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
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work requiring special inspection
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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
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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