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CITY OF GLENDALE, ARIZONA -
BUILDING SAFETY DEPARTMENT- COMMUNITY DEVELOPMENT GROUT'
SPECIAL INSPECTION CERTIFICATE
Project Name Date
Arrowhead Plaza Shopping Center February 20, 1989
Project Address Permit No. DSC No.
20165 North 67th Avenue 87-0268
CERTIFICATE OF SPECIAL INSPECTION BY OWNER
(To be filled in and signed by owner before permit is issued.)
In accordance with Section 306 of the Uniform Administrative Code of the City of Glendale MIS edition,which requires that the execution
of certain construction work be placed under the inspection of the architect,engineer,or sp 'a1 inspector employed by me,I certify that the
construction of the above-described building project will receive special inspection.
Name of Architect Contractor
Ellermarn & Schick,-=Inc. - Rocwes` - ui ding qo potation
Name of Su-uctural Engineer Signature µ•Hero Legal A t •
Drottar & Priniski & Associates
I I SPECIAL INSPECTION RESPONSIBILITY CERTIFICATE
(To be filled in and sealed before building permit is issued.)
I certify that I am familiar with the structural design of the above-named project and,in accordance with Section
306 of the Uniform Administrative Code of the City of Glendale,/9l<edition,I hereby assume full responsi-
bility for carrying out the required special inspection. Inspection reports will be filed with the Building Safety
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. to"re'�e,��f Department,as required by Section 306(c). The following individual(s)will be special field inspector(s)under
7� `' my direct supervision and are to be on the job site to render full,complete and competent inspection.
10 0 �
G R d The special field inspector(s) are to be named below before work under their area of duty commences.
F 1 .. Architect or Engineer Responsible for Special Inspection(Type or Print)
/s0ad•."'SP. Drottar & Priniski & Associates
/Iot{' ,U sector Name of Lis (specify P (Pe type) Name of Inspector(specify type)
C�rect ( ..0-e, a>^ Cweldi •
Place Registration Seal and Name of Inspector(specify type) Name of Inspector(specify type)
Signature Above.
SPECIAL INSPECTOR QUALIFICATIONS [UAC SEC 306(B)] ARE APPROV It� .✓L_± _ �t-]���
BUI11D1\G OFFICIAL DATE
CERTIFICATE OF COMPLIANCE AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
(To be filled in and sealed before certificate of occupancy is issued.)
fl
VTe construction of the above-named project is substantially complete and request is hereby made for issuance
of the certificate of occupancy per Section 308 of the Uniform Administratie Code of the City ofGiendale,/ 5-edition.
I certify that,to the best of my knowledge,the requirements of the approved plans for which special inspection
`!° 'ti N is required and Section 306 of the Uniform Administrative Code have been complied with. A guarantee that the
r , . • • contractor has necessarily fulfilled the obligations of his contract is neither intended nor implied.
Architect or Engineer Responsible for Special Inspection(Type or Print)
Place Registration Seal and
Signature Above Drottar & Priniski & Associates
wI lITE-BUILDING r•\.--Y DEPARTME f
YELLOW-ARCIDIEC f OR ENGINEER • -
J'INK-JOB COPY( O DE RETURNED TO'DIE DL1I.DLNG OFFICIAL WILE\YOUR INSPECTION IS COMPLETE AND BEFORE A CERTIFICATE OF OCCUPANCY IS REQUESTED.)