HomeMy WebLinkAbout110964 100141 CITY OF GLENDALE
Community Development Group BUILDING PERMIT tr:
j U.J.` INSPECTOR COPY
5850 West Glendale Avenue • E • of
GLENS Glendale,Arizona 85301-2599
Office: (623)930-2800 Inspections: (623)915-3263 Permit No. 110964 Inspection Area: J Issue Date: 06/27/2018
PROJECT INFORMATION Project No. Sq.Ft. Valuation
Property Location(Verify City and Zip Code mailing address with Postal Service) 450 22,000
12753 N 57TH DR Permit Type
BS-BLDG/ELEC/PLBG
Location Parcel Subdivision Lot#
Issued By Statistical Code STD#
200-39-517 HADAYAL 449
OWNER INFORMATION Sewer Elec Gas Water Meter
APS SWG
Name: TREVOR&NICOLE THOMPSON FF Cert Req
Address: 12753 N 57TH DR GLENDALE AZ 85304
E-mail:
Daytime Ph(623)687-6656 Emergency/Fax# Mobile/Pager# Co ucti n T pe Occu ancy Group
PRIME CONTRACTOR INFORMATION rzio,"xe-- ckpc,-je,,,,ic"/ _K
Name: LEGEND POOL BUILDERS INC ,f,„(,, 44 �L�� J/�O
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Address: 29355 N 125TH DR PEORIA AZ 85383 AtrZ;: : T///,- '/
E-mail:
Daytime Ph(602)677-1141 Emergency/Fax# 6 72—
2 e'cv._e16 1/ i!7/�0
Contractor License No. License Type Salestax License No. 3
213464 B-5 -
Description of Work/Special Conditions .--..?-1, •
THOMPSON RESIDENCE POOL r"`
CHILDREN UNDER 6 YEARS OF AGE RESIDE AT THIS LOCATION,SECONDARY BARRIER REQUIRED PER.
AFFIDAVIT Inspector
ENGINEERING BY ALAN E MONEY I. -
MUST COMPLY WITH VIRGINIA GRAEME BAKER ACT AND 2011 NEC GROUNDING AND-BONDING Date of Final
. . Certificate of Occupancy Number
COMBO PERMIT E ,-.
METER CLEARANCES INFORMATION
Electrical Date
Gas Date
I hereby certify that I am t ner o duly. thorized . • er's agent,that I have read this application and that all information is correct. I further certify that I have read,understand and will comply with
all the provisions outlined hereon. also c:rtify =,:5 the plot plan submitted is a complete and acc rate plaQw pg any dull existing proposed structures on the subject property.
4)'Signatu fi �� - Date -' 1 0
Provisions: The applicant is advised that issuance of this permit will not relieve responsibility of the owner or owner's agents to comply with the provisions of all laws and ordinances,including federal,
state and local jurisdictions,which regulate construction and performance of construction,or with any private deed restrictions. This permit becomes null and void if the construction work authorized is
not begun within 180 days from the date oflissue or if at any time prior to final inspection and approval the work is suspended or abandoned for a period of 180 days: