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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 07-00286 & 287 - Wagon Wheel ApartmentsXBUR CITY of • • REX :^ CW s " America's Family Community 9 Per- it 10 ISSUED TO: PERMIT #: 0700287 NAME: Canyon Creek Builders FOR THE CONSTRUCTION OF: Wagon Wheel Apts- Addition JOB ADDRESS: 460 W 7th S GENERAL CONTRACTOR: Canyon Creek Builders 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 Issued By 07/20/2007 Bulldog Inspector THIS PERMIT MUST BE PROMINANTLY DISPLAYED AT Tk- B.iLDING 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 2) The permit will become null and void in the event of any deviation from the in each successive inspection without NOTICE! 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 ap proval. INSPECTION CARD BUILDING na +e A°,.,.,..,.A 1. Layout ` 2. Footing _F 3. Foundation 4. Framing 5. Insulation 6. Drywall 7. Sidewalk 8. Final ELECTRICAL Date Approved 1. Rough -In 2. final OTHER Date A roved 1. Fire Department Fina PLUMBING Date Approved 1. Sewer Service Conn 2. Water Service Conne 3. 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 � ;0 � 4EXBUg Us� y O CITY OF Certificate of Occupancy RM V 1 \V America8 Family Community City of Rexburg 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: 0700287 International Building Code 2001 460 W 7th S Wagon Wheel Apartments Type V, non -rated Shop /Maintenance Building No Boise Housing Corporation 205 N 10th St Boise, ID 83702 Contractor: Special Conditions: Occupancy: Canyon Creek Builders General Utility 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 Wth the requirements of the code for the group and division of occupancy and the use for Khich the proposed occupancy vies classified. Date C.O. Issued: 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. s^ Plumbing Inspector: ° Fire Inspector: ' Electrical Inspector: P &Z Administrator: < � CITY OF REXBURG • • PERMIT # 'BUILDING PERMIT APPLICATION Please 19 E MAIN, REXBURG, ID. 83440 07002 208 - 359 -3020 X326 Z Wagon Wheel A ts- PARCEL NUMBER PP V J I I �i (� Shop SUBDIVISION: UN L � is based on the information - must be OWNER NAME GJi - I k - tf CONTACT PHONE # PROPERTY ADDRESS: q( Tcd Yy0 PHONE #: Home ( ) Work Cell( ) OWNER MAILING ADDRESS: ft 6 L,,� CITY: A L_! r STATE__Q ZIP: 3k'/ EMAIL FAX J APPLICANT (If other than owner) rztt r ,Du C v"-e _ ,J_ ? (Applicant if other than owner, a statement authorizigg applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS C- _/_ � CITY: STATE; ZIP LL . `%y Q EMAIL FAX �` (, Z -r ;F PHONE #: Home i ?S� '17_5Y Work ( ) Cell (L' -) -; 1 '' S`V / 1' CONTRACTOR MAILING ADDRESS: i t r �' /mil CITY /'�". � STATE r �+' ZIP s PHONE: Cell# mac? � 3 t - 7 Work# Fax # r _Y C `7 EMAIL IDAHO REGISTRATION # & EXP. DATE)eCF / 25 96 x3 -1 2 v How many buildings are located on this property? Did you recently purchase this property ?`No� Yes (If yes give owner's name) Is this a lot split�N�Q YES (Please bring copy of new legal description of property) PROPOSED USE: (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalt of perjur I hereb 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 penrlit on approval issued under the.prdvisions of the 2003 International Code in cases of any false statement or misrepresentation of fact in the application or.an' the plans on which the pe o�pprov based. Permit void if not started within 180 days. Permit void if work stops for 180 days. Signature of Owner /Applicant AD Do you prefer to be contacted by fax, email or phone? Circle One WARNING — BUILDING PERMIT MUST BE POSTED ON CONON SITE! Plan fees are non - refundable and are paid in full at the time of application an 1 .200 City of Rexburg's Acceptance of the plan review fee does not consti app o / **Building Permit Fees are due at time of application** **Building Permits are v check does not clear** 1 CITY OF REXBURG 2 06/20/2007 16:12 FAX TOMLINSON $ ASSOCIATES 002/002 • • Building Saf ety Dep artment ; o « *nxae• c I IV Y o N City of Rexburg REX BURG tom, ---� 19 e, Moro janeUh xtwrg.oQ Phone: 208.339.3020 +. A n im3 Fwmil CommwrUry Rexburg, 10 83440 w ww.rexburq.olj} F= M.359.3024 Affidavit of Legal Interest State of Idaho County of Madison r James R. Tomlins 205 N, 10t St reet , S uite 200 Namc Add=#* Boise T& R1702 - City State Being first duly sworn upon oath, depooc and say: (If Applicant is also Owner of Record, elcip to B) A. That 1 am the ,rece, >rcl owner of the ptoperty described on the attached, and l grant my permission to: - - - -_ -- - --� 1Vunc Addicss tc's submit tht accompanying application Pertaining to that property. B. i agree to indemnify, fy, defend and hold Rexhutg City and its employce:c harmless rronn airy clairn or liabjity tcsulring from any dispute as to thc; statements contained herein oc as to the ownersbip of the propctty '%vhich isis -. the subject of the appllication. Dated this' y of —' P z-�Wffl- Subscribed P-NnAS and sworn to before mi: the day and yeat fitst above writtaki. L w IL�1N •. ft L� ' air !per - Notary Public of Idaho Residing at: My commk;cion expires: ErE� IN r �• 11 1 7 r. � I I IToc-cmminT.nI C 0"1.1z 1Iklli PWIA ffl) A=t>J'I.nN -1 TC'TT 07/26/2007 11:20 12083565055 UNITED P & H INC PAGE 01 Jul. K 2D07 9.)9AM 'Y�. µ :ye L + +Bapdft Permit ptec * of time of appHeAdon" "Builaf�i{ Permit ve �yw eb'elc does oat char"' Please complete the entire Application! I e u of a ��ll�ip�,�t�onaon eppllcuble f NAME ((,,11(�,��� YY 1 V� PROPERTY ANDREW At 0jr, ' Pamit# SUBDIVISION Dwelling Units: Parcel Acres: SETBACKS FRONT SIDE SIDE_ --__BACK- Remodeling Your BUNINSMOme (need Estimate) $ _ SURFACE .SQUARE FOOTAGE: (Shall include the exterior wall meawements of the building) First Floor Area Second floor/loft area Third floor/loft area Shed or Barn Unfinished Basement area Finished ba=ent area_ Garage area (30" above Water Meter Count: Water Meter Size: Requiredl !1 PLUMBING 'I Plumbing Contractor's Name: Um &"?mfA Name: _ Address �� &) r _Ci " tats Zi Contact Phone: ( ) (Q — / / _Business Phone: ( Email Fax SASS FLYTU�RE COUNT mela te- roturked_ftwer Clothes Washing Machime Sprinklers Dishwasher Tub/Showers Floor Drain Toilet/Urinal Garbage Disposal Water Heater Hot Tub /Spa water Softener sin" (Lava tories, kitchens, bar, mop) Plumbing Fetimate S (Commercial Only) er 11f Roquired! Sigratme of i- censied Contr Moen number �e e 2%e City 4 Res a permit fee schedule is the same as reguli ea�gt$ie JUL 2 6 2007 CITY OF REXBURG Cl Pleme complete the entt Application! If the question doe0ot apply fill in NA for non ,applicable NAME PROPERTY ADDRESS Permit# SUBDIVISION Requiredffl MECHANICAL Mechanical Contractor's Name: N�A .- Business Name: Address City State Zip Contact Phone: ( ) Business Phone: ( ) Email F Mechanical Estimate $ (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace Exhaust or Vent Ducts Furnace /Aix Conditioner Combo Heat Pump Air Conditioner Evaporative Cooler Unit Heater 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 Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic P o i nt of Delivery must be 1` on p lans. Required! Signature of Licensed Contractor License number Date The City of Kexburg'r permit fee schedule is the same as required by the State of Idaho W 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 OF gF,RB 7 U Q CITY O F RE XBURG America's Family Community OWNER'S NAME PROPERTY ADDRESS SUBDIVISION PHASE LOT BLOCK Permit# Requiredffl ELECTRICAL Electrical Contractor's Name 51 -*-[_ Business Name Address City State Zip Cell Phone ( ) Business Phone ( ) 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* 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 *Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. Signature of Licensed Contractor License number The City of Rexburg's permit fee s chedule is the same as the State Date J Building Safety Department City of Rexburg 19 E Main janeiih@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 �� �tEXBpR A. f 0 C I T Y O F REXBURG America's Family Community OWNER'S NAME PROPERTY ADDRESS SUBDIVISION PHASE LOT BLOCK Permit# RequiredLY ELECTRICAL Electrical Contractor's Name �fc f 6) 03 0ofU Business Name,-�! Addres uj City l C" State Zipx? Cell Phone Z b /33 Business Phone( ) oGtae Fax S� " '� Email Electrical Estimate (cost of wiring & labor) $ 6:;-�j6 (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 FfnNI-T-Ir r d o and no additional wiring) U — L Modular, Manufactured or Mobile Home Other Installations: Wiring not specifically covered by the J e2 9 �] Cost of Wiring & Labor: $ Pumps (Domestic Water, Irrigation, Sewage) „r- ^-- Requested Inspections (of existing wiring) Temporary Amusement /Industry *Includes a maximum of 3 ' spections. Additional inspections charged at requested inspection rate of $40 per hour. C a o sign45A Licensed Contractor License number The City of Rexburg's permit fee schedule is the same as I , � A i the State of Idaho Building Safety Department City of Rexburg 19 E. Main janellh @rexburg.org Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 o �REXBVR C F� i7 o Eo CITY O F REXB Ow Americas Family Community APPLICATION: "CONSTRUCTION PERMIT" CONSTRUCTION PERMIT #: PERMIT APPROVED: YES/ NO $50.00 FEE PAID: YES /NO APPROVED BY: - APPLICANT INFORMATION: Business Name: Office Address: m(, 9. 7 t�- / � City State Zip Office Phone Number: _ ) t - 7 - YI Contractor Performing the Work: yQ%X. ! & L-c-t ,� 1&t, Contact Person: C�w� 1�✓! ►`�1.� l h. Cell Phone # (Lc 52/ /3 - LOCATION OF WORK TO BE DONE: Street Address Where Work Will Be Done: -7 (7 t Business Name Where Work Will Be Done: b jj4"r_, ( (,c -�- Dates For Work To Be Done . To S t Contact Person: _C_'G� u- 4k tAg ) 1 f'kz - Phone Number: (, ) qcL — q2_. ;f? Cell # ( ) PLEASE CHECK THE TYPE OF PERMITS) YOU ARE APPLYING FOR: ❑ AUTOMATIC FIRE- EXTINGUISHING SYSTEMS ❑ COMPRESSED GASES ❑ FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT ❑ FIRE PUMPS AND RELATED EQUIPMENT ❑ FLAMMABLE AND COMMBUSTIBLE LIQUIDS ❑ HAZARDOUS MATERIALS ❑ INDUSTRIAL OVENS ❑ LP -GAS ❑ PRIVATE FIRE HYDRANTS ❑ SPRAYING OR DIPPING ❑ STANDPIPE SYSTEMS ❑ TEMPORARY 7y BRANE STRUCTURES, TENTS, AND CANOPIES Applicant's Signature Date 7 SUBCONTRACTOR LIST Excavation & Earthwork: / y n Concrete: Masonry: b -4 L Insulation: Drywall: Painting: m Floor Plumbing: eJ Heating: A Electrical: �G a .,. �_ (�Lx . �� •� G Special Construction (Manufacturer or Supplier) Roof Trusses: ` 't– LA V1,— I T " V's- =, Floor /Ceiling Joists: " X, Siding /Exterior 0% Other: EXEMPTIAS FROM STATE REATRATION 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 Cl 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 Cl 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 0 Building Safety Department o4�xXBUR�,7 City of Rexburg o 19 E. Main janellh@rexburg.org Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 C I T Y o f REX M+ America's Family Communig Business Application Questionaire (for the purpose of wastewater permitting) 1. Type of business or es if .S1C,o P - LA-1 r,. i Y:: 2. Will this business be doing any type of food preparation or cooking? 3. What type of food preparation or cooking will be done? 4. Will there be any deep fat frying? Yes No ->� 5. Will the facility have food disposal systems? V-- 6 6. Are you a business planning to occupy an existing building? or, are you designing a new facility? 7. Will your business have chemical storage? Yes No ` 8. Will this facility operate year round? Yes N < ' No 9. Will there be any grease traps or sumps at the facility? Yes No 10. Will there be any types of chemicals used at this facility, other than household cleaning solutions? Yes No .. 11. Is there any manufacturing of products at this facility? Yes No A- Applicant Signature ate CIT �F-� 'A i , n 5,'� '