HomeMy WebLinkAboutAPPLICATION, CO, BP - 07-00363 - 271 N 3rd W - Basement Finish04 ggXB trRC
UL
O
�e
a
CITY OF
REX
Americas Family Community
Building
Permit
'ISSUED TO:
PERMIT #: 0700363
NAME: Walker Loel Etal
FOR THE CONSTRUCTION OF: 271 N 3RD - Walker JOB ADDRESS: 271 N 3rd W
GENERAL CONTRACTOR: Owner
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
Buil ing 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
3. Drywall
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 aooroval.
INSPECTION CARD
BUILDING
Date Anoroved
1. Framing
2. Insulation
3. Drywall
4. Final
ELECTRICAL
Date Approved
1. Rough -In
2. Final
PLUMBING
Date Aooroved
1. Water Service Conn(
2. Rough -In
3. Final
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
l 0
` � O �gEXB V,rC i CITY of Certificate of Occupancy
-.'► REX 13 URG City of Rexburg
`►
America's Fam Communit Y 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:
Contractor:
Special Conditions:
Occupancy:
0700363
International Residential Code 2003
271 N 3rd W
Single Family Residence
Type V, non -rated
Residential
No
Walker Loel Etal
10525 132nd St
Ne Arlington, WA 98223
Owner /Lessee
Not approved as a duplex.
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
t4es 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 Mich 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.
Plumbing Inspector• Fire Inspector: h ��
Electrical Inspector: P &Z Administrator:
CITY OF KEXB UG PERMIT #
BUILDING PERMIT APPLICATION Please
19 E MAIN, REXBURG, ID. 83440 If the que
208 - 359 -3020 X326 ,/ 07 00363
!�
PARCEL NUMBER: R T" k P A, Mot i O v 271 N Iril ll�r,w-
SUBDIVISION: UNIT# BLOCK# 1,u r fr
(Addressing is based on the information - must be accurate)
DOWNER NAME- CONTACT PHONE # _.
PROPERTY ADDRESS: ,r7
PHONE #: Home (W o ,&_ 3 � L6 Work 010) X1S C . 9W- 0 0 - A)
OWNER MAILING ADDRESS: I Cell 3 �� �
' 1' /
i /L��� -S / 3 � -� � = �� CITY: r ���- STATE:k ZIP: ' �
EMAIL I �' u t. for e o c t K e FAX
•
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 FAX
PHONE #: Home ( ) Work ( ) Cell ( )
CONTRACTOR
- r t
MAILING ADDRESS: 00,0_.- TY STATE___
PHONE #: Home (
Work ( )
CITY:
EMAIL FAX IDAHO REGISTRATION # 01'P. DATE
How many buildings are located on this property? r,
Did you recently p ase this property No Yes (If yes give owner's name) D 0
Is this a lot spli . NO-) YES (Please bring copy of new legal description of pr - �� -R
PROPOSED USE: 1? { : ,; k a
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty 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 insp tions purposes. NOTE: Th/bing official may revoke a permit on approval issued under the provisions of the 2003
International Code in cases any false tement or isr ation of fact in the application or on the plans on which the permit or approval was
based. Permit vP if nAt rted with 0 d/Lys. P /miwork stops for 180 days.
Signature K Owner
010 0
DATE
Do you prefer: to Ye 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 Lanu aj. 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**
• •
Cost of Construction Schedule
Concrete Cutting — J & S Concrete Cutting
$ 675.00
Replacement of Basement Windows
$ 510.00
Interior Framing Labor
$1,200.00
Materials
$ 310.00
Electrical - Labor & Materials
$ 480.00
Insulation Labor
$ 240.00
Materials
$1,630.00
Dry Wall Labor
$ 812.00
Materials
$ 318.00
Finishing Carpentry Labor & Materials
$2,312.00
Plumbing — Smiths Plumbing & Heating
$2,740.00
Flooring — Home Depot Home Center
$3,115.00
TOTAL
$14
C E E
D
=
CITY OF REXBURG
Build
jonellh @rexburg.org Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3024
City of Rexburg
19 E. Main
Rexburg, ID 83440
REXBURG
kn r£cvs ,1'a d)' 2;o linu. ?tilt'
Affidavit of Legal Interest
State of Idaho
County of Madison
Name
,4 r- I
Cit
Being first duly sworn upon oath, depose and say:
c,C
/S 5
Address
s�
State
(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:
Name
Safety Department
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 Lk wl -e , 20 !� 7
Subscribed and sworn to before me the day and year first above written.
lr .X.4
e
1z
P
Notary Public o
Residing at: M ✓l I !,
My commission expires: A VM — to 1 o
3
Please complete the et'lFre .Application!
NAME e-1
PROPERTY ADDRESS ? f / < '? /�y►b�. r -rj: ,, Permit#
SUBDIVISION
Dwelling Units: Parcel Acres:
SETBACKS
FRONT
SIDE SIDE
Remodeling Your Building /Home (need Estimate $
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area Unfinished Basement area
Second floor /loft area Finished basement area / 4` G) CI
Third floor /loft area Garage area
Shed or Ba rn Carport /Deck (30" above grade)Area
Water Meter Quantity:
* *"Water Meter Size:
Requ red.!!
.I'LUIV.IRI.NG �. �� P1� -� - .
Plumbing Contractor s Name: Business Name: S _
Address 3 � / City Ref ka4 e, State NYC /r, ^Z�ip_L
Contact Phone: ( ) Business Phone: � )_ 3,5 / V�
Email F
FIXTURE COUNT (including roughed fixtures
Clothes Washing Machine
Dishwasher
Floor Drain
Garbage Disposal
Hot Tub /Spa
Sinks (Lavatories, kitchens, bar, mop)
Sprinklers
I Tub /Showers
Toilet /Urinal
Water Heater
Water Softener
of
Plumbing Estimate $ 2 V ` (COMMERCIAL /MULTI - FAMILY ONLY)
Signature of Licensed Contractor License Num er& Expiration Date
The On of Rexbure''s permit fee schedule is the same as required by the State of Idaho
�J)" J �,, J.,), j 1e r t4.
Date
n
Please complete the entir•Application!
NAME
PROPERTY ADDRESS
SUBDIVISION
9
Permit#
Required!! f
MECHANICAL
Mechanical Contractor's Name Business Name
Address City
Cell Phone ( ) Business Phone ( )
Fax ( ) Email
Mechanical Estimate $ (Commercial /Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family
Furnace
Furnace /Air Conditioner Combo
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Spa Defired appliance
Inc em
x0iler
Pool Heater
Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
State Zip
Exhaust or Vent Ducts
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
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
Signature of Licensed Contractor License number Date
The City of Rexb urg's permit fee schedule is the same as required by the State of Idaho
5
Building Safety Department
City of Rexburg
19 E Main ianellh @rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
W ay
OWNER'S NAME /_ lyy a, / G,/.-- /�
PROPERTY ADDRESS _?22 > N J'e
SUBDIVISION
PHASE
LOT BLOCK
HOME OWNER'S ELECTRICAL PERMIT
Home Owner's Name 4,� 1(Jca �/ "''
Address /06 ,,1,5 i3;L_ 5,4 1- City A_ State W✓A Zip
Cell Phone (%L3) Home Phone ( 36 6, 3 — ioc)
Fax (0.5) 26 3 /0 3V Email ✓t 7 1 a, (- t✓ � J ar a q c w e ,f . n c� fi
wk (31D) 6
TYPES OF INSTALLATION
(New Residential includes everything contained within the residential structure and attached garage at the same time)
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 specificVy covered by any of the above
Cost of Wiring & Labor: $ y qD i Pz -A s - 200
Pumps (Domestic Water, Irrigation, Sewage) .t3oeel4.r $49L3'
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.
,,� d"I
C :7 F �) t�
S azure of Home Owner Date
The City of Rexburg s permit fee schedule is the same as required by the State of Idaho
J
Building Safety Department
City of Rexburg
19 E Main janellh @rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
� r�pXB rv
RE
OWNER'S NAME
PROPERTY ADDRESS
SUBDIVISION
PHASE LOT BLOCK
Permit#
Required.!!f
ELECTRICAL
Electrical Contractor's Name 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 residents structure and attachedgarage at the same time)
Up to 200 amp Service*
201 to 400 amp Service*
Over 400 amp Service*
Temporary Construction 200 amp or less, one location (for a period not to exceed 1 year)
Exis/Tub, # of Branch Circuits)
Spa, mming Pool
Elecstems Heating and /or Cooling (when not part of a new residential construction permit
and nng) Mod tured 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 Date
The City of Rexburg s permit fee schedule is the same as required by the State of Idaho
7
.. 0 0 0 0 ...... 0 0.. 0 E ...... 0 a 0 0 ON 0 0 0 a m 0 0 0 m 0 0 0 0 0 0 m 0 0 0 0 0 0 0 6 0 0 0 0 0 o.......................... 1
SUBCONTRACTOR LIST
Excavation & Earthwork: _ /� /,4
Masonry: /V /A
Roofing:
Insulation: Z2 to
Drywall: 0 ,4�
Painting: Otk) �2 t`,'
Floor
Coverings:
3 7 7 �E f /`/
Plumbing: � fA J0 / c, 4—
Heating:
Electrical: 0 ,
Special Construction
(Manufacturer or Supplier)
Roof Trusses:
Floor/ Ceiling Joi
Siding /Exterior Trim: -
Other: V
1!�
EXEMPTIOAS FROM STATE REG*TRATION
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 wwcv.ibol.idaho.gov /cotit.htni
❑ 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 th^the
correct to the best of my knowledge.
e-.�
Print Name
X
0 0
Loel Nyal Walker
1029 Cedar Ave
Marysville, WA. 98270
(360) 658 -9800
June 13, 2007
City of Rexburg
Building Safety Department
19 E Main
Rexburg, Idaho 83440
Remodel of Basement: 271 N 3` W Rexburg, Idaho
Building Permit
Permit Department,
Please note the attached a for a building permit to remodel the basement at the
home located at 271 N 3` W Rexburg, Idaho. We will be framing some interior non
baring walls, installing dry wall, cabinets, and finishing carpentry.
Note the attached plans showing the existing floor plan and the remodeling floor plan.
The plumber has indicated that he will pull his own permit when he begins his part of the
remodel.
As owners we will be doing most of the work ourselves with the exception of the
concrete cutting to enlarge basement windows, plumbing, and flooring installation.
Note schedule of Cost of Construction attached. Let us know if you need additional
information.
Thank you,
N al Walker
0 t1
AUG - 1 2007
CITY OF REXBURG
e+ ,� fi
l