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APPLICATIONS, CO, BP - 06-00461 - 625 Harvest Dr - New SFR
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N -I ~ ~ ~ ~ c ~ ~ N ~ ~ n Qo C 'ri fD N O_ CD C~ (D - cfl ~ ~ ~v~ ~ m ~ _ ~ ~ Q. _ cv~ o ~-~ = m m' = o O ~~ m ~ w~ 0 2 z .~ ~ fl1 Z ~ Z~m ~ ~ m ~ r m ~ C7 Z ~ ~ '~ ~~n G o o ~ ~ r , ~ T ~ W - i ~ Z ~ N~ c ~~ ~ Z m z v ° o~ v v G) D C) z ~ v G j ~ n o c !~} o m ~ z n ~ ~ ~ g o ~ ~ ~ N C7 Z < < ~ ~ lD tD lD a a a ~ c0 W v ~ U7 ? W N _n ~ - (n ~ ~ o ~ - 3 ~ O ~ -n ~ ~ (Q 'n c ~ p ~ -n o ~- r `~ ~ S 3 n m S ~ c>' m ~ 7' 7 ci m ~ ~ ~ 5 y c ~ ~ ~ ~ ~ • o4AEX~~k~.,~ __ ~iTY o~ Certificate of Occupancy `"+~ ~~jj Jj~,G City of Rexburg `- `u'~~ Department of Community Development '.,, N E America's Family Community 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3024 Building Permit No: 06 00461 Applicable Edition of Code: International Residential Code 2003 Site Address: 625 Harvest Dr Use and Occupancy: Single Family Residence Type of Construction: Type V-N, Unprotected Design Occupant Load: Residential Sprinkler System Required: No Name and Address of Owner: Mcmaster Jay Robert Etux 12025 South Forest Place Jenks, OK 74037 Contractor: Brett Jensen Construction 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 vies inspected on the date listed lass found to be in compliance vuth the requirements ofthe code for the group and division of occupancy and the use for vihich the proposed occupancy vies classified. Date C.O. Issued: December 1 007 (1 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. Plumbing Inspec~ta • t o.~-- Electrical Inspecto Fire Inspector: i'L ~Gl P8Z Administrator: ~ ( ~ • • <7T~' OF 1~EXB UI~G PERMIT # . . BUILDING PERMIT APPLICATION Please con 19 E MAIN, REXBURG, ID. 83440 If the question i 06 00461Mc,MQS+t~ 208-359-3020 X326 i~,~,.~ 625 Harvest Dr-Jensen onstr. PARCEL NUMBER: ~~~~y~ wl CC~~(~ (We will SUBDIVISION: ~ ~ /r -~` UNIT# BLOCK#_~LOT# ~(p (hddressing is based on the informatiot -must be accurate) OWNER NAME: / ,,COONTACT PHO~N IE # PROPERTY ADDRESS: _ ~~'-- ~-~cOS ~ ~ ~Y\~I~~T ~F~ PHONE #: Home ( ) ~J~~--~Jr~-~ Work ( ) Cell ( ) =3l ~`~ ~'3t OWNER MAILING ADDRESS: ~ ~y7 CITY: ~ck~ STATE:..~~ZIP: 5~3~~ EMAIL ~stii~as7~cr~'L'~ea~.~~f- FAX ~}--07~~' APPLICANT (If other than owner)_ ~G?.S~L (Applicant if other than owner, a statement authorizing applicant to act as agent fox owner must accompany this application.) APPLICANT INFORMATION: ADDRESS /~~Yd~S~~~"r~C~CITY: STATE; ` ~G~ ~ ZIP ~~'Y~ EMAIL~~S~a5~~'~~~e®~~'AX PHONE #: Home ( )~.~~ ~.~/~~ Work ( ) Cell ( ) ~~~-~~.~ CONTRACTOR: ~~ IlQc:~c~-, ~- ,..~- MAILING ADDRESS: ~ U Y 7 CITY ~ STATE~ZIP ~3 Y~ PHONE #: Home ( ) ,~'9~ 953 Work ( ) Cell ( ) ~`.3 "6 73~ EMAIL~*-~'~~~~~~~~e~AX 3.59i>~.G_.S' IDAHO REGISTRATION # & EXP. DATEIc C£ ' 7~~~ How many buildings are located on this property? ~ ~ ~JJ ' ~ Did you recently purchase this property?~o Yes (If yes give owner's name) LL, ~ U ~ ~~ ,~ Is this a lot split? ~-.YES (iiPlease bring py of new legal description of pr ~ j '~ t.e., Single Family Resident , Mul roily, Apartme ,Remodel, Garage, Commercial, Additio Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Ur~~t;~d~pe~j i ,~~e ~~ that I have read this application and state that the information herein is correct and I swear that any informa n w c 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 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 base er 'void ~f t started within 180 days. Permit void if work stops for 180 days. 9 / t / -~~ Signature of O er/Applicant DATE Do you prefer to be contacted 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, anuarXl, 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 ~~~ • Pl~,ase complete the entire Application! t If the questions does not apply fill in NA for non applicable NAME ~~~ ~~i~~-• .~/L/I~CC PROPERTY ADDRESS Permit# SUBDIVISION yt! ~ ~rTe5 Dwelling Units: Parcel Acres: SETBACKS FRONT ~ © SIDE SIDE BACK Remodeling Your Building/Home (need Estimate) $ SURFACE SQUARE FO~°OTAGE: (Shall include the exterior wall measurements of the building) First Floor Area~~ IO Unfinished Basement area Second floor/loft area Finished basement area J~ ~ Third floor/loft area Garage area 1~ Shed or Barn Carport/Deck (30" above grade)Area Water Meter Quantity: **************Water Meter Size: Requlred.!~! PL ZIMBING Plumbing Contractor's Name: -~~! ~~!l~-~7 Business Name: 3'C.E Address -y~~ City State -~-~~u- Zip~~~~ Contact Phone: ( ) 3JC ~~?~" Business Phone: ) Email Fax ~~J 6 ~~? ~~' FIXTURE COUNT (including roughed frxturesl ~ Clothes Washing Machine ~ Sprinklers r 1 Dishwasher ~ ~~Tub/Showers Floor Drain /~ Toilet/Urinal Garbage Disposal ~ Water Heater Hot Tub/Spa f Water Softener Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $, (Commercial Only) Sign tune of Licensed Contractor License Number& Expiration Date Date The City of Beuburg's permit fee schedule is the same as required by the State of Idaho - -_ 4 Plea8e Complete the entire ApplicatiOn~ If the question does not apply fill in NA for non ap~licabk NAME ~G ~~`~'' v ~y~~LS .~'~ PROPERTY ADDRESS Permit# SUBDIVISION _ /~ cs 2~ ~~„ ~ 3 Required!!! MECHANICAL Mechanical Contractor's Name ~'~~~ C ~l~!/~~'? Business Name %'H"""" Address City State Zip Cell Phone ( ) ~~r ~ ~ Business Phone ( ) Fax ( ) ~~ ' g 7 ~~ Email Mechanical Estimate $ (Commercial/Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace ~ Exhaust or Vent Ducts h ~ Furnace/Air Conditioner Combo 3~ ~ Dryer Vents S'- Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas-fired appliance 3b Incinerator System Boiler ~ Range Hood Vents S~ Cook Stove Vents Bath Fan Vents l ~ other similar vents & ducts: ~gv Pool Heater J Fuel Gas Pipe Outlets including stubbed in or future outlets Z,.~ Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic Mechanical Sizing Calculations must be submitted with Plans & Avvlication Pint of Lleliverv must be shown on }Mans. Signatur icensed Contractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho 5 Building Safety Department City of Rexburg 19 E Main janellhQrexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OWNER'S NAME ~7a P:t4" <'S~~~t~ CU'f1~S~' PROPERTY ADDRESS ~ ~ ~~~ve~~ ~C SUBDIVISION ~+6~e.~-- ~~-Y~,~ PHASE LOT lD'-' BLOCK 1 o~ QtixsUR~ ~a 'o v o .~ 9y '°<._ NFD C[ T Y O F REXBURG _~u~ _ America's Family C~rnmunity Permit # 06 00461 625 Harvest Dr Required!!! ELECTRICAL Electrical Contractor's Name ty-1w~ ~le~, ,f,,i- (1r~~~ ~~ usiness Name ~- ~C tic ~.i '~ , Address ~-/3 t/S ~T~.~/ ~ -f City /et State ~ 7~ Zip Cell Phone ( ) ~ - `7 - 3 ~'~: -Business Phone ( ) 3 0'~- 3`~S'~ Fax 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 of 3~spections. Additional inspections charged at requested inspection rate of $40 per hour. Licensed License number Date The City of Bexburg's permit fee schedule is the .came as required by the State of Idaho 7