HomeMy WebLinkAbout000000000 IFIV CITY OF GLENDALE,ARIZONA
doh SPECIAL
BUILDING SAFETY DEPARTMENT-COMMUNITY DEVELOPMENT GROUP
SPECIAL INSPECTION CERTIFICATE
GLENDf
Project Name Date
1B. 142 /VP L LG , 64-11.14,A-141.ii Air PAI 12.30.-e
Project Address Permit Number DSC Number
7 31M k.). )/t94-Ave.) 6,Lx'ML_li., Az. 44/62S'
nCERTIFICATE 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 1997 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 [!11 Contractor
ZAuWE/A AFT-C - rrEC-MRX, ,L T aic.. Az CDiP®.&ATI1. a�t
ui,.aat.s, LL(.. -
Name of Structural Engineer Si nature of Owner or Legal Agent
a Ma OS c 10rZZ Ly SCerr,11-,C.. C 13a.•.,.. -'
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 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(c). The following individual(s)will be special field inspectors(s)
under my direct supervision and are to be on the job site to render full,complete and competent inspection.
`' sIO _
/,,`' The special field inspector(s)are to be named below before work under their area of duty commences.
/��� 1 . Architect gineer Responsible for S ecial Inspection(type or print)
;j am r °FL 4. seo� & c4D 0 1uRc1t S .7 r,,A3 G
, ame off! spector�(Structural Masonry) Name of Inspector(Steel)
I05 J L/vd. joitt-
,.,
In®io Name of Inspector(Concrete) Name of Inspector(Welding)
4 � jA om.0 � A t. f l..
Name of Inspector(Specify Type) Name of Inspector(Specify Type)
SPECIAL INSPECTOR QUALIFICATIONS [UAC SEC 306(B)]ARE APPROVED.
Huncing Utticial Vale
CERTIFICATE OF COMPLIANCE AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
(To. 1eland seale. :-fore certificate of occupancy is issued.)
Jr___.tarp)`� The construction of the above named project is substantially complete and request is hereby made for
��®), f�)T 00 issuance of the certificate of occupancy per Section 309 of the Uniform Administrative Code of the
• • % City of Glendale 1997 edition.
try 14427
"� -'u1G , I certify that,to the best of my knowldege,the requirements of the approved plans for which special inspection
"::l
to is required and Section 306 of the Uniform Administrative Code have been complied with. A guarantee that
a4,p 1,P I V the contractor has necessarily fulfilled the obligations of his contract is neither intended or implied.
a
_. Architect of Engineer Responsible for Special Inspection(Type or Print)
PAuc. Cr. 56carT @ C#fr. So , 77;iecri, 5t,rr /,vc.
RETURN TO THE BUILDING SAFETY DEPT.FOR APPROVAL AND DISTRIBUTION TO THE FOLLOWING:
0 BUILDING SAFETY DEPT. 111 BUILDING INSPECTOR 0 ARCHITECT OR ENGINEER 0 JOB COPY
AUG 23,2006 15:02 DIV METRO - home office 623-979-1480 Page 2
2-abed SfAZGT6EZ9 �.AOD All.) 'T(ON'C) 6C:1:10 900!'12 D(1N
reljaA CITY OF GLENDALE.ARIZONA • (7,4)
BUILDING SAFETY DEPARTMENT•COMMUNITY DEVELOPMENT GROUP• /
SPECIAL ELECTRICAL INSPECTION CERTIFICATE/ff /
/
G J�
DYNA�"1 �G i"i,UMY3 t Ki Protect Nzme aa,a�- �l -�
Project ABS.ss Pants(Nwnper OSC Number
-23 i + r1. 104-V AVE. 06 z.CZr
gCERTIFICATE OF SPECIAL INSPECTION BY OWNER
(To be lifted in and signed by owner belore permit ie issued)
In=Broenes seal the Gry d GMroale amendments to Section 008 d vie Uniform Admirtisrrari.s Code or ter Gay of Glendale t Sa r edeon,'ranch legwes met me
s,.:seen or comet eIecuicu cactstrualon wont be placed unties the irapeason of the engineer,a ap.ayd mspecyol'employee by me.I celIty Olaf the electrical porton of
mrnuocton of the abow.aeacribw building project wiL Iece'S.petal I1111uec6on
Nam.or Arerirecr or record I CCrllracfpr
61LO aJMl lt- A.IMM .kQC,OteCC1112E I
N d ELxhicr(Encineer ( SOU! Amor or L.pal Agent
. PECIAL INSPECTION RESPONSIBILITY CERTIFICATE
(To be filled in and sealed belore building permit is issued.)
I.oily Intel I am Pamela/vier nw.leelncel design 01 tre accwe-named pro oct aro.in aGooroanea eridh the City or Glendale
•
amendments Io Seebon 30G of In*Unieonn Adrreriseatiae Code of the City d Cilerdale IDV edition.I wetly assume I
Iecoonsoity Ier criblerc our ere regwrJ special irecetyl.]fes Inspection feprxfa will be Ned wen the Budding
Safety Depanmere,is required by Section 306.3. The Iolio.ng in6ividuaks)wia he coeval lend Inspectors
urd pao.r my deed eunnan and Re are Fri be on a gob ate to render full.mestere And out poeterc Inspection.
fhal En.jq. The sp.ciaf held inepeccrortzl are In be rumen twos before%ear!Rider ineir area of airy commences.
QC a�t��AT6H \ F. kxSo 3JIrlapecfocpypoorpMl)
r� or
11617 H.R. Nana a Inw•aor(Ground Fame P, ectket) Name of Inspector(Other,Specify)
SELBY
\ ®,f . Name of IRSpecico(EgicIpMent IOW amoa Cr eiorv)
1` /2r)NA, V• llwfre of inspector(Emeryenry and J4nd-try 3)}lemr)
SPECIAL NSPEC T OR QUALIFICATIONS[UAC SEC 3O6:2j ARE APPROVED.- - c9 Z-`I'
p
&ekingOdraiPI bale
• CERTIFICATE OF COMPLIANCE
(To be lined In and sealed Defoe)certificate of occupanq(to issued.)
The eOnatriCtion of the abo,o named WOO•G Substantially compete
I certify map,lo the btsl of my lino-sedge.in.requirements 01 she approved plans for tree:spcdal inspection
is reouired and Section 300 of the Unitorrn AOmmil reeve Code rove been compend'r.en. A clisva w Inar
me co.otie:1wr has oecessenti Iua.Ned the uolgat.ons or Me conean is neerrer intended or inlpled.
•
Er611.6.8f Aesporte.de ku Special Ptwernon(ripe or Pnnq
RETURN TO THE BUILDING SAFETY DEPT.FOR APPROVAL AND DIETROUT,ON TO THE FOLLOwIN
❑ BUILDING SAFETY DEPT ❑ SOLOING INSPECTOR 0 ARCHITECT CAI ENGINEER ❑ JOB COPY
Z00. Z001J .1.43(1 ,`)\I\^F''Irl `)(1:] SfeRZST6£7.R \'1;1 1£:90 BOOZ 17.:'90
•
Hv: ENVIRONMENTAL TESTING & BALANCING, INC.
f 6.. k
HVAC TESTING,ANALYSIS, BALANCING,COMMISSIONING, •
ENERGY SURVEYS &FIRE LIFE SAFETY TESTING
October 31, 2006
Environmental Testing & Balancing Inc. certifies the following flows.
OUTSIDE AIR CERTIFICATION
DYNAMIC PLUMBING
7314 N. 110th Ave.
Glendale, Arizona
UNIT REQUIRED FINAL PASS/FAIL
HP-01 150 150 PASS
HP-02 150 155 PASS
7 7gesting&&�$
,,,)r>"-;, 7 Icy
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�OLd9Ilifiue"
.t�
AC CA .._.._, �
321 W.Hatcher,Suite 202 • Phoenix,AZ 85021 • (602)861-1458 • Fax:(602)861-1864 • www.etbarizona.com
•
ENVIRONMENTAL TESTING & BALANCING, INC.
IHVAC TESTING,ANALYSIS, BALANCING,COMMISSIONING,
- _ a
ENERGY SURVEYS &FIRE LIFE SAFETY TESTING
DATE: October 31,2006
JOB: DYNAMIC PLUMBING
7314 North 1101h Ave.
Glendale,Arizona
FOR: TCK AIR CONDITIONING
DUCT DETECTOR CERTIFICATION
UNIT MANUF MODEL. DUCT TUBE ACT VELO # REACTION PANEL PASS
SIZE LENGTH DP CITY HOLES TIME INDICATION
LOCATION PROBE (FPM) FAIL
HP-01 INNOVAIR DH100ACDCLP 16x34 12" R +.04 801 6 IMMEDIATE N/A PASS
HP-01 INNOVAIR DH I00ACDCLP 16 x 34 12" R +.05 890 6 IMMEDIATE N/A PASS
Visual Inspection:
Environmental Testing&Balancing,Inc.
Certifies to the best of their knowledge,the above smoke detectors have been installed as close as possible in accordance to the manufacturer's
recommendation and as indicated on the drawings. Due to the slight fluctuations in the pressure readings,the above data reflects the lowest
readings measured to assure compliance. The pressure in the sampling tube must be greater than.01"DP and not greater than 1.2"DP.
Electrical Inspection:
Tested and complies.
Functional Test:.
Automatic Shutoff verification completed. When one unit is activated,both units shut down upon smoke detection. Any future
adjustments to any units air flow would affect the functional test and the detectors would subsequently need to be retested.This test
complies with IMC 2003 Chapter 6 requirements.
Tested By:
Torn Stewart
AABC Certified ' - --
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a° ®Q1to,1 �� r `
tit Q T q l a
'L'Z I:TgI(r�c,�u
AA BC """"
321 W.Hatcher,Suite 202 • Phoenix,AZ 85021 • (602)861-1458 • Fax:(602)861-1864 • www.etbarizona.com
Coil i.)--- ' / 5
Arizona
c1 w''\ Z :`^ re, Electrical
v2— °1.1 — cl 1, 1 Testing.
Power System Testing&Service
October 17, 2006
ATS Electrical Service
840 N. 52nd Ave.
Phoenix, AZ 85043
Subject: TR-4730
Switchboard Overpotential Test
Site Location:
Dynamic Plumbing
7314 North 110th Avenue
Glendale, Arizona
Attention: Alberto Rodriguez
1.0 Summary:
1.1 This project was initiated at the request of Alberto Rodriguez of ATS
Electrical Service. The work was conducted under P.O. #2338. All work
was performed on October 17, 2006 by Jerry Lindley of Arizona Electrical
Testing. The equipment indicated in the scope was tested and found to
be in acceptable condition.
2.0 Scope:
2.1 One (1) 1200A Switchboard
3.0 Procedures:
3.1 Switchboard Overpotential Test:
3.1.1 The switchboard was subjected to a voltage level twice the rating of
the switchboard plus 1000 volts phase to phase and phase to
ground. Leakage current was measured and recorded. The
switchboard insulation resistance values are considered acceptable
if the voltage does not break over during the test procedure.
21424 N.20th Avenue•Phoenix,Arizona 85027•Phone(623)580-0200•Fax(623)580-9287
Page 1 of 2
4.0 Results: •
4.1 Per the attached test results the equipment specified in Section Two of
this report was tested and found to be in acceptable condition.
Sincerely,
9- /AiL4
Jerry Lindley
Enclosures: One (1) Switchboard Overpotential Test Data Sheet
21424 N. 20th Avenue•Phoenix,Arizona 85027•Phone(623)580-0200•Fax(623)580-9287
Page 2 of 2
Arizona . . .. •
.
Electr;ca!
Testing SWITCHBOARD OVERPOTENTIAL TEST
Pa...sp.T Talky as.its
CLIENT:/l d T FIELD JOB NO.:
!S ELFR
C /mac 5&ev,c � �/
e ENGINEER: L/ DLv "y.73G
LOCATION: 731 Al. 1/G7NAvE.jo TEMP/HUMIDITY: .30�/33!� DATE: `0_` 7 06
T. 2 O8 TEST
VOLTAGE VOLTAGE: / / 2
6 EQUIP.NO.: 3a�., / CAL.DATE: 7—f --G
VOL -CJ
PHASE TO GROUND PHASE TO PHASE
SWBD.
IDENTIFICATION NOTES:
A B C AB BC CA
5 E5 — (177 979 ' 7971- 1Q7 999,,L- 999 - loon I/
I/ `I7) Io28 1 o39' 30? 316 175 /4t/ VAct
✓S T P4-S s
9-
NOTES:
Q1 READINGS IN MEGOHMS
• READINGS IN /►7/&,Qo.9m P$
SWITCHBOARD INFO: Curl g- fini,j E, 120°A ,2 o6Y//Zo✓ 3 Sf•mJ
a.47.1P SPx 5P987 use -a7.2 9-23 2 a,Z
Arizona Electrical Testing •
. JoFiiSite Data,
Arizona 44
Electrical
Work Requisition Number. T-4730 PO# 2338 r •
Testing
Job Name: DYNAMIC PLUMBING
Job Address: 7314 N. 110TH AVE. GLENDALE,AZ. 85310 Power System Testing&Service
Technician: JERRy Date&Time: 10/16 MON. 12 NOON
Site Contact: LES I'hR Phone: 602-695-3390
Alternate Contact: Phone:
Directions:
Company: ATS Electrical Service Contact: Alberto Rodriguez
Phone: 602-943-6120 Email:
Address: 840 N. 52nd Ave. City: Phoenix,AZ 85043
_:Addrtional Report;Recipient3;`.
Company: Contact:
Phone: Email:
Address: City:
.Work3l)rdered"
ONE(1) SWBD HIPOT- NO GFI
Spec�ai;;Information
-
Quoted Price: $ 250.00 Additional Cost/Discount: $ 25.00 Adjusted Price: $
Explanation of Charges: TOTAL: $275.00
Authorization
Signature: Date:
Printed Name: Title:
21424 North 20th Avenue•Phoenix,Arizona 85027•Phone(623)580-0200•Fax(623)580-9287