HomeMy WebLinkAbout125098 ,, CITY OF GLENDALE - '
r PLANNING&DEVELOPMENT SERVICES
}\ 5850 W.GLENDALE AVE.,2ND FLOOR
OQen daNe 62393028085301 SPECIAL INSPECTION CERTIFICATE
H r z ;; N . www.GlendaleAZ.com 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 David A.Thomas,RE/RAMM Engineering to be
responsible for the special inspections on this project. (Registered Design Professional/Firm•please print)
Owner's name: Owner's Signature: _ Date:
PROJECT NAME: REGISTERED DESIGN PROFESSIONAL/FIRM NAME:
59 Evergreen Apartments David A.Thomas, P.E./RAMM Engineering
PROJECT ADDRESS: t REGISTERED DESIGN PROFESSIONAL/FIRM ADDRESS:
8450 N. 59th Avenue, Glendale,AZ 2105 S. Hardy Drive, Suite 13, Tempe,AZ 85282
COG PROJECT NUMBER: 190544 COG PERMIT NUMBER- I 1 5 0 9 e
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CERTIFICATE OF RESPONSIBILITY CERTFICATE OF COMPLIANCE
To be filled in and signed by the professional in charge of Special Inspections To be filled in and 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,to the best of my T . N
charge of special inspections of the knowledge,the requirements of the
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above named project,I certify that I ill �'' 2018 International Building Code QS®� `4 e^
am familiar with the design of the r�\��0'�-re�° \ and the approved plans and IOAroproject and hereby assume full {�� .i\ ! specifications have been compliedA, �'responsibility for carrying out the V 281$2 2� with,insofar as the portion of the ("bizof
i ° 28182 O .
required special inspections in it DAVID A. I— work requiring special inspection DAVID A. IL__
accordance with Sections 1704 and . under Section 1704 and 1705 is
14\v4THOlkAAS THOMAS^ t
1705 of the 2018 International concerned.A guarantee that the
Building Code. (9 rLcontractor necessarily constructed `,` `,p/ (ftZ Z f7 Gt?6ia Q. the building in full accordance wi /a/ °NED Q, /
� iePf`, the plans and specifications 1 �Iy„ U
f neither intended nor impli-<
(Seal,Signature.and Date) (Seal.Signature,and Date)
SPECIAL INSPECTOR QUALIFICATIONS APPROVAL BY BUILDING OFFICIAL/PLANS EXAMINER(1704.2.1): DATE:
-
WORK WHICH REQUIRES SPECIAL INSPECTION I QUALIFIED SPECIAL INSPECTOR INDIVIDUAL OR FIRM
04 CONCRETE CONSTRUCTION/REINFORCING STEEL(1705.3) RAMM Engineering and Testing
' ❑ MASONRY CONSTRUCTION(1705.4)
❑ WOOD CONSTRUCTION(1705.5)
❑ STEEL CONSTRUCTION(1705.2&AISC 360)
(E( SOILS(1705.6) RAMM Engineering and Testing '
❑ FOUNDATIONS(1705.7,1705.8&1705.9) .
A SPECIAL CASES:POST-INSTALLED(EPDXY/EXPANSION)ANCHORS(1705.1.1) RAMM Engineering and Testing
❑ SEISMIC RESISTANCE(1705.12) .
❑ SPRAYED FIRE-RESISTANT MATERIALS(1705.14)
❑ EXTERIOR INSULATION AND FINISH SYSTEMS(EIFS)(1705.16)
r ❑ STORAGE RACKS(1705.12.7) '
lE) OTHER: Post-Tensioned Slabs-On-Grade RAMM Engineering and Testing
FORM EFFECTIVE 04/26/2019 POST AT JOB SITE WITH PERMIT