HomeMy WebLinkAbout155741 CITY OF GLENDALE
C
PLANNING&DEVELOPMENT SERVICES
5850W.GLENDALE AVE,2ND FLOOR
GLENDALE,AZ 85301
Glendale 623.930.2800 SPECIAL INSPECTION CERTIFICATE
A R i z o N A www.GlendaleAZ.com STRUCTURAL
OWNER'S 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 requires 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 JTA Engineering,LLC to be
responsible for the special inspections on this project. ` (Registered Design Professional/Firm•please MIS
Owner's name:Sean McGary-City of Glendale Owner's Signature: L -4 ' Date: //4/?'40,
PROJECT NAME: REGISTERED DE PROFESSIONAL/FIRM NAME:
(City of'Glendale=Couriffy Gables Park�2 Joe Tonneson/JTA Engineering, LLC
PROJECT ADDRESS:.,, .,t„,,;..,.. . REGISTERED DESIGN PROFESSIONAL/FIRM ADDRESS:
iti1;5041-N N�52nd�Avenue
..,,2.`. D 4411 E. Knox Road
(--GlerdaI -AZ-85306-' Phoenix,AZ 85044
COG PROJECT NUMBER: COG PERMIT NUMBER: /5S 7 7 /
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 is issued. before a certificate of occupancy is issued.
As registered design professional in I certify that,to the best of my
charge of special inspections of the SS‘onal E, knowledge.the requirements of the
above named project, certifythat I oke 9i'0 2018 International BuildingCode S�onal
am familiar with the design of the ( Qc\�f C q TF2 0� end the approved plans and io�eS�F(C q T9��e�
project and hereby assume full ;� U 57934 O 4 specifications have been compiled a F
responsibility for carrying out the _ P. c with,insofar as the portion of the — a) 57934 �O ti:u) JOSEPH-S:= n. --- — 4 v
required special Inspections in c work requiring special inspection a, • c
accordance with Sections 1704 and m a SON under Section 1704 and 1705 is Cl) JOSEPH S. c
1705 of the 2018 International ' . % concerned.A guarantee that the TOTSON 71
Building Code. s�' ed contractor necessarily constructed ( •
Of I• .
/ 9'Q20NA k)SP the building In full accordance with sZ.:ned
p
AZ FIRM NO.20430 712412D2.3 he plans and specifications is / �'Q/20NA U•°'P 6/13/2S
neither Intended nor Implied.
EXPIRES: 6/30/23
AZ FIRM NO.20430
(seal,Signature,and Date) (S EXPIRES: 6/30/26
SPECIAL INSPECTOR QUALIFICATIONS APPROVAL BY BUILDING OFFICIAL/PLANS EXAMINER(1704.2.1): DATE:
WORK WHICH REQUIRES SPECIAL INSPECTION QUALIFIED SPECIAL INSPECTOR INDIVIDUAL OR FIRM
® CONCRETE CONSTRUCTION/REINFORCING STEEL(1705.3) JTA Engineering, LLC
❑MASONRY CONSTRUCTION(1705.4)
❑ WOOD CONSTRUCTION(1705.5)
V STEEL CONSTRUCTION(1705.2&AISC 360) JTA Engineering, LLC
❑ SOILS(1705.6)
® FOUNDATIONS(1705.7,1705.8&1705.9) JTA Engineering, LLC
❑ SPECIAL CASES:POST-INSTALLED(EPDXY/EXPANSION)ANCHORS(1705.1.1)
❑ SEISMIC RESISTANCE(1705.12)
❑ SPRAYED FiRE-RESISTANT MATERIALS(1705.14)
❑ EXTERIOR INSULATION AND FINISH SYSTEMS(EIFS)(1705.16)
❑ STORAGE RACKS(1705.12.7)
❑ OTHER:
FORM EFFECTIVE 04/26/2019 POST AT JOB SITE WITH PERMIT