HomeMy WebLinkAbout16957 CITY OF GLENDALE,ARIZONA
BUILDING SAFETY DEPARTMENT-COMMUNITY DEVELOPMENT GROUP
SPECIAL INSPECTION CERTIFICATE C
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Project Name pate
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Project Address J Permit Number DSC Number
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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 1997 edition,which requires that the execution of certain
construction work be placed under 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.
Namy.of Architect n Contractor -
Name pf Structural Engineer . Signau r LegalAgent
fl
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 ofthe44nifos:a-Administratvae*deW4-tL-eityof-Glendale'1997TItlon,I hereby assume full
responsibility for carrying out the required special inspections. Inspection reports will be filed with the Building
Safety Department,as required by Section 306(c). The following individuals)will be special field inspectors(s)
under my direct supervision and are to be on the job site to render full,complete and competent inspection.
The special field inspector(s)are to be named below before work under their area of duty commences.
Arehfieurm Engineer Responsible for Speciallns Lion(type orprint)
• �� q ,W`..g s Name oflnspecto[(Structural on � �r Name ofInspec Inspector l3Mr-t-, 21 r Cti�2
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y SC k �ie•I ,l-eeprNameof Inspector(Co t (Welding)
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SPECIAL INSPECTOR QUA I I E AT S A $0 B)]ARE APPROVED. 12'Zg OFj
Building ci Date
CERTIFICAT OF COMPLIANCE AND APPLICATION FOR CERTIFICATE OF OCCUPANCY
(To be le and sealed before certificate of occupancy is issued.)
The construction of the above named project is substantially complete and request is hereby made for
issuance of the certificate of occupancy per.Section 309 of the Unit f-the
. CicAr'`���.^ =6 C- 0 3
15323 1 certify that,to the best of my knowldege,the requirements of the approved plans for which special inspection
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tiLl Fa O�+rr�(� t t. s�. b is required and Section 306 of the Uniform Administrative Code have been complied with. A guarantee that
PAU :f ^R � the contractor hasnecessarily fulfilled the obligations of his contract is neither intended or implied.
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ArekiteOWEngineerResponsibleforSpedallnspecfion(Type orPnnf)
RETURN TO THE BUILDING SAFETY DEPT.FOR APPROVAL AND DISTRIBUTION TO THE FOLLOWING:
❑ BUILDING SAFETY DEPT. ❑ BUILDING INSPECTOR ❑ ARCRTECT OR ENGINEER ❑ JOB COPY
OCCUPANCY ACTIVITY REPORT
GLENDALE FIRE DEPARTMENT / o y/O (0
[ T 6835•NORTH 57th DRIVE
GLENDALE, AZ 85301 MON DAY YEAR PAGE
OF
ADDRESS NO. DIR. STREET NAME ITYPE SUITE OR U # ZIP CODE
OCCCU,-FANCY NAIjQE1 � � 0 BUSINESS OWNER'S NAME LAST FIRST MI HOME PHONE
BUILD/PROPERTY OWNER'S NAME HOME PHONE UBC�CLASS� CO;ST.TY PE GRIDS� TYPE OF ACTION
WSP❑ CONST X CMPT❑ OTHER❑
SD.FT.OF OCC.INSP. STORIES STANDPIPE SYSTEM HOUSE LINES FIRE PUMPS VV HOOD SYS OX FIRE LANES
WET❑ DRY❑ NONE'^- YES❑ NO t5i YES❑ NO® YES❑ N0IS YES�ff NO❑ YES❑ NO
AUTO SPKLR SUPERVISED FIRE ALARM SUPER y
FULL PART❑ NONE❑ YES$j NO ❑ YES ❑ NO g YES ❑ NO LYL
HAZARDOUS MATERIALS BUILD PLACARDED COMPLETI N DAT
- YES ❑ NOH�J_ YES ❑ NO$9 H: F: R: S:
ITEM CODE v RECHECK CORRECTED
No. SECTION PERMIT # ! �+ �� /=" REMARKS PROGRAM # e-�4 DATE DATE
l Overhead AFES final inspection PASSED
PASSED FAILED NOT APPLICABLE
Contractors Material & Test Certificate shall be provided to the
Glendale Fire Marshal 's office prior to acceptance.
Approved Plans �-', m ; S4 ,, c IZ P1106 wN [a
Head box
Exterior Dell 1 �..v ; 1� �► J, kA A4 k
Tamper Flow /
�a FDC C �c s tee r; y
Dispatch Notification
~ Systpm on Line
Battery/AC Trouble
CALC PLATE iNFO-
of sprinklers —
Density m/s . ft.
Designated area sq. ft.
C-N W tPr Fl ow Gom
,—� Residual at b.o.r psi
DRAIN TEST: static ,j' residual �C)
CFIRE DEPARTME T FINAL PASS D FMD NOT APPLICABLE
The items noted above are in violation of the Glen le Fire Code. This is an official notice of violation and order to comply REQUIRING
IMMEDIATE CORRECTION. A follow-up inspection will be conducted on by 4:00 to insure compliance. Failure to
< comply with this NOTICE AND ORDER will result in a CIVIL or CRIMINAL Complaint. For information regarding this inspection please
contact the inspector at (62.1) 9117-3401
COPY RECEIVED / ! (NAME) INSPECTOR
~ BY / d � �2I��%-P 'bV _ � r 0
#3310-027AA(5-�)— /- IGINAL: FIRE PREVENTION YELLOW: OCCUPANT PINK: OCCUPANT
12/14/2005 12:06 FAX 480 922 3739 Paul Koehler EnSr. Inc. 10001/001
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r., - :1.6� •,:• L ! o.t 5 : •i'ii •:'. + Cftfd FL Paw,P.E..B.E.
.v.o. srs}•z ..-Aa04iJ.f C1Tl•':'1:.L'fiY/liaaet�T�]••C:.4..i�9• 1iTi:'.S.OJ-Sf1••�i Jack K Kaehlay RE,B.E.
Timothy A.NedbM,RE.,&E.'
7434 East McDonald Drive Scottsdale, Arizona 85250 An Palmer.RE.,&E.
(400) 822-8854 Fax: (430) 922-3739 Steven C.Slonakar P.E.,S.E.
Edvlard Kaleledt
Ked Deepkrm
du§t✓Q
December 14,2005 cawe a.Brown.RE
12�
Rune IeHier,P.E.
ARC Steel 9�"1
P.O.Box 857
Laveen,Arizona 85339
Attention: Josh Fowler
RE: Camelbscic Crown
Dear Josh:
Detail 213 is fully welded on both sides of the truss not allowing a slip connection is
StINIC wally accgAable for condition space.
Should you have any questions,please do not hesitate to contact our office.
Sincerely,
PAUL KOFAUER ENGINEERS,INC. REVIEWED BY:
CAt
S11 F46
JIMPAM
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Slaven SeSerovic Jim Palmer,P.E.,S.E.
Project Engineer Principal .
r _ t � e .. ,e• i N � :i 4 � it � .. .. ' •, .,