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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