2024.11.06 KENNEL PERMIT DAISY'S DELIGHTFUL DOODLES APPLICATION.PDF

Maricopa County

Animal Care And Control
2500 South 27th Avenue
Phoenix, AZ 85009
(602) 506-7387 Tele.

(602) 506-2739 Fax

KENNEL PERMIT APPLICATION

new CL] Renewal Permit #

Name: S hen Patterson Kennel Name: ut isys fel ug htty | Doodle
Mailing Address: E > a 16 lA) El owes Si Kennel Location: B 959 W Fjo wer Kp Li tth fre(dl faric
City, Litchfield Part ZIP ABBY oO County Supervisorial District, Mare Co Pa FE c2up

Home Phone: 0 02-918 Ab T4 Kennel Phone: Lo Oa | B ale / g

Please complete and sign this application and return it to the above address with payment in the amount of
three hundred fifty dollars ($350.00) within ten (10) days of receipt.

Pursuant to Arizona statute and county ordinance, a person must obtain a kennel permit issued by the Board of
Supervisors if the person operates a kennel in which there are five or more dogs which are not individually
licensed. A.R.S. §11-1009(A). A kennel is defined as “an enclosed, controlled area, inaccessible to other
animals, in which a person keeps, harbors or maintains five or more dogs under controlled conditions.” A.R.S.
§ 11-1001(8).

An_ appointment will be scheduled for inspection of the kennel premises by an Animal Control Officer upon
receipt of this kennel permit application and fee. This kennel application properly executed and a copy of the
inspection report will then_be forwarded to, and must_be approved by, the Maricopa County Board of
Supervisors. The kennel permit form will be sent to you after approval and will be valid for one year from the
date of the Board's approval.

NOTE: Failure to show for a scheduled inspection and/or failure of inspection will warrant a Subsequent
Inspection Return fee of $49 for each additional visit. Failure of inspection may result in denial of the kennel
permit and require individual licensing of each dog under the provisions of A.R.S, §11-1008.

. | / PLEASE ANSWER THE FOLLOWING QUESTIONS AND INITIAL EACH RESPONSE
1

We assume complete responsibility for the kennel at the premises for which lAve are making
application for a permit and understand that “kennel” means an enclosed, controlled area, inaccessible to other
animals, in which a person keeps, harbors or maintains five or more dogs under controlled conditions (ARS 11-
4001).

2. We certify that We have | O dogs and that the kennel meets the definition in statute.
3. \We certify that I/We have not been convicted of a violation of A.R.S. §§ 13-2910 (cruelty to animals)

or 13-2910.01 (dog fighting), or similar violations of any other state, county or municipal animal welfare law.
(Violations of license and leash laws DO NOT apply).

4. { \ (Wee certify that all dogs over the age of three (3) months that are kept, harbored or maintained on the
premises of the above named kennel have been properly vaccinated against rabies by a veterinarian licensed to

practice in the state of Arizona and that a current vaccination certificate signed by a licensed veterinarian is
maintained on the premises for each dog

5. Wy | We certify that [Ve are submitting a valid copy of the rabies vaccination certificate for each
dog with this application.

, 6.) We understand that a dog remaining within the kennel is not required to be licensed individually under
A.R.S. § 11-1008. iAwve also understand that a dog leaving the controlled kennel conditions shall be licensed
under A.R.S. § 11-1008 except if the dog is only being transported to another kennel which has a permit issued
under this section.

7. |e understand that a person who fails to obtain a kennel permit under A.R.S.§11- 1009 | is subject to a
penalty of twenty-five dollars in addition to the annual fee.

8. We understand that a person who knowingly fails to obtain a kennel permit within thirty days after
written notification from the county enforcement agent is guilty of a:class 2 misdemeanor..

9. The undersigned understand that that the kennel permit does not authorize the operation of any type
of business and is solely used for the purpose of licensing multiple dogs.

UWe certify that all of the information I/We have provided is true and accurate under penalty of law.

Applicant Signature | hum Y {fen Date: Or] 0-2 4}

Applicant Signature Date:

For Official Use Only:

Copies of Valid Rabies Vaccination Certificates for each dog attached,
Copy of Person's Valid Identification Attached

Type of identification submitted,

BOS Approval Date. Term of Permit

2 of 2

Maricopa County Animal Care and Control

2500 S. 27th Avenue
Phoenix, AZ 85009-6797

(602) 506-7387
http://pets. maricopa.gov

Receipt Number: R24-714941 Receipt Date: 09/30/2024

Person ID: P3317932
Phone: 602 8182679
DAISYS DELIGHTFUL DOODLES KENNEL
13259 W FLOWERS ST
LITCHFIELD PARK, AZ 85340

9/30/2024 2:41:31PM

item: Animal ID: Reference No: Price: Each: Amount:
KEN PERMIT A0000000 K24-00074 $350.00 1 $350.00
Total Fees Due: $350.00

Payments: Cash:

Check:
Credit Card: $350.00
Total Payments Received : $350.00

Thank You!

Would you like to share your experience with our service to you? Change: $0.00
Balance Due: $0.00

Please visit our website at http://pets.maricopa.gov and click on "I
Want To and Contact MCACC" to email your comments for our
review.

Animal Information: NAIC
0000000 NO NAME - BORN 1/1/2020, NEUTERED, UNKNOWN/UNKNOWN, WHITE AND WHITE DOG

License Information:
Tag Number: License Expires: Animal# Vacc Date: Vacc Expires:

Pet Licensed/Registered To: Sherri Patterson

Please retain this receipt with your pet's records

luffman WBUSOFF

Maricopa County
Animal Care & Control

2500 South 27% Avenue
Phoenix, AZ 85009
Phone: (602) 506-7387
pets.maricopa.pov

KENNEL PERMIT K 24- 400074
PREMISE INSPECTION jo/4| 2024
NUMBER OF DOGS: 40

Name; SHE RA pastetsan Kennel Name: AAISY'S NELIEHTFIL DoosUus
Mailing Address: ! 3254 w. FLawee rT Kennel Address: 1 2zZ5°9 W. PLower SF
City: 2vtr7iOD paek State: AzZip: es sue City: gyyaeu) State: AzZip: SL S40

PAK

County Supervisorial District: 2uuy yickwand

Phone: Wd2- GIS ~ 26074 Kennel Phone: (yoz- fi - 2694

1. Are all dogs over the age of three months properly vaccinated for rabies and in possession of a
valid rabies vaccination certificate? yes

2, Is the kennel an enclosed, controlled area, inaccessible to other animals, in which a person keeps,
harbors or maintains five or more dogs under controlled conditions? YES

NOTE: Copies of each rabies vaccination certificate must be attached to the Kennel Permit Premise
Inspection form.

CORRECTIVE ACTION NEEDED FOR COMPLIANCE AND DAYS GIVEN BEFORE REINSPECTION.
(Note: There will be a $49 re-inspect fee payable to the Inspector by check upon each return visit.)

Deputy Enforcement Agent & Badge #:

ZT. Rounos AY
wig LIES

Maricopa County
Animal Care & Control

Kennel Inspection Housing Checklist

Print this checklist and take if with you when you’re taking a close look at a home/kennel. Use it to record your
observations and note defects of facility, condition of animals, neighborhood and zoning history. Utilize parts of the
inspection form that pertain to each individual property. Each room and area is specified for those applicants that utilize
and entire property to house pets.

Address 3.259 W.- CleweR GT Linerfind _paenk_,A2__ Ps340

Kennel Applicant name:

| SHERBL PANE SON .
/ Kennel Applicant e-mail “SHERRI PATTER x Ave Gmpit. COM
GEO ge | ZPCI cezyp _ Jurisdiction | pvooaur
c size (sq. feet) G, WIG fh Lot dimensions _ :
, House size (sq. feet) 3, 247 Ch No. of Kenneis No. of Animals Dog | No. omer

House style and color i
|

House faces . north X_ south east. west__

| Previous Kennel permit at Previous Animal

| Address NiA Violations

Pending i Noise or smell
investigation | None violations Nave

HOA CK , Yes__ NoX_ Nearby playgrounds / 10
i

» Children nearby N G

Neighborhood!
ServicesCk NIA

Kennel Inspection Checklist [Address of the house]

Kennel construction
Material (non-toxic} | Mesa\ Crates

| Zoning/HOA records available Yes, Now | Location on the block

_Kennelingoodrepar | y eS

Animal exercise space

Courhyed  bactyard Sideu acd

Kennel within fenced yard {
’ yes
Outside runs protected against
weather extremes el
Kennel area made of impervious material ;
to permit cleaning and disinfecting Yes
Landscaping features Odor present . . A
ee ° uO eS, blow wal
Vermin present S) a Provisions made for removal and proper disposal of animal food, waste, bedding ,debris: UY a

Water vessels weighted or
mounted nLA

Sick or injured present

Comments

Page 2 of 9

Kennel Inspection Checklist [Address of the house]

Visible Condition of the Property
Using the key below, apply the letter that best describes the condition of each item.

Key

X - Unsafe

G - Good condition

U - Unsanitary

D - Damaged

J - Excess Debris/junk/material

R - Repair/Replacements needed

Comments

Page 3 of 9

Kennel inspection Checklist

[Address of the house]

Exterior Exterior
CREATURE “CONDITION _ FEATURE — CONDITION
Front door _Outdoer lighting _ . g
Front screen door - sree a - G
Back door _ _ — “Drainage cea . G
Backscreendoor __ Retaining wall _ NIA
Screen and storm windows _ Soll movement _ wi
Glass and frames Yard G _
~ Other ee _
“Mallloox , - _ ; ; . . : 2
Doorbell / - ; ener
Housenumber iP Garage
G rio¢ conic st
ae a _Windows ee 6
- - ia Carpet or floor . vif
Walls
Roof and flashing G TT _—— —— : G
a — Ceiling G
Chimney & i ye ”
cut os ~ - iA < Lights and switches 6
: ret ~ : een v - Outlets &G
aves —_
— ; a Baseboards 6
Driveway G a -
Shed 6 ~
- ~ — Other
Garage _ G a
Key Commenis ,
x ~ Unsafe wna 16 med, Hled
G - Good condition ‘
U_— Unsanifary
D - Damaged
J - Excess Debries/junk/material
R - Repair/Replacements needed

Page 4 of 9

Kennel Inspection Checklist

Kitchen

[Address of the house]

Living Room

PREATURE CONDITION. FEATURE - CONDITION
Windows oe —  & Windows : oe
Hoor . _. . : G _ Carpet or floor ee

Wals - G Walls oo

~Saing - ~ G cong a — on eee

i Lights and switches . _ . G : Outlets, including cable outlet 7 7

“Outlets “Lights and switches ~ ~ —_

G
Refrigerator . . . i &
G
&

Hallway and Stairwell

~ Cabinets and counter i FEATURE ener ine tne ener _SONDITION
“ Baseboards —— _ 7 Floor . — ‘S
Trim ee 7 G _ Walls Go —
Ger ee pee . Ceiling ; 7 G
° ——— _ Lights and switches - G
a Outlets G
Living Room ee Baseboard 7 ; G
“FEATURE ees CONDITION Trim G
Door _ . _. _ pia _Stoirtreads _. ital
Windows __ ee G - Stair structure G&
Carpet or floor de Gi. Landing and handrail &
Walls . ; G “Other
Key Comments
x - Unsafe
G - Good condition
U— Unsanitary
D - Damaged
J - Excess Debries/junk/material .
R - Repair/Replacements needed

Page 5 of 9

Kennel Inspection Checklist

[Address of the house]

Bedrooms

i _ - Bedroom 1 | Bedroom 2 Bedroom 3 Bedroom 4
Door _ pA wid ___blea BIG
Windows a - :

_Catpet or floor He Go. .

Wols. ws = _
Ceiling G : —
Lights and switches G - _

“Outlets ~~ G : a

Closet on _ -
Baseboards G - ee _
“Other sow ; A pe cnr om fee nen ene nt HN nnn tA sranewnd ~ _

Key Comments

x = Unsafe Gal _( bebroim 6 led Lor He deal
G - Good condition } ;
U— Unsanitary

D - Damaged

J - Excess Debries/junk/material

R ~ Repair/Replacements needed

Page 6 of 9

Kennel Inspection Checklist

Bathrooms

CONDITION —

i FEATURE  senneren see ttetncnni i meneame nah mane a nana nem Sn anne ewe ae
Bathroom lo Bathroom 2 . Bathroom 3 Bathroom 4

pia _wla NIA,

7 Ceiling
Sink
Tub/shower
Toilet
‘Cabinet, shelves, closet

Towel bars

lights and switches _
Outlets
_ Baseboards

Trim
Other

Key Comments

[Address of the house]

Unsafe Gak4 tba 7S ed nee Ae bog

Good condition

'

Unsanitary

Damaged

- Excess Debries/junk/material

ALCUEO*

Repair/Replacements needed

Page 7 of 9

Kennel inspection Checklist

[Address of the house]

Fireplace Basement
“FEATURE _ CONDITION "FEATURE __ ~ “CONDITION |
ome An _ : ula
Firebox _ Oe lA Sumpandpump
Chimney . ; G Stairs
Spark arrestor — MA, _ Other i
"Rain cap - — —_ — Pla. a _ . : ;
" Other ~ 7 . : 7 _ a a -_ ~
Basement Plumbing
“FEATURE : “= CONDITION FEATURE —
_Door - LA Pressure - 7
Windows _ ne _Drainage — G
Floor Hot water G
Walls ee 7 ~ Washer stst—SsSSS GQ
Ceing st—~S 7 Dryer - &
Storage a - : : - -
Foundation - —
7 Lights and switches — a
Outlets — ; :
Baseboards . ~
Key Comments
x - Unsafe Gas Gre olace
G - Good condition WO balenénat
U— Unsanitary
D - Damaged
J + Excess Debries/junk/material
R - Repair/Replacements needed

Page 8 of 9

Kennel Inspection Checklist [Address of the house]

Hot Water Heater Furniture

sts) CONDITION FEATURE _ ; CONDITION
: Gq 7 Couches

_FEATURE

Properly strapped _

Reasonable temperature

Pressure control 7 ; OO 7 Desks
: Other : - - 7 7 Desk chairs
: a — ee . Bookshelves ~
‘Beds 7

Heating and Cooling Mattresses
— a nceneenenrne Dressers
FEATURE rennet annus ene Leiba Other

Furnace a — &

_ Ait conditioning , ; ; G - . - co 1 a
Other — cence ts eee cones

Furniture

FEATURE _ CONDITION

“kitchen chairs _ _ - G
Tables 7 . . G

End tables G

Lounge chairs . wid

Key Comments
x - Unsafe

- Good condition

Unsanitary

Damaged

Excess Debries/junk/material
Repair/Replacemenis needed

7AoCUCH
1

Page 9 of 9

OP

Official Summary of Visit

PerVerT Rabies Certificate
CLINIC
230 £ Riverside Or, Eagle, IO 83646 | petvetvippetcare.com | 800.427.7973
Miranda Sowers Client's info:
27546 N 172nd Ave 281-989-4674 ;
Surprise, AZ 85387 mirandasowers@gmail.com
Piglet
Species; Dog Age: i week
Gender: Femaie Birthdate: 12-02-2023
Breed: Miniature Fixed: No
Goldendoodle
Weight: 12.265 Ibs. Microchipped: Yes
Colors: Golden
Microchips: 956000015526902

Vaccert: PXOLA-231202-01535V

Clinic Visit | Location:

Date:

Vet On Duty:

Vet License #:
Pregnant:

Weight:
Temperature:

Puise:

Respiration:

Bright Alert Responsive:
Visitation Age:
Weight Is Estimated:

Is Healthy Enough To
Vaccinate:

Referred To External Vet:

Physical Exam Note:

Tolleson, Tractor Supply Company, 789 N, 99th Ave.

12-02-2023
Trtek, Ashley
8170

N/A

12,25 lbs.
100.9

132

48

Yes

i week

No

Yes

No
WNL

Page Lot? °

TL.
Tender Lo ving Ca = “Training

Veterinary or Loy

480,699-9950 Suni

Rabies 1 year Certificate for Maricopa, AZ

03- 03-

Date ug- Vaccination Aug-
Vaccinated: 2024°*Pires: 2025

Sherri

roe we TYPE: killed

Flower _ PRODUCER:
Customer Street Certificate Pfizer

ea SERIAL #:
Info: Litchfield Info:

Park AZ - 675399

353- 40 DURATION: 1

602 818 Year

2679

NAME: Mandisa

SPECIES:Dog

SEX:F

Pet Info: BIRTH DATE:19-Apr-2024
WEIGHT:19.00 Ibs
BREED:Goldeh Doodle
COLOR:Red & White

| hereby certify | have vaccinated this animal in
accordance with the company’ s recommendation for
the vaccine used on the above date.

ae

Dr. Tamara Powell DVM
License #:7713 —E

OP _

PETVET

CLINIC

Official Summary of Visit
Rabies Certificate

230 E Riverside Dr, Eagle, ID 83646 | petvet.vippeicare.com | 800.427.7973

Vet Notes:

Presents for wellness services, doing well no concerns. No vomiting, diarrhea,
coughing or sneezing. No history of vaccine reactions per owner. Pet is
E/D/U/D normally. Weight taken.

BAR BCS: 4/9 Pink moist mm CRT <2sec

Oral: appropriate dentition for age, no calculus/ tarter. No masses

Eyes: WNL, menace positive, no discharge

Ears: WNL, no discharge, full otoscopic exam not performed

Integumentary: WNL, no masses or ectoparasites noted, good hair coat
Cardiovascular: no murmurs or arrhythmia, synchronous femoral pulses
Respiratory: no coughing or nasal discharge, normal bronchovesicular sounds
Abdominal: non-painful, no masses or fluid wave appreciated

Neurological: appropriate mentation, no ataxia, full neuro exam not performed
Musculoskeletal: ambulatory x4, no overt lameness noted. Full ortho exam
not performed

Urogenital: external genitalia WNL,

Lymphatic: peripheral lymph nodes WNL

Apparently stable for wellness services, administered as noted

Pyrantel pamonate SOmg/ml: O mt PO

Discussed possible vaccine reactions

Recommend annual heart worm testing and year round heart worm and flea
& tick preventatives

Recommended follow up with full service veterinarian for additional concerns

Temp and weight collected by assistant
Mark Catdwell, DVM

Referred To Full Service No
Vet:
Rabies | Product: Rabies - Rabies -|MRAB 3 TF Manufacturer: Merial
Vaccine Lot #: 18516 Lot Expiration: 04-01-2023 Duration: 1 year
Date Given: 01-15-2022 Next Vaccination: 01-15-2023
License | Rabies Tag Generic Rabies Tag #V1062363 Expires: N/A

Signature: Dr. Mark Caldwell

Vaccert: PXO1A-220115-B47378 for Dash Client: Sherri Patterson

Page 2 of 2

oP

PETVET

CLANIC

Official Summary of Visit
Rabies Certificate

230 E Riverside Dr, Eagle, ID 83616 | petvet.vippetcare.com | 800/427.7973

Sherri Patterson
13259 W Flower St
Litchfield Park, AZ 85340

Client's info:
602-818-2679
daisysdelightfuldoodles@gmail.com

Rusty

Species:

Gender:
Breed:
Weight:

Colors:

Microchips:

Vaccert: PXO1A-240113-A1839W

Dog Age: 5.5 years
Maie Birthdate: 12-48-2018
Poodle Spayed/Neutered: No

14.5 Ibs. Microchipped: Yes

Red i

956000014398613, 9

Clinic Visit | Location:

Date:

Vet On Duty:

Vet License Number:
Visitation Age:
Physical Exam Note:
Pregnant:

Weight:
Temperature:

Pulse:

Respiration:

Bright Alert Responsive:

Tolleson, Tractor Supply Company, 789 N. 99th Ave.
04-13-2024

Dunphy, Elise

4996

5 years |
WNL
N/A

14.5 lbs.
99.0
120

24

Yes

Vaacert: PKO1A-2404:13-A1839W for Rusty Client: Sherri Patterson

Page of 3

AF. Official Summary of Visit
PETVET Rabies Certificate

SLINIC

230 E Riverside Dr, Eagle, ID 83616 | petvet.vippetc are.com | 800.427.7973

Vet Notes: Subjective: Pet presents for wellness services, doing well per owner and no
concerns at this time. No vomiting, diarrhea, coughing or sneezing, Pet is
E/D/U/D normally, No history of vaccine reactions per owner, history taken
by rig supervisor.

Objective:

BCS: 5/9

Mentation: BAR

MM: Pink moist, CRT 1-2 sec

DS: 3/4

Orat: Moderate dental tartar/plaque build up or gingivitis

Eyes: no discharge or squinting: no blepharospasms; no fundic exam
Ears: no discharge, full otoscopie exam not performed

Integumentary: No full dermatological exam; no overt masses or
ectoparasites noted

Cardiovascular: strong synchronous femoral pulses; no murmurs or
arrhythmias appreciated

Respiratory: Eupneic. no coughing or nasal discharge, Normal
bronchovesicular sounds, no crackles or wheezes appreciated in any tung
field

Abdominal: no distention noted, No masses or fluid wave appreciated
Neurological: appropriate mentation, full neuro exam not performed
Musculoskeletal: ambulatory x4, no overt lameness noted. Full ortho exam
hot performed

Urogenital: externat genitalia WNL, no discharge or swelling appreciated
Lymphatic: No lymphadenopathy appreciated

Assessment:
Appropriate candidate for weliness services, administered as noted below:

Pian:
Rabies 1 year SQ RH

Additional Notes:

Monitor for signs of vaccine reaction - if any significant swelling, difficulty
breathing, hives, vomiting, or diarrhea within the next 24 hours then P needs
to be taken to an emergency clinic for evaluation.

Elise Dunphy, VMD

CA: KG
Referred To Fuil Service No
Vet:
Rabies | Product: Rabies - Rabies -{MRAB 3 TF Manufacturer: Merial
Vaccine Lot #: 18589 Lot Expiration: 04-27-2025 Duration: 1 year
Date Given: 01-13-2024 Next Vaccination: 01-12-2025
License | Rabies Tag Generic Rabies Tag #V2279080 Expires: N/A

Vaccert: PXO1A-2401:13-A1839W for Rusty Client: Sherri Patterso: Page 2 of 3

FF. Official Summary of Visit
PETVET Rabies Certificate

CLINIC

230 £ Riverside Dr, Eagle, 1D 83646 | petvet.vippetcare.com | 800/427.7973

Signature: Dr. Elise Dunphy

Vaccert: PXO1A-240113-A:1839W for Rusty Client: Sherri Patterson : Page 3 of 3

Legacy Animal Hospital
15605 West Roosevelt Street, Suite 109

Goodyear, AZ 85338

iN Phone: 623-505-3100

Fax: 623-440-5265

LEGACY ANIMAL HOSPITAL legacyanto@gmai.com
TRUSTED FRIEND legacyanimathospitalgoodyear.com

RABIES CERTIFICATE fLercg

Patient and Owner Information

Patient: Tris Owner: Sherri Patterson
Breed: Goldendoodle (canine) Address: 13259 W Flower St
Sex: cemale (intact cane Park, AZ 85340-
Color: Black and white county: Maricopa
Age: 3 Years 2 Months 3 Weeks Phone: 602-818-2679
Birthdate: 02/09/2021 Email: daisysdelightfuldoodies@gm
Weight: 43 lbs (19.50:kg) ail.com
Chip:
Rabies Information
Tag Number:
Product: Rabies 1 yr
Date Given: 01/03/2024
Date Due: 01/03/2025
Lot: 698358; vangaurd; Expires 12/10/2024
Reminder Details
Item sa cecoeetnennnat sone Given Due
Rabies 1 yr 7 _ "91/03/2024 01/03/2025
Exam & Consultation oe 01/03/2024 / 01/03/2025 -

Veterinarian Information

Signature:
Jeovenny T oritio DVM
Name: Jeovanny Toribio
License: 6272
Date: 04/30/2024

Page 1 of 1