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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 06-00575 - 303 Polo Dr - New SFRS 0 Z 0 C7 m .m� 07 -{ O n _ O ' CD ' N o. 3 v CL - (D 3 ID N N n a o 3 m � o o -_ C7 y = 2 a � o 0 fl Er 0 v a CD 0 0 N a = I 0 COD- R N Q x Z'o 0 =r o O m 0-9 j N N ` O' a =3 N, o m g o n o O N S N fD O 0 0 n O. v 3 0 .� m = c o E. a v w CD O O N O CL CL 2 T m m 70 r v z 4 'A` z O m m O o 0 m o Z C z Ch —1 v v c ca r -I D o m v Z D = 0 m m ;D W m v O Z 0 ^ O Y+ 0 y n m n -C W E . _ C! _ N a O `.J v lD v Q. O 0 -•I W D 0 N a-�0(D 3 (o 0 a (D y. X , N 'a O ( C 0 ` tZ N L (D 0 b! o E; 0), 0 C 'a C. ( D (D C D o o a cs CL O c H N (Dm�3 n o ( D a� (D to m 3 'a Q. U) 'o m W (D < N C C1 (D = O a 0 (G pf .�-. O (D (D CL 0 0 O 6 to � o � (D S C x (D CD _CC _. = C N Q , O — . - = N (D G) m z m 0 z D 0 --1 X (D w W C7 O m m 0 z M C 0 _q 0 z 0 W O w "0 O 0 2 (D W L W g m y w 0 w T 2 - z 2 CD W O N m v 0 m 70 3 go C a v � �C ti O �ya A� o w H �C O tu c0 �. 0"G W D O O O V c z � � m Z m ! 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Main St. / Rexburg, ID. 83440 Building Permit No: 0600575 Applicable Edition of Code: International Residential Code 2003 Site Address: 303 Polo 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: Heart B Company Po Box 308 Rexburg, ID 83440 Contractor: Heart B Company Special Conditions: 438 sf of basement is finished 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 vLas 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 vihich the proposed occupancy VLes classified. Date C.O. Issued: August 01, 2007 0 M) 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 Inspector Fire Inspector: �a Electrical Inspector. ; P &ZAdministrator: Ia CITY OF REXB UKG J�� i BUILDING PERMIT APPLICATION Please 06 00575 19 E MAIN, REXBURG, ID. 83440 If the uee 208 - 359 -3020 X326 q 303 Polo Dr -Heart PARCEL NUMBER: My _ Msk 101 W (Wt _ . p,_ovtue rtus for you) SUBDIVISION: 9rVhV UNIT# BLOCK# _ LOT# 10 (Addressing is based on the information - must be accurate) OWNER NAME: Vt r CONTACT PHONE # PROPERTY ADDRESS: 0 7> PHONE #: Home ( ) 37 1 - 1 70 1 Work ( ) b 9 6 ` 6 1 76 Cell ( ) 7 q -( 44­;� OWNER MAILING ADDRESS: N. kX - wq CITY: STATE:X& ZIP:�r� EMAIL FAX APPLICANT (If other than owner) 7111 W (applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS yo+ CITY: STATE; ZIP EMAIL FAX PHONE #: Home ( ) Work ( ) -Cell( ) CONTRACTOR 1K MAILING ADDRESS: � t-VV CITY PHONE #: Home ( Work ( Cell ( ATE ZIP EMAIL FAX IDAHO REGISTRATION # & EXP. DATE How many buildinizs are located on this property? Did you recently purchase this property? No Us (If yes give owner's name) Is this a lot split? V YES PROPOSED USE: 9 L U­' (i.e., Single Family Residence, Multi (Please bring copy of new legal description of property) A A. A I . Remodel, Garage, Commercial, addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalt of perjur 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 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. P t v 'd if not started within 180 days. Permit void if work stops for 180 days. Signature o ne applicant LJ Do you re er be contacted by fax, email or phone? Circle One r WARNING — BUILDING PERMIT MUST BE POST CO #@VR*� IC�(6TE! Plan fees are non - refundable and are paid in full at the time app r ation beginning &aymy 1 City of Rexburg's Acceptance of the plan review fee es no constitute plan approval * *Building Permit Fees are due at time of application ** * *Building Perk 4WP VAPT y9yc' 2 w Ar ,Please complete the entire A p p lication! p pP 5 �4� I f the question does not apply fill in NA for non applicable NAME 4 - 6 V`8, PROPERTY ADD M "y\ U (� P � Permit# SUBDIVISION Dwelling Units: Parcel Acres: SETBACKS I N FRONT 35 SIDE SIDE BACK Remodeling Your Building /Home (need Estimate $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) a 4v, a First Floor Area `t �7 Unfinished Basement area to 0 Second floor /loft area Finished basement area 4 3 Third floor /loft area Garage area - 5`7 Shed or Barn Carport /Deck (30" above grade)Area Water Meter Quantity: * * * * * * * * * * * ** *Water Meter Size: Requiredffl PLUMBING Plumbing Contractor's Name: s Name: Address City State Zip Contact Phone: ( ) Business Phone: Email__ - 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) Water Softener Signature of Licensed Contractor License Number& Expiration Date Date The City of Aexburg's permit fee .schedule is the same as required by the State of Idaho Sprinklers Tub /Showers Toilet /Urinal Water Heater 4 a Mcv 14 2006 12:20PM Custom Vinyl Concepts 206 - 656 -9323 Please complete the entke Application! If the qm odm doer not op,* 6U in M for mm appllc" NAME Q `hel PROPLRTY ADD Q io SUBDIVISION Pemnit# Dwelling Units: Paacel Acrca• 5F.TBACIC+S I FRONT _ SIDE —I SIDp BACK RemadelirW Your Bu9ding1 oxne (need Eatirnatc) $ p. a41uA� I "UUFAGE.- (Shag include the exterior wall rr,c ui c rnerru of the building) A" a 1 �t34 Fuss oor Agra -_ Second floor /loft area Third floor /Loft area Shed or Barn Water Meter Questtity- Unfinished Bas %tea 046 Finished basement area 3 Garw �- C: mt /Deck (3(Y" above e)Ate **** * """ r *Water Meter Size: Re quimd I PLU.MVING plumbing Contractor's Nam e• B LS in C39 Names A.ddres4 City State P Contact Rhone: ( ) Busincsss Phone; ( ) Email Fax Clothes W&shing Machine Dishwasher p floor Drain 1 G2tbage Disposal Hot Tub /Spa Sinks (L,avatolties, kitchens, bar, rnup) . Sprinklers �^ Tub/Showers �� '['oilct /Urinal y Water Heater Water Sofrener Plumbing Eatinaaft $ ...._ (Commercial Only) e v •��erued Cautracror T6s C' Rexkm licenec Number& Fapimatilm Date ato !i & nhftfuk it lire facer dr sat NiW by the S AW of I 4 TOOQ� Xvd Lz:tT 9002 /tT /TT • Building Safety Department City of Rexburg 19 E Main ionelth ®rexburg.org Phone. 208.359.3020 x326 Rexburg, ID 83440 www.rexburg,org Fax: 208.359.3024 OWNER'S NAME PROPERTY ADD. SUBDIVISION _ PHASE LOT /D CITY O F REXBURG .Untric+i< Familt• Cnrrunr+rritr Permit #06 00575 '. '�-j 303 Polo Dr Required.!! ELECTRICAL -� Electrical Contractor's Name LL 2�41' � t I % C ul`s=ss Name S Address City State .--. Cell Phone (,1v ?) Business Phone (A4M 6 "S LP y R Fax (;,02) U S L `f — O t ( (Q c ( _ Email Electrical Estimate ( cost of wiring & labor $ (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OF INSTALLATION (NewBesid includes everything contained within the residential structure and artachedgarage at the same rime) ►� 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 *Inclu s a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour - r?� Signatur of Licensed Contractor License number Date The Qy of Rexb 's permit fee s is the same as required by The Slate of Idaho T'd 69 0- 9S9 -80Z spiemP3 RoNa e8S =G0 90 ST noN M 71 o� 11/08/2006 08:51 2084584076 PAYS RACING LLC PAGE 01 ©■ Nov, 21, 2006 4;39PM • No, 3169 P. 2/2 Please complete the entire Application! if the qucstim dxws not apply fig In NA for non appppUcable NAME 5'(1t~ eelrap S 41- PROPERTY ADDRESS Pernut# SUBDIVISION Req uite d!!! M Cl�A.11,�IC, /Mechanical Cantmctor's Name: usiness Name: Address 2 US 3 t • Hoo N • City 4'.`�s Contact Phone: Business Phone: E,' Fa•X Mechanical Estimate $ (Commercial /Multi Family only) FIXM, AHS &AP•PLIAIVC.1s"aCOUNT (Single. FamilyD"ltttg 1 Furnace 3 S — Exhaust of Vent Ducts !� Furnace /Air Conditioner Combo Heat Pump Aix Conditioner Evaporative Cooler Unit Heater Space Heatct Decomadve gas -filed appliance Incauo,cratot System. Boiler Dryer Vents C Range .Hood Vents Cook Stove Vcnts 07 2— Bath Flan Vents t 5 / Y.S Pool I-Icater. 3 Fuel Gas Pipe Outlets including stabbed in or future outlets Zr ltilet Pressure ().Meter Supply) PSI . other sitxi aS vents & ducts: Nov 2 2 zoos CITY OF REXBURG Heat (Chdo all that apply) Soil Coal Fireplace Electric Hydro6c • 1 / t 1R.. s •J. • • '..�.. Sio,agm ofUcensed Contttsctor The _ 1 Yel ucena® number schddah 1r the .c u as .11. 2 1010 Dam !b$ S lade 0 0 SUBCONTRACTOR LIST Excavation & Earthwork: _�`� � D CC -ri r Concrete: e & J vs Y `` Masonry: - " Roofing:_ Insulation: - �;�, n_ le '6 �I Drywall: `J Painting: A Floor P L Heating: - 4 ^ W (7 Electrical: C,7 , l t(/1 IVg Special Construction (Manufacturer or Supplier) Roof Trusses: E Y Y � L Floor /Ceiling Joists: Siding /Exterior Trim Other: S d VV (4/w • 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 wJbol.idaho.00v /cont.htm ❑ 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 for fire prevention purposes Cl 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 Print Name Date 7