The URL can be used to link to this page

Home My WebLink About147766 THE INDUSTRIAL COMMISSION OF ARIZONA ARIZONA DIVISION OF OCCUPATIONAL SAFETY AND HEALTH DENNIS P.KAVANAUGH,CHAIRMAN rtrOli� Mls'rfp PHIL MURPHY OVEMMIi10BEP T JOSEPH M.HENNELLY,JR.,VICE CHAIR INTERIM DIRECTOR D.ALAN EVERETT,MEMBER H P.O.Box 19070 �� MARIA CECILIA VALDEZ,MEMBER P jj� '�1 PHOENIX,AZ 85005-9070 602-542-5795 GAETANO TESTINI,EXECUTIVE DEPUTY DIRECTOR January 30,2024 Kone Kone Elevator Re:Elevator Section--State Serial Number(s): 13033 Located at:;Amberlin Arrowhead) n[zo L5.1 st Avenue`7 /GLENDALE-A'Z= 5308 Enclosed is the Certificate of Inspection(COI)issued pursuant to the New Installation safety inspection on the above referenced unit. The owner or operator under A.R.S. §23-491.02 shall keep the Industrial Commission's Certificate of Inspection at the same location as the elevator, dumbwaiter, escalator,moving walk,or related equipment and make the certificate available for inspection and copying upon request. The State Serial Number shall be posted or displayed in the elevator cab, and on the escalators, the State Serial Number shall be affixed to the right, at the lower end of the unit. We appreciate your cooperation in working towards maintaining the safety of your equipment.Please keep in mind thatunsafe conditions may develop at any time. This inspection,therefore,does not guarantee continuing safe conditions. We suggest that those responsible for maintenance be especially observant in the future. Only through vigilance and voluntary compliance with standards and safe practices can you be assured that your equipment is in safe working condition. If you have any questions or comments,please feel free to contact me at(602)542-3313. Sincerely, ADOSH Elevators State of Arizona, ICA,ADOSH Phone: (602) 542-3313 Fax: (602) 542-1614 https://www.azica.gov/divisions/adosh/elevator-section Enclosure 800 West Washington Street,Phoenix,Arizona 85007 2675 East Broadway Boulevard,Tucson,Arizona 85716 www.azica.gov CI I Y Uh tiLhNUALL PLANNING&DEVELOPMENT SERVICES 5850 W.GLENDALE AVE.,2ND FLOOR GLEND623.93 .2800 5301 SPECIAL INSPECTION CERTIFICATE �� 623.9302800 ARIZONA 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 Jeffry D.Vann,-PE/Vann Engineering,Inc. to be responsible for the special inspections on this project. /(Registered Design Professional/Firm-please print) Owner's name Glendale 51st Avenue LLC 10 tr§ret ure:: PG Y1� fri-. ao e {P;ROIEC�-T NAM,,,,G: R_GISTERED D R ITro ESS OrgiL�%FIRairl ME: Anberiin Arrowhead Jeffry D.Vann,PE/Vann Engineering,Inc. frROJECTAVRb,SS EEMSTffit-OlDER111 PR"0,�,,FESS OkligiFIR(W�'A DDRESSi North of the NWC,Bell Road and 51st Avenue,Glendale 9013 North 24th Avenue,Suite 7 Phoenix,AZ 85021 cab ,QUnrt 2127:5:7 COG PERMIT NUMBER: C.ER�TIIiCyE QF R�ESP�ON BILIn CERTIFICATE OF COMPLIANCE To be filled in and signed bythe professional In charge of •pedal Inspections To be filled in and signed by the professional in charg-of Special Inspections before a building permit is'issued. before a certificate of occupancy is issued. i As registered design professional In I certify that,to the best of my charge of special inspections of the knowledge,the requirements of the above named project I certify that I ' 2018 International Building Code / I' am familiar with the design of the pe. yst �� q and the approved plans and \egs!•� En91'o p j y , specifications have been complied Q o/�F TF co ro ecf and hereby assume full ,i IGATF N.. -, ICA s,.responsibility for carrying out the � ' �0. c`• with,insofar as the portion of the �// 20 o required special inspections in .1 15206 - work requiring special inspection ;. • 15206 `o accordance.with Sections 1704 and to: bp. FFRY D. ;'$ , ' under Section 1704 and 1705 Is • JEFFRY D. et 1- 1705 of the 2018 International S m , ' N 2 / gi concerned.A guararitee that the A CL e ' N Oti ' �- Building Code. t`" '4$4 &$ 11' '• contractor necessarily constructed sy� ��\2.: the build• ing in full accordance with ile,A••- \ _ . the piens and specifications is �RQC A,u S,P' /aa U. ` neither intended nor implied. (Seal,Slgna e,end Date) Seal,Signatur•,and Date) SPECIAL INSPECTOR QUALIFICATIONS•"'•VAL BY.BUILDING OFFICIAL/PLANS EXAMINER(1704r2 1): ) al Ede DATE: 6/10/22 WORK WHICH REQUIRES SPECIAL INSPECTION QUALIFIED SPECIAL INSPECTOR INDIVIDUAL OR FIRM DK03 ME O,NSTRLYfC-treVE ROCIRG TEELr„POST�,T,EN510 -fo )} Vann Engineering Inc IA Mg O�NRI'CONSTRU,�C'T (i705 9 Vann Engineering Inc ❑ woo()CONSTRUCTION(1705.5) j STEEL .cjpsjRUCTION L::A25 &.AISC'F0 ' Vann Engineering Inc lJ(§9.L, „s 05€6 Vann Engineering, Inc. =4 FOUNDATIONS(1705.7;17,05.8:&1705.9) Vann Engineering, Inc. fij.s ciA cgSEs-POSrtratj L (E %EVANsioN)ANCHORgra on.4) Vann Engineering Inc ❑ SEISMIC RESISTANCE(1705.12) ❑ SPRAYED FIRE-RESISTANT MATERIALS(1705.14) ❑ EXTERIOR INSULATION AND FINISH SYSTEMS(EIFS)(1705.16) ❑ STORAGE RACKS(1705.12,7) O OTHER: 5''• CI I Y UI-(iLLNUALE PLANNING&DEVELOPMENT SERVICES tb. 447 5850 W.GLENDALE AVE.,2ND FLOOR `� 623.930.2800 GLENDALE,AZ 85301 ' nda® SPECIAL INSPECTION CERTIFICATE ARIZONA www.GlendaleAZcom 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 Jeffry D.Vann,PENann Enpineerinn,Inc. to be responsible for the special inspections on this project. �,(�(Registered Design Professional/Firm-please print) Owners name: Glendale 51st Avenue LLC Owriers:Sigretiue: P y r1 . ;[fate:, PROJECT NAME:: :REGISTERED DESIGN PROFESSIONAL/FIRM NAME: Anberlin Arrowhead Jeffry D.Vann,PE)VannEngineering,Inc. PROJECT ADDRESS 'REGISTERED DESIGN'PROFESSIONAL/FIRM ADDRESS: North of the NWC,Bell Road and 51st Avenue,Glendale 9013 North 24th Avenue,Suite 7 Phoenix,AZ 85021 COG:PROJECT NUMBER:. 212757 COG PERMIT NUMBER: 14 7 7 6 6 YCERTIFICATE OF RESPONSIBILITY; CERTIFICATE OF COMPLIANCE To be filled in and signed by the professional In Charge of •pedal Inspections To be filled in and signed by the professional in charg>•f 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 knowledge,the requirements of the above named project,I certify that I '' 2018 International Building Code / , PE am familiar with the design of the t�� En'�A• and the approved plans and otiegs f �91pe� project and hereby assume full ( tCA „ specifications have been complied Q�/�F tCA TF j� responsibility for carrying out the //jr �O G' ' with,insofar as the portion of the ///� Z� mo required special inspections in �J 15206 ; work requiring special inspection ! 15208 accordance with Sections 1704 and .f" . `+. FFRY D. ,$ under Section 1704 and 1705 Is 1. JEFFRY D. OI 2 1705 of the 2018 International • N 22 1 ' concerned.A guarantee that the 1Kks, G • ' N 20�r Building Code. .,,:$� ��Su /< contractor necessarily constructed ��\•.•"'�o r the building in full accordance withne •••the plans and specifications is A,u,S•P ' 115 neither Intended nor implied. (Seal,Sign= : a,and Date) -:I,Slgnatu-,and Date) SPECIAL INSPECTOR QUALIFICATIONS • ''''VAL BY BUILDING OFFICIAL/PLANS EXAMINER(1704.2.1): 4 Efk V DATE: 6/10/22 . • WORK WHICH REQUIRES SPECIAL INSPECTION QUALIFIED SPECIAL INSPECTOR INDIVIDUAL OR FIRM Ic.CONCRETE CONSTRUCTION%REINFORCING STEELJPOSTeTENSION(1705.3), Vann Engineering Inc :`•MASONRY ON CONSTRUCTI (1705:a). Vann Engineering Inc ❑ WOOD CONSTRUCTION(1705.5) I /iti STEEL CONSTRUCTION(1705 2&AISC 360)`: Vann Engineering Inc N sois(1705.6i Vann Engineering, Inc. Xi FOUNDATIONS(1705.7,1705.8&1705.9) Vann Engineering, Inc. KI'SPECIAL CASES POST INSTALLED(EPDXY/EXPANSION)ANCHORS(1705f1,1) Vann Engineering Inc ❑ SEISMIC RESISTANCE(1705.12) ❑ SPRAYED FIRE-RESISTANT MATERIALS(1705.14) ❑ EXTERIOR INSULATION AND FINISH SYSTEMS(EIFS)(1705.16) ❑ STORAGE RACKS(1705.12.7) ❑ OTHER: 1 CI I Y Ul-(iLENUALt PLANNING&DEVELOPMENT SERVICES 5850 W.GLENDALE AVE.,2ND FLOOR GLENDALE, Z85301 Glendale 623.9302800 SPECIAL INSPECTION CERTIFICATE ARIZONA www.GlendaleALeom 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 Jeffry D.Vann,PENann Engineering,Inc. to be responsible for the special inspections on this project. ,,(�(Registered Design Professional/Firm-please print) Owner's name: Glendale 51st Avenue LLC Owner's Signature: �a y p��(/ 1Date: 'PROJECT NAME: REGISTERED DESIGN PROFESSIONAL/FIRti "NAME: Anberlin Arrowhead Jeffry D.Vann,PE/Vann Engineering,Inc. PROJECT ADDRESS: .REGISTERED DESIGN PROFESSIONAL/FIRM ADDRESS: North of the NWC,Bell Road and 51 st Avenue,Glendale 9013 North 24th Avenue,Suite 7 Phoenix,AZ 85021 COG PROJECT NUMBER: 212757 COG PERMIT NUMBER: 1477 65 CERTIFICATE OF RESPONSIBILITY: CERTIFICATE OF COMPLIANCE To be filled in and signed by the professional In charge of •pedal Inspections To be filled in and signed by the professional in charge.fSpecial 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 knowledge,the requirements of the above named project,I certify that I ' 2018 International Building Code // f am familiar with the design of the foi's �� '4' and the approved plans and okessa E�9610 project and hereby assume full '( •tC'4TE` •• specifications have been complied Qt/�F t0A TF responsibility for carrying out the I y0 0•' with,insofar as the portion of the . /` 2 Imo required special inspections in �'- 15206 work requiring special inspection /• 15206 O 0 accordance with Sections 1704 and `+. FFRY D. $ under Section 1704 and 1705 Is - JEFFRY D. et 1705 of the 2018 International ! ' N (62 r I , concerned.A guarantee that the ic C ' N 20$,: Building Code. � �sO //• contractor necessarily constructed 101�•.• �� / the building in full accordance with ,9 oe�� P • the plans and specifications is '4/20 .i 'U. neither Intended nor implied. (Seal,Signe e,and Date) eel,Slgnatur",and Date) SPECIAL INSPECTOR QUALIFICATIONS APPROVAL BY BUILDING OFFICIAL/PLANS EXAMINER(1704.2.1):. 64 Eat ` DATE: 6/10/22 t. WORK WHICH REQUIRES SPECIAL INSPECTION QUALIFIED SPECIAL INSPECTOR INDIVIDUAL OR FIRM • CONCRETE CONSTRUCTION/REINFORCING STEEL/POST TENSION(1705:3)• Vann Engineering Inc Dg]:MASONRY CONSTRUCTION(1705.4)'" Vann Engineering Inc ❑ WOOD CONSTRUCTION(1705.5) ji0 STEEL CONSTRUCTION I1705:2&AISC 360)" Vann Engineering Inc 14 SOILS(1705.b) Vann Engineering, Inc. 110 FOUNDATIONS(1705.7,1705.8&1705.9) Vann Engineering, Inc. SPECIAL CASES:POST-INSTALLED(EPDXY/EXPANSION)ANCHORS(1705.1.1) Vann Engineering Inc ❑ SEISMIC RESISTANCE(1705.12) ❑ SPRAYED FIRE-RESISTANT MATERIALS(1705.14) ❑ EXTERIOR INSULATION AND FINISH SYSTEMS(EIFS)(1705.16) ❑ STORAGE RACKS(1705.12.7) Cl OTHER: THE INDUSTRIAL COMMISSION OF ARIZONA • eggek.A eGNAtz, ELEVATOR SAFETY SECTION nuoxiaaa• .Y �� •:` d� CERTIFICATE OF INSPECTION �. On 1/30/2024 an applicable inspection of elevator/or other type equipment State Ser.#13033 was performed as required by A.R.S. 23-491.05. This elevator/or other type equipment was found then/or later to comply with the standards and regulations adopted pursuant to A.R.S. Title 23, Chapter 2,Article 12. Amberlin Arrowhead 1 Elevator/or other type equipment location Unit Description 17120 N 51st Avenue Street Address GLENDALE 85308 307 City: Zip Code: Inspector THIS CERTIFICATE SHALL BE POSTED IN THE ELEVATOR OR ON OTHER TYPE EQUIPMENT • ° THE INDUSTRIAL COMMISSION OF ARIZONA otwit F ELEVATOR SAFETY SECTION i.6,4•741, CERTIFICATE OF INSPECTION it,d1 . On 1/30/2024 an applicable inspection of elevator/or other type equipment State Ser.#13033 was performed as required by A.R.S. 23-491.05. This elevator/or other type equipment was found then/or later to comply with the standards and regulations adopted pursuant to A.R.S. Title 23, Chapter 2,Article 12. Amberlin Arrowhead 1 Elevator/or other type equipment location Unit Description 17120 N 51st Avenue Street Address GLENDALE 85308 307 City: Zip Code: Inspector THIS CERTIFICATE SHALL BE POSTED IN THE ELEVATOR OR ON OTHER TYPE EQUIPMENT