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/4CONSTRUCTION INSPECTIONQ 1 ,- I
& TESTING CO. ,4
2137 WEST 7TH STREET V
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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cc'• ��pZIFICAT p
35917
DELBERT A.
RAPIER
1
Delbert A. Rapier, M.S.E., P.E.
Enclosures
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• ��Ifrl CITY OF GLENDALE,ARIZONA )
lei BUILDING SAFETY DEPARTMENT-COMMUNITY DEVELOPMENT GROUP
GLENS
SPECIAL INSPECTION CERTIFICATE
•
•
Project Name
1. Dare
,Ael°k r tin, {3 �� � 3-Z 7 Q 3
Project Address
Permit Num cr DSC Number
495-e.- w, (', .ru c 16 )1 7;55 0 55i
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- N( e-41 t£ T ---c-7i C/ 4tJ -vf- act-,(o C
Mane of Structural Engineer Signature u ener or Legal gent
��(k P,4.7-,
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.
l F,�(1-siona
�Q��FtcArt;H9i.16, The special field inspector(s)are to be named below before work under their area of duty commences.
`p 1 O Architect or Engineer Responsible for Special Inspection (Type or Print)
ti jLLE '
dUEfjJ
°'�u A.
." Name'of Inspector(Structural Masonry) t Name of inspector(Steel)
Sr'ne
�r //yl "'try LC/fi'K 77th � Cj> /c.
qq/�+�� ` Name of Inspector(Concrete)
1� / Name of Inspector(Welding)
fry IQ4441-, (' 110 T. dot Mil aen/C-
utne oJ*rpcatrrr(Specify TyprJ t� ,p s� 1.
ace R gtstration Seal and /J poX ! F� Name of Inspector( rc.&Type)/, IL. l4 dote JC (-.e
Ignature Date Tim / �.4aiL • MI CAMP-f •,-1/11 fR`�4-f tt (�j dot T
SPECIAL INSPECTOR QUALIFICATIONS [UAC SEC 302.5] ARE APPROVED.
uildi • Official 141/9-ge
I " I CERTIFICATE OF COMPLIANCE AND APPLICATION FOR CERTIFI ATE OF OCCUPANCY .
(To be filled in and sealed before certificate of occupancy is issued.)
6.gissropi124,,` The construction of the above-named project is substantially complete and request is hereby made for
,,.,‘c- c tSIFIc ,t, • : issuance olf the certificate of occupancy per Section 309 of the Uniform Administrative Code of the
L �°`�a .'• City of Glendale, 1997 edition.
DFLP9 f�.l R735917 A. \I certify that,to the best of my knowledge,the requirements of the approved plans for which special inspection
PIER is required and Section 306 of the Uniform Administrative Code have been complied with.A guarantee that
N. o n/the contractor has necessarily fulfilled the obligations of his contract is neither intended nor implied.
• ZOM1�i lF i ;.t�;'4• P�14.et A-t C ' I• �r S ••-j_e �. .
.�.__•_-, Architect or Engineer Responsible for S ec Inspection (Type or Print)
Plane Registration Seal and
Signature Date
RETURN TO BUILDING SAFETY DEPT.FOR APPROVAL AND DISTRIBUTION TO THE FOLLOWING:
❑ -BUILDING SAFETY DEPARTMENT
❑ •BUILDING INSPECTOR
❑ •ARCHITECT OR ENGINEER i
❑ -JOB COPY(TO BE RETURNED TO THE BUILDING OFFICIAL WHEN YOUR INSPECTION IS COMPLETE AND BEFORE A CERTIFICATE OF OCCUPANCYt15 REQUESTED.)
Aa-001-07A70