Phoenix

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Special Inspection Certificate, Architectural

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Project Name *

Project Address *

Permit No. *

Plan Log No. *

Project Owner/Owner’s Agent Name *

Mailing Address *

Phone *

Registered Design Professional of Record Name *

Mailing Address *

Phone *

Firm Name *

Email *

Fax No. *

I hereby affirm that I am familiar with the design of this project and have been designated by the Owner/owner(s) Agent as the registered design professional in responsible charge for implementing the Electrical Special Inspections Program required by the City of Phoenix Building Construction Code Sections 110.3.10 and 1704. I have determined that the types of work checked below require Electrical Special Inspection. I understand and agree to inform the project owner, the contractor(s), and the special inspector(s) about all the Electrical Special Inspection Program requirements and limitations, including that the Special Inspector(s) must be independent third-party individual(s) or Registered Design Professional(s) and shall not be the installing contractor(s).

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All special inspection reports were reviewed and found to be in conformance with the approved construction documents.

Created by AIPSS

Phoenix

Special Inspection Certificate, Architectural

Project details

TYPES OF WORK REQUIRING SPECIAL ELECTRICAL INSPECTION