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HomeMy WebLinkAboutBP, CO & APP - 06-00391 - 1232 Pleasant View - New SFRZ O rn ^.~ F, o ~ 3 ~ c ~ v 'a m ,~~~. ~ ~ 0" ~ ~ o '. f ~' m N .N~. ~ ~ y ~ ~ a C Vl () C ~ ~ l ~~. ~ ~ o ~ m ~ ~ "' d C Q~~ o v ~ c m ~ 3 ~ q ~ 3 F o o v . ~- ,~ y a S ~, 3 0 Q m n~ ~' s z ~ ~ ~ ~ o ~~~=.o ~ ~ N d ~ ~ Z n f0 3 0 0 ~ v °? 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Main St. / Rexburg, ID. 83440 06 00391 International Residential Code 2003 1232 Pleasant View Single Family Residence Type V, non-rated Residential No Stevens J Bart Etux 210 Nez Perce Rexburg, ID 83440 Stevens Construction 1500 sq ft unifinished basement 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 vies inspected on the-date listed wes found to be in compliance with the requirements of the code for the group and division of occupancy and the use for which the proposed occupancy wes classified. Date C.O. Issued: April 22, 2 C.O Issued by: Building Official There shall be no further change in the e~dsting 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 Inspe Fire Inspector: ~ ~g Electricallnsgector: PBZAdministrator: ~~~` CITY OF KERB UKG BUILDING PERMIT APPLICATION Please c 06 00391 19 E MAIN, REXBURG, ID. 83440 If the questi 208-359-3020 X326 1232 Pleasant View Stevens PARCEL NUMBER: ~~~~rj~ ~"~~ ~ (We SUBDIVISION:.. VAN Vi ~i~ !~ (o UNIT# BLOCK#T~ LOT#~_ (Addressing is based on the information -must be accurate) CONTACT PHONE # PROPERTY ADDRE~S~~~ I P,4~ ~~~ ~- PHONE #: Home ( ) ~ S (n ~ 3 I t~ Wo~r"k ( ) Cell ( ) OWNER MAILING ADDRESS:o~ IJ ~Jt2 i'~/'Lt' ~ CITY: t3t/r STATE:J~ ZIP:~S~O EMAIL F APPLICANT (If other than owner) (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS CITY: STATE; ZIP EMAIL FAX PHONE #: Home Work ( ) Cell -- - CONTRACTOR: 7~~.~15 T. .~ MAILING ADDRESS: o~- I ~ 1JC.2._ P~rC,~ ~e CITY ~tJ~ STATE ZIP 3~~U PHONE #: Home ( )_ 3 ~~- ~ 3 ~ a Work ( ) Cell ( ) 7~ ~ - ~] 3 f ~; EMAIL FAX IDAHO REGISTRATION # & EXP. DATE ~d~ 4.) How manv buildinffs are lncaterl nn this r,rntiPrty? Did you recently purchase this property o Yes (If yes give owner's name) ~p Is this a lot split.~NO~CCYES (Plelase bring copy of new legal description of prop ~ ~ ~ U PROPOSED USE: J - of G Lf !"~~ ~ (i.e., Single Family Residence, Multi Family, Apartm nts, Remodel, Garage, Commercial, Addition, .) AUG ,~ 3 2006 APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: nder ~=i^-~„r3t r hPf~b~,•,,c~e~~f that I have read this application and state that the information herein is correct and I sweaz that any infonnati, ~n t >~~ hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be tru City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the abe menrioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2003 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 stazted within 180 days. Permit void if work stops for 180 days. - - ~/ 3 f / Signature of caner/Applicant DA'T'E Do you prefer to be contacted by fu, email or phone? Circk One 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 januar~l, 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** 2 • 'O~g8XBt7RC ~~ r9 CITY OF o BUILDING SAFETY DEPARTMENT N~ IZEXBZJRG 19 E. Main (PO Box 280) Phone: 208-359-3020 x326 N' Rexburg, Idaho 83440 Fax:208-359-3024 ~e(~ t H E D ~ °'' America's Family Community ~vw.rexbure.ore janellhnn.rexbuxe.orQ Affidavit of Legal Interest State of Idaho County of Madison I, ~-o~2T ~~'T1=.tJC,.~S 02 ~® ~2 ~PJ`C~ Name Address ~~~ City Being first duly sworn upon oath, depose and say: A. State (If Applicant is also Owner of Record, skip to B) 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 ownership of the property which is the subject of the application. Dated this ~ ~ Sa day of c~~1(y , 20 © ~ ~~ Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: 3 08/3 Aug jl,i IUUb ~~ 44AIVl No. Lb4U r. ~1 of Please complete the entire Appl~catlon! If the gnesdoua does not applq Bii in NA for aon app~c~b~ie NAME T E.-v,~ PROPERTY ADD~S S Z ~ ~a. AQ. Permit# SUBDI"VxSION ila. ~ Y?ovelling Unics• ~ Parcd Acces• SETBACKS FRONT' ~ 4,1~ SIDT~ i D SIDE I ~ 1E3ACK~. ~ ~ ~teulodeliag Your Bt~Id~rlg/~3'om~ (need E.~mate) ~ ~ ~~. ©D D . SURFACE SQUARE FOO x.A.GE: (Shall include the exttrior wall bpeaa+~*p*r+eats of the bvildi~ Fi=st Floor Are ~ ©~ ~' Us~niahed $~asetnent ate$ ~ S• ~ D Second Iloor/lo& area ~ D Finished bs~emeatt area ~ ~ 7 a 'Third Hoar/loft area Garage area ~ Z~ Shed os B Carpozt/l~cck (30" above ~rade)Area Watat Metcr Quaatity: - *«*'~'~********Wate= Mefiet Size• ~ a j~e~-~,lll rz~~~~v~ Plumbing Coatractoz's Name: b~cQ+J I'r ~O ^~ Busln.ess Nax~ae: l~-G~ ~~~/ ~d+ ~ ~~~y"i'.z~ Address 76~ ~ Yul+~~r~•~e City ~ J ~~ zip~3yur~ Coma phone: ( ) ~ `,~~-- k" 1 ~Q Basiaess Phoz~ ( ) Email Fax ~~(o "' $ ~ PIXfi~1R-Fs GDlINT' •~t~r r~,,~}1 ~) ~_ Clothes Washing Machine '~ Sprinklars _ ~ Dishwasher ~ ~ Tub/Showers Floox Ax~aiz~ ~ _..,~~ . Taalec/Uxinai ~ Garbage Disposal ~ Watex Heat Hot Tub/Spa _T_ Wager Softener I~ _„~„_ Sinks (I~vatories, kitchens, bar, mop) ~. Plumbing Estimate $ (Conunetaial Onty') ~6 5ag~arutse of Licer~e Conctacicbr License i~umbet& FsPera>zon Date tG 1'l a Gry of .Rexb~g's prrov~2~e sd edab rr the .ranme or ~rgrrired by for Slate of ldabo 4 08/31 Hug ~ I10:LUUD ~ ; 44HIVI ,' ••' Please complete the ent,~te Application! s~plicsble Ntii1~; ~ ~ 7[.Vr~ PROPERTY AJn7C3RF.SS ~ SUBDIVISION ~~l~~IL.~:a Pe~mit# ~equiredll.~ 1kl~C~~ANICAL Mechatlacal Contractor's Nsmc: f~+ ~ar~1o.J' BusJuess Name: ~ a ~.~b -1 ~.a Address rte ,.~ Ciry~ aa~t~_ Stau ,~~ Zip Ny0 Contact Phom.e_ ( ) S 4 - 7 ~ sntcss Phonc: ( ) Email p 1Vlechaaic~l. Estimate $ (Commercial/11~ulti Fa~a~i#y Qaly) F1X'7'URE3 & .~4~'1°J.1ANCES COUNT (Single ~'atmily7~w~elliag Only) Fuxoacc 'L 5 R.Xi~aust ar Vcat Duos ~ _~ ruuiace/Aiz Conditioa2ez Combo 3s ~S Heat Pump Aix Cotxditioaer .Evaporative Cooler ,_~_ Unit Heater /~,, Space Heater L~ Aecorative gas-Fred appliance ~{ ~ Inciueratot system Boiler Pool Heater D1ye,t Vents is Range Food Vents ~~ ~~ Cook Stove Vents ~`~- Bath Fan Vents ~ other sirnilaY vents ~ ducts: ~~ keel Gas Pipe Outlets inclutiin~ stubbed im or future outlets 30 Inlet Prcasure (Meter Supply) PSI Heat (Circle all that apply) Gss Oil Coal Firepkcc Eiccaic Hydro~nic ~b1ec n~ t Sty~o C~ulations mint be aubrai~ed w>T h Pts~r~ Rr A~~licarion Pont of Delive>~Y mu9t„~1,~~ ~vn on ~ ~n~ tine of scd Caaatiractot License number Date Tla Crfy JF~exbmg'.ryernit fie rtbeaW/e !i' tbt rm~r as ~roai-td by tbs S1AYe ~ 002 No. 2640 P. 3 1!'t~e ~u~scioo does ~ apgiy fill in IVA be ran 5 • ........................................................................................... SUBCONTRACTOR LIST Excavation & Earthwork: ~1 Ci.t~ Z~ ~~s.~ 5 ~" Concrete: ~~(~~,~~y~/ ~~5 i Masonry:. J (,~ /~'°~ ~-5 un.~ ,2 c{ Roofing: ~d ~ ~ nl S L -~ C? is+,~1 ~; Insulation: ~'~~ ~ Drywall: _ ~ I~o~QE (I/2c{kjr~L Z f !t Painting: (~J 1 L F..y 1 J~ r.v'f't .<I ~; Floor // Coverings: l~~y (.~u:~.~,f{ZS~,v ~./,tittJi,~ c, --~ ~~ i ~r~ ~I Heating: Electrical: ~ ~ t-~t-~-~tKFr3 Et,~~;-~.rc. Special Construction (Manufacturer or Supplier) Roof Trusses: ~r~c K C o ~,~ ~~,~ ~,~`~-~ Floor/Ceiling Joists: ~~~55 J (~ ~ S~j"' Siding/Exterior Trim:. f~ 1-Z /~~ ~k ~ ~ ~ ~-c( Other: EXEMPTIONS FROM STATE REGISTRATION As of January 1, 2006, the City of Rexburg can no longer sell permits without having a copy of your State registration number or your exemption from the State registration. Please send a copy of your state registration or fill out this form showing your exemption and send it with your license renewal or your next permit application. (This list is a summarization of Idaho Code Title 54 Chapter 5205, for full definitions of these exemptions please see the State's website at www.ibol.idaho.g~vjconthtzn) ^ Currently State licensed pursuant to Title 54 Idaho Code, Chapters: 3 Architects, 10 Electrical Contractors/Journeyman, 12 Engineers/Surveyors, 19 Public Works Contractors (exempt from fee only registration required), 26 Plumbing/Plumbers, 45 Public Works Construction Management Licensing Act (exempt from fee only registration required), or 50 Installation of heating, ventilation and air conditioning systems ^ Employee or volunteer of a licensed contractor or part of an educational curriculum or nonprofit charitable activity with no wages or salary ^ Employee of a US Government agency (State, City, County, or other municipality) ^ Public Utility doing construction, maintenance, or development to its own business ^ Involved with gas, oil or mineral operations ^ Supplier doing no installation or fabricating ^ Contracting a project or projects with a total cost less than $2000 ^ Operation of a farm or ranch or construction of agriculture buildings exempt from Idaho Building Code ^ Any type of water district operations ^ Work in rural districts fox fire prevention purposes ^ Owner who performs work on own property or contracts with a registered contractor to do work as long as the property is not for resale within 12 months ^ Owner or lessee of commercial property performing maintenance, repair, alteration or construction on that property ^ Real estate licensee/property manager acting within Idaho Code ^ Engaging in the logging industry ^ Renter working on the property where they live with the property owners approval ^ Construction of a building used for industrial chemical processing per Idaho Code ^ Construction of a modular building (defined by Idaho Code) to be moved out of state I hereby certify that the above information is true and correct to the best of my knowledge. Signature Date Print Name 7 ~ ~. • Please complete the entire Application! If the question does not apply fill in NA for non app4cabk NAME ~AR-T ~,~L~~ PROPERTY ADD SS 1 a 3 a e4 ~' ~Q. Permit# SUBDIVISION ~~ Vicar 1Ji ~ 1 Dwelling Units: ~ Parcel Acres: SETBACKS FRONT ~ 5 SIDE ~ U SIDE I ('3 BACK ~ ~ Remodeling Your Building/Home (need Estimate) $ '~~~ . ©~a . SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area ~ ~ ~ ,- Unfinished Basement area I ~ O ~ Second floor/loft area ~ ~ 0 ~ Finished basement area I J l ~ Third floor/loft area Garage area q 1 ~ Shed or Barn Carport/Deck (30" above grade)Area Water Meter Quantity: #************* / k Water Meter Size: Required!!! PLUMBING nnAA Q~ /~ Plumbing Contractor's Name: ~~-'~ / r! ©O ^~ Business Name: /~ x /~ Lr~wt/~/ ~6 ~ ~ijl S Address 76(~ /~ `~~',(~ou.iSTDnj~ Ciry ~x~JrS State ~ Zip t d Contact Phone: ( ) 3 ~ ~ -- ~~ Z a Business Phone: ( ) Email Fax ~J ~' ~~ 7 FIXTURE COUNT /including roughed fixtures Clothes Washing Machine Sprinklers Dishwasher cJ Tub/Showers Floor Drain cJ Toilet/Urinal ~ Garbage Disposal ~ Water Heater Hot Tub/Spa Water Softener ~~ Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate (Commercial Only) Signature of Licensed Contractor The City of License Number& Expiration Date Date 't fee schedule is the .came as requfred by the State of Idaho 4 t . Please complete the entire Application! If the question doe. not ,qtly fill in NA 6or ~n applicable NAME ~ ~-/ ~ S ~~'~1 PROPERTY ADDRESS 1 ~ 3d ~ has ~~~ ~ ~ ~ Permit# SUBDIVISION ~. t~ o ~~,~ Requited.!! MECHANICAL Mechanical Contractor's Name: f'`e^'+ J o%f-,J J ~ "y Business Name: l~X f urn (~ t%Jb ~ H~'~~ .~q Address 7~~ (o Vl~ ~C ~ ~ a~:.+~-}~r.+~ City /~ ©y~~ State ,T,~ Zips 3 Nyc~ Contact Phone: ( ) ~ S ~ _ }S~ ~ E7 Business Phone: ( ) Mechanical Estimate $ (Commercial/Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace rJ Exhaust or Vent Ducts Furnace/Air Conditioner Combo Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas-fired appliance Incinerator System Boiler Pool Heater Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic ,mechanical Si?is~¢ Calculations must be submitted with Plans & Application .-- Point of Delivery must be shown on ~ Signature of Licensed Contractor License number The City of Kexburg's permit fee schedule is the came as Date the State of Idaho Dryer Vents 5 Building Safety Department City of Rexburg 19 E Main janellhC~rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OWNER'S NAME ~ >(..~ `( -~ / V'~Y~ {~ PROPERTY AD SS S ~ ~ ~ ~ - `~ SUBDNISION (;~ ~ ' L ~ '~ `~ PHASE L T BLOCK ~ of gtxspRc a'L ~O y 9y U C ,, CITY O F REXIiURG America's Family Community Permit #06 00391 1232 Pleasant View Required.!! ELECTRICAL Electrical Contractor's Name ~ .y -4 ~ C.-~j,Sf-{ M A +~ Business Name ~~ ~ G~,~l ~ L I~j2I C Address `~`~5~ ~~~ ~~% . City ~~KFa'i,1f'l~ State ~'~~~~ Zip~~YtIL ~~-•._ Cell Phone (z~ ~ /U ,~~.~~ (~ Business Phone (2~~) ~~`~ `~ ~~ ct' ~ Fax (~iJ~i) ~ `J ~ ` Cf '7 Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL/MULTI-FAMILY ONLY) TYPES OF INSTALLATION (New Residential includes everything contained within the residential structure and attached garage at the same time) l~ Up to 200 amp Service* 201 to 400 amp Service* C-ver 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 inspections. Additional inspections charged at requested inspection rate of $40 per hour. ,~ /Signature of Licensed Contractor The .~5 ~ ~ License number schedule is the .came as ~~7 .~ ~ lJ' C? Date the State of Idaho