HomeMy WebLinkAbout151434 I
CITYOFGLENDALE '
PLANNING&DEVELOPMENT SERVICES
' 417
5850 W.GLENDALE AVE.,2ND FLOOR
GLENDALE, Z 85301
Glendale 623.930.2800
SPECIAL INSPECTION CERTIFICATE
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
ofa registered design professional.I,as owner/legal agent,do hereby certify that I have retained Brady Notbohm,SE%-CTS to be
responsible for'Vie.special inspections on this project. (Registered Design Professional/Firm-please print)
;Owners name: 140rTUM Gf'2Q,v1f Otone.LL (Owner'sSignatur �— ibate??1/?O�ZeVZ
PROJECT NAME: REGISTERED"DESIGN PROFESSIONAL/FIRM NAME:
C.SOlas Glendalel.easir Center ReRiodel�.,� Brady Notbohm,SE/Caruso Turley Scott, Inc.
PROJECT ADDRESS: REGISTERED.DESIGN PROFESSIONAL/FIRM ADDRESS:
�— 1215 W. Rio Salado Parkway,Suite 200
CO$'L5 K-81 sf-Ave:
Tempe,,AZ.185281
COG PROJECT NUMBER: 222.150 COG PERMIT NUMBER: 151434
CERTIFICATEOF RESPONSIBILITY CERTIFICATE OF-COMPLIANCE
To be filled in and signed by the.professional In charge of Special Inspections To befiiled in and signed bythe,professional incharge 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 knowledge the requirements of the
above named project,l'certify that I tessConai&79/ 2018 International Building Code (;s7dnal /am familiar with the design Of the Q�e ,.6FICATF rand the approved plans and ,c\FICATF�`rproject and hereby assume full `? f- 4 s^ specifcations have been complied f v c.'responsibility for carrying out the 3 - 42194 with,insofar as the portion of the 42194 • 0
required special Inspections in a BRADY:K: C work requiring special inspection BRADY" .BRADY E
accordance with Sections 1704 and NOTB_OHM `°—' under Section 1704 and 1705 is N NOTBOHM °—'
1705 bf the 2018 International O 9-30 22/_ conberned A guarantee that the O 11-29-23/
Building Code. ���,ned ,, contractor necessarily constructed. df- red
,•- ►( - the building in full accordance with ��
y -- 'r the plans and specifications Is : ;. r i
neither intended nor Implied.
(Seal,Signature„and Pate) (Seal;Signature,and Date)
SPECIAL INSPECTOR QUALIFICATIONS APPROVAL BY BUILDING OFFICIAL/PLANS EXAMINER(1704.2.1): .i,"4-- L—MR- DATE:12/01/2023
WORK WHICH REQUIRES SPECIAL'INSPECTION QUALIFIED SPECIAL INSPECTOR INDIVIDUAL OR FIRM
® CONcRETE.CONsTRUCTION/REINFORCING"STEEL/P69t ifldateN(1705.3) Roger;Fraley I Alejandro.Moreno/CTS:
®'MASONRYCONSTRUCTION(1705.4): Roger Fraley/,Alejandro.,Moreno/CTS
❑ WOOD CONSTRUCTION(1705.5)
j STEEL CONSTRUCTION(1705,2&AISC 360) Roger Fraley/Alejandro Moreno/CTS
❑ SOILS(-1705:6)
El FOUNDATIONS(1705.7,1705.8&1705i9) Roger_Fraley/Alejandro Moreno/CTS
®.SPECIAL CASES:POST-INSTALLED(EPDXY/EXPANSION)ANCHORS(1705.1.1) ,Roger Fraley/Alejandro Moreno/CTS
❑ SEISMIC RESISTANCE(170542)
❑ SPRAYED FIRE-RESISTANT MATERIALS(1705.14).
❑ EXTERIOR INSULATION AND FINISH SYSTEMS(EIFS)(1705.16)
❑ STORAGE RACKS(1705.12.7)
' 0 OTHER:
FORM EFFECTIVE 04/26/2019 POST AT JOB SITE WITH PERMIT