HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 06-00439 - The Meadows Townhomes - Bldg #15Z
,~
O
~ N
~
. m 171
/ ~
• • C
rn
z ~
~ ~
f z d -I o D 3 C
c
a ~ N 3
c Z
~ m v v
3
~
m m
v m a
_~ m
_
~ ~~ ~N o
~~~
' m
°
'O
v
n ~
o ~, v .
c 3 ~ C7
n
%~
v
v m~ o <
C 0
~ _;Q
m
~ `~
mNa p
~~~,
a ~ f
O Z
v o 0 0 ~
~ °~ ' ~
~ C
o ~
~,
-o s o N
m
~l
r
Q ~ ~ S
5
.~~. S
_
v
a ~ C N W
~ ~ ~
~ ~ Q
~
~ 3
v ~ .
v fl; ~
fD ~
N !C
O M
n "~ ~ ~
~.
a ~ o rn ,~
W o
a m ~ ~ D p
Z ~ ~
Z
m m~ s Z n
~ v m o
~~ ~
m
R1
Qf
3 ° ~S.o 'A
N ~ V! a ~
~ m
~ Z n f~ S Z1. C
O C1
r
~. N y O N ~
f ~ ~ o. g m
o
N y ~ ~ C ~ A
4,
v m n q~
C; O
n
_3
rt~
Q m ~ .~ n ~
~ ~
c o ~ ~ _
~
.
_~oo~o ,~ m
"~
a '
°' n
o
co p
p~ = c c~ --i
~ ~ r: ? m
Z ~
~
.~.
~ W ~
~ m ,.,i m
~
°,~ ~ _
°o
~ ~ ~~x~, n n ~
C ~ p1 ~ y o ~ (D
~ _ Z
~ .
~' a
C ~ D
~ c
n
_
n
,~ <D a O ~_
C ~. ~ "" Z
~ ~ ~ ~ _~
y (~ ~ ~
Of O a
CD
Q. ~
< _ ~ C
~ ~ o v ~
~ ~
a
Q. ~ a c 5 0
ay ~3 ~ ~
W
~ ~ ~ C
~ . ~ ~.
W ~ y ~
C.~ ~~
y ~. ~ ,
~~3a
cn
y ~ ~ ~ 3
W CJi
~~ y ~ C O
<D ~.
y
<D 3 7 0
O
a ~~ W
~
°
g
~
~~~ v
~
3
3
~ ~ Q. m
N
~ ~ N N
C ~±, 3 V7
n n ~
3 O ~D
C.
~ C
~
x ~ °: ~
~ ~ ~ (~
7 C N ~
a°:~ v.
O "'
o
~
~ y ~
'~
m
3
V/
rn
v
O
^^
0
rn
0
0
w
N
~,
`S~ CjrrO
i ~ ~~
° ~
a
~, ~
a~~`~°t
y
{, J n
A ~ r.~
~ ~ ~
O
~ [/,~j ~,
`c rl ~
~.
~.
~"R
W D TI
m n o W N -~ W N
~ Z
N
m o N
y~ N ~ ~ cn T ~ ~ '~
m
~ ~ ~ ~ ~ ~ v ~ o
~~ 3 ~ ~ ~
~mc~ ~ ~ ?
~ D o• to ~ ~ ~ ~ O
`~ N ~ 0 ~ ? m
moo
C7 m"
' '
~
~ ~ ~'
r Z
W
" m ~. Z ~
Z A
w m m C m C
on ~ ~ ~ ~ ~ ~ 3 ~ r
ai3'~ ;fl °' ~ T ~ ~ ~ ~ p
vz
w ~ Z Z ~ z
vy
n. ~ Z N 0. ~ O ~ ~
91 v ~
01 ~
n ~
0 ~ 0 3 E. rh
{ o ~ ~
-o ~
m
z~g o ~ a
-'~ ~ in
~
C1 Z N ~
O
~
O
D
~ ~ A ~
F a a a
~ -'
o CC 00 V ~ Cfl ? W N -~
~i cn
v
~ p
- 5
o
~ ~
~ T
p ~ r
>
n
v g
>
n
v ~
>
Q
v
~ ~ ~
y
~
S
m ~
oQy~execRCf7 CITY of Certificate of~ccupancy
°>> I~EXBIJIZG City of Rexburg
"°' - Department of Community Development
Y' America's Family Community
eE~rMEO ~
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:
06 00439
International Residential Code 2003
560 Sunflower Rd
Townhome
Type V-N, Unprotected
Single Family Residential
No
Name and Address of Owner: Timberhawk Inc
Po Box 665
Vernal, UT 84078
Contractor: Timberhawk Inc
Special Conditions:
Occupancy: Residential, single family dwellings, lodging houses
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
was inspected on the date listed was 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
was classified.
Date C.O. Issued: May 10, 20
C.O Issued by:
Building Official
There shall be no further change in the existing 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
Fire Department:
lectrical
~~OQ R6XB URCr9
Ur~ O
MfD ~
CITY OF
REXBURG
America's Family Comsnunity
Certificate of~ccupancy
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
359-3020 /Fax
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
06 00439
International Residential Code 2003
562 Sunflower Rd
Townhome
Type V-N, Unprotected
Single Family Residential
No
Name and Address of Owner: Timberhawk Inc
Po Box 665
Vernal, UT 84078
Contractor: Timberhawk Inc
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 of issuance, this building or that portion of the building that
was inspected on the date listed was 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
was classified.
Date C.O. Issued: May 10, 20 )
--.
C.O Issued by:
Building Official
There shall be no further change in the existing 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 Department• ''""L'`' ire Department:
Electrical Department
pBXBUR
~' Certificate of~'ccupancy
~;4 Cfv '_ CITY O F
"N;~ ~~jJjZ~ City of Rexburg
'- `b' ~^--~ Department of Community Development
'<, N: o Ameriu:'s Family Community
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:
06 00439
International Residential Code 2003
564 Sunflower Rd
Townhome
Type V-N, Unprotected
Single Family Residential
No _
Name and Address of Owner: Timberhawk Inc
Po Box 665
Vernal, UT 84078
Contractor: Timberhawk Inc
Special Conditions:
Occupancy:
Residential, single family dwellings, lodging houses
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
was inspected on the date listed was 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
was classified
Date C.O. Issued: May 10, 2007 8:58AM
- - -- -
C.O Issued by:
Building Official
There shall be no further change in the existing 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 Department: - ' C""-'~~~ Fire
E
~ti gEXBUgG
F~ ~7 CITY of Certificate of occupancy
"» ~~~.~ City of Rexburg
"~ n Department of Community Development
'•,, h E o America's Famit ~ Cammuni
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 /Fax (208) 359-3022
Building Permit No: 06 00439
Applicable Edition of Code: International Residential Code 2003
Site Address: 566 Sunflower Rd
Use and Occupancy: Townhome
Type of Construction: Type V-N, Unprotected
Design Occupant Load: Single Family Residential
Sprinkler System Required: No
Name and Address of Owner: Timberhawk Inc
Po Box 665
Vernal, UT 84078
Contractor: Timberhawk Inc
Special Conditions:
Occupancy: Residential, single family dwellings, lodging houses
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
was inspected on the date listed was 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
was classified.
Date C.O. Issued: May 10, 2007 (09:02AM)
C.O Issued by:
Building Official
There shall be no further change in the existing 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 Department Fire Department:
Electrical Department
. ~ C~ ~ f 06 00440
TY OF I~EXB UKG
• BL?iLDING PERMIT APPLICATION Please c The Meadow Bldg # 15
19 E MAIN, REXBURG, ID. 83440 If the quest: 560_ 566 Sunflower
208-359-3020 X326
PARCEL NUMBER: 1 ~.`~,~1~( We will p ovide this for you) ,
SUBDNISION: ~ N ~ G~~wS UNIT#BLOCK# ~ ~ LOT#
Addressing is based on the information - must be accurate
OLY~NERNAME.• 3c~ln L,~,w.~l•-~.uX~i,an, ~CONTACTPHONE # ~8 ° 3G1~5~~,~
PROPERTY ADDRESS: ~ ~ ~° ~CS7r~-~-'~~- ~ ~ ~ 1 ~-~,C~ l `~
PHONE #: Home (t~~~) 7R0 ° ~ f `~ y Work (t/~.s) ~~i /> ° ~1 ~l ~ Cell ( )
OWNER MAILING ADDRESS: `~'~ ~~, ~~ ~F6S P~e+r§~CITY: ~ STATE: D ZIP:$
EMAIL FAX
APPLICANT: (If other than owner) ~! ~ er a,uL'z-- ~V~~,
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS. ~'~ ~ : 63t~x ~~~ CITY: ~!`l~
STATE; ~l ZIP :~~ EMAIL C~nr~s ~-~•dl~.~•~Ax~'~~s~~~ " ls~
PHONE #: Home (y3S) 7~~ "®`~P:~ Work (4~S)-`796 - ~'/~ ~ ~ Cell (~~j `7 $b •~1 ~l
CONTRACTOR: ~0.~~ ~~
MAILING ADDRESS:
PHONE: Home# Work#
Fax#
EMAIL IDAHO REGISTRATION # & EXPIRATION DATE iZC F -° ~ ~'~' ~ ~ ~"
How many buildings are located on this property?,
CITY STATE ZIP
Cell#
Did you recently purchase this property? No es yes give owner's name)
Is this a lot split? ~ YES (Please bring copy of new legal description of property)
PROPOSED USE: ~-~ ~'GC,I,~.,
(i.e., Single Family Residence, Multi Family, Apartments,
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 sweaz that any information which may hereafrer be given by me in hearings before the
Planning and Zoning Commission or the 'ty Council for the City of Rexburg shall be tmth£ul and correct. I agree to comply with all City regulations and State laws relating
to the subject matter of this application hereby authorized representatives of the City to enter upon the above-mentioned property for inspections purposes. NOTE:
The building official may revoke a permi on approval issued under the provisions of the 2003 Intemadonal Code in cases of any false statement or misrepresentation of fact
in the applicgtio~ or on the plans on whi h the permit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days.
,7 / /~ / 2~v~,
Signature of Owner/Applican DATE
Do you prefer to be con cted by fax, email or phone? Circle 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 7anuar~l, 2005.
City of Rexburg's Acceptance of the plan review fee does not constitute plan approval
'k'kBuilding Permit Fees are due at time of application** **Building Permits are void if your check does not clear'
2
Please com lete the e~itire A lication!
p pp
If the question does not apply fill in NA for non applicable
NAME 1 jr~ngG+zutaw~t ~Nz . ~T Ham. Nt '~~vwS
PROPERTY ADDRESS Permit#
SUBDNISION ~Tt~~J M Ef~P. r~1,e/ S
Dwelling Units: "7 Parcel Acres: , 01 r~
SETBACKS ij ~c ~^'~ ~ A o~~,-~ s H~P ~rzo~~ ~ l' c.fl r
FRONT SIDE SIDE BACK
Remodeling Your Building/Home (need Estimate) $ ~ !~
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area _ Z ~'/ 7 ,~ Unfuushed Basement area ~ ~ ~,
Second floor/loft area ,~ ~/ 7 Finished basement area
Third floor/loft area - Garage area
Shed or Barn _ Carport/Deck (30" above grade)Area r~>~
Water Meter Quantity:
**************Water Meter Size:
.Required.!!f
l'LUMBI.I~G ~~ _ ~~~
Plumbing Contractor s Name: ~ ~ ~ l.L, S ~1'~ 1 ~'(`~ ~ Business Name: ~Q ~' l.~ ~ I ~t _
Address ~ ~ ~'~ b ~ ~ 6 r~ ~~ ~ City ~ ~ State L Zip ~3Y~ t
Contact Phone: (a0$) _S~g - ~1 7 15 Business Phone: (ang) ~~! ~ 3 ~/_S
Email
FIXTURE COUNT (including roughed ftxtures~
~_ Clothes Washing Machine Sprinklers
Dishwasher L Tub/Showers
Floor Drain ~ Toilet/Urinal
y Garbage Disposal ~ Water Heater
Hot Tub/Spa ~ Water Softener
~_ Sinks (Lavatories, kitchens, bar, mop)
-Plumbing Estimate $
(Commercial Only)
~..
Si re of Lic ' ed Contractor 'cense Number& Expiration Date Date
The City of Kexburg's permit fee schedule is the ,came as required by the State of Idaho
4
Please com lete the entire A lication!
P pp
applicable
NAME
PROPERTY ADDRESS
SUBDIVISION
Permit#
Required.~~~ MECHANICAL
Mechanical Contractor's Name: ^1+_ ^ ~~ Business Name:- ~ ~`i C~ H 1 l t..
Address C3 ~ ~ D .~ L 1 N p ~r City_ ~. ~~~~s State J`- P Zip ~ 3 ~'/ ° 1
Contact Phone: (~a~) So?l °'~3 J.S Business Phone: (~r;~) S~ ~- ~ 31 S
Email F
Mechanical Estimate $ (Commercial/Multi Family Only)
FIXTURES APPLIANCES COUNT (Single Family Dwelling Only)
~ Furnace 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
If the question does not apply fill in NA for non
Dryer Vents
Range Hood Vents
Cook Stove Vents
C~ Bath Fan Vents
~---- other similar vents & ducts:
~_ Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) as Oil Coal Fireplace Electric Hydronic
Mechanical Sizing Calculations must be submitted with Plans & Ayylication
Point of Deliverv must be shown on Mans.
~'
Si re of Lice ed Contractor
The
License number
schedule is the .came as
~-9 - ~~
Date
the State of Idaho
5
r ~ •
• Please complete the entire Application!
JJ If ~e question does not apply fill in NA for non applicable
NAME I ~ i V~ a~~..t,~~ ~w~. "~' 6~. ~ ~,~ cc, e~ ow i .
PROPERTY ADDRESS Permit#
SUBDIVISION '~~ ~ ~ ~~,~ v~ ~
Dwelling Units: Parcel Acres: • ~
SETBACKS ~c-~ ~~tat~o z~-5 ~$t~c,~h ~~'C
FRONT SIDE SIDE ~ BACK
Remodeling Your Building/Home (need Estimate) $
SURFACE SQUAREFOOTAGE.• (Shall include the exterior wall measurements of the building)
First Floor Area ~-~'~ Z-• Unfinished Basement area
Second floor/loft area `Z~{• `] ~•- Finished basement area-
Third floor/loft area ^"' Garage area
Shed or Barn --~ Carport/Deck (30" above
3/~g i
_- Water Meter Quantity: ~' ~°' ' ` k~" ` `* Water Meter Size:
Required.!!
PLUMBING
Plumbing Contractor's Name:
Contact Phone: (°Lb$
~wc ~`t°
L> ~
°~1~~
FIXTURE COUNT /includin~rou~hed fixtures
'"t Clothes Washing Machine
Dishwasher
Floor Drain
Garbage Disposal
'r Hot Tub/Spa
~~" Sinks
(Lavatories, kitchens, bar, mop)
Plumbing Estimate $ (Commercial Only)
Required! Signature of Licensed Contractor
The City of Ae
et/Urinal
Water er
~_ Water
License number Date
schedule is the same as required by the State of Idaho
Business Name: v l ~iJ~yw~o+
~iV~.r ~- llt~i~-- ""~1
;ity l State ~~1. Zip 3`!-~i7-
sPhone: ~d~) ~~ b ' ~ ~~ 5
Fax
Sprinklers
Tub/Showers
4
,~
.. . ' •
. Please complete the entlre Appllcatlon. If the question does not apply fill in NA for non
applicable
NAME
PROPERTY ADDRESS
SUBDIVISION
Permit#
Required!!!
MECHANICAL
Mechanical Contractor's Name: ~nj tom-( ~~ Nan,( Business Name: ~o ~ ~'Q','~~ Lu
Address ~ ~~ ~~ llo~vbrna K. Gi~I~ City ~-~-~u~"~ State ~~-rb Zip $ 3 ~~O
Contact Phone: (~~ 3`x'8' ®5 25' Business Phone: (7~ 3 5~-~ a~ ZS~
Email_;c~~~5o~f ~~'~`~ ~ tM-~~ ~~-°~ Fax ~ ~-'~fZ;'~
Mechanical Estimate $ (CommerciaUMulti Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only)
-- Furnace ~ ~C ~°-- Exhaust or Vent Ducts rs+'~ ~~
Furnace/Air Conditioner Coml
Heat Pump
-- Air Conditioner
-" Evaporative Cooler
-°- Unit Heater
' Space Heater
-' Decorative gas-fired appliance
° Incinerator. System
Boiler
--- Pool Heater
3S'4 Ys' ~_ Dryer Vents Zo
'- Range Hood Vents
•-- Cook Stove Vents
Bath Fan Vents yo
other similar vents & ducts:
Zoo
Fuel Gas Pipe Outlets including stubbed in or future outlets
is~ SS
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) as Oil Coal Fireplace Electric Hydronic
Mechanical Sizing Calculations must be submitted with Plans & Application
„ ~ Point of Delivery must be shown on plans.
1 ~Z7 l ~ ~ u~ ~~
of Licensed Contractor License number Date
The City of Rexburg s permit fee schedule is the same as required by the State of Idaho
5
Phase complete the en~~ AppliCatiOn! If the question dot~~t apply fill in NA for non
applicable
NAME ~-' ~r~~~-~~~~c'~~~' ~- Permit # 06 00439
PROPERTY ADDRESS `.~~ C' ~ `.' l~ c'~.ti4-~-~) f~- ~ ~Z.
SUBDIVISION- i~''~, ~r~r--~~~~-f"r~~-~~-~~h~-~11(~ 560-566 Sunflower Rd
4 Townhomes
Requlred.!~!
ELECTRICAL
r
Electrical Contractor's Name E'~1 t ~~ Business Name ~~t v ~~~ ink
6,n ~ 2 3~3 n . aaoo ~ • ~3~~a
Address ~` ~T3'-~'~-~"~ City X ~ State ~ ~ Zip
Cell Phone (~,) ~i 1 ~ "' c~~ ~'~'~ Business Phone (2e8) ~ (~ ' rvZ g`~~
Fax (~~) 35 ~ ` ~ b V Email V
Electrical Estimate (cost of wiring & labor) $~l)V (Commercial/Mufti 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*
Existing Residential (# of Branch Circuits)
~~s¢`~ Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year)
Spa, Hot Tub, Swinvning 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 $40 per hour.
Signature of Li nsed Contractor License number Date
The
schedule is the .came as required by the State
6
P, 1
' ~ ~ ~ Meng y TX Result Report (Dec, b. 200~2:45PM) ~ ~ ~
,)
2)
Date/Time: Dec, b. 200b 2:44PM
File Page
No, Mode Destination Pg(s) Result Not Sent
----------------------------------------------------------------------------------------------------
32~9 Memory TX Rocky Mtn Power P. 1 QK
----------------------------------------------------------------------------------------------------
Reason fior error
E. 1) Hang up or line flail E. 2) Busy
E. 3) No .answer E. 4) No facsimile connection
E. 5) Exceeded max. E-ma i 1 s l ze
Please complete the en{~ :Application! lrthm gaearimm amp .,t apple Ell is NA far non
appOceb(e
NAME liwtk~1r1Q4irl~ Permit # Ob 00439
PROPERTYADDRFS$ ~cC-`Yatr. ~.~~-(ln.=:t~,
SC+BDIVI.SION"~1a~ iNloR ri ruC Tn.~ri-sml.2$ 560-566 Sunflower Rd
4 Townhomes
ltequired.!t- ELECTRICAL
Fleeflticel Contncmtrs Name fVEPtl~ lit R.svness Natnc~N00 ~1~ C~~U"~{~aG
ins ~ 4 .7't a o .coop '
Aaaresa ro„~-~1 city Qaxl~,;.r~ s„te ~d ~m ~3~y~
CeIl Phone ~~-
~) 3 t 3-x.893 sn®neas Phme (z a) 3 t ~ - ~. 43R'~
Fas(~Z9i) 35~i-SRoU Email
HlenrienlEstimeie(mosemtw.i®gactml, )f-~S~(Commemlal/14lultiPawitY~Y)
TYPE 9 O F I NS TA L I r i T ION-R S. SI DI 4 N, t'. G 9. L
(nr Rea~tiarJxruar. eox yd mgc~ar~vlov@mare:admeFir.r<rixnre:ndsrrarhna~riage.rrlee sscnr rime)
Up m 2DD amp Services`
/ 2D1 m 900 amp Set ioe*
Over 400 amp Services' ~ .
. P.msting Residential (# of )bench Cinatils) .
)ate Temporuy C~stmctim Setvlce, 200 amp oz less, oue lomtioa (for a grand noY m esreed 1 year)
Spa, Hot'lttb, Swimming Pool
Hlecttic Central Spspemt Fitm6ng sad/ot Caotiag (mLmaorput ofa aewtc~dcmid omstsuctioappmit
andmadditimd.Adarrg) .
Module , Maaufitcmred ox Mobrle Home
Other InataOatigns~ biting not specificsllp covered by 8°Y of the above
Cost of Wimnp, & Labor: S
Pumps (Domestic Watu, Iregailaa, sewage)
Requested Itrspectians {of®sting wiring) ~ .
Temporary AmuseusentJladmsttp .
~~{1mcladosaur®mm of3meeecLLms. ddd'euomaii^si rams ehuged'tmquemd3nspepio¢vte olS~ers 6nuc
s;~.r~mfl: u~~~ l:Qaaam„mse< >~
F
Excavation & Earthwork: (l ~-~~~~. ~ h ~
Concrete: ~.~~.~ ~) i + ~~w~
Masonry: ___.--
Roofing: i ~,~,.~~ ~- ~ c~,~L. ~.,~+.~ ,
Insulation: ~~.~ ~,~..e.~e. ~ ~ r~, g ~ ,,,~'~~
Drywall:
Painting: ~w..~. ,- ~ o~,~.~..- ~~ ,,
SUBCONTRACTOR LIST
Floor
Coverings:
Plumbing:
4
Heating: ~.,( C~~+. u4C
Electrical: ~'P1 Z'Z ~a ~~ ~ rLG v L~~ ~ ~ 2.O ®S 2.Z,Ci
Special Construction
(Manufacturer or Supplier)
Roof Trusses: ~`f ' ~c~~ ~j~+.~~,p~~ S
Floor/Ceiling Joists: ~-~~ e~ ~ ~,~,~~~~,~,~~j ~,,,,~p ~~
Siding/Exterior Trim:~~v ~~ ~~.„r, f ~ ~u,~~
Other:
6
Please complete the en~ AppliCatlOri~ If the question doe~.t apply fill in NA for non
applicable
NAME
PROPERTY ADDRESS
SUBDIVISION
Required~!~
Electrical Contractor's Name \ f
Q D~1 t ~~ ~ b ~ S~ Business Name ~1'p ~ (~ S ESC' ~(/ ~ ~C-
Address ~ 0 ~ 5 3 w ~-a City ~X ~w ~ State ~ Zip ~S y Yo
Cell Phone (2 «~.) 3 ~ 3 ~ °1 ~ ~ ~ Business Phone (`Loy) 313 ~ ~ ~ ~ 3
Fax (~no) 3 SGI - ~r`I o (o Email
Electrical Estimate (cost of wiring & labor) $ i'J~ (Commercial/Mufti 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*
~2 Qac~
Existing Residential (# of Branch Circuits)
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: $
Pumps (Domestic Water, Irrigation, Sewage)
Requested Inspections (of existing wiring)
Temporary Amusement/Industry
ELECTRICAL
Permit#
*Includes a maximum of 3 inspections. additional inspections charged at requested inspection rate of $40 per hour.
Signature of Licensed Contractor
ca 8~~
License number
The
fee schedule is the came as
Date
the State of Idaho
6