HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 07-00320 - 777 Johnson St - New SFRQ4 gEXB UR
u� r� CITY OF
REX
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Building
Permit
ISSUED TO:
PERMIT #: 0700320
NAME: Harris David Etux
FOR THE CONSTRUCTION OF: 777 Johnson- Harris JOB ADDRESS: 777 Johnson Ave
GENERAL CONTRACTOR: Night Owl 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
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
NOTICE!
on the premises during construction.
2) The permit will become null and void in the event of any deviation from the
the building beyond the point indicated
in each successive inspection without
accepted drawings.
3) No foundation, structural, electrical, nor plumbing work shall be concealed
approval. No structural framework of
any underground work shall be covered
without approval.
4. Layout
INSPECTION CARD
BUILDING
Date AD oroved
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 roved
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
0
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1� CITY OF
REX BURG
' ol Americas Family Community
Certificate Of Occup
a y
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
ne
Building Permit No: 0700320
Applicable Edition of Code: International Residential Code 2003
Site Address: 777 Johnson Ave
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: Harris David Etux
382 E 3000 N
Rexburg, ID 83440
Contractor: Night Owl Builders
Special Conditions:
Occupancy: Residential, single family dwellings, lodging houses
This Certificate, issued pursuant to the requirements of Section 909 of the Intemational Building
Code, certifies that, at the time time of issuance, this Kos inspected on the date listed (ties found to be in compliance e o
e th the requirements that
for the group and division of occupancy and the use for vtl�ich the proposed ,occupancy code
classified.
Date C.O. Issued: September 27 07 (09:1
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-
Electrical Inspector:
Fire Inspector: V)
P &Z Administrator: V�t�
CITY. OF REXB UAG 0
BUILDING PERMIT APPLICATI1
19 E MAIN, REXBURG, ID. 8344(
208 - 359 -3020 X326
0700320 9
777 Johnson - Harris
PARCEL NUMBER J( C (We will provide this for
A$
L for fi" I
c, ITYOFRFXSURO
SUBDIVISION: & p,1 UNIT# BLOCK #LOT#
(Addressing is based on the information - must be accurate)
CONTACT PHONE # 2,-.?t3
PROPERTY ADD
PHONE #: Home ( ) Work ( )
Cell (
OWNER MAILING ADDRESS: CITY: STATE: ZIP:
EMAIL F
APPLICANT (If other than owner)
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS
STATE; ZIP EMAIL F
PHONE #: Home (
Work (
Cell (
CONTRACTOR
MAILING ADDRESS: _? Z � �� ,�1 CITY STATE Cb ZIP 9
PHONE #: Home ( ) Work ( ) Cell ( _7r7 - 2 S .7
EMAI �;:(. rrlJ f .l FAX �� C/ b 7 - IDAHO REGISTRATION # & EXP. DATE R ( C - / 6 ' 6 6 L /
F
Xx"w U11.uy LJUUUU A.IC XUt ULCU 011 UM PIUPCILy:
Did you recently purchase this property? No es If yes give owner's name)
Is this a lot split? (L'40 YES (Please bring copy of new legal description of property)
PROPOSED USE:
(i.e., tngle a y esidence Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjur I hereb 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. Permit void if not started within 180 days. Permit void if work stops for 180 days.
rgnature 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 Z 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**
CITY:
Bull
Safety Department
City of Rexburg
19 E. Main
Rexburg, ID 83440
jonellh@rexburg.org Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3024
'iOF REXB UR
v o
CITY O F
R EX B URG
Americas Family Community
Affidavit of Legal Interest
State of Idaho
County of Madison
I,
Name
City
Being first duly sworn upon oath, depose and say:
Address
State
(If Applicant is also Owner of Record, skip to B)
r
t'ITYY 0 F � �U
A. That I am the record owner of the property described on the attached, and I grant my
permission to:
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 3 day of JZA (ti 0 20 - 01
Subscribed and sworn to before me the day and vear first above written.
a „
HAR f..
„ ye O T AR y
4
� � n
��• P U BI,1G C r;
•,, o, , y
P-6 0'? " .
Please complete the entire Ap
p pp
NAME j ✓,� ✓�lry�'�
PROPERTY ADDRESS
SUBDIVISION
Dwelling Units:
SETBACKS
FRONT 3 2-
Parcel
Z-
Parcel Acres:
Permit#
SIDE SIDE BACK
Remodeling Your Building /Home ( need Estimate $
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area I Unfinished Basement area _&_
Second floor /loft area Finished basement area cn-.
Third floor /loft area 1,5p- Garage area 16 f , i
Shed or Barn 19- Carport /Dec (30" above grade)Area 8-
Water Meter Quantity: * * * * * * * * * * * ** *Water Meter Size: - -?/Y
Requiredffl
PLUMBING /
Plumbing Contractor's Name: /.)ri�u r14 1-41 Business Name: C/ , �(,.. �✓r►(��,
Address /� �� y �� �� 1 " City y, 64 //s State ::7 D Zip 0 11,- 3 5'0
Contact Phone: (,, 23 - 3 / 3 ,6 Business Phone: (
Email ja F
FIXTURE COUNT (including roughed fixtures
Clothes Washing Machine
r Dishwasher
Floor Drain
Garbage Disposal
Hot Tub /Spa
Sinks (Lavatories, kitchens, bar, mop)
Plumbing Estimate $
` Sprinklers
Tub /Showers
Toilet /Urinal
Water Heater
I Water Softener
(COMMERCIAL /MULTI - FAMILY ONLY)
Z&e� &
Signature of Licensed Contractor
The
I'_ 1) 6 1 y q/3 P��� 6 0
License
se Number& Expiration Date Date
's permit fee schedule is the same as required by the State of Idaho
Please complete the enti• Ap
i
P PP
NAME a ,i /�iY)J
PROPERTY ADDRESS F
SUBDIVISION
X
Required!!!
MECHANICAL
Mechanical Contractor's Name 1 Xv Business Name T i We. -/0—
Addr % a ,�. k�0 Gt. Ci tate .M9 Zip p y
Cell Phone (1,79) ,?13 4% Business Phone (
Fax (lot) 33 04 2 y Email s 4Ae� y54, <' rte 9.r•� ee
Mechanical Estimate $ (Commercial /Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only)
Furnace Exhaust or Vent Ducts
Furnace /Air Conditioner Combo 1 Dryer Vents
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
other similar vents & ducts:
Heat (Circle all that apply) &j� Oil Coal Fireplace Electric Hydronic
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on Mans.
Signature of Licensed Contractor
The
Range Hood Vents
Cook Stove Vents
7i Bath Fan Vents
g�q
License number
schedule is the same as
/,)7 0 a -
Date
the State
Building Safety Department io0.EXBV
i CITY OF
City of Rexburg �� 'o R XBT mG
' s 0& ! 1�
19 E Main janellh@rexburg.org Phone: 208.359.3020 x326 Americas Family Community
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
OWNER'S NAME dn4 i�Y7s Permit #07 00320
PROPERTY ADDRESS `1 - 1 1011 " SLn
SUBDIVISION .,c%,✓ 777 Joh
3 LOT BLOC J
Requlred!►l
ELECTRICAL
Electrical Contractor's Name Business Name �1 �H ^ gyp !fin it
Address Z/ City State - Zip �' r/ Y 0
Cell Phone (Zvi) 3J 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)
1 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) r7 _; • - - -- _
Modular, Manufactured or Mobile Home�� .__l i'
;i
Other Installations: Wiring not specifically covered by any of the ab l
Cost of Wiring & Labor: $
Pumps (Domestic Water, Irrigation, Sewage) '
i
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.
A�� C - 1 ? -,� :�, 6 / 3 0 /D
Signature of Licensed Contractor License number Date
The City of Rexburo's permit fee schedule is the same as required by the State of Idabo
• •
SUBCONTRACTOR LIST
Excavation & Earthwork:
Concrete: ; G
JUL
1
Masonry: A)N� -5 /L4,P4J">JUQ Y
Roofing: rr'e -.
Insulation: CU/i.AeC
Drywall: t- Vm S
Painting:
Floor
Coverings: S ep k- 4 se. 7�- += ��ni✓S
Plumbing.
Heating:
Special Construction
(Manufacturer or Supplier)
Roof Trusses: RI) G /"eJ�
Floor /Ceiling Joists: 9 C- 4,Y.5 7
Siding /Exterior Trim: Ze - 0 �//
Other: