HomeMy WebLinkAbout926014 Jan-160001 +t:32pm From-TOR ENGINEERING +1-602-437-1564 T-941 P.002/002 F-202
rglit CITY OF GLENDALE.ARIZONA
BUILDING SAFETY DEPARTMENT- COMMUNITY DEVELOPMENT GROUP
GLE E SPECIAL INSPECTION CERTIFICATE
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E:1 CERTIFICATE OF SPECIAL INSPECTION BY OWNER
(To be filled in and signed by owner before permit is issued.)
In accordance with Section 306 of the Uniform Administrative Code of the City of Glendale,_edition,which tequires
that the execution of certain construction work be placed under itie inspection of the architect,engineer.or special inspector
employed by me,]certify dant the construction of the above-described buiIding project will receive special inspection.
N �r,�Arrrsac:r frae ,e4c44tioviE,
/ held • ''`-. I' & • F-'�v 1V C.k� ! ti
Name of Srrrerurar£mg.n.,rr ' or Go AFenr
go bei r A. o Pe'. 'tbe UfAiLteaukt / !1' 'Z
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DSPECIAL INSPECTION RESPONSIBILITY CERTIFICATE
(To be filled in and sealed before building permit is issued.)
I certify d:at I am familiar with the structural design of the above-earned project aid,in accurca1 cc with
Section 306 of the Uniform Administrative Codc of the City of Glendale_cdiinn,I hereby assume full
responsibility for carrying cut the ttquJir special inspection.Inspection reports will he tiled with the Building
' Safety Dcpatflmenr.as required by Section 306(c).The following individual(s)will be special field inspector(s)
under my direct srperrision end are to be on the job stye to render full,complete and competent inspection.
�T' The special field inspcaor(s)arc to Ito named below before work under their area of aury commences. •
i• rF► klkl • /ig' 4 1 RN . Mrertf L"fEnginer Rapu's ilil jro*hart Jnv rcas rjRIC or Prriim)
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4'r�!>.,," t F 1X.Oik^1.f Ci. ' ROBERT A . ,..+anu of lnprtewr arraca�MasowrTJ Mont of lr�ccror(Sue!!
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s 15.E6AL IBPECTOR t AI ICATIONS "' ' ,•f '-''I' ` "t .,'
Q [UAC SEC 3Ub(B)]ARE APPROVED "' „` r�r 1, y.a ,_k 1 x ..r
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. ..., ffrtrldrnYOfcic•1 Dare
•`;:q jl'-• $t4.4.:. ( `CERTIFICATE OF COMPLIANCE AND APPLICATION FOR CERTIFICATE OF OCCUPANCY ' • -
- I 1 (To be filled in Sad sealed before certificate of occupancy is issued.)
�� ''"ti , .-;�f,. -, The -Calaivn of des above-named project Is substantiaity complete and request is hereby Made fa r ..
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..l .rr � ` . lira.1 of the certificate of occupancy per Section 308 of the Uniform Administrative Cede of t3te "ti'f,T7 -,
s•r.. .tv� 'l" I� City,fGlendale,_ed•
:: h` ) i edition.
to., -,..,- \\ • I co •fy that.to the beat of my latowledge.the requirements of the approved plans for which special inspection
::.:,j: : .r!Af' 4.. ' '18708. .:, l 1, is -- "red and Section 306 of the Uniform Aat>rittisuadve Code have been complied With.A guorturtes char
:. :4' w"+ ' TROBERT A.::..,: the contrat:tor has notimserily fuI iIIrd the obligaoots of his;contract is eelghcr intended nor implied.:r; :
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. ';�•c1'-'it. t- .�-`S1-'t A ItA Perinfa Of EngLu r RGepoutfiicfcr Sperm!insprman(l pe or Pnu) 1
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R2T1JRN TO BUILDING SAFETY DePT.FOR APPROVAL AND D!STRIEL7,,ZON TO TM t%OLLOWTNG.
=i-ButLDtNG SA,t:ETT otsPARTS(E.VT
ID-SUa.atNO INSPECTOR
tU.ARQtrPECT at GNGINSER
ID•JOB COPY MORE RETURNED TG THE ButniNG OFFICLAL Y?rCN YOUR INSPECTION is CQ�`.PLErd AND 5EFORE A.IMICTff:C. m GI:OCC 'JC?IS REQUESTED.) •
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