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-n of SINGLE FAMILY RESIDENTIAL
REXBLIR~ City of Rexburg
AMERIGS fAMN.Y COMMUNITY
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 /Fax (208) 359-3022
Project Information Permit # OS 00061
Permit Type Single Family Residential Project Name SFR
Site Address 1214 PLEASANT VIEW DR Parcel # RPRWED5070040
Project Description
SFR
Fee Information Project Details
Dwellings -Basements -Unfinished 2,732 SQFT
Project Valuation $287,735.24 Dwellings - Type V Wood Frame 3,982 SQFT
Building Permit Fee 2,046.55 Private Garages -Wood Frame 941 SQFT
Plan Check Fee 204.66
Residential Plumbing Permit Fee 304.00
Water Meter & Parts 417.00
Hookup Fee/Water 1,334.00
Hookup Fee/Sewer 905.00
Park Impact Fee 604.97
Police Impact Fee 158.11
Fire Impact 184.61
Mechanical Fee Base 250.00
Total Fees Paid $6,408.90
Print Name Dare Issnea:
Signature Date Issued By:
CITY OF
RExBU~c
MAERIG5 fAMU.Y COhLNUNITY
SINGLE FAMILY RESIDENTIAL
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 /Fax (208) 359-3022
Project Information Permit # OS 00061
Permit Type Single Family Residential Project Name SFR
Site Address 1214 PLEASANT VIEW DR Pa rcel # RPRWED5070040
Project Description
SFR
Names Associated with this Project
Type Name Contact Phone # License # Ezp Date
Applicant Stevens J Bart Etal
Owner Stevens J Bart Etal
Contractor Rexburg Plumbing Kent Johnson 208-356-8770 HV-CC 1416 09/30/2006
Contractor Rexburg Plumbing & Heating Nephi Dean 208-390-0510 9999 12/31/2006
Contractor Stevens, Bart 208-709-7312 NONE RECORDED 12/31/2006
Fixtures
6 - R-Additional fuel piping fixture or appliance outlet(s) 1- R-fuel (gas) piping fixture or appliance outlet
1 - R-Additional dryer vents 5 - R-Additional bath fan vents
1 - R-bath fan vents 1- R-range hood vents
1 - R-Additional Decorative gas-fired appliance(s) 1 - R-Decorative gas-fired appliance
1 - R-Furnace 1 - R-Additional Furnace(s)
1 - R-exhaust or vent duncts 1 - R-cook stove vents
2 - R-Additional exhaust or vent ducts 1 - R-Garbage Disposal
1 - R-Water Softener 6 - R-Water Closet and/or Urinal
1 - R-Clothes Washing Machine 2 - R-Dish Washer
2 - R-Floor Drain 3 - R-Water Heater
11- R-Sink (Lavatory, Kitchen, Mop or Bar Sink) 5 - R-Tub and/or Shower Unit
1 - R-Sprinkler
Print Name Date Issued:
Signature Date Issued By:
u~4¢EX$uR~°~ °`TY °F CERTIFICATE OF OCCUPANCY
s~ RExI3URG
Americn',s Fatuity Community
'°`~S~E~ ~''' Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 /Fax (208) 359-3022
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
05 00061
International Building Code 2003
1214 Pleasant View
Residential
Type V-N, Unprotected
Single Family Residence
No
Name and Address of Owner: Stevens J Bart Etal
210 Nez Perce
Rexburg, ID 83440
Contractor: Stevens, Bart
Special Conditions:
Occupancy: Residential, single family dwellings, lodging houses
This Certificate, issued pursuant to the requirements of Section 909 of the International Building
Code,. certifies that, at the time time ofissuance, this building orthat portion ofthe building that
wes inspected on the date listed vies found to be in compliance with the requirements ofthe code
for the group and division of occupancy and the use for which the proposed occupancy wes
classified.
Date C.O. Issued: March
C.O Issued by:
20, 2006 (08:3 )
Building Official
There shall be no further change in the e~asting occupancy classification of the building nor shall any structural changes,
modifications or additions be made to the building or any portion thereof until the Building Official has reviewed and approved
said future changes.
Water Departmen . ~ Fire D nt:
State of Idaho Electrical Department (208-356-4830)• '
CITY OF REXB URG
BUI `DING PERMIT APPLICATION
PERMIT #
19 E MAIN, REXBURG, ID. 83440 Please complete the entire Application!
2.08-359-3020 X326 // If the question does not apply fill in NA for non applicable
PARCEL NUMBER:_ ~~ ~ ~~ ~O~QQ+~
SUBDIVISION: I~a I ~~ Ute~v ~ S ITNIT# BLOCK#t LOT#
OWNER: ,~2:~ ~~YFr1~~~/ ol'~rf~.+~) ~nNST> CONTACT PHONE # ~Q y ' 73
PROPERTY ADDRESS: 1 vl I ~ ~L~~'-~ ~i~~ O~• ~ ~3
PHONE #: Home
Work
Cell
OWNER MAILING ADDRESS: 02 /Q %1f r! Z ~~'-/~~ CITY: /) J STATETi~ ZIP: ~53~~
APPLICANT (If other than owner)
(If applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
MAILING ADDRESS OF APPLICANT
~-wt~ - CITY:_
PHONE #: Home ( ) Work
STATE; ZIP
Cell ( )
CONTRACTOR~TGJL-+~S Co„sj i . PHONE: Home# Work# Cell#
MAILING ADDRESS: a I0 ~'Z Pelt-E' CITY r',QJf STATE ~ ZIPtY3~I~~
How many houses are located on this property?
Did you recently purchase this property? No Yes (If yes give owner's name) ~~9-
Is this a lot spli . NO YES (Please bring copy of new legal description of property)
PROPOSED USE: ~ ~
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby
certify that I have read this application and state that the information herein is correct and I swear that any information which may
hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be
truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and
hereby authorized representatives of the City to enter upon the above-mentioned property for inspections purposes. NOTE: The
building official may revoke a permit on approval issued under the provisions of the 2000 International Code in cases of any false
statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not
started within 180 days. Permit void iiw work stops for 180 days.
Signature of Owner/Applicant
~ /7 /QS
DATE
WARNING -BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE!
Plan fees are non-refundable and are paid in full at the time of application beginning January 1.2005.
City of Rexburg's Acceptance of the plan review fee does not constitute plan approval
**Building Permit Fees are due at time of application**
**Building Permits are void if you check does not clear**
Please complete the entire Application!
If the question does not apply fill in NA for non applicable
NAME Rf ' i/f~~
PROPERTY ADD~~SS (~e< ~.w ~~ - ~-. Permit#
SUBDIVISION Va-~-~~ ~ ~ ~ ~
Dwelling Units: I Parcel Acres:
SETBACKS
FRONT ~~ 0 SIDE / D SIDE ~ 0 BACK 3 4
Front Footage (if applicable)
Storm Water Length
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area ,) ~ 3 ~. Unfinished Basement area
Second floor/loft area ~ ~ i O Finished basement area ~ D
Third floor/loft area Garage area 9~~ I
Shed or Barn Carport/Deck (30" above grade)Area
Remodel (Need Estimate) $
Water Meter Count:
Water Meter Size: / "
PLUMBING ~° °'~
Plumbing Contractor's Name: ~~/~i/~fo I~ i.~C ~~,~ta,~~usiness Name:
Address State
Contact Phone:
FIXTURE COUNT (including roughed fixtures)
~ ~ Clothes Washing Machine
~ 11 Dishwasher
Floor Drain
Garbage Disposal
Hot Tub/Spa
4~ ~~~Sinks
(Lavatories, kitchens, bar, mop)
Business Phone
~~ ~ a
Zip
Sprinklers
~~ /[ Tub/Showers f
~~ Toilet/Urinal /
~ ~ Water Heater
Water Softener
Plumbing Es 'mate $ (Commercial Only)
~1„~c_ -i ~paS ~ M ~~~ y~
Signature of Licensed Contractor License number Date
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
2
°~~tJ.+2
'~
Please complete the entire Application!
If the question does not apply fill in NA for non applicable
NAME ~,q~Rr ~~;/~yc.l~
PROPERTY ADDRESS Permit#
SUBDIVISION
MECHANICAL '~+ ~°~N s~
Mechanical Contractor's Name: ~p ~ -r Busi~ss Name:
Address Yp ~x State Zip~(~
Contact Phone: ( ) ;~s~, ~~p Business Phone: ( ) 35(, d~•~(,~
Mechanical Estimate $ (Commercial/Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only)
~! Furnace ~~ Exhaust or Vent Ducts
Furnace/Air Conditioner Combo ~ Dryer Vents
Heat Pump ~ Range Hood Vents
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas-fired appliance
Incinerator System
Boiler
Pool Heater
Similar fixtures or Appliances
~'~ Cook Stove Vents
Bath Fan Vents
other similar vents & ducts:
~ T Fuel Gas Pipe Outle~ including stubbed in or future outlets
PsL
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
Signature of Licensed Contractor
~v~ ~ ~ 14-~ ~ M~ o~
License number Date
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
3