HomeMy WebLinkAboutAPPLICATIONS, CO, MULT DOCS - 06-00548 - Rockcreek Townhomes - Units #61-68Z
O =
N
m M
W
C
m v �
■.� z
o W Sso D C
o m D Cn
p p (D - S O
�_ (� 3
q, z --I
v Q� ar
m O
O _ N
Cl C n o
m
c N
0 0
� v n X
m c0 0 c 0
m = C m
CD
C Z
v
o 0
0
o
E s
o , m
E CD
j3 CD
cr
co
v r
0 o O v
cn
c V1
s 3 r
m
0 =3 N CA
o m
CD 3 W v
C. (D Z
0 -1
v m 5 r Z n 2
O (D 0
o m m
T
W N N d �/
Z c '
(Q S t1 c
O O 0 Q 0
U) CD 0- C N c O 0
f O N n 0 m v
° _ s= o Z
� N y W W -
=r cD 6 O
N NO O- N /�
_ 3 0 VI
m 0 n _
o ° d 0
< �sCD m
(D O O 0
m n n
a �
v
�D
O
cD
a
W
C
Q
N
v �
Q
W
7
7
y
M
a
O
1
NO-
� o, C> -1
S .
o.
to O a
X
. M r
F C)
N W
N 0
Q N
CD
<D
O N .► _
m a O a;
CL 1D CL
'► N
C O
7
IM 2. A)
r• n 'U
CL 'ID m
3�3Q-
cQ m �:
3 Q W
-0 O CD
n �
7 �
O a O
p1
S O Q.
( (D
C
*< a
n
o �. 3
n CD �Q
/X
Q CO
x
CD o
H
Q _K Of
O O S
N
CD
c) -n
O
z
M -�
m
C7 n
O O
z Z
CO)
D C
n c
--I n
o
-i
z
�
�. -n
t X
c O
pr
0
o
O
OD
O
IN
C-
0
W
g
X
m
CO)
i rl
4
D
CD
z
m
CO
n
--I
O
N IV
m
-i
C
v
O
R �o
0
m 4a Cl2'r
° gym
1
o �,�b
m
£„ n
I
9 O
`K
c0 �.
0"G
m n o
�'
m
a
m C
�
ti
=
�
3� °
o
O
o
�
�
o
o
n
V1
m
�
n
w
N
N
�
�
O
m � o N
G)
w
w
y
co
c
s
_n
;u
��
�
3
T
- n
- n
c �' 3 �+
c
°'
v
°c
T v o
(Q
M
o
-
(a
n
m
v 0
Q
3
-!
1
M m v, � 3 O
c
?-
?
m
z
Do 00 n m �*
°
0
o
r
r
po
Z � m v � Z
0 'Z
7
�
c
c 0.
0 �
0 Cl) 3
0
0
3
--I
r
a -4 Z
z
m�� r o o -m O
v
v p
v G)
g
I ° rh
-
O m < - o a m C ■
Z - 4 0 o � o-
N
n z N
O
O
O
(DD
a
f�D
CL
a
Q
�'
m
a
m C
�
ti
=
�
3� °
o
O
o
�
�
o
o
n
m
�
n
m
�
n
w
y
m
c
s
O� e,BXB URC,
V O
+
CITY OF
REX
America's Family Community
Certificate of Occupancy
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
359 -3024
Building Permit No: 0600548
Applicable Edition of Code: International Residential Code 2003
Site Address: 565 Pioneer Rd *LP 1
Use and Occupancy: Townhome
Type of Construction: Type V -N, Unprotected
Design Occupant Load: Residential
Sprinkler System Required: No
Name and Address of Owner: Sainsbury C Thomas Etal
4697 N Haroldsen Dr
Idaho Falls, ID 83401
Contractor: Sainsbury 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 vies found to be in compliance Wth the requirements of the code
for the group and division of occupancy and the use for Mich the proposed occupancy vies
classified.
Date C.O. Issued: August 02, 2007 (11:49AM)
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.
Inspector: Plumbing `�"'��'�'�°-
9 P 'Fire Inspector: Inly
Electrical Inspector: P&Z Administrator:
WWI
O4 titEXB (7g�.
CITY O F Certificate of Occupancy
REX City of Rexburg
` n Department of Community Development
Americas Fam Communi
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359 -3020 / Fax (208) 35 -3024
Building Permit No: 0600548
Applicable Edition of Code: International Residential Code 2003
Site Address: 565 Pioneer Rd ?d' lod
Use and Occupancy: Townhome
Type of Construction: Type V -N, Unprotected
Design Occupant Load: Residential
Sprinkler System Required: No
Name and Address of Owner: Sainsbury C Thomas Etal
4697 N Haroldsen Dr
Idaho Falls, ID 83401
Contractor: Sainsbury 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 vies found to be in compliance Wth the requirements of the code
for the group and division of occupancy and the use for vihich the proposed occupancy Ms
classified.
Date C.O. Issued:
C.O Issued by:
September 05, 2007 2PM)
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 Inspector-
Electrical Inspector:
Fire Inspector: V
PAZ Administrator: f(1 f 0.
o4 Raxsv Ac
CITY OF
REX
America's Family Community
* Certificate
o ccupancy
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
024
Building Permit No: 0600548
Applicable Edition of Code: International Residential Code 2003
Site Address: 565 Pioneer Rd :
Use and Occupancy: Townhome
Type of Construction: Type V -N, Unprotected
Design Occupant Load: Residential
Sprinkler System Required: No
Name and Address of Owner: Sainsbury C Thomas Etal
4697 N Haroldsen Dr
Idaho Falls, ID 83401
Contractor: Sainsbury Construction
Special Conditions: S;i0FR{� ��U^t,�V� m+ t(�� ,
((e.�.
Occupancy: Residential, single family dwellings, lodging houses
This Certificate, issued pursuant to the requirements of Section 109 of the Intemational 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 vies found to be in compliance vuth the requirements of the code
for the group and division of occupancy and the use for Mich the proposed occupancy vies
classified.
Date C.O. Issued:
C.O Issued by:
September 05, 2007 2PM)
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 Inspector-
Electrical Inspector:
Fire Inspector: - n 10.
P &Z Administrator: h �a
�AEXBURG,� CITY OF Certificate of Occupancy
° RE City of Rexburg
America's i4mily Communi t Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359 -3020 / Fax (208) 359 -3024
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
Name and Address of Owner:
Contractor:
0600548
International Residential Code 2003
565 Pioneer Rd -W { p l
Townhome
Type V, non -rated
Residential
No
Sainsbury C Thomas Etal
4697 N Haroldsen Dr
Idaho Falls, ID 83401
Sainsbury Construction
Special Conditions:
Occupancy: Residential- less than 2 units, permanent in nature
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
vies inspected on the date listed vies found to be in compliance vtith 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: January 10, 2008.01:OOAM)
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 Inspecto . Fire Inspector
C
Electrical Inspectors' _ P&ZAdministrator:
•
oQREXg °R� Certificate of Occu an
F � . c iz r o cy
REX
CW City of Rexburg
Americas Famil Communi Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone 208 359 -3020 /Fax 208 359 -3024
Building Permit No: 0600548
Applicable Edition of Code: International Residential Code 2003
Site Address: 565 Pioneer Rd A-(,Qy
Use and Occupancy: Townhome
Type of Construction: Type V, non -rated
Design Occupant Load: Residential
Sprinkler System Required: No
Name and Address of Owner: Sainsbury C Thomas Et a I
Contractor:
4697 N Haroldsen Dr
Idaho Falls, ID 83401 _
Sainsbury Construction
Special Conditiorrs:
Occupancy: - Residential - less than 2 units, permanent in nature
This Certificate, issued pursuant to the requirements of Section 109 of the International Buildin g
Code, certifies that, at the time time of issuance, this building or that portion of the building that
vies inspected on the date listed was found to be in compliance vuth the requirements of the code
for the group and division of occupancy and the use for which the proposed Occupancy vies
classified. y
Date C.O. Issued: December 2007 (:OOPAA)
C -O Issued by:
Building.0fricial
There shall be no further change in the wdsting occupancy classification of the building nor shall any structural changes,
modifications oradditions be made to the building or any portion thereof until the Building Official has reviewed and approved
said future changes.
Plumbing Insp
Fire Inspector: V1 tA
Electrical Inspector:
PAZ Administrator: VPhr
M
_4�E 1tEX6
G
9
v o
� et'tH
CITY OF
REX BURG
01% - --
America's Family Community
Certificate ofDccupancy
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
/ Fax
Building Permit No:
0600548
Applicable Edition of Code:
International Residential Code 2003
Site Address:
565 Pioneer Rd kD5
Use and Occupancy:
Townhome
Type of Construction:
Type V -N, Unprotected
Design Occupant Load:
Residential
Sprinkler System Required:
No
Name and Address of Owner:
Sainsbury C Thomas Etal
4697 N Haroldsen Dr
Idaho Falls, ID 83401
Contractor: Sainsbury 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 was found to be in compliance vtith the requirements of the code
for the group and division of occupancy and the use for vihich the proposed occupancy vies
classified.
Date C.O. Issued: September
C.O Issued by:
Building Official
7 (12:32PM)
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 Inspector: Fire Inspector: 0`
Electrical Inspector: P &Z Administrator:
Al 7
CITY OF
Z EXBUR
CW _ --
Americas Family Community
Certificate of C[ccupancy
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Building Permit No: 0600548
Applicable Edition of Code: International Residential Code 2003
Site Address: 565 Pioneer Rd -4tto o
Use and Occupancy: Townhome
Type of Construction: Type V -N, Unprotected
Design Occupant Load: Residential
Sprinkler System Required: No
Name and Address of Owner: Sainsbury C Thomas Etal
4697 N Haroldsen Dr
Idaho Falls, ID 83401
Contractor: Sainsbury 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 ms found to be in compliance vuth the requirements of the code
for the group and division of occupancy and the use for Mich the proposed occupancy vies
classified.
Date C.O. Issued: September 05,200 2:32PM)
C.O Issued by: -J
Building Official
There shall be no further change in the e)asting occupancy classification of the building nor shall anystructural 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 Inspecto
Electrical Inspector:
Fire Inspector: V-1 1 C&
PAZ Administrator: 1MQ_-
oti RExeeq�
CITY OF
REEX
Ckv
Americas Family Community
•
MPORARY
Certificate ofl5ccupancy
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
e
Fax
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
Name and Address of Owner:
Contractor:
Special Conditions:
Occupancy:
International Residential Code 2003
565 Pioneer Rd #(ot
Townhome
Type V -N, Unprotected
Residential
No
Sainsbury C Thomas Etal
4697 N Haroldsen Dr
Idaho Falls, ID 83401
Sainsbury Construction
I Y6uftf -
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 vies found to be in compliance vuth the requirements of the code
for the group and division of occupancy and the use for Mich the proposed occupancy vies
classified.
Date C.O. Issued: September 05, 200 2:32PM)
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 Inspecto • Fire Inspector: - h-t 0,
Electricallnspector: P &Z Administrator: A4a
4 R$XB (Y
h� U �
eo
CITY OF
REX BURG
"W - - --
Americas Family Community
Certificate of Occupancy
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359 -3020 / Fax
Building Permit No: 0600548
Applicable Edition of Code: International Residential Code 2003
Site Address: 565 Pioneer Rd * 1D
Use and Occupancy: Townhome
Type of Construction: Type V -N, Unprotected
Design Occupant Load: Residential
Sprinkler System Required: No
Name and Address of Owner: Sainsbury C Thomas Etal
4697 N Haroldsen Dr
Idaho Falls, ID 83401
Contractor: Sainsbury 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
Kos inspected on the date listed vies found to be in compliance vith the requirements of the code
for the group and division of occupancy and the use for vihich the proposed occupancy Kes
classified.
Date C.O. Issued: September
C.O Issued by:
Building Official
:32PM)
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.
gig
Fire Inspector: �Q
P&ZAdministrator: VN
` ;O4 gCXSUR�' J r
CITY OF
REX BURG
Americas Family Community
Certificate of Occupancy
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
/ Fax
Building Permit No: 0600548
Applicable Edition of Code: International Residential Code 2003
Site Address: 565 Pioneer Rd # tP
Use and Occupancy: Townhome
Type of Construction: Type V -N, Unprotected
Design Occupant Load: Residential
Sprinkler System Required: No
Name and Address of Owner: Sainsbury C Thomas Etal
4697 N Haroldsen Dr
Idaho Falls, ID 83401
Contractor: Sainsbury 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 vies found to be in compliance vuth the requirements of the code
for the group and division of occupancy and the use for Mich the proposed occupancy vies
classified.
Date C.O. Issued
C.O Issued by:
auuamg vrnc[al
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 Inspector Fire Inspector:
Electrical Inspector. PAZ Administrator: n i
GT_Y OF 13EXB UKG
BUILDING PERMIT APPLICATION Plea
19 E MAIN, REXBURG, ID. 83440 If the q
208 - 359 -3020 X326
PARCEL NUMBER:
PERMIT #
0600548
Rock Creek Townhomes le
i
8 Units
SUBDIVISION: UNIT# BLOCK# LOT#
(Addressing is based on the information - must be accurate) G' P`�� Ufa �. to1-;.
CONTACT PHONE # ' � ° 52 " 96; ?a
PROPERTY ADD
PHONE #: Home ( ) Work (Z:3) 6'- a/ - 4 .AIQ Cell ( )
OWNER MAILING ADDRESS: '/ ,00- %dSe tOr CITY: 4 . ft STATE: ZIP:
EMAIL FAX , 9) ,662- SP4
APPLICANT (If other than owner) z . kz.,d
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS CITY: 14<10ily I_
STATE; lit, ZIP Z�, EMAIL FAX
PHONE #: Home ( ) Work - 36 &c, Cell (
CONTRACTOR yttr' h s `2yrG",.
MAILING ADDRESS: ht_JVIG 1,e, t 106 CITY 646 , -6W5 STATE 14. ZIP 22Jle'Z
PHONE #: Home ( ) Work ( .i % ' cf Sl0 Cell ( )
EMAIL FAX - S`? 4 S IDAHO REGISTRATION # & EXP. DATE
How many bulldmgs are located on this property ?
Did you recently purchase this property? N e f yes give owner's name) 6j1 ! �� Y/
Is this a lot split? NO YES (Please bring copy of new legal description of property)
PROPOSED USE: ffM Vni h( f-51 o fit °' -f ike
(i.e., Single Family Residence, Multi Fan*, Apartments,
Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalt of perjury, I hereby certif
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 2003
International Code in cases of any false statement or misrepresentation of fact in the application or on the s on which the permit or approval was
based. Permit void if not started wil 180 days. Permit void if work st
Signature of Owner /Applicant / V
Do you prefer to be contacted by ,email or p M b
e
WARNING — BUILDING PER
Plan fees are non - refundable and are pai in
City of Rexburg's Acceptance of e
**Building Permit Fees are due at time of appli atie
Cirrg= 2006
iT S DON C
1 at the time of annlicat
1! i 'T /
DATE
1 SITE! `~
approval
• check does not clear**
2
/o� ro6
9
MN� '
9q 'f
��THED \0
a
CITY O F
REX
America's Family Community
(9
BUILDING SAFETY DEPARTMENT
19 E. Main (PO Box 280)
Rexburg, Idaho 83440
www.rex rg,.ore
Phone: 208 - 359 -3020 x326
Fax: 208 - 359 -3024
jane11h(@rexburg.org
Affidavit of Legal Interest
State of Idaho
County of Madison
Name
s
1 kv l,�
cit
Being first duly sworn upon oath, depose and say:
6 7 2 �'
Address
State
(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: d'� �'`Ji!l ✓ �? 3/ S - /�' :t' t ar
Name Address
--3'
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 ap lication.
Dated this day o �- , 20
U
Subscribed and sworn to before meoffie day an4yearf*st above written.
Notary Public of Idaho
116
ff 1
Residing at:
My commission expires:
W
69
Please complete the entire Application!
If the question does not apply fill in NA for non applicable
NAME
PROPERTY ADDRESS Permit#
SUBDIVISION
Dwelling Units: Parcel Acres:
SETBACKS
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 Unfinished Basement area
Second floor /loft area Finished basement area
Third floor /loft area Garage area
Shed or Barn Carport /Deck (30" above grade)Area
Water Meter Quantity: * * * * * * * * * * * ** *Water Meter Size:
RequlredLY
PLUMBING _.
Plumbing Contractor's Name: )A �A >� �� �� "A J& PIusiness Name:
Address :!!9"� I S S-t 1 �� r City I P R A CS State Zi
Contact Phone:" ) �� — �� to Business Phone: (7-0
Email Fax
FIXTURE COUNT hncludinLo -ahed fixtures
_ Clothes Washing Machine
f Dishwasher
Floor Drain
Garbage Disposal
— Hot Tub /Spa
ko Sinks (Lavatories, kitchens, bar, mop)
Estimate $
of Licensed Contractor
The City of
� Sprinklers
Tub /Showers
q? - 3 Toilet /Urinal
Water Heater
Water Softener
(Commercial Only)
C 162- S`'
License Number& Expiration Date
wit fee schedule is the same as required by the State
�Z IXL
ate
4
("S
- Please complete the entire Application!
If the question does not apply fill in NA for non applicable
NAME
PROPERTY ADDRESS
SUBDIVISION
Dwelling Units: Parcel Acres:
Permit#
SETBACKS
FRONT 2S' SIDE SIDE BACK
Remodeling Your Building /Home (need Estimate $
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area 39 YvUnfinished Basement area
Second floor /loft area Finished basement area
Third floor /loft area Garage area „"!>�Fmo -
Shed or Barn Carport /Deck (3 above grade)Area
Water Meter Quantity:
* * * * * * * * * * * ** *Water Meter Size:
Re quiredLY
PLUMBING
Plumbing Contractor's Name: Business Name:
Address City State Zip
Contact Phone: ( ) Business Phone: ( )
Email F
FIXTURE COUNT (including roughed fixtures)
Clothes Washing Machine Sprinklers
Dishwasher Tub /Showers
Floor Drain Toilet /Urinal
Garbage Disposal Water Heater (( (((��� (�
Hot Tub /Spa Wat teems E
Sinks (Lavatories, kitchens, bar, mop) D 1� F l i`�
2a 2006
Plumbing Estimate
(Commercial Only)
Signature of Licensed Contractor
The City o�
License Number& Expiration Date Date
t fee schedule is the same as required by the State of Idaho
0
Tease Complete the entire Application! If the question does not apply fill in NA for non
applicable
NAME
PROPERTY ADDRESS
SUBDIVISION
Permit#
Requiredffl MECHANICAL
Mechanical Contractor's Name: A Business Name:
Address d : 5o 1'/ City State 122 Zip
Contact Phone:,t(, ��� T�S� Business Phone:V
Email Fax .2 OWZ
Mechanical Estimate $ (Commercial /Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only)
Furnace O �J� Exhaust or Vent Ducts
Furnace /Air Conditioner Combo t to"' Dryer Vents
/ Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas -fired appliance
Incinerator System
Boiler
Pool Heater
AUG 2 2 2006 s
F`� Fuel Gas Pipe Outlets including stubbed in or future outlets �; �°9
S� Inlet Pressure Sup (M eter Su 1 PSI ci OF E Y 1
Heat (Circle all that apply) 0GasOil Coal Fireplace Electric Hydronic
Mech 'cal Sizing Calculations must be submitted with Plans & APPUc a
/// . <7 Point of Delivery must be shown on Plans.
�dcensed Contractor License number Date
The City of Rexburg's permit fee sebedule is the same as required by the State of Idaho
Range Hood Vents
Cook Stove Vents
2 ( � Bath Fan Vents
other similar vents & ducts:
5
Building Safety Department
City of Rexburg
19 E Main ionellh @rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fnv gnta .q_59 .gn2d
OWNER'S NAME Sa YI,q)OkL' , CO VI
PROPERTY ADD 1AV1
SUBDNISION C .�h��,f f
PHASE LOT — I BLOC
04 gERB Ug
F� l y
O
B ��SNE4 E
CITY OF
REX
America's Family Community
0600522
Pioneer Park Townhomes
Bldg A 8 Units
RequlredLY ELECTRICAL
Electrical Contractor's Name 3Q C+ K . g % � 1 Business Name 1 Ste/
Address � y' % � t ScOo C City 5 Atjt c*,.A State — 7 f: - 7 Zip a
Cell Phone (Lai) 351 — eoa^3 Business Phone
Fax ( ) Email
Electrical Estimate ( cost of wiring & labor $ (COMMERCIAL /MULTI - FAMILY ONLY)
TYPES OFINSTALLATIONi
(New Residential includes everything contained within the residential structure and attachedgarage 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 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
(�, r zw 16 qC!!l /D Z U6
Signature of Licensed Contractor License number Date
The
schedule is the same as required by the State of Idaho
fA
C
SUBCONTRACTOR LIST
Excavation &
Concrete:
Masonry:
Insulation: ,/l t e, "N' � Ia a
Drywall:
Floor
Coverings:
41,4
i
Electrical: � /��� %l � �..•�,
Special Construction
(Manufacturer or Supplier)
Roof Trusses:
Floor /Ceiling Joists:
Siding /Exterior Trim: Vet' e 9
Other:
Cei
Building Safety Department
City of Rexburg
19 E Main jonellh @rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
OWNER'S NAME
PROPERTY AD RESS
SUBDIVISIOT4 MC � Mu horog
PHASE *- t LOT BLOCK
0 gfiXS U,pC J9
'Q��SkfO 50�'
CITY OF
REX
America's Family Community
Permit #06 00548
565 Pioneer Rd
Suites 6001 -6008 (8 Units)
Requlredffl ELECTRICAL
F _ I i
Electrical Contractor's Name De C-eA LC>�"C Business Name Y t
Address Z-( ���t�:: I :5 n o L7 City -::>T l- Zip X34
Cell Phone (?e 8) `j r 6 `j Business Phone(
) _ S
Fax (
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)
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, Sw immin g 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.
]E O DL 1- 3- -C3`7
Signature of Licensed Contractor License number Date
The City of Kexburg'r permit fee schedule is the same as required by the State
7
-- - -
D
oo
rn
46
r
C
Zz
N
O
0 o
D
o co
v
-P6
> z
c
C
m
z
Z
O
Oy
m
r
O N
N
_
ZC
N 3
CO
m
D
>
N
�C7
Z
° n
c
o
v'
z
c
Oma
0
m
nl
G7
Z
n a
a
n
y
c�
z
OD
v m
G
�7
C-) o
0
D
m V)
v
r
Z
v v
rn
op
°� cn
C." Ln
�
°c
D
cry v
rn
co
�
m
C
V rn
O
W
m
C!)
m
D
N N
N
V
m
W
tvo
D
C)
m
0 -0
m rn
�
� T
o
J J
M
W
0
O
� ,
rr-
,
me
0 0
0
O O
N
o
n
M
p
z v D
N N
N
N
w
=r
w w
w
rn
y
v r
Z
D
G�
v co
a -
-P.
co
,
..1,
gt°o
z
W -06
v
W
m
CD
C"
gay
L raval
r
X
s �
o
Oki
Ea
(� ��/� /] " )) — �� R LOT 14, BLOCK 2 REX 11RCn, IDAHO
- 4
6'g SAINSBURY GONST.
T ome uif
4691 }- IAROLDSON �
PEX NRG" V ANO IDAHO FALLS, 1DA140 53401
u 6/tY'BBI.R1' I]RPFtIAYy • YCE
��� 46S'1 K FNhOIDBON
I�V IOA410 FFJ1.4. IDMG 85�0�
phone : 1- 206-529 -4510
can : 1,406 -2ot -1260
f
:f
- f
� f
Y
!
ff =
!
t 1 � y ,E s f f
!
- f
a
n
m
f...
A t
f f
! f
!
r„
0
45b"
PARK
14, BLOCK 2, i2f�C13Uf2Cs, IDAHU
t � Y. TIJF J ®�fl! 1tL !tl 1t SAIN85UP GONST.
d �(� I! f � DA1-!O FALLS, ph*M
IDAHO 83401 � : l 2o93Z9 4siU
l:JlfS�p UDL—du O call 1- 208- 2ab1260
i
l
:I
a
x
{
!
.j
L
C
Y
d
!
Y
Y
i
s
F
s
!
d5 0 i
r
M
X
O
Z
- n
r
MOW PARK _
9 LOT 14,
BLOCK 2, REXIBURG, IDAHO
SAIN55URY GON15T�
' FOWNWNEO 46 HAROLDSON
PLM�G, D W IDAHO FALLS, IDAHO 83401
o
_rN
�
_ (( jj
s
i
d
m
------------------------- -------
E
5
F
1�
�
- -
!1 . Pr
M1
I
L L d
Ic
171
t 3
zj
L A
ci
G
6;
d5 0 i
r
M
X
O
Z
- n
r
MOW PARK _
9 LOT 14,
BLOCK 2, REXIBURG, IDAHO
SAIN55URY GON15T�
' FOWNWNEO 46 HAROLDSON
PLM�G, D W IDAHO FALLS, IDAHO 83401
phcm 1-208--529-4510
call 1-206-2c1 -1260
o
------------------------- -------
----------------
- -
L L d
Ic
phcm 1-208--529-4510
call 1-206-2c1 -1260