HomeMy WebLinkAbout12942 •
r1371 CITY OF GLENDALE, ARIZONA
11 BUILDING SAFETY DEPARTNIENT- COMMUNITY DEVELOPMENT GROUP. I lij I i ,
GLEN E SPECIAL INSPECTION CERTIFICATE
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.Pi At Name<=%�GI
O „ ^ Darr 6.-z,
Project Address Permit Number - DSC Number
l b Al tzci4Z. Do- J
CERTIFICA 1J=, 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 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 of Architect Contractor
%' ) �1�
Vame of Str oral Engineer — ' — Sig{rulers uj „•net nr Lrgn(Agrni
).•-e-X... . . ,
•
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 306 of the Uniform Administrative Code of the City of Glendale,_edition,I hereby assume full
responsibility for carrying out the required special inspection.Inspection reports will be filed with the Building
Safety Department,as required by Section 306(c).The following individual(s)will be special field inspector(s)
under my direct supervision and are to be on the job site to render full,complete and competent inspection.
The special field inspector(s)are to be named below before work under their area of duty commences.
J
\o^al En947 Architect or Ert ineerRe.r onsiblr orS eciul In.r ectiort (Type or�OCA F �e� g P I p n Print)
T
Se S f,Y t., D, U'c_�,rn p.e ,
U15206 O ° Name of Inspector(Structu lot Alu.rnnrr) N roflarpeetnr(SrrrO
A 1
,� �� / -NameofInrpector(Concrete)
6 (� (— r Nume of Inspector(Welding) e�t7 G(i Q, t f
Stgned J p / t\- C( l ��LI/c_. _ P. f �2ifA_ l�Y� tor- .1- D
/?� Nume of Inspector(Specify Type) 0,�_r -e •S ��_&Vume of Inspector(Specify Type) p,
Plat. •.+:.tV:13 nd I^ 1 /n/,(� �ii�' Cm>1 Cv pI�1��
ign.u are a-Ebert L—U Let__ f () e r r--
• S'ECIAL IN ,PECTOR QUALIFICATIONS [UAC SEC 306(B)] ARE APPROVED. - •i,ST-0
o - ___ _ Builrlin,C Of%tc'iul j Duty
.. RTIFICATE OF COMPLIANCE AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
(To be filled in and sealed before certificate of occupancy is issued.)
• The construction of the akove;named project is substantially complete and request is hereby made for
• issuance of the certificate of occupancy per Section 303 of the Uniform Administrative Code of the
City of Glendale,_edition.
•
I certify that,to'the best of my knowledge,the requirements of the approved plans for which special inspection
is required and Section 306 of the Uniform Administrative Code have been complied with. A guarantee that
the contractor has necessarily fulfilled the obligations of his contract is neieher intended nor implied.
•
• Architect or Engineer Responsible far Special Inspection (Type or Print)
Place Registration Seal and
Signature Date
RETURN TO BUILDING SAI-h I Y DEPT.FOR APPROVAL AND DISTRIBUTION TO THE FOLLOWING:
❑ -BUILDING SAFETY DEPARTMENT .
❑ -BUILDING INSPECTOR
❑ •ARCHITECT OR ENGINEER
❑ -JOB COPY(TO BE RETURNED TO THE BUILDING OFFICIAL WHEN YOUR INSPECTION IS COMPLETE AND BEFORE A CERTti-1CATE OF OCCUPANCY IS REQUESTED.)
11 1-07/96
•
IP 17 PI CITY Y OF GLENDALE, ARIZON.4
di.1i
BUILDING SAFETY DEPARTNIEVT- CONIMUNiTY DEVELOPMENT GRO IP
GLEN E SPECIAL INSPECTION CERTIFICATE
•
Prnix.t Nume
�J AtiL • 6e6" .„. Daq
,? `0
Project Address _ Permit Number DSC Number
3 b P Ai . L/- 6.
CERTIFICA L E 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 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 of Arcl hest •
-
Contractor 1
rVant'e o%Struetaial n ine - __ — ) - -- -- - - -
��_rifUu•n -ernr •• A•• t ,
'4 4- • -
i SPECIAL INSPECTION RESPONSIBILITY CERTIFICATE
(To be filled in and sealed before building permit is issued.)
I i certify that i am familiar with the structural design of the above-named project and, in accordance with
Section 306 of the Uniform Administrative Code of the City of Glendale,_edition,I hereby assume full
responsibility for carrying,out the required special inspection, Inspection reports will be filed with the Building
Safety Department, as required by Section 306(c).The following individual(s)will be special field inspector(s)
Iunder my direct supervision and are to be on the job site to render full,complete and competent inspection.
oe�slonat FR9r The special field inspector(s)are to be named below before work under their area of duty commences.
Q.op 1 CA TF 00�, Architect or Engineer Responsible for Special Inspection (Type or Print)
• 2 C
,5206 0 1 cje ff r ,!j . V cam. i' - to
JEFFRY D. tame of Inspector(Strue ural Masonry ,
VANN - 1 Name n/'Inspector(Steel)
/lii f
Oi 2 r
6
Si9Aec+ Name of Inspector(Concrete) Name of-Inspector(Welding)
`/Z ---- P
Orly' LI -• Name alInspector(Specify Tire). •/ j
Pt c•e Regist aft i: (nd l L/� Name of Inspector(Spreifi•Type)
Signature Date art— k
SPESIAL INS ECTOR QUALIFICATIONS [UAC SEC 306(B)] ARE-APPROVED. `4'`7/1� ivr�_ g`/S O'
•
Building Official 6 _ Dote l
_ _ _
CERTIFICATE OF COMPLIANCE AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
(To be filled in and sealed before certificate of occupancy is issued.)
• The construction of the move;named project is substantially complete and request is hereby made for
issuance of the certificate of occupancy per Section 303 of the Uniform Administrative Code of the
City of Glendale, edition.
I certify that,to'the best of my knowledge,the requirements of the approved plans for which special inspection
is required and Section 306 of the Uniform Administrative Code have been complied with. A guarantee that
the contractor has necessarily fulfilled the obligations of his contract is neieher intended nor implied.
• Architect to-Engineer Responsible f.Special inspection (Type or Print)
Place Registration Seal and
Signature Date
RETURN TO BUILDING SAFETY DEPT.FOR APPROVAL AND DISTRIBUTION TO THE FOLLOWING:
❑ -BUILDING SAFETY DEPARTMENT
0 -BUILDING INSPECTOR
❑ -ARCHITECT OR ENGINEER
❑ .JOB COPY(TO BE RETURNED TO THE BUILDING OFFICIAL\VHEN YOUR INSPECTION IS COMPLETE AND BEFORE A CERTIFICATE OF OCCUPANCY IS REQUESTED.)
III.07/96
•
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•
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____/
IP 1,7 Tii CITY OF GLENDALE, ARIZONA
BUILDING SAFETY DEPARTMENT- COMMUNITY DEVELOPMENT GROUP -
lejli
GLEN Z E SPECIAL INSPECTION CERTIFICATE
,
r
Pro u Name
• /J nrivipol Du r 0
Project Address / Permit Numhc'r DSC Numher
1 3 Lo 'Al (_.) _
CERTIFICA I•E 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 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 ofArcl irect Contractor ` ,A Ju & k
)1t, 4 /1/i 46A _ xl ••
-- - - -- Name-nf-Structural- inee --- - ----- — - --Si nj'Owner nr r - '
SPECIAL INSPECTION RESPONSIBILITY CERTIFICATE
(To be filled in and sealed before building permit is issued.)
i
I certify that I am familiar with the structural design of the above-named project and,in accordance with
Section 306 of the Uniform Administrative Code of the City of Glendale,_edition,I hereby assume full
responsibility for carrying out the required special inspection.Inspection reports will be filed with the Building
Safety Department, as required by Section 306(c).The following individual(s)will be special field inspectors)
under my direct supervision and are to be on thejob site to render full,complete and competent inspection.
io\e551onal �f9/� The special field inspector(s)are to be named below before work under their area of duty commences.
P�\f 1 C A TF ea/� Architect or Engineer Responsible for Special Inspection (Type or Print)
15206 O o . �e f 4 r� ,D v ate► u ` n - € •
JEFFRY D. o
VANN of Inspector(Strut ural Masonry.) Name of Inspector(Steel)
'r O L16;11Fame
`"Peed Name uj Inspector(Cunerete) r Name of Inspector(Welding)
/?ONA U Nam of I
spectar(Spe(Specify T e
)' ` Name of Inspector(Sprcif Type)ce Reg • ". and I, � I
Signature Dut Raon-r ' ,-- 1,e,Q - \--a
SPEIIAL INS."ECTOR QUALIFICATIONS [UAC SEC 306(B)] ARE APPROVED. __ g`/5-O
Building Official Darr
1 CERTIFICATE OF COMPLIANCE AND-APPLICATION FOR CERTIFICATE OF OCCUPANCY
4 (To be filled in and sealed before certificate of occupancy is issued.)
• The construction of the 4ove;named project is substantially complete and request is hereby made for
issuance of the certificate of occupancy per Section 308 of the Uniform Administrative Code of the
.0 al City of Glendale,_edition.
JEni
O w I certify that,to.the best of my knowledge,the requirements of the approved plans fr which special inspection
152p6 . is required and Section 306 of the Uniform Administrative Code have been complied with. A guarantee that
3EFFl�Y D• the contractor has necessarily fulfilled the obligations of his contract is neigher intended nor implied.
vANN0 1//...'4; . J 1 v
\9.; .Signed• .!' Architect or Engineer Responsible far Special Inspection (Type or Print)
luc• t4.r iv". Ji.
i r..
RE-URN TO BUI DING SAIL I Y DEPT.FOR APPROVAL AND DISTRIBUTION TO THE FOLLOWING:
❑ •BUILDING SA :T5'DEPARTMENT
❑ -BUILDING INS ECTOR
❑ •ARCHITECT aR ENGINEER
❑ - OB COP TO BE RETURNED TO THE BUILDING OFFICIAL WHEN YOUR INSPECTION IS COMPLETE AND BEFORE A CERTrnICATE OF OCCUPANCY IS REQUESTED.)
II 1.07/96
El le�� CITY OF GLENDALE, ARIZONA
dij
� BUILDING SAFETY DEPARTMENT-COMMUNITY DEVELOPMENT GROUP
GLEN E SPECIAL INSPECTION CERTIFICATE
Pra';Name • 7i c'Date
----`=16.)-11.)() At.I IA_.1 / •
Project Address I ) / Permit Number - DSC Number
CERTIFICA LE 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 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 of Architect Contractor
(V; 1.2 S e)4--s.. ill`r.1 ' //1 Cjadd
- _ _ _Name of St ••oral Engiineer _-_ _ Agent gal A L
—
Sig • ;viler or Legal
%°1-��l Ica -- -- Si
-- —---- --- � � - -- - J
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 306 of the Uniform Administrative Code of the City of Glendale,_edition,I hereby assume full
responsibility for carrying out the required special inspection.Inspection reports will be filed with the Building
Safety Department,as required by Section 306(c).The following individual(s)will be special field inspector(s)
under my direct supervision and are to be on the job site to render full,complete and competent inspection.
The special field inspector(s)are to be named below before work under their area of duty commences.
`e�s�or,al Ent,/ Architect or Engineer Responsible for Special Inspection (Type or Print)
i
,0F\CATF /C `o 0 3-e T-fr\,� Di Va.n in P. ,
U152Q6 Name of Inspruor(Struetu a!rNu non') N e n !rtc eerily Steel)JEFFFtYD. � !! r f I •
`VANN +�YJC �' Z{ r �-dL -l✓�F' l--0 Z-cif--
,�� �d�6 -, N/aam,/�me,00�f Inspector(Concrete) , yyN��a�mep�of Inspector(Welding) E'�u G C Q t
\ Sr9ned • RBIber -t- 1—() _c _ P�cio',0-- l--Oc� S(`t'x'►rl.Glra _
Plums .`/ � 'n P Name of Inspector(Specify Type) in ozi—_T•e A s ;7/ -Nume of Inspector(Specify Type)��C ar,
r11,4. �. RD ber t Lo Za_ be.rt�- ,1�DU l
S'ECIA IN •PECTOR QUALIFICATIONS [UAC SEC 306(B)] ARE APPROVED. P-- �U Z •,cc
-_ BuildingOfficialDate
RTIFICATE OF COMPLIANCE AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
(To be filled in and sealed before certificate of occupancy is issued.)
The construction of the a?ove;named project is substantially complete and request is hereby made for
raj E�� issuance of the certificate of"occupancy per Section 308 of the Uniform Administrative Code of the
iii ss`O�'--'�r�ee Cityof Glendale,_edition.
;/ ICA7* i
os c I certify that,to'the best of my knowledge,the requirements of the approved plans for which special inspection
15206 �Dis required and Section 306 of the Uniform Administrative Code have been complied with. A guarantee that
(.I
JEFrR. D. )vii: the contractor has necessarilyfulfilled the of his contract is neigher intended nor implied.
1014:�� VAPI ' i'';� obligations _ P
Jf VAik to
q?e 3l9ned { ` Architect or Engineer Responsible Jnr Special Inspection (Type or Print)
Plu :• '''',LiktrdtlnnSeril:unc?
Sig 'TrcK-Ditte---
RETU'•N TO B 1LDING SAFHI Y DEPT.FOR APPROVAL AND DISTRIBUTION TO THE FOLLOWING:
❑ -BUI DING SA; TY DEPARTMENT
❑ -BU '*INC I •PECTO‘R
❑ •ARC' IL,' OR ENGINEER .
❑ -JOB COPY(TO BE RETURNED TO THE BUILDING OFFICIAL WHEN YOUR INSPECTION IS COMPLETE AND BEFORE A CERTtF1CATE OF OCCUPANCY IS REQUESTED.)
II l.07/96