HomeMy WebLinkAbout152399 _ .„
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,�` 3, CITY OF GLENDALEC
PLANNING&DEVELOPMENT SERVICES
5850 W.GLENDALE AVE.,2ND FLOOR
GLENDALE,AZ
AZ$5301
Glendale Ei23 SPECIAL INSPECTION CERTIFICATE
i. ,., , 0 N A www,GlendaleAZ.cam 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 2016 International Building Code which requires that certain construction work be placed under inspection
of a registered design professional.I,as ownerrlegal agent,do hereby certify that I have retained to be
insponsible for the special inspections on this project. (Registered D.&&gn ProfeiionwVF rre elease mint)
owners name: _ CORNELL CACUCI Owners Signature: _ Date:
PROJECT NAME: REGISTERED DESIGN PROFESSIONAL/FIRM NAME:
Circular Driveway Entry Porch Design Reed Dalbik, PE, PLS
i`HOJLCT ADDRESS: REGISTERED DESIGN PROFESSIONAL/FIRM ADDRESS:
5527 W PARADISE LN GLENDALE AZ 85306 ►LD Engineering, PLLC
COG PROJECT NUMBER: COG PERMIT NUMBER: J
CERTIFICATE OF RESPONSIBILITY CERTIFICATE OF COMPLIANCE 1
To br1 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
charge of special inspections of the �� Q r �\ knowledge,the requirements of the y ioncy --..,-„,N
s(u
above named project,I certify that I /�te�----.� e,� 2018 International Building Code `te5 \
am familiar with the design of the 7 c and the approved plans and Q � f
protect and hereby assume full ,I o s- 'c �Et, 1 specifications have been complied D Vry 1p d ,
u(�L �i3i+C •�`� t, °/ 51310
responsibility for carrying out the with,insofar as the portion of the
il y f( t AED ) 11 i; RAED
required special inspections in ��-7; ` „ �; work requiring special inspection I �j
v 0 u _E31> DALBIK.
accordance wish Sections 1704 and d under Section 1704 and 1705 is y
1705 of the 2018 International ``A,\, %� concerned.A guarantee that the o ��e I •E'uiidirp Cr de. \��\�5% n, / contractor necessarily constructed \ ,kd �1\\' L
., ""ed. .--%, 4 —�T. /
•�7,pr� " _:_ the building In full accordance with �A/�dNA 5.
a ' the plans and specifications is �t_''4~_�-- J'
�/ /'P=G�-.2. raib
'�'" �YO(3 � neither intended nor implied. re u!
(Seal,Signature.and Oats) 8/11/22 iSeal,Signature.aria Datc`3-14-23
SPECIAL INSPECTOR QUALIFICATIONS APPROVAL BY BUILDING OFFICIAL/PLANS EXAMINER(1704.2.1): DATE:
WORK WHICH REQUIRES SPECIAL INSPECTION QUALIFIED SPECIAL INSPECTOR INDIVIDUAL OR FIRM
LI CONCRETE CONSTRUCTION/REINFORCING STEEL(1705.3)
0 MASONRY CONSTRUCTION(1705.4) �LL
Rccd EMU, PE, _
❑ STEEL CONSTRUCTION(1705.2&AISC 360)
— _ _�
0sous(1705.E) .__
[X FOUNDATIONS(1705.7,1705.8&1705.9) Reed Dalbik, PE,
❑ SPECIAL CASES:POST-INSTALLED(EPDXY/EXPANSION)ANCHORS(1705.1.1)
❑ SEISMIC RESISTANCE(1705.12)
I] SPRAYED FIRE-RESISTANT MATERIALS(1705.14) Y
EJ LxrCRIOR INSULATION AND FINISH SYSTEMS(EIFSI(1705,1.5}
0 STORAGE RACKS(1705.12.7) --I
L I OTHER:
r•riLM EFFFC'.TIVE 04/26/2019 POST AT JOB SITE WITH PERM t