HomeMy WebLinkAbout1179365 142 P22 APR 29 '03 15:53
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BUILDING 3 CTPY OP GLENDALE,A�rONA
DEPARTMENT-Comm fy DEVELOPMENT CROUP
GLE E SPECIAL INSPECTION CERTIFICATE
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CERTIFICATE OF SPECIAL,nlSPECTION BY OWNER
ram. (To be filled in ivld signed by owner before permit is issued.)
In accordance with Section 306 or th•Uniform Administrative
that the eJcs3eut}on of certain construction Code of the City of Glendale,�edition,which requires
employee ec alit,do I fcertain
that the work be pieced under the ingpection of the architect,en
certify construction of the aboue•descrlbed building project w ve special
or snspe t inspector
Nam„IAraiWOwill receive cpeclri inspection.
et'Ir. t CuN/rVtf��L�j7�ry/��'•\
nd lnHYnh1 1?91r ow 1 v \ d `,
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F<-1 SPECIAL,INSPECTION RgSYONSIBILITY CERTIFICATE
(To be filled in and sealed beforas building permit is issued,)
!certify that I ern familiar with the structural dcsty of the above-nwnad project and,in accord:ma with
Section 306 of the Uniform A4[ninietntive Code of she City of Oiendaie,_edition,1 hereby assume full
rasponslbllity far currying Out the required ypeaie!inspection.Inspection reports will be filed with tits Building
s _--- Softy Department,as required by Section 306(c).The following lndivldual(s)will be special field itsspcauKsl
VP..111!
under my direct supervision and are to be on the Job sits to 1 render full,cnrtlpleta and competent inspection.
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4l'_litili•.I•-* The lipsciol field Inepector(s)arc to be named below before work uder their area of duty commenc .
P' F'11 Aka cilia"Ij�Nar'dili)
\f 1 C A j •:" Bgtlnerr Rrgprssjbla�'awJ
k �) 37375 do 4, ��
RICHARD A, c Mons',�L j„� ✓ l ,. n, �C�L/ Y
$�,BO&TER . 1 Mthhrfrvrq f
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rim ill ouprev,idrs'INT017yrer
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SPECIAL LNSPECTOR QUALIFICATIONS RAC SEC 306(B))ARE APPROVED•)A ., •c..,��� /
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CERT s a A7'F_OP COMPLIANCE NCE AND •APPLICATION
FOR CEItT1PICATB OF OCCUPANCY
A. ire if 'Ill e d in angled before certificate of occupancy
it;issued-)
111111011), — The construction of the Rbove.nansad protect is substantial( complete
1111;>_.....ik-..roi-r-
i issuance of she wrtlflcatl+ofoccupancy t mPfor�and minis r is hereby made for
�'\ `�"': City of Glendale, -txlitio . p y per Section]Otl of the Uniform Administrative Code of the
..• .01CArF •.•
�t �� i•s
r 1 certifythat.to the best of my knowkdpe,the requirements of the approved plans for which special inspection
RIC 37375 A, , Is eantrna n s Section
306 61 the Uniform
ri e�b Administrative
n none oI his Code
hove been complied with.A
a q BOELTER t' I I 1 tract is nei 1 �' �c thin
3 sir intended nor im Ira4.
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RETURN TO BUILDING SAFETY DQPT,FOR APPNtOVAL AND DISTRIBUTION TO TIIB POLLoWI :
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Cl -JON COr•T ffO WE!artist K p TO The susLbiNO oFFIcIAL wireN YOUR INFrECYruN It cosh-titre AND nenitz A CaRTITICATe Or CCc(JrANCY is REQUESTEr,t
TOTAL PA[3E.02