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CONSTRUCTION INSPECTION & TESTING CO. r
2137 WEST 7TH STREET \vp,-
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.
r
QROFESSrariA Fry
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J.
� �35917
DELBERT A.
O � RAPIER, ` `YF1
�
Delbert A. Rapier, M.S.E., P.E.
Enclosures
Peg', CITY OF GLENDALE,NDALE,ARIZONA
BUILDING SAFETY DEPARTMENT-COMMUNITY DEVELOPMENT GROUP
GLEN E i
SPECIAL INSPECT
ION CERTIFICATE
•
Project Name
i Date
)esP�,r 0r14— f 3 `fi/ —?—z'1—D 3
Project Address
',�l (U� Permit INury7 / �,i 5 D/) ►u yr 3K
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. Nr En, /F__.a /4"1',c -T-I. el-1)n- Calr�/GT/�o A--) C�Name of Structural Engineer
Signature vner or Legal e
• / 1(s P,4 d Ne4e—s1i e �—
II SPECIAL INSPECTION RESPONSIBILITY CERTIFICATE
I (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.
o`essional
Qc Fn
` G�P�eF1cATE N 9/1). The special field inspector(s)are to be named below before work under their area of duty commences.
C 1 O Architect or Engineer Responsible for Special Inspection (Type or Print)
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•a CLVINT L. <
CC MUELLER . �_ CAir L �kc// �'�
Dy A• Name of Inspector(Structural Masonry) t Name of Inspector(Steel)
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Si flea T//n 69'y a#1L- -rim / 'ir/i/rc--
9/ Name of Inspector(Concrete)
Name of Inspector(Welding)
('� II® p - At P/We �-
/2 f tprt•wj(Sprc,f T Pe) /� ex $)0�
lace Re suasion Seal and •A0pOX Name of Inspector(Specify Typele Its !n eine/e `.e
S'nature Date T� � RAJ� d, �� kl�(r�j C.0 7-
// r' 4 lin Tin fiII4-/f71*7L
SPECIAL INSPECTOR QUALIFICATIONS [UAC SEC 302.5] ARE APPROVED. ifr -'
iB ding Da///e
I I CERTIFICATE OF COMPLIANCE AND APPLICATION FOR CERTIFI TE OF OCCUPANCY
(To be filled in and sealed before certificate of occupancy is issued.)
op ssiowu The construction of the above-named ro etc is substantial) complete and request isi hereb made for
•1��9 GoLStFICA no cFo issuance of the certificate of occupancy per Section 309 of the Uniform Administrative Code of the
jv� %>� City of Glendale, 1997 edition.
V / i:-;`
35917 5 I certify that,to the best of my knowledge,the requirements of the approved plans for which special inspection
DELBERT A. .t,is required and Section 306 of the Uniform Administrative Code have been complied with.A guarantee that
.3,- RAPIER the contractor has necessarily fulfilled the obligations of his contract is neigher intended nor implied.
�s; 5'�31�s i
.,
"ed / 'i 15erT . . ,
��-® �Y 4rcnitrct nr Engineer Respnrti5le jot Sprci Irspecriu�(Tine nr Print)
Plai•e RegtstiillioH`Sial end
Signature Date
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RETURN TO BUILDING SAFETY DEPT.FOR APPROVAL AND DISTRIBUTION TO THE FOLLOWING:
❑ -BUILDING SAFETY DEPARTMENT
❑ -BUILDING INSPECTOR 1
❑ -ARCHITECT OR ENGINEER
❑ -JOB COPY(TO BE RETURNED TO THE BUILDING OFFICIAL WHEN YOUR INSPECTION IS COMPLETE AND BEFORE A CERTIFICATE OF OCCUPANCY IS REQUESTED.)
Act-00I-07A0