HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 07-00272 - 288 Seagull Dr - New SFRo� �axs v
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CITY OF
REX
Americas Family Community
Building
Permit
ISSUED TO:
PERMIT #: 07002
NAME: White Sands Construction Llc
FOR THE CONSTRUCTION OF: 288 Seagull -White Sands Coi JOB ADDRESS: 288 Seagull Dr
GENERAL CONTRACTOR: White Sands Construction
This permit is issued subject to the regulations contained in Building Code and Zoning Regulations of the
City of Rexbug. It is specifically understood that this Permit does not allow any Variance to the regulations
of the City of Rexburg or Zoning Codes unless specifically approved by the City Council and explained on .
the Building Permit Application as approved by the Building Inspector.
Date Approved
221
Issued By
Building Inspector
THIS PERMIT MUST BE PROMINANTLY DISPLAYED AT THE BUILDING SITE
THE BUILDING MAY NOT BE OCCUPIED OR USED WITHOUT FIRST OBTAINING ACERTIFICATE OF OCCUPANCY
1) A complete set of approved drawings along with the permit must be kept
No work shall be done on any part of
on the premises during construction.
the building beyond the point indicated
NOTICE!
2) The permit will become null and void in the event of any deviation from the
in each successive inspection without
4. Layout
accepted drawings.
approval. No structural framework of
3) No foundation, structural, electrical, nor plumbing work shall be concealed
any underground work shall be covered
- without approval.
INSPECTION CARD
BUILDING
Date Anoroved
1. Mechanical Rough In
2. Mechanical Pressure
3. Mechanical Final Ins
4. Layout
5. Footing
6. Foundation
7. Framing
8. Insulation
9. Drywall
10. Sidewalk
11. Final
ELECTRICAL
Date Approved
1. Rough -In
2. Final
PLUMBING
Date ADDroved
1. Sewer Service Conn
2. Water Service Conn(
3. Rough -In
4. Ground Rough -In
24 Hour Notice
and Permit Number required
to make inspection appointments
For Inspections Call 359 -3020 option 2
ACERTIFICATE OF OCCUPANCY CAN NOT
BE ISSUED PRIOR TO FINAL ELECTRICAL
& PLUMBING INSPECTION
O �¢EXBUg G , fp CITY ON Certificate of Occupancy
y yo
RE X13URZG City of Rexburg
C %%
America's Family C ommu n ity Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (2081359 -3020 / Fax (2081359 -3024
Building Permit No: 0700272
Applicable Edition of Code: International Residential Code 2006
Site Address: 288 Seagull Dr
Use and Occupancy: Single Family Residence
Type of Construction: Type V, non -rated
Design Occupant Load: Residential
Sprinkler System Required: No
Name and Address of Owner: Hymas Jessica
216 Grandview Dr
Rexburg, ID 83440
Contractor: White Sands Construction
Special Conditions: Unfinished Basement 1121 sq ft
Occupancy: 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
sties 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 which the proposed occupancy vies
classified.
Date C.O. Issued
C.O Issued by:
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: PBZAdministrator: GV
CITY OF AEXBUAG 0
BUILDING PERMIT APPLICATION
19 E MAIN, REXBURG, ID. 83440
208 - 359 -3020 X326
PERMIT # I*
Please - - - -- x-11 —&I -1
If the quc
0700272
PARCEL NUMBER: �� ��� r ( 288 Seagull - White Sands Const.
SUBDIVISION: - UN-1JL -,-
(Addressing is based on the information - must be accurate)
OWNER NAME: '6S5-Cca. Nylnc.s CONTACT PHONE#
PROPERTY AD
PHONE #: Home (
Work (
OWNER MAILING ADDRESS: CITY:
F.
ATE: ZIP:
APPLICANT (If other than owner) 1 !
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS � t3° S(s3 CITY: 2c�b
STATE: Td , -h c, ZIP 83yy a EMAIL FAX Zn .?Sy - f&'
PHONE #: Home (?o8 ) 21 7- ( otooS Work ( ) Cell ( 01) 339 - S 9
CONTRACTOR
.. w` 11 C
MAILING ADDRESS: ? go)( '963 CITY Z-txbw c STATE ='D ZIP 8,?WO
3 S
PHONE #: Home (168) 17 - 4-C, o Work ( ) / Cell (dog) 33 9 - SyI q
Zc r: - 7v
EMAIL 20 8 359 - (9 4 FA y IDAHO REGISTRATION # & EXP. DATE i - o - 64
How many buildings are located on this property? nJOAC- S
Did you recently purchase this property? No es (If yes give owner's name) U�4sdMck con,yk
Is this a lot split? 0 YES (Please bring copy of new legal description of
PROPOSED USE: ter. .� a c•�; l �$ a�Ie,,,
(i.e., Single Family Residence, Multi Family, Aply rtments, Remodel, Garage, Commercial, Add q: tc)
I
Jaii U N 19 2007 u
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATI penalty of perjury, I her y ce f
that I have read this application and state that the information herein is correct and I swear that any inf h may hereafter be give by m in
hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall e e h all
City regulations and State laws relating to the subject matter of this application and hereby authorized r re e e at ove-
mentioned property for inspections purposes. NOTE: The building official may revoke a permit on ap under Me proVisions of e 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 started within 180 days. Permit void if work stops for 180 days.
_:: �v -(� / /,!r / 0 7
Signat6e of Owner /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 fanuary 1. 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**
Cell 0*) S17 6 6 0 y
Building Safety Department
City of Rexburg
19 E. Main jonellh@rexburg.org Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
REXB VRf t
CITY O F
REX
Americas Family Community
Affidavit of Legal Interest
State of Idaho
County of Madison
I, - .IeSS�ca gy,vtA, ,
Name Address
City State
Being first duly sworn upon oath, depose and say:
(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: 'fie 83�/Yd
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 1, 3 day of 3 � 3 20 c> - 7
Subscribed and sworn to before me the day and year first above written.
TRAVIS YOST
STATE OF IDAHO
NOTARY PUBLIC
nesitung at: ncsiuMg al. Kexbtq id�l,
My Commission Expires: 01/13/2012
My commission expires:
i
Please complete the entire Application!
NAME
PROPERTY ADDRESS le it ll 3locf- Lp Permit#
SUBDIVISION 1 -���.d eib w•
Dwelling Units: Parcel Acres:
SETBACKS
FRONT ZS" SIDE SIDE BACK
Remodeling Your Building /Home ( need Estimate $
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area /NS -?- Unfinished Basement area 112.1
Second floor /loft area _ Finished basement area Is& 33Jo
Third floor /loft area Garage area 9G00
Shed or Barn — Carport /Deck (30" above grade)Area
Water Meter Quantity:
* * * * * * * * * * * ** *Water Meter Size:
Required Y
PLUMBING
Plumbing Contractor's Name: --� t? C eV\ Business Name: G e n Ve h\ � ti p l v m6 r l
Address //, City Rex IOU rq State mod. Zip
Contact Phone: ( ) Business Phone: (}ohs) 3 0 1�i 20 )
Email Fax
FIXTURE COUNT /including rou -hed fixtures
' Clothes Washing Machine
Sprinklers
Dishwasher
/
4 7 3 Tub /Showers
2 Floor Drain
2 Toilet /Urinal
Garbage Disposal
Water Heater
'g Hot Tub /Spa
Water Softener
0
Sinks (Lavatories, kitchens, bar, mop)
Plumbing Estimate $ (COMMERCIAL /MULTI - FAMILY ONLY)
Signature of Lic sed Contractor License Number& Expiration Date Date
1 1 The City of Bexburg's permit fee schedule is the same as required by the State of Idabo p
0 •
Please complete the entire Application!
NAME w� 6A. .Js cov4.s� a
PROPERTY ADDRESS l e 4 � t 31 o c r c. Permit#
SUBDIVISION 4.(.eAj.-, sw.
Requiredffl
MECHANICAL
Mechanical Contractor's Name '--? eao Business Name 6 W 4- �rr)ho 2 P f
Address F o,, Ciry Lak. State �c1 Zip 3 � 4
Cell Phone (2J6) 55 2- Business Phone ( )
Fax ( )
Email
Mechanical Estimate $ (Commercial /Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only)
Furnace 5 Exhaust or Vent Ducts
Furnace /Air Conditioner Combo r Dryer Vents
Heat Pump Range Hood Vents
Air Conditioner Cook Stove Vents
Evaporative Cooler A' 3 Bath Fan Vents
Unit Heater other similar vents & ducts:
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
Heat (Circle all that apply) Ga Oil Coal Fireplace Electric Hydronic
Mechanical Sizing Calculations must be submitted with Plans & Awlication
Point of Delivery must be shown on plans,
Signature of Licensed Contractor License number Date
The City of Kexburg's permit fee schedule is the same as required by the State of Idaho
0
Building Safety Department
City of Rexburg
19 E Main ionellh@rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
OWNER'S NAME
PROPERTY ADDRESS
SUBDIVISION 1-ls d e.< c a�
PHASE Z LOT t t BLOCK
OF RE7S B U$C
a �a
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U O
CITY OF
REXB
Americas Family Community
Permit #07 00272
288 Seagull Dr
Required!!!
ELECTRICAL
Electrical Contractor's Name f r td� isiness Name (Cl N-f 06Z
Z
�2 e ^ �� q ,� - -.7--
p-
Address i% �' ti cit ! �� cU�: � State
Cell Phone (�,O� 1 r� Business Phone ( ) ti 5 j to t io�_ 45
Fax ( ) Email
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)
Number of meters being installed
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
a maximu�of' rio ns. Additional inspections charged at requested inspection rate of $40 per hour.
Signature of License Contractor License number Date
The
schedule is the same as required 4 the State
SUBCONTRACTOR LIST
Excavation & Earthwork: Ct.c r 20;v [ otig{ -2� ��F �o.•
Concrete: - m
Masonry: �; w P•�4 ��01 c�,�a2 5
Roofing: S(A
Insulation: '6o b , 5�
Drywall:
Painting: Z>a.
Floor
Coverings: `7ha.� G�SC. Syt� ue •tee 5
�Mm
Heating:
Electrical: \ 6� lZiw�.Sm� f L c.� e i Q
Special Construction
(Manufacturer or Supplier)
Roof Trusses: L�N�
Floor /Ceiling Joists: CSMC
Siding /Exterior Trim: /�dvknc� Gwa .e{�cx_�w -s
L '
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.gov /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
❑ 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