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�' cA Base Water Pressure DSC No.
Adjusted Water geAsure
Meter Size "
Supply Size
Pressure Regulator Required: Yes No
RESIDENTIAL WATER METER WORKSHEET
Address fZ,� a Al' 5-0 '� � Lot No.
Builder and Std. Plan No.
Subdivision :7-0 Y: RA46110 S 1 or 2 Story
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 determin-
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
16-6 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 of
No. of
FixtureTotal
Fixture (new or existing)
Fixtures
Unit Value
Fixture Units
(v-
I I Water Closet tank type
X
3 =
1
Shower (per head)'
�_
X
2 =
2,
Tub or shower over tub
�_
X
2 =
$
`�
I >'I�J�avatory
�_
X
1 =
'L-
! Kitchen sink/dishwasher
/
X
2 =
u
Resid. bar sink
X
1 =
0
ZHose bibs*
G--
X
3 =
�_
v
Laundry or utility sink
/
X
2 =
2
L
I Automatic clothes washer
X
2 =
Z
J Ice maker
�_
X
1 =
�_
Other (identify)
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
1" 6 August 1989
N
Permit No. 920763 � �Fee TPaid: $110
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* MARICOPA COUNTY DEPARTMENT OF HEALTH SERVICES
W DIVISION OF PUBLIC HEALTH
W ENVIRONMENTAL SERVICES *� L
PERMISSION TO CONSTRUCT INDIVIDUAL SEWAGE DISPOSAL SYSTEM Ill I
Issued to: Business/Owner
EMERY BROWN
Location of Disposal System:
Subdivision/Site
JOY RANCHOS
11611 N 50 AVE
GL.ENDALE
CONDITIONS
Date Issued
11/05/92
Lot No.
4
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 from the approved plan and/or application
without reapproval will void this permit.
o Applicant assumes responsibility for design and,
if warranted by site conditions, understands
that 5c1ditional design end construction may be
required before approval.
o If no construction has been started, permit void
one year from date of issue.
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.
o Post second copy of this permit at building site with
Building Permit.
9,0
Permit o.. D SSG ELEVATION CERTIFICATE £OxpresMay3i 1993
�J 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 ro
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 OWNER'S NAME �M
`ge o (r✓� POLICY NUMBER
STREET ADlRESS (including Apt.. Unit, Suite andror Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
OTHER DESCRIPTION (Lot and Block
�o f y
CITY
etc.)
Os
STATE
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
ZIP
d C
1. COMMUNITY NUMBER
040045
2. PANEL NUMBER
/� 3
3. SUFFIX
!. DATE OF FIRM INDEX
, 2 y, 0 y
S. FIRM ZONE
�
6. BASE FLOOD ELEVATION
(in AO Zones. use depth)
/. 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: II I I I I,I J feet NGVD (or other FIRM datum3ee 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). The top of the reference level floor from the selected diagram is at an elevation
ofl I 117-11 I I_15Jfeet NGVD (or other FIRM datum —see Section B. Item 7).
(b). FIRM Zones Vt-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 z (K ,U 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 I I I I,I' , feet above L 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 ❑ 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? *TK 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 ;) 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 c)
5. The reference level elevation is based on: 9 actual construction ❑ construction drawinos
(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.)
.� S. The elevation of the lowest grade immediately adjacent to the building is: L ! Section B, Item 7). �' feet NGVD (or other FIRM datum see
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 e:evation of the building's -lowest
floor' as defined by the ordinance is: L1_ ( I I I •Lf feet NGVD (or other FIRM datum —see Secion B, Item 7).
2. Date of the start of construction or substantial improvement
F EMA Form 81-31, MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION
SECTION E CERTIFICATION
l his 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.
1 certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available.
If 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
m -- -
ADDRESS CITY STATE ZIP
SIGNATURE DATE PHONE
Z - 9'3 - 7 2_
Copies should be ma of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS:
��61118192p2j
Qo
N K/ Z
O j LJ J
V
AtiI
EZf-tEOE
ON WITH ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A v A A v
ZONES ZONES ZONES ZONES ZONES
REFERENCE
BASE LEVEL REFERENCE
111Y
FLOOD LEVEL
FLOOD ADJACENT IFIEFERENCE FLOOD
ELEVATION REFERENCE ADJACENT GRADEW. LEVEL ELEVATION
LEVEL n.
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.
11�p�QQ
INSTALLATION CARD
WORLD n
a T!I�CD WESTERN ONE KOTE STUCCO SYSTEM
WESTERN STUCCO PRODUCTS CO. INC.
Job Address: 0-4 ICBO Evaluation Service, Inc.
50 Avg, Report No. 3899
A22 Date of Job Completion
Plastering Contractor
Name:'. _/7./jV/5 f .!5-1IXCG
Address: 19026 N 321X( Z&,Ogk
Telephone Number 56-9 Ste%/
Approved Contractor License Number as 2��
Issued by Western Stucco Products �J
This is to certify that the plastering system on the building exterior at the above address has been installed in
accordance with the -evaluation report specified ab and the manufacturer's instructions.
Si nature of authorize epresentative of stering contractor Date
Installation card must be presented to the building inspector
after completion of work and before final inspection.
N° 920742