HomeMy WebLinkAboutBP, CO & APP - 06-00301 - 287 Jill Dr - New SFR
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oQ¢~XB~R~.a ~1TY o~ Certificate of Occupancy
i y~ -__
>> ~~~~ City of Rexburg
`v' Department of Community Development
America's Family Community
19 E. Main St. / Rexburg, ID. 83440
Building Permit No:
06 00301
Applicable Edition of Code: International Residential Code 2003
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
287 Jill Dr
Single Family Residence
Type V, non-rated
Residential
No
Name and Address of Owner: Woodhouse Erik C
1420 S 600 W
Oakley, ID 83346
Contractor: Woodhouse & Lee Construction
Special Conditions: No rough in electrical, mechanical, or plumbing inspections were
done for finished basement. No +n~ul~.-~-d~n inSP~~r- r~r~~~+~~•
Occupancy: Residential -less than 2 units, permanent in nature
This Certificate, issued pursuant to the requirements of Section 109 of the International Building
Code, certifies that, at the time time of issuance, this building or that portion of the building that
wes inspected on the date listed vies found to be in compliance vtith 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: February 14, 200 (04:11 PM)
C.O Issued by:
Building Official
There shall be no furtlier 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.
Plumbing Inspect
Electricallnspecto
Fire Inspector: ~ ~ Q
P&Z Administrator:~~~
TEMPOFj~Y
OQ ¢EXBUgC•
9
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CITY of Certificate. of Occupancy
l ti..f~ V i~.v
America's Family Community
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
06 00301
International Residential Code 2003
287 Jill. Dr
Single Family Residence
Type V, non-rated
Residential
No
Name and Address of Owner: Woodhouse Erik C
1420 S 600 W
Oakley, ID 83346
Contractor: Woodhouse & Lee Construction
Special Conditions: No rough in electrical, mechanical, or plumbing inspections were
done forfinished basement. Ne rnsula.~h'c~n insp~~-~ r~u~~+~~•
~fo ~z e-~`r~+~~etec~ by mar~r, ~ ,.~
iya~Qr fCr Y~1t:~~h ~avlei (~x~.r~~) ~ins~tlQ
~- D~+I~~--~~,, ~ t4~ ~;~-t,1~~~ : Y~or~~1~11
Occupancy: Residential- less than 2-units, permanent in nature
This Certificate, issued pursuant to the requirements of Section 109 of the International Building
Code, certifies that, at the time time of issuance, this building or that portion of the building that
toes inspected on the date listed vies found to be in compliance tMth the requirements of the code
for the group and division of occupancy and the use for vthich the proposed occupancy vtes
classified.
Date C.O. Issued: February 14, 200 (04:11 PM)
C.O Issued by:
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.
r
Plumbing Inspect ~ Cat
Electrical Inspecto
Fire Inspector: ~ ~Q
P~ZAdministrator: ~•l~
Building Safety Department
City of Rexburg
19 E Main janellh@rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
OWNER'S NAME
PROPERTY ADDRESS __~~ S 7 ;) J ,~ ,~,~~,
SUBDIVISION ~ ~ ~~i~,~~~
PHASE t ~ LOT_ ~~r BLOCK.~_
287 Jill Dr
Requlred.!!~
Electrical Contractor's Name
ELECTRICAL
O~ pERB URA
ra
x
L r
~~ O
C ['['Y O k
i \Ll~~~
America's Fatuity Community
Permit # 06 003 01
_ _ Name
Address G' ' 7~ City x~-1'~ State Zip ~ is
Cell Phone (~ f!~) ~ - ~j D ~ Ke /1 Busli~ne~s(s' /Phone (2.0;~) ~j 17 - ~ 5D
Fax (ZGg) 3J S~Zo ° ~D~7~ 7 Email_ ~ Y l O"1~'~'Yt~ Yt Yl ~ l' is ~ Iv n n o r~ o ~-
Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL/MULTI-FAMILY ONLY)
TYPES OFINSTALLATION(RESIDENTIAL)
(New Residential includes everything contained within the residential structure and attached garage at the same time)
~ Up to 200 amp Service*
201 to 400 amp Service*
Over 400 amp Service*
Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year)
Existing Residential (# of Branch Circuits)
Spa, Hot Tub, Swimming Pool
Electric Central Systems Heating and/or Cooling (when not part of a new residential construction permit
and no additional wiring)
Modular, Manufactured or Mobile Home
Other Installations: Wiring not specifically covered by any of the above
Cost of Wiring & Labor: $
Pumps (Domestic Water, Irrigation, Sewage)
Requested Inspections (of existing wiring)
Temporary Amusement/Industry
*Includes a maximum of 3 ins ectio .Additional inspections charged at requested inspection rate of $40 per hour.
~.
tgnature of License ontractor License number Date
The
schedule is the .came as required by the State ofldaho
7
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SHED
•
CITY O F
REXBURG
America's Family Community
•
BUILDING SAFETY DEPARTMENT
19 E. Main (PO Box 280) Phone: 208-359-3020 x326
Rexburg, Idaho 83440 Fax: 208-359-3024
www.rexbur4.org janellhCa)_rexburg.orq
Affidavit of Leggy os o030 ~
287 Jill Dr
State of Idaho
County of Madison
Name Address
~ l e ~ Zc.~ra ti ~
City State
Being first duly sworn upon oath, depose and say:
(If Applicant is also Owner of Record, skip to B)
A. That I am the record owner of the property described on the attached, and I grant my
permission to:
Name Address
to submit the accompanying application pertaining to that property.
B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any
claim or liability resulting from any dispute as to the statements contained herein or as to
the ownershipLof the property which is the subject of the application.
Dated this ~ l ~ h day of ~ le, y~ .P , 20~
G~zr/
Signature
Subscribed and sworn to before me the day and year first above written.
~~~~anmrnnhi
~'~ ~ otary Public of Id
~*~~r
Residing at: .~~ ~D,~
p My commission expires: ~ `J'~~I
~ ~..
2
CITY OF REXB URG
BUILDING PERMIT APPLICATION Please c
19 E MAIN, REXBURG, ID. 83440 If the ques
208-359-3020 X326
PARCEL NUMBER: ~~~~$N~~~GO~~f~ ( ~
R~
SUBDIVISION: N~h~p (~SOr1 UNIT#
(Addressing is based on the information -must be accurate)
os o030 ~
287 Jill Dr
BLOCK# ~ LOT#~
OWNER NAME: l,/DGdtib ,, se, ~ l.e~ C~~,sfPu t; ~~~ CONTACT PHONE # ~,p~ y3 i - ~ y YS
PROPERTY ADDRESS: ~, j~ ~ ,~~ // ~~x ~,® ~-y) ~~ yy~
PHONE #: Home (~~') y 3j - ~ 1 ~, Y Work (jog) y ~/- ,~~ y g s Cell ( )
OWNER MAILING ADDRESS: f ~/~G S~. ,QUO U/ CITY: O r~ STATE:~b ZIP: ~
EMAIL r~nrllt o t.c-~~ ~~ n 5 f (~ ~n 2~n2~~,~~ FAX
If other than owner)
(Applicant if other than o statement authorizing applicant to act as agent for o tion.)
APPLICANT INFORMATION: CITY:
STATE; ZIP EMAIL FAX
P :Home ( ) Work ( ) ell ( )
CONTRACTOR:
MAILING ADDRESS: ~9 j ~ 7 tti ~ f~af 90f~ CITY fj - STATEI-T~ ZIP~3ly~
PHONE #: Home ( ) Work (~c~) y 3/ - ~; / ~ y Cell (~ v~ N 3 / - 6N 9s
EMAIL FAX IDAHO REGISTRATION # ~~ - ~ ~~ a,
now many buildings are located on this property`?
Did you recently purchase this property? No ~ (If yes give owner's name)
Is this a lot split: YES (Please bring copy of new legal description of property)
PROPOSED USE: S -`n / r~ Nn ~' l
(i.e., Single Family Residence, lti Family, Apa
PERMIT # Q• ~3 ~
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 i of st r within 180 days. Permit void if work stops for 180 days. /1,~ n /
.. ~/ / / /~
Signature of Owner/Applicant DATE
Do you prefer to be contacted by fax, email o phoney Circle One
WARNING -BUILDING PER 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 your check does not clear**
3
•. 1 •
Please complete the entire Application.
_ If the ~uestion does not apply fill in NA for non applicable
NAME ~ P. I ~a ~ ~~i/~d li~,,.,~
PROPERTY ADDRESS Permit#
SUBDIVISION ~~c~~t^~~~ S , ~; ~~~$~~~,^
Dwelling Units:
Parcel Acres: o~ S ~2~(`N ~
SETBACKS
FRONT ~ ~ SIDE ~ ~ d ~~ SIDE
~ r ~ ~ r BACK ~ ~2 ~
Remodeling Your Building/Home (need Estimate) $
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area ~ r7~~
Second floor/loft area
Third floor/loft area
Shed or Barn
Water Meter Quantity:
Unfinished Basement area «~~
Finished basement area
Garage area ,0 3 3. 7~
Carport/Deck (30" above ~rade)Area
`~G~
************** WateriVleter Size:.
Required!!!
PLUMBING
Plumbing Contractor's Name: c; S ~ ~yl ~-v~7 ~ Business Name: ~~~~ ~ ~-f/taw~'~ 1~ (c/~+~,
Address f 5(c~ ry~Vi~L/' ~~-,- City ~w,~,~ ~ lls State_.~Zip~/
Contact Phone: (2c.~R) 2 (`~ - (~Z-66 Business Phone: (2v8)2~13 -~¢( Q~ pr(Zo~ 73G-GS9-1
~'- ti ~ ~ 1V~ac.~ l-f-v ~ q ~ ~ E , c ~ zr~„ Fax
FIXTURE COUNT (including roughed fixtures)
Clothes Washing Machine
Dishwasher
Floor Drain
_~ Garbage Disposal
Hot Tub/Spa
Sinks
(Lavatories, kitchens, bar, mop)
Plumbing Estimate $
(Commercial Only)
2-v~ _ 73G - C5~/-
Sprinklers
Tub/Showers
~_ Toilet/LTrinal
~-- Water Heater
Water Softener
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
4
Pease complete the entire Application!
applicable
NAME ~(`; ~d.n~. ~Npac.'~i cc5
PROPERTY ADDRESS
SUBDIVISION ~~,~~~~~~,~
Permit#
Required!!! MECHANICAL
Mechanical Contractor's Name: ~ i' ~ Business Name:
Address ~~~ ~ (Jl,/ rty State Zip ~
Contact Phone: ~~ S (~'~Q~ lv Business Phone: ~_~ ~ ~ Z-~/
Email Fax `~~ ~ ~ °'~ .~
Mechanical Estimate $ (CommerciaUMulti Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwehli~g Only)
Furnace ~,~ Exhaust or Vent Ducts
Furnace/Air Conditioner Combo ~ Dryer Vents
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Range Hood Vents
Cook Stove Vents
~_ Bath Fan Vents
other similar vents & ducts:
Space Heater
Decorative gas-fired appliance
Incinerator System
Boiler
Pool Heater
Similar fixtures or Appliances
Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that app y Gas it Coal Fireplace Electric
Mechanical Sizing Calculations must be submitted with Plans & Application
point of Delivery must be shown on plans.
~~
S' at a of Licensed Contractor Licen a number Date
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
If the question does not apply fill in NA for non
5
SUBCONTRACTOR LIST
Excavation & Earthwork: f r,1 f e 's ~x c~,/c~ ~,'o~ ~
Concrete: ~ r ,` Q ~ ~, d ~, ~a r„~
Masonry: (~ ~~ P/'
Roofing: ~ ~%~~~~y~,
Insulation: ~ ~ z , ,~ ,~+
Drywall:
Painting: ~ ~ u~~ ~ ~,~~ ~
Floor
Coverings:
Plumbing:
Heating:_~
un~th~`
v
Electrical: X f,~ ~ ~~, ~. f P ~ ~ , ° ~
Special Construction
(Manufacturer or Supplier)
Roof Trusses:
Floor/Ceiling Joists:
Siding/Exterior Trim:
Other:
6
Building Safety Department '" ~F~kxBURC
City of Rexburg ~~ ~~
,~ o
19 E Main janellh@rexburg.org Phone: 208.359.3020 x326 N'•<,
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 '"`° ''a~
CITY O F
1~1~.17 V lt~
America's Family ('ommuniry
OWNER'S NAME J /~ ~~?(~~ ~~ ~~~~,~ ~ ~~
PROPERTY ADDRESS ? ~; Permit#
SUBDIVISION ~~[! ,~-C~_~
PHASE LOT BLOCK
Required.!!
Electrical Contractor's Name
Name
Address ~(~-(~ G~~1 ~ ~ City ~L~x~ State E' Z[~ip ~~`~~'
Cell Phone ( ) ~~ ~--,~ C~2C7 Business Phone ( ) «~ --~ ( ~ L
Fax ( ) Email
Electrical Estimate (cost of wiring & labor) $ ~ '`~ (COMMERCIAL/MULTI-FAMILY ONLY)
TYPES OF INSTALLATION
(New Residential includes everything contained within the residential
Number of meters being installed
Up to 200 amp Service*
201 to 400 amp Service*
Over 400 amp Service*
Existing Residential (# of Branch Circuits)
(J ~ ~- ~- llV` L~
FEB 2 9 2008
CITYOF R~XBURG
Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year)
Spa, Hot Tub, Swimming Pool
Electric Central Systems Heating and/or Cooling (when not part of a new residential construction permit
and no additional wiring)
Modular, Manufactured or Mobile Home
.~ Other Installations: Wiring not specifically covered by any of the above
Cost of Wiring & Labor: $ - 1 ~- ~ ~. (/ '-
Pumps (Domestic Water, Irrigation, Sewage)
Requested Inspections (of existing wiring)
Temporary Amusement/Industry
*Includes a~tnaxifnum of 3 inspections. ~lc ditional inspections charged at requested inspection rate of $40 per hour.
Signature of Licensed Contractor License number Date
The City of Bexburg's permit fee schedule is the same as required by the State of Idaho
ELECTRICAL
6