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Home My WebLink About106906 (2) • : . , :'i: -i . , , i: , : i: :, i :: : 1: i . . i, .: :: .. . . .: . , . . , . . : : . z i 1 7 i lors..z) :, . , : : CITY:OF GLENDALE,ARIZO BUILDINGiiii - SAFETY DEPARTMENT=COMMUNITY DEVELOPMENT GROUP GLEN E : SPECIAL INSPECTION_ C• ERTIFICATE Project Name : : Date Agi- . : Project Address : : : Permit.Number � Protect Number • .CERTIFICATE OF SPECIAL.INSPECTlONNERIFICATION BYOWNER FOR THIS REQUIRED CITY INSPECTIONS. (Tob .- e filled in and isigned by owner before permit is issued); Contact your City inspector for more information. : In accordance with the 2012 International Building Codes,.Which requires that:the execution of certain construction:work.be ' ' placed under the inspection ofthe.architect,engineer,.or special inspector employed by rile, I certify that the construction of the above-described building project.will receive special inspection. . . Name of Architect . Contractor .0: 1606 ME, : . • r err' Name of St aura En i eeer: Air. nareoor Legal Agent : Ineitiit) )(h'e k'e,;M eiL :Cu�.h n,M,r'a tv4t,}4<.fi ell) 0: SPECIAL INSPECTIONIVERIFICATION:RESPONSIBILITY CERTIFICATE • . .:: • . Pr (x►` i'a>in. . :: . (To be filled in before permit Is issued) I certify that I_am familiar with the structural design. of the above named project and, in=accordance With the 2012 I'nte ti Building.Codes; I hereby assume full responsibility for carrying out the:re uired special inspections. Inspection reports will be • filed wit the Building Safety Departments,.as.required-by the International2012. Building:Codes.The followringindividuel(s):will .be ape tat field ins ctor(s)'under my direct supervision and are to be on the job site to:render full,complete and competent inspeo cial•field inspector(S)are to be named below before work under.their area of duty commences: : Architect or Engineer:Responsible.for Special Inspection(type or 0twsclioner print) �, - 45713 ' o .g` Name of Inspectop(Structural Masonry) : : Name of Inspector(Steel)..: QWU<<.'o itl';9411 — ' `gyp® , , Name of Inspector(Concrete) Name of Inspector(Welding) : �`0 rCdA+r. ! Name of Ins ector p e �A� --.<.__ .-% P hype) ��/� ��;��ame of Inspector(Specify Type): ArchitecNErt�t ,. date. .. . .. SPECIAL INSPECTOR QUALIFICATIONS(IBC Chapter 17)ARE APPROVED.: II 2® ;017 : : Bu Official ate 0 :CERTIFICATE OF COMPLIANCE AND APPLICATION FOR CERTIFICATE'OF OCCUPANY . - _ (To completed before certificate of occupancy is issued) The construction of the above named project is substantially Complete and request is hereby made for issuance of the certificate of occupancy per the 2012 International Building Codes. . certify that,to the best.of my knowledge,the requirements:of the approved plans for which Special Inspection is required and the 2012:International Building Codes have been complied with: A.guarantee that the contractor has necessarily fulfilled the:obligations of • his/her contract is neither:intended nor implied. Architect or Engineer Responsible for Specie!Inspection(type or print) ArchitectlEngineer Seel,sign&date Lmz) re •. CITY OF GLENDALE,ARIZONA - 411111 BUILDING SAFETY DEPARTMENT—COMMUNITY DEVELOPMENT GROUP GLEND,9,1 SPECIAL INSPECTION CERTIFICATE Project Name Date Ce IZ,tJ-C x7 S1.eAtL-Ce.-C_g Z-v:F A-(12< 1OACZy - Project Address i, Permit Number Project Number , S310 i0, c 1 -LAA- /06 I,7lggzo 0 CERTIFICATE OF SPECIAL INSPECTIONNERIFICATION BY OWNER THIS IS NOT A SUBSTITUTE (To be filled in and signed by owner before permit is issued) FOR REQUIRED CITY INSPECTIONS. Contact your City Inspector for more information. In accordance with the 2012 International Building Codes,which requires that the execution of certain constructionwork be - _ —— placedunder the inspection of the architect,engineer,or special inspector employed by me, I certify that the construction of the above-described-building project will receive special inspection. Name of Architect Contractor Name of St ct� Engineer , SS, .na re o tier or Legal Agent a r a f,., G✓e,M e _(CWS hI,m.r d i-I.e,- et�) • ❑ SPECIAL INSPECTION/VERIFICATION RESPONSIBILITY CERTIFICATE propcmu 7 Mi11,14. (To be tilled in before permit Is issued) *Sic MMrt At fte.ey certify that I am familiar with the structural design of the above named project and, in accordance with the 2012 International Building Codes, I hereby assume full responsibility for carrying out the required special inspections. Inspection reports will be filed wit the Building Safety Departments,as required by the 2012 International Building Codes.The following individual(s)will be spe,ial field ins.ector(s) under my direct supervision and are to be on the job site to render full, complete and competent inspect,,. ►-. •-cial field inspector(s)are to be named below before work under their area of duty commences. i! , iori .' Architect or Engineer Responsible for Special Inspection(type or print) (-•� qb7 i6 10 m \. Name of Inspectot(Structural Masonry) Name'of Inspector(Steel) aceANtDREW.). • .e GI .' Name of Inspector(Concrete) Name of Inspector(Welding) •&'</ .6. -�, 1. " Name of inspector(Specify-Type) 130A{}er" ame of Inspector(Specify Type) Architedp/�Ee°� � f isti 8 date '� f ji 1 L�� — I I^ SPECIAL INSPECTOR QUALIFICATIONS(IBC Chapter 17)ARE APPROVED. 4-�. 11/I20 2017 Bu Official bateI 0 CERTIFICATE OF COMPLIANCE AND APPLICATION FOR CERTIFICATE OF OCCUPANY (To completed before certificate of occupancy is issued) The construction of the above named project is substantially complete and request is hereby made for issuance of the certificate of occupancy per the 2012 International Building Codes. I certify that, to the best of my knowledge,the requirements of the approved plans for which Special Inspection is required and the 2012 International Building Codes have been complied with. A guarantee that the contractor has necessarily fulfilled the obligations of his/her contract is neither intended nor implied. Architect or Engineer Responsible for Special Inspection(type or print) Architect/Engineer Seal,sign&date