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Scottsdale

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Certificate of Special Inspection

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To be completed and signed by Owner before a building permit is issued.

In accordance with Sections 1704 & 1705 of the International Building Code, which requires that certain construction work be placed under the inspection of a registered design professional. I, as owner/legal agent, do hereby certify that I have retained

to be responsible for the special inspection.

To be filled in and signed by the professional in charge of special inspections before a building permit is issued.

As registered design professional in charge of special inspections of the above named project, I certify that I am familiar with the design of the project and hereby assume full responsibility for carrying out the required special inspections in accordance with Sections 1704 & 1705 of the International Building Code.

To be filled in and signed by the professional in charge of special inspections before a building permit is issued.

I certify that, to the best of my knowledge, the requirements of the Building Code and the approved plans and specifications have been complied with, insofar as the portion of the work requiring special inspection under Section 1704 and 1705 is concerned, except for those deviations previously reported. A guarantee that the contractor necessarily constructed the building in full accordance with the plans and specifications is neither intended nor implied.

Created by AIPSS