HomeMy WebLinkAbout128921 CITY OF GLENDALE
t PLANNING&DEVELOPMENT SERVICES
Ck1,17 5850 W.GLENDALE AVE.,2ND FLOOR
GLENDALE,AZ
Glendale 623930.2E 0853D1 SPECIAL INSPECTION CERTIFICATE
ARIZONA www.GlendaleAZ.com STRUCTURAL
OWNERS 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 requi s 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 Oenl(TeS-I,'ngd-3.x►S feG-h On L.LC to be
responsible for the special inspections on this project (Registered Design essional/ irm-pleaseprint)
Owner's name: Owner's Signature: Date:
PROJECT NAME: REGISTERED DESIGN PROFESSIONAL/FIRM NAME:
Olive- Grove '1.5's L ?II oenix-res n3 -Lns.pecfion LLC
PROJECT ADDRESS: REGISTERED..DESIGN PROFESSIONAL/FIRM ADDRESS:
(L°A Li w . Go ldev, Lan i 312355• LI3rci Avenue ?hoen;x,Az. 05009
COG PROJECT NUMBER: 1 5 p q(1 a3 -S (111a2atI COG PERMIT NUMBER: I G� a i
,
CERTIFICATE OF RESPONSIBILITY CERTIFICATE 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 1s issued. before a certificate of occupancy Is issued.
As registered design professional in 7f;T I certify that,to the best of my �essiOha/F
charge of special Inspections of the 7—_,„.
• knowledge,the requirements of the ��0 4,4
above named project,i certlfythat 1 ./,c�fr'iCA?F 2018 International Building Code �a ,tvF I CA TF �B
am familiar with the design of the + " and the approved plans and �¢ 36671 1, 4^
project and herebyassume full � /� 79 CJ • specifications have been complied U
responsibility for carrying out the ROBERT N. a with,insofar as the portion of the ' ,;, ROBERT N. < .
required special inspections in POCANO ' " work requiring special inspection ti POCANO
accordance with Sections 1704 and ,. under Section 1704 and 1705 Is Dar •,1 '
1705 of the 2018 International Aed "� concemed.A guarantee that the e84 ned
Building Code. 'Q/ ' V'e contractor necessarily constructed �q•/20 A U g P'.
-(�\N y'� the building in full accordance with .IA/ N
tras�� the plans and specifications is reS
neither intended nor Implied.
(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 QUALIFIED SPECIAL INSPECTOR INDIVIDUAL OR FIRM
.rC CONCRETE CONSTRUCTION/REINFORCING STEEL(1705.3) benfx Te 4- nQ - rtspe on LLC
❑ MASONRY CONSTRUCTION(1705.4) �J
❑ WOOD CONSTRUCTION(1705.5)
❑ STEEL CONSTRUCTION(1705.2&AISC 360)
g SOILS(1705.6) _Vlibe _Ix IC5'tl Yea tF•Irs diM1 LL.0
❑FOUNDATIONS(1705:7,1705.8&1705.9)
❑ SPECIAL CASES:POST-INSTALLED(EPDXY/EXPANSION)ANCHORS(1705.1.1)
❑ SEISMIC RESISTANCE(1705.12)
0 SPRAYED FIRE-RESISTANT MATERIALS(1705.14)
O EXTERIOR INSULATION AND FINISH SYSTEMS(EIFS)(1705.16)
❑ STORAGE RACKS(1705.12.7)
O OTHER:
FORM EFFECTIVE 04/26/2019 POST AT JOB SITE WITH PERMIT
CITY OF GLENDALE
' 'k,'4( PLANNING&DEVELOPMENT SERVICES
I.•' 61150 kV.GLENDALE AVE.,2ND FLOOR
GLENDALE,AZU5901 SPECIAL INSPECTION/VERIFICATION CERTIFICATE
ilmtv,cta 1, 623,930,2900
A It i t o.0 A www,GlandntOAZ,corn ARCHITECTURAL ENERGY CODE COMPLIANCE
OWNER'S NOTIFICATION OF SPECIAL INSPECTION
To be completed and signed by the Owner before a building penult is Issued
In accordance with the Giundnlo City Code,Chapter 9,i,tie owner/legal()gent,do Ilereby certify that the construction of the below described building project will
rer.o:ve Special!location or Third PartyVernicat on(or compliance with the City of Giendale's ate rent adopted Energy Code.
Tim Nohilect may also cattily this protect for Enmity Cotte'complienci. 1 !!
�— — J 0•t+'/9
owner's name, GARRETT WALKER HOMES Owners Sbgneture: ....._. t _.),„..A...__.-- Date:
PROJECT NAME: REGISTERED DESIGN PROFESSiONAL/FIRM NAME:
OLIVE GROVE 45's 7// --M 2-?PO El Corepanlee
PROJECT ADDRESS: REGISTERED DESIGN PROFESSIONAL/FIRM ADDRESS:
6924 W. Golden Lane Peoria AZ Lot 42 2570 S.Miller Ln.,Las Vegas,NV 89117
A COO PROJECT NUMBER: 191614 COG PERMIT NUMBER: 128921
SPECIAL INSPECTION/VERIFiCATiON RESPONSIBILITY CERTIFICATE CERTIFICATE OF COMPLIANCE&APPLICATION FOR CERTIFICATE OF OCCUPIXY
To he idled in fuel signets by the Architect,Special inspector,Coniroolor or Third To ba IMoil Its anti slimed by the Arclrlieol,Special inspector,Contractor or Third
Patty Responsible for verification. Party Responsible for verification,
I cerelfy that!am(alnlierwith the The oonatrpeaorr of the above
energy code compllenee 10/8/2019 nemed project is complete and
requlreMents of tlie.abovo finaleO �,1 meela or exceeds the requirements
project rind energy conservation,I j 1 J�(Ill-
rlf In of the 0ity of Glendale`s currently
hereby assume full responsibility to ,f eral/ Vi adopted Energy Code.Request Is
carrying put the required special hereby made for issuance of the
Inspections and veiificatfons, certificate of occupancy.
I certify thin,to lire best of ray
knowledge,the requirements of Ilia
approved plans for which Special
Inspection or Third PartyVarl(lcntion
Is required have been met.
f Mphlloo0e fiord,8Ii)aruru,and polo.11 fArohilocre Seal,spiracle,and Daio-if
ponllePb)sl
} apnitbablo)
,. s . t �111�t�O1�
SPECIAL INSPECTOR QUALIFICATIONS APPROVAL DY BUII-DING OFficiMJ1 lAN6 EXAMINER:EXAMINER: _ L ,1,,ti 1 _ Yk y t7ATF; I0
Iiirbnrftion/lrHormotinn about Gila loan:
1, A Spaniel huepeclton Is tint`Required',
2 The proton sinning in liii nrnu lhni stales lint project will corfotrrr io the nurmntiy adopters marls f Ida dens not itrtwt In bD tar:e;emn Mason lhui vetifir'tr
atone roquiromanto.
D, Tin(Illy of Glerdnin,Adzpnn,only uoetls ltiln form cnrnpleuni nail Mooted;we rIo not nova any ylrb grorlrint door iron in i mail to Wife n Caridieoto of
Uclahmrloy,
JOB SITE COPY
THESE PLANS SHALL BE KEPT AT THE
JOBSiTE AND BE AVAILABLE TO CITY
OF GLENDALE INSPECTORS DURING
WORKING HOURS. PLANS SHALL NOT
BE ALTERED WITHOUT BUILDING
OFFICIALS APPROVAL
FORM EFFECTIVE 04/26/2019 POST AT JOB SITE WITH PERMIT