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JOB SiTE COPY
THESE PLANS SHALL BE KEPT AT THE
CTIV OF GLENDALE JOBSITE AND BE AVAILABLE TO CITY
C PLANNING&DEVELOPMENT SERVICES OF GLENDALE INSPECTORS DURING
WORKING HOURS. PLANS SHALL NOT
6850 W.GLENDALE AVE.,2ND FLOOR BE ALTERED WITHOUT BUILDING
GLENDALE,AZ 85301 OFFICIALS APPROVAL.
GRendaHe 623.930.2800 SPECIAL INSPECTION CERTIFICATE
A it I z o N A VAWLGIOndaleAlcom STRUCTURAL
OWNER'S NOTIFICATION OF SPECIAL INSPECTION
To be completed and signed by the Owner before a building permit Is issued
In accordance with Sections 1704 and 1705 of the 2018 International Building Code which requires that certain construction work be placed under Inspection
of a registered design professional.I,as owner/legal agent,do hereby certify that I have retained Phoenix TerUng&Inspection tic to be
responsible for the special inspections on this project. (Rags eel Design Professional/Firm-please print)
Owner's name: Richmond American Homes owners Signature: si Date: ell I I/d'.O
PROJECT NAME:3 eaSOYIS a}- Des1-1 Carden REGISTERED DESIGN PROFESSIONAL/FIRMNAME
Seasons 67 Lo.1. 31 to
Phoenix Testing&Inspection LLC
ES
PROJECT ADDRESS: 6306 N 68TH AVE REGISTEREDDESIGNPROFESSIONAL/FIRMADDRESS:
N of NWC of Bethany Home Road&67th Avenue 3635 S 43rd Avenue Phoenix,Az 85009
COG PROJECT NUMBER: 201401 COG PERMIT NUMBER: j 5q1.1 5T
CERTIFICATE OF RESPONSIBILITY CERTIFICATE OF COMPLIANCE
To be filled in and signed by the professional In charge of Special Inspections To be filled In end signed by the professional In charge of Special Inspections
before a building permit is Issued. before a certificate of occupancy Is Issued,
As registered design professional In I certify that,tome best of my `" l•
charge of special Inspections of the `o\csSSi P8/- knowledge,the requirements of the OfeSSiOna/ "t+.i
above named project,I certify that I �Q \F t Ca 2018 International Building Code �1 4� i
am familiar with the design of the �Q, ( and the approved plans and ga \F I C A j ki
project and hereby assume full M 4./ 3t3671 p •�• specifications have been compiled �� �Q'
responsibility for carrying out the U y 36t371 o t7 with,insofar as the portion of the V
required special inspections in r� ROBERT N. R, work requiring special inspection
i = ROBERT :.'16.1)t2::::s2.accordance with Sections 1704 an pOCANO. / under Section 1704 and 1705 Is
1705 of the 2018 International ��i .\� concerned.A guarantee that the
p ROCAjc f
Building Code. / q.s!fned contractor necessarily constructed °3�, I f'rJ`
/ NA O S.`• the building In full accordance with ?ad S2� ;
'r,%. +.+ � the•
plans and specifications Is �/ - i
17,
e8 r % neilher intended nor Implied. -40- DIVA U
(Seat,Signature,and Date) I I (Seal,Signawr =MOPy�
SPECIAL INSPECTOR QUALIFICATIONS APPROVAL BY BUILDING OFFICIAi/PLANS EXAMINER(1704.2.1): ...-11.÷r Ik---• DATE 10/09/2020
{
WORK WHICH REQUIRES SPECIAL INSPECTION QUALIFIED SPECIAL INSPECTOR INDIVIDUAL OR FIRM ,
X❑CONCRETE CONSTRUCTION/REINFORCING STEEL(1705.3)Post Tension Phoenix Testing&Inspection LLC
❑MASONRY CONSTRUCTION(1705.4)
❑WOOD CONSTRUCTION(1705.5)
❑STEEL CONSTRUCTION(1705.2&AISC 360)
QSOILS(1705.6) Phoenix Testing&Inspectioon LLC
❑FOUNDATIONS(1705.7,1705.8&1705.9) 1
U SPECIAL CASES:POST-INSTALLED(EPDXY/EXPANSION)ANCHORS(1705.1.1) Phoenix Testing&inspection LLC i
,
❑SEISMIC RESISTANCE(1705,12)
❑SPRAYED FIRE-RESISTANT MATERIALS(1705.14)
❑EXTERIOR INSULATION AND FINISH SYSTEMS(EIFS)(1705.16) !!!(
El $a STORAGE RACKS(1705.12,7) /,
/A,
❑OTHER:
FORM EFFECTIVE 04 26/2019 ��yG
/ / POST AT JOB e
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