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HomeMy WebLinkAbout162959 /1 JOB SITE COPY CITY OF GLENDALE THESE PLANS SHALL BE KEPT AT THE PLANNING&DEVELOPMENT SERVICES JOBSITE AND BE AVAILABLE To CITY 5850 WC2IF .GLENDALE AVE.,2ND FLOOR OF GLENDALE INSPECTORS DURING GLENDALE,AZ 85301 WORKING HOURS. PLANS SHALL NOT Glendale 623.930.2800 BEAOFFICA SIAPPROVVAL.DING SPECIAL INSPECTION CERTIFICATE ARIZONA www.GlendaleAZ.com STRUCTURAL OWNERS 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 David Schott/Simply Structural to be responsible for the special inspections on this project. (Registered Design Professional/Firm-please print) Owner's name: Owner's Signature: Date: PROJECT NAME: REGISTERED DESIGN PROFESSIONAL/FIRM NAME: LAr`o tteadD.ealer SenviceLColl s on(Phase 2) David Schott/Simply Structural PROJECT ADDRESS: REGISTERED DESIGN PROFESSIONAL/FIRM ADDRESS: 1�9400 AZ-101 Loop) 730 North 52nd St,Suite 105, Phoenix,Arizona 85008 COG PROJECT NUMBER: .20201 1-8 COG PERMIT NUMBER: 1 62959 • 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 ess'yosiul �9/ knowledge,the requirements of the above named project,I certify that I • codes 2018 International Building Code l am familiar with the design of the ,� C �; ` and-the approved plans and project and hereby assume full / ' i, specifications have been complied responsibility for carrying out the Q 33507 o with,insofar as the portion of the required special inspections in m SC DAVID G. work requiring special inspection T accordance with Sections 1704 and Q under Section 1704 and 1705 is 1705 of the 2018 International a concerned.A guarantee that the Building Code. y� si9r15/23' Q contractor necessarily constructed /ZO� V S the building in full accordance with &IPir 1 6 the plans and specifications is neither intended nor implied. (Seal,Signature,and Date) n (Seal,Signature,and Date) SPECIAL INSPECTOR QUALIFICATIONS APPROVAL BY BUILDING OFFICIAL/PLANS EXAMINER(1704.2.1): f ,.�.:�—_..�._,My—' DATE:10/06/2023 WORK WHICH REQUIRES SPECIAL INSPECTION QUALIFIED SPECIAL INSPECTOR INDIVIDUAL OR FIRM E CONCRETE CONSTRUCTION/REINFORCING STEEL(1705.3) Simply Structural ❑ MASONRY CONSTRUCTION(1705.4) ❑ WOOD CONSTRUCTION(1705.5) ❑ STEEL CONSTRUCTION(1705.2&AISC 360) Simply Structural D SOILS(1705.6) ❑ FOUNDATIONS(1705.7,1705.8&1705.9) E SPECIAL CASES:POST-INSTALLED(EPDXY/EXPANSION)ANCHORS(1705.1.1) Simply Structural ❑ 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 CITY OF GLENDALE PLANNING&DEVELOPMENT SERVICES 5850 W.GLENDALE AVE.,2ND FLOOR GLENDALE,AZ85301 Glendale 623.930.2800 SPECIAL INSPECTION CERTIFICATE ARIZONA wnww.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_ David A.Thomas.P.E./RAMM Engineering.to be responsible for the special inspections on this project. (Registered Design Professional/Firm-please print) Owner's name: Owner's Signature:_. Date: PROJECT NAME: REGISTERED DESIGN PROFESSIONAL/FIRM NAME Arrowhead Dealer Services/Collision Phase 2 David A.Thomas, P.E./RAMM Engineering PROJECT ADDRESS: REGISTERED DESIGN PROFESSIONAL/FIRM ADDRESS: 19400 Arizona Loop 101, Glendale AZ 2105 S. Hardy Drive,Suite 13,Tempe,AZ 85282 COG PROJECT NUMBER: 20201143 COG PERMIT NUMBER:/.6195 9 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 knowledge,the requirements of the ssI (835i0fl8/ ��8 above named project,I certify that I • Q� 2018 International Building Code Q C%i /i�j am familiar with the design of the t� �,F�CA TF. 4'0 and the approved plans and `� ��F! 7�e project and hereby assume full 4/ 4'0 specifications have been complied 0 C„ responsibility for carrying out the w b 28� ` c with,insofar as the portion of the m .G 28182cc —.' required special inspections in DAVID A. work requiring special inspection DAVID A. accordance with Sections 1704 and THONlA under Section 1704 and 1705 is THOMAS 1705 of the 2018 International V. • concerned.A guarantee that the • q BuildingCode. �` contractor necessarilyconstructed " Q� the building in full accordance with... ��ED" NA U,'e�.• the plans and specifications is ONA::U• AO' neither intended nor implied: ' 1 ®� •at,Signature,and Date) (�" Seal,Signature,and Date) SPECIAL INSPECTOR QUALIFICATIONS APPROVAL BY BUILDING OFFICIAL/PLANS EXAMINER(1704.2.1): _a__1r�— DATE 03/25/2024 WORK WHICH REQUIRES SPECIAL INSPECTION QUALIFIED SPECIAL INSPECTOR INDIVIDUAL OR FIRM cgi CONCRETE CONSTRUCTION/REINFORCING STEEL(1705.3) RAMM Engineering and Testing/Crosspoint Testing ❑ MASONRY CONSTRUCTION(1705.4) ❑ WOOD CONSTRUCTION(1705.5) X STEEL CONSTRUCTION(1705.2&AISC 360) Crosspoint Testing jK SOILS(1705.6) • RAMM Engineering and Testing •❑ FOUNDATIONS(1705.7,1705.8&1705.9) • N1 SPECIAL CASES:POST-INSTALLED(EPDXY/EXPANSION)ANCHORS(1705.1.1) RAMM Engineering and Testing/Crosspoint Testing ❑ 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