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NEW SWIMMING POOL PLAN SUBMITTAL AFFIDAVIT
Ordinance#2046
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Date_1 I 2-q I Z0, ---- — —Property Address_- 7621 W.PECK DRIVE
Name of Property Owner MELANIE ROCHA
I. ® No children less than six years of sae reside at this address.
II. 0 A child under the age of six years of age resides at this address.
(If this box is checked,identify method of secondary pool protection)
A. ❑ We will provide an interior fence and enclosure around the pool as
required by the Glendale Pool Barrier Ordinance.
B. 0 We will provide exterior fence and enclosure protection with
secondary protection as checked on reverse side of this affidavit per the
Glendale Pool Barrier Ordinance.
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• IF YOU CHECKED BOX II B,PLEASE COMPLETE REVERSE SIDE
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WHICH IS THE NEXT PAGE IN THIS DOCUMENT
THIS IS THE REVERSE SIDE OF THE PREVIOUS PAGE
1. 0 The pool shall be protected by a motorized safety pool cover.
2. O Doors and windows are protected
3. 0 The pool shall be protected by all aloud 111411ililiucd in oI un die
swimming pool.
4. ❑ The above ground swimming pool shall have a secured ladder.
5. 0 Locking hard safety cover on the spa or hot tub.
6. 0 Alternative protection not specified above which is attached to the
plan submittal and submitted for approval by the Building Official
MELANIE ROCHA )v\A.,(0‘,.h� CRl2A— 1 I ZJ I i�I 1
Name of Home Owner Home Owner Signature Date
PLATINUM POOLS&SPAS LLC
STFVF.RIFT.FY
Pool Contractor Contractor Signature Date
SIGNATURE OF OWNER MUST BE NOTARIZED
State of Arizona
County of Maricopa
On this 21 day ofI�•H ,20 el ,before me,personally appeared
MANt6 eOCt (name of signer),whose identity was
proven to me on the basis of satisfactory evidence to be the person whose name is
subscribed to in this document,and who acknowledged that he/she signed the
above/attached document.
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b,.',:, DONNAPHAM
''411ft-r• Notary Public-State OOA&cna
MARICOPA COUNTY
Commission#004313
o,,,0' Expires May 12,2023
(Seal) Notary Public
r
Printed name of applicant Sign re o pp a Date
Steve Ripley 713) iti
Glendale, Arizona, Code of Ordinances >> PART II - CODE OF
ORDINANCES » C'ha ter 32 - SWIMMING POOLS >>
Chapter 32 - SWIMMING POOLS*
Cross reference—Buildings and building regulations, Ch. 9; water,
sewers, and sewage disposal, Ch. 33.
Sec. 32-1. - Approval ofplans.
Sec. 32-2. - Statement of policy.
Sec. 32-3. - Barriers and enclosures.
Sec. 32-4. - Secondary protection.
Sec. 32-5. - Lighting.
Sec. 32-1. - Approval of plans.
All plans submitted to the city for swimming pools to be constructed
shall show compliance with this chapter and final inspection and approval of
all pools hereafter constructed shall be withheld until all requirements of this
chapter shall have been complied with.
(Code 1963, §27-5)
ISec. 32-2. - Statement of policy.
It is found, determined and declared that the maintenance of private 1
swimming pools, spas, hot tubs or other outside contained bodies of water
without appropriate precautionary measures constitutes a severe hazard to the
safety of the inhabitants of the city, particularly children.
(Code 1963, §27-1; Ord. No. 2046, § 1, 12-8-98)
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