HomeMy WebLinkAbout000 06/22/2007 09:52 FAX 6239152695 COG PLANNING DEPT Z]002/002
CITY OF GLENDALE,ARIZONA
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BUILDING SAFETY DEPARTMENT-COMMUNITY DEVELOPMENT GROUP
GLEN E SPECIAL INSPECTION CERTIFICATE
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Project Name
Zan co Ta1A S- O cCi ce tD-v? o Yney-6 06l2212007
Permit Number Project Number
DCERTIFICATE OF SPECIAL INSPECTION BY OWNER
(To be filled in and signed by owner before permit is issued)
In accordance with Section 30E of the Uniform Administrative Code of the City of Glendale 1997 edition,which requites 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 inspedion.
Name of Architect COnfr8ClOr
Name of Slnrctural Engineer signature or Owner or Legal Agent
j-r u —V ttk ,11 u 1k c f • 1 �• ...
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SPECIAL INSPECTION RESPONSIBILITY CERTIFICATE
1 (To be filled in and sealed before building permit is issued)
1 I certify that I am familiar with the strvtJural design Of the above-named project and,in accordance with Section 30B of the Uniform Administrative Code of
the City of Glendale 1997 edition,I hereby assume full responsibility for carrying out the required special Inspections, Inspection reports will be flied with
the Building Safety Department,at required by Section 306, The following individuals)will be special field inspector(s)under my direct supervision and
I are to be on the job site to render full,complete and competent inspection.
The special field Inepedor(s)are to be named below before work under their area of duty commencee.
/0111111114 virclUtecf W Engineer Responsible far Special lnspecdoPLUV1
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SPECIAL INSPECTOR QUALIFICATIONS[UAC SEC 306] ARE APPROVED.
Eigarng Impel Dale
0 CERTIFICATE OF COMPLIANCE AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
u (To be filled in and sealed before certificate of occupancy is issued)
The construction of tine above-named project Is substantially complete and request is hereby made for issuance of
the certificate of occupancy per Section 309 of the UnifOmi Administrative Code of the City of Glendale 1997 edition.
I certify that,t0 the beat of my knowledge, the requirements of the approved plans for which special inspection Is
required end Section 306 of the Uniform Administrative Code have been complied with. A guarantee that the
contractor hat necessarily futfllled the obligations of this contract is neither Intended nor implied.
Architect or Engineer Responsible for Special Inspection(type or print)
RETURN TO THE BUILDING SAFETY DEPARTMENT FOR APPROVAL AND DISTRIBUTION TO THE FOLLOWING:
a BUILDING SAFETY DEPT. 0 BUILDING INSPECTOR 0 ARCHITECT OR ENGINEER LI JOB COPY
1
05/22/2007 11:15 FAX 6239152695 COG PLANNING DEPT Z 002/004
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11% CITY OF GLENDALE,ARIZONA
BUILDING SAFETY DEPARTMENT-COMMUNITY DEVELOPMENT GROUP
Mill SPECIAL ELECTRICAL INSPECTION CERTIFICATE
GLEND*E
T Project Name Dale
.rr fern FLUS Et!R I�w �DL�-k- SEc -A 31?4-lo 4
Project Addre Permit Number DSC Number
1 '11 u N � r� 063/• g�
CERTIFICATE OF SPECIAL INSPECTION BY OWNER
(To be filled In and signed by owner before permit is issued)
In accordance with the City of Glendale amendments to Section 308 of the Uniform Administrative Code of the City of Glendale 1997 edition,which requires that the
execution of certain electrical construction work be placed under the inspection of the engineer,or special inspector employed by me,I certify that the electrical portion of
construction of the above-described building project wilt receive special inspection
Name of Aron,lect of record Contractor
Name of Electrical Engineer *Signature of Owner or Legal Agent
k i l oft wt"Ee w Ity
SPECIAL INSPECTION RESPONSIBILITY CERTIFICATE
(To be filled in and sealed before building permit is issued.)
I certify that I am familiar with the electrical design of the above-named project and,in accordance with the City of Glendale
amendments to Section 308 of the Uniform Administrative Code of the City of Glendale 1997 edition,I hereby assume full
responsibility for carrying out the required special inspections. Inspection reports will be filed with the Building
Safety Department,as required by Section 306.3. The following individuai(s)will be special field inspectors
under my direct supervision and are to be on the job site to render full,complete and competent inspectk n.
The special field inapector(s)'are to be named below before work under their area of duty commences.
O
Engineer Responsible for Special inspection(type or print)
Name of Inspector(Ground Fault Protection) Num of Inspector(Other,Specify)
Nunn;Name of Inspector(Emergency Aft Stand-by Sot a)
SPECIAL INSPECTOR QUALIFICATIONS [UAC SEC 306.2]ARE APPROVED.
C e, 6/ "O -7
Building Official Date
CERTIFICATE OF COMPLIANCE
— (To be filled in and sealed before certificate of occupancy is issued.)
The construction of the above named project is substantially complete.
I certify that,to the beat of my knowledge,the requirements of the approved plans for which special irispeotton
is required and Section 308 of the Uniform Administrative Code have been complied with. A guarantee that
the contractor has neceasadly fulfilled the obligations of his contract Is neither intended or implied.
Engineer Responsible for Special Inspection(Type or Print)
RETURN TO THE BUILDING SAFETY DEPT.FOR APPROVAL AND DISTRIBUTION TO THE FOLLOWING:
❑ BUILDING SAFETY DEPT_ ❑ BUILDING INSPECTOR D ARCHITECT OR ENGINEER ❑ JOB COPY
06/22/2007 09:52 FAX 6239152695 COG PLANNING DEPT Iif.J002/002
CITY OF GLENDALE,ARIZONA de*/
rili BUILDINC3 SAFETY DEPARTMENT-COMMUNITY DEVELOPMENT GROUP
FICATE
GLEN E
SPECIAL INSPECTION CERTI tCalo y
Prom(Name Date
nI TQ 15� Qc‘Cl c ' tom.. tv e lv�yner6- 06i22/2007
Project Address Permit Number Project Number
-7 4 0 lv . •z-con,-e.fo `�1 . 6 C0;519 5
0 CERTIFICATE OF SPECIAL INSPECTION BY OWNER
(To be filled in and signed by owner before permit is issued)
In accordance with Section 300 of the Uniform Administrative Code of the City of Glendale 1097 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 ofArCMlect t Contractor
Name of Structural Engineer Signature of Owner or Legal Agent
f Cti1i't k)C,l. ',t;o1).DLiY ti al'�liV:l,([ I\ ..
l 'I 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 300 of the Uniform Administrative Code of
the City of Glendale 1997 edition,I hereby assume full responeibiity for tarrying out the required special Inspections. Inspection reports WYI be filed with
the Building Safety Department,as required by Section 300. The following indivieuel(s)will be special field Inspector(s)under my direct supeNylon and
are to be on the lob site to render full,complete and competent inspection,
The?pedal field Inspector(?)are to be named below before work under their area of dutucommencee.
WrYMleofef Engineer Reeponsible for Special Inspectio type or pdn0J
�os,al l )I `ll `:'Th .ft-)rCL e f: All-kr0.1-VLC((1,-):.-F,. .<.
,.4 ` - il� 1 oncrete inspector
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v7 Bolts fn�o crate inlepecfor ReinkrYirrg$1ee�lrfspecfdr
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Ale\\....„........ .:�, l�g he th Bolan n petrol Structural asonry Inspector
LAO 1Lat) `` kb(iNh �c�� (tc
�RI fdA,t1.`; Structural e/dlnp Irlspecror Epoxy,Ettpan on, 1'_'_..ct-TS
SPECIAL INSPECTOR QUALIFICATIONS[VAC SEC 3061 ARE APPROVED. ( j► ,'��• ,
au lOrnq oars
0 CERTIFICATE OF COMPLIANCE AND APPLICATION FOR CERTIFICATE OF OCCUP Y
(To be filled in and sealed before certificate of occupancy is issued)
The construction of the above-named project Is substantially complete and request is hereby made for issuance of
the certificate of occupancy per Section 300 of the Unifomt Administrative Code of the City of Glendale 1997 edition.
I certify that,to the beat of my knowledge,the requirements of the approved plans for which special inspection Is
required and Secllon 30B of the Uniform Adrnlnlelrative Code have been complied with. A guarantee that the
contractor has necessarily fulfilled the obligations of this contract is neither Intended nor implied.
Architect or Engineer Responsible for Special Inspection(type Orpnnt)
RETURN TO THE BUILDING SAFETY DEPARTMENT FOR APPROVAL AND DISTRIBUTION TO THE FOLLOWING'
Q BUILDING SAFETY DEPT. 0 BUILDING INSPECTOR 0 ARCHITECT OR ENGINEER ❑ JOB COPY
L.