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Home My WebLink About39563/ev , 3 sc 3 ELEVATION CERTIFICATE O.MesMay3 , 1993 Expires May 31, 1993 J11 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWN S NAME POLICY NUMBER STREET ADDRESS (Including Apt., l�ni�; yite and idg. Number) OR P.O. ROUTE AND BOX NUMBER - COMPANY NAIC NUMBER N SV7�/dT02, OTHER ESC�AIPTIQN (Lot and Block Numbers, etc.) CITY .•IILL (,h -J�V! ,`(•,lh "W' STATE ZIP CODE Z 3S3oL/ SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION (in AO Zones, use depth) 0o s I s -z9 Nil '. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ?( NGVD '29 ❑ Other (describe on back) 3. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: i 1 1 1 I .L feet NGVD (or other FIRM datum —see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level _ I _ . 2(a). F ). The top of the reference level floor from the selected diagram is at an elevation of 1111411 .feet NGVD (or other FIRM datum —see Section B, Item 7). (b). FIRM Zones V1-V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of I I I I I I,❑ feet NGVD (or other FIRM datum —see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is II .❑ feet above ❑ or below (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is I ❑.❑ feet above EI or below (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: ❑ NGVD '29 Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM [see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: Yes No (See Instructions on Page 4) 5. The reference level elevation is based on: � actual construction construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is: i feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: I I I I I .LJ feet NGVDSor other FIRM datum —see Section B. Item 7). 2. Date of the start of construction or substantial improvement �U11em, -r 19,1 . FEMA Form 81-31, MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features —If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. I certify that the information in Sections 8 and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) TITLE COMPANY NAME pie A-,2 / ZGN4 L- i9 AIP ADDRESS CITY STATE ZIP SIGNATU DATE PHONE ZizL3 Copies should be made of this Certificate for: 16community official, 2) insurance agent/company, and 3) building owner. COMMENTS: ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES REFERENCE REFERENCE BASE LEVEL REFERENCE LEVEL FLOOD LEVEL ELEVATION BASE.::::::)' ADJACENT:. REFERENCE BASE FLOOD FLOOD GRADE LEVEL ELEVATION ELEVATION REFERENCE ADJACENT - LEVEL GRADE ADJACENT:;. GRADE The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 No 3067-0077 ELEVATION CERTIFICATE O.M.B. May Expires May 31, 1993 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE - I BUILDING OWN S NAME), POLICY NUMBER 6IctkF-C►�S STREET ADDRESS (Including Apt., nit, S ite andp/ r Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER ail 4U k �'�FW . - OTHERpES�IPTq (Lot Block Numbers, k c.S — CITY STATE ZIP CODE 4 Z 9J Jd /, SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION (in AO Zones, use depth) mo s" I s NA 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): [*NGVD '29 ❑ Other (describe on back) 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: I I 1 1 ' . ❑ feet NGVD (or other FIRM datum —see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level —L . 2(a). F ). The top of the reference level floor from the selected diagram is at an elevation of Z 'S1. ( feet NGVD (or other FIRM datum —see Section B, Item 7). (b). FIRM Zones V1-V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of feet NGVD (or other FIRM datum —see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is ❑❑ . ❑ feet above ❑ or below I❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is ❑❑ .❑ feet above ❑ or below ❑i (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: ❑ NGVD '29 ❑ Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM [see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ❑ Yes ❑ No (See Instructions on Page 4) 5. The reference level elevation is based on: actual construction ❑ construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is: 2 feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: I I I I I I .❑ feet NGVD (or other FIRM datum —see Section B, Item 7). (�tY 2. Date of the start of construction or substantial improvement 4- c 19 cU . FEMA Form 81-31, MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION L SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al-A30, AE, AH, A (with BFE),V1-V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features -If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. / certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER (or Affix Sea() T)TLE COMPANY NAME /2 e.s ip E.v r- i�.2 /_zaiv.9 L- •9 " ADDRESS CITY STATE ZIP SIGNATU DATE PHONE Copies should be made of this Certificate for: lGommunity official, 2) insurance agent/company, and 3) building owner. COMMENTS: ----- --- -- - --- -- --- - ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES REFERENCE REFERENCE BASE LEVEL REFERENCE LEVEL FLOOD LEVEL ELEVATION BASE .. FLOOD ADJACENT:: REFERENCE BASE FLOOD .:�YS:: ELEVATION REFERENCEgDJACENT GRADE _::: LEVEL ELEVATION LEVEL GRADE ADJACENT:.. GRADE The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 �p n9 Base Water Pressure OFFICE USE ONLY ib- *2 � a : Adjusted Water Pressure Lo 4- Meter Size IZ Supply Size Pressure Regulator Re aired: Yes No Address D S C No. V1Z-�, ` 4T RESIDENTIAL WATER METER WORKSHEET Builder and Std. Plan N Subdivision _ VI \ Lot No. 11 1 or 2 Story 1 91�([. y In order to determine water meter fees, water development fees, and sewer connection fees, it must be known what size water meter will be required for your building. We will be glad to assist you in detemun- ing the water meter size if you provide us with the following information: 1) Total developed length of the water line; from the water meter to the furthest water -using outlet 100 feet. 2) Total number of fixture units of all water -using fixtures, appliances, and water -using outlets. (See Chapter 10, Tables 10-1 and 10-2 of the Uniform Plumbing Code, current edition.) The following form is included for your use and convenience: Type 2 Fixture (new or existing) Water Closet tank type Shower (per head) Tub or shower over tub Lavatory Kitchen sink/dishwasher Resid. bar sink Hose bibs* Laundry or utility sink Automatic clothes washer Ice maker .Other (identify) FixtUre Unit Value Total Fixture Units X 3 = �� X . 2 X: 2 = �' X 1 = 2— x4. 1 = _ X 3 = -i X 2 = Z X 2 = Z X 1 = X TOTAL * Regardless of actual number of hose bibs, only a maximum of two are counted. Water supply outlets for items not shown above shall be computed at their maximum demand or according to the size of the supply pipe as listed below (whichever is greater), and entered in the space labeled "other". Pipe Size Fixture Unit Value 3/8" 1 1/2" 2 3/4" 3 ill g August 1989 -7— — -7&- Pt i ni i ivu. 9cvi Vv ee et «• wl�� f4• * * MARICUPA COUNTY DEPARTMENT Ur HEALTH StltVlUhS * DIVISION OF PUBLIC HEAl"'NTH * ENVIRONMENTAL SERVICES W W W W w w w W w W W W W w W W w W W w W w w W W W W W W W W W W W W w W W W W W W W W W W W w W W W W W W W W w w W PERMISSION TO, CONSTRUCT INDIVIDUAL SEWAGE DISPOSAL SYSTEM Issued to: Business/Owner Date Issued BLANKENSHIPS 11/06/92 Location of Disposal System: Subdivision/Site Lot No. JOY RANCHOS 9 11601 N 50 AVE GLENDALE q"' ,q CONDITIONS o Failure to comply with all conditions of this permit will result in the forfeiture and cancellation of this permit and will require that your individual sewage disposal system be immediately taken oUt: of service and removed. o Deviation front'`the approved plan and/or application without reapproval will void this permit. a Applicant assumes responsibility for design and, if warranted by site conditions, understands that additional design and co;istruction may be required before approval. o If no construction has been started, permit void one year from date of issue. o The system must be inspected and approved by the Department before it can be backfilled and used. When ready, phone 506-6676 or 506-6681. a Post second copy of this permit at building site with Building Permit. 11 451 9236 R5-92 j4d�N Il �vI IV 5o+/4Ue c T- JCy jK i3�f P,� 117 -SCE I INSTALLATION WiD 2' WESTERN ONE KOTE STUCCO SYSTEM Inv WESTERN STUCCO PRODUCTS CO. INC. Jrb Address: //�Cj / ztl e5lP 9(1le Z ICBO Evarluaiion Service, Inc. Peport No. 3�399 Date of Job Completion Plastering Contractor ,�/ J Name_ � tiv, S �� T S'T VC CU Ad d res-s: 6 2 ./V 3 ,� k_I L� IV Tetephone Number 6� S6 - y7/ Approved Contractor License Number as J l Issued by Western Stucco Products J j This is to certify that the plastering sys+em on the buildinc, exterior at the above address has been installed in accordance witn t vaivairt report specified above and the manufacturer's instructions. Signature of authorized represe:itativeol plastering contractor Date lnstrllation card must be presented to the building inspector after completion of work and before finai inspection. N2 352 THIS CERTIFIES THAT F E. DAMS LATH & STUCCO HAS MET AND COMPLI ES;�, ITH ALL REQUIREMENTS TO BE A LICENSED APPLICATOR OF WESTERN. ONE KOTE STUCCO SYSTEM WY, 2 1 , 19, t Licensor f/ Date LICENSE # 343 Ilk