HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 07-00286 & 287 - Wagon Wheel ApartmentsXBUR
CITY of • •
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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
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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
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11
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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
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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
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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
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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,'� '