.
c 4347- L, MLIelizi, Pr. -
Architect or Engineer Respor-rible for Special Inspection (Type or Print)
Place Registration Seal and
Signature Date
RETURN TO BUILDING SAFETY DEPT.FOR APPROVAL AND DISTRIBUTIION TO THE FOLLOWING:
❑ .BUILDING SAFETY DEPARTMENT
❑ -BUILDING L\SPECTOR 1
❑ -ARCHITECT OR ENGINEER
❑ -JOB COPY(TO BE RETURNED TO THE BUILDING OFFICIAL WHEN YOUR INSPECTION IS COMPLETE AND BEFORE A CERTIFICATE OF OCCUPANCY 1S REQUESTED.)
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