Record Destruction Certificate 2021

City of El Mirage — Regular Meeting (2022-05-03)

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CERTIFICATE OF RECORDS DESTRUCTION

As authorized under ARS §41-151.19,"...A report of records destruction that includes a list of all records disposed of shall be filed at least annually
with the state library on a form prescribed by the state library."

Failure to comply with these procedures is a violation of ARS §41-151.19.
City of El Mirage Division Building Safety
Development Services OfficeUnit

Public Body

Department
. . Eligible to Format: f Vile (
Record Series Title as Stated on Approved Schedule Senedue Number Item # Records St 7 Reco tnd Bering Pape, gal Ret cto
Date Microfilm Kile Size
Construction Plans, Specifications and Computations GS-1053, Rev 1 | 2016320164 3/1/2013 12/30/2019 | 12/30/2020 Paper 66 Plan Rolls
Building Permit Records: Approved Supporting Documentation GS-1053, Rev 1 | 2019520186] 01/01/2018 | 12/30/2018 | 12/30/2021 Paper 3 Boxes
Inspection Records: Schedules GS-1053, Rev 1 | 20170 | 01/01/2020 | 12/30/2020 | 12/30/2021 paper 1 Box
Records Officer Approval (type or print name): Title (type or print): Phone:
Brigham Bennett Building Official 623-251-3502
Records Officer Signature: E-Mail: Date:
santes@elmirageaz.gov
Polly Rosenbaum State Archives and History Building
1901 W. Madison St. * Phoenix, Arizona 85009 + Home Page: http://www.azlibrary.gov/records:
Phone: (602) 926-3815 * FAX: (602) 256-2838 * [-Mail: records @azlibrary.gov
Revised 06/2020 An Equal Opportunity Employer

ARIZONA STATE
LIBRARY, ARCHIVES AND PUBLIC RECORDS
A DIVISION OF THE ARIZONA SECRETARY OF STATE
Joan Clark, State Librarian & Director
ARCHIVES AND RECORDS MANAGEMENT Page 1 of 6—

CERTIFICATE OF RECORDS DESTRUCTION

As authorized under ARS §41-151.19, ...A report of records destruction that includes a list of all records disposed of shall be filed at least annually
with the state library on a form prescribed by the state library.

Failure to comply with these procedures is a violation of ARS §41-151.19.

Public Body City of El Mirage Division City Clerk
Department Development Services Office/Unit Building Safety

Record Series Title as Stated on Approved Schedule Schedule Number Item # Records Start] Records End Format: # of Files, Boxes,

or Date Date Date Paper, Digital, | Reels; Electronic
Microfilm File Size
Rios Residence 14109 N Palm St GS-1053 17-7353 12/7/2018 |12/7/2021__|paper 1 roll plans
R/S Supply Oven and Tanks 10227 N El Mirage Rd GS-1053 18-8250 6/15/2020 {12/30/2021 |paper 1 roll plan
Sunbelt on Butler Electrical Work/Pole GS-1053 17-7813 4/20/2018 |12/30/2021 |paper 1 roll plan
Carniceria Urupan TI 12465 NW Grand Ave GS-1053 16-6876 12/18/218 12/18/2021 |paper 1 roll plan
New Mono-elm Cell at 12129 W Peoria Ave - Pinnacle Consu. |GS-1053 18-8512 9/7/2019 |9/7/2020 __|paper 1 roll plans
Sprint tower mono-elm at 12129 W Peoria Ave - Intracate Tow |GS-1053 18-8483 4/11/2019 |4/11/2020  |paper 1 roll plan
Antenna Towers at 14010 N El Mirage Rd - Verizon GS-1053 16-7103 12/30/2018 }12/30/2021 |paper 1 roll plan
Walmart TI 12900 W Thunderbird Rd GS-1053 190243 3/27/2019 3/27/2020 |paper 1 roll plan
Valenzuela Addition 12351 W Desert Oasis Cir GS-1053 17-7354 10/10/2018 }10/10/2021 |paper 1 roll plan
Mercado Residence 13326 N B St GS-1053 17-7818 1/24/2018  |1/24/2021  |paper 1 roll plan
Soledad Residence 12029 W Soledad St GS-1053 18-8105 12/21/2018 }12/21/2021 {paper 1 roll plan
Name (type or print): Title: Records Officer or Designee (type or print): Phone :
Brigham Bennett Building Official 623-251-3502
Signature: E-Mail: Date:
santes@elmirageaz.gov

RECORDS MANAGEMENT CENTER
1919 West Jefferson Street * Phoenix, Arizona 85009 * Home Page: http://www.azlibrary.gov/records
Phone: (602) 926-3815 * FAX: (602) 256-2838 * E-Mail: records@azlibrary.gov

Revised 08/2013 An Equal Opportunity Employer

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ARIZONA STATE

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LIBRARY, ARCHIVES AND PUBLIC RECORDS " er guetn FE
A DIVISION OF THE ARIZONA SECRETARY OF STATE atin State Lisa,
Joan Clark, State Librarian & Director
ARCHIVES AND RECORDS MANAGEMENT Page 2 of 6

CERTIFICATE OF RECORDS DESTRUCTION

As authorized under ARS §41-151.19, ...A report of records destruction that includes a list of all records disposed of shall be filed at least annually
with the state library on a form prescribed by the state library.

Failure to comply with these procedures is a violation of ARS §41-151.19.

Public Body City of El Mirage Division City Clerk
Department Development Services Office/Unit Building Safety

Record Series Title as Stated on Approved Schedule Schedule Number Item # Records Start] Records End Format: | # of Files, Boxes,

or Date Date Date Paper, Digital, | Reels; Electr
Microfilm File Size
Meat Market TI 13011 W Greenway Rr #101 GS-1053 17-7440 4/16/2018 4/16/2021 | paper 1 roll plans
Torres Residence 13318 N B St GS-1053 17-7606 9/7/2018 — |9/7/2021 | paper 1 roll plan
Cervantes Residence 12009 W Soldedad St GS-1053 18-8287 11/16/2018 }11/16/2021 |paper 1 roll plan
Christian Liberty Center TI GS-1053 17-7492 1/10/2018  }1/10/2021  |paper 1 roll plan
Tmobile Antenna at Rancho El Mirage Plaza GS-1053 17-7410 1/30/2018 1/30/2021 | paper 1 roll plans
Enclose Covered Patio 12828 W Peoria Ave- Expired GS-1053 17-7958 6/20/2020 6/20/2021 | paper 1 roll plan
Chavira Home Remodel 13210 N B St GS-1053 18-8098 11/20/2018 11/20/2021 |paper 1 roll plan
Dysart Community Center PV System GS-1053 17-7898 4/1/2020 |4/1/2021 paper 2 roll plan
Equipment Addition - 12126 W Olive Ave GS-1053 16-7093 12/1/2020 |12/1/2021 | paper 1 roll plan
Antennas - 12900 N 124th Ln GS-1053 15-6152 12/30/2020 }12/30/2021 |paper 1 roll plan
Fire Suppression Spray Booth 10227 N El Mirage Rd GS-1053 18-8631 6/18/2020 {6/18/2021 |paper 1 roll plan
Name (type or print): Title: Records Officer or Designee (type or print): Phone :
Brigham Bennett Building Official 623-251-3502
Signature: E-Mail: Date:
santes@elmirageaz.gov

RECORDS MANAGEMENT CENTER
1919 West Jefferson Street * Phoenix, Arizona 85009 + Home Page: http://www.azlibrary.gov/records
Phone: (602) 926-3815 * FAX: (602) 256-2838 * E-Mail: records@azlibrary.gov

Revised 08/2013 An Equal Opportunity Employer

ARIZONA STATE ap
LIBRARY, ARCHIVES AND PUBLIC RECORDS CD Sone
A DIVISION OF THE ARIZONA SECRETARY OF STATE Peston
Joan Clark, State Librarian & Director
ARCHIVES AND RECORDS MANAGEMENT Page 3 of 6°

CERTIFICATE OF RECORDS DESTRUCTION

As authorized under ARS §41-151.19, ...A report of records destruction that includes a list of all records disposed of shall be filed at least annually
with the state library on a form prescribed by the state library.

Failure to comply with these procedures is a violation of ARS §41-151.19.

Public Body City of El Mirage Division City Clerk
Department Development Services Office/Unit Building Safety

Record Series Title as Stated on Approved Schedule Schedule Number Item # Records Start] Records End Format: _| # of Files, Boxes,

or Date Date Date Paper, Digital, | Reels; Electronic
Microfilm File Size
TI Surnise Donuts - 13011 W Greenway Rd 102 GS-1053 15-6197 6/20/2020 {6/20/2021 |paper 1 roll plans
White Mountain Health Center - 12475 W Alice Ave GS-1053 17-7402 5/15/2017 {5/15/2018  |paper 1 roll plan
Norton Residence 10777 N 127th Ave GS-1053 15-6113 3/29/2017 | 12/30/2021 |paper 1 roll plan
Southwest Steel Remodel 10211 n El Mirage Rd GS-1053 17-7496 12/30/2018 |12/30/2021 |paper 1 roll plan
Phoenix Door Warehouse Addition 12545 W Butler Dr GS-1053 17-7411 12/30/2020 |12/30/2021 |paper 1 roll plans
Garcia pool house 12717 W Valentine Ave GS-1053 17-7957 6/18/2018 |6/18/2021  |paper 1 roll plan
Bathroom Addition 11204 N 125th Ave GS-1053 17-7564 10/10/2017 |10/10/2020 |paper 1 roll plan
New Kitchen Hood FS 12420 W Thunderbird Rd GS-1053 18-8443 8/22/2019 8/22/2020 | paper 1 roll plan
Southwest Steel Storage Tanks 10211 N El Mirage Rd GS-1053 16-6619 6/27/2016 |6/27/2020_ |paper 1 roll plan
Fire Sprinklers Uruapan Carniceria GS-1053 16-7017 11/17/2017 |11/17/2018 |paper 1 roll plan
Dennis Remodel 11029 N Dysart Rd GS-1053 17-7086 2/17/2017 |2/17/2020 | paper 1 roll plan
Name (type or print): Title: Records Officer or Designee (type or print): Phone :
Brigham Bennett Building Official 623-251-3502
Signature: E-Mail: Date:
santes@elmirageaz.gov

RECORDS MANAGEMENT CENTER
1919 West Jefferson Street * Phoenix, Arizona 85009 * Home Page: http://www.azlibrary.gov/records
Phone: (602) 926-3815 * FAX: (602) 256-2838 * E-Mail: records@azlibrary.gov

Revised 08/2013 An Equal Opportunity Employer

ARIZONA STATE
LIBRARY, ARCHIVES AND PUBLIC RECORDS
A DIVISION OF THE ARIZONA SECRETARY OF STATE
Joan Clark, State Librarian & Director
ARCHIVES AND RECORDS MANAGEMENT Page 4 of 6—

CERTIFICATE OF RECORDS DESTRUCTION

As authorized under ARS §41-151.19, ...A report of records destruction that includes a list of all records disposed of shall be filed at least annually
with the state library on a form prescribed by the state library.

Failure to comply with these procedures is a violation of ARS §41-151.19.

Public Body City of El Mirage Division City Clerk
Department Development Services Office/Unit Building Safety

Record Series Title as Stated on Approved Schedule Schedule Number Item # Records Start] Records End Format: # of Files, Boxes,

or Date Date Date Paper, Digital, | Reels; Flectronic
Microfilm File Size
Premier RV Iron Fence and Elec Gate GS-1053 17-7528 9/15/2017 }9/15/2020_ |paper 1 roll plans
Eaton room additions 12945 W Varney Rd GS-1053 17-7625 8/23/2018 |8/23/2020 | paper 1 roll plan
Room Addition PEM Lot# 578 GS-1053 190078 8/7/2019 18/7/2020 —_|paper 1 roll plan
Parking Solar Canopy Dysart Community Center GS-1053 17-7898 4/20/2018 }4/20/2021_ |paper 1 roll plan
Kichen Hood Meat Mrkt 13011 W Greenway Rd GS-1053 17-7908 4/6/2018 — |4/6/2021 __|paper 1 roll plans
Site Wall Mod for Water Drainage on Olive GS-1053 190293 9/28/2020 }9/28/2021  |paper 2 roll plan
Room Addition PEM Lot# F47 GS-1053 190072 9/19/2019 |9/19/2020_ |paper 1 roll plan
Enclose Breezway PEM Lot# 775 GS-1053 18-8030 5/18/2018 |5/18/2021  |paper 1 roll plan
Fire Alarm Cali Nails 13011 W Greenway Rd # 105 GS-1053 17-7709 6/18/2018 |6/18/2021  |paper 2 roll plan
Fire Alarm Phoenix Doors 12545 W Butler Dr GS-1053 17-7309 10/27/2018 |10/27/2019 |paper 1 roll plan
Fire Sprinklers Sunrise Donuts 13011 W Greenway Rd #102 GS-1053 16-6376 6/18/2018 }6/18/2019 {paper 1 roll plan
Name (type or print): Title: Records Officer or Designee (type or print): Phone:
Brigham Bennett Building Official 623-251-3502
Signature: E-Mail: Date:
santes@elmirageaz.gov

RECORDS MANAGEMENT CENTER
1919 West Jefferson Street * Phoenix, Arizona 85009 * Home Page: http://www.azlibrary.gov/records

Phone: (602) 926-3815 * FAX: (602) 256-2838 * E-Mail: records@azlibrary.gov
Revised 08/2013 An Equal Opportunity Employer

ARIZONA STATE

.
LIBRARY, ARCHIVES AND PUBLIC RECORDS ” qalnengowy
A DIVISION OF THE ARIZONA SECRETARY OF STATE tz State Libary,
Joan Clark, State Librarian & Director
ARCHIVES AND RECORDS MANAGEMENT Page Sof 6—

CERTIFICATE OF RECORDS DESTRUCTION

As authorized under ARS §41-151.19, ...A report of records destruction that includes a list of all records disposed of shall be filed at least annually
with the state library on a form prescribed by the state library.

Failure to comply with these procedures is a violation of ARS §41-151.19.

Public Body City of El Mirage Division City Clerk
Department Development Services Office/Unit Building Safety

Record Series Title as Stated on Approved Schedule Schedule Number Item # Records Start} Records End Format: | # of Files, Boxes,

or Date Date Date Paper, Digital, i Eres
Microfilm File Size
Fire Damage Restoration 11922 W Soledad St GS-1053 17-7790 1/18/2018 |1/18/2021  |paper 1 roll plans
RES Fire Sprinklers 12747 W Sharon Dr GS-1053 18-8261 2/22/2019 2/22/2021 |paper 1 roll plan
TI Carniceria Uruapan 12465 NW Grand Ave GS-1053 16-6876 2/20/2018 |2/20/2021  |paper 1 roll plan
TI Mi Casita Express Check Cashing 12465 NW Grand Ave GS-1053 17-7928 2/5/2018 — |2/8/2021 paper 1 roll plan
Mod Fire Alarm Reveal Vineyard Community Church GS-1053 17-7304 6/28/2017 |6/28/2020_ |paper 1 roll plans
Fire Alarm Epcor Water 8700 N El Mirage Rd GS-1053 17-7883 4/30/2018 |4/30/2021  |paper 1 roll plan
Dry Chemical System 8030 N El Mirage Rd GS-1053 16-6904 9/23/2016 |9/23/2019  |paper 1 roll plan
Fire Restoration 11832 W Rosewood Dr GS-1053 18-8424 11/28/2018 | 11/28/2021 |paper 1 roll plan
2 Foam Water Monitors at Pro Petroleum GS-1053 17-7628 11/30/2017 |11/30/2020 |paper 1 roll plan
Modify Fire Sprinklers at Subway 12170 N El Mirage Rd GS-1053 15-6204 11/18/2015 }11/18/2018 |paper 1 roll plan
Fire Sprinkler Sys ERCOR 8700 N El Mirage Rd GS-1053 17-7737 12/1/2018 |12/1/2021 {paper | roll plan
Name (type or print): Title: Records Officer or Designee (type or print): Phone :
Brigham Bennett Building Official 623-251-3502
Signature: E-Mail: Date:
santes@elmirageaz.gov

RECORDS MANAGEMENT CENTER
1919 West Jefferson Street * Phoenix, Arizona 85009 * Home Page: http://www.azlibrary.gov/records
Phone: (602) 926-3815 * FAX: (602) 256-2838 * E-Mail: records@azlibrary.gov

Revised 08/2013 An Equal Opportunity Employer

ARIZONA STATE ae...
LIBRARY, ARCHIVES AND PUBLIC RECORDS eo ecnyown
A DIVISION OF THE ARIZONA SECRETARY OF STATE anchtizana State Library,
Joan Clark, State Librarian & Director
ARCHIVES AND RECORDS MANAGEMENT Page 6 of 6_

CERTIFICATE OF RECORDS DESTRUCTION

As authorized under ARS §41-151.19, ...A report of records destruction that includes a list of all records disposed of shall be filed at least annually
with the state library on a form prescribed by the state library.

Failure to comply with these procedures is a violation of ARS §41-151.19.

Public Body City of El Mirage Division City Clerk
Department Development Services Office/Unit Building Safety
Record Series Title as Stated on Approved Schedule Schedule Number Item # Records Start] Records End Format: # of Files, Boxes,
or Date Date Date Paper, Digital, | Reels; Electronic
Microfilm File Size
Fire Alarm Meat Market 13011 W Greenway Rd #101 GS-1053 17-7909 4/6/2018 — |4/6/2021 paper 1 roll plans
Fire Restoration 11609 E Wethersfield Rd GS-1053 18-8126 9/28/2018 |9/28/2021  |paper 1 roll plan
TI Clinica La Familia 15235 N Dysart Rd GS-1053 18-8522 2/26/2019  |2/26/2020 {paper 1 roll plan
Eton Additions 12945 W Varney Rd GS-1053 17-7627 8/23/2018 8/23/2021 |paper 1 roll plan
Vega Residence 13809 N Primrose St GS-1053 17-7322 10/2/2018 10/2/2021 |paper 1 roll plans
Electrical plans for Urban Greenhouse Modular GS-1053 17-7776 11/17/2017 |11/17/2018 |paper 1 roll plan
Single Story Office Building 13053 W Thunderbird Rd GS-1053 17-7814 4/18/2018 |4/18/2021  |paper 1 roll plan
(2) Paint Booth, Canopy, Fencing at Dakota GS-1053 14-4997 1/15/2016 }1/15/2021  |paper 1 roll plan
Census Bureau Dept monthly evaluation reports 1981-1989 GS-1053 n/a *1982 *1990 paper 1 roll plan
Census Bureau Dept monthly evaluation reports 1990-1996 GS-1053 n/a *1991 *1997 paper 1 roll plan
Daily inspections logs - Jan 2020 thru Dec 2020 GS-1053 *2020 12/30/2021 |paper 1 roll plan
Name (type or print): Title: Records Officer or Designee (type or print): Phone:
Brigham Bennett Building Official 623-251-3502
Signature: E-Mail: Date:
santes@elmirageaz.gov

RECORDS MANAGEMENT CENTER
1919 West Jefferson Street * Phoenix, Arizona 85009 * Home Page: http://www.azlibrary.gov/records
Phone: (602) 926-3815 * FAX: (602) 256-2838 * E-Mail: records@azlibrary.gov

Revised 08/2013 An Equal Opportunity Employer